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LUTRATE DEPOT

NDC 83831-134 · Avyxa Pharma, LLC

Generic nameleuprolide acetate
Dosage formKIT
Marketing categoryNDA

Packages

83831-134-01 — 1 KIT in 1 CARTON (83831-134-01) * 2 mL in 1 VIAL, SINGLE-DOSE (83831-150-22) * 2 mL in 1 SYRINGE (83831-135-02)

Billed under HCPCS

J1954 — Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg Medicare Part B payment limit (ASP + 6%): $687.29