Flexion Therapeutics

ZILRETTA - Cost

Last Updated: April 1st, 2024

HCPCS:

J3304

HCPCS Code Descriptor:

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Medicare Payment Limit:

The ZILRETTA Medicare Payment Limit is $17.491

Average Sale Price:

ZILRETTA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ZILRETTA Medicare Co-insurance percentage is 20%. ZILRETTA's Medicare Co-insurance amount is $3.5 per HCPCS unit.

APC Code:

The Zilretta APC Code is: 9469

APC Payment Limit:

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

Zilretta Cost Information:

ZILRETTA, manufactured by Flexion Therapeutics, became effective on January 1, 2019, and is aligned to HCPCS J3304. ZILRETTA has two NDCs mapped to J Code: 3304 with a potential error found amongst these alignments. From 2019 through 2021, WAC and AWP remained unchanged while ASP decreased by around 5%. Between 2021 and 2024, WAC and AWP began an upward trend while ASP trended downwards.

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