HCPCS Level IIdrugActive

J2865

Inj sulfameth/trim 5 mg/1 mg

BETOS: O1E

Effective: 2025-04-01

Description

Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg

Medicare Part B Drug Pricing

Average Sales Price (ASP) data for Q1 2026

Drug Name

Sulfamethoxazole-Trimethoprim

Manufacturer

Teva Parenteral Medicines, Inc.

HCPCS Dosage

5MG-1MG

Billing Units

80.0000

NDC Products

asp

Pricing Source

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