IDELVION
NDC 69911-869 · CSL Behring Lengnau AG
Generic nameCoagulation Factor IX Recombinant Human
Dosage formKIT
Marketing categoryBLA
Packages
69911-869-02 — 1 KIT in 1 CARTON (69911-869-02) * 5 mL in 1 VIAL, SINGLE-USE (69911-879-01) * 5 mL in 1 VIAL, SINGLE-USE (69911-765-85)
Billed under HCPCS
J7202 — Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. Medicare Part B payment limit (ASP + 6%): $5.51