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Comparison of Medicare Drug Payments Between Quarter 2 and Quarter 3 2006
Q2 2006 Payment Q3 2006 Payment
Percent Change
for Office- for Office-
HCPCS Name Unit from Q2 2006 to Q3
Administered Drugs Administered Drugs
2006
(ASP + 6%) (ASP + 6%)
J0128 Injection, abarelix 10 mg $66.83 $68.62 2.7%
J0640 Injection, leucovorin calcium 50 mg $0.91 $1.02 12.1%
J0696 Injection, ceftriaxone sodium 250 mg $3.37 $2.03 -39.8%
J0780 Injection, prochlorperazine 10 mg $2.28 $2.35 3.1%
J0881 Injection, darbepoetin alfa (non-ESRD) 1 mcg $3.03 $3.03 0.0%
J0885 Injection, epoetin alpha, (non ESRD) 1000 units $9.34 $9.40 0.6%
J1094 Injection, dexamethasone acetate 1 mg $0.23 $0.23 0.0%
J1100 Injection, dexamethosone sodium phosphate 1 mg $0.13 $0.14 7.7%
J1200 Injection, diphenhydramine HCl 50 mg $0.79 $0.74 -6.3%
J1260 Injection, dolasetron mesylate 10 mg $6.82 $6.61 -3.1%
J1440 Injection, filgrastim (G-CSF) 300 mcg $184.27 $184.24 0.0%
J1441 Injection, filgrastim (G-CSF) 480 mcg $292.35 $292.61 0.1%
J1566 Immune globulin, powder 500 mg $22.26 $24.90 11.9%
J1567 Immune globulin, liquid 500 mg $29.09 $30.12 3.5%
J1626 Injection, granisetron HCl 100 mcg $6.87 $7.40 7.7%
J1645 Injection, dalteparin sodium 2500 IU $10.54 $10.89 3.3%
J1650 Injection, enoxaparin sodium 10 mg $5.44 $5.52 1.5%
J1655 Injection, tinzaparin sodium 1000 IU $2.20 $2.31 5.0%
J1751 Iron dextran 165 injection 50 mg $12.42 $11.69 -5.9%
J1752 Iron dextran 267 injection 50 mg $10.27 $10.34 0.7%
J1956 Injection, levofloxacin 250 mg $7.59 $7.40 -2.5%
J2060 Injection, lorazepam 2 mg $1.06 $1.01 -4.7%
J2353 Injection, octreotide depot 1 mg $90.35 $92.60 2.5%
J2354 Injection, octreotide, non-depot 25 mcg $4.38 $3.71 -15.3%
J2355 Injection, oprelvekin 5 mg $245.70 $245.87 0.1%
J2405 Injection, ondansetron HCl 1 mg $3.72 $3.69 -0.8%
J2430 Injection, pamidronate disodium 30 mg $29.59 $35.57 20.2%
J2505 Injection, pegfilgrastim 6 mg $2,163.20 $2,148.71 -0.7%
J2550 Injection, promethazine HCl 50 mg $2.08 $2.07 -0.5%
J2765 Injection, metoclopramide HCl 10 mg $0.52 $0.49 -5.8%
J2780 Injection, ranitidine HCl 25 mg $0.67 $0.71 6.0%
J2792 Rho(D) immune globulin h, sd 100 IU $13.70 $13.99 2.1%
J2820 Injection, sargramostim (GM-CSF) 50 mcg $23.34 $24.86 6.5%
Injection, sodium ferric gluconate complex in
J2916 sucrose injection 12.5 mcg $5.06 $4.75 -6.1%
J3487 Injection, zoledronic acid 1 mg $202.74 $203.10 0.2%
J7030 Infusion, normal saline solution 1000 cc $0.94 $1.00 6.4%
J7040 Infusion, normal saline solution, sterile 500 cc $0.46 $0.50 8.7%
J7042 5% dextrose/normal saline 500 ml $0.39 $0.39 0.0%
J7050 Infusion, normal saline solution 250 cc $0.23 $0.25 8.7%
J7060 5% dextrose/water 500 ml $1.26 $1.23 -2.4%
J9000 Doxorubicin HCI 10 mg $6.29 $6.15 -2.2%
J9001 Doxorubicin HCI, all lipid formula 10 mg $371.06 $377.75 1.8%
J9010 Alemtuzumab 10 mg $530.76 $530.24 -0.1%
single use
J9015 Aldesleukin vial $741.09 $723.36 -2.4%
J9017 Arsenic trioxide 1 mg $33.23 $33.23 0.0%
10,000
J9020 Asparaginase units $54.17 $54.16 0.0%
J9025 Injection, Azacitidine 1 mg $4.13 $4.13 0.0%
J9027 Injection, clofarabine 1 mg $116.68 $116.70 0.0%
J9031 BCG live (intravesical), per instillation 1 each $111.54 $112.68 1.0%
J9035 Injection, bevacizumab 10 mg $56.90 $56.89 0.0%
J9040 Bleomycin sulfate 15 units $24.59 $32.48 32.1%
J9041 Injection, bortezomib 0.1 mg $30.09 $31.89 6.0%
J9045 Carboplatin 50 mg $13.87 $8.83 -36.3%
J9050 Carmustine 100 mg $140.99 $139.66 -0.9%
J9055 Injection, cetuximab 10 mg $49.86 $49.86 0.0%
J9060 Cisplatin, powder or solution 10 mg $1.88 $1.90 1.1%
J9062 Cisplatin 50 mg $11.07 $11.23 1.4%
J9065 Injection, cladribine 1 mg $38.64 $37.85 -2.0%
J9070 Cyclophosphamide 100 mg $2.00 $1.90 -5.0%
J9080 Cyclophosphamide 200 mg $4.00 $3.80 -5.0%
J9090 Cyclophosphamide 500 mg $16.73 $15.29 -8.6%
J9091 Cyclophosphamide 1g $19.99 $18.99 -5.0%
J9092 Cyclophosphamide 2g $39.98 $37.98 -5.0%
J9093 Cyclophosphamide, lyophilized 100 mg * *
J9094 Cyclophosphamide, lyophilized 200 mg * *
J9095 Cyclophosphamide, lyophilized 500 mg * *
J9096 Cyclophosphamide, lyophilized 1g * *
Comparison of Medicare Drug Payments Between Quarter 2 and Quarter 3 2006
Q2 2006 Payment Q3 2006 Payment
Percent Change
for Office- for Office-
HCPCS Name Unit from Q2 2006 to Q3
Administered Drugs Administered Drugs
2006
(ASP + 6%) (ASP + 6%)
J9097 Cyclophosphamide, lyophilized 2g * *
J9098 Cytarabine liposome 10 mg $378.32 $397.90 5.2%
J9100 Cytarabine 100 mg $1.50 $1.52 1.3%
J9110 Cytarabine 500 mg $7.51 $7.58 0.9%
J9120 Dactinomycin 0.5 mg $13.93 $274.12 1867.8%
J9130 Dacarbazine 100 mg $4.26 $5.53 29.8%
J9140 Dacarbazine 200 mg $8.53 $11.06 29.7%
J9150 Daunorubicin HCl 10 mg $23.59 $23.26 -1.4%
J9151 Daunorubicin citrate, liposomal furmulation 10 mg $56.25 $56.13 -0.2%
J9160 Denileukin diftitox 300 mcg $1,404.30 $1,407.48 0.2%
J9170 Docetaxel 20 mg $297.29 $301.15 1.3%
J9175 Elliotts b solution per ml 1 ml $3.36 $3.40 1.2%
J9178 Injection, epirubicin HCl 2 mg $24.70 $24.64 -0.2%
J9181 Etoposide 10 mg $0.49 $0.48 -2.0%
J9182 Etoposide 100 mg $4.85 $4.84 -0.2%
J9185 Fludarabine phosphate 50 mg $232.31 $235.45 1.4%
J9190 Fluorouracil 500 mg $1.78 $2.06 15.7%
J9200 Floxuridine 500 mg $63.20 $62.96 -0.4%
J9201 Gemcitabine HCl 200 mg $117.70 $121.54 3.3%
J9202 Goserelin acetate implant 3.6 mg $199.47 $196.48 -1.5%
J9206 Irinotecan 20 mg $126.47 $126.85 0.3%
J9208 Ifosfamide 1g $54.71 $44.13 -19.3%
J9209 Mesna 200 mg $7.95 $10.28 29.3%
J9211 Idarubicin HCl 5 mg $268.06 $305.36 13.9%
J9212 Injection, interferon Alfacon-1, recombinant 1 mcg $3.92 $4.65 18.6%
3 million
J9213 Injection, interferon alfa-2a, recombinant units $33.85 $35.92 6.1%
1 million
J9214 Interferon alfa-2b, recombinant units $13.67 $13.73 0.4%
3 million
J9216 Interferon gamma-1B units $289.87 $289.87 0.0%
J9217 Leuprolide acetate (for depot suspension) 7.5 mg $245.31 $231.89 -5.5%
J9218 Leuprolide acetate 1 mg $7.94 $10.07 26.8%
J9219 Leuprolide acetate implant 65 mg $2,178.36 $2,256.81 3.6%
J9225 Histrelin implant 50 mg $2,039.06 $1,837.45 -9.9%
J9230 Mechlorethamine HCl, (nitrogen mustard) 10 mg $13.10 $77.88 494.5%
J9245 Injection, melphalan HCl 50 mg $1,202.15 $1,202.15 0.0%
J9250 Methotrexate sodium 5 mg $0.20 $0.22 10.0%
J9260 Methotrexate sodium 50 mg $1.99 $2.33 17.1%
J9263 Oxaliplatin 0.5 mg $8.55 $8.77 2.6%
J9264 Paclitaxel (protein-bound particles) (Abraxane) 1 mg $8.27 $8.79 6.3%
J9265 Paclitaxel 30 mg $15.58 $16.21 4.0%
single dose
J9266 Pegaspargase vial $1,611.20 $1,689.22 4.8%
J9268 Pentostatin 10 mg $2,020.02 $1,991.94 -1.4%
J9280 Mitomycin 5 mg $19.00 $17.95 -5.5%
J9290 Mitomycin 20 mg $75.98 $71.80 -5.5%
J9291 Mitomycin 40 mg $151.96 $143.59 -5.5%
J9293 Injection, mitoxantrone HCl 5 mg $339.97 $340.01 0.0%
J9300 Gemtuzumab ozogamicin 5 mg $2,287.15 $2,320.27 1.4%
J9305 Injection, pemetrexed 10 mg $41.29 $42.59 3.1%
J9310 Rituximab 100 mg $469.66 $470.16 0.1%
J9320 Streptozocin 1g $148.86 $153.44 3.1%
J9340 Thiotepa 15 mg $45.81 $45.16 -1.4%
J9350 Topotecan 4 mg $787.97 $797.67 1.2%
J9355 Trastuzumab 10 mg $55.11 $55.11 0.0%
J9360 Vinblastine sulfate 1 mg $1.00 $1.01 1.0%
J9370 Vincristine sulfate 1 mg $5.36 $6.14 14.6%
J9375 Vincristine sulfate 2 mg $10.73 $12.29 14.5%
J9380 Vincristine sulfate 5 mg $26.82 $30.71 14.5%
J9390 Vinorelbine tartrate 10 mg $22.25 $24.51 10.2%
J9395 Injection, Fulvestrant 25 mg $81.08 $80.86 -0.3%
J9600 Porfimer sodium 75 mg $2,505.40 $2,505.40 0.0%
* Payment information not available
ASP allowable amount includes the 20% copay
CMS July ASP file can be viewed or downloaded at
http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/02 aspfiles.asp#TopOfPage
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