Biogen

TYSABRI - Cost

Last Updated: April 1st, 2024

HCPCS:

J2323

HCPCS Code Descriptor:

Injection, natalizumab, 1 mg

Medicare Payment Limit:

The TYSABRI Medicare Payment Limit is $24.225

Average Sale Price:

TYSABRI ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The TYSABRI Medicare Co-insurance percentage is 20%. TYSABRI's Medicare Co-insurance amount is $4.85 per HCPCS unit.

APC Code:

The Tysabri APC Code is: 9126

APC Payment Limit:

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

Tysabri Cost Information:

Tysabri is aligned to the HCPCS code J2323, which became effective in the first quarter of 2008. Between 2016 and 2024, Tysabri has taken minor list price increases every 6 to 12 months. Tyrabri's ASP has remained relatively close to its WAC price during this time period, indicating a moderate degree of discounting by Biogen.

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Tysabri’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2023
Tysabri’s average wholesale price (AWP) information was last updated on:
January 1, 2023