HCPCS Level IIdrugActive
J1271
Inj doxycycline hyclate 1 mg
BETOS: O1E
Effective: 2025-04-01
Description
Injection, doxycycline hyclate, 1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Doxycycline Hyclate
Manufacturer
Hikma Pharmaceuticals USA Inc.
HCPCS Dosage
1 MG
Billing Units
100.0000
17
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.