Drug IndexNucala (mepolizumab)
Billing
Code: J2182
Description: Injection, mepolizumab, 1mg
Unit: 1 MG
Payment: $30.480
Pay quarter: Q2 2024
Covered in Part D: Yes
Avg tier level: 4
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$3,411.74Total Reimbursement:
$3,048.00(ASP: $2,875.47, Margin: $172.53)
.
.# Units to bill:
100Dosage & Frequency
Severe Asthma
• 100mg SQ every 4 weeks if patient's age is 12 years or older
• 40mg SQ every 4 weeks if patient's age is 6-11 years
• 100mg SQ every 4 weeks if patient's age is 12 years or older
• 40mg SQ every 4 weeks if patient's age is 6-11 years
Chronic Rhinosinusitis With Nasal Polyps (CRSwNP)
• 100mg SQ every 4 weeks
• 100mg SQ every 4 weeks
eosinophilic granulomatosis with polyangiitis (EGPA)
hypereosinophilic syndrome (HES)
• 300mg SQ every 4 weeks
hypereosinophilic syndrome (HES)
• 300mg SQ every 4 weeks
Billable NDCs
00173-0881-01
NUCALA (GLAXOSMITHKLINE)
100 MG
Prior Authorization
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