Drug IndexXenpozyme (Olipudase Alfa-Rpcp)
Billing
Code: J0218
Description: Inj olipudase alfa-rpcp 1mg
Unit: 1 MG
Payment: $381.833
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
58468-0050-01
XENPOZYME (Genzyme Corporation)
1 VIAL in 1 CARTON (58468-0050-1) / 5.1 mL in 1 VIAL
58468-0051-01
XENPOZYME (Genzyme Corporation)
1 VIAL in 1 CARTON (58468-0051-1) / 1.1 mL in 1 VIAL
Prior Authorization
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