HCPCS Level IIdrugActive
J3376
Inj vancomycin (hikma) 10mg
BETOS: O1E
Effective: 2026-01-01
Description
Injection, vancomycin hcl (hikma), 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
50.0000
5
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.