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103 HCPCS units (10 mg per unit) Trazimera trastuzumab-qyyp 8 mg/kg Q5116 103 HCPCS units (10 mg per unit) Neulasta pegfilgrastim 6 mg total dose J2505 1 HCPCS unit (6 mg per unit) Fulphila pegfilgrastim 6 mg total dose Q5108 12 HCPCS unit (0.5mg per unit) Udenyca pegfilgrastim-cbqv 6 mg total dose Q5111 12 HCPCS units (0.5mg per unit)

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HCPCS code FDA-approved biosimilars Biosimilar Q5116 Trazimera™ (trastuzumab-qyyp) Pfizer March 2019 February 2020 Herceptin Genentech Q5108 Fulphila®

No. Q5117 4. https://www.cms.gov/Medicare/ Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly- · Update. Biosimilar drug, Biologic reference, HCPCS code, Patient support services Trazimera. Herceptin. Q5116. Pfizer Oncology Together.

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a. Short Descriptor: Inj., omadacycline, 1 m. g. b.

For complete CPT/HCPCS code listing, please see Online Prior Authorization Tool on Health Plan website. Updated 2/2020 TRAZIMERA 10 MG. Q5117.

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Trazimera hcpcs

The following CPT/HCPCS procedure codes are investigational and unproven and therefore not covered. Code. Description. 0624. FDA Investigational Device 

Ondansetron 4 mg. For complete CPT/HCPCS code listing, please see Online Prior Authorization Tool on Health Plan website. Updated 2/2020 TRAZIMERA 10 MG. Q5117.

Trazimera hcpcs

1 Apr 2021 To report provider services, use appropriate CPT* codes, Alpha Numeric ( HCPCS level 2) codes,. Revenue Trazimera [package insert]. Cork  List is sorted alphabetically by HCPCS Code. Last Updated 07/21/2020. HCPCS Drug Name (Brand) Generic Name. Medicare Trazimera. Kanjinti.
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Trazimera hcpcs

Diagnosis. 2 Jun 2020 B. Max Units (per dose and over time) [HCPCS Unit]:.

Code:.
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15 Mar 2021 dkst (Ogivri), or trastuzumab-qyyp (Trazimera) e. Dose does not exceed: Revision: Added HCPCS Q5116 and Q5117, and removed J3590.

Medicare Trazimera.

Effective with date of service Feb. 15, 2020, the Medicaid and NC Health Choice programs cover trastuzumab-qyyp for injection, for intravenous use (Trazimera™) for use in the Physician Administered Drug Program (PADP) when billed with HCPCS code Q5116 - Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg.

Q5116 (Injection, trastuzumab-qyyp, biosimilar, (Trazimera), 10 mg); Q5117  5 Jan 2021 Trazimera 420 mg multiple-dose vial: 3 vials every 21 days. − Herzuma 150 mg B. Max Units (per dose and over time) [HCPCS Unit]:. TRAZIMERATM (trastuzumab-qyyp) for injection, for intravenous use. Initial U.S. Approval: 2019. TRAZIMERA (trastuzumab-qyyp) is biosimilar* to HERCEPTIN.

Each carton contains one multiple-dose vial of TRAZIMERA and one vial (20 mL) of Bacteriostatic Water for Injection (BWFI) containing 1.1% benzyl alcohol as a preservative. NDC 0069-0305-01. 16.2 Storage Trazimera. TRAZIMERA is a biosimilar* to Herceptin® (trastuzumab) that was approved by the FDA based on the totality of evidence1,2. TRAZIMERA offers the potential to help address treatment costs and shows no clinically meaningful differences to. Herceptin1-3.