Drug IndexElelyso (taliglucerase)
Billing
Code: J3060
Description: Inj, taliglucerase alfa 10 u
Unit: 10 UNITS
Payment: $45.000
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$20,944.08Total Reimbursement:
$21,600.00(ASP: $20,377.36, Margin: $1,222.64)
.
.# Units to bill:
480Dosage & Frequency
Type 1 Gaucher disease
• 60 units/kg IV every 2 weeks
• 60 units/kg IV every 2 weeks
Billable NDCs
00069-0106-01
Elelyso (PFIZER INC.)
200 units
Prior Authorization
Resources