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Leqvio (inclisiran)


Billing

Code: J1306

Description: Injection, inclisiran, 1 mg

Unit: 1 mg

Payment: $12.021

Pay quarter: Q4 2023


Medicare history

Dosage and Frequency

Calculate drug reimbursement


Total Reimbursement:

$3,413.96

(ASP: $3,220.72, Margin: $193.24)


Code:

J1306

# Units to bill:

284

Prior Authorization

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





Insurance prior auth guidelines:


Billable NDCs

00078-1000-60

Leqvio (NOVARTIS PHARMACEUTICALS CORP.)

284 MG



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