Drug IndexEylea (Aflibercept)
Billing
Code: J0178
Description: Aflibercept injection
Unit: 1 MG
Payment: $821.980
Pay quarter: Q4 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
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.# Units to bill:
N/ABillable NDCs
61755-0005-01
EYLEA (Regeneron Pharmaceuticals, Inc.)
1 SYRINGE, GLASS in 1 CARTON (61755-005-01) / .05 mL in 1 SYRINGE, GLASS
61755-0005-02
EYLEA (Regeneron Pharmaceuticals, Inc.)
1 VIAL, SINGLE-USE in 1 CARTON (61755-005-02) / .05 mL in 1 VIAL, SINGLE-USE
61755-0005-54
EYLEA (Regeneron Pharmaceuticals, Inc.)
1 SYRINGE, GLASS in 1 CARTON (61755-005-54) / .05 mL in 1 SYRINGE, GLASS
61755-0005-55
EYLEA (Regeneron Pharmaceuticals, Inc.)
1 VIAL, SINGLE-USE in 1 CARTON (61755-005-55) / .05 mL in 1 VIAL, SINGLE-USE
Prior Authorization
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