VYVGART HYTRULO J Code: J9334
Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc
Drug & Product Overview
About VYVGART HYTRULO
Vyvgart Hytrulo is a medication aligned to the HCPCS J Code: J9334 for billing, pricing, and reimbursement purposes in the United States. It is a Neurology drug administered via the subcutaneous route and manufactured by Argenx US.
According to CMS Drug Use Information: Efgartigimod alfa is used to treat a certain muscle condition (generalized myasthenia gravis). It may help to improve symptoms of muscle weakness. This medication is also used to treat a certain nerve disorder (chronic inflammatory demyelinating polyneuropathy-CIDP). Efgartigimod alfa may help slow down the worsening of weakness in the arms and legs. Hyaluronidase is used to help the body absorb efgartigimod alfa, which helps it work better. This monograph is about the following efgartigimod/hyaluronidase products: efgartigimod-fcab/hyaluronidase, efgartigimod-qvfc/hyaluronidase.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 73475-1221-01 | Vyvgart Hytrulo | Argenx Us | 500 | 1000 MG / 5 ML |
| 73475-1221-04 | Vyvgart Hytrulo | Argenx Us | 2000 | 1000 MG / 5 ML |
| 73475-3102-03 | Vyvgart Hytrulo | Argenx Us | 504 | 1008 MG / 5.6 ML |
VYVGART HYTRULO Pricing & Reimbursement
National median reimbursement across major commercial payers.
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The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular |
CMS has identified Vyvgart Hytrulo (J9334) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
VYVGART HYTRULO Medically Unlikely Edits (MUE)
The most billing units of J9334 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 2 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
VYVGART HYTRULO Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
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