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HCPCS Code HCPCS Unit HCPCS Code Descriptor
Q5111 .5 mg Injection, undenyca, 0.5 mg
Manufacturer Brand Name Short Description
Coherus BioSciences UDENYCA Injection udenyca
  <
September
2019
October
2019
November
2019
December
2019
January
2020
>
Total NDC's Aligned to this HCPCS Code
  1 1 1 1 1  
ASP: Average Sales Price   $338.87 $327.41 $327.41 $327.41 $317.47  
ASP+4.3%: Effective Payment Limit
  $353.45 $341.49 $341.49 $341.49 $331.12  
ASP+6%: Medicare Payment Limit   $359.21 $347.06 $347.06 $347.06 $336.52  
APC: Ambulatory Procedure Code Payment Limit   $347.06 $347.06 $347.06 $336.52  
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