Genentech

XOLAIR - Cost

Last Updated: April 1st, 2024

HCPCS:

J2357

HCPCS Code Descriptor:

Injection, omalizumab, 5 mg

Medicare Payment Limit:

The XOLAIR Medicare Payment Limit is $36.806

Average Sale Price:

XOLAIR ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The XOLAIR Medicare Co-insurance percentage is 20%. XOLAIR's Medicare Co-insurance amount is $7.36 per HCPCS unit.

APC Code:

The Xolair APC Code is: 9300

APC Payment Limit:

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

Xolair Cost Information:

XOLAIR, HCPCS J2357, became effective on January 1, 2005. XOLAIR has three NDCs mapped to J Code: J2357 without issue. Pricing has increased annually by a few percentage points every year since 2018. Between 2022 and 2024, ASP has trended around 20% below WAC and close to 30% below AWP.

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Xolair’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Xolair’s average wholesale price (AWP) information was last updated on:
July 1, 2023