Drug IndexRadicava (Edaravone)
Billing
Code: J1301
Description: Injection, edaravone, 1 mg
Unit: 1 MG
Payment: $22.139
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
70510-2171-02
RADICAVA (Mitsubishi Tanabe Pharma America, Inc.)
2 BAG in 1 CARTON (70510-2171-2) / 100 mL in 1 BAG (70510-2171-1)
Prior Authorization
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