HCPCS Level IIdrugActive
J1558
Inj. xembify, 100 mg
BETOS: O1E
Effective: 2020-07-01
Referenced in 4 policies
Description
Injection, immune globulin (xembify), 100 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Xembify
Manufacturer
Grifols USA, LLC
HCPCS Dosage
100 MG
Billing Units
10.0000
4
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.