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Coagulation Factor Products

Coagulation products are proteins in blood plasma that are responsible for effective clotting of blood. A small segment of the population has a deficiency of factor VIII, known as hemophilia A, or a deficiency of factor IX, known as hemophilia B. Hemophilia is a lifelong disorder with no cure at the present time.

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Product Catalog [PDF]

Product

Size

ManufacturerMfgr

NDC#

Code*

VIP

340B

Bispecific Monoclonal Antibody with Inhibitors

Product: HEMLIBRA^®
Prescribing Information

Size: 30 mg Vial

Manufacturer: Genentech

NDC#: 50242-0920-01

Code*: J3590

VIPNo

340BYes

Product: HEMLIBRA^®
Prescribing Information

Size: 60 mg Vial

Manufacturer: Genentech

NDC#: 50242-0921-01

Code*: J3590

VIPNo

340BYes

Product: HEMLIBRA^®
Prescribing Information

Size: 105 mg Vial

Manufacturer: Genentech

NDC#: 50242-0922-01

Code*: J3590

VIPNo

340BYes

Product: HEMLIBRA^®
Prescribing Information

Size: 150 mg Vial

Manufacturer: Genentech

NDC#: 50242-0923-01

Code*: J3590

VIPNo

340BYes

Factor VIII (Recombinant)

Product: ADVATE^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: Takeda

NDC#: 00944-3051-02

Code*: J7192

VIPVIP

340BYes

Product: ADVATE^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Takeda

NDC#: 00944-3052-02

Code*: J7192

VIPVIP

340BYes

Product: ADVATE^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3053-02

Code*: J7192

VIPVIP

340BYes

Product: ADVATE^®
Prescribing Information

Size: 1500 IU Vial

Manufacturer: Takeda

NDC#: 00944-3054-02

Code*: J7192

VIPVIP

340BYes

Product: ADVATE^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3045-10

Code*: J7192

VIPVIP

340BYes

Product: ADVATE^®
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3046-10

Code*: J7192

VIPVIP

340BYes

Product: ADVATE^®
Prescribing Information

Size: 4000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3047-10

Code*: J7192

VIPVIP

340BYes

Product: Helixate^® FS
Prescribing Information

Size: 1000 IU Vial

Manufacturer: CSL Behring

NDC#: 00053-8133-02

Code*: J7192

VIPVIP

340BYes

Product: Kogenate^® FS
Prescribing Information

Size: 250 IU Vial

Manufacturer: Bayer

NDC#: 00026-3782-25

Code*: J7192

VIPVIP

340BYes

Product: Kogenate^® FS
Prescribing Information

Size: 500 IU Vial

Manufacturer: Bayer

NDC#: 00026-3783-35

Code*: J7192

VIPVIP

340BYes

Product: Kogenate^® FS
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Bayer

NDC#: 00026-3785-55

Code*: J7192

VIPVIP

340BYes

Product: Kogenate^® FS
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Bayer

NDC#: 00026-3786-65

Code*: J7192

VIPVIP

340BYes

Product: Kogenate^® FS
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Bayer

NDC#: 00026-3787-75

Code*: J7192

VIPVIP

340BYes

Product: KOVALTRY^®
Prescribing Information

Size: 250 IU Vial Adapter

Manufacturer: Bayer

NDC#: 00026-3821-25

Code*: J7192

VIPVIP

340BYes

Product: KOVALTRY^®
Prescribing Information

Size: 500 IU Vial Adapter

Manufacturer: Bayer

NDC#: 00026-3822-25

Code*: J7192

VIPVIP

340BYes

Product: KOVALTRY^®
Prescribing Information

Size: 1000 IU Vial Adapter

Manufacturer: Bayer

NDC#: 00026-3824-25

Code*: J7192

VIPVIP

340BYes

Product: KOVALTRY^®
Prescribing Information

Size: 2000 IU Vial Adapter

Manufacturer: Bayer

NDC#: 00026-3826-50

Code*: J7192

VIPVIP

340BYes

Product: KOVALTRY^®
Prescribing Information

Size: 3000 IU Vial Adapter

Manufacturer: Bayer

NDC#: 00026-3828-50

Code*: J7192

VIPVIP

340BYes

Product: Novoeight^®†
Prescribing Information

Size: 250 IU Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7825-01

Code*: J7182

VIPVIP

340BYes

Product: Novoeight^®†
Prescribing Information

Size: 500 IU Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7850-01

Code*: J7182

VIPVIP

340BYes

Product: Novoeight^®†
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7810-01

Code*: J7182

VIPVIP

340BYes

Product: Novoeight^®†
Prescribing Information

Size: 1500 IU Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7815-01

Code*: J7182

VIPVIP

340BYes

Product: Novoeight^®†
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7830-01

Code*: J7182

VIPVIP

340BYes

Product: NUWIQ^®†
Prescribing Information

Size: 250 IU Vial

Manufacturer: Octapharma

NDC#: 68982-0139-01

Code*: J7209

VIPVIP

340BYes

Product: NUWIQ^®†
Prescribing Information

Size: 500 IU Vial

Manufacturer: Octapharma

NDC#: 68982-0141-01

Code*: J7209

VIPVIP

340BYes

Product: NUWIQ^®†
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Octapharma

NDC#: 68982-0143-01

Code*: J7209

VIPVIP

340BYes

Product: NUWIQ^®†
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Octapharma

NDC#: 68982-0145-01

Code*: J7209

VIPVIP

340BYes

Product: RECOMBINATE^™
Prescribing Information

Size: 250 IU Vial

Manufacturer: Takeda

NDC#: 00944-2841-10

Code*: J7192

VIPVIP

340BYes

Product: RECOMBINATE™
Prescribing Information

Size: 500 IU Vial

Manufacturer: Takeda

NDC#: 00944-2842-10

Code*: J7192

VIPVIP

340BYes

Product: RECOMBINATE™
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Takeda

NDC#: 00944-2843-10

Code*: J7192

VIPVIP

340BYes

Product: RECOMBINATE™
Prescribing Information

Size: 1500 IU Vial

Manufacturer: Takeda

NDC#: 00944-2844-10

Code*: J7192

VIPVIP

340BYes

Product: RECOMBINATE™
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Takeda

NDC#: 00944-2845-10

Code*: J7192

VIPVIP

340BYes

Product: XYNTHA^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0012-01

Code*: J7185

VIPVIP

340BYes

Product: XYNTHA^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0013-01

Code*: J7185

VIPVIP

340BYes

Product: XYNTHA^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0014-01

Code*: J7185

VIPVIP

340BYes

Product: XYNTHA^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0015-01

Code*: J7185

VIPVIP

340BYes

Product: XYNTHA^® SOLOFUSE^®†
Prescribing Information

Size: 250 IU
dual-chamber syringe

Manufacturer: Pfizer

NDC#: 58394-0022-03

Code*: J7185

VIPVIP

340BYes

Product: XYNTHA^® SOLOFUSE^®†
Prescribing Information

Size: 1000 IU
dual-chamber syringe

Manufacturer: Pfizer

NDC#: 58394-0024-03

Code*: J7185

VIPVIP

340BYes

Product: XYNTHA^® SOLOFUSE^®†
Prescribing Information

Size: 2000 IU
dual-chamber syringe

Manufacturer: Pfizer

NDC#: 58394-0025-03

Code*: J7185

VIPVIP

340BYes

Product: XYNTHA^® SOLOFUSE^®†
Prescribing Information

Size: 3000 IU
dual-chamber syringe

Manufacturer: Pfizer

NDC#: 58394-0016-03

Code*: J7185

VIPVIP

340BYes

Factor VIII (Recombinant), Long-Acting

Product: ADYNOVATE^®
Prescribing Information

Size: 250 IU Vial Baxject III

Manufacturer: Takeda

NDC#: 00944-4622-01

Code*: J7207

VIPVIP

340BYes

Product: ADYNOVATE^®
Prescribing Information

Size: 500 IU Vial Baxject III

Manufacturer: Takeda

NDC#: 00944-4623-01

Code*: J7207

VIPVIP

340BYes

Product: ADYNOVATE^®
Prescribing Information

Size: 750 IU Vial Baxject III

Manufacturer: Takeda

NDC#: 00944-4626-01

Code*: J7207

VIPVIP

340BYes

Product: ADYNOVATE^®
Prescribing Information

Size: 1000 IU Vial Baxject III

Manufacturer: Takeda

NDC#: 00944-4624-01

Code*: J7207

VIPVIP

340BYes

Product: ADYNOVATE^®
Prescribing Information

Size: 1500 IU Vial Baxject III

Manufacturer: Takeda

NDC#: 00944-4627-01

Code*: J7207

VIPVIP

340BYes

Product: ADYNOVATE^®
Prescribing Information

Size: 2000 IU Vial Baxject III

Manufacturer: Takeda

NDC#: 00944-4625-01

Code*: J7207

VIPVIP

340BYes

Product: ADYNOVATE^®
Prescribing Information

Size: 3000 IU Vial Baxject III

Manufacturer: Takeda

NDC#: 00944-4628-01

Code*: J7207

VIPVIP

340BYes

Product: AFSTYLA^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0474-02

Code*: J7210

VIPVIP

340BYes

Product: AFSTYLA^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0475-02

Code*: J7210

VIPVIP

340BYes

Product: AFSTYLA^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0476-02

Code*: J7210

VIPVIP

340BYes

Product: AFSTYLA^®
Prescribing Information

Size: 1500 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0480-02

Code*: J7210

VIPVIP

340BYes

Product: AFSTYLA^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0477-02

Code*: J7210

VIPVIP

340BYes

Product: AFSTYLA^®
Prescribing Information

Size: 2500 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0481-02

Code*: J7210

VIPVIP

340BYes

Product: AFSTYLA^®
Prescribing Information

Size: 3000 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0478-02

Code*: J7210

VIPVIP

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: Bioverativ

NDC#: 64406-0801-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0801-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0802-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 750 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0803-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0804-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 1500 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0805-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0806-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0807-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 4000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0808-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 5000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0809-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 6000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0810-01

Code*: J7205

VIPNo

340BYes

Product: ELOCTATE^®
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Biogen

NDC#: 64406-0807-01

Code*: J7205

VIPNo

340BYes

Product: Esperoct^®
Prescribing Information

Size: 500 IU Range Vial

Manufacturer: Novo Nordisk

NDC#: 00169-8500-01

Code*: J7199

VIPNo

340BYes

Product: Esperoct^®
Prescribing Information

Size: 1000 IU Range Vial

Manufacturer: Novo Nordisk

NDC#: 00169-8100-01

Code*: J7199

VIPNo

340BYes

Product: Esperoct^®
Prescribing Information

Size: 1500 IU Range Vial

Manufacturer: Novo Nordisk

NDC#: 00169-8150-01

Code*: J7199

VIPNo

340BYes

Product: Esperoct^®
Prescribing Information

Size: 2000 IU Range Vial

Manufacturer: Novo Nordisk

NDC#: 00169-8200-01

Code*: J7199

VIPNo

340BYes

Product: Esperoct^®
Prescribing Information

Size: 3000 IU Range Vial

Manufacturer: Novo Nordisk

NDC#: 00169-8300-01

Code*: J7199

VIPNo

340BYes

Product: JIVI^®
Prescribing Information

Size: 500 IU Range Vial

Manufacturer: Bayer

NDC#: 00026-3942-25

Code*: J7208

VIPVIP

340BTBD

Product: JIVI^®
Prescribing Information

Size: 1000 IU Range Vial

Manufacturer: Bayer

NDC#: 00026-3944-25

Code*: J7208

VIPVIP

340BTBD

Product: JIVI^®
Prescribing Information

Size: 2000 IU Range Vial

Manufacturer: Bayer

NDC#: 00026-3946-25

Code*: J7208

VIPVIP

340BTBD

Product: JIVI^®
Prescribing Information

Size: 3000 IU Range Vial

Manufacturer: Bayer

NDC#: 00026-3948-25

Code*: J7208

VIPVIP

340BTBD

Factor VIII (Human)

Product: HEMOFIL^® M
Prescribing Information

Size: 250 IU Vial

Manufacturer: Takeda

NDC#: 00944-3940-02

Code*: J7190

VIPVIP

340BYes

Product: HEMOFIL^® M
Prescribing Information

Size: 500 IU Vial

Manufacturer: Takeda

NDC#: 00944-3942-02

Code*: J7190

VIPVIP

340BYes

Product: HEMOFIL^® M
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3944-02

Code*: J7190

VIPVIP

340BYes

Product: HEMOFIL^® M
Prescribing Information

Size: 1700 IU Vial

Manufacturer: Takeda

NDC#: 00944-3946-02

Code*: J7190

VIPVIP

340BYes

Product: Koate^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Kedrion

NDC#: 76125-0668-30

Code*: J7190

VIPVIP

340BYes

Product: Koate^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Kedrion

NDC#: 76125-0676-50

Code*: J7190

VIPVIP

340BYes

Factor VIII/von Willebrand Factor Complex (Human)

Product: Alphanate^®
Prescribing Information

Size: 250 IU Vial 300 RCOF

Manufacturer: Grifols

NDC#: 68516-4611-01

Code*: J7186

VIPNo

340BNo

Product: Alphanate^®
Prescribing Information

Size: 500 IU Vial 600 RCOF

Manufacturer: Grifols

NDC#: 68516-4612-01

Code*: J7186

VIPNo

340BNo

Product: Alphanate^®
Prescribing Information

Size: 1000 IU Vial 1100 RCOF

Manufacturer: Grifols

NDC#: 68516-4603-02

Code*: J7186

VIPNo

340BNo

Product: Alphanate^®
Prescribing Information

Size: 1000 IU Vial 1200 RCOF

Manufacturer: Grifols

NDC#: 68516-4613-02

Code*: J7186

VIPNo

340BNo

Product: Alphanate^®
Prescribing Information

Size: 1500 IU Vial 1800 RCOF

Manufacturer: Grifols

NDC#: 68516-4614-02

Code*: J7186

VIPNo

340BNo

Product: Alphanate^®
Prescribing Information

Size: 2000 IU Vial 2400 RCOF

Manufacturer: Grifols

NDC#: 68516-4615-02

Code*: J7186

VIPNo

340BNo

Product: Humate-P^®
Prescribing Information

Size: 250 IU Vial 600 RCOF

Manufacturer: CSL Behring

NDC#: 63833-0615-02

Code*: J7187

VIPVIP

340BYes

Product: Humate-P^®
Prescribing Information

Size: 500 IU Vial 1200 RCOF

Manufacturer: CSL Behring

NDC#: 63833-0616-02

Code*: J7187

VIPVIP

340BYes

Product: Humate-P^®
Prescribing Information

Size: 1000 IU Vial 2400 RCOF

Manufacturer: CSL Behring

NDC#: 63833-0617-02

Code*: J7187

VIPVIP

340BYes

Product: WILATE^®
Prescribing Information

Size: 500 IU Vial 500 RCOF

Manufacturer: Octapharma

NDC#: 68982-0182-01

Code*: J7183

VIPVIP

340BYes

Product: WILATE^®
Prescribing Information

Size: 1000 IU Vial 1000 RCOF

Manufacturer: Octapharma

NDC#: 68982-0182-02

Code*: J7183

VIPVIP

340BYes

von Willebrand Factor (Recombinant)

Product: VONVENDI^®
Prescribing Information

Size: 500 IU Range Single-dose Vial

Manufacturer: Takeda

NDC#: 00944-7551-02

Code*: J7179

VIPVIP

340BYes

Product: VONVENDI^®
Prescribing Information

Size: 1000 IU Range Single-dose Vial

Manufacturer: Takeda

NDC#: 00944-7553-02

Code*: J7179

VIPVIP

340BYes

Desmopressin Acetate

Product: Stimate^®
Prescribing Information

Size: 2.5 mL bottle

Manufacturer: CSL Behring

NDC#: 00053-6871-00

Code*: J3490

VIPVIP

340BYes

Factor IX (Human)

Product: AlphaNine^® SD
Prescribing Information

Size: 500 IU Vial

Manufacturer: Grifols

NDC#: 68516-3607-02

Code*: J7193

VIPNo

340BNo

Product: AlphaNine^® SD
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Grifols

NDC#: 68516-3608-02

Code*: J7193

VIPNo

340BNo

Product: AlphaNine^® SD
Prescribing Information

Size: 1500 IU Vial

Manufacturer: Grifols

NDC#: 68516-3609-02

Code*: J7193

VIPNo

340BNo

Product: Mononine^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: CSL Behring

NDC#: 00053-6233-02

Code*: J7193

VIPVIP

340BYes

Factor IX (Recombinant)

Product: BeneFIX^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0633-03

Code*: J7195

VIPVIP

340BYes

Product: BeneFIX^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0634-03

Code*: J7195

VIPVIP

340BYes

Product: BeneFIX^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0635-03

Code*: J7195

VIPVIP

340BYes

Product: BeneFIX^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0636-03

Code*: J7195

VIPVIP

340BYes

Product: BeneFIX^®
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Pfizer

NDC#: 58394-0637-03

Code*: J7195

VIPVIP

340BYes

Product: RIXUBIS^®†
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3030-02

Code*: J7200

VIPVIP

340BYes

Product: RIXUBIS^®†
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3032-02

Code*: J7200

VIPVIP

340BYes

Product: RIXUBIS^®†
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Takeda

NDC#: 00944-3034-02

Code*: J7200

VIPVIP

340BYes

Factor IX (Recombinant), Long-Acting

Product: ALPROLIX^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Biogen

NDC#: 64406-0933-01

Code*: J7201

VIPNo

340BYes

Product: ALPROLIX^®
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Biogen

NDC#: 64406-0944-01

Code*: J7201

VIPNo

340BYes

Product: ALPROLIX^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0966-01

Code*: J7201

VIPNo

340BYes

Product: ALPROLIX^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0911-01

Code*: J7201

VIPNo

340BYes

Product: ALPROLIX^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0922-01

Code*: J7201

VIPNo

340BYes

Product: ALPROLIX^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0933-01

Code*: J7201

VIPNo

340BYes

Product: ALPROLIX^®
Prescribing Information

Size: 3000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0944-01

Code*: J7201

VIPNo

340BYes

Product: ALPROLIX^®
Prescribing Information

Size: 4000 IU Vial

Manufacturer: Bioverativ

NDC#: 71104-0977-01

Code*: J7201

VIPNo

340BYes

Product: IDELVION^®
Prescribing Information

Size: 250 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0864-02

Code*: J7202

VIPVIP

340BYes

Product: IDELVION^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0865-02

Code*: J7202

VIPVIP

340BYes

Product: IDELVION^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0866-02

Code*: J7202

VIPVIP

340BYes

Product: IDELVION^®
Prescribing Information

Size: 2000 IU Vial

Manufacturer: CSL Behring

NDC#: 69911-0867-02

Code*: J7202

VIPVIP

340BYes

Product: REBINYN^®
Prescribing Information

Size: 500 IU Range

Manufacturer: Novo Nordisk

NDC#: 00169-7905-01

Code*: J7195

VIPVIP

340BNo

Product: REBINYN^®
Prescribing Information

Size: 1000 IU Range

Manufacturer: Novo Nordisk

NDC#: 00169-7901-01

Code*: J7195

VIPVIP

340BNo

Product: REBINYN^®
Prescribing Information

Size: 2000 IU Range

Manufacturer: Novo Nordisk

NDC#: 00169-7902-01

Code*: J7195

VIPVIP

340BNo

Anti-Inhibitor Coagulant Complex

Product: FEIBA®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Takeda

NDC#: 64193-0426-02

Code*: J7198

VIPVIP

340BYes

Product: FEIBA^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Takeda

NDC#: 64193-0424-02

Code*: J7198

VIPVIP

340BYes

Product: FEIBA^®
Prescribing Information

Size: 2500 IU Vial

Manufacturer: Takeda

NDC#: 64193-0425-02

Code*: J7198

VIPVIP

340BYes

Coagulation Factor VIIa (Recombinant)

Product: NovoSeven^® RT
Prescribing Information

Size: 1000 mcg Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7201-01

Code*: J7189

VIPVIP

340BYes

Product: NovoSeven^® RT
Prescribing Information

Size: 2000 mcg Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7202-01

Code*: J7189

VIPVIP

340BYes

Product: NovoSeven^® RT
Prescribing Information

Size: 5000 mcg Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7205-01

Code*: J7189

VIPVIP

340BYes

Product: NovoSeven^® RT
Prescribing Information

Size: 8000 mcg Vial

Manufacturer: Novo Nordisk

NDC#: 00169-7208-01

Code*: J7189

VIPVIP

340BYes

Factor IX Complex

Product: Profilnine^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Grifols

NDC#: 68516-3201-01

Code*: J7194

VIPNo

340BNo

Product: Profilnine^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: Grifols

NDC#: 68516-3207-01

Code*: J7194

VIPNo

340BNo

Product: Profilnine^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: Grifols

NDC#: 68516-3208-02

Code*: J7194

VIPNo

340BNo

Product: Profilnine^®
Prescribing Information

Size: 1500 IU Vial

Manufacturer: Grifols

NDC#: 68516-3203-02

Code*: J7194

VIPNo

340BNo

Prothrombin Complex Concentrate

Product: Kcentra^®
Prescribing Information

Size: 500 IU Vial

Manufacturer: CSL Behring

NDC#: 63833-0386-02

Code*: J3590/ C9132

VIPVIP

340BYes

Product: Kcentra^®
Prescribing Information

Size: 1000 IU Vial

Manufacturer: CSL Behring

NDC#: 63833-0387-02

Code*: J3590/ C9132

VIPVIP

340BYes

Factor Xa (Recombinant), Inactivated-zhzo

Product: ANDEXXA^®
Prescribing Information

Size: 200 mg 4 Carton

Manufacturer: Portola Pharmaceuticals

NDC#: 69853-0102-01

Code*: C9399/ J3590

VIPVIP

340BTBD

Factor XIII Concentrate (Human)

Product: Corifact^®
Prescribing Information

Size: 1000-1600 IU Vial

Manufacturer: CSL Behring

NDC#: 63833-0518-02

Code*: J7180

VIPVIP

340BYes

Fibrinogen Concentrate (Human)

Product: FIBRYGA^®
Prescribing Information

Size: 1 gm Vial

Manufacturer: Octapharma

NDC#: 68982-0347-01

Code*: J7177

VIPVIP

340BYes

Product: RiaSTAP^®
Prescribing Information

Size: 900-1300 mg Vial

Manufacturer: CSL Behring

NDC#: 63833-0891-51

Code*: J7178

VIPVIP

340BYes

^*All codes should be verified between the provider and the payer.
⁺Call (800) 843-7477 or check ordering screen for RCo values.
†Call for additional vial size options.
VIP - Verified Inventory Program | 340B - Public Health Services 340B Pricing Available.

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