HCPCS Level IIdrugActive
J9210
Inj., emapalumab-lzsg, 1 mg
BETOS: O1D
Effective: 2019-10-01
Referenced in 1 policies
Description
Injection, emapalumab-lzsg, 1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Gamifant
Manufacturer
Swedish Orphan Biovitrum AB (PuBL)
HCPCS Dosage
1 MG
Billing Units
10.0000
3
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.