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Spevigo (spesolimab-sbzo)


Billing

Code: J1747

Description: Inj, spesolimab-sbzo, 1 mg

Unit: 1 mg

Payment: $60.223

Pay quarter: Q3 2023


Medicare history

Dosage and Frequency

Calculate drug reimbursement


Total Reimbursement:

$57,452.74

(ASP: $54,200.70, Margin: $3,252.04)


Code:

J1747

# Units to bill:

900

Prior Authorization

Prior auth criteria for Spevigo may include but is not limited to:





Insurance prior auth guidelines:


Billable NDCs

00597-0035-10

SPEVIGO (BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.)

900 MG



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