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KEPIVANCE

NDC 66658-113 · Swedish Orphan Biovitrum AB (publ)

Generic namepalifermin
Dosage formINJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
RouteINTRAVENOUS
Active ingredient(s)PALIFERMIN
Strength5.16 mg/1.2mL
Pharmacologic classFibroblast Growth Factor 7 [CS], Increased Epithelial Proliferation [PE], Mucocutaneous Epithelial Cell Growth Factor [EPC]
Marketing categoryBLA

Packages

66658-113-03 — 3 VIAL, SINGLE-USE in 1 CARTON (66658-113-03) / 1.2 mL in 1 VIAL, SINGLE-USE (66658-113-01)

Billed under HCPCS

J2425 — Injection, palifermin, 50 micrograms Medicare Part B payment limit (ASP + 6%): $38.69