IG IMMUNOLOGY PRODUCTS - IMMUNOGLOBULIN Product Name Package Size NDC # Presentation Product Category Subcate- gory Derivation
NP NEUROLOGY PRODUCTS Product Name Package Size NDC #
Product Category Subcategory
Manufacturer
Presentation
Derivation
Manufacturer
HIZENTRA HIZENTRA HIZENTRA
2 GRAM 44206-0452-02 4 GRAM 44206-0454-04 10 GRAM 44206-0455-10 1 GRAM 44206-0456-21 2 GRAM 44206-0457-22 4 GRAM 44206-0458-24
VIAL VIAL VIAL VIAL VIAL VIAL
SUBQ SUBQ SUBQ SUBQ SUBQ SUBQ
IG IG IG IG IG IG
PLASMA PLASMA PLASMA PLASMA PLASMA PLASMA
CSL BEHRING LLC CSL BEHRING LLC CSL BEHRING LLC CSL BEHRING LLC CSL BEHRING LLC CSL BEHRING LLC
KEPPRA ORAL SOLUTION 100 MG / ML
50474-0001-48
BOTTLE
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
KEPPRA INJECTION
500 MG / 5ML 50474-0002-63
VIAL
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
KEPPRA
250 MG 50474-0594-40
BOTTLE
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
HIZENTRA PFS HIZENTRA PFS HIZENTRA PFS
KEPPRA
500 MG 50474-0595-40
BOTTLE
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
KEPPRA
750 MG 50474-0596-40
BOTTLE
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
KEPPRA
1000 MG 50474-0597-66
BOTTLE
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
HYQVIA
2.5 GRAM 00944-2510-02
VIAL
SUBQ
IG
PLASMA
KEPPRA XR
500 MG 50474-0598-66
BOTTLE
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
HYQVIA
5 GRAM 00944-2511-02
VIAL
SUBQ
IG
PLASMA
KEPPRA XR
750 MG 50474-0599-66
BOTTLE
SPECIALTY
SPECIALTY
LEVETIRACETAM
UCB, INC.
HYQVIA
10 GRAM 00944-2512-02
VIAL
SUBQ
IG
PLASMA
LEQEMBI
200 MG / 2 ML
62856-0212-01
VIAL
SPECIALTY
SPECIALTY
LECANEMAB
EISAI INC.
LEQEMBI
500 MG / 5 ML
62856-0215-01
VIAL
SPECIALTY
SPECIALTY
LECANEMAB
EISAI INC.
HYQVIA
20 GRAM 00944-2513-02
VIAL
SUBQ
IG
PLASMA
200 MG / 20 ML
VIMPAT INJECTION
00131-1810-67
VIAL
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
HYQVIA
30 GRAM 00944-2514-02
VIAL
SUBQ
IG
PLASMA
50 MG
00131-2477-35
BOTTLE
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
VIMPAT
XEMBIFY XEMBIFY XEMBIFY XEMBIFY
1 GRAM 13533-0810-05 2 GRAM 13533-0810-10 4 GRAM 13533-0810-20 10 GRAM 13533-0810-50
VIAL VIAL VIAL VIAL
SUBQ SUBQ SUBQ SUBQ
IG IG IG IG
PLASMA PLASMA PLASMA PLASMA
GRIFOLS USA, LLC GRIFOLS USA, LLC GRIFOLS USA, LLC GRIFOLS USA, LLC
VIMPAT
50 MG
00131-2477-60 UNIT DOSE PACK
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
VIMPAT
100 MG
00131-2478-35
BOTTLE
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
VIMPAT
100 MG
00131-2478-60 UNIT DOSE PACK
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
VIMPAT
150 MG
00131-2479-35
BOTTLE
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
NP NEUROLOGY PRODUCTS Product Name Package Size NDC #
VIMPAT
150 MG
00131-2479-60 UNIT DOSE PACK
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
VIMPAT
200 MG
00131-2480-35
BOTTLE
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
Product Category Subcategory
Presentation
Derivation
Manufacturer
VIMPAT
200 MG
00131-2480-60 UNIT DOSE PACK
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
AMYOTROPHIC LATERAL SCLEROSIS (ALS)
VIMPAT ORAL SOLUTION 10 MG / ML
00131-5410-72
BOTTLE
SPECIALTY
SPECIALTY
LACOSAMIDE
UCB, INC.
RADICAVA_ CATEGORY
MITSUBISHI TANABE PHARMA AMERICA, INC.
RADICAVA
30MG/100 ML
70510-2171-02
CARTON
SPECIALTY
RECOMBINANT
PARKINSON’S DISEASE
SEIZURE DISORDERS
NEUPRO
30 X 1 MG 50474-0801-03
EACH
SPECIALTY
SPECIALTY DOPAMINE AGONISTS
UCB, INC.
BRIVIACT
10 MG
50474-0370-66
BOTTLE
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
NEUPRO
30 X 2 MG 50474-0802-03
EACH
SPECIALTY
SPECIALTY DOPAMINE AGONISTS
UCB, INC.
BRIVIACT
25 MG
50474-0470-09 UNIT DOSE PACK
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
BRIVIACT
25 MG
50474-0470-66
BOTTLE
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
NEUPRO
30 X 3 MG 50474-0803-03
EACH
SPECIALTY
SPECIALTY DOPAMINE AGONISTS
UCB, INC.
BRIVIACT
50 MG
50474-0570-09 UNIT DOSE PACK
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
NEUPRO
30 X 4 MG 50474-0804-03
EACH
SPECIALTY
SPECIALTY DOPAMINE AGONISTS
UCB, INC.
BRIVIACT
50 MG
50474-0570-66
BOTTLE
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
NEUPRO
30 X 6 MG 50474-0805-03
EACH
SPECIALTY
SPECIALTY DOPAMINE AGONISTS
UCB, INC.
BRIVIACT
75 MG
50474-0670-66
BOTTLE
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
NEUPRO
30 X 8 MG 50474-0806-03
EACH
SPECIALTY
SPECIALTY DOPAMINE AGONISTS
UCB, INC.
BRIVIACT
100 MG 50474-0770-09 UNIT DOSE PACK
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
BRIVIACT
100 MG 50474-0770-66
BOTTLE
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
BRIVIACT ORAL SOLUTION 10 MG / ML
50474-0870-15
BOTTLE
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
BRIVIACT INJECTION
50 MG / 5 ML
50474-0970-75
VIAL
SPECIALTY
SPECIALTY
BRIVARACETAM
UCB, INC.
NAYZILAM
5 MG
50474-0500-15
NASAL SPRAY
SPECIALTY
SPECIALTY
BENZODIAZEPINES
UCB, INC.
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