Drug IndexProlia (denosumab)
Billing
Code: J0897
Description: Denosumab injection
Unit: 1 MG
Payment: $25.189
Pay quarter: Q2 2024
Covered in Part D: Yes
Avg tier level: 4
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$1,736.63Total Reimbursement:
$1,511.34(ASP: $1,425.79, Margin: $85.55)
.
.# Units to bill:
60Dosage & Frequency
Osteoporosis
• 60mg SQ every 6 months
• 60mg SQ every 6 months
Billable NDCs
55513-0710-01
Prolia (AMGEN USA, INC.)
60 MG
55513-0730-01
XGEVA (AMGEN USA, INC.)
120 MG
Prior Authorization
Resources