Drug IndexLucentis (ranibizumab)
Billing
Code: J2778
Description: Ranibizumab injection
Unit: 0.1 mg
Payment: $187.553
Pay quarter: Q1 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$1,950.00Total Reimbursement:
$937.77(ASP: $884.68, Margin: $53.08)
.
.# Units to bill:
5Dosage & Frequency
Neovascular (Wet) Age-Related Macular Degeneration (AMD)
Macular Edema Following Retinal Vein Occlusion (RVO)
• 0.5mg IVT every 1 month
Macular Edema Following Retinal Vein Occlusion (RVO)
• 0.5mg IVT every 1 month
Diabetic Macular Edema (DME)
Diabetic Retinopathy (DR)
• 0.3mg IVT every 1 month
Diabetic Retinopathy (DR)
• 0.3mg IVT every 1 month
Myopic Choroidal Neovascularization (mCNV)
• 0.5mg IVT every 1 month for up to 3 months
• 0.5mg IVT every 1 month for up to 3 months
Billable NDCs
50242-0080-03
Lucentis (GENENTECH, INC.)
0.5 mg
50242-0082-03
Lucentis PFS (GENENTECH, INC.)
0.30000000000000004 MG
Prior Authorization
Resources