Drug IndexSpinraza (Nusinersen)
Billing
Code: N/A
Description: N/A
Unit: N/A
Payment: Claims must be manually adjudicated
Pay quarter: N/A
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
64406-0058-01
Spinraza (Biogen Inc.)
1 VIAL, SINGLE-USE in 1 BOX (64406-058-01) / 5 mL in 1 VIAL, SINGLE-USE
Prior Authorization
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