Drug IndexActemra (Tocilizumab)
Billing
Code: J3262
Description: Tocilizumab injection
Unit: 1 MG
Payment: $5.962
Pay quarter: Q4 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
.
.# Units to bill:
N/ABillable NDCs
50242-0135-01
ACTEMRA (Genentech, Inc.)
1 VIAL, SINGLE-USE in 1 BOX (50242-135-01) / 4 mL in 1 VIAL, SINGLE-USE
50242-0136-01
ACTEMRA (Genentech, Inc.)
1 VIAL, SINGLE-USE in 1 BOX (50242-136-01) / 10 mL in 1 VIAL, SINGLE-USE
50242-0137-01
ACTEMRA (Genentech, Inc.)
1 VIAL, SINGLE-USE in 1 BOX (50242-137-01) / 20 mL in 1 VIAL, SINGLE-USE
Prior Authorization
Resources