NDC - HCPCS Crosswalk

Effective April 1, 2019 through June 30, 2019

The crosswalk is intended to help understand which drug products -identified by NDCs- are assigned to which HCPCS billing codes. The crosswalk is not intended to be a comprehensive list of all NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units.

NDC	HCPCS Code	Labeler	Drug Name	Dosage	Package Size	Package Quantity	Billable Units	Billable Units / Pkg
13533-636-02	90371	Grifols USA, LLC.	Hep b ig im	1 ML	1	1	1	1
13533-636-03	90371	Grifols USA, LLC.	Hep b ig im	1 ML	0.5	1	0.5	0.5
13533-636-05	90371	Grifols USA, LLC.	Hep b ig im	1 ML	5	1	5	5
59730-4202-1	90371	Biotest Pharmaceuticals Corporation	Hep b ig im	1 ML	1	1	1	1
59730-4203-1	90371	Biotest Pharmaceuticals Corporation	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
13533-318-05	90375	Grifols USA, LLC.	Rabies ig im/sc	150 IU	5	1	10	10
13533-618-02	90375	Grifols USA, LLC.	Rabies ig im/sc	150 IU	2	1	2	2
13533-618-10	90375	Grifols USA, LLC.	Rabies ig im/sc	150 IU	10	1	10	10
49281-190-20	90376	sanofi pasteur	Rabies ig heat treated	150 IU	2	1	2	2
0052-0602-02	90585	Organon USA, Inc.	Bcg vaccine percut	50 MG	1	1	1	1
0052-0603-02	90585	Organon USA, Inc.	Bcg vaccine percut	50 MG	1	1	1	1
0052-0602-02	90586	Organon USA, Inc.	Bcg vaccine intravesical	1 EACH	1	1	1	1
0052-0603-02	90586	Organon USA, Inc.	Bcg vaccine intravesical	1 EACH	1	1	1	1
0006-4096-02	90632	Merck Sharp & Dohme Corp.	Hepa vaccine adult im	1 ML	1	10	1	10
0006-4841-00	90632	Merck Sharp & Dohme Corp.	Hepa vaccine adult im	1 ML	1	1	1	1
0006-4841-41	90632	Merck Sharp & Dohme Corp.	Hepa vaccine adult im	1 ML	1	10	1	10
58160-826-11	90632	GlaxoSmithkline	Hepa vaccine adult im	1 ML	1	10	1	10
58160-826-52	90632	GlaxoSmithkline	Hepa vaccine adult im	1 ML	1	10	1	10
70461-018-03	90653	Seqirus Inc	Iiv adjuvant vaccine im	0.5 ML	0.5	10	1	10
33332-018-01	90656	Seqirus Inc	IIV3 VACC NO PRSV 0.5 ML IM	0.5 ML	0.5	10	1	10
49281-403-65	90662	Sanofi Pasteur	Iiv no prsv increased ag im	0.5 ML	0.5	10	1	10
0005-1971-02	90670	Wyeth/Pfizer U.S.	PCV13 Vaccine IM	0.5 ML	0.5	10	1	10
0005-1971-05	90670	Wyeth/Pfizer U.S.	PCV13 Vaccine IM	0.5 ML	0.5	1	1	1
42874-017-10	90673	Protein Sciences	Riv3 vaccine no preserv im	0.5 ML	0.5	10	1	10
70461-318-03	90674	Seqirus Inc	CCIIV4 VAC NO PRSV 0.5 ML IM	0.5 ML	0.5	10	1	10
49281-250-51	90675	sanofi pasteur	Rabies vaccine im	1 ML	1	1	1	1
58160-964-12	90675	GlaxoSmithkline	Rabies vaccine im	1 ML	1	1	1	1
63851-501-02	90675	GlaxoSmithkline	Rabies vaccine im	1 ML	1	1	1	1
49281-718-10	90682	Sanofi Pasteur	RIV4 VACC RECOMBINANT DNA IM	0.5 ML	0.5	10	1	10
49281-518-25	90685	Sanofi Pasteur	IIV4 VACC NO PRSV 0.25 ML IM	0.25 ML	0.25	10	1	10
19515-909-52	90686	GlaxoSmithKline	IIV4 VACC NO PRSV 0.5 ML IM	0.5 ML	0.5	10	1	10
33332-318-01	90686	Seqirus Inc	IIV4 VACC NO PRSV 0.5 ML IM	0.5 ML	0.5	10	1	10
49281-418-10	90686	Sanofi Pasteur	IIV4 VACC NO PRSV 0.5 ML IM	0.5 ML	0.5	10	1	10
49281-418-50	90686	Sanofi Pasteur	IIV4 VACC NO PRSV 0.5 ML IM	0.5 ML	0.5	10	1	10
58160-898-52	90686	GlaxoSmithKline	IIV4 VACC NO PRSV 0.5 ML IM	0.5 ML	0.5	10	1	10
49281-629-15	90687	Sanofi Pasteur	IIV4 VACCINE SPLT 0.25 ML IM	0.25 ML	5	1	10	20
19515-900-11	90688	GlaxoSmithKline	IIV4 VACCINE SPLT 0.5 ML IM	0.5 ML	5	1	10	10
33332-418-10	90688	Seqirus Inc	IIV4 VACCINE SPLT 0.5 ML IM	0.5 ML	5	1	10	10
49281-629-15	90688	Sanofi Pasteur	IIV4 VACCINE SPLT 0.5 ML IM	0.5 ML	5	1	10	10
13533-131-01	90714	Grifols USA, LLC.	Td vacc no presv 7 yrs+ im	0.5 ML	0.5	10	1	10
49281-215-10	90714	sanofi pasteur	Td vacc no presv 7 yrs+ im	0.5 ML	0.5	10	1	10
49281-215-15	90714	sanofi pasteur	Td vacc no presv 7 yrs+ im	0.5 ML	0.5	10	1	10
49281-400-10	90715	sanofi pasteur	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
49281-400-15	90715	sanofi pasteur	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	5	1	5
49281-400-20	90715	sanofi pasteur	Tdap vaccine 7 yrs/> im	1 EA	0.5	5	1	5
58160-842-11	90715	GlaxoSmithkline	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
58160-842-52	90715	GlaxoSmithkline	Tdap vaccine 7 yrs/> im	0.5 ML	0.5	10	1	10
0006-4837-02	90732	Merck	PPSV23 VACC 2 YRS+ SUBQ/IM	0.5 ML	0.5	1	1	1
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
43528-002-05	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
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
0006-4094-09	90743	Merck	HEPB VACC 2 DOSE ADOLESC IM	1 DOSE	1	6	6	6
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
58160-820-11	90743	GlaxoSmithKline	HEPB VACC 2 DOSE ADOLESC IM	1 DOSE	0.5	10	1	10
0006-4094-09	90744	Merck	HEPB VACC 3 DOSE PED/ADOL IM	1 DOSE	1	6	6	6
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
58160-820-11	90744	GlaxoSmithKline	HEPB VACC 3 DOSE PED/ADOL IM	1 DOSE	0.5	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
0006-4094-09	90746	Merck	HEPB VACCINE 3 DOSE ADULT IM	1 DOSE	1	6	1	6
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
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
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
70461-418-10	90756	Seqirus Inc	CCIIV4 VACC ABX FREE IM	0.5 ML	5	1	10	10
69488-003-01	A9513	Advanced Accelerator Applications	Lutetium Lu 177 dotatat ther	1 MCI	20	1	200	200
68152-103-03	A9543	Spectrum Pharmaceuticals	Y90 ibritumomab, rx	UP TO 40 millicuries	1	1	1	1
67684-2000-0	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	5	10	50	500
67684-2000-1	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	10	10	100	1000
67684-2000-2	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	15	10	150	1500
67684-2000-3	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	20	10	200	2000
67684-2000-4	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	100	6	1000	6000
67684-2000-5	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	10	5	100	500
67684-2000-6	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	15	5	150	750
67684-2000-7	A9575	Guerbet LLC	Inj gadoterate meglumi 0.1ml	0.1 ML	20	5	200	1000
0270-1111-70	A9576	Bracco Diagnostics	Inj prohance multipack	1 ML	50	5	50	250
0270-5164-12	A9577	Bracco Diagnostics	Inj multihance	1 ML	5	5	5	25
0270-5164-13	A9577	Bracco Diagnostics	Inj multihance	1 ML	10	5	10	50
0270-5164-14	A9577	Bracco Diagnostics	Inj multihance	1 ML	15	5	15	75
0270-5164-15	A9577	Bracco Diagnostics	Inj multihance	1 ML	20	5	20	100
0270-5264-16	A9578	Bracco Diagnostics	Inj multihance multipack	1 ML	50	5	50	250
0270-5264-17	A9578	Bracco Diagnostics	Inj multihance multipack	1 ML	100	5	100	500
0270-1111-01	A9579	Bracco Diagnostics	Gad-base mr contrast nos,1ml	1 ML	10	5	10	50
0270-1111-02	A9579	Bracco Diagnostics	Gad-base mr contrast nos,1ml	1 ML	15	5	15	75
0270-1111-03	A9579	Bracco Diagnostics	Gad-base mr contrast nos,1ml	1 ML	20	5	20	100
0270-1111-04	A9579	Bracco Diagnostics	Gad-base mr contrast nos,1ml	1 ML	5	5	5	25
0270-1111-16	A9579	Bracco Diagnostics	Gad-base mr contrast nos,1ml	1 ML	10	5	10	50
0270-1111-45	A9579	Bracco Diagnostics	Gad-base mr contrast nos,1ml	1 ML	17	5	17	85
0407-0690-05	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	5	10	5	50
0407-0690-10	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	10	10	10	100
0407-0690-12	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	10	10	10	100
0407-0690-15	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0690-17	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0690-20	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
0407-0690-22	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
0407-0690-30	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	10	10	10	100
0407-0690-40	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0690-42	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0690-43	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
0407-0690-50	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
0407-0690-70	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	100	10	100	1000
0407-0691-62	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	15	10	15	150
0407-0691-63	A9579	GE Healthcare	Gad-base mr contrast nos,1ml	1 ML	20	10	20	200
50419-188-01	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	10	20	10	200
50419-188-02	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	20	20	20	400
50419-188-05	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	5	20	5	100
50419-188-11	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	100	10	100	1000
50419-188-15	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	15	20	15	300
50419-188-36	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	10	5	10	50
50419-188-37	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	15	5	15	75
50419-188-38	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	20	5	20	100
50419-188-58	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	50	10	50	500
50419-188-81	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	5	20	5	100
50419-188-82	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	10	20	10	200
50419-188-83	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	15	20	15	300
50419-188-84	A9579	Bayer HealthCare Pharmaceuticals Inc.	Gad-base mr contrast nos,1ml	1 ML	20	20	20	400
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
50419-325-27	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
69488-001-40	A9587	Advanced Accelerator Applications	Gallium Ga-68	0.1 mCi	1	1	54	54
10511-3001-1	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
11994-016-01	A9604	Lantheus Medical Imaging, Inc.	Sm 153 lexidronam	up to 150 millicuries	3	1	1	1
50419-208-01	A9606	Bayer HealthCare Pharmaceuticals Inc.	Radium Ra223 dichloride ther	1 mCi	6	1	1	1
65757-500-03	C9035	Alkermes, Inc.	Injection, Aristada Initio	1 MG	2.4	1	675	675
71336-1000-1	C9036	Alnylam Pharmaceuticals, Inc.	Injection, patisiran	0.1 MG	5	1	100	100
12496-0090-1	C9037	Indivior Inc.	Injection, risperidone	0.5 MG	1	1	180	180
12496-0120-1	C9037	Indivior Inc.	Injection, risperidone	0.5 MG	1	1	240	240
42747-761-01	C9038	Kyowa Kirin, Inc.	Inj mogamulizumab-kpkc	1 MG	5	1	20	20
71045-010-02	C9039	Achaogen Inc.	Injection, plazomicin	5 MG	10	10	100	1000
51759-204-10	C9040	Teva Pharmaceuticals USA, Inc.	Injection, fremanezumab-vfrm	1 MG	1.5	1	225	225
69853-0101-1	C9041	Portola Pharmaceuticals	Inj, coagulation faxtor Xa	10 MG	1	4	10	40
69853-0102-1	C9041	Portola Pharmaceuticals	Inj, coagulation faxtor Xa	10 MG	1	4	20	80
68152-112-01	C9043	Spectrum Pharmaceuticals, Inc.	Injection, levoleucovorin	1 MG	1	1	175	175
68152-114-01	C9043	Spectrum Pharmaceuticals, Inc.	Injection, levoleucovorin	1 MG	1	1	300	300
61755-008-01	C9044	Regeneron Pharmaceuticals, Inc.	Injection, cemiplimab	1 MG	7	1	350	350
0310-4700-01	C9045	AstraZeneca Pharmaceuticals LP	Moxetumomab pasudotox-tdfk	0.01 MG	1	1	100	100
64950-359-04	C9046	Genus Lifesciences Inc.	Cocaine hcl nasal solution	1 MG	4	1	160	160
63833-386-02	C9132	CSL Behring LLC	Kcentra, per i.u.	1 IU	1	1	1	1
63833-387-02	C9132	CSL Behring LLC	Kcentra, per i.u.	1 IU	1	1	1	1
0026-3942-25	C9141	Bayer HealthCare Pharmaceuticals Inc.	Factor viii pegylated-aucl	1 IU	1	1	1	1
0026-3944-25	C9141	Bayer HealthCare Pharmaceuticals Inc.	Factor viii pegylated-aucl	1 IU	1	1	1	1
0026-3946-25	C9141	Bayer HealthCare Pharmaceuticals Inc.	Factor viii pegylated-aucl	1 IU	1	1	1	1
0026-3948-25	C9141	Bayer HealthCare Pharmaceuticals Inc.	Factor viii pegylated-aucl	1 IU	1	1	1	1
10122-610-10	C9248	Chiesi USA, Inc.	Inj, clevidipine butyrate	1 MG	50	10	25	250
10122-611-10	C9248	Chiesi USA, Inc.	Inj, clevidipine butyrate	1 MG	100	10	50	500
65293-005-11	C9248	The Medicines Company	Inj, clevidipine butyrate	1 MG	100	10	50	500
65293-005-55	C9248	The Medicines Company	Inj, clevidipine butyrate	1 MG	50	10	25	250
0944-8503-02	C9250	Baxter Healthcare Corporation	Artiss fibrin sealant	2 ML	1	1	1	1
0944-8503-04	C9250	Baxter Healthcare Corporation	Artiss fibrin sealant	2 ML	1	1	2	2
0944-8503-10	C9250	Baxter Healthcare Corporation	Artiss fibrin sealant	2 ML	1	1	5	5
50242-060-01	C9257	Genentech, Inc.	Bevacizumab injection	0.25 MG	4	1	400	400
50242-061-01	C9257	Genentech, Inc.	Bevacizumab injection	0.25 MG	16	1	1600	1600
65250-133-04	C9290	Pacira Pharmaceuticals	Inj, bupivacaine liposome	1 MG	10	4	133	532
65250-133-09	C9290	Pacira Pharmaceuticals	Inj, bupivacaine liposome	1 MG	10	10	133	1330
65250-266-04	C9290	Pacira Pharmaceuticals	Inj, bupivacaine liposome	1 MG	20	4	266	1064
65250-266-09	C9290	Pacira Pharmaceuticals	Inj, bupivacaine liposome	1 MG	20	10	266	2660
50633-210-11	C9293	BTG International Inc.	Injection, glucarpidase	10 Units	1	1	100	100
71258-015-02	C9407	Progenics Pharmaceuticals, Inc	Iodine i-131 diagnostic	1?mCi	2	1	30	30
71258-015-22	C9407	Progenics Pharmaceuticals, Inc	Iodine i-131 diagnostic	1?mCi	22.5	1	337.5	337.5
71258-015-02	C9408	Progenics Pharmaceuticals, Inc	Iodine i-131 therapeutic	1?mCi	2	1	30	30
71258-015-22	C9408	Progenics Pharmaceuticals, Inc	Iodine i-131 therapeutic	1?mCi	22.5	1	337.5	337.5
62225-600-04	C9447	Omeros	Inj, phenylephrine ketorolac	4 ML	4	4	1	4
10122-620-10	C9460	Chiesi USA, Inc.	Injection, cangrelor	1 MG	1	10	50	500
65293-003-10	C9460	The Medicines Company	Injection, cangrelor	1 MG	1	10	50	500
70842-102-03	C9462	Melinta Therapeutics	Injection, delafloxacin	1 MG	1	10	300	3000
69724-112-10	C9482	Altathera Pharmaceuticals LLC	Sotalol hydrochloride IV	1MG	10	1	150	150
66220-160-10	C9488	Cumberland Pharmaceuticals Inc	Conivaptan HCL	1 MG	100	1	20	20
0003-2187-10	J0129	Bristol-Myers Squibb Company	Abatacept injection	10 MG	1	1	25	25
0003-2187-13	J0129	BRISTOL-MYERS SQUIBB CO.	Abatacept injection	10 MG	1	1	25	25
0003-2188-11	J0129	Bristol-Myers Squibb Company	Abatacept injection	10 MG	1	4	12.5	50
0003-2188-51	J0129	Bristol-Myers Squibb Company	Abatacept injection	10 MG	1	4	12.5	50
0003-2814-11	J0129	Bristol-Myers Squibb Company	Abatacept injection	10 MG	0.4	4	5	20
0003-2818-11	J0129	Bristol-Myers Squibb Company	Abatacept injection	10 MG	0.7	4	8.75	35
57894-200-01	J0130	Janssen Biotech, Inc.	Abciximab injection	10 MG	5	1	1	1
0574-0805-30	J0132	Perrigo Pharmaceuticals	Acetylcysteine injection	100 MG	30	4	60	240
0574-0815-30	J0132	Perrigo Pharmaceuticals	Acetylcysteine injection	100 MG	30	4	60	240
17478-660-30	J0132	Akorn	Acetylcysteine injection	100 MG	30	4	60	240
25021-812-30	J0132	Sagent Pharmaceuticals Inc	Acetylcysteine injection	100 MG	30	4	60	240
55150-259-30	J0132	AuroMedics Pharma LLC	Acetylcysteine injection	100 MG	30	4	60	240
63323-963-30	J0132	Fresenius Kabi 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
55150-154-10	J0133	AuroMedics Pharma LLC	Acyclovir injection	5 MG	10	10	100	1000
55150-154-11	J0133	AuroMedics Pharma LLC	Acyclovir injection	5 MG	10	10	100	1000
55150-155-20	J0133	AuroMedics Pharma LLC	Acyclovir injection	5 MG	20	10	200	2000
55150-155-21	J0133	AuroMedics Pharma LLC	Acyclovir injection	5 MG	20	10	200	2000
63323-325-10	J0133	Fresenius Kabi 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
0409-1932-01	J0153	Pfizer Inc.	Adenosine inj 1mg	1 MG	20	1	60	60
0409-1932-02	J0153	Pfizer Inc.	Adenosine inj 1mg	1 MG	30	1	90	90
0469-8234-12	J0153	Astellas Pharma US, Inc.	Adenosine inj 1mg	1 MG	2	10	6	60
0469-8234-14	J0153	Astellas Pharma US, Inc.	Adenosine inj 1mg	1 MG	4	10	12	120
0703-8776-01	J0153	Sicor Pharmaceuticals, Inc.	Adenosine inj 1mg	1 MG	20	1	60	60
0703-8777-01	J0153	Sicor Pharmaceuticals, Inc.	Adenosine inj 1mg	1 MG	30	1	90	90
17478-542-02	J0153	Akorn	Adenosine inj 1mg	1 MG	2	10	6	60
17478-542-25	J0153	Akorn	Adenosine inj 1mg	1 MG	2	25	6	150
17478-544-20	J0153	Akorn	Adenosine inj 1mg	1 MG	20	1	60	60
17478-544-30	J0153	Akorn	Adenosine inj 1mg	1 MG	30	1	90	90
17478-953-02	J0153	Akorn	Adenosine inj 1mg	1 MG	2	10	6	60
25021-301-67	J0153	Sagent Pharmaceuticals Inc	Adenosine inj 1mg	1 MG	2	10	6	60
25021-301-68	J0153	Sagent Pharmaceuticals Inc	Adenosine inj 1mg	1 MG	4	10	12	120
55150-192-20	J0153	AuroMedics Pharma LLC	Adenosine inj 1mg	1 MG	20	10	60	600
55150-193-30	J0153	AuroMedics Pharma LLC	Adenosine inj 1mg	1 MG	30	10	90	900
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
67457-854-04	J0153	Mylan Institutional	Adenosine inj 1mg	1 MG	4	10	12	120
67457-855-02	J0153	Mylan Institutional	Adenosine inj 1mg	1 MG	2	10	6	60
67457-856-20	J0153	Mylan Institutional	Adenosine inj 1mg	1 MG	20	1	60	60
67457-857-30	J0153	Mylan Institutional	Adenosine inj 1mg	1 MG	30	1	90	90
0409-7241-01	J0171	Pfizer Inc.	Adrenalin epinephrine inject	0.1 MG	1	25	10	250
0409-7241-25	J0171	Pfizer Inc.	Adrenalin epinephrine inject	0.1 MG	1	25	10	250
0409-7241-61	J0171	Pfizer Inc.	Adrenalin epinephrine inject	0.1 MG	1	800	10	8000
42023-159-25	J0171	Par Pharmaceutical, Inc	Adrenalin epinephrine inject	0.1 MG	1	25	10	250
42023-168-01	J0171	Par Pharmaceutical, Inc	Adrenalin epinephrine inject	0.1 MG	30	1	300	300
61755-005-02	J0178	Regeneron Pharmaceuticals, Inc.	Aflibercept injection	1 MG	0.05	1	2	2
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
66220-017-03	J0207	Cumberland Pharmaceuticals Inc	Amifostine	500 MG	1	3	1	3
58468-0160-1	J0221	Genzyme Corporation	Lumizyme injection	10 MG	1	1	5	5
58468-0160-2	J0221	Genzyme Corporation	Lumizyme injection	10 MG	1	10	5	50
0053-7201-02	J0256	CSL Behring LLC	Alpha 1 proteinase inhibitor	10 MG	1	1	0.1	0.1
0944-2814-01	J0256	Baxalta US Inc.	Alpha 1 proteinase inhibitor	10 MG	1	1	0.1	0.1
0944-2815-01	J0256	Baxalta US Inc.	Alpha 1 proteinase inhibitor	10 MG	1	1	0.1	0.1
13533-700-02	J0256	Grifols USA, LLC.	Alpha 1 proteinase inhibitor	10 MG	1	1	100	0.1
13533-703-10	J0256	Grifols USA, LLC.	Alpha 1 proteinase inhibitor	10 MG	1	1	100	0.1
13533-705-01	J0256	Grifols USA, LLC.	Alpha 1 proteinase inhibitor	10 MG	1	1	100	0.1
0944-2884-01	J0257	Baxalta US Inc.	Glassia injection	10 MG	1	1	0.1	0.1
0641-6166-10	J0278	West-Ward Pharmaceuticals Corp	Amikacin sulfate injection	100 MG	4	10	10	100
0641-6167-10	J0278	West-Ward Pharmaceuticals Corp	Amikacin sulfate injection	100 MG	2	10	5	50
0703-9032-03	J0278	Sicor Pharmaceuticals, Inc.	Amikacin sulfate injection	100 MG	2	10	5	50
0703-9040-03	J0278	Sicor Pharmaceuticals, Inc.	Amikacin sulfate injection	100 MG	4	10	10	100
23155-290-41	J0278	Heritage Pharmaceuticals, Inc.	Amikacin sulfate injection	100 MG	2	10	5	50
23155-290-42	J0278	Heritage Pharmaceuticals, Inc.	Amikacin sulfate injection	100 MG	4	10	10	100
25021-173-02	J0278	Sagent Pharmaceuticals Inc	Amikacin sulfate injection	100 MG	2	10	5	50
25021-173-04	J0278	Sagent Pharmaceuticals Inc	Amikacin sulfate injection	100 MG	4	10	10	100
63323-815-02	J0278	Fresenius Kabi 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
0409-5921-01	J0280	Pfizer Inc.	Aminophyllin 250 mg inj	250 MG	10	25	1	25
0409-5921-10	J0280	Pfizer Inc.	Aminophyllin 250 mg inj	250 MG	10	25	1	25
0409-5922-01	J0280	Pfizer Inc.	Aminophyllin 250 mg inj	250 MG	20	25	2	50
39822-1055-5	J0285	X-Gen Pharmaceuticals, Inc.	Amphotericin b	50 MG	1	1	1	1
57665-101-41	J0287	Leadiant Biosciences, Inc.	Amphotericin b lipid complex	10 MG	20	1	10	10
0469-3051-30	J0289	Astellas Pharma US, Inc.	Amphotericin b liposome inj	10 MG	1	1	5	5
0409-3718-01	J0290	Pfizer Inc.	Ampicillin 500 mg inj	500 MG	1	10	1	10
0409-3719-01	J0290	Pfizer Inc.	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
0409-3720-01	J0290	Pfizer Inc.	Ampicillin 500 mg inj	500 MG	1	10	4	40
0409-3725-01	J0290	Pfizer Inc.	Ampicillin 500 mg inj	500 MG	1	10	20	200
0409-3726-01	J0290	Pfizer Inc.	Ampicillin 500 mg inj	500 MG	1	10	2	20
0781-3400-95	J0290	Sandoz, Inc.	Ampicillin 500 mg inj	500 MG	1	10	0.25	2.5
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	2.5
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 Inc	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
25021-135-10	J0290	Sagent Pharmaceuticals Inc	Ampicillin 500 mg inj	500 MG	1	10	1	10
25021-136-10	J0290	Sagent Pharmaceuticals Inc	Ampicillin 500 mg inj	500 MG	1	10	2	20
25021-137-20	J0290	Sagent Pharmaceuticals Inc	Ampicillin 500 mg inj	500 MG	1	10	4	40
44567-101-10	J0290	WG Critical Care	Ampicillin 500 mg inj	500 MG	1	10	1	10
44567-102-10	J0290	WG Critical Care	Ampicillin 500 mg inj	500 MG	1	10	2	20
44567-103-10	J0290	WG Critical Care	Ampicillin 500 mg inj	500 MG	1	10	4	40
44567-104-10	J0290	WG Critical Care	Ampicillin 500 mg inj	500 MG	1	10	20	200
55150-111-10	J0290	AuroMedics Pharma LLC	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
55150-112-10	J0290	AuroMedics Pharma LLC	Ampicillin 500 mg inj	500 MG	1	10	1	10
55150-113-10	J0290	AuroMedics Pharma LLC	Ampicillin 500 mg inj	500 MG	1	10	2	20
55150-114-20	J0290	AuroMedics Pharma LLC	Ampicillin 500 mg inj	500 MG	1	10	4	40
55150-115-99	J0290	AuroMedics Pharma LLC	Ampicillin 500 mg inj	500 MG	1	10	20	200
63323-387-10	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	10	10	0.5	5
63323-388-10	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	1	10	1	10
63323-389-10	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	10	10	2	20
63323-399-23	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	1	10	4	40
63323-704-08	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	1	10	2	20
63323-705-08	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	1	10	4	40
63323-707-20	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
63323-708-00	J0290	Fresenius Kabi USA LLC	Ampicillin 500 mg inj	500 MG	1	10	1	10
67457-350-10	J0290	Mylan Institutional	Ampicillin 500 mg inj	500 MG	1	10	1	10
67457-351-10	J0290	Mylan Institutional	Ampicillin 500 mg inj	500 MG	1	10	2	20
67457-352-10	J0290	Mylan Institutional	Ampicillin 500 mg inj	500 MG	1	10	4	40
67457-353-10	J0290	Mylan Institutional	Ampicillin 500 mg inj	500 MG	1	10	0.5	5
67457-404-10	J0290	Mylan Institutional	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
0049-0013-83	J0295	Pfizer Inc.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
0049-0014-83	J0295	Pfizer Inc.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
0049-0024-28	J0295	Pfizer Inc.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
0409-2987-03	J0295	Pfizer Inc.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
0641-6116-10	J0295	West-Ward Pharmaceuticals Corp	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
0641-6117-10	J0295	West-Ward Pharmaceuticals Corp	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
0641-6118-01	J0295	West-Ward Pharmaceuticals Corp	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
0641-6119-10	J0295	West-Ward Pharmaceuticals Corp	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
0781-3033-95	J0295	Sandoz, Inc.	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
25021-142-20	J0295	Sagent Pharmaceuticals Inc	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	10	10
25021-143-30	J0295	Sagent Pharmaceuticals Inc	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	20	20
25021-144-99	J0295	Sagent Pharmaceuticals Inc	Ampicillin sulbactam 1.5 gm	1.5 GM	30	1	10	10
25021-186-20	J0295	Sagent Pharmaceuticals Inc	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
25021-187-30	J0295	Sagent Pharmaceuticals Inc	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
25021-188-99	J0295	Sagent Pharmaceuticals Inc	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
44567-211-10	J0295	WG Critical Care	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
44567-212-01	J0295	WG Critical Care	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	10
55150-117-20	J0295	AUROMEDICS PHARMA, LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
63323-369-20	J0295	Fresenius Kabi USA LLC	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
67457-348-10	J0295	Mylan Institutional	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	1	10
67457-349-10	J0295	Mylan Institutional	Ampicillin sulbactam 1.5 gm	1.5 GM	1	10	2	20
67457-649-10	J0295	Mylan Institutional	Ampicillin sulbactam 1.5 gm	1.5 GM	1	1	10	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
17478-934-01	J0360	Akorn	Hydralazine hcl injection	20 MG	1	10	1	10
17478-934-15	J0360	Akorn	Hydralazine hcl injection	20 MG	1	25	1	25
39822-0500-4	J0360	X-Gen Pharmaceuticals, Inc.	Hydralazine hcl injection	20 MG	1	25	1	25
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
67457-291-01	J0360	Mylan Institutional	Hydralazine hcl injection	20 MG	1	25	1	25
59148-018-71	J0401	Otsuka America Pharmaceutical, Inc.	Inj aripiprazole ext rel 1mg	1 MG	1	1	300	300
59148-019-71	J0401	Otsuka America Pharmaceutical, Inc.	Inj aripiprazole ext rel 1mg	1 MG	1	1	400	400
59148-045-80	J0401	Otsuka America Pharmaceutical, Inc.	Inj aripiprazole ext rel 1mg	1 MG	1	1	300	300
59148-072-80	J0401	Otsuka America Pharmaceutical, Inc.	Inj aripiprazole ext rel 1mg	1 MG	1	1	400	400
0069-0400-10	J0456	Pfizer Inc.	Azithromycin	500 MG	1	10	1	10
0069-3150-83	J0456	Pfizer Inc.	Azithromycin	500 MG	1	10	1	10
0409-0144-11	J0456	Pfizer Inc.	Azithromycin	500 MG	1	10	1	10
25021-112-10	J0456	Mylan Institutional	Azithromycin	500 MG	1	10	1	10
55150-174-10	J0456	AuroMedics Pharma LLC	Azithromycin	500 MG	1	10	1	10
60505-6076-4	J0456	Apotex Corp.	Azithromycin	500 MG	1	10	1	10
63323-398-10	J0456	Fresenius Kabi USA LLC	Azithromycin	500 MG	1	10	10	10
63323-398-12	J0456	Fresenius Kabi USA LLC	Azithromycin	500 MG	1	10	10	10
63323-398-14	J0456	Fresenius Kabi USA LLC	Azithromycin	500 MG	1	10	1	10
70860-100-10	J0456	Athenex Pharmaceutical Division, LLC.	Azithromycin	500 MG	1	10	1	10
0409-1630-10	J0461	Pfizer Inc.	Atropine sulfate injection	0.01 MG	10	10	100	1000
0409-4910-34	J0461	Pfizer Inc.	Atropine sulfate injection	0.01 MG	5	10	50	500
0409-4911-34	J0461	Pfizer Inc.	Atropine sulfate injection	0.01 MG	10	10	100	1000
0409-9630-05	J0461	Pfizer Inc.	Atropine sulfate injection	0.01 MG	5	10	25	250
0517-0401-25	J0461	American Regent	Atropine sulfate injection	0.01 MG	1	25	40	1000
0517-1010-25	J0461	American Regent	Atropine sulfate injection	0.01 MG	1	25	100	2500
0641-6006-10	J0461	West-Ward Pharmaceuticals Corp	Atropine sulfate injection	0.01 MG	20	10	800	8000
63323-580-20	J0461	Fresenius Kabi USA LLC	Atropine sulfate injection	0.01 MG	20	10	800	8000
17478-526-03	J0470	Akorn	Dimecaprol injection	100 MG	3	10	3	30
45945-156-01	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	2	2
45945-156-02	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	2	2
45945-157-01	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	4	4
45945-157-02	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	4	4
58281-560-01	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	20	1	1	1
58281-560-02	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	40	1	2	2
58281-561-02	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	10	1	2	2
58281-563-01	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	20	1	4	4
58281-563-02	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	40	1	8	8
66794-155-01	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	1	1
66794-155-02	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	1	1
66794-156-01	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	2	2
66794-156-02	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	2	2
66794-157-01	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	4	4
66794-157-02	J0475	Piramal Critical Care	Baclofen 10 mg injection	10 MG	20	1	4	4
67457-562-20	J0475	Mylan Institutional	Baclofen 10 mg injection	10 MG	20	1	1	1
67457-563-20	J0475	Mylan Institutional	Baclofen 10 mg injection	10 MG	20	1	2	2
70257-560-01	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	20	1	1	1
70257-560-02	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	20	2	1	2
70257-561-02	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	5	2	1	2
70257-563-01	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	20	1	4	4
70257-563-02	J0475	Saol Therapeutics	Baclofen 10 mg injection	10 MG	20	2	4	8
58281-562-01	J0476	Saol Therapeutics	Baclofen intrathecal trial	50 MCG	1	1	1	1
66794-151-01	J0476	Piramal Critical Care	Baclofen intrathecal trial	50 MCG	1	1	1	1
70257-562-55	J0476	Saol Therapeutics	Baclofen intrathecal trial	50 MCG	1	5	1	5
0078-0331-84	J0480	Novartis Pharmaceuticals Corporation	Basiliximab	20 MG	1	1	1	1
0078-0393-61	J0480	Novartis Pharmaceuticals Corporation	Basiliximab	20 MG	1	1	0.5	0.5
0003-0371-13	J0485	Bristol-Myers Squibb Company	Belatacept injection	1 MG	1	1	250	250
49401-101-01	J0490	GlaxoSmithkline	Belimumab injection	10 MG	5	1	12	12
49401-102-01	J0490	GlaxoSmithkline	Belimumab injection	10 MG	20	1	40	40
0517-1980-05	J0500	American Regent	Dicyclomine injection	20 MG	2	5	1	5
58914-080-52	J0500	Aptalis Pharmaceuticals	Dicyclomine injection	20 MG	2	5	1	5
0143-9729-05	J0515	West-Ward Pharmaceuticals Corp	Inj benztropine mesylate	1 MG	2	5	2	10
17478-012-02	J0515	Akorn	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	Inj benztropine mesylate	1 MG	2	5	2	10
76478-611-02	J0515	Oak	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
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
60793-700-10	J0561	Pfizer Inc.	Penicillin g benzathine inj	100,000 UNITS	1	10	6	60
60793-701-10	J0561	Pfizer Inc.	Penicillin g benzathine inj	100,000 UNITS	2	10	12	120
60793-702-10	J0561	Pfizer Inc.	Penicillin g benzathine inj	100,000 UNITS	4	10	24	240
0006-3025-00	J0565	Merck Sharp & Dohme Corp.	Inj, bezlotoxumab, 10 mg	10 MG	40	1	100	100
58284-100-14	J0570	Braeburn Pharmaceuticals	Buprenorphine implant 74.2mg	74.2 MG	1	4	1	4
0338-9572-24	J0583	Baxter Healthcare Corporation	Bivalirudin	1 MG	50	24	250	6000
0338-9576-12	J0583	Baxter Healthcare Corporation	Bivalirudin	1 MG	100	12	500	6000
0409-8300-10	J0583	Pfizer Inc.	Bivalirudin	1 MG	1	10	250	2500
0409-8300-15	J0583	Pfizer Inc.	Bivalirudin	1 MG	1	10	250	2500
0781-3158-95	J0583	Sandoz, 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	AUROMEDICS PHARMA, LLC	Bivalirudin	1 MG	1	10	250	2500
60505-6101-4	J0583	APOTEX	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
65293-001-01	J0583	Sandoz, Inc.	Bivalirudin	1 MG	1	10	250	2500
67457-256-10	J0583	Mylan Institutional	Bivalirudin	1 MG	1	10	250	2500
0023-1145-01	J0585	Allergan Sales, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	100	100
0023-3919-50	J0585	Allergan Sales, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	50	50
0023-3921-02	J0585	Allergan Sales, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	200	200
0023-9232-01	J0585	Allergan Sales, LLC	Injection,onabotulinumtoxina	1 UNIT	1	1	100	100
0299-5962-30	J0586	Galderma Laboratories, L.P.	Abobotulinumtoxina	5 UNITS	1	1	60	60
15054-0500-1	J0586	Ipsen Biopharmaceuticals, Inc	Abobotulinumtoxina	5 Unit	1	1	100	100
15054-0530-6	J0586	Ipsen Biopharmaceuticals, Inc	Abobotulinumtoxina	5 Unit	1	1	60	60
10454-710-10	J0587	Solstice Neurosciences, LLC	Inj, rimabotulinumtoxinb	100 UNITS	0.5	1	25	25
10454-711-10	J0587	Solstice Neurosciences, LLC	Inj, rimabotulinumtoxinb	100 UNITS	1	1	50	50
10454-712-10	J0587	Solstice Neurosciences, LLC	Inj, rimabotulinumtoxinb	100 UNITS	2	1	100	100
0259-1605-01	J0588	Merz Pharmaceuticals, LLC	Incobotulinumtoxin a	1 UNIT	1	1	50	50
0259-1610-01	J0588	Merz Pharmaceuticals, LLC	Incobotulinumtoxin a	1 UNIT	1	1	100	100
0259-1620-01	J0588	Merz Pharmaceuticals, LLC	Incobotulinumtoxin a	1 UNIT	1	1	200	200
46783-160-01	J0588	Merz Aesthetics, Inc.	Incobotulinumtoxin a	1 UNIT	1	1	100	100
46783-161-01	J0588	Merz Aesthetics, Inc.	Incobotulinumtoxin a	1 UNIT	1	1	50	50
0409-2012-32	J0592	Pfizer Inc.	Buprenorphine hydrochloride	0.1 MG	1	10	3	30
12496-0757-5	J0592	Indivior Inc.	Buprenorphine hydrochloride	0.1 MG	1	5	3	15
42023-179-05	J0592	Par Pharmaceutical, Inc	Buprenorphine hydrochloride	0.1 MG	1	5	3	15
0517-0920-08	J0594	American Regent	Busulfan injection	1 MG	10	8	60	480
25021-241-10	J0594	Sagent Pharmaceuticals Inc	Busulfan injection	1 MG	10	8	60	480
45963-640-77	J0594	Actavis Pharma, Inc.	Busulfan injection	1 MG	10	8	60	480
59148-070-91	J0594	Otsuka America Pharmaceutical, Inc.	Busulfan injection	1 MG	10	8	60	480
67457-893-08	J0594	Mylan Institutional	Busulfan injection	1 MG	10	8	60	480
70121-1244-7	J0594	Amneal Biosciences	Busulfan injection	1 MG	10	8	60	480
0409-1623-01	J0595	Pfizer Inc.	Butorphanol tartrate 1 mg	1 MG	1	10	1	10
0409-1626-01	J0595	Pfizer Inc.	Butorphanol tartrate 1 mg	1 MG	1	10	2	20
0409-1626-02	J0595	Pfizer Inc.	Butorphanol tartrate 1 mg	1 MG	2	10	4	40
0409-1626-10	J0595	Pfizer Inc.	Butorphanol tartrate 1 mg	1 MG	1	10	2	20
68012-350-02	J0596	Santarus Pharmaceuticals, Inc.	Injection, ruconest	10 Units	1	1	210	210
71274-350-02	J0596	Pharming Healthcare Inc.	Injection, ruconest	10 UNITS	1	1	210	210
63833-825-02	J0597	CSL Behring LLC	C-1 esterase, berinert	10 UNITS	1	1	50	50
42227-081-05	J0598	Shire ViroPharma, Inc.	C-1 esterase, cinryze	10 UNITS	1	1	50	50
99207-240-05	J0600	Medicis Pharmaceuticals, Inc.	Edetate calcium disodium inj	1000 MG	5	5	1	5
0517-3900-25	J0610	American Regent	Calcium gluconate injection	10 ML	100	25	10	250
63323-360-19	J0610	Fresenius Kabi USA LLC	Calcium gluconate injection	10 ML	10	25	1	25
63323-360-59	J0610	Fresenius Kabi USA LLC	Calcium gluconate injection	10 ML	50	25	5	125
63323-360-61	J0610	Fresenius Kabi USA LLC	Calcium gluconate injection	10 ML	100	20	10	200
67457-675-02	J0630	Mylan Institutional	Calcitonin salmon injection	400 UNITS	2	1	1	1
17478-831-01	J0636	Akorn	Inj calcitriol per 0.1 mcg	0.1 MCG	1	10	10	100
17478-931-01	J0636	Akorn	Inj calcitriol per 0.1 mcg	0.1 MCG	1	10	10	100
0006-3822-10	J0637	Merck Sharp & Dohme Corp.	Caspofungin acetate	5 MG	1	1	10	10
0006-3823-10	J0637	Merck Sharp & Dohme Corp.	Caspofungin acetate	5 MG	1	1	14	14
0781-3421-94	J0637	SANDOZ	Caspofungin acetate	5 MG	1	1	10	10
0781-3423-94	J0637	SANDOZ	Caspofungin acetate	5 MG	1	1	14	14
47781-613-07	J0637	Alvogen, Inc.	Caspofungin acetate	5 MG	1	1	10	10
47781-614-07	J0637	Alvogen, Inc.	Caspofungin acetate	5 MG	1	1	14	14
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
67457-831-50	J0637	Mylan Institutional	Caspofungin acetate	5 MG	1	1	10	10
67457-832-70	J0637	Mylan Institutional	Caspofungin acetate	5 MG	1	1	14	14
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
0078-0734-61	J0638	Novartis Pharmaceuticals Corporation	Canakinumab injection	1 MG	150	1	150	150
0143-9552-01	J0640	West-Ward Pharmaceuticals Corp	Leucovorin calcium injection	50 MG	1	1	7	7
0143-9553-01	J0640	West-Ward Pharmaceuticals Corp	Leucovorin calcium injection	50 MG	1	1	4	4
0143-9554-01	J0640	West-Ward Pharmaceuticals Corp	Leucovorin calcium injection	50 MG	1	1	2	2
0143-9555-01	J0640	West-Ward Pharmaceuticals Corp	Leucovorin calcium injection	50 MG	1	1	1	1
0703-5140-01	J0640	Sicor Pharmaceuticals, Inc.	Leucovorin calcium injection	50 MG	1	1	2	2
0703-5145-01	J0640	Sicor Pharmaceuticals, Inc.	Leucovorin calcium injection	50 MG	1	1	7	7
0703-5145-91	J0640	Sicor Pharmaceuticals, Inc.	Leucovorin calcium injection	50 MG	1	1	7	7
25021-813-10	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	10	1	10
25021-813-66	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	10	1	10
25021-814-30	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	1	2	2
25021-814-67	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	1	2	2
25021-815-30	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	1	4	4
25021-815-67	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	1	4	4
25021-816-30	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	1	7	7
25021-816-67	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	1	7	7
25021-828-50	J0640	Sagent Pharmaceuticals Inc	Leucovorin calcium injection	50 MG	1	1	10	10
63323-631-10	J0640	FRESENIUS KABI USA	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
63323-710-59	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
68001-285-36	J0640	American Health Packaging	Leucovorin calcium injection	50 MG	1	1	2	2
68001-285-37	J0640	American Health Packaging	Leucovorin calcium injection	50 MG	1	1	4	4
68001-285-40	J0640	American Health Packaging	Leucovorin calcium injection	50 MG	1	10	1	10
68001-286-38	J0640	American Health Packaging	Leucovorin calcium injection	50 MG	1	1	7	7
0143-9558-01	J0641	West-Ward Pharmaceuticals Corp	Levoleucovorin injection	0.5 MG	1	1	100	100
0591-4130-54	J0641	Actavis Pharma, Inc.	Levoleucovorin injection	0.5 MG	1	1	350	350
0781-3201-94	J0641	Sandoz, Inc.	Levoleucovorin injection	0.5 MG	17.5	1	350	350
43598-771-11	J0641	DR.REDDY'S LABORATORIES	Levoleucovorin injection	0.5 MG	17.5	1	350	350
43598-773-11	J0641	DR.REDDY'S LABORATORIES	Levoleucovorin injection	0.5 MG	25	1	500	500
45963-762-57	J0641	Actavis Pharma, Inc.	Levoleucovorin injection	0.5 MG	1	1	100	100
50742-494-17	J0641	Ingenus Pharmaceuticals, LLC	Levoleucovorin injection	0.5 MG	17.5	1	350	350
50742-495-25	J0641	Ingenus Pharmaceuticals, LLC	Levoleucovorin injection	0.5 MG	25	1	500	500
67457-600-20	J0641	Mylan Institutional	Levoleucovorin injection	0.5 MG	17.5	1	350	350
67457-601-30	J0641	Mylan Institutional	Levoleucovorin injection	0.5 MG	17.5	1	350	350
68152-101-00	J0641	Spectrum Pharmaceuticals	Levoleucovorin injection	0.5 MG	1	1	100	100
70121-1099-1	J0641	Amneal Biosciences	Levoleucovorin injection	0.5 MG	1	1	100	100
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
0143-9261-10	J0690	West-Ward Pharmaceuticals Corp	Cefazolin sodium injection	500 MG	1	10	20	200
0143-9262-25	J0690	West-Ward Pharmaceuticals Corp	Cefazolin sodium injection	500 MG	1	25	2	50
0143-9923-90	J0690	West-Ward Pharmaceuticals Corp	Cefazolin sodium injection	500 MG	1	25	1	25
0143-9924-90	J0690	West-Ward Pharmaceuticals Corp	Cefazolin sodium injection	500 MG	1	25	2	50
0143-9983-03	J0690	West-Ward Pharmaceuticals Corp	Cefazolin sodium injection	500 MG	1	10	20	200
0264-3103-11	J0690	B. Braun Medical Inc.	Cefazolin sodium injection	500 MG	50	24	2	48
0264-3105-11	J0690	B. Braun Medical Inc.	Cefazolin sodium injection	500 MG	50	24	4	96
0338-3503-41	J0690	Baxter Healthcare Corporation	Cefazolin sodium injection	500 MG	50	24	2	48
0338-3508-41	J0690	Baxter Healthcare Corporation	Cefazolin sodium injection	500 MG	100	12	4	48
0409-0805-01	J0690	Pfizer Inc.	Cefazolin sodium injection	500 MG	1	25	2	50
0409-0806-01	J0690	Pfizer Inc.	Cefazolin sodium injection	500 MG	1	10	20	200
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	1	10	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	10	10	20	200
25021-100-10	J0690	Sagent Pharmaceuticals Inc	Cefazolin sodium injection	500 MG	1	25	1	25
25021-100-66	J0690	Sagent Pharmaceuticals Inc	Cefazolin sodium injection	500 MG	1	25	1	25
25021-101-10	J0690	Sagent Pharmaceuticals Inc	Cefazolin sodium injection	500 MG	1	25	2	50
25021-101-67	J0690	Sagent Pharmaceuticals Inc	Cefazolin sodium injection	500 MG	1	25	2	50
25021-102-69	J0690	Sagent Pharmaceuticals Inc	Cefazolin sodium injection	500 MG	1	10	20	200
25021-102-99	J0690	Sagent Pharmaceuticals Inc	Cefazolin sodium injection	500 MG	1	10	20	200
44567-706-25	J0690	WG Critical Care	Cefazolin sodium injection	500 MG	1	25	1	25
44567-707-25	J0690	WG Critical Care	Cefazolin sodium injection	500 MG	1	25	2	50
44567-708-10	J0690	WG Critical Care	Cefazolin sodium injection	500 MG	1	10	20	200
60505-6142-5	J0690	APOTEX CORP.	Cefazolin sodium injection	500 MG	1	25	2	50
63323-236-10	J0690	Fresenius Kabi USA LLC	Cefazolin sodium injection	500 MG	1	25	1	25
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
63323-449-61	J0690	Fresenius Kabi USA LLC	Cefazolin sodium injection	500 MG	1	10	40	400
0264-3193-11	J0692	B. Braun Medical Inc.	Cefepime hcl for injection	500 MG	1	24	2	48
0264-3195-11	J0692	B. Braun Medical Inc.	Cefepime hcl for injection	500 MG	1	24	4	96
0338-1301-41	J0692	Baxter Healthcare Corporation	Cefepime hcl for injection	500 MG	50	24	2	48
0338-1301-48	J0692	Baxter Healthcare Corporation	Cefepime hcl for injection	500 MG	100	12	4	48
0409-0217-01	J0692	Pfizer Inc.	Cefepime hcl for injection	500 MG	1	25	2	50
0409-0218-01	J0692	Pfizer Inc.	Cefepime hcl for injection	500 MG	1	25	4	100
0409-0219-01	J0692	Pfizer Inc.	Cefepime hcl for injection	500 MG	1	10	2	20
0409-0220-01	J0692	Pfizer Inc.	Cefepime hcl for injection	500 MG	1	10	4	40
25021-121-20	J0692	Sagent Pharmaceuticals Inc	Cefepime hcl for injection	500 MG	1	10	2	20
25021-121-66	J0692	Sagent Pharmaceuticals Inc	Cefepime hcl for injection	500 MG	1	10	2	20
25021-122-50	J0692	Sagent Pharmaceuticals Inc	Cefepime hcl for injection	500 MG	1	10	4	40
25021-122-67	J0692	Sagent Pharmaceuticals Inc	Cefepime hcl for injection	500 MG	1	10	4	40
44567-240-10	J0692	WG Critical Care	Cefepime hcl for injection	500 MG	1	10	2	20
44567-241-10	J0692	WG Critical Care	Cefepime hcl for injection	500 MG	1	10	4	40
60505-6144-4	J0692	NOVAPLUS/APOTEX USA	Cefepime hcl for injection	500 MG	1	10	2	20
60505-6145-4	J0692	NOVAPLUS/APOTEX USA	Cefepime hcl for injection	500 MG	1	10	4	40
60505-6146-0	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	1	2	2
60505-6146-4	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	10	2	20
60505-6147-0	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	1	4	4
60505-6147-4	J0692	APOTEX CORP.	Cefepime hcl for injection	500 MG	1	10	4	40
63323-326-20	J0692	Fresenius Kabi 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
0143-9876-10	J0694	West-Ward Pharmaceuticals Corp	Cefoxitin sodium injection	1 GM	10	1	100	100
0143-9877-25	J0694	West-Ward Pharmaceuticals Corp	Cefoxitin sodium injection	1 GM	1	25	2	50
0143-9878-25	J0694	West-Ward Pharmaceuticals Corp	Cefoxitin sodium injection	1 GM	1	25	1	25
0264-3123-11	J0694	B. Braun Medical Inc.	Cefoxitin sodium injection	1 GM	1	24	1	24
0264-3125-11	J0694	B. Braun Medical Inc.	Cefoxitin sodium injection	1 GM	1	24	2	48
25021-109-10	J0694	Sagent Pharmaceuticals Inc	Cefoxitin sodium injection	1 GM	1	10	1	10
25021-110-20	J0694	Sagent Pharmaceuticals Inc	Cefoxitin sodium injection	1 GM	1	10	2	20
25021-111-99	J0694	Sagent Pharmaceuticals Inc	Cefoxitin sodium injection	1 GM	1	10	10	100
44567-245-25	J0694	WG Critical Care	Cefoxitin sodium injection	1 GM	1	25	1	25
44567-245-85	J0694	WG Critical Care	Cefoxitin sodium injection	1 GM	1	25	1	25
44567-246-25	J0694	WG Critical Care	Cefoxitin sodium injection	1 GM	1	25	2	50
44567-246-85	J0694	WG Critical Care	Cefoxitin sodium injection	1 GM	1	25	2	50
44567-247-10	J0694	WG Critical Care	Cefoxitin sodium injection	1 GM	10	10	100	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
63323-343-66	J0694	Fresenius Kabi USA LLC	Cefoxitin sodium injection	1 GM	10	10	100	100
67919-030-01	J0695	Cubist Pharmaceuticals	Inj ceftolozane tazobactam	75mg (50mg cft/25mg taz)	1	10	20	200
0143-9856-25	J0696	West-Ward Pharmaceuticals Corp	Ceftriaxone sodium injection	250 MG	1	25	8	200
0143-9857-25	J0696	West-Ward Pharmaceuticals Corp	Ceftriaxone sodium injection	250 MG	1	25	4	100
0143-9858-25	J0696	West-Ward Pharmaceuticals Corp	Ceftriaxone sodium injection	250 MG	1	25	2	50
0143-9859-25	J0696	West-Ward Pharmaceuticals Corp	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
0409-7332-20	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	4	40
0409-7333-04	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	4	40
0409-7333-49	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	4	40
0409-7334-10	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	1	40	40
0409-7334-20	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	1	40	40
0409-7335-03	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	8	80
0409-7335-20	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	8	80
0409-7336-04	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	8	80
0409-7337-01	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	1	10
0409-7337-20	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	1	10
0409-7338-01	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	2	20
0409-7338-20	J0696	Pfizer Inc.	Ceftriaxone sodium injection	250 MG	1	10	2	20
0781-3206-85	J0696	Sandoz, 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
0781-9328-95	J0696	Sandoz, Inc.	Ceftriaxone sodium injection	250 MG	1	10	4	40
25021-105-10	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	25	2	50
25021-105-66	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	25	2	50
25021-106-10	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	25	4	100
25021-106-67	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	25	4	100
25021-107-20	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	25	8	200
25021-107-68	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	25	8	200
25021-108-69	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	1	40	40
25021-108-99	J0696	Sagent Pharmaceuticals Inc	Ceftriaxone sodium injection	250 MG	1	1	40	40
44567-700-25	J0696	WG Critical Care	Ceftriaxone sodium injection	250 MG	1	25	2	50
44567-701-25	J0696	WG Critical Care	Ceftriaxone sodium injection	250 MG	1	25	4	100
44567-702-25	J0696	WG Critical Care	Ceftriaxone sodium injection	250 MG	1	25	8	200
44567-703-01	J0696	WG Critical Care	Ceftriaxone sodium injection	250 MG	1	1	40	40
60505-6148-4	J0696	APOTEX	Ceftriaxone sodium injection	250 MG	1	10	4	40
60505-6149-4	J0696	APOTEX	Ceftriaxone sodium injection	250 MG	1	10	8	80
60505-6151-1	J0696	APOTEX	Ceftriaxone sodium injection	250 MG	1	10	1	10
60505-6151-4	J0696	APOTEX	Ceftriaxone sodium injection	250 MG	1	1	1	1
60505-6152-1	J0696	APOTEX	Ceftriaxone sodium injection	250 MG	1	10	2	20
60505-6152-4	J0696	APOTEX	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
63323-347-20	J0696	Fresenius Kabi USA LLC	Ceftriaxone sodium injection	250 MG	1	10	8	80
63323-348-61	J0696	Fresenius Kabi USA LLC	Ceftriaxone sodium injection	250 MG	1	1	40	40
64679-701-02	J0696	Wockhardt USA LLC	Ceftriaxone sodium injection	250 MG	1	10	1	10
64679-702-02	J0696	Wockhardt USA LLC	Ceftriaxone sodium injection	250 MG	1	10	2	20
64679-703-01	J0696	Wockhardt USA LLC	Ceftriaxone sodium injection	250 MG	1	10	8	80
64679-983-02	J0696	Wockhardt USA LLC	Ceftriaxone sodium injection	250 MG	1	10	4	40
68180-611-01	J0696	Lupin Pharmaceuticals	Ceftriaxone sodium injection	250 MG	1	1	1	1
68180-611-10	J0696	Lupin Pharmaceuticals	Ceftriaxone sodium injection	250 MG	1	10	1	10
68180-622-01	J0696	Lupin Pharmaceuticals	Ceftriaxone sodium injection	250 MG	1	1	2	2
68180-622-10	J0696	Lupin Pharmaceuticals	Ceftriaxone sodium injection	250 MG	1	10	2	20
68180-633-01	J0696	Lupin Pharmaceuticals	Ceftriaxone sodium injection	250 MG	1	1	4	4
68180-633-10	J0696	Lupin Pharmaceuticals	Ceftriaxone sodium injection	250 MG	1	10	4	40
68180-644-10	J0696	Lupin Pharmaceuticals	Ceftriaxone sodium injection	250 MG	1	10	8	80
0143-9567-25	J0697	West-Ward Pharmaceuticals Corp	Sterile cefuroxime injection	750 MG	1	25	2	50
0143-9568-25	J0697	West-Ward Pharmaceuticals Corp	Sterile cefuroxime injection	750 MG	1	25	1	25
0143-9569-10	J0697	West-Ward Pharmaceuticals Corp	Sterile cefuroxime injection	750 MG	1	10	10	100
0143-9976-03	J0697	West-Ward Pharmaceuticals Corp	Sterile cefuroxime injection	750 MG	1	10	10	100
0143-9977-22	J0697	West-Ward Pharmaceuticals Corp	Sterile cefuroxime injection	750 MG	1	25	2	50
0143-9979-22	J0697	West-Ward Pharmaceuticals Corp	Sterile cefuroxime injection	750 MG	1	25	1	25
25021-118-10	J0697	Sagent Pharmaceuticals Inc	Sterile cefuroxime injection	750 MG	1	25	1	25
25021-119-20	J0697	Sagent Pharmaceuticals Inc	Sterile cefuroxime injection	750 MG	1	25	2	50
0085-4320-01	J0702	Schering Corporation	Betamethasone acet&sod phosp	3 MG & 3 MG	5	1	5	5
0517-0720-01	J0702	American Regent	Betamethasone acet&sod phosp	3 MG & 3 MG	5	1	5	5
0456-0400-10	J0712	Forest Laboratories	Ceftaroline fosamil inj	10 MG	1	10	40	400
0456-0600-10	J0712	Forest Laboratories	Ceftaroline fosamil inj	10 MG	1	10	60	600
0264-3143-11	J0713	B. Braun Medical Inc.	Inj ceftazidime per 500 mg	500 MG	1	24	2	48
0264-3145-11	J0713	B. Braun Medical Inc.	Inj ceftazidime per 500 mg	500 MG	1	24	4	96
0409-5082-16	J0713	Pfizer Inc.	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
0409-5084-11	J0713	Pfizer Inc.	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
0409-5086-11	J0713	Pfizer Inc.	Inj ceftazidime per 500 mg	500 MG	1	10	12	120
0409-5092-16	J0713	Pfizer Inc.	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
0409-5093-11	J0713	Pfizer Inc.	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
25021-127-20	J0713	Sagent Pharmaceuticals Inc	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
25021-127-66	J0713	Sagent Pharmaceuticals Inc	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
25021-128-50	J0713	Sagent Pharmaceuticals Inc	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
25021-128-67	J0713	Sagent Pharmaceuticals Inc	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
25021-129-69	J0713	Sagent Pharmaceuticals Inc	Inj ceftazidime per 500 mg	500 MG	1	6	12	72
25021-129-99	J0713	Sagent Pharmaceuticals Inc	Inj ceftazidime per 500 mg	500 MG	1	6	12	72
44567-235-25	J0713	WG Critical Care	Inj ceftazidime per 500 mg	500 MG	1	25	2	50
44567-236-10	J0713	WG Critical Care	Inj ceftazidime per 500 mg	500 MG	1	10	4	40
44567-237-06	J0713	WG Critical Care	Inj ceftazidime per 500 mg	500 MG	1	6	12	72
50474-700-62	J0717	UCB, Inc.	Certolizumab pegol inj 1mg	1 MG	1	2	200	400
50474-710-79	J0717	UCB, Inc.	Certolizumab pegol inj 1mg	1 MG	1	2	200	400
50474-710-81	J0717	UCB, Inc.	Certolizumab pegol inj 1mg	1 MG	1	6	200	1200
63323-011-15	J0720	Fresenius Kabi USA LLC	Chloramphenicol sodium injec	1 GM	1	10	1	10
55566-1501-1	J0725	Ferring Pharmaceuticals Inc.	Chorionic gonadotropin/1000u	1000 UNITS	1	1	10	10
55566-1502-1	J0725	Ferring Pharmaceuticals Inc.	Chorionic gonadotropin/1000u	1000 UNITS	1	1	5	5
63323-030-11	J0725	Fresenius Kabi USA LLC	Chorionic gonadotropin/1000u	1000 UNITS	1	1	10	10
0143-9723-01	J0735	West-Ward Pharmaceuticals Corp	Clonidine hydrochloride	1 MG	10	1	5	5
0143-9724-01	J0735	West-Ward Pharmaceuticals Corp	Clonidine hydrochloride	1 MG	10	1	1	1
39822-2000-1	J0735	X-Gen Pharmaceuticals, Inc.	Clonidine hydrochloride	1 MG	10	1	1	1
39822-2010-1	J0735	X-Gen Pharmaceuticals, Inc.	Clonidine hydrochloride	1 MG	10	1	5	5
67457-218-10	J0735	Mylan Institutional	Clonidine hydrochloride	1 MG	10	1	1	1
23155-216-31	J0740	Heritage Pharmaceuticals, Inc.	Cidofovir injection	375 MG	5	1	1	1
67457-210-05	J0740	Mylan Institutional	Cidofovir injection	375 MG	5	1	1	1
0006-3516-59	J0743	Merck Sharp & Dohme Corp.	Cilastatin sodium injection	250 MG	1	25	2	50
0409-3507-01	J0743	Pfizer Inc.	Cilastatin sodium injection	250 MG	1	25	2	50
0409-3508-01	J0743	Pfizer Inc.	Cilastatin sodium injection	250 MG	1	25	1	25
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
63323-349-93	J0743	Fresenius Kabi USA LLC	Cilastatin sodium injection	250 MG	1	25	1	25
63323-349-94	J0743	Fresenius Kabi USA LLC	Cilastatin sodium injection	250 MG	1	25	1	25
0409-4777-02	J0744	Pfizer Inc.	Ciprofloxacin iv	200 MG	200	24	2	48
0409-4777-23	J0744	Pfizer Inc.	Ciprofloxacin iv	200 MG	100	24	1	24
0409-4777-50	J0744	Pfizer Inc.	Ciprofloxacin iv	200 MG	200	24	2	48
0781-3239-09	J0744	Sandoz, Inc.	Ciprofloxacin iv	200 MG	100	24	1	24
0781-3240-09	J0744	Sandoz, Inc.	Ciprofloxacin iv	200 MG	200	24	2	48
25021-114-87	J0744	Sagent Pharmaceuticals Inc	Ciprofloxacin iv	200 MG	200	24	2	48
36000-008-24	J0744	Baxter Healthcare Corporation	Ciprofloxacin iv	200 MG	100	1	1	1
36000-009-24	J0744	Baxter Healthcare Corporation	Ciprofloxacin iv	200 MG	200	1	2	2
50419-759-01	J0744	Bayer HealthCare Pharmaceuticals Inc.	Ciprofloxacin iv	200 MG	200	1	2	2
25021-159-10	J0770	Sagent Pharmaceuticals Inc	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
39822-0615-2	J0770	X-Gen Pharmaceuticals, Inc.	Colistimethate sodium inj	UP TO 150 MG	1	12	1	12
39822-0617-1	J0770	X-Gen Pharmaceuticals, Inc.	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
39822-0617-2	J0770	X-Gen Pharmaceuticals, Inc.	Colistimethate sodium inj	UP TO 150 MG	1	12	1	12
42023-107-01	J0770	Par Pharmaceutical, Inc	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
42023-107-06	J0770	Par Pharmaceutical, Inc	Colistimethate sodium inj	UP TO 150 MG	1	6	1	6
42023-131-01	J0770	Par Pharmaceutical, Inc	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
42023-131-06	J0770	Par Pharmaceutical, Inc	Colistimethate sodium inj	UP TO 150 MG	1	6	1	6
63323-393-06	J0770	Fresenius Kabi USA LLC	Colistimethate sodium inj	UP TO 150 MG	1	1	1	1
66887-003-01	J0775	Auxilium Pharmaceuticals	Collagenase, clost hist inj	0.01 MG	1	1	90	90
0641-6135-25	J0780	West-Ward Pharmaceuticals Corp	Prochlorperazine injection	10 MG	2	25	1	25
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
70860-778-02	J0780	ATHENEX PHARMACEUTICAL DIVISION, L	Prochlorperazine injection	10 MG	2	10	1	10
70860-778-10	J0780	ATHENEX PHARMACEUTICAL DIVISION, L	Prochlorperazine injection	10 MG	10	1	5	5
55566-0302-1	J0795	Ferring Pharmaceuticals Inc.	Corticorelin ovine triflutal	1 MCG	1	1	100	100
63004-8710-1	J0800	Mallinckrodt	Corticotropin injection	40 Units	5	1	10	10
0548-5900-00	J0834	Amphastar Pharmaceuticals, Inc.	Inj., cosyntropin, 0.25 mg	0.25 MG	1	10	1	10
0781-3440-95	J0834	Sandoz, Inc.	Inj., cosyntropin, 0.25 mg	0.25 MG	1	10	1	10
67457-227-02	J0834	Mylan Institutional	Inj., cosyntropin, 0.25 mg	0.25 MG	1	10	1	10
50633-110-12	J0840	BTG International Inc.	Crotalidae poly immune fab	UP TO 1 GM	1	2	1	2
44206-532-11	J0850	CSL Behring LLC	Cytomegalovirus imm iv /vial	PER VIAL	50	1	1	1
57970-100-01	J0875	Durata Pharmaceuticals	Injection, dalbavancin	5 MG	1	1	100	100
0409-0106-01	J0878	Pfizer Inc.	Daptomycin injection	1 MG	1	1	500	500
0703-0125-01	J0878	Sicor Pharmaceuticals, Inc.	Daptomycin injection	1 MG	1	1	500	500
25021-179-15	J0878	Sagent Pharmaceuticals Inc	Daptomycin injection	1 MG	1	1	350	350
25021-179-16	J0878	Sagent Pharmaceuticals Inc	Daptomycin injection	1 MG	1	10	350	3500
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
63323-871-15	J0878	Fresenius Kabi USA LLC	Daptomycin injection	1 MG	1	1	500	500
67457-813-50	J0878	Mylan Institutional	Daptomycin injection	1 MG	1	1	500	500
67919-011-01	J0878	Cubist Pharmaceuticals	Daptomycin injection	1 MG	1	1	500	500
67919-012-01	J0878	Cubist Pharmaceuticals	Daptomycin injection	1 MG	1	1	500	500
67919-012-02	J0878	Cubist Pharmaceuticals	Daptomycin injection	1 MG	1	1	500	500
55513-002-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	1	4	25	100
55513-003-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	1	4	40	160
55513-004-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	1	4	60	240
55513-005-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	1	4	100	400
55513-006-01	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	1	1	200	200
55513-021-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.4	4	40	160
55513-023-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.3	4	60	240
55513-025-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.5	4	100	400
55513-027-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.3	4	150	600
55513-028-01	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.4	1	200	200
55513-032-01	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	1	1	500	500
55513-057-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.42	4	25	100
55513-098-04	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.4	4	10	40
55513-110-01	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	1	1	300	300
55513-111-01	J0881	Amgen USA, Inc.	Darbepoetin alfa, non-esrd	1 MCG	0.6	1	300	300
55513-002-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	1	4	25	100
55513-003-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	1	4	40	160
55513-004-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	1	4	60	240
55513-005-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	1	4	100	400
55513-006-01	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	1	1	200	200
55513-021-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.4	4	40	160
55513-023-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.3	4	60	240
55513-025-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.5	4	100	400
55513-027-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.3	4	150	600
55513-028-01	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.4	1	200	200
55513-032-01	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	1	1	500	500
55513-057-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.42	4	25	100
55513-098-04	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.4	4	10	40
55513-110-01	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	1	1	300	300
55513-111-01	J0882	Amgen USA, Inc.	Darbepoetin alfa, esrd use	1 MCG	0.6	1	300	300
55513-126-10	J0885	Amgen USA, Inc.	Epoetin alfa, non-esrd	1000 UNITS	1	10	2	20
55513-144-10	J0885	Amgen USA, Inc.	Epoetin alfa, non-esrd	1000 UNITS	1	10	10	100
55513-148-10	J0885	Amgen USA, Inc.	Epoetin alfa, non-esrd	1000 UNITS	1	10	4	40
55513-267-10	J0885	Amgen USA, Inc.	Epoetin alfa, non-esrd	1000 UNITS	1	10	3	30
55513-283-10	J0885	Amgen USA, Inc.	Epoetin alfa, non-esrd	1000 UNITS	2	10	20	200
55513-478-10	J0885	Amgen USA, Inc.	Epoetin alfa, non-esrd	1000 UNITS	1	10	20	200
59676-302-01	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	2	12
59676-303-01	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	3	18
59676-304-01	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	4	24
59676-310-01	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	1	6	10	60
59676-310-02	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	1	25	10	250
59676-312-04	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	2	4	20	80
59676-320-04	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	1	4	20	80
59676-340-01	J0885	Janssen Products, LP	Epoetin alfa, non-esrd	1000 UNITS	1	4	40	160
59353-400-09	J0887	Vifor (International) Ltd.	Epoetin beta esrd use	1 MCG	0.3	1	30	30
59353-401-09	J0887	Vifor (International) Ltd.	Epoetin beta esrd use	1 MCG	0.3	1	50	50
59353-402-09	J0887	Vifor (International) Ltd.	Epoetin beta esrd use	1 MCG	0.3	1	75	75
59353-403-09	J0887	Vifor (International) Ltd.	Epoetin beta esrd use	1 MCG	0.3	1	100	100
59353-404-09	J0887	Vifor (International) Ltd.	Epoetin beta esrd use	1 MCG	0.3	1	150	150
59353-405-09	J0887	Vifor (International) Ltd.	Epoetin beta esrd use	1 MCG	0.3	1	200	200
59353-400-09	J0888	Vifor (International) Ltd.	Epoetin beta non esrd	1 MCG	0.3	1	30	30
59353-401-09	J0888	Vifor (International) Ltd.	Epoetin beta non esrd	1 MCG	0.3	1	50	50
59353-402-09	J0888	Vifor (International) Ltd.	Epoetin beta non esrd	1 MCG	0.3	1	75	75
59353-403-09	J0888	Vifor (International) Ltd.	Epoetin beta non esrd	1 MCG	0.3	1	100	100
59353-404-09	J0888	Vifor (International) Ltd.	Epoetin beta non esrd	1 MCG	0.3	1	150	150
59353-405-09	J0888	Vifor (International) Ltd.	Epoetin beta non esrd	1 MCG	0.3	1	200	200
16714-749-01	J0894	NorthStar Rx LLC	Decitabine injection	1 MG	1	1	50	50
16729-224-05	J0894	Accord Healthcare Inc.	Decitabine injection	1 MG	1	1	50	50
25021-231-20	J0894	Sagent Pharmaceuticals Inc	Decitabine injection	1 MG	1	1	50	50
43598-348-37	J0894	Dr. Reddy's Laboratories, Inc.	Decitabine injection	1 MG	1	1	50	50
43598-427-37	J0894	Dr. Reddy's Laboratories, Inc.	Decitabine injection	1 MG	1	1	50	50
47335-361-41	J0894	Sun Pharmaceutical Global Fze.	Decitabine injection	1 MG	1	1	50	50
55111-556-10	J0894	Dr. Reddy's Laboratories, Inc.	Decitabine injection	1 MG	1	1	50	50
59148-046-70	J0894	Otsuka America Pharmaceutical, Inc.	Decitabine injection	1 MG	1	1	50	50
67457-316-25	J0894	MYLAN INSTITUTIONAL	Decitabine injection	1 MG	1	1	50	50
68001-347-36	J0894	American Health Packaging	Decitabine injection	1 MG	1	1	50	50
69097-285-37	J0894	Cipla USA Inc	Decitabine injection	1 MG	1	1	50	50
0078-0467-91	J0895	Novartis Pharmaceuticals Corporation	Deferoxamine mesylate inj	500 MG	1	4	1	4
0409-2336-10	J0895	Pfizer Inc.	Deferoxamine mesylate inj	500 MG	1	4	1	4
0409-2337-25	J0895	Pfizer Inc.	Deferoxamine mesylate inj	500 MG	1	4	4	16
47781-623-07	J0895	Alvogen, Inc.	Deferoxamine mesylate inj	500 MG	1	1	1	1
47781-624-07	J0895	Alvogen, Inc.	Deferoxamine mesylate inj	500 MG	1	1	4	4
52609-4504-6	J0895	ApoPharma USA, Inc.	Deferoxamine mesylate inj	500 MG	1	4	4	16
52609-4505-6	J0895	ApoPharma USA, Inc.	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
55513-710-01	J0897	Amgen USA, Inc.	Denosumab injection	1 MG	1	1	60	60
55513-730-01	J0897	Amgen USA, Inc.	Denosumab injection	1 MG	1	1	120	120
0009-0271-01	J1000	Pfizer Inc.	Depo-estradiol cypionate inj	5 MG	5	1	5	5
0009-0274-01	J1020	Pfizer Inc.	Methylprednisolone 20 mg inj	20 MG	5	1	5	5
0703-0031-01	J1020	Sicor Pharmaceuticals, Inc.	Methylprednisolone 20 mg inj	20 MG	1	1	2	2
0009-0280-02	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	5	1	5	5
0009-0280-03	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	10	1	10	10
0009-0280-51	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	5	25	5	125
0009-0280-52	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	10	25	10	250
0009-3073-01	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
0009-3073-03	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	1	25	1	25
0009-3073-22	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
0009-3073-23	J1030	Pfizer Inc.	Methylprednisolone 40 mg inj	40 MG	1	25	1	25
0703-0031-01	J1030	Sicor Pharmaceuticals, Inc.	Methylprednisolone 40 mg inj	40 MG	1	1	1	1
0703-0043-01	J1030	Sicor Pharmaceuticals, Inc.	Methylprednisolone 40 mg inj	40 MG	5	1	5	5
0703-0045-01	J1030	Sicor Pharmaceuticals, Inc.	Methylprednisolone 40 mg inj	40 MG	10	1	10	10
0009-0306-02	J1040	Pfizer Inc.	Methylprednisolone 80 mg inj	80 MG	5	1	5	5
0009-0306-12	J1040	Pfizer Inc.	Methylprednisolone 80 mg inj	80 MG	5	25	5	125
0009-3475-01	J1040	Pfizer Inc.	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
0009-3475-03	J1040	Pfizer Inc.	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
0009-3475-22	J1040	Pfizer Inc.	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
0009-3475-23	J1040	Pfizer Inc.	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
0703-0051-01	J1040	Sicor Pharmaceuticals, Inc.	Methylprednisolone 80 mg inj	80 MG	1	1	1	1
0703-0051-04	J1040	Sicor Pharmaceuticals, Inc.	Methylprednisolone 80 mg inj	80 MG	1	25	1	25
0703-0063-01	J1040	Sicor Pharmaceuticals, Inc.	Methylprednisolone 80 mg inj	80 MG	5	1	5	5
0009-0626-01	J1050	Pfizer Inc.	Medroxyprogesterone acetate	1 MG	2.5	1	1000	1000
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
0009-0520-01	J1071	Pfizer Inc.	Inj testosterone cypionate	1 MG	1	1	200	200
0009-0520-10	J1071	Pfizer Inc.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0143-9659-01	J1071	West-Ward Pharmaceuticals Corp	Inj testosterone cypionate	1 MG	1	1	200	200
0143-9726-01	J1071	West-Ward Pharmaceuticals Corp	Inj testosterone cypionate	1 MG	10	1	2000	2000
0409-6557-01	J1071	Pfizer Inc.	Inj testosterone cypionate	1 MG	10	1	1000	1000
0409-6562-01	J1071	Pfizer Inc.	Inj testosterone cypionate	1 MG	1	1	200	200
0409-6562-02	J1071	Pfizer Inc.	Inj testosterone cypionate	1 MG	1	1	200	200
0409-6562-20	J1071	Pfizer Inc.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0409-6562-22	J1071	Pfizer Inc.	Inj testosterone cypionate	1 MG	10	1	2000	2000
0574-0820-01	J1071	Perrigo Pharmaceuticals	Inj testosterone cypionate	1 MG	1	1	200	200
0574-0820-10	J1071	Perrigo Pharmaceuticals	Inj testosterone cypionate	1 MG	10	1	2000	2000
0574-0827-10	J1071	Perrigo Pharmaceuticals	Inj testosterone cypionate	1 MG	10	1	2000	2000
0591-4128-79	J1071	Actavis Pharma, Inc.	Inj testosterone cypionate	1 MG	10	1	2000	2000
62756-015-40	J1071	Sun Pharmaceutical Industries, Ltd.	Inj testosterone cypionate	1 MG	1	1	200	200
62756-016-40	J1071	Sun Pharmaceutical Industries, Ltd.	Inj testosterone cypionate	1 MG	10	1	2000	2000
62756-017-40	J1071	Sun Pharmaceutical Industries, Ltd.	Inj testosterone cypionate	1 MG	10	1	1000	1000
69097-536-37	J1071	Cipla USA Inc	Inj testosterone cypionate	1 MG	10	1	1000	1000
69097-537-31	J1071	Cipla USA Inc	Inj testosterone cypionate	1 MG	1	1	200	200
69097-537-37	J1071	Cipla USA Inc	Inj testosterone cypionate	1 MG	10	1	2000	2000
0641-0367-25	J1100	West-Ward Pharmaceuticals Corp	Dexamethasone sodium phos	1 MG	1	25	10	250
0641-6145-25	J1100	West-Ward Pharmaceuticals Corp	Dexamethasone sodium phos	1 MG	1	25	4	100
0641-6146-25	J1100	West-Ward Pharmaceuticals Corp	Dexamethasone sodium phos	1 MG	5	25	20	500
55150-237-01	J1100	AuroMedics Pharma LLC	Dexamethasone sodium phos	1 MG	1	25	4	100
55150-238-05	J1100	AuroMedics Pharma LLC	Dexamethasone sodium phos	1 MG	5	25	20	500
55150-239-30	J1100	AuroMedics Pharma LLC	Dexamethasone sodium phos	1 MG	30	25	120	3000
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	1	100	100
67457-420-10	J1100	Mylan Institutional	Dexamethasone sodium phos	1 MG	10	10	100	1000
67457-421-30	J1100	Mylan Institutional	Dexamethasone sodium phos	1 MG	30	25	120	3000
67457-422-54	J1100	Mylan Institutional	Dexamethasone sodium phos	1 MG	5	25	20	500
67457-423-12	J1100	Mylan Institutional	Dexamethasone sodium phos	1 MG	1	25	4	100
76045-106-10	J1100	Fresenius Kabi USA LLC	Dexamethasone sodium phos	1 MG	1	24	4	96
0143-9273-10	J1110	West-Ward Pharmaceuticals Corp	Inj dihydroergotamine mesylt	1 MG	1	10	1	10
0574-0850-05	J1110	Perrigo Pharmaceuticals	Inj dihydroergotamine mesylt	1 MG	1	5	1	5
0574-0850-10	J1110	Perrigo Pharmaceuticals	Inj dihydroergotamine mesylt	1 MG	1	10	1	10
66490-041-01	J1110	Valeant Pharmaceuticals International	Inj dihydroergotamine mesylt	1 MG	1	10	1	10
0143-9503-01	J1120	West-Ward Pharmaceuticals Corp	Acetazolamid sodium injectio	500 MG	1	1	1	1
25021-817-10	J1120	Mylan Institutional	Acetazolamid sodium injectio	500 MG	1	1	1	1
39822-0190-1	J1120	X-Gen Pharmaceuticals, Inc.	Acetazolamid sodium injectio	500 MG	1	1	1	1
39822-0190-7	J1120	X-Gen Pharmaceuticals, Inc.	Acetazolamid sodium injectio	500 MG	1	1	1	1
39822-0191-9	J1120	X-Gen Pharmaceuticals, Inc.	Acetazolamid sodium injectio	500 MG	1	1	1	1
67457-853-50	J1120	Mylan Institutional	Acetazolamid sodium injectio	500 MG	1	1	1	1
0641-1410-35	J1160	West-Ward Pharmaceuticals Corp	Digoxin injection	0.5 MG	2	25	1	25
0641-6184-25	J1160	West-Ward Pharmaceuticals Corp	Digoxin injection	0.5 MG	2	25	1	25
0781-3059-95	J1160	Sandoz, Inc.	Digoxin injection	0.5 MG	2	10	1	10
70515-260-10	J1160	Covis Pharmaceuticals	Digoxin injection	0.5 MG	2	10	1	10
70515-262-10	J1160	Covis Pharmaceuticals	Digoxin injection	0.5 MG	1	10	0.2	2
50633-120-11	J1162	BTG International Inc.	Digoxin immune fab (ovine)	PER VIAL	1	1	1	1
0641-0493-25	J1165	West-Ward Pharmaceuticals Corp	Phenytoin sodium injection	50 MG	2	25	2	50
0641-2555-45	J1165	West-Ward Pharmaceuticals Corp	Phenytoin sodium injection	50 MG	5	1	5	5
0641-6138-25	J1165	West-Ward Pharmaceuticals Corp	Phenytoin sodium injection	50 MG	2	25	2	50
0641-6139-25	J1165	West-Ward Pharmaceuticals Corp	Phenytoin sodium injection	50 MG	5	25	5	125
39822-4050-3	J1165	X-Gen Pharmaceuticals, Inc.	Phenytoin sodium injection	50 MG	2	25	2	50
0409-1283-05	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	0.5	10	0.125	1.25
0409-1283-10	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	0.25	2.5
0409-1283-31	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	0.25	2.5
0409-1304-31	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	1	10
0409-1312-10	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	0.5	5
0409-1312-30	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	0.5	5
0409-2540-01	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	1	10
0409-2552-01	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	0.25	2.5
0409-2634-01	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	2.5	25
0409-2634-05	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	5	10	12.5	125
0409-2634-50	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	50	1	125	125
0409-3356-01	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	10	0.5	5
0409-3365-01	J1170	Pfizer Inc.	Hydromorphone injection	4 MG	1	25	0.5	12.5
0641-0121-25	J1170	West-Ward Pharmaceuticals Corp	Hydromorphone injection	4 MG	1	25	0.5	12.5
0641-2341-41	J1170	West-Ward Pharmaceuticals Corp	Hydromorphone injection	4 MG	20	1	10	10
0641-6151-25	J1170	HIKMA PHARMACEUTICALS USA INC.	Hydromorphone injection	4 MG	1	25	0.5	12.5
0703-0018-01	J1170	Sicor Pharmaceuticals, Inc.	Hydromorphone injection	4 MG	50	1	125	125
0703-0110-03	J1170	Sicor Pharmaceuticals, Inc.	Hydromorphone injection	4 MG	1	10	2.5	25
0703-0113-03	J1170	Sicor Pharmaceuticals, Inc.	Hydromorphone injection	4 MG	5	10	12.5	125
17478-540-01	J1170	Akorn	Hydromorphone injection	4 MG	1	10	2.5	25
17478-540-05	J1170	Akorn	Hydromorphone injection	4 MG	5	10	12.5	125
17478-540-50	J1170	Akorn	Hydromorphone injection	4 MG	50	1	125	125
63323-851-10	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	1	10	2.5	25
63323-851-15	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	5	10	12.5	125
63323-851-50	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	50	1	125	125
63323-852-25	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	1	25	0.25	6.25
63323-853-25	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	1	25	0.5	12.5
63323-854-10	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	1	25	1	25
76045-009-05	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	0.5	24	0.125	3
76045-009-10	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	1	24	0.25	6
76045-010-10	J1170	Fresenius Kabi USA LLC	Hydromorphone injection	4 MG	1	24	0.5	12
0013-8717-62	J1190	Pfizer Inc.	Dexrazoxane hcl injection	250 MG	1	1	1	1
0013-8727-89	J1190	Pfizer Inc.	Dexrazoxane hcl injection	250 MG	1	1	2	2
0143-9247-01	J1190	West-Ward Pharmaceuticals Corp	Dexrazoxane hcl injection	250 MG	1	1	1	1
0143-9248-01	J1190	West-Ward Pharmaceuticals Corp	Dexrazoxane hcl injection	250 MG	1	1	2	2
47781-578-07	J1190	Alvogen, Inc.	Dexrazoxane hcl injection	250 MG	1	1	2	2
51991-942-98	J1190	Breckenridge Pharmaceutical	Dexrazoxane hcl injection	250 MG	1	1	2	2
66220-110-01	J1190	Cumberland Pharmaceuticals Inc	Dexrazoxane hcl injection	250 MG	1	1	2	2
67457-207-25	J1190	Mylan Institutional	Dexrazoxane hcl injection	250 MG	1	1	1	1
67457-208-50	J1190	Mylan Institutional	Dexrazoxane hcl injection	250 MG	1	1	2	2
0409-2290-31	J1200	Pfizer Inc.	Diphenhydramine hcl injectio	50 MG	1	10	1	10
0641-0376-25	J1200	West-Ward Pharmaceuticals Corp	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	Diphenhydramine hcl injectio	50 MG	10	1	10	10
76045-102-10	J1200	Fresenius Kabi USA LLC	Diphenhydramine hcl injectio	50 MG	1	24	1	24
0517-1820-01	J1205	American Regent	Chlorothiazide sodium inj	500 MG	1	1	1	1
17478-419-40	J1205	Akorn	Chlorothiazide sodium inj	500 MG	1	1	1	1
25021-305-20	J1205	Sagent Pharmaceuticals Inc	Chlorothiazide sodium inj	500 MG	1	1	1	1
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
67457-263-30	J1205	Mylan Institutional	Chlorothiazide sodium inj	500 MG	1	1	1	1
76478-711-40	J1205	Oak	Chlorothiazide sodium inj	500 MG	1	1	1	1
67457-177-50	J1212	Mylan Institutional	Dimethyl sulfoxide 50% 50 ml	50 ML	50	1	1	1
17478-380-20	J1230	Akorn	Methadone injection	10 MG	20	1	20	20
67457-217-20	J1230	Mylan Institutional	Methadone injection	10 MG	20	1	20	20
63323-366-01	J1240	Fresenius Kabi USA LLC	Dimenhydrinate injection	50 MG	1	25	1	25
0641-2569-44	J1245	West-Ward Pharmaceuticals Corp	Dipyridamole injection	10 MG	10	5	5	25
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
0409-2025-20	J1250	Pfizer Inc.	Inj dobutamine hcl/250 mg	250 MG	20	10	1	10
0409-2025-54	J1250	Pfizer Inc.	Inj dobutamine hcl/250 mg	250 MG	40	10	2	20
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
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
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
58468-0123-1	J1270	Genzyme Corporation	Injection, doxercalciferol	1 MCG	2	50	4	200
58468-0126-1	J1270	Genzyme Corporation	Injection, doxercalciferol	1 MCG	1	50	2	100
58468-0127-1	J1270	Genzyme Corporation	Injection, doxercalciferol	1 MCG	2	50	4	200
70121-1408-5	J1270	Amneal Biosciences	Injection, doxercalciferol	1 MCG	2	50	4	200
47783-101-01	J1290	Dyax Corp.	Ecallantide injection	1 MG	1	3	10	30
25682-001-01	J1300	Alexion Pharmaceuticals	Eculizumab injection	10 MG	1	1	30	30
70510-2171-2	J1301	Mitsubishi Tanabe Pharma America, Inc.	Injection, edaravone, 1 mg	1 MG	100	2	30	60
68135-100-01	J1322	BioMarin Pharmaceutical, Inc.	Elosulfase alfa, injection	1 MG	5	1	5	5
0173-0517-00	J1325	GlaxoSmithkline	Epoprostenol injection	0.5 MG	1	1	1	1
0173-0519-00	J1325	GlaxoSmithkline	Epoprostenol injection	0.5 MG	1	1	3	3
0703-1985-01	J1325	Sicor Pharmaceuticals, Inc.	Epoprostenol injection	0.5 MG	1	1	1	1
0703-1995-01	J1325	Sicor Pharmaceuticals, Inc.	Epoprostenol injection	0.5 MG	1	1	3	3
66215-402-01	J1325	Actelion Pharmaceuticals U.S, Inc	Epoprostenol injection	0.5 MG	1	1	3	3
66215-403-01	J1325	Actelion Pharmaceuticals U.S, Inc	Epoprostenol injection	0.5 MG	1	1	1	1
0006-3843-71	J1335	Merck Sharp & Dohme Corp.	Ertapenem injection	500 MG	1	10	2	20
42023-221-10	J1335	Par Pharmaceutical, Inc	Ertapenem injection	500 MG	1	10	2	20
42023-221-85	J1335	PAR PHARMACEUTICAL	Ertapenem injection	500 MG	1	10	2	20
55150-282-20	J1335	AuroMedics Pharma LLC	Ertapenem injection	500 MG	1	10	2	20
0409-6476-44	J1364	Pfizer Inc.	Erythro lactobionate /500 mg	500 MG	1	10	1	10
0409-6482-01	J1364	Pfizer Inc.	Erythro lactobionate /500 mg	500 MG	10	1	10	10
0574-0870-05	J1380	Perrigo Pharmaceuticals	Estradiol valerate 10 mg inj	10 MG	5	1	10	10
0574-0872-05	J1380	Perrigo Pharmaceuticals	Estradiol valerate 10 mg inj	10 MG	5	1	5	20
42023-110-01	J1380	Par Pharmaceutical, Inc	Estradiol valerate 10 mg inj	10 MG	5	1	5	5
42023-111-01	J1380	Par Pharmaceutical, Inc	Estradiol valerate 10 mg inj	10 MG	5	1	10	10
42023-112-01	J1380	Par Pharmaceutical, Inc	Estradiol valerate 10 mg inj	10 MG	5	1	20	20
0046-0749-05	J1410	Pfizer Inc.	Inj estrogen conjugate 25 mg	25 MG	1	1	1	1
0517-0650-01	J1439	American Regent	Inj ferric carboxymaltos 1mg	1mg	15	1	750	750
0517-0650-02	J1439	American Regent	Inj ferric carboxymaltos 1mg	1 MG	15	2	750	1500
55513-209-10	J1442	Amgen USA, Inc.	Inj filgrastim excl biosimil	1 MCG	0.8	10	480	4800
55513-209-91	J1442	Amgen USA, Inc.	Inj filgrastim excl biosimil	1 MCG	0.8	1	480	480
55513-530-10	J1442	Amgen USA, Inc.	Inj filgrastim excl biosimil	1 MCG	1	10	300	3000
55513-546-10	J1442	Amgen USA, Inc.	Inj filgrastim excl biosimil	1 MCG	1.6	10	480	4800
55513-924-10	J1442	Amgen USA, Inc.	Inj filgrastim excl biosimil	1 MCG	0.5	10	300	3000
55513-924-91	J1442	Amgen USA, Inc.	Inj filgrastim excl biosimil	1 MCG	0.5	1	300	300
63459-910-11	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.5	1	300	300
63459-910-15	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.5	10	300	3000
63459-910-17	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.5	1	300	300
63459-910-36	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.5	5	300	1500
63459-912-11	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.8	1	480	480
63459-912-15	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.8	10	480	4800
63459-912-17	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.8	1	480	480
63459-912-36	J1447	Cephalon Inc.	Inj tbo filgrastim 1 microg	1 MCG	0.8	5	480	2400
63459-918-59	J1447	TEVA PHARMACEUTICALS USA	Inj tbo filgrastim 1 microg	1 MCG	1	10	300	3000
63459-920-59	J1447	TEVA PHARMACEUTICALS USA	Inj tbo filgrastim 1 microg	1 MCG	1.6	10	480	4800
0143-9667-06	J1450	West-Ward Pharmaceuticals Corp	Fluconazole	200 MG	100	6	1	6
0143-9668-06	J1450	West-Ward Pharmaceuticals Corp	Fluconazole	200 MG	200	6	2	12
0143-9669-06	J1450	West-Ward Pharmaceuticals Corp	Fluconazole	200 MG	100	6	1	6
0143-9899-91	J1450	West-Ward Pharmaceuticals Corp	Fluconazole	200 MG	100	6	1	6
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
0409-4684-13	J1450	Pfizer Inc.	Fluconazole	200 MG	100	24	1	24
0409-4688-12	J1450	Pfizer Inc.	Fluconazole	200 MG	200	24	2	48
0409-4688-18	J1450	Pfizer Inc.	Fluconazole	200 MG	100	24	1	24
25021-113-82	J1450	Sagent Pharmaceuticals Inc	Fluconazole	200 MG	100	10	1	10
25021-113-87	J1450	Sagent Pharmaceuticals Inc	Fluconazole	200 MG	200	10	2	20
25021-184-82	J1450	Sagent Pharmaceuticals Inc	Fluconazole	200 MG	100	10	1	10
25021-184-87	J1450	Sagent Pharmaceuticals Inc	Fluconazole	200 MG	200	10	2	20
70655-002-06	J1450	Renaissance SSA, LLC	Fluconazole	200 MG	100	6	1	6
70655-002-10	J1450	Renaissance SSA, LLC	Fluconazole	200 MG	100	10	1	10
70655-088-06	J1450	Renaissance SSA, LLC	Fluconazole	200 MG	200	6	2	12
70655-088-10	J1450	Renaissance SSA, LLC	Fluconazole	200 MG	200	10	2	20
0006-3061-00	J1453	Merck Sharp & Dohme Corp.	Fosaprepitant injection	1 MG	1	1	150	150
0006-3941-32	J1453	Merck Sharp & Dohme Corp.	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
68135-020-01	J1458	BioMarin Pharmaceutical, Inc.	Galsulfase injection	1 MG	1	1	1	5
44206-436-05	J1459	CSL Behring LLC	Inj ivig privigen 500 mg	500 MG	50	1	10	10
44206-437-10	J1459	CSL Behring LLC	Inj ivig privigen 500 mg	500 MG	110	1	20	20
44206-438-20	J1459	CSL Behring LLC	Inj ivig privigen 500 mg	500 MG	200	1	40	40
44206-439-40	J1459	CSL Behring LLC	Inj ivig privigen 500 mg	500 MG	400	1	80	80
13533-335-04	J1460	Grifols USA, LLC.	Gamma globulin 1 cc inj	1 CC	2	1	2	2
13533-335-12	J1460	Grifols USA, LLC.	Gamma globulin 1 cc inj	1 CC	10	1	10	10
13533-635-04	J1460	Grifols USA, LLC.	Gamma globulin 1 cc inj	1 CC	2	1	2	2
13533-635-12	J1460	Grifols USA, LLC.	Gamma globulin 1 cc inj	1 CC	10	1	10	10
0944-2850-01	J1555	Baxalta US Inc.	Inj cuvitru, 100 mg	100 MG	1	1	10	10
0944-2850-03	J1555	Baxalta US Inc.	Inj cuvitru, 100 mg	100 MG	1	1	20	20
0944-2850-05	J1555	Baxalta US Inc.	Inj cuvitru, 100 mg	100 MG	1	1	40	40
0944-2850-07	J1555	Baxalta US Inc.	Inj cuvitru, 100 mg	100 MG	1	1	80	80
59730-6502-1	J1556	Biotest Pharmaceuticals Corporation	Inj, imm glob bivigam, 500mg	500 MG	50	1	10	10
59730-6503-1	J1556	Biotest Pharmaceuticals Corporation	Inj, imm glob bivigam, 500mg	500 MG	100	1	20	20
44206-451-01	J1559	CSL Behring LLC	Hizentra injection	100 MG	5	1	10	10
44206-452-02	J1559	CSL Behring LLC	Hizentra injection	100 MG	10	1	20	20
44206-454-04	J1559	CSL Behring LLC	Hizentra injection	100 MG	20	1	40	40
44206-455-10	J1559	CSL Behring LLC	Hizentra injection	100 MG	50	1	100	100
13533-335-04	J1560	Grifols USA, LLC.	Gamma globulin > 10 cc inj	10 CC	2	1	0.2	0.2
13533-335-12	J1560	Grifols USA, LLC.	Gamma globulin > 10 cc inj	10 CC	10	1	1	1
13533-635-04	J1560	Grifols USA, LLC.	Gamma globulin > 10 cc inj	10 CC	2	1	0.2	0.2
13533-635-12	J1560	Grifols USA, LLC.	Gamma globulin > 10 cc inj	10 CC	10	1	1	1
13533-800-12	J1561	Grifols USA, LLC.	Gamunex-c/gammaked	500 MG	10	1	2	2
13533-800-15	J1561	Grifols USA, LLC.	Gamunex-c/gammaked	500 MG	25	1	5	5
13533-800-20	J1561	Grifols USA, LLC.	Gamunex-c/gammaked	500 MG	50	1	10	10
13533-800-24	J1561	Grifols USA, LLC.	Gamunex-c/gammaked	500 MG	200	1	40	40
13533-800-40	J1561	Grifols USA, LLC.	Gamunex-c/gammaked	500 MG	400	1	80	80
13533-800-71	J1561	Grifols USA, LLC.	Gamunex-c/gammaked	500 MG	100	1	20	20
76125-900-01	J1561	Kedrion BioPharma, Inc.	Gamunex-c/gammaked	500 MG	10	1	2	2
76125-900-10	J1561	Kedrion BioPharma, Inc.	Gamunex-c/gammaked	500 MG	100	1	20	20
76125-900-20	J1561	Kedrion BioPharma, Inc.	Gamunex-c/gammaked	500 MG	200	1	40	40
76125-900-50	J1561	Kedrion BioPharma, Inc.	Gamunex-c/gammaked	500 MG	50	1	10	10
0944-2656-03	J1566	Baxalta US Inc.	Immune globulin, powder	500 MG	1	1	10	10
0944-2658-04	J1566	Baxalta US Inc.	Immune globulin, powder	500 MG	1	1	20	20
44206-417-06	J1566	CSL Behring LLC	Immune globulin, powder	500 MG	1	1	12	12
44206-418-12	J1566	CSL Behring LLC	Immune globulin, powder	500 MG	1	1	24	24
68982-840-01	J1568	Octapharma USA	Octagam injection	500 MG	20	1	2	2
68982-840-02	J1568	Octapharma USA	Octagam injection	500 MG	50	1	5	5
68982-840-03	J1568	Octapharma USA	Octagam injection	500 MG	100	1	10	10
68982-840-04	J1568	Octapharma USA	Octagam injection	500 MG	200	1	20	20
68982-850-01	J1568	Octapharma USA	Octagam injection	500 MG	20	1	4	4
68982-850-02	J1568	Octapharma USA	Octagam injection	500 MG	50	1	10	10
68982-850-03	J1568	Octapharma USA	Octagam injection	500 MG	100	1	20	20
68982-850-04	J1568	Octapharma USA	Octagam injection	500 MG	200	1	40	40
0944-2700-02	J1569	Baxalta US Inc.	Gammagard liquid injection	500 MG	10	1	2	2
0944-2700-03	J1569	Baxalta US Inc.	Gammagard liquid injection	500 MG	25	1	5	5
0944-2700-04	J1569	Baxalta US Inc.	Gammagard liquid injection	500 MG	50	1	10	10
0944-2700-05	J1569	Baxalta US Inc.	Gammagard liquid injection	500 MG	100	1	20	20
0944-2700-06	J1569	Baxalta US Inc.	Gammagard liquid injection	500 MG	200	1	40	40
0944-2700-07	J1569	Baxalta US Inc.	Gammagard liquid injection	500 MG	300	1	60	60
0004-6940-04	J1570	Genentech, Inc.	Ganciclovir sodium injection	500 MG	1	5	1	5
25021-185-10	J1570	Sagent Pharmaceuticals Inc	Ganciclovir sodium injection	500 MG	1	25	1	25
42023-173-25	J1570	Par Pharmaceutical, Inc	Ganciclovir sodium injection	500 MG	1	25	1	25
51754-2500-3	J1570	Exela Pharma Sciences	Ganciclovir sodium injection	500 MG	250	10	1	10
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
70504-0051-2	J1571	Saol Therapeutics	Hepagam b im injection	0.5 ML	5	1	10	10
70504-0052-2	J1571	Saol Therapeutics	Hepagam b im injection	0.5 ML	1	1	2	2
61953-0004-2	J1572	Grifols USA, LLC.	Flebogamma injection	500 MG	50	1	5	5
61953-0004-3	J1572	Grifols USA, LLC.	Flebogamma injection	500 MG	100	1	10	10
61953-0004-4	J1572	Grifols USA, LLC.	Flebogamma injection	500 MG	200	1	20	20
61953-0004-5	J1572	Grifols USA, LLC.	Flebogamma injection	500 MG	400	1	40	40
61953-0005-1	J1572	Grifols USA, LLC.	Flebogamma injection	500 MG	50	1	10	10
61953-0005-2	J1572	Grifols USA, LLC.	Flebogamma injection	500 MG	100	1	20	20
61953-0005-3	J1572	Grifols USA, LLC.	Flebogamma injection	500 MG	200	1	40	40
0944-2510-02	J1575	Baxalta US Inc.	Hyqvia 100mg immuneglobulin	100 MG	25	1	25	25
0944-2511-02	J1575	Baxalta US Inc.	Hyqvia 100mg immuneglobulin	100 MG	50	1	50	50
0944-2512-02	J1575	Baxalta US Inc.	Hyqvia 100mg immuneglobulin	100 MG	100	1	100	100
0944-2513-02	J1575	Baxalta US Inc.	Hyqvia 100mg immuneglobulin	100 MG	200	1	200	200
0944-2514-02	J1575	Baxalta US Inc.	Hyqvia 100mg immuneglobulin	100 MG	300	1	300	300
0338-0503-48	J1580	Baxter Healthcare Corporation	Garamycin gentamicin inj	80 MG	100	1	1	1
0338-0505-48	J1580	Baxter Healthcare Corporation	Garamycin gentamicin inj	80 MG	100	1	1.25	1.25
0338-0507-41	J1580	Baxter Healthcare Corporation	Garamycin gentamicin inj	80 MG	50	1	0.75	0.75
0338-0507-48	J1580	Baxter Healthcare Corporation	Garamycin gentamicin inj	80 MG	100	1	1.5	1.5
0338-0509-41	J1580	Baxter Healthcare Corporation	Garamycin gentamicin inj	80 MG	50	1	1	1
0338-0511-41	J1580	Baxter Healthcare Corporation	Garamycin gentamicin inj	80 MG	50	1	1.25	1.25
0409-1207-03	J1580	Pfizer Inc.	Garamycin gentamicin inj	80 MG	2	25	1	25
0409-1207-25	J1580	Pfizer Inc.	Garamycin gentamicin inj	80 MG	2	25	1	25
63323-010-02	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	2	25	1	25
63323-010-20	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	20	25	10	250
63323-010-94	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	2	25	1	25
63323-010-95	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	20	25	10	250
63323-010-96	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	20	25	10	250
63323-173-02	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	2	25	0.25	6.25
63323-173-94	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	2	25	0.25	6.25
63323-173-95	J1580	Fresenius Kabi USA LLC	Garamycin gentamicin inj	80 MG	2	25	0.25	6.25
57894-350-01	J1602	Janssen Biotech, Inc.	Golimumab for iv use 1mg	1 MG	4	1	50	50
0002-8031-01	J1610	Eli Lilly and Company	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
0169-7065-15	J1610	Novo Nordisk? Inc.	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
0597-0053-45	J1610	Boehringer Ingelheim	Glucagon hydrochloride/1 mg	1 MG	1	10	1	10
0597-0260-10	J1610	Boehringer Ingelheim	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
63323-593-03	J1610	Fresenius Kabi USA LLC	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
63323-594-03	J1610	Fresenius Kabi USA LLC	Glucagon hydrochloride/1 mg	1 MG	1	1	1	1
63323-596-13	J1610	Fresenius Kabi USA LLC	Glucagon hydrochloride/1 mg	1 MG	1	10	1	10
0143-9744-10	J1626	West-Ward Pharmaceuticals Corp	Granisetron hcl injection	100 MCG	1	10	10	100
0143-9745-05	J1626	West-Ward Pharmaceuticals Corp	Granisetron hcl injection	100 MCG	4	5	40	200
17478-546-02	J1626	Akorn	Granisetron hcl injection	100 MCG	1	1	10	10
17478-546-05	J1626	Akorn	Granisetron hcl injection	100 MCG	4	1	40	40
25021-779-01	J1626	Mylan Institutional	Granisetron hcl injection	100 MCG	1	1	10	10
25021-781-04	J1626	Mylan Institutional	Granisetron hcl injection	100 MCG	4	1	40	40
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
66758-035-01	J1626	Sandoz, Inc.	Granisetron hcl injection	100 MCG	1	1	10	10
66758-036-01	J1626	Sandoz, Inc.	Granisetron hcl injection	100 MCG	4	1	40	40
67457-863-01	J1626	Mylan Institutional	Granisetron hcl injection	100 MCG	1	1	10	10
67457-864-04	J1626	Mylan Institutional	Granisetron hcl injection	100 MCG	4	1	40	40
47426-101-06	J1627	Heron Therapeutics	Inj, granisetron, xr, 0.1 mg	0.1 MG	0.4	6	100	600
0143-9319-25	J1630	HIKMA	Haloperidol injection	5 MG	1	25	1	25
0143-9501-25	J1630	West-Ward Pharmaceuticals Corp	Haloperidol injection	5 MG	1	25	1	25
0143-9502-01	J1630	West-Ward Pharmaceuticals Corp	Haloperidol injection	5 MG	10	1	10	10
10147-0911-1	J1630	Patriot Pharmaceuticals, LLC	Haloperidol injection	5 MG	1	10	1	10
25021-806-01	J1630	Sagent Pharmaceuticals Inc	Haloperidol injection	5 MG	1	10	1	10
50458-255-01	J1630	Janssen Pharmaceuticals, Inc.	Haloperidol injection	5 MG	1	10	1	10
51991-933-17	J1630	Breckenridge Pharmaceutical	Haloperidol injection	5 MG	1	10	1	10
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	Haloperidol injection	5 MG	1	25	1	25
10147-0921-3	J1631	Patriot Pharmaceuticals, LLC	Haloperidol decanoate inj	50 MG	1	3	1	3
10147-0922-5	J1631	Patriot Pharmaceuticals, LLC	Haloperidol decanoate inj	50 MG	1	5	2	10
25021-831-01	J1631	Sagent Pharmaceuticals Inc	Haloperidol decanoate inj	50 MG	1	10	1	10
25021-833-01	J1631	Sagent Pharmaceuticals Inc	Haloperidol decanoate inj	50 MG	1	10	2	20
25021-834-05	J1631	Sagent Pharmaceuticals Inc	Haloperidol decanoate inj	50 MG	5	1	10	10
50458-253-03	J1631	Janssen Pharmaceuticals, Inc.	Haloperidol decanoate inj	50 MG	1	3	1	3
50458-254-14	J1631	Janssen Pharmaceuticals, Inc.	Haloperidol decanoate inj	50 MG	1	5	2	10
63323-469-01	J1631	Fresenius Kabi 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
67457-381-58	J1631	Mylan Institutional	Haloperidol decanoate inj	50 MG	5	5	10	50
67457-409-13	J1631	Mylan Institutional	Haloperidol decanoate inj	50 MG	1	5	2	10
67457-410-13	J1631	Mylan Institutional	Haloperidol decanoate inj	50 MG	1	10	1	10
55292-701-55	J1640	Recordati Rare Diseases	Hemin, 1 mg	1 MG	1	1	313	313
55292-702-55	J1640	Recordati Rare Diseases	Hemin, 1 mg	1 MG	1	1	336	336
0069-0043-01	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	2	25	2	50
0069-0058-01	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
0069-0059-01	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
0069-0059-03	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
0069-0062-01	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
0069-0137-03	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	30	10	30	300
0264-9567-10	J1644	B. Braun Medical Inc.	Inj heparin sodium per 1000u	1000 UNITS	500	24	20	480
0264-9577-10	J1644	B. Braun Medical Inc.	Inj heparin sodium per 1000u	1000 UNITS	500	24	25	600
0264-9587-20	J1644	B. Braun Medical Inc.	Inj heparin sodium per 1000u	1000 UNITS	250	24	25	600
0264-9872-10	J1644	B. Braun Medical Inc.	Inj heparin sodium per 1000u	1000 UNITS	500	24	1	24
0338-0431-03	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
0338-9556-20	J1644	Baxter Healthcare Corporation	Inj heparin sodium per 1000u	1000 UNITS	500	20	1	20
0409-1316-32	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	0.5	50	5	250
0409-1402-12	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	1	50	5	250
0409-2720-01	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
0409-2720-02	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
0409-2720-03	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
0409-2721-01	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
0409-2723-01	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
0409-2723-02	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
0409-7620-03	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	500	18	1	18
0409-7620-59	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	1000	12	2	24
0409-7650-62	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	250	24	25	600
0409-7651-03	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	500	24	25	600
0409-7651-62	J1644	Pfizer Inc.	Inj heparin sodium per 1000u	1000 UNITS	250	24	12.5	300
0641-0391-12	J1644	West-Ward Pharmaceuticals Corp	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
0641-0400-12	J1644	West-Ward Pharmaceuticals Corp	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
0641-0410-12	J1644	West-Ward Pharmaceuticals Corp	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
0641-2460-55	J1644	West-Ward Pharmaceuticals Corp	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
0781-3327-95	J1644	Sandoz, Inc.	Inj heparin sodium per 1000u	1000 UNITS	1	10	5	50
25021-400-01	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
25021-400-10	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
25021-400-30	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
25021-400-66	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
25021-400-67	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
25021-401-02	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	2	25	2	50
25021-402-01	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
25021-402-10	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
25021-402-66	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
25021-403-01	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
25021-403-04	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	4	25	40	1000
25021-403-66	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
25021-404-01	J1644	Sagent Pharmaceuticals Inc	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
63323-047-10	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
63323-262-01	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
63323-262-55	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
63323-522-77	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
63323-540-01	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
63323-540-11	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
63323-540-31	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
63323-540-57	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
63323-542-01	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
63323-542-07	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	5	25	50	1250
63323-543-02	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	0.5	25	5	125
63323-915-01	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
63739-900-26	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	2	25	2	50
63739-901-28	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
63739-920-25	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
63739-931-28	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
63739-942-29	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
63739-953-25	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
63739-964-25	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
63739-986-25	J1644	McKesson Packaging Services	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
67457-372-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	1	25	1	25
67457-373-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	1	25	20	500
67457-374-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	1	25	5	125
67457-383-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	10	25	50	1250
67457-384-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	30	25	30	750
67457-385-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	10	25	10	250
67457-602-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	1	25	10	250
67457-603-99	J1644	Mylan Institutional	Inj heparin sodium per 1000u	1000 UNITS	4	25	40	1000
76045-108-10	J1644	Fresenius Kabi USA LLC	Inj heparin sodium per 1000u	1000 UNITS	1	24	5	120
0069-0195-02	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	0.2	10	1	10
0069-0196-02	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	0.2	10	2	20
0069-0206-02	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	0.3	10	3	30
0069-0217-02	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	1	10	4	40
0069-0220-02	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	0.5	10	5	50
0069-0223-02	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	0.6	10	6	60
0069-0228-02	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	0.72	10	7.2	72
0069-0232-01	J1645	Pfizer Inc.	Dalteparin sodium	2500 IU	3.8	1	38	38
0075-0620-40	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0075-0621-60	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0075-0622-80	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0075-0623-00	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	1	10	10	100
0075-0624-30	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0075-0626-03	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	3	1	30	30
0075-2912-01	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0075-2915-01	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	1	10	15	150
0075-8013-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0075-8014-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0075-8016-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0075-8018-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0075-8020-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	1	10	10	100
0075-8022-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0075-8025-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	1	10	15	150
0075-8030-01	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	3	1	30	30
0548-5601-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0548-5602-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0548-5603-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0548-5604-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0548-5605-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	1	10	10	100
0548-5606-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0548-5607-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	1	10	15	150
0548-5631-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0548-5632-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0548-5633-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0548-5634-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0548-5635-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	1	10	10	100
0548-5636-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0548-5637-00	J1650	Amphastar Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	1	10	15	150
0703-8510-23	J1650	Sicor Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	1	10	15	150
0703-8530-23	J1650	Sicor Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0703-8540-23	J1650	Sicor Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0703-8560-23	J1650	Sicor Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0703-8580-23	J1650	Sicor Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	1	10	10	100
0703-8610-23	J1650	Sicor Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0703-8680-23	J1650	Sicor Pharmaceuticals, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0781-3133-63	J1650	Sandoz, Inc.	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0781-3224-64	J1650	Sandoz, Inc.	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0781-3356-66	J1650	Sandoz, Inc.	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0781-3428-68	J1650	Sandoz, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0781-3500-69	J1650	Sandoz, Inc.	Inj enoxaparin sodium	10 MG	1	10	10	100
0781-3612-68	J1650	Sandoz, Inc.	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0781-3655-69	J1650	Sandoz, Inc.	Inj enoxaparin sodium	10 MG	1	10	15	150
0955-1003-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.3	10	3	30
0955-1004-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.4	10	4	40
0955-1006-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.6	10	6	60
0955-1008-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.8	10	8	80
0955-1010-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	1	10	10	100
0955-1012-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	0.8	10	12	120
0955-1015-10	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	1	10	15	150
0955-1016-01	J1650	Sanofi-Aventis	Inj enoxaparin sodium	10 MG	3	1	30	30
63323-565-86	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	3	1	30	30
63323-565-93	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	3	1	30	30
63323-568-83	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.3	10	3	30
63323-568-84	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	1	10	10	100
63323-568-87	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.4	10	4	40
63323-568-88	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.6	10	6	60
63323-568-90	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.8	10	8	80
63323-568-94	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.3	10	3	30
63323-568-95	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	1	10	10	100
63323-568-96	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.4	10	4	40
63323-568-98	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.6	10	6	60
63323-568-99	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.8	10	8	80
63323-569-84	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	1	10	15	150
63323-569-90	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.8	10	12	120
63323-569-95	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	1	10	15	150
63323-569-99	J1650	Fresenius Kabi USA LLC	Inj enoxaparin sodium	10 MG	0.8	10	12	120
43598-606-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.8	2	20	40
43598-606-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.8	10	20	200
43598-607-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.5	2	5	10
43598-607-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.5	10	5	50
43598-608-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.4	2	10	20
43598-608-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.4	10	10	100
43598-609-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.6	2	15	30
43598-609-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.6	10	15	150
55111-678-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.5	2	5	10
55111-678-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.5	10	5	50
55111-679-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.4	2	10	20
55111-679-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.4	10	10	100
55111-680-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.6	2	15	30
55111-680-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.6	10	15	150
55111-681-02	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.8	2	20	40
55111-681-10	J1652	Dr. Reddy's Laboratories, Inc.	Fondaparinux sodium	0.5 MG	0.8	10	20	200
55150-230-10	J1652	AuroMedics Pharma LLC	Fondaparinux sodium	0.5 MG	0.5	10	5	50
55150-231-10	J1652	AuroMedics Pharma LLC	Fondaparinux sodium	0.5 MG	0.4	10	10	100
55150-232-10	J1652	AuroMedics Pharma LLC	Fondaparinux sodium	0.5 MG	0.6	10	15	150
55150-233-10	J1652	AuroMedics Pharma LLC	Fondaparinux sodium	0.5 MG	0.8	10	20	200
67457-582-10	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.5	10	5	50
67457-583-04	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.4	10	10	100
67457-584-06	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.6	10	15	150
67457-585-08	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.8	10	20	200
67457-592-10	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.5	10	5	50
67457-593-04	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.4	10	10	100
67457-594-06	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.6	10	15	150
67457-595-08	J1652	Mylan Institutional	Fondaparinux sodium	0.5 MG	0.8	10	20	200
13533-634-02	J1670	Grifols USA, LLC.	Tetanus immune globulin inj	250 UNITS	1	1	1	1
0009-0005-01	J1720	Pfizer Inc.	Hydrocortisone sodium succ i	100 MG	1	1	10	10
0009-0011-04	J1720	Pfizer Inc.	Hydrocortisone sodium succ i	100 MG	1	25	1	25
0009-0013-05	J1720	Pfizer Inc.	Hydrocortisone sodium succ i	100 MG	1	1	2.5	2.5
0009-0013-06	J1720	Pfizer Inc.	Hydrocortisone sodium succ i	100 MG	1	25	2.5	62.5
0009-0016-12	J1720	Pfizer Inc.	Hydrocortisone sodium succ i	100 MG	1	1	5	5
0009-0825-01	J1720	Pfizer Inc.	Hydrocortisone sodium succ i	100 MG	1	1	1	1
0004-0191-09	J1740	Genentech, Inc.	Ibandronate sodium injection	1 MG	3	1	3	3
25021-827-61	J1740	Sagent Pharmaceuticals Inc	Ibandronate sodium injection	1 MG	3	1	3	3
55150-191-83	J1740	AuroMedics Pharma LLC	Ibandronate sodium injection	1 MG	3	1	3	3
60505-6097-0	J1740	APOTEX	Ibandronate sodium injection	1 MG	3	1	3	3
67457-524-33	J1740	Mylan Institutional	Ibandronate sodium injection	1 MG	3	1	3	3
0009-3794-01	J1742	Pfizer Inc.	Ibutilide fumarate injection	1 MG	10	1	1	1
0009-3794-22	J1742	Pfizer Inc.	Ibutilide fumarate injection	1 MG	10	1	1	1
67457-366-10	J1742	Mylan Institutional	Ibutilide fumarate injection	1 MG	10	1	1	1
54092-700-01	J1743	Shire US, 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
0023-6082-10	J1750	Allergan Sales, LLC	Inj iron dextran	50 MG	2	10	2	20
52544-931-02	J1750	Watson Pharmaceuticals	Inj iron dextran	50 MG	2	10	2	20
0517-2310-05	J1756	American Regent	Iron sucrose injection	1 MG	10	5	200	1000
0517-2325-10	J1756	American Regent	Iron sucrose injection	1 MG	2.5	10	50	500
0517-2340-10	J1756	American Regent	Iron sucrose injection	1 MG	5	10	100	1000
0517-2340-25	J1756	American Regent	Iron sucrose injection	1 MG	5	25	100	2500
49230-530-10	J1756	Fresenius Medical Care	Iron sucrose injection	1 MG	2.5	10	50	500
49230-530-25	J1756	Fresenius Medical Care	Iron sucrose injection	1 MG	2.5	25	50	1250
49230-534-10	J1756	Fresenius Medical Care	Iron sucrose injection	1 MG	5	10	100	1000
49230-534-25	J1756	Fresenius Medical Care	Iron sucrose injection	1 MG	5	25	100	2500
58468-4663-1	J1786	Genzyme Corporation	Imuglucerase injection	10 UNITS	1	1	40	40
0143-9872-10	J1800	West-Ward Pharmaceuticals Corp	Propranolol injection	1 MG	1	10	1	10
63323-604-01	J1800	Fresenius Kabi USA LLC	Propranolol injection	1 MG	1	10	1	10
0002-7510-01	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	10	1	200	200
0002-7510-17	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	1	60	60
0002-7511-01	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	10	1	200	200
0002-7512-01	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	10	1	200	200
0002-7516-59	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	5	60	300
0002-7712-27	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	2	120	240
0002-7714-59	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	5	60	300
0002-8215-01	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	10	1	200	200
0002-8215-17	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	1	60	60
0002-8315-01	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	10	1	200	200
0002-8315-17	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	1	60	60
0002-8501-01	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	20	1	2000	2000
0002-8715-01	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	10	1	200	200
0002-8715-17	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	1	60	60
0002-8797-59	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	5	60	300
0002-8798-59	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	5	60	300
0002-8799-59	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	5	60	300
0002-8803-59	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	5	60	300
0002-8805-59	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	5	60	300
0002-8824-27	J1815	Eli Lilly and Company	Insulin injection	5 UNITS	3	2	300	600
0169-1833-02	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-1833-11	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-1834-02	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-1834-11	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-1837-02	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-1837-11	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-3201-11	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-3303-12	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	3	5	60	300
0169-3685-12	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
0169-3696-19	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	3	5	60	300
0169-6339-10	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	3	5	60	300
0169-7501-11	J1815	Novo Nordisk? Inc.	Insulin injection	5 UNITS	10	1	200	200
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
0002-8215-01	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
0002-8501-01	J1817	Eli Lilly and Company	Insulin for insulin pump use	50 UNITS	20	1	200	200
0002-8799-59	J1817	Eli Lilly and Company	Insulin for insulin pump use	50 UNITS	3	5	6	30
0169-1833-02	J1817	Novo Nordisk? Inc.	Insulin for insulin pump use	50 UNITS	10	1	20	20
0169-1833-11	J1817	Novo Nordisk? Inc.	Insulin for insulin pump use	50 UNITS	10	1	20	20
0169-3303-12	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
0409-2287-23	J1885	Pfizer Inc.	Ketorolac tromethamine inj	15 MG	1	10	2	20
0409-2287-31	J1885	Pfizer Inc.	Ketorolac tromethamine inj	15 MG	1	10	2	20
0409-2287-61	J1885	Pfizer Inc.	Ketorolac tromethamine inj	15 MG	2	10	4	40
0409-3793-01	J1885	Pfizer Inc.	Ketorolac tromethamine inj	15 MG	1	25	1	25
0409-3795-01	J1885	Pfizer Inc.	Ketorolac tromethamine inj	15 MG	1	25	2	50
0409-3796-01	J1885	Pfizer Inc.	Ketorolac tromethamine inj	15 MG	2	25	4	100
0641-6041-25	J1885	West-Ward Pharmaceuticals Corp	Ketorolac tromethamine inj	15 MG	1	25	1	25
0641-6042-25	J1885	West-Ward Pharmaceuticals Corp	Ketorolac tromethamine inj	15 MG	1	25	2	50
0641-6043-25	J1885	West-Ward Pharmaceuticals Corp	Ketorolac tromethamine inj	15 MG	2	25	4	100
25021-700-01	J1885	Sagent Pharmaceuticals Inc	Ketorolac tromethamine inj	15 MG	1	25	1	25
25021-701-01	J1885	Sagent Pharmaceuticals Inc	Ketorolac tromethamine inj	15 MG	1	25	2	50
25021-701-02	J1885	Sagent Pharmaceuticals Inc	Ketorolac tromethamine inj	15 MG	2	25	4	100
47781-583-68	J1885	Alvogen, Inc.	Ketorolac tromethamine inj	15 MG	1	25	1	25
47781-584-68	J1885	Alvogen, Inc.	Ketorolac tromethamine inj	15 MG	1	25	2	50
47781-585-68	J1885	Alvogen, 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
70860-700-01	J1885	Athenex Pharmaceutical Division, LLC.	Ketorolac tromethamine inj	15 MG	1	10	1	10
70860-700-02	J1885	Athenex Pharmaceutical Division, LLC.	Ketorolac tromethamine inj	15 MG	1	25	1	25
70860-701-01	J1885	Athenex Pharmaceutical Division, LLC.	Ketorolac tromethamine inj	15 MG	1	10	2	20
70860-701-02	J1885	Athenex Pharmaceutical Division, LLC.	Ketorolac tromethamine inj	15 MG	2	10	4	40
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
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
76045-107-10	J1885	Fresenius Kabi USA LLC	Ketorolac tromethamine inj	15 MG	1	24	1	24
15054-1060-3	J1930	Ipsen Biopharmaceuticals, Inc	Lanreotide injection	1 MG	0.2	1	60	60
15054-1090-3	J1930	Ipsen Biopharmaceuticals, Inc	Lanreotide injection	1 MG	0.3	1	90	90
15054-1120-3	J1930	Ipsen Biopharmaceuticals, Inc	Lanreotide injection	1 MG	0.5	1	120	120
58468-0070-1	J1931	Genzyme Corporation	Laronidase injection	0.1 MG	5	1	29	29
0409-1639-10	J1940	Pfizer Inc.	Furosemide injection	20 MG	10	10	5	50
0409-9631-04	J1940	Pfizer Inc.	Furosemide injection	20 MG	4	10	2	20
23155-473-41	J1940	Heritage Pharmaceuticals, Inc.	Furosemide injection	20 MG	2	25	1	25
23155-473-42	J1940	Heritage Pharmaceuticals, Inc.	Furosemide injection	20 MG	4	25	2	50
23155-473-44	J1940	Heritage Pharmaceuticals, Inc.	Furosemide injection	20 MG	10	25	5	125
36000-282-25	J1940	Baxter Healthcare Corporation	Furosemide injection	20 MG	2	25	1	25
36000-283-25	J1940	Baxter Healthcare Corporation	Furosemide injection	20 MG	4	25	2	50
36000-284-25	J1940	Baxter Healthcare Corporation	Furosemide injection	20 MG	10	25	5	125
63323-280-02	J1940	Fresenius Kabi USA LLC	Furosemide injection	20 MG	2	25	1	25
63323-280-04	J1940	Fresenius Kabi USA LLC	Furosemide injection	20 MG	4	25	2	50
63323-280-10	J1940	Fresenius Kabi USA LLC	Furosemide injection	20 MG	10	25	5	125
63323-280-16	J1940	Fresenius Kabi USA LLC	Furosemide injection	20 MG	2	25	1	25
63323-280-26	J1940	Fresenius Kabi USA LLC	Furosemide injection	20 MG	4	25	2	50
63323-280-36	J1940	Fresenius Kabi USA LLC	Furosemide injection	20 MG	10	25	5	125
70121-1076-5	J1940	Amneal Biosciences	Furosemide injection	20 MG	10	25	5	125
70121-1163-5	J1940	Amneal Biosciences	Furosemide injection	20 MG	2	25	1	25
70121-1164-5	J1940	Amneal Biosciences	Furosemide injection	20 MG	4	25	2	50
65757-401-03	J1942	Alkermes, Inc.	Aripiprazole lauroxil 1mg	1 MG	1.6	1	441	441
65757-402-03	J1942	Alkermes, Inc.	Aripiprazole lauroxil 1mg	1 MG	2.4	1	662	662
65757-403-03	J1942	Alkermes, Inc.	Aripiprazole lauroxil 1mg	1 MG	3.2	1	882	882
65757-404-03	J1942	Alkermes, Inc.	Aripiprazole lauroxil 1mg	1 MG	3.9	1	1064	1064
0074-2282-03	J1950	AbbVie US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	3	3
0074-3641-03	J1950	AbbVie US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	1	1
0074-3663-03	J1950	AbbVie US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	3	3
0074-3779-03	J1950	AbbVie US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	3	3
0074-9694-03	J1950	AbbVie US, LLC	Leuprolide acetate /3.75 mg	3.75 MG	1	1	8	8
0143-9574-10	J1953	West-Ward Pharmaceuticals Corp	Levetiracetam injection	10 MG	5	10	50	500
0143-9574-25	J1953	West-Ward Pharmaceuticals Corp	Levetiracetam injection	10 MG	5	25	50	1250
0143-9673-10	J1953	West-Ward Pharmaceuticals Corp	Levetiracetam injection	10 MG	5	10	50	500
0143-9673-25	J1953	West-Ward Pharmaceuticals Corp	Levetiracetam injection	10 MG	5	25	50	1250
0409-1886-02	J1953	Pfizer Inc.	Levetiracetam injection	10 MG	5	25	50	1250
0409-1886-05	J1953	Pfizer Inc.	Levetiracetam injection	10 MG	5	25	50	1250
25021-780-05	J1953	Sagent Pharmaceuticals Inc	Levetiracetam injection	10 MG	5	10	50	500
39822-4000-1	J1953	X-Gen Pharmaceuticals, Inc.	Levetiracetam injection	10 MG	5	10	50	500
43598-635-10	J1953	Dr. Reddy's Laboratories, Inc.	Levetiracetam injection	10 MG	100	10	50	500
43598-636-10	J1953	Dr. Reddy's Laboratories, Inc.	Levetiracetam injection	10 MG	100	10	100	1000
43598-637-10	J1953	Dr. Reddy's Laboratories, Inc.	Levetiracetam injection	10 MG	100	10	150	1500
50474-002-63	J1953	UCB, Inc.	Levetiracetam injection	10 MG	5	10	50	500
55150-177-05	J1953	AuroMedics Pharma LLC	Levetiracetam injection	10 MG	5	10	50	500
63323-400-05	J1953	Fresenius Kabi USA LLC	Levetiracetam injection	10 MG	5	10	50	500
67457-255-10	J1953	Mylan Institutional	Levetiracetam injection	10 MG	100	10	50	500
67457-265-10	J1953	Mylan Institutional	Levetiracetam injection	10 MG	100	10	100	1000
67457-266-10	J1953	Mylan Institutional	Levetiracetam injection	10 MG	100	10	150	1500
67457-790-05	J1953	Mylan Institutional	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
54482-147-01	J1955	Leadiant Biosciences, Inc.	Inj levocarnitine per 1 gm	1 GM	5	5	1	5
0143-9315-24	J1956	NOVAPLUS/HIKMA	Levofloxacin injection	250 MG	50	24	1	24
0143-9316-24	J1956	NOVAPLUS/HIKMA	Levofloxacin injection	250 MG	100	24	2	48
0143-9317-24	J1956	NOVAPLUS/HIKMA	Levofloxacin injection	250 MG	150	24	3	72
0143-9720-24	J1956	West-Ward Pharmaceuticals Corp	Levofloxacin injection	250 MG	150	24	3	72
0143-9721-24	J1956	West-Ward Pharmaceuticals Corp	Levofloxacin injection	250 MG	100	24	2	48
0143-9722-24	J1956	West-Ward Pharmaceuticals Corp	Levofloxacin injection	250 MG	50	24	1	24
17478-107-20	J1956	Akorn	Levofloxacin injection	250 MG	20	1	2	2
17478-107-30	J1956	Akorn	Levofloxacin injection	250 MG	30	1	3	3
25021-130-20	J1956	Mylan Institutional	Levofloxacin injection	250 MG	20	1	2	2
25021-132-66	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	50	24	1	24
25021-132-67	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	100	24	2	48
25021-132-68	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	150	24	3	72
25021-132-81	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	50	24	1	24
25021-132-82	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	100	24	2	48
25021-132-83	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	150	24	3	72
25021-825-81	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	50	24	1	24
25021-825-82	J1956	Sagent Pharmaceuticals Inc	Levofloxacin injection	250 MG	100	24	2	48
25021-825-83	J1956	Sagent Pharmaceuticals Inc	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	Levofloxacin injection	250 MG	50	24	1	24
44567-436-24	J1956	WG Critical Care	Levofloxacin injection	250 MG	100	24	2	48
44567-437-24	J1956	WG Critical Care	Levofloxacin injection	250 MG	150	24	3	72
55150-156-20	J1956	AuroMedics Pharma LLC	Levofloxacin injection	250 MG	20	1	2	2
55150-157-30	J1956	AuroMedics Pharma LLC	Levofloxacin injection	250 MG	30	1	3	3
63323-355-50	J1956	Fresenius Kabi USA LLC	Levofloxacin injection	250 MG	50	24	1	24
63323-355-60	J1956	Fresenius Kabi USA LLC	Levofloxacin injection	250 MG	150	24	3	48
63323-355-65	J1956	Fresenius Kabi USA LLC	Levofloxacin injection	250 MG	100	24	2	72
0037-9001-05	J1980	Mylan Specialty, L.P.	Hyoscyamine sulfate inj	0.25 MG	1	5	2	10
0264-9594-10	J2001	B. Braun Medical Inc.	Lidocaine injection	10 MG	500	24	200	4800
0264-9594-20	J2001	B. Braun Medical Inc.	Lidocaine injection	10 MG	250	24	100	2400
0264-9598-20	J2001	B. Braun Medical Inc.	Lidocaine injection	10 MG	250	24	200	4800
0338-0409-03	J2001	Baxter Healthcare Corporation	Lidocaine injection	10 MG	500	1	200	200
0338-0411-02	J2001	Baxter Healthcare Corporation	Lidocaine injection	10 MG	250	1	200	200
0009-0555-01	J2010	Pfizer Inc.	Lincomycin injection	300 MG	2	1	2	2
0009-0555-02	J2010	Pfizer Inc.	Lincomycin injection	300 MG	10	1	10	10
39822-0350-2	J2010	X-Gen Pharmaceuticals, Inc.	Lincomycin injection	300 MG	2	10	2	20
39822-0353-6	J2010	X-Gen Pharmaceuticals, Inc.	Lincomycin injection	300 MG	10	10	10	100
0009-4992-02	J2020	Pfizer Inc.	Linezolid injection	200 MG	300	10	3	30
0009-5137-04	J2020	Pfizer Inc.	Linezolid injection	200 MG	100	10	1	10
0009-5140-04	J2020	Pfizer Inc.	Linezolid injection	200 MG	300	10	3	30
0009-7807-02	J2020	Pfizer Inc.	Linezolid injection	200 MG	300	10	3	30
0409-4883-01	J2020	Pfizer Inc.	Linezolid injection	200 MG	300	10	3	30
0781-3433-95	J2020	Sandoz, Inc.	Linezolid injection	200 MG	300	10	3	30
25021-169-87	J2020	Sagent Pharmaceuticals Inc	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
67457-843-30	J2020	Mylan Institutional	Linezolid injection	200 MG	300	10	3	30
0409-1539-31	J2060	Pfizer Inc.	Lorazepam injection	2 MG	1	10	2	20
0409-1985-30	J2060	Pfizer Inc.	Lorazepam injection	2 MG	1	10	1	10
0409-6778-02	J2060	Pfizer Inc.	Lorazepam injection	2 MG	1	10	1	10
0409-6778-05	J2060	Pfizer Inc.	Lorazepam injection	2 MG	1	10	1	10
0409-6779-02	J2060	Pfizer Inc.	Lorazepam injection	2 MG	1	10	2	20
0409-6780-02	J2060	Pfizer Inc.	Lorazepam injection	2 MG	10	10	10	100
0641-6000-10	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	10	10	10	100
0641-6001-25	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	1	25	1	25
0641-6002-10	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	10	10	20	200
0641-6003-25	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	1	25	2	50
0641-6044-25	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	1	25	1	25
0641-6045-25	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	1	25	2	50
0641-6046-10	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	10	10	10	100
0641-6047-10	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	10	10	20	200
0641-6048-25	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	1	25	1	25
0641-6049-25	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	1	25	2	50
0641-6050-10	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	10	10	10	100
0641-6051-10	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	10	10	20	200
0641-6207-25	J2060	West-Ward Pharmaceuticals Corp	Lorazepam injection	2 MG	1	25	1	25
17478-040-01	J2060	Akorn	Lorazepam injection	2 MG	1	10	1	10
0409-4031-01	J2150	Pfizer Inc.	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	2.5
0409-1178-30	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	1	10	0.5	5
0409-1179-30	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	1	10	0.75	7.5
0409-1180-69	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	1	10	1	10
0409-1181-30	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	30	1	15	15
0409-1201-20	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	20	1	20	20
0409-1203-01	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	0.5	25	0.25	6.25
0409-1253-01	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	1	25	0.5	12.5
0409-1254-01	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	1.5	25	0.75	18.75
0409-1255-02	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	2	25	1	25
0409-1256-01	J2175	Pfizer Inc.	Meperidine hydrochl /100 mg	100 MG	1	25	1	25
0641-6052-25	J2175	West-Ward Pharmaceuticals Corp	Meperidine hydrochl /100 mg	100 MG	1	25	0.25	6.25
0641-6053-25	J2175	West-Ward Pharmaceuticals Corp	Meperidine hydrochl /100 mg	100 MG	1	25	0.5	12.5
0641-6054-25	J2175	West-Ward Pharmaceuticals Corp	Meperidine hydrochl /100 mg	100 MG	1	25	1	25
0173-0881-01	J2182	GlaxoSmithkline	Injection, mepolizumab, 1mg	1 MG	1	1	100	100
0069-0313-10	J2185	Pfizer Inc.	Meropenem	100 MG	1	10	5	50
0069-0314-10	J2185	Pfizer Inc.	Meropenem	100 MG	1	10	10	100
0264-3183-11	J2185	B. Braun Medical Inc.	Meropenem	100 MG	1	24	5	120
0264-3185-11	J2185	B. Braun Medical Inc.	Meropenem	100 MG	1	24	10	240
0310-0321-30	J2185	Pfizer Inc.	Meropenem	100 MG	1	10	10	100
0310-0325-20	J2185	Pfizer Inc.	Meropenem	100 MG	1	10	5	50
0409-3505-01	J2185	Pfizer Inc.	Meropenem	100 MG	1	25	5	125
0409-3506-01	J2185	Pfizer Inc.	Meropenem	100 MG	1	25	10	250
0781-3000-95	J2185	Sandoz, Inc.	Meropenem	100 MG	1	10	5	50
0781-3000-96	J2185	Sandoz, Inc.	Meropenem	100 MG	1	25	5	125
0781-3098-95	J2185	Sandoz, Inc.	Meropenem	100 MG	1	10	10	100
0781-3098-96	J2185	Sandoz, Inc.	Meropenem	100 MG	1	25	10	250
25021-155-15	J2185	Sagent Pharmaceuticals Inc	Meropenem	100 MG	1	10	5	50
25021-156-30	J2185	Sagent Pharmaceuticals Inc	Meropenem	100 MG	1	10	10	100
55150-207-20	J2185	AuroMedics Pharma LLC	Meropenem	100 MG	1	10	5	50
55150-208-30	J2185	AuroMedics Pharma LLC	Meropenem	100 MG	1	10	10	100
63323-507-20	J2185	Fresenius Kabi 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
68001-323-31	J2185	American Health Packaging	Meropenem	100 MG	1	10	5	50
68001-324-57	J2185	American Health Packaging	Meropenem	100 MG	1	10	10	100
70121-1453-7	J2185	Amneal Biosciences	Meropenem	100 MG	1	10	10	100
70121-1454-7	J2185	Amneal Biosciences	Meropenem	100 MG	1	10	5	50
0517-0740-20	J2210	American Regent	Methylergonovin maleate inj	0.2 MG	1	20	1	20
17478-501-01	J2210	Akorn	Methylergonovin maleate inj	0.2 MG	1	10	1	10
51991-144-17	J2210	Breckenridge Pharmaceutical	Methylergonovin maleate inj	0.2 MG	1	10	1	10
0469-3211-10	J2248	Astellas Pharma US, Inc.	Micafungin sodium injection	1 MG	1	10	100	1000
0469-3211-99	J2248	Astellas Pharma US, Inc.	Micafungin sodium injection	1 MG	1	10	100	1000
0469-3250-10	J2248	Astellas Pharma US, Inc.	Micafungin sodium injection	1 MG	1	10	50	500
0469-3250-50	J2248	Astellas Pharma US, Inc.	Micafungin sodium injection	1 MG	1	10	50	500
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
0409-2305-21	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
0409-2306-12	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	2	10	2	20
0409-2306-62	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	2	10	2	20
0409-2307-60	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	1	10	5	50
0409-2308-01	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	1	10	5	50
0409-2308-02	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	2	10	10	100
0409-2308-49	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	1	10	5	50
0409-2308-50	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	2	10	10	100
0409-2587-05	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	10	10	10	100
0409-2596-03	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	5	10	25	250
0409-2596-05	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	10	10	50	500
0409-2596-52	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	5	10	25	250
0409-2596-53	J2250	Pfizer Inc.	Inj midazolam hydrochloride	1 MG	10	10	50	500
0641-6056-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	10	10	10	100
0641-6057-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	2	10	2	20
0641-6057-25	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	2	25	2	50
0641-6059-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	5	10	5	50
0641-6060-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	10	10	50	500
0641-6061-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	1	10	5	50
0641-6061-25	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	1	25	5	125
0641-6063-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	2	10	10	100
0641-6063-25	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	2	25	10	250
0641-6190-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	10	10	50	500
0641-6209-25	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	2	25	2	50
0641-6210-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	5	10	5	50
0641-6211-10	J2250	West-Ward Pharmaceuticals Corp	Inj midazolam hydrochloride	1 MG	10	10	50	500
17478-524-10	J2250	Akorn	Inj midazolam hydrochloride	1 MG	10	10	50	500
23155-600-41	J2250	Heritage Pharmaceuticals, Inc.	Inj midazolam hydrochloride	1 MG	2	25	2	50
23155-601-41	J2250	Heritage Pharmaceuticals, Inc.	Inj midazolam hydrochloride	1 MG	5	10	25	250
23155-601-42	J2250	Heritage Pharmaceuticals, Inc.	Inj midazolam hydrochloride	1 MG	10	10	50	500
47781-588-68	J2250	Alvogen, Inc.	Inj midazolam hydrochloride	1 MG	2	25	2	50
47781-589-17	J2250	Alvogen, Inc.	Inj midazolam hydrochloride	1 MG	5	10	25	250
47781-589-91	J2250	Alvogen, Inc.	Inj midazolam hydrochloride	1 MG	10	10	50	500
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
63323-412-05	J2250	Fresenius Kabi USA LLC	Inj midazolam hydrochloride	1 MG	5	10	25	250
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
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
76045-003-20	J2250	Fresenius Kabi USA LLC	Inj midazolam hydrochloride	1 MG	2	24	10	240
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
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
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
0409-1135-02	J2270	Pfizer Inc.	Morphine sulfate injection	10 MG	10	1	25	25
0409-1890-01	J2270	Pfizer Inc.	Morphine sulfate injection	10 MG	1	10	0.2	2
0409-1890-11	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
0409-1891-11	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
0409-1892-11	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
0409-1893-11	J2270	Pfizer Inc.	Morphine sulfate injection	10 MG	1	10	1	10
0409-2029-02	J2270	ICU Medical, Inc.	Morphine sulfate injection	10 MG	30	10	3	30
0409-6028-04	J2270	ICU Medical, Inc.	Morphine sulfate injection	10 MG	30	10	15	150
0641-6125-25	J2270	West-Ward Pharmaceuticals Corp	Morphine sulfate injection	10 MG	1	25	0.4	10
0641-6126-25	J2270	West-Ward Pharmaceuticals Corp	Morphine sulfate injection	10 MG	1	25	0.8	20
0641-6127-25	J2270	West-Ward Pharmaceuticals Corp	Morphine sulfate injection	10 MG	1	25	1	25
63323-451-01	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	25	1	25
63323-452-01	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	25	0.2	5
63323-454-01	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	25	0.4	10
63323-455-01	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	25	0.5	12.5
63323-458-01	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	25	0.8	20
76045-004-10	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	24	0.2	4.8
76045-005-10	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	24	0.4	9.6
76045-006-10	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	24	0.5	12
76045-007-10	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	24	0.8	19.2
76045-008-10	J2270	Fresenius Kabi USA LLC	Morphine sulfate injection	10 MG	1	24	1	24
0409-3814-12	J2274	Pfizer Inc.	Inj morphine pf epid ithc	10 MG	10	5	0.5	2.5
0409-3815-12	J2274	Pfizer Inc.	Inj morphine pf epid ithc	10 MG	10	5	1	5
0641-6019-10	J2274	West-Ward Pharmaceuticals Corp	Inj morphine pf epid ithc	10 MG	10	10	1	10
0641-6020-10	J2274	West-Ward Pharmaceuticals Corp	Inj morphine pf epid ithc	10 MG	10	10	0.5	5
0641-6039-01	J2274	West-Ward Pharmaceuticals Corp	Inj morphine pf epid ithc	10 MG	20	1	20	20
0641-6040-01	J2274	West-Ward Pharmaceuticals Corp	Inj morphine pf epid ithc	10 MG	20	1	50	50
66794-162-02	J2274	PIRAMAL CRITICAL CARE, INC.	Inj morphine pf epid ithc	10 MG	20	1	50	50
18860-720-10	J2278	Jazz Pharmaceuticals, Inc.	Ziconotide injection	1 MCG	1	1	100	100
18860-722-10	J2278	Jazz Pharmaceuticals, Inc.	Ziconotide injection	1 MCG	5	1	500	500
18860-723-10	J2278	Jazz Pharmaceuticals, Inc.	Ziconotide injection	1 MCG	20	1	500	500
0085-1737-01	J2280	Schering Corporation	Inj, moxifloxacin 100 mg	100 MG	250	12	4	48
63323-850-74	J2280	Fresenius Kabi USA LLC	Inj, moxifloxacin 100 mg	100 MG	250	12	4	48
67457-323-25	J2280	Mylan Institutional	Inj, moxifloxacin 100 mg	100 MG	250	12	4	48
0409-1463-01	J2300	Pfizer Inc.	Inj nalbuphine hydrochloride	10 MG	1	10	1	10
0409-1463-49	J2300	Pfizer Inc.	Inj nalbuphine hydrochloride	10 MG	1	10	1	10
0409-1464-01	J2300	Pfizer Inc.	Inj nalbuphine hydrochloride	10 MG	10	25	10	250
0409-1465-01	J2300	Pfizer Inc.	Inj nalbuphine hydrochloride	10 MG	1	10	2	20
0409-1467-01	J2300	Pfizer Inc.	Inj nalbuphine hydrochloride	10 MG	10	25	20	500
0409-1215-01	J2310	Pfizer Inc.	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
0409-1215-25	J2310	Pfizer Inc.	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
0409-1219-01	J2310	Pfizer Inc.	Inj naloxone hydrochloride	1 MG	10	25	4	100
0409-1219-25	J2310	Pfizer Inc.	Inj naloxone hydrochloride	1 MG	10	25	4	100
0409-1782-69	J2310	Pfizer Inc.	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
0641-6132-25	J2310	West-Ward Pharmaceuticals Corp	Inj naloxone hydrochloride	1 MG	1	25	0.4	10
17478-041-01	J2310	Akorn	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
17478-042-10	J2310	Akorn	Inj naloxone hydrochloride	1 MG	10	1	4	4
67457-292-02	J2310	Mylan Institutional	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
67457-299-10	J2310	Mylan Institutional	Inj naloxone hydrochloride	1 MG	10	10	4	40
67457-599-02	J2310	Mylan Institutional	Inj naloxone hydrochloride	1 MG	1	10	0.4	4
65757-300-01	J2315	Alkermes, Inc.	Naltrexone, depot form	1 MG	1	1	380	380
64406-008-01	J2323	Biogen	Natalizumab injection	1 MG	15	1	300	300
50242-150-01	J2350	Genentech, Inc.	Injection, ocrelizumab, 1 mg	1 MG	10	1	300	300
0078-0647-81	J2353	Novartis Pharmaceuticals Corporation	Octreotide injection, depot	1 MG	1	1	20	20
0078-0811-81	J2353	Novartis Pharmaceuticals Corporation	Octreotide injection, depot	1 MG	1	1	10	10
0078-0818-81	J2353	Novartis Pharmaceuticals Corporation	Octreotide injection, depot	1 MG	1	1	20	20
0078-0825-81	J2353	Novartis Pharmaceuticals Corporation	Octreotide injection, depot	1 MG	1	1	30	30
0078-0180-01	J2354	Novartis Pharmaceuticals Corporation	Octreotide inj, non-depot	25 MCG	1	10	2	20
0078-0181-01	J2354	Novartis Pharmaceuticals Corporation	Octreotide inj, non-depot	25 MCG	1	10	4	40
0078-0182-01	J2354	Novartis Pharmaceuticals Corporation	Octreotide inj, non-depot	25 MCG	1	10	20	200
0078-0183-25	J2354	Novartis Pharmaceuticals Corporation	Octreotide inj, non-depot	25 MCG	5	1	40	40
0078-0184-25	J2354	Novartis Pharmaceuticals Corporation	Octreotide inj, non-depot	25 MCG	5	1	200	200
0641-6174-10	J2354	West-Ward Pharmaceuticals Corp	Octreotide inj, non-depot	25 MCG	1	10	2	20
0641-6175-10	J2354	West-Ward Pharmaceuticals Corp	Octreotide inj, non-depot	25 MCG	1	10	4	40
0641-6176-10	J2354	West-Ward Pharmaceuticals Corp	Octreotide inj, non-depot	25 MCG	1	10	20	200
0641-6177-01	J2354	West-Ward Pharmaceuticals Corp	Octreotide inj, non-depot	25 MCG	5	1	40	40
0641-6178-01	J2354	West-Ward Pharmaceuticals Corp	Octreotide inj, non-depot	25 MCG	5	1	200	200
0703-3301-04	J2354	Sicor Pharmaceuticals, Inc.	Octreotide inj, non-depot	25 MCG	1	25	2	50
0703-3311-04	J2354	Sicor Pharmaceuticals, Inc.	Octreotide inj, non-depot	25 MCG	1	25	4	100
0703-3321-04	J2354	Sicor Pharmaceuticals, Inc.	Octreotide inj, non-depot	25 MCG	1	25	20	500
0703-3333-01	J2354	Sicor Pharmaceuticals, Inc.	Octreotide inj, non-depot	25 MCG	5	1	40	40
0703-3343-01	J2354	Sicor Pharmaceuticals, Inc.	Octreotide inj, non-depot	25 MCG	5	1	200	200
25021-451-01	J2354	Sagent Pharmaceuticals Inc	Octreotide inj, non-depot	25 MCG	1	10	2	20
25021-452-01	J2354	Sagent Pharmaceuticals Inc	Octreotide inj, non-depot	25 MCG	1	10	4	40
25021-453-01	J2354	Sagent Pharmaceuticals Inc	Octreotide inj, non-depot	25 MCG	1	10	20	200
25021-454-05	J2354	Sagent Pharmaceuticals Inc	Octreotide inj, non-depot	25 MCG	5	1	40	40
25021-455-05	J2354	Sagent Pharmaceuticals Inc	Octreotide inj, non-depot	25 MCG	5	1	200	200
63323-365-01	J2354	Fresenius Kabi USA LLC	Octreotide inj, non-depot	25 MCG	1	10	2	20
63323-365-04	J2354	Fresenius Kabi USA LLC	Octreotide inj, non-depot	25 MCG	1	10	2	20
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	Octreotide inj, non-depot	25 MCG	1	10	2	20
67457-245-01	J2354	Mylan Institutional	Octreotide inj, non-depot	25 MCG	1	10	4	40
67457-246-01	J2354	Mylan Institutional	Octreotide inj, non-depot	25 MCG	1	10	20	200
50242-040-62	J2357	Genentech, Inc.	Omalizumab injection	5 MG	1	1	30	30
50242-214-01	J2357	GENENTECH USA, INC.	Omalizumab injection	5 MG	0.5	1	15	15
50242-215-01	J2357	GENENTECH USA, INC.	Omalizumab injection	5 MG	1	1	30	30
0002-7635-11	J2358	Eli Lilly and Company	Olanzapine long-acting inj	1 MG	1	1	210	210
0002-7636-11	J2358	Eli Lilly and Company	Olanzapine long-acting inj	1 MG	1	1	300	300
0002-7637-11	J2358	Eli Lilly and Company	Olanzapine long-acting inj	1 MG	1	1	405	405
0591-3222-47	J2360	Actavis Pharma, Inc.	Orphenadrine injection	60 MG	2	10	1	10
0641-6182-10	J2360	West-Ward Pharmaceuticals Corp	Orphenadrine injection	60 MG	2	10	1	10
17478-538-02	J2360	Akorn	Orphenadrine injection	60 MG	2	10	1	10
0143-9209-10	J2400	West-Ward Pharmaceuticals Corp	Chloroprocaine hcl injection	30 ML	20	10	0.667	6.67
0143-9210-10	J2400	West-Ward Pharmaceuticals Corp	Chloroprocaine hcl injection	30 ML	20	10	0.667	6.67
63323-475-37	J2400	Fresenius Kabi USA LLC	Chloroprocaine hcl injection	30 ML	30	25	1	25
63323-476-37	J2400	Fresenius Kabi USA LLC	Chloroprocaine hcl injection	30 ML	30	25	1	25
63323-477-27	J2400	Fresenius Kabi USA LLC	Chloroprocaine hcl injection	30 ML	20	25	0.667	16.667
63323-478-27	J2400	Fresenius Kabi USA LLC	Chloroprocaine hcl injection	30 ML	20	25	0.667	16.667
0143-9890-01	J2405	West-Ward Pharmaceuticals Corp	Ondansetron hcl injection	1 MG	20	1	40	40
0143-9890-10	J2405	West-Ward Pharmaceuticals Corp	Ondansetron hcl injection	1 MG	20	10	40	400
0409-1120-12	J2405	Pfizer Inc.	Ondansetron hcl injection	1 MG	2	10	4	40
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	West-Ward Pharmaceuticals Corp	Ondansetron hcl injection	1 MG	2	25	4	100
0641-6079-01	J2405	West-Ward Pharmaceuticals Corp	Ondansetron hcl injection	1 MG	20	1	40	40
0641-6080-25	J2405	West-Ward Pharmaceuticals Corp	Ondansetron hcl injection	1 MG	2	25	4	100
16729-297-83	J2405	Accord Healthcare Inc.	Ondansetron hcl injection	1 MG	2	5	4	20
16729-298-05	J2405	Accord Healthcare Inc.	Ondansetron hcl injection	1 MG	20	1	40	40
23155-168-31	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	20	1	40	40
23155-196-42	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	2	10	4	40
23155-378-41	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	2	10	4	40
23155-378-42	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	2	25	4	100
23155-547-41	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	2	10	4	40
23155-547-42	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	2	25	4	100
23155-548-41	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	2	10	4	40
23155-548-42	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	2	25	4	100
23155-549-31	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	20	1	40	40
23155-550-31	J2405	Heritage Pharmaceuticals, Inc.	Ondansetron hcl injection	1 MG	20	1	40	40
25021-777-02	J2405	Sagent Pharmaceuticals Inc	Ondansetron hcl injection	1 MG	2	25	4	100
25021-782-20	J2405	Sagent Pharmaceuticals Inc	Ondansetron hcl injection	1 MG	20	1	40	40
36000-012-25	J2405	Baxter Healthcare Corporation	Ondansetron hcl injection	1 MG	2	25	4	100
55150-125-02	J2405	AUROMEDICS PHARMA, LLC	Ondansetron hcl injection	1 MG	2	25	4	100
55150-126-20	J2405	AuroMedics Pharma LLC	Ondansetron hcl injection	1 MG	20	1	40	40
60505-6130-5	J2405	APOTEX CORP.	Ondansetron hcl injection	1 MG	2	25	4	100
63323-373-02	J2405	Fresenius Kabi 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
67457-440-22	J2405	Mylan Institutional	Ondansetron hcl injection	1 MG	2	25	4	100
67457-441-20	J2405	Mylan Institutional	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
76045-103-20	J2405	Fresenius Kabi USA LLC	Ondansetron hcl injection	1 MG	2	24	4	96
65293-015-03	J2407	Melinta Therapeutics	Injection, oritavancin	10 MG	1	3	40	120
70842-140-03	J2407	Melinta Therapeutics	Injection, oritavancin	10 MG	1	3	40	120
66658-112-03	J2425	Sobi	Palifermin injection	50 MCG	1	3	125	375
66658-112-06	J2425	Sobi	Palifermin injection	50 MCG	1	6	125	750
50458-560-01	J2426	Janssen Pharmaceuticals, Inc.	Paliperidone palmitate inj	1 MG	0.25	1	39	39
50458-561-01	J2426	Janssen Pharmaceuticals, Inc.	Paliperidone palmitate inj	1 MG	0.5	1	78	78
50458-562-01	J2426	Janssen Pharmaceuticals, Inc.	Paliperidone palmitate inj	1 MG	0.75	1	117	117
50458-563-01	J2426	Janssen Pharmaceuticals, Inc.	Paliperidone palmitate inj	1 MG	1	1	156	156
50458-564-01	J2426	Janssen Pharmaceuticals, Inc.	Paliperidone palmitate inj	1 MG	1.5	1	234	234
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	Pamidronate disodium /30 mg	30 MG	10	1	1	1
67457-446-10	J2430	Mylan Institutional	Pamidronate disodium /30 mg	30 MG	1	1	3	3
0143-9513-01	J2469	West-Ward Pharmaceuticals Corp	Palonosetron hcl	25 MCG	2	1	10	10
0409-2504-10	J2469	HOSPIRA, INC.	Palonosetron hcl	25 MCG	5	1	10	10
0703-4094-01	J2469	Sicor Pharmaceuticals, Inc.	Palonosetron hcl	25 MCG	5	1	10	10
0781-3312-75	J2469	Sandoz, Inc.	Palonosetron hcl	25 MCG	5	1	10	10
16714-834-01	J2469	NorthStar Rx LLC	Palonosetron hcl	25 MCG	5	1	10	10
16729-365-66	J2469	Accord Healthcare Inc.	Palonosetron hcl	25 MCG	5	1	10	10
25021-783-05	J2469	SAGENT PHARMACEUTICALS, INC.	Palonosetron hcl	25 MCG	5	1	10	10
55111-694-07	J2469	Dr. Reddy's Laboratories, Inc.	Palonosetron hcl	25 MCG	5	1	10	10
62856-797-01	J2469	Helsinn Therapeutics (U.S.), Inc.	Palonosetron hcl	25 MCG	5	1	10	10
63323-673-89	J2469	FRESENIUS KABI USA, LLC	Palonosetron hcl	25 MCG	5	10	10	100
63323-942-05	J2469	Fresenius Kabi USA LLC	Palonosetron hcl	25 MCG	5	10	10	100
67457-317-25	J2469	Mylan Institutional	Palonosetron hcl	25 MCG	5	1	10	10
68001-355-25	J2469	American Health Packaging	Palonosetron hcl	25 MCG	5	1	10	10
69097-927-35	J2469	CIPLA USA	Palonosetron hcl	25 MCG	5	1	10	10
0074-1658-01	J2501	AbbVie US, LLC	Paricalcitol	1 MCG	1	25	5	125
0074-1658-05	J2501	AbbVie US, LLC	Paricalcitol	1 MCG	2	25	10	250
0074-4637-01	J2501	AbbVie US, LLC	Paricalcitol	1 MCG	1	25	2	50
0143-9596-25	J2501	West-Ward Pharmaceuticals Corp	Paricalcitol	1 MCG	2	25	10	250
0143-9624-25	J2501	West-Ward Pharmaceuticals Corp	Paricalcitol	1 MCG	1	25	5	125
0143-9625-25	J2501	West-Ward Pharmaceuticals Corp	Paricalcitol	1 MCG	1	25	2	50
0409-1007-01	J2501	Pfizer Inc.	Paricalcitol	1 MCG	1	25	2	50
0409-1008-01	J2501	Pfizer Inc.	Paricalcitol	1 MCG	1	25	5	125
0409-1008-02	J2501	Pfizer Inc.	Paricalcitol	1 MCG	2	25	10	250
16729-310-08	J2501	Accord Healthcare Inc.	Paricalcitol	1 MCG	1	25	2	50
16729-311-08	J2501	Accord Healthcare Inc.	Paricalcitol	1 MCG	1	25	5	125
16729-311-93	J2501	Accord Healthcare Inc.	Paricalcitol	1 MCG	2	25	10	250
43598-563-25	J2501	Dr. Reddy's Laboratories, Inc.	Paricalcitol	1 MCG	1	25	2	50
43598-564-25	J2501	Dr. Reddy's Laboratories, Inc.	Paricalcitol	1 MCG	1	25	5	125
43598-565-10	J2501	Dr. Reddy's Laboratories, Inc.	Paricalcitol	1 MCG	2	25	10	250
67457-379-25	J2501	Mylan Institutional	Paricalcitol	1 MCG	1	25	2	50
68782-001-02	J2503	Eyetech, Inc.	Pegaptanib sodium injection	0.3 MG	0.09	1	1	1
57665-001-01	J2504	Leadiant Biosciences, Inc.	Pegademase bovine, 25 iu	25 IU	1.5	1	15	15
55513-190-01	J2505	Amgen USA, Inc.	Injection, pegfilgrastim 6mg	6 MG	0.6	1	1	1
55513-192-01	J2505	Amgen USA, Inc.	Injection, pegfilgrastim 6mg	6 MG	0.6	1	1	1
60809-801-01	J2507	Crealta	Pegloticase injection	1 MG	1	1	8	8
75987-080-10	J2507	Horizon	Pegloticase injection	1 MG	1	1	8	8
60793-130-10	J2510	Pfizer Inc.	Penicillin g procaine inj	up to 600000 UNITS	1	10	1	10
60793-131-10	J2510	Pfizer Inc.	Penicillin g procaine inj	up to 600000 UNITS	2	10	2	20
24201-010-20	J2515	Leucadia Pharmaceuticals	Pentobarbital sodium inj	50 MG	20	1	20	20
24201-010-50	J2515	Leucadia Pharmaceuticals	Pentobarbital sodium inj	50 MG	50	1	50	50
25021-676-20	J2515	Sagent Pharmaceuticals Inc	Pentobarbital sodium inj	50 MG	20	1	20	20
25021-676-50	J2515	Sagent Pharmaceuticals Inc	Pentobarbital sodium inj	50 MG	50	1	50	50
76478-501-20	J2515	Oak	Pentobarbital sodium inj	50 MG	20	1	20	20
76478-501-50	J2515	Oak	Pentobarbital sodium inj	50 MG	50	1	50	50
0049-0420-10	J2540	Pfizer Inc.	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0049-0430-20	J2540	Pfizer Inc.	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
0049-0520-22	J2540	Pfizer Inc.	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0049-0520-83	J2540	Pfizer Inc.	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0049-0530-22	J2540	Pfizer Inc.	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
0049-0530-28	J2540	Pfizer Inc.	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
0338-1021-41	J2540	Baxter Healthcare Corporation	Penicillin g potassium inj	600000 UNITS	50	1	1.67	1.67
0338-1023-41	J2540	Baxter Healthcare Corporation	Penicillin g potassium inj	600000 UNITS	50	1	3.33	3.33
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	83.3
0781-6136-94	J2540	Sandoz, Inc.	Penicillin g potassium inj	600000 UNITS	1	1	33.33	33.33
44567-311-10	J2540	WG Critical Care	Penicillin g potassium inj	600000 UNITS	1	10	8.33	83.3
0206-8860-02	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	50	24	2	48
0206-8861-02	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	50	24	3	72
0206-8862-02	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	100	12	4	48
0409-2999-14	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	1	1	12	12
0409-3374-02	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0409-3378-13	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0409-3379-04	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
0409-3383-02	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0409-3385-13	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0409-3390-04	J2543	Pfizer Inc.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
0781-3110-95	J2543	Sandoz, 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
0781-3344-95	J2543	Sandoz, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0781-3350-95	J2543	Sandoz, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0781-3367-95	J2543	Sandoz, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
0781-9210-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0781-9213-95	J2543	Sandoz, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0781-9214-95	J2543	SANDOZ	Piperacillin/tazobactam	1.125 GM	1	10	4	40
0781-9344-95	J2543	Sandoz, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
0781-9350-95	J2543	Sandoz, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
0781-9367-95	J2543	Sandoz, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
25021-164-30	J2543	Sagent Pharmaceuticals Inc	Piperacillin/tazobactam	1.125 GM	1	10	2	20
25021-165-30	J2543	Sagent Pharmaceuticals Inc	Piperacillin/tazobactam	1.125 GM	1	10	3	30
25021-166-48	J2543	Sagent Pharmaceuticals Inc	Piperacillin/tazobactam	1.125 GM	1	10	4	40
39822-0123-2	J2543	X-Gen Pharmaceuticals, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	2	20
39822-0125-4	J2543	X-Gen Pharmaceuticals, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	3	30
39822-0127-6	J2543	X-Gen Pharmaceuticals, Inc.	Piperacillin/tazobactam	1.125 GM	1	10	4	40
39822-0139-7	J2543	X-Gen Pharmaceuticals, Inc.	Piperacillin/tazobactam	1.125 GM	1	1	36	36
44567-801-10	J2543	WG Critical Care	Piperacillin/tazobactam	1.125 GM	1	10	2	20
44567-802-10	J2543	WG Critical Care	Piperacillin/tazobactam	1.125 GM	1	10	3	30
44567-803-10	J2543	WG Critical Care	Piperacillin/tazobactam	1.125 GM	1	10	4	40
44567-804-01	J2543	WG Critical Care	Piperacillin/tazobactam	1.125 GM	1	1	36	36
55150-119-30	J2543	AuroMedics Pharma LLC	Piperacillin/tazobactam	1.125 GM	1	10	2	20
55150-120-30	J2543	AuroMedics Pharma LLC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
55150-121-50	J2543	AuroMedics Pharma LLC	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-300-30	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
63323-300-36	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	10	3	30
63323-304-74	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	1	36	36
63323-304-78	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	1	36	36
63323-304-94	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	1	36	36
63323-309-20	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	10	2	20
63323-309-26	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	10	2	20
63323-320-50	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-320-56	J2543	Fresenius Kabi USA LLC	Piperacillin/tazobactam	1.125 GM	1	10	4	40
67457-521-22	J2543	Mylan Institutional	Piperacillin/tazobactam	1.125 GM	1	10	2	20
67457-522-37	J2543	Mylan Institutional	Piperacillin/tazobactam	1.125 GM	1	10	3	30
67457-523-45	J2543	Mylan Institutional	Piperacillin/tazobactam	1.125 GM	1	10	4	40
63323-877-15	J2545	Fresenius Kabi USA LLC	Pentamidine non-comp unit	300 MG	1	1	1	1
0641-0928-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-0929-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	1	25
0641-0948-35	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	1	0.5	0.5
0641-0949-35	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	1	1	1
0641-0955-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-0956-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	1	25
0641-1495-35	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-1496-35	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	1	25
0641-6082-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-6083-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	1	25
0641-6084-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	0.5	12.5
0641-6085-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	1	25
0641-6208-25	J2550	West-Ward Pharmaceuticals Corp	Promethazine hcl injection	50 MG	1	25	0.5	12.5
39822-5525-3	J2550	X-Gen Pharmaceuticals, Inc.	Promethazine hcl injection	50 MG	1	25	0.5	12.5
39822-5550-6	J2550	X-Gen Pharmaceuticals, Inc.	Promethazine hcl injection	50 MG	1	25	1	25
0641-0476-25	J2560	West-Ward Pharmaceuticals Corp	Phenobarbital sodium inj	120 MG	1	25	0.54	13.5
0641-0477-25	J2560	West-Ward Pharmaceuticals Corp	Phenobarbital sodium inj	120 MG	1	25	1.08	27
0024-5862-01	J2562	Sanofi-Aventis	Plerixafor injection	1 MG	1.2	1	24	24
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
69918-899-10	J2597	Amring Pharmaceuticals	Inj desmopressin acetate	1 MCG	1	10	4	40
69918-901-10	J2597	Amring Pharmaceuticals	Inj desmopressin acetate	1 MCG	10	1	40	40
0143-9725-01	J2675	West-Ward Pharmaceuticals Corp	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
63323-261-10	J2675	Fresenius Kabi USA LLC	Inj progesterone per 50 mg	50 MG	10	1	10	10
0143-9529-01	J2680	West-Ward Pharmaceuticals Corp	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
42023-129-01	J2680	Par Pharmaceutical, Inc	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
42023-129-89	J2680	Par Pharmaceutical, Inc	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
55150-267-05	J2680	AuroMedics Pharma LLC	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
63323-272-05	J2680	Fresenius Kabi USA LLC	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
67457-359-59	J2680	Mylan Institutional	Fluphenazine decanoate 25 mg	25 MG	5	1	5	5
0409-1902-01	J2690	Pfizer Inc.	Procainamide hcl injection	1 GM	10	25	1	25
0409-1903-01	J2690	Pfizer Inc.	Procainamide hcl injection	1 GM	2	25	1	25
14789-900-02	J2690	Nexus Pharmaceutical Inc	Procainamide hcl injection	1 GM	2	10	1	10
14789-900-10	J2690	Nexus Pharmaceutical Inc	Procainamide hcl injection	1 GM	10	10	1	10
0338-1013-41	J2700	Baxter Healthcare Corporation	Oxacillin sodium injeciton	250 MG	50	1	4	4
0338-1015-41	J2700	Baxter Healthcare Corporation	Oxacillin sodium injeciton	250 MG	50	1	8	8
25021-146-10	J2700	Sagent Pharmaceuticals Inc	Oxacillin sodium injeciton	250 MG	1	10	4	40
25021-162-24	J2700	Sagent Pharmaceuticals Inc	Oxacillin sodium injeciton	250 MG	1	10	8	80
25021-163-99	J2700	Sagent Pharmaceuticals Inc	Oxacillin sodium injeciton	250 MG	1	10	40	400
55150-127-15	J2700	AUROMEDICS PHARMA, LLC	Oxacillin sodium injeciton	250 MG	1	10	4	40
55150-128-24	J2700	AuroMedics Pharma LLC	Oxacillin sodium injeciton	250 MG	1	10	8	80
55150-129-99	J2700	AUROMEDICS PHARMA, LLC	Oxacillin sodium injeciton	250 MG	1	1	40	40
0409-4699-24	J2704	Pfizer Inc.	Inj, propofol, 10 mg	10 MG	100	10	100	1000
0409-4699-30	J2704	Pfizer Inc.	Inj, propofol, 10 mg	10 MG	20	5	20	100
0409-4699-33	J2704	Pfizer Inc.	Inj, propofol, 10 mg	10 MG	50	20	50	1000
0591-2136-51	J2704	Actavis Pharma, Inc.	Inj, propofol, 10 mg	10 MG	50	20	50	1000
0591-2136-68	J2704	Actavis Pharma, Inc.	Inj, propofol, 10 mg	10 MG	100	10	100	1000
0591-2136-95	J2704	Actavis Pharma, Inc.	Inj, propofol, 10 mg	10 MG	20	25	20	500
25021-608-20	J2704	Sagent Pharmaceuticals Inc	Inj, propofol, 10 mg	10 MG	20	25	20	500
25021-608-50	J2704	Sagent Pharmaceuticals Inc	Inj, propofol, 10 mg	10 MG	50	20	50	1000
25021-608-51	J2704	Sagent Pharmaceuticals Inc	Inj, propofol, 10 mg	10 MG	100	10	100	1000
63323-269-10	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
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	Baxalta US Inc.	Protein c concentrate	10 UNITS	1	1	0.1	0.1
0944-4179-10	J2724	Baxalta US Inc.	Protein c concentrate	10 UNITS	1	1	0.1	0.1
0409-3414-01	J2765	Pfizer Inc.	Metoclopramide hcl injection	10 MG	2	25	1	25
0703-4502-04	J2765	Sicor Pharmaceuticals, Inc.	Metoclopramide hcl injection	10 MG	2	25	1	25
0703-4502-84	J2765	Sicor Pharmaceuticals, Inc.	Metoclopramide hcl injection	10 MG	2	25	1	25
0703-4502-94	J2765	Sicor Pharmaceuticals, Inc.	Metoclopramide hcl injection	10 MG	2	25	1	25
76045-101-20	J2765	Fresenius Kabi USA LLC	Metoclopramide hcl injection	10 MG	2	24	1	24
61570-260-10	J2770	Pfizer Inc.	Quinupristin/dalfopristin	500 MG	1	10	1	10
50242-080-01	J2778	Genentech, Inc.	Ranibizumab injection	0.1 mg	0.05	1	5	5
50242-080-02	J2778	Genentech, Inc.	Ranibizumab injection	0.1 mg	0.05	1	5	5
50242-080-03	J2778	Genentech, Inc.	Ranibizumab injection	0.1 mg	0.05	1	5	5
50242-082-01	J2778	Genentech, Inc.	Ranibizumab injection	0.1 mg	0.05	1	3	3
50242-082-02	J2778	Genentech, Inc.	Ranibizumab injection	0.1 mg	0.05	1	3	3
50242-082-03	J2778	Genentech, Inc.	Ranibizumab injection	0.1 MG	0.05	1	3	3
52565-096-01	J2780	Teligent	Ranitidine hydrochloride inj	25 MG	40	1	40	40
52565-102-01	J2780	Teligent	Ranitidine hydrochloride inj	25 MG	6	1	6	6
67457-397-99	J2780	Mylan Institutional	Ranitidine hydrochloride inj	25 MG	2	10	2	20
67457-398-62	J2780	Mylan Institutional	Ranitidine hydrochloride inj	25 MG	6	1	6	6
68382-422-02	J2780	Zydus Pharmaceuticals	Ranitidine hydrochloride inj	25 MG	2	10	2	20
68382-423-06	J2780	Zydus Pharmaceuticals	Ranitidine hydrochloride inj	25 MG	6	1	6	6
0024-5150-10	J2783	Sanofi-Aventis	Rasburicase	0.5 MG	1	3	3	9
0024-5151-75	J2783	Sanofi-Aventis	Rasburicase	0.5 MG	7.5	1	15	15
0469-6501-89	J2785	Astellas Pharma US, Inc.	Regadenoson injection	0.1 MG	5	1	4	4
59310-610-31	J2786	Ivax Labs Inc.	Injection, reslizumab, 1mg	1mg	10	1	100	100
0562-7806-01	J2788	Kedrion BioPharma, Inc.	Rho d immune globulin 50 mcg	50 MCG (250 IU)	1	1	1	1
0562-7806-05	J2788	Kedrion BioPharma, Inc.	Rho d immune globulin 50 mcg	50 MCG (250 IU)	1	5	1	5
0562-7806-25	J2788	Kedrion BioPharma, Inc.	Rho d immune globulin 50 mcg	50 MCG (250 IU)	1	25	1	25
13533-661-06	J2788	Grifols USA, LLC.	Rho d immune globulin 50 mcg	50 MCG	1	10	1	10
0562-7805-01	J2790	Kedrion BioPharma, Inc.	Rho d immune globulin inj	300 MCG (1500 IU)	1	1	1	1
0562-7805-05	J2790	Kedrion BioPharma, Inc.	Rho d immune globulin inj	300 MCG (1500 IU)	1	5	1	5
0562-7805-25	J2790	Kedrion BioPharma, Inc.	Rho d immune globulin inj	300 MCG (1500 IU)	1	25	1	25
13533-631-02	J2790	Grifols USA, LLC.	Rho d immune globulin inj	300 MCG (1500 IU)	1	1	1	1
13533-631-10	J2790	Grifols USA, LLC.	Rho d immune globulin inj	300 MCG (1500 IU)	1	10	1	10
13533-631-11	J2790	Grifols USA, LLC.	Rho d immune globulin inj	300 MCG (1500 IU)	1	10	1	10
44206-300-01	J2791	CSL Behring LLC	Rhophylac injection	100 UNITS	2	1	15	15
44206-300-10	J2791	CSL Behring LLC	Rhophylac injection	100 UNITS	2	10	15	150
70504-3000-2	J2792	Saol Therapeutics	Rho(d) immune globulin h, sd	100 IU	13	1	150	150
70504-3100-2	J2792	Saol Therapeutics	Rho(d) immune globulin h, sd	100 IU	4.4	1	50	50
70504-3300-2	J2792	Saol Therapeutics	Rho(d) immune globulin h, sd	100 IU	1.3	1	15	15
70504-3500-2	J2792	Saol Therapeutics	Rho(d) immune globulin h, sd	100 IU	2.2	1	25	25
50458-306-11	J2794	Janssen Pharmaceuticals, Inc.	Risperidone, long acting	0.5 MG	1	1	50	50
50458-307-11	J2794	Janssen Pharmaceuticals, Inc.	Risperidone, long acting	0.5 MG	1	1	75	75
50458-308-11	J2794	Janssen Pharmaceuticals, Inc.	Risperidone, long acting	0.5 MG	1	1	100	100
50458-309-11	J2794	Janssen Pharmaceuticals, Inc.	Risperidone, long acting	0.5 MG	1	1	25	25
0409-9300-10	J2795	Pfizer Inc.	Ropivacaine hcl injection	1 MG	10	10	20	200
0409-9300-20	J2795	Pfizer Inc.	Ropivacaine hcl injection	1 MG	20	10	40	400
0409-9301-30	J2795	Pfizer Inc.	Ropivacaine hcl injection	1 MG	30	10	150	1500
0409-9302-20	J2795	Pfizer Inc.	Ropivacaine hcl injection	1 MG	20	10	150	1500
0409-9303-10	J2795	Pfizer Inc.	Ropivacaine hcl injection	1 MG	10	10	100	1000
0409-9303-20	J2795	Pfizer Inc.	Ropivacaine hcl injection	1 MG	20	10	200	2000
25021-652-30	J2795	Mylan Institutional	Ropivacaine hcl injection	1 MG	30	1	150	150
25021-653-20	J2795	Mylan Institutional	Ropivacaine hcl injection	1 MG	20	5	200	1000
55150-195-20	J2795	AuroMedics Pharma LLC	Ropivacaine hcl injection	1 MG	20	25	40	1000
55150-196-99	J2795	AuroMedics Pharma LLC	Ropivacaine hcl injection	1 MG	100	1	200	200
55150-197-20	J2795	AuroMedics Pharma LLC	Ropivacaine hcl injection	1 MG	20	25	100	2500
55150-198-30	J2795	AuroMedics Pharma LLC	Ropivacaine hcl injection	1 MG	30	25	150	3750
55150-199-20	J2795	AuroMedics Pharma LLC	Ropivacaine hcl injection	1 MG	20	25	150	3750
55150-200-10	J2795	AUROMEDICS PHARMA, LLC	Ropivacaine hcl injection	1 MG	10	25	100	2500
55150-201-20	J2795	AuroMedics Pharma LLC	Ropivacaine hcl injection	1 MG	20	25	200	5000
63323-285-10	J2795	Fresenius Kabi 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	1	400	400
63323-285-65	J2795	Fresenius Kabi USA LLC	Ropivacaine hcl injection	1 MG	100	1	200	200
63323-285-67	J2795	Fresenius Kabi USA LLC	Ropivacaine hcl injection	1 MG	100	1	200	200
63323-285-68	J2795	Fresenius Kabi USA LLC	Ropivacaine hcl injection	1 MG	100	1	200	200
63323-285-73	J2795	Fresenius Kabi USA LLC	Ropivacaine hcl injection	1 MG	200	1	400	400
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
63323-286-27	J2795	Fresenius Kabi USA LLC	Ropivacaine hcl injection	1 MG	20	25	100	2500
63323-286-31	J2795	Fresenius Kabi USA LLC	Ropivacaine hcl injection	1 MG	30	5	150	750
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
63323-286-63	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
63323-287-20	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
55513-221-01	J2796	Amgen USA, Inc.	Romiplostim injection	10 MCG	1	1	25	25
55513-222-01	J2796	Amgen USA, Inc.	Romiplostim injection	10 MCG	1	1	50	50
0517-1825-10	J2800	American Regent	Methocarbamol injection	10 ML	10	10	1	10
0641-6103-25	J2800	West-Ward Pharmaceuticals Corp	Methocarbamol injection	10 ML	10	25	1	25
0641-6217-25	J2800	West-Ward Pharmaceuticals Corp	Methocarbamol injection	10 ML	10	25	1	25
25021-675-10	J2800	Sagent Pharmaceuticals Inc	Methocarbamol injection	10 ML	10	25	1	25
55150-223-10	J2800	AuroMedics Pharma LLC	Methocarbamol injection	10 ML	10	25	1	25
67457-273-10	J2800	Mylan Institutional	Methocarbamol injection	10 ML	10	25	1	25
0270-0556-15	J2805	Bracco Diagnostics	Sincalide injection	5 MCG	1	10	1	10
0264-9554-10	J2810	B. Braun Medical Inc.	Inj theophylline per 40 mg	40 MG	500	24	10	240
0024-5843-05	J2820	Sanofi-Aventis	Sargramostim injection	50 MCG	1	5	5	25
57894-420-01	J2860	Janssen Biotech, Inc.	Injection, siltuximab	10 mg	1	1	10	10
57894-421-01	J2860	Janssen Biotech, Inc.	Injection, siltuximab	10 mg	1	1	40	40
0024-2792-10	J2916	Sanofi-Aventis	Na ferric gluconate complex	12.5 MG	5	10	5	50
0024-2794-10	J2916	Sanofi-Aventis	Na ferric gluconate complex	12.5 MG	5	10	5	50
0143-9298-10	J2916	West-Ward Pharmaceuticals Corp	Na ferric gluconate complex	12.5 MG	5	10	5	50
0143-9570-10	J2916	West-Ward Pharmaceuticals Corp	Na ferric gluconate complex	12.5 MG	5	10	5	50
0591-0149-87	J2916	Actavis Pharma, Inc.	Na ferric gluconate complex	12.5 MG	5	10	5	50
0591-2508-87	J2916	Actavis Pharma, Inc.	Na ferric gluconate complex	12.5 MG	5	10	5	50
0009-0039-06	J2920	Pfizer Inc.	Methylprednisolone injection	40 MG	1	25	1	25
0009-0039-28	J2920	Pfizer Inc.	Methylprednisolone injection	40 MG	1	25	1	25
0009-0039-32	J2920	Pfizer Inc.	Methylprednisolone injection	40 MG	1	25	1	25
25021-807-05	J2920	Sagent Pharmaceuticals Inc	Methylprednisolone injection	40 MG	1	10	1	10
63323-255-03	J2920	Fresenius Kabi USA LLC	Methylprednisolone injection	40 MG	3	25	1	25
70121-1000-5	J2920	Amneal Biosciences	Methylprednisolone injection	40 MG	1	25	1	25
0009-0003-02	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	1	4	4
0009-0018-20	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	1	8	8
0009-0047-04	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	25	1	25
0009-0047-22	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	25	1	25
0009-0047-26	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	25	1	25
0009-0698-01	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	1	8	8
0009-0698-02	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	1	8	8
0009-0758-01	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	1	4	4
0009-0796-01	J2930	Pfizer Inc.	Methylprednisolone injection	125 MG	1	1	16	16
25021-808-10	J2930	Sagent Pharmaceuticals Inc	Methylprednisolone injection	125 MG	1	10	1	10
25021-810-30	J2930	Sagent Pharmaceuticals Inc	Methylprednisolone injection	125 MG	1	1	8	8
63323-258-03	J2930	Fresenius Kabi USA LLC	Methylprednisolone injection	125 MG	1	25	1	25
63323-265-30	J2930	Fresenius Kabi USA LLC	Methylprednisolone injection	125 MG	1	1	8	8
70121-1001-5	J2930	Amneal Biosciences	Methylprednisolone injection	125 MG	1	25	1	25
50242-041-64	J2997	Genentech, Inc.	Alteplase recombinant	1 MG	1	1	2	2
50242-044-13	J2997	Genentech, Inc.	Alteplase recombinant	1 MG	1	1	50	50
50242-085-27	J2997	Genentech, Inc.	Alteplase recombinant	1 MG	1	1	100	100
39822-0706-2	J3000	X-Gen Pharmaceuticals, Inc.	Streptomycin injection	1 GM	1	10	1	10
0409-1276-32	J3010	Pfizer Inc.	Fentanyl citrate injection	0.1 MG	2	10	1	10
0409-9093-11	J3010	Pfizer Inc.	Fentanyl citrate injection	0.1 MG	2	10	1	10
0409-9093-32	J3010	Pfizer Inc.	Fentanyl citrate injection	0.1 MG	2	10	1	10
0409-9093-35	J3010	Pfizer Inc.	Fentanyl citrate injection	0.1 MG	5	10	2.5	25
0409-9094-11	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	62.5
0409-9094-28	J3010	Pfizer Inc.	Fentanyl citrate injection	0.1 MG	10	25	5	125
0409-9094-31	J3010	Pfizer Inc.	Fentanyl citrate injection	0.1 MG	20	25	10	250
0409-9094-61	J3010	Pfizer Inc.	Fentanyl citrate injection	0.1 MG	50	25	25	625
0641-6024-10	J3010	West-Ward Pharmaceuticals Corp	Fentanyl citrate injection	0.1 MG	2	10	1	10
0641-6025-10	J3010	West-Ward Pharmaceuticals Corp	Fentanyl citrate injection	0.1 MG	5	10	2.5	25
0641-6026-05	J3010	West-Ward Pharmaceuticals Corp	Fentanyl citrate injection	0.1 MG	20	5	10	50
0641-6027-25	J3010	West-Ward Pharmaceuticals Corp	Fentanyl citrate injection	0.1 MG	2	25	1	25
0641-6028-25	J3010	West-Ward Pharmaceuticals Corp	Fentanyl citrate injection	0.1 MG	5	25	2.5	62.5
0641-6029-25	J3010	West-Ward Pharmaceuticals Corp	Fentanyl citrate injection	0.1 MG	20	25	10	250
0641-6030-01	J3010	West-Ward Pharmaceuticals Corp	Fentanyl citrate injection	0.1 MG	50	1	25	25
17478-030-02	J3010	Akorn	Fentanyl citrate injection	0.1 MG	2	10	1	10
17478-030-05	J3010	Akorn	Fentanyl citrate injection	0.1 MG	5	10	2.5	25
17478-030-20	J3010	Akorn	Fentanyl citrate injection	0.1 MG	20	5	10	50
17478-030-25	J3010	Akorn	Fentanyl citrate injection	0.1 MG	2	25	1	25
17478-030-55	J3010	Akorn	Fentanyl citrate injection	0.1 MG	5	25	2.5	62.5
0069-0106-01	J3060	Pfizer Inc.	Inj, taliglucerase alfa 10 u	10 units	1	1	20	20
67919-040-01	J3090	Cubist Pharmaceuticals	Inj tedizolid phosphate	1 MG	1	10	200	2000
52118-001-01	J3095	Theravance Biopharma, Inc.	Telavancin injection	10 MG	1	1	75	75
52118-002-01	J3095	Theravance, Inc.	Telavancin injection	10 MG	1	1	25	25
62847-001-01	J3095	Theravance BioPharma, Inc.	Telavancin injection	10 MG	1	1	75	75
50242-120-01	J3101	Genentech, Inc.	Tenecteplase injection	1 MG	1	1	50	50
0143-9746-10	J3105	West-Ward Pharmaceuticals Corp	Terbutaline sulfate inj	1 MG	1	10	1	10
63323-665-01	J3105	Fresenius Kabi USA LLC	Terbutaline sulfate inj	1 MG	1	25	1	25
70860-801-01	J3105	Athenex Pharmaceutical Division, LLC.	Terbutaline sulfate inj	1 MG	1	10	1	10
0143-9750-01	J3121	West-Ward Pharmaceuticals Corp	Inj testostero enanthate 1mg	1 MG	5	1	1000	1000
0591-3221-26	J3121	Actavis Pharma, Inc.	Inj testostero enanthate 1mg	1 MG	5	1	1000	1000
67979-511-43	J3145	Endo Pharmaceutical Solutions Inc.	Testosterone undecanoate 1mg	1 MG	3	1	750	750
0641-1397-35	J3230	West-Ward Pharmaceuticals Corp	Chlorpromazine hcl injection	50 MG	1	25	0.5	12.5
0641-1398-35	J3230	West-Ward Pharmaceuticals Corp	Chlorpromazine hcl injection	50 MG	2	25	1	25
58468-0030-2	J3240	Genzyme Corporation	Thyrotropin injection	0.9 MG	1	2	1	2
0008-4990-02	J3243	Pfizer Inc.	Tigecycline injection	1 MG	1	10	50	500
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
63323-960-10	J3243	Fresenius Kabi USA LLC	Tigecycline injection	1 MG	1	10	50	500
47335-177-95	J3245	SUN PHARMACEUTICALS INDUSTRIES, INC	Inj., tildrakizumab, 1 mg	1 MG	1	1	100	100
42023-118-01	J3250	Par Pharmaceutical, Inc	Trimethobenzamide hcl inj	200 MG	20	1	10	10
42023-119-25	J3250	Par Pharmaceutical, Inc	Trimethobenzamide hcl inj	200 MG	2	25	1	25
0409-3578-01	J3260	Pfizer Inc.	Tobramycin sulfate injection	80 MG	2	25	1	25
17478-114-02	J3260	Akorn	Tobramycin sulfate injection	80 MG	2	25	1	25
17478-114-30	J3260	Akorn	Tobramycin sulfate injection	80 MG	30	10	15	150
39822-0409-6	J3260	X-Gen Pharmaceuticals, Inc.	Tobramycin sulfate injection	80 MG	1	6	15	90
39822-0412-1	J3260	X-Gen Pharmaceuticals, Inc.	Tobramycin sulfate injection	80 MG	1	1	15	15
39822-0412-6	J3260	X-Gen Pharmaceuticals, Inc.	Tobramycin sulfate injection	80 MG	1	6	15	90
63323-303-51	J3260	Fresenius Kabi 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	6.25
63323-306-02	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
63323-307-51	J3260	Fresenius Kabi USA LLC	Tobramycin sulfate injection	80 MG	50	1	25	25
67457-428-30	J3260	Mylan Institutional	Tobramycin sulfate injection	80 MG	30	10	15	150
67457-473-22	J3260	Mylan Institutional	Tobramycin sulfate injection	80 MG	2	25	1	25
50242-135-01	J3262	Genentech, Inc.	Tocilizumab injection	1 MG	80	1	80	80
50242-136-01	J3262	Genentech, Inc.	Tocilizumab injection	1 MG	200	1	200	200
50242-137-01	J3262	Genentech, Inc.	Tocilizumab injection	1 MG	400	1	400	400
50242-143-01	J3262	GENENTECH USA, INC.	Tocilizumab injection	1 MG	0.9	1	162	162
66302-101-01	J3285	United Therapeutics	Treprostinil injection	1 MG	20	1	20	20
66302-102-01	J3285	United Therapeutics	Treprostinil injection	1 MG	20	1	50	50
66302-105-01	J3285	United Therapeutics	Treprostinil injection	1 MG	20	1	100	100
66302-110-01	J3285	United Therapeutics	Treprostinil injection	1 MG	20	1	200	200
0065-0543-01	J3300	Novartis Pharmaceuticals Corporation	Triamcinolone a inj prs-free	1 MG	1	1	40	40
0003-0293-05	J3301	Bristol-Myers Squibb Company	Triamcinolone acet inj nos	10 MG	1	1	4	4
0003-0293-20	J3301	Bristol-Myers Squibb Company	Triamcinolone acet inj nos	10 MG	5	1	20	20
0003-0293-28	J3301	Bristol-Myers Squibb Company	Triamcinolone acet inj nos	10 MG	10	1	40	40
0003-0494-20	J3301	Bristol-Myers Squibb Company	Triamcinolone acet inj nos	10 MG	5	1	5	5
70121-1049-5	J3301	Amneal Biosciences	Triamcinolone acet inj nos	10 MG	1	25	4	100
70121-1168-1	J3301	Amneal Biosciences	Triamcinolone acet inj nos	10 MG	5	1	20	20
70121-1169-1	J3301	Amneal Biosciences	Triamcinolone acet inj nos	10 MG	10	1	40	40
70801-003-01	J3304	Flexion Therapeutics, Inc.	Inj triamcinolone ace xr 1mg	1 MG	1	1	32	32
0023-5902-04	J3315	Allergan Sales, LLC	Triptorelin pamoate	3.75 MG	1	1	1	1
0023-5904-12	J3315	Allergan Sales, LLC	Triptorelin pamoate	3.75 MG	1	1	3	3
0023-5906-23	J3315	Allergan Sales, LLC	Triptorelin pamoate	3.75 MG	1	1	6	6
57894-060-02	J3357	Janssen Biotech, Inc.	Ustekinumab sub cu inj, 1 mg	1 MG	0.5	1	45	45
57894-060-03	J3357	Janssen Biotech, Inc.	Ustekinumab sub cu inj, 1 mg	1 MG	0.5	1	45	45
57894-061-03	J3357	Janssen Biotech, Inc.	Ustekinumab sub cu inj, 1 mg	1 MG	1	1	90	90
57894-054-27	J3358	Janssen Biotech, Inc.	Ustekinumab, iv inject, 1 mg	1 MG	26	1	130	130
0409-1273-32	J3360	Pfizer Inc.	Diazepam injection	5 MG	2	10	2	20
0409-3213-10	J3360	Pfizer Inc.	Diazepam injection	5 MG	10	10	10	100
0409-3213-12	J3360	Pfizer Inc.	Diazepam injection	5 MG	10	5	10	50
0338-3551-48	J3370	Baxter Healthcare Corporation	Vancomycin hcl injection	500 MG	100	1	1	1
0338-3552-48	J3370	Baxter Healthcare Corporation	Vancomycin hcl injection	500 MG	200	1	2	2
0338-3580-48	J3370	Baxter Healthcare Corporation	Vancomycin hcl injection	500 MG	150	1	1.5	1.5
0338-3581-01	J3370	Baxter Healthcare Corporation	Vancomycin hcl injection	500 MG	100	1	1	1
0338-3582-01	J3370	Baxter Healthcare Corporation	Vancomycin hcl injection	500 MG	150	1	1.5	1.5
0338-3583-01	J3370	Baxter Healthcare Corporation	Vancomycin hcl injection	500 MG	200	1	2	2
0409-4332-01	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	10	1	10
0409-6509-01	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	1	10	10
0409-6509-49	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	1	10	10
0409-6510-01	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	1	20	20
0409-6531-01	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	10	1.5	15
0409-6531-02	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	10	1.5	15
0409-6533-01	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	10	2	20
0409-6534-01	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	10	1	10
0409-6535-01	J3370	Pfizer Inc.	Vancomycin hcl injection	500 MG	1	10	2	20
25021-157-99	J3370	Sagent Pharmaceuticals Inc	Vancomycin hcl injection	500 MG	1	1	10	10
25021-158-99	J3370	Sagent Pharmaceuticals Inc	Vancomycin hcl injection	500 MG	1	1	20	20
47781-597-91	J3370	Alvogen, Inc.	Vancomycin hcl injection	500 MG	1	10	2	20
47781-598-91	J3370	Alvogen, Inc.	Vancomycin hcl injection	500 MG	1	10	1	10
51991-940-17	J3370	Breckenridge Pharmaceutical	Vancomycin hcl injection	500 MG	1	10	1	10
51991-941-17	J3370	Breckenridge Pharmaceutical	Vancomycin hcl injection	500 MG	1	10	2	20
55150-204-20	J3370	AuroMedics Pharma LLC	Vancomycin hcl injection	500 MG	1	10	2	20
63323-203-20	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	10	1.5	15
63323-203-26	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	10	1.5	15
63323-221-10	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	25	1	25
63323-221-16	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	25	1	25
63323-221-38	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	25	1	25
63323-221-48	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	25	1	25
63323-284-20	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	10	2	20
63323-284-21	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	10	2	20
63323-284-26	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	10	2	20
63323-284-45	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	10	2	20
63323-295-61	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	1	10	10
63323-295-66	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	1	10	10
63323-314-61	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	1	20	20
63323-314-66	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	1	20	20
63323-314-68	J3370	Fresenius Kabi USA LLC	Vancomycin hcl injection	500 MG	1	1	20	20
67457-339-50	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	10	1	10
67457-340-01	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	10	2	20
67457-341-05	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	1	10	10
67457-342-10	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	1	20	20
67457-611-10	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	10	1	10
67457-612-20	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	10	2	20
67457-613-10	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	1	10	10
67457-614-10	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	1	20	20
67457-705-75	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	10	1.5	15
67457-822-99	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	10	0.5	5
67457-824-99	J3370	Mylan Institutional	Vancomycin hcl injection	500 MG	1	10	3	30
70594-046-02	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	10	2	20
70594-048-01	J3370	XELLIA PHARMACEUTICALS USA, LLC	Vancomycin hcl injection	500 MG	1	1	20	20
70860-104-10	J3370	Athenex Pharmaceutical Division, LLC.	Vancomycin hcl injection	500 MG	1	10	1	10
70860-105-20	J3370	Athenex Pharmaceutical Division, LLC.	Vancomycin hcl injection	500 MG	1	10	2	20
64764-300-20	J3380	Takeda Pharmaceuticals America, Inc.	Injection, vedolizumab	1 MG	1	1	300	300
54092-701-04	J3385	Shire US, Inc.	Velaglucerase alfa	100 UNITS	1	1	4	4
0187-5600-15	J3396	Valeant Pharmaceuticals International	Verteporfin injection	0.1 MG	1	1	150	150
0517-4201-25	J3410	American Regent	Hydroxyzine hcl injection	25 MG	1	25	1	25
0517-5601-25	J3410	American Regent	Hydroxyzine hcl injection	25 MG	1	25	2	50
0517-5602-25	J3410	American Regent	Hydroxyzine hcl injection	25 MG	2	25	4	100
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
67457-196-02	J3411	Mylan Institutional	Thiamine hcl 100 mg	100 MG	2	25	2	50
63323-180-01	J3415	Fresenius Kabi USA LLC	Pyridoxine hcl 100 mg	100 MG	1	25	1	25
0143-9619-10	J3420	West-Ward Pharmaceuticals Corp	Vitamin b12 injection	1000 MCG	30	10	30	300
0143-9620-10	J3420	West-Ward Pharmaceuticals Corp	Vitamin b12 injection	1000 MCG	10	10	10	100
0143-9621-25	J3420	West-Ward Pharmaceuticals Corp	Vitamin b12 injection	1000 MCG	1	25	1	25
0517-0031-25	J3420	American Regent	Vitamin b12 injection	1000 MCG	1	25	1	25
0517-0032-25	J3420	American Regent	Vitamin b12 injection	1000 MCG	10	25	10	250
63323-044-01	J3420	Fresenius Kabi USA LLC	Vitamin b12 injection	1000 MCG	1	25	1	25
67457-399-25	J3420	Mylan Institutional	Vitamin b12 injection	1000 MCG	10	25	10	250
67457-400-05	J3420	Mylan Institutional	Vitamin b12 injection	1000 MCG	30	5	30	150
0409-9157-01	J3430	Pfizer Inc.	Vitamin k phytonadione inj	1 MG	0.5	25	1	25
0409-9157-25	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
0049-3190-01	J3465	Pfizer Inc.	Injection, voriconazole	10 MG	1	1	20	20
0049-3190-28	J3465	Pfizer Inc.	Injection, voriconazole	10 MG	1	1	20	20
0049-3190-38	J3465	Pfizer Inc.	Injection, voriconazole	10 MG	1	1	20	20
0049-4190-01	J3465	Pfizer Inc.	Injection, voriconazole	10 MG	1	1	20	20
0781-3416-94	J3465	Sandoz, Inc.	Injection, voriconazole	10 MG	1	1	20	20
39822-1077-1	J3465	X-Gen Pharmaceuticals, Inc.	Injection, voriconazole	10 MG	1	1	20	20
47781-466-71	J3465	Alvogen, Inc.	Injection, voriconazole	10 MG	1	1	20	20
24208-002-02	J3471	Bausch & Lomb	Ovine, up to 999 usp units	1 UNIT	1.2	2	240	480
18657-117-04	J3473	Halozyme Therapeutics, Inc.	Hyaluronidase recombinant	1 USP UNIT	1	4	150	600
0409-1754-10	J3475	Pfizer Inc.	Inj magnesium sulfate	500 MG	10	10	10	100
0409-2168-02	J3475	Pfizer Inc.	Inj magnesium sulfate	500 MG	20	25	20	500
44567-410-24	J3475	WG Critical Care	Inj magnesium sulfate	500 MG	100	24	2	48
44567-420-24	J3475	WG Critical Care	Inj magnesium sulfate	500 MG	50	24	4	96
44567-421-24	J3475	WG Critical Care	Inj magnesium sulfate	500 MG	100	24	8	192
51754-1000-4	J3475	Exela Pharma Sciences	Inj magnesium sulfate	500 MG	10	25	10	250
63323-064-02	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
63323-064-10	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
63323-064-26	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	216
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
0264-1940-20	J3480	B. Braun Medical Inc.	Inj potassium chloride	2 MEQ	250	12	250	3000
0264-7865-00	J3480	B. Braun Medical Inc.	Inj potassium chloride	2 MEQ	1000	12	10	120
0338-0683-04	J3480	Baxter 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	10
0338-0695-04	J3480	Baxter Healthcare Corporation	Inj potassium chloride	2 MEQ	1000	1	20	20
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	10
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
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
0409-7074-26	J3480	ICU Medical, Inc.	Inj potassium chloride	2 MEQ	100	24	5	120
0409-7075-14	J3480	ICU Medical, Inc.	Inj potassium chloride	2 MEQ	50	24	5	120
0409-7075-26	J3480	ICU Medical, Inc.	Inj potassium chloride	2 MEQ	100	24	10	240
0409-7077-14	J3480	ICU Medical, Inc.	Inj potassium chloride	2 MEQ	50	24	10	240
0409-7077-26	J3480	ICU Medical, Inc.	Inj potassium chloride	2 MEQ	100	24	20	480
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
49702-213-26	J3485	GlaxoSmithkline	Zidovudine	10 MG	20	5	20	100
0049-1203-10	J3486	Pfizer Inc.	Ziprasidone mesylate	10 MG	1	10	2	20
0049-3920-83	J3486	Pfizer Inc.	Ziprasidone mesylate	10 MG	1	10	2	20
0078-0387-25	J3489	Novartis Pharmaceuticals Corporation	Zoledronic acid 1mg	1 MG	5	1	4	4
0078-0435-61	J3489	Novartis Pharmaceuticals Corporation	Zoledronic acid 1mg	1 MG	100	1	5	5
0078-0590-61	J3489	Novartis Pharmaceuticals Corporation	Zoledronic acid 1mg	1 MG	100	1	4	4
0409-4215-01	J3489	Pfizer Inc.	Zoledronic acid 1mg	1 MG	5	1	4	4
0409-4228-01	J3489	Pfizer Inc.	Zoledronic acid 1mg	1 MG	100	1	5	5
0409-4229-01	J3489	Pfizer Inc.	Zoledronic acid 1mg	1 MG	100	1	4	4
16729-242-31	J3489	Accord Healthcare Inc.	Zoledronic acid 1mg	1 MG	5	1	4	4
17478-327-45	J3489	Akorn	Zoledronic acid 1mg	1 MG	5	4	4	16
23155-170-31	J3489	Heritage Pharmaceuticals, Inc.	Zoledronic acid 1mg	1 MG	5	1	4	4
23155-186-31	J3489	Heritage Pharmaceuticals, Inc.	Zoledronic acid 1mg	1 MG	100	1	5	5
25021-801-66	J3489	Sagent Pharmaceuticals Inc	Zoledronic acid 1mg	1 mg	5	1	4	4
25021-826-67	J3489	Sagent Pharmaceuticals Inc	Zoledronic acid 1mg	1 MG	100	1	4	4
25021-826-82	J3489	Sagent Pharmaceuticals Inc	Zoledronic acid 1mg	1 MG	100	1	4	4
25021-830-82	J3489	Sagent Pharmaceuticals Inc	Zoledronic acid 1mg	1 MG	100	1	5	5
42023-151-01	J3489	Par Pharmaceutical, Inc	Zoledronic acid 1mg	1 mg	5	1	4	4
42023-163-01	J3489	Par Pharmaceutical, Inc	Zoledronic acid 1mg	1 MG	100	1	5	5
43598-330-11	J3489	Dr. Reddy's Laboratories, Inc.	Zoledronic acid 1mg	1 mg	5	1	4	4
43598-331-11	J3489	Dr. Reddy's Laboratories, Inc.	Zoledronic acid 1mg	1 MG	100	1	5	5
45963-440-55	J3489	Actavis Pharma, Inc.	Zoledronic acid 1mg	1 MG	5	1	4	4
51991-064-98	J3489	Breckenridge Pharmaceutical	Zoledronic acid 1mg	1 MG	100	1	5	5
51991-065-98	J3489	Breckenridge Pharmaceutical	Zoledronic acid 1mg	1 MG	5	1	4	4
55111-685-07	J3489	Dr. Reddy's Laboratories, Inc.	Zoledronic acid 1mg	1 mg	5	1	4	4
55111-688-52	J3489	Dr. Reddy's Laboratories, Inc.	Zoledronic acid 1mg	1 MG	100	1	5	5
55150-266-05	J3489	AUROMEDICS PHARMA, LLC	Zoledronic acid 1mg	1 MG	5	1	4	4
63323-961-98	J3489	Fresenius Kabi 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
67457-390-54	J3489	Mylan Institutional	Zoledronic acid 1mg	1 MG	5	1	4	4
67457-619-10	J3489	Mylan Institutional	Zoledronic acid 1mg	1 MG	100	1	5	5
67457-794-10	J3489	Mylan Institutional	Zoledronic acid 1mg	1 MG	100	1	5	5
0264-7800-00	J7030	B. Braun Medical Inc.	Normal saline solution infus	1000 ML	1000	12	1	12
0264-7800-01	J7030	B. Braun Medical Inc.	Normal saline solution infus	1000 ML	500	10	0.5	5
0264-7800-09	J7030	B. Braun Medical Inc.	Normal saline solution infus	1000 ML	1000	12	1	12
0264-7800-10	J7030	B. Braun Medical Inc.	Normal saline solution infus	1000 ML	500	24	0.5	12
0264-7800-20	J7030	B. Braun Medical Inc.	Normal saline solution infus	1000 ML	250	24	0.25	6
0264-9999-10	J7030	B. Braun Medical Inc.	Normal saline solution infus	1000 ML	500	10	0.5	5
0338-0049-02	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	250	1	0.25	0.25
0338-0049-03	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	500	1	0.5	0.5
0338-0049-04	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	1000	1	1	1
0338-9517-16	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	1000	16	1	16
0338-9517-30	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	500	30	0.5	15
0338-9517-50	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	250	50	0.25	12.5
0338-9543-02	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	250	1	0.25	0.25
0338-9543-04	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	500	20	0.5	10
0338-9543-06	J7030	Baxter Healthcare Corporation	Normal saline solution infus	1000 ML	1000	10	1	10
0409-7101-02	J7030	Pfizer Inc.	Normal saline solution infus	1000 ML	250	24	0.25	6
0409-7983-02	J7030	ICU Medical, Inc.	Normal saline solution infus	1000 ML	250	24	0.25	6
0409-7983-03	J7030	ICU Medical, Inc.	Normal saline solution infus	1000 ML	500	24	0.5	12
0409-7983-09	J7030	ICU Medical, Inc.	Normal saline solution infus	1000 ML	1000	12	1	12
0409-7983-25	J7030	ICU Medical, Inc.	Normal saline solution infus	1000 ML	250	24	0.25	6
0409-7983-53	J7030	ICU Medical, Inc.	Normal saline solution infus	1000 ML	250	24	0.25	6
0409-7983-55	J7030	ICU Medical, Inc.	Normal saline solution infus	1000 ML	500	18	0.5	9
63323-623-74	J7030	Fresenius Kabi USA LLC	Normal saline solution infus	1000 ML	250	30	0.25	7.5
63323-623-75	J7030	Fresenius Kabi USA LLC	Normal saline solution infus	1000 ML	500	20	0.5	10
63323-623-76	J7030	Fresenius Kabi USA LLC	Normal saline solution infus	1000 ML	1000	10	1	10
0264-7800-00	J7040	B. Braun Medical Inc.	Normal saline solution infus	500 ML	1000	12	2	24
0264-7800-01	J7040	B. Braun Medical Inc.	Normal saline solution infus	500 ML	500	10	1	10
0264-7800-09	J7040	B. Braun Medical Inc.	Normal saline solution infus	500 ML	1000	12	2	24
0264-7800-10	J7040	B. Braun Medical Inc.	Normal saline solution infus	500 ML	500	24	1	24
0264-7800-20	J7040	B. Braun Medical Inc.	Normal saline solution infus	500 ML	250	24	0.5	12
0264-9999-10	J7040	B. Braun Medical Inc.	Normal saline solution infus	500 ML	500	10	1	10
0338-0049-02	J7040	Baxter Healthcare Corporation	Normal saline solution infus	500 ML	250	1	0.5	0.5
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
0338-9517-16	J7040	Baxter Healthcare Corporation	Normal saline solution infus	500 ML	1000	16	2	32
0338-9517-30	J7040	Baxter Healthcare Corporation	Normal saline solution infus	500 ML	500	30	1	30
0338-9517-50	J7040	Baxter Healthcare Corporation	Normal saline solution infus	500 ML	250	50	0.5	25
0338-9543-02	J7040	Baxter Healthcare Corporation	Normal saline solution infus	500 ML	250	1	0.5	0.5
0338-9543-04	J7040	Baxter Healthcare Corporation	Normal saline solution infus	500 ML	500	20	1	20
0338-9543-06	J7040	Baxter Healthcare Corporation	Normal saline solution infus	500 ML	1000	10	2	20
0409-7101-02	J7040	Pfizer Inc.	Normal saline solution infus	500 ML	250	24	0.5	12
0409-7983-02	J7040	ICU Medical, Inc.	Normal saline solution infus	500 ML	250	24	0.5	12
0409-7983-03	J7040	ICU Medical, Inc.	Normal saline solution infus	500 ML	500	24	1	24
0409-7983-09	J7040	ICU Medical, Inc.	Normal saline solution infus	500 ML	1000	12	2	24
0409-7983-25	J7040	ICU Medical, Inc.	Normal saline solution infus	500 ML	250	24	0.5	12
0409-7983-53	J7040	ICU Medical, Inc.	Normal saline solution infus	500 ML	250	24	0.5	12
0409-7983-55	J7040	ICU Medical, Inc.	Normal saline solution infus	500 ML	500	18	1	18
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
63323-623-76	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
0409-7941-03	J7042	ICU Medical, Inc.	5% dextrose/normal saline	500 ML	500	24	1	24
0409-7941-09	J7042	ICU Medical, Inc.	5% dextrose/normal saline	500 ML	1000	12	2	24
0264-7800-00	J7050	B. Braun Medical Inc.	Normal saline solution infus	250 ML	1000	12	4	48
0264-7800-01	J7050	B. Braun Medical Inc.	Normal saline solution infus	250 ML	500	10	2	20
0264-7800-09	J7050	B. Braun Medical Inc.	Normal saline solution infus	250 ML	1000	12	4	48
0264-7800-10	J7050	B. Braun Medical Inc.	Normal saline solution infus	250 ML	500	24	2	48
0264-7800-20	J7050	B. Braun Medical Inc.	Normal saline solution infus	250 ML	250	24	1	24
0264-9999-10	J7050	B. Braun Medical Inc.	Normal saline solution infus	250 ML	500	10	2	20
0338-0049-02	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	250	1	1	1
0338-0049-03	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	500	1	2	2
0338-0049-04	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	1000	1	4	4
0338-9517-16	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	1000	16	4	64
0338-9517-30	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	500	30	2	60
0338-9517-50	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	250	50	1	50
0338-9543-02	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	250	1	1	1
0338-9543-04	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	500	20	2	40
0338-9543-06	J7050	Baxter Healthcare Corporation	Normal saline solution infus	250 ML	1000	10	4	40
0409-7101-02	J7050	Pfizer Inc.	Normal saline solution infus	250 ML	250	24	1	24
0409-7983-02	J7050	ICU Medical, Inc.	Normal saline solution infus	250 ML	250	24	1	24
0409-7983-03	J7050	ICU Medical, Inc.	Normal saline solution infus	250 ML	500	24	2	48
0409-7983-09	J7050	ICU Medical, Inc.	Normal saline solution infus	250 ML	1000	12	4	48
0409-7983-25	J7050	ICU Medical, Inc.	Normal saline solution infus	250 ML	250	24	1	24
0409-7983-53	J7050	ICU Medical, Inc.	Normal saline solution infus	250 ML	250	24	1	24
0409-7983-55	J7050	ICU Medical, Inc.	Normal saline solution infus	250 ML	500	18	2	36
63323-623-74	J7050	Fresenius Kabi USA LLC	Normal saline solution infus	250 ML	250	30	1	30
63323-623-75	J7050	Fresenius Kabi USA LLC	Normal saline solution infus	250 ML	500	20	2	40
63323-623-76	J7050	Fresenius Kabi USA LLC	Normal saline solution infus	250 ML	1000	10	4	40
0264-7510-00	J7060	B. Braun Medical Inc.	5% dextrose/water	500 ML	1000	12	2	24
0264-7510-10	J7060	B. Braun Medical Inc.	5% dextrose/water	500 ML	500	24	1	24
0264-7510-20	J7060	B. Braun Medical Inc.	5% dextrose/water	500 ML	250	24	0.5	12
0338-0017-02	J7060	Baxter Healthcare Corporation	5% dextrose/water	500 ML	250	1	0.5	0.5
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
0338-6346-02	J7060	Baxter Healthcare Corporation	5% dextrose/water	500 ML	250	1	0.5	0.5
0338-6346-03	J7060	Baxter Healthcare Corporation	5% dextrose/water	500 ML	500	1	1	1
0409-7100-02	J7060	Pfizer Inc.	5% dextrose/water	500 ML	250	24	0.5	12
0409-7922-02	J7060	ICU Medical, Inc.	5% dextrose/water	500 ML	250	24	0.5	12
0409-7922-03	J7060	ICU Medical, Inc.	5% dextrose/water	500 ML	500	24	1	24
0409-7922-09	J7060	ICU Medical, Inc.	5% dextrose/water	500 ML	1000	12	2	24
0409-7922-25	J7060	ICU Medical, Inc.	5% dextrose/water	500 ML	250	24	0.5	12
0409-7922-53	J7060	ICU Medical, Inc.	5% dextrose/water	500 ML	250	24	0.5	12
0409-7922-55	J7060	ICU Medical, Inc.	5% dextrose/water	500 ML	500	18	1	18
63323-624-10	J7060	Fresenius Kabi USA LLC	5% dextrose/water	500 ML	500	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
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	0.25
0338-0017-03	J7070	Baxter Healthcare Corporation	D5w infusion	1000 CC	500	1	0.5	0.5
0338-0017-04	J7070	Baxter Healthcare Corporation	D5w infusion	1000 CC	1000	1	1	1
0338-6346-02	J7070	Baxter Healthcare Corporation	D5w infusion	1000 CC	250	1	0.25	0.25
0338-6346-03	J7070	Baxter Healthcare Corporation	D5w infusion	1000 CC	500	1	0.5	0.5
0409-7100-02	J7070	Pfizer Inc.	D5w infusion	1000 CC	250	24	0.25	6
0409-7922-02	J7070	ICU Medical, Inc.	D5w infusion	1000 CC	250	24	0.25	6
0409-7922-03	J7070	ICU Medical, Inc.	D5w infusion	1000 CC	500	24	0.5	12
0409-7922-09	J7070	ICU Medical, Inc.	D5w infusion	1000 CC	1000	12	1	12
0409-7922-53	J7070	ICU Medical, Inc.	D5w infusion	1000 CC	250	24	0.25	6
0409-7922-55	J7070	ICU Medical, Inc.	D5w infusion	1000 CC	500	18	0.5	9
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	7.5
63323-624-75	J7070	Fresenius Kabi USA LLC	D5w infusion	1000 CC	500	20	0.5	10
0264-7389-60	J7120	B. Braun Medical Inc.	Ringers lactate infusion	1000 CC	3000	4	3	12
0264-7750-00	J7120	B. Braun Medical Inc.	Ringers lactate infusion	1000 CC	1000	12	1	12
0264-7750-10	J7120	B. Braun Medical Inc.	Ringers lactate infusion	1000 CC	500	24	0.5	12
0264-7750-20	J7120	B. Braun Medical Inc.	Ringers lactate infusion	1000 CC	250	24	0.25	6
0338-0117-02	J7120	Baxter Healthcare Corporation	Ringers lactate infusion	1000 CC	250	1	0.25	0.25
0338-0117-03	J7120	Baxter Healthcare Corporation	Ringers lactate infusion	1000 CC	500	1	0.5	0.5
0338-0117-04	J7120	Baxter Healthcare Corporation	Ringers lactate infusion	1000 CC	1000	1	1	1
0409-7953-02	J7120	ICU Medical, Inc.	Ringers lactate infusion	1000 CC	250	24	0.25	6
0409-7953-03	J7120	ICU Medical, Inc.	Ringers lactate infusion	1000 CC	500	24	0.5	12
0409-7953-09	J7120	ICU Medical, Inc.	Ringers lactate infusion	1000 CC	1000	12	1	12
50242-920-01	J7170	Genentech, Inc.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	1	1	60	60
50242-921-01	J7170	Genentech, Inc.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	0.4	1	120	120
50242-922-01	J7170	Genentech, Inc.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	0.7	1	210	210
50242-923-01	J7170	Genentech, Inc.	Inj., emicizumab-kxwh 0.5 mg	0.5 MG	1	1	300	300
64208-7752-1	J7175	Bio Products Laboratory	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
63833-891-51	J7178	CSL Behring LLC	Inj human fibrinogen con nos	1 MG	1	1	1	1
0944-7551-02	J7179	Baxalta US Inc.	Vonvendi inj 1 iu vwf:rco	1 IU	1	1	1	1
0944-7553-02	J7179	Baxalta US Inc.	Vonvendi inj 1 iu vwf:rco	1 IU	1	1	1	1
63833-518-02	J7180	CSL Behring LLC	Factor xiii anti-hem factor	1 IU	1	1	1	1
0169-7810-01	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
67467-182-01	J7183	Octapharma USA	Wilate injection	1 I.U. VWF:RCO	1	1	1	1
67467-182-02	J7183	Octapharma USA	Wilate injection	1 I.U. VWF:RCO	1	1	1	1
68982-182-01	J7183	Octapharma USA	Wilate injection	1 I.U. VWF:RCO	1	1	1	1
68982-182-02	J7183	Octapharma USA	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
68516-4601-1	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4602-1	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4603-2	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4604-2	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4609-2	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4611-1	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4612-1	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4613-2	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4614-2	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
68516-4615-2	J7186	Grifols USA, LLC.	Antihemophilic viii/vwf comp	PER FACTOR VIII IU	1	1	1	1
63833-615-02	J7187	CSL Behring LLC	Humate-p, inj	1 IU	1	1	1	1
63833-616-02	J7187	CSL Behring LLC	Humate-p, inj	1 IU	1	1	1	1
63833-617-02	J7187	CSL Behring LLC	Humate-p, inj	1 IU	1	1	1	1
0169-7201-01	J7189	Novo Nordisk? Inc.	Factor viia	1 MCG	1	1	1000	1000
0169-7202-01	J7189	Novo Nordisk? Inc.	Factor viia	1 MCG	1	1	2000	2000
0169-7205-01	J7189	Novo Nordisk? Inc.	Factor viia	1 MCG	1	1	5000	5000
0169-7208-01	J7189	Novo Nordisk? Inc.	Factor viia	1 MCG	1	1	8000	8000
0053-7633-02	J7190	CSL Behring LLC	Factor viii	1 IU	1	1	1	1
0944-3940-02	J7190	Baxalta US Inc.	Factor viii	1 IU	1	1	1	1
0944-3942-02	J7190	Baxalta US Inc.	Factor viii	1 IU	1	1	1	1
0944-3944-02	J7190	Baxalta US Inc.	Factor viii	1 IU	1	1	1	1
0944-3946-02	J7190	Baxalta US Inc.	Factor viii	1 IU	1	1	1	1
68516-4601-1	J7190	Grifols USA, LLC.	Factor viii	1 IU	1	1	1	1
68516-4602-1	J7190	Grifols USA, LLC.	Factor viii	1 IU	1	1	1	1
68516-4603-2	J7190	Grifols USA, LLC.	Factor viii	1 IU	1	1	1	1
68516-4604-2	J7190	Grifols USA, LLC.	Factor viii	1 IU	1	1	1	1
76125-256-20	J7190	Kedrion BioPharma, Inc.	Factor viii	1 IU	1	1	1	1
76125-667-30	J7190	Kedrion BioPharma, Inc.	Factor viii	1 IU	1	1	1	1
76125-668-30	J7190	Kedrion BioPharma, Inc.	Factor viii	1 IU	1	1	1	1
76125-672-50	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
0026-3782-25	J7192	Bayer HealthCare Pharmaceuticals Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3783-35	J7192	Bayer HealthCare Pharmaceuticals Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3785-55	J7192	Bayer HealthCare Pharmaceuticals Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3786-65	J7192	Bayer HealthCare Pharmaceuticals Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0026-3787-75	J7192	Bayer HealthCare Pharmaceuticals Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0053-8131-02	J7192	CSL Behring LLC	Factor viii recombinant nos	1 IU	1	1	1	1
0053-8132-02	J7192	CSL Behring LLC	Factor viii recombinant nos	1 IU	1	1	1	1
0053-8133-02	J7192	CSL Behring LLC	Factor viii recombinant nos	1 IU	1	1	1	1
0053-8134-02	J7192	CSL Behring LLC	Factor viii recombinant nos	1 IU	1	1	1	1
0053-8135-02	J7192	CSL Behring LLC	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2841-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2842-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2843-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2844-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-2845-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3045-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3046-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3047-10	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3051-02	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3052-02	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3053-02	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0944-3054-02	J7192	Baxalta US Inc.	Factor viii recombinant nos	1 IU	1	1	1	1
0053-6233-02	J7193	CSL Behring LLC	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3601-2	J7193	Grifols USA, LLC.	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3602-2	J7193	Grifols USA, LLC.	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3603-2	J7193	Grifols USA, LLC.	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3607-2	J7193	Grifols USA, LLC.	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3608-2	J7193	Grifols USA, LLC.	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3609-2	J7193	Grifols USA, LLC.	Factor ix non-recombinant	1 IU	1	1	1	1
68516-3201-1	J7194	Grifols USA, LLC.	Factor ix complex	1 IU	1	1	1	1
68516-3202-2	J7194	Grifols USA, LLC.	Factor ix complex	1 IU	1	1	1	1
68516-3203-2	J7194	Grifols USA, LLC.	Factor ix complex	1 IU	1	1	1	1
68516-3207-1	J7194	Grifols USA, LLC.	Factor ix complex	1 IU	1	1	1	1
68516-3208-2	J7194	Grifols USA, LLC.	Factor ix complex	1 IU	1	1	1	1
58394-633-03	J7195	Pfizer Inc.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-634-03	J7195	Pfizer Inc.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-635-03	J7195	Pfizer Inc.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-636-03	J7195	Pfizer Inc.	Factor ix recombinant nos	1 IU	1	1	1	1
58394-637-03	J7195	Pfizer Inc.	Factor ix recombinant nos	1 IU	1	1	1	1
13533-602-50	J7197	Grifols USA, LLC.	Antithrombin iii injection	1 IU	1	1	1	1
13533-603-20	J7197	Grifols USA, LLC.	Antithrombin iii injection	1 IU	1	1	1	1
64193-424-02	J7198	Baxalta US Inc.	Anti-inhibitor	1 IU	1	1	1	1
64193-425-02	J7198	Baxalta US Inc.	Anti-inhibitor	1 IU	1	1	1	1
64193-426-02	J7198	Baxalta US Inc.	Anti-inhibitor	1 IU	1	1	1	1
0944-3026-02	J7200	Baxalta US Inc.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3028-02	J7200	Baxalta US Inc.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3030-02	J7200	Baxalta US Inc.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3032-02	J7200	Baxalta US Inc.	Factor ix recombinan rixubis	1 IU	1	1	1	1
0944-3034-02	J7200	Baxalta US Inc.	Factor ix recombinan rixubis	1 IU	1	1	1	1
64406-911-01	J7201	Bioverativ Therapeutics, Inc.	Factor ix alprolix recomb	1 IU	1	1	1	1
64406-922-01	J7201	Bioverativ Therapeutics, Inc.	Factor ix alprolix recomb	1 IU	1	1	1	1
64406-933-01	J7201	Bioverativ Therapeutics, Inc.	Factor ix alprolix recomb	1 IU	1	1	1	1
64406-944-01	J7201	Bioverativ Therapeutics, Inc.	Factor ix alprolix recomb	1 IU	1	1	1	1
64406-966-01	J7201	Bioverativ Therapeutics, Inc.	Factor ix alprolix recomb	1 IU	1	1	1	1
64406-977-01	J7201	Bioverativ Therapeutics, Inc.	Factor ix alprolix recomb	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 LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-865-02	J7202	CSL Behring LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-866-02	J7202	CSL Behring LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-867-02	J7202	CSL Behring LLC	Factor ix idelvion inj	1 IU	1	1	1	1
69911-869-02	J7202	CSL Behring LLC	Factor ix idelvion inj	1 IU	1	1	1	1
64406-801-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-802-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-803-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-804-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-805-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-806-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-807-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-808-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-809-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	1 IU	1	1	1	1
64406-810-01	J7205	Bioverativ Therapeutics, Inc.	Factor viii fc fusion recomb	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
0944-4252-02	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4254-02	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4256-02	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4258-02	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4622-01	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4623-01	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4624-01	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4625-01	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4626-01	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4627-01	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
0944-4628-01	J7207	Baxalta US Inc.	Factor viii pegylated recomb	1 IU	1	1	1	1
68982-139-01	J7209	Octapharma USA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-141-01	J7209	Octapharma USA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-143-01	J7209	Octapharma USA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-145-01	J7209	Octapharma USA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-147-01	J7209	Octapharma USA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-149-01	J7209	Octapharma USA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
68982-151-01	J7209	Octapharma USA	Factor viii nuwiq recomb 1iu	1 IU	1	1	1	1
67308-101-01	J7308	DUSA Pharmaceuticals Inc	Aminolevulinic acid hcl top	354 MG	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	Fluocinolone acetonide implt	0.59 MG	1	1	1	1
0023-3348-07	J7312	Allergan Sales, LLC	Dexamethasone intra implant	0.1 MG	0.7	1	7	7
68611-190-02	J7313	Alimera Sciences, Inc.	Fluocinol acet intravit imp	0.01 MG	1	1	19	19
24856-002-01	J7316	ThromboGenics, Inc.	Inj, ocriplasmin, 0.125 mg	0.125 MG	0.3	1	3	3
10144-928-01	J7336	Acorda Therapeutics, Inc.	Capsaicin 8% patch	1 SQ CM	1	1	280	280
10144-929-01	J7336	Acorda Therapeutics, Inc.	Capsaicin 8% patch	1 SQ CM	1	2	280	560
0074-3012-07	J7340	AbbVie US, LLC	Carbidopa levodopa ent 100ml	5 MG/20 MG	100	7	100	700
70621-101-01	J7345	Biofrontera, Inc.	Aminolevulinic acid, 10% gel	10 MG	2	1	200	200
0378-1005-01	J7500	Mylan Pharmaceuticals, Inc	Azathioprine oral 50mg	50 MG	100	1	100	100
51079-620-06	J7500	Mylan Institutional	Azathioprine oral 50mg	50 MG	50	1	50	50
65649-231-41	J7500	Salix Pharmaceuticals, Inc.	Azathioprine oral 50mg	50 MG	100	1	150	150
65649-241-41	J7500	Salix Pharmaceuticals, Inc.	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 Pharmaceutical Inc., USA	Azathioprine oral 50mg	50 MG	100	1	100	100
0074-3109-32	J7502	AbbVie US, LLC	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0074-7269-50	J7502	AbbVie US, LLC	Cyclosporine oral 100 mg	100 MG	50	1	50	50
0078-0110-22	J7502	Novartis Pharmaceuticals Corporation	Cyclosporine oral 100 mg	100 MG	50	1	50	50
0078-0241-15	J7502	Novartis Pharmaceuticals Corporation	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0078-0248-15	J7502	Novartis Pharmaceuticals Corporation	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0078-0274-22	J7502	Novartis Pharmaceuticals Corporation	Cyclosporine oral 100 mg	100 MG	50	1	50	50
0093-5742-65	J7502	Teva Pharmaceuticals USA, Inc.	Cyclosporine oral 100 mg	100 MG	30	1	30	30
0172-7313-20	J7502	Ivax Pharmaceuticals, Inc.	Cyclosporine oral 100 mg	100 MG	50	1	50	50
0185-0933-30	J7502	Sandoz, Inc.	Cyclosporine oral 100 mg	100 MG	30	1	30	30
68084-921-25	J7502	American Health Packaging	Cyclosporine oral 100 mg	100 MG	30	1	30	30
68992-3010-1	J7503	Veloxis Pharmaceuticals	Tacrol envarsus ex rel oral	0.25 MG	100	1	400	400
68992-3010-3	J7503	Veloxis Pharmaceuticals	Tacrol envarsus ex rel oral	0.25 MG	30	1	120	120
68992-3040-1	J7503	Veloxis Pharmaceuticals	Tacrol envarsus ex rel oral	0.25 MG	100	1	1600	1600
68992-3040-3	J7503	Veloxis Pharmaceuticals	Tacrol envarsus ex rel oral	0.25 MG	30	1	480	480
68992-3075-1	J7503	Veloxis Pharmaceuticals	Tacrol envarsus ex rel oral	0.25 MG	100	1	300	300
68992-3075-3	J7503	Veloxis Pharmaceuticals	Tacrol envarsus ex rel oral	0.25 MG	30	1	90	90
0009-7224-02	J7504	Pfizer Inc.	Lymphocyte immune globulin	250 MG	5	5	1	5
0378-2045-01	J7507	Mylan Pharmaceuticals, Inc	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
0378-2046-01	J7507	Mylan Pharmaceuticals, Inc	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0378-2047-01	J7507	Mylan Pharmaceuticals, Inc	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
0469-0607-73	J7507	Astellas Pharma US, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	50
0469-0617-11	J7507	Astellas Pharma US, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0469-0617-73	J7507	Astellas Pharma US, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0469-0657-11	J7507	Astellas Pharma US, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	5	100	500
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
0781-9302-01	J7507	Sandoz, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
0781-9303-01	J7507	Sandoz, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
0781-9304-01	J7507	Sandoz, Inc.	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
55111-525-01	J7507	Dr. Reddy's Laboratories, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
55111-526-01	J7507	Dr. Reddy's Laboratories, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
55111-527-01	J7507	Dr. Reddy's Laboratories, Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
64380-720-06	J7507	Strides Pharma Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	50	50
64380-721-06	J7507	Strides Pharma Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	100	100
64380-722-06	J7507	Strides Pharma Inc.	Tacrolimus imme rel oral 1mg	1 MG	100	1	500	500
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
0469-0647-73	J7508	Astellas Pharma US, Inc.	Tacrol astagraf ex rel oral	0.1 MG	30	1	150	150
0469-0677-73	J7508	Astellas Pharma US, Inc.	Tacrol astagraf ex rel oral	0.1 MG	30	1	300	300
0469-0687-73	J7508	Astellas Pharma US, Inc.	Tacrol astagraf ex rel oral	0.1 MG	30	1	1500	1500
0009-0020-01	J7509	Pfizer Inc.	Methylprednisolone oral	4 MG	100	1	50	50
0009-0022-01	J7509	Pfizer Inc.	Methylprednisolone oral	4 MG	25	1	50	50
0009-0056-02	J7509	Pfizer Inc.	Methylprednisolone oral	4 MG	100	1	100	100
0009-0056-04	J7509	Pfizer Inc.	Methylprednisolone oral	4 MG	21	1	21	21
0009-0073-01	J7509	Pfizer Inc.	Methylprednisolone oral	4 MG	50	1	200	200
0009-0176-01	J7509	Pfizer Inc.	Methylprednisolone oral	4 MG	25	1	200	200
0781-5022-01	J7509	Sandoz, Inc.	Methylprednisolone oral	4 MG	100	1	100	100
0781-5022-07	J7509	Sandoz, Inc.	Methylprednisolone oral	4 MG	21	1	21	21
59762-0049-1	J7509	GREENSTONE	Methylprednisolone oral	4 MG	25	1	50	50
59762-0050-1	J7509	GREENSTONE	Methylprednisolone oral	4 MG	50	1	200	200
59762-0051-1	J7509	GREENSTONE	Methylprednisolone oral	4 MG	25	1	200	200
59762-4440-3	J7509	GREENSTONE	Methylprednisolone oral	4 MG	100	1	100	100
68001-005-01	J7509	American Health Packaging	Methylprednisolone oral	4 MG	21	1	21	21
68084-149-01	J7509	American Health Packaging	Methylprednisolone oral	4 MG	100	1	100	100
50383-040-04	J7510	Hi-Tech	Prednisolone oral per 5 mg	5 MG	120	1	24	24
50383-042-24	J7510	Hi-Tech	Prednisolone oral per 5 mg	5 MG	240	1	144	144
50383-042-48	J7510	Hi-Tech	Prednisolone oral per 5 mg	5 MG	480	1	288	288
58468-0080-1	J7511	Genzyme Corporation	Antithymocyte globuln rabbit	25 MG	1	1	1	1
0054-3721-44	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	30	1	150	150
0054-3722-50	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	120	1	120	120
0054-3722-63	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	500	1	500	500
0054-4728-25	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	100	1	500	500
0054-4728-31	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	1000	1	5000	5000
0054-4741-25	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	100	1	100	100
0054-4741-31	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	1000	1	1000	1000
0054-4742-25	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	100	1	250	250
0054-8724-25	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	100	1	500	500
0054-8739-25	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	100	1	100	100
0054-8740-25	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	100	1	250	250
0143-9740-01	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	100	1	500	500
0143-9740-10	J7512	West-Ward Pharmaceuticals Corp	Prednisone ir or dr oral 1mg	1 MG	1000	1	5000	5000
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
0074-3108-32	J7515	AbbVie US, LLC	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0078-0240-15	J7515	Novartis Pharmaceuticals Corporation	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0078-0246-15	J7515	Novartis Pharmaceuticals Corporation	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0093-5740-65	J7515	Teva Pharmaceuticals USA, Inc.	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0093-5741-65	J7515	Teva Pharmaceuticals USA, Inc.	Cyclosporine oral 25 mg	25 MG	30	1	60	60
0185-0932-30	J7515	Sandoz, Inc.	Cyclosporine oral 25 mg	25 MG	30	1	30	30
68084-879-25	J7515	American Health Packaging	Cyclosporine oral 25 mg	25 MG	30	1	30	30
0078-0109-01	J7516	Novartis Pharmaceuticals Corporation	Cyclosporin parenteral 250mg	250 MG	5	10	1	10
0574-0866-10	J7516	Perrigo Pharmaceuticals	Cyclosporin parenteral 250mg	250 MG	5	10	1	10
0004-0259-01	J7517	Genentech, Inc.	Mycophenolate mofetil oral	250 MG	100	1	100	100
0004-0259-43	J7517	Genentech, Inc.	Mycophenolate mofetil oral	250 MG	500	1	500	500
0004-0260-01	J7517	Genentech, Inc.	Mycophenolate mofetil oral	250 MG	100	1	200	200
0004-0260-43	J7517	Genentech, Inc.	Mycophenolate mofetil oral	250 MG	500	1	1000	1000
0004-0261-29	J7517	Genentech, Inc.	Mycophenolate mofetil oral	250 MG	175	1	140	140
0093-7334-01	J7517	Teva Pharmaceuticals USA, Inc.	Mycophenolate mofetil oral	250 MG	1	100	100	100
0093-7334-05	J7517	Teva Pharmaceuticals USA, Inc.	Mycophenolate mofetil oral	250 MG	1	500	500	500
0093-7477-01	J7517	Teva Pharmaceuticals USA, Inc.	Mycophenolate mofetil oral	250 MG	1	100	200	200
0093-7477-05	J7517	Teva Pharmaceuticals USA, Inc.	Mycophenolate mofetil oral	250 MG	1	500	1000	1000
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
0781-2067-89	J7517	Sandoz, Inc.	Mycophenolate mofetil oral	250 MG	1	1440	1440	1440
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
51079-379-20	J7517	Mylan Institutional	Mycophenolate mofetil oral	250 MG	1	100	200	200
51079-721-20	J7517	Mylan Institutional	Mycophenolate mofetil oral	250 MG	1	100	100	100
64380-725-06	J7517	Strides Pharma Inc.	Mycophenolate mofetil oral	250 MG	100	1	200	200
64380-725-07	J7517	Strides Pharma Inc.	Mycophenolate mofetil oral	250 MG	1	500	1000	1000
64380-726-06	J7517	Strides Pharma Inc.	Mycophenolate mofetil oral	250 MG	100	1	100	100
64380-726-07	J7517	Strides Pharma Inc.	Mycophenolate mofetil oral	250 MG	1	500	500	500
67877-225-01	J7517	Ascend Laboratories	Mycophenolate mofetil oral	250 MG	100	1	200	200
67877-225-05	J7517	Ascend Laboratories	Mycophenolate mofetil oral	250 MG	500	1	1000	1000
67877-230-22	J7517	Ascend Laboratories	Mycophenolate mofetil oral	250 MG	225	1	180	180
67877-266-01	J7517	Ascend Laboratories	Mycophenolate mofetil oral	250 MG	100	1	100	100
67877-266-05	J7517	Ascend Laboratories	Mycophenolate mofetil oral	250 MG	500	1	500	500
68084-795-01	J7517	American Health Packaging	Mycophenolate mofetil oral	250 MG	1	100	100	100
68084-801-01	J7517	American Health Packaging	Mycophenolate mofetil oral	250 MG	100	1	200	200
0078-0385-66	J7518	Novartis Pharmaceuticals Corporation	Mycophenolic acid	180 MG	120	1	120	120
0078-0386-66	J7518	Novartis Pharmaceuticals Corporation	Mycophenolic acid	180 MG	120	1	240	240
0378-4201-78	J7518	Mylan Pharmaceuticals, Inc	Mycophenolic acid	180 MG	120	1	120	120
0378-4202-78	J7518	Mylan Pharmaceuticals, Inc	Mycophenolic acid	180 MG	120	1	240	240
51079-508-20	J7518	Mylan Institutional	Mycophenolic acid	180 MG	100	1	100	100
51079-509-20	J7518	Mylan Institutional	Mycophenolic acid	180 MG	100	1	200	200
68084-907-21	J7518	American Health Packaging	Mycophenolic acid	180 MG	30	1	30	30
68084-918-25	J7518	American Health Packaging	Mycophenolic acid	180 MG	30	1	60	60
0008-1030-06	J7520	Pfizer Inc.	Sirolimus, oral	1 MG	60	1	60	60
0008-1040-05	J7520	Pfizer Inc.	Sirolimus, oral	1 MG	100	1	50	50
0008-1040-10	J7520	Pfizer Inc.	Sirolimus, oral	1 MG	100	1	50	50
0008-1041-05	J7520	Pfizer Inc.	Sirolimus, oral	1 MG	100	1	100	100
0008-1041-10	J7520	Pfizer Inc.	Sirolimus, oral	1 MG	100	1	100	100
0008-1042-05	J7520	Pfizer Inc.	Sirolimus, oral	1 MG	100	1	200	200
55111-653-01	J7520	Dr. Reddy's Laboratories, Inc.	Sirolimus, oral	1 MG	100	1	100	100
55111-654-01	J7520	Dr. Reddy's Laboratories, Inc.	Sirolimus, oral	1 MG	100	1	200	200
59762-1001-1	J7520	GREENSTONE	Sirolimus, oral	1 MG	100	1	50	50
59762-1002-1	J7520	GREENSTONE	Sirolimus, oral	1 MG	100	1	100	100
59762-1003-1	J7520	GREENSTONE	Sirolimus, oral	1 MG	100	1	200	200
68084-915-25	J7520	American Health Packaging	Sirolimus, oral	1 MG	30	1	30	30
68084-956-25	J7520	American Health Packaging	Sirolimus, oral	1 MG	30	1	15	15
0469-3016-01	J7525	Astellas Pharma US, Inc.	Tacrolimus injection	5 MG	1	1	1	1
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 CORP.	Oral everolimus	0.25 MG	60	1	240	240
63402-911-30	J7605	Sunovion Pharmaceuticals Inc.	Arformoterol non-comp unit	15 mcg	2	30	1	30
63402-911-64	J7605	Sunovion Pharmaceuticals Inc.	Arformoterol non-comp unit	15 mcg	2	60	1	60
49502-605-30	J7606	Mylan Specialty, L.P.	Formoterol fumarate, inh	20 MCG	2	30	1	30
49502-605-61	J7606	Mylan Specialty, L.P.	Formoterol fumarate, inh	20 MCG	2	60	1	60
0409-3307-03	J7608	Pfizer Inc.	Acetylcysteine non-comp unit	1 GM	30	3	3	9
0409-3308-03	J7608	Pfizer Inc.	Acetylcysteine non-comp unit	1 GM	30	3	6	18
0517-7504-25	J7608	American Regent	Acetylcysteine non-comp unit	1 GM	4	25	0.4	10
0517-7604-25	J7608	American Regent	Acetylcysteine non-comp unit	1 GM	4	25	0.8	20
0517-7610-03	J7608	American Regent	Acetylcysteine non-comp unit	1 GM	10	3	2	6
0517-7630-03	J7608	American Regent	Acetylcysteine non-comp unit	1 GM	30	3	6	18
63323-690-30	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
63323-695-04	J7608	Fresenius Kabi USA LLC	Acetylcysteine non-comp unit	1 GM	4	25	0.4	10
0487-9901-30	J7611	Nephron Pharmaceuticals Corp.	Albuterol non-comp con	1 MG	0.5	30	2.5	75
24208-347-20	J7611	Bausch & Lomb	Albuterol non-comp con	1 MG	20	1	100	100
50383-741-20	J7611	Hi-Tech	Albuterol non-comp con	1 MG	20	1	100	100
0093-4147-56	J7612	Teva Pharmaceuticals USA, Inc.	Levalbuterol non-comp con	0.5 MG	0.5	30	2.5	75
0378-6993-93	J7612	Mylan Pharmaceuticals, Inc	Levalbuterol non-comp con	0.5 MG	0.5	30	2.5	75
17478-171-30	J7612	Akorn	Levalbuterol non-comp con	0.5 MG	0.5	30	2.5	75
0378-6991-52	J7613	Mylan Pharmaceuticals, Inc	Albuterol non-comp unit	1 MG	3	25	0.63	15.75
0378-6992-52	J7613	Mylan Pharmaceuticals, Inc	Albuterol non-comp unit	1 MG	3	25	1.25	31.25
0378-8270-52	J7613	Mylan Pharmaceuticals, Inc	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
0378-8270-55	J7613	Mylan Pharmaceuticals, Inc	Albuterol non-comp unit	1 MG	3	30	2.5	75
0378-8270-91	J7613	Mylan Pharmaceuticals, Inc	Albuterol non-comp unit	1 MG	3	60	2.5	150
0378-8270-93	J7613	Mylan Pharmaceuticals, Inc	Albuterol non-comp unit	1 MG	3	30	2.5	75
0487-0301-01	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	30	0.63	19
0487-9501-01	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	30	2.5	75
0487-9501-03	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	30	2.5	75
0487-9501-25	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
0487-9501-60	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	60	2.5	150
0487-9904-01	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	30	1.25	37.5
0487-9904-02	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	30	1.25	37.5
0487-9904-25	J7613	Nephron Pharmaceuticals Corp.	Albuterol non-comp unit	1 MG	3	25	1.25	31.25
0591-3467-53	J7613	Actavis Pharma, Inc.	Albuterol non-comp unit	1 MG	3	25	0.63	15.75
0591-3468-53	J7613	Actavis Pharma, Inc.	Albuterol non-comp unit	1 MG	3	25	1.25	31.25
0591-3797-30	J7613	Actavis Pharma, Inc.	Albuterol non-comp unit	1 MG	3	30	2.5	75
0591-3797-60	J7613	Actavis Pharma, Inc.	Albuterol non-comp unit	1 MG	3	60	2.5	150
0591-3797-83	J7613	Actavis Pharma, Inc.	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
0781-7155-29	J7613	Sandoz, Inc.	Albuterol non-comp unit	1 MG	3	60	2.5	150
0781-7155-64	J7613	Sandoz, Inc.	Albuterol non-comp unit	1 MG	3	30	2.5	75
0781-7155-86	J7613	Sandoz, Inc.	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
76204-200-01	J7613	Ritedose Pharmaceutical LLC	Albuterol non-comp unit	1 MG	3	30	2.5	75
76204-200-25	J7613	Ritedose Pharmaceutical LLC	Albuterol non-comp unit	1 MG	3	25	2.5	62.5
76204-200-30	J7613	Ritedose Pharmaceutical LLC	Albuterol non-comp unit	1 MG	3	30	2.5	75
76204-200-60	J7613	Ritedose Pharmaceutical LLC	Albuterol non-comp unit	1 MG	3	60	2.5	150
0093-4145-64	J7614	Teva Pharmaceuticals USA, Inc.	Levalbuterol non-comp unit	0.5 MG	3	24	0.62	15
0093-4146-64	J7614	Teva Pharmaceuticals USA, Inc.	Levalbuterol non-comp unit	0.5 MG	3	24	1.25	30
0115-9930-78	J7614	Impax Laboratories, Inc.	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
0115-9931-78	J7614	Impax Laboratories, Inc.	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
0115-9932-78	J7614	Impax Laboratories, Inc.	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
0378-9680-44	J7614	Mylan Pharmaceuticals, Inc	Levalbuterol non-comp unit	0.5 MG	3	24	0.62	15
0378-9681-44	J7614	Mylan Pharmaceuticals, Inc	Levalbuterol non-comp unit	0.5 MG	3	24	1.25	30
0378-9682-44	J7614	Mylan Pharmaceuticals, Inc	Levalbuterol non-comp unit	0.5 MG	3	24	2.5	60
0378-9690-52	J7614	Mylan Pharmaceuticals, Inc	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
0378-9691-52	J7614	Mylan Pharmaceuticals, Inc	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
0378-9692-52	J7614	Mylan Pharmaceuticals, Inc	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
17478-172-24	J7614	Akorn	Levalbuterol non-comp unit	0.5 MG	3	24	0.62	15
17478-173-24	J7614	Akorn	Levalbuterol non-comp unit	0.5 MG	3	24	1.25	30
17478-174-24	J7614	Akorn	Levalbuterol non-comp unit	0.5 MG	3	24	2.5	60
43598-409-25	J7614	Dr. Reddy's Laboratories, Inc.	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
43598-410-25	J7614	Dr. Reddy's Laboratories, Inc.	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
43598-412-25	J7614	Dr. Reddy's Laboratories, Inc.	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
66993-021-27	J7614	Prasco Laboratories	Levalbuterol non-comp unit	0.5 MG	3	24	0.62	15
66993-022-27	J7614	Prasco Laboratories	Levalbuterol non-comp unit	0.5 MG	3	24	1.25	30
66993-023-27	J7614	Prasco Laboratories	Levalbuterol non-comp unit	0.5 MG	3	24	2.5	60
76204-700-01	J7614	Ritedose Pharmaceutical LLC	Levalbuterol non-comp unit	0.5 MG	3	30	0.62	18.6
76204-700-25	J7614	Ritedose Pharmaceutical LLC	Levalbuterol non-comp unit	0.5 MG	3	25	0.62	15.5
76204-800-01	J7614	Ritedose Pharmaceutical LLC	Levalbuterol non-comp unit	0.5 MG	3	30	1.25	37.5
76204-800-25	J7614	Ritedose Pharmaceutical LLC	Levalbuterol non-comp unit	0.5 MG	3	25	1.25	31.25
76204-900-01	J7614	Ritedose Pharmaceutical LLC	Levalbuterol non-comp unit	0.5 MG	3	30	2.5	75
76204-900-25	J7614	Ritedose Pharmaceutical LLC	Levalbuterol non-comp unit	0.5 MG	3	25	2.5	62.5
0378-9671-30	J7620	Mylan Pharmaceuticals, Inc	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0378-9671-60	J7620	Mylan Pharmaceuticals, Inc	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0378-9671-93	J7620	Mylan Pharmaceuticals, Inc	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0487-0201-01	J7620	Nephron Pharmaceuticals Corp.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0487-0201-02	J7620	Nephron Pharmaceuticals Corp.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0487-0201-03	J7620	Nephron Pharmaceuticals Corp.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0487-0201-60	J7620	Nephron Pharmaceuticals Corp.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0591-3817-30	J7620	Actavis Pharma, Inc.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0591-3817-39	J7620	Actavis Pharma, Inc.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0591-3817-66	J7620	Actavis Pharma, Inc.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0781-7146-29	J7620	Sandoz, Inc.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0781-7146-63	J7620	Sandoz, Inc.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0781-7146-64	J7620	Sandoz, Inc.	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
0781-7146-87	J7620	Sandoz, 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
76204-600-01	J7620	Ritedose Pharmaceutical LLC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
76204-600-05	J7620	Ritedose Pharmaceutical LLC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
76204-600-12	J7620	Ritedose Pharmaceutical LLC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
76204-600-30	J7620	Ritedose Pharmaceutical LLC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	30	1	30
76204-600-60	J7620	Ritedose Pharmaceutical LLC	Albuterol ipratrop non-comp	2.5 MG/0.5 MG	3	60	1	60
0093-6815-73	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, Inc.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0115-1689-74	J7626	Impax Laboratories, Inc.	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 Pharmaceuticals Corp.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0487-9601-30	J7626	Nephron Pharmaceuticals Corp.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0487-9701-01	J7626	Nephron Pharmaceuticals Corp.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0487-9701-30	J7626	Nephron Pharmaceuticals Corp.	Budesonide non-comp unit	UP TO 0.50 MG	2	30	1	30
0781-7515-87	J7626	Sandoz, 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
69097-318-87	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
69097-321-87	J7626	Cipla USA Inc	Budesonide non-comp unit	UP TO 0.50 MG	2	30	2	60
0172-6406-49	J7631	Ivax Pharmaceuticals, Inc.	Cromolyn sodium noncomp unit	10 MG	2	60	2	120
69784-205-60	J7631	Woodward Pharma Services LLC	Cromolyn sodium noncomp unit	10 MG	2	60	2	120
50242-100-40	J7639	Genentech, Inc.	Dornase alfa non-comp unit	1 MG	2.5	30	2.5	75
0378-7970-52	J7644	Mylan Pharmaceuticals, Inc	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
0378-7970-55	J7644	Mylan Pharmaceuticals, Inc	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0378-7970-91	J7644	Mylan Pharmaceuticals, Inc	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
0378-7970-93	J7644	Mylan Pharmaceuticals, Inc	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0487-9801-01	J7644	Nephron Pharmaceuticals Corp.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0487-9801-02	J7644	Nephron Pharmaceuticals Corp.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0487-9801-25	J7644	Nephron Pharmaceuticals Corp.	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
0487-9801-30	J7644	Nephron Pharmaceuticals Corp.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0487-9801-60	J7644	Nephron Pharmaceuticals Corp.	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
0591-3798-30	J7644	Actavis Pharma, Inc.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0591-3798-60	J7644	Actavis Pharma, Inc.	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
0591-3798-83	J7644	Actavis Pharma, Inc.	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
0781-7157-29	J7644	Sandoz, Inc.	Ipratropium bromide non-comp	1 MG	2.5	60	0.5	30
0781-7157-64	J7644	Sandoz, Inc.	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
0781-7157-86	J7644	Sandoz, Inc.	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
76204-100-01	J7644	Ritedose Pharmaceutical LLC	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
76204-100-25	J7644	Ritedose Pharmaceutical LLC	Ipratropium bromide non-comp	1 MG	2.5	25	0.5	12.5
76204-100-30	J7644	Ritedose Pharmaceutical LLC	Ipratropium bromide non-comp	1 MG	2.5	30	0.5	15
76204-100-60	J7644	Ritedose Pharmaceutical 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
0078-0494-71	J7682	Mylan Specialty, L.P.	Tobramycin non-comp unit	300 MG	5	56	1	56
0093-4085-63	J7682	Teva Pharmaceuticals USA, Inc.	Tobramycin non-comp unit	300 MG	5	56	1	56
0781-7171-56	J7682	Sandoz, 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
17478-340-38	J7682	Akorn	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
65162-914-46	J7682	Amneal Pharmaceuticals, LLC	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
66302-206-01	J7686	United Therapeutics	Treprostinil, non-comp unit	1.74 MG	2.9	28	1	28
66302-206-02	J7686	United Therapeutics	Treprostinil, non-comp unit	1.74 MG	2.9	28	1	28
66302-206-03	J7686	United Therapeutics	Treprostinil, non-comp unit	1.74 MG	2.9	4	1	4
66302-206-04	J7686	United Therapeutics	Treprostinil, non-comp unit	1.74 MG	2.9	4	1	4
0006-0461-02	J8501	Merck Sharp & Dohme Corp.	Oral aprepitant	5 MG	1	2	16	32
0006-0461-06	J8501	Merck Sharp & Dohme Corp.	Oral aprepitant	5 MG	1	6	16	96
0006-0462-06	J8501	Merck Sharp & Dohme Corp.	Oral aprepitant	5 MG	1	6	25	150
0006-0464-05	J8501	Merck Sharp & Dohme Corp.	Oral aprepitant	5 MG	1	5	8	40
0006-3066-03	J8501	Merck Sharp & Dohme Corp.	Oral aprepitant	5 MG	1	1	25	25
0006-3862-03	J8501	Merck Sharp & Dohme Corp.	Oral aprepitant	5 MG	1	3	57	57
0781-2321-06	J8501	Sandoz, 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
68462-112-33	J8501	Glenmark Pharmaceutical Inc., USA	Oral aprepitant	5 MG	1	3	57	57
68462-583-40	J8501	Glenmark Pharmaceutical Inc., USA	Oral aprepitant	5 MG	1	1	8	8
68462-583-85	J8501	Glenmark Pharmaceutical Inc., USA	Oral aprepitant	5 MG	1	5	8	40
68462-584-58	J8501	Glenmark Pharmaceutical Inc., USA	Oral aprepitant	5 MG	1	2	16	32
68462-584-76	J8501	Glenmark Pharmaceutical Inc., USA	Oral aprepitant	5 MG	1	6	16	96
68462-585-76	J8501	Glenmark Pharmaceutical Inc., USA	Oral aprepitant	5 MG	1	6	25	150
76388-713-25	J8510	Aspen Global Inc.	Oral busulfan	2 MG	1	25	1	25
0004-1100-20	J8520	Genentech, Inc.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0054-0271-21	J8520	West-Ward Pharmaceuticals Corp	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0093-7473-06	J8520	Teva Pharmaceuticals USA, Inc.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0378-2511-91	J8520	Mylan Pharmaceuticals, Inc	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
16714-467-01	J8520	NorthStar Rx LLC	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
16729-072-12	J8520	Accord Healthcare Inc.	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
64980-276-06	J8520	Rising Pharmaceuticals	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
65162-843-06	J8520	Amneal Pharmaceuticals, LLC	Capecitabine, oral, 150 mg	150 MG	60	1	60	60
0004-1101-50	J8521	Genentech, Inc.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0054-0272-23	J8521	West-Ward Pharmaceuticals Corp	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0093-7474-89	J8521	Teva Pharmaceuticals USA, Inc.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0378-2512-78	J8521	Mylan Pharmaceuticals, Inc	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
16714-468-01	J8521	NorthStar Rx LLC	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
16729-073-29	J8521	Accord Healthcare Inc.	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
51079-510-05	J8521	Mylan Institutional	Capecitabine, oral, 500 mg	500 MG	20	1	20	20
60687-149-94	J8521	American Health Packaging	Capecitabine, oral, 500 mg	500 MG	20	1	20	20
64980-277-12	J8521	Rising Pharmaceuticals	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
65162-844-16	J8521	Amneal Pharmaceuticals, LLC	Capecitabine, oral, 500 mg	500 MG	120	1	120	120
0054-0382-25	J8530	West-Ward Pharmaceuticals Corp	Cyclophosphamide oral 25 mg	25 MG	100	1	100	100
0054-0383-25	J8530	West-Ward Pharmaceuticals Corp	Cyclophosphamide oral 25 mg	25 MG	100	1	200	200
43975-307-10	J8530	Amerigen Pharmaceuticals	Cyclophosphamide oral 25 mg	25 MG	100	1	100	100
43975-308-10	J8530	Amerigen Pharmaceuticals	Cyclophosphamide oral 25 mg	25 MG	100	1	200	200
54879-021-01	J8530	STI Pharma, LLC	Cyclophosphamide oral 25 mg	25 MG	100	1	100	100
54879-022-01	J8530	STI Pharma, LLC	Cyclophosphamide oral 25 mg	25 MG	100	1	200	200
60432-466-08	J8540	Morton Grove Pharm.	Oral dexamethasone	0.25 MG	237	1	94.8	94.8
0378-3266-94	J8560	Mylan Pharmaceuticals, Inc	Etoposide oral 50 mg	50 MG	20	1	20	20
52609-0001-5	J8600	ApoPharma USA, Inc.	Melphalan oral 2 mg	2 MG	50	1	50	50
0054-4550-15	J8610	West-Ward Pharmaceuticals Corp	Methotrexate oral 2.5 mg	2.5 MG	36	1	36	36
0054-4550-25	J8610	West-Ward Pharmaceuticals Corp	Methotrexate oral 2.5 mg	2.5 MG	100	1	100	100
0054-8550-25	J8610	West-Ward Pharmaceuticals Corp	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
51079-670-05	J8610	Mylan Institutional	Methotrexate oral 2.5 mg	2.5 MG	20	1	20	20
51285-366-01	J8610	Duramed Pharmaceuticals, Inc.	Methotrexate oral 2.5 mg	2.5 MG	30	1	2	60
51285-367-01	J8610	Duramed Pharmaceuticals, Inc.	Methotrexate oral 2.5 mg	2.5 MG	30	1	90	90
51285-368-01	J8610	Duramed Pharmaceuticals, Inc.	Methotrexate oral 2.5 mg	2.5 MG	30	1	120	120
51285-369-01	J8610	Duramed Pharmaceuticals, Inc.	Methotrexate oral 2.5 mg	2.5 MG	30	1	180	180
67253-320-10	J8610	Vintage Pharmaceuticals, LLC	Methotrexate oral 2.5 mg	2.5 MG	100	1	100	100
67253-320-36	J8610	Vintage Pharmaceuticals, LLC	Methotrexate oral 2.5 mg	2.5 MG	36	1	36	36
69639-101-01	J8655	Helsinn Therapeutics (U.S.), Inc.	Oral netupitant, palonosetro	300 MG/0.5 MG	1	1	1	1
69656-101-02	J8670	TerSera Therapeutics LLC	Rolapitant, oral, 1mg	1 MG	2	1	180	180
0085-1366-03	J8700	Schering Corporation	Temozolomide	5 MG	1	5	20	100
0085-1366-04	J8700	Schering Corporation	Temozolomide	5 MG	1	14	20	280
0085-1417-02	J8700	Schering Corporation	Temozolomide	5 MG	1	5	50	250
0085-1425-03	J8700	Schering Corporation	Temozolomide	5 MG	1	5	28	140
0085-1425-04	J8700	Schering Corporation	Temozolomide	5 MG	1	14	28	392
0085-1430-03	J8700	Schering Corporation	Temozolomide	5 MG	1	5	36	180
0085-1430-04	J8700	Schering Corporation	Temozolomide	5 MG	1	14	36	504
0085-1519-03	J8700	Schering Corporation	Temozolomide	5 MG	1	5	4	20
0085-1519-04	J8700	Schering Corporation	Temozolomide	5 MG	1	14	4	56
0085-3004-03	J8700	Schering Corporation	Temozolomide	5 MG	1	5	1	5
0085-3004-04	J8700	Schering Corporation	Temozolomide	5 MG	1	14	1	14
0093-7599-41	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	14	1	14
0093-7599-57	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	5	1	5
0093-7600-41	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	14	4	56
0093-7600-57	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	5	4	20
0093-7601-41	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	14	20	280
0093-7601-57	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	5	20	100
0093-7602-57	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	5	50	250
0093-7638-41	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	14	28	392
0093-7638-57	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	5	28	140
0093-7639-41	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	14	36	504
0093-7639-57	J8700	Teva Pharmaceuticals USA, Inc.	Temozolomide	5 MG	1	5	36	180
0781-2691-44	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	14	1	14
0781-2691-75	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	5	1	5
0781-2692-44	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	14	4	56
0781-2692-75	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	5	4	20
0781-2693-44	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	14	20	280
0781-2693-75	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	5	20	100
0781-2694-44	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	14	28	392
0781-2694-75	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	5	28	140
0781-2695-44	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	14	36	504
0781-2695-75	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	5	36	180
0781-2696-75	J8700	Sandoz, Inc.	Temozolomide	5 MG	1	5	50	250
16729-048-53	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	5	1	5
16729-048-54	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	14	1	14
16729-049-53	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	5	4	20
16729-049-54	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	14	4	56
16729-050-53	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	5	20	100
16729-050-54	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	14	20	280
16729-051-53	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	5	50	250
16729-129-53	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	5	28	140
16729-129-54	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	14	28	392
16729-130-53	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	5	36	180
16729-130-54	J8700	Accord Healthcare Inc.	Temozolomide	5 MG	1	14	36	504
43975-252-05	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	5	1	5
43975-252-14	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	14	1	14
43975-253-05	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	5	4	20
43975-253-14	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	14	4	56
43975-254-05	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	5	20	100
43975-254-14	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	14	20	280
43975-255-05	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	5	28	140
43975-255-14	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	14	28	392
43975-256-05	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	5	36	180
43975-256-14	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	14	36	504
43975-257-05	J8700	Amerigen Pharmaceuticals	Temozolomide	5 MG	1	5	50	250
47335-890-21	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	14	1	14
47335-890-80	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	5	1	5
47335-891-21	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	14	4	56
47335-891-74	J8700	SUN PHARMACEUTICALS INDUSTRIES, IN	Temozolomide	5 MG	1	5	4	20
47335-891-80	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	5	4	20
47335-892-21	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	14	20	280
47335-892-74	J8700	SUN PHARMACEUTICALS INDUSTRIES, IN	Temozolomide	5 MG	1	5	20	100
47335-892-80	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	5	20	100
47335-893-74	J8700	SUN PHARMACEUTICALS INDUSTRIES, IN	Temozolomide	5 MG	1	5	50	250
47335-893-80	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	5	50	250
47335-929-21	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	14	28	392
47335-929-74	J8700	SUN PHARMACEUTICALS INDUSTRIES, IN	Temozolomide	5 MG	1	5	28	140
47335-929-80	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	5	28	140
47335-930-21	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	14	36	504
47335-930-80	J8700	Sun Pharmaceutical Global Fze.	Temozolomide	5 MG	1	5	36	180
64980-333-05	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	5	1	5
64980-333-14	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	14	1	14
64980-334-05	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	5	4	20
64980-334-14	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	14	4	56
64980-335-05	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	5	20	100
64980-335-14	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	14	20	280
64980-336-05	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	5	28	140
64980-336-14	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	14	28	392
64980-337-05	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	5	36	180
64980-337-14	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	14	36	504
64980-338-05	J8700	Rising Pharmaceuticals	Temozolomide	5 MG	1	5	50	250
65162-801-14	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	14	1	14
65162-801-51	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	5	1	5
65162-802-14	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	14	4	56
65162-802-51	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	5	4	20
65162-803-14	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	14	20	280
65162-803-51	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	5	20	100
65162-804-14	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	14	28	392
65162-804-51	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	5	28	140
65162-805-14	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	14	36	504
65162-805-51	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	5	36	180
65162-806-51	J8700	Amneal Pharmaceuticals, LLC	Temozolomide	5 MG	1	5	50	250
67877-537-07	J8700	Ascend Laboratories	Temozolomide	5 MG	1	5	1	5
67877-537-14	J8700	Ascend Laboratories	Temozolomide	5 MG	1	14	1	14
67877-538-07	J8700	Ascend Laboratories	Temozolomide	5 MG	1	5	4	20
67877-538-14	J8700	Ascend Laboratories	Temozolomide	5 MG	1	14	4	56
67877-539-07	J8700	Ascend Laboratories	Temozolomide	5 MG	1	5	20	100
67877-539-14	J8700	Ascend Laboratories	Temozolomide	5 MG	1	14	20	280
67877-540-07	J8700	Ascend Laboratories	Temozolomide	5 MG	1	5	28	140
67877-540-14	J8700	Ascend Laboratories	Temozolomide	5 MG	1	14	28	392
67877-541-07	J8700	Ascend Laboratories	Temozolomide	5 MG	1	5	36	180
67877-541-14	J8700	Ascend Laboratories	Temozolomide	5 MG	1	14	36	504
67877-542-07	J8700	Ascend Laboratories	Temozolomide	5 MG	1	5	50	250
0078-0672-01	J8705	Novartis Pharmaceuticals Corporation	Topotecan oral	0.25 mg	1	10	1	10
0078-0673-01	J8705	Novartis Pharmaceuticals Corporation	Topotecan oral	0.25 mg	1	10	4	40
0069-3030-20	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	5	1	1	1
0069-3031-20	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	10	1	2	2
0069-3032-20	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	25	1	5	5
0069-3033-20	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	75	1	15	15
0069-3034-20	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	100	1	20	20
0069-4004-05	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	5	1	1	1
0069-4015-10	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	10	1	2	2
0069-4026-25	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	25	1	5	5
0069-4030-01	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	5	1	1	1
0069-4031-01	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	10	1	2	2
0069-4032-01	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	25	1	5	5
0069-4033-01	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	75	1	15	15
0069-4034-01	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	100	1	20	20
0069-4037-01	J9000	Pfizer Inc.	Doxorubicin hcl injection	10 MG	100	1	20	20
0143-9275-01	J9000	West-Ward Pharmaceuticals Corp	Doxorubicin hcl injection	10 MG	1	1	1	1
0143-9277-01	J9000	West-Ward Pharmaceuticals Corp	Doxorubicin hcl injection	10 MG	1	1	5	5
0143-9546-01	J9000	West-Ward Pharmaceuticals Corp	Doxorubicin hcl injection	10 MG	100	1	20	20
0143-9547-01	J9000	West-Ward Pharmaceuticals Corp	Doxorubicin hcl injection	10 MG	25	1	5	5
0143-9548-10	J9000	West-Ward Pharmaceuticals Corp	Doxorubicin hcl injection	10 MG	10	10	2	20
0143-9549-10	J9000	West-Ward Pharmaceuticals Corp	Doxorubicin hcl injection	10 MG	5	10	1	10
0703-5040-01	J9000	Sicor Pharmaceuticals, Inc.	Doxorubicin hcl injection	10 MG	100	1	20	20
0703-5046-01	J9000	Sicor Pharmaceuticals, Inc.	Doxorubicin hcl injection	10 MG	25	1	5	5
25021-207-05	J9000	Sagent Pharmaceuticals Inc	Doxorubicin hcl injection	10 MG	5	10	1	10
25021-207-25	J9000	Sagent Pharmaceuticals Inc	Doxorubicin hcl injection	10 MG	25	1	5	5
25021-207-51	J9000	Sagent Pharmaceuticals Inc	Doxorubicin hcl injection	10 MG	100	1	20	20
45963-733-55	J9000	Actavis Pharma, Inc.	Doxorubicin hcl injection	10 MG	5	1	1	1
45963-733-57	J9000	Actavis Pharma, Inc.	Doxorubicin hcl injection	10 MG	10	1	2	2
45963-733-60	J9000	Actavis Pharma, Inc.	Doxorubicin hcl injection	10 MG	100	1	20	20
45963-733-68	J9000	Actavis Pharma, Inc.	Doxorubicin hcl injection	10 MG	25	1	5	5
63323-101-61	J9000	Fresenius Kabi 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
63323-883-10	J9000	Fresenius Kabi USA LLC	Doxorubicin hcl injection	10 MG	10	1	2	2
63323-883-30	J9000	Fresenius Kabi USA LLC	Doxorubicin hcl injection	10 MG	25	1	5	5
67457-436-50	J9000	Mylan Institutional	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
14789-600-10	J9017	NEXUS PHARMA	Arsenic trioxide injection	1 MG	10	10	10	100
50742-438-10	J9017	INGENUS PHARMACEUTICALS	Arsenic trioxide injection	1 MG	10	1	10	10
63323-637-10	J9017	FRESENIUS KABI USA, LLC	Arsenic trioxide injection	1 MG	10	10	10	100
63459-600-10	J9017	Cephalon Inc.	Arsenic trioxide injection	1 MG	10	10	10	100
63459-601-06	J9017	Cephalon Inc.	Arsenic trioxide injection	1 MG	6	10	12	120
68382-997-10	J9017	ZYDUS PHARMACEUTICALS (USA) INC.	Arsenic trioxide injection	1 MG	10	10	10	100
69918-720-10	J9017	AMRING PHARMACEUTICALS, INC.	Arsenic trioxide injection	1 MG	10	10	10	100
57902-249-05	J9019	Jazz Pharmaceuticals, Inc.	Erwinaze injection	1,000 IU	1	5	10	50
50242-917-01	J9022	Genentech, Inc.	Inj, atezolizumab,10 mg	10mg	20	1	120	120
44087-3535-1	J9023	EMD Serono	Injection, avelumab, 10 mg	10 MG	10	1	20	20
0591-2897-49	J9025	Actavis Pharma, Inc.	Azacitidine injection	1 MG	1	1	100	100
0781-3253-94	J9025	Sandoz, Inc.	Azacitidine injection	1 MG	1	1	100	100
0781-9253-94	J9025	Sandoz, Inc.	Azacitidine injection	1 MG	1	1	100	100
43598-305-62	J9025	Dr. Reddy's Laboratories, Inc.	Azacitidine injection	1 MG	1	1	100	100
43598-465-62	J9025	Dr. Reddy's Laboratories, Inc.	Azacitidine injection	1 MG	1	1	100	100
43598-678-11	J9025	Dr. Reddy's Laboratories, Inc.	Azacitidine injection	1 MG	1	1	100	100
51991-797-98	J9025	Breckenridge Pharmaceutical	Azacitidine injection	1 MG	1	1	100	100
59572-102-01	J9025	Celgene Corporation	Azacitidine injection	1 MG	1	1	100	100
63323-771-39	J9025	Fresenius Kabi USA LLC	Azacitidine injection	1 MG	1	1	100	100
67457-254-30	J9025	Mylan Institutional	Azacitidine injection	1 MG	1	1	100	100
68001-313-56	J9025	American Health Packaging	Azacitidine injection	1 MG	1	1	100	100
72485-201-01	J9025	ARMAS PHARMACEUTICALS	Azacitidine injection	1 MG	1	1	100	100
0024-5860-01	J9027	Sanofi-Aventis	Clofarabine injection	1 MG	20	1	20	20
0024-5917-01	J9027	Sanofi-Aventis	Clofarabine injection	1 MG	20	1	20	20
0955-1746-01	J9027	Sanofi-Aventis	Clofarabine injection	1 MG	20	1	20	20
43598-309-20	J9027	Dr. Reddy's Laboratories, Inc.	Clofarabine injection	1 MG	20	1	20	20
60505-6166-0	J9027	APOTEX CORP.	Clofarabine injection	1 MG	20	1	20	20
63323-572-70	J9027	Fresenius Kabi USA LLC	Clofarabine injection	1 MG	20	1	20	20
67457-546-20	J9027	Mylan Institutional	Clofarabine injection	1 MG	20	1	20	20
70121-1236-1	J9027	Amneal Biosciences	Clofarabine injection	1 MG	20	1	20	20
0052-0602-02	J9031	Organon USA, Inc.	Bcg live intravesical vac	1 EA	1	1	1	1
0052-0603-02	J9031	Organon USA, Inc.	Bcg live intravesical vac	1 EA	1	1	1	1
68152-108-09	J9032	Spectrum Pharmaceuticals	Injection, belinostat, 10mg	10 MG	1	1	50	50
63459-390-08	J9033	Cephalon Inc.	Inj., treanda 1 mg	1 MG	1	1	25	25
63459-391-20	J9033	Cephalon Inc.	Inj., treanda 1 mg	1 MG	1	1	100	100
63459-348-04	J9034	Cephalon Inc.	Inj., bendeka 1 mg	1 MG	4	1	100	100
50242-060-01	J9035	Genentech, Inc.	Bevacizumab injection	10 MG	4	1	10	10
50242-061-01	J9035	Genentech, Inc.	Bevacizumab injection	10 MG	16	1	40	40
55513-160-01	J9039	Amgen USA, Inc.	Injection, blinatumomab	1 MCG	1	1	35	35
0143-9240-01	J9040	West-Ward Pharmaceuticals Corp	Bleomycin sulfate injection	15 UNITS	1	1	1	1
0143-9241-01	J9040	West-Ward Pharmaceuticals Corp	Bleomycin sulfate injection	15 UNITS	1	1	2	2
0409-0323-20	J9040	Pfizer Inc.	Bleomycin sulfate injection	15 UNITS	1	1	2	2
0409-0332-20	J9040	Pfizer Inc.	Bleomycin sulfate injection	15 UNITS	1	1	1	1
0703-3154-01	J9040	Sicor Pharmaceuticals, Inc.	Bleomycin sulfate injection	15 UNITS	1	1	1	1
0703-3155-01	J9040	Sicor Pharmaceuticals, Inc.	Bleomycin sulfate injection	15 UNITS	1	1	2	2
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
70121-1567-1	J9040	Amneal Biosciences	Bleomycin sulfate injection	15 UNITS	1	1	1	1
63020-049-01	J9041	Millennium Pharmaceuticals	Inj., velcade 0.1 mg	0.1 MG	1	1	35	35
51144-050-01	J9042	Seattle Genetics	Brentuximab vedotin inj	1mg	1	1	50	50
0024-5824-11	J9043	Sanofi-Aventis	Cabazitaxel injection	1 MG	1	1	60	60
63323-721-10	J9044	Fresenius Kabi USA LLC	Inj, bortezomib, nos, 0.1 mg	0.1 MG	1	1	35	35
0703-4239-01	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	60	1	12	12
0703-4239-81	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	60	1	12	12
0703-4244-01	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	5	1	1	1
0703-4244-81	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	5	1	1	1
0703-4246-01	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	15	1	3	3
0703-4246-81	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	15	1	3	3
0703-4248-01	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	45	1	9	9
0703-4248-81	J9045	Sicor Pharmaceuticals, Inc.	Carboplatin injection	50 MG	45	1	9	9
16729-295-12	J9045	Accord Healthcare Inc.	Carboplatin injection	50 MG	60	1	12	12
16729-295-31	J9045	Accord Healthcare Inc.	Carboplatin injection	50 MG	5	1	1	1
16729-295-33	J9045	Accord Healthcare Inc.	Carboplatin injection	50 MG	15	1	3	3
16729-295-34	J9045	Accord Healthcare Inc.	Carboplatin injection	50 MG	45	1	9	9
25021-202-15	J9045	Sagent Pharmaceuticals Inc	Carboplatin injection	50 MG	15	1	3	3
25021-202-45	J9045	Sagent Pharmaceuticals Inc	Carboplatin injection	50 MG	45	1	9	9
25021-202-51	J9045	Sagent Pharmaceuticals Inc	Carboplatin injection	50 MG	60	1	12	12
47781-603-20	J9045	Alvogen, Inc.	Carboplatin injection	50 MG	5	1	1	1
47781-604-27	J9045	Alvogen, Inc.	Carboplatin injection	50 MG	15	1	3	3
47781-605-94	J9045	Alvogen, Inc.	Carboplatin injection	50 MG	45	1	9	9
47781-606-94	J9045	Alvogen, Inc.	Carboplatin injection	50 MG	60	1	12	12
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
61703-339-18	J9045	Pfizer Inc.	Carboplatin injection	50 MG	5	1	1	1
61703-339-22	J9045	Pfizer Inc.	Carboplatin injection	50 MG	15	1	3	3
61703-339-50	J9045	Pfizer Inc.	Carboplatin injection	50 MG	45	1	9	9
61703-339-56	J9045	Pfizer Inc.	Carboplatin injection	50 MG	45	1	12	12
63323-172-45	J9045	Fresenius Kabi USA LLC	Carboplatin injection	50 MG	45	1	9	9
63323-172-60	J9045	Fresenius Kabi USA LLC	Carboplatin injection	50 MG	60	1	12	12
76075-101-01	J9047	Amgen USA, Inc.	Injection, carfilzomib, 1 mg	1 mg	1	1	60	60
76075-102-01	J9047	Amgen USA, Inc.	Injection, carfilzomib, 1 mg	1 mg	1	1	30	30
76075-103-01	J9047	Amgen USA, Inc.	Injection, carfilzomib, 1 mg	1 MG	1	1	10	10
23155-261-41	J9050	Heritage Pharmaceuticals, Inc.	Carmustine injection	100 MG	1	1	1	1
70121-1482-2	J9050	AMNEAL BIOSCIENCES	Carmustine injection	100 MG	1	1	1	1
70710-1525-9	J9050	Zydus Pharmaceuticals	Carmustine injection	100 MG	1	1	1	1
66733-948-23	J9055	Eli Lilly and Company	Cetuximab injection	10 MG	50	1	10	10
66733-958-23	J9055	Eli Lilly and Company	Cetuximab injection	10 MG	100	1	20	20
0703-5747-11	J9060	Sicor Pharmaceuticals, Inc.	Cisplatin 10 mg injection	10 MG	50	1	5	5
0703-5748-11	J9060	Sicor Pharmaceuticals, Inc.	Cisplatin 10 mg injection	10 MG	100	1	10	10
16729-288-11	J9060	Accord Healthcare Inc.	Cisplatin 10 mg injection	10 MG	50	1	5	5
16729-288-38	J9060	Accord Healthcare Inc.	Cisplatin 10 mg injection	10 MG	100	1	10	10
44567-509-01	J9060	WG Critical Care	Cisplatin 10 mg injection	10 MG	50	1	5	5
44567-510-01	J9060	WG Critical Care	Cisplatin 10 mg injection	10 MG	100	1	10	10
44567-511-01	J9060	WG Critical Care	Cisplatin 10 mg injection	10 MG	200	1	20	20
47781-609-25	J9060	Alvogen, Inc.	Cisplatin 10 mg injection	10 MG	50	1	5	5
47781-610-23	J9060	Alvogen, Inc.	Cisplatin 10 mg injection	10 MG	100	1	10	10
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	American Health Packaging	Cisplatin 10 mg injection	10 MG	50	1	5	5
68001-283-32	J9060	American Health Packaging	Cisplatin 10 mg injection	10 MG	100	1	10	10
70860-206-50	J9060	Athenex Pharmaceutical Division, LLC.	Cisplatin 10 mg injection	10 MG	50	1	5	5
70860-206-51	J9060	Athenex Pharmaceutical Division, LLC.	Cisplatin 10 mg injection	10 MG	100	1	10	10
63323-140-10	J9065	Fresenius Kabi USA LLC	Inj cladribine per 1 mg	1 MG	10	1	10	10
67457-450-10	J9065	Mylan Institutional	Inj cladribine per 1 mg	1 MG	10	1	10	10
0781-3233-94	J9070	Sandoz, Inc.	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
0781-3244-94	J9070	Sandoz, Inc.	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
0781-3255-94	J9070	Sandoz, Inc.	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-935-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-936-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-937-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-938-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-939-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-942-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-943-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-944-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-945-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
10019-955-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
10019-956-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
10019-957-01	J9070	Baxter Healthcare Corporation	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
70121-1238-1	J9070	Amneal Biosciences	Cyclophosphamide 100 mg inj	100 MG	50	1	5	5
70121-1239-1	J9070	Amneal Biosciences	Cyclophosphamide 100 mg inj	100 MG	75	1	10	10
70121-1240-1	J9070	Amneal Biosciences	Cyclophosphamide 100 mg inj	100 MG	100	1	20	20
61703-303-46	J9100	Pfizer Inc.	Cytarabine hcl 100 mg inj	100 MG	50	1	10	10
61703-304-36	J9100	Pfizer Inc.	Cytarabine hcl 100 mg inj	100 MG	25	1	5	5
61703-305-38	J9100	Pfizer Inc.	Cytarabine hcl 100 mg inj	100 MG	5	5	1	5
61703-319-22	J9100	Pfizer Inc.	Cytarabine hcl 100 mg inj	100 MG	20	1	20	20
63323-120-20	J9100	Fresenius Kabi USA LLC	Cytarabine hcl 100 mg inj	100 MG	1	1	20	20
67457-452-20	J9100	Mylan Institutional	Cytarabine hcl 100 mg inj	100 MG	20	1	20	20
67457-454-50	J9100	Mylan Institutional	Cytarabine hcl 100 mg inj	100 MG	50	1	10	10
67457-455-52	J9100	Mylan Institutional	Cytarabine hcl 100 mg inj	100 MG	5	10	1	10
55292-811-55	J9120	Recordati Rare Diseases	Dactinomycin injection	0.5 MG	1	1	1	1
67457-513-05	J9120	Mylan Institutional	Dactinomycin injection	0.5 MG	1	1	1	1
67457-513-99	J9120	Mylan Institutional	Dactinomycin injection	0.5 MG	1	12	1	12
0703-5075-01	J9130	Sicor Pharmaceuticals, Inc.	Dacarbazine 100 mg inj	100 MG	1	1	2	2
0703-5075-03	J9130	Sicor Pharmaceuticals, Inc.	Dacarbazine 100 mg inj	100 MG	1	10	2	20
61703-327-22	J9130	Pfizer Inc.	Dacarbazine 100 mg inj	100 MG	1	1	2	2
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
57894-502-05	J9145	Janssen Biotech, Inc.	Injection, daratumumab 10 mg	10 MG	5	1	10	10
57894-502-20	J9145	Janssen Biotech, Inc.	Injection, daratumumab 10 mg	10 MG	20	1	40	40
0143-9550-01	J9150	West-Ward Pharmaceuticals Corp	Daunorubicin injection	10 MG	10	1	5	5
0143-9551-10	J9150	West-Ward Pharmaceuticals Corp	Daunorubicin injection	10 MG	4	10	2	20
0703-5233-13	J9150	Sicor Pharmaceuticals, Inc.	Daunorubicin injection	10 MG	1	10	2	20
68727-745-01	J9153	Jazz Pharmaceuticals, Inc.	Inj daunorubicin, cytarabine	1 MG/2.27 MG	1	1	44	44
68727-745-02	J9153	Jazz Pharmaceuticals, Inc.	Inj daunorubicin, cytarabine	1 MG/2.27 MG	1	2	44	88
68727-745-05	J9153	Jazz Pharmaceuticals, Inc.	Inj daunorubicin, cytarabine	1 MG/2.27 MG	1	5	44	220
55566-8303-1	J9155	Ferring Pharmaceuticals Inc.	Degarelix injection	1 MG	1	1	80	80
55566-8403-1	J9155	Ferring Pharmaceuticals Inc.	Degarelix injection	1 MG	1	2	120	240
0075-8003-01	J9171	Sanofi-Aventis	Docetaxel injection	1 MG	1	1	20	20
0075-8004-04	J9171	Sanofi-Aventis	Docetaxel injection	1 MG	4	1	80	80
0409-0201-02	J9171	Pfizer Inc.	Docetaxel injection	1 MG	2	1	20	20
0409-0201-10	J9171	Pfizer Inc.	Docetaxel injection	1 MG	8	1	80	80
0409-0201-20	J9171	Pfizer Inc.	Docetaxel injection	1 MG	16	1	160	160
0409-0366-01	J9171	Pfizer Inc.	Docetaxel injection	1 MG	1	1	20	20
0409-0367-01	J9171	Pfizer Inc.	Docetaxel injection	1 MG	4	1	80	80
0409-0368-01	J9171	Pfizer Inc.	Docetaxel injection	1 MG	8	1	160	160
0955-1020-01	J9171	Sanofi-Aventis	Docetaxel injection	1 MG	1	1	20	20
0955-1021-04	J9171	Sanofi-Aventis	Docetaxel injection	1 MG	4	1	80	80
0955-1022-08	J9171	Sanofi-Aventis	Docetaxel injection	1 MG	8	1	160	160
16729-267-63	J9171	Accord Healthcare Inc.	Docetaxel injection	1 MG	1	1	20	20
16729-267-64	J9171	Accord Healthcare Inc.	Docetaxel injection	1 MG	4	1	80	80
16729-267-65	J9171	Accord Healthcare Inc.	Docetaxel injection	1 MG	8	1	160	160
25021-245-01	J9171	Sagent Pharmaceuticals Inc	Docetaxel injection	1 MG	1	1	20	20
25021-245-04	J9171	Sagent Pharmaceuticals Inc	Docetaxel injection	1 MG	4	1	80	80
39822-2120-1	J9171	X-Gen Pharmaceuticals, Inc.	Docetaxel injection	1 MG	1	1	20	20
39822-2180-1	J9171	X-Gen Pharmaceuticals, Inc.	Docetaxel injection	1 MG	4	1	80	80
39822-2200-1	J9171	X-Gen Pharmaceuticals, Inc.	Docetaxel injection	1 MG	10	1	200	200
42367-121-21	J9171	Eagle Pharmaceuticals, Inc.	Docetaxel injection	1 MG	1	1	20	20
42367-121-25	J9171	Eagle Pharmaceuticals, Inc.	Docetaxel injection	1 MG	4	1	80	80
42367-121-29	J9171	Eagle Pharmaceuticals, Inc.	Docetaxel injection	1 MG	8	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
43598-258-11	J9171	Dr. Reddy's Laboratories, Inc.	Docetaxel injection	1 MG	1	1	20	20
43598-259-40	J9171	Dr. Reddy's Laboratories, Inc.	Docetaxel injection	1 MG	4	1	80	80
43598-610-40	J9171	Dr. Reddy's Laboratories, Inc.	Docetaxel injection	1 MG	4	1	80	80
43598-611-11	J9171	Dr. Reddy's Laboratories, Inc.	Docetaxel injection	1 MG	1	1	20	20
45963-734-54	J9171	Actavis Pharma, Inc.	Docetaxel injection	1 MG	1	1	20	20
45963-765-52	J9171	Actavis Pharma, Inc.	Docetaxel injection	1 MG	4	1	80	80
45963-790-56	J9171	Actavis Pharma, Inc.	Docetaxel injection	1 MG	8	1	160	160
50742-428-02	J9171	Ingenus Pharmaceuticals, LLC	Docetaxel injection	1 MG	2	1	20	20
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
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
66758-950-02	J9171	Sandoz, Inc.	Docetaxel injection	1 MG	2	1	20	20
66758-950-03	J9171	Sandoz, Inc.	Docetaxel injection	1 MG	8	1	80	80
66758-950-04	J9171	Sandoz, Inc.	Docetaxel injection	1 MG	16	1	160	160
67457-531-02	J9171	Mylan Institutional	Docetaxel injection	1 MG	2	1	20	20
67457-532-08	J9171	Mylan Institutional	Docetaxel injection	1 MG	8	1	80	80
67457-533-16	J9171	Mylan Institutional	Docetaxel injection	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	Bristol-Myers Squibb Company	Injection, elotuzumab, 1mg	1 MG	1	1	300	300
0003-4522-11	J9176	Bristol-Myers Squibb Company	Injection, elotuzumab, 1mg	1 MG	1	1	400	400
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
0115-1675-72	J9178	Impax Laboratories, Inc.	Inj, epirubicin hcl, 2 mg	2 MG	25	1	25	25
0115-1675-73	J9178	Impax Laboratories, Inc.	Inj, epirubicin hcl, 2 mg	2 MG	100	1	100	100
0143-9202-01	J9178	West-Ward Pharmaceuticals Corp	Inj, epirubicin hcl, 2 mg	2 MG	25	1	25	25
0143-9203-01	J9178	West-Ward Pharmaceuticals Corp	Inj, epirubicin hcl, 2 mg	2 MG	100	1	100	100
25021-203-25	J9178	Sagent Pharmaceuticals Inc	Inj, epirubicin hcl, 2 mg	2 MG	25	1	25	25
25021-203-51	J9178	Sagent Pharmaceuticals Inc	Inj, epirubicin hcl, 2 mg	2 MG	100	1	100	100
45963-608-60	J9178	Actavis Pharma, Inc.	Inj, epirubicin hcl, 2 mg	2 MG	100	1	100	100
45963-608-68	J9178	Actavis Pharma, Inc.	Inj, epirubicin hcl, 2 mg	2 MG	25	1	25	25
62856-389-01	J9179	Eisai Inc.	Eribulin mesylate injection	0.1 MG	2	1	10	10
0015-3404-20	J9181	Bristol-Myers Squibb Company	Etoposide injection	10 MG	1	1	10	10
0143-9510-01	J9181	West-Ward Pharmaceuticals Corp	Etoposide injection	10 MG	5	1	10	10
0143-9511-01	J9181	West-Ward Pharmaceuticals Corp	Etoposide injection	10 MG	25	1	50	50
0143-9512-01	J9181	West-Ward Pharmaceuticals Corp	Etoposide injection	10 MG	50	1	100	100
0703-5653-01	J9181	Sicor Pharmaceuticals, Inc.	Etoposide injection	10 MG	5	1	10	10
0703-5656-01	J9181	Sicor Pharmaceuticals, Inc.	Etoposide injection	10 MG	25	1	50	50
0703-5657-01	J9181	Sicor Pharmaceuticals, Inc.	Etoposide injection	10 MG	50	1	100	100
16729-114-08	J9181	Accord Healthcare Inc.	Etoposide injection	10 MG	25	1	50	50
16729-114-11	J9181	Accord Healthcare Inc.	Etoposide injection	10 MG	50	1	100	100
16729-114-31	J9181	Accord Healthcare Inc.	Etoposide injection	10 MG	5	1	10	10
16729-262-31	J9181	Accord Healthcare Inc.	Etoposide injection	10 MG	5	1	10	10
63323-104-05	J9181	Fresenius Kabi USA LLC	Etoposide injection	10 MG	5	10	10	100
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	American Health Packaging	Etoposide injection	10 MG	5	1	10	10
68001-265-26	J9181	American Health Packaging	Etoposide injection	10 MG	25	1	50	50
68001-265-27	J9181	American Health Packaging	Etoposide injection	10 MG	50	1	100	100
24201-237-01	J9185	Leucadia Pharmaceuticals	Fludarabine phosphate inj	50 MG	1	1	1	1
25021-237-06	J9185	Sagent Pharmaceuticals Inc	Fludarabine phosphate inj	50 MG	1	1	1	1
25021-242-02	J9185	Sagent Pharmaceuticals Inc	Fludarabine phosphate inj	50 MG	2	1	1	1
45963-609-55	J9185	Actavis Pharma, Inc.	Fludarabine phosphate inj	50 MG	1	1	1	1
45963-621-51	J9185	Actavis Pharma, Inc.	Fludarabine phosphate inj	50 MG	1	1	1	1
61703-344-18	J9185	Pfizer Inc.	Fludarabine phosphate inj	50 MG	1	1	1	1
63323-192-02	J9185	Fresenius Kabi USA LLC	Fludarabine phosphate inj	50 MG	1	1	1	1
0703-3015-13	J9190	Sicor Pharmaceuticals, Inc.	Fluorouracil injection	500 MG	10	10	1	10
0703-3018-12	J9190	Sicor Pharmaceuticals, Inc.	Fluorouracil injection	500 MG	50	5	5	25
0703-3019-12	J9190	Sicor Pharmaceuticals, Inc.	Fluorouracil injection	500 MG	100	5	10	50
16729-276-11	J9190	Accord Healthcare Inc.	Fluorouracil injection	500 MG	50	1	5	5
16729-276-38	J9190	Accord Healthcare Inc.	Fluorouracil injection	500 MG	100	1	10	10
16729-276-67	J9190	Accord Healthcare Inc.	Fluorouracil injection	500 MG	20	10	2	20
16729-276-68	J9190	Accord Healthcare Inc.	Fluorouracil injection	500 MG	10	10	1	10
25021-215-98	J9190	Sagent Pharmaceuticals Inc	Fluorouracil injection	500 MG	50	1	5	5
25021-215-99	J9190	Sagent Pharmaceuticals Inc	Fluorouracil injection	500 MG	100	1	10	10
63323-117-10	J9190	Fresenius Kabi 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
0143-9270-01	J9200	HIKMA PHARMACEUTICALS USA INC.	Floxuridine injection	500 MG	1	1	1	1
63323-145-07	J9200	Fresenius Kabi USA LLC	Floxuridine injection	500 MG	1	1	1	1
0002-7501-01	J9201	Eli Lilly and Company	Gemcitabine hcl injection	200 MG	1	1	1	1
0002-7502-01	J9201	Eli Lilly and Company	Gemcitabine hcl injection	200 MG	1	1	5	5
0409-0181-01	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	26.3	1	5	5
0409-0181-25	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	26.3	1	5	5
0409-0182-01	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	52.6	1	10	10
0409-0182-25	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	52.6	1	10	10
0409-0183-01	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	5.26	1	1	1
0409-0183-25	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	5.26	1	1	1
0409-0185-01	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	1	1	1	1
0409-0186-01	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	1	1	5	5
0409-0187-01	J9201	Pfizer Inc.	Gemcitabine hcl injection	200 MG	1	1	10	10
16729-092-03	J9201	Accord Healthcare Inc.	Gemcitabine hcl injection	200 MG	1	1	1	1
16729-117-11	J9201	Accord Healthcare Inc.	Gemcitabine hcl injection	200 MG	1	1	5	5
16729-118-38	J9201	Accord Healthcare Inc.	Gemcitabine hcl injection	200 MG	1	1	10	10
16729-391-30	J9201	Accord Healthcare Inc.	Gemcitabine hcl injection	200 MG	2	1	1	1
16729-419-03	J9201	Accord Healthcare Inc.	Gemcitabine hcl injection	200 MG	10	1	5	5
16729-423-33	J9201	Accord Healthcare Inc.	Gemcitabine hcl injection	200 MG	15	1	7.5	7.5
16729-426-05	J9201	Accord Healthcare Inc.	Gemcitabine hcl injection	200 MG	20	1	10	10
23155-483-31	J9201	Heritage Pharmaceuticals, Inc.	Gemcitabine hcl injection	200 MG	1	1	1	1
25021-234-10	J9201	Sagent Pharmaceuticals Inc	Gemcitabine hcl injection	200 MG	1	1	1	1
25021-235-50	J9201	Sagent Pharmaceuticals Inc	Gemcitabine hcl injection	200 MG	1	1	5	5
45963-612-57	J9201	Actavis Pharma, Inc.	Gemcitabine hcl injection	200 MG	1	1	1	1
45963-619-59	J9201	Actavis Pharma, Inc.	Gemcitabine hcl injection	200 MG	1	1	5	5
45963-620-60	J9201	Actavis Pharma, Inc.	Gemcitabine hcl injection	200 MG	1	1	10	10
45963-623-57	J9201	Actavis Pharma, Inc.	Gemcitabine hcl injection	200 MG	1	1	1	1
45963-624-58	J9201	Actavis Pharma, Inc.	Gemcitabine hcl injection	200 MG	1	1	5	5
45963-636-60	J9201	Actavis Pharma, Inc.	Gemcitabine hcl injection	200 MG	1	1	10	10
60505-6113-6	J9201	APOTEX	Gemcitabine hcl injection	200 MG	5.26	1	1	1
60505-6114-0	J9201	APOTEX	Gemcitabine hcl injection	200 MG	26.3	1	5	5
60505-6115-2	J9201	APOTEX	Gemcitabine hcl injection	200 MG	52.6	1	10	10
63323-102-13	J9201	Fresenius Kabi USA LLC	Gemcitabine hcl injection	200 MG	1	1	1	1
63323-102-94	J9201	Fresenius Kabi USA LLC	Gemcitabine hcl injection	200 MG	1	1	1	1
63323-125-53	J9201	Fresenius Kabi USA LLC	Gemcitabine hcl injection	200 MG	1	1	5	5
63323-125-94	J9201	Fresenius Kabi USA LLC	Gemcitabine hcl injection	200 MG	1	1	5	5
63323-126-00	J9201	Fresenius Kabi USA LLC	Gemcitabine hcl injection	200 MG	1	1	10	10
67457-462-01	J9201	Mylan Institutional	Gemcitabine hcl injection	200 MG	1	1	5	5
67457-464-20	J9201	Mylan Institutional	Gemcitabine hcl injection	200 MG	1	1	1	1
67457-616-10	J9201	Mylan Institutional	Gemcitabine hcl injection	200 MG	5.26	1	1	1
67457-617-30	J9201	Mylan Institutional	Gemcitabine hcl injection	200 MG	26.3	1	5	5
67457-618-10	J9201	Mylan Institutional	Gemcitabine hcl injection	200 MG	52.6	1	10	10
68001-282-25	J9201	American Health Packaging	Gemcitabine hcl injection	200 MG	1	1	1	1
68001-282-26	J9201	American Health Packaging	Gemcitabine hcl injection	200 MG	1	1	5	5
68001-282-27	J9201	American Health Packaging	Gemcitabine hcl injection	200 MG	1	1	10	10
68001-359-37	J9201	American Health Packaging	Gemcitabine hcl injection	200 MG	20	1	10	10
70860-205-50	J9201	Athenex Pharmaceutical Division, LLC.	Gemcitabine hcl injection	200 MG	1	1	5	5
0310-0950-36	J9202	TerSera Therapeutics LLC	Goserelin acetate implant	3.6 MG	1	1	1	1
0310-0951-30	J9202	TerSera Therapeutics LLC	Goserelin acetate implant	3.6 MG	1	1	3	3
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
15054-0043-1	J9205	Ipsen Biopharmaceuticals, Inc	Inj irinotecan liposome 1 mg	1 MG	10	1	43	43
69171-398-01	J9205	Ipsen Biopharmaceuticals, Inc	Inj irinotecan liposome 1 mg	1 MG	10	1	43	43
0009-7529-03	J9206	Pfizer Inc.	Irinotecan injection	20 MG	5	1	5	5
0009-7529-04	J9206	Pfizer Inc.	Irinotecan injection	20 MG	2	1	2	2
0009-7529-05	J9206	Pfizer Inc.	Irinotecan injection	20 MG	15	1	15	15
0143-9583-01	J9206	West-Ward Pharmaceuticals Corp	Irinotecan injection	20 MG	5	1	5	5
0143-9701-01	J9206	West-Ward Pharmaceuticals Corp	Irinotecan injection	20 MG	5	1	5	5
0143-9702-01	J9206	West-Ward Pharmaceuticals Corp	Irinotecan injection	20 MG	2	1	2	2
0703-4432-11	J9206	Sicor Pharmaceuticals, Inc.	Irinotecan injection	20 MG	2	1	2	2
0703-4432-81	J9206	Sicor Pharmaceuticals, Inc.	Irinotecan injection	20 MG	2	1	2	2
0703-4434-81	J9206	Sicor Pharmaceuticals, Inc.	Irinotecan injection	20 MG	5	1	5	5
16714-725-01	J9206	NorthStar Rx LLC	Irinotecan injection	20 MG	2	1	2	2
16714-726-01	J9206	NorthStar Rx LLC	Irinotecan injection	20 MG	5	1	5	5
25021-230-02	J9206	Sagent Pharmaceuticals Inc	Irinotecan injection	20 MG	2	1	2	2
25021-230-05	J9206	Sagent Pharmaceuticals Inc	Irinotecan injection	20 MG	5	1	5	5
45963-614-51	J9206	Actavis Pharma, Inc.	Irinotecan injection	20 MG	2	1	2	2
45963-614-55	J9206	Actavis Pharma, Inc.	Irinotecan injection	20 MG	5	1	5	5
45963-614-85	J9206	TEVA PHARMACEUTICALS USA	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
60505-6128-0	J9206	APOTEX CORP.	Irinotecan injection	20 MG	2	1	2	2
60505-6128-1	J9206	APOTEX CORP.	Irinotecan injection	20 MG	5	1	5	5
61703-349-09	J9206	Pfizer Inc.	Irinotecan injection	20 MG	5	1	5	5
61703-349-16	J9206	Pfizer Inc.	Irinotecan injection	20 MG	2	1	2	2
61703-349-36	J9206	Pfizer Inc.	Irinotecan injection	20 MG	25	1	25	25
63323-193-52	J9206	Fresenius Kabi 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
68001-284-25	J9206	American Health Packaging	Irinotecan injection	20 MG	5	1	5	5
68001-284-34	J9206	American Health Packaging	Irinotecan injection	20 MG	2	1	2	2
70020-1910-1	J9207	R-Pharm US	Ixabepilone injection	1 MG	1	1	15	15
70020-1911-1	J9207	R-Pharm US	Ixabepilone injection	1 MG	1	1	45	45
0143-9530-01	J9208	West-Ward Pharmaceuticals Corp	Ifosfamide injection	1 GM	1	1	3	3
0143-9531-01	J9208	West-Ward Pharmaceuticals Corp	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
0703-3427-11	J9208	Sicor Pharmaceuticals, Inc.	Ifosfamide injection	1 GM	1	1	1	1
0703-3429-11	J9208	Sicor Pharmaceuticals, Inc.	Ifosfamide injection	1 GM	1	1	3	3
10019-925-01	J9208	Baxter Healthcare Corporation	Ifosfamide injection	1 GM	1	1	1	1
10019-926-02	J9208	Baxter Healthcare Corporation	Ifosfamide injection	1 GM	1	1	3	3
63323-142-10	J9208	Fresenius Kabi USA LLC	Ifosfamide injection	1 GM	1	1	1	1
63323-142-12	J9208	Fresenius Kabi USA LLC	Ifosfamide injection	1 GM	1	1	1	1
0338-1305-01	J9209	Baxter Healthcare Corporation	Mesna injection	200 MG	10	1	5	5
0338-1305-03	J9209	Baxter Healthcare Corporation	Mesna injection	200 MG	10	10	5	50
0703-4805-01	J9209	Sicor Pharmaceuticals, Inc.	Mesna injection	200 MG	10	1	5	5
10019-953-01	J9209	Baxter Healthcare Corporation	Mesna injection	200 MG	10	1	5	5
10019-953-02	J9209	Baxter Healthcare Corporation	Mesna injection	200 MG	10	10	5	50
25021-201-10	J9209	Sagent Pharmaceuticals Inc	Mesna injection	200 MG	10	1	5	5
25021-201-11	J9209	Sagent Pharmaceuticals Inc	Mesna injection	200 MG	10	10	5	50
25021-201-68	J9209	Sagent Pharmaceuticals Inc	Mesna injection	200 MG	10	1	5	5
25021-201-69	J9209	Sagent Pharmaceuticals Inc	Mesna injection	200 MG	10	10	5	50
47781-622-22	J9209	Alvogen, Inc.	Mesna injection	200 MG	10	1	5	5
47781-622-91	J9209	Alvogen, Inc.	Mesna injection	200 MG	10	10	5	50
63323-733-10	J9209	Fresenius Kabi USA LLC	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
0013-2576-91	J9211	Pfizer Inc.	Idarubicin hcl injection	5 MG	5	1	1	1
0013-2586-91	J9211	Pfizer Inc.	Idarubicin hcl injection	5 MG	10	1	2	2
0013-2596-91	J9211	Pfizer Inc.	Idarubicin hcl injection	5 MG	20	1	4	4
0143-9217-01	J9211	West-Ward Pharmaceuticals Corp	Idarubicin hcl injection	5 MG	5	1	1	1
0143-9218-01	J9211	West-Ward Pharmaceuticals Corp	Idarubicin hcl injection	5 MG	10	1	2	2
0143-9219-01	J9211	West-Ward Pharmaceuticals Corp	Idarubicin hcl injection	5 MG	20	1	4	4
0143-9306-01	J9211	West-Ward Pharmaceuticals Corp	Idarubicin hcl injection	5 MG	5	1	1	1
0143-9307-01	J9211	West-Ward Pharmaceuticals Corp	Idarubicin hcl injection	5 MG	10	1	2	2
0143-9308-01	J9211	West-Ward Pharmaceuticals Corp	Idarubicin hcl injection	5 MG	20	1	4	4
0703-4154-11	J9211	Sicor Pharmaceuticals, Inc.	Idarubicin hcl injection	5 MG	5	1	1	1
0703-4155-11	J9211	Sicor Pharmaceuticals, Inc.	Idarubicin hcl injection	5 MG	10	1	2	2
0703-4156-11	J9211	Sicor Pharmaceuticals, Inc.	Idarubicin hcl injection	5 MG	20	1	4	4
63323-194-20	J9211	Fresenius Kabi USA LLC	Idarubicin hcl injection	5 MG	20	1	4	4
0085-1133-01	J9214	Schering Corporation	Interferon alfa-2b inj	1 MIL UNITS	2.5	1	25	25
0085-1168-01	J9214	Schering Corporation	Interferon alfa-2b inj	1 MIL UNITS	3	1	18	18
0085-4350-01	J9214	Schering Corporation	Interferon alfa-2b inj	1 MIL UNITS	1	1	10	10
0085-4351-01	J9214	Schering Corporation	Interferon alfa-2b inj	1 MIL UNITS	1	1	18	18
0085-4352-01	J9214	Schering Corporation	Interferon alfa-2b inj	1 MIL UNITS	1	1	50	50
0074-2108-03	J9217	AbbVie US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	1	1
0074-2440-03	J9217	AbbVie US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	2	2
0074-3346-03	J9217	AbbVie US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	3	3
0074-3473-03	J9217	AbbVie US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	6	6
0074-3642-03	J9217	AbbVie US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	1	1
0074-3683-03	J9217	AbbVie US, LLC	Leuprolide acetate suspnsion	7.5 MG	1	1	4	4
62935-223-05	J9217	Tolmar	Leuprolide acetate suspnsion	7.5 MG	1	1	3	3
62935-303-30	J9217	Tolmar	Leuprolide acetate suspnsion	7.5 MG	1	1	4	4
62935-453-45	J9217	Tolmar	Leuprolide acetate suspnsion	7.5 MG	1	1	6	6
62935-753-75	J9217	Tolmar	Leuprolide acetate suspnsion	7.5 MG	1	1	1	1
0781-4003-32	J9218	Sandoz, Inc.	Leuprolide acetate injeciton	1 MG	2.8	1	14	14
67979-500-01	J9225	Endo Pharmaceuticals Valera Inc.	Vantas implant	50 MG	1	1	1	1
67979-002-01	J9226	Endo Pharmaceuticals Valera Inc.	Supprelin la implant	50 MG	1	1	1	1
0003-2327-11	J9228	Bristol-Myers Squibb Company	Ipilimumab injection	1 MG	10	1	50	50
0003-2328-22	J9228	Bristol-Myers Squibb Company	Ipilimumab injection	1 MG	40	1	200	200
25021-221-60	J9245	Sagent Pharmaceuticals Inc	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
42023-149-01	J9245	Par Pharmaceutical, Inc	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
43598-392-48	J9245	Dr. Reddy's Laboratories, Inc.	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
45963-686-02	J9245	Actavis Pharma, Inc.	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
52609-3001-0	J9245	ApoPharma USA, Inc.	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
63323-760-20	J9245	Fresenius Kabi USA LLC	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
67457-195-01	J9245	Mylan Institutional	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
67457-215-01	J9245	Mylan Institutional	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
67457-579-01	J9245	Mylan Institutional	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
68152-109-00	J9245	Spectrum Pharmaceuticals	Inj melphalan hydrochl 50 mg	50 MG	1	1	1	1
0143-9519-10	J9250	West-Ward Pharmaceuticals Corp	Methotrexate sodium inj	5 MG	2	10	10	100
0143-9830-01	J9250	West-Ward Pharmaceuticals Corp	Methotrexate sodium inj	5 MG	1	1	200	200
0703-3671-03	J9250	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	5 MG	2	10	10	100
0703-3671-93	J9250	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	5 MG	2	10	10	100
0703-3675-01	J9250	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	5 MG	10	1	50	50
0703-3675-91	J9250	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	5 MG	10	1	50	50
0703-3678-01	J9250	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	5 MG	40	1	200	200
0703-3678-81	J9250	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	5 MG	40	1	200	200
16729-277-03	J9250	Accord Healthcare Inc.	Methotrexate sodium inj	5 MG	10	1	50	50
16729-277-30	J9250	Accord Healthcare Inc.	Methotrexate sodium inj	5 MG	2	1	10	10
16729-277-35	J9250	Accord Healthcare Inc.	Methotrexate sodium inj	5 MG	40	1	200	200
61703-350-10	J9250	Pfizer Inc.	Methotrexate sodium inj	5 MG	2	5	10	50
61703-350-38	J9250	Pfizer Inc.	Methotrexate sodium inj	5 MG	2	5	10	50
61703-408-41	J9250	Pfizer Inc.	Methotrexate sodium inj	5 MG	40	1	200	200
63323-122-50	J9250	Fresenius Kabi USA LLC	Methotrexate sodium inj	5 MG	1	1	200	200
63323-123-10	J9250	Fresenius Kabi USA LLC	Methotrexate sodium inj	5 MG	10	1	50	50
67457-466-10	J9250	Mylan Institutional	Methotrexate sodium inj	5 MG	10	1	50	50
67457-480-40	J9250	Mylan Institutional	Methotrexate sodium inj	5 MG	40	1	200	200
0143-9519-10	J9260	West-Ward Pharmaceuticals Corp	Methotrexate sodium inj	50 MG	2	10	1	10
0143-9830-01	J9260	West-Ward Pharmaceuticals Corp	Methotrexate sodium inj	50 MG	1	1	20	20
0703-3671-03	J9260	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	50 MG	2	10	1	10
0703-3671-93	J9260	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	50 MG	2	10	1	10
0703-3675-01	J9260	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	50 MG	10	1	5	5
0703-3675-91	J9260	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	50 MG	10	1	5	5
0703-3678-01	J9260	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	50 MG	40	1	20	20
0703-3678-81	J9260	Sicor Pharmaceuticals, Inc.	Methotrexate sodium inj	50 MG	40	1	20	20
16729-277-03	J9260	Accord Healthcare Inc.	Methotrexate sodium inj	50 MG	10	1	5	5
16729-277-30	J9260	Accord Healthcare Inc.	Methotrexate sodium inj	50 MG	2	1	1	1
16729-277-35	J9260	Accord Healthcare Inc.	Methotrexate sodium inj	50 MG	40	1	20	20
61703-350-10	J9260	Pfizer Inc.	Methotrexate sodium inj	50 MG	2	5	1	5
61703-350-38	J9260	Pfizer Inc.	Methotrexate sodium inj	50 MG	2	5	1	5
61703-408-41	J9260	Pfizer Inc.	Methotrexate sodium inj	50 MG	40	1	20	20
63323-122-50	J9260	Fresenius Kabi USA LLC	Methotrexate sodium inj	50 MG	1	1	20	20
63323-123-10	J9260	Fresenius Kabi USA LLC	Methotrexate sodium inj	50 MG	10	1	5	5
67457-466-10	J9260	Mylan Institutional	Methotrexate sodium inj	50 MG	10	1	5	5
67457-480-40	J9260	Mylan Institutional	Methotrexate sodium inj	50 MG	40	1	20	20
0078-0683-06	J9261	Novartis Pharmaceuticals Corporation	Nelarabine injection	50 MG	50	6	5	30
0703-3985-01	J9263	Sicor Pharmaceuticals, Inc.	Oxaliplatin	0.5 MG	10	1	100	100
0703-3986-01	J9263	Sicor Pharmaceuticals, Inc.	Oxaliplatin	0.5 MG	20	1	200	200
0781-3315-70	J9263	Sandoz, Inc.	Oxaliplatin	0.5 MG	10	10	100	100
0781-3317-80	J9263	Sandoz, Inc.	Oxaliplatin	0.5 MG	20	10	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
0955-1725-10	J9263	Sanofi-Aventis	Oxaliplatin	0.5 MG	1	1	100	100
0955-1727-20	J9263	Sanofi-Aventis	Oxaliplatin	0.5 MG	1	1	200	200
0955-1731-10	J9263	Sanofi-Aventis	Oxaliplatin	0.5 MG	10	1	100	100
0955-1733-20	J9263	Sanofi-Aventis	Oxaliplatin	0.5 MG	20	1	200	200
16714-727-01	J9263	NorthStar Rx LLC	Oxaliplatin	0.5 MG	10	1	100	100
16714-728-01	J9263	NorthStar Rx LLC	Oxaliplatin	0.5 MG	20	1	200	200
16729-332-03	J9263	Accord Healthcare Inc.	Oxaliplatin	0.5 MG	10	10	100	100
16729-332-05	J9263	Accord Healthcare Inc.	Oxaliplatin	0.5 MG	20	10	200	200
25021-233-10	J9263	Sagent Pharmaceuticals Inc	Oxaliplatin	0.5 MG	10	10	100	100
25021-233-20	J9263	Sagent Pharmaceuticals Inc	Oxaliplatin	0.5 MG	20	10	200	200
43066-014-01	J9263	Baxter Healthcare Corporation	Oxaliplatin	0.5 MG	10	1	100	100
43066-018-01	J9263	Baxter Healthcare Corporation	Oxaliplatin	0.5 MG	20	1	200	200
45963-611-53	J9263	Actavis Pharma, Inc.	Oxaliplatin	0.5 MG	1	1	100	100
45963-611-59	J9263	Actavis Pharma, Inc.	Oxaliplatin	0.5 MG	1	1	200	200
45963-637-49	J9263	Actavis Pharma, Inc.	Oxaliplatin	0.5 MG	10	1	100	100
45963-638-58	J9263	Actavis Pharma, Inc.	Oxaliplatin	0.5 MG	20	1	200	200
47335-046-40	J9263	Sun Pharmaceutical Global Fze.	Oxaliplatin	0.5 MG	1	1	100	100
47335-047-40	J9263	Sun Pharmaceutical Global Fze.	Oxaliplatin	0.5 MG	1	1	200	200
47335-176-40	J9263	Sun Pharmaceutical Global Fze.	Oxaliplatin	0.5 MG	1	1	100	100
47335-178-40	J9263	Sun Pharmaceutical Global Fze.	Oxaliplatin	0.5 MG	1	1	200	200
47781-591-22	J9263	Alvogen, Inc.	Oxaliplatin	0.5 MG	10	10	100	100
47781-592-29	J9263	Alvogen, Inc.	Oxaliplatin	0.5 MG	20	10	200	200
51991-218-98	J9263	Breckenridge Pharmaceutical	Oxaliplatin	0.5 MG	10	10	100	100
51991-219-98	J9263	Breckenridge Pharmaceutical	Oxaliplatin	0.5 MG	20	10	200	200
51991-923-98	J9263	Breckenridge Pharmaceutical	Oxaliplatin	0.5 MG	20	10	200	200
60505-6132-6	J9263	APOTEX	Oxaliplatin	0.5 MG	10	1	100	100
60505-6132-7	J9263	APOTEX	Oxaliplatin	0.5 MG	20	1	200	200
61703-363-18	J9263	Pfizer Inc.	Oxaliplatin	0.5 MG	10	1	100	100
61703-363-22	J9263	Pfizer Inc.	Oxaliplatin	0.5 MG	20	1	200	200
63323-750-10	J9263	Fresenius Kabi 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	Oxaliplatin	0.5 MG	20	1	200	200
67457-469-10	J9263	Mylan Institutional	Oxaliplatin	0.5 MG	10	1	100	100
68001-341-36	J9263	American Health Packaging	Oxaliplatin	0.5 MG	10	1	100	100
68001-341-37	J9263	American Health Packaging	Oxaliplatin	0.5 MG	20	1	200	200
70860-201-10	J9263	Athenex Pharmaceutical Division, LLC.	Oxaliplatin	0.5 MG	10	10	100	100
70860-201-20	J9263	Athenex Pharmaceutical Division, LLC.	Oxaliplatin	0.5 MG	20	10	200	200
68817-134-50	J9264	Celgene Corporation	Paclitaxel protein bound	1 MG	50	1	100	100
0944-3810-01	J9266	Baxalta US Inc.	Pegaspargase injection	1 EA	5	1	1	1
0703-4764-01	J9267	Sicor Pharmaceuticals, Inc.	Paclitaxel injection	1 MG	5	1	30	30
0703-4764-81	J9267	Sicor Pharmaceuticals, Inc.	Paclitaxel injection	1 MG	5	1	30	30
0703-4766-01	J9267	Sicor Pharmaceuticals, Inc.	Paclitaxel injection	1 MG	16.7	1	100	100
0703-4766-81	J9267	Sicor Pharmaceuticals, Inc.	Paclitaxel injection	1 MG	16.7	1	100	100
0703-4767-01	J9267	Sicor Pharmaceuticals, Inc.	Paclitaxel injection	1 MG	25	1	150	150
0703-4768-01	J9267	Sicor Pharmaceuticals, Inc.	Paclitaxel injection	1 MG	50	1	300	300
0703-4768-81	J9267	Sicor Pharmaceuticals, Inc.	Paclitaxel injection	1 MG	50	1	300	300
44567-505-01	J9267	WG Critical Care	Paclitaxel injection	1 MG	16.7	1	100	100
44567-506-01	J9267	WG Critical Care	Paclitaxel injection	1 MG	50	1	300	300
45963-613-53	J9267	Actavis Pharma, Inc.	Paclitaxel injection	1 MG	16.7	1	100	100
45963-613-56	J9267	Actavis Pharma, Inc.	Paclitaxel injection	1 MG	5	1	30	30
45963-613-59	J9267	Actavis Pharma, Inc.	Paclitaxel injection	1 MG	50	1	300	300
45963-613-83	J9267	Actavis Pharma, Inc.	Paclitaxel injection	1 MG	16.7	1	100	100
45963-613-86	J9267	Actavis Pharma, Inc.	Paclitaxel injection	1 MG	5	1	30	30
45963-613-89	J9267	Actavis Pharma, Inc.	Paclitaxel injection	1 MG	50	1	300	300
47781-593-07	J9267	Alvogen, Inc.	Paclitaxel injection	1 MG	5	1	30	30
47781-594-07	J9267	Alvogen, Inc.	Paclitaxel injection	1 MG	16.7	1	100	100
47781-595-07	J9267	Alvogen, Inc.	Paclitaxel injection	1 MG	50	1	300	300
51991-938-98	J9267	Breckenridge Pharmaceutical	Paclitaxel injection	1 MG	50	1	300	300
61703-342-09	J9267	Pfizer Inc.	Paclitaxel injection	1 MG	5	1	30	30
61703-342-22	J9267	Pfizer Inc.	Paclitaxel injection	1 MG	16.7	1	100	100
61703-342-50	J9267	Pfizer Inc.	Paclitaxel injection	1 MG	50	1	300	300
63323-763-05	J9267	Fresenius Kabi USA LLC	Paclitaxel injection	1 MG	5	1	30	30
63323-763-16	J9267	Fresenius Kabi USA LLC	Paclitaxel injection	1 MG	16.7	1	100	100
63323-763-17	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
63323-763-52	J9267	Fresenius Kabi USA LLC	Paclitaxel injection	1 MG	50	1	300	300
67457-434-51	J9267	Mylan Institutional	Paclitaxel injection	1 MG	50	1	300	300
67457-449-17	J9267	Mylan Institutional	Paclitaxel injection	1 MG	16.7	1	100	100
67457-471-52	J9267	Mylan Institutional	Paclitaxel injection	1 MG	5	1	30	30
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
0409-0801-01	J9268	Pfizer Inc.	Pentostatin injection	10 MG	1	1	1	1
0006-3026-02	J9271	Merck Sharp & Dohme Corp.	Inj pembrolizumab	1 MG	4	1	100	100
16729-108-11	J9280	Accord Healthcare Inc.	Mitomycin injection	5 MG	1	1	4	4
16729-115-05	J9280	Accord Healthcare Inc.	Mitomycin injection	5 MG	1	1	1	1
16729-116-38	J9280	Accord Healthcare Inc.	Mitomycin injection	5 MG	1	1	8	8
16729-246-05	J9280	Accord Healthcare Inc.	Mitomycin injection	5 MG	1	1	1	1
16729-247-11	J9280	Accord Healthcare Inc.	Mitomycin injection	5 MG	1	1	4	4
16729-248-38	J9280	Accord Healthcare Inc.	Mitomycin injection	5 MG	1	1	8	8
67457-518-05	J9280	Mylan Institutional	Mitomycin injection	5 MG	1	1	1	1
67457-519-20	J9280	Mylan Institutional	Mitomycin injection	5 MG	1	1	4	4
67457-520-40	J9280	Mylan Institutional	Mitomycin injection	5 MG	1	1	8	8
69448-001-05	J9280	ACCORD BIOPHARMA INC.	Mitomycin injection	5 MG	1	1	1	1
69448-002-11	J9280	ACCORD BIOPHARMA INC.	Mitomycin injection	5 MG	1	1	4	4
69448-003-38	J9280	ACCORD BIOPHARMA INC.	Mitomycin injection	5 MG	1	1	8	8
0002-7190-01	J9285	Eli Lilly and Company	Inj, olaratumab, 10 mg	10 MG	19	1	19	19
0002-8926-01	J9285	Eli Lilly and Company	Inj, olaratumab, 10 mg	10 MG	50	1	50	50
0703-4680-01	J9293	Sicor Pharmaceuticals, Inc.	Mitoxantrone hydrochl / 5 mg	5 MG	12.5	1	5	5
0703-4685-01	J9293	Sicor Pharmaceuticals, Inc.	Mitoxantrone hydrochl / 5 mg	5 MG	10	1	4	4
0703-4686-01	J9293	Sicor Pharmaceuticals, Inc.	Mitoxantrone hydrochl / 5 mg	5 MG	15	1	6	6
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
63323-132-15	J9293	Fresenius Kabi USA LLC	Mitoxantrone hydrochl / 5 mg	5 MG	15	1	6	6
0002-7716-01	J9295	Eli Lilly and Company	Injection, necitumumab, 1 mg	1 MG	50	1	800	800
0003-3734-13	J9299	Bristol-Myers Squibb Company	Injection, nivolumab	1 mg	24	1	240	240
0003-3772-11	J9299	Bristol-Myers Squibb Company	Injection, nivolumab	1 MG	4	1	40	40
0003-3774-12	J9299	Bristol-Myers Squibb Company	Injection, nivolumab	1 MG	10	1	100	100
50242-070-01	J9301	Genentech, Inc.	Obinutuzumab inj	10 MG	40	1	100	100
0078-0669-13	J9302	Novartis Pharmaceuticals Corporation	Ofatumumab injection	10 MG	5	3	10	30
0078-0690-61	J9302	Novartis Pharmaceuticals Corporation	Ofatumumab injection	10 MG	50	1	100	100
55513-954-01	J9303	Amgen USA, Inc.	Panitumumab injection	10 MG	5	1	10	10
55513-956-01	J9303	Amgen USA, Inc.	Panitumumab injection	10 MG	20	1	40	40
0002-7623-01	J9305	Eli Lilly and Company	Pemetrexed injection	10 MG	1	1	50	50
0002-7640-01	J9305	Eli Lilly and Company	Pemetrexed injection	10 MG	1	1	10	10
50242-145-01	J9306	Genentech, Inc.	Injection, pertuzumab, 1 mg	1 MG	14	1	420	420
48818-001-01	J9307	Spectrum Pharmaceuticals	Pralatrexate injection	1 MG	1	1	20	20
48818-001-02	J9307	Spectrum Pharmaceuticals	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
50242-108-01	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
0069-0983-01	J9315	Pfizer Inc.	Romidepsin injection	1 MG	1	1	10	10
0703-3125-08	J9315	Sicor Pharmaceuticals, Inc.	Romidepsin injection	1 MG	1	1	10	10
59572-984-01	J9315	Celgene Corporation	Romidepsin injection	1 MG	1	1	10	10
0703-4636-01	J9320	Sicor Pharmaceuticals, Inc.	Streptozocin injection	1 GM	1	1	1	1
55513-078-01	J9325	Amgen USA, Inc.	Inj talimogene laherparepvec	1 million?PFU	1	1	1	1
55513-079-01	J9325	Amgen USA, Inc.	Inj talimogene laherparepvec	1 million?PFU	1	1	100	100
0085-1381-01	J9328	Schering Corporation	Temozolomide injection	1 MG	1	1	100	100
0008-1179-01	J9330	Pfizer Inc.	Temsirolimus injection	1 MG	1	1	25	25
16729-223-61	J9330	Accord Healthcare Inc.	Temsirolimus injection	1 MG	1	1	25	25
0078-0674-61	J9351	Novartis Pharmaceuticals Corporation	Topotecan injection	0.1 MG	1	1	40	40
0409-0302-01	J9351	Pfizer Inc.	Topotecan injection	0.1 MG	1	1	40	40
0703-4714-01	J9351	Sicor Pharmaceuticals, 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
25021-236-04	J9351	Sagent Pharmaceuticals Inc	Topotecan injection	0.1 MG	1	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
63323-762-94	J9351	Fresenius Kabi USA LLC	Topotecan injection	0.1 MG	1	1	40	40
67457-662-05	J9351	Mylan Institutional	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
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.	Trastuzumab injection	10 MG	1	1	15	15
50242-134-68	J9355	Genentech, Inc.	Trastuzumab injection	10 MG	1	1	44	44
67979-001-01	J9357	Endo Pharmaceuticals Valera Inc.	Valrubicin injection	200 MG	5	4	1	4
63323-278-10	J9360	Fresenius Kabi USA LLC	Vinblastine sulfate inj	1 MG	10	1	10	10
0703-4402-11	J9370	Sicor Pharmaceuticals, Inc.	Vincristine sulfate 1 mg inj	1 MG	1	1	1	1
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
20536-322-01	J9371	Spectrum Pharmaceuticals	Inj, vincristine sul lip 1mg	1 MG	1	1	5	5
25021-204-01	J9390	Sagent Pharmaceuticals Inc	Vinorelbine tartrate inj	10 MG	1	1	1	1
25021-204-05	J9390	Sagent Pharmaceuticals Inc	Vinorelbine tartrate inj	10 MG	5	1	5	5
45963-607-55	J9390	Actavis Pharma, Inc.	Vinorelbine tartrate inj	10 MG	1	1	1	1
45963-607-56	J9390	Actavis Pharma, Inc.	Vinorelbine tartrate inj	10 MG	5	1	5	5
61703-341-09	J9390	Pfizer Inc.	Vinorelbine tartrate inj	10 MG	5	1	5	5
64370-532-01	J9390	Pierre Fabre Pharmaceuticals	Vinorelbine tartrate inj	10 MG	1	1	1	1
64370-532-02	J9390	Pierre Fabre Pharmaceuticals	Vinorelbine tartrate inj	10 MG	5	1	5	5
0310-0720-10	J9395	AstraZeneca Pharmaceuticals LP	Injection, fulvestrant	25 MG	5	2	10	20
0024-5840-01	J9400	Sanofi-Aventis	Inj, ziv-aflibercept, 1mg	1 mg	4	1	100	100
0024-5841-01	J9400	Sanofi-Aventis	Inj, ziv-aflibercept, 1mg	1 mg	8	1	200	200
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
44206-310-50	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
68516-5214-1	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
68516-5214-5	P9041	Grifols	Albumin (human),5%, 50ml	50 ML	50	1	1	1
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
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
44206-310-50	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
68516-5214-1	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
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
0944-0493-01	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
61953-0002-1	P9046	Grifols	Albumin (human), 25%, 20 ml	20 ML	50	1	2.5	2.5
61953-0002-2	P9046	Grifols	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
68516-5216-2	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
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
0944-0493-01	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
61953-0002-1	P9047	Grifols	Albumin (human), 25%, 50ml	50 ML	50	1	1	1
61953-0002-2	P9047	Grifols	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
68516-5216-1	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
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
59338-775-01	Q0138	AMAG Pharmaceuticals	Ferumoxytol, non-esrd	1 MG	1	1	510	510
59338-775-10	Q0138	AMAG Pharmaceuticals	Ferumoxytol, non-esrd	1 MG	1	10	510	5100
59338-775-01	Q0139	AMAG Pharmaceuticals	Ferumoxytol, esrd use	1 MG	1	1	510	510
59338-775-10	Q0139	AMAG Pharmaceuticals	Ferumoxytol, esrd use	1 MG	1	10	510	5100
0078-0675-15	Q0162	Novartis Pharmaceuticals Corporation	Ondansetron oral	1 MG	1	30	4	120
0078-0676-15	Q0162	Novartis Pharmaceuticals Corporation	Ondansetron oral	1 MG	1	30	8	240
0078-0679-19	Q0162	Novartis Pharmaceuticals Corporation	Ondansetron oral	1 MG	1	30	4	120
0078-0680-19	Q0162	Novartis Pharmaceuticals Corporation	Ondansetron oral	1 MG	1	30	8	240
0173-0447-00	Q0162	Novartis Pharmaceuticals Corporation	Ondansetron oral	1 MG	1	30	8	240
0173-0489-00	Q0162	Novartis Pharmaceuticals Corporation	Ondansetron oral	1 MG	50	1	40	40
0378-0315-93	Q0162	Mylan Pharmaceuticals, Inc	Ondansetron oral	1 MG	1	30	4	120
0378-0344-93	Q0162	Mylan Pharmaceuticals, Inc	Ondansetron oral	1 MG	1	30	8	240
0378-7732-93	Q0162	Mylan Pharmaceuticals, Inc	Ondansetron oral	1 MG	1	30	4	120
0378-7734-93	Q0162	Mylan Pharmaceuticals, Inc	Ondansetron oral	1 MG	1	30	8	240
0378-7734-97	Q0162	Mylan Pharmaceuticals, Inc	Ondansetron oral	1 MG	1	10	8	80
0781-1679-31	Q0162	Sandoz, Inc.	Ondansetron oral	1 MG	1	30	4	120
0781-1679-33	Q0162	Sandoz, Inc.	Ondansetron oral	1 MG	1	3	4	12
0781-1681-31	Q0162	Sandoz, Inc.	Ondansetron oral	1 MG	1	30	8	240
0781-1681-33	Q0162	Sandoz, Inc.	Ondansetron oral	1 MG	1	3	8	24
0781-5238-64	Q0162	Sandoz, Inc.	Ondansetron oral	1 MG	1	30	4	120
0781-5239-64	Q0162	Sandoz, Inc.	Ondansetron oral	1 MG	1	30	8	240
0781-5239-80	Q0162	Sandoz, Inc.	Ondansetron oral	1 MG	1	10	8	80
16714-671-02	Q0162	NorthStar Rx LLC	Ondansetron oral	1 MG	50	1	40	40
51672-4091-3	Q0162	Taro Pharmaceuticals	Ondansetron oral	1 MG	50	1	40	40
55111-153-30	Q0162	Dr. Reddy's Laboratories, Inc.	Ondansetron oral	1 MG	1	30	4	120
55111-154-30	Q0162	Dr. Reddy's Laboratories, Inc.	Ondansetron oral	1 MG	1	30	8	240
67877-169-30	Q0162	Ascend Laboratories	Ondansetron oral	1 MG	1	30	4	120
67877-170-30	Q0162	Ascend Laboratories	Ondansetron oral	1 MG	1	30	8	240
68001-246-04	Q0162	American Health Packaging	Ondansetron oral	1 MG	30	1	120	120
68001-246-16	Q0162	American Health Packaging	Ondansetron oral	1 MG	1	10	40	400
68001-246-17	Q0162	American Health Packaging	Ondansetron oral	1 MG	30	1	120	120
68001-247-04	Q0162	American Health Packaging	Ondansetron oral	1 MG	30	1	240	240
68001-247-17	Q0162	American Health Packaging	Ondansetron oral	1 MG	30	1	240	240
68084-220-01	Q0162	American Health Packaging	Ondansetron oral	1 MG	1	100	4	400
68084-221-01	Q0162	American Health Packaging	Ondansetron oral	1 MG	1	100	8	800
68462-105-30	Q0162	Glenmark Pharmaceutical Inc., USA	Ondansetron oral	1 MG	30	1	120	120
68462-106-30	Q0162	Glenmark Pharmaceutical Inc., USA	Ondansetron oral	1 MG	30	1	240	240
68462-157-13	Q0162	Glenmark Pharmaceutical Inc., USA	Ondansetron oral	1 MG	30	1	120	120
68462-158-11	Q0162	Glenmark Pharmaceutical Inc., USA	Ondansetron oral	1 MG	10	1	80	80
68462-158-13	Q0162	Glenmark Pharmaceutical Inc., USA	Ondansetron oral	1 MG	30	1	240	240
0093-9643-01	Q0164	Teva Pharmaceuticals USA, Inc.	Prochlorperazine maleate 5mg	5 MG	100	1	100	100
0093-9652-01	Q0164	Teva Pharmaceuticals USA, Inc.	Prochlorperazine maleate 5mg	5 MG	100	1	200	200
0378-5105-01	Q0164	Mylan Pharmaceuticals, Inc	Prochlorperazine maleate 5mg	5 MG	100	1	100	100
0378-5110-01	Q0164	Mylan Pharmaceuticals, Inc	Prochlorperazine maleate 5mg	5 MG	100	1	200	200
51079-541-20	Q0164	Mylan Institutional	Prochlorperazine maleate 5mg	5 MG	100	1	100	100
51079-542-20	Q0164	Mylan Institutional	Prochlorperazine maleate 5mg	5 MG	100	1	200	200
0093-7485-12	Q0166	Teva Pharmaceuticals USA, Inc.	Granisetron hcl 1 mg oral	1 MG	1	2	1	2
0093-7485-20	Q0166	Teva Pharmaceuticals USA, Inc.	Granisetron hcl 1 mg oral	1 MG	1	20	1	20
16714-221-01	Q0166	NorthStar Rx LLC	Granisetron hcl 1 mg oral	1 MG	1	20	1	20
16714-221-30	Q0166	NorthStar Rx LLC	Granisetron hcl 1 mg oral	1 MG	1	2	1	2
16714-221-32	Q0166	NorthStar Rx LLC	Granisetron hcl 1 mg oral	1 MG	1	20	1	20
0051-0021-21	Q0167	AbbVie US, LLC	Dronabinol 2.5mg oral	2.5 MG	60	1	60	60
0051-0022-21	Q0167	AbbVie US, LLC	Dronabinol 2.5mg oral	2.5 MG	60	1	120	120
0051-0023-21	Q0167	AbbVie US, LLC	Dronabinol 2.5mg oral	2.5 MG	60	1	240	240
60687-375-01	Q0167	American Health Packaging	Dronabinol 2.5mg oral	2.5 MG	100	1	100	100
67877-568-60	Q0167	Ascend Laboratories	Dronabinol 2.5mg oral	2.5 MG	60	1	60	60
67877-569-60	Q0167	Ascend Laboratories	Dronabinol 2.5mg oral	2.5 MG	60	1	120	120
67877-570-60	Q0167	Ascend Laboratories	Dronabinol 2.5mg oral	2.5 MG	60	1	240	240
68084-174-01	Q0167	American Health Packaging	Dronabinol 2.5mg oral	2.5 MG	100	1	100	100
68084-175-21	Q0167	American Health Packaging	Dronabinol 2.5mg oral	2.5 MG	30	1	60	60
0781-1830-01	Q0169	Sandoz, Inc.	Promethazine hcl 12.5mg oral	12.5 MG	100	1	200	200
0781-1830-10	Q0169	Sandoz, Inc.	Promethazine hcl 12.5mg oral	12.5 MG	1000	1	2000	2000
0781-1832-01	Q0169	Sandoz, Inc.	Promethazine hcl 12.5mg oral	12.5 MG	100	1	400	400
50383-801-16	Q0169	Hi-Tech	Promethazine hcl 12.5mg oral	12.5 MG	473	1	47.3	47.3
65162-521-10	Q0169	Amneal Pharmaceuticals, LLC	Promethazine hcl 12.5mg oral	12.5 MG	100	1	200	200
65162-521-11	Q0169	Amneal Pharmaceuticals, LLC	Promethazine hcl 12.5mg oral	12.5 MG	1000	1	2000	2000
65162-745-10	Q0169	Amneal Pharmaceuticals, LLC	Promethazine hcl 12.5mg oral	12.5 MG	100	1	100	100
68001-161-00	Q0169	American Health Packaging	Promethazine hcl 12.5mg oral	12.5 MG	100	1	100	100
68001-162-00	Q0169	American Health Packaging	Promethazine hcl 12.5mg oral	12.5 MG	100	1	200	200
68001-162-08	Q0169	American Health Packaging	Promethazine hcl 12.5mg oral	12.5 MG	1000	1	2000	2000
68001-163-00	Q0169	American Health Packaging	Promethazine hcl 12.5mg oral	12.5 MG	100	1	400	400
68084-154-01	Q0169	American Health Packaging	Promethazine hcl 12.5mg oral	12.5 MG	100	1	100	100
68084-155-01	Q0169	American Health Packaging	Promethazine hcl 12.5mg oral	12.5 MG	100	1	200	200
33332-118-10	Q2035	Seqirus Inc	Afluria vacc, 3 yrs & >, im	0.5 ML	5	1	10	10
30237-8900-6	Q2043	Dendreon Pharmaceuticals LLC	Sipuleucel-t auto cd54+	Per infusion (minimum 50 million cells)	250	1	1	1
16714-742-01	Q2050	NorthStar Rx LLC	Doxorubicin inj 10mg	10 MG	10	1	2	2
16714-856-01	Q2050	NorthStar Rx LLC	Doxorubicin inj 10mg	10 MG	25	1	5	5
43598-283-35	Q2050	Dr. Reddy's Laboratories, Inc.	Doxorubicin inj 10mg	10 MG	10	1	2	2
43598-541-25	Q2050	Dr. Reddy's Laboratories, Inc.	Doxorubicin inj 10mg	10 MG	25	1	5	5
43598-682-35	Q2050	Dr. Reddy's Laboratories, Inc.	Doxorubicin inj 10mg	10 MG	10	1	2	2
43598-683-25	Q2050	Dr. Reddy's Laboratories, Inc.	Doxorubicin inj 10mg	10 MG	25	1	5	5
47335-049-40	Q2050	Sun Pharmaceutical Global Fze.	Doxorubicin inj 10mg	10 MG	10	1	2	2
47335-050-40	Q2050	Sun Pharmaceutical Global Fze.	Doxorubicin inj 10mg	10 MG	25	1	5	5
59676-960-01	Q2050	Janssen Products, LP	Doxorubicin inj 10mg	10 MG	10	1	2	2
59676-960-02	Q2050	Janssen Products, LP	Doxorubicin inj 10mg	10 MG	25	1	5	5
59676-966-01	Q2050	Janssen Products, LP	Doxorubicin inj 10mg	10 MG	10	1	2	2
59676-966-02	Q2050	Janssen Products, LP	Doxorubicin inj 10mg	10 MG	25	1	5	5
68001-345-26	Q2050	American Health Packaging	Doxorubicin inj 10mg	10 MG	25	1	5	5
68001-345-36	Q2050	American Health Packaging	Doxorubicin inj 10mg	10 MG	10	1	2	2
59627-111-03	Q3027	Biogen	Inj beta interferon im 1 mcg	1 MCG	1	4	30	120
59627-222-05	Q3027	Biogen	Inj beta interferon im 1 mcg	1 MCG	1	4	30	120
59627-333-04	Q3027	Biogen	Inj beta interferon im 1 mcg	1 MCG	1	4	30	120
66215-302-30	Q4074	Actelion Pharmaceuticals U.S, Inc	Iloprost non-comp unit dose	UP TO 20 MCG	1	30	1	30
66215-303-30	Q4074	Actelion Pharmaceuticals U.S, Inc	Iloprost non-comp unit dose	UP TO 20 MCG	1	30	1	30
55513-126-10	Q4081	Amgen USA, Inc.	Epoetin alfa, 100 units esrd	100 UNITS	1	10	20	200
55513-144-10	Q4081	Amgen USA, Inc.	Epoetin alfa, 100 units esrd	100 UNITS	1	10	100	1000
55513-148-10	Q4081	Amgen USA, Inc.	Epoetin alfa, 100 units esrd	100 UNITS	1	10	40	400
55513-267-10	Q4081	Amgen USA, Inc.	Epoetin alfa, 100 units esrd	100 UNITS	1	10	30	300
55513-283-10	Q4081	Amgen USA, Inc.	Epoetin alfa, 100 units esrd	100 UNITS	2	10	200	2000
55513-478-10	Q4081	Amgen USA, Inc.	Epoetin alfa, 100 units esrd	100 UNITS	1	10	200	2000
59676-302-01	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	1	6	20	120
59676-303-01	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	1	6	30	180
59676-304-01	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	1	6	40	240
59676-310-01	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	1	6	100	600
59676-310-02	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	1	25	100	2500
59676-312-04	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	2	4	200	800
59676-320-04	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	1	4	200	800
59676-340-01	Q4081	Janssen Products, LP	Epoetin alfa, 100 units esrd	100 UNITS	1	4	400	1600
61314-304-01	Q5101	Sandoz, Inc.	Injection, zarxio	1 MCG	0.5	1	300	300
61314-304-10	Q5101	Sandoz, Inc.	Injection, zarxio	1 MCG	0.5	10	300	3000
61314-312-01	Q5101	Sandoz, Inc.	Injection, zarxio	1 MCG	0.8	1	480	480
61314-312-10	Q5101	Sandoz, Inc.	Injection, zarxio	1 MCG	0.8	10	480	4800
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
0006-4305-02	Q5104	Merck Sharp & Dohme Corp.	Injection, renflexis	10 MG	1	1	10	10
0069-1305-10	Q5105	Pfizer Laboratories	Inj retacrit esrd on dialysi	100 UNITS	1	10	20	200
0069-1306-10	Q5105	Pfizer Laboratories	Inj retacrit esrd on dialysi	100 UNITS	1	10	30	300
0069-1307-10	Q5105	Pfizer Laboratories	Inj retacrit esrd on dialysi	100 UNITS	1	10	40	400
0069-1308-10	Q5105	Pfizer Laboratories	Inj retacrit esrd on dialysi	100 UNITS	1	10	100	1000
0069-1309-04	Q5105	Pfizer Laboratories	Inj retacrit esrd on dialysi	100 UNITS	1	4	400	1600
59353-002-10	Q5105	Vifor (International) Ltd.	Inj retacrit esrd on dialysi	100 UNITS	1	10	20	200
59353-003-10	Q5105	Vifor (International) Ltd.	Inj retacrit esrd on dialysi	100 UNITS	1	10	30	300
59353-004-10	Q5105	Vifor (International) Ltd.	Inj retacrit esrd on dialysi	100 UNITS	1	10	40	400
59353-010-10	Q5105	Vifor (International) Ltd.	Inj retacrit esrd on dialysi	100 UNITS	1	10	100	1000
0069-1305-10	Q5106	Pfizer Laboratories	Inj retacrit non-esrd use	1000 UNITS	1	10	2	20
0069-1306-10	Q5106	Pfizer Laboratories	Inj retacrit non-esrd use	1000 UNITS	1	10	3	30
0069-1307-10	Q5106	Pfizer Laboratories	Inj retacrit non-esrd use	1000 UNITS	1	10	4	40
0069-1308-10	Q5106	Pfizer Laboratories	Inj retacrit non-esrd use	1000 UNITS	1	10	10	100
0069-1309-04	Q5106	Pfizer Laboratories	Inj retacrit non-esrd use	1000 UNITS	1	4	40	160
59353-002-10	Q5106	Vifor (International) Ltd.	Inj retacrit non-esrd use	1000 UNITS	1	10	2	20
59353-003-10	Q5106	Vifor (International) Ltd.	Inj retacrit non-esrd use	1000 UNITS	1	10	3	30
59353-004-10	Q5106	Vifor (International) Ltd.	Inj retacrit non-esrd use	1000 UNITS	1	10	4	40
59353-010-10	Q5106	Vifor (International) Ltd.	Inj retacrit non-esrd use	1000 UNITS	1	10	10	100
67457-833-06	Q5108	Mylan Institutional	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
70114-101-01	Q5111	Coherus BioSciences Inc	Injection, udenyca 0.5 mg	0.5 MG	0.6	1	12	12
0270-7099-16	Q9950	Bracco Diagnostics	Inj sulf hexa lipid microsph	1 ML	5	5	5	25
0407-2707-03	Q9956	GE Healthcare	Inj octafluoropropane mic,ml	1 ML	3	5	3	15
0407-2707-18	Q9956	GE Healthcare	Inj octafluoropropane mic,ml	1 ML	3	18	3	54
11994-011-04	Q9957	Lantheus Medical Imaging, Inc.	Inj perflutren lip micros,ml	1 ML	2	4	2	8
11994-011-16	Q9957	Lantheus Medical Imaging, Inc.	Inj perflutren lip micros,ml	1 ML	2	16	2	32
0019-0862-50	Q9958	Liebel Flarsheim	Hocm <=149 mg/ml iodine, 1ml	1 ML	250	12	250	3000
0270-0149-57	Q9958	Bracco Diagnostics	Hocm <=149 mg/ml iodine, 1ml	1 ML	300	10	300	3000
0270-0149-60	Q9958	Bracco Diagnostics	Hocm <=149 mg/ml iodine, 1ml	1 ML	100	10	100	1000
0270-1410-30	Q9958	Bracco Diagnostics	Hocm <=149 mg/ml iodine, 1ml	1 ML	300	10	300	3000
0019-3183-05	Q9960	Liebel Flarsheim	Hocm 200-249mg/ml iodine,1ml	1 ML	50	25	50	1250
0019-3183-15	Q9960	Liebel Flarsheim	Hocm 200-249mg/ml iodine,1ml	1 ML	50	50	50	2500
0019-3183-50	Q9960	Liebel Flarsheim	Hocm 200-249mg/ml iodine,1ml	1 ML	250	12	250	3000
0019-0953-05	Q9961	Liebel Flarsheim	Hocm 250-299mg/ml iodine,1ml	1 ML	50	25	50	1250
0019-0953-10	Q9961	Liebel Flarsheim	Hocm 250-299mg/ml iodine,1ml	1 ML	100	12	100	1200
0019-0953-23	Q9961	Liebel Flarsheim	Hocm 250-299mg/ml iodine,1ml	1 ML	30	25	30	750
0019-0953-50	Q9961	Liebel Flarsheim	Hocm 250-299mg/ml iodine,1ml	1 ML	150	12	150	1800
0019-4816-04	Q9963	Liebel Flarsheim	Hocm 350-399mg/ml iodine,1ml	1 ML	30	25	30	750
0270-0445-35	Q9963	Bracco Diagnostics	Hocm 350-399mg/ml iodine,1ml	1 ML	30	24	30	720
0270-0445-40	Q9963	Bracco Diagnostics	Hocm 350-399mg/ml iodine,1ml	1 ML	120	12	120	1440
0407-1401-52	Q9965	GE Healthcare	Locm 100-199mg/ml iodine,1ml	1 ML	50	10	50	500
0407-1411-10	Q9965	GE Healthcare	Locm 100-199mg/ml iodine,1ml	1 ML	10	10	10	100
0407-1411-20	Q9965	GE Healthcare	Locm 100-199mg/ml iodine,1ml	1 ML	20	10	20	200
0019-1324-06	Q9966	Liebel Flarsheim	Locm 200-299mg/ml iodine,1ml	1 ML	50	25	50	1250
0019-1324-11	Q9966	Liebel Flarsheim	Locm 200-299mg/ml iodine,1ml	1 ML	100	12	100	1200
0019-1324-21	Q9966	Liebel Flarsheim	Locm 200-299mg/ml iodine,1ml	1 ML	200	12	200	2400
0019-1324-87	Q9966	Liebel Flarsheim	Locm 200-299mg/ml iodine,1ml	1 ML	125	20	125	2500
0270-1314-15	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	200	10	200	2000
0270-1314-30	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	50	10	50	500
0270-1317-02	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	100	10	100	1000
0270-1317-05	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	50	10	50	500
0270-1317-09	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	150	10	150	1500
0270-1317-41	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	200	10	200	2000
0270-1411-11	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	10	10	10	100
0270-1411-25	Q9966	Bracco Diagnostics	Locm 200-299mg/ml iodine,1ml	1 ML	20	10	20	200
0407-1412-10	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	10	10	10	100
0407-1412-20	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	20	10	20	200
0407-1412-29	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	50	10	50	500
0407-1412-30	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	50	10	50	500
0407-1412-33	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-1412-34	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-1412-35	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	200	10	200	2000
0407-1412-38	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	50	10	50	500
0407-2222-16	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	50	10	50	500
0407-2222-17	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-2222-19	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-2222-21	Q9966	GE Healthcare	Locm 200-299mg/ml iodine,1ml	1 ML	200	10	200	2000
50419-342-10	Q9966	Bayer HealthCare Pharmaceuticals Inc.	Locm 200-299mg/ml iodine,1ml	1 ML	100	10	100	1000
50419-342-21	Q9966	Bayer HealthCare Pharmaceuticals Inc.	Locm 200-299mg/ml iodine,1ml	1 ML	200	10	200	2000
0019-1323-00	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	20	100	2000
0019-1323-02	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	20	25	20	500
0019-1323-04	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	30	25	30	750
0019-1323-06	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	25	50	1250
0019-1323-11	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	12	100	1200
0019-1323-16	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	150	12	150	1800
0019-1323-21	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	200	12	200	2400
0019-1323-27	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	125	20	125	2500
0019-1323-52	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	20	50	1000
0019-1323-61	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	500	6	500	3000
0019-1323-78	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	20	50	1000
0019-1323-85	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	75	20	75	1500
0019-1323-87	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	125	20	125	2500
0019-1323-90	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	20	100	2000
0019-1323-95	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	75	20	75	1500
0019-1332-00	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	20	100	2000
0019-1332-06	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	25	50	1250
0019-1332-11	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	12	100	1200
0019-1332-16	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	150	12	150	1800
0019-1332-21	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	200	12	200	2400
0019-1332-61	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	500	6	500	3000
0019-1332-78	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	20	50	1000
0019-1332-90	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	20	100	2000
0019-1333-00	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	20	100	2000
0019-1333-06	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	25	50	1250
0019-1333-11	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	12	100	1200
0019-1333-16	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	150	12	150	1800
0019-1333-21	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	200	12	200	2400
0019-1333-27	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	125	20	125	2500
0019-1333-52	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	20	50	1000
0019-1333-61	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	500	6	500	3000
0019-1333-78	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	50	20	50	1000
0019-1333-87	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	125	20	125	2500
0019-1333-90	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	100	20	100	2000
0019-1333-95	Q9967	Liebel Flarsheim	Locm 300-399mg/ml iodine,1ml	1 ML	75	20	75	1500
0270-1315-25	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	30	10	30	300
0270-1315-30	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0270-1315-35	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0270-1315-41	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0270-1315-45	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0270-1315-47	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	75	10	75	750
0270-1315-50	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0270-1315-95	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	500	6	500	3000
0270-1315-98	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	500	6	500	3000
0270-1316-04	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	125	10	125	1250
0270-1316-30	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0270-1316-35	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0270-1316-37	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0270-1316-41	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0270-1316-45	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0270-1316-52	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	75	10	75	750
0270-1316-95	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	500	6	500	3000
0270-1316-98	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	500	6	500	3000
0270-1412-15	Q9967	Bracco Diagnostics	Locm 300-399mg/ml iodine,1ml	1 ML	15	10	15	150
0407-1413-10	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	10	10	10	100
0407-1413-48	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-1413-53	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	125	10	125	1250
0407-1413-59	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	30	10	30	300
0407-1413-61	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0407-1413-62	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	75	10	75	750
0407-1413-63	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-1413-65	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-1413-66	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0407-1413-68	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-1413-72	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-1413-86	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0407-1413-87	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-1413-88	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-1413-89	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-1413-92	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-1414-22	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-1414-23	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-1414-48	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-1414-72	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-1414-76	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	125	10	125	1250
0407-1414-82	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0407-1414-84	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-1414-85	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	125	10	125	1250
0407-1414-86	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-1414-87	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0407-1414-88	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-1414-89	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0407-1414-90	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	75	10	75	750
0407-1414-91	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-1414-93	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-1414-94	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0407-1414-98	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-2223-16	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0407-2223-17	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-2223-19	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-2223-21	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
0407-2223-23	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	500	10	500	5000
0407-2223-62	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	50	10	50	500
0407-2223-64	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	100	10	100	1000
0407-2223-66	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	150	10	150	1500
0407-2223-67	Q9967	GE Healthcare	Locm 300-399mg/ml iodine,1ml	1 ML	200	10	200	2000
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
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	Q9991	Indivior Inc.	Buprenorph xr 100 mg or less	LESS THAN OR EQUAL TO 100 MG	1.5	1	1	1
12496-0100-1	Q9992	Indivior Inc.	Buprenorphine xr over 100 mg	GREATER THAN 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