Cerezyme (imiglucerase)
Billing
Code: J1786
Description: Imuglucerase injection
Unit: 10 units
Payment: $44.397
Pay quarter: Q1 2023
Dosage and 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
Dosage is based on disease severity ranging from:
• 2.5 units/kg IV 3 times a week
• 60 units/kg IV every 2 weeks
Calculate drug reimbursement
Total Reimbursement:
$11,294.60(ASP: $10,655.28, Margin: $639.32)
Code:
J1786# Units to bill:
240Prior Authorization
Prior auth criteria for Cerezyme may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
58468-4663-01
Cerezyme (GENZYME CORPORATION)
400 UNITS
Resources