Drug IndexFabrazyme (agalsidase beta)
Billing
Code: J0180
Description: Agalsidase beta injection
Unit: 1 MG
Payment: $218.275
Pay quarter: Q2 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
$16,543.09Total Reimbursement:
$17,462.00(ASP: $16,473.58, Margin: $988.42)
.
.# Units to bill:
80Dosage & Frequency
Fabry disease
• 1mg/kg IV every 2 weeks
• 1mg/kg IV every 2 weeks
Billable NDCs
58468-0040-01
Fabrazyme (GENZYME CORPORATION)
35 MG
58468-0041-01
Fabrazyme (GENZYME CORPORATION)
5 MG
Prior Authorization
Resources