HCPCS Level IIdrugActive
J0500
Dicyclomine injection
BETOS: O1E
Effective: 1997-01-01
Description
Injection, dicyclomine hcl, up to 20 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Dicyclomine HCl
Manufacturer
American Regent, Inc.
HCPCS Dosage
20 MG
Billing Units
1.0000
11
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.