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Derivatives

ALBUMIN

Description NDC# SZ/FM Mfr Code (sub-code)
ALBURX 5% 250ML VL 44206031025 1/EA CSL BEH NR  
ALBURX 5% 500ML VL 44206031050 1/EA CSL BEH NR  
ALBUMINAR 25% 50ML VL 00053768032 1/EA CSL BEH NR  
ALBURX 25% 50ML VL 44206025105 1/EA CSL BEH NR  
ALBUMINAR 25% 100ML VL 00053768033 1/EA CSL BEH NR  
ALBURX 25% 100ML VL 44206025110 1/EA CSL BEH NR  
ALBUTEIN 5% 250ML VL 68516521101 1/EA GRIFOLS NR  
ALBUTEIN 5% 500ML VL 68516521102 1/EA GRIFOLS NR  
ALBUTEIN 25% 50ML VL 61953000201 1/EA GRIFOLS NR  
ALBUTEIN 25% 100ML VL 61953000202 1/EA GRIFOLS NR  
BUMINATE 5% 250ML VL 00944049101 1/EA BAXTER NR  
BUMINATE 5% 500ML VL 00944049102 1/EA BAXTER NR  
BUMINATE 25% 20ML VL 00944049001 1/EA BAXTER NR  
BUMINATE 25% 50ML VL 00944049002 1/EA BAXTER NR  
BUMINATE 25% 100ML VL 00944049003 1/EA BAXTER NR  
FLEXBUMIN 25% 50ML  00944049301 24/CS BAXTER NR  
FLEXBUMIN 25% 100ML  00944049302 12/CS BAXTER NR  
PLASBUMIN 5% 50ML VL 13533069020 1/EA TALECRIS NR  
PLASBUMIN 5% 250ML VL 13533069025 1/EA TALECRIS NR  
PLASBUMIN 25% 20ML VL 13533069216 1/EA TALECRIS NR  
PLASBUMIN 25% 50ML VL 13533069220 1/EA TALECRIS NR  
PLASBUMIN 25% 100ML VL 13533069271 1/EA TALECRIS NR  
PANHEMATIN 313MG 43MLSDV 67386070154 1/EA OVATION PHARMACEUTICALS INC NR REFRIGERATED

HEPATITIS IMMUNE GLOBULIN

Description NDC# SZ/FM Mfr Code (sub-code)
HEPAGAM B 1ML SDV 60492005201 1/EA APOTEX NR REFRIGERATED
HEPAGAM B 5ML SDV 60492005101 1/EA APOTEX NR REFRIGERATED
HYPER HEP B S/D 0.5ML SAFETY SYR 13533063603 1/EA TALECRIS NR REFRIGERATED
HYPER HEP B S/D 1ML SAFETY SYRINGE 13533063602 1/EA TALECRIS NR REFRIGERATED
HYPER HEP B S/D 5ML VL 13533063605 1/EA TALECRIS NR REFRIGERATED
NABI-HB 1ML SDV 59730420201 1/EA NABI NR REFRIGERATED
NABI-HB 5ML SDV 59730420301 1/EA NABI NR REFRIGERATED

INTRAMUSCULAR IMMUNE GLOBULIN

Description NDC# SZ/FM Mfr Code (sub-code)
GAMASTAN 2ML VL 13533063504 1/EA TALECRIS NR REFRIGERATED
GAMASTAN 10ML VL 13533063512 1/EA TALECRIS NR REFRIGERATED
GAMASTAN 02ML LF SYR 13533063503 1/EA TALECRIS NR REFRIGERATED

INTRAVENOUS IMMUNE GLOBULIN

Description NDC# SZ/FM Mfr Code (sub-code)
CARIMUNE NF 3GM VL 44206041603 1/EA CSL BEH NR  
CARIMUNE NF 6GM VL 44206041706 1/EA CSL BEH NR  
CARIMUNE NF 12GM VL 44206041812 1/EA CSL BEH NR  
FLEBOGAMMA 5% 0.5GM 61953000301 1/EA GRIFOLS NR  
FLEBOGAMMA 5% 2.5GM 61953000302 1/EA GRIFOLS NR  
FLEBOGAMMA 5% 5GM 61953000303 1/EA GRIFOLS NR  
FLEBOGAMMA 5% 10GM 61953000304 1/EA GRIFOLS NR  
FLEBOGAMMA  DIF 5% 0.5GM 61953000401 1/EA GRIFOLS NR  
FLEBOGAMMA DIF 5% 2.5GM 61953000402 1/EA GRIFOLS NR  
FLEBOGAMMA DIF 5% 5GM 61953000403 1/EA GRIFOLS NR  
FLEBOGAMMA DIF 5% 10GM 61953000404 1/EA GRIFOLS NR  
FLEBOGAMMA DIF 5% 20GM 61953000405 1/EA GRIFOLS NR  
GAMMAGARD S/D 0.5GM VL 00944262001 1/EA BAXTER NR  
GAMMAGARD S/D 2.5GM VL 00944262002 1/EA BAXTER NR  
GAMMAGARD S/D 5GM VL 00944262003 1/EA BAXTER NR  
GAMMAGARD S/D 10GM VL 00944262004 1/EA BAXTER NR  
GAMMAGARD LIQUID 1GM VL 00944270002 1/EA BAXTER NR  
GAMMAGARD LIQUID 2.5GM VL 00944270003 1/EA BAXTER NR  
GAMMAGARD LIQUID 5GM VL 00944270004 1/EA BAXTER NR  
GAMMAGARD LIQUID10GM VL 00944270005 1/EA BAXTER NR  
GAMMAGARD LIQUID 20GM VL 00944270006 1/EA BAXTER NR  
GAMUNEX 10% 1GM VL 13533064512 1/EA BAYER NR REFRIGERATED
GAMUNEX 10% 2.5GM VL 13533064515 1/EA BAYER NR REFRIGERATED
GAMUNEX 10% 5GM VL 13533064520 1/EA BAYER NR REFRIGERATED
GAMUNEX 10% 10GM VL 13533064571 1/EA BAYER NR REFRIGERATED
GAMUNEX 10% 20GM VL 13533064524 1/EA BAYER NR REFRIGERATED
PANGLOBULIN NF 6GM 52769041706 1/EA ARC NR  
PANGLOBULIN NF 12GM 52769041812 1/EA ARC NR  
PRIVIGEN 05GM VL 44206043605 1/EA CSL BEHRING NR  
PRIVIGEN 10GM VL 44206043710 1/EA CSL BEHRING NR  
PRIVIGEN 20GM VL 44206043820 1/EA CSL BEHRING NR  

Intravenous Immune Globulin (IVIG) drop ship products

Description NDC# SZ/FM Mfr Code (sub-code)
VIVAGLOBIN 160MG/3ML 10BX  00053759603 10/BOX CSL BEHRING NR REFRIGERATED
VIVAGLOBIN 160MG/10ML      00053759610 1/EA CSL BEHRING NR REFRIGERATED
VIVAGLOBIN 160MG/10ML10BX  00053759615 10/BOX CSL BEHRING NR REFRIGERATED
VIVAGLOBIN 160MG/20ML      00053759620 1/EA CSL BEHRING NR REFRIGERATED
VIVAGLOBIN 160MG/20ML10BX  00053759625 10/BOX CSL BEHRING NR REFRIGERATED

PLASMA PROTEIN FRACTION (PPF)

Description NDC# SZ/FM Mfr Code (sub-code)
PLASMANATE 5% 50ML 13533061320 1/EA TALECRIS NR  
PLASMANATE 5% 250ML 13533061325 1/EA TALECRIS NR  

RABIES IMMUNE GLOBULIN

Description NDC# SZ/FM Mfr Code (sub-code)
HYPERRAB S/D 2ML VL 13533061802 1/EA TALECRIS NR REFRIGERATED
HYPERRAB S/D 10ML VL 13533061810 1/EA TALECRIS NR REFRIGERATED

RH IMMUNE GLOBULIN

Description NDC# SZ/FM Mfr Code (sub-code)
HYPER RHO-D S/D 300UGM SAFETY SYR 13533063102 1/EA TALECRIS NR REFRIGERATED
HYPER RHO-D S/D 300UGM MINI DOSE SAFETY SYR 10/PK 13533063106 1/EA TALECRIS NR REFRIGERATED
RHOPHYLAC 300MCG SAFETY SYR 44206030001 1/EA CSL BEH NR REFRIGERATED
RHOPHYLAC 300MCG SAFETY SYR 10/PK 44206030010 10/BX CSL BEH NR REFRIGERATED
WINRHO SDF 5000IU/1000MCG LIQ 00944296705 1/EA BAXTER NR REFRIGERATED
WINRHO SDF 1500IU/300MCG LIQ 00944296703 1/EA BAXTER NR REFRIGERATED
WINRHO SDF 15000IU/3000MCG LIQ 00944296709 1/EA BAXTER NR REFRIGERATED
WINRHO SDF 2500IU/500MCG LIQ  00944296707 1/EA BAXTER NR REFRIGERATED

TETANUS IMMUNE GLOBULIN

Description NDC# SZ/FM Mfr Code (sub-code)
HYPERTET S/D 250IU SAFETY SYR 13533063402 1/EA TALECRIS NR REFRIGERATED

Other Plasma Derivatives

Description NDC# SZ/FM Mfr Code (sub-code)
AT3 THROMBATE III 500IU VL 13533060320 1/EA TALECRIS NR REFRIGERATED
CYTOGAM 2.5GM VL 44206310110 1/EA MEDIMMUNE NR REFRIGERATED