Drug IndexSaphnelo (anifrolumab)
Billing
Code: J0491
Description: Inj anifrolumab-fnia 1mg
Unit: 1 MG
Payment: $17.135
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$5,077.06Total Reimbursement:
$5,140.50(ASP: $4,849.53, Margin: $290.97)
.
.# Units to bill:
300Dosage & Frequency
Systemic Lupus Erythematosus (SLE)
• 300mg IV every 4 weeks
• 300mg IV every 4 weeks
Billable NDCs
00310-3040-00
Saphnelo (ASTRAZENECA)
300 mg
Prior Authorization
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