Drug IndexRenflexis (Infliximab)


Billing

Code: Q5104

Description: Injection, renflexis

Unit: 10 MG

Payment: $27.182

Pay quarter: Q4 2024

Covered in Part D: No

Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

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

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# Units to bill:

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Billable NDCs

00006-4305-02

Renflexis (Merck Sharp & Dohme LLC.)

1 VIAL in 1 CARTON (0006-4305-02) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (0006-4305-01)


78206-0162-01

Renflexis (Organon LLC)

1 VIAL in 1 CARTON (78206-162-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (78206-162-99)


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