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Coagulation products are proteins in blood plasma that are responsible for effective clotting of blood.

Coagulation Products


PRODUCT SIZE MFGR NDC # CODE* PRICE
ANTI-INHIBITOR (HUMAN-PLASMA DERIVED)
FEIBA NF 500 IU VIAL w/Baxject II BAXTER 64193-0223-02 J7198 $1.55 /IU
1000 IU VIAL w/Baxject II 64193-0224-02 J7198 $1.55 /IU
2500 IU VIAL w/Baxject II 64193-0225-02 J7198 $1.55 /IU
FACTOR VIIa (RECOMBINANT)
NOVOSEVEN RT 1 MG VIAL NOVO NORDISK 00169-7010-01 J7189 $1.53 /IU
2 MG VIAL 00169-7020-01 J7189 $1.53 /IU
5 MG VIAL 00169-7050-01 J7189 $1.53 /IU
8 MG VIAL 00169-7040-01 J7189 $1.53 /IU
FACTOR VIII (HUMAN–PLASMA DERIVED)
KOATE DVI 250 IU VIAL KEDRION 76125-0250-20 J7190 $0.70 /IU
500 IU VIAL 76125-0500-30 J7190 $0.70 /IU
1000 IU VIAL 76125-0667-50 J7190 $0.70 /IU
VON WILLEBRAND FACTOR / FACTOR VIII COMPLEX (HUMAN-PLASMA DERIVED)
ALPHANATE 250 IU VIAL+ GRIFOLS 68516-4601-01 J7186 $0.77 /IU
500 IU VIAL+ 68516-4602-01 J7186 $0.77 /IU
1000 IU VIAL+ 68516-4603-02 J7186 $0.77 /IU
1500 IU VIAL+ 68516-4604-02 J7186 $0.77 /IU
HUMATE P 600 IU VIAL+ CSL BEHRING 63833-0615-02 J7187 $0.75 /RCOF
1200 IU VIAL+ 63833-0616-02 J7187 $0.75 /RCOF
2400 IU VIAL+ 63833-0617-02 J7187 $0.75 /RCOF
WILATE 500 IU VIAL+ OCTAPHARMA 67467-0182-01 J7183 $0.78 /RCOF
1000 IU VIAL+ 67467-0182-02 J7183 $0.78 /RCOF
FACTOR VIII (RECOMBINANT)
ADVATE 2 ML 250 IU VIAL BAXTER 00944-2921-02 J7192 $1.07 /IU
500 IU VIAL 00944-2922-02 J7192 $1.07 /IU
1000 IU VIAL 00944-2923-02 J7192 $1.07 /IU
1500 IU VIAL 00944-2924-02 J7192 $1.07 /IU
ADVATE 5 ML 250 IU VIAL BAXTER 00944-2960-10 J7192 $1.07 /IU
500 IU VIAL 00944-2961-10 J7192 $1.07 /IU
1000 IU VIAL 00944-2962-10 J7192 $1.07 /IU
1500 IU VIAL 00944-2963-10 J7192 $1.07 /IU
2000 IU VIAL 00944-2964-10 J7192 $1.07 /IU
3000 IU VIAL 00944-2965-10 J7192 $1.07 /IU
4000 IU VIAL 00944 2948 10 J7192 $1.07 /IU
HELIXATE FS 250 IU VIAL CSL BEHRING 00053-8131-02 J7192 $0.91 /IU
500 IU VIAL 00053-8132-02 J7192 $0.91 /IU
1000 IU VIAL 00053-8133-02 J7192 $0.91 /IU
2000 IU VIAL 00053-8134-02 J7192 $0.91 /IU
3000 IU VIAL 00053-8135-02 J7192 $0.91 /IU
KOGENATE FS 250 IU VIAL w/BIOSET BAYER 00026-3792-20 J7192 $0.93 /IU
500 IU VIAL w/BIOSET 00026-3793-30 J7192 $0.93 /IU
1000 IU VIAL w/BIOSET 00026-3795-50 J7192 $0.93 /IU
2000 IU VIAL w/BIOSET 00026-3796-60 J7192 $0.93 /IU
3000 IU VIAL w/BIOSET 00026-3797-70 J7192 $0.93 /IU
250 IU VIAL 00026-3782-20 J7192 $0.93 /IU
500 IU VIAL 00026-3783-30 J7192 $0.93 /IU
1000 IU VIAL 00026-3785-50 J7192 $0.93 /IU
2000 IU VIAL 00026-3786-60 J7192 $0.93 /IU
3000 IU VIAL 00026-3787-70 J7192 $0.93 /IU
RECOMBINATE 250 IU VIAL BAXTER 00944-2841-10 J7192 $1.07 /IU
500 IU VIAL 00944-2842-10 J7192 $1.07 /IU
1000 IU VIAL 00944-2843-10 J7192 $1.07 /IU
1500 IU VIAL 00944-2844-10 J7192 $1.07 /IU
2000 IU VIAL 00944-2845-10 J7192 $1.07 /IU
XYNTHA 250 IU VIAL WYETH 58394-0012-01 J7185 $1.10 /IU
500 IU VIAL 58394-0013-01 J7185 $1.10 /IU
1000 IU VIAL 58394-0014-01 J7185 $1.10 /IU
2000 IU VIAL 58394-0015-01 J7185 $1.10 /IU
XYNTHA SOLOFUSE 250 IU KIT WYETH 58394-0022-03 J7185 $1.10 /IU
500 IU KIT 58394-0023-03 J7185 $1.10 /IU
1000 IU KIT 58394-0024-03 J7185 $1.10 /IU
2000 IU KIT 58394-0025-03 J7185 $1.10 /IU
3000 IU KIT 58394-0016-03 J7185 $1.10 /IU
FACTOR VIII (MONOCLONAL PURIFIED)
HEMOFIL M 250 IU VIAL BAXTER 00944-2930-01 J7190 $0.84 /IU
500 IU VIAL 00944-2931-01 J7190 $0.84 /IU
1000 IU VIAL 00944-2932-01 J7190 $0.84 /IU
1700 IU VIAL 00944-2933-01 J7190 $0.84 /IU
MONOCLATE-P 1000 IU VIAL CSL BEHRING 00053-7656-04 J7190 $0.66 /IU
1500 IU VIAL 00053-7656-05 J7190 $0.66 /IU
FACTOR IX (HUMAN–PLASMA DERIVED)
ALPHANINE SD 500 IU VIAL GRIFOLS 68516-3601-02 J7193 $0.77 /IU
1000 IU VIAL 68516-3602-02 J7193 $0.77 /IU
1500 IU VIAL 68516-3603-03 J7193 $0.77 /IU
BEBULIN 500 IU VIAL BAXTER 64193-0244-02 J7194 $0.98 /IU
PROFILNINE SD 500 IU VIAL GRIFOLS 68516-3201-01 J7194 $0.95 /IU
1000 IU VIAL 68516-3202-02 J7194 $0.95 /IU
1500 IU VIAL 68516-3203-02 J7194 $0.95 /IU
1700 IU VIAL 68516-3200-05 J7194 $0.95 /IU
FACTOR IX (MONOCLONAL PURIFIED)
MONONINE 1000 IU VIAL CSL BEHRING 00053-6223-02 J7193 $0.88 /IU
FACTOR IX (RECOMBINANT)
ALPROLIX 500 IU VIAL BIOGEN IDEC 64406-0911-01 TBD $2.70 /IU
1000 IU VIAL 64406-0922-01 TBD $2.70 /IU
2000 IU VIAL 64406-0933-01 TBD $2.70 /IU
3000 IU VIAL 64406-0944-01 TBD $2.70 /IU
BENEFIX RT 250 IU VIAL WYETH 58394-0633-03 J7195 $1.23 /IU
500 IU VIAL 58394-0634-03 J7195 $1.23 /IU
1000 IU VIAL 58394-0635-03 J7195 $1.23 /IU
2000 IU VIAL 58394-0636-03 J7195 $1.23 /IU
OTHER COAGULATION PRODUCTS
KCENTRA 500 IU VIAL CSL BEHRING 63833-0386-02 J3590 $1.31 /IU
RIASTAP 1000 MG VIAL CSL BEHRING 63833-0891-51 J1680 $0.74 /IU
STIMATE NASAL SPRAY 1.5 ML CSL BEHRING 00053-6871-00 J3490 $650.00 /BTL
*All codes should be verified between the provider and the payer.

 
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