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J1050 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J1050

Medroxyprogesterone acetate

BETOS: O1E

Effective: 2013-01-01

Referenced in 2 policies

Description

Injection, medroxyprogesterone acetate, 1 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

Medroxyprogesterone Acetate150

Medroxyprogesterone acetate

NDC: 00548-5400-00INJECTION, SUSPENSION, EXTENDED RELEASEIM

Amphastar Pharmaceuticals, Inc.

Billing: ML

Medroxyprogesterone Acetate150

Medroxyprogesterone acetate

NDC: 00548-5400-25INJECTION, SUSPENSION, EXTENDED RELEASEIM

Amphastar Pharmaceuticals, Inc.

Billing: ML

Medroxyprogesterone Acetate150

Medroxyprogesterone acetate

NDC: 00548-5410-00INJECTION, SUSPENSION, EXTENDED RELEASEIM

Amphastar Pharmaceuticals, Inc.

Billing: ML

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

This code is referenced in 2 Medicare coverage policies

Sample Policies

AETNA-CPB-0510PayerPolicycovered

Progestins

AETNA-CPB-0510PayerPolicycovered

Progestins

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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