Bristol Myers Squibb is committed to helping appropriate patients get access to our
medications by providing access and reimbursement support services.

This information is intended for U.S. healthcare professionals and/or healthcare professionals involved in healthcare reimbursement.

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Billing and
Diagnosis Codes

The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item.

Reimbursement and Coding Guide for IDHIFA
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National Drug Codes (NDC)1 Issued by the FDA.
59572-0705-30

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50-mg tablets; one bottle containing 30 tablets

59572-0710-30

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100-mg tablets; one bottle containing 30 tablets

International Classification of Diseases, Tenth Revision, Clinical Modification Diagnosis Codes (ICD-10-CM)2

C92

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Myeloid Leukemia

C92.0

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Acute myeloblastic leukemia

C92.00

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Acute myeloblastic leukemia, not having achieved remission

C92.01

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Acute myeloblastic leukemia, in remission

C92.02

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Acute myeloblastic leukemia, in relapse

IDHIFA may be purchased through the distributors listed below.

Physician Offices

Authorized Distributor Phone Orders Fax Orders and Website
Cardinal Health Specialty Pharmaceutical Distribution 1-877-453-3972 https://specialtyonline.cardinalhealth.com
CuraScript Specialty Distribution 1-877-599-7748 https://www.curascriptsd.com
McKesson Specialty Health 1-800-482-6700 https://mscs.mckesson.com
Oncology Supply 1-800-633-7555 https://www.oncologysupply.com

For offices that prefer to use the services of a specialty pharmacy, specialty pharmacies can obtain IDHIFA from the distributors listed above.

Hospitals and Infusion Centers

Authorized Distributor Phone Orders Fax Orders and Website
ASD Healthcare 1-800-746-6273 Fax: 1-800-547-9413
https://www.asdhealthcare.com
Cardinal Health Specialty Distribution 1-866-677-4844 Fax: 1-614-553-6301
https://orderexpress.cardinalhealth.com
McKesson Plasma and Biologics 1-877-625-2566 Fax: 1-888-752-7626
https://connect.mckesson.com

Puerto Rico Hospitals and Clinics

Authorized Distributor Phone Orders Fax Orders and Website
Cardinal Puerto Rico (Borschow) 1-787-625-4200 https://orderexpress.cardinalhealth.com
Cesar Castillo Inc. 1-787-641-5242 (Hospitals)
1-787-641-5082 (Specialty Pharmacy)
Fax: 1-787-999-1614
https://www.facilfarmaciacci.com

Above information is accurate as of 04/22.

The IDHIFA distribution program includes extended payment terms to Bristol Myers Squibb authorized IDHIFA distributors. Healthcare providers and institutions should contact their IDHIFA distributor to understand specific payment terms that may be available to them from their distributor.

Please see U.S. Full Prescribing Information for IDHIFA, including Boxed WARNING.

FDA Approval Letter as Posted by the FDA:

For the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with an isocitrate dehydrogenase-2 (IDH2) mutation as detected by an FDA-approved test

View Letter

Please see U.S. Full Prescribing Information for IDHIFA, including Boxed WARNING.

Coding for IDHIFA is dependent on the insurer and the care setting in which the drug will be administered. Oncology practices need to make coding decisions based on the diagnosis and treatment of each patient and the specific insurer requirements.

Please see U.S. Full Prescribing Information for IDHIFA, including Boxed WARNING.

*Healthcare providers should code healthcare claims based upon the service that is rendered, the patient's medical record, the coding requirements of each health insurer, and best coding practices. Coding guidance provided under this heading does not provide a guarantee of reimbursement and should be considered together with all applicable coding guidance and standards. All of the coding information presented by this website is applicable to outpatient procedures only.

References:

  1. IDHIFA (enasidenib) [package insert]. Princeton, NJ: Bristol-Myers Squibb Company.
  2. Centers for Medicare & Medicaid Services. ICD-10-CM tabular list of diseases and injuries.
    https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-CM. Accessed February 7, 2022.

The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item.

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2018-US-2100062 06/21

©2022 Bristol-Myers Squibb Company. Access Support is a registered trademark of Bristol-Myers Squibb Company. IDHIFA is licensed from Agios Pharmaceuticals, Inc.

Use of the information on this site is subject to the terms of our Legal Notice and Privacy Statement. The coding, coverage, and payment information contained within this website is current as of 04/22.

2018-US-2100085 04/22