Actavis

DALVANCE

Manufacturer:

Actavis

Dalvance HCPCS:

J0875

HCPCS Code Descriptor:

Injection, dalbavancin, 5 mg

Category:

J Code

Dalvance NDCs:

57970-0100-01

Primary Type:

Antibiotic

Generic/Specialty Status:

Single-Source

Package Type:

Vial

Route of Administration:

Intravenous

Dalvance CPT Codes:

Potential CPT administration codes for Dalvance can be found at the following link.

Potential NDC Listing Errors:

Our team did not identify any potential listing errors/discrepancies for the NDCs mapped to this HCPCS code.

About Dalvance:

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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J0875 Added Date:

January 1, 2016

J0875 Effective Date:

January 1, 2016

J0875 Termination Date:

HCPCS Active

Dalvance billing and coding information can be found through Actavis at the link below:
Dalvance patient assistance information can be found through myAbbvie Assist at the URL: https://www.abbvie.com/patients/patient-assistance.html
DALVANCE prescribing information can be found at the link below:
Information regarding DALVANCE’s side effects can be found at MedlinePlus