Merck

FOLLISTIM AQ

Manufacturer:

Merck

Follistim Aq HCPCS:

S0128

HCPCS Code Descriptor:

Injection, follitropin beta, 75 iu

Category:

S Code

Follistim Aq NDCs:

00052-0316-01, 00052-0326-01, 00052-0313-01

Primary Type:

Fertility

Generic/Specialty Status:

Single-Source

Package Type:

Not Found

Route of Administration:

Subcutaneous

Potential NDC Listing Errors:

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

About Follistim Aq:

FOLLISTIM AQ is a Fertility drug manufactured by Merck and administered via the Subcutaneous route of administration. The S Code: S0128 is aligned to the drug FOLLISTIM AQ.

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S0128 Added Date:

April 1, 2002

S0128 Effective Date:

April 1, 2002

S0128 Termination Date:

HCPCS Active

We have not yet identified a manufacturer source of Follistim Aq billing and coding information.
Our team did not identify a source for Follistim Aq patient assistance information. Please reach out to our team if you feel that this is a mistake.
FOLLISTIM AQ prescribing information can be found at the link below:
Our team has not yet identified a source of side effects information for FOLLISTIM AQ. Please check back in a few weeks.