Drug IndexTezspire (tezepelumab-ekko)
Billing
Code: J2356
Description: Inj tezepelumab-ekko, 1mg
Unit: 1 MG
Payment: $17.799
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$4,039.72Total Reimbursement:
$3,737.79(ASP: $3,526.22, Margin: $211.57)
.
.# Units to bill:
210Dosage & Frequency
Severe asthma
• 210mg SQ every 4 weeks
• 210mg SQ every 4 weeks
Billable NDCs
55513-0112-01
Tezspire (AMGEN INC.)
210 MG
55513-0123-01
TEZSPIRE (AMGEN INC.)
210 MG
Prior Authorization
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