Pfizer

VANCOMYCIN - Cost

Updated as of: July 1st, 2024

HCPCS:

J3370

HCPCS Code Descriptor:

Injection, vancomycin hcl, 500 mg

Medicare Payment Limit:

The Vancomycin Medicare Payment Limit is $1.995.

Average Sale Price:

VANCOMYCIN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Vancomycin Medicare Co-Insurance percentage is 20%. Vancomycin's Medicare Co-Insurance amount is $0.399

APC Code:

The Vancomycin APC Code is: not available

APC Payment Limit:

The APC Payment Limit for VANCOMYCIN is not available.

Vancomycin Cost Information:

VANCOMYCIN, HCPCS J3370, became effective on January 1, 2000, and has 86 NDCs aligned to J3370. Multiple errors or discrepancies were found within these mappings. Between 2019 and 2024, ASP declined by an estimated 45% while WAC and AWP decreased by slightly over 15%.

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Vancomycin’s wholesale acquisition cost (WAC) information was last updated on:
September 23, 2020
Vancomycin’s average wholesale price (AWP) information was last updated on:
September 23, 2020