HCPCS Range Other Drugs and Test

• 1 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ( Q9991 )

• 2 Injection, buprenorphine extended-release (sublocade), greater than 100 mg ( Q9992 )

• 3 Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg ( Q9996 )

• 4 Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ( Q9997 )

• 5 Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ( Q9998 )

• 6 Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ( Q9999 )