HCPCS Q Code Lookup

HCPCS Q codes cover drugs, biologicals, and related products that CMS codes outside the J range. Biosimilars are the largest group here, billed under the Q5xxx series, which sits alongside cell and gene therapies, skin substitutes, and contrast agents.

Q5126

Alymsys

Sponsored

HCPCS Descriptor
Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
Manufacturer
Amneal Biosciences
Class
Oncology
NDCs
4
10 mg per unit
View details

Q5169

Armlupeg PFS

Sponsored

HCPCS Descriptor
Injection, pegfilgrastim-unne (armlupeg), biosimilar, 0.5 mg
Manufacturer
Valorum Biologics
Class
Oncology Colony Stimulating Factor
NDC
1
0.5 mg per unit
View details

Q5146

HERCESSI

Sponsored

HCPCS Descriptor
Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg
Manufacturer
Accord
Class
Oncology
NDCs
2
10 mg per unit
View details

Q5098

IMULDOSA

Sponsored

HCPCS Descriptor
Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg
Manufacturer
Accord
Class
Immunology
NDCs
3
1 mg per unit
View details

Q5136

Jubbonti

Sponsored

HCPCS Descriptor
Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg
Manufacturer
Sandoz
Class
Osteoporosis
NDCs
2
1 mg per unit
View details

Q5148

Nypozi

Sponsored

HCPCS Descriptor
Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram
Manufacturer
Cipla
Class
Oncology Colony Stimulating Factor
NDCs
8
1 mcg per unit
View details

Q5166

Osvyrti PFS

Sponsored

HCPCS Descriptor
Injection, denosumab-desu (osvyrti/jubereq), biosimilar, 1 mg
Manufacturer
Accord
Class
Osteoporosis
NDCs
2
1 mg per unit
View details

Q5134

TYRUKO

Sponsored

HCPCS Descriptor
Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg
Manufacturer
Sandoz
Class
Immunology
NDC
1
1 mg per unit
View details

Q5111

UDENYCA

Sponsored

HCPCS Descriptor
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg
Manufacturer
Accord
Class
Oncology Colony Stimulating Factor
NDCs
6
0.5 mg per unit
View details

Q5136

WYOST

Sponsored

HCPCS Descriptor
Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg
Manufacturer
Sandoz
Class
Osteoporosis
NDCs
2
1 mg per unit
View details

Q2055

Abecma
HCPCS Descriptor
Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Manufacturer
Celgene
Class
Oncology
NDCs
3
up to 510 million autologous anti-bcma car-positive viable t cells per unit
View details

Q5145

ABRILADA
HCPCS Descriptor
Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg
Manufacturer
Pfizer
Class
Immunology: Anti-TNF
NDCs
4
1 mg per unit
View details

Q4118

ACELL MICROMATRIX 20MG
HCPCS Descriptor
Matristem micromatrix, 1 mg
Manufacturer
Acell
Class
Wound Care
NDCs
8
1 mg per unit
View details

Q0249

ACTEMRA
HCPCS Descriptor
Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg
Manufacturer
Multiple Manufacturers
Class
COVID-19
NDCs
5
1 mg per unit
View details

Q4159

Affinity
HCPCS Descriptor
Affinity, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Organogenesis
Class
Wound Care
NDCs
2
1 sq cm per unit
View details

Q5150

AHZANTIVE
HCPCS Descriptor
Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg
Manufacturer
Formycon AG
Class
Ophthalmology
1 mg per unit
View details

Q0180

ANZEMET
HCPCS Descriptor
Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen
Manufacturer
Sanofi
Class
Anti-Emetic
NDCs
2
100 mg per unit
View details

Q4101

Apligraf Disk
HCPCS Descriptor
Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Organogenesis
Class
Wound Care
NDC
1
1 sq cm per unit
View details

Q2058

AUCATZYL
HCPCS Descriptor
Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
Manufacturer
Autolus
Class
Oncology
NDC
1
per therapeutic dose per unit
View details

Q5161

Aukelso and Bosaya
HCPCS Descriptor
Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg
Manufacturer
Biocon Biologics Inc
Class
Osteoporosis
NDCs
2
1 mg per unit
View details

Q3027

AVONEX
HCPCS Descriptor
Injection, interferon beta-1a, 1 mcg for intramuscular use
Manufacturer
Biogen
Class
Neurology
NDCs
2
1 mcg per unit
View details

Q5121

Avsola
HCPCS Descriptor
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg
Manufacturer
Amgen
Class
Immunology: Anti-TNF
NDCs
2
10 mg per unit
View details

Q0237

Avtozma
HCPCS Descriptor
Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg
Manufacturer
Celltrion USA
Class
COVID-19
NDCs
3
1 mg per unit
View details

Q5156

AVTOZMA
HCPCS Descriptor
Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg
Manufacturer
Multiple Manufacturers
Class
Immunology: Anti-TNF
NDCs
5
1 mg per unit
View details

Q4215

AXOLOTL AMBIENT FLOWABLE ALLOGRAFT
HCPCS Descriptor
Axolotl ambient or axolotl cryo, 0.1 mg
Manufacturer
Axolotl Biologix
Class
Wound Care
NDCs
3
0.1 mg per unit
View details

Q5162

Bildyos
HCPCS Descriptor
Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg
Manufacturer
Organon
Class
Osteoporosis
NDCs
2
1 mg per unit
View details

Q4138

BioDDryFlex
HCPCS Descriptor
Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
BioDLogics LLC
Class
Wound Care
NDCs
5
1 sq cm per unit
View details

Q4140

BioDfence Sentry
HCPCS Descriptor
Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
BioDLogics LLC
Class
Wound Care
NDCs
15
1 sq cm per unit
View details

Q5152

BKEMV
HCPCS Descriptor
Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg
Manufacturer
Amgen
Class
Immunology
NDC
1
2 mg per unit
View details

Q5171

Boncresa PFS
HCPCS Descriptor
Injection, denosumab-mobz (boncresa), biosimilar, 1 mg
Manufacturer
Amneal Biosciences
Class
Osteoporosis
NDC
1
1 mg per unit
View details

Q2054

BREYANZI
HCPCS Descriptor
Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Manufacturer
Bristol Myers Squibb
Class
Oncology
NDC
1
up to 110 million car-positive viable t cells, per therapeutic dose per unit
View details

Q5124

BYOOVIZ
HCPCS Descriptor
Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg
Manufacturer
Biogen
Class
Ophthalmology
NDCs
2
0.1 mg per unit
View details

Q2056

CARVYKTI
HCPCS Descriptor
Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Manufacturer
Janssen
Class
Oncology
NDCs
2
up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells per unit
View details

Q2009

CEREBYX
HCPCS Descriptor
Injection, fosphenytoin, 50 mg phenytoin equivalent
Manufacturer
Multiple Manufacturers
Class
Neurology
NDCs
16
50 mg pe/ml per unit
View details

Q5128

Cimerli
HCPCS Descriptor
Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg
Manufacturer
Coherus Biosciences, Inc
Class
Ophthalmology
NDCs
4
0.1 mg per unit
View details

Q5158

CONEXXENCE
HCPCS Descriptor
Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg
Manufacturer
Fresenius Kabi
Class
Osteoporosis
NDCs
3
1 mg per unit
View details

Q9961

CONRAY
HCPCS Descriptor
High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
Manufacturer
Guerbet
Class
Imaging/Radiopharmaceutical
NDCs
3
1 ml per unit
View details

Q5143

CYLTEZO
HCPCS Descriptor
Injection, adalimumab-adbm, biosimilar, 1 mg
Manufacturer
Boehringer Ingelheim
Class
Immunology: Anti-TNF
NDCs
23
1 mg per unit
View details

Q9958

CYSTOGRAFIN
HCPCS Descriptor
High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
Manufacturer
Multiple Manufacturers
Class
Imaging/Radiopharmaceutical
NDCs
4
1 ml per unit
View details

Q4166

CYTAL WOUND MATRIX
HCPCS Descriptor
Cytal, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Multiple Manufacturers
Class
Wound Care
NDCs
16
1 sq cm per unit
View details

Q9957

DEFINITY
HCPCS Descriptor
Injection, perflutren lipid microspheres, per ml
Manufacturer
Lantheus Medical Imaging
Class
Imaging/Radiopharmaceutical
NDCs
4
1 ml per unit
View details

Q2050

DOXIL
HCPCS Descriptor
Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg
Manufacturer
Multiple Manufacturers
Class
Oncology
NDCs
30
10 mg per unit
View details

Q0167

DRONABINOL
HCPCS Descriptor
Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Manufacturer
Multiple Manufacturers
Class
Anti-Emetic
NDCs
12
2.5 mg per unit
View details

Q5167

Enoby
HCPCS Descriptor
Injection, denosumab-qbde (enoby/xtrenbo), biosimilar, 1 mg
Manufacturer
Hikma
Class
Osteoporosis
NDCs
2
1 mg per unit
View details

Q5149

ENZEEVU
HCPCS Descriptor
Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg
Manufacturer
Sandoz
Class
Ophthalmology
1 mg per unit
View details

Q4081

EPOGEN
HCPCS Descriptor
Injection, epoetin alfa, 100 units (for esrd on dialysis)
Manufacturer
Amgen
Class
Oncology Colony Stimulating Factor
NDCs
19
100 units per unit
View details

Q5151

EPYSQLI
HCPCS Descriptor
Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg
Manufacturer
Teva
Class
Immunology
NDC
1
2 mg per unit
View details

Q5170

Eydenzelt
HCPCS Descriptor
Injection, aflibercept-boav (eydenzelt), biosimilar, 1 mg
Class
Ophthalmology
1 mg per unit
View details

Q0138

FERAHEME
HCPCS Descriptor
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)
Manufacturer
Multiple Manufacturers
Class
Anti-Anemia
NDCs
2
1 mg per unit
View details

Q0139

FERAHEME
HCPCS Descriptor
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)
Manufacturer
Multiple Manufacturers
Class
Anti-Anemia
NDCs
2
1 mg per unit
View details

Q5172

Filkri
HCPCS Descriptor
Injection, filgrastim-laha (filkri), biosimilar, 1 microgram
Manufacturer
Accord
Class
Oncology Colony Stimulating Factor
NDCs
4
Effective Oct 1, 2026
View details

Q5108

FULPHILA
HCPCS Descriptor
Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg
Manufacturer
Biocon Biologics Inc
Class
Oncology Colony Stimulating Factor
NDCs
2
0.5 mg per unit
View details

Q5130

FYLNETRA
HCPCS Descriptor
Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg
Manufacturer
Amneal Biosciences
Class
Oncology Colony Stimulating Factor
NDC
1
0.5 mg per unit
View details

Q9963

GASTROGRAFIN
HCPCS Descriptor
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
Manufacturer
Multiple Manufacturers
Class
Imaging/Radiopharmaceutical
NDCs
3
1 ml per unit
View details

Q4132

Grafix Core
HCPCS Descriptor
Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Osiris Therapeutics
Class
Wound Care
NDCs
3
1 sq cm per unit
View details

Q0166

Granisetron HCl
HCPCS Descriptor
Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen
Manufacturer
Breckenridge
Class
Anti-Emetic
NDCs
2
1 mg per unit
View details

Q4164

HELICOLL
HCPCS Descriptor
Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
ENCOLL CORP
Class
Wound Care
NDCs
7
1 sq cm per unit
View details

Q5113

HERZUMA
HCPCS Descriptor
Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg
Manufacturer
Teva
Class
Oncology
NDCs
2
10 mg per unit
View details

Q5140

HULIO
HCPCS Descriptor
Injection, adalimumab-fkjp, biosimilar, 1 mg
Manufacturer
Biocon Biologics Inc
Class
Immunology: Anti-TNF
NDCs
6
1 mg per unit
View details

Q5144

IDACIO
HCPCS Descriptor
Injection, adalimumab-aacf (idacio), biosimilar, 1 mg
Manufacturer
Fresenius Kabi
Class
Immunology: Anti-TNF
NDCs
4
1 mg per unit
View details

Q5103

INFLECTRA
HCPCS Descriptor
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
Manufacturer
Pfizer
Class
Immunology: Anti-TNF
NDC
1
10 mg per unit
View details

Q2038

Influenza Virus Vaccine
HCPCS Descriptor
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
Manufacturer
Sanofi
Class
Vaccine
NDCs
6
per therapeutic dose per unit
View details

Q4104

Integra Bilayer Wound Matrix
HCPCS Descriptor
Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Integra Lifesciences
Class
Wound Care
NDCs
8
1 sq cm per unit
View details

Q4114

Integra Flowable Wound Matrix
HCPCS Descriptor
Integra flowable wound matrix, injectable, 1 cc
Manufacturer
Integra Lifesciences
Class
Wound Care
NDC
1
1 cc per unit
View details

Q4105

Integra Omnigraft Dermal Regeneration Matrix
HCPCS Descriptor
Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Multiple Manufacturers
Class
Wound Care
NDCs
11
1 sq cm per unit
View details

Q4108

Integra Wound Matrix
HCPCS Descriptor
Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Integra Lifesciences
Class
Wound Care
NDCs
6
1 sq cm per unit
View details

Q9966

ISOVUE-200
HCPCS Descriptor
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
Manufacturer
Multiple Manufacturers
Class
Imaging/Radiopharmaceutical
NDCs
21
1 ml per unit
View details

Q9967

ISOVUE-300
HCPCS Descriptor
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Manufacturer
Multiple Manufacturers
Class
Imaging/Radiopharmaceutical
NDCs
114
1 ml per unit
View details

Q5160

JOBEVNE
HCPCS Descriptor
Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg
Manufacturer
Biocon Biologics Inc
Class
Oncology
NDCs
2
10 mg per unit
View details

Q5117

KANJINTI
HCPCS Descriptor
Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg
Manufacturer
Amgen
Class
Oncology
NDCs
5
10 mg per unit
View details

Q2042

KYMRIAH
HCPCS Descriptor
Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Manufacturer
Novartis
Class
Oncology
NDCs
2
up to 600 million car-positive viable t cells per unit
View details

Q9950

LUMASON
HCPCS Descriptor
Injection, sulfur hexafluoride lipid microspheres, per ml
Manufacturer
Bracco Diagnostics Inc
Class
Imaging/Radiopharmaceutical
NDCs
4
1 ml per unit
View details

Q5107

MVASI
HCPCS Descriptor
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
Manufacturer
Amgen
Class
Oncology
NDCs
4
10 mg per unit
View details

Q9983

NEURACEQ
HCPCS Descriptor
Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
Manufacturer
Lantheus Medical Imaging
Class
Imaging/Radiopharmaceutical
NDCs
2
per study dose, upto 8 mci per unit
View details

Q5110

NIVESTYM
HCPCS Descriptor
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
Manufacturer
Pfizer
Class
Oncology Colony Stimulating Factor
NDCs
6
1 mcg per unit
View details

Q4194

Novachor
HCPCS Descriptor
Novachor, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Organogenesis, Inc.
Class
Wound Care
NDC
1
1 sq cm per unit
View details

Q5168

Nufymco
HCPCS Descriptor
Injection, ranibizumab-leyk (nufymco), biosimilar, 0.1 mg
Manufacturer
Zydus Pharmaceuticals
Class
Ophthalmology
NDCs
2
0.1 mg per unit
View details

Q4160

NuShield
HCPCS Descriptor
Nushield, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Organogenesis
Class
Wound Care
NDCs
9
1 sq cm per unit
View details

Q5122

NYVEPRIA
HCPCS Descriptor
Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg
Manufacturer
Pfizer
Class
Oncology Colony Stimulating Factor
NDC
1
0.5 mg per unit
View details

Q4124

OASIS ULTRA TRI-LAYER MATRIX
HCPCS Descriptor
Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Smith & Nephew
Class
Wound Care
NDCs
5
1 sq cm per unit
View details

Q4102

Oasis Wound Matrix Sheet
HCPCS Descriptor
Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Healthpoint
Class
Wound Care
NDCs
2
1 sq cm per unit
View details

Q4103

OASIS WOUND MATRIX SHEET
HCPCS Descriptor
Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
SMITH & NEPHEW BIOTHERAPEUTICS
Class
Wound Care
NDCs
5
1 sq cm per unit
View details

Q5114

OGIVRI
HCPCS Descriptor
Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
Manufacturer
Biocon Biologics Inc
Class
Oncology
NDCs
4
10 mg per unit
View details

Q5154

OMLYCLO
HCPCS Descriptor
Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg
Manufacturer
Celltrion USA
Class
Immunology
NDCs
3
5 mg per unit
View details

Q9965

OMNIPAQUE
HCPCS Descriptor
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
Manufacturer
GE Healthcare
Class
Imaging/Radiopharmaceutical
NDCs
3
1 ml per unit
View details

Q0162

Ondansetron
HCPCS Descriptor
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Manufacturer
Multiple Manufacturers
Class
Anti-Emetic
NDCs
126
1 mg per unit
View details

Q5112

ONTRUZANT
HCPCS Descriptor
Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg
Manufacturer
Organon
Class
Oncology
NDCs
2
10 mg per unit
View details

Q9956

OPTISON
HCPCS Descriptor
Injection, octafluoropropane microspheres, per ml
Manufacturer
GE Healthcare
Class
Imaging/Radiopharmaceutical
NDCs
2
1 ml per unit
View details

Q5153

OPUVIZ
HCPCS Descriptor
Injection, aflibercept-yszy (opuviz), biosimilar, 1 mg
Manufacturer
Biogen Inc.
Class
Ophthalmology
1 mg per unit
View details

Q5159

OSPOMYV AND XBRYK
HCPCS Descriptor
Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg
Manufacturer
Cordavis Limited
Class
Osteoporosis
NDC
1
1 mg per unit
View details

Q9999

Otulfi
HCPCS Descriptor
Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg
Manufacturer
Fresenius Kabi
Class
Immunology
NDCs
6
1 mg per unit
View details

Q5165

Oziltus
HCPCS Descriptor
Injection, denosumab-mobz (oziltus), biosimilar, 1 mg
Manufacturer
Amneal Biosciences
Class
Osteoporosis
NDC
1
1 mg per unit
View details

Q5147

PAVBLU
HCPCS Descriptor
Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg
Manufacturer
Amgen
Class
Ophthalmology
NDCs
2
1 mg per unit
View details

Q0224

Pemgarda
HCPCS Descriptor
Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg
Manufacturer
Invivyd
Class
Anti-Anemia
NDC
1
4500 mg per unit
View details

Q5173

Ponlimsi
HCPCS Descriptor
Injection, denosumab-adet (ponlimsi), biosimilar, 1 mg
Class
Osteoporosis
Effective Oct 1, 2026
View details

Q4110

PriMatrix
HCPCS Descriptor
Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Manufacturer
Multiple Manufacturers
Class
Wound Care
NDCs
36
1 sq cm per unit
View details

Q0164

PROCHLORPERAZINE MALEATE
HCPCS Descriptor
Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Manufacturer
Multiple Manufacturers
Class
Psychiatric
NDCs
23
5 mg per unit
View details

Q0169

PROMETHAZINE HCL
HCPCS Descriptor
Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Manufacturer
Multiple Manufacturers
Class
Antihistamine
NDCs
21
12.5 mg per unit
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Q9968

Provayblue
HCPCS Descriptor
Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
Manufacturer
Multiple Manufacturers
Class
Misc.
NDCs
4
1 mg per unit
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Q2043

PROVENGE
HCPCS Descriptor
Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion
Manufacturer
Dendreon Pharmaceuticals
Class
Oncology
NDC
1
per infusion (minimum 50 million cells) per unit
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Q9996

PYZCHIVA
HCPCS Descriptor
Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg
Manufacturer
Cordavis Limited
Class
Immunology
NDCs
6
1 mg per unit
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Q9997

PYZCHIVA
HCPCS Descriptor
Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg
Manufacturer
Quallent Pharmaceuticals
Class
Immunology
NDCs
2
1 mg per unit
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Q3028

REBIF
HCPCS Descriptor
Injection, interferon beta-1a, 1 mcg for subcutaneous use
Manufacturer
EMD Serono
Class
Neurology
NDCs
5
1 mcg per unit
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Q5125

RELUKO
HCPCS Descriptor
Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram
Manufacturer
Amneal Biosciences
Class
Oncology Colony Stimulating Factor
NDCs
4
1 mcg per unit
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Q5104

RENFLEXIS
HCPCS Descriptor
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
Manufacturer
Organon
Class
Immunology: Anti-TNF
NDCs
3
10 mg per unit
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Q5105

RETACRIT
HCPCS Descriptor
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
Manufacturer
Vifor International
Class
Oncology Colony Stimulating Factor
NDCs
19
100 units per unit
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Q5106

RETACRIT
HCPCS Descriptor
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
Manufacturer
Vifor International
Class
Oncology Colony Stimulating Factor
NDCs
15
1000 units per unit
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Q5123

RIABNI
HCPCS Descriptor
Injection, rituximab-arrx, biosimilar, (riabni), 10 mg
Manufacturer
Amgen
Class
Oncology
NDCs
2
10 mg per unit
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Q5119

RUXIENCE
HCPCS Descriptor
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg
Manufacturer
Pfizer
Class
Oncology
NDCs
2
10 mg per unit
View details

Q9998

SELARSDI
HCPCS Descriptor
Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg
Manufacturer
Teva
Class
Immunology
NDCs
8
1 mg per unit
View details

Q5142

SIMLANDI
HCPCS Descriptor
Injection, adalimumab-ryvk biosimilar, 1 mg
Manufacturer
Teva
Class
Immunology: Anti-TNF
NDCs
11
1 mg per unit
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Q5164

Starjemza
HCPCS Descriptor
Injection, ustekinumab-hmny (starjemza), biosimilar, 1 mg
Manufacturer
Hikma
Class
Immunology
NDCs
4
1 mg per unit
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Q5099

STEQEYMA
HCPCS Descriptor
Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg
Manufacturer
Celltrion USA
Class
Immunology
NDCs
4
1 mg per unit
View details

Q5127

Stimufend
HCPCS Descriptor
Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg
Manufacturer
Fresenius Kabi
Class
Oncology Colony Stimulating Factor
NDCs
2
0.5 mg per unit
View details

Q5157

STOBOCLO AND OSENVELT
HCPCS Descriptor
Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg
Manufacturer
Celltrion USA
Class
Osteoporosis
NDCs
2
1 mg per unit
View details

Q9991

SUBLOCADE
HCPCS Descriptor
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg
Manufacturer
Indivior
Class
Anti-Addiction
NDCs
3
less than or equal to 100 mg per unit
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Q9992

SUBLOCADE
HCPCS Descriptor
Injection, buprenorphine extended-release (sublocade), greater than 100 mg
Manufacturer
Indivior
Class
Anti-Addiction
NDCs
3
greater than 100 mg per unit
View details

Q0155

Syndros
HCPCS Descriptor
Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Manufacturer
Benuvia Therapeutics
Class
Anti-Emetic
NDC
1
0.1 mg per unit
View details

Q2053

TECARTUS
HCPCS Descriptor
Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Manufacturer
Gilead Sciences, Inc
Class
Oncology
NDCs
4
up to 200 million autologous anti-cd19 car positive viable t cells per unit
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Q2057

TECELRA
HCPCS Descriptor
Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose
Manufacturer
Us Worldmeds
Class
Oncology
NDC
1
per therapeutic dose per unit
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Q0234

Tofidence
HCPCS Descriptor
Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation only, 1 mg
Manufacturer
Biogen
Class
COVID-19
NDCs
6
1 mg per unit
View details

Q5133

TOFIDENCE
HCPCS Descriptor
Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg
Manufacturer
Biogen
Class
Antibiotic
NDCs
5
1 mg per unit
View details

Q5116

Trazimera
HCPCS Descriptor
Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg
Manufacturer
Pfizer
Class
Oncology
NDCs
2
10 mg per unit
View details

Q5115

TRUXIMA
HCPCS Descriptor
Injection, rituximab-abbs, biosimilar, (truxima), 10 mg
Manufacturer
Teva
Class
Oncology
NDCs
2
10 mg per unit
View details

Q0238

Tyenne
HCPCS Descriptor
Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg
Manufacturer
Fresenius Kabi
Class
COVID-19
NDCs
3
1 mg per unit
View details

Q5135

TYENNE
HCPCS Descriptor
Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg
Manufacturer
Multiple Manufacturers
Class
Immunology
NDCs
7
1 mg per unit
View details

Q5129

Vegzelma
HCPCS Descriptor
Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg
Manufacturer
Celltrion USA
Class
Oncology
NDCs
2
10 mg per unit
View details

Q4074

VENTAVIS
HCPCS Descriptor
Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms
Manufacturer
Actelion
Class
Cardiology
NDCs
3
up to 20 mcg per unit
View details

Q9982

VIZAMYL
HCPCS Descriptor
Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
Manufacturer
GE Healthcare
Class
Imaging/Radiopharmaceutical
NDC
1
per study dose, up to 5 millicuries per unit
View details

Q5137

Wezlana
HCPCS Descriptor
Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg
Manufacturer
Nuvaila
Class
Immunology
NDCs
6
1 mg per unit
View details

Q5138

Wezlana
HCPCS Descriptor
Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg
Manufacturer
Nuvaila
Class
Oncology
NDC
1
1 mg per unit
View details

Q5155

YESAFILI
HCPCS Descriptor
Injection, aflibercept-jbvf (yesafili), biosimilar, 1 mg
Manufacturer
Biocon Biologics Inc
Class
Ophthalmology
NDC
1
1 mg per unit
View details

Q2041

YESCARTA
HCPCS Descriptor
Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
Manufacturer
Kite Pharma
Class
Oncology
NDC
1
up to 200 million car t cells per unit
View details

Q5100

YESINTEK
HCPCS Descriptor
Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg
Manufacturer
Biocon Biologics Inc
Class
Immunology
NDCs
4
1 mg per unit
View details

Q5141

YUFLYMA
HCPCS Descriptor
Injection, adalimumab-aaty, biosimilar, 1 mg
Manufacturer
Celltrion USA
Class
Immunology: Anti-TNF
NDCs
12
1 mg per unit
View details

Q5101

ZARXIO
HCPCS Descriptor
Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
Manufacturer
Sandoz
Class
Oncology Colony Stimulating Factor
NDCs
4
1 mcg per unit
View details

Q5120

ZIEXTENZO
HCPCS Descriptor
Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg
Manufacturer
Sandoz
Class
Oncology Colony Stimulating Factor
NDCs
2
0.5 mg per unit
View details

Q5118

ZIRABEV
HCPCS Descriptor
Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg
Manufacturer
Pfizer
Class
Oncology
NDCs
2
10 mg per unit
View details

Q5132

ABRILADA
HCPCS Descriptor
Injection, adalimumab-afzb (abrilada), biosimilar, 10 mg
Manufacturer
PFIZER INC.
Class
Immunology: Anti-TNF
NDCs
4
Inactive December 31, 2024
View details

Q0222

BEBTELOVIMAB
HCPCS Descriptor
Injection, bebtelovimab, 175 mg
Manufacturer
Eli Lilly and Company
Class
COVID-19
NDC
1
Inactive December 12, 2024
View details

Q5139

BKEMV
HCPCS Descriptor
Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg
Manufacturer
Amgen Inc
Class
Hematology
Inactive March 31, 2025
View details

Q4106

Dermagraft 2"x3" Sheet
HCPCS Descriptor
Dermagraft, per square centimeter
Manufacturer
Organogenesis
Class
Wound Care
NDC
1
Inactive December 31, 2025
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Q5109

IXIFI
HCPCS Descriptor
Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
Manufacturer
Pfizer
Class
Immunology: Anti-TNF
Inactive December 31, 2025
View details

Q0247

Sotrovimab Injection
HCPCS Descriptor
Injection, sotrovimab, 500 mg
Manufacturer
GSK
Class
Anti-HIV
NDC
1
Inactive December 12, 2024
View details

Q2017

TENIPOSIDE
HCPCS Descriptor
Injection, teniposide, 50 mg
Manufacturer
WG Critical Care
Class
Oncology
NDC
1
Inactive December 31, 2025
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