FDA Approval: XEOMIN (INCOBOTULINUMTOXINA) — Type 1 - New Molecular Entity
Policy FDA-BLA125360 · Neurology
CriticalXeomin (incobotulinumtoxinA) is an injectable botulinum toxin type A administered via injection, placing it squarely in the Medicare Part B pathway for physician-administered drugs. It is reimbursed u
View alertFDA Approval: EMGALITY (GALCANEZUMAB-GNLM) — Type 1 - New Molecular Entity
Policy FDA-BLA761063 · Neurology
HighEmgality (galcanezumab) is likely to receive a new J-code for billing under Medicare Part B since it is an injectable drug. The drug may be eligible for ASP+6% reimbursement, given its injectable stat
View alertFDA Approval: VYEPTI (EPTINEZUMAB-JJMR) — Type 1 - New Molecular Entity
Policy FDA-BLA761119 · Neurology
HighVYEPTI (Eptinezumab-JJMR) is an injectable medication likely to receive a J-code for billing under Medicare Part B. Its category may allow for ASP+6% reimbursement, but billing teams should confirm th
View alertFDA Approval: EPIDIOLEX (CANNABIDIOL) — Type 1 - New Molecular Entity
Policy FDA-NDA210365 · Neurology
HighEpidiolex, an oral cannabidiol solution, will fall under Medicare Part D for billing purposes. As it is an orphan drug, it may also have specific considerations for reimbursement and coverage. No J-co
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