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  • Hyperimmune Globulins

Hyperimmune Globulins

Hyperimmunes are immune globulin preparations that are high in antibodies that protect against specific diseases by providing passive immunity. Passive immunity is achieved by administration of purified antibodies that provide immediate, but short-term, protection against the disease. Active immunity, on the other hand, occurs when a person is exposed to a live pathogen or when they are injected with a substance that contains the antigen such as the rabies vaccine, both of which cause the individual to become immune to the disease as a result of the primary immune response.

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Product
Size
ManufacturerMfgr
NDC#
Code*
VIP
340B
Anti-Thymocyte Globulin (Rabbit)
Product: Thymoglobulin®
Prescribing Information
Size: 25 mg Vial
Manufacturer: Sanofi Genzyme
NDC#: 58468-0080-01
Code*: J7511
VIPVIP
340BYes
Botulism Immune Globulin
Product: BabyBIG®
Prescribing Information
Size: 100 mg Vial
Manufacturer: CA Department of Public Health
NDC#: 68403-1100-06
Code*: -
VIPNo
340BNo
Cytomegalovirus Immune Globulin
Product: Cytogam®
Prescribing Information
Size: 2.5 gm Vial
Manufacturer: Saol Therapeutics
NDC#: 44206-0532-11
Code*: J0850
VIPVIP
340BYes
Hepatitis B Immune Globulin
Product: HepaGam B®
Prescribing Information
Size: 1 mL Vial
Manufacturer: Saol Therapeutics
NDC#: 70257-0052-51
Code*: J1571/J1573
VIPVIP
340BYes
Product: HepaGam B®
Prescribing Information
Size: 1 mL Vial
Manufacturer: Saol Therapeutics
NDC#: 70504-0052-02
Code*: J1571/J1573
VIPVIP
340BYes
Product: HepaGam B®
Prescribing Information
Size: 5 mL Vial
Manufacturer: Saol Therapeutics
NDC#: 70257-0051-51
Code*: J1571/J1573
VIPVIP
340BYes
Product: HyperHEP® B S/D
Prescribing Information
Size: 0.5 mL Syringe
Manufacturer: Grifols
NDC#: 13533-0636-03
Code*: 90371
VIPVIP
340BYes
Product: HyperHEP® B S/D
Prescribing Information
Size: 1 mL Syringe
Manufacturer: Grifols
NDC#: 13533-0636-02
Code*: 90371
VIPVIP
340BYes
Product: HyperHEP® B S/D
Prescribing Information
Size: 5 mL Vial
Manufacturer: Grifols
NDC#: 13533-0636-05
Code*: 90371
VIPVIP
340BYes
Product: Nabi-HB®
Prescribing Information
Size: 1 mL Single-dose Vial
Manufacturer: ADMA Biologics
NDC#: 59730-4202-01
Code*: 90371
VIPVIP
340BYes
Product: Nabi-HB®
Prescribing Information
Size: 5 mL Single-dose Vial
Manufacturer: ADMA Biologics
NDC#: 59730-4203-01
Code*: 90371
VIPVIP
340BYes
Rabies Immune Globulin
Product: HyperRAB®
Prescribing Information
Size: 1 mL 300 IU/mL Single-dose Vial
Manufacturer: Grifols
NDC#: 13533-0318-01
Code*: 90375
VIPVIP
340BYes
Product: HyperRAB®
Prescribing Information
Size: 3 mL 300 IU/mL Single-dose Vial
Manufacturer: Grifols
NDC#: 13533-0318-03
Code*: 90375
VIPVIP
340BYes
Product: HyperRAB®
Prescribing Information
Size: 5 mL 300 IU/mL Single-dose Vial
Manufacturer: Grifols
NDC#: 13533-0318-05
Code*: 90375
VIPVIP
340BYes
Product: Imogam® Rabies HT
Prescribing Information
Size: 2 mL 150 IU/mL Vial
Manufacturer: Sanofi Pasteur
NDC#: 49281-0190-20
Code*: 90376
VIPNo
340BNo
Product: KEDRAB™
Prescribing Information
Size: 2 mL 300 IU/mL Single-dose Vial
Manufacturer: Kedrion
NDC#: 76125-0150-02
Code*: 90376
VIPVIP
340BYes
Product: KEDRAB™
Prescribing Information
Size: 10 mL 1500 IU/mL Single-dose Vial
Manufacturer: Kedrion
NDC#: 76125-0150-10
Code*: 90376
VIPVIP
340BYes
Rho(D) Immune Globulin
Product: HyperRHO® S/D Mini-dose
Prescribing Information
Size: (250 IU) 50 ugm/0.5 mL Pre-filled Syringe UltraSafe® Needle Guard 10 Pack
Manufacturer: Grifols
NDC#: 13533-0661-06
Code*: J2788
VIPVIP
340BYes
Product: HyperRHO® S/D Full-dose
Prescribing Information
Size: (1500 IU) 300 ugm/1 mL Pre-filled Syringe UltraSafe® Needle Guard
Manufacturer: Grifols
NDC#: 13533-0631-02
Code*: J2790
VIPVIP
340BYes
Product: HyperRHO® S/D Full-dose
Prescribing Information
Size: (1500 IU) 300 ugm/1 mL Pre-filled Syringe UltraSafe® Needle Guard 10 Pack
Manufacturer: Grifols
NDC#: 13533-0631-11
Code*: J2790
VIPVIP
340BYes
Product: MICRhoGAM®
Prescribing Information
Size: 50 ugm/1 mL Syringe
Manufacturer: Kedrion
NDC#: 00562-7806-01
Code*: J2788
VIPVIP
340BYes
Product: MICRhoGAM®
Prescribing Information
Size: 50 ugm/1 mL Syringe 5-pk
Manufacturer: Kedrion
NDC#: 00562-7806-05
Code*: J2788
VIPVIP
340BYes
Product: RhoGAM®
Prescribing Information
Size: 300 ugm/1 mL Syringe
Manufacturer: Kedrion
NDC#: 00562-7805-01
Code*: J2790
VIPVIP
340BYes
Product: RhoGAM®
Prescribing Information
Size: 300 ugm/1 mL Syringe 5-pk
Manufacturer: Kedrion
NDC#: 00562-7805-05
Code*: J2790
VIPVIP
340BYes
Product: RhoGAM®
Prescribing Information
Size: 300 ugm/1 mL Syringe 25-pk
Manufacturer: Kedrion
NDC#: 00562-7805-25
Code*: J2790
VIPVIP
340BYes
Product: Rhophylac®
Prescribing Information
Size: 300 mcg Syringe
Manufacturer: CSL Behring
NDC#: 44206-0300-01
Code*: J2791
VIPVIP
340BYes
Product: Rhophylac®
Prescribing Information
Size: 300 mcg Syringe 10-pk
Manufacturer: CSL Behring
NDC#: 44206-0300-10
Code*: J2791
VIPVIP
340BYes
Product: WinRho® SDF
Prescribing Information
Size: 5000 IU 1000 mcg Vial
Manufacturer: Aptevo Biotherapeutics
NDC#: 70504-3100-02
Code*: J2792
VIPVIP
340BYes
Product: WinRho® SDF
Prescribing Information
Size: 1500 IU 300 mcg Vial
Manufacturer: Saol Therapeutics
NDC#: 70257-0330-51
Code*: J2792
VIPVIP
340BNo
Product: WinRho® SDF
Prescribing Information
Size: 2500 IU 500 mcg Vial
Manufacturer: Saol Therapeutics
NDC#: 70257-0350-51
Code*: J2792
VIPVIP
340BYes
Product: WinRho® SDF
Prescribing Information
Size: 15000 IU 3000 mcg Vial
Manufacturer: Saol Therapeutics
NDC#: 70257-0300-51
Code*: J2792
VIPVIP
340BYes
Tetanus Immune Globulin
Product: HyperTET® S/D
Prescribing Information
Size: 250 Unit Syringe
Manufacturer: Grifols
NDC#: 13533-0634-02
Code*: J1670
VIPVIP
340BYes
Varicella Zoster Immune Globulin
Product: VARIZIG®
Prescribing Information
Size: 125 Unit Vial
Manufacturer: Saol Therapeutics
NDC#: 70257-0126-51
Code*: 90396
VIPVIP
340BYes
*All codes should be verified between the provider and the payer.
VIP - Verified Inventory Program™ (VIPc)® | 340B - Public Health Services 340B Pricing Available.
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