HCPCS Range Anti-Inflammatory Medication and Chemotherapy Medication

• 1 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ( Q5103 )

• 2 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ( Q5104 )

• 3 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ( Q5105 )

• 4 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ( Q5106 )

• 5 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ( Q5108 )

• 6 Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ( Q5110 )

• 7 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ( Q5107 )

• 8 Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg ( Q5109 )

• 9 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ( Q5111 )