NDC - HCPCS Crosswalk Average Sales Price (ASP)
Effective July 1, 2025 through September 30, 2025
The NDC - HCPCS crosswalks are intended to help understand which drug products -identified by NDCs- are assigned to which HCPCS billing codes. The information is based on published drug and biological pricing data and information submitted to CMS by manufacturers. The crosswalks are not intended to be a comprehensive list of all NDCs available in the United States. The NDC to HCPCS Crosswalks also include information on the NDC package size and the number of billable units.
Average Sales Price (ASP)
NDC | HCPCS Code | Labeler | Drug Name | Dosage | Package Size | Package Quantity | Billable Units | Billable Units / Pkg |
---|---|---|---|---|---|---|---|---|
13533-636-01 | 90371 | Grifols USA, LLC | Hep b ig im | 1 ML | 1 | 1 | 1 | 1 |
13533-636-03 | 90371 | Grifols USA, LLC | Hep b ig im | 1 ML | 0.5 | 1 | 0.5 | 1 |
13533-636-05 | 90371 | Grifols USA, LLC | Hep b ig im | 1 ML | 5 | 1 | 5 | 5 |
69800-4202-1 | 90371 | ADMA Biologics, Inc | Hep b ig im | 1 ML | 1 | 1 | 1 | 1 |
69800-4203-1 | 90371 | ADMA Biologics, Inc | 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 |
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 | Merck Sharp & Dohme LLC | Bcg vaccine intravesical | 1 EACH | 1 | 1 | 1 | 1 |
0006-4096-02 | 90632 | Merck Sharp & Dohme LLC | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
0006-4841-41 | 90632 | Merck Sharp & Dohme LLC | 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 LLC | Hepa vaccine adult im | 1 ML | 1 | 10 | 1 | 10 |
49281-252-51 | 90675 | Sanofi Pasteur Inc. | Rabies vaccine im | 1 ML | 1 | 1 | 1 | 1 |
50632-010-01 | 90675 | Bavarian Nordic Inc. | 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 Inc. | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
49281-215-15 | 90714 | Sanofi Pasteur Inc. | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
50090-2062-0 | 90714 | A-S Medication Solutions | Td vacc no presv 7 yrs+ im | 0.5 ML | 0.5 | 10 | 1 | 10 |
49281-400-10 | 90715 | Sanofi Pasteur Inc. | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
49281-400-20 | 90715 | Sanofi Pasteur Inc. | Tdap vaccine 7 yrs/> im | 1 EACH | 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 LLC | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
58160-842-52 | 90715 | GlaxoSmithKline LLC | Tdap vaccine 7 yrs/> im | 0.5 ML | 0.5 | 10 | 1 | 10 |
0270-7015-46 | A9573 | Bracco Diagnostics Inc. | Inj, gadopiclenol, 1 ml | 1 ML | 30 | 25 | 30 | 750 |
0270-7015-48 | A9573 | Bracco Diagnostics Inc. | Inj, gadopiclenol, 1 ml | 1 ML | 50 | 25 | 50 | 1250 |
0270-7020-38 | A9573 | Bracco Diagnostics Inc. | Inj, gadopiclenol, 1 ml | 1 ML | 3 | 10 | 3 | 30 |
0270-7025-40 | A9573 | Bracco Diagnostics Inc. | Inj, gadopiclenol, 1 ml | 1 ML | 7.5 | 10 | 7.5 | 75 |
0270-7030-42 | A9573 | Bracco Diagnostics Inc. | Inj, gadopiclenol, 1 ml | 1 ML | 10 | 10 | 10 | 100 |
67684-4230-2 | A9573 | Guerbet LLC | Inj, gadopiclenol, 1 ml | 1 ML | 3 | 10 | 3 | 30 |
67684-4231-2 | A9573 | Guerbet LLC | Inj, gadopiclenol, 1 ml | 1 ML | 7.5 | 10 | 7.5 | 75 |
67684-4232-2 | A9573 | Guerbet LLC | Inj, gadopiclenol, 1 ml | 1 ML | 10 | 10 | 10 | 100 |
67684-4240-2 | A9573 | Guerbet LLC | Inj, gadopiclenol, 1 ml | 1 ML | 7.5 | 10 | 7.5 | 75 |
67684-4241-2 | A9573 | Guerbet LLC | Inj, gadopiclenol, 1 ml | 1 ML | 10 | 10 | 10 | 100 |
67684-4250-4 | A9573 | Guerbet LLC | Inj, gadopiclenol, 1 ml | 1 ML | 50 | 25 | 50 | 1250 |
0407-2943-01 | A9575 | GE Healthcare Inc. | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
0407-2943-02 | A9575 | GE Healthcare Inc. | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
0407-2943-05 | A9575 | GE Healthcare Inc. | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
0407-2943-06 | A9575 | GE Healthcare Inc. | Inj gadoterate meglumi 0.1ml | 0.1 ML | 5 | 10 | 50 | 500 |
0407-2943-12 | A9575 | GE Healthcare Inc. | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
0407-2943-17 | A9575 | GE Healthcare Inc. | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
0407-2943-22 | A9575 | GE Healthcare Inc. | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
0407-2943-70 | A9575 | GE Healthcare Inc. | 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 |
70436-123-31 | A9575 | Slate Run Pharmaceuticals | Inj gadoterate meglumi 0.1ml | 0.1 ML | 5 | 10 | 50 | 500 |
70436-123-33 | A9575 | Slate Run Pharmaceuticals | Inj gadoterate meglumi 0.1ml | 0.1 ML | 10 | 10 | 100 | 1000 |
70436-123-34 | A9575 | Slate Run Pharmaceuticals | Inj gadoterate meglumi 0.1ml | 0.1 ML | 15 | 10 | 150 | 1500 |
70436-123-35 | A9575 | Slate Run Pharmaceuticals | Inj gadoterate meglumi 0.1ml | 0.1 ML | 20 | 10 | 200 | 2000 |
70436-123-56 | A9575 | Slate Run Pharmaceuticals | Inj gadoterate meglumi 0.1ml | 0.1 ML | 100 | 6 | 1000 | 6000 |
0270-1111-70 | A9576 | Bracco Diagnostics Inc. | Inj prohance multipack | 1 ML | 50 | 5 | 50 | 250 |
0270-5164-12 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 5 | 5 | 5 | 25 |
0270-5164-12 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 5 | 5 | 5 | 25 |
0270-5164-13 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 10 | 5 | 10 | 50 |
0270-5164-13 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 10 | 5 | 10 | 50 |
0270-5164-14 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 15 | 5 | 15 | 75 |
0270-5164-14 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 15 | 5 | 15 | 75 |
0270-5164-15 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 20 | 5 | 20 | 100 |
0270-5164-15 | A9577 | Bracco Diagnostics Inc. | Inj multihance | 1 ML | 20 | 5 | 20 | 100 |
0270-5264-16 | A9578 | Bracco Diagnostics Inc. | Inj multihance multipack | 1 ML | 50 | 5 | 50 | 250 |
0270-5264-17 | A9578 | Bracco Diagnostics Inc. | Inj multihance multipack | 1 ML | 100 | 5 | 100 | 500 |
0270-1111-01 | A9579 | Bracco Diagnostics Inc. | Gad-base mr contrast nos,1ml | 1 ML | 10 | 5 | 10 | 50 |
0270-1111-02 | A9579 | Bracco Diagnostics Inc. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 5 | 15 | 75 |
0270-1111-03 | A9579 | Bracco Diagnostics Inc. | Gad-base mr contrast nos,1ml | 1 ML | 20 | 5 | 20 | 100 |
0270-1111-04 | A9579 | Bracco Diagnostics Inc. | Gad-base mr contrast nos,1ml | 1 ML | 5 | 5 | 5 | 25 |
0270-1111-85 | A9579 | Bracco Diagnostics Inc. | Gad-base mr contrast nos,1ml | 1 ML | 100 | 5 | 100 | 500 |
0407-0690-05 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 5 | 10 | 5 | 50 |
0407-0690-05 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 5 | 10 | 5 | 50 |
0407-0690-10 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-0690-10 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-0690-12 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-0690-12 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-0690-15 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0690-15 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0690-17 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0690-17 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 15 | 10 | 15 | 150 |
0407-0690-20 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-0690-20 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-0690-22 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-0690-22 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-0690-70 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-0690-70 | A9579 | GE Healthcare Inc. | Gad-base mr contrast nos,1ml | 1 ML | 100 | 10 | 100 | 1000 |
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, LLC | Gadobutrol injection | 0.1 ML | 2 | 15 | 20 | 300 |
65219-281-07 | A9585 | FreseniUS Kabi USA, LLC | Gadobutrol injection | 0.1 ML | 7.5 | 20 | 75 | 1500 |
65219-281-10 | A9585 | FreseniUS Kabi USA, LLC | Gadobutrol injection | 0.1 ML | 10 | 20 | 100 | 2000 |
65219-281-15 | A9585 | FreseniUS Kabi USA, LLC | Gadobutrol injection | 0.1 ML | 15 | 20 | 150 | 3000 |
65219-287-30 | A9585 | FreseniUS Kabi USA, LLC | Gadobutrol injection | 0.1 ML | 30 | 10 | 300 | 3000 |
65219-289-65 | A9585 | FreseniUS Kabi USA, LLC | Gadobutrol injection | 0.1 ML | 65 | 10 | 650 | 6500 |
70436-212-54 | A9585 | Slate Run Pharmaceuticals | Gadobutrol injection | 0.1 ML | 7.5 | 20 | 75 | 1500 |
70436-212-80 | A9585 | Slate Run Pharmaceuticals | Gadobutrol injection | 0.1 ML | 7.5 | 1 | 75 | 75 |
70436-214-54 | A9585 | Slate Run Pharmaceuticals | Gadobutrol injection | 0.1 ML | 15 | 20 | 150 | 3000 |
70436-214-80 | A9585 | Slate Run Pharmaceuticals | Gadobutrol injection | 0.1 ML | 15 | 1 | 150 | 150 |
10511-3001-2 | A9589 | Photocure Inc | Insti hexaminolevulinate hcl | 100 MG | 1 | 1 | 1 | 1 |
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 | E.R. Squibb & Sons, L.L.C. | Abatacept injection | 10 MG | 1 | 1 | 25 | 25 |
0003-2188-11 | J0129 | E.R. Squibb & Sons, L.L.C. | Abatacept injection | 10 MG | 1 | 4 | 12.5 | 50 |
0003-2188-51 | J0129 | E.R. Squibb & Sons, L.L.C. | Abatacept injection | 10 MG | 1 | 4 | 12.5 | 50 |
0003-2814-11 | J0129 | E.R. Squibb & Sons, L.L.C. | Abatacept injection | 10 MG | 0.4 | 4 | 5 | 20 |
0003-2818-11 | J0129 | E.R. Squibb & Sons, L.L.C. | Abatacept injection | 10 MG | 0.7 | 4 | 8.75 | 35 |
0781-3156-95 | J0131 | Sandoz Inc. | Inj, acetaminophen (nos) | 10 MG | 100 | 10 | 100 | 1000 |
0781-9274-95 | J0131 | Sandoz Inc. | Inj, acetaminophen (nos) | 10 MG | 100 | 10 | 100 | 1000 |
24201-100-24 | J0131 | Hikma Pharmaceuticals USA Inc. | 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 Healthcare Corporation | Inj, acetaminophen (nos) | 10 MG | 100 | 40 | 100 | 4000 |
51662-1540-3 | J0131 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, acetaminophen (nos) | 10 MG | 100 | 24 | 100 | 2400 |
55150-307-24 | J0131 | Eugia US 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, Inc. | Inj, acetaminophen (nos) | 10 MG | 100 | 10 | 100 | 1000 |
0574-0805-30 | J0132 | Padagis US LLC | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
25021-812-30 | J0132 | Sagent Pharmaceuticals | 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 | Eugia US LLC | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
63323-963-30 | J0132 | FreseniUS Kabi USA, LLC | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
63323-963-44 | J0132 | FreseniUS Kabi USA, LLC | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
66220-207-30 | J0132 | Cumberland Pharmaceuticals Inc. | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
68462-946-12 | J0132 | Glenmark Pharmaceuticals Inc., USA | Acetylcysteine injection | 100 MG | 30 | 4 | 60 | 240 |
70594-111-02 | J0132 | Xellia Pharmaceuticals USA, LLC. | 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 | Eugia US LLC | Acyclovir injection | 5 MG | 10 | 10 | 100 | 1000 |
55150-155-20 | J0133 | Eugia US LLC | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
63323-325-10 | J0133 | FreseniUS Kabi USA, LLC | Acyclovir injection | 5 MG | 20 | 10 | 100 | 1000 |
63323-325-14 | J0133 | FreseniUS Kabi USA, LLC | Acyclovir injection | 5 MG | 10 | 10 | 100 | 1000 |
63323-325-20 | J0133 | FreseniUS Kabi USA, LLC | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
63323-325-24 | J0133 | FreseniUS Kabi USA, LLC | Acyclovir injection | 5 MG | 20 | 10 | 200 | 2000 |
70436-030-82 | J0133 | Slate Run Pharmaceuticals | Acyclovir injection | 5 MG | 10 | 10 | 100 | 1000 |
63323-434-00 | J0134 | FreseniUS Kabi USA, LLC | 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 |
0264-4050-90 | 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 |
0143-9150-10 | J0138 | Hikma Pharmaceuticals USA Inc. | Inj acetaminoph 10mg/ibu 3mg | 10 MG/3MG | 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 |
16714-556-01 | J0153 | Northstar RxLLC | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
16714-997-01 | J0153 | Northstar RxLLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
25021-301-67 | J0153 | Sagent Pharmaceuticals | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
25021-301-67 | J0153 | Sagent Pharmaceuticals | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
25021-301-68 | J0153 | Sagent Pharmaceuticals | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
25021-301-68 | J0153 | Sagent Pharmaceuticals | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
25021-318-02 | J0153 | Sagent Pharmaceuticals | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
25021-318-04 | J0153 | Sagent Pharmaceuticals | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
51662-1450-3 | J0153 | HF Acquisition Co. LLC, DBA HealthFirst | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
51662-1511-1 | J0153 | HF Acquisition Co. LLC, DBA HealthFirst | Adenosine inj 1mg | 1 MG | 4 | 1 | 12 | 12 |
51662-1632-1 | J0153 | HF Acquisition Co. LLC, DBA HealthFirst | Adenosine inj 1mg | 1 MG | 2 | 1 | 6 | 6 |
51662-1643-3 | J0153 | HF Acquisition Co. LLC, DBA HealthFirst | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
55150-192-01 | J0153 | Eugia US LLC | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
55150-193-01 | J0153 | Eugia US LLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
63323-651-02 | J0153 | FreseniUS Kabi USA, LLC | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
63323-651-04 | J0153 | FreseniUS Kabi USA, LLC | Adenosine inj 1mg | 1 MG | 4 | 10 | 12 | 120 |
63323-651-20 | J0153 | FreseniUS Kabi USA, LLC | Adenosine inj 1mg | 1 MG | 20 | 1 | 60 | 60 |
63323-651-30 | J0153 | FreseniUS Kabi USA, LLC | Adenosine inj 1mg | 1 MG | 30 | 1 | 90 | 90 |
63323-651-89 | J0153 | FreseniUS Kabi USA, LLC | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
63323-651-90 | J0153 | FreseniUS Kabi USA, LLC | 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 | Mylan Institutional LLC | Adenosine inj 1mg | 1 MG | 2 | 10 | 6 | 60 |
0517-1171-10 | J0165 | American Regent, Inc. | Inj epinephrine nos 0.1 mg | 0.1 MG | 1 | 10 | 10 | 100 |
0517-3030-01 | J0165 | American Regent, Inc. | Inj epinephrine nos 0.1 mg | 0.1 MG | 30 | 1 | 300 | 300 |
42023-168-01 | J0165 | Endo USA, Inc. | Inj epinephrine nos 0.1 mg | 0.1 MG | 30 | 1 | 300 | 300 |
42023-168-89 | J0165 | Endo USA, Inc. | Inj epinephrine nos 0.1 mg | 0.1 MG | 30 | 1 | 300 | 300 |
42023-168-99 | J0165 | Endo USA, Inc. | Inj epinephrine nos 0.1 mg | 0.1 MG | 30 | 1 | 300 | 300 |
50090-2058-0 | J0165 | A-S Medication Solutions | Inj epinephrine nos 0.1 mg | 0.1 MG | 10 | 10 | 10 | 100 |
50090-5569-0 | J0165 | A-S Medication Solutions | Inj epinephrine nos 0.1 mg | 0.1 MG | 10 | 10 | 10 | 100 |
51662-1290-1 | J0165 | HF Acquisition Co. LLC, DBA HealthFirst | Inj epinephrine nos 0.1 mg | 0.1 MG | 1 | 1 | 10 | 10 |
63323-696-25 | J0165 | FreseniUS Kabi USA, LLC | Inj epinephrine nos 0.1 mg | 0.1 MG | 1 | 25 | 10 | 250 |
68462-760-10 | J0165 | Glenmark Pharmaceuticals Inc., USA | Inj epinephrine nos 0.1 mg | 0.1 MG | 10 | 1 | 100 | 100 |
0404-9857-01 | J0166 | Henry Schein Inc. | Inj epinephrine (bpi) | 0.1 MG | 1 | 1 | 10 | 10 |
50090-3039-1 | J0166 | A-S Medication Solutions | Inj epinephrine (bpi) | 0.1 MG | 1 | 1 | 10 | 10 |
50090-3039-2 | J0166 | A-S Medication Solutions | Inj epinephrine (bpi) | 0.1 MG | 1 | 10 | 10 | 100 |
0409-4933-01 | J0167 | Pfizer Inc | Inj epinephrine (hospira) | 0.1 MG | 10 | 10 | 10 | 100 |
51662-1531-1 | J0167 | HF Acquisition Co. LLC, DBA HealthFirst | Inj epinephrine (hospira) | 0.1 MG | 10 | 1 | 10 | 10 |
50090-7037-0 | J0168 | A-S Medication Solutions | Epinephrine (intl med sys) | 0.1 MG | 1 | 1 | 1 | 1 |
51662-1629-1 | J0168 | HF Acquisition Co. LLC, DBA HealthFirst | Epinephrine (intl med sys) | 0.1 MG | 10 | 1 | 10 | 10 |
51662-1629-3 | J0168 | HF Acquisition Co. LLC, DBA HealthFirst | Epinephrine (intl med sys) | 0.1 MG | 10 | 10 | 10 | 100 |
0404-9810-01 | J0169 | Henry Schein Inc. | Inj epinephrine (adrenalin) | 0.1 MG | 1 | 1 | 10 | 10 |
42023-159-25 | J0169 | Endo USA, Inc. | Inj epinephrine (adrenalin) | 0.1 MG | 1 | 25 | 10 | 250 |
51662-1290-3 | J0169 | HF Acquisition Co. LLC, DBA HealthFirst | Inj epinephrine (adrenalin) | 0.1 MG | 1 | 25 | 10 | 250 |
64406-101-01 | J0172 | Biogen Inc. | Inj, aducanumab-avwa, 2 mg | 2 MG | 1.7 | 1 | 85 | 85 |
64406-102-02 | J0172 | Biogen Inc. | Inj, aducanumab-avwa, 2 mg | 2 MG | 3 | 1 | 150 | 150 |
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 |
0002-9401-01 | J0175 | Eli Lilly and Company | Inj, donanemab-azbt, 2 mg | 2 MG | 20 | 1 | 175 | 175 |
61755-050-01 | J0177 | Regeneron Pharmaceuticals, Inc. | Inj, aflibercept hd, 1 mg | 1 MG | 0.07 | 1 | 8 | 8 |
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 Corporation | Inj, brolucizumab-dbll, 1 mg | 1 MG | 0.05 | 1 | 6 | 6 |
58468-0040-1 | J0180 | Genzyme Corporation | Agalsidase beta injection | 1 MG | 1 | 1 | 35 | 35 |
58468-0041-1 | J0180 | Genzyme Corporation | Agalsidase beta injection | 1 MG | 1 | 1 | 5 | 5 |
47426-201-01 | J0185 | Heron Therapeutics | Inj., aprepitant, 1 mg | 1 MG | 18 | 1 | 130 | 130 |
58468-0200-1 | J0202 | Genzyme Corporation | Injection, alemtuzumab | 1 MG | 1.2 | 1 | 12 | 12 |
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 |
10122-180-02 | J0217 | Chiesi USA, Inc. | Inj velmanase alfa-tycv 1 mg | 1 MG | 1 | 1 | 10 | 10 |
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 |
61958-2901-2 | J0248 | Gilead Sciences, Inc. | Inj, remdesivir, 1 mg | 1 MG | 1 | 1 | 100 | 100 |
0053-7201-02 | J0256 | CSL Behring L.L.C. | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 0.1 | 0.1 |
0053-7202-02 | J0256 | CSL Behring L.L.C. | Alpha 1 proteinase inhibitor | 10 MG | 1 | 1 | 0.1 | 0.1 |
0053-7203-02 | J0256 | CSL Behring L.L.C. | 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 | 0.1 | 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 | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
25021-173-04 | J0278 | Sagent Pharmaceuticals | Amikacin sulfate injection | 100 MG | 4 | 10 | 10 | 100 |
63323-815-02 | J0278 | FreseniUS Kabi USA, LLC | Amikacin sulfate injection | 100 MG | 2 | 10 | 5 | 50 |
63323-815-04 | J0278 | FreseniUS Kabi USA, LLC | 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 |
0409-5921-01 | 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 | HF Acquisition Co. LLC, DBA HealthFirst | Aminophyllin 250 mg inj | 250 MG | 10 | 1 | 1 | 1 |
51662-1204-3 | J0280 | HF Acquisition Co. LLC, DBA HealthFirst | Aminophyllin 250 mg inj | 250 MG | 10 | 25 | 1 | 25 |
51662-1341-1 | J0280 | HF Acquisition Co. LLC, DBA HealthFirst | Aminophyllin 250 mg inj | 250 MG | 20 | 1 | 2 | 2 |
51662-1341-3 | J0280 | HF Acquisition Co. LLC, DBA HealthFirst | Aminophyllin 250 mg inj | 250 MG | 20 | 25 | 2 | 50 |
0404-9812-20 | J0281 | Henry Schein Inc. | Inj aminocaproic acid 1 gram | 1 GM | 20 | 1 | 5 | 5 |
0409-4346-73 | J0281 | Pfizer Inc | Inj aminocaproic acid 1 gram | 1 GM | 20 | 25 | 5 | 125 |
0409-4346-73 | J0281 | Pfizer Inc | Inj aminocaproic acid 1 gram | 1 GM | 20 | 25 | 5 | 125 |
0517-9120-25 | J0281 | American Regent, Inc. | Inj aminocaproic acid 1 gram | 1 GM | 20 | 25 | 5 | 125 |
0517-9191-25 | J0281 | American Regent, Inc. | Inj aminocaproic acid 1 gram | 1 GM | 20 | 25 | 5 | 125 |
72572-015-25 | J0281 | Civica, Inc. | Inj aminocaproic acid 1 gram | 1 GM | 20 | 25 | 5 | 125 |
0143-9875-25 | J0282 | Hikma Pharmaceuticals USA Inc. | Amiodarone hcl | 30 MG | 3 | 25 | 5 | 125 |
0404-9815-03 | J0282 | Henry Schein Inc. | Amiodarone hcl | 30 MG | 3 | 1 | 5 | 5 |
25021-302-66 | J0282 | Sagent Pharmaceuticals | Amiodarone hcl | 30 MG | 3 | 10 | 5 | 50 |
51662-1205-1 | J0282 | HF Acquisition Co. LLC, DBA HealthFirst | Amiodarone hcl | 30 MG | 3 | 1 | 5 | 5 |
51662-1205-3 | J0282 | HF Acquisition Co. LLC, DBA HealthFirst | Amiodarone hcl | 30 MG | 3 | 25 | 5 | 125 |
51662-1358-1 | J0282 | HF Acquisition Co. LLC, DBA HealthFirst | Amiodarone hcl | 30 MG | 18 | 1 | 30 | 30 |
51662-1363-1 | J0282 | HF Acquisition Co. LLC, DBA HealthFirst | Amiodarone hcl | 30 MG | 3 | 1 | 5 | 5 |
63323-616-03 | J0282 | FreseniUS Kabi USA, LLC | Amiodarone hcl | 30 MG | 3 | 25 | 5 | 125 |
63323-616-09 | J0282 | FreseniUS Kabi USA, LLC | Amiodarone hcl | 30 MG | 9 | 10 | 15 | 150 |
67457-153-03 | J0282 | Mylan Institutional LLC | Amiodarone hcl | 30 MG | 3 | 10 | 5 | 50 |
67457-153-09 | J0282 | Mylan Institutional LLC | Amiodarone hcl | 30 MG | 9 | 10 | 15 | 150 |
67457-153-18 | J0282 | Mylan Institutional LLC | Amiodarone hcl | 30 MG | 18 | 1 | 30 | 30 |
70436-232-52 | J0282 | Slate Run Pharmaceuticals | Amiodarone hcl | 30 MG | 3 | 10 | 5 | 50 |
72078-046-09 | J0282 | Mylan Institutional LLC | Amiodarone hcl | 30 MG | 9 | 10 | 15 | 150 |
72078-046-18 | J0282 | Mylan Institutional LLC | Amiodarone hcl | 30 MG | 18 | 1 | 30 | 30 |
43066-150-10 | J0283 | Baxter Healthcare Corporation | Inj, amiodarone (nexterone) | 30 MG | 100 | 1 | 5 | 5 |
43066-360-20 | J0283 | Baxter Healthcare Corporation | Inj, amiodarone (nexterone) | 30 MG | 200 | 1 | 12 | 12 |
39822-1055-5 | J0285 | XGen Pharmaceuticals DJB, Inc. | Amphotericin b | 50 MG | 1 | 1 | 1 | 1 |
57665-101-41 | J0287 | Leadiant Biosciences, Inc. | Amphotericin b lipid complex | 10 MG | 20 | 1 | 10 | 10 |
0469-3051-30 | J0289 | Astellas Pharma US, Inc. | Amphotericin b liposome inj | 10 MG | 1 | 1 | 5 | 5 |
55150-365-01 | J0289 | Eugia US LLC | Amphotericin b liposome inj | 10 MG | 1 | 1 | 5 | 5 |
0404-9803-99 | J0290 | Henry Schein Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 2 | 2 |
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 |
0781-3400-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.25 | 3 |
0781-3402-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
0781-3404-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-3407-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
0781-3408-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-3409-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
0781-3412-92 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-3413-92 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-9242-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
0781-9250-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
0781-9261-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-9273-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-9401-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.25 | 3 |
0781-9402-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
0781-9404-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-9407-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
0781-9408-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
0781-9409-95 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
0781-9412-92 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
0781-9413-92 | J0290 | Sandoz Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
25021-134-10 | J0290 | Sagent Pharmaceuticals | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
25021-135-10 | J0290 | Sagent Pharmaceuticals | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
25021-136-10 | J0290 | Sagent Pharmaceuticals | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
25021-137-20 | J0290 | Sagent Pharmaceuticals | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
44567-100-10 | J0290 | WG Critical Care, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
44567-101-10 | J0290 | WG Critical Care, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
44567-102-10 | J0290 | WG Critical Care, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
44567-103-10 | J0290 | WG Critical Care, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
44567-104-01 | J0290 | WG Critical Care, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
50090-4552-0 | J0290 | A-S Medication Solutions | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 4 | 4 |
51662-1560-3 | J0290 | HF Acquisition Co. LLC, DBA HealthFirst | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
51662-1595-3 | J0290 | HF Acquisition Co. LLC, DBA HealthFirst | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
55150-113-10 | J0290 | Eugia US LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
55150-114-20 | J0290 | Eugia US LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
55150-115-99 | J0290 | Eugia US LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 20 | 200 |
65219-014-10 | J0290 | FreseniUS Kabi USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
65219-016-10 | J0290 | FreseniUS Kabi USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
65219-018-10 | J0290 | FreseniUS Kabi USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
65219-020-23 | J0290 | FreseniUS Kabi USA, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
66794-220-41 | J0290 | Piramal Critical Care Inc | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
66794-222-41 | J0290 | Piramal Critical Care Inc | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
66794-223-41 | J0290 | Piramal Critical Care Inc | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
66794-224-15 | J0290 | Piramal Critical Care Inc | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
67457-351-10 | J0290 | Mylan Pharmaceuticals Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
67457-352-10 | J0290 | Mylan Pharmaceuticals Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
67457-404-10 | J0290 | Mylan Pharmaceuticals Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
70594-084-02 | J0290 | Xellia Pharmaceuticals USA, LLC. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
70594-085-02 | J0290 | Xellia Pharmaceuticals USA, LLC. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
70594-087-02 | 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 Pharmaceutical Division, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 0.5 | 5 |
70860-113-15 | J0290 | Athenex Pharmaceutical Division, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
70860-114-15 | J0290 | Athenex Pharmaceutical Division, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 20 |
70860-115-26 | J0290 | Athenex Pharmaceutical Division, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 4 | 40 |
70860-118-99 | J0290 | Athenex Pharmaceutical Division, LLC | Ampicillin 500 mg inj | 500 MG | 1 | 1 | 20 | 20 |
72485-421-10 | J0290 | Armas Pharmaceuticals Inc. | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 2 | 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 |
72603-221-10 | J0290 | Northstar RxLLC | Ampicillin 500 mg inj | 500 MG | 1 | 10 | 1 | 10 |
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 |
0049-0024-28 | J0295 | Pfizer Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
0409-2689-01 | J0295 | Pfizer Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
0409-2689-01 | J0295 | Pfizer Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
0409-2987-03 | J0295 | Pfizer Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
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 | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 10 | 10 |
25021-143-30 | J0295 | Sagent Pharmaceuticals | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 20 | 20 |
25021-144-99 | J0295 | Sagent Pharmaceuticals | Ampicillin sulbactam 1.5 gm | 1.5 GM | 30 | 1 | 10 | 10 |
25021-188-99 | J0295 | Sagent Pharmaceuticals | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
44567-150-10 | J0295 | WG Critical Care, LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
44567-210-10 | J0295 | WG Critical Care, LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
44567-211-10 | J0295 | WG Critical Care, LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
44567-212-01 | J0295 | WG Critical Care, LLC | 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 | Eugia US 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 | Eugia US 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 | Eugia US LLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
66794-206-41 | J0295 | Piramal Critical Care Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
66794-207-41 | J0295 | Piramal Critical Care Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
66794-208-15 | J0295 | Piramal Critical Care Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
66794-241-41 | J0295 | Piramal Critical Care Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
66794-242-41 | J0295 | Piramal Critical Care Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
66794-243-15 | J0295 | Piramal Critical Care Inc | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
67457-348-10 | J0295 | Mylan Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
67457-349-10 | J0295 | Mylan Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
67457-649-10 | J0295 | Mylan Pharmaceuticals Inc. | 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 |
71288-031-92 | J0295 | Meitheal Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
71288-032-21 | J0295 | Meitheal Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
71288-032-92 | J0295 | Meitheal Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 2 | 20 |
71288-033-75 | J0295 | Meitheal Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
71288-033-91 | J0295 | Meitheal Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 1 | 10 | 10 |
72485-416-10 | J0295 | Armas Pharmaceuticals Inc. | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
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 |
72603-220-10 | J0295 | Northstar RxLLC | Ampicillin sulbactam 1.5 gm | 1.5 GM | 1 | 10 | 1 | 10 |
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 |
0049-2242-01 | J0348 | Pfizer Inc | Anidulafungin injection | 1 MG | 1 | 1 | 100 | 100 |
70842-240-01 | J0349 | Melinta Therapeutics, LLC | Inj, rezafungin, 1 mg | 1 MG | 1 | 1 | 200 | 200 |
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, Inc. | 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 |
50090-4518-0 | J0360 | A-S Medication Solutions | Hydralazine hcl injection | 20 MG | 1 | 1 | 1 | 1 |
51662-1376-1 | J0360 | HF Acquisition Co. LLC, DBA HealthFirst | Hydralazine hcl injection | 20 MG | 1 | 1 | 1 | 1 |
51662-1376-3 | J0360 | HF Acquisition Co. LLC, DBA HealthFirst | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
51662-1648-3 | J0360 | HF Acquisition Co. LLC, DBA 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 USA, LLC | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
63323-614-16 | J0360 | FreseniUS Kabi USA, LLC | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
63323-614-55 | J0360 | FreseniUS Kabi USA, LLC | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
72572-265-25 | J0360 | Civica, Inc. | Hydralazine hcl injection | 20 MG | 1 | 25 | 1 | 25 |
59148-018-71 | J0401 | Otsuka America Pharmaceuticals Inc. | Inj, abilify maintena, 1 mg | 1 MG | 1 | 1 | 300 | 300 |
59148-019-71 | J0401 | Otsuka America Pharmaceuticals Inc. | Inj, abilify maintena, 1 mg | 1 MG | 1 | 1 | 400 | 400 |
59148-045-80 | J0401 | Otsuka America Pharmaceuticals Inc. | Inj, abilify maintena, 1 mg | 1 MG | 1 | 1 | 300 | 300 |
59148-072-80 | J0401 | Otsuka America Pharmaceuticals Inc. | Inj, abilify maintena, 1 mg | 1 MG | 1 | 1 | 400 | 400 |
59148-232-12 | J0401 | Otsuka America Pharmaceuticals Inc. | Inj, abilify maintena, 1 mg | 1 MG | 1 | 1 | 300 | 300 |
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 |
0069-3150-83 | J0456 | Pfizer Inc | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
0409-0144-11 | J0456 | Pfizer Inc | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
0409-0144-11 | J0456 | Pfizer Inc | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
25021-180-66 | J0456 | Sagent Pharmaceuticals | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
55150-174-10 | J0456 | Eugia US LLC | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
63323-398-10 | J0456 | FreseniUS Kabi USA, LLC | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
63323-398-14 | J0456 | FreseniUS Kabi USA, LLC | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70095-025-02 | J0456 | Sun Pharmaceutical Industries, Inc. | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70436-019-82 | J0456 | Slate Run Pharmaceuticals | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70860-100-10 | J0456 | Athenex Pharmaceutical Division, LLC | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
70860-125-66 | J0456 | Athenex Pharmaceutical Division, LLC | Azithromycin | 500 MG | 1 | 10 | 1 | 10 |
0003-2560-16 | J0457 | E.R. Squibb & Sons, L.L.C. | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 10 | 100 |
0003-2570-16 | J0457 | E.R. Squibb & Sons, L.L.C. | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 20 | 200 |
0409-0829-01 | J0457 | Pfizer Inc | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 10 | 100 |
0409-0830-01 | J0457 | Pfizer Inc | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 20 | 200 |
50090-7494-0 | J0457 | A-S Medication Solutions | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 10 | 100 |
63323-401-20 | J0457 | FreseniUS Kabi USA, LLC | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 10 | 100 |
63323-401-24 | J0457 | FreseniUS Kabi USA, LLC | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 10 | 100 |
63323-401-26 | J0457 | FreseniUS Kabi USA, LLC | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 10 | 100 |
63323-402-20 | J0457 | FreseniUS Kabi USA, LLC | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 20 | 200 |
63323-402-24 | J0457 | FreseniUS Kabi USA, LLC | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 20 | 200 |
63323-402-30 | J0457 | FreseniUS Kabi USA, LLC | Injection, aztreonam, 100 mg | 100 MG | 1 | 10 | 20 | 200 |
0404-9802-01 | J0461 | Henry Schein Inc. | Atropine sulfate injection | 0.01 MG | 1 | 1 | 40 | 40 |
0404-9804-20 | J0461 | Henry Schein Inc. | Atropine sulfate injection | 0.01 MG | 20 | 1 | 800 | 800 |
0404-9807-10 | J0461 | Henry Schein Inc. | Atropine sulfate injection | 0.01 MG | 10 | 1 | 100 | 100 |
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 |
0404-9823-05 | J0461 | Henry Schein Inc. | Atropine sulfate injection | 0.01 MG | 5 | 1 | 25 | 25 |
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 |
0641-6251-10 | J0461 | Hikma Pharmaceuticals USA Inc. | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
16729-484-45 | J0461 | Accord Healthcare Inc | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
16729-512-43 | J0461 | Accord Healthcare Inc | Atropine sulfate injection | 0.01 MG | 20 | 10 | 800 | 8000 |
50090-3138-0 | J0461 | A-S Medication Solutions | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
50090-4524-0 | J0461 | A-S Medication Solutions | Atropine sulfate injection | 0.01 MG | 1 | 1 | 100 | 100 |
50090-5924-0 | J0461 | A-S Medication Solutions | Atropine sulfate injection | 0.01 MG | 1 | 10 | 10 | 100 |
51662-1207-1 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 10 | 1 | 100 | 100 |
51662-1207-3 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
51662-1208-1 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 5 | 1 | 50 | 50 |
51662-1208-3 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 5 | 10 | 50 | 500 |
51662-1289-1 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 10 | 1 | 100 | 100 |
51662-1289-3 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
51662-1527-3 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
51662-1619-1 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | Atropine sulfate injection | 0.01 MG | 20 | 1 | 800 | 800 |
51662-1619-3 | J0461 | HF Acquisition Co. LLC, DBA HealthFirst | 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 Pharmaceuticals, LLC | Atropine sulfate injection | 0.01 MG | 5 | 10 | 50 | 500 |
70121-1706-2 | J0461 | Amneal Pharmaceuticals, LLC | Atropine sulfate injection | 0.01 MG | 10 | 10 | 100 | 1000 |
70121-1706-4 | J0461 | Amneal Pharmaceuticals, LLC | Atropine sulfate injection | 0.01 MG | 10 | 24 | 100 | 2400 |
14789-161-05 | J0475 | Nexus Pharmaceuticals, LLC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
25021-678-20 | J0475 | Sagent Pharmaceuticals | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
25021-679-20 | J0475 | Sagent Pharmaceuticals | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
25021-680-20 | J0475 | Sagent Pharmaceuticals | Baclofen 10 mg injection | 10 MG | 20 | 1 | 2 | 2 |
66794-155-01 | J0475 | Piramal Critical Care Inc | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
66794-155-02 | J0475 | Piramal Critical Care Inc | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
66794-156-01 | J0475 | Piramal Critical Care Inc | Baclofen 10 mg injection | 10 MG | 20 | 1 | 2 | 2 |
66794-156-02 | J0475 | Piramal Critical Care Inc | Baclofen 10 mg injection | 10 MG | 20 | 1 | 2 | 2 |
66794-157-01 | J0475 | Piramal Critical Care Inc | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
66794-157-02 | J0475 | Piramal Critical Care Inc | 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, LLC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
70121-2502-2 | J0475 | Amneal Pharmaceuticals, LLC | Baclofen 10 mg injection | 10 MG | 5 | 2 | 1 | 2 |
70121-2503-1 | J0475 | Amneal Pharmaceuticals, LLC | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
70121-2504-2 | J0475 | Amneal Pharmaceuticals, LLC | Baclofen 10 mg injection | 10 MG | 20 | 2 | 1 | 2 |
70121-2505-2 | J0475 | Amneal Pharmaceuticals, LLC | Baclofen 10 mg injection | 10 MG | 20 | 2 | 4 | 8 |
70257-560-01 | J0475 | Saol Therapeutics Inc. | Baclofen 10 mg injection | 10 MG | 20 | 1 | 1 | 1 |
70257-560-02 | J0475 | Saol Therapeutics Inc. | Baclofen 10 mg injection | 10 MG | 20 | 2 | 1 | 2 |
70257-561-02 | J0475 | Saol Therapeutics Inc. | Baclofen 10 mg injection | 10 MG | 5 | 2 | 1 | 2 |
70257-563-01 | J0475 | Saol Therapeutics Inc. | Baclofen 10 mg injection | 10 MG | 20 | 1 | 4 | 4 |
70257-563-02 | J0475 | Saol Therapeutics Inc. | Baclofen 10 mg injection | 10 MG | 20 | 2 | 4 | 8 |
25021-681-71 | J0476 | Sagent Pharmaceuticals | Baclofen intrathecal trial | 50 MCG | 1 | 2 | 1 | 2 |
66794-151-01 | J0476 | Piramal Critical Care Inc | Baclofen intrathecal trial | 50 MCG | 1 | 1 | 1 | 1 |
70121-2496-5 | J0476 | Amneal Pharmaceuticals, LLC | Baclofen intrathecal trial | 50 MCG | 1 | 5 | 1 | 5 |
70257-562-55 | J0476 | Saol Therapeutics Inc. | 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 | 1 |
0003-0371-13 | J0485 | E.R. Squibb & Sons, L.L.C. | Belatacept injection | 1 MG | 1 | 1 | 250 | 250 |
49401-101-01 | J0490 | GlaxoSmithKline LLC | Belimumab injection | 10 MG | 5 | 1 | 12 | 12 |
49401-102-01 | J0490 | GlaxoSmithKline LLC | Belimumab injection | 10 MG | 20 | 1 | 40 | 40 |
0310-3040-00 | J0491 | AstraZeneca Pharmaceuticals LP | Inj anifrolumab-fnia 1mg | 1 MG | 2 | 1 | 300 | 300 |
0517-1980-05 | J0500 | American Regent, Inc. | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
0641-6173-10 | J0500 | Hikma Pharmaceuticals USA Inc. | Dicyclomine injection | 20 MG | 2 | 10 | 1 | 10 |
14789-010-02 | J0500 | Nexus Pharmaceuticals, LLC | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
50090-4553-0 | J0500 | A-S Medication Solutions | Dicyclomine injection | 20 MG | 2 | 1 | 1 | 1 |
51662-1559-3 | J0500 | HF Acquisition Co. LLC, DBA HealthFirst | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
58914-080-52 | J0500 | Allergan, Inc. | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
63323-842-02 | J0500 | FreseniUS Kabi USA, LLC | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
70436-147-81 | J0500 | Slate Run Pharmaceuticals | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
72266-127-05 | J0500 | Fosun Pharma USA Inc. | Dicyclomine injection | 20 MG | 2 | 5 | 1 | 5 |
0143-9233-05 | J0515 | Hikma Pharmaceuticals USA Inc. | 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 USA, LLC | Inj benztropine mesylate | 1 MG | 2 | 5 | 2 | 10 |
68382-860-10 | J0515 | Zydus Pharmaceuticals (USA) Inc. | Inj benztropine mesylate | 1 MG | 2 | 5 | 2 | 10 |
0310-1730-30 | J0517 | AstraZeneca Pharmaceuticals LP | Inj., benralizumab, 1 mg | 1 MG | 1 | 1 | 30 | 30 |
0310-1745-01 | J0517 | AstraZeneca Pharmaceuticals LP | Inj., benralizumab, 1 mg | 1 MG | 0.5 | 1 | 10 | 10 |
0310-1830-30 | J0517 | AstraZeneca Pharmaceuticals LP | 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 LLC | Inj, bezlotoxumab, 10 mg | 10 MG | 40 | 1 | 100 | 100 |
58284-208-01 | J0577 | Braeburn Inc. | Inj, brixadi, 7 days or less | Less than or equal to 7 days of therapy | 0.16 | 1 | 1 | 1 |
58284-216-01 | J0577 | Braeburn Inc. | Inj, brixadi, 7 days or less | Less than or equal to 7 days of therapy | 0.32 | 1 | 1 | 1 |
58284-224-01 | J0577 | Braeburn Inc. | Inj, brixadi, 7 days or less | Less than or equal to 7 days of therapy | 0.48 | 1 | 1 | 1 |
58284-232-01 | J0577 | Braeburn Inc. | Inj, brixadi, 7 days or less | Less than or equal to 7 days of therapy | 0.64 | 1 | 1 | 1 |
58284-228-01 | J0578 | Braeburn Inc. | Inj brixadi, more than 7 day | Greater than 7 days and up to 28 days of therapy | 0.36 | 1 | 1 | 1 |
58284-264-01 | J0578 | Braeburn Inc. | Inj brixadi, more than 7 day | Greater than 7 days and up to 28 days of therapy | 0.18 | 1 | 1 | 1 |
58284-296-01 | J0578 | Braeburn Inc. | Inj brixadi, more than 7 day | Greater than 7 days and up to 28 days of therapy | 0.27 | 1 | 1 | 1 |
0781-3158-95 | J0583 | Sandoz Inc. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
0781-9158-95 | J0583 | Sandoz Inc. | 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 | Eugia US LLC | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
63323-562-10 | J0583 | FreseniUS Kabi USA, LLC | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
63323-562-15 | J0583 | FreseniUS Kabi USA, LLC | 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 | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
70860-402-10 | J0583 | Athenex Pharmaceutical Division, LLC | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
70860-403-51 | J0583 | Athenex Pharmaceutical Division, LLC | Bivalirudin | 1 MG | 50 | 10 | 250 | 2500 |
71288-427-11 | J0583 | Meitheal Pharmaceuticals Inc. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
71288-427-92 | J0583 | Meitheal Pharmaceuticals Inc. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
72572-035-10 | J0583 | Civica, Inc. | Bivalirudin | 1 MG | 1 | 10 | 250 | 2500 |
83634-400-10 | J0583 | Avenacy 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 |
0023-1145-01 | J0585 | Allergan, Inc. | Injection,onabotulinumtoxina | 1 UNIT | 1 | 1 | 100 | 100 |
0023-3919-50 | J0585 | Allergan, Inc. | Injection,onabotulinumtoxina | 1 UNIT | 1 | 1 | 50 | 50 |
0023-3921-02 | J0585 | Allergan, Inc. | Injection,onabotulinumtoxina | 1 UNIT | 1 | 1 | 200 | 200 |
0023-9232-01 | J0585 | Allergan, Inc. | 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 UNITS | 1 | 1 | 100 | 100 |
15054-0530-6 | J0586 | Ipsen Biopharmaceuticals, Inc. | Abobotulinumtoxina | 5 UNITS | 1 | 1 | 60 | 60 |
10454-710-10 | J0587 | Supernus Pharmaceuticals, Inc. | Inj, rimabotulinumtoxinb | 100 UNITS | 0.5 | 1 | 25 | 25 |
10454-711-10 | J0587 | Supernus Pharmaceuticals, Inc. | Inj, rimabotulinumtoxinb | 100 UNITS | 1 | 1 | 50 | 50 |
10454-712-10 | J0587 | Supernus Pharmaceuticals, Inc. | 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 North America, Inc. | Incobotulinumtoxin a | 1 UNIT | 1 | 1 | 100 | 100 |
46783-161-01 | J0588 | Merz North America, Inc. | Incobotulinumtoxin a | 1 UNIT | 1 | 1 | 50 | 50 |
72960-112-01 | J0589 | Revance Therapeutics, Inc. | Inj daxibotulinumtoxina-lanm | 1 UNIT | 1 | 1 | 100 | 100 |
0409-2012-32 | J0592 | Pfizer Inc | Buprenorphine hydrochloride | 0.1 MG | 1 | 10 | 3 | 30 |
42023-179-05 | J0592 | Endo USA, Inc. | Buprenorphine hydrochloride | 0.1 MG | 1 | 5 | 3 | 15 |
47783-644-01 | J0593 | Takeda Pharmaceuticals America, Inc. | Inj., lanadelumab-flyo, 1 mg | 1 MG | 2 | 1 | 300 | 300 |
47783-645-01 | J0593 | Takeda Pharmaceuticals America, Inc. | Inj., lanadelumab-flyo, 1 mg | 1 MG | 1 | 1 | 150 | 150 |
47783-646-01 | J0593 | Takeda Pharmaceuticals America, Inc. | Inj., lanadelumab-flyo, 1 mg | 1 MG | 2 | 1 | 300 | 300 |
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 | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
59148-070-91 | J0594 | Otsuka America Pharmaceuticals Inc. | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
67457-893-08 | J0594 | Mylan Institutional LLC | Busulfan injection | 1 MG | 10 | 8 | 60 | 480 |
70860-216-10 | J0594 | Athenex Pharmaceutical Division, LLC | 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 |
0409-1626-01 | 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 |
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 L.L.C. | C-1 esterase, berinert | 10 UNITS | 1 | 1 | 50 | 50 |
42227-083-01 | J0598 | Takeda Pharmaceuticals America, Inc. | C-1 esterase, cinryze | 10 UNITS | 1 | 1 | 50 | 50 |
64980-588-51 | J0600 | Rising Pharmaceuticals Inc. | Edetate calcium disodium inj | 1000 MG | 5 | 5 | 1 | 5 |
0143-9180-25 | J0612 | Hikma Pharmaceuticals USA Inc. | Inj, calcium gluconate, nos | 10 MG | 10 | 25 | 100 | 2500 |
0143-9184-25 | J0612 | Hikma Pharmaceuticals USA Inc. | Inj, calcium gluconate, nos | 10 MG | 50 | 25 | 500 | 12500 |
0404-9831-10 | J0612 | Henry Schein Inc. | Inj, calcium gluconate, nos | 10 MG | 10 | 1 | 100 | 100 |
0404-9831-50 | J0612 | Henry Schein Inc. | Inj, calcium gluconate, nos | 10 MG | 50 | 1 | 500 | 500 |
51662-1312-1 | J0612 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, calcium gluconate, nos | 10 MG | 10 | 1 | 100 | 100 |
63323-360-19 | J0612 | FreseniUS Kabi USA, LLC | Inj, calcium gluconate, nos | 10 MG | 10 | 25 | 100 | 2500 |
63323-360-59 | J0612 | FreseniUS Kabi USA, LLC | Inj, calcium gluconate, nos | 10 MG | 50 | 25 | 500 | 12500 |
63323-360-61 | J0612 | FreseniUS Kabi USA, LLC | Inj, calcium gluconate, nos | 10 MG | 100 | 20 | 1000 | 20000 |
65219-162-10 | J0612 | FreseniUS Kabi USA, LLC | Inj, calcium gluconate, nos | 10 MG | 50 | 24 | 100 | 2400 |
65219-164-50 | J0612 | FreseniUS Kabi USA, LLC | Inj, calcium gluconate, nos | 10 MG | 100 | 24 | 200 | 4800 |
65219-630-19 | J0612 | FreseniUS Kabi USA, LLC | Inj, calcium gluconate, nos | 10 MG | 10 | 25 | 100 | 2500 |
75834-171-19 | J0612 | Nivagen Pharmaceuticals, Inc. | Inj, calcium gluconate, nos | 10 MG | 10 | 25 | 100 | 2500 |
80830-1672-2 | J0612 | Amneal Pharmaceuticals, LLC | Inj, calcium gluconate, nos | 10 MG | 10 | 10 | 100 | 1000 |
80830-1673-2 | J0612 | Amneal Pharmaceuticals, LLC | Inj, calcium gluconate, nos | 10 MG | 50 | 10 | 500 | 5000 |
80830-1674-2 | J0612 | Amneal Pharmaceuticals, LLC | Inj, calcium gluconate, nos | 10 MG | 100 | 10 | 1000 | 10000 |
80830-2362-2 | J0612 | Amneal Pharmaceuticals, LLC | Inj, calcium gluconate, nos | 10 MG | 50 | 12 | 100 | 1200 |
80830-2362-9 | J0612 | Amneal Pharmaceuticals Private Limited | Inj, calcium gluconate, nos | 10 MG | 50 | 24 | 100 | 2400 |
80830-2363-2 | J0612 | Amneal Pharmaceuticals, LLC | Inj, calcium gluconate, nos | 10 MG | 100 | 12 | 200 | 2400 |
80830-2363-9 | J0612 | Amneal Pharmaceuticals Private Limited | Inj, calcium gluconate, nos | 10 MG | 100 | 24 | 200 | 4800 |
44567-620-24 | J0613 | WG Critical Care, LLC | Calcium glucon (wg critical) | 10 MG | 50 | 24 | 100 | 2400 |
44567-621-24 | J0613 | WG Critical Care, LLC | Calcium glucon (wg critical) | 10 MG | 100 | 24 | 200 | 4800 |
44567-622-24 | J0613 | WG Critical Care, LLC | Calcium glucon (wg critical) | 10 MG | 100 | 24 | 100 | 2400 |
0143-9660-10 | J0616 | Hikma Pharmaceuticals USA Inc. | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
0143-9873-25 | J0616 | Hikma Pharmaceuticals USA Inc. | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 25 | 5 | 125 |
0409-1778-05 | J0616 | Pfizer Inc | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
0409-1778-05 | J0616 | Pfizer Inc | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
0409-2016-10 | J0616 | Pfizer Inc | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
25021-303-05 | J0616 | Sagent Pharmaceuticals | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
36000-033-10 | J0616 | Baxter Healthcare Corporation | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
51662-1365-1 | J0616 | HF Acquisition Co. LLC, DBA HealthFirst | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 1 | 5 | 5 |
51662-1478-3 | J0616 | HF Acquisition Co. LLC, DBA HealthFirst | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
63323-660-05 | J0616 | FreseniUS Kabi USA, LLC | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
72266-122-05 | J0616 | Fosun Pharma USA Inc. | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 5 | 5 | 25 |
72266-122-25 | J0616 | Fosun Pharma USA Inc. | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 25 | 5 | 125 |
72572-420-10 | J0616 | Civica, Inc. | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
72611-740-10 | J0616 | Almaject, Inc. | Inj metoprolol tartrate 1 mg | 1 MG | 5 | 10 | 5 | 50 |
0006-3822-10 | J0637 | Merck Sharp & Dohme LLC | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
0006-3823-10 | J0637 | Merck Sharp & Dohme LLC | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
0781-3421-94 | J0637 | Sandoz Inc. | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
0781-3423-94 | J0637 | Sandoz Inc. | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
25021-194-10 | J0637 | Sagent Pharmaceuticals | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
25021-195-10 | J0637 | Sagent Pharmaceuticals | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
59923-613-70 | J0637 | Areva Pharmaceuticals | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
59923-614-50 | J0637 | Areva Pharmaceuticals | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
63323-356-10 | J0637 | FreseniUS Kabi USA, LLC | Caspofungin acetate | 5 MG | 1 | 10 | 10 | 100 |
63323-358-10 | J0637 | FreseniUS Kabi USA, LLC | Caspofungin acetate | 5 MG | 1 | 10 | 14 | 140 |
70860-106-10 | J0637 | Athenex Pharmaceutical Division, LLC | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
70860-107-10 | J0637 | Athenex Pharmaceutical Division, LLC | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
72266-106-01 | J0637 | Fosun Pharma USA Inc. | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
72266-107-01 | J0637 | Fosun Pharma USA Inc. | Caspofungin acetate | 5 MG | 1 | 1 | 14 | 14 |
72611-700-01 | J0637 | Almaject, Inc. | Caspofungin acetate | 5 MG | 1 | 1 | 10 | 10 |
72611-702-01 | J0637 | Almaject, Inc. | 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 | Leucovorin calcium injection | 50 MG | 1 | 10 | 1 | 10 |
25021-813-10 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 10 | 1 | 10 |
25021-814-30 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
25021-814-30 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
25021-815-30 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
25021-815-30 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
25021-816-30 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
25021-816-30 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
25021-816-67 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
25021-816-67 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
25021-828-50 | J0640 | Sagent Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 10 | 10 |
63323-631-10 | J0640 | FreseniUS Kabi USA, LLC | Leucovorin calcium injection | 50 MG | 10 | 1 | 2 | 2 |
63323-631-50 | J0640 | FreseniUS Kabi USA, LLC | Leucovorin calcium injection | 50 MG | 50 | 1 | 10 | 10 |
63323-710-50 | J0640 | FreseniUS Kabi USA, LLC | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
63323-711-00 | J0640 | FreseniUS Kabi USA, LLC | 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 | BluePoint Laboratories | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
68001-417-37 | J0640 | BluePoint Laboratories | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
68001-418-38 | J0640 | BluePoint Laboratories | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
70436-116-82 | J0640 | Slate Run Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 10 | 1 | 10 |
70436-117-80 | J0640 | Slate Run Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 2 | 2 |
70436-118-80 | J0640 | Slate Run Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 4 | 4 |
70436-119-80 | J0640 | Slate Run Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 7 | 7 |
70436-120-80 | J0640 | Slate Run Pharmaceuticals | Leucovorin calcium injection | 50 MG | 1 | 1 | 10 | 10 |
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 |
70121-1099-1 | J0641 | Amneal Pharmaceuticals, LLC | Inj levoleucovorin nos 0.5mg | 0.5 MG | 1 | 1 | 100 | 100 |
70121-1572-1 | J0641 | Amneal Pharmaceuticals, LLC | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
70436-209-80 | J0641 | Slate Run Pharmaceuticals | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
71288-104-10 | J0641 | Meitheal Pharmaceuticals Inc. | 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 USA Inc. | Inj levoleucovorin nos 0.5mg | 0.5 MG | 17.5 | 1 | 350 | 350 |
72893-004-01 | J0642 | Acrotech Biopharma LLC | Injection, khapzory, 0.5 mg | 0.5 MG | 1 | 1 | 350 | 350 |
25021-468-10 | J0650 | Sagent Pharmaceuticals | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 10 | 10 |
25021-469-10 | J0650 | Sagent Pharmaceuticals | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 20 | 20 |
25021-470-10 | J0650 | Sagent Pharmaceuticals | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 50 | 50 |
42023-201-01 | J0650 | Endo USA, Inc. | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 10 | 10 |
42023-202-01 | J0650 | Endo USA, Inc. | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 20 | 20 |
42023-203-01 | J0650 | Endo USA, Inc. | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 50 | 50 |
63323-647-10 | J0650 | FreseniUS Kabi USA, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 20 | 20 |
63323-647-10 | J0650 | FreseniUS Kabi USA, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 20 | 20 |
63323-648-10 | J0650 | FreseniUS Kabi USA, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 50 | 50 |
63323-649-07 | J0650 | FreseniUS Kabi USA, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 5 | 1 | 10 | 10 |
63323-649-16 | J0650 | FreseniUS Kabi USA, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 10 | 10 |
63323-649-94 | J0650 | FreseniUS Kabi USA, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 5 | 1 | 10 | 10 |
70710-1833-1 | J0650 | Zydus Pharmaceuticals (Usa) Inc. | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 10 | 10 |
70710-1834-1 | J0650 | Zydus Pharmaceuticals (Usa) Inc. | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 20 | 20 |
70710-1835-1 | J0650 | Zydus Pharmaceuticals (Usa) Inc. | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 50 | 50 |
70860-451-10 | J0650 | Athenex Pharmaceutical Division, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 10 | 10 |
70860-452-10 | J0650 | Athenex Pharmaceutical Division, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 20 | 20 |
70860-453-10 | J0650 | Athenex Pharmaceutical Division, LLC | Inj, levothyroxine nos 10mcg | 10 MCG | 1 | 1 | 50 | 50 |
63323-885-10 | J0651 | FreseniUS Kabi USA, LLC | Inj, levothyroxine, freskabi | 10 MCG | 5 | 1 | 10 | 10 |
63323-885-12 | J0651 | FreseniUS Kabi USA, LLC | Inj, levothyroxine, freskabi | 10 MCG | 5 | 1 | 10 | 10 |
63323-885-14 | J0651 | FreseniUS Kabi USA, LLC | Inj, levothyroxine, freskabi | 10 MCG | 5 | 1 | 10 | 10 |
63323-890-10 | J0651 | FreseniUS Kabi USA, LLC | Inj, levothyroxine, freskabi | 10 MCG | 5 | 1 | 20 | 20 |
63323-895-10 | J0651 | FreseniUS Kabi USA, LLC | Inj, levothyroxine, freskabi | 10 MCG | 5 | 1 | 50 | 50 |
24201-002-01 | J0652 | Hikma Pharmaceuticals USA Inc. | Inj, levothyroxine, hikma | 10 MCG | 1 | 1 | 10 | 10 |
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 | Hikma Pharmaceuticals USA Inc. | 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 |
0409-0525-25 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
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 |
0409-1162-01 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
0409-1162-02 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
0409-1162-02 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
0409-1162-10 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
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 | Pfizer 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 |
0409-1587-50 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
0409-1610-50 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
0409-1761-10 | J0665 | Pfizer 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 |
0409-5010-25 | J0665 | Pfizer Inc | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
50090-4516-0 | J0665 | A-S Medication Solutions | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
51662-1396-1 | J0665 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
51662-1396-3 | J0665 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
51662-1581-3 | J0665 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
51662-1588-3 | J0665 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
51662-1592-3 | J0665 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
52584-465-57 | J0665 | Henry Schein Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
52584-467-57 | J0665 | Henry Schein Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
55150-167-10 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 50 | 1250 |
55150-168-30 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 150 | 3750 |
55150-169-10 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
55150-170-30 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
55150-171-10 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 150 | 3750 |
55150-172-30 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 450 | 11250 |
55150-249-50 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
55150-250-50 | J0665 | Eugia US LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
63323-464-17 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 50 | 1250 |
63323-464-37 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 150 | 3750 |
63323-464-38 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 50 | 1250 |
63323-464-39 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 150 | 3750 |
63323-465-57 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 250 | 6250 |
63323-466-17 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
63323-466-37 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
63323-466-38 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 100 | 2500 |
63323-466-39 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 300 | 7500 |
63323-467-57 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 25 | 500 | 12500 |
63323-472-17 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 150 | 3750 |
63323-472-17 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 25 | 150 | 3750 |
63323-472-37 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 450 | 11250 |
63323-472-37 | J0665 | FreseniUS Kabi USA, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 25 | 450 | 11250 |
70594-114-02 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 50 | 500 |
70594-115-01 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 150 | 150 |
70594-116-01 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
70594-117-02 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 100 | 1000 |
70594-118-01 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 300 | 300 |
70594-119-01 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
70594-120-02 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 10 | 150 | 1500 |
70594-121-01 | J0665 | Xellia Pharmaceuticals USA, LLC. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 450 | 450 |
71288-721-11 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 1 | 50 | 50 |
71288-722-32 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 150 | 150 |
71288-723-52 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 250 | 250 |
71288-724-11 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 1 | 100 | 100 |
71288-725-32 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 300 | 300 |
71288-726-52 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 50 | 1 | 500 | 500 |
71288-727-11 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 10 | 1 | 150 | 150 |
71288-728-32 | J0665 | Meitheal Pharmaceuticals Inc. | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 30 | 1 | 450 | 450 |
71351-022-10 | J0665 | Brookfield Pharmaceuticals, LLC | Inj, bupivacaine, nos, 0.5mg | 0.5 MG | 2 | 10 | 30 | 300 |
65250-133-04 | J0666 | Pacira Pharmaceuticals, Inc. | Inj, bupivacaine liposome | 1 MG | 10 | 4 | 133 | 532 |
65250-133-09 | J0666 | Pacira Pharmaceuticals, Inc. | Inj, bupivacaine liposome | 1 MG | 10 | 10 | 133 | 1330 |
65250-266-04 | J0666 | Pacira Pharmaceuticals, Inc. | Inj, bupivacaine liposome | 1 MG | 20 | 4 | 266 | 1064 |
65250-266-09 | J0666 | Pacira Pharmaceuticals, Inc. | Inj, bupivacaine liposome | 1 MG | 20 | 10 | 266 | 2660 |
50090-4408-0 | J0670 | A-S Medication Solutions | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 1 | 5 | 5 |
50090-4517-0 | J0670 | A-S Medication Solutions | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 1 | 5 | 5 |
51662-1403-3 | J0670 | HF Acquisition Co. LLC, DBA HealthFirst | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 1 | 3 | 3 |
51662-1534-3 | J0670 | HF Acquisition Co. LLC, DBA HealthFirst | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
51662-1535-3 | J0670 | HF Acquisition Co. LLC, DBA HealthFirst | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
63323-260-37 | J0670 | FreseniUS Kabi USA, LLC | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 25 | 3 | 75 |
63323-283-57 | J0670 | FreseniUS Kabi USA, LLC | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
63323-293-37 | J0670 | FreseniUS Kabi USA, LLC | Inj mepivacaine hcl/10 ml | 10 ML | 30 | 25 | 3 | 75 |
63323-294-27 | J0670 | FreseniUS Kabi USA, LLC | Inj mepivacaine hcl/10 ml | 10 ML | 20 | 25 | 2 | 50 |
63323-296-57 | J0670 | FreseniUS Kabi USA, LLC | Inj mepivacaine hcl/10 ml | 10 ML | 50 | 25 | 5 | 125 |
44567-840-25 | J0687 | WG Critical Care, LLC | Inj cefazolin (wg crit care) | 500 MG | 1 | 25 | 4 | 100 |
44567-845-25 | J0687 | WG Critical Care, LLC | Inj cefazolin (wg crit care) | 500 MG | 1 | 25 | 6 | 150 |
0143-9139-25 | J0688 | Hikma Pharmaceuticals USA Inc. | Inj cefazolin sodium, hikma | 500 MG | 1 | 25 | 4 | 100 |
0143-9140-25 | J0688 | Hikma Pharmaceuticals USA Inc. | Inj cefazolin sodium, hikma | 500 MG | 1 | 25 | 6 | 150 |
0338-0096-06 | J0689 | Baxter Healthcare Corporation | Inj cefazolin sodium, baxter | 500 MG | 150 | 6 | 6 | 36 |
0338-3503-41 | J0689 | Baxter Healthcare Corporation | Inj cefazolin sodium, baxter | 500 MG | 50 | 24 | 2 | 48 |
0338-3508-41 | J0689 | Baxter Healthcare Corporation | 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 |
0264-3103-11 | 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 Inc. | Cefazolin sodium injection | 500 MG | 1 | 10 | 1 | 10 |
0781-3451-96 | J0690 | Sandoz Inc. | Cefazolin sodium injection | 500 MG | 10 | 25 | 2 | 50 |
0781-3452-95 | J0690 | Sandoz Inc. | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
25021-100-10 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-100-10 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-100-66 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-100-66 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-101-10 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
25021-101-10 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
25021-101-67 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
25021-101-67 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
25021-102-69 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
25021-102-69 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
25021-102-99 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
25021-102-99 | J0690 | Sagent Pharmaceuticals | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
44567-120-25 | J0690 | WG Critical Care, LLC | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
44567-706-25 | J0690 | WG Critical Care, LLC | Cefazolin sodium injection | 500 MG | 1 | 25 | 1 | 25 |
44567-707-25 | J0690 | WG Critical Care, LLC | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
44567-708-10 | J0690 | WG Critical Care, LLC | 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 |
52584-923-90 | J0690 | Henry Schein Inc. | Cefazolin sodium injection | 500 MG | 1 | 1 | 1 | 1 |
52584-924-90 | J0690 | Henry Schein Inc. | Cefazolin sodium injection | 500 MG | 1 | 1 | 2 | 2 |
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 |
60505-6231-5 | J0690 | Apotex Corp | Cefazolin sodium injection | 500 MG | 1 | 25 | 4 | 100 |
60505-6243-4 | J0690 | Apotex Corp | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
60505-6244-4 | J0690 | Apotex Corp | Cefazolin sodium injection | 500 MG | 1 | 10 | 20 | 200 |
60505-6266-5 | J0690 | Apotex Corp | Cefazolin sodium injection | 500 MG | 1 | 25 | 6 | 150 |
63323-237-10 | J0690 | FreseniUS Kabi USA, LLC | Cefazolin sodium injection | 500 MG | 1 | 25 | 2 | 50 |
63323-238-61 | J0690 | FreseniUS Kabi USA, LLC | 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 | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
25021-121-20 | J0692 | Sagent Pharmaceuticals | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
25021-121-66 | J0692 | Sagent Pharmaceuticals | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
25021-121-66 | J0692 | Sagent Pharmaceuticals | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
25021-122-50 | J0692 | Sagent Pharmaceuticals | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
25021-122-50 | J0692 | Sagent Pharmaceuticals | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
25021-122-67 | J0692 | Sagent Pharmaceuticals | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
25021-122-67 | J0692 | Sagent Pharmaceuticals | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
44567-130-10 | J0692 | WG Critical Care, LLC | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
44567-131-10 | J0692 | WG Critical Care, LLC | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
44567-240-10 | J0692 | WG Critical Care, LLC | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
44567-241-10 | J0692 | WG Critical Care, LLC | 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 Corp | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
60505-6246-4 | J0692 | Apotex Corp | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
63323-326-20 | J0692 | FreseniUS Kabi USA, LLC | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
63323-340-20 | J0692 | FreseniUS Kabi USA, LLC | Cefepime hcl for injection | 500 MG | 1 | 10 | 4 | 40 |
66794-209-41 | J0692 | Piramal Critical Care Inc | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
70594-089-02 | J0692 | Xellia Pharmaceuticals USA, LLC. | Cefepime hcl for injection | 500 MG | 1 | 10 | 2 | 20 |
70594-090-02 | J0692 | Xellia Pharmaceuticals USA, LLC. | 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 | Cefoxitin sodium injection | 1 GM | 1 | 10 | 1 | 10 |
25021-110-20 | J0694 | Sagent Pharmaceuticals | Cefoxitin sodium injection | 1 GM | 1 | 10 | 2 | 20 |
25021-111-99 | J0694 | Sagent Pharmaceuticals | Cefoxitin sodium injection | 1 GM | 1 | 10 | 10 | 100 |
44567-245-25 | J0694 | WG Critical Care, LLC | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
44567-246-25 | J0694 | WG Critical Care, LLC | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
44567-247-10 | J0694 | WG Critical Care, LLC | Cefoxitin sodium injection | 1 GM | 1 | 10 | 10 | 100 |
63323-341-25 | J0694 | FreseniUS Kabi USA, LLC | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
63323-341-29 | J0694 | FreseniUS Kabi USA, LLC | Cefoxitin sodium injection | 1 GM | 1 | 25 | 1 | 25 |
63323-342-25 | J0694 | FreseniUS Kabi USA, LLC | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
63323-342-29 | J0694 | FreseniUS Kabi USA, LLC | Cefoxitin sodium injection | 1 GM | 1 | 25 | 2 | 50 |
67919-030-01 | J0695 | Merck Sharp & Dohme LLC | 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 Healthcare Corporation | Ceftriaxone sodium injection | 250 MG | 50 | 24 | 4 | 96 |
0338-5003-41 | J0696 | Baxter Healthcare Corporation | Ceftriaxone sodium injection | 250 MG | 50 | 24 | 8 | 192 |
0409-7332-01 | J0696 | Pfizer Inc | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
0409-7332-01 | 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 |
0409-7332-20 | 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 |
0409-7335-03 | 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 |
0409-7335-20 | 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 |
0409-7336-04 | 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 Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 1 | 1 |
0781-3206-95 | J0696 | Sandoz Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
0781-3207-85 | J0696 | Sandoz Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 2 | 2 |
0781-3207-95 | J0696 | Sandoz Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
0781-3208-85 | J0696 | Sandoz Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 4 | 4 |
0781-3208-95 | J0696 | Sandoz Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
0781-3209-95 | J0696 | Sandoz Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
0781-3210-46 | J0696 | Sandoz Inc. | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
25021-105-10 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
25021-105-66 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
25021-106-10 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
25021-106-10 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
25021-106-67 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
25021-106-67 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
25021-107-20 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
25021-107-20 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
25021-107-68 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
25021-107-68 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
25021-108-69 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
25021-108-99 | J0696 | Sagent Pharmaceuticals | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
44567-700-25 | J0696 | WG Critical Care, LLC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
44567-701-25 | J0696 | WG Critical Care, LLC | 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, LLC | 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, LLC | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
50090-0944-0 | J0696 | A-S Medication Solutions | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
50090-0945-0 | J0696 | A-S Medication Solutions | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
50090-1875-0 | J0696 | A-S Medication Solutions | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
50090-2444-0 | J0696 | A-S Medication Solutions | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 1 | 1 |
50090-3810-1 | J0696 | A-S Medication Solutions | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
50090-3838-0 | J0696 | A-S Medication Solutions | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 2 | 2 |
50090-4689-0 | J0696 | A-S Medication Solutions | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
60505-6148-4 | J0696 | Apotex Corp | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 4 | 40 |
60505-6149-4 | J0696 | Apotex Corp | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 8 | 80 |
60505-6150-5 | J0696 | Apotex Corp | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 40 | 40 |
60505-6151-1 | J0696 | Apotex Corp | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 1 | 10 |
60505-6151-4 | J0696 | Apotex Corp | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 1 | 1 |
60505-6152-1 | J0696 | Apotex Corp | Ceftriaxone sodium injection | 250 MG | 1 | 10 | 2 | 20 |
60505-6152-4 | J0696 | Apotex Corp | Ceftriaxone sodium injection | 250 MG | 1 | 1 | 2 | 2 |
63323-346-10 | J0696 | FreseniUS Kabi USA, LLC | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 4 | 100 |
66794-211-42 | J0696 | Piramal Critical Care Inc | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 1 | 25 |
66794-212-42 | J0696 | Piramal Critical Care Inc | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 2 | 50 |
66794-214-42 | J0696 | Piramal Critical Care Inc | Ceftriaxone sodium injection | 250 MG | 1 | 25 | 8 | 200 |
66794-215-15 | J0696 | Piramal Critical Care Inc | 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 | Sterile cefuroxime injection | 750 MG | 1 | 25 | 1 | 25 |
25021-119-20 | J0697 | Sagent Pharmaceuticals | 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 Healthcare Corporation | Inj. cefepime hcl (baxter) | 500 MG | 50 | 24 | 2 | 48 |
0338-1301-48 | J0701 | Baxter Healthcare Corporation | Inj. cefepime hcl (baxter) | 500 MG | 100 | 12 | 4 | 48 |
0517-0720-01 | J0702 | American Regent, Inc. | Betamethasone acet&sod phosp | 3 MG & 3 MG | 5 | 1 | 5 | 5 |
0517-0791-01 | J0702 | American Regent, Inc. | Betamethasone acet&sod phosp | 3 MG & 3 MG | 5 | 1 | 5 | 5 |
0517-0799-01 | J0702 | American Regent, Inc. | 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 | Allergan, Inc. | Ceftaroline fosamil inj | 10 MG | 1 | 10 | 40 | 400 |
0456-0600-10 | J0712 | Allergan, Inc. | 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 |
0409-5082-16 | 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 |
0409-5084-11 | 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 | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
25021-127-20 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
25021-127-66 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
25021-127-66 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
25021-128-50 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
25021-128-50 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
25021-128-67 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
25021-128-67 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
25021-129-69 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
25021-129-69 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
25021-129-99 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
25021-129-99 | J0713 | Sagent Pharmaceuticals | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
44567-235-25 | J0713 | WG Critical Care, LLC | Inj ceftazidime per 500 mg | 500 MG | 1 | 25 | 2 | 50 |
44567-236-10 | J0713 | WG Critical Care, LLC | Inj ceftazidime per 500 mg | 500 MG | 1 | 10 | 4 | 40 |
44567-237-06 | J0713 | WG Critical Care, LLC | Inj ceftazidime per 500 mg | 500 MG | 1 | 6 | 12 | 72 |
0456-2700-10 | J0714 | Allergan, Inc. | Ceftazidime and avibactam | .625 GM | 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 |
50090-7089-0 | J0725 | A-S Medication Solutions | Chorionic gonadotropin/1000u | 1000 UNITS | 1 | 1 | 10 | 10 |
55566-1502-1 | J0725 | Ferring Pharmaceuticals Inc. | Chorionic gonadotropin/1000u | 1000 UNITS | 1 | 1 | 5 | 5 |
63323-030-11 | J0725 | FreseniUS Kabi USA, LLC | 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 | XGen Pharmaceuticals DJB, Inc. | Clonidine hydrochloride | 1 MG | 10 | 1 | 1 | 1 |
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 |
0143-9267-01 | J0736 | Hikma Pharmaceuticals USA Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 1 | 1 | 1 |
0143-9268-01 | J0736 | Hikma Pharmaceuticals USA Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 1 | 2 | 2 |
0143-9269-01 | J0736 | Hikma Pharmaceuticals USA Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 1 | 3 | 3 |
0338-3410-24 | J0736 | Baxter Healthcare Corporation | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 1 | 24 |
0338-3612-24 | J0736 | Baxter Healthcare Corporation | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
0338-3616-24 | J0736 | Baxter Healthcare Corporation | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
0338-3814-24 | J0736 | Baxter Healthcare Corporation | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
0338-4114-24 | J0736 | Baxter Healthcare Corporation | 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 Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 1 | 24 |
0781-3289-09 | J0736 | Sandoz Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
0781-3290-09 | J0736 | Sandoz Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
25021-115-02 | J0736 | Sagent Pharmaceuticals | Inj, clindamycin phosp 300mg | 300 MG | 2 | 25 | 1 | 25 |
25021-115-02 | J0736 | Sagent Pharmaceuticals | Inj, clindamycin phosp 300mg | 300 MG | 2 | 25 | 1 | 25 |
25021-115-04 | J0736 | Sagent Pharmaceuticals | Inj, clindamycin phosp 300mg | 300 MG | 4 | 25 | 2 | 50 |
25021-115-04 | J0736 | Sagent Pharmaceuticals | Inj, clindamycin phosp 300mg | 300 MG | 4 | 25 | 2 | 50 |
25021-115-06 | J0736 | Sagent Pharmaceuticals | Inj, clindamycin phosp 300mg | 300 MG | 6 | 25 | 3 | 75 |
25021-115-06 | J0736 | Sagent Pharmaceuticals | Inj, clindamycin phosp 300mg | 300 MG | 6 | 25 | 3 | 75 |
43066-993-24 | J0736 | Baxter Healthcare Corporation | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
43066-995-24 | J0736 | Baxter Healthcare Corporation | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
72572-074-24 | J0736 | Civica, Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 2 | 48 |
72572-076-24 | J0736 | Civica, Inc. | Inj, clindamycin phosp 300mg | 300 MG | 50 | 24 | 3 | 72 |
0338-9545-24 | J0737 | Baxter Healthcare Corporation | Inj, clindamycin (baxter) | 300 MG | 50 | 24 | 1 | 24 |
0338-9549-24 | J0737 | Baxter Healthcare Corporation | Inj, clindamycin (baxter) | 300 MG | 50 | 24 | 2 | 48 |
0338-9553-24 | J0737 | Baxter Healthcare Corporation | Inj, clindamycin (baxter) | 300 MG | 50 | 24 | 3 | 72 |
49702-264-23 | J0739 | ViiV Healthcare Company | Hiv prep, inj, cabotegravir | 1 MG | 3 | 1 | 600 | 600 |
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 | ViiV Healthcare Company | Inj, cabote rilpivir 2mg 3mg | 2 MG - 3 MG | 6 | 1 | 300 | 300 |
49702-253-15 | J0741 | ViiV Healthcare Company | Inj, cabote rilpivir 2mg 3mg | 2 MG - 3 MG | 4 | 1 | 200 | 200 |
0006-3856-02 | J0742 | Merck Sharp & Dohme LLC | Inj imip 4 cilas 4 releb 2mg | 4 MG-4 MG-2 MG | 1 | 25 | 125 | 3125 |
0006-3516-59 | J0743 | Merck Sharp & Dohme LLC | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
44567-705-10 | J0743 | WG Critical Care, LLC | Cilastatin sodium injection | 250 MG | 1 | 10 | 2 | 20 |
63323-322-25 | J0743 | FreseniUS Kabi USA, LLC | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
63323-322-93 | J0743 | FreseniUS Kabi USA, LLC | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
63323-322-94 | J0743 | FreseniUS Kabi USA, LLC | Cilastatin sodium injection | 250 MG | 1 | 25 | 2 | 50 |
63323-349-25 | J0743 | FreseniUS Kabi USA, LLC | Cilastatin sodium injection | 250 MG | 1 | 25 | 1 | 25 |
0409-2300-24 | J0744 | Pfizer Inc | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
0409-3300-24 | J0744 | Pfizer Inc | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
25021-114-82 | J0744 | Sagent Pharmaceuticals | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
25021-114-82 | J0744 | Sagent Pharmaceuticals | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
25021-114-87 | J0744 | Sagent Pharmaceuticals | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
25021-114-87 | J0744 | Sagent Pharmaceuticals | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
25021-192-82 | J0744 | Sagent Pharmaceuticals | Ciprofloxacin iv | 200 MG | 100 | 24 | 1 | 24 |
25021-192-87 | J0744 | Sagent Pharmaceuticals | Ciprofloxacin iv | 200 MG | 200 | 24 | 2 | 48 |
36000-008-24 | J0744 | Baxter Healthcare Corporation | Ciprofloxacin iv | 200 MG | 100 | 1 | 1 | 1 |
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 | Endo USA, Inc. | Colistimethate sodium inj | UP TO 150 MG | 1 | 1 | 1 | 1 |
42023-131-06 | J0770 | Endo USA, Inc. | Colistimethate sodium inj | UP TO 150 MG | 1 | 6 | 1 | 6 |
63323-393-06 | J0770 | FreseniUS Kabi USA, LLC | 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 | Endo USA, Inc. | 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 Pharmaceuticals, LLC | 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 Pharmaceuticals | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
25021-790-03 | J0780 | Sagent Pharmaceuticals | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
43066-090-25 | J0780 | Baxter Healthcare Corporation | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
51662-1558-3 | J0780 | HF Acquisition Co. LLC, DBA HealthFirst | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
65145-119-10 | J0780 | Caplin Steriles USA Inc. | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
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 Pharmaceuticals, LLC | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
70121-1580-7 | J0780 | Amneal Pharmaceuticals, LLC | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
70860-778-02 | J0780 | Athenex Pharmaceutical Division, LLC | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
72266-204-10 | J0780 | Fosun Pharma USA Inc. | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
72572-580-25 | J0780 | Civica, Inc. | Prochlorperazine injection | 10 MG | 2 | 25 | 1 | 25 |
83634-778-02 | J0780 | Avenacy Inc. | Prochlorperazine injection | 10 MG | 2 | 10 | 1 | 10 |
0078-0883-61 | J0791 | Novartis Pharmaceuticals Corporation | Inj crizanlizumab-tmca 5mg | 5 MG | 10 | 1 | 20 | 20 |
63004-8710-1 | J0801 | Mallinckrodt ARD LLC | Inj. acthar gel to 40 units | UP TO 40 UNITS | 5 | 1 | 10 | 10 |
63004-8711-4 | J0801 | Mallinckrodt ARD LLC | Inj. acthar gel to 40 units | UP TO 40 UNITS | 1 | 4 | 2 | 8 |
63004-8712-4 | J0801 | Mallinckrodt ARD LLC | Inj. acthar gel to 40 units | UP TO 40 UNITS | 1 | 4 | 1 | 4 |
62559-860-11 | J0802 | ANI Pharmaceuticals, Inc. | Inj. (ani), up to 40 units | UP TO 40 UNITS | 1 | 1 | 2 | 2 |
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 Inc. | Inj., cosyntropin, 0.25 mg | 0.25 MG | 1 | 10 | 1 | 10 |
51662-1567-1 | J0834 | HF Acquisition Co. LLC, DBA 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 |
49591-532-51 | J0850 | Kamada Ltd. | Cytomegalovirus imm iv /vial | PER VIAL | 50 | 1 | 1 | 1 |
82959-111-01 | J0870 | Geron Corporation | Injection, imetelstat, 1 mg | 1 MG | 1 | 1 | 188 | 188 |
82959-112-01 | J0870 | Geron Corporation | Injection, imetelstat, 1 mg | 1 MG | 1 | 1 | 47 | 47 |
70594-060-01 | J0872 | Xellia Pharmaceuticals USA, LLC. | Daptomycin (xellia) unrefrig | 1 MG | 1 | 1 | 500 | 500 |
70594-066-01 | J0872 | Xellia Pharmaceuticals USA, LLC. | Daptomycin (xellia) unrefrig | 1 MG | 1 | 1 | 350 | 350 |
70594-053-01 | J0873 | Xellia Pharmaceuticals USA, LLC. | Inj daptomycin (xellia) | 1 MG | 1 | 1 | 350 | 350 |
72572-100-01 | J0873 | Civica, Inc. | Inj daptomycin (xellia) | 1 MG | 1 | 1 | 350 | 350 |
0338-0712-24 | J0874 | Baxter Healthcare Corporation | Inj, daptomycin (baxter) | 1 MG | 50 | 24 | 350 | 8400 |
0338-0714-24 | J0874 | Baxter Healthcare Corporation | Inj, daptomycin (baxter) | 1 MG | 50 | 24 | 500 | 12000 |
0338-0716-12 | J0874 | Baxter Healthcare Corporation | Inj, daptomycin (baxter) | 1 MG | 100 | 12 | 700 | 8400 |
0338-0718-12 | J0874 | Baxter Healthcare Corporation | Inj, daptomycin (baxter) | 1 MG | 100 | 12 | 1000 | 12000 |
57970-100-01 | J0875 | Allergan, Inc. | 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 |
0143-9378-01 | J0878 | Hikma Pharmaceuticals USA Inc. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
16714-892-01 | J0878 | Northstar RxLLC | 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 | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
25021-174-16 | J0878 | Sagent Pharmaceuticals | Daptomycin injection | 1 MG | 1 | 10 | 500 | 5000 |
25021-179-15 | J0878 | Sagent Pharmaceuticals | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
25021-179-16 | J0878 | Sagent Pharmaceuticals | Daptomycin injection | 1 MG | 1 | 10 | 350 | 3500 |
25021-179-66 | J0878 | Sagent Pharmaceuticals | Daptomycin injection | 1 MG | 1 | 1 | 350 | 350 |
25021-179-67 | J0878 | Sagent Pharmaceuticals | 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 | Eugia US 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 USA, LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
63323-371-19 | J0878 | FreseniUS Kabi USA, LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
67457-813-50 | J0878 | Mylan Institutional LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
67457-941-15 | J0878 | Mylan Institutional LLC | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
68001-376-68 | J0878 | BluePoint Laboratories | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
70377-093-91 | J0878 | Biocon Pharma Inc | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
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 |
72572-102-01 | J0878 | Civica, Inc. | Daptomycin injection | 1 MG | 1 | 1 | 500 | 500 |
55513-002-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 25 | 100 |
55513-003-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 40 | 160 |
55513-004-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 60 | 240 |
55513-005-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 4 | 100 | 400 |
55513-006-01 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 1 | 200 | 200 |
55513-021-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.4 | 4 | 40 | 160 |
55513-023-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.3 | 4 | 60 | 240 |
55513-025-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.5 | 4 | 100 | 400 |
55513-027-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.3 | 4 | 150 | 600 |
55513-028-01 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.4 | 1 | 200 | 200 |
55513-032-01 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 1 | 1 | 500 | 500 |
55513-057-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.42 | 4 | 25 | 100 |
55513-098-04 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.4 | 4 | 10 | 40 |
55513-111-01 | J0881 | Amgen Inc | Darbepoetin alfa, non-esrd | 1 MCG | 0.6 | 1 | 300 | 300 |
55513-002-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 25 | 100 |
55513-003-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 40 | 160 |
55513-004-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 60 | 240 |
55513-005-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 1 | 4 | 100 | 400 |
55513-006-01 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 1 | 1 | 200 | 200 |
55513-021-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.4 | 4 | 40 | 160 |
55513-023-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.3 | 4 | 60 | 240 |
55513-025-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.5 | 4 | 100 | 400 |
55513-027-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.3 | 4 | 150 | 600 |
55513-028-01 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.4 | 1 | 200 | 200 |
55513-032-01 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 1 | 1 | 500 | 500 |
55513-057-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.42 | 4 | 25 | 100 |
55513-098-04 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.4 | 4 | 10 | 40 |
55513-111-01 | J0882 | Amgen Inc | Darbepoetin alfa, esrd use | 1 MCG | 0.6 | 1 | 300 | 300 |
0143-9377-01 | J0883 | Hikma Pharmaceuticals USA Inc. | Argatroban nonesrd use 1mg | 1 MG | 50 | 1 | 50 | 50 |
0143-9559-01 | J0883 | Hikma Pharmaceuticals USA Inc. | Argatroban nonesrd use 1mg | 1 MG | 50 | 1 | 50 | 50 |
0143-9674-01 | J0883 | Hikma Pharmaceuticals USA Inc. | Argatroban nonesrd use 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
0409-1140-01 | J0883 | Pfizer Inc | Argatroban nonesrd use 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
25021-414-50 | J0883 | Sagent Pharmaceuticals | Argatroban nonesrd use 1mg | 1 MG | 50 | 1 | 50 | 50 |
42023-182-01 | J0883 | Endo USA, Inc. | Argatroban nonesrd use 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
42023-182-89 | J0883 | Endo USA, Inc. | Argatroban nonesrd use 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
63323-526-03 | J0883 | FreseniUS Kabi USA, LLC | Argatroban nonesrd use 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
65145-126-01 | J0883 | Caplin Steriles USA Inc. | Argatroban nonesrd use 1mg | 1 MG | 50 | 1 | 50 | 50 |
65219-429-50 | J0883 | FreseniUS Kabi USA, LLC | Argatroban nonesrd use 1mg | 1 MG | 50 | 1 | 50 | 50 |
67457-212-02 | J0883 | Mylan Institutional LLC | Argatroban nonesrd use 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
0143-9377-01 | J0884 | Hikma Pharmaceuticals USA Inc. | Argatroban esrd dialysis 1mg | 1 MG | 50 | 1 | 50 | 50 |
0143-9559-01 | J0884 | Hikma Pharmaceuticals USA Inc. | Argatroban esrd dialysis 1mg | 1 MG | 50 | 1 | 50 | 50 |
0143-9674-01 | J0884 | Hikma Pharmaceuticals USA Inc. | Argatroban esrd dialysis 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
0409-1140-01 | J0884 | Pfizer Inc | Argatroban esrd dialysis 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
25021-414-50 | J0884 | Sagent Pharmaceuticals | Argatroban esrd dialysis 1mg | 1 MG | 50 | 1 | 50 | 50 |
42023-182-01 | J0884 | Endo USA, Inc. | Argatroban esrd dialysis 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
42023-182-89 | J0884 | Endo USA, Inc. | Argatroban esrd dialysis 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
63323-526-03 | J0884 | FreseniUS Kabi USA, LLC | Argatroban esrd dialysis 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
65145-126-01 | J0884 | Caplin Steriles USA Inc. | Argatroban esrd dialysis 1mg | 1 MG | 50 | 1 | 50 | 50 |
65219-429-50 | J0884 | FreseniUS Kabi USA, LLC | Argatroban esrd dialysis 1mg | 1 MG | 50 | 1 | 50 | 50 |
67457-212-02 | J0884 | Mylan Institutional LLC | Argatroban esrd dialysis 1mg | 1 MG | 2.5 | 1 | 250 | 250 |
55513-126-10 | J0885 | Amgen Inc | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 2 | 20 |
55513-144-10 | J0885 | Amgen Inc | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 10 | 100 |
55513-148-10 | J0885 | Amgen Inc | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 4 | 40 |
55513-267-10 | J0885 | Amgen Inc | Epoetin alfa, non-esrd | 1000 UNITS | 1 | 10 | 3 | 30 |
55513-283-10 | J0885 | Amgen Inc | Epoetin alfa, non-esrd | 1000 UNITS | 2 | 10 | 20 | 200 |
55513-478-10 | J0885 | Amgen 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) Inc. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 30 | 30 |
59353-401-09 | J0887 | Vifor (International) Inc. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 50 | 50 |
59353-402-09 | J0887 | Vifor (International) Inc. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 75 | 75 |
59353-403-09 | J0887 | Vifor (International) Inc. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 100 | 100 |
59353-404-09 | J0887 | Vifor (International) Inc. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 150 | 150 |
59353-405-09 | J0887 | Vifor (International) Inc. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 200 | 200 |
59353-407-09 | J0887 | Vifor (International) Inc. | Epoetin beta esrd use | 1 MCG | 0.3 | 1 | 120 | 120 |
59353-400-09 | J0888 | Vifor (International) Inc. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 30 | 30 |
59353-401-09 | J0888 | Vifor (International) Inc. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 50 | 50 |
59353-402-09 | J0888 | Vifor (International) Inc. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 75 | 75 |
59353-403-09 | J0888 | Vifor (International) Inc. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 100 | 100 |
59353-404-09 | J0888 | Vifor (International) Inc. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 150 | 150 |
59353-405-09 | J0888 | Vifor (International) Inc. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 200 | 200 |
59353-407-09 | J0888 | Vifor (International) Inc. | Epoetin beta non esrd | 1 MCG | 0.3 | 1 | 120 | 120 |
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 |
25021-219-20 | J0894 | Sagent Pharmaceuticals | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
25021-231-20 | J0894 | Sagent Pharmaceuticals | 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 | Eugia US LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
59148-046-70 | J0894 | Otsuka America Pharmaceuticals 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 | BluePoint Laboratories | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
68001-573-41 | J0894 | BluePoint Laboratories | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
68001-618-37 | 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 |
70860-219-20 | J0894 | Athenex Pharmaceutical Division, LLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
71288-119-20 | J0894 | Meitheal Pharmaceuticals Inc. | 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 RxLLC | Decitabine injection | 1 MG | 1 | 1 | 50 | 50 |
75834-190-01 | J0894 | Nivagen Pharmaceuticals, Inc. | 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 |
0409-2337-25 | J0895 | Pfizer Inc | Deferoxamine mesylate inj | 500 MG | 1 | 4 | 4 | 16 |
47781-624-07 | J0895 | Alvogen, Inc. | Deferoxamine mesylate inj | 500 MG | 1 | 1 | 4 | 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 USA, LLC | Deferoxamine mesylate inj | 500 MG | 1 | 1 | 1 | 1 |
63323-599-30 | J0895 | FreseniUS Kabi USA, LLC | 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 Inc | Denosumab injection | 1 MG | 1 | 1 | 60 | 60 |
55513-710-21 | J0897 | Amgen Inc | Denosumab injection | 1 MG | 1 | 1 | 60 | 60 |
55513-730-01 | J0897 | Amgen Inc | Denosumab injection | 1 MG | 1 | 1 | 120 | 120 |
55150-241-01 | J0898 | Eugia US LLC | Argatroban nonesrd (auromed) | 1 MG | 50 | 1 | 50 | 50 |
55150-241-10 | J0898 | Eugia US LLC | Argatroban nonesrd (auromed) | 1 MG | 50 | 10 | 50 | 500 |
55150-241-01 | J0899 | Eugia US LLC | Argatroban dialysis, auromed | 1 MG | 50 | 1 | 50 | 50 |
55150-241-10 | J0899 | Eugia US LLC | Argatroban dialysis, auromed | 1 MG | 50 | 10 | 50 | 500 |
0009-0271-01 | J1000 | Pfizer Inc | Depo-estradiol cypionate inj | 5 MG | 5 | 1 | 5 | 5 |
0009-0274-01 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 100 | 100 |
0009-0274-01 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 100 | 100 |
0009-0280-02 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 200 | 200 |
0009-0280-02 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 200 | 200 |
0009-0280-03 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
0009-0280-03 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
0009-0280-51 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 25 | 200 | 5000 |
0009-0280-51 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 25 | 200 | 5000 |
0009-0280-52 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 10 | 25 | 400 | 10000 |
0009-0280-52 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 10 | 25 | 400 | 10000 |
0009-0306-02 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
0009-0306-02 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
0009-0306-12 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 25 | 400 | 10000 |
0009-0306-12 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 5 | 25 | 400 | 10000 |
0009-3073-01 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 40 | 40 |
0009-3073-03 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 40 | 1000 |
0009-3073-22 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 40 | 40 |
0009-3073-23 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 40 | 1000 |
0009-3475-01 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 80 | 80 |
0009-3475-01 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 80 | 80 |
0009-3475-03 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 80 | 2000 |
0009-3475-03 | J1010 | Pfizer Inc | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 80 | 2000 |
0781-3516-75 | J1010 | Sandoz Inc. | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
0781-3522-70 | J1010 | Sandoz Inc. | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
0781-3522-75 | J1010 | Sandoz Inc. | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 200 | 200 |
25021-820-05 | J1010 | Sagent Pharmaceuticals | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 200 | 200 |
25021-820-10 | J1010 | Sagent Pharmaceuticals | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
25021-821-05 | J1010 | Sagent Pharmaceuticals | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
42023-238-01 | J1010 | Endo USA, Inc. | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 200 | 200 |
42023-239-01 | J1010 | Endo USA, Inc. | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
42023-240-01 | J1010 | Endo USA, Inc. | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
50090-0436-0 | J1010 | A-S Medication Solutions | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 80 | 80 |
50090-0556-0 | J1010 | A-S Medication Solutions | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
50090-1823-0 | J1010 | A-S Medication Solutions | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
50090-2098-0 | J1010 | A-S Medication Solutions | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 40 | 40 |
50090-5894-0 | J1010 | A-S Medication Solutions | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 40 | 40 |
50090-6024-0 | J1010 | A-S Medication Solutions | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 80 | 2000 |
55150-313-01 | J1010 | Eugia US LLC | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
55150-314-01 | J1010 | Eugia US LLC | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
60219-1573-5 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 40 | 1000 |
60219-1574-5 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 80 | 2000 |
70121-1552-5 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 80 | 2000 |
70121-1573-1 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 40 | 40 |
70121-1573-5 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 40 | 1000 |
70121-1574-1 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 1 | 1 | 80 | 80 |
70121-1574-5 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 1 | 25 | 80 | 2000 |
70121-1609-1 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 10 | 1 | 400 | 400 |
70121-1609-5 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 10 | 25 | 400 | 10000 |
70121-1610-1 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 5 | 1 | 400 | 400 |
70121-1610-5 | J1010 | Amneal Pharmaceuticals, LLC | Inj, methylpred acetate 1 mg | 1 MG | 5 | 25 | 400 | 10000 |
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 | Hikma Pharmaceuticals USA Inc. | 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 | Padagis US LLC | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
0574-0820-10 | J1071 | Padagis US LLC | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0574-0827-10 | J1071 | Padagis US LLC | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
0574-0827-10 | J1071 | Padagis US LLC | 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, Inc. | Inj testosterone cypionate | 1 MG | 10 | 10 | 2000 | 20000 |
47781-911-93 | J1071 | Alvogen, Inc. | 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 |
50090-4446-0 | J1071 | A-S Medication Solutions | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
50090-4920-0 | J1071 | A-S Medication Solutions | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
50090-4921-0 | J1071 | A-S Medication Solutions | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
55150-276-01 | J1071 | Eugia US LLC | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
55150-277-01 | J1071 | Eugia US LLC | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
55150-278-01 | J1071 | Eugia US LLC | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
62756-015-40 | J1071 | Sun Pharmaceutical Industries, Inc. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
69097-536-37 | J1071 | Cipla USA, Inc. | Inj testosterone cypionate | 1 MG | 10 | 1 | 1000 | 1000 |
69097-537-31 | J1071 | Cipla USA, Inc. | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
69097-802-32 | 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 |
70700-290-22 | J1071 | Xiromed, LLC | Inj testosterone cypionate | 1 MG | 10 | 1 | 2000 | 2000 |
72603-286-01 | J1071 | Northstar RxLLC | Inj testosterone cypionate | 1 MG | 1 | 1 | 200 | 200 |
24338-055-01 | J1072 | Azurity Pharmaceuticals Inc. | Inj, testosterone, azmiro | 1 MG | 1 | 1 | 200 | 200 |
24338-056-01 | J1072 | Azurity Pharmaceuticals Inc. | Inj, testosterone, azmiro | 1 MG | 1 | 1 | 200 | 200 |
70382-204-01 | J1096 | Ocular Therapeutix | Dexametha opth insert 0.1 mg | 0.1 MG | 1 | 1 | 4 | 4 |
70382-204-10 | J1096 | Ocular Therapeutix | Dexametha opth insert 0.1 mg | 0.1 MG | 1 | 10 | 4 | 40 |
0404-9795-30 | J1100 | Henry Schein Inc. | Dexamethasone sodium phos | 1 MG | 30 | 1 | 120 | 120 |
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 |
0641-6146-10 | J1100 | Hikma Pharmaceuticals USA Inc. | Dexamethasone sodium phos | 1 MG | 5 | 10 | 20 | 200 |
0641-6146-25 | J1100 | Hikma Pharmaceuticals USA Inc. | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
25021-052-01 | J1100 | Sagent Pharmaceuticals | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
25021-052-05 | J1100 | Sagent Pharmaceuticals | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
25021-053-01 | J1100 | Sagent Pharmaceuticals | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
50090-0414-0 | J1100 | A-S Medication Solutions | Dexamethasone sodium phos | 1 MG | 30 | 1 | 120 | 120 |
50090-0627-2 | J1100 | A-S Medication Solutions | Dexamethasone sodium phos | 1 MG | 5 | 2 | 20 | 40 |
50090-1922-0 | J1100 | A-S Medication Solutions | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
50090-1922-1 | J1100 | A-S Medication Solutions | Dexamethasone sodium phos | 1 MG | 1 | 1 | 4 | 4 |
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 | HF Acquisition Co. LLC, DBA HealthFirst | Dexamethasone sodium phos | 1 MG | 5 | 1 | 20 | 20 |
51662-1297-3 | J1100 | HF Acquisition Co. LLC, DBA HealthFirst | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
51662-1343-3 | J1100 | HF Acquisition Co. LLC, DBA HealthFirst | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
51662-1660-3 | J1100 | HF Acquisition Co. LLC, DBA HealthFirst | Dexamethasone sodium phos | 1 MG | 5 | 10 | 20 | 200 |
55150-239-30 | J1100 | Eugia US LLC | Dexamethasone sodium phos | 1 MG | 30 | 25 | 120 | 3000 |
55150-304-25 | J1100 | Eugia US LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
55150-305-10 | J1100 | Eugia US LLC | Dexamethasone sodium phos | 1 MG | 10 | 10 | 100 | 1000 |
63323-165-01 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
63323-165-05 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
63323-165-16 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 4 | 100 |
63323-165-26 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 5 | 25 | 20 | 500 |
63323-165-30 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 30 | 1 | 120 | 120 |
63323-506-01 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
63323-506-16 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 1 | 25 | 10 | 250 |
63323-516-10 | J1100 | FreseniUS Kabi USA, LLC | 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, LLC | 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 USA, LLC | Dexamethasone sodium phos | 1 MG | 1 | 24 | 4 | 96 |
76045-109-10 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 1 | 24 | 10 | 240 |
76045-210-10 | J1100 | FreseniUS Kabi USA, LLC | Dexamethasone sodium phos | 1 MG | 1 | 24 | 4 | 96 |
81565-202-02 | J1100 | Phlow Corporation | 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 | Padagis US LLC | Inj dihydroergotamine mesylt | 1 MG | 1 | 5 | 1 | 5 |
0574-0850-10 | J1110 | Padagis US LLC | Inj dihydroergotamine mesylt | 1 MG | 1 | 10 | 1 | 10 |
61990-0411-1 | J1110 | Apollo Pharmaceuticals Inc. | Inj dihydroergotamine mesylt | 1 MG | 1 | 5 | 1 | 5 |
61990-0411-2 | J1110 | Apollo Pharmaceuticals Inc. | Inj dihydroergotamine mesylt | 1 MG | 1 | 10 | 1 | 10 |
81284-411-05 | J1110 | Apollo Pharmaceuticals | Inj dihydroergotamine mesylt | 1 MG | 1 | 5 | 1 | 5 |
81284-411-10 | J1110 | Apollo Pharmaceuticals | 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 | Heritage Pharmaceuticals Inc. | Acetazolamid sodium injectio | 500 MG | 1 | 1 | 1 | 1 |
39822-0190-1 | J1120 | XGen Pharmaceuticals DJB, Inc. | Acetazolamid sodium injectio | 500 MG | 1 | 1 | 1 | 1 |
39822-0190-1 | J1120 | XGen Pharmaceuticals DJB, 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 Inc. | Digoxin injection | 0.5 MG | 2 | 10 | 1 | 10 |
51662-1217-1 | J1160 | HF Acquisition Co. LLC, DBA HealthFirst | Digoxin injection | 0.5 MG | 2 | 1 | 1 | 1 |
51662-1217-3 | J1160 | HF Acquisition Co. LLC, DBA 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 Pharma US, Inc | Digoxin injection | 0.5 MG | 2 | 10 | 1 | 10 |
70515-261-10 | J1160 | Covis Pharma US, Inc | Digoxin injection | 0.5 MG | 2 | 10 | 1 | 10 |
70515-262-10 | J1160 | Covis Pharma US, Inc | Digoxin injection | 0.5 MG | 1 | 10 | 0.2 | 2 |
70515-263-10 | J1160 | Covis Pharma US, Inc | Digoxin injection | 0.5 MG | 1 | 10 | 0.2 | 2 |
50633-120-11 | J1162 | BTG International Inc. | Digoxin immune fab (ovine) | PER VIAL | 1 | 1 | 1 | 1 |
0641-6013-10 | J1163 | Hikma Pharmaceuticals USA Inc. | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 5 | 10 | 50 | 500 |
0641-6014-10 | J1163 | Hikma Pharmaceuticals USA Inc. | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 10 | 10 | 100 | 1000 |
0641-6015-10 | J1163 | Hikma Pharmaceuticals USA Inc. | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 25 | 10 | 250 | 2500 |
0641-9217-10 | J1163 | Hikma Pharmaceuticals USA Inc. | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 5 | 10 | 50 | 500 |
0641-9218-10 | J1163 | Hikma Pharmaceuticals USA Inc. | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 10 | 10 | 100 | 1000 |
0641-9219-10 | J1163 | Hikma Pharmaceuticals USA Inc. | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 25 | 10 | 250 | 2500 |
25021-319-05 | J1163 | Sagent Pharmaceuticals | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 5 | 10 | 50 | 500 |
25021-319-10 | J1163 | Sagent Pharmaceuticals | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 10 | 10 | 100 | 1000 |
25021-319-25 | J1163 | Sagent Pharmaceuticals | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 25 | 10 | 250 | 2500 |
51662-1335-1 | J1163 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 5 | 1 | 50 | 50 |
51662-1335-2 | J1163 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 5 | 1 | 50 | 50 |
51662-1457-1 | J1163 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 1 | 1 | 200 | 200 |
51662-1457-3 | J1163 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 1 | 10 | 200 | 2000 |
55150-425-10 | J1163 | Eugia US LLC | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 5 | 10 | 50 | 500 |
55150-426-10 | J1163 | Eugia US LLC | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 10 | 10 | 100 | 1000 |
55150-427-10 | J1163 | Eugia US LLC | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 25 | 10 | 250 | 2500 |
70860-301-05 | J1163 | Athenex Pharmaceutical Division, LLC | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 5 | 10 | 50 | 500 |
70860-301-10 | J1163 | Athenex Pharmaceutical Division, LLC | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 10 | 10 | 100 | 1000 |
70860-301-25 | J1163 | Athenex Pharmaceutical Division, LLC | Inj, diltiazem hcl, 0.5 mg | 0.5 MG | 25 | 10 | 250 | 2500 |
0404-9808-05 | J1165 | Henry Schein Inc. | Phenytoin sodium injection | 50 MG | 5 | 1 | 5 | 5 |
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 |
0641-2555-10 | J1165 | Hikma Pharmaceuticals USA Inc. | Phenytoin sodium injection | 50 MG | 5 | 10 | 5 | 50 |
0641-2555-45 | J1165 | Hikma Pharmaceuticals USA Inc. | Phenytoin sodium injection | 50 MG | 5 | 25 | 5 | 125 |
0641-6138-25 | J1165 | Hikma Pharmaceuticals USA Inc. | Phenytoin sodium injection | 50 MG | 2 | 25 | 2 | 50 |
0641-6139-10 | J1165 | Hikma Pharmaceuticals USA Inc. | Phenytoin sodium injection | 50 MG | 5 | 10 | 5 | 50 |
0641-6139-25 | J1165 | Hikma Pharmaceuticals USA Inc. | Phenytoin sodium injection | 50 MG | 5 | 25 | 5 | 125 |
51662-1251-1 | J1165 | HF Acquisition Co. LLC, DBA HealthFirst | Phenytoin sodium injection | 50 MG | 2 | 1 | 2 | 2 |
51662-1251-3 | J1165 | HF Acquisition Co. LLC, DBA HealthFirst | Phenytoin sodium injection | 50 MG | 2 | 25 | 2 | 50 |
0409-1283-31 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 10 | 100 |
0409-1283-37 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 10 | 100 |
0409-1304-31 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 40 | 400 |
0409-1312-30 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 20 | 200 |
0409-1312-36 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 20 | 200 |
0409-1805-01 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 0.5 | 10 | 2.5 | 25 |
0409-2552-01 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 10 | 100 |
0409-2634-01 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 100 | 1000 |
0409-2634-05 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 5 | 10 | 500 | 5000 |
0409-2634-50 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 50 | 1 | 5000 | 5000 |
0409-3365-10 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 20 | 200 |
0409-4264-01 | J1171 | Pfizer Inc | Inj, hydromorphone, 0.1 mg | 0.1 MG | 0.5 | 10 | 5 | 50 |
0641-2341-41 | J1171 | Hikma Pharmaceuticals USA Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 20 | 1 | 400 | 400 |
0641-6151-25 | J1171 | Hikma Pharmaceuticals USA Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 25 | 20 | 500 |
0641-6169-10 | J1171 | Hikma Pharmaceuticals USA Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 10 | 100 |
0641-6206-10 | J1171 | Hikma Pharmaceuticals USA Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 0.5 | 10 | 5 | 50 |
0641-6259-10 | J1171 | Hikma Pharmaceuticals USA Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 2 | 20 |
0703-0018-01 | J1171 | Teva Parenteral Medicines, Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 50 | 1 | 5000 | 5000 |
0703-0110-03 | J1171 | Teva Parenteral Medicines, Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 100 | 1000 |
0703-0113-03 | J1171 | Teva Parenteral Medicines, Inc. | Inj, hydromorphone, 0.1 mg | 0.1 MG | 5 | 10 | 500 | 5000 |
63323-851-10 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 100 | 1000 |
63323-851-15 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 5 | 10 | 500 | 5000 |
63323-851-50 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 50 | 1 | 5000 | 5000 |
63323-852-25 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 25 | 10 | 250 |
63323-853-25 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 25 | 20 | 500 |
63323-854-10 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 25 | 40 | 1000 |
76045-009-06 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 0.5 | 10 | 5 | 50 |
76045-009-06 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 0.5 | 10 | 5 | 50 |
76045-009-11 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 10 | 100 |
76045-009-11 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 10 | 100 |
76045-010-11 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 20 | 200 |
76045-010-11 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 20 | 200 |
76045-121-11 | J1171 | FreseniUS Kabi USA, LLC | Inj, hydromorphone, 0.1 mg | 0.1 MG | 1 | 10 | 2 | 20 |
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, Inc. | 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 | Eugia US 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 USA Inc. | 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 |
0641-6282-25 | J1200 | Hikma Pharmaceuticals USA Inc. | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
25021-481-01 | J1200 | Sagent Pharmaceuticals | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
50090-0878-0 | J1200 | A-S Medication Solutions | Diphenhydramine hcl injectio | 50 MG | 1 | 1 | 1 | 1 |
50090-1841-0 | J1200 | A-S Medication Solutions | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
51662-1219-1 | J1200 | HF Acquisition Co. LLC, DBA HealthFirst | Diphenhydramine hcl injectio | 50 MG | 1 | 1 | 1 | 1 |
51662-1219-3 | J1200 | HF Acquisition Co. LLC, DBA HealthFirst | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
63323-664-01 | J1200 | FreseniUS Kabi USA, LLC | Diphenhydramine hcl injectio | 50 MG | 1 | 25 | 1 | 25 |
63323-664-16 | J1200 | FreseniUS Kabi USA, LLC | 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 USA, LLC | 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 |
71904-200-01 | J1203 | Amicus Therapeutics US, LLC | Inj, cipaglucosidase, 5 mg | 5 MG | 1 | 1 | 21 | 21 |
0517-1820-01 | J1205 | American Regent, Inc. | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
25021-305-20 | J1205 | Sagent Pharmaceuticals | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
25021-305-66 | J1205 | Sagent Pharmaceuticals | 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 USA, LLC | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
63323-658-27 | J1205 | FreseniUS Kabi USA, LLC | Chlorothiazide sodium inj | 500 MG | 1 | 1 | 1 | 1 |
63323-658-94 | J1205 | FreseniUS Kabi USA, LLC | 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 USA, LLC | 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 Healthcare Corporation | Inj dobutamine hcl/250 mg | 250 MG | 250 | 18 | 1 | 18 |
0338-1075-02 | J1250 | Baxter Healthcare Corporation | Inj dobutamine hcl/250 mg | 250 MG | 250 | 18 | 2 | 36 |
0338-1077-02 | J1250 | Baxter Healthcare Corporation | Inj dobutamine hcl/250 mg | 250 MG | 250 | 18 | 4 | 72 |
0409-2344-01 | J1250 | Pfizer Inc | Inj dobutamine hcl/250 mg | 250 MG | 20 | 1 | 1 | 1 |
0409-2344-02 | J1250 | Pfizer Inc | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
0409-2344-88 | J1250 | Pfizer Inc | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
50090-4562-0 | J1250 | A-S Medication Solutions | Inj dobutamine hcl/250 mg | 250 MG | 250 | 1 | 4 | 4 |
51662-1330-1 | J1250 | HF Acquisition Co. LLC, DBA HealthFirst | Inj dobutamine hcl/250 mg | 250 MG | 250 | 1 | 2 | 2 |
51662-1337-1 | J1250 | HF Acquisition Co. LLC, DBA HealthFirst | Inj dobutamine hcl/250 mg | 250 MG | 20 | 1 | 1 | 1 |
51662-1337-3 | J1250 | HF Acquisition Co. LLC, DBA HealthFirst | Inj dobutamine hcl/250 mg | 250 MG | 20 | 10 | 1 | 10 |
51662-1566-1 | J1250 | HF Acquisition Co. LLC, DBA HealthFirst | Inj dobutamine hcl/250 mg | 250 MG | 250 | 1 | 1 | 1 |
70436-203-80 | J1250 | Slate Run Pharmaceuticals | Inj dobutamine hcl/250 mg | 250 MG | 20 | 1 | 1 | 1 |
70436-203-82 | J1250 | Slate Run Pharmaceuticals | 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 Healthcare Corporation | Dopamine injection | 40 MG | 250 | 18 | 5 | 90 |
0338-1005-03 | J1265 | Baxter Healthcare Corporation | Dopamine injection | 40 MG | 500 | 12 | 10 | 120 |
0338-1007-02 | J1265 | Baxter Healthcare Corporation | Dopamine injection | 40 MG | 250 | 18 | 10 | 180 |
0338-1007-03 | J1265 | Baxter Healthcare Corporation | Dopamine injection | 40 MG | 500 | 12 | 20 | 240 |
0338-1009-02 | J1265 | Baxter Healthcare Corporation | 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 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 10 | 1 | 10 | 10 |
51662-1220-3 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 10 | 25 | 10 | 250 |
51662-1291-3 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 5 | 25 | 5 | 125 |
51662-1316-1 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 250 | 1 | 10 | 10 |
51662-1316-3 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 250 | 12 | 10 | 120 |
51662-1458-1 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 500 | 1 | 20 | 20 |
51662-1489-1 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 5 | 1 | 5 | 5 |
51662-1489-3 | J1265 | HF Acquisition Co. LLC, DBA HealthFirst | Dopamine injection | 40 MG | 5 | 25 | 5 | 125 |
51662-1490-1 | J1265 | HF Acquisition Co. LLC, DBA 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 |
62332-690-30 | J1270 | Alembic Pharmaceuticals Inc. | 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 |
0143-9381-10 | J1271 | Hikma Pharmaceuticals USA Inc. | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
42023-244-10 | J1271 | Endo USA, Inc. | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
51662-1402-1 | J1271 | HF Acquisition Co. LLC, DBA HealthFirst | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 1 | 100 | 100 |
51662-1402-3 | J1271 | HF Acquisition Co. LLC, DBA HealthFirst | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
63323-130-11 | J1271 | FreseniUS Kabi USA, LLC | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
63323-130-13 | J1271 | FreseniUS Kabi USA, LLC | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
63323-130-17 | J1271 | FreseniUS Kabi USA, LLC | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
66794-237-41 | J1271 | Piramal Critical Care Inc | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
67457-437-10 | J1271 | Mylan Institutional LLC | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
68382-910-10 | J1271 | Zydus Pharmaceuticals (USA) Inc. | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
70436-032-82 | J1271 | Slate Run Pharmaceuticals | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
70748-338-10 | J1271 | Lupin Pharmaceuticals, Inc. | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
71288-030-21 | J1271 | Meitheal Pharmaceuticals Inc. | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 10 | 100 | 1000 |
72266-237-05 | J1271 | Fosun Pharma USA Inc. | Inj doxycycline hyclate 1 mg | 1 MG | 1 | 5 | 100 | 500 |
47783-101-01 | J1290 | Takeda Pharmaceuticals America, Inc. | Ecallantide injection | 1 MG | 1 | 3 | 10 | 30 |
25682-001-01 | J1299 | Alexion Pharmaceuticals, Inc. | Inj, eculizumab, 2 mg | 2 MG | 30 | 1 | 150 | 150 |
0781-3527-20 | J1301 | Sandoz Inc. | Injection, edaravone, 1 mg | 1 MG | 100 | 2 | 30 | 60 |
39822-4500-2 | J1301 | XGen Pharmaceuticals DJB, Inc. | Injection, edaravone, 1 mg | 1 MG | 100 | 1 | 30 | 30 |
66794-259-64 | J1301 | Piramal Critical Care Inc | Injection, edaravone, 1 mg | 1 MG | 100 | 2 | 30 | 60 |
70510-2171-2 | J1301 | Mitsubishi Tanabe Pharma America, Inc. | Injection, edaravone, 1 mg | 1 MG | 100 | 2 | 30 | 60 |
80203-347-01 | J1302 | Recordati Rare Diseases Inc. | Inj, sutimlimab-jome, 10 mg | 10 MG | 22 | 1 | 110 | 110 |
25682-025-01 | J1303 | Alexion Pharmaceuticals, Inc. | Inj., ravulizumab-cwvz 10 mg | 10 MG | 3 | 1 | 30 | 30 |
25682-028-01 | J1303 | Alexion Pharmaceuticals, Inc. | Inj., ravulizumab-cwvz 10 mg | 10 MG | 11 | 1 | 110 | 110 |
64406-109-01 | J1304 | Biogen 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 Corporation | Injection, inclisiran, 1 mg | 1 MG | 1.5 | 1 | 284 | 284 |
0338-5197-41 | J1308 | Baxter Healthcare Corporation | Inj, famotidine, 0.25 mg | 0.25 MG | 50 | 12 | 80 | 960 |
0641-6021-10 | J1308 | Hikma Pharmaceuticals USA Inc. | Inj, famotidine, 0.25 mg | 0.25 MG | 20 | 10 | 800 | 8000 |
0641-6022-25 | J1308 | Hikma Pharmaceuticals USA Inc. | Inj, famotidine, 0.25 mg | 0.25 MG | 2 | 25 | 80 | 2000 |
0641-6023-10 | J1308 | Hikma Pharmaceuticals USA Inc. | Inj, famotidine, 0.25 mg | 0.25 MG | 4 | 10 | 160 | 1600 |
0641-6023-25 | J1308 | Hikma Pharmaceuticals USA Inc. | Inj, famotidine, 0.25 mg | 0.25 MG | 4 | 25 | 160 | 4000 |
25021-753-02 | J1308 | Sagent Pharmaceuticals | Inj, famotidine, 0.25 mg | 0.25 MG | 2 | 25 | 80 | 2000 |
51662-1375-2 | J1308 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, famotidine, 0.25 mg | 0.25 MG | 2 | 1 | 80 | 80 |
63323-738-09 | J1308 | FreseniUS Kabi USA, LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 4 | 10 | 160 | 1600 |
63323-738-20 | J1308 | FreseniUS Kabi USA, LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 20 | 10 | 800 | 8000 |
63323-739-12 | J1308 | FreseniUS Kabi USA, LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 2 | 25 | 80 | 2000 |
63323-739-16 | J1308 | FreseniUS Kabi USA, LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 2 | 25 | 80 | 2000 |
67457-433-22 | J1308 | Mylan Institutional LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 2 | 25 | 80 | 2000 |
67457-448-43 | J1308 | Mylan Institutional LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 4 | 10 | 160 | 1600 |
67457-457-20 | J1308 | Mylan Institutional LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 20 | 10 | 800 | 8000 |
70860-751-02 | J1308 | Athenex Pharmaceutical Division, LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 2 | 25 | 80 | 2000 |
70860-753-20 | J1308 | Athenex Pharmaceutical Division, LLC | Inj, famotidine, 0.25 mg | 0.25 MG | 20 | 10 | 800 | 8000 |
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 |
0069-2522-02 | J1323 | Pfizer Inc | Inj, elranatamab-bcmm, 1 mg | 1 MG | 1.1 | 1 | 44 | 44 |
0069-4494-02 | J1323 | Pfizer Inc | Inj, elranatamab-bcmm, 1 mg | 1 MG | 1.9 | 1 | 76 | 76 |
0173-0517-00 | J1325 | GlaxoSmithKline LLC | Epoprostenol injection | 0.5 MG | 1 | 1 | 1 | 1 |
0173-0519-00 | J1325 | GlaxoSmithKline LLC | Epoprostenol injection | 0.5 MG | 1 | 1 | 3 | 3 |
62756-059-40 | J1325 | Sun Pharmaceutical Industries, Inc. | Epoprostenol injection | 0.5 MG | 1 | 1 | 1 | 1 |
62756-060-40 | J1325 | Sun Pharmaceutical Industries, Inc. | 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 |
67457-587-10 | J1325 | Mylan Institutional LLC | Epoprostenol injection | 0.5 MG | 1 | 1 | 1 | 1 |
67457-588-10 | J1325 | Mylan Institutional LLC | Epoprostenol injection | 0.5 MG | 1 | 1 | 3 | 3 |
0469-3425-10 | J1326 | Astellas Pharma US, Inc. | Inj, zolbetuximab-clzb, 2 mg | 2 MG | 1 | 1 | 50 | 50 |
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 RxLLC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
42023-221-10 | J1335 | Endo USA, Inc. | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
42023-221-85 | J1335 | Endo USA, 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, LLC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
55150-282-09 | J1335 | Eugia US LLC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
55150-282-20 | J1335 | Eugia US 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 USA, LLC | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
68001-408-31 | J1335 | BluePoint Laboratories | Ertapenem injection | 500 MG | 1 | 10 | 2 | 20 |
72266-159-05 | J1335 | Fosun Pharma USA Inc. | Ertapenem injection | 500 MG | 1 | 5 | 2 | 10 |
72266-159-10 | J1335 | Fosun Pharma USA Inc. | 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 Pharmaceuticals, LLC | 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, Inc. | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
0517-0440-01 | J1380 | American Regent, Inc. | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 20 | 20 |
0574-0870-05 | J1380 | Padagis US LLC | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
0574-0872-05 | J1380 | Padagis US LLC | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 5 | 20 |
42023-110-01 | J1380 | Endo USA, Inc. | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 5 | 5 |
42023-111-01 | J1380 | Endo USA, Inc. | Estradiol valerate 10 mg inj | 10 MG | 5 | 1 | 10 | 10 |
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 |
70121-2631-1 | J1434 | Amneal Pharmaceuticals, LLC | Inj, focinvez, 1mg | 1 MG | 50 | 1 | 150 | 150 |
73594-9310-1 | J1437 | Pharmacosmos Therapeutics Inc. | Inj. fe derisomaltose 10 mg | 10 MG | 10 | 1 | 100 | 100 |
0517-0602-01 | J1439 | American Regent, Inc. | Inj ferric carboxymaltos 1mg | 1 MG | 2 | 1 | 100 | 100 |
0517-0650-01 | J1439 | American Regent, Inc. | Inj ferric carboxymaltos 1mg | 1 MG | 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 Inc | Inj filgrastim excl biosimil | 1 MCG | 0.8 | 10 | 480 | 4800 |
55513-209-91 | J1442 | Amgen Inc | Inj filgrastim excl biosimil | 1 MCG | 0.8 | 1 | 480 | 480 |
55513-530-10 | J1442 | Amgen Inc | Inj filgrastim excl biosimil | 1 MCG | 1 | 10 | 300 | 3000 |
55513-546-10 | J1442 | Amgen Inc | Inj filgrastim excl biosimil | 1 MCG | 1.6 | 10 | 480 | 4800 |
55513-924-10 | J1442 | Amgen Inc | Inj filgrastim excl biosimil | 1 MCG | 0.5 | 10 | 300 | 3000 |
55513-924-91 | J1442 | Amgen Inc | Inj filgrastim excl biosimil | 1 MCG | 0.5 | 1 | 300 | 300 |
63459-910-11 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 1 | 300 | 300 |
63459-910-15 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 10 | 300 | 3000 |
63459-910-17 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 1 | 300 | 300 |
63459-910-36 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.5 | 5 | 300 | 1500 |
63459-912-11 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 1 | 480 | 480 |
63459-912-15 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 10 | 480 | 4800 |
63459-912-17 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 1 | 480 | 480 |
63459-912-36 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 0.8 | 5 | 480 | 2400 |
63459-918-59 | J1447 | Cephalon, LLC | Inj tbo filgrastim 1 microg | 1 MCG | 1 | 10 | 300 | 3000 |
63459-920-59 | J1447 | Cephalon, LLC | 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 Healthcare Corporation | Fluconazole | 200 MG | 200 | 10 | 2 | 20 |
0338-6046-48 | J1450 | Baxter Healthcare Corporation | Fluconazole | 200 MG | 100 | 10 | 1 | 10 |
0409-3435-24 | J1450 | Pfizer Inc | Fluconazole | 200 MG | 100 | 24 | 1 | 24 |
0409-4321-24 | J1450 | Pfizer Inc | Fluconazole | 200 MG | 200 | 24 | 2 | 48 |
0409-4688-12 | J1450 | Pfizer Inc | Fluconazole | 200 MG | 200 | 24 | 2 | 48 |
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 |
0409-4688-18 | J1450 | Pfizer Inc | Fluconazole | 200 MG | 100 | 24 | 1 | 24 |
25021-184-66 | J1450 | Sagent Pharmaceuticals | Fluconazole | 200 MG | 100 | 10 | 1 | 10 |
25021-184-67 | J1450 | Sagent Pharmaceuticals | Fluconazole | 200 MG | 200 | 10 | 2 | 20 |
25021-184-82 | J1450 | Sagent Pharmaceuticals | Fluconazole | 200 MG | 100 | 10 | 1 | 10 |
25021-184-87 | J1450 | Sagent Pharmaceuticals | Fluconazole | 200 MG | 200 | 10 | 2 | 20 |
0006-3061-00 | J1453 | Merck Sharp & Dohme LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
0006-3061-00 | J1453 | Merck Sharp & Dohme LLC | 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 |
16714-248-01 | J1453 | Northstar RxLLC | 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 | Eugia US LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
60505-6105-1 | J1453 | Apotex Corp | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
63323-972-10 | J1453 | FreseniUS Kabi USA, LLC | 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 | 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 | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
70860-780-10 | J1453 | Athenex Pharmaceutical Division, LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
70860-782-10 | J1453 | Athenex Pharmaceutical Division, LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
70860-783-10 | J1453 | Athenex Pharmaceutical Division, LLC | 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 LLC | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
81952-911-01 | J1453 | Hepalink USA, Inc. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
83634-776-10 | J1453 | Avenacy Inc. | Fosaprepitant injection | 1 MG | 1 | 1 | 150 | 150 |
69639-102-01 | J1454 | Helsinn Therapeutics (U.S.), Inc. | Inj fosnetupitant, palonoset | 0.25 MG | 1 | 1 | 1 | 1 |
69639-105-01 | J1454 | Helsinn Therapeutics (U.S.), 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 |
0143-9192-01 | J1455 | Hikma Pharmaceuticals USA Inc. | Foscarnet sodium injection | 1000 MG | 250 | 10 | 6 | 60 |
25021-189-84 | J1455 | Sagent Pharmaceuticals | Foscarnet sodium injection | 1000 MG | 250 | 10 | 6 | 60 |
43066-089-10 | J1455 | Baxter Healthcare Corporation | Foscarnet sodium injection | 1000 MG | 250 | 10 | 6 | 60 |
63323-875-50 | J1455 | FreseniUS Kabi USA, LLC | Foscarnet sodium injection | 1000 MG | 250 | 1 | 6 | 6 |
70121-1744-2 | J1455 | Amneal Pharmaceuticals, LLC | Foscarnet sodium injection | 1000 MG | 250 | 12 | 6 | 72 |
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 L.L.C. | Inj ivig privigen 500 mg | 500 MG | 50 | 1 | 10 | 10 |
44206-437-10 | J1459 | CSL Behring L.L.C. | Inj ivig privigen 500 mg | 500 MG | 110 | 1 | 20 | 20 |
44206-438-20 | J1459 | CSL Behring L.L.C. | Inj ivig privigen 500 mg | 500 MG | 200 | 1 | 40 | 40 |
44206-439-40 | J1459 | CSL Behring L.L.C. | 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 USA Inc. | Inj cutaquig 100 mg | 100 MG | 6 | 1 | 10 | 10 |
68982-810-03 | J1551 | Octapharma USA Inc. | Inj cutaquig 100 mg | 100 MG | 12 | 1 | 20 | 20 |
68982-810-04 | J1551 | Octapharma USA Inc. | Inj cutaquig 100 mg | 100 MG | 20 | 1 | 33 | 33 |
68982-810-05 | J1551 | Octapharma USA Inc. | Inj cutaquig 100 mg | 100 MG | 24 | 1 | 40 | 40 |
68982-810-06 | J1551 | Octapharma USA Inc. | Inj cutaquig 100 mg | 100 MG | 48 | 1 | 80 | 80 |
61476-104-05 | J1552 | GC Biopharma USA, Inc. | Inj, alyglo, 500 mg | 500 MG | 50 | 1 | 10 | 10 |
61476-104-10 | J1552 | GC Biopharma USA, Inc. | Inj, alyglo, 500 mg | 500 MG | 100 | 1 | 20 | 20 |
61476-104-20 | J1552 | GC Biopharma USA, Inc. | Inj, alyglo, 500 mg | 500 MG | 200 | 1 | 40 | 40 |
69800-0250-1 | J1554 | ADMA Biologics, Inc | 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, Inc | Inj, imm glob bivigam, 500mg | 500 MG | 50 | 1 | 10 | 10 |
69800-6503-1 | J1556 | ADMA Biologics, Inc | Inj, imm glob bivigam, 500mg | 500 MG | 100 | 1 | 20 | 20 |
64208-8234-6 | J1557 | Bio Products Laboratory | Gammaplex injection | 500 MG | 100 | 1 | 10 | 10 |
64208-8234-7 | J1557 | Bio Products Laboratory | Gammaplex injection | 500 MG | 200 | 1 | 20 | 20 |
64208-8234-8 | J1557 | Bio Products Laboratory | Gammaplex injection | 500 MG | 100 | 1 | 40 | 40 |
64208-8235-5 | J1557 | Bio Products Laboratory | Gammaplex injection | 500 MG | 50 | 1 | 10 | 10 |
64208-8235-6 | J1557 | Bio Products Laboratory | Gammaplex injection | 500 MG | 100 | 1 | 20 | 20 |
64208-8235-7 | J1557 | Bio Products Laboratory | 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 L.L.C. | Hizentra injection | 100 MG | 5 | 1 | 10 | 10 |
44206-452-02 | J1559 | CSL Behring L.L.C. | Hizentra injection | 100 MG | 10 | 1 | 20 | 20 |
44206-454-04 | J1559 | CSL Behring L.L.C. | Hizentra injection | 100 MG | 20 | 1 | 40 | 40 |
44206-455-10 | J1559 | CSL Behring L.L.C. | Hizentra injection | 100 MG | 50 | 1 | 100 | 100 |
44206-455-25 | J1559 | CSL Behring L.L.C. | Hizentra injection | 100 MG | 50 | 1 | 100 | 100 |
44206-456-21 | J1559 | CSL Behring L.L.C. | Hizentra injection | 100 MG | 5 | 1 | 10 | 10 |
44206-457-22 | J1559 | CSL Behring L.L.C. | Hizentra injection | 100 MG | 10 | 1 | 20 | 20 |
44206-458-24 | J1559 | CSL Behring L.L.C. | 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 | 1 |
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 |
0069-6002-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 20 | 1 | 4 | 4 |
0069-6111-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 100 | 1 | 20 | 20 |
0069-6237-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 200 | 1 | 40 | 40 |
0069-6339-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 300 | 1 | 60 | 60 |
0069-6550-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 50 | 1 | 10 | 10 |
0069-8400-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 20 | 1 | 2 | 2 |
0069-8425-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 50 | 1 | 5 | 5 |
0069-8451-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 100 | 1 | 10 | 10 |
0069-8476-02 | J1568 | Pfizer Inc | Octagam injection | 500 MG | 200 | 1 | 20 | 20 |
68982-840-01 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 20 | 1 | 2 | 2 |
68982-840-02 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 50 | 1 | 5 | 5 |
68982-840-03 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 100 | 1 | 10 | 10 |
68982-840-04 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 200 | 1 | 20 | 20 |
68982-850-01 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 20 | 1 | 4 | 4 |
68982-850-02 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 50 | 1 | 10 | 10 |
68982-850-03 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 100 | 1 | 20 | 20 |
68982-850-04 | J1568 | Octapharma USA Inc. | Octagam injection | 500 MG | 200 | 1 | 40 | 40 |
68982-850-05 | J1568 | Octapharma USA Inc. | 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 | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
25021-185-11 | J1570 | Sagent Pharmaceuticals | Ganciclovir sodium injection | 500 MG | 10 | 1 | 1 | 1 |
42023-173-25 | J1570 | Endo USA, Inc. | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
63323-315-10 | J1570 | FreseniUS Kabi USA, LLC | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
63323-315-94 | J1570 | FreseniUS Kabi USA, LLC | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
70436-089-55 | J1570 | Slate Run Pharmaceuticals | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
70436-231-55 | J1570 | Slate Run Pharmaceuticals | Ganciclovir sodium injection | 500 MG | 1 | 25 | 1 | 25 |
49591-051-51 | J1571 | Kamada Ltd. | Hepagam b im injection | 0.5 ML | 5 | 1 | 10 | 10 |
49591-052-51 | J1571 | Kamada Ltd. | Hepagam b im injection | 0.5 ML | 1 | 1 | 2 | 2 |
70257-051-51 | J1571 | Kamada Ltd. | Hepagam b im injection | 0.5 ML | 5 | 1 | 10 | 10 |
70257-052-51 | J1571 | Kamada Ltd. | Hepagam b im injection | 0.5 ML | 1 | 1 | 2 | 2 |
49591-051-51 | J1573 | Kamada Ltd. | Hepagam b intravenous, inj | 0.5 ML | 5 | 1 | 10 | 10 |
49591-052-51 | J1573 | Kamada Ltd. | Hepagam b intravenous, inj | 0.5 ML | 1 | 1 | 2 | 2 |
70257-051-51 | J1573 | Kamada Ltd. | Hepagam b intravenous, inj | 0.5 ML | 5 | 1 | 10 | 10 |
70257-052-51 | J1573 | Kamada Ltd. | Hepagam b intravenous, inj | 0.5 ML | 1 | 1 | 2 | 2 |
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 USA Inc. | Inj, panzyga, 500 mg | 500 MG | 25 | 1 | 5 | 5 |
68982-822-03 | J1576 | Octapharma USA Inc. | Inj, panzyga, 500 mg | 500 MG | 50 | 1 | 10 | 10 |
68982-822-04 | J1576 | Octapharma USA Inc. | Inj, panzyga, 500 mg | 500 MG | 100 | 1 | 20 | 20 |
68982-822-05 | J1576 | Octapharma USA Inc. | Inj, panzyga, 500 mg | 500 MG | 200 | 1 | 40 | 40 |
68982-822-06 | J1576 | Octapharma USA Inc. | Inj, panzyga, 500 mg | 500 MG | 300 | 1 | 60 | 60 |
0143-9128-25 | J1580 | Hikma Pharmaceuticals USA Inc. | Garamycin gentamicin inj | 80 MG | 2 | 25 | 1 | 25 |
0338-0503-48 | J1580 | Baxter Healthcare Corporation | Garamycin gentamicin inj | UP TO 80 MG | 100 | 1 | 1 | 1 |
0338-0505-48 | J1580 | Baxter Healthcare Corporation | Garamycin gentamicin inj | UP TO 80 MG | 100 | 1 | 2 | 2 |
0338-0507-41 | J1580 | Baxter Healthcare Corporation | Garamycin gentamicin inj | UP TO 80 MG | 50 | 1 | 0.75 | 1 |
0338-0507-48 | J1580 | Baxter Healthcare Corporation | Garamycin gentamicin inj | UP TO 80 MG | 100 | 1 | 2 | 2 |
0338-0509-41 | J1580 | Baxter Healthcare Corporation | Garamycin gentamicin inj | UP TO 80 MG | 50 | 1 | 1 | 1 |
0338-0511-41 | J1580 | Baxter Healthcare Corporation | Garamycin gentamicin inj | UP TO 80 MG | 50 | 1 | 2 | 2 |
0404-9865-02 | J1580 | Henry Schein Inc. | Garamycin gentamicin inj | UP TO 80 MG | 2 | 1 | 1 | 1 |
0404-9866-20 | J1580 | Henry Schein Inc. | Garamycin gentamicin inj | UP TO 80 MG | 20 | 1 | 10 | 10 |
0409-1207-03 | J1580 | Pfizer Inc | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 25 |
51662-1508-3 | J1580 | HF Acquisition Co. LLC, DBA HealthFirst | Garamycin gentamicin inj | UP TO 80 MG | 20 | 25 | 10 | 250 |
51662-1597-3 | J1580 | HF Acquisition Co. LLC, DBA HealthFirst | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 25 |
55150-401-25 | J1580 | Eugia US LLC | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 25 |
55150-402-25 | J1580 | Eugia US LLC | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 25 |
55150-403-25 | J1580 | Eugia US LLC | Garamycin gentamicin inj | UP TO 80 MG | 20 | 25 | 10 | 250 |
63323-010-02 | J1580 | FreseniUS Kabi USA, LLC | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 25 |
63323-010-20 | J1580 | FreseniUS Kabi USA, LLC | Garamycin gentamicin inj | UP TO 80 MG | 20 | 25 | 10 | 250 |
63323-010-94 | J1580 | FreseniUS Kabi USA, LLC | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 25 |
63323-010-95 | J1580 | FreseniUS Kabi USA, LLC | Garamycin gentamicin inj | UP TO 80 MG | 20 | 25 | 10 | 250 |
63323-173-02 | J1580 | FreseniUS Kabi USA, LLC | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 25 |
63323-173-94 | J1580 | FreseniUS Kabi USA, LLC | Garamycin gentamicin inj | UP TO 80 MG | 2 | 25 | 1 | 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, Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
0517-4602-25 | J1596 | American Regent, Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
0517-4605-25 | J1596 | American Regent, Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
0517-4620-25 | J1596 | American Regent, Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 25 | 40 | 1000 |
0781-3825-96 | J1596 | Sandoz Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
0781-3827-96 | J1596 | Sandoz Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
0781-3829-96 | J1596 | Sandoz Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
0781-3831-95 | J1596 | Sandoz Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
25021-796-01 | J1596 | Sagent Pharmaceuticals | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
25021-796-02 | J1596 | Sagent Pharmaceuticals | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
25021-796-05 | J1596 | Sagent Pharmaceuticals | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
50090-4513-0 | J1596 | A-S Medication Solutions | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 1 | 2 | 2 |
50090-5226-0 | J1596 | A-S Medication Solutions | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
51662-1487-1 | J1596 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 1 | 2 | 2 |
51662-1487-3 | J1596 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
51662-1554-3 | J1596 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
51662-1601-1 | J1596 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 1 | 5 | 1 |
51662-1601-3 | J1596 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
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 |
62332-607-25 | J1596 | Alembic Pharmaceuticals Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
62332-627-25 | J1596 | Alembic Pharmaceuticals Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
62332-628-25 | J1596 | Alembic Pharmaceuticals Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
62332-629-10 | J1596 | Alembic Pharmaceuticals Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
63323-578-01 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
63323-578-02 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
63323-578-05 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
63323-578-11 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
63323-578-12 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
65219-801-01 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
66794-202-42 | J1596 | Piramal Critical Care Inc | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
66794-203-42 | J1596 | Piramal Critical Care Inc | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
66794-204-42 | J1596 | Piramal Critical Care Inc | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
66794-205-41 | J1596 | Piramal Critical Care Inc | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
70121-1395-5 | J1596 | Amneal Pharmaceuticals, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
70121-1396-5 | J1596 | Amneal Pharmaceuticals, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
70121-1397-7 | J1596 | Amneal Pharmaceuticals, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
70121-1698-7 | J1596 | Amneal Pharmaceuticals, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 10 | 2 | 20 |
70121-1699-7 | J1596 | Amneal Pharmaceuticals, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 10 | 4 | 40 |
70700-165-25 | J1596 | Xiromed, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
70700-166-25 | J1596 | Xiromed, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
70700-167-25 | J1596 | Xiromed, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
70700-168-23 | J1596 | Xiromed, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
70700-903-23 | J1596 | Xiromed, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
70860-781-01 | J1596 | Athenex Pharmaceutical Division, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 25 | 2 | 50 |
70860-781-02 | J1596 | Athenex Pharmaceutical Division, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 25 | 4 | 100 |
70860-781-05 | J1596 | Athenex Pharmaceutical Division, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
70860-781-20 | J1596 | Athenex Pharmaceutical Division, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
71288-414-03 | J1596 | Meitheal Pharmaceuticals Inc. | 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 Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 20 | 10 | 40 | 400 |
71288-415-96 | J1596 | Meitheal Pharmaceuticals Inc. | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 5 | 25 | 10 | 250 |
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 USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 24 | 2 | 48 |
76045-203-20 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 2 | 24 | 4 | 96 |
76045-206-10 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 1 | 24 | 2 | 48 |
76045-223-30 | J1596 | FreseniUS Kabi USA, LLC | Inj, glycopyrrolate, 0.1 mg | 0.1 MG | 3 | 10 | 6 | 60 |
76045-023-30 | J1598 | FreseniUS Kabi USA, LLC | Inj glycopyrrolate fres kabi | 0.1 MG | 3 | 10 | 6 | 60 |
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 |
0378-8067-90 | J1610 | Mylan Pharmaceuticals 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 |
50090-6550-0 | J1610 | A-S Medication Solutions | Glucagon hydrochloride/1 mg | 1 MG | 1 | 1 | 1 | 1 |
63323-582-82 | J1611 | FreseniUS Kabi USA, LLC | Inj glucagon hcl, fresenius | 1 MG | 1 | 1 | 1 | 1 |
63323-593-03 | J1611 | FreseniUS Kabi USA, LLC | Inj glucagon hcl, fresenius | 1 MG | 1 | 1 | 1 | 1 |
63323-594-03 | J1611 | FreseniUS Kabi USA, LLC | Inj glucagon hcl, fresenius | 1 MG | 1 | 1 | 1 | 1 |
63323-596-13 | J1611 | FreseniUS Kabi USA, LLC | 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 USA, LLC | Granisetron hcl injection | 100 MCG | 1 | 1 | 10 | 10 |
63323-319-04 | J1626 | FreseniUS Kabi USA, LLC | 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 |
57894-640-01 | J1628 | Janssen Biotech, Inc. | Inj., guselkumab, 1 mg | 1 MG | 1 | 1 | 100 | 100 |
57894-640-11 | J1628 | Janssen Biotech, Inc. | Inj., guselkumab, 1 mg | 1 MG | 1 | 1 | 100 | 100 |
57894-650-02 | J1628 | Janssen Biotech, Inc. | Inj., guselkumab, 1 mg | 1 MG | 20 | 1 | 200 | 200 |
57894-651-02 | J1628 | Janssen Biotech, Inc. | Inj., guselkumab, 1 mg | 1 MG | 2 | 1 | 200 | 200 |
57894-651-04 | J1628 | Janssen Biotech, Inc. | Inj., guselkumab, 1 mg | 1 MG | 2 | 2 | 200 | 400 |
57894-651-22 | J1628 | Janssen Biotech, Inc. | Inj., guselkumab, 1 mg | 1 MG | 2 | 1 | 200 | 200 |
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 | Haloperidol injection | 5 MG | 1 | 10 | 1 | 10 |
51662-1524-1 | J1630 | HF Acquisition Co. LLC, DBA HealthFirst | Haloperidol injection | 5 MG | 1 | 1 | 1 | 1 |
63323-474-01 | J1630 | FreseniUS Kabi USA, LLC | Haloperidol injection | 5 MG | 1 | 25 | 1 | 25 |
63323-474-10 | J1630 | FreseniUS Kabi USA, LLC | 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 USA, LLC | 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 | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
25021-833-01 | J1631 | Sagent Pharmaceuticals | Haloperidol decanoate inj | 50 MG | 1 | 10 | 2 | 20 |
25021-834-05 | J1631 | Sagent Pharmaceuticals | 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 USA, LLC | Haloperidol decanoate inj | 50 MG | 1 | 1 | 1 | 1 |
63323-469-05 | J1631 | FreseniUS Kabi USA, LLC | Haloperidol decanoate inj | 50 MG | 5 | 1 | 5 | 5 |
63323-471-01 | J1631 | FreseniUS Kabi USA, LLC | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
63323-471-05 | J1631 | FreseniUS Kabi USA, LLC | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
63323-471-41 | J1631 | FreseniUS Kabi USA, LLC | 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 | BluePoint Laboratories | Haloperidol decanoate inj | 50 MG | 1 | 3 | 1 | 3 |
68001-579-48 | J1631 | BluePoint Laboratories | Haloperidol decanoate inj | 50 MG | 1 | 5 | 2 | 10 |
68001-580-41 | J1631 | BluePoint Laboratories | Haloperidol decanoate inj | 50 MG | 1 | 1 | 1 | 1 |
68001-581-41 | J1631 | BluePoint Laboratories | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
68001-581-48 | J1631 | BluePoint Laboratories | Haloperidol decanoate inj | 50 MG | 1 | 5 | 2 | 10 |
68001-581-82 | J1631 | BluePoint Laboratories | Haloperidol decanoate inj | 50 MG | 1 | 10 | 2 | 20 |
68001-582-41 | J1631 | BluePoint Laboratories | Haloperidol decanoate inj | 50 MG | 5 | 1 | 10 | 10 |
70710-1461-6 | J1631 | Zydus Pharmaceuticals (USA) Inc. | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
70710-1463-1 | J1631 | Zydus Pharmaceuticals (USA) Inc. | Haloperidol decanoate inj | 50 MG | 1 | 1 | 2 | 2 |
70756-615-10 | J1631 | Lifestar Pharma | Haloperidol decanoate inj | 50 MG | 1 | 10 | 1 | 10 |
70756-615-81 | J1631 | Lifestar Pharma | Haloperidol decanoate inj | 50 MG | 1 | 1 | 1 | 1 |
70756-616-10 | J1631 | Lifestar Pharma | Haloperidol decanoate inj | 50 MG | 1 | 10 | 2 | 20 |
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 Inc. | 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 |
0264-9872-00 | J1644 | B. Braun Medical Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 1000 | 12 | 2 | 24 |
0264-9872-10 | J1644 | B. Braun Medical Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 1 | 24 |
0338-0424-18 | J1644 | Baxter Healthcare Corporation | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 18 | 1 | 18 |
0338-0431-03 | J1644 | Baxter Healthcare Corporation | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 18 | 1 | 18 |
0338-0433-04 | J1644 | Baxter Healthcare Corporation | 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 | Pfizer Inc | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 30 | 12.5 | 375 |
0409-1005-20 | J1644 | Pfizer 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 |
0409-1316-32 | 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 | Pfizer 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 | Pfizer Inc | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 20 | 25 | 500 |
0409-4520-30 | J1644 | Pfizer 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 | Pfizer 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 |
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 |
0781-3538-25 | J1644 | Sandoz Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
0781-3540-25 | J1644 | Sandoz Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
0781-3543-25 | J1644 | Sandoz Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
0781-3545-25 | J1644 | Sandoz Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
0781-3550-25 | J1644 | Sandoz Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
0781-3555-25 | J1644 | Sandoz Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
25021-400-01 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
25021-400-10 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
25021-400-30 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
25021-400-66 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
25021-400-67 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
25021-400-68 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
25021-401-02 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
25021-402-01 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
25021-402-10 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
25021-402-66 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
25021-403-01 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
25021-403-04 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 4 | 25 | 40 | 1000 |
25021-403-66 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
25021-404-01 | J1644 | Sagent Pharmaceuticals | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
51662-1409-1 | J1644 | HF Acquisition Co. LLC, DBA HealthFirst | Inj heparin sodium per 1000u | 1000 UNITS | 5 | 1 | 50 | 50 |
51662-1409-3 | J1644 | HF Acquisition Co. LLC, DBA HealthFirst | Inj heparin sodium per 1000u | 1000 UNITS | 5 | 25 | 50 | 1250 |
51662-1434-1 | J1644 | HF Acquisition Co. LLC, DBA HealthFirst | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 1 | 10 | 10 |
63323-047-10 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
63323-118-05 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 24 | 5 | 120 |
63323-262-06 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63323-262-26 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63323-262-36 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
63323-276-02 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 2 | 25 | 2 | 50 |
63323-517-74 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 24 | 25 | 600 |
63323-518-77 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 25 | 600 |
63323-519-10 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1000 | 12 | 2 | 24 |
63323-519-77 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 1 | 24 |
63323-522-77 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 500 | 24 | 25 | 600 |
63323-523-74 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 250 | 24 | 25 | 600 |
63323-540-13 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
63323-540-15 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
63323-540-36 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
63323-540-67 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
63323-542-13 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
63323-542-14 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 5 | 25 | 50 | 1250 |
63323-543-13 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 0.5 | 25 | 5 | 125 |
63323-915-13 | J1644 | FreseniUS Kabi USA, LLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 20 | 500 |
63739-901-28 | J1644 | McKesson Corporation dba SKY Packaging | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 50 | 1250 |
63739-931-28 | J1644 | McKesson Corporation dba SKY Packaging | Inj heparin sodium per 1000u | 1000 UNITS | 10 | 25 | 10 | 250 |
63739-953-25 | J1644 | McKesson Corporation dba SKY Packaging | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
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 | 1000 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 | 1000 UNITS | 10 | 25 | 10 | 250 |
71288-421-96 | J1644 | Meitheal Pharmaceuticals Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 30 | 25 | 30 | 750 |
71288-422-96 | J1644 | Meitheal Pharmaceuticals Inc. | Inj heparin sodium per 1000u | 1000 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 | 1000 UNITS | 1 | 25 | 1 | 25 |
72572-255-25 | J1644 | Civica, Inc. | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 5 | 125 |
72603-234-25 | J1644 | Northstar RxLLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 1 | 25 |
72603-501-25 | J1644 | Northstar RxLLC | Inj heparin sodium per 1000u | 1000 UNITS | 1 | 25 | 10 | 250 |
76045-108-10 | J1644 | FreseniUS Kabi USA, LLC | 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, Inc. | 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 Inc | Dalteparin sodium | 2500 IU | 4 | 10 | 4 | 40 |
0075-0620-40 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0075-0620-40 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0075-0621-60 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0075-0621-60 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0075-0622-80 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0075-0622-80 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0075-0623-00 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0075-0623-00 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0075-0624-30 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0075-0624-30 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0075-0626-03 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
0075-0626-03 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
0075-2912-01 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0075-2912-01 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0075-2915-01 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0075-2915-01 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0075-8013-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0075-8014-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0075-8016-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0075-8018-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0075-8020-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0075-8022-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0075-8025-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0075-8030-01 | J1650 | Sanofi-Aventis U.S. LLC | 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 |
0781-3238-63 | J1650 | Sandoz Inc. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0781-3246-64 | J1650 | Sandoz Inc. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0781-3256-66 | J1650 | Sandoz Inc. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0781-3262-68 | J1650 | Sandoz Inc. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0781-3268-69 | J1650 | Sandoz Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0781-3298-68 | J1650 | Sandoz Inc. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0781-3299-69 | J1650 | Sandoz Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0955-1003-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
0955-1004-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
0955-1006-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
0955-1008-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
0955-1010-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
0955-1012-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
0955-1015-10 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
0955-1016-01 | J1650 | Sanofi-Aventis U.S. LLC | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
16714-006-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
16714-016-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
16714-026-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
16714-036-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
16714-046-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
16714-056-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
16714-066-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
25021-410-70 | J1650 | Sagent Pharmaceuticals | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
25021-410-71 | J1650 | Sagent Pharmaceuticals | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
25021-410-76 | J1650 | Sagent Pharmaceuticals | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
25021-410-77 | J1650 | Sagent Pharmaceuticals | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
25021-410-78 | J1650 | Sagent Pharmaceuticals | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
25021-411-70 | J1650 | Sagent Pharmaceuticals | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
25021-411-71 | J1650 | Sagent Pharmaceuticals | 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 USA, LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-531-98 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-533-83 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-533-93 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-535-87 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
63323-535-98 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
63323-539-03 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
63323-559-65 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
63323-559-93 | J1650 | FreseniUS Kabi USA, LLC | 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 USA, LLC | 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 USA, LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-584-65 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
63323-584-99 | J1650 | FreseniUS Kabi USA, LLC | 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 USA, LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
63323-589-94 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
63323-605-84 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
63323-605-94 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
63323-607-88 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-607-98 | J1650 | FreseniUS Kabi USA, LLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
63323-655-99 | J1650 | FreseniUS Kabi USA, LLC | 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 (USA) Inc. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
70710-1762-6 | J1650 | Zydus Pharmaceuticals (USA) Inc. | 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 Inc. | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
71288-426-91 | J1650 | Meitheal Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 3 | 1 | 30 | 30 |
71288-432-81 | J1650 | Meitheal Pharmaceuticals Inc. | 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 Inc. | 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 |
71288-435-87 | J1650 | Meitheal Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
71288-435-92 | J1650 | Meitheal Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
71288-436-89 | J1650 | Meitheal Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
71288-436-92 | J1650 | Meitheal Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
71288-437-92 | J1650 | Meitheal Pharmaceuticals Inc. | 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 |
71288-438-94 | J1650 | Meitheal Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
71288-438-96 | J1650 | Meitheal Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
71839-109-10 | J1650 | BE Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
71839-110-10 | J1650 | BE Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
71839-111-10 | J1650 | BE Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
71839-112-10 | J1650 | BE Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
71839-113-10 | J1650 | BE Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
71839-115-10 | J1650 | BE Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
71839-116-10 | J1650 | BE Pharmaceuticals Inc. | Inj enoxaparin sodium | 10 MG | 1 | 10 | 15 | 150 |
72603-165-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.3 | 10 | 3 | 30 |
72603-175-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.4 | 10 | 4 | 40 |
72603-185-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.6 | 10 | 6 | 60 |
72603-195-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 8 | 80 |
72603-205-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 1 | 10 | 10 | 100 |
72603-215-10 | J1650 | Northstar RxLLC | Inj enoxaparin sodium | 10 MG | 0.8 | 10 | 12 | 120 |
72603-225-10 | J1650 | Northstar RxLLC | 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 |
0781-3443-95 | J1652 | Sandoz Inc. | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
0781-3454-95 | J1652 | Sandoz Inc. | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
0781-3465-95 | J1652 | Sandoz Inc. | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
0781-3476-95 | J1652 | Sandoz Inc. | 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 | Eugia US LLC | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
55150-231-10 | J1652 | Eugia US LLC | Fondaparinux sodium | 0.5 MG | 0.4 | 10 | 10 | 100 |
55150-232-10 | J1652 | Eugia US LLC | Fondaparinux sodium | 0.5 MG | 0.6 | 10 | 15 | 150 |
55150-233-10 | J1652 | Eugia US 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 (USA) Inc. | Fondaparinux sodium | 0.5 MG | 0.5 | 10 | 5 | 50 |
70710-1514-9 | J1652 | Zydus Pharmaceuticals (USA) Inc. | Fondaparinux sodium | 0.5 MG | 0.5 | 2 | 5 | 10 |
70710-1515-6 | J1652 | Zydus Pharmaceuticals (USA) Inc. | 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 | 3 |
0009-0013-06 | J1720 | Pfizer Inc | Hydrocortisone sodium succ i | 100 MG | 1 | 25 | 2.5 | 63 |
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 | HF Acquisition Co. LLC, DBA HealthFirst | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 1 | 1 |
51662-1262-1 | J1720 | HF Acquisition Co. LLC, DBA HealthFirst | Hydrocortisone sodium succ i | 100 MG | 1 | 1 | 2.5 | 3 |
69097-004-67 | J1720 | Cipla USA, Inc. | Hydrocortisone sodium succ i | UP TO 100 MG | 1 | 1 | 1 | 1 |
25021-827-61 | J1740 | Sagent Pharmaceuticals | Ibandronate sodium injection | 1 MG | 3 | 1 | 3 | 3 |
55150-191-83 | J1740 | Eugia US 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 |
66220-284-22 | J1741 | Cumberland Pharmaceuticals Inc. | Ibuprofen injection | 100 MG | 200 | 20 | 8 | 160 |
66220-287-08 | J1741 | Cumberland Pharmaceuticals Inc. | Ibuprofen injection | 100 MG | 8 | 25 | 8 | 200 |
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 |
0597-0620-20 | J1747 | Boehringer Ingelheim Pharmaceuticals Inc | Inj, spesolimab-sbzo, 1 mg | 1 MG | 1 | 2 | 150 | 300 |
83226-2001-1 | J1749 | BTG International Inc. | Inj, iloprost, 0.1 mcg | 0.1 MCG | 1 | 1 | 1000 | 1000 |
0023-6082-10 | J1750 | Allergan, Inc. | 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 | HF Acquisition Co. LLC, DBA HealthFirst | Inj iron dextran | 50 MG | 2 | 1 | 2 | 2 |
52584-086-01 | J1750 | Henry Schein Inc. | Inj iron dextran | 50 MG | 2 | 1 | 2 | 2 |
0517-2310-05 | J1756 | American Regent, Inc. | Iron sucrose injection | 1 MG | 10 | 5 | 200 | 1000 |
0517-2325-10 | J1756 | American Regent, Inc. | Iron sucrose injection | 1 MG | 2.5 | 10 | 50 | 500 |
0517-2340-10 | J1756 | American Regent, Inc. | Iron sucrose injection | 1 MG | 5 | 10 | 100 | 1000 |
0517-2340-25 | J1756 | American Regent, Inc. | Iron sucrose injection | 1 MG | 5 | 25 | 100 | 2500 |
0517-2340-99 | J1756 | American Regent, Inc. | Iron sucrose injection | 1 MG | 5 | 10 | 100 | 1000 |
49230-530-10 | J1756 | Fresenius Medical Care North America | Iron sucrose injection | 1 MG | 2.5 | 10 | 50 | 500 |
49230-530-25 | J1756 | Fresenius Medical Care North America | Iron sucrose injection | 1 MG | 2.5 | 25 | 50 | 1250 |
49230-534-10 | J1756 | Fresenius Medical Care North America | Iron sucrose injection | 1 MG | 5 | 10 | 100 | 1000 |
49230-534-25 | J1756 | Fresenius Medical Care North America | Iron sucrose injection | 1 MG | 5 | 25 | 100 | 2500 |
50090-4541-0 | J1756 | A-S Medication Solutions | Iron sucrose injection | 1 MG | 5 | 1 | 100 | 100 |
51662-1568-3 | J1756 | HF Acquisition Co. LLC, DBA HealthFirst | Iron sucrose injection | 1 MG | 5 | 10 | 100 | 1000 |
58468-4663-1 | J1786 | Genzyme Corporation | Imuglucerase injection | 10 UNITS | 1 | 1 | 40 | 40 |
0143-9514-25 | J1790 | Hikma Pharmaceuticals USA Inc. | Droperidol injection | UP TO 5 MG | 2 | 25 | 1 | 25 |
0143-9515-25 | J1790 | Hikma Pharmaceuticals USA Inc. | Droperidol injection | UP TO 5 MG | 1 | 25 | 1 | 25 |
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 Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 250 | 1 | 250 | 250 |
10019-075-87 | J1805 | Baxter Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 100 | 1 | 200 | 200 |
10019-115-01 | J1805 | Baxter Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
10019-120-01 | J1805 | Baxter Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
10019-666-10 | J1805 | Baxter Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
10019-668-10 | J1805 | Baxter Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
10019-670-10 | J1805 | Baxter Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
10019-672-10 | J1805 | Baxter Healthcare Corporation | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
25021-308-84 | J1805 | Sagent Pharmaceuticals | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
25021-309-82 | J1805 | Sagent Pharmaceuticals | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
25021-314-10 | J1805 | Sagent Pharmaceuticals | Inj, esmolol hcl, 10mg | 10 MG | 10 | 10 | 10 | 100 |
44567-450-10 | J1805 | WG Critical Care, LLC | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
44567-451-10 | J1805 | WG Critical Care, LLC | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
51662-1444-1 | J1805 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, esmolol hcl, 10mg | 10 MG | 10 | 1 | 10 | 10 |
51662-1444-3 | J1805 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
55150-194-10 | J1805 | Eugia US LLC | Inj, esmolol hcl, 10mg | 10 MG | 10 | 25 | 10 | 250 |
55150-420-10 | J1805 | Eugia US LLC | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
55150-421-10 | J1805 | Eugia US LLC | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
63323-652-10 | J1805 | FreseniUS Kabi USA, LLC | 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 |
70121-1716-7 | J1805 | Amneal Pharmaceuticals, LLC | Inj, esmolol hcl, 10mg | 10 MG | 250 | 10 | 250 | 2500 |
70121-1717-7 | J1805 | Amneal Pharmaceuticals, LLC | Inj, esmolol hcl, 10mg | 10 MG | 100 | 10 | 200 | 2000 |
44567-811-10 | J1806 | WG Critical Care, LLC | Inj esmolol hcl wg crit care | 10 MG | 250 | 10 | 250 | 2500 |
44567-812-10 | J1806 | WG Critical Care, LLC | Inj esmolol hcl wg crit care | 10 MG | 100 | 10 | 200 | 2000 |
39822-1100-1 | J1808 | XGen Pharmaceuticals DJB, Inc. | Inj, folic acid, 0.1 mg | 0.1 MG | 10 | 1 | 500 | 500 |
63323-184-10 | J1808 | FreseniUS Kabi USA, LLC | Inj, folic acid, 0.1 mg | 0.1 MG | 10 | 1 | 500 | 500 |
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 |
50090-7433-0 | J1813 | A-S Medication Solutions | Lyumjev for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0002-0213-01 | J1817 | Eli Lilly and Company | Insulin for insulin pump use | 50 UNITS | 3 | 1 | 6 | 6 |
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 |
0002-7533-01 | J1817 | Eli Lilly and Company | Insulin for insulin pump use | 50 UNITS | 3 | 1 | 6 | 6 |
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 | Eli Lilly and Company | Insulin for insulin pump use | 50 UNITS | 3 | 5 | 6 | 30 |
0002-8215-01 | J1817 | Eli Lilly and Company | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
0002-8215-01 | 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 |
0002-8215-17 | 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 |
50090-0352-0 | J1817 | A-S Medication Solutions | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
50090-0353-0 | J1817 | A-S Medication Solutions | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
50090-0497-0 | J1817 | A-S Medication Solutions | Insulin for insulin pump use | 50 UNITS | 10 | 1 | 20 | 20 |
50090-0498-0 | J1817 | A-S Medication Solutions | 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 |
50090-4956-0 | 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 |
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 Healthcare Corporation | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
0338-9541-24 | J1836 | Baxter Healthcare Corporation | 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 | Pfizer Inc | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
25021-131-82 | J1836 | Sagent Pharmaceuticals | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
80830-2465-9 | J1836 | Amneal Pharmaceuticals, LLC | Inj, metronidazole, 10 mg | 10 MG | 100 | 24 | 50 | 1200 |
0338-0069-10 | J1885 | Baxter Healthcare Corporation | Ketorolac tromethamine inj | 15 MG | 1 | 10 | 1 | 10 |
0338-0072-25 | J1885 | Baxter Healthcare Corporation | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
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 |
0409-3793-01 | J1885 | Pfizer Inc | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
0409-3793-25 | J1885 | Pfizer Inc | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
0409-3793-25 | 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 |
0409-3795-01 | 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 |
0409-3796-01 | J1885 | Pfizer Inc | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
0409-3796-25 | J1885 | Pfizer Inc | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
0409-3796-25 | J1885 | Pfizer Inc | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
0487-6232-01 | J1885 | Nephron SC, Inc. | Ketorolac tromethamine inj | 15 MG | 2 | 30 | 4 | 120 |
25021-700-01 | J1885 | Sagent Pharmaceuticals | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
25021-701-01 | J1885 | Sagent Pharmaceuticals | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
25021-701-02 | J1885 | Sagent Pharmaceuticals | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-1328-1 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
50090-3364-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
50090-3364-1 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
50090-3397-1 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-4583-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-4635-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-4635-1 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
50090-5013-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
50090-5013-1 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
50090-5428-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
50090-5428-1 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
50090-5609-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
50090-6772-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
50090-6772-1 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
50090-6807-0 | J1885 | A-S Medication Solutions | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
51662-1292-1 | J1885 | HF Acquisition Co. LLC, DBA HealthFirst | Ketorolac tromethamine inj | 15 MG | 1 | 1 | 2 | 2 |
51662-1292-3 | J1885 | HF Acquisition Co. LLC, DBA HealthFirst | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
51662-1295-1 | J1885 | HF Acquisition Co. LLC, DBA HealthFirst | Ketorolac tromethamine inj | 15 MG | 2 | 1 | 4 | 4 |
51662-1295-3 | J1885 | HF Acquisition Co. LLC, DBA HealthFirst | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
51662-1594-3 | J1885 | HF Acquisition Co. LLC, DBA 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 USA, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
63323-161-12 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
63323-161-16 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
63323-162-01 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
63323-162-02 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
63323-162-12 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
63323-162-14 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
63323-162-16 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
63323-162-26 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
65145-145-25 | J1885 | Caplin Steriles USA Inc. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
65145-146-25 | J1885 | Caplin Steriles USA Inc. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
65145-147-25 | J1885 | Caplin Steriles USA Inc. | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
68462-755-25 | J1885 | Glenmark Pharmaceuticals Inc., USA | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
68462-756-25 | J1885 | Glenmark Pharmaceuticals Inc., USA | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
68462-757-25 | J1885 | Glenmark Pharmaceuticals Inc., USA | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
70860-700-02 | J1885 | Athenex Pharmaceutical Division, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
70860-701-03 | J1885 | Athenex Pharmaceutical Division, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
70860-701-04 | J1885 | Athenex Pharmaceutical Division, LLC | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
72266-118-25 | J1885 | Fosun Pharma USA Inc. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
72266-119-25 | J1885 | Fosun Pharma USA Inc. | 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 |
72603-153-25 | J1885 | Northstar RxLLC | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
72611-719-25 | J1885 | Almaject, Inc. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 1 | 25 |
72611-722-25 | J1885 | Almaject, Inc. | Ketorolac tromethamine inj | 15 MG | 1 | 25 | 2 | 50 |
72611-725-25 | J1885 | Almaject, Inc. | Ketorolac tromethamine inj | 15 MG | 2 | 25 | 4 | 100 |
76045-104-10 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 1 | 24 | 2 | 48 |
76045-105-20 | J1885 | FreseniUS Kabi USA, LLC | Ketorolac tromethamine inj | 15 MG | 2 | 24 | 4 | 96 |
76045-209-10 | J1885 | FreseniUS Kabi USA, LLC | 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 | Pfizer Inc | Inj, labetalol hcl, 5mg | 5 MG | 20 | 25 | 20 | 500 |
0409-2267-54 | J1920 | Pfizer Inc | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
0409-2267-54 | J1920 | Pfizer Inc | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
0409-2339-34 | J1920 | Pfizer Inc | Inj, labetalol hcl, 5mg | 5 MG | 4 | 10 | 4 | 40 |
25021-317-20 | J1920 | Sagent Pharmaceuticals | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
25021-317-40 | J1920 | Sagent Pharmaceuticals | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
36000-320-10 | J1920 | Baxter Healthcare Corporation | Inj, labetalol hcl, 5mg | 5 MG | 4 | 10 | 4 | 40 |
36000-322-02 | J1920 | Baxter Healthcare Corporation | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
36000-324-02 | J1920 | Baxter Healthcare Corporation | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
51662-1228-1 | J1920 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
51662-1602-1 | J1920 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
51662-1602-9 | J1920 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72266-102-01 | J1920 | Fosun Pharma USA Inc. | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72266-103-01 | J1920 | Fosun Pharma USA Inc. | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
72266-103-41 | J1920 | Fosun Pharma USA Inc. | 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 RxLLC | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72611-734-01 | J1920 | Almaject, Inc. | Inj, labetalol hcl, 5mg | 5 MG | 20 | 1 | 20 | 20 |
72611-738-01 | J1920 | Almaject, Inc. | Inj, labetalol hcl, 5mg | 5 MG | 40 | 1 | 40 | 40 |
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 |
69097-906-67 | J1930 | Cipla USA, 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 |
0143-9155-25 | J1938 | Hikma Pharmaceuticals USA Inc. | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
0143-9156-10 | J1938 | Hikma Pharmaceuticals USA Inc. | Inj, furosemide, 1 mg | 1 MG | 4 | 10 | 40 | 400 |
0143-9157-10 | J1938 | Hikma Pharmaceuticals USA Inc. | Inj, furosemide, 1 mg | 1 MG | 10 | 10 | 100 | 1000 |
0143-9158-01 | J1938 | Hikma Pharmaceuticals USA Inc. | Inj, furosemide, 1 mg | 1 MG | 50 | 1 | 500 | 500 |
0143-9159-01 | J1938 | Hikma Pharmaceuticals USA Inc. | Inj, furosemide, 1 mg | 1 MG | 100 | 1 | 1000 | 1000 |
0404-9861-10 | J1938 | Henry Schein Inc. | Inj, furosemide, 1 mg | 1 MG | 10 | 1 | 100 | 100 |
0404-9862-10 | J1938 | Henry Schein Inc. | Inj, furosemide, 1 mg | 1 MG | 10 | 1 | 100 | 100 |
0404-9863-04 | J1938 | Henry Schein Inc. | Inj, furosemide, 1 mg | 1 MG | 4 | 1 | 40 | 40 |
0404-9864-02 | J1938 | Henry Schein Inc. | Inj, furosemide, 1 mg | 1 MG | 2 | 1 | 20 | 20 |
16729-500-08 | J1938 | Accord Healthcare Inc | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
16729-501-43 | J1938 | Accord Healthcare Inc | Inj, furosemide, 1 mg | 1 MG | 4 | 10 | 40 | 400 |
16729-502-43 | J1938 | Accord Healthcare Inc | Inj, furosemide, 1 mg | 1 MG | 10 | 10 | 100 | 1000 |
23155-473-41 | J1938 | Heritage Pharmaceuticals Inc. | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
23155-473-42 | J1938 | Heritage Pharmaceuticals Inc. | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
23155-473-44 | J1938 | Heritage Pharmaceuticals Inc. | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
25021-311-02 | J1938 | Sagent Pharmaceuticals | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
25021-311-04 | J1938 | Sagent Pharmaceuticals | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
25021-311-10 | J1938 | Sagent Pharmaceuticals | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
36000-282-25 | J1938 | Baxter Healthcare Corporation | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
36000-283-25 | J1938 | Baxter Healthcare Corporation | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
36000-284-25 | J1938 | Baxter Healthcare Corporation | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
51662-1226-3 | J1938 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
51662-1227-1 | J1938 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, furosemide, 1 mg | 1 MG | 2 | 1 | 20 | 20 |
51662-1572-1 | J1938 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, furosemide, 1 mg | 1 MG | 2 | 1 | 20 | 20 |
51662-1572-3 | J1938 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
51662-1574-1 | J1938 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, furosemide, 1 mg | 1 MG | 4 | 1 | 40 | 40 |
51662-1574-3 | J1938 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
51662-1575-1 | J1938 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, furosemide, 1 mg | 1 MG | 10 | 1 | 100 | 100 |
55150-322-25 | J1938 | Eugia US LLC | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
55150-323-25 | J1938 | Eugia US LLC | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
55150-324-25 | J1938 | Eugia US LLC | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
63323-280-02 | J1938 | FreseniUS Kabi USA, LLC | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
63323-280-04 | J1938 | FreseniUS Kabi USA, LLC | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
63323-280-10 | J1938 | FreseniUS Kabi USA, LLC | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
63323-280-16 | J1938 | FreseniUS Kabi USA, LLC | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
63323-280-26 | J1938 | FreseniUS Kabi USA, LLC | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
63323-280-36 | J1938 | FreseniUS Kabi USA, LLC | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
70121-1076-5 | J1938 | Amneal Pharmaceuticals, LLC | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
70756-618-25 | J1938 | Lifestar Pharma | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
70756-619-25 | J1938 | Lifestar Pharma | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
70756-620-25 | J1938 | Lifestar Pharma | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
70860-302-02 | J1938 | Athenex Pharmaceutical Division, LLC | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
70860-302-04 | J1938 | Athenex Pharmaceutical Division, LLC | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
70860-302-10 | J1938 | Athenex Pharmaceutical Division, LLC | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
71288-203-03 | J1938 | Meitheal Pharmaceuticals Inc. | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
71288-203-05 | J1938 | Meitheal Pharmaceuticals Inc. | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
71288-203-11 | J1938 | Meitheal Pharmaceuticals Inc. | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
72572-190-25 | J1938 | Civica, Inc. | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
72603-133-25 | J1938 | Northstar RxLLC | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
72603-251-25 | J1938 | Northstar RxLLC | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
72603-474-25 | J1938 | Northstar RxLLC | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
81565-201-02 | J1938 | Phlow Corporation | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
83634-302-02 | J1938 | Avenacy Inc. | Inj, furosemide, 1 mg | 1 MG | 2 | 25 | 20 | 500 |
83634-302-04 | J1938 | Avenacy Inc. | Inj, furosemide, 1 mg | 1 MG | 4 | 25 | 40 | 1000 |
83634-302-10 | J1938 | Avenacy Inc. | Inj, furosemide, 1 mg | 1 MG | 10 | 25 | 100 | 2500 |
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 |
25021-321-04 | J1939 | Sagent Pharmaceuticals | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
25021-321-10 | J1939 | Sagent Pharmaceuticals | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
65219-570-04 | J1939 | FreseniUS Kabi USA, LLC | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
65219-572-10 | J1939 | FreseniUS Kabi USA, LLC | 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 |
70748-323-10 | J1939 | Lupin Pharmaceuticals, Inc. | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
70748-323-11 | J1939 | Lupin Pharmaceuticals, Inc. | Inj, bumetanide, 0.5 mg | 0.5 MG | 10 | 10 | 5 | 50 |
70860-405-04 | J1939 | Athenex Pharmaceutical Division, LLC | Inj, bumetanide, 0.5 mg | 0.5 MG | 4 | 10 | 2 | 20 |
70860-406-10 | J1939 | Athenex Pharmaceutical Division, LLC | 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 |
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 Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 2 | 2 |
0074-2282-03 | J1950 | AbbVie Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 3 | 3 |
0074-2440-03 | J1950 | AbbVie Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 4 | 4 |
0074-3575-01 | J1950 | AbbVie Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 12 | 12 |
0074-3641-03 | J1950 | AbbVie Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 1 | 1 |
0074-3663-03 | J1950 | AbbVie Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 3 | 3 |
0074-3779-03 | J1950 | AbbVie Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 3 | 3 |
0074-9694-03 | J1950 | AbbVie Inc. | Leuprolide acetate /3.75 mg | 3.75 MG | 1 | 1 | 8 | 8 |
62935-153-50 | J1951 | Tolmar Inc. | Inj fensolvi 0.25 mg | 0.25 MG | 1 | 1 | 180 | 180 |
62935-163-60 | J1951 | Tolmar Inc. | 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 |
0264-1009-90 | J1953 | B. Braun Medical Inc. | Levetiracetam injection | 10 MG | 100 | 24 | 100 | 2400 |
0264-1509-90 | J1953 | B. Braun Medical Inc. | Levetiracetam injection | 10 MG | 100 | 24 | 150 | 3600 |
0264-5009-90 | J1953 | B. Braun Medical Inc. | Levetiracetam injection | 10 MG | 100 | 24 | 50 | 1200 |
0409-1886-02 | J1953 | Pfizer Inc | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
0409-1886-02 | 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 Pharmaceuticals, LLC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
14789-220-10 | J1953 | Nexus Pharmaceuticals, LLC | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
14789-330-15 | J1953 | Nexus Pharmaceuticals, LLC | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
25021-780-05 | J1953 | Sagent Pharmaceuticals | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
25021-793-82 | J1953 | Sagent Pharmaceuticals | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
25021-794-82 | J1953 | Sagent Pharmaceuticals | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
36000-352-40 | J1953 | Baxter Healthcare Corporation | Levetiracetam injection | 10 MG | 100 | 24 | 50 | 1200 |
36000-354-40 | J1953 | Baxter Healthcare Corporation | Levetiracetam injection | 10 MG | 100 | 24 | 150 | 3600 |
36000-356-40 | J1953 | Baxter Healthcare Corporation | Levetiracetam injection | 10 MG | 100 | 24 | 100 | 2400 |
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 | Eugia US LLC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
55150-246-47 | J1953 | Eugia US LLC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
55150-247-47 | J1953 | Eugia US LLC | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
55150-248-47 | J1953 | Eugia US LLC | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
63323-400-05 | J1953 | FreseniUS Kabi USA, LLC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
63323-400-05 | J1953 | FreseniUS Kabi USA, LLC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
63323-400-44 | J1953 | FreseniUS Kabi USA, LLC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
63323-400-44 | J1953 | FreseniUS Kabi USA, LLC | 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 Pharmaceutical Division, LLC | Levetiracetam injection | 10 MG | 100 | 10 | 50 | 500 |
70860-603-82 | J1953 | Athenex Pharmaceutical Division, LLC | Levetiracetam injection | 10 MG | 100 | 10 | 100 | 1000 |
70860-604-82 | J1953 | Athenex Pharmaceutical Division, LLC | Levetiracetam injection | 10 MG | 100 | 10 | 150 | 1500 |
72205-120-07 | J1953 | Novadoz Pharmaceuticals LLC | Levetiracetam injection | 10 MG | 5 | 10 | 50 | 500 |
72205-120-25 | J1953 | Novadoz Pharmaceuticals LLC | Levetiracetam injection | 10 MG | 5 | 25 | 50 | 1250 |
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. | Inj leu acet lutr dpt 7.5 mg | 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 |
0517-1045-05 | J1955 | American Regent, Inc. | Inj levocarnitine per 1 gm | 1 GM | 5 | 5 | 1 | 5 |
0517-1075-01 | J1955 | American Regent, Inc. | Inj levocarnitine per 1 gm | 1 GM | 20 | 1 | 4 | 4 |
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 | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
25021-132-81 | J1956 | Sagent Pharmaceuticals | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
25021-132-82 | J1956 | Sagent Pharmaceuticals | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
25021-132-82 | J1956 | Sagent Pharmaceuticals | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
25021-132-83 | J1956 | Sagent Pharmaceuticals | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
25021-132-83 | J1956 | Sagent Pharmaceuticals | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
36000-046-24 | J1956 | Baxter Healthcare Corporation | Levofloxacin injection | 250 MG | 50 | 1 | 1 | 1 |
36000-047-24 | J1956 | Baxter Healthcare Corporation | Levofloxacin injection | 250 MG | 100 | 1 | 2 | 2 |
36000-048-24 | J1956 | Baxter Healthcare Corporation | Levofloxacin injection | 250 MG | 150 | 1 | 3 | 3 |
44567-435-24 | J1956 | WG Critical Care, LLC | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
44567-436-24 | J1956 | WG Critical Care, LLC | Levofloxacin injection | 250 MG | 100 | 24 | 2 | 48 |
44567-437-24 | J1956 | WG Critical Care, LLC | Levofloxacin injection | 250 MG | 150 | 24 | 3 | 72 |
63323-355-50 | J1956 | FreseniUS Kabi USA, LLC | Levofloxacin injection | 250 MG | 50 | 24 | 1 | 24 |
61958-3002-1 | J1961 | Gilead Sciences, Inc. | Inj, lenacapavir, 1 mg | 1 MG | 1.5 | 2 | 463.5 | 927 |
0264-9594-10 | J2002 | B. Braun Medical Inc. | Inj, lidocaine in d5w, 1 mg | 1 MG | 500 | 24 | 2000 | 48000 |
0264-9594-20 | J2002 | B. Braun Medical Inc. | Inj, lidocaine in d5w, 1 mg | 1 MG | 250 | 24 | 1000 | 24000 |
0264-9598-20 | J2002 | B. Braun Medical Inc. | Inj, lidocaine in d5w, 1 mg | 1 MG | 250 | 24 | 2000 | 48000 |
0338-0409-03 | J2002 | Baxter Healthcare Corporation | Inj, lidocaine in d5w, 1 mg | 1 MG | 500 | 18 | 2000 | 36000 |
0338-0411-02 | J2002 | Baxter Healthcare Corporation | Inj, lidocaine in d5w, 1 mg | 1 MG | 250 | 1 | 2000 | 2000 |
50090-4555-0 | J2002 | A-S Medication Solutions | Inj, lidocaine in d5w, 1 mg | 1 MG | 250 | 1 | 2000 | 2000 |
50090-4559-0 | J2002 | A-S Medication Solutions | Inj, lidocaine in d5w, 1 mg | 1 MG | 500 | 1 | 2000 | 2000 |
51662-1302-1 | J2002 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, lidocaine in d5w, 1 mg | 1 MG | 500 | 1 | 2000 | 2000 |
51662-1600-3 | J2002 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, lidocaine in d5w, 1 mg | 1 MG | 50 | 25 | 250 | 6250 |
0009-0104-04 | J2010 | Pfizer Inc | Lincomycin injection | 300 MG | 2 | 1 | 2 | 2 |
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 Pharmaceuticals | Lincomycin injection | UP TO 300 MG | 2 | 10 | 2 | 20 |
25021-193-10 | J2010 | Sagent Pharmaceuticals | Lincomycin injection | UP TO 300 MG | 10 | 10 | 10 | 100 |
39822-0350-2 | J2010 | XGen Pharmaceuticals DJB, Inc. | Lincomycin injection | 300 MG | 2 | 10 | 2 | 20 |
39822-0353-6 | J2010 | XGen Pharmaceuticals DJB, Inc. | Lincomycin injection | 300 MG | 10 | 10 | 10 | 100 |
50090-4533-0 | J2010 | A-S Medication Solutions | Lincomycin injection | UP TO 300 MG | 10 | 1 | 10 | 10 |
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 Inc. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
0781-3433-95 | J2020 | Sandoz Inc. | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
25021-169-87 | J2020 | Sagent Pharmaceuticals | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
55150-242-51 | J2020 | Eugia US 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 USA, LLC | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
66794-219-43 | J2020 | Piramal Critical Care Inc | Linezolid injection | 200 MG | 300 | 10 | 3 | 30 |
66794-236-43 | J2020 | Piramal Critical Care Inc | 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 | Pfizer Inc | Inj, linezolid (hospira) | 200 MG | 300 | 10 | 3 | 30 |
0409-1985-30 | J2060 | Pfizer Inc | Lorazepam injection | 2 MG | 1 | 10 | 1 | 10 |
0409-1985-30 | 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 |
65219-368-02 | J2060 | FreseniUS Kabi USA, LLC | 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 |
51662-1468-1 | J2150 | HF Acquisition Co. LLC, DBA HealthFirst | Mannitol injection | 50 ML | 50 | 1 | 1 | 1 |
51662-1468-3 | J2150 | HF Acquisition Co. LLC, DBA HealthFirst | Mannitol injection | 50 ML | 50 | 25 | 1 | 25 |
63323-024-25 | J2150 | FreseniUS Kabi USA, LLC | Mannitol injection | 50 ML | 50 | 25 | 1 | 25 |
63323-024-25 | J2150 | FreseniUS Kabi USA, LLC | Mannitol injection | 50 ML | 50 | 25 | 1 | 25 |
0409-1176-30 | J2175 | Pfizer Inc | Meperidine hydrochl /100 mg | 100 MG | 1 | 10 | 0.25 | 3 |
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 | 8 |
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 | 3 |
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 | 7 |
0641-6053-25 | J2175 | Hikma Pharmaceuticals USA Inc. | Meperidine hydrochl /100 mg | 100 MG | 1 | 25 | 0.5 | 13 |
0641-6054-25 | J2175 | Hikma Pharmaceuticals USA Inc. | Meperidine hydrochl /100 mg | 100 MG | 1 | 25 | 1 | 25 |
0173-0881-01 | J2182 | GlaxoSmithKline LLC | Injection, mepolizumab, 1mg | 1 MG | 1 | 1 | 100 | 100 |
44567-402-06 | J2183 | WG Critical Care, LLC | Inj meropenem (wg crit care) | 100 MG | 1 | 6 | 20 | 120 |
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 |
0143-9430-10 | J2185 | Hikma Pharmaceuticals USA Inc. | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0143-9431-10 | J2185 | Hikma Pharmaceuticals USA Inc. | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
0409-0222-10 | J2185 | Pfizer Inc | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0409-1390-51 | J2185 | Pfizer Inc | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0409-1391-22 | J2185 | Pfizer Inc | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
0409-3412-10 | J2185 | Pfizer Inc | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
0781-3000-95 | J2185 | Sandoz Inc. | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
0781-3098-95 | J2185 | Sandoz Inc. | 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, LLC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
44567-401-10 | J2185 | WG Critical Care, LLC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
55150-207-20 | J2185 | Eugia US LLC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
55150-208-30 | J2185 | Eugia US LLC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
63323-507-20 | J2185 | FreseniUS Kabi USA, LLC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
63323-507-21 | J2185 | FreseniUS Kabi USA, LLC | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
63323-507-25 | J2185 | FreseniUS Kabi USA, LLC | Meropenem | 100 MG | 1 | 25 | 5 | 125 |
63323-508-25 | J2185 | FreseniUS Kabi USA, LLC | Meropenem | 100 MG | 1 | 25 | 10 | 250 |
63323-508-30 | J2185 | FreseniUS Kabi USA, LLC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
63323-508-31 | J2185 | FreseniUS Kabi USA, LLC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
70121-1453-7 | J2185 | Amneal Pharmaceuticals, LLC | Meropenem | 100 MG | 1 | 10 | 10 | 100 |
70121-1454-7 | J2185 | Amneal Pharmaceuticals, LLC | 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 |
72485-411-10 | J2185 | Armas Pharmaceuticals Inc. | Meropenem | 100 MG | 1 | 10 | 5 | 50 |
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, Inc. | Methylergonovin maleate inj | 0.2 MG | 1 | 20 | 1 | 20 |
51991-144-17 | J2210 | Breckenridge Pharmaceutical, Inc. | Methylergonovin maleate inj | 0.2 MG | 1 | 10 | 1 | 10 |
0338-9051-12 | J2246 | Baxter Healthcare Corporation | Inj, micafungin (baxter) | 1 MG | 50 | 12 | 50 | 600 |
0338-9053-12 | J2246 | Baxter Healthcare Corporation | Inj, micafungin (baxter) | 1 MG | 100 | 12 | 100 | 1200 |
0338-9055-10 | J2246 | Baxter Healthcare Corporation | Inj, micafungin (baxter) | 1 MG | 150 | 10 | 150 | 1500 |
42023-229-10 | J2247 | Endo USA, Inc. | Inj, micafungin (par pharm) | 1 MG | 1 | 10 | 50 | 500 |
42023-230-10 | J2247 | Endo USA, 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 |
0469-3211-10 | 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 |
0469-3250-10 | J2248 | Astellas Pharma US, Inc. | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
16714-164-10 | J2248 | Northstar RxLLC | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
16714-301-10 | J2248 | Northstar RxLLC | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
25021-190-10 | J2248 | Sagent Pharmaceuticals | Micafungin sodium injection | 1 MG | 1 | 1 | 50 | 50 |
25021-190-11 | J2248 | Sagent Pharmaceuticals | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
25021-191-10 | J2248 | Sagent Pharmaceuticals | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
25021-191-11 | J2248 | Sagent Pharmaceuticals | 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 USA, LLC | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
63323-729-10 | J2248 | FreseniUS Kabi USA, LLC | 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 |
70710-1724-6 | J2248 | Zydus Pharmaceuticals (USA) Inc. | Micafungin sodium injection | 1 MG | 1 | 10 | 50 | 500 |
70710-1725-1 | J2248 | Zydus Pharmaceuticals (USA) Inc. | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
70710-1725-6 | J2248 | Zydus Pharmaceuticals (USA) Inc. | Micafungin sodium injection | 1 MG | 1 | 10 | 100 | 1000 |
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 |
71288-029-12 | J2248 | Meitheal Pharmaceuticals Inc. | Micafungin sodium injection | 1 MG | 1 | 1 | 100 | 100 |
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 |
0409-0001-25 | J2250 | Pfizer Inc | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
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 |
0409-2587-05 | 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 |
0409-2596-03 | 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 |
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 |
0641-6219-10 | J2250 | Hikma Pharmaceuticals USA Inc. | Inj midazolam hydrochloride | 1 MG | 2 | 10 | 10 | 100 |
0641-6220-10 | J2250 | Hikma Pharmaceuticals USA Inc. | Inj midazolam hydrochloride | 1 MG | 2 | 10 | 2 | 20 |
0641-6281-25 | J2250 | Hikma Pharmaceuticals USA Inc. | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
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 |
25021-655-02 | J2250 | Sagent Pharmaceuticals | Inj midazolam hydrochloride | 1 MG | 2 | 10 | 2 | 20 |
25021-661-10 | J2250 | Sagent Pharmaceuticals | 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 |
50090-5472-0 | J2250 | A-S Medication Solutions | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 10 | 100 |
63323-411-10 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 10 | 100 |
63323-411-12 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
63323-411-25 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 5 | 25 | 5 | 125 |
63323-412-02 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 2 | 10 | 10 | 100 |
63323-412-10 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
63323-412-25 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 1 | 25 | 5 | 125 |
70860-600-02 | J2250 | Athenex Pharmaceutical Division, LLC | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
70860-601-05 | J2250 | Athenex Pharmaceutical Division, LLC | Inj midazolam hydrochloride | 1 MG | 5 | 10 | 25 | 250 |
70860-601-10 | J2250 | Athenex Pharmaceutical Division, LLC | 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, Inc. | Inj midazolam hydrochloride | 1 MG | 2 | 25 | 2 | 50 |
72611-749-10 | J2250 | Almaject, Inc. | Inj midazolam hydrochloride | 1 MG | 10 | 10 | 50 | 500 |
76045-001-20 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 2 | 24 | 2 | 48 |
76045-002-10 | J2250 | FreseniUS Kabi USA, LLC | Inj midazolam hydrochloride | 1 MG | 1 | 24 | 5 | 120 |
0143-9379-10 | J2251 | Hikma Pharmaceuticals USA Inc. | Inj midazolam in 0.9% nacl | 1 MG | 50 | 10 | 50 | 500 |
0143-9380-10 | J2251 | Hikma Pharmaceuticals USA Inc. | Inj midazolam in 0.9% nacl | 1 MG | 100 | 10 | 100 | 1000 |
44567-610-10 | J2251 | WG Critical Care, LLC | Inj midazolam in 0.9% nacl | 1 MG | 50 | 10 | 50 | 500 |
44567-611-10 | J2251 | WG Critical Care, LLC | Inj midazolam in 0.9% nacl | 1 MG | 100 | 10 | 100 | 1000 |
65219-650-10 | J2251 | FreseniUS Kabi USA, LLC | Inj midazolam in 0.9% nacl | 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 |
0143-9708-01 | J2260 | Hikma Pharmaceuticals USA Inc. | Inj milrinone lactate / 5 mg | 5 MG | 50 | 1 | 10 | 10 |
0143-9709-10 | J2260 | Hikma Pharmaceuticals USA Inc. | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
0143-9710-10 | J2260 | Hikma Pharmaceuticals USA Inc. | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
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 Healthcare Corporation | Inj milrinone lactate / 5 mg | 5 MG | 100 | 1 | 4 | 4 |
0338-6011-37 | J2260 | Baxter Healthcare Corporation | 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 | Inj milrinone lactate / 5 mg | 5 MG | 100 | 10 | 4 | 40 |
25021-313-87 | J2260 | Sagent Pharmaceuticals | Inj milrinone lactate / 5 mg | 5 MG | 200 | 10 | 8 | 80 |
55150-287-10 | J2260 | Eugia US LLC | Inj milrinone lactate / 5 mg | 5 MG | 100 | 10 | 4 | 40 |
55150-288-10 | J2260 | Eugia US LLC | Inj milrinone lactate / 5 mg | 5 MG | 200 | 10 | 8 | 80 |
63323-617-10 | J2260 | FreseniUS Kabi USA, LLC | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
63323-617-20 | J2260 | FreseniUS Kabi USA, LLC | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
63323-617-50 | J2260 | FreseniUS Kabi USA, LLC | Inj milrinone lactate / 5 mg | 5 MG | 50 | 1 | 10 | 10 |
71288-200-11 | J2260 | Meitheal Pharmaceuticals Inc. | Inj milrinone lactate / 5 mg | 5 MG | 10 | 10 | 2 | 20 |
71288-200-21 | J2260 | Meitheal Pharmaceuticals Inc. | Inj milrinone lactate / 5 mg | 5 MG | 20 | 10 | 4 | 40 |
71288-200-50 | J2260 | Meitheal Pharmaceuticals Inc. | 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 |
0002-7575-01 | J2267 | Eli Lilly and Company | Inj, mirikizumab-mrkz, 1 mg | 1 MG | 15 | 1 | 300 | 300 |
0002-8011-27 | J2267 | Eli Lilly and Company | Inj, mirikizumab-mrkz, 1 mg | 1 MG | 1 | 2 | 100 | 200 |
0002-8870-27 | J2267 | Eli Lilly and Company | Inj, mirikizumab-mrkz, 1 mg | 1 MG | 1 | 2 | 100 | 200 |
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 |
0409-1896-20 | J2270 | Pfizer Inc | Morphine sulfate injection | 10 MG | 20 | 1 | 100 | 100 |
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 USA, LLC | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 1 | 25 |
63323-452-01 | J2272 | FreseniUS Kabi USA, LLC | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 0.2 | 5 |
63323-454-01 | J2272 | FreseniUS Kabi USA, LLC | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 0.4 | 10 |
63323-455-01 | J2272 | FreseniUS Kabi USA, LLC | Inj, morphine (fresenius) | 10 MG | 1 | 25 | 0.5 | 13 |
76045-004-11 | J2272 | FreseniUS Kabi USA, LLC | Inj, morphine (fresenius) | 10 MG | 1 | 10 | 0.2 | 2 |
76045-005-11 | J2272 | FreseniUS Kabi USA, LLC | 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 | 3 |
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 Inc | Inj morphine pf epid ithc | 10 MG | 20 | 1 | 20 | 20 |
66794-162-02 | J2274 | Piramal Critical Care Inc | Inj morphine pf epid ithc | 10 MG | 20 | 1 | 50 | 50 |
82737-073-01 | J2277 | BioLineRx USA, Inc. | Inj, motixafortide, 0.25 mg | 0.25 MG | 1 | 1 | 248 | 248 |
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 |
25021-139-10 | J2290 | Sagent Pharmaceuticals | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 50 | 500 |
25021-140-10 | J2290 | Sagent Pharmaceuticals | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
25021-141-99 | J2290 | Sagent Pharmaceuticals | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 500 | 5000 |
44567-221-10 | J2290 | WG Critical Care, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 50 | 500 |
44567-222-10 | J2290 | WG Critical Care, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
44567-223-01 | J2290 | WG Critical Care, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 1 | 500 | 500 |
55150-122-15 | J2290 | Eugia US LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 50 | 500 |
55150-123-15 | J2290 | Eugia US LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
55150-123-16 | J2290 | Eugia US LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
55150-124-09 | J2290 | Eugia US LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 1 | 500 | 500 |
55150-124-99 | J2290 | Eugia US LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 1 | 500 | 500 |
63323-327-10 | J2290 | FreseniUS Kabi USA, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 50 | 500 |
63323-328-20 | J2290 | FreseniUS Kabi USA, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
63323-328-22 | J2290 | FreseniUS Kabi USA, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
63323-330-60 | J2290 | FreseniUS Kabi USA, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 1 | 500 | 500 |
70860-116-26 | J2290 | Athenex Pharmaceutical Division, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 50 | 500 |
70860-117-26 | J2290 | Athenex Pharmaceutical Division, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
70860-119-99 | J2290 | Athenex Pharmaceutical Division, LLC | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 500 | 500 |
72485-406-10 | J2290 | Armas Pharmaceuticals Inc. | Inj, nafcillin sodium, 20 mg | 20 MG | 1 | 10 | 100 | 1000 |
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 |
0409-1465-01 | 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 | HF Acquisition Co. LLC, DBA HealthFirst | Inj nalbuphine hydrochloride | 10 MG | 10 | 1 | 20 | 20 |
51662-1420-1 | J2300 | HF Acquisition Co. LLC, DBA HealthFirst | Inj nalbuphine hydrochloride | 10 MG | 10 | 1 | 10 | 10 |
0338-1047-02 | J2305 | Baxter Healthcare Corporation | Inj, nitroglycerin, 5 mg | 5 MG | 250 | 12 | 5 | 60 |
0338-1049-02 | J2305 | Baxter Healthcare Corporation | Inj, nitroglycerin, 5 mg | 5 MG | 250 | 12 | 10 | 120 |
0338-1051-02 | J2305 | Baxter Healthcare Corporation | 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, Inc. | Inj, nitroglycerin, 5 mg | 5 MG | 10 | 25 | 10 | 250 |
0404-9920-01 | J2312 | Henry Schein Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 1 | 40 | 40 |
0404-9921-02 | J2312 | Henry Schein Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 1 | 200 | 200 |
0404-9922-02 | J2312 | Henry Schein Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 1 | 200 | 200 |
0404-9923-01 | J2312 | Henry Schein Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 1 | 40 | 40 |
0409-1215-01 | J2312 | Pfizer Inc | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
0409-1219-01 | J2312 | Pfizer Inc | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 10 | 25 | 400 | 10000 |
0409-1782-69 | J2312 | Pfizer Inc | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
0641-6132-25 | J2312 | Hikma Pharmaceuticals USA Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 25 | 40 | 1000 |
0641-6205-10 | J2312 | Hikma Pharmaceuticals USA Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 10 | 400 | 4000 |
36000-308-10 | J2312 | Baxter Healthcare Corporation | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
36000-310-02 | J2312 | Baxter Healthcare Corporation | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 10 | 1 | 400 | 400 |
42023-224-01 | J2312 | Endo USA, Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 1 | 200 | 200 |
43598-750-10 | J2312 | Dr. Reddy's Laboratories Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 10 | 200 | 2000 |
43598-750-58 | J2312 | Dr. Reddy's Laboratories Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 10 | 200 | 2000 |
50090-3294-0 | J2312 | A-S Medication Solutions | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
50090-5427-0 | J2312 | A-S Medication Solutions | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
50090-6491-0 | J2312 | A-S Medication Solutions | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
51662-1238-1 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 1 | 40 | 40 |
51662-1239-1 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 1 | 200 | 200 |
51662-1239-3 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 10 | 200 | 2000 |
51662-1242-1 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 1 | 40 | 40 |
51662-1242-3 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 50 | 40 | 2000 |
51662-1385-1 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 10 | 1 | 400 | 400 |
51662-1586-1 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 1 | 200 | 200 |
51662-1586-3 | J2312 | HF Acquisition Co. LLC, DBA HealthFirst | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 10 | 200 | 2000 |
55150-328-10 | J2312 | Eugia US LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 10 | 10 | 400 | 4000 |
55150-345-10 | J2312 | Eugia US LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 10 | 200 | 2000 |
67457-292-02 | J2312 | Mylan Institutional LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
67457-292-02 | J2312 | Mylan Institutional LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
67457-299-10 | J2312 | Mylan Institutional LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 10 | 10 | 400 | 4000 |
67457-599-02 | J2312 | Mylan Institutional LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
67457-645-02 | J2312 | Mylan Institutional LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
67457-987-10 | J2312 | Mylan Institutional LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 10 | 10 | 400 | 4000 |
67457-992-02 | J2312 | Mylan Institutional LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 1 | 400 | 400 |
70756-658-10 | J2312 | Lifestar Pharma | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
70756-658-25 | J2312 | Lifestar Pharma | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 25 | 40 | 1000 |
72572-450-25 | J2312 | Civica, Inc. | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 25 | 40 | 1000 |
72603-590-10 | J2312 | Northstar RxLLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 10 | 40 | 400 |
72603-590-25 | J2312 | Northstar RxLLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 25 | 40 | 1000 |
76045-112-20 | J2312 | FreseniUS Kabi USA, LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 2 | 24 | 200 | 4800 |
76045-114-10 | J2312 | FreseniUS Kabi USA, LLC | Inj naloxone hcl nos, 0.01mg | 0.01 MG | 1 | 24 | 40 | 960 |
78670-140-02 | J2313 | USWM, LLC | Inj, naloxone (zimhi) 0.01mg | 0.01 MG | 0.5 | 2 | 500 | 1000 |
65757-300-01 | J2315 | Alkermes, Inc. | Naltrexone, depot form | 1 MG | 1 | 1 | 380 | 380 |
64406-008-01 | J2323 | Biogen Inc. | 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 |
50242-554-01 | J2351 | Genentech, Inc. | Inj ocrelizumab 1mg hya-ocsq | 1 MG | 23 | 1 | 920 | 920 |
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 |
0480-9257-08 | J2353 | Teva Pharmaceuticals USA, Inc. | Octreotide injection, depot | 1 MG | 1 | 1 | 10 | 10 |
0480-9259-08 | J2353 | Teva Pharmaceuticals USA, Inc. | Octreotide injection, depot | 1 MG | 1 | 1 | 20 | 20 |
0480-9262-08 | J2353 | Teva Pharmaceuticals USA, Inc. | 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 | Heritage Pharmaceuticals Inc. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
23155-688-41 | J2354 | Heritage Pharmaceuticals Inc. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
23155-689-41 | J2354 | Heritage Pharmaceuticals Inc. | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
25021-451-01 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
25021-452-01 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
25021-453-01 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
25021-454-05 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
25021-463-01 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 2 | 20 |
25021-464-01 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
25021-465-01 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
25021-466-05 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
25021-467-05 | J2354 | Sagent Pharmaceuticals | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 200 | 200 |
63323-376-01 | J2354 | FreseniUS Kabi USA, LLC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
63323-376-04 | J2354 | FreseniUS Kabi USA, LLC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
63323-377-01 | J2354 | FreseniUS Kabi USA, LLC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
63323-377-04 | J2354 | FreseniUS Kabi USA, LLC | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 20 | 200 |
63323-378-05 | J2354 | FreseniUS Kabi USA, LLC | Octreotide inj, non-depot | 25 MCG | 5 | 1 | 40 | 40 |
63323-379-05 | J2354 | FreseniUS Kabi USA, LLC | 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 |
68462-896-10 | J2354 | Glenmark Pharmaceuticals Inc., USA | Octreotide inj, non-depot | 25 MCG | 1 | 10 | 4 | 40 |
68462-897-10 | J2354 | Glenmark Pharmaceuticals Inc., USA | 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 |
50242-214-55 | 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 |
50242-215-55 | J2357 | Genentech, Inc. | Omalizumab injection | 5 MG | 1 | 1 | 30 | 30 |
50242-227-01 | J2357 | Genentech, Inc. | Omalizumab injection | 5 MG | 2 | 1 | 60 | 60 |
50242-227-55 | J2357 | Genentech, Inc. | Omalizumab injection | 5 MG | 2 | 1 | 60 | 60 |
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, Inc. | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
0781-3159-72 | J2359 | Sandoz Inc. | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
0781-9105-72 | J2359 | Sandoz Inc. | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
55150-308-01 | J2359 | Eugia US LLC | Inj. olanzapine, 0.5mg | 0.5 MG | 1 | 1 | 20 | 20 |
0641-6182-25 | J2360 | Hikma Pharmaceuticals USA Inc. | Orphenadrine injection | 60 MG | 2 | 25 | 1 | 25 |
25021-651-02 | J2360 | Sagent Pharmaceuticals | Orphenadrine injection | 60 MG | 2 | 10 | 1 | 10 |
0404-9931-99 | J2371 | Henry Schein Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 1 | 500 | 500 |
0641-6142-25 | J2371 | Hikma Pharmaceuticals USA Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
0641-6188-10 | J2371 | Hikma Pharmaceuticals USA Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
0641-6189-10 | J2371 | Hikma Pharmaceuticals USA Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 10 | 5000 | 50000 |
0641-6229-25 | J2371 | Hikma Pharmaceuticals USA Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
0781-3422-92 | J2371 | Sandoz Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 10 | 500 | 5000 |
0781-3458-95 | J2371 | Sandoz Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
0781-3466-70 | J2371 | Sandoz Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
0781-9227-95 | J2371 | Sandoz Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
0781-9228-70 | J2371 | Sandoz Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
23155-620-41 | J2371 | Heritage Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
25021-315-01 | J2371 | Sagent Pharmaceuticals | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
25021-315-98 | J2371 | Sagent Pharmaceuticals | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
25021-315-99 | J2371 | Sagent Pharmaceuticals | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
51662-1249-1 | J2371 | HF Acquisition Co. LLC, DBA HealthFirst | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 1 | 500 | 500 |
51662-1576-3 | J2371 | HF Acquisition Co. LLC, DBA HealthFirst | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
55150-300-25 | J2371 | Eugia US LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
55150-301-10 | J2371 | Eugia US LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
55150-302-01 | J2371 | Eugia US LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
61990-0211-3 | J2371 | Apollo Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
61990-0212-2 | J2371 | Apollo Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
61990-0213-1 | J2371 | Apollo Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
63323-751-01 | J2371 | FreseniUS Kabi USA, LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
63323-751-05 | J2371 | FreseniUS Kabi USA, LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 1 | 2500 | 2500 |
63323-751-10 | J2371 | FreseniUS Kabi USA, LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
63323-751-13 | J2371 | FreseniUS Kabi USA, LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
70121-1577-5 | J2371 | Amneal Pharmaceuticals, LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
70121-1578-7 | J2371 | Amneal Pharmaceuticals, LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
70121-1579-1 | J2371 | Amneal Pharmaceuticals, LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
70756-621-25 | J2371 | Lifestar Pharma | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
70756-622-10 | J2371 | Lifestar Pharma | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
70756-623-86 | J2371 | Lifestar Pharma | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
71288-807-02 | J2371 | Meitheal Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
71288-808-76 | J2371 | Meitheal Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
71288-808-77 | J2371 | Meitheal Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
72205-264-25 | J2371 | Novadoz Pharmaceuticals LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
72205-265-07 | J2371 | Novadoz Pharmaceuticals LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
72205-266-07 | J2371 | Novadoz Pharmaceuticals LLC | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 10 | 5000 | 50000 |
72485-504-25 | J2371 | Armas Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
72485-505-10 | J2371 | Armas Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
72485-506-01 | J2371 | Armas Pharmaceuticals Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
72572-570-10 | J2371 | Civica, Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 10 | 5000 | 50000 |
72572-571-25 | J2371 | Civica, Inc. | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
81284-211-25 | J2371 | Apollo Pharmaceuticals | Inj phenylephrine hcl 20 mcg | 20 MCG | 1 | 25 | 500 | 12500 |
81284-212-10 | J2371 | Apollo Pharmaceuticals | Inj phenylephrine hcl 20 mcg | 20 MCG | 5 | 10 | 2500 | 25000 |
81284-213-01 | J2371 | Apollo Pharmaceuticals | Inj phenylephrine hcl 20 mcg | 20 MCG | 10 | 1 | 5000 | 5000 |
43598-172-15 | J2372 | Dr. Reddy's Laboratories Inc. | Inj, biorphen, 20 micrograms | 20 MCG | 5 | 10 | 25 | 250 |
43598-172-25 | J2372 | Dr Reddy's Laboratories, Inc. | Inj, biorphen, 20 micrograms | 20 MCG | 5 | 1 | 25 | 25 |
0641-6245-10 | J2373 | Hikma Pharmaceuticals USA Inc. | Inj, immphentiv, 20 mcg | 20 MCG | 5 | 10 | 25 | 250 |
0641-6246-10 | J2373 | Hikma Pharmaceuticals USA Inc. | Inj, immphentiv, 20 mcg | 20 MCG | 10 | 10 | 50 | 500 |
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 | HF Acquisition Co. LLC, DBA HealthFirst | Chloroprocaine hcl injection | 1 MG | 30 | 1 | 300 | 300 |
51662-1401-3 | J2401 | HF Acquisition Co. LLC, DBA HealthFirst | Chloroprocaine hcl injection | 1 MG | 30 | 25 | 600 | 15000 |
51662-1407-1 | J2401 | HF Acquisition Co. LLC, DBA HealthFirst | Chloroprocaine hcl injection | 1 MG | 30 | 1 | 300 | 300 |
51662-1407-3 | J2401 | HF Acquisition Co. LLC, DBA HealthFirst | Chloroprocaine hcl injection | 1 MG | 30 | 25 | 300 | 7500 |
51662-1408-1 | J2401 | HF Acquisition Co. LLC, DBA HealthFirst | Chloroprocaine hcl injection | 1 MG | 20 | 1 | 400 | 400 |
51662-1408-3 | J2401 | HF Acquisition Co. LLC, DBA HealthFirst | Chloroprocaine hcl injection | 1 MG | 20 | 25 | 400 | 10000 |
63323-475-37 | J2401 | FreseniUS Kabi USA, LLC | Chloroprocaine hcl injection | 1 MG | 30 | 25 | 300 | 7500 |
63323-476-37 | J2401 | FreseniUS Kabi USA, LLC | Chloroprocaine hcl injection | 1 MG | 30 | 25 | 600 | 15000 |
63323-477-27 | J2401 | FreseniUS Kabi USA, LLC | Chloroprocaine hcl injection | 1 MG | 20 | 25 | 400 | 10000 |
63323-478-27 | J2401 | FreseniUS Kabi USA, LLC | Chloroprocaine hcl injection | 1 MG | 20 | 25 | 600 | 15000 |
82667-300-01 | J2403 | Harrow Eye, LLC | Chloroprocaine opht gel, 1mg | 1 MG | 1 | 1 | 800 | 800 |
0143-9542-10 | J2404 | Hikma Pharmaceuticals USA Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
0143-9633-10 | J2404 | Hikma Pharmaceuticals USA Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 200 | 10 | 400 | 4000 |
0143-9634-10 | J2404 | Hikma Pharmaceuticals USA Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 200 | 10 | 200 | 2000 |
0143-9689-10 | J2404 | Hikma Pharmaceuticals USA Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
0517-0735-10 | J2404 | American Regent, Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
43066-009-10 | J2404 | Baxter Healthcare Corporation | Inj, nicardipine 0.1 mg | 0.1 MG | 200 | 10 | 200 | 2000 |
43066-026-10 | J2404 | Baxter Healthcare Corporation | Inj, nicardipine 0.1 mg | 0.1 MG | 200 | 10 | 200 | 2000 |
43066-028-10 | J2404 | Baxter Healthcare Corporation | Inj, nicardipine 0.1 mg | 0.1 MG | 200 | 10 | 400 | 4000 |
51662-1482-1 | J2404 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 1 | 250 | 250 |
55150-183-10 | J2404 | Eugia US LLC | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
55150-183-11 | J2404 | Eugia US LLC | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
65219-818-10 | J2404 | FreseniUS Kabi USA, LLC | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 1 | 250 | 250 |
69097-007-22 | J2404 | Cipla USA, Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 200 | 10 | 200 | 2000 |
69097-008-22 | J2404 | Cipla USA, Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 200 | 10 | 400 | 4000 |
72485-116-10 | J2404 | Armas Pharmaceuticals Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
72572-470-10 | J2404 | Civica, Inc. | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
72819-149-07 | J2404 | Archis Pharma LLC | Inj, nicardipine 0.1 mg | 0.1 MG | 10 | 10 | 250 | 2500 |
0404-9930-02 | J2405 | Henry Schein Inc. | Ondansetron hcl injection | 1 MG | 2 | 1 | 4 | 4 |
0409-0009-25 | J2405 | Pfizer Inc | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
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 |
0641-6286-01 | J2405 | Hikma Pharmaceuticals USA Inc. | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
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 | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
36000-012-25 | J2405 | Baxter Healthcare Corporation | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
51662-1245-1 | J2405 | HF Acquisition Co. LLC, DBA HealthFirst | Ondansetron hcl injection | 1 MG | 2 | 1 | 4 | 4 |
51662-1245-3 | J2405 | HF Acquisition Co. LLC, DBA HealthFirst | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
51662-1377-1 | J2405 | HF Acquisition Co. LLC, DBA HealthFirst | 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 USA, LLC | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
63323-374-20 | J2405 | FreseniUS Kabi USA, LLC | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
70860-776-02 | J2405 | Athenex Pharmaceutical Division, LLC | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
70860-777-20 | J2405 | Athenex Pharmaceutical Division, LLC | Ondansetron hcl injection | 1 MG | 20 | 1 | 40 | 40 |
70860-777-21 | J2405 | Athenex Pharmaceutical Division, LLC | Ondansetron hcl injection | 1 MG | 20 | 10 | 40 | 400 |
72266-123-25 | J2405 | Fosun Pharma USA Inc. | Ondansetron hcl injection | 1 MG | 2 | 25 | 4 | 100 |
72266-124-01 | J2405 | Fosun Pharma USA Inc. | 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 USA, LLC | Ondansetron hcl injection | 1 MG | 2 | 24 | 4 | 96 |
76045-216-20 | J2405 | FreseniUS Kabi USA, LLC | Ondansetron hcl injection | 1 MG | 2 | 24 | 4 | 96 |
70842-225-01 | J2406 | Melinta Therapeutics, LLC | Injection, oritavancin 10 mg | 10 MG | 1 | 1 | 120 | 120 |
70842-140-03 | J2407 | Melinta Therapeutics, LLC | Injection, oritavancin | 10 MG | 1 | 3 | 40 | 120 |
66658-113-03 | J2425 | Swedish Orphan Biovitrum AB (PuBL) | Palifermin injection | 50 MCG | 1 | 3 | 103.2 | 310 |
66658-113-06 | J2425 | Swedish Orphan Biovitrum AB (PuBL) | Palifermin injection | 50 MCG | 1 | 6 | 103.2 | 620 |
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 |
83831-105-01 | J2468 | Avyxa Pharma, LLC | Inj, palonosetron (posfrea) | 25 MCG | 5 | 1 | 10 | 10 |
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 | Teva Parenteral Medicines, Inc. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0781-3312-75 | J2469 | Sandoz Inc. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0781-3312-95 | J2469 | Sandoz Inc. | Palonosetron hcl | 25 MCG | 5 | 10 | 10 | 100 |
0781-3415-75 | J2469 | Sandoz Inc. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0781-3415-95 | J2469 | Sandoz Inc. | Palonosetron hcl | 25 MCG | 5 | 10 | 10 | 100 |
16714-834-01 | J2469 | Northstar RxLLC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
25021-783-05 | J2469 | Sagent Pharmaceuticals | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
25021-788-74 | J2469 | Sagent Pharmaceuticals | Palonosetron hcl | 25 MCG | 5 | 5 | 10 | 50 |
36000-326-02 | J2469 | Baxter Healthcare Corporation | 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 | Eugia US 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 USA, LLC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
63323-673-89 | J2469 | FreseniUS Kabi USA, LLC | 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 | BluePoint Laboratories | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
69543-371-10 | J2469 | Virtus Pharmaceuticals, LLC | Palonosetron hcl | 25 MCG | 5 | 10 | 10 | 100 |
70860-785-05 | J2469 | Athenex Pharmaceutical Division, LLC | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
71288-409-05 | J2469 | Meitheal Pharmaceuticals Inc. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
83634-777-05 | J2469 | Avenacy Inc. | Palonosetron hcl | 25 MCG | 5 | 1 | 10 | 10 |
0074-1658-01 | J2501 | AbbVie Inc. | Paricalcitol | 1 MCG | 1 | 25 | 5 | 125 |
0074-1658-05 | J2501 | AbbVie Inc. | Paricalcitol | 1 MCG | 2 | 25 | 10 | 250 |
0074-4637-01 | J2501 | AbbVie Inc. | 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 |
55292-139-01 | J2502 | Recordati Rare Diseases Inc. | Inj, pasireotide long acting | 1 MG | 1 | 1 | 10 | 10 |
55292-140-01 | J2502 | Recordati Rare Diseases Inc. | Inj, pasireotide long acting | 1 MG | 1 | 1 | 20 | 20 |
55292-141-01 | J2502 | Recordati Rare Diseases Inc. | Inj, pasireotide long acting | 1 MG | 1 | 1 | 30 | 30 |
55292-142-01 | J2502 | Recordati Rare Diseases Inc. | Inj, pasireotide long acting | 1 MG | 1 | 1 | 40 | 40 |
55292-143-01 | J2502 | Recordati Rare Diseases Inc. | Inj, pasireotide long acting | 1 MG | 1 | 1 | 60 | 60 |
55513-190-01 | J2506 | Amgen Inc | Inj pegfilgrast ex bio 0.5mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
55513-192-01 | J2506 | Amgen Inc | Inj pegfilgrast ex bio 0.5mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
75987-080-10 | J2507 | Horizon Therapeutics USA, Inc. | Pegloticase injection | 1 MG | 1 | 1 | 8 | 8 |
10122-160-02 | J2508 | Chiesi USA, Inc. | Pegunigalsidase alfa-iwxj | 1 MG | 10 | 1 | 20 | 20 |
10122-160-05 | J2508 | Chiesi USA, Inc. | Pegunigalsidase alfa-iwxj | 1 MG | 10 | 5 | 20 | 100 |
10122-160-10 | J2508 | Chiesi USA, Inc. | Pegunigalsidase alfa-iwxj | 1 MG | 10 | 10 | 20 | 200 |
10122-165-02 | J2508 | Chiesi USA, Inc. | Pegunigalsidase alfa-iwxj | 1 MG | 2.5 | 1 | 5 | 5 |
0049-0420-10 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
0049-0430-20 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 34 |
0049-0520-22 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
0049-0520-22 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
0049-0520-83 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
0049-0520-83 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
0049-0530-22 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 34 |
0049-0530-22 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 34 |
0049-0530-28 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 34 |
0049-0530-28 | J2540 | Pfizer Inc | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 34 |
0338-1023-41 | J2540 | Baxter Healthcare Corporation | Penicillin g potassium inj | 600000 UNITS | 50 | 1 | 3.33 | 4 |
0338-1025-41 | J2540 | Baxter Healthcare Corporation | Penicillin g potassium inj | 600000 UNITS | 50 | 1 | 5 | 5 |
0781-6135-95 | J2540 | Sandoz Inc. | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
0781-6136-94 | J2540 | Sandoz Inc. | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 34 |
25021-154-51 | J2540 | Sagent Pharmaceuticals | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.3 | 34 |
44567-311-10 | J2540 | WG Critical Care, LLC | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
51662-1436-1 | J2540 | HF Acquisition Co. LLC, DBA HealthFirst | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 8.33 | 9 |
70860-126-20 | J2540 | Athenex Pharmaceutical Division, LLC | Penicillin g potassium inj | 600000 UNITS | 1 | 10 | 8.33 | 84 |
70860-127-51 | J2540 | Athenex Pharmaceutical Division, LLC | Penicillin g potassium inj | 600000 UNITS | 1 | 1 | 33.33 | 34 |
0338-9632-24 | J2543 | Baxter Healthcare Corporation | Piperacillin/tazobactam | 1.125 GM | 1 | 24 | 2 | 48 |
0338-9636-24 | J2543 | Baxter Healthcare Corporation | Piperacillin/tazobactam | 1.125 GM | 1 | 24 | 3 | 72 |
0338-9638-12 | J2543 | Baxter Healthcare Corporation | 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 |
0409-3383-02 | 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 |
0409-3385-13 | 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 |
0409-3390-04 | J2543 | Pfizer Inc | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
0781-3110-95 | J2543 | Sandoz Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
0781-3113-95 | J2543 | Sandoz Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
0781-3114-95 | J2543 | Sandoz Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
0781-3180-94 | J2543 | Sandoz Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
0781-9210-95 | J2543 | Sandoz Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
0781-9213-95 | J2543 | Sandoz Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
0781-9214-95 | J2543 | Sandoz Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
25021-164-30 | J2543 | Sagent Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
25021-165-30 | J2543 | Sagent Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
25021-166-48 | J2543 | Sagent Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
25021-181-99 | J2543 | Sagent Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
44567-801-10 | J2543 | WG Critical Care, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
44567-802-10 | J2543 | WG Critical Care, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
44567-803-10 | J2543 | WG Critical Care, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
44567-804-01 | J2543 | WG Critical Care, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
55150-119-30 | J2543 | Eugia US LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
55150-120-30 | J2543 | Eugia US LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
55150-121-50 | J2543 | Eugia US 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 |
60505-6262-0 | J2543 | Apotex Corp | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
61990-0110-2 | J2543 | Apollo Pharmaceuticals Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
61990-0120-2 | J2543 | Apollo Pharmaceuticals Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
61990-0130-2 | J2543 | Apollo Pharmaceuticals Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
61990-0150-1 | J2543 | Apollo Pharmaceuticals Inc. | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
63323-981-21 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
63323-981-53 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
63323-983-21 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
63323-983-53 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
65219-256-00 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
65219-256-24 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
65219-256-28 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
65219-259-45 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
65219-259-55 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
65219-434-20 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
65219-436-20 | J2543 | FreseniUS Kabi USA, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
66794-216-41 | J2543 | Piramal Critical Care Inc | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
66794-217-41 | J2543 | Piramal Critical Care Inc | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
66794-218-41 | J2543 | Piramal Critical Care Inc | 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 |
70860-120-20 | J2543 | Athenex Pharmaceutical Division, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
70860-121-30 | J2543 | Athenex Pharmaceutical Division, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
70860-122-50 | J2543 | Athenex Pharmaceutical Division, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 4 | 40 |
70860-123-99 | J2543 | Athenex Pharmaceutical Division, LLC | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
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 | Apollo Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 2 | 20 |
81284-152-10 | J2543 | Apollo Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 10 | 3 | 30 |
81284-153-10 | J2543 | Apollo Pharmaceuticals | Piperacillin/tazobactam | 1.125 gm | 1 | 10 | 4 | 40 |
81284-154-01 | J2543 | Apollo Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 12 | 12 |
81284-155-01 | J2543 | Apollo Pharmaceuticals | Piperacillin/tazobactam | 1.125 GM | 1 | 1 | 36 | 36 |
13925-522-01 | J2545 | Seton Pharmaceuticals | Pentamidine non-comp unit | 300 MG | 1 | 1 | 1 | 1 |
39822-3030-2 | J2545 | XGen Pharmaceuticals DJB, Inc. | Pentamidine non-comp unit | 300 MG | 1 | 1 | 1 | 1 |
63323-877-15 | J2545 | FreseniUS Kabi USA, LLC | 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 | 1 |
0404-9941-01 | J2550 | Henry Schein Inc. | Promethazine hcl injection | 50 MG | 1 | 1 | 0.5 | 1 |
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 | 13 |
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 | 13 |
0641-0948-35 | J2550 | Hikma Pharmaceuticals USA Inc. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
0641-0949-35 | J2550 | Hikma Pharmaceuticals USA Inc. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
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 | 13 |
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 | 13 |
0641-1495-35 | J2550 | Hikma Pharmaceuticals USA Inc. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
0641-1496-35 | J2550 | Hikma Pharmaceuticals USA Inc. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
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 | 13 |
0641-6082-25 | J2550 | Hikma Pharmaceuticals USA Inc. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
0641-6083-25 | J2550 | Hikma Pharmaceuticals USA Inc. | Promethazine hcl injection | 50 MG | 1 | 25 | 1 | 25 |
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 | 13 |
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 | 13 |
39822-5525-3 | J2550 | XGen Pharmaceuticals DJB, Inc. | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
39822-5550-6 | J2550 | XGen Pharmaceuticals DJB, 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 | HF Acquisition Co. LLC, DBA HealthFirst | Promethazine hcl injection | 50 MG | 1 | 1 | 0.5 | 1 |
51662-1247-3 | J2550 | HF Acquisition Co. LLC, DBA HealthFirst | Promethazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
51662-1248-1 | J2550 | HF Acquisition Co. LLC, DBA HealthFirst | Promethazine hcl injection | 50 MG | 1 | 1 | 1 | 1 |
51662-1248-3 | J2550 | HF Acquisition Co. LLC, DBA 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 | 14 |
0641-0477-25 | J2560 | Hikma Pharmaceuticals USA Inc. | Phenobarbital sodium inj | 120 MG | 1 | 25 | 1.08 | 27 |
42494-415-03 | J2560 | Cameron Pharmaceuticals, LLC | Phenobarbital sodium inj | 120 MG | 1 | 3 | 0.54 | 2 |
42494-415-25 | J2560 | Cameron Pharmaceuticals, LLC | Phenobarbital sodium inj | 120 MG | 1 | 25 | 0.54 | 14 |
42494-416-03 | J2560 | Cameron Pharmaceuticals, LLC | Phenobarbital sodium inj | 120 MG | 1 | 3 | 1.08 | 4 |
42494-416-25 | J2560 | Cameron Pharmaceuticals, LLC | Phenobarbital sodium inj | 120 MG | 1 | 25 | 1.08 | 27 |
42494-441-25 | J2560 | Cameron Pharmaceuticals, LLC | Phenobarbital sodium inj | 120 MG | 1 | 25 | 0.54 | 14 |
42494-442-25 | J2560 | Cameron Pharmaceuticals, LLC | Phenobarbital sodium inj | 120 MG | 1 | 25 | 1.08 | 27 |
0024-5862-01 | J2562 | Sanofi-Aventis U.S. LLC | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
0480-4320-01 | J2562 | Teva Pharmaceuticals USA, Inc. | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
25021-416-01 | J2562 | Sagent Pharmaceuticals | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
43598-308-23 | J2562 | Dr. Reddy's Laboratories Inc. | 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 |
65219-284-12 | J2562 | FreseniUS Kabi USA, LLC | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
70121-1694-2 | J2562 | Amneal Pharmaceuticals, LLC | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
70710-1208-1 | J2562 | Zydus Pharmaceuticals (USA) Inc. | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
71288-155-01 | J2562 | Meitheal Pharmaceuticals Inc. | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
72205-249-01 | J2562 | Novadoz Pharmaceuticals LLC | Plerixafor injection | 1 MG | 1.2 | 1 | 24 | 24 |
25021-460-01 | J2597 | Sagent Pharmaceuticals | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
25021-461-10 | J2597 | Sagent Pharmaceuticals | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
39822-6200-2 | J2597 | XGen Pharmaceuticals DJB, Inc. | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
39822-6250-1 | J2597 | XGen Pharmaceuticals DJB, 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 |
65219-293-01 | J2597 | FreseniUS Kabi USA, LLC | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
65219-295-10 | J2597 | FreseniUS Kabi USA, LLC | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
69918-899-10 | J2597 | Nordic Pharma, Inc | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
69918-899-11 | J2597 | Nordic Pharma, Inc | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
69918-901-10 | J2597 | Nordic Pharma, Inc | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
69918-901-11 | J2597 | Nordic Pharma, Inc | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
69918-901-12 | J2597 | Nordic Pharma, Inc | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
70095-026-02 | J2597 | Sun Pharmaceutical Industries, Inc. | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
70095-031-01 | J2597 | Sun Pharmaceutical Industries, Inc. | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
70860-454-01 | J2597 | Athenex Pharmaceutical Division, LLC | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
70860-454-10 | J2597 | Athenex Pharmaceutical Division, LLC | Inj desmopressin acetate | 1 MCG | 10 | 1 | 40 | 40 |
83634-451-01 | J2597 | Avenacy Inc. | Inj desmopressin acetate | 1 MCG | 1 | 10 | 4 | 40 |
83634-451-10 | J2597 | Avenacy Inc. | 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 |
25021-474-01 | J2598 | Sagent Pharmaceuticals | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
42023-164-10 | J2598 | Endo USA, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 10 | 20 | 200 |
42023-164-25 | J2598 | Endo USA, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
42023-164-83 | J2598 | Endo USA, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
42023-190-01 | J2598 | Endo USA, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 10 | 1 | 200 | 200 |
42023-219-10 | J2598 | Endo USA, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 100 | 10 | 40 | 400 |
42023-237-10 | J2598 | Endo USA, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 100 | 10 | 20 | 200 |
43598-914-06 | J2598 | Dr Reddy's Laboratories, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
43598-914-25 | J2598 | Dr Reddy's Laboratories, Inc. | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
51662-1314-1 | J2598 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 1 | 20 | 20 |
51662-1314-2 | J2598 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 1 | 20 | 20 |
55150-370-24 | J2598 | Eugia US LLC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
55150-370-25 | J2598 | Eugia US LLC | 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 Pharmaceuticals, LLC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 25 | 20 | 500 |
70121-1642-7 | J2598 | Amneal Pharmaceuticals, LLC | Inj, vasopressin, 1 unit | 1 UNIT | 1 | 10 | 20 | 200 |
0517-1020-25 | J2599 | American Regent, Inc. | Inj vasopressin (am reg) 1 u | 1 UNIT | 1 | 25 | 20 | 500 |
0517-1030-01 | J2599 | American Regent, Inc. | Inj vasopressin (am reg) 1 u | 1 UNIT | 10 | 1 | 200 | 200 |
0338-9640-12 | J2601 | Baxter Healthcare Corporation | Inj, vasopressin (baxter) | 1 UNIT | 100 | 12 | 20 | 240 |
0338-9647-12 | J2601 | Baxter Healthcare Corporation | Inj, vasopressin (baxter) | 1 UNIT | 100 | 12 | 40 | 480 |
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 | Eugia US LLC | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
63323-261-10 | J2675 | FreseniUS Kabi USA, LLC | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
70700-286-22 | J2675 | Xiromed, LLC | Inj progesterone per 50 mg | 50 MG | 10 | 1 | 10 | 10 |
63323-281-10 | J2679 | FreseniUS Kabi USA, LLC | 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 |
25021-838-05 | J2680 | Sagent Pharmaceuticals | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
42023-129-01 | J2680 | Endo USA, Inc. | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
42023-129-89 | J2680 | Endo USA, Inc. | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
55150-267-05 | J2680 | Eugia US LLC | Fluphenazine decanoate 25 mg | 25 MG | 5 | 1 | 5 | 5 |
63323-272-05 | J2680 | FreseniUS Kabi USA, LLC | 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 |
72205-100-01 | J2680 | Novadoz Pharmaceuticals 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 Pharmaceuticals, LLC | Procainamide hcl injection | 1 GM | 2 | 10 | 1 | 10 |
14789-901-10 | J2690 | Nexus Pharmaceuticals, LLC | Procainamide hcl injection | 1 GM | 10 | 10 | 1 | 10 |
25021-322-10 | J2690 | Sagent Pharmaceuticals | Procainamide hcl injection | 1 GM | 10 | 10 | 1 | 10 |
25021-323-02 | J2690 | Sagent Pharmaceuticals | Procainamide hcl injection | 1 GM | 2 | 10 | 1 | 10 |
51662-1334-1 | J2690 | HF Acquisition Co. LLC, DBA HealthFirst | Procainamide hcl injection | 1 GM | 10 | 1 | 1 | 1 |
51662-1334-3 | J2690 | HF Acquisition Co. LLC, DBA HealthFirst | Procainamide hcl injection | 1 GM | 10 | 25 | 1 | 25 |
51662-1630-3 | J2690 | HF Acquisition Co. LLC, DBA HealthFirst | Procainamide hcl injection | 1 GM | 10 | 5 | 1 | 5 |
0338-1015-41 | J2700 | Baxter Healthcare Corporation | Oxacillin sodium injeciton | 250 MG | 50 | 1 | 8 | 8 |
25021-146-10 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 4 | 40 |
25021-146-10 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 4 | 40 |
25021-162-24 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
25021-162-24 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
25021-162-68 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
25021-162-68 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
25021-163-68 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 40 | 400 |
25021-163-68 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 40 | 400 |
25021-163-97 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
25021-163-97 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
25021-163-99 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 40 | 400 |
25021-163-99 | J2700 | Sagent Pharmaceuticals | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 40 | 400 |
55150-127-15 | J2700 | Eugia US LLC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 4 | 40 |
55150-128-24 | J2700 | Eugia US LLC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
55150-128-24 | J2700 | Eugia US LLC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
55150-129-99 | J2700 | Eugia US LLC | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
55150-129-99 | J2700 | Eugia US LLC | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
63323-811-00 | J2700 | FreseniUS Kabi USA, LLC | Oxacillin sodium injeciton | 250 MG | 1 | 1 | 40 | 40 |
63323-812-20 | J2700 | FreseniUS Kabi USA, LLC | Oxacillin sodium injeciton | 250 MG | 1 | 10 | 8 | 80 |
63323-813-20 | J2700 | FreseniUS Kabi USA, LLC | 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 | Pfizer 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 RxLLC | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
16714-528-20 | J2704 | Northstar RxLLC | Inj, propofol, 10 mg | 10 MG | 20 | 20 | 20 | 400 |
16714-690-10 | J2704 | Northstar RxLLC | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
16714-977-20 | J2704 | Northstar RxLLC | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
23155-345-42 | J2704 | Heritage Pharmaceuticals Inc. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
23155-345-43 | J2704 | Heritage Pharmaceuticals Inc. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
23155-345-44 | J2704 | Heritage Pharmaceuticals Inc. | Inj, propofol, 10 mg | 10 MG | 20 | 20 | 20 | 400 |
25021-608-20 | J2704 | Sagent Pharmaceuticals | Inj, propofol, 10 mg | 10 MG | 20 | 25 | 20 | 500 |
25021-608-50 | J2704 | Sagent Pharmaceuticals | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
25021-608-51 | J2704 | Sagent Pharmaceuticals | 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 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, propofol, 10 mg | 10 MG | 100 | 1 | 100 | 100 |
51662-1471-1 | J2704 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, propofol, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
63323-269-10 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 10 | 10 | 10 | 100 |
63323-269-16 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 10 | 10 | 10 | 100 |
63323-269-29 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
63323-269-37 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
63323-269-50 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-57 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-59 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-65 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-67 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-69 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-70 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
63323-269-77 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
63323-269-78 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
63323-269-94 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
65219-800-10 | J2704 | FreseniUS Kabi USA, LLC | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
72572-590-10 | J2704 | Civica, Inc. | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
72572-601-20 | J2704 | Civica, Inc. | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
72572-612-10 | J2704 | Civica, Inc. | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
80830-1188-7 | J2704 | Amneal Pharmaceuticals, LLC | Inj, propofol, 10 mg | 10 MG | 20 | 10 | 20 | 200 |
80830-2364-8 | J2704 | Amneal Pharmaceuticals, LLC | Inj, propofol, 10 mg | 10 MG | 50 | 20 | 50 | 1000 |
80830-2365-7 | J2704 | Amneal Pharmaceuticals, LLC | Inj, propofol, 10 mg | 10 MG | 100 | 10 | 100 | 1000 |
51662-1414-1 | J2720 | HF Acquisition Co. LLC, DBA HealthFirst | Inj protamine sulfate/10 mg | 10 MG | 5 | 1 | 5 | 5 |
63323-229-05 | J2720 | FreseniUS Kabi USA, LLC | Inj protamine sulfate/10 mg | 10 MG | 5 | 25 | 5 | 125 |
63323-229-15 | J2720 | FreseniUS Kabi USA, LLC | Inj protamine sulfate/10 mg | 10 MG | 5 | 25 | 5 | 125 |
63323-229-30 | J2720 | FreseniUS Kabi USA, LLC | Inj protamine sulfate/10 mg | 10 MG | 25 | 1 | 25 | 25 |
63323-229-35 | J2720 | FreseniUS Kabi USA, LLC | Inj protamine sulfate/10 mg | 10 MG | 25 | 1 | 25 | 25 |
63323-229-94 | J2720 | FreseniUS Kabi USA, LLC | Inj protamine sulfate/10 mg | 10 MG | 5 | 25 | 5 | 125 |
63323-229-95 | J2720 | FreseniUS Kabi USA, LLC | 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 | 1 |
0944-4179-10 | J2724 | Takeda Pharmaceuticals America, Inc. | Protein c concentrate | 10 UNITS | 1 | 1 | 0.1 | 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 |
0409-3414-11 | J2765 | Pfizer Inc | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
0409-5255-15 | J2765 | Pfizer Inc | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
0409-5255-25 | J2765 | Pfizer Inc | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
0703-4502-04 | J2765 | Teva Parenteral Medicines, Inc. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
0703-4502-04 | J2765 | Teva Parenteral Medicines, Inc. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
0703-4502-93 | J2765 | Teva Parenteral Medicines, Inc. | Metoclopramide hcl injection | 10 MG | 2 | 10 | 1 | 10 |
0703-4502-93 | J2765 | Teva Parenteral Medicines, Inc. | Metoclopramide hcl injection | 10 MG | 2 | 10 | 1 | 10 |
23155-240-41 | J2765 | Heritage Pharmaceuticals Inc. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
51662-1288-1 | J2765 | HF Acquisition Co. LLC, DBA HealthFirst | Metoclopramide hcl injection | 10 MG | 2 | 1 | 1 | 1 |
51662-1288-3 | J2765 | HF Acquisition Co. LLC, DBA HealthFirst | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
76045-213-20 | J2765 | FreseniUS Kabi USA, LLC | Metoclopramide hcl injection | 10 MG | 2 | 24 | 1 | 24 |
83634-779-02 | J2765 | Avenacy Inc. | Metoclopramide hcl injection | 10 MG | 2 | 25 | 1 | 25 |
50242-096-01 | J2777 | Genentech, Inc. | Inj, faricimab-svoa, 0.1mg | 0.1 MG | 0.05 | 1 | 60 | 60 |
50242-096-06 | J2777 | Genentech, 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, Inc. | Inj, susvimo 0.1 mg | 0.1 MG | 0.1 | 1 | 100 | 100 |
50242-078-55 | J2779 | Genentech, Inc. | Inj, susvimo 0.1 mg | 0.1 MG | 0.1 | 1 | 100 | 100 |
73606-020-01 | J2781 | Apellis Pharmaceuticals, Inc. | Inj, pegcetacoplan, 1mg | 1 MG | 0.1 | 1 | 15 | 15 |
82829-002-01 | J2782 | Iveric Bio Inc | Inj avacincaptad pegol 0.1mg | 0.1 MG | 0.1 | 1 | 20 | 20 |
0024-5150-10 | J2783 | Sanofi-Aventis U.S. LLC | Rasburicase | 0.5 MG | 1 | 3 | 3 | 9 |
0024-5151-75 | J2783 | Sanofi-Aventis U.S. LLC | Rasburicase | 0.5 MG | 7.5 | 1 | 15 | 15 |
0409-1401-01 | J2785 | Pfizer 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 Inc. | 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 |
36000-364-01 | J2785 | Baxter Healthcare Corporation | 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 |
60505-6116-0 | J2785 | Apotex Corp | Regadenoson injection | 0.1 MG | 5 | 1 | 4 | 4 |
67457-994-05 | J2785 | Mylan Institutional LLC | 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 | Teva Respiratory, LLC | Injection, reslizumab, 1mg | 1 MG | 10 | 1 | 100 | 100 |
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 L.L.C. | Rhophylac injection | 100 IU | 2 | 1 | 15 | 15 |
44206-300-10 | J2791 | CSL Behring L.L.C. | Rhophylac injection | 100 IU | 2 | 10 | 15 | 150 |
49591-300-51 | J2792 | Kamada Ltd. | Rho(d) immune globulin h, sd | 100 IU | 13 | 1 | 150 | 150 |
49591-330-51 | J2792 | Kamada Ltd. | Rho(d) immune globulin h, sd | 100 IU | 1.3 | 1 | 15 | 15 |
49591-350-51 | J2792 | Kamada Ltd. | Rho(d) immune globulin h, sd | 100 IU | 2.2 | 1 | 25 | 25 |
70257-310-51 | J2792 | Kamada Ltd. | Rho(d) immune globulin h, sd | 100 IU | 4.4 | 1 | 50 | 50 |
70257-330-51 | J2792 | Kamada Ltd. | Rho(d) immune globulin h, sd | 100 IU | 1.3 | 1 | 15 | 15 |
70257-350-51 | J2792 | Kamada Ltd. | Rho(d) immune globulin h, sd | 100 IU | 2.2 | 1 | 25 | 25 |
0480-1232-08 | J2794 | Teva Pharmaceuticals USA, Inc. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 1 | 50 | 50 |
0480-1342-08 | J2794 | Teva Pharmaceuticals USA, Inc. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 1 | 75 | 75 |
0480-1453-08 | J2794 | Teva Pharmaceuticals USA, Inc. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 1 | 100 | 100 |
0480-1554-08 | J2794 | Teva Pharmaceuticals USA, Inc. | Inj risperdal consta, 0.5 mg | 0.5 MG | 1 | 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 |
25021-652-82 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 100 | 10 | 500 | 5000 |
25021-652-82 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 100 | 10 | 500 | 5000 |
25021-652-87 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 200 | 10 | 1000 | 10000 |
25021-652-87 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 200 | 10 | 1000 | 10000 |
25021-671-66 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
25021-671-66 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
25021-671-67 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
25021-671-67 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
25021-671-82 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
25021-671-82 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
25021-671-87 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
25021-671-87 | J2795 | Sagent Pharmaceuticals | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
43066-015-10 | J2795 | Baxter Healthcare Corporation | Ropivacaine hcl injection | 1 MG | 20 | 10 | 40 | 400 |
43066-019-10 | J2795 | Baxter Healthcare Corporation | Ropivacaine hcl injection | 1 MG | 20 | 10 | 100 | 1000 |
43066-023-10 | J2795 | Baxter Healthcare Corporation | Ropivacaine hcl injection | 1 MG | 30 | 10 | 150 | 1500 |
43066-027-10 | J2795 | Baxter Healthcare Corporation | Ropivacaine hcl injection | 1 MG | 20 | 10 | 200 | 2000 |
43066-152-10 | J2795 | Baxter Healthcare Corporation | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
43066-154-10 | J2795 | Baxter Healthcare Corporation | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
52584-286-35 | J2795 | Henry Schein Inc. | Ropivacaine hcl injection | 1 MG | 30 | 1 | 150 | 150 |
55150-195-20 | J2795 | Eugia US LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 40 | 1000 |
55150-196-99 | J2795 | Eugia US LLC | Ropivacaine hcl injection | 1 MG | 100 | 1 | 200 | 200 |
55150-197-20 | J2795 | Eugia US LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
55150-198-30 | J2795 | Eugia US LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
55150-199-20 | J2795 | Eugia US LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 150 | 3750 |
55150-200-10 | J2795 | Eugia US LLC | Ropivacaine hcl injection | 1 MG | 10 | 25 | 100 | 2500 |
55150-201-20 | J2795 | Eugia US LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 200 | 5000 |
63323-285-10 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 10 | 5 | 20 | 100 |
63323-285-13 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 10 | 25 | 20 | 500 |
63323-285-20 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 5 | 40 | 200 |
63323-285-23 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 40 | 1000 |
63323-285-28 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 40 | 1000 |
63323-285-61 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 100 | 24 | 200 | 4800 |
63323-285-63 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 200 | 24 | 400 | 9600 |
63323-285-64 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 200 | 12 | 400 | 4800 |
63323-285-65 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 100 | 12 | 200 | 2400 |
63323-285-67 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 100 | 12 | 200 | 2400 |
63323-285-68 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 100 | 12 | 200 | 2400 |
63323-285-73 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 200 | 12 | 400 | 4800 |
63323-286-00 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 100 | 12 | 500 | 6000 |
63323-286-00 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 100 | 12 | 500 | 6000 |
63323-286-20 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 5 | 100 | 500 |
63323-286-20 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 5 | 100 | 500 |
63323-286-23 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
63323-286-23 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
63323-286-27 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
63323-286-27 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
63323-286-35 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-286-35 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-286-38 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-286-38 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-286-63 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 200 | 12 | 1000 | 12000 |
63323-286-63 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 200 | 12 | 1000 | 12000 |
63323-286-95 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-286-95 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
63323-287-20 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 5 | 150 | 750 |
63323-287-21 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 150 | 3750 |
63323-288-10 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 10 | 5 | 100 | 500 |
63323-288-11 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 10 | 25 | 100 | 2500 |
63323-288-20 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 5 | 200 | 1000 |
63323-288-21 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 200 | 5000 |
63323-288-27 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 5 | 200 | 1000 |
63323-288-29 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 20 | 25 | 200 | 5000 |
65145-107-10 | J2795 | Caplin Steriles USA Inc. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 40 | 400 |
65145-108-10 | J2795 | Caplin Steriles USA Inc. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 100 | 1000 |
65145-109-10 | J2795 | Caplin Steriles USA Inc. | Ropivacaine hcl injection | 1 MG | 30 | 10 | 150 | 1500 |
65145-110-10 | J2795 | Caplin Steriles USA Inc. | Ropivacaine hcl injection | 1 MG | 20 | 10 | 200 | 2000 |
65219-632-10 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 100 | 24 | 200 | 4800 |
65219-632-20 | J2795 | FreseniUS Kabi USA, LLC | Ropivacaine hcl injection | 1 MG | 200 | 24 | 400 | 9600 |
67457-798-99 | J2795 | Mylan Institutional LLC | Ropivacaine hcl injection | 1 MG | 100 | 10 | 200 | 2000 |
67457-799-99 | J2795 | Mylan Institutional LLC | Ropivacaine hcl injection | 1 MG | 200 | 10 | 400 | 4000 |
70121-1732-9 | J2795 | Amneal Pharmaceuticals, LLC | Ropivacaine hcl injection | 1 MG | 100 | 24 | 200 | 4800 |
70121-1733-9 | J2795 | Amneal Pharmaceuticals, LLC | Ropivacaine hcl injection | 1 MG | 200 | 24 | 400 | 9600 |
70121-1734-3 | J2795 | Amneal Pharmaceuticals, LLC | Ropivacaine hcl injection | 1 MG | 100 | 12 | 500 | 6000 |
71288-732-11 | J2795 | Meitheal Pharmaceuticals Inc. | Ropivacaine hcl injection | 1 MG | 10 | 25 | 20 | 500 |
71288-733-21 | J2795 | Meitheal Pharmaceuticals Inc. | Ropivacaine hcl injection | 1 MG | 20 | 25 | 40 | 1000 |
71288-734-21 | J2795 | Meitheal Pharmaceuticals Inc. | Ropivacaine hcl injection | 1 MG | 20 | 25 | 100 | 2500 |
71288-735-31 | J2795 | Meitheal Pharmaceuticals Inc. | Ropivacaine hcl injection | 1 MG | 30 | 25 | 150 | 3750 |
71288-736-21 | J2795 | Meitheal Pharmaceuticals Inc. | Ropivacaine hcl injection | 1 MG | 20 | 25 | 150 | 3750 |
71288-737-11 | J2795 | Meitheal Pharmaceuticals Inc. | Ropivacaine hcl injection | 1 MG | 10 | 25 | 100 | 2500 |
71288-738-21 | J2795 | Meitheal Pharmaceuticals Inc. | Ropivacaine hcl injection | 1 MG | 20 | 25 | 200 | 5000 |
72572-707-10 | J2795 | Civica, Inc. | Ropivacaine hcl injection | 1 MG | 30 | 10 | 150 | 1500 |
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 | Nupathe Inc | Inj, uzedy, 1 mg | 1 MG | 0.14 | 1 | 50 | 50 |
51759-410-10 | J2799 | Nupathe Inc | Inj, uzedy, 1 mg | 1 MG | 0.21 | 1 | 75 | 75 |
51759-520-10 | J2799 | Nupathe Inc | Inj, uzedy, 1 mg | 1 MG | 0.28 | 1 | 100 | 100 |
51759-630-10 | J2799 | Nupathe Inc | Inj, uzedy, 1 mg | 1 MG | 0.35 | 1 | 125 | 125 |
51759-740-10 | J2799 | Nupathe Inc | Inj, uzedy, 1 mg | 1 MG | 0.42 | 1 | 150 | 150 |
51759-850-10 | J2799 | Nupathe Inc | Inj, uzedy, 1 mg | 1 MG | 0.56 | 1 | 200 | 200 |
51759-960-10 | J2799 | Nupathe 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 |
0641-6103-10 | J2800 | Hikma Pharmaceuticals USA Inc. | Methocarbamol injection | 10 ML | 10 | 10 | 1 | 10 |
0641-6103-25 | J2800 | Hikma Pharmaceuticals USA Inc. | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
0641-6217-10 | J2800 | Hikma Pharmaceuticals USA Inc. | Methocarbamol injection | 10 ML | 10 | 10 | 1 | 10 |
0641-6217-25 | J2800 | Hikma Pharmaceuticals USA Inc. | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
25021-675-10 | J2800 | Sagent Pharmaceuticals | 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 | Eugia US LLC | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
63323-778-10 | J2800 | FreseniUS Kabi USA, LLC | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
71288-716-10 | J2800 | Meitheal Pharmaceuticals Inc. | Methocarbamol injection | 10 ML | 10 | 25 | 1 | 25 |
55513-221-01 | J2802 | Amgen Inc | Inj, romiplostim 1 microgram | 1 MCG | 1 | 1 | 250 | 250 |
55513-222-01 | J2802 | Amgen Inc | Inj, romiplostim 1 microgram | 1 MCG | 1 | 1 | 500 | 500 |
55513-223-01 | J2802 | Amgen Inc | Inj, romiplostim 1 microgram | 1 MCG | 1 | 1 | 125 | 125 |
63323-351-20 | J2804 | FreseniUS Kabi USA, LLC | Inj, rifampin, 1 mg | 1 MG | 1 | 1 | 600 | 600 |
67457-445-60 | J2804 | Mylan Institutional LLC | Inj, rifampin, 1 mg | 1 MG | 1 | 1 | 600 | 600 |
0270-0556-15 | J2805 | Bracco Diagnostics Inc. | Sincalide injection | 5 MCG | 1 | 10 | 1 | 10 |
63323-579-05 | J2805 | FreseniUS Kabi USA, LLC | Sincalide injection | 5 MCG | 1 | 10 | 1 | 10 |
72266-248-05 | J2805 | Fosun Pharma USA Inc. | Sincalide injection | 5 MCG | 1 | 5 | 1 | 5 |
71837-5843-5 | J2820 | Partner Therapeutics, Inc | Sargramostim injection | 50 MCG | 1 | 5 | 5 | 25 |
73090-420-01 | J2860 | EUSA Pharma (UK) Ltd | Injection, siltuximab | 10 MG | 1 | 1 | 10 | 10 |
73090-421-01 | J2860 | EUSA Pharma (UK) Ltd | Injection, siltuximab | 10 MG | 1 | 1 | 40 | 40 |
0703-9503-03 | J2865 | Teva Parenteral Medicines, Inc. | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 5 | 10 | 80 | 800 |
0703-9514-03 | J2865 | Teva Parenteral Medicines, Inc. | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 10 | 10 | 160 | 1600 |
0703-9514-83 | J2865 | Teva Parenteral Medicines, Inc. | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 10 | 10 | 160 | 1600 |
0703-9514-93 | J2865 | Teva Parenteral Medicines, Inc. | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 10 | 10 | 160 | 1600 |
0703-9526-01 | J2865 | Teva Parenteral Medicines, Inc. | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 30 | 1 | 480 | 480 |
0703-9526-81 | J2865 | Teva Parenteral Medicines, Inc. | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 30 | 1 | 480 | 480 |
67457-778-05 | J2865 | Mylan Institutional LLC | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 5 | 10 | 80 | 800 |
67457-779-30 | J2865 | Mylan Institutional LLC | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 30 | 1 | 480 | 480 |
67457-921-05 | J2865 | Mylan Institutional LLC | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 5 | 10 | 80 | 800 |
67457-922-30 | J2865 | Mylan Institutional LLC | Inj sulfameth/trim 5 mg/1 mg | 5MG-1MG | 30 | 1 | 480 | 480 |
0024-2792-10 | J2916 | Sanofi-Aventis U.S. LLC | Na ferric gluconate complex | 12.5 MG | 5 | 10 | 5 | 50 |
0024-2794-10 | J2916 | Sanofi-Aventis U.S. LLC | 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 |
0009-0003-02 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 100 | 100 |
0009-0018-20 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 200 | 200 |
0009-0039-06 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
0009-0039-28 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
0009-0039-32 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
0009-0047-04 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
0009-0047-22 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
0009-0047-26 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
0009-0698-01 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 200 | 200 |
0009-0698-02 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 200 | 200 |
0009-0758-01 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 100 | 100 |
0009-0850-01 | J2919 | Pfizer Inc | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 400 | 400 |
0143-9753-25 | J2919 | Hikma Pharmaceuticals USA Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
0143-9754-25 | J2919 | Hikma Pharmaceuticals USA Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
0143-9850-01 | J2919 | Hikma Pharmaceuticals USA Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 100 | 100 |
0143-9851-01 | J2919 | Hikma Pharmaceuticals USA Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 200 | 200 |
0404-9957-02 | J2919 | Henry Schein Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 25 | 25 |
0404-9958-01 | J2919 | Henry Schein Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 8 | 8 |
43598-127-25 | J2919 | Dr. Reddy's Laboratories Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
43598-128-11 | J2919 | Dr. Reddy's Laboratories Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 100 | 100 |
43598-129-25 | J2919 | Dr. Reddy's Laboratories Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
43598-130-74 | J2919 | Dr. Reddy's Laboratories Inc. | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 200 | 200 |
50090-0271-0 | J2919 | A-S Medication Solutions | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 25 | 25 |
50090-0271-1 | J2919 | A-S Medication Solutions | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
51662-1263-1 | J2919 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 25 | 25 |
51662-1263-3 | J2919 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
51662-1264-1 | J2919 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 8 | 8 |
51662-1264-3 | J2919 | HF Acquisition Co. LLC, DBA HealthFirst | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
63323-255-03 | J2919 | FreseniUS Kabi USA, LLC | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
63323-255-03 | J2919 | FreseniUS Kabi USA, LLC | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 8 | 200 |
63323-258-03 | J2919 | FreseniUS Kabi USA, LLC | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
63323-258-03 | J2919 | FreseniUS Kabi USA, LLC | Inj, methylpred sod succ 5mg | 5 MG | 1 | 25 | 25 | 625 |
63323-265-30 | J2919 | FreseniUS Kabi USA, LLC | Inj, methylpred sod succ 5mg | 5 MG | 1 | 1 | 200 | 200 |
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 | XGen Pharmaceuticals DJB, 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 |
0409-9093-11 | 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 |
0409-9093-32 | 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 |
0409-9093-35 | 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 |
0409-9094-22 | 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 | 63 |
0409-9094-25 | J3010 | Pfizer Inc | Fentanyl citrate injection | 0.1 MG | 5 | 25 | 2.5 | 63 |
0409-9094-28 | J3010 | Pfizer Inc | Fentanyl citrate injection | 0.1 MG | 10 | 25 | 5 | 125 |
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 |
0409-9094-31 | 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 |
0409-9094-61 | J3010 | Pfizer Inc | Fentanyl citrate injection | 0.1 MG | 50 | 25 | 25 | 625 |
0641-6027-25 | J3010 | Hikma Pharmaceuticals USA Inc. | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 25 |
0641-6028-10 | J3010 | Hikma Pharmaceuticals USA Inc. | Fentanyl citrate injection | 0.1 MG | 5 | 10 | 2.5 | 25 |
0641-6028-25 | J3010 | Hikma Pharmaceuticals USA Inc. | Fentanyl citrate injection | 0.1 MG | 5 | 25 | 2.5 | 63 |
0641-6029-01 | J3010 | Hikma Pharmaceuticals USA Inc. | Fentanyl citrate injection | 0.1 MG | 20 | 1 | 10 | 10 |
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 | 13 |
0641-6248-10 | J3010 | Hikma Pharmaceuticals USA Inc. | Fentanyl citrate injection | 0.1 MG | 1 | 10 | 0.5 | 5 |
0641-6249-10 | J3010 | Hikma Pharmaceuticals USA Inc. | Fentanyl citrate injection | 0.1 MG | 0.5 | 10 | 0.25 | 3 |
63323-806-01 | J3010 | FreseniUS Kabi USA, LLC | Fentanyl citrate injection | 0.1 MG | 1 | 25 | 0.5 | 13 |
63323-806-02 | J3010 | FreseniUS Kabi USA, LLC | Fentanyl citrate injection | 0.1 MG | 2 | 25 | 1 | 25 |
63323-806-05 | J3010 | FreseniUS Kabi USA, LLC | Fentanyl citrate injection | 0.1 MG | 5 | 25 | 2.5 | 63 |
63323-806-20 | J3010 | FreseniUS Kabi USA, LLC | Fentanyl citrate injection | 0.1 MG | 20 | 25 | 10 | 250 |
63323-806-50 | J3010 | FreseniUS Kabi USA, LLC | Fentanyl citrate injection | 0.1 MG | 50 | 1 | 25 | 25 |
63323-808-11 | J3010 | FreseniUS Kabi USA, LLC | 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 |
72572-171-10 | J3010 | Civica, Inc. | Fentanyl citrate injection | 0.1 MG | 5 | 10 | 2.5 | 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 Pharmaceuticals LLC | Inj. eptinezumab-jjmr 1 mg | 1 MG | 1 | 1 | 100 | 100 |
57894-469-01 | J3055 | Janssen Biotech, Inc. | Inj talquetamab-tgvs 0.25 mg | 0.25 MG | 1.5 | 1 | 12 | 12 |
57894-470-01 | J3055 | Janssen Biotech, Inc. | Inj talquetamab-tgvs 0.25 mg | 0.25 MG | 1 | 1 | 160 | 160 |
0069-0106-01 | J3060 | Pfizer Inc | Inj, taliglucerase alfa 10 u | 10 UNITS | 1 | 1 | 20 | 20 |
67919-040-02 | J3090 | Merck Sharp & Dohme LLC | Inj tedizolid phosphate | 1 MG | 1 | 10 | 200 | 2000 |
66220-315-22 | J3095 | Cumberland Pharmaceuticals Inc. | Telavancin injection | 10 MG | 1 | 12 | 75 | 900 |
66220-315-44 | J3095 | Cumberland Pharmaceuticals Inc. | Telavancin injection | 10 MG | 1 | 4 | 75 | 300 |
50242-120-47 | J3101 | Genentech, Inc. | Tenecteplase injection | 1 MG | 1 | 1 | 50 | 50 |
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 |
59923-615-05 | J3105 | Areva Pharmaceuticals | Terbutaline sulfate inj | 1 MG | 1 | 5 | 1 | 5 |
63323-665-01 | J3105 | FreseniUS Kabi USA, LLC | Terbutaline sulfate inj | 1 MG | 1 | 25 | 1 | 25 |
55513-880-02 | J3111 | Amgen Inc | Inj. romosozumab-aqqg 1 mg | 1 MG | 1.17 | 2 | 105 | 210 |
55513-998-02 | J3111 | Amgen 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 USA, 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 | 1 |
0641-1397-35 | J3230 | Hikma Pharmaceuticals USA Inc. | Chlorpromazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
0641-1398-35 | J3230 | Hikma Pharmaceuticals USA Inc. | Chlorpromazine hcl injection | 50 MG | 2 | 25 | 1 | 25 |
43598-140-25 | J3230 | Dr. Reddy's Laboratories Inc. | Chlorpromazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
43598-141-25 | J3230 | Dr. Reddy's Laboratories Inc. | Chlorpromazine hcl injection | 50 MG | 2 | 25 | 1 | 25 |
51662-1406-1 | J3230 | HF Acquisition Co. LLC, DBA HealthFirst | Chlorpromazine hcl injection | 50 MG | 2 | 1 | 1 | 1 |
55150-318-25 | J3230 | Eugia US LLC | Chlorpromazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
55150-319-25 | J3230 | Eugia US LLC | Chlorpromazine hcl injection | 50 MG | 2 | 25 | 1 | 25 |
66794-249-42 | J3230 | Piramal Critical Care Inc | Chlorpromazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
66794-250-42 | J3230 | Piramal Critical Care Inc | Chlorpromazine hcl injection | 50 MG | 2 | 25 | 1 | 25 |
70710-1849-7 | J3230 | Zydus Pharmaceuticals (USA) Inc. | Chlorpromazine hcl injection | 50 MG | 1 | 25 | 0.5 | 13 |
70710-1850-7 | J3230 | Zydus Pharmaceuticals (USA) Inc. | 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 Therapeutics USA, Inc. | 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 Inc. | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
55150-228-10 | J3243 | Eugia US 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 USA, LLC | Tigecycline injection | 1 MG | 1 | 10 | 50 | 500 |
70121-1647-7 | J3243 | Amneal Pharmaceuticals, LLC | 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 |
14789-102-10 | J3246 | Nexus Pharmaceuticals, LLC | Tirofiban hcl | 0.25 MG | 250 | 2 | 50 | 100 |
25208-001-04 | J3246 | Medicure International Inc | Tirofiban hcl | 0.25 MG | 15 | 1 | 15 | 15 |
25208-002-01 | J3246 | Medicure International Inc | Tirofiban hcl | 0.25 MG | 100 | 1 | 20 | 20 |
25208-002-02 | J3246 | Medicure International Inc | Tirofiban hcl | 0.25 MG | 250 | 1 | 50 | 50 |
25208-002-03 | J3246 | Medicure International Inc | Tirofiban hcl | 0.25 MG | 100 | 1 | 20 | 20 |
25208-901-04 | J3246 | Medicure International Inc | Tirofiban hcl | 0.25 MG | 15 | 1 | 15 | 15 |
25208-902-01 | J3246 | Medicure International Inc | Tirofiban hcl | 0.25 MG | 100 | 1 | 20 | 20 |
25208-902-02 | J3246 | Medicure International Inc | Tirofiban hcl | 0.25 MG | 250 | 1 | 50 | 50 |
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 |
0078-1168-61 | J3247 | Novartis Pharmaceuticals Corporation | Inj secukinumab intrav 1mg | 1 MG | 5 | 1 | 125 | 125 |
0404-9964-02 | J3250 | Henry Schein Inc. | Trimethobenzamide hcl inj | 200 MG | 2 | 1 | 1 | 1 |
42023-119-25 | J3250 | Endo USA, Inc. | Trimethobenzamide hcl inj | 200 MG | 2 | 25 | 1 | 25 |
51662-1430-1 | J3250 | HF Acquisition Co. LLC, DBA HealthFirst | Trimethobenzamide hcl inj | 200 MG | 2 | 1 | 1 | 1 |
51662-1430-3 | J3250 | HF Acquisition Co. LLC, DBA 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 Healthcare Corporation | Tobramycin sulfate injection | 80 MG | 1 | 1 | 15 | 15 |
36000-244-25 | J3260 | Baxter Healthcare Corporation | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
39822-0412-1 | J3260 | XGen Pharmaceuticals DJB, Inc. | Tobramycin sulfate injection | 80 MG | 1 | 1 | 15 | 15 |
39822-0412-6 | J3260 | XGen Pharmaceuticals DJB, 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 USA, LLC | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
63323-303-55 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
63323-305-02 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 2 | 25 | 0.25 | 7 |
63323-306-02 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
63323-306-02 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
63323-306-26 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
63323-306-26 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 2 | 25 | 1 | 25 |
63323-306-30 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 30 | 10 | 15 | 150 |
63323-306-30 | J3260 | FreseniUS Kabi USA, LLC | Tobramycin sulfate injection | 80 MG | 30 | 10 | 15 | 150 |
63323-307-51 | J3260 | FreseniUS Kabi USA, LLC | 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 |
70436-110-56 | J3260 | Slate Run Pharmaceuticals | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
70436-110-80 | J3260 | Slate Run Pharmaceuticals | Tobramycin sulfate injection | 80 MG | 1 | 1 | 15 | 15 |
70700-173-86 | J3260 | Xiromed, LLC | Tobramycin sulfate injection | 80 MG | 1 | 6 | 15 | 90 |
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 |
70114-340-01 | J3263 | Coherus BioSciences, Inc. | Inj, toripalimab-tpzi, 1 mg | 1 MG | 6 | 1 | 240 | 240 |
0703-0666-01 | J3285 | Teva Parenteral Medicines, Inc. | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
0703-0676-01 | J3285 | Teva Parenteral Medicines, Inc. | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
0703-0686-01 | J3285 | Teva Parenteral Medicines, Inc. | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
0703-0696-01 | J3285 | Teva Parenteral Medicines, Inc. | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
0781-3420-80 | J3285 | Sandoz Inc. | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
0781-3425-80 | J3285 | Sandoz Inc. | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
0781-3427-80 | J3285 | Sandoz Inc. | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
0781-3430-80 | J3285 | Sandoz Inc. | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
42023-206-01 | J3285 | Endo USA, Inc. | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
42023-207-01 | J3285 | Endo USA, Inc. | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
42023-208-01 | J3285 | Endo USA, Inc. | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
42023-209-01 | J3285 | Endo USA, 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 Corporation | Treprostinil injection | 1 MG | 20 | 1 | 20 | 20 |
66302-102-01 | J3285 | United Therapeutics Corporation | Treprostinil injection | 1 MG | 20 | 1 | 50 | 50 |
66302-105-01 | J3285 | United Therapeutics Corporation | Treprostinil injection | 1 MG | 20 | 1 | 100 | 100 |
66302-110-01 | J3285 | United Therapeutics Corporation | Treprostinil injection | 1 MG | 20 | 1 | 200 | 200 |
24208-040-40 | J3299 | Bausch & Lomb Americas Inc. | 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 |
0078-0897-78 | J3300 | Harrow Eye, LLC | Triamcinolone a inj prs-free | 1 MG | 1 | 1 | 40 | 40 |
82667-800-01 | J3300 | Harrow Eye, LLC | Triamcinolone a inj prs-free | 1 MG | 1 | 1 | 40 | 40 |
0003-0293-05 | J3301 | E.R. Squibb & Sons, L.L.C. | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
0003-0293-20 | J3301 | E.R. Squibb & Sons, L.L.C. | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
0003-0293-28 | J3301 | E.R. Squibb & Sons, L.L.C. | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
0003-0315-05 | J3301 | E.R. Squibb & Sons, L.L.C. | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 8 | 8 |
0003-0315-20 | J3301 | E.R. Squibb & Sons, L.L.C. | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 40 | 40 |
0003-0494-20 | J3301 | E.R. Squibb & Sons, L.L.C. | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 5 | 5 |
0143-9387-25 | J3301 | Hikma Pharmaceuticals USA Inc. | Triamcinolone acet inj nos | 10 MG | 1 | 25 | 4 | 100 |
0703-0241-01 | J3301 | Teva Parenteral Medicines, Inc. | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
0703-0243-01 | J3301 | Teva Parenteral Medicines, Inc. | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
0703-0245-01 | J3301 | Teva Parenteral Medicines, Inc. | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
16714-130-25 | J3301 | Northstar RxLLC | Triamcinolone acet inj nos | 10 MG | 1 | 25 | 4 | 100 |
16714-140-01 | J3301 | Northstar RxLLC | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
16714-150-01 | J3301 | Northstar RxLLC | 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 |
67457-621-99 | J3301 | Mylan Institutional LLC | Triamcinolone acet inj nos | 10 MG | 1 | 25 | 4 | 100 |
67457-622-05 | J3301 | Mylan Institutional LLC | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
67457-622-99 | J3301 | Mylan Institutional LLC | Triamcinolone acet inj nos | 10 MG | 5 | 25 | 20 | 500 |
67457-623-10 | J3301 | Mylan Institutional LLC | Triamcinolone acet inj nos | 10 MG | 10 | 1 | 40 | 40 |
67457-623-99 | J3301 | Mylan Institutional LLC | Triamcinolone acet inj nos | 10 MG | 10 | 25 | 40 | 1000 |
70121-1049-2 | J3301 | Amneal Pharmaceuticals, LLC | Triamcinolone acet inj nos | 10 MG | 1 | 1 | 4 | 4 |
70121-1049-5 | J3301 | Amneal Pharmaceuticals, LLC | Triamcinolone acet inj nos | 10 MG | 1 | 25 | 4 | 100 |
70121-1168-1 | J3301 | Amneal Pharmaceuticals, LLC | Triamcinolone acet inj nos | 10 MG | 5 | 1 | 20 | 20 |
70121-1169-1 | J3301 | Amneal Pharmaceuticals, LLC | 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 |
24338-150-20 | J3316 | Azurity Pharmaceuticals, Inc. | Inj., triptorelin xr 3.75 mg | 3.75 MG | 1 | 1 | 6 | 6 |
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 |
0409-1273-32 | 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 |
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 |
43598-106-10 | J3360 | Dr. Reddy's Laboratories Inc. | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
62332-811-20 | J3360 | Alembic Pharmaceuticals Inc. | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
69339-136-34 | J3360 | NATCO Pharma USA LLC | Diazepam injection | 5 MG | 2 | 10 | 2 | 20 |
69339-137-05 | J3360 | NATCO Pharma USA LLC | Diazepam injection | 5 MG | 10 | 5 | 10 | 50 |
69339-137-95 | J3360 | NATCO Pharma USA 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, LLC | Diazepam injection | 5 MG | 2 | 24 | 2 | 48 |
0143-9152-10 | J3373 | Hikma Pharmaceuticals USA Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 125 | 1250 |
0143-9153-10 | J3373 | Hikma Pharmaceuticals USA Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 150 | 1500 |
0143-9355-10 | J3373 | Hikma Pharmaceuticals USA Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 75 | 750 |
0143-9357-10 | J3373 | Hikma Pharmaceuticals USA Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
0143-9358-01 | J3373 | Hikma Pharmaceuticals USA Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
0143-9359-01 | J3373 | Hikma Pharmaceuticals USA Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
0338-0122-04 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 250 | 4 | 125 | 500 |
0338-0124-04 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 300 | 4 | 150 | 600 |
0338-3551-48 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 100 | 1 | 50 | 600 |
0338-3552-48 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 200 | 1 | 100 | 600 |
0338-3580-48 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 150 | 1 | 75 | 450 |
0338-3581-01 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 100 | 1 | 50 | 600 |
0338-3582-01 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 150 | 1 | 75 | 450 |
0338-3583-01 | J3373 | Baxter Healthcare Corporation | Inj, vancomycin hcl, 10 mg | 10 MG | 200 | 1 | 100 | 600 |
0404-9965-99 | J3373 | Henry Schein Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 50 | 50 |
0409-1319-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
0409-3515-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 150 | 1500 |
0409-4332-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
0409-4332-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
0409-5017-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
0409-6509-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
0409-6509-49 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
0409-6531-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 75 | 750 |
0409-6531-02 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 75 | 750 |
0409-6533-21 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
0409-6533-31 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
0409-6534-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
0409-6534-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
0409-6535-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
0409-6535-01 | J3373 | Pfizer Inc | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
16714-247-10 | J3373 | Northstar RxLLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
16714-309-10 | J3373 | Northstar RxLLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
25021-150-10 | J3373 | Sagent Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
25021-151-20 | J3373 | Sagent Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
25021-157-99 | J3373 | Sagent Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
25021-158-99 | J3373 | Sagent Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
55150-471-10 | J3373 | Eugia US LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 125 | 1250 |
55150-472-10 | J3373 | Eugia US LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 150 | 1500 |
63323-203-20 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 75 | 750 |
63323-203-26 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 75 | 750 |
63323-221-10 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 25 | 50 | 1250 |
63323-221-16 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 25 | 50 | 1250 |
63323-284-20 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
63323-284-26 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
63323-295-61 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
63323-295-66 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
63323-314-61 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
63323-314-66 | J3373 | FreseniUS Kabi USA, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
67457-339-50 | J3373 | Mylan Institutional LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
67457-340-01 | J3373 | Mylan Institutional LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
67457-341-05 | J3373 | Mylan Institutional LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
67457-342-10 | J3373 | Mylan Institutional LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
68001-407-75 | J3373 | BluePoint Laboratories | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
70436-020-82 | J3373 | Slate Run Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
70436-021-82 | J3373 | Slate Run Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
70436-022-82 | J3373 | Slate Run Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
70436-023-82 | J3373 | Slate Run Pharmaceuticals | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
70594-046-02 | J3373 | Xellia Pharmaceuticals USA, LLC. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
70594-047-01 | J3373 | Xellia Pharmaceuticals USA, LLC. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
70594-048-01 | J3373 | Xellia Pharmaceuticals USA, LLC. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
70594-122-02 | J3373 | Xellia Pharmaceuticals USA, LLC. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
70594-123-02 | J3373 | Xellia Pharmaceuticals USA, LLC. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
70860-104-10 | J3373 | Athenex Pharmaceutical Division, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
70860-105-20 | J3373 | Athenex Pharmaceutical Division, LLC | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
71288-022-11 | J3373 | Meitheal Pharmaceuticals Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 50 | 500 |
71288-023-21 | J3373 | Meitheal Pharmaceuticals Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
71288-024-21 | J3373 | Meitheal Pharmaceuticals Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 75 | 750 |
71288-025-75 | J3373 | Meitheal Pharmaceuticals Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
71288-026-75 | J3373 | Meitheal Pharmaceuticals Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
72572-801-02 | J3373 | Civica, Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
72572-803-01 | J3373 | Civica, Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 500 | 500 |
72572-805-01 | J3373 | Civica, Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 1 | 1000 | 1000 |
72611-765-10 | J3373 | Almaject, Inc. | Inj, vancomycin hcl, 10 mg | 10 MG | 1 | 10 | 100 | 1000 |
67457-705-75 | J3374 | Mylan Institutional LLC | Inj, vancomycin (mylan) 10mg | 10 MG | 1 | 10 | 75 | 750 |
67457-823-99 | J3374 | Mylan Institutional LLC | Inj, vancomycin (mylan) 10mg | 10 MG | 1 | 10 | 125 | 1250 |
67457-824-99 | J3374 | Mylan Institutional LLC | Inj, vancomycin (mylan) 10mg | 10 MG | 1 | 10 | 150 | 1500 |
72078-065-99 | J3374 | Mylan Institutional LLC | Inj, vancomycin (mylan) 10mg | 10 MG | 1 | 10 | 175 | 1750 |
72078-066-99 | J3374 | Mylan Institutional LLC | Inj, vancomycin (mylan) 10mg | 10 MG | 1 | 10 | 200 | 2000 |
70594-041-03 | J3375 | Xellia Pharmaceuticals USA, LLC. | Inj vancomycin (xellia) 10mg | 10 MG | 100 | 12 | 50 | 600 |
70594-042-03 | J3375 | Xellia Pharmaceuticals USA, LLC. | Inj vancomycin (xellia) 10mg | 10 MG | 1 | 12 | 100 | 1200 |
70594-043-02 | J3375 | Xellia Pharmaceuticals USA, LLC. | Inj vancomycin (xellia) 10mg | 10 MG | 1 | 6 | 150 | 900 |
70594-044-02 | J3375 | Xellia Pharmaceuticals USA, LLC. | Inj vancomycin (xellia) 10mg | 10 MG | 400 | 6 | 200 | 1200 |
70594-056-03 | J3375 | Xellia Pharmaceuticals USA, LLC. | Inj vancomycin (xellia) 10mg | 10 MG | 150 | 12 | 75 | 900 |
70594-057-02 | J3375 | Xellia Pharmaceuticals USA, LLC. | Inj vancomycin (xellia) 10mg | 10 MG | 250 | 6 | 125 | 750 |
70594-058-02 | J3375 | Xellia Pharmaceuticals USA, LLC. | Inj vancomycin (xellia) 10mg | 10 MG | 350 | 6 | 175 | 1050 |
64764-300-20 | J3380 | Takeda Pharmaceuticals America, Inc. | Inj vedolizumab iv 1 mg | 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 & Lomb Americas Inc. | Verteporfin injection | 0.1 MG | 1 | 1 | 150 | 150 |
82194-510-02 | J3401 | Krystal Biotech, Inc. | Vyjuvek 5x10^9pfu/ml, 0.1 ml | 0.1 ML | 1 | 1 | 25 | 25 |
0404-9877-01 | J3410 | Henry Schein Inc. | Hydroxyzine hcl injection | 25 MG | 1 | 1 | 2 | 2 |
0404-9878-02 | J3410 | Henry Schein Inc. | Hydroxyzine hcl injection | 25 MG | 2 | 1 | 4 | 4 |
0517-4201-25 | J3410 | American Regent, Inc. | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 1 | 25 |
0517-5601-25 | J3410 | American Regent, Inc. | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 2 | 50 |
0517-5602-25 | J3410 | American Regent, Inc. | Hydroxyzine hcl injection | 25 MG | 2 | 25 | 4 | 100 |
51662-1649-3 | J3410 | HF Acquisition Co. LLC, DBA HealthFirst | Hydroxyzine hcl injection | 25 MG | 1 | 25 | 1 | 25 |
0404-9799-20 | J3411 | Henry Schein Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
0404-9963-02 | J3411 | Henry Schein Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
0641-6228-25 | J3411 | Hikma Pharmaceuticals USA Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
25021-500-02 | J3411 | Sagent Pharmaceuticals | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
43598-050-25 | J3411 | Dr. Reddy's Laboratories Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
50090-4407-1 | J3411 | A-S Medication Solutions | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
50090-5407-1 | J3411 | A-S Medication Solutions | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
51662-1523-1 | J3411 | HF Acquisition Co. LLC, DBA HealthFirst | Thiamine hcl 100 mg | 100 MG | 2 | 1 | 2 | 2 |
51662-1523-3 | J3411 | HF Acquisition Co. LLC, DBA HealthFirst | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
55150-273-25 | J3411 | Eugia US LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
63323-013-02 | J3411 | FreseniUS Kabi USA, LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
63323-013-09 | J3411 | FreseniUS Kabi USA, LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
63323-013-26 | J3411 | FreseniUS Kabi USA, LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
65145-129-25 | J3411 | Caplin Steriles USA Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
67457-196-02 | J3411 | Mylan Institutional LLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
70748-347-02 | J3411 | Lupin Pharmaceuticals, Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
72485-507-25 | J3411 | Armas Pharmaceuticals Inc. | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
72603-139-25 | J3411 | Northstar RxLLC | Thiamine hcl 100 mg | 100 MG | 2 | 25 | 2 | 50 |
51662-1410-1 | J3415 | HF Acquisition Co. LLC, DBA HealthFirst | Pyridoxine hcl 100 mg | 100 MG | 1 | 1 | 1 | 1 |
51662-1410-3 | J3415 | HF Acquisition Co. LLC, DBA HealthFirst | Pyridoxine hcl 100 mg | 100 MG | 1 | 25 | 1 | 25 |
63323-180-01 | J3415 | FreseniUS Kabi USA, LLC | Pyridoxine hcl 100 mg | 100 MG | 1 | 25 | 1 | 25 |
0143-9619-01 | J3420 | Hikma Pharmaceuticals USA Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
0143-9619-10 | J3420 | Hikma Pharmaceuticals USA Inc. | Vitamin b12 injection | 1000 MCG | 30 | 10 | 30 | 300 |
0143-9620-10 | J3420 | Hikma Pharmaceuticals USA Inc. | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
0143-9621-25 | J3420 | Hikma Pharmaceuticals USA Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
0404-9840-10 | J3420 | Henry Schein Inc. | Vitamin b12 injection | 1000 MCG | 10 | 1 | 10 | 10 |
0404-9995-30 | J3420 | Henry Schein Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
0517-0031-25 | J3420 | American Regent, Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
0517-0032-25 | J3420 | American Regent, Inc. | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
0517-0130-01 | J3420 | American Regent, Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
16714-302-10 | J3420 | Northstar RxLLC | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
16729-533-08 | J3420 | Accord Healthcare Inc | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
25021-502-01 | J3420 | Sagent Pharmaceuticals | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
50090-2709-0 | J3420 | A-S Medication Solutions | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
50090-6229-0 | J3420 | A-S Medication Solutions | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
51662-1394-1 | J3420 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
51662-1647-3 | J3420 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
63323-044-01 | J3420 | FreseniUS Kabi USA, LLC | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
63323-044-44 | J3420 | FreseniUS Kabi USA, LLC | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
67457-399-25 | J3420 | Mylan Institutional LLC | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
67457-400-05 | J3420 | Mylan Institutional LLC | Vitamin b12 injection | 1000 MCG | 30 | 5 | 30 | 150 |
68001-542-60 | J3420 | BluePoint Laboratories | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
70710-1663-7 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
70710-1664-6 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
70710-1664-7 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 10 | 25 | 10 | 250 |
70710-1665-1 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
70710-1665-5 | J3420 | Zydus Pharmaceuticals (USA) Inc. | Vitamin b12 injection | 1000 MCG | 30 | 5 | 30 | 150 |
70756-635-25 | J3420 | Lifestar Pharma | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
71288-301-11 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 10 | 10 | 10 | 100 |
71288-302-30 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 30 | 1 | 30 | 30 |
71288-303-02 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
71288-303-92 | J3420 | Meitheal Pharmaceuticals Inc. | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
72603-650-25 | J3420 | Northstar RxLLC | Vitamin b12 injection | 1000 MCG | 1 | 25 | 1 | 25 |
0591-2888-30 | J3425 | Actavis Pharma, Inc. | Hydroxocobalamin im 10mcg | 10 MCG | 30 | 1 | 3000 | 3000 |
0404-9935-05 | J3430 | Henry Schein Inc. | Vitamin k phytonadione inj | 1 MG | 0.5 | 1 | 1 | 1 |
0404-9969-01 | J3430 | Henry Schein Inc. | Vitamin k phytonadione inj | 1 MG | 1 | 1 | 10 | 10 |
0409-9157-01 | J3430 | Pfizer Inc | Vitamin k phytonadione inj | 1 MG | 0.5 | 25 | 1 | 25 |
0409-9158-01 | J3430 | Pfizer Inc | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
0409-9158-25 | J3430 | Pfizer Inc | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
43598-405-16 | J3430 | Dr. Reddy's Laboratories Inc. | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
51662-1536-3 | J3430 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
51662-1537-3 | J3430 | HF Acquisition Co. LLC, DBA HealthFirst | Vitamin k phytonadione inj | 1 MG | 0.5 | 25 | 1 | 25 |
68462-758-25 | J3430 | Glenmark Pharmaceuticals Inc., USA | Vitamin k phytonadione inj | 1 MG | 1 | 25 | 10 | 250 |
69097-003-96 | J3430 | Cipla USA, Inc. | Vitamin k phytonadione inj | 1 MG | 0.5 | 10 | 1 | 10 |
69097-708-96 | J3430 | Cipla USA, Inc. | Vitamin k phytonadione inj | 1 MG | 1 | 10 | 10 | 100 |
69097-709-96 | J3430 | Cipla USA, Inc. | Vitamin k phytonadione inj | 1 MG | 0.5 | 10 | 1 | 10 |
0049-3190-01 | J3465 | Pfizer Inc | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0049-3190-01 | J3465 | Pfizer Inc | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0049-3190-28 | J3465 | Pfizer Inc | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0049-3190-28 | J3465 | Pfizer Inc | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0049-4190-01 | J3465 | Pfizer Inc | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0781-3416-94 | J3465 | Sandoz Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
39822-1077-1 | J3465 | XGen Pharmaceuticals DJB, Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
47781-466-71 | J3465 | Alvogen, Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
65219-190-30 | J3465 | FreseniUS Kabi USA, LLC | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
70436-029-80 | J3465 | Slate Run Pharmaceuticals | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
70594-067-01 | J3465 | Xellia Pharmaceuticals USA, LLC. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
71288-027-30 | J3465 | Meitheal Pharmaceuticals Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
72266-131-01 | J3465 | Fosun Pharma USA Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
72572-875-01 | J3465 | Civica, Inc. | Injection, voriconazole | 10 MG | 1 | 1 | 20 | 20 |
0548-9090-10 | J3470 | Amphastar Pharmaceuticals, Inc. | Hyaluronidase injection | 150 UNITS | 1 | 10 | 1 | 10 |
24208-002-02 | J3471 | Bausch & Lomb Americas Inc. | Ovine, up to 999 usp units | 1 USP UNIT | 1.2 | 2 | 240 | 480 |
24208-002-02 | J3471 | Bausch & Lomb Americas Inc. | Ovine, up to 999 usp units | 1 USP UNIT | 1.2 | 2 | 240 | 480 |
18657-117-04 | J3473 | Antares Pharma, Inc. | Hyaluronidase recombinant | 1 USP UNIT | 1 | 4 | 150 | 600 |
51662-1555-1 | J3473 | HF Acquisition Co. LLC, DBA HealthFirst | Hyaluronidase recombinant | 1 USP UNIT | 1 | 1 | 150 | 150 |
0264-4204-52 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
0264-4205-52 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
0264-4206-54 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
0264-4400-54 | J3475 | B. Braun Medical Inc. | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
0338-1708-40 | J3475 | Baxter Healthcare Corporation | Inj magnesium sulfate | 500 MG | 50 | 40 | 4 | 160 |
0338-1709-40 | J3475 | Baxter Healthcare Corporation | Inj magnesium sulfate | 500 MG | 100 | 40 | 2 | 80 |
0338-1715-40 | J3475 | Baxter Healthcare Corporation | Inj magnesium sulfate | 500 MG | 100 | 40 | 8 | 320 |
0338-1719-40 | J3475 | Baxter Healthcare Corporation | Inj magnesium sulfate | 500 MG | 50 | 40 | 8 | 320 |
0404-9902-20 | J3475 | Henry Schein Inc. | Inj magnesium sulfate | 500 MG | 20 | 1 | 20 | 20 |
0404-9903-10 | J3475 | Henry Schein Inc. | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
0404-9904-02 | J3475 | Henry Schein Inc. | Inj magnesium sulfate | 500 MG | 2 | 1 | 2 | 2 |
0409-1754-10 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 10 | 10 | 10 | 100 |
0409-2168-77 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 20 | 25 | 20 | 500 |
0409-3164-12 | J3475 | Pfizer Inc | Inj magnesium sulfate | 500 MG | 1000 | 12 | 80 | 960 |
25021-612-81 | J3475 | Sagent Pharmaceuticals | Inj magnesium sulfate | 500 MG | 50 | 10 | 4 | 40 |
25021-612-82 | J3475 | Sagent Pharmaceuticals | Inj magnesium sulfate | 500 MG | 100 | 10 | 8 | 80 |
44567-410-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
44567-420-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
44567-421-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
44567-424-24 | J3475 | WG Critical Care, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
47335-992-01 | J3475 | Sun Pharmaceutical Global FZE. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
47335-992-02 | J3475 | Sun Pharmaceutical Global FZE. | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
51662-1235-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
51662-1235-3 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 10 | 10 | 10 | 100 |
51662-1352-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 50 | 1 | 4 | 4 |
51662-1352-3 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
51662-1390-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 2 | 1 | 2 | 2 |
51662-1390-3 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
51662-1451-1 | J3475 | HF Acquisition Co. LLC, DBA HealthFirst | Inj magnesium sulfate | 500 MG | 10 | 1 | 10 | 10 |
51754-1000-4 | J3475 | Exela Pharma Sciences, LLC | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
63323-064-03 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-064-03 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-064-11 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
63323-064-11 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 10 | 25 | 10 | 250 |
63323-064-23 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-064-23 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-064-43 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-064-43 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 2 | 25 | 2 | 50 |
63323-106-01 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
63323-106-05 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
63323-106-10 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 1000 | 12 | 80 | 960 |
63323-106-15 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 500 | 24 | 40 | 960 |
63323-106-26 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
63323-107-05 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
63323-108-26 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
63323-642-20 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 20 | 25 | 20 | 500 |
63323-642-50 | J3475 | FreseniUS Kabi USA, LLC | Inj magnesium sulfate | 500 MG | 50 | 25 | 50 | 1250 |
67457-553-00 | J3475 | Mylan Institutional LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
67457-554-00 | J3475 | Mylan Institutional LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
67457-567-00 | J3475 | Mylan Institutional LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 2 | 48 |
70121-1719-2 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 50 | 15 | 4 | 60 |
70121-1719-9 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
70121-1720-3 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 100 | 12 | 8 | 96 |
70121-1720-9 | J3475 | Amneal Pharmaceuticals, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
70860-501-81 | J3475 | Athenex Pharmaceutical Division, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
70860-501-82 | J3475 | Athenex Pharmaceutical Division, LLC | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
70860-502-81 | J3475 | Athenex Pharmaceutical Division, LLC | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
83634-500-81 | J3475 | Avenacy Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 4 | 96 |
83634-500-82 | J3475 | Avenacy Inc. | Inj magnesium sulfate | 500 MG | 100 | 24 | 8 | 192 |
83634-501-81 | J3475 | Avenacy Inc. | Inj magnesium sulfate | 500 MG | 50 | 24 | 8 | 192 |
0264-1944-20 | J3480 | B. Braun Medical Inc. | Inj potassium chloride | 2 MEQ | 250 | 24 | 250 | 6000 |
0264-1944-20 | J3480 | B. Braun Medical Inc. | Inj potassium chloride | 2 MEQ | 250 | 24 | 250 | 6000 |
0264-7865-00 | J3480 | B. Braun Medical Inc. | Inj potassium chloride | 2 MEQ | 1000 | 12 | 10 | 120 |
0338-0683-04 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 10 |
0338-0691-04 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 140 |
0338-0695-04 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 20 | 280 |
0338-0703-41 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
0338-0703-48 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 100 | 24 | 20 | 480 |
0338-0704-34 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 1000 | 1 | 10 | 140 |
0338-0705-41 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
0338-0705-48 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
0338-0709-48 | J3480 | Baxter Healthcare Corporation | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
0404-9936-10 | J3480 | Henry Schein Inc. | Inj potassium chloride | 2 MEQ | 5 | 1 | 5 | 5 |
0404-9936-20 | J3480 | Henry Schein Inc. | Inj potassium chloride | 2 MEQ | 20 | 1 | 20 | 20 |
0404-9937-10 | J3480 | Henry Schein Inc. | Inj potassium chloride | 2 MEQ | 10 | 1 | 10 | 10 |
0409-6635-01 | J3480 | Pfizer Inc | Inj potassium chloride | 2 MEQ | 5 | 25 | 5 | 125 |
0409-6651-06 | J3480 | Pfizer Inc | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
0409-6653-05 | J3480 | Pfizer Inc | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
0990-7074-26 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
0990-7075-14 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
0990-7075-26 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
0990-7077-14 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
0990-7077-26 | J3480 | ICu Medical Inc. | Inj potassium chloride | 2 MEQ | 100 | 24 | 20 | 480 |
14789-107-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 50 | 24 | 10 | 240 |
14789-108-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 50 | 24 | 5 | 120 |
14789-108-10 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 100 | 24 | 10 | 240 |
14789-109-10 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 100 | 24 | 5 | 120 |
14789-136-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
14789-137-05 | J3480 | Nexus Pharmaceuticals, LLC | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
51662-1387-1 | J3480 | HF Acquisition Co. LLC, DBA HealthFirst | Inj potassium chloride | 2 MEQ | 10 | 1 | 10 | 10 |
63323-667-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 5 | 50 |
63323-669-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
63323-683-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
63323-686-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 10 | 100 |
63323-688-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 1000 | 10 | 20 | 200 |
63323-965-05 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 5 | 25 | 5 | 125 |
63323-965-10 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 10 | 25 | 10 | 250 |
63323-965-20 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 20 | 25 | 20 | 500 |
63323-967-30 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 30 | 25 | 30 | 750 |
65219-004-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 50 | 60 | 5 | 300 |
65219-006-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 100 | 50 | 10 | 500 |
65219-008-51 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 50 | 60 | 10 | 600 |
65219-010-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 100 | 50 | 20 | 1000 |
65219-012-01 | J3480 | FreseniUS Kabi USA, LLC | Inj potassium chloride | 2 MEQ | 100 | 50 | 5 | 250 |
49702-213-26 | J3485 | ViiV Healthcare Company | Zidovudine | 10 MG | 20 | 5 | 20 | 100 |
0049-3920-10 | J3486 | Upjohn US 1 LLC | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
0049-3920-83 | J3486 | Upjohn US 1 LLC | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
43598-061-58 | J3486 | Dr. Reddy's Laboratories Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
43598-848-58 | J3486 | Dr. Reddy's Laboratories Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
50090-4540-0 | J3486 | A-S Medication Solutions | Ziprasidone mesylate | 10 MG | 1 | 1 | 2 | 2 |
51662-1564-3 | J3486 | HF Acquisition Co. LLC, DBA HealthFirst | Ziprasidone mesylate | 10 MG | 1 | 10 | 10 | 100 |
72205-205-07 | J3486 | Novadoz Pharmaceuticals LLC | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
72266-160-10 | J3486 | Fosun Pharma USA Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
72266-160-42 | J3486 | Fosun Pharma USA Inc. | Ziprasidone mesylate | 10 MG | 1 | 10 | 2 | 20 |
0078-0435-61 | J3489 | Sandoz Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
16714-815-01 | J3489 | Northstar RxLLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
16729-242-31 | J3489 | Accord Healthcare Inc | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
23155-170-31 | J3489 | Heritage Pharmaceuticals Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
25021-801-66 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
25021-826-67 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
25021-826-67 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
25021-826-82 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
25021-826-82 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
25021-830-82 | J3489 | Sagent Pharmaceuticals | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
43598-233-11 | J3489 | Dr. Reddy's Laboratories Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
55111-685-07 | J3489 | Dr. Reddy's Laboratories Inc. | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
55111-688-52 | J3489 | Dr. Reddy's Laboratories Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
63323-961-98 | J3489 | FreseniUS Kabi USA, LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
63323-966-00 | J3489 | FreseniUS Kabi USA, LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
66758-155-46 | J3489 | Sandoz Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
67457-390-54 | J3489 | Mylan Institutional LLC | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
67457-619-10 | J3489 | Mylan Institutional LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
67457-794-10 | J3489 | Mylan Institutional LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
68001-437-25 | J3489 | BluePoint Laboratories | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
68001-610-25 | J3489 | BluePoint Laboratories | Zoledronic acid 1mg | 1 MG | 5 | 1 | 4 | 4 |
68001-611-33 | J3489 | BluePoint Laboratories | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
70860-210-51 | J3489 | Athenex Pharmaceutical Division, LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 4 | 4 |
70860-802-82 | J3489 | Athenex Pharmaceutical Division, LLC | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
71288-806-51 | J3489 | Meitheal Pharmaceuticals Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
72266-152-01 | J3489 | Fosun Pharma USA Inc. | Zoledronic acid 1mg | 1 MG | 100 | 1 | 5 | 5 |
0264-5802-00 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-5802-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7800-00 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7800-00 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7800-09 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7800-09 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7800-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7800-10 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7800-20 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
0264-7800-20 | J7030 | B. Braun Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
0338-0049-02 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 1 |
0338-0049-03 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 1 |
0338-0049-04 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
0338-9543-02 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 1 |
0338-9543-03 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 1 |
0338-9543-04 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
0338-9543-05 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
0338-9543-06 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
0338-9791-40 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 40 | 0.25 | 10 |
0338-9793-12 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0338-9804-40 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 250 | 40 | 0.25 | 10 |
0338-9806-12 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0338-9808-24 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0338-9810-24 | J7030 | Baxter Healthcare Corporation | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0409-7101-02 | J7030 | Pfizer Inc | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
0487-4301-25 | J7030 | Nephron SC, Inc. | Normal saline solution infus | 1000 CC | 250 | 35 | 0.25 | 9 |
0487-4301-50 | J7030 | Nephron SC, Inc. | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
0990-7983-02 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7983-02 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7983-03 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7983-03 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7983-09 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0990-7983-09 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 1000 | 12 | 1 | 12 |
0990-7983-55 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
0990-7983-55 | J7030 | ICu Medical Inc. | Normal saline solution infus | 1000 CC | 500 | 18 | 0.5 | 9 |
51662-1517-1 | J7030 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 1000 CC | 250 | 1 | 0.25 | 1 |
51662-1518-1 | J7030 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 1000 CC | 1000 | 1 | 1 | 1 |
51662-1522-1 | J7030 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 1000 CC | 500 | 1 | 0.5 | 1 |
63323-623-74 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 8 |
63323-623-74 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 8 |
63323-623-75 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
63323-623-75 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
63323-623-76 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
63323-623-76 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
65219-222-25 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1 | 30 | 0.25 | 8 |
65219-224-50 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1 | 20 | 0.5 | 10 |
65219-282-10 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
65219-470-30 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 250 | 30 | 0.25 | 8 |
65219-472-20 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 500 | 20 | 0.5 | 10 |
65219-474-10 | J7030 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 1000 CC | 1000 | 10 | 1 | 10 |
0264-5802-00 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-5802-10 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0264-7800-00 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-7800-00 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-7800-09 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-7800-09 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0264-7800-10 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0264-7800-10 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0264-7800-20 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0264-7800-20 | J7040 | B. Braun Medical Inc. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0338-0049-02 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 1 |
0338-0049-03 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
0338-0049-04 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
0338-9543-02 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 1 |
0338-9543-03 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
0338-9543-04 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
0338-9543-05 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
0338-9543-06 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
0338-9791-40 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 40 | 0.5 | 20 |
0338-9793-12 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0338-9804-40 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 250 | 40 | 0.5 | 20 |
0338-9806-12 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0338-9808-24 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0338-9810-24 | J7040 | Baxter Healthcare Corporation | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0409-7101-02 | J7040 | Pfizer Inc | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0487-4301-25 | J7040 | Nephron SC, Inc. | Normal saline solution infus | 500 ML | 250 | 35 | 0.5 | 18 |
0487-4301-50 | J7040 | Nephron SC, Inc. | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
0990-7983-02 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7983-02 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7983-03 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0990-7983-03 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 24 | 1 | 24 |
0990-7983-09 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0990-7983-09 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 1000 | 12 | 2 | 24 |
0990-7983-55 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
0990-7983-55 | J7040 | ICu Medical Inc. | Normal saline solution infus | 500 ML | 500 | 18 | 1 | 18 |
51662-1517-1 | J7040 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 500 ML | 250 | 1 | 0.5 | 1 |
51662-1518-1 | J7040 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 500 ML | 1000 | 1 | 2 | 2 |
51662-1522-1 | J7040 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 500 ML | 500 | 1 | 1 | 1 |
63323-623-74 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
63323-623-74 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
63323-623-75 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
63323-623-75 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
63323-623-76 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
63323-623-76 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
65219-222-25 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1 | 30 | 0.5 | 15 |
65219-224-50 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1 | 20 | 1 | 20 |
65219-282-10 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
65219-470-30 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 250 | 30 | 0.5 | 15 |
65219-472-20 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 500 | 20 | 1 | 20 |
65219-474-10 | J7040 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 500 ML | 1000 | 10 | 2 | 20 |
0264-7610-00 | J7042 | B. Braun Medical Inc. | 5% dextrose/normal saline | 500 ML | 1000 | 12 | 2 | 24 |
0264-7610-10 | J7042 | B. Braun Medical Inc. | 5% dextrose/normal saline | 500 ML | 500 | 24 | 1 | 24 |
0990-7941-03 | J7042 | ICu Medical Inc. | 5% dextrose/normal saline | 500 ML | 500 | 24 | 1 | 24 |
0990-7941-09 | J7042 | ICu Medical Inc. | 5% dextrose/normal saline | 500 ML | 1000 | 12 | 2 | 24 |
63323-870-10 | J7042 | FreseniUS Kabi USA, LLC | 5% dextrose/normal saline | 500 ML | 500 | 20 | 1 | 20 |
63323-870-74 | J7042 | FreseniUS Kabi USA, LLC | 5% dextrose/normal saline | 500 ML | 1000 | 10 | 2 | 20 |
0264-5802-00 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-5802-10 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0264-7800-00 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-7800-00 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-7800-09 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-7800-09 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0264-7800-10 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0264-7800-10 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0264-7800-20 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0264-7800-20 | J7050 | B. Braun Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0338-0049-02 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 1 | 1 | 1 |
0338-0049-03 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 1 | 2 | 2 |
0338-0049-04 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 1 | 4 | 4 |
0338-9543-02 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 1 | 1 | 1 |
0338-9543-03 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 1 | 2 | 2 |
0338-9543-04 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
0338-9543-05 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 1 | 4 | 4 |
0338-9543-06 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
0338-9791-40 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 40 | 1 | 40 |
0338-9793-12 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0338-9804-40 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 250 | 40 | 1 | 40 |
0338-9806-12 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0338-9808-24 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0338-9810-24 | J7050 | Baxter Healthcare Corporation | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 24 |
0409-7101-02 | J7050 | Pfizer Inc | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0487-4301-25 | J7050 | Nephron SC, Inc. | Normal saline solution infus | 250 CC | 250 | 35 | 1 | 35 |
0487-4301-50 | J7050 | Nephron SC, Inc. | Normal saline solution infus | 250 CC | 500 | 18 | 2 | 36 |
0990-7983-02 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0990-7983-02 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 250 | 24 | 1 | 24 |
0990-7983-03 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0990-7983-03 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 24 | 2 | 48 |
0990-7983-09 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0990-7983-09 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 1000 | 12 | 4 | 48 |
0990-7983-55 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 18 | 2 | 36 |
0990-7983-55 | J7050 | ICu Medical Inc. | Normal saline solution infus | 250 CC | 500 | 18 | 2 | 36 |
51662-1517-1 | J7050 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 250 ML | 250 | 1 | 1 | 1 |
51662-1518-1 | J7050 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 250 ML | 1000 | 1 | 4 | 4 |
51662-1522-1 | J7050 | HF Acquisition Co. LLC, DBA HealthFirst | Normal saline solution infus | 250 ML | 500 | 1 | 2 | 2 |
63323-623-74 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
63323-623-74 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
63323-623-75 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
63323-623-75 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
63323-623-76 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
63323-623-76 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
65219-222-25 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1 | 30 | 1 | 30 |
65219-224-50 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1 | 20 | 2 | 40 |
65219-282-10 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
65219-470-30 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 250 | 30 | 1 | 30 |
65219-472-20 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 500 | 20 | 2 | 40 |
65219-474-10 | J7050 | FreseniUS Kabi USA, LLC | Normal saline solution infus | 250 CC | 1000 | 10 | 4 | 40 |
0264-7510-00 | J7060 | B. Braun Medical Inc. | 5% dextrose/water | 500 ML | 1000 | 12 | 2 | 24 |
0264-7510-10 | J7060 | B. Braun Medical Inc. | 5% dextrose/water | 500 ML | 500 | 24 | 1 | 24 |
0264-7510-20 | J7060 | B. Braun Medical Inc. | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0338-0017-02 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 250 | 1 | 0.5 | 1 |
0338-0017-03 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 500 | 1 | 1 | 1 |
0338-0017-04 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 1000 | 1 | 2 | 2 |
0338-0062-30 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
0338-0066-20 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
0338-0070-10 | J7060 | Baxter Healthcare Corporation | 5% dextrose/water | 500 ML | 1000 | 10 | 2 | 20 |
0409-7100-02 | J7060 | Pfizer Inc | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7922-02 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7922-02 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 250 | 24 | 0.5 | 12 |
0990-7922-03 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 24 | 1 | 24 |
0990-7922-03 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 24 | 1 | 24 |
0990-7922-09 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 1000 | 12 | 2 | 24 |
0990-7922-09 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 1000 | 12 | 2 | 24 |
0990-7922-55 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 15 | 1 | 15 |
0990-7922-55 | J7060 | ICu Medical Inc. | 5% dextrose/water | 500 ML | 500 | 15 | 1 | 15 |
51662-1493-1 | J7060 | HF Acquisition Co. LLC, DBA HealthFirst | 5% dextrose/water | 500 ML | 250 | 1 | 0.5 | 1 |
63323-624-10 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 1000 | 10 | 2 | 20 |
63323-624-74 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
63323-624-75 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
65219-238-25 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
65219-240-50 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
65219-458-30 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 250 | 30 | 0.5 | 15 |
65219-460-20 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 20 | 1 | 20 |
65219-462-10 | J7060 | FreseniUS Kabi USA, LLC | 5% dextrose/water | 500 ML | 500 | 10 | 2 | 20 |
0264-7510-00 | J7070 | B. Braun Medical Inc. | D5w infusion | 1000 CC | 1000 | 12 | 1 | 12 |
0264-7510-10 | J7070 | B. Braun Medical Inc. | D5w infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7510-20 | J7070 | B. Braun Medical Inc. | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0338-0017-02 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 250 | 1 | 0.25 | 1 |
0338-0017-03 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 500 | 1 | 0.5 | 1 |
0338-0017-04 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 1000 | 1 | 1 | 1 |
0338-0062-30 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
0338-0066-20 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
0338-0070-10 | J7070 | Baxter Healthcare Corporation | D5w infusion | 1000 CC | 1000 | 10 | 1 | 10 |
0409-7100-02 | J7070 | Pfizer Inc | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7922-02 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7922-02 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7922-03 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7922-03 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7922-09 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 1000 | 12 | 1 | 12 |
0990-7922-09 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 1000 | 12 | 1 | 12 |
0990-7922-55 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 15 | 0.5 | 8 |
0990-7922-55 | J7070 | ICu Medical Inc. | D5w infusion | 1000 CC | 500 | 15 | 0.5 | 8 |
51662-1493-1 | J7070 | HF Acquisition Co. LLC, DBA HealthFirst | D5w infusion | 1000 CC | 250 | 1 | 0.25 | 1 |
63323-624-10 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 1000 | 10 | 1 | 10 |
63323-624-74 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
63323-624-75 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
65219-238-25 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
65219-240-50 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
65219-458-30 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 250 | 30 | 0.25 | 8 |
65219-460-20 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 500 | 20 | 0.5 | 10 |
65219-462-10 | J7070 | FreseniUS Kabi USA, LLC | D5w infusion | 1000 CC | 1000 | 10 | 1 | 10 |
0264-7389-60 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 3000 | 4 | 3 | 12 |
0264-7750-00 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 1000 | 12 | 1 | 12 |
0264-7750-07 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 1000 | 12 | 1 | 12 |
0264-7750-10 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 500 | 24 | 0.5 | 12 |
0264-7750-20 | J7120 | B. Braun Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 250 | 24 | 0.25 | 6 |
0338-0117-02 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | UP TO 1000 CC | 250 | 1 | 0.25 | 1 |
0338-0117-03 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | UP TO 1000 CC | 500 | 1 | 0.5 | 1 |
0338-0117-04 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | UP TO 1000 CC | 1000 | 1 | 1 | 1 |
0338-9600-12 | J7120 | Baxter Healthcare Corporation | Ringers lactate infusion | 1000 CC | 1000 | 12 | 1 | 12 |
0990-7953-02 | J7120 | ICu Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 250 | 24 | 0.25 | 6 |
0990-7953-03 | J7120 | ICu Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 500 | 24 | 0.5 | 12 |
0990-7953-09 | J7120 | ICu Medical Inc. | Ringers lactate infusion | UP TO 1000 CC | 1000 | 12 | 1 | 12 |
51662-1516-1 | J7120 | HF Acquisition Co. LLC, DBA HealthFirst | Ringers lactate infusion | UP TO 1000 CC | 1000 | 1 | 1 | 1 |
63323-164-74 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 250 | 30 | 0.25 | 8 |
63323-164-75 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 500 | 20 | 0.5 | 10 |
63323-164-76 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 1000 | 10 | 1 | 10 |
65219-475-30 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 250 | 30 | 1 | 30 |
65219-477-20 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 500 | 20 | 1 | 20 |
65219-479-10 | J7120 | FreseniUS Kabi USA, LLC | Ringers lactate infusion | UP TO 1000 CC | 1000 | 10 | 1 | 10 |
50242-920-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 1 | 1 | 60 | 60 |
50242-921-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 0.4 | 1 | 120 | 120 |
50242-922-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 0.7 | 1 | 210 | 210 |
50242-923-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 1 | 1 | 300 | 300 |
50242-927-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 0.4 | 1 | 24 | 24 |
50242-930-01 | J7170 | Genentech, Inc. | Inj., emicizumab-kxwh 0.5 mg | 0.5 MG | 2 | 1 | 600 | 600 |
64764-140-05 | J7171 | Takeda Pharmaceuticals America, Inc. | Inj, adzynma, 10 iu | 10 UNITS | 1 | 1 | 1 | 1 |
64764-145-05 | J7171 | Takeda Pharmaceuticals America, Inc. | Inj, adzynma, 10 iu | 10 UNITS | 1 | 1 | 1 | 1 |
0069-2151-01 | J7172 | Pfizer Inc. | Inj marstacim-hncq, 0.5 mg | 0.5 MG | 1 | 1 | 300 | 300 |
64208-7752-1 | J7175 | Bio Products Laboratory | Inj, factor x, (human), 1iu | 1 IU | 1 | 1 | 1 | 1 |
64208-7753-1 | J7175 | Bio Products Laboratory | Inj, factor x, (human), 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-347-01 | J7177 | Octapharma USA Inc. | Inj., fibryga, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
63833-891-51 | J7178 | CSL Behring L.L.C. | Inj human fibrinogen con nos | 1 MG | 1 | 1 | 1 | 1 |
0944-7551-02 | J7179 | Takeda Pharmaceuticals America, Inc. | Vonvendi inj 1 iu vwf:rco | 1 IU | 1 | 1 | 1 | 1 |
0944-7553-02 | J7179 | Takeda Pharmaceuticals America, Inc. | Vonvendi inj 1 iu vwf:rco | 1 IU | 1 | 1 | 1 | 1 |
63833-518-02 | J7180 | CSL Behring L.L.C. | Factor xiii anti-hem factor | 1 IU | 1 | 1 | 1 | 1 |
0169-7013-01 | J7181 | Novo Nordisk, Inc. | Factor xiii recomb a-subunit | 1 IU | 1 | 1 | 1 | 1 |
0169-7810-01 | J7182 | Novo Nordisk, Inc. | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7815-01 | J7182 | Novo Nordisk, Inc. | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7820-01 | J7182 | Novo Nordisk, Inc. | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7825-01 | J7182 | Novo Nordisk, Inc. | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7830-01 | J7182 | Novo Nordisk, Inc. | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
0169-7850-01 | J7182 | Novo Nordisk, Inc. | Factor viii recomb novoeight | 1 IU | 1 | 1 | 1 | 1 |
68982-182-01 | J7183 | Octapharma USA Inc. | Wilate injection | 1 I.U. VWF:RCO | 1 | 1 | 1 | 1 |
68982-182-02 | J7183 | Octapharma USA Inc. | Wilate injection | 1 I.U. VWF:RCO | 1 | 1 | 1 | 1 |
58394-012-01 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-013-01 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-014-01 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-015-01 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-016-03 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-022-03 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-023-03 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-024-03 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
58394-025-03 | J7185 | Pfizer Inc | Xyntha inj | 1 IU | 1 | 1 | 1 | 1 |
68516-4616-1 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4617-1 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4618-2 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4619-2 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
68516-4620-2 | J7186 | Grifols USA, LLC | Antihemophilic viii/vwf comp | PER FACTOR VIII IU | 1 | 1 | 1 | 1 |
63833-615-02 | J7187 | CSL Behring L.L.C. | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
63833-616-02 | J7187 | CSL Behring L.L.C. | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
63833-617-02 | J7187 | CSL Behring L.L.C. | Humate-p, inj | 1 IU | 1 | 1 | 1 | 1 |
0944-5001-01 | J7188 | Takeda Pharmaceuticals America, Inc. | Factor viii recomb obizur | 1 IU | 1 | 1 | 1 | 1 |
0169-7201-01 | J7189 | Novo Nordisk, Inc. | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 1000 | 1000 |
0169-7202-01 | J7189 | Novo Nordisk, Inc. | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 2000 | 2000 |
0169-7205-01 | J7189 | Novo Nordisk, Inc. | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 5000 | 5000 |
0169-7208-01 | J7189 | Novo Nordisk, Inc. | Factor viia recomb novoseven | 1 MCG | 1 | 1 | 8000 | 8000 |
0944-3940-02 | J7190 | Takeda Pharmaceuticals America, Inc. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0944-3942-02 | J7190 | Takeda Pharmaceuticals America, Inc. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0944-3944-02 | J7190 | Takeda Pharmaceuticals America, Inc. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0944-3946-02 | J7190 | Takeda Pharmaceuticals America, Inc. | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-257-25 | J7190 | Kedrion Biopharma Inc | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-663-50 | J7190 | Kedrion Biopharma Inc | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-676-50 | J7190 | Kedrion Biopharma Inc | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
76125-679-12 | J7190 | Kedrion Biopharma Inc | Factor viii | 1 IU | 1 | 1 | 1 | 1 |
0026-3782-25 | J7192 | Bayer HealthCare Pharmaceuticals Inc. | Factor viii recombinant nos | 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 |
0026-3783-35 | 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 |
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 |
68516-3610-2 | J7193 | Grifols USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3611-2 | J7193 | Grifols USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3612-2 | J7193 | Grifols USA, LLC | Factor ix non-recombinant | 1 IU | 1 | 1 | 1 | 1 |
68516-3210-1 | J7194 | Grifols USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
68516-3211-2 | J7194 | Grifols USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
68516-3212-2 | J7194 | Grifols USA, LLC | Factor ix complex | 1 IU | 1 | 1 | 1 | 1 |
58394-633-03 | J7195 | Pfizer Inc | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-634-03 | J7195 | Pfizer Inc | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-635-03 | J7195 | Pfizer Inc | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-636-03 | J7195 | Pfizer Inc | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
58394-637-03 | J7195 | Pfizer Inc | Factor ix recombinant nos | 1 IU | 1 | 1 | 1 | 1 |
13533-602-50 | J7197 | Grifols USA, LLC | Antithrombin iii injection | 1 IU | 1 | 1 | 1 | 1 |
13533-606-12 | J7197 | Grifols USA, LLC | Antithrombin iii injection | 1 IU | 1 | 1 | 1 | 1 |
64193-424-02 | J7198 | Takeda Pharmaceuticals America, Inc. | Anti-inhibitor | 1 IU | 1 | 1 | 1 | 1 |
64193-425-02 | J7198 | Takeda Pharmaceuticals America, Inc. | Anti-inhibitor | 1 IU | 1 | 1 | 1 | 1 |
64193-426-02 | J7198 | Takeda Pharmaceuticals America, Inc. | Anti-inhibitor | 1 IU | 1 | 1 | 1 | 1 |
0944-3026-02 | J7200 | Takeda Pharmaceuticals America, Inc. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3028-02 | J7200 | Takeda Pharmaceuticals America, Inc. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3030-02 | J7200 | Takeda Pharmaceuticals America, Inc. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3032-02 | J7200 | Takeda Pharmaceuticals America, Inc. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
0944-3034-02 | J7200 | Takeda Pharmaceuticals America, Inc. | Factor ix recombinan rixubis | 1 IU | 1 | 1 | 1 | 1 |
71104-911-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-922-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-933-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-944-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-966-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-977-01 | J7201 | Bioverativ Therapeutics Inc. | Factor ix alprolix recomb | 1 IU | 1 | 1 | 1 | 1 |
69911-864-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-865-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-866-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-867-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
69911-869-02 | J7202 | CSL Behring L.L.C. | Factor ix idelvion inj | 1 IU | 1 | 1 | 1 | 1 |
0169-7901-01 | J7203 | Novo Nordisk, Inc. | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-7902-01 | J7203 | Novo Nordisk, Inc. | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-7903-01 | J7203 | Novo Nordisk, Inc. | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-7905-01 | J7203 | Novo Nordisk, Inc. | Factor ix recomb gly rebinyn | 1 IU | 1 | 1 | 1 | 1 |
0169-8100-01 | J7204 | Novo Nordisk, Inc. | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8150-01 | J7204 | Novo Nordisk, Inc. | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8200-01 | J7204 | Novo Nordisk, Inc. | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8300-01 | J7204 | Novo Nordisk, Inc. | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8400-01 | J7204 | Novo Nordisk, Inc. | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
0169-8500-01 | J7204 | Novo Nordisk, Inc. | Inj recombin esperoct per iu | 1 IU | 1 | 1 | 1 | 1 |
71104-801-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-802-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-803-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-804-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-805-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-806-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-807-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-808-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-809-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
71104-810-01 | J7205 | Bioverativ Therapeutics Inc. | Factor viii fc fusion recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4622-01 | J7207 | Takeda Pharmaceuticals America, Inc. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4623-01 | J7207 | Takeda Pharmaceuticals America, Inc. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4624-01 | J7207 | Takeda Pharmaceuticals America, Inc. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4625-01 | J7207 | Takeda Pharmaceuticals America, Inc. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4626-01 | J7207 | Takeda Pharmaceuticals America, Inc. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4627-01 | J7207 | Takeda Pharmaceuticals America, Inc. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0944-4628-01 | J7207 | Takeda Pharmaceuticals America, Inc. | Factor viii pegylated recomb | 1 IU | 1 | 1 | 1 | 1 |
0026-3942-25 | J7208 | Bayer HealthCare Pharmaceuticals Inc. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
0026-3944-25 | J7208 | Bayer HealthCare Pharmaceuticals Inc. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
0026-3946-25 | J7208 | Bayer HealthCare Pharmaceuticals Inc. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
0026-3948-25 | J7208 | Bayer HealthCare Pharmaceuticals Inc. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
0026-3950-50 | J7208 | Bayer HealthCare Pharmaceuticals Inc. | Inj. jivi 1 iu | 1 IU | 1 | 1 | 1 | 1 |
68982-139-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-141-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-143-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-145-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-147-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-149-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-151-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
68982-153-01 | J7209 | Octapharma USA Inc. | Factor viii nuwiq recomb 1iu | 1 IU | 1 | 1 | 1 | 1 |
69911-474-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-475-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-476-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-477-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-478-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-480-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
69911-481-02 | J7210 | CSL Behring L.L.C. | Inj, afstyla, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3821-25 | J7211 | Bayer HealthCare Pharmaceuticals Inc. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3822-25 | J7211 | Bayer HealthCare Pharmaceuticals Inc. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3824-25 | J7211 | Bayer HealthCare Pharmaceuticals Inc. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3826-50 | J7211 | Bayer HealthCare Pharmaceuticals Inc. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
0026-3828-50 | J7211 | Bayer HealthCare Pharmaceuticals Inc. | Inj, kovaltry, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
71127-1000-1 | J7212 | Hema Biologics | Factor viia recomb sevenfact | 1 MCG | 1 | 1 | 1000 | 1000 |
71127-2000-1 | J7212 | Hema Biologics | Factor viia recomb sevenfact | 1 MCG | 1 | 1 | 2000 | 2000 |
71127-5000-1 | J7212 | Hema Biologics | Factor viia recomb sevenfact | 1 MCG | 1 | 1 | 5000 | 5000 |
59137-282-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
59137-283-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
59137-284-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
59137-289-05 | J7213 | Medexus Pharma, Inc. | Inj, ixinity, 1 i.u. | 1 IU | 1 | 1 | 1 | 1 |
71104-978-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-979-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-981-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-982-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-983-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
71104-984-01 | J7214 | Bioverativ Therapeutics Inc. | Altuviiio per factor viii iu | 1 IU | 1 | 1 | 1 | 1 |
67308-101-06 | J7308 | DUSA Pharmaceuticals, Inc. | Aminolevulinic acid hcl top | 354 MG | 1 | 6 | 1 | 6 |
24208-416-01 | J7311 | Bausch & Lomb Americas Inc. | Inj., retisert, 0.01 mg | 0.01 MG | 1 | 1 | 1 | 59 |
0023-3348-07 | J7312 | Allergan, Inc. | Dexamethasone intra implant | 0.1 MG | 0.7 | 1 | 7 | 7 |
68611-190-02 | J7313 | Alimera Sciences, Inc. | Inj., iluvien, 0.01 mg | 0.01 MG | 1 | 1 | 19 | 19 |
68611-180-01 | J7314 | ANI Pharmaceuticals, Inc. | Inj., yutiq, 0.01 mg | 0.01 MG | 1 | 1 | 18 | 18 |
71879-136-01 | J7314 | Alimera Sciences, Inc. | Inj., yutiq, 0.01 mg | 0.01 MG | 1 | 1 | 18 | 18 |
72512-928-01 | J7336 | Averitas Pharma, Inc. | Capsaicin 8% patch | 1 SQ CM | 1 | 1 | 280 | 280 |
72512-929-01 | J7336 | Averitas Pharma, Inc. | Capsaicin 8% patch | 1 SQ CM | 1 | 2 | 280 | 560 |
72512-930-01 | J7336 | Averitas Pharma, Inc. | Capsaicin 8% patch | 1 SQ CM | 1 | 4 | 280 | 1120 |
0074-3012-07 | J7340 | AbbVie Inc. | Carbidopa levodopa ent 100ml | 5 MG/20 MG 100 ML | 100 | 7 | 1 | 7 |
70621-101-10 | J7345 | Biofrontera Inc. | Aminolevulinic acid, 10% gel | 10 MG | 2 | 1 | 200 | 200 |
70621-101-20 | J7345 | Biofrontera Inc. | Aminolevulinic acid, 10% gel | 10 MG | 2 | 10 | 200 | 2000 |
0023-9652-01 | J7351 | Allergan, Inc. | Inj bimatoprost itc imp1mcg | 1 MCG | 1 | 1 | 10 | 10 |
71349-070-06 | J7354 | Verrica Pharmaceuticals, Inc. | Cantharidin top, applicator | Per 3.2 MG single-use applicator | 0.45 | 6 | 1 | 6 |
71349-070-11 | J7354 | Verrica Pharmaceuticals, Inc. | Cantharidin top, applicator | Per 3.2 MG single-use applicator | 0.45 | 1 | 1 | 1 |
25357-100-01 | J7355 | Glaukos Corporation | Inj travoprost intra impl | 1 MCG | 1 | 1 | 75 | 75 |
10599-003-01 | J7402 | Intersect ENT, INC. | Mometasone sinus sinuva | 10 MCG | 1 | 1 | 135 | 135 |
65649-231-41 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 150 | 150 |
65649-241-41 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 200 | 200 |
68084-229-01 | J7500 | American Health Packaging | Azathioprine oral 50mg | 50 MG | 100 | 1 | 100 | 100 |
68462-502-01 | J7500 | Glenmark Pharmaceuticals Inc., USA | Azathioprine oral 50mg | 50 MG | 100 | 1 | 100 | 100 |
68682-231-01 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 150 | 150 |
68682-241-01 | J7500 | Bausch Health US, LLC | Azathioprine oral 50mg | 50 MG | 100 | 1 | 200 | 200 |
0074-3109-32 | J7502 | AbbVie Inc. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0074-7269-50 | J7502 | AbbVie Inc. | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
0078-0110-22 | J7502 | Novartis Pharmaceuticals Corporation | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
0078-0241-15 | J7502 | Novartis Pharmaceuticals Corporation | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0078-0248-15 | J7502 | Novartis Pharmaceuticals Corporation | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0078-0274-22 | J7502 | Novartis Pharmaceuticals Corporation | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
0093-9018-65 | J7502 | Teva Pharmaceuticals USA, Inc. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 7.5 | 8 |
0093-9019-65 | J7502 | Teva Pharmaceuticals USA, Inc. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 15 | 15 |
0093-9020-65 | J7502 | Teva Pharmaceuticals USA, Inc. | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
0172-7313-20 | J7502 | Ivax Pharmaceuticals, Inc. | Cyclosporine oral 100 mg | 100 MG | 50 | 1 | 50 | 50 |
60505-0134-0 | J7502 | Apotex Corp | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
60505-4632-3 | J7502 | Apotex Corp | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
68084-921-25 | J7502 | American Health Packaging | Cyclosporine oral 100 mg | 100 MG | 30 | 1 | 30 | 30 |
68992-3010-1 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 400 | 400 |
68992-3010-3 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 120 | 120 |
68992-3040-1 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 1600 | 1600 |
68992-3040-3 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 480 | 480 |
68992-3075-1 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 100 | 1 | 300 | 300 |
68992-3075-3 | J7503 | Veloxis Pharmaceuticals, Inc. | Tacrol envarsus ex rel oral | 0.25 MG | 30 | 1 | 90 | 90 |
0009-7224-02 | J7504 | Pfizer Inc | Lymphocyte immune globulin | 250 MG | 5 | 5 | 1 | 5 |
0378-2045-01 | J7507 | Mylan Pharmaceuticals Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
0378-2046-01 | J7507 | Mylan Pharmaceuticals Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0378-2047-01 | J7507 | Mylan Pharmaceuticals Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
0469-0607-73 | J7507 | Astellas Pharma US, Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 50 |
0469-0617-73 | J7507 | Astellas Pharma US, Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0469-0657-73 | J7507 | Astellas Pharma US, Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 5 | 100 | 500 |
0781-2102-01 | J7507 | Sandoz Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
0781-2103-01 | J7507 | Sandoz Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0781-2104-01 | J7507 | Sandoz Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
16714-098-01 | J7507 | Northstar RxLLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
16714-099-01 | J7507 | Northstar RxLLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
16714-100-01 | J7507 | Northstar RxLLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
16729-041-01 | J7507 | Accord Healthcare Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
16729-042-01 | J7507 | Accord Healthcare Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
16729-043-01 | J7507 | Accord Healthcare Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-5581-0 | J7507 | A-S Medication Solutions | Tacrolimus imme rel oral 1mg | 1 MG | 90 | 1 | 90 | 90 |
50090-5596-0 | J7507 | A-S Medication Solutions | Tacrolimus imme rel oral 1mg | 1 MG | 90 | 1 | 90 | 90 |
55111-525-01 | J7507 | Dr. Reddy's Laboratories Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
55111-526-01 | J7507 | Dr. Reddy's Laboratories Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
55111-527-01 | J7507 | Dr. Reddy's Laboratories Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
64380-720-06 | J7507 | Strides Pharma Science Limited | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
64380-721-06 | J7507 | Strides Pharma Science Limited | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
64380-722-06 | J7507 | Strides Pharma Science Limited | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
67877-278-01 | J7507 | Ascend Laboratories, LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
67877-279-01 | J7507 | Ascend Laboratories, LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
67877-280-01 | J7507 | Ascend Laboratories, LLC | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
68084-449-01 | J7507 | American Health Packaging | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
68084-450-01 | J7507 | American Health Packaging | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
68084-451-01 | J7507 | American Health Packaging | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
68462-685-01 | J7507 | Glenmark Pharmaceuticals Inc., USA | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
68462-686-01 | J7507 | Glenmark Pharmaceuticals Inc., USA | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
68462-687-01 | J7507 | Glenmark Pharmaceuticals Inc., USA | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
70377-014-11 | J7507 | Biocon Pharma Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
70377-015-11 | J7507 | Biocon Pharma Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
70377-016-11 | J7507 | Biocon Pharma Inc | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
72572-760-01 | J7507 | Civica, Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 50 | 50 |
72572-761-01 | J7507 | Civica, Inc. | Tacrolimus imme rel oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
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 |
50090-0092-0 | J7509 | A-S Medication Solutions | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
50090-3094-0 | J7509 | A-S Medication Solutions | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
50090-3811-0 | J7509 | A-S Medication Solutions | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
59762-0049-1 | J7509 | Viatris - Greenstone LLC | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
59762-0050-1 | J7509 | Viatris - Greenstone LLC | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
59762-0051-1 | J7509 | Viatris - Greenstone LLC | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
59762-4440-3 | J7509 | Viatris - Greenstone LLC | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
68001-005-01 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
68001-557-00 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
68001-558-55 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 25 | 1 | 50 | 50 |
68001-559-69 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 50 | 1 | 200 | 200 |
68001-560-55 | J7509 | BluePoint Laboratories | Methylprednisolone oral | 4 MG | 25 | 1 | 200 | 200 |
68084-149-01 | J7509 | American Health Packaging | Methylprednisolone oral | 4 MG | 100 | 1 | 100 | 100 |
68788-7833-2 | J7509 | Preferred Pharmaceuticals Inc | Methylprednisolone oral | 4 MG | 21 | 1 | 21 | 21 |
50090-0655-0 | J7510 | A-S Medication Solutions | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
50090-0655-1 | J7510 | A-S Medication Solutions | Prednisolone oral per 5 mg | 5 MG | 240 | 4 | 144 | 576 |
50090-1582-0 | J7510 | A-S Medication Solutions | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
50090-7115-0 | J7510 | A-S Medication Solutions | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
50090-7115-1 | J7510 | A-S Medication Solutions | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
68788-7708-2 | J7510 | Preferred Pharmaceuticals Inc | Prednisolone oral per 5 mg | 5 MG | 240 | 1 | 144 | 144 |
58468-0080-1 | J7511 | Genzyme Corporation | Antithymocyte globuln rabbit | 25 MG | 1 | 1 | 1 | 1 |
0054-3721-44 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
0054-3722-50 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 120 | 1 | 120 | 120 |
0054-3722-63 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 500 | 500 |
0054-4741-25 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
0054-4741-31 | 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 |
0054-8740-25 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 250 | 250 |
0054-9828-25 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
0054-9828-31 | J7512 | Hikma Pharmaceuticals USA Inc. | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 5000 | 5000 |
50090-0097-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-0097-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-0097-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-0097-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
50090-0097-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-0097-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
50090-0097-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
50090-0098-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-0098-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-0102-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
50090-0439-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-1001-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-1002-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 480 | 480 |
50090-1002-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 48 | 1 | 480 | 480 |
50090-1455-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 75 | 75 |
50090-1989-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-1989-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-1989-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-1989-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-1989-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-1990-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
50090-1990-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
50090-1990-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
50090-1990-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
50090-1990-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-1991-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-2136-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 75 | 75 |
50090-2402-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-2402-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-2402-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
50090-2402-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
50090-2403-6 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 450 | 450 |
50090-2532-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-2532-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-2532-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-2532-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
50090-2532-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-2532-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
50090-2532-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
50090-2608-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-2608-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-2786-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-2789-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-2789-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-2789-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-2789-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-2789-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-3137-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-3137-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-3137-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-3137-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-3137-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-3137-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-3137-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
50090-3137-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
50090-3137-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-3137-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-3137-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
50090-3137-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
50090-3137-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
50090-3137-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
50090-3330-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
50090-3330-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
50090-3330-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
50090-3330-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
50090-3330-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-3335-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-3336-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-3336-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-3336-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-3336-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-3336-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-3354-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-3354-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 250 | 250 |
50090-3354-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-3354-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
50090-3354-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
50090-3361-6 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 90 | 1 | 450 | 450 |
50090-4784-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-4784-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-4784-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-4784-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-4784-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-4785-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-5202-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-5202-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-5656-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-5656-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-5656-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
50090-5656-8 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 40 | 1 | 400 | 400 |
50090-5657-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
50090-5660-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
50090-5814-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-5814-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 250 | 250 |
50090-5814-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-5814-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 300 | 300 |
50090-6122-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
50090-6122-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-6122-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
50090-6122-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
50090-6122-9 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 18 | 1 | 360 | 360 |
50090-6123-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
50090-6123-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 12 | 1 | 240 | 240 |
50090-6123-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 6 | 1 | 120 | 120 |
50090-6123-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 14 | 1 | 280 | 280 |
50090-6123-7 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
50090-6225-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
50090-6259-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
50090-6376-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
50090-6619-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
50090-6619-3 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
50090-6619-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
50090-7218-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-7218-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-7218-2 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
50090-7219-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 60 | 1 | 600 | 600 |
50090-7235-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 75 | 75 |
50090-7369-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
50090-7369-1 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
50090-7369-4 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 50 | 1 | 500 | 500 |
50090-7369-5 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
50090-7441-0 | J7512 | A-S Medication Solutions | Prednisone ir or dr oral 1mg | 1 MG | 8 | 1 | 400 | 400 |
60687-122-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
60687-134-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
60687-145-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
60687-854-01 | J7512 | American Health Packaging | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 5000 | 5000 |
64380-782-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 100 | 100 |
64380-783-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 500 | 500 |
64380-783-08 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 5000 | 5000 |
64380-784-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 1000 | 1000 |
64380-784-07 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 5000 | 5000 |
64380-784-08 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 10000 | 10000 |
64380-785-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 2000 | 2000 |
64380-785-07 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 500 | 1 | 10000 | 10000 |
64380-785-08 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 1000 | 1 | 20000 | 20000 |
64380-835-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 250 | 250 |
64380-949-06 | J7512 | Strides Pharma Science Limited | Prednisone ir or dr oral 1mg | 1 MG | 100 | 1 | 5000 | 5000 |
68788-6440-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
68788-6440-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
68788-6440-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
68788-6440-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
68788-7372-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
68788-8166-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 100 | 100 |
68788-8166-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 210 | 210 |
68788-8166-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 300 | 300 |
68788-8166-6 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 150 | 150 |
68788-8166-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 200 | 200 |
68788-8184-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 75 | 75 |
68788-8212-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
68788-8212-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
68788-8212-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
68788-8212-5 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
68788-8212-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 420 | 420 |
68788-8579-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 150 | 150 |
68788-8579-8 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 21 | 1 | 105 | 105 |
68788-8663-1 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 10 | 1 | 200 | 200 |
68788-8663-2 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 20 | 1 | 400 | 400 |
68788-8663-3 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 30 | 1 | 600 | 600 |
68788-8663-5 | J7512 | Preferred Pharmaceuticals Inc | Prednisone ir or dr oral 1mg | 1 MG | 15 | 1 | 300 | 300 |
0074-3108-32 | J7515 | AbbVie Inc. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0078-0240-15 | J7515 | Novartis Pharmaceuticals Corporation | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0078-0246-15 | J7515 | Novartis Pharmaceuticals Corporation | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0093-9018-65 | J7515 | Teva Pharmaceuticals USA, Inc. | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
60505-0133-0 | J7515 | Apotex Corp | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
60505-4630-3 | J7515 | Apotex Corp | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
60505-4631-3 | J7515 | Apotex Corp | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 60 | 60 |
68084-879-25 | J7515 | American Health Packaging | Cyclosporine oral 25 mg | 25 MG | 30 | 1 | 30 | 30 |
0078-0109-01 | J7516 | Novartis Pharmaceuticals Corporation | Inj, cyclosporine 250mg | 250 MG | 5 | 10 | 1 | 10 |
0574-0866-10 | J7516 | Padagis US LLC | Inj, cyclosporine 250mg | 250 MG | 5 | 10 | 1 | 10 |
0004-0259-01 | J7517 | Genentech, Inc. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
0004-0259-43 | J7517 | Genentech, Inc. | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
0004-0260-01 | J7517 | Genentech, Inc. | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
0004-0260-43 | J7517 | Genentech, Inc. | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 1000 | 1000 |
0004-0261-29 | J7517 | Genentech, Inc. | Mycophenolate mofetil oral | 250 MG | 175 | 1 | 140 | 140 |
0093-7334-01 | J7517 | Teva Pharmaceuticals USA, Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
0093-7334-05 | J7517 | Teva Pharmaceuticals USA, Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
0378-2250-01 | J7517 | Mylan Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
0378-2250-05 | J7517 | Mylan Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
0378-4472-01 | J7517 | Mylan Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 200 | 200 |
0378-4472-05 | J7517 | Mylan Pharmaceuticals Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
0781-2067-01 | J7517 | Sandoz Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 100 | 100 |
0781-2067-05 | J7517 | Sandoz Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
0781-5175-01 | J7517 | Sandoz Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 100 | 200 | 200 |
0781-5175-05 | J7517 | Sandoz Inc. | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
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 Science Limited | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
64380-725-07 | J7517 | Strides Pharma Science Limited | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 1000 | 1000 |
64380-726-06 | J7517 | Strides Pharma Science Limited | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
64380-726-07 | J7517 | Strides Pharma Science Limited | Mycophenolate mofetil oral | 250 MG | 1 | 500 | 500 | 500 |
67877-225-01 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 200 | 200 |
67877-225-05 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 1000 | 1000 |
67877-266-01 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 100 | 1 | 100 | 100 |
67877-266-05 | J7517 | Ascend Laboratories, LLC | Mycophenolate mofetil oral | 250 MG | 500 | 1 | 500 | 500 |
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 | Mycophenolic acid | 180 MG | 180 | 1 | 360 | 360 |
50268-559-12 | J7518 | AvPAK | 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, LLC | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
67877-427-12 | J7518 | Ascend Laboratories, LLC | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
68084-907-21 | J7518 | American Health Packaging | Mycophenolic acid | 180 MG | 30 | 1 | 30 | 30 |
68084-918-25 | J7518 | American Health Packaging | Mycophenolic acid | 180 MG | 30 | 1 | 60 | 60 |
70377-039-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
70377-040-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
70377-126-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
70377-127-11 | J7518 | Biocon Pharma Inc | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
72819-155-08 | J7518 | Archis Pharma LLC | Mycophenolic acid | 180 MG | 120 | 1 | 120 | 120 |
72819-156-08 | J7518 | Archis Pharma LLC | Mycophenolic acid | 180 MG | 120 | 1 | 240 | 240 |
0004-0298-09 | J7519 | Genentech, Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
42023-172-04 | J7519 | Endo USA, Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
67457-386-81 | J7519 | Mylan Institutional LLC | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
71288-803-21 | J7519 | Meitheal Pharmaceuticals Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
71288-803-92 | J7519 | Meitheal Pharmaceuticals Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
72485-415-04 | J7519 | Armas Pharmaceuticals Inc. | Inj. mycophenolate mofetil | 10 MG | 1 | 4 | 50 | 200 |
0008-1030-06 | 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 RxLLC | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
16714-188-01 | J7520 | Northstar RxLLC | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
16714-189-01 | J7520 | Northstar RxLLC | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
50268-718-13 | J7520 | AvPAK | Sirolimus, oral | 1 MG | 30 | 1 | 30 | 30 |
55111-653-01 | J7520 | Dr. Reddy's Laboratories Inc. | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
55111-654-01 | J7520 | Dr. Reddy's Laboratories Inc. | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
59762-1001-1 | J7520 | 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 Corp | Sirolimus, oral | 1 MG | 60 | 1 | 60 | 60 |
67877-746-01 | J7520 | Ascend Laboratories, LLC | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
67877-747-01 | J7520 | Ascend Laboratories, LLC | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
67877-748-01 | J7520 | Ascend Laboratories, LLC | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
68084-915-25 | J7520 | American Health Packaging | Sirolimus, oral | 1 MG | 30 | 1 | 30 | 30 |
68462-682-01 | J7520 | Glenmark Pharmaceuticals Inc., USA | Sirolimus, oral | 1 MG | 100 | 1 | 50 | 50 |
68462-683-01 | J7520 | Glenmark Pharmaceuticals Inc., USA | Sirolimus, oral | 1 MG | 100 | 1 | 100 | 100 |
68462-684-01 | J7520 | Glenmark Pharmaceuticals Inc., USA | Sirolimus, oral | 1 MG | 100 | 1 | 200 | 200 |
0469-1230-50 | J7521 | Astellas Pharma US, Inc. | Tacrolim granules oral susp | 0.1 MG | 50 | 1 | 2 | 100 |
0469-1330-50 | J7521 | Astellas Pharma US, Inc. | Tacrolim granules oral susp | 0.1 MG | 50 | 1 | 10 | 500 |
0469-3016-01 | J7525 | Astellas Pharma US, Inc. | Tacrolimus injection | 5 MG | 1 | 10 | 1 | 10 |
0054-0470-21 | J7527 | Hikma Pharmaceuticals USA Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
0054-0471-21 | J7527 | Hikma Pharmaceuticals USA Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
0054-0472-21 | J7527 | Hikma Pharmaceuticals USA Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
0078-0414-20 | J7527 | Novartis Pharmaceuticals Corporation | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
0078-0415-20 | J7527 | Novartis Pharmaceuticals Corporation | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
0078-0417-20 | J7527 | Novartis Pharmaceuticals Corporation | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
0078-0422-20 | J7527 | Novartis Pharmaceuticals Corporation | Oral everolimus | 0.25 MG | 60 | 1 | 240 | 240 |
49884-158-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 60 | 60 |
49884-159-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 120 | 120 |
49884-160-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 180 | 180 |
49884-283-02 | J7527 | Endo USA, Inc. | Oral everolimus | 0.25 MG | 60 | 1 | 240 | 240 |
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 |
83034-003-60 | J7601 | Verona Pharma Inc. | Ensifentrine inh 3 mg | 3 MG | 2.5 | 60 | 1 | 60 |
27437-055-30 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
27437-055-60 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
27437-060-30 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
27437-060-60 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
43598-777-30 | J7605 | Dr. Reddy's Laboratories Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
43598-777-60 | J7605 | Dr. Reddy's Laboratories Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
60687-770-83 | J7605 | American Health Packaging | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
60687-770-84 | J7605 | American Health Packaging | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
62332-633-30 | J7605 | Alembic Pharmaceuticals Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
62332-633-60 | J7605 | Alembic Pharmaceuticals Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
69097-168-53 | J7605 | Cipla USA, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
69097-168-64 | J7605 | Cipla USA, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
69097-168-87 | J7605 | Cipla USA, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
70436-151-57 | J7605 | Slate Run Pharmaceuticals | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
70436-151-58 | J7605 | Slate Run Pharmaceuticals | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
70748-175-30 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
70748-175-60 | J7605 | Lupin Pharmaceuticals, Inc. | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
70756-612-60 | J7605 | Lifestar Pharma | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
70756-612-70 | J7605 | Lifestar Pharma | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
72603-208-30 | J7605 | Northstar RxLLC | Arformoterol non-comp unit | 15 MCG | 2 | 30 | 1 | 30 |
72603-208-60 | J7605 | Northstar RxLLC | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
76204-026-02 | J7605 | Ritedose Pharmaceuticals, LLC | Arformoterol non-comp unit | 15 MCG | 2 | 60 | 1 | 60 |
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 |
42858-094-35 | J7606 | Rhodes Pharmaceuticals | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
42858-094-62 | J7606 | Rhodes Pharmaceuticals | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
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 |
70748-261-30 | J7606 | Lupin Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
70748-261-60 | J7606 | Lupin Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
70756-608-60 | J7606 | Lifestar Pharma | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
70756-608-70 | J7606 | Lifestar Pharma | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
72603-620-30 | J7606 | Northstar RxLLC | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
72603-620-60 | J7606 | Northstar RxLLC | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
73289-0060-1 | J7606 | Aucta Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 30 | 1 | 30 |
73289-0060-2 | J7606 | Aucta Pharmaceuticals, Inc. | Formoterol fumarate, inh | 20 MCG | 2 | 60 | 1 | 60 |
0409-3307-03 | J7608 | Pfizer Inc | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 3 | 9 |
0409-3308-03 | J7608 | Pfizer Inc | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
0517-7504-25 | J7608 | American Regent, Inc. | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
0517-7604-25 | J7608 | American Regent, Inc. | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
63323-690-30 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
63323-690-44 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 6 | 18 |
63323-691-30 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 30 | 3 | 3 | 9 |
63323-692-10 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 10 | 3 | 2 | 6 |
63323-693-10 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 10 | 3 | 1 | 3 |
63323-694-04 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
63323-694-44 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.8 | 20 |
63323-695-04 | J7608 | FreseniUS Kabi USA, LLC | Acetylcysteine non-comp unit | 1 GM | 4 | 25 | 0.4 | 10 |
0487-9901-30 | J7611 | Nephron SC, Inc. | Albuterol non-comp con | 1 MG | 0.5 | 30 | 2.5 | 75 |
62135-829-84 | J7611 | Chartwell | Albuterol non-comp con | 1 MG | 0.5 | 30 | 2.5 | 75 |
0378-6993-93 | J7612 | Mylan Pharmaceuticals Inc. | Levalbuterol non-comp con | 0.5 MG | 0.5 | 30 | 2.5 | 75 |
0378-7057-52 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
0378-7058-52 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
0378-8270-52 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
0378-8270-55 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0378-8270-91 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
0378-8270-93 | J7613 | Mylan Pharmaceuticals Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0487-0301-01 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 19 |
0487-9501-01 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0487-9501-03 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
0487-9501-25 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
0487-9501-60 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
0487-9904-01 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 38 |
0487-9904-25 | J7613 | Nephron SC, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
0591-3467-53 | J7613 | Actavis Pharma, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
0591-3468-53 | J7613 | Actavis Pharma, Inc. | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
50090-0516-0 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
50090-0516-1 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 125 | 2.5 | 313 |
50090-6560-0 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
50090-6560-1 | J7613 | A-S Medication Solutions | Albuterol non-comp unit | 1 MG | 3 | 75 | 2.5 | 188 |
50742-392-25 | J7613 | Ingenus Pharmaceuticals LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
50742-393-25 | J7613 | Ingenus Pharmaceuticals LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
60687-395-83 | J7613 | American Health Packaging | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
62135-826-84 | J7613 | Chartwell | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 19 |
62135-827-84 | J7613 | Chartwell | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 38 |
62135-828-84 | J7613 | Chartwell | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
76204-010-01 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 0.63 | 19 |
76204-010-55 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 0.63 | 16 |
76204-011-01 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 1.25 | 38 |
76204-011-55 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 1.25 | 32 |
76204-200-01 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
76204-200-25 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 25 | 2.5 | 63 |
76204-200-30 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 30 | 2.5 | 75 |
76204-200-60 | J7613 | Ritedose Pharmaceuticals, LLC | Albuterol non-comp unit | 1 MG | 3 | 60 | 2.5 | 150 |
0093-4146-56 | J7614 | Teva Pharmaceuticals USA, Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 1.25 | 38 |
0093-4148-56 | J7614 | Teva Pharmaceuticals USA, Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 2.5 | 75 |
0115-9930-78 | J7614 | Amneal Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
0115-9931-78 | J7614 | Amneal Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
0115-9932-78 | J7614 | Impax Laboratories, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
0378-9690-52 | J7614 | Mylan Pharmaceuticals Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
0378-9691-52 | J7614 | Mylan Pharmaceuticals Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
0378-9692-52 | J7614 | Mylan Pharmaceuticals Inc. | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
35573-443-25 | J7614 | Burel Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
35573-444-25 | J7614 | Burel Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
35573-445-25 | J7614 | Burel Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
50090-6377-0 | J7614 | A-S Medication Solutions | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 33 |
76204-700-01 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 0.62 | 19 |
76204-700-25 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 0.62 | 16 |
76204-800-01 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 1.25 | 38 |
76204-800-25 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 1.25 | 32 |
76204-900-01 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 30 | 2.5 | 75 |
76204-900-25 | J7614 | Ritedose Pharmaceuticals, LLC | Levalbuterol non-comp unit | 0.5 MG | 3 | 25 | 2.5 | 63 |
0378-9671-30 | J7620 | Mylan Pharmaceuticals Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0378-9671-60 | J7620 | Mylan Pharmaceuticals Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
0378-9671-93 | J7620 | Mylan Pharmaceuticals Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0487-0201-01 | J7620 | Nephron SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0487-0201-02 | J7620 | Nephron SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0487-0201-03 | J7620 | Nephron SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
0487-0201-60 | J7620 | Nephron SC, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
47335-756-49 | J7620 | Sun Pharmaceutical Global FZE. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
47335-756-52 | J7620 | Sun Pharmaceutical Global FZE. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
50090-1382-0 | J7620 | A-S Medication Solutions | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
50090-1669-0 | J7620 | A-S Medication Solutions | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
50090-6288-0 | J7620 | A-S Medication Solutions | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
60687-405-83 | J7620 | American Health Packaging | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
62135-831-84 | J7620 | Chartwell | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
68788-8103-3 | J7620 | Preferred Pharmaceuticals Inc | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
69097-173-53 | J7620 | Cipla USA, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
69097-173-64 | J7620 | Cipla USA, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
69097-840-53 | J7620 | Cipla USA, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
69097-840-64 | J7620 | Cipla USA, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
69097-840-87 | J7620 | Cipla USA, Inc. | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-01 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-05 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-12 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
76204-600-30 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 30 | 1 | 30 |
76204-600-60 | J7620 | Ritedose Pharmaceuticals, LLC | Albuterol ipratrop non-comp | 2.5 MG/0.5 MG | 3 | 60 | 1 | 60 |
0093-6815-55 | J7626 | Teva Pharmaceuticals USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6815-73 | J7626 | Teva Pharmaceuticals USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6816-55 | J7626 | Teva Pharmaceuticals USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6816-73 | J7626 | Teva Pharmaceuticals USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0093-6817-73 | J7626 | Teva Pharmaceuticals USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
0115-1687-74 | J7626 | Impax Laboratories, LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0115-1689-74 | J7626 | Impax Laboratories, LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0186-1988-04 | J7626 | AstraZeneca Pharmaceuticals LP | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0186-1989-04 | J7626 | AstraZeneca Pharmaceuticals LP | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0186-1990-04 | J7626 | AstraZeneca Pharmaceuticals LP | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
0487-9601-01 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0487-9601-30 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0487-9701-01 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0487-9701-30 | J7626 | Nephron SC, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0781-7515-87 | J7626 | Sandoz Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0781-7516-87 | J7626 | Sandoz Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0781-7517-87 | J7626 | Sandoz Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
16714-018-30 | J7626 | Northstar RxLLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
16714-019-30 | J7626 | Northstar RxLLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
16714-020-30 | J7626 | Northstar RxLLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
47335-631-49 | J7626 | Sun Pharmaceutical Global FZE. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
47335-632-49 | J7626 | Sun Pharmaceutical Global FZE. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
47335-633-49 | J7626 | Sun Pharmaceutical Global FZE. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
50090-1467-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
50090-6586-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
50090-6590-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
50090-7126-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
50090-7173-0 | J7626 | A-S Medication Solutions | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
60687-524-83 | J7626 | American Health Packaging | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
62135-822-84 | J7626 | Chartwell | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
62135-823-84 | J7626 | Chartwell | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
68180-984-30 | J7626 | Lupin Pharmaceuticals, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-318-53 | J7626 | Cipla USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-318-87 | J7626 | Cipla USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-319-53 | J7626 | Cipla USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-319-87 | J7626 | Cipla USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
69097-321-53 | J7626 | Cipla USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
69097-321-87 | J7626 | Cipla USA, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 2 | 60 |
76204-018-01 | J7626 | Ritedose Pharmaceuticals, LLC | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
76282-640-38 | J7626 | Exelan Pharmaceuticals, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
76282-641-38 | J7626 | Exelan Pharmaceuticals, Inc. | Budesonide non-comp unit | UP TO 0.50 MG | 2 | 30 | 1 | 30 |
0172-6406-49 | J7631 | Ivax Pharmaceuticals, Inc. | Cromolyn sodium noncomp unit | 10 MG | 2 | 60 | 2 | 120 |
69784-205-60 | J7631 | Woodward Pharma Services LLC | Cromolyn sodium noncomp unit | 10 MG | 2 | 60 | 2 | 120 |
76204-028-60 | J7631 | Ritedose Pharmaceuticals, LLC | Cromolyn sodium noncomp unit | 10 MG | 2 | 60 | 2 | 120 |
50242-100-40 | J7639 | Genentech, Inc. | Dornase alfa non-comp unit | 1 MG | 2.5 | 30 | 2.5 | 75 |
0378-7970-52 | J7644 | Mylan Pharmaceuticals Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
0378-7970-55 | J7644 | Mylan Pharmaceuticals Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0378-7970-91 | J7644 | Mylan Pharmaceuticals Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
0378-7970-93 | J7644 | Mylan Pharmaceuticals Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0487-9801-01 | J7644 | Nephron SC, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0487-9801-25 | J7644 | Nephron SC, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
0487-9801-30 | J7644 | Nephron SC, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
0487-9801-60 | J7644 | Nephron SC, Inc. | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
47335-706-49 | J7644 | Sun Pharmaceutical Global FZE. | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
47335-706-52 | J7644 | Sun Pharmaceutical Global FZE. | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
47335-706-54 | J7644 | Sun Pharmaceutical Global FZE. | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
50090-0668-0 | J7644 | A-S Medication Solutions | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
50090-6373-0 | J7644 | A-S Medication Solutions | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
60687-394-83 | J7644 | American Health Packaging | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
62135-830-84 | J7644 | Chartwell | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
76204-100-01 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
76204-100-25 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 25 | 0.5 | 13 |
76204-100-30 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 30 | 0.5 | 15 |
76204-100-60 | J7644 | Ritedose Pharmaceuticals, LLC | Ipratropium bromide non-comp | 1 MG | 2.5 | 60 | 0.5 | 30 |
64281-100-06 | J7674 | Methapharm Inc. | Methacholine chloride, neb | 1 MG | 1 | 6 | 100 | 600 |
64281-110-06 | J7674 | Methapharm Inc. | Methacholine chloride, neb | 1 MG | 15 | 6 | 64 | 384 |
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 RxLLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
24492-850-56 | J7682 | PARI Respiratory Equipment | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
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 |
60687-731-83 | J7682 | American Health Packaging | Tobramycin non-comp unit | 300 MG | 5 | 30 | 1 | 30 |
65162-914-46 | J7682 | Amneal Pharmaceuticals, LLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
66993-195-94 | J7682 | Prasco Laboratories | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
68180-962-56 | J7682 | Lupin Pharmaceuticals, Inc. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
70644-899-99 | J7682 | Genericus, Inc. | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
70756-604-56 | J7682 | Lifestar Pharma | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
70756-617-56 | J7682 | Lifestar Pharma | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
72603-430-56 | J7682 | Northstar RxLLC | Tobramycin non-comp unit | 300 MG | 5 | 56 | 1 | 56 |
72603-630-56 | J7682 | Northstar RxLLC | Tobramycin non-comp unit | 300 MG | 4 | 56 | 1 | 56 |
66302-206-01 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 28 | 1 | 28 |
66302-206-02 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 28 | 1 | 28 |
66302-206-03 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 4 | 1 | 4 |
66302-206-04 | J7686 | United Therapeutics Corporation | Treprostinil, non-comp unit | 1.74 MG | 2.9 | 4 | 1 | 4 |
0006-0461-02 | J8501 | Merck Sharp & Dohme LLC | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
0006-3066-03 | J8501 | Merck Sharp & Dohme LLC | Oral aprepitant | 5 MG | 1 | 1 | 25 | 25 |
0006-3862-03 | J8501 | Merck Sharp & Dohme LLC | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
0781-2321-06 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
0781-2321-51 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
0781-2322-46 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
0781-2322-68 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
0781-2323-68 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
0781-4063-36 | J8501 | Sandoz Inc. | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
13668-591-81 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
13668-591-82 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
13668-592-84 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
13668-592-86 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
13668-593-86 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
13668-594-87 | J8501 | Torrent Pharmaceuticals Limited | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
68462-112-33 | J8501 | Glenmark Pharmaceuticals Inc., USA | Oral aprepitant | 5 MG | 1 | 3 | 57 | 57 |
68462-583-40 | J8501 | Glenmark Pharmaceuticals Inc., USA | Oral aprepitant | 5 MG | 1 | 1 | 8 | 8 |
68462-583-85 | J8501 | Glenmark Pharmaceuticals Inc., USA | Oral aprepitant | 5 MG | 1 | 5 | 8 | 40 |
68462-584-58 | J8501 | Glenmark Pharmaceuticals Inc., USA | Oral aprepitant | 5 MG | 1 | 2 | 16 | 32 |
68462-584-76 | J8501 | Glenmark Pharmaceuticals Inc., USA | Oral aprepitant | 5 MG | 1 | 6 | 16 | 96 |
68462-585-76 | J8501 | Glenmark Pharmaceuticals Inc., USA | Oral aprepitant | 5 MG | 1 | 6 | 25 | 150 |
0004-1100-20 | J8522 | Genentech, Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
0004-1101-50 | J8522 | Genentech, Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
0093-7473-06 | J8522 | Teva Pharmaceuticals USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
0093-7474-89 | J8522 | Teva Pharmaceuticals USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
16714-467-01 | J8522 | Northstar RxLLC | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
16714-468-01 | J8522 | Northstar RxLLC | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
16729-072-12 | J8522 | Accord Healthcare Inc | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
16729-073-29 | J8522 | Accord Healthcare Inc | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
60687-149-94 | J8522 | American Health Packaging | Capecitabine, oral, 50 mg | 50 MG | 20 | 1 | 200 | 200 |
68001-487-06 | J8522 | BluePoint Laboratories | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
68001-488-07 | J8522 | BluePoint Laboratories | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
69097-948-08 | J8522 | Cipla USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
69097-949-03 | J8522 | Cipla USA, Inc. | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
70756-815-60 | J8522 | Lifestar Pharma | Capecitabine, oral, 50 mg | 50 MG | 60 | 1 | 180 | 180 |
70756-816-22 | J8522 | Lifestar Pharma | Capecitabine, oral, 50 mg | 50 MG | 120 | 1 | 1200 | 1200 |
0054-0382-25 | J8530 | Hikma Pharmaceuticals USA Inc. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 100 | 100 |
0054-0383-25 | J8530 | Hikma Pharmaceuticals USA Inc. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 200 | 200 |
10019-984-01 | J8530 | Baxter Healthcare Corporation | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 200 | 200 |
69097-516-07 | J8530 | Cipla USA, Inc. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 100 | 100 |
69097-517-07 | J8530 | Cipla USA, Inc. | Cyclophosphamide oral 25 mg | 25 MG | 100 | 1 | 200 | 200 |
0054-3176-44 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 30 | 1 | 120 | 120 |
0054-3177-63 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 500 | 1 | 200 | 200 |
0054-4184-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
0054-8175-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
0054-8180-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 300 | 300 |
0054-8181-25 | J8540 | Hikma Pharmaceuticals USA Inc. | Oral dexamethasone | 0.25 MG | 100 | 1 | 600 | 600 |
50090-0088-4 | J8540 | A-S Medication Solutions | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
50090-0089-0 | J8540 | A-S Medication Solutions | Oral dexamethasone | 0.25 MG | 28 | 1 | 448 | 448 |
50090-6151-4 | J8540 | A-S Medication Solutions | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
50090-6152-0 | J8540 | A-S Medication Solutions | Oral dexamethasone | 0.25 MG | 28 | 1 | 448 | 448 |
60687-718-01 | J8540 | American Health Packaging | Oral dexamethasone | 0.25 MG | 100 | 1 | 1600 | 1600 |
60687-729-01 | J8540 | American Health Packaging | Oral dexamethasone | 0.25 MG | 100 | 1 | 2400 | 2400 |
60687-773-01 | J8540 | American Health Packaging | Oral dexamethasone | 0.25 MG | 100 | 1 | 800 | 800 |
68788-7267-2 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 21 | 1 | 63 | 63 |
68788-7267-3 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 30 | 1 | 90 | 90 |
68788-8223-1 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 12 | 1 | 192 | 192 |
68788-8223-3 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 30 | 1 | 480 | 480 |
68788-8223-6 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 6 | 1 | 96 | 96 |
68788-8467-1 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 12 | 1 | 192 | 192 |
68788-8467-3 | J8540 | Preferred Pharmaceuticals Inc | Oral dexamethasone | 0.25 MG | 30 | 1 | 480 | 480 |
0378-3266-94 | J8560 | Mylan Pharmaceuticals Inc. | Etoposide oral 50 mg | 50 MG | 20 | 1 | 20 | 20 |
0054-4550-15 | J8610 | Hikma Pharmaceuticals USA Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
0054-4550-25 | J8610 | Hikma Pharmaceuticals USA Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0054-8550-25 | J8610 | Hikma Pharmaceuticals USA Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0378-0014-01 | J8610 | Mylan Pharmaceuticals Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0555-0572-02 | J8610 | Barr Pharmaceuticals, Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
0555-0572-35 | J8610 | Barr Pharmaceuticals, Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
47335-235-83 | J8610 | Sun Pharmaceutical Global FZE. | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
47335-235-96 | J8610 | Sun Pharmaceutical Global FZE. | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
50090-3418-9 | J8610 | A-S Medication Solutions | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
50090-5457-2 | J8610 | A-S Medication Solutions | Methotrexate oral 2.5 mg | 2.5 MG | 100 | 1 | 100 | 100 |
50090-5457-9 | J8610 | A-S Medication Solutions | Methotrexate oral 2.5 mg | 2.5 MG | 36 | 1 | 36 | 36 |
50268-527-15 | J8610 | AvPAK | Methotrexate oral 2.5 mg | 2.5 MG | 50 | 1 | 50 | 50 |
51079-670-05 | J8610 | Mylan Institutional Inc. | Methotrexate oral 2.5 mg | 2.5 MG | 20 | 1 | 20 | 20 |
51285-366-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 60 | 60 |
51285-367-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 90 | 90 |
51285-368-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 120 | 120 |
51285-369-01 | J8610 | Teva Women's Health LLC | Methotrexate oral 2.5 mg | 2.5 MG | 30 | 1 | 180 | 180 |
81927-204-01 | J8611 | Shorla Oncology Inc. | Oral methotrexate (jylamvo) | 2.5 MG | 60 | 1 | 48 | 48 |
52652-2001-1 | J8612 | Azurity Pharmaceuticals, Inc. | Oral methotrexate (xatmep) | 2.5 MG | 120 | 1 | 120 | 120 |
52652-2001-6 | J8612 | Azurity Pharmaceuticals, Inc. | Oral methotrexate (xatmep) | 2.5 MG | 60 | 1 | 60 | 60 |
69639-101-01 | J8655 | Helsinn Therapeutics (U.S.), Inc. | Oral netupitant, palonosetro | 300 MG/0.5 MG | 1 | 1 | 1 | 1 |
70720-101-02 | J8670 | TerSera Therapeutics LLC | Rolapitant, oral, 1mg | 1 MG | 2 | 1 | 180 | 180 |
16729-048-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 5 | 5 |
16729-048-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 14 | 14 |
16729-049-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 20 | 20 |
16729-049-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 56 | 56 |
16729-050-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 100 | 100 |
16729-050-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 280 | 280 |
16729-051-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 250 | 250 |
16729-129-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 140 | 140 |
16729-129-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 392 | 392 |
16729-130-53 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 5 | 1 | 180 | 180 |
16729-130-54 | J8700 | Accord Healthcare Inc | Temozolomide | 5 MG | 14 | 1 | 504 | 504 |
47335-890-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 15 | 15 |
47335-890-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 5 | 5 |
47335-891-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 60 | 60 |
47335-891-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 20 | 20 |
47335-892-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 300 | 300 |
47335-892-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 100 | 100 |
47335-893-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 250 | 250 |
47335-929-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 420 | 420 |
47335-929-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 140 | 140 |
47335-930-72 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 15 | 1 | 540 | 540 |
47335-930-74 | J8700 | Sun Pharmaceutical Global FZE. | Temozolomide | 5 MG | 5 | 1 | 180 | 180 |
50268-761-12 | J8700 | AvPAK | Temozolomide | 5 MG | 20 | 1 | 80 | 80 |
50268-762-12 | J8700 | AvPAK | Temozolomide | 5 MG | 20 | 1 | 400 | 400 |
65162-801-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 14 | 14 |
65162-801-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 5 | 5 |
65162-802-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 56 | 56 |
65162-802-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 20 | 20 |
65162-803-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 280 | 280 |
65162-803-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 100 | 100 |
65162-804-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 392 | 392 |
65162-804-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 140 | 140 |
65162-805-14 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 14 | 1 | 504 | 504 |
65162-805-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 180 | 180 |
65162-806-51 | J8700 | Amneal Pharmaceuticals, LLC | Temozolomide | 5 MG | 5 | 1 | 250 | 250 |
0078-0672-01 | J8705 | Sandoz Inc. | Topotecan oral | 0.25 MG | 1 | 10 | 1 | 10 |
0078-0673-01 | J8705 | Sandoz Inc. | Topotecan oral | 0.25 MG | 1 | 10 | 4 | 40 |
66758-102-11 | J8705 | Sandoz Inc. | Topotecan oral | 0.25 MG | 10 | 1 | 40 | 40 |
0069-0255-10 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0069-0277-02 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0069-0343-02 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0069-0358-20 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0069-1442-04 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0069-1542-20 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0069-3030-20 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0069-3031-20 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0069-3032-20 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0069-3034-20 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0069-3358-25 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0069-4004-05 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0069-4015-10 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0069-4026-25 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0069-4037-01 | J9000 | Pfizer Inc | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0069-4205-05 | J9000 | Pfizer Inc. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9084-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9085-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0143-9086-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0143-9087-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9088-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9089-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
0143-9090-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
0143-9091-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0143-9092-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
0143-9093-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
0143-9277-01 | J9000 | Hikma Pharmaceuticals USA Inc. | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
16714-001-01 | J9000 | Northstar RxLLC | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
25021-207-25 | J9000 | Sagent Pharmaceuticals | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
25021-207-51 | J9000 | Sagent Pharmaceuticals | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
45963-733-55 | J9000 | Actavis Pharma, Inc. | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
45963-733-57 | J9000 | Actavis Pharma, Inc. | Doxorubicin hcl injection | 10 MG | 10 | 1 | 2 | 2 |
45963-733-60 | J9000 | Actavis Pharma, Inc. | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
45963-733-68 | J9000 | Actavis Pharma, Inc. | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
63323-101-61 | J9000 | FreseniUS Kabi USA, LLC | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
63323-883-05 | J9000 | FreseniUS Kabi USA, LLC | Doxorubicin hcl injection | 10 MG | 5 | 1 | 1 | 1 |
63323-883-30 | J9000 | FreseniUS Kabi USA, LLC | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
67457-436-50 | J9000 | Mylan Institutional LLC | Doxorubicin hcl injection | 10 MG | 1 | 1 | 5 | 5 |
70860-208-25 | J9000 | Athenex Pharmaceutical Division, LLC | Doxorubicin hcl injection | 10 MG | 25 | 1 | 5 | 5 |
70860-208-51 | J9000 | Athenex Pharmaceutical Division, LLC | Doxorubicin hcl injection | 10 MG | 100 | 1 | 20 | 20 |
0781-3498-94 | J9017 | Sandoz Inc. | Arsenic trioxide injection | 1 MG | 6 | 1 | 12 | 12 |
0781-3498-95 | J9017 | Sandoz Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
14789-600-10 | J9017 | Nexus Pharmaceuticals, LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
23155-869-41 | J9017 | Heritage Pharmaceuticals Inc. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
23155-870-41 | J9017 | Heritage Pharmaceuticals Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
25021-226-10 | J9017 | Sagent Pharmaceuticals | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
25021-227-06 | J9017 | Sagent Pharmaceuticals | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
50742-438-10 | J9017 | Ingenus Pharmaceuticals LLC | Arsenic trioxide injection | 1 MG | 10 | 1 | 10 | 10 |
55150-366-10 | J9017 | Eugia US LLC | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
63323-637-10 | J9017 | FreseniUS Kabi USA, LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
63459-601-06 | J9017 | Cephalon, LLC | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
68382-997-10 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
69918-720-02 | J9017 | Nordic Pharma, Inc | Arsenic trioxide injection | 1 MG | 10 | 2 | 10 | 20 |
69918-720-10 | J9017 | Nordic Pharma, Inc | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
70121-1483-7 | J9017 | Amneal Pharmaceuticals, LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
70121-1658-1 | J9017 | Amneal Pharmaceuticals, LLC | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
70710-1610-6 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
70710-1895-6 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
70710-1896-6 | J9017 | Zydus Pharmaceuticals (USA) Inc. | Arsenic trioxide injection | 1 MG | 6 | 10 | 12 | 120 |
70860-217-10 | J9017 | Athenex Pharmaceutical Division, LLC | Arsenic trioxide injection | 1 MG | 10 | 1 | 10 | 10 |
72205-171-07 | J9017 | Novadoz Pharmaceuticals LLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
72603-339-10 | J9017 | Northstar RxLLC | Arsenic trioxide injection | 1 MG | 10 | 10 | 10 | 100 |
68727-900-03 | J9021 | Jazz Pharmaceuticals, Inc. | Inj, aspara, rylaze, 0.1 mg | 0.1 MG | 0.5 | 3 | 100 | 300 |
50242-917-01 | J9022 | Genentech, Inc. | Inj, atezolizumab,10 mg | 10 MG | 20 | 1 | 120 | 120 |
50242-918-01 | J9022 | Genentech, Inc. | Inj, atezolizumab,10 mg | 10 MG | 14 | 1 | 84 | 84 |
44087-3535-1 | J9023 | EMD Serono, Inc. | Injection, avelumab, 10 mg | 10 MG | 10 | 1 | 20 | 20 |
50242-933-01 | J9024 | Genentech, Inc. | Inj atezolizumb 5mg hya-tqjs | 5 MG | 15 | 1 | 375 | 375 |
0143-9606-01 | J9025 | Hikma Pharmaceuticals USA Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
0781-3253-94 | J9025 | Sandoz Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
0781-3491-94 | J9025 | Sandoz Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
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, Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
55150-393-01 | J9025 | Eugia US LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
59572-102-01 | J9025 | Celgene Corporation | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
60505-6271-1 | J9025 | Apotex Corp | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
63323-771-39 | J9025 | FreseniUS Kabi USA, LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
68001-313-56 | J9025 | BluePoint Laboratories | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
68001-527-54 | J9025 | BluePoint Laboratories | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
68001-620-54 | J9025 | BluePoint Laboratories | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
70121-1237-1 | J9025 | Amneal Pharmaceuticals, LLC | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
71288-115-30 | J9025 | Meitheal Pharmaceuticals Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
71288-153-95 | J9025 | Meitheal Pharmaceuticals Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
72485-201-01 | J9025 | Armas Pharmaceuticals Inc. | Azacitidine injection | 1 MG | 1 | 1 | 100 | 100 |
55513-059-01 | J9026 | Amgen Inc | Inj, tarlatamab-dlle, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
55513-077-01 | J9026 | Amgen Inc | Inj, tarlatamab-dlle, 1 mg | 1 MG | 1 | 1 | 10 | 10 |
43598-309-20 | J9027 | Dr Reddy's Laboratories, Inc. | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
60505-6166-0 | J9027 | Apotex Corp | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
63323-572-70 | J9027 | FreseniUS Kabi USA, LLC | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
67457-546-20 | J9027 | Mylan Institutional LLC | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
70121-1236-1 | J9027 | Amneal Pharmaceuticals, LLC | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
71288-128-20 | J9027 | Meitheal Pharmaceuticals Inc. | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
72266-108-01 | J9027 | Fosun Pharma USA Inc. | Clofarabine injection | 1 MG | 20 | 1 | 20 | 20 |
81481-803-01 | J9028 | Altor BioScience, LLC | Inj, nogapendekin pmln, 1mcg | 1 MCG | 0.4 | 1 | 400 | 400 |
55566-1050-1 | J9029 | Ferring Pharmaceuticals Inc. | Instill adstiladrin, tx dose | Per Therapeutic Dose | 20 | 4 | 1 | 1 |
0052-0602-02 | J9030 | Merck Sharp & Dohme LLC | Bcg live intravesical 1mg | 1 MG | 1 | 1 | 50 | 50 |
72893-002-01 | J9032 | Acrotech Biopharma LLC | Injection, belinostat, 10mg | 10 MG | 1 | 1 | 50 | 50 |
16729-250-03 | J9033 | Accord Healthcare Inc | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
16729-251-05 | J9033 | Accord Healthcare Inc | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
55150-391-01 | J9033 | Eugia US LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
55150-392-01 | J9033 | Eugia US LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
60505-6095-0 | J9033 | Apotex Corp | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
60505-6096-0 | J9033 | Apotex Corp | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
63459-390-08 | J9033 | Cephalon, LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
63459-391-20 | J9033 | Cephalon, LLC | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
68001-572-41 | J9033 | BluePoint Laboratories | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
71288-102-10 | J9033 | Meitheal Pharmaceuticals Inc. | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 25 | 25 |
71288-103-20 | J9033 | Meitheal Pharmaceuticals Inc. | Inj, bendamustine hcl, 1mg | 1 MG | 1 | 1 | 100 | 100 |
63459-348-04 | J9034 | Cephalon, LLC | Inj., bendeka 1 mg | 1 MG | 4 | 1 | 100 | 100 |
50242-060-01 | J9035 | Genentech, Inc. | Bevacizumab injection | 10 MG | 4 | 1 | 10 | 10 |
50242-061-01 | J9035 | Genentech, Inc. | Bevacizumab injection | 10 MG | 16 | 1 | 40 | 40 |
10019-079-01 | J9036 | Baxter Healthcare Corporation | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
42367-521-25 | J9036 | Eagle Pharmaceuticals, Inc. | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
60505-6228-0 | J9036 | Apotex Corp | Inj. belrapzo/bendamustine | 1 MG | 4 | 1 | 100 | 100 |
55513-160-01 | J9039 | Amgen Inc | Injection, blinatumomab | 1 MCG | 1 | 1 | 35 | 35 |
0143-9240-01 | J9040 | Hikma Pharmaceuticals USA Inc. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
0143-9241-01 | J9040 | Hikma Pharmaceuticals USA Inc. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
0409-0323-20 | J9040 | Pfizer Inc | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
0409-0332-20 | J9040 | Pfizer Inc | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
16714-886-01 | J9040 | Northstar RxLLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
16714-908-01 | J9040 | Northstar RxLLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
61703-323-22 | J9040 | Pfizer Inc | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
61703-332-18 | J9040 | Pfizer Inc | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
63323-136-10 | J9040 | FreseniUS Kabi USA, LLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
63323-137-20 | J9040 | FreseniUS Kabi USA, LLC | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 2 |
71288-106-10 | J9040 | Meitheal Pharmaceuticals Inc. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 1 | 1 |
71288-107-20 | J9040 | Meitheal Pharmaceuticals Inc. | Bleomycin sulfate injection | 15 UNITS | 1 | 1 | 2 | 2 |
0143-9098-01 | J9041 | Hikma Pharmaceuticals USA Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
0409-1700-01 | J9041 | Pfizer Inc | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
10019-991-01 | J9041 | Baxter Healthcare Corporation | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
25021-244-10 | J9041 | Sagent Pharmaceuticals | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
43598-426-60 | J9041 | Dr. Reddy's Laboratories Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
50742-484-01 | J9041 | Ingenus Pharmaceuticals LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
55150-337-01 | J9041 | Eugia US LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
60505-6050-4 | J9041 | Apotex Corp | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
63020-049-01 | J9041 | Takeda Pharmaceuticals America, Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
63323-821-10 | J9041 | FreseniUS Kabi USA, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
68001-534-36 | J9041 | BluePoint Laboratories | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
68001-540-36 | J9041 | BluePoint Laboratories | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
68001-541-36 | J9041 | BluePoint Laboratories | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
70710-1411-1 | J9041 | Zydus Pharmaceuticals (USA) Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
70860-225-10 | J9041 | Athenex Pharmaceutical Division, LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
71288-118-10 | J9041 | Meitheal Pharmaceuticals Inc. | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
72205-183-01 | J9041 | Novadoz Pharmaceuticals LLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
72603-270-01 | J9041 | Northstar RxLLC | Injection, bortezomib, 0.1mg | 0.1 MG | 1 | 1 | 35 | 35 |
51144-050-01 | J9042 | Seagen Inc. | Brentuximab vedotin inj | 1 MG | 1 | 1 | 50 | 50 |
0024-5824-11 | J9043 | Sanofi-Aventis U.S. LLC | Cabazitaxel injection | 1 MG | 1 | 1 | 60 | 60 |
0703-4239-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
0703-4239-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
0703-4244-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
0703-4244-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
0703-4246-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
0703-4246-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
0703-4248-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
0703-4248-01 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
0703-4248-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
0703-4248-81 | J9045 | Teva Parenteral Medicines, Inc. | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
16729-295-12 | J9045 | Accord Healthcare Inc | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
16729-295-33 | 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 | Eugia US LLC | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
55150-386-01 | J9045 | Eugia US LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
60505-6282-1 | J9045 | Apotex Corp | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
60505-6282-3 | J9045 | Apotex Corp | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
60505-6282-6 | J9045 | Apotex Corp | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
61703-150-05 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
61703-262-05 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
61703-339-18 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
61703-339-22 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 15 | 1 | 3 | 3 |
61703-339-50 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
61703-339-56 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 45 | 1 | 12 | 12 |
61703-360-18 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
61703-360-18 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 5 | 1 | 1 | 1 |
61703-600-05 | J9045 | Pfizer Inc | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
63323-172-60 | J9045 | FreseniUS Kabi USA, LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
63323-172-60 | J9045 | FreseniUS Kabi USA, LLC | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
69448-005-12 | J9045 | Accord BioPharma, Inc | Carboplatin injection | 50 MG | 60 | 1 | 12 | 12 |
69448-005-34 | J9045 | Accord BioPharma, Inc | Carboplatin injection | 50 MG | 45 | 1 | 9 | 9 |
69448-005-38 | J9045 | Accord BioPharma, Inc | Carboplatin injection | 50 MG | 100 | 1 | 20 | 20 |
76075-101-01 | J9047 | Amgen Inc | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 60 | 60 |
76075-102-01 | J9047 | Amgen Inc | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 30 | 30 |
76075-103-01 | J9047 | Amgen Inc | Injection, carfilzomib, 1 mg | 1 MG | 1 | 1 | 10 | 10 |
0409-1703-01 | J9049 | Pfizer Inc | Inj, bortezomib, hospira | 0.1 MG | 1 | 1 | 25 | 25 |
0409-1704-01 | J9049 | Pfizer Inc | Inj, bortezomib, hospira | 0.1 MG | 1 | 1 | 10 | 10 |
0781-3474-32 | J9050 | Sandoz Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
23155-261-41 | J9050 | Heritage Pharmaceuticals Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
23155-649-41 | J9050 | Heritage Pharmaceuticals Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
23155-790-41 | J9050 | Heritage Pharmaceuticals Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
43598-628-57 | J9050 | Dr. Reddy's Laboratories Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
62332-659-02 | J9050 | Alembic Pharmaceuticals Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
70121-1482-2 | J9050 | Amneal Pharmaceuticals, LLC | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
70710-1525-9 | J9050 | Zydus Pharmaceuticals (USA) Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
70860-223-61 | J9050 | Athenex Pharmaceutical Division, LLC | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
71288-126-90 | J9050 | Meitheal Pharmaceuticals Inc. | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
72205-198-01 | J9050 | Novadoz Pharmaceuticals LLC | Carmustine injection | 100 MG | 1 | 1 | 1 | 1 |
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 LLC | Inj, vivimusta, 1 mg | 1 MG | 4 | 1 | 100 | 100 |
0143-9504-01 | J9060 | Hikma Pharmaceuticals USA Inc. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
0143-9505-01 | J9060 | Hikma Pharmaceuticals USA Inc. | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
0703-5747-11 | J9060 | Teva Parenteral Medicines, Inc. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
0703-5748-11 | J9060 | Teva Parenteral Medicines, Inc. | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
16729-288-11 | J9060 | Accord Healthcare Inc | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
16729-288-38 | J9060 | Accord Healthcare Inc | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
25021-253-50 | J9060 | Sagent Pharmaceuticals | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
25021-253-51 | J9060 | Sagent Pharmaceuticals | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
44567-511-01 | J9060 | WG Critical Care, LLC | Cisplatin 10 mg injection | 10 MG | 200 | 1 | 20 | 20 |
44567-530-01 | J9060 | WG Critical Care, LLC | Cisplatin 10 mg injection | 10 MG | 1 | 1 | 5 | 5 |
60505-6279-0 | J9060 | Apotex Corp | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
63323-103-51 | J9060 | FreseniUS Kabi USA, LLC | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
63323-103-64 | J9060 | FreseniUS Kabi USA, LLC | Cisplatin 10 mg injection | 10 MG | 200 | 1 | 20 | 20 |
63323-103-65 | J9060 | FreseniUS Kabi USA, LLC | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
68001-283-27 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
68001-283-32 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
68001-608-24 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
68001-609-33 | J9060 | BluePoint Laboratories | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
72266-252-01 | J9060 | Fosun Pharma USA Inc. | Cisplatin 10 mg injection | 10 MG | 50 | 1 | 5 | 5 |
72266-253-01 | J9060 | Fosun Pharma USA Inc. | Cisplatin 10 mg injection | 10 MG | 100 | 1 | 10 | 10 |
57894-501-01 | J9061 | Janssen Biotech, Inc. | Inj, amivantamab-vmjw | 2 MG | 7 | 1 | 175 | 175 |
72903-853-01 | J9063 | ImmunoGen, Inc. | Inj, elahere, 1 mg | 1 MG | 20 | 1 | 100 | 100 |
0143-9871-01 | J9065 | Hikma Pharmaceuticals USA Inc. | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
42658-010-01 | J9065 | Hisun Pharmaceuticals USA, Inc | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
42658-010-91 | J9065 | Hisun Pharmaceuticals USA, Inc | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
63323-140-10 | J9065 | FreseniUS Kabi USA, LLC | Inj cladribine per 1 mg | 1 MG | 10 | 1 | 10 | 10 |
55150-270-01 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 2.5 | 1 | 100 | 100 |
55150-270-99 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 2.5 | 1 | 100 | 100 |
55150-271-01 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 5 | 1 | 200 | 200 |
55150-271-99 | J9071 | Eugia US LLC | Inj cyclophosphamd auromedic | 5 MG | 5 | 1 | 200 | 200 |
55150-272-01 | J9071 | EUGIA US LLC | Inj cyclophosphamd auromedic | 5 MG | 10 | 1 | 400 | 400 |
83831-116-01 | J9072 | Avyxa Pharma, LLC | Inj cyclophos avyxa 5mg | 5 MG | 1 | 1 | 100 | 100 |
83831-117-02 | J9072 | Avyxa Pharma, LLC | Inj cyclophos avyxa 5mg | 5 MG | 1 | 1 | 200 | 200 |
83831-118-04 | J9072 | Avyxa Pharma, LLC | Inj cyclophos avyxa 5mg | 5 MG | 1 | 1 | 400 | 400 |
83831-119-01 | J9072 | Avyxa Pharma, LLC | Inj cyclophos avyxa 5mg | 5 MG | 1 | 1 | 100 | 100 |
83831-120-02 | J9072 | Avyxa Pharma, LLC | Inj cyclophos avyxa 5mg | 5 MG | 2 | 1 | 200 | 200 |
83831-121-04 | J9072 | Avyxa Pharma, LLC | Inj cyclophos avyxa 5mg | 5 MG | 4 | 1 | 400 | 400 |
50742-519-02 | J9073 | Ingenus Pharmaceuticals LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 2.5 | 1 | 100 | 100 |
50742-520-05 | J9073 | Ingenus Pharmaceuticals LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 5 | 1 | 200 | 200 |
50742-521-10 | J9073 | Ingenus Pharmaceuticals LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
68001-564-22 | J9073 | BluePoint Laboratories | Inj cyclophos dr reddys 5 mg | 5 MG | 5 | 1 | 200 | 200 |
68001-565-28 | J9073 | BluePoint Laboratories | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
70860-218-10 | J9073 | Athenex Pharmaceutical Division, LLC | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
75907-189-35 | J9073 | Dr Reddy's Laboratories, Inc. | Inj cyclophos dr reddys 5 mg | 5 MG | 10 | 1 | 400 | 400 |
75907-190-07 | J9073 | Dr. Reddy's Laboratories Inc. | Inj cyclophos dr reddys 5 mg | 5 MG | 5 | 1 | 200 | 200 |
75907-191-02 | J9073 | Dr. Reddy's Laboratories Inc. | Inj cyclophos dr reddys 5 mg | 5 MG | 2.5 | 1 | 100 | 100 |
0781-3528-10 | J9074 | Sandoz Inc. | Inj, cyclophosphamd, sandoz | 5 MG | 5 | 1 | 100 | 100 |
0781-3529-10 | J9074 | Sandoz Inc. | Inj, cyclophosphamd, sandoz | 5 MG | 10 | 1 | 200 | 200 |
0781-3530-10 | J9074 | Sandoz Inc. | Inj, cyclophosphamd, sandoz | 5 MG | 20 | 1 | 400 | 400 |
0781-3233-94 | J9075 | Sandoz Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
0781-3244-94 | J9075 | Sandoz Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
0781-3255-94 | J9075 | Sandoz Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
10019-938-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
10019-939-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
10019-942-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
10019-943-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
10019-944-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
10019-945-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
10019-955-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
10019-956-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
10019-957-01 | J9075 | Baxter Healthcare Corporation | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
16714-857-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
16714-858-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
16714-859-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
25021-247-50 | J9075 | Sagent Pharmaceuticals | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
25021-248-51 | J9075 | Sagent Pharmaceuticals | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
25021-249-51 | J9075 | Sagent Pharmaceuticals | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
39822-0250-1 | J9075 | XGen Pharmaceuticals DJB, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
39822-0255-1 | J9075 | XGen Pharmaceuticals DJB, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
39822-0260-1 | J9075 | XGen Pharmaceuticals DJB, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
65219-131-20 | J9075 | FreseniUS Kabi USA, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
65219-133-20 | J9075 | FreseniUS Kabi USA, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
65219-135-20 | J9075 | FreseniUS Kabi USA, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
68001-442-26 | J9075 | BluePoint Laboratories | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
68001-443-27 | J9075 | BluePoint Laboratories | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
68001-444-32 | J9075 | BluePoint Laboratories | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
70121-1238-1 | J9075 | Amneal Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
70121-1239-1 | J9075 | Amneal Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
70121-1240-1 | J9075 | Amneal Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
72572-083-01 | J9075 | Civica, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
72572-085-01 | J9075 | Civica, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
72572-087-01 | J9075 | Civica, Inc. | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
72603-104-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
72603-326-01 | J9075 | Northstar RxLLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
81298-8110-1 | J9075 | Long Grove Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 100 | 100 |
81298-8112-1 | J9075 | Long Grove Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 200 | 200 |
81298-8114-1 | J9075 | Long Grove Pharmaceuticals, LLC | Inj, cyclophosphamide, nos | 5 MG | 1 | 1 | 400 | 400 |
0338-9777-01 | J9076 | Baxter Healthcare Corporation | Inj, cyclophos (baxter) 5mg | 5 MG | 2.5 | 1 | 100 | 100 |
0338-9779-01 | J9076 | Baxter Healthcare Corporation | Inj, cyclophos (baxter) 5mg | 5 MG | 5 | 1 | 200 | 200 |
25021-223-20 | J9100 | Sagent Pharmaceuticals | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
25021-229-05 | J9100 | Sagent Pharmaceuticals | Cytarabine hcl 100 mg inj | 100 MG | 5 | 5 | 1 | 5 |
61703-303-46 | J9100 | Pfizer Inc | Cytarabine hcl 100 mg inj | 100 MG | 50 | 1 | 10 | 10 |
61703-304-36 | J9100 | Pfizer Inc | Cytarabine hcl 100 mg inj | 100 MG | 25 | 1 | 5 | 5 |
61703-305-38 | J9100 | Pfizer Inc | Cytarabine hcl 100 mg inj | 100 MG | 5 | 5 | 1 | 5 |
61703-319-22 | J9100 | Pfizer Inc | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
61703-319-22 | J9100 | Pfizer Inc | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
63323-120-20 | J9100 | FreseniUS Kabi USA, LLC | Cytarabine hcl 100 mg inj | 100 MG | 1 | 1 | 20 | 20 |
71288-109-20 | J9100 | Meitheal Pharmaceuticals Inc. | Cytarabine hcl 100 mg inj | 100 MG | 20 | 1 | 20 | 20 |
72694-515-01 | J9118 | Servier Pharmaceuticals LLC | Inj. calaspargase pegol-mknl | 10 UNITS | 5 | 1 | 375 | 375 |
61755-008-01 | J9119 | Regeneron Pharmaceuticals, Inc. | Inj., cemiplimab-rwlc, 1 mg | 1 MG | 7 | 1 | 350 | 350 |
39822-2100-2 | J9120 | XGen Pharmaceuticals DJB, Inc. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
42658-008-01 | J9120 | Hisun Pharmaceuticals USA, Inc | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
55150-431-01 | J9120 | Eugia US LLC | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
55150-928-02 | J9120 | Eugia US LLC | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
55292-811-55 | J9120 | Recordati Rare Diseases Inc. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
67457-513-05 | J9120 | Mylan Institutional Inc. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
67457-928-02 | J9120 | Mylan Institutional Inc. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
71288-129-02 | J9120 | Meitheal Pharmaceuticals Inc. | Dactinomycin injection | 0.5 MG | 1 | 1 | 1 | 1 |
0143-9245-10 | J9130 | Hikma Pharmaceuticals USA Inc. | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 2 | 20 |
63323-127-10 | J9130 | FreseniUS Kabi USA, LLC | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 1 | 10 |
63323-128-20 | J9130 | FreseniUS Kabi USA, LLC | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 2 | 20 |
71288-174-21 | J9130 | Meitheal Pharmaceuticals Inc. | Dacarbazine 100 mg inj | 100 MG | 1 | 10 | 2 | 20 |
57894-503-01 | J9144 | Janssen Biotech, Inc. | Daratumumab, hyaluronidase | 10 MG | 15 | 1 | 180 | 180 |
57894-502-05 | 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 |
57894-505-05 | J9145 | Janssen Biotech, Inc. | Injection, daratumumab 10 mg | 10 MG | 5 | 1 | 10 | 10 |
57894-505-20 | J9145 | Janssen Biotech, Inc. | Injection, daratumumab 10 mg | 10 MG | 20 | 1 | 40 | 40 |
0143-9550-01 | J9150 | Hikma Pharmaceuticals USA Inc. | Daunorubicin injection | 10 MG | 10 | 1 | 5 | 5 |
0143-9551-10 | J9150 | Hikma Pharmaceuticals USA Inc. | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
42658-019-01 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 10 | 1 | 5 | 5 |
42658-021-01 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 1 | 2 | 2 |
42658-021-02 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
42658-021-91 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 1 | 2 | 2 |
42658-021-92 | J9150 | Hisun Pharmaceuticals USA, Inc | Daunorubicin injection | 10 MG | 4 | 10 | 2 | 20 |
68727-745-02 | J9153 | Jazz Pharmaceuticals, Inc. | Inj daunorubicin, cytarabine | 1 MG/2.27 MG | 1 | 2 | 44 | 88 |
55566-8303-1 | J9155 | Ferring Pharmaceuticals Inc. | Degarelix injection | 1 MG | 1 | 1 | 80 | 80 |
55566-8403-1 | J9155 | Ferring Pharmaceuticals Inc. | Degarelix injection | 1 MG | 1 | 2 | 120 | 240 |
0143-9204-01 | J9171 | Hikma Pharmaceuticals USA Inc. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0143-9205-01 | J9171 | Hikma Pharmaceuticals USA Inc. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0409-0016-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
0409-0201-02 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
0409-0201-02 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
0409-0201-10 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
0409-0201-10 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
0409-0201-20 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
0409-0201-20 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
0409-0365-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
0409-0366-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0409-0367-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0409-0368-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
0409-1732-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
0409-2026-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
0409-4235-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0409-5068-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0409-7870-01 | J9171 | Pfizer Inc | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
0955-1020-01 | J9171 | Sanofi-Aventis U.S. LLC | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
0955-1021-04 | J9171 | Sanofi-Aventis U.S. LLC | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
0955-1022-08 | J9171 | Sanofi-Aventis U.S. LLC | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
16729-267-63 | J9171 | Accord Healthcare Inc | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
16729-267-64 | J9171 | Accord Healthcare Inc | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
16729-267-65 | J9171 | Accord Healthcare Inc | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
23155-903-31 | J9171 | Avet Pharmaceuticals, Inc. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
23155-904-31 | J9171 | Avet Pharmaceuticals, Inc. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
23155-905-31 | J9171 | Avet Pharmaceuticals, Inc. | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
25021-245-01 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
25021-245-04 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
25021-254-08 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
25021-254-16 | J9171 | Sagent Pharmaceuticals | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
43066-001-01 | J9171 | Baxter Healthcare Corporation | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
43066-006-01 | J9171 | Baxter Healthcare Corporation | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
43066-010-01 | J9171 | Baxter Healthcare Corporation | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
45963-734-54 | J9171 | Actavis Pharma, Inc. | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
45963-765-52 | J9171 | Actavis Pharma, Inc. | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
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 |
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 | Eugia US LLC | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
55150-379-01 | J9171 | Eugia US LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
55150-380-01 | J9171 | Eugia US LLC | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
62332-678-02 | J9171 | Alembic Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
62332-678-08 | J9171 | Alembic Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
62332-678-16 | J9171 | Alembic Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
66758-050-01 | J9171 | Sandoz Inc. | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
66758-050-02 | J9171 | Sandoz Inc. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
66758-050-03 | J9171 | Sandoz Inc. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
67457-531-02 | J9171 | Mylan Institutional LLC | Docetaxel injection | 1 MG | 2 | 1 | 20 | 20 |
67457-532-08 | J9171 | Mylan Institutional LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
67457-533-16 | J9171 | Mylan Institutional LLC | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
67457-781-08 | J9171 | Mylan Institutional LLC | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
70121-1221-1 | J9171 | Amneal Pharmaceuticals, LLC | Docetaxel injection | 1 MG | 1 | 1 | 20 | 20 |
70121-1222-1 | J9171 | Amneal Pharmaceuticals, LLC | Docetaxel injection | 1 MG | 4 | 1 | 80 | 80 |
70121-1223-1 | J9171 | Amneal Pharmaceuticals, LLC | Docetaxel injection | 1 MG | 8 | 1 | 160 | 160 |
71288-144-08 | J9171 | Meitheal Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
71288-144-16 | J9171 | Meitheal Pharmaceuticals Inc. | Docetaxel injection | 1 MG | 16 | 1 | 160 | 160 |
72078-040-08 | J9171 | Mylan Institutional LLC | Docetaxel injection | 1 MG | 8 | 1 | 80 | 80 |
83831-101-02 | J9172 | Avyxa Pharma, LLC | Docetaxel (docivyx), 1 mg | 1 MG | 2 | 1 | 20 | 20 |
83831-102-08 | J9172 | Avyxa Pharma, LLC | Docetaxel (docivyx), 1 mg | 1 MG | 8 | 1 | 80 | 80 |
83831-103-16 | J9172 | Avyxa Pharma, LLC | Docetaxel (docivyx), 1 mg | 1 MG | 16 | 1 | 160 | 160 |
0310-4500-12 | J9173 | AstraZeneca Pharmaceuticals LP | Inj., durvalumab, 10 mg | 10 MG | 2.4 | 1 | 12 | 12 |
0310-4611-50 | J9173 | AstraZeneca Pharmaceuticals LP | Inj., durvalumab, 10 mg | 10 MG | 10 | 1 | 50 | 50 |
0003-2291-11 | J9176 | E.R. Squibb & Sons, L.L.C. | Injection, elotuzumab, 1mg | 1 MG | 1 | 1 | 300 | 300 |
0003-4522-11 | J9176 | E.R. Squibb & Sons, L.L.C. | Injection, elotuzumab, 1mg | 1 MG | 1 | 1 | 400 | 400 |
51144-020-01 | J9177 | Seagen Inc. | Inj enfort vedo-ejfv 0.25mg | 0.25 MG | 1 | 1 | 80 | 80 |
51144-030-01 | J9177 | Seagen Inc. | Inj enfort vedo-ejfv 0.25mg | 0.25 MG | 1 | 1 | 120 | 120 |
0009-5091-01 | J9178 | Pfizer Inc | Inj, epirubicin hcl, 2 mg | 2 MG | 25 | 1 | 25 | 25 |
0009-5093-01 | J9178 | Pfizer Inc | Inj, epirubicin hcl, 2 mg | 2 MG | 100 | 1 | 100 | 100 |
0143-9167-01 | J9179 | Hikma Pharmaceuticals USA Inc. | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
10019-080-01 | J9179 | Baxter Healthcare Corporation | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
60505-6289-0 | J9179 | Apotex Corp | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
62856-389-01 | J9179 | Eisai Inc. | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
81298-3890-1 | J9179 | Long Grove Pharmaceuticals, LLC | Eribulin mesylate injection | 0.1 MG | 2 | 1 | 10 | 10 |
0143-9376-01 | J9181 | Hikma Pharmaceuticals USA Inc. | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
0143-9510-01 | J9181 | Hikma Pharmaceuticals USA Inc. | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
0143-9511-01 | J9181 | Hikma Pharmaceuticals USA Inc. | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
0143-9512-01 | J9181 | Hikma Pharmaceuticals USA Inc. | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
16729-114-08 | J9181 | Accord Healthcare Inc | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
16729-114-11 | J9181 | Accord Healthcare Inc | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
16729-114-31 | J9181 | Accord Healthcare Inc | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
61269-410-20 | J9181 | H2 Pharma LLC | Etoposide injection | 10 MG | 1 | 1 | 10 | 10 |
63323-104-05 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 5 | 10 | 10 | 100 |
63323-104-06 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
63323-104-25 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
63323-104-50 | J9181 | FreseniUS Kabi USA, LLC | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
68001-265-25 | J9181 | BluePoint Laboratories | Etoposide injection | 10 MG | 5 | 1 | 10 | 10 |
68001-265-26 | J9181 | BluePoint Laboratories | Etoposide injection | 10 MG | 25 | 1 | 50 | 50 |
68001-265-27 | J9181 | BluePoint Laboratories | Etoposide injection | 10 MG | 50 | 1 | 100 | 100 |
24201-237-01 | J9185 | Hikma Pharmaceuticals USA Inc. | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
25021-242-02 | J9185 | Sagent Pharmaceuticals | Fludarabine phosphate inj | 50 MG | 2 | 1 | 1 | 1 |
45963-609-55 | J9185 | Actavis Pharma, Inc. | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
59923-604-02 | J9185 | Areva Pharmaceuticals | Fludarabine phosphate inj | 50 MG | 2 | 1 | 1 | 1 |
63323-192-02 | J9185 | FreseniUS Kabi USA, LLC | Fludarabine phosphate inj | 50 MG | 1 | 1 | 1 | 1 |
16729-276-38 | J9190 | Accord Healthcare Inc | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
16729-276-68 | J9190 | Accord Healthcare Inc | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
25021-215-98 | J9190 | Sagent Pharmaceuticals | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
25021-215-99 | J9190 | Sagent Pharmaceuticals | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
62332-751-50 | J9190 | Alembic Pharmaceuticals Inc. | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
62332-779-31 | J9190 | Alembic Pharmaceuticals Inc. | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
63323-117-10 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
63323-117-18 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
63323-117-19 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
63323-117-20 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
63323-117-28 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
63323-117-51 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
63323-117-58 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
63323-117-59 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
63323-117-61 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
63323-117-68 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
63323-117-69 | J9190 | FreseniUS Kabi USA, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
68001-524-30 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
68001-524-31 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
68001-525-27 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
68001-525-32 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
68001-627-27 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
68001-628-32 | J9190 | BluePoint Laboratories | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
70700-186-23 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 10 | 10 | 1 | 10 |
70700-187-23 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 20 | 10 | 2 | 20 |
70700-188-22 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
70700-189-22 | J9190 | Xiromed, LLC | Fluorouracil injection | 500 MG | 100 | 1 | 10 | 10 |
71288-170-75 | J9190 | Meitheal Pharmaceuticals Inc. | Fluorouracil injection | 500 MG | 50 | 1 | 5 | 5 |
16729-391-30 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 2 | 1 | 1 | 1 |
16729-419-03 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 10 | 1 | 5 | 5 |
16729-423-33 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 15 | 1 | 7.5 | 8 |
16729-426-05 | J9196 | Accord Healthcare Inc | Inj gemcitabine hcl (accord) | 200 MG | 20 | 1 | 10 | 10 |
68001-342-34 | J9196 | BluePoint Laboratories | Inj gemcitabine hcl (accord) | 200 MG | 2 | 1 | 1 | 1 |
68001-348-36 | J9196 | BluePoint Laboratories | Inj gemcitabine hcl (accord) | 200 MG | 10 | 1 | 5 | 5 |
68001-359-37 | J9196 | BluePoint Laboratories | Inj gemcitabine hcl (accord) | 200 MG | 20 | 1 | 10 | 10 |
81643-9270-1 | J9200 | JND Therapeutics | Floxuridine injection | 500 MG | 1 | 1 | 1 | 1 |
0409-0181-01 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
0409-0181-25 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
0409-0182-01 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
0409-0182-25 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
0409-0183-01 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
0409-0183-25 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
0409-0185-01 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
0409-0186-01 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
0409-0187-01 | J9201 | Pfizer Inc | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 10 | 10 |
16714-909-01 | J9201 | Northstar RxLLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
16714-930-01 | J9201 | Northstar RxLLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
25021-234-10 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
25021-235-50 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
25021-235-51 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 1 | 10 | 5 | 50 |
25021-239-05 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
25021-239-26 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
25021-239-52 | J9201 | Sagent Pharmaceuticals | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
50742-496-26 | J9201 | Ingenus Pharmaceuticals LLC | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
50742-497-53 | J9201 | Ingenus Pharmaceuticals LLC | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
50742-498-05 | J9201 | Ingenus Pharmaceuticals LLC | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
63323-102-13 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
63323-102-13 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
63323-102-94 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
63323-102-94 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
63323-125-53 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
63323-125-53 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
63323-125-94 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
63323-125-94 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
63323-126-03 | J9201 | FreseniUS Kabi USA, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 10 | 10 |
63323-126-03 | J9201 | FreseniUS Kabi USA, LLC | 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 Pharmaceutical Division, LLC | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
71288-113-10 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 1 | 1 |
71288-114-50 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 1 | 1 | 5 | 5 |
71288-117-06 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 5.26 | 1 | 1 | 1 |
71288-117-28 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 26.3 | 1 | 5 | 5 |
71288-117-54 | J9201 | Meitheal Pharmaceuticals Inc. | In gemcitabine hcl nos 200mg | 200 MG | 52.6 | 1 | 10 | 10 |
50090-3466-0 | J9202 | A-S Medication Solutions | Goserelin acetate implant | 3.6 MG | 1 | 1 | 1 | 1 |
70720-950-36 | J9202 | TerSera Therapeutics LLC | Goserelin acetate implant | 3.6 MG | 1 | 1 | 1 | 1 |
70720-951-30 | J9202 | TerSera Therapeutics LLC | Goserelin acetate implant | 3.6 MG | 1 | 1 | 3 | 3 |
0008-4510-01 | J9203 | Pfizer Inc | Gemtuzumab ozogamicin 0.1 mg | 0.1 MG | 1 | 1 | 45 | 45 |
42747-761-01 | J9204 | Kyowa Kirin, Inc. | Inj mogamulizumab-kpkc, 1 mg | 1 MG | 5 | 1 | 20 | 20 |
15054-0043-1 | J9205 | Ipsen Biopharmaceuticals, Inc. | Inj irinotecan liposome 1 mg | 1 MG | 10 | 1 | 43 | 43 |
0009-0082-02 | J9206 | Pfizer Inc. | Irinotecan injection | 20 MG | 15 | 1 | 15 | 15 |
0009-0112-05 | J9206 | Pharmacia and Upjohn Company | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
0009-7529-03 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
0009-7529-04 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
0009-7529-05 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 15 | 1 | 15 | 15 |
0009-7529-10 | J9206 | Pharmacia and Upjohn Company | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
0143-9701-01 | J9206 | Hikma Pharmaceuticals USA Inc. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
0143-9702-01 | J9206 | Hikma Pharmaceuticals USA Inc. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
16714-027-01 | J9206 | Northstar RxLLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
16714-131-01 | J9206 | Northstar RxLLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
25021-230-02 | J9206 | Sagent Pharmaceuticals | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
25021-230-05 | J9206 | Sagent Pharmaceuticals | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
45963-614-51 | J9206 | Actavis Pharma, Inc. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
45963-614-51 | J9206 | Actavis Pharma, Inc. | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
45963-614-55 | J9206 | Actavis Pharma, Inc. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
45963-614-55 | J9206 | Actavis Pharma, Inc. | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
50742-401-02 | J9206 | Ingenus Pharmaceuticals LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
50742-402-05 | J9206 | Ingenus Pharmaceuticals LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
55150-352-01 | J9206 | Eugia US LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
55150-353-01 | J9206 | Eugia US LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
55150-354-01 | J9206 | Eugia US LLC | Irinotecan injection | 20 MG | 15 | 1 | 15 | 15 |
60505-6128-0 | J9206 | Apotex Corp | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
60505-6128-1 | J9206 | Apotex Corp | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
60505-6272-1 | J9206 | Apotex Corp | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
61703-349-09 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
61703-349-16 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
61703-349-36 | J9206 | Pfizer Inc | Irinotecan injection | 20 MG | 25 | 1 | 25 | 25 |
63323-193-52 | J9206 | FreseniUS Kabi USA, LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
63323-193-52 | J9206 | FreseniUS Kabi USA, LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
63323-193-55 | J9206 | FreseniUS Kabi USA, LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
63323-193-55 | J9206 | FreseniUS Kabi USA, LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
68001-480-22 | J9206 | BluePoint Laboratories | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
68001-480-35 | J9206 | BluePoint Laboratories | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
70700-169-22 | J9206 | Xiromed, LLC | Irinotecan injection | 20 MG | 2 | 1 | 2 | 2 |
70700-170-22 | J9206 | Xiromed, LLC | Irinotecan injection | 20 MG | 5 | 1 | 5 | 5 |
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 Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
0338-3993-01 | J9208 | Baxter Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
10019-925-01 | J9208 | Baxter Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
10019-926-02 | J9208 | Baxter Healthcare Corporation | Ifosfamide injection | 1 GM | 1 | 1 | 3 | 3 |
63323-142-10 | J9208 | FreseniUS Kabi USA, LLC | Ifosfamide injection | 1 GM | 1 | 1 | 1 | 1 |
0143-9260-01 | J9209 | Hikma Pharmaceuticals USA Inc. | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
0338-1305-01 | J9209 | Baxter Healthcare Corporation | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
10019-953-01 | J9209 | Baxter Healthcare Corporation | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
25021-201-10 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
25021-201-10 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
25021-201-11 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 10 | 5 | 50 |
25021-201-11 | J9209 | Sagent Pharmaceuticals | Mesna injection | 200 MG | 10 | 10 | 5 | 50 |
63323-733-11 | J9209 | FreseniUS Kabi USA, LLC | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
70860-209-10 | J9209 | Athenex Pharmaceutical Division, LLC | Mesna injection | 200 MG | 10 | 1 | 5 | 5 |
66658-501-01 | J9210 | Swedish Orphan Biovitrum AB (PuBL) | Inj., emapalumab-lzsg, 1 mg | 1 MG | 2 | 1 | 10 | 10 |
66658-505-01 | J9210 | Swedish Orphan Biovitrum AB (PuBL) | Inj., emapalumab-lzsg, 1 mg | 1 MG | 10 | 1 | 50 | 50 |
66658-510-01 | J9210 | Swedish Orphan Biovitrum AB (PuBL) | Inj., emapalumab-lzsg, 1 mg | 1 MG | 20 | 1 | 100 | 100 |
0013-2576-05 | J9211 | Pfizer Inc. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0013-2576-91 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0013-2586-10 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0013-2586-91 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0013-2596-20 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0013-2596-91 | J9211 | Pfizer Inc | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0143-9217-01 | J9211 | Hikma Pharmaceuticals USA Inc. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0143-9218-01 | J9211 | Hikma Pharmaceuticals USA Inc. | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0143-9219-01 | J9211 | Hikma Pharmaceuticals USA Inc. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0143-9306-01 | J9211 | Hikma Pharmaceuticals USA Inc. | Idarubicin hcl injection | 5 MG | 5 | 1 | 1 | 1 |
0143-9307-01 | J9211 | Hikma Pharmaceuticals USA Inc. | Idarubicin hcl injection | 5 MG | 10 | 1 | 2 | 2 |
0143-9308-01 | J9211 | Hikma Pharmaceuticals USA Inc. | Idarubicin hcl injection | 5 MG | 20 | 1 | 4 | 4 |
0074-3346-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
0074-3473-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
0074-3642-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
0074-3683-03 | J9217 | AbbVie Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 4 | 4 |
62935-223-05 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
62935-227-10 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 3 | 3 |
62935-303-30 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 4 | 4 |
62935-306-40 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 0.5 | 1 | 4 | 4 |
62935-453-45 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
62935-461-50 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 6 | 6 |
62935-753-75 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
62935-756-80 | J9217 | Tolmar Inc. | Leuprolide acetate suspnsion | 7.5 MG | 1 | 1 | 1 | 1 |
68727-712-01 | J9223 | Jazz Pharmaceuticals, Inc. | Inj. lurbinectedin, 0.1 mg | 0.1 MG | 1 | 1 | 40 | 40 |
67979-002-01 | J9226 | Endo USA, Inc. | Supprelin la implant | 50 MG | 1 | 1 | 1 | 1 |
0024-0654-01 | J9227 | Sanofi-Aventis U.S. LLC | Inj. isatuximab-irfc 10 mg | 10 MG | 5 | 1 | 10 | 10 |
0024-0656-01 | J9227 | Sanofi-Aventis U.S. LLC | Inj. isatuximab-irfc 10 mg | 10 MG | 25 | 1 | 50 | 50 |
0003-2327-11 | J9228 | E.R. Squibb & Sons, L.L.C. | Ipilimumab injection | 1 MG | 10 | 1 | 50 | 50 |
0003-2328-22 | J9228 | E.R. Squibb & Sons, L.L.C. | Ipilimumab injection | 1 MG | 40 | 1 | 200 | 200 |
0008-0100-01 | J9229 | Pfizer Inc | Inj inotuzumab ozogam 0.1 mg | 0.1 MG | 1 | 1 | 9 | 9 |
25021-258-61 | J9245 | Sagent Pharmaceuticals | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
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 USA, LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
67457-195-01 | J9245 | Mylan Institutional LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
67457-215-01 | J9245 | Mylan Institutional LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
67457-215-01 | J9245 | Mylan Institutional LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
70700-278-97 | J9245 | Xiromed, LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
70860-214-61 | J9245 | Athenex Pharmaceutical Division, LLC | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
71288-132-90 | J9245 | Meitheal Pharmaceuticals Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
72266-128-01 | J9245 | Fosun Pharma USA Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
75907-112-11 | J9245 | Dr. Reddy's Laboratories Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
83634-202-61 | J9245 | Avenacy Inc. | Inj melpha hydroch nos 50 mg | 50 MG | 1 | 1 | 1 | 1 |
72893-001-01 | J9246 | Acrotech Biopharma LLC | Inj., evomela, 1 mg | 1 MG | 1 | 1 | 50 | 50 |
75833-601-01 | J9248 | Delcath Systems Incorporated | Inj melphalan (hepzato) 1 mg | 1 MG | 1 | 5 | 50 | 250 |
75833-601-02 | J9248 | Delcath Systems Incorporated | Inj melphalan (hepzato) 1 mg | 1 MG | 1 | 5 | 50 | 250 |
0143-9367-01 | J9260 | Hikma Pharmaceuticals USA Inc. | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
0143-9519-10 | J9260 | Hikma Pharmaceuticals USA Inc. | Inj methotrexate sodium 50mg | 50 MG | 2 | 10 | 1 | 10 |
0143-9830-01 | J9260 | Hikma Pharmaceuticals USA Inc. | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
0703-3671-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 2 | 1 | 1 | 1 |
0703-3671-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 2 | 1 | 1 | 1 |
0703-3675-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 10 | 1 | 5 | 5 |
0703-3675-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 10 | 1 | 5 | 5 |
0703-3678-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
0703-3678-01 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
0703-3678-81 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
0703-3678-81 | J9260 | Teva Parenteral Medicines, Inc. | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
16729-277-30 | J9260 | Accord Healthcare Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 1 | 1 | 1 |
16729-277-35 | J9260 | Accord Healthcare Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
61703-124-40 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
61703-161-05 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 5 | 1 | 5 |
61703-350-10 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 5 | 1 | 5 |
61703-350-38 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 2 | 5 | 1 | 5 |
61703-408-25 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
61703-408-41 | J9260 | Pfizer Inc | Inj methotrexate sodium 50mg | 50 MG | 40 | 1 | 20 | 20 |
63323-122-50 | J9260 | FreseniUS Kabi USA, LLC | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
63323-122-50 | J9260 | FreseniUS Kabi USA, LLC | Inj methotrexate sodium 50mg | 50 MG | 1 | 1 | 20 | 20 |
63323-123-10 | J9260 | FreseniUS Kabi USA, LLC | Inj methotrexate sodium 50mg | 50 MG | 10 | 1 | 5 | 5 |
0078-0683-61 | J9261 | Sandoz Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
25021-259-50 | J9261 | Sagent Pharmaceuticals | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
25021-259-51 | J9261 | Sagent Pharmaceuticals | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
39822-0650-1 | J9261 | XGen Pharmaceuticals DJB, Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
39822-0650-6 | J9261 | XGen Pharmaceuticals DJB, Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
43598-142-06 | J9261 | Dr. Reddy's Laboratories Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
43598-142-11 | J9261 | Dr. Reddy's Laboratories Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
62332-813-50 | J9261 | Alembic Pharmaceuticals Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
70121-1743-4 | J9261 | Amneal Pharmaceuticals, LLC | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
70710-1726-1 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
70710-1726-8 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
70710-1839-1 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
70710-1839-8 | J9261 | Zydus Pharmaceuticals (USA) Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
71288-165-53 | J9261 | Meitheal Pharmaceuticals Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
71288-165-54 | J9261 | Meitheal Pharmaceuticals Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
72205-154-01 | J9261 | Novadoz Pharmaceuticals LLC | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
72205-154-04 | J9261 | Novadoz Pharmaceuticals LLC | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
81927-111-01 | J9261 | Shorla Oncology Inc. | Nelarabine injection | 50 MG | 50 | 1 | 5 | 5 |
81927-111-06 | J9261 | Shorla Oncology Inc. | Nelarabine injection | 50 MG | 50 | 6 | 5 | 30 |
0703-3985-01 | J9263 | Teva Parenteral Medicines, Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
0703-3986-01 | J9263 | Teva Parenteral Medicines, Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
0781-3315-70 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
0781-3317-80 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
0781-9315-70 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
0781-9317-80 | J9263 | Sandoz Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
0955-1727-20 | J9263 | Sanofi-Aventis U.S. LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
16729-332-03 | J9263 | Accord Healthcare Inc | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
16729-332-05 | J9263 | Accord Healthcare Inc | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
25021-233-10 | J9263 | Sagent Pharmaceuticals | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
25021-233-20 | J9263 | Sagent Pharmaceuticals | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
50742-405-10 | J9263 | Ingenus Pharmaceuticals LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
50742-406-20 | J9263 | Ingenus Pharmaceuticals LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
55150-331-01 | J9263 | Eugia US LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
55150-332-01 | J9263 | Eugia US LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
60505-6132-6 | J9263 | Apotex Corp | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
60505-6132-7 | J9263 | Apotex Corp | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
60505-6132-8 | J9263 | Apotex Corp | Oxaliplatin | 0.5 MG | 40 | 1 | 400 | 400 |
60505-6287-2 | J9263 | Apotex Corp | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
60505-6287-4 | J9263 | Apotex Corp | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
61703-363-18 | J9263 | Pfizer Inc | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
61703-363-18 | J9263 | Pfizer Inc | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
61703-363-22 | J9263 | Pfizer Inc | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
61703-363-22 | J9263 | Pfizer Inc | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
63323-750-10 | J9263 | FreseniUS Kabi USA, LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
63323-750-20 | J9263 | FreseniUS Kabi USA, LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
67457-442-20 | J9263 | Mylan Institutional LLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
67457-469-10 | J9263 | Mylan Institutional LLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
68001-468-36 | J9263 | BluePoint Laboratories | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
68001-468-37 | J9263 | BluePoint Laboratories | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
71288-101-10 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
71288-101-20 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
71288-149-95 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
71288-149-96 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
71288-172-92 | J9263 | Meitheal Pharmaceuticals Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
72266-161-01 | J9263 | Fosun Pharma USA Inc. | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
72266-162-01 | J9263 | Fosun Pharma USA Inc. | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
72603-101-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
72603-301-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
72603-320-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 20 | 1 | 200 | 200 |
72603-420-01 | J9263 | Northstar RxLLC | Oxaliplatin | 0.5 MG | 10 | 1 | 100 | 100 |
0480-3290-01 | J9264 | Teva Pharmaceuticals USA, Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
0517-4300-01 | J9264 | American Regent, Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
0781-3531-91 | J9264 | Sandoz Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
24979-710-51 | J9264 | TWI Pharmaceuticals, Inc. | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
60505-6230-4 | J9264 | Apotex Corp | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
68817-134-50 | J9264 | Celgene Corporation | Paclitaxel protein bound | 1 MG | 1 | 1 | 100 | 100 |
72694-954-01 | J9266 | Servier Pharmaceuticals LLC | Pegaspargase injection | 1 EACH | 5 | 1 | 1 | 1 |
0703-3213-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
0703-3213-81 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
0703-3216-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
0703-3216-81 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
0703-3217-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 25 | 1 | 150 | 150 |
0703-3218-01 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
0703-3218-81 | J9267 | Teva Parenteral Medicines, Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
16714-137-01 | J9267 | Northstar RxLLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
23155-882-31 | J9267 | Heritage Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
23155-883-31 | J9267 | Heritage Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
23155-884-31 | J9267 | Heritage Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
25021-255-05 | J9267 | Sagent Pharmaceuticals | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
25021-255-17 | J9267 | Sagent Pharmaceuticals | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
25021-255-50 | J9267 | Sagent Pharmaceuticals | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
61703-342-09 | J9267 | Pfizer Inc | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
61703-342-22 | J9267 | Pfizer Inc | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
61703-342-50 | J9267 | Pfizer Inc | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
62332-620-05 | J9267 | Alembic Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
62332-621-17 | J9267 | Alembic Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
62332-622-50 | J9267 | Alembic Pharmaceuticals Inc. | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
63323-763-16 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
63323-763-16 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
63323-763-50 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
63323-763-50 | J9267 | FreseniUS Kabi USA, LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
68001-516-27 | J9267 | BluePoint Laboratories | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
70860-200-05 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
70860-200-17 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
70860-200-50 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
70860-215-66 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 5 | 1 | 30 | 30 |
70860-215-67 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 16.7 | 1 | 100 | 100 |
70860-215-68 | J9267 | Athenex Pharmaceutical Division, LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
72205-063-01 | J9267 | Novadoz Pharmaceuticals LLC | Paclitaxel injection | 1 MG | 50 | 1 | 300 | 300 |
0409-0801-01 | J9268 | Pfizer Inc | Pentostatin injection | 10 MG | 1 | 1 | 1 | 1 |
0409-0801-01 | J9268 | Pfizer Inc | Pentostatin injection | 10 MG | 1 | 1 | 1 | 1 |
72187-0401-1 | J9269 | Stemline Therapeutics, Inc. | Inj. tagraxofusp-erzs 10 mcg | 10 MCG | 1 | 1 | 100 | 100 |
0006-3026-02 | J9271 | Merck Sharp & Dohme LLC | Inj pembrolizumab | 1 MG | 4 | 1 | 100 | 100 |
0006-3026-04 | J9271 | Merck Sharp & Dohme LLC | Inj pembrolizumab | 1 MG | 4 | 2 | 100 | 200 |
0173-0898-03 | J9272 | GlaxoSmithKline LLC | Inj, dostarlimab-gxly, 10 mg | 10 MG | 10 | 1 | 50 | 50 |
51144-003-01 | J9273 | Seagen Inc. | Inj tisotu vedotin-tftv, 1mg | 1 MG | 1 | 1 | 40 | 40 |
80446-401-01 | J9274 | Immunocore Commercial LLC | Inj, tebentafusp-tebn, 1 mcg | 1 MCG | 0.5 | 1 | 100 | 100 |
68727-950-02 | J9276 | Jazz Pharmaceuticals, Inc. | Inj zanidatamab-hrii, 2 mg | 2 MG | 1 | 2 | 150 | 300 |
0143-9135-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
0143-9136-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
0143-9279-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
0143-9280-01 | J9280 | Hikma Pharmaceuticals USA Inc. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
16729-115-05 | J9280 | Accord Healthcare Inc | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
16729-116-38 | J9280 | Accord Healthcare Inc | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
25021-250-20 | J9280 | Sagent Pharmaceuticals | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
25021-251-50 | J9280 | Sagent Pharmaceuticals | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
25021-252-51 | J9280 | Sagent Pharmaceuticals | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
55150-450-01 | J9280 | Eugia US LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
55150-451-01 | J9280 | Eugia US LLC | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
55150-452-01 | J9280 | Eugia US LLC | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
65219-564-20 | J9280 | FreseniUS Kabi USA, LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
65219-566-20 | J9280 | FreseniUS Kabi USA, LLC | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
65219-568-00 | J9280 | FreseniUS Kabi USA, LLC | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
68001-389-36 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
68001-615-36 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
68001-616-77 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
68001-617-79 | J9280 | BluePoint Laboratories | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
71288-137-20 | J9280 | Meitheal Pharmaceuticals Inc. | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
71288-138-50 | J9280 | Meitheal Pharmaceuticals Inc. | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
71288-139-51 | J9280 | Meitheal Pharmaceuticals Inc. | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
72819-152-05 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
72819-152-95 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 1 | 1 |
72819-153-02 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 4 | 4 |
72819-154-04 | J9280 | Archis Pharma LLC | Mitomycin injection | 5 MG | 1 | 1 | 8 | 8 |
72493-103-03 | J9281 | UroGen Pharma | Mitomycin instillation | 1 MG | 1 | 2 | 40 | 80 |
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 |
83831-131-01 | J9292 | Avyxa Pharma, LLC | Inj, pemetrexed dipotassium | 10 MG | 1 | 1 | 10 | 10 |
83831-132-01 | J9292 | Avyxa Pharma, LLC | Inj, pemetrexed dipotassium | 10 MG | 1 | 1 | 50 | 50 |
61703-343-18 | J9293 | Pfizer Inc | Mitoxantrone hydrochl / 5 mg | 5 MG | 10 | 1 | 4 | 4 |
61703-343-65 | J9293 | Pfizer Inc | Mitoxantrone hydrochl / 5 mg | 5 MG | 12.5 | 1 | 5 | 5 |
61703-343-66 | J9293 | Pfizer Inc | Mitoxantrone hydrochl / 5 mg | 5 MG | 15 | 1 | 6 | 6 |
63323-132-10 | J9293 | FreseniUS Kabi USA, LLC | Mitoxantrone hydrochl / 5 mg | 5 MG | 10 | 1 | 4 | 4 |
63323-132-12 | J9293 | FreseniUS Kabi USA, LLC | Mitoxantrone hydrochl / 5 mg | 5 MG | 12.5 | 1 | 5 | 5 |
0409-0004-04 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 40 | 1 | 100 | 100 |
0409-0020-02 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 4 | 1 | 10 | 10 |
0409-0021-03 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 20 | 1 | 50 | 50 |
0409-1045-01 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 4 | 1 | 10 | 10 |
0409-2188-01 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 20 | 1 | 50 | 50 |
0409-3532-01 | J9294 | Pfizer Inc | Inj pemetrexed, hospira 10mg | 10 MG | 40 | 1 | 100 | 100 |
0002-7716-01 | J9295 | Eli Lilly and Company | Injection, necitumumab, 1 mg | 1 MG | 50 | 1 | 800 | 800 |
16729-522-05 | J9296 | Accord Healthcare Inc | Inj pemetrexed (accord) 10mg | 10 MG | 20 | 1 | 50 | 50 |
16729-522-28 | J9296 | Accord Healthcare Inc | Inj pemetrexed (accord) 10mg | 10 MG | 34 | 1 | 85 | 85 |
16729-522-35 | J9296 | Accord Healthcare Inc | Inj pemetrexed (accord) 10mg | 10 MG | 40 | 1 | 100 | 100 |
16729-522-64 | J9296 | Accord Healthcare Inc | Inj pemetrexed (accord) 10mg | 10 MG | 4 | 1 | 10 | 10 |
0781-3518-76 | J9297 | Sandoz Inc. | Inj pemetrexed (sandoz) 10mg | 10 MG | 4 | 1 | 10 | 10 |
0781-3519-90 | J9297 | Sandoz Inc. | Inj pemetrexed (sandoz) 10mg | 10 MG | 20 | 1 | 50 | 50 |
0003-7125-11 | J9298 | E.R. Squibb & Sons, L.L.C. | Inj nivol relatlimab 3mg/1mg | 3 MG - 1 MG | 20 | 1 | 80 | 80 |
0003-3734-13 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 24 | 1 | 240 | 240 |
0003-3756-14 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 12 | 1 | 120 | 120 |
0003-3772-11 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 4 | 1 | 40 | 40 |
0003-3774-12 | J9299 | E.R. Squibb & Sons, L.L.C. | Injection, nivolumab | 1 MG | 10 | 1 | 100 | 100 |
50242-070-01 | J9301 | Genentech, Inc. | Obinutuzumab inj | 10 MG | 40 | 1 | 100 | 100 |
55513-954-01 | J9303 | Amgen Inc | Panitumumab injection | 10 MG | 5 | 1 | 10 | 10 |
55513-956-01 | J9303 | Amgen Inc | Panitumumab injection | 10 MG | 20 | 1 | 40 | 40 |
42367-531-33 | J9304 | Eagle Pharmaceuticals, Inc. | Inj. pemetrexed, 10 mg | 10 MG | 20 | 1 | 50 | 50 |
0002-7623-01 | J9305 | Eli Lilly and Company | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
0002-7640-01 | J9305 | Eli Lilly and Company | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
43598-370-74 | J9305 | Dr. Reddy's Laboratories Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
43598-386-62 | J9305 | Dr. Reddy's Laboratories Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
43598-387-11 | J9305 | Dr. Reddy's Laboratories Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
50742-340-01 | J9305 | Ingenus Pharmaceuticals LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
50742-341-01 | J9305 | Ingenus Pharmaceuticals LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
55150-381-01 | J9305 | Eugia US LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
55150-382-01 | J9305 | Eugia US LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
55150-383-01 | J9305 | Eugia US LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
60505-6065-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
60505-6066-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
60505-6067-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
60505-6068-0 | J9305 | Apotex Corp | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
63323-134-10 | J9305 | FreseniUS Kabi USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
63323-450-50 | J9305 | FreseniUS Kabi USA, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
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) Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
70710-1655-1 | J9305 | Zydus Pharmaceuticals (USA) Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
70710-1674-1 | J9305 | Zydus Pharmaceuticals (USA) Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
70860-202-10 | J9305 | Athenex Pharmaceutical Division, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
70860-203-50 | J9305 | Athenex Pharmaceutical Division, LLC | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
71288-147-50 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 75 | 75 |
71288-148-51 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 100 | 100 |
71288-166-10 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
71288-166-91 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
71288-166-92 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 10 | 10 |
71288-167-50 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
71288-167-95 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
71288-167-96 | J9305 | Meitheal Pharmaceuticals Inc. | Inj. pemetrexed nos 10mg | 10 MG | 1 | 1 | 50 | 50 |
50242-145-01 | J9306 | Genentech, Inc. | Injection, pertuzumab, 1 mg | 1 MG | 14 | 1 | 420 | 420 |
65219-550-01 | J9307 | FreseniUS Kabi USA, LLC | Pralatrexate injection | 1 MG | 1 | 1 | 20 | 20 |
65219-552-02 | J9307 | FreseniUS Kabi USA, LLC | Pralatrexate injection | 1 MG | 2 | 1 | 40 | 40 |
72893-003-01 | J9307 | Acrotech Biopharma LLC | Pralatrexate injection | 1 MG | 1 | 1 | 20 | 20 |
72893-005-01 | J9307 | Acrotech Biopharma LLC | Pralatrexate injection | 1 MG | 2 | 1 | 40 | 40 |
0002-7669-01 | J9308 | Eli Lilly and Company | Injection, ramucirumab | 5 MG | 10 | 1 | 20 | 20 |
0002-7678-01 | J9308 | Eli Lilly and Company | Injection, ramucirumab | 5 MG | 50 | 1 | 100 | 100 |
50242-103-01 | J9309 | Genentech, Inc. | Inj, polatuzumab vedotin 1mg | 1 MG | 1 | 1 | 30 | 30 |
50242-105-01 | J9309 | Genentech, Inc. | Inj, polatuzumab vedotin 1mg | 1 MG | 1 | 1 | 140 | 140 |
50242-108-01 | J9311 | Genentech, Inc. | Inj rituximab, hyaluronidase | 10 MG (rituximab) | 11.7 | 1 | 140 | 140 |
50242-109-01 | J9311 | Genentech, Inc. | Inj rituximab, hyaluronidase | 10 MG (rituximab) | 13.4 | 1 | 160 | 160 |
50242-051-21 | J9312 | Genentech, Inc. | Inj., rituximab, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
50242-053-06 | J9312 | Genentech, Inc. | Inj., rituximab, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
0480-4514-01 | J9314 | Teva Pharmaceuticals USA, Inc. | Inj pemetrexed (teva) 10mg | 10 MG | 20 | 1 | 50 | 50 |
0480-4515-01 | J9314 | Teva Pharmaceuticals USA, Inc. | Inj pemetrexed (teva) 10mg | 10 MG | 40 | 1 | 100 | 100 |
0480-4516-01 | J9314 | Teva Pharmaceuticals USA, Inc. | Inj pemetrexed (teva) 10mg | 10 MG | 4 | 1 | 10 | 10 |
50242-245-01 | J9316 | Genentech, Inc. | Pertuzu, trastuzu, 10 mg | 10 MG | 15 | 1 | 180 | 180 |
50242-260-01 | J9316 | Genentech, Inc. | Pertuzu, trastuzu, 10 mg | 10 MG | 10 | 1 | 120 | 120 |
55135-132-01 | J9317 | Immunomedics, Inc. | Sacituzumab govitecan-hziy | 2.5 MG | 1 | 1 | 72 | 72 |
0703-4004-01 | J9318 | Teva Parenteral Medicines, Inc. | Inj romidepsin non-lyo 0.1mg | 0.1 MG | 5.5 | 1 | 275 | 275 |
59572-984-01 | J9319 | Celgene Corporation | Inj romidepsin lyophil 0.1mg | 0.1 MG | 1 | 1 | 100 | 100 |
63323-926-88 | J9319 | FreseniUS Kabi USA, LLC | Inj romidepsin lyophil 0.1mg | 0.1 MG | 1 | 1 | 100 | 100 |
82705-002-01 | J9321 | Genmab US, Inc. | Inj epcoritamab-bysp 0.16 mg | 0.16 MG | 0.8 | 1 | 25 | 25 |
82705-010-01 | J9321 | Genmab US, Inc. | Inj epcoritamab-bysp 0.16 mg | 0.16 MG | 0.8 | 1 | 300 | 300 |
0409-1060-01 | J9323 | Pfizer Inc | Inj pemetrexed ditromethamin | 10 MG | 1 | 1 | 10 | 10 |
0409-1061-01 | J9323 | Pfizer Inc | Inj pemetrexed ditromethamin | 10 MG | 1 | 1 | 50 | 50 |
70121-2453-1 | J9324 | Amneal Pharmaceuticals, LLC | Inj, pemrydi rtu, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
70121-2461-1 | J9324 | Amneal Pharmaceuticals, LLC | Inj, pemrydi rtu, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
55513-078-01 | J9325 | Amgen Inc | Inj talimogene laherparepvec | 1 million�PFU | 1 | 1 | 1 | 1 |
55513-079-01 | J9325 | Amgen Inc | Inj talimogene laherparepvec | 1 million�PFU | 1 | 1 | 100 | 100 |
0085-1381-01 | J9328 | Merck Sharp & Dohme LLC | Temozolomide injection | 1 MG | 1 | 1 | 100 | 100 |
72579-121-01 | J9329 | BeiGene USA, Inc. | Inj, tislelizumab-jsgr | 1 MG | 10 | 1 | 100 | 100 |
0008-1179-01 | J9330 | Pfizer Inc | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
16729-223-61 | J9330 | Accord Healthcare Inc | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
65219-200-05 | J9330 | FreseniUS Kabi USA, LLC | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
72611-785-02 | J9330 | Almaject, Inc. | Temsirolimus injection | 1 MG | 1 | 1 | 25 | 25 |
80803-153-50 | J9331 | Aadi Bioscience | Inj sirolimus prot part 1 mg | 1 MG | 1 | 1 | 100 | 100 |
73475-3041-5 | J9332 | Argenx US, Inc | Inj efgartigimod 2mg | 2 MG | 20 | 1 | 200 | 200 |
50474-980-79 | J9333 | UCB, Inc. | Inj ronzanolixizum-noli 1 mg | 1 MG | 2 | 1 | 280 | 280 |
50474-981-83 | J9333 | UCB, Inc. | Inj ronzanolixizum-noli 1 mg | 1 MG | 3 | 1 | 420 | 420 |
50474-982-84 | J9333 | UCB, Inc. | Inj ronzanolixizum-noli 1 mg | 1 MG | 4 | 1 | 560 | 560 |
50474-983-86 | J9333 | UCB, Inc. | Inj ronzanolixizum-noli 1 mg | 1 MG | 6 | 1 | 840 | 840 |
73475-3102-3 | J9334 | Argenx US, Inc | Inj efgart-alfa 2mg hya-qvfc | 2 MG | 5.6 | 1 | 504 | 504 |
0143-9292-01 | J9342 | Hikma Pharmaceuticals USA Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
0143-9309-01 | J9342 | Hikma Pharmaceuticals USA Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
0143-9565-01 | J9342 | Hikma Pharmaceuticals USA Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
25021-246-02 | J9342 | Sagent Pharmaceuticals | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
43598-171-11 | J9342 | Dr. Reddy's Laboratories Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
43598-650-11 | J9342 | Dr. Reddy's Laboratories Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
65219-029-20 | J9342 | FreseniUS Kabi USA, LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
70121-1630-1 | J9342 | Amneal Pharmaceuticals, LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
70121-1631-1 | J9342 | Amneal Pharmaceuticals, LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
71288-156-05 | J9342 | Meitheal Pharmaceuticals Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
71288-157-10 | J9342 | Meitheal Pharmaceuticals Inc. | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
72205-045-01 | J9342 | Novadoz Pharmaceuticals LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 15 | 15 |
72205-046-01 | J9342 | Novadoz Pharmaceuticals LLC | Inj thiotepa nos 1 mg | 1 MG | 1 | 1 | 100 | 100 |
50881-006-03 | J9345 | Incyte Corporation | Inj, retifanlimab-dlwr, 1 mg | 1 MG | 20 | 1 | 500 | 500 |
0310-4505-25 | J9347 | AstraZeneca Pharmaceuticals LP | Inj, tremelimumab-actl, 1 mg | 1 MG | 1.25 | 1 | 25 | 25 |
0310-4535-30 | J9347 | AstraZeneca Pharmaceuticals LP | Inj, tremelimumab-actl, 1 mg | 1 MG | 15 | 1 | 300 | 300 |
73042-201-01 | J9348 | Y-mAbs Therapeutics, Inc. | Inj. naxitamab-gqgk, 1 mg | 1 MG | 10 | 1 | 40 | 40 |
50881-013-03 | J9349 | Incyte Corporation | Inj., tafasitamab-cxix | 2 MG | 1 | 1 | 100 | 100 |
73535-208-01 | J9349 | Incyte Corporation | Inj., tafasitamab-cxix | 2 MG | 1 | 1 | 100 | 100 |
50242-142-01 | J9350 | Genentech, Inc. | Inj mosunetuzumab-axgb, 1 mg | 1 MG | 30 | 1 | 30 | 30 |
50242-159-01 | J9350 | Genentech, Inc. | Inj mosunetuzumab-axgb, 1 mg | 1 MG | 1 | 1 | 1 | 1 |
0409-0302-01 | J9351 | Pfizer Inc | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
0409-0302-01 | J9351 | Pfizer Inc | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
16729-151-31 | J9351 | Accord Healthcare Inc | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
16729-243-31 | J9351 | Accord Healthcare Inc | Topotecan injection | 0.1 MG | 4 | 1 | 40 | 40 |
45963-615-56 | J9351 | Actavis Pharma, Inc. | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
63323-762-10 | J9351 | FreseniUS Kabi USA, LLC | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
63323-762-10 | J9351 | FreseniUS Kabi USA, LLC | Topotecan injection | 0.1 MG | 1 | 1 | 40 | 40 |
59676-610-01 | J9352 | Janssen Products, LP | Injection trabectedin 0.1mg | 0.1 MG | 1 | 1 | 10 | 10 |
74527-022-02 | J9353 | MacroGenics, Inc | Inj. margetuximab-cmkb, 5 mg | 5 MG | 10 | 1 | 50 | 50 |
74527-022-03 | J9353 | MacroGenics, Inc | Inj. margetuximab-cmkb, 5 mg | 5 MG | 10 | 4 | 50 | 200 |
50242-087-01 | J9354 | Genentech, Inc. | Inj, ado-trastuzumab emt 1mg | 1 MG | 1 | 1 | 160 | 160 |
50242-088-01 | J9354 | Genentech, Inc. | Inj, ado-trastuzumab emt 1mg | 1 MG | 1 | 1 | 100 | 100 |
50242-132-01 | J9355 | Genentech, Inc. | Inj trastuzumab excl biosimi | 10 MG | 1 | 1 | 15 | 15 |
50242-077-01 | J9356 | Genentech, Inc. | Inj. herceptin hylecta, 10mg | 10 MG | 6 | 1 | 60 | 60 |
50242-077-01 | J9356 | Genentech, Inc. | Inj. herceptin hylecta, 10mg | 10 MG | 6 | 1 | 60 | 60 |
24201-101-04 | J9357 | Hikma Pharmaceuticals USA Inc. | Valrubicin injection | 200 MG | 5 | 4 | 1 | 4 |
67979-001-01 | J9357 | Endo USA, Inc. | Valrubicin injection | 200 MG | 5 | 4 | 1 | 4 |
65597-406-01 | J9358 | Daiichi Sankyo Inc. | Inj fam-trastu deru-nxki 1mg | 1 MG | 1 | 1 | 100 | 100 |
79952-110-01 | J9359 | ADC Therapeutics America, Inc. | Inj lon tesirin-lpyl 0.075mg | 0.075 MG | 1 | 1 | 133.33 | 134 |
63323-278-10 | J9360 | FreseniUS Kabi USA, LLC | Vinblastine sulfate inj | 1 MG | 10 | 1 | 10 | 10 |
0703-4402-11 | J9370 | Teva Parenteral Medicines, Inc. | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
0703-4412-11 | J9370 | Teva Parenteral Medicines, Inc. | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
61703-309-06 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
61703-309-16 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
61703-309-25 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 2 | 1 | 2 | 2 |
61703-309-26 | J9370 | Pfizer Inc | Vincristine sulfate 1 mg inj | 1 MG | 1 | 1 | 1 | 1 |
57894-449-01 | J9380 | Janssen Biotech, Inc. | Inj teclistamab cqyv 0.5 mg | 0.5 MG | 3 | 1 | 60 | 60 |
57894-450-01 | J9380 | Janssen Biotech, Inc. | Inj teclistamab cqyv 0.5 mg | 0.5 MG | 1.7 | 1 | 306 | 306 |
73650-316-01 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 1 | 400 | 400 |
73650-316-10 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 10 | 400 | 4000 |
73650-316-14 | J9381 | Provention Bio, Inc. | Inj teplizumab mzwv 5 mcg | 5 MCG | 2 | 14 | 400 | 5600 |
25021-204-01 | J9390 | Sagent Pharmaceuticals | Vinorelbine tartrate inj | 10 MG | 1 | 1 | 1 | 1 |
25021-204-05 | J9390 | Sagent Pharmaceuticals | Vinorelbine tartrate inj | 10 MG | 5 | 1 | 5 | 5 |
45963-607-55 | J9390 | Actavis Pharma, Inc. | Vinorelbine tartrate inj | 10 MG | 1 | 1 | 1 | 1 |
45963-607-56 | J9390 | Actavis Pharma, Inc. | Vinorelbine tartrate inj | 10 MG | 5 | 1 | 5 | 5 |
63323-715-05 | J9394 | FreseniUS Kabi USA, LLC | Inj, fulvestrant (fresenius) | 25 MG | 5 | 2 | 10 | 20 |
0143-9022-02 | J9395 | Hikma Pharmaceuticals USA Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0310-0720-10 | J9395 | AstraZeneca Pharmaceuticals LP | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0781-3532-12 | J9395 | Sandoz Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0781-9055-12 | J9395 | Sandoz Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
16714-070-02 | J9395 | Northstar RxLLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
16729-436-30 | J9395 | Accord Healthcare Inc | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
25021-462-74 | J9395 | Sagent Pharmaceuticals | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
25021-471-74 | J9395 | Sagent Pharmaceuticals | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
43598-262-02 | J9395 | Dr. Reddy's Laboratories Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
43598-262-23 | J9395 | Dr Reddy's Laboratories, Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
55150-394-02 | J9395 | Eugia US LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
62332-650-10 | J9395 | Alembic Pharmaceuticals Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
67457-311-05 | J9395 | Mylan Institutional Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
68001-484-85 | J9395 | BluePoint Laboratories | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
68001-522-85 | J9395 | BluePoint Laboratories | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
68001-626-85 | J9395 | BluePoint Laboratories | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
70121-1463-2 | J9395 | Amneal Pharmaceuticals, LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
70700-284-98 | J9395 | Xiromed, LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
70710-1688-8 | J9395 | Zydus Pharmaceuticals (USA) Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
70860-211-74 | J9395 | Athenex Pharmaceutical Division, LLC | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
71288-555-86 | J9395 | Meitheal Pharmaceuticals Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
83634-203-74 | J9395 | Avenacy Inc. | Injection, fulvestrant | 25 MG | 5 | 2 | 10 | 20 |
0024-5840-01 | J9400 | Sanofi-Aventis U.S. LLC | Inj, ziv-aflibercept, 1mg | 1 MG | 4 | 1 | 100 | 100 |
0024-5841-01 | J9400 | Sanofi-Aventis U.S. LLC | Inj, ziv-aflibercept, 1mg | 1 MG | 8 | 1 | 200 | 200 |
0781-3154-01 | Q0138 | Sandoz Inc. | Ferumoxytol, non-esrd | 1 MG | 17 | 1 | 510 | 510 |
59338-775-01 | Q0138 | Covis Pharma US, Inc | Ferumoxytol, non-esrd | 1 MG | 17 | 1 | 510 | 510 |
0781-3154-01 | Q0139 | Sandoz Inc. | Ferumoxytol, esrd use | 1 MG | 17 | 1 | 510 | 510 |
59338-775-01 | Q0139 | Covis Pharma US, Inc | Ferumoxytol, esrd use | 1 MG | 17 | 1 | 510 | 510 |
0904-6551-61 | Q0162 | Major Pharmaceuticals | Ondansetron oral | 1 MG | 100 | 1 | 400 | 400 |
0904-6552-61 | Q0162 | Major Pharmaceuticals | Ondansetron oral | 1 MG | 100 | 1 | 800 | 800 |
0904-7073-93 | Q0162 | Major Pharmaceuticals | Ondansetron oral | 1 MG | 5 | 30 | 4 | 120 |
16714-159-01 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
16714-160-01 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
16714-200-30 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
16714-201-10 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
16714-201-30 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
16714-671-02 | Q0162 | Northstar RxLLC | Ondansetron oral | 1 MG | 50 | 1 | 40 | 40 |
50090-1128-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-1200-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-1200-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
50090-1200-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 5 | 1 | 20 | 20 |
50090-1200-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
50090-1201-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 4 | 40 |
50090-1658-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-1658-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
50090-1658-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 5 | 1 | 20 | 20 |
50090-1658-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
50090-1659-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-1660-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-1660-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-1660-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-1660-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
50090-2343-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-2343-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
50090-2343-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 5 | 1 | 20 | 20 |
50090-2343-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
50090-3178-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-3178-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 24 | 24 |
50090-3178-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
50090-3178-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 3 | 1 | 12 | 12 |
50090-3178-5 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
50090-3185-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-3185-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-3185-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 3 | 1 | 24 | 24 |
50090-3185-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-3185-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
50090-3769-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-3769-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-3769-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-3769-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
50090-4632-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-4632-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-4632-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-4632-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
50090-4671-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 4 | 1 | 32 | 32 |
50090-4671-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-4671-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 3 | 1 | 24 | 24 |
50090-4671-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-4671-4 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 48 | 48 |
50090-5346-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
50090-5346-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
50090-5346-3 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 160 | 160 |
50090-6342-0 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
50090-6342-1 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 6 | 1 | 24 | 24 |
50090-6342-2 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 20 | 1 | 80 | 80 |
50090-6342-5 | Q0162 | A-S Medication Solutions | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
55111-153-30 | Q0162 | Dr. Reddy's Laboratories Inc. | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
55111-154-30 | Q0162 | Dr. Reddy's Laboratories Inc. | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
60687-252-86 | Q0162 | American Health Packaging | Ondansetron oral | 1 MG | 5 | 30 | 4 | 120 |
68001-246-04 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68001-246-17 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68001-247-04 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68001-247-17 | Q0162 | BluePoint Laboratories | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68084-220-01 | Q0162 | American Health Packaging | Ondansetron oral | 1 MG | 100 | 1 | 400 | 400 |
68084-221-01 | Q0162 | American Health Packaging | Ondansetron oral | 1 MG | 100 | 1 | 800 | 800 |
68462-105-30 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68462-106-30 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68462-157-13 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68462-158-11 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
68462-158-13 | Q0162 | Glenmark Pharmaceuticals Inc., USA | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68788-7565-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
68788-7565-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68788-7644-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
68788-7644-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68788-8365-5 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 50 | 1 | 40 | 40 |
68788-8582-2 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 12 | 1 | 96 | 96 |
68788-8582-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
68788-8651-2 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
68788-8666-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
68788-9368-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 40 | 40 |
68788-9368-2 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 12 | 1 | 48 | 48 |
68788-9368-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 120 | 120 |
68788-9402-1 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 10 | 1 | 80 | 80 |
68788-9402-3 | Q0162 | Preferred Pharmaceuticals Inc | Ondansetron oral | 1 MG | 30 | 1 | 240 | 240 |
0904-7144-61 | Q0167 | Major Pharmaceuticals | Dronabinol 2.5mg oral | 2.5 MG | 100 | 1 | 100 | 100 |
0904-7145-04 | Q0167 | Major Pharmaceuticals | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 60 | 60 |
53097-571-60 | Q0167 | ThePharmaNetwork, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 60 | 60 |
60687-375-01 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 100 | 1 | 100 | 100 |
60687-375-21 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 30 | 30 |
60687-386-21 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 30 | 1 | 60 | 60 |
60687-386-94 | Q0167 | American Health Packaging | Dronabinol 2.5mg oral | 2.5 MG | 20 | 1 | 40 | 40 |
67877-753-60 | Q0167 | Ascend Laboratories, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 60 | 60 |
67877-754-60 | Q0167 | Ascend Laboratories, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 120 | 120 |
67877-755-60 | Q0167 | Ascend Laboratories, LLC | Dronabinol 2.5mg oral | 2.5 MG | 60 | 1 | 240 | 240 |
0078-0846-19 | Q2042 | Novartis Pharmaceuticals Corporation | Tisagenlecleucel car-pos t | UP TO 600 million CAR-positive viable T cells | 1 | 1 | 1 | 1 |
0078-0958-19 | Q2042 | Novartis Pharmaceuticals Corporation | Tisagenlecleucel car-pos t | UP TO 600 million CAR-positive viable T cells | 1 | 1 | 1 | 1 |
30237-8900-6 | Q2043 | Dendreon Pharmaceuticals LLC | Sipuleucel-t auto cd54+ | Per infusion (minimum 50 million cells) | 250 | 1 | 1 | 1 |
0338-0063-01 | Q2050 | Baxter Healthcare Corporation | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
0338-0067-01 | Q2050 | Baxter Healthcare Corporation | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
16714-742-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
16714-856-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
43598-283-35 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
43598-541-25 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
43598-682-35 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
43598-683-25 | Q2050 | Dr. Reddy's Laboratories Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
47335-049-40 | Q2050 | Sun Pharmaceutical Global FZE. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
47335-050-40 | Q2050 | Sun Pharmaceutical Global FZE. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
68001-345-26 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
68001-345-36 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
68001-492-36 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
68001-493-26 | Q2050 | BluePoint Laboratories | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
70710-1530-1 | Q2050 | Zydus Pharmaceuticals (USA) Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
70710-1531-1 | Q2050 | Zydus Pharmaceuticals (USA) Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
70748-339-01 | Q2050 | Lupin Pharmaceuticals, Inc. | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
70748-340-01 | Q2050 | Lupin Pharmaceuticals, Inc. | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
72603-103-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 10 | 1 | 2 | 2 |
72603-200-01 | Q2050 | Northstar RxLLC | Doxorubicin inj 10mg | 10 MG | 25 | 1 | 5 | 5 |
73153-900-01 | Q2054 | Juno Therapeutics, Inc. | Lisocabtagene mara car pos t | UP TO 110 million CAR-positive viable T cells, per therapeutic dose | 1 | 1 | 1 | 1 |
59572-515-01 | Q2055 | Celgene Corporation | Idecabtagene vicleucel car | UP TO 510 million autologous anti-BCMA CAR-positive viable T cells | 1 | 1 | 1 | 1 |
59572-515-02 | Q2055 | Celgene Corporation | Idecabtagene vicleucel car | UP TO 460 million autologous anti-BCMA CAR-positive viable T cells | 1 | 1 | 1 | 1 |
59572-515-03 | Q2055 | Celgene Corporation | Idecabtagene vicleucel car | UP TO 460 million autologous anti-BCMA CAR-positive viable T cells | 1 | 1 | 1 | 1 |
57894-111-01 | Q2056 | Janssen Biotech, Inc. | Ciltacabtagene car-pos t | UP TO 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells | 1 | 1 | 1 | 1 |
57894-111-02 | Q2056 | Janssen Biotech, Inc. | Ciltacabtagene car-pos t | UP TO 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells | 1 | 1 | 1 | 1 |
83205-0001-2 | Q2057 | Adaptimmune Therapeutics PLC | Afamitresgene autoleucel | Per Therapeutic Dose | 1 | 1 | 1 | 1 |
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 Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 20 | 200 |
55513-144-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 100 | 1000 |
55513-148-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 40 | 400 |
55513-267-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 30 | 300 |
55513-283-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 2 | 10 | 200 | 2000 |
55513-478-10 | Q4081 | Amgen Inc | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 10 | 200 | 2000 |
59676-302-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 20 | 120 |
59676-303-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 30 | 180 |
59676-304-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 40 | 240 |
59676-310-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 6 | 100 | 600 |
59676-310-02 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 25 | 100 | 2500 |
59676-312-04 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 2 | 4 | 200 | 800 |
59676-320-04 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 4 | 200 | 800 |
59676-340-01 | Q4081 | Janssen Products, LP | Epoetin alfa, 100 units esrd | 100 UNITS | 1 | 4 | 400 | 1600 |
61314-318-01 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.5 | 1 | 300 | 300 |
61314-318-10 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.5 | 10 | 300 | 3000 |
61314-326-01 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.8 | 1 | 480 | 480 |
61314-326-10 | Q5101 | Sandoz Inc. | Injection, zarxio | 1 MCG | 0.8 | 10 | 480 | 4800 |
0069-0809-01 | Q5103 | Pfizer Inc | Injection, inflectra | 10 MG | 1 | 1 | 10 | 10 |
78206-162-01 | Q5104 | Organon LLC | Injection, renflexis | 10 MG | 1 | 1 | 10 | 10 |
0069-1305-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 20 | 200 |
0069-1306-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 30 | 300 |
0069-1307-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 40 | 400 |
0069-1308-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 100 | 1000 |
0069-1309-04 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 4 | 400 | 1600 |
0069-1311-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 200 | 2000 |
0069-1318-10 | Q5105 | Pfizer Inc | Inj retacrit esrd on dialysi | 100 UNITS | 2 | 10 | 100 | 1000 |
59353-002-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 20 | 200 |
59353-003-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 30 | 300 |
59353-004-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 40 | 400 |
59353-010-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 100 | 1000 |
59353-120-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 1 | 10 | 200 | 2000 |
59353-220-10 | Q5105 | Vifor (International) Inc. | Inj retacrit esrd on dialysi | 100 UNITS | 2 | 10 | 100 | 1000 |
0069-1305-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 2 | 20 |
0069-1306-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 3 | 30 |
0069-1307-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 4 | 40 |
0069-1308-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 10 | 100 |
0069-1309-04 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 4 | 40 | 160 |
0069-1311-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 20 | 200 |
0069-1318-10 | Q5106 | Pfizer Inc | Inj retacrit non-esrd use | 1000 UNITS | 2 | 10 | 10 | 100 |
59353-002-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 2 | 20 |
59353-003-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 3 | 30 |
59353-004-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 4 | 40 |
59353-010-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 10 | 100 |
59353-120-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 1 | 10 | 20 | 200 |
59353-220-10 | Q5106 | Vifor (International) Inc. | Inj retacrit non-esrd use | 1000 UNITS | 2 | 10 | 10 | 100 |
55513-206-01 | Q5107 | Amgen Inc | Inj mvasi 10 mg | 10 MG | 4 | 1 | 10 | 10 |
55513-207-01 | Q5107 | Amgen Inc | Inj mvasi 10 mg | 10 MG | 16 | 1 | 40 | 40 |
67457-833-06 | Q5108 | Viatris - Greenstone LLC | Injection, fulphila | 0.5 MG | 0.6 | 1 | 12 | 12 |
83257-005-41 | Q5108 | Biocon Biologics Inc | Injection, fulphila | 0.5 MG | 0.6 | 1 | 12 | 12 |
0069-0291-01 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.5 | 1 | 300 | 300 |
0069-0291-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.5 | 10 | 300 | 3000 |
0069-0292-01 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.8 | 1 | 480 | 480 |
0069-0292-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 0.8 | 10 | 480 | 4800 |
0069-0293-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 1 | 10 | 300 | 3000 |
0069-0294-10 | Q5110 | Pfizer Inc | Nivestym | 1 MCG | 1.6 | 10 | 480 | 4800 |
70114-101-01 | Q5111 | Coherus BioSciences, Inc. | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
70114-120-01 | Q5111 | Coherus BioSciences, Inc. | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
70114-130-01 | Q5111 | Coherus BioSciences, Inc. | Injection, udenyca 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
78206-147-01 | Q5112 | Organon LLC | Inj ontruzant 10 mg | 10 MG | 150 | 1 | 15 | 15 |
78206-148-01 | Q5112 | Organon LLC | Inj ontruzant 10 mg | 10 MG | 420 | 1 | 42 | 42 |
63459-303-43 | Q5113 | Cephalon, LLC | Inj herzuma 10 mg | 10 MG | 1 | 1 | 15 | 15 |
63459-305-47 | Q5113 | Cephalon, LLC | Inj herzuma 10 mg | 10 MG | 1 | 1 | 42 | 42 |
67457-847-44 | Q5114 | Viatris - Greenstone LLC | Inj ogivri 10 mg | 10 MG | 1 | 1 | 42 | 42 |
67457-991-15 | Q5114 | Viatris - Greenstone LLC | Inj ogivri 10 mg | 10 MG | 1 | 1 | 15 | 15 |
83257-001-11 | Q5114 | Biocon Biologics Inc | Inj ogivri 10 mg | 10 MG | 1 | 1 | 15 | 15 |
83257-004-12 | Q5114 | Biocon Biologics Inc | Inj ogivri 10 mg | 10 MG | 1 | 1 | 42 | 42 |
63459-103-10 | Q5115 | Cephalon, LLC | Inj truxima 10 mg | 10 MG | 10 | 1 | 10 | 10 |
63459-104-50 | Q5115 | Cephalon, LLC | Inj truxima 10 mg | 10 MG | 50 | 1 | 50 | 50 |
0069-0305-01 | Q5116 | Pfizer Inc | Inj., trazimera, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
0069-0308-01 | Q5116 | Pfizer Inc | Inj., trazimera, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
55513-132-01 | Q5117 | Amgen Inc | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
55513-141-01 | Q5117 | Amgen Inc | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
55513-164-01 | Q5117 | Amgen Inc | Inj., kanjinti, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
0069-0315-01 | Q5118 | Pfizer Inc | Inj., zirabev, 10 mg | 10 MG | 4 | 1 | 10 | 10 |
0069-0342-01 | Q5118 | Pfizer Inc | Inj., zirabev, 10 mg | 10 MG | 16 | 1 | 40 | 40 |
0069-0238-01 | Q5119 | Pfizer Inc | Inj ruxience, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
0069-0249-01 | Q5119 | Pfizer Inc | Inj ruxience, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
61314-866-01 | Q5120 | Sandoz Inc. | Inj pegfilgrastim-bmez 0.5mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
61314-866-02 | Q5120 | Sandoz Inc. | Inj pegfilgrastim-bmez 0.5mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
55513-670-01 | Q5121 | Amgen Inc | Inj. avsola, 10 mg | 10 MG | 1 | 1 | 10 | 10 |
0069-0324-01 | Q5122 | Pfizer Inc | Inj, nyvepria | 0.5 MG | 0.6 | 1 | 12 | 12 |
55513-224-01 | Q5123 | Amgen Inc | Inj. riabni, 10 mg | 10 MG | 10 | 1 | 10 | 10 |
55513-326-01 | Q5123 | Amgen Inc | Inj. riabni, 10 mg | 10 MG | 50 | 1 | 50 | 50 |
64406-019-01 | Q5124 | Biogen Inc. | Inj. byooviz, 0.1 mg | 0.1 MG | 0.05 | 1 | 5 | 5 |
70121-1568-1 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.5 | 1 | 300 | 300 |
70121-1568-7 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.5 | 10 | 300 | 3000 |
70121-1570-1 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.8 | 1 | 480 | 480 |
70121-1570-7 | Q5125 | Amneal Pharmaceuticals, LLC | Inj, releuko 1 mcg | 1 MCG | 0.8 | 10 | 480 | 4800 |
70121-1754-1 | Q5126 | Amneal Pharmaceuticals, LLC | Inj alymsys 10 mg | 10 MG | 4 | 1 | 10 | 10 |
70121-1755-1 | Q5126 | Amneal Pharmaceuticals, LLC | Inj alymsys 10 mg | 10 MG | 16 | 1 | 40 | 40 |
65219-371-10 | Q5127 | FreseniUS Kabi USA, LLC | Inj, stimufend, 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
61314-624-94 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 3 | 3 |
61314-625-94 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 5 | 5 |
70114-440-01 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 3 | 3 |
70114-441-01 | Q5128 | Sandoz Inc. | Inj, cimerli, 0.1 mg | 0.1 MG | 0.05 | 1 | 5 | 5 |
72606-011-01 | Q5129 | Celltrion USA Inc. | Inj, vegzelma, 10 mg | 10 MG | 4 | 1 | 10 | 10 |
72606-012-01 | Q5129 | Celltrion USA Inc. | Inj, vegzelma, 10 mg | 10 MG | 16 | 1 | 40 | 40 |
70121-1627-1 | Q5130 | Amneal Pharmaceuticals, LLC | Inj, fylnetra, 0.5 mg | 0.5 MG | 0.6 | 1 | 12 | 12 |
64406-022-01 | Q5133 | Biogen Inc. | Inj, tofidence, 1 mg | 1 MG | 10 | 1 | 200 | 200 |
64406-023-01 | Q5133 | Biogen Inc. | Inj, tofidence, 1 mg | 1 MG | 20 | 1 | 400 | 400 |
64406-024-01 | Q5133 | Biogen Inc. | Inj, tofidence, 1 mg | 1 MG | 4 | 1 | 80 | 80 |
65219-584-01 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 0.9 | 1 | 162 | 162 |
65219-586-04 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 0.9 | 1 | 162 | 162 |
65219-590-04 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 4 | 1 | 80 | 80 |
65219-592-10 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 10 | 1 | 200 | 200 |
65219-594-20 | Q5135 | FreseniUS Kabi USA, LLC | Inj, tyenne, 1 mg | 1 MG | 20 | 1 | 400 | 400 |
69448-015-05 | Q5146 | Accord BioPharma, Inc | Inj, hercessi, 10 mg | 10 MG | 1 | 1 | 15 | 15 |
69448-016-11 | Q5146 | Accord BioPharma, Inc | Inj, hercessi, 10 mg | 10 MG | 1 | 1 | 42 | 42 |
55513-056-01 | Q5147 | Amgen Inc | Inj, aflibercept-ayyh, 1 mg | 1 MG | 0.05 | 1 | 2 | 2 |
55513-065-01 | Q5147 | Amgen Inc | Inj, aflibercept-ayyh, 1 mg | 1 MG | 0.05 | 1 | 2 | 2 |
0270-7097-07 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 20 | 5 | 100 |
0270-7097-08 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 20 | 5 | 100 |
0270-7099-16 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 5 | 5 | 25 |
0270-7099-73 | Q9950 | Bracco Diagnostics Inc. | Inj sulf hexa lipid microsph | 1 ML | 5 | 5 | 5 | 25 |
0407-2707-03 | Q9956 | GE Healthcare Inc. | Inj octafluoropropane mic,ml | 1 ML | 3 | 5 | 3 | 15 |
0407-2707-18 | Q9956 | GE Healthcare Inc. | Inj octafluoropropane mic,ml | 1 ML | 3 | 18 | 3 | 54 |
11994-011-04 | Q9957 | Lantheus Medical Imaging, Inc. | Inj perflutren lip micros,ml | 1 ML | 2 | 4 | 2 | 8 |
11994-011-16 | Q9957 | Lantheus Medical Imaging, Inc. | Inj perflutren lip micros,ml | 1 ML | 2 | 16 | 2 | 32 |
11994-017-20 | Q9957 | Lantheus Medical Imaging, Inc. | Inj perflutren lip micros,ml | 1 ML | 2 | 20 | 2 | 40 |
0019-0862-50 | Q9958 | Liebel-Flarsheim Company LLC | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 250 | 12 | 250 | 3000 |
0270-0149-57 | Q9958 | Bracco Diagnostics Inc. | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 300 | 10 | 300 | 3000 |
0270-0149-60 | Q9958 | Bracco Diagnostics Inc. | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1410-30 | Q9958 | Bracco Diagnostics Inc. | Hocm <=149 mg/ml iodine, 1ml | 1 ML | 300 | 10 | 300 | 3000 |
0019-0953-05 | Q9961 | Liebel-Flarsheim Company LLC | Hocm 250-299mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
0019-4816-04 | Q9963 | Liebel-Flarsheim Company LLC | Hocm 350-399mg/ml iodine,1ml | 1 ML | 30 | 25 | 30 | 750 |
0270-0445-35 | Q9963 | Bracco Diagnostics Inc. | Hocm 350-399mg/ml iodine,1ml | 1 ML | 30 | 24 | 30 | 720 |
0270-0445-40 | Q9963 | Bracco Diagnostics Inc. | Hocm 350-399mg/ml iodine,1ml | 1 ML | 120 | 12 | 120 | 1440 |
0407-1401-52 | Q9965 | GE Healthcare Inc. | Locm 100-199mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1411-10 | Q9965 | GE Healthcare Inc. | Locm 100-199mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1411-20 | Q9965 | GE Healthcare Inc. | Locm 100-199mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
0270-1314-15 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1317-02 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1317-02 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1411-11 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0270-7250-10 | Q9966 | Bracco Diagnostics Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 56 | 100 | 5600 |
0407-1412-10 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1412-10 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1412-20 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-1412-20 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
0407-1412-30 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1412-30 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1412-33 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1412-33 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1412-34 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1412-34 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1412-35 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1412-35 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1412-38 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1412-38 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2222-16 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2222-16 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2222-17 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2222-17 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2222-19 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2222-19 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2222-21 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-2222-21 | Q9966 | GE Healthcare Inc. | Locm 200-299mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
65219-381-10 | Q9966 | FreseniUS Kabi USA, LLC | Locm 200-299mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
65219-381-50 | Q9966 | FreseniUS Kabi USA, LLC | Locm 200-299mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
70436-124-52 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 20 | 10 | 20 | 200 |
70436-124-82 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
70436-125-82 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
70436-211-80 | Q9966 | Slate Run Pharmaceuticals | Locm 200-299mg/ml iodine,1ml | 1 ML | 50 | 1 | 50 | 50 |
0019-1323-06 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
0019-1323-11 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 12 | 100 | 1200 |
0019-1323-16 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
0019-1323-21 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 12 | 200 | 2400 |
0019-1323-52 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
0019-1323-65 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1323-78 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
0019-1323-87 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
0019-1323-90 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1323-95 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 20 | 75 | 1500 |
0019-1333-06 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 25 | 50 | 1250 |
0019-1333-11 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 12 | 100 | 1200 |
0019-1333-16 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 12 | 150 | 1800 |
0019-1333-21 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 12 | 200 | 2400 |
0019-1333-65 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0019-1333-78 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 20 | 50 | 1000 |
0019-1333-87 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 20 | 125 | 2500 |
0019-1333-90 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 20 | 100 | 2000 |
0019-1333-95 | Q9967 | Liebel-Flarsheim Company LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 20 | 75 | 1500 |
0270-1315-25 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
0270-1315-25 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
0270-1315-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1315-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1315-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1315-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1315-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0270-1315-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0270-1316-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1316-35 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0270-1316-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1316-45 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0270-1316-52 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0270-1316-52 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0270-1316-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0270-1316-95 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 6 | 500 | 3000 |
0270-1412-15 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 15 | 10 | 15 | 150 |
0270-7300-10 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 56 | 100 | 5600 |
0270-7300-20 | Q9967 | Bracco Diagnostics Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1413-10 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1413-10 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 10 | 10 | 10 | 100 |
0407-1413-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-53 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-53 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-59 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
0407-1413-59 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
0407-1413-61 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-61 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1413-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1413-63 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-63 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-65 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-65 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1413-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1413-68 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-68 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-69 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-69 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1413-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1413-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1413-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1413-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1413-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-48 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-72 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-76 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-76 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-82 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-82 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-84 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-84 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-85 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-85 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-86 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-87 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-88 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-89 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-1414-90 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1414-90 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 75 | 10 | 75 | 750 |
0407-1414-91 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-91 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-1414-93 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-93 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-1414-94 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-94 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-1414-95 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-95 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
0407-1414-98 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-1414-98 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-2223-16 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-16 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-17 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-17 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-19 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-19 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-21 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-2223-21 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-2223-23 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-2223-23 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 500 | 10 | 500 | 5000 |
0407-2223-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-62 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
0407-2223-64 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-64 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
0407-2223-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-66 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
0407-2223-67 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
0407-2223-67 | Q9967 | GE Healthcare Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
50419-344-05 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
50419-344-10 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
50419-344-12 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 125 | 10 | 125 | 1250 |
50419-344-15 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
50419-344-21 | Q9967 | Bayer HealthCare Pharmaceuticals Inc. | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
50419-344-58 | 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, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
65219-383-10 | Q9967 | FreseniUS Kabi USA, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
65219-383-50 | Q9967 | FreseniUS Kabi USA, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 150 | 10 | 150 | 1500 |
65219-383-70 | Q9967 | FreseniUS Kabi USA, LLC | Locm 300-399mg/ml iodine,1ml | 1 ML | 200 | 10 | 200 | 2000 |
70436-126-82 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 15 | 10 | 15 | 150 |
70436-127-82 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
70436-219-52 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 30 | 10 | 30 | 300 |
70436-219-62 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 50 | 10 | 50 | 500 |
70436-219-82 | Q9967 | Slate Run Pharmaceuticals | Locm 300-399mg/ml iodine,1ml | 1 ML | 100 | 10 | 100 | 1000 |
12496-0100-1 | Q9991 | Indivior Inc. | Buprenorph xr 100 mg or less | Less than or equal to 100 MG | 0.5 | 1 | 1 | 1 |
12496-0300-1 | Q9992 | Indivior Inc. | Buprenorphine xr over 100 mg | Greater than 100 MG | 1.5 | 1 | 1 | 1 |