HCPCS Level IIdrugActive
J0801
Inj. acthar gel to 40 units
BETOS: O1E
Effective: 2023-10-01
Referenced in 1 policies
Description
Injection, corticotropin (acthar gel), up to 40 units
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
H.P. Acthar
Manufacturer
Mallinckrodt ARD LLC
HCPCS Dosage
UP TO 40 UNITS
Billing Units
10.0000
3
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.