Drug IndexRuconest (C1 Esterase Inhibitor (Recombinant))


Billing

Code: J0596

Description: Injection, ruconest

Unit: 10 UNITS

Payment: $34.724

Pay quarter: Q4 2024

Covered in Part D: Yes

Avg tier level: 4

Drug Cost

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Total WAC:

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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

69913-0350-01

RUCONEST (Tjoapack Netherlands BV)

1 VIAL, SINGLE-USE in 1 CARTON (69913-350-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-USE


71274-0350-02

RUCONEST (Pharming Healthcare Inc.)

1 VIAL, SINGLE-USE in 1 CARTON (71274-350-02) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-USE (71274-350-01)


Prior Authorization

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