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Spinraza (nusinersen)


Billing

Code: J2326

Description: N/A

Unit: N/A

Payment: Claims for J2326 must be manually adjudicated

Pay quarter: N/A


Medicare history

Dosage and Frequency

Spinal Muscular Atrophy (SMA)

Loading dose:
• 12mg intrathecally every 2 weeks for 3 doses
• 12mg intrathecally 30 days after the third dose

Maintenance:
• 12mg intrathecally every 4 months

Calculate drug reimbursement


Total Reimbursement:

N/A

(ASP: N/A, Margin: N/A)


Code:

J2326

# Units to bill:

N/A

Prior Authorization

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





Insurance prior auth guidelines:


Billable NDCs


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