HCPCS Level IIdrugActive
J0295
Ampicillin sulbactam 1.5 gm
BETOS: O1E
Effective: 2019-01-01
Description
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Unasyn
Manufacturer
Pfizer Inc
HCPCS Dosage
1.5 GM
Billing Units
1.0000
44
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.