Drug IndexKalbitor (Ecallantide)
Billing
Code: J1290
Description: Ecallantide injection
Unit: 1 MG
Payment: $565.826
Pay quarter: Q4 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
47783-0101-01
Kalbitor (Takeda Pharmaceuticals America, Inc.)
3 VIAL, GLASS in 1 CARTON (47783-101-01) / 1 mL in 1 VIAL, GLASS
Prior Authorization
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