Drug IndexBerinert (C1-inhibitor)



Billing

Code: J0597

Description: C-1 esterase, berinert

Unit: 10 UNITS

Payment: $64.427

Pay quarter: Q2 2024


Covered in Part D: Yes

Avg tier level: 4


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$12,281.38

Total Reimbursement:

$10,308.32

(ASP: $9,724.83, Margin: $583.49)

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# Units to bill:

160

Dosage & Frequency

Hereditary angioedema (HAE) attacks

• 20IU/kg IV PRN


Billable NDCs

63833-0825-02

BERINERT (CSL BEHRING LLC)

500 UNITS



Prior Authorization

Aetna

United Healthcare

Anthem

Cigna


Resources

Drug Enrollment Form

Website