RJ Health provides insight into new drugs and devices, code price updates and more as it applies to medically covered drugs.

Specialty Drug Reimbursement Newsletter | August 2023

RJ Health, an MMIT company, delivers industry standard specialty drug pricing, coding and reimbursement solutions to support payer and provider alignment.   

Every month, our team evaluates a variety of pricing and coding updates. In the August edition of the Specialty Drug Reimbursement Newsletter, we identified 153 drug code price changes this month, with 18 of them being price decreases. We have also identified drugs to be added or updated within our database. Preview some of these insights below:  

This month, during our review of the 3395 Reimbursement HCPCS/CPT® Codes in our system, we identified 153 Drug Codes that required a recalculation of their AWP Code Price.  Log in to to view the pricing updates for these codes. 

90281 A4259 J0248 J0638 J1306 J2300 J3304 J9040 J9181 J9317 S0172
90662 A6196 J0280 J0642 J1439 J2327 J3489 J9042 J9203 J9331 S0178
90672 A9579 J0282 J0739 J1459 J2353 J7050 J9043 J9204 J9348 S5571
90674 A9585 J0457 J0741 J1559 J2357 J7100 J9055 J9223 J9349
90682 A9589 J0461 J0744 J1576 J2502 J7131 J9056 J9227 J9353
90686 A9606 J0480 J0800 J1627 J2550 J7503 J9057 J9228 J9358
90687 B4158 J0485 J0896 J1645 J2562 J7504 J9060 J9229 J9359
90688 C9293 J0491 J0897 J1720 J2783 J7611 J9070 J9272 J9600
90690 E0607 J0500 J1000 J1741 J2785 J7614 J9100 J9274 Q4103
90694 J0121 J0558 J1030 J1817 J3010 J7682 J9119 J9293 Q4266
90756 J0129 J0561 J1040 J1885 J3032 J8521 J9130 J9298 S0093
A4215 J0153 J0583 J1162 J1920 J3095 J9021 J9153 J9299 S0106
A4247 J0171 J0584 J1170 J2150 J3111 J9022 J9173 J9305 S0122
A4253 J0179 J0595 J1250 J2182 J3243 J9023 J9176 J9308 S0132
A4256 J0202 J0598 J1301 J2274 J3250 J9032 J9179 J9309 S0155

ReimbursementCodes was designed for organizations like yours to manage pricing, coding and clinical challenges related to specialty drugs. To gain access to this tool and view the rest of the insights we captured this month, visit our site or contact 

© 2024 MMIT
RJ Health Clinical Team

RJ Health Clinical Team

Related Posts

June 15

Specialty Drug Reimbursement Newsletter | June 2024

Read More
May 15

Specialty Drug Reimbursement Newsletter | May 2024

Read More
April 15

Specialty Drug Reimbursement Newsletter | April 2024

Read More


Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today