VPRIV (velaglucerase)
Billing
Code: J3385
Description: Velaglucerase alfa
Unit: 100 units
Payment: $357.528
Pay quarter: Q1 2023
Dosage and Frequency
Type 1 Gaucher Disease
• 60 units/kg IV every 2 weeks
• 60 units/kg IV every 2 weeks
Calculate drug reimbursement
Total Reimbursement:
$18,191.02(ASP: $17,161.34, Margin: $1,029.68)
Code:
J3385# Units to bill:
48Prior Authorization
Prior auth criteria for VPRIV may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
54092-0701-04
VPRIV (TAKEDA PHARMACEUTICALS AMERICA, INC.)
400 UNITS
Resources