Drug IndexRituxan (Rituximab)



Billing

Code: J9312

Description: Inj., rituximab, 10 mg

Unit: 10 MG

Payment: $77.675

Pay quarter: Q3 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

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(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

50242-0051-10

Rituxan (Genentech, Inc.)

10 VIAL, SINGLE-USE in 1 CARTON (50242-051-10) / 10 mL in 1 VIAL, SINGLE-USE


50242-0051-21

Rituxan (Genentech, Inc.)

1 VIAL, SINGLE-USE in 1 CARTON (50242-051-21) / 10 mL in 1 VIAL, SINGLE-USE


50242-0053-06

Rituxan (Genentech, Inc.)

1 VIAL, SINGLE-USE in 1 CARTON (50242-053-06) / 50 mL in 1 VIAL, SINGLE-USE



Prior Authorization


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