HCPCS Level IIdrugActive
J3415
Pyridoxine hcl 100 mg
BETOS: O1E
Effective: 2004-01-01
Referenced in 1 policies
Description
Injection, pyridoxine hcl, 100 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Pyridoxine Hcl
Manufacturer
HF Acquisition Co. LLC, DBA HealthFirst
HCPCS Dosage
100 MG
Billing Units
1.0000
3
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.