HCPCS Level IIdrugActive

J1301

Injection, edaravone, 1 mg

BETOS: O1E

Effective: 2019-01-01

Referenced in 1 policies

Medicare Part B Drug Pricing

Average Sales Price (ASP) data for Q1 2026

Drug Name

Edaravone

Manufacturer

Sandoz Inc.

HCPCS Dosage

1 MG

Billing Units

30.0000

NDC Products

asp

Pricing Source

Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.

Coverage Policies

This code is referenced in 1 Medicare coverage policy