Drug IndexCutaquig (SCIG)
Billing
Code: J1551
Description: Inj cutaquig 100 mg
Unit: 100 mg
Payment: $13.888
Pay quarter: Q1 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$6,155.40Total Reimbursement:
$4,166.40(ASP: $3,930.57, Margin: $235.83)
.
.# Units to bill:
300Dosage & Frequency
Billable NDCs
00069-1061-02
Cutaquig (PFIZER INC.)
1000 MG
00069-1476-02
Cutaquig (PFIZER INC.)
2000 MG
00069-1509-02
Cutaquig (PFIZER INC.)
4000 MG
00069-1965-02
Cutaquig (PFIZER INC.)
8000 MG
68982-0810-01
Cutaquig (OCTAPHARMA)
1000 MG
68982-0810-03
Cutaquig (OCTAPHARMA)
2000 MG
68982-0810-04
Cutaquig (OCTAPHARMA)
3300 MG
68982-0810-05
Cutaquig (OCTAPHARMA)
4000 MG
68982-0810-06
Cutaquig (OCTAPHARMA)
8000 MG
Prior Authorization
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