Product Description | Manufacturer | Product NDC | HCPCS Code |
|---|---|---|---|
Actemra 80mg/4ml | Genentech | 50242-0135-01 | J3265 |
Actemra 200mg/10ml | Genentech | 50242-0136-01 | J3263 |
Actemra 400mg/20ml | Genentech | 50242-0137-01 | J3264 |
Actemra 162mg/0.9ml | Genentech | 50242-0138-01 | J3264 |
Aduhelm 170mg/1.7ml | Biogen | 64406-0101-01 | J0172 |
Aduhelm 300mg/3ml | Biogen | 64406-0102-02 | J0172 |
Avastin 100mg | Genentech | 50242-0060-01 | J9035 |
Avastin 400mg/20ml | Genentech | 50242-0061-01 | J9035 |
Avsola 100mg | Amgen | 50474-0700-62 | Q5121 |
Benlysta 120mg/5ml | Glaxo SmithKline | 49401-0101-01 | J0490 |
Benlysta 200mg/ml | Glaxo SmithKline | 49401-0088-35 | J0490 |
Benlysta 400mg/20ml | Glaxo SmithKline | 49401-0102-01 | J0490 |
Botox Therapeutic 100U | Allergan | 00023-1145-01 | J0585 |
Botox Therapeutic 200U | Allergan | 00023-3921-02 | J0585 |
Cimzia 200mg/2ml | UCB | 50474-0700-62 | J0717 |
Cinrize 500 units | Takeda | 42227-0083-01 | J0598 |
Dysport 300U | Ipsen Pharmaceuticals | 15054-0530-06 | J0586 |
Dysport 500U | Ipsen Pharmaceuticals | 15054-0500-01 | J0586 |
Eloctate 250 IU | Genzyme | 71104-0801-01 | J7192 |
Eloctate 500 IU | Genzyme | 71104-0802-01 | J7192 |
Eloctate 750 IU | Genzyme | 71104-0803-01 | J7192 |
Eloctate 1000 IU | Genzyme | 71104-0804-01 | J7192 |
Entyvio 300mg | Takeda | 64764-0300-20 | J3380 |
Evenity 105mg/1.17ml | Amgen | 55513-0880-02 | J3590 |
Fabrazyme 5mg | Genzyme | 58468-0041-01 | J0180 |
Fabrazyme 35mg | Genzyme | 58468-0040-01 | J0180 |
Fasenra 30mg/ml | AstraZeneca | 00310-1730-30 | J0517 |
Flebogamma 10% 10gm | Grifols | 61953-0005-02 | J1572 |
Inflectra 100mg/20ml | Pfizer | 00069-0809-01 | Q5103 |
Keytruda | Merck | 00006-3026-02 | J9271 |
Krystexxa 8mg/ml | Horizon | 75987-0080-10 | J2507 |
Novoseven RT 1mg | Novo Nordisk | 00169-7201-01 | J7189 |
Novoseven RT 2mg | Novo Nordisk | 00169-7202-01 | J7189 |
Novoseven RT 5mg | Novo Nordisk | 00169-7205-01 | J7189 |
Novoseven RT 8mg | Novo Nordisk | 00169-7205-01 | J7189 |
Nucala 100mg | Glaxo SmithKline | 00173-0881-01 | J2182 |
Nuwiq 500 IU | Octapharma | 68982-0141-01 | J7209 |
Nuwiq 4000 IU | Octapharma | 68982-0151-01 | J7209 |
Ocrevus 30mg/ml | Genentech | 50242-0150-01 | J2350 |
Orencia 250mg/15ml | BMS | 00003-2187-13 | J0129 |
Procrit 10,000U/1ml | Janssen | 59676-0310-01 | J0885 |
Procrit 10,000U/1ml | Janssen | 59676-0310-02 | J0885 |
Procrit 20,000U | Janssen | 59676-0320-04 | J0885 |
Procrit 40,000U | Janssen | 59676-0340-01 | J0885 |
Prolia 60mg | Amgen | 55513-0710-01 | J0897 |
Radicava 30mg/100ml | Mitsubishi | 70510-2171-02 | J1301 |
Remicade 100mg | Janssen | 57894-0030-01 | J1745 |
Renflexis 100mg | Merck | 78206-0162-01 | Q5104 |
Rituxan 100mg | Genentech | 50242-0051-21 | J9312 |
Rituxan 500mg | Genentech | 50242-0053-06 | J9312 |
Simponi Aria 50mg | Janssen | 57894-0350-01 | J1602 |
Soliris 300mg/30ml | Alexion Pharma | 25682-0025-01 | J1300 |
Solu-Cortef 100mg/2ml | Pfizer | 00009-0825-01 | J1720 |
Solu-Medrol 1gm/8ml | Pfizer | 00009-0698-01 | J2920 |
Solu-Medrol 40mg/1ml | Pfizer | 00009-0039-28 | J2920 |
Solu-Medrol 125mg/2ml | Pfizer | 00009-0047-22 | J2920 |
Solu-Medrol 500mg | Pfizer | 00009-0758-01 | J2930 |
Spinraza 2.4mg/ml | Biogen | 64416-0058-01 | J2326 |
Stelara 45mg/0.5ml | Janssen | 57894-0060-02 | J3357 |
Stelara 90mg/1ml | Janssen | 57894-0061-03 | J3357 |
Stelara IV 130mg | Janssen | 57894-0054-27 | J3358 |
Truxima 100mg/10ml | Teva | 63459-0103-10 | Q5115 |
Truxima 500mg/50ml | Teva | 63459-0104-50 | Q5115 |
Tysabri 300mg | Tysabri | 64406-0008-01 | J2323 |
Vyvgart 400mg/20ml | Argenx | 73475-3041-05 | J3590 |
Xolair 75mg | Genentech | 50242-0214-01 | J2357 |
Xolair 150mg | Genentech | 50242-0215-01 | J2357 |
Xyntha Solofuse 1000 IU | Pfizer | 58394-0024-03 | J7185 |
Xyntha Solofuse 3000 IU | Pfizer | 58394-0016-03 | J7185 |
Zoledronic Acid 4mg/5ml | Pfizer | 63323-0966-00 | J3489 |
