Horizon Therapeutics

UPLIZNA - Cost

Last Updated: April 1st, 2024

HCPCS:

J1823

HCPCS Code Descriptor:

Injection, inebilizumab-cdon, 1 mg

Medicare Payment Limit:

The UPLIZNA Medicare Payment Limit is $473.513

Average Sale Price:

UPLIZNA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The UPLIZNA Medicare Co-insurance percentage is 20%. UPLIZNA's Medicare Co-insurance amount is $94.7 per HCPCS unit.

APC Code:

The Uplizna APC Code is: 9394

APC Payment Limit:

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

Uplizna Cost Information:

UPLIZNA, HCPCS J1823, became effective on January 1, 2021. There are two NDCs mapped to J Code: J1823 with one possible error found. From its inception, WAC and ASP have remained close showing little to no variance. AWP has trended nearly 15% above WAC and ASP during this time period.

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Uplizna’s wholesale acquisition cost (WAC) information was last updated on:
January 5, 2024
Uplizna’s average wholesale price (AWP) information was last updated on:
January 5, 2024