HCPCS Level IIdrugActive
J1165
Phenytoin sodium injection
BETOS: O1E
Effective: 1997-01-01
Description
Injection, phenytoin sodium, per 50 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Phenytoin Sodium
Manufacturer
Henry Schein Inc.
HCPCS Dosage
50 MG
Billing Units
5.0000
10
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.