Drug IndexTysabri (natalizumab)


Billing

Code: J2323

Description: Natalizumab injection

Unit: 1 MG

Payment: $24.225

Pay quarter: Q2 2024

Covered in Part D: No

Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$8,209.35

Total Reimbursement:

$7,267.50

(ASP: $6,856.13, Margin: $411.37)

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# Units to bill:

300

Dosage & Frequency

Multiple Sclerosis (MS)
Crohn's Disease (CD)

• 300mg IV every 4 weeks

Billable NDCs

64406-0008-01

TYSABRI (BIOGEN)

300 MG


Prior Authorization

United Healthcare

Anthem

Cigna

Aetna

Resources

Drug Enrollment Form

Website