13533-636-01 | 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 |
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 |
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 |
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 |
50632-010-01 | 90675 | BAVARIAN NORDIC | 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 |
65219-080-05 | A9575 | FRESENIUS KABI USA, LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 5 | 10 | 50 | 500 |
65219-082-10 | A9575 | FRESENIUS KABI USA, LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
65219-084-15 | A9575 | FRESENIUS KABI USA, LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
65219-086-20 | A9575 | FRESENIUS KABI USA, LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
65219-088-50 | A9575 | FRESENIUS KABI USA, LLC | Inj gadoterate meglumi 0.1ml | 0.1 ML | 100 | 6 | 1000 | 6000 |
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 |
67684-2000-5 | 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 |
67684-2001-0 | 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 | 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 |
0270-1111-85 | A9579 | BRACCO DIAGNOSTICS | Gad-base mr contrast nos,1ml | 1 ML | 100 | 5 | 100 | 500 |
0407-0690-05 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 5 | 10 | 5 | 50 |
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 |
0407-0690-10 | 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 |
0407-0690-15 | 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 |
0407-0690-20 | A9579 | GE HEALTHCARE | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
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 |
65219-281-02 | A9585 | FRESENIUS KABI USA | Gadobutrol injection | 0.1 ML | 2 | 15 | 20 | 300 |
65219-281-07 | A9585 | FRESENIUS KABI USA | Gadobutrol injection | 0.1 ML | 7.5 | 20 | 75 | 1500 |
65219-281-10 | A9585 | FRESENIUS KABI USA | Gadobutrol injection | 0.1 ML | 10 | 20 | 100 | 2000 |
65219-281-15 | A9585 | FRESENIUS KABI USA | Gadobutrol injection | 0.1 ML | 15 | 20 | 150 | 3000 |
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 |
0003-2187-13 | 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 |
0781-3156-95 | J0131 | SANDOZ | Inj, acetaminophen (nos) | 10 MG | 100 | 10 | 100 | 1000 |
0781-9274-95 | J0131 | SANDOZ | Inj, acetaminophen (nos) | 10 MG | 100 | 10 | 100 | 1000 |
24201-100-24 | J0131 | LEUCADIA PHARMACEUTICALS | Inj, acetaminophen (nos) | 10 MG | 100 | 24 | 100 | 2400 |
24201-110-24 | J0131 | HIKMA PHARMACEUTICALS USA INC. | Inj, acetaminophen (nos) | 10 MG | 100 | 24 | 100 | 2400 |
36000-306-60 | J0131 | BAXTER | Inj, acetaminophen (nos) | 10 MG | 100 | 40 | 100 | 4000 |
55150-307-24 | J0131 | AUROMEDICS PHARMA LLC | Inj, acetaminophen (nos) | 10 MG | 100 | 24 | 100 | 2400 |
67457-940-10 | J0131 | MYLAN INSTITUTIONAL LLC | Inj, acetaminophen (nos) | 10 MG | 100 | 24 | 100 | 2400 |
72572-050-10 | J0131 | Civica | Inj, acetaminophen (nos) | 10 MG | 100 | 10 | 100 | 1000 |
0574-0805-30 | J0132 | PERRIGO PHARMACEUTICALS | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
25021-812-30 | J0132 | SAGENT PHARMACEUTICALS INC | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
25021-812-66 | J0132 | Sagent Pharmaceuticals | 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 |
70594-111-02 | J0132 | XELLIA PHARMACEUTICALS USA | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
72611-860-04 | J0132 | ALMAJECT, INC. | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
55150-154-10 | 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 |
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 |
63323-434-00 | J0134 | FRESENIUS KABI | Inj acetaminophen -fresenius | 10 MG | 100 | 20 | 100 | 2000 |
0264-4050-80 | J0136 | B. BRAUN MEDICAL INC. | Inj, acetaminophen (b braun) | 10 MG | 50 | 24 | 50 | 1200 |
0264-4100-90 | J0136 | B. Braun Medical Inc. | Inj, acetaminophen (b braun) | 10 MG | 100 | 24 | 100 | 2400 |
0143-9386-10 | J0137 | HIKMA PHARMACEUTICALS USA INC. | Inj, acetaminophen (hikma) | 10 MG | 100 | 10 | 100 | 1000 |
0404-9809-02 | J0153 | HENRY SCHEIN, INC. | Adenosine inj 1mg | 1 MG | 2 | 1 | 6 | 6 |
0404-9993-02 | J0153 | HENRY SCHEIN, INC. | Adenosine inj 1mg | 1 MG | 2 | 1 | 6 | 6 |
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 |
16714-556-01 | J0153 | NORTHSTAR RX | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
16714-997-01 | J0153 | NORTHSTAR RX | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
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 |
25021-318-02 | J0153 | SAGENT PHARMACEUTICALS, INC. | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
25021-318-04 | 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 |
55150-193-01 | J0153 | AUROMEDICS PHARMA LLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
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 |
72078-033-02 | J0153 | NOVAPLUS/MYLAN INSTITUTIONAL | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
0404-9810-01 | J0171 | HENRY SCHEIN, INC. | Adrenalin epinephrine inject | 0.1 MG | 1 | 1 | 10 | 10 |
0409-4933-01 | J0171 | PFIZER INC. | Adrenalin epinephrine inject | 0.1 MG | 10 | 10 | 10 | 100 |
0517-1171-10 | J0171 | AMERICAN REGENT | Adrenalin epinephrine inject | 0.1 MG | 1 | 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 |
50090-3039-1 | 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 | 100 |
50090-5569-0 | J0171 | A-S MEDICATION SOLUTIONS | Adrenalin epinephrine inject | 0.1 MG | 10 | 10 | 10 | 100 |
51662-1290-1 | J0171 | HEALTHFIRST | Adrenalin epinephrine inject | 0.1 MG | 1 | 1 | 10 | 10 |
51662-1290-3 | J0171 | HEALTHFIRST | Adrenalin epinephrine inject | 0.1 MG | 1 | 25 | 10 | 250 |
51662-1531-1 | J0171 | HEALTHFIRST | Adrenalin epinephrine inject | 0.1 MG | 10 | 1 | 10 | 10 |
51662-1629-1 | J0171 | HEALTHFIRST | Adrenalin epinephrine inject | 0.1 MG | 10 | 1 | 10 | 10 |
51662-1629-3 | J0171 | HEALTHFIRST | Adrenalin epinephrine inject | 0.1 MG | 10 | 10 | 10 | 100 |
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 |
0404-9857-01 | J0173 | HENRY SCHEIN, INC. | Inj, epinephrine (belcher) | 0.1 MG | 1 | 1 | 10 | 10 |
62856-212-01 | J0174 | EISAI INC. | Inj, lecanemab-irmb, 1 mg | 1 MG | 2 | 1 | 200 | 200 |
62856-215-01 | J0174 | EISAI INC. | Inj, lecanemab-irmb, 1 mg | 1 MG | 5 | 1 | 500 | 500 |
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 |
0078-0827-60 | J0179 | NOVARTIS PHARMACEUTICALS CORP. | 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 |
0143-9533-01 | J0206 | HIKMA PHARMACEUTICALS USA INC. | Inj allopurinol sodium 1 mg | 1 MG | 1 | 1 | 500 | 500 |
65219-380-30 | J0206 | FRESENIUS KABI USA, LLC | Inj allopurinol sodium 1 mg | 1 MG | 1 | 1 | 500 | 500 |
67457-187-50 | J0206 | MYLAN INSTITUTIONAL LLC | Inj allopurinol sodium 1 mg | 1 MG | 1 | 1 | 500 | 500 |
67457-978-50 | J0206 | MYLAN INSTITUTIONAL LLC | Inj allopurinol sodium 1 mg | 1 MG | 1 | 1 | 500 | 500 |
58468-0050-1 | J0218 | GENZYME CORPORATION | Inj olipudase alfa-rpcp 1mg | 1 MG | 1 | 1 | 20 | 20 |
58468-0051-1 | J0218 | GENZYME CORPORATION | Inj olipudase alfa-rpcp 1mg | 1 MG | 1 | 1 | 4 | 4 |
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 |
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 |
71336-1002-1 | J0224 | ALNYLAM PHARMACEUTICALS, INC. | Inj. lumasiran, 0.5 mg | 0.5 MG | 0.5 | 1 | 189 | 189 |
71336-1003-1 | J0225 | Alnylam Pharmaceuticals, Inc. | Inj, vutrisiran, 1 mg | 1 MG | 0.5 | 1 | 25 | 25 |
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 |
13533-705-01 | 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 |
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 |
0404-9813-10 | J0280 | HENRY SCHEIN, INC. | Aminophyllin 250 mg inj | 250 MG | 10 | 1 | 1 | 1 |
0404-9814-20 | J0280 | HENRY SCHEIN, INC. | Aminophyllin 250 mg inj | 250 MG | 20 | 1 | 2 | 2 |
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 |
51662-1204-1 | J0280 | HEALTHFIRST | Aminophyllin 250 mg inj | 250 MG | 10 | 1 | 1 | 1 |
51662-1204-3 | J0280 | HEALTHFIRST | Aminophyllin 250 mg inj | 250 MG | 10 | 25 | 1 | 25 |
51662-1341-1 | J0280 | HEALTHFIRST | Aminophyllin 250 mg inj | 250 MG | 20 | 1 | 2 | 2 |
51662-1341-3 | J0280 | HEALTHFIRST | 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 |
0469-3051-30 | J0289 | ASTELLAS PHARMA US INC. | Amphotericin b liposome inj | 10 MG | 1 | 1 | 5 | 5 |
55150-365-01 | J0289 | EUGIA US LLC | Amphotericin b liposome inj | 10 MG | 1 | 1 | 5 | 5 |
0404-9816-99 | J0290 | HENRY SCHEIN, INC. | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 2 | 2 |
0404-9818-99 | J0290 | HENRY SCHEIN, INC. | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 4 | 4 |
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 |
51662-1560-3 | J0290 | HEALTHFIRST | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
51662-1595-3 | J0290 | HEALTHFIRST | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
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 |
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 |
72485-422-10 | J0290 | ARMAS PHARMACEUTICALS, INC. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
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 |
80735-820-96 | J0291 | CIPLA THERAPEUTICS, 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 |
44567-150-10 | J0295 | WG CRITICAL CARE LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
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 |
55150-116-10 | J0295 | EUGIA US LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
55150-116-20 | J0295 | AUROMEDICS PHARMA LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
55150-117-10 | J0295 | EUGIA US LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
55150-117-20 | J0295 | AUROMEDICS PHARMA LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
55150-118-01 | J0295 | EUGIA US LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
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 |
66794-241-41 | J0295 | PIRAMAL CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
66794-242-41 | J0295 | PIRAMAL CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
66794-243-15 | J0295 | PIRAMAL CRITICAL CARE | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
67457-349-10 | J0295 | MYLAN INSTITUTIONAL LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
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 |
70594-083-01 | J0295 | XELLIA PHARMACEUTICALS USA, LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
71288-005-20 | J0295 | MEITHEAL PHARMACEUTICALS, INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
71288-006-30 | J0295 | MEITHEAL PHARMACEUTICALS, INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
71288-007-75 | J0295 | MEITHEAL PHARMACEUTICALS, INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
71288-031-21 | J0295 | MEITHEAL PHARMACEUTICALS, INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
71288-032-21 | J0295 | MEITHEAL PHARMACEUTICALS | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
72485-417-10 | J0295 | ARMAS PHARMACEUTICALS, INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
72572-021-10 | J0295 | CIVICA, INC. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
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 |
0404-9986-20 | J0360 | HENRY SCHEIN, INC. | Hydralazine hcl injection | 20 MG | 1 | 1 | 1 | 1 |
0404-9994-01 | J0360 | HENRY SCHEIN, INC. | Hydralazine hcl injection | 20 MG | 1 | 1 | 1 | 1 |
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 |
51662-1376-3 | J0360 | HEALTHFIRST | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
55150-400-25 | J0360 | EUGIA US LLC | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
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 |
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 |
59148-102-80 | J0402 | OTSUKA AMERICA PHARMACEUTICALS, INC | Inj, abilify asimtufii, 1 mg | 1 MG | 2.4 | 1 | 720 | 720 |
59148-114-80 | J0402 | OTSUKA AMERICA PHARMACEUTICALS, INC | Inj, abilify asimtufii, 1 mg | 1 MG | 3.2 | 1 | 960 | 960 |
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 | 1 | 10 |
63323-398-14 | J0456 | FRESENIUS KABI | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70095-025-02 | J0456 | SUN PHARMACEUTICALS | 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 |
0409-0829-01 | J0457 | HOSPIRA | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 10 | 100 |
0409-0830-01 | J0457 | HOSPIRA | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 20 | 200 |
0404-9821-10 | J0461 | HENRY SCHEIN, INC. | Atropine sulfate injection | 0.01 MG | 10 | 1 | 100 | 100 |
0404-9822-05 | J0461 | HENRY SCHEIN, INC. | Atropine sulfate injection | 0.01 MG | 5 | 1 | 50 | 50 |
0404-9990-20 | J0461 | HENRY SCHEIN, INC. | Atropine sulfate injection | 0.01 MG | 20 | 1 | 800 | 800 |
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 |
0517-1001-25 | J0461 | American Regent, Inc. | Atropine sulfate injection | 0.01 mg | 1 | 25 | 100 | 2500 |
0517-1004-25 | J0461 | American Regent, Inc. | Atropine sulfate injection | 0.01 mg | 1 | 25 | 40 | 1000 |
0641-6006-10 | J0461 | HIKMA PHARMACEUTICALS USA INC. | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
0641-6251-10 | 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 |
50090-5924-0 | J0461 | A-S MEDICATION SOLUTIONS | Atropine sulfate injection | 0.01 MG | 1 | 10 | 10 | 100 |
51662-1207-1 | J0461 | HEALTHFIRST | Atropine sulfate injection | 0.01 MG | 10 | 1 | 100 | 100 |
51662-1207-3 | J0461 | HEALTHFIRST | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
51662-1208-1 | J0461 | HEALTHFIRST | Atropine sulfate injection | 0.01 MG | 5 | 1 | 50 | 50 |
51662-1208-3 | J0461 | HEALTHFIRST | Atropine sulfate injection | 0.01 MG | 5 | 10 | 50 | 500 |
51662-1619-1 | J0461 | HEALTHFIRST | Atropine sulfate injection | 0.01 MG | 20 | 1 | 800 | 800 |
51662-1619-3 | J0461 | HEALTHFIRST | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
63323-580-20 | J0461 | FRESENIUS KABI | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
64253-400-91 | J0461 | MEDEFIL, INC. | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
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 |
70121-2501-1 | J0475 | AMNEAL PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
70121-2502-2 | J0475 | AMNEAL PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 5 | 2 | 1 | 2 |
70121-2503-1 | J0475 | AMNEAL PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
70121-2504-2 | J0475 | AMNEAL PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 20 | 2 | 1 | 2 |
70121-2505-2 | J0475 | AMNEAL PHARMACEUTICALS INC | Baclofen 10 mg injection | 10 MG | 20 | 2 | 4 | 8 |
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 |
70121-2496-5 | J0476 | AMNEAL PHARMACEUTICALS INC | Baclofen intrathecal trial | 50 MCG | 1 | 5 | 1 | 5 |
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 |
51662-1559-3 | J0500 | HEALTHFIRST | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
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 |
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 |
0781-9158-95 | 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 |
71288-427-11 | J0583 | MEITHEAL PHARMACEUTICALS | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
72572-035-10 | J0583 | CIVICA INC | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
42747-102-01 | J0584 | KYOWA KIRIN, INC. | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 10 | 10 |
42747-203-01 | J0584 | KYOWA KIRIN, INC. | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 20 | 20 |
42747-304-01 | J0584 | KYOWA KIRIN, INC. | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 30 | 30 |
69794-102-01 | J0584 | KYOWA KIRIN, INC. | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 10 | 10 |
69794-203-01 | J0584 | KYOWA KIRIN, INC. | Injection, burosumab-twza 1m | 1 MG | 1 | 1 | 20 | 20 |
69794-304-01 | J0584 | KYOWA KIRIN, 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 |
0409-2012-32 | J0592 | PFIZER INC. | Buprenorphine hydrochloride | 0.1 MG | 1 | 10 | 3 | 30 |
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 |
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 |
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 |
71288-116-11 | J0594 | Meitheal 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 |
0404-9831-10 | J0612 | HENRY SCHEIN, INC. | Calcium glucon (fresenius) | 10 MG | 10 | 1 | 100 | 100 |
0404-9831-50 | J0612 | HENRY SCHEIN, INC. | Calcium glucon (fresenius) | 10 MG | 50 | 1 | 500 | 500 |
51662-1312-1 | J0612 | HEALTHFIRST | Calcium glucon (fresenius) | 10 MG | 10 | 1 | 100 | 100 |
63323-360-19 | J0612 | FRESENIUS KABI | Calcium glucon (fresenius) | 10 MG | 10 | 25 | 100 | 2500 |
63323-360-59 | J0612 | FRESENIUS KABI | Calcium glucon (fresenius) | 10 MG | 50 | 25 | 500 | 12500 |
63323-360-61 | J0612 | FRESENIUS KABI | Calcium glucon (fresenius) | 10 MG | 100 | 20 | 1000 | 20000 |
65219-162-10 | J0612 | FRESENIUS KABI USA | Calcium glucon (fresenius) | 10 MG | 50 | 24 | 100 | 2400 |
65219-164-50 | J0612 | FRESENIUS KABI USA, LLC | Calcium glucon (fresenius) | 10 MG | 100 | 24 | 200 | 4800 |
75834-171-19 | J0612 | Nivagen Pharmaceuticals, Inc. | Calcium glucon (fresenius) | 10 MG | 10 | 25 | 100 | 2500 |
80830-2362-9 | J0612 | Puniska Healthcare Private Limited | Calcium glucon (fresenius) | 10 MG | 50 | 24 | 100 | 2400 |
80830-2363-9 | J0612 | Puniska Healthcare Private Limited | Calcium glucon (fresenius) | 10 MG | 100 | 24 | 200 | 4800 |
44567-620-24 | J0613 | WG CRITICAL CARE | Calcium glucon (wg critical) | 10 MG | 50 | 24 | 100 | 2400 |
44567-621-24 | J0613 | WG CRITICAL CARE | Calcium glucon (wg critical) | 10 MG | 100 | 24 | 200 | 4800 |
44567-622-24 | J0613 | WG CRITICAL CARE | Calcium glucon (wg critical) | 10 MG | 100 | 24 | 100 | 2400 |
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 |
72078-038-02 | J0630 | NOVAPLUS/MYLAN INSTITUTIONAL | Calcitonin salmon injection | 400 UNITS | 2 | 1 | 1 | 1 |
72078-039-02 | J0630 | Mylan Institutional LLC | Calcitonin salmon injection | 400 units | 2 | 1 | 1 | 1 |
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 |
25021-194-10 | J0637 | SAGENT PHARMACEUTICALS, INC. | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
25021-195-10 | J0637 | SAGENT PHARMACEUTICALS, INC. | 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 |
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 |
63323-711-00 | 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 |
71288-160-10 | J0640 | MEITHEAL PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 1 | 1 |
71288-161-20 | J0640 | MEITHEAL PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
71288-162-30 | J0640 | MEITHEAL PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
71288-163-30 | J0640 | MEITHEAL PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
71288-164-50 | J0640 | MEITHEAL PHARMACEUTICALS, INC. | Leucovorin calcium injection | 50 MG | 1 | 1 | 10 | 10 |
0143-9558-01 | J0641 | HIKMA PHARMACEUTICALS USA INC. | Inj levoleucovorin nos 0.5mg | 0.5 MG | 1 | 1 | 100 | 100 |
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 |
71288-104-10 | J0641 | MEITHEAL PHARMACEUTICALS | Inj levoleucovorin nos 0.5mg | 0.5 MG | 1 | 1 | 100 | 100 |
71288-105-18 | J0641 | Meitheal Pharmaceuticals, Inc. | 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 |
72893-004-01 | J0642 | ACROTECH BIOPHARMA | Injection, khapzory, 0.5 mg | 0.5 MG | 1 | 1 | 350 | 350 |
0143-9328-10 | J0665 | HIKMA PHARMACEUTICALS USA INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 10 | 250 | 2500 |
0143-9329-10 | J0665 | HIKMA PHARMACEUTICALS USA INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 10 | 500 | 5000 |
0143-9330-10 | J0665 | HIKMA PHARMACEUTICALS USA INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 50 | 500 |
0143-9331-10 | J0665 | HIKMA PHARMACEUTICALS USA INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 100 | 1000 |
0143-9332-10 | J0665 | AUROMEDICS PHARMA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 150 | 1500 |
0143-9333-10 | J0665 | HIKMA PHARMACEUTICALS USA INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 10 | 150 | 1500 |
0143-9334-10 | J0665 | HIKMA PHARMACEUTICALS USA INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 10 | 300 | 3000 |
0143-9335-10 | J0665 | HIKMA PHARMACEUTICALS USA INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 10 | 450 | 4500 |
0404-9826-50 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
0404-9827-50 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
0404-9906-10 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 1 | 50 | 50 |
0404-9907-10 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 1 | 100 | 100 |
0404-9907-30 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 300 | 300 |
0404-9945-50 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
0404-9946-10 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 1 | 100 | 100 |
0404-9947-50 | J0665 | HENRY SCHEIN, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
0409-1159-01 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 50 | 1250 |
0409-1159-02 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 150 | 3750 |
0409-1159-10 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 150 | 3750 |
0409-1160-01 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
0409-1162-01 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
0409-1162-10 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
0409-1163-01 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
0409-1165-01 | J0665 | HOSPIRA, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 150 | 3750 |
0409-1165-02 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 450 | 11250 |
0409-1559-10 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 50 | 500 |
0409-1559-30 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 10 | 150 | 1500 |
0409-1560-10 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 100 | 1000 |
0409-1560-29 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 10 | 300 | 3000 |
0409-1582-10 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 150 | 1500 |
0409-1582-29 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 10 | 450 | 4500 |
0409-1610-50 | J0665 | HOSPIRA, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
0409-1761-10 | J0665 | HOSPIRA, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 2 | 10 | 30 | 300 |
0409-1761-62 | J0665 | PFIZER INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 2 | 800 | 30 | 24000 |
51662-1396-1 | J0665 | HEALTHFIRST | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
51662-1396-3 | J0665 | HEALTHFIRST | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
51662-1581-3 | J0665 | HEALTHFIRST | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
51662-1588-3 | J0665 | HEALTHFIRST | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
51662-1592-3 | J0665 | HEALTHFIRST | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
55150-167-10 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 50 | 1250 |
55150-168-30 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 150 | 3750 |
55150-169-10 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
55150-170-30 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
55150-171-10 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 150 | 3750 |
55150-172-30 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 450 | 11250 |
55150-249-50 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
55150-250-50 | J0665 | AUROMEDICS PHARMA LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
63323-464-17 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 50 | 1250 |
63323-464-37 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 150 | 3750 |
63323-465-57 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
63323-466-17 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
63323-466-37 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
63323-467-57 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
63323-472-17 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 150 | 3750 |
63323-472-37 | J0665 | FRESENIUS KABI | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 450 | 11250 |
70594-114-02 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 50 | 500 |
70594-115-01 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 150 | 150 |
70594-116-01 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
70594-117-02 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 100 | 1000 |
70594-118-01 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 300 | 300 |
70594-119-01 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
70594-120-02 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 150 | 1500 |
70594-121-01 | J0665 | XELLIA PHARMACEUTICALS USA | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 450 | 450 |
71288-723-52 | J0665 | MEITHEAL PHARMACEUTICALS, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
71288-726-52 | J0665 | MEITHEAL PHARMACEUTICALS, INC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
71351-022-10 | J0665 | BROOKFIELD PHARMACEUTICALS, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 2 | 10 | 30 | 300 |
51662-1403-3 | J0670 | HEALTHFIRST | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 1 | 3 | 3 |
51662-1534-3 | J0670 | HEALTHFIRST | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
51662-1535-3 | J0670 | HEALTHFIRST | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
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 |
0143-9139-25 | J0688 | HIKMA PHARMACEUTICALS USA | Inj cefazolin sodium, hikma | 500 MG | 1 | 25 | 4 | 100 |
0143-9140-25 | J0688 | HIKMA PHARMACEUTICALS USA | Inj cefazolin sodium, hikma | 500 MG | 1 | 25 | 6 | 150 |
0338-3503-41 | J0689 | BAXTER | Inj cefazolin sodium, baxter | 500 MG | 50 | 24 | 2 | 48 |
0338-3508-41 | J0689 | BAXTER | Inj cefazolin sodium, baxter | 500 MG | 100 | 12 | 4 | 48 |
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 |
0404-9833-99 | J0690 | HENRY SCHEIN, INC. | Cefazolin sodium injection | 500 MG | 1 | 1 | 2 | 2 |
0404-9834-99 | J0690 | HENRY SCHEIN, INC. | Cefazolin sodium injection | 500 MG | 1 | 1 | 2 | 2 |
0404-9835-99 | J0690 | HENRY SCHEIN, INC. | Cefazolin sodium injection | 500 MG | 1 | 1 | 1 | 1 |
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 | 10 | 1 | 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 |
25021-101-10 | 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 |
60505-6244-4 | 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 |
72572-055-25 | J0690 | CIVICA, INC. | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
72572-056-10 | J0690 | CIVICA, INC. | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
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 |
44567-130-10 | J0692 | WG CRITICAL CARE | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
44567-131-10 | J0692 | WG CRITICAL CARE | 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 |
60505-6245-4 | J0692 | Apotex | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
60505-6246-4 | J0692 | Apotex | 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 |
44567-246-25 | 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 |
25021-106-10 | 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 |
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 |
44567-701-95 | J0696 | WG CRITICAL CARE LLC | 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 |
44567-702-95 | J0696 | WG CRITICAL CARE LLC | 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 |
50090-3810-1 | 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 |
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 |
70594-094-02 | J0696 | Xellia Pharmaceuticals USA LLC | Ceftriaxone sodium injection | 250 mg | 1 | 25 | 1 | 25 |
70594-095-02 | J0696 | Xellia Pharmaceuticals USA LLC | Ceftriaxone sodium injection | 250 mg | 1 | 25 | 2 | 50 |
70594-096-02 | J0696 | Xellia Pharmaceuticals USA LLC | Ceftriaxone sodium injection | 250 mg | 1 | 25 | 4 | 100 |
70594-097-02 | J0696 | Xellia Pharmaceuticals USA LLC | Ceftriaxone sodium injection | 250 mg | 1 | 25 | 8 | 200 |
70594-098-01 | J0696 | Xellia Pharmaceuticals USA LLC | Ceftriaxone sodium injection | 250 mg | 1 | 1 | 40 | 40 |
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 |
59630-266-10 | J0699 | SHIONOGI INC | Inj, cefiderocol, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
0338-1301-41 | J0701 | BAXTER | Inj. cefepime hcl (baxter) | 500 MG | 50 | 24 | 2 | 48 |
0338-1301-48 | J0701 | BAXTER | Inj. cefepime hcl (baxter) | 500 MG | 100 | 12 | 4 | 48 |
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 |
0264-3193-11 | J0703 | B. BRAUN MEDICAL INC. | Inj, cefepime hcl (b braun) | 500 MG | 1 | 24 | 2 | 48 |
0264-3195-11 | J0703 | B. BRAUN MEDICAL INC. | Inj, cefepime hcl (b braun) | 500 MG | 1 | 24 | 4 | 96 |
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 |
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 |
25021-128-50 | J0713 | SAGENT PHARMACEUTICALS INC | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
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 |
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 |
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 |
0009-0728-09 | J0736 | PFIZER INC. | Inj, clindamycin phosp 300mg | 300 MG | 60 | 5 | 30 | 150 |
0009-0775-26 | J0736 | PFIZER INC. | Inj, clindamycin phosp 300mg | 300 MG | 4 | 25 | 2 | 50 |
0009-0870-26 | J0736 | PFIZER INC. | Inj, clindamycin phosp 300mg | 300 MG | 2 | 25 | 1 | 25 |
0009-0902-18 | J0736 | PFIZER INC. | Inj, clindamycin phosp 300mg | 300 MG | 6 | 25 | 3 | 75 |
0009-3051-02 | J0736 | PFIZER INC. | Inj, clindamycin phosp 300mg | 300 MG | 2 | 25 | 1 | 25 |
0009-4073-04 | J0736 | PFIZER INC. | Inj, clindamycin phosp 300mg | 300 MG | 4 | 25 | 2 | 50 |
0009-5095-06 | J0736 | PFIZER INC. | Inj, clindamycin phosp 300mg | 300 MG | 6 | 25 | 3 | 75 |
0338-3410-24 | J0736 | BAXTER | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 1 | 24 |
0338-3612-24 | J0736 | BAXTER | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
0338-3616-24 | J0736 | BAXTER | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
0338-3814-24 | J0736 | BAXTER | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
0338-4114-24 | J0736 | BAXTER | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
0404-9837-02 | J0736 | HENRY SCHEIN, INC. | Inj, clindamycin phosp 300mg | 300 MG | 2 | 1 | 1 | 1 |
0781-3288-09 | J0736 | SANDOZ | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 1 | 24 |
0781-3289-09 | J0736 | SANDOZ | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
0781-3290-09 | J0736 | SANDOZ | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
25021-115-06 | J0736 | SAGENT PHARMACEUTICALS INC | Inj, clindamycin phosp 300mg | 300 MG | 6 | 25 | 3 | 75 |
25021-115-51 | J0736 | SAGENT PHARMACEUTICALS INC | Inj, clindamycin phosp 300mg | 300 MG | 60 | 1 | 30 | 30 |
43066-993-24 | J0736 | Baxter Healthcare Corp. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
43066-995-24 | J0736 | Baxter Healthcare Corp. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
72572-074-24 | J0736 | Civica | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
72572-076-24 | J0736 | Civica | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
72611-634-25 | J0736 | ALMAJECT | Inj, clindamycin phosp 300mg | 300 MG | 2 | 25 | 1 | 25 |
72611-639-25 | J0736 | ALMAJECT | Inj, clindamycin phosp 300mg | 300 MG | 4 | 25 | 2 | 50 |
72611-642-25 | J0736 | ALMAJECT | Inj, clindamycin phosp 300mg | 300 MG | 6 | 25 | 3 | 75 |
72611-645-55 | J0736 | ALMAJECT | Inj, clindamycin phosp 300mg | 300 MG | 60 | 5 | 30 | 150 |
0338-9545-24 | J0737 | BAXTER | Inj, clindamycin (baxter) | 300 MG | 50 | 24 | 1 | 24 |
0338-9549-24 | J0737 | BAXTER | Inj, clindamycin (baxter) | 300 MG | 50 | 24 | 2 | 48 |
0338-9553-24 | J0737 | BAXTER | Inj, clindamycin (baxter) | 300 MG | 50 | 24 | 3 | 72 |
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 |
0409-2300-24 | J0744 | HOSPIRA, INC. | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
0409-3300-24 | J0744 | HOSPIRA, INC. | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
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 |
25021-114-82 | J0744 | SAGENT PHARMACEUTICALS INC | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
25021-114-87 | J0744 | SAGENT PHARMACEUTICALS INC | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
25021-192-87 | 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 |
23155-193-41 | J0770 | HERITAGE 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 |
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 |
51662-1558-3 | J0780 | HEALTHFIRST | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
55150-360-25 | J0780 | Eugia Us Llc | 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 |
70121-1580-5 | J0780 | AMNEAL BIOSCIENCES | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
70121-1580-7 | J0780 | AMNEAL BIOSCIENCES | 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 |
63004-8710-1 | J0801 | MALLINCKRODT PHARMACEUTICALS | Inj. acthar gel to 40 units | UP TO 40 UNITS | 5 | 1 | 10 | 10 |
62559-860-15 | J0802 | Ani Pharmaceuticals, Inc. | Inj. (ani), up to 40 units | UP TO 40 UNITS | 5 | 1 | 10 | 10 |
0404-9839-99 | J0834 | HENRY SCHEIN, INC. | Inj., cosyntropin, 0.25 mg | 0.25 MG | 1 | 1 | 1 | 1 |
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 |
51662-1567-1 | J0834 | HEALTHFIRST | Inj., cosyntropin, 0.25 mg | 0.25 MG | 1 | 1 | 1 | 1 |
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 |
70594-053-01 | J0873 | XELLIA PHARMACEUTICALS USA, LLC | Inj, daptomycin (xellia) | 1 MG | 1 | 1 | 350 | 350 |
57970-100-01 | J0875 | DURATA PHARMACEUTICALS | Injection, dalbavancin | 5 MG | 1 | 1 | 100 | 100 |
0409-0120-01 | J0877 | PFIZER INC. | Inj, daptomycin (hospira) | 1 MG | 1 | 1 | 350 | 350 |
0409-0122-01 | J0877 | PFIZER INC. | Inj, daptomycin (hospira) | 1 MG | 1 | 1 | 500 | 500 |
0409-5933-01 | J0877 | PFIZER INC. | Inj, daptomycin (hospira) | 1 MG | 1 | 1 | 350 | 350 |
0143-9378-01 | J0878 | HIKMA PHARMACEUTICALS USA INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
0409-2757-01 | J0878 | PFIZER INC. | 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 |
60505-6229-4 | J0878 | APOTEX CORP. | 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 |
63323-871-15 | 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 |
67919-012-01 | 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 |
71288-016-15 | J0878 | MEITHEAL PHARMACEUTICALS, INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
71288-016-91 | J0878 | MEITHEAL PHARMACEUTICALS, INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
71288-016-95 | J0878 | MEITHEAL PHARMACEUTICALS, INC. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
71288-017-15 | J0878 | MEITHEAL PHARMACEUTICALS, INC. | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
71288-017-91 | J0878 | MEITHEAL PHARMACEUTICALS, INC. | 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 |
59353-407-09 | J0887 | VIFOR (INTERNATIONAL) LTD. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 120 | 120 |
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 |
16729-430-43 | J0891 | ACCORD HEALTHCARE INC. | Argatroban nonesrd (accord) | 1 MG | 50 | 10 | 50 | 500 |
16729-430-43 | J0892 | ACCORD HEALTHCARE INC. | Argatroban dialysis (accord) | 1 MG | 50 | 10 | 50 | 500 |
47335-361-41 | J0893 | SUN PHARMACEUTICAL GLOBAL FZE. | Inj, decitabine (sun pharma) | 1 MG | 1 | 1 | 50 | 50 |
0143-9385-01 | J0894 | HIKMA PHARMACEUTICALS USA INC. | 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 |
43598-427-37 | J0894 | DR. REDDY'S LABORATORIES, INC. | 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 |
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 |
68001-573-41 | J0894 | BLUEPOINT LABORATORIES | 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 |
71288-119-20 | J0894 | MEITHEAL PHARMACEUTICALS | 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 |
60505-6236-6 | J0895 | APOTEX CORP. | Deferoxamine mesylate inj | 500 MG | 1 | 4 | 1 | 4 |
60505-6238-6 | J0895 | APOTEX CORP. | 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 |
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 |
0009-3073-01 | 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 |
0009-3073-03 | 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 |
0009-3073-22 | 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 |
0009-3073-23 | J1030 | PFIZER INC. | Methylprednisolone 40 mg inj | 40 MG | 1 | 25 | 1 | 25 |
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 |
42023-239-01 | J1030 | PAR PHARMACEUTICAL | 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 |
50090-5894-0 | J1030 | A-S MEDICATION SOLUTIONS | Methylprednisolone 40 mg inj | 40 MG | 1 | 1 | 1 | 1 |
55150-313-01 | J1030 | EUGIA US LLC | Methylprednisolone 40 mg inj | 40 MG | 10 | 1 | 10 | 10 |
60219-1573-5 | J1030 | AMNEAL PHARMACEUTICALS | Methylprednisolone 40 mg inj | 40 MG | 1 | 25 | 1 | 25 |
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 |
0781-3516-75 | J1040 | SANDOZ | Methylprednisolone 80 mg inj | 80 MG | 5 | 1 | 5 | 5 |
25021-821-05 | J1040 | SAGENT PHARMACEUTICALS, INC. | Methylprednisolone 80 mg inj | 80 MG | 5 | 1 | 5 | 5 |
42023-240-01 | J1040 | PAR PHARMACEUTICAL, INC | 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 |
50090-6024-0 | J1040 | A-S Medication Solutions | Methylprednisolone 80 mg inj | 80 mg | 1 | 25 | 1 | 25 |
55150-314-01 | J1040 | EUGIA US LLC | Methylprednisolone 80 mg inj | 80 MG | 5 | 1 | 5 | 5 |
60219-1574-5 | J1040 | AMNEAL PHARMACEUTICALS | Methylprednisolone 80 mg inj | 80 MG | 1 | 25 | 1 | 25 |
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 |
47781-910-91 | J1071 | ALVOGEN | Inj testosterone cypionate | 1 MG | 10 | 10 | 2000 | 20000 |
47781-911-93 | J1071 | ALVOGEN | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
50090-4147-0 | 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 |
69097-802-32 | 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 |
70700-288-22 | J1071 | XIROMED LLC | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
70700-289-22 | J1071 | XIROMED LLC | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0404-9841-05 | J1100 | HENRY SCHEIN, INC. | Dexamethasone sodium phos | 1 MG | 5 | 1 | 20 | 20 |
0404-9842-10 | J1100 | HENRY SCHEIN, INC. | Dexamethasone sodium phos | 1 MG | 10 | 1 | 100 | 100 |
0404-9843-30 | J1100 | HENRY SCHEIN, INC. | Dexamethasone sodium phos | 1 MG | 30 | 1 | 120 | 120 |
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 |
50090-1922-0 | J1100 | A-S MEDICATION SOLUTIONS | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
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 |
51662-1297-1 | J1100 | HEALTHFIRST | Dexamethasone sodium phos | 1 MG | 5 | 1 | 20 | 20 |
51662-1297-3 | J1100 | HEALTHFIRST | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
51662-1343-1 | J1100 | HEALTHFIRST | Dexamethasone sodium phos | 1 MG | 1 | 1 | 10 | 10 |
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 |
70121-1399-5 | J1100 | AMNEAL PHARMACEUTICALS INC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
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 |
81284-411-05 | J1110 | PROVEPHARM | Inj dihydroergotamine mesylt | 1 MG | 1 | 5 | 1 | 5 |
81284-411-10 | J1110 | PROVEPHARM, INC. | Inj dihydroergotamine mesylt | 1 MG | 1 | 10 | 1 | 10 |
0143-9006-01 | J1120 | HIKMA PHARMACEUTICALS USA INC. | Acetazolamid sodium injectio | 500 MG | 1 | 1 | 1 | 1 |
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 |
23155-831-31 | J1120 | AVET 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 |
0404-9850-02 | J1160 | HENRY SCHEIN, INC. | Digoxin injection | 0.5 MG | 2 | 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 |
51662-1217-1 | J1160 | HEALTHFIRST | Digoxin injection | 0.5 MG | 2 | 1 | 1 | 1 |
51662-1217-3 | J1160 | HEALTHFIRST | Digoxin injection | 0.5 MG | 2 | 25 | 1 | 25 |
52584-410-31 | J1160 | HENRY SCHEIN, INC. | Digoxin injection | 0.5 MG | 2 | 1 | 1 | 1 |
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 |
0404-9932-02 | J1165 | HENRY SCHEIN, INC. | Phenytoin sodium injection | 50 MG | 2 | 1 | 2 | 2 |
0404-9933-05 | J1165 | HENRY SCHEIN, INC. | Phenytoin sodium injection | 50 MG | 5 | 1 | 5 | 5 |
0641-0493-25 | J1165 | HIKMA PHARMACEUTICALS USA INC. | Phenytoin sodium injection | 50 MG | 2 | 25 | 2 | 50 |
0641-6138-25 | J1165 | HIKMA PHARMACEUTICALS USA INC. | Phenytoin sodium injection | 50 MG | 2 | 25 | 2 | 50 |
51662-1251-1 | J1165 | HEALTHFIRST | Phenytoin sodium injection | 50 MG | 2 | 1 | 2 | 2 |
51662-1251-3 | J1165 | HEALTHFIRST | Phenytoin sodium injection | 50 MG | 2 | 25 | 2 | 50 |
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 |
0409-3365-10 | J1170 | PFIZER INC. | Hydromorphone injection | 4 MG | 1 | 10 | 0.5 | 5 |
0409-4264-01 | J1170 | HOSPIRA, INC. | Hydromorphone injection | 4 MG | 0.5 | 10 | 0.125 | 1.25 |
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 |
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 |
76045-009-06 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 0.5 | 10 | 0.125 | 1.25 |
76045-009-11 | J1170 | FRESENIUS KABI | Hydromorphone injection | 4 MG | 1 | 10 | 0.25 | 2.5 |
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 |
55150-434-01 | J1190 | EUGIA US LLC | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 1 | 1 |
55150-434-02 | J1190 | AUROMEDICS PHARMA LLC | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 1 | 1 |
55150-437-01 | J1190 | EUGIA US LLC | 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 |
72611-716-01 | J1190 | Almaject, Inc. | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 2 | 2 |
72611-716-72 | J1190 | ALMAJECT, INC. | Dexrazoxane hcl injection | 250 MG | 1 | 1 | 2 | 2 |
0404-9851-01 | J1200 | HENRY SCHEIN, INC. | Diphenhydramine hcl injectio | 50 MG | 1 | 1 | 1 | 1 |
0641-0376-25 | J1200 | HIKMA PHARMACEUTICALS USA INC. | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
51662-1219-1 | J1200 | HEALTHFIRST | Diphenhydramine hcl injectio | 50 MG | 1 | 1 | 1 | 1 |
51662-1219-3 | J1200 | HEALTHFIRST | 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 |
72485-101-05 | J1200 | ARMAS PHARMACEUTICALS, INC. | Diphenhydramine hcl injectio | 50 MG | 1 | 5 | 1 | 5 |
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 |
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 |
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 |
0404-9852-10 | J1245 | HENRY SCHEIN, INC. | Dipyridamole injection | 10 MG | 10 | 1 | 5 | 5 |
0641-2569-44 | J1245 | HIKMA PHARMACEUTICALS USA INC. | Dipyridamole injection | 10 MG | 10 | 5 | 5 | 25 |
0143-9141-10 | J1250 | HIKMA PHARMACEUTICALS USA INC. | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
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 |
51662-1330-1 | J1250 | HEALTHFIRST | Inj dobutamine hcl/250 mg | 250 MG | 250 | 1 | 2 | 2 |
51662-1337-1 | J1250 | HEALTHFIRST | Inj dobutamine hcl/250 mg | 250 MG | 20 | 1 | 1 | 1 |
51662-1337-3 | J1250 | HEALTHFIRST | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
51662-1566-1 | J1250 | HEALTHFIRST | Inj dobutamine hcl/250 mg | 250 MG | 250 | 1 | 1 | 1 |
70436-203-82 | J1250 | SLATE RUN PHARMACEUTICALS, LLC | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
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 |
0404-9981-10 | J1265 | HENRY SCHEIN, INC. | Dopamine injection | 40 MG | 10 | 1 | 10 | 10 |
0404-9982-05 | J1265 | HENRY SCHEIN, INC. | Dopamine injection | 40 MG | 5 | 1 | 5 | 5 |
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 |
51662-1220-1 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 10 | 1 | 10 | 10 |
51662-1220-3 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 10 | 25 | 10 | 250 |
51662-1291-3 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 5 | 25 | 5 | 125 |
51662-1316-1 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 250 | 1 | 10 | 10 |
51662-1316-3 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 250 | 12 | 10 | 120 |
51662-1458-1 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 500 | 1 | 20 | 20 |
51662-1489-1 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 5 | 1 | 5 | 5 |
51662-1489-3 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 5 | 25 | 5 | 125 |
51662-1490-1 | J1265 | HEALTHFIRST | Dopamine injection | 40 MG | 10 | 1 | 10 | 10 |
43598-850-50 | J1270 | DR. REDDY'S LABORATORIES, INC. | Injection, doxercalciferol | 1 MCG | 2 | 50 | 4 | 200 |
55150-359-50 | J1270 | EUGIA US LLC | 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 |
68180-718-52 | J1270 | LUPIN PHARMACEUTICALS | Injection, doxercalciferol | 1 MCG | 2 | 50 | 4 | 200 |
71288-802-04 | J1270 | Meitheal Pharmaceuticals Inc. | Injection, doxercalciferol | 1 mcg | 2 | 25 | 4 | 100 |
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 |
80203-347-01 | J1302 | BIOVERATIV USA INC | Inj, sutimlimab-jome, 10 mg | 10 MG | 22 | 1 | 110 | 110 |
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 |
64406-109-01 | J1304 | BIOGEN MA INC. | Inj tofersen intrathec 1 mg | 1 MG | 15 | 1 | 100 | 100 |
61755-010-01 | J1305 | REGENERON PHARMACEUTICALS INC. | Inj, evinacumab-dgnb, 5mg | 5 MG | 8 | 1 | 240 | 240 |
61755-013-01 | J1305 | REGENERON PHARMACEUTICALS INC. | Inj, evinacumab-dgnb, 5mg | 5 MG | 2.3 | 1 | 69 | 69 |
0078-1000-60 | J1306 | NOVARTIS PHARMACEUTICALS CORP. | Injection, inclisiran, 1 mg | 1 MG | 1.5 | 1 | 284 | 284 |
68135-100-01 | J1322 | BIOMARIN PHARMACEUTICAL, INC. | Elosulfase alfa, injection | 1 MG | 5 | 1 | 5 | 5 |
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 |
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 |
42023-221-10 | 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 |
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 |
60505-6196-4 | J1335 | APOTEX CORP. | 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 |
72266-159-10 | J1335 | FOSUN PHARMA | 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 | 10 | 1 | 10 |
14789-116-05 | J1364 | NEXUS PHARMA | Erythro lactobionate /500 mg | 500 MG | 1 | 5 | 1 | 5 |
0143-9289-01 | J1380 | HIKMA PHARMACEUTICALS USA INC. | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 5 | 5 |
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 |
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 |
70700-273-22 | J1380 | XIROMED LLC | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 5 | 5 |
70700-274-22 | J1380 | XIROMED LLC | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
70700-275-22 | J1380 | XIROMED LLC | 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 |
0517-0602-01 | J1439 | AMERICAN REGENT | Inj ferric carboxymaltos 1mg | 1 MG | 2 | 1 | 100 | 100 |
0517-0650-01 | J1439 | AMERICAN REGENT | Inj ferric carboxymaltos 1mg | 1mg | 15 | 1 | 750 | 750 |
55566-9800-2 | J1440 | FERRING PHARMACEUTICALS, INC. | Fecal microbiota jslm 1 ml | 1 ML | 1 | 1 | 150 | 150 |
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 |
76961-101-01 | J1449 | Spectrum Pharmaceuticals, Inc. | Inj eflapegrastim-xnst 0.1mg | 0.1 MG | 0.6 | 1 | 132 | 132 |
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 |
0006-3061-00 | 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 | 1 | 150 | 150 |
0338-0008-01 | J1453 | BAXTER | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0781-3497-75 | J1453 | SANDOZ | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
16714-248-01 | J1453 | NORTHSTAR RX | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
16714-929-01 | J1453 | NORTHSTAR RX LLC | 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 |
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 |
68001-517-36 | J1453 | BLUEPOINT LABORATORIES | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
68001-523-36 | J1453 | BLUEPOINT LABORATORIES | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
68180-690-01 | J1453 | LUPIN PHARMACEUTICALS, INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
69097-830-37 | J1453 | CIPLA USA INC. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
70860-783-10 | 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 |
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 |
69639-106-01 | J1454 | HELSINN THERAPEUTICS (U.S.), INC. | Inj fosnetupitant, palonoset | 0.25 MG | 1 | 1 | 1 | 1 |
0591-4385-79 | J1456 | ACTAVIS PHARMA, INC. | Inj, fosaprepitant (teva) | 1 MG | 1 | 1 | 150 | 150 |
68135-020-01 | J1458 | BIOMARIN PHARMACEUTICAL, INC. | Galsulfase injection | 1 MG | 1 | 1 | 1 | 5 |
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 |
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 |
13533-800-12 | 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 |
76125-900-10 | 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 |
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 |
70257-052-51 | J1571 | SAOL THERAPEUTICS | Hepagam b im injection | 0.5 ML | 1 | 1 | 2 | 2 |
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 |
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 |
0069-1109-02 | J1576 | PFIZER INC. | Inj, panzyga, 500 mg | 500 MG | 25 | 1 | 5 | 5 |
0069-1224-02 | J1576 | PFIZER INC. | Inj, panzyga, 500 mg | 500 MG | 50 | 1 | 10 | 10 |
0069-1312-02 | J1576 | PFIZER INC. | Inj, panzyga, 500 mg | 500 MG | 100 | 1 | 20 | 20 |
0069-1415-02 | J1576 | PFIZER INC. | Inj, panzyga, 500 mg | 500 MG | 200 | 1 | 40 | 40 |
0069-1558-02 | J1576 | PFIZER INC. | Inj, panzyga, 500 mg | 500 MG | 300 | 1 | 60 | 60 |
68982-822-02 | J1576 | OCTAPHARMA | Inj, panzyga, 500 mg | 500 MG | 25 | 1 | 5 | 5 |
68982-822-03 | J1576 | OCTAPHARMA | Inj, panzyga, 500 mg | 500 MG | 50 | 1 | 10 | 10 |
68982-822-04 | J1576 | OCTAPHARMA | Inj, panzyga, 500 mg | 500 MG | 100 | 1 | 20 | 20 |
68982-822-05 | J1576 | OCTAPHARMA | Inj, panzyga, 500 mg | 500 MG | 200 | 1 | 40 | 40 |
68982-822-06 | J1576 | OCTAPHARMA | Inj, panzyga, 500 mg | 500 MG | 300 | 1 | 60 | 60 |
0143-9128-25 | J1580 | Hikma Pharmaceuticals Usa | Garamycin gentamicin inj | 80 MG | 2 | 25 | 1 | 25 |
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 |
0404-9866-20 | J1580 | HENRY SCHEIN, INC. | Garamycin gentamicin inj | 80 MG | 20 | 1 | 10 | 10 |
0409-1207-03 | J1580 | PFIZER INC. | Garamycin gentamicin inj | 80 MG | 2 | 25 | 1 | 25 |
51662-1508-3 | J1580 | HEALTHFIRST | Garamycin gentamicin inj | 80 MG | 20 | 25 | 10 | 250 |
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 |
0143-9584-10 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
0143-9585-25 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
0143-9586-25 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
0143-9587-25 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
0143-9679-10 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
0143-9680-25 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
0143-9681-25 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
0143-9682-25 | J1596 | HIKMA PHARMACEUTICALS USA INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
0404-9867-01 | J1596 | HENRY SCHEIN, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 1 | 2 | 2 |
0404-9868-20 | J1596 | HENRY SCHEIN, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 1 | 40 | 40 |
0404-9869-02 | J1596 | HENRY SCHEIN, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 1 | 4 | 4 |
0404-9870-05 | J1596 | HENRY SCHEIN, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 1 | 10 | 10 |
0517-4601-25 | J1596 | AMERICAN REGENT | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
0517-4602-25 | J1596 | AMERICAN REGENT | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
0517-4605-25 | J1596 | AMERICAN REGENT | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
0517-4620-25 | J1596 | AMERICAN REGENT | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 25 | 40 | 1000 |
0781-3825-96 | J1596 | SANDOZ | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
0781-3827-96 | J1596 | SANDOZ | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
0781-3829-96 | J1596 | SANDOZ | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
0781-3831-95 | J1596 | SANDOZ | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
51662-1487-1 | J1596 | HEALTHFIRST | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 1 | 2 | 2 |
51662-1487-3 | J1596 | HEALTHFIRST | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
51662-1554-3 | J1596 | HEALTHFIRST | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
51662-1601-1 | J1596 | HEALTHFIRST | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 1 | 5 | 1 |
51662-1601-3 | J1596 | HEALTHFIRST | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
55150-292-01 | J1596 | AUROMEDICS PHARMA LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
55150-293-02 | J1596 | AUROMEDICS PHARMA LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
55150-294-05 | J1596 | AUROMEDICS PHARMA LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
55150-295-20 | J1596 | AUROMEDICS PHARMA LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 25 | 40 | 1000 |
60505-6179-5 | J1596 | APOTEX CORP. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
60505-6180-5 | J1596 | APOTEX CORP. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
60505-6181-5 | J1596 | APOTEX CORP. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
60505-6182-4 | J1596 | APOTEX CORP. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
63323-578-01 | J1596 | FRESENIUS KABI | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
63323-578-02 | J1596 | FRESENIUS KABI | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
63323-578-05 | J1596 | FRESENIUS KABI | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
63323-578-11 | J1596 | FRESENIUS KABI | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
63323-578-12 | J1596 | FRESENIUS KABI | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
66794-202-42 | J1596 | PIRAMAL CRITICAL CARE | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
66794-203-42 | J1596 | PIRAMAL CRITICAL CARE | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
66794-204-42 | J1596 | PIRAMAL CRITICAL CARE | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
66794-205-41 | J1596 | PIRAMAL CRITICAL CARE | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
70121-1394-5 | J1596 | AMNEAL BIOSCIENCES | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
70121-1395-5 | J1596 | AMNEAL BIOSCIENCES | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
70121-1396-5 | J1596 | AMNEAL BIOSCIENCES | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
70121-1397-7 | J1596 | AMNEAL BIOSCIENCES | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
70121-1698-7 | J1596 | AMNEAL PHARMACEUTICALS INC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 10 | 2 | 20 |
70121-1699-7 | J1596 | AMNEAL PHARMACEUTICALS INC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 10 | 4 | 40 |
71288-414-03 | J1596 | MEITHEAL PHARMACEUTICALS | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
71288-414-04 | J1596 | Meitheal Pharmaceuticals Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
71288-414-92 | J1596 | MEITHEAL PHARMACEUTICALS, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
71288-414-94 | J1596 | MEITHEAL PHARMACEUTICALS, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
71288-415-06 | J1596 | Meitheal Pharmaceuticals Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
71288-415-21 | J1596 | MEITHEAL PHARMACEUTICALS | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
71839-123-25 | J1596 | BE PHARMACEUTICALS, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
71839-124-25 | J1596 | BE PHARMACEUTICALS, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
71839-125-25 | J1596 | BE PHARMACEUTICALS, INC. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
72572-225-25 | J1596 | CIVICA INC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 25 |
72572-226-25 | J1596 | CIVICA INC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
76045-203-10 | J1596 | FRESENIUS KABI | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 24 | 2 | 48 |
76045-203-20 | J1596 | FRESENIUS KABI | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 24 | 4 | 96 |
57894-350-01 | J1602 | JANSSEN BIOTECH, INC. | Golimumab for iv use 1mg | 1 MG | 4 | 1 | 50 | 50 |
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 |
50090-6550-0 | J1610 | A-S MEDICATION SOLUTIONS LLC | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
63323-582-82 | J1611 | FRESENIUS KABI | Inj glucagon hcl, fresenius | 1 MG | 1 | 1 | 1 | 1 |
63323-593-03 | J1611 | FRESENIUS KABI | Inj glucagon hcl, fresenius | 1 MG | 1 | 1 | 1 | 1 |
63323-594-03 | J1611 | FRESENIUS KABI | Inj glucagon hcl, fresenius | 1 MG | 1 | 1 | 1 | 1 |
63323-596-13 | J1611 | FRESENIUS KABI | Inj glucagon hcl, fresenius | 1 MG | 1 | 10 | 1 | 10 |
63323-596-16 | J1611 | FRESENIUS KABI USA, LLC | Inj glucagon hcl, fresenius | 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 |
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 |
0143-9501-25 | 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 |
0404-9871-01 | J1630 | HENRY SCHEIN, INC. | Haloperidol injection | 5 MG | 1 | 1 | 1 | 1 |
25021-806-01 | J1630 | SAGENT PHARMACEUTICALS INC | Haloperidol injection | 5 MG | 1 | 10 | 1 | 10 |
51662-1524-1 | J1630 | HEALTHFIRST | Haloperidol injection | 5 MG | 1 | 1 | 1 | 1 |
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 |
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 |
67457-409-13 | 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 |
68001-578-48 | J1631 | BLUE POINT LABORATORIES | Haloperidol decanoate inj | 50 MG | 1 | 3 | 1 | 3 |
68001-579-48 | J1631 | BLUE POINT LABORATORIES | Haloperidol decanoate inj | 50 MG | 1 | 5 | 2 | 10 |
68001-580-41 | J1631 | BLUE POINT LABORATORIES | Haloperidol decanoate inj | 50 MG | 1 | 1 | 1 | 1 |
68001-581-41 | J1631 | BLUE POINT LABORATORIES | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
68001-581-48 | J1631 | BLUE POINT LABORATORIES | Haloperidol decanoate inj | 50 MG | 1 | 5 | 2 | 10 |
68001-581-82 | J1631 | BLUE POINT LABORATORIES | Haloperidol decanoate inj | 50 MG | 1 | 10 | 2 | 20 |
68001-582-41 | J1631 | BLUE POINT LABORATORIES | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 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 |
70756-616-81 | J1631 | LIFESTAR PHARMA | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
70756-625-85 | J1631 | LIFESTAR PHARMA | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
71288-502-02 | J1631 | MEITHEAL PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
71288-503-02 | J1631 | MEITHEAL PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 1 | 10 | 2 | 20 |
71288-504-05 | J1631 | MEITHEAL PHARMACEUTICALS, INC. | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
55292-702-55 | J1640 | RECORDATI RARE DISEASES | Hemin, 1 mg | 1 MG | 1 | 1 | 336 | 336 |
0069-0043-01 | J1643 | PFIZER INC. | Inj heparin, pfizer, 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
0069-0058-01 | J1643 | PFIZER INC. | Inj heparin, pfizer, 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
0069-0059-01 | J1643 | PFIZER INC. | Inj heparin, pfizer, 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
0069-0059-03 | J1643 | PFIZER INC. | Inj heparin, pfizer, 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
0069-0137-03 | J1643 | PFIZER INC. | Inj heparin, pfizer, 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 |
0404-9872-01 | J1644 | HENRY SCHEIN, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 1 | 5 | 5 |
0404-9873-01 | J1644 | HENRY SCHEIN, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 1 | 10 | 10 |
0404-9979-01 | J1644 | HENRY SCHEIN, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 1 | 1 | 1 |
0409-0012-30 | J1644 | HOSPIRA, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 30 | 12.5 | 375 |
0409-1005-20 | J1644 | HOSPIRA, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 20 | 1 | 20 |
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 |
0409-2222-12 | J1644 | HOSPIRA, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1000 | 12 | 2 | 24 |
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 |
0409-3150-20 | J1644 | HOSPIRA, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 20 | 25 | 500 |
0409-4520-30 | J1644 | Hospira, Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 30 | 25 | 750 |
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 |
0409-7650-30 | J1644 | HOSPIRA, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 30 | 25 | 750 |
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 |
51662-1409-3 | J1644 | HEALTHFIRST | Inj heparin sodium per 1000u | 1000 UNITS | 5 | 25 | 50 | 1250 |
51662-1434-1 | J1644 | HEALTHFIRST | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 1 | 10 | 10 |
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 |
63323-262-06 | 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 |
63323-276-02 | 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 |
63323-540-13 | 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 |
63323-540-36 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
63323-540-67 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1,000 UNITS | 10 | 25 | 10 | 250 |
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 |
63323-543-13 | J1644 | FRESENIUS KABI | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 25 | 5 | 125 |
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 |
63739-953-25 | 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 |
71288-400-03 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
71288-401-02 | J1644 | Meitheal Pharmaceuticals, Inc. | Inj heparin sodium per 1000u | 1,000 UNITS | 1 | 25 | 20 | 500 |
71288-402-02 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
71288-402-11 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
71288-402-31 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
71288-403-02 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
71288-403-11 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
71288-404-02 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
71288-404-05 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 4 | 25 | 40 | 1000 |
71288-405-81 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 24 | 5 | 120 |
71288-406-82 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 24 | 5 | 120 |
71288-419-96 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
71288-420-96 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1,000 UNITS | 10 | 25 | 10 | 250 |
71288-421-96 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1,000 UNITS | 30 | 25 | 30 | 750 |
71288-422-96 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1,000 UNITS | 1 | 25 | 5 | 125 |
71288-424-96 | J1644 | MEITHEAL PHARMACEUTICALS, INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
71839-117-25 | J1644 | Be Pharmaceuticals, Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
71839-118-25 | J1644 | Be Pharmaceuticals, Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 25 | 5 | 125 |
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 |
81565-203-02 | J1644 | PHLOW CORPORATION | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
81952-111-06 | J1644 | HEPALINK USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
81952-112-06 | J1644 | Hepalink USA Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
81952-112-09 | J1644 | Hepalink USA Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
81952-112-10 | J1644 | HEPALINK USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
81952-113-06 | J1644 | HEPALINK USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
81952-113-08 | J1644 | HEPALINK USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 5 | 25 | 50 | 1250 |
81952-114-09 | J1644 | Hepalink Usa | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
81952-115-07 | J1644 | Hepalink USA Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
81952-116-06 | J1644 | HEPALINK USA INC. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
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 |
0069-0253-10 | J1645 | Pfizer Labs | Dalteparin sodium | 2500 IU | 4 | 10 | 4 | 40 |
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 |
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 |
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 |
60505-0792-4 | J1650 | APOTEX CORP. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
60505-0794-4 | J1650 | APOTEX CORP. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
60505-0795-4 | J1650 | APOTEX CORP. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
60505-0796-4 | J1650 | APOTEX CORP. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
60505-0798-4 | J1650 | APOTEX CORP. | 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 |
63323-539-03 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
63323-559-65 | J1650 | NOVAPLUS/FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-559-93 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-564-65 | J1650 | Fresenius Kabi USA, LLC | Inj enoxaparin sodium | 10 mg | 0.4 | 10 | 4 | 40 |
63323-564-97 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
63323-566-65 | J1650 | FRESENIUS KABI USA, LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-566-98 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-584-65 | J1650 | NOVAPLUS/FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-584-99 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-586-65 | J1650 | FRESENIUS KABI USA, LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
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 |
63323-655-99 | J1650 | FRESENIUS KABI | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
68001-457-42 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
68001-458-42 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
68001-459-42 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
68001-460-42 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
68001-461-42 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
68001-462-42 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
68001-463-42 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
68001-464-41 | J1650 | Bluepoint Laboratories | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
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 |
71288-410-81 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
71288-410-83 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
71288-410-85 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
71288-410-87 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
71288-410-89 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
71288-411-81 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
71288-411-83 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
71288-426-03 | J1650 | MEITHEAL PHARMACEUTICALS | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
71288-432-81 | J1650 | MEITHEAL PHARMACEUTICALS | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
71288-432-92 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
71288-433-83 | J1650 | MEITHEAL PHARMACEUTICALS | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
71288-433-92 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
71288-434-85 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
71288-434-92 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
71288-435-92 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
71288-436-92 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
71288-437-92 | J1650 | MEITHEAL PHARMACEUTICALS | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
71288-437-94 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
71288-438-96 | J1650 | MEITHEAL PHARMACEUTICALS, INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
81952-123-23 | J1650 | HEPALINK USA INC. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
81952-124-24 | J1650 | HEPALINK USA INC. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
81952-126-26 | J1650 | HEPALINK USA INC. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
81952-128-28 | J1650 | HEPALINK USA INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
81952-130-06 | J1650 | HEPALINK USA INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
81952-132-28 | J1650 | HEPALINK USA INC. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
81952-135-06 | J1650 | HEPALINK USA INC. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
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 |
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 |
51662-1261-1 | J1720 | HEALTHFIRST | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 1 | 1 |
51662-1262-1 | J1720 | HEALTHFIRST | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 2.5 | 2.5 |
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 |
0597-0035-10 | J1747 | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | Inj, spesolimab-sbzo, 1 mg | 1 MG | 7.5 | 2 | 450 | 900 |
0023-6082-10 | J1750 | ALLERGAN SALES, LLC | Inj iron dextran | 50 MG | 2 | 10 | 2 | 20 |
0404-9879-02 | J1750 | HENRY SCHEIN, INC. | Inj iron dextran | 50 MG | 2 | 1 | 2 | 2 |
51662-1441-1 | J1750 | Healthfirst | Inj iron dextran | 50 MG | 2 | 1 | 2 | 2 |
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 |
51662-1568-1 | J1756 | HEALTHFIRST | Iron sucrose injection | 1 MG | 5 | 1 | 100 | 100 |
58468-4663-1 | J1786 | GENZYME CORPORATION | Imuglucerase injection | 10 UNITS | 1 | 1 | 40 | 40 |
0404-9825-10 | J1805 | HENRY SCHEIN, INC. | Inj, esmolol hcl, 10mg | 10 MG | 10 | 1 | 10 | 10 |
0404-9858-10 | J1805 | HENRY SCHEIN, INC. | Inj, esmolol hcl, 10mg | 10 MG | 10 | 1 | 10 | 10 |
10019-055-61 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 250 | 1 | 250 | 250 |
10019-075-87 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 100 | 1 | 200 | 200 |
10019-115-01 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
10019-120-01 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
10019-666-10 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
10019-668-10 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
10019-670-10 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
10019-672-10 | J1805 | BAXTER | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
25021-308-84 | J1805 | SAGENT PHARMACEUTICALS INC | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
25021-309-82 | J1805 | SAGENT PHARMACEUTICALS INC | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
44567-450-10 | J1805 | WG CRITICAL CARE | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
44567-451-10 | J1805 | WG CRITICAL CARE | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
51662-1444-1 | J1805 | HEALTHFIRST | Inj, esmolol hcl, 10mg | 10 MG | 10 | 1 | 10 | 10 |
51662-1444-3 | J1805 | HEALTHFIRST | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
52584-115-39 | J1805 | HENRY SCHEIN, INC. | Inj, esmolol hcl, 10mg | 10 MG | 10 | 1 | 10 | 10 |
55150-194-10 | J1805 | AUROMEDICS PHARMA LLC | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
55150-420-10 | J1805 | AUROMEDICS PHARMA | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
55150-421-10 | J1805 | AUROMEDICS PHARMA | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
63323-652-10 | J1805 | FRESENIUS KABI | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
67457-182-10 | J1805 | MYLAN INSTITUTIONAL LLC | Inj, esmolol hcl, 10mg | 10 MG | 10 | 10 | 10 | 100 |
67457-657-25 | J1805 | MYLAN INSTITUTIONAL LLC | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
67457-658-10 | J1805 | MYLAN INSTITUTIONAL LLC | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
44567-811-10 | J1806 | WG CRITICAL CARE | Inj esmolol hcl wg crit care | 10 MG | 250 | 10 | 250 | 2500 |
44567-812-10 | J1806 | WG CRITICAL CARE | Inj esmolol hcl wg crit care | 10 MG | 100 | 10 | 200 | 2000 |
0169-3201-11 | J1811 | NOVO NORDISK INC | Fiasp for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0169-3206-15 | J1811 | NOVO NORDISK, INC. | Fiasp for insulin pump use | 50 UNITS | 1.6 | 5 | 3.2 | 16 |
0002-7728-01 | J1813 | ELI LILLY AND COMPANY | Lyumjev for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
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 |
0002-8213-05 | J1817 | Lilly Usa, Llc. | 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 |
0169-2100-11 | 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 |
0169-3303-12 | 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 |
72677-551-01 | J1823 | HORIZON | Inj. inebilizumab-cdon, 1 mg | 1 MG | 10 | 3 | 100 | 300 |
75987-150-03 | J1823 | HORIZON THERAPEUTICS USA, INC. | Inj. inebilizumab-cdon, 1 mg | 1 MG | 10 | 3 | 100 | 300 |
0264-5535-32 | J1836 | B. BRAUN MEDICAL INC. | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
0338-1055-48 | J1836 | BAXTER | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
0338-9541-24 | J1836 | BAXTER | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
0404-9991-00 | J1836 | HENRY SCHEIN, INC. | Inj, metronidazole, 10 mg | 10 MG | 100 | 1 | 50 | 50 |
0409-0152-24 | J1836 | Hospira, Inc. | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
0409-7811-24 | J1836 | PFIZER INC. | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
0409-7811-37 | J1836 | PFIZER INC. | Inj, metronidazole, 10 mg | 10 MG | 100 | 80 | 50 | 4000 |
25021-131-82 | J1836 | SAGENT PHARMACEUTICALS INC | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
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 |
0404-9883-01 | J1885 | HENRY SCHEIN, INC. | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
0404-9884-02 | J1885 | HENRY SCHEIN, INC. | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
0404-9952-01 | J1885 | HENRY SCHEIN, INC. | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 1 | 1 |
0404-9996-01 | J1885 | HENRY SCHEIN, INC. | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
0404-9997-02 | J1885 | HENRY SCHEIN, INC. | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
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 |
50090-1328-1 | J1885 | A-S MEDICATION SOLUTIONS LLC | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
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 |
51662-1292-1 | J1885 | HEALTHFIRST | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
51662-1292-3 | J1885 | HEALTHFIRST | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
51662-1295-1 | J1885 | HEALTHFIRST | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
51662-1295-3 | J1885 | HEALTHFIRST | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
51662-1594-3 | J1885 | HEALTHFIRST | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
62332-599-25 | J1885 | ALEMBIC PHARMACEUTICALS INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
62332-600-25 | J1885 | ALEMBIC PHARMACEUTICALS INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
62332-601-25 | J1885 | ALEMBIC PHARMACEUTICALS INC. | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
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 |
70860-700-02 | J1885 | ATHENEX | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
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 |
72266-234-25 | J1885 | FOSUN PHARMA USA INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
72572-354-10 | J1885 | CIVICA, INC. | Ketorolac tromethamine inj | 15 MG | 1 | 10 | 1 | 10 |
72572-355-25 | J1885 | CIVICA, INC. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
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 |
0143-9320-01 | J1920 | HIKMA PHARMACEUTICALS USA INC. | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
0143-9622-01 | J1920 | HIKMA PHARMACEUTICALS USA INC. | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
0143-9623-01 | J1920 | HIKMA PHARMACEUTICALS USA INC. | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
0409-0125-25 | J1920 | HOSPIRA, INC. | Inj, labetalol hcl, 5mg | 5 MG | 20 | 25 | 20 | 500 |
25021-317-20 | J1920 | SAGENT PHARMACEUTICALS, INC. | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
25021-317-40 | J1920 | SAGENT PHARMACEUTICALS, INC. | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
36000-320-10 | J1920 | BAXTER | Inj, labetalol hcl, 5mg | 5 MG | 4 | 10 | 4 | 40 |
36000-322-02 | J1920 | BAXTER | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
36000-324-02 | J1920 | BAXTER | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
47781-586-29 | J1920 | ALVOGEN | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
47781-586-56 | J1920 | ALVOGEN | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
51662-1228-1 | J1920 | HEALTHFIRST | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
51662-1602-1 | J1920 | HEALTHFIRST | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72266-102-01 | J1920 | FOSUN PHARMA | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72266-103-01 | J1920 | FOSUN PHARMA | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
72266-103-41 | J1920 | FOSUN PHARMA | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
72572-350-01 | J1920 | CIVICA INC | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72603-146-01 | J1920 | NORTHSTAR RX LLC | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72611-734-01 | J1920 | ALVOGEN | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72611-738-01 | J1920 | ALVOGEN | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
0143-9363-10 | J1921 | HIKMA PHARMACEUTICALS USA INC. | Inj labetalol hcl hikma, 5mg | 5 MG | 100 | 10 | 20 | 200 |
0143-9364-10 | J1921 | HIKMA PHARMACEUTICALS USA INC. | Inj labetalol hcl hikma, 5mg | 5 MG | 200 | 10 | 40 | 400 |
0143-9365-10 | J1921 | HIKMA PHARMACEUTICALS USA INC. | Inj labetalol hcl hikma, 5mg | 5 MG | 300 | 10 | 60 | 600 |
0143-9366-10 | J1921 | HIKMA PHARMACEUTICALS USA INC. | Inj labetalol hcl hikma, 5mg | 5 MG | 200 | 10 | 40 | 400 |
0641-6252-10 | J1921 | HIKMA PHARMACEUTICALS USA INC. | Inj labetalol hcl hikma, 5mg | 5 MG | 2 | 10 | 2 | 20 |
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 |
69097-870-67 | J1932 | CIPLA USA INC. | Inj, lanreotide, (cipla) 1mg | 1 MG | 0.5 | 1 | 120 | 120 |
0409-1412-04 | J1939 | PFIZER INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
0409-1412-10 | J1939 | PFIZER INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
0641-6007-10 | J1939 | HIKMA PHARMACEUTICALS USA INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
0641-6008-10 | J1939 | HIKMA PHARMACEUTICALS USA INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
0641-6161-10 | J1939 | HIKMA PHARMACEUTICALS USA INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
0641-6162-10 | J1939 | HIKMA PHARMACEUTICALS USA INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
65219-570-04 | J1939 | FRESENIUS KABI USA | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
65219-572-10 | J1939 | FRESENIUS KABI USA | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
68462-469-54 | J1939 | GLENMARK PHARMACEUTICALS INC., USA | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
68462-470-54 | J1939 | GLENMARK PHARMACEUTICALS INC., USA | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
70860-405-04 | J1939 | ATHENEX PHARMACEUTICAL | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
70860-406-10 | J1939 | ATHENEX PHARMACEUTICAL | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
72205-101-07 | J1939 | Novadoz Pharmaceuticals, Llc | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
72205-102-07 | J1939 | Novadoz Pharmaceuticals, Llc | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
72572-040-10 | J1939 | CIVICA, INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
72572-041-10 | J1939 | CIVICA, INC. | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
0404-9862-10 | J1940 | HENRY SCHEIN, INC. | Furosemide injection | 20 MG | 10 | 1 | 5 | 5 |
0404-9863-04 | J1940 | HENRY SCHEIN, INC. | Furosemide injection | 20 MG | 4 | 1 | 2 | 2 |
0404-9864-02 | J1940 | HENRY SCHEIN, INC. | Furosemide injection | 20 MG | 2 | 1 | 1 | 1 |
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 |
51662-1226-3 | J1940 | HEALTHFIRST | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
51662-1227-1 | J1940 | HEALTHFIRST | Furosemide injection | 20 MG | 2 | 1 | 1 | 1 |
51662-1572-3 | J1940 | HEALTHFIRST | Furosemide injection | 20 MG | 2 | 25 | 2 | 50 |
51662-1574-1 | J1940 | HEALTHFIRST | Furosemide injection | 20 MG | 4 | 1 | 2 | 2 |
51662-1574-3 | J1940 | HEALTHFIRST | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
51662-1575-1 | J1940 | HEALTHFIRST | Furosemide injection | 20 MG | 10 | 1 | 5 | 5 |
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 |
70756-618-25 | J1940 | LIFESTAR PHARMACEUTICALS | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
70756-619-25 | J1940 | LIFESTAR PHARMA | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
70756-620-25 | J1940 | LIFESTAR PHARMA | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
70860-302-02 | J1940 | ATHENEX PHARMACEUTICAL DIVISION, LL | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
70860-302-04 | J1940 | ATHENEX PHARMACEUTICAL DIVISION, LL | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
70860-302-10 | J1940 | ATHENEX PHARMACEUTICAL DIVISION, LL | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
71288-203-03 | J1940 | Meitheal Pharmaceuticals Inc. | Furosemide injection | 20 mg | 2 | 25 | 1 | 25 |
71288-203-05 | J1940 | Meitheal Pharmaceuticals Inc. | Furosemide injection | 20 mg | 4 | 25 | 2 | 50 |
71288-203-11 | J1940 | MEITHEAL PHARMACEUTICALS, INC. | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
72572-190-25 | J1940 | CIVICA, INC. | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
72603-133-25 | J1940 | NORTHSTAR RX LLC | Furosemide injection | 20 MG | 2 | 25 | 1 | 25 |
72603-251-25 | J1940 | NORTHSTAR RX LLC | Furosemide injection | 20 MG | 4 | 25 | 2 | 50 |
72603-474-25 | J1940 | NORTHSTAR RX LLC | Furosemide injection | 20 MG | 10 | 25 | 5 | 125 |
65757-500-03 | J1943 | ALKERMES, INC. | Inj., aristada initio, 1 mg | 1 MG | 2.4 | 1 | 675 | 675 |
65757-500-03 | J1943 | ALKERMES, INC. | Inj., aristada initio, 1 mg | 1 MG | 2.4 | 1 | 675 | 675 |
65757-401-03 | J1944 | ALKERMES, INC. | Aripiprazole lauroxil 1 mg | 1 MG | 1.6 | 1 | 441 | 441 |
65757-401-03 | J1944 | ALKERMES, INC. | Aripiprazole lauroxil 1 mg | 1 MG | 1.6 | 1 | 441 | 441 |
65757-402-03 | J1944 | ALKERMES, INC. | Aripiprazole lauroxil 1 mg | 1 MG | 2.4 | 1 | 662 | 662 |
65757-402-03 | J1944 | ALKERMES, INC. | Aripiprazole lauroxil 1 mg | 1 MG | 2.4 | 1 | 662 | 662 |
65757-403-03 | J1944 | ALKERMES, INC. | Aripiprazole lauroxil 1 mg | 1 MG | 3.2 | 1 | 882 | 882 |
65757-403-03 | J1944 | ALKERMES, INC. | Aripiprazole lauroxil 1 mg | 1 MG | 3.2 | 1 | 882 | 882 |
65757-404-03 | J1944 | ALKERMES, INC. | Aripiprazole lauroxil 1 mg | 1 MG | 3.9 | 1 | 1064 | 1064 |
65757-404-03 | J1944 | ALKERMES, INC. | Aripiprazole 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 |
0074-3575-01 | J1950 | ABBVIE US LLC | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 12 | 12 |
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 |
62935-163-60 | J1951 | TOLMAR | Inj fensolvi 0.25 mg | 0.25 MG | 1 | 1 | 180 | 180 |
69448-014-63 | J1952 | ACCORD BIOPHARMA INC. | Leuprolide inj, camcevi, 1mg | 1 MG | 1 | 1 | 42 | 42 |
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 |
44567-500-10 | J1953 | WG CRITICAL CARE LLC | Levetiracetam injection | 10 MG | 50 | 10 | 25 | 250 |
44567-501-10 | J1953 | WG CRITICAL CARE LLC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
44567-501-90 | J1953 | WG CRITICAL CARE LLC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
44567-502-10 | J1953 | WG CRITICAL CARE LLC | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
44567-503-10 | J1953 | WG CRITICAL CARE LLC | 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 |
72485-106-10 | J1953 | Armas Pharmaceuticals, Inc. | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
72485-106-25 | J1953 | ARMAS PHARMACEUTICALS, INC. | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
72572-360-25 | J1953 | CIVICA, INC. | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
69097-909-50 | J1954 | Cipla Usa, Inc. | Leuprolide depot cipla 7.5mg | 7.5 MG | 1 | 1 | 3 | 3 |
0143-9852-10 | J1955 | HIKMA PHARMACEUTICALS USA INC. | Inj levocarnitine per 1 gm | 1 GM | 5 | 10 | 1 | 10 |
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 |
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 |
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 |
55150-157-30 | 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 |
61958-3002-1 | J1961 | GILEAD SCIENCES, INC. | Inj, lenacapavir, 1 mg | 1 MG | 1.5 | 2 | 463.5 | 927 |
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 |
51662-1302-1 | J2001 | HEALTHFIRST | Lidocaine injection | 10 MG | 500 | 1 | 200 | 200 |
0009-0107-04 | J2010 | PFIZER INC. | Lincomycin injection | 300 MG | 10 | 1 | 10 | 10 |
0009-0555-01 | J2010 | PFIZER INC. | Lincomycin injection | 300 MG | 2 | 1 | 2 | 2 |
0404-9901-10 | J2010 | HENRY SCHEIN, INC. | Lincomycin injection | UP TO 300 MG | 10 | 1 | 10 | 10 |
25021-193-02 | J2010 | SAGENT PHARMACEUTICAL | Lincomycin injection | UP TO 300 MG | 2 | 10 | 2 | 20 |
25021-193-10 | J2010 | SAGENT PHARMACEUTICAL | Lincomycin injection | UP TO 300 MG | 10 | 10 | 10 | 100 |
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 |
72485-114-01 | J2010 | ARMAS PHARMACEUTICALS, INC. | Lincomycin injection | UP TO 300 MG | 2 | 1 | 2 | 2 |
72485-115-10 | J2010 | ARMAS PHARMACEUTICALS, INC. | Lincomycin injection | UP TO 300 MG | 10 | 10 | 10 | 100 |
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 |
0143-9534-10 | J2020 | HIKMA PHARMACEUTICALS USA | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0781-3433-95 | J2020 | SANDOZ | 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 |
66794-236-43 | J2020 | PIRAMAL CRITICAL CARE, INC. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
67457-843-30 | J2020 | MYLAN INSTITUTIONAL LLC | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0409-4883-01 | J2021 | PFIZER INC. | Inj, linezolid (hospira) | 200 MG | 300 | 10 | 3 | 30 |
0409-4883-10 | J2021 | HOSPIRA, INC. | Inj, linezolid (hospira) | 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 |
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 |
72572-380-25 | J2060 | CIVICA INC | Lorazepam injection | 2 MG | 1 | 25 | 1 | 25 |
0404-9905-50 | J2150 | HENRY SCHEIN, INC. | Mannitol injection | 50 ML | 50 | 1 | 1 | 1 |
0409-4031-01 | J2150 | PFIZER INC. | Mannitol injection | 50 ML | 50 | 25 | 1 | 25 |
51662-1468-3 | J2150 | HEALTHFIRST | 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 |
0264-3183-11 | J2184 | B. BRAUN MEDICAL INC. | Inj, meropenem (b. braun) | 100 MG | 1 | 24 | 5 | 120 |
0264-3185-11 | J2184 | B. BRAUN MEDICAL INC. | Inj, meropenem (b. braun) | 100 MG | 1 | 24 | 10 | 240 |
0409-0222-10 | J2185 | Hospira, Inc. | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0409-1390-51 | J2185 | HOSPIRA, INC. | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0409-1391-22 | J2185 | HOSPIRA, INC. | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
0409-3412-10 | J2185 | Hospira, Inc. | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
0781-3000-95 | J2185 | SANDOZ | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0781-3098-95 | J2185 | SANDOZ | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
44567-145-10 | J2185 | WG CRITICAL CARE LLC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
44567-146-10 | J2185 | WG CRITICAL CARE LLC | 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 |
68001-446-31 | J2185 | BLUEPOINT LABORATORIES | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
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 |
72485-412-10 | J2185 | ARMAS PHARMACEUTICALS, INC. | 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 |
51662-1556-1 | J2210 | HEALTHFIRST | 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 |
42023-229-10 | J2247 | PAR PHARMACEUTICAL, INC | Inj, micafungin (par pharm) | 1 MG | 1 | 10 | 50 | 500 |
42023-230-10 | J2247 | PAR PHARMACEUTICAL, INC | Inj, micafungin (par pharm) | 1 MG | 1 | 10 | 100 | 1000 |
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 |
0469-3250-10 | 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 |
25021-190-11 | J2248 | SAGENT PHARMACEUTICAL | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
25021-191-10 | J2248 | SAGENT PHARMACEUTICALS INC | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
25021-191-11 | J2248 | SAGENT PHARMACEUTICAL | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
60505-6119-5 | J2248 | APOTEX CORP. | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
60505-6120-6 | J2248 | APOTEX CORP. | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
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 |
63323-729-12 | J2248 | FRESENIUS KABI USA, LLC | 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 |
71288-028-11 | J2248 | MEITHEAL PHARMACEUTICALS, INC. | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
71288-029-11 | J2248 | MEITHEAL PHARMACEUTICALS, INC. | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
72572-427-01 | J2248 | CIVICA INC | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
0404-9912-10 | J2250 | HENRY SCHEIN, INC. | Inj midazolam hydrochloride | 1 MG | 10 | 1 | 10 | 10 |
0404-9913-05 | J2250 | HENRY SCHEIN, INC. | Inj midazolam hydrochloride | 1 MG | 5 | 1 | 5 | 5 |
0404-9914-10 | J2250 | HENRY SCHEIN, INC. | Inj midazolam hydrochloride | 1 MG | 10 | 1 | 50 | 50 |
0404-9915-05 | J2250 | HENRY SCHEIN, INC. | Inj midazolam hydrochloride | 1 MG | 5 | 1 | 25 | 25 |
0404-9916-01 | J2250 | HENRY SCHEIN, INC. | Inj midazolam hydrochloride | 1 MG | 1 | 1 | 5 | 5 |
0404-9916-02 | J2250 | HENRY SCHEIN, INC. | Inj midazolam hydrochloride | 1 MG | 2 | 1 | 10 | 10 |
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 |
0641-6061-25 | 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 |
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 |
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 |
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 |
44567-610-10 | J2251 | WG CRITICAL CARE | Inj midazolam (wg crit care) | 1 MG | 50 | 10 | 50 | 500 |
44567-611-10 | J2251 | WG CRITICAL CARE | Inj midazolam (wg crit care) | 1 MG | 100 | 10 | 100 | 1000 |
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 |
71288-200-11 | J2260 | MEITHEAL PHARMACEUTICALS | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
71288-200-21 | J2260 | MEITHEAL PHARMACEUTICALS | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
71288-200-50 | J2260 | MEITHEAL PHARMACEUTICALS | Inj milrinone lactate / 5 mg | 5 MG | 50 | 1 | 10 | 10 |
72485-501-10 | J2260 | ARMAS PHARMACEUTICALS, INC. | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
72485-502-10 | J2260 | ARMAS PHARMACEUTICALS, INC. | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
72485-503-01 | J2260 | ARMAS PHARMACEUTICALS, INC. | 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 |
72572-440-25 | J2270 | CIVICA INC | Morphine sulfate injection | 10 MG | 1 | 25 | 0.4 | 10 |
63323-451-01 | J2272 | FRESENIUS KABI | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 1 | 25 |
63323-452-01 | J2272 | FRESENIUS KABI | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 0.2 | 5 |
63323-454-01 | J2272 | FRESENIUS KABI | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 0.4 | 10 |
63323-455-01 | J2272 | FRESENIUS KABI | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 0.5 | 12.5 |
76045-004-11 | J2272 | FRESENIUS KABI | Inj, morphine (fresenius) | 10 MG | 1 | 10 | 0.2 | 2 |
76045-005-11 | J2272 | FRESENIUS KABI | Inj, morphine (fresenius) | 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 |
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 |
67457-323-25 | J2280 | MYLAN INSTITUTIONAL LLC | Inj, moxifloxacin 100 mg | 100 MG | 250 | 12 | 4 | 48 |
0404-9917-10 | J2300 | HENRY SCHEIN, INC. | Inj nalbuphine hydrochloride | 10 MG | 10 | 1 | 20 | 20 |
0404-9918-01 | J2300 | HENRY SCHEIN, INC. | Inj nalbuphine hydrochloride | 10 MG | 1 | 1 | 1 | 1 |
0404-9919-10 | J2300 | HENRY SCHEIN, INC. | Inj nalbuphine hydrochloride | 10 MG | 10 | 1 | 10 | 10 |
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 |
51662-1418-1 | J2300 | HEALTHFIRST | Inj nalbuphine hydrochloride | 10 MG | 10 | 1 | 20 | 20 |
51662-1420-1 | J2300 | HEALTHFIRST | Inj nalbuphine hydrochloride | 10 MG | 10 | 1 | 10 | 10 |
0338-1047-02 | J2305 | BAXTER | Inj, nitroglycerin, 5 mg | 5 MG | 250 | 12 | 5 | 60 |
0338-1049-02 | J2305 | BAXTER | Inj, nitroglycerin, 5 mg | 5 MG | 250 | 12 | 10 | 120 |
0338-1051-02 | J2305 | BAXTER | Inj, nitroglycerin, 5 mg | 5 MG | 250 | 12 | 20 | 240 |
0404-9928-10 | J2305 | HENRY SCHEIN, INC. | Inj, nitroglycerin, 5 mg | 5 MG | 10 | 1 | 10 | 10 |
0517-4810-25 | J2305 | AMERICAN REGENT | Inj, nitroglycerin, 5 mg | 5 MG | 10 | 25 | 10 | 250 |
51662-1386-1 | J2305 | HEALTHFIRST | Inj, nitroglycerin, 5 mg | 5 MG | 10 | 1 | 10 | 10 |
0404-9920-01 | J2310 | HENRY SCHEIN, INC. | Inj naloxone hydrochloride | 1 MG | 1 | 1 | 0.4 | 0.4 |
0404-9921-02 | J2310 | HENRY SCHEIN, INC. | Inj naloxone hydrochloride | 1 MG | 2 | 1 | 2 | 2 |
0404-9922-02 | J2310 | HENRY SCHEIN, INC. | Inj naloxone hydrochloride | 1 MG | 2 | 1 | 2 | 2 |
0404-9923-01 | J2310 | HENRY SCHEIN, INC. | Inj naloxone hydrochloride | 1 MG | 1 | 1 | 0.4 | 0.4 |
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 |
0641-6205-10 | J2310 | Hikma Pharmaceuticals Usa | Inj naloxone hydrochloride | 1 MG | 2 | 10 | 2 | 20 |
36000-308-10 | J2310 | BAXTER | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
36000-310-02 | J2310 | BAXTER HEALTHCARE CORP | 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 |
50090-6491-0 | J2310 | A-S MEDICATION SOLUTIONS LLC | Inj naloxone hydrochloride | 1 MG | 1 | 10 | 0.4 | 4 |
51662-1238-1 | J2310 | HEALTHFIRST | Inj naloxone hydrochloride | 1 MG | 1 | 1 | 0.4 | 0.4 |
51662-1239-1 | J2310 | HEALTHFIRST | Inj naloxone hydrochloride | 1 MG | 2 | 1 | 2 | 2 |
51662-1242-1 | J2310 | HEALTHFIRST | Inj naloxone hydrochloride | 1 MG | 1 | 1 | 0.4 | 0.4 |
51662-1242-3 | J2310 | HEALTHFIRST | Inj naloxone hydrochloride | 1 MG | 1 | 50 | 0.4 | 20 |
51662-1385-1 | J2310 | HEALTHFIRST | Inj naloxone hydrochloride | 1 MG | 10 | 1 | 4 | 4 |
51662-1586-1 | J2310 | HEALTHFIRST | Inj naloxone hydrochloride | 1 MG | 2 | 1 | 2 | 2 |
51662-1586-3 | J2310 | HEALTHFIRST | Inj naloxone hydrochloride | 1 MG | 2 | 10 | 2 | 20 |
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 |
67457-992-02 | J2310 | Mylan Institutional | Inj naloxone hydrochloride | 1 MG | 2 | 1 | 2 | 2 |
72572-450-25 | J2310 | CIVICA INC | Inj naloxone hydrochloride | 1 MG | 1 | 25 | 0.4 | 10 |
78670-140-02 | J2311 | US WORLDMEDS, LLC | Inj, naloxone hcl (zimhi) | 1 MG | 0.5 | 2 | 5 | 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 |
0074-5015-01 | J2327 | AbbVie Inc. | Inj risankizumab-rzaa 1 mg | 1 MG | 10 | 1 | 600 | 600 |
73150-150-06 | J2329 | TG THERAPEUTICS, INC. | Inj ublituximab-xiiy, 1 mg | 1 MG | 6 | 1 | 150 | 150 |
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 |
23155-685-31 | J2354 | HERITAGE PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
23155-686-31 | J2354 | HERITAGE PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 200 | 200 |
23155-687-41 | J2354 | Avet Pharmaceuticals, Inc. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
23155-688-41 | J2354 | Avet Pharmaceuticals, Inc. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
23155-689-41 | J2354 | Avet Pharmaceuticals, Inc. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
25021-463-01 | J2354 | SAGENT PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
25021-464-01 | J2354 | SAGENT PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
25021-465-01 | J2354 | SAGENT PHARMACEUTICALS, INC. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 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 |
55513-112-01 | J2356 | AMGEN INC. | Inj tezepelumab-ekko, 1mg | 1 MG | 1.91 | 1 | 210 | 210 |
55513-123-01 | J2356 | AMGEN INC. | Inj tezepelumab-ekko, 1mg | 1 MG | 1.91 | 1 | 210 | 210 |
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 |
0517-0955-01 | J2359 | AMERICAN REGENT | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
0781-3159-72 | J2359 | SANDOZ | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
0781-9105-72 | J2359 | SANDOZ | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
55150-308-01 | J2359 | AUROMEDICS PHARMA LLC | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
0641-6182-10 | J2360 | HIKMA PHARMACEUTICALS USA INC. | Orphenadrine injection | 60 MG | 2 | 10 | 1 | 10 |
43598-172-15 | J2372 | Dr.Reddy'S Laboratories, Inc. | Inj, biorphen, 20 micrograms | 20 MCG | 5 | 10 | 25 | 250 |
0143-9209-10 | J2401 | HIKMA PHARMACEUTICALS USA INC. | Chloroprocaine hcl injection | 1 MG | 20 | 10 | 400 | 4000 |
0143-9210-10 | J2401 | HIKMA PHARMACEUTICALS USA INC. | Chloroprocaine hcl injection | 1 MG | 20 | 10 | 600 | 6000 |
0404-9926-30 | J2401 | HENRY SCHEIN, INC. | Chloroprocaine hcl injection | 1 MG | 30 | 1 | 300 | 300 |
0404-9927-30 | J2401 | HENRY SCHEIN, INC. | Chloroprocaine hcl injection | 1 MG | 30 | 1 | 600 | 600 |
51662-1401-1 | J2401 | HEALTHFIRST | Chloroprocaine hcl injection | 1 MG | 30 | 1 | 300 | 300 |
51662-1401-3 | J2401 | HEALTHFIRST | Chloroprocaine hcl injection | 1 MG | 30 | 25 | 600 | 15000 |
51662-1407-1 | J2401 | HEALTHFIRST | Chloroprocaine hcl injection | 1 MG | 30 | 1 | 300 | 300 |
51662-1408-1 | J2401 | HEALTHFIRST | Chloroprocaine hcl injection | 1 MG | 20 | 1 | 400 | 400 |
51662-1408-3 | J2401 | HEALTHFIRST | Chloroprocaine hcl injection | 1 MG | 20 | 25 | 400 | 10000 |
63323-475-37 | J2401 | FRESENIUS KABI | Chloroprocaine hcl injection | 1 MG | 30 | 25 | 300 | 7500 |
63323-476-37 | J2401 | FRESENIUS KABI | Chloroprocaine hcl injection | 1 MG | 30 | 25 | 600 | 15000 |
63323-477-27 | J2401 | FRESENIUS KABI | Chloroprocaine hcl injection | 1 MG | 20 | 25 | 400 | 10000 |
63323-478-27 | J2401 | FRESENIUS KABI | Chloroprocaine hcl injection | 1 MG | 20 | 25 | 600 | 15000 |
0404-9930-02 | J2405 | HENRY SCHEIN, INC. | Ondansetron hcl injection | 1 MG | 2 | 1 | 4 | 4 |
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 |
16729-298-05 | J2405 | ACCORD HEALTHCARE INC. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
23155-547-42 | J2405 | HERITAGE PHARMACEUTICALS, INC. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
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 |
51662-1245-1 | J2405 | HEALTHFIRST | Ondansetron hcl injection | 1 MG | 2 | 1 | 4 | 4 |
51662-1377-1 | J2405 | HEALTHFIRST | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
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 |
50458-560-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega sustenna, 1 mg | 1 MG | 0.25 | 1 | 39 | 39 |
50458-561-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega sustenna, 1 mg | 1 MG | 0.5 | 1 | 78 | 78 |
50458-562-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega sustenna, 1 mg | 1 MG | 0.75 | 1 | 117 | 117 |
50458-563-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega sustenna, 1 mg | 1 MG | 1 | 1 | 156 | 156 |
50458-564-01 | J2426 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega sustenna, 1 mg | 1 MG | 1.5 | 1 | 234 | 234 |
50458-606-01 | J2427 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega hafyera/trinza | 1MG | 0.875 | 1 | 273 | 273 |
50458-607-01 | J2427 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega hafyera/trinza | 1MG | 1.315 | 1 | 410 | 410 |
50458-608-01 | J2427 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega hafyera/trinza | 1MG | 1.75 | 1 | 546 | 546 |
50458-609-01 | J2427 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega hafyera/trinza | 1MG | 2.625 | 1 | 819 | 819 |
50458-611-01 | J2427 | JANSSEN PHARMACEUTICALS, INC. | Inj, invega hafyera/trinza | 1 MG | 3.5 | 1 | 1092 | 1092 |
50458-612-01 | J2427 | JANSSEN PHARMACEUTICALS INC. | Inj, invega hafyera/trinza | 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 |
25021-783-05 | J2469 | SAGENT PHARMACEUTICALS INC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
36000-326-02 | J2469 | BAXTER | 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 |
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 |
70860-785-05 | J2469 | ATHENEX | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
71288-409-05 | J2469 | MEITHEAL PHARMACEUTICALS | 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 |
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 |
67457-380-25 | J2501 | MYLAN INSTITUTIONAL LLC | Paricalcitol | 1 MCG | 1 | 25 | 5 | 125 |
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 |
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 |
51662-1436-1 | J2540 | HEALTHFIRST | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 8.33 | 8.33 |
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 |
0338-9632-24 | J2543 | BAXTER HEALTHCARE CORP. | Piperacillin/tazobactam | 1.125 GM | 1 | 24 | 2 | 48 |
0338-9636-24 | J2543 | BAXTER HEALTHCARE CORP. | Piperacillin/tazobactam | 1.125 GM | 1 | 24 | 3 | 72 |
0338-9638-12 | J2543 | BAXTER HEALTHCARE CORP. | Piperacillin/tazobactam | 1.125 GM | 1 | 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 |
0781-3180-94 | J2543 | SANDOZ | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
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 |
25021-175-20 | J2543 | SAGENT PHARMACEUTICAL | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
25021-176-20 | J2543 | SAGENT PHARMACEUTICALS INC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
25021-177-50 | J2543 | SAGENT PHARMACEUTICAL | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
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 |
63323-304-74 | 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 |
63323-981-21 | 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 |
63323-983-21 | 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 |
68001-506-30 | J2543 | BLUEPOINT LABORATORIES | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
68001-507-82 | J2543 | BLUEPOINT LABORATORIES | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
68001-508-31 | J2543 | BLUEPOINT LABORATORIES | 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 |
71288-003-31 | J2543 | MEITHEAL PHARMACEUTICALS, INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
72485-403-10 | J2543 | ARMAS PHARMACEUTICALS, INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
72485-404-10 | J2543 | ARMAS PHARMACEUTICALS, INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
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 |
72572-576-10 | J2543 | CIVICA, INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
72572-577-10 | J2543 | CIVICA, INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
81284-151-10 | J2543 | Provepharm | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
81284-152-10 | J2543 | PROVEPHARM | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
81284-153-10 | J2543 | Provepharm Inc. | Piperacillin/tazobactam | 1.125 gm | 1 | 10 | 4 | 40 |
81284-155-01 | J2543 | PROVEPHARM, INC. | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
13925-515-10 | J2545 | SETON PHARMACEUTICALS | Pentamidine non-comp unit | 300 MG | 1 | 10 | 1 | 10 |
13925-522-01 | J2545 | SETON PHARMACEUTICALS, LLC | Pentamidine non-comp unit | 300 MG | 1 | 1 | 1 | 1 |
39822-3030-2 | J2545 | X-GEN PHARMACEUTICALS, INC | Pentamidine non-comp unit | 300 MG | 1 | 1 | 1 | 1 |
39822-3050-2 | J2545 | X-GEN PHARMACEUTICALS, INC | Pentamidine non-comp unit | 300 MG | 1 | 10 | 1 | 10 |
63323-877-15 | J2545 | FRESENIUS KABI | Pentamidine non-comp unit | 300 MG | 1 | 1 | 1 | 1 |
0404-9940-01 | J2550 | HENRY SCHEIN, INC. | Promethazine hcl injection | 50 MG | 1 | 1 | 0.5 | 0.5 |
0404-9941-01 | J2550 | HENRY SCHEIN, INC. | Promethazine hcl injection | 50 MG | 1 | 1 | 0.5 | 0.5 |
0404-9942-01 | J2550 | HENRY SCHEIN, INC. | Promethazine hcl injection | 50 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 |
51662-1247-1 | J2550 | HEALTHFIRST | Promethazine hcl injection | 50 MG | 1 | 1 | 0.5 | 0.5 |
51662-1247-3 | J2550 | HEALTHFIRST | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 12.5 |
51662-1248-1 | J2550 | HEALTHFIRST | Promethazine hcl injection | 50 MG | 1 | 1 | 1 | 1 |
51662-1248-3 | J2550 | HEALTHFIRST | 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 |
42494-441-25 | J2560 | CAMERON PHARMACEUTICALS | Phenobarbital sodium inj | 120 MG | 1 | 25 | 0.54 | 13.5 |
42494-442-25 | 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 |
0480-4320-01 | J2562 | TEVA PHARMACEUTICALS USA | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
55150-356-01 | J2562 | EUGIA US LLC | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
70121-1694-2 | J2562 | AMNEAL BIOSCIENCES | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
70710-1208-1 | J2562 | ZYDUS PHARMACEUTICALS (USA) | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
71288-155-01 | J2562 | MEITHEAL PHARMACEUTICALS | 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 |
43598-053-11 | J2597 | DR.REDDY'S LABORATORIES, 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 |
69918-901-12 | 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 |
0548-9701-00 | J2598 | Amphastar Pharmaceuticals, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 10 | 20 | 200 |
42023-164-10 | J2598 | PAR PHARMACEUTICAL, INC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 10 | 20 | 200 |
42023-164-25 | J2598 | PAR PHARMACEUTICAL, INC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
42023-164-83 | J2598 | PAR PHARMACEUTICAL, INC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
42023-190-01 | J2598 | PAR PHARMACEUTICAL, INC | Inj, vasopressin, 1 unit | 1 UNIT | 10 | 1 | 200 | 200 |
42023-219-10 | J2598 | PAR PHARMACEUTICAL | Inj, vasopressin, 1 unit | 1 UNIT | 100 | 10 | 40 | 400 |
42023-237-10 | J2598 | PAR PHARMACEUTICAL | Inj, vasopressin, 1 unit | 1 UNIT | 100 | 10 | 20 | 200 |
42367-570-87 | J2598 | EAGLE PHARMACEUTICALS INC. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
43598-085-25 | J2598 | DR. REDDY'S LABORATORIES, INC. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
51662-1314-1 | J2598 | HEALTHFIRST | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 1 | 20 | 20 |
51662-1314-2 | J2598 | HEALTHFIRST | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 1 | 20 | 20 |
55150-370-25 | J2598 | AUROMEDICS PHARMA | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
55150-371-25 | J2598 | AUROMEDICS PHARMA | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
63323-930-01 | J2598 | FRESENIUS KABI USA, LLC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
65219-039-01 | J2598 | FRESENIUS KABI USA, LLC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
70121-1642-5 | J2598 | AMNEAL BIOSCIENCES | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
70121-1642-7 | J2598 | AMNEAL BIOSCIENCES | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 10 | 20 | 200 |
0517-1020-25 | J2599 | AMERICAN REGENT | Inj vasopressin (am reg) 1 u | 1 UNIT | 1 | 25 | 20 | 500 |
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 |
70700-286-22 | J2675 | XIROMED | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
63323-281-10 | J2679 | FRESENIUS KABI | Inj fluphenazine hcl 1.25 mg | 1.25 MG | 10 | 1 | 20 | 20 |
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 |
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 |
51662-1334-1 | J2690 | HEALTHFIRST | Procainamide hcl injection | 1 GM | 10 | 1 | 1 | 1 |
51662-1334-3 | J2690 | HEALTHFIRST | Procainamide hcl injection | 1 GM | 10 | 25 | 1 | 25 |
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 |
72485-409-10 | J2700 | ARMAS PHARMACEUTICALS, INC. | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
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 |
0409-6010-25 | J2704 | HOSPIRA, 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 |
16714-528-10 | J2704 | NORTHSTAR RX | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
16714-528-20 | J2704 | NORTHSTAR RX | Inj, propofol, 10 mg | 10 MG | 20 | 20 | 20 | 400 |
16714-690-10 | J2704 | NORTHSTAR RX | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
16714-977-20 | J2704 | NORTHSTAR RX | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
23155-345-42 | J2704 | AVET PHARMACEUTICALS, INC. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
23155-345-43 | J2704 | AVET PHARMACEUTICALS, INC. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
23155-345-44 | J2704 | AVET PHARMACEUTICALS, INC. | Inj, propofol, 10 mg | 10 MG | 20 | 20 | 20 | 400 |
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 |
51662-1470-1 | J2704 | HEALTHFIRST | Inj, propofol, 10 mg | 10 MG | 100 | 1 | 100 | 100 |
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 |
80700-113-11 | J2704 | GENIXUS, CORP. | Inj, propofol, 10 mg | 10 MG | 10 | 10 | 10 | 100 |
80700-113-21 | J2704 | GENIXUS, CORP. | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
51662-1414-1 | J2720 | HEALTHFIRST | Inj protamine sulfate/10 mg | 10 MG | 5 | 1 | 5 | 5 |
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 |
0404-9910-02 | J2765 | HENRY SCHEIN, INC. | Metoclopramide hcl injection | 10 MG | 2 | 1 | 1 | 1 |
0409-3414-01 | J2765 | PFIZER INC. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
0409-5255-25 | J2765 | Hospira, 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 |
51662-1288-1 | J2765 | HEALTHFIRST | Metoclopramide hcl injection | 10 MG | 2 | 1 | 1 | 1 |
51662-1288-3 | J2765 | HEALTHFIRST | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
76045-101-20 | J2765 | FRESENIUS KABI | Metoclopramide hcl injection | 10 MG | 2 | 24 | 1 | 24 |
50242-096-01 | J2777 | GENENTECH USA, INC. | Inj, faricimab-svoa, 0.1mg | 0.1 MG | 0.05 | 1 | 60 | 60 |
50242-080-03 | J2778 | GENENTECH, INC. | Ranibizumab injection | 0.1 mg | 0.05 | 1 | 5 | 5 |
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 |
73606-020-01 | J2781 | APELLIS PHARMACEUTICALS | Inj, pegcetacoplan, 1mg | 1 MG | 0.1 | 1 | 15 | 15 |
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 |
0409-1401-01 | J2785 | HOSPIRA, INC. | Regadenoson injection | 0.1 MG | 5 | 10 | 4 | 40 |
0469-6501-89 | J2785 | ASTELLAS PHARMA US INC. | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
0641-6253-01 | J2785 | HIKMA PHARMACEUTICALS USA | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
16729-477-31 | J2785 | ACCORD HEALTHCARE INC. | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
43598-616-11 | J2785 | DR.REDDY'S LABORATORIES, INC. | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
55150-443-01 | J2785 | EUGIA US LLC | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
67457-994-05 | J2785 | MYLAN INSTITUTIONAL | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
71288-201-85 | J2785 | MEITHEAL PHARMACEUTICALS, INC. | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
59310-610-31 | J2786 | IVAX LABS INC. | Injection, reslizumab, 1mg | 1 MG | 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 |
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 |
0404-9924-30 | J2795 | HENRY SCHEIN, INC. | Ropivacaine hcl injection | 1 MG | 30 | 1 | 150 | 150 |
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 |
0409-9303-20 | J2795 | PFIZER INC. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 200 | 2000 |
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 |
72572-707-10 | J2795 | CIVICA, INC. | Ropivacaine hcl injection | 1 MG | 30 | 10 | 150 | 1500 |
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 |
51759-305-10 | J2799 | TEVA NEUROSCIENCE, INC. | Inj, uzedy, 1 mg | 1 MG | 0.14 | 1 | 50 | 50 |
51759-410-10 | J2799 | TEVA NEUROSCIENCE, INC. | Inj, uzedy, 1 mg | 1 MG | 0.21 | 1 | 75 | 75 |
51759-520-10 | J2799 | TEVA NEUROSCIENCE, INC. | Inj, uzedy, 1 mg | 1 MG | 0.28 | 1 | 100 | 100 |
51759-630-10 | J2799 | TEVA NEUROSCIENCE, INC. | Inj, uzedy, 1 mg | 1 MG | 0.35 | 1 | 125 | 125 |
51759-740-10 | J2799 | TEVA NEUROSCIENCE, INC. | Inj, uzedy, 1 mg | 1 MG | 0.42 | 1 | 150 | 150 |
51759-850-10 | J2799 | TEVA NEUROSCIENCE, INC. | Inj, uzedy, 1 mg | 1 MG | 0.56 | 1 | 200 | 200 |
51759-960-10 | J2799 | TEVA NEUROSCIENCE, INC. | Inj, uzedy, 1 mg | 1 MG | 0.7 | 1 | 250 | 250 |
0404-9992-10 | J2800 | HENRY SCHEIN, INC. | Methocarbamol injection | 10 ML | 10 | 1 | 1 | 1 |
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 |
71288-716-10 | J2800 | MEITHEAL PHARMACEUTICALS, INC. | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
0270-0556-15 | J2805 | BRACCO DIAGNOSTICS | Sincalide injection | 5 MCG | 1 | 10 | 1 | 10 |
63323-579-05 | J2805 | FRESENIUS KABI USA | 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 |
0143-9753-25 | J2920 | HIKMA PHARMACEUTICALS USA | Methylprednisolone injection | 40 MG | 1 | 25 | 1 | 25 |
0404-9958-01 | J2920 | HENRY SCHEIN, INC. | Methylprednisolone injection | 40 MG | 1 | 1 | 1 | 1 |
43598-127-25 | J2920 | DR.REDDY'S LABORATORIES, INC. | Methylprednisolone injection | 40 MG | 1 | 25 | 1 | 25 |
51662-1264-1 | J2920 | HEALTHFIRST | Methylprednisolone injection | 40 MG | 1 | 1 | 1 | 1 |
51662-1264-3 | J2920 | HEALTHFIRST | Methylprednisolone injection | 40 MG | 1 | 25 | 1 | 25 |
63323-255-03 | J2920 | FRESENIUS KABI | Methylprednisolone injection | 40 MG | 3 | 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 |
0143-9754-25 | J2930 | HIKMA PHARMACEUTICALS USA | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
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 |
0404-9957-02 | J2930 | HENRY SCHEIN, INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 1 | 1 |
43598-128-11 | J2930 | DR.REDDY'S LABORATORIES, INC. | Methylprednisolone injection | 125 MG | 1 | 1 | 4 | 4 |
43598-129-25 | J2930 | DR.REDDY'S LABORATORIES, INC. | Methylprednisolone injection | 125 MG | 1 | 25 | 1 | 25 |
43598-130-74 | J2930 | DR.REDDY'S LABORATORIES, 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 |
51662-1263-1 | J2930 | HEALTHFIRST | Methylprednisolone injection | 125 MG | 1 | 1 | 1 | 1 |
51662-1263-3 | J2930 | HEALTHFIRST | 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 |
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 |
0409-9093-11 | 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 |
0641-6029-01 | 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 |
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 |
63323-810-20 | J3010 | FRESENIUS KABI USA, LLC | Fentanyl citrate injection | 0.1 MG | 2 | 20 | 1 | 20 |
72572-170-25 | J3010 | CIVICA INC | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 25 |
72572-172-01 | J3010 | CIVICA INC | Fentanyl citrate injection | 0.1 MG | 50 | 1 | 25 | 25 |
81565-205-02 | J3010 | PHLOW CORPORATION | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 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 |
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 |
0404-9962-01 | J3105 | HENRY SCHEIN, INC. | Terbutaline sulfate inj | 1 MG | 1 | 1 | 1 | 1 |
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 |
0404-9836-01 | J3230 | HENRY SCHEIN, INC. | Chlorpromazine hcl injection | 50 MG | 1 | 1 | 0.5 | 0.5 |
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 |
51662-1406-1 | J3230 | HEALTHFIRST | Chlorpromazine hcl injection | 50 MG | 2 | 1 | 1 | 1 |
52584-397-31 | J3230 | HENRY SCHEIN, INC. | Chlorpromazine hcl injection | 50 MG | 1 | 1 | 0.5 | 0.5 |
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 |
55150-228-10 | J3243 | AUROMEDICS PHARMA LLC | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
60505-6098-1 | J3243 | APOTEX CORP. | 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 |
71288-019-11 | J3243 | Meitheal Pharmaceuticals, Inc. | 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 |
25208-001-04 | J3246 | MEDICURE PHARMA INC. | Tirofiban hcl | 0.25 MG | 15 | 1 | 15 | 15 |
25208-002-01 | J3246 | MEDICURE PHARMA INC. | Tirofiban hcl | 0.25 MG | 100 | 1 | 20 | 20 |
25208-002-02 | J3246 | MEDICURE PHARMA INC. | Tirofiban hcl | 0.25 MG | 250 | 1 | 50 | 50 |
25208-002-03 | J3246 | MEDICURE PHARMA INC. | Tirofiban hcl | 0.25 MG | 100 | 1 | 20 | 20 |
55150-429-01 | J3246 | EUGIA US LLC | Tirofiban hcl | 0.25 MG | 100 | 1 | 20 | 20 |
55150-430-01 | J3246 | EUGIA US LLC | Tirofiban hcl | 0.25 MG | 250 | 1 | 50 | 50 |
0404-9964-02 | J3250 | HENRY SCHEIN, INC. | Trimethobenzamide hcl inj | 200 MG | 2 | 1 | 1 | 1 |
42023-119-25 | J3250 | PAR PHARMACEUTICAL, INC | Trimethobenzamide hcl inj | 200 MG | 2 | 25 | 1 | 25 |
51662-1430-1 | J3250 | HEALTHFIRST | Trimethobenzamide hcl inj | 200 MG | 2 | 1 | 1 | 1 |
51662-1430-3 | J3250 | HEALTHFIRST | 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 |
55150-470-06 | J3260 | EUGIA US LLC | 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 |
72266-163-06 | J3260 | FOSUN PHARMA USA INC. | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
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 |
43598-646-11 | J3285 | DR.REDDY'S LABORATORIES, INC. | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
43598-647-11 | J3285 | DR.REDDY'S LABORATORIES, INC. | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
43598-648-11 | J3285 | DR REDDY'S LABORATORIES, INC. | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
43598-649-11 | J3285 | DR.REDDY'S LABORATORIES, INC. | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
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 |
24208-040-40 | J3299 | BAUSCH & LOMB | Inj xipere 1 mg | 1 mg | 0.9 | 1 | 36 | 36 |
71565-040-01 | J3299 | CLEARSIDE BIOMEDICAL, INC. | Inj xipere 1 mg | 1 MG | 0.9 | 1 | 36 | 36 |
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 |
55150-384-01 | J3301 | Eugia Us Llc | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
55150-385-01 | J3301 | Eugia Us Llc | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
67457-621-02 | J3301 | MYLAN INSTITUTIONAL LLC | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
67457-622-05 | J3301 | MYLAN INSTITUTIONAL LLC | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
67457-623-10 | J3301 | MYLAN INSTITUTIONAL LLC | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
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 |
81298-5781-5 | J3301 | LONG GROVE PHARMACEUTICALS, LLC | Triamcinolone acet inj nos | 10 MG | 1 | 25 | 4 | 100 |
81298-5783-3 | J3301 | LONG GROVE PHARMACEUTICALS, LLC | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
81298-5785-3 | J3301 | LONG GROVE PHARMACEUTICALS, LLC | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
65250-003-01 | J3304 | PACIRA PHARMACEUTICALS, INC. | Inj triamcinolone ace xr 1mg | 1 MG | 1 | 1 | 32 | 32 |
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 |
0404-9848-10 | J3360 | HENRY SCHEIN, INC. | Diazepam injection | 5 MG | 10 | 1 | 10 | 10 |
0404-9849-02 | J3360 | HENRY SCHEIN, INC. | Diazepam injection | 5 MG | 2 | 1 | 2 | 2 |
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 |
0641-6243-10 | J3360 | HIKMA PHARMACEUTICALS USA 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 |
69339-136-34 | 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 |
69339-137-95 | J3360 | DASH PHARMACEUTICALS LLC | Diazepam injection | 5 MG | 10 | 5 | 10 | 50 |
72572-140-02 | J3360 | CIVICA INC | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
76045-204-20 | J3360 | FRESENIUS KABI USA | Diazepam injection | 5 MG | 2 | 24 | 2 | 48 |
0143-9152-10 | J3370 | HIKMA PHARMACEUTICALS USA INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 2.5 | 25 |
0143-9153-10 | J3370 | HIKMA PHARMACEUTICALS USA INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 3 | 30 |
0143-9355-10 | J3370 | HIKMA PHARMACEUTICALS USA INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 1.5 | 15 |
0143-9357-10 | J3370 | HIKMA PHARMACEUTICALS USA INC. | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
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 |
0404-9965-99 | J3370 | HENRY SCHEIN, INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 1 | 1 |
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 |
0409-5017-01 | J3370 | PFIZER INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
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 |
0409-6531-01 | 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 |
16714-247-10 | J3370 | NORTHSTAR RX LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
16714-309-10 | J3370 | NORTHSTAR RX LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 2 | 20 |
25021-150-10 | J3370 | SAGENT PHARMACEUTICAL | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
25021-151-20 | J3370 | SAGENT PHARMACEUTICAL | 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 |
55150-471-10 | J3370 | EUGIA US LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 2.5 | 25 |
55150-472-10 | J3370 | EUGIA US LLC | Vancomycin hcl injection | 500 MG | 1 | 10 | 3 | 30 |
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 |
63323-284-20 | 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 |
63323-295-61 | 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 |
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 |
68001-407-75 | J3370 | AMERICAN HEALTH PACKAGING | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 20 |
68001-465-62 | J3370 | Bluepoint Laboratories | Vancomycin hcl injection | 500 MG | 1 | 10 | 1 | 10 |
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 |
70594-046-02 | 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 |
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 |
71288-026-75 | J3370 | MEITHEAL PHARMACEUTICALS, INC. | Vancomycin hcl injection | 500 MG | 1 | 1 | 20 | 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 |
67457-705-75 | J3371 | MYLAN INSTITUTIONAL LLC | Inj, vancomycin hcl (mylan) | 500 MG | 1 | 10 | 1.5 | 15 |
67457-823-99 | J3371 | MYLAN INSTITUTIONAL LLC | Inj, vancomycin hcl (mylan) | 500 MG | 1 | 10 | 2.5 | 25 |
67457-824-99 | J3371 | MYLAN INSTITUTIONAL LLC | Inj, vancomycin hcl (mylan) | 500 MG | 1 | 10 | 3 | 30 |
70594-041-03 | J3372 | XELLIA PHARMACEUTICALS USA, LLC | Inj, vancomycin hcl (xellia) | 500 MG | 100 | 12 | 1 | 12 |
70594-042-03 | J3372 | XELLIA PHARMACEUTICALS USA, LLC | Inj, vancomycin hcl (xellia) | 500 MG | 1 | 12 | 2 | 24 |
70594-043-02 | J3372 | XELLIA PHARMACEUTICALS USA, LLC | Inj, vancomycin hcl (xellia) | 500 MG | 1 | 6 | 3 | 18 |
70594-044-02 | J3372 | XELLIA PHARMACEUTICALS USA, LLC | Inj, vancomycin hcl (xellia) | 500 MG | 400 | 6 | 4 | 24 |
70594-056-03 | J3372 | XELLIA PHARMACEUTICALS USA, LLC | Inj, vancomycin hcl (xellia) | 500 MG | 150 | 12 | 1.5 | 18 |
70594-057-02 | J3372 | XELLIA PHARMACEUTICALS USA, LLC | Inj, vancomycin hcl (xellia) | 500 MG | 250 | 6 | 2.5 | 15 |
70594-058-02 | J3372 | XELLIA PHARMACEUTICALS USA, LLC | Inj, vancomycin hcl (xellia) | 500 MG | 350 | 6 | 3.5 | 21 |
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 |
0404-9877-01 | J3410 | HENRY SCHEIN, INC. | Hydroxyzine hcl injection | 25 MG | 1 | 1 | 2 | 2 |
0404-9878-02 | J3410 | HENRY SCHEIN, INC. | Hydroxyzine hcl injection | 25 MG | 2 | 1 | 4 | 4 |
0517-4201-25 | J3410 | AMERICAN REGENT | 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 |
0404-9963-02 | J3411 | HENRY SCHEIN, INC. | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
0641-6228-25 | J3411 | HIKMA PHARMACEUTICALS USA INC. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
25021-500-02 | J3411 | SAGENT PHARMACEUTICALS INC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
43598-050-25 | J3411 | DR.REDDY'S LABORATORIES, INC. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
51662-1523-1 | J3411 | HEALTHFIRST | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
51662-1523-3 | J3411 | HEALTHFIRST | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
55150-273-25 | J3411 | EUGIA US LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
63323-013-02 | J3411 | FRESENIUS KABI | 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 |
72485-507-25 | J3411 | ARMAS PHARMACEUTICALS, INC. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
72603-139-25 | J3411 | NORTHSTAR RX | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
51662-1410-1 | J3415 | HEALTHFIRST | Pyridoxine hcl 100 mg | 100 MG | 1 | 1 | 1 | 1 |
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 |
0404-9840-10 | J3420 | HENRY SCHEIN, INC. | Vitamin b12 injection | 1000 MCG | 10 | 1 | 10 | 10 |
0404-9995-30 | J3420 | HENRY SCHEIN, INC. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
0517-0031-25 | J3420 | AMERICAN REGENT | 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 |
16714-302-10 | J3420 | NORTHSTAR RX | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
16714-609-05 | J3420 | NORTHSTAR RX | Vitamin b12 injection | 1000 MCG | 30 | 5 | 30 | 150 |
16729-533-08 | J3420 | ACCORD HEALTHCARE | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
25021-502-01 | J3420 | SAGENT PHARMACEUTICALS, INC. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
50090-6229-0 | J3420 | A-S Medication Solutions | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
51662-1394-1 | J3420 | HEALTHFIRST | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
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 |
70710-1663-7 | J3420 | ZYDUS PHARMACEUTICALS (USA) | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
70710-1664-6 | J3420 | ZYDUS PHARMACEUTICALS (USA) | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
70710-1664-7 | J3420 | ZYDUS PHARMACEUTICALS (USA) | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
70710-1665-1 | J3420 | ZYDUS PHARMACEUTICALS (USA) | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
70710-1665-5 | J3420 | ZYDUS PHARMACEUTICALS (USA) | Vitamin b12 injection | 1000 MCG | 30 | 5 | 30 | 150 |
71288-303-02 | J3420 | MEITHEAL PHARMACEUTICALS, INC. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
0591-2888-30 | J3425 | ACTAVIS PHARMA, INC. | Inj, hydroxocobalamin | 10 MCG | 30 | 1 | 3000 | 3000 |
0404-9935-05 | J3430 | HENRY SCHEIN, INC. | Vitamin k phytonadione inj | 1 MG | 0.5 | 1 | 1 | 1 |
0404-9969-01 | J3430 | HENRY SCHEIN, INC. | Vitamin k phytonadione inj | 1 MG | 1 | 1 | 10 | 10 |
0409-9157-01 | J3430 | PFIZER INC. | Vitamin k phytonadione inj | 1 MG | 0.5 | 25 | 1 | 25 |
0409-9158-01 | J3430 | PFIZER INC. | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
0409-9158-25 | J3430 | PFIZER INC. | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
43598-405-16 | J3430 | DR. REDDY'S LABORATORIES, INC. | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
51662-1536-3 | J3430 | HEALTHFIRST | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
51662-1537-3 | J3430 | HEALTHFIRST | Vitamin k phytonadione inj | 1 MG | 0.5 | 25 | 1 | 25 |
69097-708-96 | J3430 | CIPLA USA, INC. | Vitamin k phytonadione inj | 1 MG | 1 | 10 | 10 | 100 |
69097-709-96 | J3430 | CIPLA USA, INC. | Vitamin k phytonadione inj | 1 MG | 0.5 | 10 | 1 | 10 |
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 |
71288-027-30 | J3465 | MEITHEAL PHARMACEUTICALS, INC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
72266-131-01 | J3465 | FOSUN PHARMA | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
72572-875-01 | J3465 | CIVICA, INC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
24208-002-02 | J3471 | BAUSCH & LOMB | Ovine, up to 999 usp units | 1 USP UNIT | 1.2 | 2 | 240 | 480 |
18657-117-04 | J3473 | HALOZYME THERAPEUTICS, INC. | Hyaluronidase recombinant | 1 USP UNIT | 1 | 4 | 150 | 600 |
51662-1555-1 | J3473 | HEALTHFIRST | Hyaluronidase recombinant | 1 USP UNIT | 1 | 1 | 150 | 150 |
0264-4204-52 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
0264-4205-52 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
0264-4206-54 | J3475 | B. BRAUN MEDICAL INC. | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
0264-4400-54 | J3475 | B. BRAUN MEDICAL INC. | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
0338-1708-40 | J3475 | BAXTER | 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 |
0404-9902-20 | J3475 | HENRY SCHEIN, INC. | Inj magnesium sulfate | 500 MG | 20 | 1 | 20 | 20 |
0404-9903-10 | J3475 | HENRY SCHEIN, INC. | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
0404-9904-02 | J3475 | HENRY SCHEIN, INC. | Inj magnesium sulfate | 500 MG | 2 | 1 | 2 | 2 |
0409-1754-10 | J3475 | PFIZER INC. | Inj magnesium sulfate | 500 MG | 10 | 10 | 10 | 100 |
0409-2168-77 | J3475 | PFIZER INC. | Inj magnesium sulfate | 500 MG | 20 | 25 | 20 | 500 |
0409-3164-12 | J3475 | HOSPIRA, INC. | Inj magnesium sulfate | 500 MG | 1000 | 12 | 80 | 960 |
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 |
51662-1352-1 | J3475 | HEALTHFIRST | Inj magnesium sulfate | 500 MG | 50 | 1 | 4 | 4 |
51662-1352-3 | J3475 | HEALTHFIRST | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
51662-1390-1 | J3475 | HEALTHFIRST | Inj magnesium sulfate | 500 MG | 2 | 1 | 2 | 2 |
51662-1451-1 | J3475 | HEALTHFIRST | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
51754-1000-4 | J3475 | EXELA PHARMA SCIENCES | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
52584-754-10 | J3475 | HENRY SCHEIN, INC. | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
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 |
70121-1719-9 | J3475 | AMNEAL PHARMACEUTICALS INC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
70121-1720-9 | J3475 | AMNEAL PHARMACEUTICALS INC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
70860-501-81 | J3475 | ATHENEX | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
70860-501-82 | J3475 | ATHENEX | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
70860-502-81 | J3475 | ATHENEX | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
0264-1944-20 | J3480 | B. BRAUN MEDICAL INC. | Inj potassium chloride | 2 MEQ | 250 | 24 | 250 | 6000 |
0264-7865-00 | 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 | 140 |
0338-0695-04 | J3480 | BAXTER | Inj potassium chloride | 2 MEQ | 1000 | 1 | 20 | 280 |
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 | 140 |
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 |
0404-9936-10 | J3480 | HENRY SCHEIN, INC. | Inj potassium chloride | 2 MEQ | 5 | 1 | 5 | 5 |
0404-9936-20 | J3480 | HENRY SCHEIN, INC. | Inj potassium chloride | 2 MEQ | 20 | 1 | 20 | 20 |
0404-9937-10 | J3480 | HENRY SCHEIN, INC. | Inj potassium chloride | 2 MEQ | 10 | 1 | 10 | 10 |
0409-6635-01 | J3480 | PFIZER INC. | Inj potassium chloride | 2 MEQ | 5 | 25 | 5 | 125 |
0409-6651-06 | J3480 | PFIZER INC. | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
0409-6653-05 | J3480 | PFIZER INC. | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
0990-7074-26 | J3480 | ICU MEDICAL | 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 |
14789-108-10 | J3480 | NEXUS PHARMA | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
14789-109-10 | J3480 | NEXUS PHARMACEUTICAL INC | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
14789-136-05 | J3480 | NEXUS PHARMA | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
14789-137-05 | J3480 | NEXUS PHARMA | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
63323-667-10 | J3480 | Fresenius Kabi Usa, Llc | Inj potassium chloride | 2 MEQ | 1000 | 10 | 5 | 50 |
63323-669-10 | J3480 | Fresenius Kabi Usa, Llc | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
63323-683-10 | J3480 | Fresenius Kabi Usa, Llc | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
63323-686-10 | J3480 | Fresenius Kabi Usa, Llc | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
63323-688-10 | J3480 | FRESENIUS KABI USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 20 | 200 |
63323-965-05 | J3480 | FRESENIUS KABI | 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 |
65219-004-01 | J3480 | FRESENIUS KABI USA | Inj potassium chloride | 2 MEQ | 50 | 60 | 5 | 300 |
65219-006-01 | J3480 | FRESENIUS KABI USA | Inj potassium chloride | 2 MEQ | 100 | 50 | 10 | 500 |
65219-008-51 | J3480 | FRESENIUS KABI USA | Inj potassium chloride | 2 MEQ | 50 | 60 | 10 | 600 |
65219-010-01 | J3480 | FRESENIUS KABI USA | Inj potassium chloride | 2 MEQ | 100 | 50 | 20 | 1000 |
65219-012-01 | J3480 | FRESENIUS KABI USA | Inj potassium chloride | 2 MEQ | 100 | 50 | 5 | 250 |
49702-213-26 | J3485 | GLAXOSMITHKLINE | Zidovudine | 10 MG | 20 | 5 | 20 | 100 |
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 |
51662-1564-3 | J3486 | HEALTHFIRST | Ziprasidone mesylate | 10 MG | 1 | 10 | 10 | 100 |
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 |
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 |
43598-233-11 | J3489 | DR.REDDY'S LABORATORIES, INC. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
55111-685-07 | J3489 | DR. REDDY'S LABORATORIES, INC. | Zoledronic acid 1mg | 1 mg | 5 | 1 | 4 | 4 |
55111-688-52 | J3489 | DR. REDDY'S LABORATORIES, INC. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
63323-961-98 | J3489 | FRESENIUS KABI | 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 |
68001-437-25 | J3489 | BLUEPOINT LABORATORIES | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
70860-210-51 | J3489 | ATHENEX | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
71288-806-51 | J3489 | MEITHEAL PHARMACEUTICALS, INC. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
72266-152-01 | J3489 | FOSUN PHARMA USA INC. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
0264-5802-00 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-5802-10 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7800-00 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7800-09 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7800-10 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7800-20 | J7030 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
0338-0049-02 | J7030 | BAXTER | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 0.25 |
0338-0049-03 | J7030 | BAXTER | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 0.5 |
0338-0049-04 | J7030 | BAXTER | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
0338-9543-02 | J7030 | BAXTER | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 0.25 |
0338-9543-04 | J7030 | BAXTER | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
0338-9543-06 | J7030 | BAXTER | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
0409-7101-02 | J7030 | PFIZER INC. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
0487-4301-25 | J7030 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 1000 CC | 250 | 35 | 0.25 | 8.75 |
0487-4301-50 | J7030 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
0990-7983-02 | J7030 | ICU MEDICAL | Normal saline solution infus | 1000 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 CC | 1000 | 12 | 1 | 12 |
0990-7983-55 | J7030 | ICU MEDICAL | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
51662-1517-1 | J7030 | HEALTHFIRST | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 0.25 |
51662-1518-1 | J7030 | HEALTHFIRST | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
51662-1522-1 | J7030 | HEALTHFIRST | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 0.5 |
63323-623-74 | J7030 | FRESENIUS KABI | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 7.5 |
63323-623-75 | J7030 | FRESENIUS KABI | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
63323-623-76 | J7030 | FRESENIUS KABI | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
65219-222-25 | J7030 | Fresenius Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1 | 30 | 0.25 | 7.5 |
65219-224-50 | J7030 | Fresenius Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1 | 20 | 0.5 | 10 |
65219-470-30 | J7030 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 7.5 |
65219-472-20 | J7030 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
65219-474-10 | J7030 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
0264-5802-00 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-5802-10 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0264-7800-00 | J7040 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-7800-09 | 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 |
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 |
0990-7983-55 | J7040 | ICU MEDICAL | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
51662-1517-1 | J7040 | HEALTHFIRST | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 0.5 |
51662-1518-1 | J7040 | HEALTHFIRST | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
51662-1522-1 | J7040 | HEALTHFIRST | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
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 |
65219-222-25 | J7040 | Fresenius Kabi USA, LLC | Normal saline solution infus | 500 ML | 1 | 30 | 0.5 | 15 |
65219-224-50 | J7040 | Fresenius Kabi USA, LLC | Normal saline solution infus | 500 ML | 1 | 20 | 1 | 20 |
65219-470-30 | J7040 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
65219-472-20 | J7040 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
65219-474-10 | J7040 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
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 |
0264-5802-00 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-5802-10 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0264-7800-00 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-7800-09 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-7800-10 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0264-7800-20 | J7050 | B. BRAUN MEDICAL INC. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0338-0049-02 | J7050 | BAXTER | Normal saline solution infus | 250 CC | 250 | 1 | 1 | 1 |
0338-0049-03 | J7050 | BAXTER | Normal saline solution infus | 250 CC | 500 | 1 | 2 | 2 |
0338-0049-04 | J7050 | BAXTER | Normal saline solution infus | 250 CC | 1000 | 1 | 4 | 4 |
0338-9543-02 | J7050 | BAXTER | Normal saline solution infus | 250 CC | 250 | 1 | 1 | 1 |
0338-9543-04 | J7050 | BAXTER | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
0338-9543-06 | J7050 | BAXTER | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
0409-7101-02 | J7050 | PFIZER INC. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0487-4301-25 | J7050 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 250 CC | 250 | 35 | 1 | 35 |
0487-4301-50 | J7050 | NEPHRON PHARMACEUTICALS CORP. | Normal saline solution infus | 250 CC | 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 CC | 1000 | 12 | 4 | 48 |
0990-7983-55 | J7050 | ICU MEDICAL | Normal saline solution infus | 250 CC | 500 | 18 | 2 | 36 |
51662-1517-1 | J7050 | HEALTHFIRST | Normal saline solution infus | 250 ML | 250 | 1 | 1 | 1 |
51662-1518-1 | J7050 | HEALTHFIRST | Normal saline solution infus | 250 ML | 1000 | 1 | 4 | 4 |
51662-1522-1 | J7050 | HEALTHFIRST | Normal saline solution infus | 250 ML | 500 | 1 | 2 | 2 |
63323-623-74 | J7050 | FRESENIUS KABI | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
63323-623-75 | J7050 | FRESENIUS KABI | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
63323-623-76 | J7050 | FRESENIUS KABI | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
65219-222-25 | J7050 | Fresenius Kabi USA, LLC | Normal saline solution infus | 250 CC | 1 | 30 | 1 | 30 |
65219-224-50 | J7050 | Fresenius Kabi USA, LLC | Normal saline solution infus | 250 CC | 1 | 20 | 2 | 40 |
65219-470-30 | J7050 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
65219-472-20 | J7050 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
65219-474-10 | J7050 | FRESENIUS KABI USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
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 |
0990-7922-55 | J7060 | ICU MEDICAL | 5% dextrose/water | 500 ML | 500 | 15 | 1 | 15 |
51662-1493-1 | J7060 | HEALTHFIRST | 5% dextrose/water | 500 ML | 250 | 1 | 0.5 | 0.5 |
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 |
65219-238-25 | J7060 | FRESENIUS KABI USA, LLC | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
65219-240-50 | J7060 | FRESENIUS KABI USA, LLC | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
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 |
0990-7922-55 | J7070 | ICU MEDICAL | D5w infusion | 1,000 CC | 500 | 15 | 0.5 | 7.5 |
51662-1493-1 | J7070 | HEALTHFIRST | D5w infusion | 1000 CC | 250 | 1 | 0.25 | 0.25 |
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 |
65219-238-25 | J7070 | FRESENIUS KABI USA, LLC | D5w infusion | 1000 ML | 250 | 30 | 0.25 | 7.5 |
65219-240-50 | J7070 | FRESENIUS KABI USA, LLC | D5w infusion | 1000 ML | 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 |
51662-1516-1 | J7120 | HEALTHFIRST | Ringers lactate infusion | 1000 CC | 1000 | 1 | 1 | 1 |
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 |
68516-4616-1 | J7186 | GRIFOLS BIOLOGICALS 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 |
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 |
76125-257-25 | J7190 | KEDRION BIOPHARMA | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-663-50 | J7190 | KEDRION BIOPHARMA | 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 |
68516-3210-1 | J7194 | GRIFOLS USA | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
68516-3211-2 | J7194 | GRIFOLS USA | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
68516-3212-2 | J7194 | GRIFOLS USA | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
58394-633-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-634-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-635-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-636-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-637-03 | J7195 | PFIZER INC. | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
13533-602-50 | J7197 | GRIFOLS USA, LLC | Antithrombin iii injection | 1 IU | 1 | 1 | 1 | 1 |
13533-606-12 | J7197 | GRIFOLS THERAPEUTICS 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 |
0169-7903-01 | J7203 | Novo Nordisk Inc | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-7905-01 | J7203 | NOVO NORDISK INC | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-8100-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8150-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8200-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8300-01 | J7204 | NOVO NORDISK INC | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8500-01 | 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 |
68982-153-01 | J7209 | OCTAPHARMA USA | 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 |
59137-282-05 | J7213 | MEDEXUS PHARMA, INC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
59137-283-05 | J7213 | MEDEXUS PHARMA, INC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
59137-284-05 | J7213 | MEDEXUS PHARMA, INC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
59137-289-05 | J7213 | MEDEXUS PHARMA, INC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
70504-0282-5 | J7213 | APTEVO BIOTHERAPEUTICS, LLC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
70504-0283-5 | J7213 | APTEVO BIOTHERAPEUTICS, LLC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
70504-0284-5 | J7213 | APTEVO BIOTHERAPEUTICS, LLC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
70504-0289-5 | J7213 | APTEVO BIOTHERAPEUTICS, LLC. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
71104-978-01 | J7214 | BIOVERATIV THERAPEUTICS | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-979-01 | J7214 | BIOVERATIV THERAPEUTICS | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-981-01 | J7214 | BIOVERATIV THERAPEUTICS | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-982-01 | J7214 | BIOVERATIV THERAPEUTICS | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-983-01 | J7214 | BIOVERATIV THERAPEUTICS | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-984-01 | J7214 | BIOVERATIV THERAPEUTICS | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
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 |
68682-231-01 | J7500 | Oceanside Pharmaceuticals | Azathioprine oral 50mg | 50 MG | 100 | 1 | 150 | 150 |
68682-241-01 | J7500 | Oceanside Pharmaceuticals | Azathioprine oral 50mg | 50 MG | 100 | 1 | 200 | 200 |
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 |
0093-9018-65 | 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 |
60505-0134-0 | J7502 | APOTEX CORP. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
60505-4632-3 | J7502 | APOTEX | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
68084-921-25 | J7502 | AMERICAN HEALTH PACKAGING | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
68992-3010-1 | J7503 | VELOXIS PHARMACEUTICALS | 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 |
50090-5596-0 | 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 |
70377-014-11 | J7507 | Biocon Pharma Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
70377-015-11 | J7507 | Biocon Pharma Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
70377-016-11 | J7507 | Biocon Pharma Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
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 |
0781-5022-01 | J7509 | SANDOZ | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
50090-3094-0 | 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 |
68001-557-00 | J7509 | Bluepoint Laboratories | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
68001-558-55 | J7509 | Bluepoint Laboratories | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
68001-559-69 | J7509 | Bluepoint Laboratories | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
68001-560-55 | J7509 | Bluepoint Laboratories | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
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 |
50090-0439-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-2786-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
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 |
50090-3330-0 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
50090-3330-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
50090-3330-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
50090-3330-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
50090-3330-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-3335-0 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-3336-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-3336-2 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-3336-3 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-3336-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-3336-9 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-3354-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-3354-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 250 | 250 |
50090-3354-3 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-3354-4 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
50090-3354-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
50090-3361-6 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 450 | 450 |
50090-4784-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-4784-3 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-5202-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-5202-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-5656-2 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-5656-5 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-5814-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-5814-1 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 250 | 250 |
50090-5814-3 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-5814-4 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 5 | 150 |
50090-5814-7 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
50090-5816-6 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 5 | 450 |
50090-6122-1 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-6122-2 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-6122-3 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-6122-5 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-6122-9 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-6123-0 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
50090-6123-1 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
50090-6123-2 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
50090-6123-5 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
50090-6123-7 | J7512 | A-S MEDICATION SOLUTIONS LLC | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-6225-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
50090-6259-0 | J7512 | A-S Medication Solutions Llc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-6376-0 | J7512 | A-S MEDICATION SOLUTIONS | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
64380-782-06 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
64380-783-06 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
64380-784-06 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
64380-784-07 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 5000 | 5000 |
64380-784-08 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 10000 | 10000 |
64380-785-06 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
64380-785-07 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 10000 | 10000 |
64380-785-08 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 20000 | 20000 |
64380-835-06 | J7512 | STRIDES PHARMA | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 250 | 250 |
64380-949-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 5000 | 5000 |
68788-8212-2 | J7512 | Preferred Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
68788-8212-3 | J7512 | Preferred Pharmaceuticals Inc. | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
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 |
0093-9018-65 | J7515 | TEVA PHARMACEUTICALS USA, INC. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
60505-0133-0 | J7515 | APOTEX CORP. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
60505-4630-3 | J7515 | APOTEX | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
60505-4631-3 | J7515 | APOTEX | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 60 | 60 |
68084-879-25 | J7515 | AMERICAN HEALTH PACKAGING | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
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 |
0480-1175-22 | J7517 | TEVA PHARMACEUTICALS USA | Mycophenolate mofetil oral | 250 MG | 175 | 1 | 140 | 140 |
0480-3571-01 | J7517 | TEVA PHARMACEUTICALS USA | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
0480-3571-05 | J7517 | TEVA PHARMACEUTICALS USA | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 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 |
0781-5175-01 | 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 |
50090-4275-0 | 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 | 175 | 1 | 140 | 140 |
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 |
50090-6492-0 | J7518 | A-S MEDICATION SOLUTIONS LLC | Mycophenolic acid | 180 MG | 180 | 1 | 360 | 360 |
50268-559-12 | J7518 | AVKARE, LLC | Mycophenolic acid | 180 MG | 20 | 1 | 20 | 20 |
60505-2965-7 | J7518 | APOTEX CORP. | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
60505-2966-7 | J7518 | APOTEX CORP. | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
67877-426-12 | J7518 | ASCEND LABORATORIES | 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 |
70377-039-11 | J7518 | BIOCON PHARMA, US | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
70377-040-11 | J7518 | BIOCON PHARMA, US | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
72819-155-08 | J7518 | ARCHIS PHARMA | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
72819-156-08 | J7518 | ARCHIS PHARMA | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
0004-0298-09 | J7519 | GENENTECH, INC. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
42023-172-04 | J7519 | PAR PHARMACEUTICAL, INC | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
67457-386-81 | J7519 | MYLAN INSTITUTIONAL LLC | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
71288-803-21 | J7519 | MEITHEAL PHARMACEUTICALS | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
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 |
16714-187-01 | J7520 | NORTHSTAR RX LLC | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
16714-188-01 | J7520 | NORTHSTAR RX LLC | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
16714-189-01 | J7520 | NORTHSTAR RX LLC | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
50268-718-13 | J7520 | AVKARE, INC. | Sirolimus, oral | 1 MG | 30 | 1 | 30 | 30 |
55111-653-01 | J7520 | DR. REDDY'S LABORATORIES, INC. | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
55111-654-01 | J7520 | DR. REDDY'S LABORATORIES, INC. | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
59762-1001-1 | J7520 | 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 |
60505-6197-2 | J7520 | Apotex | 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 |
49884-158-02 | J7527 | PAR PHARMACEUTICAL | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
49884-159-02 | J7527 | PAR PHARMACEUTICAL | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
49884-160-02 | J7527 | Par Pharmaceutical | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
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 |
69097-168-53 | J7605 | CIPLA USA, INC. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
69097-168-64 | J7605 | CIPLA USA INC. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
69097-168-87 | J7605 | CIPLA USA INC. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
70436-151-57 | J7605 | SLATE RUN | 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 |
70756-612-60 | J7605 | LIFESTAR PHARMA | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
70756-612-70 | J7605 | LIFESTAR PHARMA | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
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 |
62332-655-30 | J7606 | ALEMBIC PHARMACEUTICALS INC. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
62332-655-60 | J7606 | ALEMBIC PHARMACEUTICALS INC. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
70756-608-60 | J7606 | LIFESTAR PHARMA | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
73289-0060-1 | J7606 | AUCTA PHARMACEUTICALS, INC. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
73289-0060-2 | J7606 | AUCTA PHARMACEUTICALS, INC. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
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 |
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 |
0378-7057-52 | J7613 | MYLAN PHARMACEUTICALS, INC. | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 15.75 |
0378-7058-52 | 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 |
50090-6560-0 | J7613 | A-S MEDICATION SOLUTIONS LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 62.5 |
50090-6560-1 | J7613 | A-S MEDICATION SOLUTIONS LLC | Albuterol non-comp unit | 1 MG | 3 | 75 | 2.5 | 187.5 |
60687-395-83 | J7613 | AMERICAN HEALTH PACKAGING | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
76204-010-01 | J7613 | RITEDOSE PHARMACEUTICALS, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 18.9 |
76204-010-55 | J7613 | RITEDOSE PHARMACEUTICALS, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 15.75 |
76204-011-01 | J7613 | RITEDOSE PHARMACEUTICALS, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 37.5 |
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 |
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 |
50090-6377-0 | J7614 | A-S MEDICATION SOLUTIONS LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32.25 |
50090-6560-0 | J7614 | A-S MEDICATION SOLUTIONS LLC | Levalbuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 62.5 |
50090-6560-1 | J7614 | A-S MEDICATION SOLUTIONS LLC | Levalbuterol non-comp unit | 1 MG | 3 | 75 | 2.5 | 187.5 |
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 |
0487-0201-02 | 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 |
47335-756-52 | J7620 | SUN PHARMACEUTICAL INDUSTRIES, INC. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
50090-1382-0 | J7620 | A-S MEDICATION SOLUTIONS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
50090-1669-0 | J7620 | A-S MEDICATION SOLUTIONS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
50090-6288-0 | J7620 | A-S MEDICATION SOLUTIONS | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
60687-405-83 | J7620 | AMERICAN HEALTH PACKAGING | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
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 |
50090-6586-0 | J7626 | A-S MEDICATION SOLUTIONS LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
50090-6590-0 | J7626 | A-S MEDICATION SOLUTIONS LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
60687-524-83 | J7626 | AMERICAN HEALTH PACKAGING | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
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 |
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 |
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 |
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 |
49502-345-73 | J7682 | MYLAN SPECIALTY L.P. | 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 |
70756-617-56 | J7682 | LIFESTAR PHARMA | Tobramycin non-comp unit | 300 MG | 4 | 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 |
13668-591-81 | J8501 | Torrent Pharma, Inc. | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
13668-591-82 | J8501 | Torrent Pharma, Inc. | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
13668-592-84 | J8501 | Torrent Pharma, Inc. | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
13668-592-86 | J8501 | Torrent Pharma, Inc. | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
13668-593-86 | J8501 | Torrent Pharma, Inc. | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
13668-594-87 | J8501 | Torrent Pharma, Inc. | 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 |
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 |
65162-843-06 | J8520 | AMNEAL PHARMACEUTICALS, LLC | Capecitabine, oral, 150 mg | 150 MG | 60 | 1 | 60 | 60 |
68001-487-06 | J8520 | Bluepoint Laboratories | 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 |
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 |
65162-844-16 | J8521 | AMNEAL PHARMACEUTICALS, LLC | Capecitabine, oral, 500 mg | 500 MG | 120 | 1 | 120 | 120 |
68001-488-07 | J8521 | Bluepoint Laboratories | 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 |
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 |
50090-6151-4 | J8540 | PREFERRED PHARMACEUTICALS, INC. | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
50090-6152-0 | J8540 | A-S MEDICATION SOLUTIONS | Oral dexamethasone | 0.25 MG | 28 | 1 | 448 | 448 |
60432-466-08 | J8540 | MORTON GROVE PHARM. | Oral dexamethasone | 0.25 MG | 237 | 1 | 94.8 | 94.8 |
68788-8223-1 | J8540 | Preferred Pharmaceuticals Inc. | Oral dexamethasone | 0.25 MG | 12 | 1 | 192 | 192 |
68788-8223-3 | J8540 | Preferred Pharmaceuticals Inc. | Oral dexamethasone | 0.25 MG | 30 | 1 | 480 | 480 |
68788-8223-6 | J8540 | Preferred Pharmaceuticals Inc. | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
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 |
50090-5457-9 | J8610 | A-S MEDICATION SOLUTIONS | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
50268-527-15 | J8610 | AVKARE, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 50 | 1 | 50 | 50 |
51079-670-05 | J8610 | MYLAN INSTITUTIONAL INC. | Methotrexate oral 2.5 mg | 2.5 MG | 20 | 1 | 20 | 20 |
51285-366-01 | J8610 | DURAMED PHARMACEUTICALS, INC. | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 60 | 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 |
0085-1417-02 | J8700 | SCHERING CORPORATION | 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 |
50268-761-12 | J8700 | AVKARE, LLC | Temozolomide | 5 MG | 1 | 20 | 4 | 80 |
50268-762-12 | J8700 | AVKARE, LLC | Temozolomide | 5 MG | 1 | 20 | 20 | 400 |
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 |
0143-9093-01 | J9000 | HIKMA PHARMACEUTICALS USA INC. | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
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 |
25021-207-25 | J9000 | SAGENT PHARMACEUTICALS INC | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
25021-207-51 | J9000 | SAGENT PHARMACEUTICALS INC | 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 |
63323-883-30 | 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 |
0781-3498-94 | J9017 | Sandoz Inc | Arsenic trioxide injection | 1 mg | 6 | 1 | 12 | 12 |
0781-3498-95 | J9017 | Sandoz Inc | Arsenic trioxide injection | 1 mg | 6 | 10 | 12 | 120 |
14789-600-10 | J9017 | NEXUS PHARMACEUTICAL INC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
23155-869-41 | J9017 | AVET PHARMACEUTICALS, INC. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
23155-870-41 | J9017 | AVET PHARMACEUTICALS, INC. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
25021-226-10 | J9017 | SAGENT PHARMACEUTICALS, INC. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
25021-227-06 | J9017 | SAGENT PHARMACEUTICALS, INC. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
50742-438-10 | J9017 | INGENUS PHARMACEUTICALS, LLC | Arsenic trioxide injection | 1 MG | 10 | 1 | 10 | 10 |
55150-366-10 | J9017 | AUROMEDICS PHARMA, LLC | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
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 |
70710-1895-6 | J9017 | ZYDUS PHARMACEUTICALS | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
70710-1896-6 | 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 | 10 MG | 20 | 1 | 120 | 120 |
50242-918-01 | J9022 | GENENTECH, INC. | Inj, atezolizumab,10 mg | 10 MG | 14 | 1 | 84 | 84 |
44087-3535-1 | J9023 | EMD SERONO, INC. | Injection, avelumab, 10 mg | 10 MG | 10 | 1 | 20 | 20 |
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 |
43598-143-62 | J9025 | DR.REDDY'S LABORATORIES, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
43598-305-62 | J9025 | DR. REDDY'S LABORATORIES, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
43598-465-62 | J9025 | DR. REDDY'S LABORATORIES, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
51991-797-98 | J9025 | BRECKENRIDGE PHARMACEUTICAL | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
55150-393-01 | J9025 | EUGIA US LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
59572-102-01 | J9025 | CELGENE CORPORATION | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
63323-771-39 | J9025 | FRESENIUS KABI | 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 |
70121-1237-1 | J9025 | AMNEAL PHARMACEUTICALS INC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
71288-115-30 | J9025 | Meitheal Pharmaceuticals | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
71288-153-95 | J9025 | MEITHEAL PHARMACEUTICALS, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
72485-201-01 | J9025 | ARMAS PHARMACEUTICALS, INC. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
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 |
71288-128-20 | J9027 | Meitheal Pharmaceuticals, Inc. | 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 MG | 1 | 1 | 50 | 50 |
72893-002-01 | J9032 | ACROTECH BIOPHARMA | Injection, belinostat, 10mg | 10 MG | 1 | 1 | 50 | 50 |
16729-250-03 | J9033 | ACCORD HEALTHCARE INC. | Inj., treanda 1 mg | 1 MG | 1 | 1 | 25 | 25 |
16729-251-05 | J9033 | ACCORD HEALTHCARE INC. | Inj., treanda 1 mg | 1 MG | 1 | 1 | 100 | 100 |
55150-391-01 | J9033 | EUGIA US LLC | Inj., treanda 1 mg | 1 MG | 1 | 1 | 25 | 25 |
55150-392-01 | J9033 | EUGIA US LLC | Inj., treanda 1 mg | 1 MG | 1 | 1 | 100 | 100 |
60505-6096-0 | J9033 | APOTEX CORP. | Inj., treanda 1 mg | 1 MG | 1 | 1 | 100 | 100 |
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 |
71288-102-10 | J9033 | MEITHEAL PHARMACEUTICALS, INC. | Inj., treanda 1 mg | 1 MG | 1 | 1 | 25 | 25 |
71288-103-20 | J9033 | MEITHEAL PHARMACEUTICALS, 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 |
50242-061-01 | J9035 | GENENTECH, INC. | Bevacizumab injection | 10 MG | 16 | 1 | 40 | 40 |
42367-521-25 | J9036 | EAGLE PHARMACEUTICALS, INC. | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
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 |
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 |
71288-106-10 | J9040 | MEITHEAL PHARMACEUTICALS, INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
71288-107-20 | J9040 | MEITHEAL PHARMACEUTICALS, INC. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
0143-9098-01 | J9041 | Hikma Pharmaceuticals USA Inc. | Injection, bortezomib, 0.1mg | 0.1 mg | 1 | 1 | 35 | 35 |
0409-1700-01 | J9041 | Hospira, Inc. | Injection, bortezomib, 0.1mg | 0.1 mg | 1 | 1 | 35 | 35 |
10019-991-01 | J9041 | BAXTER HEALTHCARE CORP. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
25021-244-10 | J9041 | SAGENT PHARMACEUTICALS, INC. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
43598-426-60 | J9041 | Dr.Reddy's Laboratories, Inc. | Injection, bortezomib, 0.1mg | 0.1 mg | 1 | 1 | 35 | 35 |
50742-484-01 | J9041 | INGENUS PHARMACEUTICALS, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
55150-337-01 | J9041 | AUROMEDICS PHARMA, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
60505-6050-4 | J9041 | APOTEX CORP. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
63020-049-01 | J9041 | MILLENNIUM PHARMACEUTICALS, INC. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
63323-821-10 | J9041 | FRESENIUS KABI USA, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
68001-534-36 | J9041 | Bluepoint Laboratories | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
68001-540-36 | J9041 | BLUEPOINT LABORATORIES | Injection, bortezomib, 0.1mg | 0.1 mg | 1 | 1 | 35 | 35 |
68001-541-36 | J9041 | BLUEPOINT LABORATORIES | Injection, bortezomib, 0.1mg | 0.1 mg | 1 | 1 | 35 | 35 |
70710-1411-1 | J9041 | ZYDUS PHARMACEUTICALS (USA) INC. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
70860-225-10 | J9041 | ATHENEX PHARMACEUTICAL | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
71288-118-10 | J9041 | MEITHEAL PHARMACEUTICALS | Injection, bortezomib, 0.1mg | 0.1 mg | 1 | 1 | 35 | 35 |
72205-183-01 | J9041 | NOVADOZ PHARMACEUTICALS | Injection, bortezomib, 0.1mg | 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 |
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 |
50742-447-45 | J9045 | INGENUS PHARMACEUTICALS, LLC | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
50742-448-60 | J9045 | INGENUS PHARMACEUTICALS, LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
55150-335-01 | 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 |
61703-150-05 | J9045 | HOSPIRA, INC. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
61703-262-05 | J9045 | NOVAPLUS/PFIZER U.S. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
61703-339-18 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
61703-339-22 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
61703-339-50 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
61703-339-56 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 45 | 1 | 12 | 12 |
61703-360-18 | J9045 | PFIZER INC. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
61703-600-05 | J9045 | NOVAPLUS/PFIZER U.S. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
63323-172-60 | J9045 | FRESENIUS KABI | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
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 |
0409-1703-01 | J9049 | HOSPIRA, INC. | Inj, bortezomib, hospira | 0.1 MG | 1 | 1 | 25 | 25 |
0409-1704-01 | J9049 | HOSPIRA, INC. | Inj, bortezomib, hospira | 0.1 MG | 1 | 1 | 10 | 10 |
0781-3474-32 | J9050 | SANDOZ | 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 |
70860-223-61 | J9050 | ATHENEX | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
71288-126-90 | J9050 | MEITHEAL PHARMACEUTICALS | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
16729-545-63 | J9052 | ACCORD HEALTHCARE INC. | Inj, carmustine (accord) | 100 MG | 1 | 1 | 0.5 | 0.5 |
16729-548-63 | J9052 | ACCORD HEALTHCARE | Inj, carmustine (accord) | 100 MG | 1 | 1 | 3 | 3 |
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 |
71225-120-01 | J9056 | SLAYBACK PHARMA | Inj, bendamustine, 1 mg | 1 MG | 4 | 1 | 100 | 100 |
60505-6228-0 | J9058 | Apotex Corp | Inj apotex/bendamustine 1 mg | 1 MG | 4 | 1 | 100 | 100 |
10019-079-01 | J9059 | BAXTER HEALTHCARE CORP. | Inj bendamustine, baxter 1mg | 1 MG | 4 | 1 | 100 | 100 |
0143-9504-01 | J9060 | HIKMA PHARMACEUTICALS USA INC. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
0143-9505-01 | J9060 | HIKMA PHARMACEUTICALS USA INC. | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
0703-5747-11 | J9060 | 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 |
25021-253-50 | J9060 | SAGENT PHARMACEUTICAL | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
25021-253-51 | J9060 | SAGENT PHARMACEUTICAL | 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 |
60505-6277-0 | J9060 | APOTEX CORP. | Cisplatin 10 mg injection | 10 MG | 50 | 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 |
72266-252-01 | J9060 | FOSUN PHARMA | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
72266-253-01 | J9060 | FOSUN PHARMA | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
57894-501-01 | J9061 | JANSSEN BIOTECH, INC. | Inj, amivantamab-vmjw | 2 mg | 7 | 1 | 175 | 175 |
72903-853-01 | J9063 | Immunogen, Inc. | Inj, elahere, 1 mg | 1 MG | 20 | 1 | 100 | 100 |
0143-9871-01 | J9065 | HIKMA PHARMACEUTICALS USA INC. | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
42658-010-01 | J9065 | HISUN PHARMACEUTICALS USA, INC. | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
42658-010-01 | J9065 | HISUN PHARMACEUTICALS USA, INC. | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
42658-010-91 | J9065 | NOVAPLUS/HISUN PHARMACEUTICALS | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
42658-010-91 | J9065 | NOVAPLUS/HISUN PHARMACEUTICALS | 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 |
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 | 1 | 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 |
68001-442-26 | J9070 | Bluepoint Laboratories | Cyclophosphamide 100 mg inj | 100 MG | 50 | 1 | 5 | 5 |
68001-443-27 | J9070 | Bluepoint Laboratories | Cyclophosphamide 100 mg inj | 100 MG | 75 | 1 | 10 | 10 |
68001-444-32 | J9070 | Bluepoint Laboratories | Cyclophosphamide 100 mg inj | 100 MG | 100 | 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 |
72572-083-01 | J9070 | CIVICA, INC. | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 20 | 20 |
72572-085-01 | J9070 | CIVICA, INC. | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 10 | 10 |
72572-087-01 | J9070 | CIVICA, INC. | Cyclophosphamide 100 mg inj | 100 MG | 1 | 1 | 5 | 5 |
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 |
55150-270-01 | J9071 | AUROMEDICS PHARMA LLC | Inj cyclophosphamd auromedic | 5 MG | 2.5 | 1 | 100 | 100 |
55150-271-01 | J9071 | AUROMEDICS PHARMA LLC | Inj cyclophosphamd auromedic | 5 MG | 5 | 1 | 200 | 200 |
25021-223-20 | J9100 | SAGENT PHARMACEUTICAL | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
25021-229-05 | J9100 | SAGENT PHARMACEUTICAL | Cytarabine hcl 100 mg inj | 100 MG | 5 | 5 | 1 | 5 |
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 |
71288-109-20 | J9100 | MEITHEAL PHARMACEUTICALS, INC. | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
72694-515-01 | J9118 | SERVIER | Inj. calaspargase pegol-mknl | 10 UNIT | 5 | 1 | 375 | 375 |
61755-008-01 | J9119 | REGENERON PHARMACEUTICALS INC. | Inj., cemiplimab-rwlc, 1 mg | 1 MG | 7 | 1 | 350 | 350 |
39822-2100-2 | J9120 | X-GEN PHARMACEUTICALS INC | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
55150-431-01 | J9120 | AUROMEDICS PHARMA LLC | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
55150-928-02 | J9120 | AUROMEDICS PHARMA LLC | 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 |
71288-129-02 | J9120 | MEITHEAL PHARMACEUTICALS | 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 |
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 |
42658-021-91 | J9150 | HISUN PHARMACEUTICALS USA, INC. | Daunorubicin injection | 10 MG | 4 | 1 | 2 | 2 |
42658-021-92 | J9150 | HISUN PHARMACEUTICALS USA, INC. | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
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 |
0409-0365-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
0409-0366-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0409-0367-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0409-0368-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
0409-1732-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
0409-2026-01 | J9171 | HOSPIRA, INC. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
0409-4235-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0409-5068-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0409-7870-01 | J9171 | PFIZER INC. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
0955-1020-01 | J9171 | SANOFI-AVENTIS | 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 |
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 |
62332-678-02 | J9171 | ALEMBIC PHARMACEUTICALS INC. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
62332-678-08 | J9171 | ALEMBIC PHARMACEUTICALS INC. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
62332-678-16 | J9171 | ALEMBIC PHARMACEUTICALS INC. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
66758-050-01 | J9171 | SANDOZ | 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 |
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 |
71288-144-08 | J9171 | MEITHEAL PHARMACEUTICALS | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
71288-144-16 | J9171 | MEITHEAL PHARMACEUTICALS | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
72078-040-08 | J9171 | Mylan Institutional LLC | Docetaxel injection | 1 mg | 8 | 1 | 80 | 80 |
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 |
0703-5656-01 | J9181 | SICOR PHARMACEUTICALS, INC. | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
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 |
16729-131-30 | J9185 | Accord Healthcare | Fludarabine phosphate inj | 50 MG | 2 | 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 |
59923-604-02 | J9185 | Areva Pharmaceuticals, Inc | Fludarabine phosphate inj | 50 MG | 2 | 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 |
62332-751-50 | J9190 | ALEMBIC PHARMACEUTICALS INC. | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
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 |
68001-266-32 | J9190 | AMERICAN HEALTH PACKAGING | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
70700-186-23 | J9190 | XIROMED LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
70700-187-23 | J9190 | XIROMED LLC | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
70700-188-22 | J9190 | XIROMED LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
70700-189-22 | J9190 | XIROMED LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
16729-391-30 | J9196 | ACCORD HEALTHCARE INC. | Inj gemcitabine hcl (accord) | 200 MG | 2 | 1 | 1 | 1 |
16729-419-03 | J9196 | ACCORD HEALTHCARE INC. | Inj gemcitabine hcl (accord) | 200 MG | 10 | 1 | 5 | 5 |
16729-423-33 | J9196 | ACCORD HEALTHCARE INC. | Inj gemcitabine hcl (accord) | 200 MG | 15 | 1 | 7.5 | 7.5 |
16729-426-05 | J9196 | ACCORD HEALTHCARE INC. | Inj gemcitabine hcl (accord) | 200 MG | 20 | 1 | 10 | 10 |
68001-342-34 | J9196 | BLUEPOINT LABORATORIES | Inj gemcitabine hcl (accord) | 200 MG | 2 | 1 | 1 | 1 |
68001-348-36 | J9196 | BLUEPOINT LABORATORIES | Inj gemcitabine hcl (accord) | 200 MG | 10 | 1 | 5 | 5 |
68001-359-37 | J9196 | BLUEPOINT LABORATORIES | Inj gemcitabine hcl (accord) | 200 MG | 20 | 1 | 10 | 10 |
0143-9270-01 | J9200 | HIKMA PHARMACEUTICALS USA INC. | Floxuridine injection | 500 MG | 1 | 1 | 1 | 1 |
81643-9270-1 | J9200 | CERONA THERAPEUTICS, INC. | 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 |
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 |
25021-235-51 | J9201 | SAGENT PHARMACEUTICALS, INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 10 | 5 | 50 |
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 |
63323-126-03 | 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 |
70860-205-50 | J9201 | ATHENEX | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
71288-113-10 | J9201 | MEITHEAL PHARMACEUTICALS, INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
71288-114-50 | J9201 | MEITHEAL PHARMACEUTICALS, INC. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
71288-117-06 | J9201 | MEITHEAL PHARMACEUTICALS, INC. | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
71288-117-28 | J9201 | MEITHEAL PHARMACEUTICALS, INC. | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
71288-117-54 | J9201 | MEITHEAL PHARMACEUTICALS, INC. | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
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 |
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 |
60505-6272-1 | J9206 | APOTEX CORP. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
61703-349-09 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
61703-349-16 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
61703-349-36 | J9206 | PFIZER INC. | Irinotecan injection | 20 MG | 25 | 1 | 25 | 25 |
63323-193-52 | J9206 | FRESENIUS KABI | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
63323-193-55 | J9206 | FRESENIUS KABI | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
68001-480-22 | J9206 | Bluepoint Laboratories | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
68001-480-35 | J9206 | Bluepoint Laboratories | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
70700-169-22 | J9206 | XIROMED | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
70700-170-22 | J9206 | XIROMED | 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 |
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 |
0143-9260-01 | J9209 | HIKMA PHARMACEUTICALS USA INC. | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
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 |
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 |
0703-4156-11 | J9211 | SICOR PHARMACEUTICALS, INC. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
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 |
62935-461-50 | J9217 | TOLMAR PHARMACEUTICALS | 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 |
16714-572-01 | J9218 | Northstar Rx | 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 |
55150-478-01 | J9218 | AUROMEDICS PHARMA | Leuprolide acetate injeciton | 1 MG | 2.8 | 1 | 14 | 14 |
70121-2537-6 | J9218 | Amneal Pharmaceuticals Inc | 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 |
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 |
70700-278-97 | J9245 | Xiromed | 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 |
71288-132-90 | J9245 | MEITHEAL PHARMACEUTICALS, INC. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
72266-128-01 | J9245 | FOSUN PHARMA | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
72893-001-01 | J9246 | ACROTECH BIOPHARMA | Inj., evomela, 1 mg | 1 MG | 1 | 1 | 50 | 50 |
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 |
61703-124-40 | J9250 | HOSPIRA, 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 |
0517-4300-01 | J9259 | American Regent, Inc. | Paclitaxel (american regent) | 1 MG | 1 | 1 | 100 | 100 |
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 |
61703-124-40 | J9260 | HOSPIRA, 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 |
0078-0683-61 | J9261 | NOVARTIS PHARMACEUTICALS CORPORATION | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
43598-142-06 | J9261 | MEITHEAL PHARMACEUTICALS, INC. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
43598-142-11 | J9261 | DR. REDDY'S LABORATORIES, INC. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
70121-1743-4 | J9261 | AMNEAL BIOSCIENCES | 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 |
70710-1839-1 | J9261 | Zydus Pharmaceuticals USA Inc. | Nelarabine injection | 50 mg | 50 | 1 | 5 | 5 |
70710-1839-8 | J9261 | Zydus Pharmaceuticals USA Inc. | Nelarabine injection | 50 mg | 50 | 6 | 5 | 30 |
71288-165-53 | J9261 | MEITHEAL PHARMACEUTICALS, INC. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
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 |
0955-1727-20 | 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 | 1 | 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 |
60505-6132-8 | J9263 | APOTEX CORP. | Oxaliplatin | 0.5 MG | 40 | 1 | 400 | 400 |
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 |
68001-468-36 | J9263 | Blue Point Laboratories | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
68001-468-37 | J9263 | Blue Point Laboratories | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
71288-101-10 | J9263 | MEITHEAL PHARMACEUTICALS | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
71288-101-20 | J9263 | MEITHEAL PHARMACEUTICALS | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
71288-149-95 | J9263 | MEITHEAL PHARMACEUTICALS, INC. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
71288-149-96 | J9263 | MEITHEAL PHARMACEUTICALS, INC. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
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 | 1 | 100 | 100 |
24979-710-51 | J9264 | TWI PHARMACEUTICALS | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
60505-6230-4 | J9264 | APOTEX | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
68817-134-50 | J9264 | CELGENE CORPORATION | Paclitaxel protein bound | 1 MG | 1 | 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 |
16714-137-01 | J9267 | NORTHSTAR RX LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
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 |
62332-620-05 | J9267 | ALEMBIC PHARMACEUTICALS INC. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
62332-621-17 | J9267 | ALEMBIC PHARMACEUTICALS INC. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
62332-622-50 | J9267 | ALEMBIC PHARMACEUTICALS INC. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
63323-763-16 | J9267 | FRESENIUS KABI | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
63323-763-50 | J9267 | FRESENIUS KABI | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
68001-516-27 | J9267 | BLUEPOINT LABORATORIES | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
70860-200-05 | J9267 | ATHENEX | 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 |
80446-401-01 | J9274 | IMMUNOCORE COMMERCIAL LLC | Inj, tebentafusp-tebn, 1 mcg | 1 MCG | 0.5 | 1 | 100 | 100 |
0143-9135-01 | J9280 | HIKMA PHARMACEUTICALS USA INC. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
0143-9136-01 | J9280 | HIKMA PHARMACEUTICALS USA INC. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
0143-9279-01 | J9280 | HIKMA PHARMACEUTICALS USA INC. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
0143-9280-01 | J9280 | HIKMA PHARMACEUTICALS USA INC. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
16729-108-11 | J9280 | ACCORD HEALTHCARE INC. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
16729-115-05 | J9280 | ACCORD HEALTHCARE INC. | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
16729-116-38 | J9280 | ACCORD HEALTHCARE INC. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
25021-250-20 | J9280 | SAGENT PHARMACEUTICALS, INC. | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
25021-251-50 | J9280 | SAGENT PHARMACEUTICALS, INC. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
25021-252-51 | J9280 | SAGENT PHARMACEUTICALS, INC. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
65219-564-20 | J9280 | FRESENIUS KABI USA | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
65219-566-20 | J9280 | FRESENIUS KABI USA | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
65219-568-00 | J9280 | FRESENIUS KABI USA | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
68001-389-36 | J9280 | AMERICAN HEALTH PACKAGING | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
68001-390-77 | J9280 | AMERICAN HEALTH PACKAGING | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
68001-391-79 | J9280 | AMERICAN HEALTH PACKAGING | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
71288-137-20 | J9280 | MEITHEAL PHARMACEUTICALS | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
71288-138-50 | J9280 | MEITHEAL PHARMACEUTICALS | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
71288-139-51 | J9280 | MEITHEAL PHARMACEUTICALS | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
72819-152-95 | J9280 | ARCHIS PHARMA LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
72819-153-02 | J9280 | ARCHIS PHARMA | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
72819-154-04 | J9280 | ARCHIS PHARMA | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
72493-103-03 | J9281 | UROGEN PHARMA, INC. | Mitomycin instillation | 1 MG | 1 | 2 | 40 | 80 |
50242-125-01 | J9286 | GENENTECH, INC. | Inj glofitamab gxbm, 2.5 mg | 2.5 MG | 2.5 | 1 | 1 | 1 |
50242-127-01 | J9286 | GENENTECH, INC. | Inj glofitamab gxbm, 2.5 mg | 2.5 MG | 10 | 1 | 4 | 4 |
61703-343-18 | J9293 | PFIZER INC. | Mitoxantrone hydrochl / 5 mg | 5 MG | 10 | 1 | 4 | 4 |
61703-343-65 | J9293 | PFIZER INC. | Mitoxantrone hydrochl / 5 mg | 5 MG | 12.5 | 1 | 5 | 5 |
61703-343-66 | J9293 | PFIZER INC. | Mitoxantrone hydrochl / 5 mg | 5 MG | 15 | 1 | 6 | 6 |
63323-132-10 | J9293 | FRESENIUS KABI | Mitoxantrone hydrochl / 5 mg | 5 MG | 10 | 1 | 4 | 4 |
63323-132-12 | J9293 | FRESENIUS KABI | Mitoxantrone hydrochl / 5 mg | 5 MG | 12.5 | 1 | 5 | 5 |
0409-1060-01 | J9294 | Hospira, Inc. | Inj pemetrexed, hospira 10mg | 10 mg | 1 | 1 | 10 | 10 |
0409-1061-01 | J9294 | Hospira, Inc. | Inj pemetrexed, hospira 10mg | 10 mg | 1 | 1 | 50 | 50 |
0002-7716-01 | J9295 | ELI LILLY AND COMPANY | Injection, necitumumab, 1 mg | 1 MG | 50 | 1 | 800 | 800 |
0781-3518-76 | J9297 | SANDOZ | Inj pemetrexed (sandoz) 10mg | 10 MG | 4 | 1 | 10 | 10 |
0781-3519-90 | J9297 | SANDOZ | Inj pemetrexed (sandoz) 10mg | 10 MG | 20 | 1 | 50 | 50 |
0003-7125-11 | J9298 | BRISTOL-MYERS SQUIBB COMPANY | Inj nivol relatlimab 3mg/1mg | 3 MG - 1 MG | 20 | 1 | 80 | 80 |
0003-3734-13 | J9299 | BRISTOL-MYERS SQUIBB COMPANY | Injection, nivolumab | 1 mg | 24 | 1 | 240 | 240 |
0003-3756-14 | J9299 | BRISTOL-MYERS SQUIBB COMPANY | Injection, nivolumab | 1 MG | 12 | 1 | 120 | 120 |
0003-3772-11 | J9299 | BRISTOL-MYERS SQUIBB COMPANY | Injection, nivolumab | 1 MG | 4 | 1 | 40 | 40 |
0003-3774-12 | J9299 | BRISTOL-MYERS SQUIBB COMPANY | Injection, nivolumab | 1 MG | 10 | 1 | 100 | 100 |
50242-070-01 | J9301 | GENENTECH, INC. | Obinutuzumab inj | 10 MG | 40 | 1 | 100 | 100 |
55513-954-01 | J9303 | AMGEN USA, INC. | Panitumumab injection | 10 MG | 5 | 1 | 10 | 10 |
55513-956-01 | J9303 | AMGEN USA, INC. | Panitumumab injection | 10 MG | 20 | 1 | 40 | 40 |
42367-531-33 | J9304 | Eagle Pharmaceuticals | Inj. pemetrexed, 10 mg | 10 mg | 20 | 1 | 50 | 50 |
0002-7623-01 | J9305 | ELI LILLY AND COMPANY | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
0002-7640-01 | J9305 | ELI LILLY AND COMPANY | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
0338-0720-01 | J9305 | BAXTER HEALTHCARE CORP | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
0338-0722-01 | J9305 | BAXTER HEALTHCARE CORP | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
16729-229-03 | J9305 | ACCORD HEALTHCARE | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
16729-230-11 | J9305 | ACCORD HEALTHCARE | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
16729-244-38 | J9305 | ACCORD HEALTHCARE, INC. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
43598-370-74 | J9305 | DR.REDDY'S LABORATORIES, INC. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
43598-386-62 | J9305 | DR.REDDY'S LABORATORIES, INC. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
43598-387-11 | J9305 | DR.REDDY'S LABORATORIES, INC. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
50742-340-01 | J9305 | INGENUS PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
50742-341-01 | J9305 | INGENUS PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
55150-381-01 | J9305 | AUROMEDICS PHARMA | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
55150-382-01 | J9305 | AUROMEDICS PHARMA | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
55150-383-01 | J9305 | AUROMEDICS PHARMA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
60505-6065-0 | J9305 | APOTEX CORP. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
60505-6066-0 | J9305 | APOTEX CORP. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
63323-134-10 | J9305 | FRESENIUS KABI USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
63323-450-50 | J9305 | FRESENIUS KABI USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
63323-621-00 | J9305 | FRESENIUS KABI USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
63323-622-00 | J9305 | FRESENIUS KABI USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
68001-535-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
68001-536-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
68001-538-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
68001-539-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
68001-543-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
68001-544-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
68001-545-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
68001-546-41 | J9305 | BLUEPOINT LABORATORIES | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
70710-1654-1 | J9305 | ZYDUS PHARMACEUTICALS (USA) | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
70710-1655-1 | J9305 | ZYDUS PHARMACEUTICALS (USA) | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
70710-1674-1 | J9305 | ZYDUS PHARMACEUTICALS (USA) INC. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
70860-202-10 | J9305 | ATHENEX PHARMACEUTICAL | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
70860-203-50 | J9305 | ATHENEX PHARMACEUTICAL | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
71288-147-50 | J9305 | MEITHEAL PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
71288-148-51 | J9305 | MEITHEAL PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
71288-166-10 | J9305 | MEITHEAL PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
71288-166-91 | J9305 | MEITHEAL PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
71288-166-92 | J9305 | MEITHEAL PHARMACEUTICALS, INC. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
71288-167-50 | J9305 | MEITHEAL PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
71288-167-95 | J9305 | MEITHEAL PHARMACEUTICALS | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
71288-167-96 | J9305 | MEITHEAL PHARMACEUTICALS, INC. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
50242-145-01 | J9306 | GENENTECH, INC. | Injection, pertuzumab, 1 mg | 1 MG | 14 | 1 | 420 | 420 |
48818-001-02 | J9307 | ALLOS THERAPEUTICS INC. | Pralatrexate injection | 1 MG | 2 | 1 | 40 | 40 |
65219-550-01 | J9307 | Fresenius Kabi Usa, Llc | Pralatrexate injection | 1 MG | 1 | 1 | 20 | 20 |
65219-552-02 | J9307 | Fresenius Kabi Usa, Llc | Pralatrexate injection | 1 MG | 2 | 1 | 40 | 40 |
72893-003-01 | J9307 | ACROTECH BIOPHARMA | Pralatrexate injection | 1 MG | 1 | 1 | 20 | 20 |
72893-005-01 | J9307 | ACROTECH BIOPHARMA | Pralatrexate injection | 1 MG | 2 | 1 | 40 | 40 |
0002-7669-01 | J9308 | ELI LILLY AND COMPANY | Injection, ramucirumab | 5 MG | 10 | 1 | 20 | 20 |
0002-7678-01 | J9308 | ELI LILLY AND COMPANY | Injection, ramucirumab | 5 MG | 50 | 1 | 100 | 100 |
50242-103-01 | J9309 | GENENTECH, INC. | Inj, polatuzumab vedotin 1mg | 1 MG | 1 | 1 | 30 | 30 |
50242-105-01 | J9309 | GENENTECH, INC. | Inj, polatuzumab vedotin 1mg | 1 MG | 1 | 1 | 140 | 140 |
50242-108-01 | J9311 | GENENTECH, INC. | Inj rituximab, hyaluronidase | 10 MG (rituximab) | 11.7 | 1 | 140 | 140 |
50242-109-01 | J9311 | GENENTECH, INC. | Inj rituximab, hyaluronidase | 10 MG (rituximab) | 13.4 | 1 | 160 | 160 |
50242-051-10 | J9312 | GENENTECH, INC. | Inj., rituximab, 10 mg | 10 MG | 10 | 10 | 10 | 100 |
50242-051-21 | J9312 | GENENTECH, INC. | Inj., rituximab, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
50242-053-06 | J9312 | GENENTECH, INC. | Inj., rituximab, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
0310-4700-01 | J9313 | ASTRAZENECA | Inj., lumoxiti, 0.01 mg | 0.01 MG | 1 | 1 | 100 | 100 |
73380-4700-1 | J9313 | ASTRAZENECA | Inj., lumoxiti, 0.01 mg | 0.01 MG | 1 | 1 | 100 | 100 |
50242-245-01 | J9316 | GENENTECH, INC. | Pertuzu, trastuzu, 10 mg | 10 MG | 15 | 1 | 180 | 180 |
50242-260-01 | J9316 | GENENTECH, INC. | Pertuzu, trastuzu, 10 mg | 10 MG | 10 | 1 | 120 | 120 |
55135-132-01 | J9317 | IMMUNOMEDICS, INC. | Sacituzumab govitecan-hziy | 2.5 MG | 1 | 1 | 72 | 72 |
59572-984-01 | J9319 | CELGENE CORPORATION | Inj romidepsin lyophil 0.1mg | 0.1 MG | 1 | 1 | 100 | 100 |
63323-926-88 | J9319 | FRESENIUS KABI USA, LLC | Inj romidepsin lyophil 0.1mg | 0.1 MG | 1 | 1 | 100 | 100 |
82705-002-01 | J9321 | GENMAB US, INC. | Inj epcoritamab-bysp 0.16 mg | 0.16 MG | 0.8 | 1 | 25 | 25 |
82705-010-01 | J9321 | GENMAB US, INC. | Inj epcoritamab-bysp 0.16 mg | 0.16 MG | 0.8 | 1 | 300 | 300 |
0409-0004-04 | J9323 | HOSPIRA, INC. | Inj pemetrexed ditromethamin | 10 MG | 40 | 1 | 100 | 100 |
0409-0020-02 | J9323 | HOSPIRA, INC. | Inj pemetrexed ditromethamin | 10 MG | 4 | 1 | 10 | 10 |
0409-0021-03 | J9323 | HOSPIRA, INC. | Inj pemetrexed ditromethamin | 10 MG | 20 | 1 | 50 | 50 |
0409-1045-01 | J9323 | Hospira, Inc. | Inj pemetrexed ditromethamin | 10 MG | 4 | 1 | 10 | 10 |
0409-2188-01 | J9323 | Hospira, Inc. | Inj pemetrexed ditromethamin | 10 MG | 20 | 1 | 50 | 50 |
0409-3532-01 | J9323 | Hospira, Inc. | Inj pemetrexed ditromethamin | 10 MG | 40 | 1 | 100 | 100 |
55513-078-01 | J9325 | AMGEN USA, INC. | Inj talimogene laherparepvec | 1 million�PFU | 1 | 1 | 1 | 1 |
55513-079-01 | J9325 | AMGEN USA, INC. | Inj talimogene laherparepvec | 1 million�PFU | 1 | 1 | 100 | 100 |
0085-1381-01 | J9328 | SCHERING CORPORATION | Temozolomide injection | 1 MG | 1 | 1 | 100 | 100 |
0008-1179-01 | J9330 | PFIZER INC. | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
16729-223-61 | J9330 | ACCORD HEALTHCARE INC. | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
65219-200-05 | J9330 | FRESENIUS KABI | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
72611-785-02 | J9330 | ALMAJECT | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
80803-153-50 | J9331 | AADI BIOSCIENCE | Inj sirolimus prot part 1 mg | 1 mg | 1 | 1 | 68.8 | 68.8 |
73475-3041-5 | J9332 | ARGENX | Inj efgartigimod 2mg | 2 MG | 20 | 1 | 200 | 200 |
0143-9309-01 | J9340 | HIKMA PHARMACEUTICALS USA INC. | Thiotepa injection | 15 MG | 1 | 1 | 1 | 1 |
0143-9565-01 | J9340 | HIKMA PHARMACEUTICALS USA INC. | Thiotepa injection | 15 MG | 1 | 1 | 1 | 1 |
25021-246-02 | J9340 | SAGENT PHARMACEUTICALS INC | Thiotepa injection | 15 MG | 1 | 1 | 1 | 1 |
43598-171-11 | J9340 | DR.REDDY'S LABORATORIES, INC. | Thiotepa injection | 15 MG | 1 | 1 | 6.7 | 6.7 |
43598-650-11 | J9340 | DR. REDDY'S LABORATORIES, INC. | Thiotepa injection | 15 MG | 1 | 1 | 1 | 1 |
54879-014-13 | J9340 | STI PHARMA, LLC | Thiotepa injection | 15 MG | 1 | 1 | 1 | 1 |
65219-029-20 | J9340 | Fresenius Kabi USA, LLC | Thiotepa injection | 15 mg | 1 | 1 | 6.7 | 6.7 |
72205-045-01 | J9340 | NOVADOZ PHARMACEUTICALS, LLC | Thiotepa injection | 15 MG | 1 | 1 | 1 | 1 |
72205-046-01 | J9340 | NOVADOZ PHARMACEUTICALS, LLC | Thiotepa injection | 15 MG | 1 | 1 | 6.7 | 6.7 |
50881-006-03 | J9345 | Incyte Corporation | Inj, retifanlimab-dlwr, 1 mg | 1 MG | 20 | 1 | 500 | 500 |
0310-4505-25 | J9347 | Astrazeneca Pharmaceuticals, Lp | Inj, tremelimumab-actl, 1 mg | 1 MG | 1.25 | 1 | 25 | 25 |
0310-4535-30 | J9347 | Astrazeneca Pharmaceuticals, Lp | Inj, tremelimumab-actl, 1 mg | 1 MG | 15 | 1 | 300 | 300 |
73042-201-01 | J9348 | Y-MABS THERAPEUTICS | Inj. naxitamab-gqgk, 1 mg | 1 MG | 10 | 1 | 40 | 40 |
73535-208-01 | J9349 | MORPHOSYS U.S. | Inj., tafasitamab-cxix | 2 MG | 1 | 1 | 100 | 100 |
50242-142-01 | J9350 | GENENTECH USA, INC. | Inj mosunetuzumab-axgb, 1 mg | 1 MG | 30 | 1 | 30 | 30 |
50242-159-01 | J9350 | GENENTECH USA, INC. | Inj mosunetuzumab-axgb, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
0078-0674-61 | J9351 | NOVARTIS PHARMACEUTICALS CORPORATION | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
0409-0302-01 | J9351 | PFIZER INC. | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
16729-151-31 | J9351 | ACCORD HEALTHCARE INC. | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
16729-243-31 | J9351 | ACCORD HEALTHCARE INC. | Topotecan injection | 0.1 MG | 4 | 1 | 40 | 40 |
45963-615-56 | J9351 | ACTAVIS PHARMA, INC. | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
63323-762-10 | J9351 | FRESENIUS KABI | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
59676-610-01 | J9352 | JANSSEN PRODUCTS, LP | Injection trabectedin 0.1mg | 0.1 MG | 1 | 1 | 10 | 10 |
74527-022-02 | J9353 | MACROGENICS INC | Inj. margetuximab-cmkb, 5 mg | 5 MG | 10 | 1 | 50 | 50 |
74527-022-03 | J9353 | MACROGENICS INC | Inj. margetuximab-cmkb, 5 mg | 5 MG | 10 | 4 | 50 | 200 |
50242-087-01 | J9354 | GENENTECH, INC. | Inj, ado-trastuzumab emt 1mg | 1 MG | 1 | 1 | 160 | 160 |
50242-088-01 | J9354 | GENENTECH, INC. | Inj, ado-trastuzumab emt 1mg | 1 MG | 1 | 1 | 100 | 100 |
50242-132-01 | J9355 | GENENTECH, INC. | Inj trastuzumab excl biosimi | 10 MG | 1 | 1 | 15 | 15 |
50242-132-10 | J9355 | GENENTECH, INC. | Inj trastuzumab excl biosimi | 10 MG | 1 | 10 | 15 | 150 |
50242-077-01 | J9356 | GENENTECH, INC. | Inj. herceptin hylecta, 10mg | 10 MG | 6 | 1 | 60 | 60 |
24201-101-04 | J9357 | LEUCADIA PHARMACEUTICALS | Valrubicin injection | 200 MG | 5 | 4 | 1 | 4 |
67979-001-01 | J9357 | ENDO PHARMACEUTICALS VALERA INC. | Valrubicin injection | 200 MG | 5 | 4 | 1 | 4 |
65597-406-01 | J9358 | DAIICHI SANKYO, INC | Inj fam-trastu deru-nxki 1mg | 1 MG | 1 | 1 | 100 | 100 |
79952-110-01 | J9359 | ADC THERAPEUTIC AMERICA, INC. | Inj lon tesirin-lpyl 0.075mg | 0.075 MG | 1 | 1 | 133.33 | 133.33 |
63323-278-10 | J9360 | FRESENIUS KABI | Vinblastine sulfate inj | 1 MG | 10 | 1 | 10 | 10 |
61703-309-06 | J9370 | PFIZER INC. | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
61703-309-16 | J9370 | PFIZER INC. | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
61703-309-25 | J9370 | PFIZER INC. | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
61703-309-26 | J9370 | PFIZER INC. | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
57894-449-01 | J9380 | Janssen Biotech, Inc. | Inj teclistamab cqyv 0.5 mg | 0.5 MG | 3 | 1 | 60 | 60 |
57894-450-01 | J9380 | Janssen Biotech, Inc. | Inj teclistamab cqyv 0.5 mg | 0.5 MG | 1.7 | 1 | 306 | 306 |
73650-316-01 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 1 | 400 | 400 |
73650-316-10 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 10 | 400 | 4000 |
73650-316-14 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 14 | 400 | 5600 |
25021-204-01 | J9390 | SAGENT PHARMACEUTICALS INC | Vinorelbine tartrate inj | 10 MG | 1 | 1 | 1 | 1 |
25021-204-05 | J9390 | SAGENT PHARMACEUTICALS INC | Vinorelbine tartrate inj | 10 MG | 5 | 1 | 5 | 5 |
45963-607-55 | J9390 | ACTAVIS PHARMA, INC. | Vinorelbine tartrate inj | 10 MG | 1 | 1 | 1 | 1 |
45963-607-56 | J9390 | ACTAVIS PHARMA, INC. | Vinorelbine tartrate inj | 10 MG | 5 | 1 | 5 | 5 |
63323-715-05 | J9394 | FRESENIUS KABI | Inj, fulvestrant (fresenius) | 25 MG | 5 | 2 | 10 | 20 |
0143-9022-02 | J9395 | Hikma Pharmaceuticals USA Inc. | Injection, fulvestrant | 25 mg | 5 | 2 | 10 | 20 |
0310-0720-10 | J9395 | ASTRAZENECA | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0781-3079-12 | J9395 | SANDOZ | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0781-3492-12 | J9395 | SANDOZ | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0781-9055-12 | J9395 | SANDOZ | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
16714-070-02 | J9395 | NORTHSTAR RX LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
16729-436-30 | J9395 | ACCORD HEALTHCARE INC. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
43598-262-02 | J9395 | DR. REDDY'S LABORATORIES, INC. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
68001-484-85 | J9395 | Bluepoint Laboratories | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
68462-317-32 | J9395 | GLENMARK PHARMACEUTICALS INC., USA | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
70121-1463-2 | J9395 | AMNEAL BIOSCIENCES | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
70710-1688-8 | J9395 | ZYDUS PHARMACEUTICALS (USA) INC. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
70860-211-74 | J9395 | ATHENEX | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
71288-555-86 | J9395 | MEITHEAL PHARMACEUTICALS | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
72603-105-02 | J9395 | NORTHSTAR RX LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0024-5840-01 | J9400 | SANOFI-AVENTIS | Inj, ziv-aflibercept, 1mg | 1 mg | 4 | 1 | 100 | 100 |
0024-5841-01 | J9400 | SANOFI-AVENTIS | Inj, ziv-aflibercept, 1mg | 1 mg | 8 | 1 | 200 | 200 |
0781-3154-01 | Q0138 | SANDOZ | Ferumoxytol, non-esrd | 1 MG | 17 | 1 | 510 | 510 |
59338-775-01 | Q0138 | AMAG PHARMACEUTICALS, INC. | Ferumoxytol, non-esrd | 1 MG | 17 | 1 | 510 | 510 |
0781-3154-01 | Q0139 | SANDOZ | Ferumoxytol, esrd use | 1 MG | 17 | 1 | 510 | 510 |
59338-775-01 | Q0139 | AMAG PHARMACEUTICALS, INC. | Ferumoxytol, esrd use | 1 MG | 17 | 1 | 510 | 510 |
0378-7732-93 | Q0162 | MYLAN PHARMACEUTICALS, INC | Ondansetron oral | 1 MG | 1 | 30 | 4 | 120 |
0378-7734-93 | Q0162 | MYLAN PHARMACEUTICALS, INC | Ondansetron oral | 1 MG | 1 | 30 | 8 | 240 |
0378-7734-97 | Q0162 | MYLAN PHARMACEUTICALS, INC | Ondansetron oral | 1 MG | 1 | 10 | 8 | 80 |
0904-6551-61 | Q0162 | MAJOR PHARMACEUTICAL | Ondansetron oral | 1 MG | 100 | 1 | 4 | 400 |
0904-6552-61 | Q0162 | MAJOR PHARMACEUTICAL | Ondansetron oral | 1 MG | 100 | 1 | 8 | 800 |
0904-7073-93 | Q0162 | MAJOR PHARMACEUTICAL | Ondansetron oral | 1 MG | 5 | 30 | 4 | 120 |
16714-159-01 | Q0162 | NORTHSTAR RX LLC | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
16714-160-01 | Q0162 | NORTHSTAR RX LLC | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
16714-200-30 | Q0162 | NORTHSTAR RX LLC | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
16714-201-10 | Q0162 | NORTHSTAR RX LLC | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
16714-201-30 | Q0162 | NORTHSTAR RX LLC | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
16714-671-02 | Q0162 | NORTHSTAR RX LLC | Ondansetron oral | 1 MG | 50 | 1 | 40 | 40 |
50090-1200-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 10 | 4 | 40 |
50090-1200-1 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 20 | 4 | 80 |
50090-1200-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 5 | 4 | 20 |
50090-1200-3 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 30 | 4 | 120 |
50090-1201-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 10 | 4 | 40 |
50090-1658-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-1658-1 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
50090-1658-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 5 | 1 | 20 | 20 |
50090-1658-3 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
50090-1659-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-1660-0 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-1660-1 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-1660-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-1660-3 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
50090-2343-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 10 | 4 | 40 |
50090-2343-1 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 20 | 4 | 80 |
50090-2343-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 5 | 4 | 20 |
50090-2343-3 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 30 | 4 | 120 |
50090-3178-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 10 | 4 | 40 |
50090-3178-1 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 6 | 4 | 24 |
50090-3178-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 20 | 4 | 80 |
50090-3178-4 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 3 | 4 | 12 |
50090-3178-5 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 1 | 12 | 4 | 48 |
50090-3185-0 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 1 | 4 | 8 | 32 |
50090-3185-1 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-3185-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 3 | 1 | 24 | 24 |
50090-3185-3 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-3185-4 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
50090-4671-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-4671-1 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-4671-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 3 | 1 | 24 | 24 |
50090-4671-3 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-4671-4 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
50090-5346-0 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-5346-1 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-5346-2 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-5346-3 | Q0162 | A-S MEDICATION SOLUTIONS | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
50090-6342-0 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-6342-1 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 6 | 1 | 24 | 24 |
50090-6342-2 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
50090-6342-5 | Q0162 | A-S MEDICATION SOLUTIONS LLC | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
55111-153-30 | Q0162 | DR. REDDY'S LABORATORIES, INC. | Ondansetron oral | 1 MG | 1 | 30 | 4 | 120 |
55111-154-30 | Q0162 | DR. REDDY'S LABORATORIES, INC. | Ondansetron oral | 1 MG | 1 | 30 | 8 | 240 |
60687-252-86 | Q0162 | AMERICAN HEALTH PACKAGING | Ondansetron oral | 1 MG | 5 | 30 | 4 | 120 |
68001-246-04 | Q0162 | AMERICAN HEALTH PACKAGING | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68001-246-17 | Q0162 | AMERICAN HEALTH PACKAGING | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68001-247-04 | Q0162 | AMERICAN HEALTH PACKAGING | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68001-247-17 | Q0162 | AMERICAN HEALTH PACKAGING | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68084-220-01 | Q0162 | AMERICAN HEALTH PACKAGING | Ondansetron oral | 1 MG | 1 | 100 | 4 | 400 |
68084-221-01 | Q0162 | AMERICAN HEALTH PACKAGING | Ondansetron oral | 1 MG | 1 | 100 | 8 | 800 |
68462-105-30 | Q0162 | GLENMARK PHARMACEUTICALS INC., USA | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68462-106-30 | Q0162 | GLENMARK PHARMACEUTICALS INC., USA | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68462-157-13 | Q0162 | GLENMARK PHARMACEUTICALS INC., USA | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68462-158-11 | Q0162 | GLENMARK PHARMACEUTICALS INC., USA | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
68462-158-13 | Q0162 | GLENMARK PHARMACEUTICALS INC., USA | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68788-9368-3 | Q0162 | Preferred Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68788-9402-3 | Q0162 | Preferred Pharmaceuticals Inc. | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
0904-7144-61 | Q0167 | MAJOR PHARMACEUTICAL | Dronabinol 2.5mg oral | 2.5 MG | 100 | 1 | 100 | 100 |
0904-7145-04 | Q0167 | MAJOR PHARMACEUTICAL | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 60 | 60 |
53097-568-60 | Q0167 | THE PHARMA NETWORK | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 60 | 60 |
53097-569-60 | Q0167 | THE PHARMA NETWORK | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 120 | 120 |
53097-570-60 | Q0167 | THE PHARMA NETWORK | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 240 | 240 |
53097-571-60 | Q0167 | THE PHARMA NETWORK | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 60 | 60 |
60687-386-21 | Q0167 | AMERICAN HEALTH PACKAGING | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 60 | 60 |
67877-753-60 | Q0167 | ASCEND LABORATORIES | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 60 | 60 |
67877-754-60 | Q0167 | ASCEND LABORATORIES | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 120 | 120 |
67877-755-60 | Q0167 | ASCEND LABORATORIES | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 240 | 240 |
0078-0846-19 | Q2042 | NOVARTIS PHARMACEUTICALS CORPORATION | Tisagenlecleucel car-pos t | up to 600 million CAR-positive viable T cells | 1 | 1 | 1 | 1 |
0078-0958-19 | Q2042 | NOVARTIS PHARMACEUTICALS CORPORATION | Tisagenlecleucel car-pos t | up to 600 million CAR-positive viable T cells | 1 | 1 | 1 | 1 |
30237-8900-6 | Q2043 | DENDREON PHARMACEUTICALS LLC | Sipuleucel-t auto cd54+ | Per infusion (minimum 50 million cells) | 250 | 1 | 1 | 1 |
0338-0063-01 | Q2050 | BAXTER | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
0338-0067-01 | Q2050 | BAXTER | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
16714-742-01 | Q2050 | NORTHSTAR RX LLC | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
16714-856-01 | Q2050 | NORTHSTAR RX LLC | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
43598-283-35 | Q2050 | DR. REDDY'S LABORATORIES, INC. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
43598-541-25 | Q2050 | DR. REDDY'S LABORATORIES, INC. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
43598-682-35 | Q2050 | DR. REDDY'S LABORATORIES, INC. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
43598-683-25 | Q2050 | DR. REDDY'S LABORATORIES, INC. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
47335-049-40 | Q2050 | SUN PHARMACEUTICAL GLOBAL FZE. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
47335-050-40 | Q2050 | SUN PHARMACEUTICAL GLOBAL FZE. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
68001-345-26 | Q2050 | AMERICAN HEALTH PACKAGING | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
68001-345-36 | Q2050 | AMERICAN HEALTH PACKAGING | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
68001-492-36 | Q2050 | BLUEPOINT LABORATORIES | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
68001-493-26 | Q2050 | BLUEPOINT LABORATORIES | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
70710-1530-1 | Q2050 | ZYDUS PHARMACEUTICALS | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
70710-1531-1 | Q2050 | ZYDUS PHARMACEUTICALS | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
72603-103-01 | Q2050 | NORTHSTAR RX LLC | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
72603-200-01 | Q2050 | NORTHSTAR RX LLC | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
73153-900-01 | Q2054 | JUNO THERAPEUTICS, INC. WHOLLY OWNED SUBSIDIARIES OF BRISTOL MYERS SQUIBB | Lisocabtagene mara car pos t | Up to 110 million CAR-positive viable T cells, per therapeutic dose | 1 | 1 | 1 | 1 |
59572-515-01 | Q2055 | CELGENE CORPORATION | Idecabtagene vicleucel car | UP TO 460 MILLION AUTOLOGOUS ANTI-BCMA CAR-POSITIVE VIABLE T CELLS | 1 | 1 | 1 | 1 |
59572-515-02 | Q2055 | CELGENE CORPORATION | Idecabtagene vicleucel car | UP TO 460 MILLION AUTOLOGOUS ANTI-BCMA CAR-POSITIVE VIABLE T CELLS | 1 | 1 | 1 | 1 |
59572-515-03 | Q2055 | CELGENE CORPORATION | Idecabtagene vicleucel car | UP TO 460 MILLION AUTOLOGOUS ANTI-BCMA CAR-POSITIVE VIABLE T CELLS | 1 | 1 | 1 | 1 |
57894-111-01 | Q2056 | Janssen Biotech, Inc. | Ciltacabtagene car-pos t | up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells | 1 | 1 | 1 | 1 |
57894-111-02 | Q2056 | Janssen Biotech, Inc. | Ciltacabtagene car-pos t | up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells | 1 | 1 | 1 | 1 |
59627-222-05 | Q3027 | BIOGEN | Inj beta interferon im 1 mcg | 1 MCG | 1 | 4 | 30 | 120 |
59627-333-04 | Q3027 | BIOGEN | Inj beta interferon im 1 mcg | 1 MCG | 1 | 4 | 30 | 120 |
66215-302-30 | Q4074 | ACTELION PHARMACEUTICALS US, INC. | Iloprost non-comp unit dose | UP TO 20 MCG | 1 | 30 | 1 | 30 |
66215-303-30 | Q4074 | ACTELION PHARMACEUTICALS US, INC. | Iloprost non-comp unit dose | UP TO 20 MCG | 1 | 30 | 1 | 30 |
55513-126-10 | Q4081 | AMGEN USA, INC. | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 20 | 200 |
55513-144-10 | Q4081 | AMGEN USA, INC. | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 100 | 1000 |
55513-148-10 | Q4081 | AMGEN USA, INC. | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 40 | 400 |
55513-267-10 | Q4081 | AMGEN USA, INC. | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 30 | 300 |
55513-283-10 | Q4081 | AMGEN USA, INC. | Epoetin alfa, 100 units esrd | 100 UNITS | 2 | 10 | 200 | 2000 |
55513-478-10 | Q4081 | AMGEN USA, INC. | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 200 | 2000 |
59676-302-01 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 20 | 120 |
59676-303-01 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 30 | 180 |
59676-304-01 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 40 | 240 |
59676-310-01 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 100 | 600 |
59676-310-02 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 25 | 100 | 2500 |
59676-312-04 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 2 | 4 | 200 | 800 |
59676-320-04 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 4 | 200 | 800 |
59676-340-01 | Q4081 | JANSSEN PRODUCTS, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 4 | 400 | 1600 |
61314-318-01 | Q5101 | SANDOZ | Injection, zarxio | 1 MCG | 0.5 | 1 | 300 | 300 |
61314-318-10 | Q5101 | SANDOZ | Injection, zarxio | 1 MCG | 0.5 | 10 | 300 | 3000 |
61314-326-01 | Q5101 | SANDOZ | Injection, zarxio | 1 MCG | 0.8 | 1 | 480 | 480 |
61314-326-10 | Q5101 | SANDOZ | Injection, zarxio | 1 MCG | 0.8 | 10 | 480 | 4800 |
0069-0809-01 | Q5103 | PFIZER INC. | Injection, inflectra | 10 MG | 1 | 1 | 10 | 10 |
0006-4305-02 | Q5104 | MERCK SHARP & DOHME CORP. | Injection, renflexis | 10 MG | 1 | 1 | 10 | 10 |
78206-162-01 | Q5104 | ORGANON LLC | Injection, renflexis | 10 MG | 1 | 1 | 10 | 10 |
0069-1305-10 | Q5105 | PFIZER INC. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 20 | 200 |
0069-1306-10 | Q5105 | PFIZER INC. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 30 | 300 |
0069-1307-10 | Q5105 | PFIZER INC. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 40 | 400 |
0069-1308-10 | Q5105 | PFIZER INC. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 100 | 1000 |
0069-1309-04 | Q5105 | PFIZER INC. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 4 | 400 | 1600 |
0069-1311-10 | Q5105 | PFIZER INC. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 200 | 2000 |
0069-1318-10 | Q5105 | PFIZER INC. | Inj retacrit esrd on dialysi | 100 UNITS | 2 | 10 | 100 | 1000 |
59353-002-10 | Q5105 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 20 | 200 |
59353-003-10 | Q5105 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 30 | 300 |
59353-004-10 | Q5105 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 40 | 400 |
59353-010-10 | Q5105 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 100 | 1000 |
59353-120-10 | Q5105 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 200 | 2000 |
59353-220-10 | Q5105 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit esrd on dialysi | 100 UNITS | 2 | 10 | 100 | 1000 |
0069-1305-10 | Q5106 | PFIZER INC. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 2 | 20 |
0069-1306-10 | Q5106 | PFIZER INC. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 3 | 30 |
0069-1307-10 | Q5106 | PFIZER INC. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 4 | 40 |
0069-1308-10 | Q5106 | PFIZER INC. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 10 | 100 |
0069-1309-04 | Q5106 | PFIZER INC. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 4 | 40 | 160 |
0069-1311-10 | Q5106 | PFIZER INC. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 20 | 200 |
0069-1318-10 | Q5106 | PFIZER INC. | Inj retacrit non-esrd use | 1000 UNITS | 2 | 10 | 10 | 100 |
59353-002-10 | Q5106 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 2 | 20 |
59353-003-10 | Q5106 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 3 | 30 |
59353-004-10 | Q5106 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 4 | 40 |
59353-010-10 | Q5106 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 10 | 100 |
59353-120-10 | Q5106 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 20 | 200 |
59353-220-10 | Q5106 | VIFOR (INTERNATIONAL) LTD. | Inj retacrit non-esrd use | 1000 UNITS | 2 | 10 | 10 | 100 |
55513-206-01 | Q5107 | AMGEN USA, INC. | Inj mvasi 10 mg | 10 MG | 4 | 1 | 10 | 10 |
55513-207-01 | Q5107 | AMGEN USA, INC. | Inj mvasi 10 mg | 10 MG | 16 | 1 | 40 | 40 |
67457-833-06 | Q5108 | MYLAN INSTITUTIONAL LLC | Injection, fulphila | 0.5 MG | 0.6 | 1 | 12 | 12 |
0069-0291-01 | Q5110 | PFIZER INC. | Nivestym | 1 MCG | 0.5 | 1 | 300 | 300 |
0069-0291-10 | Q5110 | PFIZER INC. | Nivestym | 1 MCG | 0.5 | 10 | 300 | 3000 |
0069-0292-01 | Q5110 | PFIZER INC. | Nivestym | 1 MCG | 0.8 | 1 | 480 | 480 |
0069-0292-10 | Q5110 | PFIZER INC. | Nivestym | 1 MCG | 0.8 | 10 | 480 | 4800 |
0069-0293-10 | Q5110 | PFIZER INC. | Nivestym | 1 MCG | 1 | 10 | 300 | 3000 |
0069-0294-10 | Q5110 | PFIZER INC. | Nivestym | 1 MCG | 1.6 | 10 | 480 | 4800 |
70114-101-01 | Q5111 | COHERUS BIOSCIENCES INC | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
70114-120-01 | Q5111 | COHERUS BIOSCIENCES, INC. | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
78206-147-01 | Q5112 | ORGANON LLC | Inj ontruzant 10 mg | 10 MG | 150 | 1 | 15 | 15 |
78206-148-01 | Q5112 | ORGANON LLC | Inj ontruzant 10 mg | 10 MG | 420 | 1 | 42 | 42 |
63459-303-43 | Q5113 | CEPHALON INC. | Inj herzuma 10 mg | 10 mg | 1 | 1 | 15 | 15 |
63459-305-47 | Q5113 | CEPHALON INC. | Inj herzuma 10 mg | 10mg | 1 | 1 | 42 | 42 |
67457-847-44 | Q5114 | MYLAN INSTITUTIONAL LLC | Inj ogivri 10 mg | 10 MG | 1 | 1 | 42 | 42 |
67457-991-15 | Q5114 | MYLAN INSTITUTIONAL LLC | Inj ogivri 10 mg | 10 MG | 1 | 1 | 15 | 15 |
63459-103-10 | Q5115 | CEPHALON INC. | Inj truxima 10 mg | 10 MG | 10 | 1 | 10 | 10 |
63459-104-50 | Q5115 | CEPHALON INC. | Inj truxima 10 mg | 10 MG | 50 | 1 | 50 | 50 |
0069-0305-01 | Q5116 | PFIZER INC. | Inj., trazimera, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
0069-0308-01 | Q5116 | PFIZER INC. | Inj., trazimera, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
55513-132-01 | Q5117 | AMGEN USA, INC. | Inj., kanjinti, 10 mg | 10 mg | 1 | 1 | 42 | 42 |
55513-141-01 | Q5117 | AMGEN USA, INC. | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
55513-164-01 | Q5117 | AMGEN USA INC. | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
0069-0315-01 | Q5118 | PFIZER INC. | Inj., zirabev, 10 mg | 10 MG | 4 | 1 | 10 | 10 |
0069-0342-01 | Q5118 | PFIZER INC. | Inj., zirabev, 10 mg | 10 MG | 16 | 1 | 40 | 40 |
0069-0238-01 | Q5119 | PFIZER INC. | Inj ruxience, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
0069-0249-01 | Q5119 | PFIZER INC. | Inj ruxience, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
55513-670-01 | Q5121 | AMGEN USA, INC. | Inj. avsola, 10 mg | 10 MG | 1 | 1 | 10 | 10 |
0069-0324-01 | Q5122 | PFIZER INC. | Inj, nyvepria | 0.5 MG | 0.6 | 1 | 12 | 12 |
55513-224-01 | Q5123 | AMGEN USA, INC. | Inj. riabni, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
55513-326-01 | Q5123 | AMGEN USA, INC. | Inj. riabni, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
64406-019-01 | Q5124 | Biogen | Inj. byooviz, 0.1 mg | 0.1 mg | 1 | 1 | 5 | 5 |
70121-1568-1 | Q5125 | Amneal Pharmaceuticals Inc | Inj, releuko 1 mcg | 1 MCG | 0.5 | 1 | 300 | 300 |
70121-1569-7 | Q5125 | AMNEAL PHARMACEUTICALS INC | Inj, releuko 1 mcg | 1 MCG | 1 | 10 | 300 | 3000 |
70121-1570-1 | Q5125 | Amneal Pharmaceuticals Inc | Inj, releuko 1 mcg | 1 MCG | 0.8 | 1 | 480 | 480 |
70121-1571-7 | Q5125 | AMNEAL PHARMACEUTICALS INC | Inj, releuko 1 mcg | 1 MCG | 1.6 | 10 | 480 | 4800 |
70121-1755-1 | Q5126 | AMNEAL PHARMACEUTICALS INC | Inj alymsys 10 mg | 10 MG | 16 | 1 | 40 | 40 |
65219-371-10 | Q5127 | Fresenius Kabi USA, LLC | Inj, stimufend, 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
70114-440-01 | Q5128 | Coherus Biosciences, Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 3 | 3 |
70114-441-01 | Q5128 | Coherus Biosciences, Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 5 | 5 |
72606-011-01 | Q5129 | CELLRION USA, Inc. | Inj, vegzelma, 10 mg | 10 MG | 4 | 1 | 10 | 10 |
72606-012-01 | Q5129 | CELLRION USA, Inc. | Inj, vegzelma, 10 mg | 10 MG | 16 | 1 | 40 | 40 |
70121-1627-1 | Q5130 | Amneal Biosciences | Inj, fylnetra, 0.5 mg | 0.5 mg | 0.6 | 1 | 12 | 12 |
0270-7097-07 | Q9950 | BRACCO DIAGNOSTICS | Inj sulf hexa lipid microsph | 1 ML | 5 | 20 | 5 | 100 |
0270-7097-08 | Q9950 | BRACCO DIAGNOSTICS | Inj sulf hexa lipid microsph | 1 ML | 5 | 20 | 5 | 100 |
0270-7099-16 | Q9950 | BRACCO DIAGNOSTICS | Inj sulf hexa lipid microsph | 1 ML | 5 | 5 | 5 | 25 |
0270-7099-73 | Q9950 | BRACCO DIAGNOSTICS | Inj sulf hexa lipid microsph | 1 ML | 5 | 5 | 5 | 25 |
0407-2707-03 | Q9956 | GE HEALTHCARE | Inj octafluoropropane mic,ml | 1 ML | 3 | 5 | 3 | 15 |
0407-2707-18 | Q9956 | GE HEALTHCARE | Inj octafluoropropane mic,ml | 1 ML | 3 | 18 | 3 | 54 |
11994-011-04 | Q9957 | LANTHEUS MEDICAL IMAGING, INC. | Inj perflutren lip micros,ml | 1 ML | 2 | 4 | 2 | 8 |
11994-011-16 | Q9957 | LANTHEUS MEDICAL IMAGING, INC. | Inj perflutren lip micros,ml | 1 ML | 2 | 16 | 2 | 32 |
11994-017-20 | Q9957 | LANTHEUS MEDICAL IMAGING, INC. | Inj perflutren lip micros,ml | 1 ML | 2 | 20 | 2 | 40 |
0019-0862-50 | Q9958 | LIEBEL FLARSHEIM | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 250 | 12 | 250 | 3000 |
0270-0149-57 | Q9958 | BRACCO DIAGNOSTICS | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 300 | 10 | 300 | 3000 |
0270-0149-60 | Q9958 | BRACCO DIAGNOSTICS | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1410-30 | Q9958 | BRACCO DIAGNOSTICS | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 300 | 10 | 300 | 3000 |
0019-0953-05 | Q9961 | LIEBEL FLARSHEIM | Hocm 250-299mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
0019-0953-23 | Q9961 | LIEBEL FLARSHEIM | Hocm 250-299mg/ml iodine,1ml | 1 ML | 30 | 25 | 30 | 750 |
0019-0953-50 | Q9961 | LIEBEL FLARSHEIM | Hocm 250-299mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
0019-4816-04 | Q9963 | LIEBEL FLARSHEIM | Hocm 350-399mg/ml iodine,1ml | 1 ML | 30 | 25 | 30 | 750 |
0270-0445-35 | Q9963 | BRACCO DIAGNOSTICS | Hocm 350-399mg/ml iodine,1ml | 1 ML | 30 | 24 | 30 | 720 |
0270-0445-40 | Q9963 | BRACCO DIAGNOSTICS | Hocm 350-399mg/ml iodine,1ml | 1 ML | 120 | 12 | 120 | 1440 |
0407-1401-52 | Q9965 | GE HEALTHCARE | Locm 100-199mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1411-10 | Q9965 | GE HEALTHCARE | Locm 100-199mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1411-20 | Q9965 | GE HEALTHCARE | Locm 100-199mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
0270-1314-15 | Q9966 | BRACCO DIAGNOSTICS | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1317-02 | Q9966 | BRACCO DIAGNOSTICS | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1411-11 | Q9966 | BRACCO DIAGNOSTICS | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0270-7250-10 | Q9966 | Astrazeneca Pharmaceuticals, Lp | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 56 | 100 | 5600 |
0407-1412-10 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1412-10 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1412-20 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-1412-20 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-1412-30 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1412-30 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1412-33 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1412-33 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1412-34 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1412-34 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1412-35 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1412-35 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1412-38 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1412-38 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2222-16 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2222-17 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2222-19 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2222-21 | Q9966 | GE HEALTHCARE | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
65219-381-10 | Q9966 | FRESENIUS KABI USA | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
65219-381-50 | Q9966 | FRESENIUS KABI USA | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
70436-124-52 | Q9966 | SLATE RUN PHARMACEUTICALS, LLC | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
70436-124-82 | Q9966 | SLATE RUN PHARMACEUTICALS, LLC | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0019-1323-00 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1323-02 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 20 | 25 | 20 | 500 |
0019-1323-06 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
0019-1323-11 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 12 | 100 | 1200 |
0019-1323-16 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
0019-1323-21 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 12 | 200 | 2400 |
0019-1323-27 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
0019-1323-52 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
0019-1323-61 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1323-65 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1323-78 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
0019-1323-85 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 20 | 75 | 1500 |
0019-1323-87 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
0019-1323-90 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1323-95 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 20 | 75 | 1500 |
0019-1332-00 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1332-06 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
0019-1332-11 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 12 | 100 | 1200 |
0019-1332-16 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
0019-1332-21 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 12 | 200 | 2400 |
0019-1332-61 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1332-65 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1332-90 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1333-00 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1333-06 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
0019-1333-11 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 12 | 100 | 1200 |
0019-1333-16 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
0019-1333-21 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 12 | 200 | 2400 |
0019-1333-27 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
0019-1333-61 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1333-65 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1333-78 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
0019-1333-87 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
0019-1333-90 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1333-95 | Q9967 | LIEBEL FLARSHEIM | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 20 | 75 | 1500 |
0270-1315-25 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
0270-1315-30 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0270-1315-35 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1315-45 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1315-95 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0270-1316-04 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0270-1316-30 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0270-1316-35 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1316-37 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0270-1316-45 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1316-52 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0270-1316-95 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0270-1412-15 | Q9967 | BRACCO DIAGNOSTICS | Locm 300-399mg/ml iodine,1ml | 1 ML | 15 | 10 | 15 | 150 |
0270-7300-10 | Q9967 | Astrazeneca Pharmaceuticals, Lp | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 56 | 100 | 5600 |
0270-7300-20 | Q9967 | Astrazeneca Pharmaceuticals, Lp | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1413-10 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1413-10 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1413-48 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-48 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-53 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-53 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-59 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
0407-1413-59 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
0407-1413-61 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-61 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-62 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1413-62 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1413-63 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-63 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-65 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-65 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-66 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1413-66 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1413-68 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-68 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-69 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-69 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-72 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-72 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-86 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-86 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-87 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-87 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-88 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-88 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-89 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-89 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-48 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-48 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-72 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-72 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-76 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-76 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-82 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-82 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-84 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-84 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-86 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-86 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-87 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-87 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-88 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-88 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-89 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-89 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-90 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1414-90 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1414-91 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-91 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-93 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-93 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-94 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-94 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-95 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-95 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-98 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-98 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-2223-16 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-16 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-17 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-17 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-19 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-19 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-21 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-2223-21 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-2223-23 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-2223-23 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-2223-62 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-62 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-64 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-64 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-66 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-66 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-67 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-2223-67 | Q9967 | GE HEALTHCARE | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
50419-344-05 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
50419-344-10 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
50419-344-12 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
50419-344-15 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
50419-344-21 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
50419-344-58 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 8 | 500 | 4000 |
50419-346-05 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
50419-346-10 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
50419-346-15 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
50419-346-20 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
50419-346-58 | Q9967 | BAYER HEALTHCARE PHARMACEUTICALS INC. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 8 | 500 | 4000 |
65219-383-05 | Q9967 | FRESENIUS KABI USA | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
65219-383-10 | Q9967 | FRESENIUS KABI USA | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
65219-383-50 | Q9967 | FRESENIUS KABI USA | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
65219-383-70 | Q9967 | FRESENIUS KABI USA | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
70436-126-82 | Q9967 | SLATE RUN PHARMACEUTICALS, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 15 | 10 | 15 | 150 |
12496-0100-1 | Q9991 | INDIVIOR INC. | Buprenorph xr 100 mg or less | LESS THAN OR EQUAL TO 100 MG | 0.5 | 1 | 1 | 1 |
12496-0300-1 | Q9992 | INDIVIOR INC. | Buprenorphine xr over 100 mg | GREATER THAN 100 MG | 1.5 | 1 | 1 | 1 |