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J1595 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J1595

Injection glatiramer acetate

BETOS: O1E

Effective: 2004-01-01

Description

Injection, glatiramer acetate, 20 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

Glatiramer Acetate20

glatiramer acetate

NDC: 00378-6960-93INJECTION, SOLUTIONSC

Mylan Pharmaceuticals Inc.

Billing: ML

Glatiramer Acetate40

Glatiramer

NDC: 00378-6961-12INJECTION, SOLUTIONSC

Mylan Pharmaceuticals Inc.

Billing: ML

Glatopa40

Glatiramer Acetate

NDC: 00781-3250-89INJECTION, SOLUTIONSC

Sandoz Inc

Billing: ML

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

No coverage policies currently reference this code

This code is not currently listed in any LCD or NCD coverage policies in our database.

About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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