HCPCS Level IIdrugActive
J1950
Leuprolide acetate /3.75 mg
BETOS: O1E
Effective: 1997-01-01
Referenced in 6 policies
Description
Injection, leuprolide acetate (for depot suspension), per 3.75 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Lupron Depot
Manufacturer
AbbVie Inc.
HCPCS Dosage
3.75 MG
Billing Units
2.0000
8
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.