Cephalon

TRUXIMA - Cost

Last Updated: April 1st, 2024

HCPCS:

Q5115

HCPCS Code Descriptor:

Injection, rituximab-abbs, biosimilar, (truxima), 10 mg

Medicare Payment Limit:

The TRUXIMA Medicare Payment Limit is $30.98

Average Sale Price:

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

Medicare Co-Insurance Percentage:

The TRUXIMA Medicare Co-insurance percentage is 20%. TRUXIMA's Medicare Co-insurance amount is $6.2 per HCPCS unit.

APC Code:

The Truxima APC Code is: 9336

APC Payment Limit:

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

Truxima Cost Information:

Truxima (Q5115) is a rituximab biosimilar to the reference drug Rituxan (J9312). Truxima’s HCPCS Code Q5115 became effective on July 1st, 2019, but its two NDCs: 63459-0104-50 and 63459-0103-10 did not become effective until November 9th, 2019. Similar to many other biosimilars, Truxima’s ASP began very close to its WAC price but steadily decreased due to intense biosimilar price competition.

ACCESS PRICING AND MORE BY REGISTERING

Truxima’s wholesale acquisition cost (WAC) information was last updated on:
November 9, 2019
Truxima’s average wholesale price (AWP) information was last updated on:
November 9, 2019