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HCPCS Code HCPCS Unit HCPCS Code Descriptor
Q5111 0.5 MG Injection udenyca 0.5 mg0.5 MG
Manufacturer Brand Name Short Description
Coherus Biosciences Inc UDENYCA Injection udenyca 0.5 mg
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Total NDC's Aligned to this HCPCS Code
  1 1 1 1 1  
ASP: Average Sales Price   $252.63 $252.63 $252.63 $237.08 $237.08  
ASP+4.3%: Effective Payment Limit
  $263.49 $263.49 $263.49 $247.27 $247.27  
ASP+6%: Medicare Payment Limit   $267.79 $267.79 $267.79 $251.30 $251.30  
APC: Ambulatory Procedure Code Payment Limit   $267.79 $267.79 $267.79 $267.79 $267.79  
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