HCPCS Level IIdrugActive
J9040
Bleomycin sulfate injection
BETOS: O1D
Effective: 2009-01-01
Referenced in 6 policies
Description
Injection, bleomycin sulfate, 15 units
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Bleomycin Sulfate
Manufacturer
Hikma Pharmaceuticals USA Inc.
HCPCS Dosage
15 UNITS
Billing Units
1.0000
12
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.