HCPCS Level IIdrugActive
J2791
Rhophylac injection
BETOS: O1E
Effective: 2016-01-01
Referenced in 3 policies
Description
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Rhophylac
Manufacturer
CSL Behring L.L.C.
HCPCS Dosage
100 IU
Billing Units
15.0000
2
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.