What is the price of Ultomiris®?
ULTOMIRIS is currently available in two vial sizes. Please see the Wholesale Acquisition Cost (WAC) for ULTOMIRIS vials below.
| Strength | NDC | WAC | Dosage Form |
|---|---|---|---|
| 300 mg/3 mL | 25682-025-01 | $6,404.00 | Single-dose vial |
| 1,100 mg/11 mL | 25682-028-01 | $23,481.33 | Single-dose vial |
WHAT IS WHOLESALE ACQUISITION COST?
Wholesale Acquisition Cost (WAC) generally represents the manufacturer's published catalog or list price paid by a wholesaler. WAC does not represent actual transaction prices, including those paid by patients, and does not include prompt pay or other discounts, rebates or reductions in price.
Annual treatment cost per patient depends on the dosing schedule for intravenously administered ULTOMIRIS.
WHERE CAN PATIENTS ACCESS ASSISTANCE WITH INSURANCE AND FUNDING OPTIONS?
Your patient can enroll in OneSource™, Alexion’s support program for patients. Every OneSource Patient Navigator has received advanced education on your patient’s condition, health insurance options, and resources available to your patient. They are here to help answer any questions your patient might have. For more information please visit www.alexiononesource.com