Xenpozyme (olipudase alfa-rpcp)
Billing
Code: J0218
Description: Inj olipudase alfa-rpcp 1mg
Unit: 1 mg
Payment: $377.113
Pay quarter: Q4 2023
Dosage and Frequency
Calculate drug reimbursement
Total Reimbursement:
$3,016.90(ASP: $2,846.14, Margin: $170.77)
Code:
J0218# Units to bill:
8Prior Authorization
Prior auth criteria for Xenpozyme may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
58468-0050-01
XENPOZYME (GENZYME CORPORATION)
20 MG
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