HCPCS Level IIdrugActive
J1954
Inj leu acet lutr dpt 7.5 mg
BETOS: O1D
Effective: 2025-07-01
Referenced in 4 policies
Description
Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Leuprolide Acetate
Manufacturer
Cipla USA, Inc.
HCPCS Dosage
7.5 MG
Billing Units
3.0000
2
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.