Drug IndexGivlaari (Givosiran Sodium)
Billing
Code: J0223
Description: Inj givosiran 0.5 mg
Unit: 0.5 MG
Payment: $112.135
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
71336-1001-01
GIVLAARI (Alnylam Pharmaceuticals, Inc.)
1 VIAL, SINGLE-USE in 1 CARTON (71336-1001-1) / 1 mL in 1 VIAL, SINGLE-USE
Prior Authorization
Resources