Drug IndexElaprase (Idursulfase)
Billing
Code: J1743
Description: Idursulfase injection
Unit: 1 MG
Payment: $544.923
Pay quarter: Q3 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
.
.# Units to bill:
N/ABillable NDCs
54092-0700-01
ELAPRASE (Takeda Pharmaceuticals America, Inc.)
1 VIAL, GLASS in 1 BOX (54092-700-01) / 3 mL in 1 VIAL, GLASS
Prior Authorization
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