Drug IndexFerrlecit (Sodium Ferric Gluconate Complex)
Billing
Code: J2916
Description: Na ferric gluconate complex
Unit: 12.5 MG
Payment: $2.137
Pay quarter: Q3 2024
Covered in Part D: No
Drug Cost
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Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
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.# Units to bill:
N/ABillable NDCs
00024-2792-10
Ferrlecit (sanofi-aventis U.S. LLC)
10 VIAL, SINGLE-USE in 1 CARTON (0024-2792-10) / 5 mL in 1 VIAL, SINGLE-USE (0024-2792-01)
00024-2794-10
Ferrlecit (sanofi-aventis U.S. LLC)
10 VIAL, SINGLE-USE in 1 CARTON (0024-2794-10) / 5 mL in 1 VIAL, SINGLE-USE (0024-2794-01)
Prior Authorization
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