Drug IndexAsceniv (Immune Globulin Intravenous, Human - Slra)
Billing
Code: J1554
Description: Inj. asceniv
Unit: 500 MG
Payment: $491.404
Pay quarter: Q4 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
69800-0250-01
ASCENIV (ADMA Biologics, Inc.)
1 VIAL, SINGLE-USE in 1 CARTON (69800-0250-1) / 50 mL in 1 VIAL, SINGLE-USE (69800-0250-2)
Prior Authorization
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