HCPCS Level IIdrugActive

J2315

Naltrexone, depot form

BETOS: O1E

Effective: 2007-01-01

Referenced in 2 policies

Description

Injection, naltrexone, depot form, 1 mg

Medicare Part B Drug Pricing

Average Sales Price (ASP) data for Q1 2026

Drug Name

Vivitrol

Manufacturer

Alkermes, Inc.

HCPCS Dosage

1 MG

Billing Units

380.0000

NDC Products

asp

Pricing Source

Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.