HSChapter 38
U.S. imports of blood-grouping diagnostic reagents and kits (HS 382213) totaled $2.8M in April 2026, traded with 10 countries.
Last updated: April 2026 dataAntisera, monoclonal antibody reagents, and prepared kits used to determine ABO, Rh, and other blood-group antigens are essential inputs for transfusion medicine, organ transplantation, and prenatal care. The United Kingdom and Germany are the leading US import sources, reflecting the long-established expertise of European transfusion diagnostics manufacturers. These products are regulated by FDA as biologics and in vitro diagnostic devices; blood-grouping reagents in particular have historically required FDA licensure under the biologics framework, making pre-import regulatory verification especially important. Importers should confirm that the foreign manufacturer holds the appropriate FDA establishment registration and product license.
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Blood-grouping reagents have historically been regulated as biologics under Section 351 of the Public Health Service Act, requiring FDA licensure rather than the 510(k) clearance pathway used for many other IVDs. This means the foreign manufacturer must hold a valid FDA biologics license, and the specific reagent must be listed on that license. Importers should request the manufacturer's FDA biologics license application number and confirm its active status before shipment.
Entry documentation should include the FDA establishment registration number, the biologics license number (or device clearance number if applicable), a certificate of analysis, and labeling that matches the FDA-authorized product. CBP coordinates with FDA for admissibility review, and incomplete documentation can result in detention. Working with a customs broker experienced in FDA-regulated biologics is strongly advisable.
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Monthly import values over time
| Country | Imports | Exports | Balance |
|---|---|---|---|
| CANADA | $11K | $2.0M | +$2.0M |
| GERMANY | $901K | $888K | -$14K |
| FRANCE | $275K | $941K | +$666K |
| UNITED KINGDOM | $1.1M | $114K | -$944K |
| JAPAN | -- | $708K | +$708K |