[Ip-health] Some medicare Part B maximum prices, by gram

Jamie Love james.love at keionline.org
Wed Mar 19 07:30:25 PDT 2014


These are the maximum prices, per gram of active ingredient, for hundreds
of drugs reimbursed under Medicare Part B.  The prices are current as of
January 1, 2014. The data and the calculations are available here:
http://goo.gl/oDb173, and let me know if you find mistakes, or have
suggestions on additional analysis.

One take home message is that there is a huge range of prices, from around
$1 per gram up to $32 million per gram.  Generally, the price differences
reflect IPR  and market conditions, more than actual manufacturing cost
differences.

These are some examples, with prices expressed are gram of active
ingredient.

Ado-trastuzumab Emt (T-DM1,Kadcyla), breast cancer, $29,169
Alglucosidase alfa injection, Pompe disease, $20,663
Aminophylline, asthma,  $6
Ampicillin $1
Azithromycin, macrolide antibiotic, $6
Basiliximab, Prevents organ rejection after a kidney transplant, $123,431
Capecitabine, breast cancer and colon cancer, $67
Carboplatin, cancer, $63
Cisplatin, cancer, $208
Docetaxel, cancer, $3,980
Eribulin mesylate, cancer, $982,390
Etoposide, cancer of the testicles and small cell lung cancer in
combination with other medicines. Also called VP-16. $73.
Fosphenytoin, Anti-epileptic Agent, $24
Ifosfamide, cancer of the testicles, $36
Ipilimumab, skin cancer (melanoma), $128,966
Mesna, Protects the bladder from damage that may be caused by some cancer
medicines.  $15
Paclitaxel protein bound, $9,520
Paclitaxel, cancer, $146
Pegloticase, chronic gout, $569,997
Rituximab, rheumatoid arthritis, granulomatosis with polyangiitis (Wegener
granulomatosis), and microscopic polyangiitis (MPA), non-Hodgkin lymphoma
(NHL) and chronic lymphocytic leukemia (CLL).  $6,934
Trastuzumab injection (Herceptin), breast cancer,  $8,059


HCPCS Code,  Price per gram, Short Description
J3475 $0 Inj magnesium sulfate
J0295 $1 Ampicillin sodium per 1.5 gm
J2543 $1 Piperacillin/tazobactam
Q0163 $1 Diphenhydramine HCl 50mg
J0690 $2 Cefazolin sodium injection
J0698 $2 Cefotaxime sodium injection
J2001 $2 Lidocaine injection
J7608 $2 Acetylcysteine non-comp unit
Q0169 $2 Promethazine HCl 12.5mg oral
J0290 $3 Ampicillin 500 MG inj
J0696 $3 Ceftriaxone sodium injection
J7500 $3 Azathioprine oral 50mg
J0697 $4 Sterile cefuroxime injection
J0713 $4 Inj ceftazidime per 500 mg
J3370 $4 Vancomycin hcl injection
J7517 $4 Mycophenolate mofetil oral
J9190 $4 Fluorouracil injection
J0692 $5 Cefepime HCl for injection
J0694 $5 Cefoxitin sodium injection
Q0164 $5 Prochlorperazine maleate 5mg
J0280 $6 Aminophyllin 250 MG inj
J0456 $6 Azithromycin
J0744 $6 Ciprofloxacin iv
J2271 $6 Morphine so4 injection 100mg
J2810 $7 Inj theophylline per 40 MG
J1955 $8 Inj levocarnitine per 1 gm
J2700 $8 Oxacillin sodium injeciton
J0278 $10 Amikacin sulfate injection
J2185 $10 Meropenem
J3000 $10 Streptomycin injection
J1956 $11 Levofloxacin injection
J0133 $12 Acyclovir injection
J1165 $12 Phenytoin sodium injection
J7506 $12 Prednisone oral
J1200 $14 Diphenhydramine hcl injectio
J1265 $14 Dopamine injection
J1953 $14 Levetiracetam injection
J3410 $14 Hydroxyzine hcl injection
J1840 $15 Kanamycin sulfate 500 MG inj
J1850 $15 Kanamycin sulfate 75 MG inj
J9209 $15 Mesna injection
J0895 $16 Deferoxamine mesylate inj
J1580 $17 Garamycin gentamicin inj
J0743 $18 Cilastatin sodium injection
J1450 $19 Fluconazole
J2930 $19 Methylprednisolone injection
J7510 $20 Prednisolone oral per 5 mg
J1250 $23 Inj dobutamine HCL/250 mg
J7518 $23 Mycophenolic acid
J2690 $24 Procainamide hcl injection
Q2009 $24 Fosphenytoin inj PE
J0132 $26 Acetylcysteine injection
J1885 $26 Ketorolac tromethamine inj
J2010 $28 Lincomycin injection
J2175 $28 Meperidine hydrochl /100 MG
J0720 $30 Chloramphenicol sodium injec
J2675 $30 Inj progesterone per 50 MG
J2550 $32 Promethazine hcl injection
J7502 $32 Cyclosporine oral 100 mg
J3130 $33 Testosterone enanthate inj
J3260 $33 Tobramycin sulfate injection
J3411 $34 Thiamine hcl 100 mg
J7515 $34 Cyclosporine oral 25 mg
J2150 $35 Mannitol injection
J9208 $36 Ifosfamide injection
J9201 $37 Gemcitabine hcl injection
Q0162 $38 Ondansetron oral
J7631 $40 Cromolyn sodium noncomp unit
J8530 $40 Cyclophosphamide oral 25 MG
J2920 $43 Methylprednisolone injection
J2280 $44 Inj, moxifloxacin 100 mg
J2780 $44 Ranitidine hydrochloride inj
J7669 $44 Metaproterenol non-comp unit
J1070 $46 Testosterone cypionat 100 MG
J3250 $47 Trimethobenzamide hcl inj
J7613 $47 Albuterol non-comp unit
J9250 $50 Methotrexate sodium inj
J1120 $51 Acetazolamid sodium injectio
J1720 $51 Hydrocortisone sodium succ i
J9260 $51 Methotrexate sodium inj
J2354 $52 Octreotide inj, non-depot
J1364 $55 Erythro lactobionate /500 MG
J1267 $59 Doripenem injection
J1568 $61 Octagam injection
J9045 $63 Carboplatin injection
J1040 $66 Methylprednisolone 80 MG inj
J1335 $67 Ertapenem injection
J8520 $67 Capecitabine, oral, 150 mg
J8521 $67 Capecitabine, oral, 500 mg
J1030 $69 Methylprednisolone 40 MG inj
J1572 $72 Flebogamma injection
J3120 $72 Testosterone enanthate inj
J1459 $73 Inj IVIG privigen 500 mg
J9181 $73 Etoposide injection
J1566 $74 Immune globulin, powder
J1557 $75 Gammaplex injection
J0770 $77 Colistimethate sodium inj
J1556 $77 Inj, Imm Glob Bivigam, 500mg
J1559 $77 Hizentra injection
J1569 $79 Gammagard liquid injection
J2765 $79 Metoclopramide hcl injection
J1561 $80 Gamunex-C/Gammaked
J1245 $83 Dipyridamole injection
J3415 $83 Pyridoxine hcl 100 mg
J7309 $84 Methyl aminolevulinate, top
J0640 $86 Leucovorin calcium injection
J0712 $89 Ceftaroline fosamil inj
J2730 $90 Pralidoxime chloride inj
J0610 $93 Calcium gluconate injection
J2720 $93 Inj protamine sulfate/10 MG
J1240 $97 Dimenhydrinate injection
J2360 $101 Orphenadrine injection
J2405 $101 Ondansetron hcl injection
J0706 $103 Caffeine citrate injection
J7611 $104 Albuterol non-comp con
J2795 $108 Ropivacaine HCl injection
J1940 $121 Furosemide injection
J7509 $126 Methylprednisolone oral
J7516 $127 Cyclosporin parenteral 250mg
J1100 $129 Dexamethasone sodium phos
J7665 $134 Mannitol for inhaler
J2560 $139 Phenobarbital sodium inj
J9200 $139 Floxuridine injection
J1570 $144 Ganciclovir sodium injection
J2250 $144 Inj midazolam hydrochloride
J9265 $146 Paclitaxel injection
J3485 $150 Zidovudine
J0360 $156 Hydralazine hcl injection
J1650 $157 Inj enoxaparin sodium
J1020 $160 Methylprednisolone 20 MG inj
J2300 $164 Inj nalbuphine hydrochloride
J0210 $170 Methyldopate hcl injection
J3301 $182 Triamcinolone acet inj NOS
J7614 $182 Levalbuterol non-comp unit
J1080 $199 Testosterone cypionat 200 MG
J0600 $201 Edetate calcium disodium inj
J2020 $203 Linezolid injection
J2916 $206 Na ferric gluconate complex
J9060 $208 Cisplatin 10 MG injection
J9206 $227 Irinotecan injection
J7644 $235 Ipratropium bromide non-comp
J1050 $239 Medroxyprogesterone acetate
J1750 $241 Inj iron dextran
J1756 $271 Iron sucrose injection
J0470 $277 Dimecaprol injection
J9320 $278 Streptozocin injection
J2545 $281 Pentamidine non-comp unit
J2430 $286 Pamidronate disodium /30 MG
J0285 $289 Amphotericin B
J1205 $303 Chlorothiazide sodium inj
J9000 $310 Doxorubicin hcl injection
J1630 $320 Haloperidol injection
J3303 $326 Triamcinolone hexacetonl inj
J2275 $347 Morphine sulfate injection
J7612 $352 Levalbuterol non-comp con
J2060 $366 Lorazepam injection
J2770 $397 Quinupristin/dalfopristin
J1631 $399 Haloperidol decanoate inj
J0257 $401 Glassia injection
J7682 $401 Tobramycin non-comp unit
J0256 $403 Alpha 1 proteinase inhibitor
J3465 $410 Injection, voriconazole
J0780 $411 Prochlorperazine injection
J3095 $411 Telavancin injection
J8610 $417 Methotrexate oral 2.5 MG
J1790 $428 Droperidol injection
J3230 $446 Chlorpromazine hcl injection
J1451 $464 Fomepizole, 15 mg
J7674 $493 Methacholine chloride, neb
J9070 $525 Cyclophosphamide 100 MG inj
J1260 $538 Dolasetron mesylate
J9263 $538 Oxaliplatin
J1190 $543 Dexrazoxane HCl injection
J1170 $572 Hydromorphone injection
J2270 $580 Morphine sulfate injection
J0207 $601 Amifostine
J1600 $603 Gold sodium thiomaleate inj
J9178 $607 Inj, epirubicin hcl, 2 mg
J0878 $638 Daptomycin injection
J2515 $645 Pentobarbital sodium inj
Q0180 $655 Dolasetron mesylate oral
J2260 $664 Inj milrinone lactate / 5 MG
Q0138 $689 Ferumoxytol, non-esrd
Q0139 $689 Ferumoxytol, esrd use
J8540 $700 Oral dexamethasone
J7308 $704 Aminolevulinic acid hcl top
J1230 $739 Methadone injection
J0348 $755 Anidulafungin injection
J3360 $774 Diazepam injection
J2680 $804 Fluphenazine decanoate 25 MG
J3430 $818 Vitamin k phytonadione inj
J1380 $845 Estradiol valerate 10 MG inj
J9390 $954 Vinorelbine tartrate inj
J2248 $972 Micafungin sodium injection
J0171 $1,010 Adrenalin epinephrine inject
J3486 $1,038 Ziprasidone mesylate
J0287 $1,047 Amphotericin b lipid complex
J0150 $1,083 Injection adenosine 6 MG
Q0167 $1,131 Dronabinol 2.5mg oral
J8560 $1,176 Etoposide oral 50 MG
J1800 $1,294 Propranolol injection
J8501 $1,356 Oral aprepitant
J9185 $1,422 Fludarabine phosphate inj
J7507 $1,463 Tacrolimus Imme Rel oral 1mg
J9360 $1,484 Vinblastine sulfate inj
J0289 $1,619 Amphotericin b liposome inj
J0500 $1,667 Dicyclomine injection
J1453 $1,716 Fosaprepitant injection
J3105 $1,726 Terbutaline sulfate inj
J0740 $1,742 Cidofovir injection
J1000 $1,760 Depo-estradiol cypionate inj
J3243 $1,769 Tigecycline injection
J0595 $1,823 Butorphanol tartrate 1 mg
J8700 $1,938 Temozolomide
J3420 $2,097 Vitamin b12 injection
J7501 $2,173 Azathioprine parenteral
J0400 $2,216 Aripiprazole injection
J0129 $2,343 Abatacept injection
J2410 $2,373 Oxymorphone hcl injection
90585 $2,388 Bcg vaccine, percut
J0637 $2,555 Caspofungin acetate
J9261 $2,615 Nelarabine injection
Q0166 $2,671 Granisetron hcl 1 mg oral
J2358 $2,753 Olanzapine long-acting inj
J2315 $2,754 Naltrexone, depot form
J7504 $2,950 Lymphocyte immune globulin
J1430 $2,999 Ethanolamine oleate 100 mg
J0583 $3,208 Bivalirudin
J0151 $3,312 Inj Adenosine Diag 1mg
J0641 $3,502 Levoleucovorin injection
J9395 $3,586 Injection, Fulvestrant
J3262 $3,700 Tocilizumab injection
J3300 $3,702 Triamcinolone A inj PRS-free
J0485 $3,798 Belatacept injection
J0490 $3,880 Belimumab injection
J9171 $3,980 Docetaxel injection
J0461 $4,100 Atropine sulfate injection
J7508 $4,200 Tacrolimus Ex Rel oral 0.1mg
J8600 $4,538 Melphalan oral 2 MG
J1626 $4,540 Granisetron hcl injection
J9280 $4,712 Mitomycin injection
J9302 $4,718 Ofatumumab injection
J2357 $5,125 Omalizumab injection
J0717 $5,131 Certolizumab Pegol Inj 1mg
J9328 $5,143 Temozolomide injection
J9055 $5,254 Cetuximab injection
J3070 $5,265 Pentazocine injection
J9357 $5,300 Valrubicin injection
J9025 $5,436 Azacitidine injection
J8510 $5,451 Oral busulfan
J9370 $5,497 Vincristine sulfate 1 MG inj
J1327 $5,548 Eptifibatide injection
J9305 $6,007 Pemetrexed injection
J3010 $6,260 Fentanyl citrate injeciton
J1410 $6,526 Inj estrogen conjugate 25 MG
J9035 $6,566 Bevacizumab injection
J9293 $6,742 Mitoxantrone hydrochl / 5 MG
J9310 $6,934 Rituximab injection
Q2017 $6,939 Teniposide, 50 mg
J1745 $7,011 Infliximab injection
J9211 $7,136 Idarubicin hcl injection
J1160 $7,306 Digoxin injection
J2426 $7,645 Paliperidone palmitate inj
J1652 $7,834 Fondaparinux sodium
J9355 $8,059 Trastuzumab injection
J9218 $8,762 Leuprolide acetate injeciton
J9303 $9,123 Panitumumab injection
J9400 $9,371 Inj, ziv-aflibercept, 1mg
J9264 $9,520 Paclitaxel protein bound
J9306 $10,211 Injection, Pertuzumab, 1 mg
J1438 $10,717 Etanercept injection
J7626 $11,210 Budesonide non-comp unit
J2794 $11,876 Risperidone, long acting
J7325 $12,864 Synvisc or Synvisc-One
J2323 $13,987 Natalizumab injection
J9050 $14,243 Carmustine injection
J0897 $14,286 Denosumab injection
J7520 $14,512 Sirolimus, oral
J0221 $15,360 Lumizyme injection
J9230 $15,470 Mechlorethamine hcl inj
J1640 $16,487 Hemin, 1 mg
J0475 $16,651 Baclofen 10 MG injection
J2310 $17,842 Inj naloxone hydrochloride
J1300 $20,462 Eculizumab injection
J0220 $20,663 Alglucosidase alfa injection
J0735 $20,741 Clonidine hydrochloride
J0592 $21,200 Buprenorphine hydrochloride
J0515 $21,224 Inj benztropine mesylate
J9033 $21,347 Bendamustine injection
J2210 $21,595 Methylergonovin maleate inj
J9065 $22,262 Inj cladribine per 1 MG
J7511 $22,843 Antithymocyte globuln rabbit
J2760 $23,216 Phentolaine mesylate inj
J9351 $23,680 Topotecan injection
J9245 $24,975 Inj melphalan hydrochl 50 MG
J0594 $25,572 Busulfan injection
J7525 $27,233 Tacrolimus injection
J7527 $27,336 Oral everolimus
J9217 $27,878 Leuprolide acetate suspnsion
J0135 $28,463 Adalimumab injection
J9354 $29,169 Inj, Ado-trastuzumab Emt 1mg
J9047 $29,291 Injection, Carfilzomib, 1 mg
J1325 $31,300 Epoprostenol injection
J0894 $32,237 Decitabine injection
J0364 $32,683 Apomorphine hydrochloride
J7639 $32,805 Dornase alfa non-comp unit
J3246 $35,932 Tirofiban HCl
J1930 $37,885 Lanreotide injection
J1110 $44,583 Inj dihydroergotamine mesylt
J9017 $49,244 Arsenic trioxide injection
J3315 $49,530 Triptorelin pamoate
Q2049 $49,826 Imported Lipodox inj
Q2050 $51,348 Doxorubicin inj 10mg
J9202 $54,006 Goserelin acetate implant
J2355 $55,334 Oprelvekin injection
J9330 $57,013 Temsirolimus injection
J9225 $58,837 Vantas implant
J2997 $59,621 Alteplase recombinant
J3285 $61,237 Treprostinil injection
J0130 $68,349 Abciximab injection
J9207 $68,646 Ixabepilone injection
J1980 $70,204 Hyoscyamine sulfate inj
J3101 $79,023 Tenecteplase injection
J0215 $83,288 Alefacept
J1742 $87,495 Ibutilide fumarate injection
J0638 $91,010 Canakinumab injection
J3489 $105,421 Zoledronic Acid 1mg
J3396 $106,270 Verteporfin injection
J9042 $106,856 Brentuximab vedotin inj
J0480 $123,431 Basiliximab
J2993 $127,177 Reteplase injection
J9228 $128,966 Ipilimumab injection
J9027 $129,621 Clofarabine injection
J1610 $133,011 Glucagon hydrochloride/1 MG
J2353 $137,283 Octreotide injection, depot
J9043 $139,036 Cabazitaxel injection
J9268 $142,321 Pentostatin injection
J0180 $146,187 Agalsidase beta injection
J3357 $147,867 Ustekinumab injection
J1740 $157,929 Ibandronate sodium injection
J9307 $191,650 Pralatrexate injection
J1950 $199,605 Leuprolide acetate /3.75 MG
J0834 $250,500 Cosyntropin cortrosyn inj
J9315 $260,654 Romidepsin injection
J7686 $264,619 Treprostinil, non-comp unit
J1931 $283,110 Laronidase injection
J2790 $283,377 Rho d immune globulin inj
J2425 $288,100 Palifermin injection
J2562 $298,775 Plerixafor injection
J7606 $318,300 Formoterol fumarate, inh
J9226 $332,641 Supprelin LA implant
J1290 $355,440 Ecallantide injection
J8705 $357,256 Topotecan oral
J1458 $360,286 Galsulfase injection
J7605 $385,067 Arformoterol non-comp unit
J2783 $428,778 Rasburicase
J9041 $455,670 Bortezomib injection
J1743 $469,086 Idursulfase injection
90385 $496,920 Rh ig, minidose, im
J2788 $507,360 Rho d immune globulin 50 mcg
J2785 $531,320 Regadenoson injection
J2505 $537,723 Injection, pegfilgrastim 6mg
J9300 $548,518 Gemtuzumab ozogamicin inj
J2507 $569,997 Pegloticase injection
J2820 $594,640 Sargramostim injection
J2325 $606,060 Nesiritide injection
J2469 $773,800 Palonosetron hcl
J0178 $980,500 Aflibercept injection (ophthalmic)
J9179 $982,390 Eribulin mesylate injection
J1442 $993,000 Inj, Filgrastim G-CSF 1mcg
J3240 $1,344,633 Thyrotropin injection
J0476 $1,516,800 Baclofen intrathecal trial
J2501 $1,639,000 Paricalcitol
J1270 $1,667,000 Injection, doxercalciferol
J7189 $1,683,000 Factor viia
J7312 $1,958,710 Dexamethasone intra implant
90740 $2,985,375 Hepb vacc, ill pat 3 dose im
90747 $2,985,375 Hepb vacc, ill pat 4 dose im
90746 $2,985,400 Hep b vaccine, adult, im
J2503 $3,429,913 Pegaptanib sodium injection
J0881 $3,676,000 Darbepoetin alfa, non-esrd
J0882 $3,676,000 Darbepoetin alfa, esrd use
J0636 $3,680,000 Inj calcitriol per 0.1 mcg
J7310 $3,768,889 Ganciclovir long act implant
J0775 $3,849,300 Collagenase, clost hist inj
J2778 $3,971,960 Ranibizumab injection
J2796 $5,161,300 Romiplostim injection
J2597 $5,299,000 Inj desmopressin acetate
J2278 $6,601,000 Ziconotide injection
J0795 $7,773,000 Corticorelin ovine triflutal
J7316 $8,374,000 Inj, Ocriplasmin, 0.125 mg
J2805 $16,536,000 Sincalide injection
J2850 $27,494,000 Inj secretin synthetic human
J7311 $32,788,136 Fluocinolone acetonide implt
Q3027 $32,830,000 Inj beta interferon im 1 mcg

-- 
James Love.  Knowledge Ecology International
http://www.keionline.org, KEI DC tel: +1.202.332.2670, US Mobile:
+1.202.361.3040, Geneva Mobile: +41.76.413.6584,   twitter.com/jamie_loveM



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