Cumberland Pharmacy

VIBATIV - Cost

Last Updated: April 1st, 2024

HCPCS:

J3095

HCPCS Code Descriptor:

Injection, telavancin, 10 mg

Medicare Payment Limit:

The VIBATIV Medicare Payment Limit is $7.131

Average Sale Price:

VIBATIV ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The VIBATIV Medicare Co-insurance percentage is 20%. VIBATIV's Medicare Co-insurance amount is $1.43 per HCPCS unit.

APC Code:

The Vibativ APC Code is: 9258

APC Payment Limit:

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

Vibativ Cost Information:

VIBATIV, HCPCS J3095, became effective on January 1, 2011. There are two NDCs aligned to J3095 with potential error found with one of these mappings. Between 2022 and 2024 pricing has had several swings but overall, trended upwards by almost 20%.

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Vibativ’s wholesale acquisition cost (WAC) information was last updated on:
January 4, 2024
Vibativ’s average wholesale price (AWP) information was last updated on:
January 4, 2024