HCPCS Level IIdrugActive
J3410
Hydroxyzine hcl injection
BETOS: O1E
Effective: 1997-01-01
Description
Injection, hydroxyzine hcl, up to 25 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Hydroxyzine HCl
Manufacturer
Henry Schein Inc.
HCPCS Dosage
25 MG
Billing Units
2.0000
6
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.