Spevigo (spesolimab-sbzo)
Billing
Code: J1747
Description: Inj, spesolimab-sbzo, 1 mg
Unit: 1 mg
Payment: $60.223
Pay quarter: Q4 2023
Dosage and Frequency
Calculate drug reimbursement
Total Reimbursement:
$54,200.70(ASP: $51,132.74, Margin: $3,067.96)
Code:
J1747# Units to bill:
900Prior Authorization
Prior auth criteria for Spevigo may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
00597-0035-10
SPEVIGO (BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.)
900 MG
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