HCPCS Level IIdrugActive
J1566
Immune globulin, powder
BETOS: O1E
Effective: 2008-01-01
Referenced in 15 policies
Description
Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Gammagard S/D
Manufacturer
Takeda Pharmaceuticals America, Inc.
HCPCS Dosage
500 MG
Billing Units
10.0000
2
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.