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Injectafer (ferric carboxymaltose)


Billing

Code: J1439

Description: Inj ferric carboxymaltos 1mg

Unit: 1 mg

Payment: $1.102

Pay quarter: Q1 2023


Medicare history

Dosage and Frequency

Iron Deficiency Anemia (IDA)

• Two doses of 750mg IV separated by at least 7 days if patient weighs 50kg or more
• Two doses of 15mg/kg IV separated by at least 7 days if patient weighs less than 50kg

Calculate drug reimbursement


Total Reimbursement:

$876.09

(ASP: $826.50, Margin: $49.59)


Code:

J1439

# Units to bill:

750

Prior Authorization

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





Insurance prior auth guidelines:


Billable NDCs

00517-0602-01

INJECTAFER (AMERICAN REGENT)

100 MG


00517-0650-01

Injectafer (AMERICAN REGENT)

0 1mg



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