Drug IndexSpinraza (nusinersen)



Billing

Code: J2326

Description: N/A

Unit: N/A

Payment: Claims for J2326 must be manually adjudicated

Pay quarter: N/A


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$137,900.81

Total Reimbursement:

N/A

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

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# Units to bill:

N/A

Dosage & 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


Billable NDCs

64406-0058-01

Spinraza (BIOGEN)

12 MG



Prior Authorization

Aetna

United Healthcare

Anthem

Cigna


Resources

Website