HCPCS Level IIdrugActive
J7165
Inj, human-lans, per i.u
BETOS: O1E
Effective: 2024-04-01
Description
Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Balfaxar
Manufacturer
Octapharma USA Inc.
HCPCS Dosage
PER FACTOR IX IU
Billing Units
1.0000
2
NDC Products
opps
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.