NDC - HCPCS Crosswalk Average Sales Price (ASP)
Effective April 1, 2026 through June 30, 2026
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 |
|---|---|---|---|---|---|---|---|---|
| 54092-701-04 | J3385 | Takeda Pharmaceuticals America, Inc. | Velaglucerase alfa | 100 UNITS | 1 | 1 | 4 | 4 |
| 0187-5600-15 | J3396 | Bausch & Lomb Americas Inc. | Verteporfin injection | 0.1 MG | 1 | 1 | 150 | 150 |
| 82194-510-02 | J3401 | Krystal Biotech, Inc. | Vyjuvek 5x10^9pfu/ml, 0.1 ml | 0.1 ML | 1 | 1 | 25 | 25 |
| 73648-111-01 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 1 | 1 | 1 | 1 |
| 73648-112-02 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 1 | 1 | 1 | 1 |
| 73648-113-03 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 3 | 1 | 1 | 1 |
| 73648-114-01 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 4 | 1 | 1 | 1 |
| 73648-115-02 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 5 | 1 | 1 | 1 |
| 73648-116-03 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 6 | 1 | 1 | 1 |
| 73648-117-04 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 7 | 1 | 1 | 1 |
| 73648-118-02 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 8 | 1 | 1 | 1 |
| 73648-122-03 | J3402 | Mesoblast, Inc. | Inj. remestemcel-l-rknd/ td | Per Therapeutic Dose | 1 | 1 | 1 | 1 |
| 0404-9877-01 | J3410 | Henry Schein Inc. | Hydroxyzine hcl injection | 25 MG | 1 | 1 | 2 | 2 |
| 0404-9878-02 | J3410 | Henry Schein Inc. | Hydroxyzine hcl injection | 25 MG | 2 | 1 | 4 | 4 |
| 0517-4201-25 | J3410 | American Regent, Inc. | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 1 | 25 |
| 0517-5601-25 | J3410 | American Regent, Inc. | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 2 | 50 |
| 0517-5602-25 | J3410 | American Regent, Inc. | Hydroxyzine hcl injection | 25 MG | 2 | 25 | 4 | 100 |
| 51662-1649-3 | J3410 | HF Acquisition Co. LLC, DBA HealthFirst | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 1 | 25 |
| 0404-9799-20 | J3411 | Henry Schein Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
| 0404-9963-02 | J3411 | Henry Schein Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
| 0641-6228-25 | J3411 | Hikma Pharmaceuticals USA Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 25021-500-02 | J3411 | Sagent Pharmaceuticals | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 43598-050-25 | J3411 | Dr. Reddy's Laboratories 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 |
| 51662-1523-1 | J3411 | HF Acquisition Co. LLC, DBA HealthFirst | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
| 51662-1523-3 | J3411 | HF Acquisition Co. LLC, DBA HealthFirst | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 55150-273-25 | J3411 | Eugia US LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 63323-013-02 | J3411 | FreseniUS Kabi USA, LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 63323-013-09 | J3411 | FreseniUS Kabi USA, LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 63323-013-26 | J3411 | FreseniUS Kabi USA, LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 65145-129-25 | J3411 | Caplin Steriles USA Inc. | 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 |
| 72485-507-25 | J3411 | Armas Pharmaceuticals Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 72603-139-25 | J3411 | Northstar RxLLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
| 51662-1410-1 | J3415 | HF Acquisition Co. LLC, DBA HealthFirst | Pyridoxine hcl 100 mg | 100 MG | 1 | 1 | 1 | 1 |
| 51662-1410-3 | J3415 | HF Acquisition Co. LLC, DBA HealthFirst | Pyridoxine hcl 100 mg | 100 MG | 1 | 25 | 1 | 25 |
| 63323-180-01 | J3415 | FreseniUS Kabi USA, LLC | Pyridoxine hcl 100 mg | 100 MG | 1 | 25 | 1 | 25 |
| 0143-9619-01 | J3420 | Hikma Pharmaceuticals USA Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
| 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 |
| 0404-9783-30 | J3420 | Henry Schein Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
| 0404-9786-10 | J3420 | Henry Schein Inc. | Vitamin b12 injection | 1000 MCG | 10 | 1 | 10 | 10 |
| 0404-9840-10 | J3420 | Henry Schein Inc. | Vitamin b12 injection | 1000 MCG | 10 | 1 | 10 | 10 |
| 0404-9995-30 | J3420 | Henry Schein Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
| 0517-0031-25 | J3420 | American Regent, Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 0517-0032-25 | J3420 | American Regent, Inc. | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
| 0517-0130-01 | J3420 | American Regent, Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
| 16714-302-10 | J3420 | Northstar RxLLC | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
| 25021-502-01 | J3420 | Sagent Pharmaceuticals | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 50090-2709-0 | J3420 | A-S Medication Solutions | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 50090-6229-0 | J3420 | A-S Medication Solutions | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 51662-1394-1 | J3420 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
| 51662-1647-3 | J3420 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 63323-044-01 | J3420 | FreseniUS Kabi USA, LLC | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 63323-044-44 | J3420 | FreseniUS Kabi USA, LLC | 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 |
| 68001-542-60 | J3420 | BluePoint Laboratories | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 68001-640-60 | J3420 | BluePoint Laboratories | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 69680-112-10 | J3420 | Vitruvias Therapeutics, Inc. | Vitamin b12 injection | 1000 MCG | 1 | 10 | 1 | 10 |
| 69680-113-99 | J3420 | Vitruvias Therapeutics, Inc. | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
| 69680-121-05 | J3420 | Vitruvias Therapeutics, Inc. | Vitamin b12 injection | 1000 MCG | 30 | 5 | 30 | 150 |
| 70069-005-10 | J3420 | Somerset Pharma, LLC | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 70069-171-10 | J3420 | Somerset Pharma, LLC | Vitamin b12 injection | 1000 MCG | 30 | 10 | 30 | 300 |
| 70069-172-10 | J3420 | Somerset Pharma, LLC | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
| 70710-1663-7 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 70710-1664-6 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
| 70710-1664-7 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
| 70710-1665-1 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
| 70710-1665-5 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 30 | 5 | 30 | 150 |
| 70756-635-25 | J3420 | Lifestar Pharma | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 71288-301-11 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
| 71288-302-30 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
| 71288-303-02 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 71288-303-92 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 72603-650-25 | J3420 | Northstar RxLLC | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
| 0591-2888-30 | J3425 | Actavis Pharma, Inc. | Hydroxocobalamin im 10mcg | 10 MCG | 30 | 1 | 3000 | 3000 |
| 0404-9935-05 | J3430 | Henry Schein Inc. | Vitamin k phytonadione inj | 1 MG | 0.5 | 1 | 1 | 1 |
| 0404-9969-01 | J3430 | Henry Schein Inc. | Vitamin k phytonadione inj | 1 MG | 1 | 1 | 10 | 10 |
| 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 |
| 51662-1536-3 | J3430 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
| 51662-1537-3 | J3430 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin k phytonadione inj | 1 MG | 0.5 | 25 | 1 | 25 |
| 65219-635-01 | J3430 | FreseniUS Kabi USA, LLC | Vitamin k phytonadione inj | 1 MG | 1 | 10 | 10 | 100 |
| 68462-758-25 | J3430 | Glenmark Pharmaceuticals Inc., USA | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
| 69097-003-96 | J3430 | Cipla USA, Inc. | Vitamin k phytonadione inj | 1 MG | 0.5 | 10 | 1 | 10 |
| 69097-708-96 | J3430 | Cipla USA, Inc. | Vitamin k phytonadione inj | 1 MG | 1 | 10 | 10 | 100 |
| 69097-709-96 | J3430 | Cipla USA, Inc. | Vitamin k phytonadione inj | 1 MG | 0.5 | 10 | 1 | 10 |
| 70700-331-25 | J3430 | Xiromed, LLC | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
| 0049-3190-01 | J3465 | Pfizer Inc | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 0049-3190-01 | 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 |
| 0049-3190-28 | 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 Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 65219-190-30 | J3465 | FreseniUS Kabi USA, LLC | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 70436-029-80 | J3465 | Slate Run Pharmaceuticals | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 70594-067-01 | J3465 | Xellia Pharmaceuticals USA, LLC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 71288-027-30 | J3465 | Meitheal Pharmaceuticals Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 72266-131-01 | J3465 | Fosun Pharma USA Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 72572-875-01 | J3465 | Civica, Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
| 0548-9090-10 | J3470 | Amphastar Pharmaceuticals, Inc. | Hyaluronidase injection | 150 UNITS | 1 | 10 | 1 | 10 |
| 18657-117-04 | J3473 | Antares Pharma, Inc. | Hyaluronidase recombinant | 1 USP UNIT | 1 | 4 | 150 | 600 |
| 51662-1555-1 | J3473 | HF Acquisition Co. LLC, DBA HealthFirst | Hyaluronidase recombinant | 1 USP UNIT | 1 | 1 | 150 | 150 |
| 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 |
| 0264-4206-54 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 100 | 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 Healthcare Corporation | Inj magnesium sulfate | 500 MG | 50 | 40 | 4 | 160 |
| 0338-1709-40 | J3475 | Baxter Healthcare Corporation | Inj magnesium sulfate | 500 MG | 100 | 40 | 2 | 80 |
| 0338-1715-40 | J3475 | Baxter Healthcare Corporation | Inj magnesium sulfate | 500 MG | 100 | 40 | 8 | 320 |
| 0338-1719-40 | J3475 | Baxter Healthcare Corporation | Inj magnesium sulfate | 500 MG | 50 | 40 | 8 | 320 |
| 0404-9902-20 | J3475 | Henry Schein Inc. | Inj magnesium sulfate | 500 MG | 20 | 1 | 20 | 20 |
| 0404-9903-10 | J3475 | Henry Schein Inc. | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
| 0404-9904-02 | J3475 | Henry Schein Inc. | Inj magnesium sulfate | 500 MG | 2 | 1 | 2 | 2 |
| 0409-1754-10 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 10 | 10 | 10 | 100 |
| 0409-2050-20 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 500 | 20 | 40 | 800 |
| 0409-2168-77 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 20 | 25 | 20 | 500 |
| 0409-3164-12 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 1000 | 12 | 80 | 960 |
| 0409-6727-23 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
| 25021-612-81 | J3475 | Sagent Pharmaceuticals | Inj magnesium sulfate | 500 MG | 50 | 10 | 4 | 40 |
| 25021-612-82 | J3475 | Sagent Pharmaceuticals | Inj magnesium sulfate | 500 MG | 100 | 10 | 8 | 80 |
| 44567-410-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
| 44567-420-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
| 44567-421-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
| 44567-424-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
| 47335-992-01 | J3475 | Sun Pharmaceutical Global FZE. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
| 47335-992-02 | J3475 | Sun Pharmaceutical Global FZE. | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
| 51662-1235-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
| 51662-1235-3 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 10 | 10 | 10 | 100 |
| 51662-1352-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 50 | 1 | 4 | 4 |
| 51662-1352-3 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
| 51662-1390-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 2 | 1 | 2 | 2 |
| 51662-1390-3 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
| 51662-1451-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
| 51754-1000-4 | J3475 | Exela Pharma Sciences, LLC | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
| 63323-064-03 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
| 63323-064-03 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
| 63323-064-11 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
| 63323-064-11 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
| 63323-064-23 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
| 63323-064-23 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
| 63323-064-43 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
| 63323-064-43 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
| 63323-106-01 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
| 63323-106-05 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
| 63323-106-10 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 1000 | 12 | 80 | 960 |
| 63323-106-15 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 500 | 24 | 40 | 960 |
| 63323-106-26 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
| 63323-107-05 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
| 63323-108-26 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
| 63323-642-20 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 20 | 25 | 20 | 500 |
| 63323-642-50 | J3475 | FreseniUS Kabi USA, LLC | 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 |
| 70121-1719-2 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 50 | 15 | 4 | 60 |
| 70121-1719-9 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
| 70121-1720-3 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 100 | 12 | 8 | 96 |
| 70121-1720-9 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
| 70860-501-82 | J3475 | Athenex Pharmaceutical Division, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
| 70860-502-81 | J3475 | Athenex Pharmaceutical Division, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
| 83634-500-81 | J3475 | Avenacy Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
| 83634-500-82 | J3475 | Avenacy Inc. | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
| 83634-501-81 | J3475 | Avenacy Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
| 0264-1944-20 | J3480 | B. Braun Medical Inc. | Inj potassium chloride | 2 MEQ | 250 | 24 | 250 | 6000 |
| 0264-1944-20 | J3480 | B. Braun Medical Inc. | Inj potassium chloride | 2 MEQ | 250 | 24 | 250 | 6000 |
| 0264-7865-00 | J3480 | B. Braun Medical Inc. | Inj potassium chloride | 2 MEQ | 1000 | 12 | 10 | 120 |
| 0338-0683-04 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 10 |
| 0338-0691-04 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 140 |
| 0338-0695-04 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 20 | 280 |
| 0338-0703-41 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
| 0338-0703-48 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 100 | 24 | 20 | 480 |
| 0338-0704-34 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 140 |
| 0338-0705-41 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
| 0338-0705-48 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
| 0338-0709-48 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
| 0404-9936-10 | J3480 | Henry Schein Inc. | Inj potassium chloride | 2 MEQ | 5 | 1 | 5 | 5 |
| 0404-9936-20 | J3480 | Henry Schein Inc. | Inj potassium chloride | 2 MEQ | 20 | 1 | 20 | 20 |
| 0404-9937-10 | J3480 | Henry Schein Inc. | Inj potassium chloride | 2 MEQ | 10 | 1 | 10 | 10 |
| 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 Inc. | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
| 0990-7075-14 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
| 0990-7075-26 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
| 0990-7077-14 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
| 0990-7077-26 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 100 | 24 | 20 | 480 |
| 0990-7116-09 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 1000 | 12 | 20 | 240 |
| 0990-7905-09 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 1000 | 12 | 10 | 120 |
| 0990-9257-39 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 1000 | 12 | 10 | 120 |
| 14789-107-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
| 14789-108-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
| 14789-108-10 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
| 14789-109-10 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
| 14789-136-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
| 14789-137-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
| 51662-1387-1 | J3480 | HF Acquisition Co. LLC, DBA HealthFirst | Inj potassium chloride | 2 MEQ | 10 | 1 | 10 | 10 |
| 63323-667-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 5 | 50 |
| 63323-669-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
| 63323-683-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
| 63323-686-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
| 63323-688-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 20 | 200 |
| 63323-965-05 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 5 | 25 | 5 | 125 |
| 63323-965-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
| 63323-965-20 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
| 63323-967-30 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 30 | 25 | 30 | 750 |
| 65219-004-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 50 | 60 | 5 | 300 |
| 65219-006-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 100 | 50 | 10 | 500 |
| 65219-008-51 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 50 | 60 | 10 | 600 |
| 65219-010-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 100 | 50 | 20 | 1000 |
| 65219-012-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 100 | 50 | 5 | 250 |
| 49702-213-26 | J3485 | ViiV Healthcare Company | Zidovudine | 10 MG | 20 | 5 | 20 | 100 |
| 0049-3920-10 | J3486 | Viatris Specialty 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 |
| 51662-1564-3 | J3486 | HF Acquisition Co. LLC, DBA HealthFirst | Ziprasidone mesylate | 10 MG | 1 | 10 | 10 | 100 |
| 58151-137-81 | J3486 | Viatris Specialty LLC | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
| 72205-205-07 | J3486 | Novadoz Pharmaceuticals LLC | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
| 72266-160-10 | J3486 | Fosun Pharma USA Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
| 72266-160-42 | J3486 | Fosun Pharma USA Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
| 0078-0435-61 | J3489 | Sandoz Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 16714-815-01 | J3489 | Northstar RxLLC | 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 |
| 23155-170-31 | J3489 | Heritage Pharmaceuticals Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 25021-801-66 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 25021-826-67 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 25021-826-67 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 25021-826-82 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 25021-826-82 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 25021-830-82 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 25021-830-87 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 5 | 5 | 25 |
| 43598-233-11 | J3489 | Dr. Reddy's Laboratories Inc. | 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 |
| 63323-961-98 | J3489 | FreseniUS Kabi USA, LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 63323-966-00 | J3489 | FreseniUS Kabi USA, LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 66758-155-46 | J3489 | Sandoz Inc. | 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 |
| 68001-437-25 | J3489 | BluePoint Laboratories | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 68001-610-25 | J3489 | BluePoint Laboratories | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 68001-611-33 | J3489 | BluePoint Laboratories | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 70860-210-51 | J3489 | Athenex Pharmaceutical Division, LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
| 70860-802-82 | J3489 | Athenex Pharmaceutical Division, LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 71288-806-51 | J3489 | Meitheal Pharmaceuticals Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 72266-152-01 | J3489 | Fosun Pharma USA Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
| 72603-198-01 | J3489 | Northstar RxLLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
| 0264-5802-00 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0264-5802-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0264-7800-00 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0264-7800-00 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0264-7800-09 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0264-7800-09 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0264-7800-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0264-7800-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0264-7800-20 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
| 0264-7800-20 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
| 0338-0049-02 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 1 |
| 0338-0049-03 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 1 |
| 0338-0049-04 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
| 0338-9543-02 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 1 |
| 0338-9543-03 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 1 |
| 0338-9543-04 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
| 0338-9543-05 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
| 0338-9543-06 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
| 0338-9791-40 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 40 | 0.25 | 10 |
| 0338-9793-12 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0338-9804-40 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 40 | 0.25 | 10 |
| 0338-9806-12 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0338-9808-24 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0338-9810-24 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0409-7101-02 | J7030 | Pfizer Inc | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
| 0487-4301-25 | J7030 | Nephron SC, Inc. | Normal saline solution infus | 1000 CC | 250 | 35 | 0.25 | 9 |
| 0487-4301-50 | J7030 | Nephron SC, Inc. | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
| 0990-7983-02 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
| 0990-7983-02 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
| 0990-7983-03 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0990-7983-03 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0990-7983-09 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0990-7983-09 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
| 0990-7983-55 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
| 0990-7983-55 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
| 51662-1517-1 | J7030 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 1 |
| 51662-1518-1 | J7030 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
| 51662-1522-1 | J7030 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 1 |
| 63323-623-74 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 8 |
| 63323-623-74 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 8 |
| 63323-623-75 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
| 63323-623-75 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
| 63323-623-76 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
| 63323-623-76 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
| 65219-222-25 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1 | 30 | 0.25 | 8 |
| 65219-224-50 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1 | 20 | 0.5 | 10 |
| 65219-282-10 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
| 65219-470-30 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 8 |
| 65219-472-20 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
| 65219-474-10 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
| 70512-841-26 | J7030 | Sola Pharmaceuticals | Normal saline solution infus | 1000 CC | 250 | 28 | 0.25 | 7 |
| 70512-841-51 | J7030 | Sola Pharmaceuticals | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
| 70512-841-61 | J7030 | Sola Pharmaceuticals | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
| 0264-5802-00 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 0264-5802-10 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
| 0264-7800-00 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 0264-7800-00 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 0264-7800-09 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 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 |
| 0264-7800-10 | 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 |
| 0264-7800-20 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
| 0338-0049-02 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 1 |
| 0338-0049-03 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
| 0338-0049-04 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
| 0338-9543-02 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 1 |
| 0338-9543-03 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
| 0338-9543-04 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
| 0338-9543-05 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
| 0338-9543-06 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
| 0338-9791-40 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 40 | 0.5 | 20 |
| 0338-9793-12 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 0338-9804-40 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 40 | 0.5 | 20 |
| 0338-9806-12 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 0338-9808-24 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
| 0338-9810-24 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
| 0409-7101-02 | J7040 | Pfizer Inc | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
| 0487-4301-25 | J7040 | Nephron SC, Inc. | Normal saline solution infus | 500 ML | 250 | 35 | 0.5 | 18 |
| 0487-4301-50 | J7040 | Nephron SC, Inc. | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
| 0990-7983-02 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
| 0990-7983-02 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
| 0990-7983-03 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
| 0990-7983-03 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
| 0990-7983-09 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 0990-7983-09 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
| 0990-7983-55 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
| 0990-7983-55 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
| 51662-1517-1 | J7040 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 1 |
| 51662-1518-1 | J7040 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
| 51662-1522-1 | J7040 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
| 63323-623-74 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
| 63323-623-74 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
| 63323-623-75 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
| 63323-623-75 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
| 63323-623-76 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
| 63323-623-76 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
| 65219-222-25 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1 | 30 | 0.5 | 15 |
| 65219-224-50 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1 | 20 | 1 | 20 |
| 65219-282-10 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
| 65219-470-30 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
| 65219-472-20 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
| 65219-474-10 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
| 70512-841-26 | J7040 | Sola Pharmaceuticals | Normal saline solution infus | 500 ML | 250 | 28 | 0.5 | 14 |
| 70512-841-51 | J7040 | Sola Pharmaceuticals | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
| 70512-841-61 | J7040 | Sola Pharmaceuticals | 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 Inc. | 5% dextrose/normal saline | 500 ML | 500 | 24 | 1 | 24 |
| 0990-7941-09 | J7042 | ICu Medical Inc. | 5% dextrose/normal saline | 500 ML | 1000 | 12 | 2 | 24 |
| 63323-870-10 | J7042 | FreseniUS Kabi USA, LLC | 5% dextrose/normal saline | 500 ML | 500 | 20 | 1 | 20 |
| 63323-870-74 | J7042 | FreseniUS Kabi USA, LLC | 5% dextrose/normal saline | 500 ML | 1000 | 10 | 2 | 20 |
| 0264-5802-00 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0264-5802-10 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
| 0264-7800-00 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0264-7800-00 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0264-7800-09 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0264-7800-09 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0264-7800-10 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
| 0264-7800-10 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
| 0264-7800-20 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
| 0264-7800-20 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
| 0338-0049-02 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 1 | 1 | 1 |
| 0338-0049-03 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 1 | 2 | 2 |
| 0338-0049-04 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 1 | 4 | 4 |
| 0338-9543-02 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 1 | 1 | 1 |
| 0338-9543-03 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 1 | 2 | 2 |
| 0338-9543-04 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
| 0338-9543-05 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 1 | 4 | 4 |
| 0338-9543-06 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
| 0338-9791-40 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 40 | 1 | 40 |
| 0338-9793-12 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0338-9804-40 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 40 | 1 | 40 |
| 0338-9806-12 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0338-9808-24 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
| 0338-9810-24 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 24 |
| 0409-7101-02 | J7050 | Pfizer Inc | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
| 0487-4301-25 | J7050 | Nephron SC, Inc. | Normal saline solution infus | 250 CC | 250 | 35 | 1 | 35 |
| 0487-4301-50 | J7050 | Nephron SC, Inc. | Normal saline solution infus | 250 CC | 500 | 18 | 2 | 36 |
| 0990-7983-02 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
| 0990-7983-02 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
| 0990-7983-03 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
| 0990-7983-03 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
| 0990-7983-09 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0990-7983-09 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
| 0990-7983-55 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 18 | 2 | 36 |
| 0990-7983-55 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 18 | 2 | 36 |
| 51662-1517-1 | J7050 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 250 ML | 250 | 1 | 1 | 1 |
| 51662-1518-1 | J7050 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 250 ML | 1000 | 1 | 4 | 4 |
| 51662-1522-1 | J7050 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 250 ML | 500 | 1 | 2 | 2 |
| 63323-623-74 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
| 63323-623-74 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
| 63323-623-75 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
| 63323-623-75 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
| 63323-623-76 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
| 63323-623-76 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
| 65219-222-25 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1 | 30 | 1 | 30 |
| 65219-224-50 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1 | 20 | 2 | 40 |
| 65219-282-10 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
| 65219-470-30 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
| 65219-472-20 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
| 65219-474-10 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
| 70512-841-26 | J7050 | Sola Pharmaceuticals | Normal saline solution infus | 250 CC | 250 | 28 | 1 | 28 |
| 70512-841-51 | J7050 | Sola Pharmaceuticals | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
| 70512-841-61 | J7050 | Sola Pharmaceuticals | Normal saline solution infus | 250 CC | 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 Healthcare Corporation | 5% dextrose/water | 500 ML | 250 | 1 | 0.5 | 1 |
| 0338-0017-03 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 500 | 1 | 1 | 1 |
| 0338-0017-04 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 1000 | 1 | 2 | 2 |
| 0338-0062-30 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
| 0338-0066-20 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
| 0338-0070-10 | J7060 | Baxter Healthcare Corporation | 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 Inc. | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
| 0990-7922-02 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
| 0990-7922-03 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 24 | 1 | 24 |
| 0990-7922-03 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 24 | 1 | 24 |
| 0990-7922-09 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 1000 | 12 | 2 | 24 |
| 0990-7922-09 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 1000 | 12 | 2 | 24 |
| 0990-7922-55 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 15 | 1 | 15 |
| 0990-7922-55 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 15 | 1 | 15 |
| 51662-1493-1 | J7060 | HF Acquisition Co. LLC, DBA HealthFirst | 5% dextrose/water | 500 ML | 250 | 1 | 0.5 | 1 |
| 63323-624-10 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 1000 | 10 | 2 | 20 |
| 63323-624-74 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
| 63323-624-75 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
| 65219-238-25 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
| 65219-240-50 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
| 65219-458-30 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
| 65219-460-20 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
| 65219-462-10 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 10 | 2 | 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 Healthcare Corporation | D5w infusion | 1000 CC | 250 | 1 | 0.25 | 1 |
| 0338-0017-03 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 500 | 1 | 0.5 | 1 |
| 0338-0017-04 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 1000 | 1 | 1 | 1 |
| 0338-0062-30 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
| 0338-0066-20 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
| 0338-0070-10 | J7070 | Baxter Healthcare Corporation | 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 Inc. | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
| 0990-7922-02 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
| 0990-7922-03 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0990-7922-03 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
| 0990-7922-09 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 1000 | 12 | 1 | 12 |
| 0990-7922-09 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 1000 | 12 | 1 | 12 |
| 0990-7922-55 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 15 | 0.5 | 8 |
| 0990-7922-55 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 15 | 0.5 | 8 |
| 51662-1493-1 | J7070 | HF Acquisition Co. LLC, DBA HealthFirst | D5w infusion | 1000 CC | 250 | 1 | 0.25 | 1 |
| 63323-624-10 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 1000 | 10 | 1 | 10 |
| 63323-624-74 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
| 63323-624-75 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
| 65219-238-25 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
| 65219-240-50 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
| 65219-458-30 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
| 65219-460-20 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
| 65219-462-10 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 1000 | 10 | 1 | 10 |
| 0264-7389-60 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 3000 | 4 | 3 | 12 |
| 0264-7750-00 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 1000 | 12 | 1 | 12 |
| 0264-7750-07 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 1000 | 12 | 1 | 12 |
| 0264-7750-10 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 500 | 24 | 0.5 | 12 |
| 0264-7750-20 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 250 | 24 | 0.25 | 6 |
| 0338-0117-02 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | UP TO 1000 CC | 250 | 1 | 0.25 | 1 |
| 0338-0117-03 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | UP TO 1000 CC | 500 | 1 | 0.5 | 1 |
| 0338-0117-04 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | UP TO 1000 CC | 1000 | 1 | 1 | 1 |
| 0338-9600-12 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | UP TO 1000 CC | 1000 | 12 | 1 | 12 |
| 0990-7953-02 | J7120 | ICu Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 250 | 24 | 0.25 | 6 |
| 0990-7953-03 | J7120 | ICu Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 500 | 24 | 0.5 | 12 |
| 0990-7953-09 | J7120 | ICu Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 1000 | 12 | 1 | 12 |
| 51662-1516-1 | J7120 | HF Acquisition Co. LLC, DBA HealthFirst | Ringers lactate infusion | UP TO 1000 CC | 1000 | 1 | 1 | 1 |
| 63323-164-74 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 250 | 30 | 0.25 | 8 |
| 63323-164-75 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 500 | 20 | 0.5 | 10 |
| 63323-164-76 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 1000 | 10 | 1 | 10 |
| 65219-475-30 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 250 | 30 | 1 | 30 |
| 65219-477-20 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 500 | 20 | 1 | 20 |
| 65219-479-10 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 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 |
| 50242-927-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 0.4 | 1 | 24 | 24 |
| 50242-930-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 2 | 1 | 600 | 600 |
| 64764-140-05 | J7171 | Takeda Pharmaceuticals America, Inc. | Inj, adzynma, 10 iu | 10 UNITS | 1 | 1 | 1 | 1 |
| 64764-145-05 | J7171 | Takeda Pharmaceuticals America, Inc. | Inj, adzynma, 10 iu | 10 UNITS | 1 | 1 | 1 | 1 |
| 0069-2151-01 | J7172 | Pfizer Inc | Inj marstacim-hncq, 0.5 mg | 0.5 MG | 1 | 1 | 300 | 300 |
| 0169-2080-15 | J7173 | Novo Nordisk, Inc | Inj. concizumab-mtci, 0.5 mg | 0.5 MG | 1.5 | 1 | 300 | 300 |
| 0169-2081-03 | J7173 | Novo Nordisk, Inc | Inj. concizumab-mtci, 0.5 mg | 0.5 MG | 3 | 1 | 600 | 600 |
| 0169-2084-15 | J7173 | Novo Nordisk, Inc | Inj. concizumab-mtci, 0.5 mg | 0.5 MG | 1.5 | 1 | 120 | 120 |
| 58468-0347-1 | J7174 | Genzyme Corporation | Injection fitusiran 0.04 mg | 0.04 MG | 0.2 | 1 | 500 | 500 |
| 58468-0348-1 | J7174 | Genzyme Corporation | Injection fitusiran 0.04 mg | 0.04 MG | 0.5 | 1 | 1250 | 1250 |
| 64208-7752-1 | J7175 | Bio Products Laboratory | Inj, factor x, (human), 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 64208-7753-1 | J7175 | Bio Products Laboratory | Inj, factor x, (human), 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-347-01 | J7177 | Octapharma USA Inc. | Inj., fibryga, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
| 68982-349-01 | J7177 | Octapharma USA Inc. | Inj., fibryga, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
| 68982-350-01 | J7177 | Octapharma USA Inc. | Inj., fibryga, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
| 63833-891-51 | J7178 | CSL Behring L.L.C. | 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 L.L.C. | 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 USA Inc. | Wilate injection | 1 I.U. VWF:RCO | 1 | 1 | 1 | 1 |
| 68982-182-02 | J7183 | Octapharma USA Inc. | 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 |
| 68516-4616-1 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
| 68516-4617-1 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
| 68516-4618-2 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
| 68516-4619-2 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
| 68516-4620-2 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
| 63833-615-02 | J7187 | CSL Behring L.L.C. | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
| 63833-616-02 | J7187 | CSL Behring L.L.C. | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
| 63833-617-02 | J7187 | CSL Behring L.L.C. | 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 |
| 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 |
| 76125-257-25 | J7190 | Kedrion Biopharma Inc | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
| 76125-663-50 | J7190 | Kedrion Biopharma Inc | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
| 76125-679-12 | J7190 | Kedrion Biopharma Inc | Factor viii | 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 |
| 68516-3610-2 | J7193 | Grifols USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
| 68516-3611-2 | J7193 | Grifols USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
| 68516-3612-2 | J7193 | Grifols USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
| 68516-3210-1 | J7194 | Grifols USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
| 68516-3211-2 | J7194 | Grifols USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
| 68516-3212-2 | 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 |
| 13533-606-12 | 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 Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-922-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-933-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-944-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-966-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-977-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
| 69911-864-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
| 69911-865-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
| 69911-866-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
| 69911-867-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
| 69911-869-02 | J7202 | CSL Behring L.L.C. | 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 |
| 0169-7903-01 | 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 |
| 0169-8400-01 | 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 Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-802-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-803-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-804-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-805-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-806-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-807-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-808-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-809-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
| 71104-810-01 | J7205 | Bioverativ Therapeutics Inc. | 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 |
| 0026-3950-50 | J7208 | Bayer HealthCare Pharmaceuticals Inc. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-139-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-141-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-143-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-145-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-147-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-149-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-151-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 68982-153-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
| 69911-474-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 69911-475-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 69911-476-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 69911-477-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 69911-478-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 69911-480-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 69911-481-02 | J7210 | CSL Behring L.L.C. | 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 |
| 71127-2000-1 | J7212 | Hema Biologics | Factor viia recomb sevenfact | 1 MCG | 1 | 1 | 2000 | 2000 |
| 71127-5000-1 | J7212 | Hema Biologics | Factor viia recomb sevenfact | 1 MCG | 1 | 1 | 5000 | 5000 |
| 59137-282-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 59137-283-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 59137-284-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 59137-289-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
| 71104-978-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
| 71104-979-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
| 71104-981-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
| 71104-982-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
| 71104-983-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
| 71104-984-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
| 67308-101-06 | J7308 | DUSA Pharmaceuticals, Inc. | Aminolevulinic acid hcl top | 354 MG | 1 | 6 | 1 | 6 |
| 24208-416-01 | J7311 | Bausch & Lomb Americas Inc. | Inj., retisert, 0.01 mg | 0.01 MG | 1 | 1 | 1 | 59 |
| 0023-3348-07 | J7312 | Allergan, Inc. | Dexamethasone intra implant | 0.1 MG | 0.7 | 1 | 7 | 7 |
| 68611-190-02 | J7313 | ANI Pharmaceuticals, Inc. | Inj., iluvien, 0.01 mg | 0.01 MG | 1 | 1 | 19 | 19 |
| 68611-180-01 | J7314 | ANI Pharmaceuticals, Inc. | Inj., yutiq, 0.01 mg | 0.01 MG | 1 | 1 | 18 | 18 |
| 71879-136-01 | J7314 | ANI Pharmaceuticals, 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 Inc. | 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, Inc. | Inj bimatoprost itc imp1mcg | 1 MCG | 1 | 1 | 10 | 10 |
| 71349-070-06 | J7354 | Verrica Pharmaceuticals, Inc. | Cantharidin top, applicator | Per 3.2 MG single-use applicator | 0.45 | 6 | 1 | 6 |
| 71349-070-11 | J7354 | Verrica Pharmaceuticals, Inc. | Cantharidin top, applicator | Per 3.2 MG single-use applicator | 0.45 | 1 | 1 | 1 |
| 25357-100-01 | J7355 | Glaukos Corporation | Inj travoprost intra impl | 1 MCG | 1 | 1 | 75 | 75 |
| 0074-0501-01 | J7356 | AbbVie Inc. | Inj foscarb/foslevodopa 5 mg | 0.25 MG - 5 MG | 10 | 7 | 480 | 3360 |
| 10599-003-01 | J7402 | Intersect ENT, INC. | Mometasone sinus sinuva | 10 MCG | 1 | 1 | 135 | 135 |
| 60219-1076-1 | J7500 | Amneal Pharmaceuticals, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 100 | 100 |
| 65649-231-41 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 150 | 150 |
| 65649-241-41 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 200 | 200 |
| 67877-493-01 | J7500 | Ascend Laboratories, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 100 | 100 |
| 67877-493-05 | J7500 | Ascend Laboratories, LLC | Azathioprine oral 50mg | 50 MG | 500 | 1 | 500 | 500 |
| 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 |
| 68462-502-01 | J7500 | Glenmark Pharmaceuticals Inc., USA | Azathioprine oral 50mg | 50 MG | 100 | 1 | 100 | 100 |
| 68682-231-01 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 150 | 150 |
| 68682-241-01 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 200 | 200 |
| 0074-3109-32 | J7502 | AbbVie Inc. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
| 0074-7269-50 | J7502 | AbbVie Inc. | 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 |
| 0093-9018-65 | J7502 | Teva Pharmaceuticals USA, Inc. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 7.5 | 8 |
| 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 |
| 23155-839-30 | J7502 | Heritage Pharmaceuticals Inc. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
| 60505-0134-0 | J7502 | Apotex Corp | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
| 60505-4632-3 | J7502 | Apotex Corp | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
| 68084-921-25 | J7502 | American Health Packaging | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
| 68992-3010-1 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 400 | 400 |
| 68992-3010-3 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 120 | 120 |
| 68992-3040-1 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 68992-3040-3 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 480 | 480 |
| 68992-3075-1 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 300 | 300 |
| 68992-3075-3 | J7503 | Veloxis Pharmaceuticals, Inc. | 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 |
| 0781-2102-01 | J7507 | Sandoz Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
| 0781-2103-01 | J7507 | Sandoz Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 0781-2104-01 | J7507 | Sandoz Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 0904-7097-61 | J7507 | Major Pharmaceuticals | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 16714-098-01 | J7507 | Northstar RxLLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
| 16714-099-01 | J7507 | Northstar RxLLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 16714-100-01 | J7507 | Northstar RxLLC | 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 |
| 50090-5581-0 | 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 Science Limited | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
| 64380-721-06 | J7507 | Strides Pharma Science Limited | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 64380-722-06 | J7507 | Strides Pharma Science Limited | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 67877-278-01 | J7507 | Ascend Laboratories, LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
| 67877-279-01 | J7507 | Ascend Laboratories, LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 67877-280-01 | J7507 | Ascend Laboratories, LLC | 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 |
| 70377-014-11 | J7507 | Biocon Pharma Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
| 70377-015-11 | J7507 | Biocon Pharma Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 70377-016-11 | J7507 | Biocon Pharma Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 72572-760-01 | J7507 | Civica, Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
| 72572-761-01 | J7507 | Civica, Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 82009-054-01 | J7507 | Quallent Pharmaceuticals | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 82009-164-01 | J7507 | Quallent Pharmaceuticals | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
| 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 |
| 0904-6914-61 | J7509 | Major Pharmaceuticals | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
| 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 | Mylan Pharmaceuticals Inc. | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
| 59762-0050-1 | J7509 | Mylan Pharmaceuticals Inc. | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
| 59762-0051-1 | J7509 | Mylan Pharmaceuticals Inc. | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
| 59762-4440-2 | J7509 | Mylan Pharmaceuticals Inc. | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
| 59762-4440-3 | J7509 | Mylan Pharmaceuticals Inc. | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
| 62135-761-26 | J7509 | Chartwell | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
| 68001-005-01 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
| 68001-557-00 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
| 68001-558-55 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
| 68001-559-69 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
| 68001-560-55 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
| 68001-624-01 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
| 68084-149-01 | J7509 | American Health Packaging | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
| 68382-916-01 | J7509 | Zydus Pharmaceuticals (USA) Inc. | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
| 68382-916-34 | J7509 | Zydus Pharmaceuticals (USA) Inc. | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
| 68382-917-11 | J7509 | Zydus Pharmaceuticals (USA) Inc. | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
| 68382-918-18 | J7509 | Zydus Pharmaceuticals (USA) Inc. | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
| 68382-919-11 | J7509 | Zydus Pharmaceuticals (USA) Inc. | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
| 68788-7833-2 | J7509 | Preferred Pharmaceuticals Inc | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
| 0527-5406-68 | J7510 | Lannett Company, Inc. | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
| 0527-5406-70 | J7510 | Lannett Company, Inc. | Prednisolone oral per 5 mg | 5 MG | 480 | 1 | 288 | 288 |
| 13925-166-04 | J7510 | Seton Pharmaceuticals | Prednisolone oral per 5 mg | 5 MG | 120 | 1 | 24 | 24 |
| 23155-927-51 | J7510 | Heritage Pharmaceuticals Inc. | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
| 23155-927-52 | J7510 | Heritage Pharmaceuticals Inc. | Prednisolone oral per 5 mg | 5 MG | 480 | 1 | 288 | 288 |
| 42658-160-05 | J7510 | Hisun Pharmaceuticals USA, Inc | Prednisolone oral per 5 mg | 5 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 |
| 50090-7115-0 | J7510 | A-S Medication Solutions | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
| 50090-7115-1 | J7510 | A-S Medication Solutions | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
| 62135-250-24 | J7510 | Chartwell | Prednisolone oral per 5 mg | 5 MG | 5 | 20 | 3 | 60 |
| 62135-250-37 | J7510 | Chartwell | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
| 62135-250-47 | J7510 | Chartwell | Prednisolone oral per 5 mg | 5 MG | 480 | 1 | 288 | 288 |
| 68788-4046-2 | J7510 | Preferred Pharmaceuticals Inc | Prednisolone oral per 5 mg | 5 MG | 237 | 1 | 237 | 237 |
| 68788-7708-2 | J7510 | Preferred Pharmaceuticals Inc | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
| 69238-2122-9 | J7510 | Amneal Pharmaceuticals, LLC | Prednisolone oral per 5 mg | 5 MG | 237 | 1 | 143 | 143 |
| 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 |
| 0054-4741-25 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 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 |
| 0054-8740-25 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 250 | 250 |
| 0054-9817-25 | J7512 | Hikma Pharmaceuticals Usa Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 0054-9817-29 | J7512 | Hikma Pharmaceuticals Usa Inc. | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 5000 | 5000 |
| 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 |
| 0378-0640-01 | J7512 | Mylan Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 0378-0640-10 | J7512 | Mylan Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 5000 | 5000 |
| 0378-0641-01 | J7512 | Mylan Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 0378-0641-10 | J7512 | Mylan Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 10000 | 10000 |
| 0378-0642-01 | J7512 | Mylan Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
| 0378-0642-05 | J7512 | Mylan Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 10000 | 10000 |
| 0591-5052-21 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 5 | 105 |
| 0591-5052-21 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 5 | 105 |
| 0591-5052-43 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 5 | 240 |
| 0591-5052-43 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 5 | 240 |
| 0591-5442-21 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 10 | 210 |
| 0591-5442-21 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 10 | 210 |
| 0591-5442-43 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 10 | 480 |
| 0591-5442-43 | J7512 | Actavis Pharma, Inc. | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 10 | 480 |
| 0904-6923-61 | J7512 | Major Pharmaceuticals | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 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 |
| 50090-1002-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 480 | 480 |
| 50090-1002-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 480 | 480 |
| 50090-1455-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 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 |
| 50090-1989-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
| 50090-1989-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
| 50090-1990-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
| 50090-1990-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
| 50090-1990-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
| 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 |
| 50090-2136-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 75 | 75 |
| 50090-2402-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
| 50090-2402-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 50090-2402-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
| 50090-2402-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
| 50090-2403-6 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 450 | 450 |
| 50090-2532-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
| 50090-2532-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
| 50090-2532-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
| 50090-2532-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
| 50090-2532-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
| 50090-2532-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 50090-2532-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
| 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 |
| 50090-2786-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 50090-2786-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 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 |
| 50090-3137-0 | 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 |
| 50090-3137-1 | 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 |
| 50090-3137-2 | 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 |
| 50090-3137-4 | 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 |
| 50090-3137-5 | 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 |
| 50090-3137-7 | 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 |
| 50090-3137-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
| 50090-3330-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
| 50090-3330-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
| 50090-3330-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
| 50090-3330-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
| 50090-3330-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
| 50090-3335-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 50090-3336-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
| 50090-3336-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 50090-3336-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
| 50090-3336-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
| 50090-3336-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
| 50090-3354-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
| 50090-3354-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 250 | 250 |
| 50090-3354-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 50090-3354-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
| 50090-3354-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
| 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 |
| 50090-4785-7 | 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 |
| 50090-5656-2 | 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 |
| 50090-5656-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 50090-5656-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
| 50090-5657-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
| 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 |
| 50090-5814-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 250 | 250 |
| 50090-5814-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 50090-5814-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
| 50090-6122-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
| 50090-6122-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 50090-6122-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
| 50090-6122-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
| 50090-6122-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
| 50090-6123-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
| 50090-6123-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
| 50090-6123-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
| 50090-6123-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
| 50090-6123-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
| 50090-6225-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
| 50090-6259-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 50090-6376-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
| 50090-6619-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
| 50090-6619-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 50090-6619-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
| 50090-6623-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 450 | 450 |
| 50090-7218-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
| 50090-7218-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
| 50090-7218-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
| 50090-7218-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
| 50090-7219-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
| 50090-7235-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 75 | 75 |
| 50090-7369-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
| 50090-7369-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
| 50090-7369-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
| 50090-7369-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
| 50090-7369-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
| 50090-7369-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 50090-7369-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
| 50090-7371-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
| 50090-7371-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
| 50090-7441-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
| 50090-7684-0 | J7512 | A-S Medication Solutions Llc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
| 50090-7684-1 | J7512 | A-S Medication Solutions Llc | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 250 | 250 |
| 60687-122-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 60687-134-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 60687-145-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
| 60687-854-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 5000 | 5000 |
| 62135-470-18 | J7512 | Chartwell | Prednisone ir or dr oral 1mg | 1 MG | 180 | 1 | 180 | 180 |
| 62135-471-18 | J7512 | Chartwell | Prednisone ir or dr oral 1mg | 1 MG | 180 | 1 | 900 | 900 |
| 64380-782-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
| 64380-783-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 64380-783-08 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 5000 | 5000 |
| 64380-784-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 64380-784-07 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 5000 | 5000 |
| 64380-784-08 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 10000 | 10000 |
| 64380-785-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
| 64380-785-07 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 10000 | 10000 |
| 64380-785-08 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 20000 | 20000 |
| 64380-835-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 250 | 250 |
| 64380-949-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 5000 | 5000 |
| 68788-6440-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
| 68788-6440-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
| 68788-6440-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
| 68788-6440-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
| 68788-7372-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
| 68788-8166-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
| 68788-8166-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
| 68788-8166-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
| 68788-8166-6 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
| 68788-8166-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
| 68788-8184-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 75 | 75 |
| 68788-8212-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
| 68788-8212-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
| 68788-8212-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
| 68788-8212-5 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
| 68788-8212-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 68788-8579-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
| 68788-8579-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
| 68788-8663-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
| 68788-8663-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
| 68788-8663-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
| 68788-8663-5 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
| 72789-393-14 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
| 72789-426-05 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 5 | 1 | 250 | 250 |
| 72789-473-01 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
| 72789-473-21 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 72789-473-25 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 25 | 1 | 500 | 500 |
| 72789-473-30 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
| 72789-473-95 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 20000 | 20000 |
| 72789-474-01 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
| 72789-474-95 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 5000 | 5000 |
| 72789-475-01 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
| 72789-475-12 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 120 | 120 |
| 72789-475-21 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
| 72789-475-95 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 10000 | 10000 |
| 72789-498-30 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
| 72789-500-21 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
| 72789-509-06 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
| 72789-509-09 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 9 | 1 | 180 | 180 |
| 72789-509-12 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
| 72789-509-15 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
| 72789-513-10 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
| 72789-513-20 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
| 72789-513-30 | J7512 | Pd-Rx Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
| 24338-018-01 | J7514 | Azurity Pharmaceuticals, Inc. | Mycophenol (myhibbin) 100 mg | 100 MG | 175 | 1 | 350 | 350 |
| 0074-3108-32 | J7515 | AbbVie Inc. | 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 |
| 0093-9018-65 | J7515 | Teva Pharmaceuticals USA, Inc. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
| 23155-837-30 | J7515 | Heritage Pharmaceuticals Inc. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
| 23155-838-30 | J7515 | Heritage Pharmaceuticals Inc. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 60 | 60 |
| 60505-0133-0 | J7515 | Apotex Corp | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
| 60505-4630-3 | J7515 | Apotex Corp | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
| 60505-4631-3 | J7515 | Apotex Corp | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 60 | 60 |
| 68084-879-25 | J7515 | American Health Packaging | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
| 0078-0109-01 | J7516 | Novartis Pharmaceuticals Corporation | Inj, cyclosporine 250mg | 250 MG | 5 | 10 | 1 | 10 |
| 0574-0866-10 | J7516 | Padagis US LLC | Inj, cyclosporine 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 Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
| 0781-2067-05 | J7517 | Sandoz Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
| 0781-5175-01 | J7517 | Sandoz Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 200 | 200 |
| 0781-5175-05 | J7517 | Sandoz Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
| 0904-7078-61 | J7517 | Major Pharmaceuticals | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
| 23155-830-01 | J7517 | Heritage Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
| 23155-830-05 | J7517 | Heritage Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
| 23155-836-01 | J7517 | Heritage Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
| 23155-836-05 | J7517 | Heritage Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 1000 | 1000 |
| 50090-4275-0 | J7517 | A-S Medication Solutions | Mycophenolate mofetil oral | 250 MG | 180 | 1 | 360 | 360 |
| 50268-557-15 | J7517 | AvPAK | Mycophenolate mofetil oral | 250 MG | 50 | 1 | 50 | 50 |
| 50268-558-15 | J7517 | AvPAK | Mycophenolate mofetil oral | 250 MG | 50 | 1 | 100 | 100 |
| 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 |
| 59651-624-01 | J7517 | Aurobindo Pharma Usa, Inc. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
| 59651-624-05 | J7517 | Aurobindo Pharma Usa, Inc. | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
| 59651-638-01 | J7517 | Aurobindo Pharma Usa, Inc. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
| 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 |
| 60687-885-01 | J7517 | American Health Packaging | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
| 64380-725-06 | J7517 | Strides Pharma Science Limited | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
| 64380-725-07 | J7517 | Strides Pharma Science Limited | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
| 64380-726-06 | J7517 | Strides Pharma Science Limited | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
| 64380-726-07 | J7517 | Strides Pharma Science Limited | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
| 67877-225-01 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
| 67877-225-05 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 1000 | 1000 |
| 67877-266-01 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
| 67877-266-05 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
| 73190-009-01 | J7517 | AvPAK | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
| 73190-009-50 | J7517 | AvPAK | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
| 73190-010-01 | J7517 | AvPAK | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
| 73190-010-50 | J7517 | AvPAK | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 1000 | 1000 |
| 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 |
| 0904-6785-04 | J7518 | Major Pharmaceuticals | Mycophenolic acid | 180 MG | 30 | 1 | 30 | 30 |
| 0904-6785-61 | J7518 | Major Pharmaceuticals | Mycophenolic acid | 180 MG | 100 | 1 | 100 | 100 |
| 0904-6786-04 | J7518 | Major Pharmaceuticals | Mycophenolic acid | 180 MG | 30 | 1 | 60 | 60 |
| 0904-6786-61 | J7518 | Major Pharmaceuticals | Mycophenolic acid | 180 MG | 100 | 1 | 200 | 200 |
| 16729-261-29 | J7518 | Accord healthcare Inc | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 24979-160-44 | J7518 | TWI Pharmaceuticals, Inc. | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 24979-161-44 | J7518 | TWI Pharmaceuticals, Inc. | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
| 50090-6492-0 | J7518 | A-S Medication Solutions | Mycophenolic acid | 180 MG | 180 | 1 | 360 | 360 |
| 50268-559-12 | J7518 | AvPAK | Mycophenolic acid | 180 MG | 20 | 1 | 20 | 20 |
| 59651-621-08 | J7518 | Aurobindo Pharma Usa, Inc. | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 59651-622-08 | J7518 | Aurobindo Pharma Usa, Inc. | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
| 60505-2965-7 | J7518 | Apotex Corp | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 60505-2966-7 | J7518 | Apotex Corp | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
| 67877-426-12 | J7518 | Ascend Laboratories, LLC | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 67877-427-12 | J7518 | Ascend Laboratories, LLC | 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 |
| 70377-039-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 70377-040-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
| 70377-126-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 70377-127-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
| 70436-172-23 | J7518 | Slate Run Pharmaceuticals | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 70436-173-23 | J7518 | Slate Run Pharmaceuticals | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
| 72819-155-08 | J7518 | Archis Pharma LLC | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
| 72819-156-08 | J7518 | Archis Pharma LLC | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
| 0004-0298-09 | J7519 | Genentech, Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
| 42023-172-04 | J7519 | Endo USA, Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
| 67457-386-81 | J7519 | Mylan Institutional LLC | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
| 71288-803-21 | J7519 | Meitheal Pharmaceuticals Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
| 71288-803-92 | J7519 | Meitheal Pharmaceuticals Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
| 72485-415-04 | J7519 | Armas Pharmaceuticals Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
| 0008-1041-05 | 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 |
| 16714-187-01 | J7520 | Northstar RxLLC | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
| 16714-188-01 | J7520 | Northstar RxLLC | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
| 16714-189-01 | J7520 | Northstar RxLLC | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
| 50268-718-13 | J7520 | AvPAK | Sirolimus, oral | 1 MG | 30 | 1 | 30 | 30 |
| 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 | Mylan Pharmaceuticals Inc. | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
| 59762-1002-1 | J7520 | Mylan Pharmaceuticals Inc. | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
| 59762-1003-1 | J7520 | Mylan Pharmaceuticals Inc. | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
| 59762-1205-6 | J7520 | Mylan Pharmaceuticals Inc. | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
| 60505-6197-2 | J7520 | Apotex Corp | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
| 67877-746-01 | J7520 | Ascend Laboratories, LLC | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
| 67877-747-01 | J7520 | Ascend Laboratories, LLC | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
| 67877-748-01 | J7520 | Ascend Laboratories, LLC | 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 |
| 69238-1594-3 | J7520 | Amneal Pharmaceuticals, LLC | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
| 72205-099-78 | J7520 | Novadoz Pharmaceuticals LLC | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
| 72603-409-01 | J7520 | Northstar RxLLC | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
| 0469-1230-50 | J7521 | Astellas Pharma US, Inc. | Tacrolim granules oral susp | 0.1 MG | 50 | 1 | 2 | 100 |
| 0469-1330-50 | J7521 | Astellas Pharma US, Inc. | Tacrolim granules oral susp | 0.1 MG | 50 | 1 | 10 | 500 |
| 0469-3016-01 | J7525 | Astellas Pharma US, Inc. | Tacrolimus injection | 5 MG | 1 | 10 | 1 | 10 |
| 14789-135-05 | J7525 | Nexus Pharma | 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 |
| 49884-158-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
| 49884-159-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
| 49884-160-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
| 49884-283-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 240 | 240 |
| 51991-379-06 | J7527 | Breckenridge Pharmaceutical, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
| 51991-379-60 | J7527 | Breckenridge Pharmaceutical, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
| 51991-380-06 | J7527 | Breckenridge Pharmaceutical, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
| 51991-380-60 | J7527 | Breckenridge Pharmaceutical, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
| 51991-381-06 | J7527 | Breckenridge Pharmaceutical, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
| 51991-381-60 | J7527 | Breckenridge Pharmaceutical, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
| 51991-985-06 | J7527 | Breckenridge | 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 |
| 70377-069-11 | J7527 | Biocon Pharma Inc | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
| 70377-070-11 | J7527 | Biocon Pharma Inc | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
| 70377-071-11 | J7527 | Biocon Pharma Inc | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
| 70377-112-11 | J7527 | Biocon Pharma Inc | Oral everolimus | 0.25 MG | 60 | 1 | 240 | 240 |
| 0527-5160-82 | J7528 | Lannett Company, Inc. | Mycophen mofetil for susp | 100 MG | 1 | 1 | 350 | 350 |
| 23155-848-51 | J7528 | Heritage Pharmaceuticals Inc. | Mycophen mofetil for susp | 100 MG | 1 | 1 | 350 | 350 |
| 59651-646-26 | J7528 | Aurobindo Pharma Usa, Inc. | Mycophen mofetil for susp | 100 MG | 1 | 1 | 350 | 350 |
| 67877-230-22 | J7528 | Ascend Laboratories, LLC | Mycophen mofetil for susp | 100 MG | 175 | 1 | 350 | 350 |
| 83034-003-60 | J7601 | Verona Pharma Inc. | Ensifentrine inh 3 mg | 3 MG | 2.5 | 60 | 1 | 60 |
| 27437-055-30 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 27437-055-60 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 27437-060-30 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 27437-060-60 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 42571-464-73 | J7605 | MICRO LABORATORIES | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 43598-777-30 | J7605 | Dr. Reddy's Laboratories Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 43598-777-60 | J7605 | Dr. Reddy's Laboratories Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 50742-395-30 | J7605 | Ingenus Pharmaceuticals LLC | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 50742-395-60 | J7605 | Ingenus Pharmaceuticals LLC | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 60687-770-83 | J7605 | American Health Packaging | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 60687-770-84 | J7605 | American Health Packaging | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 62332-633-30 | J7605 | Alembic Pharmaceuticals Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 62332-633-60 | J7605 | Alembic Pharmaceuticals Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 69097-168-53 | J7605 | Cipla USA, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 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 Pharmaceuticals | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 70436-151-58 | J7605 | Slate Run Pharmaceuticals | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 70748-175-30 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 70748-175-60 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 70756-612-60 | J7605 | Lifestar Pharma | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 70756-612-70 | J7605 | Lifestar Pharma | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 72266-259-30 | J7605 | Fosun Pharma USA Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 72266-259-60 | J7605 | Fosun Pharma USA Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 72603-208-30 | J7605 | Northstar RxLLC | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
| 72603-208-60 | J7605 | Northstar RxLLC | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 76204-026-02 | J7605 | Ritedose Pharmaceuticals, LLC | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
| 0093-4061-06 | J7606 | Teva Pharmaceuticals USA, Inc. | Formoterol fumarate, inh | 20 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 |
| 42571-463-62 | J7606 | Micro Labs Limited | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 42571-463-73 | J7606 | Micro Labs Limited | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 42858-094-35 | J7606 | Rhodes Pharmaceuticals | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 42858-094-62 | J7606 | Rhodes Pharmaceuticals | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 43598-778-30 | J7606 | Dr. Reddy's Laboratories Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 43598-778-60 | J7606 | Dr. Reddy's Laboratories Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 49502-605-30 | J7606 | Viatris Specialty LLC | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 49502-605-61 | J7606 | Viatris Specialty LLC | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 50742-394-30 | J7606 | Ingenus Pharmaceuticals LLC | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 50742-394-60 | J7606 | Ingenus Pharmaceuticals LLC | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 62332-655-30 | J7606 | Alembic Pharmaceuticals Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 62332-655-60 | J7606 | Alembic Pharmaceuticals Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 70748-261-30 | J7606 | Lupin Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 70748-261-60 | J7606 | Lupin Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 70756-608-60 | J7606 | Lifestar Pharma | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 70756-608-70 | J7606 | Lifestar Pharma | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 72603-620-30 | J7606 | Northstar RxLLC | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 72603-620-60 | J7606 | Northstar RxLLC | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 73289-0060-1 | J7606 | Aucta Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 73289-0060-2 | J7606 | Aucta Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
| 76204-030-01 | J7606 | Ritedose Pharmaceuticals, LLC | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
| 76204-030-02 | J7606 | Ritedose Pharmaceuticals, LLC | 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, Inc. | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
| 0517-7604-25 | J7608 | American Regent, Inc. | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
| 42494-435-25 | J7608 | Cameron Pharmaceuticals | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
| 42494-436-25 | J7608 | Cameron Pharmaceuticals | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
| 63323-690-30 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
| 63323-690-44 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
| 63323-691-30 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 3 | 9 |
| 63323-692-10 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 10 | 3 | 2 | 6 |
| 63323-693-10 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 10 | 3 | 1 | 3 |
| 63323-694-04 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
| 63323-694-44 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
| 63323-695-04 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
| 70069-018-25 | J7608 | Somerset Pharma, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
| 70069-019-25 | J7608 | Somerset Pharma, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
| 70069-020-03 | J7608 | Somerset Pharma, LLC | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
| 0487-9901-30 | J7611 | Nephron SC, Inc. | Albuterol non-comp con | 1 MG | 0.5 | 30 | 2.5 | 75 |
| 62135-829-84 | J7611 | Chartwell | Albuterol non-comp con | 1 MG | 0.5 | 30 | 2.5 | 75 |
| 64980-642-03 | J7611 | Rising Pharma Holdings, Inc. | Albuterol non-comp con | 1 MG | 0.5 | 30 | 2.5 | 75 |
| 76204-027-01 | J7611 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp con | 1 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 |
| 0378-7057-52 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
| 0378-7058-52 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
| 0378-8270-52 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
| 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 SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 19 |
| 0487-9501-01 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
| 0487-9501-03 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
| 0487-9501-25 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
| 0487-9501-60 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
| 0487-9904-01 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 38 |
| 0487-9904-25 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
| 0591-3467-53 | J7613 | Actavis Pharma, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
| 0591-3468-53 | J7613 | Actavis Pharma, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
| 47335-703-49 | J7613 | Sun Pharmaceutical Global FZE. | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
| 47335-703-52 | J7613 | Sun Pharmaceutical Global FZE. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
| 47335-703-54 | J7613 | Sun Pharmaceutical Global FZE. | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
| 50090-0516-0 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
| 50090-0516-1 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 125 | 2.5 | 313 |
| 50090-6560-0 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
| 50090-6560-1 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 75 | 2.5 | 188 |
| 50742-392-25 | J7613 | Ingenus Pharmaceuticals LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
| 50742-393-25 | J7613 | Ingenus Pharmaceuticals LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
| 60687-395-83 | J7613 | American Health Packaging | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
| 62135-826-84 | J7613 | Chartwell | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 19 |
| 62135-827-84 | J7613 | Chartwell | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 38 |
| 62135-828-84 | J7613 | Chartwell | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
| 76204-010-01 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 19 |
| 76204-010-55 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
| 76204-011-01 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 38 |
| 76204-011-55 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
| 76204-200-01 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
| 76204-200-25 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
| 76204-200-30 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
| 76204-200-60 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
| 0093-4145-56 | J7614 | Teva Pharmaceuticals USA, Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 0.62 | 19 |
| 0093-4146-56 | J7614 | Teva Pharmaceuticals USA, Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 1.25 | 38 |
| 0093-4148-56 | J7614 | Teva Pharmaceuticals USA, Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 2.5 | 75 |
| 0115-9930-78 | J7614 | Amneal Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
| 0115-9931-78 | J7614 | Amneal Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
| 0115-9932-78 | J7614 | Impax Laboratories, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
| 0378-9690-52 | J7614 | Mylan Pharmaceuticals Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
| 0378-9691-52 | J7614 | Mylan Pharmaceuticals Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
| 0378-9692-52 | J7614 | Mylan Pharmaceuticals Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
| 35573-443-25 | J7614 | Burel Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
| 35573-444-25 | J7614 | Burel Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
| 35573-445-25 | J7614 | Burel Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
| 50090-6377-0 | J7614 | A-S Medication Solutions | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 33 |
| 76204-700-01 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 0.62 | 19 |
| 76204-700-25 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
| 76204-800-01 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 1.25 | 38 |
| 76204-800-25 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
| 76204-900-01 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 2.5 | 75 |
| 76204-900-25 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
| 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 SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 0487-0201-02 | J7620 | Nephron SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 0487-0201-03 | J7620 | Nephron SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 0487-0201-60 | J7620 | Nephron SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
| 47335-756-49 | J7620 | Sun Pharmaceutical Global FZE. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 47335-756-52 | J7620 | Sun Pharmaceutical Global FZE. | 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 |
| 50090-6288-0 | 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 |
| 62135-831-84 | J7620 | Chartwell | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 64980-645-03 | J7620 | Rising Pharma Holdings, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 64980-645-06 | J7620 | Rising Pharma Holdings, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
| 68788-8103-3 | J7620 | Preferred Pharmaceuticals Inc | 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, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 76204-600-05 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 76204-600-12 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
| 76204-600-30 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
| 76204-600-60 | J7620 | Ritedose Pharmaceuticals, LLC | 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 Pharmaceuticals LP | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 0186-1989-04 | J7626 | AstraZeneca Pharmaceuticals LP | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 0186-1990-04 | J7626 | AstraZeneca Pharmaceuticals LP | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
| 0487-9601-01 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 0487-9601-30 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 0487-9701-01 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 0487-9701-30 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 16714-019-30 | J7626 | Northstar RxLLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 16714-020-30 | J7626 | Northstar RxLLC | 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 |
| 50090-1467-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 50090-6586-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 50090-6590-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 50090-7126-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 50090-7173-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 60687-524-83 | J7626 | American Health Packaging | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 62135-822-84 | J7626 | Chartwell | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 62135-823-84 | J7626 | Chartwell | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 64980-638-03 | J7626 | Rising Pharma Holdings, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 64980-639-03 | J7626 | Rising Pharma Holdings, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 68180-984-30 | J7626 | Lupin Pharmaceuticals, Inc. | 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, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 76282-641-38 | J7626 | Exelan Pharmaceuticals, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
| 0172-6406-49 | J7631 | Ivax Pharmaceuticals, Inc. | Cromolyn sodium noncomp unit | 10 MG | 2 | 60 | 2 | 120 |
| 76204-028-60 | J7631 | Ritedose Pharmaceuticals, 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 | 13 |
| 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 SC, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
| 0487-9801-25 | J7644 | Nephron SC, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
| 0487-9801-30 | J7644 | Nephron SC, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
| 0487-9801-60 | J7644 | Nephron SC, Inc. | 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 | 13 |
| 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 | 13 |
| 50090-6373-0 | J7644 | A-S Medication Solutions | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
| 60687-394-83 | J7644 | American Health Packaging | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
| 62135-830-84 | J7644 | Chartwell | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
| 64980-640-02 | J7644 | Rising Pharma Holdings, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
| 64980-640-03 | J7644 | Rising Pharma Holdings, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
| 64980-640-06 | J7644 | Rising Pharma Holdings, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
| 76204-100-01 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
| 76204-100-25 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
| 76204-100-30 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
| 76204-100-60 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
| 49502-806-93 | J7677 | Viatris Specialty LLC | Revefenacin inh non-com 1mcg | 1 MCG | 3 | 30 | 175 | 5250 |
| 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 RxLLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 24492-850-56 | J7682 | PARI Respiratory Equipment | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 42571-408-92 | J7682 | Micro Labs Limited | 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 |
| 47335-171-49 | J7682 | Sun Pharmaceutical Global FZE. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 49502-345-73 | J7682 | Viatris Specialty LLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 60687-731-83 | J7682 | American Health Packaging | Tobramycin non-comp unit | 300 MG | 5 | 30 | 1 | 30 |
| 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 |
| 68180-962-56 | J7682 | Lupin Pharmaceuticals, Inc. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 70644-899-99 | J7682 | Genericus, Inc. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 70756-604-56 | J7682 | Lifestar Pharma | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 70756-617-56 | J7682 | Lifestar Pharma | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
| 72603-430-56 | J7682 | Northstar RxLLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 72603-630-56 | J7682 | Northstar RxLLC | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
| 76204-029-56 | J7682 | Ritedose Pharmaceuticals, LLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
| 66302-206-01 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 28 | 1 | 28 |
| 66302-206-02 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 28 | 1 | 28 |
| 66302-206-03 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 4 | 1 | 4 |
| 66302-206-04 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 4 | 1 | 4 |
| 0006-0461-02 | J8501 | Merck Sharp & Dohme LLC | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
| 0006-3066-03 | J8501 | Merck Sharp & Dohme LLC | Oral aprepitant | 5 MG | 1 | 1 | 25 | 25 |
| 0006-3862-03 | J8501 | Merck Sharp & Dohme LLC | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
| 0781-2321-06 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
| 0781-2321-51 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
| 0781-2322-46 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
| 0781-2322-68 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
| 0781-2323-68 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
| 0781-4063-36 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
| 13668-591-81 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
| 13668-591-82 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
| 13668-592-84 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
| 13668-592-86 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
| 13668-593-86 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
| 13668-594-87 | J8501 | Torrent Pharmaceuticals Limited | 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 |
| 47426-401-10 | J8502 | Heron Therapeutics | Inj, aponvie, 1 mg | 1 MG | 4.4 | 10 | 32 | 320 |
| 69238-2693-1 | J8515 | Amneal Pharmaceuticals, LLC | Cabergoline, oral 0.25mg | 0.25 MG | 8 | 1 | 16 | 16 |
| 0004-1100-20 | J8522 | Genentech, Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 0004-1101-50 | J8522 | Genentech, Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 0093-7473-06 | J8522 | Teva Pharmaceuticals USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 0093-7474-89 | J8522 | Teva Pharmaceuticals USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 16714-467-01 | J8522 | Northstar RxLLC | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 16714-468-01 | J8522 | Northstar RxLLC | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 16729-072-12 | J8522 | Accord Healthcare Inc | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 16729-073-29 | J8522 | Accord Healthcare Inc | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 55111-496-60 | J8522 | Dr. Reddy's Laboratories Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 55111-497-04 | J8522 | Dr. Reddy's Laboratories Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 59651-204-60 | J8522 | Aurobindo Pharma Usa, Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 59651-205-08 | J8522 | Aurobindo Pharma Usa, Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 60687-149-94 | J8522 | American Health Packaging | Capecitabine, oral, 50 mg | 50 MG | 20 | 1 | 200 | 200 |
| 61269-470-60 | J8522 | H2 Pharma LLC | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 67877-458-60 | J8522 | Ascend Laboratories, LLC | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 67877-459-12 | J8522 | Ascend Laboratories, LLC | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 68001-487-06 | J8522 | BluePoint Laboratories | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 68001-488-07 | J8522 | BluePoint Laboratories | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 68001-643-06 | J8522 | BluePoint Laboratories | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 68001-644-07 | J8522 | BluePoint Laboratories | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 69097-948-08 | J8522 | Cipla USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 69097-949-03 | J8522 | Cipla USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 70756-815-60 | J8522 | Lifestar Pharma | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 70756-816-22 | J8522 | Lifestar Pharma | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 72205-006-60 | J8522 | Novadoz Pharmaceuticals LLC | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
| 72205-007-92 | J8522 | Novadoz Pharmaceuticals LLC | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 82009-112-12 | J8522 | Quallent Pharmaceuticals | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
| 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 |
| 10019-984-01 | J8530 | Baxter Healthcare Corporation | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 200 | 200 |
| 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 |
| 0054-3176-44 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 30 | 1 | 120 | 120 |
| 0054-3177-63 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 500 | 1 | 200 | 200 |
| 0054-4184-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 0054-8175-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 0054-8180-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 300 | 300 |
| 0054-8181-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 600 | 600 |
| 0904-7266-61 | J8540 | Major Pharmaceuticals | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 0904-7267-61 | J8540 | Major Pharmaceuticals | Oral dexamethasone | 0.25 MG | 100 | 1 | 2400 | 2400 |
| 0904-7444-61 | J8540 | Major Pharmaceuticals | Oral dexamethasone | 0.25 MG | 100 | 1 | 800 | 800 |
| 43063-266-07 | J8540 | PD-Rx Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 7 | 1 | 56 | 56 |
| 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 |
| 50090-6151-4 | J8540 | A-S Medication Solutions | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
| 50090-6152-0 | J8540 | A-S Medication Solutions | Oral dexamethasone | 0.25 MG | 28 | 1 | 448 | 448 |
| 55289-582-04 | J8540 | PD-Rx Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 4 | 1 | 64 | 64 |
| 55289-582-06 | J8540 | PD-Rx Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
| 55289-582-28 | J8540 | PD-Rx Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 28 | 1 | 448 | 448 |
| 55289-903-12 | J8540 | PD-Rx Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 12 | 1 | 36 | 36 |
| 60505-6249-1 | J8540 | Apotex Corp | Oral dexamethasone | 0.25 MG | 100 | 1 | 200 | 200 |
| 60505-6250-1 | J8540 | Apotex Corp | Oral dexamethasone | 0.25 MG | 100 | 1 | 300 | 300 |
| 60505-6251-1 | J8540 | Apotex Corp | Oral dexamethasone | 0.25 MG | 100 | 1 | 400 | 400 |
| 60505-6252-1 | J8540 | Apotex Corp | Oral dexamethasone | 0.25 MG | 100 | 1 | 600 | 600 |
| 60505-6253-1 | J8540 | Apotex Corp | Oral dexamethasone | 0.25 MG | 100 | 1 | 800 | 800 |
| 60505-6254-1 | J8540 | Apotex Corp | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 60505-6255-1 | J8540 | Apotex Corp | Oral dexamethasone | 0.25 MG | 100 | 1 | 2400 | 2400 |
| 60687-718-01 | J8540 | American Health Packaging | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 60687-729-01 | J8540 | American Health Packaging | Oral dexamethasone | 0.25 MG | 100 | 1 | 2400 | 2400 |
| 60687-773-01 | J8540 | American Health Packaging | Oral dexamethasone | 0.25 MG | 100 | 1 | 800 | 800 |
| 66993-730-02 | J8540 | Prasco Laboratories | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 66993-730-80 | J8540 | Prasco Laboratories | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 68788-7267-2 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 21 | 1 | 63 | 63 |
| 68788-7267-3 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 30 | 1 | 90 | 90 |
| 68788-8223-1 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 12 | 1 | 192 | 192 |
| 68788-8223-3 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 30 | 1 | 480 | 480 |
| 68788-8223-6 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
| 68788-8467-1 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 12 | 1 | 192 | 192 |
| 68788-8467-3 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 30 | 1 | 480 | 480 |
| 68788-8824-3 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 30 | 1 | 480 | 480 |
| 70954-398-10 | J8540 | ANI Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 200 | 200 |
| 70954-399-10 | J8540 | ANI Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 300 | 300 |
| 72603-187-01 | J8540 | Northstar RxLLC | Oral dexamethasone | 0.25 MG | 100 | 1 | 600 | 600 |
| 72603-188-01 | J8540 | Northstar RxLLC | Oral dexamethasone | 0.25 MG | 100 | 1 | 800 | 800 |
| 72603-189-01 | J8540 | Northstar RxLLC | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
| 72603-190-01 | J8540 | Northstar RxLLC | Oral dexamethasone | 0.25 MG | 100 | 1 | 2400 | 2400 |
| 72603-212-01 | J8540 | Northstar RxLLC | Oral dexamethasone | 0.25 MG | 100 | 1 | 200 | 200 |
| 72603-213-01 | J8540 | Northstar RxLLC | Oral dexamethasone | 0.25 MG | 100 | 1 | 300 | 300 |
| 72789-501-20 | J8540 | PD-Rx Pharmaceuticals, Inc. | Oral dexamethasone | 0.25 MG | 20 | 1 | 60 | 60 |
| 0378-3266-94 | J8560 | Mylan Pharmaceuticals Inc. | Etoposide oral 50 mg | 50 MG | 20 | 1 | 20 | 20 |
| 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 |
| 0904-7141-10 | J8610 | Major Pharmaceuticals | Methotrexate oral 2.5 mg | 2.5 MG | 20 | 1 | 20 | 20 |
| 16729-486-01 | J8610 | Accord Healthcare Inc | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
| 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 |
| 50090-5457-2 | J8610 | A-S Medication Solutions | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
| 50090-5457-9 | J8610 | A-S Medication Solutions | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
| 50268-527-15 | J8610 | AvPAK | Methotrexate oral 2.5 mg | 2.5 MG | 50 | 1 | 50 | 50 |
| 51079-670-05 | J8610 | Mylan Institutional Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 20 | 1 | 20 | 20 |
| 51285-366-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 60 | 60 |
| 51285-367-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 90 | 90 |
| 51285-368-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 120 | 120 |
| 51285-369-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 180 | 180 |
| 81927-204-01 | J8611 | Shorla Oncology Inc. | Oral methotrexate (jylamvo) | 2.5 MG | 60 | 1 | 48 | 48 |
| 52652-2001-1 | J8612 | Azurity Pharmaceuticals, Inc. | Oral methotrexate (xatmep) | 2.5 MG | 120 | 1 | 120 | 120 |
| 52652-2001-6 | J8612 | Azurity Pharmaceuticals, Inc. | Oral methotrexate (xatmep) | 2.5 MG | 60 | 1 | 60 | 60 |
| 69639-101-01 | J8655 | Helsinn Therapeutics (U.S.), Inc. | Oral netupitant, palonosetro | 300 MG/0.5 MG | 1 | 1 | 1 | 1 |
| 16729-048-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 5 | 5 |
| 16729-048-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 14 | 14 |
| 16729-049-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 20 | 20 |
| 16729-049-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 56 | 56 |
| 16729-050-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 100 | 100 |
| 16729-050-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 280 | 280 |
| 16729-051-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 250 | 250 |
| 16729-129-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 140 | 140 |
| 16729-129-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 392 | 392 |
| 16729-130-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 180 | 180 |
| 16729-130-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 504 | 504 |
| 47335-890-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 15 | 15 |
| 47335-890-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 5 | 5 |
| 47335-891-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 60 | 60 |
| 47335-891-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 20 | 20 |
| 47335-892-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 300 | 300 |
| 47335-892-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 100 | 100 |
| 47335-893-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 250 | 250 |
| 47335-929-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 420 | 420 |
| 47335-929-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 140 | 140 |
| 47335-930-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 540 | 540 |
| 47335-930-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 180 | 180 |
| 50268-761-12 | J8700 | AvPAK | Temozolomide | 5 MG | 20 | 1 | 80 | 80 |
| 50268-762-12 | J8700 | AvPAK | Temozolomide | 5 MG | 20 | 1 | 400 | 400 |
| 65162-801-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 14 | 14 |
| 65162-801-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 5 | 5 |
| 65162-802-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 56 | 56 |
| 65162-802-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 20 | 20 |
| 65162-803-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 280 | 280 |
| 65162-803-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 100 | 100 |
| 65162-804-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 392 | 392 |
| 65162-804-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 140 | 140 |
| 65162-805-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 504 | 504 |
| 65162-805-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 180 | 180 |
| 65162-806-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 250 | 250 |
| 0078-0672-01 | J8705 | Sandoz Inc. | Topotecan oral | 0.25 MG | 10 | 1 | 10 | 10 |
| 0078-0673-01 | J8705 | Sandoz Inc. | Topotecan oral | 0.25 MG | 10 | 1 | 40 | 40 |
| 66758-101-11 | J8705 | Sandoz Inc. | Topotecan oral | 0.25 MG | 10 | 1 | 10 | 10 |
| 66758-102-11 | J8705 | Sandoz Inc. | Topotecan oral | 0.25 MG | 10 | 1 | 40 | 40 |
| 0069-0255-10 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
| 0069-0277-02 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
| 0069-0343-02 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
| 0069-0358-20 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
| 0069-1442-04 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
| 0069-1542-20 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
| 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 |
| 0069-3034-20 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
| 0069-3358-25 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
| 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 |
| 0069-4031-12 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
| 0069-4031-12 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
| 0069-4037-01 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
| 0069-4205-05 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
| 0069-5629-05 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
| 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 |
| 0143-9093-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
| 0143-9277-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
| 16714-001-01 | J9000 | Northstar RxLLC | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
| 25021-207-25 | J9000 | Sagent Pharmaceuticals | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
| 25021-207-51 | J9000 | Sagent Pharmaceuticals | 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 USA, LLC | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
| 63323-883-05 | J9000 | FreseniUS Kabi USA, LLC | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
| 63323-883-30 | J9000 | FreseniUS Kabi USA, LLC | 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 Pharmaceutical Division, LLC | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
| 70860-208-51 | J9000 | Athenex Pharmaceutical Division, LLC | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
| 65597-801-01 | J9011 | Daiichi Sankyo Inc. | Datopotamab deruxtecan, 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 0781-3498-94 | J9017 | Sandoz Inc. | Arsenic trioxide injection | 1 MG | 6 | 1 | 12 | 12 |
| 0781-3498-95 | J9017 | Sandoz Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
| 14789-600-10 | J9017 | Nexus Pharmaceuticals, LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 23155-869-41 | J9017 | Heritage Pharmaceuticals Inc. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 23155-870-41 | J9017 | Heritage Pharmaceuticals Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
| 25021-226-10 | J9017 | Sagent Pharmaceuticals | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 25021-227-06 | J9017 | Sagent Pharmaceuticals | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
| 50742-438-10 | J9017 | Ingenus Pharmaceuticals LLC | Arsenic trioxide injection | 1 MG | 10 | 1 | 10 | 10 |
| 63323-637-10 | J9017 | FreseniUS Kabi USA, LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 63459-601-06 | J9017 | Cephalon, LLC | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
| 68382-997-10 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 69918-720-02 | J9017 | Nordic Pharma, Inc | Arsenic trioxide injection | 1 MG | 10 | 2 | 10 | 20 |
| 69918-720-10 | J9017 | Nordic Pharma, Inc | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 70121-1483-7 | J9017 | Amneal Pharmaceuticals, LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 70121-1658-1 | J9017 | Amneal Pharmaceuticals, LLC | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
| 70710-1610-6 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
| 70710-1895-6 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 70710-1896-6 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
| 70860-217-10 | J9017 | Athenex Pharmaceutical Division, LLC | Arsenic trioxide injection | 1 MG | 10 | 1 | 10 | 10 |
| 72205-171-07 | J9017 | Novadoz Pharmaceuticals LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 72603-339-10 | J9017 | Northstar RxLLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
| 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 | 10 MG | 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 |
| 50242-933-01 | J9024 | Genentech, Inc. | Inj atezolizumb 5mg hya-tqjs | 5 MG | 15 | 1 | 375 | 375 |
| 0143-9606-01 | J9025 | Hikma Pharmaceuticals USA Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 0781-3253-94 | J9025 | Sandoz Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 0781-3491-94 | J9025 | Sandoz Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 16714-927-01 | J9025 | Northstar RxLLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 16729-306-10 | J9025 | Accord Healthcare Inc | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 43598-143-62 | J9025 | Dr. Reddy's Laboratories 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 |
| 55150-393-01 | J9025 | Eugia US LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 59572-102-01 | J9025 | Celgene Corporation | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 60505-6271-1 | J9025 | Apotex Corp | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 63323-771-39 | J9025 | FreseniUS Kabi USA, LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 68001-313-56 | J9025 | BluePoint Laboratories | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 68001-527-54 | J9025 | BluePoint Laboratories | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 68001-620-54 | J9025 | BluePoint Laboratories | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 70121-1237-1 | J9025 | Amneal Pharmaceuticals, LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 71288-115-30 | J9025 | Meitheal Pharmaceuticals Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 71288-153-95 | J9025 | Meitheal Pharmaceuticals Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 72485-201-01 | J9025 | Armas Pharmaceuticals Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 72572-020-01 | J9025 | Civica, Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 75907-225-11 | J9025 | Dr. Reddy's Laboratories Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
| 55513-059-01 | J9026 | Amgen Inc | Inj, tarlatamab-dlle, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
| 55513-077-01 | J9026 | Amgen Inc | Inj, tarlatamab-dlle, 1 mg | 1 MG | 1 | 1 | 10 | 10 |
| 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 USA, LLC | 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 Pharmaceuticals, LLC | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
| 71288-128-20 | J9027 | Meitheal Pharmaceuticals Inc. | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
| 72266-108-01 | J9027 | Fosun Pharma USA Inc. | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
| 81481-803-01 | J9028 | Altor BioScience, LLC | Inj, nogapendekin pmln, 1mcg | 1 MCG | 0.4 | 1 | 400 | 400 |
| 55566-1050-1 | J9029 | Ferring Pharmaceuticals Inc. | Instill adstiladrin, tx dose | Per Therapeutic Dose | 20 | 4 | 1 | 1 |
| 0052-0602-02 | J9030 | Merck Sharp & Dohme LLC | Bcg live intravesical 1mg | 1 MG | 1 | 1 | 50 | 50 |
| 72893-002-01 | J9032 | Acrotech Biopharma LLC | Injection, belinostat, 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 16729-250-03 | J9033 | Accord Healthcare Inc | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
| 16729-251-05 | J9033 | Accord Healthcare Inc | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 55150-391-01 | J9033 | Eugia US LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
| 55150-392-01 | J9033 | Eugia US LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 60505-6095-0 | J9033 | Apotex Corp | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
| 60505-6096-0 | J9033 | Apotex Corp | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 63459-390-08 | J9033 | Cephalon, LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
| 63459-391-20 | J9033 | Cephalon, LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 68001-572-41 | J9033 | BluePoint Laboratories | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 71288-102-10 | J9033 | Meitheal Pharmaceuticals Inc. | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
| 71288-103-20 | J9033 | Meitheal Pharmaceuticals Inc. | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 63459-348-04 | J9034 | Cephalon, LLC | Inj., bendeka 1 mg | 1 MG | 4 | 1 | 100 | 100 |
| 50242-060-01 | J9035 | Genentech, Inc. | Bevacizumab injection | 10 MG | 4 | 1 | 10 | 10 |
| 50242-061-01 | J9035 | Genentech, Inc. | Bevacizumab injection | 10 MG | 16 | 1 | 40 | 40 |
| 10019-079-01 | J9036 | Baxter Healthcare Corporation | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
| 42367-521-25 | J9036 | Eagle Pharmaceuticals, Inc. | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
| 60505-6228-0 | J9036 | Apotex Corp | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
| 50881-012-10 | J9038 | Incyte Corporation | Inj axatilimab-csfr 0.1 mg | 0.1 MG | 1 | 1 | 500 | 500 |
| 50881-023-11 | J9038 | Incyte Corporation | Inj axatilimab-csfr 0.1 mg | 0.1 MG | 0.44 | 1 | 220 | 220 |
| 50881-034-12 | J9038 | Incyte Corporation | Inj axatilimab-csfr 0.1 mg | 0.1 MG | 0.18 | 1 | 90 | 90 |
| 55513-160-01 | J9039 | Amgen 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 |
| 16714-886-01 | J9040 | Northstar RxLLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
| 16714-908-01 | J9040 | Northstar RxLLC | 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 USA, LLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
| 63323-137-20 | J9040 | FreseniUS Kabi USA, LLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 2 |
| 71288-106-10 | J9040 | Meitheal Pharmaceuticals Inc. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
| 71288-107-20 | J9040 | Meitheal Pharmaceuticals Inc. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
| 0143-9098-01 | J9041 | Hikma Pharmaceuticals USA Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 0409-1700-01 | J9041 | Pfizer Inc | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 10019-991-01 | J9041 | Baxter Healthcare Corporation | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 25021-244-10 | J9041 | Sagent Pharmaceuticals | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 25021-262-10 | J9041 | Sagent Pharmaceuticals | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 43598-426-60 | J9041 | Dr. Reddy's Laboratories Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 50742-484-01 | J9041 | Ingenus Pharmaceuticals LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 55150-337-01 | J9041 | Eugia US LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 60505-6050-4 | J9041 | Apotex Corp | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 63020-049-01 | J9041 | Takeda Pharmaceuticals America, Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 63323-821-10 | J9041 | FreseniUS Kabi USA, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 68001-534-36 | J9041 | BluePoint Laboratories | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 68001-540-36 | J9041 | BluePoint Laboratories | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 68001-541-36 | J9041 | BluePoint Laboratories | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 70069-836-01 | J9041 | Somerset Pharma, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 70710-1411-1 | J9041 | Zydus Pharmaceuticals (USA) Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 70860-225-10 | J9041 | Athenex Pharmaceutical Division, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 71288-118-10 | J9041 | Meitheal Pharmaceuticals Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 72205-183-01 | J9041 | Novadoz Pharmaceuticals LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 72603-270-01 | J9041 | Northstar RxLLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
| 51144-050-01 | J9042 | Pfizer Inc | Brentuximab vedotin inj | 1 MG | 1 | 1 | 50 | 50 |
| 0024-5824-11 | J9043 | Sanofi-Aventis U.S. LLC | Cabazitaxel injection | 1 MG | 1 | 1 | 60 | 60 |
| 0703-4239-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 0703-4239-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 0703-4244-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
| 0703-4244-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
| 0703-4246-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
| 0703-4246-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
| 0703-4248-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 0703-4248-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 0703-4248-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 0703-4248-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 16729-295-12 | J9045 | Accord Healthcare Inc | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 16729-295-34 | J9045 | Accord Healthcare Inc | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 50742-447-45 | J9045 | Ingenus Pharmaceuticals LLC | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 50742-448-60 | J9045 | Ingenus Pharmaceuticals LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 55150-335-00 | J9045 | EUGIA US LLC | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 55150-335-01 | J9045 | Eugia US LLC | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 55150-386-01 | J9045 | Eugia US LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 60505-6282-1 | J9045 | Apotex Corp | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
| 60505-6282-3 | J9045 | Apotex Corp | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
| 60505-6282-6 | J9045 | Apotex Corp | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 60505-6282-7 | J9045 | Apotex Corp | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 61703-150-05 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
| 61703-262-05 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
| 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 |
| 61703-360-18 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
| 61703-360-18 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
| 61703-600-05 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 63323-172-60 | J9045 | FreseniUS Kabi USA, LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 63323-172-60 | J9045 | FreseniUS Kabi USA, LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
| 76075-101-01 | J9047 | Amgen Inc | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 60 | 60 |
| 76075-102-01 | J9047 | Amgen Inc | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 30 | 30 |
| 76075-103-01 | J9047 | Amgen Inc | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 10 | 10 |
| 76075-103-21 | J9047 | Amgen USA Inc. | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 10 | 10 |
| 0409-1703-01 | J9049 | Pfizer Inc | Inj, bortezomib, hospira | 0.1 MG | 1 | 1 | 25 | 25 |
| 0409-1704-01 | J9049 | Pfizer Inc | Inj, bortezomib, hospira | 0.1 MG | 1 | 1 | 10 | 10 |
| 0781-3474-32 | J9050 | Sandoz Inc. | 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 |
| 62332-659-02 | J9050 | Alembic Pharmaceuticals Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
| 70121-1482-2 | J9050 | Amneal Pharmaceuticals, LLC | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
| 70710-1525-9 | J9050 | Zydus Pharmaceuticals (USA) Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
| 70860-223-61 | J9050 | Athenex Pharmaceutical Division, LLC | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
| 71288-126-90 | J9050 | Meitheal Pharmaceuticals Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
| 72205-198-01 | J9050 | Novadoz Pharmaceuticals LLC | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
| 70121-2484-1 | J9054 | Amneal Pharmaceuticals, LLC | Inj bortezomib boruzu 0.1 mg | 0.1 MG | 1.4 | 1 | 35 | 35 |
| 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 |
| 24338-270-01 | J9056 | Azurity Pharmaceuticals, Inc. | Inj, vivimusta, 1 mg | 1 MG | 4 | 1 | 100 | 100 |
| 71225-120-01 | J9056 | Slayback Pharma LLC | Inj, vivimusta, 1 mg | 1 MG | 4 | 1 | 100 | 100 |
| 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 | Teva Parenteral Medicines, Inc. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
| 0703-5748-11 | J9060 | Teva Parenteral Medicines, 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 |
| 25021-253-50 | J9060 | Sagent Pharmaceuticals | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
| 25021-253-51 | J9060 | Sagent Pharmaceuticals | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
| 44567-511-01 | J9060 | WG Critical Care, LLC | Cisplatin 10 mg injection | 10 MG | 200 | 1 | 20 | 20 |
| 44567-530-01 | J9060 | WG Critical Care, LLC | Cisplatin 10 mg injection | 10 MG | 1 | 1 | 5 | 5 |
| 60505-6279-0 | J9060 | Apotex Corp | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
| 63323-103-51 | J9060 | FreseniUS Kabi USA, LLC | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
| 63323-103-64 | J9060 | FreseniUS Kabi USA, LLC | Cisplatin 10 mg injection | 10 MG | 200 | 1 | 20 | 20 |
| 63323-103-65 | J9060 | FreseniUS Kabi USA, LLC | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
| 68001-283-27 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
| 68001-283-32 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
| 68001-608-24 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
| 68001-609-33 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
| 72266-252-01 | J9060 | Fosun Pharma USA Inc. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
| 72266-253-01 | J9060 | Fosun Pharma USA Inc. | 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 |
| 72903-853-01 | J9063 | ImmunoGen, Inc. | Inj, elahere, 1 mg | 1 MG | 20 | 1 | 100 | 100 |
| 0143-9871-01 | J9065 | Hikma Pharmaceuticals USA Inc. | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
| 42658-010-01 | J9065 | Hisun Pharmaceuticals USA, Inc | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
| 42658-010-91 | J9065 | Hisun Pharmaceuticals USA, Inc | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
| 63323-140-10 | J9065 | FreseniUS Kabi USA, LLC | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
| 55150-270-01 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 2.5 | 1 | 100 | 100 |
| 55150-270-99 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 2.5 | 1 | 100 | 100 |
| 55150-271-01 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 5 | 1 | 200 | 200 |
| 55150-271-99 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 5 | 1 | 200 | 200 |
| 55150-272-01 | J9071 | EUGIA US LLC | Inj cyclophosphamd auromedic | 5 MG | 10 | 1 | 400 | 400 |
| 83831-116-01 | J9072 | Avyxa Pharma, LLC | Inj cyclophos frindovyx 5 mg | 5 MG | 1 | 1 | 100 | 100 |
| 83831-117-02 | J9072 | Avyxa Pharma, LLC | Inj cyclophos frindovyx 5 mg | 5 MG | 1 | 1 | 200 | 200 |
| 83831-118-04 | J9072 | Avyxa Pharma, LLC | Inj cyclophos frindovyx 5 mg | 5 MG | 1 | 1 | 400 | 400 |
| 83831-119-01 | J9072 | Avyxa Pharma, LLC | Inj cyclophos frindovyx 5 mg | 5 MG | 1 | 1 | 100 | 100 |
| 83831-120-02 | J9072 | Avyxa Pharma, LLC | Inj cyclophos frindovyx 5 mg | 5 MG | 2 | 1 | 200 | 200 |
| 83831-121-04 | J9072 | Avyxa Pharma, LLC | Inj cyclophos frindovyx 5 mg | 5 MG | 4 | 1 | 400 | 400 |
| 50742-519-02 | J9073 | Ingenus Pharmaceuticals LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 2.5 | 1 | 100 | 100 |
| 50742-520-05 | J9073 | Ingenus Pharmaceuticals LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 5 | 1 | 200 | 200 |
| 50742-521-10 | J9073 | Ingenus Pharmaceuticals LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
| 68001-564-22 | J9073 | BluePoint Laboratories | Inj cyclophos dr reddys 5 mg | 5 MG | 5 | 1 | 200 | 200 |
| 68001-565-28 | J9073 | BluePoint Laboratories | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
| 70860-218-10 | J9073 | Athenex Pharmaceutical Division, LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
| 75907-189-35 | J9073 | Dr. Reddy's Laboratories Inc. | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
| 75907-190-07 | J9073 | Dr. Reddy's Laboratories Inc. | Inj cyclophos dr reddys 5 mg | 5 MG | 5 | 1 | 200 | 200 |
| 75907-191-02 | J9073 | Dr. Reddy's Laboratories Inc. | Inj cyclophos dr reddys 5 mg | 5 MG | 2.5 | 1 | 100 | 100 |
| 0781-3528-10 | J9074 | Sandoz Inc. | Inj, cyclophosphamd, sandoz | 5 MG | 5 | 1 | 100 | 100 |
| 0781-3529-10 | J9074 | Sandoz Inc. | Inj, cyclophosphamd, sandoz | 5 MG | 10 | 1 | 200 | 200 |
| 0781-3530-10 | J9074 | Sandoz Inc. | Inj, cyclophosphamd, sandoz | 5 MG | 20 | 1 | 400 | 400 |
| 0781-3233-94 | J9075 | Sandoz Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 0781-3244-94 | J9075 | Sandoz Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 0781-3255-94 | J9075 | Sandoz Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 10019-938-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 10019-939-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 10019-942-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 10019-943-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 10019-944-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 10019-945-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 10019-955-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 10019-956-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 10019-957-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 16714-857-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 16714-858-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 16714-859-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 25021-247-50 | J9075 | Sagent Pharmaceuticals | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 25021-248-51 | J9075 | Sagent Pharmaceuticals | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 25021-249-51 | J9075 | Sagent Pharmaceuticals | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 39822-0250-1 | J9075 | XGen Pharmaceuticals DJB, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 39822-0255-1 | J9075 | XGen Pharmaceuticals DJB, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 39822-0260-1 | J9075 | XGen Pharmaceuticals DJB, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 65219-131-20 | J9075 | FreseniUS Kabi USA, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 65219-133-20 | J9075 | FreseniUS Kabi USA, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 65219-135-20 | J9075 | FreseniUS Kabi USA, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 68001-442-26 | J9075 | BluePoint Laboratories | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 68001-443-27 | J9075 | BluePoint Laboratories | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 68001-444-32 | J9075 | BluePoint Laboratories | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 70121-1238-1 | J9075 | Amneal Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 70121-1239-1 | J9075 | Amneal Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 70121-1240-1 | J9075 | Amneal Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 72572-083-01 | J9075 | Civica, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 72572-085-01 | J9075 | Civica, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 72572-087-01 | J9075 | Civica, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 72603-104-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 72603-326-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 81298-8110-1 | J9075 | Long Grove Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
| 81298-8112-1 | J9075 | Long Grove Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
| 81298-8114-1 | J9075 | Long Grove Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
| 0338-9777-01 | J9076 | Baxter Healthcare Corporation | Inj, cyclophos (baxter) 5mg | 5 MG | 2.5 | 1 | 100 | 100 |
| 0338-9779-01 | J9076 | Baxter Healthcare Corporation | Inj, cyclophos (baxter) 5mg | 5 MG | 5 | 1 | 200 | 200 |
| 25021-223-20 | J9100 | Sagent Pharmaceuticals | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
| 25021-229-05 | J9100 | Sagent Pharmaceuticals | Cytarabine hcl 100 mg inj | 100 MG | 5 | 5 | 1 | 5 |
| 61703-155-01 | J9100 | Pfizer Inc | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
| 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 |
| 61703-319-22 | J9100 | Pfizer Inc | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
| 63323-120-20 | J9100 | FreseniUS Kabi USA, LLC | Cytarabine hcl 100 mg inj | 100 MG | 1 | 1 | 20 | 20 |
| 71288-109-20 | J9100 | Meitheal Pharmaceuticals Inc. | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
| 72694-515-01 | J9118 | Servier Pharmaceuticals LLC | Inj. calaspargase pegol-mknl | 10 UNITS | 5 | 1 | 375 | 375 |
| 61755-008-01 | J9119 | Regeneron Pharmaceuticals, Inc. | Inj., cemiplimab-rwlc, 1 mg | 1 MG | 7 | 1 | 350 | 350 |
| 39822-2100-2 | J9120 | XGen Pharmaceuticals DJB, Inc. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
| 42658-008-01 | J9120 | Hisun Pharmaceuticals USA, Inc | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
| 55150-431-01 | J9120 | Eugia US LLC | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
| 55150-928-02 | J9120 | Eugia US LLC | 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 |
| 71288-129-02 | J9120 | Meitheal Pharmaceuticals 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 |
| 63323-127-10 | J9130 | FreseniUS Kabi USA, LLC | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 1 | 10 |
| 63323-128-20 | J9130 | FreseniUS Kabi USA, LLC | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 2 | 20 |
| 71288-174-21 | J9130 | Meitheal Pharmaceuticals Inc. | 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 |
| 57894-505-05 | J9145 | Janssen Biotech, Inc. | Injection, daratumumab 10 mg | 10 MG | 5 | 1 | 10 | 10 |
| 57894-505-20 | 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 |
| 42658-019-01 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 10 | 1 | 5 | 5 |
| 42658-021-01 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 1 | 2 | 2 |
| 42658-021-02 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
| 42658-021-91 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 1 | 2 | 2 |
| 42658-021-92 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
| 71288-182-05 | J9150 | Meitheal Pharmaceuticals Inc. | 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 |
| 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 | Pfizer Inc | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
| 0409-0201-02 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
| 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 |
| 0409-0201-10 | 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 |
| 0409-0201-20 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
| 0409-0365-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 8 | 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 | Pfizer Inc | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
| 0409-4235-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
| 0409-5068-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
| 0409-7870-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 0955-1020-01 | J9171 | Sanofi-Aventis U.S. LLC | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
| 0955-1021-04 | J9171 | Sanofi-Aventis U.S. LLC | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
| 0955-1022-08 | J9171 | Sanofi-Aventis U.S. LLC | 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 |
| 23155-903-31 | J9171 | Heritage Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
| 23155-904-31 | J9171 | Heritage Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
| 23155-905-31 | J9171 | Heritage Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
| 25021-245-01 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
| 25021-245-04 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
| 25021-254-08 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 25021-254-16 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
| 43066-001-01 | J9171 | Baxter Healthcare Corporation | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
| 43066-006-01 | J9171 | Baxter Healthcare Corporation | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 43066-010-01 | J9171 | Baxter Healthcare Corporation | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
| 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 |
| 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 |
| 55150-379-01 | J9171 | Eugia US LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 55150-380-01 | J9171 | Eugia US LLC | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
| 62332-678-02 | J9171 | Alembic Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
| 62332-678-08 | J9171 | Alembic Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 62332-678-16 | J9171 | Alembic Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
| 66758-050-01 | J9171 | Sandoz Inc. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
| 66758-050-02 | J9171 | Sandoz Inc. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 66758-050-03 | J9171 | Sandoz Inc. | 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 |
| 70121-1221-1 | J9171 | Amneal Pharmaceuticals, LLC | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
| 70121-1222-1 | J9171 | Amneal Pharmaceuticals, LLC | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
| 70121-1223-1 | J9171 | Amneal Pharmaceuticals, LLC | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
| 71288-144-08 | J9171 | Meitheal Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 71288-144-16 | J9171 | Meitheal Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
| 72078-040-08 | J9171 | Mylan Institutional LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
| 83831-101-02 | J9172 | Avyxa Pharma, LLC | Docetaxel (docivyx), 1 mg | 1 MG | 2 | 1 | 20 | 20 |
| 83831-102-08 | J9172 | Avyxa Pharma, LLC | Docetaxel (docivyx), 1 mg | 1 MG | 8 | 1 | 80 | 80 |
| 83831-103-16 | J9172 | Avyxa Pharma, LLC | Docetaxel (docivyx), 1 mg | 1 MG | 16 | 1 | 160 | 160 |
| 0310-4500-12 | J9173 | AstraZeneca Pharmaceuticals LP | Inj., durvalumab, 10 mg | 10 MG | 2.4 | 1 | 12 | 12 |
| 0310-4611-50 | J9173 | AstraZeneca Pharmaceuticals LP | Inj., durvalumab, 10 mg | 10 MG | 10 | 1 | 50 | 50 |
| 0003-2291-11 | J9176 | E.R. Squibb & Sons, L.L.C. | Injection, elotuzumab, 1mg | 1 MG | 1 | 1 | 300 | 300 |
| 0003-4522-11 | J9176 | E.R. Squibb & Sons, L.L.C. | Injection, elotuzumab, 1mg | 1 MG | 1 | 1 | 400 | 400 |
| 51144-020-01 | J9177 | Pfizer Inc | Inj enfort vedo-ejfv 0.25mg | 0.25 MG | 1 | 1 | 80 | 80 |
| 51144-030-01 | J9177 | Pfizer Inc | 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 |
| 0009-5091-25 | 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 |
| 0009-5093-10 | J9178 | Pfizer Inc | Inj, epirubicin hcl, 2 mg | 2 MG | 100 | 1 | 100 | 100 |
| 0143-9167-01 | J9179 | Hikma Pharmaceuticals USA Inc. | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
| 0781-3391-94 | J9179 | Sandoz Inc. | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
| 10019-080-01 | J9179 | Baxter Healthcare Corporation | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
| 60505-6289-0 | J9179 | Apotex Corp | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
| 62856-389-01 | J9179 | Eisai Inc. | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
| 68001-656-41 | J9179 | BluePoint Laboratories | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
| 68462-770-20 | J9179 | Glenmark Pharmaceuticals Inc., USA | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
| 81298-3890-1 | J9179 | Long Grove Pharmaceuticals, LLC | 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 |
| 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 LLC | Etoposide injection | 10 MG | 1 | 1 | 10 | 10 |
| 63323-104-05 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 5 | 10 | 10 | 100 |
| 63323-104-06 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
| 63323-104-25 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
| 63323-104-50 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
| 68001-265-25 | J9181 | BluePoint Laboratories | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
| 68001-265-26 | J9181 | BluePoint Laboratories | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
| 68001-265-27 | J9181 | BluePoint Laboratories | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
| 71288-175-05 | J9181 | Meitheal Pharmaceuticals Inc. | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
| 71288-176-25 | J9181 | Meitheal Pharmaceuticals Inc. | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
| 57894-225-01 | J9183 | Janssen Biotech, Inc. | Gemcitabine intravesical sys | 225 MG | 1 | 1 | 1 | 1 |
| 83831-123-01 | J9184 | Avyxa Pharma, LLC | Inj gemcitabin (avyxa) 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
| 83831-124-01 | J9184 | Avyxa Pharma, LLC | Inj gemcitabin (avyxa) 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
| 24201-237-01 | J9185 | Hikma Pharmaceuticals USA Inc. | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
| 25021-242-02 | J9185 | Sagent Pharmaceuticals | 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 |
| 59923-604-02 | J9185 | Areva Pharmaceuticals | Fludarabine phosphate inj | 50 MG | 2 | 1 | 1 | 1 |
| 63323-192-02 | J9185 | FreseniUS Kabi USA, LLC | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
| 16729-276-38 | J9190 | Accord Healthcare Inc | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 25021-215-98 | J9190 | Sagent Pharmaceuticals | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 25021-215-99 | J9190 | Sagent Pharmaceuticals | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 55150-498-01 | J9190 | Eugia US LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 55150-499-01 | J9190 | Eugia US LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 62332-751-50 | J9190 | Alembic Pharmaceuticals Inc. | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 62332-779-31 | J9190 | Alembic Pharmaceuticals Inc. | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 63323-117-10 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
| 63323-117-18 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
| 63323-117-19 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
| 63323-117-20 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
| 63323-117-28 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
| 63323-117-51 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 63323-117-58 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 63323-117-59 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 63323-117-61 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 63323-117-68 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 63323-117-69 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 68001-524-30 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
| 68001-524-31 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
| 68001-525-27 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 68001-525-32 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 68001-627-27 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 68001-628-32 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 70700-186-23 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
| 70700-187-23 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
| 70700-188-22 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 70700-189-22 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 71288-154-76 | J9190 | Meitheal Pharmaceuticals Inc. | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
| 71288-170-75 | J9190 | Meitheal Pharmaceuticals Inc. | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
| 16729-391-30 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 2 | 1 | 1 | 1 |
| 16729-419-03 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 10 | 1 | 5 | 5 |
| 16729-423-33 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 15 | 1 | 7.5 | 8 |
| 16729-426-05 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 20 | 1 | 10 | 10 |
| 68001-342-34 | J9196 | BluePoint Laboratories | Inj gemcitabine hcl (accord) | 200 MG | 2 | 1 | 1 | 1 |
| 68001-348-36 | J9196 | BluePoint Laboratories | Inj gemcitabine hcl (accord) | 200 MG | 10 | 1 | 5 | 5 |
| 68001-359-37 | J9196 | BluePoint Laboratories | Inj gemcitabine hcl (accord) | 200 MG | 20 | 1 | 10 | 10 |
| 81643-9270-1 | J9200 | JND Therapeutics | Floxuridine injection | 500 MG | 1 | 1 | 1 | 1 |
| 0143-9340-01 | J9201 | Hikma Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
| 0143-9341-01 | J9201 | Hikma Pharmaceuticals Usa Inc. | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
| 0143-9342-01 | J9201 | Hikma Pharmaceuticals Usa Inc. | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
| 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 RxLLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
| 16714-930-01 | J9201 | Northstar RxLLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
| 25021-234-10 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
| 25021-235-50 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
| 25021-235-51 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 1 | 10 | 5 | 50 |
| 25021-239-05 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
| 25021-239-26 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
| 25021-239-52 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
| 63323-102-13 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
| 63323-102-13 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
| 63323-125-53 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
| 63323-125-53 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
| 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 |
| 70860-205-50 | J9201 | Athenex Pharmaceutical Division, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
| 71288-113-10 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
| 71288-114-50 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
| 71288-117-06 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
| 71288-117-28 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
| 71288-117-54 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
| 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 |
| 0009-0082-02 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 15 | 1 | 15 | 15 |
| 0009-0112-05 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 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 |
| 0009-7529-10 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 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 RxLLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 16714-131-01 | J9206 | Northstar RxLLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 25021-230-02 | J9206 | Sagent Pharmaceuticals | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 25021-230-05 | J9206 | Sagent Pharmaceuticals | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 45963-614-51 | J9206 | Actavis Pharma, Inc. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 45963-614-51 | 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 |
| 45963-614-55 | 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 | Eugia US LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 55150-353-01 | J9206 | Eugia US LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 55150-354-01 | J9206 | Eugia US 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 |
| 60505-6272-1 | 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 USA, LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 63323-193-52 | J9206 | FreseniUS Kabi USA, LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 63323-193-55 | J9206 | FreseniUS Kabi USA, LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 63323-193-55 | J9206 | FreseniUS Kabi USA, LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 68001-480-22 | J9206 | BluePoint Laboratories | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 68001-480-35 | J9206 | BluePoint Laboratories | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 70700-169-22 | J9206 | Xiromed, LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
| 70700-170-22 | J9206 | Xiromed, LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
| 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 Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
| 0338-3993-01 | J9208 | Baxter Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
| 10019-925-01 | J9208 | Baxter Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
| 10019-926-02 | J9208 | Baxter Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
| 63323-142-10 | J9208 | FreseniUS Kabi USA, LLC | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
| 63323-142-10 | J9208 | FreseniUS Kabi USA, LLC | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
| 0143-9260-01 | J9209 | Hikma Pharmaceuticals USA Inc. | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
| 0338-1305-01 | J9209 | Baxter Healthcare Corporation | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
| 10019-953-01 | J9209 | Baxter Healthcare Corporation | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
| 25021-201-10 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
| 25021-201-10 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
| 25021-201-11 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 10 | 5 | 50 |
| 25021-201-11 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 10 | 5 | 50 |
| 63323-733-11 | J9209 | FreseniUS Kabi USA, LLC | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
| 70860-209-10 | J9209 | Athenex Pharmaceutical Division, LLC | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
| 66658-501-01 | J9210 | Swedish Orphan Biovitrum AB (PuBL) | Inj., emapalumab-lzsg, 1 mg | 1 MG | 2 | 1 | 10 | 10 |
| 66658-505-01 | J9210 | Swedish Orphan Biovitrum AB (PuBL) | Inj., emapalumab-lzsg, 1 mg | 1 MG | 10 | 1 | 50 | 50 |
| 66658-510-01 | J9210 | Swedish Orphan Biovitrum AB (PuBL) | Inj., emapalumab-lzsg, 1 mg | 1 MG | 20 | 1 | 100 | 100 |
| 0013-2576-05 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
| 0013-2576-91 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
| 0013-2586-10 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
| 0013-2586-91 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
| 0013-2596-20 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
| 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 |
| 71288-184-05 | J9211 | Meitheal Pharmaceuticals Inc. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
| 71288-185-10 | J9211 | Meitheal Pharmaceuticals Inc. | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
| 71288-186-20 | J9211 | Meitheal Pharmaceuticals Inc. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
| 0074-3346-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
| 0074-3473-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
| 0074-3642-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
| 0074-3683-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 4 | 4 |
| 62935-223-05 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
| 62935-227-10 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
| 62935-303-30 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 4 | 4 |
| 62935-306-40 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 0.5 | 1 | 4 | 4 |
| 62935-453-45 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
| 62935-461-50 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
| 62935-753-75 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
| 62935-756-80 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
| 68727-712-01 | J9223 | Jazz Pharmaceuticals, Inc. | Inj. lurbinectedin, 0.1 mg | 0.1 MG | 1 | 1 | 40 | 40 |
| 67979-002-01 | J9226 | Endo USA, Inc. | Supprelin la implant | 50 MG | 1 | 1 | 1 | 1 |
| 0024-0654-01 | J9227 | Sanofi-Aventis U.S. LLC | Inj. isatuximab-irfc 10 mg | 10 MG | 5 | 1 | 10 | 10 |
| 0024-0656-01 | J9227 | Sanofi-Aventis U.S. LLC | Inj. isatuximab-irfc 10 mg | 10 MG | 25 | 1 | 50 | 50 |
| 0003-2327-11 | J9228 | E.R. Squibb & Sons, L.L.C. | Ipilimumab injection | 1 MG | 10 | 1 | 50 | 50 |
| 0003-2328-22 | J9228 | E.R. Squibb & Sons, L.L.C. | 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 |
| 23155-355-41 | J9245 | Heritage Pharmaceuticals Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
| 25021-258-61 | J9245 | Sagent Pharmaceuticals | 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 |
| 63323-760-20 | J9245 | FreseniUS Kabi USA, LLC | 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 |
| 70700-278-97 | J9245 | Xiromed, LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
| 70860-214-61 | J9245 | Athenex Pharmaceutical Division, LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
| 71288-132-90 | J9245 | Meitheal Pharmaceuticals Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
| 72266-128-01 | J9245 | Fosun Pharma USA Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
| 75907-112-11 | J9245 | Dr. Reddy's Laboratories Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
| 83634-202-61 | J9245 | Avenacy Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
| 72893-001-01 | J9246 | Acrotech Biopharma LLC | Inj., evomela, 1 mg | 1 MG | 1 | 1 | 50 | 50 |
| 75833-601-01 | J9248 | Delcath Systems Incorporated | Inj melphalan (hepzato) 1 mg | 1 MG | 1 | 5 | 50 | 250 |
| 75833-601-02 | J9248 | Delcath Systems Incorporated | Inj melphalan (hepzato) 1 mg | 1 MG | 1 | 5 | 50 | 250 |
| 57894-800-01 | J9256 | Janssen Biotech, Inc. | Inj, nipocalimab-aahu, 3 mg | 3 MG | 1.62 | 1 | 100 | 100 |
| 57894-801-01 | J9256 | Janssen Biotech, Inc. | Inj, nipocalimab-aahu, 3 mg | 3 MG | 6.5 | 1 | 400 | 400 |
| 0143-9367-01 | J9260 | Hikma Pharmaceuticals USA Inc. | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
| 0143-9519-10 | J9260 | Hikma Pharmaceuticals USA Inc. | Inj methotrexate sodium 50mg | 50 MG | 2 | 10 | 1 | 10 |
| 0143-9830-01 | J9260 | Hikma Pharmaceuticals USA Inc. | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
| 0703-3671-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 2 | 1 | 1 | 1 |
| 0703-3671-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 2 | 1 | 1 | 1 |
| 0703-3675-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 10 | 1 | 5 | 5 |
| 0703-3675-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 10 | 1 | 5 | 5 |
| 0703-3678-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 0703-3678-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 0703-3678-81 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 0703-3678-81 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 16729-277-30 | J9260 | Accord Healthcare Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 1 | 1 | 1 |
| 16729-277-35 | J9260 | Accord Healthcare Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 61703-124-40 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 61703-161-05 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 5 | 1 | 5 |
| 61703-350-10 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 5 | 1 | 5 |
| 61703-350-38 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 5 | 1 | 5 |
| 61703-408-25 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 61703-408-41 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
| 63323-122-50 | J9260 | FreseniUS Kabi USA, LLC | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
| 63323-122-50 | J9260 | FreseniUS Kabi USA, LLC | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
| 63323-123-10 | J9260 | FreseniUS Kabi USA, LLC | Inj methotrexate sodium 50mg | 50 MG | 10 | 1 | 5 | 5 |
| 0078-0683-61 | J9261 | Sandoz Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 25021-259-50 | J9261 | Sagent Pharmaceuticals | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 25021-259-51 | J9261 | Sagent Pharmaceuticals | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 39822-0650-1 | J9261 | XGen Pharmaceuticals DJB, Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 39822-0650-6 | J9261 | XGen Pharmaceuticals DJB, Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 43598-142-06 | J9261 | Dr. Reddy's Laboratories Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 43598-142-11 | J9261 | Dr. Reddy's Laboratories Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 62332-813-50 | J9261 | Alembic Pharmaceuticals Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 66758-165-94 | J9261 | Sandoz Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 70121-1743-4 | J9261 | Amneal Pharmaceuticals, LLC | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 70710-1726-1 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 70710-1726-8 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 70710-1839-1 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 70710-1839-8 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 71288-165-53 | J9261 | Meitheal Pharmaceuticals Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 71288-165-54 | J9261 | Meitheal Pharmaceuticals Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 72205-154-01 | J9261 | Novadoz Pharmaceuticals LLC | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 72205-154-04 | J9261 | Novadoz Pharmaceuticals LLC | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 81927-111-01 | J9261 | Shorla Oncology Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
| 81927-111-06 | J9261 | Shorla Oncology Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
| 0703-3985-01 | J9263 | Teva Parenteral Medicines, Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 0703-3986-01 | J9263 | Teva Parenteral Medicines, Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 0781-3315-70 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 0781-3317-80 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 0781-9315-70 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 0781-9317-80 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 0955-1727-20 | J9263 | Sanofi-Aventis U.S. LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 16729-332-03 | J9263 | Accord Healthcare Inc | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 16729-332-05 | J9263 | Accord Healthcare Inc | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 25021-233-10 | J9263 | Sagent Pharmaceuticals | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 25021-233-20 | J9263 | Sagent Pharmaceuticals | Oxaliplatin | 0.5 MG | 20 | 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 | Eugia US LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 55150-332-01 | J9263 | Eugia US 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 |
| 60505-6132-8 | J9263 | Apotex Corp | Oxaliplatin | 0.5 MG | 40 | 1 | 400 | 400 |
| 60505-6287-2 | J9263 | Apotex Corp | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 60505-6287-4 | 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 |
| 61703-363-18 | 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 |
| 61703-363-22 | J9263 | Pfizer Inc | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 63323-750-10 | J9263 | FreseniUS Kabi USA, LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 63323-750-20 | J9263 | FreseniUS Kabi USA, LLC | 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 |
| 68001-468-36 | J9263 | BluePoint Laboratories | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 68001-468-37 | J9263 | BluePoint Laboratories | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 71288-101-10 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 71288-101-20 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 71288-149-95 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 71288-149-96 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 71288-171-11 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 71288-171-91 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 71288-172-21 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 71288-172-92 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 72266-161-01 | J9263 | Fosun Pharma USA Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 72266-162-01 | J9263 | Fosun Pharma USA Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 72603-101-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 72603-301-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 72603-320-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
| 72603-420-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
| 0480-3290-01 | J9264 | Teva Pharmaceuticals USA, Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 0517-4300-01 | J9264 | American Regent, Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 0781-3531-91 | J9264 | Sandoz Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 24979-710-51 | J9264 | TWI Pharmaceuticals, Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 60505-6230-4 | J9264 | Apotex Corp | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 67457-937-50 | J9264 | Mylan Institutional Llc | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 68001-651-37 | J9264 | BluePoint Laboratories | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 68817-134-50 | J9264 | Celgene Corporation | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 69097-398-78 | J9264 | Cipla USA, Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 71288-183-50 | J9264 | Meitheal Pharmaceuticals Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 72603-408-01 | J9264 | Northstar RxLLC | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
| 72694-954-01 | J9266 | Servier Pharmaceuticals LLC | Pegaspargase injection | 1 EACH | 5 | 1 | 1 | 1 |
| 0703-3213-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
| 0703-3213-81 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
| 0703-3216-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 0703-3216-81 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 0703-3217-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 25 | 1 | 150 | 150 |
| 0703-3218-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 0703-3218-81 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 16714-137-01 | J9267 | Northstar RxLLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 23155-882-31 | J9267 | Heritage Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
| 23155-883-31 | J9267 | Heritage Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 23155-884-31 | J9267 | Heritage Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 25021-255-05 | J9267 | Sagent Pharmaceuticals | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
| 25021-255-17 | J9267 | Sagent Pharmaceuticals | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 25021-255-50 | J9267 | Sagent Pharmaceuticals | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 61703-015-04 | J9267 | Pfizer Inc | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
| 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 |
| 62332-620-05 | J9267 | Alembic Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
| 62332-621-17 | J9267 | Alembic Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 62332-622-50 | J9267 | Alembic Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 63323-763-16 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 63323-763-16 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 63323-763-50 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 63323-763-50 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 68001-516-27 | J9267 | BluePoint Laboratories | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 70860-200-05 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
| 70860-200-17 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
| 70860-200-50 | J9267 | Athenex Pharmaceutical Division, LLC | 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 Division, LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 72205-063-01 | J9267 | Novadoz Pharmaceuticals LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
| 0409-0801-01 | J9268 | Pfizer Inc | Pentostatin injection | 10 MG | 1 | 1 | 1 | 1 |
| 0409-0801-01 | J9268 | Pfizer Inc | Pentostatin injection | 10 MG | 1 | 1 | 1 | 1 |
| 72187-0401-1 | J9269 | Stemline Therapeutics, Inc. | Inj. tagraxofusp-erzs 10 mcg | 10 MCG | 1 | 1 | 100 | 100 |
| 0006-3026-02 | J9271 | Merck Sharp & Dohme LLC | Inj pembrolizumab | 1 MG | 4 | 1 | 100 | 100 |
| 0006-3026-04 | J9271 | Merck Sharp & Dohme LLC | Inj pembrolizumab | 1 MG | 4 | 2 | 100 | 200 |
| 0173-0898-03 | J9272 | GlaxoSmithKline LLC | Inj, dostarlimab-gxly, 10 mg | 10 MG | 10 | 1 | 50 | 50 |
| 51144-003-01 | J9273 | Pfizer Inc | Inj tisotu vedotin-tftv, 1mg | 1 MG | 1 | 1 | 40 | 40 |
| 80446-401-01 | J9274 | Immunocore Commercial LLC | Inj, tebentafusp-tebn, 1 mcg | 1 MCG | 0.5 | 1 | 100 | 100 |
| 68727-950-02 | J9276 | Jazz Pharmaceuticals, Inc. | Inj zanidatamab-hrii, 2 mg | 2 MG | 1 | 2 | 150 | 300 |
| 0006-3083-01 | J9277 | Merck Sharp & Dohme LLC | Pembrolizumab 1mg berahyalur | 1 MG | 2.4 | 1 | 395 | 395 |
| 0006-5083-01 | J9277 | Merck Sharp & Dohme LLC | Pembrolizumab 1mg berahyalur | 1 MG | 4.8 | 1 | 790 | 790 |
| 83831-140-02 | J9278 | Avyxa Pharma, LLC | Inj, carboplatin (avyxa) | 1 MG | 2 | 1 | 20 | 20 |
| 83831-141-08 | J9278 | Avyxa Pharma, LLC | Inj, carboplatin (avyxa) | 1 MG | 8 | 1 | 80 | 80 |
| 83831-142-50 | J9278 | Avyxa Pharma, LLC | Inj, carboplatin (avyxa) | 1 MG | 50 | 1 | 500 | 500 |
| 0143-9135-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 0143-9136-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 0143-9279-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 0143-9280-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 16729-115-05 | J9280 | Accord Healthcare Inc | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 16729-116-38 | J9280 | Accord Healthcare Inc | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 25021-250-20 | J9280 | Sagent Pharmaceuticals | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 25021-251-50 | J9280 | Sagent Pharmaceuticals | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 25021-252-51 | J9280 | Sagent Pharmaceuticals | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 55150-450-01 | J9280 | Eugia US LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 55150-451-01 | J9280 | Eugia US LLC | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 55150-452-01 | J9280 | Eugia US LLC | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 65219-564-20 | J9280 | FreseniUS Kabi USA, LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 65219-566-20 | J9280 | FreseniUS Kabi USA, LLC | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 65219-568-00 | J9280 | FreseniUS Kabi USA, LLC | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 68001-389-36 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 68001-615-36 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 68001-616-77 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 68001-617-79 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 71288-137-20 | J9280 | Meitheal Pharmaceuticals Inc. | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 71288-138-50 | J9280 | Meitheal Pharmaceuticals Inc. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 71288-139-51 | J9280 | Meitheal Pharmaceuticals Inc. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 72819-152-05 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 72819-152-95 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
| 72819-153-02 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
| 72819-154-04 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
| 72493-103-03 | J9281 | UroGen Pharma | Mitomycin instillation | 1 MG | 1 | 2 | 40 | 80 |
| 72493-106-03 | J9282 | UroGen Pharma | Mitomycin intravesical inst | 1 MG | 1 | 2 | 40 | 80 |
| 50242-125-01 | J9286 | Genentech, Inc. | Inj glofitamab gxbm, 2.5 mg | 2.5 MG | 2.5 | 1 | 1 | 1 |
| 50242-127-01 | J9286 | Genentech, Inc. | Inj glofitamab gxbm, 2.5 mg | 2.5 MG | 10 | 1 | 4 | 4 |
| 0003-6120-01 | J9289 | E.R. Squibb & Sons, L.L.C. | Inj nivolumab 2 mg hyaluron | 2 MG | 5 | 1 | 300 | 300 |
| 83831-131-01 | J9292 | Avyxa Pharma, LLC | Inj, pemetrexed dipotassium | 10 MG | 1 | 1 | 10 | 10 |
| 83831-132-01 | J9292 | Avyxa Pharma, LLC | Inj, pemetrexed dipotassium | 10 MG | 1 | 1 | 50 | 50 |
| 61703-343-18 | J9293 | Pfizer Inc | Mitoxantrone hydrochl / 5 mg | 5 MG | 10 | 1 | 4 | 4 |
| 61703-343-65 | J9293 | Pfizer Inc | Mitoxantrone hydrochl / 5 mg | 5 MG | 12.5 | 1 | 5 | 5 |
| 61703-343-66 | J9293 | Pfizer Inc | Mitoxantrone hydrochl / 5 mg | 5 MG | 15 | 1 | 6 | 6 |
| 63323-132-10 | J9293 | FreseniUS Kabi USA, LLC | Mitoxantrone hydrochl / 5 mg | 5 MG | 10 | 1 | 4 | 4 |
| 63323-132-12 | J9293 | FreseniUS Kabi USA, LLC | Mitoxantrone hydrochl / 5 mg | 5 MG | 12.5 | 1 | 5 | 5 |
| 71288-178-10 | J9293 | Meitheal Pharmaceuticals Inc. | Mitoxantrone hydrochl / 5 mg | 5 MG | 10 | 1 | 4 | 4 |
| 71288-179-13 | J9293 | Meitheal Pharmaceuticals Inc. | Mitoxantrone hydrochl / 5 mg | 5 MG | 12.5 | 1 | 5 | 5 |
| 0409-0004-04 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 40 | 1 | 100 | 100 |
| 0409-0020-02 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 4 | 1 | 10 | 10 |
| 0409-0021-03 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 20 | 1 | 50 | 50 |
| 0409-1045-01 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 4 | 1 | 10 | 10 |
| 0409-2188-01 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 20 | 1 | 50 | 50 |
| 0409-3532-01 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 40 | 1 | 100 | 100 |
| 0002-7716-01 | J9295 | Eli Lilly and Company | Injection, necitumumab, 1 mg | 1 MG | 50 | 1 | 800 | 800 |
| 16729-522-05 | J9296 | Accord Healthcare Inc | Inj pemetrexed (accord) 10mg | 10 MG | 20 | 1 | 50 | 50 |
| 0781-3518-76 | J9297 | Sandoz Inc. | Inj pemetrexed (sandoz) 10mg | 10 MG | 4 | 1 | 10 | 10 |
| 0781-3519-90 | J9297 | Sandoz Inc. | Inj pemetrexed (sandoz) 10mg | 10 MG | 20 | 1 | 50 | 50 |
| 0003-7125-11 | J9298 | E.R. Squibb & Sons, L.L.C. | Inj nivol relatlimab 3mg/1mg | 3 MG - 1 MG | 20 | 1 | 80 | 80 |
| 0003-3734-13 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 24 | 1 | 240 | 240 |
| 0003-3756-14 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 12 | 1 | 120 | 120 |
| 0003-3772-11 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 4 | 1 | 40 | 40 |
| 0003-3774-12 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 10 | 1 | 100 | 100 |
| 50242-070-01 | J9301 | Genentech, Inc. | Obinutuzumab inj | 10 MG | 40 | 1 | 100 | 100 |
| 55513-954-01 | J9303 | Amgen Inc | Panitumumab injection | 10 MG | 5 | 1 | 10 | 10 |
| 55513-956-01 | J9303 | Amgen Inc | Panitumumab injection | 10 MG | 20 | 1 | 40 | 40 |
| 42367-531-33 | J9304 | Eagle Pharmaceuticals, Inc. | Inj. pemetrexed, 10 mg | 10 MG | 20 | 1 | 50 | 50 |
| 0002-7623-01 | J9305 | Eli Lilly and Company | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 0002-7640-01 | J9305 | Eli Lilly and Company | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 25021-260-10 | J9305 | Sagent Pharmaceuticals | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 25021-261-50 | J9305 | Sagent Pharmaceuticals | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 43598-370-74 | J9305 | Dr. Reddy's Laboratories Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
| 43598-386-62 | J9305 | Dr. Reddy's Laboratories Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 43598-387-11 | J9305 | Dr. Reddy's Laboratories Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 50742-340-01 | J9305 | Ingenus Pharmaceuticals LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 50742-341-01 | J9305 | Ingenus Pharmaceuticals LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 55150-381-01 | J9305 | Eugia US LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 55150-382-01 | J9305 | Eugia US LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 55150-383-01 | J9305 | Eugia US LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
| 60505-6065-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 60505-6066-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 60505-6067-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
| 60505-6068-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
| 63323-134-10 | J9305 | FreseniUS Kabi USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 63323-450-50 | J9305 | FreseniUS Kabi USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 68001-535-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 68001-536-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 68001-538-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 68001-539-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 68001-543-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 68001-544-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 68001-545-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
| 68001-546-41 | J9305 | BluePoint Laboratories | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
| 70069-834-01 | J9305 | Somerset Pharma, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 70069-835-01 | J9305 | Somerset Pharma, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 70710-1654-1 | J9305 | Zydus Pharmaceuticals (USA) Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 70710-1655-1 | J9305 | Zydus Pharmaceuticals (USA) Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 70710-1674-1 | J9305 | Zydus Pharmaceuticals (USA) Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
| 70860-202-10 | J9305 | Athenex Pharmaceutical Division, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 70860-203-50 | J9305 | Athenex Pharmaceutical Division, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 71288-147-50 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
| 71288-148-51 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
| 71288-166-10 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 71288-166-91 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 71288-166-92 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 71288-167-50 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 71288-167-95 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 71288-167-96 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 72603-325-01 | J9305 | Northstar RxLLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
| 72603-425-01 | J9305 | Northstar RxLLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
| 50242-145-01 | J9306 | Genentech, Inc. | Injection, pertuzumab, 1 mg | 1 MG | 14 | 1 | 420 | 420 |
| 65219-550-01 | J9307 | FreseniUS Kabi USA, LLC | Pralatrexate injection | 1 MG | 1 | 1 | 20 | 20 |
| 65219-552-02 | J9307 | FreseniUS Kabi USA, LLC | Pralatrexate injection | 1 MG | 2 | 1 | 40 | 40 |
| 72893-003-01 | J9307 | Acrotech Biopharma LLC | Pralatrexate injection | 1 MG | 1 | 1 | 20 | 20 |
| 72893-005-01 | J9307 | Acrotech Biopharma LLC | Pralatrexate injection | 1 MG | 2 | 1 | 40 | 40 |
| 0002-7669-01 | J9308 | Eli Lilly and Company | Injection, ramucirumab | 5 MG | 10 | 1 | 20 | 20 |
| 0002-7678-01 | J9308 | Eli Lilly and Company | Injection, ramucirumab | 5 MG | 50 | 1 | 100 | 100 |
| 50242-103-01 | J9309 | Genentech, Inc. | Inj, polatuzumab vedotin 1mg | 1 MG | 1 | 1 | 30 | 30 |
| 50242-105-01 | J9309 | Genentech, Inc. | Inj, polatuzumab vedotin 1mg | 1 MG | 1 | 1 | 140 | 140 |
| 50242-108-01 | J9311 | Genentech, Inc. | Inj rituximab, hyaluronidase | 10 MG (rituximab) | 11.7 | 1 | 140 | 140 |
| 50242-109-01 | J9311 | Genentech, Inc. | Inj rituximab, hyaluronidase | 10 MG (rituximab) | 13.4 | 1 | 160 | 160 |
| 50242-051-21 | J9312 | Genentech, Inc. | Inj., rituximab, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
| 50242-053-06 | J9312 | Genentech, Inc. | Inj., rituximab, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
| 0480-4514-01 | J9314 | Teva Pharmaceuticals USA, Inc. | Inj pemetrexed (teva) 10mg | 10 MG | 20 | 1 | 50 | 50 |
| 0480-4515-01 | J9314 | Teva Pharmaceuticals USA, Inc. | Inj pemetrexed (teva) 10mg | 10 MG | 40 | 1 | 100 | 100 |
| 0480-4516-01 | J9314 | Teva Pharmaceuticals USA, Inc. | Inj pemetrexed (teva) 10mg | 10 MG | 4 | 1 | 10 | 10 |
| 50242-245-01 | J9316 | Genentech, Inc. | Pertuzu, trastuzu, 10 mg | 10 MG | 15 | 1 | 180 | 180 |
| 50242-260-01 | J9316 | Genentech, Inc. | Pertuzu, trastuzu, 10 mg | 10 MG | 10 | 1 | 120 | 120 |
| 55135-132-01 | J9317 | Immunomedics, Inc. | Sacituzumab govitecan-hziy | 2.5 MG | 1 | 1 | 72 | 72 |
| 0703-4004-01 | J9318 | Teva Parenteral Medicines, Inc. | Inj romidepsin non-lyo 0.1mg | 0.1 MG | 5.5 | 1 | 275 | 275 |
| 59572-984-01 | J9319 | Celgene Corporation | Inj romidepsin lyophil 0.1mg | 0.1 MG | 1 | 1 | 100 | 100 |
| 63323-926-88 | J9319 | FreseniUS Kabi USA, LLC | Inj romidepsin lyophil 0.1mg | 0.1 MG | 1 | 1 | 100 | 100 |
| 82705-002-01 | J9321 | Genmab US, Inc. | Inj epcoritamab-bysp 0.16 mg | 0.16 MG | 0.8 | 1 | 25 | 25 |
| 82705-010-01 | J9321 | Genmab US, Inc. | Inj epcoritamab-bysp 0.16 mg | 0.16 MG | 0.8 | 1 | 300 | 300 |
| 70121-2453-1 | J9324 | Amneal Pharmaceuticals, LLC | Inj, pemrydi rtu, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
| 70121-2461-1 | J9324 | Amneal Pharmaceuticals, LLC | Inj, pemrydi rtu, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
| 55513-078-01 | J9325 | Amgen Inc | Inj talimogene laherparepvec | 1 million�PFU | 1 | 1 | 1 | 1 |
| 55513-079-01 | J9325 | Amgen Inc | Inj talimogene laherparepvec | 1 million�PFU | 1 | 1 | 100 | 100 |
| 0074-1044-01 | J9326 | AbbVie Inc. | Telisotuzumab vedotin-tllv | 1 MG | 1 | 1 | 20 | 20 |
| 0074-1055-01 | J9326 | AbbVie Inc. | Telisotuzumab vedotin-tllv | 1 MG | 1 | 1 | 100 | 100 |
| 0085-1381-01 | J9328 | Merck Sharp & Dohme LLC | Temozolomide injection | 1 MG | 1 | 1 | 100 | 100 |
| 72579-121-01 | J9329 | BeOne Medicines USA, Inc. | Inj, tislelizumab-jsgr | 1 MG | 10 | 1 | 100 | 100 |
| 0008-1179-01 | J9330 | Pfizer Inc | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
| 16729-223-61 | J9330 | Accord Healthcare Inc | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
| 65219-200-05 | J9330 | FreseniUS Kabi USA, LLC | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
| 72611-785-02 | J9330 | Almaject, Inc. | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
| 80803-153-50 | J9331 | Aadi Bioscience | Inj sirolimus prot part 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 73475-3041-5 | J9332 | Argenx US, Inc | Inj efgartigimod 2mg | 2 MG | 20 | 1 | 200 | 200 |
| 50474-980-79 | J9333 | UCB, Inc. | Inj rozanolixizum-noli 1 mg | 1 MG | 2 | 1 | 280 | 280 |
| 50474-981-83 | J9333 | UCB, Inc. | Inj rozanolixizum-noli 1 mg | 1 MG | 3 | 1 | 420 | 420 |
| 50474-982-84 | J9333 | UCB, Inc. | Inj rozanolixizum-noli 1 mg | 1 MG | 4 | 1 | 560 | 560 |
| 50474-983-86 | J9333 | UCB, Inc. | Inj rozanolixizum-noli 1 mg | 1 MG | 6 | 1 | 840 | 840 |
| 73475-1221-1 | J9334 | Argenx US, Inc | Inj efgart-alfa 2mg hya-qvfc | 2 MG | 5 | 1 | 500 | 500 |
| 73475-1221-4 | J9334 | Argenx US, Inc | Inj efgart-alfa 2mg hya-qvfc | 2 MG | 5 | 4 | 500 | 2000 |
| 73475-3102-3 | J9334 | Argenx US, Inc | Inj efgart-alfa 2mg hya-qvfc | 2 MG | 5.6 | 1 | 504 | 504 |
| 81927-105-01 | J9341 | Shorla Oncology Inc. | Inj thiotepa (tepylute) 1 mg | 1 MG | 1.5 | 1 | 15 | 15 |
| 81927-106-01 | J9341 | Shorla Oncology Inc. | Inj thiotepa (tepylute) 1 mg | 1 MG | 10 | 1 | 100 | 100 |
| 0143-9292-01 | J9342 | Hikma Pharmaceuticals USA Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 0143-9309-01 | J9342 | Hikma Pharmaceuticals USA Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
| 0143-9565-01 | J9342 | Hikma Pharmaceuticals USA Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
| 25021-246-02 | J9342 | Sagent Pharmaceuticals | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
| 43598-171-11 | J9342 | Dr. Reddy's Laboratories Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 43598-650-11 | J9342 | Dr. Reddy's Laboratories Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
| 65219-029-20 | J9342 | FreseniUS Kabi USA, LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 70121-1630-1 | J9342 | Amneal Pharmaceuticals, LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
| 70121-1631-1 | J9342 | Amneal Pharmaceuticals, LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 70121-2749-1 | J9342 | Amneal Pharmaceuticals, LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 200 | 200 |
| 71288-156-05 | J9342 | Meitheal Pharmaceuticals Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
| 71288-157-10 | J9342 | Meitheal Pharmaceuticals Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 72205-045-01 | J9342 | Novadoz Pharmaceuticals LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
| 72205-046-01 | J9342 | Novadoz Pharmaceuticals LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
| 50881-006-03 | J9345 | Incyte Corporation | Inj, retifanlimab-dlwr, 1 mg | 1 MG | 20 | 1 | 500 | 500 |
| 0310-4505-25 | J9347 | AstraZeneca Pharmaceuticals LP | Inj, tremelimumab-actl, 1 mg | 1 MG | 1.25 | 1 | 25 | 25 |
| 0310-4535-30 | J9347 | AstraZeneca Pharmaceuticals LP | Inj, tremelimumab-actl, 1 mg | 1 MG | 15 | 1 | 300 | 300 |
| 73042-201-01 | J9348 | Y-mAbs Therapeutics, Inc. | Inj. naxitamab-gqgk, 1 mg | 1 MG | 10 | 1 | 40 | 40 |
| 50881-013-03 | J9349 | Incyte Corporation | Inj., tafasitamab-cxix | 2 MG | 1 | 1 | 100 | 100 |
| 73535-208-01 | J9349 | Incyte Corporation | Inj., tafasitamab-cxix | 2 MG | 1 | 1 | 100 | 100 |
| 50242-142-01 | J9350 | Genentech, Inc. | Inj mosunetuzumab-axgb, 1 mg | 1 MG | 30 | 1 | 30 | 30 |
| 50242-159-01 | J9350 | Genentech, Inc. | Inj mosunetuzumab-axgb, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
| 0409-0302-01 | J9351 | Pfizer Inc | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
| 0409-0302-01 | J9351 | Pfizer Inc | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
| 16729-151-31 | J9351 | Accord Healthcare Inc | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
| 16729-243-31 | J9351 | Accord Healthcare Inc | Topotecan injection | 0.1 MG | 4 | 1 | 40 | 40 |
| 45963-615-56 | J9351 | Actavis Pharma, Inc. | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
| 63323-762-10 | J9351 | FreseniUS Kabi USA, LLC | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
| 63323-762-10 | J9351 | FreseniUS Kabi USA, LLC | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
| 59676-610-01 | J9352 | Janssen Products, LP | Injection trabectedin 0.1mg | 0.1 MG | 1 | 1 | 10 | 10 |
| 74527-022-02 | J9353 | MacroGenics, Inc | Inj. margetuximab-cmkb, 5 mg | 5 MG | 10 | 1 | 50 | 50 |
| 74527-022-03 | J9353 | MacroGenics, Inc | Inj. margetuximab-cmkb, 5 mg | 5 MG | 10 | 4 | 50 | 200 |
| 50242-087-01 | J9354 | Genentech, Inc. | Inj, ado-trastuzumab emt 1mg | 1 MG | 1 | 1 | 160 | 160 |
| 50242-088-01 | J9354 | Genentech, Inc. | Inj, ado-trastuzumab emt 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 50242-132-01 | J9355 | Genentech, Inc. | Inj trastuzumab excl biosimi | 10 MG | 1 | 1 | 15 | 15 |
| 50242-077-01 | J9356 | Genentech, Inc. | Inj. herceptin hylecta, 10mg | 10 MG | 6 | 1 | 60 | 60 |
| 50242-077-01 | J9356 | Genentech, Inc. | Inj. herceptin hylecta, 10mg | 10 MG | 6 | 1 | 60 | 60 |
| 24201-101-04 | J9357 | Hikma Pharmaceuticals USA Inc. | Valrubicin injection | 200 MG | 5 | 4 | 1 | 4 |
| 67979-001-01 | J9357 | Endo USA, Inc. | Valrubicin injection | 200 MG | 5 | 4 | 1 | 4 |
| 65597-406-01 | J9358 | Daiichi Sankyo Inc. | Inj fam-trastu deru-nxki 1mg | 1 MG | 1 | 1 | 100 | 100 |
| 79952-110-01 | J9359 | ADC Therapeutics America, Inc. | Inj lon tesirin-lpyl 0.075mg | 0.075 MG | 1 | 1 | 133.33 | 134 |
| 63323-278-10 | J9360 | FreseniUS Kabi USA, LLC | Vinblastine sulfate inj | 1 MG | 10 | 1 | 10 | 10 |
| 0703-4402-11 | J9370 | Teva Parenteral Medicines, Inc. | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
| 0703-4412-11 | J9370 | Teva Parenteral Medicines, Inc. | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
| 61703-309-06 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
| 61703-309-16 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
| 61703-309-25 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
| 61703-309-26 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
| 57894-449-01 | J9380 | Janssen Biotech, Inc. | Inj teclistamab cqyv 0.5 mg | 0.5 MG | 3 | 1 | 60 | 60 |
| 57894-450-01 | J9380 | Janssen Biotech, Inc. | Inj teclistamab cqyv 0.5 mg | 0.5 MG | 1.7 | 1 | 306 | 306 |
| 73650-316-01 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 1 | 400 | 400 |
| 73650-316-10 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 10 | 400 | 4000 |
| 73650-316-14 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 14 | 400 | 5600 |
| 71837-1000-2 | J9382 | Partner Therapeutics, Inc | Inj zenocutuzumab-zbco 1 mg | 1 MG | 18.75 | 2 | 375 | 750 |
| 25021-204-01 | J9390 | Sagent Pharmaceuticals | Vinorelbine tartrate inj | 10 MG | 1 | 1 | 1 | 1 |
| 25021-204-05 | J9390 | Sagent Pharmaceuticals | Vinorelbine tartrate inj | 10 MG | 5 | 1 | 5 | 5 |
| 45963-607-55 | J9390 | Actavis Pharma, Inc. | Vinorelbine tartrate inj | 10 MG | 1 | 1 | 1 | 1 |
| 45963-607-56 | J9390 | Actavis Pharma, Inc. | Vinorelbine tartrate inj | 10 MG | 5 | 1 | 5 | 5 |
| 63323-715-05 | J9394 | FreseniUS Kabi USA, LLC | Inj, fulvestrant (fresenius) | 25 MG | 5 | 2 | 10 | 20 |
| 0143-9022-02 | J9395 | Hikma Pharmaceuticals USA Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 0310-0720-10 | J9395 | AstraZeneca Pharmaceuticals LP | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 0781-3532-12 | J9395 | Sandoz Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 0781-9055-12 | J9395 | Sandoz Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 16714-070-02 | J9395 | Northstar RxLLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 16729-436-30 | J9395 | Accord Healthcare Inc | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 25021-462-74 | J9395 | Sagent Pharmaceuticals | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 25021-471-74 | J9395 | Sagent Pharmaceuticals | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 43598-262-02 | J9395 | Dr. Reddy's Laboratories Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 43598-262-23 | J9395 | Dr. Reddy's Laboratories Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 55150-394-02 | J9395 | Eugia US LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 62332-650-10 | J9395 | Alembic Pharmaceuticals Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 68001-484-85 | J9395 | BluePoint Laboratories | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 68001-522-85 | J9395 | BluePoint Laboratories | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 68001-626-85 | J9395 | BluePoint Laboratories | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 70121-1463-2 | J9395 | Amneal Pharmaceuticals, LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 70700-284-98 | J9395 | Xiromed, LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 70710-1688-8 | J9395 | Zydus Pharmaceuticals (USA) Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 70860-211-74 | J9395 | Athenex Pharmaceutical Division, LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 71288-555-86 | J9395 | Meitheal Pharmaceuticals Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 83634-203-74 | J9395 | Avenacy Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
| 0024-5840-01 | J9400 | Sanofi-Aventis U.S. LLC | Inj, ziv-aflibercept, 1mg | 1 MG | 4 | 1 | 100 | 100 |
| 0024-5841-01 | J9400 | Sanofi-Aventis U.S. LLC | Inj, ziv-aflibercept, 1mg | 1 MG | 8 | 1 | 200 | 200 |
| 61755-054-01 | J9601 | Regeneron Pharmaceuticals, Inc. | Inj linvoseltamab-gcpt 1 mg | 1 MG | 2.5 | 1 | 5 | 5 |
| 61755-056-01 | J9601 | Regeneron Pharmaceuticals, Inc. | Inj linvoseltamab-gcpt 1 mg | 1 MG | 10 | 1 | 200 | 200 |
| 0781-3154-01 | Q0138 | Sandoz Inc. | Ferumoxytol, non-esrd | 1 MG | 17 | 1 | 510 | 510 |
| 59338-775-01 | Q0138 | Covis Pharma US, Inc | Ferumoxytol, non-esrd | 1 MG | 17 | 1 | 510 | 510 |
| 0781-3154-01 | Q0139 | Sandoz Inc. | Ferumoxytol, esrd use | 1 MG | 17 | 1 | 510 | 510 |
| 59338-775-01 | Q0139 | Covis Pharma US, Inc | Ferumoxytol, esrd use | 1 MG | 17 | 1 | 510 | 510 |
| 0904-6551-61 | Q0162 | Major Pharmaceuticals | Ondansetron oral | 1 MG | 100 | 1 | 400 | 400 |
| 0904-6552-61 | Q0162 | Major Pharmaceuticals | Ondansetron oral | 1 MG | 100 | 1 | 800 | 800 |
| 16714-159-01 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 16714-160-01 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 16714-200-30 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 16714-201-10 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 16714-201-30 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 16714-671-02 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 50 | 1 | 40 | 40 |
| 43063-792-06 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 6 | 1 | 8 | 48 |
| 43063-857-02 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 2 | 1 | 4 | 8 |
| 43063-857-04 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 4 | 1 | 4 | 16 |
| 43063-857-05 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 5 | 1 | 4 | 20 |
| 43063-857-06 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 6 | 1 | 4 | 24 |
| 43063-857-10 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 10 | 1 | 4 | 40 |
| 43063-857-20 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 20 | 1 | 4 | 80 |
| 43063-870-04 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 4 | 1 | 8 | 32 |
| 43063-870-10 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 10 | 1 | 8 | 80 |
| 50090-1128-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 50090-1200-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 50090-1200-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
| 50090-1200-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 5 | 1 | 20 | 20 |
| 50090-1200-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 50090-1201-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 4 | 40 |
| 50090-1658-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 50090-1658-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
| 50090-1658-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 5 | 1 | 20 | 20 |
| 50090-1658-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 50090-1659-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 50090-1660-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
| 50090-1660-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 50090-1660-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 50090-1660-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
| 50090-2343-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 50090-2343-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
| 50090-2343-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 5 | 1 | 20 | 20 |
| 50090-2343-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 50090-3178-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 50090-3178-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 24 | 24 |
| 50090-3178-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
| 50090-3178-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 3 | 1 | 12 | 12 |
| 50090-3178-5 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
| 50090-3185-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
| 50090-3185-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 50090-3185-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 3 | 1 | 24 | 24 |
| 50090-3185-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 50090-3185-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
| 50090-3769-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
| 50090-3769-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 50090-3769-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 50090-3769-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
| 50090-4632-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
| 50090-4632-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 50090-4632-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 50090-4632-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
| 50090-4671-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
| 50090-4671-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 50090-4671-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 3 | 1 | 24 | 24 |
| 50090-4671-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 50090-4671-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
| 50090-5346-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 50090-5346-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 50090-5346-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
| 50090-6342-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 50090-6342-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 24 | 24 |
| 50090-6342-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
| 50090-6342-5 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
| 50268-621-15 | Q0162 | AvPAK | Ondansetron oral | 1 MG | 50 | 1 | 200 | 200 |
| 50268-622-15 | Q0162 | AvPAK | Ondansetron oral | 1 MG | 50 | 1 | 800 | 400 |
| 50268-647-14 | Q0162 | AvPAK | Ondansetron oral | 1 MG | 5 | 40 | 4 | 160 |
| 55111-153-30 | Q0162 | Dr. Reddy's Laboratories Inc. | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 55111-154-30 | Q0162 | Dr. Reddy's Laboratories Inc. | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 60687-252-86 | Q0162 | American Health Packaging | Ondansetron oral | 1 MG | 5 | 30 | 4 | 120 |
| 62135-122-30 | Q0162 | Chartwell | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 62135-350-30 | Q0162 | Chartwell | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 62135-351-05 | Q0162 | Chartwell | Ondansetron oral | 1 MG | 500 | 1 | 4000 | 4000 |
| 62135-351-30 | Q0162 | Chartwell | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 62135-555-24 | Q0162 | Chartwell | Ondansetron oral | 1 MG | 5 | 20 | 4 | 80 |
| 62135-555-58 | Q0162 | Chartwell | Ondansetron oral | 1 MG | 50 | 1 | 40 | 40 |
| 68001-246-04 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 68001-246-17 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 68001-247-04 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 68001-247-17 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 68084-220-01 | Q0162 | American Health Packaging | Ondansetron oral | 1 MG | 100 | 1 | 400 | 400 |
| 68084-221-01 | Q0162 | American Health Packaging | Ondansetron oral | 1 MG | 100 | 1 | 800 | 800 |
| 68462-105-30 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 68462-106-30 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 68462-157-13 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 68462-158-11 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 68462-158-13 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 68788-7565-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 68788-7565-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 68788-7644-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 68788-7644-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 68788-8365-5 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 50 | 1 | 40 | 40 |
| 68788-8582-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 68788-8582-2 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 12 | 1 | 96 | 96 |
| 68788-8582-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 68788-8651-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 68788-8651-2 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
| 68788-8651-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 68788-8651-5 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 15 | 1 | 60 | 60 |
| 68788-8666-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 68788-9368-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
| 68788-9368-2 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
| 68788-9368-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 68788-9402-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
| 68788-9402-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
| 72336-073-30 | Q0162 | LIFSA DRUGS LLC | Ondansetron oral | 1 MG | 30 | 1 | 480 | 480 |
| 72789-034-12 | Q0162 | Pd-Rx Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
| 0904-7144-61 | Q0167 | Major Pharmaceuticals | Dronabinol 2.5mg oral | 2.5 MG | 100 | 1 | 100 | 100 |
| 0904-7145-04 | Q0167 | Major Pharmaceuticals | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 60 | 60 |
| 53097-571-60 | Q0167 | ThePharmaNetwork, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 60 | 60 |
| 60687-375-01 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 100 | 1 | 100 | 100 |
| 60687-375-21 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 30 | 30 |
| 60687-386-21 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 60 | 60 |
| 60687-386-94 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 20 | 1 | 40 | 40 |
| 67877-753-60 | Q0167 | Ascend Laboratories, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 60 | 60 |
| 67877-754-60 | Q0167 | Ascend Laboratories, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 120 | 120 |
| 67877-755-60 | Q0167 | Ascend Laboratories, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 240 | 240 |
| 0078-0846-19 | Q2042 | Novartis Pharmaceuticals Corporation | Tisagenlecleucel car-pos t | UP TO 600 million CAR-positive viable T cells | 1 | 1 | 1 | 1 |
| 0078-0958-19 | Q2042 | Novartis Pharmaceuticals Corporation | Tisagenlecleucel car-pos t | UP TO 600 million CAR-positive viable T cells | 1 | 1 | 1 | 1 |
| 30237-8900-6 | Q2043 | Dendreon Pharmaceuticals LLC | Sipuleucel-t auto cd54+ | Per infusion (minimum 50 million cells) | 250 | 1 | 1 | 1 |
| 0338-0063-01 | Q2050 | Baxter Healthcare Corporation | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 0338-0067-01 | Q2050 | Baxter Healthcare Corporation | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 0338-9665-01 | Q2050 | Baxter Healthcare Corporation | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 0338-9667-01 | Q2050 | Baxter Healthcare Corporation | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 16714-742-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 16714-856-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 43598-283-35 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 43598-541-25 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 43598-682-35 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 43598-683-25 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 47335-049-40 | Q2050 | Sun Pharmaceutical Global FZE. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 47335-050-40 | Q2050 | Sun Pharmaceutical Global FZE. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 68001-345-26 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 68001-345-36 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 68001-492-36 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 68001-493-26 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 68001-629-26 | Q2050 | Bluepoint Laboratories | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 68001-629-36 | Q2050 | Bluepoint Laboratories | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 70710-1530-1 | Q2050 | Zydus Pharmaceuticals (USA) Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 70710-1531-1 | Q2050 | Zydus Pharmaceuticals (USA) Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 70748-339-01 | Q2050 | Lupin Pharmaceuticals, Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 70748-340-01 | Q2050 | Lupin Pharmaceuticals, Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 72603-103-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
| 72603-200-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
| 73153-900-01 | Q2054 | Juno Therapeutics, Inc. | Lisocabtagene mara car pos t | UP TO 110 million CAR-positive viable T cells, per therapeutic dose | 1 | 1 | 1 | 1 |
| 59572-515-01 | Q2055 | Celgene Corporation | Idecabtagene vicleucel car | UP TO 510 million autologous anti-BCMA CAR-positive viable T cells | 1 | 1 | 1 | 1 |
| 59572-515-02 | Q2055 | Celgene Corporation | Idecabtagene vicleucel car | UP TO 460 million autologous anti-BCMA CAR-positive viable T cells | 1 | 1 | 1 | 1 |
| 59572-515-03 | Q2055 | Celgene Corporation | Idecabtagene vicleucel car | UP TO 460 million autologous anti-BCMA CAR-positive viable T cells | 1 | 1 | 1 | 1 |
| 57894-111-01 | Q2056 | Janssen Biotech, Inc. | Ciltacabtagene car-pos t | UP TO 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells | 1 | 1 | 1 | 1 |
| 57894-111-02 | Q2056 | Janssen Biotech, Inc. | Ciltacabtagene car-pos t | UP TO 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells | 1 | 1 | 1 | 1 |
| 83205-0001-2 | Q2057 | Adaptimmune Therapeutics PLC | Afamitresgene autoleucel | Per Therapeutic Dose | 1 | 1 | 1 | 1 |
| 55513-126-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 20 | 200 |
| 55513-144-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 100 | 1000 |
| 55513-148-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 40 | 400 |
| 55513-267-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 30 | 300 |
| 55513-283-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 2 | 10 | 200 | 2000 |
| 55513-478-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 200 | 2000 |
| 59676-302-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 20 | 120 |
| 59676-303-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 30 | 180 |
| 59676-304-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 40 | 240 |
| 59676-310-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 100 | 600 |
| 59676-310-02 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 25 | 100 | 2500 |
| 59676-312-04 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 2 | 4 | 200 | 800 |
| 59676-320-04 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 4 | 200 | 800 |
| 59676-340-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 4 | 400 | 1600 |
| 72606-027-01 | Q5099 | Celltrion USA Inc. | Inj ustekinumab-stba, 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
| 72606-028-01 | Q5099 | Celltrion USA Inc. | Inj ustekinumab-stba, 1 mg | 1 MG | 1 | 1 | 90 | 90 |
| 72606-029-01 | Q5099 | Celltrion USA, Inc. | Inj ustekinumab-stba, 1 mg | 1 MG | 26 | 1 | 130 | 130 |
| 83257-023-41 | Q5100 | Biocon Biologics Inc | Inj ustekinumab-kfce, 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
| 83257-024-11 | Q5100 | Biocon Biologics Inc | Inj ustekinumab-kfce, 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
| 83257-025-41 | Q5100 | Biocon Biologics Inc | Inj ustekinumab-kfce, 1 mg | 1 MG | 1 | 1 | 90 | 90 |
| 83257-026-11 | Q5100 | Biocon Biologics Inc | Inj ustekinumab-kfce, 1 mg | 1 MG | 26 | 1 | 130 | 130 |
| 61314-318-01 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.5 | 1 | 300 | 300 |
| 61314-318-10 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.5 | 10 | 300 | 3000 |
| 61314-326-01 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.8 | 1 | 480 | 480 |
| 61314-326-10 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.8 | 10 | 480 | 4800 |
| 0069-0809-01 | Q5103 | Pfizer Inc | Injection, inflectra | 10 MG | 1 | 1 | 10 | 10 |
| 78206-162-01 | Q5104 | Organon LLC | Injection, renflexis | 10 MG | 1 | 1 | 10 | 10 |
| 0069-1305-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 20 | 200 |
| 0069-1306-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 30 | 300 |
| 0069-1307-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 40 | 400 |
| 0069-1308-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 100 | 1000 |
| 0069-1309-04 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 4 | 400 | 1600 |
| 0069-1311-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 200 | 2000 |
| 0069-1318-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 2 | 10 | 100 | 1000 |
| 59353-002-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 20 | 200 |
| 59353-003-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 30 | 300 |
| 59353-004-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 40 | 400 |
| 59353-010-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 100 | 1000 |
| 59353-120-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 200 | 2000 |
| 59353-220-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 2 | 10 | 100 | 1000 |
| 0069-1305-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 2 | 20 |
| 0069-1306-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 3 | 30 |
| 0069-1307-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 4 | 40 |
| 0069-1308-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 10 | 100 |
| 0069-1309-04 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 4 | 40 | 160 |
| 0069-1311-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 20 | 200 |
| 0069-1318-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 2 | 10 | 10 | 100 |
| 59353-002-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 2 | 20 |
| 59353-003-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 3 | 30 |
| 59353-004-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 4 | 40 |
| 59353-010-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 10 | 100 |
| 59353-120-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 20 | 200 |
| 59353-220-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 2 | 10 | 10 | 100 |
| 55513-206-01 | Q5107 | Amgen Inc | Inj mvasi 10 mg | 10 MG | 4 | 1 | 10 | 10 |
| 55513-207-01 | Q5107 | Amgen Inc | Inj mvasi 10 mg | 10 MG | 16 | 1 | 40 | 40 |
| 67457-833-06 | Q5108 | Viatris - Greenstone LLC | Injection, fulphila | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 83257-005-41 | Q5108 | Biocon Biologics Inc | Injection, fulphila | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 0069-0291-01 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.5 | 1 | 300 | 300 |
| 0069-0291-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.5 | 10 | 300 | 3000 |
| 0069-0292-01 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.8 | 1 | 480 | 480 |
| 0069-0292-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.8 | 10 | 480 | 4800 |
| 0069-0293-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 1 | 10 | 300 | 3000 |
| 0069-0294-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 1.6 | 10 | 480 | 4800 |
| 69448-025-63 | Q5111 | Accord BioPharma, Inc | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 69448-027-63 | Q5111 | Accord BioPharma, Inc | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 70114-101-01 | Q5111 | Coherus BioSciences, Inc. | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 70114-120-01 | Q5111 | Coherus BioSciences, Inc. | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 70114-130-01 | Q5111 | Coherus BioSciences, Inc. | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 78206-147-01 | Q5112 | Organon LLC | Inj ontruzant 10 mg | 10 MG | 150 | 1 | 15 | 15 |
| 78206-148-01 | Q5112 | Organon LLC | Inj ontruzant 10 mg | 10 MG | 420 | 1 | 42 | 42 |
| 63459-303-43 | Q5113 | Cephalon, LLC | Inj herzuma 10 mg | 10 MG | 1 | 1 | 15 | 15 |
| 63459-305-47 | Q5113 | Cephalon, LLC | Inj herzuma 10 mg | 10 MG | 1 | 1 | 42 | 42 |
| 67457-847-44 | Q5114 | Viatris - Greenstone LLC | Inj ogivri 10 mg | 10 MG | 1 | 1 | 42 | 42 |
| 67457-991-15 | Q5114 | Viatris - Greenstone LLC | Inj ogivri 10 mg | 10 MG | 1 | 1 | 15 | 15 |
| 83257-001-11 | Q5114 | Biocon Biologics Inc | Inj ogivri 10 mg | 10 MG | 1 | 1 | 15 | 15 |
| 83257-004-12 | Q5114 | Biocon Biologics Inc | Inj ogivri 10 mg | 10 MG | 1 | 1 | 42 | 42 |
| 63459-103-10 | Q5115 | Cephalon, LLC | Inj truxima 10 mg | 10 MG | 10 | 1 | 10 | 10 |
| 63459-104-50 | Q5115 | Cephalon, LLC | Inj truxima 10 mg | 10 MG | 50 | 1 | 50 | 50 |
| 0069-0305-01 | Q5116 | Pfizer Inc | Inj., trazimera, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
| 0069-0308-01 | Q5116 | Pfizer Inc | Inj., trazimera, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
| 55513-132-01 | Q5117 | Amgen Inc | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
| 55513-141-01 | Q5117 | Amgen Inc | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
| 55513-141-21 | Q5117 | AMGEN USA INC. | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
| 55513-164-01 | Q5117 | Amgen Inc | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
| 0069-0315-01 | Q5118 | Pfizer Inc | Inj., zirabev, 10 mg | 10 MG | 4 | 1 | 10 | 10 |
| 0069-0342-01 | Q5118 | Pfizer Inc | Inj., zirabev, 10 mg | 10 MG | 16 | 1 | 40 | 40 |
| 0069-0238-01 | Q5119 | Pfizer Inc | Inj ruxience, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
| 0069-0249-01 | Q5119 | Pfizer Inc | Inj ruxience, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
| 61314-866-01 | Q5120 | Sandoz Inc. | Inj pegfilgrastim-bmez 0.5mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 61314-866-02 | Q5120 | Sandoz Inc. | Inj pegfilgrastim-bmez 0.5mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 55513-670-01 | Q5121 | Amgen Inc | Inj. avsola, 10 mg | 10 MG | 1 | 1 | 10 | 10 |
| 0069-0324-01 | Q5122 | Pfizer Inc | Inj, nyvepria | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 55513-224-01 | Q5123 | Amgen Inc | Inj. riabni, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
| 55513-326-01 | Q5123 | Amgen Inc | Inj. riabni, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
| 64406-019-01 | Q5124 | Biogen Inc. | Inj. byooviz, 0.1 mg | 0.1 MG | 0.05 | 1 | 5 | 5 |
| 70121-1568-1 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.5 | 1 | 300 | 300 |
| 70121-1568-7 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.5 | 10 | 300 | 3000 |
| 70121-1570-1 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.8 | 1 | 480 | 480 |
| 70121-1570-7 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.8 | 10 | 480 | 4800 |
| 70121-1754-1 | Q5126 | Amneal Pharmaceuticals, LLC | Inj alymsys 10 mg | 10 MG | 4 | 1 | 10 | 10 |
| 70121-1755-1 | Q5126 | Amneal Pharmaceuticals, LLC | Inj alymsys 10 mg | 10 MG | 16 | 1 | 40 | 40 |
| 65219-371-10 | Q5127 | FreseniUS Kabi USA, LLC | Inj, stimufend, 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 61314-624-94 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 3 | 3 |
| 61314-625-94 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 5 | 5 |
| 70114-440-01 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 3 | 3 |
| 70114-441-01 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 5 | 5 |
| 72606-011-01 | Q5129 | Celltrion USA, Inc. | Inj, vegzelma, 10 mg | 10 MG | 4 | 1 | 10 | 10 |
| 72606-012-01 | Q5129 | Celltrion USA, Inc. | Inj, vegzelma, 10 mg | 10 MG | 16 | 1 | 40 | 40 |
| 70121-1627-1 | Q5130 | Amneal Pharmaceuticals, LLC | Inj, fylnetra, 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
| 64406-022-01 | Q5133 | Biogen Inc. | Inj, tofidence, 1 mg | 1 MG | 10 | 1 | 200 | 200 |
| 64406-023-01 | Q5133 | Biogen Inc. | Inj, tofidence, 1 mg | 1 MG | 20 | 1 | 400 | 400 |
| 64406-024-01 | Q5133 | Biogen Inc. | Inj, tofidence, 1 mg | 1 MG | 4 | 1 | 80 | 80 |
| 61314-543-94 | Q5134 | Sandoz Inc. | Inj, tyruko, 1 mg | 1 MG | 15 | 1 | 300 | 300 |
| 65219-584-01 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 0.9 | 1 | 162 | 162 |
| 65219-586-04 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 0.9 | 1 | 162 | 162 |
| 65219-590-04 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 4 | 1 | 80 | 80 |
| 65219-592-10 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 10 | 1 | 200 | 200 |
| 65219-594-20 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 20 | 1 | 400 | 400 |
| 61314-228-94 | Q5136 | Sandoz Inc. | Inj. denosumab-bbdz, 1 mg | 1 MG | 1.7 | 1 | 120 | 120 |
| 61314-240-63 | Q5136 | Sandoz Inc. | Inj. denosumab-bbdz, 1 mg | 1 MG | 1 | 1 | 60 | 60 |
| 84612-066-01 | Q5138 | Optum Health Solutions Ireland Limited | Inj, wezlana, iv, 1 mg | 1 MG | 26 | 1 | 130 | 130 |
| 69448-015-05 | Q5146 | Accord BioPharma, Inc | Inj, hercessi, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
| 69448-016-11 | Q5146 | Accord BioPharma, Inc | Inj, hercessi, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
| 55513-056-01 | Q5147 | Amgen Inc | Inj, aflibercept-ayyh, 1 mg | 1 MG | 0.05 | 1 | 2 | 2 |
| 55513-065-01 | Q5147 | Amgen Inc | Inj, aflibercept-ayyh, 1 mg | 1 MG | 0.05 | 1 | 2 | 2 |
| 72374-101-01 | Q5148 | Tanvex BioPharma USA, Inc. | Inj, nyposi 1 mcg | 1 MCG | 0.5 | 1 | 300 | 300 |
| 72374-101-10 | Q5148 | Tanvex BioPharma USA, Inc. | Inj, nyposi 1 mcg | 1 MCG | 0.5 | 10 | 300 | 3000 |
| 72374-102-01 | Q5148 | Tanvex BioPharma USA, Inc. | Inj, nyposi 1 mcg | 1 MCG | 0.8 | 1 | 480 | 480 |
| 72374-102-10 | Q5148 | Tanvex BioPharma USA, Inc. | Inj, nyposi 1 mcg | 1 MCG | 0.8 | 10 | 480 | 4800 |
| 51759-208-13 | Q5151 | Nupathe Inc | Inj, eculizumab-aagh, 2 mg | 2 MG | 30 | 1 | 150 | 150 |
| 55513-180-01 | Q5152 | Amgen Inc | Inj, eculizumab-aeeb, 2 mg | 2 MG | 30 | 1 | 150 | 150 |
| 72606-042-01 | Q5156 | Celltrion USA, Inc. | Inj, tocilizumab-anoh, 1 mg | 1 MG | 4 | 1 | 80 | 80 |
| 72606-043-01 | Q5156 | Celltrion USA, Inc. | Inj, tocilizumab-anoh, 1 mg | 1 MG | 10 | 1 | 200 | 200 |
| 72606-044-01 | Q5156 | Celltrion USA, Inc. | Inj, tocilizumab-anoh, 1 mg | 1 MG | 20 | 1 | 400 | 400 |
| 72606-037-01 | Q5157 | Celltrion USA, Inc. | Inj, denosumab-bmwo, 1 mg | 1 MG | 1 | 1 | 60 | 60 |
| 72606-038-01 | Q5157 | Celltrion USA, Inc. | Inj, denosumab-bmwo, 1 mg | 1 MG | 1.7 | 1 | 120 | 120 |
| 65219-668-01 | Q5158 | Fresenius Kabi USA, LLC | Inj, denosumab-bnht, 1 mg | 1 MG | 1 | 1 | 60 | 60 |
| 65219-670-01 | Q5158 | Fresenius Kabi USA, LLC | Inj, denosumab-bnht, 1 mg | 1 MG | 1.7 | 1 | 120 | 120 |
| 65219-672-01 | Q5158 | Fresenius Kabi USA, LLC | Inj, denosumab-bnht, 1 mg | 1 MG | 1.7 | 1 | 120 | 120 |
| 78206-193-01 | Q5162 | Organon LLC | Inj, den (bil/bil), bio, 1mg | 1 MG | 1 | 1 | 60 | 60 |
| 78206-195-01 | Q5162 | Organon LLC | Inj, den (bil/bil), bio, 1mg | 1 MG | 1.7 | 1 | 120 | 120 |
| 0270-7097-07 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 20 | 5 | 100 |
| 0270-7097-08 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 20 | 5 | 100 |
| 0270-7099-16 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 5 | 5 | 25 |
| 0270-7099-73 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 5 | 5 | 25 |
| 0407-2707-03 | Q9956 | GE Healthcare Inc. | Inj octafluoropropane mic,ml | 1 ML | 3 | 5 | 3 | 15 |
| 0407-2707-18 | Q9956 | GE Healthcare Inc. | Inj octafluoropropane mic,ml | 1 ML | 3 | 18 | 3 | 54 |
| 11994-011-04 | Q9957 | Lantheus Medical Imaging, Inc. | Inj perflutren lip micros,ml | 1 ML | 2 | 4 | 2 | 8 |
| 11994-011-16 | Q9957 | Lantheus Medical Imaging, Inc. | Inj perflutren lip micros,ml | 1 ML | 2 | 16 | 2 | 32 |
| 11994-017-20 | Q9957 | Lantheus Medical Imaging, Inc. | Inj perflutren lip micros,ml | 1 ML | 2 | 20 | 2 | 40 |
| 0019-0862-50 | Q9958 | Liebel-Flarsheim Company LLC | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 250 | 12 | 250 | 3000 |
| 0270-0149-57 | Q9958 | Bracco Diagnostics Inc. | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 300 | 10 | 300 | 3000 |
| 0270-0149-60 | Q9958 | Bracco Diagnostics Inc. | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0270-1410-30 | Q9958 | Bracco Diagnostics Inc. | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 300 | 10 | 300 | 3000 |
| 0019-0953-05 | Q9961 | Liebel-Flarsheim Company LLC | Hocm 250-299mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
| 0019-4816-04 | Q9963 | Liebel-Flarsheim Company LLC | Hocm 350-399mg/ml iodine,1ml | 1 ML | 30 | 25 | 30 | 750 |
| 0270-0445-35 | Q9963 | Bracco Diagnostics Inc. | Hocm 350-399mg/ml iodine,1ml | 1 ML | 30 | 24 | 30 | 720 |
| 0270-0445-40 | Q9963 | Bracco Diagnostics Inc. | Hocm 350-399mg/ml iodine,1ml | 1 ML | 120 | 12 | 120 | 1440 |
| 0407-1401-52 | Q9965 | GE Healthcare Inc. | Locm 100-199mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1411-10 | Q9965 | GE Healthcare Inc. | Locm 100-199mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
| 0407-1411-20 | Q9965 | GE Healthcare Inc. | Locm 100-199mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
| 0270-1314-15 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0270-1317-02 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0270-1317-02 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0270-1411-11 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
| 0270-7250-10 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 56 | 100 | 5600 |
| 0407-1412-10 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
| 0407-1412-10 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
| 0407-1412-20 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
| 0407-1412-20 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
| 0407-1412-30 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1412-30 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1412-33 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1412-33 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1412-34 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1412-34 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1412-35 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1412-35 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1412-38 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1412-38 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-2222-16 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-2222-16 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-2222-17 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-2222-17 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-2222-19 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-2222-19 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-2222-21 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-2222-21 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 65219-381-10 | Q9966 | FreseniUS Kabi USA, LLC | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 65219-381-50 | Q9966 | FreseniUS Kabi USA, LLC | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 70436-124-52 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
| 70436-124-82 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
| 70436-125-82 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 70436-211-80 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 1 | 50 | 50 |
| 0019-1323-06 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
| 0019-1323-11 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 12 | 100 | 1200 |
| 0019-1323-16 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
| 0019-1323-21 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 12 | 200 | 2400 |
| 0019-1323-52 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
| 0019-1323-65 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
| 0019-1323-78 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
| 0019-1323-87 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
| 0019-1323-90 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
| 0019-1323-95 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 20 | 75 | 1500 |
| 0019-1333-06 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
| 0019-1333-11 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 12 | 100 | 1200 |
| 0019-1333-16 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
| 0019-1333-21 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 12 | 200 | 2400 |
| 0019-1333-65 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
| 0019-1333-78 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
| 0019-1333-87 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
| 0019-1333-90 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
| 0019-1333-95 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 20 | 75 | 1500 |
| 0270-1315-25 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
| 0270-1315-25 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
| 0270-1315-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0270-1315-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0270-1315-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0270-1315-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0270-1315-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
| 0270-1315-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
| 0270-1316-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0270-1316-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0270-1316-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0270-1316-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0270-1316-52 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
| 0270-1316-52 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
| 0270-1316-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
| 0270-1316-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
| 0270-1412-15 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 15 | 10 | 15 | 150 |
| 0270-7300-10 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 56 | 100 | 5600 |
| 0270-7300-20 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1413-10 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
| 0407-1413-10 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
| 0407-1413-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1413-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1413-53 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1413-53 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1413-59 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
| 0407-1413-59 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
| 0407-1413-61 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1413-61 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1413-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
| 0407-1413-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
| 0407-1413-63 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1413-63 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1413-65 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1413-65 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1413-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1413-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1413-68 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1413-68 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1413-69 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1413-69 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1413-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1413-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1413-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1413-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1413-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1413-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1413-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1413-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1413-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1413-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-76 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1414-76 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1414-82 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1414-82 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1414-84 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1414-84 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1414-85 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1414-85 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1414-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1414-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1414-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1414-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1414-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1414-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-1414-90 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
| 0407-1414-90 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
| 0407-1414-91 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1414-91 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-1414-93 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1414-93 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-1414-94 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1414-94 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-1414-95 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1414-95 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 0407-1414-98 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-1414-98 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-2223-16 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-2223-16 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-2223-17 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-2223-17 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-2223-19 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-2223-19 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-2223-21 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-2223-21 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-2223-23 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-2223-23 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
| 0407-2223-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-2223-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 0407-2223-64 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-2223-64 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 0407-2223-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-2223-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 0407-2223-67 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 0407-2223-67 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 50419-344-05 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 50419-344-10 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 50419-344-12 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
| 50419-344-15 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 50419-344-21 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 50419-344-23 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 50419-344-58 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 8 | 500 | 4000 |
| 50419-344-65 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 8 | 500 | 4000 |
| 50419-346-05 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 50419-346-10 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 50419-346-15 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 50419-346-20 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 50419-346-28 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 50419-346-58 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 8 | 500 | 4000 |
| 50419-346-65 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 8 | 500 | 4000 |
| 65219-383-05 | Q9967 | FreseniUS Kabi USA, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 65219-383-10 | Q9967 | FreseniUS Kabi USA, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 65219-383-50 | Q9967 | FreseniUS Kabi USA, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
| 65219-383-70 | Q9967 | FreseniUS Kabi USA, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
| 70436-126-82 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 15 | 10 | 15 | 150 |
| 70436-127-82 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 70436-219-52 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
| 70436-219-62 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
| 70436-219-82 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
| 12496-0100-1 | Q9991 | Indivior Inc. | Buprenorph xr 100 mg or less | Less than or equal to 100 MG | 0.5 | 1 | 1 | 1 |
| 12496-0300-1 | Q9992 | Indivior Inc. | Buprenorphine xr over 100 mg | Greater than 100 MG | 1.5 | 1 | 1 | 1 |
| 61314-654-94 | Q9997 | Sandoz Inc. | Ustekinumab-ttwe iv inj 1 mg | 1 MG | 1 | 1 | 130 | 130 |
| 82009-163-94 | Q9997 | Quallent Pharmaceuticals | Ustekinumab-ttwe iv inj 1 mg | 1 MG | 26 | 1 | 130 | 130 |
| 51759-505-13 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
| 51759-505-32 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 1 | 1 | 45 | 45 |
| 51759-607-32 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 1 | 1 | 90 | 90 |
| 51759-708-13 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 26 | 1 | 130 | 130 |
| 51759-709-32 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 1 | 1 | 45 | 45 |
| 51759-709-32 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 1 | 1 | 45 | 45 |
| 51759-710-32 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 1 | 1 | 90 | 90 |
| 51759-710-32 | Q9998 | Nupathe Inc | Inj ustekinumab-aekn, 1 mg | 1 MG | 1 | 1 | 90 | 90 |
| 65219-824-01 | Q9999 | FreseniUS Kabi USA, LLC | Inj ustekinumab-aauz 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
| 65219-826-26 | Q9999 | FreseniUS Kabi USA, LLC | Inj ustekinumab-aauz 1 mg | 1 MG | 1 | 1 | 90 | 90 |
| 65219-828-05 | Q9999 | FreseniUS Kabi USA, LLC | Inj ustekinumab-aauz 1 mg | 1 MG | 26 | 1 | 130 | 130 |
| 65219-862-01 | Q9999 | FreseniUS Kabi USA, LLC | Inj ustekinumab-aauz 1 mg | 1 MG | 0.5 | 1 | 45 | 45 |
| 65219-866-26 | Q9999 | FreseniUS Kabi USA, LLC | Inj ustekinumab-aauz 1 mg | 1 MG | 1 | 1 | 90 | 90 |
