FDA Approval: SKYRIZI (RISANKIZUMAB-RZAA) — Type 1 - New Molecular Entity
Policy FDA-BLA761105 · Dermatology
HighSKYRIZI (Risankizumab-rzaa), being an injectable drug approved under the BLA, is likely to be assigned a J-code for Medicare billing. Given its classification as an orphan drug and its high cost, pass
View alertFDA Approval: ZYRTEC HIVES (CETIRIZINE HYDROCHLORIDE) — Type 1 - New Molecular Entity
Policy FDA-NDA019835 · Dermatology
HighCETIRIZINE HYDROCHLORIDE, marketed as ZYRTEC HIVES, is an oral drug and will be billed under Medicare Part D. Given that it is not an injectable drug, no J-code will be assigned, and typical reimburse
View alertFDA Approval: ABSORICA (ISOTRETINOIN) — Type 3 - New Dosage Form
Policy FDA-NDA021951 · Dermatology
HighAs ABSORICA (isotretinoin) is an oral drug, it will be billed under Medicare Part D. Given that it is a medication used for severe acne, prescribers should consider any prior authorizations or step th
View alertFDA Approval: EBGLYSS (LEBRIKIZUMAB-LBKZ) — Type 1 - New Molecular Entity
Policy FDA-BLA761306 · Dermatology
HighEBGLYSS (LBRIKIZUMAB-LBKZ) will be billed under Part B as it is an injectable drug. Billing teams should confirm the specifics of the J-code upon the release of the FDA label.
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