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Thyrogen

NDC 58468-0030 · Genzyme Corporation

Generic nameTHYROTROPIN ALFA
Dosage formINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
RouteINTRAMUSCULAR
Active ingredient(s)THYROTROPIN ALFA
Strength.9 mg/mL
Pharmacologic classThyroid Stimulating Hormone [EPC], Thyrotropin [CS]
Marketing categoryBLA

Packages

58468-0030-2 — 2 VIAL, SINGLE-DOSE in 1 CARTON (58468-0030-2) / 1 mL in 1 VIAL, SINGLE-DOSE (58468-0030-1)

Billed under HCPCS

J3240 — Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial Medicare Part B payment limit (ASP + 6%): $2158.66