HCPCS Level IIdrugActive
J0476
Baclofen intrathecal trial
BETOS: O1E
Effective: 2019-01-01
Referenced in 1 policies
Description
Injection, baclofen, 50 mcg for intrathecal trial
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Baclofen
Manufacturer
Sagent Pharmaceuticals
HCPCS Dosage
50 MCG
Billing Units
1.0000
4
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.