HCPCS Level IIdrugActive
J1451
Fomepizole, 15 mg
BETOS: O1E
Effective: 2006-01-01
Description
Injection, fomepizole, 15 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Fomepizole
Manufacturer
American Regent, Inc.
HCPCS Dosage
15 MG
Billing Units
100.0000
4
NDC Products
opps
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.