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Physician office payment for biosimilars in Medicare Part B in 2020

Example of physician office payment for biosimilars in Medicare Part B as of 2020*

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Sources

Release date

2020

Region

United States

Survey time period

as of 2020

Supplementary notes

* This hypothetical example assumes that the reference biologic’s ASP (average sales price) is 20% less than the WAC (wholesale acquisition cost) based on rebates over time.
** Sequestration lowers the 80% Medicare payment to physicians by 2%, but the beneficiary copayment remains at 20% of the original payment rate of ASP+6%.

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Statistics on "Generics and biosimilars"

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