Drug IndexTysabri (Natalizumab)
Billing
Code: J2323
Description: Natalizumab injection
Unit: 1 MG
Payment: $24.154
Pay quarter: Q4 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
64406-0008-01
TYSABRI (Biogen Inc.)
1 VIAL, SINGLE-USE in 1 CARTON (64406-008-01) / 15 mL in 1 VIAL, SINGLE-USE
Prior Authorization
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