Drug IndexElelyso (Taliglucerase Alfa)



Billing

Code: J3060

Description: Inj, taliglucerase alfa 10 u

Unit: 10 UNITS

Payment: $45.000

Pay quarter: Q2 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

N/A

Total Reimbursement:

N/A

(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

00069-0106-01

ELELYSO (Pfizer Laboratories Div Pfizer Inc)

1 VIAL, GLASS in 1 CARTON (0069-0106-01) / 5 mL in 1 VIAL, GLASS



Prior Authorization


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