Drug IndexAsceniv (IVIG)


Billing

Code: J1554

Description: Inj. asceniv

Unit: 500 MG

Payment: $491.405

Pay quarter: Q2 2024

Covered in Part D: No

Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$27,815.40

Total Reimbursement:

$29,484.30

(ASP: $27,815.38, Margin: $1,668.92)

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# Units to bill:

60

Dosage & Frequency

Billable NDCs

69800-0250-01

Asceniv (ADMA BIOLOGICS)

5000 MG


Prior Authorization

Aetna

United Healthcare

Anthem

Cigna

Resources

Website