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Updated October 1st, 2026

AVTOZMA Q Code: Q5156

Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg

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Medicare Payment Limit ?
$3.098
/ HCPCS billing unit
APC Payment Limit ?
$3.098
/ HCPCS billing unit · APC 0950
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
5
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Drug & Product Overview

HCPCS Descriptor Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg
HCPCS Added Date October 1, 2025
Manufacturer Multiple Manufacturers
Route of Administration Intravenous, Subcutaneous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection, Solution

About AVTOZMA

Avtozma is a medication aligned to the HCPCS Q Code: Q5156 for billing, pricing, and reimbursement purposes in the United States. This Immunology: Anti-TNF medication is administered via the intravenous or subcutaneous routes and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. Showing 3 of 5 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
72606-0042-01 Avtozma CELLTRION USA, Inc. 80 80 MG / 4 ML
72606-0043-01 Avtozma CELLTRION USA, Inc. 200 200 MG / 10 ML
72606-0044-01 Avtozma CELLTRION USA, Inc. 400 400 MG / 20 ML
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AVTOZMA
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AVTOZMA Pricing & Reimbursement

Q5156 Private Payer Reimbursement
$4.26 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Tocilizumab Biosimilar Information:

AVTOZMA Approval Date: January 24, 2025

Product Name HCPCS Code Active Ingredient BLA Type
Actemra J3262 Tocilizumab 351(a) Originator Product
Tofidence Q0234 Tocilizumab 351(k) Biosimilar
Avtozma Q0237 Tocilizumab 351(k) Interchangeable
Tyenne Q0238 Tocilizumab 351(k) Biosimilar
Tofidence Q5133 Tocilizumab 351(k) Biosimilar
Tyenne Q5135 Tocilizumab 351(k) Biosimilar
Avtozma Q5156 Tocilizumab 351(k) Interchangeable

AVTOZMA CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

AVTOZMA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Coronavirus Disease 2019 (COVID-19) Cytokine Release Syndrome Giant Cell Arteritis Polyarticular Juvenile Idiopathic Arthritis Rheumatoid Arthritis Systemic Juvenile Idiopathic Arthritis
Drug Class
Interleukin 6 Receptor Antagonists [MoA]Interleukin-6 Receptor Antagonist [EPC]

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Frequently Asked Questions

Is there an available Avtozma billing and coding guide?
Billing and coding information for AVTOZMA can be found through Celltrion USA Inc.. Visit Here →
Are there any available Avtozma patient assistance programs?
AVTOZMA patient assistance information can be found through Celltrion USA Inc.. Visit Here →
Where can I find Avtozma prescribing information?
Avtozma prescribing information can be found through the link below. Visit Here →
Where can I find Avtozma side effect information?
Our team has not yet identified a source of prescribing information for Avtozma.
Does billing Avtozma require wastage modifiers?
CMS does not include AVTOZMA (Q5156) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q5156. For more information, visit the link below.

About BuyandBill.com:

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