Drug IndexInjectafer (Ferric Carboxymaltose Injection)
Billing
Code: J1439
Description: Inj ferric carboxymaltos 1mg
Unit: 1 MG
Payment: $1.126
Pay quarter: Q3 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)
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.# Units to bill:
N/ABillable NDCs
00517-0602-01
Injectafer (American Regent, Inc.)
1 VIAL, SINGLE-DOSE in 1 BOX (0517-0602-01) / 2 mL in 1 VIAL, SINGLE-DOSE
00517-0620-01
Injectafer (American Regent, Inc.)
1 VIAL, SINGLE-DOSE in 1 BOX (0517-0620-01) / 20 mL in 1 VIAL, SINGLE-DOSE
00517-0650-01
Injectafer (American Regent, Inc.)
1 VIAL, SINGLE-DOSE in 1 BOX (0517-0650-01) / 15 mL in 1 VIAL, SINGLE-DOSE
Prior Authorization
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