Drug IndexInjectafer (ferric carboxymaltose)
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
Calculate drug cost and reimbursement
Total WAC:
$1,388.10Total Reimbursement:
$820.50(ASP: $774.06, Margin: $46.44)
.
.# Units to bill:
750Dosage & 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
• 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
Billable NDCs
00517-0602-01
INJECTAFER (AMERICAN REGENT)
100 MG
00517-0650-01
Injectafer (AMERICAN REGENT)
0 1mg
Prior Authorization
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