Drug IndexTysabri (Natalizumab)



Billing

Code: J2323

Description: Natalizumab injection

Unit: 1 MG

Payment: $24.073

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

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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