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Naglazyme (galsulfase)


Billing

Code: J1458

Description: Galsulfase injection

Unit: 1 mg

Payment: $432.799

Pay quarter: Q1 2023


Medicare history

Dosage and Frequency

Mucopolysaccharidosis VI (MPS VI, Maroteaux-Lamy syndrome)

• 1mg/kg IV every 1 week

Calculate drug reimbursement


Total Reimbursement:

$36,701.36

(ASP: $34,623.92, Margin: $2,077.44)


Code:

J1458

# Units to bill:

80

Prior Authorization

Prior auth criteria for Naglazyme may include but is not limited to:





Insurance prior auth guidelines:


Billable NDCs

68135-0020-01

Naglazyme (BIOMARIN PHARMACEUTICAL, INC.)

5 MG



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