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 | January 2024

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 January edition of the Specialty Drug Reimbursement Newsletter, we identified 107 drug code price changes this month, with 28 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 3482 Reimbursement HCPCS/CPT® Codes in our system, we identified 107 Drug Codes that required a recalculation of their AWP Code Price. Clients can log in to to view the pricing updates for these codes.

86580 A4256 A9591 J1430 J3010 J7519 Q4133 S5571
90284 A4259 A9595 J1437 J3105 J7605 Q4137 S8490
90389 A4627 A9596 J1455 J3110 J7609 Q4161
90587 A6248 B4102 J1458 J3316 J7611 Q4164
90619 A7005 B4150 J1459 J3489 J7613 Q4170
90675 A7015 B4152 J1558 J7193 J7631 Q4239
90691 A9512 B4162 J1561 J7194 J7644 Q4249
90697 A9516 E0607 J1650 J7197 J8565 Q5127
90698 A9547 J0295 J1670 J7295 J8610 Q5131
90713 A9548 J0567 J1746 J7300 J9060 Q9957
90717 A9557 J0597 J1941 J7318 J9070 Q9968
A2001 A9558 J0599 J2248 J7328 J9118 S0170
A2013 A9570 J0878 J2278 J7503 J9202 S0183
A2022 A9571 J0894 J2543 J7507 J9266 S1091
A4216 A9582 J1322 J2794 J7518 J9281 S5561

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

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