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Leqembi (lecanemab-irmb)


Billing

Code: J0174

Description: N/A

Unit: N/A

Payment: Claims for J0174 must be manually adjudicated

Pay quarter: N/A


Medicare history

Dosage and Frequency

Alzheimer’s

• 10mg/kg IV every 2 weeks

Calculate drug reimbursement


Total Reimbursement:

N/A

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


Code:

J0174

# Units to bill:

N/A

Prior Authorization

Prior auth criteria for Leqembi may include but is not limited to:





Insurance prior auth guidelines:


Billable NDCs

N/A


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