Ambulatory Payment Classifications

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Drugs and Biologicals (Excluding Cancer/Chemotherapy)

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Hemophilia Products

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0702   Inj, human-lans, per i.u
0713   Inj roctavian ml 2x10^13vc g
0925   Factor viii
0927   Factor viii recombinant
0928   Factor ix complex
0931   Factor IX non-recombinant
0932   Factor ix recombinant nos
1213   Antihemophilic viii/vwf comp
1416   Factor xiii anti-hem factor
1467   Factor ix recombinan rixubis
1486   Factor ix fc fusion recomb
1656   Factor viii fc fusion recomb
1705   Factor viia recomb novoseven
1746   Factor xiii recomb a-subunit
1827   Factor viii recomb obizur
1844   Factor viii pegylated recomb
1846   Factor viii nuwiq recomb 1iu
1856   Factor viii recomb novoeight
1857   Inj, factor x, (human), 1iu
9171   Factor ix idelvion inj
9395   Factor viia recomb sevenfact
9468   Factor ix recomb gly rebinyn
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