Merck

ZERBAXA - Cost

Last Updated: April 1st, 2024

HCPCS:

J0695

HCPCS Code Descriptor:

Injection, ceftolozane 50 mg and tazobactam 25 mg

Medicare Payment Limit:

The ZERBAXA Medicare Payment Limit is $7.289

Average Sale Price:

ZERBAXA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ZERBAXA Medicare Co-insurance percentage is 20%. ZERBAXA's Medicare Co-insurance amount is $1.46 per HCPCS unit.

APC Code:

The Zerbaxa APC Code is: 9452

APC Payment Limit:

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

Zerbaxa Cost Information:

Zerbaxa is aligned to the J Code: J0695 which became effective in January of 2016. Since it's effective date, Zerbaxa has taken incremental minor increases to its WAC and AWP list pricing. Although Zerbaxa became effective in January 2016, its ASP was not first published until three years later in January 2019. Zerbaxa's ASP has steadily risen since its publication, mimicking the increases in list price for Zerbaxa.

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Zerbaxa’s wholesale acquisition cost (WAC) information was last updated on:
January 6, 2024
Zerbaxa’s average wholesale price (AWP) information was last updated on:
January 6, 2024