ESPEROCT
NDC 0169-8300 · Novo Nordisk
Generic nameantihemophilic factor (recombinant), glycopegylated-exei
Dosage formKIT
Marketing categoryBLA
Packages
0169-8300-01 — 1 KIT in 1 KIT (0169-8300-01) * 4 mL in 1 VIAL, GLASS (0169-8301-90) * 4 mL in 1 SYRINGE, GLASS (0169-8008-98) * 4 mL in 1 VIAL, GLASS (0169-8301-11)
0169-8300-93 — 1 KIT in 1 KIT (0169-8300-93) * 4 mL in 1 VIAL, GLASS (0169-8301-90) * 4 mL in 1 SYRINGE, GLASS (0169-8008-98) * 4 mL in 1 VIAL, GLASS (0169-8301-11)
Billed under HCPCS
J7204 — Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu Medicare Part B payment limit (ASP + 6%): $2.30