Drug IndexLumizyme (Alglucosidase Alfa)
Billing
Code: J0221
Description: Lumizyme injection
Unit: 10 MG
Payment: $201.965
Pay quarter: Q4 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)
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.# Units to bill:
N/ABillable NDCs
58468-0160-01
Lumizyme (Genzyme Corporation)
1 VIAL, SINGLE-USE in 1 CARTON (58468-0160-1) / 10.5 mL in 1 VIAL, SINGLE-USE
Prior Authorization
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