HCPCS Level IIdrugActive
J2760
Phentolaine mesylate inj
BETOS: O1E
Effective: 1997-01-01
Referenced in 1 policies
Description
Injection, phentolamine mesylate, up to 5 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Phentolamine Mesylate
Manufacturer
Hikma Pharmaceuticals USA Inc.
HCPCS Dosage
5 MG
Billing Units
1.0000
2
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.