Actavis
DALVANCE
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