Drug IndexZemaira (Alpha1-Proteinase Inhibitor (Human))
Billing
Code: J0256
Description: Alpha 1 proteinase inhibitor
Unit: 10 MG
Payment: $4.935
Pay quarter: Q4 2024
Covered in Part D: Yes
Avg tier level: 4
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
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.# Units to bill:
N/ABillable NDCs
00053-7201-02
Zemaira (CSL Behring LLC)
1 KIT in 1 CARTON (0053-7201-02) * 20 mL in 1 VIAL, SINGLE-DOSE (0053-7211-01) * 20 mL in 1 VIAL, SINGLE-DOSE (0053-7653-20)
00053-7202-02
Zemaira (CSL Behring LLC)
1 KIT in 1 CARTON (0053-7202-02) * 76 mL in 1 VIAL, SINGLE-USE (0053-7212-01) * 76 mL in 1 VIAL, SINGLE-USE (0053-7653-80)
00053-7203-02
Zemaira (CSL Behring LLC)
1 KIT in 1 CARTON (0053-7203-02) * 95 mL in 1 VIAL, SINGLE-USE (0053-7213-01) * 95 mL in 1 VIAL, SINGLE-USE (0053-7653-12)
Prior Authorization
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