Page 76 - 2017 V1 InsideOut

PD Plasma Derivatives
Hyper-Immune Globulin
CODE
PRODUCT
SIZE
MFR.
NDC #
PK/CS
Intramuscular Immune Globulins (Human)
J1470
GamaSTAN® S/D
2 mL
GFS
13533-0635-04
vial
J1550
GamaSTAN® S/D
10 mL
GFS
13533-0635-12
vial
Rho(D) Immune Globulin
J2788
HyperRHO® S/D Mini-Dose
250 iu
GFS
13533-0661-06
10/pk
J2790
HyperRHO® S/D
1500 iu
GFS
13533-0631-02
syringe
HyperRHO® S/D
1500 iu
GFS
13533-0631-10
10/pk
J2788
MICRhoGAM® UF Plus
1 x 50 mcg
KED
00562-7806-01
syringe
J2788
MICRhoGAM® UF Plus
5 x 50 mcg
KED
00562-7806-05
syringe
J2788
MICRhoGAM® UF Plus
25 x 50 mcg
KED
00562-7806-25
syringe
J2790
RhoGAM® UF Plus
1 x 300 ug
KED
00562-7805-01
syringe
J2790
RhoGAM® UF Plus
5 x 300 ug
KED
00562-7805-05
syringe
J2790
RhoGAM® UF Plus
25 x 300 ug
KED
00562-7805-25
syringe
J2791
Rhophylac®
300 mcg
CSL
44206-0300-01
syringe
J2791
Rhophylac®
300 mcg
CSL
44206-0300-10
10/pk
J2792
WinRho® SDF Liquid 1500 iu
300 mcg
CAN
53270-3300-01
vial
J2792
WinRho® SDF Liquid 2500 iu
500 mcg
CAN
53270-3500-01
vial
J2792
WinRho® SDF Liquid 2500 iu
500 mcg
APVO
70504-3500-02
ea
J2792
WinRho® SDF Liquid 5000 iu
1000 mcg
CAN
53270-3100-01
vial
J2792
WinRho® SDF Liquid 15000 iu
3000 mcg
CAN
53270-3000-01
vial
Hepatitis B Immune Globulin
J1573
HepaGam B®
1 mL
CAN
53270-0052-01
vial
J1573
HepaGam B®
5 mL
CAN
53270-0051-01
vial
J1573
HepaGam B® NovoPlus
5 mL
CAN
53270-0054-01
vial
CPT-90371
HyperHEP B® S/D
0.5 mL
GFS
13533-0636-03
syringe
CPT-90371
HyperHEP B® S/D
1 mL
GFS
13533-0636-02
syringe
CPT-90371
HyperHEP B® S/D
5 mL
GFS
13533-0636-05
vial
C9105
Nabi-HB®
1 mL
BIOT
59730-4202-01
vial
C9105
Nabi-HB®
5 mL
BIOT
59730-4203-01
vial
Rabies Immune Globulin
CPT-90375
HyperRAB® S/D
2 mL
GFS
13533-0618-02
vial
CPT-90375
HyperRAB® S/D
10 mL
GFS
13533-0618-10
vial
CPT-90376
IMOGAM® Rabies-HT
150 iu/2 mL
SAN
49281-0190-20
vial
Tetanus Immune Globulin
J1670
HyperTET® S/D
1 mL
GFS
13533-0634-02
syringe
Cytomegalovirus Immune Globulin Intravenous (Human)
J0850
CytoGam®
2.5 gm/50 mL
CSL
44206-0532-11
vial
NEW
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