Pfizer

MYLOTARG

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

Pfizer

Mylotarg HCPCS:

J9203

HCPCS Code Descriptor:

Injection, gemtuzumab ozogamicin, 0.1 mg

Category:

J Code

Mylotarg NDCs:

00008-4510-01

Primary Type:

Oncology

Generic/Specialty Status:

Single-Source

Package Type:

Vial

Route of Administration:

Intravenous

Mylotarg CPT Codes:

Potential CPT administration codes for Mylotarg 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 Mylotarg:

MYLOTARG is an Oncology drug manufactured by Pfizer and administered via the Intravenous route of administration. The J Code: J9203 is aligned to the drug MYLOTARG.

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J9203 Added Date:

January 1, 2018

J9203 Effective Date:

January 1, 2018

J9203 Termination Date:

HCPCS Active

Mylotarg billing and coding information can be found through Pfizer at the link below:
Mylotarg patient assistance information can be found through Pfizer Rx Pathways at the URL: https://www.pfizerrxpathways.com/
MYLOTARG prescribing information can be found at the link below:
Information regarding MYLOTARG’s side effects can be found at MedlinePlus