Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, rebinyn, 1 i.u.
Short Description: Inj, factor ix, rebinyn
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: April 1, 2018
Effective Date: January 1, 2019
Termination Date: December 31, 2018