Jivi
NDC 0026-3942 · Bayer HealthCare LLC
Generic nameAntihemophilic Factor (Recombinant) Pegylated-aucl
Dosage formKIT
Marketing categoryBLA
Packages
0026-3942-25 — 1 KIT in 1 BOX (0026-3942-25) * 2.5 mL in 1 VIAL (0026-4942-99) * 2.5 mL in 1 SYRINGE (0026-0426-02) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4942-01)
0026-3942-99 — 1 KIT in 1 BOX (0026-3942-99) * 2.5 mL in 1 VIAL (0026-4942-99) * 2.5 mL in 1 SYRINGE (0026-0426-02) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4942-01)
Billed under HCPCS
J7208 — Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. Medicare Part B payment limit (ASP + 6%): $2.76