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QALSODY

NDC 64406-109 · Biogen Inc.

Generic nametofersen
Dosage formINJECTION
RouteINTRATHECAL
Active ingredient(s)TOFERSEN
Strength100 mg/15mL
Pharmacologic classAntisense Oligonucleotide [EPC], Oligonucleotides, Antisense [CS]
Marketing categoryNDA

Packages

64406-109-01 — 1 VIAL, SINGLE-USE in 1 CARTON (64406-109-01) / 15 mL in 1 VIAL, SINGLE-USE

Billed under HCPCS

J1304 — Injection, tofersen, 1 mg Medicare Part B payment limit (ASP + 6%): $164.82