Gammagard liquid

Drug IndexGammagard liquid (IVIG)

Billing

Code: J1569

Description: Gammagard liquid injection

Unit: 500 MG

Payment: $43.223

Pay quarter: Q2 2024

Covered in Part D: Yes

Avg tier level: 4

Drug Cost

Calculate drug cost and reimbursement

Patient dosage

Patient insurance

Total WAC:

$5,085.60

Total Reimbursement:

$2,593.38

(ASP: $2,446.58, Margin: $146.80)

# Units to bill:

Dosage & Frequency

Billable NDCs

00944-2700-02