Drug IndexElaprase (idursulfase)
Billing
Code: J1743
Description: Idursulfase injection
Unit: 1 MG
Payment: $542.917
Pay quarter: Q1 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$20,905.53Total Reimbursement:
$21,716.68(ASP: $20,487.43, Margin: $1,229.25)
.
.# Units to bill:
40Dosage & Frequency
Hunter syndrome (Mucopolysaccharidosis II, MPS II)
• 0.5mg/kg IV every 1 week
• 0.5mg/kg IV every 1 week
Billable NDCs
54092-0700-01
ELAPRASE (TAKEDA PHARMACEUTICALS AMERICA, INC.)
6 MG
Prior Authorization
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