Drug IndexOnpattro (Patisiran)
Billing
Code: J0222
Description: Inj., patisiran, 0.1 mg
Unit: 0.1 MG
Payment: $99.352
Pay quarter: Q3 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
.
.# Units to bill:
N/ABillable 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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