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HCPCS Code HCPCS Unit HCPCS Code Descriptor
Q5111 0.5 MG Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg
Manufacturer Brand Name Short Description
COHERUS BIOSCIE UDENYCA Injection, udenyca 0.5 mg
  <
November
2021
December
2021
January
2022
February
2022
March
2022
April
2022
May
2022
June
2022
July
2022
August
2022
September
2022
October
2022
>
Total NDC's Aligned to this HCPCS Code
  1 1 1 1 1 1 1 1 1 1 1 1  
ASP: Average Sales Price   $209.79 $209.79 $190.66 $190.66 $190.66 $173.03 $173.03 $173.03 $162.14 $162.14 $162.14 $154.34  
Medicare Payment Limit   $222.38 $222.38 $202.10 $202.10 $202.10 $183.41 $183.41 $183.41 $171.87 $171.87 $171.87 $163.60  
APC: Ambulatory Procedure Code Payment Limit   $222.38 $222.38 $202.10 $202.10 $202.10 $183.41 $183.41 $183.41 $171.87 $171.87 $171.87 $163.60  
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