Medicare Part B Immunos Calc

Description

Free HTML/Javascript Based Copay Calculator for Medicare Part B Immunosuppressants.

Note: Traditional Medicare Part B covers 80% of the costs for the following immunosuppressants listed below. This calculator predicts the 20% copay the patient is responsible for.

Usage

This web-based calculator is deployed via GitHub pages and can be accessed from any web browser at the following link

Documentation

Pricing files are reported each quarter and can be found at the following link

HCPCS Code	Drug Name	HCPCS Code Strength	Available Strengths
J7500	IMURAN (azathioprine)	50 mg	25 mg, 50 mg, 75 mg, 100 mg
J7502	NEORAL (cyclosporine)	100 mg	100 mg
J7503	ENVARSUS XR (tacrolimus ER)	0.25 mg	0.75 mg, 1 mg, 4 mg
J7507	PROGRAF (tacrolimus)	1 mg	0.5 mg, 1 mg, 5 mg
J7508	ASTAGRAF XL (tacrolimus ER)	0.1 mg	0.5 mg, 1 mg, 5 mg
J7509	methylPREDNISolone	4 mg	4 mg, 8 mg, 16 mg, 32 mg
J7510	predniSOLONE	5 mg	5 mg
J7512	predniSONE	1 mg	1 mg, 5 mg, 10 mg
J7515	NEORAL (cyclosporine)	25 mg	25 mg
J7517	CELLCEPT (mycophenolate mofetil)	250 mg	250 mg, 500 mg
J7518	MYFORTIC (mycophenolic acid)	180 mg	180 mg, 360 mg
J7520	RAPAMUNE (sirolimus)	1mg	0.5 mg, 1 mg
J7527	ZORTRESS (everolimus)	0.25 mg	0.25 mg, 0.5 mg, 0.75 mg

Medicare payment (80%) is calculated using the following formula:

$$ Medicare = \frac{(Strength) * (Payment Limit) * (Tablets)}{(HCPCS Strength)} $$

Copayment (20%) is calcated using the following formula:

$$ Copay = Medicare * 0.25 $$

Proof:

$$ \frac{Medicare}{Total} = \frac{80}{100} $$

$$ Total * 80 = Medicare * 100 $$

$$ Total = Medicare * 1.25 $$

$$ Total * 0.2 = Medicare * 1.25 * 0.2 $$

$$ Total * 0.2 = Medicare * 0.25 $$