IDELVION
NDC 69911-866 · CSL Behring Lengnau AG
Generic nameCoagulation Factor IX Recombinant Human
Dosage formKIT
Marketing categoryBLA
Packages
69911-866-02 — 1 KIT in 1 CARTON (69911-866-02) * 2.5 mL in 1 VIAL, SINGLE-USE (69911-876-01) * 2.5 mL in 1 VIAL, SINGLE-USE (69911-765-82)
Billed under HCPCS
J7202 — Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. Medicare Part B payment limit (ASP + 6%): $5.51