BioCareSD is the original specialty distributor, known for outstanding customer service. We feature an ever-expanding portfolio of specialty products in hemotology, immunology, neurology, orphan and other ultra-rare disease states.
October 2022 PRODUCT CATALOG
We have extremely agile and wide-reaching distribution capabilities to support our partners and their patients when they need it most.
We are dedicated to helping our customers save lives —one patient, one product and one promise at a time. BioCareSD, a BioCare Company, is one of the nation’s leading specialty distributors, known for our unparalleled customer service. Our customer support team and local, field-based account management teams are available 24 hours a day, 7 days a week, 365 days a year. We feature an ever-expanding portfolio of specialty products for hematology, thrombophilia, immunology, neurology, ophthalmology, orphan and other ultra-rare diseases. BioCareSD is an Authorized Distributor of Record for all the manufacturers we represent, so you can depend on the quality of our products. We believe that trusted partnerships are pivotal to supporting patients needs. We are proud to support our partners in their mission to save lives.
Spokane
Seattle
Milwaukee
Providence
Ramsey
Montvale
Pittsburgh
Westbury
Dayton
Denver
Kansas City
Las Vegas
Olive Branch
Tempe
El Paso
Dallas
Lafayette
We will do whatever it takes to provide our partners with unmatched service-levels.
There is always a live BioCareSD® Team member to answer your calls 24/7/365
We are always at your service.
Our distribution network is within a 6 hour delivery window
Celebrating Over
Outstanding customer service is who we are. We are people who care
in Specialty Distribution
3
BioCareSD In the News...
October 2022
The BioCare team celebrates and recognizes the following holidays and events this month.
The Dos and Don’ts of Fostering a Culture of Communication
Andrew Kirk, BioCare’s Chief Revenue Officer, shares tips for developing and maintaining a culture of open communication within an organization.
September 15 - October 15 HISPANIC HERITAGE MONTH
We partner with our customers to deliver the best possible care to patients all over the country. We spare no effort to ensure every customer has, on hand, the inventory they need, when they need it and that there is always a live voice at the other end of the line when duty calls. It is our promise to deliver unparalleled service to our partners and their patients. At the end of every journey there is a patient waiting for life-saving therapeutics.
Read More
NATIONAL DISABILITY EMPLOYMENT AWARENESS MONTH
Sean Jeffries of BioCare: Five Things You Need To Be A Highly Effective Leader During Uncertain & Turbulent Times BioCare’s Vice President of National Accounts, Sean Jeffries, talks with Authority Magazine about the importance of valuing your team and building a strong foundation.
October 10 INDIGENOUS PEOPLE DAY
October 31 HALLOWEEN
Read More
We are people who care.
Visit our News & Insights page for the latest BioCare case studies, news stories, and industry insights.
View News & Insights
Follow us
5
Always at your service.
Product Catalog
AP ALBUMIN PRODUCTS Product Name Package Size NDC #
HP HEMATOLOGY PRODUCTS Product Name Package Size NDC #
Product Category
Product Category
Presentation
Subcategory Derivation
Manufacturer
Presentation
Subcategory
Derivation
Manufacturer
ALBUMIN/PLASMA PROTEIN FRACTION
ANTI-INHIBITOR COAGULANT COMPLEX
ANTI-INHIBITOR COAGULANT COMPL ANTI-INHIBITOR COAGULANT COMPL ANTI-INHIBITOR COAGULANT COMPL ANTI-INHIBITOR COAGULANT COMPL ANTI-INHIBITOR COAGULANT COMPL ANTI-INHIBITOR COAGULANT COMPL ANTI-INHIBITOR COAGULANT COMPL
ALBURX
25% 50mL 44206-0251-05
VIAL
ALBUMIN
PLASMA
CSL BEHRING LLC
TAKEDA PHARMACEUTICALS AMERICAS, INC.
FEIBA
1000 IU 64193-0424-02
VIAL
INHIBITORS
PLASMA
ALBURX
25% 100mL 44206-0251-10
VIAL
ALBUMIN
PLASMA
CSL BEHRING LLC
TAKEDA PHARMACEUTICALS AMERICAS, INC.
FEIBA
2000 IU 64193-0425-02
VIAL
INHIBITORS
PLASMA
ALBURX
5% 250mL 44206-0310-25
VIAL
ALBUMIN
PLASMA
CSL BEHRING LLC
ALBURX
5% 500mL 44206-0310-50
VIAL
ALBUMIN
PLASMA
CSL BEHRING LLC
TAKEDA PHARMACEUTICALS AMERICAS, INC.
FEIBA
500 IU 64193-0426-02
VIAL
INHIBITORS
PLASMA
ALBUTEIN
5% 250mL
68516-5214-01
VIAL
ALBUMIN
PLASMA
GRIFOLS USA, LLC
MONOCLONAL ANTIBODY
ALBUTEIN
5% 500mL
68516-5214-02
VIAL
ALBUMIN
PLASMA
GRIFOLS USA, LLC
HEMLIBRA
30 MG 50242-0920-01
VIAL
NONFACTOR
GENENTECH USA, INC.
ALBUTEIN
5% 50mL
68516-5214-05
VIAL
ALBUMIN
PLASMA
GRIFOLS USA, LLC
MONOCLONAL ANTIBODY
HEMLIBRA
60 MG 50242-0921-01
VIAL
NONFACTOR
GENENTECH USA, INC.
ALBUTEIN
25% 50mL
68516-5216-01
VIAL
ALBUMIN
PLASMA
GRIFOLS USA, LLC
ALBUTEIN
25% 100mL 68516-5216-02
VIAL
ALBUMIN
PLASMA
GRIFOLS USA, LLC
MONOCLONAL ANTIBODY
HEMLIBRA
105 MG 50242-0922-01
VIAL
NONFACTOR
GENENTECH USA, INC.
ALBUTEIN
25% 20mL
68516-5216-05
VIAL
ALBUMIN
PLASMA
GRIFOLS USA, LLC
MONOCLONAL ANTIBODY
25% 25 GM / 100 ML
HEMLIBRA
150 MG 50242-0923-01
VIAL
NONFACTOR
GENENTECH USA, INC.
ALBUTEIN FLEXBAG
68516-5216-00
5 PACK
ALBUMIN
PLASMA
GRIFOLS USA, LLC
ALBUTEIN FLEXBAG
5% 500mL 68516-5214-00
2 PACK
ALBUMIN
PLASMA
GRIFOLS USA, LLC
ANTITHROMBIN
ALBUTEIN FLEXBAG
5% 250mL
68516-5214-09
4 PACK
ALBUMIN
PLASMA
GRIFOLS USA, LLC
THROMBATE III
500 IU
13533-0606-12
VIAL
COAGULANT ANTITHROMBIN PLASMA
GRIFOLS USA, LLC
25% 12.5 GM / 50 ML
ALBUTEIN FLEXBAG
68516-5216-09
5 PACK
ALBUMIN
PLASMA
GRIFOLS USA, LLC
FACTOR I
ALBUKED
5% 250mL
76125-0790-25
VIAL
ALBUMIN
PLASMA
KEDRION BIOPHARMA
FIBRYGA
1 GRAM 68982-0347-01
VIAL
COAGULANT
FACTOR I
PLASMA
OCTAPHARMA USA
ALBUKED
5% 50mL
76125-0790-05
VIAL
ALBUMIN
PLASMA
KEDRION BIOPHARMA
RIASTAP
1000 IU 63833-0891-51
VIAL
COAGULANT
FACTOR I
PLASMA
CSL BEHRING LLC
ALBUKED
25% 100 mL 76125-0792-10
VIAL
ALBUMIN
PLASMA
KEDRION BIOPHARMA
FACTOR IX
ALBUKED
25% 20mL
76125-0792-20
VIAL
ALBUMIN
PLASMA
KEDRION BIOPHARMA
ALPHANINE
500 IU
68516-3610-02
VIAL
COAGULANT FACTOR IX
PLASMA
GRIFOLS USA, LLC
ALBUKED
25% 50 mL 76125-0792-25
VIAL
ALBUMIN
PLASMA
KEDRION BIOPHARMA
ALPHANINE
1000 IU
68516-3611-02
VIAL
COAGULANT FACTOR IX
PLASMA
GRIFOLS USA, LLC
ALBUMIN
5% 250mL 68982-0623-02
VIAL
ALBUMIN
PLASMA
OCTAPHARMA USA
ALPHANINE
1500 IU 68516-3612-02
VIAL
COAGULANT FACTOR IX
PLASMA
GRIFOLS USA, LLC
ALBUMIN
5% 500mL 68982-0623-03
VIAL
ALBUMIN
PLASMA
OCTAPHARMA USA
ALPROLIX
500 IU
71104-0911-01
VIAL
COAGULANT FACTOR IX RECOMBINANT
SANOFI GENZYME
ALBUMIN
5% 100mL 68982-0623-01
VIAL
ALBUMIN
PLASMA
OCTAPHARMA USA
ALPROLIX
1000 IU 71104-0922-01
VIAL
COAGULANT FACTOR IX RECOMBINANT
SANOFI GENZYME
ALBUMIN
20% 50mL 68982-0633-01
VIAL
ALBUMIN
PLASMA
OCTAPHARMA USA
ALPROLIX
2000 IU 71104-0933-01
VIAL
COAGULANT FACTOR IX RECOMBINANT
SANOFI GENZYME
ALBUMIN
20% 100mL 68982-0633-02
VIAL
ALBUMIN
PLASMA
OCTAPHARMA USA
ALPROLIX
3000 IU 71104-0944-01
VIAL
COAGULANT FACTOR IX RECOMBINANT
SANOFI GENZYME
ALBUMIN
25% 50mL
68982-0643-01
VIAL
ALBUMIN
PLASMA
OCTAPHARMA USA
ALPROLIX
250 IU
71104-0966-01
VIAL
COAGULANT FACTOR IX RECOMBINANT
SANOFI GENZYME
ALBUMIN
25% 100mL 68982-0643-02
VIAL
ALBUMIN
PLASMA
OCTAPHARMA USA
ALPROLIX
4000 IU 71104-0977-01
VIAL
COAGULANT FACTOR IX RECOMBINANT
SANOFI GENZYME
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
FLEXBUMIN
25% 50mL 00944-0493-01
BAG
ALBUMIN
PLASMA
BENEFIX RT
250 IU 58394-0633-03
VIAL
COAGULANT FACTOR IX RECOMBINANT
PFIZER, INC.
FLEXBUMIN
25% 100mL 00944-0493-02
BAG
ALBUMIN
PLASMA
BENEFIX RT
500 IU 58394-0634-03
VIAL
COAGULANT FACTOR IX RECOMBINANT
PFIZER, INC.
FLEXBUMIN
5% 250mL 00944-0495-05
BAG
ALBUMIN
PLASMA
BENEFIX RT
1000 IU 58394-0635-03
VIAL
COAGULANT FACTOR IX RECOMBINANT
PFIZER, INC.
9
HP HEMATOLOGY PRODUCTS Product Name Package Size NDC #
HP HEMATOLOGY PRODUCTS Product Name Package Size NDC #
Product Category
Product Category
Presentation
Subcategory
Derivation
Manufacturer
Presentation
Subcategory
Derivation
Manufacturer
FACTOR VIIA
BENEFIX RT
2000 IU 58394-0636-03
VIAL
COAGULANT FACTOR IX RECOMBINANT
PFIZER, INC.
BENEFIX RT
3000 IU 58394-0637-03
VIAL
COAGULANT FACTOR IX RECOMBINANT
PFIZER, INC.
NOVOSEVEN RT
1 MG
00169-7201-01
VIAL
INHIBITORS FACTOR VIIA RECOMBINANT NOVO NORDISK INC.
IDELVION
250 IU
69911-0864-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
CSL BEHRING LLC
NOVOSEVEN RT
2 MG
00169-7202-01
VIAL
INHIBITORS FACTOR VIIA RECOMBINANT NOVO NORDISK INC.
IDELVION
500 IU
69911-0865-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
CSL BEHRING LLC
NOVOSEVEN RT
5 MG
00169-7205-01
VIAL
INHIBITORS FACTOR VIIA RECOMBINANT NOVO NORDISK INC.
IDELVION
1000 IU 69911-0866-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
CSL BEHRING LLC
NOVOSEVEN RT
8 MG
00169-7208-01
VIAL
INHIBITORS FACTOR VIIA RECOMBINANT NOVO NORDISK INC.
IDELVION
2000 IU 69911-0867-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
CSL BEHRING LLC
SEVENFACT
1MG
71127-1000-01
VIAL
INHIBITORS FACTOR VIIA RECOMBINANT
HEMA BIOLOGICS
IDELVION
3500 IU 69911-0869-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
CSL BEHRING LLC
SEVENFACT
5MG
71127-5000-01
VIAL
INHIBITORS FACTOR VIIA RECOMBINANT
HEMA BIOLOGICS
FACTOR VIII
REBINYN
1000 IU 00169-7901-01
VIAL
COAGULANT FACTOR IX RECOMBINANT NOVO NORDISK INC.
1801 IU - 2400 IU 2401 IU - 3600 IU 3601 IU - 4800 IU
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
REBINYN
2000 IU 00169-7902-01
VIAL
COAGULANT FACTOR IX RECOMBINANT NOVO NORDISK INC.
ADVATE
00944-3045-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
REBINYN
500 IU
00169-7905-01
VIAL
COAGULANT FACTOR IX RECOMBINANT NOVO NORDISK INC.
ADVATE
00944-3046-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
RIXUBIS
250 IU 00944-3026-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
ADVATE
00944-3047-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
RIXUBIS
500 IU 00944-3028-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
ADVATE
200 IU - 400 IU 00944-3051-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
RIXUBIS
1000 IU 00944-3030-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
ADVATE
401 IU - 800 IU 00944-3052-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
801 IU - 1200 IU 1201 IU - 1800 IU
RIXUBIS
2000 IU 00944-3032-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
ADVATE
00944-3053-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
RIXUBIS
3000 IU 00944-3034-02
VIAL
COAGULANT FACTOR IX RECOMBINANT
ADVATE
00944-3054-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
FACTOR IX COMPLEX
ADYNOVATE
401 IU - 800 IU 00944-4623-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
FACTOR IX COM- PLEX FACTOR IX COM- PLEX FACTOR IX COM- PLEX FACTOR IX COM- PLEX FACTOR IX COM- PLEX FACTOR IX COM- PLEX FACTOR IX COM- PLEX FACTOR IX COM- PLEX
KCENTRA
500 IU 63833-0386-02
VIAL
COAGULANT
PLASMA
CSL BEHRING LLC
ADYNOVATE
801 IU - 1250 IU 00944-4624-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
KCENTRA
1000 IU 63833-0387-02
VIAL
COAGULANT
PLASMA
CSL BEHRING LLC
ADYNOVATE
1801-2500 IU 00944-4625-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PROFILNINE
500 IU
68516-3207-01
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
ADYNOVATE
750 IU 00944-4626-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PROFILNINE
1000 IU 68516-3208-02
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
ADYNOVATE
1500 IU 00944-4627-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PROFILNINE
1500 IU 68516-3209-02
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
ADYNOVATE
3000 IU 00944-4628-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PROFILNINE
500 IU
68516-3210-01
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
AFSTYLA
250 IU
69911-0474-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CSL BEHRING LLC
PROFILNINE
1000 IU
68516-3211-02
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
AFSTYLA
500 IU
69911-0475-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CSL BEHRING LLC
PROFILNINE
1500 IU 68516-3212-02
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
AFSTYLA
1000 IU 69911-0476-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CSL BEHRING LLC
11
HP HEMATOLOGY PRODUCTS Product Name Package Size NDC #
HP HEMATOLOGY PRODUCTS Product Name Package Size NDC #
Product Category
Product Category
Presentation
Subcategory
Derivation
Manufacturer
Presentation
Subcategory
Derivation
Manufacturer
KOATE
250 IU
76125-0257-25
VIAL
COAGULANT FACTOR VIII
PLASMA
KEDRION BIOPHARMA
AFSTYLA
2000 IU 69911-0477-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CSL BEHRING LLC
KOATE
500 IU
76125-0663-50
VIAL
COAGULANT FACTOR VIII
PLASMA
KEDRION BIOPHARMA
AFSTYLA
3000 IU 69911-0478-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CSL BEHRING LLC
KOATE
1000 IU 76125-0676-50
VIAL
COAGULANT FACTOR VIII
PLASMA
KEDRION BIOPHARMA
AFSTYLA
1500 IU 69911-0480-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CSL BEHRING LLC
KOGENATE
250 IU 00026-3782-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
AFSTYLA
2500 IU 69911-0481-02
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CSL BEHRING LLC
KOGENATE
500 IU 00026-3783-35
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
250 IU
71104-0801-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
KOGENATE
1000 IU 00026-3785-55
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
KOGENATE
2000 IU 00026-3786-65
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
500 IU
71104-0802-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
KOGENATE
3000 IU 00026-3787-75
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
700 IU
71104-0803-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
KOVALTRY
250 IU
00026-3821-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
1000 IU 71104-0804-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
KOVALTRY
500 IU 00026-3822-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
1500 IU 71104-0805-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
KOVALTRY
1000 IU 00026-3824-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
2000 IU 71104-0806-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
KOVALTRY
2000 IU 00026-3826-50
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
3000 IU 71104-0807-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
KOVALTRY
3000 IU 00026-3828-50
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
ELOCTATE
4000 IU 71104-0808-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
NOVOEIGHT
1000 IU 00169-7810-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
ELOCTATE
5000 IU 71104-0809-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
NOVOEIGHT
1500 IU
00169-7815-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
ELOCTATE
6000 IU 71104-0810-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
SANOFI GENZYME
NOVOEIGHT
2000 IU 00169-7820-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
ESPEROCT
1000 IU 00169-8100-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
NOVOEIGHT
250 IU
00169-7825-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
ESPEROCT
1500 IU 00169-8150-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
NOVOEIGHT
3000 IU 00169-7830-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
ESPEROCT
2000 IU 00169-8200-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
NOVOEIGHT
500 IU
00169-7850-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
ESPEROCT
3000 IU 00169-8300-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
NUWIQ
250 IU
68982-0139-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
ESPEROCT
500 IU 00169-8500-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
NUWIQ
500 IU
68982-0141-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
HEMOFIL
220 IU – 400 IU 00944-3940-02
VIAL
COAGULANT FACTOR VIII
PLASMA
NUWIQ
1000 IU 68982-0143-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
HEMOFIL
401 IU – 800 IU 00944-3942-02
VIAL
COAGULANT FACTOR VIII
PLASMA
NUWIQ
1500 IU 68982-0153-01
Vial
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
801 IU – 1200 IU 1201 IU – 2000 IU
NUWIQ
2000 IU 68982-0145-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
HEMOFIL
00944-3944-02
VIAL
COAGULANT FACTOR VIII
PLASMA
NUWIQ
2500 IU 68982-0147-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
HEMOFIL
00944-3946-02
VIAL
COAGULANT FACTOR VIII
PLASMA
NUWIQ
3000 IU 68982-0149-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
JIVI
500 IU 00026-3942-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
NUWIQ
4000 IU 68982-0151-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
OCTAPHARMA USA
JIVI
1000 IU 00026-3944-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
TAKEDA PHARMACEUTICALS AMERICAS, INC.
OBIZUR
1-PACK 500 AU 00944-5001-01
VIAL
INHIBITORS
FACTOR VIII
RECOMBINANT
JIVI
2000 IU 00026-3946-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
OBIZUR-RECOMBI- NANT FACTOR VIII SUBSTRATE
1 CARTON = 1 VIAL
TAKEDA PHARMACEUTICALS AMERICAS, INC.
JIVI
3000 IU 00026-3948-25
VIAL
COAGULANT FACTOR VIII
RECOMBINANT BAYER CORPORATION
1505746
VIAL
INHIBITORS
FACTOR VIII
RECOMBINANT
13
HP HEMATOLOGY PRODUCTS Product Name Package Size NDC #
HP HEMATOLOGY PRODUCTS Product Name Package Size NDC #
Product Category
Product Category
Presentation
Subcategory
Derivation
Manufacturer
Presentation
Subcategory
Derivation
Manufacturer
2000 IU - 3125 IU
FACTOR XA
TRETTEN
00169-7013-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT NOVO NORDISK INC.
CARTON: 4 VIALS/CTN
ANDEXXA
200 MG VIAL 69853-0102-01
COAGULANT FACTOR XA RECOMBINANT
ALEXION
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
RECOMBINATE
220 IU – 400 IU 00944-2841-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
FACTOR XIII
RECOMBINATE
401 IU – 800 IU 00944-2842-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
CORIFACT
1000 IU 63833-0518-02
VIAL
COAGULANT FACTOR XIII
PLASMA
CSL BEHRING LLC
VON WILLEBRAND FACTOR
801 IU – 1240 IU
RECOMBINATE
00944-2843-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
VON WILLE- BRAND FACTOR VON WILLE- BRAND FACTOR VON WILLE- BRAND FACTOR
CABLIVI
11 MG
58468-0225-01
VIAL
COAGULANT
RECOMBINANT
SANOFI GENZYME
RECOMBINATE
1241-1800 IU 00944-2844-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
VONVENDI
450 – 850 IU 00944-7551-02
VIAL
COAGULANT
RECOMBINANT
RECOMBINATE
1801 – 2400 IU 00944-2845-10
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
VONVENDI
900 – 1700 IU 00944-7553-02
VIAL
COAGULANT
RECOMBINANT
XYNTHA
250 IU
58394-0012-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
XYNTHA
500 IU
58394-0013-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
HG IMMUNOLOGY PRODUCTS - HYPERIMMUNE GLOBULIN Product Name Package Size NDC # Presentation Product Category Subcategory Derivation
XYNTHA
1000 IU 58394-0014-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
XYNTHA
2000 IU 58394-0015-01
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
Manufacturer
XYNTHA SOLOFUSE
3000 IU 58394-0016-03
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
CYTOMEGALOVIRUS IMMUNE GLOBULIN
XYNTHA SOLOFUSE
1000 IU 58394-0024-03
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
CYTOGAM
2.5 GRAMS 70257-0532-51
VIAL
HYPER IMMUNE
IG
PLASMA SAOL THERAPEUTICS, INC.
XYNTHA SOLOFUSE
2000 IU 58394-0025-03
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
INTRAMUSCULAR IMMUNE GLOBULIN
XYNTHA SOLOFUSE
250 IU 58394-0022-03
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
GAMASTAN
2 ML
13533-0335-04
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
XYNTHA SOLOFUSE
500 IU 58394-0023-03
VIAL
COAGULANT FACTOR VIII
RECOMBINANT
PFIZER, INC.
GAMASTAN
10 ML
13533-0335-12
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
FACTOR VIII WITH VON WILLEBRAND FACTOR
HEPATITIS B IMMUNE GLOBULIN
FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF FACTOR VIII WITH VWF
ALPHANATE
250 IU
68516-4611-01
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
HEPAGAM
5 ML
70257-0051-51
VIAL
HYPER IMMUNE
IG
PLASMA SAOL THERAPEUTICS, INC.
ALPHANATE
250 IU
68516-4616-01
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
HEPAGAM
1 ML
70257-0052-51
VIAL
HYPER IMMUNE
IG
PLASMA SAOL THERAPEUTICS, INC.
ALPHANATE
500 IU
68516-4617-01
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
HYPERHEP B
0.5ML VIAL 13533-0636-03
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
HYPERHEP B
1 ML VIAL
13533-0636-02
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
ALPHANATE
1000 IU 68516-4618-02
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
HYPERHEP B
5 ML VIAL
13533-0636-05
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
ALPHANATE
1500 IU 68516-4619-02
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
NABI-HB
1ML
69800-4202-01
VIAL
HYPER IMMUNE
IG
PLASMA
ADMA BIOLOGICS
ALPHANATE
2000 IU 68516-4620-02
VIAL
COAGULANT
PLASMA
GRIFOLS USA, LLC
NABI-HB
5ML
69800-4203-01
VIAL
HYPER IMMUNE
IG
PLASMA
ADMA BIOLOGICS
HUMATE-P
600 RCOF
63833-0615-02
VIAL
COAGULANT
PLASMA
CSL BEHRING LLC
RABIES IMMUNE GLOBULIN
HUMATE-P
1200 RCOF
63833-0616-02
VIAL
COAGULANT
PLASMA
CSL BEHRING LLC
HYPERRAB
1 ML
13533-0318-01
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
HYPERRAB
3 ML
13533-0318-03
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
HUMATE-P
2400 RCOF
63833-0617-02
VIAL
COAGULANT
PLASMA
CSL BEHRING LLC
HYPERRAB
5 ML
13533-0318-05
VIAL
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
WILATE
500 RCOF
68982-0182-01
VIAL
COAGULANT
PLASMA
OCTAPHARMA USA
HYPERRHO S/D FULL DOSE SYRINGE HYPERRHO S/D FULL DOSE SYRINGE 10PK HYPERRHO S/D MINI- DOSE SYRINGE 10PK
SINGLE
13533-0631-02
SYRINGE
RH IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
WILATE
1000 RCOF
68982-0182-02
VIAL
COAGULANT
PLASMA
OCTAPHARMA USA
10 PACK
13533-0631-11
SYRINGE
RH IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
FACTOR X
BIO PRODUCTS LABORATORIES BIO PRODUCTS LABORATORIES
10 PACK 13533-0661-06
SYRINGE
RH IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
COAGADEX
250 IU
64208-7752-01
VIAL
COAGULANT FACTOR X
PLASMA
KEDRAB
2 ML
76125-0150-02
VIAL
SPECIALTY
IG
PLASMA
KEDRION BIOPHARMA
COAGADEX
500 IU
64208-7753-01
VIAL
COAGULANT FACTOR X
PLASMA
KEDRAB
10 ML
76125-0150-10
VIAL
SPECIALTY
IG
PLASMA
KEDRION BIOPHARMA
15
HG IMMUNOLOGY PRODUCTS - HYPERIMMUNE GLOBULIN Product Name Package Size NDC # Presentation Product Category Subcategory Derivation
IG IMMUNOLOGY PRODUCTS - IMMUNOGLOBULIN Product Name Package Size NDC # Presentation Product Category
Manufacturer
Subcategory Derivation
Manufacturer
GAMMAKED
1 GRAM 76125-0900-01
VIAL
IVIG
IG
PLASMA
KEDRION BIOPHARMA
TETANUS IMMUNE GLOBULIN
GAMMAKED
10 GRAM 76125-0900-10
VIAL
IVIG
IG
PLASMA
KEDRION BIOPHARMA
HYPERTET
250 IU 13533-0634-02
SYRINGE
HYPER IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
GAMMAKED
20 GRAM 76125-0900-20
VIAL
IVIG
IG
PLASMA
KEDRION BIOPHARMA
VARICELLA ZOSTER IMMUNE GLOBULIN
GAMMAKED
5 GRAM 76125-0900-50
VIAL
IVIG
IG
PLASMA
KEDRION BIOPHARMA
VARIZIG
125 IU
70257-0126-51
VIAL
HYPER IMMUNE
IG
PLASMA SAOL THERAPEUTICS, INC.
BIO PRODUCTS LABORATORIES BIO PRODUCTS LABORATORIES BIO PRODUCTS LABORATORIES BIO PRODUCTS LABORATORIES BIO PRODUCTS LABORATORIES BIO PRODUCTS LABORATORIES
GAMMAPLEX 10%
10% 5 GRAM 64208-8235-05
VIAL
IVIG
IG
PLASMA
RHO(D) IMMUNE GLOBULIN
HYPERRHO S/D FULL DOSE SYRINGE 10PK HYPERRHO S/D MINI- DOSE SYRINGE 10PK
GAMMAPLEX 10%
10% 10 GRAM 64208-8235-06
VIAL
IVIG
IG
PLASMA
10 PACK
13533-0631-11
SYRINGE
RH IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
GAMMAPLEX 10%
10% 20 GRAM 64208-8235-07
VIAL
IVIG
IG
PLASMA
10 PACK 13533-0661-06
SYRINGE
RH IMMUNE
IG
PLASMA
GRIFOLS USA, LLC
GAMMAPLEX 5%
5% 5 GRAM 64208-8234-06
VIAL
IVIG
IG
PLASMA
MICRHOGAM
1 PACK
00562-7806-01
SYRINGE
RH IMMUNE
IG
PLASMA
KEDRION BIOPHARMA
RHOGAM
1 PACK
00562-7805-01
SYRINGE
RH IMMUNE
IG
PLASMA
KEDRION BIOPHARMA
GAMMAPLEX 5%
5% 10 GRAM 64208-8234-07
VIAL
IVIG
IG
PLASMA
RHOGAM
5 PACK 00562-7805-05 SYRINGE
RH IMMUNE
IG
PLASMA
KEDRION BIOPHARMA
GAMMAPLEX 5%
5% 20 GRAM 64208-8234-08
VIAL
IVIG
IG
PLASMA
RHOGAM
25 PACK 00562-7805-25
SYRINGE
RH IMMUNE
IG
PLASMA
KEDRION BIOPHARMA
GAMUNEX
1 GRAM 13533-0800-12
VIAL
IVIG
IG
PLASMA
GRIFOLS USA, LLC
PACK, 10 SYRINGES
RHOPHYLAC
300 MCG 44206-0300-10
RH IMMUNE
IG
PLASMA
CSL BEHRING LLC
GAMUNEX
2.5 GRAM 13533-0800-15
VIAL
IVIG
IG
PLASMA
GRIFOLS USA, LLC
1000 UG (5000 IU) 300 UG (1500 IU) 500 UG (2500 IU)
WINRHO
70257-0310-51
VIAL
RH IMMUNE
IG
PLASMA SAOL THERAPEUTICS, INC.
GAMUNEX
5 GRAM 13533-0800-20
VIAL
IVIG
IG
PLASMA
GRIFOLS USA, LLC
WINRHO
70257-0330-51
VIAL
RH IMMUNE
IG
PLASMA SAOL THERAPEUTICS, INC.
GAMUNEX
20 GRAM 13533-0800-24
VIAL
IVIG
IG
PLASMA
GRIFOLS USA, LLC
GAMUNEX
40 GRAM 13533-0800-40
VIAL
IVIG
IG
PLASMA
GRIFOLS USA, LLC
WINRHO
70257-0350-51
VIAL
RH IMMUNE
IG
PLASMA SAOL THERAPEUTICS, INC.
GAMUNEX
10 GRAM 13533-0800-71
VIAL
IVIG
IG
PLASMA
GRIFOLS USA, LLC
OCTAGAM 10%
10% 2 GRAM 68982-0850-01
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
IG IMMUNOLOGY PRODUCTS - IMMUNOGLOBULIN Product Name Package Size NDC # Presentation Product Category
OCTAGAM 10%
10% 5 GRAM 68982-0850-02
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
OCTAGAM 10%
10% 10 GRAM 68982-0850-03
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
Subcategory Derivation
Manufacturer
OCTAGAM 10%
10% 20 GRAM 68982-0850-04
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
INTRAVENOUS IMMUNE GLOBULIN
OCTAGAM 10%
10% 30 GRAM 68982-0850-05
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
ASCENIV
5 GRAM 69800-0250-01
VIAL
IVIG
IG
PLASMA
ADMA BIOLOGICS
OCTAGAM 5%
5% 1 GRAM 68982-0840-01
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
BIVIGAM
5 GRAM 69800-6502-01
VIAL
IVIG
IG
PLASMA
ADMA BIOLOGICS
OCTAGAM 5%
5% 2.5 GRAM 68982-0840-02
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
BIVIGAM
10 GRAM 69800-6503-01
VIAL
IVIG
IG
PLASMA
ADMA BIOLOGICS
OCTAGAM 5%
5% 5 GRAM 68982-0840-03
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC. TAKEDA PHARMACEUTICALS AMERICAS, INC.
GAMMAGARD - LIQUID
1 GRAM 00944-2700-02
VIAL
IVIG
IG
PLASMA
OCTAGAM 5%
5% 10 GRAM 68982-0840-04
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
PANZYGA
2.5 GRAM 00069-1109-02
VIAL
IVIG
IG
PLASMA
PFIZER, INC.
GAMMAGARD - LIQUID 2.5 GRAM 00944-2700-03
VIAL
IVIG
IG
PLASMA
PANZYGA
5 GRAM 00069-1224-02
VIAL
IVIG
IG
PLASMA
PFIZER, INC.
GAMMAGARD - LIQUID
5 GRAM 00944-2700-04
VIAL
IVIG
IG
PLASMA
PANZYGA
10 GRAM 00069-1312-02
VIAL
IVIG
IG
PLASMA
PFIZER, INC.
PANZYGA
20 GRAM 00069-1415-02
VIAL
IVIG
IG
PLASMA
PFIZER, INC.
GAMMAGARD - LIQUID
10 GRAM 00944-2700-05
VIAL
IVIG
IG
PLASMA
PANZYGA
30 GRAM 00069-1558-02
VIAL
IVIG
IG
PLASMA
PFIZER, INC.
GAMMAGARD - LIQUID 20 GRAM 00944-2700-06
VIAL
IVIG
IG
PLASMA
PANZYGA
2.5 GRAM 68982-0820-02
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
PANZYGA
5 GRAM 68982-0820-03
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
GAMMAGARD - LIQUID 30 GRAM 00944-2700-07
VIAL
IVIG
IG
PLASMA
PANZYGA
10 GRAM 68982-0820-04
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
GAMMAGARD - S/D
5 GRAM 00944-2656-03
VIAL
IVIG
IG
PLASMA
PANZYGA
20 GRAM 68982-0820-05
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
GAMMAGARD - S/D
10 GRAM 00944-2658-04
VIAL
IVIG
IG
PLASMA
PANZYGA
30 GRAM 68982-0820-06
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
17
IG IMMUNOLOGY PRODUCTS - IMMUNOGLOBULIN Product Name Package Size NDC # Presentation Product Category
NP NEUROLOGY PRODUCTS Product Name Package Size NDC #
Product Category
Subcategory Derivation
Manufacturer
Presentation
Subcategory
Derivation
Manufacturer
BRIVIACT
25 MG 50474-0470-66
BOTTLE
SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
PRIVIGEN
5 GRAM 44206-0436-05
VIAL
IVIG
IG
PLASMA
CSL BEHRING LLC
BRIVIACT
50 MG 50474-0570-09 UNIT DOSE PACK SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
PRIVIGEN
10 GRAM 44206-0437-10
VIAL
IVIG
IG
PLASMA
CSL BEHRING LLC
BRIVIACT
50 MG 50474-0570-66
BOTTLE
SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
PRIVIGEN
20 GRAM 44206-0438-20
VIAL
IVIG
IG
PLASMA
CSL BEHRING LLC
BRIVIACT
75 MG 50474-0670-66
BOTTLE
SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
PRIVIGEN
40 GRAM 44206-0439-40
VIAL
IVIG
IG
PLASMA
CSL BEHRING LLC
BRIVIACT
100 MG 50474-0770-09 UNIT DOSE PACK SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
SUBCUTANEOUS IMMUNE GLOBULIN
BRIVIACT
100 MG 50474-0770-66
BOTTLE
SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
CUTAQUIG
1 GRAM 00069-1061-02
VIAL
SUBQ
IG
PLASMA
PFIZER, INC.
CUTAQUIG
2 GRAM 00069-1476-02
VIAL
SUBQ
IG
PLASMA
PFIZER, INC.
BRIVIACT ORAL SOLUTION
10 MG / ML 50474-0870-15
BOTTLE
SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
CUTAQUIG
4 GRAM 00069-1509-02
VIAL
SUBQ
IG
PLASMA
PFIZER, INC.
BRIVIACT INJECTION 50 MG / 5 ML 50474-0970-75
VIAL
SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
CUTAQUIG
8 GRAM 00069-1965-02
VIAL
SUBQ
IG
PLASMA
PFIZER, INC.
CUTAQUIG
1 GRAM 68982-0810-01
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
NAYZILAM
5 MG 50474-0500-15 NASAL SPRAY SPECIALTY SPECIALTY BENZODIAZEPINES
UCB, INC.
CUTAQUIG
2 GRAM 68982-0810-03
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
KEPPRA ORAL SOLUTION
100 MG / ML 50474-0001-48
BOTTLE
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
CUTAQUIG
4 GRAM 68982-0810-05
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
CUTAQUIG
8 GRAM 68982-0810-06
VIAL
IVIG
IG
PLASMA
OCTAPHARMA USA
KEPPRA INJECTION 500 MG / 5ML 50474-0002-63
VIAL
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
HIZENTRA
1 GRAM 44206-0451-01
VIAL
SUBQ
IG
PLASMA
CSL BEHRING LLC
KEPPRA
250 MG 50474-0594-40 BOTTLE
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
HIZENTRA
2 GRAM 44206-0452-02
VIAL
SUBQ
IG
PLASMA
CSL BEHRING LLC
KEPPRA
500 MG 50474-0595-40 BOTTLE
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
HIZENTRA
4 GRAM 44206-0454-04
VIAL
SUBQ
IG
PLASMA
CSL BEHRING LLC
KEPPRA
750 MG 50474-0596-40 BOTTLE
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
HIZENTRA
10 GRAM 44206-0455-10
VIAL
SUBQ
IG
PLASMA
CSL BEHRING LLC
KEPPRA
1000 MG 50474-0597-66
BOTTLE
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
HIZENTRA PFS
1 GRAM 44206-0456-21
VIAL
SUBQ
IG
PLASMA
CSL BEHRING LLC
KEPPRA XR
500 MG 50474-0598-66
BOTTLE
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
HIZENTRA PFS
2 GRAM 44206-0457-22
VIAL
SUBQ
IG
PLASMA
CSL BEHRING LLC
KEPPRA XR
750 MG 50474-0599-66
BOTTLE
SPECIALTY SPECIALTY LEVETIRACETAM UCB, INC.
HIZENTRA PFS
4 GRAM 44206-0458-24
VIAL
SUBQ
IG
PLASMA
CSL BEHRING LLC
200 MG / 20 ML
VIMPAT INJECTION
00131-1810-67
VIAL
SPECIALTY SPECIALTY LACOSAMIDE
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
VIMPAT
50 MG 00131-2477-35
BOTTLE
SPECIALTY SPECIALTY LACOSAMIDE
UCB, INC.
HYQVIA
5 GRAM 00944-2511-02
VIAL
SUBQ
IG
PLASMA
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.
HYQVIA
10 GRAM 00944-2512-02
VIAL
SUBQ
IG
PLASMA
VIMPAT
100 MG 00131-2478-60 UNIT DOSE PACK SPECIALTY SPECIALTY LACOSAMIDE
UCB, INC.
HYQVIA
20 GRAM 00944-2513-02
VIAL
SUBQ
IG
PLASMA
VIMPAT
150 MG 00131-2479-35
BOTTLE
SPECIALTY SPECIALTY LACOSAMIDE
UCB, INC.
VIMPAT
150 MG 00131-2479-60 UNIT DOSE PACK SPECIALTY SPECIALTY LACOSAMIDE
UCB, INC.
HYQVIA
30 GRAM 00944-2514-02
VIAL
SUBQ
IG
PLASMA
VIMPAT
200 MG 00131-2480-35
BOTTLE
SPECIALTY SPECIALTY LACOSAMIDE
UCB, INC.
XEMBIFY
1 GRAM 13533-0810-05
VIAL
SUBQ
IG
PLASMA
GRIFOLS USA, LLC
VIMPAT
200 MG 00131-2480-60 UNIT DOSE PACK SPECIALTY SPECIALTY LACOSAMIDE
UCB, INC.
XEMBIFY
2 GRAM 13533-0810-10
VIAL
SUBQ
IG
PLASMA
GRIFOLS USA, LLC
VIMPAT ORAL SOLUTION
XEMBIFY
4 GRAM 13533-0810-20
VIAL
SUBQ
IG
PLASMA
GRIFOLS USA, LLC
10 MG / ML 00131-5410-72
BOTTLE
SPECIALTY SPECIALTY LACOSAMIDE
UCB, INC.
XEMBIFY
10 GRAM 13533-0810-50
VIAL
SUBQ
IG
PLASMA
GRIFOLS USA, LLC
PARKINSON’S DISEASE
DOPAMINE AGONISTS DOPAMINE AGONISTS DOPAMINE AGONISTS DOPAMINE AGONISTS DOPAMINE AGONISTS DOPAMINE AGONISTS
NP NEUROLOGY PRODUCTS Product Name Package Size NDC #
NEUPRO
30 X 1 MG 50474-0801-03
EACH
SPECIALTY SPECIALTY
UCB, INC.
Product Category
NEUPRO
30 X 2 MG 50474-0802-03
EACH
SPECIALTY SPECIALTY
UCB, INC.
Presentation
Subcategory
Derivation
Manufacturer
AMYOTROPHIC LATERAL SCLEROSIS (ALS)
NEUPRO
30 X 3 MG 50474-0803-03
EACH
SPECIALTY SPECIALTY
UCB, INC.
MITSUBISHI TANABE PHARMA AMERICA, INC.
RADICAVA_ CATEGORY
RADICAVA
30MG/100 ML 70510-2171-02
CARTON
SPECIALTY RECOMBINANT
NEUPRO
30 X 4 MG 50474-0804-03
EACH
SPECIALTY SPECIALTY
UCB, INC.
SEIZURE DISORDERS
NEUPRO
30 X 6 MG 50474-0805-03
EACH
SPECIALTY SPECIALTY
UCB, INC.
BRIVIACT
10 MG 50474-0370-66
BOTTLE
SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
NEUPRO
30 X 8 MG 50474-0806-03
EACH
SPECIALTY SPECIALTY
UCB, INC.
BRIVIACT
25 MG 50474-0470-09 UNIT DOSE PACK SPECIALTY SPECIALTY BRIVARACETAM UCB, INC.
19
SP SPECIALTY PRODUCTS Product Name Package Size NDC #
Product Category
Presentation
Subcategory Derivation
Manufacturer
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SNAKE BITE
MCKESSON SPECIALTY CARE DISTRIBUTION
ANAVIP
1 CARTON = 1 VIAL 66621-0790-02
VIAL
SPECIALTY SPECIALTY RECOMBINANT
CARTON, 2 VIALS PER
CROFAB
2 ML
50633-0110-12
SPECIALTY SPECIALTY
BTG INTERNATIONAL, INC.
HEREDITARY ANGIOEDEMA (HAE)
BERINERT
500 UNITS
63833-0825-02
VIAL
SPECIALTY SPECIALTY
PLASMA
CSL BEHRING LLC
PROTEIN C DEFICIENCY
TAKEDA PHARMACEUTI- CALS AMERICAS, INC. TAKEDA PHARMACEUTI- CALS AMERICAS, INC.
CEPROTIN
500 IU
00944-4177-05
VIAL
SPECIALTY SPECIALTY
PLASMA
CEPROTIN
1000 IU
00944-4179-10
VIAL
SPECIALTY SPECIALTY
PLASMA
ULCERATIVE COLITIS / CROHN'S DISEASE / RHEUMATOID ARTHRITIS
MONOCLONAL ANTIBODY MONOCLONAL ANTIBODY
TAKEDA PHARMACEUTI- CALS AMERICAS, INC.
ENTYVIO
300MG 20ML
64764-0300-20
VIAL
SPECIALTY SPECIALTY
INFLECTRA
20 ML
00069-0809-01
VIAL
SPECIALTY SPECIALTY
PFIZER, INC.
CIMZIA LYPHOLIZED POWDER
2 X 200 MG 50474-0700-62 VIAL
SPECIALTY SPECIALTY RECOMBINANT
UCB, INC.
CIMZIA
2 X 200 MG PFS 50474-0710-79 SYRINGE SPECIALTY SPECIALTY RECOMBINANT
UCB, INC.
CIMZIA
6 X 200 MG PFS 50474-0710-81
SYRINGE SPECIALTY SPECIALTY RECOMBINANT
UCB, INC.
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH)
SOLIRIS
300MG/ML
25682-0001-01
VIAL
SPECIALTY SPECIALTY
ALEXION
BIOSURGICAL
BAXTER HEALTHCARE CORPORATION BAXTER HEALTHCARE CORPORATION BAXTER HEALTHCARE CORPORATION BAXTER HEALTHCARE CORPORATION BAXTER HEALTHCARE CORPORATION
FLOSEAL
5ML
85412-5237-38
EACH FIBRIN SEALANT SPECIALTY
PLASMA
TISSEEL
SD VALUPAK 2 ML 00338-4210-02
EACH FIBRIN SEALANT SPECIALTY
PLASMA
TISSEEL
2 ML
00338-4301-02
EACH FIBRIN SEALANT SPECIALTY
PLASMA
TISSEEL
4 ML
00338-4302-04
EACH FIBRIN SEALANT SPECIALTY
PLASMA
TISSEEL
10 ML
00338-4303-10
EACH FIBRIN SEALANT SPECIALTY
PLASMA
THYROID EYE DISEASE (TEPROTUMUMAB-TRBW)
MONOCLONAL ANTIBODY
TEPEZZA
500 MG
75987-0130-15
VIAL
SPECIALTY SPECIALTY
HORIZON THERAPEUTICS
CHRONIC GOUT (PEGLOTICASE INJECTION)
KRYSTEXXA
2 ML
75987-0080-10
VIAL
SPECIALTY SPECIALTY RECOMBINANT HORIZON THERAPEUTICS
NEUROMYELITIS OPTICA SPECTRUM DISORDER (NMOSD)
MONOCLONAL ANTIBODY
UPLIZNA
3 PACK
72677-0551-01
EACH
SPECIALTY SPECIALTY
HORIZON THERAPEUTICS
GENERALIZED MYASTHENIA GRAVIS (GMG)
MONOCLONAL ANTIBODY
VYVGART
20 ML
73475-3041-05
VIAL
SPECIALTY SPECIALTY
ARGENX US, INC.
ALPHA-PROTEINASE INHIBITOR (A,PI)
ZEMAIRA
1000 MG
00053-7201-02
VIAL
SPECIALTY SPECIALTY
PLASMA
CSL BEHRING LLC
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