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VABYSMO

NDC 50242-096 · Genentech, Inc.

Generic nameFaricimab
Dosage formINJECTION, SOLUTION
RouteINTRAVITREAL
Active ingredient(s)FARICIMAB
Strength6 mg/.05mL
Marketing categoryBLA

Packages

50242-096-01 — 1 VIAL in 1 CARTON (50242-096-01) / .05 mL in 1 VIAL (50242-096-03)

50242-096-06 — 1 SYRINGE in 1 CARTON (50242-096-06) / .05 mL in 1 SYRINGE

50242-096-45 — 1 SYRINGE in 1 CARTON (50242-096-45) / .05 mL in 1 SYRINGE

50242-096-86 — 1 VIAL in 1 CARTON (50242-096-86) / .05 mL in 1 VIAL (50242-096-77)

Billed under HCPCS

J2777 — Injection, faricimab-svoa, 0.1 mg Medicare Part B payment limit (ASP + 6%): $32.38