Home Drug Codes Q Codes Q5154 · OMLYCLO
Updated July 1st, 2026

OMLYCLO Q Code: Q5154

Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Drug & Product Overview

HCPCS Descriptor Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg
HCPCS Added Date October 1, 2025
Manufacturer Celltrion USA
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Form Injection

About OMLYCLO

Omlyclo is a medication aligned to the HCPCS Q Code: Q5154 for billing, pricing, and reimbursement purposes in the United States. It is an Immunology drug administered via the subcutaneous route and manufactured by Celltrion USA.

Manufacturers, reach out to us to add more information.

NDC Code Information

3 NDC packages are crosswalked to Q5154. Package detail is available to logged-in subscribers.

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OMLYCLO Pricing & Reimbursement

Q5154 Private Payer Reimbursement
$410.78 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Omalizumab Biosimilar Information:

OMLYCLO Approval Date: March 7, 2025

Product Name HCPCS Code Active Ingredient BLA Type
Xolair J2357 Omalizumab 351(a) Originator Product
Omlyclo Q5154 Omalizumab 351(k) Interchangeable

OMLYCLO CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

OMLYCLO Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Asthma Chronic Rhinosinusitis with Nasal Polyps Chronic Spontaneous Urticaria IgE-Mediated Food Allergy
Drug Class
Anti-IgE [EPC]Decreased IgE Activity [PE]IgE-directed Antibody Interactions [MoA]

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Frequently Asked Questions

Is there an available Omlyclo billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for OMLYCLO.
Are there any available Omlyclo patient assistance programs?
OMLYCLO patient assistance information can be found through Celltrion USA Inc.. Visit Here →
Where can I find Omlyclo prescribing information?
Omlyclo prescribing information can be found through the link below. Visit Here →
Where can I find Omlyclo side effect information?
Omlyclo side effect information can be found at the link below. Visit Here →
Does billing Omlyclo require wastage modifiers?
CMS does not include OMLYCLO (Q5154) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q5154. For more information, visit the link below.

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