HCPCS Level IIdrugActive
J0650
Inj, levothyroxine nos 10mcg
BETOS: O1E
Effective: 2024-04-01
Description
Injection, levothyroxine sodium, not otherwise specified, 10 mcg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Levothyroxine Sodium
Manufacturer
Sagent Pharmaceuticals
HCPCS Dosage
10 MCG
Billing Units
10.0000
17
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.