Angiomax vs. its authorized generic and generics

Angiomax is given by a doctor or nurse and billed by the clinic, not a pharmacy. Your care team and your insurance decide which product you get, so ask them what you’d pay.

How to pay the least

Given by your care team

Billed by the clinic

Angiomax is given by a doctor or nurse, not picked up at a pharmacy.

Ask your care team or your plan what you’d pay before your visit.

Compare every option

Brand nameAngiomax

Authorized genericbivalirudin

Regular genericbivalirudin

What you’d pay

Not soldNo longer sold

Cash priceAsk the pharmacyOften less than Angiomax

Cash priceAsk the pharmacyUsually the lowest

Same as Angiomax?

–

Same medicine

Same active ingredientFillers and dyes can differ

Brand nameNot sold

Angiomax itself isn’t sold as a prescription anymore. Its generic versions, if any, are in the other tabs.

See the authorized generic →

Authorized genericThe NDC to ask for

The same medicine as Angiomax, without the brand name. Give the pharmacy its NDC to get it.

bivalirudin

Sold by (either works)

SandozThe company behind Angiomax
Civica

Given by your care team

This is given in the hospital, usually during a heart procedure. It isn’t picked up at a pharmacy.

NDC (for your care team)

250 mginjection (powder to mix)Civica
- 72572-035-1011-digit: 72572-0035-1010 vials per carton
250 mginjection (powder to mix)Sandoz
- 0781-3158-9511-digit: 00781-3158-9510 vials per carton

Source: FDA, updated October 30, 2026

What to ask your care team

“Which version of Angiomax do you use: the brand, the authorized generic or a regular generic? What would I pay for each?”

Brand and authorized generic labels

Official labels and ingredient lists from DailyMed (U.S. National Library of Medicine).

250 mg injection (powder to mix) · Civica

Angiomax itself isn’t sold anymore, so there’s no current brand label to compare. Here’s the authorized generic’s label.

Authorized generic package label from Civica — Authorized genericCivica

See the ingredients

Active: bivalirudin 250 mg

Inactive:

Mannitol
Sodium hydroxide

250 mg injection (powder to mix) · Sandoz

Angiomax itself isn’t sold anymore, so there’s no current brand label to compare. Here’s the authorized generic’s label.

Authorized generic package label from Sandoz — Authorized genericSandoz

See the ingredients

Active: bivalirudin 250 mg

Inactive:

Mannitol
Sodium hydroxide

Regular genericWho makes it

6 companies sell an FDA-rated generic of Angiomax. It’s given by your care team, who choose which one to use.

AvenacyPowder 250 mg

Made by Hainan Shuangcheng Pharmaceuticals

Product page on avenacy.com

How it looks, what’s in it, NDCs

250 mg

Package NDC
Carton of 10 83634-400-10

Inactive ingredients: mannitol, sodium hydroxide
FDA label
Dr. Reddy’s LaboratoriesInjection 250 mg

How it looks, what’s in it, NDCs

250 mg

Package NDC
Carton of 10 55111-652-37

Inactive ingredients: mannitol, sodium hydroxide
FDA label
Fresenius KabiPowder 250 mg

How it looks, what’s in it, NDCs

250 mg

Package NDC
Carton of 10 63323-562-10

250 mg

Package NDC
Carton of 10 63323-562-15

Inactive ingredients: mannitol, sodium hydroxide
FDA label
Meitheal PharmaceuticalsPowder 250 mg/5 mL

Product page on meithealpharma.com

How it looks, what’s in it, NDCs

250 mg/5 mL

Package NDC
Carton of 50 mL 71288-427-92

250 mg/5 mL

Package NDC
Carton of 50 mL 71288-427-11

Inactive ingredients: mannitol, sodium hydroxide
FDA label
Mylan InstitutionalPowder 250 mg/5 mL

Product page on viatris.com

How it looks, what’s in it, NDCs

250 mg/5 mL

Package NDC
Carton of 50 mL 67457-256-10

Inactive ingredients: mannitol, sodium hydroxide
FDA label
Slate Run PharmaceuticalsPowder 250 mg

Made by Hainan Poly Pharm

Product page on slaterunpharma.com

How it looks, what’s in it, NDCs

250 mg

Package NDC
Vial of 1 70436-025-80
Carton of 10 70436-025-82

Inactive ingredients: mannitol, sodium hydroxide
FDA label

Package	NDC
Carton of 10	83634-400-10

Package	NDC
Carton of 10	55111-652-37

Package	NDC
Carton of 10	63323-562-10

Package	NDC
Carton of 10	63323-562-15

Package	NDC
Carton of 50 mL	71288-427-92

Package	NDC
Carton of 50 mL	71288-427-11

Package	NDC
Carton of 50 mL	67457-256-10

Package	NDC
Vial of 1	70436-025-80
Carton of 10	70436-025-82

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site.

What it’s used for

Preventing clots during a heart artery procedure (PCI)

What the FDA label says

Bivalirudin for injection is a direct thrombin inhibitor indicated for use as an anticoagulant in patients undergoing percutaneous coronary intervention (PCI) including patients with heparin-induced thrombocytopenia (HIT) or heparin-induced thrombocytopenia and thrombosis syndrome (HITTS).

Source: the FDA label for bivalirudin (Civica, Inc.), September 10, 2025. Full label on DailyMed

Good to know

It may look different from Angiomax (color, shape, or markings). That’s normal for an authorized generic.
If your prescription says “dispense as written,” the pharmacy needs your prescriber’s OK to give you the authorized generic.
Coverage depends on your plan. Your care team or insurer can tell you what you’d pay.
Don’t stop or change a medicine without talking to your pharmacist or prescriber.

Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/angiomax/