HCPCS Level IIdrugActive
J9017
Arsenic trioxide injection
BETOS: O1D
Effective: 2009-01-01
Description
Injection, arsenic trioxide, 1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Arsenic Trioxide
Manufacturer
Sandoz Inc.
HCPCS Dosage
1 MG
Billing Units
12.0000
21
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.