Azedra

Brand (proprietary) name

Azedra

Generic (nonproprietary) name

No authoritative public data was located for this field.

Active ingredient(s)

No authoritative public data was located for this field.

Strength(s)

No authoritative public data was located for this field.

Dosage form(s)

No authoritative public data was located for this field.

Route(s)

No authoritative public data was located for this field.

Manufacturer / labeler

Progenics Pharmaceuticals, Inc.

Product class

Brand (derived from FDA marketing category)

Marketing category

NDA

Application number(s)

NDA209607

Earliest marketing start

Jul 30, 2018

Products / packages indexed

1 / 2

Also searchable as: Azedra · AZEDRA dosimetric · AZEDRA therapeutic

Prescribing information on DailyMed (NLM)

• A9590AA-code: Supplies, radiopharmaceuticals, transport & miscellaneousActiveDerived calculation

  Iodine i-131, iobenguane, 1 millicurie

  Derived: 2 of 2 NDC package(s) for this drug appear in the CMS NDC–HCPCS crosswalk for A9590. CMS quarters Q1 2021 – Q3 2024Not in the latest CMS crosswalk.

  A-codes cover ambulance services, medical and surgical supplies, administrative and miscellaneous items. A9500–A9999 include diagnostic and therapeutic radiopharmaceuticals and contrast agents. Payment depends on the specific code, benefit category, and setting.

No authoritative public data was located for this field.

Home infusion per diem (S-codes)

Medicare

Not payable by Medicare — CMS coverage code I (all 2 codes)

Part B pricing indicator

00 — Not separately priced by Part B (all 2 codes)

National payment amount

No authoritative public data was located for this field.

Which Medicare benefit pays for this drug?

• Coverage documents for A9590 NCDs, LCDs, and Billing & Coding articles in the CMS Medicare Coverage Database that mention “A9590”. Covered diagnosis codes are listed in the articles.
• Self-administered drug (SAD) exclusion lists Drugs each MAC excludes from “incident to” Part B coverage because they are usually self-administered.

No current Medicare Billing and Coding article lists A9590.

• FDA NDC Directory data is submitted by labelers; FDA notes that inclusion does not mean the information was verified or that a product is approved, covered, or reimbursable.
• HCPCS links are derived from CMS NDC–HCPCS crosswalks, which support ASP-based Part B payment and are not a complete list of billable NDCs.
• Product class (brand, generic, biosimilar) is derived from the FDA marketing category and Purple Book license type, not from a commercial compendium.
• Payment limits are Medicare Part B national limits; they do not reflect payer contracts, OPPS rates, 340B pricing, or acquisition cost.
• Home infusion per diem S-codes are matched by therapy category from the FDA pharmacologic class and route, not from a CMS crosswalk. Payers choose which per diem codes they accept, and the right code can depend on the dosing schedule, infusion method, or daily volume.