Drug IndexTruxima (rituximab-abbs)


Billing

Code: Q5115

Description: Inj truxima 10 mg

Unit: 10 MG

Payment: $30.980

Pay quarter: Q2 2024

Covered in Part D: No

Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$8,455.50

Total Reimbursement:

$3,098.00

(ASP: $2,922.64, Margin: $175.36)

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# Units to bill:

100

Dosage & Frequency

Rheumatoid Arthritis (RA)

• Two 1000mg IV doses separated by 2 weeks, every 6 months

Billable NDCs

63459-0103-10

Truxima (CEPHALON INC.)

100 MG


63459-0104-50

Truxima (CEPHALON INC.)

500 MG


Prior Authorization

Aetna

United Healthcare

Anthem

Cigna

Resources

Drug Enrollment Form

Website