HCPCS Level IIdrugActive
J3316
Inj., triptorelin xr 3.75 mg
BETOS: O1E
Effective: 2019-01-01
Referenced in 1 policies
Description
Injection, triptorelin, extended-release, 3.75 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Triptodur
Manufacturer
Azurity Pharmaceuticals, Inc.
HCPCS Dosage
3.75 MG
Billing Units
6.0000
1
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.