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EYLEA® HD (aflibercept) Injection 8 MG


Effective for claims on or after April 1, 2024:


J0177


Injection, aflibercept hd, 1 mg

HCPCS Code:

J0177

HCPCS Descriptor:

Injection, aflibercept hd, 1 mg

NDC Code*:

61755005001

Package Description:

Vial kit containing one EYLEA HD 8 mg (0.07 mL of a 114.3 mg/mL solution) single-dose glass vial, one 18-gauge x 1½-inch, 5-micron, filter needle for withdrawal of the vial contents, one 30-guage x ½-inch injection needle for intravitreal injection, one 1-mL syringe for administration, and one Prescribing Information

WAC per Package:

$2,625.00

WAC per HCPCS Unit

$328.13

EYLEA HD is the FIRST and ONLY anti-VEGF treatment approved in Wet AMD and DME for immediate dosing at Q8W and up to Q16W intervals following 3 initial monthly doses.1


EYLEA HD is not the same product as EYLEA® (aflibercept) Injection 2 mg. EYLEA HD should NOT be billed using HCPCS Code J0178.

*Note that the product’s NDC has been “zero-filled” to ensure creation of an 11-digit code that meets general billing standards. The zero-fill location is indicated in bold. 


This information is provided for informational purposes only, is subject to change, and should not be construed as legal or medical advice. This information may not apply to all patients or to all health plans and providers should exercise independent clinical judgment when selecting codes and submitting claims.

IMPORTANT SAFETY INFORMATION


CONTRAINDICATIONS


 

WARNINGS AND PRECAUTIONS



  • Acute increases in intraocular pressure have been seen within 60 minutes of intravitreal injection, including with EYLEA HD and EYLEA. Sustained increases in intraocular pressure have also been reported after repeated intravitreal dosing with VEGF inhibitors. Intraocular pressure and the perfusion of the optic nerve head should be monitored and managed appropriately.


  • There is a potential risk of arterial thromboembolic events (ATEs) following intravitreal use of VEGF inhibitors, including EYLEA HD and EYLEA. ATEs are defined as nonfatal stroke, nonfatal myocardial infarction, or vascular death (including deaths of unknown cause).


  • EYLEA HD: The incidence of reported thromboembolic events in the wet AMD study (PULSAR) from baseline through week 48 was 0.4% (3 out of 673) in the combined group of patients treated with EYLEA HD compared with 1.5% (5 out of 336) in patients treated with EYLEA 2 mg. The incidence in the DME study (PHOTON) from baseline to week 48 was 3.1% (15 out of 491) in the combined group of patients treated with EYLEA HD compared with 3.6% (6 out of 167) in patients treated with EYLEA 2 mg.


  • EYLEA: The incidence of reported thromboembolic events in wet AMD studies during the first year was 1.8% (32 out of 1824) in the combined group of patients treated with EYLEA compared with 1.5% (9 out of 595) in patients treated with ranibizumab; through 96 weeks, the incidence was 3.3% (60 out of 1824) in the EYLEA group compared with 3.2% (19 out of 595) in the ranibizumab group. The incidence in the DME studies from baseline to week 52 was 3.3% (19 out of 578) in the combined group of patients treated with EYLEA compared with 2.8% (8 out of 287) in the control group; from baseline to week 100, the incidence was 6.4% (37 out of 578) in the combined group of patients treated with EYLEA compared with 4.2% (12 out of 287) in the control group. There were no reported thromboembolic events in the patients treated with EYLEA in the first six months of the RVO studies.

 

ADVERSE REACTIONS


  • EYLEA HD:


  • The most common adverse reactions (≥3%) reported in patients receiving EYLEA HD were cataract, conjunctival hemorrhage, intraocular pressure increased, ocular discomfort/eye pain/eye irritation, vision blurred, vitreous floaters, vitreous detachment, corneal epithelium defect, and retinal hemorrhage.


  • EYLEA:
  • Serious adverse reactions related to the injection procedure have occurred in <0.1% of intravitreal injections with EYLEA including endophthalmitis and retinal detachment.
  • The most common adverse reactions (≥5%) reported in patients receiving EYLEA were conjunctival hemorrhage, eye pain, cataract, vitreous detachment, vitreous floaters, and intraocular pressure increased.


  • Patients may experience temporary visual disturbances after an intravitreal injection with EYLEA HD or EYLEA and the associated eye examinations. Advise patients not to drive or use machinery until visual function has recovered sufficiently.

 

INDICATIONS


EYLEA HD® (aflibercept) Injection 8 mg is indicated for the treatment of patients with Neovascular (Wet) Age-Related Macular Degeneration (AMD), Diabetic Macular Edema (DME), and Diabetic Retinopathy (DR).

 

EYLEA® (aflibercept) Injection 2 mg is indicated for the treatment of patients with Neovascular (Wet) Age-Related Macular Degeneration (AMD), Macular Edema following Retinal Vein Occlusion (RVO), Diabetic Macular Edema (DME), and Diabetic Retinopathy (DR).

 

Please click here for full Prescribing Information for EYLEA HD and EYLEA.


You are encouraged to report negative side effects of prescription drugs to the FDA.

Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.


The information provided in this site is intended only for healthcare professionals in the United States.

The products discussed herein may have different product labeling in different countries.

References:

  1. EYLEA HD full U.S. Prescribing Information. Regeneron Pharmaceuticals, Inc. December 2023.

For Colorado Prescribers – Click Here for Pricing Information for EYLEA HD

For Connecticut Prescribers – Click Here for Pricing Information for EYLEA HD

 

For Colorado Prescribers – Click Here for Pricing Information for EYLEA

For Connecticut Prescribers – Click Here for Pricing Information for EYLEA

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03/2024 US.EHD.24.01.0160