Drug IndexRuconest (C1-inhibitor)
Billing
Code: J0596
Description: Injection, ruconest
Unit: 10 UNITS
Payment: $33.400
Pay quarter: Q2 2024
Covered in Part D: Yes
Avg tier level: 4
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$15,250.00Total Reimbursement:
$14,028.00(ASP: $13,233.96, Margin: $794.04)
.
.# Units to bill:
420Dosage & Frequency
hereditary angioedema (HAE)
• 50U/kg (not to exceed 4200 U) IV PRN
An additional dose may be administered within 24 hours if attack persists.
• 50U/kg (not to exceed 4200 U) IV PRN
An additional dose may be administered within 24 hours if attack persists.
Billable NDCs
71274-0350-02
Ruconest (PHARMING HEALTHCARE, INC.)
2100 UNITS
Prior Authorization
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