Product Description | Manufacturer | Product NDC | HCPCS Code |
|---|---|---|---|
Asceniv 10% 5gm/50ml | ADMA | 69800-0250-01 | J1554 |
Bivigam 10% 5gm/50ml | ADMA | 69800-6502-01 | J1556 |
Bivigam 10% 10gm/100ml | ADMA | 69800-6503-01 | J1556 |
Cutaquig 1gm/6ml | Octapharma | 68982-0810-01 | J1551 |
Cutaquig 2gm/12ml | Octapharma | 68982-0810-03 | J1551 |
Cutaquig 4gm/24ml | Octapharma | 68982-0810-05 | J1551 |
Cutaquig 8gm/48ml | Octapharma | 68982-0810-06 | J1551 |
Gammagard Liquid 5% 5gm/96ml | Takeda | 00944-2656-03 | J1569 |
Gammagard Liquid 5% 10gm/192ml | Takeda | 00944-2658-04 | J1569 |
Gammagard Liquid 10% 1gm/10ml | Takeda | 00944-2700-02 | J1569 |
Gammagard Liquid 10% 2.5gm/25ml | Takeda | 00944-2700-03 | J1569 |
Gammagard Liquid 10% 5gm/50ml | Takeda | 00944-2700-04 | J1569 |
Gammagard Liquid 10% 10gm/100ml | Takeda | 00944-2700-05 | J1569 |
Gammagard Liquid 10% 20gm/200ml | Takeda | 00944-2700-06 | J1569 |
Gammagard Liquid 10% 30gm/300ml | Takeda | 00944-2700-07 | J1569 |
Gammaked 10% 5gm/50ml | Kedrion | 76125-0900-50 | J1561 |
Gammaked 10% 10gm/100ml | Kedrion | 76125-0900-10 | J1561 |
Gammaked 10% 20gm/200ml | Kedrion | 76125-0900-20 | J1561 |
Gammaplex 5% 5gm/100ml | Kedrion | 64208-8234-06 | J1557 |
Gammaplex 5% 10gm/200ml | Kedrion | 64208-8234-07 | J1557 |
Gammaplex 5% 20gm/400ml | Kedrion | 64208-8234-08 | J1557 |
Gammaplex 10% 5gm/50ml | Kedrion | 64208-8235-05 | J1557 |
Gammaplex 10% 10gm/100ml | Kedrion | 64208-8235-06 | J1557 |
Gammaplex 10% 20gm/200ml | Kedrion | 64208-8235-07 | J1557 |
Gamunex-C 1gm/10ml | Grifols | 13533-0800-12 | J1561 |
Gamunex-C 2.5gm/25ml | Grifols | 13533-0800-15 | J1561 |
Gamunex-C 5gm/50ml | Grifols | 13533-0800-20 | J1561 |
Gamunex-C 10gm/100ml | Grifols | 13533-0800-71 | J1561 |
Gamunex-C 20gm/200ml | Grifols | 13533-0800-24 | J1561 |
Gamunex-C 40gm/400ml | Grifols | 13533-0800-40 | J1561 |
Hizentra 1gm/10ml | CSL Behring | 44206-0456-21 | J1559 |
Hizentra 2gm/20ml | CSL Behring | 44206-0452-02 | J1559 |
Hizentra 4gm/40ml | CSL Behring | 44206-0454-04 | J1559 |
Hizentra 10gm/100ml | CSL Behring | 44206-0455-10 | J1559 |
Octagam 5% 1gm/20ml | Octapharma | 68982-0840-01 | J1568 |
Octagam 5% 2.5gm/50ml | Octapharma | 68982-0840-02 | J1568 |
Octagam 5% 5gm/100ml | Octapharma | 68982-0840-03 | J1568 |
Octagam 5% 10gm/200ml | Octapharma | 68982-0840-04 | J1568 |
Octagam 10% 2gm/20ml | Octapharma | 68982-0850-01 | J1568 |
Octagam 10% 5gm/50ml | Octapharma | 68982-0850-02 | J1568 |
Octagam 10% 10gm/100ml | Octapharma | 68982-0850-03 | J1568 |
Octagam 10% 20gm/200ml | Octapharma | 68982-0850-04 | J1568 |
Octagam 10% 30gm/300ml | Octapharma | 68982-0850-05 | J1568 |
Panzyga 10% 2.5gm/25ml | Octapharma | 68982-0820-02 | J1576 |
Panzyga 10% 5gm/50ml | Octapharma | 68982-0820-03 | J1576 |
Panzyga 10% 10gm/100ml | Octapharma | 68982-0820-04 | J1576 |
Panzyga 10% 20gm/200ml | Octapharma | 68982-0820-05 | J1576 |
Panzyga 10% 30gm/300ml | Octapharma | 68982-0820-06 | J1576 |
Privigen 5gm/50ml | CSL Behring | 44206-0436-05 | J1459 |
Privigen 10gm/100ml | CSL Behring | 44206-0437-10 | J1459 |
Privigen 20gm/200ml | CSL Behring | 44206-0438-20 | J1459 |
Privigen 40gm/400ml | CSL Behring | 44206-0439-40 | J1459 |
Privigen 5gm/50ml ASP PRICING | CSL Behring | 44206-0436-05 | J1459 |
Privigen 10gm/100ml ASP PRICING | CSL Behring | 44206-0437-10 | J1459 |
Privigen 20gm/200ml ASP PRICING | CSL Behring | 44206-0438-20 | J1459 |
Privigen 40gm/400ml ASP PRICING | CSL Behring | 44206-0439-40 | J1459 |
