Drug IndexProvenge (Sipuleucel-T)
Billing
Code: Q2043
Description: Sipuleucel-t auto cd54+
Unit: 1 per
Payment: $55015.225
Pay quarter: Q4 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
30237-8900-06
PROVENGE (Dendreon Pharmaceuticals LLC)
1 BAG in 1 CARTON (30237-8900-6) / 1 INJECTION in 1 BAG (30237-8900-5)
Prior Authorization
Resources