Drug IndexCuvitru (SCIG)
Billing
Code: J1555
Description: Inj cuvitru, 100 mg
Unit: 100 MG
Payment: $15.827
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$6,734.10Total Reimbursement:
$4,748.10(ASP: $4,479.34, Margin: $268.76)
.
.# Units to bill:
300Dosage & Frequency
Billable NDCs
00944-2850-01
CUVITRU (TAKEDA PHARMACEUTICALS AMERICA, INC.)
1000 MG
00944-2850-03
CUVITRU (TAKEDA PHARMACEUTICALS AMERICA, INC.)
2000 MG
00944-2850-05
CUVITRU (TAKEDA PHARMACEUTICALS AMERICA, INC.)
4000 MG
00944-2850-07
CUVITRU (TAKEDA PHARMACEUTICALS AMERICA, INC.)
8000 MG
00944-2850-09
Cuvitru (TAKEDA PHARMACEUTICALS AMERICA, INC.)
10000 MG
Prior Authorization
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