Drug IndexOnpattro (Patisiran)



Billing

Code: J0222

Description: Inj., patisiran, 0.1 mg

Unit: 0.1 MG

Payment: $99.204

Pay quarter: Q2 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

N/A

(ASP: N/A, Margin: N/A)

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# Units to bill:

N/A

Billable NDCs

71336-1000-01

Onpattro (Alnylam Pharmaceuticals, Inc.)

1 VIAL, SINGLE-DOSE in 1 CARTON (71336-1000-1) / 5 mL in 1 VIAL, SINGLE-DOSE



Prior Authorization


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