Prolastin-C Liquid
NDC 13533-705 · GRIFOLS USA, LLC
Generic nameAlpha1-Proteinase Inhibitor (Human)
Dosage formINJECTION, SOLUTION
RouteINTRAVENOUS
Active ingredient(s).ALPHA.1-PROTEINASE INHIBITOR HUMAN
Strength1000 mg/20mL
Pharmacologic classHuman alpha-1 Proteinase Inhibitor [EPC], Trypsin Inhibitors [MoA]
Marketing categoryBLA
Packages
13533-705-01 — 1 VIAL in 1 CARTON (13533-705-01) / 20 mL in 1 VIAL (13533-705-11)
13533-705-31 — 1 VIAL in 1 CARTON (13533-705-31) / 10 mL in 1 VIAL (13533-705-32)
13533-705-51 — 1 VIAL in 1 CARTON (13533-705-51) / 80 mL in 1 VIAL (13533-705-52)
Billed under HCPCS
J0256 — Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg Medicare Part B payment limit (ASP + 6%): $5.13
Related Codes
Same active ingredient
FDA lists these products with the same active ingredient.
0944-2884 — ALPHA.1-PROTEINASE INHIBITOR HUMAN