Hyqvia
NDC Package 83703-040-02

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Hyqvia is this kit contains two medications: immune globulin and hyaluronidase. Marketed by Bamboo Us Bidco Llc, this product is identified by NDC 83703-040 and is authorized under FDA application BLA125402.

Identification & Billing

NDC Package Code
83703-040-02
Package Description
1 KIT in 1 CARTON * 100 mL in 1 VIAL, GLASS (0944-2717-10) * 5 mL in 1 VIAL, GLASS (0944-2722-03)
Product Code
83703-040
11-Digit Billing Format
83703004002

Clinical Specifications

Proprietary Name
Hyqvia
Dosage Form
-
Usage Information
This kit contains two medications: immune globulin and hyaluronidase. Immune globulin is used to boost the body's natural defense system against infection in persons with a weakened immune system (primary immune deficiency). Immune globulin contains natural substances called antibodies (a type called IgG) that come from healthy human blood (plasma). These antibodies help protect your body against infections and help you to fight an infection if you get sick. Hyaluronidase is used to help the body absorb the immune globulin.

Regulatory & Marketing

Labeler Name
Bamboo Us Bidco Llc
FDA Application #
BLA125402
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
09-12-2014
End Marketing Date
02-26-2024
Listing Expiration
02-26-2024
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 83703-040-02 identifies a specific commercial package of 1 kit in 1 carton * 100 ml in 1 vial, glass (0944-2717-10) * 5 ml in 1 vial, glass (0944-2722-03) of Hyqvia, labeled by Bamboo Us Bidco Llc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Bamboo Us Bidco Llc on September 12, 2014. The current certification is valid through February 26, 2024.

What are the primary indications for this medication?

This kit contains two medications: immune globulin and hyaluronidase. Immune globulin is used to boost the body's natural defense system against infection in persons with a weakened immune system (primary immune deficiency). Immune globulin contains natural substances called antibodies (a type called IgG) that come from healthy human blood (plasma). These antibodies help protect your body against infections and help you to fight an infection if you get sick. Hyaluronidase is used to help the body absorb the immune globulin.

How is this Bamboo Us Bidco Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83703004002. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
83703-040-02
11-Digit CMS (5-4-2)
83703-0040-02

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.