Drug IndexLuxturna (Voretigene Neparvovec-Rzyl)


Billing

Code: N/A

Description: N/A

Unit: N/A

Payment: Claims must be manually adjudicated

Pay quarter: N/A

Covered in Part D: No

Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

N/A

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

.

.

# Units to bill:

N/A

Billable NDCs

71394-0415-01

LUXTURNA (Spark Therapeutics, Inc.)

1 KIT in 1 CARTON (71394-415-01) * 1 INJECTION, SUSPENSION in 1 VIAL, PLASTIC (71394-065-01) * 1 INJECTION, SOLUTION in 1 VIAL, PLASTIC (71394-716-01)


Prior Authorization

Resources