Drug IndexAvsola (Infliximab-Axxq)
Billing
Code: Q5121
Description: Inj. avsola, 10 mg
Unit: 10 MG
Payment: $21.290
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)
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.# Units to bill:
N/ABillable NDCs
55513-0670-01
AVSOLA (Amgen Inc)
1 VIAL, SINGLE-DOSE in 1 CARTON (55513-670-01) / 10 mL in 1 VIAL, SINGLE-DOSE
Prior Authorization
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