Drug IndexBeovu (Brolucizumab)



Billing

Code: J0179

Description: Inj, brolucizumab-dbll, 1 mg

Unit: 1 MG

Payment: $331.229

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:

N/A

Billable 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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