NDC - HCPCS Crosswalk
Effective July 1, 2022 through September 30, 2022
The NDC - HCPCS crosswalks are intended to help understand which drug products -identified by NDCs- are assigned to which HCPCS billing codes. The information is based on published drug and biological pricing data and information submitted to CMS by manufacturers. The crosswalks are not intended to be a comprehensive list of all NDCs available in the United States. The NDC to HCPCS Crosswalks also include information on the NDC package size and the number of billable units.
Average Sales Price (ASP)
NDC | HCPCS Code | Labeler | Drug Name | Dosage | Package Size | Package Quantity | Billable Units | Billable Units / Pkg |
---|---|---|---|---|---|---|---|---|
13533-636-01 | 90371 | GRIFOLS USA, LLC | Hep b ig im | 1 ML | 1 | 1 | 1 | 1 |
13533-636-02 | 90371 | GRIFOLS USA, LLC | Hep b ig im | 1 ML | 1 | 1 | 1 | 1 |
13533-636-03 | 90371 | GRIFOLS USA, LLC | Hep b ig im | 1 ML | 0.5 | 1 | 0.5 | 0.5 |
13533-636-05 | 90371 | GRIFOLS USA, LLC | Hep b ig im | 1 ML | 5 | 1 | 5 | 5 |
59730-4203-1 | 90371 | ADMA BIOLOGICS | Hep b ig im | 1 ML | 5 | 1 | 5 | 5 |
69800-4202-1 | 90371 | ADMA BIOLOGICS | Hep b ig im | 1 ML | 1 | 1 | 1 | 1 |
69800-4203-1 | 90371 | ADMA BIOLOGICS | Hep b ig im | 1 ML | 5 | 1 | 5 | 5 |
13533-318-01 | 90375 | GRIFOLS USA, LLC | Rabies ig im/sc | 150 IU | 1 | 1 | 2 | 2 |
13533-318-03 | 90375 | GRIFOLS USA, LLC | Rabies ig im/sc | 150 IU | 3 | 1 | 6 | 6 |
13533-318-05 | 90375 | GRIFOLS USA, LLC | Rabies ig im/sc | 150 IU | 5 | 1 | 10 | 10 |
13533-618-02 | 90375 | GRIFOLS USA, LLC | Rabies ig im/sc | 150 IU | 2 | 1 | 2 | 2 |
13533-618-10 | 90375 | GRIFOLS USA, LLC | Rabies ig im/sc | 150 IU | 10 | 1 | 10 | 10 |
49281-190-20 | 90376 | SANOFI PASTEUR | Rabies ig heat treated | 150 IU | 2 | 1 | 2 | 2 |
76125-150-02 | 90377 | KEDRION BIOPHARMA, INC. | Rabies ig ht&sol human im/sc | 150 IU | 2 | 1 | 2 | 2 |
76125-150-10 | 90377 | KEDRION BIOPHARMA, INC. | Rabies ig ht&sol human im/sc | 150 IU | 10 | 1 | 10 | 10 |
0052-0602-02 | 90586 | ORGANON USA, INC. | Bcg vaccine intravesical | 1 EACH | 1 | 1 | 1 | 1 |
0052-0603-02 | 90586 | ORGANON USA, INC. | Bcg vaccine intravesical | 1 EACH | 1 | 1 | 1 | 1 |
0006-4096-02 | 90632 | MERCK SHARP & DOHME CORP. | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
0006-4841-41 | 90632 | MERCK SHARP & DOHME CORP. | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
50090-1502-0 | 90632 | A-S MEDICATION SOLUTIONS | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
58160-826-52 | 90632 | GLAXOSMITHKLINE | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
49281-252-51 | 90675 | SANOFI PASTEUR | Rabies vaccine im | 1 ML | 1 | 1 | 1 | 1 |
58160-964-12 | 90675 | GLAXOSMITHKLINE | Rabies vaccine im | 1 ML | 1 | 1 | 1 | 1 |
13533-131-01 | 90714 | GRIFOLS USA, LLC | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
49281-215-10 | 90714 | SANOFI PASTEUR | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
49281-215-15 | 90714 | SANOFI PASTEUR | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
49281-400-10 | 90715 | SANOFI PASTEUR | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
49281-400-20 | 90715 | SANOFI PASTEUR | Tdap vaccine 7 yrs/> im | 1 EA | 0.5 | 5 | 1 | 5 |
50090-1377-0 | 90715 | A-S MEDICATION SOLUTIONS | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
50090-1831-0 | 90715 | A-S MEDICATION SOLUTIONS | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
58160-842-11 | 90715 | GLAXOSMITHKLINE | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
58160-842-52 | 90715 | GLAXOSMITHKLINE | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
0407-2943-01 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
0407-2943-02 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
0407-2943-05 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
0407-2943-06 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 5 | 10 | 50 | 500 |
0407-2943-12 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
0407-2943-17 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
0407-2943-22 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
0407-2943-70 | A9575 | GE HEALTHCARE | Inj gadoterate meglumi 0.1ml | 0.1 ML | 100 | 10 | 1000 | 10000 |
67684-2000-0 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 5 | 10 | 50 | 500 |
67684-2000-1 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
67684-2000-2 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
67684-2000-3 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
67684-2000-4 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 100 | 6 | 1000 | 6000 |
67684-2000-5 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 5 | 100 | 500 |
67684-2000-6 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 5 | 150 | 750 |
67684-2000-7 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 5 | 200 | 1000 |
67684-2001-0 | A9575 | Guerbet, Llc | Inj gadoterate meglumi 0.1ml | 0.1 ML | 5 | 10 | 50 | 500 |
67684-2001-1 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
67684-2001-2 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
67684-2001-3 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
67684-2001-4 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 100 | 6 | 1000 | 6000 |
67684-3001-1 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
67684-3001-2 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
67684-3001-3 | A9575 | GUERBET LLC | Inj gadoterate meglumi 0.1ml | 0.1 ml | 20 mL 10 EA | 10 | 200 | 2000 |
0270-1111-70 | A9576 | BRACCO DIAGNOSTICS | Inj prohance multipack | 1 ML | 50 | 5 | 50 | 250 |
0270-5164-12 | A9577 | BRACCO DIAGNOSTICS | Inj multihance | 1 ML | 5 | 5 | 5 | 25 |
0270-5164-13 | A9577 | BRACCO DIAGNOSTICS | Inj multihance | 1 ML | 10 | 5 | 10 | 50 |
0270-5164-14 | A9577 | BRACCO DIAGNOSTICS | Inj multihance | 1 ML | 15 | 5 | 15 | 75 |
0270-5164-15 | A9577 | BRACCO DIAGNOSTICS | Inj multihance | 1 ML | 20 | 5 | 20 | 100 |
0270-5264-16 | A9578 | BRACCO DIAGNOSTICS | Inj multihance multipack | 1 ML | 50 | 5 | 50 | 250 |
0270-5264-17 | A9578 | BRACCO DIAGNOSTICS | Inj multihance multipack | 1 ML | 100 | 5 | 100 | 500 |
0270-1111-01 | A9579 | BRACCO DIAGNOSTICS | Gad-base mr contrast nos,1ml | 1 ML | 10 | 5 | 10 | 50 |
0270-1111-02 | A9579 | BRACCO DIAGNOSTICS | Gad-base mr contrast nos,1ml | 1 ML | 15 | 5 | 15 | 75 |
0270-1111-03 | A9579 | BRACCO DIAGNOSTICS | Gad-base mr contrast nos,1ml | 1 ML | 20 | 5 | 20 | 100 |
0270-1111-04 | A9579 | BRACCO DIAGNOSTICS | Gad-base mr contrast nos,1ml | 1 ML | 5 | 5 | 5 | 25 |
0270-1111-16 | A9579 | BRACCO DIAGNOSTICS | Gad-base mr contrast nos,1ml | 1 ML | 10 | 5 | 10 | 50 |
0270-1111-45 | A9579 | BRACCO DIAGNOSTICS | Gad-base mr contrast nos,1ml | 1 ML | 17 | 5 | 17 | 85 |
0407-0690-05 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 5 | 10 | 5 | 50 |
0407-0690-10 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-0690-12 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-0690-15 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0690-17 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0690-20 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-0690-22 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-0690-30 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-0690-40 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0690-70 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-0691-62 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0691-63 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
50419-188-05 | A9579 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gad-base mr contrast nos,1ml | 1 ML | 5 | 20 | 5 | 100 |
50419-188-15 | A9579 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 20 | 15 | 300 |
50419-188-37 | A9579 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 5 | 15 | 75 |
50419-188-38 | A9579 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gad-base mr contrast nos,1ml | 1 ML | 20 | 5 | 20 | 100 |
50419-188-81 | A9579 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gad-base mr contrast nos,1ml | 1 ML | 5 | 20 | 5 | 100 |
50419-188-83 | A9579 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 20 | 15 | 300 |
50419-320-05 | A9581 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadoxetate disodium inj | 1 ML | 10 | 5 | 10 | 50 |
50419-320-15 | A9581 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadoxetate disodium inj | 1 ML | 15 | 5 | 15 | 75 |
50419-325-11 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 7.5 | 20 | 75 | 1500 |
50419-325-12 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 10 | 20 | 100 | 2000 |
50419-325-13 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 15 | 20 | 150 | 3000 |
50419-325-14 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 30 | 10 | 300 | 3000 |
50419-325-15 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 65 | 10 | 650 | 6500 |
50419-325-18 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 30 | 10 | 300 | 3000 |
50419-325-19 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 65 | 10 | 650 | 6500 |
50419-325-27 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 7.5 | 5 | 75 | 375 |
50419-325-28 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 10 | 5 | 100 | 500 |
50419-325-29 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 15 | 5 | 150 | 750 |
50419-325-37 | A9585 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Gadobutrol injection | 0.1 ML | 2 | 15 | 20 | 300 |
10511-3001-2 | A9589 | PHOTOCURE, INC. | Insti hexaminolevulinate hcl | 100 MG | 1 | 1 | 1 | 1 |
71715-001-02 | J0121 | PARATEK PHARMACEUTICALS INC. | Inj., omadacycline, 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
71773-050-12 | J0122 | TETRAPHASE PHARMACEUTICALS INC. | Inj., eravacycline, 1 mg | 1 MG | 1 | 12 | 50 | 600 |
71773-100-12 | J0122 | TETRAPHASE PHARMACEUTICALS INC. | Inj., eravacycline, 1 mg | 1 MG | 1 | 12 | 100 | 1200 |
0003-2187-10 | J0129 | BRISTOL-MYERS SQUIBB COMPANY | Abatacept injection | 10 MG | 1 | 1 | 25 | 25 |
0003-2187-13 | J0129 | BRISTOL-MYERS SQUIBB COMPANY | Abatacept injection | 10 MG | 1 | 1 | 25 | 25 |
0003-2188-11 | J0129 | BRISTOL-MYERS SQUIBB COMPANY | Abatacept injection | 10 MG | 1 | 4 | 12.5 | 50 |
0003-2188-51 | J0129 | BRISTOL-MYERS SQUIBB COMPANY | Abatacept injection | 10 MG | 1 | 4 | 12.5 | 50 |
0003-2814-11 | J0129 | BRISTOL-MYERS SQUIBB COMPANY | Abatacept injection | 10 MG | 0.4 | 4 | 5 | 20 |
0003-2818-11 | J0129 | BRISTOL-MYERS SQUIBB COMPANY | Abatacept injection | 10 MG | 0.7 | 4 | 8.75 | 35 |
0574-0805-30 | J0132 | PERRIGO PHARMACEUTICALS | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
17478-660-30 | J0132 | AKORN | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
25021-812-30 | J0132 | SAGENT PHARMACEUTICALS INC | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
55150-259-30 | J0132 | AUROMEDICS PHARMA LLC | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
63323-963-30 | J0132 | FRESENIUS KABI | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
63323-963-44 | J0132 | FRESENIUS KABI | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
66220-207-30 | J0132 | CUMBERLAND PHARMACEUTICALS | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
55150-154-10 | J0133 | AUROMEDICS PHARMA LLC | Acyclovir injection | 5 MG | 10 | 10 | 100 | 1000 |
55150-154-11 | J0133 | AUROMEDICS PHARMA LLC | Acyclovir injection | 5 MG | 10 | 10 | 100 | 1000 |
55150-155-20 | J0133 | AUROMEDICS PHARMA LLC | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
55150-155-21 | J0133 | AUROMEDICS PHARMA LLC | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
63323-325-10 | J0133 | FRESENIUS KABI | Acyclovir injection | 5 MG | 20 | 10 | 100 | 1000 |
63323-325-14 | J0133 | FRESENIUS KABI | Acyclovir injection | 5 MG | 10 | 10 | 100 | 1000 |
63323-325-20 | J0133 | FRESENIUS KABI | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
63323-325-24 | J0133 | FRESENIUS KABI | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
68382-048-10 | J0133 | ZYDUS PHARMACEUTICALS | Acyclovir injection | 5 MG | 10 | 10 | 100 | 1000 |
68382-049-10 | J0133 | ZYDUS PHARMACEUTICALS | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
0409-1932-01 | J0153 | PFIZER INC. | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
0409-1932-02 | J0153 | PFIZER INC. | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
0703-8776-01 | J0153 | SICOR PHARMACEUTICALS, INC. | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
0703-8777-01 | J0153 | SICOR PHARMACEUTICALS, INC. | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
16714-180-01 | J0153 | NORTHSTAR RX LLC | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
16714-972-01 | J0153 | NORTHSTAR RX LLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
17478-542-02 | J0153 | AKORN | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
17478-542-25 | J0153 | AKORN | Adenosine inj 1mg | 1 MG | 2 | 25 | 6 | 150 |
17478-544-20 | J0153 | AKORN | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
17478-544-30 | J0153 | AKORN | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
17478-953-02 | J0153 | AKORN | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
25021-301-67 | J0153 | SAGENT PHARMACEUTICALS INC | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
25021-301-68 | J0153 | SAGENT PHARMACEUTICALS INC | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
55150-192-01 | J0153 | AUROMEDICS PHARMA LLC | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
55150-192-20 | J0153 | AUROMEDICS PHARMA LLC | Adenosine inj 1mg | 1 MG | 20 | 10 | 60 | 600 |
55150-193-01 | J0153 | AUROMEDICS PHARMA LLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
55150-193-30 | J0153 | AUROMEDICS PHARMA LLC | Adenosine inj 1mg | 1 MG | 30 | 10 | 90 | 900 |
63323-651-02 | J0153 | FRESENIUS KABI | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
63323-651-04 | J0153 | FRESENIUS KABI | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
63323-651-20 | J0153 | FRESENIUS KABI | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
63323-651-30 | J0153 | FRESENIUS KABI | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
63323-651-89 | J0153 | FRESENIUS KABI | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
63323-651-90 | J0153 | FRESENIUS KABI | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
67457-854-04 | J0153 | MYLAN INSTITUTIONAL LLC | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
67457-855-02 | J0153 | MYLAN INSTITUTIONAL LLC | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
67457-856-20 | J0153 | MYLAN INSTITUTIONAL LLC | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
67457-857-30 | J0153 | MYLAN INSTITUTIONAL LLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
67457-858-20 | J0153 | MYLAN INSTITUTIONAL LLC | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
67457-859-30 | J0153 | MYLAN INSTITUTIONAL LLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
0409-4933-01 | J0171 | PFIZER INC. | Adrenalin epinephrine inject | 0.1 MG | 10 | 10 | 10 | 100 |
42023-159-25 | J0171 | PAR PHARMACEUTICAL, INC | Adrenalin epinephrine inject | 0.1 MG | 1 | 25 | 10 | 250 |
42023-168-01 | J0171 | PAR PHARMACEUTICAL, INC | Adrenalin epinephrine inject | 0.1 MG | 30 | 1 | 300 | 300 |
42023-168-89 | J0171 | PAR PHARMACEUTICAL, INC | Adrenalin epinephrine inject | 0.1 MG | 30 | 1 | 300 | 300 |
42023-168-99 | J0171 | PAR PHARMACEUTICAL, INC | Adrenalin epinephrine inject | 0.1 MG | 30 | 1 | 300 | 300 |
50090-2058-0 | J0171 | A-S MEDICATION SOLUTIONS | Adrenalin epinephrine inject | 0.1 MG | 10 | 1 | 10 | 10 |
50090-3039-1 | J0171 | A-S MEDICATION SOLUTIONS | Adrenalin epinephrine inject | 0.1mg | 1 | 1 | 10 | 10 |
50090-3039-2 | J0171 | A-S MEDICATION SOLUTIONS | Adrenalin epinephrine inject | 0.1 MG | 1 | 10 | 10 | 10 |
64406-101-01 | J0172 | BIOGEN | Inj, aducanumab-avwa, 2 mg | 2 MG | 1.7 | 1 | 85 | 85 |
64406-102-02 | J0172 | BIOGEN | Inj, aducanumab-avwa, 2 mg | 2 MG | 3 | 1 | 150 | 150 |
61755-005-01 | J0178 | REGENERON PHARMACEUTICALS INC. | Aflibercept injection | 1 MG | 0.05 | 1 | 2 | 2 |
61755-005-02 | J0178 | REGENERON PHARMACEUTICALS INC. | Aflibercept injection | 1 MG | 0.05 | 1 | 2 | 2 |
0078-0827-61 | J0179 | NOVARTIS PHARMACEUTICALS CORPORATION | Inj, brolucizumab-dbll, 1 mg | 1 MG | 0.05 | 1 | 6 | 6 |
58468-0040-1 | J0180 | GENZYME CORPORATION | Agalsidase beta injection | 1 MG | 1 | 1 | 35 | 35 |
58468-0041-1 | J0180 | GENZYME CORPORATION | Agalsidase beta injection | 1 MG | 1 | 1 | 5 | 5 |
47426-201-01 | J0185 | HERON THERAPEUTICS | Inj., aprepitant, 1 mg | 1 MG | 18 | 1 | 130 | 130 |
58468-0200-1 | J0202 | GENZYME CORPORATION | Injection, alemtuzumab | 1 MG | 1.2 | 1 | 12 | 12 |
58468-0426-1 | J0219 | GENZYME CORPORATION | Inj aval alfa-nqpt 4mg | 4 mg | 1 | 1 | 25 | 25 |
58468-0160-1 | J0221 | GENZYME CORPORATION | Lumizyme injection | 10 MG | 1 | 1 | 5 | 5 |
58468-0160-2 | J0221 | GENZYME CORPORATION | Lumizyme injection | 10 MG | 1 | 10 | 5 | 50 |
71336-1000-1 | J0222 | ALNYLAM PHARMACEUTICALS, INC. | Inj., patisiran, 0.1 mg | 0.1 MG | 5 | 1 | 100 | 100 |
71336-1001-1 | J0223 | ALNYLAM PHARMACEUTICALS, INC. | Inj givosiran 0.5 mg | 0.5 MG | 1 | 1 | 378 | 378 |
61958-2901-2 | J0248 | GILEAD SCIENCES, INC. | Inj, remdesivir, 1 mg | 1 MG | 1 | 1 | 100 | 100 |
0053-7201-02 | J0256 | CSL BEHRING LLC | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 0.1 | 0.1 |
0944-2814-01 | J0256 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 0.1 | 0.1 |
0944-2815-01 | J0256 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 0.1 | 0.1 |
13533-700-02 | J0256 | GRIFOLS USA, LLC | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 100 | 0.1 |
13533-703-10 | J0256 | GRIFOLS USA, LLC | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 100 | 0.1 |
13533-705-01 | J0256 | GRIFOLS USA, LLC | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 100 | 0.1 |
0944-2884-01 | J0257 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Glassia injection | 10 MG | 1 | 1 | 0.1 | 0.1 |
0641-6166-10 | J0278 | HIKMA PHARMACEUTICALS USA INC. | Amikacin sulfate injection | 100 MG | 4 | 10 | 10 | 100 |
0641-6167-10 | J0278 | HIKMA PHARMACEUTICALS USA INC. | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
0703-9032-03 | J0278 | SICOR PHARMACEUTICALS, INC. | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
0703-9040-03 | J0278 | SICOR PHARMACEUTICALS, INC. | Amikacin sulfate injection | 100 MG | 4 | 10 | 10 | 100 |
23155-290-41 | J0278 | HERITAGE PHARMACEUTICALS, INC. | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
23155-290-42 | J0278 | HERITAGE PHARMACEUTICALS, INC. | Amikacin sulfate injection | 100 MG | 4 | 10 | 10 | 100 |
23155-785-41 | J0278 | HERITAGE PHARMACEUTICALS, INC. | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
23155-786-41 | J0278 | HERITAGE PHARMACEUTICALS, INC. | Amikacin sulfate injection | 100 MG | 4 | 10 | 10 | 100 |
25021-173-02 | J0278 | SAGENT PHARMACEUTICALS INC | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
25021-173-04 | J0278 | SAGENT PHARMACEUTICALS INC | Amikacin sulfate injection | 100 MG | 4 | 10 | 10 | 100 |
63323-815-02 | J0278 | FRESENIUS KABI | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
63323-815-04 | J0278 | FRESENIUS KABI | Amikacin sulfate injection | 100 MG | 4 | 10 | 10 | 100 |
0409-5921-01 | J0280 | PFIZER INC. | Aminophyllin 250 mg inj | 250 MG | 10 | 25 | 1 | 25 |
0409-5922-01 | J0280 | PFIZER INC. | Aminophyllin 250 mg inj | 250 MG | 20 | 25 | 2 | 50 |
39822-1055-5 | J0285 | X-GEN PHARMACEUTICALS INC | Amphotericin b | 50 MG | 1 | 1 | 1 | 1 |
57665-101-41 | J0287 | LEADIANT BIOSCIENCES, INC. | Amphotericin b lipid complex | 10 MG | 20 | 1 | 10 | 10 |
0469-3051-30 | J0289 | ASTELLAS PHARMA US INC. | Amphotericin b liposome inj | 10 MG | 1 | 1 | 5 | 5 |
0409-3718-01 | J0290 | PFIZER INC. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
0409-3720-01 | J0290 | PFIZER INC. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0409-3725-01 | J0290 | PFIZER INC. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
0409-3726-01 | J0290 | PFIZER INC. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-3400-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.25 | 2.5 |
0781-3402-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
0781-3404-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-3407-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
0781-3408-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-3409-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
0781-3412-92 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-3413-92 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-9242-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
0781-9250-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
0781-9261-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-9273-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-9401-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.25 | 2.5 |
0781-9402-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
0781-9404-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-9407-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
0781-9408-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-9409-95 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
0781-9412-92 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-9413-92 | J0290 | SANDOZ | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
25021-136-10 | J0290 | SAGENT PHARMACEUTICALS INC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
25021-137-20 | J0290 | SAGENT PHARMACEUTICALS INC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
44567-101-10 | J0290 | WG CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
44567-102-10 | J0290 | WG CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
44567-103-10 | J0290 | WG CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
44567-104-01 | J0290 | WG CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
44567-104-10 | J0290 | WG CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
50090-4552-0 | J0290 | A-S MEDICATION SOLUTIONS | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 4 | 4 |
55150-111-10 | J0290 | AUROMEDICS PHARMA LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
55150-112-10 | J0290 | AUROMEDICS PHARMA LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
55150-113-10 | J0290 | AUROMEDICS PHARMA LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
55150-114-20 | J0290 | AUROMEDICS PHARMA LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
55150-115-99 | J0290 | AUROMEDICS PHARMA LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
65219-014-10 | J0290 | FRESENIUS KABI | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
65219-016-10 | J0290 | FRESENIUS KABI | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
65219-018-10 | J0290 | FRESENIUS KABI | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
65219-020-23 | J0290 | FRESENIUS KABI | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
66794-220-41 | J0290 | PIRAMAL CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
66794-221-41 | J0290 | PIRAMAL CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
66794-222-41 | J0290 | PIRAMAL CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
66794-223-41 | J0290 | PIRAMAL CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
66794-224-15 | J0290 | PIRAMAL CRITICAL CARE | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
67457-351-10 | J0290 | MYLAN INSTITUTIONAL LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
67457-352-10 | J0290 | MYLAN INSTITUTIONAL LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
67457-404-10 | J0290 | MYLAN INSTITUTIONAL LLC | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
70594-084-02 | J0290 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
70594-085-02 | J0290 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
70594-086-02 | J0290 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
70594-087-02 | J0290 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
70594-088-01 | J0290 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
70860-112-15 | J0290 | ATHENEX | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
70860-113-15 | J0290 | ATHENEX | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
70860-114-15 | J0290 | ATHENEX | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
70860-115-26 | J0290 | ATHENEX | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
70860-118-99 | J0290 | ATHENEX | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
72572-016-10 | J0290 | CIVICA INC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
72572-017-10 | J0290 | CIVICA INC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
69097-820-96 | J0291 | CIPLA USA INC. | Inj., plazomicin, 5 mg | 5 MG | 10 | 10 | 100 | 1000 |
71045-010-02 | J0291 | CIPLA USA INC. | Inj., plazomicin, 5 mg | 5 MG | 10 | 10 | 100 | 1000 |
0049-0013-83 | J0295 | PFIZER INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
0049-0014-83 | J0295 | PFIZER INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
0049-0024-28 | J0295 | PFIZER INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
0409-2987-03 | J0295 | PFIZER INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
0641-6116-10 | J0295 | HIKMA PHARMACEUTICALS USA INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
0641-6117-10 | J0295 | HIKMA PHARMACEUTICALS USA INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
0641-6118-01 | J0295 | HIKMA PHARMACEUTICALS USA INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
25021-142-20 | J0295 | SAGENT PHARMACEUTICALS INC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 10 | 10 |
25021-143-30 | J0295 | SAGENT PHARMACEUTICALS INC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 20 | 20 |
25021-144-99 | J0295 | SAGENT PHARMACEUTICALS INC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 30 | 1 | 10 | 10 |
44567-211-10 | J0295 | WG CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
44567-212-01 | J0295 | WG CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
55150-116-20 | J0295 | AUROMEDICS PHARMA LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
55150-117-20 | J0295 | AUROMEDICS PHARMA LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
55150-118-99 | J0295 | AUROMEDICS PHARMA LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
66794-206-41 | J0295 | PIRAMAL CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
66794-207-41 | J0295 | PIRAMAL CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
66794-208-15 | J0295 | PIRAMAL CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
67457-348-10 | J0295 | MYLAN INSTITUTIONAL LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
67457-349-10 | J0295 | MYLAN INSTITUTIONAL LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
67457-649-10 | J0295 | MYLAN INSTITUTIONAL LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
70594-081-02 | J0295 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
70594-082-02 | J0295 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
72572-022-10 | J0295 | CIVICA, INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
0049-0114-28 | J0348 | PFIZER INC. | Anidulafungin injection | 1 MG | 1 | 1 | 50 | 50 |
0049-0116-28 | J0348 | PFIZER INC. | Anidulafungin injection | 1 MG | 1 | 1 | 100 | 100 |
0517-0901-25 | J0360 | AMERICAN REGENT | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
0641-6231-25 | J0360 | HIKMA PHARMACEUTICALS USA INC. | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
17478-934-15 | J0360 | AKORN | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
39822-0500-4 | J0360 | X-GEN PHARMACEUTICALS INC | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
50090-4518-0 | J0360 | A-S MEDICATION SOLUTIONS | Hydralazine hcl injection | 20 MG | 1 | 1 | 1 | 1 |
63323-614-01 | J0360 | FRESENIUS KABI | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
63323-614-16 | J0360 | FRESENIUS KABI | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
63323-614-55 | J0360 | FRESENIUS KABI | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
67457-291-01 | J0360 | MYLAN INSTITUTIONAL LLC | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
72572-265-25 | J0360 | CIVICA INC | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
59148-018-71 | J0401 | OTSUKA AMERICA PHARMACEUTICAL, INC. | Inj aripiprazole ext rel 1mg | 1 MG | 1 | 1 | 300 | 300 |
59148-019-71 | J0401 | OTSUKA AMERICA PHARMACEUTICAL, INC. | Inj aripiprazole ext rel 1mg | 1 MG | 1 | 1 | 400 | 400 |
59148-045-80 | J0401 | OTSUKA AMERICA PHARMACEUTICAL, INC. | Inj aripiprazole ext rel 1mg | 1 MG | 1 | 1 | 300 | 300 |
59148-072-80 | J0401 | OTSUKA AMERICA PHARMACEUTICAL, INC. | Inj aripiprazole ext rel 1mg | 1 MG | 1 | 1 | 400 | 400 |
0069-0400-10 | J0456 | PFIZER INC. | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
0069-3150-83 | J0456 | PFIZER INC. | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
0409-0144-11 | J0456 | PFIZER INC. | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
55150-174-10 | J0456 | AUROMEDICS PHARMA LLC | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
63323-398-10 | J0456 | FRESENIUS KABI | Azithromycin | 500 MG | 1 | 10 | 10 | 10 |
63323-398-12 | J0456 | FRESENIUS KABI | Azithromycin | 500 MG | 1 | 10 | 10 | 10 |
63323-398-14 | J0456 | FRESENIUS KABI | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70436-019-82 | J0456 | SLATE RUN | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70860-100-10 | J0456 | ATHENEX | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70860-125-66 | J0456 | ATHENEX | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
0409-1630-10 | J0461 | PFIZER INC. | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
0409-4910-34 | J0461 | PFIZER INC. | Atropine sulfate injection | 0.01 MG | 5 | 10 | 50 | 500 |
0409-4911-34 | J0461 | PFIZER INC. | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
0409-9630-05 | J0461 | PFIZER INC. | Atropine sulfate injection | 0.01 MG | 5 | 10 | 25 | 250 |
0517-0401-25 | J0461 | AMERICAN REGENT | Atropine sulfate injection | 0.01 MG | 1 | 25 | 40 | 1000 |
0517-1010-25 | J0461 | AMERICAN REGENT | Atropine sulfate injection | 0.01 MG | 1 | 25 | 100 | 2500 |
0641-6006-10 | J0461 | HIKMA PHARMACEUTICALS USA INC. | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
16729-483-03 | J0461 | ACCORD HEALTHCARE INC. | Atropine sulfate injection | 0.01 MG | 5 | 10 | 25 | 250 |
16729-484-45 | J0461 | ACCORD HEALTHCARE INC. | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
16729-484-90 | J0461 | ACCORD HEALTHCARE INC. | Atropine sulfate injection | 0.01 MG | 5 | 10 | 50 | 500 |
16729-512-43 | J0461 | ACCORD HEALTHCARE INC. | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
16729-525-08 | J0461 | ACCORD HEALTHCARE INC. | Atropine sulfate injection | 0.01 MG | 1 | 25 | 40 | 1000 |
16729-526-08 | J0461 | ACCORD HEALTHCARE INC. | Atropine sulfate injection | 0.01 MG | 1 | 25 | 100 | 2500 |
50090-3138-0 | J0461 | A-S MEDICATION SOLUTIONS | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
50090-4524-0 | J0461 | A-S MEDICATION SOLUTIONS | Atropine sulfate injection | 0.01 MG | 1 | 1 | 100 | 100 |
50090-5924-0 | J0461 | A-S MEDICATION SOLUTIONS | Atropine sulfate injection | 0.01 MG | 1 | 10 | 10 | 100 |
63323-580-20 | J0461 | FRESENIUS KABI | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
70121-1705-7 | J0461 | AMNEAL BIOSCIENCES | Atropine sulfate injection | 0.01 MG | 5 | 10 | 50 | 500 |
25021-678-20 | J0475 | SAGENT PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
25021-679-20 | J0475 | SAGENT PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
25021-680-20 | J0475 | SAGENT PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 2 | 2 |
66794-155-01 | J0475 | PIRAMAL CRITICAL CARE | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
66794-155-02 | J0475 | PIRAMAL CRITICAL CARE | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
66794-156-01 | J0475 | PIRAMAL CRITICAL CARE | Baclofen 10 mg injection | 10 MG | 20 | 1 | 2 | 2 |
66794-156-02 | J0475 | PIRAMAL CRITICAL CARE | Baclofen 10 mg injection | 10 MG | 20 | 1 | 2 | 2 |
66794-157-01 | J0475 | PIRAMAL CRITICAL CARE | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
66794-157-02 | J0475 | PIRAMAL CRITICAL CARE | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
67457-562-20 | J0475 | MYLAN INSTITUTIONAL LLC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
67457-563-20 | J0475 | MYLAN INSTITUTIONAL LLC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 2 | 2 |
67457-564-20 | J0475 | MYLAN INSTITUTIONAL LLC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
70257-560-01 | J0475 | SAOL THERAPEUTICS | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
70257-560-02 | J0475 | SAOL THERAPEUTICS | Baclofen 10 mg injection | 10 MG | 20 | 2 | 1 | 2 |
70257-561-02 | J0475 | SAOL THERAPEUTICS | Baclofen 10 mg injection | 10 MG | 5 | 2 | 1 | 2 |
70257-563-01 | J0475 | SAOL THERAPEUTICS | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
70257-563-02 | J0475 | SAOL THERAPEUTICS | Baclofen 10 mg injection | 10 MG | 20 | 2 | 4 | 8 |
25021-681-71 | J0476 | SAGENT PHARMACEUTICALS INC | Baclofen intrathecal trial | 50 MCG | 1 | 2 | 1 | 2 |
66794-151-01 | J0476 | PIRAMAL CRITICAL CARE | Baclofen intrathecal trial | 50 MCG | 1 | 1 | 1 | 1 |
70257-562-55 | J0476 | SAOL THERAPEUTICS | Baclofen intrathecal trial | 50 MCG | 1 | 5 | 1 | 5 |
0078-0331-84 | J0480 | NOVARTIS PHARMACEUTICALS CORPORATION | Basiliximab | 20 MG | 1 | 1 | 1 | 1 |
0078-0393-61 | J0480 | NOVARTIS PHARMACEUTICALS CORPORATION | Basiliximab | 20 MG | 1 | 1 | 0.5 | 0.5 |
0003-0371-13 | J0485 | BRISTOL-MYERS SQUIBB COMPANY | Belatacept injection | 1 MG | 1 | 1 | 250 | 250 |
49401-101-01 | J0490 | GLAXOSMITHKLINE | Belimumab injection | 10 MG | 5 | 1 | 12 | 12 |
49401-102-01 | J0490 | GLAXOSMITHKLINE | Belimumab injection | 10 MG | 20 | 1 | 40 | 40 |
0310-3040-00 | J0491 | ASTRAZENECA | Inj anifrolumab-fnia 1mg | 1 mg | 2 | 1 | 300 | 300 |
0641-6173-10 | J0500 | HIKMA PHARMACEUTICALS USA INC. | Dicyclomine injection | 20 MG | 2 | 10 | 1 | 10 |
14789-010-02 | J0500 | NEXUS PHARMACEUTICAL INC | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
17478-015-02 | J0500 | AKORN | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
24201-585-10 | J0500 | LEUCADIA PHARMACEUTICALS | Dicyclomine injection | 20 MG | 2 | 10 | 1 | 10 |
50090-4553-0 | J0500 | A-S MEDICATION SOLUTIONS | Dicyclomine injection | 20 MG | 2 | 1 | 1 | 1 |
58914-080-52 | J0500 | APTALIS PHARMACEUTICALS | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
63323-842-02 | J0500 | FRESENIUS KABI | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
70436-147-81 | J0500 | SLATE RUN | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
72266-127-05 | J0500 | FOSUN PHARMA | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
0143-9233-05 | J0515 | HIKMA | Inj benztropine mesylate | 1 MG | 2 | 5 | 2 | 10 |
0143-9729-05 | J0515 | HIKMA PHARMACEUTICALS USA INC. | Inj benztropine mesylate | 1 MG | 2 | 5 | 2 | 10 |
63323-970-02 | J0515 | FRESENIUS KABI | Inj benztropine mesylate | 1 MG | 2 | 5 | 2 | 10 |
68382-860-10 | J0515 | ZYDUS PHARMACEUTICALS | Inj benztropine mesylate | 1 MG | 2 | 5 | 2 | 10 |
0310-1730-30 | J0517 | ASTRAZENECA | Inj., benralizumab, 1 mg | 1 MG | 1 | 1 | 30 | 30 |
0310-1830-30 | J0517 | ASTRAZENECA | Inj., benralizumab, 1 mg | 1 MG | 1 | 1 | 30 | 30 |
60793-600-10 | J0558 | PFIZER INC. | Peng benzathine/procaine inj | 100,000 UNITS | 2 | 10 | 12 | 120 |
60793-601-10 | J0558 | PFIZER INC. | Peng benzathine/procaine inj | 100,000 UNITS | 2 | 10 | 12 | 120 |
60793-602-10 | J0558 | PFIZER INC. | Peng benzathine/procaine inj | 100,000 UNITS | 2 | 10 | 12 | 120 |
50090-1016-0 | J0561 | A-S MEDICATION SOLUTIONS | Penicillin g benzathine inj | 100,000 UNITS | 2 | 10 | 12 | 120 |
50090-1016-1 | J0561 | A-S MEDICATION SOLUTIONS | Penicillin g benzathine inj | 100,000 UNITS | 2 | 1 | 12 | 12 |
60793-700-10 | J0561 | PFIZER INC. | Penicillin g benzathine inj | 100,000 UNITS | 1 | 10 | 6 | 60 |
60793-701-10 | J0561 | PFIZER INC. | Penicillin g benzathine inj | 100,000 UNITS | 2 | 10 | 12 | 120 |
60793-702-10 | J0561 | PFIZER INC. | Penicillin g benzathine inj | 100,000 UNITS | 4 | 10 | 24 | 240 |
0006-3025-00 | J0565 | MERCK SHARP & DOHME CORP. | Inj, bezlotoxumab, 10 mg | 10 MG | 40 | 1 | 100 | 100 |
0338-9572-24 | J0583 | BAXTER | Bivalirudin | 1 MG | 50 | 24 | 250 | 6000 |
0338-9576-12 | J0583 | BAXTER | Bivalirudin | 1 MG | 100 | 12 | 500 | 6000 |
0409-8300-10 | J0583 | PFIZER INC. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
0409-8300-15 | J0583 | PFIZER INC. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
0781-3158-95 | J0583 | SANDOZ | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
0781-3447-95 | J0583 | SANDOZ | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
16729-275-67 | J0583 | ACCORD HEALTHCARE INC. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
55111-652-37 | J0583 | DR. REDDY'S LABORATORIES, INC. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
55150-210-10 | J0583 | AUROMEDICS PHARMA LLC | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
63323-562-10 | J0583 | FRESENIUS KABI | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
63323-562-15 | J0583 | FRESENIUS KABI | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
67457-256-10 | J0583 | MYLAN INSTITUTIONAL LLC | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
70436-025-82 | J0583 | Slate Run Pharmaceuticals, Llc | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
70860-402-10 | J0583 | ATHENEX | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
70860-403-51 | J0583 | ATHENEX | Bivalirudin | 1 MG | 50 | 10 | 250 | 2500 |
72572-035-10 | J0583 | CIVICA INC | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
69794-102-01 | J0584 | ULTRAGENYX PHARMACEUTICAL, INC | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 10 | 10 |
69794-203-01 | J0584 | ULTRAGENYX PHARMACEUTICAL, INC | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 20 | 20 |
69794-304-01 | J0584 | ULTRAGENYX PHARMACEUTICAL, INC | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 30 | 30 |
0023-1145-01 | J0585 | ALLERGAN SALES, LLC | Injection,onabotulinumtoxina | 1 UNIT | 1 | 1 | 100 | 100 |
0023-3919-50 | J0585 | ALLERGAN SALES, LLC | Injection,onabotulinumtoxina | 1 UNIT | 1 | 1 | 50 | 50 |
0023-3921-02 | J0585 | ALLERGAN SALES, LLC | Injection,onabotulinumtoxina | 1 UNIT | 1 | 1 | 200 | 200 |
0023-9232-01 | J0585 | ALLERGAN SALES, LLC | Injection,onabotulinumtoxina | 1 UNIT | 1 | 1 | 100 | 100 |
0299-5962-30 | J0586 | GALDERMA LABORATORIES L.P. | Abobotulinumtoxina | 5 UNITS | 1 | 1 | 60 | 60 |
15054-0500-1 | J0586 | IPSEN BIOPHARMACEUTICALS, INC | Abobotulinumtoxina | 5 Unit | 1 | 1 | 100 | 100 |
15054-0530-6 | J0586 | IPSEN BIOPHARMACEUTICALS, INC | Abobotulinumtoxina | 5 Unit | 1 | 1 | 60 | 60 |
10454-710-10 | J0587 | SOLSTICE NEUROSCIENCES, LLC | Inj, rimabotulinumtoxinb | 100 UNITS | 0.5 | 1 | 25 | 25 |
10454-711-10 | J0587 | SOLSTICE NEUROSCIENCES, LLC | Inj, rimabotulinumtoxinb | 100 UNITS | 1 | 1 | 50 | 50 |
10454-712-10 | J0587 | SOLSTICE NEUROSCIENCES, LLC | Inj, rimabotulinumtoxinb | 100 UNITS | 2 | 1 | 100 | 100 |
0259-1605-01 | J0588 | MERZ PHARMACEUTICALS LLC | Incobotulinumtoxin a | 1 UNIT | 1 | 1 | 50 | 50 |
0259-1610-01 | J0588 | MERZ PHARMACEUTICALS LLC | Incobotulinumtoxin a | 1 UNIT | 1 | 1 | 100 | 100 |
0259-1620-01 | J0588 | MERZ PHARMACEUTICALS LLC | Incobotulinumtoxin a | 1 UNIT | 1 | 1 | 200 | 200 |
46783-160-01 | J0588 | MERZ AESTHETICS INC | Incobotulinumtoxin a | 1 UNIT | 1 | 1 | 100 | 100 |
46783-161-01 | J0588 | MERZ AESTHETICS INC | Incobotulinumtoxin a | 1 UNIT | 1 | 1 | 50 | 50 |
0143-9246-05 | J0592 | HIKMA PHARMACEUTICALS USA INC. | Buprenorphine hydrochloride | 0.1 MG | 1 | 5 | 3 | 15 |
0409-2012-32 | J0592 | PFIZER INC. | Buprenorphine hydrochloride | 0.1 MG | 1 | 10 | 3 | 30 |
12496-0757-5 | J0592 | INDIVIOR INC. | Buprenorphine hydrochloride | 0.1 MG | 1 | 5 | 3 | 15 |
42023-179-05 | J0592 | PAR PHARMACEUTICAL, INC | Buprenorphine hydrochloride | 0.1 MG | 1 | 5 | 3 | 15 |
0409-1112-01 | J0594 | PFIZER INC. | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
0517-0920-08 | J0594 | AMERICAN REGENT | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
16729-351-92 | J0594 | ACCORD HEALTHCARE INC. | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
25021-241-10 | J0594 | SAGENT PHARMACEUTICALS INC | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
59148-070-91 | J0594 | OTSUKA AMERICA PHARMACEUTICAL, INC. | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
60505-6177-8 | J0594 | APOTEX CORP. | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
65219-160-10 | J0594 | FRESENIUS KABI | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
67457-893-08 | J0594 | MYLAN INSTITUTIONAL LLC | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
70121-1244-7 | J0594 | AMNEAL BIOSCIENCES | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
72485-210-08 | J0594 | ARMAS PHARMACEUTICALS, INC. | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
0409-1623-01 | J0595 | PFIZER INC. | Butorphanol tartrate 1 mg | 1 MG | 1 | 10 | 1 | 10 |
0409-1626-01 | J0595 | PFIZER INC. | Butorphanol tartrate 1 mg | 1 MG | 1 | 10 | 2 | 20 |
0409-1626-02 | J0595 | PFIZER INC. | Butorphanol tartrate 1 mg | 1 MG | 2 | 10 | 4 | 40 |
71274-350-02 | J0596 | PHARMING HEALTHCARE, INC. | Injection, ruconest | 10 UNITS | 1 | 1 | 210 | 210 |
63833-825-02 | J0597 | CSL BEHRING LLC | C-1 esterase, berinert | 10 UNITS | 1 | 1 | 50 | 50 |
42227-081-05 | J0598 | TAKEDA PHARMACEUTICAL AMERICA, INC. | C-1 esterase, cinryze | 10 UNITS | 1 | 1 | 50 | 50 |
42227-083-01 | J0598 | TAKEDA PHARMACEUTICAL AMERICA, INC. | C-1 esterase, cinryze | 10 UNITS | 1 | 1 | 50 | 50 |
99207-240-05 | J0600 | MEDICIS PHARMACEUTICALS | Edetate calcium disodium inj | 1000 MG | 5 | 5 | 1 | 5 |
44567-620-24 | J0610 | WG CRITICAL CARE | Calcium gluconate injection | 10 ML | 50 | 24 | 5 | 120 |
44567-621-24 | J0610 | WG CRITICAL CARE | Calcium gluconate injection | 10 ML | 100 | 24 | 10 | 240 |
44567-622-24 | J0610 | WG CRITICAL CARE | Calcium gluconate injection | 10 ML | 100 | 24 | 10 | 240 |
63323-360-19 | J0610 | FRESENIUS KABI | Calcium gluconate injection | 10 ML | 10 | 25 | 1 | 25 |
63323-360-59 | J0610 | FRESENIUS KABI | Calcium gluconate injection | 10 ML | 50 | 25 | 5 | 125 |
63323-360-61 | J0610 | FRESENIUS KABI | Calcium gluconate injection | 10 ML | 100 | 20 | 10 | 200 |
24201-400-02 | J0630 | LEUCADIA PHARMACEUTICALS | Calcitonin salmon injection | 400 UNITS | 2 | 1 | 1 | 1 |
42023-205-01 | J0630 | PAR PHARMACEUTICAL, INC | Calcitonin salmon injection | 400 UNITS | 2 | 1 | 1 | 1 |
67457-675-02 | J0630 | MYLAN INSTITUTIONAL LLC | Calcitonin salmon injection | 400 UNITS | 2 | 1 | 1 | 1 |
17478-831-01 | J0636 | AKORN | Inj calcitriol per 0.1 mcg | 0.1 MCG | 1 | 10 | 10 | 100 |
17478-931-01 | J0636 | AKORN | Inj calcitriol per 0.1 mcg | 0.1 MCG | 1 | 10 | 10 | 100 |
0006-3822-10 | J0637 | MERCK SHARP & DOHME CORP. | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
0006-3823-10 | J0637 | MERCK SHARP & DOHME CORP. | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
0781-3421-94 | J0637 | SANDOZ | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
0781-3423-94 | J0637 | SANDOZ | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
63323-356-10 | J0637 | FRESENIUS KABI | Caspofungin acetate | 5 MG | 1 | 10 | 10 | 100 |
63323-358-10 | J0637 | FRESENIUS KABI | Caspofungin acetate | 5 MG | 1 | 10 | 14 | 140 |
70860-106-10 | J0637 | ATHENEX | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
70860-107-10 | J0637 | ATHENEX | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
72266-106-01 | J0637 | FOSUN PHARMA | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
72266-107-01 | J0637 | FOSUN PHARMA | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
72611-700-01 | J0637 | ALMAJECT | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
72611-702-01 | J0637 | ALMAJECT | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
0078-0734-61 | J0638 | NOVARTIS PHARMACEUTICALS CORPORATION | Canakinumab injection | 1 MG | 150 | 1 | 150 | 150 |
0143-9368-01 | J0640 | HIKMA PHARMACEUTICALS USA INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
0143-9552-01 | J0640 | HIKMA PHARMACEUTICALS USA INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
0143-9553-01 | J0640 | HIKMA PHARMACEUTICALS USA INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
0143-9554-01 | J0640 | HIKMA PHARMACEUTICALS USA INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
0143-9555-01 | J0640 | HIKMA PHARMACEUTICALS USA INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 1 | 1 |
0703-5140-01 | J0640 | SICOR PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
0703-5145-01 | J0640 | SICOR PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
0703-5145-91 | J0640 | SICOR PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
25021-813-10 | J0640 | SAGENT PHARMACEUTICALS INC | Leucovorin calcium injection | 50 MG | 1 | 10 | 1 | 10 |
25021-814-30 | J0640 | SAGENT PHARMACEUTICALS INC | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
25021-815-30 | J0640 | SAGENT PHARMACEUTICALS INC | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
25021-816-30 | J0640 | SAGENT PHARMACEUTICALS INC | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
25021-828-50 | J0640 | SAGENT PHARMACEUTICALS INC | Leucovorin calcium injection | 50 MG | 1 | 1 | 10 | 10 |
63323-631-10 | J0640 | FRESENIUS KABI | Leucovorin calcium injection | 50 MG | 10 | 1 | 2 | 2 |
63323-631-50 | J0640 | FRESENIUS KABI | Leucovorin calcium injection | 50 MG | 50 | 1 | 10 | 10 |
63323-710-50 | J0640 | FRESENIUS KABI | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
63323-710-59 | J0640 | FRESENIUS KABI | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
63323-711-00 | J0640 | FRESENIUS KABI | Leucovorin calcium injection | 50 MG | 1 | 1 | 10 | 10 |
67457-528-10 | J0640 | MYLAN INSTITUTIONAL LLC | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
67457-529-20 | J0640 | MYLAN INSTITUTIONAL LLC | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
67457-530-35 | J0640 | MYLAN INSTITUTIONAL LLC | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
68001-416-36 | J0640 | AMERICAN HEALTH PACKAGING | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
68001-417-37 | J0640 | AMERICAN HEALTH PACKAGING | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
68001-418-38 | J0640 | AMERICAN HEALTH PACKAGING | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
0143-9558-01 | J0641 | HIKMA PHARMACEUTICALS USA INC. | Inj levoleucovorin nos 0.5mg | 0.5 MG | 1 | 1 | 100 | 100 |
0781-3201-94 | J0641 | SANDOZ | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
16714-890-01 | J0641 | NORTHSTAR RX LLC | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
16714-915-01 | J0641 | NORTHSTAR RX LLC | Inj levoleucovorin nos 0.5mg | 0.5 MG | 25 | 1 | 500 | 500 |
43598-771-11 | J0641 | DR. REDDY'S LABORATORIES, INC. | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
43598-773-11 | J0641 | DR. REDDY'S LABORATORIES, INC. | Inj levoleucovorin nos 0.5mg | 0.5 MG | 25 | 1 | 500 | 500 |
70121-1099-1 | J0641 | AMNEAL BIOSCIENCES | Inj levoleucovorin nos 0.5mg | 0.5 MG | 1 | 1 | 100 | 100 |
70121-1572-1 | J0641 | AMNEAL BIOSCIENCES | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
72266-120-01 | J0641 | FOSUN PHARMA | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
72266-121-01 | J0641 | FOSUN PHARMA | Inj levoleucovorin nos 0.5mg | 0.5 MG | 25 | 1 | 500 | 500 |
72893-004-01 | J0642 | ACROTECH BIOPHARMA | Injection, khapzory, 0.5 mg | 0.5 MG | 1 | 1 | 350 | 350 |
72893-006-01 | J0642 | ACROTECH BIOPHARMA | Injection, khapzory, 0.5 mg | 0.5 MG | 1 | 1 | 600 | 600 |
50090-4408-0 | J0670 | A-S MEDICATION SOLUTIONS | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 1 | 5 | 5 |
50090-4517-0 | J0670 | A-S MEDICATION SOLUTIONS | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 1 | 5 | 5 |
63323-260-37 | J0670 | FRESENIUS KABI | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 25 | 3 | 75 |
63323-283-57 | J0670 | FRESENIUS KABI | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
63323-293-37 | J0670 | FRESENIUS KABI | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 25 | 3 | 75 |
63323-294-27 | J0670 | FRESENIUS KABI | Inj mepivacaine hcl/10 ml | 10 ML | 20 | 25 | 2 | 50 |
63323-296-57 | J0670 | FRESENIUS KABI | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
0143-9261-10 | J0690 | HIKMA PHARMACEUTICALS USA INC. | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
0143-9262-25 | J0690 | HIKMA PHARMACEUTICALS USA INC. | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
0143-9923-90 | J0690 | HIKMA PHARMACEUTICALS USA INC. | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
0143-9924-90 | J0690 | HIKMA PHARMACEUTICALS USA INC. | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
0143-9983-03 | J0690 | HIKMA PHARMACEUTICALS USA INC. | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
0264-3103-11 | J0690 | B. BRAUN MEDICAL INC. | Cefazolin sodium injection | 500 MG | 50 | 24 | 2 | 48 |
0264-3105-11 | J0690 | B. BRAUN MEDICAL INC. | Cefazolin sodium injection | 500 MG | 50 | 24 | 4 | 96 |
0338-3503-41 | J0690 | BAXTER | Cefazolin sodium injection | 500 MG | 50 | 24 | 2 | 48 |
0338-3508-41 | J0690 | BAXTER | Cefazolin sodium injection | 500 MG | 100 | 12 | 4 | 48 |
0409-2585-01 | J0690 | PFIZER INC. | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
0781-3450-95 | J0690 | SANDOZ | Cefazolin sodium injection | 500 MG | 1 | 1 | 10 | 10 |
0781-3451-96 | J0690 | SANDOZ | Cefazolin sodium injection | 500 MG | 10 | 25 | 2 | 50 |
0781-3452-95 | J0690 | SANDOZ | Cefazolin sodium injection | 500 MG | 10 | 10 | 20 | 200 |
25021-100-10 | J0690 | SAGENT PHARMACEUTICALS INC | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-100-66 | J0690 | SAGENT PHARMACEUTICALS INC | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-101-10 | J0690 | SAGENT PHARMACEUTICALS INC | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
25021-101-67 | J0690 | SAGENT PHARMACEUTICALS INC | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
25021-102-69 | J0690 | SAGENT PHARMACEUTICALS INC | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
25021-102-99 | J0690 | SAGENT PHARMACEUTICALS INC | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
44567-120-25 | J0690 | WG CRITICAL CARE | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
44567-706-25 | J0690 | WG CRITICAL CARE | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
44567-707-25 | J0690 | WG CRITICAL CARE | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
44567-708-10 | J0690 | WG CRITICAL CARE | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
50090-4256-0 | J0690 | A-S MEDICATION SOLUTIONS | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
60505-6142-5 | J0690 | APOTEX CORP. | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
60505-6143-4 | J0690 | APOTEX CORP. | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
63323-236-10 | J0690 | FRESENIUS KABI | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
63323-237-10 | J0690 | FRESENIUS KABI | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
63323-238-61 | J0690 | FRESENIUS KABI | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
72000-120-06 | J0691 | NABRIVA THERAPEUTICS US, INC | Inj lefamulin 1 mg | 1 MG | 150 | 6 | 150 | 900 |
0264-3193-11 | J0692 | B. BRAUN MEDICAL INC. | Cefepime hcl for injection | 500 MG | 1 | 24 | 2 | 48 |
0264-3195-11 | J0692 | B. BRAUN MEDICAL INC. | Cefepime hcl for injection | 500 MG | 1 | 24 | 4 | 96 |
0338-1301-41 | J0692 | BAXTER | Cefepime hcl for injection | 500 MG | 50 | 24 | 2 | 48 |
0338-1301-48 | J0692 | BAXTER | Cefepime hcl for injection | 500 MG | 100 | 12 | 4 | 48 |
0409-9566-10 | J0692 | PFIZER INC. | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
0409-9735-10 | J0692 | PFIZER INC. | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
25021-121-20 | J0692 | SAGENT PHARMACEUTICALS INC | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
25021-121-66 | J0692 | SAGENT PHARMACEUTICALS INC | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
25021-122-50 | J0692 | SAGENT PHARMACEUTICALS INC | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
25021-122-67 | J0692 | SAGENT PHARMACEUTICALS INC | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
44567-240-10 | J0692 | WG CRITICAL CARE | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
44567-241-10 | J0692 | WG CRITICAL CARE | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
60505-6144-4 | J0692 | APOTEX CORP. | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
60505-6145-4 | J0692 | APOTEX CORP. | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
60505-6146-0 | J0692 | APOTEX CORP. | Cefepime hcl for injection | 500 MG | 1 | 1 | 2 | 2 |
60505-6146-4 | J0692 | APOTEX CORP. | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
60505-6147-0 | J0692 | APOTEX CORP. | Cefepime hcl for injection | 500 MG | 1 | 1 | 4 | 4 |
60505-6147-4 | J0692 | APOTEX CORP. | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
63323-326-20 | J0692 | FRESENIUS KABI | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
63323-340-20 | J0692 | FRESENIUS KABI | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
66794-209-41 | J0692 | PIRAMAL CRITICAL CARE | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
66794-210-41 | J0692 | PIRAMAL CRITICAL CARE | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
70594-089-02 | J0692 | XELLIA PHARMACEUTICALS USA | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
70594-090-02 | J0692 | XELLIA PHARMACEUTICALS USA | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
0143-9876-10 | J0694 | HIKMA PHARMACEUTICALS USA INC. | Cefoxitin sodium injection | 1 GM | 1 | 10 | 10 | 100 |
0143-9877-25 | J0694 | HIKMA PHARMACEUTICALS USA INC. | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
0143-9878-25 | J0694 | HIKMA PHARMACEUTICALS USA INC. | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
0264-3123-11 | J0694 | B. BRAUN MEDICAL INC. | Cefoxitin sodium injection | 1 GM | 1 | 24 | 1 | 24 |
0264-3125-11 | J0694 | B. BRAUN MEDICAL INC. | Cefoxitin sodium injection | 1 GM | 1 | 24 | 2 | 48 |
25021-109-10 | J0694 | SAGENT PHARMACEUTICALS INC | Cefoxitin sodium injection | 1 GM | 1 | 10 | 1 | 10 |
25021-110-20 | J0694 | SAGENT PHARMACEUTICALS INC | Cefoxitin sodium injection | 1 GM | 1 | 10 | 2 | 20 |
25021-111-99 | J0694 | SAGENT PHARMACEUTICALS INC | Cefoxitin sodium injection | 1 GM | 1 | 10 | 10 | 100 |
44567-245-25 | J0694 | WG CRITICAL CARE | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
44567-245-85 | J0694 | WG CRITICAL CARE | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
44567-246-25 | J0694 | WG CRITICAL CARE | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
44567-246-85 | J0694 | WG CRITICAL CARE | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
44567-247-10 | J0694 | WG CRITICAL CARE | Cefoxitin sodium injection | 1 GM | 1 | 10 | 10 | 100 |
63323-341-25 | J0694 | FRESENIUS KABI | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
63323-341-29 | J0694 | FRESENIUS KABI | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
63323-342-25 | J0694 | FRESENIUS KABI | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
63323-342-29 | J0694 | FRESENIUS KABI | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
67919-030-01 | J0695 | CUBIST PHARMACEUTICALS | Inj ceftolozane tazobactam | 75mg (50mg cft/25mg taz) | 1 | 10 | 20 | 200 |
0143-9678-01 | J0696 | HIKMA PHARMACEUTICALS USA INC. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
0143-9856-25 | J0696 | HIKMA PHARMACEUTICALS USA INC. | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
0143-9857-25 | J0696 | HIKMA PHARMACEUTICALS USA INC. | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
0143-9858-25 | J0696 | HIKMA PHARMACEUTICALS USA INC. | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
0143-9859-25 | J0696 | HIKMA PHARMACEUTICALS USA INC. | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 1 | 25 |
0264-3153-11 | J0696 | B. BRAUN MEDICAL INC. | Ceftriaxone sodium injection | 250 MG | 1 | 24 | 4 | 96 |
0264-3155-11 | J0696 | B. BRAUN MEDICAL INC. | Ceftriaxone sodium injection | 250 MG | 1 | 24 | 8 | 192 |
0338-5002-41 | J0696 | BAXTER | Ceftriaxone sodium injection | 250 MG | 50 | 24 | 4 | 96 |
0338-5003-41 | J0696 | BAXTER | Ceftriaxone sodium injection | 250 MG | 50 | 24 | 8 | 192 |
0409-7332-01 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
0409-7332-20 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
0409-7333-04 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
0409-7333-49 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
0409-7334-10 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
0409-7334-20 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
0409-7335-03 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
0409-7335-20 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
0409-7336-04 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
0409-7337-01 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
0409-7337-20 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
0409-7338-01 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
0409-7338-20 | J0696 | PFIZER INC. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
0781-3206-85 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 1 | 1 |
0781-3206-95 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
0781-3207-85 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 2 | 2 |
0781-3207-95 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
0781-3208-85 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 4 | 4 |
0781-3208-95 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
0781-3209-95 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
0781-3210-46 | J0696 | SANDOZ | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
25021-105-10 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
25021-105-66 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
25021-106-10 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
25021-106-67 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
25021-107-20 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
25021-107-68 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
25021-108-69 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
25021-108-99 | J0696 | SAGENT PHARMACEUTICALS INC | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
44567-700-25 | J0696 | WG CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
44567-701-25 | J0696 | WG CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
44567-702-25 | J0696 | WG CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
44567-703-01 | J0696 | WG CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
50090-0944-0 | J0696 | A-S MEDICATION SOLUTIONS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
50090-0945-0 | J0696 | A-S MEDICATION SOLUTIONS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
50090-1875-0 | J0696 | A-S MEDICATION SOLUTIONS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
50090-2444-0 | J0696 | A-S MEDICATION SOLUTIONS | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 1 | 1 |
50090-3810-1 | J0696 | A-S MEDICATION SOLUTIONS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
50090-3838-0 | J0696 | A-S MEDICATION SOLUTIONS | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 2 | 2 |
50090-4689-0 | J0696 | A-S MEDICATION SOLUTIONS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
60505-6148-4 | J0696 | APOTEX CORP. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
60505-6149-4 | J0696 | APOTEX CORP. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
60505-6150-5 | J0696 | APOTEX CORP. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
60505-6151-1 | J0696 | APOTEX CORP. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
60505-6151-4 | J0696 | APOTEX CORP. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 1 | 1 |
60505-6152-1 | J0696 | APOTEX CORP. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
60505-6152-4 | J0696 | APOTEX CORP. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 2 | 2 |
63323-346-10 | J0696 | FRESENIUS KABI | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
66794-211-42 | J0696 | PIRAMAL CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 1 | 25 |
66794-212-42 | J0696 | PIRAMAL CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
66794-213-42 | J0696 | PIRAMAL CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
66794-214-42 | J0696 | PIRAMAL CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
66794-215-15 | J0696 | PIRAMAL CRITICAL CARE | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
68180-611-01 | J0696 | LUPIN PHARMACEUTICALS | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 1 | 1 |
68180-611-10 | J0696 | LUPIN PHARMACEUTICALS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
68180-622-01 | J0696 | LUPIN PHARMACEUTICALS | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 2 | 2 |
68180-622-10 | J0696 | LUPIN PHARMACEUTICALS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
68180-633-01 | J0696 | LUPIN PHARMACEUTICALS | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 4 | 4 |
68180-633-10 | J0696 | LUPIN PHARMACEUTICALS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
68180-644-10 | J0696 | LUPIN PHARMACEUTICALS | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
72572-061-25 | J0696 | CIVICA INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
72572-062-25 | J0696 | CIVICA INC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
0143-9567-25 | J0697 | HIKMA PHARMACEUTICALS USA INC. | Sterile cefuroxime injection | 750 MG | 1 | 25 | 2 | 50 |
0143-9568-25 | J0697 | HIKMA PHARMACEUTICALS USA INC. | Sterile cefuroxime injection | 750 MG | 1 | 25 | 1 | 25 |
0143-9977-22 | J0697 | HIKMA PHARMACEUTICALS USA INC. | Sterile cefuroxime injection | 750 MG | 1 | 25 | 2 | 50 |
0143-9979-22 | J0697 | HIKMA PHARMACEUTICALS USA INC. | Sterile cefuroxime injection | 750 MG | 1 | 25 | 1 | 25 |
25021-118-10 | J0697 | SAGENT PHARMACEUTICALS INC | Sterile cefuroxime injection | 750 MG | 1 | 25 | 1 | 25 |
25021-119-20 | J0697 | SAGENT PHARMACEUTICALS INC | Sterile cefuroxime injection | 750 MG | 1 | 25 | 2 | 50 |
0517-0720-01 | J0702 | AMERICAN REGENT | Betamethasone acet&sod phosp | 3 MG & 3 MG | 5 | 1 | 5 | 5 |
0517-0791-01 | J0702 | AMERICAN REGENT | Betamethasone acet&sod phosp | 3 MG & 3 MG | 5 | 1 | 5 | 5 |
0517-0799-01 | J0702 | AMERICAN REGENT | Betamethasone acet&sod phosp | 3 MG & 3 MG | 5 | 1 | 5 | 5 |
51754-5060-1 | J0702 | EXELA PHARMA SCIENCES | Betamethasone acet&sod phosp | 3 MG & 3 MG | 5 | 1 | 5 | 5 |
78206-118-01 | J0702 | ORGANON LLC | Betamethasone acet&sod phosp | 3 MG & 3 MG | 5 | 1 | 5 | 5 |
0456-0400-10 | J0712 | FOREST LABORATORIES | Ceftaroline fosamil inj | 10 MG | 1 | 10 | 40 | 400 |
0456-0600-10 | J0712 | FOREST LABORATORIES | Ceftaroline fosamil inj | 10 MG | 1 | 10 | 60 | 600 |
0264-3143-11 | J0713 | B. BRAUN MEDICAL INC. | Inj ceftazidime per 500 mg | 500 MG | 1 | 24 | 2 | 48 |
0264-3145-11 | J0713 | B. BRAUN MEDICAL INC. | Inj ceftazidime per 500 mg | 500 MG | 1 | 24 | 4 | 96 |
0409-5082-16 | J0713 | PFIZER INC. | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
0409-5084-11 | J0713 | PFIZER INC. | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
0409-5086-11 | J0713 | PFIZER INC. | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 12 | 120 |
0409-5092-16 | J0713 | PFIZER INC. | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
0409-5093-11 | J0713 | PFIZER INC. | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
25021-127-20 | J0713 | SAGENT PHARMACEUTICALS INC | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
25021-127-66 | J0713 | SAGENT PHARMACEUTICALS INC | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
25021-128-50 | J0713 | SAGENT PHARMACEUTICALS INC | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
25021-128-67 | J0713 | SAGENT PHARMACEUTICALS INC | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
25021-129-69 | J0713 | SAGENT PHARMACEUTICALS INC | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
25021-129-99 | J0713 | SAGENT PHARMACEUTICALS INC | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
44567-235-25 | J0713 | WG CRITICAL CARE | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
44567-236-10 | J0713 | WG CRITICAL CARE | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
44567-237-06 | J0713 | WG CRITICAL CARE | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
52565-105-10 | J0713 | TELIGENT | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 1 | 10 |
52565-106-10 | J0713 | TELIGENT | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 2 | 20 |
52565-107-10 | J0713 | TELIGENT | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
0456-2700-10 | J0714 | FOREST LABORATORIES | Ceftazidime and avibactam | .625 G | 1 | 10 | 4 | 40 |
50474-700-62 | J0717 | UCB, INC. | Certolizumab pegol inj 1mg | 1 MG | 1 | 2 | 200 | 400 |
50474-710-79 | J0717 | UCB, INC. | Certolizumab pegol inj 1mg | 1 MG | 1 | 2 | 200 | 400 |
50474-710-81 | J0717 | UCB, INC. | Certolizumab pegol inj 1mg | 1 MG | 1 | 6 | 200 | 1200 |
63323-011-15 | J0720 | FRESENIUS KABI | Chloramphenicol sodium injec | 1 GM | 1 | 10 | 1 | 10 |
55566-1501-1 | J0725 | FERRING PHARMACEUTICALS, INC. | Chorionic gonadotropin/1000u | 1000 UNITS | 1 | 1 | 10 | 10 |
55566-1502-1 | J0725 | FERRING PHARMACEUTICALS, INC. | Chorionic gonadotropin/1000u | 1000 UNITS | 1 | 1 | 5 | 5 |
63323-030-11 | J0725 | FRESENIUS KABI | Chorionic gonadotropin/1000u | 1000 UNITS | 1 | 1 | 10 | 10 |
0143-9723-01 | J0735 | HIKMA PHARMACEUTICALS USA INC. | Clonidine hydrochloride | 1 MG | 10 | 1 | 5 | 5 |
0143-9724-01 | J0735 | HIKMA PHARMACEUTICALS USA INC. | Clonidine hydrochloride | 1 MG | 10 | 1 | 1 | 1 |
39822-2000-1 | J0735 | X-GEN PHARMACEUTICALS INC | Clonidine hydrochloride | 1 MG | 10 | 1 | 1 | 1 |
39822-2010-1 | J0735 | X-GEN PHARMACEUTICALS INC | Clonidine hydrochloride | 1 MG | 10 | 1 | 5 | 5 |
67457-218-10 | J0735 | MYLAN INSTITUTIONAL LLC | Clonidine hydrochloride | 1 MG | 10 | 1 | 1 | 1 |
23155-216-31 | J0740 | HERITAGE PHARMACEUTICALS, INC. | Cidofovir injection | 375 MG | 5 | 1 | 1 | 1 |
67457-210-05 | J0740 | MYLAN INSTITUTIONAL LLC | Cidofovir injection | 375 MG | 5 | 1 | 1 | 1 |
49702-240-15 | J0741 | GLAXOSMITHKLINE | Inj, cabote rilpivir 2mg 3mg | 2 MG - 3 MG | 6 | 1 | 300 | 300 |
49702-253-15 | J0741 | GLAXOSMITHKLINE | Inj, cabote rilpivir 2mg 3mg | 2 MG - 3 MG | 4 | 1 | 200 | 200 |
0006-3856-02 | J0742 | MERCK SHARP & DOHME CORP. | Inj imip 4 cilas 4 releb 2mg | 4 MG-4 MG-2 MG | 1 | 25 | 125 | 3125 |
0006-3516-59 | J0743 | MERCK SHARP & DOHME CORP. | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
44567-705-10 | J0743 | Wg Critical Care | Cilastatin sodium injection | 250 MG | 1 | 10 | 2 | 20 |
63323-322-25 | J0743 | FRESENIUS KABI | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
63323-322-93 | J0743 | FRESENIUS KABI | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
63323-322-94 | J0743 | FRESENIUS KABI | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
63323-349-25 | J0743 | FRESENIUS KABI | Cilastatin sodium injection | 250 MG | 1 | 25 | 1 | 25 |
63323-349-93 | J0743 | FRESENIUS KABI | Cilastatin sodium injection | 250 MG | 1 | 25 | 1 | 25 |
63323-349-94 | J0743 | FRESENIUS KABI | Cilastatin sodium injection | 250 MG | 1 | 25 | 1 | 25 |
0409-4777-02 | J0744 | PFIZER INC. | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
0409-4777-23 | J0744 | PFIZER INC. | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
25021-114-87 | J0744 | SAGENT PHARMACEUTICALS INC | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
36000-008-24 | J0744 | BAXTER | Ciprofloxacin iv | 200 MG | 100 | 1 | 1 | 1 |
36000-009-24 | J0744 | BAXTER | Ciprofloxacin iv | 200 MG | 200 | 1 | 2 | 2 |
36000-297-24 | J0744 | BAXTER | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
36000-298-24 | J0744 | BAXTER | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
23155-193-31 | J0770 | HERITAGE PHARMACEUTICALS, INC. | Colistimethate sodium inj | UP TO 150 MG | 1 | 1 | 1 | 1 |
39822-0615-2 | J0770 | X-GEN PHARMACEUTICALS INC | Colistimethate sodium inj | UP TO 150 MG | 1 | 12 | 1 | 12 |
42023-107-01 | J0770 | PAR PHARMACEUTICAL, INC | Colistimethate sodium inj | UP TO 150 MG | 1 | 1 | 1 | 1 |
42023-107-06 | J0770 | PAR PHARMACEUTICAL, INC | Colistimethate sodium inj | UP TO 150 MG | 1 | 6 | 1 | 6 |
42023-131-01 | J0770 | PAR PHARMACEUTICAL, INC | Colistimethate sodium inj | UP TO 150 MG | 1 | 1 | 1 | 1 |
42023-131-06 | J0770 | PAR PHARMACEUTICAL, INC | Colistimethate sodium inj | UP TO 150 MG | 1 | 6 | 1 | 6 |
63323-393-06 | J0770 | FRESENIUS KABI | Colistimethate sodium inj | UP TO 150 MG | 1 | 1 | 1 | 1 |
70594-023-01 | J0770 | XELLIA PHARMACEUTICALS USA, LLC | Colistimethate sodium inj | UP TO 150 MG | 1 | 1 | 1 | 1 |
70594-023-04 | J0770 | XELLIA PHARMACEUTICALS USA, LLC | Colistimethate sodium inj | UP TO 150 MG | 1 | 12 | 1 | 12 |
70594-023-09 | J0770 | XELLIA PHARMACEUTICALS USA, LLC | Colistimethate sodium inj | UP TO 150 MG | 1 | 1 | 1 | 1 |
66887-003-01 | J0775 | AUXILIUM PHARMACEUTICALS | Collagenase, clost hist inj | 0.01 MG | 1 | 1 | 90 | 90 |
0641-6135-25 | J0780 | HIKMA PHARMACEUTICALS USA INC. | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
14789-700-02 | J0780 | NEXUS PHARMACEUTICAL INC | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
23155-294-41 | J0780 | HERITAGE PHARMACEUTICALS, INC. | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
23155-294-42 | J0780 | HERITAGE PHARMACEUTICALS, INC. | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
23155-497-42 | J0780 | HERITAGE PHARMACEUTICALS, INC. | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
23155-523-41 | J0780 | HERITAGE PHARMACEUTICALS, INC. | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
25021-790-02 | J0780 | SAGENT PHARMACEUTICAL | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
25021-790-03 | J0780 | SAGENT PHARMACEUTICAL | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
43066-090-25 | J0780 | BAXTER | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
67457-640-02 | J0780 | MYLAN INSTITUTIONAL LLC | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
67457-640-99 | J0780 | MYLAN INSTITUTIONAL LLC | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
70860-778-02 | J0780 | ATHENEX | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
72572-580-25 | J0780 | CIVICA INC | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
0078-0883-61 | J0791 | NOVARTIS PHARMACEUTICALS CORPORATION | Inj crizanlizumab-tmca 5mg | 5 MG | 10 | 1 | 20 | 20 |
62559-860-15 | J0800 | Ani Pharmaceuticals, Inc. | Corticotropin injection | 40 UNITS | 5 | 1 | 10 | 10 |
63004-8710-1 | J0800 | MALLINCKRODT PHARMACEUTICALS | Corticotropin injection | 40 Units | 5 | 1 | 10 | 10 |
0548-5900-00 | J0834 | AMPHASTAR PHARMACEUTICALS, INC. | Inj., cosyntropin, 0.25 mg | 0.25 MG | 1 | 10 | 1 | 10 |
0781-3440-95 | J0834 | SANDOZ | Inj., cosyntropin, 0.25 mg | 0.25 MG | 1 | 10 | 1 | 10 |
50090-4547-1 | J0834 | A-S MEDICATION SOLUTIONS | Inj., cosyntropin, 0.25 mg | 0.25 MG | 1 | 1 | 1 | 1 |
67457-227-02 | J0834 | MYLAN INSTITUTIONAL LLC | Inj., cosyntropin, 0.25 mg | 0.25 MG | 1 | 10 | 1 | 10 |
50633-110-12 | J0840 | BTG INTERNATIONAL INC. | Crotalidae poly immune fab | UP TO 1 GM | 1 | 2 | 1 | 2 |
66621-0790-2 | J0841 | RARE DISEASE THERAPEUTICS, INC. | Inj crotalidae im f(ab')2 eq | 120 MG | 1 | 1 | 1 | 1 |
44206-532-11 | J0850 | CSL BEHRING LLC | Cytomegalovirus imm iv /vial | PER VIAL | 50 | 1 | 1 | 1 |
70257-532-51 | J0850 | SAOL THERAPEUTICS | Cytomegalovirus imm iv /vial | PER VIAL | 50 | 1 | 1 | 1 |
57970-100-01 | J0875 | DURATA PHARMACEUTICALS | Injection, dalbavancin | 5 MG | 1 | 1 | 100 | 100 |
0143-9378-01 | J0878 | HIKMA PHARMACEUTICALS USA INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
0409-0120-01 | J0878 | PFIZER INC. | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
0409-0122-01 | J0878 | PFIZER INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
0409-2757-01 | J0878 | PFIZER INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
0409-5933-01 | J0878 | PFIZER INC. | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
0703-0125-01 | J0878 | SICOR PHARMACEUTICALS, INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
0781-3295-70 | J0878 | SANDOZ | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
16714-892-01 | J0878 | NORTHSTAR RX LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
16729-434-05 | J0878 | ACCORD HEALTHCARE INC. | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
16729-434-45 | J0878 | ACCORD HEALTHCARE INC. | Daptomycin injection | 1 MG | 1 | 10 | 350 | 3500 |
16729-435-05 | J0878 | ACCORD HEALTHCARE INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
25021-174-15 | J0878 | SAGENT PHARMACEUTICALS INC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
25021-174-16 | J0878 | SAGENT PHARMACEUTICALS INC | Daptomycin injection | 1 MG | 1 | 10 | 500 | 5000 |
25021-179-15 | J0878 | SAGENT PHARMACEUTICALS INC | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
25021-179-16 | J0878 | SAGENT PHARMACEUTICALS INC | Daptomycin injection | 1 MG | 1 | 10 | 350 | 3500 |
25021-179-66 | J0878 | SAGENT PHARMACEUTICALS INC | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
25021-179-67 | J0878 | SAGENT PHARMACEUTICALS INC | Daptomycin injection | 1 MG | 1 | 10 | 350 | 3500 |
43598-413-11 | J0878 | DR. REDDY'S LABORATORIES, INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
43598-476-11 | J0878 | DR. REDDY'S LABORATORIES, INC. | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
55150-344-01 | J0878 | AUROMEDICS PHARMA, LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
63323-371-10 | J0878 | FRESENIUS KABI | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
63323-371-19 | J0878 | FRESENIUS KABI | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
63323-585-15 | J0878 | FRESENIUS KABI | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
63323-871-15 | J0878 | FRESENIUS KABI | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
67457-813-50 | J0878 | MYLAN INSTITUTIONAL LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
67919-011-01 | J0878 | CUBIST PHARMACEUTICALS | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
67919-012-01 | J0878 | CUBIST PHARMACEUTICALS | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
67919-012-02 | J0878 | CUBIST PHARMACEUTICALS | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
68001-376-68 | J0878 | AMERICAN HEALTH PACKAGING | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
69097-807-37 | J0878 | CIPLA USA INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
69097-850-67 | J0878 | CIPLA USA INC. | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
70594-034-01 | J0878 | XELLIA PHARMACEUTICALS USA, LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
70594-034-02 | J0878 | XELLIA PHARMACEUTICALS USA, LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
70594-053-01 | J0878 | XELLIA PHARMACEUTICALS USA, LLC | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
71839-107-01 | J0878 | BE PHARMACEUTICALS INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
71839-108-01 | J0878 | BE PHARMACEUTICALS INC. | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
72572-100-01 | J0878 | CIVICA INC | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
72572-102-01 | J0878 | CIVICA INC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
55513-002-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 25 | 100 |
55513-003-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 40 | 160 |
55513-004-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 60 | 240 |
55513-005-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 100 | 400 |
55513-006-01 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 1 | 200 | 200 |
55513-021-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.4 | 4 | 40 | 160 |
55513-023-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.3 | 4 | 60 | 240 |
55513-025-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.5 | 4 | 100 | 400 |
55513-027-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.3 | 4 | 150 | 600 |
55513-028-01 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.4 | 1 | 200 | 200 |
55513-032-01 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 1 | 500 | 500 |
55513-057-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.42 | 4 | 25 | 100 |
55513-098-04 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.4 | 4 | 10 | 40 |
55513-111-01 | J0881 | AMGEN USA, INC. | Darbepoetin alfa, non-esrd | 1 MCG | 0.6 | 1 | 300 | 300 |
55513-002-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 25 | 100 |
55513-003-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 40 | 160 |
55513-004-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 60 | 240 |
55513-005-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 100 | 400 |
55513-006-01 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 1 | 1 | 200 | 200 |
55513-021-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.4 | 4 | 40 | 160 |
55513-023-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.3 | 4 | 60 | 240 |
55513-025-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.5 | 4 | 100 | 400 |
55513-027-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.3 | 4 | 150 | 600 |
55513-028-01 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.4 | 1 | 200 | 200 |
55513-032-01 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 1 | 1 | 500 | 500 |
55513-057-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.42 | 4 | 25 | 100 |
55513-098-04 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.4 | 4 | 10 | 40 |
55513-111-01 | J0882 | AMGEN USA, INC. | Darbepoetin alfa, esrd use | 1 MCG | 0.6 | 1 | 300 | 300 |
55513-126-10 | J0885 | AMGEN USA, INC. | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 2 | 20 |
55513-144-10 | J0885 | AMGEN USA, INC. | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 10 | 100 |
55513-148-10 | J0885 | AMGEN USA, INC. | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 4 | 40 |
55513-267-10 | J0885 | AMGEN USA, INC. | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 3 | 30 |
55513-283-10 | J0885 | AMGEN USA, INC. | Epoetin alfa, non-esrd | 1000 UNITS | 2 | 10 | 20 | 200 |
55513-478-10 | J0885 | AMGEN USA, INC. | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 20 | 200 |
59676-302-01 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 6 | 2 | 12 |
59676-303-01 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 6 | 3 | 18 |
59676-304-01 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 6 | 4 | 24 |
59676-310-01 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 6 | 10 | 60 |
59676-310-02 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 25 | 10 | 250 |
59676-312-04 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 2 | 4 | 20 | 80 |
59676-320-04 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 4 | 20 | 80 |
59676-340-01 | J0885 | JANSSEN PRODUCTS, LP | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 4 | 40 | 160 |
59353-400-09 | J0887 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 30 | 30 |
59353-401-09 | J0887 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 50 | 50 |
59353-402-09 | J0887 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 75 | 75 |
59353-403-09 | J0887 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 100 | 100 |
59353-404-09 | J0887 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 150 | 150 |
59353-405-09 | J0887 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 200 | 200 |
59353-400-09 | J0888 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 30 | 30 |
59353-401-09 | J0888 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 50 | 50 |
59353-402-09 | J0888 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 75 | 75 |
59353-403-09 | J0888 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 100 | 100 |
59353-404-09 | J0888 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 150 | 150 |
59353-405-09 | J0888 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 200 | 200 |
0781-3296-80 | J0894 | SANDOZ | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
16714-928-01 | J0894 | NORTHSTAR RX LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
16729-224-05 | J0894 | ACCORD HEALTHCARE INC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
25021-231-20 | J0894 | SAGENT PHARMACEUTICALS INC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
43598-348-37 | J0894 | DR. REDDY'S LABORATORIES, INC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
43598-427-37 | J0894 | DR. REDDY'S LABORATORIES, INC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
47335-361-41 | J0894 | SUN PHARMACEUTICAL GLOBAL FZE. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
50742-430-01 | J0894 | INGENUS PHARMACEUTICALS, LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
55111-556-10 | J0894 | DR. REDDY'S LABORATORIES, INC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
55150-376-01 | J0894 | AUROMEDICS PHARMA LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
59148-046-70 | J0894 | OTSUKA AMERICA PHARMACEUTICAL, INC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
63323-825-20 | J0894 | FRESENIUS KABI | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
67457-316-25 | J0894 | MYLAN INSTITUTIONAL LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
68001-422-37 | J0894 | AMERICAN HEALTH PACKAGING | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
69097-285-37 | J0894 | CIPLA USA INC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
69097-905-67 | J0894 | CIPLA USA INC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
70121-1644-1 | J0894 | AMNEAL BIOSCIENCES | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
70860-219-20 | J0894 | Athenex Pharmaceutical Division, LLC. | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
72205-031-01 | J0894 | NOVADOZ PHARMACEUTICALS, LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
72205-036-01 | J0894 | NOVADOZ PHARMACEUTICALS, LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
72603-107-01 | J0894 | NORTHSTAR RX LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
75834-190-01 | J0894 | NIVAGEN PHARMACEUTICALS | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
0078-0467-91 | J0895 | NOVARTIS PHARMACEUTICALS CORPORATION | Deferoxamine mesylate inj | 500 MG | 1 | 4 | 1 | 4 |
0409-2337-25 | J0895 | PFIZER INC. | Deferoxamine mesylate inj | 500 MG | 1 | 4 | 4 | 16 |
47781-624-07 | J0895 | ALVOGEN | Deferoxamine mesylate inj | 500 MG | 1 | 1 | 4 | 4 |
52609-4504-6 | J0895 | APO PHARMA | Deferoxamine mesylate inj | 500 MG | 1 | 4 | 4 | 16 |
52609-4505-6 | J0895 | APO PHARMA | Deferoxamine mesylate inj | 500 MG | 1 | 4 | 1 | 4 |
63323-597-10 | J0895 | FRESENIUS KABI | Deferoxamine mesylate inj | 500 MG | 1 | 1 | 1 | 1 |
63323-599-30 | J0895 | FRESENIUS KABI | Deferoxamine mesylate inj | 500 MG | 1 | 1 | 4 | 4 |
59572-711-01 | J0896 | CELGENE CORPORATION | Inj luspatercept-aamt 0.25mg | 0.25 MG | 1 | 1 | 100 | 100 |
59572-775-01 | J0896 | CELGENE CORPORATION | Inj luspatercept-aamt 0.25mg | 0.25 MG | 1 | 1 | 300 | 300 |
55513-710-01 | J0897 | AMGEN USA, INC. | Denosumab injection | 1 MG | 1 | 1 | 60 | 60 |
55513-730-01 | J0897 | AMGEN USA, INC. | Denosumab injection | 1 MG | 1 | 1 | 120 | 120 |
0009-0271-01 | J1000 | PFIZER INC. | Depo-estradiol cypionate inj | 5 MG | 5 | 1 | 5 | 5 |
0009-0274-01 | J1020 | PFIZER INC. | Methylprednisolone 20 mg inj | 20 MG | 5 | 1 | 5 | 5 |
0703-0031-01 | J1020 | SICOR PHARMACEUTICALS, INC. | Methylprednisolone 20 mg inj | 20 MG | 1 | 1 | 2 | 2 |
0009-0280-02 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 5 | 1 | 5 | 5 |
0009-0280-03 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 10 | 1 | 10 | 10 |
0009-0280-51 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 5 | 25 | 5 | 125 |
0009-0280-52 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 10 | 25 | 10 | 250 |
0009-3073-01 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 1 | 1 | 1 | 1 |
0009-3073-03 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 1 | 25 | 1 | 25 |
0009-3073-22 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 1 | 1 | 1 | 1 |
0009-3073-23 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 1 | 25 | 1 | 25 |
0703-0031-01 | J1030 | SICOR PHARMACEUTICALS, INC. | Methylprednisolone 40 mg inj | 40 MG | 1 | 1 | 1 | 1 |
0703-0043-01 | J1030 | SICOR PHARMACEUTICALS, INC. | Methylprednisolone 40 mg inj | 40 MG | 5 | 1 | 5 | 5 |
0703-0045-01 | J1030 | SICOR PHARMACEUTICALS, INC. | Methylprednisolone 40 mg inj | 40 MG | 10 | 1 | 10 | 10 |
16714-088-01 | J1030 | NORTHSTAR RX LLC | Methylprednisolone 40 mg inj | 40 MG | 1 | 1 | 1 | 1 |
16714-088-25 | J1030 | NORTHSTAR RX LLC | Methylprednisolone 40 mg inj | 40 MG | 1 | 25 | 1 | 25 |
16714-089-01 | J1030 | NORTHSTAR RX LLC | Methylprednisolone 40 mg inj | 40 MG | 5 | 1 | 5 | 5 |
16714-090-01 | J1030 | NORTHSTAR RX LLC | Methylprednisolone 40 mg inj | 40 MG | 10 | 1 | 10 | 10 |
25021-820-05 | J1030 | SAGENT PHARMACEUTICALS, INC. | Methylprednisolone 40 mg inj | 40 MG | 5 | 1 | 5 | 5 |
25021-820-10 | J1030 | SAGENT PHARMACEUTICALS, INC. | Methylprednisolone 40 mg inj | 40 MG | 10 | 1 | 10 | 10 |
50090-0556-0 | J1030 | A-S MEDICATION SOLUTIONS | Methylprednisolone 40 mg inj | 40 MG | 10 | 1 | 10 | 10 |
50090-2098-0 | J1030 | A-S MEDICATION SOLUTIONS | Methylprednisolone 40 mg inj | 40 MG | 1 | 1 | 1 | 1 |
70121-1573-1 | J1030 | AMNEAL BIOSCIENCES | Methylprednisolone 40 mg inj | 40 MG | 1 | 1 | 1 | 1 |
70121-1573-5 | J1030 | AMNEAL BIOSCIENCES | Methylprednisolone 40 mg inj | 40 MG | 1 | 25 | 1 | 25 |
0009-0306-02 | J1040 | PFIZER INC. | Methylprednisolone 80 mg inj | 80 MG | 5 | 1 | 5 | 5 |
0009-0306-12 | J1040 | PFIZER INC. | Methylprednisolone 80 mg inj | 80 MG | 5 | 25 | 5 | 125 |
0009-3475-01 | J1040 | PFIZER INC. | Methylprednisolone 80 mg inj | 80 MG | 1 | 1 | 1 | 1 |
0009-3475-03 | J1040 | PFIZER INC. | Methylprednisolone 80 mg inj | 80 MG | 1 | 25 | 1 | 25 |
0009-3475-22 | J1040 | PFIZER INC. | Methylprednisolone 80 mg inj | 80 MG | 1 | 1 | 1 | 1 |
0009-3475-23 | J1040 | PFIZER INC. | Methylprednisolone 80 mg inj | 80 MG | 1 | 25 | 1 | 25 |
0703-0051-01 | J1040 | SICOR PHARMACEUTICALS, INC. | Methylprednisolone 80 mg inj | 80 MG | 1 | 1 | 1 | 1 |
0703-0051-04 | J1040 | SICOR PHARMACEUTICALS, INC. | Methylprednisolone 80 mg inj | 80 MG | 1 | 25 | 1 | 25 |
0703-0063-01 | J1040 | SICOR PHARMACEUTICALS, INC. | Methylprednisolone 80 mg inj | 80 MG | 5 | 1 | 5 | 5 |
16714-472-01 | J1040 | NORTHSTAR RX LLC | Methylprednisolone 80 mg inj | 80 MG | 1 | 1 | 1 | 1 |
16714-472-25 | J1040 | NORTHSTAR RX LLC | Methylprednisolone 80 mg inj | 80mg | 1 | 25 | 1 | 25 |
16714-473-01 | J1040 | NORTHSTAR RX LLC | Methylprednisolone 80 mg inj | 80 MG | 5 | 1 | 5 | 5 |
50090-0436-0 | J1040 | A-S MEDICATION SOLUTIONS | Methylprednisolone 80 mg inj | 80 MG | 1 | 1 | 1 | 1 |
50090-1823-0 | J1040 | A-S MEDICATION SOLUTIONS | Methylprednisolone 80 mg inj | 80 MG | 5 | 1 | 5 | 5 |
50090-4802-0 | J1040 | A-S MEDICATION SOLUTIONS | Methylprednisolone 80 mg inj | 80 MG | 1 | 1 | 1 | 1 |
70121-1552-5 | J1040 | AMNEAL PHARMACEUTICALS INC | Methylprednisolone 80 mg inj | 80 MG | 1 | 25 | 1 | 25 |
70121-1574-1 | J1040 | AMNEAL BIOSCIENCES | Methylprednisolone 80 mg inj | 80 MG | 1 | 1 | 1 | 1 |
70121-1574-5 | J1040 | AMNEAL BIOSCIENCES | Methylprednisolone 80 mg inj | 80 MG | 1 | 25 | 1 | 25 |
0009-0085-10 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
0009-0086-01 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0009-0086-10 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0009-0347-02 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
0009-0417-01 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0009-0417-02 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0143-9005-01 | J1071 | NOVAPLUS/HIKMA | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0143-9659-01 | J1071 | HIKMA PHARMACEUTICALS USA INC. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0143-9726-01 | J1071 | HIKMA PHARMACEUTICALS USA INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0409-6557-01 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
0409-6562-01 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0409-6562-02 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0409-6562-20 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0409-6562-22 | J1071 | PFIZER INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0574-0820-01 | J1071 | PERRIGO PHARMACEUTICALS | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0574-0820-10 | J1071 | PERRIGO PHARMACEUTICALS | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0574-0827-10 | J1071 | PERRIGO PHARMACEUTICALS | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0591-4128-79 | J1071 | ACTAVIS PHARMA, INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
50090-4147-0 | J1071 | A-S MEDICATION SOLUTIONS | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
50090-4446-0 | J1071 | A-S MEDICATION SOLUTIONS | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
50090-4920-0 | J1071 | A-S MEDICATION SOLUTIONS | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
50090-4921-0 | J1071 | A-S MEDICATION SOLUTIONS | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
62756-015-40 | J1071 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
62756-016-40 | J1071 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
62756-017-40 | J1071 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
69097-536-37 | J1071 | CIPLA USA INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
69097-537-31 | J1071 | CIPLA USA INC. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
69097-537-37 | J1071 | CIPLA USA INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
69097-802-32 | J1071 | CIPLA USA INC. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
69097-802-37 | J1071 | CIPLA USA INC. | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0641-0367-25 | J1100 | HIKMA PHARMACEUTICALS USA INC. | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
0641-6145-25 | J1100 | HIKMA PHARMACEUTICALS USA INC. | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
0641-6146-25 | J1100 | HIKMA PHARMACEUTICALS USA INC. | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
50090-2313-2 | J1100 | A-S MEDICATION SOLUTIONS | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
50090-3300-0 | J1100 | A-S MEDICATION SOLUTIONS | Dexamethasone sodium phos | 1 MG | 30 | 25 | 120 | 3000 |
50090-3541-0 | J1100 | A-S MEDICATION SOLUTIONS | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
55150-237-01 | J1100 | AUROMEDICS PHARMA LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
55150-238-05 | J1100 | AUROMEDICS PHARMA LLC | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
55150-239-30 | J1100 | AUROMEDICS PHARMA LLC | Dexamethasone sodium phos | 1 MG | 30 | 25 | 120 | 3000 |
55150-304-25 | J1100 | AUROMEDICS PHARMA LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
55150-305-10 | J1100 | AUROMEDICS PHARMA LLC | Dexamethasone sodium phos | 1 MG | 10 | 10 | 100 | 1000 |
63323-165-01 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
63323-165-05 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
63323-165-16 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
63323-165-26 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
63323-165-30 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 30 | 1 | 120 | 120 |
63323-506-01 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
63323-506-16 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
63323-516-10 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 10 | 10 | 100 | 1000 |
67457-418-05 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
67457-419-01 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
67457-420-10 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 10 | 10 | 100 | 1000 |
67457-421-30 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 30 | 25 | 120 | 3000 |
67457-422-54 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
67457-423-12 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
67457-483-10 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 10 | 10 | 100 | 1000 |
67457-484-30 | J1100 | MYLAN INSTITUTIONAL LLC | Dexamethasone sodium phos | 1 MG | 30 | 25 | 120 | 3000 |
72572-120-25 | J1100 | CIVICA INC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
72572-122-25 | J1100 | CIVICA INC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
76045-106-10 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 1 | 24 | 4 | 96 |
76045-109-10 | J1100 | FRESENIUS KABI | Dexamethasone sodium phos | 1 MG | 1 | 24 | 10 | 240 |
81565-202-02 | J1100 | PHLOW CORP | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
0143-9273-10 | J1110 | HIKMA PHARMACEUTICALS USA INC. | Inj dihydroergotamine mesylt | 1 MG | 1 | 10 | 1 | 10 |
0574-0850-05 | J1110 | PERRIGO PHARMACEUTICALS | Inj dihydroergotamine mesylt | 1 MG | 1 | 5 | 1 | 5 |
0574-0850-10 | J1110 | PERRIGO PHARMACEUTICALS | Inj dihydroergotamine mesylt | 1 MG | 1 | 10 | 1 | 10 |
61990-0411-1 | J1110 | APOLLO PHARMACEUTICALS USA INC. | Inj dihydroergotamine mesylt | 1 MG | 1 | 5 | 1 | 5 |
61990-0411-2 | J1110 | APOLLO PHARMACEUTICALS USA INC. | Inj dihydroergotamine mesylt | 1 MG | 1 | 10 | 1 | 10 |
0143-9503-01 | J1120 | HIKMA PHARMACEUTICALS USA INC. | Acetazolamid sodium injectio | 500 MG | 1 | 1 | 1 | 1 |
23155-313-31 | J1120 | HERITAGE PHARMACEUTICALS, INC. | Acetazolamid sodium injectio | 500 MG | 1 | 1 | 1 | 1 |
39822-0190-1 | J1120 | X-GEN PHARMACEUTICALS INC | Acetazolamid sodium injectio | 500 MG | 1 | 1 | 1 | 1 |
67457-853-50 | J1120 | MYLAN INSTITUTIONAL LLC | Acetazolamid sodium injectio | 500 MG | 1 | 1 | 1 | 1 |
0641-1410-35 | J1160 | HIKMA PHARMACEUTICALS USA INC. | Digoxin injection | 0.5 MG | 2 | 25 | 1 | 25 |
0641-6184-25 | J1160 | HIKMA PHARMACEUTICALS USA INC. | Digoxin injection | 0.5 MG | 2 | 25 | 1 | 25 |
0781-3059-95 | J1160 | SANDOZ | Digoxin injection | 0.5 MG | 2 | 10 | 1 | 10 |
70515-260-10 | J1160 | COVIS PHARMACEUTICALS | Digoxin injection | 0.5 MG | 2 | 10 | 1 | 10 |
70515-261-10 | J1160 | COVIS PHARMACEUTICALS | Digoxin injection | 0.5 MG | 2 | 10 | 1 | 10 |
70515-262-10 | J1160 | COVIS PHARMACEUTICALS | Digoxin injection | 0.5 MG | 1 | 10 | 0.2 | 2 |
70515-263-10 | J1160 | COVIS PHARMACEUTICALS | Digoxin injection | 0.5 MG | 1 | 10 | 0.2 | 2 |
50633-120-11 | J1162 | BTG INTERNATIONAL INC. | Digoxin immune fab (ovine) | PER VIAL | 1 | 1 | 1 | 1 |
0641-0493-25 | J1165 | HIKMA PHARMACEUTICALS USA INC. | Phenytoin sodium injection | 50 MG | 2 | 25 | 2 | 50 |
0641-2555-45 | J1165 | HIKMA PHARMACEUTICALS USA INC. | Phenytoin sodium injection | 50 MG | 5 | 25 | 5 | 125 |
0641-6138-25 | J1165 | HIKMA PHARMACEUTICALS USA INC. | Phenytoin sodium injection | 50 MG | 2 | 25 | 2 | 50 |
0641-6139-25 | J1165 | HIKMA PHARMACEUTICALS USA INC. | Phenytoin sodium injection | 50 MG | 5 | 25 | 5 | 125 |
0409-1283-05 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 0.5 | 10 | 0.125 | 1.25 |
0409-1283-31 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 0.25 | 2.5 |
0409-1283-37 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 0.25 | 2.5 |
0409-1304-31 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 1 | 10 |
0409-1312-30 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 0.5 | 5 |
0409-1312-36 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 0.5 | 5 |
0409-2552-01 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 0.25 | 2.5 |
0409-2634-01 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 2.5 | 25 |
0409-2634-05 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 5 | 10 | 12.5 | 125 |
0409-2634-50 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 50 | 1 | 125 | 125 |
0409-3365-01 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 25 | 0.5 | 12.5 |
0409-3365-10 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 0.5 | 5 |
0641-2341-41 | J1170 | HIKMA PHARMACEUTICALS USA INC. | Hydromorphone injection | 4 MG | 20 | 1 | 10 | 10 |
0641-6151-25 | J1170 | HIKMA PHARMACEUTICALS USA INC. | Hydromorphone injection | 4 MG | 1 | 25 | 0.5 | 12.5 |
0703-0018-01 | J1170 | SICOR PHARMACEUTICALS, INC. | Hydromorphone injection | 4 MG | 50 | 1 | 125 | 125 |
0703-0110-03 | J1170 | SICOR PHARMACEUTICALS, INC. | Hydromorphone injection | 4 MG | 1 | 10 | 2.5 | 25 |
0703-0113-03 | J1170 | SICOR PHARMACEUTICALS, INC. | Hydromorphone injection | 4 MG | 5 | 10 | 12.5 | 125 |
17478-540-01 | J1170 | AKORN | Hydromorphone injection | 4 MG | 1 | 10 | 2.5 | 25 |
17478-540-05 | J1170 | AKORN | Hydromorphone injection | 4 MG | 5 | 10 | 12.5 | 125 |
17478-540-50 | J1170 | AKORN | Hydromorphone injection | 4 MG | 50 | 1 | 125 | 125 |
63323-851-10 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 10 | 2.5 | 25 |
63323-851-15 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 5 | 10 | 12.5 | 125 |
63323-851-50 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 50 | 1 | 125 | 125 |
63323-852-25 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 25 | 0.25 | 6.25 |
63323-853-25 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 25 | 0.5 | 12.5 |
63323-854-10 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 25 | 1 | 25 |
76045-009-05 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 0.5 | 24 | 0.125 | 3 |
76045-009-06 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 0.5 | 10 | 0.125 | 1.25 |
76045-009-10 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 24 | 0.25 | 6 |
76045-009-11 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 10 | 0.25 | 2.5 |
76045-010-10 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 24 | 0.5 | 12 |
76045-010-11 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 10 | 0.5 | 5 |
76045-121-11 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 10 | 0.05 | 0.5 |
0143-9247-01 | J1190 | HIKMA PHARMACEUTICALS USA INC. | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 1 | 1 |
0143-9248-01 | J1190 | HIKMA PHARMACEUTICALS USA INC. | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 2 | 2 |
51991-942-98 | J1190 | BRECKENRIDGE PHARMACEUTICAL | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 2 | 2 |
67457-207-25 | J1190 | MYLAN INSTITUTIONAL INC. | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 1 | 1 |
67457-208-50 | J1190 | MYLAN INSTITUTIONAL INC. | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 2 | 2 |
72266-101-01 | J1190 | FOSUN PHARMA | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 2 | 2 |
72266-235-01 | J1190 | Fosun Pharma Usa Inc. | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 1 | 1 |
0641-0376-25 | J1200 | HIKMA PHARMACEUTICALS USA INC. | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
50090-1841-0 | J1200 | A-S MEDICATION SOLUTIONS | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
63323-664-01 | J1200 | FRESENIUS KABI | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
63323-664-16 | J1200 | FRESENIUS KABI | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
67457-124-10 | J1200 | MYLAN INSTITUTIONAL LLC | Diphenhydramine hcl injectio | 50 MG | 10 | 1 | 10 | 10 |
72485-101-25 | J1200 | ARMAS PHARMACEUTICALS, INC. | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
76045-102-10 | J1200 | FRESENIUS KABI | Diphenhydramine hcl injectio | 50 MG | 1 | 24 | 1 | 24 |
70720-100-10 | J1201 | TERSERA THERAPEUTICS LLC | Inj. cetirizine hcl 0.5mg | 0.5 mg | 1 | 1 | 20 | 20 |
70720-100-25 | J1201 | TERSERA THERAPEUTICS LLC | Inj. cetirizine hcl 0.5mg | 0.5 mg | 1 | 25 | 20 | 500 |
0517-1820-01 | J1205 | AMERICAN REGENT | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
17478-419-40 | J1205 | AKORN | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
25021-305-20 | J1205 | SAGENT PHARMACEUTICALS INC | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
25021-305-66 | J1205 | SAGENT PHARMACEUTICALS INC | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
47335-330-40 | J1205 | SUN PHARMACEUTICAL GLOBAL FZE. | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
63323-658-20 | J1205 | FRESENIUS KABI | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
63323-658-27 | J1205 | FRESENIUS KABI | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
63323-658-94 | J1205 | FRESENIUS KABI | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
76478-711-40 | J1205 | OAK | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
67457-177-50 | J1212 | MYLAN INSTITUTIONAL LLC | Dimethyl sulfoxide 50% 50 ml | 50 ML | 50 | 1 | 1 | 1 |
17478-380-20 | J1230 | AKORN | Methadone injection | 10 MG | 20 | 1 | 20 | 20 |
67457-217-20 | J1230 | MYLAN INSTITUTIONAL LLC | Methadone injection | 10 MG | 20 | 1 | 20 | 20 |
63323-366-01 | J1240 | FRESENIUS KABI | Dimenhydrinate injection | 50 MG | 1 | 25 | 1 | 25 |
0641-2569-44 | J1245 | HIKMA PHARMACEUTICALS USA INC. | Dipyridamole injection | 10 MG | 10 | 5 | 5 | 25 |
0338-1073-02 | J1250 | BAXTER | Inj dobutamine hcl/250 mg | 250 MG | 250 | 18 | 1 | 18 |
0338-1075-02 | J1250 | BAXTER | Inj dobutamine hcl/250 mg | 250 MG | 250 | 18 | 2 | 36 |
0338-1077-02 | J1250 | BAXTER | Inj dobutamine hcl/250 mg | 250 MG | 250 | 18 | 4 | 72 |
0409-2344-01 | J1250 | PFIZER INC. | Inj dobutamine hcl/250 mg | 250 MG | 20 | 1 | 1 | 1 |
0409-2344-02 | J1250 | PFIZER INC. | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
0409-2344-88 | J1250 | PFIZER INC. | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
50090-4562-0 | J1250 | A-S MEDICATION SOLUTIONS | Inj dobutamine hcl/250 mg | 250 MG | 250 | 1 | 4 | 4 |
0143-9252-25 | J1265 | HIKMA PHARMACEUTICALS USA INC. | Dopamine injection | 40 MG | 5 | 25 | 5 | 125 |
0143-9254-25 | J1265 | HIKMA PHARMACEUTICALS USA INC. | Dopamine injection | 40 MG | 10 | 25 | 10 | 250 |
0338-1005-02 | J1265 | BAXTER | Dopamine injection | 40 MG | 250 | 18 | 5 | 90 |
0338-1005-03 | J1265 | BAXTER | Dopamine injection | 40 MG | 500 | 12 | 10 | 120 |
0338-1007-02 | J1265 | BAXTER | Dopamine injection | 40 MG | 250 | 18 | 10 | 180 |
0338-1007-03 | J1265 | BAXTER | Dopamine injection | 40 MG | 500 | 12 | 20 | 240 |
0338-1009-02 | J1265 | BAXTER | Dopamine injection | 40 MG | 250 | 18 | 20 | 360 |
0409-5820-01 | J1265 | PFIZER INC. | Dopamine injection | 40 MG | 5 | 25 | 5 | 125 |
0409-7809-22 | J1265 | PFIZER INC. | Dopamine injection | 40 MG | 250 | 12 | 10 | 120 |
0409-7809-24 | J1265 | PFIZER INC. | Dopamine injection | 40 MG | 500 | 12 | 20 | 240 |
0409-7810-22 | J1265 | PFIZER INC. | Dopamine injection | 40 MG | 250 | 12 | 20 | 240 |
0409-9104-20 | J1265 | PFIZER INC. | Dopamine injection | 40 MG | 10 | 25 | 10 | 250 |
0409-1330-01 | J1270 | PFIZER INC. | Injection, doxercalciferol | 1 MCG | 2 | 50 | 4 | 200 |
43598-850-50 | J1270 | DR. REDDY'S LABORATORIES, INC. | Injection, doxercalciferol | 1 MCG | 2 | 50 | 4 | 200 |
58468-0123-1 | J1270 | GENZYME CORPORATION | Injection, doxercalciferol | 1 MCG | 2 | 50 | 4 | 200 |
58468-0127-1 | J1270 | GENZYME CORPORATION | Injection, doxercalciferol | 1 MCG | 2 | 50 | 4 | 200 |
70121-1408-5 | J1270 | AMNEAL BIOSCIENCES | Injection, doxercalciferol | 1 MCG | 2 | 50 | 4 | 200 |
47783-101-01 | J1290 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Ecallantide injection | 1 MG | 1 | 3 | 10 | 30 |
25682-001-01 | J1300 | ALEXION PHARMACEUTICALS | Eculizumab injection | 10 MG | 1 | 1 | 30 | 30 |
70510-2171-2 | J1301 | MITSUBISHI TANABE PHARMA AMERICA | Injection, edaravone, 1 mg | 1 MG | 100 | 2 | 30 | 60 |
25682-022-01 | J1303 | ALEXION PHARMACEUTICALS | Inj., ravulizumab-cwvz 10 mg | 10 MG | 30 | 1 | 30 | 30 |
25682-025-01 | J1303 | ALEXION PHARMACEUTICALS | Inj., ravulizumab-cwvz 10 mg | 10 MG | 3 | 1 | 30 | 30 |
25682-028-01 | J1303 | ALEXION PHARMACEUTICALS | Inj., ravulizumab-cwvz 10 mg | 10 MG | 11 | 1 | 110 | 110 |
68135-100-01 | J1322 | BIOMARIN PHARMACEUTICAL, INC. | Elosulfase alfa, injection | 1 MG | 5 | 1 | 5 | 5 |
0173-0517-00 | J1325 | GLAXOSMITHKLINE | Epoprostenol injection | 0.5 MG | 1 | 1 | 1 | 1 |
0173-0519-00 | J1325 | GLAXOSMITHKLINE | Epoprostenol injection | 0.5 MG | 1 | 1 | 3 | 3 |
0703-1985-01 | J1325 | SICOR PHARMACEUTICALS, INC. | Epoprostenol injection | 0.5 MG | 1 | 1 | 1 | 1 |
0703-1995-01 | J1325 | SICOR PHARMACEUTICALS, INC. | Epoprostenol injection | 0.5 MG | 1 | 1 | 3 | 3 |
62756-059-40 | J1325 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Epoprostenol injection | 0.5 MG | 1 | 1 | 1 | 1 |
62756-060-40 | J1325 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Epoprostenol injection | 0.5 MG | 1 | 1 | 3 | 3 |
66215-402-01 | J1325 | ACTELION PHARMACEUTICALS US, INC. | Epoprostenol injection | 0.5 MG | 1 | 1 | 3 | 3 |
66215-403-01 | J1325 | ACTELION PHARMACEUTICALS US, INC. | Epoprostenol injection | 0.5 MG | 1 | 1 | 1 | 1 |
0006-3843-71 | J1335 | MERCK SHARP & DOHME CORP. | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
0143-9398-10 | J1335 | HIKMA PHARMACEUTICALS USA INC. | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
0409-3510-22 | J1335 | PFIZER INC. | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
16714-889-10 | J1335 | NORTHSTAR RX LLC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
42023-221-10 | J1335 | PAR PHARMACEUTICAL, INC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
42023-221-85 | J1335 | PAR PHARMACEUTICAL, INC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
43598-901-58 | J1335 | DR. REDDY'S LABORATORIES, INC. | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
44567-820-10 | J1335 | WG CRITICAL CARE | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
55150-282-09 | J1335 | AUROMEDICS PHARMA LLC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
55150-282-20 | J1335 | AUROMEDICS PHARMA LLC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
63323-823-20 | J1335 | FRESENIUS KABI | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
68001-408-31 | J1335 | AMERICAN HEALTH PACKAGING | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
0409-6476-44 | J1364 | PFIZER INC. | Erythro lactobionate /500 mg | 500 MG | 1 | 10 | 1 | 10 |
0409-6482-01 | J1364 | PFIZER INC. | Erythro lactobionate /500 mg | 500 MG | 10 | 1 | 10 | 10 |
0143-9290-01 | J1380 | HIKMA PHARMACEUTICALS USA INC. | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
0143-9291-01 | J1380 | HIKMA PHARMACEUTICALS USA INC. | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 20 | 20 |
0517-0420-01 | J1380 | AMERICAN REGENT | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
0517-0440-01 | J1380 | AMERICAN REGENT | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 20 | 20 |
0574-0870-05 | J1380 | PERRIGO PHARMACEUTICALS | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
0574-0872-05 | J1380 | PERRIGO PHARMACEUTICALS | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 5 | 20 |
42023-110-01 | J1380 | PAR PHARMACEUTICAL, INC | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 5 | 5 |
42023-111-01 | J1380 | PAR PHARMACEUTICAL, INC | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
42023-112-01 | J1380 | PAR PHARMACEUTICAL, INC | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 20 | 20 |
0046-0749-05 | J1410 | PFIZER INC. | Inj estrogen conjugate 25 mg | 25 MG | 1 | 1 | 1 | 1 |
73594-9310-1 | J1437 | PHARMACOSMOS THERAPEUTICS | Inj. fe derisomaltose 10 mg | 10 MG | 10 | 1 | 100 | 100 |
0517-0650-01 | J1439 | AMERICAN REGENT | Inj ferric carboxymaltos 1mg | 1mg | 15 | 1 | 750 | 750 |
55513-209-10 | J1442 | AMGEN USA, INC. | Inj filgrastim excl biosimil | 1 MCG | 0.8 | 10 | 480 | 4800 |
55513-209-91 | J1442 | AMGEN USA, INC. | Inj filgrastim excl biosimil | 1 MCG | 0.8 | 1 | 480 | 480 |
55513-530-10 | J1442 | AMGEN USA, INC. | Inj filgrastim excl biosimil | 1 MCG | 1 | 10 | 300 | 3000 |
55513-546-10 | J1442 | AMGEN USA, INC. | Inj filgrastim excl biosimil | 1 MCG | 1.6 | 10 | 480 | 4800 |
55513-924-10 | J1442 | AMGEN USA, INC. | Inj filgrastim excl biosimil | 1 MCG | 0.5 | 10 | 300 | 3000 |
55513-924-91 | J1442 | AMGEN USA, INC. | Inj filgrastim excl biosimil | 1 MCG | 0.5 | 1 | 300 | 300 |
63459-910-11 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 1 | 300 | 300 |
63459-910-15 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 10 | 300 | 3000 |
63459-910-17 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 1 | 300 | 300 |
63459-910-36 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 5 | 300 | 1500 |
63459-912-11 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 1 | 480 | 480 |
63459-912-15 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 10 | 480 | 4800 |
63459-912-17 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 1 | 480 | 480 |
63459-912-36 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 5 | 480 | 2400 |
63459-918-59 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 1 | 10 | 300 | 3000 |
63459-920-59 | J1447 | CEPHALON INC. | Inj tbo filgrastim 1 microg | 1 MCG | 1.6 | 10 | 480 | 4800 |
73462-101-01 | J1448 | G1 THERAPEUTICS, INC. | Injection, trilaciclib, 1mg | 1 MG | 1 | 1 | 300 | 300 |
0338-6045-37 | J1450 | BAXTER | Fluconazole | 200 MG | 200 | 10 | 2 | 20 |
0338-6046-48 | J1450 | BAXTER | Fluconazole | 200 MG | 100 | 10 | 1 | 10 |
0409-4688-12 | J1450 | PFIZER INC. | Fluconazole | 200 MG | 200 | 24 | 2 | 48 |
0409-4688-18 | J1450 | PFIZER INC. | Fluconazole | 200 MG | 100 | 24 | 1 | 24 |
25021-184-66 | J1450 | SAGENT PHARMACEUTICALS INC | Fluconazole | 200 MG | 100 | 10 | 1 | 10 |
25021-184-67 | J1450 | SAGENT PHARMACEUTICALS INC | Fluconazole | 200 MG | 200 | 10 | 2 | 20 |
25021-184-82 | J1450 | SAGENT PHARMACEUTICALS INC | Fluconazole | 200 MG | 100 | 10 | 1 | 10 |
25021-184-87 | J1450 | SAGENT PHARMACEUTICALS INC | Fluconazole | 200 MG | 200 | 10 | 2 | 20 |
69784-002-06 | J1450 | WOODWARD PHARMA SERVICES LLC | Fluconazole | 200 MG | 100 | 6 | 1 | 6 |
69784-003-06 | J1450 | WOODWARD PHARMA SERVICES LLC | Fluconazole | 200 MG | 200 | 6 | 2 | 12 |
69784-261-24 | J1450 | WOODWARD PHARMA SERVICES LLC | Fluconazole | 200 MG | 50 | 24 | 0.5 | 12 |
70655-002-06 | J1450 | RENAISSANCE SSA, LLC | Fluconazole | 200 MG | 100 | 6 | 1 | 6 |
70655-002-10 | J1450 | RENAISSANCE SSA, LLC | Fluconazole | 200 MG | 100 | 10 | 1 | 10 |
70655-088-06 | J1450 | RENAISSANCE SSA, LLC | Fluconazole | 200 MG | 200 | 6 | 2 | 12 |
70655-088-10 | J1450 | RENAISSANCE SSA, LLC | Fluconazole | 200 MG | 200 | 10 | 2 | 20 |
0006-3061-00 | J1453 | MERCK SHARP & DOHME CORP. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0006-3061-02 | J1453 | MERCK SHARP & DOHME CORP. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0006-3061-04 | J1453 | MERCK SHARP & DOHME CORP. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0143-9384-01 | J1453 | HIKMA PHARMACEUTICALS USA INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0143-9428-01 | J1453 | HIKMA PHARMACEUTICALS USA INC. | Fosaprepitant injection | 1 MG | 1.8 ML 10 EA | 1 | 150 | 150 |
0338-0008-01 | J1453 | BAXTER | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0591-4385-79 | J1453 | ACTAVIS PHARMA, INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0781-3497-75 | J1453 | SANDOZ | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
16714-120-01 | J1453 | NORTHSTAR RX LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
16714-929-01 | J1453 | NORTHSTAR RX LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
16729-240-03 | J1453 | ACCORD HEALTHCARE INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
43598-859-11 | J1453 | DR. REDDY'S LABORATORIES, INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
43598-948-11 | J1453 | DR. REDDY'S LABORATORIES, INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
55150-299-01 | J1453 | AUROMEDICS PHARMA LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
60505-6105-1 | J1453 | APOTEX CORP. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
63323-972-10 | J1453 | FRESENIUS KABI | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
67457-889-10 | J1453 | MYLAN INSTITUTIONAL LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
68001-421-22 | J1453 | AMERICAN HEALTH PACKAGING | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
69097-830-37 | J1453 | CIPLA USA INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
70860-782-10 | J1453 | ATHENEX | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
71839-104-01 | J1453 | BE PHARMACEUTICALS INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
72205-026-01 | J1453 | NOVADOZ PHARMACEUTICALS, LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
72205-054-01 | J1453 | NOVADOZ PHARMACEUTICALS, LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
72205-083-01 | J1453 | NOVADOZ PHARMACEUTICALS | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
72603-106-01 | J1453 | NORTHSTAR RX LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
72606-569-01 | J1453 | CELLTRION | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
69639-102-01 | J1454 | HELSINN THERAPUTICS (US) INC | Inj fosnetupitant, palonoset | 0.25 MG | 1 | 1 | 1 | 1 |
69639-105-01 | J1454 | HELSINN THERAPUTICS (US) INC | Inj fosnetupitant, palonoset | 0.25 MG | 1 | 1 | 1 | 1 |
68135-020-01 | J1458 | BIOMARIN PHARMACEUTICAL, INC. | Galsulfase injection | 1 MG | 1 | 1 | 1 | 5 |
44206-436-05 | J1459 | CSL BEHRING LLC | Inj ivig privigen 500 mg | 500 MG | 50 | 1 | 10 | 10 |
44206-437-10 | J1459 | CSL BEHRING LLC | Inj ivig privigen 500 mg | 500 MG | 110 | 1 | 20 | 20 |
44206-438-20 | J1459 | CSL BEHRING LLC | Inj ivig privigen 500 mg | 500 MG | 200 | 1 | 40 | 40 |
44206-439-40 | J1459 | CSL BEHRING LLC | Inj ivig privigen 500 mg | 500 MG | 400 | 1 | 80 | 80 |
13533-335-04 | J1460 | GRIFOLS USA, LLC | Gamma globulin 1 cc inj | 1 CC | 2 | 1 | 2 | 2 |
13533-335-12 | J1460 | GRIFOLS USA, LLC | Gamma globulin 1 cc inj | 1 CC | 10 | 1 | 10 | 10 |
13533-635-04 | J1460 | GRIFOLS USA, LLC | Gamma globulin 1 cc inj | 1 CC | 2 | 1 | 2 | 2 |
13533-635-12 | J1460 | GRIFOLS USA, LLC | Gamma globulin 1 cc inj | 1 CC | 10 | 1 | 10 | 10 |
0069-1061-02 | J1551 | PFIZER INC. | Inj cutaquig 100 mg | 100 MG | 6 | 1 | 10 | 10 |
0069-1476-02 | J1551 | PFIZER INC. | Inj cutaquig 100 mg | 100 MG | 12 | 1 | 20 | 20 |
0069-1509-02 | J1551 | PFIZER INC. | Inj cutaquig 100 mg | 100 MG | 24 | 1 | 40 | 40 |
0069-1965-02 | J1551 | PFIZER INC. | Inj cutaquig 100 mg | 100 MG | 48 | 1 | 80 | 80 |
68982-810-01 | J1551 | OCTAPHARMA | Inj cutaquig 100 mg | 100 MG | 6 | 1 | 10 | 10 |
68982-810-03 | J1551 | OCTAPHARMA | Inj cutaquig 100 mg | 100 MG | 12 | 1 | 20 | 20 |
68982-810-04 | J1551 | OCTAPHARMA | Inj cutaquig 100 mg | 100 MG | 20 | 1 | 33 | 33 |
68982-810-05 | J1551 | OCTAPHARMA | Inj cutaquig 100 mg | 100 MG | 24 | 1 | 40 | 40 |
68982-810-06 | J1551 | OCTAPHARMA | Inj cutaquig 100 mg | 100 MG | 48 | 1 | 80 | 80 |
69800-0250-1 | J1554 | ADMA BIOLOGICS | Inj. asceniv | 500 MG | 50 | 1 | 10 | 10 |
0944-2850-01 | J1555 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Inj cuvitru, 100 mg | 100 MG | 1 | 1 | 10 | 10 |
0944-2850-03 | J1555 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Inj cuvitru, 100 mg | 100 MG | 1 | 1 | 20 | 20 |
0944-2850-05 | J1555 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Inj cuvitru, 100 mg | 100 MG | 1 | 1 | 40 | 40 |
0944-2850-07 | J1555 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Inj cuvitru, 100 mg | 100 MG | 1 | 1 | 80 | 80 |
0944-2850-09 | J1555 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Inj cuvitru, 100 mg | 100 MG | 50 | 1 | 100 | 100 |
69800-6502-1 | J1556 | ADMA BIOLOGICS | Inj, imm glob bivigam, 500mg | 500 MG | 50 | 1 | 10 | 10 |
69800-6503-1 | J1556 | ADMA BIOLOGICS | Inj, imm glob bivigam, 500mg | 500 MG | 100 | 1 | 20 | 20 |
64208-8234-6 | J1557 | BIO PRODUCTS LABORATORY, LTD | Gammaplex injection | 500 MG | 100 | 1 | 10 | 10 |
64208-8234-7 | J1557 | BIO PRODUCTS LABORATORY, LTD | Gammaplex injection | 500 MG | 200 | 1 | 20 | 20 |
64208-8234-8 | J1557 | BIO PRODUCTS LABORATORY, LTD | Gammaplex injection | 500 MG | 100 | 1 | 40 | 40 |
64208-8235-5 | J1557 | BIO PRODUCTS LABORATORY, LTD | Gammaplex injection | 500 MG | 50 | 1 | 10 | 10 |
64208-8235-6 | J1557 | BIO PRODUCTS LABORATORY, LTD | Gammaplex injection | 500 MG | 100 | 1 | 20 | 20 |
64208-8235-7 | J1557 | BIO PRODUCTS LABORATORY, LTD | Gammaplex injection | 500 MG | 200 | 1 | 40 | 40 |
13533-810-05 | J1558 | GRIFOLS USA, LLC | Inj. xembify, 100 mg | 100 MG | 5 | 1 | 10 | 10 |
13533-810-10 | J1558 | GRIFOLS USA, LLC | Inj. xembify, 100 mg | 100 MG | 10 | 1 | 20 | 20 |
13533-810-20 | J1558 | GRIFOLS USA, LLC | Inj. xembify, 100 mg | 100 MG | 20 | 1 | 40 | 40 |
13533-810-50 | J1558 | GRIFOLS USA, LLC | Inj. xembify, 100 mg | 100 MG | 50 | 1 | 100 | 100 |
44206-451-01 | J1559 | CSL BEHRING LLC | Hizentra injection | 100 MG | 5 | 1 | 10 | 10 |
44206-452-02 | J1559 | CSL BEHRING LLC | Hizentra injection | 100 MG | 10 | 1 | 20 | 20 |
44206-454-04 | J1559 | CSL BEHRING LLC | Hizentra injection | 100 MG | 20 | 1 | 40 | 40 |
44206-455-10 | J1559 | CSL BEHRING LLC | Hizentra injection | 100 MG | 50 | 1 | 100 | 100 |
44206-456-21 | J1559 | CSL BEHRING LLC | Hizentra injection | 100 MG | 5 | 1 | 10 | 10 |
44206-457-22 | J1559 | CSL BEHRING LLC | Hizentra injection | 100 MG | 10 | 1 | 20 | 20 |
44206-458-24 | J1559 | CSL BEHRING LLC | Hizentra injection | 100 MG | 20 | 1 | 40 | 40 |
13533-335-04 | J1560 | GRIFOLS USA, LLC | Gamma globulin > 10 cc inj | 10 CC | 2 | 1 | 0.2 | 0.2 |
13533-335-12 | J1560 | GRIFOLS USA, LLC | Gamma globulin > 10 cc inj | 10 CC | 10 | 1 | 1 | 1 |
13533-635-04 | J1560 | GRIFOLS USA, LLC | Gamma globulin > 10 cc inj | 10 CC | 2 | 1 | 0.2 | 0.2 |
13533-635-12 | J1560 | GRIFOLS USA, LLC | Gamma globulin > 10 cc inj | 10 CC | 10 | 1 | 1 | 1 |
13533-800-12 | J1561 | GRIFOLS USA, LLC | Gamunex-c/gammaked | 500 MG | 10 | 1 | 2 | 2 |
13533-800-15 | J1561 | GRIFOLS USA, LLC | Gamunex-c/gammaked | 500 MG | 25 | 1 | 5 | 5 |
13533-800-20 | J1561 | GRIFOLS USA, LLC | Gamunex-c/gammaked | 500 MG | 50 | 1 | 10 | 10 |
13533-800-24 | J1561 | GRIFOLS USA, LLC | Gamunex-c/gammaked | 500 MG | 200 | 1 | 40 | 40 |
13533-800-40 | J1561 | GRIFOLS USA, LLC | Gamunex-c/gammaked | 500 MG | 400 | 1 | 80 | 80 |
13533-800-71 | J1561 | GRIFOLS USA, LLC | Gamunex-c/gammaked | 500 MG | 100 | 1 | 20 | 20 |
76125-900-01 | J1561 | KEDRION BIOPHARMA, INC. | Gamunex-c/gammaked | 500 MG | 10 | 1 | 2 | 2 |
76125-900-10 | J1561 | KEDRION BIOPHARMA, INC. | Gamunex-c/gammaked | 500 MG | 100 | 1 | 20 | 20 |
76125-900-20 | J1561 | KEDRION BIOPHARMA, INC. | Gamunex-c/gammaked | 500 MG | 200 | 1 | 40 | 40 |
76125-900-50 | J1561 | KEDRION BIOPHARMA, INC. | Gamunex-c/gammaked | 500 MG | 50 | 1 | 10 | 10 |
0944-2656-03 | J1566 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Immune globulin, powder | 500 MG | 1 | 1 | 10 | 10 |
0944-2658-04 | J1566 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Immune globulin, powder | 500 MG | 1 | 1 | 20 | 20 |
68982-840-01 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 20 | 1 | 2 | 2 |
68982-840-02 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 50 | 1 | 5 | 5 |
68982-840-03 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 100 | 1 | 10 | 10 |
68982-840-04 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 200 | 1 | 20 | 20 |
68982-850-01 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 20 | 1 | 4 | 4 |
68982-850-02 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 50 | 1 | 10 | 10 |
68982-850-03 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 100 | 1 | 20 | 20 |
68982-850-04 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 200 | 1 | 40 | 40 |
68982-850-05 | J1568 | OCTAPHARMA | Octagam injection | 500 MG | 300 | 1 | 60 | 60 |
0944-2700-02 | J1569 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Gammagard liquid injection | 500 MG | 10 | 1 | 2 | 2 |
0944-2700-03 | J1569 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Gammagard liquid injection | 500 MG | 25 | 1 | 5 | 5 |
0944-2700-04 | J1569 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Gammagard liquid injection | 500 MG | 50 | 1 | 10 | 10 |
0944-2700-05 | J1569 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Gammagard liquid injection | 500 MG | 100 | 1 | 20 | 20 |
0944-2700-06 | J1569 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Gammagard liquid injection | 500 MG | 200 | 1 | 40 | 40 |
0944-2700-07 | J1569 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Gammagard liquid injection | 500 MG | 300 | 1 | 60 | 60 |
0143-9299-10 | J1570 | HIKMA PHARMACEUTICALS USA INC. | Ganciclovir sodium injection | 500 MG | 1 | 10 | 1 | 10 |
25021-185-10 | J1570 | SAGENT PHARMACEUTICALS INC | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-185-11 | J1570 | SAGENT PHARMACEUTICALS INC | Ganciclovir sodium injection | 500 MG | 10 | 1 | 1 | 1 |
42023-173-25 | J1570 | PAR PHARMACEUTICAL, INC | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
63323-315-10 | J1570 | FRESENIUS KABI | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
63323-315-94 | J1570 | FRESENIUS KABI | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
70436-089-55 | J1570 | SLATE RUN | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
70257-051-51 | J1571 | SAOL THERAPEUTICS | Hepagam b im injection | 0.5 ML | 5 | 1 | 10 | 10 |
70257-053-51 | J1571 | SAOL THERAPEUTICS | Hepagam b im injection | 0.5 ML | 1 | 1 | 2 | 2 |
70257-054-51 | J1571 | SAOL THERAPEUTICS | Hepagam b im injection | 0.5 ML | 5 | 1 | 10 | 10 |
61953-0004-2 | J1572 | GRIFOLS USA, LLC | Flebogamma injection | 500 MG | 50 | 1 | 5 | 5 |
61953-0004-3 | J1572 | GRIFOLS USA, LLC | Flebogamma injection | 500 MG | 100 | 1 | 10 | 10 |
61953-0004-4 | J1572 | GRIFOLS USA, LLC | Flebogamma injection | 500 MG | 200 | 1 | 20 | 20 |
61953-0004-5 | J1572 | GRIFOLS USA, LLC | Flebogamma injection | 500 MG | 400 | 1 | 40 | 40 |
61953-0005-1 | J1572 | GRIFOLS USA, LLC | Flebogamma injection | 500 MG | 50 | 1 | 10 | 10 |
61953-0005-2 | J1572 | GRIFOLS USA, LLC | Flebogamma injection | 500 MG | 100 | 1 | 20 | 20 |
61953-0005-3 | J1572 | GRIFOLS USA, LLC | Flebogamma injection | 500 MG | 200 | 1 | 40 | 40 |
0944-2510-02 | J1575 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Hyqvia 100mg immuneglobulin | 100 MG | 25 | 1 | 25 | 25 |
0944-2511-02 | J1575 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Hyqvia 100mg immuneglobulin | 100 MG | 50 | 1 | 50 | 50 |
0944-2512-02 | J1575 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Hyqvia 100mg immuneglobulin | 100 MG | 100 | 1 | 100 | 100 |
0944-2513-02 | J1575 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Hyqvia 100mg immuneglobulin | 100 MG | 200 | 1 | 200 | 200 |
0944-2514-02 | J1575 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Hyqvia 100mg immuneglobulin | 100 MG | 300 | 1 | 300 | 300 |
0338-0503-48 | J1580 | BAXTER | Garamycin gentamicin inj | 80 MG | 100 | 1 | 1 | 1 |
0338-0505-48 | J1580 | BAXTER | Garamycin gentamicin inj | 80 MG | 100 | 1 | 1.25 | 1.25 |
0338-0507-41 | J1580 | BAXTER | Garamycin gentamicin inj | 80 MG | 50 | 1 | 0.75 | 0.75 |
0338-0507-48 | J1580 | BAXTER | Garamycin gentamicin inj | 80 MG | 100 | 1 | 1.5 | 1.5 |
0338-0509-41 | J1580 | BAXTER | Garamycin gentamicin inj | 80 MG | 50 | 1 | 1 | 1 |
0338-0511-41 | J1580 | BAXTER | Garamycin gentamicin inj | 80 MG | 50 | 1 | 1.25 | 1.25 |
0409-1207-03 | J1580 | PFIZER INC. | Garamycin gentamicin inj | 80 MG | 2 | 25 | 1 | 25 |
0409-1207-25 | J1580 | PFIZER INC. | Garamycin gentamicin inj | 80 MG | 2 | 25 | 1 | 25 |
63323-010-02 | J1580 | FRESENIUS KABI | Garamycin gentamicin inj | 80 MG | 2 | 25 | 1 | 25 |
63323-010-20 | J1580 | FRESENIUS KABI | Garamycin gentamicin inj | 80 MG | 20 | 25 | 10 | 250 |
63323-010-94 | J1580 | FRESENIUS KABI | Garamycin gentamicin inj | 80 MG | 2 | 25 | 1 | 25 |
63323-010-95 | J1580 | FRESENIUS KABI | Garamycin gentamicin inj | 80 MG | 20 | 25 | 10 | 250 |
63323-173-02 | J1580 | FRESENIUS KABI | Garamycin gentamicin inj | 80 MG | 2 | 25 | 0.25 | 6.25 |
63323-173-94 | J1580 | FRESENIUS KABI | Garamycin gentamicin inj | 80 MG | 2 | 25 | 0.25 | 6.25 |
57894-350-01 | J1602 | JANSSEN BIOTECH, INC. | Golimumab for iv use 1mg | 1 MG | 4 | 1 | 50 | 50 |
0002-8031-01 | J1610 | ELI LILLY AND COMPANY | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
0169-7065-15 | J1610 | NOVO NORDISK INC | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
0548-5850-00 | J1610 | AMPHASTAR PHARMACEUTICALS, INC. | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
0597-0053-45 | J1610 | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | Glucagon hydrochloride/1 mg | 1 MG | 1 | 10 | 1 | 10 |
0597-0260-10 | J1610 | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
63323-582-82 | J1610 | FRESENIUS KABI | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
63323-593-03 | J1610 | FRESENIUS KABI | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
63323-594-03 | J1610 | FRESENIUS KABI | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
63323-596-13 | J1610 | FRESENIUS KABI | Glucagon hydrochloride/1 mg | 1 MG | 1 | 10 | 1 | 10 |
0143-9744-10 | J1626 | HIKMA PHARMACEUTICALS USA INC. | Granisetron hcl injection | 100 MCG | 1 | 10 | 10 | 100 |
0143-9745-05 | J1626 | HIKMA PHARMACEUTICALS USA INC. | Granisetron hcl injection | 100 MCG | 4 | 5 | 40 | 200 |
17478-546-02 | J1626 | AKORN | Granisetron hcl injection | 100 MCG | 1 | 1 | 10 | 10 |
17478-546-05 | J1626 | AKORN | Granisetron hcl injection | 100 MCG | 4 | 1 | 40 | 40 |
63323-318-01 | J1626 | FRESENIUS KABI | Granisetron hcl injection | 100 MCG | 1 | 1 | 10 | 10 |
63323-319-04 | J1626 | FRESENIUS KABI | Granisetron hcl injection | 100 MCG | 4 | 1 | 40 | 40 |
67457-863-01 | J1626 | MYLAN INSTITUTIONAL LLC | Granisetron hcl injection | 100 MCG | 1 | 1 | 10 | 10 |
67457-864-04 | J1626 | MYLAN INSTITUTIONAL LLC | Granisetron hcl injection | 100 MCG | 4 | 1 | 40 | 40 |
47426-101-06 | J1627 | HERON THERAPEUTICS | Inj, granisetron, xr, 0.1 mg | 0.1 MG | 0.4 | 6 | 100 | 600 |
0143-9319-25 | J1630 | HIKMA PHARMACEUTICALS USA INC. | Haloperidol injection | 5 MG | 1 | 25 | 1 | 25 |
0143-9501-25 | J1630 | HIKMA PHARMACEUTICALS USA INC. | Haloperidol injection | 5 MG | 1 | 25 | 1 | 25 |
0143-9502-01 | J1630 | HIKMA PHARMACEUTICALS USA INC. | Haloperidol injection | 5 MG | 10 | 1 | 10 | 10 |
25021-806-01 | J1630 | SAGENT PHARMACEUTICALS INC | Haloperidol injection | 5 MG | 1 | 10 | 1 | 10 |
63323-474-01 | J1630 | FRESENIUS KABI | Haloperidol injection | 5 MG | 1 | 25 | 1 | 25 |
63323-474-10 | J1630 | FRESENIUS KABI | Haloperidol injection | 5 MG | 10 | 1 | 10 | 10 |
67457-426-12 | J1630 | MYLAN INSTITUTIONAL LLC | Haloperidol injection | 5 MG | 1 | 25 | 1 | 25 |
76045-737-10 | J1630 | FRESENIUS KABI | Haloperidol injection | 5 MG | 1 | 24 | 1 | 24 |
0143-9295-01 | J1631 | HIKMA PHARMACEUTICALS USA INC. | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
0143-9296-01 | J1631 | HIKMA PHARMACEUTICALS USA INC. | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
0703-7121-03 | J1631 | SICOR PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
0703-7123-01 | J1631 | SICOR PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 5 | 1 | 5 | 5 |
0703-7131-03 | J1631 | SICOR PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 1 | 10 | 2 | 20 |
0703-7133-01 | J1631 | SICOR PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
10147-0921-3 | J1631 | PATRIOT PHARMACEUTICALS, LLC | Haloperidol decanoate inj | 50 MG | 1 | 3 | 1 | 3 |
10147-0922-5 | J1631 | PATRIOT PHARMACEUTICALS, LLC | Haloperidol decanoate inj | 50 MG | 1 | 5 | 2 | 10 |
25021-831-01 | J1631 | SAGENT PHARMACEUTICALS INC | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
25021-833-01 | J1631 | SAGENT PHARMACEUTICALS INC | Haloperidol decanoate inj | 50 MG | 1 | 10 | 2 | 20 |
25021-834-05 | J1631 | SAGENT PHARMACEUTICALS INC | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
50458-253-03 | J1631 | JANSSEN PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 1 | 3 | 1 | 3 |
50458-254-14 | J1631 | JANSSEN PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 1 | 5 | 2 | 10 |
63323-469-01 | J1631 | FRESENIUS KABI | Haloperidol decanoate inj | 50 MG | 1 | 1 | 1 | 1 |
63323-469-05 | J1631 | FRESENIUS KABI | Haloperidol decanoate inj | 50 MG | 5 | 1 | 5 | 5 |
63323-471-01 | J1631 | FRESENIUS KABI | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
63323-471-05 | J1631 | FRESENIUS KABI | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
63323-471-41 | J1631 | FRESENIUS KABI | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
67457-381-58 | J1631 | MYLAN INSTITUTIONAL LLC | Haloperidol decanoate inj | 50 MG | 5 | 5 | 10 | 50 |
67457-409-13 | J1631 | MYLAN INSTITUTIONAL LLC | Haloperidol decanoate inj | 50 MG | 1 | 5 | 2 | 10 |
67457-410-13 | J1631 | MYLAN INSTITUTIONAL LLC | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
70710-1461-6 | J1631 | ZYDUS PHARMACEUTICALS | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
70710-1463-1 | J1631 | ZYDUS PHARMACEUTICALS | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
55292-702-55 | J1640 | RECORDATI RARE DISEASES | Hemin, 1 mg | 1 MG | 1 | 1 | 336 | 336 |
0069-0043-01 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
0069-0058-01 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
0069-0059-01 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
0069-0059-03 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
0069-0137-03 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 10 | 30 | 300 |
0264-5705-10 | J1644 | B. BRAUN MEDICAL INC. | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 10 | 5 | 50 |
0264-9567-10 | J1644 | B. BRAUN MEDICAL INC. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 20 | 480 |
0264-9577-10 | J1644 | B. BRAUN MEDICAL INC. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 25 | 600 |
0264-9587-20 | J1644 | B. BRAUN MEDICAL INC. | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 24 | 25 | 600 |
0264-9872-10 | J1644 | B. BRAUN MEDICAL INC. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 1 | 24 |
0338-0424-18 | J1644 | BAXTER | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 18 | 1 | 18 |
0338-0433-04 | J1644 | BAXTER | Inj heparin sodium per 1000u | 1000 UNITS | 1000 | 12 | 2 | 24 |
0409-1316-32 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 50 | 5 | 250 |
0409-1402-12 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 50 | 5 | 250 |
0409-2720-01 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
0409-2720-02 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
0409-2720-03 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
0409-2721-01 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
0409-2723-01 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
0409-2723-02 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
0409-7620-03 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 18 | 1 | 18 |
0409-7620-59 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1000 | 12 | 2 | 24 |
0409-7650-62 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 24 | 25 | 600 |
0409-7651-03 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 25 | 600 |
0409-7651-62 | J1644 | PFIZER INC. | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 24 | 12.5 | 300 |
0641-0391-12 | J1644 | HIKMA PHARMACEUTICALS USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
0641-0400-12 | J1644 | HIKMA PHARMACEUTICALS USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
0641-0410-12 | J1644 | HIKMA PHARMACEUTICALS USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
0641-2460-55 | J1644 | HIKMA PHARMACEUTICALS USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
0641-6199-10 | J1644 | HIKMA PHARMACEUTICALS USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 10 | 5 | 50 |
0641-6204-10 | J1644 | HIKMA PHARMACEUTICALS USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 10 | 5 | 50 |
25021-400-01 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
25021-400-10 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
25021-400-30 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
25021-401-02 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
25021-402-01 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
25021-402-10 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
25021-403-01 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
25021-403-04 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 4 | 25 | 40 | 1000 |
25021-404-01 | J1644 | SAGENT PHARMACEUTICALS INC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
63323-047-10 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
63323-118-05 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 24 | 5 | 120 |
63323-262-01 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63323-262-06 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63323-262-26 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63323-262-36 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1,000 UNITS | 1 | 25 | 5 | 125 |
63323-262-55 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63323-276-02 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
63323-517-74 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 24 | 25 | 600 |
63323-518-77 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 25 | 600 |
63323-519-10 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1000 | 12 | 2 | 24 |
63323-519-77 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 1 | 24 |
63323-522-77 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 25 | 600 |
63323-523-74 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 24 | 25 | 600 |
63323-540-01 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
63323-540-11 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
63323-540-13 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
63323-540-15 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
63323-540-31 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
63323-540-36 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
63323-540-57 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
63323-540-67 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1,000 UNITS | 10 | 25 | 10 | 250 |
63323-542-01 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
63323-542-07 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 5 | 25 | 50 | 1250 |
63323-542-13 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1,000 UNITS | 1 | 25 | 10 | 250 |
63323-542-14 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1,000 UNITS | 5 | 25 | 50 | 1250 |
63323-543-02 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 25 | 5 | 125 |
63323-543-13 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 25 | 5 | 125 |
63323-915-01 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
63323-915-13 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
63739-901-28 | J1644 | MCKESSON PACKAGING SERVICES | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
63739-920-25 | J1644 | MCKESSON PACKAGING SERVICES | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
63739-931-28 | J1644 | MCKESSON PACKAGING SERVICES | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
63739-942-29 | J1644 | MCKESSON PACKAGING SERVICES | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
63739-953-25 | J1644 | MCKESSON PACKAGING SERVICES | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63739-964-25 | J1644 | MCKESSON PACKAGING SERVICES | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
63739-986-25 | J1644 | MCKESSON PACKAGING SERVICES | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
67457-372-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
67457-373-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
67457-374-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
67457-383-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
67457-384-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
67457-385-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
67457-602-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
67457-603-99 | J1644 | MYLAN INSTITUTIONAL LLC | Inj heparin sodium per 1000u | 1000 UNITS | 4 | 25 | 40 | 1000 |
72572-250-25 | J1644 | CIVICA INC | Inj heparin sodium per 1000u | 1,000 UNITS | 1 | 25 | 1 | 25 |
72572-255-25 | J1644 | CIVICA INC | Inj heparin sodium per 1000u | 1,000 UNITS | 1 | 25 | 5 | 125 |
76045-108-10 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 24 | 5 | 120 |
81952-111-06 | J1644 | HEPALINK USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
0069-0195-02 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 0.2 | 10 | 1 | 10 |
0069-0196-02 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 0.2 | 10 | 2 | 20 |
0069-0206-02 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 0.3 | 10 | 3 | 30 |
0069-0217-02 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 1 | 10 | 4 | 40 |
0069-0220-02 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 0.5 | 10 | 5 | 50 |
0069-0223-02 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 0.6 | 10 | 6 | 60 |
0069-0228-02 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 0.72 | 10 | 7.2 | 72 |
0069-0232-01 | J1645 | PFIZER INC. | Dalteparin sodium | 2500 IU | 3.8 | 1 | 38 | 38 |
0075-0620-40 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0075-0621-60 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0075-0622-80 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0075-0623-00 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0075-0624-30 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0075-0626-03 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
0075-2912-01 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0075-2915-01 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0075-8013-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0075-8014-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0075-8016-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0075-8018-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0075-8020-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0075-8022-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0075-8025-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0075-8030-01 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
0548-5601-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0548-5602-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0548-5603-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0548-5604-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0548-5605-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0548-5606-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0548-5607-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0548-5608-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
0548-5631-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0548-5632-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0548-5633-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0548-5634-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0548-5635-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0548-5636-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0548-5637-00 | J1650 | AMPHASTAR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0703-8510-23 | J1650 | SICOR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0703-8530-23 | J1650 | SICOR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0703-8540-23 | J1650 | SICOR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0703-8580-23 | J1650 | SICOR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0703-8610-23 | J1650 | SICOR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0703-8680-23 | J1650 | SICOR PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0781-3133-63 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0781-3224-64 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0781-3238-63 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0781-3246-64 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0781-3256-66 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0781-3262-68 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0781-3268-69 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0781-3298-68 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0781-3299-69 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0781-3356-66 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0781-3428-68 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0781-3500-69 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0781-3612-68 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0781-3655-69 | J1650 | SANDOZ | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0955-1003-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0955-1004-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0955-1006-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0955-1008-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0955-1010-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0955-1012-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0955-1015-10 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0955-1016-01 | J1650 | SANOFI-AVENTIS | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
16714-006-10 | J1650 | NORTHSTAR RX LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
16714-016-10 | J1650 | NORTHSTAR RX LLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
16714-026-10 | J1650 | NORTHSTAR RX LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
16714-036-10 | J1650 | NORTHSTAR RX LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
16714-046-10 | J1650 | NORTHSTAR RX LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
16714-056-10 | J1650 | NORTHSTAR RX LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
16714-066-10 | J1650 | NORTHSTAR RX LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
63323-531-90 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-531-98 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-533-83 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-533-93 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-535-87 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
63323-535-98 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
63323-537-84 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
63323-539-03 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
63323-559-93 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-564-97 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
63323-566-98 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-568-87 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
63323-584-99 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-586-96 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
63323-589-94 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
63323-605-84 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
63323-605-94 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
63323-607-88 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-607-98 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-609-90 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
63323-655-99 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
70710-1757-6 | J1650 | ZYDUS PHARMACEUTICALS | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
70710-1762-6 | J1650 | ZYDUS PHARMACEUTICALS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0781-3443-12 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.5 | 2 | 5 | 10 |
0781-3443-95 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
0781-3454-12 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.4 | 2 | 10 | 20 |
0781-3454-95 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
0781-3465-12 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.6 | 2 | 15 | 30 |
0781-3465-95 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
0781-3476-12 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.8 | 2 | 20 | 40 |
0781-3476-95 | J1652 | SANDOZ | Fondaparinux sodium | 0.5 MG | 0.8 | 10 | 20 | 200 |
43598-606-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.8 | 2 | 20 | 40 |
43598-606-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.8 | 10 | 20 | 200 |
43598-607-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.5 | 2 | 5 | 10 |
43598-607-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
43598-608-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.4 | 2 | 10 | 20 |
43598-608-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
43598-609-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.6 | 2 | 15 | 30 |
43598-609-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
55111-678-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.5 | 2 | 5 | 10 |
55111-678-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
55111-679-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.4 | 2 | 10 | 20 |
55111-679-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
55111-680-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.6 | 2 | 15 | 30 |
55111-680-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
55111-681-02 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.8 | 2 | 20 | 40 |
55111-681-10 | J1652 | DR. REDDY'S LABORATORIES, INC. | Fondaparinux sodium | 0.5 MG | 0.8 | 10 | 20 | 200 |
55150-230-10 | J1652 | AUROMEDICS PHARMA LLC | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
55150-231-10 | J1652 | AUROMEDICS PHARMA LLC | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
55150-232-10 | J1652 | AUROMEDICS PHARMA LLC | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
55150-233-10 | J1652 | AUROMEDICS PHARMA LLC | Fondaparinux sodium | 0.5 MG | 0.8 | 10 | 20 | 200 |
67457-582-10 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
67457-583-04 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
67457-584-06 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
67457-585-08 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.8 | 10 | 20 | 200 |
67457-592-10 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
67457-593-04 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
67457-594-06 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
67457-595-08 | J1652 | MYLAN INSTITUTIONAL LLC | Fondaparinux sodium | 0.5 MG | 0.8 | 10 | 20 | 200 |
70710-1514-6 | J1652 | ZYDUS PHARMACEUTICALS | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
70710-1514-9 | J1652 | ZYDUS PHARMACEUTICALS | Fondaparinux sodium | 0.5 MG | 0.5 | 2 | 5 | 10 |
70710-1515-6 | J1652 | ZYDUS PHARMACEUTICALS | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
13533-634-02 | J1670 | GRIFOLS USA, LLC | Tetanus immune globulin inj | 250 UNITS | 1 | 1 | 1 | 1 |
0009-0005-01 | J1720 | PFIZER INC. | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 10 | 10 |
0009-0011-04 | J1720 | PFIZER INC. | Hydrocortisone sodium succ i | 100 MG | 1 | 25 | 1 | 25 |
0009-0013-05 | J1720 | PFIZER INC. | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 2.5 | 2.5 |
0009-0013-06 | J1720 | PFIZER INC. | Hydrocortisone sodium succ i | 100 MG | 1 | 25 | 2.5 | 62.5 |
0009-0016-12 | J1720 | PFIZER INC. | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 5 | 5 |
0009-0825-01 | J1720 | PFIZER INC. | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 1 | 1 |
25021-827-61 | J1740 | SAGENT PHARMACEUTICALS INC | Ibandronate sodium injection | 1 MG | 3 | 1 | 3 | 3 |
55150-191-83 | J1740 | AUROMEDICS PHARMA LLC | Ibandronate sodium injection | 1 MG | 3 | 1 | 3 | 3 |
60505-6097-0 | J1740 | APOTEX CORP. | Ibandronate sodium injection | 1 MG | 3 | 1 | 3 | 3 |
67457-524-33 | J1740 | MYLAN INSTITUTIONAL LLC | Ibandronate sodium injection | 1 MG | 3 | 1 | 3 | 3 |
54092-700-01 | J1743 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Idursulfase injection | 1 MG | 3 | 1 | 6 | 6 |
57894-030-01 | J1745 | JANSSEN BIOTECH, INC. | Infliximab not biosimil 10mg | 10 MG | 1 | 1 | 10 | 10 |
57894-160-01 | J1745 | JANSSEN BIOTECH, INC. | Infliximab not biosimil 10mg | 10 MG | 1 | 1 | 10 | 10 |
62064-122-02 | J1746 | THERATECHNOLOGIES INC. | Inj., ibalizumab-uiyk, 10 mg | 10 MG | 1.33 | 2 | 20 | 40 |
0023-6082-10 | J1750 | ALLERGAN SALES, LLC | Inj iron dextran | 50 MG | 2 | 10 | 2 | 20 |
0517-2310-05 | J1756 | AMERICAN REGENT | Iron sucrose injection | 1 MG | 10 | 5 | 200 | 1000 |
0517-2325-10 | J1756 | AMERICAN REGENT | Iron sucrose injection | 1 MG | 2.5 | 10 | 50 | 500 |
0517-2340-10 | J1756 | AMERICAN REGENT | Iron sucrose injection | 1 MG | 5 | 10 | 100 | 1000 |
0517-2340-25 | J1756 | AMERICAN REGENT | Iron sucrose injection | 1 MG | 5 | 25 | 100 | 2500 |
0517-2340-99 | J1756 | AMERICAN REGENT | Iron sucrose injection | 1 MG | 5 | 10 | 100 | 1000 |
49230-530-10 | J1756 | FRESENIUS MEDICAL CARE | Iron sucrose injection | 1 MG | 2.5 | 10 | 50 | 500 |
49230-530-25 | J1756 | FRESENIUS MEDICAL CARE | Iron sucrose injection | 1 MG | 2.5 | 25 | 50 | 1250 |
49230-534-10 | J1756 | FRESENIUS MEDICAL CARE | Iron sucrose injection | 1 MG | 5 | 10 | 100 | 1000 |
49230-534-25 | J1756 | FRESENIUS MEDICAL CARE | Iron sucrose injection | 1 MG | 5 | 25 | 100 | 2500 |
50090-4541-0 | J1756 | A-S MEDICATION SOLUTIONS | Iron sucrose injection | 1 MG | 5 | 1 | 100 | 100 |
58468-4663-1 | J1786 | GENZYME CORPORATION | Imuglucerase injection | 10 UNITS | 1 | 1 | 40 | 40 |
0002-7510-01 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0002-7510-17 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 3 | 1 | 6 | 6 |
0002-7516-59 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0002-7737-01 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0002-7752-05 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0002-8215-01 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0002-8215-17 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 3 | 1 | 6 | 6 |
0002-8222-59 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0002-8501-01 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 20 | 1 | 200 | 200 |
0002-8799-59 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0169-1833-02 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0169-1833-11 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0169-2100-11 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0169-2101-25 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0169-2200-11 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0169-2201-25 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 5 UNITS | 3 | 5 | 6 | 30 |
0169-3205-15 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0169-3303-12 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0169-6339-10 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0169-7501-11 | J1817 | NOVO NORDISK INC | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
50090-1375-0 | J1817 | A-S MEDICATION SOLUTIONS | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
50090-1664-0 | J1817 | A-S MEDICATION SOLUTIONS | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
50090-1678-0 | J1817 | A-S MEDICATION SOLUTIONS | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
50090-5391-0 | J1817 | A-S MEDICATION SOLUTIONS | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
66733-773-01 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
66733-822-59 | J1817 | ELI LILLY AND COMPANY | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
72677-551-01 | J1823 | HORIZON | Inj. inebilizumab-cdon, 1 mg | 1 MG | 10 | 3 | 100 | 300 |
0338-0069-10 | J1885 | BAXTER | Ketorolac tromethamine inj | 15 MG | 1 | 10 | 1 | 10 |
0338-0072-25 | J1885 | BAXTER | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
0409-3793-01 | J1885 | PFIZER INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
0409-3795-01 | J1885 | PFIZER INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
0409-3796-01 | J1885 | PFIZER INC. | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
0487-6232-01 | J1885 | NEPHRON PHARMACEUTICALS CORP. | Ketorolac tromethamine inj | 15 MG | 2 | 30 | 4 | 120 |
0641-6041-25 | J1885 | HIKMA PHARMACEUTICALS USA INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
0641-6042-25 | J1885 | HIKMA PHARMACEUTICALS USA INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
0641-6043-25 | J1885 | HIKMA PHARMACEUTICALS USA INC. | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
25021-700-01 | J1885 | SAGENT PHARMACEUTICALS INC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
25021-701-01 | J1885 | SAGENT PHARMACEUTICALS INC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
25021-701-02 | J1885 | SAGENT PHARMACEUTICALS INC | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-3364-0 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
50090-3364-1 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
50090-3397-1 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
50090-4583-0 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-4635-0 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-4635-1 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
50090-5013-0 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
50090-5013-1 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
50090-5428-0 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
50090-5428-1 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
50090-5609-0 | J1885 | A-S MEDICATION SOLUTIONS | Ketorolac tromethamine inj | 15 mg | 1 | 25 | 1 | 25 |
63323-161-01 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
63323-161-12 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
63323-161-16 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
63323-162-01 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
63323-162-02 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
63323-162-12 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
63323-162-14 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
63323-162-16 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
63323-162-26 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
70860-700-01 | J1885 | ATHENEX | Ketorolac tromethamine inj | 15 MG | 1 | 10 | 1 | 10 |
70860-700-02 | J1885 | ATHENEX | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
70860-701-01 | J1885 | ATHENEX | Ketorolac tromethamine inj | 15 MG | 1 | 10 | 2 | 20 |
70860-701-02 | J1885 | ATHENEX | Ketorolac tromethamine inj | 15 MG | 2 | 10 | 4 | 40 |
70860-701-03 | J1885 | ATHENEX | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
70860-701-04 | J1885 | ATHENEX | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
72266-118-25 | J1885 | FOSUN PHARMA | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
72266-119-25 | J1885 | FOSUN PHARMA | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
72611-719-25 | J1885 | ALMAJECT | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
72611-722-25 | J1885 | ALMAJECT | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
72611-725-25 | J1885 | ALMAJECT | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
76045-104-10 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 24 | 2 | 48 |
76045-105-20 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 2 | 24 | 4 | 96 |
76045-107-10 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 24 | 1 | 24 |
76045-209-10 | J1885 | FRESENIUS KABI | Ketorolac tromethamine inj | 15 MG | 1 | 24 | 2 | 48 |
15054-1060-4 | J1930 | IPSEN BIOPHARMACEUTICALS, INC | Lanreotide injection | 1 MG | 0.2 | 1 | 60 | 60 |
15054-1090-4 | J1930 | IPSEN BIOPHARMACEUTICALS, INC | Lanreotide injection | 1 MG | 0.3 | 1 | 90 | 90 |
15054-1120-4 | J1930 | IPSEN BIOPHARMACEUTICALS, INC | Lanreotide injection | 1 MG | 0.5 | 1 | 120 | 120 |
58468-0070-1 | J1931 | GENZYME CORPORATION | Laronidase injection | 0.1 MG | 5 | 1 | 29 | 29 |
0409-1639-10 | J1940 | PFIZER INC. | Furosemide injection | 20 MG | 10 | 10 | 5 | 50 |
0409-9631-04 | J1940 | PFIZER INC. | Furosemide injection | 20 MG | 4 | 10 | 2 | 20 |
16729-500-08 | J1940 | ACCORD HEALTHCARE INC. | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
16729-501-43 | J1940 | ACCORD HEALTHCARE INC. | Furosemide injection | 20 MG | 4 | 10 | 2 | 20 |
16729-502-43 | J1940 | ACCORD HEALTHCARE INC. | Furosemide injection | 20 MG | 10 | 10 | 5 | 50 |
23155-473-41 | J1940 | HERITAGE PHARMACEUTICALS, INC. | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
23155-473-42 | J1940 | HERITAGE PHARMACEUTICALS, INC. | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
23155-473-44 | J1940 | HERITAGE PHARMACEUTICALS, INC. | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
25021-311-02 | J1940 | SAGENT PHARMACEUTICALS INC | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
25021-311-04 | J1940 | SAGENT PHARMACEUTICALS INC | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
25021-311-10 | J1940 | SAGENT PHARMACEUTICALS INC | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
36000-282-25 | J1940 | BAXTER | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
36000-283-25 | J1940 | BAXTER | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
36000-284-25 | J1940 | BAXTER | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
55150-322-25 | J1940 | AUROMEDICS PHARMA LLC | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
55150-323-25 | J1940 | AUROMEDICS PHARMA LLC | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
55150-324-25 | J1940 | AUROMEDICS PHARMA LLC | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
63323-280-02 | J1940 | FRESENIUS KABI | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
63323-280-04 | J1940 | FRESENIUS KABI | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
63323-280-10 | J1940 | FRESENIUS KABI | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
63323-280-16 | J1940 | FRESENIUS KABI | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
63323-280-26 | J1940 | FRESENIUS KABI | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
63323-280-36 | J1940 | FRESENIUS KABI | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
70121-1076-5 | J1940 | AMNEAL BIOSCIENCES | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
70121-1163-5 | J1940 | AMNEAL BIOSCIENCES | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
70121-1164-5 | J1940 | AMNEAL BIOSCIENCES | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
70860-302-02 | J1940 | ATHENEX PHARMACEUTICAL DIVISION, LL | Furosemide injection | 20 MG | 1 EA | 25 | 1 | 25 |
70860-302-04 | J1940 | ATHENEX PHARMACEUTICAL DIVISION, LL | Furosemide injection | 20 MG | 2 ML 1 EA | 25 | 2 | 50 |
70860-302-10 | J1940 | ATHENEX PHARMACEUTICAL DIVISION, LL | Furosemide injection | 20 MG | 2.5 ML 1 EA | 25 | 5 | 125 |
65757-500-03 | J1943 | ALKERMES, INC. | Inj., aristada initio, 1 mg | 1 MG | 2.4 | 1 | 675 | 675 |
65757-401-03 | J1944 | ALKERMES, INC. | Aripirazole lauroxil 1 mg | 1 MG | 1.6 | 1 | 441 | 441 |
65757-402-03 | J1944 | ALKERMES, INC. | Aripirazole lauroxil 1 mg | 1 MG | 2.4 | 1 | 662 | 662 |
65757-403-03 | J1944 | ALKERMES, INC. | Aripirazole lauroxil 1 mg | 1 MG | 3.2 | 1 | 882 | 882 |
65757-404-03 | J1944 | ALKERMES, INC. | Aripirazole lauroxil 1 mg | 1 MG | 3.9 | 1 | 1064 | 1064 |
0074-2108-03 | J1950 | ABBVIE US, LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 2 | 2 |
0074-2282-03 | J1950 | ABBVIE US, LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 3 | 3 |
0074-2440-03 | J1950 | ABBVIE US, LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 4 | 4 |
0074-3641-03 | J1950 | ABBVIE US, LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 1 | 1 |
0074-3663-03 | J1950 | ABBVIE US, LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 3 | 3 |
0074-3779-03 | J1950 | ABBVIE US, LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 3 | 3 |
0074-9694-03 | J1950 | ABBVIE US, LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 8 | 8 |
62935-153-50 | J1951 | TOLMAR | Inj fensolvi 0.25 mg | 0.25 MG | 1 | 1 | 180 | 180 |
0143-9574-25 | J1953 | HIKMA PHARMACEUTICALS USA INC. | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
0143-9673-25 | J1953 | HIKMA PHARMACEUTICALS USA INC. | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
0409-1886-02 | J1953 | PFIZER INC. | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
0409-1886-05 | J1953 | PFIZER INC. | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
0409-2011-25 | J1953 | PFIZER INC. | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
14789-110-05 | J1953 | NEXUS PHARMACEUTICAL INC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
14789-220-10 | J1953 | NEXUS PHARMACEUTICAL INC | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
14789-330-15 | J1953 | NEXUS PHARMACEUTICAL INC | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
25021-780-05 | J1953 | SAGENT PHARMACEUTICALS INC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
39822-4000-1 | J1953 | X-GEN PHARMACEUTICALS INC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
43598-635-10 | J1953 | DR. REDDY'S LABORATORIES, INC. | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
43598-636-10 | J1953 | DR. REDDY'S LABORATORIES, INC. | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
43598-637-10 | J1953 | DR. REDDY'S LABORATORIES, INC. | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
43598-755-10 | J1953 | DR. REDDY'S LABORATORIES, INC. | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
43598-757-10 | J1953 | DR. REDDY'S LABORATORIES, INC. | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
43598-759-10 | J1953 | DR. REDDY'S LABORATORIES, INC. | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
50474-002-63 | J1953 | UCB, INC. | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
55150-177-05 | J1953 | AUROMEDICS PHARMA LLC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
55150-246-47 | J1953 | AUROMEDICS PHARMA LLC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
55150-247-47 | J1953 | AUROMEDICS PHARMA LLC | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
55150-248-47 | J1953 | AUROMEDICS PHARMA LLC | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
63323-400-05 | J1953 | FRESENIUS KABI | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
63323-400-44 | J1953 | FRESENIUS KABI | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
67457-255-10 | J1953 | MYLAN INSTITUTIONAL LLC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
67457-265-10 | J1953 | MYLAN INSTITUTIONAL LLC | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
67457-266-10 | J1953 | MYLAN INSTITUTIONAL LLC | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
67457-790-05 | J1953 | MYLAN INSTITUTIONAL LLC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
70860-602-82 | J1953 | ATHENEX | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
70860-603-82 | J1953 | ATHENEX | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
70860-604-82 | J1953 | ATHENEX | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
54482-147-01 | J1955 | LEADIANT BIOSCIENCES, INC. | Inj levocarnitine per 1 gm | 1 GM | 5 | 5 | 1 | 5 |
0143-9315-24 | J1956 | HIKMA PHARMACEUTICALS USA INC. | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
0143-9316-24 | J1956 | HIKMA PHARMACEUTICALS USA INC. | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
0143-9317-24 | J1956 | HIKMA PHARMACEUTICALS USA INC. | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
0143-9720-24 | J1956 | HIKMA PHARMACEUTICALS USA INC. | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
0143-9721-24 | J1956 | HIKMA PHARMACEUTICALS USA INC. | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
0143-9722-24 | J1956 | HIKMA PHARMACEUTICALS USA INC. | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
17478-107-20 | J1956 | AKORN | Levofloxacin injection | 250 MG | 20 | 1 | 2 | 2 |
17478-107-30 | J1956 | AKORN | Levofloxacin injection | 250 MG | 30 | 1 | 3 | 3 |
25021-132-81 | J1956 | SAGENT PHARMACEUTICALS INC | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
25021-132-82 | J1956 | SAGENT PHARMACEUTICALS INC | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
25021-132-83 | J1956 | SAGENT PHARMACEUTICALS INC | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
36000-046-24 | J1956 | BAXTER | Levofloxacin injection | 250 MG | 50 | 1 | 1 | 1 |
36000-047-24 | J1956 | BAXTER | Levofloxacin injection | 250 MG | 100 | 1 | 2 | 2 |
36000-048-24 | J1956 | BAXTER | Levofloxacin injection | 250 MG | 150 | 1 | 3 | 3 |
36000-294-24 | J1956 | BAXTER | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
36000-295-24 | J1956 | BAXTER | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
36000-296-24 | J1956 | BAXTER | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
44567-435-24 | J1956 | WG CRITICAL CARE | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
44567-436-24 | J1956 | WG CRITICAL CARE | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
44567-437-24 | J1956 | WG CRITICAL CARE | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
55150-156-20 | J1956 | AUROMEDICS PHARMA LLC | Levofloxacin injection | 250 MG | 20 | 1 | 2 | 2 |
55150-157-30 | J1956 | AUROMEDICS PHARMA LLC | Levofloxacin injection | 250 MG | 30 | 1 | 3 | 3 |
63323-355-50 | J1956 | FRESENIUS KABI | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
63323-355-60 | J1956 | FRESENIUS KABI | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 48 |
63323-355-65 | J1956 | FRESENIUS KABI | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 72 |
0037-9001-05 | J1980 | MEDA PHARMACEUTICALS INC. | Hyoscyamine sulfate inj | 0.25 MG | 1 | 5 | 2 | 10 |
0264-9594-10 | J2001 | B. BRAUN MEDICAL INC. | Lidocaine injection | 10 MG | 500 | 24 | 200 | 4800 |
0264-9594-20 | J2001 | B. BRAUN MEDICAL INC. | Lidocaine injection | 10 MG | 250 | 24 | 100 | 2400 |
0264-9598-20 | J2001 | B. BRAUN MEDICAL INC. | Lidocaine injection | 10 MG | 250 | 24 | 200 | 4800 |
0338-0409-03 | J2001 | BAXTER | Lidocaine injection | 10 MG | 500 | 18 | 200 | 3600 |
0338-0411-02 | J2001 | BAXTER | Lidocaine injection | 10 MG | 250 | 1 | 200 | 200 |
50090-4555-0 | J2001 | A-S MEDICATION SOLUTIONS | Lidocaine injection | 10 MG | 250 | 1 | 200 | 200 |
0009-0555-01 | J2010 | PFIZER INC. | Lincomycin injection | 300 MG | 2 | 1 | 2 | 2 |
0009-0555-02 | J2010 | PFIZER INC. | Lincomycin injection | 300 MG | 10 | 1 | 10 | 10 |
39822-0350-2 | J2010 | X-GEN PHARMACEUTICALS INC | Lincomycin injection | 300 MG | 2 | 10 | 2 | 20 |
39822-0353-6 | J2010 | X-GEN PHARMACEUTICALS INC | Lincomycin injection | 300 MG | 10 | 10 | 10 | 100 |
50090-4533-0 | J2010 | A-S MEDICATION SOLUTIONS | Lincomycin injection | UP TO 300 MG | 10 | 1 | 10 | 10 |
0009-4992-02 | J2020 | PFIZER INC. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0009-5137-04 | J2020 | PFIZER INC. | Linezolid injection | 200 MG | 100 | 10 | 1 | 10 |
0009-5140-04 | J2020 | PFIZER INC. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0009-7807-02 | J2020 | PFIZER INC. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0409-4883-01 | J2020 | PFIZER INC. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0781-3433-95 | J2020 | SANDOZ | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
25021-169-87 | J2020 | SAGENT PHARMACEUTICALS INC | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
55150-242-51 | J2020 | AUROMEDICS PHARMA LLC | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
57664-683-57 | J2020 | CARACO PHARMACEUTICAL LABORATORIES LTD. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
63323-713-13 | J2020 | FRESENIUS KABI | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
66794-219-43 | J2020 | PIRAMAL CRITICAL CARE | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
67457-843-30 | J2020 | MYLAN INSTITUTIONAL LLC | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0409-1985-30 | J2060 | PFIZER INC. | Lorazepam injection | 2 MG | 1 | 10 | 1 | 10 |
0409-6778-02 | J2060 | PFIZER INC. | Lorazepam injection | 2 MG | 1 | 10 | 1 | 10 |
0409-6778-05 | J2060 | PFIZER INC. | Lorazepam injection | 2 MG | 1 | 10 | 1 | 10 |
0641-6000-10 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 10 | 10 | 10 | 100 |
0641-6001-25 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 1 | 25 | 1 | 25 |
0641-6002-10 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 10 | 10 | 20 | 200 |
0641-6003-25 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 1 | 25 | 2 | 50 |
0641-6044-25 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 1 | 25 | 1 | 25 |
0641-6045-25 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 1 | 25 | 2 | 50 |
0641-6046-10 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 10 | 10 | 10 | 100 |
0641-6047-10 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 10 | 10 | 20 | 200 |
0641-6048-25 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 1 | 25 | 1 | 25 |
0641-6049-25 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 1 | 25 | 2 | 50 |
0641-6050-10 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 10 | 10 | 10 | 100 |
0641-6051-10 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 10 | 10 | 20 | 200 |
0641-6207-25 | J2060 | HIKMA PHARMACEUTICALS USA INC. | Lorazepam injection | 2 MG | 1 | 25 | 1 | 25 |
17478-040-01 | J2060 | AKORN | Lorazepam injection | 2 MG | 1 | 10 | 1 | 10 |
72572-380-25 | J2060 | CIVICA INC | Lorazepam injection | 2 MG | 1 | 25 | 1 | 25 |
0409-4031-01 | J2150 | PFIZER INC. | Mannitol injection | 50 ML | 50 | 25 | 1 | 25 |
63323-024-25 | J2150 | FRESENIUS KABI | Mannitol injection | 50 ML | 50 | 25 | 1 | 25 |
0409-1176-30 | J2175 | PFIZER INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 10 | 0.25 | 2.5 |
0409-1178-30 | J2175 | PFIZER INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 10 | 0.5 | 5 |
0409-1179-30 | J2175 | PFIZER INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 10 | 0.75 | 7.5 |
0409-1180-69 | J2175 | PFIZER INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 10 | 1 | 10 |
0409-1181-30 | J2175 | PFIZER INC. | Meperidine hydrochl /100 mg | 100 MG | 30 | 1 | 15 | 15 |
0409-1362-01 | J2175 | PFIZER INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 10 | 0.25 | 2.5 |
0409-1418-01 | J2175 | PFIZER INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 10 | 0.5 | 5 |
0641-6052-25 | J2175 | HIKMA PHARMACEUTICALS USA INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 25 | 0.25 | 6.25 |
0641-6053-25 | J2175 | HIKMA PHARMACEUTICALS USA INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 25 | 0.5 | 12.5 |
0641-6054-25 | J2175 | HIKMA PHARMACEUTICALS USA INC. | Meperidine hydrochl /100 mg | 100 MG | 1 | 25 | 1 | 25 |
0173-0881-01 | J2182 | GLAXOSMITHKLINE | Injection, mepolizumab, 1mg | 1 MG | 1 | 1 | 100 | 100 |
0069-0314-10 | J2185 | PFIZER INC. | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
0264-3183-11 | J2185 | B. BRAUN MEDICAL INC. | Meropenem | 100 MG | 1 | 24 | 5 | 120 |
0264-3185-11 | J2185 | B. BRAUN MEDICAL INC. | Meropenem | 100 MG | 1 | 24 | 10 | 240 |
0781-3000-95 | J2185 | SANDOZ | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0781-3098-95 | J2185 | SANDOZ | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
44567-400-10 | J2185 | WG CRITICAL CARE | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
44567-401-10 | J2185 | WG CRITICAL CARE | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
55150-207-20 | J2185 | AUROMEDICS PHARMA LLC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
55150-208-30 | J2185 | AUROMEDICS PHARMA LLC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
63323-507-20 | J2185 | FRESENIUS KABI | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
63323-507-21 | J2185 | FRESENIUS KABI | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
63323-507-25 | J2185 | FRESENIUS KABI | Meropenem | 100 MG | 1 | 25 | 5 | 125 |
63323-508-25 | J2185 | FRESENIUS KABI | Meropenem | 100 MG | 1 | 25 | 10 | 250 |
63323-508-30 | J2185 | FRESENIUS KABI | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
63323-508-31 | J2185 | FRESENIUS KABI | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
68001-324-57 | J2185 | AMERICAN HEALTH PACKAGING | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
70121-1453-7 | J2185 | AMNEAL BIOSCIENCES | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
70121-1454-7 | J2185 | AMNEAL BIOSCIENCES | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
70594-075-02 | J2185 | XELLIA PHARMACEUTICALS USA, LLC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
70594-076-02 | J2185 | XELLIA PHARMACEUTICALS USA, LLC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
72572-415-10 | J2185 | CIVICA INC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
72572-416-10 | J2185 | CIVICA INC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
0517-0740-20 | J2210 | AMERICAN REGENT | Methylergonovin maleate inj | 0.2 MG | 1 | 20 | 1 | 20 |
50090-4536-0 | J2210 | A-S MEDICATION SOLUTIONS | Methylergonovin maleate inj | 0.2 MG | 1 | 1 | 1 | 1 |
51991-144-17 | J2210 | BRECKENRIDGE PHARMACEUTICAL | Methylergonovin maleate inj | 0.2 MG | 1 | 10 | 1 | 10 |
0143-9361-01 | J2248 | HIKMA PHARMACEUTICALS USA INC. | Micafungin sodium injection | 1 MG | 1 | 1 | 50 | 50 |
0143-9362-01 | J2248 | HIKMA PHARMACEUTICALS USA INC. | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
0469-3211-10 | J2248 | ASTELLAS PHARMA US INC. | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
0469-3211-99 | J2248 | ASTELLAS PHARMA US INC. | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
0469-3250-10 | J2248 | ASTELLAS PHARMA US INC. | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
25021-190-10 | J2248 | SAGENT PHARMACEUTICALS INC | Micafungin sodium injection | 1 MG | 1 | 1 | 50 | 50 |
25021-191-10 | J2248 | SAGENT PHARMACEUTICALS INC | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
42023-229-10 | J2248 | PAR PHARMACEUTICAL, INC | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
42023-230-10 | J2248 | PAR PHARMACEUTICAL, INC | Micafungin sodium injection | 1 MG | 1 | 10 | 200 | 2000 |
63323-728-10 | J2248 | FRESENIUS KABI | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
63323-729-10 | J2248 | FRESENIUS KABI | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
70594-036-01 | J2248 | XELLIA PHARMACEUTICALS USA, LLC | Micafungin sodium injection | 1 MG | 1 | 1 | 50 | 50 |
70594-037-01 | J2248 | XELLIA PHARMACEUTICALS USA, LLC | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
0409-2305-05 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 5 | 50 |
0409-2305-17 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
0409-2305-50 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 5 | 50 |
0409-2308-01 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 1 | 10 | 5 | 50 |
0409-2308-02 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 2 | 10 | 10 | 100 |
0409-2308-49 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 1 | 10 | 5 | 50 |
0409-2308-50 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 2 | 10 | 10 | 100 |
0409-2587-05 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 10 | 100 |
0409-2596-03 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 25 | 250 |
0409-2596-05 | J2250 | PFIZER INC. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
0641-6056-10 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 10 | 100 |
0641-6057-25 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
0641-6059-10 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 5 | 50 |
0641-6060-10 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
0641-6061-10 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 1 | 10 | 5 | 50 |
0641-6061-25 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 1 | 25 | 5 | 125 |
0641-6063-25 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 10 | 250 |
0641-6190-10 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
0641-6209-25 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
0641-6210-10 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 5 | 50 |
0641-6211-10 | J2250 | HIKMA PHARMACEUTICALS USA INC. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
17478-524-10 | J2250 | AKORN | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
23155-600-41 | J2250 | HERITAGE PHARMACEUTICALS, INC. | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
23155-601-41 | J2250 | HERITAGE PHARMACEUTICALS, INC. | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 25 | 250 |
23155-601-42 | J2250 | HERITAGE PHARMACEUTICALS, INC. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
44567-610-10 | J2250 | WG CRITICAL CARE | Inj midazolam hydrochloride | 1 MG | 50 | 10 | 50 | 500 |
44567-611-10 | J2250 | WG CRITICAL CARE | Inj midazolam hydrochloride | 1 MG | 100 | 10 | 100 | 1000 |
47781-589-91 | J2250 | ALVOGEN | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
50090-0683-0 | J2250 | A-S MEDICATION SOLUTIONS | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
50090-0683-1 | J2250 | A-S MEDICATION SOLUTIONS | Inj midazolam hydrochloride | 1 MG | 10 | 1 | 50 | 50 |
50090-0738-0 | J2250 | A-S MEDICATION SOLUTIONS | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 10 | 100 |
50090-5342-0 | J2250 | A-S MEDICATION SOLUTIONS | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
50090-5342-1 | J2250 | A-S MEDICATION SOLUTIONS | Inj midazolam hydrochloride | 1 MG | 10 | 1 | 50 | 50 |
50090-5472-0 | J2250 | A-S MEDICATION SOLUTIONS | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 10 | 100 |
63323-411-10 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 10 | 100 |
63323-411-12 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
63323-411-25 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 5 | 25 | 5 | 125 |
63323-412-02 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 2 | 10 | 10 | 100 |
63323-412-10 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
63323-412-25 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 1 | 25 | 5 | 125 |
70860-600-02 | J2250 | ATHENEX | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
70860-601-05 | J2250 | ATHENEX | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 25 | 250 |
70860-601-10 | J2250 | ATHENEX | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
72572-430-25 | J2250 | CIVICA INC | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
72572-432-10 | J2250 | CIVICA INC | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 5 | 50 |
72611-741-25 | J2250 | ALMAJECT | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
72611-749-10 | J2250 | ALMAJECT | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
76045-001-20 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 2 | 24 | 2 | 48 |
76045-002-10 | J2250 | FRESENIUS KABI | Inj midazolam hydrochloride | 1 MG | 1 | 24 | 5 | 120 |
0143-9326-10 | J2260 | HIKMA PHARMACEUTICALS USA INC. | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
0143-9373-10 | J2260 | HIKMA PHARMACEUTICALS USA INC. | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
0143-9374-10 | J2260 | HIKMA PHARMACEUTICALS USA INC. | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
0143-9709-10 | J2260 | HIKMA PHARMACEUTICALS USA INC. | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
0143-9718-10 | J2260 | HIKMA PHARMACEUTICALS USA INC. | Inj milrinone lactate / 5 mg | 5 MG | 200 | 10 | 8 | 80 |
0143-9719-10 | J2260 | HIKMA PHARMACEUTICALS USA INC. | Inj milrinone lactate / 5 mg | 5 MG | 100 | 10 | 4 | 40 |
0338-6010-48 | J2260 | BAXTER | Inj milrinone lactate / 5 mg | 5 MG | 100 | 1 | 4 | 4 |
0338-6011-37 | J2260 | BAXTER | Inj milrinone lactate / 5 mg | 5 MG | 200 | 1 | 8 | 8 |
0409-0212-01 | J2260 | PFIZER INC. | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
0409-0212-02 | J2260 | PFIZER INC. | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
0409-0212-03 | J2260 | PFIZER INC. | Inj milrinone lactate / 5 mg | 5 MG | 50 | 1 | 10 | 10 |
25021-313-82 | J2260 | SAGENT PHARMACEUTICALS INC | Inj milrinone lactate / 5 mg | 5mg | 100 | 10 | 4 | 40 |
25021-313-87 | J2260 | SAGENT PHARMACEUTICALS INC | Inj milrinone lactate / 5 mg | 5mg | 200 | 10 | 8 | 80 |
55150-287-10 | J2260 | AUROMEDICS PHARMA LLC | Inj milrinone lactate / 5 mg | 5 MG | 100 | 10 | 4 | 40 |
55150-288-10 | J2260 | AUROMEDICS PHARMA LLC | Inj milrinone lactate / 5 mg | 5 MG | 200 | 10 | 8 | 80 |
63323-617-10 | J2260 | FRESENIUS KABI | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
63323-617-20 | J2260 | FRESENIUS KABI | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
63323-617-50 | J2260 | FRESENIUS KABI | Inj milrinone lactate / 5 mg | 5 MG | 50 | 1 | 10 | 10 |
0409-1134-03 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 20 | 1 | 100 | 100 |
0409-1134-05 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 50 | 1 | 250 | 250 |
0409-1890-01 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 1 | 10 | 0.2 | 2 |
0409-1890-23 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 1 | 10 | 0.2 | 2 |
0409-1891-01 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 1 | 10 | 0.4 | 4 |
0409-1891-23 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 1 | 10 | 0.4 | 4 |
0409-1892-01 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 1 | 10 | 0.8 | 8 |
0409-1893-01 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 1 | 10 | 1 | 10 |
0409-1893-23 | J2270 | PFIZER INC. | Morphine sulfate injection | 10 MG | 1 | 10 | 1 | 10 |
0641-6125-25 | J2270 | HIKMA PHARMACEUTICALS USA INC. | Morphine sulfate injection | 10 MG | 1 | 25 | 0.4 | 10 |
0641-6126-25 | J2270 | HIKMA PHARMACEUTICALS USA INC. | Morphine sulfate injection | 10 MG | 1 | 25 | 0.8 | 20 |
0641-6127-25 | J2270 | HIKMA PHARMACEUTICALS USA INC. | Morphine sulfate injection | 10 MG | 1 | 25 | 1 | 25 |
63323-451-01 | J2270 | FRESENIUS KABI | Morphine sulfate injection | 10 MG | 1 | 25 | 1 | 25 |
63323-452-01 | J2270 | FRESENIUS KABI | Morphine sulfate injection | 10 MG | 1 | 25 | 0.2 | 5 |
63323-454-01 | J2270 | FRESENIUS KABI | Morphine sulfate injection | 10 MG | 1 | 25 | 0.4 | 10 |
63323-455-01 | J2270 | FRESENIUS KABI | Morphine sulfate injection | 10 MG | 1 | 25 | 0.5 | 12.5 |
63323-458-01 | J2270 | FRESENIUS KABI | Morphine sulfate injection | 10 MG | 1 | 25 | 0.8 | 20 |
72572-440-25 | J2270 | CIVICA INC | Morphine sulfate injection | 10 MG | 1 | 25 | 0.4 | 10 |
76045-004-11 | J2270 | FRESENIUS KABI | Morphine sulfate injection | 10 MG | 1 | 10 | 0.2 | 2 |
76045-005-11 | J2270 | FRESENIUS KABI | Morphine sulfate injection | 10 MG | 1 | 10 | 0.4 | 4 |
0409-3814-12 | J2274 | PFIZER INC. | Inj morphine pf epid ithc | 10 MG | 10 | 5 | 0.5 | 2.5 |
0409-3815-12 | J2274 | PFIZER INC. | Inj morphine pf epid ithc | 10 MG | 10 | 5 | 1 | 5 |
0641-6019-10 | J2274 | HIKMA PHARMACEUTICALS USA INC. | Inj morphine pf epid ithc | 10 MG | 10 | 10 | 1 | 10 |
0641-6020-10 | J2274 | HIKMA PHARMACEUTICALS USA INC. | Inj morphine pf epid ithc | 10 MG | 10 | 10 | 0.5 | 5 |
0641-6039-01 | J2274 | HIKMA PHARMACEUTICALS USA INC. | Inj morphine pf epid ithc | 10 MG | 20 | 1 | 20 | 20 |
0641-6040-01 | J2274 | HIKMA PHARMACEUTICALS USA INC. | Inj morphine pf epid ithc | 10 MG | 20 | 1 | 50 | 50 |
66794-160-02 | J2274 | PIRAMAL CRITICAL CARE | Inj morphine pf epid ithc | 10 MG | 20 | 1 | 20 | 20 |
66794-162-02 | J2274 | PIRAMAL CRITICAL CARE | Inj morphine pf epid ithc | 10 MG | 20 | 1 | 50 | 50 |
18860-720-10 | J2278 | JAZZ PHARMACEUTICALS, INC. | Ziconotide injection | 1 MCG | 1 | 1 | 100 | 100 |
18860-722-10 | J2278 | JAZZ PHARMACEUTICALS, INC. | Ziconotide injection | 1 MCG | 5 | 1 | 500 | 500 |
18860-723-10 | J2278 | JAZZ PHARMACEUTICALS, INC. | Ziconotide injection | 1 MCG | 20 | 1 | 500 | 500 |
70720-720-10 | J2278 | TERSERA THERAPEUTICS LLC | Ziconotide injection | 1 MCG | 1 | 1 | 100 | 100 |
70720-722-10 | J2278 | TERSERA THERAPEUTICS LLC | Ziconotide injection | 1 MCG | 5 | 1 | 500 | 500 |
70720-723-10 | J2278 | TERSERA THERAPEUTICS LLC | Ziconotide injection | 1 MCG | 20 | 1 | 500 | 500 |
63323-850-74 | J2280 | FRESENIUS KABI | Inj, moxifloxacin 100 mg | 100 MG | 250 | 12 | 4 | 48 |
67457-323-25 | J2280 | MYLAN INSTITUTIONAL LLC | Inj, moxifloxacin 100 mg | 100 MG | 250 | 12 | 4 | 48 |
0409-1463-01 | J2300 | PFIZER INC. | Inj nalbuphine hydrochloride | 10 MG | 1 | 10 | 1 | 10 |
0409-1463-49 | J2300 | PFIZER INC. | Inj nalbuphine hydrochloride | 10 MG | 1 | 10 | 1 | 10 |
0409-1464-01 | J2300 | PFIZER INC. | Inj nalbuphine hydrochloride | 10 MG | 10 | 25 | 10 | 250 |
0409-1465-01 | J2300 | PFIZER INC. | Inj nalbuphine hydrochloride | 10 MG | 1 | 10 | 2 | 20 |
0409-1467-01 | J2300 | PFIZER INC. | Inj nalbuphine hydrochloride | 10 MG | 10 | 25 | 20 | 500 |
0409-1215-01 | J2310 | PFIZER INC. | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
0409-1219-01 | J2310 | PFIZER INC. | Inj naloxone hydrochloride | 1 MG | 10 | 25 | 4 | 100 |
0409-1782-69 | J2310 | PFIZER INC. | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
0641-6132-25 | J2310 | HIKMA PHARMACEUTICALS USA INC. | Inj naloxone hydrochloride | 1 MG | 1 | 25 | 0.4 | 10 |
17478-041-01 | J2310 | AKORN | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
17478-042-10 | J2310 | AKORN | Inj naloxone hydrochloride | 1 MG | 10 | 1 | 4 | 4 |
43598-750-58 | J2310 | DR. REDDY'S LABORATORIES, INC. | Inj naloxone hydrochloride | 1 MG | 2 | 10 | 2 | 20 |
50090-3294-0 | J2310 | A-S MEDICATION SOLUTIONS | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
50090-5427-0 | J2310 | A-S MEDICATION SOLUTIONS | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
55150-327-10 | J2310 | AUROMEDICS PHARMA LLC | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
55150-328-10 | J2310 | AUROMEDICS PHARMA LLC | Inj naloxone hydrochloride | 1 MG | 10 | 10 | 4 | 40 |
55150-345-10 | J2310 | AUROMEDICS PHARMA LLC | Inj naloxone hydrochloride | 1 MG | 2 | 10 | 2 | 20 |
67457-292-02 | J2310 | MYLAN INSTITUTIONAL LLC | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
67457-299-10 | J2310 | MYLAN INSTITUTIONAL LLC | Inj naloxone hydrochloride | 1 MG | 10 | 10 | 4 | 40 |
67457-599-02 | J2310 | MYLAN INSTITUTIONAL LLC | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
67457-645-02 | J2310 | MYLAN INSTITUTIONAL LLC | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
67457-987-10 | J2310 | MYLAN INSTITUTIONAL LLC | Inj naloxone hydrochloride | 1 MG | 10 | 10 | 4 | 40 |
72572-450-25 | J2310 | CIVICA INC | Inj naloxone hydrochloride | 1 MG | 1 | 25 | 0.4 | 10 |
65757-300-01 | J2315 | ALKERMES, INC. | Naltrexone, depot form | 1 MG | 1 | 1 | 380 | 380 |
64406-008-01 | J2323 | BIOGEN | Natalizumab injection | 1 MG | 15 | 1 | 300 | 300 |
50242-150-01 | J2350 | GENENTECH, INC. | Injection, ocrelizumab, 1 mg | 1 MG | 10 | 1 | 300 | 300 |
0078-0811-81 | J2353 | NOVARTIS PHARMACEUTICALS CORPORATION | Octreotide injection, depot | 1 MG | 1 | 1 | 10 | 10 |
0078-0818-81 | J2353 | NOVARTIS PHARMACEUTICALS CORPORATION | Octreotide injection, depot | 1 MG | 1 | 1 | 20 | 20 |
0078-0825-81 | J2353 | NOVARTIS PHARMACEUTICALS CORPORATION | Octreotide injection, depot | 1 MG | 1 | 1 | 30 | 30 |
0078-0180-01 | J2354 | NOVARTIS PHARMACEUTICALS CORPORATION | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
0078-0181-01 | J2354 | NOVARTIS PHARMACEUTICALS CORPORATION | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
0078-0182-01 | J2354 | NOVARTIS PHARMACEUTICALS CORPORATION | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
0641-6174-10 | J2354 | HIKMA PHARMACEUTICALS USA INC. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
0641-6175-10 | J2354 | HIKMA PHARMACEUTICALS USA INC. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
0641-6176-10 | J2354 | HIKMA PHARMACEUTICALS USA INC. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
0641-6177-01 | J2354 | HIKMA PHARMACEUTICALS USA INC. | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
0641-6178-01 | J2354 | HIKMA PHARMACEUTICALS USA INC. | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 200 | 200 |
0703-3301-04 | J2354 | SICOR PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 1 | 25 | 2 | 50 |
0703-3311-04 | J2354 | SICOR PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 1 | 25 | 4 | 100 |
0703-3321-04 | J2354 | SICOR PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 1 | 25 | 20 | 500 |
0703-3333-01 | J2354 | SICOR PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
0703-3343-01 | J2354 | SICOR PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 200 | 200 |
25021-451-01 | J2354 | SAGENT PHARMACEUTICALS INC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
25021-452-01 | J2354 | SAGENT PHARMACEUTICALS INC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
25021-453-01 | J2354 | SAGENT PHARMACEUTICALS INC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
25021-454-05 | J2354 | SAGENT PHARMACEUTICALS INC | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
25021-455-05 | J2354 | SAGENT PHARMACEUTICALS INC | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 200 | 200 |
63323-376-01 | J2354 | FRESENIUS KABI | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
63323-376-04 | J2354 | FRESENIUS KABI | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
63323-377-01 | J2354 | FRESENIUS KABI | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
63323-377-04 | J2354 | FRESENIUS KABI | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
63323-378-05 | J2354 | FRESENIUS KABI | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
63323-379-05 | J2354 | FRESENIUS KABI | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 200 | 200 |
67457-239-01 | J2354 | MYLAN INSTITUTIONAL LLC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
67457-245-01 | J2354 | MYLAN INSTITUTIONAL LLC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
67457-246-01 | J2354 | MYLAN INSTITUTIONAL LLC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
50242-040-62 | J2357 | GENENTECH, INC. | Omalizumab injection | 5 MG | 1 | 1 | 30 | 30 |
50242-214-01 | J2357 | GENENTECH, INC. | Omalizumab injection | 5 MG | 0.5 | 1 | 15 | 15 |
50242-215-01 | J2357 | GENENTECH, INC. | Omalizumab injection | 5 MG | 1 | 1 | 30 | 30 |
0002-7635-11 | J2358 | ELI LILLY AND COMPANY | Olanzapine long-acting inj | 1 MG | 1 | 1 | 210 | 210 |
0002-7636-11 | J2358 | ELI LILLY AND COMPANY | Olanzapine long-acting inj | 1 MG | 1 | 1 | 300 | 300 |
0002-7637-11 | J2358 | ELI LILLY AND COMPANY | Olanzapine long-acting inj | 1 MG | 1 | 1 | 405 | 405 |
0641-6182-10 | J2360 | HIKMA PHARMACEUTICALS USA INC. | Orphenadrine injection | 60 MG | 2 | 10 | 1 | 10 |
17478-538-02 | J2360 | AKORN | Orphenadrine injection | 60 MG | 2 | 10 | 1 | 10 |
0143-9209-10 | J2400 | HIKMA PHARMACEUTICALS USA INC. | Chloroprocaine hcl injection | 30 ML | 20 | 10 | 0.667 | 6.67 |
0143-9210-10 | J2400 | HIKMA PHARMACEUTICALS USA INC. | Chloroprocaine hcl injection | 30 ML | 20 | 10 | 0.667 | 6.67 |
0264-7055-10 | J2400 | B. BRAUN MEDICAL INC. | Chloroprocaine hcl injection | 30 ML | 5 | 10 | 0.167 | 1.67 |
63323-475-37 | J2400 | FRESENIUS KABI | Chloroprocaine hcl injection | 30 ML | 30 | 25 | 1 | 25 |
63323-476-37 | J2400 | FRESENIUS KABI | Chloroprocaine hcl injection | 30 ML | 30 | 25 | 1 | 25 |
63323-477-27 | J2400 | FRESENIUS KABI | Chloroprocaine hcl injection | 30 ML | 20 | 25 | 0.667 | 16.667 |
63323-478-27 | J2400 | FRESENIUS KABI | Chloroprocaine hcl injection | 30 ML | 20 | 25 | 0.667 | 16.667 |
0143-9890-01 | J2405 | HIKMA PHARMACEUTICALS USA INC. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
0143-9890-10 | J2405 | HIKMA PHARMACEUTICALS USA INC. | Ondansetron hcl injection | 1 MG | 20 | 10 | 40 | 400 |
0409-4755-03 | J2405 | PFIZER INC. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
0409-4759-01 | J2405 | PFIZER INC. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
0641-6078-25 | J2405 | HIKMA PHARMACEUTICALS USA INC. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
0641-6079-01 | J2405 | HIKMA PHARMACEUTICALS USA INC. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
0641-6080-25 | J2405 | HIKMA PHARMACEUTICALS USA INC. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
16729-297-83 | J2405 | ACCORD HEALTHCARE INC. | Ondansetron hcl injection | 1 MG | 2 | 5 | 4 | 20 |
16729-298-05 | J2405 | ACCORD HEALTHCARE INC. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
23155-547-41 | J2405 | HERITAGE PHARMACEUTICALS, INC. | Ondansetron hcl injection | 1 MG | 2 | 10 | 4 | 40 |
23155-547-42 | J2405 | HERITAGE PHARMACEUTICALS, INC. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
23155-548-41 | J2405 | HERITAGE PHARMACEUTICALS, INC. | Ondansetron hcl injection | 1 MG | 2 | 10 | 4 | 40 |
23155-548-42 | J2405 | HERITAGE PHARMACEUTICALS, INC. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
23155-549-31 | J2405 | HERITAGE PHARMACEUTICALS, INC. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
23155-550-31 | J2405 | HERITAGE PHARMACEUTICALS, INC. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
25021-777-02 | J2405 | SAGENT PHARMACEUTICALS INC | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
36000-012-25 | J2405 | BAXTER | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
55150-125-02 | J2405 | AUROMEDICS PHARMA LLC | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
55150-126-20 | J2405 | AUROMEDICS PHARMA LLC | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
60505-6130-5 | J2405 | APOTEX CORP. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
63323-373-02 | J2405 | FRESENIUS KABI | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
63323-374-20 | J2405 | FRESENIUS KABI | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
70860-776-02 | J2405 | ATHENEX | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
70860-777-20 | J2405 | ATHENEX | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
70860-777-21 | J2405 | ATHENEX | Ondansetron hcl injection | 1 MG | 20 | 10 | 40 | 400 |
72266-123-25 | J2405 | FOSUN PHARMA | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
72266-124-01 | J2405 | FOSUN PHARMA | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
72572-520-25 | J2405 | CIVICA INC | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
76045-103-20 | J2405 | FRESENIUS KABI | Ondansetron hcl injection | 1 MG | 2 | 24 | 4 | 96 |
70842-225-01 | J2406 | MELINTA THERAPEUTICS, INC. | Injection, oritavancin 10 mg | 10 MG | 1 | 1 | 120 | 120 |
70842-140-03 | J2407 | MELINTA THERAPEUTICS, INC. | Injection, oritavancin | 10 MG | 1 | 3 | 40 | 120 |
66658-112-03 | J2425 | SOBI | Palifermin injection | 50 MCG | 1 | 3 | 125 | 375 |
66658-112-06 | J2425 | SOBI | Palifermin injection | 50 MCG | 1 | 6 | 125 | 750 |
50458-560-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Paliperidone palmitate inj | 1 MG | 0.25 | 1 | 39 | 39 |
50458-561-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Paliperidone palmitate inj | 1 MG | 0.5 | 1 | 78 | 78 |
50458-562-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Paliperidone palmitate inj | 1 MG | 0.75 | 1 | 117 | 117 |
50458-563-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Paliperidone palmitate inj | 1 MG | 1 | 1 | 156 | 156 |
50458-564-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Paliperidone palmitate inj | 1 MG | 1.5 | 1 | 234 | 234 |
50458-611-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Paliperidone palmitate inj | 1 MG | 3.5 | 1 | 1092 | 1092 |
50458-612-01 | J2426 | JANSSEN PHARMACEUTICALS INC. | Paliperidone palmitate inj | 1 MG | 5 | 1 | 1560 | 1560 |
61703-324-18 | J2430 | PFIZER INC. | Pamidronate disodium /30 mg | 30 MG | 10 | 1 | 1 | 1 |
61703-325-18 | J2430 | PFIZER INC. | Pamidronate disodium /30 mg | 30 MG | 10 | 1 | 2 | 2 |
61703-326-18 | J2430 | PFIZER INC. | Pamidronate disodium /30 mg | 30 MG | 10 | 1 | 3 | 3 |
67457-430-10 | J2430 | MYLAN INSTITUTIONAL LLC | Pamidronate disodium /30 mg | 30 MG | 10 | 1 | 1 | 1 |
67457-446-10 | J2430 | MYLAN INSTITUTIONAL LLC | Pamidronate disodium /30 mg | 30 MG | 1 | 1 | 3 | 3 |
0143-9513-01 | J2469 | HIKMA PHARMACEUTICALS USA INC. | Palonosetron hcl | 25 MCG | 2 | 1 | 10 | 10 |
0409-2504-10 | J2469 | PFIZER INC. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0703-4094-01 | J2469 | SICOR PHARMACEUTICALS, INC. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0781-3312-75 | J2469 | SANDOZ | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0781-3415-75 | J2469 | SANDOZ | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
16714-834-01 | J2469 | NORTHSTAR RX LLC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
16729-365-66 | J2469 | ACCORD HEALTHCARE INC. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
25021-783-05 | J2469 | SAGENT PHARMACEUTICALS INC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
25021-788-74 | J2469 | SAGENT PHARMACEUTICALS INC | Palonosetron hcl | 25 MCG | 5 | 5 | 10 | 50 |
36000-326-02 | J2469 | BAXTER | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
50742-485-05 | J2469 | INGENUS PHARMACEUTICALS, LLC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
55111-694-07 | J2469 | DR. REDDY'S LABORATORIES, INC. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
55150-186-05 | J2469 | AUROMEDICS PHARMA LLC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
60505-6193-1 | J2469 | APOTEX CORP. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
62856-797-01 | J2469 | HELSINN THERAPUTICS (US) INC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
63323-673-05 | J2469 | FRESENIUS KABI | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
63323-673-89 | J2469 | FRESENIUS KABI | Palonosetron hcl | 25 MCG | 5 | 10 | 10 | 100 |
67457-317-25 | J2469 | MYLAN INSTITUTIONAL LLC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
68001-355-25 | J2469 | AMERICAN HEALTH PACKAGING | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
69097-439-35 | J2469 | CIPLA USA INC. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
69097-927-35 | J2469 | CIPLA USA INC. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
69543-371-10 | J2469 | VIRTUS PHARMACEUTICAL | Palonosetron hcl | 25 MCG | 5 | 10 | 10 | 100 |
69639-103-01 | J2469 | HELSINN THERAPUTICS (US) INC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0074-1658-01 | J2501 | ABBVIE US, LLC | Paricalcitol | 1 MCG | 1 | 25 | 5 | 125 |
0074-1658-05 | J2501 | ABBVIE US, LLC | Paricalcitol | 1 MCG | 2 | 25 | 10 | 250 |
0074-4637-01 | J2501 | ABBVIE US, LLC | Paricalcitol | 1 MCG | 1 | 25 | 2 | 50 |
16729-310-08 | J2501 | ACCORD HEALTHCARE INC. | Paricalcitol | 1 MCG | 1 | 25 | 2 | 50 |
16729-311-08 | J2501 | ACCORD HEALTHCARE INC. | Paricalcitol | 1 MCG | 1 | 25 | 5 | 125 |
16729-311-93 | J2501 | ACCORD HEALTHCARE INC. | Paricalcitol | 1 MCG | 2 | 25 | 10 | 250 |
43598-563-25 | J2501 | DR. REDDY'S LABORATORIES, INC. | Paricalcitol | 1 MCG | 1 | 25 | 2 | 50 |
43598-564-25 | J2501 | DR. REDDY'S LABORATORIES, INC. | Paricalcitol | 1 MCG | 1 | 25 | 5 | 125 |
43598-565-10 | J2501 | DR. REDDY'S LABORATORIES, INC. | Paricalcitol | 1 MCG | 2 | 25 | 10 | 250 |
55150-212-01 | J2501 | AUROMEDICS PHARMA LLC | Paricalcitol | 1 MCG | 1 | 25 | 2 | 50 |
55150-213-01 | J2501 | AUROMEDICS PHARMA LLC | Paricalcitol | 1 MCG | 1 | 25 | 5 | 125 |
55150-215-02 | J2501 | AUROMEDICS PHARMA LLC | Paricalcitol | 1 MCG | 2 | 25 | 10 | 250 |
67457-379-25 | J2501 | MYLAN INSTITUTIONAL LLC | Paricalcitol | 1 MCG | 1 | 25 | 2 | 50 |
67457-380-25 | J2501 | MYLAN INSTITUTIONAL LLC | Paricalcitol | 1 MCG | 1 | 25 | 5 | 125 |
67457-389-25 | J2501 | MYLAN INSTITUTIONAL LLC | Paricalcitol | 1 MCG | 2 | 25 | 10 | 250 |
55513-190-01 | J2506 | AMGEN USA, INC. | Inj pegfilgrast ex bio 0.5mg | 0.5 mg | 0.6 | 1 | 12 | 12 |
55513-192-01 | J2506 | AMGEN USA, INC. | Inj pegfilgrast ex bio 0.5mg | 0.5 mg | 0.6 | 1 | 12 | 12 |
75987-080-10 | J2507 | HORIZON | Pegloticase injection | 1 MG | 1 | 1 | 8 | 8 |
60793-130-10 | J2510 | PFIZER INC. | Penicillin g procaine inj | up to 600000 UNITS | 1 | 10 | 1 | 10 |
60793-131-10 | J2510 | PFIZER INC. | Penicillin g procaine inj | up to 600000 UNITS | 2 | 10 | 2 | 20 |
17478-181-20 | J2515 | AKORN | Pentobarbital sodium inj | 50 MG | 20 | 1 | 20 | 20 |
24201-010-20 | J2515 | LEUCADIA PHARMACEUTICALS | Pentobarbital sodium inj | 50 MG | 20 | 1 | 20 | 20 |
24201-010-50 | J2515 | LEUCADIA PHARMACEUTICALS | Pentobarbital sodium inj | 50 MG | 50 | 1 | 50 | 50 |
25021-676-20 | J2515 | SAGENT PHARMACEUTICALS INC | Pentobarbital sodium inj | 50 MG | 20 | 1 | 20 | 20 |
25021-676-50 | J2515 | SAGENT PHARMACEUTICALS INC | Pentobarbital sodium inj | 50 MG | 50 | 1 | 50 | 50 |
76478-501-20 | J2515 | OAK | Pentobarbital sodium inj | 50 MG | 20 | 1 | 20 | 20 |
76478-501-50 | J2515 | OAK | Pentobarbital sodium inj | 50 MG | 50 | 1 | 50 | 50 |
0049-0420-10 | J2540 | PFIZER INC. | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 83.3 |
0049-0430-20 | J2540 | PFIZER INC. | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 33.33 |
0049-0520-22 | J2540 | PFIZER INC. | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 83.3 |
0049-0520-83 | J2540 | PFIZER INC. | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 83.3 |
0049-0530-22 | J2540 | PFIZER INC. | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 33.33 |
0049-0530-28 | J2540 | PFIZER INC. | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 33.33 |
0338-1021-41 | J2540 | BAXTER | Penicillin g potassium inj | 600000 UNITS | 50 | 1 | 1.67 | 1.67 |
0338-1023-41 | J2540 | BAXTER | Penicillin g potassium inj | 600000 UNITS | 50 | 1 | 3.33 | 3.33 |
0338-1025-41 | J2540 | BAXTER | Penicillin g potassium inj | 600000 UNITS | 50 | 1 | 5 | 5 |
0781-6135-95 | J2540 | SANDOZ | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 83.3 |
0781-6136-94 | J2540 | SANDOZ | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 33.33 |
44567-311-10 | J2540 | WG CRITICAL CARE | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 83.3 |
70860-126-20 | J2540 | ATHENEX | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 83.3 |
70860-127-51 | J2540 | ATHENEX | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 33.33 |
0206-8860-02 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 50 | 24 | 2 | 48 |
0206-8861-02 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 50 | 24 | 3 | 72 |
0206-8862-02 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 100 | 12 | 4 | 48 |
0409-2999-14 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 12 | 12 |
0409-3374-02 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
0409-3378-13 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
0409-3379-04 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
0409-3383-02 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
0409-3385-13 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
0409-3390-04 | J2543 | PFIZER INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
0781-3110-95 | J2543 | SANDOZ | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
0781-3113-95 | J2543 | SANDOZ | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
0781-3114-95 | J2543 | SANDOZ | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
0781-9210-95 | J2543 | SANDOZ | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
0781-9213-95 | J2543 | SANDOZ | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
0781-9214-95 | J2543 | SANDOZ | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
25021-164-30 | J2543 | SAGENT PHARMACEUTICALS INC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
25021-165-30 | J2543 | SAGENT PHARMACEUTICALS INC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
25021-166-48 | J2543 | SAGENT PHARMACEUTICALS INC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
25021-176-20 | J2543 | SAGENT PHARMACEUTICALS INC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
25021-181-99 | J2543 | SAGENT PHARMACEUTICALS INC | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
44567-801-10 | J2543 | WG CRITICAL CARE | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
44567-802-10 | J2543 | WG CRITICAL CARE | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
44567-803-10 | J2543 | WG CRITICAL CARE | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
44567-804-01 | J2543 | WG CRITICAL CARE | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
55150-119-30 | J2543 | AUROMEDICS PHARMA LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
55150-120-30 | J2543 | AUROMEDICS PHARMA LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
55150-121-50 | J2543 | AUROMEDICS PHARMA LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
60505-6156-4 | J2543 | APOTEX CORP. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
60505-6157-4 | J2543 | APOTEX CORP. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
60505-6159-4 | J2543 | APOTEX CORP. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
61990-0110-2 | J2543 | APOLLO PHARMACEUTICALS USA INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
61990-0120-2 | J2543 | APOLLO PHARMACEUTICALS USA INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
61990-0130-2 | J2543 | APOLLO PHARMACEUTICALS USA INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
61990-0140-1 | J2543 | APOLLO PHARMACEUTICALS USA INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 12 | 12 |
61990-0150-1 | J2543 | APOLLO PHARMACEUTICALS USA INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
63323-300-30 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
63323-300-36 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
63323-304-74 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
63323-304-78 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
63323-304-94 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
63323-309-20 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
63323-320-50 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
63323-320-56 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
63323-981-21 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
63323-981-53 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
63323-982-52 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
63323-982-54 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
63323-983-21 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
63323-983-53 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
65219-256-00 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
65219-256-24 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
65219-256-28 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
65219-259-45 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
65219-259-55 | J2543 | FRESENIUS KABI | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
66794-216-41 | J2543 | PIRAMAL CRITICAL CARE | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
66794-217-41 | J2543 | PIRAMAL CRITICAL CARE | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
66794-218-41 | J2543 | PIRAMAL CRITICAL CARE | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
70594-078-02 | J2543 | XELLIA PHARMACEUTICALS USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
70594-079-02 | J2543 | XELLIA PHARMACEUTICALS USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
70594-080-02 | J2543 | XELLIA PHARMACEUTICALS USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
70860-120-20 | J2543 | ATHENEX | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
70860-121-30 | J2543 | ATHENEX | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
70860-122-50 | J2543 | ATHENEX | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
70860-123-99 | J2543 | ATHENEX | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
72572-573-10 | J2543 | CIVICA INC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
72572-574-10 | J2543 | CIVICA INC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
63323-877-15 | J2545 | FRESENIUS KABI | Pentamidine non-comp unit | 300 MG | 1 | 1 | 1 | 1 |
0641-0928-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
0641-0929-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
0641-0948-35 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
0641-0949-35 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
0641-0955-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
0641-0956-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
0641-1495-35 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
0641-1496-35 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
0641-6082-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
0641-6083-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
0641-6084-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
0641-6085-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
0641-6208-25 | J2550 | HIKMA PHARMACEUTICALS USA INC. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
39822-5525-3 | J2550 | X-GEN PHARMACEUTICALS INC | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
39822-5550-6 | J2550 | X-GEN PHARMACEUTICALS INC | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
50090-0879-0 | J2550 | A-S MEDICATION SOLUTIONS | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
0641-0476-25 | J2560 | HIKMA PHARMACEUTICALS USA INC. | Phenobarbital sodium inj | 120 MG | 1 | 25 | 0.54 | 13.5 |
0641-0477-25 | J2560 | HIKMA PHARMACEUTICALS USA INC. | Phenobarbital sodium inj | 120 MG | 1 | 25 | 1.08 | 27 |
42494-415-03 | J2560 | CAMERON PHARMACEUTICALS | Phenobarbital sodium inj | 120 MG | 1 | 3 | 0.54 | 1.62 |
42494-415-25 | J2560 | CAMERON PHARMACEUTICALS | Phenobarbital sodium inj | 120 MG | 1 | 25 | 0.54 | 13.5 |
42494-416-03 | J2560 | CAMERON PHARMACEUTICALS | Phenobarbital sodium inj | 120 MG | 1 | 3 | 1.08 | 3.24 |
42494-416-25 | J2560 | CAMERON PHARMACEUTICALS | Phenobarbital sodium inj | 120 MG | 1 | 25 | 1.08 | 27 |
0024-5862-01 | J2562 | SANOFI-AVENTIS | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
16714-015-01 | J2597 | NORTHSTAR RX LLC | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
25021-460-01 | J2597 | SAGENT PHARMACEUTICALS INC | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
25021-461-10 | J2597 | SAGENT PHARMACEUTICALS INC | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
43598-931-09 | J2597 | DR. REDDY'S LABORATORIES, INC. | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
55566-2200-0 | J2597 | FERRING PHARMACEUTICALS, INC. | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
55566-2300-0 | J2597 | FERRING PHARMACEUTICALS, INC. | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
62756-529-40 | J2597 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
69918-899-10 | J2597 | AMRING PHARMACEUTICALS | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
69918-899-11 | J2597 | AMRING PHARMACEUTICALS, INC. | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
69918-901-10 | J2597 | AMRING PHARMACEUTICALS | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
69918-901-11 | J2597 | AMRING PHARMACEUTICALS, INC. | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
70860-454-01 | J2597 | ATHENEX | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
70860-454-10 | J2597 | ATHENEX | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
0143-9725-01 | J2675 | HIKMA PHARMACEUTICALS USA INC. | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
0591-3128-79 | J2675 | ACTAVIS PHARMA, INC. | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
55150-306-10 | J2675 | AUROMEDICS PHARMA LLC | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
63323-261-10 | J2675 | FRESENIUS KABI | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
0143-9529-01 | J2680 | HIKMA PHARMACEUTICALS USA INC. | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
42023-129-01 | J2680 | PAR PHARMACEUTICAL, INC | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
42023-129-89 | J2680 | PAR PHARMACEUTICAL, INC | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
55150-267-05 | J2680 | AUROMEDICS PHARMA LLC | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
63323-272-05 | J2680 | FRESENIUS KABI | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
67457-359-59 | J2680 | MYLAN INSTITUTIONAL LLC | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
0409-1902-01 | J2690 | PFIZER INC. | Procainamide hcl injection | 1 GM | 10 | 25 | 1 | 25 |
0409-1903-01 | J2690 | PFIZER INC. | Procainamide hcl injection | 1 GM | 2 | 25 | 1 | 25 |
14789-900-02 | J2690 | NEXUS PHARMACEUTICAL INC | Procainamide hcl injection | 1 GM | 2 | 10 | 1 | 10 |
14789-901-10 | J2690 | NEXUS PHARMACEUTICAL INC | Procainamide hcl injection | 1 GM | 10 | 10 | 1 | 10 |
0338-1013-41 | J2700 | BAXTER | Oxacillin sodium injeciton | 250 MG | 50 | 1 | 4 | 4 |
0338-1015-41 | J2700 | BAXTER | Oxacillin sodium injeciton | 250 MG | 50 | 1 | 8 | 8 |
25021-146-10 | J2700 | SAGENT PHARMACEUTICALS INC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 4 | 40 |
25021-162-24 | J2700 | SAGENT PHARMACEUTICALS INC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
25021-162-68 | J2700 | SAGENT PHARMACEUTICALS INC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
25021-163-68 | J2700 | SAGENT PHARMACEUTICALS INC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 40 | 400 |
25021-163-97 | J2700 | SAGENT PHARMACEUTICALS INC | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
25021-163-99 | J2700 | SAGENT PHARMACEUTICALS INC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 40 | 400 |
55150-127-15 | J2700 | AUROMEDICS PHARMA LLC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 4 | 40 |
55150-128-24 | J2700 | AUROMEDICS PHARMA LLC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
55150-129-99 | J2700 | AUROMEDICS PHARMA LLC | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
63323-811-00 | J2700 | FRESENIUS KABI | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
63323-812-20 | J2700 | FRESENIUS KABI | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
63323-813-20 | J2700 | FRESENIUS KABI | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 4 | 40 |
66794-226-41 | J2700 | PIRAMAL CRITICAL CARE | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
66794-227-41 | J2700 | PIRAMAL CRITICAL CARE | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 40 | 400 |
0069-0209-10 | J2704 | PFIZER INC. | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
0069-0234-20 | J2704 | PFIZER INC. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
0069-0248-10 | J2704 | PFIZER INC. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
0409-4699-24 | J2704 | PFIZER INC. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
0409-4699-30 | J2704 | PFIZER INC. | Inj, propofol, 10 mg | 10 MG | 20 | 5 | 20 | 100 |
0409-4699-33 | J2704 | PFIZER INC. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
0591-2136-51 | J2704 | ACTAVIS PHARMA, INC. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
0591-2136-68 | J2704 | ACTAVIS PHARMA, INC. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
0591-2136-95 | J2704 | ACTAVIS PHARMA, INC. | Inj, propofol, 10 mg | 10 MG | 20 | 25 | 20 | 500 |
0641-6194-10 | J2704 | HIKMA PHARMACEUTICALS USA INC. | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
0641-6195-20 | J2704 | HIKMA PHARMACEUTICALS USA INC. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
0641-6196-10 | J2704 | HIKMA PHARMACEUTICALS USA INC. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
25021-608-20 | J2704 | SAGENT PHARMACEUTICALS INC | Inj, propofol, 10 mg | 10 MG | 20 | 25 | 20 | 500 |
25021-608-50 | J2704 | SAGENT PHARMACEUTICALS INC | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
25021-608-51 | J2704 | SAGENT PHARMACEUTICALS INC | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
43598-265-25 | J2704 | DR. REDDY'S LABORATORIES, INC. | Inj, propofol, 10 mg | 10 MG | 20 | 25 | 20 | 500 |
43598-265-58 | J2704 | DR. REDDY'S LABORATORIES, INC. | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
43598-548-21 | J2704 | DR. REDDY'S LABORATORIES, INC. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
43598-549-10 | J2704 | DR. REDDY'S LABORATORIES, INC. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-10 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 10 | 10 | 10 | 100 |
63323-269-16 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 10 | 10 | 10 | 100 |
63323-269-29 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
63323-269-37 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
63323-269-50 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-57 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-59 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-65 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-67 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-69 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-70 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
63323-269-77 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-78 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-94 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
65219-800-10 | J2704 | FRESENIUS KABI | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
72572-590-10 | J2704 | CIVICA | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
72572-601-20 | J2704 | CIVICA | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
72572-612-10 | J2704 | CIVICA | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-229-05 | J2720 | FRESENIUS KABI | Inj protamine sulfate/10 mg | 10 MG | 5 | 25 | 5 | 125 |
63323-229-15 | J2720 | FRESENIUS KABI | Inj protamine sulfate/10 mg | 10 MG | 5 | 25 | 5 | 125 |
63323-229-30 | J2720 | FRESENIUS KABI | Inj protamine sulfate/10 mg | 10 MG | 25 | 1 | 25 | 25 |
63323-229-35 | J2720 | FRESENIUS KABI | Inj protamine sulfate/10 mg | 10 MG | 25 | 1 | 25 | 25 |
63323-229-94 | J2720 | FRESENIUS KABI | Inj protamine sulfate/10 mg | 10 MG | 5 | 25 | 5 | 125 |
63323-229-95 | J2720 | FRESENIUS KABI | Inj protamine sulfate/10 mg | 10 MG | 25 | 1 | 25 | 25 |
0944-4177-05 | J2724 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Protein c concentrate | 10 UNITS | 1 | 1 | 0.1 | 0.1 |
0944-4179-10 | J2724 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Protein c concentrate | 10 UNITS | 1 | 1 | 0.1 | 0.1 |
0143-9564-01 | J2760 | HIKMA PHARMACEUTICALS USA INC. | Phentolaine mesylate inj | 5 MG | 1 | 1 | 1 | 1 |
0143-9564-10 | J2760 | HIKMA PHARMACEUTICALS USA INC. | Phentolaine mesylate inj | 5 MG | 1 | 10 | 1 | 10 |
0409-3414-01 | J2765 | PFIZER INC. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
0703-4502-04 | J2765 | SICOR PHARMACEUTICALS, INC. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
23155-240-41 | J2765 | HERITAGE PHARMACEUTICALS, INC. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
76045-101-20 | J2765 | FRESENIUS KABI | Metoclopramide hcl injection | 10 MG | 2 | 24 | 1 | 24 |
61570-260-10 | J2770 | PFIZER INC. | Quinupristin/dalfopristin | 500 MG | 1 | 10 | 1 | 10 |
50242-080-02 | J2778 | GENENTECH, INC. | Ranibizumab injection | 0.1 mg | 0.05 | 1 | 5 | 5 |
50242-080-03 | J2778 | GENENTECH, INC. | Ranibizumab injection | 0.1 mg | 0.05 | 1 | 5 | 5 |
50242-082-02 | J2778 | GENENTECH, INC. | Ranibizumab injection | 0.1 mg | 0.05 | 1 | 3 | 3 |
50242-082-03 | J2778 | GENENTECH, INC. | Ranibizumab injection | 0.1 MG | 0.05 | 1 | 3 | 3 |
50242-078-12 | J2779 | Genentech Usa, Inc. | Inj, susvimo 0.1 mg | 0.1 MG | 0.1 | 1 | 100 | 100 |
50242-078-55 | J2779 | Genentech Usa, Inc. | Inj, susvimo 0.1 mg | 0.1 MG | 0.1 | 1 | 100 | 100 |
0024-5150-10 | J2783 | SANOFI-AVENTIS | Rasburicase | 0.5 MG | 1 | 3 | 3 | 9 |
0024-5151-75 | J2783 | SANOFI-AVENTIS | Rasburicase | 0.5 MG | 7.5 | 1 | 15 | 15 |
0469-6501-89 | J2785 | ASTELLAS PHARMA US INC. | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
59310-610-31 | J2786 | IVAX LABS INC. | Injection, reslizumab, 1mg | 1mg | 10 | 1 | 100 | 100 |
0562-7806-01 | J2788 | KEDRION BIOPHARMA, INC. | Rho d immune globulin 50 mcg | 50 MCG (250 IU) | 1 | 1 | 1 | 1 |
0562-7806-05 | J2788 | KEDRION BIOPHARMA, INC. | Rho d immune globulin 50 mcg | 50 MCG (250 IU) | 1 | 5 | 1 | 5 |
0562-7806-25 | J2788 | KEDRION BIOPHARMA, INC. | Rho d immune globulin 50 mcg | 50 MCG (250 IU) | 1 | 25 | 1 | 25 |
13533-661-06 | J2788 | GRIFOLS USA, LLC | Rho d immune globulin 50 mcg | 50 MCG | 1 | 10 | 1 | 10 |
0562-7805-01 | J2790 | KEDRION BIOPHARMA, INC. | Rho d immune globulin inj | 300 MCG (1500 IU) | 1 | 1 | 1 | 1 |
0562-7805-05 | J2790 | KEDRION BIOPHARMA, INC. | Rho d immune globulin inj | 300 MCG (1500 IU) | 1 | 5 | 1 | 5 |
0562-7805-25 | J2790 | KEDRION BIOPHARMA, INC. | Rho d immune globulin inj | 300 MCG (1500 IU) | 1 | 25 | 1 | 25 |
13533-631-02 | J2790 | GRIFOLS USA, LLC | Rho d immune globulin inj | 300 MCG (1500 IU) | 1 | 1 | 1 | 1 |
13533-631-11 | J2790 | GRIFOLS USA, LLC | Rho d immune globulin inj | 300 MCG (1500 IU) | 1 | 10 | 1 | 10 |
44206-300-01 | J2791 | CSL BEHRING LLC | Rhophylac injection | 100 UNITS | 2 | 1 | 15 | 15 |
44206-300-10 | J2791 | CSL BEHRING LLC | Rhophylac injection | 100 UNITS | 2 | 10 | 15 | 150 |
70257-300-51 | J2792 | SAOL THERAPEUTICS | Rho(d) immune globulin h, sd | 100 IU | 13 | 1 | 150 | 150 |
70257-310-51 | J2792 | SAOL THERAPEUTICS | Rho(d) immune globulin h, sd | 100 IU | 4.4 | 1 | 50 | 50 |
70257-330-51 | J2792 | SAOL THERAPEUTICS | Rho(d) immune globulin h, sd | 100 IU | 1.3 | 1 | 15 | 15 |
70257-350-51 | J2792 | SAOL THERAPEUTICS | Rho(d) immune globulin h, sd | 100 IU | 2.2 | 1 | 25 | 25 |
70504-3100-2 | J2792 | SAOL THERAPEUTICS | Rho(d) immune globulin h, sd | 100 IU | 4.4 | 1 | 50 | 50 |
50458-306-11 | J2794 | JANSSEN PHARMACEUTICALS, INC. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 1 | 50 | 50 |
50458-307-11 | J2794 | JANSSEN PHARMACEUTICALS, INC. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 1 | 75 | 75 |
50458-308-11 | J2794 | JANSSEN PHARMACEUTICALS, INC. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 1 | 100 | 100 |
50458-309-11 | J2794 | JANSSEN PHARMACEUTICALS, INC. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 1 | 25 | 25 |
0143-9263-10 | J2795 | HIKMA PHARMACEUTICALS USA INC. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 40 | 400 |
0409-9300-10 | J2795 | PFIZER INC. | Ropivacaine hcl injection | 1 MG | 10 | 10 | 20 | 200 |
0409-9300-20 | J2795 | PFIZER INC. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 40 | 400 |
0409-9301-30 | J2795 | PFIZER INC. | Ropivacaine hcl injection | 1 MG | 30 | 10 | 150 | 1500 |
0409-9302-20 | J2795 | PFIZER INC. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 150 | 1500 |
0409-9303-10 | J2795 | PFIZER INC. | Ropivacaine hcl injection | 1 MG | 10 | 10 | 100 | 1000 |
0409-9303-20 | J2795 | PFIZER INC. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 200 | 2000 |
17478-081-30 | J2795 | AKORN | Ropivacaine hcl injection | 1 MG | 30 | 1 | 150 | 150 |
17478-082-90 | J2795 | AKORN | Ropivacaine hcl injection | 1 MG | 100 | 6 | 200 | 1200 |
17478-082-92 | J2795 | AKORN | Ropivacaine hcl injection | 1 MG | 200 | 6 | 400 | 2400 |
25021-652-82 | J2795 | SAGENT PHARMACEUTICALS INC | Ropivacaine hcl injection | 1 MG | 100 | 10 | 500 | 5000 |
25021-652-87 | J2795 | SAGENT PHARMACEUTICALS INC | Ropivacaine hcl injection | 1 MG | 200 | 10 | 1000 | 10000 |
25021-671-66 | J2795 | SAGENT PHARMACEUTICALS INC | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
25021-671-67 | J2795 | SAGENT PHARMACEUTICALS INC | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
25021-671-82 | J2795 | SAGENT PHARMACEUTICALS INC | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
25021-671-87 | J2795 | SAGENT PHARMACEUTICALS INC | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
43066-015-10 | J2795 | BAXTER | Ropivacaine hcl injection | 1 MG | 20 | 10 | 40 | 400 |
43066-019-10 | J2795 | BAXTER | Ropivacaine hcl injection | 1 MG | 20 | 10 | 100 | 1000 |
43066-023-10 | J2795 | BAXTER | Ropivacaine hcl injection | 1 MG | 30 | 10 | 150 | 1500 |
43066-027-10 | J2795 | BAXTER | Ropivacaine hcl injection | 1 MG | 20 | 10 | 200 | 2000 |
55150-195-20 | J2795 | AUROMEDICS PHARMA LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 40 | 1000 |
55150-196-99 | J2795 | AUROMEDICS PHARMA LLC | Ropivacaine hcl injection | 1 MG | 100 | 1 | 200 | 200 |
55150-197-20 | J2795 | AUROMEDICS PHARMA LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
55150-198-30 | J2795 | AUROMEDICS PHARMA LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
55150-199-20 | J2795 | AUROMEDICS PHARMA LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 150 | 3750 |
55150-200-10 | J2795 | AUROMEDICS PHARMA LLC | Ropivacaine hcl injection | 1 MG | 10 | 25 | 100 | 2500 |
55150-201-20 | J2795 | AUROMEDICS PHARMA LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 200 | 5000 |
63323-285-10 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 10 | 5 | 20 | 100 |
63323-285-13 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 10 | 25 | 20 | 500 |
63323-285-20 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 5 | 40 | 200 |
63323-285-23 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 25 | 40 | 1000 |
63323-285-28 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 25 | 40 | 1000 |
63323-285-61 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 100 | 24 | 200 | 4800 |
63323-285-63 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 200 | 24 | 400 | 9600 |
63323-285-64 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 200 | 12 | 400 | 4800 |
63323-285-65 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 100 | 12 | 200 | 2400 |
63323-285-67 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 100 | 12 | 200 | 2400 |
63323-285-68 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 100 | 12 | 200 | 2400 |
63323-285-73 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 200 | 12 | 400 | 4800 |
63323-286-00 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 100 | 12 | 500 | 6000 |
63323-286-20 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 5 | 100 | 500 |
63323-286-23 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
63323-286-27 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
63323-286-31 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 30 | 5 | 150 | 750 |
63323-286-35 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-286-38 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-286-63 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 200 | 12 | 1000 | 12000 |
63323-286-95 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-287-20 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 5 | 150 | 750 |
63323-287-21 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 25 | 150 | 3750 |
63323-288-10 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 10 | 5 | 100 | 500 |
63323-288-11 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 10 | 25 | 100 | 2500 |
63323-288-20 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 5 | 200 | 1000 |
63323-288-21 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 25 | 200 | 5000 |
63323-288-27 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 5 | 200 | 1000 |
63323-288-29 | J2795 | FRESENIUS KABI | Ropivacaine hcl injection | 1 MG | 20 | 25 | 200 | 5000 |
55513-221-01 | J2796 | AMGEN USA, INC. | Romiplostim injection | 10 MCG | 1 | 1 | 25 | 25 |
55513-222-01 | J2796 | AMGEN USA, INC. | Romiplostim injection | 10 MCG | 1 | 1 | 50 | 50 |
55513-223-01 | J2796 | AMGEN USA, INC. | Romiplostim injection | 10 MCG | 1 | 1 | 12.5 | 12.5 |
12496-0090-1 | J2798 | INDIVIOR INC. | Inj., perseris, 0.5 mg | 0.5 MG | 1 | 1 | 180 | 180 |
12496-0120-1 | J2798 | INDIVIOR INC. | Inj., perseris, 0.5 mg | 0.5 MG | 1 | 1 | 240 | 240 |
0517-1825-10 | J2800 | AMERICAN REGENT | Methocarbamol injection | 10 ML | 10 | 10 | 1 | 10 |
0641-6103-25 | J2800 | HIKMA PHARMACEUTICALS USA INC. | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
0641-6217-25 | J2800 | HIKMA PHARMACEUTICALS USA INC. | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
25021-675-10 | J2800 | SAGENT PHARMACEUTICALS INC | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
43598-839-36 | J2800 | DR. REDDY'S LABORATORIES, INC. | Methocarbamol injection | 10 ML | 10 | 10 | 1 | 10 |
55150-223-10 | J2800 | AUROMEDICS PHARMA LLC | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
63323-778-10 | J2800 | FRESENIUS KABI | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
67457-273-10 | J2800 | MYLAN INSTITUTIONAL LLC | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
0270-0556-15 | J2805 | BRACCO DIAGNOSTICS | Sincalide injection | 5 MCG | 1 | 10 | 1 | 10 |
71837-5843-5 | J2820 | PARTNER THERAPEUTICS INC. | Sargramostim injection | 50 MCG | 1 | 5 | 5 | 25 |
73090-420-01 | J2860 | EUSA PHARMA (UK) LIMITED | Injection, siltuximab | 10 MG | 1 | 1 | 10 | 10 |
73090-421-01 | J2860 | EUSA PHARMA (UK) LIMITED | Injection, siltuximab | 10 MG | 1 | 1 | 40 | 40 |
0024-2792-10 | J2916 | SANOFI-AVENTIS | Na ferric gluconate complex | 12.5 MG | 5 | 10 | 5 | 50 |
0024-2794-10 | J2916 | SANOFI-AVENTIS | Na ferric gluconate complex | 12.5 MG | 5 | 10 | 5 | 50 |
0143-9298-10 | J2916 | HIKMA PHARMACEUTICALS USA INC. | Na ferric gluconate complex | 12.5 MG | 5 | 10 | 5 | 50 |
0143-9570-10 | J2916 | HIKMA PHARMACEUTICALS USA INC. | Na ferric gluconate complex | 12.5 MG | 5 | 10 | 5 | 50 |
0009-0039-06 | J2920 | PFIZER INC. | Methylprednisolone injection | 40 MG | 1 | 25 | 1 | 25 |
0009-0039-28 | J2920 | PFIZER INC. | Methylprednisolone injection | 40 MG | 1 | 25 | 1 | 25 |
0009-0039-32 | J2920 | PFIZER INC. | Methylprednisolone injection | 40 MG | 1 | 25 | 1 | 25 |
63323-255-03 | J2920 | FRESENIUS KABI | Methylprednisolone injection | 40 MG | 3 | 25 | 1 | 25 |
70121-1000-5 | J2920 | AMNEAL BIOSCIENCES | Methylprednisolone injection | 40 MG | 1 | 25 | 1 | 25 |
0009-0003-02 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 4 | 4 |
0009-0018-20 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 8 | 8 |
0009-0047-04 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
0009-0047-22 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
0009-0047-26 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
0009-0698-01 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 8 | 8 |
0009-0698-02 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 8 | 8 |
0009-0758-01 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 4 | 4 |
0009-0850-01 | J2930 | PFIZER INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 16 | 16 |
0143-9850-01 | J2930 | HIKMA PHARMACEUTICALS USA INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 4 | 4 |
0143-9851-01 | J2930 | HIKMA PHARMACEUTICALS USA INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 8 | 8 |
50090-0271-0 | J2930 | A-S MEDICATION SOLUTIONS | Methylprednisolone injection | 125 MG | 1 | 1 | 1 | 1 |
50090-0271-1 | J2930 | A-S MEDICATION SOLUTIONS | Methylprednisolone injection | 125 MG | 1 | 1 | 1 | 1 |
54569-1555-1 | J2930 | A-S MEDICATION SOLUTIONS | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
63323-258-03 | J2930 | FRESENIUS KABI | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
63323-265-30 | J2930 | FRESENIUS KABI | Methylprednisolone injection | 125 MG | 1 | 1 | 8 | 8 |
70121-1001-5 | J2930 | AMNEAL BIOSCIENCES | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
50242-041-10 | J2997 | GENENTECH, INC. | Alteplase recombinant | 1 MG | 1 | 10 | 2 | 20 |
50242-041-64 | J2997 | GENENTECH, INC. | Alteplase recombinant | 1 MG | 1 | 1 | 2 | 2 |
50242-044-13 | J2997 | GENENTECH, INC. | Alteplase recombinant | 1 MG | 1 | 1 | 50 | 50 |
50242-085-27 | J2997 | GENENTECH, INC. | Alteplase recombinant | 1 MG | 1 | 1 | 100 | 100 |
39822-0706-2 | J3000 | X-GEN PHARMACEUTICALS INC | Streptomycin injection | 1 GM | 1 | 10 | 1 | 10 |
0409-1276-32 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 2 | 10 | 1 | 10 |
0409-9093-11 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 2 | 10 | 1 | 10 |
0409-9093-32 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 2 | 10 | 1 | 10 |
0409-9093-35 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 5 | 10 | 2.5 | 25 |
0409-9094-22 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 25 |
0409-9094-25 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 5 | 25 | 2.5 | 62.5 |
0409-9094-28 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 10 | 25 | 5 | 125 |
0409-9094-31 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 20 | 25 | 10 | 250 |
0409-9094-61 | J3010 | PFIZER INC. | Fentanyl citrate injection | 0.1 MG | 50 | 25 | 25 | 625 |
0641-6027-25 | J3010 | HIKMA PHARMACEUTICALS USA INC. | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 25 |
0641-6028-25 | J3010 | HIKMA PHARMACEUTICALS USA INC. | Fentanyl citrate injection | 0.1 MG | 5 | 25 | 2.5 | 62.5 |
0641-6029-01 | J3010 | HIKMA PHARMACEUTICALS USA INC. | Fentanyl citrate injection | 0.1mg | 20 | 1 | 10 | 10 |
0641-6029-25 | J3010 | HIKMA PHARMACEUTICALS USA INC. | Fentanyl citrate injection | 0.1 MG | 20 | 25 | 10 | 250 |
0641-6030-01 | J3010 | HIKMA PHARMACEUTICALS USA INC. | Fentanyl citrate injection | 0.1 MG | 50 | 1 | 25 | 25 |
0641-6247-25 | J3010 | HIKMA PHARMACEUTICALS USA INC. | Fentanyl citrate injection | 0.1 MG | 1 | 25 | 0.5 | 12.5 |
17478-030-02 | J3010 | AKORN | Fentanyl citrate injection | 0.1 MG | 2 | 10 | 1 | 10 |
17478-030-05 | J3010 | AKORN | Fentanyl citrate injection | 0.1 MG | 5 | 10 | 2.5 | 25 |
63323-806-01 | J3010 | FRESENIUS KABI | Fentanyl citrate injection | 0.1 MG | 1 | 25 | 0.5 | 12.5 |
63323-806-02 | J3010 | FRESENIUS KABI | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 25 |
63323-806-05 | J3010 | FRESENIUS KABI | Fentanyl citrate injection | 0.1 MG | 5 | 25 | 2.5 | 62.5 |
63323-806-20 | J3010 | FRESENIUS KABI | Fentanyl citrate injection | 0.1 MG | 20 | 25 | 10 | 250 |
63323-806-50 | J3010 | FRESENIUS KABI | Fentanyl citrate injection | 0.1 MG | 50 | 1 | 25 | 25 |
63323-808-11 | J3010 | FRESENIUS KABI | Fentanyl citrate injection | 0.1 MG | 1 | 10 | 0.5 | 5 |
72572-170-25 | J3010 | CIVICA INC | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 25 |
72572-171-25 | J3010 | CIVICA INC | Fentanyl citrate injection | 0.1 MG | 5 | 25 | 2.5 | 62.5 |
72572-172-01 | J3010 | CIVICA INC | Fentanyl citrate injection | 0.1 MG | 50 | 1 | 25 | 25 |
67386-130-51 | J3032 | LUNDBECK PHARMACETICALS, LLC | Inj. eptinezumab-jjmr 1 mg | 1 MG | 1 | 1 | 100 | 100 |
0069-0106-01 | J3060 | PFIZER INC. | Inj, taliglucerase alfa 10 u | 10 units | 1 | 1 | 20 | 20 |
67919-040-01 | J3090 | CUBIST PHARMACEUTICALS | Inj tedizolid phosphate | 1 MG | 1 | 10 | 200 | 2000 |
72000-320-10 | J3090 | NABRIVA THERAPEUTICS US, INC | Inj tedizolid phosphate | 1 MG | 1 | 10 | 200 | 2000 |
66220-315-22 | J3095 | CUMBERLAND PHARMACEUTICALS | Telavancin injection | 10 MG | 1 | 12 | 75 | 900 |
50242-120-47 | J3101 | GENENTECH, INC. | Tenecteplase injection | 1 MG | 1 | 1 | 50 | 50 |
0143-9375-10 | J3105 | HIKMA PHARMACEUTICALS USA INC. | Terbutaline sulfate inj | 1 MG | 1 | 10 | 1 | 10 |
0143-9746-10 | J3105 | HIKMA PHARMACEUTICALS USA INC. | Terbutaline sulfate inj | 1 MG | 1 | 10 | 1 | 10 |
63323-665-01 | J3105 | FRESENIUS KABI | Terbutaline sulfate inj | 1 MG | 1 | 25 | 1 | 25 |
55513-880-02 | J3111 | AMGEN USA, INC. | Inj. romosozumab-aqqg 1 mg | 1 MG | 1.17 | 2 | 105 | 210 |
0143-9750-01 | J3121 | HIKMA PHARMACEUTICALS USA INC. | Inj testostero enanthate 1mg | 1 MG | 5 | 1 | 1000 | 1000 |
67979-511-43 | J3145 | ENDO PHARMACEUTICALS VALERA INC. | Testosterone undecanoate 1mg | 1 MG | 3 | 1 | 750 | 750 |
0641-1397-35 | J3230 | HIKMA PHARMACEUTICALS USA INC. | Chlorpromazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
0641-1398-35 | J3230 | HIKMA PHARMACEUTICALS USA INC. | Chlorpromazine hcl injection | 50 MG | 2 | 25 | 1 | 25 |
55150-318-25 | J3230 | AUROMEDICS PHARMA LLC | Chlorpromazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
55150-319-25 | J3230 | AUROMEDICS PHARMA LLC | Chlorpromazine hcl injection | 50 MG | 2 | 25 | 1 | 25 |
58468-0030-2 | J3240 | GENZYME CORPORATION | Thyrotropin injection | 0.9 MG | 1 | 2 | 1 | 2 |
75987-130-15 | J3241 | HORIZON | Inj. teprotumumab-trbw 10 mg | 10 MG | 1 | 1 | 50 | 50 |
0008-4990-20 | J3243 | PFIZER INC. | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
0008-4994-20 | J3243 | PFIZER INC. | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
0781-3481-92 | J3243 | SANDOZ | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
16729-364-68 | J3243 | ACCORD HEALTHCARE INC. | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
55150-228-10 | J3243 | AUROMEDICS PHARMA LLC | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
63323-960-10 | J3243 | FRESENIUS KABI | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
70121-1647-7 | J3243 | AMNEAL BIOSCIENCES | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
70594-035-02 | J3243 | XELLIA PHARMACEUTICALS USA, LLC | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
47335-177-95 | J3245 | SUN PHARMACEUTICAL GLOBAL FZE. | Inj., tildrakizumab, 1 mg | 1 MG | 1 | 1 | 100 | 100 |
42023-119-25 | J3250 | PAR PHARMACEUTICAL, INC | Trimethobenzamide hcl inj | 200 MG | 2 | 25 | 1 | 25 |
0409-3578-01 | J3260 | PFIZER INC. | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
36000-242-01 | J3260 | BAXTER | Tobramycin sulfate injection | 80 MG | 1 | 1 | 15 | 15 |
36000-244-25 | J3260 | BAXTER | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
39822-0412-1 | J3260 | X-GEN PHARMACEUTICALS INC | Tobramycin sulfate injection | 80 MG | 1 | 1 | 15 | 15 |
39822-0412-6 | J3260 | X-GEN PHARMACEUTICALS INC | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
63323-303-51 | J3260 | FRESENIUS KABI | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
63323-303-55 | J3260 | FRESENIUS KABI | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
63323-305-02 | J3260 | FRESENIUS KABI | Tobramycin sulfate injection | 80 MG | 2 | 25 | 0.25 | 6.25 |
63323-306-02 | J3260 | FRESENIUS KABI | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
63323-306-26 | J3260 | FRESENIUS KABI | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
63323-306-30 | J3260 | FRESENIUS KABI | Tobramycin sulfate injection | 80 MG | 30 | 10 | 15 | 150 |
63323-307-51 | J3260 | FRESENIUS KABI | Tobramycin sulfate injection | 80 MG | 50 | 1 | 25 | 25 |
67457-428-30 | J3260 | MYLAN INSTITUTIONAL LLC | Tobramycin sulfate injection | 80 MG | 30 | 10 | 15 | 150 |
67457-473-22 | J3260 | MYLAN INSTITUTIONAL LLC | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
50242-135-01 | J3262 | GENENTECH, INC. | Tocilizumab injection | 1 MG | 4 | 1 | 80 | 80 |
50242-136-01 | J3262 | GENENTECH, INC. | Tocilizumab injection | 1 MG | 10 | 1 | 200 | 200 |
50242-137-01 | J3262 | GENENTECH, INC. | Tocilizumab injection | 1 MG | 20 | 1 | 400 | 400 |
0703-0666-01 | J3285 | SICOR PHARMACEUTICALS, INC. | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
0703-0676-01 | J3285 | SICOR PHARMACEUTICALS, INC. | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
0703-0686-01 | J3285 | SICOR PHARMACEUTICALS, INC. | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
0703-0696-01 | J3285 | SICOR PHARMACEUTICALS, INC. | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
0781-3420-80 | J3285 | SANDOZ | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
0781-3425-80 | J3285 | SANDOZ | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
0781-3427-80 | J3285 | SANDOZ | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
0781-3430-80 | J3285 | SANDOZ | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
42023-206-01 | J3285 | PAR PHARMACEUTICAL, INC | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
42023-207-01 | J3285 | PAR PHARMACEUTICAL, INC | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
42023-208-01 | J3285 | PAR PHARMACEUTICAL, INC | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
42023-209-01 | J3285 | PAR PHARMACEUTICAL, INC | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
66302-101-01 | J3285 | UNITED THERAPEUTICS | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
66302-102-01 | J3285 | UNITED THERAPEUTICS | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
66302-105-01 | J3285 | UNITED THERAPEUTICS | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
66302-110-01 | J3285 | UNITED THERAPEUTICS | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
0065-0543-01 | J3300 | NOVARTIS PHARMACEUTICALS CORPORATION | Triamcinolone a inj prs-free | 1 MG | 1 | 1 | 40 | 40 |
0003-0293-05 | J3301 | BRISTOL-MYERS SQUIBB COMPANY | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
0003-0293-20 | J3301 | BRISTOL-MYERS SQUIBB COMPANY | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
0003-0293-28 | J3301 | BRISTOL-MYERS SQUIBB COMPANY | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
0003-0315-05 | J3301 | BRISTOL-MYERS SQUIBB COMPANY | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 8 | 8 |
0003-0315-20 | J3301 | BRISTOL-MYERS SQUIBB COMPANY | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 40 | 40 |
0003-0494-20 | J3301 | BRISTOL-MYERS SQUIBB COMPANY | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 5 | 5 |
0703-0241-01 | J3301 | SICOR PHARMACEUTICALS, INC. | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
0703-0243-01 | J3301 | SICOR PHARMACEUTICALS, INC. | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
0703-0245-01 | J3301 | SICOR PHARMACEUTICALS, INC. | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
16714-130-25 | J3301 | NORTHSTAR RX LLC | Triamcinolone acet inj nos | 10 MG | 1 | 25 | 4 | 100 |
16714-140-01 | J3301 | NORTHSTAR RX LLC | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
16714-150-01 | J3301 | NORTHSTAR RX LLC | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
50090-0256-0 | J3301 | A-S MEDICATION SOLUTIONS | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
50090-0295-1 | J3301 | A-S MEDICATION SOLUTIONS | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 5 | 5 |
50090-0819-0 | J3301 | A-S MEDICATION SOLUTIONS | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
50090-2360-0 | J3301 | A-S MEDICATION SOLUTIONS | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
70121-1049-2 | J3301 | AMNEAL BIOSCIENCES | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
70121-1049-5 | J3301 | AMNEAL BIOSCIENCES | Triamcinolone acet inj nos | 10 MG | 1 | 25 | 4 | 100 |
70121-1168-1 | J3301 | AMNEAL BIOSCIENCES | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
70121-1169-1 | J3301 | AMNEAL BIOSCIENCES | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
72603-108-01 | J3301 | NORTHSTAR RX LLC | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
72603-202-01 | J3301 | NORTHSTAR RX LLC | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
72603-401-01 | J3301 | NORTHSTAR RX LLC | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
70801-003-01 | J3304 | FLEXION THERAPEUTICS, INC. | Inj triamcinolone ace xr 1mg | 1 MG | 1 | 1 | 32 | 32 |
0023-5902-04 | J3315 | ALLERGAN SALES, LLC | Triptorelin pamoate | 3.75 MG | 1 | 1 | 1 | 1 |
0023-5904-12 | J3315 | ALLERGAN SALES, LLC | Triptorelin pamoate | 3.75 MG | 1 | 1 | 3 | 3 |
0023-5906-23 | J3315 | ALLERGAN SALES, LLC | Triptorelin pamoate | 3.75 MG | 1 | 1 | 6 | 6 |
74676-5902-1 | J3315 | VERITY PHARMACEUTICALS INC. | Triptorelin pamoate | 3.75 MG | 1 | 1 | 1 | 1 |
74676-5904-1 | J3315 | VERITY PHARMACEUTICALS INC. | Triptorelin pamoate | 3.75 MG | 1 | 1 | 3 | 3 |
74676-5906-1 | J3315 | VERITY PHARMACEUTICALS INC. | Triptorelin pamoate | 3.75 MG | 1 | 1 | 6 | 6 |
57894-060-02 | J3357 | JANSSEN BIOTECH, INC. | Ustekinumab sub cu inj, 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
57894-060-03 | J3357 | JANSSEN BIOTECH, INC. | Ustekinumab sub cu inj, 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
57894-061-03 | J3357 | JANSSEN BIOTECH, INC. | Ustekinumab sub cu inj, 1 mg | 1 MG | 1 | 1 | 90 | 90 |
57894-054-27 | J3358 | JANSSEN BIOTECH, INC. | Ustekinumab, iv inject, 1 mg | 1 MG | 26 | 1 | 130 | 130 |
0409-1273-32 | J3360 | PFIZER INC. | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
0409-3213-12 | J3360 | PFIZER INC. | Diazepam injection | 5 MG | 10 | 10 | 10 | 100 |
0641-6244-10 | J3360 | Hikma Pharmaceuticals Usa Inc. | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
69339-136-32 | J3360 | DASH PHARMACEUTICALS | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
69339-136-34 | J3360 | DASH PHARMACEUTICALS | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
69339-137-05 | J3360 | DASH PHARMACEUTICALS | Diazepam injection | 5 MG | 10 | 5 | 10 | 50 |
72572-140-02 | J3360 | CIVICA INC | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
0143-9355-10 | J3370 | HIKMA PHARMACEUTICALS USA INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 1.5 | 15 |
0143-9358-01 | J3370 | HIKMA PHARMACEUTICALS USA INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
0143-9359-01 | J3370 | HIKMA PHARMACEUTICALS USA INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
0338-3551-48 | J3370 | BAXTER | Vancomycin hcl injection | 500 MG | 100 | 1 | 1 | 1 |
0338-3552-48 | J3370 | BAXTER | Vancomycin hcl injection | 500 MG | 200 | 1 | 2 | 2 |
0338-3580-48 | J3370 | BAXTER | Vancomycin hcl injection | 500 MG | 150 | 1 | 1.5 | 1.5 |
0338-3581-01 | J3370 | BAXTER | Vancomycin hcl injection | 500 MG | 100 | 1 | 1 | 1 |
0338-3582-01 | J3370 | BAXTER | Vancomycin hcl injection | 500 MG | 150 | 1 | 1.5 | 1.5 |
0338-3583-01 | J3370 | BAXTER | Vancomycin hcl injection | 500 MG | 200 | 1 | 2 | 2 |
0409-1319-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
0409-3515-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 3 | 30 |
0409-4332-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
0409-6509-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
0409-6509-49 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
0409-6510-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
0409-6531-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 1.5 | 15 |
0409-6531-02 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 1.5 | 15 |
0409-6533-21 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
0409-6533-31 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
0409-6534-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
0409-6535-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
25021-157-99 | J3370 | SAGENT PHARMACEUTICALS INC | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
25021-158-99 | J3370 | SAGENT PHARMACEUTICALS INC | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
55150-204-20 | J3370 | AUROMEDICS PHARMA LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
63323-203-20 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 10 | 1.5 | 15 |
63323-203-26 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 10 | 1.5 | 15 |
63323-221-10 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 25 | 1 | 25 |
63323-221-16 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 25 | 1 | 25 |
63323-221-38 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 25 | 1 | 25 |
63323-221-48 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 25 | 1 | 25 |
63323-284-20 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
63323-284-21 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
63323-284-26 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500mg | 1 | 10 | 2 | 20 |
63323-284-45 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
63323-295-61 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
63323-295-66 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
63323-314-61 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
63323-314-66 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
63323-314-68 | J3370 | FRESENIUS KABI | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
67457-339-50 | J3370 | MYLAN INSTITUTIONAL LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
67457-340-01 | J3370 | MYLAN INSTITUTIONAL LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
67457-341-05 | J3370 | MYLAN INSTITUTIONAL LLC | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
67457-342-10 | J3370 | MYLAN INSTITUTIONAL LLC | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
67457-705-75 | J3370 | MYLAN INSTITUTIONAL LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 1.5 | 15 |
67457-823-99 | J3370 | MYLAN INSTITUTIONAL LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 2.5 | 25 |
67457-824-99 | J3370 | MYLAN INSTITUTIONAL LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 3 | 30 |
68001-406-73 | J3370 | AMERICAN HEALTH PACKAGING | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
68001-407-75 | J3370 | AMERICAN HEALTH PACKAGING | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
70436-020-82 | J3370 | SLATE RUN | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
70436-021-82 | J3370 | SLATE RUN | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
70436-022-82 | J3370 | SLATE RUN | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
70436-023-82 | J3370 | SLATE RUN PHARMACEUTICALS | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
70594-041-03 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 100 | 12 | 1 | 12 |
70594-042-03 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 1 | 12 | 2 | 24 |
70594-043-02 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 1 | 6 | 3 | 18 |
70594-044-02 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 400 | 6 | 4 | 24 |
70594-045-02 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
70594-046-02 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
70594-047-01 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
70594-048-01 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
70594-056-03 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 150 | 12 | 1.5 | 18 |
70594-057-02 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 250 | 6 | 2.5 | 15 |
70594-058-02 | J3370 | XELLIA PHARMACEUTICALS USA, LLC | Vancomycin hcl injection | 500 MG | 350 | 6 | 3.5 | 21 |
70860-104-10 | J3370 | ATHENEX | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
70860-105-20 | J3370 | ATHENEX | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
72572-801-02 | J3370 | CIVICA INC | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
72572-803-01 | J3370 | CIVICA INC | Vancomycin hcl injection | 500 MG | 1 | 1 | 10 | 10 |
72572-805-01 | J3370 | CIVICA INC | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
72611-765-10 | J3370 | ALMAJECT | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
64764-300-20 | J3380 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Injection, vedolizumab | 1 MG | 1 | 1 | 300 | 300 |
54092-701-04 | J3385 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Velaglucerase alfa | 100 UNITS | 1 | 1 | 4 | 4 |
0187-5600-15 | J3396 | BAUSCH HEALTH US LLC | Verteporfin injection | 0.1 MG | 1 | 1 | 150 | 150 |
0517-4201-25 | J3410 | AMERICAN REGENT | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 1 | 25 |
0517-5601-25 | J3410 | AMERICAN REGENT | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 2 | 50 |
0517-5602-25 | J3410 | AMERICAN REGENT | Hydroxyzine hcl injection | 25 MG | 2 | 25 | 4 | 100 |
0641-6228-25 | J3411 | HIKMA PHARMACEUTICALS USA INC. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
25021-500-02 | J3411 | SAGENT PHARMACEUTICALS INC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
50090-4407-1 | J3411 | A-S MEDICATION SOLUTIONS | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
50090-5407-1 | J3411 | A-S MEDICATION SOLUTIONS | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
63323-013-02 | J3411 | FRESENIUS KABI | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
63323-013-09 | J3411 | FRESENIUS KABI | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
63323-013-26 | J3411 | FRESENIUS KABI | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
67457-196-02 | J3411 | MYLAN INSTITUTIONAL LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
63323-180-01 | J3415 | FRESENIUS KABI | Pyridoxine hcl 100 mg | 100 MG | 1 | 25 | 1 | 25 |
0143-9619-10 | J3420 | HIKMA PHARMACEUTICALS USA INC. | Vitamin b12 injection | 1000 MCG | 30 | 10 | 30 | 300 |
0143-9620-10 | J3420 | HIKMA PHARMACEUTICALS USA INC. | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
0143-9621-25 | J3420 | HIKMA PHARMACEUTICALS USA INC. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
0517-0031-25 | J3420 | AMERICAN REGENT | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
0517-0032-25 | J3420 | AMERICAN REGENT | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
0517-0130-01 | J3420 | AMERICAN REGENT | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
50090-2709-0 | J3420 | A-S MEDICATION SOLUTIONS | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
55150-364-25 | J3420 | AUROMEDICS PHARMA LLC | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
63323-044-01 | J3420 | FRESENIUS KABI | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
63323-044-44 | J3420 | FRESENIUS KABI | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
67457-399-25 | J3420 | MYLAN INSTITUTIONAL LLC | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
67457-400-05 | J3420 | MYLAN INSTITUTIONAL LLC | Vitamin b12 injection | 1000 MCG | 30 | 5 | 30 | 150 |
0409-9157-01 | J3430 | PFIZER INC. | Vitamin k phytonadione inj | 1 MG | 0.5 | 25 | 1 | 25 |
0409-9158-01 | J3430 | PFIZER INC. | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
0409-9158-25 | J3430 | PFIZER INC. | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
43598-405-16 | J3430 | DR. REDDY'S LABORATORIES, INC. | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
0049-3190-01 | J3465 | PFIZER INC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0049-3190-28 | J3465 | PFIZER INC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0049-3190-38 | J3465 | PFIZER INC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0049-4190-01 | J3465 | PFIZER INC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0781-3416-94 | J3465 | SANDOZ | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
39822-1077-1 | J3465 | X-GEN PHARMACEUTICALS INC | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
47781-466-71 | J3465 | ALVOGEN | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
65219-190-30 | J3465 | FRESENIUS KABI | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
70436-029-80 | J3465 | SLATE RUN | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
72266-131-01 | J3465 | FOSUN PHARMA | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
24208-002-02 | J3471 | BAUSCH & LOMB | Ovine, up to 999 usp units | 1 UNIT | 1.2 | 2 | 240 | 480 |
18657-117-04 | J3473 | HALOZYME THERAPEUTICS, INC. | Hyaluronidase recombinant | 1 USP UNIT | 1 | 4 | 150 | 600 |
0264-4204-52 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
0264-4205-52 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
0264-4400-54 | J3475 | B. BRAUN MEDICAL INC. | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
0338-1708-40 | J3475 | BAXTER | Inj magnesium sulfate | 500 MG | 50 | 40 | 4 | 160 |
0338-1709-40 | J3475 | BAXTER | Inj magnesium sulfate | 500 MG | 100 | 40 | 2 | 80 |
0338-1715-40 | J3475 | BAXTER | Inj magnesium sulfate | 500 MG | 100 | 40 | 8 | 320 |
0338-1719-40 | J3475 | BAXTER | Inj magnesium sulfate | 500 MG | 50 | 40 | 8 | 320 |
0409-1754-10 | J3475 | PFIZER INC. | Inj magnesium sulfate | 500 MG | 10 | 10 | 10 | 100 |
0409-2168-77 | J3475 | PFIZER INC. | Inj magnesium sulfate | 500 MG | 20 | 25 | 20 | 500 |
25021-612-81 | J3475 | SAGENT PHARMACEUTICALS INC | Inj magnesium sulfate | 500 MG | 50 | 10 | 4 | 40 |
25021-612-82 | J3475 | SAGENT PHARMACEUTICALS INC | Inj magnesium sulfate | 500 MG | 100 | 10 | 8 | 80 |
44567-410-24 | J3475 | WG CRITICAL CARE | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
44567-420-24 | J3475 | WG CRITICAL CARE | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
44567-421-24 | J3475 | WG CRITICAL CARE | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
44567-424-24 | J3475 | WG CRITICAL CARE | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
47335-992-01 | J3475 | SUN PHARMACEUTICAL INDUSTRIES, INC. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
47335-992-02 | J3475 | SUN PHARMACEUTICAL INDUSTRIES, INC. | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
51754-1000-4 | J3475 | EXELA PHARMA SCIENCES | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
63323-064-03 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-064-11 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
63323-064-23 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-064-43 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-106-01 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 mg | 100 | 24 | 8 | 192 |
63323-106-05 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 mg | 50 | 24 | 4 | 96 |
63323-106-10 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 mg | 1000 | 12 | 80 | 960 |
63323-106-15 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 mg | 500 | 24 | 40 | 960 |
63323-106-26 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 mg | 50 | 24 | 4 | 96 |
63323-107-05 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 mg | 50 | 24 | 8 | 192 |
63323-108-26 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
63323-642-20 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 MG | 20 | 25 | 20 | 500 |
63323-642-50 | J3475 | FRESENIUS KABI | Inj magnesium sulfate | 500 MG | 50 | 25 | 50 | 1250 |
67457-553-00 | J3475 | MYLAN INSTITUTIONAL LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
67457-554-00 | J3475 | MYLAN INSTITUTIONAL LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
67457-567-00 | J3475 | MYLAN INSTITUTIONAL LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
0264-1940-20 | J3480 | B. BRAUN MEDICAL INC. | Inj potassium chloride | 2 MEQ | 250 | 12 | 250 | 3000 |
0264-7865-00 | J3480 | B. BRAUN MEDICAL INC. | Inj potassium chloride | 2 MEQ | 1000 | 12 | 10 | 120 |
0338-0683-04 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 10 |
0338-0691-04 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 10 |
0338-0695-04 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 1000 | 1 | 20 | 20 |
0338-0703-41 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
0338-0703-48 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 100 | 24 | 20 | 480 |
0338-0704-34 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 10 |
0338-0705-41 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
0338-0705-48 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
0338-0709-48 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
0409-6635-01 | J3480 | PFIZER INC. | Inj potassium chloride | 2 MEQ | 5 | 25 | 5 | 125 |
0409-6651-06 | J3480 | PFIZER INC. | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
0409-6653-05 | J3480 | PFIZER INC. | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
0990-7074-26 | J3480 | ICU MEDICAL | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
0990-7075-14 | J3480 | ICU MEDICAL | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
0990-7075-26 | J3480 | ICU MEDICAL | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
0990-7077-14 | J3480 | ICU MEDICAL | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
0990-7077-26 | J3480 | ICU MEDICAL | Inj potassium chloride | 2 MEQ | 100 | 24 | 20 | 480 |
14789-107-05 | J3480 | NEXUS PHARMACEUTICAL INC | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
14789-108-05 | J3480 | NEXUS PHARMACEUTICAL INC | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
14789-109-10 | J3480 | NEXUS PHARMACEUTICAL INC | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
63323-965-05 | J3480 | FRESENIUS KABI | Inj potassium chloride | 2 MEQ | 5 | 25 | 5 | 125 |
63323-965-10 | J3480 | FRESENIUS KABI | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
63323-965-20 | J3480 | FRESENIUS KABI | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
63323-967-30 | J3480 | FRESENIUS KABI | Inj potassium chloride | 2 MEQ | 30 | 25 | 30 | 750 |
49702-213-26 | J3485 | GLAXOSMITHKLINE | Zidovudine | 10 MG | 20 | 5 | 20 | 100 |
0049-1203-10 | J3486 | UPJOHN US 1 LLC | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
0049-3920-83 | J3486 | UPJOHN US 1 LLC | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
43598-061-58 | J3486 | DR.REDDY'S LABORATORIES, INC. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
43598-848-58 | J3486 | DR. REDDY'S LABORATORIES, INC. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
50090-4540-0 | J3486 | A-S MEDICATION SOLUTIONS | Ziprasidone mesylate | 10 MG | 1 | 1 | 2 | 2 |
72266-160-10 | J3486 | FOSUN PHARMA | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
72266-160-42 | J3486 | FOSUN PHARMA | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
0078-0435-61 | J3489 | NOVARTIS PHARMACEUTICALS CORPORATION | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
0409-4215-01 | J3489 | PFIZER INC. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
16714-815-01 | J3489 | NORTHSTAR RX LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
16729-242-31 | J3489 | ACCORD HEALTHCARE INC. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
17478-327-45 | J3489 | AKORN | Zoledronic acid 1mg | 1 MG | 5 | 4 | 4 | 16 |
25021-801-66 | J3489 | SAGENT PHARMACEUTICALS INC | Zoledronic acid 1mg | 1 mg | 5 | 1 | 4 | 4 |
25021-826-67 | J3489 | SAGENT PHARMACEUTICALS INC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
25021-826-82 | J3489 | SAGENT PHARMACEUTICALS INC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
25021-830-82 | J3489 | SAGENT PHARMACEUTICALS INC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
43598-331-11 | J3489 | DR. REDDY'S LABORATORIES, INC. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
50742-416-05 | J3489 | INGENUS PHARMACEUTICALS, LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
55111-685-07 | J3489 | DR. REDDY'S LABORATORIES, INC. | Zoledronic acid 1mg | 1 mg | 5 | 1 | 4 | 4 |
55111-688-52 | J3489 | DR. REDDY'S LABORATORIES, INC. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
55150-266-05 | J3489 | AUROMEDICS PHARMA LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
63323-961-98 | J3489 | FRESENIUS KABI | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
63323-966-00 | J3489 | FRESENIUS KABI | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
67457-390-54 | J3489 | MYLAN INSTITUTIONAL LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
67457-619-10 | J3489 | MYLAN INSTITUTIONAL LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
67457-794-10 | J3489 | MYLAN INSTITUTIONAL LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
67457-920-05 | J3489 | MYLAN INSTITUTIONAL LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
70860-210-51 | J3489 | ATHENEX | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
70860-802-82 | J3489 | ATHENEX | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
0264-7800-00 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 ML | 1000 | 12 | 1 | 12 |
0264-7800-01 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 ML | 500 | 10 | 0.5 | 5 |
0264-7800-09 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 ML | 1000 | 12 | 1 | 12 |
0264-7800-10 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 ML | 500 | 24 | 0.5 | 12 |
0264-7800-20 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
0264-9999-10 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 ML | 500 | 10 | 0.5 | 5 |
0338-0049-02 | J7030 | BAXTER | Normal saline solution infus | 1000 ML | 250 | 1 | 0.25 | 0.25 |
0338-0049-03 | J7030 | BAXTER | Normal saline solution infus | 1000 ML | 500 | 1 | 0.5 | 0.5 |
0338-0049-04 | J7030 | BAXTER | Normal saline solution infus | 1000 ML | 1000 | 1 | 1 | 1 |
0338-9543-02 | J7030 | BAXTER | Normal saline solution infus | 1000 ML | 250 | 1 | 0.25 | 0.25 |
0338-9543-04 | J7030 | BAXTER | Normal saline solution infus | 1000 ML | 500 | 20 | 0.5 | 10 |
0338-9543-06 | J7030 | BAXTER | Normal saline solution infus | 1000 ML | 1000 | 10 | 1 | 10 |
0409-7101-02 | J7030 | PFIZER INC. | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
0487-4301-25 | J7030 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 1000 ML | 250 | 35 | 0.25 | 8.75 |
0487-4301-50 | J7030 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 1000 ML | 500 | 18 | 0.5 | 9 |
0990-7983-02 | J7030 | ICU MEDICAL | Normal saline solution infus | 1,000 CC | 250 | 24 | 0.25 | 6 |
0990-7983-03 | J7030 | ICU MEDICAL | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7983-09 | J7030 | ICU MEDICAL | Normal saline solution infus | 1000 ML | 1000 | 12 | 1 | 12 |
0990-7983-25 | J7030 | ICU MEDICAL | Normal saline solution infus | 1000 ML | 250 | 24 | 0.25 | 6 |
0990-7983-55 | J7030 | ICU MEDICAL | Normal saline solution infus | 1000 ML | 500 | 18 | 0.5 | 9 |
63323-623-74 | J7030 | FRESENIUS KABI | Normal saline solution infus | 1000 ML | 250 | 30 | 0.25 | 7.5 |
63323-623-75 | J7030 | FRESENIUS KABI | Normal saline solution infus | 1000 ML | 500 | 20 | 0.5 | 10 |
63323-623-76 | J7030 | FRESENIUS KABI | Normal saline solution infus | 1000 ML | 1000 | 10 | 1 | 10 |
0264-7800-00 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-7800-01 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 500 | 10 | 1 | 10 |
0264-7800-09 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-7800-10 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0264-7800-20 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0264-9999-10 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 500 | 10 | 1 | 10 |
0338-0049-02 | J7040 | BAXTER | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 0.5 |
0338-0049-03 | J7040 | BAXTER | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
0338-0049-04 | J7040 | BAXTER | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
0338-9543-02 | J7040 | BAXTER | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 0.5 |
0338-9543-04 | J7040 | BAXTER | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
0338-9543-06 | J7040 | BAXTER | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
0409-7101-02 | J7040 | PFIZER INC. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0487-4301-25 | J7040 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 500 ML | 250 | 35 | 0.5 | 17.5 |
0487-4301-50 | J7040 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
0990-7983-02 | J7040 | ICU MEDICAL | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7983-03 | J7040 | ICU MEDICAL | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0990-7983-09 | J7040 | ICU MEDICAL | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0990-7983-25 | J7040 | ICU MEDICAL | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7983-55 | J7040 | ICU MEDICAL | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
63323-623-74 | J7040 | FRESENIUS KABI | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
63323-623-75 | J7040 | FRESENIUS KABI | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
63323-623-76 | J7040 | FRESENIUS KABI | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
0264-7610-00 | J7042 | B. BRAUN MEDICAL INC. | 5% dextrose/normal saline | 500 ML | 1000 | 12 | 2 | 24 |
0264-7610-10 | J7042 | B. BRAUN MEDICAL INC. | 5% dextrose/normal saline | 500 ML | 500 | 24 | 1 | 24 |
0990-7941-03 | J7042 | ICU MEDICAL | 5% dextrose/normal saline | 500 ML | 500 | 24 | 1 | 24 |
0990-7941-09 | J7042 | ICU MEDICAL | 5% dextrose/normal saline | 500 ML | 1000 | 12 | 2 | 24 |
63323-870-10 | J7042 | FRESENIUS KABI | 5% dextrose/normal saline | 500 ML | 500 | 20 | 1 | 20 |
63323-870-74 | J7042 | FRESENIUS KABI | 5% dextrose/normal saline | 500 ML | 1000 | 10 | 2 | 20 |
0264-7800-00 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 ML | 1000 | 12 | 4 | 48 |
0264-7800-01 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 ML | 500 | 10 | 2 | 20 |
0264-7800-09 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 ML | 1000 | 12 | 4 | 48 |
0264-7800-10 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 ML | 500 | 24 | 2 | 48 |
0264-7800-20 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 ML | 250 | 24 | 1 | 24 |
0264-9999-10 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 ML | 500 | 10 | 2 | 20 |
0338-0049-02 | J7050 | BAXTER | Normal saline solution infus | 250 ML | 250 | 1 | 1 | 1 |
0338-0049-03 | J7050 | BAXTER | Normal saline solution infus | 250 ML | 500 | 1 | 2 | 2 |
0338-0049-04 | J7050 | BAXTER | Normal saline solution infus | 250 ML | 1000 | 1 | 4 | 4 |
0338-9543-02 | J7050 | BAXTER | Normal saline solution infus | 250 ML | 250 | 1 | 1 | 1 |
0338-9543-04 | J7050 | BAXTER | Normal saline solution infus | 250 ML | 500 | 20 | 2 | 40 |
0338-9543-06 | J7050 | BAXTER | Normal saline solution infus | 250 ML | 1000 | 10 | 4 | 40 |
0409-7101-02 | J7050 | PFIZER INC. | Normal saline solution infus | 250 ML | 250 | 24 | 1 | 24 |
0487-4301-25 | J7050 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 250 ML | 250 | 35 | 1 | 35 |
0487-4301-50 | J7050 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 250 ML | 500 | 18 | 2 | 36 |
0990-7983-02 | J7050 | ICU MEDICAL | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0990-7983-03 | J7050 | ICU MEDICAL | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0990-7983-09 | J7050 | ICU MEDICAL | Normal saline solution infus | 250 ML | 1000 | 12 | 4 | 48 |
0990-7983-25 | J7050 | ICU MEDICAL | Normal saline solution infus | 250 ML | 250 | 24 | 1 | 24 |
0990-7983-55 | J7050 | ICU MEDICAL | Normal saline solution infus | 250 ML | 500 | 18 | 2 | 36 |
63323-623-74 | J7050 | FRESENIUS KABI | Normal saline solution infus | 250 ML | 250 | 30 | 1 | 30 |
63323-623-75 | J7050 | FRESENIUS KABI | Normal saline solution infus | 250 ML | 500 | 20 | 2 | 40 |
63323-623-76 | J7050 | FRESENIUS KABI | Normal saline solution infus | 250 ML | 1000 | 10 | 4 | 40 |
0264-7510-00 | J7060 | B. BRAUN MEDICAL INC. | 5% dextrose/water | 500 ML | 1000 | 12 | 2 | 24 |
0264-7510-10 | J7060 | B. BRAUN MEDICAL INC. | 5% dextrose/water | 500 ML | 500 | 24 | 1 | 24 |
0264-7510-20 | J7060 | B. BRAUN MEDICAL INC. | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0338-0017-02 | J7060 | BAXTER | 5% dextrose/water | 500 ML | 250 | 1 | 0.5 | 0.5 |
0338-0017-03 | J7060 | BAXTER | 5% dextrose/water | 500 ML | 500 | 1 | 1 | 1 |
0338-0017-04 | J7060 | BAXTER | 5% dextrose/water | 500 ML | 1000 | 1 | 2 | 2 |
0338-0062-30 | J7060 | BAXTER | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
0338-0066-20 | J7060 | BAXTER | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
0338-0070-10 | J7060 | BAXTER | 5% dextrose/water | 500 ML | 1000 | 10 | 2 | 20 |
0409-7100-02 | J7060 | PFIZER INC. | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7922-02 | J7060 | ICU MEDICAL | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7922-03 | J7060 | ICU MEDICAL | 5% dextrose/water | 500 ML | 500 | 24 | 1 | 24 |
0990-7922-09 | J7060 | ICU MEDICAL | 5% dextrose/water | 500 ML | 1000 | 12 | 2 | 24 |
0990-7922-25 | J7060 | ICU MEDICAL | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7922-55 | J7060 | ICU MEDICAL | 5% dextrose/water | 500 ML | 500 | 15 | 1 | 15 |
63323-624-10 | J7060 | FRESENIUS KABI | 5% dextrose/water | 500 ML | 1000 | 10 | 2 | 20 |
63323-624-74 | J7060 | FRESENIUS KABI | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
63323-624-75 | J7060 | FRESENIUS KABI | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
0264-7510-00 | J7070 | B. BRAUN MEDICAL INC. | D5w infusion | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7510-10 | J7070 | B. BRAUN MEDICAL INC. | D5w infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7510-20 | J7070 | B. BRAUN MEDICAL INC. | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0338-0017-02 | J7070 | BAXTER | D5w infusion | 1000 CC | 250 | 1 | 0.25 | 0.25 |
0338-0017-03 | J7070 | BAXTER | D5w infusion | 1000 CC | 500 | 1 | 0.5 | 0.5 |
0338-0017-04 | J7070 | BAXTER | D5w infusion | 1000 CC | 1000 | 1 | 1 | 1 |
0338-0062-30 | J7070 | BAXTER | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 7.5 |
0338-0066-20 | J7070 | BAXTER | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
0338-0070-10 | J7070 | BAXTER | D5w infusion | 1000 CC | 1000 | 10 | 1 | 10 |
0409-7100-02 | J7070 | PFIZER INC. | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7922-02 | J7070 | ICU MEDICAL | D5w infusion | 1,000 CC | 250 | 24 | 0.25 | 6 |
0990-7922-03 | J7070 | ICU MEDICAL | D5w infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7922-09 | J7070 | ICU MEDICAL | D5w infusion | 1000 CC | 1000 | 12 | 1 | 12 |
0990-7922-25 | J7070 | ICU MEDICAL | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7922-55 | J7070 | ICU MEDICAL | D5w infusion | 1,000 CC | 500 | 15 | 0.5 | 7.5 |
63323-624-10 | J7070 | FRESENIUS KABI | D5w infusion | 1000 CC | 1000 | 10 | 1 | 10 |
63323-624-74 | J7070 | FRESENIUS KABI | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 7.5 |
63323-624-75 | J7070 | FRESENIUS KABI | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
0264-7389-60 | J7120 | B. BRAUN MEDICAL INC. | Ringers lactate infusion | 1000 CC | 3000 | 4 | 3 | 12 |
0264-7750-00 | J7120 | B. BRAUN MEDICAL INC. | Ringers lactate infusion | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7750-10 | J7120 | B. BRAUN MEDICAL INC. | Ringers lactate infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7750-20 | J7120 | B. BRAUN MEDICAL INC. | Ringers lactate infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0338-0117-02 | J7120 | BAXTER | Ringers lactate infusion | 1000 CC | 250 | 1 | 0.25 | 0.25 |
0338-0117-03 | J7120 | BAXTER | Ringers lactate infusion | 1000 CC | 500 | 1 | 0.5 | 0.5 |
0338-0117-04 | J7120 | BAXTER | Ringers lactate infusion | 1000 CC | 1000 | 1 | 1 | 1 |
0990-7953-02 | J7120 | ICU MEDICAL | Ringers lactate infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7953-03 | J7120 | ICU MEDICAL | Ringers lactate infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7953-09 | J7120 | ICU MEDICAL | Ringers lactate infusion | 1000 CC | 1000 | 12 | 1 | 12 |
63323-164-74 | J7120 | FRESENIUS KABI | Ringers lactate infusion | 1000 CC | 250 | 30 | 0.25 | 7.5 |
63323-164-75 | J7120 | FRESENIUS KABI | Ringers lactate infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
63323-164-76 | J7120 | FRESENIUS KABI | Ringers lactate infusion | 1000 CC | 1000 | 10 | 1 | 10 |
50242-920-01 | J7170 | GENENTECH, INC. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 1 | 1 | 60 | 60 |
50242-921-01 | J7170 | GENENTECH, INC. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 0.4 | 1 | 120 | 120 |
50242-922-01 | J7170 | GENENTECH, INC. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 0.7 | 1 | 210 | 210 |
50242-923-01 | J7170 | GENENTECH, INC. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 1 | 1 | 300 | 300 |
64208-7752-1 | J7175 | BIO PRODUCTS LABORATORY, LTD | Inj, factor x, (human), 1iu | 1 IU | 1 | 1 | 1 | 1 |
64208-7753-1 | J7175 | BIO PRODUCTS LABORATORY, LTD | Inj, factor x, (human), 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-347-01 | J7177 | OCTAPHARMA | Inj., fibryga, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
63833-891-51 | J7178 | CSL BEHRING LLC | Inj human fibrinogen con nos | 1 MG | 1 | 1 | 1 | 1 |
0944-7551-02 | J7179 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Vonvendi inj 1 iu vwf:rco | 1 IU | 1 | 1 | 1 | 1 |
0944-7553-02 | J7179 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Vonvendi inj 1 iu vwf:rco | 1 IU | 1 | 1 | 1 | 1 |
63833-518-02 | J7180 | CSL BEHRING LLC | Factor xiii anti-hem factor | 1 IU | 1 | 1 | 1 | 1 |
0169-7013-01 | J7181 | NOVO NORDISK INC | Factor xiii recomb a-subunit | 1 IU | 1 | 1 | 1 | 1 |
0169-7810-01 | J7182 | NOVO NORDISK INC | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7815-01 | J7182 | NOVO NORDISK INC | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7820-01 | J7182 | NOVO NORDISK INC | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7825-01 | J7182 | NOVO NORDISK INC | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7830-01 | J7182 | NOVO NORDISK INC | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7850-01 | J7182 | NOVO NORDISK INC | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
68982-182-01 | J7183 | OCTAPHARMA | Wilate injection | 1 I.U. VWF:RCO | 1 | 1 | 1 | 1 |
68982-182-02 | J7183 | OCTAPHARMA | Wilate injection | 1 I.U. VWF:RCO | 1 | 1 | 1 | 1 |
58394-012-01 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-013-01 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-014-01 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-015-01 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-016-03 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-022-03 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-023-03 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-024-03 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-025-03 | J7185 | PFIZER INC. | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
68516-4611-1 | J7186 | GRIFOLS USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4612-1 | J7186 | GRIFOLS USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4613-2 | J7186 | GRIFOLS USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4614-2 | J7186 | GRIFOLS USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4615-2 | J7186 | GRIFOLS USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4617-1 | J7186 | GRIFOLS BIOLOGICALS LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4618-2 | J7186 | GRIFOLS BIOLOGICALS LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4619-2 | J7186 | GRIFOLS BIOLOGICALS LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4620-2 | J7186 | GRIFOLS BIOLOGICALS LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
63833-615-02 | J7187 | CSL BEHRING LLC | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
63833-616-02 | J7187 | CSL BEHRING LLC | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
63833-617-02 | J7187 | CSL BEHRING LLC | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
0944-5001-01 | J7188 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recomb obizur | 1 IU | 1 | 1 | 1 | 1 |
0944-5001-05 | J7188 | BAXALTA US INC. | Factor viii recomb obizur | 1 IU | 1 | 1 | 1 | 1 |
0169-7201-01 | J7189 | NOVO NORDISK INC | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 1000 | 1000 |
0169-7202-01 | J7189 | NOVO NORDISK INC | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 2000 | 2000 |
0169-7205-01 | J7189 | NOVO NORDISK INC | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 5000 | 5000 |
0169-7208-01 | J7189 | NOVO NORDISK INC | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 8000 | 8000 |
0944-3940-02 | J7190 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0944-3942-02 | J7190 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0944-3944-02 | J7190 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0944-3946-02 | J7190 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-256-20 | J7190 | KEDRION BIOPHARMA, INC. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-668-30 | J7190 | KEDRION BIOPHARMA, INC. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-676-50 | J7190 | KEDRION BIOPHARMA, INC. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0026-3782-25 | J7192 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0026-3783-35 | J7192 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0026-3785-55 | J7192 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0026-3786-65 | J7192 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0026-3787-75 | J7192 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-2841-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-2842-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-2843-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-2844-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-2845-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-3045-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-3046-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-3047-10 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-3051-02 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-3052-02 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-3053-02 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
0944-3054-02 | J7192 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
68516-3607-2 | J7193 | GRIFOLS USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3608-2 | J7193 | GRIFOLS USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3609-2 | J7193 | GRIFOLS USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3610-2 | J7193 | GRIFOLS USA | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3611-2 | J7193 | GRIFOLS USA | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3612-2 | J7193 | GRIFOLS USA | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3207-1 | J7194 | GRIFOLS USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
68516-3208-2 | J7194 | GRIFOLS USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
68516-3209-2 | J7194 | GRIFOLS USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
58394-633-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-634-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-635-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-636-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-637-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
13533-602-50 | J7197 | GRIFOLS USA, LLC | Antithrombin iii injection | 1 IU | 1 | 1 | 1 | 1 |
13533-603-20 | J7197 | GRIFOLS USA, LLC | Antithrombin iii injection | 1 IU | 1 | 1 | 1 | 1 |
64193-424-02 | J7198 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Anti-inhibitor | 1 IU | 1 | 1 | 1 | 1 |
64193-425-02 | J7198 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Anti-inhibitor | 1 IU | 1 | 1 | 1 | 1 |
64193-426-02 | J7198 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Anti-inhibitor | 1 IU | 1 | 1 | 1 | 1 |
0944-3026-02 | J7200 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3028-02 | J7200 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3030-02 | J7200 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3032-02 | J7200 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3034-02 | J7200 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
71104-911-01 | J7201 | BIOVERATIV | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-922-01 | J7201 | BIOVERATIV | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-933-01 | J7201 | BIOVERATIV | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-944-01 | J7201 | BIOVERATIV | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-966-01 | J7201 | BIOVERATIV | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-977-01 | J7201 | BIOVERATIV | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
69911-864-02 | J7202 | CSL BEHRING LLC | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-865-02 | J7202 | CSL BEHRING LLC | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-866-02 | J7202 | CSL BEHRING LLC | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-867-02 | J7202 | CSL BEHRING LLC | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-869-02 | J7202 | CSL BEHRING LLC | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
0169-7901-01 | J7203 | NOVO NORDISK INC | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-7902-01 | J7203 | NOVO NORDISK INC | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-7905-01 | J7203 | NOVO NORDISK INC | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-8100-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8150-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8200-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8300-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8500-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
71104-801-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-802-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-803-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-804-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-805-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-806-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-807-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-808-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-809-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-810-01 | J7205 | BIOVERATIV | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4622-01 | J7207 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4623-01 | J7207 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4624-01 | J7207 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4625-01 | J7207 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4626-01 | J7207 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4627-01 | J7207 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4628-01 | J7207 | TAKEDA PHARMACEUTICALS AMERICA, INC. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0026-3942-25 | J7208 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
0026-3944-25 | J7208 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
0026-3946-25 | J7208 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
0026-3948-25 | J7208 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
68982-139-01 | J7209 | OCTAPHARMA | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-141-01 | J7209 | OCTAPHARMA | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-143-01 | J7209 | OCTAPHARMA | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-145-01 | J7209 | OCTAPHARMA | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-147-01 | J7209 | OCTAPHARMA | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-149-01 | J7209 | OCTAPHARMA | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-151-01 | J7209 | OCTAPHARMA | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
69911-474-02 | J7210 | CSL BEHRING LLC | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-475-02 | J7210 | CSL BEHRING LLC | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-476-02 | J7210 | CSL BEHRING LLC | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-477-02 | J7210 | CSL BEHRING LLC | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-478-02 | J7210 | CSL BEHRING LLC | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-480-02 | J7210 | CSL BEHRING LLC | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-481-02 | J7210 | CSL BEHRING LLC | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3821-25 | J7211 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3822-25 | J7211 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3824-25 | J7211 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3826-50 | J7211 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3828-50 | J7211 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
71127-1000-1 | J7212 | HEMA BIOLOGICS | Factor viia recomb sevenfact | 1 MCG | 1 | 1 | 1000 | 1000 |
71127-5000-1 | J7212 | HEMA BIOLOGICS | Factor viia recomb sevenfact | 1 MCG | 1 | 1 | 5000 | 5000 |
67308-101-06 | J7308 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Aminolevulinic acid hcl top | 354 MG | 1 | 6 | 1 | 6 |
24208-416-01 | J7311 | BAUSCH & LOMB | Inj., retisert, 0.01 mg | 0.01 MG | 1 | 1 | 1 | 59 |
0023-3348-07 | J7312 | ALLERGAN SALES, LLC | Dexamethasone intra implant | 0.1 MG | 0.7 | 1 | 7 | 7 |
68611-190-02 | J7313 | ALIMERA SCIENCES | Inj., iluvien, 0.01 mg | 0.01 MG | 1 | 1 | 19 | 19 |
71879-136-01 | J7314 | EYEPOINT PHARMACEUTICALS US, INC | Inj., yutiq, 0.01 mg | 0.01 MG | 1 | 1 | 18 | 18 |
72512-928-01 | J7336 | AVERITAS PHARMA INC | Capsaicin 8% patch | 1 SQ CM | 1 | 1 | 280 | 280 |
72512-929-01 | J7336 | AVERITAS PHARMA INC | Capsaicin 8% patch | 1 SQ CM | 1 | 2 | 280 | 560 |
72512-930-01 | J7336 | AVERITAS PHARMA INC | Capsaicin 8% patch | 1 SQ CM | 1 | 4 | 280 | 1120 |
0074-3012-07 | J7340 | ABBVIE US, LLC | Carbidopa levodopa ent 100ml | 5 MG/20 MG 100 ML | 100 | 7 | 1 | 7 |
70621-101-10 | J7345 | BIOFRONTERA INC. | Aminolevulinic acid, 10% gel | 10 MG | 2 | 1 | 200 | 200 |
70621-101-20 | J7345 | BIOFRONTERA INC. | Aminolevulinic acid, 10% gel | 10 MG | 2 | 10 | 200 | 2000 |
0023-9652-01 | J7351 | ALLERGAN SALES, LLC | Inj bimatoprost itc imp1mcg | 1 MCG | 1 | 1 | 10 | 10 |
10599-003-01 | J7402 | INTERSECT ENT, INC. | Mometasone sinus sinuva | 10 MCG | 1 | 1 | 135 | 135 |
65649-231-41 | J7500 | SALIX PHARMACEUTICALS | Azathioprine oral 50mg | 50 MG | 100 | 1 | 150 | 150 |
65649-241-41 | J7500 | SALIX PHARMACEUTICALS | Azathioprine oral 50mg | 50 MG | 100 | 1 | 200 | 200 |
68084-229-01 | J7500 | AMERICAN HEALTH PACKAGING | Azathioprine oral 50mg | 50 MG | 100 | 1 | 100 | 100 |
68462-502-01 | J7500 | GLENMARK PHARMACEUTICALS INC., USA | Azathioprine oral 50mg | 50 MG | 100 | 1 | 100 | 100 |
0074-3109-32 | J7502 | ABBVIE US, LLC | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0074-7269-50 | J7502 | ABBVIE US, LLC | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
0078-0110-22 | J7502 | NOVARTIS PHARMACEUTICALS CORPORATION | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
0078-0241-15 | J7502 | NOVARTIS PHARMACEUTICALS CORPORATION | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0078-0248-15 | J7502 | NOVARTIS PHARMACEUTICALS CORPORATION | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0078-0274-22 | J7502 | NOVARTIS PHARMACEUTICALS CORPORATION | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
0093-5742-65 | J7502 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0093-9018-65 | J7502 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 7.5 | 7.5 |
0093-9019-65 | J7502 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 15 | 15 |
0093-9020-65 | J7502 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0172-7313-20 | J7502 | IVAX PHARMACEUTICALS, INC. | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
68084-921-25 | J7502 | AMERICAN HEALTH PACKAGING | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
68992-3010-1 | J7503 | VELOXIS PHARMACEUTICALS | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 400 | 400 |
68992-3010-3 | J7503 | VELOXIS PHARMACEUTICALS | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 120 | 120 |
68992-3040-1 | J7503 | VELOXIS PHARMACEUTICALS | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 1600 | 1600 |
68992-3040-3 | J7503 | VELOXIS PHARMACEUTICALS | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 480 | 480 |
68992-3075-1 | J7503 | VELOXIS PHARMACEUTICALS | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 300 | 300 |
68992-3075-3 | J7503 | VELOXIS PHARMACEUTICALS | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 90 | 90 |
0009-7224-02 | J7504 | PFIZER INC. | Lymphocyte immune globulin | 250 MG | 5 | 5 | 1 | 5 |
0378-2045-01 | J7507 | MYLAN PHARMACEUTICALS, INC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
0378-2046-01 | J7507 | MYLAN PHARMACEUTICALS, INC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0378-2047-01 | J7507 | MYLAN PHARMACEUTICALS, INC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
0469-0607-73 | J7507 | ASTELLAS PHARMA US INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 50 |
0469-0617-73 | J7507 | ASTELLAS PHARMA US INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0469-0657-73 | J7507 | ASTELLAS PHARMA US INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 5 | 100 | 500 |
0469-1230-50 | J7507 | ASTELLAS PHARMA US INC. | Tacrolimus imme rel oral 1mg | 1 MG | 50 | 1 | 10 | 10 |
0469-1330-50 | J7507 | ASTELLAS PHARMA US INC. | Tacrolimus imme rel oral 1mg | 1 MG | 50 | 1 | 50 | 50 |
0781-2102-01 | J7507 | SANDOZ | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
0781-2103-01 | J7507 | SANDOZ | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0781-2104-01 | J7507 | SANDOZ | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
16714-098-01 | J7507 | NORTHSTAR RX LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
16714-099-01 | J7507 | NORTHSTAR RX LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
16714-100-01 | J7507 | NORTHSTAR RX LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
16729-041-01 | J7507 | ACCORD HEALTHCARE INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
16729-042-01 | J7507 | ACCORD HEALTHCARE INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
16729-043-01 | J7507 | ACCORD HEALTHCARE INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-2245-0 | J7507 | A-S MEDICATION SOLUTIONS | Tacrolimus imme rel oral 1mg | 1 MG | 90 | 1 | 90 | 90 |
50090-5596-0 | J7507 | A-S MEDICATION SOLUTIONS | Tacrolimus imme rel oral 1mg | 1 mg | 90 | 1 | 90 | 90 |
55111-525-01 | J7507 | DR. REDDY'S LABORATORIES, INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
55111-526-01 | J7507 | DR. REDDY'S LABORATORIES, INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
55111-527-01 | J7507 | DR. REDDY'S LABORATORIES, INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
64380-720-06 | J7507 | STRIDES PHARMA INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
64380-721-06 | J7507 | STRIDES PHARMA INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
64380-722-06 | J7507 | STRIDES PHARMA INC. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
67877-278-01 | J7507 | ASCEND LABORATORIES | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
67877-279-01 | J7507 | ASCEND LABORATORIES | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
67877-280-01 | J7507 | ASCEND LABORATORIES | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
68084-449-01 | J7507 | AMERICAN HEALTH PACKAGING | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
68084-450-01 | J7507 | AMERICAN HEALTH PACKAGING | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
68084-451-01 | J7507 | AMERICAN HEALTH PACKAGING | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
68462-685-01 | J7507 | GLENMARK PHARMACEUTICALS INC., USA | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
68462-686-01 | J7507 | GLENMARK PHARMACEUTICALS INC., USA | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
68462-687-01 | J7507 | GLENMARK PHARMACEUTICALS INC., USA | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
72572-760-01 | J7507 | Civica | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
72572-761-01 | J7507 | Civica | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0469-0647-73 | J7508 | ASTELLAS PHARMA US INC. | Tacrol astagraf ex rel oral | 0.1 MG | 30 | 1 | 150 | 150 |
0469-0677-73 | J7508 | ASTELLAS PHARMA US INC. | Tacrol astagraf ex rel oral | 0.1 MG | 30 | 1 | 300 | 300 |
0469-0687-73 | J7508 | ASTELLAS PHARMA US INC. | Tacrol astagraf ex rel oral | 0.1 MG | 30 | 1 | 1500 | 1500 |
0009-0020-01 | J7509 | PFIZER INC. | Methylprednisolone oral | 4 MG | 100 | 1 | 50 | 50 |
0009-0022-01 | J7509 | PFIZER INC. | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
0009-0056-02 | J7509 | PFIZER INC. | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
0009-0056-04 | J7509 | PFIZER INC. | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
0009-0073-01 | J7509 | PFIZER INC. | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
0009-0176-01 | J7509 | PFIZER INC. | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
0781-5022-01 | J7509 | SANDOZ | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
0781-5022-07 | J7509 | SANDOZ | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
50090-0092-0 | J7509 | A-S MEDICATION SOLUTIONS | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
50090-3094-0 | J7509 | A-S MEDICATION SOLUTIONS | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
50090-3811-0 | J7509 | A-S MEDICATION SOLUTIONS | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
59762-0049-1 | J7509 | VIATRIS - GREENSTONE LLC | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
59762-0050-1 | J7509 | VIATRIS - GREENSTONE LLC | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
59762-0051-1 | J7509 | VIATRIS - GREENSTONE LLC | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
59762-4440-3 | J7509 | VIATRIS - GREENSTONE LLC | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
68001-005-01 | J7509 | AMERICAN HEALTH PACKAGING | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
68084-149-01 | J7509 | AMERICAN HEALTH PACKAGING | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
50090-0655-0 | J7510 | A-S MEDICATION SOLUTIONS | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
50090-0655-1 | J7510 | A-S MEDICATION SOLUTIONS | Prednisolone oral per 5 mg | 5 MG | 240 | 4 | 144 | 576 |
50090-1582-0 | J7510 | A-S MEDICATION SOLUTIONS | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
50383-042-24 | J7510 | HI-TECH | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
50383-042-48 | J7510 | HI-TECH | Prednisolone oral per 5 mg | 5 MG | 480 | 1 | 288 | 288 |
58468-0080-1 | J7511 | GENZYME CORPORATION | Antithymocyte globuln rabbit | 25 MG | 1 | 1 | 1 | 1 |
0054-3721-44 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
0054-3722-50 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 120 | 1 | 120 | 120 |
0054-3722-63 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 500 | 500 |
0054-4728-25 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
0054-4728-31 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 5000 | 5000 |
0054-4741-25 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0054-4741-31 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 1000 | 1000 |
0054-4742-25 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 250 | 250 |
0054-8724-25 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
0054-8739-25 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0054-8740-25 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 250 | 250 |
0054-9828-25 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
0054-9828-31 | J7512 | HIKMA PHARMACEUTICALS USA INC. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 5000 | 5000 |
50090-0097-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-0097-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-0097-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-0097-4 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
50090-0097-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-0097-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
50090-0097-8 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
50090-0098-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-0098-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-0102-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
50090-0439-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-1001-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-1455-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1mg | 30 | 1 | 75 | 75 |
50090-1989-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-1989-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-1989-3 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-1989-9 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-1990-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
50090-1990-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-1991-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-2608-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-2608-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-2789-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-2789-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-2789-3 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-2789-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-2789-9 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-3137-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-3137-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-3137-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-3137-4 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
50090-3137-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-3137-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
50090-3137-8 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
50090-3330-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-3336-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-3361-6 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 450 | 450 |
50090-4784-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-4784-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-4784-3 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-4784-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-4784-9 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-4785-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
50090-4785-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
50090-4785-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
50090-4785-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
50090-4785-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-5202-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-5202-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-5453-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-5656-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-5656-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-5657-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 20 | 20 |
50090-5660-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
50090-5814-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-5814-3 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-5814-4 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 5 | 150 |
50090-5816-6 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 5 | 450 |
0074-3108-32 | J7515 | ABBVIE US, LLC | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0078-0240-15 | J7515 | NOVARTIS PHARMACEUTICALS CORPORATION | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0078-0246-15 | J7515 | NOVARTIS PHARMACEUTICALS CORPORATION | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0093-5740-65 | J7515 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0093-5741-65 | J7515 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 60 | 60 |
0093-9018-65 | J7515 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
68084-879-25 | J7515 | AMERICAN HEALTH PACKAGING | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0078-0109-01 | J7516 | NOVARTIS PHARMACEUTICALS CORPORATION | Cyclosporin parenteral 250mg | 250 MG | 5 | 10 | 1 | 10 |
0574-0866-10 | J7516 | PERRIGO PHARMACEUTICALS | Cyclosporin parenteral 250mg | 250 MG | 5 | 10 | 1 | 10 |
0004-0259-01 | J7517 | GENENTECH, INC. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
0004-0259-43 | J7517 | GENENTECH, INC. | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
0004-0260-01 | J7517 | GENENTECH, INC. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
0004-0260-43 | J7517 | GENENTECH, INC. | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 1000 | 1000 |
0004-0261-29 | J7517 | GENENTECH, INC. | Mycophenolate mofetil oral | 250 MG | 175 | 1 | 140 | 140 |
0093-7334-01 | J7517 | TEVA PHARMACEUTICALS USA, INC. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
0093-7334-05 | J7517 | TEVA PHARMACEUTICALS USA, INC. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
0378-2250-01 | J7517 | MYLAN PHARMACEUTICALS, INC | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
0378-2250-05 | J7517 | MYLAN PHARMACEUTICALS, INC | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
0378-4472-01 | J7517 | MYLAN PHARMACEUTICALS, INC | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 200 | 200 |
0378-4472-05 | J7517 | MYLAN PHARMACEUTICALS, INC | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
0781-2067-01 | J7517 | SANDOZ | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
0781-2067-05 | J7517 | SANDOZ | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
0781-2067-89 | J7517 | SANDOZ | Mycophenolate mofetil oral | 250 MG | 1 | 1440 | 1440 | 1440 |
0781-5175-01 | J7517 | SANDOZ | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 200 | 200 |
0781-5175-05 | J7517 | SANDOZ | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
50090-2541-0 | J7517 | A-S MEDICATION SOLUTIONS | Mycophenolate mofetil oral | 250 MG | 180 | 1 | 360 | 360 |
50090-4275-0 | J7517 | A-S MEDICATION SOLUTIONS | Mycophenolate mofetil oral | 250 MG | 180 | 1 | 360 | 360 |
51079-379-20 | J7517 | MYLAN INSTITUTIONAL INC. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 200 | 200 |
51079-721-20 | J7517 | MYLAN INSTITUTIONAL INC. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
60687-438-01 | J7517 | AMERICAN HEALTH PACKAGING | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 2 | 200 |
60687-494-01 | J7517 | AMERICAN HEALTH PACKAGING | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
64380-725-06 | J7517 | STRIDES PHARMA INC. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
64380-725-07 | J7517 | STRIDES PHARMA INC. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
64380-726-06 | J7517 | STRIDES PHARMA INC. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
64380-726-07 | J7517 | STRIDES PHARMA INC. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
67877-225-01 | J7517 | ASCEND LABORATORIES | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
67877-225-05 | J7517 | ASCEND LABORATORIES | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 1000 | 1000 |
67877-230-22 | J7517 | ASCEND LABORATORIES | Mycophenolate mofetil oral | 250 MG | 225 | 1 | 180 | 180 |
67877-266-01 | J7517 | ASCEND LABORATORIES | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
67877-266-05 | J7517 | ASCEND LABORATORIES | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
0078-0385-66 | J7518 | NOVARTIS PHARMACEUTICALS CORPORATION | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
0078-0386-66 | J7518 | NOVARTIS PHARMACEUTICALS CORPORATION | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
0378-4201-78 | J7518 | ARCHIS PHARMA | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
0378-4202-78 | J7518 | ARCHIS PHARMA | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
50268-559-12 | J7518 | AVKARE, LLC | Mycophenolic acid | 180 MG | 20 | 1 | 20 | 20 |
51079-508-20 | J7518 | MYLAN INSTITUTIONAL INC. | Mycophenolic acid | 180 MG | 100 | 1 | 100 | 100 |
51079-509-20 | J7518 | MYLAN INSTITUTIONAL INC. | Mycophenolic acid | 180 MG | 100 | 1 | 200 | 200 |
67877-426-12 | J7518 | ASCEND LABORATORIES | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
67877-427-12 | J7518 | ASCEND LABORATORIES | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
68084-907-21 | J7518 | AMERICAN HEALTH PACKAGING | Mycophenolic acid | 180 MG | 30 | 1 | 30 | 30 |
68084-918-25 | J7518 | AMERICAN HEALTH PACKAGING | Mycophenolic acid | 180 MG | 30 | 1 | 60 | 60 |
0008-1030-06 | J7520 | PFIZER INC. | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
0008-1040-05 | J7520 | PFIZER INC. | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
0008-1040-10 | J7520 | PFIZER INC. | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
0008-1041-05 | J7520 | PFIZER INC. | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
0008-1041-10 | J7520 | PFIZER INC. | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
0008-1042-05 | J7520 | PFIZER INC. | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
55111-653-01 | J7520 | DR. REDDY'S LABORATORIES, INC. | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
55111-654-01 | J7520 | DR. REDDY'S LABORATORIES, INC. | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
59762-1001-1 | J7520 | VIATRIS - GREENSTONE LLC | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
59762-1002-1 | J7520 | VIATRIS - GREENSTONE LLC | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
59762-1003-1 | J7520 | VIATRIS - GREENSTONE LLC | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
59762-1205-6 | J7520 | VIATRIS - GREENSTONE LLC | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
67877-746-01 | J7520 | ASCEND LABORATORIES | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
67877-747-01 | J7520 | ASCEND LABORATORIES | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
67877-748-01 | J7520 | ASCEND LABORATORIES | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
68084-915-25 | J7520 | AMERICAN HEALTH PACKAGING | Sirolimus, oral | 1 MG | 30 | 1 | 30 | 30 |
68462-682-01 | J7520 | GLENMARK PHARMACEUTICALS INC., USA | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
68462-683-01 | J7520 | GLENMARK PHARMACEUTICALS INC., USA | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
68462-684-01 | J7520 | GLENMARK PHARMACEUTICALS INC., USA | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
0469-3016-01 | J7525 | ASTELLAS PHARMA US INC. | Tacrolimus injection | 5 MG | 1 | 10 | 1 | 10 |
0054-0470-21 | J7527 | HIKMA PHARMACEUTICALS USA INC. | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
0054-0471-21 | J7527 | HIKMA PHARMACEUTICALS USA INC. | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
0054-0472-21 | J7527 | HIKMA PHARMACEUTICALS USA INC. | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
0078-0414-20 | J7527 | NOVARTIS PHARMACEUTICALS CORPORATION | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
0078-0415-20 | J7527 | NOVARTIS PHARMACEUTICALS CORPORATION | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
0078-0417-20 | J7527 | NOVARTIS PHARMACEUTICALS CORPORATION | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
0078-0422-20 | J7527 | NOVARTIS PHARMACEUTICALS CORPORATION | Oral everolimus | 0.25 MG | 60 | 1 | 240 | 240 |
49884-283-02 | J7527 | PAR PHARMACEUTICAL | Oral everolimus | 0.25 MG | 60 | 1 | 240 | 240 |
67877-718-31 | J7527 | Ascend Laboratories, Llc | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
67877-719-31 | J7527 | Ascend Laboratories, Llc | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
67877-720-31 | J7527 | Ascend Laboratories, Llc | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
67877-721-31 | J7527 | Ascend Laboratories, Llc | Oral everolimus | 0.25 MG | 60 | 1 | 240 | 240 |
63402-911-30 | J7605 | SUNOVION PHARMACEUTICALS INC. | Arformoterol non-comp unit | 15 mcg | 2 | 30 | 1 | 30 |
63402-911-64 | J7605 | SUNOVION PHARMACEUTICALS INC. | Arformoterol non-comp unit | 15 mcg | 2 | 60 | 1 | 60 |
68462-833-35 | J7605 | GLENMARK PHARMACEUTICALS INC., USA | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
68462-833-65 | J7605 | GLENMARK PHARMACEUTICALS INC., USA | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
69097-168-64 | J7605 | CIPLA USA INC. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
69097-168-87 | J7605 | CIPLA USA INC. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
70436-151-57 | J7605 | SLATE RUN | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
70436-151-58 | J7605 | SLATE RUN | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
70748-257-60 | J7605 | Lupin Pharmaceuticals | Arformoterol non-comp unit | 15 mcg | 2 | 60 | 1 | 60 |
0378-1631-91 | J7606 | MYLAN PHARMACEUTICALS, INC | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
0378-1631-93 | J7606 | MYLAN PHARMACEUTICALS, INC | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
49502-605-30 | J7606 | MYLAN SPECIALTY, L.P. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
49502-605-61 | J7606 | MYLAN SPECIALTY, L.P. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
0409-3307-03 | J7608 | PFIZER INC. | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 3 | 9 |
0409-3308-03 | J7608 | PFIZER INC. | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
0517-7504-25 | J7608 | AMERICAN REGENT | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
0517-7604-25 | J7608 | AMERICAN REGENT | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
63323-690-30 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
63323-690-44 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
63323-691-30 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 3 | 9 |
63323-692-10 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 10 | 3 | 2 | 6 |
63323-693-10 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 10 | 3 | 1 | 3 |
63323-694-04 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
63323-694-44 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
63323-695-04 | J7608 | FRESENIUS KABI | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
0487-9901-30 | J7611 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp con | 1 MG | 0.5 | 30 | 2.5 | 75 |
50383-741-20 | J7611 | HI-TECH | Albuterol non-comp con | 1 MG | 20 | 1 | 100 | 100 |
0093-4147-56 | J7612 | TEVA PHARMACEUTICALS USA, INC. | Levalbuterol non-comp con | 0.5 MG | 0.5 | 30 | 2.5 | 75 |
0378-6993-93 | J7612 | MYLAN PHARMACEUTICALS, INC | Levalbuterol non-comp con | 0.5 MG | 0.5 | 30 | 2.5 | 75 |
17478-171-30 | J7612 | AKORN | Levalbuterol non-comp con | 0.5 MG | 0.5 | 30 | 2.5 | 75 |
35573-443-25 | J7612 | BUREL PHARMACEUTICALS | Levalbuterol non-comp con | 0.5 MG | 3 | 25 | 0.62 | 15.5 |
35573-444-25 | J7612 | BUREL PHARMACEUTICALS | Levalbuterol non-comp con | 0.5 MG | 3 | 25 | 1.25 | 31.25 |
35573-445-25 | J7612 | BUREL PHARMACEUTICALS | Levalbuterol non-comp con | 0.5 MG | 3 | 25 | 2.5 | 62.5 |
50090-0517-0 | J7612 | A-S MEDICATION SOLUTIONS | Levalbuterol non-comp con | 1 MG | 20 | 1 | 100 | 100 |
0378-6991-52 | J7613 | MYLAN PHARMACEUTICALS, INC | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 15.75 |
0378-6992-52 | J7613 | MYLAN PHARMACEUTICALS, INC | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 31.25 |
0378-8270-52 | J7613 | MYLAN PHARMACEUTICALS, INC | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 62.5 |
0378-8270-55 | J7613 | MYLAN PHARMACEUTICALS, INC | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0378-8270-91 | J7613 | MYLAN PHARMACEUTICALS, INC | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
0378-8270-93 | J7613 | MYLAN PHARMACEUTICALS, INC | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0487-0301-01 | J7613 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 19 |
0487-9501-01 | J7613 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0487-9501-03 | J7613 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0487-9501-25 | J7613 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 62.5 |
0487-9501-60 | J7613 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
0487-9904-01 | J7613 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 37.5 |
0487-9904-25 | J7613 | NEPHRON PHARMACEUTICALS CORP. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 31.25 |
0591-3467-53 | J7613 | ACTAVIS PHARMA, INC. | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 15.75 |
0591-3468-53 | J7613 | ACTAVIS PHARMA, INC. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 31.25 |
50090-0516-0 | J7613 | A-S MEDICATION SOLUTIONS | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 62.5 |
50090-0516-1 | J7613 | A-S MEDICATION SOLUTIONS | Albuterol non-comp unit | 1 MG | 3 | 125 | 2.5 | 312.5 |
50090-3400-0 | J7613 | A-S MEDICATION SOLUTIONS | Albuterol non-comp unit | 1 MG | 3 | 720 | 2.5 | 1800 |
60687-395-83 | J7613 | AMERICAN HEALTH PACKAGING | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
76204-011-55 | J7613 | RITEDOSE PHARMACEUTICALS, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 31.25 |
76204-200-01 | J7613 | RITEDOSE PHARMACEUTICALS | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
76204-200-25 | J7613 | RITEDOSE PHARMACEUTICALS | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 62.5 |
76204-200-30 | J7613 | RITEDOSE PHARMACEUTICALS | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
76204-200-60 | J7613 | RITEDOSE PHARMACEUTICALS | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
0093-4146-56 | J7614 | TEVA PHARMACEUTICALS USA, INC. | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 1.25 | 37.5 |
0093-4148-56 | J7614 | TEVA PHARMACEUTICALS USA, INC. | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 2.5 | 75 |
0115-9930-78 | J7614 | IMPAX LABORATORIES, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 15.5 |
0115-9931-78 | J7614 | IMPAX LABORATORIES, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 31.25 |
0115-9932-78 | J7614 | IMPAX LABORATORIES, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 62.5 |
0378-9690-52 | J7614 | MYLAN PHARMACEUTICALS, INC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 15.5 |
0378-9691-52 | J7614 | MYLAN PHARMACEUTICALS, INC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 31.25 |
0378-9692-52 | J7614 | MYLAN PHARMACEUTICALS, INC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 62.5 |
16714-094-25 | J7614 | NORTHSTAR RX LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 15.5 |
16714-094-30 | J7614 | NORTHSTAR RX LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 0.62 | 18.6 |
16714-095-25 | J7614 | NORTHSTAR RX LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 31.25 |
16714-096-25 | J7614 | NORTHSTAR RX LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 62.5 |
17478-172-24 | J7614 | AKORN | Levalbuterol non-comp unit | 0.5 MG | 3 | 24 | 0.62 | 15 |
17478-173-24 | J7614 | AKORN | Levalbuterol non-comp unit | 0.5 MG | 3 | 24 | 1.25 | 30 |
17478-174-24 | J7614 | AKORN | Levalbuterol non-comp unit | 0.5 MG | 3 | 24 | 2.5 | 60 |
35573-443-25 | J7614 | BUREL PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 15.5 |
35573-444-25 | J7614 | BUREL PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 31.25 |
35573-445-25 | J7614 | BUREL PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 62.5 |
66993-021-27 | J7614 | PRASCO LABORATORIES | Levalbuterol non-comp unit | 0.5 MG | 3 | 24 | 0.62 | 15 |
66993-022-27 | J7614 | PRASCO LABORATORIES | Levalbuterol non-comp unit | 0.5 MG | 3 | 24 | 1.25 | 30 |
66993-023-27 | J7614 | PRASCO LABORATORIES | Levalbuterol non-comp unit | 0.5 MG | 3 | 24 | 2.5 | 60 |
76204-700-01 | J7614 | RITEDOSE PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 0.62 | 18.6 |
76204-700-25 | J7614 | RITEDOSE PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 15.5 |
76204-800-01 | J7614 | RITEDOSE PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 1.25 | 37.5 |
76204-800-25 | J7614 | RITEDOSE PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 31.25 |
76204-900-01 | J7614 | RITEDOSE PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 2.5 | 75 |
76204-900-25 | J7614 | RITEDOSE PHARMACEUTICALS | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 62.5 |
0378-9671-30 | J7620 | MYLAN PHARMACEUTICALS, INC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0378-9671-60 | J7620 | MYLAN PHARMACEUTICALS, INC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
0378-9671-93 | J7620 | MYLAN PHARMACEUTICALS, INC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0487-0201-01 | J7620 | NEPHRON PHARMACEUTICALS CORP. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0487-0201-03 | J7620 | NEPHRON PHARMACEUTICALS CORP. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0487-0201-60 | J7620 | NEPHRON PHARMACEUTICALS CORP. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
50090-1382-0 | J7620 | A-S MEDICATION SOLUTIONS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
50090-1669-0 | J7620 | A-S MEDICATION SOLUTIONS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
60687-405-83 | J7620 | AMERICAN HEALTH PACKAGING | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
69097-173-53 | J7620 | CIPLA USA INC. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
69097-173-64 | J7620 | CIPLA USA INC. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
69097-840-53 | J7620 | CIPLA USA INC. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
69097-840-64 | J7620 | CIPLA USA INC. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
69097-840-87 | J7620 | CIPLA USA INC. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-01 | J7620 | RITEDOSE PHARMACEUTICALS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-05 | J7620 | RITEDOSE PHARMACEUTICALS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-12 | J7620 | RITEDOSE PHARMACEUTICALS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
76204-600-30 | J7620 | RITEDOSE PHARMACEUTICALS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-60 | J7620 | RITEDOSE PHARMACEUTICALS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
0093-6815-55 | J7626 | TEVA PHARMACEUTICALS USA, INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6815-73 | J7626 | TEVA PHARMACEUTICALS USA, INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6816-55 | J7626 | TEVA PHARMACEUTICALS USA, INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6816-73 | J7626 | TEVA PHARMACEUTICALS USA, INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6817-73 | J7626 | TEVA PHARMACEUTICALS USA, INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
0115-1687-74 | J7626 | IMPAX LABORATORIES, LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0115-1689-74 | J7626 | IMPAX LABORATORIES, LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0186-1988-04 | J7626 | ASTRAZENECA | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0186-1989-04 | J7626 | ASTRAZENECA | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0186-1990-04 | J7626 | ASTRAZENECA | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
0487-9601-01 | J7626 | NEPHRON PHARMACEUTICALS CORP. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0487-9601-30 | J7626 | NEPHRON PHARMACEUTICALS CORP. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0487-9701-01 | J7626 | NEPHRON PHARMACEUTICALS CORP. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0487-9701-30 | J7626 | NEPHRON PHARMACEUTICALS CORP. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0781-7515-87 | J7626 | SANDOZ | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0781-7516-87 | J7626 | SANDOZ | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0781-7517-87 | J7626 | SANDOZ | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
16714-018-30 | J7626 | NORTHSTAR RX LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
16714-019-30 | J7626 | NORTHSTAR RX LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
16714-020-30 | J7626 | NORTHSTAR RX LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
47335-631-49 | J7626 | SUN PHARMACEUTICAL GLOBAL FZE. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
47335-632-49 | J7626 | SUN PHARMACEUTICAL GLOBAL FZE. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
47335-633-49 | J7626 | SUN PHARMACEUTICAL GLOBAL FZE. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
60687-524-83 | J7626 | AMERICAN HEALTH PACKAGING | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-318-53 | J7626 | CIPLA USA INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-318-87 | J7626 | CIPLA USA INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-319-53 | J7626 | CIPLA USA INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-319-87 | J7626 | CIPLA USA INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-321-53 | J7626 | CIPLA USA INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
69097-321-87 | J7626 | CIPLA USA INC. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
76204-018-01 | J7626 | Ritedose Pharmaceuticals, Llc | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
76282-640-38 | J7626 | EXELAN PHARMACEUTICALS | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
76282-641-38 | J7626 | EXELAN PHARMACEUTICALS | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
76282-642-38 | J7626 | EXELAN PHARMACEUTICALS | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
0172-6406-49 | J7631 | IVAX PHARMACEUTICALS, INC. | Cromolyn sodium noncomp unit | 10 MG | 2 | 60 | 2 | 120 |
69784-205-60 | J7631 | WOODWARD PHARMA SERVICES LLC | Cromolyn sodium noncomp unit | 10 MG | 2 | 60 | 2 | 120 |
50242-100-40 | J7639 | GENENTECH, INC. | Dornase alfa non-comp unit | 1 MG | 2.5 | 30 | 2.5 | 75 |
0378-7970-52 | J7644 | MYLAN PHARMACEUTICALS, INC | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 12.5 |
0378-7970-55 | J7644 | MYLAN PHARMACEUTICALS, INC | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0378-7970-91 | J7644 | MYLAN PHARMACEUTICALS, INC | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
0378-7970-93 | J7644 | MYLAN PHARMACEUTICALS, INC | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0487-9801-01 | J7644 | NEPHRON PHARMACEUTICALS CORP. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0487-9801-25 | J7644 | NEPHRON PHARMACEUTICALS CORP. | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 12.5 |
0487-9801-30 | J7644 | NEPHRON PHARMACEUTICALS CORP. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0487-9801-60 | J7644 | NEPHRON PHARMACEUTICALS CORP. | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
47335-706-49 | J7644 | SUN PHARMACEUTICAL GLOBAL FZE. | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 12.5 |
47335-706-52 | J7644 | SUN PHARMACEUTICAL GLOBAL FZE. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
47335-706-54 | J7644 | SUN PHARMACEUTICAL GLOBAL FZE. | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
50090-0668-0 | J7644 | A-S MEDICATION SOLUTIONS | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 12.5 |
60687-394-83 | J7644 | AMERICAN HEALTH PACKAGING | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
76204-100-01 | J7644 | RITEDOSE PHARMACEUTICALS | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
76204-100-25 | J7644 | RITEDOSE PHARMACEUTICALS | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 12.5 |
76204-100-30 | J7644 | RITEDOSE PHARMACEUTICALS | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
76204-100-60 | J7644 | RITEDOSE PHARMACEUTICALS | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
64281-100-06 | J7674 | METHAPHARM INC | Methacholine chloride, neb | 1 MG | 1 | 6 | 100 | 600 |
49502-806-93 | J7677 | MYLAN SPECIALTY, L.P. | Revefenacin inh non-com 1mcg | 1 MCG | 3 | 30 | 175 | 5250 |
0078-0494-71 | J7682 | MYLAN SPECIALTY L.P. (NOVARTIS LABELER CODE) | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
0093-3750-28 | J7682 | TEVA PHARMACEUTICALS USA, INC. | Tobramycin non-comp unit | 300 MG | 4 | 28 | 1 | 28 |
0093-3750-63 | J7682 | TEVA PHARMACEUTICALS USA, INC. | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
0093-4085-63 | J7682 | TEVA PHARMACEUTICALS USA, INC. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
10122-820-28 | J7682 | CHIESI USA, INC. | Tobramycin non-comp unit | 300 MG | 4 | 28 | 1 | 28 |
10122-820-56 | J7682 | CHIESI USA, INC. | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
16714-119-03 | J7682 | NORTHSTAR RX LLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
17478-340-38 | J7682 | AKORN | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
24492-850-56 | J7682 | PARI RESPIRATORY EQUIPMENT, INC. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
43598-605-56 | J7682 | DR. REDDY'S LABORATORIES, INC. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
43598-605-58 | J7682 | DR. REDDY'S LABORATORIES, INC. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
65162-914-46 | J7682 | AMNEAL PHARMACEUTICALS, LLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
66993-195-94 | J7682 | PRASCO LABORATORIES | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
70644-899-99 | J7682 | GENERICUS, INC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
66302-206-01 | J7686 | UNITED THERAPEUTICS | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 28 | 1 | 28 |
66302-206-02 | J7686 | UNITED THERAPEUTICS | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 28 | 1 | 28 |
66302-206-03 | J7686 | UNITED THERAPEUTICS | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 4 | 1 | 4 |
66302-206-04 | J7686 | UNITED THERAPEUTICS | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 4 | 1 | 4 |
0006-0461-02 | J8501 | MERCK SHARP & DOHME CORP. | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
0006-3066-03 | J8501 | MERCK SHARP & DOHME CORP. | Oral aprepitant | 5 MG | 1 | 1 | 25 | 25 |
0006-3862-03 | J8501 | MERCK SHARP & DOHME CORP. | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
0781-2321-06 | J8501 | SANDOZ | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
0781-2321-51 | J8501 | SANDOZ | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
0781-2322-46 | J8501 | SANDOZ | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
0781-2322-68 | J8501 | SANDOZ | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
0781-2323-68 | J8501 | SANDOZ | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
0781-4063-36 | J8501 | SANDOZ | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
68462-112-33 | J8501 | GLENMARK PHARMACEUTICALS INC., USA | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
68462-583-40 | J8501 | GLENMARK PHARMACEUTICALS INC., USA | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
68462-583-85 | J8501 | GLENMARK PHARMACEUTICALS INC., USA | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
68462-584-58 | J8501 | GLENMARK PHARMACEUTICALS INC., USA | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
68462-584-76 | J8501 | GLENMARK PHARMACEUTICALS INC., USA | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
68462-585-76 | J8501 | GLENMARK PHARMACEUTICALS INC., USA | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
0004-1100-20 | J8520 | GENENTECH, INC. | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
0054-0271-21 | J8520 | HIKMA PHARMACEUTICALS USA INC. | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
0093-7473-06 | J8520 | TEVA PHARMACEUTICALS USA, INC. | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
0378-2511-91 | J8520 | MYLAN PHARMACEUTICALS, INC | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
16714-467-01 | J8520 | NORTHSTAR RX LLC | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
16729-072-12 | J8520 | ACCORD HEALTHCARE INC. | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
64980-276-06 | J8520 | RISING PHARMACEUTICALS | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
65162-843-06 | J8520 | AMNEAL PHARMACEUTICALS, LLC | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
69097-949-03 | J8520 | CIPLA USA INC. | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
70756-815-60 | J8520 | LIFESTAR PHARMACEUTICALS | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
72485-204-60 | J8520 | ARMAS PHARMACEUTICALS, INC. | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
0004-1101-50 | J8521 | GENENTECH, INC. | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
0054-0272-23 | J8521 | HIKMA PHARMACEUTICALS USA INC. | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
0093-7474-89 | J8521 | TEVA PHARMACEUTICALS USA, INC. | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
0378-2512-78 | J8521 | MYLAN PHARMACEUTICALS, INC | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
16714-468-01 | J8521 | NORTHSTAR RX LLC | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
16729-073-29 | J8521 | ACCORD HEALTHCARE INC. | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
64980-277-12 | J8521 | RISING PHARMACEUTICALS | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
65162-844-16 | J8521 | AMNEAL PHARMACEUTICALS, LLC | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
69097-948-08 | J8521 | CIPLA USA INC. | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
70756-816-22 | J8521 | LIFESTAR PHARMACEUTICALS | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
72485-205-12 | J8521 | ARMAS PHARMACEUTICALS, INC. | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
0054-0382-25 | J8530 | HIKMA PHARMACEUTICALS USA INC. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 100 | 100 |
0054-0383-25 | J8530 | HIKMA PHARMACEUTICALS USA INC. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 200 | 200 |
10019-982-01 | J8530 | BAXTER | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 100 | 100 |
10019-984-01 | J8530 | BAXTER | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 200 | 200 |
62559-930-01 | J8530 | ANI PHARMACEUTICALS, INC | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 100 | 100 |
69097-516-07 | J8530 | CIPLA USA INC. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 100 | 100 |
69097-517-07 | J8530 | CIPLA USA INC. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 200 | 200 |
50090-0088-4 | J8540 | A-S MEDICATION SOLUTIONS | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
50090-0089-0 | J8540 | A-S MEDICATION SOLUTIONS | Oral dexamethasone | 0.25 MG | 28 | 1 | 448 | 448 |
60432-466-08 | J8540 | MORTON GROVE PHARM. | Oral dexamethasone | 0.25 MG | 237 | 1 | 94.8 | 94.8 |
0378-3266-94 | J8560 | MYLAN PHARMACEUTICALS, INC | Etoposide oral 50 mg | 50 MG | 20 | 1 | 20 | 20 |
0054-4550-15 | J8610 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
0054-4550-25 | J8610 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0054-8550-25 | J8610 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0378-0014-01 | J8610 | MYLAN PHARMACEUTICALS, INC | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0555-0572-02 | J8610 | BARR PHARMACEUTICALS, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0555-0572-35 | J8610 | BARR PHARMACEUTICALS, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
47335-235-83 | J8610 | SUN PHARMACEUTICAL GLOBAL FZE. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
47335-235-96 | J8610 | SUN PHARMACEUTICAL GLOBAL FZE. | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
50090-3418-9 | J8610 | A-S MEDICATION SOLUTIONS | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
50090-5457-9 | J8610 | A-S MEDICATION SOLUTIONS | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
51079-670-05 | J8610 | MYLAN INSTITUTIONAL INC. | Methotrexate oral 2.5 mg | 2.5 MG | 20 | 1 | 20 | 20 |
51285-366-01 | J8610 | DURAMED PHARMACEUTICALS, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 2 | 60 |
51285-367-01 | J8610 | DURAMED PHARMACEUTICALS, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 90 | 90 |
51285-368-01 | J8610 | DURAMED PHARMACEUTICALS, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 120 | 120 |
51285-369-01 | J8610 | DURAMED PHARMACEUTICALS, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 180 | 180 |
69639-101-01 | J8655 | HELSINN THERAPUTICS (US) INC | Oral netupitant, palonosetro | 300 MG/0.5 MG | 1 | 1 | 1 | 1 |
70720-101-02 | J8670 | TERSERA THERAPEUTICS LLC | Rolapitant, oral, 1mg | 1 MG | 2 | 1 | 180 | 180 |
0085-1366-03 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 5 | 20 | 100 |
0085-1366-04 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 14 | 20 | 280 |
0085-1417-02 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 5 | 50 | 250 |
0085-1425-03 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 5 | 28 | 140 |
0085-1425-04 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 14 | 28 | 392 |
0085-1430-03 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 5 | 36 | 180 |
0085-1430-04 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 14 | 36 | 504 |
0085-1519-03 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 5 | 4 | 20 |
0085-1519-04 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 14 | 4 | 56 |
0085-3004-03 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 5 | 1 | 5 |
0085-3004-04 | J8700 | SCHERING CORPORATION | Temozolomide | 5 MG | 1 | 14 | 1 | 14 |
0781-2691-44 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 14 | 1 | 14 |
0781-2691-75 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 5 | 1 | 5 |
0781-2692-44 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 14 | 4 | 56 |
0781-2692-75 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 5 | 4 | 20 |
0781-2693-44 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 14 | 20 | 280 |
0781-2693-75 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 5 | 20 | 100 |
0781-2694-44 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 14 | 28 | 392 |
0781-2694-75 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 5 | 28 | 140 |
0781-2695-44 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 14 | 36 | 504 |
0781-2695-75 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 5 | 36 | 180 |
0781-2696-75 | J8700 | SANDOZ | Temozolomide | 5 MG | 1 | 5 | 50 | 250 |
16729-048-53 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 5 | 1 | 5 |
16729-048-54 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 14 | 1 | 14 |
16729-049-53 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 5 | 4 | 20 |
16729-049-54 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 14 | 4 | 56 |
16729-050-53 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 5 | 20 | 100 |
16729-050-54 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 14 | 20 | 280 |
16729-051-53 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 5 | 50 | 250 |
16729-129-53 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 5 | 28 | 140 |
16729-129-54 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 14 | 28 | 392 |
16729-130-53 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 5 | 36 | 180 |
16729-130-54 | J8700 | ACCORD HEALTHCARE INC. | Temozolomide | 5 MG | 1 | 14 | 36 | 504 |
47335-890-72 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 15 | 1 | 15 |
47335-890-74 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 5 | 1 | 5 |
47335-891-72 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 15 | 4 | 60 |
47335-891-74 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 5 | 4 | 20 |
47335-892-72 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 15 | 20 | 300 |
47335-892-74 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 5 | 20 | 100 |
47335-893-74 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 5 | 50 | 250 |
47335-929-72 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 15 | 28 | 420 |
47335-929-74 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 5 | 28 | 140 |
47335-930-72 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 15 | 36 | 540 |
47335-930-74 | J8700 | SUN PHARMACEUTICAL GLOBAL FZE. | Temozolomide | 5 MG | 1 | 5 | 36 | 180 |
64980-333-05 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 5 | 1 | 5 |
64980-333-14 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 14 | 1 | 14 |
64980-334-05 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 5 | 4 | 20 |
64980-334-14 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 14 | 4 | 56 |
64980-335-05 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 5 | 20 | 100 |
64980-335-14 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 14 | 20 | 280 |
64980-336-05 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 5 | 28 | 140 |
64980-336-14 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 14 | 28 | 392 |
64980-337-05 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 5 | 36 | 180 |
64980-337-14 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 14 | 36 | 504 |
64980-338-05 | J8700 | RISING PHARMACEUTICALS | Temozolomide | 5 MG | 1 | 5 | 50 | 250 |
65162-801-14 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 14 | 1 | 14 |
65162-801-51 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 5 | 1 | 5 |
65162-802-14 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 14 | 4 | 56 |
65162-802-51 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 5 | 4 | 20 |
65162-803-14 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 14 | 20 | 280 |
65162-803-51 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 5 | 20 | 100 |
65162-804-14 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 14 | 28 | 392 |
65162-804-51 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 5 | 28 | 140 |
65162-805-14 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 14 | 36 | 504 |
65162-805-51 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 5 | 36 | 180 |
65162-806-51 | J8700 | AMNEAL PHARMACEUTICALS, LLC | Temozolomide | 5 MG | 1 | 5 | 50 | 250 |
0078-0672-01 | J8705 | NOVARTIS PHARMACEUTICALS CORPORATION | Topotecan oral | 0.25 mg | 1 | 10 | 1 | 10 |
0078-0673-01 | J8705 | NOVARTIS PHARMACEUTICALS CORPORATION | Topotecan oral | 0.25 mg | 1 | 10 | 4 | 40 |
0069-3030-20 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0069-3031-20 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0069-3032-20 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0069-3033-20 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 75 | 1 | 15 | 15 |
0069-3034-20 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0069-4004-05 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0069-4015-10 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0069-4026-25 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0069-4037-01 | J9000 | PFIZER INC. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9084-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9085-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0143-9086-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0143-9087-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9088-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9089-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0143-9090-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0143-9091-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9092-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9275-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 1 | 1 | 1 | 1 |
0143-9277-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
0143-9369-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9370-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0143-9371-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0143-9372-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9546-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9547-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0143-9548-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0143-9549-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
16714-001-01 | J9000 | NORTHSTAR RX LLC | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
45963-733-55 | J9000 | ACTAVIS PHARMA, INC. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
45963-733-57 | J9000 | ACTAVIS PHARMA, INC. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
45963-733-60 | J9000 | ACTAVIS PHARMA, INC. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
45963-733-68 | J9000 | ACTAVIS PHARMA, INC. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
63323-101-61 | J9000 | FRESENIUS KABI | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
63323-883-05 | J9000 | FRESENIUS KABI | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
63323-883-10 | J9000 | FRESENIUS KABI | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
63323-883-30 | J9000 | FRESENIUS KABI | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
67457-436-50 | J9000 | MYLAN INSTITUTIONAL LLC | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
70860-208-25 | J9000 | ATHENEX | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
70860-208-51 | J9000 | ATHENEX | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
14789-600-10 | J9017 | NEXUS PHARMACEUTICAL INC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
50742-438-10 | J9017 | INGENUS PHARMACEUTICALS, LLC | Arsenic trioxide injection | 1 MG | 10 | 1 | 10 | 10 |
63323-637-10 | J9017 | FRESENIUS KABI | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
63459-601-06 | J9017 | CEPHALON INC. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
68382-997-10 | J9017 | ZYDUS PHARMACEUTICALS | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
69918-720-02 | J9017 | AMRING PHARMACEUTICALS | Arsenic trioxide injection | 1 MG | 10 | 2 | 10 | 20 |
69918-720-10 | J9017 | AMRING PHARMACEUTICALS | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
70121-1483-7 | J9017 | AMNEAL BIOSCIENCES | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
70121-1658-1 | J9017 | AMNEAL BIOSCIENCES | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
70710-1610-6 | J9017 | ZYDUS PHARMACEUTICALS | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
70860-217-10 | J9017 | ATHENEX | Arsenic trioxide injection | 1 MG | 10 | 1 | 10 | 10 |
68727-900-03 | J9021 | JAZZ PHARMACEUTICALS, INC. | Inj, aspara, rylaze, 0.1 mg | 0.1 mg | 0.5 | 3 | 100 | 300 |
50242-917-01 | J9022 | GENENTECH, INC. | Inj, atezolizumab,10 mg | 10mg | 20 | 1 | 120 | 120 |
50242-918-01 | J9022 | GENENTECH, INC. | Inj, atezolizumab,10 mg | 10 MG | 14 | 1 | 84 | 84 |
44087-3535-1 | J9023 | EMD SERONO, INC. | Injection, avelumab, 10 mg | 10 MG | 10 | 1 | 20 | 20 |
0143-9606-01 | J9025 | HIKMA PHARMACEUTICALS USA INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
0781-3253-94 | J9025 | SANDOZ | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
0781-9253-94 | J9025 | SANDOZ | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
16714-927-01 | J9025 | NORTHSTAR RX LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
16729-306-10 | J9025 | ACCORD HEALTHCARE INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
43598-305-62 | J9025 | DR. REDDY'S LABORATORIES, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
43598-465-62 | J9025 | DR. REDDY'S LABORATORIES, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
43598-678-11 | J9025 | DR. REDDY'S LABORATORIES, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
51991-797-98 | J9025 | BRECKENRIDGE PHARMACEUTICAL | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
59572-102-01 | J9025 | CELGENE CORPORATION | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
63323-771-39 | J9025 | FRESENIUS KABI | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
67457-254-30 | J9025 | MYLAN INSTITUTIONAL LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
68001-313-56 | J9025 | AMERICAN HEALTH PACKAGING | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
69097-805-40 | J9025 | CIPLA USA INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
72485-201-01 | J9025 | ARMAS PHARMACEUTICALS, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
0024-5860-01 | J9027 | SANOFI-AVENTIS | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
0955-1746-01 | J9027 | SANOFI-AVENTIS | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
43598-309-20 | J9027 | DR. REDDY'S LABORATORIES, INC. | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
60505-6166-0 | J9027 | APOTEX CORP. | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
63323-572-70 | J9027 | FRESENIUS KABI | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
67457-546-20 | J9027 | MYLAN INSTITUTIONAL LLC | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
70121-1236-1 | J9027 | AMNEAL BIOSCIENCES | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
72266-108-01 | J9027 | FOSUN PHARMA | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
0052-0602-02 | J9030 | ORGANON USA, INC. | Bcg live intravesical 1mg | 1 EA | 1 | 1 | 50 | 50 |
0052-0603-02 | J9030 | ORGANON USA, INC. | Bcg live intravesical 1mg | 1 EA | 1 | 1 | 50 | 50 |
68152-108-09 | J9032 | SPECTRUM PHARMACEUTICALS | Injection, belinostat, 10mg | 10 MG | 1 | 1 | 50 | 50 |
72893-002-01 | J9032 | ACROTECH BIOPHARMA | Injection, belinostat, 10mg | 10 MG | 1 | 1 | 50 | 50 |
63459-390-08 | J9033 | CEPHALON INC. | Inj., treanda 1 mg | 1 MG | 1 | 1 | 25 | 25 |
63459-391-20 | J9033 | CEPHALON INC. | Inj., treanda 1 mg | 1 MG | 1 | 1 | 100 | 100 |
63459-348-04 | J9034 | CEPHALON INC. | Inj., bendeka 1 mg | 1 MG | 4 | 1 | 100 | 100 |
50242-060-01 | J9035 | GENENTECH, INC. | Bevacizumab injection | 10 MG | 4 | 1 | 10 | 10 |
50242-060-10 | J9035 | GENENTECH, INC. | Bevacizumab injection | 10 MG | 4 | 10 | 10 | 100 |
50242-061-01 | J9035 | GENENTECH, INC. | Bevacizumab injection | 10 MG | 16 | 1 | 40 | 40 |
50242-061-10 | J9035 | GENENTECH, INC. | Bevacizumab injection | 10 MG | 16 | 10 | 40 | 400 |
42367-521-25 | J9036 | EAGLE PHARMACEUTICALS, INC. | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
0173-0896-01 | J9037 | GLAXOSMITHKLINE | Inj belantamab mafodot blmf | 0.5 MG | 1 | 1 | 200 | 200 |
55513-160-01 | J9039 | AMGEN USA, INC. | Injection, blinatumomab | 1 MCG | 1 | 1 | 35 | 35 |
0143-9240-01 | J9040 | HIKMA PHARMACEUTICALS USA INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
0143-9241-01 | J9040 | HIKMA PHARMACEUTICALS USA INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
0409-0323-20 | J9040 | PFIZER INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
0409-0332-20 | J9040 | PFIZER INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
0703-3154-01 | J9040 | SICOR PHARMACEUTICALS, INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
0703-3155-01 | J9040 | SICOR PHARMACEUTICALS, INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
16714-886-01 | J9040 | NORTHSTAR RX LLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
16714-908-01 | J9040 | NORTHSTAR RX LLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
61703-323-22 | J9040 | PFIZER INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
61703-332-18 | J9040 | PFIZER INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
63323-136-10 | J9040 | FRESENIUS KABI | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
63323-137-20 | J9040 | FRESENIUS KABI | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 2 |
63020-049-01 | J9041 | MILLENNIUM PHARMACEUTICALS, INC. | Inj., velcade 0.1 mg | 0.1 MG | 1 | 1 | 35 | 35 |
51144-050-01 | J9042 | SEATTLE GENETICS | Brentuximab vedotin inj | 1mg | 1 | 1 | 50 | 50 |
0024-5824-11 | J9043 | SANOFI-AVENTIS | Cabazitaxel injection | 1 MG | 1 | 1 | 60 | 60 |
63323-721-10 | J9044 | FRESENIUS KABI | Inj, bortezomib, nos, 0.1 mg | 0.1 MG | 1 | 1 | 35 | 35 |
0703-4239-01 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
0703-4239-81 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
0703-4244-01 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
0703-4244-81 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
0703-4246-01 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
0703-4246-81 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
0703-4248-01 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
0703-4248-81 | J9045 | SICOR PHARMACEUTICALS, INC. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
16729-295-12 | J9045 | ACCORD HEALTHCARE INC. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
16729-295-31 | J9045 | ACCORD HEALTHCARE INC. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
16729-295-33 | J9045 | ACCORD HEALTHCARE INC. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
16729-295-34 | J9045 | ACCORD HEALTHCARE INC. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
55150-335-01 | J9045 | AUROMEDICS PHARMA LLC | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
55150-386-01 | J9045 | AUROMEDICS PHARMA LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
61703-339-18 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
61703-339-22 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
61703-339-50 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
61703-339-56 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 45 | 1 | 12 | 12 |
63323-172-60 | J9045 | FRESENIUS KABI | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
69448-005-12 | J9045 | ACCORD BIOPHARMA INC. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
69448-005-31 | J9045 | ACCORD BIOPHARMA INC. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
69448-005-33 | J9045 | ACCORD BIOPHARMA INC. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
69448-005-34 | J9045 | ACCORD BIOPHARMA INC. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
69448-005-38 | J9045 | ACCORD BIOPHARMA INC. | Carboplatin injection | 50 MG | 100 | 1 | 20 | 20 |
76075-101-01 | J9047 | AMGEN USA, INC. | Injection, carfilzomib, 1 mg | 1 mg | 1 | 1 | 60 | 60 |
76075-102-01 | J9047 | AMGEN USA, INC. | Injection, carfilzomib, 1 mg | 1 mg | 1 | 1 | 30 | 30 |
76075-103-01 | J9047 | AMGEN USA, INC. | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 10 | 10 |
0781-3474-32 | J9050 | SANDOZ | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
23155-261-41 | J9050 | HERITAGE PHARMACEUTICALS, INC. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
23155-649-41 | J9050 | HERITAGE PHARMACEUTICALS, INC. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
23155-790-41 | J9050 | HERITAGE PHARMACEUTICALS, INC. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
43598-628-57 | J9050 | DR. REDDY'S LABORATORIES, INC. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
54879-036-64 | J9050 | STI PHARMA, LLC | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
70121-1482-2 | J9050 | AMNEAL BIOSCIENCES | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
70710-1525-9 | J9050 | ZYDUS PHARMACEUTICALS | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
66733-948-23 | J9055 | ELI LILLY AND COMPANY | Cetuximab injection | 10 MG | 50 | 1 | 10 | 10 |
66733-958-23 | J9055 | ELI LILLY AND COMPANY | Cetuximab injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9504-01 | J9060 | HIKMA PHARMACEUTICALS USA INC. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
0143-9505-01 | J9060 | HIKMA PHARMACEUTICALS USA INC. | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
0703-5747-11 | J9060 | SICOR PHARMACEUTICALS, INC. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
0703-5748-11 | J9060 | SICOR PHARMACEUTICALS, INC. | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
16729-288-11 | J9060 | ACCORD HEALTHCARE INC. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
16729-288-38 | J9060 | ACCORD HEALTHCARE INC. | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
44567-509-01 | J9060 | WG CRITICAL CARE | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
44567-510-01 | J9060 | WG CRITICAL CARE | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
44567-511-01 | J9060 | WG CRITICAL CARE | Cisplatin 10 mg injection | 10 MG | 200 | 1 | 20 | 20 |
44567-530-01 | J9060 | WG CRITICAL CARE | Cisplatin 10 mg injection | 10 MG | 1 | 1 | 5 | 5 |
63323-103-51 | J9060 | FRESENIUS KABI | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
63323-103-64 | J9060 | FRESENIUS KABI | Cisplatin 10 mg injection | 10 MG | 200 | 1 | 20 | 20 |
63323-103-65 | J9060 | FRESENIUS KABI | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
68001-283-27 | J9060 | AMERICAN HEALTH PACKAGING | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
68001-283-32 | J9060 | AMERICAN HEALTH PACKAGING | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
70860-206-50 | J9060 | ATHENEX | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
70860-206-51 | J9060 | ATHENEX | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
57894-501-01 | J9061 | JANSSEN BIOTECH, INC. | Inj, amivantamab-vmjw | 2 mg | 7 | 1 | 175 | 175 |
0143-9871-01 | J9065 | HIKMA PHARMACEUTICALS USA INC. | Inj cladribine per 1 mg | 1 MG | 1 | 1 | 10 | 10 |
42658-010-01 | J9065 | HISUN PHARMACEUTICALS USA, INC. | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
63323-140-10 | J9065 | FRESENIUS KABI | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
67457-450-10 | J9065 | MYLAN INSTITUTIONAL LLC | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
0781-3233-94 | J9070 | SANDOZ | Cyclophosphamide 100 mg inj | 100 MG | 50 | 1 | 5 | 5 |
0781-3244-94 | J9070 | SANDOZ | Cyclophosphamide 100 mg inj | 100 MG | 75 | 1 | 10 | 10 |
0781-3255-94 | J9070 | SANDOZ | Cyclophosphamide 100 mg inj | 100 MG | 100 | 1 | 20 | 20 |
10019-935-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 50 | 1 | 5 | 5 |
10019-936-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 75 | 1 | 10 | 10 |
10019-937-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 100 | 1 | 20 | 20 |
10019-938-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 50 | 1 | 5 | 5 |
10019-939-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 75 | 1 | 10 | 10 |
10019-942-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 100 | 1 | 20 | 20 |
10019-943-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 50 | 1 | 5 | 5 |
10019-944-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 75 | 1 | 10 | 10 |
10019-945-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 100 | 1 | 20 | 20 |
10019-955-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 50 | 1 | 5 | 5 |
10019-956-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 75 | 1 | 10 | 10 |
10019-957-01 | J9070 | BAXTER | Cyclophosphamide 100 mg inj | 100 MG | 100 | 1 | 20 | 20 |
16714-857-01 | J9070 | NORTHSTAR RX LLC | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 10 | 10 |
16714-858-01 | J9070 | NORTHSTAR RX LLC | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 20 | 20 |
16714-859-01 | J9070 | NORTHSTAR RX LLC | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 5 | 5 |
50742-519-02 | J9070 | INGENUS PHARMACEUTICALS, LLC | Cyclophosphamide 100 mg inj | 100 MG | 2.5 | 1 | 5 | 5 |
50742-520-05 | J9070 | INGENUS PHARMACEUTICALS, LLC | Cyclophosphamide 100 mg inj | 100 MG | 5 | 1 | 10 | 10 |
50742-521-10 | J9070 | Ingenus Pharmaceuticals, Llc | Cyclophosphamide 100 mg inj | 100 MG | 10 | 1 | 20 | 20 |
70121-1238-1 | J9070 | AMNEAL BIOSCIENCES | Cyclophosphamide 100 mg inj | 100 MG | 50 | 1 | 5 | 5 |
70121-1239-1 | J9070 | AMNEAL BIOSCIENCES | Cyclophosphamide 100 mg inj | 100 MG | 75 | 1 | 10 | 10 |
70121-1240-1 | J9070 | AMNEAL BIOSCIENCES | Cyclophosphamide 100 mg inj | 100 MG | 100 | 1 | 20 | 20 |
70860-218-03 | J9070 | ATHENEX | Cyclophosphamide 100 mg inj | 100 MG | 2.5 | 1 | 5 | 5 |
70860-218-05 | J9070 | ATHENEX | Cyclophosphamide 100 mg inj | 100 MG | 5 | 1 | 10 | 10 |
70860-218-10 | J9070 | ATHENEX | Cyclophosphamide 100 mg inj | 100 MG | 10 | 1 | 20 | 20 |
72603-104-01 | J9070 | NORTHSTAR RX LLC | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 5 | 5 |
72603-326-01 | J9070 | NORTHSTAR RX LLC | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 10 | 10 |
61703-303-46 | J9100 | PFIZER INC. | Cytarabine hcl 100 mg inj | 100 MG | 50 | 1 | 10 | 10 |
61703-304-36 | J9100 | PFIZER INC. | Cytarabine hcl 100 mg inj | 100 MG | 25 | 1 | 5 | 5 |
61703-305-38 | J9100 | PFIZER INC. | Cytarabine hcl 100 mg inj | 100 MG | 5 | 5 | 1 | 5 |
61703-319-22 | J9100 | PFIZER INC. | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
63323-120-20 | J9100 | FRESENIUS KABI | Cytarabine hcl 100 mg inj | 100 MG | 1 | 1 | 20 | 20 |
67457-452-20 | J9100 | MYLAN INSTITUTIONAL LLC | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
67457-455-52 | J9100 | MYLAN INSTITUTIONAL LLC | Cytarabine hcl 100 mg inj | 100 MG | 5 | 10 | 1 | 10 |
61755-008-01 | J9119 | REGENERON PHARMACEUTICALS INC. | Inj., cemiplimab-rwlc, 1 mg | 1 MG | 7 | 1 | 350 | 350 |
39822-2100-2 | J9120 | X-GEN PHARMACEUTICALS INC | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
55292-811-55 | J9120 | RECORDATI RARE DISEASES | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
67457-513-05 | J9120 | MYLAN INSTITUTIONAL INC. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
67457-928-02 | J9120 | MYLAN INSTITUTIONAL INC. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
0143-9245-10 | J9130 | HIKMA PHARMACEUTICALS USA INC. | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 2 | 20 |
0703-5075-01 | J9130 | SICOR PHARMACEUTICALS, INC. | Dacarbazine 100 mg inj | 100 MG | 1 | 1 | 2 | 2 |
0703-5075-03 | J9130 | SICOR PHARMACEUTICALS, INC. | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 2 | 20 |
63323-127-10 | J9130 | FRESENIUS KABI | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 1 | 10 |
63323-128-20 | J9130 | FRESENIUS KABI | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 2 | 20 |
57894-503-01 | J9144 | JANSSEN BIOTECH, INC. | Daratumumab, hyaluronidase | 10 MG | 15 | 1 | 180 | 180 |
57894-502-05 | J9145 | JANSSEN BIOTECH, INC. | Injection, daratumumab 10 mg | 10 MG | 5 | 1 | 10 | 10 |
57894-502-20 | J9145 | JANSSEN BIOTECH, INC. | Injection, daratumumab 10 mg | 10 MG | 20 | 1 | 40 | 40 |
0143-9550-01 | J9150 | HIKMA PHARMACEUTICALS USA INC. | Daunorubicin injection | 10 MG | 10 | 1 | 5 | 5 |
0143-9551-10 | J9150 | HIKMA PHARMACEUTICALS USA INC. | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
0703-5233-13 | J9150 | SICOR PHARMACEUTICALS, INC. | Daunorubicin injection | 10 MG | 1 | 10 | 2 | 20 |
42658-021-01 | J9150 | HISUN PHARMACEUTICALS USA, INC. | Daunorubicin injection | 10 MG | 4 | 1 | 2 | 2 |
42658-021-02 | J9150 | HISUN USA | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
68727-745-02 | J9153 | JAZZ PHARMACEUTICALS, INC. | Inj daunorubicin, cytarabine | 1 MG/2.27 MG | 1 | 2 | 44 | 88 |
68727-745-05 | J9153 | JAZZ PHARMACEUTICALS, INC. | Inj daunorubicin, cytarabine | 1 MG/2.27 MG | 1 | 5 | 44 | 220 |
55566-8303-1 | J9155 | FERRING PHARMACEUTICALS, INC. | Degarelix injection | 1 MG | 1 | 1 | 80 | 80 |
55566-8403-1 | J9155 | FERRING PHARMACEUTICALS, INC. | Degarelix injection | 1 MG | 1 | 2 | 120 | 240 |
0143-9204-01 | J9171 | HIKMA PHARMACEUTICALS USA INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0143-9205-01 | J9171 | HIKMA PHARMACEUTICALS USA INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0409-0016-01 | J9171 | HOSPIRA, INC. | Docetaxel injection | 1 MG | 16 | 1 | 16 | 16 |
0409-0201-02 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
0409-0201-10 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
0409-0201-20 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
0409-0366-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0409-0367-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0409-0368-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
0409-1732-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
0409-2026-01 | J9171 | HOSPIRA, INC. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
0409-5068-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0955-1020-01 | J9171 | SANOFI-AVENTIS | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0955-1021-04 | J9171 | SANOFI-AVENTIS | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0955-1022-08 | J9171 | SANOFI-AVENTIS | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
16729-267-63 | J9171 | ACCORD HEALTHCARE INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
16729-267-64 | J9171 | ACCORD HEALTHCARE INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
16729-267-65 | J9171 | ACCORD HEALTHCARE INC. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
25021-245-01 | J9171 | SAGENT PHARMACEUTICALS INC | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
25021-245-04 | J9171 | SAGENT PHARMACEUTICALS INC | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
43066-001-01 | J9171 | BAXTER | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
43066-006-01 | J9171 | BAXTER | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
43066-010-01 | J9171 | BAXTER | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
43598-258-11 | J9171 | DR. REDDY'S LABORATORIES, INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
43598-259-40 | J9171 | DR. REDDY'S LABORATORIES, INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
43598-389-57 | J9171 | DR. REDDY'S LABORATORIES, INC. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
43598-610-40 | J9171 | DR. REDDY'S LABORATORIES, INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
43598-611-11 | J9171 | DR. REDDY'S LABORATORIES, INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
45963-734-54 | J9171 | ACTAVIS PHARMA, INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
45963-765-52 | J9171 | ACTAVIS PHARMA, INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
47335-323-40 | J9171 | SUN PHARMACEUTICAL GLOBAL FZE. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
47335-895-40 | J9171 | SUN PHARMACEUTICAL GLOBAL FZE. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
47335-939-40 | J9171 | SUN PHARMACEUTICAL GLOBAL FZE. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
50742-431-08 | J9171 | INGENUS PHARMACEUTICALS, LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
50742-463-16 | J9171 | INGENUS PHARMACEUTICALS, LLC | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
55150-378-01 | J9171 | AUROMEDICS PHARMA LLC | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
55150-379-01 | J9171 | AUROMEDICS PHARMA LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
55150-380-01 | J9171 | AUROMEDICS PHARMA LLC | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
66758-050-01 | J9171 | SANDOZ | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
66758-050-02 | J9171 | SANDOZ | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
66758-050-03 | J9171 | SANDOZ | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
66758-950-02 | J9171 | SANDOZ | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
66758-950-03 | J9171 | SANDOZ | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
66758-950-04 | J9171 | SANDOZ | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
67457-531-02 | J9171 | MYLAN INSTITUTIONAL LLC | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
67457-532-08 | J9171 | MYLAN INSTITUTIONAL LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
67457-533-16 | J9171 | MYLAN INSTITUTIONAL LLC | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
67457-781-08 | J9171 | MYLAN INSTITUTIONAL LLC | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
0310-4500-12 | J9173 | ASTRAZENECA | Inj., durvalumab, 10 mg | 10 MG | 2.4 | 1 | 12 | 12 |
0310-4611-50 | J9173 | ASTRAZENECA | Inj., durvalumab, 10 mg | 10 MG | 10 | 1 | 50 | 50 |
0003-2291-11 | J9176 | BRISTOL-MYERS SQUIBB COMPANY | Injection, elotuzumab, 1mg | 1 MG | 1 | 1 | 300 | 300 |
0003-4522-11 | J9176 | BRISTOL-MYERS SQUIBB COMPANY | Injection, elotuzumab, 1mg | 1 MG | 1 | 1 | 400 | 400 |
51144-020-01 | J9177 | SEATTLE GENETICS | Inj enfort vedo-ejfv 0.25mg | 0.25 MG | 1 | 1 | 80 | 80 |
51144-030-01 | J9177 | SEATTLE GENETICS | Inj enfort vedo-ejfv 0.25mg | 0.25 MG | 1 | 1 | 120 | 120 |
0009-5091-01 | J9178 | PFIZER INC. | Inj, epirubicin hcl, 2 mg | 2 MG | 25 | 1 | 25 | 25 |
0009-5093-01 | J9178 | PFIZER INC. | Inj, epirubicin hcl, 2 mg | 2 MG | 100 | 1 | 100 | 100 |
0143-9202-01 | J9178 | HIKMA PHARMACEUTICALS USA INC. | Inj, epirubicin hcl, 2 mg | 2 MG | 25 | 1 | 25 | 25 |
0143-9203-01 | J9178 | HIKMA PHARMACEUTICALS USA INC. | Inj, epirubicin hcl, 2 mg | 2 MG | 100 | 1 | 100 | 100 |
62856-389-01 | J9179 | EISAI INC. | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
0143-9376-01 | J9181 | HIKMA PHARMACEUTICALS USA INC. | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
0143-9510-01 | J9181 | HIKMA PHARMACEUTICALS USA INC. | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
0143-9511-01 | J9181 | HIKMA PHARMACEUTICALS USA INC. | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
0143-9512-01 | J9181 | HIKMA PHARMACEUTICALS USA INC. | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
0703-5653-01 | J9181 | SICOR PHARMACEUTICALS, INC. | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
0703-5656-01 | J9181 | SICOR PHARMACEUTICALS, INC. | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
0703-5657-01 | J9181 | SICOR PHARMACEUTICALS, INC. | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
16729-114-08 | J9181 | ACCORD HEALTHCARE INC. | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
16729-114-11 | J9181 | ACCORD HEALTHCARE INC. | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
16729-114-31 | J9181 | ACCORD HEALTHCARE INC. | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
61269-410-20 | J9181 | H2-PHARMA | Etoposide injection | 10 MG | 1 | 1 | 10 | 10 |
63323-104-05 | J9181 | FRESENIUS KABI | Etoposide injection | 10 MG | 5 | 10 | 10 | 100 |
63323-104-25 | J9181 | FRESENIUS KABI | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
63323-104-50 | J9181 | FRESENIUS KABI | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
68001-265-25 | J9181 | AMERICAN HEALTH PACKAGING | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
68001-265-26 | J9181 | AMERICAN HEALTH PACKAGING | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
68001-265-27 | J9181 | AMERICAN HEALTH PACKAGING | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
24201-237-01 | J9185 | LEUCADIA PHARMACEUTICALS | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
25021-242-02 | J9185 | SAGENT PHARMACEUTICALS INC | Fludarabine phosphate inj | 50 MG | 2 | 1 | 1 | 1 |
45963-609-55 | J9185 | ACTAVIS PHARMA, INC. | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
45963-621-51 | J9185 | ACTAVIS PHARMA, INC. | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
63323-192-02 | J9185 | FRESENIUS KABI | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
16729-276-11 | J9190 | ACCORD HEALTHCARE INC. | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
16729-276-38 | J9190 | ACCORD HEALTHCARE INC. | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
16729-276-67 | J9190 | ACCORD HEALTHCARE INC. | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
16729-276-68 | J9190 | ACCORD HEALTHCARE INC. | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
25021-215-98 | J9190 | SAGENT PHARMACEUTICALS INC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
25021-215-99 | J9190 | SAGENT PHARMACEUTICALS INC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
63323-117-10 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
63323-117-18 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
63323-117-19 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
63323-117-20 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
63323-117-28 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
63323-117-51 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
63323-117-58 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
63323-117-59 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
63323-117-61 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
63323-117-68 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
63323-117-69 | J9190 | FRESENIUS KABI | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
62756-008-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 130 | 1 | 13 | 13 |
62756-073-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 120 | 1 | 12 | 12 |
62756-102-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 140 | 1 | 14 | 14 |
62756-219-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 150 | 1 | 15 | 15 |
62756-321-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 160 | 1 | 16 | 16 |
62756-438-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 170 | 1 | 17 | 17 |
62756-533-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 180 | 1 | 18 | 18 |
62756-614-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 190 | 1 | 19 | 19 |
62756-746-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 200 | 1 | 20 | 20 |
62756-974-60 | J9198 | SUN PHARMACEUTICAL INDUSTRIES, LTD. | Inj. infugem, 100 mg | 100 MG | 220 | 1 | 22 | 22 |
0143-9270-01 | J9200 | HIKMA PHARMACEUTICALS USA INC. | Floxuridine injection | 500 MG | 1 | 1 | 1 | 1 |
63323-145-07 | J9200 | FRESENIUS KABI | Floxuridine injection | 500 MG | 1 | 1 | 1 | 1 |
0409-0181-01 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
0409-0181-25 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
0409-0182-01 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
0409-0182-25 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
0409-0183-01 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
0409-0183-25 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
0409-0185-01 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
0409-0186-01 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
0409-0187-01 | J9201 | PFIZER INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 10 | 10 |
16714-909-01 | J9201 | NORTHSTAR RX LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
16714-930-01 | J9201 | NORTHSTAR RX LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
16729-092-03 | J9201 | ACCORD HEALTHCARE INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
16729-117-11 | J9201 | ACCORD HEALTHCARE INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
16729-118-38 | J9201 | ACCORD HEALTHCARE INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 10 | 10 |
16729-391-30 | J9201 | ACCORD HEALTHCARE INC. | In gemcitabine hcl nos 200mg | 200 MG | 2 | 1 | 1 | 1 |
16729-419-03 | J9201 | ACCORD HEALTHCARE INC. | In gemcitabine hcl nos 200mg | 200 MG | 10 | 1 | 5 | 5 |
16729-423-33 | J9201 | ACCORD HEALTHCARE INC. | In gemcitabine hcl nos 200mg | 200 MG | 15 | 1 | 7.5 | 7.5 |
16729-426-05 | J9201 | ACCORD HEALTHCARE INC. | In gemcitabine hcl nos 200mg | 200 MG | 20 | 1 | 10 | 10 |
25021-234-10 | J9201 | SAGENT PHARMACEUTICALS INC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
25021-235-50 | J9201 | SAGENT PHARMACEUTICALS INC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
63323-102-13 | J9201 | FRESENIUS KABI | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
63323-102-94 | J9201 | FRESENIUS KABI | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
63323-125-53 | J9201 | FRESENIUS KABI | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
63323-125-94 | J9201 | FRESENIUS KABI | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
63323-126-00 | J9201 | FRESENIUS KABI | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 10 | 10 |
63323-126-03 | J9201 | FRESENIUS KABI | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 10 | 10 |
67457-616-10 | J9201 | MYLAN INSTITUTIONAL LLC | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
67457-617-30 | J9201 | MYLAN INSTITUTIONAL LLC | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
67457-618-10 | J9201 | MYLAN INSTITUTIONAL LLC | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
68001-342-34 | J9201 | AMERICAN HEALTH PACKAGING | In gemcitabine hcl nos 200mg | 200 MG | 2 | 1 | 1 | 1 |
68001-348-36 | J9201 | AMERICAN HEALTH PACKAGING | In gemcitabine hcl nos 200mg | 200 MG | 10 | 1 | 5 | 5 |
68001-359-37 | J9201 | AMERICAN HEALTH PACKAGING | In gemcitabine hcl nos 200mg | 200 MG | 20 | 1 | 10 | 10 |
70860-205-50 | J9201 | ATHENEX | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
50090-3466-0 | J9202 | A-S MEDICATION SOLUTIONS | Goserelin acetate implant | 3.6 MG | 1 | 1 | 1 | 1 |
70720-950-36 | J9202 | TERSERA THERAPEUTICS LLC | Goserelin acetate implant | 3.6 MG | 1 | 1 | 1 | 1 |
70720-951-30 | J9202 | TERSERA THERAPEUTICS LLC | Goserelin acetate implant | 3.6 MG | 1 | 1 | 3 | 3 |
0008-4510-01 | J9203 | PFIZER INC. | Gemtuzumab ozogamicin 0.1 mg | 0.1 MG | 1 | 1 | 45 | 45 |
42747-761-01 | J9204 | KYOWA KIRIN, INC. | Inj mogamulizumab-kpkc, 1 mg | 1 MG | 5 | 1 | 20 | 20 |
15054-0043-1 | J9205 | IPSEN BIOPHARMACEUTICALS, INC | Inj irinotecan liposome 1 mg | 1 MG | 10 | 1 | 43 | 43 |
0009-7529-03 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
0009-7529-04 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
0009-7529-05 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 15 | 1 | 15 | 15 |
0143-9583-01 | J9206 | HIKMA PHARMACEUTICALS USA INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
0143-9701-01 | J9206 | HIKMA PHARMACEUTICALS USA INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
0143-9702-01 | J9206 | HIKMA PHARMACEUTICALS USA INC. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
16714-027-01 | J9206 | NORTHSTAR RX LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
16714-131-01 | J9206 | NORTHSTAR RX LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
25021-230-02 | J9206 | SAGENT PHARMACEUTICALS INC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
25021-230-05 | J9206 | SAGENT PHARMACEUTICALS INC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
45963-614-51 | J9206 | ACTAVIS PHARMA, INC. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
45963-614-55 | J9206 | ACTAVIS PHARMA, INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
45963-614-81 | J9206 | ACTAVIS PHARMA, INC. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
45963-614-85 | J9206 | ACTAVIS PHARMA, INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
50742-401-02 | J9206 | INGENUS PHARMACEUTICALS, LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
50742-402-05 | J9206 | INGENUS PHARMACEUTICALS, LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
55150-352-01 | J9206 | AUROMEDICS PHARMA LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
55150-353-01 | J9206 | AUROMEDICS PHARMA LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
55150-354-01 | J9206 | AUROMEDICS PHARMA LLC | Irinotecan injection | 20 MG | 15 | 1 | 15 | 15 |
60505-6128-0 | J9206 | APOTEX CORP. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
60505-6128-1 | J9206 | APOTEX CORP. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
61703-349-09 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
61703-349-16 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
61703-349-36 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 25 | 1 | 25 | 25 |
63323-193-52 | J9206 | FRESENIUS KABI | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
63323-193-55 | J9206 | FRESENIUS KABI | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
72485-211-02 | J9206 | ARMAS PHARMACEUTICALS, INC. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
72485-212-05 | J9206 | ARMAS PHARMACEUTICALS, INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
72485-213-15 | J9206 | ARMAS PHARMACEUTICALS, INC. | Irinotecan injection | 20 MG | 15 | 1 | 15 | 15 |
70020-1910-1 | J9207 | R-PHARM US, LLC | Ixabepilone injection | 1 MG | 1 | 1 | 15 | 15 |
70020-1911-1 | J9207 | R-PHARM US, LLC | Ixabepilone injection | 1 MG | 1 | 1 | 45 | 45 |
0143-9530-01 | J9208 | HIKMA PHARMACEUTICALS USA INC. | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
0143-9531-01 | J9208 | HIKMA PHARMACEUTICALS USA INC. | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
0338-3991-01 | J9208 | BAXTER | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
0338-3993-01 | J9208 | BAXTER | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
0703-3427-11 | J9208 | SICOR PHARMACEUTICALS, INC. | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
0703-3429-11 | J9208 | SICOR PHARMACEUTICALS, INC. | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
10019-925-01 | J9208 | BAXTER | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
10019-926-02 | J9208 | BAXTER | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
63323-142-10 | J9208 | FRESENIUS KABI | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
0338-1305-01 | J9209 | BAXTER | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
10019-953-01 | J9209 | BAXTER | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
10019-953-02 | J9209 | BAXTER | Mesna injection | 200 MG | 10 | 10 | 5 | 50 |
25021-201-10 | J9209 | SAGENT PHARMACEUTICALS INC | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
25021-201-11 | J9209 | SAGENT PHARMACEUTICALS INC | Mesna injection | 200 MG | 10 | 10 | 5 | 50 |
63323-733-10 | J9209 | FRESENIUS KABI | Mesna injection | 200 MG | 10 | 10 | 5 | 50 |
63323-733-11 | J9209 | FRESENIUS KABI | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
66658-501-01 | J9210 | SOBI | Inj., emapalumab-lzsg, 1 mg | 1 MG | 2 | 1 | 10 | 10 |
66658-505-01 | J9210 | SOBI | Inj., emapalumab-lzsg, 1 mg | 1 MG | 10 | 1 | 50 | 50 |
66658-510-01 | J9210 | SOBI | Inj., emapalumab-lzsg, 1 mg | 1 MG | 20 | 1 | 100 | 100 |
0013-2576-91 | J9211 | PFIZER INC. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0013-2586-91 | J9211 | PFIZER INC. | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0013-2596-91 | J9211 | PFIZER INC. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0143-9217-01 | J9211 | HIKMA PHARMACEUTICALS USA INC. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0143-9218-01 | J9211 | HIKMA PHARMACEUTICALS USA INC. | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0143-9219-01 | J9211 | HIKMA PHARMACEUTICALS USA INC. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0143-9306-01 | J9211 | HIKMA PHARMACEUTICALS USA INC. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0143-9307-01 | J9211 | HIKMA PHARMACEUTICALS USA INC. | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0143-9308-01 | J9211 | HIKMA PHARMACEUTICALS USA INC. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0703-4154-11 | J9211 | SICOR PHARMACEUTICALS, INC. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0703-4155-11 | J9211 | SICOR PHARMACEUTICALS, INC. | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0703-4156-11 | J9211 | SICOR PHARMACEUTICALS, INC. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0085-1133-01 | J9214 | SCHERING CORPORATION | Interferon alfa-2b inj | 1 MIL UNITS | 2.5 | 1 | 25 | 25 |
0085-1168-01 | J9214 | SCHERING CORPORATION | Interferon alfa-2b inj | 1 MIL UNITS | 3 | 1 | 18 | 18 |
0085-4350-01 | J9214 | SCHERING CORPORATION | Interferon alfa-2b inj | 1 MIL UNITS | 1 | 1 | 10 | 10 |
0085-4351-01 | J9214 | SCHERING CORPORATION | Interferon alfa-2b inj | 1 MIL UNITS | 1 | 1 | 18 | 18 |
0085-4352-01 | J9214 | SCHERING CORPORATION | Interferon alfa-2b inj | 1 MIL UNITS | 1 | 1 | 50 | 50 |
0074-3346-03 | J9217 | ABBVIE US, LLC | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
0074-3473-03 | J9217 | ABBVIE US, LLC | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
0074-3642-03 | J9217 | ABBVIE US, LLC | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
0074-3683-03 | J9217 | ABBVIE US, LLC | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 4 | 4 |
62935-223-05 | J9217 | TOLMAR | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
62935-303-30 | J9217 | TOLMAR | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 4 | 4 |
62935-453-45 | J9217 | TOLMAR | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
62935-753-75 | J9217 | TOLMAR | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
0781-4003-32 | J9218 | SANDOZ | Leuprolide acetate injeciton | 1 MG | 2.8 | 1 | 14 | 14 |
47335-936-40 | J9218 | SUN PHARMACEUTICAL GLOBAL FZE. | Leuprolide acetate injeciton | 1 MG | 2.8 | 1 | 14 | 14 |
72664-611-28 | J9218 | Vgyaan Pharmaceuticals Llc | Leuprolide acetate injeciton | 1 MG | 2.8 | 1 | 14 | 14 |
68727-712-01 | J9223 | JAZZ PHARMACEUTICALS, INC. | Inj. lurbinectedin, 0.1 mg | 0.1 MG | 1 | 1 | 40 | 40 |
67979-002-01 | J9226 | ENDO PHARMACEUTICALS VALERA INC. | Supprelin la implant | 50 MG | 1 | 1 | 1 | 1 |
0024-0654-01 | J9227 | SANOFI-AVENTIS | Inj. isatuximab-irfc 10 mg | 10 MG | 5 | 1 | 10 | 10 |
0024-0656-01 | J9227 | SANOFI-AVENTIS | Inj. isatuximab-irfc 10 mg | 10 MG | 25 | 1 | 50 | 50 |
0003-2327-11 | J9228 | BRISTOL-MYERS SQUIBB COMPANY | Ipilimumab injection | 1 MG | 10 | 1 | 50 | 50 |
0003-2328-22 | J9228 | BRISTOL-MYERS SQUIBB COMPANY | Ipilimumab injection | 1 MG | 40 | 1 | 200 | 200 |
0008-0100-01 | J9229 | PFIZER INC. | Inj inotuzumab ozogam 0.1 mg | 0.1 MG | 1 | 1 | 9 | 9 |
43598-027-48 | J9245 | DR. REDDY'S LABORATORIES, INC. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
43598-392-48 | J9245 | DR. REDDY'S LABORATORIES, INC. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
45963-686-02 | J9245 | ACTAVIS PHARMA, INC. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
52609-3001-0 | J9245 | APO PHARMA | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
63323-760-20 | J9245 | FRESENIUS KABI | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
67457-195-01 | J9245 | MYLAN INSTITUTIONAL LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
67457-215-01 | J9245 | MYLAN INSTITUTIONAL LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
67457-579-01 | J9245 | MYLAN INSTITUTIONAL LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
70860-214-61 | J9245 | ATHENEX | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
72266-128-01 | J9245 | FOSUN PHARMA | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
73657-020-01 | J9247 | ONCOPEPTIDES, INC. | Inj, melphalan flufenami 1mg | 1 MG | 1 | 1 | 20 | 20 |
0143-9519-10 | J9250 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate sodium inj | 5 MG | 2 | 10 | 10 | 100 |
0143-9830-01 | J9250 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate sodium inj | 5 MG | 1 | 1 | 200 | 200 |
0703-3671-01 | J9250 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 5 MG | 2 | 1 | 10 | 10 |
0703-3675-01 | J9250 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 5 MG | 10 | 1 | 50 | 50 |
0703-3678-01 | J9250 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 5 MG | 40 | 1 | 200 | 200 |
0703-3678-81 | J9250 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 5 MG | 40 | 1 | 200 | 200 |
16729-277-03 | J9250 | ACCORD HEALTHCARE INC. | Methotrexate sodium inj | 5 MG | 10 | 1 | 50 | 50 |
16729-277-30 | J9250 | ACCORD HEALTHCARE INC. | Methotrexate sodium inj | 5 MG | 2 | 1 | 10 | 10 |
16729-277-35 | J9250 | ACCORD HEALTHCARE INC. | Methotrexate sodium inj | 5 MG | 40 | 1 | 200 | 200 |
61703-350-10 | J9250 | PFIZER INC. | Methotrexate sodium inj | 5 MG | 2 | 5 | 10 | 50 |
61703-350-38 | J9250 | PFIZER INC. | Methotrexate sodium inj | 5 MG | 2 | 5 | 10 | 50 |
61703-408-25 | J9250 | PFIZER INC. | Methotrexate sodium inj | 5 MG | 40 | 1 | 200 | 200 |
61703-408-41 | J9250 | PFIZER INC. | Methotrexate sodium inj | 5 MG | 40 | 1 | 200 | 200 |
63323-122-50 | J9250 | FRESENIUS KABI | Methotrexate sodium inj | 5 MG | 1 | 1 | 200 | 200 |
63323-123-10 | J9250 | FRESENIUS KABI | Methotrexate sodium inj | 5 MG | 10 | 1 | 50 | 50 |
0143-9367-01 | J9260 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate sodium inj | 50 MG | 1 | 1 | 20 | 20 |
0143-9519-10 | J9260 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate sodium inj | 50 MG | 2 | 10 | 1 | 10 |
0143-9830-01 | J9260 | HIKMA PHARMACEUTICALS USA INC. | Methotrexate sodium inj | 50 MG | 1 | 1 | 20 | 20 |
0703-3671-01 | J9260 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 50 MG | 2 | 1 | 1 | 1 |
0703-3675-01 | J9260 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 50 MG | 10 | 1 | 5 | 5 |
0703-3678-01 | J9260 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 50 MG | 40 | 1 | 20 | 20 |
0703-3678-81 | J9260 | SICOR PHARMACEUTICALS, INC. | Methotrexate sodium inj | 50 MG | 40 | 1 | 20 | 20 |
16729-277-03 | J9260 | ACCORD HEALTHCARE INC. | Methotrexate sodium inj | 50 MG | 10 | 1 | 5 | 5 |
16729-277-30 | J9260 | ACCORD HEALTHCARE INC. | Methotrexate sodium inj | 50 MG | 2 | 1 | 1 | 1 |
16729-277-35 | J9260 | ACCORD HEALTHCARE INC. | Methotrexate sodium inj | 50 MG | 40 | 1 | 20 | 20 |
61703-350-10 | J9260 | PFIZER INC. | Methotrexate sodium inj | 50 MG | 2 | 5 | 1 | 5 |
61703-350-38 | J9260 | PFIZER INC. | Methotrexate sodium inj | 50 MG | 2 | 5 | 1 | 5 |
61703-408-25 | J9260 | PFIZER INC. | Methotrexate sodium inj | 50 MG | 40 | 1 | 20 | 20 |
61703-408-41 | J9260 | PFIZER INC. | Methotrexate sodium inj | 50 MG | 40 | 1 | 20 | 20 |
63323-122-50 | J9260 | FRESENIUS KABI | Methotrexate sodium inj | 50 MG | 1 | 1 | 20 | 20 |
63323-123-10 | J9260 | FRESENIUS KABI | Methotrexate sodium inj | 50 MG | 10 | 1 | 5 | 5 |
0078-0683-06 | J9261 | NOVARTIS PHARMACEUTICALS CORPORATION | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
70710-1726-1 | J9261 | ZYDUS PHARMACEUTICALS (USA) | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
70710-1726-8 | J9261 | ZYDUS PHARMACEUTICALS (USA) | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
63459-177-14 | J9262 | CEPHALON INC. | Inj, omacetaxine mep, 0.01mg | 0.01 mg | 1 | 1 | 350 | 350 |
0703-3985-01 | J9263 | SICOR PHARMACEUTICALS, INC. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
0703-3986-01 | J9263 | SICOR PHARMACEUTICALS, INC. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
0781-3315-70 | J9263 | SANDOZ | Oxaliplatin | 0.5 MG | 10 | 10 | 100 | 100 |
0781-3317-80 | J9263 | SANDOZ | Oxaliplatin | 0.5 MG | 20 | 10 | 200 | 200 |
0781-9315-70 | J9263 | SANDOZ | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
0781-9317-80 | J9263 | SANDOZ | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
0955-1725-10 | J9263 | SANOFI-AVENTIS | Oxaliplatin | 0.5 MG | 1 | 1 | 100 | 100 |
0955-1727-20 | J9263 | SANOFI-AVENTIS | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
0955-1731-10 | J9263 | SANOFI-AVENTIS | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
0955-1733-20 | J9263 | SANOFI-AVENTIS | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
16729-332-03 | J9263 | ACCORD HEALTHCARE INC. | Oxaliplatin | 0.5 MG | 10 | 10 | 100 | 100 |
16729-332-05 | J9263 | ACCORD HEALTHCARE INC. | Oxaliplatin | 0.5 MG | 20 | 10 | 200 | 200 |
25021-233-10 | J9263 | SAGENT PHARMACEUTICALS INC | Oxaliplatin | 0.5 MG | 10 | 10 | 100 | 100 |
25021-233-20 | J9263 | SAGENT PHARMACEUTICALS INC | Oxaliplatin | 0.5 MG | 20 | 10 | 200 | 200 |
43066-014-01 | J9263 | BAXTER | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
43066-018-01 | J9263 | BAXTER | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
45963-611-53 | J9263 | ACTAVIS PHARMA, INC. | Oxaliplatin | 0.5 MG | 1 | 1 | 100 | 100 |
45963-611-59 | J9263 | ACTAVIS PHARMA, INC. | Oxaliplatin | 0.5 MG | 1 | 1 | 200 | 200 |
50742-405-10 | J9263 | INGENUS PHARMACEUTICALS, LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
50742-406-20 | J9263 | INGENUS PHARMACEUTICALS, LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
55150-331-01 | J9263 | AUROMEDICS PHARMA LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
55150-332-01 | J9263 | AUROMEDICS PHARMA LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
60505-6132-6 | J9263 | APOTEX CORP. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
60505-6132-7 | J9263 | APOTEX CORP. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
61703-363-18 | J9263 | PFIZER INC. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
61703-363-22 | J9263 | PFIZER INC. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
63323-750-10 | J9263 | FRESENIUS KABI | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
63323-750-20 | J9263 | FRESENIUS KABI | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
67457-442-20 | J9263 | MYLAN INSTITUTIONAL LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
67457-469-10 | J9263 | MYLAN INSTITUTIONAL LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
72266-125-10 | J9263 | FOSUN PHARMA | Oxaliplatin | 0.5 MG | 10 | 10 | 100 | 1000 |
72266-126-10 | J9263 | FOSUN PHARMA | Oxaliplatin | 0.5 MG | 20 | 10 | 200 | 2000 |
72266-161-01 | J9263 | FOSUN PHARMA | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
72266-162-01 | J9263 | FOSUN PHARMA | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
72603-101-01 | J9263 | NORTHSTAR RX LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
72603-301-01 | J9263 | NORTHSTAR RX LLC | Oxaliplatin | 0.5 MG | 10 | 10 | 100 | 100 |
68817-134-50 | J9264 | CELGENE CORPORATION | Paclitaxel protein bound | 1 MG | 50 | 1 | 100 | 100 |
72694-954-01 | J9266 | SERVIER | Pegaspargase injection | 1 EA | 5 | 1 | 1 | 1 |
0703-3213-01 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
0703-3213-81 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
0703-3216-01 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
0703-3216-81 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
0703-3217-01 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 25 | 1 | 150 | 150 |
0703-3218-01 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
0703-3218-81 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
0703-4764-81 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
0703-4768-81 | J9267 | SICOR PHARMACEUTICALS, INC. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
16714-137-01 | J9267 | NORTHSTAR RX LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
45963-613-53 | J9267 | ACTAVIS PHARMA, INC. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
47781-595-07 | J9267 | ALVOGEN | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
61703-342-09 | J9267 | PFIZER INC. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
61703-342-22 | J9267 | PFIZER INC. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
61703-342-50 | J9267 | PFIZER INC. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
63323-763-05 | J9267 | FRESENIUS KABI | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
63323-763-16 | J9267 | FRESENIUS KABI | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
63323-763-50 | J9267 | FRESENIUS KABI | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
70860-200-05 | J9267 | ATHENEX | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
70860-200-17 | J9267 | ATHENEX | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
70860-200-50 | J9267 | ATHENEX | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
70860-215-66 | J9267 | Athenex Pharmaceutical Division, LLC. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
70860-215-67 | J9267 | Athenex Pharmaceutical Division, LLC. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
70860-215-68 | J9267 | ATHENEX PHARMACEUTICAL | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
0409-0801-01 | J9268 | PFIZER INC. | Pentostatin injection | 10 MG | 1 | 1 | 1 | 1 |
72187-0401-1 | J9269 | STEMLINE THERAPEUTICS | Inj. tagraxofusp-erzs 10 mcg | 10 MCG | 1 | 1 | 100 | 100 |
0006-3026-02 | J9271 | MERCK SHARP & DOHME CORP. | Inj pembrolizumab | 1 MG | 4 | 1 | 100 | 100 |
0006-3026-04 | J9271 | MERCK SHARP & DOHME CORP. | Inj pembrolizumab | 1 MG | 4 | 2 | 100 | 200 |
0173-0898-03 | J9272 | GLAXOSMITHKLINE | Inj, dostarlimab-gxly, 10 mg | 10 MG | 10 | 1 | 50 | 50 |
51144-003-01 | J9273 | SEATTLE GENETICS | Inj tisotu vedotin-tftv, 1mg | 1 MG | 1 | 1 | 40 | 40 |
0143-9279-01 | J9280 | HIKMA PHARMACEUTICALS USA INC. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
0143-9280-01 | J9280 |