Drug IndexTepezza (Teprotumumab)



Billing

Code: J3241

Description: Inj. teprotumumab-trbw 10 mg

Unit: 10 MG

Payment: $336.140

Pay quarter: Q3 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

N/A

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

.

.

# Units to bill:

N/A

Billable 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


Resources