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.
Product
Size
ManufacturerMfgr
NDC#
Code*
VIP
340B
Bispecific Monoclonal Antibody with Inhibitors
Factor VIII (Recombinant)
Size: 250 IU Single-dose Vial
Manufacturer: Octapharma
NDC#: 68982-0139-01
Code*: J7209
VIPVIP
340BYes
Size: 500 IU Single-dose Vial
Manufacturer: Octapharma
NDC#: 68982-0141-01
Code*: J7209
VIPVIP
340BYes
Size: 1000 IU Single-dose Vial
Manufacturer: Octapharma
NDC#: 68982-0143-01
Code*: J7209
VIPVIP
340BYes
Size: 2000 IU Single-dose Vial
Manufacturer: Octapharma
NDC#: 68982-0145-01
Code*: J7209
VIPVIP
340BYes
Size: 2500 IU Single-dose Vial
Manufacturer: Octapharma
NDC#: 68982-0147-01
Code*: J7209
VIPVIP
340BYes
Size: 3000 IU Single-dose Vial
Manufacturer: Octapharma
NDC#: 68982-0149-01
Code*: J7209
VIPVIP
340BYes
Size: 4000 IU Single-dose Vial
Manufacturer: Octapharma
NDC#: 68982-0151-01
Code*: J7209
VIPVIP
340BYes
Factor VIII (Recombinant), Long-Acting
Factor VIII (Human)
Factor VIII/von Willebrand Factor Complex (Human)
Size: 250 IU Vial 600 RCOF
Manufacturer: CSL Behring
NDC#: 63833-0615-02
Code*: J7187
VIPVIP
340BYes
Size: 500 IU Vial 1200 RCOF
Manufacturer: CSL Behring
NDC#: 63833-0616-02
Code*: J7187
VIPVIP
340BYes
Size: 1000 IU Vial 2400 RCOF
Manufacturer: CSL Behring
NDC#: 63833-0617-02
Code*: J7187
VIPVIP
340BYes
Size: 1000 IU Vial 1000 RCOF
Manufacturer: Octapharma
NDC#: 68982-0182-02
Code*: J7183
VIPVIP
340BYes
von Willebrand Factor (Recombinant)
Factor IX (Human)
Factor IX (Recombinant)
Factor IX (Recombinant), Long-Acting
Anti-Inhibitor Coagulant Complex
Coagulation Factor VIIa (Recombinant)
Size: 1 mg Single-dose Vial
Manufacturer: HEMA Biologics
NDC#: 71127-1000-01
Code*: J7212
VIPNo
340BYes
Size: 5 mg Single-dose Vial
Manufacturer: HEMA Biologics
NDC#: 71127-5000-01
Code*: J7212
VIPNo
340BYes
Factor IX Complex
Prothrombin Complex Concentrate
Factor Xa (Recombinant), Inactivated-zhzo
Size: 200 mg 4 Carton
Manufacturer: Portola Pharmaceuticals
NDC#: 69853-0102-01
Code*: C9399/ J3590
VIPVIP
340BTBD
Factor XIII Concentrate (Human)
Fibrinogen Concentrate (Human)
*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.
VIP - Verified Inventory Program™ (VIPc)® | 340B - Public Health Services 340B Pricing Available.
+Call (800) 843-7477 or check ordering screen for RCo values.
†Call for additional vial size options.
VIP - Verified Inventory Program™ (VIPc)® | 340B - Public Health Services 340B Pricing Available.