Why stability matters
Providers may find that it simplifies tasks like
managing order sets, billing, coding, inventory,
staff workflows, and contracts
Payers may focus on securing the lowest prices
but must also weigh long-term coverage needs in
their planning
Accord’s pricing strategy
for UDENYCA aims to:
- Ensure consistency
- Provide as much stability as possible
- Enable predictability in a class that has
historically seen pricing volatility
Note: Despite our efforts to price with stability in mind, the variability of pricing inputs (eg, sales,
discounts, or other variables) may cause reimbursement to fluctuate from quarter to quarter.
If you would like to review pricing for UDENYCA,
please contact your Accord Key Account Manager
or Key Account Director for more information.
You can also fill out this Request a Rep form
or request a representative by emailing
abimarketing@accord-healthcare.com.
Billing and coding for UDENYCA
Key details that may help facilitate appropriate billing and reimbursement
| CODING | DESCRIPTION |
| HCPCS Q5111 | Injection, pegfilgrastim-cbqv, biosimilar, (UDENYCA), 0.5 mg |
| CPT 96377 | Application of on-body injector (includes cannula insertion) for timed subcutaneous injection |
| CPT 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
| BILLABLE UNITS | DESCRIPTION |
| 12 | Billable units for administration of one syringe/one autoinjector. When administering one syringe or one autoinjector, please use the JZ modifier to indicate zero drug amount discarded |
| NDC | DESCRIPTION |
| 69448-025-63 (10 digit) 69448-0025-63 (11-digit) | 6 mg/0.6 mL single-dose prefilled syringe |
| 69448-026-63 (10 digit) 69448-0026-63 (11-digit) | 6 mg/0.6 mL single-dose prefilled autoinjector |
| 69448-027-63 (10 digit) 69448-0027-63 (11-digit) | 6 mg/0.6 mL single-dose prefilled syringe and on-body injector |
CPT, Current Procedural Terminology; HCPCS, Healthcare Common Procedure Coding System; NDC, National Drug Code.
For questions regarding UDENYCA billing and coding, please call AccordCares at 1-844-483-3692 or visit
UDENYCA.com/hcp/AccordCares.
The coding information contained herein is for informational purposes only and is not a guarantee of coverage or reimbursement for any product or service. This information is not intended to substitute for the physician’s independent diagnosis or treatment of each patient.
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