Elelyso (taliglucerase)
Billing
Code: J3060
Description: Inj, taliglucerase alfa 10 u
Unit: 10 units
Payment: $41.995
Pay quarter: Q1 2023
Dosage and Frequency
Type 1 Gaucher disease
• 60 units/kg IV every 2 weeks
• 60 units/kg IV every 2 weeks
Calculate drug reimbursement
Total Reimbursement:
$21,367.06(ASP: $20,157.60, Margin: $1,209.46)
Code:
J3060# Units to bill:
480Prior Authorization
Prior auth criteria for Elelyso may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
00069-0106-01
Elelyso (PFIZER INC.)
200 units
Resources