![HYPERRHO FULL DOSE RHO(D) IMMUNE GLOBULIN (HUMAN) 1500 [iU]/mL Solution — NDC 13533-0631-11 package photo](https://dailymed.nlm.nih.gov/dailymed/image.cfm?setid=5bfc342e-8dc2-9344-0bd3-09c45a06af99&name=innercarton.jpg)
HYPERRHO FULL DOSE RHO(D) IMMUNE GLOBULIN (HUMAN) 1500 [iU]/mL Solution
🆔 Identity & classification
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🧪 Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
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UNII TE7660XO1C
Glycine is an amino acid used in medicines as a buffer to help stabilize pH and improve taste. It may also serve as a filler or binder to give the product proper form and consistency.
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UNII 059QF0KO0R
Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.
2 inactive ingredients listed in the exact product block matched to this NDC.
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ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.Inactive ingredient FAQ
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💲 Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per mL | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | $99.62 | — |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
| Medicare Part B allowsASP · J2790 | $85.125 / J2790 unit | — |
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🧾 Billing & reimbursement
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🔁 Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Hyperrho Full Dose 1500 [iU]/mLthis 13533-0631-11 | GRIFOLS | 1 syringe | — | — | FDA listed | — |
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⏳ Availability & biosimilar status
Biologics have no small-molecule generics; biosimilar competition is tracked in the FDA Purple Book.
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🗺️ Medicaid utilization & spend
💊 Medicaid utilization by pack size
📦 Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Status |
|---|---|---|---|
| 13533-0631-02 | 1 SYRINGE in 1 CARTON (13533-631-02) / 1 SOLUTION in 1 SYRINGE (13533-631-20) | 1996-08-14 | Active |
| 13533-0631-11 You're viewing this | 10 CARTON in 1 CARTON (13533-631-11) / 1 SYRINGE in 1 CARTON (13533-631-03) / 1 SOLUTION in 1 SYRINGE (13533-631-20) | 1996-08-14 | Active |
This pack accounts for about 17% of this product's recent Medicaid fills; most go to a different pack size. See all packs ↓
Pack size FAQ
What quantity is in NDC 13533-0631-11?
What NDC number is used to bill for this package of HYPERRHO FULL DOSE RHO(D) IMMUNE GLOBULIN (HUMAN) 1500 [iU]/mL Solution?
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| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | ✓ Available |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope. |
| HCPCS J-code billing crosswalk | ✓ Available |
| Medicaid utilization (CMS SDUD) | ✓ Available |
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📄 Full FDA label FDA SPL
🎯 Indications and Usage ▾
INDICATIONS AND USAGE Pregnancy and Other Obstetric Conditions Hyper RHO S/D Full Dose is recommended for the prevention of Rh hemolytic disease of the newborn by its administration to the Rh o (D) negative mother within 72 hours after birth of an Rh o (D) positive infant, 12 providing the following criteria are met: The mother must be Rh o (D) negative and must not already be sensitized to the Rh o (D) factor. Her child must be Rh o (D) positive, and should have a negative direct antiglobulin test (see PRECAUTIONS ).
If Hyper RHO S/D Full Dose is administered antepartum, it is essential that the mother receive another dose of Hyper RHO S/D Full Dose after delivery of an Rh o (D) positive infant. If the father can be determined to be Rh o (D) negative, Hyper RHO S/D Full Dose need not be given. Hyper RHO S/D Full Dose should be administered within 72 hours to all nonimmunized Rh o (D) negative women who have undergone spontaneous or induced abortion, following ruptured tubal pregnancy, amniocentesis or abdominal trauma unless the blood group of the fetus or the father is known to be Rh o (D) negative.
7,8 If the fetal blood group cannot be determined, one must assume that it is Rh o (D) positive, 2 and Hyper RHO S/D Full Dose should be administered to the mother. Transfusion Hyper RHO S/D Full Dose may be used to prevent isoimmunization in Rh o (D) negative individuals who have been transfused with Rh o (D) positive red blood cells or blood components containing red blood cells. 5,13
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION NEVER ADMINISTER HYPER RHO S/D FULL DOSE INTRAVENOUSLY. INJECT ONLY INTRAMUSCULARLY. NEVER ADMINISTER TO THE NEONATE.
Pregnancy and Other Obstetric Conditions For postpartum prophylaxis, administer one syringe of Hyper RHO S/D Full Dose, preferably within 72 hours of delivery. Although a lesser degree of protection is afforded if Rh antibody is administered beyond the 72-hour period, Hyper RHO S/D Full Dose may still be given. 7,14 Full-term deliveries can vary in their dosage requirements depending on the magnitude of the fetomaternal hemorrhage.
One full dose syringe of Hyper RHO S/D Full Dose provides sufficient antibody to prevent Rh sensitization if the volume of red blood cells that has entered the circulation is 15 mL or less. 2-4 In instances where a large (greater than 30 mL of whole blood or 15 mL red blood cells) fetomaternal hemorrhage is suspected, a fetal red cell count by an approved laboratory technique (e.g., modified Kleihauer-Betke acid elution stain technique) should be performed to determine the dosage of immune globulin required. 8,15 The red blood cell volume of the calculated fetomaternal hemorrhage is divided by 15 mL to obtain the number of syringes of Hyper RHO S/D Full Dose for administration.
3,8,13 If more than 15 mL of red cells is suspected or if the dose calculation results in a fraction, administer the next higher whole number of syringes (e.g., if 1.4, give 2 syringes). For antenatal prophylaxis, one full dose syringe of Hyper RHO S/D Full Dose is administered at approximately 28 weeks’ gestation. This must be followed by another full dose, preferably within 72 hours following delivery, if the infant is Rh positive.
Following threatened abortion at any stage of gestation with continuation of pregnancy, it is recommended that a full dose of Hyper RHO S/D Full Dose be given. If more than 15 mL of red cells is suspected due to fetomaternal hemorrhage, the same dose modification in No. 1 above applies.
Following miscarriage, abortion, or termination of ectopic pregnancy at or beyond 13 weeks’ gestation, it is recommended that a Hyper RHO S/D Full Dose be given. If more than 15 mL of red cells is suspected due to fetomaternal hemorrhage, the same dose modification in No. 1 above applies.
If pregnancy is terminated prior to 13 weeks’ gestation, where licensed, a single dose of Hyper RHO TM S/D Mini-Dose may be used instead of Hyper RHO S/D Full Dose. Following amniocentesis at either 15 to 18 weeks’ gestation or during the third trimester, or following abdominal trauma in the second or third trimester, it is recommended that a Hyper RHO S/D Full Dose be administered. If there is a fetomaternal hemorrhage in excess of 15 mL of red cells, the same dose modification in No.
1 applies. If abdominal trauma, amniocentesis, or other adverse event requires the administration of Hyper RHO S/D Full Dose at 13 to 18 weeks’ gestation, another full dose should be given at 26 to 28 weeks. To maintain protection throughout pregnancy, the level of passively acquired anti-Rh o (D) should not be allowed to fall below the level required to prevent an immune response to Rh positive red cells.
The half-life of IgG is 23 to 26 days. In any case, a Hyper RHO S/D Full Dose should be given within 72 hours after delivery if the baby is Rh positive. If delivery occurs within 3 weeks after the last dose, the postpartum dose may be withheld unless there is a fetomaternal hemorrhage in excess of 15 mL of red blood cells.
16 Transfusion In the case of a transfusion of Rh o (D) positive red cells to an Rh o (D) negative recipient, the volume of Rh positive whole blood administered is multiplied by the hematocrit of the donor unit giving the volume of red blood cells transfused. The volume of red blood cells is divided by 15 mL which provides the number of syringes of Hyper RHO S/D Full Dose to be administered. If the dose calculated results in a fraction, the next higher whole number of syringes should be…
⛔ Contraindications ▾
CONTRAINDICATIONS None known.
⚠️ Warnings ▾
WARNINGS HyperRHO S/D Full Dose is made from human plasma. Products made from human plasma may contain infectious agents, such as viruses, and, theoretically, the Creutzfeldt-Jakob Disease (CJD) agent that can cause disease. The risk that such products will transmit an infectious agent has been reduced by screening plasma donors for prior exposure to certain viruses, by testing for the presence of certain current virus infections, and by inactivating and/or removing certain viruses.
Despite these measures, such products can still potentially transmit disease. There is also the possibility that unknown infectious agents may be present in such products. Individuals who receive infusions of blood or plasma products may develop signs and/or symptoms of some viral infections, particularly hepatitis C.
ALL infections thought by a physician possibly to have been transmitted by this product should be reported by the physician or other healthcare provider to Talecris Biotherapeutics, Inc. [1-800-520-2807]. The physician should discuss the risks and benefits of this product with the patient, before prescribing or administering it to the patient. NEVER ADMINISTER HYPER RHO S/D FULL DOSE INTRAVENOUSLY.
INJECT ONLY INTRAMUSCULARLY. NEVER ADMINISTER TO THE NEONATE. Rho(D) Immune Globulin (Human) should be given with caution to patients with a history of prior systemic allergic reactions following the administration of human immunoglobulin preparations.
The attending physician who wishes to administer Rh o (D) Immune Globulin (Human) to persons with isolated immunoglobulin A (IgA) deficiency must weigh the benefits of immunization against the potential risks of hypersensitivity reactions. Such persons have increased potential for developing antibodies to IgA and could have anaphylactic reactions to subsequent administration of blood products that contain IgA. As with all preparations administered by the intramuscular route, bleeding complications may be encountered in patients with thrombocytopenia or other bleeding disorders.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS SECTION Reactions to Rh o (D) Immune Globulin (Human) are infrequent in Rh o (D) negative individuals and consist primarily of slight soreness at the site of injection and slight temperature elevation. While sensitization to repeated injections of human immune globulin is extremely rare, it has occurred. Elevated bilirubin levels have been reported in some individuals receiving multiple doses of Rh o (D) Immune Globulin (Human) following mismatched transfusions.
This is believed to be due to a relatively rapid rate of foreign red cell destruction.
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY Hyper RHO S/D Full Dose is used to prevent isoimmunization in the Rh o (D) negative individual exposed to Rh o (D) positive blood as a result of a fetomaternal hemorrhage occurring during a delivery of an Rh o (D) positive infant, abortion (either spontaneous or induced), or following amniocentesis or abdominal trauma. Similarly, immunization resulting in the production of anti-Rh o (D) following transfusion of Rh positive red cells to an Rh o (D) negative recipient may be prevented by admin istering Rh o (D) Immune Globulin (Human).
5,6 Rh hemolytic disease of the newborn is the result of the active immunization of an Rh o (D) negative mother by Rh o (D) positive red cells entering the maternal circulation during a previous delivery, abortion, amniocentesis, abdominal trauma, or as a result of red cell transfusion. 7,8 Hyper RHO S/D Full Dose acts by suppressing the immune response of Rh o (D) negative individuals to Rho(D) positive red blood cells. The mechanism of action of Hyper RHO S/D Full Dose is not fully understood.
The administration of Rh o (D) Immune Globulin (Human) within 72 hours of a full-term delivery of an Rh o (D) positive infant by an Rho(D) negative mother reduces the incidence of Rh isoimmunization from 12%–13% to 1%–2%. 9 The 1%–2% treatment failures are probably due to isoimmunization occurring during the latter part of pregnancy or following delivery. 10 Bowman and Pollock 11 have reported that the incidence of isoimmunization can be further reduced from approximately 1.6% to less than 0.1% by administering Rh o (D) Immune Globulin (Human) in two doses, one ante natal at 28 weeks’ gestation and another following delivery.
In a clinical study in eight healthy human adults receiving another hyperimmune immune globulin product treated with solvent/detergent, Rabies Immune Globulin (Human), Hyper RAB TM S/D, prepared by the same manufacturing process, detectable passive antibody titers were observed in the serum of all subjects by 24 hours post injection and persisted through the 21 day study period. These results suggest that passive immunization with immune globulin products is not affected by the solvent/detergent treatment.
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Hyper RHO S/D Full Dose is available in single dose syringes with attached needles. Hyper RHO S/D Full Dose is preservative-free, in a latex-free delivery system. NDC Number Size 13533-631-02 Syringe
📦 Storage and Handling ▾
STORAGE Store at 2–8°C (36–46°F). Do not freeze.
📋 Description ▾
DESCRIPTION Rh o (D) Immune Globulin (Human) — Hyper RHO TM S/D Full Dose treated with solvent/ detergent is a sterile solution of immune globulin containing antibodies to Rh o (D) for intramuscular administration; it is preservative-free, in a latex-free delivery system. Hyper RHO S/D Full Dose is prepared by cold ethanol fractionation from human plasma. The immune globulin is isolated from solubilized Cohn fraction II.
The fraction II solution is adjusted to a final concentration of 0.3% tri-n-butyl phosphate (TNBP) and 0.2% sodium cholate. After the addition of solvent (TNBP) and detergent (sodium cholate), the solution is heated to 30°C and maintained at that temperature for not less than 6 hours. After the viral inactivation step, the reactants are removed by precipitation, filtration and finally ultrafiltration and diafiltration.
Hyper RHO S/D Full Dose is formulated as a 15–18% protein solution at a pH of 6.4–7.2 in 0.21–0.32 M glycine. Hyper RHO S/D Full Dose is then incubated in the final container for 21–28 days at 20–27°C. The potency is equal to or greater than 1500 IU.
Each single dose syringe contains sufficient anti-Rh o (D) to effectively suppress the immunizing potential of 15 mL of Rh o (D) positive red blood cells. 2-4 The removal and inactivation of spiked model enveloped and non-enveloped viruses during the manufacturing process for Hyper RHO S/D Full Dose has been validated in laboratory studies. Human Immunodeficiency Virus, Type 1 (HIV-1), was chosen as the relevant virus for blood products; Bovine Viral Diarrhea Virus (BVDV) was chosen to model Hepatitis C virus; Pseudorabies virus (PRV) was chosen to model Human Herpes viruses and other large enveloped DNA viruses; and Reo virus type 3 (Reo) was chosen to model non-enveloped viruses and for its resistance to physical and chemical inactivation.
Significant removal of model enveloped and non-enveloped viruses is achieved at two steps in the Cohn fractionation process leading to the collection of Cohn Fraction II: the precipitation and removal of Fraction III in the processing of Fraction II + IIIW suspension to Effluent III and the filtration step in the processing of Effluent III to Filtrate III. Significant inactivation of enveloped viruses is achieved at the time of treatment of solubilized Cohn Fraction II with TNBP/sodium cholate. Additionally, the manufacturing process was investigated for its capacity to decrease the infectivity of an experimental agent of transmissible spongiform encephalopathy (TSE), considered as a model for the vCJD and CJD agents.
18-21 Studies of the Hyper RHO S/D manufacturing process demonstrate that TSE clearance is achieved during the Pooled Plasma to Effluent III Fractionation Process (6.7 log 10 ). These studies provide reasonable assurance that low levels of CJD/vCJD agent infectivity, if present in the starting material, would be removed. digrams-a-b-c Talecris logo father-positive-mother-negative mother-neg-baby-pos in-bloodstream stay-in-bloodstream next-pregnancy injection mother-negative HyperRHO SD Full Dose carton HyperRHO SD Full Dose syringe label
💬 Information for Patients ▾
INFORMATION FOR PATIENTS The Rh Factor and Your Pregnancy Information About Pregnancy Protection The Rh Factor and When It Is Important The Rh factor is one of many blood group antigens found on the surface of red blood cells. If you have this antigen you are considered Rh positive. If you don’t, then you are considered Rh negative.
Everyone is either Rh positive or Rh negative. One type is neither better nor worse than the other, only different. Your Rh factor is important if you are an Rh negative woman and you become pregnant, or if you receive a blood transfusion.
How the Rh Factor Can Affect Your Future If you have Rh negative blood, there are two situations that can affect you: 1. If the father of your baby is Rh positive, the baby will probably be Rh positive too. An Rh negative woman carrying an Rh positive baby may have an immune reaction if some of the baby’s Rh positive blood cells enter her bloodstream.
This immune reaction, called isoimmunization, means your body’s defense system recognizes Rh positive blood as foreign from your own and produces “antibodies” to destroy the invading Rh positive blood cells. The passage of blood from the baby to the mother’s bloodstream happens most often at delivery, but can also occur during miscarriage, the termination of pregnancy, amnio centesis (test performed to determine fetal health), or due to an injury or trauma. It is important to note that a small number of women develop antibodies to Rh positive blood cells during pregnancy for no apparent reason.
Antibodies to Rh positive blood may not be a problem in first pregnancies; however, the antibodies stay in your bloodstream, ready to attack invading Rh positive blood cells, for many years to come. This can lead to problems in future pregnancies by causing miscarriage or a disease known as hemolytic disease of the newborn. Babies born to Rh positive mothers, regardless of the father’s blood type, will usually be free of the dangers of hemolytic disease.
2. Someday it may become necessary for you to receive a blood transfusion. If Rh positive antibodies already reside in your bloodstream due to isoimmunization and the blood you receive is Rh positive due to error or lifesaving reasons, your Rh positive antibodies will become mobilized and de stroy the donor Rh positive cells.
As a result, the transfusion could be unsuccessful and possibly harmful to you. Hemolytic Disease of the Newborn: A Threat to Your Baby When an Rh negative woman has Rh positive antibodies in her blood and the baby she is carrying is Rh positive, the antibodies could possibly enter the baby’s bloodstream, attack the baby’s red blood cells and cause hemolytic disease of the new born. At birth, the infant suffering from hemolytic disease may be jaundiced and anemic or suffer permanent damage of the brain and central nervous system which may result in mental retardation, hearing loss, or cerebral palsy.
Extensive medical care can be required, including an exchange transfusion, in which all of the baby’s blood is replaced. This usually stops the destruction of the baby’s red blood cells and gives the infant a chance to survive. The risk of hemolytic disease of the newborn is slight with the first baby, but increases with each successive pregnancy.
Preventing Hemolytic Disease Hyper RHO TM S/D, Rh o (D) Immune Globulin (Human) can prevent hemolytic disease of the newborn, provided Rh positive antibodies do not already reside in your bloodstream. Hyper RHO S/D is a specially prepared gamma globulin with a high level of preformed antibodies against Rh positive blood cells. The injection of Hyper RHO S/D destroys any Rh positive blood cells that may have entered the mother’s bloodstream and prevents the mother's immune system from producing Rh positive antibodies; thus protecting the baby from developing hemolytic disease.
HyperRHO S/D Full Dose — When Prescribed Pregnancy and Other Obstetric Conditions Pertaining to Rh Negative Women Hyper RHO S/D Full Dose is…