Drug IndexAmvuttra (Vutrisiran)



Billing

Code: J0225

Description: Inj, vutrisiran, 1 mg

Unit: 1 MG

Payment: $4932.109

Pay quarter: Q3 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

N/A

(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

71336-1003-01

AMVUTTRA (Alnylam Pharmaceuticals, Inc.)

1 SYRINGE, GLASS in 1 CARTON (71336-1003-1) / .5 mL in 1 SYRINGE, GLASS



Prior Authorization


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