Drug IndexOcrevus (ocrelizumab)



Billing

Code: J2350

Description: Injection, ocrelizumab, 1 mg

Unit: 1 MG

Payment: $58.756

Pay quarter: Q2 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$37,551.20

Total Reimbursement:

$35,253.60

(ASP: $33,258.11, Margin: $1,995.49)

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# Units to bill:

600

Dosage & Frequency

Multiple Sclerosis (MS)

Induction:
• 300mg IV at weeks 0 and 2

Maintenance:
• 600mg IV every 6 months


Billable NDCs

50242-0150-01

OCREVUS (GENENTECH, INC.)

300 MG



Prior Authorization

United Healthcare

Anthem

Cigna

Aetna


Resources

Drug Enrollment Form

Website