Drug IndexAduhelm (Aducanumab)


Billing

Code: J0172

Description: Inj, aducanumab-avwa, 2 mg

Unit: 2 MG

Payment: $5.978

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)

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# Units to bill:

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Billable NDCs

64406-0101-01

Aduhelm (Biogen Inc.)

1 VIAL in 1 CARTON (64406-101-01) / 1.7 mL in 1 VIAL


64406-0102-02

Aduhelm (Biogen Inc.)

1 VIAL in 1 CARTON (64406-102-02) / 3 mL in 1 VIAL


Prior Authorization

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