HCPCS Level IIdrugActive
J0743
Cilastatin sodium injection
BETOS: O1E
Effective: 1997-01-01
Referenced in 1 policies
Description
Injection, cilastatin sodium; imipenem, per 250 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Primaxin Iv
Manufacturer
Merck Sharp & Dohme LLC
HCPCS Dosage
250 MG
Billing Units
2.0000
6
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.