Back to drug list

Ilumya (tildrakizumab-asmn)


Billing

Code: J3245

Description: Inj., tildrakizumab, 1 mg

Unit: 1 mg

Payment: $143.265

Pay quarter: Q3 2023


Medicare history

Dosage and Frequency

Calculate drug reimbursement


Total Reimbursement:

$15,186.09

(ASP: $14,326.50, Margin: $859.59)


Code:

J3245

# Units to bill:

100

Prior Authorization

Prior auth criteria for Ilumya may include but is not limited to:





Insurance prior auth guidelines:


Billable NDCs

47335-0177-95

Ilumya (SUN PHARMACEUTICAL GLOBAL FZE.)

100 MG



Resources