Injectafer (ferric carboxymaltose)
Billing
Code: J1439
Description: Inj ferric carboxymaltos 1mg
Unit: 1 mg
Payment: $1.102
Pay quarter: Q1 2023
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
• 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:
750Prior 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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