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Ultomiris

NDC 25682-028 · Alexion Pharmaceuticals Inc.

Generic nameravulizumab
Dosage formSOLUTION, CONCENTRATE
RouteINTRAVENOUS
Active ingredient(s)RAVULIZUMAB
Strength1100 mg/11mL
Pharmacologic classComplement Inhibitor [EPC], Complement Inhibitors [MoA]
Marketing categoryBLA

Packages

25682-028-01 — 1 VIAL, GLASS in 1 CARTON (25682-028-01) / 11 mL in 1 VIAL, GLASS

Billed under HCPCS

J1303 — Injection, ravulizumab-cwvz, 10 mg Medicare Part B payment limit (ASP + 6%): $226.92

Related Codes

Same active ingredient

FDA lists these products with the same active ingredient.

25682-022 — ravulizumab, 25682-025 — ravulizumab