Drug IndexByooviz (ranibizumab-nuna)
Billing
Code: Q5124
Description: Inj. byooviz, 0.1 mg
Unit: 0.1 MG
Payment: $175.058
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$1,130.00Total Reimbursement:
$875.29(ASP: $825.75, Margin: $49.54)
.
.# Units to bill:
5Dosage & Frequency
Neovascular (Wet) Age-Related Macular Degeneration (AMD)
Macular Edema Following Retinal Vein Occlusion(RVO)
• 0.5mg IVT every 1 month
Macular Edema Following Retinal Vein Occlusion(RVO)
• 0.5mg IVT every 1 month
Myopic Choroidal Neovascularization (mCNV)
• 0.5mg IVT every 1 month for up to 3 months
• 0.5mg IVT every 1 month for up to 3 months
Billable NDCs
64406-0019-01
Byooviz (Biogen)
0.5 mg
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