Drug IndexEvenity (Romosozumab-Aqqg)



Billing

Code: J3111

Description: Inj. romosozumab-aqqg 1 mg

Unit: 1 MG

Payment: $11.155

Pay quarter: Q3 2024


Covered in Part D: Yes

Avg tier level: 4


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

N/A

(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

55513-0880-02

Evenity (Amgen Inc)

2 SYRINGE in 1 CARTON (55513-880-02) / 1.17 mL in 1 SYRINGE (55513-880-01)


55513-0998-02

Evenity (Amgen Inc)

2 SYRINGE, GLASS in 1 CARTON (55513-998-02) / 1.17 mL in 1 SYRINGE, GLASS



Prior Authorization


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