AHCCCS Fee-for-Service Rates
Hemophilia Factor Pricing

Effective July 1, 2006 - September 30, 2006

FACTOR NAME MANUFACTURER FACTOR ASSAY RANGE NDC# 3rd Quarter Cost
ADVATE BAXTER 200-400 00944-2940-01 $0.9600
ADVATE BAXTER 401-800 00944-2940-02 $0.9600
ADVATE BAXTER 801-1200 00944-2940-03 $0.9600
ADVATE BAXTER 1201-1800 00944-2940-04 $0.9600
ADVATE **New NDC and vial size BAXTER 1801-2400 00944-2940-10 $0.9600
         
ALPHANATE-SD-HT GRIFOLS 250-999 68516-4600-01 $0.6478
ALPHANATE-SD-HT GRIFOLS 1000+ 68516-4600-02 $0.6478
         
ALPHANINE-SD-VF GRIFOLS 500-1500 68516-3600-02 $0.7462
         
BEBULIN BAXTER 500-700 64193-0244-02 $0.7760
         
BENEFIX WYETH 250 58394-0003-01 $0.87170
BENEFIX WYETH 500 58394-0002-01 $0.87170
BENEFIX WYETH 1000 58394-0001-01 $0.87120
         
FEIBA-VH BAXTER 400-650 64193-0222-03 $1.0790
FEIBA-VH BAXTER 651-1200 64193-0222-04 $1.0790
FEIBA-VH BAXTER 2500+ 64193-0222-05 $1.0790
         
HELIXATE-FS ZLB/BEHRING 250 00053-8130-01 $0.8850
HELIXATE-FS ZLB/BEHRING 500 00053-8130-02 $0.8850
HELIXATE-FS ZLB/BEHRING 1000 00053-8130-04 $0.8850
         
HEMOFIL-M BAXTER LOW 00944-2935-01 $0.6310
HEMOFIL-M **New NDC and vial size BAXTER MID 00944-2935-02 $0.6310
HEMOFIL-M **New NDC and vial size BAXTER HIGH 00944-2935-03 $0.6310
HEMOFIL-M **New NDC and vial size BAXTER SUPER HIGH 00944-2935-04 $0.6310
         
HUMATE-P (PER RISTOCETIN COFACTOR UNIT) ZBL/BEHRING 500 00053-7620-05 $0.7650
HUMATE-P (PER RISTOCETIN COFACTOR UNIT) ZBL/BEHRING 1000 00053-7620-10 $0.7650
HUMATE-P (PER RISTOCETIN COFACTOR UNIT) ZBL/BEHRING 2000 00053-7620-20 $0.7650
         
KOATE DVI BAYER 250 00026-0665-20 $0.5950
KOATE DVI BAYER 500 00026-0665-30 $0.5950
KOATE DVI BAYER 1000 00026-0665-50 $0.5950
         
KOGENATE-FS BAYER 250 00026-0372-20 $0.8750
KOGENATE-FS BAYER 500 00026-0372-30 $0.8750
KOGENATE-FS BAYER 1000 00026-0372-50 $0.8750
KOGENATE-FS w/ Bioset *New BAYER 250 00026-0379-20 $0.8850
KOGENATE-FS w/ Bioset *New BAYER 500 00026-0379-30 $0.8850
KOGENATE-FS w/ Bioset *New BAYER 1000 00026-0379-50 $0.8850
         
MONARC-M AMERICAN RED CROSS/BAXTER ALL 52769-0460-01 $0.5640
         
MONOCLATE-P ZLB/BEHRING 250 00053-7656-01 $0.6150
MONOCLATE-P ZLB/BEHRING 500 00053-7656-02 $0.6150
MONOCLATE-P ZLB/BEHRING 1000 00053-7656-04 $0.6150
MONOCLATE-P ZLB/BEHRING 1500 00053-7656-05 $0.6150
         
MONONINE ZLB/BEHRING 250 00053-7668-01 $0.7750
MONONINE ZLB/BEHRING 500 00053-7668-02 $0.7750
MONONINE ZLB/BEHRING 1000 00053-7668-04 $0.7750
         
NOVOSEVEN 1.2MG VIAL (per mcg) NOVO NORDISK 1.2 mg vial 00169-7060-01 $0.9380
NOVOSEVEN 2.4MG VIAL (per mcg) NOVO NORDISK 2.4 mg vial 00169-7061-01 $0.9130
NOVOSEVEN 4.8MG VIAL (per mcg) NOVO NORDISK 4.8 mg vial 00169-7062-01 $0.9200
         
PROFILNINE-SD GRIFOLS 450-999 68516-3200-02 $0.5564
PROFILNINE-SD GRIFOLS 1000-1500 68516-3200-03 $0.5564
         
PROPLEX-T BAXTER 700-3900 00944-0581-01 $0.3670
         
RECOMBINATE BAXTER 220-400 00944-2938-01 $0.9070
RECOMBINATE BAXTER 401-800 00944-2938-02 $0.9070
RECOMBINATE BAXTER 801-1240 00944-2938-03 $0.9070
         
REFACTO WYETH 250 58394-0007-02 $0.90500
REFACTO WYETH 500 58394-0006-02 $0.90500
REFACTO WYETH 1000 58394-0005-02 $0.90500
REFACTO WYETH 2000 58394-0011-02 $0.85500

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