Drug IndexKrystexxa (Pegloticase)
Billing
Code: J2507
Description: Pegloticase injection
Unit: 1 MG
Payment: $3447.057
Pay quarter: Q3 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
75987-0080-10
Krystexxa (Horizon Therapeutics USA, Inc.)
1 VIAL in 1 CARTON (75987-080-10) / 1 mL in 1 VIAL
Prior Authorization
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