Pfizer

Trazimera - Cost

Last Updated: April 1st, 2024

HCPCS:

Q5116

HCPCS Code Descriptor:

Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg

Medicare Payment Limit:

The Trazimera Medicare Payment Limit is $12.765

Average Sale Price:

Trazimera ASP cost available once logged in. Trazimera is a biosimilar drug making the ASP calculation more complex. Trazimera's ASP is based on the average sale price of its biosimilar reference drug.

Medicare Co-Insurance Percentage:

The Trazimera Medicare Co-insurance percentage is 20%. Trazimera's Medicare Co-insurance amount is $2.55 per HCPCS unit.

APC Code:

The Trazimera APC Code is: 9350

APC Payment Limit:

The APC Payment Limit for Trazimera is available. Login to view.

Trazimera Cost Information:

Trazimera, a product of Pfizer, is aligned to HCPCS Q5116 and became effective on October 1, 2019. Trazimera has two NDCs mapped to Q5116. From 2019, AWP and WAC remained constant while ASP has had a steep decrease of over 90%.

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Trazimera’s wholesale acquisition cost (WAC) information was last updated on:
February 22, 2021
Trazimera’s average wholesale price (AWP) information was last updated on:
February 22, 2021

Trazimera Cost Graph: