Drug IndexElelyso (Taliglucerase Alfa)
Billing
Code: J3060
Description: Inj, taliglucerase alfa 10 u
Unit: 10 UNITS
Payment: $44.570
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
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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