Drug IndexFabrazyme (Agalsidase Beta)
Billing
Code: J0180
Description: Agalsidase beta injection
Unit: 1 MG
Payment: $222.931
Pay quarter: Q3 2024
Covered in Part D: No
Drug Cost
Calculate drug cost and reimbursement
Total WAC:
N/ATotal Reimbursement:
N/A(ASP: N/A, Margin: N/A)
.
.# Units to bill:
N/ABillable 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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