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Xenpozyme (olipudase alfa-rpcp)


Billing

Code: J0218

Description: Inj olipudase alfa-rpcp 1mg

Unit: 1 mg

Payment: $377.113

Pay quarter: Q4 2023


Medicare history

Dosage and Frequency

Calculate drug reimbursement


Total Reimbursement:

$3,016.90

(ASP: $2,846.14, Margin: $170.77)


Code:

J0218

# Units to bill:

8

Prior 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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