HCPCS Level IIdrugActive
J1096
Dexametha opth insert 0.1 mg
BETOS: O1E
Effective: 2019-10-01
Description
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Dextenza
Manufacturer
Ocular Therapeutix
HCPCS Dosage
0.1 MG
Billing Units
4.0000
2
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.