Drug IndexSaphnelo (Anifrolumab)



Billing

Code: J0491

Description: Inj anifrolumab-fnia 1mg

Unit: 1 MG

Payment: $17.331

Pay quarter: Q3 2024


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)

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# Units to bill:

N/A

Billable NDCs

00310-3040-00

SAPHNELO (AstraZeneca Pharmaceuticals LP)

1 VIAL, GLASS in 1 CARTON (0310-3040-00) / 2 mL in 1 VIAL, GLASS



Prior Authorization


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