NDC - HCPCS Crosswalk Average Wholesale Price (AWP)
Effective July 1, 2026 through September 30, 2026
The NDC - HCPCS crosswalks are intended to help understand which drug products -identified by NDCs- are assigned to which HCPCS billing codes. The information is based on published drug and biological pricing data and information submitted to CMS by manufacturers. The crosswalks are not intended to be a comprehensive list of all NDCs available in the United States. The NDC to HCPCS Crosswalks also include information on the NDC package size and the number of billable units.
Average Wholesale Price (AWP)
| NDC | HCPCS Code | Labeler | Drug Name | Dosage | Package Size | Package Quantity | Billable Units | Billable Units / Pkg |
|---|---|---|---|---|---|---|---|---|
| 70461-025-03 | 90653 | Seqirus Inc | Iiv adjuvant vaccine im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 19515-904-52 | 90656 | GlaxoSmithKline | IIV3 VACC NO PRSV 0.5 ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 33332-025-03 | 90656 | Seqirus Inc | IIV3 VACC NO PRSV 0.5 ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 49281-425-50 | 90656 | Sanofi Pasteur | IIV3 VACC NO PRSV 0.5 ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 58160-912-52 | 90656 | GlaxoSmithKline | IIV3 VACC NO PRSV 0.5 ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 33332-125-10 | 90657 | Seqirus Inc | IIV3 VACCINE SPLT 0.25 ML IM | 0.25 ML | 5 | 1 | 20 | 20 |
| 49281-643-15 | 90657 | Sanofi Pasteur | IIV3 VACCINE SPLT 0.25 ML IM | 0.25 ML | 5 | 1 | 20 | 20 |
| 33332-125-10 | 90658 | Seqirus Inc | IIV3 VACCINE SPLT 0.5 ML IM | 0.5 ML | 5 | 1 | 10 | 10 |
| 49281-643-15 | 90658 | Sanofi Pasteur | IIV3 VACCINE SPLT 0.5 ML IM | 0.5 ML | 5 | 1 | 10 | 10 |
| 66019-112-10 | 90660 | MedImmune, LLC | LAIV3 Vaccine Intranasal | 0.2 ML | 0.2 | 10 | 1 | 10 |
| 66019-311-10 | 90660 | MedImmune | LAIV3 Vaccine Intranasal | 0.2 ML | 0.2 | 10 | 1 | 10 |
| 49281-125-65 | 90662 | Sanofi Pasteur | Iiv no prsv increased ag im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 0006-4329-02 | 90671 | Merck | PCV15 VACCINE IM | 1 EA | 0.5 | 1 | 1 | 1 |
| 0006-4329-03 | 90671 | Merck | PCV15 VACCINE IM | 1 EA | 0.5 | 10 | 1 | 10 |
| 49281-725-10 | 90673 | Sanofi Pasteur | Riv3 vaccine no preserv im | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 0005-2000-02 | 90677 | Pfizer | PCV20 VACCINE IM | 1 EA | 0.5 | 1 | 1 | 1 |
| 0005-2000-10 | 90677 | Pfizer | PCV20 VACCINE IM | 1 EA | 0.5 | 10 | 1 | 10 |
| 0006-4347-01 | 90684 | Merck | PCV21 VACCINE IM | 1 EA | 0.5 | 1 | 1 | 1 |
| 0006-4347-02 | 90684 | Merck | PCV21 VACCINE IM | 1 EA | 0.5 | 10 | 1 | 10 |
| 0006-4739-00 | 90732 | Merck | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 2.5 | 1 | 5 | 5 |
| 0006-4837-03 | 90732 | Merck | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 0006-4943-00 | 90732 | Merck | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 50090-7036-0 | 90732 | A-S MEDICATION SOLUTIONS LLC | PPSV23 VACC 2 YRS+ SUBQ/IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 43528-002-05 | 90739 | Dynavax Technologies Co | HEPB VACC 2 DOSE ADULT IM | 1 DOSE | 0.5 | 5 | 1 | 5 |
| 43528-003-05 | 90739 | Dynavax Technologies Co | HEPB VACC 2 DOSE ADULT IM | 1 DOSE | 0.5 | 5 | 1 | 5 |
| 0006-4992-00 | 90740 | Merck | HEPB VACC 3 DOSE IMMUNSUP IM | 40 MCG | 1 | 1 | 1 | 1 |
| 50090-1223-1 | 90740 | A-S MEDICATION SOLUTIONS LLC | HEPB VACC 3 DOSE IMMUNSUP IM | 40 mcg | 1 | 1 | 0.5 | 0.5 |
| 58160-821-11 | 90740 | GlaxoSmithKline | HEPB VACC 3 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 58160-821-52 | 90740 | GlaxoSmithKline | HEPB VACC 3 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 0006-4094-02 | 90743 | Merck | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 0006-4995-00 | 90743 | Merck | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 1 | 1 | 1 | 1 |
| 0006-4995-41 | 90743 | Merck | HEPB VACC 2 DOSE ADOLESC IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 0006-4981-00 | 90744 | Merck | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 0.5 | 10 | 1 | 10 |
| 0006-4995-41 | 90744 | Merck | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 58160-820-52 | 90744 | GlaxoSmithKline | HEPB VACC 3 DOSE PED/ADOL IM | 1 DOSE | 0.5 | 10 | 1 | 10 |
| 0006-4094-02 | 90746 | Merck | HEPB VACCINE 3 DOSE ADULT IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 0006-4995-00 | 90746 | Merck | HEPB VACCINE 3 DOSE ADULT IM | 1 EACH | 1 | 1 | 1 | 1 |
| 0006-4995-41 | 90746 | Merck | HEPB VACCINE 3 DOSE ADULT IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 50090-1223-1 | 90746 | A-S MEDICATION SOLUTIONS LLC | HEPB VACCINE 3 DOSE ADULT IM | 1 dose | 1 | 1 | 1 | 1 |
| 58160-821-11 | 90746 | GlaxoSmithKline | HEPB VACCINE 3 DOSE ADULT IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 58160-821-52 | 90746 | GlaxoSmithKline | HEPB VACCINE 3 DOSE ADULT IM | 1 DOSE | 1 | 10 | 1 | 10 |
| 0006-4992-00 | 90747 | Merck | HEPB VACC 4 DOSE IMMUNSUP IM | 40 MCG | 1 | 1 | 1 | 1 |
| 50090-1223-1 | 90747 | A-S MEDICATION SOLUTIONS LLC | HEPB VACC 4 DOSE IMMUNSUP IM | 40 mcg | 1 | 1 | 0.5 | 5 |
| 58160-821-11 | 90747 | GlaxoSmithKline | HEPB VACC 4 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 58160-821-52 | 90747 | GlaxoSmithKline | HEPB VACC 4 DOSE IMMUNSUP IM | 40 MCG | 1 | 10 | 0.5 | 5 |
| 80631-207-10 | 91304 | Novavax | SARSCOV2 VAC 5MCG/0.5ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 0069-2501-10 | 91319 | Pfizer | SARSCV2 VAC 10MCG TRS-SUC IM | 0.3 ML | 0.3 | 10 | 1 | 10 |
| 0069-2528-10 | 91320 | Pfizer | SARSCV2 VAC 30MCG TRS-SUC IM | 0.3 ML | 1 | 10 | 1 | 10 |
| 80777-113-80 | 91321 | Moderna | SARSCOV2 VAC 25 MCG/.25ML IM | 0.25 ML | 0.25 | 10 | 1 | 10 |
| 80777-113-87 | 91321 | Moderna | SARSCOV2 VAC 25 MCG/.25ML IM | 0.25 ML | 0.25 | 2 | 1 | 2 |
| 80777-110-93 | 91322 | Moderna | SARSCOV2 VAC 50 MCG/0.5ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 80777-110-96 | 91322 | Moderna | SARSCOV2 VAC 50 MCG/0.5ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 80777-112-88 | 91322 | Moderna | SARSCOV2 VAC 50 MCG/0.5ML IM | 0.5 ML | 0.5 | 2 | 1 | 2 |
| 80777-112-96 | 91322 | Moderna | SARSCOV2 VAC 50 MCG/0.5ML IM | 0.5 ML | 0.5 | 10 | 1 | 10 |
| 80777-400-60 | 91323 | Moderna | SARSCOV2 VAC 10 MCG/0.2ML IM | 0.2 ML | 0.2 | 10 | 1 | 10 |
| 80777-400-61 | 91323 | Moderna | SARSCOV2 VAC 10 MCG/0.2ML IM | 0.2 ML | 0.2 | 2 | 1 | 2 |
| 80777-400-62 | 91323 | Moderna | SARSCOV2 VAC 10 MCG/0.2ML IM | 0.2 ML | 0.2 | 1 | 1 | 1 |
| 0944-0491-01 | P9041 | Baxter | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 0944-0491-02 | P9041 | Baxter | Albumin (human),5%, 50ml | 50 ML | 500 | 1 | 10 | 10 |
| 13533-685-20 | P9041 | Talecris | Albumin (human),5%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 13533-685-25 | P9041 | Talecris | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 13533-690-20 | P9041 | Talecris | Albumin (human),5%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 13533-690-25 | P9041 | Talecris | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 44206-310-25 | P9041 | CSL Behring | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 44206-310-25 | P9041 | CSL Behring | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 44206-310-50 | P9041 | CSL Behring | Albumin (human),5%, 50ml | 50 ML | 500 | 1 | 10 | 10 |
| 44206-310-50 | P9041 | CSL Behring | Albumin (human),5%, 50ml | 50 ML | 500 | 1 | 10 | 10 |
| 64208-2510-1 | P9041 | Bio Products Laboratory USA, Inc. | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 64208-2510-5 | P9041 | Bio Products Laboratory USA, Inc. | Albumin (human),5%, 50ml | 50 ML | 500 | 1 | 10 | 10 |
| 68516-5214-0 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 500 | 2 | 10 | 20 |
| 68516-5214-0 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 500 | 2 | 10 | 20 |
| 68516-5214-1 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 68516-5214-1 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 68516-5214-2 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 500 | 1 | 10 | 10 |
| 68516-5214-2 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 500 | 1 | 10 | 10 |
| 68516-5214-5 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 68516-5214-5 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 68516-5214-9 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 250 | 4 | 5 | 20 |
| 68516-5214-9 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 250 | 4 | 5 | 20 |
| 68516-5218-4 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 250 | 4 | 5 | 20 |
| 68516-5219-2 | P9041 | Grifols | Albumin (human),5%, 50ml | 50 ML | 500 | 2 | 10 | 20 |
| 68982-623-01 | P9041 | Octapharma USA | Albumin (human),5%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 68982-623-02 | P9041 | Octapharma USA | Albumin (human),5%, 50ml | 50 ML | 250 | 1 | 5 | 5 |
| 68982-623-03 | P9041 | Octapharma USA | Albumin (human),5%, 50ml | 50 ML | 500 | 1 | 10 | 10 |
| 0944-0491-01 | P9045 | Baxter | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 0944-0491-02 | P9045 | Baxter | Albumin (human), 5%, 250 ml | 250 ML | 500 | 1 | 2 | 2 |
| 13533-685-20 | P9045 | Talecris | Albumin (human), 5%, 250 ml | 250 ML | 50 | 1 | 0.2 | 0.2 |
| 13533-685-25 | P9045 | Talecris | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 13533-690-20 | P9045 | Talecris | Albumin (human), 5%, 250 ml | 250 ML | 50 | 1 | 0.2 | 0.2 |
| 13533-690-25 | P9045 | Talecris | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 44206-310-25 | P9045 | CSL Behring | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 44206-310-25 | P9045 | CSL Behring | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 44206-310-50 | P9045 | CSL Behring | Albumin (human), 5%, 250 ml | 250 ML | 500 | 1 | 2 | 2 |
| 44206-310-50 | P9045 | CSL Behring | Albumin (human), 5%, 250 ml | 250 ML | 500 | 1 | 2 | 2 |
| 64208-2510-1 | P9045 | Bio Products Laboratory USA, Inc. | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 64208-2510-5 | P9045 | Bio Products Laboratory USA, Inc. | Albumin (human), 5%, 250 ml | 250 ML | 500 | 1 | 2 | 2 |
| 68516-5214-0 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 500 | 2 | 2 | 4 |
| 68516-5214-0 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 500 | 2 | 2 | 4 |
| 68516-5214-1 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 68516-5214-1 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 68516-5214-2 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 500 | 1 | 2 | 2 |
| 68516-5214-2 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 500 | 1 | 2 | 2 |
| 68516-5214-9 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 250 | 4 | 1 | 4 |
| 68516-5214-9 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 250 | 4 | 1 | 4 |
| 68516-5218-4 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 250 | 4 | 1 | 4 |
| 68516-5219-2 | P9045 | Grifols | Albumin (human), 5%, 250 ml | 250 ML | 500 | 2 | 2 | 4 |
| 68982-623-02 | P9045 | Octapharma USA | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 68982-623-03 | P9045 | Octapharma USA | Albumin (human), 5%, 250 ml | 250 ML | 500 | 1 | 2 | 2 |
| 76125-790-25 | P9045 | Kedrion Biopharma | Albumin (human), 5%, 250 ml | 250 ML | 250 | 1 | 1 | 1 |
| 0944-0490-01 | P9046 | Baxter | Albumin (human), 25%, 20 ml | 20 ML | 20 | 1 | 1 | 1 |
| 0944-0493-01 | P9046 | Baxter | Albumin (human), 25%, 20 ml | 20 ML | 50 | 1 | 2.5 | 2.5 |
| 0944-0493-02 | P9046 | Baxter | Albumin (human), 25%, 20 ml | 20 ML | 100 | 1 | 5 | 5 |
| 13533-684-16 | P9046 | Talecris | Albumin (human), 25%, 20 ml | 20 ML | 20 | 1 | 1 | 1 |
| 13533-684-20 | P9046 | Talecris | Albumin (human), 25%, 20 ml | 20 ML | 50 | 1 | 2.5 | 2.5 |
| 13533-684-71 | P9046 | Talecris | Albumin (human), 25%, 20 ml | 20 ML | 100 | 1 | 5 | 5 |
| 13533-692-16 | P9046 | Talecris | Albumin (human), 25%, 20 ml | 20 ML | 20 | 1 | 1 | 1 |
| 13533-692-20 | P9046 | Talecris | Albumin (human), 25%, 20 ml | 20 ML | 50 | 1 | 2.5 | 2.5 |
| 13533-692-71 | P9046 | Talecris | Albumin (human), 25%, 20 ml | 20 ML | 100 | 1 | 5 | 5 |
| 44206-251-05 | P9046 | CSL Behring | Albumin (human), 25%, 20 ml | 20 ML | 50 | 1 | 2.5 | 2.5 |
| 44206-251-10 | P9046 | CSL Behring | Albumin (human), 25%, 20 ml | 20 ML | 100 | 1 | 5 | 5 |
| 64208-2512-3 | P9046 | Bio Products Laboratory USA, Inc. | Albumin (human), 25%, 20 ml | 20 ML | 50 | 1 | 2.5 | 2.5 |
| 64208-2512-7 | P9046 | Bio Products Laboratory USA, Inc. | Albumin (human), 25%, 20 ml | 20 ML | 100 | 1 | 5 | 5 |
| 68516-5216-0 | P9046 | Grifols | Albumin (human), 25%, 20 ml | 20 ML | 100 | 5 | 5 | 25 |
| 68516-5216-2 | P9046 | Grifols | Albumin (human), 25%, 20 ml | 20 ML | 100 | 1 | 5 | 5 |
| 68516-5216-5 | P9046 | Grifols | Albumin (human), 25%, 20 ml | 20 ML | 20 | 1 | 1 | 1 |
| 68516-5216-9 | P9046 | Grifols | Albumin (human), 25%, 20 ml | 20 ML | 50 | 5 | 2.5 | 12.5 |
| 68982-643-01 | P9046 | Octapharma USA | Albumin (human), 25%, 20 ml | 20 ML | 50 | 1 | 2.5 | 2.5 |
| 68982-643-02 | P9046 | Octapharma USA | Albumin (human), 25%, 20 ml | 20 ML | 100 | 1 | 5 | 5 |
| 76179-025-02 | P9046 | Kedrion Biopharma | Albumin (human), 25%, 20 ml | 20 ML | 50 | 1 | 2.5 | 2.5 |
| 0944-0490-01 | P9047 | Baxter | Albumin (human), 25%, 50ml | 50 ML | 20 | 1 | 0.4 | 0.4 |
| 0944-0493-01 | P9047 | Baxter | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 0944-0493-02 | P9047 | Baxter | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 1 | 2 |
| 13533-684-16 | P9047 | Talecris | Albumin (human), 25%, 50ml | 50 ML | 20 | 1 | 0.4 | 0.4 |
| 13533-684-20 | P9047 | Talecris | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 13533-684-71 | P9047 | Talecris | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 13533-692-16 | P9047 | Talecris | Albumin (human), 25%, 50ml | 50 ML | 20 | 1 | 0.4 | 0.4 |
| 13533-692-20 | P9047 | Talecris | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 13533-692-71 | P9047 | Talecris | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 44206-251-05 | P9047 | CSL Behring | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 44206-251-10 | P9047 | CSL Behring | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 64208-2512-3 | P9047 | Bio Products Laboratory USA, Inc. | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 64208-2512-7 | P9047 | Bio Products Laboratory USA, Inc. | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 68516-5216-0 | P9047 | Grifols | Albumin (human), 25%, 50ml | 50 ML | 100 | 5 | 2 | 10 |
| 68516-5216-1 | P9047 | Grifols | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 68516-5216-2 | P9047 | Grifols | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 68516-5216-9 | P9047 | Grifols | Albumin (human), 25%, 50ml | 50 ML | 50 | 5 | 1 | 5 |
| 68982-643-01 | P9047 | Octapharma USA | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 68982-643-02 | P9047 | Octapharma USA | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 76179-025-02 | P9047 | Kedrion Biopharma | Albumin (human), 25%, 50ml | 50 ML | 50 | 1 | 1 | 1 |
| 76179-025-04 | P9047 | Kedrion Biopharma | Albumin (human), 25%, 50ml | 50 ML | 100 | 1 | 2 | 2 |
| 81960-031-03 | Q0224 | Invivyd, Inc | Pemivibart injection | 4500 MG | 1 | 1 | 1 | 1 |
| 64406-022-01 | Q0234 | Biogen MA Inc | Inj, tocilizumab-bavi, 1 mg | 1 MG | 10 | 1 | 200 | 200 |
| 64406-023-01 | Q0234 | Biogen MA Inc | Inj, tocilizumab-bavi, 1 mg | 1 MG | 20 | 1 | 400 | 400 |
| 64406-024-01 | Q0234 | Biogen MA Inc | Inj, tocilizumab-bavi, 1 mg | 1 MG | 4 | 1 | 80 | 80 |
| 78206-200-01 | Q0234 | Organon LLC | Inj, tocilizumab-bavi, 1 mg | 1 MG | 4 | 1 | 80 | 80 |
| 78206-201-01 | Q0234 | Organon LLC | Inj, tocilizumab-bavi, 1 mg | 1 MG | 10 | 1 | 200 | 200 |
| 78206-202-01 | Q0234 | Organon LLC | Inj, tocilizumab-bavi, 1 mg | 1 MG | 20 | 1 | 400 | 400 |
| 72606-042-01 | Q0237 | Celltrion USA, Inc. | Injection, tocilizumab-anoh | 1 MG | 4 | 1 | 80 | 80 |
| 72606-042-02 | Q0237 | Celltrion USA, Inc. | Injection, tocilizumab-anoh | 1 MG | 4 | 4 | 80 | 320 |
| 72606-043-01 | Q0237 | Celltrion USA, Inc. | Injection, tocilizumab-anoh | 1 MG | 10 | 1 | 200 | 200 |
| 72606-043-02 | Q0237 | Celltrion USA, Inc. | Injection, tocilizumab-anoh | 1 MG | 10 | 4 | 200 | 800 |
| 72606-044-01 | Q0237 | Celltrion USA, Inc. | Injection, tocilizumab-anoh | 1 MG | 20 | 1 | 400 | 400 |
| 72606-044-02 | Q0237 | Celltrion USA, Inc. | Injection, tocilizumab-anoh | 1 MG | 20 | 4 | 400 | 1600 |
| 65219-590-04 | Q0238 | FreseniUS Kabi USA, LLC | Inj, tocilizumab-aazg, hospi | 1 MG | 4 | 1 | 80 | 80 |
| 65219-592-10 | Q0238 | FreseniUS Kabi USA, LLC | Inj, tocilizumab-aazg, hospi | 1 MG | 10 | 1 | 200 | 200 |
| 65219-594-20 | Q0238 | FreseniUS Kabi USA, LLC | Inj, tocilizumab-aazg, hospi | 1 MG | 20 | 1 | 400 | 400 |
| 50242-135-01 | Q0249 | Genentech, Inc | Tocilizumab for covid-19 | 1 MG | 4 | 1 | 80 | 80 |
| 50242-136-01 | Q0249 | Genentech, Inc | Tocilizumab for covid-19 | 1 MG | 10 | 1 | 200 | 200 |
| 50242-137-01 | Q0249 | Genentech, Inc | Tocilizumab for covid-19 | 1 MG | 20 | 1 | 400 | 400 |