Home › Drug Codes › Q Codes › Q0234 · Tofidence
Updated October 1st, 2026

Tofidence Q Code: Q0234

Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation only, 1 mg

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Medicare Payment Limit ?
$6.327
unchanged, 0.0% since Q3 2026
/ HCPCS billing unitQ3 2026: $6.327
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation only, 1 mg
HCPCS Added Date July 1, 2026
Manufacturer Biogen
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection

About Tofidence

Tofidence is a medication aligned to the HCPCS Q Code: Q0234 for billing, pricing, and reimbursement purposes in the United States. It is a COVID-19 drug administered via the intravenous route and manufactured by Biogen.

Manufacturers, reach out to us to add more information.

NDC Code Information

6 NDC packages are crosswalked to Q0234. Package detail is available to logged-in subscribers.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
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Tofidence
Tofidence
Tofidence
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Tofidence Pricing & Reimbursement

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Tocilizumab Biosimilar Information:

Tofidence Approval Date: September 29, 2023

Product Name HCPCS Code Active Ingredient BLA Type
Actemra J3262 Tocilizumab 351(a) Originator Product
Tofidence Q0234 Tocilizumab 351(k) Biosimilar
Tofidence Q5133 Tocilizumab 351(k) Biosimilar
Tyenne Q0238 Tocilizumab 351(k) Biosimilar
Tyenne Q5135 Tocilizumab 351(k) Biosimilar
Avtozma Q0237 Tocilizumab 351(k) Interchangeable
Avtozma Q5156 Tocilizumab 351(k) Interchangeable
One of 3 Actemra biosimilars FDA-approved since 2023 See each approval by month on the BuyandBill.com Pipeline calendar. Comes with Pro. Every tocilizumab approval, month by month.
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Tofidence 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
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
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 →

Tofidence 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.

Coronavirus Disease 2019 (COVID-19) Cytokine Release Syndrome Giant Cell Arteritis Polyarticular Juvenile Idiopathic Arthritis Rheumatoid Arthritis Systemic Juvenile Idiopathic Arthritis
Drug Class
Interleukin 6 Receptor Antagonists [MoA]Interleukin-6 Receptor Antagonist [EPC]

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Compare Tofidence with ACTEMRA and its biosimilars

  • Tofidence Q0234
  • ACTEMRA J3262
  • Avtozma Q0237
  • TOFIDENCE Q5133
  • AVTOZMA Q5156
  • Tyenne Q0238

ASP, the Medicare payment limit, WAC and AWP for all 6 drugs on one timeline, with 10+ years of monthly history.

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Frequently Asked Questions

Is there an available Tofidence billing and coding guide?
Billing and coding information for TOFIDENCE can be found through Organon. Visit Here →
Are there any available Tofidence patient assistance programs?
TOFIDENCE patient assistance information can be found through ORGANON. Visit Here →
Where can I find Tofidence prescribing information?
TOFIDENCE prescribing information can be found at the link below: Visit Here →
Where can I find Tofidence side effect information?
Information regarding TOFIDENCE's side effects can be found at MedlinePlus Visit Here →
Does billing TOFIDENCE 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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Related Drug Codes

Explore billing, coding, and pricing for drugs related to Tofidence.

Q0237AvtozmaInjection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mgCelltrion USAAdded January 24, 2025J3262ACTEMRAInjection, tocilizumab, 1 mgMultiple ManufacturersAdded January 1, 2011Q5133TOFIDENCEInjection, tocilizumab-bavi (tofidence), biosimilar, 1 mgBiogenAdded April 1, 2024Q5156AVTOZMAInjection, tocilizumab-anoh (avtozma), biosimilar, 1 mgMultiple ManufacturersAdded October 1, 2025Q0249ACTEMRAInjection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mgMultiple ManufacturersAdded June 24, 2021Q0238TyenneInjection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mgFresenius KabiAdded April 1, 2026Q5135TYENNEInjection, tocilizumab-aazg (tyenne), biosimilar, 1 mgMultiple ManufacturersAdded October 1, 2024J0129ORENCIAInjection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)BMSAdded January 1, 2007J0717CIMZIAInjection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)UCB PharmaAdded January 1, 2014J1438ENBRELInjection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)AmgenAdded January 1, 2000

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