Drug IndexRiabni (rituximab-arrx)


Billing

Code: Q5123

Description: Inj. riabni, 10 mg

Unit: 10 MG

Payment: $41.418

Pay quarter: Q2 2024

Covered in Part D: No

Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$7,168.00

Total Reimbursement:

$4,141.80

(ASP: $3,907.36, Margin: $234.44)

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# Units to bill:

100

Dosage & Frequency

Rheumatoid Arthritis (RA)

• Two 1000mg IV doses separated by 2 weeks, every 6 months

Billable NDCs

55513-0224-01

Riabni (AMGEN USA, INC.)

100 MG


55513-0326-01

Riabni (AMGEN USA, INC.)

500 MG


Prior Authorization

Aetna

United Healthcare

Anthem

Cigna

Resources

Drug Enrollment Form

Website