HCPCS Level IIdrugActive
J1428
Inj, eteplirsen, 10 mg
BETOS: O1E
Effective: 2024-01-01
Referenced in 1 policies
Description
Injection, eteplirsen, 10 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Exondys 51
Manufacturer
Sarepta Therapeutics, Inc.
HCPCS Dosage
10 MG
Billing Units
50.0000
2
NDC Products
opps
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.