Extencilline Availability during Bicillin Shortage

Date: 04/08/24

Extencilline Availability during Bicillin shortage

The CDC has issued clinical guidance in treating syphilis.

This guidance has been complicated by the ongoing shortage of Bicillin. 

On January 16, 2024, the FDA announced the availability of Extencilline, an equivalent to Bicillin LA, as an alternative during the Bicillin shortage. 

Extencilline is covered under Medicaid under the "prescribed drugs" section. AHCCCS can obtain the FFP match but there is not a federal rebate.

The company, Provepharm, is providing the NDC for the drug and obtaining supplies from the French manufacturer. This is the only wholesaler that will be distributing Extencilline and states that standard 3-day shipping will be included. Provepharm will provide expedited shipping, however, the cost for expedited shipping will be the responsibility of the ordering Providers.

If submitting a claim, please use the medical claim system and use the HCPCS code J0561 Penicillin G Benzathine, 100,000 units. Reimbursement will be based on the terms in your contract. There is not a difference in 340B pricing.

AHCCCS is collaborating with public health partners in preparing additional guidance and information to address the current outbreak of syphilis and the associated incidence of congenital syphilis.

AzCH providers and staff:

If you have questions, please contact your AzCH Provider Engagement Specialist. If you need your assigned Provider Engagement Specialist’s contact information, please email us at AzCHProviderEngagement@azcompletehealth.com.

Care1st providers and staff:

If you have questions, please call Network Management at 1-866-560-4042 (Options in order: 5, 7) or email SM_AZ_PNO@care1staz.com.