Coagulation Factor Products

Coagulation products are proteins in blood plasma that are responsible for effective clotting of blood. A small segment of the population has a deficiency of factor VIII, known as hemophilia A, or a deficiency of factor IX, known as hemophilia B. Hemophilia is a lifelong disorder with no cure at the present time.

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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Bispecific Monoclonal Antibody with Inhibitors
Product: HEMLIBRA®
Prescribing Information
Size: 12 mg 0.4 mL (30 mg/mL) Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0927-01
Code*: J3590
RNINo
340BYes
Product: HEMLIBRA®
Prescribing Information
Size: 30 mg 1 mL (30 mg/mL) Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0920-01
Code*: J3590
RNINo
340BYes
Product: HEMLIBRA®
Prescribing Information
Size: 60 mg 0.4 mL (150 mg/mL) Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0921-01
Code*: J3590
RNINo
340BYes
Product: HEMLIBRA®
Prescribing Information
Size: 105 mg 0.7 mL (150 mg/mL) Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0922-01
Code*: J3590
RNINo
340BYes
Product: HEMLIBRA®
Prescribing Information
Size: 150 mg 1 mL (150 mg/mL) Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0923-01
Code*: J3590
RNINo
340BYes
Product: HEMLIBRA®
Prescribing Information
Size: 300 mg 2 mL (150 mg/mL) Single-dose Vial
Manufacturer: Genentech
NDC#: 50242-0930-01
Code*: J3590
RNINo
340BYes
    Factor VIII (Recombinant)
    Product: ADVATE®
    Prescribing Information
    Size: 2 mL 250 IU Range Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3051-02
    Code*: J7192
    RNIRNI
    340BYes
    Product: ADVATE®
    Prescribing Information
    Size: 2 mL 500 IU Range Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3052-02
    Code*: J7192
    RNIRNI
    340BYes
    Product: ADVATE®
    Prescribing Information
    Size: 2 mL 1000 IU Range Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3053-02
    Code*: J7192
    RNIRNI
    340BYes
    Product: ADVATE®
    Prescribing Information
    Size: 2 mL 1500 IU Range Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3054-02
    Code*: J7192
    RNIRNI
    340BYes
    Product: ADVATE®
    Prescribing Information
    Size: 5 mL 2000 IU Range Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3045-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: ADVATE®
    Prescribing Information
    Size: 5 mL 3000 IU Range Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3046-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: ADVATE®
    Prescribing Information
    Size: 5 mL 4000 IU Range Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3047-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: ALTUVIIIO™
    Prescribing Information
    Size: 250 IU Range Vial Kit
    Manufacturer: Bioverativ
    NDC#: 71104-0978-01
    Code*: J7214
    RNINo
    340BNo
    Product: ALTUVIIIO™
    Prescribing Information
    Size: 500 IU Range Vial Kit
    Manufacturer: Bioverativ
    NDC#: 71104-0979-01
    Code*: J7214
    RNINo
    340BNo
    Product: ALTUVIIIO™
    Prescribing Information
    Size: 1000 IU Range Vial Kit
    Manufacturer: Bioverativ
    NDC#: 71104-0981-01
    Code*: J7214
    RNINo
    340BNo
    Product: ALTUVIIIO™
    Prescribing Information
    Size: 2000 IU Range Vial Kit
    Manufacturer: Bioverativ
    NDC#: 71104-0982-01
    Code*: J7214
    RNINo
    340BNo
    Product: ALTUVIIIO™
    Prescribing Information
    Size: 3000 IU Range Vial Kit
    Manufacturer: Bioverativ
    NDC#: 71104-0983-01
    Code*: J7214
    RNINo
    340BNo
    Product: ALTUVIIIO™
    Prescribing Information
    Size: 4000 IU Range Vial Kit
    Manufacturer: Bioverativ
    NDC#: 71104-0984-01
    Code*: J7214
    RNINo
    340BNo
    Product: Novoeight® †
    Prescribing Information
    Size: 250 IU Range 4 mL Single-dose Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-7825-01
    Code*: J7182
    RNIRNI
    340BYes
    Product: Novoeight® †
    Prescribing Information
    Size: 500 IU Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-7850-01
    Code*: J7182
    RNIRNI
    340BYes
    Product: Novoeight® †
    Prescribing Information
    Size: 1000 IU Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-7810-01
    Code*: J7182
    RNIRNI
    340BYes
    Product: Novoeight® †
    Prescribing Information
    Size: 1500 IU Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-7815-01
    Code*: J7182
    RNIRNI
    340BYes
    Product: Novoeight® †
    Prescribing Information
    Size: 2000 IU Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-7820-01
    Code*: J7182
    RNIRNI
    340BYes
    Product: Novoeight® †
    Prescribing Information
    Size: 3000 IU Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-7830-01
    Code*: J7182
    RNIRNI
    340BYes
    Product: NUWIQ® †
    Prescribing Information
    Size: 2.5 mL 250 IU Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0139-01
    Code*: J7209
    RNIRNI
    340BYes
    Product: NUWIQ® †
    Prescribing Information
    Size: 2.5 mL 500 IU Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0141-01
    Code*: J7209
    RNIRNI
    340BYes
    Product: NUWIQ® †
    Prescribing Information
    Size: 2.5 mL 1000 IU Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0143-01
    Code*: J7209
    RNIRNI
    340BYes
    Product: NUWIQ® †
    Prescribing Information
    Size: 2.5 mL 2000 IU Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0145-01
    Code*: J7209
    RNIRNI
    340BYes
    Product: NUWIQ® †
    Prescribing Information
    Size: 2.5 mL 2500 IU Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0147-01
    Code*: J7209
    RNIRNI
    340BYes
    Product: NUWIQ® †
    Prescribing Information
    Size: 2.5 mL 3000 IU Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0149-01
    Code*: J7209
    RNIRNI
    340BYes
    Product: NUWIQ® †
    Prescribing Information
    Size: 2.5 mL 4000 IU Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0151-01
    Code*: J7209
    RNIRNI
    340BYes
    Product: RECOMBINATE™
    Prescribing Information
    Size: 250 IU Single-dose Vial With 5 mL Diluent
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-2841-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: RECOMBINATE™
    Prescribing Information
    Size: 500 IU Single-dose Vial With 5 mL Diluent
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-2842-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: RECOMBINATE™
    Prescribing Information
    Size: 1000 IU Single-dose Vial With 5 mL Diluent
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-2843-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: RECOMBINATE™
    Prescribing Information
    Size: 1500 IU Single-dose Vial With 5 mL Diluent
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-2844-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: RECOMBINATE™
    Prescribing Information
    Size: 2000 IU Single-dose Vial With 5 mL Diluent
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-2845-10
    Code*: J7192
    RNIRNI
    340BYes
    Product: XYNTHA®
    Prescribing Information
    Size: 250 IU Range Single-use Vial
    Manufacturer: Pfizer
    NDC#: 58394-0012-01
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA®
    Prescribing Information
    Size: 500 IU Range Single-use Vial
    Manufacturer: Pfizer
    NDC#: 58394-0013-01
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA®
    Prescribing Information
    Size: 1000 IU Range Single-use Vial
    Manufacturer: Pfizer
    NDC#: 58394-0014-01
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA®
    Prescribing Information
    Size: 2000 IU Range Single-use Vial
    Manufacturer: Pfizer
    NDC#: 58394-0015-01
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA® SOLOFUSE †
    Prescribing Information
    Size: 250 IU
    Pre-filled syringe
    Manufacturer: Pfizer
    NDC#: 58394-0022-03
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA® SOLOFUSE †
    Prescribing Information
    Size: 500 IU
    Pre-filled syringe
    Manufacturer: Pfizer
    NDC#: 58394-0023-03
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA® SOLOFUSE †
    Prescribing Information
    Size: 1000 IU
    Pre-filled syringe
    Manufacturer: Pfizer
    NDC#: 58394-0024-03
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA® SOLOFUSE †
    Prescribing Information
    Size: 2000 IU
    Pre-filled syringe
    Manufacturer: Pfizer
    NDC#: 58394-0025-03
    Code*: J7185
    RNIRNI
    340BYes
    Product: XYNTHA® SOLOFUSE †
    Prescribing Information
    Size: 3000 IU
    Pre-filled syringe
    Manufacturer: Pfizer
    NDC#: 58394-0016-03
    Code*: J7185
    RNIRNI
    340BYes
    Factor VIII (Recombinant), Long-Acting
    Product: ADYNOVATE®
    Prescribing Information
    Size: 250 IU Range 2 mL Single-dose Vial Baxject III
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-4622-01
    Code*: J7207
    RNIRNI
    340BYes
    Product: ADYNOVATE®
    Prescribing Information
    Size: 500 IU Range 2 mL Single-dose Vial Baxject III
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-4623-01
    Code*: J7207
    RNIRNI
    340BYes
    Product: ADYNOVATE®
    Prescribing Information
    Size: 750 IU 2 mL Single-dose Vial Baxject III
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-4626-01
    Code*: J7207
    RNIRNI
    340BYes
    Product: ADYNOVATE®
    Prescribing Information
    Size: 1000 IU 2 mL Single-dose Vial Baxject III
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-4624-01
    Code*: J7207
    RNIRNI
    340BYes
    Product: ADYNOVATE®
    Prescribing Information
    Size: 1500 IU Range 2 mL Single-dose Vial Baxject III
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-4627-01
    Code*: J7207
    RNIRNI
    340BYes
    Product: ADYNOVATE®
    Prescribing Information
    Size: 2000 IU 5 mL Single-dose Vial Baxject III
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-4625-01
    Code*: J7207
    RNIRNI
    340BYes
    Product: ADYNOVATE®
    Prescribing Information
    Size: 3000 IU 5 mL Single-dose Vial Baxject III
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-4628-01
    Code*: J7207
    RNIRNI
    340BYes
    Product: AFSTYLA®
    Prescribing Information
    Size: 250 IU Range 2.5 mL Single-dose Vial [Kit]
    Manufacturer: CSL Behring
    NDC#: 69911-0474-02
    Code*: J7210
    RNIRNI
    340BYes
    Product: AFSTYLA®
    Prescribing Information
    Size: 500 IU Range 2.5 mL Single-dose Vial [Kit]
    Manufacturer: CSL Behring
    NDC#: 69911-0475-02
    Code*: J7210
    RNIRNI
    340BYes
    Product: AFSTYLA®
    Prescribing Information
    Size: 1000 IU Range 2.5 mL Single-dose Vial [Kit]
    Manufacturer: CSL Behring
    NDC#: 69911-0476-02
    Code*: J7210
    RNIRNI
    340BYes
    Product: AFSTYLA®
    Prescribing Information
    Size: 1500 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: CSL Behring
    NDC#: 69911-0480-02
    Code*: J7210
    RNIRNI
    340BYes
    Product: AFSTYLA®
    Prescribing Information
    Size: 2000 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: CSL Behring
    NDC#: 69911-0477-02
    Code*: J7210
    RNIRNI
    340BYes
    Product: AFSTYLA®
    Prescribing Information
    Size: 2500 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: CSL Behring
    NDC#: 69911-0481-02
    Code*: J7210
    RNIRNI
    340BYes
    Product: AFSTYLA®
    Prescribing Information
    Size: 3000 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: CSL Behring
    NDC#: 69911-0478-02
    Code*: J7210
    RNIRNI
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 250 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0801-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 500 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0802-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 750 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0803-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 1000 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0804-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 1500 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0805-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 2000 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0806-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 3000 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0807-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 4000 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0808-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 5000 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0809-01
    Code*: J7205
    RNINo
    340BYes
    Product: ELOCTATE®
    Prescribing Information
    Size: 6000 IU Range Single-dose Vial
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0810-01
    Code*: J7205
    RNINo
    340BYes
    Product: Esperoct®
    Prescribing Information
    Size: 500 IU Range Single-dose Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-8500-01
    Code*: J7199
    RNINo
    340BYes
    Product: Esperoct®
    Prescribing Information
    Size: 1000 IU Range Single-dose Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-8100-01
    Code*: J7199
    RNINo
    340BYes
    Product: Esperoct®
    Prescribing Information
    Size: 1500 IU Range Single-dose Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-8150-01
    Code*: J7199
    RNINo
    340BYes
    Product: Esperoct®
    Prescribing Information
    Size: 2000 IU Range Single-dose Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-8200-01
    Code*: J7199
    RNINo
    340BYes
    Product: Esperoct®
    Prescribing Information
    Size: 3000 IU Range Single-dose Vial
    Manufacturer: Novo Nordisk
    NDC#: 00169-8300-01
    Code*: J7199
    RNINo
    340BYes
    Factor VIII (Human)
    Product: HEMOFIL® M
    Prescribing Information
    Size: 250 IU Range 10 mL Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3940-02
    Code*: J7190
    RNIRNI
    340BYes
    Product: HEMOFIL® M
    Prescribing Information
    Size: 500 IU Range 10 mL Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3942-02
    Code*: J7190
    RNIRNI
    340BYes
    Product: HEMOFIL® M
    Prescribing Information
    Size: 1000 IU Range 10 mL Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3944-02
    Code*: J7190
    RNIRNI
    340BYes
    Product: HEMOFIL® M
    Prescribing Information
    Size: 1700 IU Range 10 mL Single-dose Vial
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3946-02
    Code*: J7190
    RNIRNI
    340BYes
    Product: KOĀTE®
    Prescribing Information
    Size: 250 IU Range 5 mL Single-dose Vial
    Manufacturer: Kedrion Biopharma
    NDC#: 76125-0257-25
    Code*: J7190
    RNIRNI
    340BYes
    Product: KOĀTE®
    Prescribing Information
    Size: 250 IU Range 5 mL Single-dose Vial
    Manufacturer: Kedrion Biopharma
    NDC#: 76125-0259-02
    Code*: J7190
    RNIRNI
    340BYes
    Product: KOĀTE®
    Prescribing Information
    Size: 500 IU Range 5 mL Single-dose Vial
    Manufacturer: Kedrion Biopharma
    NDC#: 76125-0663-50
    Code*: J7190
    RNIRNI
    340BYes
    Product: KOĀTE®
    Prescribing Information
    Size: 1000 IU Range 10 mL Single-dose Vial
    Manufacturer: Kedrion Biopharma
    NDC#: 76125-0679-12
    Code*: J7190
    RNIRNI
    340BYes
    Factor VIII/von Willebrand Factor Complex (Human)
    Product: Alphanate®
    Prescribing Information
    Size: 250 IU 5 mL Single-dose Vial (300 RCOF Range)
    Manufacturer: Grifols
    NDC#: 68516-4616-01
    Code*: J7186
    RNINo
    340BNo
    Product: Alphanate®
    Prescribing Information
    Size: 500 IU 5 mL Single-dose Vial 600 RCOF Range
    Manufacturer: Grifols
    NDC#: 68516-4617-01
    Code*: J7186
    RNINo
    340BNo
    Product: Alphanate®
    Prescribing Information
    Size: 1000 IU 10 mL Single-dose Vial 1200 RCOF Range
    Manufacturer: Grifols
    NDC#: 68516-4618-02
    Code*: J7186
    RNINo
    340BNo
    Product: Alphanate®
    Prescribing Information
    Size: 1500 IU 10 mL Single-dose Vial 1800 RCOF Range
    Manufacturer: Grifols
    NDC#: 68516-4619-02
    Code*: J7186
    RNINo
    340BNo
    Product: Alphanate®
    Prescribing Information
    Size: 2000 IU 10 mL Single-dose Vial 2400 RCOF Range
    Manufacturer: Grifols
    NDC#: 68516-4620-02
    Code*: J7186
    RNINo
    340BNo
    Product: Humate-P®
    Prescribing Information
    Size: 600 IU VWF:RCo and 250 IU 5 mL Single-dose Vial Mix2Vial® Transfer Set
    Manufacturer: CSL Behring
    NDC#: 63833-0615-02
    Code*: J7187
    RNIRNI
    340BYes
    Product: Humate-P®
    Prescribing Information
    Size: 1200 IU VWF:RCo and 500 IU 10 mL Single-dose Vial Mix2Vial® Transfer Set
    Manufacturer: CSL Behring
    NDC#: 63833-0616-02
    Code*: J7187
    RNIRNI
    340BYes
    Product: Humate-P®
    Prescribing Information
    Size: 2400 IU VWF:RCo and 1000 IU 15 mL Single-dose Vial Mix2Vial® Transfer Set
    Manufacturer: CSL Behring
    NDC#: 63833-0617-02
    Code*: J7187
    RNIRNI
    340BYes
    Product: WILATE®
    Prescribing Information
    Size: 500 IU VWF:RCo and 500 IU FVIII activities in 5 mL Single-Dose Vial Mix2Vial® Transfer Device
    Manufacturer: Octapharma
    NDC#: 68982-0182-01
    Code*: J7183
    RNIRNI
    340BYes
    Product: WILATE®
    Prescribing Information
    Size: 1000 IU VWF:RCo and 1000 IU FVIII activities in 10 mL Single-Dose Vial With Mix2Vial® Transfer Device
    Manufacturer: Octapharma
    NDC#: 68982-0182-02
    Code*: J7183
    RNIRNI
    340BYes
    von Willebrand Factor (Recombinant)
    Product: VONVENDI®
    Prescribing Information
    Size: 500 IU Range 5 mL Single-dose Vial (450–850 IU)
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-7551-02
    Code*: J7179
    RNIRNI
    340BYes
    Product: VONVENDI®
    Prescribing Information
    Size: 1000 IU Range 10 mL Single-dose Vial (900–1700 IU)
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-7553-02
    Code*: J7179
    RNIRNI
    340BYes
    Factor IX (Human)
    Product: AlphaNine® SD
    Prescribing Information
    Size: 500 IU Range 10 mL Single-dose Vial
    Manufacturer: Grifols
    NDC#: 68516-3610-02
    Code*: J7193
    RNINo
    340BNo
    Product: AlphaNine® SD
    Prescribing Information
    Size: 1000 IU 10 mL Single-dose Vial
    Manufacturer: Grifols
    NDC#: 68516-3611-02
    Code*: J7193
    RNINo
    340BNo
    Product: AlphaNine® SD
    Prescribing Information
    Size: 1500 IU 10 mL Single-dose Vial
    Manufacturer: Grifols
    NDC#: 68516-3612-02
    Code*: J7193
    RNINo
    340BNo
    Factor IX (Recombinant)
    Product: BeneFIX®
    Prescribing Information
    Size: 250 IU Range Kit Single-use Vial With Pre-filled Syringe Diluent
    Manufacturer: Pfizer
    NDC#: 58394-0633-03
    Code*: J7195
    RNIRNI
    340BYes
    Product: BeneFIX®
    Prescribing Information
    Size: 500 IU Range Kit Single-use Vial With Pre-filled Syringe Diluent
    Manufacturer: Pfizer
    NDC#: 58394-0634-03
    Code*: J7195
    RNIRNI
    340BYes
    Product: BeneFIX®
    Prescribing Information
    Size: 1000 IU Range Kit Single-use Vial With Pre-filled Syringe Diluent
    Manufacturer: Pfizer
    NDC#: 58394-0635-03
    Code*: J7195
    RNIRNI
    340BYes
    Product: BeneFIX®
    Prescribing Information
    Size: 2000 IU Range Kit Single-use Vial With Pre-filled Syringe Diluent
    Manufacturer: Pfizer
    NDC#: 58394-0636-03
    Code*: J7195
    RNIRNI
    340BYes
    Product: BeneFIX®
    Prescribing Information
    Size: 3000 IU Range Kit Single-use Vial With Pre-filled Syringe Diluent
    Manufacturer: Pfizer
    NDC#: 58394-0637-03
    Code*: J7195
    RNIRNI
    340BYes
    Product: RIXUBIS® †
    Prescribing Information
    Size: 500 IU 5 mL Single-dose Vial with BAXJECT® II Transfer Device
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3028-02
    Code*: J7200
    RNIRNI
    340BYes
    Product: RIXUBIS® †
    Prescribing Information
    Size: 1000 IU 5 mL Single-dose Vial with BAXJECT® II Transfer Device
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3030-02
    Code*: J7200
    RNIRNI
    340BYes
    Product: RIXUBIS® †
    Prescribing Information
    Size: 2000 IU 5 mL Single-dose Vial with BAXJECT® II Transfer Device
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3032-02
    Code*: J7200
    RNIRNI
    340BYes
    Product: RIXUBIS® †
    Prescribing Information
    Size: 3000 IU 5 mL Single-dose Vial with BAXJECT® II Transfer Device
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 00944-3034-02
    Code*: J7200
    RNIRNI
    340BYes
    Factor IX (Recombinant), Long-Acting
    Product: ALPROLIX®
    Prescribing Information
    Size: 250 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0966-01
    Code*: J7201
    RNINo
    340BYes
    Product: ALPROLIX®
    Prescribing Information
    Size: 500 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0911-01
    Code*: J7201
    RNINo
    340BYes
    Product: ALPROLIX®
    Prescribing Information
    Size: 1000 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0922-01
    Code*: J7201
    RNINo
    340BYes
    Product: ALPROLIX®
    Prescribing Information
    Size: 2000 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0933-01
    Code*: J7201
    RNINo
    340BYes
    Product: ALPROLIX®
    Prescribing Information
    Size: 3000 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0944-01
    Code*: J7201
    RNINo
    340BYes
    Product: ALPROLIX®
    Prescribing Information
    Size: 4000 IU Range 5 mL Single-dose Vial [Kit]
    Manufacturer: Sanofi Genzyme
    NDC#: 71104-0977-01
    Code*: J7201
    RNINo
    340BYes
    Product: IDELVION®
    Prescribing Information
    Size: 250 IU Range 2.5 mL Single-dose Vial with Mix2Vial® Filter Transfer Set
    Manufacturer: CSL Behring
    NDC#: 69911-0864-02
    Code*: J7202
    RNIRNI
    340BYes
    Product: IDELVION®
    Prescribing Information
    Size: 500 IU Range 2.5 mL Single-dose Vial with Mix2Vial® Filter Transfer Set
    Manufacturer: CSL Behring
    NDC#: 69911-0865-02
    Code*: J7202
    RNIRNI
    340BYes
    Product: IDELVION®
    Prescribing Information
    Size: 1000 IU Range 2.5 mL Single-dose Vial with Mix2Vial® Filter Transfer Set
    Manufacturer: CSL Behring
    NDC#: 69911-0866-02
    Code*: J7202
    RNIRNI
    340BYes
    Product: IDELVION®
    Prescribing Information
    Size: 2000 IU Range 5 mL Single-dose Vial with Mix2Vial® Filter Transfer Set
    Manufacturer: CSL Behring
    NDC#: 69911-0867-02
    Code*: J7202
    RNIRNI
    340BYes
    Product: IDELVION®
    Prescribing Information
    Size: 3500 IU Range 5 mL Single-dose Vial with Mix2Vial® Filter Transfer Set
    Manufacturer: CSL Behring
    NDC#: 69911-0869-02
    Code*: J7202
    RNIRNI
    340BYes
    Product: REBINYN®
    Prescribing Information
    Size: 500 IU Range 4 mL Single-Dose Vial With MixPro®
    Manufacturer: Novo Nordisk
    NDC#: 00169-7905-01
    Code*: J7195
    RNIRNI
    340BNo
    Product: REBINYN®
    Prescribing Information
    Size: 1000 IU Range 4 mL Single-Dose Vial With MixPro®
    Manufacturer: Novo Nordisk
    NDC#: 00169-7901-01
    Code*: J7195
    RNIRNI
    340BNo
    Product: REBINYN®
    Prescribing Information
    Size: 2000 IU Range 4 mL Single-Dose Vial With MixPro®
    Manufacturer: Novo Nordisk
    NDC#: 00169-7902-01
    Code*: J7195
    RNIRNI
    340BNo
    Product: REBINYN®
    Prescribing Information
    Size: 3000 IU Range 4 mL Single-Dose Vial With MixPro®
    Manufacturer: Novo Nordisk
    NDC#: 00169-7903-01
    Code*: J7195
    RNIRNI
    340BNo
    Anti-Inhibitor Coagulant Complex
    Product: FEIBA®
    Prescribing Information
    Size: 500 IU Range 10 mL Single-dose Vial [Kit] (350-650 IU)
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 64193-0426-02
    Code*: J7198
    RNIRNI
    340BYes
    Product: FEIBA®
    Prescribing Information
    Size: 1000 Range 20 mL Single-dose Vial [Kit] (700-1300 IU)
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 64193-0424-02
    Code*: J7198
    RNIRNI
    340BYes
    Product: FEIBA®
    Prescribing Information
    Size: 2500 Range 50 mL Single-dose Vial [Kit] (1750-3250 IU)
    Manufacturer: Takeda Pharmaceuticals
    NDC#: 64193-0425-02
    Code*: J7198
    RNIRNI
    340BYes
    Coagulation Factor VIIa (Recombinant)
    Product: NovoSeven® RT
    Prescribing Information
    Size: 1000 mcg (1 mg) Single-dose Vial, 1 mL Diluent Syringe With MixPro® Vial Adapter
    Manufacturer: Novo Nordisk
    NDC#: 00169-7201-01
    Code*: J7189
    RNIRNI
    340BYes
    Product: NovoSeven® RT
    Prescribing Information
    Size: 2000 mcg (2 mg) Single-dose Vial, 2 mL Diluent Syringe With MixPro® Vial Adapter
    Manufacturer: Novo Nordisk
    NDC#: 00169-7202-01
    Code*: J7189
    RNIRNI
    340BYes
    Product: NovoSeven® RT
    Prescribing Information
    Size: 5000 mcg (5 mg) Single-dose Vial, 5 mL Diluent Syringe With MixPro® Vial Adapter
    Manufacturer: Novo Nordisk
    NDC#: 00169-7205-01
    Code*: J7189
    RNIRNI
    340BYes
    Product: NovoSeven® RT
    Prescribing Information
    Size: 8000 mcg (8 mg) Single-dose Vial, 8 mL Diluent Syringe With MixPro® Vial Adapter
    Manufacturer: Novo Nordisk
    NDC#: 00169-7208-01
    Code*: J7189
    RNIRNI
    340BYes
    Product: SEVENFACT®
    Prescribing Information
    Size: 1 mg (1000 mcg) Single-dose Vial, 1.1 mL Pre-filled Syringe Sterile Water with 13 mm Vial Adapter
    Manufacturer: HEMA Biologics
    NDC#: 71127-1000-01
    Code*: J7212
    RNINo
    340BYes
    Product: SEVENFACT®
    Prescribing Information
    Size: 5 mg (5000 mcg) Single-dose Vial, 5.2 mL Pre-filled Syringe Sterile Water with 20 mm Vial Adapter
    Manufacturer: HEMA Biologics
    NDC#: 71127-5000-01
    Code*: J7212
    RNINo
    340BYes
    Factor IX Complex
    Product: Profilnine®
    Prescribing Information
    Size: 500 IU 5 mL Single-dose Vial
    Manufacturer: Grifols
    NDC#: 68516-3210-01
    Code*: J7194
    RNINo
    340BNo
    Product: Profilnine®
    Prescribing Information
    Size: 1000 IU Vial 10 mL Single-dose Vial
    Manufacturer: Grifols
    NDC#: 68516-3211-02
    Code*: J7194
    RNINo
    340BNo
    Product: Profilnine®
    Prescribing Information
    Size: 1500 IU Vial 10 mL Single-dose Vial
    Manufacturer: Grifols
    NDC#: 68516-3212-02
    Code*: J7194
    RNINo
    340BNo
    Prothrombin Complex Concentrate
    Product: Balfaxar®
    Prescribing Information
    Size: 500 IU Range 20 mL Vial
    Manufacturer: Octapharma
    NDC#: 68982-0261-01
    Code*: J3590/ C9399
    RNIRNI
    340BYes
    Product: Balfaxar®
    Prescribing Information
    Size: 1000 IU Range 40 mL Vial
    Manufacturer: Octapharma
    NDC#: 68982-0261-02
    Code*: J3590/ C9399
    RNIRNI
    340BYes
    Product: Kcentra®
    Prescribing Information
    Size: 500 IU Range 20 mL Single-dose Vial (400-620 IU)
    Manufacturer: CSL Behring
    NDC#: 63833-0386-02
    Code*: J3590/ C9132
    RNIRNI
    340BYes
    Product: Kcentra®
    Prescribing Information
    Size: 1000 IU 40 mL Single-dose Vial (800-1240 IU)
    Manufacturer: CSL Behring
    NDC#: 63833-0387-02
    Code*: J3590/ C9132
    RNIRNI
    340BYes
    Factor Xa (Recombinant), Inactivated-zhzo
    Product: ANDEXXA®
    Prescribing Information
    Size: 200 mg Carton of 4
    Manufacturer: AstraZeneca
    NDC#: 69853-0102-01
    Code*: C9399/ J3590
    RNIRNI
    340BTBD
    Product: ANDEXXA®
    Prescribing Information
    Size: 200 mg Carton of 4
    Manufacturer: AstraZeneca
    NDC#: 00310-3200-04
    Code*: C9399/ J3590
    RNIRNI
    340BTBD
    Product: ANDEXXA®
    Prescribing Information
    Size: 200 mg Carton of 5
    Manufacturer: AstraZeneca
    NDC#: 00310-3200-05
    Code*: C9399/ J3590
    RNIRNI
    340BTBD
    Factor XIII Concentrate (Human)
    Product: Corifact®
    Prescribing Information
    Size: 1000-1600 IU 20 mL Single-dose Vial
    Manufacturer: CSL Behring
    NDC#: 63833-0518-02
    Code*: J7180
    RNIRNI
    340BYes
    Fibrinogen Concentrate (Human)
    Product: FIBRYGA®
    Prescribing Information
    Size: 1 gm Single-dose Vial
    Manufacturer: Octapharma
    NDC#: 68982-0347-01
    Code*: J7177
    RNIRNI
    340BYes
    Product: RiaSTAP®
    Prescribing Information
    Size: 1000 mg Range (900-1300 mg) Single-dose Vial
    Manufacturer: CSL Behring
    NDC#: 63833-0891-51
    Code*: J7178
    RNIRNI
    340BYes
    *All codes should be verified between the provider and the payer.
    +Call (800) 843-7477 or check ordering screen for RCo values.
    †Call for additional vial size options.
    RNI - RightNow Inventory™ Eligible Products | 340B - Public Health Services 340B Pricing Available.
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