Drug IndexRiabni (Rituximab-Arrx)



Billing

Code: Q5123

Description: Inj. riabni, 10 mg

Unit: 10 MG

Payment: $38.645

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

55513-0224-01

Riabni (Amgen Inc)

1 VIAL, SINGLE-DOSE in 1 CARTON (55513-224-01) / 10 mL in 1 VIAL, SINGLE-DOSE


55513-0326-01

Riabni (Amgen Inc)

1 VIAL, SINGLE-DOSE in 1 CARTON (55513-326-01) / 50 mL in 1 VIAL, SINGLE-DOSE



Prior Authorization


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