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Jivi

NDC 0026-3946 · Bayer HealthCare LLC

Generic nameAntihemophilic Factor (Recombinant) Pegylated-aucl
Dosage formKIT
Marketing categoryBLA

Packages

0026-3946-25 — 1 KIT in 1 BOX (0026-3946-25) * 2.5 mL in 1 VIAL (0026-4946-99) * 2.5 mL in 1 SYRINGE (0026-0426-02) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4946-01)

0026-3946-99 — 1 KIT in 1 BOX (0026-3946-99) * 2.5 mL in 1 VIAL (0026-4946-99) * 2.5 mL in 1 SYRINGE (0026-0426-02) * 2.5 mL in 1 VIAL, SINGLE-USE (0026-4946-01)

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