Drug IndexVabysmo (Faricimab)
Billing
Code: J2777
Description: Inj, faricimab-svoa, 0.1mg
Unit: 0.1 MG
Payment: $34.824
Pay quarter: Q3 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
50242-0096-01
VABYSMO (Genentech, Inc.)
1 VIAL in 1 CARTON (50242-096-01) / .05 mL in 1 VIAL (50242-096-03)
50242-0096-86
VABYSMO (Genentech, Inc.)
1 VIAL in 1 CARTON (50242-096-86) / .05 mL in 1 VIAL (50242-096-77)
Prior Authorization
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