Drug IndexAldurazyme (laronidase)
Billing
Code: J1931
Description: Laronidase injection
Unit: 0.1 MG
Payment: $37.441
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$1,569.12Total Reimbursement:
$17,372.62(ASP: $16,389.27, Margin: $983.36)
.
.# Units to bill:
464Dosage & Frequency
Mucopolysaccharidosis I (MPS I)
• 0.58mg/kg IV every 1 week
• 0.58mg/kg IV every 1 week
Billable NDCs
58468-0070-01
Aldurazyme (GENZYME CORPORATION)
2.9000000000000004 MG
Prior Authorization
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