Hemophilia Enhanced Specialty Discount Products

Therapeutic Group ANTIDIURETIC AND VASOPRESSOR HORMONES ANTIHEMOPHILIC VIII/VWF COMP ANTIHEMOPHILIC VIII/VWF COMP ANTIHEMOPHILIC VIII/VWF COMP ANTIHEMOPHILIC VIII/VWF COMP ANTIHEMOPHILIC VIII/VWF COMP ANTI-INHIBITOR ANTI-INHIBITOR ANTI-INHIBITOR FACTOR IX COMPLEX FACTOR IX COMPLEX FACTOR IX COMPLEX FACTOR IX COMPLEX FACTOR IX COMPLEX FACTOR IX NON-RECOMBINANT FACTOR IX NON-RECOMBINANT FACTOR IX NON-RECOMBINANT FACTOR IX NON-RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT FACTOR IX RECOMBINANT, RFIXFC FACTOR IX RECOMBINANT, RFIXFC FACTOR IX RECOMBINANT, RFIXFC FACTOR IX RECOMBINANT, RFIXFC FACTOR VIIA FACTOR VIIA FACTOR VIIA FACTOR VIIA FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT NOS FACTOR VIII RECOMBINANT RFVIIIFC FACTOR VIII RECOMBINANT RFVIIIFC FACTOR VIII RECOMBINANT RFVIIIFC FACTOR VIII RECOMBINANT RFVIIIFC FACTOR VIII RECOMBINANT RFVIIIFC FACTOR VIII RECOMBINANT RFVIIIFC FACTOR VIII RECOMBINANT RFVIIIFC FACTOR VIII, RECOMBINANT PORCINE SEQUENCE FACTOR XIII CONCENTRATE, HUMAN FACTOR XIII RECOMBINANT HUMAN FIBRINOGEN CONCENTRATE VON WILLEBRAND FACTOR (HP-VWF/FVIII) CONCENTRATE VON WILLEBRAND FACTOR (HP-VWF/FVIII) CONCENTRATE VON WILLEBRAND FACTOR (HP-VWF/FVIII) CONCENTRATE VON WILLEBRAND FACTOR/COAGULATION FACTOR VIII COMPLEX (HUMAN) VON WILLEBRAND FACTOR/COAGULATION FACTOR VIII COMPLEX (HUMAN)

GCN 26201 27334 27335 37015 27332 27333 23815 26335 23816 25144 34655 25140 25148 25142 91672 21647 91671 29983 25152 98600 25154 31007 25153 34873 34874 34868 34875 34869 36334 36335 36336 36333 99696 99697 99698 29034 30193 30194 26777 26778 25129 25151 09634 25132 09628 89260 99872 99873 99870 29387 99871 30439 30441 31205 31206 98830 98764 98634 98833 32723 98831 98832 37395 37396 37397 37393 37398 37394 27008 26818 25123 25125 25124 36663 36664 36665 36657 36666 36658 36662 37321 29584 35833 21666 26451 26450 26449 30188 30187

Label Name STIMATE 1.5 MG/ML NASAL SPRAY ALPHANATE 1,000-400 UNIT VIAL ALPHANATE 1,500-600 UNIT VIAL ALPHANATE 2,000-800 UNIT VIAL ALPHANATE 250-100 UNIT VIAL ALPHANATE 500-200 UNIT VIAL FEIBA NF 1,000 UNIT (NOMINAL) FEIBA NF 1,750-3,250 UNIT VIAL FEIBA NF 400-650 UNIT VIAL BEBULIN 200-1,200 UNITS VIAL KCENTRA 500 UNIT KIT PROFILNINE 1,000 UNITS VIAL PROFILNINE 1,500 UNITS VIAL PROFILNINE 500 UNITS VIAL ALPHANINE SD 1,000 UNITS VIAL ALPHANINE SD 1,500 UNITS VIAL ALPHANINE SD 500 UNITS VIAL MONONINE 1,000 UNITS KIT BENEFIX 1,000 UNIT KIT BENEFIX 2,000 UNIT KIT BENEFIX 250 UNIT KIT BENEFIX 3,000 UNIT KIT BENEFIX 500 UNIT KIT RIXUBIS 1,000 UNIT NOMINAL RIXUBIS 2,000 UNIT NOMINAL RIXUBIS 250 UNIT NOMINAL RIXUBIS 3,000 UNIT NOMINAL RIXUBIS 500 UNIT NOMINAL ALPROLIX 1,000 UNIT NOMINAL ALPROLIX 2,000 UNIT NOMINAL ALPROLIX 3,000 UNIT NOMINAL ALPROLIX 500 UNIT NOMINAL NOVOSEVEN RT 1 MG VIAL NOVOSEVEN RT 2 MG VIAL NOVOSEVEN RT 5 MG VIAL NOVOSEVEN RT 8 MG VIAL HEMOFIL M 1,000 UNIT NOMINAL HEMOFIL M 1,700 UNIT NOMINAL HEMOFIL M 250 UNIT NOMINAL HEMOFIL M 500 UNIT NOMINAL KOATE-DVI 1,000 UNITS VIAL KOATE-DVI 250 UNITS VIAL KOATE-DVI 500 UNITS KIT KOATE-DVI 500 UNITS VIAL MONOCLATE-P 1,000 UNITS KIT MONOCLATE-P 1,500 UNITS KIT XYNTHA 1,000 UNIT KIT XYNTHA 2,000 UNIT KIT XYNTHA 250 UNIT KIT XYNTHA 3,000 UNIT SYRINGE KIT XYNTHA 500 UNIT KIT XYNTHA SOLOFUSE 1,000 UNIT KIT XYNTHA SOLOFUSE 2,000 UNIT KIT XYNTHA SOLOFUSE 250 UNIT KIT XYNTHA SOLOFUSE 500 UNIT KIT ADVATE 1,201-1,800 UNITS VIAL ADVATE 1,801-2,400 UNITS VIAL ADVATE 2,401-3,600 UNITS VIAL ADVATE 200-400 UNITS VIAL ADVATE 3,601-4,800 UNITS VIAL ADVATE 401-800 UNITS VIAL ADVATE 801-1,200 UNITS VIAL NOVOEIGHT 1,000 UNIT VIAL NOVOEIGHT 1,500 UNIT VIAL NOVOEIGHT 2,000 UNIT VIAL NOVOEIGHT 250 UNIT VIAL NOVOEIGHT 3,000 UNIT VIAL NOVOEIGHT 500 UNIT VIAL RECOMBINATE 1,241-1,800 UNIT V RECOMBINATE 1,801-2,400 UNIT V RECOMBINATE 220-400 UNIT VIAL RECOMBINATE 401-800 UNIT VIAL RECOMBINATE 801-1,240 UNIT VL ELOCTATE 1,000 UNIT NOMINAL ELOCTATE 1,500 UNIT NOMINAL ELOCTATE 2,000 UNIT NOMINAL ELOCTATE 250 UNIT NOMINAL ELOCTATE 3,000 UNIT NOMINAL ELOCTATE 500 UNIT NOMINAL ELOCTATE 750 UNIT NOMINAL OBIZUR 500 UNIT VIAL CORIFACT KIT TRETTEN 2,500 UNIT VIAL RIASTAP VIAL HUMATE-P 1,200 UNIT VWF:RCO HUMATE-P 2,400 UNIT VWF:RCO HUMATE-P 600 UNIT VWF:RCO WILATE 1,000-1,000 UNIT KIT WILATE 500-500 UNIT KIT

Additional Label Names Associated with GCN

FEIBA NF 651-1,200 UNIT VIAL FEIBA NF 2,500 UNIT (NOMINAL) FEIBA NF 500 UNIT (NOMINAL)

HELIXATE FS 2,000 UNIT VIAL HELIXATE FS 3,000 UNITS VIAL HELIXATE FS 250 UNIT VIAL

KOGENATE FS 2,000 UNIT VIAL KOGENATE FS 3,000 UNIT-ADAPTER KOGENATE FS 250 UNIT VIAL

KOGENATE FS 2,000 UNIT-ADAPTER KOGENATE FS 3,000 UNIT-BIOSET KOGENATE FS 250 UNIT VL-ADAPTR

KOGENATE FS 2,000 UNIT-BIOSET KOGENATE FS 3,000 UNITS VIAL KOGENATE FS 250 UNIT VL-BIOSET

HELIXATE FS 500 UNIT VIAL HELIXATE FS 1,000 UNIT VIAL

KOGENATE FS 500 UNIT VIAL KOGENATE FS 1,000 UNIT-ADAPTER

KOGENATE FS 500 UNIT VL-ADAPTR KOGENATE FS 1,000 UNIT-BIOSET

KOGENATE FS 500 UNIT VL-BIOSET KOGENATE FS 1,000 UNITS VIAL

OBIZUR 500 UNIT VIAL - 5 VIALS

OBIZUR 500 UNIT VIAL -10 VIALS

WAC Equivalent 1.0% -13.0% -13.0% -13.0% -13.0% -13.0% -8.5% -8.5% -8.5% -3.0% -3.0% -3.0% -3.0% -3.0% -6.0% -6.0% -6.0% -6.0% -1.0% -1.0% -1.0% -1.0% -1.0% -1.0% -1.0% -1.0% -1.0% -1.0% -2.0% -2.0% -2.0% -2.0% -8.9% -8.9% -8.9% -8.9% -11.7% -11.7% -11.7% -11.7% -11.7% -11.7% -11.7% -11.7% -11.7% -11.7% -7.0% -7.0% -7.0% -7.0% -7.0% -7.0% -7.0% -7.0% -7.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -10.0% -4.0% -4.0% -4.0% -4.0% -4.0% -4.0% -4.0% -10.0% -1.0% 0.7% -4.0% -11.7% -11.7% -11.7% -8.0% -8.0%