HCPCS Level IIdrugActive
J7295
Eth estr and eton monthly
BETOS: Z2
Effective: 2021-10-01
Referenced in 1 policies
Description
Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each
Medicare Part B Drug Pricing
ASP-Based Payment
This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.
ASP pricing data not currently available for this code.
Coverage Policies