HCPCS Level IIdrugActive
J1097
Phenylep ketorolac opth soln
BETOS: O1E
Effective: 2019-10-01
Description
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Omidria
Manufacturer
Omeros Corporation
HCPCS Dosage
1 ML
Billing Units
4.0000
2
NDC Products
opps
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.