Drug IndexRenflexis (infliximab-abda)
Billing
Code: Q5104
Description: Injection, renflexis
Unit: 10 MG
Payment: $30.579
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$2,260.17Total Reimbursement:
$917.37(ASP: $865.44, Margin: $51.93)
.
.# Units to bill:
30Dosage & Frequency
Crohn's Disease (CD)
Ulcerative Colitis (UC)
Ankylosing Spondylitis (AS)
Psoriatic Arthritis (PsA)
Plaque Psoriasis (Ps)
Induction:
• 5mg/kg IV at 0, 2, and 6 weeks
Maintenance:
• 5mg/kg IV every 8 weeks
Ulcerative Colitis (UC)
Ankylosing Spondylitis (AS)
Psoriatic Arthritis (PsA)
Plaque Psoriasis (Ps)
Induction:
• 5mg/kg IV at 0, 2, and 6 weeks
Maintenance:
• 5mg/kg IV every 8 weeks
Rheumatoid Arthritis (RA)
Induction:
• 3mg/kg IV at 0, 2, and 6 weeks
Maintenance:
• 3mg/kg IV every 8 weeks
Induction:
• 3mg/kg IV at 0, 2, and 6 weeks
Maintenance:
• 3mg/kg IV every 8 weeks
Billable NDCs
00006-4305-02
Renflexis (MERCK SHARP & DOHME CORP.)
100 MG
78206-0162-01
Renflexis (ORGANON LLC)
100 MG
Prior Authorization
Resources