Drug IndexAduhelm (Aducanumab)
Billing
Code: J0172
Description: Inj, aducanumab-avwa, 2 mg
Unit: 2 MG
Payment: $5.978
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$2,256.00Total Reimbursement:
$2,391.20(ASP: $2,255.85, Margin: $135.35)
.
.# Units to bill:
400Dosage & Frequency
Alzheimer's
• 1mg/kg IV for infusion 1 and 2
• 3mg/kg IV for infusion 3 and 4
• 6mg/kg IV for infusion 5 and 6
• 10mg/kg IV for infusion 7+
• Administer every 4 weeks
• 1mg/kg IV for infusion 1 and 2
• 3mg/kg IV for infusion 3 and 4
• 6mg/kg IV for infusion 5 and 6
• 10mg/kg IV for infusion 7+
• Administer every 4 weeks
Billable NDCs
64406-0101-01
Aduhelm (BIOGEN)
170 MG
64406-0102-02
Aduhelm (BIOGEN)
300 MG
Prior Authorization
Resources