Drug IndexKrystexxa (Pegloticase)
Billing
Code: J2507
Description: Pegloticase injection
Unit: 1 MG
Payment: $3391.914
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$27,960.56Total Reimbursement:
$27,135.31(ASP: $25,599.35, Margin: $1,535.96)
.
.# Units to bill:
8Dosage & Frequency
Chronic gout
• 8mg IV every 2 weeks
• 8mg IV every 2 weeks
Billable NDCs
75987-0080-10
Krystexxa (HORIZON)
8 MG
Prior Authorization
Resources