regulatory
confidence high
sentiment positive
materiality 0.65
CMS grants pass-through payment status for Heron's APONVIE effective April 1, 2023
HERON THERAPEUTICS, INC. /DE/
- CMS approves three-year transitional pass-through status for APONVIE under C-code C9145 starting April 1, 2023.
- APONVIE will be reimbursed separately outside surgical bundle at ASP+6% in HOPD and ASC settings.
- APONVIE is the only PONV drug with Medicare reimbursement in both outpatient settings; launched March 6, 2023.
- Over 70% of surgery opportunity is in outpatient settings; CEO says status facilitates patient access and billing.