HCPCS Level IIdrugActive
J9217
Leuprolide acetate suspnsion
BETOS: O1D
Effective: 1997-01-01
Referenced in 6 policies
Description
Leuprolide acetate (for depot suspension), 7.5 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Lupron Depot
Manufacturer
AbbVie Inc.
HCPCS Dosage
7.5 MG
Billing Units
3.0000
12
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.