Verity Pharma

TRELSTAR - Cost

Last Updated: April 1st, 2024

HCPCS:

J3315

HCPCS Code Descriptor:

Injection, triptorelin pamoate, 3.75 mg

Medicare Payment Limit:

The TRELSTAR Medicare Payment Limit is $416.69

Average Sale Price:

TRELSTAR ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The TRELSTAR Medicare Co-insurance percentage is 20%. TRELSTAR's Medicare Co-insurance amount is $83.34 per HCPCS unit.

APC Code:

The Trelstar APC Code is: 9122

APC Payment Limit:

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

Trelstar Cost Information:

TRELSTAR, HCPCS J3315, became effective on January 1, 2003. As of 2024, there are six NDCs aligned to J3315 with potential errors found with all of these mappings. Between 2022 and 2024, AWP and WAC saw no changes while ASP remained relatively constant.

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Trelstar’s wholesale acquisition cost (WAC) information was last updated on:
February 1, 2024
Trelstar’s average wholesale price (AWP) information was last updated on:
February 1, 2024