Lupron Depot
NDC 0074-3683 · AbbVie Inc.
Generic nameleuprolide acetate
Dosage formKIT
Marketing categoryNDA
Packages
0074-3683-03 — 1 KIT in 1 CARTON (0074-3683-03) * 1.5 mL in 1 SYRINGE (0074-9930-01) * 1 SWAB in 1 PACKET (0074-0009-01) * 1.5 mL in 1 SYRINGE * 1 SWAB in 1 PACKET
0074-3683-55 — 1 KIT in 1 CELLO PACK (0074-3683-55) * 1.5 mL in 1 SYRINGE (0074-9930-01) * 1 SWAB in 1 PACKET (0074-0009-01) * 1.5 mL in 1 SYRINGE * 1 SWAB in 1 PACKET
Billed under HCPCS
J9217 — Leuprolide acetate (for depot suspension), 7.5 mg Medicare Part B payment limit (ASP + 6%): $160.34