BDI reps are on-call for your emergency and after-hours needs, as well. Call 1-800-948-9834 for more information or to place an order today.
Contact BDI
 
BDI Pharma is a Verified-Accredited Wholesale Distributor and a member of HISCI. Always rest assured your product is being handled with the utmost care and professionalism.
How useful is their pedigree?     Click here to see.
Effective July 1, 2014 through September 30, 2014. Visit the Centers for Medicare & Medicaid Services for more information.


HCPCS Codes & Medicare Payment
Payment Allowance Limits for Medicare Part B Drugs
Effective July 1, 2014  - September 30, 2014
 
For a more complete listing of payment allowance limits for 2014 Click Here

For comprehensive reimbursement assistance at no charge to active BDI Pharma customers, call BDI Access
at 855-234-2273  (855-BDI-CARE).

Please Note:

Note 1: Payment allowance limits subject to the ASP methodology are based on 1Q14 ASP data.

Note 2: The absence or presence of a HCPCS code and the payment allowance limits in this table does not indicate Medicare coverage of the drug. Similarly, the inclusion of a payment allowance limit within a specific column does not indicate Medicare coverage of the drug in that specific category. These determinations shall be made by the local Medicare contractor processing the claim.
 
Tip: To search this page, hold the Ctrl+F (or Apple+F for Mac users). 
HCPCS Code Description HCPCS Code Dosage Payment Limit

90371 Hep b ig, im 1mL $118.22
90375 Rabies ig, im/sc 150 iu $241.04
90376 Rabies ig, heat treated 150 iu $230.99
90385 Rh ig, minidose, im 50 mcg $34.66
90585 Bcg vaccine, percut 50 mg $122.18
90586 Bcg vaccine, intravesical 1 each $122.18
90632 Hep a vaccine, adult im 1 mL $50.68
90670 Pneumoccocal vacc, 13 val im 0.5mL $153.96
90675 Rabies vaccine, im 1 mL $230.92
90691 Typhoid vaccine, im 0.m mL $67.87
90703 Tetanus vaccine, im 0.5 mL $41.11
90714 Td  vaccine no prsrv >/= 7 yo, im 0.5 mL $21.10
90715 Tdap => 7 yo, im 0.5 mL $35.83
90732 Pneumococcal vaccine 0.5 mL $77.85
90733 Meningococcal vaccine, sc 0.5 mL $106.49
90740 Hepb vacc, ill pat 3 dose im 40 mcg $119.42
90743 Hep b vacc, adol, 2 dose, im 1 dose $24.22
90744 Hepb vacc ped/adol 3 dose im 1 dose $24.22
90746 Hep b vaccine, adult, im 20 mcg $59.71
90747 Hepb vacc, ill pat 4 dose im 40 mcg $119.42
J0640 Leucovorin calcium injection 50 mg $4.05
J0692 Cefepime HCI for injection 500 mg $2.38
J0850 Cytomegalovirus imm IV/vial per vial $1,013.87
J0894 Decitabine injection 1 mg $29.40
J1100 Dexamethasone sodium phos 1 mg $0.15
J1120 Acetazolamid sodium injection 500 mg $24.980
J1200 Diphenhydramine hcl injection 50 mg $0.61
J1459 inj IVIG privigen 500 mg $37.07
J1460 Gamma globulin 1 CC $28.68
J1556 Inj, Imm Globulin Bivigam 500mg $37.92
j1557 Gammaplex injection 500mg $40.37
J1559 Hizentra injection 100 mg $7.93
J1561 Gamunex, Gamunex-C, Gammaked 500 mg $40.32
J1566 Immune globulin, powder 500 mg $28.71
J1568 Octagam injection 500 mg $31.96
J1569 Gammagard liquid injection 500 mg $39.68
J1571 Hepagam b im injection 0.5mL $51.64
J1572 Flebogamma injection 500 mg $38.80
J1626 Granisetron hcl injecction 100 mcg $0.45
J1644 inj heparin sodium per 1000u 1000 units $0.21
J1940 Furosemide injection 20 mg $5.30
J2405 Ondansetron hcl injection 1 mg $0.09
J2430 Pamidronate disodium 30 mg $11.01
J2778 Rho D Immune Globulin 50 mcg $6.17
J2790 Rho d immune globulin injection 300 mcg $83.69
J2791 Rhophylac injection 100 iu $4.77
J2792 Rho(D) immune globulin h, sd 100 iu $18.96
J3370 Vancomycin hcl injection 500 mg $2.30
J3420 Vitamin b 12 injection 1000 mcg $2.20
J3489 Zoledronic Acid 1 mg $61.58
J7183 Wilate injection 1i.u.vwf:rco $0.94
J7185 Xyntha injection 1 iu $1.19
J7186 Antihemophilic VIII / vWF per factor VII iu $0.93
J7187 Humate-P, injection 1 iu $0.95
J7189 Factor VIIa 1 mcg $1.72
J7190 Factor VIII 1 iu $0.93
J7192 Factor VIII recombinant NOS 1 iu $1.14
J7193 FactorIX non-recombinant 1 iu $1.01
J7194 Factor IX complex 1 iu $1.12
J7195 Factor IX recombinant 1 iu $1.37
J7198 Anti-inhibitor 1 iu $1.70
J9000 Doxorubicin hcl injection 10 mg $2.95
J9025 Azacitidine injection 1 mg $4.43
J9045 Carboplatin injection 50 mg $3.47
J9171 Docetaxel injection 1 mg $4.97
J9185 Fludarabine phosphate injection 50 mg $78.21
J9190 Fluoroucil injection 500 mg $1.87
J9201 Gemcitabine hcl injection 200 mg $6.27
J9206 Irinotecan injection 20 mg $4.35
J9263 Oxaliplatin 0.5 mg $0.57
J9265 Paclitaxel injection 30 mg $4.30
J9280 Mitomycin injection 5 mg $22.96
J9351 Topotecan injection 0.1 mg $2.06
J9390 Vinorelbine tartrate injection 10 mg $10.98
P9041 Albumin (human) 5%, 50mL 50 mL $10.070
Q2050 Doxorubicin inj 10mg $490.84
       
       
Seasonal Vaccines
90654 Flu Vaccine, intradermal, no preserv 0.1mL Click here to see the Seasonal Influenza Vaccines Pricing webpage for current payment limits and effective dates.
90655 Flu vaccine no preserv 6-35m, im 0.25 mL
90656 Flu vaccine no preserv 3 yo & >, im 0.5 mL
90657 Flu vaccine, 6-35 mo, im 0.25 mL
90662 Flu vaccine prsv free inc antig 0.5mL
90672 Flu Vaccine 4 valent nasal 0.2mL
90685 'Flu vac no prsv 4 val 6-35 m 0.25mL
90686 Flu vac no prsv 4 val 3 yrs+ 0.5mL
Q2035 Afluria vacc , 3yrs &>, im 0.5 mg
Q2037 Fluvirin vacc, 3 yrs & >. IM 0.5 mL
Q2038 Fluzone vacc, 3 yrs & >, im 0.5mL