New Tools Available! Biologic and Non-Biologic Injectable Medication Reference Charts

Ever wonder if you were billing the correct NDC for a Humira^® prescription and had to spend precious time investigating? Or how about questioning if you were billing the correct package size for Gvoke^® and had to consult multiple references just to try and figure out the answer? Perhaps you had audit on Ajovy^® only to find your pharmacy facing recoupment because the auto-injector was billed but the script was written for the pre-filled syringe.

PAAS National^® now has two new reference charts available to help you and your staff with billing these unique injectable products correctly. Check out the Biologic Injectable Medication Chart and Non-Biological Injectable Medication Chart under the Tools & Aids section of the PAAS Member Portal.

PAAS Tips:

• Utilize the Biologic Injectable Medication Chart to:
  • Determine if there is an interchangeable biologic available in the marketplace
  • Cross reference the correct NDC for medications such as Humira^® and Enbrel^®
  • Review the available dosage forms for medications such as Simponi^® and Emgality^®
  • Verify the correct NCPDP billing unit for medications such as Cimzia^® and Aimovig^®
• Utilize the Non-Biological Injectable Medication Chart to:
  • Review the available dosage forms for medications such as Abilify Maintena^® and Gvoke^®
  • Verify the correct NCPDP billing unit for medications such as Lovenox^® and Xyosted^®
  • Find USP guidance for the expiration date of multi-dose vials (not otherwise indicated by the manufacturer)
• These injectable medications carry a high audit risk; billing the correct formulation, quantity, NDC and days’ supply is not only essential to receiving the appropriate payment at time of adjudication but also necessary to successfully pass an audit
• Check out the Tools & Aids tab on the PAAS Member Portal for additional reference charts which have been skillfully and deliberately crafted to save pharmacy staff time and money; print these and post them near the pharmacy claims processing station for easy reference