Drug IndexInflectra (Infliximab-Dyyb)
Billing
Code: Q5103
Description: Injection, inflectra
Unit: 10 MG
Payment: $10.663
Pay quarter: Q3 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
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.# Units to bill:
N/ABillable NDCs
00069-0809-01
INFLECTRA (Pfizer Laboratories Div Pfizer Inc)
1 VIAL, SINGLE-USE in 1 CARTON (0069-0809-01) / 10 mL in 1 VIAL, SINGLE-USE
Prior Authorization
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