Feraheme - CuraFi

Drug IndexFeraheme (ferumoxytol)

Billing

Code: Q0138

Description: Ferumoxytol, non-esrd

Unit: 1 MG

Payment: $0.394

Pay quarter: Q2 2024

Covered in Part D: No

Drug Cost

Calculate drug cost and reimbursement

Patient dosage

Patient insurance

Total WAC:

$869.14

Total Reimbursement:

$200.94

(ASP: $189.57, Margin: $11.37)

# Units to bill:

510

Dosage & Frequency

Iron Deficiency Anemia (IDA)

Initial:
• Two doses of 510mg IV 3-8 days apart

Billable NDCs

00781-3154-01

FERUMOXYTOL (SANDOZ)

510 MG

59338-0775-01

Feraheme (AMAG PHARMACEUTICALS, INC.)

510 MG

Prior Authorization

Resources