HCPCS Level IIdrugActive
J0401
Inj, abilify maintena, 1 mg
BETOS: O1E
Effective: 2024-07-01
Description
Injection, aripiprazole (abilify maintena), 1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Abilify Maintena
Manufacturer
Otsuka America Pharmaceuticals Inc.
HCPCS Dosage
1 MG
Billing Units
300.0000
6
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.