HCPCS Level IIdrugActive
J0289
Amphotericin b liposome inj
BETOS: O1E
Effective: 2003-01-01
Referenced in 2 policies
Description
Injection, amphotericin b liposome, 10 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Ambisome
Manufacturer
Astellas Pharma US, Inc.
HCPCS Dosage
10 MG
Billing Units
5.0000
5
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.