NDC - HCPCS Crosswalk

Effective July 1, 2022 through September 30, 2022

The NDC - HCPCS crosswalks are intended to help understand which drug products -identified by NDCs- are assigned to which HCPCS billing codes. The information is based on published drug and biological pricing data and information submitted to CMS by manufacturers. The crosswalks are not intended to be a comprehensive list of all NDCs available in the United States. The NDC to HCPCS Crosswalks also include information on the NDC package size and the number of billable units.

Average Sales Price (ASP)

NDC	HCPCS Code	Labeler	Drug Name	Dosage	Package Size	Package Quantity	Billable Units	Billable Units / Pkg
13533-636-01	90371	GRIFOLS USA, LLC	Hep b ig im	1 ML	1	1	1	1
13533-636-02	90371	GRIFOLS USA, LLC	Hep b ig im	1 ML	1	1	1	1
13533-636-03	90371	GRIFOLS USA, LLC	Hep b ig im	1 ML	0.5	1	0.5	0.5
13533-636-05	90371	GRIFOLS USA, LLC	Hep b ig im	1 ML	5	1	5	5
59730-4203-1	90371	ADMA BIOLOGICS	Hep b ig im	1 ML	5	1	5	5
69800-4202-1	90371	ADMA BIOLOGICS	Hep b ig im	1 ML	1	1	1	1
69800-4203-1	90371	ADMA BIOLOGICS	Hep b ig im	1 ML	5	1	5	5
13533-318-01	90375	GRIFOLS USA, LLC	Rabies ig im/sc	150 IU	1	1	2	2
13533-318-03	90375	GRIFOLS USA, LLC	Rabies ig im/sc	150 IU	3	1	6	6
13533-318-05	90375	GRIFOLS USA, LLC	Rabies ig im/sc	150 IU	5	1	10	10
13533-618-02	90375	GRIFOLS USA, LLC	Rabies ig im/sc	150 IU	2	1	2	2
13533-618-10	90375	GRIFOLS USA, LLC	Rabies ig im/sc	150 IU	10	1	10	10
49281-190-20	90376	SANOFI PASTEUR	Rabies ig heat treated	150 IU	2	1	2	2
76125-150-02	90377	KEDRION BIOPHARMA, INC.	Rabies ig ht&sol human im/sc	150 IU	2	1	2	2
76125-150-10	90377	KEDRION BIOPHARMA, INC.	Rabies ig ht&sol human im/sc	150 IU	10	1	10	10
0052-0602-02	90586	ORGANON USA, INC.	Bcg vaccine intravesical	1 EACH	1	1	1	1
0052-0603-02	90586	ORGANON USA, INC.	Bcg vaccine intravesical	1 EACH	1	1	1	1
0006-4096-02	90632	MERCK SHARP & DOHME CORP.	Hepa vaccine adult im	1 ML	1	10	1	10
0006-4841-41	90632	MERCK SHARP & DOHME CORP.	Hepa vaccine adult im	1 ML	1	10	1	10
50090-1502-0	90632	A-S MEDICATION SOLUTIONS	Hepa vaccine adult im	1 ML	1	10	1	10
58160-826-52	90632	GLAXOSMITHKLINE	Hepa vaccine adult im	1 ML	1	10	1	10
49281-252-51	90675	SANOFI PASTEUR	Rabies vaccine im	1 ML	1	1	1	1
58160-964-12	90675	GLAXOSMITHKLINE	Rabies vaccine im	1 ML	1	1	1	1
13533-131-01	90714	GRIFOLS USA, LLC	Td vacc no presv 7 yrs+ im	0.5 ML	0.5	10	1	10
49281-215-10	90714	SANOFI PASTEUR	Td vacc no presv 7 yrs+ im	0.5 ML	0.5	10	1	10
49281-215-15	90714	SANOFI PASTEUR	Td vacc no presv 7 yrs+ im	0.5 ML	0.5	10	1	10
49281-400-10	90715	SANOFI PASTEUR	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
49281-400-20	90715	SANOFI PASTEUR	Tdap vaccine 7 yrs/> im	1 EA	0.5	5	1	5
50090-1377-0	90715	A-S MEDICATION SOLUTIONS	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
50090-1831-0	90715	A-S MEDICATION SOLUTIONS	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
58160-842-11	90715	GLAXOSMITHKLINE	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
58160-842-52	90715	GLAXOSMITHKLINE	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
0407-2943-01	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	10	10	100	1000
0407-2943-02	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	15	10	150	1500
0407-2943-05	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	20	10	200	2000
0407-2943-06	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	5	10	50	500
0407-2943-12	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	10	10	100	1000
0407-2943-17	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	15	10	150	1500
0407-2943-22	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	20	10	200	2000
0407-2943-70	A9575	GE HEALTHCARE	Inj gadoterate meglumi 0.1ml	0.1 ML	100	10	1000	10000
67684-2000-0	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	5	10	50	500
67684-2000-1	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	10	10	100	1000
67684-2000-2	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	15	10	150	1500
67684-2000-3	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	20	10	200	2000
67684-2000-4	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	100	6	1000	6000
67684-2000-5	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	10	5	100	500
67684-2000-6	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	15	5	150	750
67684-2000-7	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	20	5	200	1000
67684-2001-0	A9575	Guerbet, Llc	Inj gadoterate meglumi 0.1ml	0.1 ML	5	10	50	500
67684-2001-1	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	10	10	100	1000
67684-2001-2	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	15	10	150	1500
67684-2001-3	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	20	10	200	2000
67684-2001-4	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	100	6	1000	6000
67684-3001-1	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	10	10	100	1000
67684-3001-2	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	15	10	150	1500
67684-3001-3	A9575	GUERBET LLC	Inj gadoterate meglumi 0.1ml	0.1 ml	20 mL 10 EA	10	200	2000
0270-1111-70	A9576	BRACCO DIAGNOSTICS	Inj prohance multipack	1 ML	50	5	50	250
0270-5164-12	A9577	BRACCO DIAGNOSTICS	Inj multihance	1 ML	5	5	5	25
0270-5164-13	A9577	BRACCO DIAGNOSTICS	Inj multihance	1 ML	10	5	10	50
0270-5164-14	A9577	BRACCO DIAGNOSTICS	Inj multihance	1 ML	15	5	15	75
0270-5164-15	A9577	BRACCO DIAGNOSTICS	Inj multihance	1 ML	20	5	20	100
0270-5264-16	A9578	BRACCO DIAGNOSTICS	Inj multihance multipack	1 ML	50	5	50	250
0270-5264-17	A9578	BRACCO DIAGNOSTICS	Inj multihance multipack	1 ML	100	5	100	500
0270-1111-01	A9579	BRACCO DIAGNOSTICS	Gad-base mr contrast nos,1ml	1 ML	10	5	10	50
0270-1111-02	A9579	BRACCO DIAGNOSTICS	Gad-base mr contrast nos,1ml	1 ML	15	5	15	75
0270-1111-03	A9579	BRACCO DIAGNOSTICS	Gad-base mr contrast nos,1ml	1 ML	20	5	20	100
0270-1111-04	A9579	BRACCO DIAGNOSTICS	Gad-base mr contrast nos,1ml	1 ML	5	5	5	25
0270-1111-16	A9579	BRACCO DIAGNOSTICS	Gad-base mr contrast nos,1ml	1 ML	10	5	10	50
0270-1111-45	A9579	BRACCO DIAGNOSTICS	Gad-base mr contrast nos,1ml	1 ML	17	5	17	85
0407-0690-05	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	5	10	5	50
0407-0690-10	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	10	10	10	100
0407-0690-12	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	10	10	10	100
0407-0690-15	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0690-17	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0690-20	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
0407-0690-22	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
0407-0690-30	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	10	10	10	100
0407-0690-40	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0690-70	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	100	10	100	1000
0407-0691-62	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0691-63	A9579	GE HEALTHCARE	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
50419-188-05	A9579	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gad-base mr contrast nos,1ml	1 ML	5	20	5	100
50419-188-15	A9579	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gad-base mr contrast nos,1ml	1 ML	15	20	15	300
50419-188-37	A9579	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gad-base mr contrast nos,1ml	1 ML	15	5	15	75
50419-188-38	A9579	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gad-base mr contrast nos,1ml	1 ML	20	5	20	100
50419-188-81	A9579	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gad-base mr contrast nos,1ml	1 ML	5	20	5	100
50419-188-83	A9579	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gad-base mr contrast nos,1ml	1 ML	15	20	15	300
50419-320-05	A9581	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadoxetate disodium inj	1 ML	10	5	10	50
50419-320-15	A9581	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadoxetate disodium inj	1 ML	15	5	15	75
50419-325-11	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	7.5	20	75	1500
50419-325-12	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	10	20	100	2000
50419-325-13	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	15	20	150	3000
50419-325-14	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	30	10	300	3000
50419-325-15	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	65	10	650	6500
50419-325-18	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	30	10	300	3000
50419-325-19	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	65	10	650	6500
50419-325-27	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	7.5	5	75	375
50419-325-28	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	10	5	100	500
50419-325-29	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	15	5	150	750
50419-325-37	A9585	BAYER HEALTHCARE PHARMACEUTICALS INC.	Gadobutrol injection	0.1 ML	2	15	20	300
10511-3001-2	A9589	PHOTOCURE, INC.	Insti hexaminolevulinate hcl	100 MG	1	1	1	1
71715-001-02	J0121	PARATEK PHARMACEUTICALS INC.	Inj., omadacycline, 1 mg	1 MG	1	10	100	1000
71773-050-12	J0122	TETRAPHASE PHARMACEUTICALS INC.	Inj., eravacycline, 1 mg	1 MG	1	12	50	600
71773-100-12	J0122	TETRAPHASE PHARMACEUTICALS INC.	Inj., eravacycline, 1 mg	1 MG	1	12	100	1200
0003-2187-10	J0129	BRISTOL-MYERS SQUIBB COMPANY	Abatacept injection	10 MG	1	1	25	25
0003-2187-13	J0129	BRISTOL-MYERS SQUIBB COMPANY	Abatacept injection	10 MG	1	1	25	25
0003-2188-11	J0129	BRISTOL-MYERS SQUIBB COMPANY	Abatacept injection	10 MG	1	4	12.5	50
0003-2188-51	J0129	BRISTOL-MYERS SQUIBB COMPANY	Abatacept injection	10 MG	1	4	12.5	50
0003-2814-11	J0129	BRISTOL-MYERS SQUIBB COMPANY	Abatacept injection	10 MG	0.4	4	5	20
0003-2818-11	J0129	BRISTOL-MYERS SQUIBB COMPANY	Abatacept injection	10 MG	0.7	4	8.75	35
0574-0805-30	J0132	PERRIGO PHARMACEUTICALS	Acetylcysteine injection	100 MG	30	4	60	240
17478-660-30	J0132	AKORN	Acetylcysteine injection	100 MG	30	4	60	240
25021-812-30	J0132	SAGENT PHARMACEUTICALS INC	Acetylcysteine injection	100 MG	30	4	60	240
55150-259-30	J0132	AUROMEDICS PHARMA LLC	Acetylcysteine injection	100 MG	30	4	60	240
63323-963-30	J0132	FRESENIUS KABI	Acetylcysteine injection	100 MG	30	4	60	240
63323-963-44	J0132	FRESENIUS KABI	Acetylcysteine injection	100 MG	30	4	60	240
66220-207-30	J0132	CUMBERLAND PHARMACEUTICALS	Acetylcysteine injection	100 MG	30	4	60	240
55150-154-10	J0133	AUROMEDICS PHARMA LLC	Acyclovir injection	5 MG	10	10	100	1000
55150-154-11	J0133	AUROMEDICS PHARMA LLC	Acyclovir injection	5 MG	10	10	100	1000
55150-155-20	J0133	AUROMEDICS PHARMA LLC	Acyclovir injection	5 MG	20	10	200	2000
55150-155-21	J0133	AUROMEDICS PHARMA LLC	Acyclovir injection	5 MG	20	10	200	2000
63323-325-10	J0133	FRESENIUS KABI	Acyclovir injection	5 MG	20	10	100	1000
63323-325-14	J0133	FRESENIUS KABI	Acyclovir injection	5 MG	10	10	100	1000
63323-325-20	J0133	FRESENIUS KABI	Acyclovir injection	5 MG	20	10	200	2000
63323-325-24	J0133	FRESENIUS KABI	Acyclovir injection	5 MG	20	10	200	2000
68382-048-10	J0133	ZYDUS PHARMACEUTICALS	Acyclovir injection	5 MG	10	10	100	1000
68382-049-10	J0133	ZYDUS PHARMACEUTICALS	Acyclovir injection	5 MG	20	10	200	2000
0409-1932-01	J0153	PFIZER INC.	Adenosine inj 1mg	1 MG	20	1	60	60
0409-1932-02	J0153	PFIZER INC.	Adenosine inj 1mg	1 MG	30	1	90	90
0703-8776-01	J0153	SICOR PHARMACEUTICALS, INC.	Adenosine inj 1mg	1 MG	20	1	60	60
0703-8777-01	J0153	SICOR PHARMACEUTICALS, INC.	Adenosine inj 1mg	1 MG	30	1	90	90
16714-180-01	J0153	NORTHSTAR RX LLC	Adenosine inj 1mg	1 MG	20	1	60	60
16714-972-01	J0153	NORTHSTAR RX LLC	Adenosine inj 1mg	1 MG	30	1	90	90
17478-542-02	J0153	AKORN	Adenosine inj 1mg	1 MG	2	10	6	60
17478-542-25	J0153	AKORN	Adenosine inj 1mg	1 MG	2	25	6	150
17478-544-20	J0153	AKORN	Adenosine inj 1mg	1 MG	20	1	60	60
17478-544-30	J0153	AKORN	Adenosine inj 1mg	1 MG	30	1	90	90
17478-953-02	J0153	AKORN	Adenosine inj 1mg	1 MG	2	10	6	60
25021-301-67	J0153	SAGENT PHARMACEUTICALS INC	Adenosine inj 1mg	1 MG	2	10	6	60
25021-301-68	J0153	SAGENT PHARMACEUTICALS INC	Adenosine inj 1mg	1 MG	4	10	12	120
55150-192-01	J0153	AUROMEDICS PHARMA LLC	Adenosine inj 1mg	1 MG	20	1	60	60
55150-192-20	J0153	AUROMEDICS PHARMA LLC	Adenosine inj 1mg	1 MG	20	10	60	600
55150-193-01	J0153	AUROMEDICS PHARMA LLC	Adenosine inj 1mg	1 MG	30	1	90	90
55150-193-30	J0153	AUROMEDICS PHARMA LLC	Adenosine inj 1mg	1 MG	30	10	90	900
63323-651-02	J0153	FRESENIUS KABI	Adenosine inj 1mg	1 MG	2	10	6	60
63323-651-04	J0153	FRESENIUS KABI	Adenosine inj 1mg	1 MG	4	10	12	120
63323-651-20	J0153	FRESENIUS KABI	Adenosine inj 1mg	1 MG	20	1	60	60
63323-651-30	J0153	FRESENIUS KABI	Adenosine inj 1mg	1 MG	30	1	90	90
63323-651-89	J0153	FRESENIUS KABI	Adenosine inj 1mg	1 MG	2	10	6	60
63323-651-90	J0153	FRESENIUS KABI	Adenosine inj 1mg	1 MG	4	10	12	120
67457-854-04	J0153	MYLAN INSTITUTIONAL LLC	Adenosine inj 1mg	1 MG	4	10	12	120
67457-855-02	J0153	MYLAN INSTITUTIONAL LLC	Adenosine inj 1mg	1 MG	2	10	6	60
67457-856-20	J0153	MYLAN INSTITUTIONAL LLC	Adenosine inj 1mg	1 MG	20	1	60	60
67457-857-30	J0153	MYLAN INSTITUTIONAL LLC	Adenosine inj 1mg	1 MG	30	1	90	90
67457-858-20	J0153	MYLAN INSTITUTIONAL LLC	Adenosine inj 1mg	1 MG	20	1	60	60
67457-859-30	J0153	MYLAN INSTITUTIONAL LLC	Adenosine inj 1mg	1 MG	30	1	90	90
0409-4933-01	J0171	PFIZER INC.	Adrenalin epinephrine inject	0.1 MG	10	10	10	100
42023-159-25	J0171	PAR PHARMACEUTICAL, INC	Adrenalin epinephrine inject	0.1 MG	1	25	10	250
42023-168-01	J0171	PAR PHARMACEUTICAL, INC	Adrenalin epinephrine inject	0.1 MG	30	1	300	300
42023-168-89	J0171	PAR PHARMACEUTICAL, INC	Adrenalin epinephrine inject	0.1 MG	30	1	300	300
42023-168-99	J0171	PAR PHARMACEUTICAL, INC	Adrenalin epinephrine inject	0.1 MG	30	1	300	300
50090-2058-0	J0171	A-S MEDICATION SOLUTIONS	Adrenalin epinephrine inject	0.1 MG	10	1	10	10
50090-3039-1	J0171	A-S MEDICATION SOLUTIONS	Adrenalin epinephrine inject	0.1mg	1	1	10	10
50090-3039-2	J0171	A-S MEDICATION SOLUTIONS	Adrenalin epinephrine inject	0.1 MG	1	10	10	10
64406-101-01	J0172	BIOGEN	Inj, aducanumab-avwa, 2 mg	2 MG	1.7	1	85	85
64406-102-02	J0172	BIOGEN	Inj, aducanumab-avwa, 2 mg	2 MG	3	1	150	150
61755-005-01	J0178	REGENERON PHARMACEUTICALS INC.	Aflibercept injection	1 MG	0.05	1	2	2
61755-005-02	J0178	REGENERON PHARMACEUTICALS INC.	Aflibercept injection	1 MG	0.05	1	2	2
0078-0827-61	J0179	NOVARTIS PHARMACEUTICALS CORPORATION	Inj, brolucizumab-dbll, 1 mg	1 MG	0.05	1	6	6
58468-0040-1	J0180	GENZYME CORPORATION	Agalsidase beta injection	1 MG	1	1	35	35
58468-0041-1	J0180	GENZYME CORPORATION	Agalsidase beta injection	1 MG	1	1	5	5
47426-201-01	J0185	HERON THERAPEUTICS	Inj., aprepitant, 1 mg	1 MG	18	1	130	130
58468-0200-1	J0202	GENZYME CORPORATION	Injection, alemtuzumab	1 MG	1.2	1	12	12
58468-0426-1	J0219	GENZYME CORPORATION	Inj aval alfa-nqpt 4mg	4 mg	1	1	25	25
58468-0160-1	J0221	GENZYME CORPORATION	Lumizyme injection	10 MG	1	1	5	5
58468-0160-2	J0221	GENZYME CORPORATION	Lumizyme injection	10 MG	1	10	5	50
71336-1000-1	J0222	ALNYLAM PHARMACEUTICALS, INC.	Inj., patisiran, 0.1 mg	0.1 MG	5	1	100	100
71336-1001-1	J0223	ALNYLAM PHARMACEUTICALS, INC.	Inj givosiran 0.5 mg	0.5 MG	1	1	378	378
61958-2901-2	J0248	GILEAD SCIENCES, INC.	Inj, remdesivir, 1 mg	1 MG	1	1	100	100
0053-7201-02	J0256	CSL BEHRING LLC	Alpha 1 proteinase inhibitor	10 MG	1	1	0.1	0.1
0944-2814-01	J0256	TAKEDA PHARMACEUTICALS AMERICA, INC.	Alpha 1 proteinase inhibitor	10 MG	1	1	0.1	0.1
0944-2815-01	J0256	TAKEDA PHARMACEUTICALS AMERICA, INC.	Alpha 1 proteinase inhibitor	10 MG	1	1	0.1	0.1
13533-700-02	J0256	GRIFOLS USA, LLC	Alpha 1 proteinase inhibitor	10 MG	1	1	100	0.1
13533-703-10	J0256	GRIFOLS USA, LLC	Alpha 1 proteinase inhibitor	10 MG	1	1	100	0.1
13533-705-01	J0256	GRIFOLS USA, LLC	Alpha 1 proteinase inhibitor	10 MG	1	1	100	0.1
0944-2884-01	J0257	TAKEDA PHARMACEUTICALS AMERICA, INC.	Glassia injection	10 MG	1	1	0.1	0.1
0641-6166-10	J0278	HIKMA PHARMACEUTICALS USA INC.	Amikacin sulfate injection	100 MG	4	10	10	100
0641-6167-10	J0278	HIKMA PHARMACEUTICALS USA INC.	Amikacin sulfate injection	100 MG	2	10	5	50
0703-9032-03	J0278	SICOR PHARMACEUTICALS, INC.	Amikacin sulfate injection	100 MG	2	10	5	50
0703-9040-03	J0278	SICOR PHARMACEUTICALS, INC.	Amikacin sulfate injection	100 MG	4	10	10	100
23155-290-41	J0278	HERITAGE PHARMACEUTICALS, INC.	Amikacin sulfate injection	100 MG	2	10	5	50
23155-290-42	J0278	HERITAGE PHARMACEUTICALS, INC.	Amikacin sulfate injection	100 MG	4	10	10	100
23155-785-41	J0278	HERITAGE PHARMACEUTICALS, INC.	Amikacin sulfate injection	100 MG	2	10	5	50
23155-786-41	J0278	HERITAGE PHARMACEUTICALS, INC.	Amikacin sulfate injection	100 MG	4	10	10	100
25021-173-02	J0278	SAGENT PHARMACEUTICALS INC	Amikacin sulfate injection	100 MG	2	10	5	50
25021-173-04	J0278	SAGENT PHARMACEUTICALS INC	Amikacin sulfate injection	100 MG	4	10	10	100
63323-815-02	J0278	FRESENIUS KABI	Amikacin sulfate injection	100 MG	2	10	5	50
63323-815-04	J0278	FRESENIUS KABI	Amikacin sulfate injection	100 MG	4	10	10	100
0409-5921-01	J0280	PFIZER INC.	Aminophyllin 250 mg inj	250 MG	10	25	1	25
0409-5922-01	J0280	PFIZER INC.	Aminophyllin 250 mg inj	250 MG	20	25	2	50
39822-1055-5	J0285	X-GEN PHARMACEUTICALS INC	Amphotericin b	50 MG	1	1	1	1
57665-101-41	J0287	LEADIANT BIOSCIENCES, INC.	Amphotericin b lipid complex	10 MG	20	1	10	10
0469-3051-30	J0289	ASTELLAS PHARMA US INC.	Amphotericin b liposome inj	10 MG	1	1	5	5
0409-3718-01	J0290	PFIZER INC.	Ampicillin 500 mg inj	500 MG	1	10	1	10
0409-3720-01	J0290	PFIZER INC.	Ampicillin 500 mg inj	500 MG	1	10	4	40
0409-3725-01	J0290	PFIZER INC.	Ampicillin 500 mg inj	500 MG	1	10	20	200
0409-3726-01	J0290	PFIZER INC.	Ampicillin 500 mg inj	500 MG	1	10	2	20
0781-3400-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	0.25	2.5
0781-3402-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
0781-3404-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	2	20
0781-3407-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	1	10
0781-3408-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	4	40
0781-3409-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	20	200
0781-3412-92	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	2	20
0781-3413-92	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	4	40
0781-9242-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
0781-9250-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	1	10
0781-9261-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	2	20
0781-9273-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	4	40
0781-9401-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	0.25	2.5
0781-9402-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
0781-9404-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	2	20
0781-9407-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	1	10
0781-9408-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	4	40
0781-9409-95	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	20	200
0781-9412-92	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	2	20
0781-9413-92	J0290	SANDOZ	Ampicillin 500 mg inj	500 MG	1	10	4	40
25021-136-10	J0290	SAGENT PHARMACEUTICALS INC	Ampicillin 500 mg inj	500 MG	1	10	2	20
25021-137-20	J0290	SAGENT PHARMACEUTICALS INC	Ampicillin 500 mg inj	500 MG	1	10	4	40
44567-101-10	J0290	WG CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	1	10
44567-102-10	J0290	WG CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	2	20
44567-103-10	J0290	WG CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	4	40
44567-104-01	J0290	WG CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	1	20	20
44567-104-10	J0290	WG CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	20	200
50090-4552-0	J0290	A-S MEDICATION SOLUTIONS	Ampicillin 500 mg inj	500 MG	1	1	4	4
55150-111-10	J0290	AUROMEDICS PHARMA LLC	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
55150-112-10	J0290	AUROMEDICS PHARMA LLC	Ampicillin 500 mg inj	500 MG	1	10	1	10
55150-113-10	J0290	AUROMEDICS PHARMA LLC	Ampicillin 500 mg inj	500 MG	1	10	2	20
55150-114-20	J0290	AUROMEDICS PHARMA LLC	Ampicillin 500 mg inj	500 MG	1	10	4	40
55150-115-99	J0290	AUROMEDICS PHARMA LLC	Ampicillin 500 mg inj	500 MG	1	10	20	200
65219-014-10	J0290	FRESENIUS KABI	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
65219-016-10	J0290	FRESENIUS KABI	Ampicillin 500 mg inj	500 MG	1	10	1	10
65219-018-10	J0290	FRESENIUS KABI	Ampicillin 500 mg inj	500 MG	1	10	2	20
65219-020-23	J0290	FRESENIUS KABI	Ampicillin 500 mg inj	500 MG	1	10	4	40
66794-220-41	J0290	PIRAMAL CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
66794-221-41	J0290	PIRAMAL CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	1	10
66794-222-41	J0290	PIRAMAL CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	2	20
66794-223-41	J0290	PIRAMAL CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	10	4	40
66794-224-15	J0290	PIRAMAL CRITICAL CARE	Ampicillin 500 mg inj	500 MG	1	1	20	20
67457-351-10	J0290	MYLAN INSTITUTIONAL LLC	Ampicillin 500 mg inj	500 MG	1	10	2	20
67457-352-10	J0290	MYLAN INSTITUTIONAL LLC	Ampicillin 500 mg inj	500 MG	1	10	4	40
67457-404-10	J0290	MYLAN INSTITUTIONAL LLC	Ampicillin 500 mg inj	500 MG	1	1	20	20
70594-084-02	J0290	XELLIA PHARMACEUTICALS USA, LLC	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
70594-085-02	J0290	XELLIA PHARMACEUTICALS USA, LLC	Ampicillin 500 mg inj	500 MG	1	10	1	10
70594-086-02	J0290	XELLIA PHARMACEUTICALS USA, LLC	Ampicillin 500 mg inj	500 MG	1	10	2	20
70594-087-02	J0290	XELLIA PHARMACEUTICALS USA, LLC	Ampicillin 500 mg inj	500 MG	1	10	4	40
70594-088-01	J0290	XELLIA PHARMACEUTICALS USA, LLC	Ampicillin 500 mg inj	500 MG	1	1	20	20
70860-112-15	J0290	ATHENEX	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
70860-113-15	J0290	ATHENEX	Ampicillin 500 mg inj	500 MG	1	10	1	10
70860-114-15	J0290	ATHENEX	Ampicillin 500 mg inj	500 MG	1	10	2	20
70860-115-26	J0290	ATHENEX	Ampicillin 500 mg inj	500 MG	1	10	4	40
70860-118-99	J0290	ATHENEX	Ampicillin 500 mg inj	500 MG	1	1	20	20
72572-016-10	J0290	CIVICA INC	Ampicillin 500 mg inj	500 MG	1	10	2	20
72572-017-10	J0290	CIVICA INC	Ampicillin 500 mg inj	500 MG	1	10	4	40
69097-820-96	J0291	CIPLA USA INC.	Inj., plazomicin, 5 mg	5 MG	10	10	100	1000
71045-010-02	J0291	CIPLA USA INC.	Inj., plazomicin, 5 mg	5 MG	10	10	100	1000
0049-0013-83	J0295	PFIZER INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
0049-0014-83	J0295	PFIZER INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
0049-0024-28	J0295	PFIZER INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
0409-2987-03	J0295	PFIZER INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
0641-6116-10	J0295	HIKMA PHARMACEUTICALS USA INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
0641-6117-10	J0295	HIKMA PHARMACEUTICALS USA INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
0641-6118-01	J0295	HIKMA PHARMACEUTICALS USA INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
25021-142-20	J0295	SAGENT PHARMACEUTICALS INC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	10	10
25021-143-30	J0295	SAGENT PHARMACEUTICALS INC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	20	20
25021-144-99	J0295	SAGENT PHARMACEUTICALS INC	Ampicillin sulbactam 1.5 gm	1.5 GM	30	1	10	10
44567-211-10	J0295	WG CRITICAL CARE	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
44567-212-01	J0295	WG CRITICAL CARE	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
55150-116-20	J0295	AUROMEDICS PHARMA LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
55150-117-20	J0295	AUROMEDICS PHARMA LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
55150-118-99	J0295	AUROMEDICS PHARMA LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
66794-206-41	J0295	PIRAMAL CRITICAL CARE	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
66794-207-41	J0295	PIRAMAL CRITICAL CARE	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
66794-208-15	J0295	PIRAMAL CRITICAL CARE	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
67457-348-10	J0295	MYLAN INSTITUTIONAL LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
67457-349-10	J0295	MYLAN INSTITUTIONAL LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
67457-649-10	J0295	MYLAN INSTITUTIONAL LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
70594-081-02	J0295	XELLIA PHARMACEUTICALS USA, LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
70594-082-02	J0295	XELLIA PHARMACEUTICALS USA, LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
72572-022-10	J0295	CIVICA, INC.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
0049-0114-28	J0348	PFIZER INC.	Anidulafungin injection	1 MG	1	1	50	50
0049-0116-28	J0348	PFIZER INC.	Anidulafungin injection	1 MG	1	1	100	100
0517-0901-25	J0360	AMERICAN REGENT	Hydralazine hcl injection	20 MG	1	25	1	25
0641-6231-25	J0360	HIKMA PHARMACEUTICALS USA INC.	Hydralazine hcl injection	20 MG	1	25	1	25
17478-934-15	J0360	AKORN	Hydralazine hcl injection	20 MG	1	25	1	25
39822-0500-4	J0360	X-GEN PHARMACEUTICALS INC	Hydralazine hcl injection	20 MG	1	25	1	25
50090-4518-0	J0360	A-S MEDICATION SOLUTIONS	Hydralazine hcl injection	20 MG	1	1	1	1
63323-614-01	J0360	FRESENIUS KABI	Hydralazine hcl injection	20 MG	1	25	1	25
63323-614-16	J0360	FRESENIUS KABI	Hydralazine hcl injection	20 MG	1	25	1	25
63323-614-55	J0360	FRESENIUS KABI	Hydralazine hcl injection	20 MG	1	25	1	25
67457-291-01	J0360	MYLAN INSTITUTIONAL LLC	Hydralazine hcl injection	20 MG	1	25	1	25
72572-265-25	J0360	CIVICA INC	Hydralazine hcl injection	20 MG	1	25	1	25
59148-018-71	J0401	OTSUKA AMERICA PHARMACEUTICAL, INC.	Inj aripiprazole ext rel 1mg	1 MG	1	1	300	300
59148-019-71	J0401	OTSUKA AMERICA PHARMACEUTICAL, INC.	Inj aripiprazole ext rel 1mg	1 MG	1	1	400	400
59148-045-80	J0401	OTSUKA AMERICA PHARMACEUTICAL, INC.	Inj aripiprazole ext rel 1mg	1 MG	1	1	300	300
59148-072-80	J0401	OTSUKA AMERICA PHARMACEUTICAL, INC.	Inj aripiprazole ext rel 1mg	1 MG	1	1	400	400
0069-0400-10	J0456	PFIZER INC.	Azithromycin	500 MG	1	10	1	10
0069-3150-83	J0456	PFIZER INC.	Azithromycin	500 MG	1	10	1	10
0409-0144-11	J0456	PFIZER INC.	Azithromycin	500 MG	1	10	1	10
55150-174-10	J0456	AUROMEDICS PHARMA LLC	Azithromycin	500 MG	1	10	1	10
63323-398-10	J0456	FRESENIUS KABI	Azithromycin	500 MG	1	10	10	10
63323-398-12	J0456	FRESENIUS KABI	Azithromycin	500 MG	1	10	10	10
63323-398-14	J0456	FRESENIUS KABI	Azithromycin	500 MG	1	10	1	10
70436-019-82	J0456	SLATE RUN	Azithromycin	500 MG	1	10	1	10
70860-100-10	J0456	ATHENEX	Azithromycin	500 MG	1	10	1	10
70860-125-66	J0456	ATHENEX	Azithromycin	500 MG	1	10	1	10
0409-1630-10	J0461	PFIZER INC.	Atropine sulfate injection	0.01 MG	10	10	100	1000
0409-4910-34	J0461	PFIZER INC.	Atropine sulfate injection	0.01 MG	5	10	50	500
0409-4911-34	J0461	PFIZER INC.	Atropine sulfate injection	0.01 MG	10	10	100	1000
0409-9630-05	J0461	PFIZER INC.	Atropine sulfate injection	0.01 MG	5	10	25	250
0517-0401-25	J0461	AMERICAN REGENT	Atropine sulfate injection	0.01 MG	1	25	40	1000
0517-1010-25	J0461	AMERICAN REGENT	Atropine sulfate injection	0.01 MG	1	25	100	2500
0641-6006-10	J0461	HIKMA PHARMACEUTICALS USA INC.	Atropine sulfate injection	0.01 MG	20	10	800	8000
16729-483-03	J0461	ACCORD HEALTHCARE INC.	Atropine sulfate injection	0.01 MG	5	10	25	250
16729-484-45	J0461	ACCORD HEALTHCARE INC.	Atropine sulfate injection	0.01 MG	10	10	100	1000
16729-484-90	J0461	ACCORD HEALTHCARE INC.	Atropine sulfate injection	0.01 MG	5	10	50	500
16729-512-43	J0461	ACCORD HEALTHCARE INC.	Atropine sulfate injection	0.01 MG	20	10	800	8000
16729-525-08	J0461	ACCORD HEALTHCARE INC.	Atropine sulfate injection	0.01 MG	1	25	40	1000
16729-526-08	J0461	ACCORD HEALTHCARE INC.	Atropine sulfate injection	0.01 MG	1	25	100	2500
50090-3138-0	J0461	A-S MEDICATION SOLUTIONS	Atropine sulfate injection	0.01 MG	10	10	100	1000
50090-4524-0	J0461	A-S MEDICATION SOLUTIONS	Atropine sulfate injection	0.01 MG	1	1	100	100
50090-5924-0	J0461	A-S MEDICATION SOLUTIONS	Atropine sulfate injection	0.01 MG	1	10	10	100
63323-580-20	J0461	FRESENIUS KABI	Atropine sulfate injection	0.01 MG	20	10	800	8000
70121-1705-7	J0461	AMNEAL BIOSCIENCES	Atropine sulfate injection	0.01 MG	5	10	50	500
25021-678-20	J0475	SAGENT PHARMACEUTICALS INC	Baclofen 10 mg injection	10 MG	20	1	1	1
25021-679-20	J0475	SAGENT PHARMACEUTICALS INC	Baclofen 10 mg injection	10 MG	20	1	4	4
25021-680-20	J0475	SAGENT PHARMACEUTICALS INC	Baclofen 10 mg injection	10 MG	20	1	2	2
66794-155-01	J0475	PIRAMAL CRITICAL CARE	Baclofen 10 mg injection	10 MG	20	1	1	1
66794-155-02	J0475	PIRAMAL CRITICAL CARE	Baclofen 10 mg injection	10 MG	20	1	1	1
66794-156-01	J0475	PIRAMAL CRITICAL CARE	Baclofen 10 mg injection	10 MG	20	1	2	2
66794-156-02	J0475	PIRAMAL CRITICAL CARE	Baclofen 10 mg injection	10 MG	20	1	2	2
66794-157-01	J0475	PIRAMAL CRITICAL CARE	Baclofen 10 mg injection	10 MG	20	1	4	4
66794-157-02	J0475	PIRAMAL CRITICAL CARE	Baclofen 10 mg injection	10 MG	20	1	4	4
67457-562-20	J0475	MYLAN INSTITUTIONAL LLC	Baclofen 10 mg injection	10 MG	20	1	1	1
67457-563-20	J0475	MYLAN INSTITUTIONAL LLC	Baclofen 10 mg injection	10 MG	20	1	2	2
67457-564-20	J0475	MYLAN INSTITUTIONAL LLC	Baclofen 10 mg injection	10 MG	20	1	4	4
70257-560-01	J0475	SAOL THERAPEUTICS	Baclofen 10 mg injection	10 MG	20	1	1	1
70257-560-02	J0475	SAOL THERAPEUTICS	Baclofen 10 mg injection	10 MG	20	2	1	2
70257-561-02	J0475	SAOL THERAPEUTICS	Baclofen 10 mg injection	10 MG	5	2	1	2
70257-563-01	J0475	SAOL THERAPEUTICS	Baclofen 10 mg injection	10 MG	20	1	4	4
70257-563-02	J0475	SAOL THERAPEUTICS	Baclofen 10 mg injection	10 MG	20	2	4	8
25021-681-71	J0476	SAGENT PHARMACEUTICALS INC	Baclofen intrathecal trial	50 MCG	1	2	1	2
66794-151-01	J0476	PIRAMAL CRITICAL CARE	Baclofen intrathecal trial	50 MCG	1	1	1	1
70257-562-55	J0476	SAOL THERAPEUTICS	Baclofen intrathecal trial	50 MCG	1	5	1	5
0078-0331-84	J0480	NOVARTIS PHARMACEUTICALS CORPORATION	Basiliximab	20 MG	1	1	1	1
0078-0393-61	J0480	NOVARTIS PHARMACEUTICALS CORPORATION	Basiliximab	20 MG	1	1	0.5	0.5
0003-0371-13	J0485	BRISTOL-MYERS SQUIBB COMPANY	Belatacept injection	1 MG	1	1	250	250
49401-101-01	J0490	GLAXOSMITHKLINE	Belimumab injection	10 MG	5	1	12	12
49401-102-01	J0490	GLAXOSMITHKLINE	Belimumab injection	10 MG	20	1	40	40
0310-3040-00	J0491	ASTRAZENECA	Inj anifrolumab-fnia 1mg	1 mg	2	1	300	300
0641-6173-10	J0500	HIKMA PHARMACEUTICALS USA INC.	Dicyclomine injection	20 MG	2	10	1	10
14789-010-02	J0500	NEXUS PHARMACEUTICAL INC	Dicyclomine injection	20 MG	2	5	1	5
17478-015-02	J0500	AKORN	Dicyclomine injection	20 MG	2	5	1	5
24201-585-10	J0500	LEUCADIA PHARMACEUTICALS	Dicyclomine injection	20 MG	2	10	1	10
50090-4553-0	J0500	A-S MEDICATION SOLUTIONS	Dicyclomine injection	20 MG	2	1	1	1
58914-080-52	J0500	APTALIS PHARMACEUTICALS	Dicyclomine injection	20 MG	2	5	1	5
63323-842-02	J0500	FRESENIUS KABI	Dicyclomine injection	20 MG	2	5	1	5
70436-147-81	J0500	SLATE RUN	Dicyclomine injection	20 MG	2	5	1	5
72266-127-05	J0500	FOSUN PHARMA	Dicyclomine injection	20 MG	2	5	1	5
0143-9233-05	J0515	HIKMA	Inj benztropine mesylate	1 MG	2	5	2	10
0143-9729-05	J0515	HIKMA PHARMACEUTICALS USA INC.	Inj benztropine mesylate	1 MG	2	5	2	10
63323-970-02	J0515	FRESENIUS KABI	Inj benztropine mesylate	1 MG	2	5	2	10
68382-860-10	J0515	ZYDUS PHARMACEUTICALS	Inj benztropine mesylate	1 MG	2	5	2	10
0310-1730-30	J0517	ASTRAZENECA	Inj., benralizumab, 1 mg	1 MG	1	1	30	30
0310-1830-30	J0517	ASTRAZENECA	Inj., benralizumab, 1 mg	1 MG	1	1	30	30
60793-600-10	J0558	PFIZER INC.	Peng benzathine/procaine inj	100,000 UNITS	2	10	12	120
60793-601-10	J0558	PFIZER INC.	Peng benzathine/procaine inj	100,000 UNITS	2	10	12	120
60793-602-10	J0558	PFIZER INC.	Peng benzathine/procaine inj	100,000 UNITS	2	10	12	120
50090-1016-0	J0561	A-S MEDICATION SOLUTIONS	Penicillin g benzathine inj	100,000 UNITS	2	10	12	120
50090-1016-1	J0561	A-S MEDICATION SOLUTIONS	Penicillin g benzathine inj	100,000 UNITS	2	1	12	12
60793-700-10	J0561	PFIZER INC.	Penicillin g benzathine inj	100,000 UNITS	1	10	6	60
60793-701-10	J0561	PFIZER INC.	Penicillin g benzathine inj	100,000 UNITS	2	10	12	120
60793-702-10	J0561	PFIZER INC.	Penicillin g benzathine inj	100,000 UNITS	4	10	24	240
0006-3025-00	J0565	MERCK SHARP & DOHME CORP.	Inj, bezlotoxumab, 10 mg	10 MG	40	1	100	100
0338-9572-24	J0583	BAXTER	Bivalirudin	1 MG	50	24	250	6000
0338-9576-12	J0583	BAXTER	Bivalirudin	1 MG	100	12	500	6000
0409-8300-10	J0583	PFIZER INC.	Bivalirudin	1 MG	1	10	250	2500
0409-8300-15	J0583	PFIZER INC.	Bivalirudin	1 MG	1	10	250	2500
0781-3158-95	J0583	SANDOZ	Bivalirudin	1 MG	1	10	250	2500
0781-3447-95	J0583	SANDOZ	Bivalirudin	1 MG	1	10	250	2500
16729-275-67	J0583	ACCORD HEALTHCARE INC.	Bivalirudin	1 MG	1	10	250	2500
55111-652-37	J0583	DR. REDDY'S LABORATORIES, INC.	Bivalirudin	1 MG	1	10	250	2500
55150-210-10	J0583	AUROMEDICS PHARMA LLC	Bivalirudin	1 MG	1	10	250	2500
63323-562-10	J0583	FRESENIUS KABI	Bivalirudin	1 MG	1	10	250	2500
63323-562-15	J0583	FRESENIUS KABI	Bivalirudin	1 MG	1	10	250	2500
67457-256-10	J0583	MYLAN INSTITUTIONAL LLC	Bivalirudin	1 MG	1	10	250	2500
70436-025-82	J0583	Slate Run Pharmaceuticals, Llc	Bivalirudin	1 MG	1	10	250	2500
70860-402-10	J0583	ATHENEX	Bivalirudin	1 MG	1	10	250	2500
70860-403-51	J0583	ATHENEX	Bivalirudin	1 MG	50	10	250	2500
72572-035-10	J0583	CIVICA INC	Bivalirudin	1 MG	1	10	250	2500
69794-102-01	J0584	ULTRAGENYX PHARMACEUTICAL, INC	Injection, burosumab-twza 1m	1 MG	1	1	10	10
69794-203-01	J0584	ULTRAGENYX PHARMACEUTICAL, INC	Injection, burosumab-twza 1m	1 MG	1	1	20	20
69794-304-01	J0584	ULTRAGENYX PHARMACEUTICAL, INC	Injection, burosumab-twza 1m	1 MG	1	1	30	30
0023-1145-01	J0585	ALLERGAN SALES, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	100	100
0023-3919-50	J0585	ALLERGAN SALES, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	50	50
0023-3921-02	J0585	ALLERGAN SALES, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	200	200
0023-9232-01	J0585	ALLERGAN SALES, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	100	100
0299-5962-30	J0586	GALDERMA LABORATORIES L.P.	Abobotulinumtoxina	5 UNITS	1	1	60	60
15054-0500-1	J0586	IPSEN BIOPHARMACEUTICALS, INC	Abobotulinumtoxina	5 Unit	1	1	100	100
15054-0530-6	J0586	IPSEN BIOPHARMACEUTICALS, INC	Abobotulinumtoxina	5 Unit	1	1	60	60
10454-710-10	J0587	SOLSTICE NEUROSCIENCES, LLC	Inj, rimabotulinumtoxinb	100 UNITS	0.5	1	25	25
10454-711-10	J0587	SOLSTICE NEUROSCIENCES, LLC	Inj, rimabotulinumtoxinb	100 UNITS	1	1	50	50
10454-712-10	J0587	SOLSTICE NEUROSCIENCES, LLC	Inj, rimabotulinumtoxinb	100 UNITS	2	1	100	100
0259-1605-01	J0588	MERZ PHARMACEUTICALS LLC	Incobotulinumtoxin a	1 UNIT	1	1	50	50
0259-1610-01	J0588	MERZ PHARMACEUTICALS LLC	Incobotulinumtoxin a	1 UNIT	1	1	100	100
0259-1620-01	J0588	MERZ PHARMACEUTICALS LLC	Incobotulinumtoxin a	1 UNIT	1	1	200	200
46783-160-01	J0588	MERZ AESTHETICS INC	Incobotulinumtoxin a	1 UNIT	1	1	100	100
46783-161-01	J0588	MERZ AESTHETICS INC	Incobotulinumtoxin a	1 UNIT	1	1	50	50
0143-9246-05	J0592	HIKMA PHARMACEUTICALS USA INC.	Buprenorphine hydrochloride	0.1 MG	1	5	3	15
0409-2012-32	J0592	PFIZER INC.	Buprenorphine hydrochloride	0.1 MG	1	10	3	30
12496-0757-5	J0592	INDIVIOR INC.	Buprenorphine hydrochloride	0.1 MG	1	5	3	15
42023-179-05	J0592	PAR PHARMACEUTICAL, INC	Buprenorphine hydrochloride	0.1 MG	1	5	3	15
0409-1112-01	J0594	PFIZER INC.	Busulfan injection	1 MG	10	8	60	480
0517-0920-08	J0594	AMERICAN REGENT	Busulfan injection	1 MG	10	8	60	480
16729-351-92	J0594	ACCORD HEALTHCARE INC.	Busulfan injection	1 MG	10	8	60	480
25021-241-10	J0594	SAGENT PHARMACEUTICALS INC	Busulfan injection	1 MG	10	8	60	480
59148-070-91	J0594	OTSUKA AMERICA PHARMACEUTICAL, INC.	Busulfan injection	1 MG	10	8	60	480
60505-6177-8	J0594	APOTEX CORP.	Busulfan injection	1 MG	10	8	60	480
65219-160-10	J0594	FRESENIUS KABI	Busulfan injection	1 MG	10	8	60	480
67457-893-08	J0594	MYLAN INSTITUTIONAL LLC	Busulfan injection	1 MG	10	8	60	480
70121-1244-7	J0594	AMNEAL BIOSCIENCES	Busulfan injection	1 MG	10	8	60	480
72485-210-08	J0594	ARMAS PHARMACEUTICALS, INC.	Busulfan injection	1 MG	10	8	60	480
0409-1623-01	J0595	PFIZER INC.	Butorphanol tartrate 1 mg	1 MG	1	10	1	10
0409-1626-01	J0595	PFIZER INC.	Butorphanol tartrate 1 mg	1 MG	1	10	2	20
0409-1626-02	J0595	PFIZER INC.	Butorphanol tartrate 1 mg	1 MG	2	10	4	40
71274-350-02	J0596	PHARMING HEALTHCARE, INC.	Injection, ruconest	10 UNITS	1	1	210	210
63833-825-02	J0597	CSL BEHRING LLC	C-1 esterase, berinert	10 UNITS	1	1	50	50
42227-081-05	J0598	TAKEDA PHARMACEUTICAL AMERICA, INC.	C-1 esterase, cinryze	10 UNITS	1	1	50	50
42227-083-01	J0598	TAKEDA PHARMACEUTICAL AMERICA, INC.	C-1 esterase, cinryze	10 UNITS	1	1	50	50
99207-240-05	J0600	MEDICIS PHARMACEUTICALS	Edetate calcium disodium inj	1000 MG	5	5	1	5
44567-620-24	J0610	WG CRITICAL CARE	Calcium gluconate injection	10 ML	50	24	5	120
44567-621-24	J0610	WG CRITICAL CARE	Calcium gluconate injection	10 ML	100	24	10	240
44567-622-24	J0610	WG CRITICAL CARE	Calcium gluconate injection	10 ML	100	24	10	240
63323-360-19	J0610	FRESENIUS KABI	Calcium gluconate injection	10 ML	10	25	1	25
63323-360-59	J0610	FRESENIUS KABI	Calcium gluconate injection	10 ML	50	25	5	125
63323-360-61	J0610	FRESENIUS KABI	Calcium gluconate injection	10 ML	100	20	10	200
24201-400-02	J0630	LEUCADIA PHARMACEUTICALS	Calcitonin salmon injection	400 UNITS	2	1	1	1
42023-205-01	J0630	PAR PHARMACEUTICAL, INC	Calcitonin salmon injection	400 UNITS	2	1	1	1
67457-675-02	J0630	MYLAN INSTITUTIONAL LLC	Calcitonin salmon injection	400 UNITS	2	1	1	1
17478-831-01	J0636	AKORN	Inj calcitriol per 0.1 mcg	0.1 MCG	1	10	10	100
17478-931-01	J0636	AKORN	Inj calcitriol per 0.1 mcg	0.1 MCG	1	10	10	100
0006-3822-10	J0637	MERCK SHARP & DOHME CORP.	Caspofungin acetate	5 MG	1	1	10	10
0006-3823-10	J0637	MERCK SHARP & DOHME CORP.	Caspofungin acetate	5 MG	1	1	14	14
0781-3421-94	J0637	SANDOZ	Caspofungin acetate	5 MG	1	1	10	10
0781-3423-94	J0637	SANDOZ	Caspofungin acetate	5 MG	1	1	14	14
63323-356-10	J0637	FRESENIUS KABI	Caspofungin acetate	5 MG	1	10	10	100
63323-358-10	J0637	FRESENIUS KABI	Caspofungin acetate	5 MG	1	10	14	140
70860-106-10	J0637	ATHENEX	Caspofungin acetate	5 MG	1	1	10	10
70860-107-10	J0637	ATHENEX	Caspofungin acetate	5 MG	1	1	14	14
72266-106-01	J0637	FOSUN PHARMA	Caspofungin acetate	5 MG	1	1	10	10
72266-107-01	J0637	FOSUN PHARMA	Caspofungin acetate	5 MG	1	1	14	14
72611-700-01	J0637	ALMAJECT	Caspofungin acetate	5 MG	1	1	10	10
72611-702-01	J0637	ALMAJECT	Caspofungin acetate	5 MG	1	1	14	14
0078-0734-61	J0638	NOVARTIS PHARMACEUTICALS CORPORATION	Canakinumab injection	1 MG	150	1	150	150
0143-9368-01	J0640	HIKMA PHARMACEUTICALS USA INC.	Leucovorin calcium injection	50 MG	1	1	4	4
0143-9552-01	J0640	HIKMA PHARMACEUTICALS USA INC.	Leucovorin calcium injection	50 MG	1	1	7	7
0143-9553-01	J0640	HIKMA PHARMACEUTICALS USA INC.	Leucovorin calcium injection	50 MG	1	1	4	4
0143-9554-01	J0640	HIKMA PHARMACEUTICALS USA INC.	Leucovorin calcium injection	50 MG	1	1	2	2
0143-9555-01	J0640	HIKMA PHARMACEUTICALS USA INC.	Leucovorin calcium injection	50 MG	1	1	1	1
0703-5140-01	J0640	SICOR PHARMACEUTICALS, INC.	Leucovorin calcium injection	50 MG	1	1	2	2
0703-5145-01	J0640	SICOR PHARMACEUTICALS, INC.	Leucovorin calcium injection	50 MG	1	1	7	7
0703-5145-91	J0640	SICOR PHARMACEUTICALS, INC.	Leucovorin calcium injection	50 MG	1	1	7	7
25021-813-10	J0640	SAGENT PHARMACEUTICALS INC	Leucovorin calcium injection	50 MG	1	10	1	10
25021-814-30	J0640	SAGENT PHARMACEUTICALS INC	Leucovorin calcium injection	50 MG	1	1	2	2
25021-815-30	J0640	SAGENT PHARMACEUTICALS INC	Leucovorin calcium injection	50 MG	1	1	4	4
25021-816-30	J0640	SAGENT PHARMACEUTICALS INC	Leucovorin calcium injection	50 MG	1	1	7	7
25021-828-50	J0640	SAGENT PHARMACEUTICALS INC	Leucovorin calcium injection	50 MG	1	1	10	10
63323-631-10	J0640	FRESENIUS KABI	Leucovorin calcium injection	50 MG	10	1	2	2
63323-631-50	J0640	FRESENIUS KABI	Leucovorin calcium injection	50 MG	50	1	10	10
63323-710-50	J0640	FRESENIUS KABI	Leucovorin calcium injection	50 MG	1	1	4	4
63323-710-59	J0640	FRESENIUS KABI	Leucovorin calcium injection	50 MG	1	1	4	4
63323-711-00	J0640	FRESENIUS KABI	Leucovorin calcium injection	50 MG	1	1	10	10
67457-528-10	J0640	MYLAN INSTITUTIONAL LLC	Leucovorin calcium injection	50 MG	1	1	2	2
67457-529-20	J0640	MYLAN INSTITUTIONAL LLC	Leucovorin calcium injection	50 MG	1	1	4	4
67457-530-35	J0640	MYLAN INSTITUTIONAL LLC	Leucovorin calcium injection	50 MG	1	1	7	7
68001-416-36	J0640	AMERICAN HEALTH PACKAGING	Leucovorin calcium injection	50 MG	1	1	2	2
68001-417-37	J0640	AMERICAN HEALTH PACKAGING	Leucovorin calcium injection	50 MG	1	1	4	4
68001-418-38	J0640	AMERICAN HEALTH PACKAGING	Leucovorin calcium injection	50 MG	1	1	7	7
0143-9558-01	J0641	HIKMA PHARMACEUTICALS USA INC.	Inj levoleucovorin nos 0.5mg	0.5 MG	1	1	100	100
0781-3201-94	J0641	SANDOZ	Inj levoleucovorin nos 0.5mg	0.5 MG	17.5	1	350	350
16714-890-01	J0641	NORTHSTAR RX LLC	Inj levoleucovorin nos 0.5mg	0.5 MG	17.5	1	350	350
16714-915-01	J0641	NORTHSTAR RX LLC	Inj levoleucovorin nos 0.5mg	0.5 MG	25	1	500	500
43598-771-11	J0641	DR. REDDY'S LABORATORIES, INC.	Inj levoleucovorin nos 0.5mg	0.5 MG	17.5	1	350	350
43598-773-11	J0641	DR. REDDY'S LABORATORIES, INC.	Inj levoleucovorin nos 0.5mg	0.5 MG	25	1	500	500
70121-1099-1	J0641	AMNEAL BIOSCIENCES	Inj levoleucovorin nos 0.5mg	0.5 MG	1	1	100	100
70121-1572-1	J0641	AMNEAL BIOSCIENCES	Inj levoleucovorin nos 0.5mg	0.5 MG	17.5	1	350	350
72266-120-01	J0641	FOSUN PHARMA	Inj levoleucovorin nos 0.5mg	0.5 MG	17.5	1	350	350
72266-121-01	J0641	FOSUN PHARMA	Inj levoleucovorin nos 0.5mg	0.5 MG	25	1	500	500
72893-004-01	J0642	ACROTECH BIOPHARMA	Injection, khapzory, 0.5 mg	0.5 MG	1	1	350	350
72893-006-01	J0642	ACROTECH BIOPHARMA	Injection, khapzory, 0.5 mg	0.5 MG	1	1	600	600
50090-4408-0	J0670	A-S MEDICATION SOLUTIONS	Inj mepivacaine hcl/10 ml	10 ML	50	1	5	5
50090-4517-0	J0670	A-S MEDICATION SOLUTIONS	Inj mepivacaine hcl/10 ml	10 ML	50	1	5	5
63323-260-37	J0670	FRESENIUS KABI	Inj mepivacaine hcl/10 ml	10 ML	30	25	3	75
63323-283-57	J0670	FRESENIUS KABI	Inj mepivacaine hcl/10 ml	10 ML	50	25	5	125
63323-293-37	J0670	FRESENIUS KABI	Inj mepivacaine hcl/10 ml	10 ML	30	25	3	75
63323-294-27	J0670	FRESENIUS KABI	Inj mepivacaine hcl/10 ml	10 ML	20	25	2	50
63323-296-57	J0670	FRESENIUS KABI	Inj mepivacaine hcl/10 ml	10 ML	50	25	5	125
0143-9261-10	J0690	HIKMA PHARMACEUTICALS USA INC.	Cefazolin sodium injection	500 MG	1	10	20	200
0143-9262-25	J0690	HIKMA PHARMACEUTICALS USA INC.	Cefazolin sodium injection	500 MG	1	25	2	50
0143-9923-90	J0690	HIKMA PHARMACEUTICALS USA INC.	Cefazolin sodium injection	500 MG	1	25	1	25
0143-9924-90	J0690	HIKMA PHARMACEUTICALS USA INC.	Cefazolin sodium injection	500 MG	1	25	2	50
0143-9983-03	J0690	HIKMA PHARMACEUTICALS USA INC.	Cefazolin sodium injection	500 MG	1	10	20	200
0264-3103-11	J0690	B. BRAUN MEDICAL INC.	Cefazolin sodium injection	500 MG	50	24	2	48
0264-3105-11	J0690	B. BRAUN MEDICAL INC.	Cefazolin sodium injection	500 MG	50	24	4	96
0338-3503-41	J0690	BAXTER	Cefazolin sodium injection	500 MG	50	24	2	48
0338-3508-41	J0690	BAXTER	Cefazolin sodium injection	500 MG	100	12	4	48
0409-2585-01	J0690	PFIZER INC.	Cefazolin sodium injection	500 MG	1	25	2	50
0781-3450-95	J0690	SANDOZ	Cefazolin sodium injection	500 MG	1	1	10	10
0781-3451-96	J0690	SANDOZ	Cefazolin sodium injection	500 MG	10	25	2	50
0781-3452-95	J0690	SANDOZ	Cefazolin sodium injection	500 MG	10	10	20	200
25021-100-10	J0690	SAGENT PHARMACEUTICALS INC	Cefazolin sodium injection	500 MG	1	25	1	25
25021-100-66	J0690	SAGENT PHARMACEUTICALS INC	Cefazolin sodium injection	500 MG	1	25	1	25
25021-101-10	J0690	SAGENT PHARMACEUTICALS INC	Cefazolin sodium injection	500 MG	1	25	2	50
25021-101-67	J0690	SAGENT PHARMACEUTICALS INC	Cefazolin sodium injection	500 MG	1	25	2	50
25021-102-69	J0690	SAGENT PHARMACEUTICALS INC	Cefazolin sodium injection	500 MG	1	10	20	200
25021-102-99	J0690	SAGENT PHARMACEUTICALS INC	Cefazolin sodium injection	500 MG	1	10	20	200
44567-120-25	J0690	WG CRITICAL CARE	Cefazolin sodium injection	500 MG	1	25	2	50
44567-706-25	J0690	WG CRITICAL CARE	Cefazolin sodium injection	500 MG	1	25	1	25
44567-707-25	J0690	WG CRITICAL CARE	Cefazolin sodium injection	500 MG	1	25	2	50
44567-708-10	J0690	WG CRITICAL CARE	Cefazolin sodium injection	500 MG	1	10	20	200
50090-4256-0	J0690	A-S MEDICATION SOLUTIONS	Cefazolin sodium injection	500 MG	1	25	2	50
60505-6142-5	J0690	APOTEX CORP.	Cefazolin sodium injection	500 MG	1	25	2	50
60505-6143-4	J0690	APOTEX CORP.	Cefazolin sodium injection	500 MG	1	10	20	200
63323-236-10	J0690	FRESENIUS KABI	Cefazolin sodium injection	500 MG	1	25	1	25
63323-237-10	J0690	FRESENIUS KABI	Cefazolin sodium injection	500 MG	1	25	2	50
63323-238-61	J0690	FRESENIUS KABI	Cefazolin sodium injection	500 MG	1	10	20	200
72000-120-06	J0691	NABRIVA THERAPEUTICS US, INC	Inj lefamulin 1 mg	1 MG	150	6	150	900
0264-3193-11	J0692	B. BRAUN MEDICAL INC.	Cefepime hcl for injection	500 MG	1	24	2	48
0264-3195-11	J0692	B. BRAUN MEDICAL INC.	Cefepime hcl for injection	500 MG	1	24	4	96
0338-1301-41	J0692	BAXTER	Cefepime hcl for injection	500 MG	50	24	2	48
0338-1301-48	J0692	BAXTER	Cefepime hcl for injection	500 MG	100	12	4	48
0409-9566-10	J0692	PFIZER INC.	Cefepime hcl for injection	500 MG	1	10	2	20
0409-9735-10	J0692	PFIZER INC.	Cefepime hcl for injection	500 MG	1	10	4	40
25021-121-20	J0692	SAGENT PHARMACEUTICALS INC	Cefepime hcl for injection	500 MG	1	10	2	20
25021-121-66	J0692	SAGENT PHARMACEUTICALS INC	Cefepime hcl for injection	500 MG	1	10	2	20
25021-122-50	J0692	SAGENT PHARMACEUTICALS INC	Cefepime hcl for injection	500 MG	1	10	4	40
25021-122-67	J0692	SAGENT PHARMACEUTICALS INC	Cefepime hcl for injection	500 MG	1	10	4	40
44567-240-10	J0692	WG CRITICAL CARE	Cefepime hcl for injection	500 MG	1	10	2	20
44567-241-10	J0692	WG CRITICAL CARE	Cefepime hcl for injection	500 MG	1	10	4	40
60505-6144-4	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	10	2	20
60505-6145-4	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	10	4	40
60505-6146-0	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	1	2	2
60505-6146-4	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	10	2	20
60505-6147-0	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	1	4	4
60505-6147-4	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	10	4	40
63323-326-20	J0692	FRESENIUS KABI	Cefepime hcl for injection	500 MG	1	10	2	20
63323-340-20	J0692	FRESENIUS KABI	Cefepime hcl for injection	500 MG	1	10	4	40
66794-209-41	J0692	PIRAMAL CRITICAL CARE	Cefepime hcl for injection	500 MG	1	10	2	20
66794-210-41	J0692	PIRAMAL CRITICAL CARE	Cefepime hcl for injection	500 MG	1	10	4	40
70594-089-02	J0692	XELLIA PHARMACEUTICALS USA	Cefepime hcl for injection	500 MG	1	10	2	20
70594-090-02	J0692	XELLIA PHARMACEUTICALS USA	Cefepime hcl for injection	500 MG	1	10	4	40
0143-9876-10	J0694	HIKMA PHARMACEUTICALS USA INC.	Cefoxitin sodium injection	1 GM	1	10	10	100
0143-9877-25	J0694	HIKMA PHARMACEUTICALS USA INC.	Cefoxitin sodium injection	1 GM	1	25	2	50
0143-9878-25	J0694	HIKMA PHARMACEUTICALS USA INC.	Cefoxitin sodium injection	1 GM	1	25	1	25
0264-3123-11	J0694	B. BRAUN MEDICAL INC.	Cefoxitin sodium injection	1 GM	1	24	1	24
0264-3125-11	J0694	B. BRAUN MEDICAL INC.	Cefoxitin sodium injection	1 GM	1	24	2	48
25021-109-10	J0694	SAGENT PHARMACEUTICALS INC	Cefoxitin sodium injection	1 GM	1	10	1	10
25021-110-20	J0694	SAGENT PHARMACEUTICALS INC	Cefoxitin sodium injection	1 GM	1	10	2	20
25021-111-99	J0694	SAGENT PHARMACEUTICALS INC	Cefoxitin sodium injection	1 GM	1	10	10	100
44567-245-25	J0694	WG CRITICAL CARE	Cefoxitin sodium injection	1 GM	1	25	1	25
44567-245-85	J0694	WG CRITICAL CARE	Cefoxitin sodium injection	1 GM	1	25	1	25
44567-246-25	J0694	WG CRITICAL CARE	Cefoxitin sodium injection	1 GM	1	25	2	50
44567-246-85	J0694	WG CRITICAL CARE	Cefoxitin sodium injection	1 GM	1	25	2	50
44567-247-10	J0694	WG CRITICAL CARE	Cefoxitin sodium injection	1 GM	1	10	10	100
63323-341-25	J0694	FRESENIUS KABI	Cefoxitin sodium injection	1 GM	1	25	1	25
63323-341-29	J0694	FRESENIUS KABI	Cefoxitin sodium injection	1 GM	1	25	1	25
63323-342-25	J0694	FRESENIUS KABI	Cefoxitin sodium injection	1 GM	1	25	2	50
63323-342-29	J0694	FRESENIUS KABI	Cefoxitin sodium injection	1 GM	1	25	2	50
67919-030-01	J0695	CUBIST PHARMACEUTICALS	Inj ceftolozane tazobactam	75mg (50mg cft/25mg taz)	1	10	20	200
0143-9678-01	J0696	HIKMA PHARMACEUTICALS USA INC.	Ceftriaxone sodium injection	250 MG	1	1	40	40
0143-9856-25	J0696	HIKMA PHARMACEUTICALS USA INC.	Ceftriaxone sodium injection	250 MG	1	25	8	200
0143-9857-25	J0696	HIKMA PHARMACEUTICALS USA INC.	Ceftriaxone sodium injection	250 MG	1	25	4	100
0143-9858-25	J0696	HIKMA PHARMACEUTICALS USA INC.	Ceftriaxone sodium injection	250 MG	1	25	2	50
0143-9859-25	J0696	HIKMA PHARMACEUTICALS USA INC.	Ceftriaxone sodium injection	250 MG	1	25	1	25
0264-3153-11	J0696	B. BRAUN MEDICAL INC.	Ceftriaxone sodium injection	250 MG	1	24	4	96
0264-3155-11	J0696	B. BRAUN MEDICAL INC.	Ceftriaxone sodium injection	250 MG	1	24	8	192
0338-5002-41	J0696	BAXTER	Ceftriaxone sodium injection	250 MG	50	24	4	96
0338-5003-41	J0696	BAXTER	Ceftriaxone sodium injection	250 MG	50	24	8	192
0409-7332-01	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	4	40
0409-7332-20	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	4	40
0409-7333-04	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	4	40
0409-7333-49	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	4	40
0409-7334-10	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	1	40	40
0409-7334-20	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	1	40	40
0409-7335-03	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	8	80
0409-7335-20	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	8	80
0409-7336-04	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	8	80
0409-7337-01	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	1	10
0409-7337-20	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	1	10
0409-7338-01	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	2	20
0409-7338-20	J0696	PFIZER INC.	Ceftriaxone sodium injection	250 MG	1	10	2	20
0781-3206-85	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	1	1	1
0781-3206-95	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	10	1	10
0781-3207-85	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	1	2	2
0781-3207-95	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	10	2	20
0781-3208-85	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	1	4	4
0781-3208-95	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	10	4	40
0781-3209-95	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	10	8	80
0781-3210-46	J0696	SANDOZ	Ceftriaxone sodium injection	250 MG	1	1	40	40
25021-105-10	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	25	2	50
25021-105-66	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	25	2	50
25021-106-10	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	25	4	100
25021-106-67	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	25	4	100
25021-107-20	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	25	8	200
25021-107-68	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	25	8	200
25021-108-69	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	1	40	40
25021-108-99	J0696	SAGENT PHARMACEUTICALS INC	Ceftriaxone sodium injection	250 MG	1	1	40	40
44567-700-25	J0696	WG CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	25	2	50
44567-701-25	J0696	WG CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	25	4	100
44567-702-25	J0696	WG CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	25	8	200
44567-703-01	J0696	WG CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	1	40	40
50090-0944-0	J0696	A-S MEDICATION SOLUTIONS	Ceftriaxone sodium injection	250 MG	1	10	2	20
50090-0945-0	J0696	A-S MEDICATION SOLUTIONS	Ceftriaxone sodium injection	250 MG	1	10	4	40
50090-1875-0	J0696	A-S MEDICATION SOLUTIONS	Ceftriaxone sodium injection	250 MG	1	10	1	10
50090-2444-0	J0696	A-S MEDICATION SOLUTIONS	Ceftriaxone sodium injection	250 MG	1	1	1	1
50090-3810-1	J0696	A-S MEDICATION SOLUTIONS	Ceftriaxone sodium injection	250 MG	1	10	4	40
50090-3838-0	J0696	A-S MEDICATION SOLUTIONS	Ceftriaxone sodium injection	250 MG	1	1	2	2
50090-4689-0	J0696	A-S MEDICATION SOLUTIONS	Ceftriaxone sodium injection	250 MG	1	10	1	10
60505-6148-4	J0696	APOTEX CORP.	Ceftriaxone sodium injection	250 MG	1	10	4	40
60505-6149-4	J0696	APOTEX CORP.	Ceftriaxone sodium injection	250 MG	1	10	8	80
60505-6150-5	J0696	APOTEX CORP.	Ceftriaxone sodium injection	250 MG	1	1	40	40
60505-6151-1	J0696	APOTEX CORP.	Ceftriaxone sodium injection	250 MG	1	10	1	10
60505-6151-4	J0696	APOTEX CORP.	Ceftriaxone sodium injection	250 MG	1	1	1	1
60505-6152-1	J0696	APOTEX CORP.	Ceftriaxone sodium injection	250 MG	1	10	2	20
60505-6152-4	J0696	APOTEX CORP.	Ceftriaxone sodium injection	250 MG	1	1	2	2
63323-346-10	J0696	FRESENIUS KABI	Ceftriaxone sodium injection	250 MG	1	25	4	100
66794-211-42	J0696	PIRAMAL CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	25	1	25
66794-212-42	J0696	PIRAMAL CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	25	2	50
66794-213-42	J0696	PIRAMAL CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	25	4	100
66794-214-42	J0696	PIRAMAL CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	25	8	200
66794-215-15	J0696	PIRAMAL CRITICAL CARE	Ceftriaxone sodium injection	250 MG	1	1	40	40
68180-611-01	J0696	LUPIN PHARMACEUTICALS	Ceftriaxone sodium injection	250 MG	1	1	1	1
68180-611-10	J0696	LUPIN PHARMACEUTICALS	Ceftriaxone sodium injection	250 MG	1	10	1	10
68180-622-01	J0696	LUPIN PHARMACEUTICALS	Ceftriaxone sodium injection	250 MG	1	1	2	2
68180-622-10	J0696	LUPIN PHARMACEUTICALS	Ceftriaxone sodium injection	250 MG	1	10	2	20
68180-633-01	J0696	LUPIN PHARMACEUTICALS	Ceftriaxone sodium injection	250 MG	1	1	4	4
68180-633-10	J0696	LUPIN PHARMACEUTICALS	Ceftriaxone sodium injection	250 MG	1	10	4	40
68180-644-10	J0696	LUPIN PHARMACEUTICALS	Ceftriaxone sodium injection	250 MG	1	10	8	80
72572-061-25	J0696	CIVICA INC	Ceftriaxone sodium injection	250 MG	1	25	4	100
72572-062-25	J0696	CIVICA INC	Ceftriaxone sodium injection	250 MG	1	25	8	200
0143-9567-25	J0697	HIKMA PHARMACEUTICALS USA INC.	Sterile cefuroxime injection	750 MG	1	25	2	50
0143-9568-25	J0697	HIKMA PHARMACEUTICALS USA INC.	Sterile cefuroxime injection	750 MG	1	25	1	25
0143-9977-22	J0697	HIKMA PHARMACEUTICALS USA INC.	Sterile cefuroxime injection	750 MG	1	25	2	50
0143-9979-22	J0697	HIKMA PHARMACEUTICALS USA INC.	Sterile cefuroxime injection	750 MG	1	25	1	25
25021-118-10	J0697	SAGENT PHARMACEUTICALS INC	Sterile cefuroxime injection	750 MG	1	25	1	25
25021-119-20	J0697	SAGENT PHARMACEUTICALS INC	Sterile cefuroxime injection	750 MG	1	25	2	50
0517-0720-01	J0702	AMERICAN REGENT	Betamethasone acet&sod phosp	3 MG & 3 MG	5	1	5	5
0517-0791-01	J0702	AMERICAN REGENT	Betamethasone acet&sod phosp	3 MG & 3 MG	5	1	5	5
0517-0799-01	J0702	AMERICAN REGENT	Betamethasone acet&sod phosp	3 MG & 3 MG	5	1	5	5
51754-5060-1	J0702	EXELA PHARMA SCIENCES	Betamethasone acet&sod phosp	3 MG & 3 MG	5	1	5	5
78206-118-01	J0702	ORGANON LLC	Betamethasone acet&sod phosp	3 MG & 3 MG	5	1	5	5
0456-0400-10	J0712	FOREST LABORATORIES	Ceftaroline fosamil inj	10 MG	1	10	40	400
0456-0600-10	J0712	FOREST LABORATORIES	Ceftaroline fosamil inj	10 MG	1	10	60	600
0264-3143-11	J0713	B. BRAUN MEDICAL INC.	Inj ceftazidime per 500 mg	500 MG	1	24	2	48
0264-3145-11	J0713	B. BRAUN MEDICAL INC.	Inj ceftazidime per 500 mg	500 MG	1	24	4	96
0409-5082-16	J0713	PFIZER INC.	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
0409-5084-11	J0713	PFIZER INC.	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
0409-5086-11	J0713	PFIZER INC.	Inj ceftazidime per 500 mg	500 MG	1	10	12	120
0409-5092-16	J0713	PFIZER INC.	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
0409-5093-11	J0713	PFIZER INC.	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
25021-127-20	J0713	SAGENT PHARMACEUTICALS INC	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
25021-127-66	J0713	SAGENT PHARMACEUTICALS INC	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
25021-128-50	J0713	SAGENT PHARMACEUTICALS INC	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
25021-128-67	J0713	SAGENT PHARMACEUTICALS INC	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
25021-129-69	J0713	SAGENT PHARMACEUTICALS INC	Inj ceftazidime per 500 mg	500 MG	1	6	12	72
25021-129-99	J0713	SAGENT PHARMACEUTICALS INC	Inj ceftazidime per 500 mg	500 MG	1	6	12	72
44567-235-25	J0713	WG CRITICAL CARE	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
44567-236-10	J0713	WG CRITICAL CARE	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
44567-237-06	J0713	WG CRITICAL CARE	Inj ceftazidime per 500 mg	500 MG	1	6	12	72
52565-105-10	J0713	TELIGENT	Inj ceftazidime per 500 mg	500 MG	1	10	1	10
52565-106-10	J0713	TELIGENT	Inj ceftazidime per 500 mg	500 MG	1	10	2	20
52565-107-10	J0713	TELIGENT	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
0456-2700-10	J0714	FOREST LABORATORIES	Ceftazidime and avibactam	.625 G	1	10	4	40
50474-700-62	J0717	UCB, INC.	Certolizumab pegol inj 1mg	1 MG	1	2	200	400
50474-710-79	J0717	UCB, INC.	Certolizumab pegol inj 1mg	1 MG	1	2	200	400
50474-710-81	J0717	UCB, INC.	Certolizumab pegol inj 1mg	1 MG	1	6	200	1200
63323-011-15	J0720	FRESENIUS KABI	Chloramphenicol sodium injec	1 GM	1	10	1	10
55566-1501-1	J0725	FERRING PHARMACEUTICALS, INC.	Chorionic gonadotropin/1000u	1000 UNITS	1	1	10	10
55566-1502-1	J0725	FERRING PHARMACEUTICALS, INC.	Chorionic gonadotropin/1000u	1000 UNITS	1	1	5	5
63323-030-11	J0725	FRESENIUS KABI	Chorionic gonadotropin/1000u	1000 UNITS	1	1	10	10
0143-9723-01	J0735	HIKMA PHARMACEUTICALS USA INC.	Clonidine hydrochloride	1 MG	10	1	5	5
0143-9724-01	J0735	HIKMA PHARMACEUTICALS USA INC.	Clonidine hydrochloride	1 MG	10	1	1	1
39822-2000-1	J0735	X-GEN PHARMACEUTICALS INC	Clonidine hydrochloride	1 MG	10	1	1	1
39822-2010-1	J0735	X-GEN PHARMACEUTICALS INC	Clonidine hydrochloride	1 MG	10	1	5	5
67457-218-10	J0735	MYLAN INSTITUTIONAL LLC	Clonidine hydrochloride	1 MG	10	1	1	1
23155-216-31	J0740	HERITAGE PHARMACEUTICALS, INC.	Cidofovir injection	375 MG	5	1	1	1
67457-210-05	J0740	MYLAN INSTITUTIONAL LLC	Cidofovir injection	375 MG	5	1	1	1
49702-240-15	J0741	GLAXOSMITHKLINE	Inj, cabote rilpivir 2mg 3mg	2 MG - 3 MG	6	1	300	300
49702-253-15	J0741	GLAXOSMITHKLINE	Inj, cabote rilpivir 2mg 3mg	2 MG - 3 MG	4	1	200	200
0006-3856-02	J0742	MERCK SHARP & DOHME CORP.	Inj imip 4 cilas 4 releb 2mg	4 MG-4 MG-2 MG	1	25	125	3125
0006-3516-59	J0743	MERCK SHARP & DOHME CORP.	Cilastatin sodium injection	250 MG	1	25	2	50
44567-705-10	J0743	Wg Critical Care	Cilastatin sodium injection	250 MG	1	10	2	20
63323-322-25	J0743	FRESENIUS KABI	Cilastatin sodium injection	250 MG	1	25	2	50
63323-322-93	J0743	FRESENIUS KABI	Cilastatin sodium injection	250 MG	1	25	2	50
63323-322-94	J0743	FRESENIUS KABI	Cilastatin sodium injection	250 MG	1	25	2	50
63323-349-25	J0743	FRESENIUS KABI	Cilastatin sodium injection	250 MG	1	25	1	25
63323-349-93	J0743	FRESENIUS KABI	Cilastatin sodium injection	250 MG	1	25	1	25
63323-349-94	J0743	FRESENIUS KABI	Cilastatin sodium injection	250 MG	1	25	1	25
0409-4777-02	J0744	PFIZER INC.	Ciprofloxacin iv	200 MG	200	24	2	48
0409-4777-23	J0744	PFIZER INC.	Ciprofloxacin iv	200 MG	100	24	1	24
25021-114-87	J0744	SAGENT PHARMACEUTICALS INC	Ciprofloxacin iv	200 MG	200	24	2	48
36000-008-24	J0744	BAXTER	Ciprofloxacin iv	200 MG	100	1	1	1
36000-009-24	J0744	BAXTER	Ciprofloxacin iv	200 MG	200	1	2	2
36000-297-24	J0744	BAXTER	Ciprofloxacin iv	200 MG	100	24	1	24
36000-298-24	J0744	BAXTER	Ciprofloxacin iv	200 MG	200	24	2	48
23155-193-31	J0770	HERITAGE PHARMACEUTICALS, INC.	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
39822-0615-2	J0770	X-GEN PHARMACEUTICALS INC	Colistimethate sodium inj	UP TO 150 MG	1	12	1	12
42023-107-01	J0770	PAR PHARMACEUTICAL, INC	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
42023-107-06	J0770	PAR PHARMACEUTICAL, INC	Colistimethate sodium inj	UP TO 150 MG	1	6	1	6
42023-131-01	J0770	PAR PHARMACEUTICAL, INC	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
42023-131-06	J0770	PAR PHARMACEUTICAL, INC	Colistimethate sodium inj	UP TO 150 MG	1	6	1	6
63323-393-06	J0770	FRESENIUS KABI	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
70594-023-01	J0770	XELLIA PHARMACEUTICALS USA, LLC	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
70594-023-04	J0770	XELLIA PHARMACEUTICALS USA, LLC	Colistimethate sodium inj	UP TO 150 MG	1	12	1	12
70594-023-09	J0770	XELLIA PHARMACEUTICALS USA, LLC	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
66887-003-01	J0775	AUXILIUM PHARMACEUTICALS	Collagenase, clost hist inj	0.01 MG	1	1	90	90
0641-6135-25	J0780	HIKMA PHARMACEUTICALS USA INC.	Prochlorperazine injection	10 MG	2	25	1	25
14789-700-02	J0780	NEXUS PHARMACEUTICAL INC	Prochlorperazine injection	10 MG	2	10	1	10
23155-294-41	J0780	HERITAGE PHARMACEUTICALS, INC.	Prochlorperazine injection	10 MG	2	25	1	25
23155-294-42	J0780	HERITAGE PHARMACEUTICALS, INC.	Prochlorperazine injection	10 MG	2	10	1	10
23155-497-42	J0780	HERITAGE PHARMACEUTICALS, INC.	Prochlorperazine injection	10 MG	2	10	1	10
23155-523-41	J0780	HERITAGE PHARMACEUTICALS, INC.	Prochlorperazine injection	10 MG	2	10	1	10
25021-790-02	J0780	SAGENT PHARMACEUTICAL	Prochlorperazine injection	10 MG	2	10	1	10
25021-790-03	J0780	SAGENT PHARMACEUTICAL	Prochlorperazine injection	10 MG	2	25	1	25
43066-090-25	J0780	BAXTER	Prochlorperazine injection	10 MG	2	25	1	25
67457-640-02	J0780	MYLAN INSTITUTIONAL LLC	Prochlorperazine injection	10 MG	2	25	1	25
67457-640-99	J0780	MYLAN INSTITUTIONAL LLC	Prochlorperazine injection	10 MG	2	10	1	10
70860-778-02	J0780	ATHENEX	Prochlorperazine injection	10 MG	2	10	1	10
72572-580-25	J0780	CIVICA INC	Prochlorperazine injection	10 MG	2	25	1	25
0078-0883-61	J0791	NOVARTIS PHARMACEUTICALS CORPORATION	Inj crizanlizumab-tmca 5mg	5 MG	10	1	20	20
62559-860-15	J0800	Ani Pharmaceuticals, Inc.	Corticotropin injection	40 UNITS	5	1	10	10
63004-8710-1	J0800	MALLINCKRODT PHARMACEUTICALS	Corticotropin injection	40 Units	5	1	10	10
0548-5900-00	J0834	AMPHASTAR PHARMACEUTICALS, INC.	Inj., cosyntropin, 0.25 mg	0.25 MG	1	10	1	10
0781-3440-95	J0834	SANDOZ	Inj., cosyntropin, 0.25 mg	0.25 MG	1	10	1	10
50090-4547-1	J0834	A-S MEDICATION SOLUTIONS	Inj., cosyntropin, 0.25 mg	0.25 MG	1	1	1	1
67457-227-02	J0834	MYLAN INSTITUTIONAL LLC	Inj., cosyntropin, 0.25 mg	0.25 MG	1	10	1	10
50633-110-12	J0840	BTG INTERNATIONAL INC.	Crotalidae poly immune fab	UP TO 1 GM	1	2	1	2
66621-0790-2	J0841	RARE DISEASE THERAPEUTICS, INC.	Inj crotalidae im f(ab')2 eq	120 MG	1	1	1	1
44206-532-11	J0850	CSL BEHRING LLC	Cytomegalovirus imm iv /vial	PER VIAL	50	1	1	1
70257-532-51	J0850	SAOL THERAPEUTICS	Cytomegalovirus imm iv /vial	PER VIAL	50	1	1	1
57970-100-01	J0875	DURATA PHARMACEUTICALS	Injection, dalbavancin	5 MG	1	1	100	100
0143-9378-01	J0878	HIKMA PHARMACEUTICALS USA INC.	Daptomycin injection	1 MG	1	1	500	500
0409-0120-01	J0878	PFIZER INC.	Daptomycin injection	1 MG	1	1	350	350
0409-0122-01	J0878	PFIZER INC.	Daptomycin injection	1 MG	1	1	500	500
0409-2757-01	J0878	PFIZER INC.	Daptomycin injection	1 MG	1	1	500	500
0409-5933-01	J0878	PFIZER INC.	Daptomycin injection	1 MG	1	1	350	350
0703-0125-01	J0878	SICOR PHARMACEUTICALS, INC.	Daptomycin injection	1 MG	1	1	500	500
0781-3295-70	J0878	SANDOZ	Daptomycin injection	1 MG	1	1	500	500
16714-892-01	J0878	NORTHSTAR RX LLC	Daptomycin injection	1 MG	1	1	500	500
16729-434-05	J0878	ACCORD HEALTHCARE INC.	Daptomycin injection	1 MG	1	1	350	350
16729-434-45	J0878	ACCORD HEALTHCARE INC.	Daptomycin injection	1 MG	1	10	350	3500
16729-435-05	J0878	ACCORD HEALTHCARE INC.	Daptomycin injection	1 MG	1	1	500	500
25021-174-15	J0878	SAGENT PHARMACEUTICALS INC	Daptomycin injection	1 MG	1	1	500	500
25021-174-16	J0878	SAGENT PHARMACEUTICALS INC	Daptomycin injection	1 MG	1	10	500	5000
25021-179-15	J0878	SAGENT PHARMACEUTICALS INC	Daptomycin injection	1 MG	1	1	350	350
25021-179-16	J0878	SAGENT PHARMACEUTICALS INC	Daptomycin injection	1 MG	1	10	350	3500
25021-179-66	J0878	SAGENT PHARMACEUTICALS INC	Daptomycin injection	1 MG	1	1	350	350
25021-179-67	J0878	SAGENT PHARMACEUTICALS INC	Daptomycin injection	1 MG	1	10	350	3500
43598-413-11	J0878	DR. REDDY'S LABORATORIES, INC.	Daptomycin injection	1 MG	1	1	500	500
43598-476-11	J0878	DR. REDDY'S LABORATORIES, INC.	Daptomycin injection	1 MG	1	1	350	350
55150-344-01	J0878	AUROMEDICS PHARMA, LLC	Daptomycin injection	1 MG	1	1	500	500
63323-371-10	J0878	FRESENIUS KABI	Daptomycin injection	1 MG	1	1	500	500
63323-371-19	J0878	FRESENIUS KABI	Daptomycin injection	1 MG	1	1	500	500
63323-585-15	J0878	FRESENIUS KABI	Daptomycin injection	1 MG	1	1	350	350
63323-871-15	J0878	FRESENIUS KABI	Daptomycin injection	1 MG	1	1	500	500
67457-813-50	J0878	MYLAN INSTITUTIONAL LLC	Daptomycin injection	1 MG	1	1	500	500
67919-011-01	J0878	CUBIST PHARMACEUTICALS	Daptomycin injection	1 MG	1	1	500	500
67919-012-01	J0878	CUBIST PHARMACEUTICALS	Daptomycin injection	1 MG	1	1	500	500
67919-012-02	J0878	CUBIST PHARMACEUTICALS	Daptomycin injection	1 MG	1	1	500	500
68001-376-68	J0878	AMERICAN HEALTH PACKAGING	Daptomycin injection	1 MG	1	1	500	500
69097-807-37	J0878	CIPLA USA INC.	Daptomycin injection	1 MG	1	1	500	500
69097-850-67	J0878	CIPLA USA INC.	Daptomycin injection	1 MG	1	1	350	350
70594-034-01	J0878	XELLIA PHARMACEUTICALS USA, LLC	Daptomycin injection	1 MG	1	1	500	500
70594-034-02	J0878	XELLIA PHARMACEUTICALS USA, LLC	Daptomycin injection	1 MG	1	1	500	500
70594-053-01	J0878	XELLIA PHARMACEUTICALS USA, LLC	Daptomycin injection	1 MG	1	1	350	350
71839-107-01	J0878	BE PHARMACEUTICALS INC.	Daptomycin injection	1 MG	1	1	500	500
71839-108-01	J0878	BE PHARMACEUTICALS INC.	Daptomycin injection	1 MG	1	1	350	350
72572-100-01	J0878	CIVICA INC	Daptomycin injection	1 MG	1	1	350	350
72572-102-01	J0878	CIVICA INC	Daptomycin injection	1 MG	1	1	500	500
55513-002-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	1	4	25	100
55513-003-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	1	4	40	160
55513-004-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	1	4	60	240
55513-005-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	1	4	100	400
55513-006-01	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	1	1	200	200
55513-021-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.4	4	40	160
55513-023-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.3	4	60	240
55513-025-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.5	4	100	400
55513-027-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.3	4	150	600
55513-028-01	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.4	1	200	200
55513-032-01	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	1	1	500	500
55513-057-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.42	4	25	100
55513-098-04	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.4	4	10	40
55513-111-01	J0881	AMGEN USA, INC.	Darbepoetin alfa, non-esrd	1 MCG	0.6	1	300	300
55513-002-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	1	4	25	100
55513-003-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	1	4	40	160
55513-004-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	1	4	60	240
55513-005-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	1	4	100	400
55513-006-01	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	1	1	200	200
55513-021-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.4	4	40	160
55513-023-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.3	4	60	240
55513-025-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.5	4	100	400
55513-027-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.3	4	150	600
55513-028-01	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.4	1	200	200
55513-032-01	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	1	1	500	500
55513-057-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.42	4	25	100
55513-098-04	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.4	4	10	40
55513-111-01	J0882	AMGEN USA, INC.	Darbepoetin alfa, esrd use	1 MCG	0.6	1	300	300
55513-126-10	J0885	AMGEN USA, INC.	Epoetin alfa, non-esrd	1000 UNITS	1	10	2	20
55513-144-10	J0885	AMGEN USA, INC.	Epoetin alfa, non-esrd	1000 UNITS	1	10	10	100
55513-148-10	J0885	AMGEN USA, INC.	Epoetin alfa, non-esrd	1000 UNITS	1	10	4	40
55513-267-10	J0885	AMGEN USA, INC.	Epoetin alfa, non-esrd	1000 UNITS	1	10	3	30
55513-283-10	J0885	AMGEN USA, INC.	Epoetin alfa, non-esrd	1000 UNITS	2	10	20	200
55513-478-10	J0885	AMGEN USA, INC.	Epoetin alfa, non-esrd	1000 UNITS	1	10	20	200
59676-302-01	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	2	12
59676-303-01	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	3	18
59676-304-01	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	4	24
59676-310-01	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	10	60
59676-310-02	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	1	25	10	250
59676-312-04	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	2	4	20	80
59676-320-04	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	1	4	20	80
59676-340-01	J0885	JANSSEN PRODUCTS, LP	Epoetin alfa, non-esrd	1000 UNITS	1	4	40	160
59353-400-09	J0887	VIFOR (INTERNATIONAL) LTD.	Epoetin beta esrd use	1 MCG	0.3	1	30	30
59353-401-09	J0887	VIFOR (INTERNATIONAL) LTD.	Epoetin beta esrd use	1 MCG	0.3	1	50	50
59353-402-09	J0887	VIFOR (INTERNATIONAL) LTD.	Epoetin beta esrd use	1 MCG	0.3	1	75	75
59353-403-09	J0887	VIFOR (INTERNATIONAL) LTD.	Epoetin beta esrd use	1 MCG	0.3	1	100	100
59353-404-09	J0887	VIFOR (INTERNATIONAL) LTD.	Epoetin beta esrd use	1 MCG	0.3	1	150	150
59353-405-09	J0887	VIFOR (INTERNATIONAL) LTD.	Epoetin beta esrd use	1 MCG	0.3	1	200	200
59353-400-09	J0888	VIFOR (INTERNATIONAL) LTD.	Epoetin beta non esrd	1 MCG	0.3	1	30	30
59353-401-09	J0888	VIFOR (INTERNATIONAL) LTD.	Epoetin beta non esrd	1 MCG	0.3	1	50	50
59353-402-09	J0888	VIFOR (INTERNATIONAL) LTD.	Epoetin beta non esrd	1 MCG	0.3	1	75	75
59353-403-09	J0888	VIFOR (INTERNATIONAL) LTD.	Epoetin beta non esrd	1 MCG	0.3	1	100	100
59353-404-09	J0888	VIFOR (INTERNATIONAL) LTD.	Epoetin beta non esrd	1 MCG	0.3	1	150	150
59353-405-09	J0888	VIFOR (INTERNATIONAL) LTD.	Epoetin beta non esrd	1 MCG	0.3	1	200	200
0781-3296-80	J0894	SANDOZ	Decitabine injection	1 MG	1	1	50	50
16714-928-01	J0894	NORTHSTAR RX LLC	Decitabine injection	1 MG	1	1	50	50
16729-224-05	J0894	ACCORD HEALTHCARE INC.	Decitabine injection	1 MG	1	1	50	50
25021-231-20	J0894	SAGENT PHARMACEUTICALS INC	Decitabine injection	1 MG	1	1	50	50
43598-348-37	J0894	DR. REDDY'S LABORATORIES, INC.	Decitabine injection	1 MG	1	1	50	50
43598-427-37	J0894	DR. REDDY'S LABORATORIES, INC.	Decitabine injection	1 MG	1	1	50	50
47335-361-41	J0894	SUN PHARMACEUTICAL GLOBAL FZE.	Decitabine injection	1 MG	1	1	50	50
50742-430-01	J0894	INGENUS PHARMACEUTICALS, LLC	Decitabine injection	1 MG	1	1	50	50
55111-556-10	J0894	DR. REDDY'S LABORATORIES, INC.	Decitabine injection	1 MG	1	1	50	50
55150-376-01	J0894	AUROMEDICS PHARMA LLC	Decitabine injection	1 MG	1	1	50	50
59148-046-70	J0894	OTSUKA AMERICA PHARMACEUTICAL, INC.	Decitabine injection	1 MG	1	1	50	50
63323-825-20	J0894	FRESENIUS KABI	Decitabine injection	1 MG	1	1	50	50
67457-316-25	J0894	MYLAN INSTITUTIONAL LLC	Decitabine injection	1 MG	1	1	50	50
68001-422-37	J0894	AMERICAN HEALTH PACKAGING	Decitabine injection	1 MG	1	1	50	50
69097-285-37	J0894	CIPLA USA INC.	Decitabine injection	1 MG	1	1	50	50
69097-905-67	J0894	CIPLA USA INC.	Decitabine injection	1 MG	1	1	50	50
70121-1644-1	J0894	AMNEAL BIOSCIENCES	Decitabine injection	1 MG	1	1	50	50
70860-219-20	J0894	Athenex Pharmaceutical Division, LLC.	Decitabine injection	1 MG	1	1	50	50
72205-031-01	J0894	NOVADOZ PHARMACEUTICALS, LLC	Decitabine injection	1 MG	1	1	50	50
72205-036-01	J0894	NOVADOZ PHARMACEUTICALS, LLC	Decitabine injection	1 MG	1	1	50	50
72603-107-01	J0894	NORTHSTAR RX LLC	Decitabine injection	1 MG	1	1	50	50
75834-190-01	J0894	NIVAGEN PHARMACEUTICALS	Decitabine injection	1 MG	1	1	50	50
0078-0467-91	J0895	NOVARTIS PHARMACEUTICALS CORPORATION	Deferoxamine mesylate inj	500 MG	1	4	1	4
0409-2337-25	J0895	PFIZER INC.	Deferoxamine mesylate inj	500 MG	1	4	4	16
47781-624-07	J0895	ALVOGEN	Deferoxamine mesylate inj	500 MG	1	1	4	4
52609-4504-6	J0895	APO PHARMA	Deferoxamine mesylate inj	500 MG	1	4	4	16
52609-4505-6	J0895	APO PHARMA	Deferoxamine mesylate inj	500 MG	1	4	1	4
63323-597-10	J0895	FRESENIUS KABI	Deferoxamine mesylate inj	500 MG	1	1	1	1
63323-599-30	J0895	FRESENIUS KABI	Deferoxamine mesylate inj	500 MG	1	1	4	4
59572-711-01	J0896	CELGENE CORPORATION	Inj luspatercept-aamt 0.25mg	0.25 MG	1	1	100	100
59572-775-01	J0896	CELGENE CORPORATION	Inj luspatercept-aamt 0.25mg	0.25 MG	1	1	300	300
55513-710-01	J0897	AMGEN USA, INC.	Denosumab injection	1 MG	1	1	60	60
55513-730-01	J0897	AMGEN USA, INC.	Denosumab injection	1 MG	1	1	120	120
0009-0271-01	J1000	PFIZER INC.	Depo-estradiol cypionate inj	5 MG	5	1	5	5
0009-0274-01	J1020	PFIZER INC.	Methylprednisolone 20 mg inj	20 MG	5	1	5	5
0703-0031-01	J1020	SICOR PHARMACEUTICALS, INC.	Methylprednisolone 20 mg inj	20 MG	1	1	2	2
0009-0280-02	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	5	1	5	5
0009-0280-03	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	10	1	10	10
0009-0280-51	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	5	25	5	125
0009-0280-52	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	10	25	10	250
0009-3073-01	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
0009-3073-03	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	1	25	1	25
0009-3073-22	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
0009-3073-23	J1030	PFIZER INC.	Methylprednisolone 40 mg inj	40 MG	1	25	1	25
0703-0031-01	J1030	SICOR PHARMACEUTICALS, INC.	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
0703-0043-01	J1030	SICOR PHARMACEUTICALS, INC.	Methylprednisolone 40 mg inj	40 MG	5	1	5	5
0703-0045-01	J1030	SICOR PHARMACEUTICALS, INC.	Methylprednisolone 40 mg inj	40 MG	10	1	10	10
16714-088-01	J1030	NORTHSTAR RX LLC	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
16714-088-25	J1030	NORTHSTAR RX LLC	Methylprednisolone 40 mg inj	40 MG	1	25	1	25
16714-089-01	J1030	NORTHSTAR RX LLC	Methylprednisolone 40 mg inj	40 MG	5	1	5	5
16714-090-01	J1030	NORTHSTAR RX LLC	Methylprednisolone 40 mg inj	40 MG	10	1	10	10
25021-820-05	J1030	SAGENT PHARMACEUTICALS, INC.	Methylprednisolone 40 mg inj	40 MG	5	1	5	5
25021-820-10	J1030	SAGENT PHARMACEUTICALS, INC.	Methylprednisolone 40 mg inj	40 MG	10	1	10	10
50090-0556-0	J1030	A-S MEDICATION SOLUTIONS	Methylprednisolone 40 mg inj	40 MG	10	1	10	10
50090-2098-0	J1030	A-S MEDICATION SOLUTIONS	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
70121-1573-1	J1030	AMNEAL BIOSCIENCES	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
70121-1573-5	J1030	AMNEAL BIOSCIENCES	Methylprednisolone 40 mg inj	40 MG	1	25	1	25
0009-0306-02	J1040	PFIZER INC.	Methylprednisolone 80 mg inj	80 MG	5	1	5	5
0009-0306-12	J1040	PFIZER INC.	Methylprednisolone 80 mg inj	80 MG	5	25	5	125
0009-3475-01	J1040	PFIZER INC.	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
0009-3475-03	J1040	PFIZER INC.	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
0009-3475-22	J1040	PFIZER INC.	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
0009-3475-23	J1040	PFIZER INC.	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
0703-0051-01	J1040	SICOR PHARMACEUTICALS, INC.	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
0703-0051-04	J1040	SICOR PHARMACEUTICALS, INC.	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
0703-0063-01	J1040	SICOR PHARMACEUTICALS, INC.	Methylprednisolone 80 mg inj	80 MG	5	1	5	5
16714-472-01	J1040	NORTHSTAR RX LLC	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
16714-472-25	J1040	NORTHSTAR RX LLC	Methylprednisolone 80 mg inj	80mg	1	25	1	25
16714-473-01	J1040	NORTHSTAR RX LLC	Methylprednisolone 80 mg inj	80 MG	5	1	5	5
50090-0436-0	J1040	A-S MEDICATION SOLUTIONS	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
50090-1823-0	J1040	A-S MEDICATION SOLUTIONS	Methylprednisolone 80 mg inj	80 MG	5	1	5	5
50090-4802-0	J1040	A-S MEDICATION SOLUTIONS	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
70121-1552-5	J1040	AMNEAL PHARMACEUTICALS INC	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
70121-1574-1	J1040	AMNEAL BIOSCIENCES	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
70121-1574-5	J1040	AMNEAL BIOSCIENCES	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
0009-0085-10	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	10	1	1000	1000
0009-0086-01	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	1	1	200	200
0009-0086-10	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0009-0347-02	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	10	1	1000	1000
0009-0417-01	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	1	1	200	200
0009-0417-02	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0143-9005-01	J1071	NOVAPLUS/HIKMA	Inj testosterone cypionate	1 MG	10	1	2000	2000
0143-9659-01	J1071	HIKMA PHARMACEUTICALS USA INC.	Inj testosterone cypionate	1 MG	1	1	200	200
0143-9726-01	J1071	HIKMA PHARMACEUTICALS USA INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0409-6557-01	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	10	1	1000	1000
0409-6562-01	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	1	1	200	200
0409-6562-02	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	1	1	200	200
0409-6562-20	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0409-6562-22	J1071	PFIZER INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0574-0820-01	J1071	PERRIGO PHARMACEUTICALS	Inj testosterone cypionate	1 MG	1	1	200	200
0574-0820-10	J1071	PERRIGO PHARMACEUTICALS	Inj testosterone cypionate	1 MG	10	1	2000	2000
0574-0827-10	J1071	PERRIGO PHARMACEUTICALS	Inj testosterone cypionate	1 MG	10	1	2000	2000
0591-4128-79	J1071	ACTAVIS PHARMA, INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
50090-4147-0	J1071	A-S MEDICATION SOLUTIONS	Inj testosterone cypionate	1 MG	10	1	2000	2000
50090-4446-0	J1071	A-S MEDICATION SOLUTIONS	Inj testosterone cypionate	1 MG	10	1	2000	2000
50090-4920-0	J1071	A-S MEDICATION SOLUTIONS	Inj testosterone cypionate	1 MG	10	1	2000	2000
50090-4921-0	J1071	A-S MEDICATION SOLUTIONS	Inj testosterone cypionate	1 MG	10	1	2000	2000
62756-015-40	J1071	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj testosterone cypionate	1 MG	1	1	200	200
62756-016-40	J1071	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj testosterone cypionate	1 MG	10	1	2000	2000
62756-017-40	J1071	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj testosterone cypionate	1 MG	10	1	1000	1000
69097-536-37	J1071	CIPLA USA INC.	Inj testosterone cypionate	1 MG	10	1	1000	1000
69097-537-31	J1071	CIPLA USA INC.	Inj testosterone cypionate	1 MG	1	1	200	200
69097-537-37	J1071	CIPLA USA INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
69097-802-32	J1071	CIPLA USA INC.	Inj testosterone cypionate	1 MG	1	1	200	200
69097-802-37	J1071	CIPLA USA INC.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0641-0367-25	J1100	HIKMA PHARMACEUTICALS USA INC.	Dexamethasone sodium phos	1 MG	1	25	10	250
0641-6145-25	J1100	HIKMA PHARMACEUTICALS USA INC.	Dexamethasone sodium phos	1 MG	1	25	4	100
0641-6146-25	J1100	HIKMA PHARMACEUTICALS USA INC.	Dexamethasone sodium phos	1 MG	5	25	20	500
50090-2313-2	J1100	A-S MEDICATION SOLUTIONS	Dexamethasone sodium phos	1 MG	5	25	20	500
50090-3300-0	J1100	A-S MEDICATION SOLUTIONS	Dexamethasone sodium phos	1 MG	30	25	120	3000
50090-3541-0	J1100	A-S MEDICATION SOLUTIONS	Dexamethasone sodium phos	1 MG	1	25	10	250
55150-237-01	J1100	AUROMEDICS PHARMA LLC	Dexamethasone sodium phos	1 MG	1	25	4	100
55150-238-05	J1100	AUROMEDICS PHARMA LLC	Dexamethasone sodium phos	1 MG	5	25	20	500
55150-239-30	J1100	AUROMEDICS PHARMA LLC	Dexamethasone sodium phos	1 MG	30	25	120	3000
55150-304-25	J1100	AUROMEDICS PHARMA LLC	Dexamethasone sodium phos	1 MG	1	25	10	250
55150-305-10	J1100	AUROMEDICS PHARMA LLC	Dexamethasone sodium phos	1 MG	10	10	100	1000
63323-165-01	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	1	25	4	100
63323-165-05	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	5	25	20	500
63323-165-16	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	1	25	4	100
63323-165-26	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	5	25	20	500
63323-165-30	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	30	1	120	120
63323-506-01	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	1	25	10	250
63323-506-16	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	1	25	10	250
63323-516-10	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	10	10	100	1000
67457-418-05	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	5	25	20	500
67457-419-01	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	1	25	4	100
67457-420-10	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	10	10	100	1000
67457-421-30	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	30	25	120	3000
67457-422-54	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	5	25	20	500
67457-423-12	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	1	25	4	100
67457-483-10	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	10	10	100	1000
67457-484-30	J1100	MYLAN INSTITUTIONAL LLC	Dexamethasone sodium phos	1 MG	30	25	120	3000
72572-120-25	J1100	CIVICA INC	Dexamethasone sodium phos	1 MG	1	25	4	100
72572-122-25	J1100	CIVICA INC	Dexamethasone sodium phos	1 MG	1	25	10	250
76045-106-10	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	1	24	4	96
76045-109-10	J1100	FRESENIUS KABI	Dexamethasone sodium phos	1 MG	1	24	10	240
81565-202-02	J1100	PHLOW CORP	Dexamethasone sodium phos	1 MG	1	25	4	100
0143-9273-10	J1110	HIKMA PHARMACEUTICALS USA INC.	Inj dihydroergotamine mesylt	1 MG	1	10	1	10
0574-0850-05	J1110	PERRIGO PHARMACEUTICALS	Inj dihydroergotamine mesylt	1 MG	1	5	1	5
0574-0850-10	J1110	PERRIGO PHARMACEUTICALS	Inj dihydroergotamine mesylt	1 MG	1	10	1	10
61990-0411-1	J1110	APOLLO PHARMACEUTICALS USA INC.	Inj dihydroergotamine mesylt	1 MG	1	5	1	5
61990-0411-2	J1110	APOLLO PHARMACEUTICALS USA INC.	Inj dihydroergotamine mesylt	1 MG	1	10	1	10
0143-9503-01	J1120	HIKMA PHARMACEUTICALS USA INC.	Acetazolamid sodium injectio	500 MG	1	1	1	1
23155-313-31	J1120	HERITAGE PHARMACEUTICALS, INC.	Acetazolamid sodium injectio	500 MG	1	1	1	1
39822-0190-1	J1120	X-GEN PHARMACEUTICALS INC	Acetazolamid sodium injectio	500 MG	1	1	1	1
67457-853-50	J1120	MYLAN INSTITUTIONAL LLC	Acetazolamid sodium injectio	500 MG	1	1	1	1
0641-1410-35	J1160	HIKMA PHARMACEUTICALS USA INC.	Digoxin injection	0.5 MG	2	25	1	25
0641-6184-25	J1160	HIKMA PHARMACEUTICALS USA INC.	Digoxin injection	0.5 MG	2	25	1	25
0781-3059-95	J1160	SANDOZ	Digoxin injection	0.5 MG	2	10	1	10
70515-260-10	J1160	COVIS PHARMACEUTICALS	Digoxin injection	0.5 MG	2	10	1	10
70515-261-10	J1160	COVIS PHARMACEUTICALS	Digoxin injection	0.5 MG	2	10	1	10
70515-262-10	J1160	COVIS PHARMACEUTICALS	Digoxin injection	0.5 MG	1	10	0.2	2
70515-263-10	J1160	COVIS PHARMACEUTICALS	Digoxin injection	0.5 MG	1	10	0.2	2
50633-120-11	J1162	BTG INTERNATIONAL INC.	Digoxin immune fab (ovine)	PER VIAL	1	1	1	1
0641-0493-25	J1165	HIKMA PHARMACEUTICALS USA INC.	Phenytoin sodium injection	50 MG	2	25	2	50
0641-2555-45	J1165	HIKMA PHARMACEUTICALS USA INC.	Phenytoin sodium injection	50 MG	5	25	5	125
0641-6138-25	J1165	HIKMA PHARMACEUTICALS USA INC.	Phenytoin sodium injection	50 MG	2	25	2	50
0641-6139-25	J1165	HIKMA PHARMACEUTICALS USA INC.	Phenytoin sodium injection	50 MG	5	25	5	125
0409-1283-05	J1170	PFIZER INC.	Hydromorphone injection	4 MG	0.5	10	0.125	1.25
0409-1283-31	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	0.25	2.5
0409-1283-37	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	0.25	2.5
0409-1304-31	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	1	10
0409-1312-30	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	0.5	5
0409-1312-36	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	0.5	5
0409-2552-01	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	0.25	2.5
0409-2634-01	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	2.5	25
0409-2634-05	J1170	PFIZER INC.	Hydromorphone injection	4 MG	5	10	12.5	125
0409-2634-50	J1170	PFIZER INC.	Hydromorphone injection	4 MG	50	1	125	125
0409-3365-01	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	25	0.5	12.5
0409-3365-10	J1170	PFIZER INC.	Hydromorphone injection	4 MG	1	10	0.5	5
0641-2341-41	J1170	HIKMA PHARMACEUTICALS USA INC.	Hydromorphone injection	4 MG	20	1	10	10
0641-6151-25	J1170	HIKMA PHARMACEUTICALS USA INC.	Hydromorphone injection	4 MG	1	25	0.5	12.5
0703-0018-01	J1170	SICOR PHARMACEUTICALS, INC.	Hydromorphone injection	4 MG	50	1	125	125
0703-0110-03	J1170	SICOR PHARMACEUTICALS, INC.	Hydromorphone injection	4 MG	1	10	2.5	25
0703-0113-03	J1170	SICOR PHARMACEUTICALS, INC.	Hydromorphone injection	4 MG	5	10	12.5	125
17478-540-01	J1170	AKORN	Hydromorphone injection	4 MG	1	10	2.5	25
17478-540-05	J1170	AKORN	Hydromorphone injection	4 MG	5	10	12.5	125
17478-540-50	J1170	AKORN	Hydromorphone injection	4 MG	50	1	125	125
63323-851-10	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	10	2.5	25
63323-851-15	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	5	10	12.5	125
63323-851-50	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	50	1	125	125
63323-852-25	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	25	0.25	6.25
63323-853-25	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	25	0.5	12.5
63323-854-10	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	25	1	25
76045-009-05	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	0.5	24	0.125	3
76045-009-06	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	0.5	10	0.125	1.25
76045-009-10	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	24	0.25	6
76045-009-11	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	10	0.25	2.5
76045-010-10	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	24	0.5	12
76045-010-11	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	10	0.5	5
76045-121-11	J1170	FRESENIUS KABI	Hydromorphone injection	4 MG	1	10	0.05	0.5
0143-9247-01	J1190	HIKMA PHARMACEUTICALS USA INC.	Dexrazoxane hcl injection	250 MG	1	1	1	1
0143-9248-01	J1190	HIKMA PHARMACEUTICALS USA INC.	Dexrazoxane hcl injection	250 MG	1	1	2	2
51991-942-98	J1190	BRECKENRIDGE PHARMACEUTICAL	Dexrazoxane hcl injection	250 MG	1	1	2	2
67457-207-25	J1190	MYLAN INSTITUTIONAL INC.	Dexrazoxane hcl injection	250 MG	1	1	1	1
67457-208-50	J1190	MYLAN INSTITUTIONAL INC.	Dexrazoxane hcl injection	250 MG	1	1	2	2
72266-101-01	J1190	FOSUN PHARMA	Dexrazoxane hcl injection	250 MG	1	1	2	2
72266-235-01	J1190	Fosun Pharma Usa Inc.	Dexrazoxane hcl injection	250 MG	1	1	1	1
0641-0376-25	J1200	HIKMA PHARMACEUTICALS USA INC.	Diphenhydramine hcl injectio	50 MG	1	25	1	25
50090-1841-0	J1200	A-S MEDICATION SOLUTIONS	Diphenhydramine hcl injectio	50 MG	1	25	1	25
63323-664-01	J1200	FRESENIUS KABI	Diphenhydramine hcl injectio	50 MG	1	25	1	25
63323-664-16	J1200	FRESENIUS KABI	Diphenhydramine hcl injectio	50 MG	1	25	1	25
67457-124-10	J1200	MYLAN INSTITUTIONAL LLC	Diphenhydramine hcl injectio	50 MG	10	1	10	10
72485-101-25	J1200	ARMAS PHARMACEUTICALS, INC.	Diphenhydramine hcl injectio	50 MG	1	25	1	25
76045-102-10	J1200	FRESENIUS KABI	Diphenhydramine hcl injectio	50 MG	1	24	1	24
70720-100-10	J1201	TERSERA THERAPEUTICS LLC	Inj. cetirizine hcl 0.5mg	0.5 mg	1	1	20	20
70720-100-25	J1201	TERSERA THERAPEUTICS LLC	Inj. cetirizine hcl 0.5mg	0.5 mg	1	25	20	500
0517-1820-01	J1205	AMERICAN REGENT	Chlorothiazide sodium inj	500 MG	1	1	1	1
17478-419-40	J1205	AKORN	Chlorothiazide sodium inj	500 MG	1	1	1	1
25021-305-20	J1205	SAGENT PHARMACEUTICALS INC	Chlorothiazide sodium inj	500 MG	1	1	1	1
25021-305-66	J1205	SAGENT PHARMACEUTICALS INC	Chlorothiazide sodium inj	500 MG	1	1	1	1
47335-330-40	J1205	SUN PHARMACEUTICAL GLOBAL FZE.	Chlorothiazide sodium inj	500 MG	1	1	1	1
63323-658-20	J1205	FRESENIUS KABI	Chlorothiazide sodium inj	500 MG	1	1	1	1
63323-658-27	J1205	FRESENIUS KABI	Chlorothiazide sodium inj	500 MG	1	1	1	1
63323-658-94	J1205	FRESENIUS KABI	Chlorothiazide sodium inj	500 MG	1	1	1	1
76478-711-40	J1205	OAK	Chlorothiazide sodium inj	500 MG	1	1	1	1
67457-177-50	J1212	MYLAN INSTITUTIONAL LLC	Dimethyl sulfoxide 50% 50 ml	50 ML	50	1	1	1
17478-380-20	J1230	AKORN	Methadone injection	10 MG	20	1	20	20
67457-217-20	J1230	MYLAN INSTITUTIONAL LLC	Methadone injection	10 MG	20	1	20	20
63323-366-01	J1240	FRESENIUS KABI	Dimenhydrinate injection	50 MG	1	25	1	25
0641-2569-44	J1245	HIKMA PHARMACEUTICALS USA INC.	Dipyridamole injection	10 MG	10	5	5	25
0338-1073-02	J1250	BAXTER	Inj dobutamine hcl/250 mg	250 MG	250	18	1	18
0338-1075-02	J1250	BAXTER	Inj dobutamine hcl/250 mg	250 MG	250	18	2	36
0338-1077-02	J1250	BAXTER	Inj dobutamine hcl/250 mg	250 MG	250	18	4	72
0409-2344-01	J1250	PFIZER INC.	Inj dobutamine hcl/250 mg	250 MG	20	1	1	1
0409-2344-02	J1250	PFIZER INC.	Inj dobutamine hcl/250 mg	250 MG	20	10	1	10
0409-2344-88	J1250	PFIZER INC.	Inj dobutamine hcl/250 mg	250 MG	20	10	1	10
50090-4562-0	J1250	A-S MEDICATION SOLUTIONS	Inj dobutamine hcl/250 mg	250 MG	250	1	4	4
0143-9252-25	J1265	HIKMA PHARMACEUTICALS USA INC.	Dopamine injection	40 MG	5	25	5	125
0143-9254-25	J1265	HIKMA PHARMACEUTICALS USA INC.	Dopamine injection	40 MG	10	25	10	250
0338-1005-02	J1265	BAXTER	Dopamine injection	40 MG	250	18	5	90
0338-1005-03	J1265	BAXTER	Dopamine injection	40 MG	500	12	10	120
0338-1007-02	J1265	BAXTER	Dopamine injection	40 MG	250	18	10	180
0338-1007-03	J1265	BAXTER	Dopamine injection	40 MG	500	12	20	240
0338-1009-02	J1265	BAXTER	Dopamine injection	40 MG	250	18	20	360
0409-5820-01	J1265	PFIZER INC.	Dopamine injection	40 MG	5	25	5	125
0409-7809-22	J1265	PFIZER INC.	Dopamine injection	40 MG	250	12	10	120
0409-7809-24	J1265	PFIZER INC.	Dopamine injection	40 MG	500	12	20	240
0409-7810-22	J1265	PFIZER INC.	Dopamine injection	40 MG	250	12	20	240
0409-9104-20	J1265	PFIZER INC.	Dopamine injection	40 MG	10	25	10	250
0409-1330-01	J1270	PFIZER INC.	Injection, doxercalciferol	1 MCG	2	50	4	200
43598-850-50	J1270	DR. REDDY'S LABORATORIES, INC.	Injection, doxercalciferol	1 MCG	2	50	4	200
58468-0123-1	J1270	GENZYME CORPORATION	Injection, doxercalciferol	1 MCG	2	50	4	200
58468-0127-1	J1270	GENZYME CORPORATION	Injection, doxercalciferol	1 MCG	2	50	4	200
70121-1408-5	J1270	AMNEAL BIOSCIENCES	Injection, doxercalciferol	1 MCG	2	50	4	200
47783-101-01	J1290	TAKEDA PHARMACEUTICALS AMERICA, INC.	Ecallantide injection	1 MG	1	3	10	30
25682-001-01	J1300	ALEXION PHARMACEUTICALS	Eculizumab injection	10 MG	1	1	30	30
70510-2171-2	J1301	MITSUBISHI TANABE PHARMA AMERICA	Injection, edaravone, 1 mg	1 MG	100	2	30	60
25682-022-01	J1303	ALEXION PHARMACEUTICALS	Inj., ravulizumab-cwvz 10 mg	10 MG	30	1	30	30
25682-025-01	J1303	ALEXION PHARMACEUTICALS	Inj., ravulizumab-cwvz 10 mg	10 MG	3	1	30	30
25682-028-01	J1303	ALEXION PHARMACEUTICALS	Inj., ravulizumab-cwvz 10 mg	10 MG	11	1	110	110
68135-100-01	J1322	BIOMARIN PHARMACEUTICAL, INC.	Elosulfase alfa, injection	1 MG	5	1	5	5
0173-0517-00	J1325	GLAXOSMITHKLINE	Epoprostenol injection	0.5 MG	1	1	1	1
0173-0519-00	J1325	GLAXOSMITHKLINE	Epoprostenol injection	0.5 MG	1	1	3	3
0703-1985-01	J1325	SICOR PHARMACEUTICALS, INC.	Epoprostenol injection	0.5 MG	1	1	1	1
0703-1995-01	J1325	SICOR PHARMACEUTICALS, INC.	Epoprostenol injection	0.5 MG	1	1	3	3
62756-059-40	J1325	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Epoprostenol injection	0.5 MG	1	1	1	1
62756-060-40	J1325	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Epoprostenol injection	0.5 MG	1	1	3	3
66215-402-01	J1325	ACTELION PHARMACEUTICALS US, INC.	Epoprostenol injection	0.5 MG	1	1	3	3
66215-403-01	J1325	ACTELION PHARMACEUTICALS US, INC.	Epoprostenol injection	0.5 MG	1	1	1	1
0006-3843-71	J1335	MERCK SHARP & DOHME CORP.	Ertapenem injection	500 MG	1	10	2	20
0143-9398-10	J1335	HIKMA PHARMACEUTICALS USA INC.	Ertapenem injection	500 MG	1	10	2	20
0409-3510-22	J1335	PFIZER INC.	Ertapenem injection	500 MG	1	10	2	20
16714-889-10	J1335	NORTHSTAR RX LLC	Ertapenem injection	500 MG	1	10	2	20
42023-221-10	J1335	PAR PHARMACEUTICAL, INC	Ertapenem injection	500 MG	1	10	2	20
42023-221-85	J1335	PAR PHARMACEUTICAL, INC	Ertapenem injection	500 MG	1	10	2	20
43598-901-58	J1335	DR. REDDY'S LABORATORIES, INC.	Ertapenem injection	500 MG	1	10	2	20
44567-820-10	J1335	WG CRITICAL CARE	Ertapenem injection	500 MG	1	10	2	20
55150-282-09	J1335	AUROMEDICS PHARMA LLC	Ertapenem injection	500 MG	1	10	2	20
55150-282-20	J1335	AUROMEDICS PHARMA LLC	Ertapenem injection	500 MG	1	10	2	20
63323-823-20	J1335	FRESENIUS KABI	Ertapenem injection	500 MG	1	10	2	20
68001-408-31	J1335	AMERICAN HEALTH PACKAGING	Ertapenem injection	500 MG	1	10	2	20
0409-6476-44	J1364	PFIZER INC.	Erythro lactobionate /500 mg	500 MG	1	10	1	10
0409-6482-01	J1364	PFIZER INC.	Erythro lactobionate /500 mg	500 MG	10	1	10	10
0143-9290-01	J1380	HIKMA PHARMACEUTICALS USA INC.	Estradiol valerate 10 mg inj	10 MG	5	1	10	10
0143-9291-01	J1380	HIKMA PHARMACEUTICALS USA INC.	Estradiol valerate 10 mg inj	10 MG	5	1	20	20
0517-0420-01	J1380	AMERICAN REGENT	Estradiol valerate 10 mg inj	10 MG	5	1	10	10
0517-0440-01	J1380	AMERICAN REGENT	Estradiol valerate 10 mg inj	10 MG	5	1	20	20
0574-0870-05	J1380	PERRIGO PHARMACEUTICALS	Estradiol valerate 10 mg inj	10 MG	5	1	10	10
0574-0872-05	J1380	PERRIGO PHARMACEUTICALS	Estradiol valerate 10 mg inj	10 MG	5	1	5	20
42023-110-01	J1380	PAR PHARMACEUTICAL, INC	Estradiol valerate 10 mg inj	10 MG	5	1	5	5
42023-111-01	J1380	PAR PHARMACEUTICAL, INC	Estradiol valerate 10 mg inj	10 MG	5	1	10	10
42023-112-01	J1380	PAR PHARMACEUTICAL, INC	Estradiol valerate 10 mg inj	10 MG	5	1	20	20
0046-0749-05	J1410	PFIZER INC.	Inj estrogen conjugate 25 mg	25 MG	1	1	1	1
73594-9310-1	J1437	PHARMACOSMOS THERAPEUTICS	Inj. fe derisomaltose 10 mg	10 MG	10	1	100	100
0517-0650-01	J1439	AMERICAN REGENT	Inj ferric carboxymaltos 1mg	1mg	15	1	750	750
55513-209-10	J1442	AMGEN USA, INC.	Inj filgrastim excl biosimil	1 MCG	0.8	10	480	4800
55513-209-91	J1442	AMGEN USA, INC.	Inj filgrastim excl biosimil	1 MCG	0.8	1	480	480
55513-530-10	J1442	AMGEN USA, INC.	Inj filgrastim excl biosimil	1 MCG	1	10	300	3000
55513-546-10	J1442	AMGEN USA, INC.	Inj filgrastim excl biosimil	1 MCG	1.6	10	480	4800
55513-924-10	J1442	AMGEN USA, INC.	Inj filgrastim excl biosimil	1 MCG	0.5	10	300	3000
55513-924-91	J1442	AMGEN USA, INC.	Inj filgrastim excl biosimil	1 MCG	0.5	1	300	300
63459-910-11	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.5	1	300	300
63459-910-15	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.5	10	300	3000
63459-910-17	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.5	1	300	300
63459-910-36	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.5	5	300	1500
63459-912-11	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.8	1	480	480
63459-912-15	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.8	10	480	4800
63459-912-17	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.8	1	480	480
63459-912-36	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	0.8	5	480	2400
63459-918-59	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	1	10	300	3000
63459-920-59	J1447	CEPHALON INC.	Inj tbo filgrastim 1 microg	1 MCG	1.6	10	480	4800
73462-101-01	J1448	G1 THERAPEUTICS, INC.	Injection, trilaciclib, 1mg	1 MG	1	1	300	300
0338-6045-37	J1450	BAXTER	Fluconazole	200 MG	200	10	2	20
0338-6046-48	J1450	BAXTER	Fluconazole	200 MG	100	10	1	10
0409-4688-12	J1450	PFIZER INC.	Fluconazole	200 MG	200	24	2	48
0409-4688-18	J1450	PFIZER INC.	Fluconazole	200 MG	100	24	1	24
25021-184-66	J1450	SAGENT PHARMACEUTICALS INC	Fluconazole	200 MG	100	10	1	10
25021-184-67	J1450	SAGENT PHARMACEUTICALS INC	Fluconazole	200 MG	200	10	2	20
25021-184-82	J1450	SAGENT PHARMACEUTICALS INC	Fluconazole	200 MG	100	10	1	10
25021-184-87	J1450	SAGENT PHARMACEUTICALS INC	Fluconazole	200 MG	200	10	2	20
69784-002-06	J1450	WOODWARD PHARMA SERVICES LLC	Fluconazole	200 MG	100	6	1	6
69784-003-06	J1450	WOODWARD PHARMA SERVICES LLC	Fluconazole	200 MG	200	6	2	12
69784-261-24	J1450	WOODWARD PHARMA SERVICES LLC	Fluconazole	200 MG	50	24	0.5	12
70655-002-06	J1450	RENAISSANCE SSA, LLC	Fluconazole	200 MG	100	6	1	6
70655-002-10	J1450	RENAISSANCE SSA, LLC	Fluconazole	200 MG	100	10	1	10
70655-088-06	J1450	RENAISSANCE SSA, LLC	Fluconazole	200 MG	200	6	2	12
70655-088-10	J1450	RENAISSANCE SSA, LLC	Fluconazole	200 MG	200	10	2	20
0006-3061-00	J1453	MERCK SHARP & DOHME CORP.	Fosaprepitant injection	1 MG	1	1	150	150
0006-3061-02	J1453	MERCK SHARP & DOHME CORP.	Fosaprepitant injection	1 MG	1	1	150	150
0006-3061-04	J1453	MERCK SHARP & DOHME CORP.	Fosaprepitant injection	1 MG	1	1	150	150
0143-9384-01	J1453	HIKMA PHARMACEUTICALS USA INC.	Fosaprepitant injection	1 MG	1	1	150	150
0143-9428-01	J1453	HIKMA PHARMACEUTICALS USA INC.	Fosaprepitant injection	1 MG	1.8 ML 10 EA	1	150	150
0338-0008-01	J1453	BAXTER	Fosaprepitant injection	1 MG	1	1	150	150
0591-4385-79	J1453	ACTAVIS PHARMA, INC.	Fosaprepitant injection	1 MG	1	1	150	150
0781-3497-75	J1453	SANDOZ	Fosaprepitant injection	1 MG	1	1	150	150
16714-120-01	J1453	NORTHSTAR RX LLC	Fosaprepitant injection	1 MG	1	1	150	150
16714-929-01	J1453	NORTHSTAR RX LLC	Fosaprepitant injection	1 MG	1	1	150	150
16729-240-03	J1453	ACCORD HEALTHCARE INC.	Fosaprepitant injection	1 MG	1	1	150	150
43598-859-11	J1453	DR. REDDY'S LABORATORIES, INC.	Fosaprepitant injection	1 MG	1	1	150	150
43598-948-11	J1453	DR. REDDY'S LABORATORIES, INC.	Fosaprepitant injection	1 MG	1	1	150	150
55150-299-01	J1453	AUROMEDICS PHARMA LLC	Fosaprepitant injection	1 MG	1	1	150	150
60505-6105-1	J1453	APOTEX CORP.	Fosaprepitant injection	1 MG	1	1	150	150
63323-972-10	J1453	FRESENIUS KABI	Fosaprepitant injection	1 MG	1	1	150	150
67457-889-10	J1453	MYLAN INSTITUTIONAL LLC	Fosaprepitant injection	1 MG	1	1	150	150
68001-421-22	J1453	AMERICAN HEALTH PACKAGING	Fosaprepitant injection	1 MG	1	1	150	150
69097-830-37	J1453	CIPLA USA INC.	Fosaprepitant injection	1 MG	1	1	150	150
70860-782-10	J1453	ATHENEX	Fosaprepitant injection	1 MG	1	1	150	150
71839-104-01	J1453	BE PHARMACEUTICALS INC.	Fosaprepitant injection	1 MG	1	1	150	150
72205-026-01	J1453	NOVADOZ PHARMACEUTICALS, LLC	Fosaprepitant injection	1 MG	1	1	150	150
72205-054-01	J1453	NOVADOZ PHARMACEUTICALS, LLC	Fosaprepitant injection	1 MG	1	1	150	150
72205-083-01	J1453	NOVADOZ PHARMACEUTICALS	Fosaprepitant injection	1 MG	1	1	150	150
72603-106-01	J1453	NORTHSTAR RX LLC	Fosaprepitant injection	1 MG	1	1	150	150
72606-569-01	J1453	CELLTRION	Fosaprepitant injection	1 MG	1	1	150	150
69639-102-01	J1454	HELSINN THERAPUTICS (US) INC	Inj fosnetupitant, palonoset	0.25 MG	1	1	1	1
69639-105-01	J1454	HELSINN THERAPUTICS (US) INC	Inj fosnetupitant, palonoset	0.25 MG	1	1	1	1
68135-020-01	J1458	BIOMARIN PHARMACEUTICAL, INC.	Galsulfase injection	1 MG	1	1	1	5
44206-436-05	J1459	CSL BEHRING LLC	Inj ivig privigen 500 mg	500 MG	50	1	10	10
44206-437-10	J1459	CSL BEHRING LLC	Inj ivig privigen 500 mg	500 MG	110	1	20	20
44206-438-20	J1459	CSL BEHRING LLC	Inj ivig privigen 500 mg	500 MG	200	1	40	40
44206-439-40	J1459	CSL BEHRING LLC	Inj ivig privigen 500 mg	500 MG	400	1	80	80
13533-335-04	J1460	GRIFOLS USA, LLC	Gamma globulin 1 cc inj	1 CC	2	1	2	2
13533-335-12	J1460	GRIFOLS USA, LLC	Gamma globulin 1 cc inj	1 CC	10	1	10	10
13533-635-04	J1460	GRIFOLS USA, LLC	Gamma globulin 1 cc inj	1 CC	2	1	2	2
13533-635-12	J1460	GRIFOLS USA, LLC	Gamma globulin 1 cc inj	1 CC	10	1	10	10
0069-1061-02	J1551	PFIZER INC.	Inj cutaquig 100 mg	100 MG	6	1	10	10
0069-1476-02	J1551	PFIZER INC.	Inj cutaquig 100 mg	100 MG	12	1	20	20
0069-1509-02	J1551	PFIZER INC.	Inj cutaquig 100 mg	100 MG	24	1	40	40
0069-1965-02	J1551	PFIZER INC.	Inj cutaquig 100 mg	100 MG	48	1	80	80
68982-810-01	J1551	OCTAPHARMA	Inj cutaquig 100 mg	100 MG	6	1	10	10
68982-810-03	J1551	OCTAPHARMA	Inj cutaquig 100 mg	100 MG	12	1	20	20
68982-810-04	J1551	OCTAPHARMA	Inj cutaquig 100 mg	100 MG	20	1	33	33
68982-810-05	J1551	OCTAPHARMA	Inj cutaquig 100 mg	100 MG	24	1	40	40
68982-810-06	J1551	OCTAPHARMA	Inj cutaquig 100 mg	100 MG	48	1	80	80
69800-0250-1	J1554	ADMA BIOLOGICS	Inj. asceniv	500 MG	50	1	10	10
0944-2850-01	J1555	TAKEDA PHARMACEUTICALS AMERICA, INC.	Inj cuvitru, 100 mg	100 MG	1	1	10	10
0944-2850-03	J1555	TAKEDA PHARMACEUTICALS AMERICA, INC.	Inj cuvitru, 100 mg	100 MG	1	1	20	20
0944-2850-05	J1555	TAKEDA PHARMACEUTICALS AMERICA, INC.	Inj cuvitru, 100 mg	100 MG	1	1	40	40
0944-2850-07	J1555	TAKEDA PHARMACEUTICALS AMERICA, INC.	Inj cuvitru, 100 mg	100 MG	1	1	80	80
0944-2850-09	J1555	TAKEDA PHARMACEUTICALS AMERICA, INC.	Inj cuvitru, 100 mg	100 MG	50	1	100	100
69800-6502-1	J1556	ADMA BIOLOGICS	Inj, imm glob bivigam, 500mg	500 MG	50	1	10	10
69800-6503-1	J1556	ADMA BIOLOGICS	Inj, imm glob bivigam, 500mg	500 MG	100	1	20	20
64208-8234-6	J1557	BIO PRODUCTS LABORATORY, LTD	Gammaplex injection	500 MG	100	1	10	10
64208-8234-7	J1557	BIO PRODUCTS LABORATORY, LTD	Gammaplex injection	500 MG	200	1	20	20
64208-8234-8	J1557	BIO PRODUCTS LABORATORY, LTD	Gammaplex injection	500 MG	100	1	40	40
64208-8235-5	J1557	BIO PRODUCTS LABORATORY, LTD	Gammaplex injection	500 MG	50	1	10	10
64208-8235-6	J1557	BIO PRODUCTS LABORATORY, LTD	Gammaplex injection	500 MG	100	1	20	20
64208-8235-7	J1557	BIO PRODUCTS LABORATORY, LTD	Gammaplex injection	500 MG	200	1	40	40
13533-810-05	J1558	GRIFOLS USA, LLC	Inj. xembify, 100 mg	100 MG	5	1	10	10
13533-810-10	J1558	GRIFOLS USA, LLC	Inj. xembify, 100 mg	100 MG	10	1	20	20
13533-810-20	J1558	GRIFOLS USA, LLC	Inj. xembify, 100 mg	100 MG	20	1	40	40
13533-810-50	J1558	GRIFOLS USA, LLC	Inj. xembify, 100 mg	100 MG	50	1	100	100
44206-451-01	J1559	CSL BEHRING LLC	Hizentra injection	100 MG	5	1	10	10
44206-452-02	J1559	CSL BEHRING LLC	Hizentra injection	100 MG	10	1	20	20
44206-454-04	J1559	CSL BEHRING LLC	Hizentra injection	100 MG	20	1	40	40
44206-455-10	J1559	CSL BEHRING LLC	Hizentra injection	100 MG	50	1	100	100
44206-456-21	J1559	CSL BEHRING LLC	Hizentra injection	100 MG	5	1	10	10
44206-457-22	J1559	CSL BEHRING LLC	Hizentra injection	100 MG	10	1	20	20
44206-458-24	J1559	CSL BEHRING LLC	Hizentra injection	100 MG	20	1	40	40
13533-335-04	J1560	GRIFOLS USA, LLC	Gamma globulin > 10 cc inj	10 CC	2	1	0.2	0.2
13533-335-12	J1560	GRIFOLS USA, LLC	Gamma globulin > 10 cc inj	10 CC	10	1	1	1
13533-635-04	J1560	GRIFOLS USA, LLC	Gamma globulin > 10 cc inj	10 CC	2	1	0.2	0.2
13533-635-12	J1560	GRIFOLS USA, LLC	Gamma globulin > 10 cc inj	10 CC	10	1	1	1
13533-800-12	J1561	GRIFOLS USA, LLC	Gamunex-c/gammaked	500 MG	10	1	2	2
13533-800-15	J1561	GRIFOLS USA, LLC	Gamunex-c/gammaked	500 MG	25	1	5	5
13533-800-20	J1561	GRIFOLS USA, LLC	Gamunex-c/gammaked	500 MG	50	1	10	10
13533-800-24	J1561	GRIFOLS USA, LLC	Gamunex-c/gammaked	500 MG	200	1	40	40
13533-800-40	J1561	GRIFOLS USA, LLC	Gamunex-c/gammaked	500 MG	400	1	80	80
13533-800-71	J1561	GRIFOLS USA, LLC	Gamunex-c/gammaked	500 MG	100	1	20	20
76125-900-01	J1561	KEDRION BIOPHARMA, INC.	Gamunex-c/gammaked	500 MG	10	1	2	2
76125-900-10	J1561	KEDRION BIOPHARMA, INC.	Gamunex-c/gammaked	500 MG	100	1	20	20
76125-900-20	J1561	KEDRION BIOPHARMA, INC.	Gamunex-c/gammaked	500 MG	200	1	40	40
76125-900-50	J1561	KEDRION BIOPHARMA, INC.	Gamunex-c/gammaked	500 MG	50	1	10	10
0944-2656-03	J1566	TAKEDA PHARMACEUTICALS AMERICA, INC.	Immune globulin, powder	500 MG	1	1	10	10
0944-2658-04	J1566	TAKEDA PHARMACEUTICALS AMERICA, INC.	Immune globulin, powder	500 MG	1	1	20	20
68982-840-01	J1568	OCTAPHARMA	Octagam injection	500 MG	20	1	2	2
68982-840-02	J1568	OCTAPHARMA	Octagam injection	500 MG	50	1	5	5
68982-840-03	J1568	OCTAPHARMA	Octagam injection	500 MG	100	1	10	10
68982-840-04	J1568	OCTAPHARMA	Octagam injection	500 MG	200	1	20	20
68982-850-01	J1568	OCTAPHARMA	Octagam injection	500 MG	20	1	4	4
68982-850-02	J1568	OCTAPHARMA	Octagam injection	500 MG	50	1	10	10
68982-850-03	J1568	OCTAPHARMA	Octagam injection	500 MG	100	1	20	20
68982-850-04	J1568	OCTAPHARMA	Octagam injection	500 MG	200	1	40	40
68982-850-05	J1568	OCTAPHARMA	Octagam injection	500 MG	300	1	60	60
0944-2700-02	J1569	TAKEDA PHARMACEUTICALS AMERICA, INC.	Gammagard liquid injection	500 MG	10	1	2	2
0944-2700-03	J1569	TAKEDA PHARMACEUTICALS AMERICA, INC.	Gammagard liquid injection	500 MG	25	1	5	5
0944-2700-04	J1569	TAKEDA PHARMACEUTICALS AMERICA, INC.	Gammagard liquid injection	500 MG	50	1	10	10
0944-2700-05	J1569	TAKEDA PHARMACEUTICALS AMERICA, INC.	Gammagard liquid injection	500 MG	100	1	20	20
0944-2700-06	J1569	TAKEDA PHARMACEUTICALS AMERICA, INC.	Gammagard liquid injection	500 MG	200	1	40	40
0944-2700-07	J1569	TAKEDA PHARMACEUTICALS AMERICA, INC.	Gammagard liquid injection	500 MG	300	1	60	60
0143-9299-10	J1570	HIKMA PHARMACEUTICALS USA INC.	Ganciclovir sodium injection	500 MG	1	10	1	10
25021-185-10	J1570	SAGENT PHARMACEUTICALS INC	Ganciclovir sodium injection	500 MG	1	25	1	25
25021-185-11	J1570	SAGENT PHARMACEUTICALS INC	Ganciclovir sodium injection	500 MG	10	1	1	1
42023-173-25	J1570	PAR PHARMACEUTICAL, INC	Ganciclovir sodium injection	500 MG	1	25	1	25
63323-315-10	J1570	FRESENIUS KABI	Ganciclovir sodium injection	500 MG	1	25	1	25
63323-315-94	J1570	FRESENIUS KABI	Ganciclovir sodium injection	500 MG	1	25	1	25
70436-089-55	J1570	SLATE RUN	Ganciclovir sodium injection	500 MG	1	25	1	25
70257-051-51	J1571	SAOL THERAPEUTICS	Hepagam b im injection	0.5 ML	5	1	10	10
70257-053-51	J1571	SAOL THERAPEUTICS	Hepagam b im injection	0.5 ML	1	1	2	2
70257-054-51	J1571	SAOL THERAPEUTICS	Hepagam b im injection	0.5 ML	5	1	10	10
61953-0004-2	J1572	GRIFOLS USA, LLC	Flebogamma injection	500 MG	50	1	5	5
61953-0004-3	J1572	GRIFOLS USA, LLC	Flebogamma injection	500 MG	100	1	10	10
61953-0004-4	J1572	GRIFOLS USA, LLC	Flebogamma injection	500 MG	200	1	20	20
61953-0004-5	J1572	GRIFOLS USA, LLC	Flebogamma injection	500 MG	400	1	40	40
61953-0005-1	J1572	GRIFOLS USA, LLC	Flebogamma injection	500 MG	50	1	10	10
61953-0005-2	J1572	GRIFOLS USA, LLC	Flebogamma injection	500 MG	100	1	20	20
61953-0005-3	J1572	GRIFOLS USA, LLC	Flebogamma injection	500 MG	200	1	40	40
0944-2510-02	J1575	TAKEDA PHARMACEUTICALS AMERICA, INC.	Hyqvia 100mg immuneglobulin	100 MG	25	1	25	25
0944-2511-02	J1575	TAKEDA PHARMACEUTICALS AMERICA, INC.	Hyqvia 100mg immuneglobulin	100 MG	50	1	50	50
0944-2512-02	J1575	TAKEDA PHARMACEUTICALS AMERICA, INC.	Hyqvia 100mg immuneglobulin	100 MG	100	1	100	100
0944-2513-02	J1575	TAKEDA PHARMACEUTICALS AMERICA, INC.	Hyqvia 100mg immuneglobulin	100 MG	200	1	200	200
0944-2514-02	J1575	TAKEDA PHARMACEUTICALS AMERICA, INC.	Hyqvia 100mg immuneglobulin	100 MG	300	1	300	300
0338-0503-48	J1580	BAXTER	Garamycin gentamicin inj	80 MG	100	1	1	1
0338-0505-48	J1580	BAXTER	Garamycin gentamicin inj	80 MG	100	1	1.25	1.25
0338-0507-41	J1580	BAXTER	Garamycin gentamicin inj	80 MG	50	1	0.75	0.75
0338-0507-48	J1580	BAXTER	Garamycin gentamicin inj	80 MG	100	1	1.5	1.5
0338-0509-41	J1580	BAXTER	Garamycin gentamicin inj	80 MG	50	1	1	1
0338-0511-41	J1580	BAXTER	Garamycin gentamicin inj	80 MG	50	1	1.25	1.25
0409-1207-03	J1580	PFIZER INC.	Garamycin gentamicin inj	80 MG	2	25	1	25
0409-1207-25	J1580	PFIZER INC.	Garamycin gentamicin inj	80 MG	2	25	1	25
63323-010-02	J1580	FRESENIUS KABI	Garamycin gentamicin inj	80 MG	2	25	1	25
63323-010-20	J1580	FRESENIUS KABI	Garamycin gentamicin inj	80 MG	20	25	10	250
63323-010-94	J1580	FRESENIUS KABI	Garamycin gentamicin inj	80 MG	2	25	1	25
63323-010-95	J1580	FRESENIUS KABI	Garamycin gentamicin inj	80 MG	20	25	10	250
63323-173-02	J1580	FRESENIUS KABI	Garamycin gentamicin inj	80 MG	2	25	0.25	6.25
63323-173-94	J1580	FRESENIUS KABI	Garamycin gentamicin inj	80 MG	2	25	0.25	6.25
57894-350-01	J1602	JANSSEN BIOTECH, INC.	Golimumab for iv use 1mg	1 MG	4	1	50	50
0002-8031-01	J1610	ELI LILLY AND COMPANY	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
0169-7065-15	J1610	NOVO NORDISK INC	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
0548-5850-00	J1610	AMPHASTAR PHARMACEUTICALS, INC.	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
0597-0053-45	J1610	BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.	Glucagon hydrochloride/1 mg	1 MG	1	10	1	10
0597-0260-10	J1610	BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
63323-582-82	J1610	FRESENIUS KABI	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
63323-593-03	J1610	FRESENIUS KABI	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
63323-594-03	J1610	FRESENIUS KABI	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
63323-596-13	J1610	FRESENIUS KABI	Glucagon hydrochloride/1 mg	1 MG	1	10	1	10
0143-9744-10	J1626	HIKMA PHARMACEUTICALS USA INC.	Granisetron hcl injection	100 MCG	1	10	10	100
0143-9745-05	J1626	HIKMA PHARMACEUTICALS USA INC.	Granisetron hcl injection	100 MCG	4	5	40	200
17478-546-02	J1626	AKORN	Granisetron hcl injection	100 MCG	1	1	10	10
17478-546-05	J1626	AKORN	Granisetron hcl injection	100 MCG	4	1	40	40
63323-318-01	J1626	FRESENIUS KABI	Granisetron hcl injection	100 MCG	1	1	10	10
63323-319-04	J1626	FRESENIUS KABI	Granisetron hcl injection	100 MCG	4	1	40	40
67457-863-01	J1626	MYLAN INSTITUTIONAL LLC	Granisetron hcl injection	100 MCG	1	1	10	10
67457-864-04	J1626	MYLAN INSTITUTIONAL LLC	Granisetron hcl injection	100 MCG	4	1	40	40
47426-101-06	J1627	HERON THERAPEUTICS	Inj, granisetron, xr, 0.1 mg	0.1 MG	0.4	6	100	600
0143-9319-25	J1630	HIKMA PHARMACEUTICALS USA INC.	Haloperidol injection	5 MG	1	25	1	25
0143-9501-25	J1630	HIKMA PHARMACEUTICALS USA INC.	Haloperidol injection	5 MG	1	25	1	25
0143-9502-01	J1630	HIKMA PHARMACEUTICALS USA INC.	Haloperidol injection	5 MG	10	1	10	10
25021-806-01	J1630	SAGENT PHARMACEUTICALS INC	Haloperidol injection	5 MG	1	10	1	10
63323-474-01	J1630	FRESENIUS KABI	Haloperidol injection	5 MG	1	25	1	25
63323-474-10	J1630	FRESENIUS KABI	Haloperidol injection	5 MG	10	1	10	10
67457-426-12	J1630	MYLAN INSTITUTIONAL LLC	Haloperidol injection	5 MG	1	25	1	25
76045-737-10	J1630	FRESENIUS KABI	Haloperidol injection	5 MG	1	24	1	24
0143-9295-01	J1631	HIKMA PHARMACEUTICALS USA INC.	Haloperidol decanoate inj	50 MG	1	1	2	2
0143-9296-01	J1631	HIKMA PHARMACEUTICALS USA INC.	Haloperidol decanoate inj	50 MG	5	1	10	10
0703-7121-03	J1631	SICOR PHARMACEUTICALS, INC.	Haloperidol decanoate inj	50 MG	1	10	1	10
0703-7123-01	J1631	SICOR PHARMACEUTICALS, INC.	Haloperidol decanoate inj	50 MG	5	1	5	5
0703-7131-03	J1631	SICOR PHARMACEUTICALS, INC.	Haloperidol decanoate inj	50 MG	1	10	2	20
0703-7133-01	J1631	SICOR PHARMACEUTICALS, INC.	Haloperidol decanoate inj	50 MG	5	1	10	10
10147-0921-3	J1631	PATRIOT PHARMACEUTICALS, LLC	Haloperidol decanoate inj	50 MG	1	3	1	3
10147-0922-5	J1631	PATRIOT PHARMACEUTICALS, LLC	Haloperidol decanoate inj	50 MG	1	5	2	10
25021-831-01	J1631	SAGENT PHARMACEUTICALS INC	Haloperidol decanoate inj	50 MG	1	10	1	10
25021-833-01	J1631	SAGENT PHARMACEUTICALS INC	Haloperidol decanoate inj	50 MG	1	10	2	20
25021-834-05	J1631	SAGENT PHARMACEUTICALS INC	Haloperidol decanoate inj	50 MG	5	1	10	10
50458-253-03	J1631	JANSSEN PHARMACEUTICALS, INC.	Haloperidol decanoate inj	50 MG	1	3	1	3
50458-254-14	J1631	JANSSEN PHARMACEUTICALS, INC.	Haloperidol decanoate inj	50 MG	1	5	2	10
63323-469-01	J1631	FRESENIUS KABI	Haloperidol decanoate inj	50 MG	1	1	1	1
63323-469-05	J1631	FRESENIUS KABI	Haloperidol decanoate inj	50 MG	5	1	5	5
63323-471-01	J1631	FRESENIUS KABI	Haloperidol decanoate inj	50 MG	1	1	2	2
63323-471-05	J1631	FRESENIUS KABI	Haloperidol decanoate inj	50 MG	5	1	10	10
63323-471-41	J1631	FRESENIUS KABI	Haloperidol decanoate inj	50 MG	1	1	2	2
67457-381-58	J1631	MYLAN INSTITUTIONAL LLC	Haloperidol decanoate inj	50 MG	5	5	10	50
67457-409-13	J1631	MYLAN INSTITUTIONAL LLC	Haloperidol decanoate inj	50 MG	1	5	2	10
67457-410-13	J1631	MYLAN INSTITUTIONAL LLC	Haloperidol decanoate inj	50 MG	1	10	1	10
70710-1461-6	J1631	ZYDUS PHARMACEUTICALS	Haloperidol decanoate inj	50 MG	1	10	1	10
70710-1463-1	J1631	ZYDUS PHARMACEUTICALS	Haloperidol decanoate inj	50 MG	1	1	2	2
55292-702-55	J1640	RECORDATI RARE DISEASES	Hemin, 1 mg	1 MG	1	1	336	336
0069-0043-01	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	2	25	2	50
0069-0058-01	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
0069-0059-01	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
0069-0059-03	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
0069-0137-03	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	30	10	30	300
0264-5705-10	J1644	B. BRAUN MEDICAL INC.	Inj heparin sodium per 1000u	1000 UNITS	0.5	10	5	50
0264-9567-10	J1644	B. BRAUN MEDICAL INC.	Inj heparin sodium per 1000u	1000 UNITS	500	24	20	480
0264-9577-10	J1644	B. BRAUN MEDICAL INC.	Inj heparin sodium per 1000u	1000 UNITS	500	24	25	600
0264-9587-20	J1644	B. BRAUN MEDICAL INC.	Inj heparin sodium per 1000u	1000 UNITS	250	24	25	600
0264-9872-10	J1644	B. BRAUN MEDICAL INC.	Inj heparin sodium per 1000u	1000 UNITS	500	24	1	24
0338-0424-18	J1644	BAXTER	Inj heparin sodium per 1000u	1000 UNITS	500	18	1	18
0338-0433-04	J1644	BAXTER	Inj heparin sodium per 1000u	1000 UNITS	1000	12	2	24
0409-1316-32	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	0.5	50	5	250
0409-1402-12	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	1	50	5	250
0409-2720-01	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
0409-2720-02	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
0409-2720-03	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
0409-2721-01	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
0409-2723-01	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
0409-2723-02	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
0409-7620-03	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	500	18	1	18
0409-7620-59	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	1000	12	2	24
0409-7650-62	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	250	24	25	600
0409-7651-03	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	500	24	25	600
0409-7651-62	J1644	PFIZER INC.	Inj heparin sodium per 1000u	1000 UNITS	250	24	12.5	300
0641-0391-12	J1644	HIKMA PHARMACEUTICALS USA INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
0641-0400-12	J1644	HIKMA PHARMACEUTICALS USA INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
0641-0410-12	J1644	HIKMA PHARMACEUTICALS USA INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
0641-2460-55	J1644	HIKMA PHARMACEUTICALS USA INC.	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
0641-6199-10	J1644	HIKMA PHARMACEUTICALS USA INC.	Inj heparin sodium per 1000u	1000 UNITS	1	10	5	50
0641-6204-10	J1644	HIKMA PHARMACEUTICALS USA INC.	Inj heparin sodium per 1000u	1000 UNITS	0.5	10	5	50
25021-400-01	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
25021-400-10	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
25021-400-30	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
25021-401-02	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	2	25	2	50
25021-402-01	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
25021-402-10	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
25021-403-01	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
25021-403-04	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	4	25	40	1000
25021-404-01	J1644	SAGENT PHARMACEUTICALS INC	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
63323-047-10	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
63323-118-05	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	0.5	24	5	120
63323-262-01	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
63323-262-06	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
63323-262-26	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
63323-262-36	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1,000 UNITS	1	25	5	125
63323-262-55	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
63323-276-02	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	2	25	2	50
63323-517-74	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	250	24	25	600
63323-518-77	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	500	24	25	600
63323-519-10	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1000	12	2	24
63323-519-77	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	500	24	1	24
63323-522-77	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	500	24	25	600
63323-523-74	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	250	24	25	600
63323-540-01	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
63323-540-11	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
63323-540-13	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
63323-540-15	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
63323-540-31	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
63323-540-36	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
63323-540-57	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
63323-540-67	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1,000 UNITS	10	25	10	250
63323-542-01	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
63323-542-07	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	5	25	50	1250
63323-542-13	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1,000 UNITS	1	25	10	250
63323-542-14	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1,000 UNITS	5	25	50	1250
63323-543-02	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	0.5	25	5	125
63323-543-13	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	0.5	25	5	125
63323-915-01	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
63323-915-13	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
63739-901-28	J1644	MCKESSON PACKAGING SERVICES	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
63739-920-25	J1644	MCKESSON PACKAGING SERVICES	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
63739-931-28	J1644	MCKESSON PACKAGING SERVICES	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
63739-942-29	J1644	MCKESSON PACKAGING SERVICES	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
63739-953-25	J1644	MCKESSON PACKAGING SERVICES	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
63739-964-25	J1644	MCKESSON PACKAGING SERVICES	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
63739-986-25	J1644	MCKESSON PACKAGING SERVICES	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
67457-372-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
67457-373-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
67457-374-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
67457-383-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
67457-384-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
67457-385-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
67457-602-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
67457-603-99	J1644	MYLAN INSTITUTIONAL LLC	Inj heparin sodium per 1000u	1000 UNITS	4	25	40	1000
72572-250-25	J1644	CIVICA INC	Inj heparin sodium per 1000u	1,000 UNITS	1	25	1	25
72572-255-25	J1644	CIVICA INC	Inj heparin sodium per 1000u	1,000 UNITS	1	25	5	125
76045-108-10	J1644	FRESENIUS KABI	Inj heparin sodium per 1000u	1000 UNITS	1	24	5	120
81952-111-06	J1644	HEPALINK USA INC.	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
0069-0195-02	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	0.2	10	1	10
0069-0196-02	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	0.2	10	2	20
0069-0206-02	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	0.3	10	3	30
0069-0217-02	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	1	10	4	40
0069-0220-02	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	0.5	10	5	50
0069-0223-02	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	0.6	10	6	60
0069-0228-02	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	0.72	10	7.2	72
0069-0232-01	J1645	PFIZER INC.	Dalteparin sodium	2500 IU	3.8	1	38	38
0075-0620-40	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0075-0621-60	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0075-0622-80	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0075-0623-00	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	1	10	10	100
0075-0624-30	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0075-0626-03	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	3	1	30	30
0075-2912-01	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0075-2915-01	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	1	10	15	150
0075-8013-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0075-8014-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0075-8016-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0075-8018-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0075-8020-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	1	10	10	100
0075-8022-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0075-8025-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	1	10	15	150
0075-8030-01	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	3	1	30	30
0548-5601-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0548-5602-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0548-5603-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0548-5604-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0548-5605-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	1	10	10	100
0548-5606-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0548-5607-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	1	10	15	150
0548-5608-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	3	1	30	30
0548-5631-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0548-5632-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0548-5633-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0548-5634-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0548-5635-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	1	10	10	100
0548-5636-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0548-5637-00	J1650	AMPHASTAR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	1	10	15	150
0703-8510-23	J1650	SICOR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	1	10	15	150
0703-8530-23	J1650	SICOR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0703-8540-23	J1650	SICOR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0703-8580-23	J1650	SICOR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	1	10	10	100
0703-8610-23	J1650	SICOR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0703-8680-23	J1650	SICOR PHARMACEUTICALS, INC.	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0781-3133-63	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0781-3224-64	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0781-3238-63	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0781-3246-64	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0781-3256-66	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0781-3262-68	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0781-3268-69	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	1	10	10	100
0781-3298-68	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0781-3299-69	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	1	10	15	150
0781-3356-66	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0781-3428-68	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0781-3500-69	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	1	10	10	100
0781-3612-68	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0781-3655-69	J1650	SANDOZ	Inj enoxaparin sodium	10 MG	1	10	15	150
0955-1003-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0955-1004-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0955-1006-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0955-1008-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0955-1010-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	1	10	10	100
0955-1012-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0955-1015-10	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	1	10	15	150
0955-1016-01	J1650	SANOFI-AVENTIS	Inj enoxaparin sodium	10 MG	3	1	30	30
16714-006-10	J1650	NORTHSTAR RX LLC	Inj enoxaparin sodium	10 MG	0.3	10	3	30
16714-016-10	J1650	NORTHSTAR RX LLC	Inj enoxaparin sodium	10 MG	0.4	10	4	40
16714-026-10	J1650	NORTHSTAR RX LLC	Inj enoxaparin sodium	10 MG	0.6	10	6	60
16714-036-10	J1650	NORTHSTAR RX LLC	Inj enoxaparin sodium	10 MG	0.8	10	8	80
16714-046-10	J1650	NORTHSTAR RX LLC	Inj enoxaparin sodium	10 MG	1	10	10	100
16714-056-10	J1650	NORTHSTAR RX LLC	Inj enoxaparin sodium	10 MG	0.8	10	12	120
16714-066-10	J1650	NORTHSTAR RX LLC	Inj enoxaparin sodium	10 MG	1	10	15	150
63323-531-90	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.8	10	8	80
63323-531-98	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.8	10	8	80
63323-533-83	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.3	10	3	30
63323-533-93	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.3	10	3	30
63323-535-87	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.4	10	4	40
63323-535-98	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.4	10	4	40
63323-537-84	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	1	10	15	150
63323-539-03	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	3	1	30	30
63323-559-93	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.3	10	3	30
63323-564-97	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.4	10	4	40
63323-566-98	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.6	10	6	60
63323-568-87	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.4	10	4	40
63323-584-99	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.8	10	8	80
63323-586-96	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	1	10	10	100
63323-589-94	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	1	10	15	150
63323-605-84	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	1	10	10	100
63323-605-94	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	1	10	10	100
63323-607-88	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.6	10	6	60
63323-607-98	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.6	10	6	60
63323-609-90	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.8	10	12	120
63323-655-99	J1650	FRESENIUS KABI	Inj enoxaparin sodium	10 MG	0.8	10	12	120
70710-1757-6	J1650	ZYDUS PHARMACEUTICALS	Inj enoxaparin sodium	10 MG	0.3	10	3	30
70710-1762-6	J1650	ZYDUS PHARMACEUTICALS	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0781-3443-12	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.5	2	5	10
0781-3443-95	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.5	10	5	50
0781-3454-12	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.4	2	10	20
0781-3454-95	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.4	10	10	100
0781-3465-12	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.6	2	15	30
0781-3465-95	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.6	10	15	150
0781-3476-12	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.8	2	20	40
0781-3476-95	J1652	SANDOZ	Fondaparinux sodium	0.5 MG	0.8	10	20	200
43598-606-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.8	2	20	40
43598-606-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.8	10	20	200
43598-607-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.5	2	5	10
43598-607-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.5	10	5	50
43598-608-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.4	2	10	20
43598-608-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.4	10	10	100
43598-609-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.6	2	15	30
43598-609-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.6	10	15	150
55111-678-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.5	2	5	10
55111-678-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.5	10	5	50
55111-679-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.4	2	10	20
55111-679-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.4	10	10	100
55111-680-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.6	2	15	30
55111-680-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.6	10	15	150
55111-681-02	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.8	2	20	40
55111-681-10	J1652	DR. REDDY'S LABORATORIES, INC.	Fondaparinux sodium	0.5 MG	0.8	10	20	200
55150-230-10	J1652	AUROMEDICS PHARMA LLC	Fondaparinux sodium	0.5 MG	0.5	10	5	50
55150-231-10	J1652	AUROMEDICS PHARMA LLC	Fondaparinux sodium	0.5 MG	0.4	10	10	100
55150-232-10	J1652	AUROMEDICS PHARMA LLC	Fondaparinux sodium	0.5 MG	0.6	10	15	150
55150-233-10	J1652	AUROMEDICS PHARMA LLC	Fondaparinux sodium	0.5 MG	0.8	10	20	200
67457-582-10	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.5	10	5	50
67457-583-04	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.4	10	10	100
67457-584-06	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.6	10	15	150
67457-585-08	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.8	10	20	200
67457-592-10	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.5	10	5	50
67457-593-04	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.4	10	10	100
67457-594-06	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.6	10	15	150
67457-595-08	J1652	MYLAN INSTITUTIONAL LLC	Fondaparinux sodium	0.5 MG	0.8	10	20	200
70710-1514-6	J1652	ZYDUS PHARMACEUTICALS	Fondaparinux sodium	0.5 MG	0.5	10	5	50
70710-1514-9	J1652	ZYDUS PHARMACEUTICALS	Fondaparinux sodium	0.5 MG	0.5	2	5	10
70710-1515-6	J1652	ZYDUS PHARMACEUTICALS	Fondaparinux sodium	0.5 MG	0.4	10	10	100
13533-634-02	J1670	GRIFOLS USA, LLC	Tetanus immune globulin inj	250 UNITS	1	1	1	1
0009-0005-01	J1720	PFIZER INC.	Hydrocortisone sodium succ i	100 MG	1	1	10	10
0009-0011-04	J1720	PFIZER INC.	Hydrocortisone sodium succ i	100 MG	1	25	1	25
0009-0013-05	J1720	PFIZER INC.	Hydrocortisone sodium succ i	100 MG	1	1	2.5	2.5
0009-0013-06	J1720	PFIZER INC.	Hydrocortisone sodium succ i	100 MG	1	25	2.5	62.5
0009-0016-12	J1720	PFIZER INC.	Hydrocortisone sodium succ i	100 MG	1	1	5	5
0009-0825-01	J1720	PFIZER INC.	Hydrocortisone sodium succ i	100 MG	1	1	1	1
25021-827-61	J1740	SAGENT PHARMACEUTICALS INC	Ibandronate sodium injection	1 MG	3	1	3	3
55150-191-83	J1740	AUROMEDICS PHARMA LLC	Ibandronate sodium injection	1 MG	3	1	3	3
60505-6097-0	J1740	APOTEX CORP.	Ibandronate sodium injection	1 MG	3	1	3	3
67457-524-33	J1740	MYLAN INSTITUTIONAL LLC	Ibandronate sodium injection	1 MG	3	1	3	3
54092-700-01	J1743	TAKEDA PHARMACEUTICALS AMERICA, INC.	Idursulfase injection	1 MG	3	1	6	6
57894-030-01	J1745	JANSSEN BIOTECH, INC.	Infliximab not biosimil 10mg	10 MG	1	1	10	10
57894-160-01	J1745	JANSSEN BIOTECH, INC.	Infliximab not biosimil 10mg	10 MG	1	1	10	10
62064-122-02	J1746	THERATECHNOLOGIES INC.	Inj., ibalizumab-uiyk, 10 mg	10 MG	1.33	2	20	40
0023-6082-10	J1750	ALLERGAN SALES, LLC	Inj iron dextran	50 MG	2	10	2	20
0517-2310-05	J1756	AMERICAN REGENT	Iron sucrose injection	1 MG	10	5	200	1000
0517-2325-10	J1756	AMERICAN REGENT	Iron sucrose injection	1 MG	2.5	10	50	500
0517-2340-10	J1756	AMERICAN REGENT	Iron sucrose injection	1 MG	5	10	100	1000
0517-2340-25	J1756	AMERICAN REGENT	Iron sucrose injection	1 MG	5	25	100	2500
0517-2340-99	J1756	AMERICAN REGENT	Iron sucrose injection	1 MG	5	10	100	1000
49230-530-10	J1756	FRESENIUS MEDICAL CARE	Iron sucrose injection	1 MG	2.5	10	50	500
49230-530-25	J1756	FRESENIUS MEDICAL CARE	Iron sucrose injection	1 MG	2.5	25	50	1250
49230-534-10	J1756	FRESENIUS MEDICAL CARE	Iron sucrose injection	1 MG	5	10	100	1000
49230-534-25	J1756	FRESENIUS MEDICAL CARE	Iron sucrose injection	1 MG	5	25	100	2500
50090-4541-0	J1756	A-S MEDICATION SOLUTIONS	Iron sucrose injection	1 MG	5	1	100	100
58468-4663-1	J1786	GENZYME CORPORATION	Imuglucerase injection	10 UNITS	1	1	40	40
0002-7510-01	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	10	1	20	20
0002-7510-17	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	3	1	6	6
0002-7516-59	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	3	5	6	30
0002-7737-01	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	10	1	20	20
0002-7752-05	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	3	5	6	30
0002-8215-01	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	10	1	20	20
0002-8215-17	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	3	1	6	6
0002-8222-59	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	3	5	6	30
0002-8501-01	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	20	1	200	200
0002-8799-59	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	3	5	6	30
0169-1833-02	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	10	1	20	20
0169-1833-11	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	10	1	20	20
0169-2100-11	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	10	1	20	20
0169-2101-25	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	3	5	6	30
0169-2200-11	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	10	1	20	20
0169-2201-25	J1817	NOVO NORDISK INC	Insulin for insulin pump use	5 UNITS	3	5	6	30
0169-3205-15	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	3	5	6	30
0169-3303-12	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	3	5	6	30
0169-6339-10	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	3	5	6	30
0169-7501-11	J1817	NOVO NORDISK INC	Insulin for insulin pump use	50 UNITS	10	1	20	20
50090-1375-0	J1817	A-S MEDICATION SOLUTIONS	Insulin for insulin pump use	50 UNITS	10	1	20	20
50090-1664-0	J1817	A-S MEDICATION SOLUTIONS	Insulin for insulin pump use	50 UNITS	10	1	20	20
50090-1678-0	J1817	A-S MEDICATION SOLUTIONS	Insulin for insulin pump use	50 UNITS	3	5	6	30
50090-5391-0	J1817	A-S MEDICATION SOLUTIONS	Insulin for insulin pump use	50 UNITS	10	1	20	20
66733-773-01	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	10	1	20	20
66733-822-59	J1817	ELI LILLY AND COMPANY	Insulin for insulin pump use	50 UNITS	3	5	6	30
72677-551-01	J1823	HORIZON	Inj. inebilizumab-cdon, 1 mg	1 MG	10	3	100	300
0338-0069-10	J1885	BAXTER	Ketorolac tromethamine inj	15 MG	1	10	1	10
0338-0072-25	J1885	BAXTER	Ketorolac tromethamine inj	15 MG	1	25	2	50
0409-3793-01	J1885	PFIZER INC.	Ketorolac tromethamine inj	15 MG	1	25	1	25
0409-3795-01	J1885	PFIZER INC.	Ketorolac tromethamine inj	15 MG	1	25	2	50
0409-3796-01	J1885	PFIZER INC.	Ketorolac tromethamine inj	15 MG	2	25	4	100
0487-6232-01	J1885	NEPHRON PHARMACEUTICALS CORP.	Ketorolac tromethamine inj	15 MG	2	30	4	120
0641-6041-25	J1885	HIKMA PHARMACEUTICALS USA INC.	Ketorolac tromethamine inj	15 MG	1	25	1	25
0641-6042-25	J1885	HIKMA PHARMACEUTICALS USA INC.	Ketorolac tromethamine inj	15 MG	1	25	2	50
0641-6043-25	J1885	HIKMA PHARMACEUTICALS USA INC.	Ketorolac tromethamine inj	15 MG	2	25	4	100
25021-700-01	J1885	SAGENT PHARMACEUTICALS INC	Ketorolac tromethamine inj	15 MG	1	25	1	25
25021-701-01	J1885	SAGENT PHARMACEUTICALS INC	Ketorolac tromethamine inj	15 MG	1	25	2	50
25021-701-02	J1885	SAGENT PHARMACEUTICALS INC	Ketorolac tromethamine inj	15 MG	2	25	4	100
50090-3364-0	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	1	25	2	50
50090-3364-1	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	1	1	2	2
50090-3397-1	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	2	1	4	4
50090-4583-0	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	2	25	4	100
50090-4635-0	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	2	25	4	100
50090-4635-1	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	2	1	4	4
50090-5013-0	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	1	25	2	50
50090-5013-1	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	1	1	2	2
50090-5428-0	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	1	25	2	50
50090-5428-1	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 MG	1	1	2	2
50090-5609-0	J1885	A-S MEDICATION SOLUTIONS	Ketorolac tromethamine inj	15 mg	1	25	1	25
63323-161-01	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	25	1	25
63323-161-12	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	25	1	25
63323-161-16	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	25	1	25
63323-162-01	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	25	2	50
63323-162-02	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	2	25	4	100
63323-162-12	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	25	2	50
63323-162-14	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	2	25	4	100
63323-162-16	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	25	2	50
63323-162-26	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	2	25	4	100
70860-700-01	J1885	ATHENEX	Ketorolac tromethamine inj	15 MG	1	10	1	10
70860-700-02	J1885	ATHENEX	Ketorolac tromethamine inj	15 MG	1	25	1	25
70860-701-01	J1885	ATHENEX	Ketorolac tromethamine inj	15 MG	1	10	2	20
70860-701-02	J1885	ATHENEX	Ketorolac tromethamine inj	15 MG	2	10	4	40
70860-701-03	J1885	ATHENEX	Ketorolac tromethamine inj	15 MG	1	25	2	50
70860-701-04	J1885	ATHENEX	Ketorolac tromethamine inj	15 MG	2	25	4	100
72266-118-25	J1885	FOSUN PHARMA	Ketorolac tromethamine inj	15 MG	1	25	2	50
72266-119-25	J1885	FOSUN PHARMA	Ketorolac tromethamine inj	15 MG	2	25	4	100
72611-719-25	J1885	ALMAJECT	Ketorolac tromethamine inj	15 MG	1	25	1	25
72611-722-25	J1885	ALMAJECT	Ketorolac tromethamine inj	15 MG	1	25	2	50
72611-725-25	J1885	ALMAJECT	Ketorolac tromethamine inj	15 MG	2	25	4	100
76045-104-10	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	24	2	48
76045-105-20	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	2	24	4	96
76045-107-10	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	24	1	24
76045-209-10	J1885	FRESENIUS KABI	Ketorolac tromethamine inj	15 MG	1	24	2	48
15054-1060-4	J1930	IPSEN BIOPHARMACEUTICALS, INC	Lanreotide injection	1 MG	0.2	1	60	60
15054-1090-4	J1930	IPSEN BIOPHARMACEUTICALS, INC	Lanreotide injection	1 MG	0.3	1	90	90
15054-1120-4	J1930	IPSEN BIOPHARMACEUTICALS, INC	Lanreotide injection	1 MG	0.5	1	120	120
58468-0070-1	J1931	GENZYME CORPORATION	Laronidase injection	0.1 MG	5	1	29	29
0409-1639-10	J1940	PFIZER INC.	Furosemide injection	20 MG	10	10	5	50
0409-9631-04	J1940	PFIZER INC.	Furosemide injection	20 MG	4	10	2	20
16729-500-08	J1940	ACCORD HEALTHCARE INC.	Furosemide injection	20 MG	2	25	1	25
16729-501-43	J1940	ACCORD HEALTHCARE INC.	Furosemide injection	20 MG	4	10	2	20
16729-502-43	J1940	ACCORD HEALTHCARE INC.	Furosemide injection	20 MG	10	10	5	50
23155-473-41	J1940	HERITAGE PHARMACEUTICALS, INC.	Furosemide injection	20 MG	2	25	1	25
23155-473-42	J1940	HERITAGE PHARMACEUTICALS, INC.	Furosemide injection	20 MG	4	25	2	50
23155-473-44	J1940	HERITAGE PHARMACEUTICALS, INC.	Furosemide injection	20 MG	10	25	5	125
25021-311-02	J1940	SAGENT PHARMACEUTICALS INC	Furosemide injection	20 MG	2	25	1	25
25021-311-04	J1940	SAGENT PHARMACEUTICALS INC	Furosemide injection	20 MG	4	25	2	50
25021-311-10	J1940	SAGENT PHARMACEUTICALS INC	Furosemide injection	20 MG	10	25	5	125
36000-282-25	J1940	BAXTER	Furosemide injection	20 MG	2	25	1	25
36000-283-25	J1940	BAXTER	Furosemide injection	20 MG	4	25	2	50
36000-284-25	J1940	BAXTER	Furosemide injection	20 MG	10	25	5	125
55150-322-25	J1940	AUROMEDICS PHARMA LLC	Furosemide injection	20 MG	2	25	1	25
55150-323-25	J1940	AUROMEDICS PHARMA LLC	Furosemide injection	20 MG	4	25	2	50
55150-324-25	J1940	AUROMEDICS PHARMA LLC	Furosemide injection	20 MG	10	25	5	125
63323-280-02	J1940	FRESENIUS KABI	Furosemide injection	20 MG	2	25	1	25
63323-280-04	J1940	FRESENIUS KABI	Furosemide injection	20 MG	4	25	2	50
63323-280-10	J1940	FRESENIUS KABI	Furosemide injection	20 MG	10	25	5	125
63323-280-16	J1940	FRESENIUS KABI	Furosemide injection	20 MG	2	25	1	25
63323-280-26	J1940	FRESENIUS KABI	Furosemide injection	20 MG	4	25	2	50
63323-280-36	J1940	FRESENIUS KABI	Furosemide injection	20 MG	10	25	5	125
70121-1076-5	J1940	AMNEAL BIOSCIENCES	Furosemide injection	20 MG	10	25	5	125
70121-1163-5	J1940	AMNEAL BIOSCIENCES	Furosemide injection	20 MG	2	25	1	25
70121-1164-5	J1940	AMNEAL BIOSCIENCES	Furosemide injection	20 MG	4	25	2	50
70860-302-02	J1940	ATHENEX PHARMACEUTICAL DIVISION, LL	Furosemide injection	20 MG	1 EA	25	1	25
70860-302-04	J1940	ATHENEX PHARMACEUTICAL DIVISION, LL	Furosemide injection	20 MG	2 ML 1 EA	25	2	50
70860-302-10	J1940	ATHENEX PHARMACEUTICAL DIVISION, LL	Furosemide injection	20 MG	2.5 ML 1 EA	25	5	125
65757-500-03	J1943	ALKERMES, INC.	Inj., aristada initio, 1 mg	1 MG	2.4	1	675	675
65757-401-03	J1944	ALKERMES, INC.	Aripirazole lauroxil 1 mg	1 MG	1.6	1	441	441
65757-402-03	J1944	ALKERMES, INC.	Aripirazole lauroxil 1 mg	1 MG	2.4	1	662	662
65757-403-03	J1944	ALKERMES, INC.	Aripirazole lauroxil 1 mg	1 MG	3.2	1	882	882
65757-404-03	J1944	ALKERMES, INC.	Aripirazole lauroxil 1 mg	1 MG	3.9	1	1064	1064
0074-2108-03	J1950	ABBVIE US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	2	2
0074-2282-03	J1950	ABBVIE US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	3	3
0074-2440-03	J1950	ABBVIE US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	4	4
0074-3641-03	J1950	ABBVIE US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	1	1
0074-3663-03	J1950	ABBVIE US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	3	3
0074-3779-03	J1950	ABBVIE US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	3	3
0074-9694-03	J1950	ABBVIE US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	8	8
62935-153-50	J1951	TOLMAR	Inj fensolvi 0.25 mg	0.25 MG	1	1	180	180
0143-9574-25	J1953	HIKMA PHARMACEUTICALS USA INC.	Levetiracetam injection	10 MG	5	25	50	1250
0143-9673-25	J1953	HIKMA PHARMACEUTICALS USA INC.	Levetiracetam injection	10 MG	5	25	50	1250
0409-1886-02	J1953	PFIZER INC.	Levetiracetam injection	10 MG	5	25	50	1250
0409-1886-05	J1953	PFIZER INC.	Levetiracetam injection	10 MG	5	25	50	1250
0409-2011-25	J1953	PFIZER INC.	Levetiracetam injection	10 MG	5	25	50	1250
14789-110-05	J1953	NEXUS PHARMACEUTICAL INC	Levetiracetam injection	10 MG	100	10	50	500
14789-220-10	J1953	NEXUS PHARMACEUTICAL INC	Levetiracetam injection	10 MG	100	10	100	1000
14789-330-15	J1953	NEXUS PHARMACEUTICAL INC	Levetiracetam injection	10 MG	100	10	150	1500
25021-780-05	J1953	SAGENT PHARMACEUTICALS INC	Levetiracetam injection	10 MG	5	10	50	500
39822-4000-1	J1953	X-GEN PHARMACEUTICALS INC	Levetiracetam injection	10 MG	5	10	50	500
43598-635-10	J1953	DR. REDDY'S LABORATORIES, INC.	Levetiracetam injection	10 MG	100	10	50	500
43598-636-10	J1953	DR. REDDY'S LABORATORIES, INC.	Levetiracetam injection	10 MG	100	10	100	1000
43598-637-10	J1953	DR. REDDY'S LABORATORIES, INC.	Levetiracetam injection	10 MG	100	10	150	1500
43598-755-10	J1953	DR. REDDY'S LABORATORIES, INC.	Levetiracetam injection	10 MG	100	10	50	500
43598-757-10	J1953	DR. REDDY'S LABORATORIES, INC.	Levetiracetam injection	10 MG	100	10	100	1000
43598-759-10	J1953	DR. REDDY'S LABORATORIES, INC.	Levetiracetam injection	10 MG	100	10	150	1500
50474-002-63	J1953	UCB, INC.	Levetiracetam injection	10 MG	5	10	50	500
55150-177-05	J1953	AUROMEDICS PHARMA LLC	Levetiracetam injection	10 MG	5	10	50	500
55150-246-47	J1953	AUROMEDICS PHARMA LLC	Levetiracetam injection	10 MG	100	10	50	500
55150-247-47	J1953	AUROMEDICS PHARMA LLC	Levetiracetam injection	10 MG	100	10	100	1000
55150-248-47	J1953	AUROMEDICS PHARMA LLC	Levetiracetam injection	10 MG	100	10	150	1500
63323-400-05	J1953	FRESENIUS KABI	Levetiracetam injection	10 MG	5	10	50	500
63323-400-44	J1953	FRESENIUS KABI	Levetiracetam injection	10 MG	5	10	50	500
67457-255-10	J1953	MYLAN INSTITUTIONAL LLC	Levetiracetam injection	10 MG	100	10	50	500
67457-265-10	J1953	MYLAN INSTITUTIONAL LLC	Levetiracetam injection	10 MG	100	10	100	1000
67457-266-10	J1953	MYLAN INSTITUTIONAL LLC	Levetiracetam injection	10 MG	100	10	150	1500
67457-790-05	J1953	MYLAN INSTITUTIONAL LLC	Levetiracetam injection	10 MG	5	10	50	500
70860-602-82	J1953	ATHENEX	Levetiracetam injection	10 MG	100	10	50	500
70860-603-82	J1953	ATHENEX	Levetiracetam injection	10 MG	100	10	100	1000
70860-604-82	J1953	ATHENEX	Levetiracetam injection	10 MG	100	10	150	1500
54482-147-01	J1955	LEADIANT BIOSCIENCES, INC.	Inj levocarnitine per 1 gm	1 GM	5	5	1	5
0143-9315-24	J1956	HIKMA PHARMACEUTICALS USA INC.	Levofloxacin injection	250 MG	50	24	1	24
0143-9316-24	J1956	HIKMA PHARMACEUTICALS USA INC.	Levofloxacin injection	250 MG	100	24	2	48
0143-9317-24	J1956	HIKMA PHARMACEUTICALS USA INC.	Levofloxacin injection	250 MG	150	24	3	72
0143-9720-24	J1956	HIKMA PHARMACEUTICALS USA INC.	Levofloxacin injection	250 MG	150	24	3	72
0143-9721-24	J1956	HIKMA PHARMACEUTICALS USA INC.	Levofloxacin injection	250 MG	100	24	2	48
0143-9722-24	J1956	HIKMA PHARMACEUTICALS USA INC.	Levofloxacin injection	250 MG	50	24	1	24
17478-107-20	J1956	AKORN	Levofloxacin injection	250 MG	20	1	2	2
17478-107-30	J1956	AKORN	Levofloxacin injection	250 MG	30	1	3	3
25021-132-81	J1956	SAGENT PHARMACEUTICALS INC	Levofloxacin injection	250 MG	50	24	1	24
25021-132-82	J1956	SAGENT PHARMACEUTICALS INC	Levofloxacin injection	250 MG	100	24	2	48
25021-132-83	J1956	SAGENT PHARMACEUTICALS INC	Levofloxacin injection	250 MG	150	24	3	72
36000-046-24	J1956	BAXTER	Levofloxacin injection	250 MG	50	1	1	1
36000-047-24	J1956	BAXTER	Levofloxacin injection	250 MG	100	1	2	2
36000-048-24	J1956	BAXTER	Levofloxacin injection	250 MG	150	1	3	3
36000-294-24	J1956	BAXTER	Levofloxacin injection	250 MG	50	24	1	24
36000-295-24	J1956	BAXTER	Levofloxacin injection	250 MG	100	24	2	48
36000-296-24	J1956	BAXTER	Levofloxacin injection	250 MG	150	24	3	72
44567-435-24	J1956	WG CRITICAL CARE	Levofloxacin injection	250 MG	50	24	1	24
44567-436-24	J1956	WG CRITICAL CARE	Levofloxacin injection	250 MG	100	24	2	48
44567-437-24	J1956	WG CRITICAL CARE	Levofloxacin injection	250 MG	150	24	3	72
55150-156-20	J1956	AUROMEDICS PHARMA LLC	Levofloxacin injection	250 MG	20	1	2	2
55150-157-30	J1956	AUROMEDICS PHARMA LLC	Levofloxacin injection	250 MG	30	1	3	3
63323-355-50	J1956	FRESENIUS KABI	Levofloxacin injection	250 MG	50	24	1	24
63323-355-60	J1956	FRESENIUS KABI	Levofloxacin injection	250 MG	150	24	3	48
63323-355-65	J1956	FRESENIUS KABI	Levofloxacin injection	250 MG	100	24	2	72
0037-9001-05	J1980	MEDA PHARMACEUTICALS INC.	Hyoscyamine sulfate inj	0.25 MG	1	5	2	10
0264-9594-10	J2001	B. BRAUN MEDICAL INC.	Lidocaine injection	10 MG	500	24	200	4800
0264-9594-20	J2001	B. BRAUN MEDICAL INC.	Lidocaine injection	10 MG	250	24	100	2400
0264-9598-20	J2001	B. BRAUN MEDICAL INC.	Lidocaine injection	10 MG	250	24	200	4800
0338-0409-03	J2001	BAXTER	Lidocaine injection	10 MG	500	18	200	3600
0338-0411-02	J2001	BAXTER	Lidocaine injection	10 MG	250	1	200	200
50090-4555-0	J2001	A-S MEDICATION SOLUTIONS	Lidocaine injection	10 MG	250	1	200	200
0009-0555-01	J2010	PFIZER INC.	Lincomycin injection	300 MG	2	1	2	2
0009-0555-02	J2010	PFIZER INC.	Lincomycin injection	300 MG	10	1	10	10
39822-0350-2	J2010	X-GEN PHARMACEUTICALS INC	Lincomycin injection	300 MG	2	10	2	20
39822-0353-6	J2010	X-GEN PHARMACEUTICALS INC	Lincomycin injection	300 MG	10	10	10	100
50090-4533-0	J2010	A-S MEDICATION SOLUTIONS	Lincomycin injection	UP TO 300 MG	10	1	10	10
0009-4992-02	J2020	PFIZER INC.	Linezolid injection	200 MG	300	10	3	30
0009-5137-04	J2020	PFIZER INC.	Linezolid injection	200 MG	100	10	1	10
0009-5140-04	J2020	PFIZER INC.	Linezolid injection	200 MG	300	10	3	30
0009-7807-02	J2020	PFIZER INC.	Linezolid injection	200 MG	300	10	3	30
0409-4883-01	J2020	PFIZER INC.	Linezolid injection	200 MG	300	10	3	30
0781-3433-95	J2020	SANDOZ	Linezolid injection	200 MG	300	10	3	30
25021-169-87	J2020	SAGENT PHARMACEUTICALS INC	Linezolid injection	200 MG	300	10	3	30
55150-242-51	J2020	AUROMEDICS PHARMA LLC	Linezolid injection	200 MG	300	10	3	30
57664-683-57	J2020	CARACO PHARMACEUTICAL LABORATORIES LTD.	Linezolid injection	200 MG	300	10	3	30
63323-713-13	J2020	FRESENIUS KABI	Linezolid injection	200 MG	300	10	3	30
66794-219-43	J2020	PIRAMAL CRITICAL CARE	Linezolid injection	200 MG	300	10	3	30
67457-843-30	J2020	MYLAN INSTITUTIONAL LLC	Linezolid injection	200 MG	300	10	3	30
0409-1985-30	J2060	PFIZER INC.	Lorazepam injection	2 MG	1	10	1	10
0409-6778-02	J2060	PFIZER INC.	Lorazepam injection	2 MG	1	10	1	10
0409-6778-05	J2060	PFIZER INC.	Lorazepam injection	2 MG	1	10	1	10
0641-6000-10	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	10	10	10	100
0641-6001-25	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	1	25	1	25
0641-6002-10	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	10	10	20	200
0641-6003-25	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	1	25	2	50
0641-6044-25	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	1	25	1	25
0641-6045-25	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	1	25	2	50
0641-6046-10	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	10	10	10	100
0641-6047-10	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	10	10	20	200
0641-6048-25	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	1	25	1	25
0641-6049-25	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	1	25	2	50
0641-6050-10	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	10	10	10	100
0641-6051-10	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	10	10	20	200
0641-6207-25	J2060	HIKMA PHARMACEUTICALS USA INC.	Lorazepam injection	2 MG	1	25	1	25
17478-040-01	J2060	AKORN	Lorazepam injection	2 MG	1	10	1	10
72572-380-25	J2060	CIVICA INC	Lorazepam injection	2 MG	1	25	1	25
0409-4031-01	J2150	PFIZER INC.	Mannitol injection	50 ML	50	25	1	25
63323-024-25	J2150	FRESENIUS KABI	Mannitol injection	50 ML	50	25	1	25
0409-1176-30	J2175	PFIZER INC.	Meperidine hydrochl /100 mg	100 MG	1	10	0.25	2.5
0409-1178-30	J2175	PFIZER INC.	Meperidine hydrochl /100 mg	100 MG	1	10	0.5	5
0409-1179-30	J2175	PFIZER INC.	Meperidine hydrochl /100 mg	100 MG	1	10	0.75	7.5
0409-1180-69	J2175	PFIZER INC.	Meperidine hydrochl /100 mg	100 MG	1	10	1	10
0409-1181-30	J2175	PFIZER INC.	Meperidine hydrochl /100 mg	100 MG	30	1	15	15
0409-1362-01	J2175	PFIZER INC.	Meperidine hydrochl /100 mg	100 MG	1	10	0.25	2.5
0409-1418-01	J2175	PFIZER INC.	Meperidine hydrochl /100 mg	100 MG	1	10	0.5	5
0641-6052-25	J2175	HIKMA PHARMACEUTICALS USA INC.	Meperidine hydrochl /100 mg	100 MG	1	25	0.25	6.25
0641-6053-25	J2175	HIKMA PHARMACEUTICALS USA INC.	Meperidine hydrochl /100 mg	100 MG	1	25	0.5	12.5
0641-6054-25	J2175	HIKMA PHARMACEUTICALS USA INC.	Meperidine hydrochl /100 mg	100 MG	1	25	1	25
0173-0881-01	J2182	GLAXOSMITHKLINE	Injection, mepolizumab, 1mg	1 MG	1	1	100	100
0069-0314-10	J2185	PFIZER INC.	Meropenem	100 MG	1	10	10	100
0264-3183-11	J2185	B. BRAUN MEDICAL INC.	Meropenem	100 MG	1	24	5	120
0264-3185-11	J2185	B. BRAUN MEDICAL INC.	Meropenem	100 MG	1	24	10	240
0781-3000-95	J2185	SANDOZ	Meropenem	100 MG	1	10	5	50
0781-3098-95	J2185	SANDOZ	Meropenem	100 MG	1	10	10	100
44567-400-10	J2185	WG CRITICAL CARE	Meropenem	100 MG	1	10	5	50
44567-401-10	J2185	WG CRITICAL CARE	Meropenem	100 MG	1	10	10	100
55150-207-20	J2185	AUROMEDICS PHARMA LLC	Meropenem	100 MG	1	10	5	50
55150-208-30	J2185	AUROMEDICS PHARMA LLC	Meropenem	100 MG	1	10	10	100
63323-507-20	J2185	FRESENIUS KABI	Meropenem	100 MG	1	10	5	50
63323-507-21	J2185	FRESENIUS KABI	Meropenem	100 MG	1	10	5	50
63323-507-25	J2185	FRESENIUS KABI	Meropenem	100 MG	1	25	5	125
63323-508-25	J2185	FRESENIUS KABI	Meropenem	100 MG	1	25	10	250
63323-508-30	J2185	FRESENIUS KABI	Meropenem	100 MG	1	10	10	100
63323-508-31	J2185	FRESENIUS KABI	Meropenem	100 MG	1	10	10	100
68001-324-57	J2185	AMERICAN HEALTH PACKAGING	Meropenem	100 MG	1	10	10	100
70121-1453-7	J2185	AMNEAL BIOSCIENCES	Meropenem	100 MG	1	10	10	100
70121-1454-7	J2185	AMNEAL BIOSCIENCES	Meropenem	100 MG	1	10	5	50
70594-075-02	J2185	XELLIA PHARMACEUTICALS USA, LLC	Meropenem	100 MG	1	10	5	50
70594-076-02	J2185	XELLIA PHARMACEUTICALS USA, LLC	Meropenem	100 MG	1	10	10	100
72572-415-10	J2185	CIVICA INC	Meropenem	100 MG	1	10	5	50
72572-416-10	J2185	CIVICA INC	Meropenem	100 MG	1	10	10	100
0517-0740-20	J2210	AMERICAN REGENT	Methylergonovin maleate inj	0.2 MG	1	20	1	20
50090-4536-0	J2210	A-S MEDICATION SOLUTIONS	Methylergonovin maleate inj	0.2 MG	1	1	1	1
51991-144-17	J2210	BRECKENRIDGE PHARMACEUTICAL	Methylergonovin maleate inj	0.2 MG	1	10	1	10
0143-9361-01	J2248	HIKMA PHARMACEUTICALS USA INC.	Micafungin sodium injection	1 MG	1	1	50	50
0143-9362-01	J2248	HIKMA PHARMACEUTICALS USA INC.	Micafungin sodium injection	1 MG	1	1	100	100
0469-3211-10	J2248	ASTELLAS PHARMA US INC.	Micafungin sodium injection	1 MG	1	10	100	1000
0469-3211-99	J2248	ASTELLAS PHARMA US INC.	Micafungin sodium injection	1 MG	1	10	100	1000
0469-3250-10	J2248	ASTELLAS PHARMA US INC.	Micafungin sodium injection	1 MG	1	10	50	500
25021-190-10	J2248	SAGENT PHARMACEUTICALS INC	Micafungin sodium injection	1 MG	1	1	50	50
25021-191-10	J2248	SAGENT PHARMACEUTICALS INC	Micafungin sodium injection	1 MG	1	1	100	100
42023-229-10	J2248	PAR PHARMACEUTICAL, INC	Micafungin sodium injection	1 MG	1	10	100	1000
42023-230-10	J2248	PAR PHARMACEUTICAL, INC	Micafungin sodium injection	1 MG	1	10	200	2000
63323-728-10	J2248	FRESENIUS KABI	Micafungin sodium injection	1 MG	1	10	50	500
63323-729-10	J2248	FRESENIUS KABI	Micafungin sodium injection	1 MG	1	10	100	1000
70594-036-01	J2248	XELLIA PHARMACEUTICALS USA, LLC	Micafungin sodium injection	1 MG	1	1	50	50
70594-037-01	J2248	XELLIA PHARMACEUTICALS USA, LLC	Micafungin sodium injection	1 MG	1	1	100	100
0409-2305-05	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	5	10	5	50
0409-2305-17	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	2	25	2	50
0409-2305-50	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	5	10	5	50
0409-2308-01	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	1	10	5	50
0409-2308-02	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	2	10	10	100
0409-2308-49	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	1	10	5	50
0409-2308-50	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	2	10	10	100
0409-2587-05	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	10	10	10	100
0409-2596-03	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	5	10	25	250
0409-2596-05	J2250	PFIZER INC.	Inj midazolam hydrochloride	1 MG	10	10	50	500
0641-6056-10	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	10	10	10	100
0641-6057-25	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	2	25	2	50
0641-6059-10	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	5	10	5	50
0641-6060-10	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	10	10	50	500
0641-6061-10	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	1	10	5	50
0641-6061-25	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	1	25	5	125
0641-6063-25	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	2	25	10	250
0641-6190-10	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	10	10	50	500
0641-6209-25	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	2	25	2	50
0641-6210-10	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	5	10	5	50
0641-6211-10	J2250	HIKMA PHARMACEUTICALS USA INC.	Inj midazolam hydrochloride	1 MG	10	10	50	500
17478-524-10	J2250	AKORN	Inj midazolam hydrochloride	1 MG	10	10	50	500
23155-600-41	J2250	HERITAGE PHARMACEUTICALS, INC.	Inj midazolam hydrochloride	1 MG	2	25	2	50
23155-601-41	J2250	HERITAGE PHARMACEUTICALS, INC.	Inj midazolam hydrochloride	1 MG	5	10	25	250
23155-601-42	J2250	HERITAGE PHARMACEUTICALS, INC.	Inj midazolam hydrochloride	1 MG	10	10	50	500
44567-610-10	J2250	WG CRITICAL CARE	Inj midazolam hydrochloride	1 MG	50	10	50	500
44567-611-10	J2250	WG CRITICAL CARE	Inj midazolam hydrochloride	1 MG	100	10	100	1000
47781-589-91	J2250	ALVOGEN	Inj midazolam hydrochloride	1 MG	10	10	50	500
50090-0683-0	J2250	A-S MEDICATION SOLUTIONS	Inj midazolam hydrochloride	1 MG	10	10	50	500
50090-0683-1	J2250	A-S MEDICATION SOLUTIONS	Inj midazolam hydrochloride	1 MG	10	1	50	50
50090-0738-0	J2250	A-S MEDICATION SOLUTIONS	Inj midazolam hydrochloride	1 MG	10	10	10	100
50090-5342-0	J2250	A-S MEDICATION SOLUTIONS	Inj midazolam hydrochloride	1 MG	10	10	50	500
50090-5342-1	J2250	A-S MEDICATION SOLUTIONS	Inj midazolam hydrochloride	1 MG	10	1	50	50
50090-5472-0	J2250	A-S MEDICATION SOLUTIONS	Inj midazolam hydrochloride	1 MG	10	10	10	100
63323-411-10	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	10	10	10	100
63323-411-12	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	2	25	2	50
63323-411-25	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	5	25	5	125
63323-412-02	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	2	10	10	100
63323-412-10	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	10	10	50	500
63323-412-25	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	1	25	5	125
70860-600-02	J2250	ATHENEX	Inj midazolam hydrochloride	1 MG	2	25	2	50
70860-601-05	J2250	ATHENEX	Inj midazolam hydrochloride	1 MG	5	10	25	250
70860-601-10	J2250	ATHENEX	Inj midazolam hydrochloride	1 MG	10	10	50	500
72572-430-25	J2250	CIVICA INC	Inj midazolam hydrochloride	1 MG	2	25	2	50
72572-432-10	J2250	CIVICA INC	Inj midazolam hydrochloride	1 MG	5	10	5	50
72611-741-25	J2250	ALMAJECT	Inj midazolam hydrochloride	1 MG	2	25	2	50
72611-749-10	J2250	ALMAJECT	Inj midazolam hydrochloride	1 MG	10	10	50	500
76045-001-20	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	2	24	2	48
76045-002-10	J2250	FRESENIUS KABI	Inj midazolam hydrochloride	1 MG	1	24	5	120
0143-9326-10	J2260	HIKMA PHARMACEUTICALS USA INC.	Inj milrinone lactate / 5 mg	5 MG	20	10	4	40
0143-9373-10	J2260	HIKMA PHARMACEUTICALS USA INC.	Inj milrinone lactate / 5 mg	5 MG	10	10	2	20
0143-9374-10	J2260	HIKMA PHARMACEUTICALS USA INC.	Inj milrinone lactate / 5 mg	5 MG	20	10	4	40
0143-9709-10	J2260	HIKMA PHARMACEUTICALS USA INC.	Inj milrinone lactate / 5 mg	5 MG	20	10	4	40
0143-9718-10	J2260	HIKMA PHARMACEUTICALS USA INC.	Inj milrinone lactate / 5 mg	5 MG	200	10	8	80
0143-9719-10	J2260	HIKMA PHARMACEUTICALS USA INC.	Inj milrinone lactate / 5 mg	5 MG	100	10	4	40
0338-6010-48	J2260	BAXTER	Inj milrinone lactate / 5 mg	5 MG	100	1	4	4
0338-6011-37	J2260	BAXTER	Inj milrinone lactate / 5 mg	5 MG	200	1	8	8
0409-0212-01	J2260	PFIZER INC.	Inj milrinone lactate / 5 mg	5 MG	10	10	2	20
0409-0212-02	J2260	PFIZER INC.	Inj milrinone lactate / 5 mg	5 MG	20	10	4	40
0409-0212-03	J2260	PFIZER INC.	Inj milrinone lactate / 5 mg	5 MG	50	1	10	10
25021-313-82	J2260	SAGENT PHARMACEUTICALS INC	Inj milrinone lactate / 5 mg	5mg	100	10	4	40
25021-313-87	J2260	SAGENT PHARMACEUTICALS INC	Inj milrinone lactate / 5 mg	5mg	200	10	8	80
55150-287-10	J2260	AUROMEDICS PHARMA LLC	Inj milrinone lactate / 5 mg	5 MG	100	10	4	40
55150-288-10	J2260	AUROMEDICS PHARMA LLC	Inj milrinone lactate / 5 mg	5 MG	200	10	8	80
63323-617-10	J2260	FRESENIUS KABI	Inj milrinone lactate / 5 mg	5 MG	10	10	2	20
63323-617-20	J2260	FRESENIUS KABI	Inj milrinone lactate / 5 mg	5 MG	20	10	4	40
63323-617-50	J2260	FRESENIUS KABI	Inj milrinone lactate / 5 mg	5 MG	50	1	10	10
0409-1134-03	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	20	1	100	100
0409-1134-05	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	50	1	250	250
0409-1890-01	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	1	10	0.2	2
0409-1890-23	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	1	10	0.2	2
0409-1891-01	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	1	10	0.4	4
0409-1891-23	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	1	10	0.4	4
0409-1892-01	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	1	10	0.8	8
0409-1893-01	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	1	10	1	10
0409-1893-23	J2270	PFIZER INC.	Morphine sulfate injection	10 MG	1	10	1	10
0641-6125-25	J2270	HIKMA PHARMACEUTICALS USA INC.	Morphine sulfate injection	10 MG	1	25	0.4	10
0641-6126-25	J2270	HIKMA PHARMACEUTICALS USA INC.	Morphine sulfate injection	10 MG	1	25	0.8	20
0641-6127-25	J2270	HIKMA PHARMACEUTICALS USA INC.	Morphine sulfate injection	10 MG	1	25	1	25
63323-451-01	J2270	FRESENIUS KABI	Morphine sulfate injection	10 MG	1	25	1	25
63323-452-01	J2270	FRESENIUS KABI	Morphine sulfate injection	10 MG	1	25	0.2	5
63323-454-01	J2270	FRESENIUS KABI	Morphine sulfate injection	10 MG	1	25	0.4	10
63323-455-01	J2270	FRESENIUS KABI	Morphine sulfate injection	10 MG	1	25	0.5	12.5
63323-458-01	J2270	FRESENIUS KABI	Morphine sulfate injection	10 MG	1	25	0.8	20
72572-440-25	J2270	CIVICA INC	Morphine sulfate injection	10 MG	1	25	0.4	10
76045-004-11	J2270	FRESENIUS KABI	Morphine sulfate injection	10 MG	1	10	0.2	2
76045-005-11	J2270	FRESENIUS KABI	Morphine sulfate injection	10 MG	1	10	0.4	4
0409-3814-12	J2274	PFIZER INC.	Inj morphine pf epid ithc	10 MG	10	5	0.5	2.5
0409-3815-12	J2274	PFIZER INC.	Inj morphine pf epid ithc	10 MG	10	5	1	5
0641-6019-10	J2274	HIKMA PHARMACEUTICALS USA INC.	Inj morphine pf epid ithc	10 MG	10	10	1	10
0641-6020-10	J2274	HIKMA PHARMACEUTICALS USA INC.	Inj morphine pf epid ithc	10 MG	10	10	0.5	5
0641-6039-01	J2274	HIKMA PHARMACEUTICALS USA INC.	Inj morphine pf epid ithc	10 MG	20	1	20	20
0641-6040-01	J2274	HIKMA PHARMACEUTICALS USA INC.	Inj morphine pf epid ithc	10 MG	20	1	50	50
66794-160-02	J2274	PIRAMAL CRITICAL CARE	Inj morphine pf epid ithc	10 MG	20	1	20	20
66794-162-02	J2274	PIRAMAL CRITICAL CARE	Inj morphine pf epid ithc	10 MG	20	1	50	50
18860-720-10	J2278	JAZZ PHARMACEUTICALS, INC.	Ziconotide injection	1 MCG	1	1	100	100
18860-722-10	J2278	JAZZ PHARMACEUTICALS, INC.	Ziconotide injection	1 MCG	5	1	500	500
18860-723-10	J2278	JAZZ PHARMACEUTICALS, INC.	Ziconotide injection	1 MCG	20	1	500	500
70720-720-10	J2278	TERSERA THERAPEUTICS LLC	Ziconotide injection	1 MCG	1	1	100	100
70720-722-10	J2278	TERSERA THERAPEUTICS LLC	Ziconotide injection	1 MCG	5	1	500	500
70720-723-10	J2278	TERSERA THERAPEUTICS LLC	Ziconotide injection	1 MCG	20	1	500	500
63323-850-74	J2280	FRESENIUS KABI	Inj, moxifloxacin 100 mg	100 MG	250	12	4	48
67457-323-25	J2280	MYLAN INSTITUTIONAL LLC	Inj, moxifloxacin 100 mg	100 MG	250	12	4	48
0409-1463-01	J2300	PFIZER INC.	Inj nalbuphine hydrochloride	10 MG	1	10	1	10
0409-1463-49	J2300	PFIZER INC.	Inj nalbuphine hydrochloride	10 MG	1	10	1	10
0409-1464-01	J2300	PFIZER INC.	Inj nalbuphine hydrochloride	10 MG	10	25	10	250
0409-1465-01	J2300	PFIZER INC.	Inj nalbuphine hydrochloride	10 MG	1	10	2	20
0409-1467-01	J2300	PFIZER INC.	Inj nalbuphine hydrochloride	10 MG	10	25	20	500
0409-1215-01	J2310	PFIZER INC.	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
0409-1219-01	J2310	PFIZER INC.	Inj naloxone hydrochloride	1 MG	10	25	4	100
0409-1782-69	J2310	PFIZER INC.	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
0641-6132-25	J2310	HIKMA PHARMACEUTICALS USA INC.	Inj naloxone hydrochloride	1 MG	1	25	0.4	10
17478-041-01	J2310	AKORN	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
17478-042-10	J2310	AKORN	Inj naloxone hydrochloride	1 MG	10	1	4	4
43598-750-58	J2310	DR. REDDY'S LABORATORIES, INC.	Inj naloxone hydrochloride	1 MG	2	10	2	20
50090-3294-0	J2310	A-S MEDICATION SOLUTIONS	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
50090-5427-0	J2310	A-S MEDICATION SOLUTIONS	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
55150-327-10	J2310	AUROMEDICS PHARMA LLC	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
55150-328-10	J2310	AUROMEDICS PHARMA LLC	Inj naloxone hydrochloride	1 MG	10	10	4	40
55150-345-10	J2310	AUROMEDICS PHARMA LLC	Inj naloxone hydrochloride	1 MG	2	10	2	20
67457-292-02	J2310	MYLAN INSTITUTIONAL LLC	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
67457-299-10	J2310	MYLAN INSTITUTIONAL LLC	Inj naloxone hydrochloride	1 MG	10	10	4	40
67457-599-02	J2310	MYLAN INSTITUTIONAL LLC	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
67457-645-02	J2310	MYLAN INSTITUTIONAL LLC	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
67457-987-10	J2310	MYLAN INSTITUTIONAL LLC	Inj naloxone hydrochloride	1 MG	10	10	4	40
72572-450-25	J2310	CIVICA INC	Inj naloxone hydrochloride	1 MG	1	25	0.4	10
65757-300-01	J2315	ALKERMES, INC.	Naltrexone, depot form	1 MG	1	1	380	380
64406-008-01	J2323	BIOGEN	Natalizumab injection	1 MG	15	1	300	300
50242-150-01	J2350	GENENTECH, INC.	Injection, ocrelizumab, 1 mg	1 MG	10	1	300	300
0078-0811-81	J2353	NOVARTIS PHARMACEUTICALS CORPORATION	Octreotide injection, depot	1 MG	1	1	10	10
0078-0818-81	J2353	NOVARTIS PHARMACEUTICALS CORPORATION	Octreotide injection, depot	1 MG	1	1	20	20
0078-0825-81	J2353	NOVARTIS PHARMACEUTICALS CORPORATION	Octreotide injection, depot	1 MG	1	1	30	30
0078-0180-01	J2354	NOVARTIS PHARMACEUTICALS CORPORATION	Octreotide inj, non-depot	25 MCG	1	10	2	20
0078-0181-01	J2354	NOVARTIS PHARMACEUTICALS CORPORATION	Octreotide inj, non-depot	25 MCG	1	10	4	40
0078-0182-01	J2354	NOVARTIS PHARMACEUTICALS CORPORATION	Octreotide inj, non-depot	25 MCG	1	10	20	200
0641-6174-10	J2354	HIKMA PHARMACEUTICALS USA INC.	Octreotide inj, non-depot	25 MCG	1	10	2	20
0641-6175-10	J2354	HIKMA PHARMACEUTICALS USA INC.	Octreotide inj, non-depot	25 MCG	1	10	4	40
0641-6176-10	J2354	HIKMA PHARMACEUTICALS USA INC.	Octreotide inj, non-depot	25 MCG	1	10	20	200
0641-6177-01	J2354	HIKMA PHARMACEUTICALS USA INC.	Octreotide inj, non-depot	25 MCG	5	1	40	40
0641-6178-01	J2354	HIKMA PHARMACEUTICALS USA INC.	Octreotide inj, non-depot	25 MCG	5	1	200	200
0703-3301-04	J2354	SICOR PHARMACEUTICALS, INC.	Octreotide inj, non-depot	25 MCG	1	25	2	50
0703-3311-04	J2354	SICOR PHARMACEUTICALS, INC.	Octreotide inj, non-depot	25 MCG	1	25	4	100
0703-3321-04	J2354	SICOR PHARMACEUTICALS, INC.	Octreotide inj, non-depot	25 MCG	1	25	20	500
0703-3333-01	J2354	SICOR PHARMACEUTICALS, INC.	Octreotide inj, non-depot	25 MCG	5	1	40	40
0703-3343-01	J2354	SICOR PHARMACEUTICALS, INC.	Octreotide inj, non-depot	25 MCG	5	1	200	200
25021-451-01	J2354	SAGENT PHARMACEUTICALS INC	Octreotide inj, non-depot	25 MCG	1	10	2	20
25021-452-01	J2354	SAGENT PHARMACEUTICALS INC	Octreotide inj, non-depot	25 MCG	1	10	4	40
25021-453-01	J2354	SAGENT PHARMACEUTICALS INC	Octreotide inj, non-depot	25 MCG	1	10	20	200
25021-454-05	J2354	SAGENT PHARMACEUTICALS INC	Octreotide inj, non-depot	25 MCG	5	1	40	40
25021-455-05	J2354	SAGENT PHARMACEUTICALS INC	Octreotide inj, non-depot	25 MCG	5	1	200	200
63323-376-01	J2354	FRESENIUS KABI	Octreotide inj, non-depot	25 MCG	1	10	4	40
63323-376-04	J2354	FRESENIUS KABI	Octreotide inj, non-depot	25 MCG	1	10	4	40
63323-377-01	J2354	FRESENIUS KABI	Octreotide inj, non-depot	25 MCG	1	10	20	200
63323-377-04	J2354	FRESENIUS KABI	Octreotide inj, non-depot	25 MCG	1	10	20	200
63323-378-05	J2354	FRESENIUS KABI	Octreotide inj, non-depot	25 MCG	5	1	40	40
63323-379-05	J2354	FRESENIUS KABI	Octreotide inj, non-depot	25 MCG	5	1	200	200
67457-239-01	J2354	MYLAN INSTITUTIONAL LLC	Octreotide inj, non-depot	25 MCG	1	10	2	20
67457-245-01	J2354	MYLAN INSTITUTIONAL LLC	Octreotide inj, non-depot	25 MCG	1	10	4	40
67457-246-01	J2354	MYLAN INSTITUTIONAL LLC	Octreotide inj, non-depot	25 MCG	1	10	20	200
50242-040-62	J2357	GENENTECH, INC.	Omalizumab injection	5 MG	1	1	30	30
50242-214-01	J2357	GENENTECH, INC.	Omalizumab injection	5 MG	0.5	1	15	15
50242-215-01	J2357	GENENTECH, INC.	Omalizumab injection	5 MG	1	1	30	30
0002-7635-11	J2358	ELI LILLY AND COMPANY	Olanzapine long-acting inj	1 MG	1	1	210	210
0002-7636-11	J2358	ELI LILLY AND COMPANY	Olanzapine long-acting inj	1 MG	1	1	300	300
0002-7637-11	J2358	ELI LILLY AND COMPANY	Olanzapine long-acting inj	1 MG	1	1	405	405
0641-6182-10	J2360	HIKMA PHARMACEUTICALS USA INC.	Orphenadrine injection	60 MG	2	10	1	10
17478-538-02	J2360	AKORN	Orphenadrine injection	60 MG	2	10	1	10
0143-9209-10	J2400	HIKMA PHARMACEUTICALS USA INC.	Chloroprocaine hcl injection	30 ML	20	10	0.667	6.67
0143-9210-10	J2400	HIKMA PHARMACEUTICALS USA INC.	Chloroprocaine hcl injection	30 ML	20	10	0.667	6.67
0264-7055-10	J2400	B. BRAUN MEDICAL INC.	Chloroprocaine hcl injection	30 ML	5	10	0.167	1.67
63323-475-37	J2400	FRESENIUS KABI	Chloroprocaine hcl injection	30 ML	30	25	1	25
63323-476-37	J2400	FRESENIUS KABI	Chloroprocaine hcl injection	30 ML	30	25	1	25
63323-477-27	J2400	FRESENIUS KABI	Chloroprocaine hcl injection	30 ML	20	25	0.667	16.667
63323-478-27	J2400	FRESENIUS KABI	Chloroprocaine hcl injection	30 ML	20	25	0.667	16.667
0143-9890-01	J2405	HIKMA PHARMACEUTICALS USA INC.	Ondansetron hcl injection	1 MG	20	1	40	40
0143-9890-10	J2405	HIKMA PHARMACEUTICALS USA INC.	Ondansetron hcl injection	1 MG	20	10	40	400
0409-4755-03	J2405	PFIZER INC.	Ondansetron hcl injection	1 MG	2	25	4	100
0409-4759-01	J2405	PFIZER INC.	Ondansetron hcl injection	1 MG	20	1	40	40
0641-6078-25	J2405	HIKMA PHARMACEUTICALS USA INC.	Ondansetron hcl injection	1 MG	2	25	4	100
0641-6079-01	J2405	HIKMA PHARMACEUTICALS USA INC.	Ondansetron hcl injection	1 MG	20	1	40	40
0641-6080-25	J2405	HIKMA PHARMACEUTICALS USA INC.	Ondansetron hcl injection	1 MG	2	25	4	100
16729-297-83	J2405	ACCORD HEALTHCARE INC.	Ondansetron hcl injection	1 MG	2	5	4	20
16729-298-05	J2405	ACCORD HEALTHCARE INC.	Ondansetron hcl injection	1 MG	20	1	40	40
23155-547-41	J2405	HERITAGE PHARMACEUTICALS, INC.	Ondansetron hcl injection	1 MG	2	10	4	40
23155-547-42	J2405	HERITAGE PHARMACEUTICALS, INC.	Ondansetron hcl injection	1 MG	2	25	4	100
23155-548-41	J2405	HERITAGE PHARMACEUTICALS, INC.	Ondansetron hcl injection	1 MG	2	10	4	40
23155-548-42	J2405	HERITAGE PHARMACEUTICALS, INC.	Ondansetron hcl injection	1 MG	2	25	4	100
23155-549-31	J2405	HERITAGE PHARMACEUTICALS, INC.	Ondansetron hcl injection	1 MG	20	1	40	40
23155-550-31	J2405	HERITAGE PHARMACEUTICALS, INC.	Ondansetron hcl injection	1 MG	20	1	40	40
25021-777-02	J2405	SAGENT PHARMACEUTICALS INC	Ondansetron hcl injection	1 MG	2	25	4	100
36000-012-25	J2405	BAXTER	Ondansetron hcl injection	1 MG	2	25	4	100
55150-125-02	J2405	AUROMEDICS PHARMA LLC	Ondansetron hcl injection	1 MG	2	25	4	100
55150-126-20	J2405	AUROMEDICS PHARMA LLC	Ondansetron hcl injection	1 MG	20	1	40	40
60505-6130-5	J2405	APOTEX CORP.	Ondansetron hcl injection	1 MG	2	25	4	100
63323-373-02	J2405	FRESENIUS KABI	Ondansetron hcl injection	1 MG	2	25	4	100
63323-374-20	J2405	FRESENIUS KABI	Ondansetron hcl injection	1 MG	20	1	40	40
70860-776-02	J2405	ATHENEX	Ondansetron hcl injection	1 MG	2	25	4	100
70860-777-20	J2405	ATHENEX	Ondansetron hcl injection	1 MG	20	1	40	40
70860-777-21	J2405	ATHENEX	Ondansetron hcl injection	1 MG	20	10	40	400
72266-123-25	J2405	FOSUN PHARMA	Ondansetron hcl injection	1 MG	2	25	4	100
72266-124-01	J2405	FOSUN PHARMA	Ondansetron hcl injection	1 MG	20	1	40	40
72572-520-25	J2405	CIVICA INC	Ondansetron hcl injection	1 MG	2	25	4	100
76045-103-20	J2405	FRESENIUS KABI	Ondansetron hcl injection	1 MG	2	24	4	96
70842-225-01	J2406	MELINTA THERAPEUTICS, INC.	Injection, oritavancin 10 mg	10 MG	1	1	120	120
70842-140-03	J2407	MELINTA THERAPEUTICS, INC.	Injection, oritavancin	10 MG	1	3	40	120
66658-112-03	J2425	SOBI	Palifermin injection	50 MCG	1	3	125	375
66658-112-06	J2425	SOBI	Palifermin injection	50 MCG	1	6	125	750
50458-560-01	J2426	JANSSEN PHARMACEUTICALS, INC.	Paliperidone palmitate inj	1 MG	0.25	1	39	39
50458-561-01	J2426	JANSSEN PHARMACEUTICALS, INC.	Paliperidone palmitate inj	1 MG	0.5	1	78	78
50458-562-01	J2426	JANSSEN PHARMACEUTICALS, INC.	Paliperidone palmitate inj	1 MG	0.75	1	117	117
50458-563-01	J2426	JANSSEN PHARMACEUTICALS, INC.	Paliperidone palmitate inj	1 MG	1	1	156	156
50458-564-01	J2426	JANSSEN PHARMACEUTICALS, INC.	Paliperidone palmitate inj	1 MG	1.5	1	234	234
50458-611-01	J2426	JANSSEN PHARMACEUTICALS, INC.	Paliperidone palmitate inj	1 MG	3.5	1	1092	1092
50458-612-01	J2426	JANSSEN PHARMACEUTICALS INC.	Paliperidone palmitate inj	1 MG	5	1	1560	1560
61703-324-18	J2430	PFIZER INC.	Pamidronate disodium /30 mg	30 MG	10	1	1	1
61703-325-18	J2430	PFIZER INC.	Pamidronate disodium /30 mg	30 MG	10	1	2	2
61703-326-18	J2430	PFIZER INC.	Pamidronate disodium /30 mg	30 MG	10	1	3	3
67457-430-10	J2430	MYLAN INSTITUTIONAL LLC	Pamidronate disodium /30 mg	30 MG	10	1	1	1
67457-446-10	J2430	MYLAN INSTITUTIONAL LLC	Pamidronate disodium /30 mg	30 MG	1	1	3	3
0143-9513-01	J2469	HIKMA PHARMACEUTICALS USA INC.	Palonosetron hcl	25 MCG	2	1	10	10
0409-2504-10	J2469	PFIZER INC.	Palonosetron hcl	25 MCG	5	1	10	10
0703-4094-01	J2469	SICOR PHARMACEUTICALS, INC.	Palonosetron hcl	25 MCG	5	1	10	10
0781-3312-75	J2469	SANDOZ	Palonosetron hcl	25 MCG	5	1	10	10
0781-3415-75	J2469	SANDOZ	Palonosetron hcl	25 MCG	5	1	10	10
16714-834-01	J2469	NORTHSTAR RX LLC	Palonosetron hcl	25 MCG	5	1	10	10
16729-365-66	J2469	ACCORD HEALTHCARE INC.	Palonosetron hcl	25 MCG	5	1	10	10
25021-783-05	J2469	SAGENT PHARMACEUTICALS INC	Palonosetron hcl	25 MCG	5	1	10	10
25021-788-74	J2469	SAGENT PHARMACEUTICALS INC	Palonosetron hcl	25 MCG	5	5	10	50
36000-326-02	J2469	BAXTER	Palonosetron hcl	25 MCG	5	1	10	10
50742-485-05	J2469	INGENUS PHARMACEUTICALS, LLC	Palonosetron hcl	25 MCG	5	1	10	10
55111-694-07	J2469	DR. REDDY'S LABORATORIES, INC.	Palonosetron hcl	25 MCG	5	1	10	10
55150-186-05	J2469	AUROMEDICS PHARMA LLC	Palonosetron hcl	25 MCG	5	1	10	10
60505-6193-1	J2469	APOTEX CORP.	Palonosetron hcl	25 MCG	5	1	10	10
62856-797-01	J2469	HELSINN THERAPUTICS (US) INC	Palonosetron hcl	25 MCG	5	1	10	10
63323-673-05	J2469	FRESENIUS KABI	Palonosetron hcl	25 MCG	5	1	10	10
63323-673-89	J2469	FRESENIUS KABI	Palonosetron hcl	25 MCG	5	10	10	100
67457-317-25	J2469	MYLAN INSTITUTIONAL LLC	Palonosetron hcl	25 MCG	5	1	10	10
68001-355-25	J2469	AMERICAN HEALTH PACKAGING	Palonosetron hcl	25 MCG	5	1	10	10
69097-439-35	J2469	CIPLA USA INC.	Palonosetron hcl	25 MCG	5	1	10	10
69097-927-35	J2469	CIPLA USA INC.	Palonosetron hcl	25 MCG	5	1	10	10
69543-371-10	J2469	VIRTUS PHARMACEUTICAL	Palonosetron hcl	25 MCG	5	10	10	100
69639-103-01	J2469	HELSINN THERAPUTICS (US) INC	Palonosetron hcl	25 MCG	5	1	10	10
0074-1658-01	J2501	ABBVIE US, LLC	Paricalcitol	1 MCG	1	25	5	125
0074-1658-05	J2501	ABBVIE US, LLC	Paricalcitol	1 MCG	2	25	10	250
0074-4637-01	J2501	ABBVIE US, LLC	Paricalcitol	1 MCG	1	25	2	50
16729-310-08	J2501	ACCORD HEALTHCARE INC.	Paricalcitol	1 MCG	1	25	2	50
16729-311-08	J2501	ACCORD HEALTHCARE INC.	Paricalcitol	1 MCG	1	25	5	125
16729-311-93	J2501	ACCORD HEALTHCARE INC.	Paricalcitol	1 MCG	2	25	10	250
43598-563-25	J2501	DR. REDDY'S LABORATORIES, INC.	Paricalcitol	1 MCG	1	25	2	50
43598-564-25	J2501	DR. REDDY'S LABORATORIES, INC.	Paricalcitol	1 MCG	1	25	5	125
43598-565-10	J2501	DR. REDDY'S LABORATORIES, INC.	Paricalcitol	1 MCG	2	25	10	250
55150-212-01	J2501	AUROMEDICS PHARMA LLC	Paricalcitol	1 MCG	1	25	2	50
55150-213-01	J2501	AUROMEDICS PHARMA LLC	Paricalcitol	1 MCG	1	25	5	125
55150-215-02	J2501	AUROMEDICS PHARMA LLC	Paricalcitol	1 MCG	2	25	10	250
67457-379-25	J2501	MYLAN INSTITUTIONAL LLC	Paricalcitol	1 MCG	1	25	2	50
67457-380-25	J2501	MYLAN INSTITUTIONAL LLC	Paricalcitol	1 MCG	1	25	5	125
67457-389-25	J2501	MYLAN INSTITUTIONAL LLC	Paricalcitol	1 MCG	2	25	10	250
55513-190-01	J2506	AMGEN USA, INC.	Inj pegfilgrast ex bio 0.5mg	0.5 mg	0.6	1	12	12
55513-192-01	J2506	AMGEN USA, INC.	Inj pegfilgrast ex bio 0.5mg	0.5 mg	0.6	1	12	12
75987-080-10	J2507	HORIZON	Pegloticase injection	1 MG	1	1	8	8
60793-130-10	J2510	PFIZER INC.	Penicillin g procaine inj	up to 600000 UNITS	1	10	1	10
60793-131-10	J2510	PFIZER INC.	Penicillin g procaine inj	up to 600000 UNITS	2	10	2	20
17478-181-20	J2515	AKORN	Pentobarbital sodium inj	50 MG	20	1	20	20
24201-010-20	J2515	LEUCADIA PHARMACEUTICALS	Pentobarbital sodium inj	50 MG	20	1	20	20
24201-010-50	J2515	LEUCADIA PHARMACEUTICALS	Pentobarbital sodium inj	50 MG	50	1	50	50
25021-676-20	J2515	SAGENT PHARMACEUTICALS INC	Pentobarbital sodium inj	50 MG	20	1	20	20
25021-676-50	J2515	SAGENT PHARMACEUTICALS INC	Pentobarbital sodium inj	50 MG	50	1	50	50
76478-501-20	J2515	OAK	Pentobarbital sodium inj	50 MG	20	1	20	20
76478-501-50	J2515	OAK	Pentobarbital sodium inj	50 MG	50	1	50	50
0049-0420-10	J2540	PFIZER INC.	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0049-0430-20	J2540	PFIZER INC.	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
0049-0520-22	J2540	PFIZER INC.	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0049-0520-83	J2540	PFIZER INC.	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0049-0530-22	J2540	PFIZER INC.	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
0049-0530-28	J2540	PFIZER INC.	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
0338-1021-41	J2540	BAXTER	Penicillin g potassium inj	600000 UNITS	50	1	1.67	1.67
0338-1023-41	J2540	BAXTER	Penicillin g potassium inj	600000 UNITS	50	1	3.33	3.33
0338-1025-41	J2540	BAXTER	Penicillin g potassium inj	600000 UNITS	50	1	5	5
0781-6135-95	J2540	SANDOZ	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0781-6136-94	J2540	SANDOZ	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
44567-311-10	J2540	WG CRITICAL CARE	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
70860-126-20	J2540	ATHENEX	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
70860-127-51	J2540	ATHENEX	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
0206-8860-02	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	50	24	2	48
0206-8861-02	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	50	24	3	72
0206-8862-02	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	100	12	4	48
0409-2999-14	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	1	1	12	12
0409-3374-02	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0409-3378-13	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0409-3379-04	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
0409-3383-02	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0409-3385-13	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0409-3390-04	J2543	PFIZER INC.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
0781-3110-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0781-3113-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0781-3114-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	4	40
0781-9210-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0781-9213-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0781-9214-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	4	40
25021-164-30	J2543	SAGENT PHARMACEUTICALS INC	Piperacillin/tazobactam	1.125 GM	1	10	2	20
25021-165-30	J2543	SAGENT PHARMACEUTICALS INC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
25021-166-48	J2543	SAGENT PHARMACEUTICALS INC	Piperacillin/tazobactam	1.125 GM	1	10	4	40
25021-176-20	J2543	SAGENT PHARMACEUTICALS INC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
25021-181-99	J2543	SAGENT PHARMACEUTICALS INC	Piperacillin/tazobactam	1.125 GM	1	1	36	36
44567-801-10	J2543	WG CRITICAL CARE	Piperacillin/tazobactam	1.125 GM	1	10	2	20
44567-802-10	J2543	WG CRITICAL CARE	Piperacillin/tazobactam	1.125 GM	1	10	3	30
44567-803-10	J2543	WG CRITICAL CARE	Piperacillin/tazobactam	1.125 GM	1	10	4	40
44567-804-01	J2543	WG CRITICAL CARE	Piperacillin/tazobactam	1.125 GM	1	1	36	36
55150-119-30	J2543	AUROMEDICS PHARMA LLC	Piperacillin/tazobactam	1.125 GM	1	10	2	20
55150-120-30	J2543	AUROMEDICS PHARMA LLC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
55150-121-50	J2543	AUROMEDICS PHARMA LLC	Piperacillin/tazobactam	1.125 GM	1	10	4	40
60505-6156-4	J2543	APOTEX CORP.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
60505-6157-4	J2543	APOTEX CORP.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
60505-6159-4	J2543	APOTEX CORP.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
61990-0110-2	J2543	APOLLO PHARMACEUTICALS USA INC.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
61990-0120-2	J2543	APOLLO PHARMACEUTICALS USA INC.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
61990-0130-2	J2543	APOLLO PHARMACEUTICALS USA INC.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
61990-0140-1	J2543	APOLLO PHARMACEUTICALS USA INC.	Piperacillin/tazobactam	1.125 GM	1	1	12	12
61990-0150-1	J2543	APOLLO PHARMACEUTICALS USA INC.	Piperacillin/tazobactam	1.125 GM	1	1	36	36
63323-300-30	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	3	30
63323-300-36	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	3	30
63323-304-74	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	1	36	36
63323-304-78	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	1	36	36
63323-304-94	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	1	36	36
63323-309-20	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	2	20
63323-320-50	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-320-56	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-981-21	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	2	20
63323-981-53	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	2	20
63323-982-52	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-982-54	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-983-21	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	3	30
63323-983-53	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	3	30
65219-256-00	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	1	36	36
65219-256-24	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	1	36	36
65219-256-28	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	1	36	36
65219-259-45	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	4	40
65219-259-55	J2543	FRESENIUS KABI	Piperacillin/tazobactam	1.125 GM	1	10	4	40
66794-216-41	J2543	PIRAMAL CRITICAL CARE	Piperacillin/tazobactam	1.125 GM	1	10	2	20
66794-217-41	J2543	PIRAMAL CRITICAL CARE	Piperacillin/tazobactam	1.125 GM	1	10	3	30
66794-218-41	J2543	PIRAMAL CRITICAL CARE	Piperacillin/tazobactam	1.125 GM	1	10	4	40
70594-078-02	J2543	XELLIA PHARMACEUTICALS USA, LLC	Piperacillin/tazobactam	1.125 GM	1	10	2	20
70594-079-02	J2543	XELLIA PHARMACEUTICALS USA, LLC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
70594-080-02	J2543	XELLIA PHARMACEUTICALS USA, LLC	Piperacillin/tazobactam	1.125 GM	1	10	4	40
70860-120-20	J2543	ATHENEX	Piperacillin/tazobactam	1.125 GM	1	10	2	20
70860-121-30	J2543	ATHENEX	Piperacillin/tazobactam	1.125 GM	1	10	3	30
70860-122-50	J2543	ATHENEX	Piperacillin/tazobactam	1.125 GM	1	10	4	40
70860-123-99	J2543	ATHENEX	Piperacillin/tazobactam	1.125 GM	1	1	36	36
72572-573-10	J2543	CIVICA INC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
72572-574-10	J2543	CIVICA INC	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-877-15	J2545	FRESENIUS KABI	Pentamidine non-comp unit	300 MG	1	1	1	1
0641-0928-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-0929-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	1	25
0641-0948-35	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-0949-35	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	1	25
0641-0955-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-0956-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	1	25
0641-1495-35	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-1496-35	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	1	25
0641-6082-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-6083-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	1	25
0641-6084-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-6085-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	1	25
0641-6208-25	J2550	HIKMA PHARMACEUTICALS USA INC.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
39822-5525-3	J2550	X-GEN PHARMACEUTICALS INC	Promethazine hcl injection	50 MG	1	25	0.5	12.5
39822-5550-6	J2550	X-GEN PHARMACEUTICALS INC	Promethazine hcl injection	50 MG	1	25	1	25
50090-0879-0	J2550	A-S MEDICATION SOLUTIONS	Promethazine hcl injection	50 MG	1	25	1	25
0641-0476-25	J2560	HIKMA PHARMACEUTICALS USA INC.	Phenobarbital sodium inj	120 MG	1	25	0.54	13.5
0641-0477-25	J2560	HIKMA PHARMACEUTICALS USA INC.	Phenobarbital sodium inj	120 MG	1	25	1.08	27
42494-415-03	J2560	CAMERON PHARMACEUTICALS	Phenobarbital sodium inj	120 MG	1	3	0.54	1.62
42494-415-25	J2560	CAMERON PHARMACEUTICALS	Phenobarbital sodium inj	120 MG	1	25	0.54	13.5
42494-416-03	J2560	CAMERON PHARMACEUTICALS	Phenobarbital sodium inj	120 MG	1	3	1.08	3.24
42494-416-25	J2560	CAMERON PHARMACEUTICALS	Phenobarbital sodium inj	120 MG	1	25	1.08	27
0024-5862-01	J2562	SANOFI-AVENTIS	Plerixafor injection	1 MG	1.2	1	24	24
16714-015-01	J2597	NORTHSTAR RX LLC	Inj desmopressin acetate	1 MCG	10	1	40	40
25021-460-01	J2597	SAGENT PHARMACEUTICALS INC	Inj desmopressin acetate	1 MCG	1	10	4	40
25021-461-10	J2597	SAGENT PHARMACEUTICALS INC	Inj desmopressin acetate	1 MCG	10	1	40	40
43598-931-09	J2597	DR. REDDY'S LABORATORIES, INC.	Inj desmopressin acetate	1 MCG	1	10	4	40
55566-2200-0	J2597	FERRING PHARMACEUTICALS, INC.	Inj desmopressin acetate	1 MCG	1	10	4	40
55566-2300-0	J2597	FERRING PHARMACEUTICALS, INC.	Inj desmopressin acetate	1 MCG	10	1	40	40
62756-529-40	J2597	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj desmopressin acetate	1 MCG	10	1	40	40
69918-899-10	J2597	AMRING PHARMACEUTICALS	Inj desmopressin acetate	1 MCG	1	10	4	40
69918-899-11	J2597	AMRING PHARMACEUTICALS, INC.	Inj desmopressin acetate	1 MCG	1	10	4	40
69918-901-10	J2597	AMRING PHARMACEUTICALS	Inj desmopressin acetate	1 MCG	10	1	40	40
69918-901-11	J2597	AMRING PHARMACEUTICALS, INC.	Inj desmopressin acetate	1 MCG	10	1	40	40
70860-454-01	J2597	ATHENEX	Inj desmopressin acetate	1 MCG	1	10	4	40
70860-454-10	J2597	ATHENEX	Inj desmopressin acetate	1 MCG	10	1	40	40
0143-9725-01	J2675	HIKMA PHARMACEUTICALS USA INC.	Inj progesterone per 50 mg	50 MG	10	1	10	10
0591-3128-79	J2675	ACTAVIS PHARMA, INC.	Inj progesterone per 50 mg	50 MG	10	1	10	10
55150-306-10	J2675	AUROMEDICS PHARMA LLC	Inj progesterone per 50 mg	50 MG	10	1	10	10
63323-261-10	J2675	FRESENIUS KABI	Inj progesterone per 50 mg	50 MG	10	1	10	10
0143-9529-01	J2680	HIKMA PHARMACEUTICALS USA INC.	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
42023-129-01	J2680	PAR PHARMACEUTICAL, INC	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
42023-129-89	J2680	PAR PHARMACEUTICAL, INC	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
55150-267-05	J2680	AUROMEDICS PHARMA LLC	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
63323-272-05	J2680	FRESENIUS KABI	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
67457-359-59	J2680	MYLAN INSTITUTIONAL LLC	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
0409-1902-01	J2690	PFIZER INC.	Procainamide hcl injection	1 GM	10	25	1	25
0409-1903-01	J2690	PFIZER INC.	Procainamide hcl injection	1 GM	2	25	1	25
14789-900-02	J2690	NEXUS PHARMACEUTICAL INC	Procainamide hcl injection	1 GM	2	10	1	10
14789-901-10	J2690	NEXUS PHARMACEUTICAL INC	Procainamide hcl injection	1 GM	10	10	1	10
0338-1013-41	J2700	BAXTER	Oxacillin sodium injeciton	250 MG	50	1	4	4
0338-1015-41	J2700	BAXTER	Oxacillin sodium injeciton	250 MG	50	1	8	8
25021-146-10	J2700	SAGENT PHARMACEUTICALS INC	Oxacillin sodium injeciton	250 MG	1	10	4	40
25021-162-24	J2700	SAGENT PHARMACEUTICALS INC	Oxacillin sodium injeciton	250 MG	1	10	8	80
25021-162-68	J2700	SAGENT PHARMACEUTICALS INC	Oxacillin sodium injeciton	250 MG	1	10	8	80
25021-163-68	J2700	SAGENT PHARMACEUTICALS INC	Oxacillin sodium injeciton	250 MG	1	10	40	400
25021-163-97	J2700	SAGENT PHARMACEUTICALS INC	Oxacillin sodium injeciton	250 MG	1	1	40	40
25021-163-99	J2700	SAGENT PHARMACEUTICALS INC	Oxacillin sodium injeciton	250 MG	1	10	40	400
55150-127-15	J2700	AUROMEDICS PHARMA LLC	Oxacillin sodium injeciton	250 MG	1	10	4	40
55150-128-24	J2700	AUROMEDICS PHARMA LLC	Oxacillin sodium injeciton	250 MG	1	10	8	80
55150-129-99	J2700	AUROMEDICS PHARMA LLC	Oxacillin sodium injeciton	250 MG	1	1	40	40
63323-811-00	J2700	FRESENIUS KABI	Oxacillin sodium injeciton	250 MG	1	1	40	40
63323-812-20	J2700	FRESENIUS KABI	Oxacillin sodium injeciton	250 MG	1	10	8	80
63323-813-20	J2700	FRESENIUS KABI	Oxacillin sodium injeciton	250 MG	1	10	4	40
66794-226-41	J2700	PIRAMAL CRITICAL CARE	Oxacillin sodium injeciton	250 MG	1	10	8	80
66794-227-41	J2700	PIRAMAL CRITICAL CARE	Oxacillin sodium injeciton	250 MG	1	10	40	400
0069-0209-10	J2704	PFIZER INC.	Inj, propofol, 10 mg	10 MG	20	10	20	200
0069-0234-20	J2704	PFIZER INC.	Inj, propofol, 10 mg	10 MG	50	20	50	1000
0069-0248-10	J2704	PFIZER INC.	Inj, propofol, 10 mg	10 MG	100	10	100	1000
0409-4699-24	J2704	PFIZER INC.	Inj, propofol, 10 mg	10 MG	100	10	100	1000
0409-4699-30	J2704	PFIZER INC.	Inj, propofol, 10 mg	10 MG	20	5	20	100
0409-4699-33	J2704	PFIZER INC.	Inj, propofol, 10 mg	10 MG	50	20	50	1000
0591-2136-51	J2704	ACTAVIS PHARMA, INC.	Inj, propofol, 10 mg	10 MG	50	20	50	1000
0591-2136-68	J2704	ACTAVIS PHARMA, INC.	Inj, propofol, 10 mg	10 MG	100	10	100	1000
0591-2136-95	J2704	ACTAVIS PHARMA, INC.	Inj, propofol, 10 mg	10 MG	20	25	20	500
0641-6194-10	J2704	HIKMA PHARMACEUTICALS USA INC.	Inj, propofol, 10 mg	10 MG	20	10	20	200
0641-6195-20	J2704	HIKMA PHARMACEUTICALS USA INC.	Inj, propofol, 10 mg	10 MG	50	20	50	1000
0641-6196-10	J2704	HIKMA PHARMACEUTICALS USA INC.	Inj, propofol, 10 mg	10 MG	100	10	100	1000
25021-608-20	J2704	SAGENT PHARMACEUTICALS INC	Inj, propofol, 10 mg	10 MG	20	25	20	500
25021-608-50	J2704	SAGENT PHARMACEUTICALS INC	Inj, propofol, 10 mg	10 MG	50	20	50	1000
25021-608-51	J2704	SAGENT PHARMACEUTICALS INC	Inj, propofol, 10 mg	10 MG	100	10	100	1000
43598-265-25	J2704	DR. REDDY'S LABORATORIES, INC.	Inj, propofol, 10 mg	10 MG	20	25	20	500
43598-265-58	J2704	DR. REDDY'S LABORATORIES, INC.	Inj, propofol, 10 mg	10 MG	20	10	20	200
43598-548-21	J2704	DR. REDDY'S LABORATORIES, INC.	Inj, propofol, 10 mg	10 MG	50	20	50	1000
43598-549-10	J2704	DR. REDDY'S LABORATORIES, INC.	Inj, propofol, 10 mg	10 MG	100	10	100	1000
63323-269-10	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	10	10	10	100
63323-269-16	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	10	10	10	100
63323-269-29	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	20	10	20	200
63323-269-37	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	20	10	20	200
63323-269-50	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	50	20	50	1000
63323-269-57	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	50	20	50	1000
63323-269-59	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	50	20	50	1000
63323-269-65	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	100	10	100	1000
63323-269-67	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	100	10	100	1000
63323-269-69	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	100	10	100	1000
63323-269-70	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	20	10	20	200
63323-269-77	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	50	20	50	1000
63323-269-78	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	100	10	100	1000
63323-269-94	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	20	10	20	200
65219-800-10	J2704	FRESENIUS KABI	Inj, propofol, 10 mg	10 MG	20	10	20	200
72572-590-10	J2704	CIVICA	Inj, propofol, 10 mg	10 MG	20	10	20	200
72572-601-20	J2704	CIVICA	Inj, propofol, 10 mg	10 MG	50	20	50	1000
72572-612-10	J2704	CIVICA	Inj, propofol, 10 mg	10 MG	100	10	100	1000
63323-229-05	J2720	FRESENIUS KABI	Inj protamine sulfate/10 mg	10 MG	5	25	5	125
63323-229-15	J2720	FRESENIUS KABI	Inj protamine sulfate/10 mg	10 MG	5	25	5	125
63323-229-30	J2720	FRESENIUS KABI	Inj protamine sulfate/10 mg	10 MG	25	1	25	25
63323-229-35	J2720	FRESENIUS KABI	Inj protamine sulfate/10 mg	10 MG	25	1	25	25
63323-229-94	J2720	FRESENIUS KABI	Inj protamine sulfate/10 mg	10 MG	5	25	5	125
63323-229-95	J2720	FRESENIUS KABI	Inj protamine sulfate/10 mg	10 MG	25	1	25	25
0944-4177-05	J2724	TAKEDA PHARMACEUTICALS AMERICA, INC.	Protein c concentrate	10 UNITS	1	1	0.1	0.1
0944-4179-10	J2724	TAKEDA PHARMACEUTICALS AMERICA, INC.	Protein c concentrate	10 UNITS	1	1	0.1	0.1
0143-9564-01	J2760	HIKMA PHARMACEUTICALS USA INC.	Phentolaine mesylate inj	5 MG	1	1	1	1
0143-9564-10	J2760	HIKMA PHARMACEUTICALS USA INC.	Phentolaine mesylate inj	5 MG	1	10	1	10
0409-3414-01	J2765	PFIZER INC.	Metoclopramide hcl injection	10 MG	2	25	1	25
0703-4502-04	J2765	SICOR PHARMACEUTICALS, INC.	Metoclopramide hcl injection	10 MG	2	25	1	25
23155-240-41	J2765	HERITAGE PHARMACEUTICALS, INC.	Metoclopramide hcl injection	10 MG	2	25	1	25
76045-101-20	J2765	FRESENIUS KABI	Metoclopramide hcl injection	10 MG	2	24	1	24
61570-260-10	J2770	PFIZER INC.	Quinupristin/dalfopristin	500 MG	1	10	1	10
50242-080-02	J2778	GENENTECH, INC.	Ranibizumab injection	0.1 mg	0.05	1	5	5
50242-080-03	J2778	GENENTECH, INC.	Ranibizumab injection	0.1 mg	0.05	1	5	5
50242-082-02	J2778	GENENTECH, INC.	Ranibizumab injection	0.1 mg	0.05	1	3	3
50242-082-03	J2778	GENENTECH, INC.	Ranibizumab injection	0.1 MG	0.05	1	3	3
50242-078-12	J2779	Genentech Usa, Inc.	Inj, susvimo 0.1 mg	0.1 MG	0.1	1	100	100
50242-078-55	J2779	Genentech Usa, Inc.	Inj, susvimo 0.1 mg	0.1 MG	0.1	1	100	100
0024-5150-10	J2783	SANOFI-AVENTIS	Rasburicase	0.5 MG	1	3	3	9
0024-5151-75	J2783	SANOFI-AVENTIS	Rasburicase	0.5 MG	7.5	1	15	15
0469-6501-89	J2785	ASTELLAS PHARMA US INC.	Regadenoson injection	0.1 MG	5	1	4	4
59310-610-31	J2786	IVAX LABS INC.	Injection, reslizumab, 1mg	1mg	10	1	100	100
0562-7806-01	J2788	KEDRION BIOPHARMA, INC.	Rho d immune globulin 50 mcg	50 MCG (250 IU)	1	1	1	1
0562-7806-05	J2788	KEDRION BIOPHARMA, INC.	Rho d immune globulin 50 mcg	50 MCG (250 IU)	1	5	1	5
0562-7806-25	J2788	KEDRION BIOPHARMA, INC.	Rho d immune globulin 50 mcg	50 MCG (250 IU)	1	25	1	25
13533-661-06	J2788	GRIFOLS USA, LLC	Rho d immune globulin 50 mcg	50 MCG	1	10	1	10
0562-7805-01	J2790	KEDRION BIOPHARMA, INC.	Rho d immune globulin inj	300 MCG (1500 IU)	1	1	1	1
0562-7805-05	J2790	KEDRION BIOPHARMA, INC.	Rho d immune globulin inj	300 MCG (1500 IU)	1	5	1	5
0562-7805-25	J2790	KEDRION BIOPHARMA, INC.	Rho d immune globulin inj	300 MCG (1500 IU)	1	25	1	25
13533-631-02	J2790	GRIFOLS USA, LLC	Rho d immune globulin inj	300 MCG (1500 IU)	1	1	1	1
13533-631-11	J2790	GRIFOLS USA, LLC	Rho d immune globulin inj	300 MCG (1500 IU)	1	10	1	10
44206-300-01	J2791	CSL BEHRING LLC	Rhophylac injection	100 UNITS	2	1	15	15
44206-300-10	J2791	CSL BEHRING LLC	Rhophylac injection	100 UNITS	2	10	15	150
70257-300-51	J2792	SAOL THERAPEUTICS	Rho(d) immune globulin h, sd	100 IU	13	1	150	150
70257-310-51	J2792	SAOL THERAPEUTICS	Rho(d) immune globulin h, sd	100 IU	4.4	1	50	50
70257-330-51	J2792	SAOL THERAPEUTICS	Rho(d) immune globulin h, sd	100 IU	1.3	1	15	15
70257-350-51	J2792	SAOL THERAPEUTICS	Rho(d) immune globulin h, sd	100 IU	2.2	1	25	25
70504-3100-2	J2792	SAOL THERAPEUTICS	Rho(d) immune globulin h, sd	100 IU	4.4	1	50	50
50458-306-11	J2794	JANSSEN PHARMACEUTICALS, INC.	Inj risperdal consta, 0.5 mg	0.5 MG	1	1	50	50
50458-307-11	J2794	JANSSEN PHARMACEUTICALS, INC.	Inj risperdal consta, 0.5 mg	0.5 MG	1	1	75	75
50458-308-11	J2794	JANSSEN PHARMACEUTICALS, INC.	Inj risperdal consta, 0.5 mg	0.5 MG	1	1	100	100
50458-309-11	J2794	JANSSEN PHARMACEUTICALS, INC.	Inj risperdal consta, 0.5 mg	0.5 MG	1	1	25	25
0143-9263-10	J2795	HIKMA PHARMACEUTICALS USA INC.	Ropivacaine hcl injection	1 MG	20	10	40	400
0409-9300-10	J2795	PFIZER INC.	Ropivacaine hcl injection	1 MG	10	10	20	200
0409-9300-20	J2795	PFIZER INC.	Ropivacaine hcl injection	1 MG	20	10	40	400
0409-9301-30	J2795	PFIZER INC.	Ropivacaine hcl injection	1 MG	30	10	150	1500
0409-9302-20	J2795	PFIZER INC.	Ropivacaine hcl injection	1 MG	20	10	150	1500
0409-9303-10	J2795	PFIZER INC.	Ropivacaine hcl injection	1 MG	10	10	100	1000
0409-9303-20	J2795	PFIZER INC.	Ropivacaine hcl injection	1 MG	20	10	200	2000
17478-081-30	J2795	AKORN	Ropivacaine hcl injection	1 MG	30	1	150	150
17478-082-90	J2795	AKORN	Ropivacaine hcl injection	1 MG	100	6	200	1200
17478-082-92	J2795	AKORN	Ropivacaine hcl injection	1 MG	200	6	400	2400
25021-652-82	J2795	SAGENT PHARMACEUTICALS INC	Ropivacaine hcl injection	1 MG	100	10	500	5000
25021-652-87	J2795	SAGENT PHARMACEUTICALS INC	Ropivacaine hcl injection	1 MG	200	10	1000	10000
25021-671-66	J2795	SAGENT PHARMACEUTICALS INC	Ropivacaine hcl injection	1 MG	100	10	200	2000
25021-671-67	J2795	SAGENT PHARMACEUTICALS INC	Ropivacaine hcl injection	1 MG	200	10	400	4000
25021-671-82	J2795	SAGENT PHARMACEUTICALS INC	Ropivacaine hcl injection	1 MG	100	10	200	2000
25021-671-87	J2795	SAGENT PHARMACEUTICALS INC	Ropivacaine hcl injection	1 MG	200	10	400	4000
43066-015-10	J2795	BAXTER	Ropivacaine hcl injection	1 MG	20	10	40	400
43066-019-10	J2795	BAXTER	Ropivacaine hcl injection	1 MG	20	10	100	1000
43066-023-10	J2795	BAXTER	Ropivacaine hcl injection	1 MG	30	10	150	1500
43066-027-10	J2795	BAXTER	Ropivacaine hcl injection	1 MG	20	10	200	2000
55150-195-20	J2795	AUROMEDICS PHARMA LLC	Ropivacaine hcl injection	1 MG	20	25	40	1000
55150-196-99	J2795	AUROMEDICS PHARMA LLC	Ropivacaine hcl injection	1 MG	100	1	200	200
55150-197-20	J2795	AUROMEDICS PHARMA LLC	Ropivacaine hcl injection	1 MG	20	25	100	2500
55150-198-30	J2795	AUROMEDICS PHARMA LLC	Ropivacaine hcl injection	1 MG	30	25	150	3750
55150-199-20	J2795	AUROMEDICS PHARMA LLC	Ropivacaine hcl injection	1 MG	20	25	150	3750
55150-200-10	J2795	AUROMEDICS PHARMA LLC	Ropivacaine hcl injection	1 MG	10	25	100	2500
55150-201-20	J2795	AUROMEDICS PHARMA LLC	Ropivacaine hcl injection	1 MG	20	25	200	5000
63323-285-10	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	10	5	20	100
63323-285-13	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	10	25	20	500
63323-285-20	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	5	40	200
63323-285-23	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	25	40	1000
63323-285-28	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	25	40	1000
63323-285-61	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	100	24	200	4800
63323-285-63	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	200	24	400	9600
63323-285-64	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	200	12	400	4800
63323-285-65	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	100	12	200	2400
63323-285-67	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	100	12	200	2400
63323-285-68	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	100	12	200	2400
63323-285-73	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	200	12	400	4800
63323-286-00	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	100	12	500	6000
63323-286-20	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	5	100	500
63323-286-23	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	25	100	2500
63323-286-27	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	25	100	2500
63323-286-31	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	30	5	150	750
63323-286-35	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	30	25	150	3750
63323-286-38	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	30	25	150	3750
63323-286-63	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	200	12	1000	12000
63323-286-95	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	30	25	150	3750
63323-287-20	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	5	150	750
63323-287-21	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	25	150	3750
63323-288-10	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	10	5	100	500
63323-288-11	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	10	25	100	2500
63323-288-20	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	5	200	1000
63323-288-21	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	25	200	5000
63323-288-27	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	5	200	1000
63323-288-29	J2795	FRESENIUS KABI	Ropivacaine hcl injection	1 MG	20	25	200	5000
55513-221-01	J2796	AMGEN USA, INC.	Romiplostim injection	10 MCG	1	1	25	25
55513-222-01	J2796	AMGEN USA, INC.	Romiplostim injection	10 MCG	1	1	50	50
55513-223-01	J2796	AMGEN USA, INC.	Romiplostim injection	10 MCG	1	1	12.5	12.5
12496-0090-1	J2798	INDIVIOR INC.	Inj., perseris, 0.5 mg	0.5 MG	1	1	180	180
12496-0120-1	J2798	INDIVIOR INC.	Inj., perseris, 0.5 mg	0.5 MG	1	1	240	240
0517-1825-10	J2800	AMERICAN REGENT	Methocarbamol injection	10 ML	10	10	1	10
0641-6103-25	J2800	HIKMA PHARMACEUTICALS USA INC.	Methocarbamol injection	10 ML	10	25	1	25
0641-6217-25	J2800	HIKMA PHARMACEUTICALS USA INC.	Methocarbamol injection	10 ML	10	25	1	25
25021-675-10	J2800	SAGENT PHARMACEUTICALS INC	Methocarbamol injection	10 ML	10	25	1	25
43598-839-36	J2800	DR. REDDY'S LABORATORIES, INC.	Methocarbamol injection	10 ML	10	10	1	10
55150-223-10	J2800	AUROMEDICS PHARMA LLC	Methocarbamol injection	10 ML	10	25	1	25
63323-778-10	J2800	FRESENIUS KABI	Methocarbamol injection	10 ML	10	25	1	25
67457-273-10	J2800	MYLAN INSTITUTIONAL LLC	Methocarbamol injection	10 ML	10	25	1	25
0270-0556-15	J2805	BRACCO DIAGNOSTICS	Sincalide injection	5 MCG	1	10	1	10
71837-5843-5	J2820	PARTNER THERAPEUTICS INC.	Sargramostim injection	50 MCG	1	5	5	25
73090-420-01	J2860	EUSA PHARMA (UK) LIMITED	Injection, siltuximab	10 MG	1	1	10	10
73090-421-01	J2860	EUSA PHARMA (UK) LIMITED	Injection, siltuximab	10 MG	1	1	40	40
0024-2792-10	J2916	SANOFI-AVENTIS	Na ferric gluconate complex	12.5 MG	5	10	5	50
0024-2794-10	J2916	SANOFI-AVENTIS	Na ferric gluconate complex	12.5 MG	5	10	5	50
0143-9298-10	J2916	HIKMA PHARMACEUTICALS USA INC.	Na ferric gluconate complex	12.5 MG	5	10	5	50
0143-9570-10	J2916	HIKMA PHARMACEUTICALS USA INC.	Na ferric gluconate complex	12.5 MG	5	10	5	50
0009-0039-06	J2920	PFIZER INC.	Methylprednisolone injection	40 MG	1	25	1	25
0009-0039-28	J2920	PFIZER INC.	Methylprednisolone injection	40 MG	1	25	1	25
0009-0039-32	J2920	PFIZER INC.	Methylprednisolone injection	40 MG	1	25	1	25
63323-255-03	J2920	FRESENIUS KABI	Methylprednisolone injection	40 MG	3	25	1	25
70121-1000-5	J2920	AMNEAL BIOSCIENCES	Methylprednisolone injection	40 MG	1	25	1	25
0009-0003-02	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	1	4	4
0009-0018-20	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	1	8	8
0009-0047-04	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	25	1	25
0009-0047-22	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	25	1	25
0009-0047-26	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	25	1	25
0009-0698-01	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	1	8	8
0009-0698-02	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	1	8	8
0009-0758-01	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	1	4	4
0009-0850-01	J2930	PFIZER INC.	Methylprednisolone injection	125 MG	1	1	16	16
0143-9850-01	J2930	HIKMA PHARMACEUTICALS USA INC.	Methylprednisolone injection	125 MG	1	1	4	4
0143-9851-01	J2930	HIKMA PHARMACEUTICALS USA INC.	Methylprednisolone injection	125 MG	1	1	8	8
50090-0271-0	J2930	A-S MEDICATION SOLUTIONS	Methylprednisolone injection	125 MG	1	1	1	1
50090-0271-1	J2930	A-S MEDICATION SOLUTIONS	Methylprednisolone injection	125 MG	1	1	1	1
54569-1555-1	J2930	A-S MEDICATION SOLUTIONS	Methylprednisolone injection	125 MG	1	25	1	25
63323-258-03	J2930	FRESENIUS KABI	Methylprednisolone injection	125 MG	1	25	1	25
63323-265-30	J2930	FRESENIUS KABI	Methylprednisolone injection	125 MG	1	1	8	8
70121-1001-5	J2930	AMNEAL BIOSCIENCES	Methylprednisolone injection	125 MG	1	25	1	25
50242-041-10	J2997	GENENTECH, INC.	Alteplase recombinant	1 MG	1	10	2	20
50242-041-64	J2997	GENENTECH, INC.	Alteplase recombinant	1 MG	1	1	2	2
50242-044-13	J2997	GENENTECH, INC.	Alteplase recombinant	1 MG	1	1	50	50
50242-085-27	J2997	GENENTECH, INC.	Alteplase recombinant	1 MG	1	1	100	100
39822-0706-2	J3000	X-GEN PHARMACEUTICALS INC	Streptomycin injection	1 GM	1	10	1	10
0409-1276-32	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	2	10	1	10
0409-9093-11	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	2	10	1	10
0409-9093-32	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	2	10	1	10
0409-9093-35	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	5	10	2.5	25
0409-9094-22	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	2	25	1	25
0409-9094-25	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	5	25	2.5	62.5
0409-9094-28	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	10	25	5	125
0409-9094-31	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	20	25	10	250
0409-9094-61	J3010	PFIZER INC.	Fentanyl citrate injection	0.1 MG	50	25	25	625
0641-6027-25	J3010	HIKMA PHARMACEUTICALS USA INC.	Fentanyl citrate injection	0.1 MG	2	25	1	25
0641-6028-25	J3010	HIKMA PHARMACEUTICALS USA INC.	Fentanyl citrate injection	0.1 MG	5	25	2.5	62.5
0641-6029-01	J3010	HIKMA PHARMACEUTICALS USA INC.	Fentanyl citrate injection	0.1mg	20	1	10	10
0641-6029-25	J3010	HIKMA PHARMACEUTICALS USA INC.	Fentanyl citrate injection	0.1 MG	20	25	10	250
0641-6030-01	J3010	HIKMA PHARMACEUTICALS USA INC.	Fentanyl citrate injection	0.1 MG	50	1	25	25
0641-6247-25	J3010	HIKMA PHARMACEUTICALS USA INC.	Fentanyl citrate injection	0.1 MG	1	25	0.5	12.5
17478-030-02	J3010	AKORN	Fentanyl citrate injection	0.1 MG	2	10	1	10
17478-030-05	J3010	AKORN	Fentanyl citrate injection	0.1 MG	5	10	2.5	25
63323-806-01	J3010	FRESENIUS KABI	Fentanyl citrate injection	0.1 MG	1	25	0.5	12.5
63323-806-02	J3010	FRESENIUS KABI	Fentanyl citrate injection	0.1 MG	2	25	1	25
63323-806-05	J3010	FRESENIUS KABI	Fentanyl citrate injection	0.1 MG	5	25	2.5	62.5
63323-806-20	J3010	FRESENIUS KABI	Fentanyl citrate injection	0.1 MG	20	25	10	250
63323-806-50	J3010	FRESENIUS KABI	Fentanyl citrate injection	0.1 MG	50	1	25	25
63323-808-11	J3010	FRESENIUS KABI	Fentanyl citrate injection	0.1 MG	1	10	0.5	5
72572-170-25	J3010	CIVICA INC	Fentanyl citrate injection	0.1 MG	2	25	1	25
72572-171-25	J3010	CIVICA INC	Fentanyl citrate injection	0.1 MG	5	25	2.5	62.5
72572-172-01	J3010	CIVICA INC	Fentanyl citrate injection	0.1 MG	50	1	25	25
67386-130-51	J3032	LUNDBECK PHARMACETICALS, LLC	Inj. eptinezumab-jjmr 1 mg	1 MG	1	1	100	100
0069-0106-01	J3060	PFIZER INC.	Inj, taliglucerase alfa 10 u	10 units	1	1	20	20
67919-040-01	J3090	CUBIST PHARMACEUTICALS	Inj tedizolid phosphate	1 MG	1	10	200	2000
72000-320-10	J3090	NABRIVA THERAPEUTICS US, INC	Inj tedizolid phosphate	1 MG	1	10	200	2000
66220-315-22	J3095	CUMBERLAND PHARMACEUTICALS	Telavancin injection	10 MG	1	12	75	900
50242-120-47	J3101	GENENTECH, INC.	Tenecteplase injection	1 MG	1	1	50	50
0143-9375-10	J3105	HIKMA PHARMACEUTICALS USA INC.	Terbutaline sulfate inj	1 MG	1	10	1	10
0143-9746-10	J3105	HIKMA PHARMACEUTICALS USA INC.	Terbutaline sulfate inj	1 MG	1	10	1	10
63323-665-01	J3105	FRESENIUS KABI	Terbutaline sulfate inj	1 MG	1	25	1	25
55513-880-02	J3111	AMGEN USA, INC.	Inj. romosozumab-aqqg 1 mg	1 MG	1.17	2	105	210
0143-9750-01	J3121	HIKMA PHARMACEUTICALS USA INC.	Inj testostero enanthate 1mg	1 MG	5	1	1000	1000
67979-511-43	J3145	ENDO PHARMACEUTICALS VALERA INC.	Testosterone undecanoate 1mg	1 MG	3	1	750	750
0641-1397-35	J3230	HIKMA PHARMACEUTICALS USA INC.	Chlorpromazine hcl injection	50 MG	1	25	0.5	12.5
0641-1398-35	J3230	HIKMA PHARMACEUTICALS USA INC.	Chlorpromazine hcl injection	50 MG	2	25	1	25
55150-318-25	J3230	AUROMEDICS PHARMA LLC	Chlorpromazine hcl injection	50 MG	1	25	0.5	12.5
55150-319-25	J3230	AUROMEDICS PHARMA LLC	Chlorpromazine hcl injection	50 MG	2	25	1	25
58468-0030-2	J3240	GENZYME CORPORATION	Thyrotropin injection	0.9 MG	1	2	1	2
75987-130-15	J3241	HORIZON	Inj. teprotumumab-trbw 10 mg	10 MG	1	1	50	50
0008-4990-20	J3243	PFIZER INC.	Tigecycline injection	1 MG	1	10	50	500
0008-4994-20	J3243	PFIZER INC.	Tigecycline injection	1 MG	1	10	50	500
0781-3481-92	J3243	SANDOZ	Tigecycline injection	1 MG	1	10	50	500
16729-364-68	J3243	ACCORD HEALTHCARE INC.	Tigecycline injection	1 MG	1	10	50	500
55150-228-10	J3243	AUROMEDICS PHARMA LLC	Tigecycline injection	1 MG	1	10	50	500
63323-960-10	J3243	FRESENIUS KABI	Tigecycline injection	1 MG	1	10	50	500
70121-1647-7	J3243	AMNEAL BIOSCIENCES	Tigecycline injection	1 MG	1	10	50	500
70594-035-02	J3243	XELLIA PHARMACEUTICALS USA, LLC	Tigecycline injection	1 MG	1	10	50	500
47335-177-95	J3245	SUN PHARMACEUTICAL GLOBAL FZE.	Inj., tildrakizumab, 1 mg	1 MG	1	1	100	100
42023-119-25	J3250	PAR PHARMACEUTICAL, INC	Trimethobenzamide hcl inj	200 MG	2	25	1	25
0409-3578-01	J3260	PFIZER INC.	Tobramycin sulfate injection	80 MG	2	25	1	25
36000-242-01	J3260	BAXTER	Tobramycin sulfate injection	80 MG	1	1	15	15
36000-244-25	J3260	BAXTER	Tobramycin sulfate injection	80 MG	2	25	1	25
39822-0412-1	J3260	X-GEN PHARMACEUTICALS INC	Tobramycin sulfate injection	80 MG	1	1	15	15
39822-0412-6	J3260	X-GEN PHARMACEUTICALS INC	Tobramycin sulfate injection	80 MG	1	6	15	90
63323-303-51	J3260	FRESENIUS KABI	Tobramycin sulfate injection	80 MG	1	6	15	90
63323-303-55	J3260	FRESENIUS KABI	Tobramycin sulfate injection	80 MG	1	6	15	90
63323-305-02	J3260	FRESENIUS KABI	Tobramycin sulfate injection	80 MG	2	25	0.25	6.25
63323-306-02	J3260	FRESENIUS KABI	Tobramycin sulfate injection	80 MG	2	25	1	25
63323-306-26	J3260	FRESENIUS KABI	Tobramycin sulfate injection	80 MG	2	25	1	25
63323-306-30	J3260	FRESENIUS KABI	Tobramycin sulfate injection	80 MG	30	10	15	150
63323-307-51	J3260	FRESENIUS KABI	Tobramycin sulfate injection	80 MG	50	1	25	25
67457-428-30	J3260	MYLAN INSTITUTIONAL LLC	Tobramycin sulfate injection	80 MG	30	10	15	150
67457-473-22	J3260	MYLAN INSTITUTIONAL LLC	Tobramycin sulfate injection	80 MG	2	25	1	25
50242-135-01	J3262	GENENTECH, INC.	Tocilizumab injection	1 MG	4	1	80	80
50242-136-01	J3262	GENENTECH, INC.	Tocilizumab injection	1 MG	10	1	200	200
50242-137-01	J3262	GENENTECH, INC.	Tocilizumab injection	1 MG	20	1	400	400
0703-0666-01	J3285	SICOR PHARMACEUTICALS, INC.	Treprostinil injection	1 MG	20	1	20	20
0703-0676-01	J3285	SICOR PHARMACEUTICALS, INC.	Treprostinil injection	1 MG	20	1	50	50
0703-0686-01	J3285	SICOR PHARMACEUTICALS, INC.	Treprostinil injection	1 MG	20	1	100	100
0703-0696-01	J3285	SICOR PHARMACEUTICALS, INC.	Treprostinil injection	1 MG	20	1	200	200
0781-3420-80	J3285	SANDOZ	Treprostinil injection	1 MG	20	1	20	20
0781-3425-80	J3285	SANDOZ	Treprostinil injection	1 MG	20	1	50	50
0781-3427-80	J3285	SANDOZ	Treprostinil injection	1 MG	20	1	100	100
0781-3430-80	J3285	SANDOZ	Treprostinil injection	1 MG	20	1	200	200
42023-206-01	J3285	PAR PHARMACEUTICAL, INC	Treprostinil injection	1 MG	20	1	20	20
42023-207-01	J3285	PAR PHARMACEUTICAL, INC	Treprostinil injection	1 MG	20	1	50	50
42023-208-01	J3285	PAR PHARMACEUTICAL, INC	Treprostinil injection	1 MG	20	1	100	100
42023-209-01	J3285	PAR PHARMACEUTICAL, INC	Treprostinil injection	1 MG	20	1	200	200
66302-101-01	J3285	UNITED THERAPEUTICS	Treprostinil injection	1 MG	20	1	20	20
66302-102-01	J3285	UNITED THERAPEUTICS	Treprostinil injection	1 MG	20	1	50	50
66302-105-01	J3285	UNITED THERAPEUTICS	Treprostinil injection	1 MG	20	1	100	100
66302-110-01	J3285	UNITED THERAPEUTICS	Treprostinil injection	1 MG	20	1	200	200
0065-0543-01	J3300	NOVARTIS PHARMACEUTICALS CORPORATION	Triamcinolone a inj prs-free	1 MG	1	1	40	40
0003-0293-05	J3301	BRISTOL-MYERS SQUIBB COMPANY	Triamcinolone acet inj nos	10 MG	1	1	4	4
0003-0293-20	J3301	BRISTOL-MYERS SQUIBB COMPANY	Triamcinolone acet inj nos	10 MG	5	1	20	20
0003-0293-28	J3301	BRISTOL-MYERS SQUIBB COMPANY	Triamcinolone acet inj nos	10 MG	10	1	40	40
0003-0315-05	J3301	BRISTOL-MYERS SQUIBB COMPANY	Triamcinolone acet inj nos	10 MG	1	1	8	8
0003-0315-20	J3301	BRISTOL-MYERS SQUIBB COMPANY	Triamcinolone acet inj nos	10 MG	5	1	40	40
0003-0494-20	J3301	BRISTOL-MYERS SQUIBB COMPANY	Triamcinolone acet inj nos	10 MG	5	1	5	5
0703-0241-01	J3301	SICOR PHARMACEUTICALS, INC.	Triamcinolone acet inj nos	10 MG	1	1	4	4
0703-0243-01	J3301	SICOR PHARMACEUTICALS, INC.	Triamcinolone acet inj nos	10 MG	5	1	20	20
0703-0245-01	J3301	SICOR PHARMACEUTICALS, INC.	Triamcinolone acet inj nos	10 MG	10	1	40	40
16714-130-25	J3301	NORTHSTAR RX LLC	Triamcinolone acet inj nos	10 MG	1	25	4	100
16714-140-01	J3301	NORTHSTAR RX LLC	Triamcinolone acet inj nos	10 MG	5	1	20	20
16714-150-01	J3301	NORTHSTAR RX LLC	Triamcinolone acet inj nos	10 MG	10	1	40	40
50090-0256-0	J3301	A-S MEDICATION SOLUTIONS	Triamcinolone acet inj nos	10 MG	5	1	20	20
50090-0295-1	J3301	A-S MEDICATION SOLUTIONS	Triamcinolone acet inj nos	10 MG	5	1	5	5
50090-0819-0	J3301	A-S MEDICATION SOLUTIONS	Triamcinolone acet inj nos	10 MG	10	1	40	40
50090-2360-0	J3301	A-S MEDICATION SOLUTIONS	Triamcinolone acet inj nos	10 MG	1	1	4	4
70121-1049-2	J3301	AMNEAL BIOSCIENCES	Triamcinolone acet inj nos	10 MG	1	1	4	4
70121-1049-5	J3301	AMNEAL BIOSCIENCES	Triamcinolone acet inj nos	10 MG	1	25	4	100
70121-1168-1	J3301	AMNEAL BIOSCIENCES	Triamcinolone acet inj nos	10 MG	5	1	20	20
70121-1169-1	J3301	AMNEAL BIOSCIENCES	Triamcinolone acet inj nos	10 MG	10	1	40	40
72603-108-01	J3301	NORTHSTAR RX LLC	Triamcinolone acet inj nos	10 MG	1	1	4	4
72603-202-01	J3301	NORTHSTAR RX LLC	Triamcinolone acet inj nos	10 MG	5	1	20	20
72603-401-01	J3301	NORTHSTAR RX LLC	Triamcinolone acet inj nos	10 MG	10	1	40	40
70801-003-01	J3304	FLEXION THERAPEUTICS, INC.	Inj triamcinolone ace xr 1mg	1 MG	1	1	32	32
0023-5902-04	J3315	ALLERGAN SALES, LLC	Triptorelin pamoate	3.75 MG	1	1	1	1
0023-5904-12	J3315	ALLERGAN SALES, LLC	Triptorelin pamoate	3.75 MG	1	1	3	3
0023-5906-23	J3315	ALLERGAN SALES, LLC	Triptorelin pamoate	3.75 MG	1	1	6	6
74676-5902-1	J3315	VERITY PHARMACEUTICALS INC.	Triptorelin pamoate	3.75 MG	1	1	1	1
74676-5904-1	J3315	VERITY PHARMACEUTICALS INC.	Triptorelin pamoate	3.75 MG	1	1	3	3
74676-5906-1	J3315	VERITY PHARMACEUTICALS INC.	Triptorelin pamoate	3.75 MG	1	1	6	6
57894-060-02	J3357	JANSSEN BIOTECH, INC.	Ustekinumab sub cu inj, 1 mg	1 MG	0.5	1	45	45
57894-060-03	J3357	JANSSEN BIOTECH, INC.	Ustekinumab sub cu inj, 1 mg	1 MG	0.5	1	45	45
57894-061-03	J3357	JANSSEN BIOTECH, INC.	Ustekinumab sub cu inj, 1 mg	1 MG	1	1	90	90
57894-054-27	J3358	JANSSEN BIOTECH, INC.	Ustekinumab, iv inject, 1 mg	1 MG	26	1	130	130
0409-1273-32	J3360	PFIZER INC.	Diazepam injection	5 MG	2	10	2	20
0409-3213-12	J3360	PFIZER INC.	Diazepam injection	5 MG	10	10	10	100
0641-6244-10	J3360	Hikma Pharmaceuticals Usa Inc.	Diazepam injection	5 MG	2	10	2	20
69339-136-32	J3360	DASH PHARMACEUTICALS	Diazepam injection	5 MG	2	10	2	20
69339-136-34	J3360	DASH PHARMACEUTICALS	Diazepam injection	5 MG	2	10	2	20
69339-137-05	J3360	DASH PHARMACEUTICALS	Diazepam injection	5 MG	10	5	10	50
72572-140-02	J3360	CIVICA INC	Diazepam injection	5 MG	2	10	2	20
0143-9355-10	J3370	HIKMA PHARMACEUTICALS USA INC.	Vancomycin hcl injection	500 MG	1	10	1.5	15
0143-9358-01	J3370	HIKMA PHARMACEUTICALS USA INC.	Vancomycin hcl injection	500 MG	1	1	10	10
0143-9359-01	J3370	HIKMA PHARMACEUTICALS USA INC.	Vancomycin hcl injection	500 MG	1	1	20	20
0338-3551-48	J3370	BAXTER	Vancomycin hcl injection	500 MG	100	1	1	1
0338-3552-48	J3370	BAXTER	Vancomycin hcl injection	500 MG	200	1	2	2
0338-3580-48	J3370	BAXTER	Vancomycin hcl injection	500 MG	150	1	1.5	1.5
0338-3581-01	J3370	BAXTER	Vancomycin hcl injection	500 MG	100	1	1	1
0338-3582-01	J3370	BAXTER	Vancomycin hcl injection	500 MG	150	1	1.5	1.5
0338-3583-01	J3370	BAXTER	Vancomycin hcl injection	500 MG	200	1	2	2
0409-1319-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	1	20	20
0409-3515-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	3	30
0409-4332-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	1	10
0409-6509-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	1	10	10
0409-6509-49	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	1	10	10
0409-6510-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	1	20	20
0409-6531-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	1.5	15
0409-6531-02	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	1.5	15
0409-6533-21	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	2	20
0409-6533-31	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	2	20
0409-6534-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	1	10
0409-6535-01	J3370	PFIZER INC.	Vancomycin hcl injection	500 MG	1	10	2	20
25021-157-99	J3370	SAGENT PHARMACEUTICALS INC	Vancomycin hcl injection	500 MG	1	1	10	10
25021-158-99	J3370	SAGENT PHARMACEUTICALS INC	Vancomycin hcl injection	500 MG	1	1	20	20
55150-204-20	J3370	AUROMEDICS PHARMA LLC	Vancomycin hcl injection	500 MG	1	10	2	20
63323-203-20	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	10	1.5	15
63323-203-26	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	10	1.5	15
63323-221-10	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	25	1	25
63323-221-16	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	25	1	25
63323-221-38	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	25	1	25
63323-221-48	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	25	1	25
63323-284-20	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	10	2	20
63323-284-21	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	10	2	20
63323-284-26	J3370	FRESENIUS KABI	Vancomycin hcl injection	500mg	1	10	2	20
63323-284-45	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	10	2	20
63323-295-61	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	1	10	10
63323-295-66	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	1	10	10
63323-314-61	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	1	20	20
63323-314-66	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	1	20	20
63323-314-68	J3370	FRESENIUS KABI	Vancomycin hcl injection	500 MG	1	1	20	20
67457-339-50	J3370	MYLAN INSTITUTIONAL LLC	Vancomycin hcl injection	500 MG	1	10	1	10
67457-340-01	J3370	MYLAN INSTITUTIONAL LLC	Vancomycin hcl injection	500 MG	1	10	2	20
67457-341-05	J3370	MYLAN INSTITUTIONAL LLC	Vancomycin hcl injection	500 MG	1	1	10	10
67457-342-10	J3370	MYLAN INSTITUTIONAL LLC	Vancomycin hcl injection	500 MG	1	1	20	20
67457-705-75	J3370	MYLAN INSTITUTIONAL LLC	Vancomycin hcl injection	500 MG	1	10	1.5	15
67457-823-99	J3370	MYLAN INSTITUTIONAL LLC	Vancomycin hcl injection	500 MG	1	10	2.5	25
67457-824-99	J3370	MYLAN INSTITUTIONAL LLC	Vancomycin hcl injection	500 MG	1	10	3	30
68001-406-73	J3370	AMERICAN HEALTH PACKAGING	Vancomycin hcl injection	500 MG	1	1	10	10
68001-407-75	J3370	AMERICAN HEALTH PACKAGING	Vancomycin hcl injection	500 MG	1	1	20	20
70436-020-82	J3370	SLATE RUN	Vancomycin hcl injection	500 MG	1	10	1	10
70436-021-82	J3370	SLATE RUN	Vancomycin hcl injection	500 MG	1	10	2	20
70436-022-82	J3370	SLATE RUN	Vancomycin hcl injection	500 MG	1	1	10	10
70436-023-82	J3370	SLATE RUN PHARMACEUTICALS	Vancomycin hcl injection	500 MG	1	1	20	20
70594-041-03	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	100	12	1	12
70594-042-03	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	12	2	24
70594-043-02	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	6	3	18
70594-044-02	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	400	6	4	24
70594-045-02	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	10	1	10
70594-046-02	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	10	2	20
70594-047-01	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	1	10	10
70594-048-01	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	1	20	20
70594-056-03	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	150	12	1.5	18
70594-057-02	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	250	6	2.5	15
70594-058-02	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	350	6	3.5	21
70860-104-10	J3370	ATHENEX	Vancomycin hcl injection	500 MG	1	10	1	10
70860-105-20	J3370	ATHENEX	Vancomycin hcl injection	500 MG	1	10	2	20
72572-801-02	J3370	CIVICA INC	Vancomycin hcl injection	500 MG	1	10	2	20
72572-803-01	J3370	CIVICA INC	Vancomycin hcl injection	500 MG	1	1	10	10
72572-805-01	J3370	CIVICA INC	Vancomycin hcl injection	500 MG	1	1	20	20
72611-765-10	J3370	ALMAJECT	Vancomycin hcl injection	500 MG	1	10	2	20
64764-300-20	J3380	TAKEDA PHARMACEUTICALS AMERICA, INC.	Injection, vedolizumab	1 MG	1	1	300	300
54092-701-04	J3385	TAKEDA PHARMACEUTICALS AMERICA, INC.	Velaglucerase alfa	100 UNITS	1	1	4	4
0187-5600-15	J3396	BAUSCH HEALTH US LLC	Verteporfin injection	0.1 MG	1	1	150	150
0517-4201-25	J3410	AMERICAN REGENT	Hydroxyzine hcl injection	25 MG	1	25	1	25
0517-5601-25	J3410	AMERICAN REGENT	Hydroxyzine hcl injection	25 MG	1	25	2	50
0517-5602-25	J3410	AMERICAN REGENT	Hydroxyzine hcl injection	25 MG	2	25	4	100
0641-6228-25	J3411	HIKMA PHARMACEUTICALS USA INC.	Thiamine hcl 100 mg	100 MG	2	25	2	50
25021-500-02	J3411	SAGENT PHARMACEUTICALS INC	Thiamine hcl 100 mg	100 MG	2	25	2	50
50090-4407-1	J3411	A-S MEDICATION SOLUTIONS	Thiamine hcl 100 mg	100 MG	2	1	2	2
50090-5407-1	J3411	A-S MEDICATION SOLUTIONS	Thiamine hcl 100 mg	100 MG	2	1	2	2
63323-013-02	J3411	FRESENIUS KABI	Thiamine hcl 100 mg	100 MG	2	25	2	50
63323-013-09	J3411	FRESENIUS KABI	Thiamine hcl 100 mg	100 MG	2	25	2	50
63323-013-26	J3411	FRESENIUS KABI	Thiamine hcl 100 mg	100 MG	2	25	2	50
67457-196-02	J3411	MYLAN INSTITUTIONAL LLC	Thiamine hcl 100 mg	100 MG	2	25	2	50
63323-180-01	J3415	FRESENIUS KABI	Pyridoxine hcl 100 mg	100 MG	1	25	1	25
0143-9619-10	J3420	HIKMA PHARMACEUTICALS USA INC.	Vitamin b12 injection	1000 MCG	30	10	30	300
0143-9620-10	J3420	HIKMA PHARMACEUTICALS USA INC.	Vitamin b12 injection	1000 MCG	10	10	10	100
0143-9621-25	J3420	HIKMA PHARMACEUTICALS USA INC.	Vitamin b12 injection	1000 MCG	1	25	1	25
0517-0031-25	J3420	AMERICAN REGENT	Vitamin b12 injection	1000 MCG	1	25	1	25
0517-0032-25	J3420	AMERICAN REGENT	Vitamin b12 injection	1000 MCG	10	25	10	250
0517-0130-01	J3420	AMERICAN REGENT	Vitamin b12 injection	1000 MCG	30	1	30	30
50090-2709-0	J3420	A-S MEDICATION SOLUTIONS	Vitamin b12 injection	1000 MCG	1	25	1	25
55150-364-25	J3420	AUROMEDICS PHARMA LLC	Vitamin b12 injection	1000 MCG	1	25	1	25
63323-044-01	J3420	FRESENIUS KABI	Vitamin b12 injection	1000 MCG	1	25	1	25
63323-044-44	J3420	FRESENIUS KABI	Vitamin b12 injection	1000 MCG	1	25	1	25
67457-399-25	J3420	MYLAN INSTITUTIONAL LLC	Vitamin b12 injection	1000 MCG	10	25	10	250
67457-400-05	J3420	MYLAN INSTITUTIONAL LLC	Vitamin b12 injection	1000 MCG	30	5	30	150
0409-9157-01	J3430	PFIZER INC.	Vitamin k phytonadione inj	1 MG	0.5	25	1	25
0409-9158-01	J3430	PFIZER INC.	Vitamin k phytonadione inj	1 MG	1	25	10	250
0409-9158-25	J3430	PFIZER INC.	Vitamin k phytonadione inj	1 MG	1	25	10	250
43598-405-16	J3430	DR. REDDY'S LABORATORIES, INC.	Vitamin k phytonadione inj	1 MG	1	25	10	250
0049-3190-01	J3465	PFIZER INC.	Injection, voriconazole	10 MG	1	1	20	20
0049-3190-28	J3465	PFIZER INC.	Injection, voriconazole	10 MG	1	1	20	20
0049-3190-38	J3465	PFIZER INC.	Injection, voriconazole	10 MG	1	1	20	20
0049-4190-01	J3465	PFIZER INC.	Injection, voriconazole	10 MG	1	1	20	20
0781-3416-94	J3465	SANDOZ	Injection, voriconazole	10 MG	1	1	20	20
39822-1077-1	J3465	X-GEN PHARMACEUTICALS INC	Injection, voriconazole	10 MG	1	1	20	20
47781-466-71	J3465	ALVOGEN	Injection, voriconazole	10 MG	1	1	20	20
65219-190-30	J3465	FRESENIUS KABI	Injection, voriconazole	10 MG	1	1	20	20
70436-029-80	J3465	SLATE RUN	Injection, voriconazole	10 MG	1	1	20	20
72266-131-01	J3465	FOSUN PHARMA	Injection, voriconazole	10 MG	1	1	20	20
24208-002-02	J3471	BAUSCH & LOMB	Ovine, up to 999 usp units	1 UNIT	1.2	2	240	480
18657-117-04	J3473	HALOZYME THERAPEUTICS, INC.	Hyaluronidase recombinant	1 USP UNIT	1	4	150	600
0264-4204-52	J3475	B. Braun Medical Inc.	Inj magnesium sulfate	500 MG	50	24	4	96
0264-4205-52	J3475	B. Braun Medical Inc.	Inj magnesium sulfate	500 MG	50	24	8	192
0264-4400-54	J3475	B. BRAUN MEDICAL INC.	Inj magnesium sulfate	500 MG	100	24	2	48
0338-1708-40	J3475	BAXTER	Inj magnesium sulfate	500 MG	50	40	4	160
0338-1709-40	J3475	BAXTER	Inj magnesium sulfate	500 MG	100	40	2	80
0338-1715-40	J3475	BAXTER	Inj magnesium sulfate	500 MG	100	40	8	320
0338-1719-40	J3475	BAXTER	Inj magnesium sulfate	500 MG	50	40	8	320
0409-1754-10	J3475	PFIZER INC.	Inj magnesium sulfate	500 MG	10	10	10	100
0409-2168-77	J3475	PFIZER INC.	Inj magnesium sulfate	500 MG	20	25	20	500
25021-612-81	J3475	SAGENT PHARMACEUTICALS INC	Inj magnesium sulfate	500 MG	50	10	4	40
25021-612-82	J3475	SAGENT PHARMACEUTICALS INC	Inj magnesium sulfate	500 MG	100	10	8	80
44567-410-24	J3475	WG CRITICAL CARE	Inj magnesium sulfate	500 MG	100	24	2	48
44567-420-24	J3475	WG CRITICAL CARE	Inj magnesium sulfate	500 MG	50	24	4	96
44567-421-24	J3475	WG CRITICAL CARE	Inj magnesium sulfate	500 MG	100	24	8	192
44567-424-24	J3475	WG CRITICAL CARE	Inj magnesium sulfate	500 MG	50	24	8	192
47335-992-01	J3475	SUN PHARMACEUTICAL INDUSTRIES, INC.	Inj magnesium sulfate	500 MG	50	24	4	96
47335-992-02	J3475	SUN PHARMACEUTICAL INDUSTRIES, INC.	Inj magnesium sulfate	500 MG	100	24	8	192
51754-1000-4	J3475	EXELA PHARMA SCIENCES	Inj magnesium sulfate	500 MG	10	25	10	250
63323-064-03	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 MG	2	25	2	50
63323-064-11	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 MG	10	25	10	250
63323-064-23	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 MG	2	25	2	50
63323-064-43	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 MG	2	25	2	50
63323-106-01	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 mg	100	24	8	192
63323-106-05	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 mg	50	24	4	96
63323-106-10	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 mg	1000	12	80	960
63323-106-15	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 mg	500	24	40	960
63323-106-26	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 mg	50	24	4	96
63323-107-05	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 mg	50	24	8	192
63323-108-26	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 MG	100	24	2	48
63323-642-20	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 MG	20	25	20	500
63323-642-50	J3475	FRESENIUS KABI	Inj magnesium sulfate	500 MG	50	25	50	1250
67457-553-00	J3475	MYLAN INSTITUTIONAL LLC	Inj magnesium sulfate	500 MG	50	24	4	96
67457-554-00	J3475	MYLAN INSTITUTIONAL LLC	Inj magnesium sulfate	500 MG	100	24	8	192
67457-567-00	J3475	MYLAN INSTITUTIONAL LLC	Inj magnesium sulfate	500 MG	100	24	2	48
0264-1940-20	J3480	B. BRAUN MEDICAL INC.	Inj potassium chloride	2 MEQ	250	12	250	3000
0264-7865-00	J3480	B. BRAUN MEDICAL INC.	Inj potassium chloride	2 MEQ	1000	12	10	120
0338-0683-04	J3480	BAXTER	Inj potassium chloride	2 MEQ	1000	1	10	10
0338-0691-04	J3480	BAXTER	Inj potassium chloride	2 MEQ	1000	1	10	10
0338-0695-04	J3480	BAXTER	Inj potassium chloride	2 MEQ	1000	1	20	20
0338-0703-41	J3480	BAXTER	Inj potassium chloride	2 MEQ	50	24	10	240
0338-0703-48	J3480	BAXTER	Inj potassium chloride	2 MEQ	100	24	20	480
0338-0704-34	J3480	BAXTER	Inj potassium chloride	2 MEQ	1000	1	10	10
0338-0705-41	J3480	BAXTER	Inj potassium chloride	2 MEQ	50	24	5	120
0338-0705-48	J3480	BAXTER	Inj potassium chloride	2 MEQ	100	24	10	240
0338-0709-48	J3480	BAXTER	Inj potassium chloride	2 MEQ	100	24	5	120
0409-6635-01	J3480	PFIZER INC.	Inj potassium chloride	2 MEQ	5	25	5	125
0409-6651-06	J3480	PFIZER INC.	Inj potassium chloride	2 MEQ	10	25	10	250
0409-6653-05	J3480	PFIZER INC.	Inj potassium chloride	2 MEQ	20	25	20	500
0990-7074-26	J3480	ICU MEDICAL	Inj potassium chloride	2 MEQ	100	24	5	120
0990-7075-14	J3480	ICU MEDICAL	Inj potassium chloride	2 MEQ	50	24	5	120
0990-7075-26	J3480	ICU MEDICAL	Inj potassium chloride	2 MEQ	100	24	10	240
0990-7077-14	J3480	ICU MEDICAL	Inj potassium chloride	2 MEQ	50	24	10	240
0990-7077-26	J3480	ICU MEDICAL	Inj potassium chloride	2 MEQ	100	24	20	480
14789-107-05	J3480	NEXUS PHARMACEUTICAL INC	Inj potassium chloride	2 MEQ	50	24	10	240
14789-108-05	J3480	NEXUS PHARMACEUTICAL INC	Inj potassium chloride	2 MEQ	50	24	5	120
14789-109-10	J3480	NEXUS PHARMACEUTICAL INC	Inj potassium chloride	2 MEQ	100	24	5	120
63323-965-05	J3480	FRESENIUS KABI	Inj potassium chloride	2 MEQ	5	25	5	125
63323-965-10	J3480	FRESENIUS KABI	Inj potassium chloride	2 MEQ	10	25	10	250
63323-965-20	J3480	FRESENIUS KABI	Inj potassium chloride	2 MEQ	20	25	20	500
63323-967-30	J3480	FRESENIUS KABI	Inj potassium chloride	2 MEQ	30	25	30	750
49702-213-26	J3485	GLAXOSMITHKLINE	Zidovudine	10 MG	20	5	20	100
0049-1203-10	J3486	UPJOHN US 1 LLC	Ziprasidone mesylate	10 MG	1	10	2	20
0049-3920-83	J3486	UPJOHN US 1 LLC	Ziprasidone mesylate	10 MG	1	10	2	20
43598-061-58	J3486	DR.REDDY'S LABORATORIES, INC.	Ziprasidone mesylate	10 MG	1	10	2	20
43598-848-58	J3486	DR. REDDY'S LABORATORIES, INC.	Ziprasidone mesylate	10 MG	1	10	2	20
50090-4540-0	J3486	A-S MEDICATION SOLUTIONS	Ziprasidone mesylate	10 MG	1	1	2	2
72266-160-10	J3486	FOSUN PHARMA	Ziprasidone mesylate	10 MG	1	10	2	20
72266-160-42	J3486	FOSUN PHARMA	Ziprasidone mesylate	10 MG	1	10	2	20
0078-0435-61	J3489	NOVARTIS PHARMACEUTICALS CORPORATION	Zoledronic acid 1mg	1 MG	100	1	5	5
0409-4215-01	J3489	PFIZER INC.	Zoledronic acid 1mg	1 MG	5	1	4	4
16714-815-01	J3489	NORTHSTAR RX LLC	Zoledronic acid 1mg	1 MG	5	1	4	4
16729-242-31	J3489	ACCORD HEALTHCARE INC.	Zoledronic acid 1mg	1 MG	5	1	4	4
17478-327-45	J3489	AKORN	Zoledronic acid 1mg	1 MG	5	4	4	16
25021-801-66	J3489	SAGENT PHARMACEUTICALS INC	Zoledronic acid 1mg	1 mg	5	1	4	4
25021-826-67	J3489	SAGENT PHARMACEUTICALS INC	Zoledronic acid 1mg	1 MG	100	1	4	4
25021-826-82	J3489	SAGENT PHARMACEUTICALS INC	Zoledronic acid 1mg	1 MG	100	1	4	4
25021-830-82	J3489	SAGENT PHARMACEUTICALS INC	Zoledronic acid 1mg	1 MG	100	1	5	5
43598-331-11	J3489	DR. REDDY'S LABORATORIES, INC.	Zoledronic acid 1mg	1 MG	100	1	5	5
50742-416-05	J3489	INGENUS PHARMACEUTICALS, LLC	Zoledronic acid 1mg	1 MG	5	1	4	4
55111-685-07	J3489	DR. REDDY'S LABORATORIES, INC.	Zoledronic acid 1mg	1 mg	5	1	4	4
55111-688-52	J3489	DR. REDDY'S LABORATORIES, INC.	Zoledronic acid 1mg	1 MG	100	1	5	5
55150-266-05	J3489	AUROMEDICS PHARMA LLC	Zoledronic acid 1mg	1 MG	5	1	4	4
63323-961-98	J3489	FRESENIUS KABI	Zoledronic acid 1mg	1 MG	5	1	4	4
63323-966-00	J3489	FRESENIUS KABI	Zoledronic acid 1mg	1 MG	100	1	5	5
67457-390-54	J3489	MYLAN INSTITUTIONAL LLC	Zoledronic acid 1mg	1 MG	5	1	4	4
67457-619-10	J3489	MYLAN INSTITUTIONAL LLC	Zoledronic acid 1mg	1 MG	100	1	5	5
67457-794-10	J3489	MYLAN INSTITUTIONAL LLC	Zoledronic acid 1mg	1 MG	100	1	5	5
67457-920-05	J3489	MYLAN INSTITUTIONAL LLC	Zoledronic acid 1mg	1 MG	5	1	4	4
70860-210-51	J3489	ATHENEX	Zoledronic acid 1mg	1 MG	100	1	4	4
70860-802-82	J3489	ATHENEX	Zoledronic acid 1mg	1 MG	100	1	5	5
0264-7800-00	J7030	B. BRAUN MEDICAL INC.	Normal saline solution infus	1000 ML	1000	12	1	12
0264-7800-01	J7030	B. BRAUN MEDICAL INC.	Normal saline solution infus	1000 ML	500	10	0.5	5
0264-7800-09	J7030	B. BRAUN MEDICAL INC.	Normal saline solution infus	1000 ML	1000	12	1	12
0264-7800-10	J7030	B. BRAUN MEDICAL INC.	Normal saline solution infus	1000 ML	500	24	0.5	12
0264-7800-20	J7030	B. BRAUN MEDICAL INC.	Normal saline solution infus	1000 ML	250	24	0.25	6
0264-9999-10	J7030	B. BRAUN MEDICAL INC.	Normal saline solution infus	1000 ML	500	10	0.5	5
0338-0049-02	J7030	BAXTER	Normal saline solution infus	1000 ML	250	1	0.25	0.25
0338-0049-03	J7030	BAXTER	Normal saline solution infus	1000 ML	500	1	0.5	0.5
0338-0049-04	J7030	BAXTER	Normal saline solution infus	1000 ML	1000	1	1	1
0338-9543-02	J7030	BAXTER	Normal saline solution infus	1000 ML	250	1	0.25	0.25
0338-9543-04	J7030	BAXTER	Normal saline solution infus	1000 ML	500	20	0.5	10
0338-9543-06	J7030	BAXTER	Normal saline solution infus	1000 ML	1000	10	1	10
0409-7101-02	J7030	PFIZER INC.	Normal saline solution infus	1000 ML	250	24	0.25	6
0487-4301-25	J7030	NEPHRON PHARMACEUTICALS CORP.	Normal saline solution infus	1000 ML	250	35	0.25	8.75
0487-4301-50	J7030	NEPHRON PHARMACEUTICALS CORP.	Normal saline solution infus	1000 ML	500	18	0.5	9
0990-7983-02	J7030	ICU MEDICAL	Normal saline solution infus	1,000 CC	250	24	0.25	6
0990-7983-03	J7030	ICU MEDICAL	Normal saline solution infus	1000 CC	500	24	0.5	12
0990-7983-09	J7030	ICU MEDICAL	Normal saline solution infus	1000 ML	1000	12	1	12
0990-7983-25	J7030	ICU MEDICAL	Normal saline solution infus	1000 ML	250	24	0.25	6
0990-7983-55	J7030	ICU MEDICAL	Normal saline solution infus	1000 ML	500	18	0.5	9
63323-623-74	J7030	FRESENIUS KABI	Normal saline solution infus	1000 ML	250	30	0.25	7.5
63323-623-75	J7030	FRESENIUS KABI	Normal saline solution infus	1000 ML	500	20	0.5	10
63323-623-76	J7030	FRESENIUS KABI	Normal saline solution infus	1000 ML	1000	10	1	10
0264-7800-00	J7040	B. BRAUN MEDICAL INC.	Normal saline solution infus	500 ML	1000	12	2	24
0264-7800-01	J7040	B. BRAUN MEDICAL INC.	Normal saline solution infus	500 ML	500	10	1	10
0264-7800-09	J7040	B. BRAUN MEDICAL INC.	Normal saline solution infus	500 ML	1000	12	2	24
0264-7800-10	J7040	B. BRAUN MEDICAL INC.	Normal saline solution infus	500 ML	500	24	1	24
0264-7800-20	J7040	B. BRAUN MEDICAL INC.	Normal saline solution infus	500 ML	250	24	0.5	12
0264-9999-10	J7040	B. BRAUN MEDICAL INC.	Normal saline solution infus	500 ML	500	10	1	10
0338-0049-02	J7040	BAXTER	Normal saline solution infus	500 ML	250	1	0.5	0.5
0338-0049-03	J7040	BAXTER	Normal saline solution infus	500 ML	500	1	1	1
0338-0049-04	J7040	BAXTER	Normal saline solution infus	500 ML	1000	1	2	2
0338-9543-02	J7040	BAXTER	Normal saline solution infus	500 ML	250	1	0.5	0.5
0338-9543-04	J7040	BAXTER	Normal saline solution infus	500 ML	500	20	1	20
0338-9543-06	J7040	BAXTER	Normal saline solution infus	500 ML	1000	10	2	20
0409-7101-02	J7040	PFIZER INC.	Normal saline solution infus	500 ML	250	24	0.5	12
0487-4301-25	J7040	NEPHRON PHARMACEUTICALS CORP.	Normal saline solution infus	500 ML	250	35	0.5	17.5
0487-4301-50	J7040	NEPHRON PHARMACEUTICALS CORP.	Normal saline solution infus	500 ML	500	18	1	18
0990-7983-02	J7040	ICU MEDICAL	Normal saline solution infus	500 ML	250	24	0.5	12
0990-7983-03	J7040	ICU MEDICAL	Normal saline solution infus	500 ML	500	24	1	24
0990-7983-09	J7040	ICU MEDICAL	Normal saline solution infus	500 ML	1000	12	2	24
0990-7983-25	J7040	ICU MEDICAL	Normal saline solution infus	500 ML	250	24	0.5	12
0990-7983-55	J7040	ICU MEDICAL	Normal saline solution infus	500 ML	500	18	1	18
63323-623-74	J7040	FRESENIUS KABI	Normal saline solution infus	500 ML	250	30	0.5	15
63323-623-75	J7040	FRESENIUS KABI	Normal saline solution infus	500 ML	500	20	1	20
63323-623-76	J7040	FRESENIUS KABI	Normal saline solution infus	500 ML	1000	10	2	20
0264-7610-00	J7042	B. BRAUN MEDICAL INC.	5% dextrose/normal saline	500 ML	1000	12	2	24
0264-7610-10	J7042	B. BRAUN MEDICAL INC.	5% dextrose/normal saline	500 ML	500	24	1	24
0990-7941-03	J7042	ICU MEDICAL	5% dextrose/normal saline	500 ML	500	24	1	24
0990-7941-09	J7042	ICU MEDICAL	5% dextrose/normal saline	500 ML	1000	12	2	24
63323-870-10	J7042	FRESENIUS KABI	5% dextrose/normal saline	500 ML	500	20	1	20
63323-870-74	J7042	FRESENIUS KABI	5% dextrose/normal saline	500 ML	1000	10	2	20
0264-7800-00	J7050	B. BRAUN MEDICAL INC.	Normal saline solution infus	250 ML	1000	12	4	48
0264-7800-01	J7050	B. BRAUN MEDICAL INC.	Normal saline solution infus	250 ML	500	10	2	20
0264-7800-09	J7050	B. BRAUN MEDICAL INC.	Normal saline solution infus	250 ML	1000	12	4	48
0264-7800-10	J7050	B. BRAUN MEDICAL INC.	Normal saline solution infus	250 ML	500	24	2	48
0264-7800-20	J7050	B. BRAUN MEDICAL INC.	Normal saline solution infus	250 ML	250	24	1	24
0264-9999-10	J7050	B. BRAUN MEDICAL INC.	Normal saline solution infus	250 ML	500	10	2	20
0338-0049-02	J7050	BAXTER	Normal saline solution infus	250 ML	250	1	1	1
0338-0049-03	J7050	BAXTER	Normal saline solution infus	250 ML	500	1	2	2
0338-0049-04	J7050	BAXTER	Normal saline solution infus	250 ML	1000	1	4	4
0338-9543-02	J7050	BAXTER	Normal saline solution infus	250 ML	250	1	1	1
0338-9543-04	J7050	BAXTER	Normal saline solution infus	250 ML	500	20	2	40
0338-9543-06	J7050	BAXTER	Normal saline solution infus	250 ML	1000	10	4	40
0409-7101-02	J7050	PFIZER INC.	Normal saline solution infus	250 ML	250	24	1	24
0487-4301-25	J7050	NEPHRON PHARMACEUTICALS CORP.	Normal saline solution infus	250 ML	250	35	1	35
0487-4301-50	J7050	NEPHRON PHARMACEUTICALS CORP.	Normal saline solution infus	250 ML	500	18	2	36
0990-7983-02	J7050	ICU MEDICAL	Normal saline solution infus	250 CC	250	24	1	24
0990-7983-03	J7050	ICU MEDICAL	Normal saline solution infus	250 CC	500	24	2	48
0990-7983-09	J7050	ICU MEDICAL	Normal saline solution infus	250 ML	1000	12	4	48
0990-7983-25	J7050	ICU MEDICAL	Normal saline solution infus	250 ML	250	24	1	24
0990-7983-55	J7050	ICU MEDICAL	Normal saline solution infus	250 ML	500	18	2	36
63323-623-74	J7050	FRESENIUS KABI	Normal saline solution infus	250 ML	250	30	1	30
63323-623-75	J7050	FRESENIUS KABI	Normal saline solution infus	250 ML	500	20	2	40
63323-623-76	J7050	FRESENIUS KABI	Normal saline solution infus	250 ML	1000	10	4	40
0264-7510-00	J7060	B. BRAUN MEDICAL INC.	5% dextrose/water	500 ML	1000	12	2	24
0264-7510-10	J7060	B. BRAUN MEDICAL INC.	5% dextrose/water	500 ML	500	24	1	24
0264-7510-20	J7060	B. BRAUN MEDICAL INC.	5% dextrose/water	500 ML	250	24	0.5	12
0338-0017-02	J7060	BAXTER	5% dextrose/water	500 ML	250	1	0.5	0.5
0338-0017-03	J7060	BAXTER	5% dextrose/water	500 ML	500	1	1	1
0338-0017-04	J7060	BAXTER	5% dextrose/water	500 ML	1000	1	2	2
0338-0062-30	J7060	BAXTER	5% dextrose/water	500 ML	250	30	0.5	15
0338-0066-20	J7060	BAXTER	5% dextrose/water	500 ML	500	20	1	20
0338-0070-10	J7060	BAXTER	5% dextrose/water	500 ML	1000	10	2	20
0409-7100-02	J7060	PFIZER INC.	5% dextrose/water	500 ML	250	24	0.5	12
0990-7922-02	J7060	ICU MEDICAL	5% dextrose/water	500 ML	250	24	0.5	12
0990-7922-03	J7060	ICU MEDICAL	5% dextrose/water	500 ML	500	24	1	24
0990-7922-09	J7060	ICU MEDICAL	5% dextrose/water	500 ML	1000	12	2	24
0990-7922-25	J7060	ICU MEDICAL	5% dextrose/water	500 ML	250	24	0.5	12
0990-7922-55	J7060	ICU MEDICAL	5% dextrose/water	500 ML	500	15	1	15
63323-624-10	J7060	FRESENIUS KABI	5% dextrose/water	500 ML	1000	10	2	20
63323-624-74	J7060	FRESENIUS KABI	5% dextrose/water	500 ML	250	30	0.5	15
63323-624-75	J7060	FRESENIUS KABI	5% dextrose/water	500 ML	500	20	1	20
0264-7510-00	J7070	B. BRAUN MEDICAL INC.	D5w infusion	1000 CC	1000	12	1	12
0264-7510-10	J7070	B. BRAUN MEDICAL INC.	D5w infusion	1000 CC	500	24	0.5	12
0264-7510-20	J7070	B. BRAUN MEDICAL INC.	D5w infusion	1000 CC	250	24	0.25	6
0338-0017-02	J7070	BAXTER	D5w infusion	1000 CC	250	1	0.25	0.25
0338-0017-03	J7070	BAXTER	D5w infusion	1000 CC	500	1	0.5	0.5
0338-0017-04	J7070	BAXTER	D5w infusion	1000 CC	1000	1	1	1
0338-0062-30	J7070	BAXTER	D5w infusion	1000 CC	250	30	0.25	7.5
0338-0066-20	J7070	BAXTER	D5w infusion	1000 CC	500	20	0.5	10
0338-0070-10	J7070	BAXTER	D5w infusion	1000 CC	1000	10	1	10
0409-7100-02	J7070	PFIZER INC.	D5w infusion	1000 CC	250	24	0.25	6
0990-7922-02	J7070	ICU MEDICAL	D5w infusion	1,000 CC	250	24	0.25	6
0990-7922-03	J7070	ICU MEDICAL	D5w infusion	1000 CC	500	24	0.5	12
0990-7922-09	J7070	ICU MEDICAL	D5w infusion	1000 CC	1000	12	1	12
0990-7922-25	J7070	ICU MEDICAL	D5w infusion	1000 CC	250	24	0.25	6
0990-7922-55	J7070	ICU MEDICAL	D5w infusion	1,000 CC	500	15	0.5	7.5
63323-624-10	J7070	FRESENIUS KABI	D5w infusion	1000 CC	1000	10	1	10
63323-624-74	J7070	FRESENIUS KABI	D5w infusion	1000 CC	250	30	0.25	7.5
63323-624-75	J7070	FRESENIUS KABI	D5w infusion	1000 CC	500	20	0.5	10
0264-7389-60	J7120	B. BRAUN MEDICAL INC.	Ringers lactate infusion	1000 CC	3000	4	3	12
0264-7750-00	J7120	B. BRAUN MEDICAL INC.	Ringers lactate infusion	1000 CC	1000	12	1	12
0264-7750-10	J7120	B. BRAUN MEDICAL INC.	Ringers lactate infusion	1000 CC	500	24	0.5	12
0264-7750-20	J7120	B. BRAUN MEDICAL INC.	Ringers lactate infusion	1000 CC	250	24	0.25	6
0338-0117-02	J7120	BAXTER	Ringers lactate infusion	1000 CC	250	1	0.25	0.25
0338-0117-03	J7120	BAXTER	Ringers lactate infusion	1000 CC	500	1	0.5	0.5
0338-0117-04	J7120	BAXTER	Ringers lactate infusion	1000 CC	1000	1	1	1
0990-7953-02	J7120	ICU MEDICAL	Ringers lactate infusion	1000 CC	250	24	0.25	6
0990-7953-03	J7120	ICU MEDICAL	Ringers lactate infusion	1000 CC	500	24	0.5	12
0990-7953-09	J7120	ICU MEDICAL	Ringers lactate infusion	1000 CC	1000	12	1	12
63323-164-74	J7120	FRESENIUS KABI	Ringers lactate infusion	1000 CC	250	30	0.25	7.5
63323-164-75	J7120	FRESENIUS KABI	Ringers lactate infusion	1000 CC	500	20	0.5	10
63323-164-76	J7120	FRESENIUS KABI	Ringers lactate infusion	1000 CC	1000	10	1	10
50242-920-01	J7170	GENENTECH, INC.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	1	1	60	60
50242-921-01	J7170	GENENTECH, INC.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	0.4	1	120	120
50242-922-01	J7170	GENENTECH, INC.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	0.7	1	210	210
50242-923-01	J7170	GENENTECH, INC.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	1	1	300	300
64208-7752-1	J7175	BIO PRODUCTS LABORATORY, LTD	Inj, factor x, (human), 1iu	1 IU	1	1	1	1
64208-7753-1	J7175	BIO PRODUCTS LABORATORY, LTD	Inj, factor x, (human), 1iu	1 IU	1	1	1	1
68982-347-01	J7177	OCTAPHARMA	Inj., fibryga, 1 mg	1 MG	1	1	1	1
63833-891-51	J7178	CSL BEHRING LLC	Inj human fibrinogen con nos	1 MG	1	1	1	1
0944-7551-02	J7179	TAKEDA PHARMACEUTICALS AMERICA, INC.	Vonvendi inj 1 iu vwf:rco	1 IU	1	1	1	1
0944-7553-02	J7179	TAKEDA PHARMACEUTICALS AMERICA, INC.	Vonvendi inj 1 iu vwf:rco	1 IU	1	1	1	1
63833-518-02	J7180	CSL BEHRING LLC	Factor xiii anti-hem factor	1 IU	1	1	1	1
0169-7013-01	J7181	NOVO NORDISK INC	Factor xiii recomb a-subunit	1 IU	1	1	1	1
0169-7810-01	J7182	NOVO NORDISK INC	Factor viii recomb novoeight	1 IU	1	1	1	1
0169-7815-01	J7182	NOVO NORDISK INC	Factor viii recomb novoeight	1 IU	1	1	1	1
0169-7820-01	J7182	NOVO NORDISK INC	Factor viii recomb novoeight	1 IU	1	1	1	1
0169-7825-01	J7182	NOVO NORDISK INC	Factor viii recomb novoeight	1 IU	1	1	1	1
0169-7830-01	J7182	NOVO NORDISK INC	Factor viii recomb novoeight	1 IU	1	1	1	1
0169-7850-01	J7182	NOVO NORDISK INC	Factor viii recomb novoeight	1 IU	1	1	1	1
68982-182-01	J7183	OCTAPHARMA	Wilate injection	1 I.U. VWF:RCO	1	1	1	1
68982-182-02	J7183	OCTAPHARMA	Wilate injection	1 I.U. VWF:RCO	1	1	1	1
58394-012-01	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-013-01	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-014-01	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-015-01	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-016-03	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-022-03	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-023-03	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-024-03	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
58394-025-03	J7185	PFIZER INC.	Xyntha inj	1 IU	1	1	1	1
68516-4611-1	J7186	GRIFOLS USA, LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4612-1	J7186	GRIFOLS USA, LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4613-2	J7186	GRIFOLS USA, LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4614-2	J7186	GRIFOLS USA, LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4615-2	J7186	GRIFOLS USA, LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4617-1	J7186	GRIFOLS BIOLOGICALS LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4618-2	J7186	GRIFOLS BIOLOGICALS LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4619-2	J7186	GRIFOLS BIOLOGICALS LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4620-2	J7186	GRIFOLS BIOLOGICALS LLC	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
63833-615-02	J7187	CSL BEHRING LLC	Humate-p, inj	1 IU	1	1	1	1
63833-616-02	J7187	CSL BEHRING LLC	Humate-p, inj	1 IU	1	1	1	1
63833-617-02	J7187	CSL BEHRING LLC	Humate-p, inj	1 IU	1	1	1	1
0944-5001-01	J7188	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recomb obizur	1 IU	1	1	1	1
0944-5001-05	J7188	BAXALTA US INC.	Factor viii recomb obizur	1 IU	1	1	1	1
0169-7201-01	J7189	NOVO NORDISK INC	Factor viia recomb novoseven	1 MCG	1	1	1000	1000
0169-7202-01	J7189	NOVO NORDISK INC	Factor viia recomb novoseven	1 MCG	1	1	2000	2000
0169-7205-01	J7189	NOVO NORDISK INC	Factor viia recomb novoseven	1 MCG	1	1	5000	5000
0169-7208-01	J7189	NOVO NORDISK INC	Factor viia recomb novoseven	1 MCG	1	1	8000	8000
0944-3940-02	J7190	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii	1 IU	1	1	1	1
0944-3942-02	J7190	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii	1 IU	1	1	1	1
0944-3944-02	J7190	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii	1 IU	1	1	1	1
0944-3946-02	J7190	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii	1 IU	1	1	1	1
76125-256-20	J7190	KEDRION BIOPHARMA, INC.	Factor viii	1 IU	1	1	1	1
76125-668-30	J7190	KEDRION BIOPHARMA, INC.	Factor viii	1 IU	1	1	1	1
76125-676-50	J7190	KEDRION BIOPHARMA, INC.	Factor viii	1 IU	1	1	1	1
0026-3782-25	J7192	BAYER HEALTHCARE PHARMACEUTICALS INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3783-35	J7192	BAYER HEALTHCARE PHARMACEUTICALS INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3785-55	J7192	BAYER HEALTHCARE PHARMACEUTICALS INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3786-65	J7192	BAYER HEALTHCARE PHARMACEUTICALS INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3787-75	J7192	BAYER HEALTHCARE PHARMACEUTICALS INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2841-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2842-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2843-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2844-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2845-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3045-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3046-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3047-10	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3051-02	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3052-02	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3053-02	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3054-02	J7192	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii recombinant nos	1 IU	1	1	1	1
68516-3607-2	J7193	GRIFOLS USA, LLC	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3608-2	J7193	GRIFOLS USA, LLC	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3609-2	J7193	GRIFOLS USA, LLC	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3610-2	J7193	GRIFOLS USA	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3611-2	J7193	GRIFOLS USA	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3612-2	J7193	GRIFOLS USA	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3207-1	J7194	GRIFOLS USA, LLC	Factor ix complex	1 IU	1	1	1	1
68516-3208-2	J7194	GRIFOLS USA, LLC	Factor ix complex	1 IU	1	1	1	1
68516-3209-2	J7194	GRIFOLS USA, LLC	Factor ix complex	1 IU	1	1	1	1
58394-633-03	J7195	PFIZER INC.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-634-03	J7195	PFIZER INC.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-635-03	J7195	PFIZER INC.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-636-03	J7195	PFIZER INC.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-637-03	J7195	PFIZER INC.	Factor ix recombinant nos	1 IU	1	1	1	1
13533-602-50	J7197	GRIFOLS USA, LLC	Antithrombin iii injection	1 IU	1	1	1	1
13533-603-20	J7197	GRIFOLS USA, LLC	Antithrombin iii injection	1 IU	1	1	1	1
64193-424-02	J7198	TAKEDA PHARMACEUTICALS AMERICA, INC.	Anti-inhibitor	1 IU	1	1	1	1
64193-425-02	J7198	TAKEDA PHARMACEUTICALS AMERICA, INC.	Anti-inhibitor	1 IU	1	1	1	1
64193-426-02	J7198	TAKEDA PHARMACEUTICALS AMERICA, INC.	Anti-inhibitor	1 IU	1	1	1	1
0944-3026-02	J7200	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3028-02	J7200	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3030-02	J7200	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3032-02	J7200	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3034-02	J7200	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor ix recombinan rixubis	1 IU	1	1	1	1
71104-911-01	J7201	BIOVERATIV	Factor ix alprolix recomb	1 IU	1	1	1	1
71104-922-01	J7201	BIOVERATIV	Factor ix alprolix recomb	1 IU	1	1	1	1
71104-933-01	J7201	BIOVERATIV	Factor ix alprolix recomb	1 IU	1	1	1	1
71104-944-01	J7201	BIOVERATIV	Factor ix alprolix recomb	1 IU	1	1	1	1
71104-966-01	J7201	BIOVERATIV	Factor ix alprolix recomb	1 IU	1	1	1	1
71104-977-01	J7201	BIOVERATIV	Factor ix alprolix recomb	1 IU	1	1	1	1
69911-864-02	J7202	CSL BEHRING LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-865-02	J7202	CSL BEHRING LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-866-02	J7202	CSL BEHRING LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-867-02	J7202	CSL BEHRING LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-869-02	J7202	CSL BEHRING LLC	Factor ix idelvion inj	1 IU	1	1	1	1
0169-7901-01	J7203	NOVO NORDISK INC	Factor ix recomb gly rebinyn	1 IU	1	1	1	1
0169-7902-01	J7203	NOVO NORDISK INC	Factor ix recomb gly rebinyn	1 IU	1	1	1	1
0169-7905-01	J7203	NOVO NORDISK INC	Factor ix recomb gly rebinyn	1 IU	1	1	1	1
0169-8100-01	J7204	NOVO NORDISK INC	Inj recombin esperoct per iu	1 IU	1	1	1	1
0169-8150-01	J7204	NOVO NORDISK INC	Inj recombin esperoct per iu	1 IU	1	1	1	1
0169-8200-01	J7204	NOVO NORDISK INC	Inj recombin esperoct per iu	1 IU	1	1	1	1
0169-8300-01	J7204	NOVO NORDISK INC	Inj recombin esperoct per iu	1 IU	1	1	1	1
0169-8500-01	J7204	NOVO NORDISK INC	Inj recombin esperoct per iu	1 IU	1	1	1	1
71104-801-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-802-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-803-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-804-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-805-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-806-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-807-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-808-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-809-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
71104-810-01	J7205	BIOVERATIV	Factor viii fc fusion recomb	1 IU	1	1	1	1
0944-4622-01	J7207	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4623-01	J7207	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4624-01	J7207	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4625-01	J7207	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4626-01	J7207	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4627-01	J7207	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4628-01	J7207	TAKEDA PHARMACEUTICALS AMERICA, INC.	Factor viii pegylated recomb	1 IU	1	1	1	1
0026-3942-25	J7208	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj. jivi 1 iu	1 IU	1	1	1	1
0026-3944-25	J7208	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj. jivi 1 iu	1 IU	1	1	1	1
0026-3946-25	J7208	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj. jivi 1 iu	1 IU	1	1	1	1
0026-3948-25	J7208	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj. jivi 1 iu	1 IU	1	1	1	1
68982-139-01	J7209	OCTAPHARMA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-141-01	J7209	OCTAPHARMA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-143-01	J7209	OCTAPHARMA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-145-01	J7209	OCTAPHARMA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-147-01	J7209	OCTAPHARMA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-149-01	J7209	OCTAPHARMA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-151-01	J7209	OCTAPHARMA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
69911-474-02	J7210	CSL BEHRING LLC	Inj, afstyla, 1 i.u.	1 IU	1	1	1	1
69911-475-02	J7210	CSL BEHRING LLC	Inj, afstyla, 1 i.u.	1 IU	1	1	1	1
69911-476-02	J7210	CSL BEHRING LLC	Inj, afstyla, 1 i.u.	1 IU	1	1	1	1
69911-477-02	J7210	CSL BEHRING LLC	Inj, afstyla, 1 i.u.	1 IU	1	1	1	1
69911-478-02	J7210	CSL BEHRING LLC	Inj, afstyla, 1 i.u.	1 IU	1	1	1	1
69911-480-02	J7210	CSL BEHRING LLC	Inj, afstyla, 1 i.u.	1 IU	1	1	1	1
69911-481-02	J7210	CSL BEHRING LLC	Inj, afstyla, 1 i.u.	1 IU	1	1	1	1
0026-3821-25	J7211	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj, kovaltry, 1 i.u.	1 IU	1	1	1	1
0026-3822-25	J7211	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj, kovaltry, 1 i.u.	1 IU	1	1	1	1
0026-3824-25	J7211	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj, kovaltry, 1 i.u.	1 IU	1	1	1	1
0026-3826-50	J7211	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj, kovaltry, 1 i.u.	1 IU	1	1	1	1
0026-3828-50	J7211	BAYER HEALTHCARE PHARMACEUTICALS INC.	Inj, kovaltry, 1 i.u.	1 IU	1	1	1	1
71127-1000-1	J7212	HEMA BIOLOGICS	Factor viia recomb sevenfact	1 MCG	1	1	1000	1000
71127-5000-1	J7212	HEMA BIOLOGICS	Factor viia recomb sevenfact	1 MCG	1	1	5000	5000
67308-101-06	J7308	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Aminolevulinic acid hcl top	354 MG	1	6	1	6
24208-416-01	J7311	BAUSCH & LOMB	Inj., retisert, 0.01 mg	0.01 MG	1	1	1	59
0023-3348-07	J7312	ALLERGAN SALES, LLC	Dexamethasone intra implant	0.1 MG	0.7	1	7	7
68611-190-02	J7313	ALIMERA SCIENCES	Inj., iluvien, 0.01 mg	0.01 MG	1	1	19	19
71879-136-01	J7314	EYEPOINT PHARMACEUTICALS US, INC	Inj., yutiq, 0.01 mg	0.01 MG	1	1	18	18
72512-928-01	J7336	AVERITAS PHARMA INC	Capsaicin 8% patch	1 SQ CM	1	1	280	280
72512-929-01	J7336	AVERITAS PHARMA INC	Capsaicin 8% patch	1 SQ CM	1	2	280	560
72512-930-01	J7336	AVERITAS PHARMA INC	Capsaicin 8% patch	1 SQ CM	1	4	280	1120
0074-3012-07	J7340	ABBVIE US, LLC	Carbidopa levodopa ent 100ml	5 MG/20 MG 100 ML	100	7	1	7
70621-101-10	J7345	BIOFRONTERA INC.	Aminolevulinic acid, 10% gel	10 MG	2	1	200	200
70621-101-20	J7345	BIOFRONTERA INC.	Aminolevulinic acid, 10% gel	10 MG	2	10	200	2000
0023-9652-01	J7351	ALLERGAN SALES, LLC	Inj bimatoprost itc imp1mcg	1 MCG	1	1	10	10
10599-003-01	J7402	INTERSECT ENT, INC.	Mometasone sinus sinuva	10 MCG	1	1	135	135
65649-231-41	J7500	SALIX PHARMACEUTICALS	Azathioprine oral 50mg	50 MG	100	1	150	150
65649-241-41	J7500	SALIX PHARMACEUTICALS	Azathioprine oral 50mg	50 MG	100	1	200	200
68084-229-01	J7500	AMERICAN HEALTH PACKAGING	Azathioprine oral 50mg	50 MG	100	1	100	100
68462-502-01	J7500	GLENMARK PHARMACEUTICALS INC., USA	Azathioprine oral 50mg	50 MG	100	1	100	100
0074-3109-32	J7502	ABBVIE US, LLC	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0074-7269-50	J7502	ABBVIE US, LLC	Cyclosporine oral 100 mg	100 MG	50	1	50	50
0078-0110-22	J7502	NOVARTIS PHARMACEUTICALS CORPORATION	Cyclosporine oral 100 mg	100 MG	50	1	50	50
0078-0241-15	J7502	NOVARTIS PHARMACEUTICALS CORPORATION	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0078-0248-15	J7502	NOVARTIS PHARMACEUTICALS CORPORATION	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0078-0274-22	J7502	NOVARTIS PHARMACEUTICALS CORPORATION	Cyclosporine oral 100 mg	100 MG	50	1	50	50
0093-5742-65	J7502	TEVA PHARMACEUTICALS USA, INC.	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0093-9018-65	J7502	TEVA PHARMACEUTICALS USA, INC.	Cyclosporine oral 100 mg	100 MG	30	1	7.5	7.5
0093-9019-65	J7502	TEVA PHARMACEUTICALS USA, INC.	Cyclosporine oral 100 mg	100 MG	30	1	15	15
0093-9020-65	J7502	TEVA PHARMACEUTICALS USA, INC.	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0172-7313-20	J7502	IVAX PHARMACEUTICALS, INC.	Cyclosporine oral 100 mg	100 MG	50	1	50	50
68084-921-25	J7502	AMERICAN HEALTH PACKAGING	Cyclosporine oral 100 mg	100 MG	30	1	30	30
68992-3010-1	J7503	VELOXIS PHARMACEUTICALS	Tacrol envarsus ex rel oral	0.25 MG	100	1	400	400
68992-3010-3	J7503	VELOXIS PHARMACEUTICALS	Tacrol envarsus ex rel oral	0.25 MG	30	1	120	120
68992-3040-1	J7503	VELOXIS PHARMACEUTICALS	Tacrol envarsus ex rel oral	0.25 MG	100	1	1600	1600
68992-3040-3	J7503	VELOXIS PHARMACEUTICALS	Tacrol envarsus ex rel oral	0.25 MG	30	1	480	480
68992-3075-1	J7503	VELOXIS PHARMACEUTICALS	Tacrol envarsus ex rel oral	0.25 MG	100	1	300	300
68992-3075-3	J7503	VELOXIS PHARMACEUTICALS	Tacrol envarsus ex rel oral	0.25 MG	30	1	90	90
0009-7224-02	J7504	PFIZER INC.	Lymphocyte immune globulin	250 MG	5	5	1	5
0378-2045-01	J7507	MYLAN PHARMACEUTICALS, INC	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
0378-2046-01	J7507	MYLAN PHARMACEUTICALS, INC	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0378-2047-01	J7507	MYLAN PHARMACEUTICALS, INC	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
0469-0607-73	J7507	ASTELLAS PHARMA US INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	50
0469-0617-73	J7507	ASTELLAS PHARMA US INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0469-0657-73	J7507	ASTELLAS PHARMA US INC.	Tacrolimus imme rel oral 1mg	1 MG	100	5	100	500
0469-1230-50	J7507	ASTELLAS PHARMA US INC.	Tacrolimus imme rel oral 1mg	1 MG	50	1	10	10
0469-1330-50	J7507	ASTELLAS PHARMA US INC.	Tacrolimus imme rel oral 1mg	1 MG	50	1	50	50
0781-2102-01	J7507	SANDOZ	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
0781-2103-01	J7507	SANDOZ	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0781-2104-01	J7507	SANDOZ	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
16714-098-01	J7507	NORTHSTAR RX LLC	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
16714-099-01	J7507	NORTHSTAR RX LLC	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
16714-100-01	J7507	NORTHSTAR RX LLC	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
16729-041-01	J7507	ACCORD HEALTHCARE INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
16729-042-01	J7507	ACCORD HEALTHCARE INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
16729-043-01	J7507	ACCORD HEALTHCARE INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
50090-2245-0	J7507	A-S MEDICATION SOLUTIONS	Tacrolimus imme rel oral 1mg	1 MG	90	1	90	90
50090-5596-0	J7507	A-S MEDICATION SOLUTIONS	Tacrolimus imme rel oral 1mg	1 mg	90	1	90	90
55111-525-01	J7507	DR. REDDY'S LABORATORIES, INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
55111-526-01	J7507	DR. REDDY'S LABORATORIES, INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
55111-527-01	J7507	DR. REDDY'S LABORATORIES, INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
64380-720-06	J7507	STRIDES PHARMA INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
64380-721-06	J7507	STRIDES PHARMA INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
64380-722-06	J7507	STRIDES PHARMA INC.	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
67877-278-01	J7507	ASCEND LABORATORIES	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
67877-279-01	J7507	ASCEND LABORATORIES	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
67877-280-01	J7507	ASCEND LABORATORIES	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
68084-449-01	J7507	AMERICAN HEALTH PACKAGING	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
68084-450-01	J7507	AMERICAN HEALTH PACKAGING	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
68084-451-01	J7507	AMERICAN HEALTH PACKAGING	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
68462-685-01	J7507	GLENMARK PHARMACEUTICALS INC., USA	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
68462-686-01	J7507	GLENMARK PHARMACEUTICALS INC., USA	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
68462-687-01	J7507	GLENMARK PHARMACEUTICALS INC., USA	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
72572-760-01	J7507	Civica	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
72572-761-01	J7507	Civica	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0469-0647-73	J7508	ASTELLAS PHARMA US INC.	Tacrol astagraf ex rel oral	0.1 MG	30	1	150	150
0469-0677-73	J7508	ASTELLAS PHARMA US INC.	Tacrol astagraf ex rel oral	0.1 MG	30	1	300	300
0469-0687-73	J7508	ASTELLAS PHARMA US INC.	Tacrol astagraf ex rel oral	0.1 MG	30	1	1500	1500
0009-0020-01	J7509	PFIZER INC.	Methylprednisolone oral	4 MG	100	1	50	50
0009-0022-01	J7509	PFIZER INC.	Methylprednisolone oral	4 MG	25	1	50	50
0009-0056-02	J7509	PFIZER INC.	Methylprednisolone oral	4 MG	100	1	100	100
0009-0056-04	J7509	PFIZER INC.	Methylprednisolone oral	4 MG	21	1	21	21
0009-0073-01	J7509	PFIZER INC.	Methylprednisolone oral	4 MG	50	1	200	200
0009-0176-01	J7509	PFIZER INC.	Methylprednisolone oral	4 MG	25	1	200	200
0781-5022-01	J7509	SANDOZ	Methylprednisolone oral	4 MG	100	1	100	100
0781-5022-07	J7509	SANDOZ	Methylprednisolone oral	4 MG	21	1	21	21
50090-0092-0	J7509	A-S MEDICATION SOLUTIONS	Methylprednisolone oral	4 MG	21	1	21	21
50090-3094-0	J7509	A-S MEDICATION SOLUTIONS	Methylprednisolone oral	4 MG	21	1	21	21
50090-3811-0	J7509	A-S MEDICATION SOLUTIONS	Methylprednisolone oral	4 MG	21	1	21	21
59762-0049-1	J7509	VIATRIS - GREENSTONE LLC	Methylprednisolone oral	4 MG	25	1	50	50
59762-0050-1	J7509	VIATRIS - GREENSTONE LLC	Methylprednisolone oral	4 MG	50	1	200	200
59762-0051-1	J7509	VIATRIS - GREENSTONE LLC	Methylprednisolone oral	4 MG	25	1	200	200
59762-4440-3	J7509	VIATRIS - GREENSTONE LLC	Methylprednisolone oral	4 MG	100	1	100	100
68001-005-01	J7509	AMERICAN HEALTH PACKAGING	Methylprednisolone oral	4 MG	21	1	21	21
68084-149-01	J7509	AMERICAN HEALTH PACKAGING	Methylprednisolone oral	4 MG	100	1	100	100
50090-0655-0	J7510	A-S MEDICATION SOLUTIONS	Prednisolone oral per 5 mg	5 MG	240	1	144	144
50090-0655-1	J7510	A-S MEDICATION SOLUTIONS	Prednisolone oral per 5 mg	5 MG	240	4	144	576
50090-1582-0	J7510	A-S MEDICATION SOLUTIONS	Prednisolone oral per 5 mg	5 MG	240	1	144	144
50383-042-24	J7510	HI-TECH	Prednisolone oral per 5 mg	5 MG	240	1	144	144
50383-042-48	J7510	HI-TECH	Prednisolone oral per 5 mg	5 MG	480	1	288	288
58468-0080-1	J7511	GENZYME CORPORATION	Antithymocyte globuln rabbit	25 MG	1	1	1	1
0054-3721-44	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	30	1	150	150
0054-3722-50	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	120	1	120	120
0054-3722-63	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	500	1	500	500
0054-4728-25	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	100	1	500	500
0054-4728-31	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	1000	1	5000	5000
0054-4741-25	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	100	1	100	100
0054-4741-31	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	1000	1	1000	1000
0054-4742-25	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	100	1	250	250
0054-8724-25	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	100	1	500	500
0054-8739-25	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	100	1	100	100
0054-8740-25	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	100	1	250	250
0054-9828-25	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	100	1	500	500
0054-9828-31	J7512	HIKMA PHARMACEUTICALS USA INC.	Prednisone ir or dr oral 1mg	1 MG	1000	1	5000	5000
50090-0097-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	10	1	100	100
50090-0097-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	15	1	150	150
50090-0097-2	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	210	210
50090-0097-4	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	50	1	500	500
50090-0097-5	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	30	1	300	300
50090-0097-7	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	100	1	1000	1000
50090-0097-8	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	40	1	400	400
50090-0098-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	60	1	600	600
50090-0098-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	20	1	200	200
50090-0102-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	8	1	400	400
50090-0439-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	105	105
50090-1001-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	210	210
50090-1455-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1mg	30	1	75	75
50090-1989-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	10	1	200	200
50090-1989-2	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	420	420
50090-1989-3	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	30	1	600	600
50090-1989-9	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	18	1	360	360
50090-1990-5	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	14	1	280	280
50090-1990-7	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	15	1	300	300
50090-1991-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	420	420
50090-2608-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	60	1	600	600
50090-2608-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	20	1	200	200
50090-2789-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	10	1	200	200
50090-2789-2	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	420	420
50090-2789-3	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	30	1	600	600
50090-2789-5	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	100	1	2000	2000
50090-2789-9	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	18	1	360	360
50090-3137-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	10	1	100	100
50090-3137-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	15	1	150	150
50090-3137-2	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	210	210
50090-3137-4	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	50	1	500	500
50090-3137-5	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	30	1	300	300
50090-3137-7	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	100	1	1000	1000
50090-3137-8	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	40	1	400	400
50090-3330-7	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	15	1	300	300
50090-3336-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	10	1	200	200
50090-3361-6	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	90	1	450	450
50090-4784-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	10	1	200	200
50090-4784-2	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	420	420
50090-4784-3	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	30	1	600	600
50090-4784-5	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	100	1	2000	2000
50090-4784-9	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	18	1	360	360
50090-4785-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	20	1	400	400
50090-4785-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	12	1	240	240
50090-4785-2	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	6	1	120	120
50090-4785-5	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	14	1	280	280
50090-4785-7	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	15	1	300	300
50090-5202-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	60	1	600	600
50090-5202-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	20	1	200	200
50090-5453-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	420	420
50090-5656-2	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	210	210
50090-5656-5	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	30	1	300	300
50090-5657-1	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	20	1	20	20
50090-5660-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	8	1	400	400
50090-5814-0	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	21	1	105	105
50090-5814-3	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	100	1	500	500
50090-5814-4	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	30	1	5	150
50090-5816-6	J7512	A-S MEDICATION SOLUTIONS	Prednisone ir or dr oral 1mg	1 MG	90	1	5	450
0074-3108-32	J7515	ABBVIE US, LLC	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0078-0240-15	J7515	NOVARTIS PHARMACEUTICALS CORPORATION	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0078-0246-15	J7515	NOVARTIS PHARMACEUTICALS CORPORATION	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0093-5740-65	J7515	TEVA PHARMACEUTICALS USA, INC.	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0093-5741-65	J7515	TEVA PHARMACEUTICALS USA, INC.	Cyclosporine oral 25 mg	25 MG	30	1	60	60
0093-9018-65	J7515	TEVA PHARMACEUTICALS USA, INC.	Cyclosporine oral 25 mg	25 MG	30	1	30	30
68084-879-25	J7515	AMERICAN HEALTH PACKAGING	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0078-0109-01	J7516	NOVARTIS PHARMACEUTICALS CORPORATION	Cyclosporin parenteral 250mg	250 MG	5	10	1	10
0574-0866-10	J7516	PERRIGO PHARMACEUTICALS	Cyclosporin parenteral 250mg	250 MG	5	10	1	10
0004-0259-01	J7517	GENENTECH, INC.	Mycophenolate mofetil oral	250 MG	100	1	100	100
0004-0259-43	J7517	GENENTECH, INC.	Mycophenolate mofetil oral	250 MG	500	1	500	500
0004-0260-01	J7517	GENENTECH, INC.	Mycophenolate mofetil oral	250 MG	100	1	200	200
0004-0260-43	J7517	GENENTECH, INC.	Mycophenolate mofetil oral	250 MG	500	1	1000	1000
0004-0261-29	J7517	GENENTECH, INC.	Mycophenolate mofetil oral	250 MG	175	1	140	140
0093-7334-01	J7517	TEVA PHARMACEUTICALS USA, INC.	Mycophenolate mofetil oral	250 MG	1	100	100	100
0093-7334-05	J7517	TEVA PHARMACEUTICALS USA, INC.	Mycophenolate mofetil oral	250 MG	1	500	500	500
0378-2250-01	J7517	MYLAN PHARMACEUTICALS, INC	Mycophenolate mofetil oral	250 MG	1	100	100	100
0378-2250-05	J7517	MYLAN PHARMACEUTICALS, INC	Mycophenolate mofetil oral	250 MG	1	500	500	500
0378-4472-01	J7517	MYLAN PHARMACEUTICALS, INC	Mycophenolate mofetil oral	250 MG	1	100	200	200
0378-4472-05	J7517	MYLAN PHARMACEUTICALS, INC	Mycophenolate mofetil oral	250 MG	1	500	1000	1000
0781-2067-01	J7517	SANDOZ	Mycophenolate mofetil oral	250 MG	1	100	100	100
0781-2067-05	J7517	SANDOZ	Mycophenolate mofetil oral	250 MG	1	500	500	500
0781-2067-89	J7517	SANDOZ	Mycophenolate mofetil oral	250 MG	1	1440	1440	1440
0781-5175-01	J7517	SANDOZ	Mycophenolate mofetil oral	250 MG	1	100	200	200
0781-5175-05	J7517	SANDOZ	Mycophenolate mofetil oral	250 MG	1	500	1000	1000
50090-2541-0	J7517	A-S MEDICATION SOLUTIONS	Mycophenolate mofetil oral	250 MG	180	1	360	360
50090-4275-0	J7517	A-S MEDICATION SOLUTIONS	Mycophenolate mofetil oral	250 MG	180	1	360	360
51079-379-20	J7517	MYLAN INSTITUTIONAL INC.	Mycophenolate mofetil oral	250 MG	1	100	200	200
51079-721-20	J7517	MYLAN INSTITUTIONAL INC.	Mycophenolate mofetil oral	250 MG	1	100	100	100
60687-438-01	J7517	AMERICAN HEALTH PACKAGING	Mycophenolate mofetil oral	250 MG	1	100	2	200
60687-494-01	J7517	AMERICAN HEALTH PACKAGING	Mycophenolate mofetil oral	250 MG	100	1	100	100
64380-725-06	J7517	STRIDES PHARMA INC.	Mycophenolate mofetil oral	250 MG	100	1	200	200
64380-725-07	J7517	STRIDES PHARMA INC.	Mycophenolate mofetil oral	250 MG	1	500	1000	1000
64380-726-06	J7517	STRIDES PHARMA INC.	Mycophenolate mofetil oral	250 MG	100	1	100	100
64380-726-07	J7517	STRIDES PHARMA INC.	Mycophenolate mofetil oral	250 MG	1	500	500	500
67877-225-01	J7517	ASCEND LABORATORIES	Mycophenolate mofetil oral	250 MG	100	1	200	200
67877-225-05	J7517	ASCEND LABORATORIES	Mycophenolate mofetil oral	250 MG	500	1	1000	1000
67877-230-22	J7517	ASCEND LABORATORIES	Mycophenolate mofetil oral	250 MG	225	1	180	180
67877-266-01	J7517	ASCEND LABORATORIES	Mycophenolate mofetil oral	250 MG	100	1	100	100
67877-266-05	J7517	ASCEND LABORATORIES	Mycophenolate mofetil oral	250 MG	500	1	500	500
0078-0385-66	J7518	NOVARTIS PHARMACEUTICALS CORPORATION	Mycophenolic acid	180 MG	120	1	120	120
0078-0386-66	J7518	NOVARTIS PHARMACEUTICALS CORPORATION	Mycophenolic acid	180 MG	120	1	240	240
0378-4201-78	J7518	ARCHIS PHARMA	Mycophenolic acid	180 MG	120	1	120	120
0378-4202-78	J7518	ARCHIS PHARMA	Mycophenolic acid	180 MG	120	1	240	240
50268-559-12	J7518	AVKARE, LLC	Mycophenolic acid	180 MG	20	1	20	20
51079-508-20	J7518	MYLAN INSTITUTIONAL INC.	Mycophenolic acid	180 MG	100	1	100	100
51079-509-20	J7518	MYLAN INSTITUTIONAL INC.	Mycophenolic acid	180 MG	100	1	200	200
67877-426-12	J7518	ASCEND LABORATORIES	Mycophenolic acid	180 MG	120	1	120	120
67877-427-12	J7518	ASCEND LABORATORIES	Mycophenolic acid	180 MG	120	1	240	240
68084-907-21	J7518	AMERICAN HEALTH PACKAGING	Mycophenolic acid	180 MG	30	1	30	30
68084-918-25	J7518	AMERICAN HEALTH PACKAGING	Mycophenolic acid	180 MG	30	1	60	60
0008-1030-06	J7520	PFIZER INC.	Sirolimus, oral	1 MG	60	1	60	60
0008-1040-05	J7520	PFIZER INC.	Sirolimus, oral	1 MG	100	1	50	50
0008-1040-10	J7520	PFIZER INC.	Sirolimus, oral	1 MG	100	1	50	50
0008-1041-05	J7520	PFIZER INC.	Sirolimus, oral	1 MG	100	1	100	100
0008-1041-10	J7520	PFIZER INC.	Sirolimus, oral	1 MG	100	1	100	100
0008-1042-05	J7520	PFIZER INC.	Sirolimus, oral	1 MG	100	1	200	200
55111-653-01	J7520	DR. REDDY'S LABORATORIES, INC.	Sirolimus, oral	1 MG	100	1	100	100
55111-654-01	J7520	DR. REDDY'S LABORATORIES, INC.	Sirolimus, oral	1 MG	100	1	200	200
59762-1001-1	J7520	VIATRIS - GREENSTONE LLC	Sirolimus, oral	1 MG	100	1	50	50
59762-1002-1	J7520	VIATRIS - GREENSTONE LLC	Sirolimus, oral	1 MG	100	1	100	100
59762-1003-1	J7520	VIATRIS - GREENSTONE LLC	Sirolimus, oral	1 MG	100	1	200	200
59762-1205-6	J7520	VIATRIS - GREENSTONE LLC	Sirolimus, oral	1 MG	60	1	60	60
67877-746-01	J7520	ASCEND LABORATORIES	Sirolimus, oral	1 MG	100	1	50	50
67877-747-01	J7520	ASCEND LABORATORIES	Sirolimus, oral	1 MG	100	1	100	100
67877-748-01	J7520	ASCEND LABORATORIES	Sirolimus, oral	1 MG	100	1	200	200
68084-915-25	J7520	AMERICAN HEALTH PACKAGING	Sirolimus, oral	1 MG	30	1	30	30
68462-682-01	J7520	GLENMARK PHARMACEUTICALS INC., USA	Sirolimus, oral	1 MG	100	1	50	50
68462-683-01	J7520	GLENMARK PHARMACEUTICALS INC., USA	Sirolimus, oral	1 MG	100	1	100	100
68462-684-01	J7520	GLENMARK PHARMACEUTICALS INC., USA	Sirolimus, oral	1 MG	100	1	200	200
0469-3016-01	J7525	ASTELLAS PHARMA US INC.	Tacrolimus injection	5 MG	1	10	1	10
0054-0470-21	J7527	HIKMA PHARMACEUTICALS USA INC.	Oral everolimus	0.25 MG	60	1	60	60
0054-0471-21	J7527	HIKMA PHARMACEUTICALS USA INC.	Oral everolimus	0.25 MG	60	1	120	120
0054-0472-21	J7527	HIKMA PHARMACEUTICALS USA INC.	Oral everolimus	0.25 MG	60	1	180	180
0078-0414-20	J7527	NOVARTIS PHARMACEUTICALS CORPORATION	Oral everolimus	0.25 MG	60	1	120	120
0078-0415-20	J7527	NOVARTIS PHARMACEUTICALS CORPORATION	Oral everolimus	0.25 MG	60	1	180	180
0078-0417-20	J7527	NOVARTIS PHARMACEUTICALS CORPORATION	Oral everolimus	0.25 MG	60	1	60	60
0078-0422-20	J7527	NOVARTIS PHARMACEUTICALS CORPORATION	Oral everolimus	0.25 MG	60	1	240	240
49884-283-02	J7527	PAR PHARMACEUTICAL	Oral everolimus	0.25 MG	60	1	240	240
67877-718-31	J7527	Ascend Laboratories, Llc	Oral everolimus	0.25 MG	60	1	60	60
67877-719-31	J7527	Ascend Laboratories, Llc	Oral everolimus	0.25 MG	60	1	120	120
67877-720-31	J7527	Ascend Laboratories, Llc	Oral everolimus	0.25 MG	60	1	180	180
67877-721-31	J7527	Ascend Laboratories, Llc	Oral everolimus	0.25 MG	60	1	240	240
63402-911-30	J7605	SUNOVION PHARMACEUTICALS INC.	Arformoterol non-comp unit	15 mcg	2	30	1	30
63402-911-64	J7605	SUNOVION PHARMACEUTICALS INC.	Arformoterol non-comp unit	15 mcg	2	60	1	60
68462-833-35	J7605	GLENMARK PHARMACEUTICALS INC., USA	Arformoterol non-comp unit	15 MCG	2	30	1	30
68462-833-65	J7605	GLENMARK PHARMACEUTICALS INC., USA	Arformoterol non-comp unit	15 MCG	2	60	1	60
69097-168-64	J7605	CIPLA USA INC.	Arformoterol non-comp unit	15 MCG	2	60	1	60
69097-168-87	J7605	CIPLA USA INC.	Arformoterol non-comp unit	15 MCG	2	30	1	30
70436-151-57	J7605	SLATE RUN	Arformoterol non-comp unit	15 MCG	2	30	1	30
70436-151-58	J7605	SLATE RUN	Arformoterol non-comp unit	15 MCG	2	60	1	60
70748-257-60	J7605	Lupin Pharmaceuticals	Arformoterol non-comp unit	15 mcg	2	60	1	60
0378-1631-91	J7606	MYLAN PHARMACEUTICALS, INC	Formoterol fumarate, inh	20 MCG	2	60	1	60
0378-1631-93	J7606	MYLAN PHARMACEUTICALS, INC	Formoterol fumarate, inh	20 MCG	2	30	1	30
49502-605-30	J7606	MYLAN SPECIALTY, L.P.	Formoterol fumarate, inh	20 MCG	2	30	1	30
49502-605-61	J7606	MYLAN SPECIALTY, L.P.	Formoterol fumarate, inh	20 MCG	2	60	1	60
0409-3307-03	J7608	PFIZER INC.	Acetylcysteine non-comp unit	1 GM	30	3	3	9
0409-3308-03	J7608	PFIZER INC.	Acetylcysteine non-comp unit	1 GM	30	3	6	18
0517-7504-25	J7608	AMERICAN REGENT	Acetylcysteine non-comp unit	1 GM	4	25	0.4	10
0517-7604-25	J7608	AMERICAN REGENT	Acetylcysteine non-comp unit	1 GM	4	25	0.8	20
63323-690-30	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	30	3	6	18
63323-690-44	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	30	3	6	18
63323-691-30	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	30	3	3	9
63323-692-10	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	10	3	2	6
63323-693-10	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	10	3	1	3
63323-694-04	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	4	25	0.8	20
63323-694-44	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	4	25	0.8	20
63323-695-04	J7608	FRESENIUS KABI	Acetylcysteine non-comp unit	1 GM	4	25	0.4	10
0487-9901-30	J7611	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp con	1 MG	0.5	30	2.5	75
50383-741-20	J7611	HI-TECH	Albuterol non-comp con	1 MG	20	1	100	100
0093-4147-56	J7612	TEVA PHARMACEUTICALS USA, INC.	Levalbuterol non-comp con	0.5 MG	0.5	30	2.5	75
0378-6993-93	J7612	MYLAN PHARMACEUTICALS, INC	Levalbuterol non-comp con	0.5 MG	0.5	30	2.5	75
17478-171-30	J7612	AKORN	Levalbuterol non-comp con	0.5 MG	0.5	30	2.5	75
35573-443-25	J7612	BUREL PHARMACEUTICALS	Levalbuterol non-comp con	0.5 MG	3	25	0.62	15.5
35573-444-25	J7612	BUREL PHARMACEUTICALS	Levalbuterol non-comp con	0.5 MG	3	25	1.25	31.25
35573-445-25	J7612	BUREL PHARMACEUTICALS	Levalbuterol non-comp con	0.5 MG	3	25	2.5	62.5
50090-0517-0	J7612	A-S MEDICATION SOLUTIONS	Levalbuterol non-comp con	1 MG	20	1	100	100
0378-6991-52	J7613	MYLAN PHARMACEUTICALS, INC	Albuterol non-comp unit	1 MG	3	25	0.63	15.75
0378-6992-52	J7613	MYLAN PHARMACEUTICALS, INC	Albuterol non-comp unit	1 MG	3	25	1.25	31.25
0378-8270-52	J7613	MYLAN PHARMACEUTICALS, INC	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
0378-8270-55	J7613	MYLAN PHARMACEUTICALS, INC	Albuterol non-comp unit	1 MG	3	30	2.5	75
0378-8270-91	J7613	MYLAN PHARMACEUTICALS, INC	Albuterol non-comp unit	1 MG	3	60	2.5	150
0378-8270-93	J7613	MYLAN PHARMACEUTICALS, INC	Albuterol non-comp unit	1 MG	3	30	2.5	75
0487-0301-01	J7613	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp unit	1 MG	3	30	0.63	19
0487-9501-01	J7613	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp unit	1 MG	3	30	2.5	75
0487-9501-03	J7613	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp unit	1 MG	3	30	2.5	75
0487-9501-25	J7613	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
0487-9501-60	J7613	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp unit	1 MG	3	60	2.5	150
0487-9904-01	J7613	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp unit	1 MG	3	30	1.25	37.5
0487-9904-25	J7613	NEPHRON PHARMACEUTICALS CORP.	Albuterol non-comp unit	1 MG	3	25	1.25	31.25
0591-3467-53	J7613	ACTAVIS PHARMA, INC.	Albuterol non-comp unit	1 MG	3	25	0.63	15.75
0591-3468-53	J7613	ACTAVIS PHARMA, INC.	Albuterol non-comp unit	1 MG	3	25	1.25	31.25
50090-0516-0	J7613	A-S MEDICATION SOLUTIONS	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
50090-0516-1	J7613	A-S MEDICATION SOLUTIONS	Albuterol non-comp unit	1 MG	3	125	2.5	312.5
50090-3400-0	J7613	A-S MEDICATION SOLUTIONS	Albuterol non-comp unit	1 MG	3	720	2.5	1800
60687-395-83	J7613	AMERICAN HEALTH PACKAGING	Albuterol non-comp unit	1 MG	3	30	2.5	75
76204-011-55	J7613	RITEDOSE PHARMACEUTICALS, LLC	Albuterol non-comp unit	1 MG	3	25	1.25	31.25
76204-200-01	J7613	RITEDOSE PHARMACEUTICALS	Albuterol non-comp unit	1 MG	3	30	2.5	75
76204-200-25	J7613	RITEDOSE PHARMACEUTICALS	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
76204-200-30	J7613	RITEDOSE PHARMACEUTICALS	Albuterol non-comp unit	1 MG	3	30	2.5	75
76204-200-60	J7613	RITEDOSE PHARMACEUTICALS	Albuterol non-comp unit	1 MG	3	60	2.5	150
0093-4146-56	J7614	TEVA PHARMACEUTICALS USA, INC.	Levalbuterol non-comp unit	0.5 MG	3	30	1.25	37.5
0093-4148-56	J7614	TEVA PHARMACEUTICALS USA, INC.	Levalbuterol non-comp unit	0.5 MG	3	30	2.5	75
0115-9930-78	J7614	IMPAX LABORATORIES, LLC	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
0115-9931-78	J7614	IMPAX LABORATORIES, LLC	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
0115-9932-78	J7614	IMPAX LABORATORIES, LLC	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
0378-9690-52	J7614	MYLAN PHARMACEUTICALS, INC	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
0378-9691-52	J7614	MYLAN PHARMACEUTICALS, INC	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
0378-9692-52	J7614	MYLAN PHARMACEUTICALS, INC	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
16714-094-25	J7614	NORTHSTAR RX LLC	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
16714-094-30	J7614	NORTHSTAR RX LLC	Levalbuterol non-comp unit	0.5 MG	3	30	0.62	18.6
16714-095-25	J7614	NORTHSTAR RX LLC	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
16714-096-25	J7614	NORTHSTAR RX LLC	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
17478-172-24	J7614	AKORN	Levalbuterol non-comp unit	0.5 MG	3	24	0.62	15
17478-173-24	J7614	AKORN	Levalbuterol non-comp unit	0.5 MG	3	24	1.25	30
17478-174-24	J7614	AKORN	Levalbuterol non-comp unit	0.5 MG	3	24	2.5	60
35573-443-25	J7614	BUREL PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
35573-444-25	J7614	BUREL PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
35573-445-25	J7614	BUREL PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
66993-021-27	J7614	PRASCO LABORATORIES	Levalbuterol non-comp unit	0.5 MG	3	24	0.62	15
66993-022-27	J7614	PRASCO LABORATORIES	Levalbuterol non-comp unit	0.5 MG	3	24	1.25	30
66993-023-27	J7614	PRASCO LABORATORIES	Levalbuterol non-comp unit	0.5 MG	3	24	2.5	60
76204-700-01	J7614	RITEDOSE PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	30	0.62	18.6
76204-700-25	J7614	RITEDOSE PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
76204-800-01	J7614	RITEDOSE PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	30	1.25	37.5
76204-800-25	J7614	RITEDOSE PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
76204-900-01	J7614	RITEDOSE PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	30	2.5	75
76204-900-25	J7614	RITEDOSE PHARMACEUTICALS	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
0378-9671-30	J7620	MYLAN PHARMACEUTICALS, INC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0378-9671-60	J7620	MYLAN PHARMACEUTICALS, INC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0378-9671-93	J7620	MYLAN PHARMACEUTICALS, INC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0487-0201-01	J7620	NEPHRON PHARMACEUTICALS CORP.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0487-0201-03	J7620	NEPHRON PHARMACEUTICALS CORP.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0487-0201-60	J7620	NEPHRON PHARMACEUTICALS CORP.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
50090-1382-0	J7620	A-S MEDICATION SOLUTIONS	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
50090-1669-0	J7620	A-S MEDICATION SOLUTIONS	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
60687-405-83	J7620	AMERICAN HEALTH PACKAGING	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
69097-173-53	J7620	CIPLA USA INC.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
69097-173-64	J7620	CIPLA USA INC.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
69097-840-53	J7620	CIPLA USA INC.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
69097-840-64	J7620	CIPLA USA INC.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
69097-840-87	J7620	CIPLA USA INC.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
76204-600-01	J7620	RITEDOSE PHARMACEUTICALS	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
76204-600-05	J7620	RITEDOSE PHARMACEUTICALS	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
76204-600-12	J7620	RITEDOSE PHARMACEUTICALS	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
76204-600-30	J7620	RITEDOSE PHARMACEUTICALS	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
76204-600-60	J7620	RITEDOSE PHARMACEUTICALS	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0093-6815-55	J7626	TEVA PHARMACEUTICALS USA, INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0093-6815-73	J7626	TEVA PHARMACEUTICALS USA, INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0093-6816-55	J7626	TEVA PHARMACEUTICALS USA, INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0093-6816-73	J7626	TEVA PHARMACEUTICALS USA, INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0093-6817-73	J7626	TEVA PHARMACEUTICALS USA, INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
0115-1687-74	J7626	IMPAX LABORATORIES, LLC	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0115-1689-74	J7626	IMPAX LABORATORIES, LLC	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0186-1988-04	J7626	ASTRAZENECA	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0186-1989-04	J7626	ASTRAZENECA	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0186-1990-04	J7626	ASTRAZENECA	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
0487-9601-01	J7626	NEPHRON PHARMACEUTICALS CORP.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0487-9601-30	J7626	NEPHRON PHARMACEUTICALS CORP.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0487-9701-01	J7626	NEPHRON PHARMACEUTICALS CORP.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0487-9701-30	J7626	NEPHRON PHARMACEUTICALS CORP.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0781-7515-87	J7626	SANDOZ	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0781-7516-87	J7626	SANDOZ	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0781-7517-87	J7626	SANDOZ	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
16714-018-30	J7626	NORTHSTAR RX LLC	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
16714-019-30	J7626	NORTHSTAR RX LLC	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
16714-020-30	J7626	NORTHSTAR RX LLC	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
47335-631-49	J7626	SUN PHARMACEUTICAL GLOBAL FZE.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
47335-632-49	J7626	SUN PHARMACEUTICAL GLOBAL FZE.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
47335-633-49	J7626	SUN PHARMACEUTICAL GLOBAL FZE.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
60687-524-83	J7626	AMERICAN HEALTH PACKAGING	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
69097-318-53	J7626	CIPLA USA INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
69097-318-87	J7626	CIPLA USA INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
69097-319-53	J7626	CIPLA USA INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
69097-319-87	J7626	CIPLA USA INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
69097-321-53	J7626	CIPLA USA INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
69097-321-87	J7626	CIPLA USA INC.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
76204-018-01	J7626	Ritedose Pharmaceuticals, Llc	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
76282-640-38	J7626	EXELAN PHARMACEUTICALS	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
76282-641-38	J7626	EXELAN PHARMACEUTICALS	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
76282-642-38	J7626	EXELAN PHARMACEUTICALS	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
0172-6406-49	J7631	IVAX PHARMACEUTICALS, INC.	Cromolyn sodium noncomp unit	10 MG	2	60	2	120
69784-205-60	J7631	WOODWARD PHARMA SERVICES LLC	Cromolyn sodium noncomp unit	10 MG	2	60	2	120
50242-100-40	J7639	GENENTECH, INC.	Dornase alfa non-comp unit	1 MG	2.5	30	2.5	75
0378-7970-52	J7644	MYLAN PHARMACEUTICALS, INC	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
0378-7970-55	J7644	MYLAN PHARMACEUTICALS, INC	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0378-7970-91	J7644	MYLAN PHARMACEUTICALS, INC	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
0378-7970-93	J7644	MYLAN PHARMACEUTICALS, INC	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0487-9801-01	J7644	NEPHRON PHARMACEUTICALS CORP.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0487-9801-25	J7644	NEPHRON PHARMACEUTICALS CORP.	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
0487-9801-30	J7644	NEPHRON PHARMACEUTICALS CORP.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0487-9801-60	J7644	NEPHRON PHARMACEUTICALS CORP.	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
47335-706-49	J7644	SUN PHARMACEUTICAL GLOBAL FZE.	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
47335-706-52	J7644	SUN PHARMACEUTICAL GLOBAL FZE.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
47335-706-54	J7644	SUN PHARMACEUTICAL GLOBAL FZE.	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
50090-0668-0	J7644	A-S MEDICATION SOLUTIONS	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
60687-394-83	J7644	AMERICAN HEALTH PACKAGING	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
76204-100-01	J7644	RITEDOSE PHARMACEUTICALS	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
76204-100-25	J7644	RITEDOSE PHARMACEUTICALS	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
76204-100-30	J7644	RITEDOSE PHARMACEUTICALS	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
76204-100-60	J7644	RITEDOSE PHARMACEUTICALS	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
64281-100-06	J7674	METHAPHARM INC	Methacholine chloride, neb	1 MG	1	6	100	600
49502-806-93	J7677	MYLAN SPECIALTY, L.P.	Revefenacin inh non-com 1mcg	1 MCG	3	30	175	5250
0078-0494-71	J7682	MYLAN SPECIALTY L.P. (NOVARTIS LABELER CODE)	Tobramycin non-comp unit	300 MG	5	56	1	56
0093-3750-28	J7682	TEVA PHARMACEUTICALS USA, INC.	Tobramycin non-comp unit	300 MG	4	28	1	28
0093-3750-63	J7682	TEVA PHARMACEUTICALS USA, INC.	Tobramycin non-comp unit	300 MG	4	56	1	56
0093-4085-63	J7682	TEVA PHARMACEUTICALS USA, INC.	Tobramycin non-comp unit	300 MG	5	56	1	56
10122-820-28	J7682	CHIESI USA, INC.	Tobramycin non-comp unit	300 MG	4	28	1	28
10122-820-56	J7682	CHIESI USA, INC.	Tobramycin non-comp unit	300 MG	4	56	1	56
16714-119-03	J7682	NORTHSTAR RX LLC	Tobramycin non-comp unit	300 MG	5	56	1	56
17478-340-38	J7682	AKORN	Tobramycin non-comp unit	300 MG	5	56	1	56
24492-850-56	J7682	PARI RESPIRATORY EQUIPMENT, INC.	Tobramycin non-comp unit	300 MG	5	56	1	56
43598-605-56	J7682	DR. REDDY'S LABORATORIES, INC.	Tobramycin non-comp unit	300 MG	5	56	1	56
43598-605-58	J7682	DR. REDDY'S LABORATORIES, INC.	Tobramycin non-comp unit	300 MG	5	56	1	56
65162-914-46	J7682	AMNEAL PHARMACEUTICALS, LLC	Tobramycin non-comp unit	300 MG	5	56	1	56
66993-195-94	J7682	PRASCO LABORATORIES	Tobramycin non-comp unit	300 MG	4	56	1	56
70644-899-99	J7682	GENERICUS, INC	Tobramycin non-comp unit	300 MG	5	56	1	56
66302-206-01	J7686	UNITED THERAPEUTICS	Treprostinil, non-comp unit	1.74 MG	2.9	28	1	28
66302-206-02	J7686	UNITED THERAPEUTICS	Treprostinil, non-comp unit	1.74 MG	2.9	28	1	28
66302-206-03	J7686	UNITED THERAPEUTICS	Treprostinil, non-comp unit	1.74 MG	2.9	4	1	4
66302-206-04	J7686	UNITED THERAPEUTICS	Treprostinil, non-comp unit	1.74 MG	2.9	4	1	4
0006-0461-02	J8501	MERCK SHARP & DOHME CORP.	Oral aprepitant	5 MG	1	2	16	32
0006-3066-03	J8501	MERCK SHARP & DOHME CORP.	Oral aprepitant	5 MG	1	1	25	25
0006-3862-03	J8501	MERCK SHARP & DOHME CORP.	Oral aprepitant	5 MG	1	3	57	57
0781-2321-06	J8501	SANDOZ	Oral aprepitant	5 MG	1	1	8	8
0781-2321-51	J8501	SANDOZ	Oral aprepitant	5 MG	1	5	8	40
0781-2322-46	J8501	SANDOZ	Oral aprepitant	5 MG	1	2	16	32
0781-2322-68	J8501	SANDOZ	Oral aprepitant	5 MG	1	6	16	96
0781-2323-68	J8501	SANDOZ	Oral aprepitant	5 MG	1	6	25	150
0781-4063-36	J8501	SANDOZ	Oral aprepitant	5 MG	1	3	57	57
68462-112-33	J8501	GLENMARK PHARMACEUTICALS INC., USA	Oral aprepitant	5 MG	1	3	57	57
68462-583-40	J8501	GLENMARK PHARMACEUTICALS INC., USA	Oral aprepitant	5 MG	1	1	8	8
68462-583-85	J8501	GLENMARK PHARMACEUTICALS INC., USA	Oral aprepitant	5 MG	1	5	8	40
68462-584-58	J8501	GLENMARK PHARMACEUTICALS INC., USA	Oral aprepitant	5 MG	1	2	16	32
68462-584-76	J8501	GLENMARK PHARMACEUTICALS INC., USA	Oral aprepitant	5 MG	1	6	16	96
68462-585-76	J8501	GLENMARK PHARMACEUTICALS INC., USA	Oral aprepitant	5 MG	1	6	25	150
0004-1100-20	J8520	GENENTECH, INC.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0054-0271-21	J8520	HIKMA PHARMACEUTICALS USA INC.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0093-7473-06	J8520	TEVA PHARMACEUTICALS USA, INC.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0378-2511-91	J8520	MYLAN PHARMACEUTICALS, INC	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
16714-467-01	J8520	NORTHSTAR RX LLC	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
16729-072-12	J8520	ACCORD HEALTHCARE INC.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
64980-276-06	J8520	RISING PHARMACEUTICALS	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
65162-843-06	J8520	AMNEAL PHARMACEUTICALS, LLC	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
69097-949-03	J8520	CIPLA USA INC.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
70756-815-60	J8520	LIFESTAR PHARMACEUTICALS	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
72485-204-60	J8520	ARMAS PHARMACEUTICALS, INC.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0004-1101-50	J8521	GENENTECH, INC.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0054-0272-23	J8521	HIKMA PHARMACEUTICALS USA INC.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0093-7474-89	J8521	TEVA PHARMACEUTICALS USA, INC.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0378-2512-78	J8521	MYLAN PHARMACEUTICALS, INC	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
16714-468-01	J8521	NORTHSTAR RX LLC	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
16729-073-29	J8521	ACCORD HEALTHCARE INC.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
64980-277-12	J8521	RISING PHARMACEUTICALS	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
65162-844-16	J8521	AMNEAL PHARMACEUTICALS, LLC	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
69097-948-08	J8521	CIPLA USA INC.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
70756-816-22	J8521	LIFESTAR PHARMACEUTICALS	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
72485-205-12	J8521	ARMAS PHARMACEUTICALS, INC.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0054-0382-25	J8530	HIKMA PHARMACEUTICALS USA INC.	Cyclophosphamide oral 25 mg	25 MG	100	1	100	100
0054-0383-25	J8530	HIKMA PHARMACEUTICALS USA INC.	Cyclophosphamide oral 25 mg	25 MG	100	1	200	200
10019-982-01	J8530	BAXTER	Cyclophosphamide oral 25 mg	25 MG	100	1	100	100
10019-984-01	J8530	BAXTER	Cyclophosphamide oral 25 mg	25 MG	100	1	200	200
62559-930-01	J8530	ANI PHARMACEUTICALS, INC	Cyclophosphamide oral 25 mg	25 MG	100	1	100	100
69097-516-07	J8530	CIPLA USA INC.	Cyclophosphamide oral 25 mg	25 MG	100	1	100	100
69097-517-07	J8530	CIPLA USA INC.	Cyclophosphamide oral 25 mg	25 MG	100	1	200	200
50090-0088-4	J8540	A-S MEDICATION SOLUTIONS	Oral dexamethasone	0.25 MG	6	1	96	96
50090-0089-0	J8540	A-S MEDICATION SOLUTIONS	Oral dexamethasone	0.25 MG	28	1	448	448
60432-466-08	J8540	MORTON GROVE PHARM.	Oral dexamethasone	0.25 MG	237	1	94.8	94.8
0378-3266-94	J8560	MYLAN PHARMACEUTICALS, INC	Etoposide oral 50 mg	50 MG	20	1	20	20
0054-4550-15	J8610	HIKMA PHARMACEUTICALS USA INC.	Methotrexate oral 2.5 mg	2.5 MG	36	1	36	36
0054-4550-25	J8610	HIKMA PHARMACEUTICALS USA INC.	Methotrexate oral 2.5 mg	2.5 MG	100	1	100	100
0054-8550-25	J8610	HIKMA PHARMACEUTICALS USA INC.	Methotrexate oral 2.5 mg	2.5 MG	100	1	100	100
0378-0014-01	J8610	MYLAN PHARMACEUTICALS, INC	Methotrexate oral 2.5 mg	2.5 MG	100	1	100	100
0555-0572-02	J8610	BARR PHARMACEUTICALS, INC.	Methotrexate oral 2.5 mg	2.5 MG	100	1	100	100
0555-0572-35	J8610	BARR PHARMACEUTICALS, INC.	Methotrexate oral 2.5 mg	2.5 MG	36	1	36	36
47335-235-83	J8610	SUN PHARMACEUTICAL GLOBAL FZE.	Methotrexate oral 2.5 mg	2.5 MG	100	1	100	100
47335-235-96	J8610	SUN PHARMACEUTICAL GLOBAL FZE.	Methotrexate oral 2.5 mg	2.5 MG	36	1	36	36
50090-3418-9	J8610	A-S MEDICATION SOLUTIONS	Methotrexate oral 2.5 mg	2.5 MG	36	1	36	36
50090-5457-9	J8610	A-S MEDICATION SOLUTIONS	Methotrexate oral 2.5 mg	2.5 MG	36	1	36	36
51079-670-05	J8610	MYLAN INSTITUTIONAL INC.	Methotrexate oral 2.5 mg	2.5 MG	20	1	20	20
51285-366-01	J8610	DURAMED PHARMACEUTICALS, INC.	Methotrexate oral 2.5 mg	2.5 MG	30	1	2	60
51285-367-01	J8610	DURAMED PHARMACEUTICALS, INC.	Methotrexate oral 2.5 mg	2.5 MG	30	1	90	90
51285-368-01	J8610	DURAMED PHARMACEUTICALS, INC.	Methotrexate oral 2.5 mg	2.5 MG	30	1	120	120
51285-369-01	J8610	DURAMED PHARMACEUTICALS, INC.	Methotrexate oral 2.5 mg	2.5 MG	30	1	180	180
69639-101-01	J8655	HELSINN THERAPUTICS (US) INC	Oral netupitant, palonosetro	300 MG/0.5 MG	1	1	1	1
70720-101-02	J8670	TERSERA THERAPEUTICS LLC	Rolapitant, oral, 1mg	1 MG	2	1	180	180
0085-1366-03	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	5	20	100
0085-1366-04	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	14	20	280
0085-1417-02	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	5	50	250
0085-1425-03	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	5	28	140
0085-1425-04	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	14	28	392
0085-1430-03	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	5	36	180
0085-1430-04	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	14	36	504
0085-1519-03	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	5	4	20
0085-1519-04	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	14	4	56
0085-3004-03	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	5	1	5
0085-3004-04	J8700	SCHERING CORPORATION	Temozolomide	5 MG	1	14	1	14
0781-2691-44	J8700	SANDOZ	Temozolomide	5 MG	1	14	1	14
0781-2691-75	J8700	SANDOZ	Temozolomide	5 MG	1	5	1	5
0781-2692-44	J8700	SANDOZ	Temozolomide	5 MG	1	14	4	56
0781-2692-75	J8700	SANDOZ	Temozolomide	5 MG	1	5	4	20
0781-2693-44	J8700	SANDOZ	Temozolomide	5 MG	1	14	20	280
0781-2693-75	J8700	SANDOZ	Temozolomide	5 MG	1	5	20	100
0781-2694-44	J8700	SANDOZ	Temozolomide	5 MG	1	14	28	392
0781-2694-75	J8700	SANDOZ	Temozolomide	5 MG	1	5	28	140
0781-2695-44	J8700	SANDOZ	Temozolomide	5 MG	1	14	36	504
0781-2695-75	J8700	SANDOZ	Temozolomide	5 MG	1	5	36	180
0781-2696-75	J8700	SANDOZ	Temozolomide	5 MG	1	5	50	250
16729-048-53	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	5	1	5
16729-048-54	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	14	1	14
16729-049-53	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	5	4	20
16729-049-54	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	14	4	56
16729-050-53	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	5	20	100
16729-050-54	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	14	20	280
16729-051-53	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	5	50	250
16729-129-53	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	5	28	140
16729-129-54	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	14	28	392
16729-130-53	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	5	36	180
16729-130-54	J8700	ACCORD HEALTHCARE INC.	Temozolomide	5 MG	1	14	36	504
47335-890-72	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	15	1	15
47335-890-74	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	5	1	5
47335-891-72	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	15	4	60
47335-891-74	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	5	4	20
47335-892-72	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	15	20	300
47335-892-74	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	5	20	100
47335-893-74	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	5	50	250
47335-929-72	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	15	28	420
47335-929-74	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	5	28	140
47335-930-72	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	15	36	540
47335-930-74	J8700	SUN PHARMACEUTICAL GLOBAL FZE.	Temozolomide	5 MG	1	5	36	180
64980-333-05	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	5	1	5
64980-333-14	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	14	1	14
64980-334-05	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	5	4	20
64980-334-14	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	14	4	56
64980-335-05	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	5	20	100
64980-335-14	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	14	20	280
64980-336-05	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	5	28	140
64980-336-14	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	14	28	392
64980-337-05	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	5	36	180
64980-337-14	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	14	36	504
64980-338-05	J8700	RISING PHARMACEUTICALS	Temozolomide	5 MG	1	5	50	250
65162-801-14	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	14	1	14
65162-801-51	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	5	1	5
65162-802-14	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	14	4	56
65162-802-51	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	5	4	20
65162-803-14	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	14	20	280
65162-803-51	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	5	20	100
65162-804-14	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	14	28	392
65162-804-51	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	5	28	140
65162-805-14	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	14	36	504
65162-805-51	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	5	36	180
65162-806-51	J8700	AMNEAL PHARMACEUTICALS, LLC	Temozolomide	5 MG	1	5	50	250
0078-0672-01	J8705	NOVARTIS PHARMACEUTICALS CORPORATION	Topotecan oral	0.25 mg	1	10	1	10
0078-0673-01	J8705	NOVARTIS PHARMACEUTICALS CORPORATION	Topotecan oral	0.25 mg	1	10	4	40
0069-3030-20	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
0069-3031-20	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	10	1	2	2
0069-3032-20	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	25	1	5	5
0069-3033-20	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	75	1	15	15
0069-3034-20	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	100	1	20	20
0069-4004-05	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
0069-4015-10	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	10	1	2	2
0069-4026-25	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	25	1	5	5
0069-4037-01	J9000	PFIZER INC.	Doxorubicin hcl injection	10 MG	100	1	20	20
0143-9084-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
0143-9085-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	10	1	2	2
0143-9086-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	25	1	5	5
0143-9087-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	100	1	20	20
0143-9088-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
0143-9089-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	10	1	2	2
0143-9090-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	25	1	5	5
0143-9091-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	100	1	20	20
0143-9092-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
0143-9275-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	1	1	1	1
0143-9277-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	1	1	5	5
0143-9369-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
0143-9370-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	10	1	2	2
0143-9371-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	25	1	5	5
0143-9372-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	100	1	20	20
0143-9546-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	100	1	20	20
0143-9547-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	25	1	5	5
0143-9548-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	10	1	2	2
0143-9549-01	J9000	HIKMA PHARMACEUTICALS USA INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
16714-001-01	J9000	NORTHSTAR RX LLC	Doxorubicin hcl injection	10 MG	100	1	20	20
45963-733-55	J9000	ACTAVIS PHARMA, INC.	Doxorubicin hcl injection	10 MG	5	1	1	1
45963-733-57	J9000	ACTAVIS PHARMA, INC.	Doxorubicin hcl injection	10 MG	10	1	2	2
45963-733-60	J9000	ACTAVIS PHARMA, INC.	Doxorubicin hcl injection	10 MG	100	1	20	20
45963-733-68	J9000	ACTAVIS PHARMA, INC.	Doxorubicin hcl injection	10 MG	25	1	5	5
63323-101-61	J9000	FRESENIUS KABI	Doxorubicin hcl injection	10 MG	100	1	20	20
63323-883-05	J9000	FRESENIUS KABI	Doxorubicin hcl injection	10 MG	5	1	1	1
63323-883-10	J9000	FRESENIUS KABI	Doxorubicin hcl injection	10 MG	10	1	2	2
63323-883-30	J9000	FRESENIUS KABI	Doxorubicin hcl injection	10 MG	25	1	5	5
67457-436-50	J9000	MYLAN INSTITUTIONAL LLC	Doxorubicin hcl injection	10 MG	1	1	5	5
70860-208-25	J9000	ATHENEX	Doxorubicin hcl injection	10 MG	25	1	5	5
70860-208-51	J9000	ATHENEX	Doxorubicin hcl injection	10 MG	100	1	20	20
14789-600-10	J9017	NEXUS PHARMACEUTICAL INC	Arsenic trioxide injection	1 MG	10	10	10	100
50742-438-10	J9017	INGENUS PHARMACEUTICALS, LLC	Arsenic trioxide injection	1 MG	10	1	10	10
63323-637-10	J9017	FRESENIUS KABI	Arsenic trioxide injection	1 MG	10	10	10	100
63459-601-06	J9017	CEPHALON INC.	Arsenic trioxide injection	1 MG	6	10	12	120
68382-997-10	J9017	ZYDUS PHARMACEUTICALS	Arsenic trioxide injection	1 MG	10	10	10	100
69918-720-02	J9017	AMRING PHARMACEUTICALS	Arsenic trioxide injection	1 MG	10	2	10	20
69918-720-10	J9017	AMRING PHARMACEUTICALS	Arsenic trioxide injection	1 MG	10	10	10	100
70121-1483-7	J9017	AMNEAL BIOSCIENCES	Arsenic trioxide injection	1 MG	10	10	10	100
70121-1658-1	J9017	AMNEAL BIOSCIENCES	Arsenic trioxide injection	1 MG	6	10	12	120
70710-1610-6	J9017	ZYDUS PHARMACEUTICALS	Arsenic trioxide injection	1 MG	6	10	12	120
70860-217-10	J9017	ATHENEX	Arsenic trioxide injection	1 MG	10	1	10	10
68727-900-03	J9021	JAZZ PHARMACEUTICALS, INC.	Inj, aspara, rylaze, 0.1 mg	0.1 mg	0.5	3	100	300
50242-917-01	J9022	GENENTECH, INC.	Inj, atezolizumab,10 mg	10mg	20	1	120	120
50242-918-01	J9022	GENENTECH, INC.	Inj, atezolizumab,10 mg	10 MG	14	1	84	84
44087-3535-1	J9023	EMD SERONO, INC.	Injection, avelumab, 10 mg	10 MG	10	1	20	20
0143-9606-01	J9025	HIKMA PHARMACEUTICALS USA INC.	Azacitidine injection	1 MG	1	1	100	100
0781-3253-94	J9025	SANDOZ	Azacitidine injection	1 MG	1	1	100	100
0781-9253-94	J9025	SANDOZ	Azacitidine injection	1 MG	1	1	100	100
16714-927-01	J9025	NORTHSTAR RX LLC	Azacitidine injection	1 MG	1	1	100	100
16729-306-10	J9025	ACCORD HEALTHCARE INC.	Azacitidine injection	1 MG	1	1	100	100
43598-305-62	J9025	DR. REDDY'S LABORATORIES, INC.	Azacitidine injection	1 MG	1	1	100	100
43598-465-62	J9025	DR. REDDY'S LABORATORIES, INC.	Azacitidine injection	1 MG	1	1	100	100
43598-678-11	J9025	DR. REDDY'S LABORATORIES, INC.	Azacitidine injection	1 MG	1	1	100	100
51991-797-98	J9025	BRECKENRIDGE PHARMACEUTICAL	Azacitidine injection	1 MG	1	1	100	100
59572-102-01	J9025	CELGENE CORPORATION	Azacitidine injection	1 MG	1	1	100	100
63323-771-39	J9025	FRESENIUS KABI	Azacitidine injection	1 MG	1	1	100	100
67457-254-30	J9025	MYLAN INSTITUTIONAL LLC	Azacitidine injection	1 MG	1	1	100	100
68001-313-56	J9025	AMERICAN HEALTH PACKAGING	Azacitidine injection	1 MG	1	1	100	100
69097-805-40	J9025	CIPLA USA INC.	Azacitidine injection	1 MG	1	1	100	100
72485-201-01	J9025	ARMAS PHARMACEUTICALS, INC.	Azacitidine injection	1 MG	1	1	100	100
0024-5860-01	J9027	SANOFI-AVENTIS	Clofarabine injection	1 MG	20	1	20	20
0955-1746-01	J9027	SANOFI-AVENTIS	Clofarabine injection	1 MG	20	1	20	20
43598-309-20	J9027	DR. REDDY'S LABORATORIES, INC.	Clofarabine injection	1 MG	20	1	20	20
60505-6166-0	J9027	APOTEX CORP.	Clofarabine injection	1 MG	20	1	20	20
63323-572-70	J9027	FRESENIUS KABI	Clofarabine injection	1 MG	20	1	20	20
67457-546-20	J9027	MYLAN INSTITUTIONAL LLC	Clofarabine injection	1 MG	20	1	20	20
70121-1236-1	J9027	AMNEAL BIOSCIENCES	Clofarabine injection	1 MG	20	1	20	20
72266-108-01	J9027	FOSUN PHARMA	Clofarabine injection	1 MG	20	1	20	20
0052-0602-02	J9030	ORGANON USA, INC.	Bcg live intravesical 1mg	1 EA	1	1	50	50
0052-0603-02	J9030	ORGANON USA, INC.	Bcg live intravesical 1mg	1 EA	1	1	50	50
68152-108-09	J9032	SPECTRUM PHARMACEUTICALS	Injection, belinostat, 10mg	10 MG	1	1	50	50
72893-002-01	J9032	ACROTECH BIOPHARMA	Injection, belinostat, 10mg	10 MG	1	1	50	50
63459-390-08	J9033	CEPHALON INC.	Inj., treanda 1 mg	1 MG	1	1	25	25
63459-391-20	J9033	CEPHALON INC.	Inj., treanda 1 mg	1 MG	1	1	100	100
63459-348-04	J9034	CEPHALON INC.	Inj., bendeka 1 mg	1 MG	4	1	100	100
50242-060-01	J9035	GENENTECH, INC.	Bevacizumab injection	10 MG	4	1	10	10
50242-060-10	J9035	GENENTECH, INC.	Bevacizumab injection	10 MG	4	10	10	100
50242-061-01	J9035	GENENTECH, INC.	Bevacizumab injection	10 MG	16	1	40	40
50242-061-10	J9035	GENENTECH, INC.	Bevacizumab injection	10 MG	16	10	40	400
42367-521-25	J9036	EAGLE PHARMACEUTICALS, INC.	Inj. belrapzo/bendamustine	1 MG	4	1	100	100
0173-0896-01	J9037	GLAXOSMITHKLINE	Inj belantamab mafodot blmf	0.5 MG	1	1	200	200
55513-160-01	J9039	AMGEN USA, INC.	Injection, blinatumomab	1 MCG	1	1	35	35
0143-9240-01	J9040	HIKMA PHARMACEUTICALS USA INC.	Bleomycin sulfate injection	15 UNITS	1	1	1	1
0143-9241-01	J9040	HIKMA PHARMACEUTICALS USA INC.	Bleomycin sulfate injection	15 UNITS	1	1	2	2
0409-0323-20	J9040	PFIZER INC.	Bleomycin sulfate injection	15 UNITS	1	1	2	2
0409-0332-20	J9040	PFIZER INC.	Bleomycin sulfate injection	15 UNITS	1	1	1	1
0703-3154-01	J9040	SICOR PHARMACEUTICALS, INC.	Bleomycin sulfate injection	15 UNITS	1	1	1	1
0703-3155-01	J9040	SICOR PHARMACEUTICALS, INC.	Bleomycin sulfate injection	15 UNITS	1	1	2	2
16714-886-01	J9040	NORTHSTAR RX LLC	Bleomycin sulfate injection	15 UNITS	1	1	1	1
16714-908-01	J9040	NORTHSTAR RX LLC	Bleomycin sulfate injection	15 UNITS	1	1	2	2
61703-323-22	J9040	PFIZER INC.	Bleomycin sulfate injection	15 UNITS	1	1	2	2
61703-332-18	J9040	PFIZER INC.	Bleomycin sulfate injection	15 UNITS	1	1	1	1
63323-136-10	J9040	FRESENIUS KABI	Bleomycin sulfate injection	15 UNITS	1	1	1	1
63323-137-20	J9040	FRESENIUS KABI	Bleomycin sulfate injection	15 UNITS	1	1	1	2
63020-049-01	J9041	MILLENNIUM PHARMACEUTICALS, INC.	Inj., velcade 0.1 mg	0.1 MG	1	1	35	35
51144-050-01	J9042	SEATTLE GENETICS	Brentuximab vedotin inj	1mg	1	1	50	50
0024-5824-11	J9043	SANOFI-AVENTIS	Cabazitaxel injection	1 MG	1	1	60	60
63323-721-10	J9044	FRESENIUS KABI	Inj, bortezomib, nos, 0.1 mg	0.1 MG	1	1	35	35
0703-4239-01	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	60	1	12	12
0703-4239-81	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	60	1	12	12
0703-4244-01	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	5	1	1	1
0703-4244-81	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	5	1	1	1
0703-4246-01	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	15	1	3	3
0703-4246-81	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	15	1	3	3
0703-4248-01	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	45	1	9	9
0703-4248-81	J9045	SICOR PHARMACEUTICALS, INC.	Carboplatin injection	50 MG	45	1	9	9
16729-295-12	J9045	ACCORD HEALTHCARE INC.	Carboplatin injection	50 MG	60	1	12	12
16729-295-31	J9045	ACCORD HEALTHCARE INC.	Carboplatin injection	50 MG	5	1	1	1
16729-295-33	J9045	ACCORD HEALTHCARE INC.	Carboplatin injection	50 MG	15	1	3	3
16729-295-34	J9045	ACCORD HEALTHCARE INC.	Carboplatin injection	50 MG	45	1	9	9
55150-335-01	J9045	AUROMEDICS PHARMA LLC	Carboplatin injection	50 MG	45	1	9	9
55150-386-01	J9045	AUROMEDICS PHARMA LLC	Carboplatin injection	50 MG	60	1	12	12
61703-339-18	J9045	PFIZER INC.	Carboplatin injection	50 MG	5	1	1	1
61703-339-22	J9045	PFIZER INC.	Carboplatin injection	50 MG	15	1	3	3
61703-339-50	J9045	PFIZER INC.	Carboplatin injection	50 MG	45	1	9	9
61703-339-56	J9045	PFIZER INC.	Carboplatin injection	50 MG	45	1	12	12
63323-172-60	J9045	FRESENIUS KABI	Carboplatin injection	50 MG	60	1	12	12
69448-005-12	J9045	ACCORD BIOPHARMA INC.	Carboplatin injection	50 MG	60	1	12	12
69448-005-31	J9045	ACCORD BIOPHARMA INC.	Carboplatin injection	50 MG	5	1	1	1
69448-005-33	J9045	ACCORD BIOPHARMA INC.	Carboplatin injection	50 MG	15	1	3	3
69448-005-34	J9045	ACCORD BIOPHARMA INC.	Carboplatin injection	50 MG	45	1	9	9
69448-005-38	J9045	ACCORD BIOPHARMA INC.	Carboplatin injection	50 MG	100	1	20	20
76075-101-01	J9047	AMGEN USA, INC.	Injection, carfilzomib, 1 mg	1 mg	1	1	60	60
76075-102-01	J9047	AMGEN USA, INC.	Injection, carfilzomib, 1 mg	1 mg	1	1	30	30
76075-103-01	J9047	AMGEN USA, INC.	Injection, carfilzomib, 1 mg	1 MG	1	1	10	10
0781-3474-32	J9050	SANDOZ	Carmustine injection	100 MG	1	1	1	1
23155-261-41	J9050	HERITAGE PHARMACEUTICALS, INC.	Carmustine injection	100 MG	1	1	1	1
23155-649-41	J9050	HERITAGE PHARMACEUTICALS, INC.	Carmustine injection	100 MG	1	1	1	1
23155-790-41	J9050	HERITAGE PHARMACEUTICALS, INC.	Carmustine injection	100 MG	1	1	1	1
43598-628-57	J9050	DR. REDDY'S LABORATORIES, INC.	Carmustine injection	100 MG	1	1	1	1
54879-036-64	J9050	STI PHARMA, LLC	Carmustine injection	100 MG	1	1	1	1
70121-1482-2	J9050	AMNEAL BIOSCIENCES	Carmustine injection	100 MG	1	1	1	1
70710-1525-9	J9050	ZYDUS PHARMACEUTICALS	Carmustine injection	100 MG	1	1	1	1
66733-948-23	J9055	ELI LILLY AND COMPANY	Cetuximab injection	10 MG	50	1	10	10
66733-958-23	J9055	ELI LILLY AND COMPANY	Cetuximab injection	10 MG	100	1	20	20
0143-9504-01	J9060	HIKMA PHARMACEUTICALS USA INC.	Cisplatin 10 mg injection	10 MG	50	1	5	5
0143-9505-01	J9060	HIKMA PHARMACEUTICALS USA INC.	Cisplatin 10 mg injection	10 MG	100	1	10	10
0703-5747-11	J9060	SICOR PHARMACEUTICALS, INC.	Cisplatin 10 mg injection	10 MG	50	1	5	5
0703-5748-11	J9060	SICOR PHARMACEUTICALS, INC.	Cisplatin 10 mg injection	10 MG	100	1	10	10
16729-288-11	J9060	ACCORD HEALTHCARE INC.	Cisplatin 10 mg injection	10 MG	50	1	5	5
16729-288-38	J9060	ACCORD HEALTHCARE INC.	Cisplatin 10 mg injection	10 MG	100	1	10	10
44567-509-01	J9060	WG CRITICAL CARE	Cisplatin 10 mg injection	10 MG	50	1	5	5
44567-510-01	J9060	WG CRITICAL CARE	Cisplatin 10 mg injection	10 MG	100	1	10	10
44567-511-01	J9060	WG CRITICAL CARE	Cisplatin 10 mg injection	10 MG	200	1	20	20
44567-530-01	J9060	WG CRITICAL CARE	Cisplatin 10 mg injection	10 MG	1	1	5	5
63323-103-51	J9060	FRESENIUS KABI	Cisplatin 10 mg injection	10 MG	50	1	5	5
63323-103-64	J9060	FRESENIUS KABI	Cisplatin 10 mg injection	10 MG	200	1	20	20
63323-103-65	J9060	FRESENIUS KABI	Cisplatin 10 mg injection	10 MG	100	1	10	10
68001-283-27	J9060	AMERICAN HEALTH PACKAGING	Cisplatin 10 mg injection	10 MG	50	1	5	5
68001-283-32	J9060	AMERICAN HEALTH PACKAGING	Cisplatin 10 mg injection	10 MG	100	1	10	10
70860-206-50	J9060	ATHENEX	Cisplatin 10 mg injection	10 MG	50	1	5	5
70860-206-51	J9060	ATHENEX	Cisplatin 10 mg injection	10 MG	100	1	10	10
57894-501-01	J9061	JANSSEN BIOTECH, INC.	Inj, amivantamab-vmjw	2 mg	7	1	175	175
0143-9871-01	J9065	HIKMA PHARMACEUTICALS USA INC.	Inj cladribine per 1 mg	1 MG	1	1	10	10
42658-010-01	J9065	HISUN PHARMACEUTICALS USA, INC.	Inj cladribine per 1 mg	1 MG	10	1	10	10
63323-140-10	J9065	FRESENIUS KABI	Inj cladribine per 1 mg	1 MG	10	1	10	10
67457-450-10	J9065	MYLAN INSTITUTIONAL LLC	Inj cladribine per 1 mg	1 MG	10	1	10	10
0781-3233-94	J9070	SANDOZ	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
0781-3244-94	J9070	SANDOZ	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
0781-3255-94	J9070	SANDOZ	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-935-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-936-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-937-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-938-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-939-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-942-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-943-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-944-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-945-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-955-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-956-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-957-01	J9070	BAXTER	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
16714-857-01	J9070	NORTHSTAR RX LLC	Cyclophosphamide 100 mg inj	100 MG	1	1	10	10
16714-858-01	J9070	NORTHSTAR RX LLC	Cyclophosphamide 100 mg inj	100 MG	1	1	20	20
16714-859-01	J9070	NORTHSTAR RX LLC	Cyclophosphamide 100 mg inj	100 MG	1	1	5	5
50742-519-02	J9070	INGENUS PHARMACEUTICALS, LLC	Cyclophosphamide 100 mg inj	100 MG	2.5	1	5	5
50742-520-05	J9070	INGENUS PHARMACEUTICALS, LLC	Cyclophosphamide 100 mg inj	100 MG	5	1	10	10
50742-521-10	J9070	Ingenus Pharmaceuticals, Llc	Cyclophosphamide 100 mg inj	100 MG	10	1	20	20
70121-1238-1	J9070	AMNEAL BIOSCIENCES	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
70121-1239-1	J9070	AMNEAL BIOSCIENCES	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
70121-1240-1	J9070	AMNEAL BIOSCIENCES	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
70860-218-03	J9070	ATHENEX	Cyclophosphamide 100 mg inj	100 MG	2.5	1	5	5
70860-218-05	J9070	ATHENEX	Cyclophosphamide 100 mg inj	100 MG	5	1	10	10
70860-218-10	J9070	ATHENEX	Cyclophosphamide 100 mg inj	100 MG	10	1	20	20
72603-104-01	J9070	NORTHSTAR RX LLC	Cyclophosphamide 100 mg inj	100 MG	1	1	5	5
72603-326-01	J9070	NORTHSTAR RX LLC	Cyclophosphamide 100 mg inj	100 MG	1	1	10	10
61703-303-46	J9100	PFIZER INC.	Cytarabine hcl 100 mg inj	100 MG	50	1	10	10
61703-304-36	J9100	PFIZER INC.	Cytarabine hcl 100 mg inj	100 MG	25	1	5	5
61703-305-38	J9100	PFIZER INC.	Cytarabine hcl 100 mg inj	100 MG	5	5	1	5
61703-319-22	J9100	PFIZER INC.	Cytarabine hcl 100 mg inj	100 MG	20	1	20	20
63323-120-20	J9100	FRESENIUS KABI	Cytarabine hcl 100 mg inj	100 MG	1	1	20	20
67457-452-20	J9100	MYLAN INSTITUTIONAL LLC	Cytarabine hcl 100 mg inj	100 MG	20	1	20	20
67457-455-52	J9100	MYLAN INSTITUTIONAL LLC	Cytarabine hcl 100 mg inj	100 MG	5	10	1	10
61755-008-01	J9119	REGENERON PHARMACEUTICALS INC.	Inj., cemiplimab-rwlc, 1 mg	1 MG	7	1	350	350
39822-2100-2	J9120	X-GEN PHARMACEUTICALS INC	Dactinomycin injection	0.5 MG	1	1	1	1
55292-811-55	J9120	RECORDATI RARE DISEASES	Dactinomycin injection	0.5 MG	1	1	1	1
67457-513-05	J9120	MYLAN INSTITUTIONAL INC.	Dactinomycin injection	0.5 MG	1	1	1	1
67457-928-02	J9120	MYLAN INSTITUTIONAL INC.	Dactinomycin injection	0.5 MG	1	1	1	1
0143-9245-10	J9130	HIKMA PHARMACEUTICALS USA INC.	Dacarbazine 100 mg inj	100 MG	1	10	2	20
0703-5075-01	J9130	SICOR PHARMACEUTICALS, INC.	Dacarbazine 100 mg inj	100 MG	1	1	2	2
0703-5075-03	J9130	SICOR PHARMACEUTICALS, INC.	Dacarbazine 100 mg inj	100 MG	1	10	2	20
63323-127-10	J9130	FRESENIUS KABI	Dacarbazine 100 mg inj	100 MG	1	10	1	10
63323-128-20	J9130	FRESENIUS KABI	Dacarbazine 100 mg inj	100 MG	1	10	2	20
57894-503-01	J9144	JANSSEN BIOTECH, INC.	Daratumumab, hyaluronidase	10 MG	15	1	180	180
57894-502-05	J9145	JANSSEN BIOTECH, INC.	Injection, daratumumab 10 mg	10 MG	5	1	10	10
57894-502-20	J9145	JANSSEN BIOTECH, INC.	Injection, daratumumab 10 mg	10 MG	20	1	40	40
0143-9550-01	J9150	HIKMA PHARMACEUTICALS USA INC.	Daunorubicin injection	10 MG	10	1	5	5
0143-9551-10	J9150	HIKMA PHARMACEUTICALS USA INC.	Daunorubicin injection	10 MG	4	10	2	20
0703-5233-13	J9150	SICOR PHARMACEUTICALS, INC.	Daunorubicin injection	10 MG	1	10	2	20
42658-021-01	J9150	HISUN PHARMACEUTICALS USA, INC.	Daunorubicin injection	10 MG	4	1	2	2
42658-021-02	J9150	HISUN USA	Daunorubicin injection	10 MG	4	10	2	20
68727-745-02	J9153	JAZZ PHARMACEUTICALS, INC.	Inj daunorubicin, cytarabine	1 MG/2.27 MG	1	2	44	88
68727-745-05	J9153	JAZZ PHARMACEUTICALS, INC.	Inj daunorubicin, cytarabine	1 MG/2.27 MG	1	5	44	220
55566-8303-1	J9155	FERRING PHARMACEUTICALS, INC.	Degarelix injection	1 MG	1	1	80	80
55566-8403-1	J9155	FERRING PHARMACEUTICALS, INC.	Degarelix injection	1 MG	1	2	120	240
0143-9204-01	J9171	HIKMA PHARMACEUTICALS USA INC.	Docetaxel injection	1 MG	1	1	20	20
0143-9205-01	J9171	HIKMA PHARMACEUTICALS USA INC.	Docetaxel injection	1 MG	4	1	80	80
0409-0016-01	J9171	HOSPIRA, INC.	Docetaxel injection	1 MG	16	1	16	16
0409-0201-02	J9171	PFIZER INC.	Docetaxel injection	1 MG	2	1	20	20
0409-0201-10	J9171	PFIZER INC.	Docetaxel injection	1 MG	8	1	80	80
0409-0201-20	J9171	PFIZER INC.	Docetaxel injection	1 MG	16	1	160	160
0409-0366-01	J9171	PFIZER INC.	Docetaxel injection	1 MG	1	1	20	20
0409-0367-01	J9171	PFIZER INC.	Docetaxel injection	1 MG	4	1	80	80
0409-0368-01	J9171	PFIZER INC.	Docetaxel injection	1 MG	8	1	160	160
0409-1732-01	J9171	PFIZER INC.	Docetaxel injection	1 MG	16	1	160	160
0409-2026-01	J9171	HOSPIRA, INC.	Docetaxel injection	1 MG	2	1	20	20
0409-5068-01	J9171	PFIZER INC.	Docetaxel injection	1 MG	4	1	80	80
0955-1020-01	J9171	SANOFI-AVENTIS	Docetaxel injection	1 MG	1	1	20	20
0955-1021-04	J9171	SANOFI-AVENTIS	Docetaxel injection	1 MG	4	1	80	80
0955-1022-08	J9171	SANOFI-AVENTIS	Docetaxel injection	1 MG	8	1	160	160
16729-267-63	J9171	ACCORD HEALTHCARE INC.	Docetaxel injection	1 MG	1	1	20	20
16729-267-64	J9171	ACCORD HEALTHCARE INC.	Docetaxel injection	1 MG	4	1	80	80
16729-267-65	J9171	ACCORD HEALTHCARE INC.	Docetaxel injection	1 MG	8	1	160	160
25021-245-01	J9171	SAGENT PHARMACEUTICALS INC	Docetaxel injection	1 MG	1	1	20	20
25021-245-04	J9171	SAGENT PHARMACEUTICALS INC	Docetaxel injection	1 MG	4	1	80	80
43066-001-01	J9171	BAXTER	Docetaxel injection	1 MG	2	1	20	20
43066-006-01	J9171	BAXTER	Docetaxel injection	1 MG	8	1	80	80
43066-010-01	J9171	BAXTER	Docetaxel injection	1 MG	16	1	160	160
43598-258-11	J9171	DR. REDDY'S LABORATORIES, INC.	Docetaxel injection	1 MG	1	1	20	20
43598-259-40	J9171	DR. REDDY'S LABORATORIES, INC.	Docetaxel injection	1 MG	4	1	80	80
43598-389-57	J9171	DR. REDDY'S LABORATORIES, INC.	Docetaxel injection	1 MG	8	1	160	160
43598-610-40	J9171	DR. REDDY'S LABORATORIES, INC.	Docetaxel injection	1 MG	4	1	80	80
43598-611-11	J9171	DR. REDDY'S LABORATORIES, INC.	Docetaxel injection	1 MG	1	1	20	20
45963-734-54	J9171	ACTAVIS PHARMA, INC.	Docetaxel injection	1 MG	1	1	20	20
45963-765-52	J9171	ACTAVIS PHARMA, INC.	Docetaxel injection	1 MG	4	1	80	80
47335-323-40	J9171	SUN PHARMACEUTICAL GLOBAL FZE.	Docetaxel injection	1 MG	1	1	20	20
47335-895-40	J9171	SUN PHARMACEUTICAL GLOBAL FZE.	Docetaxel injection	1 MG	4	1	80	80
47335-939-40	J9171	SUN PHARMACEUTICAL GLOBAL FZE.	Docetaxel injection	1 MG	8	1	160	160
50742-431-08	J9171	INGENUS PHARMACEUTICALS, LLC	Docetaxel injection	1 MG	8	1	80	80
50742-463-16	J9171	INGENUS PHARMACEUTICALS, LLC	Docetaxel injection	1 MG	16	1	160	160
55150-378-01	J9171	AUROMEDICS PHARMA LLC	Docetaxel injection	1 MG	2	1	20	20
55150-379-01	J9171	AUROMEDICS PHARMA LLC	Docetaxel injection	1 MG	8	1	80	80
55150-380-01	J9171	AUROMEDICS PHARMA LLC	Docetaxel injection	1 MG	16	1	160	160
66758-050-01	J9171	SANDOZ	Docetaxel injection	1 MG	2	1	20	20
66758-050-02	J9171	SANDOZ	Docetaxel injection	1 MG	8	1	80	80
66758-050-03	J9171	SANDOZ	Docetaxel injection	1 MG	16	1	160	160
66758-950-02	J9171	SANDOZ	Docetaxel injection	1 MG	2	1	20	20
66758-950-03	J9171	SANDOZ	Docetaxel injection	1 MG	8	1	80	80
66758-950-04	J9171	SANDOZ	Docetaxel injection	1 MG	16	1	160	160
67457-531-02	J9171	MYLAN INSTITUTIONAL LLC	Docetaxel injection	1 MG	2	1	20	20
67457-532-08	J9171	MYLAN INSTITUTIONAL LLC	Docetaxel injection	1 MG	8	1	80	80
67457-533-16	J9171	MYLAN INSTITUTIONAL LLC	Docetaxel injection	1 MG	16	1	160	160
67457-781-08	J9171	MYLAN INSTITUTIONAL LLC	Docetaxel injection	1 MG	8	1	160	160
0310-4500-12	J9173	ASTRAZENECA	Inj., durvalumab, 10 mg	10 MG	2.4	1	12	12
0310-4611-50	J9173	ASTRAZENECA	Inj., durvalumab, 10 mg	10 MG	10	1	50	50
0003-2291-11	J9176	BRISTOL-MYERS SQUIBB COMPANY	Injection, elotuzumab, 1mg	1 MG	1	1	300	300
0003-4522-11	J9176	BRISTOL-MYERS SQUIBB COMPANY	Injection, elotuzumab, 1mg	1 MG	1	1	400	400
51144-020-01	J9177	SEATTLE GENETICS	Inj enfort vedo-ejfv 0.25mg	0.25 MG	1	1	80	80
51144-030-01	J9177	SEATTLE GENETICS	Inj enfort vedo-ejfv 0.25mg	0.25 MG	1	1	120	120
0009-5091-01	J9178	PFIZER INC.	Inj, epirubicin hcl, 2 mg	2 MG	25	1	25	25
0009-5093-01	J9178	PFIZER INC.	Inj, epirubicin hcl, 2 mg	2 MG	100	1	100	100
0143-9202-01	J9178	HIKMA PHARMACEUTICALS USA INC.	Inj, epirubicin hcl, 2 mg	2 MG	25	1	25	25
0143-9203-01	J9178	HIKMA PHARMACEUTICALS USA INC.	Inj, epirubicin hcl, 2 mg	2 MG	100	1	100	100
62856-389-01	J9179	EISAI INC.	Eribulin mesylate injection	0.1 MG	2	1	10	10
0143-9376-01	J9181	HIKMA PHARMACEUTICALS USA INC.	Etoposide injection	10 MG	5	1	10	10
0143-9510-01	J9181	HIKMA PHARMACEUTICALS USA INC.	Etoposide injection	10 MG	5	1	10	10
0143-9511-01	J9181	HIKMA PHARMACEUTICALS USA INC.	Etoposide injection	10 MG	25	1	50	50
0143-9512-01	J9181	HIKMA PHARMACEUTICALS USA INC.	Etoposide injection	10 MG	50	1	100	100
0703-5653-01	J9181	SICOR PHARMACEUTICALS, INC.	Etoposide injection	10 MG	5	1	10	10
0703-5656-01	J9181	SICOR PHARMACEUTICALS, INC.	Etoposide injection	10 MG	25	1	50	50
0703-5657-01	J9181	SICOR PHARMACEUTICALS, INC.	Etoposide injection	10 MG	50	1	100	100
16729-114-08	J9181	ACCORD HEALTHCARE INC.	Etoposide injection	10 MG	25	1	50	50
16729-114-11	J9181	ACCORD HEALTHCARE INC.	Etoposide injection	10 MG	50	1	100	100
16729-114-31	J9181	ACCORD HEALTHCARE INC.	Etoposide injection	10 MG	5	1	10	10
61269-410-20	J9181	H2-PHARMA	Etoposide injection	10 MG	1	1	10	10
63323-104-05	J9181	FRESENIUS KABI	Etoposide injection	10 MG	5	10	10	100
63323-104-25	J9181	FRESENIUS KABI	Etoposide injection	10 MG	25	1	50	50
63323-104-50	J9181	FRESENIUS KABI	Etoposide injection	10 MG	50	1	100	100
68001-265-25	J9181	AMERICAN HEALTH PACKAGING	Etoposide injection	10 MG	5	1	10	10
68001-265-26	J9181	AMERICAN HEALTH PACKAGING	Etoposide injection	10 MG	25	1	50	50
68001-265-27	J9181	AMERICAN HEALTH PACKAGING	Etoposide injection	10 MG	50	1	100	100
24201-237-01	J9185	LEUCADIA PHARMACEUTICALS	Fludarabine phosphate inj	50 MG	1	1	1	1
25021-242-02	J9185	SAGENT PHARMACEUTICALS INC	Fludarabine phosphate inj	50 MG	2	1	1	1
45963-609-55	J9185	ACTAVIS PHARMA, INC.	Fludarabine phosphate inj	50 MG	1	1	1	1
45963-621-51	J9185	ACTAVIS PHARMA, INC.	Fludarabine phosphate inj	50 MG	1	1	1	1
63323-192-02	J9185	FRESENIUS KABI	Fludarabine phosphate inj	50 MG	1	1	1	1
16729-276-11	J9190	ACCORD HEALTHCARE INC.	Fluorouracil injection	500 MG	50	1	5	5
16729-276-38	J9190	ACCORD HEALTHCARE INC.	Fluorouracil injection	500 MG	100	1	10	10
16729-276-67	J9190	ACCORD HEALTHCARE INC.	Fluorouracil injection	500 MG	20	10	2	20
16729-276-68	J9190	ACCORD HEALTHCARE INC.	Fluorouracil injection	500 MG	10	10	1	10
25021-215-98	J9190	SAGENT PHARMACEUTICALS INC	Fluorouracil injection	500 MG	50	1	5	5
25021-215-99	J9190	SAGENT PHARMACEUTICALS INC	Fluorouracil injection	500 MG	100	1	10	10
63323-117-10	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	10	10	1	10
63323-117-18	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	10	10	1	10
63323-117-19	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	10	10	1	10
63323-117-20	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	20	10	2	20
63323-117-28	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	20	10	2	20
63323-117-51	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	50	1	5	5
63323-117-58	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	50	1	5	5
63323-117-59	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	50	1	5	5
63323-117-61	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	100	1	10	10
63323-117-68	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	100	1	10	10
63323-117-69	J9190	FRESENIUS KABI	Fluorouracil injection	500 MG	100	1	10	10
62756-008-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	130	1	13	13
62756-073-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	120	1	12	12
62756-102-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	140	1	14	14
62756-219-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	150	1	15	15
62756-321-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	160	1	16	16
62756-438-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	170	1	17	17
62756-533-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	180	1	18	18
62756-614-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	190	1	19	19
62756-746-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	200	1	20	20
62756-974-60	J9198	SUN PHARMACEUTICAL INDUSTRIES, LTD.	Inj. infugem, 100 mg	100 MG	220	1	22	22
0143-9270-01	J9200	HIKMA PHARMACEUTICALS USA INC.	Floxuridine injection	500 MG	1	1	1	1
63323-145-07	J9200	FRESENIUS KABI	Floxuridine injection	500 MG	1	1	1	1
0409-0181-01	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	26.3	1	5	5
0409-0181-25	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	26.3	1	5	5
0409-0182-01	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	52.6	1	10	10
0409-0182-25	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	52.6	1	10	10
0409-0183-01	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	5.26	1	1	1
0409-0183-25	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	5.26	1	1	1
0409-0185-01	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	1	1	1	1
0409-0186-01	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	1	1	5	5
0409-0187-01	J9201	PFIZER INC.	In gemcitabine hcl nos 200mg	200 MG	1	1	10	10
16714-909-01	J9201	NORTHSTAR RX LLC	In gemcitabine hcl nos 200mg	200 MG	1	1	1	1
16714-930-01	J9201	NORTHSTAR RX LLC	In gemcitabine hcl nos 200mg	200 MG	1	1	5	5
16729-092-03	J9201	ACCORD HEALTHCARE INC.	In gemcitabine hcl nos 200mg	200 MG	1	1	1	1
16729-117-11	J9201	ACCORD HEALTHCARE INC.	In gemcitabine hcl nos 200mg	200 MG	1	1	5	5
16729-118-38	J9201	ACCORD HEALTHCARE INC.	In gemcitabine hcl nos 200mg	200 MG	1	1	10	10
16729-391-30	J9201	ACCORD HEALTHCARE INC.	In gemcitabine hcl nos 200mg	200 MG	2	1	1	1
16729-419-03	J9201	ACCORD HEALTHCARE INC.	In gemcitabine hcl nos 200mg	200 MG	10	1	5	5
16729-423-33	J9201	ACCORD HEALTHCARE INC.	In gemcitabine hcl nos 200mg	200 MG	15	1	7.5	7.5
16729-426-05	J9201	ACCORD HEALTHCARE INC.	In gemcitabine hcl nos 200mg	200 MG	20	1	10	10
25021-234-10	J9201	SAGENT PHARMACEUTICALS INC	In gemcitabine hcl nos 200mg	200 MG	1	1	1	1
25021-235-50	J9201	SAGENT PHARMACEUTICALS INC	In gemcitabine hcl nos 200mg	200 MG	1	1	5	5
63323-102-13	J9201	FRESENIUS KABI	In gemcitabine hcl nos 200mg	200 MG	1	1	1	1
63323-102-94	J9201	FRESENIUS KABI	In gemcitabine hcl nos 200mg	200 MG	1	1	1	1
63323-125-53	J9201	FRESENIUS KABI	In gemcitabine hcl nos 200mg	200 MG	1	1	5	5
63323-125-94	J9201	FRESENIUS KABI	In gemcitabine hcl nos 200mg	200 MG	1	1	5	5
63323-126-00	J9201	FRESENIUS KABI	In gemcitabine hcl nos 200mg	200 MG	1	1	10	10
63323-126-03	J9201	FRESENIUS KABI	In gemcitabine hcl nos 200mg	200 MG	1	1	10	10
67457-616-10	J9201	MYLAN INSTITUTIONAL LLC	In gemcitabine hcl nos 200mg	200 MG	5.26	1	1	1
67457-617-30	J9201	MYLAN INSTITUTIONAL LLC	In gemcitabine hcl nos 200mg	200 MG	26.3	1	5	5
67457-618-10	J9201	MYLAN INSTITUTIONAL LLC	In gemcitabine hcl nos 200mg	200 MG	52.6	1	10	10
68001-342-34	J9201	AMERICAN HEALTH PACKAGING	In gemcitabine hcl nos 200mg	200 MG	2	1	1	1
68001-348-36	J9201	AMERICAN HEALTH PACKAGING	In gemcitabine hcl nos 200mg	200 MG	10	1	5	5
68001-359-37	J9201	AMERICAN HEALTH PACKAGING	In gemcitabine hcl nos 200mg	200 MG	20	1	10	10
70860-205-50	J9201	ATHENEX	In gemcitabine hcl nos 200mg	200 MG	1	1	5	5
50090-3466-0	J9202	A-S MEDICATION SOLUTIONS	Goserelin acetate implant	3.6 MG	1	1	1	1
70720-950-36	J9202	TERSERA THERAPEUTICS LLC	Goserelin acetate implant	3.6 MG	1	1	1	1
70720-951-30	J9202	TERSERA THERAPEUTICS LLC	Goserelin acetate implant	3.6 MG	1	1	3	3
0008-4510-01	J9203	PFIZER INC.	Gemtuzumab ozogamicin 0.1 mg	0.1 MG	1	1	45	45
42747-761-01	J9204	KYOWA KIRIN, INC.	Inj mogamulizumab-kpkc, 1 mg	1 MG	5	1	20	20
15054-0043-1	J9205	IPSEN BIOPHARMACEUTICALS, INC	Inj irinotecan liposome 1 mg	1 MG	10	1	43	43
0009-7529-03	J9206	PFIZER INC.	Irinotecan injection	20 MG	5	1	5	5
0009-7529-04	J9206	PFIZER INC.	Irinotecan injection	20 MG	2	1	2	2
0009-7529-05	J9206	PFIZER INC.	Irinotecan injection	20 MG	15	1	15	15
0143-9583-01	J9206	HIKMA PHARMACEUTICALS USA INC.	Irinotecan injection	20 MG	5	1	5	5
0143-9701-01	J9206	HIKMA PHARMACEUTICALS USA INC.	Irinotecan injection	20 MG	5	1	5	5
0143-9702-01	J9206	HIKMA PHARMACEUTICALS USA INC.	Irinotecan injection	20 MG	2	1	2	2
16714-027-01	J9206	NORTHSTAR RX LLC	Irinotecan injection	20 MG	2	1	2	2
16714-131-01	J9206	NORTHSTAR RX LLC	Irinotecan injection	20 MG	5	1	5	5
25021-230-02	J9206	SAGENT PHARMACEUTICALS INC	Irinotecan injection	20 MG	2	1	2	2
25021-230-05	J9206	SAGENT PHARMACEUTICALS INC	Irinotecan injection	20 MG	5	1	5	5
45963-614-51	J9206	ACTAVIS PHARMA, INC.	Irinotecan injection	20 MG	2	1	2	2
45963-614-55	J9206	ACTAVIS PHARMA, INC.	Irinotecan injection	20 MG	5	1	5	5
45963-614-81	J9206	ACTAVIS PHARMA, INC.	Irinotecan injection	20 MG	2	1	2	2
45963-614-85	J9206	ACTAVIS PHARMA, INC.	Irinotecan injection	20 MG	5	1	5	5
50742-401-02	J9206	INGENUS PHARMACEUTICALS, LLC	Irinotecan injection	20 MG	2	1	2	2
50742-402-05	J9206	INGENUS PHARMACEUTICALS, LLC	Irinotecan injection	20 MG	5	1	5	5
55150-352-01	J9206	AUROMEDICS PHARMA LLC	Irinotecan injection	20 MG	2	1	2	2
55150-353-01	J9206	AUROMEDICS PHARMA LLC	Irinotecan injection	20 MG	5	1	5	5
55150-354-01	J9206	AUROMEDICS PHARMA LLC	Irinotecan injection	20 MG	15	1	15	15
60505-6128-0	J9206	APOTEX CORP.	Irinotecan injection	20 MG	2	1	2	2
60505-6128-1	J9206	APOTEX CORP.	Irinotecan injection	20 MG	5	1	5	5
61703-349-09	J9206	PFIZER INC.	Irinotecan injection	20 MG	5	1	5	5
61703-349-16	J9206	PFIZER INC.	Irinotecan injection	20 MG	2	1	2	2
61703-349-36	J9206	PFIZER INC.	Irinotecan injection	20 MG	25	1	25	25
63323-193-52	J9206	FRESENIUS KABI	Irinotecan injection	20 MG	2	1	2	2
63323-193-55	J9206	FRESENIUS KABI	Irinotecan injection	20 MG	5	1	5	5
72485-211-02	J9206	ARMAS PHARMACEUTICALS, INC.	Irinotecan injection	20 MG	2	1	2	2
72485-212-05	J9206	ARMAS PHARMACEUTICALS, INC.	Irinotecan injection	20 MG	5	1	5	5
72485-213-15	J9206	ARMAS PHARMACEUTICALS, INC.	Irinotecan injection	20 MG	15	1	15	15
70020-1910-1	J9207	R-PHARM US, LLC	Ixabepilone injection	1 MG	1	1	15	15
70020-1911-1	J9207	R-PHARM US, LLC	Ixabepilone injection	1 MG	1	1	45	45
0143-9530-01	J9208	HIKMA PHARMACEUTICALS USA INC.	Ifosfamide injection	1 GM	1	1	3	3
0143-9531-01	J9208	HIKMA PHARMACEUTICALS USA INC.	Ifosfamide injection	1 GM	1	1	1	1
0338-3991-01	J9208	BAXTER	Ifosfamide injection	1 GM	1	1	1	1
0338-3993-01	J9208	BAXTER	Ifosfamide injection	1 GM	1	1	3	3
0703-3427-11	J9208	SICOR PHARMACEUTICALS, INC.	Ifosfamide injection	1 GM	1	1	1	1
0703-3429-11	J9208	SICOR PHARMACEUTICALS, INC.	Ifosfamide injection	1 GM	1	1	3	3
10019-925-01	J9208	BAXTER	Ifosfamide injection	1 GM	1	1	1	1
10019-926-02	J9208	BAXTER	Ifosfamide injection	1 GM	1	1	3	3
63323-142-10	J9208	FRESENIUS KABI	Ifosfamide injection	1 GM	1	1	1	1
0338-1305-01	J9209	BAXTER	Mesna injection	200 MG	10	1	5	5
10019-953-01	J9209	BAXTER	Mesna injection	200 MG	10	1	5	5
10019-953-02	J9209	BAXTER	Mesna injection	200 MG	10	10	5	50
25021-201-10	J9209	SAGENT PHARMACEUTICALS INC	Mesna injection	200 MG	10	1	5	5
25021-201-11	J9209	SAGENT PHARMACEUTICALS INC	Mesna injection	200 MG	10	10	5	50
63323-733-10	J9209	FRESENIUS KABI	Mesna injection	200 MG	10	10	5	50
63323-733-11	J9209	FRESENIUS KABI	Mesna injection	200 MG	10	1	5	5
66658-501-01	J9210	SOBI	Inj., emapalumab-lzsg, 1 mg	1 MG	2	1	10	10
66658-505-01	J9210	SOBI	Inj., emapalumab-lzsg, 1 mg	1 MG	10	1	50	50
66658-510-01	J9210	SOBI	Inj., emapalumab-lzsg, 1 mg	1 MG	20	1	100	100
0013-2576-91	J9211	PFIZER INC.	Idarubicin hcl injection	5 MG	5	1	1	1
0013-2586-91	J9211	PFIZER INC.	Idarubicin hcl injection	5 MG	10	1	2	2
0013-2596-91	J9211	PFIZER INC.	Idarubicin hcl injection	5 MG	20	1	4	4
0143-9217-01	J9211	HIKMA PHARMACEUTICALS USA INC.	Idarubicin hcl injection	5 MG	5	1	1	1
0143-9218-01	J9211	HIKMA PHARMACEUTICALS USA INC.	Idarubicin hcl injection	5 MG	10	1	2	2
0143-9219-01	J9211	HIKMA PHARMACEUTICALS USA INC.	Idarubicin hcl injection	5 MG	20	1	4	4
0143-9306-01	J9211	HIKMA PHARMACEUTICALS USA INC.	Idarubicin hcl injection	5 MG	5	1	1	1
0143-9307-01	J9211	HIKMA PHARMACEUTICALS USA INC.	Idarubicin hcl injection	5 MG	10	1	2	2
0143-9308-01	J9211	HIKMA PHARMACEUTICALS USA INC.	Idarubicin hcl injection	5 MG	20	1	4	4
0703-4154-11	J9211	SICOR PHARMACEUTICALS, INC.	Idarubicin hcl injection	5 MG	5	1	1	1
0703-4155-11	J9211	SICOR PHARMACEUTICALS, INC.	Idarubicin hcl injection	5 MG	10	1	2	2
0703-4156-11	J9211	SICOR PHARMACEUTICALS, INC.	Idarubicin hcl injection	5 MG	20	1	4	4
0085-1133-01	J9214	SCHERING CORPORATION	Interferon alfa-2b inj	1 MIL UNITS	2.5	1	25	25
0085-1168-01	J9214	SCHERING CORPORATION	Interferon alfa-2b inj	1 MIL UNITS	3	1	18	18
0085-4350-01	J9214	SCHERING CORPORATION	Interferon alfa-2b inj	1 MIL UNITS	1	1	10	10
0085-4351-01	J9214	SCHERING CORPORATION	Interferon alfa-2b inj	1 MIL UNITS	1	1	18	18
0085-4352-01	J9214	SCHERING CORPORATION	Interferon alfa-2b inj	1 MIL UNITS	1	1	50	50
0074-3346-03	J9217	ABBVIE US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	3	3
0074-3473-03	J9217	ABBVIE US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	6	6
0074-3642-03	J9217	ABBVIE US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	1	1
0074-3683-03	J9217	ABBVIE US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	4	4
62935-223-05	J9217	TOLMAR	Leuprolide acetate suspnsion	7.5 MG	1	1	3	3
62935-303-30	J9217	TOLMAR	Leuprolide acetate suspnsion	7.5 MG	1	1	4	4
62935-453-45	J9217	TOLMAR	Leuprolide acetate suspnsion	7.5 MG	1	1	6	6
62935-753-75	J9217	TOLMAR	Leuprolide acetate suspnsion	7.5 MG	1	1	1	1
0781-4003-32	J9218	SANDOZ	Leuprolide acetate injeciton	1 MG	2.8	1	14	14
47335-936-40	J9218	SUN PHARMACEUTICAL GLOBAL FZE.	Leuprolide acetate injeciton	1 MG	2.8	1	14	14
72664-611-28	J9218	Vgyaan Pharmaceuticals Llc	Leuprolide acetate injeciton	1 MG	2.8	1	14	14
68727-712-01	J9223	JAZZ PHARMACEUTICALS, INC.	Inj. lurbinectedin, 0.1 mg	0.1 MG	1	1	40	40
67979-002-01	J9226	ENDO PHARMACEUTICALS VALERA INC.	Supprelin la implant	50 MG	1	1	1	1
0024-0654-01	J9227	SANOFI-AVENTIS	Inj. isatuximab-irfc 10 mg	10 MG	5	1	10	10
0024-0656-01	J9227	SANOFI-AVENTIS	Inj. isatuximab-irfc 10 mg	10 MG	25	1	50	50
0003-2327-11	J9228	BRISTOL-MYERS SQUIBB COMPANY	Ipilimumab injection	1 MG	10	1	50	50
0003-2328-22	J9228	BRISTOL-MYERS SQUIBB COMPANY	Ipilimumab injection	1 MG	40	1	200	200
0008-0100-01	J9229	PFIZER INC.	Inj inotuzumab ozogam 0.1 mg	0.1 MG	1	1	9	9
43598-027-48	J9245	DR. REDDY'S LABORATORIES, INC.	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
43598-392-48	J9245	DR. REDDY'S LABORATORIES, INC.	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
45963-686-02	J9245	ACTAVIS PHARMA, INC.	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
52609-3001-0	J9245	APO PHARMA	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
63323-760-20	J9245	FRESENIUS KABI	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
67457-195-01	J9245	MYLAN INSTITUTIONAL LLC	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
67457-215-01	J9245	MYLAN INSTITUTIONAL LLC	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
67457-579-01	J9245	MYLAN INSTITUTIONAL LLC	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
70860-214-61	J9245	ATHENEX	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
72266-128-01	J9245	FOSUN PHARMA	Inj melpha hydroch nos 50 mg	50 MG	1	1	1	1
73657-020-01	J9247	ONCOPEPTIDES, INC.	Inj, melphalan flufenami 1mg	1 MG	1	1	20	20
0143-9519-10	J9250	HIKMA PHARMACEUTICALS USA INC.	Methotrexate sodium inj	5 MG	2	10	10	100
0143-9830-01	J9250	HIKMA PHARMACEUTICALS USA INC.	Methotrexate sodium inj	5 MG	1	1	200	200
0703-3671-01	J9250	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	5 MG	2	1	10	10
0703-3675-01	J9250	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	5 MG	10	1	50	50
0703-3678-01	J9250	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	5 MG	40	1	200	200
0703-3678-81	J9250	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	5 MG	40	1	200	200
16729-277-03	J9250	ACCORD HEALTHCARE INC.	Methotrexate sodium inj	5 MG	10	1	50	50
16729-277-30	J9250	ACCORD HEALTHCARE INC.	Methotrexate sodium inj	5 MG	2	1	10	10
16729-277-35	J9250	ACCORD HEALTHCARE INC.	Methotrexate sodium inj	5 MG	40	1	200	200
61703-350-10	J9250	PFIZER INC.	Methotrexate sodium inj	5 MG	2	5	10	50
61703-350-38	J9250	PFIZER INC.	Methotrexate sodium inj	5 MG	2	5	10	50
61703-408-25	J9250	PFIZER INC.	Methotrexate sodium inj	5 MG	40	1	200	200
61703-408-41	J9250	PFIZER INC.	Methotrexate sodium inj	5 MG	40	1	200	200
63323-122-50	J9250	FRESENIUS KABI	Methotrexate sodium inj	5 MG	1	1	200	200
63323-123-10	J9250	FRESENIUS KABI	Methotrexate sodium inj	5 MG	10	1	50	50
0143-9367-01	J9260	HIKMA PHARMACEUTICALS USA INC.	Methotrexate sodium inj	50 MG	1	1	20	20
0143-9519-10	J9260	HIKMA PHARMACEUTICALS USA INC.	Methotrexate sodium inj	50 MG	2	10	1	10
0143-9830-01	J9260	HIKMA PHARMACEUTICALS USA INC.	Methotrexate sodium inj	50 MG	1	1	20	20
0703-3671-01	J9260	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	50 MG	2	1	1	1
0703-3675-01	J9260	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	50 MG	10	1	5	5
0703-3678-01	J9260	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	50 MG	40	1	20	20
0703-3678-81	J9260	SICOR PHARMACEUTICALS, INC.	Methotrexate sodium inj	50 MG	40	1	20	20
16729-277-03	J9260	ACCORD HEALTHCARE INC.	Methotrexate sodium inj	50 MG	10	1	5	5
16729-277-30	J9260	ACCORD HEALTHCARE INC.	Methotrexate sodium inj	50 MG	2	1	1	1
16729-277-35	J9260	ACCORD HEALTHCARE INC.	Methotrexate sodium inj	50 MG	40	1	20	20
61703-350-10	J9260	PFIZER INC.	Methotrexate sodium inj	50 MG	2	5	1	5
61703-350-38	J9260	PFIZER INC.	Methotrexate sodium inj	50 MG	2	5	1	5
61703-408-25	J9260	PFIZER INC.	Methotrexate sodium inj	50 MG	40	1	20	20
61703-408-41	J9260	PFIZER INC.	Methotrexate sodium inj	50 MG	40	1	20	20
63323-122-50	J9260	FRESENIUS KABI	Methotrexate sodium inj	50 MG	1	1	20	20
63323-123-10	J9260	FRESENIUS KABI	Methotrexate sodium inj	50 MG	10	1	5	5
0078-0683-06	J9261	NOVARTIS PHARMACEUTICALS CORPORATION	Nelarabine injection	50 MG	50	6	5	30
70710-1726-1	J9261	ZYDUS PHARMACEUTICALS (USA)	Nelarabine injection	50 MG	50	1	5	5
70710-1726-8	J9261	ZYDUS PHARMACEUTICALS (USA)	Nelarabine injection	50 MG	50	6	5	30
63459-177-14	J9262	CEPHALON INC.	Inj, omacetaxine mep, 0.01mg	0.01 mg	1	1	350	350
0703-3985-01	J9263	SICOR PHARMACEUTICALS, INC.	Oxaliplatin	0.5 MG	10	1	100	100
0703-3986-01	J9263	SICOR PHARMACEUTICALS, INC.	Oxaliplatin	0.5 MG	20	1	200	200
0781-3315-70	J9263	SANDOZ	Oxaliplatin	0.5 MG	10	10	100	100
0781-3317-80	J9263	SANDOZ	Oxaliplatin	0.5 MG	20	10	200	200
0781-9315-70	J9263	SANDOZ	Oxaliplatin	0.5 MG	10	1	100	100
0781-9317-80	J9263	SANDOZ	Oxaliplatin	0.5 MG	20	1	200	200
0955-1725-10	J9263	SANOFI-AVENTIS	Oxaliplatin	0.5 MG	1	1	100	100
0955-1727-20	J9263	SANOFI-AVENTIS	Oxaliplatin	0.5 MG	20	1	200	200
0955-1731-10	J9263	SANOFI-AVENTIS	Oxaliplatin	0.5 MG	10	1	100	100
0955-1733-20	J9263	SANOFI-AVENTIS	Oxaliplatin	0.5 MG	20	1	200	200
16729-332-03	J9263	ACCORD HEALTHCARE INC.	Oxaliplatin	0.5 MG	10	10	100	100
16729-332-05	J9263	ACCORD HEALTHCARE INC.	Oxaliplatin	0.5 MG	20	10	200	200
25021-233-10	J9263	SAGENT PHARMACEUTICALS INC	Oxaliplatin	0.5 MG	10	10	100	100
25021-233-20	J9263	SAGENT PHARMACEUTICALS INC	Oxaliplatin	0.5 MG	20	10	200	200
43066-014-01	J9263	BAXTER	Oxaliplatin	0.5 MG	10	1	100	100
43066-018-01	J9263	BAXTER	Oxaliplatin	0.5 MG	20	1	200	200
45963-611-53	J9263	ACTAVIS PHARMA, INC.	Oxaliplatin	0.5 MG	1	1	100	100
45963-611-59	J9263	ACTAVIS PHARMA, INC.	Oxaliplatin	0.5 MG	1	1	200	200
50742-405-10	J9263	INGENUS PHARMACEUTICALS, LLC	Oxaliplatin	0.5 MG	10	1	100	100
50742-406-20	J9263	INGENUS PHARMACEUTICALS, LLC	Oxaliplatin	0.5 MG	20	1	200	200
55150-331-01	J9263	AUROMEDICS PHARMA LLC	Oxaliplatin	0.5 MG	10	1	100	100
55150-332-01	J9263	AUROMEDICS PHARMA LLC	Oxaliplatin	0.5 MG	20	1	200	200
60505-6132-6	J9263	APOTEX CORP.	Oxaliplatin	0.5 MG	10	1	100	100
60505-6132-7	J9263	APOTEX CORP.	Oxaliplatin	0.5 MG	20	1	200	200
61703-363-18	J9263	PFIZER INC.	Oxaliplatin	0.5 MG	10	1	100	100
61703-363-22	J9263	PFIZER INC.	Oxaliplatin	0.5 MG	20	1	200	200
63323-750-10	J9263	FRESENIUS KABI	Oxaliplatin	0.5 MG	10	1	100	100
63323-750-20	J9263	FRESENIUS KABI	Oxaliplatin	0.5 MG	20	1	200	200
67457-442-20	J9263	MYLAN INSTITUTIONAL LLC	Oxaliplatin	0.5 MG	20	1	200	200
67457-469-10	J9263	MYLAN INSTITUTIONAL LLC	Oxaliplatin	0.5 MG	10	1	100	100
72266-125-10	J9263	FOSUN PHARMA	Oxaliplatin	0.5 MG	10	10	100	1000
72266-126-10	J9263	FOSUN PHARMA	Oxaliplatin	0.5 MG	20	10	200	2000
72266-161-01	J9263	FOSUN PHARMA	Oxaliplatin	0.5 MG	10	1	100	100
72266-162-01	J9263	FOSUN PHARMA	Oxaliplatin	0.5 MG	20	1	200	200
72603-101-01	J9263	NORTHSTAR RX LLC	Oxaliplatin	0.5 MG	20	1	200	200
72603-301-01	J9263	NORTHSTAR RX LLC	Oxaliplatin	0.5 MG	10	10	100	100
68817-134-50	J9264	CELGENE CORPORATION	Paclitaxel protein bound	1 MG	50	1	100	100
72694-954-01	J9266	SERVIER	Pegaspargase injection	1 EA	5	1	1	1
0703-3213-01	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	5	1	30	30
0703-3213-81	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	5	1	30	30
0703-3216-01	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	16.7	1	100	100
0703-3216-81	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	16.7	1	100	100
0703-3217-01	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	25	1	150	150
0703-3218-01	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	50	1	300	300
0703-3218-81	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	50	1	300	300
0703-4764-81	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	5	1	30	30
0703-4768-81	J9267	SICOR PHARMACEUTICALS, INC.	Paclitaxel injection	1 MG	50	1	300	300
16714-137-01	J9267	NORTHSTAR RX LLC	Paclitaxel injection	1 MG	50	1	300	300
45963-613-53	J9267	ACTAVIS PHARMA, INC.	Paclitaxel injection	1 MG	16.7	1	100	100
47781-595-07	J9267	ALVOGEN	Paclitaxel injection	1 MG	50	1	300	300
61703-342-09	J9267	PFIZER INC.	Paclitaxel injection	1 MG	5	1	30	30
61703-342-22	J9267	PFIZER INC.	Paclitaxel injection	1 MG	16.7	1	100	100
61703-342-50	J9267	PFIZER INC.	Paclitaxel injection	1 MG	50	1	300	300
63323-763-05	J9267	FRESENIUS KABI	Paclitaxel injection	1 MG	5	1	30	30
63323-763-16	J9267	FRESENIUS KABI	Paclitaxel injection	1 MG	16.7	1	100	100
63323-763-50	J9267	FRESENIUS KABI	Paclitaxel injection	1 MG	50	1	300	300
70860-200-05	J9267	ATHENEX	Paclitaxel injection	1 MG	5	1	30	30
70860-200-17	J9267	ATHENEX	Paclitaxel injection	1 MG	16.7	1	100	100
70860-200-50	J9267	ATHENEX	Paclitaxel injection	1 MG	50	1	300	300
70860-215-66	J9267	Athenex Pharmaceutical Division, LLC.	Paclitaxel injection	1 MG	5	1	30	30
70860-215-67	J9267	Athenex Pharmaceutical Division, LLC.	Paclitaxel injection	1 MG	16.7	1	100	100
70860-215-68	J9267	ATHENEX PHARMACEUTICAL	Paclitaxel injection	1 MG	50	1	300	300
0409-0801-01	J9268	PFIZER INC.	Pentostatin injection	10 MG	1	1	1	1
72187-0401-1	J9269	STEMLINE THERAPEUTICS	Inj. tagraxofusp-erzs 10 mcg	10 MCG	1	1	100	100
0006-3026-02	J9271	MERCK SHARP & DOHME CORP.	Inj pembrolizumab	1 MG	4	1	100	100
0006-3026-04	J9271	MERCK SHARP & DOHME CORP.	Inj pembrolizumab	1 MG	4	2	100	200
0173-0898-03	J9272	GLAXOSMITHKLINE	Inj, dostarlimab-gxly, 10 mg	10 MG	10	1	50	50
51144-003-01	J9273	SEATTLE GENETICS	Inj tisotu vedotin-tftv, 1mg	1 MG	1	1	40	40
0143-9279-01	J9280	HIKMA PHARMACEUTICALS USA INC.	Mitomycin injection	5 MG	1	1	4	4
0143-9280-01	J9280