Drug IndexCerezyme (imiglucerase)



Billing

Code: J1786

Description: Imuglucerase injection

Unit: 10 UNITS

Payment: $43.942

Pay quarter: Q2 2024


Covered in Part D: No


Drug Cost

Calculate drug cost and reimbursement


Total WAC:

$511.14

Total Reimbursement:

$10,546.08

(ASP: $9,949.13, Margin: $596.95)

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# Units to bill:

240

Dosage & Frequency

Type 1 Gaucher disease

Dosage is based on disease severity ranging from:
• 2.5 units/kg IV 3 times a week
• 60 units/kg IV every 2 weeks


Billable NDCs

58468-4663-01

Cerezyme (GENZYME CORPORATION)

400 UNITS



Prior Authorization

Aetna

United Healthcare

Anthem

Cigna


Resources

Website