Naglazyme (galsulfase)
Billing
Code: J1458
Description: Galsulfase injection
Unit: 1 mg
Payment: $432.799
Pay quarter: Q1 2023
Dosage and Frequency
Mucopolysaccharidosis VI (MPS VI, Maroteaux-Lamy syndrome)
• 1mg/kg IV every 1 week
• 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:
80Prior 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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