National Drug Code (NDC) Fee Schedule Changes Effective Sept. 1, 2021

July 11, 2021

Effective Sept. 1, 2021, our professional NDC fee schedule for the following medications will be updated:

  • ABECMA (J9999)
  • BREYANZI (J9999)
  • KYMRIAH (Q2042)
  • LUXTURNA (J3398, J3590)
  • TECARTUS (Q2053)
  • YESCARTA (Q2041)
  • ZOLGENSMA (J3399)

The NDC fee schedule will reflect the update for this drug/code. This update applies to commercial and retail plans.

You may request an interactive copy of the fee schedule by following the steps on our Reimbursement Calculations webpage. If you have questions, contact the Provider Service Unit at 888-349-3706.