HCPCS Level IIdrugActive
J1568
Octagam injection
BETOS: O1E
Effective: 2008-01-01
Referenced in 15 policies
Description
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Octagam
Manufacturer
Pfizer Inc
HCPCS Dosage
500 MG
Billing Units
10.0000
18
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.