Drug IndexRituxan (rituximab)



Billing

Code: J9312

Description: Inj., rituximab, 10 mg

Unit: 10 MG

Payment: $79.198

Pay quarter: Q1 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$9,395.20

Total Reimbursement:

$7,919.80

(ASP: $7,471.51, Margin: $448.29)

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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

50242-0051-10

Rituxan (GENENTECH, INC.)

1000 MG


50242-0051-21

Rituxan (GENENTECH, INC.)

100 MG


50242-0053-06

Rituxan (GENENTECH, INC.)

500 MG



Prior Authorization

Aetna

United Healthcare

Anthem

Cigna


Resources

Drug Enrollment Form

Website