Drug IndexSaphnelo (Anifrolumab)
Billing
Code: J0491
Description: Inj anifrolumab-fnia 1mg
Unit: 1 MG
Payment: $17.291
Pay quarter: Q4 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
.
.# Units to bill:
N/ABillable NDCs
00310-3040-00
SAPHNELO (AstraZeneca Pharmaceuticals LP)
1 VIAL, GLASS in 1 CARTON (0310-3040-00) / 2 mL in 1 VIAL, GLASS
Prior Authorization
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