Drug IndexSoliris (Eculizumab)


Billing

Code: J1300

Description: Eculizumab injection

Unit: 10 MG

Payment: $225.470

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:

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Billable NDCs

25682-0001-01

SOLIRIS (Alexion Pharmaceuticals, Inc.)

1 VIAL in 1 CARTON (25682-001-01) / 30 mL in 1 VIAL


Prior Authorization

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