HCPCS Level IIdrugActive
J2428
Inj, erzofri, 1 mg
BETOS: O1E
Effective: 2025-04-01
Description
Injection, paliperidone palmitate extended release (erzofri), 1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Erzofri
Manufacturer
Luye Pharma USA Ltd
HCPCS Dosage
1 MG
Billing Units
39.0000
6
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.