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Derived from human plasma, hyperimmune globulins are concentrated immune globulins, high in antibodies against certain specific diseases, used to treat patients whose immune systems have been compromised.

Hyperimmune Globulins


PRODUCT SIZE MFGR NDC # CODE* PRICE
ANTI-THYMOCYTE GLOBULIN
THYMOGLOBULIN 25 MG VIAL GENZYME 58468-0080-01 J7511 TBD
BOTULISM IGIV (HUMAN) (BIG-IV)
BABYBIG
See package insert.
100 MG VIAL MBL 68403-1100-06 TBD TBD
CYTOMEGALOVIRUS IMMUNE GLOBULIN INTRAVENOUS (HUMAN)
CYTOGAM 2.5 GM VIAL CSL BEHRING 44206-0532-11 J0850 $1,018.00 /VL
HEPATITIS B IMMUNE GLOBULIN
HEPAGAM B 1 ML VIAL EMERGENT BIOSOLUTIONS 53270-0052-01 J1571 or J1573 $146.60 /VIAL
5 ML VIAL 53270-0051-01 J1571 or J1573 $646.10 /VIAL
HYPERHEP B S/D 0.5 ML SYRINGE GRIFOLS 13533-0636-03 90371 $83.92 /SYR
1 ML SYRINGE 13533-0636-02 90371 $155.65 /SYR
5 ML VIAL 13533-0636-05 90371 $687.47 /VL
RABIES IMMUNE GLOBULIN
HYPERRAB S/D 2 ML 150 IU/ML VIAL GRIFOLS 13533-0618-02 90375 $499.00 /VL
10 ML 150 IU/ML VIAL 13533-0618-10 90375 $2,406.00 /VL
RHO(D) IMMUNE GLOBULIN
HYPERRHO S/D 50 MCG/0.17 ML SYRINGE GRIFOLS 13533-0631-06 J2788 $2,450.91 /VL
300 MCG 1 ML SYRINGE 13533-0631-02 J2790 $87.83 /SYR
MICRHOGAM 50 MCG 1 ML SYRINGE KEDRION 00562-7806-01 J2788 $34.40 /SYR
50 MCG 1 ML SYRINGE/5 PK 00562-7806-05 J2788 $172.00 /5PK
50 MCG 1 ML SYRINGE/25 PK 00562-7806-35 J2788 $833.00 /25PK
RHOGAM 300 MCG 1 ML SYRINGE KEDRION 00562-7805-01 J2790 $85.00 /SYR
300 MCG 1 ML SYRINGE/5 PK 00562-7805-05 J2790 $425.00 /5 PK
300 MCG 1 ML SYRINGE/25 PK 00562-7805-25 J2790 $2,125.00 /25 PK
RHOPHYLAC 300 MCG SYRINGE CSL BEHRING 44206-0300-01 J2791 $84.00 /SYR
300 MCG SYRINGE/10 PK 44206-0300-10 J2791 $830.00 /PK
WINRHO SDF 1500 IU 300 MCG EMERGENT BIOSOLUTIONS 53270-3300-01 J2792 $345.00 /VL
2500 IU 500 MCG 53270-3500-01 J2792 $575.00 /VL
5000 IU 1000 MCG 53270-3100-01 J2792 $1,150.00 /VL
15000 IU 3000 MCG 53270-3000-01 J2792 $3,300.00 /VL
TETANUS IMMUNE GLOBULIN
HYPERTET S/D 250 UNIT SYRINGE GRIFOLS 13533-0634-02 J1670 $340.07 /SYR
VARICELLA ZOSTER IMMUNE GLOBULIN
VARIZIG 125 UNIT VIAL EMERGENT BIOSOLUTIONS 53270-0125-02 90396 $650.00 /VL
*All codes should be verified between the provider and the payer.

 
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