Drug IndexInjectafer (Ferric Carboxymaltose Injection)



Billing

Code: J1439

Description: Inj ferric carboxymaltos 1mg

Unit: 1 MG

Payment: $1.094

Pay quarter: Q2 2024


Covered in Part D: No


Drug Cost

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Total WAC:

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Total Reimbursement:

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(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

00517-0602-01

Injectafer (American Regent, Inc.)

1 VIAL, SINGLE-DOSE in 1 BOX (0517-0602-01) / 2 mL in 1 VIAL, SINGLE-DOSE


00517-0620-01

Injectafer (American Regent, Inc.)

1 VIAL, SINGLE-DOSE in 1 BOX (0517-0620-01) / 20 mL in 1 VIAL, SINGLE-DOSE


00517-0650-01

Injectafer (American Regent, Inc.)

1 VIAL, SINGLE-DOSE in 1 BOX (0517-0650-01) / 15 mL in 1 VIAL, SINGLE-DOSE



Prior Authorization


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