HCPCS Level IIdrugActive
J3425
Hydroxocobalamin im 10mcg
BETOS: O1E
Effective: 2025-01-01
Referenced in 3 policies
Description
Injection, hydroxocobalamin, intramuscular, 10 mcg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Hydroxocobalamin IM
Manufacturer
Actavis Pharma, Inc.
HCPCS Dosage
10 MCG
Billing Units
3000.0000
1
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.