Drug IndexIlumya (Tildrakizumab-Asmn)
Billing
Code: J3245
Description: Inj., tildrakizumab, 1 mg
Unit: 1 MG
Payment: $135.923
Pay quarter: Q4 2024
Covered in Part D: Yes
Avg tier level: 4
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
.
.# Units to bill:
N/ABillable NDCs
47335-0177-01
ILUMYA (Sun Pharmaceutical Industries, Inc.)
1 mL in 1 SYRINGE, GLASS (47335-177-01)
47335-0177-10
ILUMYA (Sun Pharmaceutical Industries, Inc.)
1 mL in 1 CARTON (47335-177-10)
47335-0177-95
ILUMYA (Sun Pharmaceutical Industries, Inc.)
1 mL in 1 CARTON (47335-177-95)
47335-0177-96
ILUMYA (Sun Pharmaceutical Industries, Inc.)
1 mL in 1 SYRINGE, GLASS (47335-177-96)
Prior Authorization
Resources