Drug IndexTepezza (Teprotumumab)
Billing
Code: J3241
Description: Inj. teprotumumab-trbw 10 mg
Unit: 10 MG
Payment: $343.885
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
75987-0130-15
TEPEZZA (Horizon Therapeutics USA, Inc.)
1 VIAL, SINGLE-DOSE in 1 CARTON (75987-130-15) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE
Prior Authorization
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