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VPRIV (velaglucerase)


Billing

Code: J3385

Description: Velaglucerase alfa

Unit: 100 units

Payment: $357.528

Pay quarter: Q1 2023


Medicare history

Dosage and Frequency

Type 1 Gaucher Disease

• 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:

48

Prior 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



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