HCPCS Level IIdrugActive
J7201
Factor ix alprolix recomb
BETOS: O1E
Effective: 2017-01-01
Referenced in 5 policies
Description
Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Alprolix
Manufacturer
Bioverativ Therapeutics Inc.
HCPCS Dosage
1 IU
Billing Units
1.0000
6
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.