HCPCS Level IIdrugActive
J0120
Tetracyclin injection
BETOS: O1E
Effective: 2018-01-01
Description
Injection, tetracycline, up to 250 mg
Medicare Part B Drug Pricing
ASP-Based Payment
This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.
ASP pricing data not currently available for this code.
Coverage Policies