Drug IndexBeovu (Brolucizumab)
Billing
Code: J0179
Description: Inj, brolucizumab-dbll, 1 mg
Unit: 1 MG
Payment: $332.565
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
00078-0827-60
BEOVU (Novartis Pharmaceuticals Corporation)
1 SYRINGE, GLASS in 1 CARTON (0078-0827-60) / .05 mL in 1 SYRINGE, GLASS
00078-0827-98
BEOVU (Novartis Pharmaceuticals Corporation)
1 SYRINGE, GLASS in 1 CARTON (0078-0827-98) / .05 mL in 1 SYRINGE, GLASS
Prior Authorization
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