Drug IndexCinryze (C1 Esterase Inhibitor (Human))



Billing

Code: J0598

Description: C-1 esterase, cinryze

Unit: 10 UNITS

Payment: $64.283

Pay quarter: Q3 2024


Covered in Part D: Yes

Avg tier level: 4


Drug Cost

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Total WAC:

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Total Reimbursement:

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(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

42227-0081-05

Cinryze (Takeda Pharmaceuticals America, Inc.)

1 VIAL, SINGLE-USE in 1 CARTON (42227-081-05) / 5 mL in 1 VIAL, SINGLE-USE (42227-081-01)


42227-0083-01

Cinryze (Takeda Pharmaceuticals America, Inc.)

1 KIT in 1 CARTON (42227-083-01) * 5 mL in 1 VIAL, SINGLE-USE (42227-081-01) * 5 mL in 1 VIAL, GLASS (64764-515-50)



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