Back to drug list

Elelyso (taliglucerase)


Billing

Code: J3060

Description: Inj, taliglucerase alfa 10 u

Unit: 10 units

Payment: $41.995

Pay quarter: Q1 2023


Medicare history

Dosage and Frequency

Type 1 Gaucher disease

• 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:

480

Prior 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