HCPCS Level IIdrugActive
J2788
Rho d immune globulin 50 mcg
BETOS: O1E
Effective: 2014-01-01
Referenced in 1 policies
Description
Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
HyperRho S/D
Manufacturer
Grifols USA, LLC
HCPCS Dosage
50 MCG
Billing Units
1.0000
1
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.