Drug IndexTrogarzo (Ibalizumab)
Billing
Code: J1746
Description: Inj., ibalizumab-uiyk, 10 mg
Unit: 10 MG
Payment: $77.245
Pay quarter: Q3 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
.
.# Units to bill:
N/ABillable NDCs
62064-0122-02
TROGARZO (Theratechnologies Inc.)
2 VIAL, SINGLE-USE in 1 CARTON (62064-122-02) / 1.33 mL in 1 VIAL, SINGLE-USE (62064-122-01)
Prior Authorization
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