Drug IndexBivigam (IVIG)
Billing
Code: J1556
Description: Inj, imm glob bivigam, 500mg
Unit: 500 mg
Payment: $72.962
Pay quarter: Q1 2024
Covered in Part D: Yes
Avg tier level: 4
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$4,255.20Total Reimbursement:
$4,377.72(ASP: $4,129.92, Margin: $247.80)
.
.# Units to bill:
60Dosage & Frequency
Billable NDCs
69800-6502-01
BIVIGAM (ADMA BIOLOGICS)
5000 MG
69800-6503-01
BIVIGAM (ADMA BIOLOGICS)
10000 MG
Prior Authorization
Resources