HCPCS Level IIdrugActive
J3374
Inj, vancomycin (mylan) 10mg
BETOS: O1E
Effective: 2025-07-01
Description
Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Vancomycin HCl
Manufacturer
Hikma Pharmaceuticals USA Inc.
HCPCS Dosage
10 MG
Billing Units
125.0000
15
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.