Drug IndexKalbitor (Ecallantide)



Billing

Code: J1290

Description: Ecallantide injection

Unit: 1 MG

Payment: $562.880

Pay quarter: Q3 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

N/A

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

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# Units to bill:

N/A

Billable 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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