Drug IndexAldurazyme (Laronidase)


Billing

Code: J1931

Description: Laronidase injection

Unit: 0.1 MG

Payment: $38.629

Pay quarter: Q3 2024

Covered in Part D: No

Drug Cost

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Total WAC:

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Total Reimbursement:

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(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

58468-0070-01

ALDURAZYME (Genzyme Corporation)

5 mL in 1 VIAL, GLASS (58468-0070-1)


Prior Authorization

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