Product List

Product Manufacturer NDC Code HCPC Codes
Hemophilia A: Factor VII Deficiency
Recombinant
Advate Baxter 00944-2941-10 J7192
00944-2942-10
00944-2943-10
00944-2944-10
00944-2945-10
00944-2946-10
Helixate CSL Behring 00053-8131-02 J7192
00053-8132-02
00053-8133-02
00053-8134-02
00053-8135-02
Kogenate FS Bayer 00026-3782-20 J7192
00026-3783-30
00026-3785-50
00026-3786-60
00026-3787-70
Kogenate FS w/Bioset Bayer 00026-3792-20 J7192
00026-3793-30
00026-3795-50
00026-3796-60
00026-3797-70
Recombinate Baxter 00944-2831-10 J7192
00944-2832-10
00944-2833-10
00944-2834-10
00944-2835-10
Xyntha Wyeth 58394-0012-01 J7185
58394-0013-01
58394-0014-01
58394-0015-01
58394-0016-01
Plasma Derived
Alphanate Grifols 68516-4601-01 J7196
68516-4602-01
68516-4603-02
68516-4604-02
Hemofil M Baxter 00944-2930-01 J7190
00944-2931-01
00944-2932-01
00944-2933-01
Koate DVI Talecris 13533-0665-20 J7190
13533-0665-30
13533-0665-50
Monoclate P CSL Behring 00053-7633-02 J7190
00053-7634-02
Other
Humate P CSL Behring 63833-0615-02 J7187
63833-0616-02
63833-0617-02
Hemophilia B: Factor IX Deficiency
Recombinant
Benefix Wyeth 58394-0633-03 J7195
58394-0634-03
58394-0635-03
58394-0636-03
58394-0637-03
Plasma Derived
Alphanine SD Grifols 68516-3601-02 J7193
68516-3602-02
68516-3603-02
Mononine CSL Behring 00053-7668-02 J7193
00053-7668-04
Profilnine Grifols 68516-3201-01 J7194
68516-3202-02
68516-3203-02
Anti-inhibitor Factor Concentrates
Feiba Baxter 64193-0222-03 J7198
64193-0222-04
64193-0222-05
NovoSeven RT NovoNordisk 00169-7010-01 J7189
00169-7020-01
00169-7050-01
00169-7040-01
Wilate Octapharma 67467-0182-01 J7183
67467-0182-02