Actavis

DALVANCE

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Manufacturer:

Actavis

Name:

DALVANCE

HCPCS Code Descriptor:

Injection, dalbavancin, 5 mg

Category:

J Code

HCPCS:

J0875

NDC(s):

57970-0100-01

Primary Type:

Antibiotic

Generic Status:

Single-Source

Route of Administration:

Intravenous

About:

DALVANCE is an Antibiotic drug manufactured by Actavis and administered via the Intravenous route of administration. The J Code: J0875 is aligned to the drug DALVANCE.

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HCPCS Added Date:

1/1/16

HCPCS Effective Date:

1/1/16

HCPCS Short Description:

Injection, dalbavancin

Billing and Coding Guide:

https://www.dalvanceconnects.com/StreamResource.ashx?v7zigbqpSXTpMTC8/Ty90qRNXy+TOE56QnFn7G+hTy/lylGHrygLo2wUFa5LGLnA#:~:text=The%20HCPCS%20code%20for%20DALVANCE,represents%20100%20units%20of%20J0875.

Patient Assistance:

https://www.abbvie.com/patients/patient-assistance.html