Drugs with Adjusted Coinsurance Amounts for the Quarter April 1-June 30, 2023

A March 15 fact sheet issued by CMS includes a list of the first set of Part B rebatable drugs that will be subject to the adjusted coinsurance amounts for the quarter April 1-June 30, 2023.

A list of these 27 drugs and biologicals follows:

HCPCS Code Short Description Inflation-Adjusted Coinsurance Percentage (%)*
J0287 Abelcet 19.180
J8655 Akynzeo 16.213
J7504 Atgam 17.830
J3145 Aveed 19.239
J0558 Bicillin C-R 18.921
J0561 Bicillin L-A 18.514
J1955 Carnitor 13.918
J0850 Cytogam 18.983
J9269 Elzonris 19.969
J0699 Fetroja 10.274
J1572 Flebogamma DIF 17.655
J9307 Folotyn 19.965
J1645 Fragmin 13.995
J0135 Humira 19.529
J2820 Leukine 19.648
J2265 Minocin 19.288
J0888 Mircera 17.614
J9268 Nipent 17.269
J9177 Padcev 19.470
J9061 Rybrevant 19.747
J2502 Signifor LAR 18.406
J2860 Sylvant 19.777
Q2053 Tecartus 19.958
J2792 Winrho SDF 19.882
J0775 Xiaflex 18.960
J3299 Xipere 18.969
Q2041 Yescarta 19.937

* Normally 20%