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

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Total WAC:

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Total Reimbursement:

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(ASP: N/A, Margin: N/A)

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# Units to bill:

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Billable NDCs

58468-0040-01

Fabrazyme (Genzyme Corporation)

1 VIAL, GLASS in 1 CARTON (58468-0040-1) / 7 mL in 1 VIAL, GLASS


58468-0041-01

Fabrazyme (Genzyme Corporation)

1 VIAL, GLASS in 1 CARTON (58468-0041-1) / 1 mL in 1 VIAL, GLASS



Prior Authorization


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