Home › Drug Codes › Q Codes › Q5166 · Osvyrti PFS
Updated October 1st, 2026

Osvyrti PFS Q Code: Q5166

Injection, denosumab-desu (osvyrti/jubereq), biosimilar, 1 mg

Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026
APC Payment Limit ?
$29.724
/ HCPCS billing unit · APC 0974
ASP ?
No current ASP
Not available for Q4 2026
WAC ?
$30.007
/ HCPCS billing unit
AWP ?
$36.008
/ HCPCS billing unit
NDCs Crosswalked ?
2
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Injection, denosumab-desu (osvyrti/jubereq), biosimilar, 1 mg
HCPCS Added Date July 1, 2026
Manufacturer Accord
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection

About Osvyrti PFS

Osvyrti PFS is a medication aligned to the HCPCS Q Code: Q5166 for billing, pricing, and reimbursement purposes in the United States. It is an Osteoporosis drug administered via the subcutaneous route and manufactured by Accord.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Package Manufacturer HCPCS Units WAC AWP
69448-0021-63
60 MG / 1 ML Osvyrti Subcutaneous Injection 60 MG/1ML - 1 SYRINGE in 1 CARTON (69448-021-63) / 1 mL in 1 SYRINGE
Accord BioPharma Inc. 60 $1,800.41 $30.007 / unit $2,160.49 $36.008 / unit
69448-0022-63
119 MG / 1.7 ML Jubereq Subcutaneous Injection 119 MG/1.7ML - 1 VIAL, SINGLE-USE in 1 CARTON (69448-022-63) / 1.7 mL in 1 VIAL, SINGLE-USE
ACCORD BIOPHARMA INC. 120 $3,311.75 $27.598 / unit $3,974.10 $33.118 / unit

Effective 7/1/26 (WAC & AWP)

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Osvyrti PFS Pricing & Reimbursement

Historical Graphing and Billing Calculator

HCPCS Units
%
Common:

Estimates only. Payer reimbursement varies by contract, site of care, and sequestration.

Estimated Reimbursement

Denosumab Biosimilar Information:

Osvyrti PFS Approval Date: October 29, 2025

Product Name HCPCS Code Active Ingredient BLA Type
Prolia J0897 Denosumab 351(a) Originator Product
Jubbonti and Wyost Q5136 Denosumab 351(k) Interchangeable
Ospomyv and Xbryk Q5159 Denosumab 351(k) Interchangeable
Stoboclo and Osenvelt Q5157 Denosumab 351(k) Interchangeable
Bomyntra and Conexxence Q5158 Denosumab 351(k) Interchangeable
Bildyos and Bilprevda Q5162 Denosumab 351(k) Interchangeable
Aukelso and Bosaya Q5161 Denosumab 351(k) Interchangeable
Enoby and Xtrenbo Q5167 Denosumab 351(k) Interchangeable
Osvyrti and Jubereq Q5166 Denosumab 351(k) Interchangeable
Oziltus Q5165 Denosumab 351(k) Interchangeable
Boncresa Q5171 Denosumab 351(k) Interchangeable
Ponlimsi Q5173 Denosumab 351(k) Interchangeable

Osvyrti PFS 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 →

Osvyrti PFS 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.

Bone loss receiving adjuvant aromatase inhibitor therapy for breast cancer Bone loss receiving androgen deprivation therapy for non-metastatic prostate cancer Giant Cell Tumor of Bone Glucocorticoid-induced osteoporosis Hypercalcemia of Malignancy Multiple Myeloma and Bone Metastasis from Solid Tumors Osteoporosis at high risk for fracture
Drug Class
RANK Ligand Blocking Activity [MoA]RANK Ligand Inhibitor [EPC]

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Frequently Asked Questions

Is there an available Osvyrti PFS billing and coding guide?
A manufacturer-published billing and coding guide for OSVYRTI PFS was not found.
Are there any available Osvyrti Pfs patient assistance programs?
No manufacturer-published OSVYRTI PFS patient assistance link was found.
Where can I find Osvyrti Pfs prescribing information?
OSVYRTI PFS prescribing information can be found at the link below: Visit Here →
Where can I find Osvyrti Pfs side effect information?
No OSVYRTI PFS side effect information link was found.
Does billing OSVYRTI PFS require JZ/JW wastage modifiers?
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers.

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