code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
DRG,1,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,1072597.44,429038.9751,225000.0,308393.0,7
DRG,100,SEIZURES WITH MAJOR COMPLICATIONS,59448.08,23779.23,17446.91,246631.28,27
DRG,101,SEIZURES WITHOUT MAJOR COMPLICATIONS,21327.62,8531.05,3252.07,21327.62,26
DRG,11,TRACHEOSTOMY FOR FACE/MOUTH/NECK DIAGNOSES W MCC,153346.13,61338.45,36400.0,138011.52,27
DRG,12,TRACHEOSTOMY FOR FACE/MOUTH/NECK DIAGNOSES W CC,116355.75,46542.3,33641.84,104720.18,27
DRG,14,ALLOGENEIC BONE MARROW TRANSPLANT,807583.2,323033.28,108028.0,338354.0,15
DRG,16,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,227706.36,91082.544,51977.0,260000.0,10
DRG,163,MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATIONS,139578.42,55831.37,33958.0,125620.58,27
DRG,164,MAJOR CHEST PROCEDURES WITH COMPLICATIONS,80453.66,32181.46,18727.0,72408.29,27
DRG,165,MAJOR CHEST PROCEDURES WITHOUT COMPLICATIONS,65704.95,26281.98,8764.2,55849.21,27
DRG,175,PULMONARY EMBOLISM WITH MAJOR COMPLICATIONS,52178.74,20871.5,10013.99,41742.99,26
DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,60311.41,24124.56,12269.54,51264.7,27
DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,50828.17,20331.27,7788.39,40662.54,26
DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) W MCC,41758.49,16703.4,9058.15,33406.79,26
DRG,193,SIMPLE PNEUMONIA AND PLEURISY W MAJOR COMPLICATION,42534.25,17013.7,8995.0,34027.4,26
DRG,2,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,889127.52,124477.8528,83002.0,308393.0,7
DRG,202,BRONCHITIS AND ASTHMA W MAJOR COMPLICATIONS,36847.01,14738.8,3598.0,29477.61,26
DRG,207,RESPIRATORY SYSTEM DIAGNOSIS W VENT SUPPORT 96+ HR,221503.43,88601.37,56600.0,199353.09,27
DRG,208,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT,99796.46,39918.58,20811.44,89816.81,27
DRG,216,CARDIAC VALVE AND OTHER MAJ CARDIOTHORACIC PROCEDR,241468.37,96587.35,51977.18,217321.53,27
DRG,219,CARDIAC VALVE AND OTH MAJ CARDIO PROC WO CATH W MC,206293.34,82517.34,67358.96,185664.01,27
DRG,23,CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX,151493.5,60597.4,50364.03,136344.15,27
DRG,233,CORONARY BYPASS WITH CARDIAC CATH WITH MAJOR COMPL,193465.71,77386.28,63480.88,174119.14,27
DRG,235,CORONARY BYPASS W/O CARDIAC CATH WITH MAJOR COMPLI,168743.95,67497.58,40155.1,151869.56,27
DRG,25,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCS MCC,132458.59,52983.44,40055.36,119212.73,27
DRG,252,OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATIONS,77631.39,31052.56,26106.69,69868.25,27
DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MCC,148671.67,59468.67,7118.69,138991.63,27
DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC,101714.34,40685.74,3536.03,93000.59,27
DRG,269,AORTIC AND HEART ASSIST PROCS EXCEPT PULSE BALLOON,94678.36,37871.34,4297.99,85210.52,27
DRG,27,CRANIOTOMY / ENDOVASCULAR INTRACRANIAL PROC WO CC,80690.63,32276.25,23293.71,72621.57,27
DRG,270,OTHER MAJOR CARDIOVASCULAR PROCS W MAJOR COMPLICAT,193978.59,77591.44,11221.22,174580.73,27
DRG,271,OTHER MAJOR CARDIOVASCULAR PROCS WITH COMPLICATION,119919.21,47967.68,4930.97,107927.29,27
DRG,274,PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC,67850.15,27140.06,3643.72,63262.72,27
DRG,286,CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W MCC,71322.76,28529.1,18001.47,64190.48,27
DRG,287,CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W CC,32442.53,12977.01,5321.09,25954.02,27
DRG,291,HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION,41764.57,16705.83,10121.02,33411.66,26
DRG,292,HEART FAILURE AND SHOCK WITH COMPLICATION,27638.93,11055.57,3058.95,27638.93,26
DRG,3,ECMO/TRACH W VENT 96+ HRS OR MAJOR O.R. PROCEDURES,550839.09,220335.64,181869.03,495755.18,27
DRG,304,HYPERTENSION WITH MAJOR COMPLICATIONS,41978.21,16791.28,9526.95,33582.57,26
DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W CC,23545.71,9418.28,2650.73,19447.96,26
DRG,312,SYNCOPE AND COLLAPSE,32291.0,12916.4,4514.97,25832.8,26
DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,63165.36,25266.14,17528.4,53690.56,27
DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,49191.41,19676.56,9633.0,39353.13,26
DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE/ABLATION,150489.34,60195.74,24690.62,135440.41,27
DRG,321,PERCUTANEOUS CARDIAC PROCS W INTRALUMINAL DEV W MC,83101.94,33240.78,26462.92,74791.75,27
DRG,322,PERCUTANEOUS CARDIAC PROCS INTRALUMINAL DEV WO MCC,72773.84,29109.54,11919.98,65496.46,27
DRG,326,STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES MCC,203562.67,81425.07,40281.95,183206.4,27
DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES W MCC,157409.96,62963.98,40825.54,141668.96,27
DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES W CC,83822.9,33529.16,20284.46,75440.61,27
DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES W/O CC/MCC,67816.98,27126.79,4442.5,57644.43,27
DRG,372,MAJ GASTROINTESTINAL DISORDERS & PERITONEAL INFECT,43026.18,17210.47,7196.0,34420.94,26
DRG,374,DIGESTIVE MALIGNANCY W MCC,78868.65,31547.46,20313.51,70981.79,27
DRG,377,G.I. HEMORRHAGE W MCC,53592.86,21437.14,7445.33,42874.29,26
DRG,378,GASTROINTESTINAL HEMORRHAGE W CC,45498.48,18199.39,8353.99,36398.78,26
DRG,391,ESOPHAGITIS GASTROENTERITIS MISC DIGESTIVE W MCC,50733.4,20293.36,10726.48,40586.72,26
DRG,392,ESOPHAGITIS GASTROENT AND MISC DIGEST DISORDERS,29024.64,11609.86,2808.9,25708.7,27
DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,87096.41,34838.56,14752.11,78386.77,27
DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,38194.06,15277.62,6573.15,30555.25,26
DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,39606.35,15842.54,2191.05,31685.08,27
DRG,4,TRACH W VENT 96+ HRS WITHOUT MAJOR O.R. PROCEDURES,345986.54,138394.62,114240.0,311387.89,27
DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WO C.D.E. WO CC/MCC,50666.67,20266.67,6573.15,40533.34,27
DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS W MCC,73010.18,29204.07,19039.97,73010.18,27
DRG,442,DISORDERS OF LIVER EX MALIG/CIRRHOSIS/ALC HEP W CC,32730.47,13092.19,5116.26,26184.38,26
DRG,445,DISORDERS OF THE BILIARY TRACT W CC,40489.29,16195.72,3598.0,32391.43,26
DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCPT CERVICAL WO MCC,117802.74,47121.1,34850.0,106022.47,26
DRG,451,SINGLE LEVEL SPINAL FUSION EXC CERVICAL W/O MCC,97389.37,38955.75,28463.11,87650.43,26
DRG,467,REVISION OF HIP OR KNEE REPLACEMENT W CC,113529.54,45411.82,31299.5,102176.59,27
DRG,470,MAJOR JOINT REPLACE OR REATTACHMENT OF LOWER JOINT,73046.22,29218.49,18424.52,65741.6,27
DRG,472,CERVICAL SPINAL FUSION W CC,77149.77,30859.91,16774.32,69434.79,27
DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,68481.59,27392.64,11296.55,58209.35,27
DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,119774.61,47909.84,27250.61,107797.15,27
DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,81257.76,32503.1,20008.27,73131.98,27
DRG,492,LOWER EXTREMITY/HUMERUS PROC EX HIP/FOOT/FEMUR MCC,121726.62,48690.65,32353.11,109553.96,27
DRG,493,LOWER EXTREMITY/HUMERUS PROC EXC HIP/FOOT/FEMUR CC,95508.7,38203.48,22735.14,85957.83,27
DRG,5,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,453669.95,181467.98,78522.0,268077.0,10
DRG,519,BACK AND NECK PROCEDURE EXCEPT SPINAL FUSION W CC,72874.15,29149.66,19147.0,65586.74,27
DRG,522,HIP REPLACEMENT W PRINCIPAL DIAGNOSIS HIP FRACTURE,82464.5,32985.8,20285.91,74218.05,27
DRG,54,NERVOUS SYSTEM NEOPLASMS W MCC,40537.35,16214.94,11298.72,40537.35,26
DRG,552,MEDICAL BACK PROBLEMS W/O MCC,29543.66,11817.46,3463.56,23634.93,26
DRG,57,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,29788.66,11915.46,4668.05,29788.66,26
DRG,6,LIVER TRANSPLANT WITHOUT MCC,227842.98,91137.192,37013.0,268077.0,10
DRG,603,CELLULITIS WITHOUT MAJOR COMPLICATION,29341.69,11736.68,3137.85,23473.35,26
DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,40615.7,16246.28,6573.15,32739.39,27
DRG,637,DIABETES WITH MAJOR COMPLICATIONS,57997.68,23199.07,11094.69,57997.68,27
DRG,638,DIABETES WITH COMPLICATIONS,29468.78,11787.51,3229.01,24125.0,26
DRG,64,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION MCC,66693.28,26677.31,19291.67,66693.28,27
DRG,640,NUTRITIONAL AND MISC METABOLIC DISORDERS WITH MCC,59058.27,23623.31,12348.31,50199.53,27
DRG,641,NUTRITIONAL AND MISC METABOLIC DISORDERS W/O MCC,34626.34,13850.54,5579.66,27701.07,26
DRG,643,ENDOCRINE DISORDERS WITH MAJOR COMPLICATIONS,55443.76,22177.5,13619.96,47127.2,27
DRG,644,ENDOCRINE DISORDERS WITH COMPLICATIONS,28969.58,11587.83,3693.08,24858.39,26
DRG,65,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION CC,41290.81,16516.32,10103.0,33032.65,26
DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,237168.04,94867.216,35699.0,135300.0,8
DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,212525.95,85010.38,29625.0,135300.0,8
DRG,652,KIDNEY TRANSPLANT,193717.27,77486.909,25973.89,221858.64,31
DRG,66,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCT WO CC,27786.0,11114.4,2465.89,22228.8,26
DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES W CC,81981.54,32792.62,18200.0,73783.39,27
DRG,682,RENAL FAILURE WITH MAJOR COMPLICATION,49367.31,19746.92,12741.19,39493.85,26
DRG,683,RENAL FAILURE WITH COMPLICATION,34946.84,13978.74,6123.61,27957.47,26
DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,34970.93,13988.37,7163.12,28950.0,26
DRG,690,KIDNEY & URINARY TRACT INFECTIONS WITHOUT MCC,30248.5,12099.4,3065.73,24198.8,26
DRG,698,OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,67579.03,27031.61,13760.41,57442.18,27
DRG,699,OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,53968.99,21587.6,7367.04,43175.19,26
DRG,70,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,45445.18,18178.07,11881.15,37835.2,26
DRG,71,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,31511.61,12604.64,4603.64,25235.52,26
DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY,47499.89,18999.96,4382.1,37999.91,27
DRG,784,CESAREAN SECTION WITH STERILIZATION W CC,44847.23,17938.89,5639.48,35877.78,27
DRG,785,CESAREAN SECTION WITH STERILIZATION W/O CC/MCC,39586.4,15834.56,5346.0,31669.12,27
DRG,787,CESAREAN SECTION WITHOUT STERILIZATION W CC,46168.39,18467.36,7560.0,36934.71,27
DRG,788,CESAREAN SECTION WITHOUT STERILIZATION W/O CC/MCC,36548.69,14619.48,5346.0,29238.95,27
DRG,795,NORMAL NEWBORN,4746.18,1898.47,0.01,4885.8,26
DRG,8,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,337529.27,135011.708,41249.0,207648.0,7
DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION/D&C W CC,23757.4,9502.96,2716.66,19005.92,27
DRG,807,VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,19458.24,7783.3,2429.14,15566.59,27
DRG,811,RED BLOOD CELL DISORDERS W MCC,54870.85,21948.34,7829.49,43896.68,26
DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,28318.04,11327.22,3308.27,22825.59,26
DRG,82,TRAUMATIC STUPOR AND COMA > 1 HR WITH MCC,77130.97,30852.39,22059.48,69417.87,27
DRG,83,TRAUMATIC STUPOR AND COMA > 1 HR WITH CC,38102.93,15241.17,9890.83,31425.92,26
DRG,834,ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC,225296.06,90118.42,48877.26,202766.45,27
DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA W MAJ COMPLICATION,124387.86,49755.14,29324.39,111949.07,27
DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION,75468.58,30187.43,15769.57,67921.72,27
DRG,847,CHEMOTHERAPY WITHOUT LEUKEMIA DIAGNOSIS WITH CC,53168.91,21267.56,7196.0,42535.13,26
DRG,853,INFECTIOUS & PARASITIC DISEASES W O.R. PROC W MCC,208296.27,83318.51,44478.85,187466.64,27
DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS W MCC,45951.41,18380.56,8764.2,39672.97,26
DRG,870,SEPTICEMIA WITH MECHANICAL VENTILATION 96+ HOURS,201972.86,80789.14,40950.0,181775.57,27
DRG,871,SEPTICEMIA W/O MECHANICAL VENT 96+ HOURS WITH MCC,78630.07,31452.03,16235.39,70767.06,27
DRG,872,SEPTICEMIA W/O MECHANICAL VENT 96+ HOURS W/O MCC,39392.55,15757.02,7721.96,31514.04,26
DRG,885,PSYCHOSES,18837.71,7535.08,92.85,18837.71,24
DRG,897,ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHAB W/O MCC,20000.61,8000.24,2550.0,16000.49,26
DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,118966.54,47586.62,33041.0,107069.89,27
DRG,957,OTHER O.R. PROCEDURES MULTIPLE SIGNIFICANT TRAUMA,248760.37,99504.15,65073.63,223884.33,27
DRG,981,EXTENSIVE O.R. PROCEDURE UNRELATED PRINCIPAL DIAGN,152182.63,60873.05,42410.1,136964.37,27
HCPCS,0001U,RED BLOOD CELL TYPING,1800.0,720.0,7.88,1800.0,26
HCPCS,0029U,0029U GENE ANALYSIS OF TARGETED SEQUENCES ADVERSE DRUG REACTIONS DRUG RESPONSE,550.0,220.0,220.0,550.0,16
HCPCS,0030U,RX METAB WARFARIN RX RESPONSE TRGT SEQ ALYS,335.0,134.0,134.13,335.33,24
HCPCS,0031U,CYP1A2 GENE ANALYSIS COMMON VARIANTS,437.0,174.8,174.8,393.3,15
HCPCS,0035U,TESTING FOR PRESENCE OF PRION PROTEIN IN CEREBROSPINAL FLUID,657.0,262.8,10.5,1352.48,25
HCPCS,0070U,CYP2D6 GENE ANALYSIS COMMON AND SELECT RARE VRNTS,1691.0,676.4,676.37,1691.0,24
HCPCS,0071U,CYP2D6 GENE ANALYSIS FULL GENE SEQUENCE,1500.0,600.0,361.62,1500.0,24
HCPCS,0072U,CYP2D6 GENE TRGT SEQ ALYS CYP2D62D7 HYBRID GENE,1127.0,450.8,404.97,1127.28,24
HCPCS,0073U,CYP2D6 GENE TRGT SEQ ALYS CYP2D72D6 HYBRID GENE,1127.0,450.8,404.97,1127.28,24
HCPCS,0074U,CYP2D6 TRGT SEQ ALYS NONDUP GENE DUPL/MLT TRANS,1127.0,450.8,404.97,1127.28,24
HCPCS,0075T,INSERTION OF STENTS INTO VERTEBRAL ARTERY VIA CATHETER,6000.0,2400.0,2400.0,5400.0,17
HCPCS,0075U,CYP2D6 GENE TRGT SEQ ALYS 5' GENE DUPL/MLT,1127.0,450.8,404.97,1127.28,24
HCPCS,0076T,INSERTION OF STENTS INTO VERTEBRAL ARTERY VIA CATHETER,3000.0,1200.0,1200.0,2700.0,17
HCPCS,0076U,CYP2D6 GENE TRGT SEQ ALYS 3' GENE DUPL/MLT,1127.0,450.8,404.97,1127.28,24
HCPCS,0077U,IG PARAPROTEIN QUAL IMPRCIPANDMS BLD/UR W/ISOTYPE,231.0,92.4,41.34,207.9,25
HCPCS,0112U,IADI TRGT SEQ ALYS 16SAND18S RRNA GENES,405.0,162.0,77.06,890.33,25
HCPCS,0138U,BRCA1 BRCA2 MRNA SEQ ALYS,1171.0,468.4,468.33,1171.0,25
HCPCS,0152U,CELLFREE DNA SEQUENCING OF DISEASECAUSING ORGANISMS IN PLASMA SPECIMEN,2111.0,844.4,39.0,5277.5,24
HCPCS,0174T,CAD CXR WITH INTERP,450.0,180.0,180.0,405.0,17
HCPCS,0175T,CAD CXR REMOTE,450.0,180.0,180.0,405.0,17
HCPCS,0200T,INJECTIONS OF ONE SIDE OF SACRUM FOR ENLARGEMENT,4000.0,1600.0,2320.0,16378.38,26
HCPCS,0201T,INJECTIONS OF BOTH SIDES OF SACRUM FOR ENLARGEMENT,14000.0,5600.0,6519.25,16378.38,26
HCPCS,0202U,TEST DETECTION RESPIRATY DISEASECAUSINGS FROM BACK NOSE THROAT,1042.0,416.8,396.69,1042.0,25
HCPCS,0232T,HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE,650.0,260.0,377.0,1008.32,27
HCPCS,0234T,CATHETER REMOVAL OF PLAQUE FROM KIDNEY ARTERY,18000.0,7200.0,10371.71,26056.99,26
HCPCS,0236T,OPEN PERCUTANEOUS CATHETER REMOVAL PLAQUE FROM ABDOMINAL,18000.0,7200.0,10371.71,26056.99,26
HCPCS,0237T,CATHETER REMOVAL OF PLAQUE FROM UPPER ARM ARTERY,18000.0,7200.0,10371.71,26056.99,26
HCPCS,0238T,CATHETER REMOVAL OF PLAQUE FROM GROIN ARTERY,30000.0,12000.0,16469.81,41377.29,26
HCPCS,027U,JAK2 GENE TRGT SEQ ALYS,122.0,48.8,48.8,109.8,14
HCPCS,0318U,WHL GEN MTHYLTN ALYS 50+,4426.0,1770.4,1770.48,4426.2,25
HCPCS,0395T,HIGH DOSE RATE ELECTRONIC BRACHYTHERAPY,1800.0,720.0,625.73,1800.0,26
HCPCS,0408T,INSERTION OR REPLACEMENT OF PULSE GENERATOR ELECTRODES OF HEART RACTILITY,54825.0,21930.0,28200.89,70849.45,26
HCPCS,0409T,INSERTION OR REPLACEMENT OF PULSE GENERATOR OF HEART RACTILITY MODULATOR,54825.0,21930.0,19984.43,54825.0,26
HCPCS,0410T,INSERTION REPLACEMENT ELECTRODES IN UPPER CHAMBER HEART HEART,20000.0,8000.0,7434.91,20000.0,26
HCPCS,0411T,INSERTION REPLACEMENT ELECTRODES IN LOWER CHAMBER HEART HEART,20000.0,8000.0,7434.91,20000.0,26
HCPCS,0412T,REMOVAL OF PULSE GENERATOR FOR HEART CONTRACTILITY MODULATOR SYSTEM,6224.0,2489.6,3357.42,8434.89,26
HCPCS,0413T,REMOVAL OF ELECTRODE FOR HEART CONTRACTILITY MODULATOR SYSTEM,6000.0,2400.0,3357.42,8434.89,26
HCPCS,0414T,REPLACEMENT OF PULSE GENERATOR OF HEART CONTRACTILITY MODULATOR SYSTEM,54825.0,21930.0,19984.43,54825.0,26
HCPCS,0415T,REPOSITIONING OF ELECTRODE OF HEART CONTRACTILITY MODULATOR SYSTEM,1300.0,520.0,563.59,1415.92,26
HCPCS,0416T,RELOCATION OF SKIN POCKET PULSE GENERATOR OF HEART RACTILITY MODULATOR,4100.0,1640.0,1853.72,4657.14,26
HCPCS,0417T,PROGRAMMING EVALUATION OF HEART CONTRACTILITY MODULATOR SYSTEM,95.0,38.0,33.53,95.0,26
HCPCS,0418T,INTERROGATION EVALUATION OF HEART CONTRACTILITY MODULATOR SYSTEM,95.0,38.0,33.53,95.0,26
HCPCS,0431U,GLYCINE RECEPTOR ALPHA1 IGG LIVE CELLBINDING ASSAY IN SERUM OR CEREBRAL SPINAL,55.0,22.0,31.9,91.43,25
HCPCS,0432U,KLHL11 ANTB SR/CSF ASY QUAL,525.0,210.0,36.57,472.5,25
HCPCS,0442T,ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,12750.0,5100.0,7395.0,19808.43,25
HCPCS,0443U,NEURFLMNT LT CHN ULTRSENS IA,200.0,80.0,110.63,290.58,26
HCPCS,0481U,NEXTGENERATION SEQUENCING OF GENES IN CENTRAL NERVOUS SYSTEM TUMORS,674.0,269.6,390.92,1685.0,25
HCPCS,0483T,TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH,11250.0,4500.0,1600.0,16650.0,34
HCPCS,0505T,EV FEMPOP ARTL REVSC,35000.0,14000.0,10371.71,31500.0,26
HCPCS,0620T,ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN,68751.0,27500.4,18451.0,112501.25,26
HCPCS,0627T,PERQ NJX ALGC FLUOR LMBR 1ST,31350.0,12540.0,11534.74,31350.0,26
HCPCS,0690T,QUANTITATIVE US TISS CHARAC IANDR W/DX US SM ANAT,350.0,140.0,140.0,315.0,17
HCPCS,0698T,QUAN MR TISS W/MRI MLT ORGN,250.0,100.0,145.0,2376.25,26
HCPCS,0721T,HC QUAN CT TISS CHARAC IANDR W/O CNCRNT CT EXAM,1460.0,584.0,650.5,1626.25,26
HCPCS,0722T,QUAN CT TISS CHARAC IANDR W/CNCRNT CT EXAM,584.0,233.6,455.52,1626.25,26
HCPCS,0780T,INTRADERMAL CANCER IMMNTX PREP AND 1ST INJECTION,325.0,130.0,119.54,325.0,26
HCPCS,0795T,TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS,47678.0,19071.2,17305.4,47678.0,26
HCPCS,0796T,TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT,49197.0,19678.8,17305.4,48867.67,26
HCPCS,0797T,TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT,49197.0,19678.8,17305.4,48867.67,26
HCPCS,0823T,TCAT INS 1CHMBR LDLS PM RA,46413.0,18565.2,17305.4,46413.0,26
HCPCS,0824T,TCAT RMV 1CHMBR LDLS PM RA,7593.0,3037.2,2836.8,7593.0,26
HCPCS,0825T,TCAT RMVANDRPL1CHMB LDLS PM RA,46413.0,18565.2,17305.4,46413.0,26
HCPCS,0826T,PRGRMG EVL LDLS PM 1CHMBR IP,90.0,36.0,33.53,90.0,26
HCPCS,0861T,RMVL PG WCS LV BOTH COMPNT,9354.0,3741.6,3357.42,9354.0,26
HCPCS,0862T,RLCJ PG WCS LV BATTERY ONLY,4344.0,1737.6,1853.72,4657.14,26
HCPCS,0863T,RLCJ PG WCS LV TRNSMTR ONLY,4344.0,1737.6,1853.72,4657.14,26
HCPCS,0913T,PRQ TCAT THER RX NTRAC BALO1,14254.0,5701.6,8267.32,26056.99,26
HCPCS,0915T,INSJ PERM CCMD SYS PGANDELTRD,80154.0,32061.6,28200.89,79634.78,27
HCPCS,0916T,INSJ PERM CCMD SYS PG ONLY,56115.0,22446.0,19984.43,56115.0,27
HCPCS,0917T,INSJ PERM CCMD SYS 1 LEAD,20690.0,8276.0,7434.91,20690.0,27
HCPCS,0918T,INSJ PERM CCMD SYS DUAL LD,20690.0,8276.0,7434.91,20690.0,27
HCPCS,0919T,RMVL PERM CCMD SYS PG ONLY,9098.0,3639.2,3357.42,9098.0,27
HCPCS,0920T,RMVL PERM CCMD SYS 1 PAC LD,9098.0,3639.2,3357.42,9098.0,27
HCPCS,0921T,RMVL PERM CCMD SYS 1 DFB LD,9098.0,3639.2,3357.42,9098.0,27
HCPCS,0922T,RMVL PERM CCMD SYS DUAL LD,9098.0,3639.2,3357.42,9098.0,27
HCPCS,0923T,RMVLANDRPLCMT PERM CCMD PG,56115.0,22446.0,19984.43,56115.0,27
HCPCS,0924T,RPOS PRV CCMD TRNSVNS ELTRD,1546.0,618.4,563.59,1546.0,27
HCPCS,0925T,RLCJ SKIN POCKET CCMD PG,4753.0,1901.2,1853.72,4753.0,27
HCPCS,0926T,PRGRMG DEV EVAL CCMD IP,93.0,37.2,33.53,93.0,27
HCPCS,0927T,INTERROG DEV EVAL CCMD IP,93.0,37.2,33.53,93.0,27
HCPCS,0929T,REM INTERROG DEV CCMD TECH,93.0,37.2,33.53,93.0,27
HCPCS,10004,10004 FINE NEEDLE ASPIRATION BIOPSY,683.0,273.2,273.2,614.7,17
HCPCS,10005,10005 FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE,1500.0,600.0,553.89,1598.36,33
HCPCS,10006,10006 FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE,1448.0,579.2,579.2,1303.2,17
HCPCS,10007,10007 FINE NEEDLE ASPIRATION BIOPSY USING FLUOROSCOPIC GUIDANCE,1500.0,600.0,553.89,1598.36,33
HCPCS,10008,FNA BX W/FLUOR GDN EA ADDL,980.0,392.0,392.0,882.0,17
HCPCS,10009,FNA BX W/CT GDN 1ST LES,1500.0,600.0,553.89,1598.36,33
HCPCS,10010,10010 FINE NEEDLE ASPIRATION BIOPSY OF GROWTH USING CT GUIDANCE,1448.0,579.2,579.2,1303.2,17
HCPCS,10011,10011 FINE NEEDLE ASPIRATION BIOPSY OF GROWTH USING MRI GUIDANCE,1500.0,600.0,636.21,1598.36,27
HCPCS,10012,FNA BX W/MR GDN EA ADDL,1448.0,579.2,579.2,1448.0,17
HCPCS,10021,10021 FINE NEEDLE ASPIRATION BIOPSY,883.0,353.2,317.97,917.57,33
HCPCS,10021,FNA W/O IMAGE,883.0,353.2,317.97,917.57,33
HCPCS,10030,10030 DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE,1500.0,600.0,553.89,1598.36,33
HCPCS,10035,10035 PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING XRAY,1500.0,600.0,553.89,1598.36,33
HCPCS,10036,10036 PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING XRAY,1400.0,560.0,560.0,1260.0,17
HCPCS,10060,10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS,459.0,183.6,156.93,459.0,33
HCPCS,10061,10061 COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS,883.0,353.2,317.97,917.57,33
HCPCS,10080,10080 SIMPLE DRAINAGE OF CYST OF TAILBONE,1500.0,600.0,553.89,1598.36,33
HCPCS,10081,10081 COMPLICATED DRAINAGE OF CYST OF TAILBONE,1500.0,600.0,553.89,1598.36,33
HCPCS,10120,10120 REMOVAL OF FOREIGN BODY FROM TISSUE,883.0,353.2,317.97,917.57,33
HCPCS,10121,10121 REMOVAL OF FOREIGN BODY FROM TISSUE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,10140,10140 DRAINAGE OF BLOOD OR FLUID ACCUMULATION,3500.0,1400.0,1291.88,3727.91,33
HCPCS,10160,10160 ASPIRATION OF ABSCESS,883.0,353.2,317.97,917.57,33
HCPCS,10180,10180 COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY,6000.0,2400.0,2272.06,6556.38,33
HCPCS,11000,11000 REMOVAL OF INFLAMED OR INFECTED SKIN,1300.0,520.0,317.97,1300.0,33
HCPCS,11001,11001 REMOVAL OF INFLAMED OR INFECTED SKIN,153.0,61.2,61.2,137.7,17
HCPCS,11010,11010 REMOVAL EIGN MATERIAL FROM SKIN TISSUE AT OPEN BROKEN DISLOCATED BONE,1500.0,600.0,553.89,1598.36,33
HCPCS,11011,11011 REMOVAL OF FOREIGN MATERIAL FROM SKIN,1589.0,635.6,553.89,1598.36,33
HCPCS,11012,11012 REMOVAL OF FOREIGN MATERIAL FROM SKIN,6000.0,2400.0,2272.06,6556.38,33
HCPCS,11042,11042 REMOVAL OF SKIN AND TISSUE,883.0,353.2,317.97,917.57,33
HCPCS,11043,11043 REMOVAL OF MUSCLE AND/OR TISSUE,1300.0,520.0,578.1,1668.2,33
HCPCS,11044,11044 REMOVAL OF BONE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11045,11045 REMOVAL OF SKIN AND TISSUE,219.0,87.6,87.6,197.1,17
HCPCS,11046,11046 REMOVAL OF MUSCLE AND/OR TISSUE,190.0,76.0,76.0,171.0,17
HCPCS,11047,11047 REMOVAL OF BONE,1150.0,460.0,460.0,1035.0,17
HCPCS,11055,11055 REMOVAL OF NONCANCER THICKENED SKIN GROWTH,400.0,160.0,156.93,452.86,33
HCPCS,11056,11056 REMOVAL OF NONCANCER THICKENED SKIN GROWTH,459.0,183.6,156.93,459.0,33
HCPCS,11057,11057 REMOVAL OF NONCANCER THICKENED SKIN GROWTH,400.0,160.0,156.93,452.86,33
HCPCS,11102,11102 BIOPSY OF RELATED SKIN GROWTH,459.0,183.6,266.22,917.57,33
HCPCS,11103,11103 BIOPSY OF RELATED SKIN GROWTH,221.0,88.4,88.4,198.9,17
HCPCS,11104,11104 PUNCH BIOPSY,882.0,352.8,317.97,917.57,33
HCPCS,11105,11105 PUNCH BIOPSY,222.0,88.8,88.8,199.8,17
HCPCS,11106,11106 INCISION BIOPSY,1300.0,520.0,578.1,1668.2,33
HCPCS,11107,11107 INCISION BIOPSY,300.0,120.0,120.0,270.0,17
HCPCS,11200,11200 REMOVAL OF SKIN TAG,459.0,183.6,156.93,459.0,33
HCPCS,11201,11201 REMOVAL OF SKIN TAG,190.0,76.0,76.0,171.0,17
HCPCS,11301,11301 SHAVING OF SKIN GROWTH OF BODY,459.0,183.6,156.93,459.0,33
HCPCS,11305,11305 SHAVING OF SKIN GROWTH OF SCALP,459.0,183.6,156.93,459.0,33
HCPCS,11306,11306 SHAVING OF SKIN GROWTH OF SCALP,459.0,183.6,156.93,459.0,33
HCPCS,11307,11307 SHAVING OF SKIN GROWTH OF SCALP,400.0,160.0,156.93,452.86,33
HCPCS,11308,11308 SHAVING OF SKIN GROWTH OF SCALP,850.0,340.0,317.97,917.57,33
HCPCS,11310,11310 SHAVING OF SKIN GROWTH OF FACE,400.0,160.0,156.93,452.86,33
HCPCS,11400,11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY,1500.0,600.0,553.89,1598.36,33
HCPCS,11401,11401 REMOVAL OF NONCANCER SKIN GROWTH OF BODY,883.0,353.2,317.97,917.57,33
HCPCS,11402,11402 REMOVAL OF NONCANCER SKIN GROWTH OF BODY,1500.0,600.0,553.89,1598.36,33
HCPCS,11403,11403 REMOVAL OF NONCANCER SKIN GROWTH OF BODY,1500.0,600.0,553.89,1598.36,33
HCPCS,11404,11404 REMOVAL OF NONCANCER SKIN GROWTH OF BODY,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11406,11406 REMOVAL OF NONCANCER SKIN GROWTH OF BODY,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11420,11420 REMOVAL OF NONCANCER SKIN GROWTH OF SCALP,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11421,11421 REMOVAL OF NONCANCER SKIN GROWTH OF SCALP,1500.0,600.0,553.89,1598.36,33
HCPCS,11422,11422 REMOVAL OF NONCANCER SKIN GROWTH OF SCALP,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11423,11423 REMOVAL OF NONCANCER SKIN GROWTH OF SCALP,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11424,11424 REMOVAL OF NONCANCER SKIN GROWTH OF SCALP,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11426,11426 REMOVAL OF NONCANCER SKIN GROWTH OF SCALP,5800.0,2320.0,2272.06,6556.38,33
HCPCS,11440,11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE,1500.0,600.0,553.89,1598.36,33
HCPCS,11441,11441 REMOVAL OF NONCANCER SKIN GROWTH OF FACE,1500.0,600.0,553.89,1598.36,33
HCPCS,11442,11442 REMOVAL OF NONCANCER SKIN GROWTH OF FACE,1500.0,600.0,553.89,1598.36,33
HCPCS,11443,11443 REMOVAL OF NONCANCER SKIN GROWTH OF FACE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11444,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.14.0CM,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11450,11450 REMOVAL SKIN TISSUE UNDERARMS INFLAMED SWEAT GLS WITH SIMPLE,6000.0,2400.0,2272.06,6556.38,33
HCPCS,11451,11451 REMOVAL SKIN TISSUE UNDERARMS INFLAMED SWEAT GLS WITH COMPLEX REPAIR,5800.0,2320.0,2272.06,6556.38,33
HCPCS,11462,11462 REMOVAL SKIN TISSUE GROIN INFLAMED SWEAT GLS WITH SIMPLE,6000.0,2400.0,2272.06,6556.38,33
HCPCS,11462,REMOVAL SWEAT GLAND LESION,5800.0,2320.0,2272.06,6556.38,33
HCPCS,11470,11470 REMOVAL SKIN TISSUE ANUS NAVEL INFLAMED SWEAT GLS WITH SIMPLE,6000.0,2400.0,2272.06,6556.38,33
HCPCS,11471,11471 REMOVAL SKIN TISSUE ANUS NAVEL INFLAMED SWEAT GLS WITH COMPL,5800.0,2320.0,2272.06,6556.38,33
HCPCS,11600,11600 REMOVAL OF CANCER SKIN GROWTH OF BODY,1500.0,600.0,553.89,1598.36,33
HCPCS,11601,11601 REMOVAL OF CANCER SKIN GROWTH OF BODY,1500.0,600.0,553.89,1598.36,33
HCPCS,11602,11602 REMOVAL OF CANCER SKIN GROWTH OF BODY,850.0,340.0,317.97,917.57,33
HCPCS,11606,11606 REMOVAL OF CANCER SKIN GROWTH OF BODY,3500.0,1400.0,1291.88,3727.91,33
HCPCS,11622,EXC S/N/H/F/G MAL+MRG 1.12,1589.0,635.6,553.89,1598.36,33
HCPCS,11641,11641 REMOVAL OF CANCER SKIN GROWTH OF FACE,1500.0,600.0,553.89,1598.36,33
HCPCS,11719,11719 TRIMMING OF FINGERNAILS OR TOENAILS,125.0,50.0,46.14,133.15,33
HCPCS,11720,11720 REMOVAL OF FINGERNAILS OR TOENAILS,125.0,50.0,46.14,133.15,33
HCPCS,11721,11721 REMOVAL OF FINGERNAILS OR TOENAILS,125.0,50.0,46.14,133.15,33
HCPCS,11730,11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED,459.0,183.6,156.93,459.0,33
HCPCS,11732,11732 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED,125.0,50.0,50.0,125.0,17
HCPCS,11740,11740 REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL,250.0,100.0,104.07,300.31,33
HCPCS,11750,11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL,883.0,353.2,317.97,917.57,33
HCPCS,11760,11760 REPAIR OF FINGERNAIL OR TOENAIL BED,1300.0,520.0,578.1,1668.2,33
HCPCS,11762,RECONSTRUCTION NAIL BED W/GRAFT,4373.0,1749.2,1613.89,4657.14,33
HCPCS,11765,11765 REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL,883.0,353.2,317.97,917.57,33
HCPCS,11770,11770 SIMPLE REMOVAL OF CYST OF TAILBONE,5800.0,2320.0,2272.06,6556.38,33
HCPCS,11900,11900 INJECTION INTO SKIN GROWTH,459.0,183.6,156.93,459.0,33
HCPCS,11901,11901 INJECTION INTO SKIN GROWTH,459.0,183.6,156.93,459.0,33
HCPCS,11950,11950 INJECTION OF FILLING MATERIAL UNDER SKIN,400.0,160.0,180.26,452.86,27
HCPCS,11951,11951 INJECTION OF FILLING MATERIAL UNDER SKIN,1300.0,520.0,664.01,1668.2,27
HCPCS,11952,11952 INJECTION OF FILLING MATERIAL UNDER SKIN,1300.0,520.0,664.01,1668.2,27
HCPCS,11976,11976 REMOVAL OF IMPLANTABLE CONTRACEPTIVE CAPSULES,1500.0,600.0,553.89,1598.36,33
HCPCS,11981,11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE,250.0,100.0,104.07,300.31,33
HCPCS,11982,11982 REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE,693.0,277.2,349.43,1008.32,33
HCPCS,11983,11983 REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE,693.0,277.2,349.43,1008.32,33
HCPCS,12001,12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP,459.0,183.6,156.93,459.0,33
HCPCS,12002,12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP,459.0,183.6,156.93,459.0,33
HCPCS,12004,12004 SIMPLE REPAIR OF SURFACE WOUND OF SCALP,459.0,183.6,156.93,459.0,33
HCPCS,12005,12005 SIMPLE REPAIR OF SURFACE WOUND OF SCALP,883.0,353.2,317.97,917.57,33
HCPCS,12006,12006 SIMPLE REPAIR OF SURFACE WOUND OF SCALP,883.0,353.2,317.97,917.57,33
HCPCS,12007,12007 SIMPLE REPAIR OF SURFACE WOUND TO SCALP,459.0,183.6,156.93,459.0,33
HCPCS,12011,12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE,459.0,183.6,156.93,459.0,33
HCPCS,12013,12013 SIMPLE REPAIR OF SURFACE WOUND OF FACE,459.0,183.6,156.93,459.0,33
HCPCS,12014,12014 SIMPLE REPAIR OF SURFACE WOUND OF FACE,459.0,183.6,156.93,459.0,33
HCPCS,12015,12015 SIMPLE REPAIR OF SURFACE WOUND OF FACE,459.0,183.6,156.93,459.0,33
HCPCS,12016,12016 SIMPLE REPAIR OF SURFACE WOUND OF FACE,883.0,353.2,317.97,917.57,33
HCPCS,12017,12017 SIMPLE REPAIR OF SURFACE WOUND OF FACE,850.0,340.0,317.97,917.57,33
HCPCS,12018,12018 SIMPLE REPAIR OF SURFACE WOUND OF FACE,459.0,183.6,156.93,459.0,33
HCPCS,12020,12020 SIMPLE CLOSURE OF SURFACE WOUND REOPENING,1300.0,520.0,578.1,1668.2,33
HCPCS,12021,12021 REPAIR OF SEPARATION OF WOUND CLOSURE WITH INSERTION OF PACKING,850.0,340.0,317.97,917.57,33
HCPCS,12031,12031 INTERMEDIATE REPAIR OF WOUND OF SCALP,883.0,353.2,317.97,917.57,33
HCPCS,12032,12032 INTERMEDIATE REPAIR OF WOUND OF SCALP,883.0,353.2,317.97,917.57,33
HCPCS,12034,12034 INTERMEDIATE REPAIR OF WOUND OF SCALP,883.0,353.2,317.97,917.57,33
HCPCS,12035,12035 INTERMEDIATE REPAIR OF WOUND OF SCALP,883.0,353.2,317.97,917.57,33
HCPCS,12036,12036 INTERMEDIATE REPAIR OF WOUND OF SCALP,1300.0,520.0,578.1,1668.2,33
HCPCS,12037,12037 INTERMEDIATE REPAIR OF WOUND OF SCALP,4300.0,1720.0,1613.89,4657.14,33
HCPCS,12041,12041 INTERMEDIATE REPAIR OF WOUND OF NECK,883.0,353.2,317.97,917.57,33
HCPCS,12042,12042 INTERMEDIATE REPAIR OF WOUND OF NECK,883.0,353.2,317.97,917.57,33
HCPCS,12044,12044 INTERMEDIATE REPAIR OF WOUND OF NECK,1300.0,520.0,578.1,1668.2,33
HCPCS,12045,12045 INTERMEDIATE REPAIR OF WOUND OF NECK,1300.0,520.0,578.1,1668.2,33
HCPCS,12046,12046 INTERMEDIATE REPAIR OF WOUND OF NECK,1300.0,520.0,578.1,1668.2,33
HCPCS,12047,12047 INTERMEDIATE REPAIR OF WOUND OF NECK,4100.0,1640.0,1613.89,4657.14,33
HCPCS,12051,12051 INTERMEDIATE REPAIR OF WOUND OF FACE,883.0,353.2,317.97,917.57,33
HCPCS,12052,12052 INTERMEDIATE REPAIR OF WOUND OF FACE,883.0,353.2,317.97,917.57,33
HCPCS,12053,12053 INTERMEDIATE REPAIR OF WOUND OF FACE,883.0,353.2,317.97,917.57,33
HCPCS,12054,12054 INTERMEDIATE REPAIR OF WOUND OF FACE,883.0,353.2,317.97,917.57,33
HCPCS,12055,12055 INTERMEDIATE REPAIR OF WOUND OF FACE,883.0,353.2,317.97,917.57,33
HCPCS,12056,12056 INTERMEDIATE REPAIR OF WOUND OF FACE,883.0,353.2,317.97,917.57,33
HCPCS,12057,12057 INTERMEDIATE REPAIR OF WOUND OF FACE,850.0,340.0,317.97,917.57,33
HCPCS,13100,13100 COMPLICATED REPAIR OF WOUND OF TRUNK,1300.0,520.0,578.1,1668.2,33
HCPCS,13101,13101 COMPLICATED REPAIR OF WOUND OF TRUNK,1300.0,520.0,578.1,1668.2,33
HCPCS,13102,13102 COMPLICATED REPAIR OF WOUND OF TRUNK,500.0,200.0,200.0,450.0,17
HCPCS,13120,13120 COMPLICATED REPAIR OF WOUND OF SCALP,1300.0,520.0,317.97,1300.0,33
HCPCS,13121,13121 COMPLICATED REPAIR OF WOUND OF SCALP,1300.0,520.0,317.97,1300.0,33
HCPCS,13122,13122 COMPLICATED REPAIR OF WOUND OF SCALP,457.0,182.8,182.8,411.3,17
HCPCS,13131,13131 COMPLICATED REPAIR OF WOUND OF FOREHEAD,883.0,353.2,317.97,917.57,33
HCPCS,13132,13132 COMPLICATED REPAIR OF WOUND OF FOREHEAD,1300.0,520.0,317.97,1300.0,33
HCPCS,13133,13133 COMPLICATED REPAIR OF WOUND OF FOREHEAD,475.0,190.0,190.0,427.5,17
HCPCS,13151,13151 COMPLICATED REPAIR OF WOUND OF EYELIDS,1300.0,520.0,578.1,1668.2,33
HCPCS,13152,13152 COMPLICATED REPAIR OF WOUND OF EYELIDS,1300.0,520.0,578.1,1668.2,33
HCPCS,13153,13153 COMPLICATED REPAIR OF WOUND OF EYELIDS,475.0,190.0,190.0,427.5,17
HCPCS,13160,13160 EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING,4100.0,1640.0,2378.0,7998.73,33
HCPCS,14040,14040 REPAIR OF WOUND OF FOREHEAD,4100.0,1640.0,1613.89,4657.14,33
HCPCS,14041,14041 REPAIR OF WOUND OF FOREHEAD,4100.0,1640.0,1613.89,4657.14,33
HCPCS,14301,14301 REPAIR OF WOUND BY TRANSFERRING SKIN,7000.0,2800.0,2771.88,7998.73,33
HCPCS,14302,14302 REPAIR OF WOUND BY TRANSFERRING SKIN,3000.0,1200.0,1200.0,2700.0,17
HCPCS,15002,WOUND PREP TRK/ARM/LEG,4344.0,1737.6,578.1,4344.0,33
HCPCS,15004,PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,1452.0,580.8,317.97,1452.0,33
HCPCS,15110,15110 OUTER LAYER SELF SKIN GRAFT OF TRUNK,4100.0,1640.0,1613.89,4657.14,33
HCPCS,15111,15111 OUTER LAYER SELF SKIN GRAFT TO TRUNK,570.0,228.0,228.0,513.0,17
HCPCS,15115,15115 OUTER LAYER SELF SKIN GRAFT OF FACE,4100.0,1640.0,1613.89,4657.14,33
HCPCS,15116,15116 OUTER LAYER SELF SKIN GRAFT OF FACE,1500.0,600.0,600.0,1350.0,17
HCPCS,15260,15260 FULL THICKNESS SKIN GRAFT TO NOSE,4100.0,1640.0,1613.89,4657.14,33
HCPCS,15261,15261 FULL THICKNESS SKIN GRAFT TO NOSE,1000.0,400.0,400.0,900.0,17
HCPCS,15271,15271 APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK,4300.0,1720.0,578.1,4300.0,33
HCPCS,15272,15272 APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK,200.0,80.0,80.0,180.0,17
HCPCS,15273,15273 SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK,7000.0,2800.0,1613.89,7000.0,33
HCPCS,15274,15274 SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK,200.0,80.0,80.0,180.0,17
HCPCS,15275,15275 APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE,4300.0,1720.0,578.1,4300.0,33
HCPCS,15276,15276 APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE,200.0,80.0,80.0,180.0,17
HCPCS,15277,15277 SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE,3379.0,1351.6,1613.89,4657.14,33
HCPCS,15278,15278 SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE,200.0,80.0,80.0,180.0,17
HCPCS,15760,15760 GRAFT WITH CLOSURE OF WOUND,4300.0,1720.0,1613.89,4657.14,33
HCPCS,15769,15769 SELF SOFT TISSUE GRAFT,7000.0,2800.0,2771.88,7998.73,33
HCPCS,15771,15771 GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK,7000.0,2800.0,2771.88,7998.73,33
HCPCS,15772,15772 GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK,3000.0,1200.0,1200.0,2700.0,17
HCPCS,15773,15773 GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE,4100.0,1640.0,1613.89,4657.14,33
HCPCS,15774,15774 GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO FACE,2000.0,800.0,800.0,1970.0,17
HCPCS,15778,IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA,2500.0,1000.0,329.23,2500.0,26
HCPCS,15851,REMOVE SUTURES DIFF SURGEON,4100.0,1640.0,1613.89,4657.14,33
HCPCS,15853,REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA,250.0,100.0,100.0,225.0,17
HCPCS,15854,REMOVAL SUTURESANDSTAPLES NOT REQUIRING ANESTHESIA,250.0,100.0,100.0,250.0,17
HCPCS,16000,16000 FIRST DEGREE BURN TREATMENT,459.0,183.6,156.93,459.0,33
HCPCS,16020,16020 DRESSING CHANGE OR REMOVAL OF BURN TISSUE,459.0,183.6,156.93,459.0,33
HCPCS,16025,16025 DRESSING CHANGE OR REMOVAL OF BURN TISSUE,459.0,183.6,156.93,459.0,33
HCPCS,16030,16030 DRESSING CHANGE OR REMOVAL OF BURN TISSUE,850.0,340.0,317.97,917.57,33
HCPCS,16035,16035 INITIAL INCISION OF DEAD BURN TISSUE,850.0,340.0,317.97,917.57,33
HCPCS,16036,16036 ADDITIONAL INCISION OF BURN TISSUE,100.0,40.0,58.0,171.45,26
HCPCS,17000,17000 DESTRUCTION OF PRECANCER SKIN GROWTH,459.0,183.6,156.93,459.0,33
HCPCS,17003,DESTRUCTION OF PRECANCER SKIN GROWTH,225.0,90.0,90.0,202.5,17
HCPCS,17004,17004 DESTRUCTION OF PRECANCER SKIN GROWTH,883.0,353.2,317.97,917.57,33
HCPCS,17106,17106 DESTRUCTION OF BIRTHMARK,850.0,340.0,317.97,917.57,33
HCPCS,17107,17107 DESTRUCTION OF BIRTHMARK,1300.0,520.0,578.1,1668.2,33
HCPCS,17108,17108 DESTRUCTION OF BIRTHMARK,4100.0,1640.0,1613.89,4657.14,33
HCPCS,17110,17110 DESTRUCTION OF SKIN GROWTH,459.0,183.6,156.93,459.0,33
HCPCS,17111,17111 DESTRUCTION OF SKIN GROWTH,459.0,183.6,156.93,459.0,33
HCPCS,17250,17250 APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND,459.0,183.6,156.93,459.0,33
HCPCS,17999,17999 OTHER PROCEDURE ON SKIN,459.0,183.6,156.93,459.0,33
HCPCS,19000,19000 ASPIRATION OF CYST OF BREAST,1500.0,600.0,553.89,1598.36,33
HCPCS,19001,PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST,500.0,200.0,200.0,450.0,17
HCPCS,19020,19020 DRAINAGE OF ABSCESS OF BREAST,3500.0,1400.0,1291.88,3727.91,33
HCPCS,19030,19030 INJECTION FOR XRAY IMAGING OF BREAST DUCT,388.0,155.2,155.2,349.2,17
HCPCS,19081,19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING XRAY WITH NEEDLE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,19082,19082 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING XRAY WITH NEEDLE,2707.0,1082.8,1082.8,2436.3,17
HCPCS,19083,19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND,3500.0,1400.0,1291.88,3727.91,33
HCPCS,19084,19084 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND,2707.0,1082.8,1082.8,2436.3,17
HCPCS,19085,19085 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI,3500.0,1400.0,1291.88,3727.91,33
HCPCS,19086,19086 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI,2500.0,1000.0,1000.0,2250.0,17
HCPCS,19100,19100 NEEDLE BIOPSY OF BREAST,3500.0,1400.0,1291.88,3727.91,33
HCPCS,19101,19101 BIOPSY OF BREAST THROUGH INCISION,7574.0,3029.6,3062.63,8837.73,33
HCPCS,19120,REMOVAL OF BREAST LESION,9079.0,3631.6,3062.63,9079.0,33
HCPCS,19281,19281 PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE,1500.0,600.0,870.0,3727.91,33
HCPCS,19282,19282 PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE,828.0,331.2,331.2,745.2,17
HCPCS,19283,19283 PLACEMENT OF LOCATING DEVICE IN BREAST USING XRAY WITH NEEDLE GUIDANCE,1500.0,600.0,553.89,1598.36,33
HCPCS,19284,19284 PLACEMENT OF LOCATING DEVICE IN BREAST USING XRAY WITH NEEDLE GUIDANCE,800.0,320.0,320.0,720.0,17
HCPCS,19285,19285 PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE,1500.0,600.0,553.89,1598.36,33
HCPCS,19286,19286 PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE,828.0,331.2,331.2,745.2,17
HCPCS,19287,19287 PLACEMENT OF LOCATING DEVICE IN BREAST USING MRI GUIDANCE,1500.0,600.0,553.89,1598.36,33
HCPCS,19288,19288 PLACEMENT OF LOCATING DEVICE IN BREAST USING MRI GUIDANCE,800.0,320.0,320.0,800.0,17
HCPCS,19499,19499 OTHER PROCEDURE ON BREAST,4747.0,1898.8,2753.26,8837.73,33
HCPCS,20100,20100 EXPLORATION OF WOUND OF NECK,1000.0,400.0,421.87,1217.35,33
HCPCS,20101,20101 EXPLORATION OF WOUND OF CHEST,4100.0,1640.0,1613.89,4657.14,33
HCPCS,20102,20102 EXPLORATION OF WOUND OF ABDOMEN,4100.0,1640.0,1613.89,4657.14,33
HCPCS,20103,20103 EXPLORATION OF WOUND OF ARM OR LEG,1500.0,600.0,870.0,3727.91,33
HCPCS,20205,20205 DEEP BIOPSY OF MUSCLE,5800.0,2320.0,2272.06,6556.38,33
HCPCS,20206,20206 NEEDLE BIOPSY OF MUSCLE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,20220,20220 BIOPSY OF BONE USING NEEDLE OR TROCAR,3500.0,1400.0,1291.88,3727.91,33
HCPCS,20225,20225 DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR,3500.0,1400.0,1291.88,3727.91,33
HCPCS,20500,20500 INJECTION FOR REPAIR OF ABNORMAL MUSCLE DRAINAGE TRACT,3000.0,1200.0,1213.64,3502.16,33
HCPCS,20501,20501 INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR XRAY STUDY,1905.0,762.0,762.0,1714.5,17
HCPCS,20520,20520 REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON,3500.0,1400.0,1291.88,3727.91,33
HCPCS,20525,20525 COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON,5800.0,2320.0,2272.06,6556.38,33
HCPCS,20526,20526 INJECTION OF CARPAL TUNNEL,660.0,264.0,240.09,692.84,33
HCPCS,20526,THER INJECTION CARP TUNNEL,654.0,261.6,240.09,692.84,33
HCPCS,20550,20550 INJECTION INTO TENDON OR LIGAMENT,660.0,264.0,240.09,692.84,33
HCPCS,20550,INJ TENDON SHEATH/LIGAMENT,652.0,260.8,240.09,692.84,33
HCPCS,20551,20551 INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE,660.0,264.0,240.09,692.84,33
HCPCS,20552,20552 INJECTION OF TRIGGER POINTS,660.0,264.0,240.09,692.84,33
HCPCS,20553,20553 INJECTION OF TRIGGER POINTS,660.0,264.0,240.09,692.84,33
HCPCS,20600,20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT,660.0,264.0,240.09,692.84,33
HCPCS,20604,20604 ASPIRATION / INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE,660.0,264.0,240.09,692.84,33
HCPCS,20605,20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT,660.0,264.0,240.09,692.84,33
HCPCS,20605,DRAIN/INJ JOINT/BURSA W/O US,660.0,264.0,240.09,692.84,33
HCPCS,20606,20606 ASPIRATION INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND,1300.0,520.0,552.14,1593.28,33
HCPCS,20610,20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT,660.0,264.0,240.09,692.84,33
HCPCS,20611,20611 ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE,660.0,264.0,240.09,692.84,33
HCPCS,20612,20612 ASPIRATION AND/OR INJECTION OF CYST OF TENDON,660.0,264.0,240.09,692.84,33
HCPCS,20615,20615 ASPIRATION AND INJECTION OF CYST OF BONE,1500.0,600.0,553.89,1598.36,33
HCPCS,20650,INSERT AND REMOVE BONE PIN,7231.0,2892.4,2559.34,7385.4,33
HCPCS,20661,APPLICATION OF HEAD BRACE,1313.0,525.2,761.54,3629.48,27
HCPCS,20665,20665 REMOVAL OF STABILIZING DEVICE FROM HEAD IGINALLY APPLIED BY OTHER PROVIDER,650.0,260.0,349.43,1008.32,33
HCPCS,20670,20670 REMOVAL OF SURFACE IMPLANT FROM BONE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,20680,20680 REMOVAL OF DEEP IMPLANT FROM BONE,5800.0,2320.0,2272.06,6556.38,33
HCPCS,20694,20694 REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,3150.0,1260.0,1257.76,3629.48,33
HCPCS,20822,20822 REATTACHMENT OF PART OF CUTOFF FINGER,3500.0,1400.0,1257.76,3629.48,33
HCPCS,20931,ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,7123.0,2849.2,1888.0,6410.7,17
HCPCS,20982,20982 DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE,14000.0,5600.0,8120.0,39576.49,33
HCPCS,20983,20983 FREEZING OF GROWTH OF BONE AND ADJACENT SOFT TISSUE,14000.0,5600.0,5675.78,16378.38,33
HCPCS,20999,20999 OTHER PROCEDURE ON MUSCLE OR BONE,10638.0,4255.2,192.94,9574.2,33
HCPCS,21085,21085 IMPRESSION AND CUSTOM PREPARATION OF ORAL SURGICAL SPLINT,510.0,204.0,212.8,534.61,27
HCPCS,21110,21110 APPLICATION AND REMOVAL OF DENTAL FIXATION DEVICE,3000.0,1200.0,1213.64,3502.16,33
HCPCS,21315,21315 CLOSED TREATMENT OF BROKEN NOSE BONE WITH MANIPULATION,3000.0,1200.0,1213.64,3502.16,33
HCPCS,21320,21320 CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,6500.0,2600.0,505.0,7483.5,33
HCPCS,21337,21337 CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,6500.0,2600.0,2593.34,7483.5,33
HCPCS,21421,21421 CLOSED TREATMENT BROKEN RO MOUTH UPPER JAW BONE WITH PLACEMENT,6500.0,2600.0,2593.34,7483.5,33
HCPCS,21440,21440 CLOSED TREATMENT OF BROKEN UPPER OR LOWER JAW BONE,6500.0,2600.0,2593.34,7483.5,33
HCPCS,21445,21445 TREATMENT OF BROKEN UPPER OR LOWER JAW BONE,10000.0,4000.0,4630.47,13361.96,33
HCPCS,21450,21450 CLOSED TREATMENT OF BROKEN LOWER JAW BONE,1000.0,400.0,421.87,1217.35,33
HCPCS,21451,21451 CLOSED TREATMENT OF BROKEN LOWER JAW BONE WITH MANIPULATION,3000.0,1200.0,1213.64,3502.16,33
HCPCS,21453,21453 CLOSED TREATMENT BROKEN LOWER JAW BONE WITH PLACEMENT STABILIZING,10000.0,4000.0,4630.47,13361.96,33
HCPCS,21454,21454 TREATMENT BROKEN LOWER JAW BONE WITH PLACEMENT EXTERNAL STABILIZING,10000.0,4000.0,4630.47,13361.96,33
HCPCS,21462,21462 TREATMENT BROKEN LOWER JAW BONE WITH PLACEMENT STABILIZING DEVICE,10000.0,4000.0,505.0,13361.96,33
HCPCS,21480,21480 CLOSED TREATMENT OF DISLOCATED JAW JOINT,527.0,210.8,192.94,556.77,33
HCPCS,21485,21485 COMPLICATED REPAIR DISLOCATED JAW JOINT WITH PLACEMENT,3000.0,1200.0,1213.64,3502.16,33
HCPCS,21497,21497 WIRING OF JAW OR ORAL SPLINT TO TEETH,3000.0,1200.0,1213.64,3502.16,33
HCPCS,21499,21499 OTHER PROCEDURE ON HEAD MUSCLE OR HEAD BONE,9500.0,3800.0,185.27,8550.0,33
HCPCS,21550,21550 BIOPSY OF SOFT TISSUE OF NECK OR CHEST,3500.0,1400.0,1291.88,3727.91,33
HCPCS,21601,21601 REMOVAL OF GROWTH OF CHEST WALL AND RIB,5800.0,2320.0,2272.06,6556.38,33
HCPCS,21899,21899 OTHER PROCEDURE ON NECK OR CHEST,9500.0,3800.0,185.27,8550.0,33
HCPCS,21930,21930 REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES,3500.0,1400.0,1291.88,3727.91,33
HCPCS,21931,EXC BACK LES SC 3 CM/>,3862.0,1544.8,1291.88,3862.0,33
HCPCS,22310,22310 CLOSED TREATMENT OF BROKEN SPINE BONE WITH CAST OR BRACE,527.0,210.8,192.94,556.77,33
HCPCS,22510,22510 STABILIZATION OF UPPER SPINE BONE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,22511,22511 STABILIZATION OF LOWER SPINE BONE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,22512,22512 STABILIZATION OF SPINE BONE,4864.0,1945.6,1945.6,4377.6,17
HCPCS,22513,22513 TREATMENT BROKEN MIDDLE SPINE BONE WITH PLACEMENT STABILIZING DEVICE,14000.0,5600.0,5675.78,16378.38,33
HCPCS,22514,22514 TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE,14000.0,5600.0,5675.78,16378.38,33
HCPCS,22515,22515 TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE,6500.0,2600.0,2600.0,5850.0,17
HCPCS,22869,INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL,30000.0,12000.0,11534.74,30000.0,26
HCPCS,22870,INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL,15000.0,6000.0,6000.0,13500.0,17
HCPCS,22900,EXC ABDL TUM DEEP < 5 CM,6768.0,2707.2,2272.06,6768.0,33
HCPCS,23030,23030 DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF SHOULDER,5800.0,2320.0,2272.06,6556.38,33
HCPCS,23031,23031 DRAINAGE OF INFECTED FLUIDFILLED SAC BURSA OF SHOULDER JOINT,5800.0,2320.0,2272.06,6556.38,33
HCPCS,23065,23065 BIOPSY OF SURFACE TISSUE OF SHOULDER,3500.0,1400.0,1291.88,3727.91,33
HCPCS,23066,23066 BIOPSY OF DEEP TISSUE OF SHOULDER,5000.0,2000.0,2272.06,6556.38,33
HCPCS,23330,23330 REMOVAL OF FOREIGN BODY OF SHOULDER JOINT,1589.0,635.6,921.62,3727.91,33
HCPCS,23350,23350 INJECTION OF CONTRAST FOR IMAGING OF SHOULDER JOINT,1125.0,450.0,450.0,1012.5,17
HCPCS,23500,23500 CLOSED TREATMENT OF BROKEN COLLAR BONE,500.0,200.0,192.94,556.77,33
HCPCS,23505,23505 CLOSED TREATMENT OF BROKEN COLLAR BONE WITH MANIPULATION,3500.0,1400.0,1257.76,3629.48,33
HCPCS,23540,23540 CLOSED TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,527.0,210.8,192.94,556.77,33
HCPCS,23545,23545 CLOSED TREATMENT DISLOCATED JOINT BETWEEN COLLAR BONE SHOULDER,527.0,210.8,192.94,556.77,33
HCPCS,23570,23570 CLOSED TREATMENT OF BROKEN SHOULDER BLADE,527.0,210.8,192.94,556.77,33
HCPCS,23575,TREAT SHOULDER BLADE FX,3556.0,1422.4,1257.76,3629.48,33
HCPCS,23600,23600 CLOSED TREATMENT OF BROKEN TOP OF UPPER ARM BONE,527.0,210.8,192.94,556.77,33
HCPCS,23605,23605 CLOSED TREATMENT OF BROKEN TOP OF UPPER ARM BONE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,23650,23650 CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,23655,23655 CLOSED TREATMENT OF DISLOCATED SHOULDER WITH MANIPULATION UNDER ANESTHESIA,3000.0,1200.0,1257.76,3629.48,33
HCPCS,23665,23665 CLOSED TREATMENT DISLOCATED SHOULDER BROKEN UPPER ARM BONE AT SHOULD,3000.0,1200.0,1257.76,3629.48,33
HCPCS,23675,23675 CLOSED TREATMENT DISLOCATED SHOULDER BROKEN NECK UPPER ARM BONE,3000.0,1200.0,1257.76,3629.48,33
HCPCS,23929,23929 OTHER PROCEDURE ON SHOULDER,10638.0,4255.2,192.94,9574.2,33
HCPCS,23929,SHOULDER SURGERY PROCEDURE,500.0,200.0,192.94,556.77,33
HCPCS,23931,23931 DRAINAGE OF FLUID FILLED SAC IN ELBOW JOINT,3500.0,1400.0,1291.88,3727.91,33
HCPCS,24065,24065 BIOPSY OF SURFACE TISSUE OF UPPER ARM OR ELBOW,3500.0,1400.0,1291.88,3727.91,33
HCPCS,24066,24066 BIOPSY OF DEEP TISSUE OF UPPER ARM OR ELBOW,5000.0,2000.0,2272.06,6556.38,33
HCPCS,24200,24200 REMOVAL OF FOREIGN BODY OF UPPER ARM OR ELBOW AREA,3500.0,1400.0,1291.88,3727.91,33
HCPCS,24201,24201 REMOVAL OF FOREIGN BODY,6054.0,2421.6,2272.06,6556.38,33
HCPCS,24220,24220 INJECTION OF CONTRAST FOR IMAGING OF ELBOW JOINT,1800.0,720.0,720.0,1620.0,17
HCPCS,24500,24500 CLOSED TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE,500.0,200.0,192.94,556.77,33
HCPCS,24505,24505 CLOSED TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24530,24530 CLOSED TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW,500.0,200.0,192.94,556.77,33
HCPCS,24535,24535 CLOSED TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24560,24560 CLOSED TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW,527.0,210.8,192.94,556.77,33
HCPCS,24565,24565 CLOSED TREATMENT BROKEN OUTER PART UPPER ARM BONE AT ELBOW,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24576,24576 CLOSED TREATMENT OF BROKEN ELBOW,527.0,210.8,192.94,556.77,33
HCPCS,24577,24577 CLOSED TREATMENT OF BROKEN ELBOW WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24577,TREAT HUMERUS FRACTURE,3500.0,1400.0,1257.76,3629.48,33
HCPCS,24600,24600 REPAIR OF DISLOCATED ELBOW,500.0,200.0,192.94,556.77,33
HCPCS,24605,24605 REPAIR OF DISLOCATED ELBOW UNDER ANESTHESIA,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24620,24620 CLOSED TREATMENT BROKEN DISLOCATED EARM BONES AT ELBOW WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24640,24640 CLOSED TREATMENT DISLOCATED EARM BONE ON THUMB SIDE AT ELBOW WITH MANIP,500.0,200.0,192.94,556.77,33
HCPCS,24650,24650 CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,527.0,210.8,192.94,556.77,33
HCPCS,24655,24655 CLOSED TREATMENT BROKEN EARM BONE ON THUMB SIDE AT ELBOW,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24670,24670 CLOSED TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW,527.0,210.8,192.94,556.77,33
HCPCS,24675,24675 CLOSED TREATMENT BROKEN EARM BONE ON SMALL FINGER SIDE AT ELBOW,3000.0,1200.0,1257.76,3629.48,33
HCPCS,24999,24999 OTHER PROCEDURE ON UPPER ARM OR ELBOW,9931.0,3972.4,192.94,8937.9,33
HCPCS,24999,UPPER ARM/ELBOW SURGERY,527.0,210.8,192.94,556.77,33
HCPCS,25028,25028 DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF FOREARM OR WRIST,6000.0,2400.0,2559.34,7385.4,33
HCPCS,25031,25031 DRAINAGE OF FLUID FILLED SAC IN WRIST JOINT,3500.0,1400.0,1257.76,3629.48,33
HCPCS,25065,25065 BIOPSY OF SURFACE TISSUE OF FOREARM OR WRIST,3500.0,1400.0,1291.88,3727.91,33
HCPCS,25066,25066 BIOPSY OF DEEP TISSUE OF FOREARM AND/OR WRIST,5000.0,2000.0,2272.06,6556.38,33
HCPCS,25111,25111 REMOVAL OF FIRST CYST OF WRIST,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25112,25112 REMOVAL OF RECURRENT CYST OF WRIST,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25246,25246 INJECTION OF CONTRAST FOR IMAGING OF WRIST,940.0,376.0,376.0,846.0,17
HCPCS,25248,25248 REMOVAL OF DEEP FOREIGN BODY IN FOREARM OR WRIST,3500.0,1400.0,1257.76,3629.48,33
HCPCS,25260,25260 PRIMARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,6000.0,2400.0,2559.34,7385.4,33
HCPCS,25263,25263 SECONDARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,8000.0,3200.0,4640.0,16378.38,33
HCPCS,25270,25270 PRIMARY REPAIR OF TENDON OR MUSCLE OF TOP SIDE OF FOREARM OR WRIST,6000.0,2400.0,2559.34,7385.4,33
HCPCS,25500,25500 CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,500.0,200.0,192.94,556.77,33
HCPCS,25505,25505 CLOSED TREATMENT BROKEN MIDPART EARM BONE ON THUMB SIDE,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25520,TREAT FRACTURE OF RADIUS,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25530,25530 CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,500.0,200.0,192.94,556.77,33
HCPCS,25535,25535 CLOSED TREATMENT BROKEN MIDPART EARM BONE ON SMALL FINGER SIDE,500.0,200.0,192.94,556.77,33
HCPCS,25560,25560 CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES,500.0,200.0,192.94,556.77,33
HCPCS,25565,25565 CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25600,25600 CLOSED TREATMENT BROKEN EARM RADIUS BONE AT THE WRIST AREA ON THE THUMB,500.0,200.0,192.94,556.77,33
HCPCS,25605,25605 CLOSED TREATMENT BROKEN GROWTH PLATE SEPARATE EARM BONE AT WRIST,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25622,25622 CLOSED TREATMENT OF BROKEN WRIST BONE NEAR BASE OF THUMB,527.0,210.8,192.94,556.77,33
HCPCS,25624,25624 CLOSED TREATMENT OF BROKEN WRIST BONE NEAR BASE OF THUMB WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25630,25630 CLOSED TREATMENT OF OTHER BROKEN WRIST BONE,527.0,210.8,192.94,556.77,33
HCPCS,25635,25635 CLOSED TREATMENT OF OTHER BROKEN WRIST BONE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25650,25650 CLOSED TREATMENT OF BROKEN BASE OF EARM BONE ON SMALL FINGER SIDE AT WRIST,500.0,200.0,192.94,556.77,33
HCPCS,25660,25660 CLOSED TREATMENT OF DISLOCATED WRIST BONES WITH MANIPULATION,527.0,210.8,192.94,556.77,33
HCPCS,25675,25675 CLOSED TREATMENT OF DISLOCATED FOREARM BONE AT WRIST WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,25680,25680 CLOSED TREATMENT OF BROKEN AND DISLOCATED WRIST BONES WITH MANIPULATION,527.0,210.8,192.94,556.77,33
HCPCS,25690,25690 CLOSED TREATMENT OF DISLOCATED WRIST LUNATE BONE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,25999,25999 OTHER PROCEDURE ON FOREARM OR WRIST,9931.0,3972.4,192.94,8937.9,33
HCPCS,25999,FOREARM OR WRIST SURGERY,527.0,210.8,192.94,556.77,33
HCPCS,26010,26010 SIMPLE DRAINAGE OF ABSCESS OF FINGER,459.0,183.6,156.93,459.0,33
HCPCS,26011,26011 COMPLICATED DRAINAGE OF ABSCESS IN FINGER,3500.0,1400.0,1291.88,3727.91,33
HCPCS,26055,26055 INCISION OF TENDON COVERING OF FINGER,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26160,26160 REMOVAL OF GROWTH OF TENDON FINGER OR HAND,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26236,26236 PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER,3282.0,1312.8,505.0,3629.48,33
HCPCS,26350,26350 REPAIR FINGER TENDON UNDER SIDE H OTHER THAN UPPER MOST PART PALM,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26356,26356 PRIMARY REPAIR FINGER TENDON ON UNDERSIDE THE H WITHOUT A GRAFT IN ZONE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26357,26357 SECONDARY REPAIR FINGER TENDON ON UNDERSIDE H WITHOUT A GRAFT IN ZONE 2,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26410,26410 REPAIR OF TENDON ON TOP OF HAND,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26418,26418 REPAIR OF TENDON ON TOP SIDE OF FINGER,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26432,REPAIR FINGER TENDON,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26535,26535 REPLACEMENT OF FINGER JOINT,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26591,26591 REPAIR OF HAND MUSCLE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26600,26600 CLOSED TREATMENT OF BROKEN HAND BONE,500.0,200.0,192.94,556.77,33
HCPCS,26605,26605 CLOSED TREATMENT OF BROKEN HAND BONE WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,26607,26607 CLOSED TREATMENT BROKEN H BONE PLACEMENT EXTERNAL STABILIZING DEVICE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26641,26641 CLOSED TREATMENT OF DISLOCATED THUMB AT WRIST WITH MANIPULATION,527.0,210.8,192.94,556.77,33
HCPCS,26645,26645 CLOSED TREATMENT OF BROKEN THUMB AT WRIST WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26670,26670 CLOSED TREATMENT OF DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,26675,26675 CLOSED TREATMENT DISLOCATED H BONE AT WRIST JOINT UNDER ANESTHESIA,3500.0,1400.0,1257.76,3629.48,33
HCPCS,26700,26700 CLOSED TREATMENT OF DISLOCATED H JOINT AT BASE OF FINGER WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,26705,26705 CLOSED TREATMENT DISLOCATED H JOINT AT BASE FINGER UNDER ANESTHESIA,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26715,26715 TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26720,26720 CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND,527.0,210.8,192.94,556.77,33
HCPCS,26725,26725 CLOSED TREATMENT BROKEN FINGER THUMB AT MIDPTION PART NEAR H,500.0,200.0,192.94,556.77,33
HCPCS,26735,26735 TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26740,26740 CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,527.0,210.8,192.94,556.77,33
HCPCS,26742,26742 CLOSED TREATMENT OF BROKEN FINGER OR H AT BASE OF FINGER WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,26750,26750 CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB,527.0,210.8,192.94,556.77,33
HCPCS,26755,26755 CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,26756,26756 PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26765,26765 TREATMENT OF BROKEN END OF FINGER OR THUMB,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26770,26770 CLOSED TREATMENT OF DISLOCATED FINGER JOINT WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,26775,26775 CLOSED TREATMENT DISLOCATED FINGER JOINT UNDER ANESTHESIA,616.0,246.4,218.77,631.31,33
HCPCS,26860,ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26910,26910 AMPUTATION OF FINGER OR THUMB,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26951,26951 AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26952,26952 AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26989,26989 OTHER PROCEDURE ON HANDS OR FINGERS,527.0,210.8,192.94,556.77,33
HCPCS,26990,26990 DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF PELVIS OR HIP NEAR JOINT,6000.0,2400.0,2559.34,7385.4,33
HCPCS,26991,26991 DRAINAGE OF INFECTED FLUIDFILLED SAC NEAR PELVIS OR HIP JOINT,3500.0,1400.0,1257.76,3629.48,33
HCPCS,27040,27040 BIOPSY OF SURFACE TISSUE OF PELVIS AND HIP,3500.0,1400.0,1291.88,3727.91,33
HCPCS,27041,27041 BIOPSY OF DEEP TISSUE OF PELVIS AND HIP,3500.0,1400.0,1291.88,3727.91,33
HCPCS,27086,27086 REMOVAL OF FOREIGN BODY IN TISSUE OF PELVIS OR HIP,5800.0,2320.0,2272.06,6556.38,33
HCPCS,27087,27087 REMOVAL OF FOREIGN BODY IN TISSUE OR MUSCLE OF PELVIS OR HIP,6000.0,2400.0,2559.34,7385.4,33
HCPCS,27093,27093 INJECTION OF CONTRAST FOR IMAGING OF HIP JOINT,889.0,355.6,355.6,800.1,17
HCPCS,27095,27095 INJECTION OF CONTRAST FOR IMAGING OF HIP UNDER ANESTHESIA,250.0,100.0,100.0,225.0,17
HCPCS,27096,27096 INJ ANESTHETIC STEROID INTO JOINT BETWEEN LOWER SPINE HIP BONE IMAGING,1314.0,525.6,64.58,1182.6,33
HCPCS,27096,INJ FOR SACROILIAC JT ANESTH,1300.0,520.0,64.58,1170.0,33
HCPCS,27220,TREAT HIP SOCKET FRACTURE,562.0,224.8,192.94,562.0,33
HCPCS,27222,TREAT HIP SOCKET FRACTURE,575.0,230.0,221.62,575.0,27
HCPCS,27250,27250 CLOSED TREATMENT OF DISLOCATED HIP,500.0,200.0,192.94,556.77,33
HCPCS,27252,27252 CLOSED TREATMENT OF DISLOCATED HIP UNDER ANESTHESIA,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27256,27256 CLOSED TREATMENT OF SPONTANEOUS DISLOCATED HIP,527.0,210.8,192.94,556.77,33
HCPCS,27257,27257 TREATMENT OF SPONTANEOUS DISLOCATED HIP UNDER ANESTHESIA,3500.0,1400.0,1257.76,3629.48,33
HCPCS,27265,27265 CLOSED TREATMENT OF DISLOCATED HIP PROSTHESIS,500.0,200.0,192.94,556.77,33
HCPCS,27266,27266 CLOSED TREATMENT OF DISLOCATED HIP PROSTHESIS UNDER ANESTHESIA,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27268,CLOSED TX FEMORAL FRACTURE PROX HEAD W MANIP,500.0,200.0,290.0,3629.48,27
HCPCS,27278,ARTHRD SI JT PRQ WO TFXJ DEV,44391.0,17756.4,13714.87,44391.0,32
HCPCS,27279,ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS,35000.0,14000.0,15753.02,39576.49,27
HCPCS,27299,27299 OTHER PROCEDURE ON PELVIS OR HIP JOINT,6103.0,2441.2,192.94,5492.7,33
HCPCS,27299,PELVIS/HIP JOINT SURGERY,7810.5,3124.2,192.94,10278.9,66
HCPCS,27301,27301 DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,5800.0,2320.0,2272.06,6556.38,33
HCPCS,27323,27323 BIOPSY OF SURFACE TISSUE OF THIGH OR KNEE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,27324,27324 BIOPSY OF DEEP TISSUE OF THIGH OR KNEE,5000.0,2000.0,2272.06,6556.38,33
HCPCS,27369,27369 INJECTION OF CONTRAST FOR IMAGING OF KNEE JOINT,120.0,48.0,48.0,108.0,17
HCPCS,27372,27372 REMOVAL OF FOREIGN BODY DEEP IN TISSUE OF THIGH OR KNEE,5800.0,2320.0,2272.06,6556.38,33
HCPCS,27500,27500 CLOSED TREATMENT OF BROKEN THIGH BONE,527.0,210.8,192.94,556.77,33
HCPCS,27502,27502 CLOSED TREATMENT OF BROKEN THIGH BONE AT MIDPORTION WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27503,27503 CLOSED TREATMENT OF BROKEN THIGH BONE AT FAR END WITH MANIPULATION,3044.0,1217.6,1257.76,3629.48,33
HCPCS,27507,27507 TREATMENT BROKEN MIDDLE THIGH BONE WITH PLACEMENT STABILIZING DEVICE,3000.0,1200.0,1740.0,16378.38,27
HCPCS,27510,27510 CLOSED TREATMENT OF BROKEN THIGH BONE AT KNEE AREA WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27520,27520 CLOSED TREATMENT OF BROKEN KNEECAP,500.0,200.0,192.94,556.77,33
HCPCS,27530,27530 CLOSED TREATMENT OF BROKEN SHIN BONE,500.0,200.0,192.94,556.77,33
HCPCS,27532,TREAT KNEE FRACTURE,7231.0,2892.4,505.0,7385.4,33
HCPCS,27538,27538 CLOSED TREATMENT OF BROKEN TOP OF SHIN BONE AT KNEE,527.0,210.8,192.94,556.77,33
HCPCS,27550,27550 CLOSED TREATMENT OF DISLOCATED KNEE,500.0,200.0,192.94,556.77,33
HCPCS,27552,27552 CLOSED TREATMENT OF DISLOCATED KNEE UNDER ANESTHESIA,3500.0,1400.0,1257.76,3629.48,33
HCPCS,27552,TREAT KNEE DISLOCATION,3500.0,1400.0,1257.76,3629.48,33
HCPCS,27560,27560 CLOSED TREATMENT OF DISLOCATED KNEECAP,500.0,200.0,192.94,556.77,33
HCPCS,27562,27562 CLOSED TREATMENT OF DISLOCATED KNEECAP UNDER ANESTHESIA,527.0,210.8,192.94,556.77,33
HCPCS,27599,27599 OTHER PROCEDURE ON THIGH OR KNEE,9931.0,3972.4,192.94,8937.9,33
HCPCS,27603,27603 DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF LEG OR ANKLE,5800.0,2320.0,2272.06,6556.38,33
HCPCS,27604,27604 DRAINAGE OF INFECTED FLUIDFILLED SAC BURSA OF LEG OR ANKLE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,27613,27613 BIOPSY OF SURFACE TISSUE OF LEG OR ANKLE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,27614,27614 BIOPSY OF DEEP TISSUE OF LEG OR ANKLE,5000.0,2000.0,2272.06,6556.38,33
HCPCS,27618,EXC LEG/ANKLE TUM < 3 CM,3862.0,1544.8,1291.88,3862.0,33
HCPCS,27648,27648 INJECTION FOR XRAY IMAGING OF ANKLE,1200.0,480.0,480.0,1080.0,17
HCPCS,27750,27750 CLOSED TREATMENT OF BROKEN MIDDLE PART OF SHIN BONE,500.0,200.0,192.94,556.77,33
HCPCS,27752,27752 CLOSED TREATMENT OF MIDDLE PART OF BROKEN SHIN BONE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27760,27760 CLOSED TREATMENT OF INSIDE PORTION OF SHIN BONE AT ANKLE,527.0,210.8,192.94,556.77,33
HCPCS,27762,27762 CLOSED TREATMENT OF INSIDE PORTION OF SHIN BONE AT ANKLE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27768,CLTX POST ANKLE FX W/MNPJ,3586.0,1434.4,505.0,3629.48,33
HCPCS,27780,27780 CLOSED TREATMENT OF BROKEN MIDDLE OR UPPER END OF OUTSIDE LOWER LEG BONE,527.0,210.8,192.94,556.77,33
HCPCS,27781,27781 CLOSED TREATMENT BROKEN MIDDLE UPPER END OUTSIDE LOWER LEG BONE,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27786,27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE,500.0,200.0,192.94,556.77,33
HCPCS,27788,27788 CLOSED TREATMENT BROKEN OUTSIDE LOWER LEG BONE AT ANKLE WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,27808,27808 CLOSED TREATMENT OF 2 BROKEN LOWER LEG BONES AT ANKLE,500.0,200.0,192.94,556.77,33
HCPCS,27810,27810 CLOSED TREATMENT OF 2 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27816,27816 CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE,527.0,210.8,192.94,556.77,33
HCPCS,27818,27818 CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27822,27822 TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE,11000.0,4400.0,5675.78,16378.38,33
HCPCS,27824,27824 CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT,500.0,200.0,192.94,556.77,33
HCPCS,27825,27825 CLOSED TREATMENT BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27827,OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY,31483.0,12593.2,10042.37,31483.0,33
HCPCS,27831,27831 CLOSED TREATMENT OF DISLOCATED KNEE JOINT UNDER ANESTHESIA,6000.0,2400.0,2559.34,7385.4,33
HCPCS,27840,27840 CLOSED TREATMENT OF DISLOCATED ANKLE,500.0,200.0,192.94,556.77,33
HCPCS,27842,27842 CLOSED TREATMENT OF DISLOCATED ANKLE UNDER ANESTHESIA,3000.0,1200.0,1257.76,3629.48,33
HCPCS,27899,27899 OTHER PROCEDURE ON LEG OR ANKLE,10638.0,4255.2,192.94,9574.2,33
HCPCS,28005,28005 INCISION OF FOOT BONE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,28043,28043 REMOVAL LESS THAN 15 CENTIMETERS TISSUE GROWTH BENEATH THE SKIN FOOT TOE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,28124,PARTIAL REMOVAL OF TOE,6000.0,2400.0,2559.34,7385.4,33
HCPCS,28190,28190 REMOVAL OF FOREIGN BODY OF FOOT TISSUE,1500.0,600.0,553.89,1598.36,33
HCPCS,28192,28192 REMOVAL OF FOREIGN BODY OF FOOT TISSUE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,28193,28193 COMPLICATED REMOVAL OF FOREIGN BODY IN FOOT,3500.0,1400.0,1291.88,3727.91,33
HCPCS,28200,28200 REPAIR OF TENDON ON SOLE OF FOOT,6000.0,2400.0,2559.34,7385.4,33
HCPCS,28208,28208 REPAIR OF TENDON OF TOP SIDE OF FOOT,6000.0,2400.0,2559.34,7385.4,33
HCPCS,28400,28400 CLOSED TREATMENT OF BROKEN HEEL BONE,500.0,200.0,192.94,556.77,33
HCPCS,28405,28405 CLOSED TREATMENT OF BROKEN HEEL BONE WITH MANIPULATION,527.0,210.8,192.94,556.77,33
HCPCS,28430,28430 CLOSED TREATMENT OF BROKEN ANKLE JOINT BONE,500.0,200.0,192.94,556.77,33
HCPCS,28435,28435 CLOSED TREATMENT OF BROKEN ANKLE JOINT BONE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,28450,28450 TREATMENT OF BROKEN FOOT BONE AT ANKLE,500.0,200.0,192.94,556.77,33
HCPCS,28455,28455 TREATMENT OF BROKEN FOOT BONE AT ANKLE WITH MANIPULATION,3000.0,1200.0,1257.76,3629.48,33
HCPCS,28470,28470 CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT,527.0,210.8,192.94,556.77,33
HCPCS,28475,28475 CLOSED TREATMENT OF BROKEN FOOT WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,28490,28490 CLOSED TREATMENT OF BROKEN GREAT TOE,527.0,210.8,192.94,556.77,33
HCPCS,28495,28495 CLOSED TREATMENT OF BROKEN GREAT TOE WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,28510,28510 CLOSED TREATMENT OF BROKEN TOE,527.0,210.8,192.94,556.77,33
HCPCS,28515,28515 CLOSED TREATMENT OF BROKEN TOE WITH MANIPULATION,500.0,200.0,192.94,556.77,33
HCPCS,28530,28530 CLOSED TREATMENT OF BROKEN SMALL BONE IN TENDON ATTACHED TO GREAT TOE,527.0,210.8,192.94,556.77,33
HCPCS,28600,28600 CLOSED TREATMENT OF DISLOCATED MIDFOOT JOINT,500.0,200.0,192.94,556.77,33
HCPCS,28605,28605 CLOSED TREATMENT OF DISLOCATED MIDFOOT JOINT UNDER ANESTHESIA,527.0,210.8,192.94,556.77,33
HCPCS,28630,28630 CLOSED TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT,500.0,200.0,192.94,556.77,33
HCPCS,28635,28635 CLOSED TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT UNDER ANESTHESIA,3500.0,1400.0,1257.76,3629.48,33
HCPCS,28660,28660 CLOSED TREATMENT OF DISLOCATED JOINT IN TOE,527.0,210.8,192.94,556.77,33
HCPCS,28820,28820 AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES,6000.0,2400.0,2559.34,7385.4,33
HCPCS,28825,28825 AMPUTATION OF TOE AT TOE JOINT,6000.0,2400.0,2559.34,7385.4,33
HCPCS,28899,CRYOABLATION OF PLANTAR FIBROMATOSIS,16537.0,6614.8,192.94,14883.3,33
HCPCS,29000,APPLICATION OF BODY CAST,553.0,221.2,218.77,631.31,33
HCPCS,29010,APPLICATION OF BODY CAST,553.0,221.2,218.77,631.31,33
HCPCS,29015,APPLICATION OF BODY CAST,553.0,221.2,218.77,631.31,33
HCPCS,29035,29035 APPLICATION OF SHOULDER TO HIP BODY CAST,510.0,204.0,218.77,631.31,33
HCPCS,29035,APPLICATION OF BODY CAST,510.0,204.0,218.77,631.31,33
HCPCS,29040,29040 APPLICATION OF SHOULDER TO HIP BODY CAST INCLUDING HEAD,510.0,204.0,218.77,631.31,33
HCPCS,29044,29044 APPLICATION OF SHOULDER TO HIP BODY CAST AND THIGH,350.0,140.0,127.1,366.79,33
HCPCS,29046,29046 APPLICATION OF SHOULDER TO HIP BODY CAST AND BOTH THIGHS,616.0,246.4,218.77,631.31,33
HCPCS,29049,APPLICATION OF FIGURE EIGHT,553.0,221.2,218.77,631.31,33
HCPCS,29055,APPLICATION OF SHOULDER CAST,553.0,221.2,218.77,631.31,33
HCPCS,29058,29058 APPLICATION OF PLASTER VELPEAU CAST TO UPPER FOREARM AND SHOULDER,510.0,204.0,218.77,631.31,33
HCPCS,29065,29065 APPLICATION OF SHOULDER TO HAND CAST,600.0,240.0,218.77,631.31,33
HCPCS,29065,APPLICATION OF LONG ARM CAST,510.0,204.0,160.0,631.31,132
HCPCS,29075,29075 APPLICATION OF ELBOW TO FINGER CAST,510.0,204.0,160.0,631.31,33
HCPCS,29075,APPLICATION OF FOREARM CAST,510.0,204.0,160.0,631.31,132
HCPCS,29085,29085 APPLICATION OF HAND AND LOWER FOREARM CAST,350.0,140.0,127.1,366.79,33
HCPCS,29086,29086 APPLICATION OF FINGER CAST,350.0,140.0,127.1,366.79,33
HCPCS,29105,29105 APPLICATION OF LOWER AND UPPER ARM SPLINT,350.0,140.0,127.1,366.79,33
HCPCS,29125,29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT,290.0,116.0,104.07,300.31,33
HCPCS,29126,29126 APPLICATION OF MOVEABLE OR HINGED FOREARM TO HAND SPLINT,250.0,100.0,104.07,300.31,33
HCPCS,29130,29130 APPLICATION OF NONMOVEABLE FINGER SPLINT,290.0,116.0,104.07,300.31,33
HCPCS,29131,29131 APPLICATION OF HINGED FINGER SPLINT,125.0,50.0,46.14,133.15,33
HCPCS,29200,29200 PLACEMENT OF STRAPPING TO CHEST,350.0,140.0,127.1,366.79,33
HCPCS,29240,29240 PLACEMENT OF STRAPPING TO SHOULDER,250.0,100.0,104.07,300.31,33
HCPCS,29260,29260 PLACEMENT OF STRAPPING TO ELBOW OR WRIST,142.0,56.8,46.14,142.0,33
HCPCS,29280,29280 PLACEMENT OF STRAPPING TO HAND OR FINGER,125.0,50.0,46.14,133.15,33
HCPCS,29305,29305 APPLICATION OF HIP SPICA CAST ON LEG,616.0,246.4,218.77,631.31,33
HCPCS,29325,APPLICATION OF HIP SPICA CAST ON BOTH LEGS,616.0,246.4,218.77,631.31,33
HCPCS,29345,29345 APPLICATION OF LONG LEG CAST FROM THIGH TO TOE,600.0,240.0,160.0,631.31,33
HCPCS,29345,APPLICATION OF LONG LEG CAST,600.0,240.0,160.0,631.31,66
HCPCS,29345,HC APPLICATION LONG LEG CAST CO,600.0,240.0,160.0,631.31,33
HCPCS,29345,HC APPLICATION OF LONG LEG CAST,600.0,240.0,218.77,631.31,33
HCPCS,29355,29355 APPLICATION OF WALKING CAST COVERING THIGH TO TOE,616.0,246.4,218.77,631.31,33
HCPCS,29358,29358 APPLICATION OF LONG LEG BRACETYPE CAST FROM THIGH TO TOE,616.0,246.4,218.77,631.31,33
HCPCS,29365,29365 APPLICATION OF THIGH TO LOWER LEG CYLINDER CAST,616.0,246.4,218.77,631.31,33
HCPCS,29405,29405 APPLICATION OF SHORT LEG CAST,510.0,204.0,160.0,631.31,33
HCPCS,29405,APPLY SHORT LEG CAST,555.0,222.0,160.0,631.31,132
HCPCS,29425,29425 APPLICATION OF WALKING CAST COVERING BELOW KNEE TO TOE,510.0,204.0,218.77,631.31,33
HCPCS,29435,29435 APPLICATION OF KNEECAP TENDON BEARING CAST,510.0,204.0,218.77,631.31,33
HCPCS,29440,29440 ADDITION OF WALKER TO PREVIOUSLY APPLIED CAST,350.0,140.0,127.1,366.79,33
HCPCS,29445,29445 APPLICATION OF WALKING CAST COVERING FOOT,600.0,240.0,218.77,631.31,33
HCPCS,29450,29450 APPLICATION OF LEG CAST AND MANIPULATION OF FOOT TO TREAT DEFORMITY,350.0,140.0,127.1,366.79,33
HCPCS,29505,29505 APPLICATION OF LONG LEG SPLINT FROM THIGH TO ANKLE OR TOE,350.0,140.0,127.1,366.79,33
HCPCS,29515,29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT,350.0,140.0,127.1,366.79,33
HCPCS,29520,29520 PLACEMENT OF STRAPPING TO HIP,250.0,100.0,104.07,300.31,33
HCPCS,29530,29530 PLACEMENT OF STRAPPING TO KNEE,250.0,100.0,104.07,300.31,33
HCPCS,29540,29540 PLACEMENT OF STRAPPING TO ANKLE OR FOOT,350.0,140.0,127.1,366.79,33
HCPCS,29550,29550 PLACEMENT OF STRAPPING TO TOES,125.0,50.0,46.14,133.15,33
HCPCS,29580,29580 STRAPPING,350.0,140.0,127.1,366.79,33
HCPCS,29581,29581 APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON LOWER LEG,350.0,140.0,127.1,366.79,33
HCPCS,29584,29584 APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON UPPER ARM,350.0,140.0,127.1,366.79,33
HCPCS,29700,29700 REMOVAL OR CUTTING OF GAUNTLET,616.0,246.4,218.77,631.31,33
HCPCS,29705,29705 REMOVAL OR CUTTING OF FULL ARM OR LEG CAST,510.0,204.0,160.0,631.31,33
HCPCS,29705,HC REMOVAL/REVISION OF CAST,600.0,240.0,218.77,631.31,33
HCPCS,29705,REMOVAL/REVISION OF CAST,510.0,204.0,160.0,631.31,33
HCPCS,29710,29710 REMOVAL OR CUTTING OF SHOULDER,616.0,246.4,218.77,631.31,33
HCPCS,29710,REMOVAL/REVISION OF CAST,510.0,204.0,218.77,631.31,33
HCPCS,29720,29720 REPAIR OF SPICA,350.0,140.0,127.1,366.79,33
HCPCS,29730,29730 EXAM OF SKIN SURFACE BY CREATION OF OPENING IN CAST,350.0,140.0,127.1,366.79,33
HCPCS,29740,29740 INSERTION OF WEDGE IN CAST,510.0,204.0,218.77,631.31,33
HCPCS,29750,29750 INSERTION OF WEDGE IN CLUBFOOT CAST,510.0,204.0,218.77,631.31,33
HCPCS,29799,29799 OTHER CASTING OR WRAPPING PROCEDURE,350.0,140.0,127.1,366.79,33
HCPCS,29799,CASTING/STRAPPING PROCEDURE,350.0,140.0,127.1,366.79,66
HCPCS,29848,29848 RELEASE OF WRIST LIGAMENT USING AN ENDOSCOPE,3500.0,1400.0,1257.76,3629.48,33
HCPCS,30000,30000 DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NOSE,510.0,204.0,185.27,534.61,33
HCPCS,30020,30020 DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NASAL CARTILAGE,1000.0,400.0,421.87,1217.35,33
HCPCS,30100,30100 BIOPSY OF LINING OF NOSE,3000.0,1200.0,1213.64,3502.16,33
HCPCS,30110,30110 SIMPLE REMOVAL OF NASAL POLYP,3000.0,1200.0,1213.64,3502.16,33
HCPCS,30300,30300 REMOVAL OF FOREIGN BODY IN NOSE,250.0,100.0,104.07,300.31,33
HCPCS,30901,30901 SIMPLE CONTROL OF NOSE BLEED,250.0,100.0,104.07,300.31,33
HCPCS,30903,30903 COMPLEX CONTROL OF NOSE BLEED,250.0,100.0,104.07,300.31,33
HCPCS,30905,30905 INITIAL CONTROL OF NOSE BLEED AND INSERTION OF PACKING,250.0,100.0,104.07,300.31,33
HCPCS,30906,30906 SUBSEQUENT CONTROL OF NOSEBLEED AND INSERTION OF PACKING,510.0,204.0,185.27,534.61,33
HCPCS,30999,30999 OTHER PROCEDURE ON NOSE,510.0,204.0,185.27,534.61,33
HCPCS,30999,HC NASAL PROCEDURE UNLISTED,500.0,200.0,185.27,534.61,33
HCPCS,31000,31000 IRRIGATION OF NASAL SINUS,510.0,204.0,185.27,534.61,33
HCPCS,31002,31002 IRRIGATION OF SPHENOID NASAL SINUS,3000.0,1200.0,1213.64,3502.16,33
HCPCS,31231,31231 DIAGNOSTIC EXAM OF NASAL PASSAGES USING AN ENDOSCOPE,420.0,168.0,156.13,450.54,33
HCPCS,31235,NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31237,31237 BIOPSY OR REMOVAL OF NASAL POLYP OR TISSUE USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31238,31238 CONTROL OF BLEEDING OF NOSE USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31500,31500 EMERGENT INSERTION OF BREATHING TUBE INTO WINDPIPE USING AN ENDOSCOPE,500.0,200.0,185.27,534.61,33
HCPCS,31502,31502 CHANGE OF BREATHING TUBE IN WINDPIPE,500.0,200.0,185.27,534.61,33
HCPCS,31505,31505 DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE WITH MIRROR,420.0,168.0,156.13,450.54,33
HCPCS,31511,31511 REMOVAL OF FOREIGN BODY IN VOICE BOX USING AN ENDOSCOPE WITH MIRROR,420.0,168.0,156.13,450.54,33
HCPCS,31525,31525 DIAGNOSTIC EXAM OF VOICE BOX USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31527,31527 INSERTION OF DEVICE TO CLOSE OPENING OF VOICE BOX USING AN ENDOSCOPE,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31535,31535 BIOPSY OF VOICE BOX USING AN ENDOSCOPE,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31575,31575 DIAGNOSTIC EXAM OF VOICE BOX USING A FLEXIBLE ENDOSCOPE,420.0,168.0,156.13,450.54,33
HCPCS,31577,31577 REMOVAL OF FOREIGN BODY IN VOICE BOX USING A FLEXIBLE ENDOSCOPE,420.0,168.0,243.6,882.81,33
HCPCS,31579,31579 EXAM TO ASSESS MOVEMENT OF VOCAL CORD FLAPS USING AN ENDOSCOPE,420.0,168.0,243.6,882.81,33
HCPCS,31599,31599 OTHER PROCEDURE ON VOICE BOX,2000.0,800.0,185.27,1800.0,33
HCPCS,31600,31600 INCISION OF WINDPIPE FOR INSERTION OF BREATHING TUBE OLDER THAN 2 YEARS,6500.0,2600.0,2593.34,7483.5,33
HCPCS,31603,31603 EMERGENT INCISION OF WINDPIPE THROUGH NECK FOR INSERTION OF BREATHING TUBE,3000.0,1200.0,1213.64,3502.16,33
HCPCS,31605,31605 EMERGENT INCISION OF WINDPIPE FOR INSERTION OF BREATHING TUBE,510.0,204.0,185.27,534.61,33
HCPCS,31611,31611 CREATION OF OPENING OF WINDPIPE AND INSERTION OF SPEECH PROSTHESIS,6500.0,2600.0,2593.34,7483.5,33
HCPCS,31612,PUNCTURE/CLEAR WINDPIPE,7113.0,2845.2,2593.34,7483.5,33
HCPCS,31615,31615 EXAM WINDPIPE LUNG AIRWAYS THROUGH PERMANENT WINDPIPE OPENING AN ENDO,1000.0,400.0,421.87,1217.35,33
HCPCS,31622,31622 DIAGNOSTIC EXAM OF LUNG AIRWAY USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31623,31623 EXAM OF LUNG AIRWAYS USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31624,31624 IRRIGATION AND SUCTION OF LUNG AIRWAYS TO OBTAIN CELLS USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31625,31625 BIOPSY OF LUNG AIRWAY USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31626,31626 PLACEMENT OF RADIATION THERAPY MARKERS INTO LUNG AIRWAYS AN ENDOSCOPE,13000.0,5200.0,5520.32,15929.76,33
HCPCS,31627,31627 COMPUTERASSISTED IMAGEGUIDED NAVIGATION OF LUNG AIRWAYS AN ENDOSCOPE,3220.0,1288.0,1288.0,2898.0,17
HCPCS,31628,31628 BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31629,31629 NEEDLE BIOPSY OF WINDPIPE CARTILAGE,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31630,31630 DILATION WINDPIPE CARTILAGE TREATMENT BROKEN WINDPIPE CARTILAGE AN ENDO,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31631,31631 PLACEMENT OF STENT INTO WINDPIPE USING AN ENDOSCOPE,13000.0,5200.0,5520.32,15929.76,33
HCPCS,31632,31632 BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE,1500.0,600.0,600.0,1350.0,17
HCPCS,31633,31633 NEEDLE BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE,1500.0,600.0,600.0,1350.0,17
HCPCS,31634,BRONCH W/BALLOON OCCLUSION,15468.0,6187.2,5520.32,15929.76,33
HCPCS,31635,31635 REMOVAL OF FOREIGN BODY IN LUNG AIRWAYS USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31636,31636 PLACEMENT OF STENT IN LUNG AIRWAY USING AN ENDOSCOPE,13000.0,5200.0,5520.32,15929.76,33
HCPCS,31638,BRONCHOSCOPY REVISE STENT,14869.0,5947.6,5520.32,15929.76,33
HCPCS,31640,BRONCHOSCOPY WITH EXCISION,5733.0,2293.2,2916.29,8415.44,33
HCPCS,31641,31641 DESTRUCTION OF GROWTH OR NARROWING OF LUNG AIRWAY USING AN ENDOSCOPE,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31643,31643 PLACEMENT OF TUBE FOR RADIATION DELIVERY IN LUNG AIRWAY USING AN ENDOSCOPE,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31645,BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST,3820.0,1528.0,1392.22,4017.5,33
HCPCS,31647,BRONCHIAL VALVE INIT INSERT,13000.0,5200.0,5520.32,15929.76,33
HCPCS,31648,BRONCHIAL VALVE REMOV INIT,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31649,BRONCHIAL VALVE REMOV ADDL,3500.0,1400.0,1392.22,4017.5,33
HCPCS,31651,BRONCHIAL VALVE ADDL INSERT,2500.0,1000.0,1000.0,2250.0,17
HCPCS,31652,31652 EXAM OF LUNG AIRWAYS SAMPLING OF LYMPH NODES AN ENDOSCOPE ULTRASOUND,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31653,31653 EXAM OF LUNG AIRWAYS SAMPLING OF LYMPH NODES AN ENDOSCOPE ULTRASOUND,6500.0,2600.0,2916.29,8415.44,33
HCPCS,31654,31654 EXAM LUNG AIRWAYS WITH DIAGNOSTIC THERAPEUTIC PROCEDURE ON GROWTHS,4500.0,1800.0,1800.0,4050.0,17
HCPCS,31720,31720 INSERTION OF TUBE INTO AIRWAY FOR ASPIRATION OF SECRETIONS,480.0,192.0,171.28,494.26,33
HCPCS,31730,INTRO WINDPIPE WIRE/TUBE,3741.0,1496.4,1392.22,4017.5,33
HCPCS,31899,31899 OTHER PROCEDURE ON WINDPIPE OR LUNG AIRWAY,420.0,168.0,156.13,450.54,33
HCPCS,32100,32100 INCISION AND EXPLORATION OF CHEST CAVITY,3500.0,1400.0,717.97,3500.0,26
HCPCS,32110,32110 REPAIR OF TEAR OF LUNG AND/OR CONTROL OF TRAUMATIC BLEEDING THROUGH CHEST,3000.0,1200.0,1291.39,3228.48,26
HCPCS,32160,32160 MASSAGE OF HEART MUSCLE THROUGH CHEST,3500.0,1400.0,711.54,3150.0,26
HCPCS,32400,32400 NEEDLE BIOPSY OF LINING OF LUNG,3500.0,1400.0,1291.88,3727.91,33
HCPCS,32408,32408 CORE NEEDLE BIOPSY OF LUNG OR CENTER CAVITY OF CHEST MEDIASTINUM,3500.0,1400.0,1291.88,3727.91,33
HCPCS,32550,32550 INSERTION OF INDWELLING TUBE FOR DRAINAGE OF LUNG FLUID,6000.0,2400.0,2800.58,8081.51,33
HCPCS,32551,32551 REMOVAL OF FLUID FROM BETWEEN LUNG AND CHEST CAVITY,3000.0,1200.0,1231.29,3553.11,33
HCPCS,32552,32552 REMOVAL OF INDWELLING TUBE IN LINING OF LUNG,1300.0,520.0,490.67,1415.92,33
HCPCS,32553,32553 INSERTION OF DEVICE IN CHEST CAVITY FOR RADIATION THERAPY GUIDANCE,3224.0,1289.6,1082.66,3224.0,33
HCPCS,32554,32554 ASPIRATION OF FLUID FROM CHEST CAVITY,1300.0,520.0,490.67,1415.92,33
HCPCS,32555,32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE,1300.0,520.0,490.67,1415.92,33
HCPCS,32556,32556 DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,32557,32557 DRAINAGE FLUID FROM CHEST CAVITY WITH INSERTION INDWELLING TUBE IMAGING,3000.0,1200.0,1231.29,3553.11,33
HCPCS,32560,32560 INSTILLATION OF AGENT ONTO LUNG SURFACE USING CHEST TUBE,1300.0,520.0,490.67,1415.92,33
HCPCS,32561,LYSE CHEST FIBRIN INIT DAY,1300.0,520.0,490.67,1415.92,33
HCPCS,32562,LYSE CHEST FIBRIN SUBQ DAY,1300.0,520.0,490.67,1415.92,33
HCPCS,32601,32601 DIAGNOSTIC EXAM OF LUNGS,10000.0,4000.0,4728.79,13645.68,33
HCPCS,32604,32604 BIOPSY OF HEART SAC USING AN ENDOSCOPE,10000.0,4000.0,5800.0,23993.15,33
HCPCS,32607,32607 BIOPSY OF FLUID COLLECTION OF LUNG USING AN ENDOSCOPE,10000.0,4000.0,5800.0,23993.15,33
HCPCS,32609,32609 BIOPSY OF LUNG LINING USING AN ENDOSCOPE,10000.0,4000.0,4728.79,13645.68,33
HCPCS,32650,32650 ADHESION OF LININGS OF LUNG USING AN ENDOSCOPE,4000.0,1600.0,598.52,3600.0,26
HCPCS,32994,32994 DESTRUCTION OF GROWTH OF LUNG USING EXTREME COLD,10000.0,4000.0,5800.0,23993.15,27
HCPCS,32997,32997 IRRIGATION AND DRAINAGE OF LUNG,500.0,200.0,289.23,723.08,26
HCPCS,32998,32998 DESTRUCTION OF GROWTH OF LUNG USING RADIOFREQUENCY,10000.0,4000.0,4728.79,13645.68,33
HCPCS,32999,32999 OTHER PROCEDURE ON LUNG AND LUNG LINING,9378.0,3751.2,490.67,8440.2,33
HCPCS,33016,33016 DRAINAGE OF HEART SAC USING IMAGING GUIDANCE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,33017,33017 DRAINAGE OF HEART SAC USING TUBE AND IMAGING GUIDANCE 6 YEARS OR OLDER,1000.0,400.0,200.99,1000.0,26
HCPCS,33018,33018 DRAINAGE OF HEART SAC USING TUBE AND IMAGING GUIDANCE 5 YEARS,1000.0,400.0,235.84,900.0,26
HCPCS,33019,33019 DRAINAGE OF HEART SAC USING TUBE AND CT IMAGING GUIDANCE,1000.0,400.0,171.76,1000.0,26
HCPCS,33206,33206 INSERTION OF PACEMAKER AND UPPER HEART CHAMBER ELECTRODE,22000.0,8800.0,8175.5,23591.74,33
HCPCS,33207,33207 INSERTION OF PACEMAKER AND LOWER HEART CHAMBER ELECTRODE,24000.0,9600.0,8175.5,24000.0,33
HCPCS,33208,33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE,24000.0,9600.0,8175.5,24000.0,33
HCPCS,33210,33210 INSERTION OF TEMPORARY PACEMAKER LEAD IN SINGLE HEART CHAMBER,16000.0,6400.0,6472.97,18678.81,33
HCPCS,33212,33212 INSERTION OF PACEMAKER PULSE GENERATOR WITH EXISTING SINGLE LEAD,16000.0,6400.0,6472.97,18678.81,33
HCPCS,33213,33213 INSERTION OF PACEMAKER PULSE GENERATOR WITH EXISTING DUAL LEADS,22000.0,8800.0,8175.5,23591.74,33
HCPCS,33214,33214 INSERTION OF 2 CHAMBER PACEMAKER SYSTEM,22000.0,8800.0,8175.5,23591.74,33
HCPCS,33215,33215 REPOSITIONING OF PACEMAKER OR DEFIBRILLATOR ELECTRODE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,33216,33216 INSERTION OF 1 ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,16000.0,6400.0,6472.97,18678.81,33
HCPCS,33217,33217 INSERTION OF 2 ELECTRODES FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,16000.0,6400.0,6472.97,18678.81,33
HCPCS,33218,33218 REPAIR OF ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33220,33220 REPAIR OF 2 ELECTRODES FOR PERMANENT PACEMAKER OR DEFIBRILLATOR,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33221,33221 INSERTION OF PACEMAKER PULSE GENERATOR WITH EXISTING MULTIPLE LEADS,36000.0,14400.0,15066.41,43476.57,33
HCPCS,33222,33222 RELOCATION OF PACEMAKER SKIN POCKET,4300.0,1720.0,1613.89,4657.14,33
HCPCS,33223,33223 RELOCATION OF DEFIBRILLATOR SKIN POCKET,4300.0,1720.0,1613.89,4657.14,33
HCPCS,33224,33224 INSERTION LEFT LOWER HEART ELECTRODE ATTACHMENT TO PACEMAKER,24000.0,9600.0,8175.5,24000.0,33
HCPCS,33225,33225 INSERTION OF LEFT LOWER HEART ELECTRODE FOR PACEMAKER OR DEFIBRILLATOR,3955.0,1582.0,1582.0,3955.0,17
HCPCS,33226,33226 REPOSITIONING OF LEFT LOWER HEART ELECTRODE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,33227,33227 REMOVAL AND REPLACEMENT OF SINGLE LEAD PERMANENT PACEMAKER,16000.0,6400.0,6472.97,18678.81,33
HCPCS,33228,33228 REMOVAL AND REPLACEMENT OF DUAL LEAD PERMANENT PACEMAKER,24000.0,9600.0,8175.5,24000.0,33
HCPCS,33229,33229 REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER,46000.0,18400.0,15066.41,46000.0,33
HCPCS,33230,33230 INSERTION OF DEFIBRILLATOR WITH EXISTING DUAL LEADS,50000.0,20000.0,17398.82,50207.14,33
HCPCS,33231,33231 INSERTION OF DEFIBRILLATOR WITH EXISTING MULTIPLE LEADS,54825.0,21930.0,24552.23,70849.45,33
HCPCS,33233,33233 REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR,18000.0,7200.0,6472.97,18678.81,33
HCPCS,33234,33234 REMOVAL OF SINGLE ELECTRODE FROM RIGHT HEART,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33235,33235 REMOVAL OF DUAL ELECTRODES FROM RIGHT HEART,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33240,33240 INSERTION OF DEFIBRILLATOR WITH EXISTING SINGLE LEAD,50000.0,20000.0,17398.82,50207.14,33
HCPCS,33241,33241 REMOVAL OF DEFIBRILLATOR,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33244,33244 REMOVAL OF DEFIBRILLATOR ELECTRODES THROUGH VEIN,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33249,33249 INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM,61500.0,24600.0,24552.23,70849.45,33
HCPCS,33262,33262 REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR,54825.0,21930.0,17398.82,54825.0,33
HCPCS,33263,33263 REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR,54825.0,21930.0,17398.82,54825.0,33
HCPCS,33264,33264 REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR,61500.0,24600.0,24552.23,70849.45,33
HCPCS,33270,33270 INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE,86240.0,34496.0,24552.23,79634.78,33
HCPCS,33271,33271 INSERTION OF DEFIBRILLATOR ELECTRODE,20000.0,8000.0,6472.97,20000.0,33
HCPCS,33272,33272 REMOVAL OF DEFIBRILLATOR ELECTRODE,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33273,33273 REPOSITIONING OF DEFIBRILLATOR ELECTRODE,6000.0,2400.0,2923.04,8434.89,33
HCPCS,33274,33274 INSERTION OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE,36950.0,14780.0,17305.4,43476.57,26
HCPCS,33275,33275 REMOVAL OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE,6000.0,2400.0,2836.8,7126.91,26
HCPCS,33285,33285 INSERTION OF HEART RHYTHM MONITOR UNDER SKIN,18000.0,7200.0,6472.97,18678.81,33
HCPCS,33286,33286 REMOVAL OF HEART RHYTHM MONITOR FROM UNDER THE SKIN,1500.0,600.0,553.89,1598.36,33
HCPCS,33289,TCAT IMPL WRLS PART PRS SNR LT HEMODYN MNTR,66100.0,26440.0,25770.17,66100.0,27
HCPCS,33340,33340 REPAIR OF LEFT UPPER HEART CHAMBER WITH IMPLANT WITH REVIEW BY RADIOLOGIST,4000.0,1600.0,569.41,4000.0,26
HCPCS,33361,33361 REPLACEMENT OF AORTIC VALVE THROUGH THE SKIN AND FEMORAL ARTERY,17000.0,6800.0,1009.46,15300.0,26
HCPCS,33362,33362 REPLACEMENT OF AORTIC VALVE BY THROUGH FEMORAL ARTERY,15000.0,6000.0,1099.55,13500.0,26
HCPCS,33363,33363 REPLACEMENT OF AORTIC VALVE THROUGH AXILLARY ARTERY,15000.0,6000.0,1142.15,13500.0,26
HCPCS,33364,33364 REPLACEMENT OF AORTIC VALVE THROUGH ILIAC ARTERY,15000.0,6000.0,1181.89,13500.0,26
HCPCS,33365,33365 REPLACEMENT OF AORTIC VALVE BY TUBE THROUGH AORTA,15000.0,6000.0,1191.92,13500.0,26
HCPCS,33366,33366 REPLACEMENT OF AORTIC VALVE BY TUBE THROUGH HEART,15000.0,6000.0,1310.75,13500.0,26
HCPCS,33418,33418 REPAIR OF MITRAL VALVE THROUGH THE SKIN,10000.0,4000.0,1476.82,9000.0,26
HCPCS,33419,33419 REPAIR OF MITRAL VALVE THROUGH THE SKIN,15000.0,6000.0,1888.0,13500.0,17
HCPCS,33477,33477 INSERTION OF PULMONARY VALVE,15000.0,6000.0,1065.68,13500.0,26
HCPCS,33602,33602 CLOSURE OF AORTIC OR PULMONARY VALVE,3000.0,1200.0,1464.24,3660.6,26
HCPCS,33741,33741 INCISION PARTITION BETWEEN UPPER CHAMBERS HEART TO ALLOW BLOOD FLOW,4000.0,1600.0,609.44,4000.0,26
HCPCS,33745,HC TIS CGEN CAR ANOMAL 1ST SHNT,18500.0,7400.0,871.51,16650.0,26
HCPCS,33880,33880 REPAIR DESCENDING ATA SUBCLAVIAN ARTERY WITH INSERTION,5000.0,2000.0,1203.77,4538.0,26
HCPCS,33881,33881 REPAIR OF DESCENDING AORTA WITH INSERTION OF GRAFT AND EXTENSIONS,5000.0,2000.0,1010.24,4538.0,26
HCPCS,33883,33883 REPAIR OF DESCENDING AORTA,5000.0,2000.0,898.59,4538.0,26
HCPCS,33886,33886 INSERTION OF EXTENSION AFTER PREVIOUS REPAIR OF DESCENDING AORTA,5000.0,2000.0,897.48,4538.0,26
HCPCS,33894,EVASC ST RPR THRC/AA ACRS BR,15000.0,6000.0,795.5,13500.0,26
HCPCS,33895,REPAIR OF AORTA BY INSERTION OF STENT NOT CROSSING MAJOR SIDE BRANCHES,4572.0,1828.8,633.22,4538.0,26
HCPCS,33897,PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA,8979.0,3591.6,470.61,8081.1,26
HCPCS,33900,PERQ PART REVSC 1 NM NT UNI,20000.0,8000.0,9029.81,26056.99,33
HCPCS,33901,PERQ PART REVSC 1 NM NT BI,23202.0,9280.8,9029.81,26056.99,33
HCPCS,33902,PERQ PART REVSC ST 1ST ABNOR CONNJ UNILATERA,20000.0,8000.0,11600.0,41377.29,33
HCPCS,33903,PERQ PART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,25000.0,10000.0,9029.81,26056.99,33
HCPCS,33904,PERQ PART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,5000.0,2000.0,1888.0,4500.0,17
HCPCS,33946,33946 INITIATION ECMO EXTERNAL VEIN TO VEIN BLOOD CIRCULATION IN HEART,10000.0,4000.0,262.73,9000.0,26
HCPCS,33947,33947 INITIATION ECMO EXTERNAL VEIN TO ARTERY BLOOD CIRCULATION IN HEART,10000.0,4000.0,289.68,9000.0,26
HCPCS,33948,33948 DAILY MANAGEMENT ECMO EXTERNAL VEIN TO VEIN BLOOD CIRCULATION,10000.0,4000.0,205.03,9000.0,26
HCPCS,33949,33949 DAILY MANAGEMENT ECMO EXTERNAL VEIN TO ARTERY BLOOD CIRCULATION,10000.0,4000.0,197.82,9000.0,26
HCPCS,33951,33951 INSERTION TUBE THROUGH THE SKIN ECMO EXTERNAL BLOOD CIRCULATION,7500.0,3000.0,364.16,6750.0,26
HCPCS,33952,33952 INSERTION TUBE THROUGH THE SKIN ECMO EXTERNAL BLOOD CIRC,10000.0,4000.0,360.79,9000.0,26
HCPCS,33953,33953 INSERTION TUBE ECMO EXTERNAL BLOOD CIRCULATION IN HEART LUNGS,10000.0,4000.0,405.58,9000.0,26
HCPCS,33954,33954 INSERTION TUBE ECMO EXTERNAL BLOOD CIRCULATION IN HEART LUNGS,10000.0,4000.0,404.51,9000.0,26
HCPCS,33955,33955 INSERTION OF TUBE THROUGH THE CHEST ECMO EXTERNAL BLOOD CIRCULATION,10000.0,4000.0,709.71,9000.0,26
HCPCS,33956,33956 INSERTION OF TUBE THROUGH THE CHEST ECMO EXTERNAL BLOOD CIRCULATION,10000.0,4000.0,708.19,9000.0,26
HCPCS,33957,33957 REPOSITIONING TUBE ECMO EXTERNAL BLOOD CIRCULATION IN HEART,8000.0,3200.0,158.92,7200.0,26
HCPCS,33958,33958 REPOSITIONING TUBE ECMO EXTERNAL BLOOD CIRCULATION IN HEART,8000.0,3200.0,158.92,7200.0,26
HCPCS,33959,33959 REPOSITIONING TUBE OPEN PROCEDURE ECMO EXTERNAL BLOOD CIRCULATION,7500.0,3000.0,201.99,6750.0,26
HCPCS,33962,33962 REPOSITIONING TUBE OPEN PROCEDURE ECMO EXTERNAL BLOOD CIRCULATION,7500.0,3000.0,201.99,6750.0,26
HCPCS,33963,33963 REPOSITIONING OF TUBE THROUGH THE CHEST ECMO EXTERNAL BLOOD,8000.0,3200.0,401.17,7200.0,26
HCPCS,33964,33964 REPOSITIONING OF TUBE THROUGH THE CHEST ECMO EXTERNAL,8000.0,3200.0,422.8,7200.0,26
HCPCS,33965,33965 REMOVAL OF TUBE THROUGH SKIN FOR ECMO EXTERNAL BLOOD CIRCULATION,7500.0,3000.0,158.92,6750.0,26
HCPCS,33966,33966 REMOVAL TUBE THROUGH SKIN ECMO EXTERNAL BLOOD CIRCULATION IN HEART,10000.0,4000.0,201.96,9000.0,26
HCPCS,33967,33967 INSERTION OF BLOOD FLOW ASSIST DEVICE IN AORTA THROUGH SKIN,2750.0,1100.0,211.01,2750.0,26
HCPCS,33968,33968 REMOVAL OF BLOOD FLOW ASSIST DEVICE IN AORTA,300.0,120.0,27.9,300.0,26
HCPCS,33969,33969 REMOVAL TUBE ECMO EXTERNAL BLOOD CIRCULATION IN HEART LUNGS A PUMP 5,10000.0,4000.0,234.35,9000.0,26
HCPCS,33975,33975 INSERTION OF EXTERNAL BLOOD FLOW ASSIST DEVICE IN LOWER HEART CHAMBER,10000.0,4000.0,1102.96,9000.0,26
HCPCS,33977,33977 REMOVAL OF EXTERNAL BLOOD FLOW ASSIST DEVICE IN LOWER HEART CHAMBER,8000.0,3200.0,965.77,7200.0,26
HCPCS,33984,33984 REMOVAL TUBE ECMO EXTERNAL BLOOD CIRCULATION IN HEART,10000.0,4000.0,241.95,9000.0,26
HCPCS,33985,33985 REMOVAL OF TUBE THROUGH THE CHEST ECMO EXTERNAL BLOOD,10000.0,4000.0,440.5,9000.0,26
HCPCS,33986,33986 REMOVAL OF TUBE THROUGH THE CHEST ECMO EXTERNAL BLOOD,8000.0,3200.0,446.4,7200.0,26
HCPCS,33987,33987 INCISION ARTERY CREATION CHANNEL ECMO EXTERNAL BLOOD CIRCULATION,7500.0,3000.0,178.34,6750.0,26
HCPCS,33988,33988 INSERTION LEFT HEART VENT THROUGH CHEST ECMO EXTERNAL BLOOD,7500.0,3000.0,665.68,6750.0,26
HCPCS,33989,33989 REMOVAL LEFT HEART VENT THROUGH CHEST ECMO EXTERNAL BLOOD,7500.0,3000.0,422.8,6750.0,26
HCPCS,33990,33990 INSERTION BLOOD FLOW ASSIST DEVICE IN LOWER HEART CHAMBER TH,8000.0,3200.0,293.78,7200.0,26
HCPCS,33991,33991 INSERTION BLOOD FLOW ASSIST DEVICE IN LOWER HEART CHAMBER TH,8000.0,3200.0,389.67,7200.0,26
HCPCS,33992,33992 REMOVAL BLOOD FLOW ASSIST DEVICE IN LEFT LOWER HEART CHAMBER,5600.0,2240.0,154.79,5040.0,26
HCPCS,33993,33993 REPOSITIONING OF BLOOD FLOW ASSIST DEVICE IN LOWER HEART CHAMBER,150.0,60.0,87.0,335.43,26
HCPCS,33995,INSJ PERQ VAD W/RSANDI R HEART VENOUS ACCESS ONLY,8000.0,3200.0,293.61,7200.0,26
HCPCS,33999,33999 OTHER HEART SURGERY PROCEDURE,1300.0,520.0,490.67,1415.92,33
HCPCS,33999,CARDIAC SURGERY PROCEDURE,18500.0,7400.0,490.67,16650.0,33
HCPCS,34201,34201 REMOVAL OF BLOOD CLOT IN ARTERY OF GROIN AND LEG,6600.0,2640.0,3828.0,12559.89,33
HCPCS,34203,34203 REMOVAL OF BLOOD CLOT IN ARTERY OF LOWER LEG,6600.0,2640.0,3828.0,12559.89,33
HCPCS,34701,34701 REPAIR OF AORTA WITH GRAFT OTHER THAN RUPTURE WITH REVIEW BY RADIOLOGIST,5000.0,2000.0,1044.6,4538.0,26
HCPCS,34702,34702 REPAIR OF RUPTURED AORTA WITH GRAFT WITH REVIEW BY RADIOLOGIST,5000.0,2000.0,1527.71,4538.0,26
HCPCS,34703,34703 REPAIR INFRARENAL ATA GROIN ARTERY WITH GRAFT OTHER THAN,5000.0,2000.0,1159.39,4538.0,26
HCPCS,34704,34704 REPAIR INFRARENAL ATA GROIN ARTERY WITH GRAFT RUPTURE WITH REVIEW,5000.0,2000.0,1896.6,5000.0,26
HCPCS,34705,34705 REPAIR OF INFRARENAL AORTA GROIN ARTERY WITH GRAFT OTHER THAN RUPTURE,5000.0,2000.0,1288.16,4538.0,26
HCPCS,34706,34706 REPAIR INFRARENAL ATA GROIN ARTERY WITH GRAFT RUPTURE ON BOTH SIDES,4000.0,1600.0,1924.32,4810.8,26
HCPCS,34707,34707 REPAIR GROIN ARTERY WITH GRAFT OTHER THAN RUPTURE WITH REVIEW,6000.0,2400.0,983.45,5400.0,26
HCPCS,34708,34708 REPAIR OF GROIN ARTERY WITH GRAFT FOR RUPTURE WITH REVIEW BY RADIOLOGIST,5000.0,2000.0,1548.15,4538.0,26
HCPCS,34709,34709 REPAIR ABDOMINAL GROIN ARTERY WITH PROSTHESIS WITH REVIEW BY RADIOLOGIST,5000.0,2000.0,271.43,4538.0,26
HCPCS,34710,34710 DELAYED INSERTION PROSTHESIS REPAIR ABDOMINAL GROIN ARTERY,2000.0,800.0,675.09,2000.0,26
HCPCS,34711,34711 DELAYED INSERTION PROSTHESIS REPAIR ABDOMINAL GROIN ARTERY,2000.0,800.0,248.69,2000.0,26
HCPCS,34808,34808 INSERTION OF DEVICE TO BLOCK GROIN ARTERY,3000.0,1200.0,170.91,3000.0,26
HCPCS,34812,34812 EXPOSURE OF THIGH ARTERY FOR INSERTION OF PROSTHESIS,5000.0,2000.0,173.79,4538.0,26
HCPCS,34813,34813 INSERTION OF GRAFT IN UPPER THIGH ARTERY,2000.0,800.0,199.08,2000.0,26
HCPCS,34820,34820 EXPOSURE OF GROIN ARTERY FOR INSERTION OF PROSTHESIS,3000.0,1200.0,286.61,3000.0,26
HCPCS,34830,34830 REPAIR OF ANEURYSM OF AORTA WITH PROSTHESIS,5000.0,2000.0,1502.33,4538.0,26
HCPCS,34831,34831 REPAIR OF ANEURYSM OF AORTA OR GROIN ARTERY WITH PROSTHESIS,5000.0,2000.0,1643.91,4619.39,26
HCPCS,34832,34832 REPAIR OF ANEURYSM OF AORTA OR UPPER THIGH ARTERY WITH PROTHESIS,5000.0,2000.0,1614.66,4538.0,26
HCPCS,34834,34834 EXPOSURE OF ARM ARTERY FOR INSERTION OF PROSTHESIS,5000.0,2000.0,109.7,4538.0,26
HCPCS,35190,REPAIR ACQ AV FISTULA XTR,13622.0,5448.8,4352.51,13622.0,33
HCPCS,35206,35206 REPAIR OF BLOOD VESSEL OF ARM,5500.0,2200.0,2469.76,7126.91,33
HCPCS,35207,35207 REPAIR OF BLOOD VESSEL OF HAND OR FINGER,6000.0,2400.0,2469.76,7126.91,33
HCPCS,35226,35226 REPAIR OF BLOOD VESSEL OF LEG,1589.0,635.6,553.89,1598.36,33
HCPCS,35302,35302 REMOVAL OF BLOOD CLOT AND PORTION OF SUPERFICIAL FEMORAL ARTERY,5000.0,2000.0,946.72,4538.0,26
HCPCS,35303,35303 REMOVAL OF BLOOD CLOT AND PORTION OF POPLITEAL ARTERY,4000.0,1600.0,1041.79,4000.0,26
HCPCS,35304,35304 REMOVAL OF BLOOD CLOT AND PORTION OF TIBIOPERONEAL TRUNK ARTERY,4000.0,1600.0,1081.31,4000.0,26
HCPCS,35305,35305 REMOVAL OF BLOOD CLOT AND PORTION OF TIBIAL OR PERONEAL ARTERY,2000.0,800.0,1030.82,2577.05,26
HCPCS,35351,35351 REMOVAL OF BLOOD CLOT AND PORTION OF ARTERY OF GROIN,5000.0,2000.0,1093.39,4538.0,26
HCPCS,35355,35355 REMOVAL OF BLOOD CLOT AND PORTION OF ARTERY OF UPPER THIGH,5000.0,2000.0,872.72,4538.0,26
HCPCS,35371,35371 REMOVAL OF BLOOD CLOT AND PORTION OF UPPER THIGH ARTERY,5000.0,2000.0,690.82,4538.0,26
HCPCS,35372,35372 REMOVAL OF BLOOD CLOT AND PORTION OF DEEP UPPER THIGH ARTERY,5000.0,2000.0,2900.0,12559.89,27
HCPCS,35860,35860 EXPLORATION OF ARM OR LEG FOR BLEEDING,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36002,36002 INJECTION TO CAUSE BLOOD CLOT IN DISEASED OR PSEUDOANEURYSM OF ARM OR LEG,1300.0,520.0,490.67,1415.92,33
HCPCS,36005,36005 INJECTION FOR XRAY IMAGING PROCEDURE INTO VEIN OF ARM OR LEG,1905.0,762.0,762.0,1714.5,17
HCPCS,36010,36010 INSERTION OF TUBE INTO VENA CAVA,2756.0,1102.4,1102.4,2480.4,17
HCPCS,36011,36011 INSERTION OF TUBE INTO VEIN,1905.0,762.0,762.0,1905.0,17
HCPCS,36012,36012 INSERTION OF TUBE INTO VEIN,2007.0,802.8,802.8,1970.0,17
HCPCS,36013,36013 INSERTION OF TUBE INTO RIGHT HEART OR MAIN PULMONARY ARTERY,4076.0,1630.4,1630.4,3668.4,17
HCPCS,36014,36014 INSERTION OF TUBE INTO LEFT OR RIGHT PULMONARY ARTERY,2867.0,1146.8,1146.8,2580.3,17
HCPCS,36015,36015 INSERTION OF TUBE INTO ARTERY OF LOBE OF LUNG,653.0,261.2,261.2,653.0,17
HCPCS,36100,36100 INSERTION OF NEEDLE OR TUBE INTO ARTERY OF NECK OR BRAIN,2500.0,1000.0,1000.0,2250.0,17
HCPCS,36140,36140 INSERTION OF NEEDLE OR TUBE INTO ARTERY OF ARM OR LEG,2331.0,932.4,932.4,2097.9,17
HCPCS,36160,36160 INSERTION OF NEEDLE OR TUBE INTO AORTA,1500.0,600.0,600.0,1500.0,17
HCPCS,36200,36200 INSERTION OF TUBE INTO AORTA,3335.0,1334.0,1334.0,3001.5,17
HCPCS,36215,36215 INSERTION OF TUBE INTO CHEST OR ARM ARTERY,3510.0,1404.0,1404.0,3159.0,17
HCPCS,36216,36216 INSERTION OF TUBE INTO CHEST OR ARM ARTERY,1651.0,660.4,660.4,1485.9,17
HCPCS,36217,36217 INSERTION OF TUBE INTO CHEST OR ARM ARTERY,2998.0,1199.2,1199.2,2698.2,17
HCPCS,36218,36218 INSERTION OF TUBE INTO CHEST OR ARM ARTERY,1905.0,762.0,762.0,1905.0,17
HCPCS,36221,36221 INSERTION TUBE INTO CHEST ATA DIAGNOSIS TREATMENT WITH REVIEW,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36222,36222 INSERTION TUBE INTO EXTRACRANIAL ARTERY DIAGNOSIS TREATMENT,7309.0,2923.6,2469.76,7309.0,33
HCPCS,36223,36223 INSERTION TUBE INTO INTRACRANIAL ARTERY DIAGNOSIS TREATMENT,12176.0,4870.4,4352.51,12559.89,33
HCPCS,36224,36224 INSERTION TUBE INTO INTERNAL NECK ARTERY DIAGNOSIS TREATMENT,12176.0,4870.4,4352.51,12559.89,33
HCPCS,36225,36225 INSERTION TUBE INTO CHEST ARTERY DIAGNOSIS TREATMENT WITH REVIEW,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36226,36226 INSERTION TUBE INTO BRAIN ARTERY DIAGNOSIS TREATMENT WITH REVIEW,12175.0,4870.0,4352.51,12559.89,33
HCPCS,36227,36227 INSERTION TUBE INTO EXTERNAL NECK ARTERY DIAGNOSIS TREATMENT,6054.0,2421.6,1888.0,5448.6,17
HCPCS,36228,36228 INSERTION TUBE INTO NECK BRAIN ARTERY DIAGNOSIS TREATMENT WITH REVIEW,5207.0,2082.8,1888.0,4686.3,17
HCPCS,36245,36245 INSERTION OF TUBE INTO ABDOMINAL,3492.0,1396.8,1396.8,3142.8,17
HCPCS,36246,36246 INSERTION OF TUBE INTO ABDOMINAL,2395.0,958.0,958.0,2155.5,17
HCPCS,36247,36247 INSERTION OF TUBE INTO ABDOMINAL,2780.0,1112.0,1112.0,2502.0,17
HCPCS,36248,36248 INSERTION OF TUBE INTO ABDOMINAL,1905.0,762.0,762.0,1905.0,17
HCPCS,36251,36251 INSERTION TUBE INTO FIRST DER MAIN ACCESSY ARTERIES KIDNEY,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36252,36252 INSERTION TUBE INTO FIRST DER MAIN ACCESSY ARTERIES BOTH KIDNEYS,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36253,36253 INSERTION TUBE INTO SECOND THIRD DER BRANCHES ARTERIES KIDNEY IMAGING,6600.0,2640.0,3828.0,12559.89,33
HCPCS,36254,36254 INSERTION TUBE INTO SECOND THIRD DER BRANCHES ARTERIES BOTH KIDNEYS,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36400,36400 INSERTION OF NEEDLE INTO UPPER LEG OR NECK VEIN YOUNGER THAN 3 YEARS,82.0,32.8,32.8,73.8,13
HCPCS,36405,INSERTION OF NEEDLE INTO SCALP VEIN YOUNGER THAN 3 YEARS,51.0,20.4,20.4,51.0,16
HCPCS,36406,BL DRAW <3 YRS OTHER VEIN,52.0,20.8,20.8,52.0,16
HCPCS,36410,36410 INSERTION OF NEEDLE INTO VEIN 3 YEARS OR OLDER,82.0,32.8,32.8,73.8,17
HCPCS,36415,ROUTINE VENIPUNCTURE,9.0,3.6,3.6,22.5,30
HCPCS,36416,36416 PUNCTURE OF SKIN FOR COLLECTION OF BLOOD SAMPLE,26.0,10.4,3.44,23.4,15
HCPCS,36430,36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS,990.0,396.0,345.08,995.8,33
HCPCS,36440,36440 PUSH BLOOD TRANSFUSION 2 YEARS OR YOUNGER,1013.0,405.2,345.08,1013.0,33
HCPCS,36455,36455 EXCHANGE BLOOD TRANSFUSION,990.0,396.0,345.08,995.8,33
HCPCS,36460,36460 INTRAUTERINE FETAL TRANSFUSION,1013.0,405.2,345.08,1013.0,33
HCPCS,36468,36468 INJECTION OF CHEMICAL AGENT INTO SPIDER VEIN OF ARM,850.0,340.0,365.22,917.57,27
HCPCS,36470,36470 INJECTION OF CHEMICAL AGENT INTO SINGLE INCOMPETENT VEIN,883.0,353.2,365.22,917.57,27
HCPCS,36471,36471 INJECTION OF CHEMICAL AGENT INTO MULTIPLE INCOMPETENT VEINS OF LEG,883.0,353.2,365.22,917.57,27
HCPCS,36473,36473 MECHANOCHEMICAL DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM LEG IMAGING,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36474,36474 MECHANOCHEMICAL DESTRUCTION SUBSEQUENT INCOMPETENT VEINS ARM LEG,3250.0,1300.0,1300.0,2925.0,17
HCPCS,36475,36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM LEG RADIOFREQUENCY IMAGING,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36476,36476 DESTRUCTION SUBSEQUENT INCOMPETENT VEINS ARM LEG RADIREQUENCY IMAGING,3000.0,1200.0,1200.0,2700.0,17
HCPCS,36478,36478 LASER DESTRUCTION OF INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36479,36479 LASER DESTRUCTION OF INCOMPETENT VEINS OF ARM LEG USING IMAGING GUIDANCE,3000.0,1200.0,1200.0,2700.0,17
HCPCS,36481,36481 INSERTION OF TUBE INTO PORTAL VEIN OF LIVER,2798.0,1119.2,1119.2,2518.2,17
HCPCS,36500,36500 INSERTION OF TUBE INTO VEIN WITH COLLECTION OF BLOOD SAMPLE,1905.0,762.0,762.0,1905.0,17
HCPCS,36510,36510 INSERTION OF TUBE INTO UMBILICAL VEIN,250.0,100.0,100.0,250.0,17
HCPCS,36511,36511 MECHANICAL SEPARATION OF WHITE BLOOD CELLS FROM BLOOD,2900.0,1160.0,1218.21,3515.35,33
HCPCS,36512,36512 MECHANICAL SEPARATION OF RED BLOOD CELLS FROM BLOOD,2900.0,1160.0,1218.21,3515.35,33
HCPCS,36513,36513 MECHANICAL SEPARATION OF PLATELET CELLS FROM BLOOD,1013.0,405.2,345.08,1013.0,33
HCPCS,36514,36514 MECHANICAL SEPARATION OF PLASMA FROM BLOOD,2900.0,1160.0,1218.21,3515.35,33
HCPCS,36516,36516 MECHANICAL SEPARATION OF PLASMA AND ABNORMAL ANTIBODIES FROM BLOOD,8500.0,3400.0,3406.86,9831.03,33
HCPCS,36522,36522 MECHANICAL SEPARATION OF WHITE BLOOD CELLS AND PLATELETS FROM BLOOD,8585.0,3434.0,3406.86,9831.03,33
HCPCS,36555,36555 INSERTION OF NONTUNNELED CENTRAL VENOUS TUBE INFUSION YOUNGER THAN 5,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36556,36556 INSERTION OF NONTUNNELED CENTRAL VENOUS TUBE INFUSION 5 YEARS OR OLDER,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36557,36557 INSERTION OF TUNNELED CENTRAL VENOUS TUBE INFUSION YOUNGER THAN 5 YEARS,6600.0,2640.0,3828.0,12559.89,33
HCPCS,36558,36558 INSERTION OF TUNNELED CENTRAL VENOUS TUBE FOR INFUSION 5 YEARS OR OLDER,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36560,36560 INSERTION OF CENTRAL VENOUS TUBE WITH PORT YOUNGER THAN 5 YEARS,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36561,36561 INSERTION OF CENTRAL VENOUS TUBE WITH PORT 5 YEARS OR OLDER,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36563,36563 INSERTION OF CENTRAL VENOUS TUBE WITH PUMP,6600.0,2640.0,3828.0,12559.89,33
HCPCS,36565,36565 INSERTION OF 2 CENTRAL VENOUS TUBES IN 2 VEINS FOR INFUSION,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36566,36566 INSERTION OF 2 CENTRAL VENOUS TUBES IN 2 VEINS WITH PORT,6600.0,2640.0,3828.0,12559.89,33
HCPCS,36568,36568 INSERTION OF TUBE FOR INFUSION YOUNGER THAN 5 YEARS,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36569,36569 INSERTION OF TUBE FOR INFUSION 5 YEARS OR OLDER,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36570,36570 INSERTION OF CENTRAL VENOUS TUBE WITH PORT INFUSION YOUNGER THAN 5 YEARS,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36571,36571 INSERTION OF CENTRAL VENOUS TUBE WITH PORT FOR INFUSION 5 YEARS OR OLDER,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36572,INSJ PICC RSANDI <5 YR,1491.0,596.4,490.67,1491.0,33
HCPCS,36573,36573 INSERTION OF TUBE INFUSION WITH IMAGING GUIDANCE REVIEW BY RADIOLOGIST,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36575,36575 REPAIR OF CENTRAL VENOUS TUBE FOR INFUSION,1300.0,520.0,490.67,1415.92,33
HCPCS,36576,36576 REPAIR OF CENTRAL VENOUS TUBE FOR INFUSION WITH PORT OR PUMP,2700.0,1080.0,1231.29,3553.11,33
HCPCS,36578,36578 REPLACEMENT OF CENTRAL VENOUS TUBE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36580,36580 REPLACEMENT OF NONTUNNELED CENTRAL VENOUS TUBE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36581,36581 REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,36582,36582 REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE WITH PORT,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36583,36583 REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE WITH PUMP,6600.0,2640.0,3828.0,12559.89,33
HCPCS,36584,36584 REPLACEMENT PERIPHERALLY INSERTED CENTRAL VENOUS TUBE PICC WITH REVIEW,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36585,36585 REPLACEMENT OF PERIPHERALLY INSERTED CENTRAL VENOUS TUBE PICC WITH PORT,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36589,36589 REMOVAL OF TUNNELED CENTRAL VENOUS TUBE,1300.0,520.0,490.67,1415.92,33
HCPCS,36590,36590 REMOVAL OF CENTRAL VENOUS TUBE WITH PORT OR PUMP,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36591,COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE,290.0,116.0,119.54,300.31,25
HCPCS,36592,36592 COLLECTION OF BLOOD SAMPLE FROM CENTRAL VENOUS TUBE,290.0,116.0,119.54,300.31,25
HCPCS,36593,36593 DECLOTTING OF CENTRAL VENOUS TUBE,814.0,325.6,258.37,814.0,33
HCPCS,36595,36595 MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS TUBE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36596,36596 MECHANICAL REMOVAL TISSUE OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS TUBE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36597,36597 REPOSITIONING OF CENTRAL VENOUS TUBE USING FLUOROSCOPIC GUIDANCE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36598,36598 CONTRAST INJECTION FOR IMAGING TO EVALUATE CENTRAL VENOUS ACCESS DEVICE,500.0,200.0,166.38,500.0,33
HCPCS,36600,36600 ARTERY PUNCTURE COLLECTION OF BLOOD SAMPLE,290.0,116.0,104.07,300.31,33
HCPCS,36620,36620 INSERTION OF ARTERY TUBE FOR BLOOD SAMPLING OR INFUSION THROUGH SKIN,1905.0,762.0,762.0,1714.5,17
HCPCS,36660,36660 INSERTION OF UMBILICAL ARTERY TUBE,775.0,310.0,55.54,775.0,26
HCPCS,36680,36680 INSERTION OF NEEDLE FOR INFUSION INTO BONE,650.0,260.0,349.43,1008.32,33
HCPCS,36821,36821 RELOCATION OF ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,5500.0,2200.0,2469.76,7126.91,33
HCPCS,36823,36823 INSERTION OF TUBE INTO ARM OR LEG FOR BLOOD CIRCULATION AND CHEMO,7500.0,3000.0,1213.53,7500.0,26
HCPCS,36831,36831 REMOVAL OF BLOOD CLOT FROM HEMODIALYSIS GRAFT,8000.0,3200.0,4352.51,12559.89,33
HCPCS,36832,REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,13090.0,5236.0,4352.51,13090.0,33
HCPCS,36836,PRQ AV FSTL CRTJ UXTR 1 ACS,42944.0,17177.6,14338.93,42944.0,33
HCPCS,36860,36860 INJECTION FOR REMOVAL OF BLOOD CLOT FROM EXTERNAL DIALYSIS TUBE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36861,36861 INSERTION BALLOON TUBE REMOVAL BLOOD CLOT FROM EXTERNAL DIALYSIS TUBE,6600.0,2640.0,3828.0,12559.89,33
HCPCS,36901,36901 INSERTION NEEDLE TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW,3000.0,1200.0,1231.29,3553.11,33
HCPCS,36902,36902 INSERTION NEEDLE TUBE INTO HEMODIALYSIS CIRCUIT BALLOON DILATION,11000.0,4400.0,4451.92,12846.73,33
HCPCS,36903,36903 INSERTION NEEDLE TUBE INTO HEMODIALYSIS CIRCUIT INSERTION STENT,20000.0,8000.0,9029.81,26056.99,33
HCPCS,36904,36904 REMOVAL DISSOLVING BLOOD CLOT IN HEMODIALYSIS CIRCUIT BALLOON,11000.0,4400.0,4451.92,12846.73,33
HCPCS,36905,36905 REMOVAL / DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT,24381.0,9752.4,9029.81,26056.99,33
HCPCS,36906,36906 REMOVAL /OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT BALLOON,31000.0,12400.0,14338.93,41377.29,33
HCPCS,36907,36907 BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,13000.0,5200.0,1888.0,11700.0,17
HCPCS,36908,36908 INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST,18000.0,7200.0,1888.0,16200.0,17
HCPCS,36909,36909 PERMANENT BLOCKAGE OF HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST,11500.0,4600.0,1888.0,10350.0,17
HCPCS,37182,37182 INSERTION SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST,13100.0,5240.0,7598.0,41377.29,27
HCPCS,37183,37183 REVISION SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST,11000.0,4400.0,4451.92,12846.73,33
HCPCS,37184,37184 PRIMARY REMOVAL DISSOLVING BLOOD CLOT FROM ARTERY ARTERY GRAFT FLUO,18000.0,7200.0,10440.0,41377.29,33
HCPCS,37185,37185 PRIMARY REMOVAL DISSOLVING BLOOD CLOT FROM ARTERY ARTERY GRAFT FLUO,3127.0,1250.8,1250.8,2814.3,17
HCPCS,37186,37186 SECONDARY REMOVAL DISSOLVING BLOOD CLOT FROM ARTERY ARTERY GRAFT,4962.0,1984.8,1888.0,4465.8,17
HCPCS,37187,37187 REMOVAL AND DISSOLVING OF BLOOD CLOT FROM VEIN USING FLUOROSCOPIC GUIDANCE,18000.0,7200.0,9029.81,26056.99,32
HCPCS,37188,37188 REMOVAL AND DISSOLVING OF BLOOD CLOT FROM VEIN USING FLUOROSCOPIC GUIDANCE,5500.0,2200.0,2469.76,7126.91,32
HCPCS,37191,37191 INSERTION OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST,6600.0,2640.0,3828.0,12559.89,33
HCPCS,37192,37192 REPOSITIONING OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37193,37193 REMOVAL OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37195,37195 INFUSION OF DRUG TO DISSOLVE BLOOD CLOT IN BRAIN,814.0,325.6,258.37,814.0,33
HCPCS,37197,37197 RETRIEVAL OF FOREIGN BODY IN BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37197,REMOVE INTRVAS FOREIGN BODY,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37200,37200 BIOPSY OF BLOOD VESSEL USING TUBE,10000.0,4000.0,4352.51,12559.89,33
HCPCS,37211,37211 INSERTION TUBE INTO ARTERY DRUG INFUSION BLOOD CLOT WITH REVIEW,6600.0,2640.0,3828.0,12559.89,33
HCPCS,37212,37212 INSERTION TUBE INTO VEIN DRUG INFUSION BLOOD CLOT WITH REVIEW,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37213,37213 INSERTION TUBE INTO ARTERY VEIN DRUG INFUSION BLOOD CLOT WITH REVIEW,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37214,37214 REMOVAL OF TUBE INTO ARTERY OR VEIN WITH REVIEW BY RADIOLOGIST,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37215,37215 INSERTION STENT BLOOD CLOT PROTECTION DEVICE IN NECK ARTERY WITH REVIEW,14000.0,5600.0,827.37,12600.0,26
HCPCS,37216,37216 INSERTION OF STENT IN NECK ARTERY WITH REVIEW BY RADIOLOGIST,4901.0,1960.4,1064.24,4410.9,18
HCPCS,37218,37218 INSERTION STENT IN BLOOD CHEST OPEN ACCESSED THROUGH SKIN WITH REVIEW,2000.0,800.0,690.89,2000.0,26
HCPCS,37236,37236 INSERTION OF STENT IN ARTERY EXCEPT LOWER EXTREMITY,20000.0,8000.0,9029.81,26056.99,33
HCPCS,37237,37237 INSERTION OF STENT IN ARTERY EXCEPT LOWER EXTREMITY,15000.0,6000.0,6000.0,15000.0,17
HCPCS,37238,37238 INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST,20000.0,8000.0,9029.81,26056.99,33
HCPCS,37239,37239 INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST,15680.0,6272.0,6272.0,15680.0,17
HCPCS,37241,37241 OCCLUSION OF VEIN WITH REVIEW BY RADIOLOGIST,20000.0,8000.0,9029.81,26056.99,33
HCPCS,37242,37242 OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST,20000.0,8000.0,11600.0,41377.29,33
HCPCS,37243,37243 OCCLUSION OF GROWTHS OR OBSTRUCTED VESSELS WITH REVIEW BY RADIOLOGIST,20000.0,8000.0,9029.81,26056.99,33
HCPCS,37244,37244 OCCLUSION OF ARTERY OR VEIN BLEEDING WITH REVIEW BY RADIOLOGIST,20000.0,8000.0,9029.81,26056.99,33
HCPCS,37246,37246 BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST,11000.0,4400.0,4451.92,12846.73,33
HCPCS,37247,37247 BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST,5624.0,2249.6,1888.0,5061.6,17
HCPCS,37248,37248 BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST,11000.0,4400.0,4451.92,12846.73,33
HCPCS,37249,37249 BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST,6500.0,2600.0,1888.0,5850.0,17
HCPCS,37252,37252 ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,4010.0,1604.0,1604.0,3609.0,17
HCPCS,37253,37253 ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,2219.0,887.6,887.6,1997.1,17
HCPCS,37254,BALLOON DILATION OF ARTERY OF ABDOMEN/PELVIS STRAIGHTWARD LESION,14653.0,5861.2,4451.92,14653.0,33
HCPCS,37255,BALLOON DILATION ARTERY IN ABDOMEN PELVIS STRAIGHTWARD LESION IN EACH,7327.0,2930.8,1888.0,6594.3,17
HCPCS,37256,BALLOON DILATION OF ARTERY IN ABDOMEN/PELVIS COMPLEX LESION IN INITIAL VESSEL,14653.0,5861.2,4451.92,14653.0,33
HCPCS,37257,BALLOON DILATION OF ARTERY IN ABDOMEN/PELVIS COMPLEX LESION IN EACH ADDITIONAL,5815.0,2326.0,1888.0,5233.5,17
HCPCS,37258,INSERTION OF STENT OF ARTERY IN ABDOMEN/PELVIS STRAIGHTWARD LESION,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37259,INSERTION STENT IN ARTERY ABDOMEN PELVIS STRAIGHTWARD LESION IN EACH,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37260,INSERTION OF STENT ARTERY OF ABDOMEN/PELVIS COMPLEX LESION IN INITIAL VESSEL,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37261,INSERTION OF STENT ARTERY OF ABDOMEN/PELVIS COMPLEX LESION IN EACH ADDITIONAL,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37262,INTRAVASCULAR SHOCKWAVE TREATMENT ARTERY IN ABDOMEN/PELVIS,7269.0,2907.6,1888.0,6542.1,17
HCPCS,37263,BALLOON DILATION OF ARTERY IN THIGH/BEHIND KNEE STRAIGHTWARD LESION,14653.0,5861.2,4451.92,14653.0,33
HCPCS,37264,BALLOON DILATION ARTERY IN THIGH BEHIND KNEE STRAIGHTWARD LESION IN EACH,7269.0,2907.6,1888.0,6542.1,17
HCPCS,37265,BALLOON DILATION OF ARTERY IN THIGH/BEHIND KNEE COMPLEX LESION,14653.0,5861.2,4451.92,14653.0,33
HCPCS,37266,BALLOON DILATION ARTERY IN THIGH BEHIND KNEE COMPLEX LESION IN EACH,7269.0,2907.6,1888.0,6542.1,17
HCPCS,37267,STENT PLACEMENT IN ARTERY IN THIGH/BEHIND KNEE STRAIGHTWARD LESION,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37268,STENT PLACEMENT IN ARTERY IN THIGH BEHIND KNEE STRAIGHTWARD LESION IN EACH,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37269,STENT PLACEMENT IN ARTERY IN THIGH/BEHIND KNEE COMPLEX LESION IN INITIAL VESSEL,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37270,STENT PLACEMENT IN ARTERY IN THIGH BEHIND KNEE COMPLEX LESION IN EACH,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37271,REMOVAL PLAQUE WITH BALLOON DILATION ARTERY IN THIGH BEHIND KNEE STRAIGHTWARD,47196.0,18878.4,14338.93,46508.08,33
HCPCS,37272,REMOVAL PLAQUE WITH BALLOON DILATION ARTERY IN THIGH BEHIND KNEE STRAIGHTWARD,23598.0,9439.2,1888.0,23598.0,17
HCPCS,37273,REMOVAL PLAQUE WITH BALLOON DILATION ARTERY IN THIGH BEHIND KNEE,47196.0,18878.4,14338.93,46508.08,33
HCPCS,37274,REMOVAL PLAQUE WITH BALLOON DILATION ARTERY IN THIGH BEHIND KNEE COMPLEX,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37275,STENT PLACEMENT IN ARTERY IN THIGH BEHIND KNEE WITH REMOVAL PLAQUE STRAIGHT,47196.0,18878.4,9079.05,46508.08,33
HCPCS,37276,STENT PLACEMENT IN ARTERY IN THIGH BEHIND KNEE WITH REMOVAL PLAQUE STRAIGHT,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37277,STENT PLACEMENT IN ARTERY IN THIGH BEHIND KNEE WITH REMOVAL PLAQUE COMPLEX,47196.0,18878.4,9079.05,46508.08,33
HCPCS,37278,STENT PLACEMENT IN ARTERY IN THIGH BEHIND KNEE WITH REMOVAL PLAQUE COMPLEX,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37279,INTRAVASCULAR SHOCKWAVE TREATMENT ARTERY IN THIGH/BACK OF KNEE,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37280,BALLOON DILATION OF ARTERY IN LOWER LEG STRAIGHTWARD LESION IN INITIAL VESSEL,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37281,BALLOON DILATION OF ARTERY IN LOWER LEG STRAIGHTWARD LESION IN EACH ADDITIONAL,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37282,BALLOON DILATION OF ARTERY IN LOWER LEG COMPLEX LESION IN INITIAL VESSEL,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37283,REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37284,REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,47196.0,18878.4,14338.93,46508.08,33
HCPCS,37285,REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37286,REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,47196.0,18878.4,9079.05,46508.08,33
HCPCS,37287,STENT PLACEMENT IN ARTERY IN LOWER LEG COMPLEX LESION IN EACH ADDITIONAL VESSEL,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37288,REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,47196.0,18878.4,14338.93,46508.08,33
HCPCS,37289,REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37290,REMOVAL PLAQUE WITH BALLOON DILATION IN ARTERY IN LOWER LEG COMPLEX LESION,47196.0,18878.4,14338.93,46508.08,33
HCPCS,37291,REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37292,REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,47196.0,18878.4,9079.05,46508.08,33
HCPCS,37293,STENT PLACEMENT IN ARTERY IN LOWER LEG WITH REMOVAL PLAQUE STRAIGHTWARD,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37294,STENT PLACEMENT IN ARTERY IN LOWER LEG WITH REMOVAL PLAQUE COMPLEX LESION,47196.0,18878.4,14338.93,46508.08,33
HCPCS,37295,STENT PLACEMENT IN ARTERY IN LOWER LEG WITH REMOVAL PLAQUE COMPLEX LESION,23598.0,9439.2,1888.0,21238.2,17
HCPCS,37296,REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37297,REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37298,BALLOON DILATION OF ARTERY IN ANKLE COMPLEX LESION IN INITIAL ARTERY,29721.0,11888.4,9029.81,29288.06,33
HCPCS,37299,REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,14861.0,5944.4,1888.0,13374.9,17
HCPCS,37600,37600 TYING OF EXTERNAL NECK ARTERY,6000.0,2400.0,2469.76,7126.91,33
HCPCS,37607,37607 TYING OR BANDING OF SURGICALLY CREATED ARTERYVEIN CONNECTION,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37609,37609 TYING OR BIOPSY OF ARTERY ON SIDE OF SKULL,3500.0,1400.0,1291.88,3727.91,33
HCPCS,37615,37615 TYING OF MAJOR NECK ARTERY,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37618,37618 TYING OF MAJOR ARM OR LEG ARTERY,3000.0,1200.0,339.58,3000.0,26
HCPCS,37765,37765 REMOVAL OF VARICOSE VEINS OF ARM OR LEG,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37766,37766 REMOVAL OF VARICOSE VEINS OF ARM OR LEG,5500.0,2200.0,2469.76,7126.91,33
HCPCS,37785,37785 TYING,6000.0,2400.0,2469.76,7126.91,33
HCPCS,37799,37799 OTHER PROCEDURE ON BLOOD VESSEL,5565.0,2226.0,490.67,5008.5,33
HCPCS,37799,VASCULAR SURGERY PROCEDURE,1300.0,520.0,490.67,1415.92,33
HCPCS,38200,38200 INJECTION PROCEDURE FOR IMAGING OF SPLEEN,1500.0,600.0,600.0,1350.0,17
HCPCS,38204,38204 MANAGEMENT OF STEM CELL DONOR SEARCH,2097.0,838.8,838.8,1887.3,15
HCPCS,38205,38205 COLLECTION OF DONOR STEM CELLS FOR TRANSPLANTATION,3960.0,1584.0,65.69,3564.0,25
HCPCS,38206,38206 COLLECTION OF STEM CELLS FOR TRANSPLANTATION,2900.0,1160.0,1218.21,3515.35,33
HCPCS,38207,38207 PRESERVATION AND STORAGE OF STEM CELLS FOR TRANSPLANTATION,990.0,396.0,345.08,995.8,31
HCPCS,38208,38208 THAWING OF FROZEN STEM CELLS FOR TRANSPLANTATION,990.0,396.0,345.08,995.8,31
HCPCS,38209,38209 THAWING AND WASHING OF FROZEN STEM CELLS FOR TRANSPLANTATION,1013.0,405.2,396.37,1013.0,25
HCPCS,38212,38212 PREPARATION OF STEM CELLS FOR TRANSPLANTATION WITH RED BLOOD CELL REMOVAL,990.0,396.0,396.37,995.8,25
HCPCS,38214,38214 STEM CELLS TRANSPLANTATION WITH REDUCTION BLOOD FLUID PLASMA VOLUME,1013.0,405.2,396.37,1013.0,25
HCPCS,38215,38215 STEM CELLS TRANSPLANTATION WITH CELL CONCENTRATION IN BLOOD FLUID,990.0,396.0,396.37,995.8,25
HCPCS,38220,38220 ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS,3500.0,1400.0,1291.88,3727.91,33
HCPCS,38221,38221 BIOPSY OF BONE MARROW,3500.0,1400.0,1291.88,3727.91,33
HCPCS,38221,DX BONE MARROW BIOPSIES,3500.0,1400.0,1291.88,3727.91,63
HCPCS,38222,38222 BIOPSY AND ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS,5000.0,2000.0,2272.06,6556.38,33
HCPCS,38227,CART THERAPY RECEIPT AND PREPARATION OF CART CELLS FOR ADMINISTRATION,958.0,383.2,43.35,862.2,15
HCPCS,38228,THERAPY CART CELL ADMINISTRATION AUTOLOGOUS,4872.0,1948.8,296.76,4384.8,25
HCPCS,38240,38240 TRANSPLANTATION OF DONOR STEM CELLS PER DONOR,65000.0,26000.0,37700.0,141977.39,33
HCPCS,38241,38241 TRANSPLANTATION OF PATIENTDERIVED STEM CELLS,2900.0,1160.0,1218.21,3515.35,33
HCPCS,38242,38242 TRANSPLANTATION OF DONOR WHITE BLOOD CELLS,2900.0,1160.0,1218.21,3515.35,33
HCPCS,38243,38243 TRANSPLANTATION OF DONOR STEM CELLS,2900.0,1160.0,1218.21,3515.35,33
HCPCS,38300,DRAINAGE LYMPH NODE LESION,6054.0,2421.6,2272.06,6556.38,33
HCPCS,38500,38500 BIOPSY OR REMOVAL OF LYMPH NODES,7574.0,3029.6,3062.63,8837.73,33
HCPCS,38505,38505 NEEDLE BIOPSY OR REMOVAL OF SURFACE LYMPH NODES,3500.0,1400.0,1291.88,3727.91,33
HCPCS,38790,38790 INJECTION PROCEDURE FOR IMAGING OF LYMPHATIC SYSTEM,3000.0,1200.0,1200.0,2700.0,17
HCPCS,38792,38792 INJECTION OF RADIOACTIVE MATERIAL FOR XRAY IDENTIFICATION OF LYMPH NODE,962.0,384.8,312.7,962.0,33
HCPCS,38794,CANNULATION THORACIC DUCT,200.0,80.0,80.0,200.0,17
HCPCS,38999,38999 OTHER PROCEDURE ON LYMPHATIC SYSTEM,990.0,396.0,345.08,995.8,33
HCPCS,39503,39503 REPAIR OF CONGENITAL DEFECT OF MUSCLE SEPARATING CHEST ABDOMINAL,10000.0,4000.0,4093.0,12481.05,26
HCPCS,40650,40650 REPAIR OF LIP AND BORDER,1000.0,400.0,421.87,1217.35,33
HCPCS,40652,40652 REPAIR OF VERTICAL LIP WOUND EXTENDING TO HALF OF LIP,1000.0,400.0,421.87,1217.35,33
HCPCS,40654,40654 REPAIR OF VERTICAL LIP WOUND EXTENDING TO OVER HALF OF LIP,3000.0,1200.0,1213.64,3502.16,33
HCPCS,40799,40799 OTHER PROCEDURE ON LIP,510.0,204.0,185.27,534.61,33
HCPCS,40800,40800 SIMPLE DRAINAGE OF ABSCESS,1500.0,600.0,553.89,1598.36,33
HCPCS,40801,40801 COMPLICATED DRAINAGE OF ABSCESS,1000.0,400.0,421.87,1217.35,33
HCPCS,40804,40804 SIMPLE REMOVAL OF EMBEDDED FOREIGN BODY IN MOUTH,1800.0,720.0,709.44,2047.2,33
HCPCS,40808,40808 BIOPSY OF MOUTH,1000.0,400.0,421.87,1217.35,33
HCPCS,40812,40812 REMOVAL OF GROWTH OF MOUTH WITH SIMPLE REPAIR,3000.0,1200.0,1213.64,3502.16,33
HCPCS,40819,40819 REMOVAL OF TISSUE AT DENTAL EDGE AND CHEEK,3000.0,1200.0,1213.64,3502.16,33
HCPCS,40830,40830 REPAIR OF LACERATED MOUTH,500.0,200.0,185.27,534.61,33
HCPCS,40831,40831 REPAIR OF LACERATED MOUTH,1000.0,400.0,421.87,1217.35,33
HCPCS,41000,41000 DRAINAGE OF ABSCESS,1000.0,400.0,421.87,1217.35,33
HCPCS,41008,41008 DRAINAGE OF ABSCESS,6500.0,2600.0,2593.34,7483.5,33
HCPCS,41009,41009 DRAINAGE OF ABSCESS,1000.0,400.0,421.87,1217.35,33
HCPCS,41010,41010 INCISION OF TISSUE CONNECTING TONGUE AND FLOOR OF MOUTH,3000.0,1200.0,1213.64,3502.16,33
HCPCS,41017,DRAINAGE OF MOUTH LESION,6985.0,2794.0,2593.34,7483.5,33
HCPCS,41018,DRAINAGE AND MOUTH LESION,3454.0,1381.6,1213.64,3502.16,33
HCPCS,41100,41100 BIOPSY OF FRONT 2/3 OF TONGUE,1000.0,400.0,421.87,1217.35,33
HCPCS,41105,41105 BIOPSY OF BACK 1/3 OF TONGUE,6500.0,2600.0,2593.34,7483.5,33
HCPCS,41108,41108 BIOPSY OF FLOOR OF MOUTH,3500.0,1400.0,1291.88,3727.91,33
HCPCS,41250,41250 REPAIR OF LACERATED FLOOR OF MOUTH AND/OR TONGUE,650.0,260.0,349.43,1008.32,33
HCPCS,41251,41251 REPAIR OF LACERATED BACK 1/3 OF TONGUE,510.0,204.0,185.27,534.61,33
HCPCS,41252,41252 REPAIR OF LACERATED TONGUE OR FLOOR OF MOUTH,500.0,200.0,185.27,534.61,33
HCPCS,41599,41599 OTHER PROCEDURE ON TONGUE OR FLOOR OF MOUTH,510.0,204.0,185.27,534.61,33
HCPCS,41800,41800 DRAINAGE OF ABSCESS,290.0,116.0,104.07,300.31,33
HCPCS,41805,RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS,3382.0,1352.8,1213.64,3502.16,33
HCPCS,41899,41899 OTHER PROCEDURE ON TEETH AND GUMS,500.0,200.0,185.27,534.61,33
HCPCS,42000,42000 DRAINAGE OF ABSCESS OF ROOF OF MOUTH,510.0,204.0,185.27,534.61,33
HCPCS,42180,42180 REPAIR OF LACERATED ROOF OF MOUTH,1000.0,400.0,421.87,1217.35,33
HCPCS,42300,42300 SIMPLE DRAINAGE OF ABSCESS OF SALIVA GLAND,3000.0,1200.0,1213.64,3502.16,33
HCPCS,42305,42305 COMPLICATED DRAINAGE OF ABSCESS OF SALIVA GLAND,6500.0,2600.0,2593.34,7483.5,33
HCPCS,42310,DRAINAGE OF SALIVARY GLAND,1000.0,400.0,421.87,1217.35,33
HCPCS,42330,42330 UNCOMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH,6500.0,2600.0,2593.34,7483.5,33
HCPCS,42400,42400 NEEDLE BIOPSY OF SALIVA GLAND,1500.0,600.0,553.89,1598.36,33
HCPCS,42550,42550 INJECTION OF CONTRAST FOR IMAGING OF SALIVA GLANDS,500.0,200.0,200.0,450.0,17
HCPCS,42660,42660 DILATION OF SALIVA GLAND DUCT AND INSERTION OF TUBE,1000.0,400.0,421.87,1217.35,33
HCPCS,42699,42699 OTHER PROCEDURE ON SALIVA GLAND OR DUCT,510.0,204.0,185.27,534.61,33
HCPCS,42700,42700 DRAINAGE OF ABSCESS NEAR TONSIL,500.0,200.0,185.27,534.61,33
HCPCS,42800,42800 BIOPSY OF BACK OF THROAT,3000.0,1200.0,1213.64,3502.16,33
HCPCS,42804,42804 SIMPLE BIOPSY OF GROWTH OF THROAT BEHIND NOSE,6000.0,2400.0,2593.34,7483.5,33
HCPCS,42809,42809 REMOVAL OF FOREIGN BODY IN THROAT,650.0,260.0,349.43,1008.32,33
HCPCS,42960,42960 SIMPLE CONTROL OF BLEEDING OF THROAT,1000.0,400.0,421.87,1217.35,33
HCPCS,42999,42999 OTHER PROCEDURE ON THROAT,510.0,204.0,185.27,534.61,33
HCPCS,43130,REMOVAL OF ESOPHAGUS POUCH,12986.0,5194.4,4630.47,13361.96,33
HCPCS,43180,43180 REMOVAL OF DEFECT IN WALL OF ESOPHAGUS USING A RIGID ENDOSCOPE,10000.0,4000.0,4630.47,13361.96,33
HCPCS,43191,43191 DIAGNOSTIC EXAM OF ESOPHAGUS USING AN ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43192,43192 INJECTION INTO ESOPHAGUS USING AN ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43193,43193 BIOPSY OF ESOPHAGUS USING A RIGID ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43194,43194 REMOVAL OF FOREIGN BODIES FROM ESOPHAGUS USING A RIGID ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43195,43195 BALLOON DILATION OF ESOPHAGUS USING A RIGID ENDOSCOPE,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43196,43196 INSERTION OF WIRE AND DILATION OF ESOPHAGUS USING AN ENDOSCOPE,6100.0,2440.0,1435.2,5680.0,33
HCPCS,43197,43197 DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE,1800.0,720.0,709.44,2047.2,33
HCPCS,43198,43198 BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE,1800.0,720.0,709.44,2047.2,33
HCPCS,43200,43200 DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,1800.0,720.0,709.44,2047.2,33
HCPCS,43201,43201 INJECTION INTO ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43202,43202 BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43204,43204 INJECTION OF SWOLLEN VEIN OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43205,43205 TYING OF DILATED VEINS OF ESOPHAGUS WITH BANDS USING A FLEXIBLE ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43211,43211 REMOVAL OF TISSUE LINING OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43212,43212 PLACEMENT OF STENT IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,10000.0,4000.0,4748.63,13702.94,33
HCPCS,43213,43213 DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43214,43214 BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43215,43215 REMOVAL OF FOREIGN BODIES IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43216,43216 REMOVAL POLYPS GROWTHS ESOPHAGUS A IBLE ENDO WITH ELECTRICAL CAUTERY,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43217,43217 REMOVAL POLYPS GROWTHS ESOPHAGUS A IBLE ENDOSCOPE WITH MECHANICAL SNARE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43220,43220 BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43226,43226 DILATION OF ESOPHAGUS WITH INSERTION OF GUIDE WIRE USING A IBLE ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43227,43227 CONTROL OF BLEEDING IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43229,43229 DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43231,43231 ULTRASOUND EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43232,43232 ULTRASOUND GUIDED FINE NEEDLE ASPIRATION BIOPSY ESOPHAGUS A IBLE ENDO,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43233,43233 BALLOON DILATION OF ESOPHAGUS,3900.0,1560.0,870.27,4331.27,33
HCPCS,43235,43235 DIAGNOSTIC EXAM OF ESOPHAGUS,2080.0,832.0,521.22,2080.0,33
HCPCS,43236,43236 INJECTION OF ESOPHAGUS,2080.0,832.0,709.44,2080.0,33
HCPCS,43237,43237 ULTRASOUND EXAM OF ESOPHAGUS,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43238,43238 ULTRASOUND GUIDED NEEDLE ASPIRATION BIOPSY OF ESOPHAGUS A IBLE ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43239,43239 BIOPSY OF ESOPHAGUS,2080.0,832.0,521.22,2080.0,33
HCPCS,43240,CYTAGASTROSTOMY,10000.0,4000.0,4748.63,13702.94,33
HCPCS,43241,43241 INSERTION OF TUBE OR TUBE IN ESOPHAGUS,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43242,43242 ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43243,43243 INJECTION OF DILATED VEIN OF STOMACH /OR ESOPHAGUS USING A IBLE ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43244,43244 TYING OF DILATED VEINS OF STOMACH AND/OR ESOPHAGUS USING A IBLE ENDOSCOPE,4056.0,1622.4,870.27,4331.27,33
HCPCS,43245,43245 DILATION OF STOMACH OUTLET USING A FLEXIBLE ENDOSCOPE,3900.0,1560.0,870.27,4331.27,33
HCPCS,43246,43246 INSERTION OF STOMACH TUBE USING A FLEXIBLE ENDOSCOPE,4056.0,1622.4,870.27,4331.27,33
HCPCS,43247,43247 REMOVAL OF FOREIGN BODIES OF ESOPHAGUS,2000.0,800.0,521.22,2047.2,33
HCPCS,43248,43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A IBLE ENDOSCOPE,2000.0,800.0,521.22,2047.2,33
HCPCS,43249,43249 BALLOON DILATION OF ESOPHAGUS,4056.0,1622.4,870.27,4331.27,33
HCPCS,43250,43250 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS,3900.0,1560.0,870.27,4331.27,33
HCPCS,43251,43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS,3900.0,1560.0,870.27,4331.27,33
HCPCS,43253,43253 INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE OR MARKER IN ESOPHAGUS,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43254,43254 REMOVAL OF TISSUE LINING OF ESOPHAGUS,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43255,43255 CONTROL OF BLEEDING OF ESOPHAGUS,3900.0,1560.0,870.27,4331.27,33
HCPCS,43259,43259 ULTRASOUND EXAM OF ESOPHAGUS,3900.0,1560.0,1435.2,4331.27,33
HCPCS,43260,43260 DIAGNOSTIC EXAM OF GALLBLADDER AND PANCREATIC,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43261,43261 BIOPSY OF GALLBLADDER,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43262,43262 INCISION OF PANCREATIC OUTLET USING A FLEXIBLE ENDOSCOPE,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43264,43264 REMOVAL OF STONE DEBRIS FROM BILE PANCREATIC DUCT USING A IBLE ENDOSCOPE,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43265,43265 DESTRUCTION OF STONE OF BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,10000.0,4000.0,4748.63,13702.94,33
HCPCS,43266,43266 PLACEMENT OF STENT IN ESOPHAGUS,10000.0,4000.0,4748.63,13702.94,33
HCPCS,43270,43270 DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS,3900.0,1560.0,870.27,4331.27,33
HCPCS,43273,43273 EXAM OF COMMON BILE AND/OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE,3006.0,1202.4,1202.4,2705.4,17
HCPCS,43274,43274 INSERTION OF STENT INTO PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,10000.0,4000.0,4748.63,13702.94,33
HCPCS,43275,43275 REMOVAL OF STENT FROM PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,6100.0,2440.0,1435.2,5490.0,33
HCPCS,43276,43276 REPLACEMENT OF STENT IN PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE,10000.0,4000.0,4748.63,13702.94,33
HCPCS,43277,43277 BALLOON DILATION OF PANCREATIC BILE DUCT SPHINCTER A IBLE ENDOSCOPE,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43278,43278 DESTRUCTION OF POLYP GROWTH OF GALLBLADDER BILE DUCT A IBLE ENDOSCOPE,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43450,43450 DILATION OF ESOPHAGUS,1800.0,720.0,709.44,2047.2,33
HCPCS,43453,43453 DILATION OF ESOPHAGUS WITH A GUIDE WIRE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,43497,TRANSORAL LOWER ESOPHAGEAL MYOTOMY,7840.0,3136.0,4547.2,13702.94,33
HCPCS,43499,43499 OTHER PROCEDURE ON ESOPHAGUS,2000.0,800.0,709.44,2047.2,33
HCPCS,43510,43510 INSERTION OF PERMANENT STOMACH TUBE WITH DILATION OF ESOPHAGUS,1800.0,720.0,709.44,2047.2,33
HCPCS,43520,INCISION OF PYLORIC MUSCLE,16000.0,6400.0,625.52,14400.0,26
HCPCS,43752,43752 INSERTION OF STOMACH TUBE THROUGH NOSE MOUTH USING FLUOSCOPIC GUIDANCE,650.0,260.0,349.43,1008.32,33
HCPCS,43753,43753 INSERTION OF STOMACH TUBE AND ASPIRATION OF STOMACH CONTENTS,600.0,240.0,168.9,600.0,33
HCPCS,43754,43754 DIAGNOSTIC INSERTION OF STOMACH TUBE AND ASPIRATION OF STOMACH CONTENTS,600.0,240.0,168.9,600.0,33
HCPCS,43755,43755 DIAGNOSTIC INSERTION STOMACH TUBE ASPIRATION STOMACH ENTS AFTER DRUGS,350.0,140.0,100.65,350.0,33
HCPCS,43757,43757 INSERTION OF TUBE INTO UPPER SMALL BOWEL FOR COLLECTION OF MULTIPLE BILE,1800.0,720.0,709.44,2047.2,33
HCPCS,43761,43761 REPOSITIONING OF ORAL OR NASAL FEEDING TUBE IN SMALL BOWEL,680.0,272.0,195.43,680.0,33
HCPCS,43762,43762 REPLACEMENT OF STOMACH STOMA TUBE,680.0,272.0,195.43,680.0,33
HCPCS,43763,43763 REPLACEMENT OF STOMACH STOMA TUBE WITH REVISION OF STOMA OPENING,600.0,240.0,195.43,600.0,33
HCPCS,43870,REPAIR STOMACH OPENING,6100.0,2440.0,3015.74,8702.39,33
HCPCS,43889,REDUCTION OF SIZE OF STOMACH USING AN ENDOSCOPE,27150.0,10860.0,1252.91,26968.3,26
HCPCS,43999,43999 OTHER PROCEDURE ON STOMACH,2000.0,800.0,709.44,2047.2,33
HCPCS,44015,44015 INSERTION OF FEEDING TUBE OR TUBE INTO UPPER SMALL BOWEL,1000.0,400.0,118.31,900.0,26
HCPCS,44360,44360 DIAGNOSTIC EXAM SMALL BOWEL EXCLUDING LOWER SMALL INTESTINE AN ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,44361,44361 BIOPSY OF SMALL BOWEL EXCEPT ILEUM USING AN ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,44364,44364 REMOVAL OF SMALL BOWEL POLYPS GROWTHS AN ENDOSCOPE WITH MECHANICAL SNARE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,44365,44365 REMOVAL SMALL BOWEL POLYPS GROWTHS AN ENDOSCOPE WITH ELECTRICAL CAUTERY,3900.0,1560.0,1435.2,4331.27,33
HCPCS,44366,44366 ROL OF BLEEDING OF FIRST OR SECOND PART OF SMALL BOWEL USING AN ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,44369,44369 DESTRUCTION OF POLYP OR GROWTH OF SMALL BOWEL USING AN ENDOSCOPE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,44372,44372 INSERTION OF TUBE INTO MIDDLE SMALL BOWEL USING AN ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,44373,44373 CONVERSION OF STOMACH TUBE TO TUBE IN MIDDLE SMALL BOWEL AN ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,44380,44380 DIAGNOSTIC EXAM OF SMALL BOWEL AN ENDO,2000.0,800.0,709.44,2047.2,33
HCPCS,44381,44381 BALLOON DILATION OF SMALL BOWEL USING AN ENDOSCOPE,3700.0,1480.0,1435.2,4331.27,33
HCPCS,44382,44382 BIOPSY SMALL BOWEL AN ENDO INSERTED THROUGH SURGICALLY CREATED OPENING,2000.0,800.0,709.44,2047.2,33
HCPCS,44384,44384 INSERTION STENT INTO SMALL BOWEL AN ENDOSCOPE INSERTED THROUGH SURGICALLY,6100.0,2440.0,1435.2,5680.0,33
HCPCS,44385,44385 DIAGNOSTIC EXAM OF SURGICALLY CREATED POUCH OF SMALL BOWEL AN ENDOSCOPE,2000.0,800.0,717.89,2099.06,33
HCPCS,44386,44386 BIOPSY OF SMALL BOWEL POUCH USING AN ENDOSCOPE,2080.0,832.0,717.89,2099.06,33
HCPCS,44388,44388 DIAGNOSTIC EXAM OF LARGE BOWEL AN ENDO,2080.0,832.0,506.6,2099.06,33
HCPCS,44389,44389 BIOPSY LARGE BOWEL AN ENDO INSERTED THROUGH SURGICALLY CREATED OPENING,2400.0,960.0,665.99,2701.0,33
HCPCS,44391,44391 ROL OF BLEEDING OF LARGE BOWEL AN ENDO,2400.0,960.0,936.0,2701.0,33
HCPCS,44392,44392 REMOVAL OF GROWTHS POLYPS OF LARGE BOWEL BY ELECTRICAL,2400.0,960.0,936.0,2701.0,33
HCPCS,44394,44394 REMOVAL OF GROWTHS POLYPS OF LARGE BOWEL BY MECHANICAL SNARE,2400.0,960.0,665.99,2701.0,33
HCPCS,44401,44401 DESTRUCTION OF GROWTH POLYP OF LARGE BOWEL USING AN ENDOSCOPE INSERTED,2400.0,960.0,936.0,2701.0,33
HCPCS,44402,44402 INSERTION STENT INTO LARGE BOWEL AN ENDOSCOPE INS,10000.0,4000.0,4748.63,13702.94,33
HCPCS,44403,44403 REMOVAL LINING LARGE BOWEL AN ENDOSCOPE INSERTED THROUGH SURGICALLY,2400.0,960.0,936.0,2701.0,33
HCPCS,44404,44404 INJECTION BENEATH LINING OF LARGE BOWEL AN ENDOSCOPE INSERTED THROUGH,2400.0,960.0,936.0,2701.0,33
HCPCS,44405,44405 BALLOON DILATION OF LARGE BOWEL USING AN ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,44406,44406 ULTRASOUND EXAM OF LARGE BOWEL AN ENDOSCOPE INSERTED THROUGH SURGICALLY,2400.0,960.0,936.0,2701.0,33
HCPCS,44407,44407 FINE NEEDLE ASPIRATION /OR BIOPSY OF LARGE BOWEL WITH ULTRASOUND,2400.0,960.0,936.0,2701.0,33
HCPCS,44408,44408 DECOMPRESSION OF LARGE BOWEL AN ENDOSCOPE INSERTED THROUGH SURGICALLY,1800.0,720.0,717.89,2099.06,33
HCPCS,44500,44500 DILATION OF STOMACH AND/OR SMALL BOWEL USING LONG GASTROINTESTINAL TUBE,1800.0,720.0,709.44,2047.2,33
HCPCS,44705,44705 ASSESSMENT AND OVERSEEING PREPARATION OF DONOR FECAL SPECIMEN,1500.0,600.0,78.28,1500.0,17
HCPCS,44799,44799 OTHER PROCEDURE ON SMALL BOWEL,1800.0,720.0,709.44,2047.2,33
HCPCS,45005,45005 DRAINAGE OF SUPERFICIAL RECTAL ABSCESS,2400.0,960.0,936.0,2701.0,33
HCPCS,45100,45100 BIOPSY OF ANAL AND/OR RECTAL WALL THROUGH ANUS,5900.0,2360.0,2171.11,6265.09,33
HCPCS,45190,45190 DESTRUCTION OF GROWTH OF RECTUM,6238.0,2495.2,2171.11,6265.09,33
HCPCS,45300,45300 DIAGNOSTIC EXAM OF RECTUM AND LOWER LARGE BOWEL USING AN ENDOSCOPE,1800.0,720.0,717.89,2099.06,33
HCPCS,45303,45303 DILATION OF RECTUM AND/OR LOWER LARGE BOWEL USING AN ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45305,45305 BIOPSIES OF RECTUM AND/OR LOWER LARGE BOWEL USING A RIGID ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45307,45307 REMOVAL OF EIGN BODIES FROM RECTUM LOWER LARGE BOWEL A RIGID ENDOSCOPE,5900.0,2360.0,2171.11,6265.09,33
HCPCS,45330,45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2000.0,800.0,717.89,2099.06,33
HCPCS,45331,45331 BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2080.0,832.0,717.89,2099.06,33
HCPCS,45332,45332 REMOVAL OF EIGN BODIES IN LOWER PTION OF LARGE BOWEL A IBLE ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45333,45333 REMOVAL POLYPS GROWTHS LOWER LARGE BOWEL A IBLE ENDO WITH ELECTR,1800.0,720.0,717.89,2099.06,33
HCPCS,45334,45334 CONTROL OF BLEEDING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45335,45335 INJECTION BENEATH LINING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2000.0,800.0,717.89,2099.06,33
HCPCS,45337,45337 DECOMPRESSION TWISTED ABNMALLY DILATED LOWER LARGE BOWEL A IBLE ENDO,1800.0,720.0,717.89,2099.06,33
HCPCS,45338,45338 REMOVAL POLYPS GROWTHS LOWER LARGE BOWEL A IBLE ENDO WITH MECH,2496.0,998.4,936.0,2701.0,33
HCPCS,45340,45340 BALLOON DILATION OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45341,45341 ULTRASOUND EXAM OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2000.0,800.0,717.89,2099.06,33
HCPCS,45342,45342 FINE NEEDLE ASPIRATION BIOPSY LOWER LARGE BOWEL WITH ULTRASOUND,2400.0,960.0,936.0,2701.0,33
HCPCS,45346,45346 DESTRUCTION OF POLYP OR GROWTH OF LOWER LARGE BOWEL USING A IBLE ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45347,SIGMOIDOSCOPY W/PLCMT STENT,13102.0,5240.8,4748.63,13702.94,33
HCPCS,45349,45349 REMOVAL OF LOWER PORTION OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE,5900.0,2360.0,2171.11,6265.09,33
HCPCS,45350,45350 BANDING OF HEMORRHOIDS USING A FLEXIBLE ENDOSCOPE SIGMOIDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45378,45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2080.0,832.0,506.6,2099.06,33
HCPCS,45379,45379 REMOVAL OF FOREIGN BODIES IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45380,45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2756.0,1102.4,665.99,2756.0,33
HCPCS,45381,45381 INJECTION BENEATH LINING OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2496.0,998.4,665.99,2701.0,33
HCPCS,45382,45382 CONTROL OF BLEEDING OF UPPER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2400.0,960.0,665.99,2701.0,33
HCPCS,45384,45384 REMOVAL POLYPS GROWTHS LARGE BOWEL A IBLE ENDO WITH ELECTRICAL CAUTERY,2400.0,960.0,665.99,2701.0,33
HCPCS,45385,45385 REMOVAL POLYPS GROWTHS LARGE BOWEL AN ENDOSCOPE WITH MECHANICAL SNARE,2756.0,1102.4,665.99,2756.0,33
HCPCS,45386,45386 BALLOON DILATION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2400.0,960.0,665.99,2701.0,33
HCPCS,45388,45388 DESTRUCTION OF POLYP OR GROWTH OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2400.0,960.0,665.99,2701.0,33
HCPCS,45389,45389 INSERTION OF STENT IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,12295.0,4918.0,4748.63,13702.94,33
HCPCS,45390,45390 REMOVAL OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE,5900.0,2360.0,2171.11,6265.09,33
HCPCS,45391,45391 ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE,2650.0,1060.0,936.0,2701.0,33
HCPCS,45392,45392 FINE NEEDLE ASPIRATION BIOPSY LARGE BOWEL WITH ULTRASOUND A IBLE ENDO,2650.0,1060.0,936.0,2701.0,33
HCPCS,45393,45393 DECOMPRESSION OF TWISTED ABNMALLY DILATED LARGE BOWEL A IBLE ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,45398,45398 BANDING OF HEMORRHOIDS USING A FLEXIBLE ENDOSCOPE COLONOSCOPE,2400.0,960.0,665.99,2701.0,33
HCPCS,45541,45541 SUTURE OF RECTUM TO SACRUM THROUGH PERINEUM,5900.0,2360.0,2171.11,6265.09,33
HCPCS,45900,45900 MANUAL REPLACEMENT OF PROLAPSED RECTUM UNDER ANESTHESIA,1800.0,720.0,717.89,2099.06,33
HCPCS,45905,DILATION OF ANAL SPHINCTER,2367.0,946.8,936.0,2701.0,33
HCPCS,45910,DILATION OF RECTAL NARROWING,2696.0,1078.4,936.0,2701.0,33
HCPCS,45915,45915 REMOVAL OF IMPACTED STOOL OR FOREIGN BODY IN RECTUM UNDER ANESTHESIA,2400.0,960.0,936.0,2701.0,33
HCPCS,45990,45990 DIAGNOSTIC EXAM OF ANUS AND RECTUM UNDER ANESTHESIA,5900.0,2360.0,1747.46,6265.09,33
HCPCS,45999,45999 OTHER PROCEDURE ON RECTUM,2000.0,800.0,717.89,2099.06,33
HCPCS,46040,46040 DRAINAGE OF DEEP ABSCESS IN RECTUM,2650.0,1060.0,936.0,2701.0,33
HCPCS,46050,46050 DRAINAGE OF SUPERFICIAL RECTAL ABSCESS SURROUNDING ANUS,2000.0,800.0,717.89,2099.06,33
HCPCS,46060,46060 INCISION DRAINAGE ABSCESS IN WALL RECTUM BETWEEN,5900.0,2360.0,2171.11,6265.09,33
HCPCS,46083,46083 INCISION OF EXTERNAL HEMORRHOID WITH BLOOD CLOT,600.0,240.0,195.43,600.0,33
HCPCS,46220,46220 REMOVAL OF SINGLE EXTERNAL NONCANCER GROWTH OF ANUS,2400.0,960.0,936.0,2701.0,33
HCPCS,46221,46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING,1800.0,720.0,717.89,2099.06,33
HCPCS,46255,HEMORRHOIDECTOMY INTERNAL AND EXTERNAL SINGLE COLUMN/GROUP,6108.0,2443.2,2171.11,6265.09,33
HCPCS,46260,REMOVE IN/EX HEM GROUPS 2+,6425.0,2570.0,2171.11,6425.0,33
HCPCS,46262,REMOVE IN/EX HEM GRPS W/FIST,6424.0,2569.6,2171.11,6424.0,33
HCPCS,46320,46320 REMOVAL OF EXTERNAL HEMORRHOID WITH BLOOD CLOT,2400.0,960.0,936.0,2701.0,33
HCPCS,46600,46600 DIAGNOSTIC EXAM OF ANUS USING AN ENDOSCOPE,250.0,100.0,104.07,300.31,33
HCPCS,46601,46601 DIAGNOSTIC EXAM OF ANUS WITH MAGNIFICATION CHEMICAL AGENT ENHANCEMENT,250.0,100.0,145.0,1008.32,33
HCPCS,46607,46607 BIOPSY OF ANUS WITH MAGNIFICATION CHEMICAL AGENT ENHANCEMENT AN ENDOSCOPE,2400.0,960.0,936.0,2701.0,33
HCPCS,46930,DESTROY INTERNAL HEMORRHOIDS,2811.0,1124.4,936.0,2811.0,33
HCPCS,46999,ANUS PROCEDURE,2000.0,800.0,717.89,2099.06,33
HCPCS,47000,47000 NEEDLE BIOPSY OF LIVER THROUGH SKIN,3500.0,1400.0,1291.88,3727.91,33
HCPCS,47001,47001 NEEDLE BIOPSY OF LIVER,1905.0,762.0,762.0,1714.5,17
HCPCS,47371,47371 DESTRUCTION OF GROWTH OF LIVER BY FREEZING USING AN ENDOSCOPE,9396.0,3758.4,5449.68,23993.15,33
HCPCS,47381,47381 DESTRUCTION OF GROWTH OF LIVER USING FREEZING,7500.0,3000.0,1276.82,6750.0,26
HCPCS,47382,47382 DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING RADIOFREQUENCY,10000.0,4000.0,4728.79,13645.68,33
HCPCS,47383,47383 DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING FREEZING,10500.0,4200.0,6090.0,23993.15,33
HCPCS,47384,ABLTJ IRE LIVER 1+ TUM PERQ,27150.0,10860.0,7729.46,26968.3,27
HCPCS,47399,47399 OTHER PROCEDURE ON LIVER,4700.0,1880.0,553.89,4230.0,33
HCPCS,47490,47490 INSERTION OF TUBE INTO GALLBLADDER IMAGING WITH REVIEW BY RADIOLOGIST,6000.0,2400.0,2800.58,8081.51,33
HCPCS,47531,47531 INJECTION OF BILE DUCT XRAY THROUGH ALREADY EXISTING SKIN ACCESS USING,6000.0,2400.0,2800.58,8081.51,33
HCPCS,47532,47532 INJECTION BILE DUCT XRAY THROUGH NEW SKIN ACCESS IMAGING WITH REVIEW,6000.0,2400.0,2800.58,8081.51,33
HCPCS,47533,47533 PLACEMENT EXTERNAL DRAINAGE TUBE BILIARY DUCT IMAGING WITH REVIEW,6000.0,2400.0,2800.58,8081.51,33
HCPCS,47534,47534 PLACEMENT INTERNALEXTERNAL DRAINAGE TUBE BILIARY DUCT,6000.0,2400.0,2800.58,8081.51,33
HCPCS,47535,47535 CONVERSION OF EXTERNAL BILIARY DRAINAGE TUBE TO INTERNALEXTERNAL BILIARY,6000.0,2400.0,2800.58,8081.51,33
HCPCS,47536,47536 REPLACEMENT LIVER DUCT DRAINAGE TUBE IMAGING WITH REVIEW BY RADIOLOGIST,6000.0,2400.0,2800.58,8081.51,33
HCPCS,47537,47537 REMOVAL OF BILIARY DRAINAGE TUBE USING IMAGING WITH REVIEW BY RADIOLOGIST,2000.0,800.0,709.44,2047.2,33
HCPCS,47538,47538 PLACEMENT STENT BILIARY DUCT THROUGH EXISTING SKIN ACCESS IMAGING,10000.0,4000.0,4728.79,13645.68,33
HCPCS,47539,47539 PLACEMENT STENT BILIARY DUCT THROUGH NEW SKIN ACCESS IMAGING,10000.0,4000.0,4728.79,13645.68,33
HCPCS,47540,47540 PLACEMENT STENT DRAINAGE TUBE BILIARY DUCT IMAGING WITH REVIEW,10000.0,4000.0,4728.79,13645.68,33
HCPCS,47541,47541 PLACEMENT ACCESS DEVICE INTO BILIARY TRACT IMAGING WITH REVIEW,7000.0,2800.0,4060.0,14612.4,33
HCPCS,47542,47542 BALLOON DILATION OF BILE DUCT USING IMAGING WITH REVIEW BY RADIOLOGIST,1905.0,762.0,762.0,1714.5,17
HCPCS,47543,47543 BIOPSY OF BILE DUCT LIVER DUCT USING IMAGING WITH REVIEW BY RADIOLOGIST,9000.0,3600.0,3600.0,8100.0,17
HCPCS,47544,47544 REMOVAL BILIARY DUCT GALLBLADDER STONE IMAGING WITH REVIEW,1905.0,762.0,762.0,1714.5,17
HCPCS,47554,BILIARY ENDOSCOPY PRQ VIA TTUBE W/RMVL CALCULUS,26028.0,10411.2,8036.18,26028.0,33
HCPCS,47555,47555 DILATION OF BILE DUCTS USING AN ENDOSCOPE,6000.0,2400.0,3480.0,14612.4,33
HCPCS,47556,47556 DILATION OF BILE DUCTS WITH STENT INSERTION USING AN ENDOSCOPE,10000.0,4000.0,5800.0,23993.15,33
HCPCS,48102,48102 NEEDLE BIOPSY OF PANCREAS,3500.0,1400.0,1291.88,3727.91,33
HCPCS,48520,INTERNAL ANASTOMOSIS,5000.0,2000.0,953.5,4538.0,26
HCPCS,48999,48999 OTHER PROCEDURE ON PANCREAS,12000.0,4800.0,553.89,10800.0,33
HCPCS,49082,49082 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY,2000.0,800.0,709.44,2047.2,33
HCPCS,49083,49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE,2000.0,800.0,709.44,2047.2,33
HCPCS,49084,49084 IRRIGATION OF ABDOMINAL CAVITY,1800.0,720.0,709.44,2047.2,33
HCPCS,49180,49180 NEEDLE BIOPSY OF GROWTH OF ABDOMINAL CAVITY,3500.0,1400.0,1291.88,3727.91,33
HCPCS,49185,49185 INJECTION OF CHEMICAL AGENT INTO FLUID COLLECTION USING IMAGING GUIDANCE,1500.0,600.0,870.0,3727.91,27
HCPCS,49400,49400 INJECTION OF AIR OR XRAY CONTRAST INTO ABDOMINAL CAVITY,400.0,160.0,160.0,400.0,17
HCPCS,49405,49405 DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH SKIN USING IMAGING GUIDANCE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,49406,49406 DRAINAGE OF FLUID COLLECTION OF ABDOMINAL CAVITY BY TUBE USING IMAGING,3500.0,1400.0,1291.88,3727.91,33
HCPCS,49407,49407 DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH VAGINA RECTUM USING IMAGING,3500.0,1400.0,1291.88,3727.91,33
HCPCS,49411,49411 INSERTION OF DEVICE IN ABDOMINAL CAVITY THROUGH SKIN RADIATION THERAPY,3224.0,1289.6,1082.66,3224.0,33
HCPCS,49418,49418 INSERTION OF ABDOMINAL TUBE USING IMAGING WITH REVIEW BY RADIOLOGIST,6000.0,2400.0,2800.58,8081.51,33
HCPCS,49421,49421 INSERTION OF ABDOMINAL CAVITY TUBE FOR DRAINAGE OR DIALYSIS,7000.0,2800.0,2800.58,8081.51,33
HCPCS,49422,49422 REMOVAL OF ABDOMINAL CAVITY TUBE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,49423,49423 EXCHANGE OF ABDOMINAL CAVITY DRAINAGE TUBE USING IMAGING GUIDANCE,3900.0,1560.0,1435.2,4331.27,33
HCPCS,49424,49424 INJECTION OF CONTRAST THROUGH ABDOMINAL CAVITY TUBE FOR XRAY STUDY,1905.0,762.0,762.0,1714.5,17
HCPCS,49427,49427 INJECTION FOR XRAY STUDY OF SHUNT FROM JUGULAR VEIN TO ABDOMINAL CAVITY,775.0,310.0,310.0,697.5,17
HCPCS,49440,49440 INSERTION OF STOMACH TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,3700.0,1480.0,1435.2,4331.27,33
HCPCS,49440,PLACE GASTROSTOMY TUBE PERC,3900.0,1560.0,1435.2,4331.27,33
HCPCS,49441,49441 INSERTION OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,3700.0,1480.0,1435.2,4331.27,33
HCPCS,49442,49442 INSERTION OF LARGE BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,2400.0,960.0,936.0,2701.0,33
HCPCS,49446,49446 CONVERSION STOMACH TUBE TO STOMACHTOSMALL BOWEL TUBE FLUOSCOPIC WITH,3700.0,1480.0,1435.2,4331.27,33
HCPCS,49450,49450 REPLACEMENT OF STOMACH LARGE BOWEL TUBE USING FLUOSCOPIC WITH RAST,2000.0,800.0,709.44,2047.2,33
HCPCS,49451,49451 REPLACEMENT OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST,2000.0,800.0,709.44,2047.2,33
HCPCS,49452,49452 REPLACEMENT OF STOMACHTOSMALL BOWEL TUBE USING FLUOSCOPIC WITH RAST,2000.0,800.0,709.44,2047.2,33
HCPCS,49460,49460 MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM STOMACH,2000.0,800.0,709.44,2047.2,33
HCPCS,49465,49465 CONTRAST INJECTION FOR XRAY IMAGING THROUGH EXISTING TUBE IN STOMACH,590.0,236.0,186.64,590.0,33
HCPCS,49505,REPAIR OF GROIN HERNIA 5 YEARS OR OLDER,9218.0,3687.2,2800.58,9218.0,33
HCPCS,49520,49520 REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED,7000.0,2800.0,2800.58,8081.51,33
HCPCS,49613,RPR AA HRN RCR < 3 RDC,8000.0,3200.0,2800.58,8081.51,33
HCPCS,49614,RPR AA HRN RCR < 3 NCR/STRN,8000.0,3200.0,4640.0,13645.68,33
HCPCS,49615,RPR AA HRN RCR 310 RDC,8000.0,3200.0,4640.0,14612.4,33
HCPCS,49616,RPR AA HRN RCR 310 NCR/STRN,8000.0,3200.0,728.67,8000.0,26
HCPCS,49617,RPR AA HERNIA RECR > 10 CM REDUCIBLE,8000.0,3200.0,752.21,8000.0,26
HCPCS,49618,RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED,8000.0,3200.0,1053.74,8000.0,26
HCPCS,49621,RPR PARASTOMAL HERNIA RDC,8000.0,3200.0,637.54,8000.0,26
HCPCS,49622,RPR PARASTOMAL HRNA NCR/STRN,8000.0,3200.0,792.11,8000.0,26
HCPCS,49623,RMVL NINFCT MESH HERNIA RPR,8000.0,3200.0,1888.0,7200.0,17
HCPCS,49999,49999 OTHER PROCEDURE ON ABDOMEN,1800.0,720.0,709.44,2047.2,33
HCPCS,50080,50080 REMOVAL CRUSHING KIDNEY STONE INSERTION OF KIDNEY STENT AN ENDOSCOPE,18000.0,7200.0,7404.62,21367.24,33
HCPCS,50081,50081 REMOVAL CRUSHING KIDNEY STONE INSERTION OF KIDNEY STENT AN ENDOSCOPE,20000.0,8000.0,7404.62,21367.24,33
HCPCS,50200,50200 NEEDLE BIOPSY OF KIDNEY,3500.0,1400.0,1291.88,3727.91,33
HCPCS,50382,50382 REMOVAL AND REPLACEMENT OF STENT IN URETER WITH REVIEW BY RADIOLOGIST,4500.0,1800.0,1635.09,4718.31,33
HCPCS,50384,50384 REMOVAL OF STENT IN URETER THROUGH SKIN WITH REVIEW BY RADIOLOGIST,4572.0,1828.8,1635.09,4718.31,33
HCPCS,50387,50387 REMOVAL REPLACEMENT STENT IN KIDNEY URETER FLUOSCOPIC WITH REVIEW,4572.0,1828.8,1635.09,4718.31,33
HCPCS,50389,50389 REMOVAL OF KIDNEY DRAINAGE TUBE USING FLUOROSCOPIC GUIDANCE,1200.0,480.0,545.42,1573.91,33
HCPCS,50390,50390 ASPIRATION AND/OR INJECTION OF CYST OF KIDNEY,1500.0,600.0,553.89,1598.36,33
HCPCS,50430,50430 INJECTION PROCEDURE IMAGING OF KIDNEY URETER THROUGH NEW SKIN ACCESS,1200.0,480.0,545.42,1573.91,33
HCPCS,50431,50431 INJECTION PROCEDURE IMAGING OF KIDNEY URETER THROUGH ALREADY EXISTING,1200.0,480.0,545.42,1573.91,33
HCPCS,50432,50432 PLACEMENT OF TUBE OF KIDNEY USING IMAGING WITH REVIEW BY RADIOLOGIST,4572.0,1828.8,1635.09,4718.31,33
HCPCS,50433,50433 PLACEMENT TUBE KIDNEY URINARY TUBE THROUGH,6000.0,2400.0,2757.23,7956.42,33
HCPCS,50434,50434 CONVERSION KIDNEY TUBE TO NEPHROURETERAL TUBE IMAGING STUDY KIDNEY,3800.0,1520.0,1635.09,4718.31,33
HCPCS,50435,50435 REPLACEMENT OF KIDNEY DRAINAGE TUBE IMAGING WITH REVIEW BY RADIOLOGIST,4572.0,1828.8,1635.09,4718.31,33
HCPCS,50436,50436 DILATION OF EXISTING OPENING INTO URINARY TRACT USING IMAGING GUIDANCE,5000.0,2000.0,2757.23,7956.42,32
HCPCS,50437,50437 DILATION EXISTING OPENING INTO URINARY TRACT CREATION NEW ACCESS,7500.0,3000.0,2757.23,7956.42,32
HCPCS,50590,50590 SHOCK WAVE CRUSHING OF KIDNEY STONES,7500.0,3000.0,2757.23,7956.42,33
HCPCS,50592,50592 DESTRUCTION OF GROWTH OF KIDNEY USING RADIOFREQUENCY,10000.0,4000.0,4728.79,13645.68,33
HCPCS,50593,50593 DESTRUCTION OF GROWTH OF KIDNEY BY FREEZING,20000.0,8000.0,8036.18,23993.15,33
HCPCS,50684,50684 INJECTION OF URETER FOR IMAGING,1500.0,600.0,600.0,1350.0,17
HCPCS,50688,50688 CHANGE OF TUBE OR STENT IN URETER,3600.0,1440.0,1635.09,4718.31,33
HCPCS,50690,50690 INJECTION OF BLADDER AND URETER FOR IMAGING,3396.0,1358.4,1358.4,3056.4,17
HCPCS,50693,50693 PLACEMENT STENT URETER THROUGH EXISTING SKIN ACCESS IMAGING,7850.0,3140.0,2757.23,7956.42,33
HCPCS,50694,50694 PLACEMENT STENT URETER THROUGH NEW SKIN ACCESS IMAGING WITH REVIEW,6000.0,2400.0,2757.23,7956.42,33
HCPCS,50695,50695 PLACEMENT STENT URETER SEPARATE TUBE IN KIDNEY THROUGH NEW SKIN,7500.0,3000.0,2757.23,7956.42,33
HCPCS,50706,50706 BALLOON DILATION TREATMENT STRICTURE URETER IMAGING WITH REVIEW,2016.0,806.4,806.4,1814.4,17
HCPCS,51040,51040 INCISION OF BLADDER WITH DRAINAGE,4500.0,1800.0,1635.09,4718.31,33
HCPCS,51100,51100 NEEDLE ASPIRATION OF BLADDER,680.0,272.0,195.43,679.86,33
HCPCS,51101,51101 ASPIRATION OF BLADDER USING TUBE OR TROCAR,2000.0,800.0,671.7,2000.0,33
HCPCS,51102,51102 ASPIRATION OF BLADDER WITH INSERTION OF BLADDER TUBE TO SKIN,3800.0,1520.0,1635.09,4718.31,33
HCPCS,51600,51600 INJECTION PROCEDURE FOR IMAGING OF BLADDER DURING VOIDING,1905.0,762.0,762.0,1714.5,17
HCPCS,51610,51610 INJECTION PROCEDURE THROUGH BLADDER AND URETHRA FOR XRAY IMAGING,1905.0,762.0,762.0,1714.5,17
HCPCS,51700,51700 SIMPLE BLADDER IRRIGATION AND/OR INSTILLATION,600.0,240.0,195.43,600.0,33
HCPCS,51701,51701 INSERTION OF TEMPORARY BLADDER TUBE,290.0,116.0,104.07,300.31,33
HCPCS,51702,51702 SIMPLE INSERTION OF TEMPORARY BLADDER TUBE,290.0,116.0,104.07,300.31,33
HCPCS,51703,51703 COMPLICATED INSERTION OF BLADDER TUBE,350.0,140.0,100.65,350.0,33
HCPCS,51705,51705 SIMPLE CHANGE OF BLADDER TUBE,680.0,272.0,77.23,679.86,33
HCPCS,51710,51710 COMPLICATED CHANGE OF BLADDER TUBE,1200.0,480.0,545.42,1573.91,33
HCPCS,51715,51715 INJECTION IMPLANT MATERIAL BENEATH LINING BLADDER URETHRA AN ENDOSCOPE,5000.0,2000.0,2757.23,7956.42,33
HCPCS,51720,51720 INSTILLATION OF ANTICANCER DRUG INTO BLADDER,600.0,240.0,348.0,1573.91,33
HCPCS,51725,51725 SIMPLE MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER,600.0,240.0,195.43,600.0,33
HCPCS,51725,SIMPLE CYSTOMETROGRAM,925.0,370.0,195.43,832.5,33
HCPCS,51726,51726 COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER,600.0,240.0,195.43,600.0,33
HCPCS,51727,51727 COMPLEX PRESSURE URINE FLOW IN BLADDER WITH URETHRA PRESSURE STUDIES,1200.0,480.0,545.42,1573.91,33
HCPCS,51728,51728 COMPLEX PRESSURE URINE FLOW IN BLADDER WITH VOIDING PRESSURE STUDIES,1200.0,480.0,545.42,1573.91,33
HCPCS,51729,51729 COMPLEX PRESSURE URINE FLOW IN BLADDER WITH URETHRA PRESSURE VOIDING,1200.0,480.0,545.42,1573.91,33
HCPCS,51736,51736 SIMPLE TIMED ASSESSMENT OF BLADDER EMPTYING,250.0,100.0,104.07,300.31,33
HCPCS,51741,51741 ELECTRONIC ASSESSMENT OF BLADDER EMPTYING,350.0,140.0,168.9,487.37,33
HCPCS,51784,51784 NONNEEDLE RECDING OF ELECTRICAL ACTIVITY OF MUSCLES AT BLADDER BOWEL,350.0,140.0,100.65,350.0,33
HCPCS,51785,51785 NEEDLE RECDING ELECTRICAL ACTIVITY MUSCLES AT BLADDER BOWEL OPENINGS,600.0,240.0,195.43,600.0,33
HCPCS,51792,51792 ASSESSMENT OF MUSCLE SIGNAL OF PELVIC NERVES,175.0,70.0,46.14,172.35,33
HCPCS,51797,51797 INSERTION OF DEVICE INTO ABDOMEN WITH PRESSURE AND URINE FLOW RATE STUDY,350.0,140.0,140.0,315.0,17
HCPCS,51798,51798 ULTRASOUND MEASUREMENT OF BLADDER CAPACITY AFTER VOIDING,125.0,50.0,46.14,133.15,33
HCPCS,52000,52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE,1248.0,499.2,545.42,1573.91,33
HCPCS,52005,52005 INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE THROUGH BLADDER AREA,4572.0,1828.8,1635.09,4718.31,33
HCPCS,52204,52204 BIOPSY OF BLADDER USING AN ENDOSCOPE,3600.0,1440.0,1635.09,4718.31,33
HCPCS,52265,52265 DILATION OF BLADDER USING AN ENDOSCOPE,3600.0,1440.0,1635.09,4718.31,33
HCPCS,52281,52281 DILATION OF URETHRA USING AN ENDOSCOPE,3800.0,1520.0,1635.09,4718.31,33
HCPCS,52310,52310 SIMPLE REMOVAL OF FOREIGN BODY,3800.0,1520.0,1635.09,4718.31,33
HCPCS,52315,52315 COMPLICATED REMOVAL OF FOREIGN BODY,4500.0,1800.0,1635.09,4718.31,33
HCPCS,52332,52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE,7500.0,3000.0,2757.23,7956.42,33
HCPCS,52443,CYSTO 1ST TRURL PRST8 COMIS,24179.0,9671.6,4784.07,24016.78,33
HCPCS,52597,TRURL RBTC WTRJT RESCJ PRST8,24179.0,9671.6,4784.07,24016.78,33
HCPCS,53060,53060 DRAINAGE OF ABSCESS OR CYST OF SKENE'S GLANDS,3800.0,1520.0,1635.09,4718.31,33
HCPCS,53450,53450 REPAIR OF URETHRA AND URINARY OPENING,7500.0,3000.0,2757.23,7956.42,33
HCPCS,53620,53620 INITIAL DILATION OF URETHRA IN MALE USING FILIFORM DILATOR,1200.0,480.0,545.42,1573.91,33
HCPCS,53621,53621 SUBSEQUENT DILATION URETHRAL STRICTURE IN MALE BY PASSAGE,600.0,240.0,195.43,600.0,33
HCPCS,53660,DILATION OF URETHRA,360.0,144.0,100.65,360.0,33
HCPCS,53899,53899 OTHER PROCEDURE ON URINARY SYSTEM,10000.0,4000.0,195.43,9000.0,33
HCPCS,53899,UROLOGY SURGERY PROCEDURE,4600.0,1840.0,195.43,4140.0,33
HCPCS,54001,SLITTING OF PREPUCE,5162.0,2064.8,1635.09,5162.0,33
HCPCS,54055,54055 SIMPLE DESTRUCTION OF GROWTH OF PENIS USING ELECTRIC CURRENT,4100.0,1640.0,1613.89,4657.14,33
HCPCS,54056,54056 SIMPLE DESTRUCTION OF GROWTH OF PENIS USING FREEZING,400.0,160.0,156.93,452.86,33
HCPCS,54065,54065 DESTRUCTION OF MULTIPLE GROWTHS OF PENIS,4100.0,1640.0,1613.89,4657.14,33
HCPCS,54100,BIOPSY PENIS SEPARATE PROCEDURE,3500.0,1400.0,1291.88,3727.91,33
HCPCS,54150,54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE,3800.0,1520.0,1878.08,4718.31,27
HCPCS,54160,54160 REMOVAL OF FORESKIN 28 DAYS OR YOUNGER,1200.0,480.0,626.47,1573.91,27
HCPCS,54161,54161 REMOVAL OF FORESKIN OLDER THAN 28 DAYS,4500.0,1800.0,1635.09,4718.31,33
HCPCS,54162,54162 REMOVAL OF SCAR TISSUE AFTER FORESKIN REMOVAL,3800.0,1520.0,1635.09,4718.31,33
HCPCS,54163,REPAIR OF CIRCUMCISION,4572.0,1828.8,505.0,4718.31,33
HCPCS,54220,54220 INJECTION OF DRUG INTO ERECTILE TISSUE AT SIDES AND BACK OF PENIS,680.0,272.0,195.43,679.86,33
HCPCS,54230,54230 INJECTION PROCEDURE FOR IMAGING OF PENILE ERECTION,1500.0,600.0,600.0,1350.0,17
HCPCS,54235,54235 INJECTION PROCEDURE TO CAUSE ERECTION,600.0,240.0,224.47,600.0,27
HCPCS,54240,54240 ASSESSMENT OF PENILE BLOOD FLOW,600.0,240.0,168.9,600.0,33
HCPCS,54420,REVISION OF PENIS,7850.0,3140.0,2757.23,7956.42,33
HCPCS,54430,54430 CREATION OF BLOOD FLOW TRACT FROM PENIS TO OTHER PENILE ANATOMY,3000.0,1200.0,545.15,3000.0,26
HCPCS,54450,54450 REPOSITIONING OF FORESKIN INCLUDING SCAR TISSUE REMOVAL,600.0,240.0,195.43,600.0,33
HCPCS,54500,BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE,5800.0,2320.0,2272.06,6556.38,33
HCPCS,54660,REVISION OF TESTIS,11265.0,4506.0,4817.23,12102.39,27
HCPCS,54700,54700 INCISION AND DRAINAGE OF SPERM RESERVOIR,3800.0,1520.0,1635.09,4718.31,33
HCPCS,55000,DRAINAGE OF HYDROCELE,1500.0,600.0,553.89,1598.36,33
HCPCS,55100,55100 DRAINAGE OF ABSCESS OF SCROTUM,3500.0,1400.0,1291.88,3727.91,33
HCPCS,55250,55250 REMOVAL OF SPERM DUCT,3600.0,1440.0,1199.85,4718.31,33
HCPCS,55706,55706 NEEDLE BIOPSY OF PROSTATE GLAND USING IMAGE GUIDANCE,5000.0,2000.0,2757.23,7956.42,33
HCPCS,55707,ULTRASOUNDGUIDED BIOPSY OF PROSTATE GLAND THROUGH RECTUM,9003.0,3601.2,2757.23,8943.01,33
HCPCS,55708,BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST,9003.0,3601.2,2757.23,8943.01,33
HCPCS,55709,ULTRASOUNDGUIDED OF PROSTATE GLAND THROUGH AREA BETWEEN SCROTUM,9003.0,3601.2,2757.23,8943.01,33
HCPCS,55710,BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1,9003.0,3601.2,2757.23,8943.01,33
HCPCS,55711,BX PROSTATE TRANSRECTAL MRIUS GID TRGT LES 1ST,9003.0,3601.2,2757.23,8943.01,33
HCPCS,55712,BX PROSTATE TPRNL MRIUS GID TRGT LES 1ST,9003.0,3601.2,2757.23,8943.01,33
HCPCS,55713,CT OR MRIGUIDED BIOPSY OF PROSTATE GLAND OF TARGETED TUMORS,13695.0,5478.0,4193.97,13603.09,33
HCPCS,55714,CT OR MRIGUIDED BIOPSY OF PROSTATE GLAND OF FIRST TARGETED TUMOR,13695.0,5478.0,4193.97,13603.09,33
HCPCS,55867,LAPS SURG PRST8ECT SMPL STOT,8000.0,3200.0,4640.0,23993.15,33
HCPCS,55874,55874 INJECTION OF BIODEGRADABLE MATERIAL NEXT TO PROSTATE,8000.0,3200.0,4193.97,12102.39,33
HCPCS,55875,55875 INSERTION OF NEEDLE OR TUBE INTO PROSTATE FOR RADIATION THERAPY,8000.0,3200.0,4193.97,12102.39,33
HCPCS,55876,PLACE RT DEVICE/MARKER PROS,3301.0,1320.4,1082.66,3301.0,33
HCPCS,55899,55899 OTHER PROCEDURE ON MALE GENITAL SYSTEM,600.0,240.0,195.43,600.0,33
HCPCS,56405,56405 INCISION AND DRAINAGE OF ABSCESS OF EXTERNAL FEMALE GENITALS,720.0,288.0,238.36,720.0,33
HCPCS,56405,I AND D OF VULVA/PERINEUM,720.0,288.0,238.36,720.0,33
HCPCS,56420,56420 INCISION AND DRAINAGE OF ABSCESS OF FEMALE GENITAL GLAND,434.0,173.6,158.14,456.33,33
HCPCS,56440,56440 CREATION OF DRAINAGE TRACT FOR GLAND CYST OF FEMALE GENITALS,6300.0,2520.0,2532.07,7306.69,33
HCPCS,56501,56501 SIMPLE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS,4100.0,1640.0,1613.89,4657.14,33
HCPCS,56515,56515 EXTENSIVE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS,4100.0,1640.0,1613.89,4657.14,33
HCPCS,56605,56605 BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS,1400.0,560.0,720.44,2078.95,33
HCPCS,56606,56606 BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS,371.0,148.4,148.4,333.9,17
HCPCS,56820,56820 EXAM OF EXTERNAL FEMALE GENITALS USING AN ENDOSCOPE,400.0,160.0,158.14,456.33,33
HCPCS,56821,56821 EXAM AND BIOPSY OF EXTERNAL FEMALE GENITALS USING AN ENDOSCOPE,500.0,200.0,238.36,687.82,33
HCPCS,57010,57010 INCISION AND DRAINAGE OF ABSCESS OF PELVIS,5000.0,2000.0,2532.07,7306.69,33
HCPCS,57022,57022 INCISION AND DRAINAGE OF VAGINAL BLOOD ACCUMULATION FOLLOWING DELIVERY,5800.0,2320.0,2272.06,6556.38,33
HCPCS,57061,DESTROY VAG LESIONS SIMPLE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,57065,57065 EXTENSIVE DESTRUCTION OF GROWTH OF VAGINA,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57100,57100 SIMPLE BIOPSY OF VAGINAL MUCOUS MEMBRANE,1400.0,560.0,720.44,2078.95,33
HCPCS,57105,57105 BIOPSY OF EXTENSIVE AREA OF VAGINAL MUCOUS MEMBRANE,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57105,BIOPSY OF VAGINA,5000.0,2000.0,2532.07,7306.69,33
HCPCS,57135,57135 REMOVAL OF CYST OR GROWTH OF VAGINAL,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57150,57150 IRRIGATION OF VAGINA AND/OR APPLICATION OF DRUG TO TREAT INFECTION,280.0,112.0,46.14,252.0,33
HCPCS,57160,57160 FITTING AND INSERTION OF VAGINAL SUPPORT DEVICE,400.0,160.0,158.14,456.33,33
HCPCS,57180,57180 INSERTION OF DRUG AGENT OR PACKING TO CONTROL VAGINAL BLEEDING,400.0,160.0,158.14,456.33,33
HCPCS,57200,57200 SUTURE OF NONOBSTETRICAL INJURY OF VAGINA,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57210,57210 SUTURE OF INJURY OF VAGINA AND/OR SKIN,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57420,57420 EXAM OF VAGINA AND CERVIX USING AN ENDOSCOPE,793.0,317.2,238.36,793.0,33
HCPCS,57421,57421 BIOPSY OF VAGINA AND CERVIX USING AN ENDOSCOPE,1400.0,560.0,720.44,2078.95,33
HCPCS,57452,57452 EXAM OF CERVIX AND UPPER PART OF VAGINA USING AN ENDOSCOPE,434.0,173.6,158.14,456.33,33
HCPCS,57454,57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE,500.0,200.0,238.36,687.82,33
HCPCS,57455,57455 BIOPSY OF CERVIX USING AN ENDOSCOPE,500.0,200.0,238.36,687.82,33
HCPCS,57456,57456 SCRAPING OF CERVIX USING AN ENDOSCOPE,500.0,200.0,238.36,687.82,33
HCPCS,57460,57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,57461,57461 CONE BIOPSY OF CERVIX AND VAGINA USING AN ENDOSCOPE WITH LOOP ELECTRODE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,57500,57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH,1400.0,560.0,720.44,2078.95,33
HCPCS,57505,57505 SCRAPING OF TISSUE OF CERVIX,1400.0,560.0,720.44,2078.95,33
HCPCS,57510,57510 ELECTRO OR THERMAL DESTRUCTION OF CERVIX,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57511,57511 DESTRUCTION OF CERVIX USING FREEZING,720.0,288.0,238.36,720.0,33
HCPCS,57513,57513 LASER DESTRUCTION OF CERVIX,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57520,57520 REMOVAL OR DESTRUCTION OF CERVIX WITH COLD KNIFE OR LASER,6300.0,2520.0,2532.07,7306.69,33
HCPCS,57522,57522 REMOVAL OR DESTRUCTION OF CERVIX USING LOOP ELECTRODE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,58100,58100 BIOPSY OF LINING OF UTERUS,400.0,160.0,158.14,456.33,33
HCPCS,58110,58110 EXAM OF CERVIX USING AN ENDOSCOPE WITH BIOPSY OF LINING OF UTERUS,400.0,160.0,160.0,360.0,17
HCPCS,58300,58300 INSERTION OF IUD FOR PREGNANCY PREVENTION,2000.0,800.0,38.73,1800.0,24
HCPCS,58301,58301 REMOVAL OF IUD,720.0,288.0,238.36,720.0,33
HCPCS,58340,58340 INSERTION OF TUBE INTRODUCTION OF RAST XRAY OF UTERUS FALLOPIAN TUBES,725.0,290.0,290.0,652.5,17
HCPCS,58555,58555 DIAGNOSTIC EXAM OF UTERUS USING AN ENDOSCOPE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,58558,58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,58562,58562 REMOVAL OF FOREIGN BODY IN UTERUS USING AN ENDOSCOPE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,58563,58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDO,8000.0,3200.0,3912.9,11291.29,33
HCPCS,58565,58565 PLACEMENT OF IMPLANTS TO BLOCK FALLOPIAN TUBES USING AN ENDOSCOPE,8000.0,3200.0,3912.9,11291.29,33
HCPCS,58999,58999 OTHER PROCEDURE ON FEMALE GENITAL SYSTEM NONOBSTETRICAL,7558.0,3023.2,158.14,6802.2,33
HCPCS,58999,GENITAL SURGERY PROCEDURE,7558.0,3023.2,158.14,10800.0,99
HCPCS,59000,59000 REMOVAL OF SAMPLE OF AMNIOTIC FLUID SURROUNDING FETUS FOR DIAGNOSIS,1400.0,560.0,720.44,2078.95,33
HCPCS,59001,59001 REMOVAL AMNIOTIC FLUID TO REDUCE AMOUNT FLUID SURROUNDING FETUS,720.0,288.0,238.36,720.0,33
HCPCS,59012,59012 REMOVAL OF BLOOD FROM FETAL UMBILICAL CORD,720.0,288.0,238.36,720.0,33
HCPCS,59020,59020 FETAL CONTRACTION STRESS TEST,400.0,160.0,158.14,456.33,32
HCPCS,59025,59025 FETAL TEST,400.0,160.0,18.08,456.33,33
HCPCS,59030,59030 REMOVAL OF BLOOD FROM SCALP OF FETUS,720.0,288.0,238.36,720.0,33
HCPCS,59070,59070 INFUSION OF NMAL SALINE INTO FETAL AMNIOTIC SAC USING ULTRASOUND GUIDANCE,720.0,288.0,238.36,720.0,33
HCPCS,59072,59072 OCCLUSION OF FETAL UMBILICAL CORD USING ULTRASOUND GUIDANCE,720.0,288.0,238.36,720.0,33
HCPCS,59074,59074 DRAINAGE OF FETAL FLUID USING ULTRASOUND GUIDANCE,720.0,288.0,238.36,720.0,33
HCPCS,59076,59076 PLACEMENT OF SHUNT INTO FETAL CHEST USING ULTRASOUND GUIDANCE,720.0,288.0,238.36,720.0,33
HCPCS,59200,59200 INSERTION OF DILATOR DEVICE INTO CERVIX,720.0,288.0,273.78,720.0,27
HCPCS,59300,59300 EPISIOTOMY OR REPAIR OF VAGINA,5000.0,2000.0,2532.07,7306.69,33
HCPCS,59409,59409 VAGINAL DELIVERY,6699.0,2679.6,2532.07,7306.69,33
HCPCS,59412,59412 TURNING OF FETUS THROUGH EXTERNAL MANIPULATION,7000.0,2800.0,2532.07,7306.69,33
HCPCS,59414,59414 DELIVERY OF PLACENTA,5000.0,2000.0,2532.07,7306.69,33
HCPCS,59514,59514 CESAREAN DELIVERY,2000.0,800.0,763.65,2000.0,26
HCPCS,59812,59812 TREATMENT OF MISCARRIAGE,5000.0,2000.0,2532.07,7306.69,33
HCPCS,59820,59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER,6300.0,2520.0,2532.07,7306.69,33
HCPCS,60100,60100 NEEDLE BIOPSY OF THYROID THROUGH SKIN,1500.0,600.0,553.89,1598.36,33
HCPCS,60300,60300 ASPIRATION AND/OR INJECTION OF CYST OF THYROID,1500.0,600.0,553.89,1598.36,33
HCPCS,61020,61020 REMOVAL OF CEREBROSPINAL FLUID FROM BRAIN FOR DIAGNOSIS,2100.0,840.0,691.83,2100.0,33
HCPCS,61026,61026 REMOVAL OF CEREBROSPINAL FLUID FROM BRAIN AND INJECTION OF SUBSTANCE,1500.0,600.0,552.14,1593.28,33
HCPCS,61050,61050 REMOVAL OF CEREBROSPINAL FLUID FROM UPPER SPINE,660.0,264.0,240.09,692.84,33
HCPCS,61055,61055 SPINAL PUNCTURE IN UPPER SPINE WITH INJECTION OF SUBSTANCE,660.0,264.0,240.09,692.84,33
HCPCS,61070,61070 ASPIRATION OF CEREBROSPINAL FLUID INJECTION IN SHUNT TUBING OR RESERVOIR,1300.0,520.0,552.14,1593.28,33
HCPCS,61107,61107 CREATION OF OPENING IN SKULL INSERTION OF BRAIN TUBE OR MONITORING DEVICE,2000.0,800.0,261.91,1800.0,26
HCPCS,61120,61120 BURR HOLE FOR INJECTION INTO VENTRICLE OF BRAIN,400.0,160.0,232.0,1000.0,26
HCPCS,61140,61140 BURR HOLE WITH DRAINAGE OR BIOPSY OF BRAIN OR GROWTH,400.0,160.0,232.0,1000.0,26
HCPCS,61151,61151 BURR HOLE WITH SUBSEQUENT ASPIRATION OF ABSCESS OR CYST OF BRAIN,400.0,160.0,232.0,1000.0,26
HCPCS,61154,61154 BURR HOLE WITH REMOVAL DRAINAGE BLOOD ACCUMULATION OUTSIDE BELOW BRAIN,400.0,160.0,232.0,1000.0,26
HCPCS,61156,61156 BURR HOLE WITH ASPIRATION OF BLOOD ACCUMULATION OR CYST OF BRAIN,400.0,160.0,232.0,1000.0,26
HCPCS,61210,61210 BURR HOLE FOR INSERTION OF BRAIN TUBE OR MONITORING DEVICE,400.0,160.0,232.0,764.23,26
HCPCS,61250,61250 BURR HOLE FOR EXPLORATION OF UPPER BRAIN,400.0,160.0,232.0,1000.0,26
HCPCS,61253,61253 BURR HOLE FOR EXPLORATION OF LOWER BRAIN,400.0,160.0,232.0,1000.0,26
HCPCS,61531,61531 IMPLANTATION OF BRAIN STRIP ELECTRODES FOR SEIZURE MONITORING,400.0,160.0,232.0,1000.0,26
HCPCS,61535,61535 REMOVAL OF SKULL BONE FOR REMOVAL OF ELECTRODE FROM BRAIN,15000.0,6000.0,920.1,13500.0,26
HCPCS,61538,61538 REMOVAL OF SKULL BONE FOR REMOVAL OF BRAIN LOBE WITH MONITORING,15000.0,6000.0,2302.89,13500.0,26
HCPCS,61539,61539 REMOVAL SKULL BONE REMOVAL BRAIN LOBE OTHER THAN TEMPAL LOBE,15000.0,6000.0,2061.81,13500.0,26
HCPCS,61623,61623 BALLOON OCCLUSION OF HEAD OR NECK ARTERY WITH REVIEW BY RADIOLOGIST,18000.0,7200.0,9029.81,26056.99,33
HCPCS,61624,61624 OCCLUSION OF CENTRAL NERVOUS SYSTEM OR SPINAL CORD ARTERY,5000.0,2000.0,2900.0,41377.29,27
HCPCS,61626,61626 OCCLUSION OF HEAD OR NECK ARTERY,18000.0,7200.0,9029.81,26056.99,33
HCPCS,61630,61630 BALLOON DILATION OF BLOOD VESSEL IN HEAD,10000.0,4000.0,1152.28,9000.0,26
HCPCS,61635,61635 INSERTION OF STENT IN BLOOD VESSEL OF HEAD,20000.0,8000.0,1248.1,18000.0,26
HCPCS,61640,61640 BALLOON DILATION OF BLOOD VESSEL SPASM IN HEAD,7614.0,3045.6,527.3,6852.6,18
HCPCS,61641,61641 BALLOON DILATION OF ADDITIONAL BLOOD SPASM IN HEAD IN SAME FAMILY,4000.0,1600.0,185.21,3600.0,18
HCPCS,61642,61642 BALLOON DILATION OF ADDITIONAL BLOOD SPASM IN HEAD IN DIFFERENT FAMILY,2727.0,1090.8,370.43,2454.3,18
HCPCS,61645,61645 REMOVAL BLOOD CLOT INJ TO DISSOLVE BLOOD CLOT FROM HEAD,600.0,240.0,348.0,1500.0,26
HCPCS,61650,61650 INFUSION CHEMICAL AGENT INTO ARTERY BRAIN WITH INSERTION TUBE,8050.0,3220.0,482.91,7245.0,26
HCPCS,61651,61651 INFUSION CHEMICAL AGENT INTO ARTERY BRAIN WITH INSERTION TUBE IMAGING,2500.0,1000.0,206.32,2250.0,26
HCPCS,61720,61720 COMPUTERASSISTED CREATION OF GROWTH OF BRAIN OF GLOBUS PALLIDUS THALAMUS,13000.0,5200.0,6864.44,19808.43,33
HCPCS,61750,61750 COMPUTERASSISTED BIOPSY,400.0,160.0,232.0,1000.0,26
HCPCS,61751,61751 COMPUTERASSISTED BIOPSY,400.0,160.0,232.0,1000.0,26
HCPCS,61770,61770 COMPUTERASSISTED INSERTION OF TUBE OR PROBE FOR RADIATION PLACEMENT,13000.0,5200.0,2672.1,11700.0,33
HCPCS,61781,61781 COMPUTERASSISTED PROCEDURE INSIDE BRAIN,1500.0,600.0,600.0,1350.0,17
HCPCS,61782,61782 COMPUTERASSISTED PROCEDURE OUTSIDE MEMBRANE COVERING BRAIN,1500.0,600.0,600.0,1350.0,17
HCPCS,61783,61783 COMPUTERASSISTED SPINAL PROCEDURE,1500.0,600.0,600.0,1350.0,17
HCPCS,61850,61850 CREATION OF OPENING IN SKULL INSERTION OF NEURO ELECTRODES IN BRAIN,400.0,160.0,232.0,1000.0,26
HCPCS,61863,61863 REMOVAL SKULL BONE WITH COMPUTERASSISTED INSERTION NEURO ELECTRODES IN,400.0,160.0,232.0,1000.0,26
HCPCS,61864,61864 REMOVAL SKULL BONE WITH COMPUTERASSISTED INSERTION NEURO ELECTRODES IN,400.0,160.0,232.0,590.0,26
HCPCS,61867,61867 REMOVAL SKULL BONE WITH COMPUTERASSISTED INSERTION NEURO ELECTRODE,400.0,160.0,232.0,1000.0,26
HCPCS,61868,61868 REMOVAL SKULL BONE WITH COMPUTERASSISTED INSERTION NEURO ELECTRODES,400.0,160.0,232.0,1000.0,26
HCPCS,61885,61885 INSERTION OF BRAIN NEURO PULSE DEVICE WITH CONNECTION TO SINGLE ELECTRODE,48160.0,19264.0,24136.76,69650.52,33
HCPCS,61888,REVISE/REMOVAL NEUROSTIMULATOR PULSE GENERATOR,28475.0,11390.0,8715.77,28475.0,33
HCPCS,62194,62194 REPLACEMENT OR IRRIGATION OF TUBE IN MEMBRANES COVERING BRAIN,3700.0,1480.0,1527.42,4407.6,33
HCPCS,62225,62225 REPLACEMENT OR IRRIGATION OF TUBE IN BRAIN,13773.0,5509.2,2672.1,12395.7,33
HCPCS,62252,CSF SHUNT REPROGRAM,697.0,278.8,240.25,697.0,33
HCPCS,62263,62263 REMOVAL OF SPINAL CANAL SCAR TISSUE,2100.0,840.0,691.83,2100.0,33
HCPCS,62264,62264 REMOVAL OF SPINAL CANAL SCAR TISSUE,2100.0,840.0,691.83,2100.0,33
HCPCS,62267,62267 ASPIRATION OF SPINAL DISC TISSUE FOR DIAGNOSTIC PURPOSES,1589.0,635.6,553.89,1598.36,33
HCPCS,62268,62268 ASPIRATION OF FLUID FROM CYST OF SPINAL CORD OR FLUIDFILLED CAVITY,2100.0,840.0,691.83,2100.0,33
HCPCS,62269,NEEDLE BIOPSY SPINAL CORD,3500.0,1400.0,1291.88,3727.91,33
HCPCS,62270,62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP DIAGNOSTIC TEST,1300.0,520.0,552.14,1593.28,33
HCPCS,62270,SPINAL FLUID TAP DIAGNOSTIC,1300.0,520.0,552.14,1593.28,33
HCPCS,62272,62272 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP,1300.0,520.0,552.14,1593.28,33
HCPCS,62273,62273 INJECTION OF BLOOD OR BLOOD CLOT INTO SPINAL CANAL,1300.0,520.0,552.14,1593.28,33
HCPCS,62284,62284 INJECTION OF CONTRAST FOR IMAGING OF LOWER SPINAL CANAL,1905.0,762.0,762.0,1714.5,17
HCPCS,62287,62287 REMOVAL OF LOWER SPINE DISC TISSUE AT SINGLE MULTIPLE LEVELS FLUOSCOPIC,3700.0,1480.0,1527.42,4407.6,33
HCPCS,62290,62290 INJECTION OF CONTRAST FOR IMAGING OF EACH LEVEL OF LOWER SPINE,1500.0,600.0,600.0,1350.0,17
HCPCS,62291,62291 INJECTION OF CONTRAST FOR IMAGING OF EACH LEVEL OF MIDDLE OR UPPER SPINE,1500.0,600.0,600.0,1350.0,17
HCPCS,62302,62302 XRAY OF UPPER SPINAL CANAL WITH REVIEW BY RADIOLOGIST,1827.0,730.8,613.18,1827.0,33
HCPCS,62303,62303 XRAY OF MIDDLE SPINAL CANAL WITH REVIEW BY RADIOLOGIST,1827.0,730.8,613.18,1827.0,33
HCPCS,62304,62304 XRAY OF LOWER SPINAL CANAL WITH REVIEW BY RADIOLOGIST,1827.0,730.8,613.18,1827.0,33
HCPCS,62305,62305 XRAY OF MULTIPLE REGIONS OF SPINAL CANAL WITH REVIEW BY RADIOLOGIST,1827.0,730.8,613.18,1827.0,33
HCPCS,62320,62320 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL,1300.0,520.0,552.14,1593.28,33
HCPCS,62321,62321 INJECTION OF SUBSTANCE INTO MIDDLE UPPER SPINE CANAL USING IMAGING,1621.0,648.4,414.53,1621.0,33
HCPCS,62322,62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL,1300.0,520.0,691.83,1996.39,33
HCPCS,62323,62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE,1300.0,520.0,552.14,1593.28,33
HCPCS,62328,62328 REMOVAL SPINAL FLUID WITH LOWER BACK SPINAL TAP DIAGNOSTIC TEST IMAGING,1300.0,520.0,552.14,1593.28,33
HCPCS,62329,62329 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP USING IMAGING,1621.0,648.4,552.14,1621.0,33
HCPCS,62330,PARTIAL REMOVAL LOWER SPINE LIGAMENT FROM BOTH SIDES ONE SPINE INTERSPACE,18682.0,7472.8,2941.72,18409.3,32
HCPCS,62331,DCMPRN PRQ PRT RMV LIGA FLAVM BI ADD NTRSPC LMBR,9341.0,3736.4,2941.72,8406.9,17
HCPCS,62367,62367 ELECTRONIC ANALYSIS OF SPINAL CANAL DRUG INFUSION PUMP,675.0,270.0,240.25,693.26,33
HCPCS,62368,62368 ELECTRONIC ANALYSIS AND REPROGRAMMING OF SPINAL CANAL DRUG INFUSION PUMP,675.0,270.0,240.25,693.26,33
HCPCS,62369,62369 ELECTRONIC ANALYSIS REPROGRAMMING REFILL SPINAL CANAL DRUG INFUSION PUMP,675.0,270.0,240.25,693.26,33
HCPCS,62370,62370 ELECTRONIC ANALYSIS REPROGRAMMING REFILL SPINAL CANAL DRUG INFUSION,675.0,270.0,240.25,693.26,33
HCPCS,63185,63185 REMOVAL OF SPINE BONE WITH SEVERING OF NERVE ROOTS,2000.0,800.0,1111.7,2779.25,26
HCPCS,63650,63650 INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN,15738.0,6295.2,4984.93,15738.0,33
HCPCS,63746,63746 REMOVAL OF LOWER SPINAL CANAL SHUNT,3900.0,1560.0,1527.42,4407.6,33
HCPCS,64400,64400 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO FACE NERVE,660.0,264.0,100.42,692.84,33
HCPCS,64405,64405 INJECTION ANESTHETIC AGENT STEROID INTO UPPER NECK BACK HEAD NERVE,660.0,264.0,43.58,692.84,33
HCPCS,64415,64415 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE,2100.0,840.0,538.55,2100.0,33
HCPCS,64416,64416 INJ ANESTHETIC AGENT BY INUOUS INFUSION STEROID INTO ARM NERVE BUNDLE,2100.0,840.0,691.83,2100.0,33
HCPCS,64417,64417 INJECTION OF ANESTHETIC AGENT /OR STEROID INTO UPPER ARM SHOULDER NERVE,2100.0,840.0,538.55,2100.0,33
HCPCS,64418,64418 INJECTION OF ANESTHETIC AGENT / STEROID INTO SUPRASCAPULAR SHOULDER NERVE,1500.0,600.0,552.14,1593.28,33
HCPCS,64420,64420 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO RIB NERVE,1300.0,520.0,552.14,1593.28,33
HCPCS,64421,64421 INJ ANESTHETIC AGENT STEROID INTO MULTIPLE RIB NERVES REGIONAL,2100.0,840.0,538.55,2100.0,33
HCPCS,64425,64425 INJECTION OF ANESTHETIC AGENT /OR STEROID INTO LOWER ABDOMEN GROIN NERVE,1500.0,600.0,98.53,1593.28,33
HCPCS,64430,64430 INJECTION OF ANESTHETIC AGENT / STEROID INTO EXTERNAL GENITALS ANUS NERVE,2100.0,840.0,538.55,2100.0,33
HCPCS,64435,64435 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UTERUS NERVE,1397.0,558.8,552.14,1593.28,33
HCPCS,64445,64445 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE,1300.0,520.0,117.47,1593.28,33
HCPCS,64446,64446 INJ BY INUOUS INFUSION ANESTHETIC AGENT STEROID INTO LOWER BACK,2100.0,840.0,691.83,2100.0,33
HCPCS,64447,64447 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE,1300.0,520.0,63.47,1593.28,33
HCPCS,64448,64448 INJECTION BY INUOUS INFUSION ANESTHETIC AGENT STEROID INTO THIGH NERVE,2100.0,840.0,691.83,2100.0,33
HCPCS,64449,64449 INJ BY INUOUS INFUSION ANESTHETIC AGENT INTO LOWER BACK NERVE BUNDLE,2100.0,840.0,691.83,2100.0,33
HCPCS,64450,64450 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH,1300.0,520.0,552.14,1593.28,33
HCPCS,64451,INJECTION AAAND/STRD NERVES NRVTG SI JOINT W/IMG,1621.0,648.4,552.14,1621.0,33
HCPCS,64454,64454 INJECTION OF ANESTHETIC AGENT STEROID INTO KNEE NERVE BRANCH IMAGING,1563.0,625.2,552.14,1593.28,32
HCPCS,64461,64461 INJECTION OF ANESTHETIC AGENT INTO THACIC VERTEBRA USING IMAGING GUIDANCE,1500.0,600.0,552.14,1593.28,33
HCPCS,64462,64462 INJECTION OF ANESTHETIC AGENT INTO THACIC VERTEBRA USING IMAGING GUIDANCE,1200.0,480.0,480.0,1080.0,17
HCPCS,64479,64479 INJ ANESTHETIC STEROID DRUG INTO UPPER MIDDLE SPINE NERVE,2100.0,840.0,538.55,2100.0,33
HCPCS,64480,64480 INJECTION OF ANESTHETIC STEROID DRUG INTO UPPER MIDDLE SPINE,288.0,115.2,115.2,259.2,17
HCPCS,64483,64483 INJECTION ANESTHETIC STEROID DRUG INTO SACRAL SPINE NERVE ROOT IMAGING,2100.0,840.0,538.55,2100.0,33
HCPCS,64484,64484 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE,13.0,5.2,5.2,11.7,17
HCPCS,64486,64486 INJECTION OF LOCAL ANESTHETIC ABDOMINAL WALL PAIN ROL ON SIDE IMAGING,800.0,320.0,320.0,720.0,17
HCPCS,64488,64488 INJ LOCAL ANESTHETIC ABDOMINAL WALL PAIN ROL ON BOTH SIDES IMAGING,800.0,320.0,320.0,720.0,17
HCPCS,64490,64490 INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE,1300.0,520.0,538.55,1996.39,33
HCPCS,64491,64491 INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE,572.0,228.8,228.8,514.8,17
HCPCS,64492,64492 INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE,612.0,244.8,244.8,550.8,17
HCPCS,64493,64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE,2139.0,855.6,538.55,2139.0,33
HCPCS,64494,64494 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE,658.0,263.2,263.2,592.2,17
HCPCS,64495,64495 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE,572.0,228.8,228.8,514.8,17
HCPCS,64505,64505 INJECTION OF ANESTHETIC AGENT,660.0,264.0,240.09,692.84,33
HCPCS,64510,64510 INJECTION OF ANESTHETIC AGENT INTO SYMPATHETIC NERVE BUNDLE,1300.0,520.0,597.43,1996.39,33
HCPCS,64517,64517 INJECTION OF ANESTHETIC AGENT INTO SACRAL NERVE BUNDLE,1300.0,520.0,691.83,1996.39,33
HCPCS,64520,64520 INJECTION OF ANESTHETIC AGENT INTO MIDDLE OR LOWER SPINE SYMPATHETIC NERVE,1300.0,520.0,538.55,1996.39,33
HCPCS,64530,64530 INJECTION OF ANESTHETIC AGENT INTO ABDOMINAL SYMPATHETIC NERVE BUNDLE,1300.0,520.0,538.55,1996.39,33
HCPCS,64555,IMPLANT NEUROELECTRODES,16407.0,6562.8,4984.93,16168.54,33
HCPCS,64561,64561 INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE ARRAY,14949.0,5979.6,4984.93,14949.0,33
HCPCS,64581,64581 INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE,14949.0,5979.6,4984.93,14949.0,33
HCPCS,64581,IMPLANT NEUROELECTRODES,14949.0,5979.6,4984.93,14949.0,33
HCPCS,64582,OPEN IMPLTJ HPGLSL NRV NSTIM RA PGANDRESPIR SENSOR,75159.0,30063.6,24136.76,75159.0,33
HCPCS,64584,REMOVAL HYPOGLOSSAL NERVE NSTIM RA PGANDRESPIR SNR,16010.0,6404.0,2672.1,14409.0,33
HCPCS,64590,64590 INSERTION OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR GENERATOR,46768.0,18707.2,15174.68,46768.0,33
HCPCS,64590,INSRT/REDO PN/GASTR STIMUL,46768.0,18707.2,15174.68,46768.0,33
HCPCS,64610,64610 DESTRUCTION OF FACE NERVE BRANCH UNDER XRAY MONITORING,3700.0,1480.0,1527.42,4407.6,33
HCPCS,64611,CHEMODENERV PAROTIDANDSUBMANDIBL SALIVARY GLNDS,667.0,266.8,275.78,692.84,27
HCPCS,64612,64612 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF FACE,660.0,264.0,240.09,692.84,33
HCPCS,64615,64615 INJ CHEMICAL PARALYSIS FACIAL NECK NERVE MUSCLES ON BOTH SIDES FACE,660.0,264.0,240.09,692.84,33
HCPCS,64616,64616 INJ CHEMICAL PARALYSIS NERVE MUSCLES ON SIDE NECK EXCLUDING VOICE BOX,660.0,264.0,240.09,692.84,33
HCPCS,64617,64617 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF VOICE BOX,660.0,264.0,382.8,1593.28,33
HCPCS,64620,64620 INJECTION OF AGENT TO DESTROY RIB NERVE,1300.0,520.0,691.83,1996.39,33
HCPCS,64624,64624 DESTRUCTION OF NERVE BRANCHES OF KNEE USING IMAGING GUIDANCE,4298.0,1719.2,1527.42,4407.6,32
HCPCS,64625,64625 DESTRUCTION OF NERVES SUPPLYING JOINT BETWEEN SPINE PELVIS USING IMAGING,4298.0,1719.2,1527.42,4407.6,32
HCPCS,64628,THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC,34707.0,13882.8,10042.37,32572.24,33
HCPCS,64632,N BLOCK INJ COMMON DIGIT,706.0,282.4,240.09,706.0,33
HCPCS,64633,64633 DESTRUCTION OF UPPER MIDDLE SPINAL FACET JOINT NERVES USING IMAGING,3700.0,1480.0,1527.42,4407.6,33
HCPCS,64634,64634 DESTRUCTION OF UPPER MIDDLE SPINAL FACET JOINT NERVES USING IMAGING,1905.0,762.0,762.0,1714.5,17
HCPCS,64635,64635 DESTRUCTION OF LOWER SACRAL SPINAL FACET JOINT NERVES USING IMAGING,3700.0,1480.0,1527.42,4407.6,33
HCPCS,64636,64636 DESTRUCTION OF LOWER SACRAL SPINAL FACET JOINT NERVES USING IMAGING,1905.0,762.0,762.0,1714.5,17
HCPCS,64640,64640 DESTRUCTION OF PERIPHERAL NERVE OR BRANCH,2100.0,840.0,231.63,2100.0,33
HCPCS,64642,64642 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG,1300.0,520.0,552.14,1593.28,33
HCPCS,64643,64643 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG,600.0,240.0,240.0,540.0,17
HCPCS,64644,64644 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG,1300.0,520.0,552.14,1593.28,33
HCPCS,64645,64645 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG,600.0,240.0,240.0,540.0,17
HCPCS,64646,64646 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK,1300.0,520.0,552.14,1593.28,33
HCPCS,64647,64647 INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK,1300.0,520.0,552.14,1593.28,33
HCPCS,64680,64680 INJECTION OF AGENT TO DESTROY ABDOMINAL NERVE BUNDLE,2100.0,840.0,691.83,2100.0,33
HCPCS,64681,64681 INJECTION OF AGENT TO DESTROY PRESACRAL NERVE BUNDLE,2100.0,840.0,691.83,2100.0,33
HCPCS,64719,64719 RELEASE AND/OR RELOCATION OF WRIST NERVE,3700.0,1480.0,1527.42,4407.6,33
HCPCS,64721,64721 RELEASE AND/OR RELOCATION OF HAND NERVE,3700.0,1480.0,1045.79,4407.6,33
HCPCS,64728,RELEASE OF HAND NERVE AT CARPAL TUNNEL WITH BALLOON DILATION,5027.0,2010.8,1527.42,5027.0,33
HCPCS,64795,64795 BIOPSY OF NERVE,3700.0,1480.0,1527.42,4407.6,33
HCPCS,64999,64999 OTHER PROCEDURE ON NERVOUS SYSTEM,10000.0,4000.0,240.09,9000.0,33
HCPCS,64999,NERVE BLOCK,660.0,264.0,240.09,692.84,33
HCPCS,64999,SPHENOPALATINE GANGLION BLOCK,750.0,300.0,240.09,750.0,33
HCPCS,65205,65205 REMOVAL OF FOREIGN BODY FROM EXTERNAL EYE CONJUNCTIVA,250.0,100.0,104.07,300.31,33
HCPCS,65210,65210 REMOVAL OF FOREIGN BODY FROM EXTERNAL EYE CONJUNCTIVA OR SCLERA,650.0,260.0,349.43,1008.32,33
HCPCS,65220,65220 REMOVAL OF FOREIGN BODY IN CORNEA,650.0,260.0,349.43,1008.32,33
HCPCS,65222,65222 REMOVAL OF FOREIGN BODY IN CORNEA USING SLIT LAMP,250.0,100.0,104.07,300.31,33
HCPCS,65235,65235 REMOVAL OF FOREIGN BODY IN EYE OR LENS,5000.0,2000.0,1805.17,5209.11,33
HCPCS,65270,65270 REPAIR OF LACERATED CONJUNCTIVA,4900.0,1960.0,1859.65,5366.35,33
HCPCS,65275,65275 REPAIR OF LACERATED CORNEA,8000.0,3200.0,3075.12,8873.76,33
HCPCS,65290,65290 REPAIR OF WOUND OF EYE MUSCLE OR TENDON,8000.0,3200.0,3075.12,8873.76,33
HCPCS,65400,65400 REMOVAL OF GROWTH OF CORNEA,2050.0,820.0,779.75,2250.11,33
HCPCS,65420,65420 REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA,4500.0,1800.0,1859.65,5366.35,33
HCPCS,65426,65426 REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA WITH GRAFT,4900.0,1960.0,1859.65,5366.35,33
HCPCS,65430,CORNEAL SMEAR,650.0,260.0,349.43,1008.32,33
HCPCS,65760,65760 REMOVAL AND RESHAPING OF CORNEAL TISSUE,3000.0,1200.0,1200.0,3000.0,18
HCPCS,65778,65778 PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE FOR WOUND HEALING,2050.0,820.0,779.75,2250.11,33
HCPCS,65800,65800 REMOVAL OF EYE FLUID,5000.0,2000.0,1805.17,5209.11,33
HCPCS,65810,65810 COMPLEX REMOVAL OF EYE FLUID,5000.0,2000.0,1805.17,5209.11,33
HCPCS,65855,65855 LASER REPAIR TO IMPROVE EYE FLUID FLOW,1285.0,514.0,430.21,1285.0,33
HCPCS,66761,66761 CREATION OF EYE FLUID DRAINAGE TRACTS IN IRIS USING A LASER,1285.0,514.0,430.21,1285.0,33
HCPCS,66821,66821 REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER,1285.0,514.0,430.21,1285.0,33
HCPCS,66999,66999 OTHER PROCEDURE ON FRONT OF EYE,5000.0,2000.0,1805.17,5209.11,33
HCPCS,67101,RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX,5000.0,2000.0,1805.17,5209.11,33
HCPCS,67500,67500 INJECTION OF DRUG INTO CAVITY BEHIND EYE,660.0,264.0,248.27,716.43,33
HCPCS,67515,67515 INJECTION OF DRUG OR SUBSTANCE INTO MEMBRANE COVERING EYEBALL,660.0,264.0,248.27,716.43,33
HCPCS,67550,67550 INSERTION OF IMPLANT OUTSIDE EYE MUSCLES,8000.0,3200.0,3075.12,8873.76,33
HCPCS,67700,67700 INCISION AND DRAINAGE OF ABSCESS OF EYELID,660.0,264.0,248.27,716.43,33
HCPCS,67715,67715 INCISION OF CORNER OF EYE AT EYELID,4500.0,1800.0,1859.65,5366.35,33
HCPCS,67800,67800 REMOVAL OF CHRONIC GROWTH OF EYELID,660.0,264.0,248.27,716.43,33
HCPCS,67801,67801 REMOVAL OF MULTIPLE CHRONIC GROWTHS OF SAME EYELID,2050.0,820.0,779.75,2250.11,33
HCPCS,67805,67805 REMOVAL OF MULTIPLE CHRONIC GROWTHS OF DIFFERENT EYELIDS,660.0,264.0,248.27,716.43,33
HCPCS,67820,67820 REMOVAL OF EYELASHES USING FORCEPS,250.0,100.0,104.07,300.31,33
HCPCS,67875,67875 TEMPORARY CLOSURE OF EYELIDS BY SUTURE,2050.0,820.0,779.75,2250.11,33
HCPCS,67930,67930 SUTURE OF RECENT WOUND OF EYELID,4900.0,1960.0,1859.65,5366.35,33
HCPCS,67935,67935 REPAIR OF WOUND OF EYELID MARGIN,4500.0,1800.0,1859.65,5366.35,33
HCPCS,67938,67938 REMOVAL OF EMBEDDED FOREIGN BODY IN EYELID,660.0,264.0,248.27,716.43,33
HCPCS,68760,68760 REPAIR TEAR DUCT OPENING BY HEAT,660.0,264.0,248.27,716.43,33
HCPCS,68761,68761 CLOSURE OF TEAR DUCT OPENING USING PLUG,660.0,264.0,248.27,716.43,33
HCPCS,68810,PROBE NASOLACRIMAL DUCT,660.0,264.0,248.27,716.43,33
HCPCS,68815,68815 PROBING OF NASAL TEAR DUCT WITH INSERTION OF TUBE OR STENT,4900.0,1960.0,1859.65,5366.35,33
HCPCS,68840,68840 PROBING OF NASAL TEAR DUCT,660.0,264.0,248.27,716.43,33
HCPCS,69000,69000 SIMPLE DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF EXTERNAL EAR,1500.0,600.0,553.89,1598.36,33
HCPCS,69005,69005 COMPLICATED DRAINAGE OF EXTERNAL EAR ABSCESS OR BLOOD ACCUMULATION,3500.0,1400.0,1291.88,3727.91,33
HCPCS,69020,69020 DRAINAGE OF ABSCESS OF EAR CANAL,1500.0,600.0,553.89,1598.36,33
HCPCS,69200,69200 REMOVAL OF FOREIGN BODY IN EAR CANAL,250.0,100.0,104.07,300.31,33
HCPCS,69209,69209 REMOVAL OF IMPACTED EAR WAX BY WASHING,142.0,56.8,46.14,142.0,33
HCPCS,69210,69210 REMOVAL OF IMPACTED EAR WAX,142.0,56.8,46.14,142.0,33
HCPCS,69399,UNLISTED PROCEDURE EXTERNAL EAR,500.0,200.0,185.27,534.61,33
HCPCS,69420,69420 INCISION,510.0,204.0,185.27,534.61,33
HCPCS,69421,69421 INCISION,6500.0,2600.0,1743.06,7483.5,33
HCPCS,69433,69433 INCISION EARDRUM WITH INSERTION EARDRUM TUBE UNDER LOCAL TOPICAL,1000.0,400.0,421.87,1217.35,33
HCPCS,69436,69436 INCISION EARDRUM WITH PLACEMENT EARDRUM TUBE UNDER GENERAL ANESTHESIA,3000.0,1200.0,704.29,3502.16,33
HCPCS,69540,69540 REMOVAL OF POLYP OF OUTER EAR,3000.0,1200.0,1213.64,3502.16,33
HCPCS,69990,69990 USE OF OPERATING MICROSCOPE,500.0,200.0,200.0,450.0,17
HCPCS,70015,70015 REVIEW BY RADIOLOGIST OF BRAIN AND SPINAL CORD IMAGE,1827.0,730.8,613.18,1827.0,33
HCPCS,70030,70030 XRAY OF EYE FOR DETECTION OF FOREIGN BODY,207.0,82.8,68.07,207.0,33
HCPCS,70100,70100 XRAY OF PART OF LOWER JAW,207.0,82.8,68.07,207.0,33
HCPCS,70110,70110 XRAY OF LOWER JAW,997.0,398.8,81.77,897.3,33
HCPCS,70120,70120 XRAY OF BONE BEHIND THE EAR,975.0,390.0,81.77,877.5,33
HCPCS,70130,70130 XRAY OF BONE BEHIND THE EAR,975.0,390.0,81.77,877.5,33
HCPCS,70140,70140 XRAY OF FACE BONES,207.0,82.8,68.07,207.0,33
HCPCS,70150,70150 XRAY OF FACE BONES,975.0,390.0,81.77,877.5,33
HCPCS,70160,70160 XRAY OF NOSE BONES,207.0,82.8,68.07,207.0,33
HCPCS,70200,70200 XRAY OF EYE SOCKET,975.0,390.0,81.77,877.5,33
HCPCS,70210,70210 XRAY OF PARANASAL SINUS,207.0,82.8,68.07,207.0,33
HCPCS,70220,70220 XRAY OF PARANASAL SINUS,207.0,82.8,68.07,207.0,33
HCPCS,70250,70250 XRAY OF SKULL,975.0,390.0,81.77,877.5,33
HCPCS,70260,70260 XRAY OF SKULL,997.0,398.8,81.77,897.3,33
HCPCS,70320,FULL MOUTH XRAY OF TEETH,588.0,235.2,186.64,588.0,33
HCPCS,70328,70328 XRAY OF JAW JOINT ON 1 SIDE OF MOUTH,207.0,82.8,68.07,207.0,33
HCPCS,70330,70330 XRAY OF JAW JOINTS ON BOTH SIDES OF MOUTH,207.0,82.8,68.07,207.0,33
HCPCS,70336,70336 MRI SCAN OF JAW JOINT,1500.0,600.0,186.64,1500.0,33
HCPCS,70336,MAGNETIC IMAGE JAW JOINT UNILAT,1500.0,600.0,186.64,1500.0,33
HCPCS,70355,70355 XRAY OF LOWER JAWS,207.0,82.8,68.07,207.0,33
HCPCS,70360,70360 XRAY OF SOFT TISSUE OF NECK,207.0,82.8,68.07,207.0,33
HCPCS,70370,70370 XRAY OF VOICE BOX OR THROAT,207.0,82.8,68.07,207.0,33
HCPCS,70371,70371 IMAGING OF VOICE BOX WITH SPEECH EVALUATION,590.0,236.0,186.64,590.0,33
HCPCS,70390,70390 REVIEW BY RADIOLOGIST OF SALIVARY STRUCTURE IMAGE,590.0,236.0,186.64,590.0,33
HCPCS,70450,CT SCAN HEAD OR BRAIN WITHOUT CONTRAST,1097.0,438.8,81.77,1093.0,33
HCPCS,70460,70460 CT SCAN HEAD OR BRAIN WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,70470,70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,70471,CT SCAN OF BLOOD VESSELS IN THE HEAD AND NECK WITH CONTRAST,1097.0,438.8,272.89,1093.0,33
HCPCS,70472,CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,2792.0,1116.8,177.18,2512.8,17
HCPCS,70473,CT SCAN OF BRAIN BLOOD FLOW WITH CONTRAST,1097.0,438.8,137.2,1093.0,33
HCPCS,70480,70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST,1500.0,600.0,81.77,1350.0,33
HCPCS,70481,70481 CT SCAN OF CRANIAL CAVITY WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,70482,70482 CT SCAN OF CRANIAL CAVITY BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,70486,70486 CT SCAN OF FACE WITHOUT CONTRAST,1097.0,438.8,81.77,1093.0,33
HCPCS,70487,70487 CT SCAN OF FACE WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,70488,70488 CT SCAN OF FACE BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,70490,70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST,1500.0,600.0,81.77,1350.0,33
HCPCS,70491,70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST,997.0,398.8,137.2,997.0,33
HCPCS,70492,70492 CT SCAN OF SOFT TISSUE OF NECK BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,70496,70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST,997.0,398.8,137.2,997.0,33
HCPCS,70498,70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST,997.0,398.8,137.2,997.0,33
HCPCS,70540,70540 MRI SCAN OF BONE OF EYE SOCKET,1500.0,600.0,186.64,1500.0,33
HCPCS,70542,70542 MRI SCAN OF BONE OF EYE SOCKET,1932.0,772.8,272.89,1875.0,33
HCPCS,70543,70543 MRI SCAN OF BONE OF EYE SOCKET,1932.0,772.8,272.89,1875.0,33
HCPCS,70544,70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST,1969.0,787.6,186.64,1875.0,33
HCPCS,70545,70545 MRI SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,70546,70546 MRI SCAN OF BLOOD VESSELS OF HEAD BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,70547,70547 MRI SCAN OF BLOOD VESSELS OF NECK WITHOUT CONTRAST,1200.0,480.0,186.64,1200.0,33
HCPCS,70548,70548 MRI SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,70549,70549 MRI SCAN OF BLOOD VESSELS OF NECK BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,70551,70551 MRI SCAN OF BRAIN WITHOUT CONTRAST,1969.0,787.6,186.64,1875.0,33
HCPCS,70552,70552 MRI SCAN OF BRAIN WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,70552,MR BRAIN W/CONTRAST LMTD,4217.0,1686.8,272.89,3795.3,33
HCPCS,70553,70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,70554,70554 FUNCTIONAL MRI SCAN OF BRAIN,1200.0,480.0,186.64,1200.0,33
HCPCS,70555,70555 FUNCTIONAL MRI SCAN OF BRAIN WITH NEUROFUNCTIONAL TESTING,1197.0,478.8,186.64,1197.0,33
HCPCS,71045,XRAY EXAM CHEST 1 VIEW,207.0,82.8,68.07,207.0,33
HCPCS,71045,XRAY OF CHEST,207.0,82.8,68.07,207.0,33
HCPCS,71046,71046 XRAY OF CHEST,207.0,82.8,68.07,207.0,33
HCPCS,71046,XRAY EXAM CHEST 2 VIEWS,188.0,75.2,68.07,196.43,33
HCPCS,71047,71047 XRAY OF CHEST,207.0,82.8,68.07,207.0,33
HCPCS,71048,71048 XRAY OF CHEST,975.0,390.0,81.77,877.5,33
HCPCS,71100,71100 XRAY OF RIBS ON SIDE OF BODY,207.0,82.8,68.07,207.0,33
HCPCS,71101,71101 XRAY OF RIBS ON SIDE OF BODY,975.0,390.0,81.77,877.5,33
HCPCS,71110,71110 XRAY OF RIBS ON BOTH SIDES OF BODY,997.0,398.8,81.77,897.3,33
HCPCS,71111,71111 XRAY OF RIBS ON BOTH SIDES OF BODY,997.0,398.8,81.77,897.3,33
HCPCS,71120,71120 XRAY OF CHEST BONE,207.0,82.8,68.07,207.0,33
HCPCS,71130,71130 XRAY OF JOINT BETWEEN BREAST AND COLLAR BONES,207.0,82.8,68.07,207.0,33
HCPCS,71250,71250 CT SCAN OF CHEST WITHOUT CONTRAST,1097.0,438.8,81.77,1093.0,33
HCPCS,71250,HC CT LUNG SCREENING,100.0,40.0,78.0,235.98,33
HCPCS,71260,71260 CT SCAN OF CHEST WITH CONTRAST,997.0,398.8,137.2,997.0,33
HCPCS,71270,71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST,997.0,398.8,137.2,997.0,33
HCPCS,71271,71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING,77.0,30.8,60.06,235.98,33
HCPCS,71275,71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,71550,71550 MRI SCAN OF CHEST WITHOUT CONTRAST,1500.0,600.0,186.64,1500.0,33
HCPCS,71551,71551 MRI SCAN OF CHEST WITH CONTRAST,1932.0,772.8,613.18,1932.0,33
HCPCS,71552,71552 MRI SCAN OF CHEST BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72020,72020 XRAY OF SPINE,207.0,82.8,68.07,207.0,33
HCPCS,72040,72040 XRAY OF UPPER SPINE,207.0,82.8,68.07,207.0,33
HCPCS,72050,72050 XRAY OF UPPER SPINE,997.0,398.8,81.77,897.3,33
HCPCS,72052,72052 XRAY OF UPPER SPINE,997.0,398.8,81.77,897.3,33
HCPCS,72070,72070 XRAY OF MIDDLE SPINE,975.0,390.0,81.77,877.5,33
HCPCS,72072,72072 XRAY OF MIDDLE SPINE,997.0,398.8,81.77,897.3,33
HCPCS,72074,72074 XRAY OF MIDDLE SPINE,997.0,398.8,81.77,897.3,33
HCPCS,72080,72080 XRAY OF MIDDLE AND LOWER SPINE,207.0,82.8,68.07,207.0,33
HCPCS,72081,72081 XRAY OF ENTIRE MIDDLE AND LOWER SPINE,207.0,82.8,68.07,207.0,33
HCPCS,72082,72082 XRAY OF ENTIRE MIDDLE AND LOWER SPINE,975.0,390.0,81.77,877.5,33
HCPCS,72083,72083 XRAY OF ENTIRE MIDDLE AND LOWER SPINE,997.0,398.8,81.77,897.3,33
HCPCS,72084,72084 XRAY OF ENTIRE MIDDLE AND LOWER SPINE,975.0,390.0,81.77,877.5,33
HCPCS,72100,72100 XRAY OF LOWER AND SACRAL SPINE,266.0,106.4,81.77,266.0,33
HCPCS,72110,72110 XRAY OF LOWER AND SACRAL SPINE,975.0,390.0,81.77,877.5,33
HCPCS,72114,72114 XRAY LOWER AND SACRAL SPINE,997.0,398.8,81.77,897.3,33
HCPCS,72120,72120 XRAY LOWER AND SACRAL SPINE,997.0,398.8,81.77,897.3,33
HCPCS,72125,72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST,1097.0,438.8,81.77,1093.0,33
HCPCS,72126,72126 CT SCAN OF UPPER SPINE WITH CONTRAST,1932.0,772.8,272.89,1738.8,33
HCPCS,72127,72127 CT SCAN OF UPPER SPINE BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,72128,72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST,1097.0,438.8,81.77,1093.0,33
HCPCS,72129,72129 CT SCAN OF MIDDLE SPINE WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,72130,72130 CT SCAN OF MIDDLE SPINE BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,72131,72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST,997.0,398.8,81.77,997.0,33
HCPCS,72132,72132 CT SCAN OF LOWER SPINE WITH CONTRAST,1932.0,772.8,272.89,1738.8,33
HCPCS,72133,72133 CT SCAN OF LOWER SPINE BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,72141,72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST,1500.0,600.0,186.64,1500.0,33
HCPCS,72141,MRI NECK SPINE W/O DYE LIMITED,1969.0,787.6,186.64,1875.0,33
HCPCS,72142,72142 MRI SCAN OF UPPER SPINAL CANAL WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72146,72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST,3882.0,1552.8,186.64,3493.8,33
HCPCS,72146,MRI CHEST SPINE W/O DYE,1200.0,480.0,186.64,1200.0,33
HCPCS,72147,72147 MRI SCAN OF MIDDLE SPINAL CANAL WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72148,72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST,2235.0,894.0,186.64,2011.5,33
HCPCS,72148,MRI LUMBAR SPINE W/O DYE,1500.0,600.0,186.64,1500.0,33
HCPCS,72149,72149 MRI SCAN OF LOWER SPINAL CANAL WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72156,72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72157,72157 MRI SCAN OF MIDDLE SPINAL CANAL BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72158,72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72170,72170 XRAY OF PELVIS,975.0,390.0,81.77,877.5,33
HCPCS,72190,72190 XRAY OF PELVIS,975.0,390.0,81.77,877.5,33
HCPCS,72191,72191 CT SCAN OF BLOOD VESSELS OF PELVIS WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,72192,72192 CT SCAN OF PELVIS WITHOUT CONTRAST,1500.0,600.0,81.77,1350.0,33
HCPCS,72193,72193 CT SCAN OF PELVIS WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,72194,72194 CT SCAN OF PELVIS BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,72195,72195 MRI SCAN OF PELVIS WITHOUT CONTRAST,1500.0,600.0,186.64,1500.0,33
HCPCS,72196,72196 MRI SCAN OF PELVIS WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72197,72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,72200,72200 XRAY OF JOINT BETWEEN LOWER SPINE AND HIP BONE,975.0,390.0,81.77,877.5,33
HCPCS,72202,72202 XRAY OF JOINT BETWEEN LOWER SPINE AND HIP BONE,975.0,390.0,81.77,877.5,33
HCPCS,72220,72220 XRAY OF SACRUM AND TAILBONE,207.0,82.8,68.07,207.0,33
HCPCS,72240,72240 REVIEW BY RADIOLOGIST OF UPPER SPINAL CANAL IMAGE,1827.0,730.8,613.18,1827.0,33
HCPCS,72255,72255 REVIEW BY RADIOLOGIST OF MIDDLE SPINAL CANAL IMAGE,1827.0,730.8,613.18,1827.0,33
HCPCS,72265,72265 REVIEW BY RADIOLOGIST OF LOWER SPINAL CANAL IMAGE,1827.0,730.8,613.18,1827.0,33
HCPCS,72270,72270 REVIEW BY RADIOLOGIST OF MULTIPLE SPINAL CANALS IMAGE,1827.0,730.8,613.18,1827.0,33
HCPCS,72295,72295 REVIEW BY RADIOLOGIST OF DISC OF LOWER SPINE IMAGE,3900.0,1560.0,1527.42,4407.6,33
HCPCS,73000,73000 XRAY OF COLLAR BONE,207.0,82.8,68.07,207.0,33
HCPCS,73010,73010 XRAY OF SHOULDER BLADE,975.0,390.0,81.77,877.5,33
HCPCS,73020,73020 XRAY OF SHOULDER,207.0,82.8,68.07,207.0,33
HCPCS,73030,73030 XRAY OF SHOULDER,207.0,82.8,68.07,207.0,33
HCPCS,73040,73040 REVIEW BY RADIOLOGIST OF SHOULDER JOINT IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,73050,73050 XRAY OF BOTH COLLAR BONES JOINTS,207.0,82.8,68.07,207.0,33
HCPCS,73060,73060 XRAY OF UPPER ARM,207.0,82.8,68.07,207.0,33
HCPCS,73070,73070 XRAY OF ELBOW,207.0,82.8,68.07,207.0,33
HCPCS,73080,73080 XRAY OF ELBOW,207.0,82.8,68.07,207.0,33
HCPCS,73085,73085 REVIEW BY RADIOLOGIST OF ELBOW IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,73090,73090 XRAY OF FOREARM,207.0,82.8,68.07,207.0,33
HCPCS,73092,73092 XRAY OF INFANT ARM,975.0,390.0,81.77,877.5,33
HCPCS,73100,73100 XRAY OF WRIST,207.0,82.8,68.07,207.0,33
HCPCS,73110,73110 XRAY OF WRIST,207.0,82.8,68.07,207.0,33
HCPCS,73115,73115 REVIEW BY RADIOLOGIST OF WRIST JOINT IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,73120,73120 XRAY OF HAND,975.0,390.0,81.77,877.5,33
HCPCS,73130,73130 XRAY OF HAND,207.0,82.8,68.07,207.0,33
HCPCS,73140,73140 XRAY OF FINGER,207.0,82.8,68.07,207.0,33
HCPCS,73200,73200 CT SCAN OF ARM WITHOUT CONTRAST,1500.0,600.0,81.77,1350.0,33
HCPCS,73201,73201 CT SCAN OF ARM WITH CONTRAST,1932.0,772.8,272.89,1738.8,33
HCPCS,73202,73202 CT SCAN OF ARM BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,73206,73206 CT SCAN OF BLOOD VESSELS OF ARM WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,73218,73218 MRI SCAN OF ARM WITHOUT CONTRAST,1500.0,600.0,186.64,1500.0,33
HCPCS,73219,73219 MRI SCAN OF ARM WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,73220,73220 MRI SCAN OF ARM BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,73221,73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST,1969.0,787.6,186.64,1875.0,33
HCPCS,73222,73222 MRI SCAN OF ARM JOINT WITH CONTRAST,1932.0,772.8,613.18,1932.0,33
HCPCS,73223,73223 MRI SCAN OF ARM JOINT BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,73501,73501 XRAY OF HIP,207.0,82.8,68.07,207.0,33
HCPCS,73502,73502 XRAY OF HIP,207.0,82.8,68.07,207.0,33
HCPCS,73503,73503 XRAY OF HIP,997.0,398.8,81.77,897.3,33
HCPCS,73521,73521 XRAY OF BOTH HIPS,975.0,390.0,81.77,877.5,33
HCPCS,73522,73522 XRAY OF BOTH HIPS,975.0,390.0,81.77,877.5,33
HCPCS,73523,73523 XRAY OF BOTH HIPS,997.0,398.8,81.77,897.3,33
HCPCS,73525,73525 REVIEW BY RADIOLOGIST OF HIP JOINT IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,73551,73551 XRAY OF THIGH BONE,207.0,82.8,68.07,207.0,33
HCPCS,73552,73552 XRAY OF THIGH BONE,207.0,82.8,68.07,207.0,33
HCPCS,73560,73560 XRAY OF KNEE,207.0,82.8,68.07,207.0,33
HCPCS,73562,73562 XRAY OF KNEE,207.0,82.8,68.07,207.0,33
HCPCS,73564,73564 XRAY OF KNEE,975.0,390.0,81.77,877.5,33
HCPCS,73565,73565 XRAY OF BOTH KNEES WHILE STANDING,207.0,82.8,68.07,207.0,33
HCPCS,73580,73580 REVIEW BY RADIOLOGIST OF KNEE JOINT IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,73590,73590 XRAY OF LOWER LEG,207.0,82.8,68.07,207.0,33
HCPCS,73592,73592 XRAY OF INFANT LEG,207.0,82.8,68.07,207.0,33
HCPCS,73600,73600 XRAY OF ANKLE,207.0,82.8,68.07,207.0,33
HCPCS,73610,73610 XRAY OF ANKLE,207.0,82.8,68.07,207.0,33
HCPCS,73615,73615 REVIEW BY RADIOLOGIST OF ANKLE JOINT IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,73620,73620 XRAY OF FOOT,207.0,82.8,68.07,207.0,33
HCPCS,73630,73630 XRAY OF FOOT,207.0,82.8,68.07,207.0,33
HCPCS,73650,73650 XRAY OF HEEL,207.0,82.8,68.07,207.0,33
HCPCS,73660,73660 XRAY OF TOE,207.0,82.8,68.07,207.0,33
HCPCS,73700,73700 CT SCAN OF LEG WITHOUT CONTRAST,1500.0,600.0,81.77,1350.0,33
HCPCS,73701,73701 CT SCAN OF LEG WITH CONTRAST MATERIAL,1500.0,600.0,137.2,1350.0,33
HCPCS,73702,73702 CT SCAN OF LEG BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,73706,73706 CT SCAN OF BLOOD VESSELS OF LOWER LEG WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,73718,73718 MRI SCAN OF LEG WITHOUT CONTRAST,1500.0,600.0,186.64,1500.0,33
HCPCS,73719,73719 MRI SCAN OF LEG WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,73720,73720 MRI SCAN OF LEG BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,73721,73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST,1969.0,787.6,186.64,1875.0,33
HCPCS,73722,73722 MRI SCAN OF LEG JOINT WITH CONTRAST,1932.0,772.8,613.18,1932.0,33
HCPCS,73723,73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,74018,74018 XRAY OF ABDOMEN,207.0,82.8,68.07,207.0,33
HCPCS,74019,74019 XRAY OF ABDOMEN,975.0,390.0,81.77,877.5,33
HCPCS,74021,74021 XRAY OF ABDOMEN,975.0,390.0,81.77,877.5,33
HCPCS,74022,74022 XRAY SERIES OF ABDOMEN WITH SINGLE XRAY OF CHEST,975.0,390.0,81.77,877.5,33
HCPCS,74150,74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST,1500.0,600.0,81.77,1350.0,33
HCPCS,74160,74160 CT SCAN OF ABDOMEN WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,74170,74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,74174,74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST,1932.0,772.8,272.89,1738.8,33
HCPCS,74175,74175 CT SCAN OF BLOOD VESSELS OF ABDOMEN WITH CONTRAST,1500.0,600.0,137.2,1350.0,33
HCPCS,74176,74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST,1197.0,478.8,186.64,1093.0,33
HCPCS,74177,74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST,1932.0,772.8,272.89,1738.8,33
HCPCS,74178,74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1738.8,33
HCPCS,74181,74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST,1500.0,600.0,186.64,1500.0,33
HCPCS,74182,74182 MRI SCAN OF ABDOMEN WITH CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,74183,74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,74190,74190 REVIEW BY RADIOLOGIST OF ABDOMINAL CAVITY LINING IMAGE,1300.0,520.0,427.41,1300.0,33
HCPCS,74220,74220 SINGLE CONTRAST XRAY OF ESOPHAGUS,975.0,390.0,137.2,877.5,33
HCPCS,74230,74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION,975.0,390.0,137.2,877.5,33
HCPCS,74235,74235 REVIEW BY RADIOLOGIST IMAGING REMOVAL ESOPHAGEAL EIGN BODY IN ESOPHAGUS,600.0,240.0,240.0,540.0,17
HCPCS,74240,74240 SINGLE CONTRAST XRAY OF UPPER DIGESTIVE TRACT,975.0,390.0,137.2,877.5,33
HCPCS,74246,74246 DOUBLE CONTRAST XRAY OF UPPER DIGESTIVE TRACT,975.0,390.0,137.2,877.5,33
HCPCS,74248,74248 FOLLOWTHROUGH XRAY OF SMALL INTESTINES,163.0,65.2,65.2,146.7,17
HCPCS,74250,74250 SINGLE CONTRAST XRAY OF SMALL INTESTINE,975.0,390.0,137.2,877.5,33
HCPCS,74251,74251 DOUBLE CONTRAST XRAY OF SMALL INTESTINE,975.0,390.0,137.2,877.5,33
HCPCS,74261,74261 DIAGNOSTIC CT SCAN OF LARGE INTESTINE WITHOUT CONTRAST,997.0,398.8,81.77,997.0,33
HCPCS,74262,74262 DIAGNOSTIC CT SCAN OF LARGE INTESTINE WITH CONTRAST,997.0,398.8,137.2,997.0,33
HCPCS,74263,74263 SCREENING CT SCAN OF LARGE INTESTINE,1500.0,600.0,214.37,1350.0,27
HCPCS,74270,74270 SINGLE CONTRAST XRAY OF LARGE INTESTINE,997.0,398.8,137.2,897.3,33
HCPCS,74270,DEFECOGRAM,997.0,398.8,137.2,897.3,33
HCPCS,74280,74280 DOUBLE CONTRAST XRAY OF LARGE INTESTINE,997.0,398.8,137.2,897.3,33
HCPCS,74283,74283 ENEMA USING AIR OR CONTRAST,997.0,398.8,137.2,897.3,33
HCPCS,74300,74300 REVIEW BY RADIOLOGIST OF BILE AND/OR PANCREATIC DUCT IMAGE DURING SURGERY,800.0,320.0,320.0,720.0,17
HCPCS,74328,XRAY BILE DUCT ENDOSCOPY,1260.0,504.0,504.0,1134.0,17
HCPCS,74329,74329 REVIEW BY RADIOLOGIST IMAGE FROM TUBE PLACEMENT INTO PANCREATIC DUCT AN,400.0,160.0,160.0,360.0,17
HCPCS,74340,74340 REVIEW BY RADIOLOGIST OF PLACEMENT OF LONG SMALL BOWEL TUBE,739.0,295.6,295.6,665.1,17
HCPCS,74355,74355 REVIEW BY RADIOLOGIST OF PLACEMENT OF SMALL BOWEL TUBE,475.0,190.0,190.0,427.5,17
HCPCS,74360,74360 REVIEW BY RADIOLOGIST OF IMAGE TO GUIDE OPENING OF DIGESTIVE TRACT,960.0,384.0,384.0,864.0,17
HCPCS,74363,74363 REVIEW BY RADIOLOGIST OF IMAGE TO GUIDE OPENING OF BILE DUCT,2000.0,800.0,800.0,1800.0,17
HCPCS,74400,74400 IMAGING OF URINARY TRACT WITH INJECTION OF CONTRAST INTO A VEIN,997.0,398.8,137.2,897.3,33
HCPCS,74420,74420 IMAGING OF URINARY TRACT FOLLOWING INJECTION OF A CONTRAST AGENT,940.0,376.0,272.89,940.0,33
HCPCS,74425,74425 REVIEW BY RADIOLOGIST OF UPPER URINARY TRACT IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,74430,74430 REVIEW BY RADIOLOGIST OF URINARY BLADDER IMAGE,940.0,376.0,272.89,940.0,33
HCPCS,74445,74445 REVIEW BY RADIOLOGIST OF PENIS IMAGE,997.0,398.8,81.77,897.3,33
HCPCS,74450,74450 REVIEW BY RADIOLOGIST OF URINARY BLADDER AND URETHRA IMAGES WITH CONTRAST,590.0,236.0,186.64,590.0,33
HCPCS,74455,74455 REVIEW URINARY BLADDER URETHRA IMAGES WITH RAST AFTER PASSING URINE,590.0,236.0,186.64,590.0,33
HCPCS,74470,74470 REVIEW BY RADIOLOGIST OF KIDNEY CYST IMAGE,1300.0,520.0,427.41,1300.0,33
HCPCS,74485,74485 REVIEW BY RADIOLOGIST OF URETER OR URETHRA IMAGE,4500.0,1800.0,1635.09,4718.31,33
HCPCS,74712,74712 MRI SCAN OF FETUS FOR SINGLE OR FIRST PREGNANCY,900.0,360.0,186.64,900.0,33
HCPCS,74740,74740 REVIEW BY RADIOLOGIST OF UTERINE TUBE AND OVARY IMAGE,590.0,236.0,186.64,590.0,33
HCPCS,75557,75557 MRI SCAN OF HEART WITHOUT CONTRAST,1500.0,600.0,186.64,1500.0,33
HCPCS,75559,75559 MRI SCAN OF HEART WITHOUT CONTRAST WITH STRESS IMAGING,1300.0,520.0,427.41,1300.0,33
HCPCS,75561,75561 MRI SCAN OF HEART BEFORE AND AFTER CONTRAST,1932.0,772.8,272.89,1875.0,33
HCPCS,75563,75563 MRI SCAN OF HEART BEFORE AND AFTER CONTRAST WITH STRESS IMAGING,1932.0,772.8,613.18,1932.0,33
HCPCS,75565,75565 MRI SCAN OF BLOOD FLOW OF HEART,10100.0,4040.0,1390.0,9090.0,17
HCPCS,75571,75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM,207.0,82.8,68.07,207.0,33
HCPCS,75571,CT HRT W/O DYE W/CA TEST,55.0,22.0,42.9,196.43,33
HCPCS,75572,75572 CT SCAN OF HEART STRUCTURE WITH CONTRAST,1500.0,600.0,272.89,1350.0,33
HCPCS,75573,75573 CT SCAN OF CONGENITAL HEART DISEASE WITH CONTRAST,1500.0,600.0,272.89,1350.0,33
HCPCS,75574,75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST,997.0,398.8,272.89,997.0,33
HCPCS,75580,NINVAS EST C FFR SW ALY CTA,2490.0,996.0,771.52,2490.0,27
HCPCS,75600,CONTRAST EXAM THORACIC AORTA,7593.0,3037.2,2469.76,7593.0,33
HCPCS,75605,75605 REVIEW BY RADIOLOGIST OF CHEST AORTA SERIAL IMAGES,6600.0,2640.0,3828.0,12559.89,33
HCPCS,75625,75625 REVIEW BY RADIOLOGIST OF ABDOMINAL AORTA IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75630,75630 REVIEW BY RADIOLOGIST OF ABDOMINAL AORTA AND BOTH LEG ARTERIES IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75635,75635 CT SCAN OF ABDOMINAL AORTA AND BOTH LEG ARTERIES WITH CONTRAST,997.0,398.8,137.2,997.0,33
HCPCS,75705,75705 REVIEW BY RADIOLOGIST OF SPINAL ARTERY IMAGE,10000.0,4000.0,4352.51,12559.89,33
HCPCS,75710,75710 REVIEW BY RADIOLOGIST OF ARM OR LEG ARTERY IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75716,75716 REVIEW BY RADIOLOGIST OF BOTH ARMS OR LEGS ARTERIES IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75726,75726 REVIEW BY RADIOLOGIST OF ABDOMINAL ARTERY IMAGE,10000.0,4000.0,4352.51,12559.89,33
HCPCS,75731,75731 REVIEW BY RADIOLOGIST OF ADRENAL GLAND ARTERY IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75733,75733 REVIEW BY RADIOLOGIST OF BOTH ADRENAL GLANDS ARTERIES IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75736,75736 REVIEW BY RADIOLOGIST OF PELVIS ARTERY IMAGE,10000.0,4000.0,4352.51,12559.89,33
HCPCS,75741,75741 REVIEW BY RADIOLOGIST OF LUNG ARTERY IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75743,75743 REVIEW BY RADIOLOGIST OF ARTERIES OF BOTH LUNGS IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75746,75746 REVIEW BY RADIOLOGIST OF LUNG ARTERY IMAGE WITH CONTRAST,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75756,75756 REVIEW BY RADIOLOGIST OF BREAST ARTERY OF BREAST IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75774,75774 REVIEW BY RADIOLOGIST OF ADDITIONAL ARTERY IMAGE,2583.0,1033.2,1033.2,2324.7,17
HCPCS,75801,75801 REVIEW BY RADIOLOGIST OF LYMPHATIC SYSTEM OF ARM OR LEG IMAGE,1300.0,520.0,490.67,1415.92,33
HCPCS,75803,75803 REVIEW BY RADIOLOGIST OF LYMPHATIC SYSTEM OF BOTH ARMS OR LEGS IMAGE,2700.0,1080.0,1231.29,3553.11,33
HCPCS,75805,75805 REVIEW BY RADIOLOGIST OF LYMPHATIC SYSTEM OF SIDE OF PELVIS ABDOMEN IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75807,75807 REVIEW BY RADIOLOGIST OF LYMPHATIC OF BOTH SIDE OF PELVIS ABDOMEN IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75809,75809 REVIEW BY RADIOLOGIST OF PREVIOUS PLACED SHUNT IMAGE,997.0,398.8,81.77,897.3,33
HCPCS,75810,75810 REVIEW BY RADIOLOGIST OF SPLEEN AND LIVER VEIN IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75820,75820 REVIEW BY RADIOLOGIST OF 1 ARM OR LEG VEIN OF 1 ARM OR LEG IMAGE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,75822,75822 REVIEW BY RADIOLOGIST OF BOTH ARMS LEGS VEINS OF BOTH ARMS OR LEGS IMAGE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,75825,75825 REVIEW BY RADIOLOGIST OF MAJOR LOWER BODY VEIN IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75827,75827 REVIEW BY RADIOLOGIST OF MAJOR UPPER BODY VEIN IMAGE,3000.0,1200.0,1231.29,3553.11,33
HCPCS,75831,75831 REVIEW BY RADIOLOGIST OF KIDNEY IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75833,75833 REVIEW BY RADIOLOGIST OF BOTH KIDNEYS VEINS IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75840,75840 REVIEW BY RADIOLOGIST OF ADRENAL GLAND VEIN IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75860,75860 REVIEW BY RADIOLOGIST OF HEAD OR NECK VEIN SYSTEM IMAGE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75870,75870 REVIEW BY RADIOLOGIST OF HEAD VEIN SYSTEM IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75872,75872 REVIEW BY RADIOLOGIST OF SPINAL CANAL VEIN IMAGE,1300.0,520.0,490.67,1415.92,33
HCPCS,75880,75880 REVIEW BY RADIOLOGIST OF EYE SOCKET VEIN OF EYE SOCKET IMAGE,1300.0,520.0,490.67,1415.92,33
HCPCS,75885,75885 REVIEW THE VEIN THAT TRANSPTS BLOOD TO THE LIVER IMAGE WITH ASSESSMENT,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75887,75887 REVIEW BY RADIOLOGIST OF THE VEIN THAT TRANSPORTS BLOOD TO THE LIVER IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75889,75889 REVIEW BY RADIOLOGIST OF LIVER VEIN IMAGE WITH ASSESSMENT OF BLOOD FLOW,6000.0,2400.0,2469.76,7126.91,33
HCPCS,75889,VEIN XRAY LIVER W/HEMODYNAM,5902.0,2360.8,2469.76,7126.91,33
HCPCS,75891,75891 REVIEW BY RADIOLOGIST OF LIVER VEIN IMAGE,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75893,75893 REVIEW BY RADIOLOGIST OF IMAGING GUIDANCE FOR REMOVAL OF BLOOD SAMPLE,6600.0,2640.0,3828.0,12559.89,33
HCPCS,75894,75894 REVIEW BY RADIOLOGIST OF IMAGE INSERTION OF MATERIAL TO BLOCK BLOOD FLOW,4207.0,1682.8,1682.8,3786.3,17
HCPCS,75898,75898 IMAGING OF BLOOD VESSEL,5500.0,2200.0,2469.76,7126.91,33
HCPCS,75901,75901 REVIEW BY RADIOLOGIST OF IMAGE FOR REMOVAL OF OBSTRUCTIVE MATERIAL,1000.0,400.0,400.0,900.0,17
HCPCS,75902,75902 REVIEW IMAGE REMOVAL TISSUE OBSTRUCTIVE MATERIAL FROM CENTRAL,1500.0,600.0,600.0,1350.0,17
HCPCS,75956,75956 REVIEW IMAGE REPAIR DESCENDING ATA SUBCLAVIAN ARTERY WITH INSERTION,4000.0,1600.0,1600.0,3600.0,17
HCPCS,75970,75970 REVIEW BY RADIOLOGIST OF IMAGE FOR BIOPSY OF BLOOD VESSEL WITH TUBE,3966.0,1586.4,1586.4,3569.4,17
HCPCS,75984,75984 REVIEW BY RADIOLOGIST OF IMAGE REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE,1200.0,480.0,480.0,1080.0,17
HCPCS,75989,75989 REVIEW BY RADIOLOGIST OF IMAGE FOR DRAINAGE OF FLUID,1352.0,540.8,540.8,1216.8,17
HCPCS,76000,76000 IMAGING GUIDANCE FOR PROCEDURE,650.0,260.0,186.64,650.0,33
HCPCS,76014,MR SFTY IMPLTAND/FB ASMT STF 1,61.0,24.4,25.98,65.28,27
HCPCS,76015,MR SFTY MPLTAND/FB ASMT STF EA,30.0,12.0,12.0,27.0,17
HCPCS,76016,MR SAFETY DETER PHYS/QHP,220.0,88.0,78.19,220.0,27
HCPCS,76017,MR SFTY MED PHYSICS XM CSTMZ,604.0,241.6,214.37,604.0,27
HCPCS,76018,MR SAFETY IMPLANT ELEC PREPJ,229.0,91.6,85.41,229.0,27
HCPCS,76019,MR SAFETY IMPLT POSAND/IMMOBLJ,149.0,59.6,53.0,149.0,27
HCPCS,76080,76080 REVIEW BY RADIOLOGIST OF ABSCESS OR SINUS CAVITY STUDY,1300.0,520.0,427.41,1300.0,33
HCPCS,76098,RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,1300.0,520.0,427.41,1300.0,33
HCPCS,76140,76140 WRITTEN CONSULTATION REPORT ON XRAY,30.0,12.0,12.0,299.96,19
HCPCS,76376,76376 3D RADIOGRAPHIC PROCEDURE,884.0,353.6,353.6,884.0,17
HCPCS,76377,76377 3D RADIOGRAPHIC PROCEDURE WITH COMPUTERIZED IMAGE POSTPROCESSING,1146.0,458.4,458.4,1031.4,16
HCPCS,76380,76380 LIMITED OR FOLLOWUP CT SCAN,207.0,82.8,68.07,207.0,33
HCPCS,76390,76390 MRI STUDY FOR MEASURING BIOCHEMICAL CHANGES IN THE BRAIN,800.0,320.0,68.07,800.0,33
HCPCS,76391,76391 MRI AND LOW FREQUENCY VIBRATIONS FOR MEASURING TISSUE STIFFNESS,1197.0,478.8,186.64,1197.0,33
HCPCS,76498,76498 OTHER MRI SCAN,800.0,320.0,68.07,800.0,33
HCPCS,76499,76499 OTHER DIAGNOSTIC IMAGING PROCEDURE,618.0,247.2,68.07,556.2,33
HCPCS,76506,76506 ULTRASOUND SCAN OF BRAIN,997.0,398.8,81.77,897.3,33
HCPCS,76512,76512 2D ULTRASOUND SCAN OF EYE TISSUE AND STRUCTURES,975.0,390.0,81.77,877.5,33
HCPCS,76514,76514 ULTRASOUND SCAN OF CORNEA TO DETERMINE THICKNESS,63.0,25.2,22.62,65.28,33
HCPCS,76516,76516 ULTRASOUND SCAN TO DETERMINE EYE LENGTH,975.0,390.0,81.77,877.5,33
HCPCS,76519,76519 ULTRASOUND SCAN TO DETERMINE EYE LENGTH AND LENS POWER,975.0,390.0,81.77,877.5,33
HCPCS,76529,76529 ULTRASOUND SCAN OF EYE FOR FOREIGN BODY LOCALIZATION,207.0,82.8,68.07,207.0,33
HCPCS,76536,76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE,975.0,390.0,81.77,877.5,33
HCPCS,76604,76604 ULTRASOUND SCAN OF CHEST,997.0,398.8,81.77,897.3,33
HCPCS,76641,76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST,975.0,390.0,81.77,877.5,33
HCPCS,76642,76642 LIMITED ULTRASOUND SCAN OF 1 BREAST,207.0,82.8,68.07,207.0,33
HCPCS,76700,76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN,997.0,398.8,81.77,897.3,33
HCPCS,76705,76705 LIMITED ULTRASOUND SCAN OF ABDOMEN,997.0,398.8,81.77,897.3,33
HCPCS,76706,76706 ULTRASOUND SCAN OF ABDOMINAL AORTA,975.0,390.0,81.77,877.5,33
HCPCS,76706,US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,12.0,4.8,6.96,235.98,31
HCPCS,76770,76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY,997.0,398.8,81.77,897.3,33
HCPCS,76775,76775 LIMITED ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY,997.0,398.8,81.77,897.3,33
HCPCS,76775,RENAL KIDNEY,997.0,398.8,81.77,897.3,33
HCPCS,76776,76776 ULTRASOUND SCAN OF TRANSPLANTED KIDNEY,997.0,398.8,81.77,897.3,33
HCPCS,76800,76800 ULTRASOUND SCAN OF SPINAL CANAL,975.0,390.0,81.77,877.5,33
HCPCS,76801,76801 ULTRASOUND SCAN OF PREGNANT UTERUS LESS THAN 14 WEEKS,975.0,390.0,81.77,877.5,33
HCPCS,76802,76802 ULTRASOUND SCAN OF PREGNANT UTERUS LESS THAN 14 WEEKS,696.0,278.4,278.4,626.4,17
HCPCS,76805,76805 ULTRASOUND SCAN OF PREGNANT UTERUS 14 WEEKS OR MORE,997.0,398.8,81.77,897.3,33
HCPCS,76810,76810 ULTRASOUND SCAN OF PREGNANT UTERUS 14 WEEKS OR MORE,804.0,321.6,321.6,723.6,17
HCPCS,76811,76811 ULTRASOUND SCAN PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION,1688.0,675.2,186.64,1519.2,33
HCPCS,76812,76812 ULTRASOUND SCAN PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION,377.0,150.8,150.8,339.3,17
HCPCS,76813,76813 ULTRASOUND SCAN OF PREGNANT UTERUS LESS THAN 14 WEEKS,975.0,390.0,81.77,877.5,33
HCPCS,76814,76814 ULTRASOUND SCAN OF PREGNANT UTERUS LESS THAN 14 WEEKS,224.0,89.6,89.6,201.6,17
HCPCS,76815,76815 LIMITED ULTRASOUND OF PREGNANT UTERUS,975.0,390.0,81.77,877.5,33
HCPCS,76816,76816 FOLLOWUP ULTRASOUND SCAN OF PREGNANT UTERUS,975.0,390.0,81.77,877.5,33
HCPCS,76817,76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS,975.0,390.0,81.77,877.5,33
HCPCS,76818,76818 ULTRASOUND AND MONITORING OF HEART OF FETUS,997.0,398.8,81.77,897.3,33
HCPCS,76819,76819 ULTRASOUND SCAN OF FETUS,975.0,390.0,81.77,877.5,33
HCPCS,76820,76820 ULTRASOUND SCAN OF FETAL UMBILICAL ARTERY BLOOD FLOW RATE,975.0,390.0,81.77,877.5,33
HCPCS,76821,76821 ULTRASOUND SCAN OF FETAL BRAIN ARTERY BLOOD FLOW RATE,975.0,390.0,81.77,877.5,33
HCPCS,76825,76825 ULTRASOUND SCAN OF FETAL HEART,1300.0,520.0,427.41,1300.0,33
HCPCS,76826,76826 FOLLOWUP ULTRASOUND SCAN OF FETAL HEART,590.0,236.0,186.64,590.0,33
HCPCS,76827,76827 ULTRASOUND SCAN OF FETAL HEART BLOOD FLOW,997.0,398.8,81.77,897.3,33
HCPCS,76828,76828 FOLLOWUP ULTRASOUND SCAN OF FETAL HEART BLOOD FLOW,997.0,398.8,81.77,897.3,33
HCPCS,76830,76830 ULTRASOUND SCAN OF UTERUS,997.0,398.8,81.77,897.3,33
HCPCS,76831,76831 ULTRASOUND SCAN OF UTERUS AND UTERINE CAVITY,590.0,236.0,186.64,590.0,33
HCPCS,76856,76856 COMPLETE ULTRASOUND SCAN OF PELVIS,997.0,398.8,81.77,897.3,33
HCPCS,76857,76857 LIMITED ULTRASOUND SCAN OF PELVIS,997.0,398.8,81.77,897.3,33
HCPCS,76870,76870 ULTRASOUND SCAN OF SCROTUM,975.0,390.0,81.77,877.5,33
HCPCS,76872,76872 ULTRASOUND SCAN OF PELVIC REGION THROUGH RECTUM,997.0,398.8,81.77,897.3,33
HCPCS,76873,76873 ULTRASOUND SCAN OF PROSTATE THROUGH RECTUM,997.0,398.8,81.77,897.3,33
HCPCS,76881,76881 COMPLETE ULTRASOUND SCAN OF JOINT,975.0,390.0,81.77,877.5,33
HCPCS,76882,76882 LIMITED ULTRASOUND SCAN JOINT OTHER EXTREMITY STRUCTURE LACKING BLOOD S,997.0,398.8,81.77,897.3,33
HCPCS,76885,76885 ULTRASOUND SCAN OF INFANT HIP DURING MOVEMENT,207.0,82.8,68.07,207.0,33
HCPCS,76886,76886 ULTRASOUND SCAN OF INFANT HIP,207.0,82.8,68.07,207.0,33
HCPCS,76936,76936 ULTRASOUND GUIDED COMPRESSION REPAIR OF BLOOD VESSEL,600.0,240.0,168.9,600.0,33
HCPCS,76937,76937 ULTRASONIC GUIDANCE FOR BLOOD VESSEL ACCESS,919.0,367.6,367.6,827.1,17
HCPCS,76940,76940 ULTRASOUND GUIDANCE FOR TISSUE REMOVAL,854.0,341.6,341.6,768.6,17
HCPCS,76941,76941 ULTRASONIC GUIDANCE FOR FETAL TRANSFUSION OR UMBILICAL BLOOD SAMPLING,314.0,125.6,125.6,282.6,17
HCPCS,76942,76942 ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT,1112.0,444.8,444.8,1000.8,17
HCPCS,76945,76945 ULTRASONIC GUIDANCE FOR TESTING PLACENTAL TISSUE,226.0,90.4,90.4,203.4,17
HCPCS,76946,76946 ULTRASONIC GUIDANCE FOR REMOVAL OF AMNIOTIC FLUID,1090.0,436.0,436.0,981.0,17
HCPCS,76948,76948 ULTRASONIC GUIDANCE FOR RETRIEVAL OF EGG,84.0,33.6,33.6,75.6,17
HCPCS,76965,76965 ULTRASONIC GUIDANCE FOR ADMINISTRATION OF RADIATION THERAPY,1100.0,440.0,440.0,990.0,17
HCPCS,76981,76981 ULTRASOUND SCAN OF ORGAN TISSUE FOR MEASURING ELASTICITY,975.0,390.0,81.77,877.5,33
HCPCS,76982,76982 ULTRASOUND SCAN OF GROWTH FOR MEASURING ELASTICITY,975.0,390.0,93.93,877.5,27
HCPCS,76983,76983 ULTRASOUND SCAN OF GROWTH FOR MEASURING ELASTICITY,100.0,40.0,40.0,90.0,17
HCPCS,76984,DX INTRAOP THORACIC AORTA US,1500.0,600.0,600.0,1350.0,17
HCPCS,76987,DX INTRAOP EPICAR CAR US CHD,1500.0,600.0,600.0,1350.0,17
HCPCS,76988,DX NTROP EPCR US CHD IMG ACQ,1500.0,600.0,600.0,1350.0,17
HCPCS,76989,DX INTRAOP EPCAR US CHD IANDR,1500.0,600.0,600.0,1350.0,17
HCPCS,76998,76998 ULTRASONIC GUIDANCE DURING SURGERY,500.0,200.0,200.0,450.0,17
HCPCS,76999,76999 OTHER ULTRASOUND PROCEDURE,586.0,234.4,68.07,527.4,33
HCPCS,77001,77001 FLUOROSCOPIC GUIDANCE INSERTION OR REMOVAL OF CENTRAL VEIN ACCESS DEVICE,954.0,381.6,381.6,858.6,17
HCPCS,77002,77002 FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT,876.0,350.4,350.4,788.4,17
HCPCS,77002,NEEDLE LOCALIZATION BY XRAY,1112.0,444.8,444.8,1000.8,17
HCPCS,77003,77003 FLUOROSCOPIC GUIDANCE FOR SPINE OR BACK MUSCLE INJECTION,834.0,333.6,333.6,750.6,17
HCPCS,77011,77011 CT GUIDANCE FOR NEEDLE OR TUBE LOCALIZATION,1807.0,722.8,722.8,1626.3,17
HCPCS,77012,77012 REVIEW BY RADIOLOGIST OF CT GUIDANCE FOR NEEDLE PLACEMENT,3100.0,1240.0,899.0,2790.0,17
HCPCS,77013,77013 CT GUIDANCE FOR TISSUE REMOVAL,2738.0,1095.2,899.0,2464.2,17
HCPCS,77021,77021 REVIEW BY RADIOLOGIST OF MRI GUIDANCE FOR NEEDLE PLACEMENT,2500.0,1000.0,1000.0,2250.0,17
HCPCS,77022,77022 MRI GUIDANCE FOR TISSUE REMOVAL,2000.0,800.0,800.0,1875.0,17
HCPCS,77046,77046 MRI SCAN OF 1 BREAST WITHOUT CONTRAST,1197.0,478.8,186.64,1197.0,33
HCPCS,77047,77047 MRI SCAN OF BOTH BREASTS WITHOUT CONTRAST,1197.0,478.8,186.64,1197.0,33
HCPCS,77048,MRI BREAST C+ W/CAD UNI,284.0,113.6,189.16,510.15,32
HCPCS,77049,MRI BREAST C+ W/CAD BI,299.0,119.6,186.49,502.95,32
HCPCS,77053,77053 REVIEW BY RADIOLOGIST OF BREAST DUCT IMAGE,590.0,236.0,186.64,590.0,33
HCPCS,77054,77054 REVIEW BY RADIOLOGIST OF BREAST DUCT IMAGE,590.0,236.0,186.64,590.0,33
HCPCS,77061,BREAST TOMOSYNTHESIS UNI,35.0,14.0,14.0,85.08,19
HCPCS,77062,BREAST TOMOSYNTHESIS BI,35.0,14.0,14.0,106.77,19
HCPCS,77063,BREAST TOMOSYNTHESIS BI,35.0,14.0,20.13,50.33,27
HCPCS,77065,77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST,442.0,176.8,68.74,397.8,33
HCPCS,77066,77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS,478.0,191.2,88.17,430.2,33
HCPCS,77067,77067 SCREENING MAMMOGRAPHY,430.0,172.0,72.74,387.0,33
HCPCS,77072,77072 XRAY FOR ESTIMATING BONE AGE,266.0,106.4,81.77,266.0,33
HCPCS,77073,77073 XRAY FOR BONE LENGTH ASSESSMENT,997.0,398.8,81.77,897.3,33
HCPCS,77074,77074 LIMITED XRAY OF BODY BONES,997.0,398.8,81.77,897.3,33
HCPCS,77075,77075 COMPLETE XRAY OF BODY BONES,997.0,398.8,81.77,897.3,33
HCPCS,77076,77076 XRAY OF INFANT BODY BONES,997.0,398.8,81.77,897.3,33
HCPCS,77077,77077 XRAY OF JOINTS,975.0,390.0,81.77,877.5,33
HCPCS,77078,77078 CT SCAN FOR MEASURING CALCIUM AND OTHER MINERALS IN BONE,207.0,82.8,68.07,207.0,33
HCPCS,77080,77080 DXA BONE DENSITY MEASUREMENT OF HIP,997.0,398.8,81.77,897.3,33
HCPCS,77081,77081 DXA BONE DENSITY MEASUREMENT OF FOREARM,207.0,82.8,68.07,207.0,33
HCPCS,77084,HC MRI BONE MARROW BLD SUPPLY,590.0,236.0,186.64,590.0,33
HCPCS,77280,77280 OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT,350.0,140.0,105.13,350.0,33
HCPCS,77280,SET RADIATION THERAPY FIELD,800.0,320.0,105.13,720.0,33
HCPCS,77285,77285 OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT,900.0,360.0,292.87,900.0,33
HCPCS,77285,SET RADIATION THERAPY FIELD,900.0,360.0,292.87,900.0,33
HCPCS,77290,77290 OBTAINING DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT,900.0,360.0,292.87,900.0,33
HCPCS,77290,SET RADIATION THERAPY FIELD,900.0,360.0,292.87,900.0,33
HCPCS,77293,77293 OBTAINING RESPIRATY DATA NEEDED TO DEVELOP THE OPTIMAL RADIATION TREATMENT,1305.0,522.0,522.0,1174.5,17
HCPCS,77295,77295 3D RADIATION THERAPY PLANNING,4000.0,1600.0,1082.66,3970.42,33
HCPCS,77300,77300 CALCULATION OF RADIATION THERAPY DOSE,700.0,280.0,105.13,630.0,33
HCPCS,77301,77301 HIGH PRECISION RADIATION THERAPY PLANNING,4000.0,1600.0,1082.66,3970.42,33
HCPCS,77306,77306 SIMPLE RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,900.0,360.0,292.87,900.0,33
HCPCS,77307,77307 COMPLEX RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,900.0,360.0,292.87,900.0,33
HCPCS,77316,77316 SIMPLE RADIATION THERAPY PLANNING FOR DELIVERY OF INTERNAL RADIATION,900.0,360.0,292.87,900.0,33
HCPCS,77317,77317 INTERMEDIATE RADIATION THERAPY PLANNING FOR DELIVERY OF INTERNAL RADIATION,900.0,360.0,292.87,900.0,33
HCPCS,77318,77318 COMPLEX RADIATION THERAPY PLANNING FOR DELIVERY OF INTERNAL RADIATION,900.0,360.0,292.87,900.0,33
HCPCS,77321,77321 SPECIAL RADIATION THERAPY PLANNING FOR DELIVERY OF EXTERNAL RADIATION,900.0,360.0,292.87,900.0,33
HCPCS,77331,77331 SPECIAL RADIATION THERAPY PLANNING,700.0,280.0,105.13,630.0,33
HCPCS,77332,77332 DESIGN AND CONSTRUCTION OF SIMPLE RADIATION TREATMENT DEVICE,700.0,280.0,105.13,630.0,33
HCPCS,77333,77333 DESIGN AND CONSTRUCTION OF INTERMEDIATE RADIATION TREATMENT DEVICE,350.0,140.0,105.13,350.0,33
HCPCS,77334,77334 DESIGN AND CONSTRUCTION OF COMPLEX RADIATION TREATMENT DEVICE,1400.0,560.0,292.87,1260.0,33
HCPCS,77336,77336 CONTINUING RADIATION THERAPY CONSULTATION PER WEEK,800.0,320.0,105.13,720.0,33
HCPCS,77338,77338 DESIGN CONSTRUCTION RADIATION TREATMENT DEVICE HIGH PRECISION,1400.0,560.0,292.87,1260.0,33
HCPCS,77370,77370 SPECIAL MEDICAL RADIATION THERAPY CONSULTATION,800.0,320.0,105.13,720.0,33
HCPCS,77371,77371 COMPLETE SINGLE SESSION COURSE OF CRANIAL LESION SURGERY USING RADIATION,20000.0,8000.0,5761.1,20000.0,33
HCPCS,77372,77372 COMPLETE SINGLE SESSION COURSE CRANIAL LESION SURGERY RADIATION,18640.0,7456.0,5761.1,18640.0,33
HCPCS,77373,77373 CRANIAL LESION SURGERY USING RADIATION OVER MULTIPLE SESSIONS,5000.0,2000.0,1398.61,5000.0,33
HCPCS,77387,77387 IMAGING GUIDANCE FOR LOCALIZATION OF RADIATION TREATMENT,515.0,206.0,206.0,463.5,17
HCPCS,77399,77399 OTHER MANAGEMENT OF RADIATION THERAPY AND MEDICAL RADIATION PHYSICS,350.0,140.0,105.13,350.0,33
HCPCS,77402,77402 DELIVERY OF SIMPLE RADIATION TREATMENT,306.0,122.4,79.8,306.0,33
HCPCS,77407,77407 DELIVERY OF INTERMEDIATE RADIATION TREATMENT,617.0,246.8,301.7,870.57,33
HCPCS,77412,77412 DELIVERY OF COMPLEX RADIATION TREATMENT,617.0,246.8,357.86,1247.17,33
HCPCS,77417,77417 XRAY DURING RADIATION THERAPY,442.0,176.8,176.8,397.8,17
HCPCS,77424,HC INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION,17818.0,7127.2,5761.1,17818.0,33
HCPCS,77470,77470 SPECIAL RADIATION TREATMENT,2000.0,800.0,432.19,1842.2,33
HCPCS,77499,77499 OTHER MANAGEMENT OF RADIATION THERAPY,40.0,16.0,16.0,40.0,17
HCPCS,77750,77750 INFUSION OR INSTILLATION OF RADIOELEMENT SOLUTION,617.0,246.8,301.7,870.57,33
HCPCS,77761,77761 SIMPLE BODY CAVITY RADIATION SOURCE APPLICATION,1400.0,560.0,432.19,1400.0,33
HCPCS,77762,77762 INTERMEDIATE BODY CAVITY RADIATION SOURCE APPLICATION,1400.0,560.0,432.19,1400.0,33
HCPCS,77763,77763 COMPLEX BODY CAVITY RADIATION SOURCE APPLICATION,1800.0,720.0,544.78,1800.0,33
HCPCS,77770,77770 HIGH DOSE RADIATION THERAPY,1800.0,720.0,544.78,1800.0,33
HCPCS,77771,77771 HIGH DOSE RADIATION THERAPY,1800.0,720.0,544.78,1800.0,33
HCPCS,77772,77772 HIGH DOSE RADIATION THERAPY,1800.0,720.0,544.78,1800.0,33
HCPCS,77778,77778 COMPLEX APPLICATION OF RADIATION SOURCE,1800.0,720.0,544.78,1800.0,33
HCPCS,77789,77789 SURFACE APPLICATION OF LOW DOSE RATE SOURCE,306.0,122.4,79.8,306.0,33
HCPCS,77790,77790 SUPERVISION,850.0,340.0,340.0,765.0,17
HCPCS,77799,77799 OTHER ADMINISTRATION OF RADIATION THERAPY,3225.0,1290.0,79.8,2902.5,33
HCPCS,77799,RADIUM/RADIOISOTOPE THERAPY,2489.5,995.8,79.8,2902.5,66
HCPCS,78012,78012 NUCLEAR MEDICINE STUDY OF THYROID FUNCTION,962.0,384.8,312.7,962.0,33
HCPCS,78013,78013 NUCLEAR MEDICINE STUDY OF THYROID,962.0,384.8,312.7,962.0,33
HCPCS,78014,78014 NUCLEAR MEDICINE STUDY OF THYROID AND THYROID FUNCTION,962.0,384.8,312.7,962.0,33
HCPCS,78015,78015 NUCLEAR MEDICINE STUDY OF LIMITED AREA FOR THYROID CANCER,962.0,384.8,312.7,962.0,33
HCPCS,78016,78016 NUCLEAR MEDICINE STUDIES FOR THYROID CANCER,962.0,384.8,312.7,962.0,33
HCPCS,78018,78018 NUCLEAR MEDICINE STUDY OF WHOLE BODY FOR THYROID CANCER,1250.0,500.0,424.71,1250.0,33
HCPCS,78020,78020 NUCLEAR MEDICINE STUDY OF THYROID FUNCTION FOR THYROID CANCER,500.0,200.0,200.0,450.0,17
HCPCS,78070,78070 NUCLEAR MEDICINE STUDY OF PARATHYROID,962.0,384.8,312.7,962.0,33
HCPCS,78071,78071 NUCLEAR MEDICINE STUDY OF PARATHYROID WITH SPECT,962.0,384.8,312.7,962.0,33
HCPCS,78099,78099 NUCLEAR MEDICINE STUDY OF ENDOCRINE ORGANS,962.0,384.8,312.7,962.0,33
HCPCS,78102,78102 NUCLEAR MEDICINE STUDY OF BONE MARROW LIMITED AREA,962.0,384.8,312.7,962.0,33
HCPCS,78103,78103 NUCLEAR MEDICINE STUDY OF BONE MARROW MULTIPLE AREAS,962.0,384.8,312.7,962.0,33
HCPCS,78104,78104 NUCLEAR MEDICINE STUDY OF BONE MARROW WHOLE BODY,962.0,384.8,312.7,962.0,33
HCPCS,78110,78110 NUCLEAR MEDICINE STUDY OF PLASMA VOLUME,3000.0,1200.0,1012.68,3000.0,33
HCPCS,78120,78120 NUCLEAR MEDICINE STUDY OF RED BLOOD CELL VOLUME,962.0,384.8,312.7,962.0,33
HCPCS,78130,78130 NUCLEAR MEDICINE STUDY OF RED BLOOD CELL SURVIVAL,962.0,384.8,312.7,962.0,33
HCPCS,78195,78195 NUCLEAR MEDICINE STUDY OF LYMPHATIC SYSTEM,1250.0,500.0,424.71,1250.0,33
HCPCS,78201,78201 NUCLEAR MEDICINE STUDY OF LIVER,1250.0,500.0,424.71,1250.0,33
HCPCS,78202,78202 NUCLEAR MEDICINE STUDY OF LIVER AND BLOOD FLOW,1250.0,500.0,424.71,1250.0,33
HCPCS,78215,78215 NUCLEAR MEDICINE STUDY OF LIVER AND SPLEEN,962.0,384.8,312.7,962.0,33
HCPCS,78216,78216 NUCLEAR MEDICINE STUDY OF LIVER,962.0,384.8,312.7,962.0,33
HCPCS,78226,78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM,962.0,384.8,312.7,962.0,33
HCPCS,78227,78227 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM WITH USE OF DRUGS,1250.0,500.0,424.71,1250.0,33
HCPCS,78230,78230 NUCLEAR MEDICINE STUDY OF SALIVARY GLAND,962.0,384.8,312.7,962.0,33
HCPCS,78262,78262 NUCLEAR MEDICINE STUDY OF STOMACH AND ESOPHAGUS TO ASSESS REFLUX,962.0,384.8,312.7,962.0,33
HCPCS,78264,78264 NUCLEAR MEDICINE STUDY OF STOMACH TO ASSESS EMPTYING,962.0,384.8,312.7,962.0,33
HCPCS,78265,78265 NUCLEAR MEDICINE STUDY OF STOMACH TO ASSESS EMPTYING SMALL BOWEL MOVEMENT,962.0,384.8,312.7,962.0,33
HCPCS,78266,78266 NUCLEAR MEDICINE STUDY STOMACH TO ASSESS EMPTYING SMALL LARGE BOWEL,1250.0,500.0,424.71,1250.0,33
HCPCS,78267,78267 NUCLEAR MEDICINE STUDY TO ACQUIRE EXHALED BREATH SAMPLES,50.0,20.0,10.25,50.0,33
HCPCS,78278,78278 NUCLEAR MEDICINE STUDY TO ASSESS BLOOD LOSS,962.0,384.8,312.7,962.0,33
HCPCS,78290,78290 NUCLEAR MEDICINE STUDY OF INTESTINE,962.0,384.8,312.7,962.0,33
HCPCS,78291,78291 NUCLEAR MEDICINE STUDY TO ASSESS THE DEGREE OPENNESS SHUNT FROM,962.0,384.8,312.7,962.0,33
HCPCS,78299,78299 NUCLEAR MEDICINE STUDY OF DIGESTIVE TRACTS,962.0,384.8,312.7,962.0,33
HCPCS,78300,78300 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT LIMITED AREA,962.0,384.8,312.7,962.0,33
HCPCS,78305,78305 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT MULTIPLE AREAS,962.0,384.8,312.7,962.0,33
HCPCS,78306,78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY,962.0,384.8,312.7,962.0,33
HCPCS,78315,78315 NUCLEAR MEDICINE STUDY OF BONE TAKEN AT DIFFERENT TIMES,962.0,384.8,312.7,962.0,33
HCPCS,78428,78428 NUCLEAR MEDICINE STUDY FOR DETECTING HEART SHUNT,962.0,384.8,312.7,962.0,33
HCPCS,78429,MYOCRD IMG PET 1 STD W/CT,3779.0,1511.6,1118.5,3779.0,33
HCPCS,78431,MYOCRD IMG PET RSTANDSTRS CT,4972.0,1988.8,2250.5,5626.25,33
HCPCS,78434,AQMBF PET REST AND RX STRESS,850.0,340.0,340.0,765.0,17
HCPCS,78445,78445 NUCLEAR MEDICINE STUDY OF NONCARDIAC BLOOD FLOW,962.0,384.8,312.7,962.0,33
HCPCS,78451,78451 NUCLEAR MEDICINE STUDY OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT,3340.0,1336.0,1012.68,3284.57,33
HCPCS,78452,78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT,3340.0,1336.0,1012.68,3284.57,33
HCPCS,78453,78453 NUCLEAR MEDICINE STUDY HEART MUSCLE AT REST WITH STRESS WITH SINGLE 2D,3340.0,1336.0,1012.68,3284.57,33
HCPCS,78454,78454 NUCLEAR MEDICINE STUDIES HEART MUSCLE AT REST WITH STRESS WITH SINGLE,3340.0,1336.0,1012.68,3284.57,33
HCPCS,78457,78457 NUCLEAR MEDICINE STUDY TO ASSESS BLOOD CLOT IN VEIN OF SIDE,1250.0,500.0,424.71,1250.0,33
HCPCS,78458,78458 NUCLEAR MEDICINE STUDY TO ASSESS BLOOD CLOT IN VEIN OF BOTH SIDES,962.0,384.8,312.7,962.0,33
HCPCS,78459,78459 NUCLEAR MEDICINE STUDY OF HEART MUSCLE WITH METABOLIC EVALUATION,3000.0,1200.0,1012.68,3000.0,33
HCPCS,78466,78466 NUCLEAR MEDICINE STUDY OF HEART MUSCLE FOLLOWING HEART ATTACK,962.0,384.8,312.7,962.0,33
HCPCS,78472,78472 NUCLEAR MEDICINE STUDY OF HEART PUMPING FUNCTION BY LABELING RED BLOOD,962.0,384.8,312.7,962.0,33
HCPCS,78473,78473 NUCLEAR MEDICINE STUDIES OF HEART PUMPING FUNCTION BY LABELING RED,962.0,384.8,312.7,962.0,33
HCPCS,78481,78481 NUCLEAR MEDICINE STUDY HEART PUMPING FUNCTION WITH INTERNAL BLOOD VOL,1250.0,500.0,424.71,1250.0,33
HCPCS,78483,78483 NUCLEAR MEDICINE STUDIES OF HEART PUMPING FUNCTION BY FIRST PASS WITH,1250.0,500.0,424.71,1250.0,33
HCPCS,78491,78491 NUCLEAR MEDICINE STUDY OF BLOOD FLOW IN HEART MUSCLE AT REST WITH STRESS,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78492,78492 NUCLEAR MEDICINE STUDIES BLOOD FLOW IN HEART MUSCLE AT REST WITH STRESS,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78494,78494 NUCLEAR MEDICINE STUDY HEART PUMPING FUNCTION BY LABELING RED BLOOD,962.0,384.8,312.7,962.0,33
HCPCS,78496,78496 NUCLEAR MEDICINE STUDY OF HEART PUMPING FUNCTION OVER SINGLE CYCLE,500.0,200.0,200.0,450.0,17
HCPCS,78579,78579 NUCLEAR MEDICINE STUDY OF LUNG VENTILATION,962.0,384.8,312.7,962.0,33
HCPCS,78580,78580 NUCLEAR MEDICINE STUDY OF LUNG CIRCULATION,962.0,384.8,312.7,962.0,33
HCPCS,78582,78582 NUCLEAR MEDICINE STUDY OF LUNG VENTILATION AND CIRCULATION,1250.0,500.0,424.71,1250.0,33
HCPCS,78597,78597 NUCLEAR MEDICINE STUDY OF LUNG VENTILATION AND BLOOD FLOW TO LUNG,962.0,384.8,312.7,962.0,33
HCPCS,78598,78598 NUCLEAR MEDICINE STUDY LUNG VENTILATION CIRCULATION BLOOD FLOW TO LUNG,1250.0,500.0,424.71,1250.0,33
HCPCS,78600,78600 NUCLEAR MEDICINE STUDY OF BRAIN,962.0,384.8,312.7,962.0,33
HCPCS,78601,78601 NUCLEAR MEDICINE STUDY OF BRAIN AND BLOOD FLOW,962.0,384.8,312.7,962.0,33
HCPCS,78605,78605 NUCLEAR MEDICINE STUDY OF BRAIN,1250.0,500.0,424.71,1250.0,33
HCPCS,78606,78606 NUCLEAR MEDICINE STUDY OF BRAIN AND BLOOD FLOW,1250.0,500.0,424.71,1250.0,33
HCPCS,78608,78608 NUCLEAR MEDICINE STUDY OF BRAIN WITH METABOLIC EVALUATION,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78609,78609 NUCLEAR MEDICINE STUDY OF BRAIN WITH BLOOD FLOW EVALUATION,4500.0,1800.0,78.74,4050.0,18
HCPCS,78610,78610 NUCLEAR MEDICINE STUDY OF BRAIN WITH BLOOD FLOW,1250.0,500.0,424.71,1250.0,33
HCPCS,78630,78630 NUCLEAR MEDICINE STUDY CEREBROSPINAL FLUID FLOW AFTER INJ RAST INTO,1250.0,500.0,424.71,1250.0,33
HCPCS,78635,78635 NUCLEAR MEDICINE STUDY CEREBROSPINAL FLUID FLOW AFTER INJ RAST INTO,1250.0,500.0,424.71,1250.0,33
HCPCS,78645,78645 NUCLEAR MEDICINE STUDY OF CEREBROSPINAL FLUID FLOW TO EVALUATE SHUNT,1250.0,500.0,424.71,1250.0,33
HCPCS,78650,78650 NUCLEAR MEDICINE STUDY OF CEREBROSPINAL FLUID FLOW TO LOCATE LEAKAGE,3000.0,1200.0,1012.68,3000.0,33
HCPCS,78700,78700 NUCLEAR MEDICINE STUDY OF KIDNEY,962.0,384.8,312.7,962.0,33
HCPCS,78701,78701 NUCLEAR MEDICINE STUDY OF KIDNEY AND BLOOD FLOW,962.0,384.8,312.7,962.0,33
HCPCS,78707,78707 NUCLEAR MEDICINE STUDY OF KIDNEY,1250.0,500.0,424.71,1250.0,33
HCPCS,78708,78708 NUCLEAR MEDICINE STUDY OF KIDNEY,1250.0,500.0,424.71,1250.0,33
HCPCS,78709,78709 NUCLEAR MEDICINE STUDIES OF KIDNEY,1250.0,500.0,424.71,1250.0,33
HCPCS,78740,78740 NUCLEAR MEDICINE STUDY TO ASSESS URINE FLOW,962.0,384.8,312.7,962.0,33
HCPCS,78761,78761 NUCLEAR MEDICINE STUDY OF TESTICLE AND BLOOD FLOW,962.0,384.8,312.7,962.0,33
HCPCS,78800,78800 NUCLEAR MEDICINE STUDY,962.0,384.8,312.7,962.0,32
HCPCS,78801,78801 NUCLEAR MEDICINE STUDY,962.0,384.8,312.7,962.0,32
HCPCS,78802,78802 NUCLEAR MEDICINE STUDY,3000.0,1200.0,424.71,3000.0,33
HCPCS,78803,78803 NUCLEAR MEDICINE STUDY,3000.0,1200.0,424.71,3000.0,33
HCPCS,78804,78804 NUCLEAR MEDICINE STUDY,3000.0,1200.0,424.71,3000.0,33
HCPCS,78808,78808 INJECTION OF RADIOACTIVE CONTRAST INTO A VEIN FOR NONIMAGING GAMMA PROBE,962.0,384.8,312.7,962.0,33
HCPCS,78811,78811 NUCLEAR MEDICINE STUDY LIMITED AREA,3000.0,1200.0,1012.68,3000.0,33
HCPCS,78812,78812 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MIDTHIGH,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78813,78813 NUCLEAR MEDICINE STUDY WHOLE BODY,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78814,78814 NUCLEAR MEDICINE STUDY LIMITED AREA WITH CT SCAN,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78815,78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MIDTHIGH WITH CT SCAN,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78816,78816 NUCLEAR MEDICINE STUDY WHOLE BODY WITH CT SCAN,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78830,78830 NUCLEAR MEDICINE STUDY,3000.0,1200.0,1012.68,3000.0,33
HCPCS,78831,78831 NUCLEAR MEDICINE STUDY,3000.0,1200.0,1012.68,3000.0,33
HCPCS,78832,78832 NUCLEAR MEDICINE STUDY,3780.0,1512.0,1118.5,3780.0,33
HCPCS,78835,78835 QUANTIFICATION OF RADIOACTIVE MATERIALS,250.0,100.0,100.0,225.0,17
HCPCS,78999,78999 OTHER NUCLEAR MEDICINE STUDY,962.0,384.8,312.7,962.0,33
HCPCS,79005,131 THERAPY METASTASES,650.0,260.0,182.52,650.0,33
HCPCS,79005,79005 RADIOACTIVE DRUG THERAPY BY MOUTH,650.0,260.0,182.52,650.0,33
HCPCS,79005,THYROID ABLATION THERAPY,650.0,260.0,182.52,650.0,33
HCPCS,79101,79101 RADIOACTIVE DRUG THERAPY THROUGH A VEIN,650.0,260.0,182.52,650.0,33
HCPCS,79101,HC NM THERAPY LUTATHRA,650.0,260.0,182.52,650.0,33
HCPCS,79101,HC XOFIGO RADIUM 223 THERAPY,650.0,260.0,182.52,650.0,33
HCPCS,79101,NUCLEAR MEDICINE THERAPY PULVICTO IV,650.0,260.0,182.52,650.0,33
HCPCS,79101,SAMARIUM 153 THERAPY,650.0,260.0,182.52,650.0,33
HCPCS,79101,STRONSTIUM 89 THERAPY,650.0,260.0,182.52,650.0,33
HCPCS,79200,79200 RADIOACTIVE DRUG THERAPY INTO A BODY CAVITY,650.0,260.0,182.52,650.0,33
HCPCS,79403,79403 RADIOACTIVE DRUG THERAPY RADIOLABELED MONOCLONAL ANTIBODY THROUGH A VEIN,650.0,260.0,182.52,650.0,33
HCPCS,79445,79445 RADIOACTIVE DRUG THERAPY THROUGH A TUBE INSERTED IN AN ARTERY,650.0,260.0,182.52,650.0,33
HCPCS,80047,80047 BLOOD TEST,45.0,18.0,12.73,40.5,33
HCPCS,80048,80048 BLOOD TEST,443.0,177.2,7.84,398.7,33
HCPCS,80050,80050 GENERAL HEALTH PANEL,448.0,179.2,50.48,403.2,19
HCPCS,80051,80051 BLOOD TEST PANEL FOR ELECTROLYTES SODIUM POTASSIUM,116.0,46.4,6.5,104.4,33
HCPCS,80053,BLOOD TEST,264.0,105.6,9.79,237.6,33
HCPCS,80055,80055 OBSTETRIC BLOOD TEST PANEL,119.0,47.6,44.32,119.53,33
HCPCS,80061,LIPID PANEL,13.0,5.2,7.54,32.5,33
HCPCS,80069,80069 KIDNEY FUNCTION BLOOD TEST PANEL,182.0,72.8,8.04,163.8,33
HCPCS,80074,80074 ACUTE HEPATITIS PANEL,315.0,126.0,44.16,283.5,33
HCPCS,80076,80076 LIVER FUNCTION BLOOD TEST PANEL,180.0,72.0,7.57,162.0,33
HCPCS,80143,80143 MEASUREMENT OF ACETAMINOPHEN,47.0,18.8,17.28,47.0,33
HCPCS,80145,80145 MEASUREMENT OF ADALIMUMAB,100.0,40.0,35.75,100.0,33
HCPCS,80150,80150 AMIKACIN ANTIBIOTIC LEVEL,127.0,50.8,13.98,114.3,33
HCPCS,80151,80151 MEASUREMENT OF AMIODARONE,100.0,40.0,17.28,90.0,33
HCPCS,80151,DRUG ASSAY AMIODARONE,50.0,20.0,17.28,50.0,33
HCPCS,80155,80155 CAFFEINE LEVEL,100.0,40.0,23.16,100.0,33
HCPCS,80156,80156 CARBAMAZEPINE LEVEL,180.0,72.0,13.5,162.0,33
HCPCS,80157,ASSAY CARBAMAZEPINE FREE,33.0,13.2,12.29,33.13,33
HCPCS,80158,80158 CYCLOSPORINE LEVEL,217.0,86.8,16.74,195.3,33
HCPCS,80159,80159 CLOZAPINE LEVEL,65.0,26.0,18.68,58.5,33
HCPCS,80162,80162 DIGOXIN LEVEL,125.0,50.0,12.31,112.5,33
HCPCS,80164,80164 VALPROIC ACID LEVEL,163.0,65.2,12.56,146.7,33
HCPCS,80165,80165 VALPROIC ACID LEVEL,80.0,32.0,12.56,72.0,33
HCPCS,80167,QUANTITATION OF DRUG FELBAMATE,50.0,20.0,17.28,50.0,33
HCPCS,80168,80168 ETHOSUXIMIDE LEVEL,124.0,49.6,15.15,111.6,33
HCPCS,80169,80169 EVEROLIMUS LEVEL,48.0,19.2,12.73,43.2,33
HCPCS,80170,80170 GENTAMICIN ANTIBIOTIC LEVEL,171.0,68.4,15.18,153.9,33
HCPCS,80171,80171 GABAPENTIN LEVEL,50.0,20.0,20.09,54.18,33
HCPCS,80173,80173 HALOPERIDOL LEVEL,40.0,16.0,14.63,40.0,33
HCPCS,80175,80175 LAMOTRIGINE LEVEL,128.0,51.2,12.29,115.2,33
HCPCS,80176,80176 LIDOCAINE LEVEL,46.0,18.4,13.62,41.4,33
HCPCS,80176,LIDOCAINE AND METABOLITE,46.0,18.4,13.62,41.4,33
HCPCS,80177,80177 LEVETIRACETAM LEVEL,98.0,39.2,12.29,88.2,33
HCPCS,80178,80178 LITHIUM LEVEL,109.0,43.6,6.13,98.1,33
HCPCS,80179,80179 MEASUREMENT OF SALICYLATE,47.0,18.8,17.28,47.0,33
HCPCS,80180,80180 MYCOPHENOLATE MYCOPHENOLIC ACID LEVEL,62.0,24.8,16.74,55.8,33
HCPCS,80181,DRUG ASSAY FLECAINIDE,47.0,18.8,17.28,47.0,33
HCPCS,80183,80183 OXCARBAZEPINE LEVEL,50.0,20.0,12.29,45.0,33
HCPCS,80184,80184 PHENOBARBITAL LEVEL,150.0,60.0,14.18,135.0,33
HCPCS,80185,80185 PHENYTOIN LEVEL,150.0,60.0,12.29,135.0,33
HCPCS,80186,80186 PHENYTOIN LEVEL,122.0,48.8,12.75,109.8,33
HCPCS,80187,80187 MEASUREMENT OF POSACONAZOLE,140.0,56.0,25.13,126.0,33
HCPCS,80188,80188 PRIMIDONE LEVEL,69.0,27.6,15.38,62.1,33
HCPCS,80189,80189 MEASUREMENT OF ITRACONAZOLE,140.0,56.0,25.13,126.0,33
HCPCS,80190,80190 PROCAINAMIDE LEVEL,150.0,60.0,28.09,150.0,33
HCPCS,80192,80192 PROCAINAMIDE LEVEL,42.0,16.8,15.53,42.0,33
HCPCS,80193,MEASUREMENT OF LEFLUNOMIDE,96.0,38.4,35.75,96.43,33
HCPCS,80194,80194 QUINIDINE LEVEL,37.0,14.8,13.53,37.0,33
HCPCS,80195,80195 SIROLIMUS LEVEL,178.0,71.2,12.73,160.2,33
HCPCS,80197,80197 TACROLIMUS LEVEL,189.0,75.6,12.73,170.1,33
HCPCS,80198,80198 THEOPHYLLINE LEVEL,160.0,64.0,13.11,144.0,33
HCPCS,80199,QUANTITATION OF DRUG TIAGABINE,68.0,27.2,25.13,68.0,33
HCPCS,80200,80200 TOBRAMYCIN ANTIBIOTIC LEVEL,157.0,62.8,14.96,141.3,33
HCPCS,80201,80201 TOPIRAMATE LEVEL,145.0,58.0,11.05,130.5,33
HCPCS,80202,80202 VANCOMYCIN ANTIBIOTIC LEVEL,180.0,72.0,12.56,162.0,33
HCPCS,80203,80203 ZONISAMIDE LEVEL,50.0,20.0,12.29,45.0,33
HCPCS,80204,DRUG ASSAY METHODREXATE,100.0,40.0,35.75,100.0,33
HCPCS,80210,DRUG ASSAY RUFINAMIDE,47.0,18.8,25.13,67.78,33
HCPCS,80220,80220 MEASUREMENT OF HYDROXYCHLOROQUINE,47.0,18.8,17.28,47.0,33
HCPCS,80230,80230 MEASUREMENT OF INFLIXIMAB,140.0,56.0,35.75,126.0,33
HCPCS,80235,80235 MEASUREMENT OF LACOSAMIDE,140.0,56.0,25.13,126.0,33
HCPCS,80280,80280 MEASUREMENT OF VEDOLIZUMAB,100.0,40.0,35.75,100.0,33
HCPCS,80285,80285 MEASUREMENT OF VORICONAZOLE,140.0,56.0,25.13,126.0,33
HCPCS,80299,80299 QUANTITATION OF THERAPEUTIC DRUG,140.0,56.0,17.28,126.0,33
HCPCS,80299,CERTOLIZUMAB DRUG LEVEL,50.0,20.0,17.28,50.0,33
HCPCS,80299,DEXAMETHASONE QUANTITATION OF DRUG,47.0,18.8,17.28,47.0,33
HCPCS,80299,DOXYCYCLINE,50.0,20.0,17.28,50.0,33
HCPCS,80299,GENERIC CODE FOR QUANTITATION OF THERAPEUTIC DRUG NOS,50.0,20.0,17.28,50.0,33
HCPCS,80299,HYPOGLYCEMIC PANEL SERUM OR PLASMA,50.0,20.0,17.28,50.0,33
HCPCS,80299,QUAN ASSAY METHOTREXATE,140.0,56.0,17.28,126.0,33
HCPCS,80299,QUAN ASSAY USTEKINUMAB,140.0,56.0,17.28,126.0,33
HCPCS,80299,QUANT DRUG LEVEL FLUCTYOSINE,50.0,20.0,17.28,50.0,33
HCPCS,80299,QUANTITATION OF DRUG BRIVARACETAM,47.0,18.8,17.28,47.0,33
HCPCS,80299,QUANTITATION OF DRUG CENOBAMATE,47.0,18.8,17.28,47.0,33
HCPCS,80299,QUANTITATION OF DRUG CLOBAZAM,40.0,16.0,17.28,46.6,33
HCPCS,80299,QUANTITATION OF DRUG CLORAZEPATE,47.0,18.8,17.28,47.0,33
HCPCS,80299,QUANTITATION OF DRUG ESLICARBAZEPINE,47.0,18.8,17.28,47.0,33
HCPCS,80299,QUANTITATIVE ASSAY DRUG,140.0,56.0,17.28,126.0,33
HCPCS,80299,QUANTITATIVE ASSAY FLUCONAZOLE,50.0,20.0,17.28,50.0,33
HCPCS,80299,RIFABUTIN DRUG LEVEL,50.0,20.0,17.28,50.0,33
HCPCS,80299,RIFAMPIN LEVEL,50.0,20.0,17.28,50.0,33
HCPCS,80299,SOLARIS ECULIZUMAB DRUG LEVEL,50.0,20.0,17.28,50.0,33
HCPCS,80305,DRUG TEST PRSMV DIR OPT OBS,32.0,12.8,11.68,32.0,33
HCPCS,80306,80306 TESTING FOR PRESENCE OF DRUG,115.0,46.0,15.89,103.5,33
HCPCS,80307,80307 TESTING FOR PRESENCE OF DRUG,115.0,46.0,57.61,155.35,33
HCPCS,80307,C TOX EMPLOYEE DRUG SCREEN TESTING,16.0,6.4,9.28,59.14,33
HCPCS,80307,DRUG TEST PRSMV CHEM ANLYZR,164.0,65.6,57.61,164.0,33
HCPCS,80307,HC DRUG TEST PRESUMPTIVE CHEM ANALYZER,265.0,106.0,57.61,238.5,33
HCPCS,80307,HC DRUG TEST PRSMPTV INSTRMTD CHEM ANLYZR PER DATE,230.0,92.0,57.61,207.0,66
HCPCS,80307,HC PRESUMPTIVE TESTING DRUG SCREEN,30.0,12.0,17.4,75.0,33
HCPCS,80320,80320 ALCOHOLS LEVELS,115.0,46.0,25.5,103.5,17
HCPCS,80320,ALCOHOLS,90.0,36.0,25.5,81.0,17
HCPCS,80321,80321 ALCOHOLS LEVELS,100.0,40.0,17.64,90.0,17
HCPCS,80323,80323 ALKALOIDS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80323,ALKALOIDS NOS,100.0,40.0,40.0,90.0,17
HCPCS,80324,80324 AMPHETAMINES LEVELS,100.0,40.0,25.38,90.0,17
HCPCS,80326,80326 AMPHETAMINES LEVELS,100.0,40.0,25.38,90.0,17
HCPCS,80326,AMPHETAMINES 5 OR MORE,30.0,12.0,12.0,30.0,17
HCPCS,80327,80327 ANABOLIC STEROIDS LEVELS,100.0,40.0,40.0,90.0,17
HCPCS,80329,80329 ANALGESICS LEVELS,43.0,17.2,17.2,43.0,17
HCPCS,80329,ANALGESICS NONOPIOID 1 OR 2,43.0,17.2,17.2,43.0,17
HCPCS,80330,80330 ANALGESICS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80331,ANALGESICS NONOPIOID 6 OR MORE,30.0,12.0,12.0,30.0,17
HCPCS,80332,80332 ANTIDEPRESSANTS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80333,80333 ANTIDEPRESSANTS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80334,ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE,30.0,12.0,11.66,30.0,17
HCPCS,80335,80335 ANTIDEPRESSANTS LEVELS,78.0,31.2,29.23,70.2,17
HCPCS,80337,80337 ANTIDEPRESSANTS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80338,80338 ANTIDEPRESSANTS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80339,80339 ANTIEPILEPTICS LEVELS,100.0,40.0,24.19,90.0,17
HCPCS,80339,QUANTITATION OF DRUG STRIPENTOL,50.0,20.0,20.0,45.0,17
HCPCS,80341,80341 ANTIEPILEPTICS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80342,80342 ANTIPSYCHOTICS LEVELS,47.0,18.8,18.8,42.3,17
HCPCS,80342,ANTIPSYCHOTICS NOS 13,60.0,24.0,24.0,54.0,17
HCPCS,80344,80344 ANTIPSYCHOTICS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80345,80345 BARBITURATES LEVELS,30.0,12.0,12.0,27.0,17
HCPCS,80345,DRUG SCREENING BARBITURATES,100.0,40.0,18.7,90.0,17
HCPCS,80346,80346 BENZODIAZEPINES LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80346,BENZODIAZEPINES112,100.0,40.0,32.33,90.0,17
HCPCS,80347,80347 BENZODIAZEPINES LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80347,BENZODIAZEPINES 13 OR MORE,100.0,40.0,32.33,90.0,17
HCPCS,80348,80348 BUPRENORPHINE LEVEL,100.0,40.0,19.44,90.0,17
HCPCS,80348,DRUG SCREENING BUPRENORPHINE,30.0,12.0,12.0,30.0,17
HCPCS,80349,80349 CANNABINOIDS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80349,CANNABINOIDS NATURAL,100.0,40.0,29.32,90.0,17
HCPCS,80353,80353 COCAINE LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80353,DRUG SCREENING COCAINE,100.0,40.0,24.74,90.0,17
HCPCS,80354,80354 FENTANYL LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80354,DRUG SCREENING FENTANYL,100.0,40.0,29.32,90.0,17
HCPCS,80355,80355 GABAPENTIN LEVEL NONBLOOD,30.0,12.0,12.0,27.13,17
HCPCS,80356,80356 HEROIN METABOLITE LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80357,80357 KETAMINE AND NORKETAMINE LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80358,80358 METHADONE LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80358,DRUG SCREENING METHADONE,100.0,40.0,26.66,90.0,17
HCPCS,80359,80359 METHYLENEDIOXYAMPHETAMINES LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80360,80360 METHYLPHENIDATE LEVEL,100.0,40.0,25.87,90.0,17
HCPCS,80361,80361 OPIATES LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80361,OPIATES 1 OR MORE,100.0,40.0,36.0,90.0,17
HCPCS,80362,OPIOIDS AND OPIATE ANALOGS 1/2,60.0,24.0,24.0,54.0,17
HCPCS,80364,80364 OPIOIDS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80364,OPIOID ANDOPIATE ANALOG 5/MORE,105.0,42.0,19.01,94.5,17
HCPCS,80365,80365 OXYCODONE LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80365,DRUG SCREENING OXYCODONE,105.0,42.0,31.91,94.5,17
HCPCS,80366,80366 PREGABALIN LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80367,80367 PROPOXYPHENE LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80367,DRUG SCREENING PROPOXYPHENE,100.0,40.0,29.32,90.0,17
HCPCS,80368,80368 SEDATIVE HYPNOTICS NONBENZODIAZEPINES LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80369,80369 SKELETAL MUSCLE RELAXANTS LEVELS,100.0,40.0,28.78,90.0,17
HCPCS,80370,80370 SKELETAL MUSCLE RELAXANTS LEVELS,30.0,12.0,12.0,30.0,17
HCPCS,80373,80373 TRAMADOL LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80373,DRUG SCREENING TRAMADOL,100.0,40.0,25.87,90.0,17
HCPCS,80375,80375 DRUGS OR SUBSTANCES MEASUREMENT,30.0,12.0,12.0,30.0,17
HCPCS,80375,ACYCLOVIR QUALITATIVE,30.0,12.0,12.0,30.0,17
HCPCS,80375,AZATHIOPRINE IMURAN LEVEL,47.0,18.8,18.8,42.3,17
HCPCS,80375,BROMIDE QUALITATIVE,30.0,12.0,12.0,30.0,17
HCPCS,80375,COLCHICINE LEVEL NOT OTHERWISE SPECIFIED,30.0,12.0,12.0,30.0,17
HCPCS,80375,ISONIAZID LEVEL,45.0,18.0,18.0,40.5,17
HCPCS,80375,LEVAMISOLE LEVEL,43.0,17.2,17.2,40.5,17
HCPCS,80375,LOPERAMIDE LEVEL,50.0,20.0,20.0,45.0,17
HCPCS,80375,METHOTREXATEPOLYGLUTAMATE LEVEL,30.0,12.0,12.0,30.0,17
HCPCS,80375,MITOTANE LEVEL NOT OTHERWISE SPECIFIED,47.0,18.8,18.8,42.3,17
HCPCS,80375,PROPANOLOL QUALITATIVE,30.0,12.0,12.0,30.0,17
HCPCS,80377,80377 DRUGS OR SUBSTANCES MEASUREMENT,30.0,12.0,12.0,30.0,17
HCPCS,80435,80435 INSULIN TOLERANCE PANEL FOR GROWTH HORMONE DEFICIENCY,257.0,102.8,95.48,257.5,33
HCPCS,81000,81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE,20.0,8.0,3.73,18.0,33
HCPCS,81001,URINALYSIS AUTO W/SCOPE,103.0,41.2,2.94,92.7,33
HCPCS,81002,81002 URINALYSIS,36.0,14.4,3.22,32.4,33
HCPCS,81003,81003 AUTOMATED URINALYSIS TEST,61.0,24.4,2.09,54.9,33
HCPCS,81005,81005 ANALYSIS OF URINE,25.0,10.0,2.01,22.5,33
HCPCS,81015,81015 URINALYSIS USING MICROSCOPE,25.0,10.0,2.83,22.5,33
HCPCS,81025,81025 URINE PREGNANCY TEST,26.0,10.4,7.98,24.19,33
HCPCS,81050,81050 URINE VOLUME MEASUREMENT,25.0,10.0,3.38,22.5,33
HCPCS,81105,81105 GENE ANALYSIS HUMAN PLATELET ANTIGEN 1 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81106,81106 GENE ANALYSIS HUMAN PLATELET ANTIGEN 2 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81107,81107 GENE ANALYSIS HUMAN PLATELET ANTIGEN 3 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81108,81108 GENE ANALYSIS HUMAN PLATELET ANTIGEN 4 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81109,81109 GENE ANALYSIS HUMAN PLATELET ANTIGEN 5 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81110,81110 GENE ANALYSIS HUMAN PLATELET ANTIGEN 6 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81111,81111 GENE ANALYSIS HUMAN PLATELET ANTIGEN 9 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81112,81112 GENE ANALYSIS HUMAN PLATELET ANTIGEN 15 FOR COMMON VARIANT,306.0,122.4,122.22,306.0,26
HCPCS,81120,81120 GENE ANALYSIS ISOCITRATE DEHYDROGENASE 1 [NADP+],30.0,12.0,17.4,75.0,26
HCPCS,81121,81121 GENE ANALYSIS ISOCITRATE DEHYDROGENASE 2 [NADP+],30.0,12.0,17.4,75.0,32
HCPCS,81161,81161 GENE ANALYSIS DYSTROPHIN,30.0,12.0,17.4,75.0,32
HCPCS,81161,DMD DEL/DUP ANALYSIS,698.0,279.2,168.17,698.0,32
HCPCS,81162,81162 GENE ANALYSIS BREAST CANCER 1 2 FULL SEQUENCE ANALYSIS DUPLICATION,1824.88,729.95,1058.43,4562.2,33
HCPCS,81165,81165 GENE ANALYSIS BREAST CANCER 1 OF FULL SEQUENCE,34.0,13.6,19.72,85.0,26
HCPCS,81170,81170 GENE ANALYSIS ABL PROTOONCOGENE 1,750.0,300.0,278.1,750.0,32
HCPCS,81173,AR GENE ANALYSIS FULL GENE SEQUENCE,753.0,301.2,301.35,753.38,26
HCPCS,81175,81175 GENE ANALYSIS ADDITIONAL SEX COMBS LIKE 1,676.5,270.6,392.37,1691.25,26
HCPCS,81178,ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES,137.0,54.8,79.46,342.5,26
HCPCS,81179,81179 GENE ANALYSIS ATAXIN 2 FOR ABNORMAL ALLELES,137.0,54.8,79.46,342.5,26
HCPCS,81179,ATXN2 GENE DETC ABNOR ALLELE,137.0,54.8,79.46,342.5,26
HCPCS,81180,ATXN3 GENE DETC ABNOR ALLELE,137.0,54.8,79.46,342.5,26
HCPCS,81181,81181 GENE ANALYSIS ATAXIN 7 FOR ABNORMAL ALLELES,137.0,54.8,79.46,342.5,26
HCPCS,81182,ATXN8OS GEN DETC ABNOR ALLEL,137.0,54.8,79.46,342.5,26
HCPCS,81184,CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES,137.0,54.8,79.46,342.5,26
HCPCS,81185,81185 GENE ANALYSIS CALCIUM VOLTAGEGATED CHANNEL SUBUNIT ALPHA1 A,846.27,338.51,490.84,2115.68,26
HCPCS,81187,81187 GENE ANALYSIS CCHTYPE ZINC FINGER NUCLEIC ACID BINDING PROTEIN ABNMAL,137.0,54.8,79.46,342.5,26
HCPCS,81188,81188 GENE ANALYSIS CYSTATIN B FOR ABNORMAL ALLELES,343.0,137.2,137.0,343.0,26
HCPCS,81189,81189 GENE ANALYSIS CYSTATIN B OF FULL SEQUENCE,274.83,109.93,159.4,687.08,26
HCPCS,81200,81200 GENE ANALYSIS ASPARTOACYLASE,47.25,18.9,27.41,118.13,32
HCPCS,81201,81201 GENE ANALYSIS ADENOMATOUS POLYPOSIS COLI,780.0,312.0,452.4,1950.0,32
HCPCS,81202,81202 GENE ANALYSIS ADENOMATOUS POLYPOSIS COLI,400.0,160.0,232.0,700.0,32
HCPCS,81203,81203 GENE ANALYSIS ADENOMATOUS POLYPOSIS COLI,200.0,80.0,116.0,500.0,32
HCPCS,81204,AR GENE CHARAC ALLELES,30.0,12.0,17.4,75.0,26
HCPCS,81205,81205 GENE ANALYSIS BRANCHEDCHAIN KETO ACID DEHYDROGENASE E1,238.0,95.2,88.05,238.0,32
HCPCS,81206,81206 TRANSLOCATION ANALYSIS BCR/ABL1 MAJOR BREAKPOINT,410.0,164.0,151.99,410.0,32
HCPCS,81207,81207 TRANSLOCATION ANALYSIS BCR/ABL1 MINOR BREAKPOINT,362.0,144.8,134.27,362.1,32
HCPCS,81208,81208 TRANSLOCATION ANALYSIS BCR/ABL1 OTHER BREAKPOINT,537.0,214.8,198.95,537.0,32
HCPCS,81209,81209 GENE ANALYSIS BLOOM SYNDROME,100.0,40.0,36.44,100.0,32
HCPCS,81210,81210 GENE ANALYSIS VRAF MURINE SARCOMA VIRAL ONCOGENE HOMOLOG B1,439.0,175.6,175.4,439.0,26
HCPCS,81212,81212 GENE ANALYSIS BREAST CANCER 1 AND 2 FOR 185DELAG,582.0,232.8,212.04,1100.0,26
HCPCS,81216,81216 GENE ANALYSIS BREAST CANCER 2 OF FULL SEQUENCE,30.0,12.0,17.4,75.0,26
HCPCS,81218,81218 GENE ANALYSIS CCAAT/ENHANCER BINDING PROTEIN [C/EBP],241.9,96.76,140.3,604.75,32
HCPCS,81219,81219 GENE ANALYSIS CALRETICULIN,304.0,121.6,121.63,304.08,26
HCPCS,81220,81220 GENE ANALYSIS CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULAR COMMONS,348.0,139.2,201.84,870.0,33
HCPCS,81220,INHERITEST CFTR GENE ANALYSIS,117.0,46.8,67.86,529.77,33
HCPCS,81222,81222 GENE ANALYSIS CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULAR DUP,435.07,174.03,252.34,1087.68,33
HCPCS,81222,CFTR GENE DUP/DELET VARIANTS,435.07,174.03,252.34,1087.68,33
HCPCS,81223,81223 GENE ANALYSIS CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULAR FULL GENE,499.0,199.6,289.42,1415.53,33
HCPCS,81226,81226 GENE ANALYSIS CYTOCHROME P450,1136.0,454.4,417.99,1136.0,32
HCPCS,81227,81227 GENE ANALYSIS CYTOCHROME P450,437.0,174.8,162.05,437.03,32
HCPCS,81228,CYTOGEN MICRARRAY COPY NMBR,1457.0,582.8,845.06,2250.0,26
HCPCS,81229,81229 GENOMEWIDE MICROARRAY ANALYSIS COPY NUMBER SINGLE NUCLEOTIDE POLYMP,1160.0,464.0,672.8,2900.0,32
HCPCS,81232,81232 GENE ANALYSIS DIHYDROPYRIMIDINE DEHYDROGENASE FOR COMMON VARIANT,437.0,174.8,174.81,437.03,26
HCPCS,81234,81234 GENE ANALYSIS DM1 PROTEIN KINASE FOR ABNORMAL ALLELES,137.0,54.8,79.46,342.5,26
HCPCS,81235,81235 GENE ANALYSIS EPIDERMAL GROWTH FACTOR RECEPTOR,811.0,324.4,300.88,811.45,32
HCPCS,81238,F9 FULL GENE SEQUENCE,1500.0,600.0,600.0,1500.0,26
HCPCS,81240,81240 GENE ANALYSIS PROTHROMBIN,165.0,66.0,60.89,165.0,33
HCPCS,81241,81241 GENE ANALYSIS COAGULATION FACTOR V LEIDEN VARIANT,184.0,73.6,68.01,184.0,33
HCPCS,81242,81242 GENE ANALYSIS FANCONI ANEMIA,100.0,40.0,33.95,100.0,32
HCPCS,81242,FANCC GENE,100.0,40.0,33.95,100.0,32
HCPCS,81243,81243 GENE ANALYSIS FRAGILE X MENTAL RETARDATION ABNORMAL ALLELES,57.04,22.82,33.08,142.6,32
HCPCS,81243,INHERITEST FMRQ GENE ANALYSIS,57.04,22.82,33.08,142.6,32
HCPCS,81244,81244 GENE ANALYSIS FRAGILE X MENTAL RETARDATION 1 CHARACTERIZATION OF ALLELES,112.0,44.8,41.61,112.23,32
HCPCS,81245,81245 GENE ANALYSIS FMSRELATED TYROSINE KINASE 3 INTERNAL TEM DUPLICATIONS,414.0,165.6,153.43,414.0,32
HCPCS,81246,81246 TEST FOR DETECTING GENES ASSOCIATED WITH BLOOD CANCER,208.0,83.2,76.94,208.0,32
HCPCS,81250,81250 GENE ANALYSIS GLUCOSE6PHOSPHATASE,146.0,58.4,54.22,146.23,32
HCPCS,81251,81251 GENE ANALYSIS GLUCOSIDASE,30.0,12.0,17.4,75.0,32
HCPCS,81252,81252 GENE ANALYSIS GAP JUNCTION PROTEIN,101.12,40.45,58.65,252.8,32
HCPCS,81252,GJB2 GENE FULL SEQUENCE,101.12,40.45,58.65,252.8,32
HCPCS,81253,81253 GENE ANALYSIS GAP JUNCTION PROTEIN,154.0,61.6,57.03,154.0,32
HCPCS,81254,81254 GENE ANALYSIS GAP JUNCTION PROTEIN,35.0,14.0,20.3,87.5,32
HCPCS,81254,GJB6 GENE COM VARIANTS,35.0,14.0,20.3,87.5,32
HCPCS,81255,81255 GENE ANALYSIS HEXOSAMINIDASE A COMMON VARIANTS,30.0,12.0,17.4,75.0,32
HCPCS,81256,81256 GENE ANALYSIS HEMOCHROMATOSIS COMMON VARIANTS,164.0,65.6,60.58,164.0,32
HCPCS,81257,81257 GENE ANALYSIS ALPHA GLOBIN 1 ALPHA GLOBIN 2 COMMON DELETIONS OR VARIANT,256.0,102.4,94.79,256.0,32
HCPCS,81257,HBA1/HBA2 GENE,256.0,102.4,94.79,256.0,32
HCPCS,81259,HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE,1500.0,600.0,600.0,1500.0,26
HCPCS,81260,81260 GENE ANALYSIS INHIBITOR OF KAPPA LIGHT POLYPEPTIDE GENE ENHANCER IN BCELL,100.0,40.0,36.44,100.0,32
HCPCS,81260,CMT NEUROPATHY IKBKAP GENE ANALYSIS,100.0,40.0,36.44,100.0,32
HCPCS,81261,81261 GENE REARRANGEMENT ANALYSIS IMMUNOGLOBULIN HEAVY CHAIN LOCUS TO DETECT,297.0,118.8,172.26,494.98,32
HCPCS,81261,IGH GENE REARRANGE AMP METH,30.0,12.0,17.4,75.0,32
HCPCS,81262,81262 GENE REARRANGEMENT ANALYSIS IMMUNOGLOBULIN HEAVY CHAIN LOCUS TO DETECT,172.0,68.8,63.55,172.0,32
HCPCS,81263,81263 GENE REARRANGEMENT ANALYSIS IMMUNOGLOBULIN HEAVY CHAIN LOCUS,680.0,272.0,273.02,736.3,32
HCPCS,81263,IGH VARI REGIONAL MUTATION,30.0,12.0,17.4,75.0,32
HCPCS,81264,IGK REARRANGEABN CLONAL POP,30.0,12.0,17.4,75.0,32
HCPCS,81265,81265 COMPARATIVE ANALYSIS USING SHT TEM REPEAT STR MARKERS OF PATIENT SPECIMEN,233.07,93.23,135.18,582.68,32
HCPCS,81267,81267 CHIMERISM ANALYSIS POST TRANSPLANTATION,518.0,207.2,192.31,518.65,32
HCPCS,81268,81268 CHIMERISM ANALYSIS POST TRANSPLANTATION,850.0,340.0,241.75,826.32,32
HCPCS,81269,HBA1/HBA2 GENE DUP/DEL VRNTS,506.0,202.4,202.4,506.0,52
HCPCS,81270,81270 GENE ANALYSIS JANUS KINASE 2 VARIANT,229.0,91.6,84.96,229.15,32
HCPCS,81271,HTT GENE ANALYSIS DETECT ABNORMAL ALLELES,343.0,137.2,137.0,343.0,26
HCPCS,81273,81273 GENE ANALYSIS VKIT HARDYZUCKERMAN 4 FELINE SARCOMA VIRAL,313.0,125.2,115.75,313.0,32
HCPCS,81275,81275 GENE ANALYSIS VKIRAS2 KIRSTEN RAT SARCOMA VIRAL ONCOGENES IN CODONS,484.0,193.6,179.15,484.0,33
HCPCS,81276,81276 GENE ANALYSIS KIRSTEN RAT SARCOMA VIRAL ONCOGENE HOMOLOG,30.0,12.0,17.4,183.94,33
HCPCS,81277,81277 CANCER CYTOGENOMIC ARRAY GENE ANALYSIS,2156.0,862.4,1075.32,2900.0,32
HCPCS,81278,IGH@/BCL2 TRANSLOCATION ALYS,311.0,124.4,180.38,518.28,32
HCPCS,81279,JAK2 EXON 12 SEQUENCE AND EXON 13 SEQUENCE,463.0,185.2,171.68,463.0,32
HCPCS,81283,81283 GENE ANALYSIS INTERFERON,184.0,73.6,68.01,184.0,32
HCPCS,81284,FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES,137.0,54.8,79.46,342.5,26
HCPCS,81286,FXN GENE ANALYSIS FULL GENE SEQUENCE,274.83,109.93,159.4,687.08,26
HCPCS,81287,81287 GENE ANALYSIS O6METHYLGUANINEDNA METHYLTRANSFERASE,312.0,124.8,99.61,312.0,32
HCPCS,81288,HYPERMETHYLATION ANALYSIS TUMOR,453.7,181.48,178.28,480.8,32
HCPCS,81290,81290 GENE ANALYSIS MUCOLIPIN 1 COMMON VARIANTS,100.0,40.0,36.44,100.0,32
HCPCS,81290,MCOLN1 GENE,100.0,40.0,36.44,100.0,32
HCPCS,81291,81291 GENE ANALYSIS 5,163.0,65.2,65.34,163.35,26
HCPCS,81292,81292 GENE ANALYSIS MUTL HOMOLOG 1,675.4,270.16,391.73,1688.5,32
HCPCS,81292,MLH1 GENE FULL SEQ,675.4,270.16,391.73,1688.5,32
HCPCS,81293,81293 GENE ANALYSIS MUTL HOMOLOG 1,828.0,331.2,296.88,828.0,32
HCPCS,81294,81294 GENE ANALYSIS MUTL HOMOLOG 1,202.4,80.96,117.39,506.0,32
HCPCS,81294,MLH1 GENE DUP/DELETE VARIANT,202.4,80.96,117.39,506.0,32
HCPCS,81295,81295 GENE ANALYSIS MUTS HOMOLOG 2,381.7,152.68,182.05,954.25,26
HCPCS,81295,MSH2 GENE FULL SEQ,381.7,152.68,182.05,954.25,26
HCPCS,81296,81296 GENE ANALYSIS MUTS HOMOLOG 2,845.0,338.0,155.44,845.0,26
HCPCS,81301,81301 MICROSATELLITE INSTABILITY ANALYSIS,870.0,348.0,323.11,871.4,32
HCPCS,81302,81302 GENE ANALYSIS METHYL CPG BINDING PROTEIN 2 FULL SEQUENCE ANALYSIS,527.87,211.15,306.16,1319.68,32
HCPCS,81303,81303 GENE ANALYSIS METHYL CPG BINDING PROTEIN 2 KNOWN FAMILIAL VARIANT,300.0,120.0,111.24,300.0,32
HCPCS,81304,81304 GENE ANALYSIS METHYL CPG BINDING PROTEIN 2 DUPLICATION DELETION VARIANTS,150.0,60.0,87.0,375.0,32
HCPCS,81305,81305 GENE ANALYSIS MYELOID DIFFERENTIATION PRIMARY RESPONSE 88 PLEU265PRO,439.0,175.6,175.4,439.0,26
HCPCS,81306,TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS,1165.0,466.0,270.09,1048.5,32
HCPCS,81307,PALB2 GENE FULL GENE SEQ,676.5,270.6,280.83,1691.25,26
HCPCS,81310,81310 GENE ANALYSIS NUCLEOPHOSMIN EXON 12 VARIANTS,617.0,246.8,228.53,617.0,32
HCPCS,81311,81311 GENE ANALYSIS FOR CANCER NEUROBLASTOMA,30.0,12.0,17.4,75.0,32
HCPCS,81312,PABPN1 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES,137.0,54.8,79.46,342.5,26
HCPCS,81315,81315 TRANSLOCATION ANALYSIS PMLRARA REGULATED ADAPT MOLECULE 1 COMMON,518.0,207.2,192.18,518.28,32
HCPCS,81316,81316 TRANSLOCATION ANALYSIS PMLRARA REGULATED ADAPT MOLECULE 1 SINGLE,518.0,207.2,192.18,518.28,32
HCPCS,81321,81321 GENE ANALYSIS PHOSPHATASE AND TENSIN HOMOLOG,600.0,240.0,348.0,1500.0,32
HCPCS,81322,81322 GENE ANALYSIS PHOSPHATASE AND TENSIN HOMOLOG,116.0,46.4,43.2,116.5,32
HCPCS,81323,81323 GENE ANALYSIS PHOSPHATASE AND TENSIN HOMOLOG,300.0,120.0,105.12,750.0,32
HCPCS,81324,81324 GENE ANALYSIS PERIPHERAL MYELIN PROTEIN 22,758.36,303.34,439.85,1895.9,32
HCPCS,81325,PMP22 GENE FULL SEQUENCE,769.58,307.83,446.36,1923.95,32
HCPCS,81326,81326 GENE ANALYSIS PERIPHERAL MYELIN PROTEIN 22,116.0,46.4,43.2,116.5,32
HCPCS,81329,81329 GENE ANALYSIS SURVIVAL OF MOTOR NEURON 1,137.0,54.8,79.46,342.5,26
HCPCS,81331,81331 METHYLATION ANALYSIS SMALL NUCLEAR RIBONUCLEOPROTEIN POLYPEPTIDE N,51.07,20.43,29.62,127.68,32
HCPCS,81332,81332 GENE ANALYSIS SERPIN PEPTIDASE INHIBITOR,109.0,43.6,40.47,109.13,32
HCPCS,81334,RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS,824.0,329.6,305.46,824.0,32
HCPCS,81335,81335 GENE ANALYSIS THIOPURINE SMETHYLTRANSFERASE FOR COMMON VARIANT,437.0,174.8,162.05,437.03,32
HCPCS,81336,SMN1 GENE FULL GENE SEQUENCE,301.35,120.54,174.78,753.38,26
HCPCS,81337,SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS,185.2,74.08,107.42,463.0,26
HCPCS,81339,81339 GENE ANALYSIS MPL PROTOONCOGENE,463.0,185.2,171.68,463.0,32
HCPCS,81340,81340 GENE ANALYSIS T CELL ANTIGEN RECEPTOR BETA AMPLIFICATION METHODOLOGY,522.0,208.8,193.67,522.3,32
HCPCS,81342,81342 GENE REARRANGEMENT ANALYSIS DETECTION ABNMAL CLONAL POPULATION T,504.0,201.6,186.79,504.0,32
HCPCS,81350,UGT1A1 GENE COMMON VARIANTS,585.0,234.0,216.92,585.0,32
HCPCS,81351,81351 GENE ANALYSIS TUMOR PROTEIN 53 FULL SEQUENCE ANALYSIS,753.0,301.2,436.74,1604.63,32
HCPCS,81352,GENE ANALYSIS TUMOR PROTEIN 53 TARGETED SEQUENCE ANALYSIS,824.0,329.6,305.46,824.0,32
HCPCS,81355,81355 GENE ANALYSIS VITAMIN K EPOXIDE REDUCTASE COMPLEX SUBUNIT 1 COMMON,221.0,88.4,81.76,221.0,32
HCPCS,81361,HBB COMMON VARIANTS,34.0,13.6,19.72,85.0,32
HCPCS,81363,HBB GENE DUP/DEL VARIANTS,506.0,202.4,202.4,506.0,26
HCPCS,81364,81364 GENE ANALYSIS HEMOGLOBIN,811.0,324.4,324.58,811.45,26
HCPCS,81364,HBB FULL GENE SEQUENCE,30.0,12.0,17.4,75.0,26
HCPCS,81370,81370 HLA CLASS I AND II TYPING LOW RESOLUTION HLAA,1764.0,705.6,372.77,1587.6,33
HCPCS,81372,81372 HLA CLASS I TYPING LOW RESOLUTION,1000.0,400.0,361.63,1008.98,33
HCPCS,81373,81373 HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS,319.0,127.6,118.13,319.0,33
HCPCS,81375,81375 HLA CLASS II TYPING LOW RESOLUTION HLADRB1/3/4/5 AND DQB1,552.0,220.8,204.63,552.0,33
HCPCS,81376,81376 HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS,435.0,174.0,113.3,391.5,33
HCPCS,81378,HLA I AND II TYPING HR,864.0,345.6,320.34,864.0,33
HCPCS,81379,81379 HLA CLASS I TYPING HIGH RESOLUTION,839.0,335.6,310.9,839.0,33
HCPCS,81379,HLA I TYPING COMPLETE HR,839.0,335.6,310.9,839.0,33
HCPCS,81380,81380 HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS,443.0,177.2,164.32,443.13,33
HCPCS,81380,HLA I TYPING 1 LOCUS HR,443.0,177.2,164.32,443.13,33
HCPCS,81381,81381 HLA CLASS I TYPING HIGH RESOLUTION ONE ALLELE OR ALLELE GROUP,425.0,170.0,154.84,425.0,33
HCPCS,81381,HLA I TYPING 1 ALLELE HR,425.0,170.0,154.84,425.0,66
HCPCS,81382,81382 HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS,309.0,123.6,114.65,309.2,33
HCPCS,81382,HC HLA CLS I TYPNG HI RES DRB1/DQB1,309.0,123.6,114.65,309.2,33
HCPCS,81382,HC HLA CLS II TYPING HI RES DR/DQ LOCUS EACH,309.0,123.6,114.65,309.2,33
HCPCS,81382,HLA II TYPING 1 LOC HR,309.0,123.6,114.65,309.2,132
HCPCS,81383,81383 HLA CLASS II TYPING HIGH RESOLUTION ONE ALLELE OR ALLELE GROUP,273.0,109.2,101.17,273.0,33
HCPCS,81400,81400 MOLECULAR PATHOLOGY PROCEDURE LEVEL 1,160.0,64.0,63.96,160.0,26
HCPCS,81400,GENERIC 81400 ADD DESCRIPTION,160.0,64.0,63.96,160.0,26
HCPCS,81400,MOPATH PROCEDURE LEVEL 1,160.0,64.0,63.96,160.0,78
HCPCS,81401,81401 MOLECULAR PATHOLOGY PROCEDURE LEVEL 2,137.0,54.8,79.46,342.5,26
HCPCS,81401,AFF2 MED12 GENE SEQ FOR XLID,137.0,54.8,79.46,342.5,26
HCPCS,81401,APOE GENOTYPE TEST,137.0,54.8,79.46,342.5,26
HCPCS,81401,BECKWITHWIEDEMANN MOLECULAR ANALYSIS,137.0,54.8,79.46,342.5,26
HCPCS,81401,DMPK DNA TEST,137.0,54.8,79.46,342.5,26
HCPCS,81401,FRIEDRICH ATAXIA REPEAT EXPANSION ANALYSIS,137.0,54.8,79.46,342.5,26
HCPCS,81401,GENERIC 81401 ADD DESCRIPTION,137.0,54.8,79.46,342.5,26
HCPCS,81401,HC MOLECULAR PATHOLOGY PROC LEV 2,137.0,54.8,79.46,342.5,26
HCPCS,81401,HTT GENE SEQUENCING,137.0,54.8,79.46,342.5,26
HCPCS,81401,INHERITEST SMN1 GENE ANALYSIS,113.0,45.2,65.54,282.5,26
HCPCS,81401,MOPATH PROCEDURE LEVEL 2,137.0,54.8,79.46,342.5,156
HCPCS,81401,RHABODOMYOLYSIS/MYOGLOBINURIA/MALIGNANT HPERTHERMIA GENE ANALYSIS,137.0,54.8,79.46,342.5,26
HCPCS,81401,RUSSELL SILVER SYNDROME MOLECULAR ANALYSIS,137.0,54.8,79.46,342.5,26
HCPCS,81401,SCA1 REPEAT EXPANSION ANALYSIS,137.0,54.8,79.46,342.5,26
HCPCS,81401,SCA2 EXPANSION ANALYSIS,137.0,54.8,79.46,342.5,26
HCPCS,81401,SMA PLUS COPY NUMBER CHANGES,137.0,54.8,79.46,342.5,26
HCPCS,81401,TPMT GENETICS,137.0,54.8,79.46,342.5,26
HCPCS,81402,CYP21A2 GENE DELETION,450.0,180.0,150.33,422.43,26
HCPCS,81402,DPD GENE MUTATION ANALYSIS,375.0,150.0,150.33,375.83,26
HCPCS,81402,GENERIC 81402 ADD DESCRIPTION,375.0,150.0,150.33,375.83,26
HCPCS,81402,MOPATH PROCEDURE LEVEL 3,375.0,150.0,150.33,375.83,26
HCPCS,81402,MPL MUTATION ANALYSIS,375.0,150.0,150.33,375.83,26
HCPCS,81402,UNIPARENTAL DISOMY,375.0,150.0,150.33,375.83,26
HCPCS,81403,81403 MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,185.2,74.08,107.42,463.0,26
HCPCS,81403,ALS AND FRONTOTEMPORAL DEMENTIA SEQ PANEL ANG GENE,185.2,74.08,107.42,463.0,26
HCPCS,81403,CAMT CARRIER TESTING,185.2,74.08,107.42,463.0,26
HCPCS,81403,COMPREHENSIVE EPILEPSY PANEL 1,185.2,74.08,107.42,463.0,26
HCPCS,81403,GENERIC 81403 ADD DESCRIPTION,185.0,74.0,107.3,462.5,26
HCPCS,81403,HC FBN1 GENE SEQUENCE,185.2,74.08,107.42,463.0,26
HCPCS,81403,HC MYH7 GENE SEQUENCING,185.2,74.08,107.42,463.0,26
HCPCS,81403,HC PTPN11 GENE SEQUENCING,185.2,74.08,107.42,463.0,26
HCPCS,81403,IDS GENE SEQ HUNTERS SYNDROME,185.2,74.08,107.42,463.0,26
HCPCS,81403,JAK2 EXON 12 AND NONV617F MUTATION,185.2,74.08,107.42,463.0,26
HCPCS,81403,KCNJ2 GENE SEQ,185.2,74.08,107.42,463.0,26
HCPCS,81403,MOPATH PROCEDURE LEVEL 4,185.2,74.08,107.42,463.0,104
HCPCS,81403,NEUROMUSCULAR/CONGENITAL MYOPATHY GENE ANALYSIS,185.2,74.08,107.42,463.0,26
HCPCS,81403,PALB2 GENE SEQUENCING,185.2,74.08,107.42,463.0,26
HCPCS,81403,SD DELETION/DUPLICATION,185.2,74.08,107.42,463.0,26
HCPCS,81403,SDHB DELETION/DUPLICATION,185.2,74.08,107.42,463.0,26
HCPCS,81403,SDHD DELETION/DUPLICATION,185.2,74.08,107.42,463.0,26
HCPCS,81403,VWF EXON 28 SEQUENCING,185.2,74.08,107.42,463.0,26
HCPCS,81404,81404 MOLECULAR PATHOLOGY PROCEDURE LEVEL 5,274.83,109.93,159.4,687.08,26
HCPCS,81404,ALS AND FRONTOTEMPORAL DEMENTIA SEQ PANEL SOD1 GENE,274.83,109.93,159.4,687.08,26
HCPCS,81404,ARX GENE SEQUENCING,274.83,109.93,159.4,687.08,26
HCPCS,81404,CARDIAC ARRHYTHMIA NGS CAV3 SCN1B,274.83,109.93,159.4,687.08,26
HCPCS,81404,CAV3 GENE SEQ,274.83,109.93,159.4,687.08,26
HCPCS,81404,CAV3 NEXTGEN SEQUENCING,274.83,109.93,159.4,687.08,26
HCPCS,81404,COMPREHENSIVE EPILEPSY PANEL 2,274.83,109.93,159.4,687.08,26
HCPCS,81404,FHL1 GENE SEQUENCING,274.83,109.93,159.4,687.08,26
HCPCS,81404,FKRP NEXTGEN SEQUENCING,274.83,109.93,159.4,687.08,26
HCPCS,81404,FSHD ALLELE SIZE AND HAPLOTYPE,274.83,109.93,159.4,687.08,26
HCPCS,81404,GENE ANALYSIS ACTG1 CCND2 ARX FKRP POMGNT2 POMK TUBB,274.83,109.93,159.4,687.08,26
HCPCS,81404,GENERIC 81404 ADD DESCRIPTION,274.83,109.93,159.4,687.08,26
HCPCS,81404,HC MOLECULAR PATHOLOGY PROC LEV 5,274.83,109.93,159.4,687.08,26
HCPCS,81404,MEFV GENE SEQUENCING,274.83,109.93,159.4,687.08,26
HCPCS,81404,MOPATH PROCEDURE LEVEL 5,274.83,109.93,159.4,687.08,468
HCPCS,81404,SCO2 GENE SEQUENCING,274.83,109.93,159.4,687.08,26
HCPCS,81404,SD MPLA,274.83,109.93,159.4,687.08,26
HCPCS,81404,SDHD MPLA,274.83,109.93,159.4,687.08,26
HCPCS,81404,SLC16A2 PQB1 NLGN4X ARX NDP NDUFA1 GENE SEQ FOR SLID,274.83,109.93,159.4,687.08,26
HCPCS,81405,81405 MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 GENETIC ANALYSIS,301.35,120.54,174.78,753.38,26
HCPCS,81405,ABCD1 GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,ACADS GENE SEQUENCE,301.35,120.54,174.78,753.38,26
HCPCS,81405,ALS AND FRONTOTEMPORAL DEMENTIA SEQ PANEL PSEN1 TARDP GENES,301.35,120.54,174.78,753.38,26
HCPCS,81405,CARDIAC ARRHYTHMIA NGS CASQ2 DES,301.35,120.54,174.78,753.38,26
HCPCS,81405,CARDIO PANEL ACTC1 BAG3 CAV3 CRYAB CSRP3 DES EMD FKTN GATAD1 GLA,301.35,120.54,174.78,753.38,26
HCPCS,81405,CASR GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,COMPREHENSIVE EPILEPSY PANEL 3,301.35,120.54,174.78,753.38,26
HCPCS,81405,CYP21A2 GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,DCX GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,DES NEXTGEN SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,FABRY DISEASE VIA GLA GENE,1040.0,416.0,301.35,936.0,26
HCPCS,81405,FACTOR 9 MUTATION SCREEN,301.35,120.54,174.78,753.38,26
HCPCS,81405,GENE ANALYSIS ACTB B4GAT1 DCX FKTN GMPPB ISPD KIK1BP,301.35,120.54,174.78,753.38,26
HCPCS,81405,GENERIC 81405 ADD DESCRIPTION,301.35,120.54,174.78,753.38,26
HCPCS,81405,HC EYA1 GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,HC MOLECULAR PATHOLOGY PROC LEV 6,301.35,120.54,174.78,753.38,26
HCPCS,81405,HC RHABDOMYOLYSIS/MYBLOBINURIA MALG GENE ANALYSIS,301.35,120.54,174.78,753.38,26
HCPCS,81405,ISPD NEXTGEN SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,MOPATH PROCEDURE LEVEL 6,301.35,120.54,174.78,753.38,598
HCPCS,81405,MYOT GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,NEUROMUSCU/CONGENITAL MYOPATHY GENE ANALYSIS,301.35,120.54,174.78,753.38,26
HCPCS,81405,NF2 DELETION/DUPLICATION,301.35,120.54,174.78,753.38,26
HCPCS,81405,PCDH19 OTC DCX FTSSJ1 IDS LAMP2 NLGN3 GENE SEQ FOR XLID,301.35,120.54,174.78,753.38,26
HCPCS,81405,PNPLA2 NEXTGEN SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,SD GENE SEQ,301.35,120.54,174.78,753.38,26
HCPCS,81405,SGCA NEXTGEN SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,SGCB NGS,301.35,120.54,174.78,753.38,26
HCPCS,81405,SGCD NEXTGEN SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,SGCG NEXTGEN SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,SMA PLUS SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,TBX5 GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81405,TK2 GENE SEQUENCING,301.35,120.54,174.78,753.38,26
HCPCS,81406,81406 MOLECULAR PATHOLOGY PROCEDURE LEVEL 7,282.88,113.15,164.07,707.2,26
HCPCS,81406,ANO5 NEXTGEN SEQUENCING,282.88,113.15,164.07,707.2,26
HCPCS,81406,CADASIL COMPLETE EVAL,282.88,113.15,164.07,707.2,26
HCPCS,81406,CAPN3 NGS,282.88,113.15,164.07,707.2,26
HCPCS,81406,COMPREHENSIVE EPILEPSY PANEL 4,282.88,113.15,164.07,707.2,26
HCPCS,81406,CONGENITAL MYASTHENIA PANEL GENE ANALYSIS,282.88,113.15,164.07,707.2,26
HCPCS,81406,GENERIC 81406 ADD DESCRIPTION,282.88,113.15,164.07,707.2,26
HCPCS,81406,HC MOLECULAR PATHOLOGY PROC LEV 7,282.88,113.15,164.07,707.2,26
HCPCS,81406,HC MYOGLOBINURIA/MALIGNANT/RHABDOMYOLYSIS HYPERTHERMIA GENE ANALY,282.88,113.15,164.07,707.2,26
HCPCS,81406,HC NEUROMUSCU/CONGENITAL MYOPATH GENE ANALY,282.88,113.15,164.07,707.2,26
HCPCS,81406,KCNQ1 KCNH2 GENE SEQ,282.88,113.15,164.07,707.2,26
HCPCS,81406,LDB3 GENE SEQUENCING,282.88,113.15,164.07,707.2,26
HCPCS,81406,LMNA NEXTGEN SEQUENCING,282.88,113.15,164.07,707.2,26
HCPCS,81406,MOPATH PROCEDURE LEVEL 7,282.88,113.15,164.07,707.2,104
HCPCS,81406,NPHP1 GENE SEQUENCING,282.88,113.15,164.07,707.2,26
HCPCS,81406,PAFAH1B1 GENE SEQ,282.88,113.15,164.07,707.2,26
HCPCS,81406,POMGNT1 GENE SEQUENCING,282.88,113.15,164.07,707.2,26
HCPCS,81406,POMT2 GENE SEQUENCING,282.88,113.15,164.07,707.2,26
HCPCS,81406,TSC1 FULL GENE SEQUENCING,282.88,113.15,164.07,707.2,26
HCPCS,81406,TSC2 DELETION/DUPLICATION,282.88,113.15,164.07,707.2,26
HCPCS,81406,VWF 2A SCREENING PANEL,282.88,113.15,164.07,707.2,26
HCPCS,81406,WAS GENE ANALYSIS,282.88,113.15,164.07,707.2,26
HCPCS,81407,81407 MOLECULAR PATHOLOGY PROCEDURE LEVEL 8,846.27,338.51,490.84,2115.68,26
HCPCS,81407,AHI1 GENE SEQUENCING,846.27,338.51,490.84,2115.68,26
HCPCS,81407,CACNA1C GENE SEQ,846.27,338.51,490.84,2115.68,26
HCPCS,81407,COL6A1 GENE SEQUENCING,846.27,338.51,490.84,2115.68,26
HCPCS,81407,COL6A2 GENE SEQUENCING,846.27,338.51,490.84,2115.68,26
HCPCS,81407,GENERIC 81407 ADD DESCRIPTION,846.27,338.51,490.84,2115.68,26
HCPCS,81407,HC COMPREHENSIVE EPILEPSY PANEL 1,846.27,338.51,490.84,2115.68,26
HCPCS,81407,HC RHABDOMYOLYSIS/MALIG/MYOGLOBINURIA HYPERTHERMIA GENE ALYSIS,846.27,338.51,490.84,2115.68,26
HCPCS,81407,HEREDITARY LYMPHOMA PANEL TIER 1,846.27,338.51,490.84,2115.68,26
HCPCS,81407,JAG1 NGS,846.27,338.51,490.84,2115.68,26
HCPCS,81407,MOPATH PROCEDURE LEVEL 8,846.52,338.61,490.84,2115.68,52
HCPCS,81407,TSC2 FULL GENE SEQUENCING,846.27,338.51,490.84,2115.68,26
HCPCS,81408,CEP290 GENE SEQUENCING,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,COL1A1 GENE SEQUENCING,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,COL1A2 GENE SEQ,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,DMD GENE SEQ FOR XLID,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,DMD SEQUENCING AND CNV DETECTION BY NGS,1040.0,416.0,603.2,2600.0,26
HCPCS,81408,DYSF NEXTGEN SEQUENCING,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,FBN1 GENE SEQUENCING,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,GENERIC 81408 ADD DESCRIPTION,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,HC MOLECULAR PATHOLOGY PROC LEV 9,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,HC RHABDOMYOLYSIS/MYOGLOBURIA/MALIG HYPERTHERMIA GENE ALYSIS,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,LAMA2 GENE SEQUENCING,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,MALIGNANT HYPERTHERMIA PANL SEQ AND DEL/DUP,2000.0,800.0,1160.0,5000.0,26
HCPCS,81408,MOPATH PROCEDURE LEVEL 9,2000.0,800.0,1160.0,5000.0,52
HCPCS,81408,RYR2 GENE SEQUENCING,2000.0,800.0,1160.0,5000.0,26
HCPCS,81410,81410 TEST FOR DETECTING GENES ASSOCIATED WITH HEART DISEASE,504.0,201.6,292.32,1260.0,26
HCPCS,81411,81411 TEST FOR DETECTING GENES ASSOCIATED WITH HEART DISEASE,1350.19,540.08,783.11,3375.48,26
HCPCS,81411,AORTIC DYSFUNCTION/DILATION,1350.19,540.08,783.11,3375.48,26
HCPCS,81413,81413 TEST FOR DETECTING GENES ASSOCIATED WITH HEART DISEASE,584.9,233.96,339.24,1462.25,32
HCPCS,81413,CAR ION CHNNLPATH INC 10 GNS,584.9,233.96,339.24,1462.25,32
HCPCS,81414,81414 TEST FOR DETECTING GENES ASSOCIATED WITH HEART DISEASE,584.9,233.96,339.24,1462.25,32
HCPCS,81414,CAR ION CHNNLPATH INC 2 GNS,584.9,233.96,339.24,1462.25,32
HCPCS,81415,81415 TEST FOR DETECTING EXOME,4780.0,1912.0,2772.4,11950.0,27
HCPCS,81415,XOMEDXPLUS DUO SEQUENCE ANALYSIS,4780.0,1912.0,2772.4,11950.0,27
HCPCS,81415,XOMEDXPLUS PROBAND ONLY SEQUENCE ANALYSIS,4780.0,1912.0,2772.4,11950.0,27
HCPCS,81416,81416 TEST FOR DETECTING EXOME,12000.0,4800.0,6960.0,30000.0,27
HCPCS,81416,EXOME SEQUENCE ANALYSIS,12000.0,4800.0,6960.0,30000.0,27
HCPCS,81416,XOMEDXPLUS DUO SEQUENCE ANALYSIS EACH COMPARATOR EXOME,12000.0,4800.0,6960.0,30000.0,27
HCPCS,81417,EXOME EG UNEXPLAINED CONSTITUTIONAL OR HERITABLE DISORDER OR SYNDROME,320.0,128.0,185.6,800.0,27
HCPCS,81418,RX METAB GENOMIC SEQ ALYS PANEL AT LEAST 6 GENES,2293.0,917.2,872.88,2293.0,27
HCPCS,81419,GENE ANALYSIS PANEL FOR EVALUATION OF GENES ASSOCIATED WITH EPILEPSY,2816.0,1126.4,1633.28,6121.4,32
HCPCS,81420,81420 TEST FOR DETECTING GENES ASSOCIATED WITH FETAL DISEASE,2006.0,802.4,703.64,2006.0,32
HCPCS,81425,81425 TEST FOR DETECTING GENES ASSOCIATED WITH DISEASE,5031.2,2012.48,2918.1,12578.0,27
HCPCS,81426,81426 TEST FOR DETECTING GENES ASSOCIATED WITH DISEASE,2709.95,1083.98,1571.77,6774.88,27
HCPCS,81430,81430 TEST DETECTING GENES CAUSING HEARING LOSS GENOMIC SEQUENCE ANALYSIS PANEL,1625.0,650.0,942.5,4062.5,26
HCPCS,81431,81431 TEST FOR DETECTING GENES CAUSING HEARING LOSS,679.57,271.83,394.15,1698.93,26
HCPCS,81432,GENE ANALYSIS BREAST AND RELATED CANCERS GENOMIC SEQUENCE,1304.0,521.6,756.32,3259.88,26
HCPCS,81439,81439 TEST FOR DETECTING GENES ASSOCIATED WITH INHERITED DISEASE OF HEART MUSCLE,584.9,233.96,339.24,1462.25,32
HCPCS,81440,81440 TEST FOR DETECTING GENES,3324.0,1329.6,1927.92,8310.0,26
HCPCS,81441,IBMFS SEQ ALYS PNL 30 GENES,2449.0,979.6,1420.42,6121.4,26
HCPCS,81442,81442 GENE ANALYSIS NOONAN SYNDROME GENOMIC SEQUENCE ANALYSIS,2143.6,857.44,722.52,5359.0,32
HCPCS,81443,81443 GENOMIC SEQUENCE ANALYSIS PANEL SEVERE INHERITED CONDITIONS,6121.4,2448.56,2448.56,6121.4,26
HCPCS,81445,NGS,1492.0,596.8,107.8,1494.78,26
HCPCS,81448,81448 GENE ANALYSIS PANEL HEREDITARY DISORDERS OF THE PERIPHERAL NERVOUS SYSTEM,584.9,233.96,339.24,1462.25,26
HCPCS,81450,81450 TEST FOR DETECTING GENES ASSOCIATED WITH BLOOD RELATED CANCER,30.0,12.0,17.4,75.0,26
HCPCS,81450,HEMATOLYMPHOID NEO/DO GSAP 550DNA/DNAANDRNA ALYS,1139.0,455.6,107.8,1898.83,26
HCPCS,81450,NGS,1898.0,759.2,107.8,1898.83,26
HCPCS,81455,81455 TEST FOR DETECTING GENES ASSOCIATED WITH CANCER,1550.0,620.0,899.0,3875.0,26
HCPCS,81455,NGS,7297.0,2918.8,2919.6,7299.0,26
HCPCS,81455,SO/HEMATOLYMPHOID NEO/DO 51/>GSAP DNA/DNAANDRNA,2920.0,1168.0,1693.6,7299.0,26
HCPCS,81456,SARCOMA TARGETED GENE FUSION,2444.0,977.6,1417.52,6110.0,26
HCPCS,81457,SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY,2242.0,896.8,896.87,2242.18,26
HCPCS,81460,WHOLE MITOCHONDRIAL GENOME,1287.0,514.8,746.46,3217.5,26
HCPCS,81460,XOME DXPLUS DUO WHOLE MITOCHONDRIAL GENOME,1287.0,514.8,746.46,3217.5,26
HCPCS,81460,XOMEDXPLUS PROBAND ONLY WHOLE MITOCHONDRIAL GENOME,1287.0,514.8,746.46,3217.5,26
HCPCS,81465,81465 TEST FOR DETECTING GENES ASSOCIATED WITH DISEASE,30.0,12.0,17.4,75.0,26
HCPCS,81470,81470 TEST FOR DETECTING GENES ASSOCIATED WITH INTELLECTUAL DISABILITY,30.0,12.0,17.4,75.0,26
HCPCS,81471,81471 TEST FOR DETECTING GENES ASSOCIATED WITH INTELLECTUAL DISABILITY,30.0,12.0,17.4,75.0,26
HCPCS,81479,ABCB11 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,ABCB4 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,ABNORMAL MINERALIZATION DISORDERS NGS PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,AHUS GENETIC PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,AKR1D1 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,ANO6 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,AP3B1 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,ATG16L1 ECM1 NKX2 STAT3 SNP MUTATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,ATP8B1 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,ATYPICAL HEMOLYTIC UREMIC SYNDROME PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,BAAT GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,BLOC1S3 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,BRODY MYOPATHY ATP2A1 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,BRUGADA SYNDROME BRS PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,CAPN5 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,CARDIOMYOPATHY PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,CCT5 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,CDKN1B DELETION / DUPLICATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,CDKN1B GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,CHEK2 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,CLDN1 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,COL1A1 DELETION/DUPLICATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,COL1A2 DELETION/DUPLICATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,CONGENITAL DISORDERS OF GLYCOSYLATION TYPE 1A,30.0,12.0,12.0,30.9,19
HCPCS,81479,CONGENITAL MYASTHENIA PAN GENE ALYSIS,30.0,12.0,12.0,30.9,19
HCPCS,81479,CYP2D6 ADDITIONAL SEQUENCES,30.0,12.0,12.0,30.9,19
HCPCS,81479,DNAJB6 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,DTNBP1 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,EFGR BY PCR,30.0,12.0,12.0,30.9,19
HCPCS,81479,ELA2 ELANE CYCLIC NEUTROPEINA,30.0,12.0,12.0,30.9,19
HCPCS,81479,FBN1 DELETION/DUPLICATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,FETAL AKINESIA DEF SEQ/LETHAL MULTI PTERYGIUM SYND NGS PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,FIG4 DELETION/DUPLICATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,FSHD METHYLATION,1800.0,720.0,678.13,1854.0,19
HCPCS,81479,FSHD SEQ OF SMCHD1 LRIF1 DNMT3B GENES,30.0,12.0,12.0,30.9,19
HCPCS,81479,FZD4 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,GENERIC 81479 ADD DESCRIPTION,30.0,12.0,12.0,30.9,19
HCPCS,81479,GMPPB NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,GP1BA NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,GP6 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,GP9 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,HC GAMMA GLOBIN FULL GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,HEREDITARY HEARING LOSS AND DEAFNESS PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,HOXD13 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,HPS1 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,HPS3 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,HPS4 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,HPS5 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,HPS6 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,HSD3BY GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,IFITM5 DELETION/DUPLICATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,IFITM5 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,ITBG3 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,ITGA2B NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,KIF11 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,KRIT1 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,LIMS2 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,LONG QT SYNDROME MULTIGENE PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,MALIGNANT HYPERTHERMIA SUSCEPTIBILITY NEXTGEN SEQ PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,MARFAN SYND SEQ PANEL15 GENES,30.0,12.0,12.0,30.9,19
HCPCS,81479,MYOT NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,NF1 NEUROFIBROMATOSIS TYPE 1 NF1 ONLY,30.0,12.0,12.0,30.9,19
HCPCS,81479,NF1 NEUROFIBROMATOSIS TYPE 1 SPRED1,30.0,12.0,12.0,30.9,19
HCPCS,81479,NOTCH2 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,NR1HR4 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,NUDT15 GENOTYPE/PHENOTYPE,30.0,12.0,12.0,30.9,19
HCPCS,81479,OSTEOGENESIS IMPERFECTA TYPE 5 DNA SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,P2RY12 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,PERIODIC FEVER SYNDROME PANEL GENES,30.0,12.0,12.0,30.9,19
HCPCS,81479,PHP1A PSEUDOHYPOPARATHYROIDISM 1A AND SPECTRUM,30.0,12.0,12.0,30.9,19
HCPCS,81479,PHP1B PSEUDOHYPOPARATHYROIDISM 1B,30.0,12.0,12.0,30.9,19
HCPCS,81479,PNPLA6 DELETION / DUPLICATION,30.0,12.0,12.0,30.9,19
HCPCS,81479,PROGRESSIVE MYOCLONIC EPILEPSY PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,SERPINA1 NGS,30.0,12.0,12.0,30.9,19
HCPCS,81479,SLC25A13 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,SOX3 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,TBXA2R NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,TCAP NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,THROMBOCYTOPENIA NGS PANEL,30.0,12.0,12.0,30.9,19
HCPCS,81479,TJP2 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,TNPO3 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,TOR1AIP1 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,TRAPPC11 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,TRIM31 NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,TSPAN12 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81479,TTN NEXTGEN SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,UNLISTED MOLECULAR PATH,30.0,12.0,12.0,30.9,19
HCPCS,81479,UNLISTED MOLECULAR PATHOLOGY,30.0,12.0,12.0,30.9,114
HCPCS,81479,UNLISTED MOLECULAR PATHOLOGY PROCEDURE,30.0,12.0,12.0,30.9,19
HCPCS,81479,VANISHING WHITE MATTER DISEASE,30.0,12.0,12.0,30.9,19
HCPCS,81479,VIPAS39 GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,VPS33B GENE SEQUENCING,30.0,12.0,12.0,30.9,19
HCPCS,81479,ZNF408 GENE SEQ,30.0,12.0,12.0,30.9,19
HCPCS,81490,81490 TEST DETECTING GENES ASSOCIATED WITH RHEUMATOID ARTHRITIS IMMUNOASSAY,891.0,356.4,516.78,2101.63,26
HCPCS,81503,HC ONCOLOGY BIOCHEM ASSAY FIVE PROTEINS,2243.0,897.2,853.76,2243.0,27
HCPCS,81506,81506 ENDOCRINOLOGY TYPE 2 DIABETES,172.0,68.8,68.92,172.3,26
HCPCS,81508,81508 FETAL CONGENITAL ABNORMALITIES,135.0,54.0,51.68,135.75,27
HCPCS,81511,81511 FETAL CONGENITAL ABNORMALITIES,384.0,153.6,142.29,384.0,33
HCPCS,81513,NFCT DS BACTERAL VAGINOSIS RNA VAGINALFLUID ALG,357.0,142.8,132.22,357.0,33
HCPCS,81515,NFCT DS BVANDVAGINITIS RTPCR AMP DNA MARKERS,394.0,157.6,228.52,657.48,33
HCPCS,81517,LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG,440.0,176.0,167.7,440.48,27
HCPCS,81539,81539 MEASUREMENT OF PROTEINS ASSOCIATED WITH PROSTATE CANCER,1900.0,760.0,704.52,1900.0,32
HCPCS,81596,81596 BIOCHEMICAL ASSAYS FOR EVALUATION OF CHRONIC HEPATITIS C VIRUS INFECTION,180.0,72.0,72.19,180.48,26
HCPCS,82009,82009 KETONE BODIES ANALYSIS,75.0,30.0,4.19,67.5,33
HCPCS,82010,82010 KETONE BODIES ANALYSIS,75.0,30.0,7.57,67.5,33
HCPCS,82013,82013 ACETYLCHOLINESTERASE ENZYME LEVEL,75.0,30.0,11.39,67.5,33
HCPCS,82016,82016 CHEMICAL ANALYSIS FOR GENETIC DISORDER,75.0,30.0,15.29,67.5,33
HCPCS,82017,82017 CHEMICAL TEST FOR GENETIC DISORDER,42.0,16.8,15.64,42.18,33
HCPCS,82017,ACYLCARNITINE,50.0,20.0,15.64,47.4,33
HCPCS,82017,ACYLCARNITINEBLOOD,42.0,16.8,15.64,42.18,33
HCPCS,82017,ACYLCARNITINES FIBROBLAST,42.0,16.8,15.64,42.18,33
HCPCS,82017,FATTY ACID OXID ACYLCARNITINE,42.0,16.8,15.64,42.18,33
HCPCS,82024,ADRENOCORTICOTROPIC HORMONE,293.0,117.2,35.8,263.7,33
HCPCS,82030,82030 ADENOSINE,42.0,16.8,23.92,64.5,33
HCPCS,82040,82040 ALBUMIN PROTEIN LEVEL,57.0,22.8,4.59,51.3,33
HCPCS,82042,82042 CEREBROSPINAL FLUID,55.0,22.0,7.21,49.5,33
HCPCS,82043,82043 URINE MICROALBUMIN PROTEIN LEVEL,96.0,38.4,5.36,86.4,33
HCPCS,82044,82044 URINE MICROALBUMIN PROTEIN ANALYSIS,62.0,24.8,5.78,55.8,33
HCPCS,82075,82075 MEASUREMENT OF ALCOHOL LEVEL IN BREATH SPECIMEN,75.0,30.0,20.21,75.0,33
HCPCS,82085,82085 ALDOLASE ENZYME LEVEL,106.0,42.4,9.0,95.4,33
HCPCS,82088,82088 ALDOSTERONE HORMONE LEVEL,133.0,53.2,37.78,119.7,33
HCPCS,82103,82103 ALPHA1ANTITRYPSIN PROTEIN BLOOD TEST,122.0,48.8,12.46,109.8,33
HCPCS,82104,82104 ALPHA1ANTITRYPSIN PROTEIN BLOOD TEST,127.0,50.8,13.4,114.3,33
HCPCS,82105,82105 ALPHAFETOPROTEIN AFP LEVEL,61.0,24.4,15.54,54.9,33
HCPCS,82106,82106 ALPHAFETOPROTEIN AFP LEVEL,63.0,25.2,15.76,56.7,33
HCPCS,82107,82107 ALPHAFETOPROTEIN AFP ANALYSIS,181.0,72.4,59.71,180.99,33
HCPCS,82108,82108 ALUMINUM LEVEL,64.0,25.6,23.62,64.0,33
HCPCS,82127,82127 AMINO ACID ANALYSIS,35.0,14.0,13.14,35.45,33
HCPCS,82128,82128 AMINO ACID ANALYSIS,35.0,14.0,12.85,35.0,33
HCPCS,82131,82131 AMINO ACID ANALYSIS,68.0,27.2,21.3,64.57,33
HCPCS,82135,82135 AMINOLEVULINIC ACID PROTEIN LEVEL,75.0,30.0,15.25,67.5,33
HCPCS,82136,82136 AMINO ACID LEVEL,37.0,14.8,18.18,49.03,33
HCPCS,82139,82139 AMINO ACID LEVEL,98.0,39.2,15.64,88.2,33
HCPCS,82140,82140 AMMONIA LEVEL,138.0,55.2,13.5,124.2,33
HCPCS,82143,82143 AMNIOTIC FLUID SCAN,30.0,12.0,8.67,27.0,33
HCPCS,82150,82150 AMYLASE ENZYME LEVEL,106.0,42.4,6.0,95.4,33
HCPCS,82154,82154 ANDROSTANEDIOL GLUCURONIDE HORMONE LEVEL,100.0,40.0,27.44,90.0,27
HCPCS,82157,82157 ANDROSTENEDIONE HORMONE LEVEL,113.0,45.2,27.14,101.7,33
HCPCS,82160,82160 ANDROSTERONE HORMONE LEVEL,64.0,25.6,23.69,64.0,33
HCPCS,82163,82163 ANGIOTENSIN LL PROTEIN LEVEL,51.0,20.4,19.02,51.3,33
HCPCS,82164,82164 ANGIOTENSIN L CONVERTING ENZYME ACE LEVEL,63.0,25.2,13.53,56.7,33
HCPCS,82166,HC TEST FOR ANTIMULLERIAN HORMONE,30.0,12.0,17.4,75.0,33
HCPCS,82172,82172 APOLIPOPROTEIN LEVEL,52.0,20.8,19.55,52.73,33
HCPCS,82175,82175 ARSENIC LEVEL,77.0,30.8,17.58,69.3,33
HCPCS,82180,82180 ASCORBIC ACID VITAMIN C LEVEL,90.0,36.0,9.17,81.0,33
HCPCS,82190,82190 MEASUREMENT OF SUBSTANCE USING SPECTROSCOPY LIGHT,40.0,16.0,14.74,40.0,33
HCPCS,82232,82232 BETA2 MICROGLOBULIN PROTEIN LEVEL,52.0,20.8,15.0,46.8,33
HCPCS,82233,BETAAMYLOID 140 ABETA 40,225.0,90.0,122.71,322.3,27
HCPCS,82234,TEST FOR BETAAMYLOID 142,400.0,160.0,122.71,362.27,27
HCPCS,82239,82239 BILE ACIDS LEVEL,60.0,24.0,15.87,54.0,33
HCPCS,82240,82240 BILE ACIDS LEVEL,80.0,32.0,24.64,74.69,33
HCPCS,82247,82247 BILIRUBIN LEVEL,59.0,23.6,4.66,53.1,33
HCPCS,82248,82248 BILIRUBIN LEVEL,120.0,48.0,4.66,108.0,33
HCPCS,82252,82252 STOOL ANALYSIS FOR BILIRUBIN,13.0,5.2,4.22,12.81,33
HCPCS,82261,82261 BIOTINIDASE ENZYME LEVEL,59.0,23.6,15.64,53.1,33
HCPCS,82270,82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS,52.0,20.8,4.06,46.8,33
HCPCS,82271,82271 SPECIMEN ANALYSIS FOR BLOOD,30.0,12.0,4.93,27.0,33
HCPCS,82272,82272 STOOL ANALYSIS FOR BLOOD,11.0,4.4,3.92,11.0,33
HCPCS,82274,82274 STOOL ANALYSIS FOR BLOOD,50.0,20.0,14.76,45.0,33
HCPCS,82300,82300 CADMIUM LEVEL,123.0,49.2,21.92,110.7,33
HCPCS,82306,82306 VITAMIN D3 LEVEL,117.0,46.8,27.44,105.3,33
HCPCS,82308,82308 CALCITONIN HORMONE LEVEL,100.0,40.0,24.83,90.0,33
HCPCS,82310,82310 CALCIUM LEVEL,68.0,27.2,4.78,61.2,33
HCPCS,82330,82330 CALCIUM LEVEL,129.0,51.6,12.68,116.1,33
HCPCS,82340,82340 URINE CALCIUM LEVEL,82.0,32.8,5.59,73.8,33
HCPCS,82355,82355 ANALYSIS OF STONE,50.0,20.0,10.73,45.0,33
HCPCS,82365,82365 INFRARED ANALYSIS OF STONE,115.0,46.0,11.96,103.5,33
HCPCS,82373,82373 CARBOHYDRATE DEFICIENT TRANSFERRIN PROTEIN LEVEL,260.0,104.0,16.74,234.0,33
HCPCS,82374,82374 CARBON DIOXIDE BICARBONATE LEVEL,59.0,23.6,4.52,53.1,33
HCPCS,82375,82375 CARBOXYHEMOGLOBIN PROTEIN LEVEL,50.0,20.0,11.42,45.0,33
HCPCS,82378,82378 CARCINOEMBRYONIC ANTIGEN CEA PROTEIN LEVEL,225.0,90.0,17.57,202.5,33
HCPCS,82379,82379 CARNITINE LEVEL,187.0,74.8,15.64,168.3,33
HCPCS,82380,82380 CAROTENE LEVEL,50.0,20.0,8.55,45.0,33
HCPCS,82382,82382 CATECHOLAMINES ORGANIC NITROGEN URINE LEVEL,68.0,27.2,25.31,68.25,33
HCPCS,82383,82383 CATECHOLAMINES ORGANIC NITROGEN BLOOD LEVEL,73.0,29.2,26.96,73.0,33
HCPCS,82384,82384 CATECHOLAMINES ORGANIC NITROGEN LEVEL,63.0,25.2,23.41,63.13,33
HCPCS,82384,ASSAY THREE CATECHOLAMINES,63.0,25.2,23.41,63.13,33
HCPCS,82384,CATECHOLAMINES 24 HR URINE,63.0,25.2,23.41,63.13,33
HCPCS,82384,CATECHOLAMINES RANDOM URINE,63.0,25.2,23.41,63.13,33
HCPCS,82387,82387 CATHEPSIND ENZYME LEVEL,45.0,18.0,16.74,45.15,33
HCPCS,82390,82390 CERULOPLASMIN PROTEIN LEVEL,123.0,49.2,9.96,110.7,33
HCPCS,82397,82397 ANALYSIS USING CHEMILUMINESCENT TECHNIQUE LIGHT AND CHEMICAL REACTION,136.0,54.4,13.09,122.4,33
HCPCS,82397,IMMUKNOW CHEMILUMINESCENT ASSY,105.0,42.0,13.09,94.5,33
HCPCS,82415,82415 CHLORAMPHENICOL LEVEL,32.0,12.8,11.74,32.0,33
HCPCS,82435,82435 BLOOD CHLORIDE LEVEL,80.0,32.0,4.26,72.0,33
HCPCS,82436,82436 URINE CHLORIDE LEVEL,66.0,26.4,5.34,59.4,33
HCPCS,82438,82438 CHLORIDE LEVEL,63.0,25.2,4.64,56.7,33
HCPCS,82465,82465 CHOLESTEROL LEVEL,68.0,27.2,4.04,61.2,33
HCPCS,82480,82480 CHOLINESTERASE ENZYME LEVEL,75.0,30.0,7.29,67.5,33
HCPCS,82482,82482 CHOLINESTERASE ENZYME LEVEL,25.0,10.0,9.09,25.0,33
HCPCS,82485,82485 CHONDROITIN B SULFATE PROTEIN LEVEL,75.0,30.0,19.15,67.5,33
HCPCS,82495,82495 CHROMIUM LEVEL TO TEST FOR POISONING OR DEFICIENCY,124.0,49.6,18.8,111.6,33
HCPCS,82507,82507 CITRATE LEVEL,104.0,41.6,25.77,93.6,33
HCPCS,82523,82523 COLLAGEN CROSS LINKS TEST,107.0,42.8,17.31,96.3,33
HCPCS,82525,82525 COPPER LEVEL,114.0,45.6,11.51,102.6,33
HCPCS,82528,82528 CORTICOSTERONE HORMONE LEVEL,207.0,82.8,20.88,186.3,33
HCPCS,82530,82530 CORTISOL HORMONE MEASUREMENT,60.0,24.0,15.49,54.0,33
HCPCS,82533,82533 CORTISOL HORMONE MEASUREMENT,183.0,73.2,15.11,164.7,33
HCPCS,82540,82540 CREATINE MEASUREMENT,57.0,22.8,4.31,51.3,33
HCPCS,82542,82542 CHEMICAL ANALYSIS USING CHROMATOGRAPHY TECHNIQUE,184.0,73.6,22.33,165.6,33
HCPCS,82542,COL CHROMOTOGRAPHY QUAL/QUAN,171.0,68.4,22.33,165.6,66
HCPCS,82550,82550 CREATINE KINASE CARDIAC ENZYME LEVEL,101.0,40.4,6.04,90.9,33
HCPCS,82552,82552 CREATINE KINASE CARDIAC ENZYME LEVEL,82.0,32.8,12.41,73.8,33
HCPCS,82553,82553 CREATINE KINASE CARDIAC ENZYME LEVEL,68.0,27.2,10.71,61.2,33
HCPCS,82565,82565 BLOOD CREATININE LEVEL,25.0,10.0,4.75,22.5,33
HCPCS,82570,82570 CREATININE LEVEL TO TEST FOR KIDNEY FUNCTION OR MUSCLE INJURY,77.0,30.8,4.8,69.3,33
HCPCS,82575,82575 CREATININE CLEARANCE MEASUREMENT TO TEST FOR KIDNEY FUNCTION,88.0,35.2,8.77,79.2,33
HCPCS,82585,82585 CRYOFIBRINOGEN PROTEIN LEVEL,89.0,35.6,13.11,80.1,33
HCPCS,82595,82595 CRYOGLOBULIN PROTEIN MEASUREMENT,89.0,35.6,5.99,80.1,33
HCPCS,82600,82600 CYANIDE MEASUREMENT,169.0,67.6,17.98,152.1,33
HCPCS,82607,82607 CYANOCOBALAMIN VITAMIN B12 LEVEL,125.0,50.0,13.98,112.5,33
HCPCS,82608,82608 CYANOCOBALAMIN VITAMIN B12 LEVEL,50.0,20.0,13.28,45.0,33
HCPCS,82610,82610 CYSTATIN C ENZYME INHIBITOR LEVEL,66.0,26.4,17.17,59.4,33
HCPCS,82615,82615 CYSTINE AND HOMOCYSTINE AMINO ACIDS ANALYSIS,24.0,9.6,8.86,24.0,33
HCPCS,82626,82626 DEHYDROEPIANDROSTERONE DHEA HORMONE LEVEL,112.0,44.8,23.42,100.8,33
HCPCS,82627,82627 DEHYDROEPIANDROSTERONE DHEAS HORMONE LEVEL,117.0,46.8,20.61,105.3,33
HCPCS,82633,82633 DESOXYCORTICOSTERONE,247.0,98.8,28.72,222.3,33
HCPCS,82634,82634 DEOXYCORTISOL,224.0,89.6,27.14,201.6,33
HCPCS,82638,82638 DIBUCAINE NUMBER ENZYME MEASUREMENT,50.0,20.0,11.36,45.0,33
HCPCS,82642,82642 MEASUREMENT OF DIHYDROTESTOSTERONE,75.0,30.0,27.14,75.0,33
HCPCS,82652,82652 DIHYDROXYVITAMIN D,225.0,90.0,35.69,202.5,33
HCPCS,82653,EL1 FECAL QUANTITATIVE,57.0,22.8,21.86,57.43,27
HCPCS,82656,82656 DETECTION OF PANCREATIC ELASTASE ENZYME IN STOOL,249.0,99.6,10.69,224.1,33
HCPCS,82657,82657 ENZYME ACTIVITY MEASUREMENT,119.0,47.6,20.55,107.1,33
HCPCS,82658,82658 ENZYME ACTIVITY MEASUREMENT,371.0,148.4,30.28,333.9,33
HCPCS,82664,82664 ELECTROPHORESIS,160.0,64.0,57.01,160.0,33
HCPCS,82668,82668 ERYTHROPOIETIN PROTEIN LEVEL,162.0,64.8,17.42,145.8,33
HCPCS,82670,82670 MEASUREMENT OF TOTAL ESTRADIOL HORMONE,70.0,28.0,25.9,70.0,33
HCPCS,82671,82671 ESTROGEN ANALYSIS,81.0,32.4,29.94,81.0,33
HCPCS,82672,82672 ESTROGEN ANALYSIS,75.0,30.0,20.12,67.5,33
HCPCS,82677,82677 ESTRIOL HORMONE LEVEL,60.0,24.0,22.41,60.45,33
HCPCS,82679,82679 ESTRONE HORMONE LEVEL,75.0,30.0,23.13,70.11,33
HCPCS,82693,82693 ETHYLENE GLYCOL ANTIFREEZE MEASUREMENT,23.0,9.2,13.34,37.25,33
HCPCS,82705,82705 STOOL FAT OR LIPIDS ANALYSIS,52.0,20.8,4.73,46.8,33
HCPCS,82710,82710 STOOL FAT OR LIPIDS ANALYSIS,83.0,33.2,15.57,74.7,33
HCPCS,82725,82725 FATTY ACIDS MEASUREMENT,69.0,27.6,17.4,62.1,33
HCPCS,82726,82726 VERY LONG CHAIN FATTY ACIDS LEVEL,277.0,110.8,18.31,249.3,33
HCPCS,82728,82728 FERRITIN BLOOD PROTEIN LEVEL,162.0,64.8,12.64,145.8,33
HCPCS,82731,82731 FETAL FIBRONECTIN PROTEIN ANALYSIS,273.0,109.2,59.71,245.7,33
HCPCS,82735,82735 FLUORIDE LEVEL,46.0,18.4,17.19,46.35,33
HCPCS,82746,82746 FOLIC ACID LEVEL,125.0,50.0,13.63,112.5,33
HCPCS,82747,82747 FOLIC ACID LEVEL,78.0,31.2,16.37,70.2,33
HCPCS,82759,82759 GALACTOKINASE ENZYME LEVEL,54.0,21.6,19.91,54.0,33
HCPCS,82760,82760 GALACTOSE CARBOHYDRATE LEVEL,36.0,14.4,10.38,32.4,33
HCPCS,82775,82775 GALACTOSE1PHOSPHATE URIDYL TRANSFERASE ENZYME LEVEL,86.0,34.4,19.53,77.4,33
HCPCS,82776,82776 GALACTOSE1PHOSPHATE URIDYL TRANSFERASE,29.0,11.6,10.89,29.35,33
HCPCS,82776,GALACTOSE TRANSFERASE TEST,35.0,14.0,10.89,32.99,33
HCPCS,82777,82777 GALECTIN3 LEVEL,110.0,44.0,21.36,110.63,33
HCPCS,82784,82784 GAMMAGLOBULIN IMMUNE SYSTEM PROTEIN MEASUREMENT,112.0,44.8,8.62,100.8,33
HCPCS,82785,82785 IGE IMMUNE SYSTEM PROTEIN LEVEL,77.0,30.8,15.25,69.3,33
HCPCS,82787,82787 GAMMAGLOBULIN IMMUNE SYSTEM PROTEIN MEASUREMENT,77.0,30.8,7.44,69.3,33
HCPCS,82800,82800 BLOOD PH LEVEL,70.0,28.0,10.2,63.0,33
HCPCS,82803,82803 BLOOD GASES MEASUREMENT,75.0,30.0,24.16,73.26,33
HCPCS,82805,82805 BLOOD GASES MEASUREMENT,197.0,78.8,47.58,197.0,33
HCPCS,82810,82810 BLOOD GAS,25.0,10.0,9.05,25.0,33
HCPCS,82820,82820 HEMOGLOBINOXYGEN AFFINITY MEASUREMENT,495.0,198.0,12.37,445.5,33
HCPCS,82930,82930 GASTRIC ACID ANALYSIS,17.0,6.8,6.22,17.0,33
HCPCS,82941,82941 GASTRIN GI TRACT HORMONE LEVEL,77.0,30.8,16.35,69.3,33
HCPCS,82943,82943 GLUCAGON PANCREATIC HORMONE LEVEL,65.0,26.0,13.25,58.5,33
HCPCS,82945,82945 GLUCOSE SUGAR LEVEL ON BODY FLUID,79.0,31.6,3.65,71.1,33
HCPCS,82947,82947 BLOOD GLUCOSE SUGAR LEVEL,99.0,39.6,3.65,89.1,33
HCPCS,82947,GLUCOSE BLOOD TEST,21.0,8.4,3.65,18.9,33
HCPCS,82951,82951 BLOOD GLUCOSE SUGAR TOLERANCE TEST,146.0,58.4,11.93,131.4,33
HCPCS,82952,82952 BLOOD GLUCOSE SUGAR TOLERANCE TEST,44.0,17.6,3.64,39.6,33
HCPCS,82955,82955 G6PD ENZYME LEVEL,36.0,14.4,8.99,32.4,33
HCPCS,82960,82960 G6PD ENZYME SCREENING TEST,15.0,6.0,5.61,15.13,33
HCPCS,82963,82963 GLUCOSIDASE SUGAR ENZYME MEASUREMENT,54.0,21.6,19.91,54.0,33
HCPCS,82977,82977 GLUTAMYLTRANSFERASE LIVER ENZYME LEVEL,99.0,39.6,6.67,89.1,33
HCPCS,82978,82978 GLUTATHIONE PROTEIN LEVEL,102.0,40.8,14.33,91.8,33
HCPCS,82985,82985 GLYCATED PROTEIN LEVEL,69.0,27.6,15.53,62.1,33
HCPCS,83001,83001 GONADOTROPIN,162.0,64.8,17.22,145.8,33
HCPCS,83002,83002 GONADOTROPIN,208.0,83.2,17.17,187.2,33
HCPCS,83003,83003 HUMAN GROWTH HORMONE LEVEL,151.0,60.4,15.45,135.9,33
HCPCS,83006,GROWTH STIMULATION GENE 2,189.0,75.6,35.92,189.0,32
HCPCS,83010,83010 HAPTOGLOBIN SERUM PROTEIN LEVEL,144.0,57.6,11.66,129.6,33
HCPCS,83014,83014 ADMINISTRATION OF DRUG FOR HELICOBACTER PYLORI,20.0,8.0,7.28,20.0,33
HCPCS,83015,83015 HEAVY METAL SCREENING TEST,82.0,32.8,19.42,73.8,33
HCPCS,83018,83018 HEAVY METAL LEVEL,103.0,41.2,20.35,92.7,33
HCPCS,83020,83020 HEMOGLOBIN ANALYSIS AND MEASUREMENT,108.0,43.2,11.93,97.2,32
HCPCS,83021,83021 HEMOGLOBIN ANALYSIS AND MEASUREMENT,116.0,46.4,16.74,104.4,33
HCPCS,83026,83026 HEMOGLOBIN LEVEL,10.0,4.0,3.72,10.03,33
HCPCS,83030,83030 FETAL HEMOGLOBIN LEVEL,27.0,10.8,9.96,27.0,33
HCPCS,83033,83033 FETAL HEMOGLOBIN ANALYSIS,61.0,24.4,7.42,54.9,33
HCPCS,83036,GLYCOSYLATED HEMOGLOBIN TEST,10.0,4.0,5.8,24.28,33
HCPCS,83050,83050 METHEMOGLOBIN HEMOGLOBIN ANALYSIS,25.0,10.0,7.6,23.04,33
HCPCS,83051,83051 PLASMA HEMOGLOBIN LEVEL,35.0,14.0,6.78,31.5,33
HCPCS,83060,83060 SULFHEMOGLOBIN HEMOGLOBIN LEVEL,22.0,8.8,8.16,22.0,33
HCPCS,83068,83068 SCREENING TEST FOR UNSTABLE HEMOGLOBIN,25.0,10.0,8.78,25.0,33
HCPCS,83070,83070 HEMOSIDERIN HEMOGLOBIN BREAKDOWN PRODUCT ANALYSIS,25.0,10.0,4.41,22.5,33
HCPCS,83080,83080 BHEXOSAMINIDASE ENZYME LEVEL,227.0,90.8,15.64,204.3,33
HCPCS,83088,83088 HISTAMINE IMMUNE SYSTEM SUBSTANCE LEVEL,210.0,84.0,27.38,189.0,33
HCPCS,83090,83090 HOMOCYSTEINE AMINO ACID LEVEL,210.0,84.0,16.61,189.0,33
HCPCS,83150,83150 HOMOVANILLIC ACID ORGANIC ACID LEVEL,121.0,48.4,20.78,108.9,33
HCPCS,83491,83491 HYDROXYCORTICOSTEROIDS,45.0,18.0,16.59,45.0,33
HCPCS,83497,83497 HYDROXYINDOLACETIC ACID PRODUCT OF METABOLISM LEVEL,64.0,25.6,11.96,57.6,33
HCPCS,83498,83498 HYDROXYPROGESTERONE,78.0,31.2,25.18,76.35,33
HCPCS,83500,83500 HYDROXYPROLINE AMINO ACID MEASUREMENT,57.0,22.8,21.0,57.0,33
HCPCS,83505,83505 HYDROXYPROLINE AMINO ACID MEASUREMENT,61.0,24.4,22.53,61.0,33
HCPCS,83516,83516 ANALYSIS OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE,400.0,160.0,10.69,360.0,33
HCPCS,83518,83518 ANALYSIS OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE,24.0,9.6,8.94,24.1,33
HCPCS,83519,83519 MEASUREMENT OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE,219.0,87.6,17.06,197.1,33
HCPCS,83520,83520 MEASUREMENT OF SUBSTANCE USING IMMUNOASSAY TECHNIQUE,106.0,42.4,16.01,95.4,33
HCPCS,83520,IMMUNOASSAY QUANT NOS NONAB,50.0,20.0,16.01,48.53,33
HCPCS,83521,IG LIGHT CHAINS FREE EACH,43.0,17.2,16.44,43.18,27
HCPCS,83525,83525 INSULIN MEASUREMENT,67.0,26.8,10.6,60.3,33
HCPCS,83527,83527 INSULIN MEASUREMENT,50.0,20.0,12.33,45.0,27
HCPCS,83528,83528 INTRINSIC FACTOR STOMACH PROTEIN LEVEL,50.0,20.0,18.38,50.0,33
HCPCS,83529,ASSAY OF INTERLEUKIN6 IL6,43.0,17.2,16.44,43.18,27
HCPCS,83540,83540 IRON LEVEL,58.0,23.2,5.99,52.2,33
HCPCS,83550,83550 IRON BINDING CAPACITY,107.0,42.8,8.11,96.3,33
HCPCS,83586,83586 KETOSTEROIDS,71.0,28.4,11.87,63.9,33
HCPCS,83593,83593 KETOSTEROIDS,71.0,28.4,26.42,71.25,33
HCPCS,83605,83605 LACTIC ACID LEVEL,300.0,120.0,10.72,270.0,33
HCPCS,83615,83615 LACTATE DEHYDROGENASE ENZYME LEVEL,88.0,35.2,5.6,79.2,33
HCPCS,83625,83625 LACTATE DEHYDROGENASE ENZYME MEASUREMENT,32.0,12.8,11.86,32.0,33
HCPCS,83630,83630 STOOL LACTOFERRIN IMMUNE SYSTEM PROTEIN ANALYSIS,129.0,51.6,18.26,116.1,33
HCPCS,83632,83632 HUMAN PLACENTAL LACTOGEN PLACENTAL HORMONE LEVEL,70.0,28.0,18.75,63.0,33
HCPCS,83655,83655 LEAD LEVEL,67.0,26.8,11.23,60.3,33
HCPCS,83661,83661 FETAL LUNG MATURITY ASSESSMENT,227.0,90.8,20.38,204.3,33
HCPCS,83663,83663 FETAL LUNG MATURITY ASSESSMENT,47.0,18.8,17.53,47.28,33
HCPCS,83664,83664 FETAL LUNG MATURITY ASSESSMENT,50.0,20.0,17.91,50.0,33
HCPCS,83690,83690 LIPASE FAT ENZYME LEVEL,112.0,44.8,6.39,100.8,33
HCPCS,83695,83695 LIPOPROTEIN A LEVEL,60.0,24.0,13.28,54.0,33
HCPCS,83700,83700 LIPOPROTEIN LEVEL,28.0,11.2,10.43,28.15,33
HCPCS,83701,83701 LIPOPROTEIN MEASUREMENT,30.0,12.0,17.4,75.0,33
HCPCS,83704,83704 LIPOPROTEIN LEVEL,85.0,34.0,31.69,85.48,33
HCPCS,83718,83718 HDL CHOLESTEROL LEVEL,87.0,34.8,7.59,78.3,33
HCPCS,83719,83719 VLDL CHOLESTEROL LEVEL,32.0,12.8,11.82,32.0,33
HCPCS,83721,83721 LDL CHOLESTEROL LEVEL,26.0,10.4,9.73,26.25,33
HCPCS,83722,HC SMALL DENSE LOWDENSITY LIPOPROTEIN,85.0,34.0,31.69,85.48,33
HCPCS,83727,83727 LUTEINIZING RELEASING FACTOR REPRODUCTIVE HORMONE LEVEL,56.0,22.4,15.93,50.4,33
HCPCS,83735,83735 MAGNESIUM LEVEL,212.0,84.8,6.21,190.8,33
HCPCS,83785,83785 MANGANESE HEAVY METAL LEVEL,71.0,28.4,24.71,71.0,33
HCPCS,83789,83789 MASS SPECTROMETRY LABORATORY TESTING METHOD,144.0,57.6,22.35,129.6,33
HCPCS,83825,83825 MERCURY LEVEL,65.0,26.0,15.07,58.5,33
HCPCS,83835,83835 METANEPHRINES LEVEL,201.0,80.4,15.71,180.9,33
HCPCS,83864,83864 MUCOPOLYSACCHARIDES PROTEIN LEVEL,225.0,90.0,26.42,202.5,33
HCPCS,83872,83872 JOINT FLUID DIAGNOSTIC TEST,15.0,6.0,5.43,15.0,33
HCPCS,83873,83873 MYELIN BASIC PROTEIN NERVE PROTEIN LEVEL,110.0,44.0,15.94,99.0,33
HCPCS,83874,83874 MYOGLOBIN MUSCLE PROTEIN LEVEL,158.0,63.2,11.98,142.2,33
HCPCS,83876,83876 MYELOPEROXIDASE WHITE BLOOD CELL ENZYME MEASUREMENT,127.0,50.8,22.69,127.15,33
HCPCS,83880,83880 NATRIURETIC PEPTIDE HEART AND BLOOD VESSEL PROTEIN LEVEL,249.0,99.6,36.39,224.1,33
HCPCS,83883,83883 NEPHELOMETRY,75.0,30.0,12.61,67.5,33
HCPCS,83884,ASSAY NEUROFILAMENT LIGHT CHAIN,292.0,116.8,110.63,292.0,27
HCPCS,83885,83885 NICKEL LEVEL,62.0,24.8,22.72,62.0,33
HCPCS,83915,83915 NUCLEOTIDASE 5' ENZYME LEVEL,62.0,24.8,10.34,55.8,33
HCPCS,83916,83916 MEASUREMENT OF IMMUNE SUBSTANCE OLIGOCLONAL BANDS,164.0,65.6,25.39,147.6,33
HCPCS,83918,83918 ORGANIC ACIDS LEVEL,288.0,115.2,21.88,259.2,33
HCPCS,83919,83919 ORGANIC ACIDS ANALYSIS,204.0,81.6,15.25,183.6,33
HCPCS,83921,83921 ORGANIC ACID LEVEL,157.0,62.8,19.66,141.3,33
HCPCS,83930,83930 BLOOD OSMOLALITY CONCENTRATION MEASUREMENT,110.0,44.0,6.13,99.0,33
HCPCS,83935,83935 URINE OSMOLALITY CONCENTRATION MEASUREMENT,107.0,42.8,6.32,96.3,33
HCPCS,83937,83937 OSTEOCALCIN BONE PROTEIN LEVEL,100.0,40.0,28.41,90.0,27
HCPCS,83945,83945 OXALATE LEVEL,55.0,22.0,13.4,49.5,33
HCPCS,83951,83951 ONCOPROTEIN CANCER RELATED GENE MEASUREMENT,161.0,64.4,59.71,161.03,33
HCPCS,83970,83970 PARATHORMONE PARATHYROID HORMONE LEVEL,206.0,82.4,38.26,185.4,33
HCPCS,83986,83986 BODY FLUID PH LEVEL,53.0,21.2,3.32,47.7,33
HCPCS,83992,83992 PCP DRUG LEVEL,47.0,18.8,15.57,42.3,24
HCPCS,83992,ASSAY FOR PHENCYCLIDINE,30.0,12.0,12.0,30.0,24
HCPCS,83993,83993 STOOL CALPROTECTIN PROTEIN LEVEL,208.0,83.2,18.2,187.2,33
HCPCS,84030,84030 PHENYLALANINE,69.0,27.6,5.1,62.1,33
HCPCS,84035,84035 PHENYLKETONES KETONE ANALYSIS,10.0,4.0,3.69,10.0,33
HCPCS,84060,84060 PHOSPHATASE ENZYME MEASUREMENT,19.0,7.6,7.09,19.1,33
HCPCS,84066,84066 PHOSPHATASE,24.0,9.6,8.95,24.15,33
HCPCS,84075,84075 PHOSPHATASE ENZYME LEVEL,101.0,40.4,4.8,90.9,33
HCPCS,84080,84080 PHOSPHATASE ENZYME MEASUREMENT,64.0,25.6,13.7,57.6,33
HCPCS,84081,84081 PHOSPHATIDYLGLYCEROL AMNIOTIC FLUID ORGANIC ACID LEVEL,41.0,16.4,15.32,41.3,33
HCPCS,84087,84087 PHOSPHOHEXOSE ISOMERASE ENZYME LEVEL,100.0,40.0,9.95,90.0,33
HCPCS,84100,84100 PHOSPHATE LEVEL,73.0,29.2,4.4,65.7,33
HCPCS,84105,84105 URINE PHOSPHATE LEVEL,60.0,24.0,5.36,54.0,33
HCPCS,84110,84110 URINE PORPHOBILINOGEN METABOLISM SUBSTANCE LEVEL,83.0,33.2,7.83,74.7,33
HCPCS,84112,EVAL AMNIOTIC FLUID PROTEIN,245.0,98.0,93.38,245.28,27
HCPCS,84120,84120 URINE PORPHYRINS METABOLISM SUBSTANCE MEASUREMENT,72.0,28.8,13.64,64.8,33
HCPCS,84126,84126 STOOL PORPHYRINS METABOLISM SUBSTANCE LEVEL,104.0,41.6,36.26,104.0,33
HCPCS,84132,84132 BLOOD POTASSIUM LEVEL,68.0,27.2,4.41,61.2,33
HCPCS,84133,84133 URINE POTASSIUM LEVEL,67.0,26.8,4.39,60.3,33
HCPCS,84134,84134 PREALBUMIN PROTEIN LEVEL,160.0,64.0,13.52,144.0,33
HCPCS,84135,84135 PREGNANEDIOL REPRODUCTIVE HORMONE LEVEL,53.0,21.2,19.71,53.18,33
HCPCS,84138,84138 PREGNANETRIOL REPRODUCTIVE HORMONE LEVEL,53.0,21.2,19.52,53.0,33
HCPCS,84140,84140 PREGNENOLONE REPRODUCTIVE HORMONE LEVEL,50.0,20.0,19.67,51.68,27
HCPCS,84143,84143 17HYDROXYPREGNENOLONE HORMONE LEVEL,181.0,72.4,21.71,162.9,27
HCPCS,84144,84144 PROGESTERONE REPRODUCTIVE HORMONE LEVEL,206.0,82.4,19.33,185.4,33
HCPCS,84145,84145 PROCALCITONIN HORMONE LEVEL,182.0,72.8,25.91,163.8,27
HCPCS,84146,84146 PROLACTIN MILK PRODUCING HORMONE LEVEL,233.0,93.2,17.96,209.7,33
HCPCS,84150,84150 PROSTAGLANDIN HORMONE LEVEL,226.0,90.4,38.72,203.4,33
HCPCS,84152,84152 PSA PROSTATE SPECIFIC ANTIGEN MEASUREMENT,46.0,18.4,17.05,46.0,33
HCPCS,84153,84153 PSA PROSTATE SPECIFIC ANTIGEN MEASUREMENT,171.0,68.4,17.05,153.9,33
HCPCS,84154,84154 PSA PROSTATE SPECIFIC ANTIGEN MEASUREMENT,139.0,55.6,17.05,125.1,33
HCPCS,84155,84155 TOTAL PROTEIN LEVEL,78.0,31.2,3.4,70.2,33
HCPCS,84156,84156 TOTAL PROTEIN LEVEL,78.0,31.2,3.4,70.2,33
HCPCS,84157,84157 TOTAL PROTEIN LEVEL,78.0,31.2,3.71,70.2,33
HCPCS,84160,84160 TOTAL PROTEIN LEVEL,31.0,12.4,5.2,27.9,33
HCPCS,84163,84163 PREGNANCYASSOCIATED PLASMA PROTEINA LEVEL,40.0,16.0,13.96,40.0,33
HCPCS,84165,84165 PROTEIN MEASUREMENT,93.0,37.2,9.96,83.7,32
HCPCS,84166,84166 PROTEIN MEASUREMENT,132.0,52.8,17.83,118.8,26
HCPCS,84181,84181 PROTEIN MEASUREMENT,125.0,50.0,15.79,112.5,32
HCPCS,84182,84182 PROTEIN MEASUREMENT,190.0,76.0,27.08,171.0,32
HCPCS,84202,84202 PROTOPORPHYRIN METABOLISM SUBSTANCE LEVEL,36.0,14.4,13.31,36.0,33
HCPCS,84206,84206 PROINSULIN PANCREATIC HORMONE LEVEL,85.0,34.0,24.74,76.5,33
HCPCS,84207,84207 VITAMIN B6 LEVEL,204.0,81.6,26.05,183.6,33
HCPCS,84210,84210 PYRUVATE ORGANIC ACID LEVEL,102.0,40.8,13.42,91.8,33
HCPCS,84220,84220 PYRUVATE KINASE ENZYME LEVEL,70.0,28.0,8.76,63.0,33
HCPCS,84228,84228 QUININE DRUG LEVEL,29.0,11.6,10.78,29.08,33
HCPCS,84233,84233 ESTROGEN RECEPTOR ANALYSIS,220.0,88.0,81.46,220.0,33
HCPCS,84234,84234 PROGESTERONE REPRODUCTIVE HORMONE RECEPTOR ANALYSIS,162.0,64.8,60.14,162.2,33
HCPCS,84235,84235 HORMONE RECEPTOR ANALYSIS,178.0,71.2,66.03,178.08,33
HCPCS,84238,84238 CHEMICAL RECEPTOR ANALYSIS,243.0,97.2,33.9,218.7,33
HCPCS,84244,84244 RENIN KIDNEY ENZYME LEVEL,175.0,70.0,20.38,157.5,33
HCPCS,84252,84252 VITAMIN B2 RIBOFLAVIN LEVEL,160.0,64.0,18.77,144.0,33
HCPCS,84255,84255 SELENIUM VITAMIN LEVEL,168.0,67.2,23.67,151.2,33
HCPCS,84260,84260 SEROTONIN HORMONE LEVEL,194.0,77.6,28.72,174.6,33
HCPCS,84270,84270 SEX HORMONE BINDING GLOBULIN PROTEIN LEVEL,82.0,32.8,20.15,73.8,33
HCPCS,84275,84275 SIALIC ACID ORGANIC ACID LEVEL,34.0,13.6,12.46,34.0,33
HCPCS,84295,84295 BLOOD SODIUM LEVEL,85.0,34.0,4.46,76.5,33
HCPCS,84300,84300 URINE SODIUM LEVEL,69.0,27.6,4.69,62.1,33
HCPCS,84302,84302 SODIUM LEVEL,58.0,23.2,4.5,52.2,33
HCPCS,84305,84305 SOMATOMEDIN GROWTH FACTOR LEVEL,175.0,70.0,19.7,157.5,33
HCPCS,84307,84307 SOMATOSTATIN GROWTH HORMONE INHIBITOR LEVEL,191.0,76.4,16.94,171.9,33
HCPCS,84311,84311 CHEMICAL ANALYSIS USING SPECTROPHOTOMETRY LIGHT,132.0,52.8,7.51,118.8,33
HCPCS,84315,84315 SPECIFIC GRAVITY LIQUID WEIGHT MEASUREMENT,8.0,3.2,3.04,8.2,33
HCPCS,84375,84375 CARBOHYDRATE SUGAR ANALYSIS,98.0,39.2,32.87,98.0,33
HCPCS,84376,84376 CARBOHYDRATE ANALYSIS,54.0,21.6,5.1,48.6,33
HCPCS,84377,84377 CARBOHYDRATE ANALYSIS,30.0,12.0,5.1,27.0,33
HCPCS,84378,84378 CARBOHYDRATE ANALYSIS,70.0,28.0,10.69,63.0,33
HCPCS,84379,84379 CARBOHYDRATE ANALYSIS,25.0,10.0,10.69,28.83,33
HCPCS,84392,84392 URINE SULFATE ACID LEVEL,19.0,7.6,5.09,17.1,33
HCPCS,84393,TEST FOR PHOSPHORYLATED TAU PROTEIN,400.0,160.0,122.71,362.27,27
HCPCS,84394,TEST FOR TOTAL TAU PROTEIN,400.0,160.0,122.71,362.27,27
HCPCS,84402,84402 TESTOSTERONE HORMONE LEVEL,202.0,80.8,23.61,181.8,33
HCPCS,84403,84403 TESTOSTERONE HORMONE LEVEL,209.0,83.6,23.93,188.1,33
HCPCS,84425,84425 VITAMIN B1 THIAMINE LEVEL,176.0,70.4,19.68,158.4,33
HCPCS,84430,84430 THIOCYANATE ORGANIC SULFUR SUBSTANCE LEVEL,29.0,11.6,10.78,29.08,33
HCPCS,84432,84432 THYROGLOBULIN THYROID RELATED HORMONE LEVEL,71.0,28.4,14.88,63.9,33
HCPCS,84433,ASY THIOPURIN SMTHYLTRNSFRS,55.0,22.0,21.1,55.43,27
HCPCS,84436,84436 THYROXINE THYROID CHEMICAL,75.0,30.0,6.37,67.5,33
HCPCS,84439,84439 THYROXINE THYROID CHEMICAL,156.0,62.4,8.36,140.4,33
HCPCS,84442,84442 THYROXINE BINDING GLOBULIN THYROID RELATED PROTEIN LEVEL,107.0,42.8,13.7,96.3,33
HCPCS,84443,84443 BLOOD TEST,178.0,71.2,15.57,160.2,33
HCPCS,84445,84445 THYROID STIMULATING IMMUNE GLOBULINS THYROID RELATED PROTEIN LEVEL,323.0,129.2,47.14,290.7,33
HCPCS,84446,84446 VITAMIN E LEVEL,113.0,45.2,13.14,101.7,33
HCPCS,84449,84449 TRANSCORTIN CORTISOL BINDING PROTEIN LEVEL,45.0,18.0,17.13,45.0,27
HCPCS,84450,84450 LIVER ENZYME SGOT,64.0,25.6,4.8,57.6,33
HCPCS,84460,84460 LIVER ENZYME SGPT,67.0,26.8,4.91,60.3,33
HCPCS,84466,84466 TRANSFERRIN IRON BINDING PROTEIN LEVEL,76.0,30.4,11.82,68.4,33
HCPCS,84478,84478 TRIGLYCERIDES LEVEL,83.0,33.2,5.33,74.7,33
HCPCS,84479,84479 THYROID HORMONE EVALUATION,16.0,6.4,5.99,16.18,33
HCPCS,84480,84480 THYROID HORMONE,134.0,53.6,13.14,120.6,33
HCPCS,84481,84481 THYROID HORMONE,70.0,28.0,15.71,63.0,33
HCPCS,84482,84482 THYROID HORMONE,85.0,34.0,14.61,76.5,33
HCPCS,84484,84484 TROPONIN PROTEIN ANALYSIS,350.0,140.0,11.56,315.0,33
HCPCS,84485,84485 TRYPSIN PANCREATIC ENZYME MEASUREMENT,64.0,25.6,6.67,57.6,33
HCPCS,84510,84510 TYROSINE AMINO ACID LEVEL,78.0,31.2,9.86,70.2,33
HCPCS,84512,84512 TROPONIN PROTEIN ANALYSIS,25.0,10.0,9.35,25.23,33
HCPCS,84520,84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION,62.0,24.8,3.67,55.8,33
HCPCS,84540,84540 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION,69.0,27.6,5.15,62.1,33
HCPCS,84550,84550 URIC ACID LEVEL,81.0,32.4,4.19,72.9,33
HCPCS,84560,84560 URIC ACID LEVEL,66.0,26.4,4.71,59.4,33
HCPCS,84577,84577 UROBILINOGEN METABOLISM SUBSTANCE LEVEL,42.0,16.8,15.57,42.0,33
HCPCS,84578,84578 UROBILINOGEN METABOLISM SUBSTANCE ANALYSIS,11.0,4.4,4.14,11.18,33
HCPCS,84580,84580 UROBILINOGEN METABOLISM SUBSTANCE LEVEL,24.0,9.6,8.86,24.0,33
HCPCS,84585,84585 URINE VANILLYLMANDELIC ACID,140.0,56.0,14.37,126.0,33
HCPCS,84586,84586 VASOACTIVE INTESTINAL PEPTIDE INTESTINAL HORMONE LEVEL,248.0,99.2,33.63,223.2,27
HCPCS,84588,84588 ADH ANTIDIURETIC HORMONE LEVEL,160.0,64.0,31.47,144.0,33
HCPCS,84590,84590 VITAMIN A LEVEL,119.0,47.6,10.76,107.1,33
HCPCS,84591,84591 VITAMIN MEASUREMENT,151.0,60.4,15.81,135.9,33
HCPCS,84597,84597 VITAMIN K LEVEL,147.0,58.8,12.72,132.3,33
HCPCS,84600,84600 VOLATILE CHEMICAL MEASUREMENT,43.0,17.2,15.86,43.0,33
HCPCS,84630,84630 ZINC LEVEL,114.0,45.6,10.56,102.6,33
HCPCS,84681,84681 CPEPTIDE PROTEIN LEVEL,167.0,66.8,19.29,150.3,33
HCPCS,84702,84702 GONADOTROPIN,210.0,84.0,13.96,189.0,33
HCPCS,84703,84703 GONADOTROPIN REPRODUCTIVE HORMONE ANALYSIS,151.0,60.4,6.97,135.9,33
HCPCS,84999,84999 CHEMISTRY PROCEDURES,100.0,40.0,40.0,100.0,17
HCPCS,84999,ASSAY OF PROGESTERONE,56.0,22.4,22.4,56.0,17
HCPCS,84999,CLINICAL CHEMISTRY TEST,170.0,68.0,53.0,170.0,17
HCPCS,84999,THIN LAYER CHROMATOGRAPHY,488.0,195.2,53.0,439.2,17
HCPCS,85002,85002 BLEEDING TIME,12.0,4.8,4.47,12.05,33
HCPCS,85007,85007 MICROSCOPIC EXAMINATION FOR WHITE BLOOD CELLS WITH MANUAL CELL COUNT,60.0,24.0,3.52,54.0,33
HCPCS,85008,85008 MICROSCOPIC EXAMINATION FOR WHITE BLOOD CELLS,9.0,3.6,3.18,9.0,33
HCPCS,85009,85009 MANUAL WHITE BLOOD CELL COUNT AND EVALUATION,13.0,5.2,4.7,13.0,33
HCPCS,85013,85013 RED BLOOD CELL HEMOGLOBIN CONCENTRATION,18.0,7.2,3.97,18.0,33
HCPCS,85014,85014 RED BLOOD CELL CONCENTRATION MEASUREMENT,49.0,19.6,2.19,44.1,33
HCPCS,85018,85018 BLOOD COUNT,25.0,10.0,2.19,22.5,33
HCPCS,85025,85025 COMPLETE BLOOD CELL COUNT RED CELLS,130.0,52.0,7.2,117.0,33
HCPCS,85027,85027 COMPLETE BLOOD CELL COUNT RED CELLS,162.0,64.8,5.99,145.8,33
HCPCS,85032,85032 MANUAL BLOOD CELL COUNT,25.0,10.0,4.0,22.5,33
HCPCS,85041,85041 RED BLOOD CELL COUNT,32.0,12.8,2.8,28.8,33
HCPCS,85044,85044 RED BLOOD COUNT,11.0,4.4,4.0,11.0,33
HCPCS,85045,85045 RED BLOOD COUNT,79.0,31.6,3.7,71.1,33
HCPCS,85046,85046 RED BLOOD COUNT AUTOMATED,25.0,10.0,5.16,22.5,33
HCPCS,85048,85048 AUTOMATED WHITE BLOOD CELL COUNT,55.0,22.0,2.36,49.5,33
HCPCS,85049,85049 PLATELET COUNT,55.0,22.0,4.15,49.5,33
HCPCS,85055,85055 RETICULATED YOUNG PLATELET MEASUREMENT,92.0,36.8,33.14,92.0,33
HCPCS,85097,85097 BONE MARROW,68.0,27.2,39.3,1818.54,33
HCPCS,85097,BONE MARROW INTERPRETATION,1420.0,568.0,39.3,1818.54,66
HCPCS,85130,85130 ASSESSMENT OF BLOOD CLOTTING FUNCTION,128.0,51.2,11.02,115.2,33
HCPCS,85170,85170 BLOOD CLOT EVALUATION,41.0,16.4,6.06,41.0,33
HCPCS,85210,85210 CLOTTING FACTOR II PROTHROMBIN,185.0,74.0,12.03,166.5,33
HCPCS,85220,85220 CLOTTING FACTOR V ACG OR PROACCELERIN MEASUREMENT,226.0,90.4,16.37,203.4,33
HCPCS,85230,85230 CLOTTING FACTOR VII PROCONVERTIN,128.0,51.2,16.59,115.2,33
HCPCS,85240,85240 CLOTTING FACTOR VIII AHG MEASUREMENT,128.0,51.2,16.59,115.2,33
HCPCS,85244,85244 CLOTTING FACTOR VIII RELATED ANTIGEN MEASUREMENT,51.0,20.4,18.93,51.05,33
HCPCS,85245,85245 CLOTTING FACTOR VIII VW FACTOR MEASUREMENT,226.0,90.4,21.27,203.4,33
HCPCS,85246,85246 CLOTTING FACTOR VIII VW FACTOR ANTIGEN,113.0,45.2,21.27,101.7,33
HCPCS,85247,85247 CLOTTING FACTOR VIII VON WILLEBRAND FACTOR MEASUREMENT,261.0,104.4,21.27,234.9,33
HCPCS,85250,85250 CLOTTING FACTOR IX PTC OR CHRISTMAS MEASUREMENT,226.0,90.4,17.65,203.4,33
HCPCS,85260,85260 CLOTTING FACTOR X STUARTPROWER MEASUREMENT,226.0,90.4,16.59,203.4,33
HCPCS,85270,85270 CLOTTING FACTOR XI PTA MEASUREMENT,226.0,90.4,16.59,203.4,33
HCPCS,85280,85280 CLOTTING FACTOR XII HAGEMAN MEASUREMENT,226.0,90.4,17.94,203.4,33
HCPCS,85290,85290 CLOTTING FACTOR XIII FIBRIN STABILIZING MEASUREMENT,226.0,90.4,15.15,203.4,33
HCPCS,85291,85291 CLOTTING FACTOR XIII FIBRIN STABILIZING SCREENING TEST,23.0,9.2,8.45,23.0,33
HCPCS,85292,85292 FLETCHER FACTOR CLOTTING FACTOR MEASUREMENT,90.0,36.0,17.55,81.0,33
HCPCS,85293,85293 FITZGERALD FACTOR CLOTTING FACTOR MEASUREMENT,90.0,36.0,17.55,81.0,33
HCPCS,85300,85300 ANTITHROMBIN III ANTIGEN CLOTTING INHIBITOR ACTIVITY,90.0,36.0,10.99,81.0,33
HCPCS,85300,ANTITHROMBIN III TEST,90.0,36.0,10.99,81.0,33
HCPCS,85301,85301 ANTITHROMBIN III ANTIGEN CLOTTING INHIBITOR LEVEL,100.0,40.0,10.02,90.0,33
HCPCS,85302,BLOOD CLOT INHIBITOR ANTIGEN,121.0,48.4,11.13,108.9,33
HCPCS,85303,85303 PROTEIN C ANTIGEN CLOTTING INHIBITOR MEASUREMENT,45.0,18.0,12.83,40.5,33
HCPCS,85305,85305 PROTEIN S CLOTTING INHIBITOR LEVEL,121.0,48.4,10.76,108.9,33
HCPCS,85306,85306 PROTEIN S CLOTTING INHIBITOR MEASUREMENT,92.0,36.8,14.2,82.8,33
HCPCS,85307,85307 ACTIVATED PROTEIN RESISTANCE ASSAY,142.0,56.8,14.2,127.8,33
HCPCS,85335,85335 CLOTTING FACTOR INHIBITOR TEST,293.0,117.2,11.93,263.7,33
HCPCS,85335,FACTOR INHIBITOR TEST,50.0,20.0,11.93,45.0,33
HCPCS,85345,85345 COAGULATION TIME MEASUREMENT,25.0,10.0,4.35,22.5,33
HCPCS,85347,85347 COAGULATION TIME MEASUREMENT,75.0,30.0,3.97,67.5,33
HCPCS,85348,85348 COAGULATION TIME MEASUREMENT,25.0,10.0,4.16,22.5,33
HCPCS,85360,85360 EUGLOBULIN LYSIS CLOT DISSOLVING MEASUREMENT,62.0,24.8,7.8,55.8,33
HCPCS,85362,85362 COAGULATION FUNCTION ANALYSIS,75.0,30.0,6.39,67.5,33
HCPCS,85366,85366 COAGULATION FUNCTION MEASUREMENT,201.0,80.4,14.44,201.15,33
HCPCS,85378,85378 COAGULATION FUNCTION MEASUREMENT,25.0,10.0,9.01,25.0,33
HCPCS,85379,85379 COAGULATION FUNCTION MEASUREMENT,75.0,30.0,9.43,67.5,33
HCPCS,85384,85384 FIBRINOGEN FACTOR 1 ACTIVITY MEASUREMENT,127.0,50.8,9.01,114.3,33
HCPCS,85385,85385 FIBRINOGEN FACTOR 1 ANTIGEN DETECTION,119.0,47.6,13.4,107.1,33
HCPCS,85390,85390 COAGULATION FUNCTION SCREENING TEST WITH INTERPRETATION AND REPORT,83.0,33.2,8.66,74.7,32
HCPCS,85396,COAG/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY,193.0,77.2,24.5,173.7,17
HCPCS,85397,85397 MEASUREMENT OF BLOOD COAGULATION AND FIBRINOLYSIS CLOT DISSOLVING FUNCTION,79.0,31.6,28.6,79.0,33
HCPCS,85397,CLOTTING FUNCT ACTIVITY,75.0,30.0,28.6,77.15,33
HCPCS,85410,85410 ALPHA2 ANTIPLASMIN FACTOR INHIBITOR MEASUREMENT,150.0,60.0,7.15,135.0,33
HCPCS,85415,85415 PLASMINOGEN ACTIVATOR FIBRINOLYTIC FACTOR MEASUREMENT,87.0,34.8,15.93,78.3,33
HCPCS,85420,85420 PLASMINOGEN FIBRINOLYTIC FACTOR MEASUREMENT,135.0,54.0,6.06,121.5,33
HCPCS,85441,85441 EVALUATION OF RED BLOOD CELL DEFECT HEINZ BODIES,25.0,10.0,3.89,22.5,33
HCPCS,85460,85460 FETAL HEMOGLOBIN OR RED BLOOD CELLS MEASUREMENT FOR ASSESSMENT OF FETAL,25.0,10.0,7.17,22.5,33
HCPCS,85461,85461 FETAL HEMOGLOBIN OR RED BLOOD CELLS MEASUREMENT FOR ASSESSMENT OF FETA,25.0,10.0,8.67,25.0,33
HCPCS,85475,85475 MEASUREMENT OF HEMOLYSIN RED BLOOD CELL DESTRUCTIVE SUBSTANCE,25.0,10.0,8.22,24.92,33
HCPCS,85520,85520 HEPARIN ASSAY,50.0,20.0,12.13,45.0,33
HCPCS,85540,85540 WHITE BLOOD CELL ALKALINE PHOSPHATASE ENZYME MEASUREMENT WITH CELL COUNT,25.0,10.0,7.97,24.17,33
HCPCS,85547,85547 RED BLOOD CELL FRAGILITY MEASUREMENT,25.0,10.0,7.97,24.17,33
HCPCS,85549,85549 WHITE BLOOD CELL ENZYME ACTIVITY MEASUREMENT,57.0,22.8,17.39,52.69,33
HCPCS,85555,85555 RED BLOOD CELL FRAGILITY MEASUREMENT,44.0,17.6,6.92,39.6,33
HCPCS,85557,85557 RED BLOOD CELL FRAGILITY MEASUREMENT,136.0,54.4,12.38,122.4,33
HCPCS,85576,85576 PLATELET AGGREGATION FUNCTION TEST,193.0,77.2,23.09,173.7,32
HCPCS,85597,85597 PLATELET FUNCTION TEST,45.0,18.0,16.67,45.0,33
HCPCS,85598,85598 PHOSPHOLIPID TEST,45.0,18.0,16.67,45.0,33
HCPCS,85610,85610 BLOOD TEST,81.0,32.4,3.98,72.9,33
HCPCS,85611,85611 BLOOD TEST,87.0,34.8,3.66,78.3,33
HCPCS,85613,85613 CLOTTING FACTOR X ASSESSMENT TEST,90.0,36.0,8.88,81.0,33
HCPCS,85635,85635 BLOOD COAGULATION SCREENING TEST,34.0,13.6,9.14,30.6,33
HCPCS,85651,85651 RED BLOOD CELL SEDIMENTATION RATE,52.0,20.8,3.96,46.8,33
HCPCS,85652,85652 RED BLOOD CELL SEDIMENTATION RATE,60.0,24.0,2.5,54.0,33
HCPCS,85660,85660 RED BLOOD CELL SICKLING MEASUREMENT,50.0,20.0,5.11,45.0,33
HCPCS,85670,85670 THROMBIN TIME,80.0,32.0,5.35,72.0,33
HCPCS,85705,85705 THROMBOPLASTIN INHIBITION CIRCULATING ANTICOAGULANT MEASUREMENT,24.0,9.6,8.93,24.08,33
HCPCS,85730,85730 COAGULATION ASSESSMENT BLOOD TEST,150.0,60.0,5.57,135.0,33
HCPCS,85732,85732 COAGULATION ASSESSMENT BLOOD TEST,98.0,39.2,5.99,88.2,33
HCPCS,85810,85810 BLOOD VISCOSITY MEASUREMENT,83.0,33.2,10.82,74.7,33
HCPCS,85999,85999 HEMATOLOGY AND COAGULATION PROCEDURES,184.0,73.6,73.6,179.0,17
HCPCS,85999,HEMATOLOGY PROCEDURE,360.0,144.0,144.0,324.0,17
HCPCS,86000,86000 MEASUREMENT OF ANTIBODY TO INFECTIOUS ORGANISM,69.0,27.6,6.47,62.1,33
HCPCS,86001,86001 MEASUREMENT OF ANTIBODY IGG TO ALLERGIC SUBSTANCE,52.0,20.8,7.25,46.8,33
HCPCS,86003,86003 MEASUREMENT OF ANTIBODY IGE TO ALLERGIC SUBSTANCE,50.0,20.0,4.84,45.0,33
HCPCS,86005,86005 MEASUREMENT OF ANTIBODY IGE TO ALLERGIC SUBSTANCE,28.0,11.2,7.39,25.2,33
HCPCS,86008,86008 MEASUREMENT OF ANTIBODY IGE TO ALLERGIC SUBSTANCE,64.0,25.6,17.07,57.6,27
HCPCS,86015,ACTIN ANTIBODY EACH,29.0,11.6,11.47,30.13,27
HCPCS,86021,86021 ANTIBODY IDENTIFICATION TEST FOR WHITE BLOOD CELL ANTIBODIES,50.0,20.0,13.96,45.0,33
HCPCS,86022,86022 ANTIBODY IDENTIFICATION TEST,133.0,53.2,17.03,119.7,33
HCPCS,86023,86023 ANTIBODY IDENTIFICATION TEST,71.0,28.4,11.55,63.9,33
HCPCS,86036,ANCA SCREEN EACH ANTIBODY,30.0,12.0,11.47,30.13,27
HCPCS,86037,ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB,30.0,12.0,11.47,30.13,27
HCPCS,86038,86038 SCREENING TEST FOR AUTOIMMUNE DISORDER,125.0,50.0,11.21,112.5,33
HCPCS,86039,86039 MEASUREMENT OF ANTIBODY FOR ASSESSMENT OF AUTOIMMUNE DISORDER,99.0,39.6,10.34,89.1,33
HCPCS,86041,HC TEST FOR ACETYLCHOLINE RECEPTOR BINDING ANTIBODY,30.0,12.0,17.06,46.0,33
HCPCS,86042,HC TEST ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY,30.0,12.0,17.06,46.0,33
HCPCS,86043,HCTEST FOR ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY,30.0,12.0,11.18,30.13,33
HCPCS,86051,AQUAPORIN4 ANTIBODY ELISA,29.0,11.6,10.97,29.0,27
HCPCS,86052,AQUAPORIN4 ANTB CBA EACH,30.0,12.0,11.47,30.13,27
HCPCS,86053,AQAPRN4 ANTB FLO CYTMTRY EA,30.0,12.0,14.46,75.0,27
HCPCS,86060,86060 MEASUREMENT FOR STREP ANTIBODY STREP THROAT,122.0,48.8,6.77,109.8,33
HCPCS,86063,86063 SCREENING TEST FOR STREP ANTIBODY STREP THROAT,89.0,35.6,5.35,80.1,33
HCPCS,86140,86140 MEASUREMENT CREACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION,125.0,50.0,4.8,112.5,33
HCPCS,86141,86141 MEASUREMENT CREACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION,85.0,34.0,12.01,76.5,33
HCPCS,86146,86146 BETA 2 GLYCOPROTEIN 1 ANTIBODY AUTOANTIBODY MEASUREMENT,127.0,50.8,23.6,114.3,33
HCPCS,86147,86147 CARDIOLIPIN ANTIBODY TISSUE ANTIBODY MEASUREMENT,147.0,58.8,23.6,132.3,33
HCPCS,86148,86148 PHOSPHOLIPID ANTIBODY AUTOIMMUNE ANTIBODY MEASUREMENT,71.0,28.4,14.89,63.9,33
HCPCS,86152,86152 CELL ENUMERATION IMMUNOLOGIC SELECTION IDENTIFICATION IN FLUID SPECIMEN,627.0,250.8,15.25,627.0,27
HCPCS,86153,86153 CELL ENUMERATION USING IMMUNOLOGIC SELECTION AND IDENTIFICATION IN FLUID,30.0,12.0,12.0,30.0,17
HCPCS,86156,86156 MEASUREMENT OF COLD AGGLUTININ PROTEIN TO SCREEN FOR INFECTION OR DISEASE,50.0,20.0,7.48,45.0,33
HCPCS,86157,86157 MEASUREMENT OF COLD AGGLUTININ PROTEIN TO DETECT INFECTION OR DISEASE,61.0,24.4,7.47,54.9,33
HCPCS,86160,86160 MEASUREMENT OF COMPLEMENT IMMUNE SYSTEM PROTEINS,113.0,45.2,11.12,101.7,33
HCPCS,86161,86161 MEASUREMENT OF COMPLEMENT FUNCTION IMMUNE SYSTEM PROTEINS,141.0,56.4,11.12,126.9,33
HCPCS,86162,86162 MEASUREMENT OF COMPLEMENT IMMUNE SYSTEM PROTEINS,89.0,35.6,18.84,80.1,33
HCPCS,86171,86171 MEASUREMENT OF COMPLEMENT FIXATION TESTS IMMUNE SYSTEM PROTEINS,25.0,10.0,9.28,25.03,33
HCPCS,86200,86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT,114.0,45.6,12.01,102.6,33
HCPCS,86215,86215 MEASUREMENT OF DNA ANTIBODY,103.0,41.2,12.29,92.7,33
HCPCS,86225,86225 MEASUREMENT OF DNA ANTIBODY,89.0,35.6,12.74,80.1,33
HCPCS,86226,86226 MEASUREMENT OF DNA ANTIBODY,50.0,20.0,11.23,45.0,33
HCPCS,86231,EMA EACH IG CLASS,30.0,12.0,11.51,30.23,27
HCPCS,86235,86235 MEASUREMENT OF ANTIBODY FOR ASSESSMENT OF AUTOIMMUNE DISORDER,101.0,40.4,16.62,90.9,33
HCPCS,86255,86255 SCREENING TEST FOR ANTIBODY TO NONINFECTIOUS AGENT,173.0,69.2,11.18,155.7,32
HCPCS,86256,86256 MEASUREMENT OF ANTIBODY TO NONINFECTIOUS AGENT,89.0,35.6,11.18,80.1,32
HCPCS,86258,DGP ANTIBODY EACH IG CLASS,29.0,11.6,11.47,30.13,27
HCPCS,86300,86300 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN,165.0,66.0,19.29,148.5,33
HCPCS,86301,86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN,100.0,40.0,19.29,90.0,33
HCPCS,86304,86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN,113.0,45.2,19.29,101.7,33
HCPCS,86305,86305 ANALYSIS OF FEMALE REPRODUCTIVE GENETIC MARKER,75.0,30.0,19.81,67.5,27
HCPCS,86308,86308 SCREENING TEST FOR MONONUCLEOSIS MONO,121.0,48.4,4.8,108.9,33
HCPCS,86316,86316 ANALYSIS FOR DETECTION OF TUMOR MARKER,81.0,32.4,19.29,72.9,33
HCPCS,86317,86317 DETECTION OF INFECTIOUS AGENT ANTIBODY,60.0,24.0,13.89,54.0,33
HCPCS,86318,86318 TEST FOR DETECTION OF INFECTIOUS AGENT ANTIBODY,50.0,20.0,16.77,50.0,33
HCPCS,86320,86320 IMMUNOLOGIC ANALYSIS TECHNIQUE ON SERUM,75.0,30.0,27.74,75.0,32
HCPCS,86325,86325 IMMUNOLOGIC ANALYSIS TECHNIQUE ON BODY FLUID,75.0,30.0,21.44,67.5,32
HCPCS,86329,86329 IMMUNOLOGIC ANALYSIS TECHNIQUE,75.0,30.0,13.03,67.5,33
HCPCS,86331,86331 IMMUNOLOGIC ANALYSIS FOR DETECTION OF ANTIGEN OR ANTIBODY,75.0,30.0,11.1,67.5,33
HCPCS,86332,86332 IMMUNE COMPLEX MEASUREMENT,75.0,30.0,22.59,68.48,33
HCPCS,86334,86334 IMMUNOLOGIC ANALYSIS TECHNIQUE ON SERUM IMMUNOFIXATION,77.0,30.8,20.71,69.3,32
HCPCS,86335,86335 IMMUNOLOGIC ANALYSIS TECHNIQUE ON BODY FLUID,103.0,41.2,27.21,92.7,32
HCPCS,86336,86336 INHIBIN A REPRODUCTIVE ORGAN HORMONE MEASUREMENT,129.0,51.6,14.45,116.1,33
HCPCS,86337,86337 INSULIN ANTIBODY MEASUREMENT,172.0,68.8,19.85,154.8,33
HCPCS,86340,86340 INTRINSIC FACTOR STOMACH PROTEIN ANTIBODY MEASUREMENT,125.0,50.0,13.98,112.5,33
HCPCS,86341,86341 ISLET CELL PANCREAS ANTIBODY MEASUREMENT,162.0,64.8,22.43,145.8,27
HCPCS,86343,86343 WHITE BLOOD CELL HISTAMINE IMMUNE SYSTEM CHEMICAL RELEASE TEST,165.0,66.0,11.55,148.5,33
HCPCS,86344,86344 WHITE BLOOD CELL FUNCTION MEASUREMENT,50.0,20.0,9.63,45.0,33
HCPCS,86352,86352 ANALYSIS OF CELL FUNCTION AND ANALYSIS FOR GENETIC MARKER,413.0,165.2,116.76,381.77,27
HCPCS,86353,86353 WHITE BLOOD CELL FUNCTION MEASUREMENT,395.0,158.0,45.45,355.5,33
HCPCS,86355,86355 TOTAL CELL COUNT FOR B CELLS WHITE BLOOD CELLS,162.0,64.8,34.98,145.8,33
HCPCS,86356,86356 WHITE BLOOD CELL ANTIGEN MEASUREMENT,150.0,60.0,24.82,135.0,33
HCPCS,86357,86357 TOTAL CELL COUNT FOR NATURAL KILLER CELLS WHITE BLOOD CELL,114.0,45.6,34.98,106.02,33
HCPCS,86359,86359 T CELLS COUNT,206.0,82.4,34.98,185.4,33
HCPCS,86360,86360 T CELL COUNT AND RATIO,275.0,110.0,43.55,247.5,33
HCPCS,86361,86361 T CELL COUNT AND RATIO,75.0,30.0,24.82,75.0,33
HCPCS,86362,MOGIGG1 ANTB CBA EACH,30.0,12.0,11.47,30.13,27
HCPCS,86363,MOGIGG1 ANTB FLO CYTMTRY EA,30.0,12.0,14.46,75.0,27
HCPCS,86364,TISS TRNSGLTMNASE EA IG CLAS,29.0,11.6,10.97,29.0,27
HCPCS,86366,HC TEST FOR MUSCLESPECIFIC KINASE ANTIBODY,30.0,12.0,17.06,46.0,33
HCPCS,86367,86367 STEM CELLS COUNT,195.0,78.0,63.24,195.0,33
HCPCS,86376,86376 MICROSOMAL ANTIBODIES AUTOANTIBODY MEASUREMENT,139.0,55.6,13.49,125.1,33
HCPCS,86381,MITOCHONDRIAL ANTIBODY EACH,64.0,25.6,24.22,64.0,27
HCPCS,86382,86382 VIRAL NEUTRALIZATION TEST TO DETECT VIRAL ANTIBODY LEVEL,159.0,63.6,15.68,143.1,33
HCPCS,86384,86384 NITROBLUE TETRAZOLIUM DYE TEST TO MEASURE WHITE BLOOD CELL FUNCTION,50.0,20.0,12.62,45.0,33
HCPCS,86386,86386 PROTEIN TEST FOR DIAGNOSIS AND MONITORING OF BLADDER CANCER,50.0,20.0,20.73,54.45,27
HCPCS,86403,86403 SCREENING TEST FOR PRESENCE OF ANTIBODY,123.0,49.2,10.7,110.7,33
HCPCS,86406,86406 ANTIBODY LEVEL MEASUREMENT,69.0,27.6,9.87,62.1,33
HCPCS,86430,86430 RHEUMATOID FACTOR ANALYSIS,25.0,10.0,5.7,22.5,33
HCPCS,86431,86431 RHEUMATOID FACTOR LEVEL,101.0,40.4,5.25,90.9,33
HCPCS,86480,86480 TUBERCULOSIS TEST,105.0,42.0,57.45,154.95,33
HCPCS,86481,86481 TUBERCULOSIS TEST,250.0,100.0,92.7,250.0,33
HCPCS,86580,86580 SKIN TEST FOR TUBERCULOSIS,33.0,13.2,6.46,65.28,33
HCPCS,86580,TUBERCULIN 5 UNIT/0.1ML SOLN 1 ML VIAL,75.7,30.28,6.46,73.38,32
HCPCS,86580,TUBERCULIN 5 UNIT/0.1ML SOLN 5 ML VIAL,58.99,23.6,6.46,65.28,32
HCPCS,86581,TEST FOR STREPTOCOCCUS PNEUMONIA ANTIBODY,115.0,46.0,66.7,230.08,27
HCPCS,86592,86592 SYPHILIS DETECTION TEST,71.0,28.4,3.96,63.9,33
HCPCS,86593,86593 SYPHILIS TEST,49.0,19.6,4.08,44.1,33
HCPCS,86596,VOLTAGEGTD CA CHNL ANTB EA,18.0,7.2,10.44,30.13,27
HCPCS,86602,86602 ANALYSIS FOR ANTIBODY TO ACTINOMYCES BACTERIA,25.0,10.0,9.43,25.45,33
HCPCS,86603,86603 ANALYSIS FOR ANTIBODY TO ADENOVIRUS RESPIRATORY VIRUS,50.0,20.0,11.93,45.0,33
HCPCS,86606,86606 ANALYSIS FOR ANTIBODY TO ASPERGILLUS FUNGUS,74.0,29.6,13.96,66.6,33
HCPCS,86609,86609 ANALYSIS FOR ANTIBODY BACTERIA,89.0,35.6,11.94,80.1,33
HCPCS,86611,86611 ANALYSIS FOR ANTIBODY TO BARTONELLA BACTERIA,76.0,30.4,9.43,68.4,33
HCPCS,86612,86612 ANALYSIS FOR ANTIBODY TO BLASTOMYCES FUNGUS,99.0,39.6,11.96,89.1,33
HCPCS,86615,86615 ANALYSIS FOR ANTIBODY BORDETELLA RESPIRATORY BACTERIA,80.0,32.0,12.23,72.0,33
HCPCS,86617,86617 CONFIRMATION TEST ANTIBODY TO BORRELIA BURGDORFERI LYME DISEASE BACTERIA,62.0,24.8,14.36,55.8,33
HCPCS,86618,86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI LYME DISEASE BACTERIA,123.0,49.2,15.79,110.7,33
HCPCS,86619,86619 ANALYSIS FOR ANTIBODY TO BORRELIA RELAPSING FEVER BACTERIA,50.0,20.0,12.4,45.0,33
HCPCS,86622,86622 ANALYSIS FOR ANTIBODY TO BRUCELLA BACTERIA,81.0,32.4,8.28,72.9,33
HCPCS,86625,86625 ANALYSIS FOR ANTIBODY TO CAMPYLOBACTER INTESTINAL BACTERIA,50.0,20.0,12.16,45.0,33
HCPCS,86631,86631 ANALYSIS FOR ANTIBODY TO CHLAMYDIA BACTERIA,85.0,34.0,10.96,76.5,33
HCPCS,86632,86632 ANALYSIS FOR ANTIBODY IGM TO CHLAMYDIA BACTERIA,95.0,38.0,11.75,85.5,33
HCPCS,86635,86635 ANALYSIS FOR ANTIBODY TO COCCIDIOIDES BACTERIA,59.0,23.6,10.63,53.1,33
HCPCS,86638,86638 ANALYSIS FOR ANTIBODY TO COXIELLA BURNETII Q FEVER BACTERIA,52.0,20.8,11.24,46.8,33
HCPCS,86641,86641 ANALYSIS FOR ANTIBODY TO CRYPTOCOCCUS YEAST,50.0,20.0,13.36,45.0,33
HCPCS,86644,86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS CMV,52.0,20.8,13.34,46.8,33
HCPCS,86645,86645 ANALYSIS FOR ANTIBODY IGM TO CYTOMEGALOVIRUS CMV,134.0,53.6,15.63,120.6,33
HCPCS,86648,86648 ANALYSIS FOR ANTIBODY TO DIPHTHERIA BACTERIA,165.0,66.0,14.1,148.5,33
HCPCS,86651,86651 ANALYSIS FOR ANTIBODY TO LA CROSSE CALIFORNIA ENCEPHALITIS CAUSING,85.0,34.0,12.23,76.5,33
HCPCS,86652,86652 ANALYSIS FOR ANTIBODY TO EASTERN EQUINE VIRUS VIRAL ENCEPHALITIS,85.0,34.0,12.23,76.5,33
HCPCS,86653,86653 ANALYSIS FOR ANTIBODY TO ST. LOUIS VIRUS VIRAL ENCEPHALITIS,85.0,34.0,12.23,76.5,33
HCPCS,86654,86654 ANALYSIS FOR ANTIBODY TO WESTERN EQUINE VIRUS VIRAL ENCEPHALITIS,85.0,34.0,12.23,76.5,33
HCPCS,86658,86658 ANALYSIS FOR ANTIBODY TO ENTEROVIRUS GASTROINTESTINAL VIRUS,85.0,34.0,12.08,76.5,33
HCPCS,86663,86663 ANALYSIS FOR ANTIBODY TO EPSTEINBARR VIRUS MONONUCLEOSIS VIRUS,55.0,22.0,12.16,49.5,33
HCPCS,86664,86664 ANALYSIS FOR ANTIBODY TO EPSTEINBARR VIRUS MONONUCLEOSIS VIRUS,129.0,51.6,14.17,116.1,33
HCPCS,86665,86665 ANALYSIS FOR ANTIBODY TO EPSTEINBARR VIRUS MONONUCLEOSIS VIRUS,151.0,60.4,16.82,135.9,33
HCPCS,86666,86666 ANALYSIS FOR ANTIBODY TO EHRLICHIA BACTERIA TRANSMITTED BY TICKS,109.0,43.6,9.43,98.1,33
HCPCS,86668,86668 ANALYSIS ANTIBODY TO FRANCISELLA TULARENSIS BACTERIA TRANSMITTED,58.0,23.2,13.12,52.2,33
HCPCS,86671,86671 ANALYSIS FOR ANTIBODY TO FUNGUS,58.0,23.2,11.36,52.2,33
HCPCS,86674,86674 ANALYSIS FOR ANTIBODY TO GIARDIA LAMBLIA INTESTINAL PARASITE,58.0,23.2,13.65,52.2,33
HCPCS,86677,86677 ANALYSIS FOR ANTIBODY TO HELICOBACTER PYLORI GASTROINTESTINAL BACTERIA,102.0,40.8,15.63,91.8,33
HCPCS,86682,86682 ANALYSIS FOR ANTIBODY TO HELMINTH INTESTINAL WORM,123.0,49.2,12.06,110.7,33
HCPCS,86684,86684 ANALYSIS FOR ANTIBODY TO HAEMOPHILUS INFLUENZA RESPIRATORY BACTERIA,150.0,60.0,14.69,135.0,33
HCPCS,86687,86687 ANALYSIS FOR ANTIBODY TO HUMAN TCELL LYMPHOTROPIC VIRUS,105.0,42.0,8.43,94.5,33
HCPCS,86688,86688 ANALYSIS FOR ANTIBODY TO HUMAN TCELL LYMPHOTROPIC VIRUS,94.0,37.6,12.98,84.6,33
HCPCS,86689,86689 CONFIRMATION TEST FOR ANTIBODY TO HUMAN TCELL LYMPHOTROPIC HTLV OR HIV,194.0,77.6,17.94,174.6,33
HCPCS,86692,86692 ANALYSIS FOR ANTIBODY TO HEPATITIS D VIRUS,89.0,35.6,15.9,80.1,33
HCPCS,86694,86694 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS,89.0,35.6,13.34,80.1,33
HCPCS,86695,86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS,103.0,41.2,12.23,92.7,33
HCPCS,86696,86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS,117.0,46.8,17.94,105.3,33
HCPCS,86698,86698 ANALYSIS FOR ANTIBODY TO HISTOPLASMA FUNGUS,91.0,36.4,12.78,81.9,33
HCPCS,86701,86701 ANALYSIS FOR ANTIBODY TO HIV 1 VIRUS,99.0,39.6,8.24,89.1,33
HCPCS,86702,86702 ANALYSIS FOR ANTIBODY TO HIV2 VIRUS,105.0,42.0,12.54,94.5,33
HCPCS,86703,86703 ANALYSIS FOR ANTIBODY TO HIV1 AND HIV2 VIRUS,108.0,43.2,12.71,97.2,33
HCPCS,86704,86704 HEPATITIS B CORE ANTIBODY MEASUREMENT,62.0,24.8,11.18,55.8,33
HCPCS,86705,86705 HEPATITIS B CORE ANTIBODY IGM MEASUREMENT,130.0,52.0,10.91,117.0,33
HCPCS,86706,86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT,62.0,24.8,9.96,55.8,33
HCPCS,86707,86707 HEPATITIS BE ANTIBODY MEASUREMENT,79.0,31.6,10.72,71.1,33
HCPCS,86708,86708 MEASUREMENT OF HEPATITIS A ANTIBODY,83.0,33.2,11.48,74.7,33
HCPCS,86709,86709 MEASUREMENT OF HEPATITIS A ANTIBODY IGM,99.0,39.6,10.43,89.1,33
HCPCS,86710,86710 ANALYSIS FOR ANTIBODY TO INFLUENZA VIRUS,106.0,42.4,12.57,95.4,33
HCPCS,86711,86711 ANALYSIS FOR ANTIBODY TO JOHN CUNNINGHAM VIRUS,135.0,54.0,16.08,121.5,27
HCPCS,86713,86713 ANALYSIS FOR ANTIBODY TO LEGIONELLA WATERBORNE BACTERIA,133.0,53.2,14.18,119.7,33
HCPCS,86717,86717 ANALYSIS FOR ANTIBODY TO LEISHMANIA PARASITE,50.0,20.0,11.36,45.0,33
HCPCS,86720,86720 ANALYSIS FOR ANTIBODY TO LEPTOSPIRA,132.0,52.8,15.02,118.8,33
HCPCS,86723,86723 ANALYSIS FOR ANTIBODY TO LISTERIA MONOCYTOGENES BACTERIA,50.0,20.0,12.23,45.0,33
HCPCS,86727,86727 ANALYSIS FOR ANTIBODY TO LYMPHOCYTIC CHORIOMENINGITIS VIRAL MENINGITIS,50.0,20.0,11.93,45.0,33
HCPCS,86735,86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS,72.0,28.8,12.1,64.8,33
HCPCS,86738,86738 ANALYSIS FOR ANTIBODY TO MYCOPLASMA BACTERIA,71.0,28.4,12.28,63.9,33
HCPCS,86741,86741 ANALYSIS FOR ANTIBODY TO NEISSERIA MENINGITIDIS BACTERIAL MENINGITIS,50.0,20.0,12.23,45.0,33
HCPCS,86744,86744 ANALYSIS FOR ANTIBODY TO NOCARDIA BACTERIA,50.0,20.0,14.82,45.0,33
HCPCS,86747,86747 ANALYSIS FOR ANTIBODY TO PARVOVIRUS,116.0,46.4,13.94,104.4,33
HCPCS,86750,86750 ANALYSIS FOR ANTIBODY TO PLASMODIUM MALARIA PARASITE,50.0,20.0,12.23,45.0,33
HCPCS,86753,86753 ANALYSIS FOR ANTIBODY TO PROTOZOA PARASITE,108.0,43.2,11.48,97.2,33
HCPCS,86756,86756 ANALYSIS FOR ANTIBODY TO RESPIRATORY SYNCYTIAL VIRUS RSV,50.0,20.0,14.73,45.0,33
HCPCS,86757,86757 ANALYSIS FOR ANTIBODY TO RICKETTSIA BACTERIA,67.0,26.8,17.94,60.3,33
HCPCS,86759,86759 ANALYSIS FOR ANTIBODY TO ROTAVIRUS INTESTINAL VIRUS,50.0,20.0,16.9,50.0,33
HCPCS,86762,86762 ANALYSIS FOR ANTIBODY TO RUBELLA GERMAN MEASLES VIRUS,102.0,40.8,13.34,91.8,33
HCPCS,86765,86765 ANALYSIS FOR ANTIBODY TO RUBEOLA MEASLES VIRUS,69.0,27.6,11.94,62.1,33
HCPCS,86768,86768 ANALYSIS FOR ANTIBODY TO SALMONELLA INTESTINAL BACTERIA,33.0,13.2,12.23,33.0,33
HCPCS,86769,86769 MEASURE OF SEVERE ACUTE RESPIRATORY SYNDROME CORONA 2 COVID19 ANTIBODY,105.0,42.0,39.06,105.33,33
HCPCS,86771,86771 ANALYSIS FOR ANTIBODY TO SHIGELLA INTESTINAL BACTERIA,50.0,20.0,22.12,61.2,33
HCPCS,86774,86774 ANALYSIS FOR ANTIBODY TO TETANUS BACTERIA CLOSTRIDIUM TETANUS,50.0,20.0,13.72,45.0,33
HCPCS,86777,86777 ANALYSIS FOR ANTIBODY TO TOXOPLASMA PARASITE,120.0,48.0,13.34,108.0,33
HCPCS,86778,86778 ANALYSIS FOR ANTIBODY IGM TO TOXOPLASMA PARASITE,136.0,54.4,13.36,122.4,33
HCPCS,86780,86780 ANALYSIS FOR ANTIBODY,96.0,38.4,12.28,86.4,33
HCPCS,86784,86784 ANALYSIS FOR ANTIBODY TO TRICHINELLA WORM PARASITE,71.0,28.4,11.64,63.9,33
HCPCS,86787,86787 ANALYSIS FOR ANTIBODY TO VARICELLAZOSTER VIRUS CHICKEN POX,116.0,46.4,11.94,104.4,33
HCPCS,86788,86788 ANALYSIS FOR ANTIBODY IGM TO WEST NILE VIRUS,130.0,52.0,15.63,117.0,33
HCPCS,86789,86789 ANALYSIS FOR ANTIBODY TO WEST NILE VIRUS,130.0,52.0,13.34,117.0,33
HCPCS,86790,86790 ANALYSIS FOR ANTIBODY TO VIRUS,78.0,31.2,11.94,70.2,33
HCPCS,86793,86793 ANALYSIS FOR ANTIBODY TO YERSINIA BACTERIA,50.0,20.0,12.23,45.0,33
HCPCS,86794,ZIKA VIRUS IGM ANTIBODY,42.0,16.8,15.63,42.13,33
HCPCS,86800,86800 THYROGLOBULIN THYROID PROTEIN ANTIBODY MEASUREMENT,141.0,56.4,14.75,126.9,33
HCPCS,86803,86803 HEPATITIS C ANTIBODY MEASUREMENT,161.0,64.4,13.23,144.9,33
HCPCS,86804,86804 CONFIRMATION TEST FOR HEPATITIS C ANTIBODY,100.0,40.0,14.36,90.0,33
HCPCS,86805,86805 IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE,394.0,157.6,87.66,473.78,33
HCPCS,86806,86806 IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE,119.0,47.6,44.11,119.0,33
HCPCS,86807,86807 TRANSPLANT ANTIBODY MEASUREMENT,197.0,78.8,66.35,197.0,33
HCPCS,86812,86812 IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE,65.0,26.0,23.93,65.0,33
HCPCS,86813,86813 IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE,145.0,58.0,53.77,145.0,33
HCPCS,86813,HLA TYPINGRED CROSS,145.0,58.0,53.77,145.0,33
HCPCS,86816,86816 IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE,510.0,204.0,27.96,459.0,33
HCPCS,86817,86817 IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE,265.0,106.0,98.4,265.35,33
HCPCS,86821,86821 IMMUNOLOGIC ANALYSIS FOR AUTOIMMUNE DISEASE,100.0,40.0,33.89,100.0,33
HCPCS,86825,86825 IMMUNOLOGIC ANALYSIS FOR ORGAN TRANSPLANT,394.0,157.6,101.5,354.6,33
HCPCS,86826,86826 IMMUNOLOGIC ANALYSIS FOR ORGAN TRANSPLANT,131.0,52.4,33.87,117.9,33
HCPCS,86828,86828 ASSESSMENT ANTIBODIES TO CLASS I CLASS II HUMAN LEUKOCYTE ANTIGENS HLA,355.0,142.0,59.5,319.5,33
HCPCS,86830,86830 ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS HLA WITH ANTIBODY IDEN,319.0,127.6,88.55,287.1,33
HCPCS,86831,86831 ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS HLA WITH ANTIBODY,274.0,109.6,75.9,246.6,33
HCPCS,86832,86832 ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS HLA WITH HIGH,810.0,324.0,209.28,810.0,33
HCPCS,86833,86833 ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS HLA WITH HIGH DEF,814.0,325.6,190.26,814.5,33
HCPCS,86834,86834 ASSESSMENT OF ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS HLA,894.0,357.6,331.45,894.0,33
HCPCS,86835,86835 ASSESSMENT ANTIBODY TO HUMAN LEUKOCYTE ANTIGENS HLA WITH SOLID,800.0,320.0,299.38,807.4,33
HCPCS,86849,86849 IMMUNOLOGY PROCEDURES,565.0,226.0,226.0,508.5,17
HCPCS,86850,86850 SCREENING TEST FOR RED BLOOD CELL ANTIBODIES,127.0,50.8,16.36,127.0,33
HCPCS,86860,86860 REMOVAL OF ANTIBODIES FROM SURFACE OF RED BLOOD CELL,381.0,152.4,25.57,384.55,33
HCPCS,86870,86870 IDENTIFICATION OF RED BLOOD CELL ANTIBODIES,744.0,297.6,25.57,809.07,33
HCPCS,86880,86880 RED BLOOD CELL ANTIBODY DETECTION TEST,142.0,56.8,9.0,142.0,33
HCPCS,86885,86885 RED BLOOD CELL ANTIBODY DETECTION TEST,381.0,152.4,9.59,384.55,33
HCPCS,86886,86886 RED BLOOD CELL ANTIBODY LEVEL,381.0,152.4,8.68,384.55,33
HCPCS,86900,86900 BLOOD GROUP TYPING ABO,290.0,116.0,5.0,300.31,33
HCPCS,86901,86901 BLOOD TYPING FOR RH D ANTIGEN,75.0,30.0,5.0,84.31,33
HCPCS,86902,86902 SCREENING TEST FOR COMPATIBLE BLOOD UNIT,744.0,297.6,6.46,809.07,33
HCPCS,86904,86904 SCREENING TEST FOR COMPATIBLE BLOOD UNIT,75.0,30.0,15.94,133.15,33
HCPCS,86905,86905 BLOOD TYPING FOR RED BLOOD CELL ANTIGENS,744.0,297.6,6.41,809.07,33
HCPCS,86906,86906 BLOOD TYPING RH PHENOTYPING,87.0,34.8,13.0,87.0,33
HCPCS,86920,86920 BLOOD UNIT COMPATIBILITY TEST,381.0,152.4,25.57,384.55,33
HCPCS,86921,86921 BLOOD UNIT COMPATIBILITY TEST,350.0,140.0,16.36,384.55,33
HCPCS,86922,86922 BLOOD UNIT COMPATIBILITY TEST,381.0,152.4,25.57,384.55,33
HCPCS,86923,86923 BLOOD UNIT COMPATIBILITY TEST,381.0,152.4,16.36,384.55,33
HCPCS,86931,86931 THAWING OF BLOOD UNIT,500.0,200.0,59.15,497.27,33
HCPCS,86940,86940 RED BLOOD CELL ANTIBODY SCREENING TEST,25.0,10.0,8.13,24.64,33
HCPCS,86941,86941 RED BLOOD CELL ANTIBODY MEASUREMENT,50.0,20.0,11.23,45.0,33
HCPCS,86945,86945 IRRADIATION OF BLOOD PRODUCT,75.0,30.0,16.36,84.31,33
HCPCS,86965,86965 POOLING OF PLATELETS OR OTHER BLOOD PRODUCTS,381.0,152.4,25.57,384.55,33
HCPCS,86970,86970 PRETREATMENT OF RED BLOOD CELLS IN RED BLOOD CELLS ANTIBODY ANALYSIS,87.0,34.8,16.36,133.15,33
HCPCS,86971,86971 PRETREATMENT OF RED BLOOD CELLS IN RED BLOOD CELLS ANTIBODY ANALYSIS,500.0,200.0,16.36,497.27,33
HCPCS,86972,86972 PRETREATMENT OF RED BLOOD CELLS IN RED BLOOD CELLS ANTIBODY,350.0,140.0,25.57,384.55,33
HCPCS,86975,86975 PRETREATMENT OF SERUM IN RED BLOOD CELL ANTIBODY ANALYSIS MEASUREMENT,650.0,260.0,25.57,1008.32,33
HCPCS,86976,86976 PRETREATMENT OF SERUM IN RED BLOOD CELL ANTIBODY ANALYSIS MEASUREMENT,99.0,39.6,16.36,89.1,33
HCPCS,86977,86977 PRETREATMENT OF SERUM IN RED BLOOD CELL ANTIBODY ANALYSIS MEASUREMENT,350.0,140.0,25.57,384.55,33
HCPCS,86978,86978 PRETREATMENT OF SERUM IN RED BLOOD CELL ANTIBODY ANALYSIS MEASUREMENT,75.0,30.0,25.57,133.15,33
HCPCS,86985,86985 SPLITTING OF BLOOD OR BLOOD PRODUCTS,381.0,152.4,16.36,384.55,33
HCPCS,87015,87015 CONCENTRATION OF SPECIMEN FOR INFECTIOUS AGENTS,39.0,15.6,6.19,35.1,33
HCPCS,87040,87040 BACTERIAL BLOOD CULTURE,300.0,120.0,9.57,270.0,33
HCPCS,87045,87045 STOOL CULTURE,174.0,69.6,8.76,156.6,33
HCPCS,87046,87046 STOOL CULTURE,52.0,20.8,8.76,46.8,33
HCPCS,87070,87070 BACTERIAL CULTURE,179.0,71.6,7.99,161.1,33
HCPCS,87071,87071 BACTERIAL CULTURE AND COLONY COUNT,30.0,12.0,9.17,27.79,33
HCPCS,87075,87075 BACTERIAL CULTURE,180.0,72.0,8.78,162.0,33
HCPCS,87076,87076 BACTERIAL CULTURE FOR ANAEROBIC ISOLATES,105.0,42.0,7.49,94.5,33
HCPCS,87077,87077 BACTERIAL CULTURE FOR AEROBIC ISOLATES,95.0,38.0,7.49,85.5,33
HCPCS,87081,87081 SCREENING TEST FOR PATHOGENIC ORGANISMS,84.0,33.6,6.15,75.6,33
HCPCS,87086,87086 BACTERIAL COLONY COUNT,139.0,55.6,7.48,125.1,33
HCPCS,87088,87088 BACTERIAL URINE CULTURE,60.0,24.0,7.5,54.0,33
HCPCS,87101,87101 FUNGAL CULTURE MOLD OR YEAST OF SKIN,109.0,43.6,7.15,98.1,33
HCPCS,87102,87102 FUNGAL CULTURE MOLD OR YEAST,139.0,55.6,7.8,125.1,33
HCPCS,87103,87103 FUNGAL BLOOD CULTURE MOLD OR YEAST,127.0,50.8,15.12,114.3,33
HCPCS,87106,87106 FUNGAL CULTURE,53.0,21.2,9.57,47.7,33
HCPCS,87107,87107 CULTURE FOR IDENTIFICATION OF YEAST,100.0,40.0,9.57,90.0,33
HCPCS,87109,87109 MYCOPLASMA CULTURE,144.0,57.6,14.27,129.6,33
HCPCS,87110,87110 CULTURE FOR CHLAMYDIA,133.0,53.2,18.17,119.7,33
HCPCS,87116,87116 CULTURE FOR ACIDFAST BACILLI,157.0,62.8,10.01,141.3,33
HCPCS,87118,87118 IDENTIFICATION OF MYCOBACTERIA TB OR TB LIKE ORGANISM,38.0,15.2,13.54,38.0,33
HCPCS,87140,87140 IDENTIFICATION OF ORGANISMS BY IMMUNOLOGIC ANALYSIS,57.0,22.8,5.16,51.3,33
HCPCS,87147,87147 IDENTIFICATION OF ORGANISMS BY IMMUNOLOGIC ANALYSIS,54.0,21.6,4.8,48.6,33
HCPCS,87149,87149 IDENTIFICATION OF ORGANISMS BY GENETIC ANALYSIS,50.0,20.0,18.59,50.13,33
HCPCS,87150,87150 IDENTIFICATION OF ORGANISMS BY GENETIC ANALYSIS,75.0,30.0,32.53,87.73,33
HCPCS,87150,DNA/RNA AMPLIFIED PROBE,75.0,30.0,32.53,87.73,66
HCPCS,87150,ORGANISM IDENTIFICATION BY DNA/RNA AMPLIFIED PROBE,120.0,48.0,32.53,108.0,33
HCPCS,87153,87153 IDENTIFICATION OF ORGANISMS BY NUCLEIC ACID SEQUENCING METHOD,400.0,160.0,106.93,360.0,33
HCPCS,87153,DNA/RNA SEQUENCING,396.0,158.4,106.93,356.4,33
HCPCS,87154,CUL TYP ID BLD PTHGN 6+ TRGT,545.0,218.0,207.55,545.15,27
HCPCS,87164,87164 DARK FIELD MICROSCOPIC EXAMINATION FOR ORGANISM,27.0,10.8,9.96,27.0,32
HCPCS,87168,87168 MACROSCOPIC EXAMINATION VISUAL INSPECTION OF INSECT,25.0,10.0,3.96,22.5,33
HCPCS,87169,87169 MACROSCOPIC EXAMINATION VISUAL INSPECTION OF PARASITE,30.0,12.0,4.0,27.0,33
HCPCS,87172,87172 PINWORM TEST,11.0,4.4,3.96,11.0,33
HCPCS,87176,87176 TISSUE PREPARATION FOR CULTURE,20.0,8.0,5.45,18.0,33
HCPCS,87177,87177 SMEAR FOR PARASITES,56.0,22.4,8.25,50.4,33
HCPCS,87181,87181 EVALUATION OF ANTIMICROBIAL DRUG ANTIBIOTIC,50.0,20.0,4.41,45.0,33
HCPCS,87184,87184 EVALUATION OF ANTIMICROBIAL DRUG ANTIBIOTIC,92.0,36.8,6.93,82.8,33
HCPCS,87185,87185 DETECTION OF ANTIMICROBIAL DRUG ANTIBIOTIC,16.0,6.4,4.41,14.4,33
HCPCS,87186,87186 EVALUATION OF ANTIMICROBIAL DRUG ANTIBIOTIC,136.0,54.4,8.02,122.4,33
HCPCS,87187,87187 EVALUATION OF ANTIMICROBIAL DRUG ANTIBIOTIC,100.0,40.0,17.38,100.43,33
HCPCS,87188,87188 EVALUATION OF ANTIMICROBIAL DRUG ANTIBIOTIC,90.0,36.0,6.16,81.0,33
HCPCS,87190,87190 ANTIMICROBIAL STUDY,25.0,10.0,6.78,22.5,33
HCPCS,87197,87197 EVALUATION OF ANTIBIOTIC THERAPY,50.0,20.0,13.93,45.0,33
HCPCS,87205,87205 SPECIAL GRAM OR GIEMSA STAIN FOR MICROORGANISM,79.0,31.6,3.96,71.1,33
HCPCS,87206,87206 SPECIAL FLUORESCENT AND/OR ACID FAST STAIN FOR MICROORGANISM,99.0,39.6,5.0,89.1,33
HCPCS,87207,87207 SPECIAL STAIN FOR INCLUSION BODIES OR PARASITES,99.0,39.6,5.55,89.1,32
HCPCS,87209,87209 SPECIAL STAIN FOR PARASITES,99.0,39.6,16.67,89.1,33
HCPCS,87210,87210 SMEAR FOR INFECTIOUS AGENTS,25.0,10.0,5.4,22.5,33
HCPCS,87220,87220 TISSUE FUNGI OR PARASITES,73.0,29.2,3.96,65.7,33
HCPCS,87230,87230 MICROBIAL TOXIN OR ANTITOXIN ASSAY,99.0,39.6,18.3,89.1,33
HCPCS,87230,C. DIFFICILE TOXIN ANTIBODY,49.0,19.6,18.3,49.35,33
HCPCS,87252,87252 TISSUE CULTURE INOCULATION FOR VIRUS ISOLATION,170.0,68.0,24.16,153.0,33
HCPCS,87253,87253 TISSUE CULTURE FOR VIRUS ISOLATION,102.0,40.8,18.73,91.8,33
HCPCS,87254,87254 VIRUS ISOLATION,144.0,57.6,18.13,129.6,33
HCPCS,87255,87255 VIRUS ISOLATION,129.0,51.6,31.38,116.1,33
HCPCS,87260,87260 DETECTION TEST FOR ADENOVIRUS VIRUS,36.0,14.4,13.38,36.08,33
HCPCS,87265,87265 DETECTION TEST FOR BORDETELLA PERTUSSIS OR PARAPERTUSSIS RESPIRATORY,32.0,12.8,11.1,32.0,33
HCPCS,87267,87267 DETECTION TEST FOR ENTEROVIRUS INTESTINAL VIRUS,34.0,13.6,12.44,34.0,33
HCPCS,87270,87270 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR CHLAMYDIA,32.0,12.8,11.1,32.0,33
HCPCS,87271,87271 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR CYTOMEGALOVIRUS CMV,34.0,13.6,12.44,34.0,33
HCPCS,87272,87272 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR CRYPTOSPORIDIUM PARASITE,32.0,12.8,11.1,32.0,33
HCPCS,87274,87274 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR HERPES SIMPLEX,32.0,12.8,11.1,32.0,33
HCPCS,87275,87275 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR INFLUENZA B VIRUS,31.0,12.4,11.36,31.0,33
HCPCS,87276,87276 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR INFLUENZA A VIRUS,40.0,16.0,14.89,40.18,33
HCPCS,87278,87278 DETECTION TEST BY IMMUNOFLUORESCENT LEGIONELLA PNEUMOPHILA WATER BORNE,40.0,16.0,14.46,40.0,33
HCPCS,87280,87280 DETECTION TEST BY IMMUNOFLUORESCENT FOR RESPIRATORY SYNCYTIAL RSV,34.0,13.6,12.44,34.0,33
HCPCS,87281,87281 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR PNEUMOCYSTIS CARINII,32.0,12.8,11.1,32.0,33
HCPCS,87285,87285 DETECTION TEST BY IMMUNOFLUORESCENT FOR TREPONEMA PALLIDUM SYPHILIS,32.0,12.8,11.29,32.0,33
HCPCS,87290,87290 DETECTION TEST BY IMMUNOFLUORESCENT FOR VARICELLA CHICKEN POX ZOSTER,34.0,13.6,12.44,34.0,33
HCPCS,87299,87299 DETECTION TEST BY IMMUNOFLUORESCENT TECHNIQUE FOR ORGANISM,50.0,20.0,14.92,45.24,33
HCPCS,87301,87301 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR ADENOVIRUS ENTERIC TYPES 40/41,30.0,12.0,11.1,30.0,33
HCPCS,87305,87305 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR ASPERGILLUS FUNGUS,165.0,66.0,11.1,148.5,33
HCPCS,87324,87324 DETECTION TEST BY IMMUNOASSAY FOR CLOSTRIDIUM DIFFICILE TOXINS STOOL,32.0,12.8,11.1,32.0,33
HCPCS,87327,IAAD IA CRYPTOCOCCUS NEOFORMANS,37.0,14.8,12.44,37.0,33
HCPCS,87328,87328 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR CRYPTOSPORIDIUM PARASITE,75.0,30.0,12.81,67.5,33
HCPCS,87329,87329 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR GIARDIA INTESTINAL PARASITE,75.0,30.0,11.1,67.5,33
HCPCS,87332,87332 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR CYTOMEGALOVIRUS,32.0,12.8,11.1,32.0,33
HCPCS,87335,87335 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR ESCHERICHIA COLI 0157 E. COLI,32.0,12.8,11.73,32.0,33
HCPCS,87337,87337 DETECTION TEST BY IMMUNOASSAY FOR ENTAMOEBA HISTOLYTICA GROUP PARASITE,32.0,12.8,11.1,32.0,33
HCPCS,87338,87338 DETECTION TEST BY IMMUNOASSAY HELICOBACTER PYLI GI TRACT BACTERIA,155.0,62.0,13.33,139.5,33
HCPCS,87339,87339 DETECTION TEST BY IMMUNOASSAY FOR HELICOBACTER PYLORI GI TRACT BACTERIA,40.0,16.0,14.83,40.0,33
HCPCS,87340,87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN,100.0,40.0,9.58,90.0,33
HCPCS,87341,87341 DETECTION TEST BY IMMUNOASSAY HEPATITIS B SURFACE ANTIGEN NEUTRALIZATION,79.0,31.6,9.58,71.1,33
HCPCS,87350,87350 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS BE SURFACE ANTIGEN,67.0,26.8,10.69,60.3,33
HCPCS,87380,87380 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS D,50.0,20.0,17.02,50.0,33
HCPCS,87385,87385 DETECTION TEST BY IMMUNOASSAY FOR HISTOPLASMA CAPSULATUM PARASITE,192.0,76.8,12.29,172.8,33
HCPCS,87389,87389 DETECTION TEST BY IMMUNOASSAY FOR HIV1 ANTIGEN HIV1 HIV2 ANTIBODIES,100.0,40.0,22.32,90.0,33
HCPCS,87390,87390 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV1 ANTIGEN,60.0,24.0,22.3,60.15,33
HCPCS,87391,87391 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV2 ANTIGEN,55.0,22.0,20.3,55.0,33
HCPCS,87400,87400 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR INFLUENZA VIRUS,35.0,14.0,13.1,35.33,33
HCPCS,87420,87420 DETECTION TEST BY IMMUNOASSAY FOR RESPIRATORY SYNCYTIAL RSV,37.0,14.8,12.9,37.0,33
HCPCS,87425,87425 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR ROTAVIRUS,163.0,65.2,11.1,146.7,33
HCPCS,87426,87426 DETECTION TEST BY IMMUNOASSAY SEVERE ACUTE RESPIRATORY SYNDROME CORONA,100.0,40.0,32.75,99.28,33
HCPCS,87427,87427 DETECTION TEST BY IMMUNOASSAY FOR SHIGALIKE TOXIN BACTERIAL TOXIN,45.0,18.0,11.1,40.5,33
HCPCS,87428,SARSCOV INF VIR AB AG IA,93.0,37.2,53.94,175.73,33
HCPCS,87430,87430 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR STREPTOCOCCUS,44.0,17.6,15.58,44.0,33
HCPCS,87449,87449 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR OTHER ORGANISM,148.0,59.2,11.1,133.2,33
HCPCS,87467,HEPATITIS B SURFACE AG QUAN,38.0,15.2,18.06,63.3,33
HCPCS,87468,ANAPLSMA PHGCYTOPHLM AMP PRB,88.0,35.2,32.53,88.0,33
HCPCS,87469,BABESIA MICROTI AMP PRB,88.0,35.2,32.53,88.0,33
HCPCS,87471,87471 DETECTION BY NUCLEIC ACID BARTONELLA HENSELAE BARTONELLA QUINTANA,419.0,167.6,32.53,377.1,33
HCPCS,87476,87476 DETECTION BY NUCLEIC ACID FOR BORRELIA BURGDORFERI BACTERIA,349.0,139.6,32.53,314.1,33
HCPCS,87480,87480 DETECTION TEST FOR CANDIDA SPECIES YEAST,50.0,20.0,18.59,50.13,33
HCPCS,87481,87481 DETECTION TEST FOR CANDIDA SPECIES YEAST,121.0,48.4,32.53,108.9,33
HCPCS,87483,87483 TEST DETECTING NUCLEIC ACID OF CAUSING INFECTION OF CENTRAL NERVOUS,1418.0,567.2,386.35,1276.2,33
HCPCS,87484,EHRLICHA CHAFFEENSIS AMP PRB,88.0,35.2,32.53,88.0,33
HCPCS,87486,87486 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA PNEUMONIAE,157.0,62.8,32.53,141.3,33
HCPCS,87491,87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS,168.0,67.2,32.53,151.2,33
HCPCS,87493,87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE,139.0,55.6,34.55,125.1,33
HCPCS,87496,87496 DETECTION TEST BY NUCLEIC ACID FOR CYTOMEGALOVIRUS CMV,290.0,116.0,32.53,261.0,33
HCPCS,87497,87497 DETECTION TEST BY NUCLEIC ACID FOR CYTOMEGALOVIRUS,364.0,145.6,39.72,327.6,33
HCPCS,87498,87498 DETECTION TEST BY NUCLEIC ACID FOR ENTEROVIRUS INTESTINAL VIRUS,275.0,110.0,32.53,247.5,33
HCPCS,87502,87502 DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES INFLUENZA VIRUS,240.0,96.0,88.81,240.0,33
HCPCS,87503,87503 DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES INFLUENZA VIRUS,73.0,29.2,27.09,73.05,33
HCPCS,87506,87506 DETECTION TEST BY NUCLEIC ACID FOR DIGESTIVE TRACT PATHOGEN,732.0,292.8,243.79,732.0,33
HCPCS,87507,87507 DETECTION TEST BY NUCLEIC ACID FOR DIGESTIVE TRACT PATHOGEN,1250.0,500.0,386.35,1171.15,33
HCPCS,87510,87510 DETECTION TEST FOR GARDNERELLA VAGINALIS BACTERIA,55.0,22.0,18.59,55.0,33
HCPCS,87511,87511 DETECTION TEST FOR GARDNERELLA VAGINALIS BACTERIA,88.0,35.2,32.53,88.0,33
HCPCS,87512,87512 DETECTION TEST FOR GARDNERELLA VAGINALIS BACTERIA,140.0,56.0,38.71,126.0,33
HCPCS,87516,87516 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS B VIRUS,117.0,46.8,32.53,105.3,33
HCPCS,87517,87517 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS B VIRUS,300.0,120.0,39.72,270.0,33
HCPCS,87521,87521 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS,275.0,110.0,32.53,247.5,33
HCPCS,87522,87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS,200.0,80.0,39.72,180.0,33
HCPCS,87526,87526 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS G VIRUS,200.0,80.0,36.39,180.0,33
HCPCS,87529,87529 DETECTION TEST BY NUCLEIC ACID FOR HERPES SIMPLEX VIRUS,243.0,97.2,32.53,218.7,33
HCPCS,87530,87530 DETECTION TEST BY NUCLEIC ACID FOR HERPES SIMPLEX VIRUS,297.0,118.8,39.72,267.3,33
HCPCS,87532,87532 DETECTION TEST BY NUCLEIC ACID FOR HERPES VIRUS6,299.0,119.6,32.53,269.1,33
HCPCS,87533,87533 DETECTION TEST BY NUCLEIC ACID FOR HERPES VIRUS6,339.0,135.6,38.71,305.1,33
HCPCS,87535,87535 DETECTION TEST BY NUCLEIC ACID FOR HIV1 VIRUS,296.0,118.4,32.53,266.4,33
HCPCS,87536,87536 DETECTION TEST BY NUCLEIC ACID FOR HIV1 VIRUS,520.0,208.0,78.89,468.0,33
HCPCS,87538,87538 DETECTION TEST BY NUCLEIC ACID FOR HIV2 VIRUS,88.0,35.2,32.53,88.0,33
HCPCS,87539,87539 DETECTION TEST BY NUCLEIC ACID FOR HIV2 VIRUS,147.0,58.8,54.34,147.0,33
HCPCS,87541,87541 DETECTION TEST BY NUCLEIC ACID LEGIONELLA PNEUMOPHILA WATER BNE BACTERIA,193.0,77.2,32.53,173.7,33
HCPCS,87551,87551 DETECTION TEST BY NUCLEIC ACID FOR MYCOBACTERIA SPECIES BACTERIA,120.0,48.0,44.72,120.6,33
HCPCS,87556,87556 DETECTION TEST BY NUCLEIC ACID FOR MYCOBACTERIA TUBERCULOSIS TB BACTERIA,284.0,113.6,38.64,255.6,33
HCPCS,87561,87561 DETECTION TEST BY NUCLEIC ACID MYCOBACTERIA AVIUMINTRACELLULARE BACTERIA,75.0,30.0,32.53,87.73,33
HCPCS,87563,MYCOPLASMA GENITALIUM,88.0,35.2,32.53,88.0,33
HCPCS,87564,DETECTION TEST BY NUCLEIC ACID MYCOBACTERIUM TUBERCULOSIS RIFAMPIN RESISTANCE,116.0,46.4,67.28,191.93,27
HCPCS,87581,87581 DETECTION TEST BY NUCLEIC ACID FOR MYCOPLASMA PNEUMONIAE BACTERIA,193.0,77.2,32.53,173.7,33
HCPCS,87591,87591 DETECTION TEST BY NUCLEIC ACID NEISSERIA GONORRHOEAE GONORRHOEAE BACTERIA,188.0,75.2,32.53,169.2,33
HCPCS,87594,DETECTION TEST BY NUCLEIC ACID FOR PNEUMOCYSTIS,250.0,100.0,33.4,225.0,27
HCPCS,87624,87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS HPV,96.0,38.4,32.53,96.0,33
HCPCS,87626,HPV SEP HIRSK TYPANDPOOL RSLT,176.0,70.4,65.08,176.0,33
HCPCS,87631,87631 DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES OF RESPIRATORY VIRUS,470.0,188.0,132.22,423.0,33
HCPCS,87632,87632 DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES OF RESPIRATORY VIRUS,732.0,292.8,202.14,658.8,33
HCPCS,87633,87633 DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE TYPES OF RESPIRATORY VIRUS,1383.0,553.2,396.69,1244.7,27
HCPCS,87635,SARS COV2 RNA INFECTIOUS AGENT DETECTION BY NUCLEIC ACID HIGH THROUGHPU,250.0,100.0,47.57,225.0,33
HCPCS,87637,HC IADNA SARSCOV2 AND INF AANDB AND RSV MULT AMP PROBE TQ,357.0,142.8,132.22,357.0,33
HCPCS,87641,87641 DETECTION TEST BY NUCLEIC ACID FOR STAPHYLOCOCCUS AUREUS,203.0,81.2,32.53,182.7,33
HCPCS,87651,87651 DETECTION TEST BY NUCLEIC ACID FOR STREP STREPTOCOCCUS,120.0,48.0,32.53,108.0,33
HCPCS,87653,87653 DETECTION TEST BY NUCLEIC ACID FOR STREP STREPTOCOCCUS,138.0,55.2,32.53,124.2,33
HCPCS,87660,87660 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS GENITAL PARASITE,55.0,22.0,18.59,55.0,33
HCPCS,87661,87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS GENITAL PARASITE,121.0,48.4,32.53,108.9,33
HCPCS,87662,87662 DETECTION TEST BY NUCLEIC ACID FOR ZIKA VIRUS,128.0,51.2,47.57,128.28,33
HCPCS,87797,87797 DETECTION TEST BY NUCLEIC ACID FOR ORGANISM,75.0,30.0,27.84,75.08,33
HCPCS,87798,87798 DETECTION TEST BY NUCLEIC ACID FOR ORGANISM,120.0,48.0,32.53,108.0,33
HCPCS,87799,87799 DETECTION TEST BY NUCLEIC ACID FOR ORGANISM,391.0,156.4,39.72,351.9,33
HCPCS,87800,87800 DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE ORGANISMS,200.0,80.0,40.48,180.0,33
HCPCS,87801,87801 DETECTION TEST BY NUCLEIC ACID FOR MULTIPLE ORGANISMS,398.0,159.2,65.08,358.2,33
HCPCS,87802,87802 DETECTION TEST BY IMMUNOASSAY VISUALSTREP,32.0,12.8,11.8,32.0,33
HCPCS,87803,87803 DETECTION TEST BY IMMUNOASSAY VISUALCLOSTRIDIUM DIFFICILE TOXIN A,40.0,16.0,14.83,40.0,33
HCPCS,87804,87804 DETECTION TEST BY IMMUNOASSAY VISUALINFLUENZA,50.0,20.0,15.35,46.51,33
HCPCS,87806,87806 DETECTION TEST BY IMMUNOASSAY VISUALHIV1 ANTIGEN,90.0,36.0,30.37,90.0,33
HCPCS,87807,87807 DETECTION TEST BY IMMUNOASSAY VISUALRESPIRATORY SYNCYTIAL,50.0,20.0,12.14,45.0,33
HCPCS,87808,87808 DETECTION TEST BY IMMUNOASSAY VISUALTRICHOMONAS VAGINAL GENITAL PARASITE,42.0,16.8,14.17,42.0,33
HCPCS,87880,87880 DETECTION TEST BY IMMUNOASSAY VISUALSTREPTOCOCCUS,50.0,20.0,15.33,46.45,33
HCPCS,87899,87899 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR OTHER,95.0,38.0,14.89,85.5,33
HCPCS,87899,CAMPYLOBACTER IMMUNOASSAY BY DOO,95.0,38.0,14.89,85.5,33
HCPCS,87899,CRYPTOCOCCUS AG SCREEN LFA U,43.0,17.2,14.89,43.0,33
HCPCS,87899,SHIGA TOXIN 1 IMMUNOASSAY BY DOO,95.0,38.0,14.89,85.5,33
HCPCS,87899,SHIGA TOXIN 2 IMMUNOASSAY BY DOO,95.0,38.0,14.89,85.5,33
HCPCS,87900,87900 INFECTIOUS AGENT DRUG SUSCEPTIBILITY ANALYSIS,450.0,180.0,120.84,405.0,33
HCPCS,87901,87901 ANALYSIS TEST BY NUCLEIC ACID FOR HIV1 VIRUS,1095.0,438.0,245.04,985.5,27
HCPCS,87902,87902 ANALYSIS TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS,1017.0,406.8,238.66,915.3,33
HCPCS,87903,87903 ANALYSIS TEST BY NUCLEIC ACID FOR HIV1 VIRUS,1676.0,670.4,465.11,1508.4,27
HCPCS,87904,87904 ANALYSIS TEST BY NUCLEIC ACID FOR HIV1 VIRUS,65.0,26.0,24.81,65.18,27
HCPCS,87905,87905 INFECTIOUS AGENT ENZYMATIC ACTIVITY TO DETECT ORGANISM,42.0,16.8,11.33,37.8,33
HCPCS,87906,87906 ANALYSIS TEST BY NUCLEIC ACID FOR HIV1 VIRUS,532.0,212.8,119.34,478.8,33
HCPCS,87910,87910 ANALYSIS TEST BY NUCLEIC ACID FOR CYTOMEGALOVIRUS,885.0,354.0,245.04,796.5,27
HCPCS,87912,87912 ANALYSIS TEST BY NUCLEIC ACID FOR HEPATITIS B VIRUS,772.0,308.8,245.04,723.43,27
HCPCS,87913,NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2,0.01,0.01,0.01,0.01,33
HCPCS,87999,87999 UNLISTED MICROBIOLOGY PROCEDURE,2500.0,1000.0,1000.0,2250.0,17
HCPCS,88104,88104 CELL EXAMINATION OF BODY FLUID,91.0,36.4,18.32,91.0,33
HCPCS,88104,CYTOPATH FL NONGYN SMEARS,87.0,34.8,18.32,87.0,33
HCPCS,88106,88106 CELL EXAMINATION OF BODY FLUID,66.0,26.4,18.32,66.0,33
HCPCS,88108,88108 CELL EXAMINATION OF SPECIMEN,82.0,32.8,29.21,84.31,33
HCPCS,88108,CYTOPATH CONCENTRATE TECH,75.0,30.0,29.21,84.31,33
HCPCS,88112,88112 CELL EXAMINATION OF SPECIMEN,124.0,49.6,39.3,124.0,33
HCPCS,88112,CYTOPATH CELL ENHANCE TECH,127.0,50.8,39.3,127.0,33
HCPCS,88120,88120 CELL EXAMINATION OF URINE,1182.0,472.8,67.7,1063.8,33
HCPCS,88121,88121 CELL EXAMINATION OF URINE,750.0,300.0,67.7,675.0,33
HCPCS,88125,88125 FORENSIC INVESTIGATION EXAMINATION OF SPECIMEN,127.0,50.8,18.32,127.0,33
HCPCS,88142,88142 PAP TEST,100.0,40.0,18.78,90.0,33
HCPCS,88142,CYTOPATH C/V THIN LAYER,100.0,40.0,18.78,90.0,33
HCPCS,88155,88155 PAP TEST,25.0,10.0,10.04,36.63,33
HCPCS,88160,HC CYTOPATH SMEAR OTHER SOURCE,78.0,31.2,18.32,73.38,33
HCPCS,88161,88161 SCREENING EXAMINATION OF SPECIMEN CELLS,63.0,25.2,18.32,65.28,33
HCPCS,88162,88162 SCREENING EXAMINATION OF SPECIMEN CELLS,127.0,50.8,39.3,127.0,33
HCPCS,88164,88164 PAP TEST,50.0,20.0,17.19,50.0,33
HCPCS,88172,88172 EVALUATION OF FINE NEEDLE ASPIRATE,381.0,152.4,39.3,384.55,33
HCPCS,88172,CYTP DX EVAL FNA 1ST EA SITE,381.0,152.4,39.3,384.55,33
HCPCS,88173,CYTOPATH EVAL FNA REPORT,127.0,50.8,39.3,127.0,66
HCPCS,88175,88175 PAP TEST,100.0,40.0,24.67,90.0,33
HCPCS,88177,CYTP FNA EVAL EA ADDL,125.0,50.0,13.25,112.5,17
HCPCS,88182,88182 FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS,127.0,50.8,39.3,127.0,33
HCPCS,88184,88184 FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS,744.0,297.6,18.32,809.07,33
HCPCS,88184,FLOWCYTOMETRY/ TC 1 MARKER,744.0,297.6,18.32,809.07,33
HCPCS,88185,88185 FLOW CYTOMETRY TECHNIQUE FOR DNA OR CELL ANALYSIS,196.0,78.4,18.32,176.4,17
HCPCS,88185,ALPS PANEL FLOW CYTOM ADDL MKR,196.0,78.4,18.32,176.4,17
HCPCS,88185,FLOWCYTOMETRY/TC ADDON,588.0,235.2,18.32,529.2,17
HCPCS,88199,88199 CYTOPATHOLOGY PROCEDURES,127.0,50.8,7.4,127.0,33
HCPCS,88230,88230 TISSUE CULTURE TO IDENTIFY WHITE BLOOD CELL DISORDERS,291.0,116.4,107.99,291.23,33
HCPCS,88233,88233 TISSUE CULTURE TO IDENTIFY SKIN DISORDERS,556.0,222.4,130.46,500.4,33
HCPCS,88235,88235 TISSUE CULTURE FOR DISORDERS OF AMNIOTIC FLUID OR PLACENTA CELLS,540.0,216.0,139.33,486.0,33
HCPCS,88237,88237 TISSUE CULTURE FOR TUMOR DISORDERS OF BONE MARROW AND BLOOD CELLS,554.0,221.6,133.26,498.6,33
HCPCS,88239,88239 TISSUE CULTURE FOR TUMOR DISORDERS,541.0,216.4,136.75,486.9,33
HCPCS,88240,88240 CRYOPRESERVATION,94.0,37.6,12.11,84.6,33
HCPCS,88241,88241 THAWING AND EXPANSION OF FROZEN CELLS,62.0,24.8,11.21,55.8,33
HCPCS,88245,88245 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,433.0,173.2,160.53,433.0,33
HCPCS,88248,88248 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,433.0,173.2,160.53,433.0,33
HCPCS,88249,88249 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,433.0,173.2,160.53,433.0,33
HCPCS,88261,88261 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,661.0,264.4,245.05,661.0,33
HCPCS,88262,88262 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,475.0,190.0,116.33,427.5,33
HCPCS,88263,88263 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,376.0,150.4,139.32,376.0,33
HCPCS,88264,88264 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,546.0,218.4,134.05,491.4,33
HCPCS,88267,88267 CHROMOSOME ANALYSIS OF AMNIOTIC FLUID OR PLACENTA FOR GENETIC DEFECTS,472.0,188.8,174.8,472.0,33
HCPCS,88269,88269 CHROMOSOME ANALYSIS OF AMNIOTIC FLUID FOR GENETIC DEFECTS,434.0,173.6,160.98,434.15,33
HCPCS,88271,88271 DNA TESTING FOR GENETIC DEFECTS,21.42,8.57,12.42,53.55,33
HCPCS,88271,CYTOGENETICS DNA PROBE,21.42,8.57,12.42,53.55,33
HCPCS,88272,88272 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,189.0,75.6,37.73,170.1,33
HCPCS,88273,88273 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,34.81,13.92,20.19,87.03,33
HCPCS,88274,88274 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,219.0,87.6,39.28,197.1,33
HCPCS,88275,88275 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,208.0,83.2,47.45,187.2,33
HCPCS,88280,88280 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,212.0,84.8,31.02,190.8,33
HCPCS,88283,88283 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,172.0,68.8,63.59,172.0,33
HCPCS,88285,88285 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,73.0,29.2,24.95,73.0,33
HCPCS,88289,88289 CHROMOSOME ANALYSIS FOR GENETIC DEFECTS,86.0,34.4,31.92,86.08,33
HCPCS,88299,88299 GENETIC STUDIES,127.0,50.8,7.4,127.0,33
HCPCS,88300,88300 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,63.0,25.2,18.32,65.28,33
HCPCS,88300,SURGICAL PATH GROSS,63.0,25.2,18.32,65.28,33
HCPCS,88302,88302 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,63.0,25.2,18.32,84.31,33
HCPCS,88302,TISSUE EXAM BY PATHOLOGIST,63.0,25.2,18.32,84.31,33
HCPCS,88304,88304 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,127.0,50.8,39.3,127.0,33
HCPCS,88304,TISSUE EXAM BY PATHOLOGIST,127.0,50.8,39.3,127.0,33
HCPCS,88305,88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,143.0,57.2,39.3,143.0,33
HCPCS,88305,TISSUE EXAM BY PATHOLOGIST,127.0,50.8,39.3,127.0,66
HCPCS,88307,88307 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,744.0,297.6,62.42,809.07,33
HCPCS,88307,HC TISSUE EXAM BY PATHOLOGIST,743.0,297.2,62.42,809.07,33
HCPCS,88307,TISSUE EXAM BY PATHOLOGIST,500.0,200.0,62.42,809.07,33
HCPCS,88309,88309 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE,1200.0,480.0,62.42,1818.54,33
HCPCS,88309,TISSUE EXAM BY PATHOLOGIST,1673.0,669.2,62.42,1818.54,33
HCPCS,88311,88311 PREPARATION OF TISSUE FOR EXAMINATION BY REMOVING ANY CALCIUM PRESENT,57.0,22.8,18.32,51.3,17
HCPCS,88311,DECALCIFY TISSUE,49.0,19.6,18.32,44.1,34
HCPCS,88312,88312 SPECIAL STAINED SPECIMEN SLIDES TO IDENTIFYS INCLUDING INTERPRETATION,127.0,50.8,18.32,127.0,33
HCPCS,88312,HC CYTO SPECIAL STAINS GROUP 1,127.0,50.8,18.32,127.0,33
HCPCS,88312,SPECIAL STAINS GROUP 1,127.0,50.8,18.32,127.0,33
HCPCS,88313,88313 SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE INCLUDING INTERPRETATION,87.0,34.8,18.32,300.31,33
HCPCS,88313,SPECIAL STAINS GROUP 2,81.0,32.4,18.32,300.31,66
HCPCS,88314,88314 SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE FROZEN OF SPECIMEN,150.0,60.0,18.32,135.0,17
HCPCS,88314,HISTOCHEMICAL STAINS ADDON,125.0,50.0,18.32,112.5,17
HCPCS,88319,88319 EVALUATION OF SPECIMEN ENZYMES,1200.0,480.0,18.32,1818.54,33
HCPCS,88319,ENZYME HISTOCHEMISTRY,1673.0,669.2,18.32,1818.54,33
HCPCS,88321,88321 SURGICAL PATHOLOGY CONSULTATION REPORT ON REFERRED SLIDES PREPARED,75.0,30.0,18.32,84.31,33
HCPCS,88321,MICROSLIDE CONSULTATION,80.5,32.2,18.32,86.0,66
HCPCS,88323,88323 SURGICAL PATHOLOGY CONSULTATION ON REFERRED MATERIAL REQUIRING,132.0,52.8,39.3,132.0,33
HCPCS,88323,MICROSLIDE CONSULTATION,127.0,50.8,39.3,127.0,33
HCPCS,88325,88325 SURGICAL PATHOLOGY CONSULTATION AND REPORT,350.0,140.0,62.42,384.55,33
HCPCS,88325,COMPREHENSIVE REVIEW OF DATA,381.0,152.4,62.42,384.55,33
HCPCS,88329,88329 PATHOLOGY EXAMINATION OF SPECIMEN DURING SURGERY,75.0,30.0,18.32,133.15,33
HCPCS,88329,PATH CONSULT INTROP,75.0,30.0,18.32,133.15,33
HCPCS,88331,88331 PATHOLOGY EXAMINATION OF SPECIMEN DURING SURGERY,381.0,152.4,39.3,384.55,33
HCPCS,88331,PATH CONSULT INTRAOP 1 BLOC,381.0,152.4,39.3,384.55,33
HCPCS,88332,88332 PATHOLOGY EXAMINATION OF SPECIMEN DURING SURGERY,197.0,78.8,18.32,177.3,17
HCPCS,88332,PATH CONSULT INTRAOP ADDL,140.0,56.0,18.32,126.0,17
HCPCS,88333,88333 PATHOLOGY CYTOLOGIC EXAMINATION OF SPECIMEN DURING SURGERY,1674.0,669.6,39.3,1818.54,33
HCPCS,88333,HC INTAOP PATH CONSULT 1,1674.0,669.6,39.3,1818.54,33
HCPCS,88333,HC SURG PATH INTRAOP CYTO PATH CONSULT 1,1200.0,480.0,39.3,1818.54,33
HCPCS,88333,INTRAOP CYTO PATH CONSULT 1,1200.0,480.0,39.3,1818.54,33
HCPCS,88334,88334 PATHOLOGY CYTOLOGIC EXAMINATION OF SPECIMEN DURING SURGERY,150.0,60.0,18.32,135.0,17
HCPCS,88334,HC SURG PATH INTRAOP CYTO PATH CONSULT 2,146.0,58.4,18.32,131.4,17
HCPCS,88334,INTRAOP CYTO PATH CONSULT 2,179.0,71.6,18.32,161.1,17
HCPCS,88341,88341 SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE,200.0,80.0,54.56,180.0,17
HCPCS,88341,HC IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE,448.0,179.2,54.56,403.2,17
HCPCS,88342,88342 SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE,381.0,152.4,39.3,384.55,33
HCPCS,88342,HC IMMUNOHISTOCHEMISTY SNGL AB STAIN,396.0,158.4,39.3,396.0,33
HCPCS,88342,IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE,381.0,152.4,39.3,384.55,33
HCPCS,88342,IMMUNOHISTO ANTB 1ST STAIN,350.0,140.0,39.3,384.55,33
HCPCS,88344,88344 SPECIAL STAINED SPECIMEN SLIDES TO EXAMINE TISSUE,500.0,200.0,92.36,809.07,33
HCPCS,88344,HC IMHISTOCHEM/CYTCHM EA MPLEX ANTIBODY SLIDE,744.0,297.6,92.36,809.07,33
HCPCS,88346,88346 ANTIBODY EVALUATION,500.0,200.0,39.3,497.27,33
HCPCS,88346,IMMUNOFLUORESCENT STUDY,774.0,309.6,39.3,696.6,33
HCPCS,88348,88348 ELECTRON MICROSCOPY FOR DIAGNOSIS,1200.0,480.0,205.98,1818.54,33
HCPCS,88348,ELECTRON MICROSCOPY,1482.0,592.8,205.98,1818.54,33
HCPCS,88350,88350 ANTIBODY EVALUATION,254.0,101.6,52.45,228.6,17
HCPCS,88350,HC IMMUNOFLUORESCENCE PER SPECIMEN SINGLE STAIN,254.0,101.6,52.45,228.6,17
HCPCS,88355,88355 MICROSCOPIC GENETIC ANALYSIS OF MUSCLE,350.0,140.0,39.3,384.55,33
HCPCS,88355,ANALYSIS SKELETAL MUSCLE,350.0,140.0,39.3,384.55,33
HCPCS,88356,88356 MICROSCOPIC GENETIC ANALYSIS OF NERVE TISSUE,127.0,50.8,40.76,127.0,33
HCPCS,88356,ANALYSIS NERVE,240.0,96.0,40.76,216.0,33
HCPCS,88358,88358 MICROSCOPIC GENETIC ANALYSIS OF TUMOR,350.0,140.0,62.42,384.55,33
HCPCS,88358,ANALYSIS TUMOR,381.0,152.4,62.42,384.55,33
HCPCS,88360,88360 MICROSCOPIC GENETIC ANALYSIS OF TUMOR,381.0,152.4,39.3,384.55,33
HCPCS,88360,HC TUMOR IMMUNO HISTOCHEM/MANUAL,381.0,152.4,39.3,384.55,33
HCPCS,88360,TUMOR IMMUNOHISTOCHEM/MANUAL,373.0,149.2,39.3,396.0,66
HCPCS,88361,88361 MICROSCOPIC GENETIC ANALYSIS OF TUMOR,500.0,200.0,62.42,809.07,33
HCPCS,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,500.0,200.0,62.42,809.07,33
HCPCS,88362,88362 NERVE TEASING PREPARATION,1200.0,480.0,62.42,1818.54,33
HCPCS,88362,TUMOR IMMUNOHISTOCHEM/COMPUT,1673.0,669.2,62.42,1818.54,33
HCPCS,88363,88363 EXAMINATION OF ARCHIVAL TISSUE FOR GENETIC ANALYSIS,56.0,22.4,13.25,65.28,32
HCPCS,88364,88364 GENETIC SEQUENCING LOCALIZATION,200.0,80.0,80.0,180.0,17
HCPCS,88364,HC IN SITU HYBRIDIZATION EA ADDL PROBE STAIN,392.0,156.8,84.2,352.8,17
HCPCS,88365,88365 GENETIC SEQUENCING LOCALIZATION,381.0,152.4,62.42,384.55,33
HCPCS,88365,HC IMMUNO INSITU HYBRID FISH,381.0,152.4,62.42,384.55,33
HCPCS,88365,INSITU HYBRIDIZATION FISH,381.0,152.4,62.42,384.55,33
HCPCS,88366,88366 GENETIC SEQUENCING LOCALIZATION,500.0,200.0,103.54,497.27,33
HCPCS,88366,HC IN SITU HYBRIDIZATION EA MPLEX PROBE STAIN,600.0,240.0,103.54,540.0,33
HCPCS,88367,88367 MICROSCOPIC GENETIC ANALYSIS OF TISSUE,600.0,240.0,62.42,809.07,33
HCPCS,88367,HC INSITU HYBRID AUTO,600.0,240.0,62.42,809.07,33
HCPCS,88367,INSITU HYBRIDIZATION AUTO,500.0,200.0,62.42,809.07,33
HCPCS,88368,88368 MICROSCOPIC GENETIC ANALYSIS OF TISSUE,600.0,240.0,39.3,809.07,33
HCPCS,88369,88369 MICROSCOPIC GENETIC ANALYSIS OF TISSUE,450.0,180.0,58.43,405.0,17
HCPCS,88369,M/PHMTRC ALYSISHQUANT/SEMIQ,450.0,180.0,58.43,405.0,17
HCPCS,88372,88372 PROTEIN ANALYSIS OF TISSUE BY WESTERN BLOT,275.0,110.0,38.15,247.5,17
HCPCS,88373,88373 MICROSCOPIC GENETIC ANALYSIS OF TISSUE,400.0,160.0,46.82,360.0,17
HCPCS,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,400.0,160.0,46.82,360.0,17
HCPCS,88374,88374 MICROSCOPIC GENETIC ANALYSIS OF TISSUE,381.0,152.4,133.26,384.55,33
HCPCS,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,350.0,140.0,133.26,384.55,33
HCPCS,88377,88377 MICROSCOPIC GENETIC ANALYSIS OF TISSUE,381.0,152.4,133.26,384.55,33
HCPCS,88377,M/PHMTRC ALYS ISHQUANT/SEMIQ,685.0,274.0,133.26,616.5,33
HCPCS,88380,88380 PREPARATION OF SPECIMEN USING LASER,100.0,40.0,40.0,100.0,17
HCPCS,88381,88381 PREPARATION OF SPECIMEN,291.0,116.4,116.4,261.9,17
HCPCS,88740,88740 HEMOGLOBIN MEASUREMENT,25.0,10.0,8.68,25.0,33
HCPCS,88741,88741 HEMOGLOBIN MEASUREMENT,25.0,10.0,8.68,25.0,33
HCPCS,89050,89050 BODY FLUID CELL COUNT,76.0,30.4,4.38,68.4,33
HCPCS,89051,89051 BODY FLUID CELL COUNT WITH CELL IDENTIFICATION,148.0,59.2,5.19,133.2,33
HCPCS,89055,89055 WHITE BLOOD CELL MEASURE,11.0,4.4,3.96,11.0,33
HCPCS,89060,89060 CRYSTAL IDENTIFICATION FROM TISSUE OR BODY FLUID,90.0,36.0,6.8,81.0,32
HCPCS,89125,89125 FAT STAIN OF STOOL,76.0,30.4,5.45,68.4,33
HCPCS,89190,89190 NASAL SMEAR FOR EOSINOPHILS ALLERGY RELATED WHITE BLOOD CELLS,14.0,5.6,5.37,14.48,33
HCPCS,89230,89230 SWEAT COLLECTION,132.0,52.8,39.3,132.0,33
HCPCS,89310,89310 SEMEN ANALYSIS MOTILITY AND COUNT,25.0,10.0,8.19,24.19,27
HCPCS,89320,89320 SEMEN EVALUATION VOLUME,50.0,20.0,11.72,45.0,27
HCPCS,89321,89321 SEMEN ANALYSIS FOR SPERM PRESENCE,50.0,20.0,11.47,45.0,27
HCPCS,89325,89325 SPERM ANTIBODY MEASUREMENT,25.0,10.0,10.16,26.68,27
HCPCS,90288,BOTULISM IMMUNE GLOBULIN HUMAN 100 MG SOLR 1 EACH VIAL,145530.0,58212.0,13.65,130977.0,16
HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN SOLN 0.5 ML,251.77,100.71,100.71,342.38,26
HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN SOLN 1 ML SYRINGE,300.23,120.09,120.09,342.38,26
HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN SOLN 1 ML VIAL,309.23,123.69,123.69,342.38,26
HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN SOLN 5 ML VIAL,296.73,118.69,118.69,342.38,26
HCPCS,90375,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML SOLN 5 ML VIAL,12493.98,4997.59,281.19,11244.58,32
HCPCS,90375,RABIES IMMUNE GLOBULIN 300 UNIT/ML SOLN 1 ML VIAL,2498.79,999.52,281.19,2248.91,32
HCPCS,90376,RABIES IMMUNE GLOBULIN 300 UNIT/2ML SOLN 2 ML VIAL,3258.48,1303.39,334.09,2932.63,32
HCPCS,90377,RABIES IMMUNE GLOBULIN 1500 UNIT/10ML SOLN 10 ML VIAL,17152.34,6860.94,243.2,15437.11,32
HCPCS,90377,RABIES IMMUNE GLOBULIN 300 UNIT/2ML SOLN 2 ML VIAL,2684.22,1073.69,243.2,2415.8,32
HCPCS,90378,90378 RESPIRATORY SYNCYTIAL VIRUS ANTIBODY FOR INJECTION INTO TISSUE OR MUSCLE,1300.0,520.0,436.75,1300.0,26
HCPCS,90378,PALIVIZUMAB 100 MG/ML SOLN 1 ML VIAL,17327.1,6930.84,436.75,15594.39,26
HCPCS,90378,PALIVIZUMAB 50 MG/0.5ML SOLN 0.5 ML VIAL,9176.12,3670.45,436.75,8258.51,26
HCPCS,90380,NIRSEVIMABALIP 50 MG/0.5ML SOSY 0.5 ML SYRINGE,2142.215,856.885,386.1,1928.0,32
HCPCS,90380,RSV MONOC ANTB SEASN .5ML IM,1188.0,475.2,386.1,1069.2,16
HCPCS,90381,NIRSEVIMABALIP 100 MG/ML SOSY 1 ML SYRINGE,2142.215,856.885,386.1,1928.0,32
HCPCS,90381,RSV MONOC ANTB SEASN 1 ML IM,1485.0,594.0,386.1,1336.5,16
HCPCS,90396,90396 VARICELLA CHICKEN POX ZOSTER IMMUNE GLOBULIN FOR INJECTION INTO MUSCLE,2000.0,800.0,687.96,6244.33,26
HCPCS,90396,VARICELLAZOSTER IMMUNE GLOB 125 UNIT/1.2ML SOLN 1.2 ML VIAL,7857.24,3142.9,687.96,7071.52,26
HCPCS,90460,90460 ADMINISTRATION OF FIRST VACCINE TOXOID COMPONENT WITH COUNSELING 18 YR,102.0,40.8,18.87,91.8,32
HCPCS,90461,90461 ADMINISTRATION OF VACCINE TOXOID COMPONENT WITH COUNSELING 18 YEARS Y,102.0,40.8,8.27,91.8,26
HCPCS,90471,90471 ADMINISTRATION OF VACCINE,160.0,64.0,56.32,162.52,33
HCPCS,90472,90472 ADMINISTRATION OF VACCINE,60.0,24.0,24.0,54.0,17
HCPCS,90473,90473 ADMINISTRATION OF NASAL OR ORAL VACCINE,160.0,64.0,56.32,162.52,33
HCPCS,90474,90474 ADMINISTRATION OF NASAL OR ORAL VACCINE,90.0,36.0,36.0,81.0,17
HCPCS,90476,90476 ADENOVIRUS TYPE 4 VACCINE,100.0,40.0,40.0,90.0,16
HCPCS,90477,90477 ADENOVIRUS TYPE 7 VACCINE,140.0,56.0,56.0,126.0,16
HCPCS,90480,ADMN SARSCOV2 VACC 1 DOSE,100.0,40.0,31.79,100.0,33
HCPCS,90581,90581 ANTHRAX VACCINE,125.0,50.0,50.0,125.0,16
HCPCS,90585,90585 BACILLUS CALMETTEGUERIN VACCINE FOR TUBERCULOSIS,196.0,78.4,78.4,196.0,16
HCPCS,90586,90586 BACILLUS CALMETTEGUERIN VACCINE FOR BLADDER CANCER,196.0,78.4,78.4,196.0,16
HCPCS,90619,MENACWYTT VACCINE IM,252.0,100.8,100.8,250.39,16
HCPCS,90619,MENING ACYANDW135 TETANUS CONJ SOLN 0.5 ML VIAL,637.14,254.86,130.15,573.43,16
HCPCS,90620,90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE,203.0,81.2,81.2,203.0,22
HCPCS,90620,MENINGOCOCCAL B RECOMB OMV ADJ SUSY 0.5 ML SYRINGE,904.26,361.7,127.92,813.83,44
HCPCS,90621,90621 MENINGOCOCCAL RECOMBINANT LIPOPROTEIN VACCINE,165.0,66.0,66.0,165.0,23
HCPCS,90623,MENACWYTT MENBFHBP VACC IM,691.0,276.4,179.89,621.9,22
HCPCS,90632,90632 HEPATITIS A VACCINE ADULT DOSAGE,100.0,40.0,40.0,100.0,16
HCPCS,90632,HEPATITIS A VACCINE 50 UNIT/ML SUSP 1 ML SYRINGE,300.99,120.4,120.4,270.89,32
HCPCS,90632,HEPATITIS A VIRUS PF VACCINE 1440 EL U/ML SUSP 1 ML SYRINGE,321.99,128.8,121.91,289.79,32
HCPCS,90633,90633 HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE,100.0,40.0,40.0,90.0,16
HCPCS,90633,HEPATITIS A VACCINE 720 EL U/0.5ML SUSY 0.5 ML SYRINGE,144.55,57.82,56.98,130.1,32
HCPCS,90634,90634 HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE 3 DOSE SCHEDULE,100.0,40.0,40.0,90.0,15
HCPCS,90636,90636 HEPATITIS A AND HEPATITIS B VACCINE,115.0,46.0,46.0,115.0,16
HCPCS,90636,HEPATITIS AHEP B RECOMB VAC 72020 ELUMCG/ML SUSY 1 ML SYRINGE,508.85,203.54,192.82,457.97,32
HCPCS,90644,90644 MENINGOCOCCAL CONJUGATE VACCINE,74.0,29.6,25.44,66.6,23
HCPCS,90647,90647 HAEMOPHILUS INFLUENZAE TYPE B VACCINE,100.0,40.0,40.0,90.0,16
HCPCS,90647,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML SUSP 0.5 ML VIAL,188.09,75.24,45.83,169.28,32
HCPCS,90648,90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE,100.0,40.0,19.18,90.0,16
HCPCS,90648,HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG SOLR 1 EACH BOX,78.24,31.3,31.3,70.42,17
HCPCS,90648,HAEMOPHILUS B POLYSACTETANUS TOXOID ACTHIB SOLR 1 EACH VIAL,82.72,33.09,33.09,74.45,17
HCPCS,90649,90649 HUMAN PAPILLOMAVIRUS VACCINE,172.0,68.8,68.8,172.0,23
HCPCS,90650,90650 HUMAN PAPILLOMAVIRUS VACCINE,162.0,64.8,64.8,162.0,16
HCPCS,90651,90651 HUMAN PAPILLOMAVIRUS VACCINE TYPES 6,200.0,80.0,80.0,200.0,22
HCPCS,90651,HPV 9VALENT RECOMB VACCINE SUSP 0.5 ML VIAL,1184.27,473.71,189.25,1065.84,22
HCPCS,90651,HPV 9VALENT RECOMB VACCINE SUSY 0.5 ML SYRINGE,1184.27,473.71,189.25,1065.84,44
HCPCS,90653,90653 INFLUENZA VACCINE,40.0,16.0,9.07,40.0,24
HCPCS,90655,90655 INFLUENZA VACCINE,40.0,16.0,9.07,40.0,24
HCPCS,90656,90656 INFLUENZA VACCINE,60.0,24.0,13.61,60.0,24
HCPCS,90656,INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE,74.35499999999999,29.740000000000002,16.78,74.71,96
HCPCS,90657,90657 INFLUENZA VACCINE,40.0,16.0,6.2,40.0,24
HCPCS,90658,90658 INFLUENZA VACCINE,40.0,16.0,8.36,40.0,29
HCPCS,90660,90660 INFLUENZA VACCINE,40.0,16.0,7.2,40.0,29
HCPCS,90661,90661 INFLUENZA VACCINE,40.0,16.0,7.2,40.0,29
HCPCS,90662,90662 INFLUENZA VACCINE SPLIT VIRUS,68.0,27.2,12.24,68.0,29
HCPCS,90662,INFLUENZA VAC SPLIT HIGHDOSE 0.5 ML SUSY 0.5 ML SYRINGE,263.66,105.46,47.46,263.66,58
HCPCS,90664,90664 INFLUENZA VACCINE,40.0,16.0,16.0,36.0,15
HCPCS,90666,90666 INFLUENZA VACCINE,40.0,16.0,15.36,36.0,15
HCPCS,90667,90667 INFLUENZA VACCINE,40.0,16.0,15.36,36.0,15
HCPCS,90668,90668 INFLUENZA VACCINE,40.0,16.0,5.65,36.0,15
HCPCS,90670,90670 PNEUMOCOCCAL VACCINE,389.0,155.6,88.23,389.0,24
HCPCS,90670,PNEUMOCOCCAL 13VAL CONJ VACC SUSP 0.5 ML SYRINGE,814.7,325.88,184.77,814.7,48
HCPCS,90671,PCV15 VACCINE FOR INTRAMUSCULAR USE,668.0,267.2,139.58,668.0,23
HCPCS,90672,90672 INFLUENZA VACCINE,40.0,16.0,7.2,40.0,23
HCPCS,90673,90673 INFLUENZA VACCINE,120.0,48.0,21.6,120.0,29
HCPCS,90674,90674 INFLUENZA VACCINE,120.0,48.0,27.22,120.0,29
HCPCS,90675,90675 RABIES VACCINE FOR INJECTION INTO MUSCLE,695.0,278.0,276.72,829.94,32
HCPCS,90675,RABIES VACCINE PCEC SUSR 1 EACH VIAL,1464.57,585.83,276.72,1408.13,64
HCPCS,90675,RABIES VIRUS VACCINE HDC SUSR 1 EACH VIAL,1689.15,675.66,276.72,1520.24,32
HCPCS,90676,90676 RABIES VACCINE FOR INJECTION INTO SKIN,355.0,142.0,85.65,592.15,26
HCPCS,90677,PCV20 VACCINE FOR INTRAMUSCULAR USE,710.0,284.0,118.14,710.0,26
HCPCS,90677,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML SUSY 0.5 ML SYRINGE,1141.33,456.53,189.92,1141.33,52
HCPCS,90678,RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,100.0,40.0,40.0,100.0,22
HCPCS,90679,RSV VACC PREF RECOMB ADJT IM,840.0,336.0,218.4,756.0,16
HCPCS,90679,RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML SUSR 1 EACH BOX,1155.79,462.32,218.4,1040.21,16
HCPCS,90680,90680 ROTAVIRUS VACCINE,100.0,40.0,40.0,100.0,16
HCPCS,90680,ROTAVIRUS VACCINE LIVE SOLN 2 ML PLAS CONT,369.42,147.77,74.75,332.48,16
HCPCS,90681,90681 ROTAVIRUS VACCINE,150.0,60.0,60.0,150.0,23
HCPCS,90681,ROTAVIRUS VACCINE LIVE ORAL SUSP 1.5 ML SYRINGE,560.42,224.17,105.58,504.38,44
HCPCS,90681,ROTAVIRUS VACCINE LIVE ORAL SUSR 1 ML VIAL,810.86,324.34,105.58,729.77,22
HCPCS,90682,90682 INFLUENZA VACCINE,120.0,48.0,27.22,120.0,24
HCPCS,90683,RSV VACCINE MRNA LIPID NANOPARTICLES FOR IM USE,100.0,40.0,40.0,100.0,16
HCPCS,90684,PNEUMOCOCCAL CONJUGATE VACCINE 21 VALENT PCV21 FOR INTRAMUSCULAR USE,863.0,345.2,180.32,863.0,29
HCPCS,90685,90685 INFLUENZA VACCINE,120.0,48.0,21.6,120.0,29
HCPCS,90686,90686 INFLUENZA VACCINE,120.0,48.0,21.6,120.0,29
HCPCS,90687,90687 INFLUENZA VACCINE,30.0,12.0,6.8,30.0,29
HCPCS,90688,90688 INFLUENZA VACCINE,74.0,29.6,13.32,74.0,29
HCPCS,90691,90691 TYPHOID VACCINE FOR INJECTION INTO MUSCLE,100.0,40.0,40.0,90.0,16
HCPCS,90696,90696 DIPHTHERIA,100.0,40.0,40.0,91.47,16
HCPCS,90698,90698 DIPHTHERIA,101.0,40.4,40.4,101.0,16
HCPCS,90698,DTAP PENTACEL IPVHIB SUSR 1 EACH VIAL,423.82500000000005,169.53,152.0,420.89,32
HCPCS,90700,90700 DIPHTHERIA,100.0,40.0,37.18,90.0,16
HCPCS,90700,DIPHTHACELL PERTUSSISTETANUS 15235 LFMCG/0.5 SUSP 0.5 ML VIAL,112.12,44.85,44.85,100.91,34
HCPCS,90700,DIPTHERIAACELLULAR PERTUSSISTETANUS 255810 LFMCG/0.5 SUSP 0.5 ML SYRINGE,109.12,43.65,43.65,98.21,34
HCPCS,90702,90702 DIPHTHERIA AND TETANUS VACCINE YOUNGER THAN 7 YEARS,100.0,40.0,40.0,96.23,16
HCPCS,90707,90707 MEASLES,100.0,40.0,40.0,100.0,16
HCPCS,90707,MEASLES MUMPS AND RUBELLA VAC SOLR 1 EACH VIAL,351.41,140.56,138.61,316.27,32
HCPCS,90707,MEASLESMUMPSRUBELLAVARICELL SUSR 1 EACH VIAL,1039.21,415.68,138.61,935.29,16
HCPCS,90710,90710 MEASLES,182.0,72.8,72.8,182.0,16
HCPCS,90713,90713 POLIOVIRUS VACCINE,100.0,40.0,40.0,90.0,16
HCPCS,90713,POLIOVIRUS VACCINE INACTIVATED SUSP 5 ML VIAL,171.67,68.67,65.13,154.5,16
HCPCS,90714,90714 DIPHTHERIA AND TETANUS VACCINE 7 YEARS OR OLDER,168.0,67.2,31.2,151.2,16
HCPCS,90714,TETANUSDEPHTHERIA TOXOIDS ADULT 52 LF/0.5ML SUSP 0.5 ML SYRINGE,164.39,65.76,31.2,147.95,32
HCPCS,90714,TETANUSDEPHTHERIA TOXOIDS ADULT 52 LF/0.5ML SUSP 0.5 ML VIAL,164.39,65.76,31.2,147.95,16
HCPCS,90715,90715 DIPHTHERIA,227.0,90.8,70.98,204.3,16
HCPCS,90715,TDAP 5215.5 LFMCG/0.5 SUSP 0.5 ML SYRINGE,182.53,73.01,73.01,164.28,17
HCPCS,90715,TDAP 5215.5 LFMCG/0.5 SUSP 0.5 ML VIAL,177.235,70.89500000000001,68.78,164.28,34
HCPCS,90715,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 SUSY 0.5 ML SYRINGE,179.16,71.66,70.98,161.24,32
HCPCS,90716,90716 VARICELLA VACCINE,121.0,48.4,48.4,121.0,23
HCPCS,90716,VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML SUSR 1 EACH VIAL,691.16,276.46,114.02,622.04,22
HCPCS,90717,90717 YELLOW FEVER VACCINE,108.0,43.2,43.2,108.0,16
HCPCS,90723,90723 DIPHTHERIA,103.0,41.2,41.2,92.7,17
HCPCS,90732,90732 PNEUMOCOCCAL VACCINE,120.0,48.0,27.22,120.0,24
HCPCS,90732,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML SOSY 0.5 ML SYRINGE,421.495,168.6,95.59,421.5,48
HCPCS,90733,90733 MENINGOCOCCAL VACCINE,154.0,61.6,61.6,154.0,22
HCPCS,90733,MPSV4 VACCINE SUBQ,148.0,59.2,59.2,148.0,22
HCPCS,90734,90734 MENINGOCOCCAL VACCINE,142.0,56.8,56.8,142.0,22
HCPCS,90734,MENING ACYANDW135 DIPHTH CONJ SOLN 0.5 ML VIAL,535.04,214.02,122.39,481.54,22
HCPCS,90734,MENINGOCOCCAL A C YANDW 10Y55Y SINGLE VIAL SOLN 0.5 ML VIAL,635.69,254.28,122.39,572.12,44
HCPCS,90734,MENINGOCOCCAL A C YANDW135 OLIG SOLR 1 EACH BOX,635.7,254.28,122.39,572.13,22
HCPCS,90734,MENINGOCOCCAL A C YANDW135 OLIG SOLR 1 EACH VIAL,635.7,254.28,122.39,572.13,22
HCPCS,90736,90736 SHINGLES VACCINE FOR INJECTION UNDER SKIN,206.0,82.4,82.4,197.28,17
HCPCS,90738,90738 JAPANESE ENCEPHALITIS VACCINE,281.0,112.4,112.4,281.0,16
HCPCS,90739,90739 HEPATITIS B VACCINE,104.0,41.6,23.59,104.0,22
HCPCS,90739,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML SOSY 0.5 ML SYRINGE,560.7,224.28,127.17,560.7,44
HCPCS,90740,90740 HEPATITIS B VACCINE,314.0,125.6,65.61,314.0,29
HCPCS,90743,90743 HEPATITIS B VACCINE,100.0,40.0,20.9,100.0,23
HCPCS,90743,HEPATITIS B VACCINE RECOMBINANT 10 MCG/ML SUSP 1 ML VIAL,129.76,51.9,27.11,129.76,23
HCPCS,90744,90744 HEPATITIS B VACCINE,168.0,67.2,35.1,168.0,23
HCPCS,90744,HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML SUSY 0.5 ML SYRINGE,107.93,43.17,22.55,107.93,46
HCPCS,90746,90746 HEPATITIS B VACCINE,264.0,105.6,55.16,264.0,29
HCPCS,90746,HEPATITIS B VAC RECOMBINANT 20 MCG/ML SUSY 1 ML SYRINGE,134.96,53.98,28.2,134.96,58
HCPCS,90746,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML SUSP 0.5 ML VIAL,174.84,69.94,36.53,174.84,29
HCPCS,90747,90747 HEPATITIS B VACCINE,167.0,66.8,34.89,167.0,29
HCPCS,90748,90748 HEPATITIS B AND HAEMOPHILUS INFLUENZAE TYPE B VACCINE,100.0,40.0,40.0,90.0,17
HCPCS,90749,90749 OTHER VACCINE OR TOXOID INJECTION OR INFUSION PROCEDURE,100.0,40.0,40.0,90.0,15
HCPCS,90750,90750 SHINGLES VACCINE FOR INJECTION INTO MUSCLE,183.0,73.2,73.2,183.0,23
HCPCS,90750,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML SUSY 0.5 ML SYRINGE,873.6,349.44,154.36,786.24,44
HCPCS,90750,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML SUSY 1 EACH VIAL,810.355,324.14,154.36,760.39,44
HCPCS,90756,90756 INFLUENZA VACCINE,120.0,48.0,25.07,120.0,29
HCPCS,90791,90791 PSYCHIATRIC DIAGNOSTIC EVALUATION,340.0,136.0,138.83,400.63,33
HCPCS,90792,90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES,316.0,126.4,138.83,400.63,33
HCPCS,90832,90832 PSYCHOTHERAPY,340.0,136.0,138.83,400.63,31
HCPCS,90833,90833 PSYCHOTHERAPY WITH EVALUATION AND MANAGEMENT VISIT,150.0,60.0,60.0,135.0,15
HCPCS,90834,90834 PSYCHOTHERAPY,340.0,136.0,138.83,400.63,31
HCPCS,90836,90836 PSYCHOTHERAPY WITH EVALUATION AND MANAGEMENT VISIT,270.0,108.0,108.0,243.0,15
HCPCS,90837,90837 PSYCHOTHERAPY,316.0,126.4,138.83,400.63,31
HCPCS,90837,HC PSYTX PT AND/ FAMILY 60 MIN W/EVAL AND MNGMNT,340.0,136.0,138.83,400.63,31
HCPCS,90839,90839 PSYCHOTHERAPY FOR CRISIS,316.0,126.4,159.47,400.63,25
HCPCS,90840,90840 PSYCHOTHERAPY FOR CRISIS,270.0,108.0,108.0,243.0,15
HCPCS,90845,90845 PSYCHOANALYSIS,316.0,126.4,159.47,400.63,25
HCPCS,90846,90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT,340.0,136.0,138.83,400.63,31
HCPCS,90847,90847 FAMILY PSYCHOTHERAPY WITH PATIENT,340.0,136.0,138.83,400.63,31
HCPCS,90853,90853 GROUP PSYCHOTHERAPY,191.0,76.4,79.46,229.3,31
HCPCS,90865,90865 INJECTION OF HYPNOTIC DRUG FOR PSYCHIATRIC DIAGNOSIS OR THERAPY,316.0,126.4,159.47,400.63,27
HCPCS,90870,ELECTROCONVULSIVE THERAPY,1625.0,650.0,671.7,2000.0,62
HCPCS,90880,90880 GUIDED HYPNOSIS,316.0,126.4,91.27,316.0,26
HCPCS,90885,90885 PSYCHIATRIC EVALUATION OF HOSPITAL RECORDS,200.0,80.0,80.0,180.0,17
HCPCS,90887,90887 EXPLANATION OF PSYCHIATRIC,200.0,80.0,80.0,180.0,17
HCPCS,90889,90889 PREPARATION OF REPORT OF PATIENT'S PSYCHIATRIC STATUS,200.0,80.0,80.0,180.0,17
HCPCS,90901,90901 BIOFEEDBACK TRAINING,93.0,37.2,15.96,93.1,27
HCPCS,90901,BIOFEEDBACK TRAIN ANY METH,93.0,37.2,15.96,93.1,81
HCPCS,90901,BIOFEEDBACK TRAINING BY ANY MODALITY. CQ,93.0,37.2,15.96,93.1,27
HCPCS,90912,90912 BIOFEEDBACK TRAINING FOR BOWEL OR BLADDER CONTROL,186.0,74.4,36.18,186.8,27
HCPCS,90912,BFB TRAINING 1ST 15 MIN,186.0,74.4,36.18,186.8,81
HCPCS,90912,HC BFB TRAING W/EMG AND/MANOMETRY 1ST 15 MIN CNTCT,186.0,74.4,36.18,186.8,27
HCPCS,90913,BFB TRAINING EA ADDL 15 MIN,75.0,30.0,20.31,75.95,108
HCPCS,90935,90935 HEMODIALYSIS PROCEDURE WITH PHYSICIAN EVALUATION,1672.0,668.8,266.06,1672.0,33
HCPCS,90935,HEMODIALYSIS ONE EVALUATION,1600.0,640.0,266.06,1600.0,33
HCPCS,90945,90945 DIALYSIS PROCEDURE INCLUDING 1 EVALUATION,929.0,371.6,124.0,941.82,31
HCPCS,90945,HC DIALYSIS CAPD HOME,929.0,371.6,124.0,941.82,31
HCPCS,90947,90947 DIALYSIS PROCEDURE REQUIRING REPEAT EVALUATION,1470.0,588.0,94.72,1323.0,32
HCPCS,90989,DIALYSIS TRAINING NOT COMPLETED,1200.0,480.0,105.0,1080.0,23
HCPCS,90989,DIALYSIS TRAINING PATIENT COMPLETED COURSE,1200.0,480.0,105.0,1080.0,23
HCPCS,90993,DIALYSIS TRAINING INCOMPL,1200.0,480.0,73.5,1080.0,21
HCPCS,90993,HC DIALYSIS TRAINING CCPD,1200.0,480.0,73.5,1080.0,22
HCPCS,90999,90999 OTHER INPATIENT OR OUTPATIENT DIALYSIS PROCEDURE,1840.0,736.0,228.9,1656.0,17
HCPCS,90999,ACUTE DIAL OUTOFUNIT HEMO INPT,2253.0,901.2,228.9,2027.7,17
HCPCS,90999,HC DIALYSIS HEMO HOME,1200.0,480.0,228.9,1080.0,23
HCPCS,90999,HC DIALYSIS HEMO OUTPT,1200.0,480.0,228.9,1080.0,23
HCPCS,91010,91010 STUDY OF ESOPHAGUS TO ASSESS MOVEMENT,1000.0,400.0,291.88,1000.0,33
HCPCS,91020,91020 STUDY OF STOMACH TO ASSESS MOVEMENT,1000.0,400.0,291.88,1000.0,33
HCPCS,91022,91022 STUDY OF UPPER SMALL BOWEL TO ASSESS MOVEMENT,1000.0,400.0,335.26,1000.0,27
HCPCS,91030,91030 TEST FOR ESOPHAGEAL REFLUX DISEASE,1000.0,400.0,291.88,1000.0,33
HCPCS,91034,91034 MONITORING AND RECORDING OF ESOPHAGEAL FUNCTION THROUGH NASAL TUBE,1000.0,400.0,291.88,1000.0,33
HCPCS,91035,91035 MONITING RECDING ESOPHAGEAL FUNCTION THROUGH A CAPSULE ATTACHED,1000.0,400.0,580.0,1938.31,33
HCPCS,91037,ESOPH IMPED FUNCTION TEST,600.0,240.0,168.9,600.0,33
HCPCS,91038,91038 PROLONGED MONITING RECDING ESOPHAGEAL FUNCTION THROUGH NASAL TUBE,1250.0,500.0,291.88,1250.0,33
HCPCS,91040,91040 STUDY OF ESOPHAGEAL SENSATION BY BALLOON DISTENSION,1000.0,400.0,291.88,1000.0,33
HCPCS,91065,91065 MEASUREMENT OF HYDROGEN IN BREATH TO TEST FOR STOMACH AND BOWEL SYMPTOMS,350.0,140.0,168.9,487.37,33
HCPCS,91110,91110 IMAGING OF DIGESTIVE TRACT DONE FROM THE INSIDE OF THE DIGESTIVE TRACT,2000.0,800.0,709.44,2047.2,33
HCPCS,91111,91111 IMAGING OF ESOPHAGUS DONE FROM THE INSIDE OF THE ESOPHAGUS,1800.0,720.0,709.44,2047.2,33
HCPCS,91112,91112 MEASUREMENT OF COMPLEX STOMACH AND BOWEL MOTOR FUNCTION,1800.0,720.0,709.44,2047.2,33
HCPCS,91117,91117 STUDY OF LARGE INTESTINE TO ASSESS MOVEMENT,600.0,240.0,168.9,600.0,33
HCPCS,91132,91132 RECORDING AND INTERPRETATION OF STOMACH ELECTRICAL ACTIVITY,600.0,240.0,168.9,600.0,33
HCPCS,91133,91133 RECDING INTERPRETATION OF STOMACH ELECTRICAL ACTIVITY WITH DRUG,250.0,100.0,104.07,300.31,33
HCPCS,91200,91200 MEASUREMENT OF LIVER STIFFNESS,350.0,140.0,100.65,350.0,33
HCPCS,91299,91299 OTHER DIAGNOSTIC PROCEDURE FOR GASTROINTESTINE,350.0,140.0,100.65,350.0,33
HCPCS,91299,HC ELECTRODE PLACEMENT,350.0,140.0,100.65,350.0,33
HCPCS,91318,SARSCOV2 VAC 3MCG TRSSUC IM,163.0,65.2,33.41,163.0,26
HCPCS,91319,SARSCV2 VAC 10MCG TRSSUC IM,219.0,87.6,44.89,219.0,26
HCPCS,91320,SARSCV2 VAC 30MCG TRSSUC IM,328.0,131.2,67.23,328.0,32
HCPCS,91321,SARSCOV2 VAC 25 MCG/.25ML IM,365.0,146.0,74.81,365.0,26
HCPCS,91322,SARSCOV2 VAC 50 MCG/0.5ML IM,365.0,146.0,74.81,365.0,32
HCPCS,92002,92002 NEW PATIENT PROBLEM FOCUSED EXAM OF VISUAL SYSTEM,290.0,116.0,119.61,300.51,27
HCPCS,92004,92004 NEW PATIENT COMPLETE EXAM OF VISUAL SYSTEM,290.0,116.0,119.61,300.51,27
HCPCS,92012,92012 ESTABLISHED PATIENT PROBLEM FOCUSED EXAM OF VISUAL SYSTEM,290.0,116.0,119.61,300.51,27
HCPCS,92014,92014 ESTABLISHED PATIENT COMPLETE EXAM OF VISUAL SYSTEM,290.0,116.0,119.61,300.51,27
HCPCS,92015,DETERMINE REFRACTIVE STATE,32.0,12.8,12.8,32.0,18
HCPCS,92081,92081 EXAM OF VISUAL FIELD WITH LIMITED TESTING,142.0,56.8,46.14,142.0,33
HCPCS,92082,92082 EXAM OF VISUAL FIELD WITH INTERMEDIATE TESTING,125.0,50.0,46.14,133.15,33
HCPCS,92083,92083 EXAM OF VISUAL FIELD WITH EXTENDED TESTING,250.0,100.0,104.07,300.31,33
HCPCS,92132,92132 IMAGING OF FRONT THIRD OF EYE,125.0,50.0,46.14,133.15,33
HCPCS,92133,92133 IMAGING OF OPTIC NERVE,125.0,50.0,46.14,133.15,33
HCPCS,92134,92134 IMAGING OF RETINA,125.0,50.0,46.14,133.15,33
HCPCS,92504,92504 EXAM OF EAR USING A MICROSCOPE,130.0,52.0,52.0,117.0,17
HCPCS,92507,92507 TREATMENT OF SPEECH,182.0,72.8,64.96,182.0,33
HCPCS,92508,92508 TREATMENT OF SPEECH,55.0,22.0,22.2,55.5,27
HCPCS,92511,92511 EXAM OF THE NOSE AND THROAT USING AN ENDOSCOPE,420.0,168.0,156.13,450.54,33
HCPCS,92516,92516 STUDY OF FACIAL NERVE FUNCTION,600.0,240.0,168.9,600.0,33
HCPCS,92517,CERVICAL VEMP TESTING W/IANDR,350.0,140.0,100.65,350.0,32
HCPCS,92518,OCULAR VEMP TESTING W/IANDR,350.0,140.0,100.65,350.0,32
HCPCS,92519,CERVICAL AND OCULAR VEMP TESTING W/IANDR,675.0,270.0,168.9,675.0,32
HCPCS,92521,92521 EVALUATION OF SPEECH CONTINUITY,315.0,126.0,110.0,315.0,33
HCPCS,92522,92522 EVALUATION OF SPEECH SOUND PRODUCTION,264.0,105.6,89.0,264.0,33
HCPCS,92523,92523 EVALUATION SPEECH SOUND PRODUCTION WITH EVAL LANGUAGE COMPREHENSION,538.0,215.2,160.0,538.0,33
HCPCS,92524,92524 ANALYSIS OF VOICE AND RESONANCE PRODUCTION,260.0,104.0,92.7,260.0,33
HCPCS,92526,92526 TREATMENT OF SWALLOWING AND FEEDING DISORDER,200.0,80.0,71.28,200.0,33
HCPCS,92526,ORAL FUNCTION THERAPY,200.0,80.0,71.28,200.0,33
HCPCS,92537,92537 TEST TO ASSESS BALANCE DURING WARM AND COOL IRRIGATION IN BOTH EARS,350.0,140.0,100.65,350.0,33
HCPCS,92538,92538 TEST TO ASSESS BALANCE DURING WARM OR COOL IRRIGATION IN BOTH EARS,350.0,140.0,168.9,487.37,33
HCPCS,92540,92540 EVALUATION AND TESTING FOR BALANCE WITH RECORDING,350.0,140.0,168.9,487.37,33
HCPCS,92541,92541 TEST FOR ABNORMAL EYE MOVEMENT WITH RECORDING,250.0,100.0,104.07,300.31,33
HCPCS,92542,92542 TEST FOR ABNORMAL EYE MOVEMENT USING 3 POSITIONS WITH RECORDING,250.0,100.0,104.07,300.31,33
HCPCS,92544,92544 TEST FOR ABNORMAL EYE MOVEMENT USING A MOVING TARGET WITH RECORDING,350.0,140.0,100.65,350.0,33
HCPCS,92545,92545 TEST ABNMAL EYE MOVEMENT A MOVING TARGET THAT MOVES BACK TH WITH RECDING,600.0,240.0,168.9,600.0,33
HCPCS,92546,92546 TEST FOR ABNORMAL EYE MOVEMENT USING A ROTATING CHAIR,350.0,140.0,100.65,350.0,33
HCPCS,92548,92548 TEST FOR BALANCE AND POSTURE,250.0,100.0,104.07,300.31,32
HCPCS,92550,92550 TEST FOR EARDRUM AND MUSCLE FUNCTION,350.0,140.0,168.9,487.37,33
HCPCS,92551,92551 TEST FOR SCREENING HEARING,77.0,30.8,11.46,69.3,19
HCPCS,92552,92552 TEST FOR HEARING VARIOUS PITCHES USING EARPHONE,290.0,116.0,119.54,300.31,27
HCPCS,92553,92553 TEST HEARING VARIOUS PITCHES EARPHONE DEVICE PLACED AGAINST THE BONE,350.0,140.0,100.65,350.0,33
HCPCS,92555,92555 TEST FOR ABILITY TO DETECT AND REPEAT SPOKEN WORDS,87.0,34.8,50.46,133.15,27
HCPCS,92556,92556 TEST FOR ABILITY TO DETECT AND REPEAT SPOKEN WORDS WITH SPEECH RECOGNITION,142.0,56.8,53.0,142.0,27
HCPCS,92557,92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST,350.0,140.0,100.65,350.0,33
HCPCS,92565,92565 TEST TO ASSESS HEARING LOSS,75.0,30.0,43.5,133.15,27
HCPCS,92567,92567 TEST TO ASSESS MIDDLE EAR FUNCTION,106.0,42.4,29.21,106.0,33
HCPCS,92568,92568 TEST TO ASSESS MIDDLE EAR MUSCLE REFLEX,75.0,30.0,29.21,84.31,33
HCPCS,92570,92570 COMPREHENSIVE HEARING TEST,350.0,140.0,100.65,350.0,33
HCPCS,92571,92571 TEST TO ASSESS BY HEARING BY EXAMINING THE REPETITION OF REAL WORDS V,75.0,30.0,33.55,84.31,27
HCPCS,92572,92572 TEST TO ASSESS HEARING USING 2 SYLLABLE WORDS,350.0,140.0,100.65,350.0,33
HCPCS,92575,92575 TEST TO ASSESS HEARING LOSS USING DIFFERENT TONE PITCHES,75.0,30.0,33.55,84.31,27
HCPCS,92576,92576 TEST TO ASSESS HEARING LOSS USING GRAMMATICALLY INCORRECT SENTENCES,75.0,30.0,33.55,84.31,27
HCPCS,92577,92577 TEST TO ASSESS HEARING LOSS 2 SIMULTANEOUS WDS AT DIFFERENT TONES,1000.0,400.0,291.88,1000.0,33
HCPCS,92579,92579 TEST TO ASSESS HEARING SENSITIVITY USING VISUAL AIDS,382.0,152.8,168.9,487.37,33
HCPCS,92582,92582 TEST TO ASSESS HEARING SENSITIVITY USING ACTIVITY RELATED FEEDBACK,382.0,152.8,100.65,382.0,33
HCPCS,92583,92583 TEST TO ASSESS HEARING USING PICTURES,142.0,56.8,53.0,142.0,27
HCPCS,92584,92584 TEST TO ASSESS ELECTRICAL POTENTIALS GENERATED IN THE INNER EAR AS,350.0,140.0,100.65,350.0,33
HCPCS,92587,92587 PLACEMENT OF EAR PROBE COMPUTERIZED MEASUREMENT OF SOUND WITH,748.0,299.2,168.9,731.04,33
HCPCS,92588,92588 PLACEMENT OF EAR PROBE COMPUTERIZED MEASUREMENT OF REPEATED SOUNDS WITH,748.0,299.2,291.88,842.27,33
HCPCS,92597,92597 EVALUATION FOR USE OF VOICE ARTIFICIAL DEVICE TO SUPPLEMENT ORAL SPEECH,172.0,68.8,61.7,172.0,33
HCPCS,92597,ORAL SPEECH DEVICE EVAL,172.0,68.8,61.7,172.0,33
HCPCS,92601,92601 ANALYSIS AND PROGRAMMING OF INNER EAR IMPLANT YOUNGER THAN 7 YEARS,350.0,140.0,100.65,350.0,33
HCPCS,92602,92602 ANALYSIS AND REPROGRAMMING OF INNER EAR IMPLANT YOUNGER THAN 7 YEARS,350.0,140.0,100.65,350.0,33
HCPCS,92603,92603 ANALYSIS AND PROGRAMMING OF INNER EAR IMPLANT 7 YEARS OR OLDER,350.0,140.0,100.65,350.0,33
HCPCS,92604,92604 ANALYSIS AND REPROGRAMMING OF INNER EAR IMPLANT 7 YEARS OR OLDER,350.0,140.0,100.65,350.0,33
HCPCS,92604,HC HC EVAL AUD REHAB +15 MIN,350.0,140.0,100.65,350.0,33
HCPCS,92607,92607 EVALUATION WITH PRESCRIPTION OF SPEECHGENERATING,291.0,116.4,113.8,291.0,27
HCPCS,92607,EX FOR SPEECH DEVICE RX 1HR,291.0,116.4,113.8,291.0,81
HCPCS,92608,92608 EVALUATION WITH PRESCRIPTION OF SPEECHGENERATING ALTERNATIVE COM,114.0,45.6,44.37,114.0,27
HCPCS,92608,EX FOR SPEECH DEVICE RX ADDL,114.0,45.6,44.37,114.0,27
HCPCS,92608,HC EVAL SPEECH DEVICE ADD 15MIN GN,114.0,45.6,44.37,114.0,27
HCPCS,92608,HC EX SPEECH DEVICE RX ADDL GN,114.0,45.6,44.37,114.0,27
HCPCS,92609,92609 THERAPY SERVICE FOR USE OF SPEECHGENERATING DEVICE WITH PROGRAMMING,245.0,98.0,95.21,245.0,27
HCPCS,92609,HC SPEECH DEVICE THERAPY GN,245.0,98.0,95.21,245.0,27
HCPCS,92609,HC USE OF SPEECH DEVICE SERVICE GN,245.0,98.0,95.21,245.0,27
HCPCS,92609,USE OF SPEECH DEVICE SERVICE,245.0,98.0,95.21,245.0,27
HCPCS,92610,92610 EVALUATION OF SWALLOWING FUNCTION,200.0,80.0,51.69,200.0,33
HCPCS,92610,EVALUATE SWALLOWING FUNCTION,200.0,80.0,51.69,200.0,33
HCPCS,92611,92611 EVALUATION OF SWALLOWING FUNCTION IMAGE,214.0,85.6,78.5,214.0,33
HCPCS,92611,MOTION FLUOROSCOPY/SWALLOW,214.0,85.6,78.5,214.0,33
HCPCS,92612,92612 EVALUATION AND RECORDING OF SWALLOWING USING AN ENDOSCOPE,434.0,173.6,48.34,443.83,33
HCPCS,92612,ENDOSCOPY SWALLOW FEES VID,434.0,173.6,48.34,443.83,33
HCPCS,92620,92620 EVALUATION OF HEARING FUNCTION BRAIN RESPONSES,350.0,140.0,115.61,350.0,27
HCPCS,92621,92621 EVALUATION OF HEARING FUNCTION BRAIN RESPONSES,112.0,44.8,44.8,100.8,17
HCPCS,92622,DX ALY PRGRMGANDVERIF AUD OI SOUND PROCESSR 1ST 60,372.0,148.8,100.65,372.0,33
HCPCS,92623,DX ALY PRGRMGANDVERIF AUD OI SOUND PROCESSR EA ADL,47.0,18.8,18.8,42.3,17
HCPCS,92625,92625 EVALUATION OF HEARING RINGING IN EAR,350.0,140.0,115.61,350.0,27
HCPCS,92626,92626 EVALUATION OF HEARING FUNCTION RELATED TO SURGICALLY IMPLANTED HEARING,350.0,140.0,100.65,350.0,33
HCPCS,92626,EVAL AUD REHAB 60 MIN,350.0,140.0,100.65,350.0,33
HCPCS,92627,92627 EVALUATION OF HEARING FUNCTION RELATED TO SURGICALLY IMPLANTED HEARING,75.0,30.0,30.0,75.0,17
HCPCS,92627,HC EVAL AUD STATUS REHAB ADDON,75.0,30.0,30.0,67.5,17
HCPCS,92630,92630 THERAPY SERVICE FOR HEARING LOSS PRIOR TO SPEECH AND LANGUAGE DEVELOPMENT,277.0,110.8,110.8,321.51,18
HCPCS,92630,AUD REHAB PRELING HEAR LOSS,277.0,110.8,110.8,321.51,18
HCPCS,92633,92633 THERAPY SERVICE FOR HEARING LOSS AFTER SPEECH AND LANGUAGE DEVELOPMENT,277.0,110.8,110.8,321.51,18
HCPCS,92633,AUD REHAB POSTLING HEAR LOSS,277.0,110.8,110.8,321.51,18
HCPCS,92650,92650 SCREENING EVALUATION OF BRAIN RESPONSE TO SOUND WITH AUTOMATED ANALYSIS,60.0,24.0,19.44,54.0,24
HCPCS,92651,92651 EVALUATION OF BRAIN RESPONSE TO SOUND DETERMINATION OF HEARING STATUS,350.0,140.0,168.9,487.37,33
HCPCS,92652,92652 EVALUATION BRAIN RESPONSE TO SOUND DETERMINATION HEARING THRESHOLD,600.0,240.0,168.9,600.0,33
HCPCS,92653,92653 EVALUATION OF BRAIN RESPONSE TO SOUND DIAGNOSIS OF NERVOUS DISDERS WITH,600.0,240.0,168.9,600.0,33
HCPCS,92700,92700 OTHER PROCEDURE ON EAR,63.0,25.2,22.62,65.28,33
HCPCS,92700,VIDEO HEAD IMPULSE TEST,63.0,25.2,22.62,65.28,33
HCPCS,92920,92920 BALLOON DILATION OF SINGLE CORONARY ARTERY OR BRANCH,11000.0,4400.0,4451.92,12846.73,33
HCPCS,92924,92924 REMOVAL OF PLAQUE WITH BALLOON DILATION OF SINGLE CONARY ARTERY BRANCH,20000.0,8000.0,9029.81,26056.99,33
HCPCS,92928,92928 INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH,24381.0,9752.4,9029.81,26056.99,33
HCPCS,92930,PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,47196.0,18878.4,14338.93,46508.08,33
HCPCS,92933,92933 REMOVAL OF PLAQUE,36950.0,14780.0,14338.93,41377.29,33
HCPCS,92934,92934 REMOVAL OF PLAQUE,1500.0,600.0,600.0,1500.0,17
HCPCS,92937,92937 REMOVAL OF PLAQUE,24381.0,9752.4,9029.81,26056.99,33
HCPCS,92941,92941 REMOVAL OF PLAQUE AND BLOOD CLOT,20711.0,8284.4,553.33,18954.0,26
HCPCS,92943,92943 REMOVAL OF PLAQUE,24381.0,9752.4,9029.81,26056.99,33
HCPCS,92945,PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRDANDRTRGR,29721.0,11888.4,4093.0,29288.06,33
HCPCS,92950,92950 MANUAL ATTEMPT TO RESTORE BLOOD CIRCULATION AND BREATHING,675.0,270.0,168.9,675.0,33
HCPCS,92953,92953 TEMPORARY PACEMAKER TO REGULATE HEART BEAT,1341.0,536.4,516.99,1491.85,33
HCPCS,92960,92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT,1341.0,536.4,516.99,1491.85,33
HCPCS,92961,92961 INTERNAL SHOCK TO HEART TO REGULATE HEART BEAT,1341.0,536.4,516.99,1491.85,33
HCPCS,92970,92970 PLACEMENT OF INTERNAL DEVICE TO ASSIST CIRCULATION,10000.0,4000.0,152.88,9000.0,26
HCPCS,92972,PERQ TRLUML CORONRY LITHOTRP,5000.0,2000.0,2000.0,4538.0,17
HCPCS,92973,92973 REMOVAL OF BLOOD CLOT IN HEART ARTERY,6635.0,2654.0,1888.0,5971.5,17
HCPCS,92977,92977 REMOVAL OF HEART ARTERY BLOOD CLOT BY DISSOLVING,814.0,325.6,325.6,814.0,17
HCPCS,92978,92978 ULTRASOUND EVALUATION OF HEART BLOOD OR GRAFT WITH REVIEW,3728.0,1491.2,1491.2,3355.2,17
HCPCS,92979,92979 ULTRASOUND EVALUATION OF HEART BLOOD OR GRAFT WITH REVIEW BY RADIOLOGIST,2863.0,1145.2,1145.2,2576.7,17
HCPCS,92986,92986 BALLOON DILATION REPAIR OF AORTIC VALVE,11000.0,4400.0,4451.92,12846.73,33
HCPCS,92987,92987 BALLOON DILATION REPAIR OF MITRAL VALVE,20000.0,8000.0,9029.81,26056.99,33
HCPCS,92990,92990 BALLOON DILATION REPAIR OF PULMONARY VALVE,20000.0,8000.0,9029.81,26056.99,33
HCPCS,92997,92997 BALLOON DILATION OF PULMONARY ARTERY,24381.0,9752.4,9029.81,26056.99,33
HCPCS,92998,92998 BALLOON DILATION OF PULMONARY ARTERY,5747.0,2298.8,2298.8,5747.0,17
HCPCS,93005,ELECTROCARDIOGRAM TRACING,13.0,5.2,7.54,133.15,33
HCPCS,93017,93017 EXERCISE OR DRUGINDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM ECG,675.0,270.0,168.9,675.0,33
HCPCS,93017,CARDIOVASCULAR STRESS TEST DOBUTAMINE,600.0,240.0,168.9,600.0,33
HCPCS,93017,CARDIOVASCULAR STRESS TEST EXERCISE,675.0,270.0,168.9,675.0,33
HCPCS,93025,93025 ELECTROCARDIOGRAM ECG ASSESSMENT OF IRREGULAR HEART BEATS,350.0,140.0,100.65,350.0,33
HCPCS,93225,93225 ELECTROCARDIOGRAM ECG 2DAY CONTINUOUS,290.0,116.0,104.07,300.31,33
HCPCS,93225,HC ECG/MONITORING AND ANALYSIS,290.0,116.0,104.07,300.31,33
HCPCS,93226,93226 ELECTROCARDIOGRAM ECG 2DAY CONTINUOUS WITH REPORT,250.0,100.0,46.14,225.0,33
HCPCS,93229,REMOTE 30 DAY ECG TECH SUPP,349.0,139.6,202.42,842.27,33
HCPCS,93242,93242 HEART RHYTHM RECDING INOUS EXTERNAL EKG OVER ME THAN 48 HOURS UP TO 7 DAYS,142.0,56.8,29.21,127.8,33
HCPCS,93246,ECG>7D<15D RECORDING,125.0,50.0,29.21,113.9,33
HCPCS,93261,93261 EVALUATION OF IMPLANTABLE DEFIBRILLATOR SYSTEM,95.0,38.0,29.19,95.0,31
HCPCS,93270,93270 ELECTROCARDIOGRAM ECG UP TO 30 DAYS CONTINUOUS WITH SYMPTOM MONITORING,95.0,38.0,29.19,95.0,33
HCPCS,93270,HC PEDS EVENT MONITOR,95.0,38.0,29.19,95.0,33
HCPCS,93271,93271 ELECTROCARDIOGRAM ECG UP TO 30 DAYS INUOUS WITH SYMPTOM MONITING,200.0,80.0,74.37,214.59,33
HCPCS,93271,HC EVENT LOOPER TECH FEE 30 MONITOR,200.0,80.0,74.37,214.59,33
HCPCS,93278,93278 RECDING TO EVALUATE HEIGHT DURATION OF HEART BEATS THROUGH DAMAGED HEART,125.0,50.0,46.14,133.15,32
HCPCS,93279,93279 PROGRAMMING OF SINGLE LEAD PACEMAKER SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93280,93280 PROGRAMMING OF DUAL LEAD PACEMAKER SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93281,93281 PROGRAMMING OF MULTIPLE LEAD PACEMAKER SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93282,93282 PROGRAMMING OF SINGLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93283,93283 PROGRAMMING OF DUAL LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93284,93284 PROGRAMMING OF MULTIPLE LEAD IMPLANTABLE DEFIBRILLATOR SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93285,93285 PROGRAMMING OF CARDIAC RHYTHM MONITOR SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93286,93286 PROGRAMMING OF SINGLE,95.0,38.0,38.0,85.5,17
HCPCS,93287,93287 PROGRAMMING OF SINGLE,156.0,62.4,62.4,140.4,17
HCPCS,93288,93288 EVALUATION OF SINGLE,95.0,38.0,29.19,95.0,33
HCPCS,93289,93289 EVALUATION OF SINGLE,95.0,38.0,29.19,95.0,33
HCPCS,93290,93290 EVALUATION OF IMPLANTABLE HEART AND BLOOD VESSEL MONITORING SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93292,93292 EVALUATION OF WEARABLE DEFIBRILLATOR SYSTEM,95.0,38.0,29.19,95.0,33
HCPCS,93293,93293 TELEPHONIC RHYTHM STRIP EVALUATION OF SINGLE,95.0,38.0,29.19,95.0,33
HCPCS,93296,93296 EVALUATION OF SINGLE,95.0,38.0,29.19,95.0,33
HCPCS,93297,REM INTERROG DEV EVAL ICPMS,95.0,38.0,29.19,95.0,33
HCPCS,93298,REM INTERROG DEV EVAL SCRMS,95.0,38.0,29.19,95.0,33
HCPCS,93303,93303 ULTRASOUND OF HEART FOR CONGENITAL DEFECT,1300.0,520.0,427.41,1300.0,33
HCPCS,93304,93304 ULTRASOUND OF HEART FOR CONGENITAL DEFECT,1300.0,520.0,427.41,1300.0,33
HCPCS,93306,93306 ULTRASOUND OF HEART WITH COLORDEPICTED BLOOD FLOW,1300.0,520.0,427.41,1300.0,33
HCPCS,93307,93307 ULTRASOUND OF HEART,590.0,236.0,186.64,590.0,33
HCPCS,93308,93308 ULTRASOUND OF HEART,590.0,236.0,186.64,590.0,33
HCPCS,93312,93312 ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS,1300.0,520.0,427.41,1300.0,33
HCPCS,93313,93313 INSERTION OF PROBE IN ESOPHAGUS FOR HEART ULTRASOUND,1300.0,520.0,427.41,1300.0,33
HCPCS,93315,93315 ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS FOR CONGENITAL DEFECT,1300.0,520.0,427.41,1300.0,33
HCPCS,93318,93318 ULTRASOUND OF HEART WITH PROBE IN ESOPHAGUS TO ASSESS HEART PUMP FUNCTION,1300.0,520.0,427.41,1300.0,33
HCPCS,93319,3D ECHO IMGANDPSTPXESSING TEE/TTE CGEN CAR ANOMAL,884.0,353.6,353.6,795.6,17
HCPCS,93320,93320 ULTRASOUND OF HEART BLOOD FLOW,822.0,328.8,328.8,739.8,17
HCPCS,93321,93321 ULTRASOUND OF HEART BLOOD FLOW,664.0,265.6,265.6,597.6,17
HCPCS,93325,93325 ULTRASOUND OF HEART WITH COLORDEPICTED BLOOD FLOW,768.0,307.2,307.2,691.2,17
HCPCS,93350,93350 ULTRASOUND OF HEART DURING REST,1300.0,520.0,427.41,1300.0,33
HCPCS,93350,TTE W OR W/O FOL W/CON STRES,1827.0,730.8,427.41,1644.3,33
HCPCS,93351,93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM ECG DURING REST,1300.0,520.0,427.41,1300.0,33
HCPCS,93355,93355 ULTRASOUND HEART WITH PROBE IN ESOPHAGUS DURING SURGERY ON HEART GREAT,400.0,160.0,160.0,400.0,17
HCPCS,93356,93356 HEART MUSCLE STRAIN IMAGING,975.0,390.0,390.0,877.5,17
HCPCS,93451,93451 INSERTION OF TUBE IN RIGHT HEART CHAMBERS FOR MEASUREMENT,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93452,93452 INSERTION TUBE IN LEFT HEART CHAMBERS DIAGNOSIS WITH REVIEW,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93453,93453 INSERTION TUBE IN RIGHT LEFT HEART CHAMBERS DIAGNOSIS WITH REVIEW,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93454,93454 INSERTION OF TUBE IN CORONARY ARTERY DIAGNOSIS WITH REVIEW BY RAD,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93455,93455 INSERTION OF TUBE IN BYPASS GRAFT FOR DIAGNOSIS WITH REVIEW BY RA,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93456,93456 INSERTION TUBE IN RIGHT HEART CHAMBERS CONARY ARTERY,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93457,93457 INSERTION OF TUBE IN RIGHT HEART CHAMBERS,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93458,93458 INSERTION TUBE IN LEFT LOWER HEART CHAMBER CONARY ARTERY,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93459,93459 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93460,93460 INSERTION TUBE IN RIGHT LEFT HEART CHAMBERS CONARY ARTERY,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93461,93461 INSERTION OF TUBE IN RIGHT AND LEFT HEART CHAMBERS,7200.0,2880.0,2535.82,7317.53,33
HCPCS,93462,93462 INSERTION OF TUBE IN LEFT HEART CHAMBER THROUGH HEART SEPTUM,7276.0,2910.4,1888.0,6548.4,17
HCPCS,93463,93463 DRUG INFUSION DURING CARDIAC CATHETERIZATION,1905.0,762.0,762.0,1905.0,17
HCPCS,93464,93464 DRUG INFUSION OR EXERCISE FOR HEART STIMULATION DURING DIAGNOSTIC STUDY,1905.0,762.0,762.0,1905.0,17
HCPCS,93503,93503 INSERTION OF TUBE IN PULMONARY ARTERY FOR MONITORING,3000.0,1200.0,1231.29,3553.11,33
HCPCS,93505,93505 BIOPSY OF HEART MUSCLE,6000.0,2400.0,2469.76,7126.91,33
HCPCS,93563,93563 INJ IMAGING CONARY BLOOD DURING EVALUATION CONGENITAL ABNMALITIES,833.0,333.2,333.2,833.0,17
HCPCS,93564,93564 INJ IMAGING HEART GRAFTS DURING EVALUATION CONGENITAL ABNMALITIES,898.0,359.2,359.2,898.0,17
HCPCS,93565,93565 INJECTION FOR IMAGING OF LEFT HEART CHAMBERS WITH REVIEW BY RADIOLOGIST,552.0,220.8,220.8,552.0,17
HCPCS,93566,93566 INJECTION FOR IMAGING OF RIGHT HEART CHAMBERS WITH REVIEW BY RADIOLOGIST,508.0,203.2,203.2,508.0,17
HCPCS,93567,93567 INJECTION IMAGING OF AORTA ABOVE HEART VALVE WITH REVIEW BY RADIOLOGIST,552.0,220.8,220.8,552.0,17
HCPCS,93568,93568 INJECTION FOR IMAGING OF PULMONARY ARTERY WITH REVIEW BY RADIOLOGIST,550.0,220.0,220.0,550.0,17
HCPCS,93569,NJX CTH SLCT PART ANGRP UNI,2500.0,1000.0,1000.0,2250.0,17
HCPCS,93571,93571 ULTRASOUND EVALUATION OF HEART BLOOD VESSEL DURING DIAGNOSIS OR TREATMENT,2148.0,859.2,859.2,1970.0,17
HCPCS,93572,93572 ULTRASOUND EVALUATION OF HEART BLOOD VESSEL DURING DIAGNOSIS OR TREATMENT,2520.0,1008.0,1008.0,2268.0,17
HCPCS,93573,NJX CATH SLCT PART ANGRP BI,2500.0,1000.0,1000.0,2250.0,17
HCPCS,93574,NJX CATH SLCT PULM VN ANGRPH,2500.0,1000.0,1000.0,2250.0,17
HCPCS,93575,NJX CATH SLCT P ANGRPH MAPCA,2500.0,1000.0,1000.0,2250.0,17
HCPCS,93580,93580 REPAIR CONGENITAL ABNMALITY IN WALL BETWEEN UPPER HEART CHAMBERS,36950.0,14780.0,14338.93,41377.29,33
HCPCS,93581,93581 REPAIR CONGENITAL ABNMALITY IN WALL BETWEEN LOWER HEART CHAMBERS,35000.0,14000.0,14338.93,41377.29,33
HCPCS,93582,93582 REPAIR OF CONGENITAL ABNORMALITY OF PULMONARY ARTERY TO AORTA,41006.0,16402.4,14338.93,41377.29,33
HCPCS,93583,93583 REPAIR OF WALL BETWEEN LOWER HEART CHAMBERS INCLUDING PACEMAKER,7500.0,3000.0,601.09,6750.0,26
HCPCS,93584,VNGRPH CHD ANOM/PERSIST SVC,3000.0,1200.0,1200.0,3000.0,17
HCPCS,93585,VNGRPH CHD AZYGS/HEMIAZYGS,3000.0,1200.0,1200.0,3000.0,17
HCPCS,93586,VNGRPH CHD CORONARY SINUS,3000.0,1200.0,1200.0,3000.0,17
HCPCS,93587,VNGRPH CHD VNVN CLTRL AT/ABV,3000.0,1200.0,1200.0,2700.0,15
HCPCS,93588,VNGRPH CHD VNVN CLTRL BELOW,3000.0,1200.0,1200.0,3000.0,17
HCPCS,93590,93590 REPAIR OF LEAK ADJACENT TO MITRAL VALVE,36950.0,14780.0,16469.81,41377.29,27
HCPCS,93591,93591 REPAIR OF LEAK ADJACENT TO AORTIC VALVE,36950.0,14780.0,16469.81,41377.29,27
HCPCS,93592,93592 REPAIR OF LEAD ADJACENT TO HEART VALVE,10000.0,4000.0,1888.0,9000.0,17
HCPCS,93593,R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ,7404.0,2961.6,2535.82,7404.0,33
HCPCS,93594,R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ,7404.0,2961.6,2535.82,7404.0,33
HCPCS,93595,L HRT CATH CHD IMG CATH TRGT ZON NML/ABNL NT CNJ,7404.0,2961.6,2535.82,7404.0,33
HCPCS,93596,RANDL HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ,7404.0,2961.6,2535.82,7404.0,33
HCPCS,93597,RANDL HRT CATH CHD ABNL NT CNJ,7404.0,2961.6,2535.82,7404.0,33
HCPCS,93598,CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT,500.0,200.0,200.0,500.0,17
HCPCS,93600,93600 RECORDING OF UPPER HEART RHYTHM,12000.0,4800.0,6100.87,17605.03,33
HCPCS,93602,93602 RECORDING OF UPPER HEART CHAMBER RHYTHM,12000.0,4800.0,6100.87,17605.03,33
HCPCS,93603,93603 RECORDING OF RIGHT LOWER HEART CHAMBER RHYTHM,2500.0,1000.0,952.36,2748.17,33
HCPCS,93609,93609 INSERTION TUBE IN UPPER LOWER HEART CHAMBERS TO RECD,4971.0,1988.4,1988.4,4971.0,17
HCPCS,93610,93610 INSERTION OF TEMPORARY PACEMAKER ELECTRODE DIAGNOSTIC UPPER HEART PACING,12000.0,4800.0,6100.87,17605.03,33
HCPCS,93612,93612 INSERTION OF TEMPORARY PACEMAKER ELECTRODE DIAGNOSTIC LOWER HEART PACING,12000.0,4800.0,6100.87,17605.03,33
HCPCS,93613,93613 INSERTION OF TUBE FOR 3D MAPPING OF ELECTRICAL IMPULSES TO HEART MUSCLE,6839.0,2735.6,2735.6,6839.0,17
HCPCS,93615,93615 INSERTION PROBE IN ESOPHAGUS RECDING ELECTRICAL IMPULSES TO UPPER LOWER,1904.0,761.6,952.36,2748.17,33
HCPCS,93616,93616 INSERTION PROBE IN ESOPHAGUS RECDING ELECTRICAL IMPULSES TO UPPER,2500.0,1000.0,952.36,2748.17,33
HCPCS,93618,93618 INDUCTION OF ABNORMAL HEART RHYTHM BY ELECTRICAL PACING,2500.0,1000.0,952.36,2748.17,33
HCPCS,93619,COMPREHENSIVE EP EVALUATION,20088.0,8035.2,6100.87,20088.0,33
HCPCS,93620,93620 INSERTION CATHETERS RECDING PACING RIGHT HEART CHAMBERS RHYTHM,15520.0,6208.0,6100.87,17605.03,33
HCPCS,93621,93621 INSERTION CATHETERS RECDING PACING LEFT UPPER HEART CHAMBER RHYTHM,9045.0,3618.0,3618.0,9045.0,17
HCPCS,93622,93622 INSERTION CATHETERS RECDING PACING LEFT LOWER HEART CHAMBER RHYTHM,9000.0,3600.0,3600.0,9000.0,17
HCPCS,93623,93623 PROGRAMMING OF HEART RHYTHM STIMULATION AFTER DRUG INFUSION,5205.0,2082.0,2082.0,5205.0,17
HCPCS,93624,93624 INSERTION OF CATHETERS FOR RECORDING,12000.0,4800.0,6100.87,17605.03,33
HCPCS,93640,93640 EVALUATION SINGLE DUAL CHAMBER PACING CARDIOVERTERDEFIBRILLAT AT TIME,2500.0,1000.0,1000.0,2500.0,17
HCPCS,93641,93641 EVALUATION OF SINGLE DUAL CHAMBER PACING CARDIOVERTERDEFIBRILLAT,3730.0,1492.0,1492.0,3730.0,17
HCPCS,93642,93642 PROGRAMMING OF PACING CARDIOVERTERDEFIBRILLATOR,2500.0,1000.0,952.36,2748.17,33
HCPCS,93644,93644 PROGRAMMING OF IMPLANTABLE DEFIBRILLATOR,300.0,120.0,120.0,300.0,17
HCPCS,93650,93650 DESTRUCTION OF HEART CONDUCTION TISSUE TO CREATE HEART BLOCK,14000.0,5600.0,6100.87,17605.03,33
HCPCS,93653,93653 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION,45000.0,18000.0,20444.91,58997.13,33
HCPCS,93654,93654 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION,45000.0,18000.0,20444.91,58997.13,33
HCPCS,93655,93655 INSERTION OF CATHETERS DESTRUCTION OF TISSUE TO TREAT ABNMAL HEART RHYTHM,5040.0,2016.0,2016.0,5040.0,17
HCPCS,93656,93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION,45000.0,18000.0,20444.91,58997.13,33
HCPCS,93657,93657 DESTRUCTION TISSUE UPPER HEART CHAMBER THROUGH TUBE TO TREAT ABNMAL,10080.0,4032.0,4032.0,10080.0,17
HCPCS,93660,93660 EVALUATION OF HEART FUNCTION USING TILT TABLE,1000.0,400.0,291.88,1000.0,33
HCPCS,93662,93662 ULTRASOUND EVALUATION OF HEART BLOOD VESSEL WITH REVIEW BY RADIOLOGIST,4000.0,1600.0,1600.0,4000.0,17
HCPCS,93668,93668 PERIPHERAL ARTERIAL DISEASE REHABILITATION,125.0,50.0,53.0,133.15,27
HCPCS,93701,93701 MEASUREMENT OF HEART BLOOD FLOW AND RESPIRATION,250.0,100.0,104.07,300.31,33
HCPCS,93724,93724 ELECTRONIC ANALYSIS OF PACEMAKER TO CORRECT RAPID HEART RATE,675.0,270.0,240.25,693.26,33
HCPCS,93740,93740 MEASUREMENT OF HEART BLOOD VESSEL FUNCTION AT VARIOUS TEMPERATURES,350.0,140.0,100.65,350.0,32
HCPCS,93750,93750 EVALUATION OF LOWER HEART CHAMBER ASSIST DEVICE,200.0,80.0,74.37,214.59,33
HCPCS,93786,93786 AMBULATORY BLOOD PRESSURE MONITORING,250.0,100.0,104.07,300.31,33
HCPCS,93788,93788 AMBULATORY BLOOD PRESSURE MONITORING,250.0,100.0,104.07,300.31,31
HCPCS,93797,93797 OUTPATIENT HEART REHABILITATION,296.0,118.4,115.82,296.0,27
HCPCS,93798,93798 OUTPATIENT HEART REHABILITATION WITH ELECTROCARDIOGRAM ECG MONITORING,348.0,139.2,100.84,348.0,33
HCPCS,93799,93799 OTHER CARDIOVASCULAR SERVICE OR PROCEDURE,11917.0,4766.8,100.65,10725.3,33
HCPCS,93799,CARDIOVASCULAR PROCEDURE,2300.0,920.0,100.65,2250.0,66
HCPCS,93880,93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW,12.0,4.8,6.96,538.56,33
HCPCS,93882,EXTRACRANIAL STUDY LIMITED,12.0,4.8,6.96,235.98,33
HCPCS,93886,93886 COMPLETE ULTRASOUND OF WITHIN THE BRAIN BLOOD FLOW,1197.0,478.8,186.64,1077.3,33
HCPCS,93888,93888 ULTRASOUND OF WITHIN THE BRAIN BLOOD FLOW,997.0,398.8,81.77,897.3,33
HCPCS,93892,TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT,975.0,390.0,81.77,877.5,33
HCPCS,93895,CAROTID INTIMA MEDIA AND CAROTID ATHEROMA EVAL BI,225.0,90.0,90.0,202.5,18
HCPCS,93922,UPR/L XTREMITY ART 2 LEVELS,12.0,4.8,6.96,300.31,33
HCPCS,93923,93923 COMPLETE ULTRASOUND STUDY OF ARM AND LEG ARTERIES,350.0,140.0,168.9,487.37,33
HCPCS,93924,93924 ULTRASOUND OF LEG ARTERIES AT REST AND AFTER EXERCISE,600.0,240.0,168.9,547.81,33
HCPCS,93925,93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS,1197.0,478.8,186.64,1077.3,33
HCPCS,93926,93926 ULTRASOUND OF ONE LEG ARTERIES OR ARTERY GRAFTS,997.0,398.8,81.77,897.3,33
HCPCS,93930,93930 ULTRASOUND OF ARM ARTERIES OR ARTERY GRAFTS,1197.0,478.8,186.64,1077.3,33
HCPCS,93931,93931 ULTRASOUND OF ONE ARM ARTERIES OR ARTERY GRAFTS,997.0,398.8,81.77,897.3,33
HCPCS,93970,93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS,650.0,260.0,186.64,650.0,33
HCPCS,93971,93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS,975.0,390.0,81.77,877.5,33
HCPCS,93975,93975 COMPLETE ULTRASOUND OF ABDOMEN AND PELVIS ARTERY AND VEIN BLOOD FLOW,650.0,260.0,186.64,650.0,33
HCPCS,93976,ABDOMINAL VASCULATURE LIMITED,975.0,390.0,81.77,877.5,33
HCPCS,93976,HC DUPLEX ABD INFLOW/OUTFLW SMA,997.0,398.8,81.77,897.3,33
HCPCS,93978,93978 COMPLETE ULTRASOUND OF AORTA,650.0,260.0,186.64,650.0,33
HCPCS,93979,93979 ULTRASOUND OF AORTA,997.0,398.8,81.77,897.3,33
HCPCS,93980,93980 COMPLETE ULTRASOUND OF PENIS ARTERY AND VEIN BLOOD FLOW,975.0,390.0,81.77,877.5,33
HCPCS,93981,93981 ULTRASOUND OF PENIS ARTERY AND VEIN BLOOD FLOW,975.0,390.0,81.77,877.5,33
HCPCS,93985,93985 COMPLETE ULTRASOUND ARTERY VEIN BLOOD FLOW PREOP ASSESSMENT ON BOTH,590.0,236.0,214.37,590.0,27
HCPCS,93986,93986 COMPLETE ULTRASOUND ARTERY VEIN BLOOD FLOW PREOP ASSESSMENT ON SIDE,975.0,390.0,93.93,877.5,27
HCPCS,93990,93990 ULTRASOUND OF HEMODIALYSIS ACCESS,997.0,398.8,81.77,897.3,33
HCPCS,93998,UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY,63.0,25.2,22.62,65.28,33
HCPCS,94002,94002 INITIAL HOSPITAL INPATIENT OBSERVATION VENTILATION ASSISTANCE MANAGEMENT,1244.0,497.6,555.05,1394.44,27
HCPCS,94002,TRACHEAL MECHANICAL VENT INITIAL,1244.0,497.6,555.05,1394.44,27
HCPCS,94003,94003 FOLLOWUP INPATIENT OR OBSERVATION VENTILATION ASSISTANCE AND MANAGEMENT,1244.0,497.6,555.05,1394.44,27
HCPCS,94003,VENT MGMT INPAT SUBQ DAY,1244.0,497.6,555.05,1394.44,27
HCPCS,94010,94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME,350.0,140.0,168.9,487.37,33
HCPCS,94013,94013 TEST TO MEASURE REMAINING AIR LUNG CAPACITY AFTER EXHALATION 2 YOUNGER,1000.0,400.0,291.88,1000.0,33
HCPCS,94060,94060 TEST TO MEASURE EXPIRATY AIRFLOW VOLUME CHANGES BEE AFTER MEDICATION,600.0,240.0,291.88,842.27,33
HCPCS,94070,94070 TEST TO MEASURE LUNG AIRWAY SENSITIVITY,675.0,270.0,291.88,842.27,33
HCPCS,94150,94150 TEST TO MEASURE THE TOTAL VOLUME OF AIR THAT CAN BE EXHALED AFTER INHALING,350.0,140.0,100.65,350.0,33
HCPCS,94200,94200 TEST TO MEASURE LARGEST AMOUNT OF AIR BREATHED IN AN OUT,142.0,56.8,46.14,142.0,33
HCPCS,94375,94375 TEST TO MEASURE RATE OF AIRFLOW,748.0,299.2,168.9,731.04,33
HCPCS,94610,94610 ADMINISTRATION OF MEDICATION THROUGH BREATHING TUBE,480.0,192.0,196.74,494.26,27
HCPCS,94617,94617 TEST FOR EXERCISEINDUCED SPASM OF LUNG AIRWAYS,290.0,116.0,104.07,300.31,33
HCPCS,94618,94618 TEST FOR EXERCISEINDUCED LUNG STRESS,290.0,116.0,104.07,300.31,33
HCPCS,94621,94621 TEST FOR EXERCISEINDUCED HEART AND LUNG STRESS,675.0,270.0,291.88,842.27,33
HCPCS,94640,94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION,480.0,192.0,171.28,494.26,33
HCPCS,94642,94642 INHALATION TREATMENT FOR PNEUMONIA,480.0,192.0,171.28,494.26,33
HCPCS,94644,94644 INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION,250.0,100.0,104.07,300.31,33
HCPCS,94645,94645 INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION,189.0,75.6,75.6,170.1,17
HCPCS,94660,94660 THERAPY PROCEDURE USING A POSITIVE PRESSURE VENTILATOR,480.0,192.0,196.74,494.26,27
HCPCS,94660,POS AIRWAY PRESSURE CPAP,480.0,192.0,196.74,494.26,162
HCPCS,94664,94664 EVALUATION OF USE OF BREATHING DEVICE,480.0,192.0,196.74,494.26,27
HCPCS,94667,94667 INITIAL THERAPY SERVICE TO FACILITATE LUNG FUNCTION,290.0,116.0,119.54,300.31,27
HCPCS,94667,CHEST WALL MANIPULATION,290.0,116.0,119.54,300.31,27
HCPCS,94668,94668 FOLLOWUP THERAPY SERVICE TO FACILITATE LUNG FUNCTION,290.0,116.0,119.54,300.31,27
HCPCS,94668,CHEST WALL MANIPULATION,290.0,116.0,119.54,300.31,27
HCPCS,94669,94669 THERAPY PROCEDURE TO CLEAR AIRWAY USING AN INFLATABLE VEST,480.0,192.0,171.28,494.26,33
HCPCS,94690,94690 TEST TO MEASURE EXHALED AIR FOR EVALUATION OF LUNG FUNCTION AT REST,125.0,50.0,46.14,133.15,33
HCPCS,94726,94726 TEST TO DETERMINE LUNG VOLUMES USING SENSORS,600.0,240.0,291.88,842.27,33
HCPCS,94727,94727 TEST TO DETERMINE LUNG VOLUMES USING GAS DILUTION OR WASHOUT,350.0,140.0,168.9,487.37,33
HCPCS,94728,94728 TEST TO MEASURE RESISTANCE OF THE AIRWAYS LUNGS TO DIFFERING FREQUENCIES,600.0,240.0,100.65,540.0,33
HCPCS,94729,94729 TEST TO EXAMINE HOW WELL THE LUNGS EXCHANGE GASES,565.0,226.0,226.0,508.5,17
HCPCS,94762,94762 TEST TO MEASURE OXYGEN LEVEL IN BLOOD EAR FINGER DEVICE INUOUSLY,382.0,152.8,100.65,343.8,23
HCPCS,94772,94772 TEST TO RECORD INFANT BREATHING PATTERN OVER 1224 HOURS,1000.0,400.0,291.88,1000.0,33
HCPCS,94799,94799 OTHER SERVICE OR PROCEDURE ON LUNG,357.0,142.8,100.65,357.0,33
HCPCS,95004,95004 TEST FOR ALLERGY USING ALLERGENIC EXTRACT,108.0,43.2,62.64,1938.31,33
HCPCS,95012,95012 TEST TO MEASURE THE LEVEL OF NITRIC OXIDE GAS,75.0,30.0,29.21,84.31,32
HCPCS,95017,95017 TEST FOR ALLERGY USING COMBINATION OF METHODS WITH VENOM,63.0,25.2,22.62,65.28,33
HCPCS,95018,95018 TEST FOR ALLERGY USING COMBINATION OF METHODS WITH DRUG OR BIOLOGICAL,75.0,30.0,29.21,84.31,33
HCPCS,95024,95024 TEST FOR ALLERGY USING ALLERGENIC EXTRACT INJECTED INTO SKIN,125.0,50.0,46.14,133.15,33
HCPCS,95044,95044 TEST FOR ALLERGY USING SKIN PATCH,2000.0,800.0,671.7,2000.0,33
HCPCS,95044,HC PATCH/APPL TESTS PER # TESTS,94.0,37.6,54.52,1938.31,33
HCPCS,95052,95052 TEST FOR ALLERGY USING PHOTO PATCH,125.0,50.0,46.14,133.15,33
HCPCS,95070,95070 TEST FOR ALLERGY USING DRUGS,1000.0,400.0,291.88,1000.0,33
HCPCS,95115,95115 PROFESSIONAL SERVICE FOR SINGLE INJECTION OF ALLERGEN,100.0,40.0,36.63,105.69,33
HCPCS,95117,95117 PROFESSIONAL SERVICE FOR MULTIPLE INJECTIONS OF ALLERGEN,100.0,40.0,36.63,105.69,33
HCPCS,95145,95145 PROFESSIONAL SERVICE FOR PREPARATION PROVISION OF 1 STINGING INSECT VENOM,100.0,40.0,36.63,105.69,33
HCPCS,95165,95165 PROFESSIONAL SERVICE FOR PREPARATION AND PROVISION OF 1 OR MORE ANTIGENS,100.0,40.0,36.63,105.69,33
HCPCS,95180,95180 INJECTION FOR RAPID DESENSITIZATION TO ALLERGEN,650.0,260.0,349.43,1008.32,33
HCPCS,95249,CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT,146.0,58.4,46.14,146.0,33
HCPCS,95250,95250 INUOUS MONITING OF BLOOD SUGAR LEVEL IN TISSUE FLUID SENS UNDER SKIN WITH,300.0,120.0,104.13,300.51,33
HCPCS,95251,CONTINUOUS GLUCOSE MONITORING ANALYSIS IANDR,53.0,21.2,29.15,82.88,26
HCPCS,95700,95700 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,600.0,240.0,168.9,547.81,33
HCPCS,95705,95705 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,600.0,240.0,168.9,600.0,33
HCPCS,95706,95706 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,600.0,240.0,168.9,600.0,33
HCPCS,95707,95707 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,600.0,240.0,168.9,600.0,33
HCPCS,95708,95708 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,1000.0,400.0,291.88,1000.0,33
HCPCS,95709,95709 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,1000.0,400.0,291.88,1000.0,33
HCPCS,95710,95710 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,1250.0,500.0,291.88,1250.0,33
HCPCS,95711,95711 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO VEEG,500.0,200.0,168.9,500.0,33
HCPCS,95712,95712 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO VEEG,600.0,240.0,291.88,842.27,33
HCPCS,95713,95713 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO VEEG,1250.0,500.0,291.88,1250.0,33
HCPCS,95714,95714 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO VEEG,1000.0,400.0,291.88,1000.0,33
HCPCS,95715,95715 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO VEEG,1250.0,500.0,291.88,1250.0,33
HCPCS,95716,95716 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO VEEG,2350.0,940.0,671.7,2350.0,33
HCPCS,95782,95782 SLEEP STUDY IN SLEEP LAB YOUNGER THAN 6 YEARS,2350.0,940.0,671.7,2350.0,33
HCPCS,95783,95783 SLEEP STUDY IN SLEEP LAB WITH INUOUS AIRWAY PRESSURE YOUNGER THAN 6 YEARS,2000.0,800.0,671.7,2000.0,33
HCPCS,95800,95800 SLEEP STUDY INCLUDING HEART RATE,700.0,280.0,194.0,630.0,27
HCPCS,95801,95801 SLEEP STUDY INCLUDING HEART RATE AND BREATHING,250.0,100.0,53.0,225.0,27
HCPCS,95803,95803 SLEEP STUDY AND WAKE PATTERNS,142.0,56.8,53.0,142.0,27
HCPCS,95805,95805 SLEEP STUDY,1313.0,525.2,761.54,1938.31,27
HCPCS,95805,MULTIPLE SLEEP LATENCY TEST,1000.0,400.0,580.0,1938.31,27
HCPCS,95806,95806 SLEEP STUDY INCLUDING HEART RATE,700.0,280.0,194.0,700.0,27
HCPCS,95807,95807 SLEEP STUDY INCLUDING HEART RATE AND BREATHING ATTENDED BY TECHNICIAN,1000.0,400.0,291.88,1000.0,33
HCPCS,95808,95808 SLEEP STUDY IN SLEEP LAB,2000.0,800.0,671.7,2000.0,33
HCPCS,95810,95810 SLEEP STUDY IN SLEEP LAB 6 YEARS OR OLDER,2000.0,800.0,671.7,2000.0,33
HCPCS,95810,HC EEGPOLYSOMNOGRAM,3773.0,1509.2,671.7,3593.0,33
HCPCS,95810,HC POLYSOMNOGRAPHY,2468.0,987.2,671.7,2468.0,33
HCPCS,95810,HC POLYSOMNOGRAPHY W/C PAP< 6 HRS,2000.0,800.0,671.7,2000.0,33
HCPCS,95811,95811 SLEEP STUDY IN SLEEP LAB WITH INUOUS AIRWAY PRESSURE 6 YEARS OR OLDER,3773.0,1509.2,671.7,3593.0,33
HCPCS,95812,95812 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,675.0,270.0,168.9,675.0,33
HCPCS,95813,95813 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,748.0,299.2,168.9,731.04,33
HCPCS,95816,95816 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,675.0,270.0,168.9,675.0,33
HCPCS,95819,95819 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,675.0,270.0,168.9,675.0,33
HCPCS,95822,95822 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG,675.0,270.0,168.9,675.0,33
HCPCS,95824,95824 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG TO EVALUATE BRAIN DEATH,1000.0,400.0,335.26,1000.0,27
HCPCS,95829,95829 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG DURING SURGERY,1887.0,754.8,754.8,1698.3,17
HCPCS,95851,95851 MEASUREMENT OF RANGE OF MOTION IN ARM,47.0,18.8,6.45,57.83,33
HCPCS,95851,HC ROM MEAS/RPT EA EXTRA GO,47.0,18.8,6.45,57.83,33
HCPCS,95851,HC ROM MES/PRT EA EXTRA GP,47.0,18.8,6.45,57.83,33
HCPCS,95851,RANGE OF MOTION MEASUREMENTS,47.0,18.8,6.45,57.83,33
HCPCS,95852,95852 MEASUREMENT OF RANGE OF MOTION OF HAND,40.0,16.0,4.78,47.2,33
HCPCS,95852,RANGE OF MOTION MEASUREMENTS,40.0,16.0,4.78,47.2,99
HCPCS,95857,95857 INJECTION TO TEST FOR MYASTHENIA GRAVIS,600.0,240.0,168.9,600.0,33
HCPCS,95860,95860 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES,250.0,100.0,104.07,300.31,33
HCPCS,95861,95861 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES,590.0,236.0,104.07,531.0,33
HCPCS,95863,95863 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES,350.0,140.0,100.65,350.0,33
HCPCS,95864,95864 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES,357.0,142.8,100.65,357.0,33
HCPCS,95865,95865 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN VOICE BOX MUSCLES,250.0,100.0,119.54,300.31,27
HCPCS,95866,95866 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN HALF OF DIAPHRAGM MUSCLES,350.0,140.0,115.61,350.0,27
HCPCS,95867,95867 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLES ON SIDE OF BODY,600.0,240.0,168.9,600.0,33
HCPCS,95868,95868 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLES ON BOTH SIDES OF BODY,600.0,240.0,168.9,600.0,33
HCPCS,95869,95869 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MIDDLE SPINE MUSCLES,350.0,140.0,168.9,487.37,33
HCPCS,95870,95870 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM,250.0,100.0,104.07,300.31,33
HCPCS,95872,95872 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN MUSCLE,350.0,140.0,168.9,487.37,33
HCPCS,95874,95874 NEEDLE ELECTRICAL ACTIVITY IN MUSCLE WITH INJ CHEMICAL PARALYSIS,522.0,208.8,208.8,469.8,17
HCPCS,95885,95885 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES,430.0,172.0,172.0,387.0,17
HCPCS,95886,95886 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN ARM OR LEG MUSCLES,430.0,172.0,172.0,387.0,17
HCPCS,95887,95887 NEEDLE MEASUREMENT OF ELECTRICAL ACTIVITY IN TRUNK OR HEAD MUSCLES,196.0,78.4,78.4,176.4,17
HCPCS,95907,95907 NERVE CONDUCTION,350.0,140.0,168.9,487.37,33
HCPCS,95908,95908 NERVE CONDUCTION,748.0,299.2,168.9,731.04,33
HCPCS,95909,95909 NERVE CONDUCTION,600.0,240.0,168.9,600.0,33
HCPCS,95910,95910 NERVE CONDUCTION,600.0,240.0,291.88,842.27,33
HCPCS,95911,95911 NERVE CONDUCTION,1250.0,500.0,291.88,1250.0,33
HCPCS,95912,95912 NERVE CONDUCTION,1250.0,500.0,291.88,1250.0,33
HCPCS,95913,95913 NERVE CONDUCTION,1000.0,400.0,291.88,1000.0,33
HCPCS,95921,95921 TESTING AUTONOMIC NERVOUS FUNCTION HEART RATE RESPONSE TO DEEP BREA,350.0,140.0,100.65,350.0,33
HCPCS,95922,95922 TESTING OF AUTONOMIC SYMPATHETIC NERVOUS SYSTEM FUNCTION,250.0,100.0,104.07,300.31,33
HCPCS,95923,95923 TESTING OF AUTONOMIC SYMPATHETIC NERVOUS SYSTEM FUNCTION,290.0,116.0,104.07,300.31,33
HCPCS,95924,95924 TESTING OF AUTONOMIC SYMPATHETIC PARASYMPATHETIC NERVOUS SYSTEM FUNCTION,675.0,270.0,168.9,675.0,33
HCPCS,95925,95925 PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF STIMULATED SITES IN ARMS,600.0,240.0,168.9,600.0,33
HCPCS,95925,SOMATOSENSORY TESTING,600.0,240.0,168.9,600.0,33
HCPCS,95926,95926 PLACEMENT OF SKIN ELECTRODES AND MEASUREMENT OF STIMULATED SITES IN LEGS,600.0,240.0,168.9,600.0,33
HCPCS,95926,HC SOMATOSENSEP LOW LIMBSUNIL,600.0,240.0,168.9,600.0,33
HCPCS,95927,95927 PLACEMENT OF SKIN ELECTRODES OF STIMULATED SITES IN TRUNK HEAD,600.0,240.0,168.9,600.0,33
HCPCS,95927,SOMATOSENSORY TESTING,728.0,291.2,168.9,728.0,33
HCPCS,95928,95928 PLACEMENT OF SKIN ELECTRODES OF CENTRAL MOT STIMULATION IN ARMS,2000.0,800.0,671.7,2000.0,33
HCPCS,95929,95929 PLACEMENT OF SKIN ELECTRODES OF CENTRAL MOT STIMULATION IN LEGS,1000.0,400.0,291.88,1000.0,33
HCPCS,95930,95930 MEASUREMENT OF NERVE CONDUCTION USING VISUAL STIMULATION TESTING WITH,600.0,240.0,168.9,600.0,33
HCPCS,95933,95933 MEASUREMENT OF NERVE CONDUCTION PATTERNS OF EYE BLINK REFLEX,125.0,50.0,46.14,133.15,33
HCPCS,95937,95937 TESTING OF NERVEMUSCLE JUNCTION,350.0,140.0,100.65,350.0,33
HCPCS,95938,95938 PLACEMENT OF SKIN ELECTRODES OF STIMULATED SITES ON ARMS LEGS,1250.0,500.0,671.7,1938.31,33
HCPCS,95939,95939 PLACEMENT OF SKIN ELECTRODES OF CENTRAL MOT STIMULATION IN ARMS LEGS,2350.0,940.0,671.7,2350.0,33
HCPCS,95940,95940 CONTINUOUS MONITORING OF NERVOUS SYSTEM DURING OPERATION,308.0,123.2,123.2,277.2,17
HCPCS,95941,95941 CONTINUOUS REMOTE MONITORING OF NERVOUS SYSTEM DURING OPERATION,1000.0,400.0,400.0,900.0,17
HCPCS,95954,95954 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG WITH DRUG OR ACTIVITY STIMULATION,1000.0,400.0,291.88,1000.0,33
HCPCS,95955,95955 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG OUTSIDE THE BRAIN DURING SURGERY,1108.0,443.2,443.2,997.2,17
HCPCS,95957,EEG DIGITAL ANALYSIS,313.0,125.2,125.2,281.7,17
HCPCS,95958,95958 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG IN SPECIFIC AREA OF BRAIN,2000.0,800.0,671.7,2000.0,33
HCPCS,95961,95961 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG WITH ELECTRODES ON BRAIN,2000.0,800.0,671.7,2000.0,33
HCPCS,95962,95962 MEASUREMENT OF BRAIN WAVE ACTIVITY EEG WITH ELECTRODES ON BRAIN TO PROVOKE,500.0,200.0,200.0,450.0,17
HCPCS,95970,95970 ELECTRONIC ANALYSIS OF IMPLANTED BRAIN,250.0,100.0,104.07,300.31,33
HCPCS,95971,95971 ELECTRONIC ANALYSIS OF IMPLANTED NEURO GENERAT WITH SIMPLE SPINAL CD,200.0,80.0,74.37,214.59,33
HCPCS,95972,95972 ELECTRONIC ANALYSIS OF IMPLANTED NEURO GENERAT WITH COMPLEX,200.0,80.0,74.37,214.59,33
HCPCS,95976,95976 ELECTRONIC ANALYSIS OF NEURO GENERATOR WITH SIMPLE CRANIAL NERVE,95.0,38.0,29.19,95.0,33
HCPCS,95977,95977 ELECTRONIC ANALYSIS OF IMPLANTED NEURO GENERAT WITH COMPLEX CRANIAL NERVE,260.0,104.0,74.37,260.0,33
HCPCS,95980,95980 ELECTRONIC ANALYSIS OF IMPLANTED GASTRIC NEURO GENERAT DURING SURGERY WITH,200.0,80.0,80.0,180.0,17
HCPCS,95981,95981 ELECTRONIC ANALYSIS OF IMPLANTED GASTRIC NEUROSTIMULATOR GENERATOR,250.0,100.0,53.0,225.0,27
HCPCS,95982,95982 ELECTRONIC ANALYSIS OF IMPLANTED GASTRIC NEUROSTIMULATOR GENERATOR WITH,95.0,38.0,33.53,95.0,27
HCPCS,95990,95990 MAINTENANCE OF SPINAL CANAL OR BRAIN DRUG INFUSION PUMP,814.0,325.6,258.37,814.0,33
HCPCS,95991,95991 MAINTENANCE SPINAL CANAL BRAIN DRUG INFUSION PUMP BY HEALTH CARE,660.0,264.0,240.09,692.84,33
HCPCS,95992,95992 REPOSITIONING EXERCISES OF HEAD FOR TREATMENT OF DIZZINESS,103.0,41.2,28.91,103.0,27
HCPCS,95992,CANALITH REPOSITIONING PROC,103.0,41.2,28.91,103.0,54
HCPCS,96105,96105 TEST TO ASSESS THE LOSS OF THE ABILITY TO SPEAK,232.0,92.8,91.61,232.0,27
HCPCS,96105,ASSESSMENT OF APHASIA,232.0,92.8,91.61,232.0,27
HCPCS,96125,96125 TEST TO ASSESS THE ABILITY TO COMPLETE SPECIFIC FUNCTIONAL TASKS,245.0,98.0,89.27,245.0,33
HCPCS,96125,HC ST STD COGNIT TEST BY HC PRO GN,245.0,98.0,89.27,245.0,33
HCPCS,96125,HC ST STD CONGNIT EVAL,245.0,98.0,89.27,245.0,33
HCPCS,96125,HC ST STD CONGNIT EVAL GN,245.0,98.0,89.27,245.0,33
HCPCS,96127,96127 ASSESSMENT OF EMOTIONAL OR BEHAVIORAL PROBLEMS,75.0,30.0,33.55,84.31,27
HCPCS,96360,96360 INFUSION INTO A VEIN FOR HYDRATION,528.0,211.2,166.38,528.0,33
HCPCS,96361,96361 INFUSION INTO A VEIN FOR HYDRATION,100.0,40.0,36.63,105.69,33
HCPCS,96365,96365 INFUSION INTO A VEIN FOR THERAPY,500.0,200.0,166.38,500.0,33
HCPCS,96366,96366 INFUSION INTO A VEIN FOR THERAPY,100.0,40.0,36.63,105.69,33
HCPCS,96367,96367 INFUSION INTO A VEIN FOR THERAPY,160.0,64.0,56.32,162.52,33
HCPCS,96368,96368 INFUSION INTO A VEIN FOR THERAPY,314.0,125.6,125.6,282.6,17
HCPCS,96369,96369 INFUSION INTO TISSUE FOR THERAPY OR PREVENTION,500.0,200.0,166.38,500.0,33
HCPCS,96369,SC THER INFUSION UP TO 1 HR,523.0,209.2,166.38,523.0,33
HCPCS,96370,96370 INFUSION INTO TISSUE FOR THERAPY OR PREVENTION,100.0,40.0,36.63,105.69,33
HCPCS,96371,96371 ESTABLISHMENT OF NEW INFUSION SITE INTO TISSUE WITH PUMP SET UP,160.0,64.0,56.32,162.52,33
HCPCS,96371,SC THER INFUSION RESET PUMP,160.0,64.0,56.32,162.52,33
HCPCS,96372,96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE,173.0,69.2,56.32,173.0,33
HCPCS,96373,96373 INJECTION OF DRUG OR SUBSTANCE INTO ARTERY,500.0,200.0,166.38,500.0,33
HCPCS,96374,96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN,500.0,200.0,166.38,500.0,33
HCPCS,96375,96375 INJECTION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN,100.0,40.0,36.63,105.69,33
HCPCS,96376,96376 INJECTION OF ADDITIONAL DRUG OR SUBSTANCE INTO VEIN PROVIDED IN A FACILITY,52.0,20.8,20.8,46.8,17
HCPCS,96377,96377 APPLICATION OF ONBODY INJECTOR FOR UNDER SKIN INJECTION,100.0,40.0,36.63,105.69,33
HCPCS,96379,96379 INJECTION OR INFUSION INTO A VEIN OR ARTERY FOR THERAPY,100.0,40.0,36.63,105.69,33
HCPCS,96380,ADMN RSV MONOC ANTB IM CNSL,100.0,40.0,24.15,90.0,27
HCPCS,96381,ADMN RSV MONOC ANTB IM NJX,100.0,40.0,20.43,90.0,27
HCPCS,96401,96401 OF NONHMONAL ANTINEOPLASTIC CHEMOTHERAPY UNDER SKIN INTO MUSCLE,300.0,120.0,56.32,270.0,33
HCPCS,96402,96402 ADMINISTRATION OF HMONAL ANTINEOPLASTIC CHEMOTHERAPY UNDER SKIN,160.0,64.0,56.32,162.52,33
HCPCS,96405,96405 ADMINISTRATION OF CHEMOTHERAPY INTO GROWTH,160.0,64.0,56.32,162.52,33
HCPCS,96406,96406 ADMINISTRATION OF CHEMOTHERAPY INTO GROWTH,500.0,200.0,166.38,500.0,33
HCPCS,96409,96409 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN USING PUSH TECHNIQUE,523.0,209.2,258.37,745.55,33
HCPCS,96411,96411 ADMINISTRATION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN USING PUSH,300.0,120.0,56.32,270.0,33
HCPCS,96413,96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN,814.0,325.6,258.37,814.0,33
HCPCS,96415,96415 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN,160.0,64.0,56.32,162.52,33
HCPCS,96416,96416 ADMINISTRATION OF PROLONGED CHEMOTHERAPY INTO VEIN,814.0,325.6,258.37,814.0,33
HCPCS,96417,96417 ADMINISTRATION OF ADDITIONAL NEW DRUG OR SUBSTANCE INTO VEIN,160.0,64.0,56.32,162.52,33
HCPCS,96420,96420 ADMINISTRATION OF CHEMOTHERAPY INTO ARTERY USING PUSH TECHNIQUE,814.0,325.6,258.37,814.0,33
HCPCS,96422,96422 ADMINISTRATION OF CHEMOTHERAPY INTO ARTERY,500.0,200.0,258.37,745.55,33
HCPCS,96423,96423 ADMINISTRATION OF CHEMOTHERAPY INTO ARTERY,100.0,40.0,36.63,105.69,33
HCPCS,96425,96425 ADMINISTRATION OF PROLONGED CHEMOTHERAPY INTO ARTERY,814.0,325.6,258.37,814.0,33
HCPCS,96440,96440 ADMINISTRATION OF CHEMOTHERAPY INTO CHEST CAVITY,814.0,325.6,258.37,814.0,33
HCPCS,96446,96446 ADMINISTRATION OF CHEMOTHERAPY INTO ABDOMINAL CAVITY,814.0,325.6,258.37,814.0,33
HCPCS,96450,96450 CHEMOTHERAPY INTO FLUIDFILLED SPACE BETWEEN THE TISSUE THAT COVER,814.0,325.6,258.37,814.0,33
HCPCS,96521,96521 REFILLING AND MAINTENANCE OF PORTABLE PUMP,500.0,200.0,166.38,500.0,33
HCPCS,96522,96522 REFILLING MAINTENANCE OF IMPLANTABLE PUMP OR RESERVOIR FOR DRUG DELIVERY,500.0,200.0,166.38,500.0,33
HCPCS,96523,96523 IRRIGATION OF IMPLANTED VENOUS ACCESS DRUG DELIVERY DEVICE,142.0,56.8,46.14,142.0,33
HCPCS,96542,96542 INJECTION OF CHEMOTHERAPY VIA RESERVOIR UNDER SKIN,500.0,200.0,258.37,745.55,33
HCPCS,96570,96570 APPLICATION OF LIGHT TO DESTROY PRECANCER SKIN GROWTH USING AN ENDOSCOPE,95.0,38.0,38.0,95.0,17
HCPCS,96571,96571 APPLICATION OF LIGHT TO DESTROY PRECANCER SKIN GROWTH USING AN ENDOSCOPE,50.0,20.0,20.0,45.0,17
HCPCS,96910,PHOTOCHEMOTX TARANDUVB/PETROLATUM/UVB,125.0,50.0,46.14,133.15,33
HCPCS,97010,97010 APPLICATION OF HOT OR COLD PACKS,56.0,22.4,5.35,56.0,23
HCPCS,97010,HOT OR COLD PACKS THERAPY,56.0,22.4,5.35,56.0,23
HCPCS,97012,97012 APPLICATION OF MECHANICAL TRACTION,35.0,14.0,12.33,35.0,33
HCPCS,97012,MECHANICAL TRACTION THERAPY,35.0,14.0,12.33,35.0,99
HCPCS,97014,97014 APPLICATION OF ELECTRICAL STIMULATION,70.0,28.0,10.49,70.0,32
HCPCS,97016,97016 APPLICATION OF BLOOD VESSEL COMPRESSION DEVICE,28.0,11.2,9.97,28.0,33
HCPCS,97016,VASOPNEUMATIC DEVICE THERAPY,28.0,11.2,9.97,28.0,99
HCPCS,97018,97018 APPLICATION OF HOT WAX BATH,13.0,5.2,5.1,13.53,33
HCPCS,97018,PARAFFIN BATH THERAPY,13.0,5.2,5.1,13.53,99
HCPCS,97022,97022 APPLICATION OF WHIRLPOOL THERAPY,40.0,16.0,13.0,40.0,33
HCPCS,97022,WHIRLPOOL THERAPY,40.0,16.0,13.0,40.0,99
HCPCS,97024,97024 APPLICATION OF HEAT WAVE THERAPY,16.0,6.4,5.86,16.4,33
HCPCS,97024,DIATHERMY EG MICROWAVE,16.0,6.4,5.86,16.4,99
HCPCS,97032,97032 APPLICATION OF ELECTRICAL STIMULATION WITH THERAPIST PRESENT,35.0,14.0,12.33,35.0,33
HCPCS,97032,ELECTRICAL STIMULATION,35.0,14.0,12.33,35.0,99
HCPCS,97033,97033 APPLICATION OF MEDICATION USING ELECTRICAL CURRENT,47.0,18.8,15.94,47.0,33
HCPCS,97033,ELECTRIC CURRENT THERAPY,47.0,18.8,15.94,47.0,66
HCPCS,97033,HC ELECTRIC CURRENT THRPY 15MIN GO,47.0,18.8,15.94,47.0,33
HCPCS,97034,97034 APPLICATION OF HOT AND COLD BATHS,35.0,14.0,11.64,35.0,33
HCPCS,97034,CONTRAST BATH THERAPY,35.0,14.0,11.64,35.0,33
HCPCS,97035,97035 APPLICATION OF ULTRASOUND,35.0,14.0,11.9,35.0,33
HCPCS,97035,ULTRASOUND THERAPY,35.0,14.0,11.9,35.0,132
HCPCS,97110,97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH,70.0,28.0,24.71,70.0,33
HCPCS,97110,THERAPEUTIC EXERCISES,70.0,28.0,24.71,70.0,99
HCPCS,97112,97112 THERAPY PROCEDURE TO REEDUCATE BRAINTONERVETOMUSCLE FUNCTION,80.0,32.0,27.49,80.0,33
HCPCS,97112,NEUROMUSCULAR REEDUCATION,80.0,32.0,27.49,80.0,99
HCPCS,97116,GAIT TRAINING THERAPY,70.0,28.0,24.71,70.0,132
HCPCS,97124,97124 THERAPY PROCEDURE USING MASSAGE,69.0,27.6,25.03,69.0,33
HCPCS,97124,MASSAGE THERAPY,69.0,27.6,25.03,69.0,99
HCPCS,97129,97129 THERAPY PROCEDURE FOR A RANGE OF MENTAL PROCESSES,55.0,22.0,19.25,55.0,27
HCPCS,97129,THER IVNTJ 1ST 15 MIN,55.0,22.0,19.25,55.0,108
HCPCS,97130,97130 THERAPY PROCEDURE FOR A RANGE OF MENTAL PROCESSES,55.0,22.0,18.05,55.0,27
HCPCS,97130,THER IVNTJ EA ADDL 15 MIN,55.0,22.0,18.05,55.0,81
HCPCS,97140,97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE,64.0,25.6,23.34,64.55,33
HCPCS,97140,MANUAL THERAPY 1/> REGIONS,64.0,25.6,23.34,64.55,99
HCPCS,97150,97150 THERAPY PROCEDURE IN A GROUP SETTING,42.0,16.8,16.84,42.1,27
HCPCS,97150,GROUP THERAPEUTIC PROCEDURES,42.0,16.8,16.84,42.1,81
HCPCS,97161,97161 EVALUATION FOR PHYSICAL THERAPY,236.0,94.4,84.14,236.0,33
HCPCS,97162,97162 EVALUATION FOR PHYSICAL THERAPY,236.0,94.4,84.14,236.0,33
HCPCS,97163,97163 EVALUATION FOR PHYSICAL THERAPY,236.0,94.4,84.14,236.0,33
HCPCS,97164,97164 REEVALUATION FOR PHYSICAL THERAPY,162.0,64.8,57.61,162.0,33
HCPCS,97165,97165 EVALUATION FOR OCCUPATIONAL THERAPY,238.0,95.2,86.18,238.0,33
HCPCS,97166,97166 EVALUATION FOR OCCUPATIONAL THERAPY,238.0,95.2,86.18,238.0,33
HCPCS,97167,97167 EVALUATION FOR OCCUPATIONAL THERAPY,238.0,95.2,86.18,238.0,33
HCPCS,97168,97168 REEVALUATION FOR OCCUPATIONAL THERAPY,162.0,64.8,57.0,162.0,33
HCPCS,97530,97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES,86.0,34.4,29.26,86.0,33
HCPCS,97530,THERAPEUTIC ACTIVITIES,86.0,34.4,29.26,86.0,99
HCPCS,97533,97533 THERAPY PROCEDURE USING SENSORY EXPERIENCES,145.0,58.0,28.0,145.0,33
HCPCS,97533,SENSORY INTEGRATION,145.0,58.0,28.0,145.0,99
HCPCS,97535,HC SELFCARE MNGMNT TRAINING 15MIN GO,77.0,30.8,29.94,77.0,27
HCPCS,97535,SELF CARE MNGMENT TRAINING,77.0,30.8,29.94,77.0,54
HCPCS,97535,TRAINING FOR SELFCARE OR HOME MANAGEMENT,77.0,30.8,29.94,77.0,27
HCPCS,97537,97537 TRAINING FOR COMMUNITY OR WORK REINTEGRATION,75.0,30.0,29.8,75.0,26
HCPCS,97537,COMMUNITY/WORK REINTEGRATION,75.0,30.0,29.8,75.0,78
HCPCS,97542,EVALUATION FOR WHEELCHAIR,75.0,30.0,26.38,75.0,33
HCPCS,97542,WHEELCHAIR MNGMENT TRAINING,75.0,30.0,26.38,75.0,99
HCPCS,97550,CAREGIVER TRAING 1ST 30 MIN,123.0,49.2,38.83,125.1,108
HCPCS,97551,CAREGIVER TRAING EA ADDL 15,57.0,22.8,20.62,62.35,108
HCPCS,97552,GROUP CAREGIVER TRAINING,49.0,19.6,9.08,50.03,108
HCPCS,97597,97597 REMOVAL OF TISSUE FROM WOUND,400.0,160.0,156.93,452.86,33
HCPCS,97597,HC RMVL DEVIAL TIS 20 CN/< GO,400.0,160.0,156.93,452.86,33
HCPCS,97597,HC RMVL DEVITAL TIS 20 CM/< GP,400.0,160.0,156.93,452.86,33
HCPCS,97597,RMVL DEVITAL TIS 20 CM/<,400.0,160.0,156.93,452.86,33
HCPCS,97598,97598 REMOVAL OF TISSUE FROM WOUND,300.0,120.0,120.0,270.0,17
HCPCS,97598,HC RMVL DEVITAL TIS ADDL 20 CM< GO,300.0,120.0,120.0,270.0,17
HCPCS,97598,HC RMVL DEVITAL TIS ADDL 20 CM< GP,300.0,120.0,120.0,270.0,17
HCPCS,97598,RMVL DEVITAL TIS ADDL 20CM/<,300.0,120.0,120.0,270.0,34
HCPCS,97602,97602 REMOVAL OF TISSUE FROM WOUND GRADUALLY,400.0,160.0,156.93,452.86,33
HCPCS,97602,WOUNDS CARE NONSELECTIVE,400.0,160.0,156.93,452.86,99
HCPCS,97605,97605 THERAPY PROCEDURE USING A SPECIAL BANDAGE AND VACUUM PUMP,459.0,183.6,156.93,459.0,33
HCPCS,97606,97606 THERAPY PROCEDURE USING A SPECIAL BANDAGE AND VACUUM PUMP,883.0,353.2,317.97,917.57,33
HCPCS,97607,97607 THERAPY PROCEDURE USING A SPECIAL BANDAGE,850.0,340.0,317.97,917.57,33
HCPCS,97608,97608 THERAPY PROCEDURE USING A SPECIAL BANDAGE,850.0,340.0,317.97,917.57,33
HCPCS,97610,LOW FREQUENCY NONTHERMAL ULTRASOUND PER DAY,459.0,183.6,156.93,459.0,33
HCPCS,97750,97750 TEST OR MEASUREMENT FOR FUNCTIONAL CAPACITY,78.0,31.2,28.28,78.0,33
HCPCS,97750,PHYSICAL PERFORMANCE TEST,78.0,31.2,28.28,78.0,99
HCPCS,97755,97755 EVALUATION FOR ASSISTIVE TECHNOLOGY,90.0,36.0,32.75,90.0,33
HCPCS,97755,ASSISTIVE TECHNOLOGY ASSESS,90.0,36.0,32.75,90.0,99
HCPCS,97760,ORTHOTIC MGMTANDTRAING 1ST ENC,111.0,44.4,38.47,111.0,99
HCPCS,97760,TRAINING IN THE USE OF ORTHOPEDIC DEVICE FOR ARM,111.0,44.4,38.47,111.0,33
HCPCS,97761,97761 TRAINING IN THE USE OF ARTIFICIAL ARM AND/OR LEG,96.0,38.4,33.0,96.0,33
HCPCS,97761,PROSTHETIC TRAING 1ST ENC,96.0,38.4,33.0,96.0,99
HCPCS,97763,FOLLOWUP TRAINING IN THE USE OF ORTHOPEDIC DEVICE OR ARTIFICIAL ARM,123.0,49.2,41.7,123.0,33
HCPCS,97763,ORTHC/PROSTC MGMT SBSQ ENC,123.0,49.2,41.7,123.0,99
HCPCS,97802,97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT,62.0,24.8,25.14,72.36,27
HCPCS,97803,97803 THERAPY PROCEDURE REASSESSMENT FOR NUTRITION MANAGEMENT,35.0,14.0,19.25,62.41,27
HCPCS,97804,97804 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT WITH GROUP,40.0,16.0,11.76,37.71,27
HCPCS,99151,99151 OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS PHY PERMING LESS THAN 5,200.0,80.0,80.0,180.0,17
HCPCS,99152,99152 OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHY PERMING 5 OLD,201.0,80.4,80.4,180.9,17
HCPCS,99153,99153 OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN PERMING,58.0,23.2,23.2,52.2,17
HCPCS,99155,99155 USE OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN NOT,250.0,100.0,100.0,225.0,17
HCPCS,99156,99156 OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHY NOT PERMING 5,200.0,80.0,80.0,180.0,17
HCPCS,99157,99157 OF A DRUG TO INDUCE DEPRESSION OF CONSCIOUSNESS BY PHYSICIAN NOT PERMING,50.0,20.0,20.0,45.0,17
HCPCS,99170,99170 EXAM OF GENITAL AND ANAL REGION FOR SUSPECTED TRAUMA USING AN ENDOSCOPE,400.0,160.0,158.14,456.33,33
HCPCS,99175,99175 ADMINISTRATION OF MEDICATION TO INDUCE VOMITING,50.0,20.0,20.0,45.0,17
HCPCS,99195,99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM,290.0,116.0,104.07,300.31,33
HCPCS,99202,99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT,173.0,69.2,36.53,300.51,32
HCPCS,99202,OFFICE/OUTPATIENT VISIT NEW LEVEL II,235.0,94.0,36.53,300.51,32
HCPCS,99203,99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT,286.0,114.4,63.33,300.51,32
HCPCS,99204,99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT,396.0,158.4,91.17,356.4,32
HCPCS,99205,99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT,465.0,186.0,91.08,418.5,32
HCPCS,99211,99211 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION MANAGEMENT OF EST,163.0,65.2,6.87,300.51,32
HCPCS,99211,PSYCH CLINIC OFFICE/OUTPATIENT VISIT EST LEVEL I,10.0,4.0,5.5,300.51,32
HCPCS,99212,99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT,200.0,80.0,27.58,300.51,32
HCPCS,99213,99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT,246.0,98.4,51.11,300.51,32
HCPCS,99214,99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT,331.0,132.4,75.18,331.0,32
HCPCS,99215,99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT,386.0,154.4,91.3,347.4,32
HCPCS,99215,OFFICE/OUTPATIENT VISIT EST,2000.5,800.2,91.3,2138.4,64
HCPCS,99242,99242 OFFICE CONSULTATION,40.0,16.0,16.0,40.0,18
HCPCS,99243,99243 OFFICE CONSULTATION,49.0,19.6,19.6,49.0,18
HCPCS,99244,99244 OFFICE CONSULTATION,85.0,34.0,34.0,85.0,18
HCPCS,99245,99245 OFFICE CONSULTATION,200.0,80.0,80.0,197.77,18
HCPCS,99281,99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY,491.0,196.4,65.96,491.0,33
HCPCS,99282,99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY,940.0,376.0,120.1,940.0,33
HCPCS,99283,99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY,2150.0,860.0,213.52,2150.0,33
HCPCS,99284,99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY,4544.0,1817.6,326.39,4544.0,33
HCPCS,99285,99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY,5036.0,2014.4,465.82,5036.0,33
HCPCS,99291,99291 CRITICAL CARE,5159.0,2063.6,646.12,5159.0,33
HCPCS,99292,99292 CRITICAL CARE,408.0,163.2,163.2,408.0,17
HCPCS,99366,99366 MEDICAL TEAM CONFERENCE WITH PATIENT AND/OR FAMILY,116.0,46.4,46.4,116.0,17
HCPCS,99366,TEAM CONF W/PAT BY HC PROF,116.0,46.4,46.4,116.0,34
HCPCS,99366,TEAM CONFERENCE FACETOFACE NONPHYSICIAN,116.0,46.4,46.4,116.0,17
HCPCS,99367,99367 MEDICAL TEAM CONFERENCE WITH PHYSICIAN,116.0,46.4,46.4,116.0,17
HCPCS,99367,TEAM CONF W/O PAT BY PHYS,116.0,46.4,46.4,116.0,34
HCPCS,99367,TEAM CONFERENCE NONFACETOFACE NONPHYSICIAN,116.0,46.4,46.4,116.0,34
HCPCS,99368,99368 MEDICAL TEAM CONFERENCE WITH NONPHYSICIAN HEALTH CARE PROFESSIONALS 30,116.0,46.4,46.4,116.0,17
HCPCS,99368,TEAM CONF W/O PAT BY HC PRO,116.0,46.4,46.4,116.0,34
HCPCS,99368,TEAM CONFERENCE NONFACETOFACE NONPHYSICIAN,116.0,46.4,46.4,116.0,17
HCPCS,99381,99381 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION YOUNGER THAN 1 YEAR,86.0,34.4,34.4,86.0,18
HCPCS,99382,99382 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION 14 YEARS,97.0,38.8,38.8,92.71,18
HCPCS,99383,99383 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION 511 YEARS,97.0,38.8,38.8,92.43,18
HCPCS,99384,99384 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION 1217 YEARS,111.0,44.4,44.4,107.62,18
HCPCS,99385,99385 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION 1839 YEARS,111.0,44.4,44.4,103.18,18
HCPCS,99386,99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION 4064 YEARS,136.0,54.4,54.4,124.99,18
HCPCS,99387,99387 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION 65 YEARS OR OLDER,148.0,59.2,59.2,134.2,18
HCPCS,99391,99391 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMYOUNGER THAN 1,81.0,32.4,32.4,81.0,18
HCPCS,99392,99392 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION 14 YEARS,86.0,34.4,34.4,86.0,18
HCPCS,99393,99393 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION 511 YEARS,86.0,34.4,34.4,86.0,18
HCPCS,99394,99394 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION 1217 YEARS,97.0,38.8,38.8,92.15,18
HCPCS,99395,99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION 1839 YEARS,97.0,38.8,38.8,94.3,18
HCPCS,99396,99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION 4064 YEARS,111.0,44.4,44.4,102.4,18
HCPCS,99397,99397 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAM65 YEAR OLD OR OLDER,123.0,49.2,49.2,110.7,18
HCPCS,99402,99402 PREVENTIVE MEDICINE COUNSELING,125.0,50.0,40.55,112.5,18
HCPCS,99406,99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING,67.0,26.8,33.66,84.57,27
HCPCS,99407,99407 SMOKING AND TOBACCO USE INTENSIVE COUNSELING,67.0,26.8,33.66,84.57,27
HCPCS,99464,99464 PHYSICIAN ATTENDANCE AT DELIVERY AND STABILIZATION OF NEWBORN,255.0,102.0,102.0,229.5,17
HCPCS,99465,99465 REVIVING NEWBORN AT DELIVERY,1500.0,600.0,516.99,1500.0,33
HCPCS,99468,99468 INITIAL INPATIENT HOSPITAL CRITICAL CARE OF NEWBN PER DAY 28 DAYS YOUNGER,2163.0,865.2,751.41,2111.46,22
HCPCS,99471,99471 INITIAL INPATIENT HOSPITAL CRITICAL CARE INFANT YOUNG CHILD PER DAY 29,2163.0,865.2,650.78,1946.7,22
HCPCS,99605,99605 MEDICATION THERAPY MANAGEMENT SERVICES PROVIDED BY A PHARMACIST,58.0,23.2,23.2,52.2,18
HCPCS,99606,99606 MEDICATION THERAPY MANAGEMENT SERVICES PROVIDED TO AN ESTABLISHED PATIENT,58.0,23.2,23.2,52.2,18
HCPCS,A0225,NEONATAL EMERGENCY TRANSPORT,1170.0,468.0,404.26,1170.0,18
HCPCS,A0425,GROUND MILEAGE,25.0,10.0,13.85,35.33,27
HCPCS,A0425,HC GROUND MILEAGE,24.0,9.6,13.85,35.33,27
HCPCS,A0426,ALS 1,858.0,343.2,311.14,858.0,27
HCPCS,A0427,ALS1EMERGENCY,990.0,396.0,492.65,1256.75,27
HCPCS,A0428,BLS,699.0,279.6,259.29,699.0,27
HCPCS,A0429,BLSEMERGENCY,850.0,340.0,414.85,1058.3,27
HCPCS,A0431,ROTARY WING AIR TRANSPORT,11892.0,4756.8,6141.19,15666.3,27
HCPCS,A0433,ALS 2,1254.0,501.6,713.04,1818.98,27
HCPCS,A0434,SPECIALTY CARE TRANSPORT,1321.0,528.4,766.18,2149.7,27
HCPCS,A0888,HC AMBULANCE CHARGE FIRST 25 MILES,1.0,0.4,0.4,1.0,18
HCPCS,A2007,RESTRATA PER SQ CM,3000.0,1200.0,126.52,2700.0,18
HCPCS,A2040,MICROLYTE PAINGUARD PR SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,A2041,FOUNDATION DRS+ DUO PR SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,A2042,FOUNDATION DRS+ SOLO SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,A2043,BIOBRANE PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,A2044,BIOBRANE GLOVE EACH,290.0,116.0,116.0,261.0,17
HCPCS,A2045,NOVASHIELD/NOVOGEN PR SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,A4264,INTRATUBAL OCCLUSION DEVICE,2100.0,840.0,840.0,1890.0,16
HCPCS,A4266,DIAPHRAGM,600.0,240.0,16.8,540.0,18
HCPCS,A4300,CATH IMPL VASC ACCESS PORTAL,706.0,282.4,282.4,635.4,17
HCPCS,A4338,HC CATH INDWELLING LATEX,38.0,15.2,15.2,34.2,17
HCPCS,A4357,BEDSIDE DRAINAGE BAG,25.0,10.0,10.0,22.5,17
HCPCS,A4450,NONWATERPROOF TAPE,15.0,6.0,6.0,13.5,14
HCPCS,A4561,PESSARY RUBBER ANY TYPE,1500.0,600.0,600.0,1350.0,17
HCPCS,A4562,PESSARY NON RUBBER ANY TYPE,1500.0,600.0,600.0,1350.0,17
HCPCS,A4565,SLINGS,23.5,9.4,8.8,22.5,34
HCPCS,A4628,HC CATH SUCTION,12.0,4.8,4.8,10.8,17
HCPCS,A4641,RADIOPHARM DX AGENT NOC,4203.5,1681.4,66.8,7416.0,32
HCPCS,A4642,HC IN111 SATUMOMAB,129.0,51.6,51.6,116.1,16
HCPCS,A4648,IMPLANTABLE TISSUE MARKER,250.0,100.0,100.0,225.0,14
HCPCS,A4649,SURGICAL SUPPLIES,1591.0,636.4,636.4,1431.9,17
HCPCS,A6010,COLLAGEN BASED WOUND FILLER DRY FORM STERILE PER GRAM OF COLLAGEN,3030.0,1212.0,1212.0,2727.0,17
HCPCS,A6021,COLLAGEN DRESSING <=16 SQ IN,65.0,26.0,26.0,58.5,17
HCPCS,A6024,COLLAGEN DSG WOUND FILLER,21.0,8.4,8.4,18.9,17
HCPCS,A6196,ALGINATE DRESSING <=16 SQ IN,25.0,10.0,10.0,22.5,17
HCPCS,A6197,ALGINATE DRSG >16 <=48 SQ IN,83.0,33.2,33.2,74.7,17
HCPCS,A6199,HC ALGINATE DRESSING WOUND FILLER PER INCH,18.0,7.2,7.2,16.2,17
HCPCS,A6206,CONTACT LAYER <= 16 SQ IN,20.0,8.0,8.0,18.0,17
HCPCS,A6207,CONTACT LAYER >16<= 48 SQ IN,25.0,10.0,10.0,22.5,17
HCPCS,A6209,FOAM DRSG <=16 SQ IN W/O BDR,25.0,10.0,10.0,22.5,17
HCPCS,A6210,FOAM DRG >16<=48 SQ IN W/O B,61.0,24.4,24.4,54.9,17
HCPCS,A6211,FOAM DRG,90.0,36.0,36.0,81.0,17
HCPCS,A6212,DRESSINGS,30.0,12.0,12.0,27.0,17
HCPCS,A6214,FOAM DRG > 48 SQ IN W/BORDER,85.0,34.0,34.0,76.5,17
HCPCS,A6214,"HC FOAM DRSNG >48 SQ"" W/ BRDR",32.0,12.8,12.8,28.8,17
HCPCS,A6222,GAUZE <=16 IN NO W/SAL W/O B,20.0,8.0,8.0,18.0,17
HCPCS,A6236,HYDROCOLLD DRG > 48 IN W/O B,80.0,32.0,32.0,72.0,17
HCPCS,A6242,HYDROGEL DRG <=16 IN W/O BDR,25.0,10.0,10.0,22.5,17
HCPCS,A6251,ABSORPT DRG <=16 SQ IN W/O B,11.0,4.4,4.4,9.9,17
HCPCS,A6252,ABSORPT DRG >16 <=48 W/O BDR,15.0,6.0,6.0,13.5,17
HCPCS,A6258,TRANSPARENT FILM >16<=48 IN,118.0,47.2,47.2,106.2,17
HCPCS,A6261,WOUND FILLER GEL/PASTE /OZ,77.0,30.8,30.8,69.3,17
HCPCS,A6266,IMPREG GAUZE NO H20/SAL/YARD,10.0,4.0,4.0,9.0,17
HCPCS,A6441,BANDAGE,15.0,6.0,6.0,13.5,17
HCPCS,A6445,HC BANDAGE CONFORMING <3 INCHES/YD,5.0,2.0,2.0,4.5,17
HCPCS,A6447,"CONFORM BAND S W >=5""/YD",2.0,0.8,0.8,1.8,17
HCPCS,A6448,HC BANDAGE COMPRESS < 3 INCHES/YD,10.0,4.0,4.0,9.0,17
HCPCS,A6451,BANDAGE,20.0,8.0,8.0,18.0,17
HCPCS,A6452,"HIGH COMPRES BAND W>=3""<5""YD",18.0,7.2,7.2,16.2,34
HCPCS,A6453,"SELFADHER BAND W <3""/YD",5.0,2.0,2.0,4.5,17
HCPCS,A6454,"SELFADHER BAND W>=3"" <5""/YD",8.0,3.2,3.2,7.2,17
HCPCS,A6455,"SELFADHER BAND >=5""/YD",5.0,2.0,2.0,4.5,17
HCPCS,A6457,DRESSING,15.0,6.0,6.0,13.5,17
HCPCS,A6550,NEG PRES WOUND THER DRSG SET,411.0,164.4,164.4,369.9,17
HCPCS,A7040,ONE WAY CHEST DRAIN VALVE,100.0,40.0,40.0,90.0,17
HCPCS,A7501,TRACHEOSTOMA VALVE W DIAPHRA,750.0,300.0,210.0,675.0,15
HCPCS,A7503,HMES FILTER HOLDER OR CAP,180.0,72.0,72.0,162.0,14
HCPCS,A7507,HC LARYNGECTOMY PULMONARY KIT,1143.0,457.2,445.8,1028.7,15
HCPCS,A7507,INTEGRATED FILTER AND HOLDER,360.0,144.0,144.0,324.0,17
HCPCS,A7520,HC TRACH TUBE ADULT CUFFLESS,175.0,70.0,70.0,157.5,17
HCPCS,A7520,HC TUBE TRACH CUFFLESS,350.0,140.0,140.0,315.0,17
HCPCS,A7521,HC TUBE TRACH CUFFED,144.0,57.6,57.6,129.6,34
HCPCS,A7524,TRACHEOSTOMA STENT/STUD/BTTN,237.0,94.8,94.8,213.3,17
HCPCS,A7526,TRACHEOSTOMY TUBE COLLAR,360.0,144.0,144.0,324.0,17
HCPCS,A9270,HC CUSTODIAL CARE,350.0,140.0,8.44,315.0,17
HCPCS,A9500,HC TC99M SESTAMIBI,455.0,182.0,182.0,409.5,16
HCPCS,A9502,HC TC99M TETROFOSMIN,400.0,160.0,160.0,360.0,16
HCPCS,A9503,HC TC99M MEDRONATE,116.0,46.4,46.4,104.4,16
HCPCS,A9505,TL201 THALLIUM,170.0,68.0,68.0,153.0,16
HCPCS,A9507,HC IN111 CAPROMAB,5098.0,2039.2,1730.29,4862.11,26
HCPCS,A9508,HC I131 IODOBENGUATE DX,2475.0,990.0,953.01,2475.0,26
HCPCS,A9509,HC IODINE I123 SOD IODIDE MIL,1388.0,555.2,555.2,1249.2,16
HCPCS,A9512,HC TC99M PERTECHNETATE,64.0,25.6,25.6,57.6,16
HCPCS,A9513,HC LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI,648.0,259.2,239.4,875.52,32
HCPCS,A9516,HC IODINE I123 SOD IODIDE MIC,315.0,126.0,126.0,283.5,16
HCPCS,A9517,HC I131 IODIDE CAP RX,61.0,24.4,24.07,61.0,32
HCPCS,A9520,HC TC99 TILMANOCEPT DIAG 0.5MCI,750.0,300.0,300.0,675.0,16
HCPCS,A9521,HC TC99M EXAMETAZIME,3489.0,1395.6,621.0,3489.0,24
HCPCS,A9531,I131 MAX 100UCI,75.0,30.0,30.0,67.5,16
HCPCS,A9537,HC TC99M MEBROFENIN,355.0,142.0,142.0,319.5,16
HCPCS,A9538,HC TC99M PYROPHOSPHATE,45.0,18.0,18.0,40.5,16
HCPCS,A9539,HC TC99M PENTETATE,36.0,14.4,14.4,32.4,16
HCPCS,A9540,HC TC99M MAA,367.0,146.8,146.8,330.3,16
HCPCS,A9541,HC TC99M SULFUR COLLOID,328.0,131.2,131.2,295.2,16
HCPCS,A9542,HC IN111 IBRITUMOMAB DX,4900.0,1960.0,917.72,4410.0,16
HCPCS,A9547,HC IN111 OXYQUINOLINE,1400.0,560.0,266.0,2078.65,32
HCPCS,A9548,HC IN111 PENTETATE,5200.0,2080.0,202.0,4680.0,32
HCPCS,A9551,HC TC99M SUCCIMER,889.0,355.6,400.05,1649.83,26
HCPCS,A9552,HC F18 FDG,1494.0,597.6,597.6,1344.6,16
HCPCS,A9555,RB82 RUBIDIUM,300.0,120.0,120.0,270.0,16
HCPCS,A9556,GA67 GALLIUM,503.0,201.2,201.2,452.7,16
HCPCS,A9557,HC TC99M BICISATE,1048.0,419.2,401.86,1938.8,32
HCPCS,A9560,TC99M LABELED RBC,312.0,124.8,124.8,280.8,16
HCPCS,A9561,HC TC99M OXIDRONATE,213.0,85.2,85.2,191.7,16
HCPCS,A9562,HC TC99M MERTIATIDE,906.0,362.4,362.4,815.4,16
HCPCS,A9563,HC P32 NA PHOSPHATE,600.0,240.0,205.99,695.6,26
HCPCS,A9566,HC TC99M FANOLESOMAB,37.0,14.8,14.8,33.3,16
HCPCS,A9567,HC TECHNETIUM TC99M AEROSOL,198.0,79.2,79.2,178.2,16
HCPCS,A9569,HC TECHNETIUM TC99M AUTO WBC,4151.0,1660.4,621.0,3735.9,32
HCPCS,A9570,HC INDIUM IN111 AUTO WBC,9007.0,3602.8,1103.19,8106.3,32
HCPCS,A9572,HC INDIUM IN111 PENTETREOTIDE,9892.0,3956.8,2000.94,8902.8,32
HCPCS,A9575,INJ GADOTERATE MEGLUMI 0.1ML,0.25,0.1,0.1,0.23,16
HCPCS,A9577,INJ MULTIHANCE,4.0,1.6,1.6,3.6,16
HCPCS,A9579,HC ADD'L HIGH DOSE CONTRAST,200.0,80.0,80.0,180.0,16
HCPCS,A9581,GADOXETATE DISODIUM INJ,57.0,22.8,19.15,51.3,16
HCPCS,A9582,IODINE I123 IOBENGUANE,9402.0,3760.8,2317.5,8461.8,32
HCPCS,A9584,HC IOFLUPANE IV,6576.0,2630.4,1387.74,5918.4,32
HCPCS,A9586,FLORBETAPIR F18,7924.0,3169.6,1825.64,7131.6,26
HCPCS,A9587,GALLIUM GA68,162.0,64.8,45.06,145.8,32
HCPCS,A9588,FLUCICLOVINE F18,975.0,390.0,322.27,905.58,32
HCPCS,A9592,COPPER CU 64 DOTATATE DIAG,2295.0,918.0,594.28,2065.5,32
HCPCS,A9593,GALLIUM GA68 PSMA11 UCSF,0.25,0.1,0.11,1375.33,32
HCPCS,A9595,POSITRON EMISSION TOMOGRAPHY RADIOPHARMACEUTICAL DIAGNOSTIC TUM IDENT,1354.0,541.6,346.49,1218.6,32
HCPCS,A9600,HC SR89 STRONTIUM,8000.0,3200.0,16.8,10365.84,32
HCPCS,A9601,F 18 FLORTAUCIPIR TAUVID,9275.0,3710.0,371.0,8347.5,26
HCPCS,A9603,PAFOLACIANINE SODIUM 3.2 MG/1.6ML SOLN 1.6 ML BOX,21420.0,8568.0,176.11,19278.0,16
HCPCS,A9604,HC SM 153 LEXIDRONAM,30000.0,12000.0,3159.8,27000.0,32
HCPCS,A9606,XOFIGO RADIAM 223,372.0,148.8,122.93,453.88,32
HCPCS,A9607,RADIOPHARM RX AGENT NOC,563.0,225.2,177.52,668.29,32
HCPCS,A9608,F18 FLOTUFOLASTAT POSLUMA,9245.0,3698.0,553.31,8320.5,32
HCPCS,A9800,GALLIUM LOCAMETZ 1 MILLICURI,2179.0,871.6,362.5,1961.1,32
HCPCS,B4164,DEXTROSE 20 % SOLN 500 ML FLEX CONT,95.0,38.0,20.06,85.5,18
HCPCS,C1052,HEMOSTATIC AGENT GI TOPIC,100.0,40.0,40.0,90.0,17
HCPCS,C1062,INTRAVERTEBRAL FX AUG IMPL,10000.0,4000.0,4000.0,9000.0,17
HCPCS,C1601,ENDO SINGLE PULMONARY,898.0,359.2,203.67,936.17,25
HCPCS,C1604,STENT COATED/COV W/DEL SYS,62500.0,25000.0,14175.0,65156.25,25
HCPCS,C1605,PMKR DUAL LEADLESS,20000.0,8000.0,4536.0,20850.0,25
HCPCS,C1713,ANCHOR/SCREW BN/BN TIS/BN,6120.0,2448.0,60.0,9413.1,114
HCPCS,C1713,HC ANCHOR/SCREW BN/BN TIS/BN,8021.0,3208.4,3208.4,7218.9,17
HCPCS,C1713,HC SI JOINT ALLOGRAFT SPACER AND DMB PUTTY,20000.0,8000.0,8000.0,18000.0,17
HCPCS,C1714,CATH TRANS ATHERECTOMY DIR,6484.0,2593.6,2593.6,5835.6,17
HCPCS,C1714,HC CATH TRANS ATHERECTOMY DIR,5621.0,2248.4,1867.2,5916.6,34
HCPCS,C1715,BRACHYTHERAPY NEEDLE,20.0,8.0,8.0,18.0,17
HCPCS,C1716,BRACHYTX NONSTR GOLD198,1500.0,600.0,393.19,1443.13,30
HCPCS,C1717,BRACHYTX NONSTR HDR IR192,1726.0,690.4,273.7,1553.4,30
HCPCS,C1719,BRACHYTX NS NONHDRIR192,500.0,200.0,60.0,2271.75,30
HCPCS,C1721,AICD DUAL CHAMBER,31827.0,12730.8,12730.8,28644.3,17
HCPCS,C1722,AICD SINGLE CHAMBER,31827.0,12730.8,12730.8,28644.3,17
HCPCS,C1724,CATH TRANS ATHEREC ROTATION,6180.0,2472.0,2472.0,5562.0,17
HCPCS,C1725,HC CATH TRANSLUMIN NONLASER,2141.0,856.4,172.4,5040.0,100
HCPCS,C1726,HC CATH BAL DIL NONVASCULAR,831.0,332.4,30.0,7416.0,119
HCPCS,C1727,CATH BAL TIS DIS NONVAS,1305.0,522.0,522.0,1174.5,17
HCPCS,C1728,HC BRACHYTHERAPY BALLOON CATHETER,350.0,140.0,140.0,315.0,17
HCPCS,C1729,CATH DRAINAGE,322.5,129.0,18.0,540.0,34
HCPCS,C1729,HC CATH DRAINAGE,331.0,132.4,6.8,2124.9,153
HCPCS,C1730,CATH EP 19 OR FEW ELECT,1061.0,424.4,424.4,954.9,17
HCPCS,C1731,CATH EP 20 OR MORE ELEC,5014.0,2005.6,2005.6,4512.6,17
HCPCS,C1732,CATH EP DIAG/ABL 3D/VECT,2652.0,1060.8,1060.8,2386.8,17
HCPCS,C1733,CATH EP OTHR THAN COOLTIP,1545.0,618.0,618.0,1390.5,17
HCPCS,C1734,HC BONE GRAFT SUBSTITUTES/CEMENTS/FILLERS,3889.0,1555.6,189.6,31500.0,47
HCPCS,C1734,ORTHOPEDIC/DEVICE/DRUG MATRIX,2764.5,1105.8,688.8,7200.0,62
HCPCS,C1747,ENDO SINGLE URINARY TRACT,100.0,40.0,22.68,90.0,14
HCPCS,C1748,ENDOSCOPE SINGLEUSE,1442.0,576.8,576.8,1297.8,17
HCPCS,C1750,HC CATH HEMODIALYSIS LONGTERM,766.0,306.4,90.8,1174.5,29
HCPCS,C1751,HC CATH INF PER/CENT/MIDLINE,794.5,317.8,6.0,4635.0,136
HCPCS,C1752,HC CATH HEMODIALYSIS SHORTTERM,390.5,156.2,105.6,465.3,34
HCPCS,C1753,CATH INTRAVAS ULTRASOUND,3000.0,1200.0,1200.0,2700.0,17
HCPCS,C1755,HC CATHETER INTRASPINAL,844.5,337.8,10.0,1497.6,34
HCPCS,C1756,CATH PACING TRANSESOPH,450.0,180.0,180.0,405.0,17
HCPCS,C1757,ARTIXPPP PRICE PER PROCEDURE,11250.0,4500.0,4500.0,10125.0,17
HCPCS,C1757,HC CATH THROMBECTOMY/EMBOLECT,2501.0,1000.4,60.4,8593.2,102
HCPCS,C1758,HC CATHETER URETERAL,160.5,64.2,16.4,252.0,34
HCPCS,C1759,CATH INTRA ECHOCARDIOGRAPHY,4244.0,1697.6,1697.6,3819.6,17
HCPCS,C1760,CLOSURE DEV VASC,1527.0,610.8,610.8,1374.3,15
HCPCS,C1760,HC CLOSURE DEV VASC,3500.0,1400.0,352.8,13905.0,79
HCPCS,C1760,HC CLOSURE DEVICE VASCULAR,517.0,206.8,70.2,465.3,15
HCPCS,C1761,CATH TRANS INTRA LITHO/CORO,9400.0,3760.0,3760.0,8460.0,17
HCPCS,C1762,CONN TISS HUMANINC FASCIA,5626.0,2250.4,2250.4,5063.4,15
HCPCS,C1763,HC CONN TISS NONHUMAN,3465.0,1386.0,1386.0,3118.5,15
HCPCS,C1763,HC CONN TISSUE NON HUMAN,3455.5,1382.2,60.0,14400.0,62
HCPCS,C1764,EVENT RECORDER CARDIAC,13261.0,5304.4,5304.4,11934.9,17
HCPCS,C1765,ADHESION BARRIER,1017.0,406.8,370.2,915.3,15
HCPCS,C1766,INTRO/SHEATH STRBLE NONPEEL,1339.0,535.6,535.6,1205.1,17
HCPCS,C1767,HC GENERATOR NEURO NONRECHARG,38943.0,15577.2,15577.2,35048.7,17
HCPCS,C1767,HC GENERATOR NEUROSTIM,22509.0,9003.6,9003.6,20258.1,17
HCPCS,C1768,HC GRAFT VASCULAR,2076.5,830.5999999999999,22.0,4600.8,119
HCPCS,C1769,GUIDE WIRE,1018.0,407.2,407.2,916.2,17
HCPCS,C1769,HC GUIDE WIRE,431.0,172.4,27.6,1431.9,96
HCPCS,C1771,REP DEV URINARY W/SLING,2657.0,1062.8,1062.8,2391.3,15
HCPCS,C1772,INFUSION PUMP PROGRAMMABLE,22436.0,8974.4,8974.4,20192.4,17
HCPCS,C1773,HC RET DEV INSERTABLE,5000.0,2000.0,329.2,13905.0,85
HCPCS,C1773,HC RETRIEVAL DEVICE INSERTABLE,473.0,189.2,189.2,425.7,17
HCPCS,C1776,JOINT DEVICE IMPLANTABLE,7650.0,3060.0,1134.8,11216.7,32
HCPCS,C1777,LEAD AICD ENDO SINGLE COIL,12731.0,5092.4,5092.4,11457.9,17
HCPCS,C1778,HC LEAD NEUROSTIMULATOR,27020.0,10808.0,2817.6,42296.4,34
HCPCS,C1779,HC LEAD PACEMAKER,4225.0,1690.0,1690.0,3802.5,15
HCPCS,C1779,HC LEAD PMKR TRANSVENOUS VDD,9000.0,3600.0,3600.0,8100.0,17
HCPCS,C1779,HC TRANSVENOUS PACING LEAD VDD,1050.0,420.0,390.0,945.0,15
HCPCS,C1781,HC CRANIAL MESH,847.0,338.8,268.2,762.3,15
HCPCS,C1781,HC MESH,1175.0,470.0,465.0,1057.5,15
HCPCS,C1781,HC MESH A,990.0,396.0,354.0,891.0,15
HCPCS,C1781,HC MESH C,1916.0,766.4,766.4,1724.4,15
HCPCS,C1781,HC MESH F,15000.0,6000.0,6000.0,13500.0,17
HCPCS,C1781,HC MESH IMPLANTABLE,6000.0,2400.0,523.2,9000.0,49
HCPCS,C1781,MESH IMPLANTABLE,391.5,156.6,20.8,657.9,29
HCPCS,C1782,MORCELLATOR,1705.0,682.0,682.0,1534.5,17
HCPCS,C1783,HC OCULAR IMP AQUEOUS DRAIN DE,3090.0,1236.0,1236.0,2781.0,15
HCPCS,C1784,HC OCULAR DEV INTRAOP DET RET,1363.0,545.2,545.2,1226.7,15
HCPCS,C1784,HC OCULAR DEVICE A,262.0,104.8,104.8,235.8,14
HCPCS,C1785,PMKR DUAL RATERESP,20291.0,8116.4,8116.4,18261.9,17
HCPCS,C1786,PMKR SINGLE RATERESP,18241.0,7296.4,7296.4,16416.9,17
HCPCS,C1787,PATIENT PROGR NEUROSTIM,4024.0,1609.6,1609.6,3621.6,17
HCPCS,C1788,PORT INDWELLING IMP,1021.0,408.4,372.6,918.9,15
HCPCS,C1789,HC PROSTHESIS BREAST,2465.0,986.0,986.0,2218.5,15
HCPCS,C1789,HC PROSTHESIS BREAST B,2308.0,923.2,923.2,2077.2,15
HCPCS,C1789,HC PROSTHESIS BREAST C,2379.0,951.6,951.6,2141.1,15
HCPCS,C1813,PROSTHESIS PENILE INFLATAB,22000.0,8800.0,8800.0,19800.0,17
HCPCS,C1814,RETINAL TAMP SILICONE OIL,1522.0,608.8,608.8,1369.8,15
HCPCS,C1815,PROS URINARY SPH IMP,20500.0,8200.0,8200.0,18450.0,17
HCPCS,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM,15913.0,6365.2,2664.8,19096.2,51
HCPCS,C1818,INTEGRATED KERATOPROSTHESIS,6967.0,2786.8,2786.8,6270.3,17
HCPCS,C1820,HC NEURO GENERATOR RECHG BAT SY,16101.0,6440.4,880.8,27000.0,32
HCPCS,C1821,DIS DEVICE,1000.0,400.0,360.0,900.0,15
HCPCS,C1825,GENERATOR NEUROSTIM BAROSTIM NEO LEGACY,87500.0,35000.0,35000.0,78750.0,17
HCPCS,C1830,POWER BONE MARROW BX NEEDLE,800.0,320.0,320.0,720.0,17
HCPCS,C1831,PERSONALIZED INTERBODY CAGE,2500.0,1000.0,567.0,2250.0,15
HCPCS,C1874,HC STENT COATED,8500.0,3400.0,80.0,16342.2,80
HCPCS,C1874,HC STENT COATED/COV W/DEL SYS,3321.5,1328.6,378.0,5051.7,30
HCPCS,C1875,HC STENT COATED W/O DEL SYS,4644.0,1857.6,1200.0,8100.0,47
HCPCS,C1875,HC STNT COATED W/O DEL SYS,21000.0,8400.0,6000.0,30600.0,51
HCPCS,C1875,HC STNT COATED W/O DEL SYST,25000.0,10000.0,10000.0,22500.0,17
HCPCS,C1876,HC STENT NONCOA/NONCOV W/DEL,5965.0,2386.0,120.0,33461.1,127
HCPCS,C1877,HC STENT NONCOAT/COV W/O DEL,35000.0,14000.0,14000.0,31500.0,17
HCPCS,C1877,HC STNT NONCOAT W/O DEL SYS,12000.0,4800.0,1485.2,27000.0,66
HCPCS,C1877,HC STNT NONCOAT W/O DEL SYST,25000.0,10000.0,10000.0,22500.0,17
HCPCS,C1880,VENA CAVA FILTER,4778.0,1911.2,1911.2,4300.2,15
HCPCS,C1881,HC DIALYSIS ACCESS SYSTEM,5600.0,2240.0,1600.0,6480.0,32
HCPCS,C1882,AICD OTHER THAN SING/DUAL,41850.0,16740.0,16740.0,37665.0,17
HCPCS,C1883,ADAPT/EXT PACING/NEURO LEAD,2212.0,884.8,884.8,1990.8,15
HCPCS,C1884,EMBOLIZATION PROTECT SYST,3100.0,1240.0,1240.0,2790.0,17
HCPCS,C1884,HC EMBOLIZATION PROTECT SYST,2646.0,1058.4,60.0,23896.8,77
HCPCS,C1885,CATH TRANSLUMIN ANGIO LASER,4635.0,1854.0,1854.0,4171.5,17
HCPCS,C1886,CATHETER ABLATION,2500.0,1000.0,1000.0,2250.0,15
HCPCS,C1887,HC CATHETER GUIDING,889.0,355.6,21.2,8100.0,145
HCPCS,C1888,ENDOVAS NONCARDIAC ABL CATH,2704.0,1081.6,1081.6,2433.6,15
HCPCS,C1889,EDWARDS PASCAL DEVICE,20700.0,8280.0,8280.0,18630.0,17
HCPCS,C1889,HC EMBOLIZATION COILS/PVA/GLUE,2835.5,1134.2,620.4,3708.0,30
HCPCS,C1889,HC EXTERNAL FIXATION ALL SITES,12165.5,4866.200000000001,2097.6,18013.5,102
HCPCS,C1889,HC EXTERNAL FIXATION ALL SITESA,316.0,126.4,126.4,284.4,17
HCPCS,C1889,HC EXTERNAL FIXATION ALL SITESK,26665.0,10666.0,10666.0,23998.5,17
HCPCS,C1889,HC IMPLANT ORBITAL,200.0,80.0,80.0,180.0,17
HCPCS,C1889,IMPLANT/INSERT DEVICE NOC,3028.5,1211.4,400.0,22500.0,66
HCPCS,C1889,INFLATION DEVICE BALLOON,348.0,139.2,139.2,313.2,17
HCPCS,C1889,PAIN MANAGEMENT CLINICAL TRIAL FOR 0275T,7574.0,3029.6,3029.6,6816.6,17
HCPCS,C1889,PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED,28870.5,11548.2,3011.2,45191.7,34
HCPCS,C1889,RADIOFREQUENCY ABLATION PROBE,5150.0,2060.0,2060.0,4635.0,17
HCPCS,C1890,NO DEVICE W/DEVINTENSIVE PX,0.01,0.01,0.01,0.01,23
HCPCS,C1892,HC INTRO/SHEATH FIXED PEELAWAY,955.0,382.0,382.0,859.5,17
HCPCS,C1892,INTRO/SHEATH FIXED PEELAWAY,271.0,108.4,108.4,243.9,17
HCPCS,C1893,INTRO/SHEATH FIXED NONPEEL,448.0,179.2,179.2,403.2,17
HCPCS,C1894,HC INTRO/SHEATH NONLASER,294.5,117.80000000000001,48.8,420.3,34
HCPCS,C1894,INTRO/SHEATH NONLASER,880.0,352.0,352.0,792.0,17
HCPCS,C1895,LEAD AICD ENDO DUAL COIL,18248.0,7299.2,7299.2,16423.2,17
HCPCS,C1896,LEAD AICD NON SING/DUAL,1910.0,764.0,764.0,1719.0,15
HCPCS,C1897,LEAD NEUROSTIM TEST KIT,4911.0,1964.4,1964.4,4419.9,15
HCPCS,C1898,LEAD PMKR OTHER THAN TRANS,3681.5,1472.6,665.2,5130.0,32
HCPCS,C1900,LEAD CORONARY VENOUS,11352.0,4540.8,4540.8,10216.8,17
HCPCS,C1982,CATH PRESSURE VALVEOCCLU,15500.0,6200.0,6200.0,13950.0,17
HCPCS,C2615,SEALANT PULMONARY LIQUID,2382.0,952.8,952.8,2143.8,15
HCPCS,C2616,BRACHYTX NONSTR YTTRIUM90,44408.0,17763.2,13605.71,44427.53,32
HCPCS,C2617,HC STENT NONCOR TEM W/O DEL,455.5,182.2,6.0,27000.0,61
HCPCS,C2618,HC PROBE CRYOABLATION,5107.5,2043.0,1540.0,5728.5,34
HCPCS,C2621,PMKR OTHER THAN SING/DUAL,21538.0,8615.2,5200.0,27068.4,34
HCPCS,C2622,PROSTHESIS PENILE NONINF,14000.0,5600.0,5600.0,12600.0,17
HCPCS,C2623,HC CATHETER TRANSLUMINAL ANGIOPLASTY DRUGCOATED NONLASER,3209.0,1283.6,1283.6,2888.1,17
HCPCS,C2624,HC WIRELESS PRESSURE SENSOR,60000.0,24000.0,24000.0,54000.0,17
HCPCS,C2624,WIRELESS PRESSURE SENSOR,50000.0,20000.0,20000.0,45000.0,17
HCPCS,C2625,STENT NONCOR TEM W/DEL SY,2253.0,901.2,901.2,2027.7,15
HCPCS,C2626,INFUSION PUMP NONPROG TEMP,15000.0,6000.0,6000.0,13500.0,17
HCPCS,C2627,HC CATH SUPRAPUBIC/CYSTOSCOPIC,180.0,72.0,24.0,270.0,28
HCPCS,C2628,HC CATH OCCLUSION,3447.0,1378.8,1378.8,3102.3,17
HCPCS,C2628,HC CATHETER OCCLUSION,339.0,135.6,135.6,305.1,17
HCPCS,C2629,INTRO/SHEATH LASER,5600.0,2240.0,2240.0,5040.0,17
HCPCS,C2638,HC BRACHYTX STRANDED I125,100.0,40.0,27.0,99.08,29
HCPCS,C2639,HC BRACHYTX NONSTRANDED I125,100.0,40.0,28.05,100.0,29
HCPCS,C2640,HC BRACHYTX STRANDED P103,220.0,88.0,67.58,220.65,29
HCPCS,C2643,HC BRACHYTX NONSTRANDED C131,148.0,59.2,76.41,249.5,29
HCPCS,C5271,HC APP OF LOW COST SKIN SUB GRAFT 100 SQ CM FIRST 25 SQ CM OR LESS,1300.0,520.0,520.0,1300.0,17
HCPCS,C5272,HC APP OF LOW COST SKIN SUBS GRAFT AREA UP 100 SQ CM E ADD 25 SQ CM,900.0,360.0,360.0,810.0,17
HCPCS,C5273,HC SKIN SUBS GRAFT 100 SQCM EA 1% OF BODY AREA OF INFANTS/CHILDREN,4373.0,1749.2,1749.2,4373.0,17
HCPCS,C5274,HC SKIN SUBS GRAFT 100 SQ CM EACH ADD 1% OF AREA OF INFANT/CHILDREN,900.0,360.0,360.0,810.0,17
HCPCS,C5275,HC SKIN SUBS GRAFT 100 SQ CM EACH ADD 1% OF AREA OF INFANT/CHILDREN,1300.0,520.0,520.0,1300.0,17
HCPCS,C5277,HC SKN SUB GRFT F/N/HF/G CHILD 1ST 100 SQ CM,1300.0,520.0,520.0,1300.0,17
HCPCS,C5278,HC SKN SUB GRFT F/N/HF/G CHILD ADD 100 SQ CM,250.0,100.0,100.0,225.0,17
HCPCS,C8900,MRA W/CONT ABD,1932.0,772.8,313.44,1875.0,27
HCPCS,C8901,MRA W/O CONT ABD,1500.0,600.0,214.37,1500.0,27
HCPCS,C8902,MRA W/O FOL W/CONT ABD,1932.0,772.8,313.44,1875.0,27
HCPCS,C8903,MRI W/CONT BREAST UNI,1500.0,600.0,157.59,1500.0,27
HCPCS,C8905,MRI W/O FOL W/CONT BRST UN,1932.0,772.8,313.44,1875.0,27
HCPCS,C8906,MRI W/CONT BREAST BI,1932.0,772.8,313.44,1875.0,27
HCPCS,C8908,MRI W/O FOL W/CONT BREAST,1932.0,772.8,313.44,1875.0,27
HCPCS,C8909,MRA W/CONT CHEST,1932.0,772.8,313.44,1875.0,27
HCPCS,C8910,MRA W/O CONT CHEST,1197.0,478.8,214.37,1197.0,27
HCPCS,C8911,MRA W/O FOL W/CONT CHEST,1932.0,772.8,313.44,1875.0,27
HCPCS,C8912,MRA W/CONT LWR EXT,1932.0,772.8,313.44,1875.0,27
HCPCS,C8913,MRA W/O CONT LWR EXT,1500.0,600.0,214.37,1500.0,27
HCPCS,C8914,MRA W/O FOL W/CONT LWR EXT,1932.0,772.8,313.44,1875.0,27
HCPCS,C8918,MRA W/CONT PELVIS,1932.0,772.8,313.44,1875.0,27
HCPCS,C8919,MRA W/O CONT PELVIS,1197.0,478.8,214.37,1197.0,27
HCPCS,C8920,MRA W/O FOL W/CONT PELVIS,1932.0,772.8,313.44,1875.0,27
HCPCS,C8923,2D TTE W OR W/O FOL W/CON CO,1827.0,730.8,704.3,1827.0,27
HCPCS,C8924,2D TTE W OR W/O FOL W/CON FU,940.0,376.0,313.44,940.0,27
HCPCS,C8925,HC 2D TEE W OR W/O FOL W/CON IN,1827.0,730.8,704.3,1827.0,27
HCPCS,C8926,TEE W OR W/O FOL W/CONT CONG,1827.0,730.8,704.3,1827.0,27
HCPCS,C8929,TTE W OR WO FOL WCON DOPPLER,1827.0,730.8,704.3,1827.0,27
HCPCS,C8930,TTE W OR W/O CONTR CONT ECG,1827.0,730.8,704.3,1827.0,27
HCPCS,C8933,MRA W/OANDW/DYE SPINAL CANAL,1932.0,772.8,313.44,1875.0,27
HCPCS,C8934,MRA W/CONT UPPER EXT,1932.0,772.8,313.44,1875.0,27
HCPCS,C8935,MRA W/O CONT UPPER EXT,1500.0,600.0,214.37,1500.0,27
HCPCS,C8936,MRA W/O FOL W/CONT UPR EXT,1932.0,772.8,313.44,1875.0,27
HCPCS,C8937,CAD BREAST MRI,11.0,4.4,4.4,11.0,17
HCPCS,C8957,PROLONGED IV INF REQ PUMP,814.0,325.6,191.1,814.0,27
HCPCS,C9047,CAPLACIZUMABYHDP 11 MG KIT 1 EACH BOX,44929.33,17971.73,826.32,40436.4,32
HCPCS,C9248,CLEVIDIPINE 25 MG/50ML EMUL 50 ML VIAL,501.17,200.47,200.47,451.05,15
HCPCS,C9254,LACOSAMIDE 200 MG/20ML SOLN 20 ML VIAL,361.65,144.66,0.26,505.08,80
HCPCS,C9257,BEVACIZUMAB 1.25 MG/0.05 ML SOLN 0.05 ML SYRINGE,115.0,46.0,1.79,103.5,26
HCPCS,C9257,BEVACIZUMAB 1.25 MG/0.05ML SOSY 0.05 ML SYRINGE,489.89,195.96,1.79,440.9,52
HCPCS,C9257,BEVACIZUMAB 2.5 MG/0.1ML SOSY 0.1 ML SYRINGE,362.88,145.15,1.79,326.59,26
HCPCS,C9293,GLUCARPIDASE 1000 UNITS SOLR 1 EACH VIAL,217894.32,87157.73,275.66,196104.89,26
HCPCS,C9300,INDIGOTINDISULFONATE 8 MG/ML SOLN 5 ML AMPULE,2208.0,883.2,883.2,1987.2,34
HCPCS,C9352,NEURAGEN NERVE GUIDE PER CM,3330.0,1332.0,1332.0,2997.0,15
HCPCS,C9358,SURGIMEND FETAL,875.0,350.0,350.0,787.5,15
HCPCS,C9360,SURGIMEND NEONATAL,437.0,174.8,174.8,393.3,15
HCPCS,C9362,IMPLNT BON VOID FILLERSTRIP,2900.0,1160.0,1160.0,2610.0,15
HCPCS,C9363,HC SKIN SUBSTITUTE INTEGRA MESHED BILAYER,50.0,20.0,20.0,316.29,18
HCPCS,C9364,PORCINE IMPLANT PERMACOL,50.0,20.0,20.0,45.0,16
HCPCS,C9399,ANTIVENIN LATRODECTUS MACTANS KIT 1 EACH BOX,166.25,66.5,66.5,149.63,17
HCPCS,C9399,DEFIBROTIDE SODIUM 200 MG/2.5ML SOLN 2.5 ML VIAL,6022.8,2409.12,2348.89,5420.52,17
HCPCS,C9399,DINUTUXIMAB 17.5 MG/5ML SOLN 5 ML VIAL,105502.03,42200.81,41145.79,94951.83,17
HCPCS,C9399,IBRUTINIB 140 MG CAPS 90 EACH BOTTLE,651.36,260.54,260.54,586.22,17
HCPCS,C9399,LENALIDOMIDE 25 MG CAPS 21 EACH BOTTLE,4493.42,1797.37,1797.37,4044.08,17
HCPCS,C9399,LETERMOVIR 480 MG/24ML SOLN 24 ML VIAL,2094.51,837.8,837.8,1885.06,17
HCPCS,C9399,PAZOPANIB HCL 200 MG TABS 120 EACH BOTTLE,737.55,295.02,295.02,663.8,17
HCPCS,C9399,SODIUM BENZOATESODIUM PHENYLACETATE 1010 % SOLN 50 ML VIAL,183960.0,73584.0,71744.4,165564.0,17
HCPCS,C9399,TRYPAN BLUE 0.15 % SOSY 0.5 ML SYRINGE,1066.46,426.58,426.58,959.81,17
HCPCS,C9488,CONIVAPTAN HCL IN DEXTROSE 205 MG/100ML% SOLN 100 ML PLAS CONT,4679.64,1871.86,48.66,4211.68,24
HCPCS,C9507,COVID19 CONVALESCENT PLASMA,1876.0,750.4,489.46,1876.0,32
HCPCS,C9600,HC PLACEMENT DES PTCA SINGLE VESSEL,24381.0,9752.4,10371.71,26056.99,27
HCPCS,C9601,92929 INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH,1680.0,672.0,672.0,1680.0,17
HCPCS,C9601,HC DRUGELUTING STENTS EACH ADD,1500.0,600.0,600.0,1500.0,17
HCPCS,C9602,PERC DE COR STENT ATHER S,36950.0,14780.0,16469.81,41377.29,27
HCPCS,C9603,PERC DE COR STENT ATHER BR,1500.0,600.0,600.0,1500.0,17
HCPCS,C9604,PERC DE COR REVASC T CABG S,20000.0,8000.0,10371.71,26056.99,27
HCPCS,C9605,PERC DE COR REVASC T CABG B,1500.0,600.0,600.0,1500.0,17
HCPCS,C9606,HC ACUTE OCCLUSION REVASCULARZATION DEX,24381.0,9752.4,9752.4,21942.9,17
HCPCS,C9607,PERC DE COR REVASC CHRO SIN,36950.0,14780.0,16469.81,41377.29,27
HCPCS,C9608,PERC DE COR REVASC CHRO ADD,2000.0,800.0,800.0,2000.0,17
HCPCS,C9610,CATH CORONARY DRUGDELIVERY,8475.0,3390.0,3423.9,8835.19,25
HCPCS,C9726,RXT BREAST APPL PLACE/REMOV,1500.0,600.0,600.0,1350.0,17
HCPCS,C9728,PLACE DEVICE/MARKER NON PRO,3224.0,1289.6,1243.55,3224.0,27
HCPCS,C9758,BLIND INTERATRIAL SHUNT IDE,43751.0,17500.4,4353.23,43458.17,27
HCPCS,C9760,NONBLIND INTERATRIAL SHUNT,68751.0,27500.4,6840.73,68290.7,26
HCPCS,C9764,HC REVASC INTRAVASC LITHOTRIPSY,25000.0,10000.0,10371.71,26056.99,27
HCPCS,C9765,HC REVASC INTRA LITHOTRIPSTENT,43000.0,17200.0,16469.81,43000.0,27
HCPCS,C9766,HC REVASC INTRA LITHOTRIPATHER,43000.0,17200.0,16469.81,43000.0,27
HCPCS,C9767,HC REVASC LITHOTRIPSTENTATHER,43000.0,17200.0,16469.81,43000.0,27
HCPCS,C9772,REVASC LITHOTRIP TIBI/PERONE,26205.0,10482.0,10371.71,26205.0,26
HCPCS,C9773,HC REVASC LITHOTRSTENT TIB/PER,43000.0,17200.0,16469.81,43000.0,26
HCPCS,C9774,HC REVASC LITHOTRATHER TIB/PER,43000.0,17200.0,16469.81,43000.0,26
HCPCS,C9775,HC REVASC LITHSTENATH TIB/PER,43000.0,17200.0,16469.81,43000.0,26
HCPCS,C9779,ESD ENDOSCOPY OR COLONOSCOPY,8152.0,3260.8,3463.9,8702.39,27
HCPCS,C9797,VASC EMB/OCC W/PRS CATH,44892.0,17956.8,16469.81,44892.0,27
HCPCS,C9901,ENDO DEFECT CLOSURE GI TRACT,26028.0,10411.2,8036.18,26028.0,27
HCPCS,D7140,EXTRACTION ERUPTED TOOTH/EXR,1700.0,680.0,505.68,1700.0,33
HCPCS,D7270,TOOTH REIMPLANTATION,568.0,227.2,329.44,1459.22,27
HCPCS,E0749,HC BONE GROWTH STIMULATOR IMPLANT,17000.0,6800.0,6800.0,15300.0,17
HCPCS,G0008,HC ADMIN INFLUENZA VIRUS VAC,100.0,40.0,42.07,105.69,27
HCPCS,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,100.0,40.0,42.07,105.69,27
HCPCS,G0010,HC ADMIN HEP B VACCINE,100.0,40.0,42.07,105.69,27
HCPCS,G0101,CA SCREEN PELVIC/BREAST EXAM,191.0,76.4,79.46,229.3,33
HCPCS,G0103,PSA SCREENING,117.0,46.8,17.9,105.3,32
HCPCS,G0104,HC CA SCREEN FLEXI SIGMOIDSCOPE,2000.0,800.0,190.89,2099.06,33
HCPCS,G0105,HC COLORECTAL SCRN HI RISK IND,2080.0,832.0,506.6,2099.06,33
HCPCS,G0108,HC DIAB MANAGE TRN PER INDIV,130.0,52.0,48.25,130.1,33
HCPCS,G0109,HC DIAB MANAGE TRN IND/GROUP,40.0,16.0,13.83,40.0,33
HCPCS,G0118,GLAUCOMA SCRN HGH RISK DIREC,75.0,30.0,33.55,84.31,27
HCPCS,G0121,HC COLON CA SCRN NOT HI RSK IND,2000.0,800.0,506.6,2099.06,33
HCPCS,G0123,SCREEN CERV/VAG THIN LAYER,100.0,40.0,18.78,92.7,96
HCPCS,G0166,HC EXTRNL COUNTERPULSE PER TX,250.0,100.0,119.54,300.31,27
HCPCS,G0168,WOUND CLOSURE UTILIZING TISSUE ADHESIVES ONLY,33.0,13.2,15.79,82.5,26
HCPCS,G0237,HC THERAPEUTIC PROCD STRG ENDUR,63.0,25.2,25.98,65.28,27
HCPCS,G0239,HC OTH RESP PROC GROUP,75.0,30.0,33.55,84.31,27
HCPCS,G0257,ACUTE DIALY HEMO INPT,1672.0,668.8,616.61,1672.0,27
HCPCS,G0257,CHR DIALY OUTOFUNIT HEMO INPT,1672.0,668.8,616.61,1672.0,27
HCPCS,G0259,INJECT FOR SACROILIAC JOINT,250.0,100.0,100.0,225.0,17
HCPCS,G0269,OCCLUSIVE DEVICE IN VEIN ART,700.0,280.0,280.0,700.0,17
HCPCS,G0278,ILIAC ART ANGIO CARDIAC CATH,2500.0,1000.0,1000.0,2250.0,15
HCPCS,G0279,TOMOSYNTHESIS MAMMO,35.0,14.0,10.93,31.5,26
HCPCS,G0283,ELEC STIM OTHER THAN WOUND,59.5,23.8,11.72,90.0,108
HCPCS,G0288,RECON CTA FOR SURG PLAN,1200.0,480.0,480.0,1093.0,17
HCPCS,G0339,ROBOT LINRADSURG COM FIRST,1143.0,457.2,457.2,1143.0,17
HCPCS,G0340,ROBT LINRADSURG FRACTX 25,3800.0,1520.0,1520.0,3420.0,17
HCPCS,G0378,HOSPITAL OBSERVATION PER HR,350.0,140.0,140.0,350.0,17
HCPCS,G0378,HOSPITAL OBSERVATION PER HR ED,350.0,140.0,140.0,350.0,17
HCPCS,G0378,HOSPITAL OBSERVATION PER HR OB,350.0,140.0,140.0,350.0,17
HCPCS,G0379,DIRECT REFER HOSPITAL OBSERV,1100.0,440.0,440.0,1100.0,16
HCPCS,G0380,LEV 1 HOSP TYPE B ED VISIT,491.0,196.4,66.78,491.0,27
HCPCS,G0381,LEV 2 HOSP TYPE B ED VISIT,940.0,376.0,83.45,940.0,27
HCPCS,G0382,LEV 3 HOSP TYPE B ED VISIT,2150.0,860.0,154.43,2150.0,27
HCPCS,G0383,LEV 4 HOSP TYPE B ED VISIT,4544.0,1817.6,237.46,4544.0,27
HCPCS,G0384,LEV 5 HOSP TYPE B ED VISIT,5036.0,2014.4,369.01,5036.0,27
HCPCS,G0390,CHARLIE TRAUMA ACTIVATION WITH CRITICAL CARE,7250.0,2900.0,1042.6,7250.0,33
HCPCS,G0390,HC BRAVO TRAUMA ACTIVATION WITH CRITICAL CARE,11790.0,4716.0,1042.6,11790.0,33
HCPCS,G0390,TRAUMA RESPONS W/HOSP CRITI,15547.0,6218.8,1042.6,15547.0,33
HCPCS,G0399,HOME SLEEP TEST/TYPE 3 PORTA,350.0,140.0,194.0,487.37,27
HCPCS,G0416,HC PROSTATE BIOPSY ANY MTHD,744.0,297.6,280.38,809.07,32
HCPCS,G0433,ELISA HIV1/HIV2 SCREEN,46.0,18.4,17.41,46.0,26
HCPCS,G0480,HC DRUG TEST DEF 17 CLASSES,172.0,68.8,95.93,286.08,32
HCPCS,G0481,DRUG TEST DEF 814 CLASSES,313.0,125.2,136.3,391.48,64
HCPCS,G0482,DRUG TEST DEF 1521 CLASSES,496.0,198.4,184.24,496.85,32
HCPCS,G0483,DRUG TEST DEF 22+ CLASSES,617.0,246.8,228.9,617.3,32
HCPCS,G0681,APP OF NONSHEET SKIN SUB,290.0,116.0,116.0,290.0,16
HCPCS,G0682,APP NONSHEET SKIN SUB ADD,290.0,116.0,116.0,290.0,16
HCPCS,G0683,APP OF NONSHEET SKIN SUB G,290.0,116.0,116.0,290.0,16
HCPCS,G0684,APP NONSHEET SKIN SB G ADDL,290.0,116.0,116.0,290.0,16
HCPCS,J0122,ERAVACYCLINE DIHYDROCHLORIDE 100 MG SOLR 1 EACH VIAL,689.54,275.82,1.37,620.59,26
HCPCS,J0129,ABATACEPT 250 MG SOLR 1 EACH VIAL,8085.42,3234.17,44.77,7276.88,32
HCPCS,J0131,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,136.75,54.7,0.08,202.5,32
HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,119
HCPCS,J0133,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL,90.0,36.0,0.05,82.89,64
HCPCS,J0133,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL,172.0,68.8,0.05,189.0,80
HCPCS,J0134,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,57.5,23.0,0.08,51.75,32
HCPCS,J0136,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,48.5,19.4,0.07,43.65,16
HCPCS,J0139,ADALIMUMAB 40 MG/0.8ML KIT 1 EACH BOX,5899.53,2359.81,94.47,5309.58,21
HCPCS,J0153,ADENOSINE 6 MG/2ML SOLN 1 ML,35.0,14.0,0.73,31.5,16
HCPCS,J0153,ADENOSINE 6 MG/2ML SOLN 2 ML VIAL,37.5,15.0,0.73,59.13,64
HCPCS,J0153,ADENOSINE DIAGNOSTIC 3 MG/ML SOLN 30 ML VIAL,1028.93,411.57,0.73,973.73,64
HCPCS,J0165,EPINEPHRINE 1 MG/ML SOLN 1 ML VIAL,49.2,19.68,19.68,44.28,34
HCPCS,J0165,EPINEPHRINE 1 MG/ML SOLN 30 ML VIAL,891.48,356.59000000000003,216.38,1117.8,34
HCPCS,J0165,EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,34
HCPCS,J0168,EPINEPHRINE PF 1 MG/10ML SOSY 10 ML SYRINGE,82.45,32.98,32.98,74.21,17
HCPCS,J0171,EPINEPHRINE HCL 50 MCG/ML SOSY 50 ML SYRINGE,97.05,38.82,38.82,87.35,17
HCPCS,J0171,EPINEPHRINE PF 1 MG/10ML SOSY 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J0174,LECANEMABIRMB 200 MG/2ML SOLN 2 ML VIAL,1485.66,594.26,0.99,1337.09,32
HCPCS,J0174,LECANEMABIRMB 500 MG/5ML SOLN 5 ML VIAL,3391.25,1356.5,0.99,3052.13,32
HCPCS,J0175,DONANEMABAZBT 350 MG/20ML SOLN 20 ML VIAL,3617.71,1447.08,3.14,3255.94,32
HCPCS,J0178,AFLIBERCEPT 2 MG/0.05ML SOLN 0.05 ML VIAL,9789.36,3915.74,743.61,8810.42,32
HCPCS,J0180,AGALSIDASE BETA 35 MG SOLR 1 EACH VIAL,40633.95,16253.58,220.02,36570.56,32
HCPCS,J0180,AGALSIDASE BETA 5 MG SOLR 1 EACH VIAL,5803.85,2321.54,220.02,5223.47,32
HCPCS,J0202,ALEMTUZUMAB 12 MG/1.2ML SOLN 1.2 ML VIAL,151410.08,60564.03,2447.1,136269.07,32
HCPCS,J0206,ALLOPURINOL 500 MG SOLR 1 EACH VIAL,19656.0,7862.4,4.07,18085.29,96
HCPCS,J0207,AMIFOSTINE 500 MG SOLR 1 EACH VIAL,5512.39,2204.96,451.96,5062.4,32
HCPCS,J0211,INJ NITHIODOTE 3MG / 125MG,5.0,2.0,1.76,5.42,32
HCPCS,J0217,VELMANASE ALFATYCV 10 MG SOLR 1 EACH VIAL,22784.16,9113.66,378.0,20505.74,32
HCPCS,J0219,AVALGLUCOSIDASE ALFANGPT 100 MG SOLR 1 EACH VIAL,10213.35,4085.34,77.59,9192.02,32
HCPCS,J0221,ALGLUCOSIDASE ALFA 50 MG SOLR 1 EACH VIAL,5106.7,2042.68,197.88,4596.03,32
HCPCS,J0222,PATISIRAN SODIUM 10 MG/5ML SOLN 5 ML VIAL,49316.4,19726.56,88.07,44384.76,32
HCPCS,J0223,GIVOSIRAN SODIUM 189 MG/ML SOLN 1 ML VIAL,221225.76,88490.3,115.66,199103.18,26
HCPCS,J0225,VUTRISIRAN SODIUM 25 MG/0.5ML SOSY 0.5 ML SYRINGE,601529.04,240611.62,3723.75,541376.14,32
HCPCS,J0248,REMDESIVIR 100 MG SOLR 1 EACH VIAL,3571.51,1428.6,5.39,3214.36,32
HCPCS,J0256,ALPHA1PROTEINASE INHIBITOR 1000 MG SOLR 1 EACH VIAL,35.0,14.0,4.82,31.5,32
HCPCS,J0256,ALPHA1PROTEINASE INHIBITOR 1000 MG/20ML SOLN 1 EACH VIAL,35.0,14.0,4.82,31.5,32
HCPCS,J0270,ALPROSTADIL 500 MCG/ML SOLN 1 ML AMPULE,934.775,373.91,0.35,841.3,34
HCPCS,J0278,AMIKACIN 250 MG/ML SOLN 2 ML,40.2,16.08,0.82,36.18,16
HCPCS,J0278,AMIKACIN 400 MCG/ 0.1ML SOLN 1 SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J0278,AMIKACIN 500 MG/2ML SOLN 2 ML VIAL,45.0,18.0,0.82,40.5,32
HCPCS,J0278,AMIKACIN SULFATE 1 GM/4ML SOLN 4 ML VIAL,96.0,38.4,0.82,86.4,16
HCPCS,J0280,AMINOPHYLLINE 25 MG/ML SOLN 20 ML VIAL,84.95,33.980000000000004,33.96,76.5,34
HCPCS,J0280,HC AMINOPHYLLINE 25MG/ML,150.0,60.0,13.44,135.0,16
HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML SOLN 20 ML VIAL,63.349999999999994,25.34,24.64,58.59,51
HCPCS,J0282,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,112
HCPCS,J0282,AMIODARONE HCL 450 MG/9ML SOLN 9 ML VIAL,53.37,21.35,0.56,48.08,48
HCPCS,J0283,AMIODARONE 1.8 MG/ML SOLN 200 ML PLAS CONT,277.0,110.8,2.83,249.3,17
HCPCS,J0283,AMIODARONE 150 MG SOLN 100 ML PLAS CONT,208.0,83.2,2.83,187.2,17
HCPCS,J0285,AMPHOTERICIN B 0.5 MG/ML SOLN 12.5 ML,300.0,120.0,120.0,270.0,17
HCPCS,J0285,AMPHOTERICIN B 5 MCG/0.1 ML INJECTION 10 ML VIAL,35.0,14.0,14.0,35.0,16
HCPCS,J0285,AMPHOTERICIN B 50 MG SOLR 1 EACH VIAL,300.0,120.0,120.0,270.0,17
HCPCS,J0289,AMPHOTERICIN B LIPOSOMAL 50 MG SUSR 1 EACH VIAL,1406.22,562.49,19.85,1581.35,128
HCPCS,J0290,AMPICILLIN 1 G SOLR 1 EACH VIAL,41.03,16.41,14.0,38.88,170
HCPCS,J0290,AMPICILLIN 125 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J0290,AMPICILLIN 2 G SOLR 1 EACH VIAL,46.32,18.53,16.92,75.39,102
HCPCS,J0290,AMPICILLIN 250 MG SOLR 1 EACH VIAL,35.0,14.0,0.72,31.5,80
HCPCS,J0290,AMPICILLIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,85
HCPCS,J0290,AMPICILLIN SODIUM 10 G SOLR 1 EACH VIAL,495.76,198.3,198.3,446.18,17
HCPCS,J0295,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,36.84,14.735,1.81,34.81,112
HCPCS,J0295,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,51.510000000000005,20.605,1.81,76.95,208
HCPCS,J0300,AMOBARBITAL 500 MG SOLR 1 EACH VIAL,3694.57,1477.83,1477.83,3325.11,17
HCPCS,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN 10 ML SYRINGE,46.0,18.4,1.2,41.4,16
HCPCS,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN 10 ML VIAL,117.5,47.0,1.2,107.91,64
HCPCS,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN 5 ML SYRINGE,44.0,17.6,1.2,39.6,16
HCPCS,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN 5 ML VIAL,37.5,15.0,1.2,33.75,16
HCPCS,J0348,ANIDULAFUNGIN 100 MG SOLR 1 EACH VIAL,1053.72,421.49,0.68,948.35,16
HCPCS,J0360,HYDRALAZINE 20 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,85
HCPCS,J0391,ARTESUNATE 110 MG SOLR 1 EACH VIAL,27107.64,10843.06,40.75,24396.88,32
HCPCS,J0456,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,45.5,18.2,14.0,77.85,102
HCPCS,J0457,AZTREONAM 1 G SOLR 1 EACH VIAL,216.48,86.59,86.59,194.83,34
HCPCS,J0457,AZTREONAM 2 G SOLR 1 EACH VIAL,343.2,137.28,137.28,308.88,34
HCPCS,J0458,AZTREONAMAVIBACTAM 1.50.5 G SOLR 1 EACH VIAL,1805.04,722.02,1.27,1624.54,32
HCPCS,J0461,ATROPINE SULFATE 0.25 MG/5ML SOSY 5 ML SYRINGE,39.38,15.75,15.75,35.44,17
HCPCS,J0461,ATROPINE SULFATE 0.4 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J0461,ATROPINE SULFATE 1 MG/10ML SOSY 10 ML SYRINGE,65.6,26.240000000000002,25.0,61.83,34
HCPCS,J0461,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,386.4,154.56,84.24,379.06,153
HCPCS,J0470,DIMERCAPROL 100 MG/ML SOLN 3 ML AMPULE,885.63,354.25,354.25,797.07,17
HCPCS,J0475,BACLOFEN 10 MG/20ML SOLN 20 ML VIAL,1421.77,568.71,118.0,1279.59,32
HCPCS,J0475,BACLOFEN 10000 MCG/20ML SOSY 20 ML SYRINGE,1527.48,610.99,118.0,1374.73,32
HCPCS,J0475,BACLOFEN 20 MG/20ML SOLN 20 ML VIAL,2596.1,1038.44,118.0,2336.49,32
HCPCS,J0475,BACLOFEN 20000 MCG/20ML SOSY 20 ML SYRINGE,2789.39,1115.76,118.0,2510.45,32
HCPCS,J0475,BACLOFEN 40 MG/20ML SOLN 20 ML VIAL,3788.065,1515.2250000000001,118.0,4672.99,64
HCPCS,J0475,BACLOFEN 40000 MCG/20ML SOSY 20 ML SYRINGE,5584.66,2233.86,118.0,5026.19,32
HCPCS,J0476,BACLOFEN 50 MCG/ML SOSY 1 ML SYRINGE,529.0,211.6,64.94,476.1,16
HCPCS,J0480,BASILIXIMAB 10 MG SOLR 1 EACH VIAL,17857.39,7142.96,3152.03,16071.65,32
HCPCS,J0480,BASILIXIMAB 20 MG SOLR 1 EACH VIAL,23437.76,9375.1,3152.03,21093.98,32
HCPCS,J0485,BELATACEPT 250 MG SOLR 1 EACH VIAL,4888.21,1955.28,3.5,4399.39,32
HCPCS,J0490,BELIMUMAB 120 MG SOLR 1 EACH VIAL,3328.42,1331.37,53.74,2995.58,32
HCPCS,J0490,BELIMUMAB 400 MG SOLR 1 EACH VIAL,11093.88,4437.55,53.74,9984.49,32
HCPCS,J0491,ANIFROLUMABFNIA 300 MG/2ML SOLN 2 ML VIAL,27832.14,11132.86,15.23,25048.93,32
HCPCS,J0500,DICYCLOMINE 10 MG/ML SOLN 2 ML AMPULE,252.18,100.87,100.87,226.96,17
HCPCS,J0500,DICYCLOMINE 10 MG/ML SOLN 2 ML VIAL,97.84,39.135,29.52,109.69,68
HCPCS,J0500,DICYCLOMINE 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
HCPCS,J0500,DICYCLOMINE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
HCPCS,J0515,BENZTROPINE MESYLATE 1 MG/ML SOLN 2 ML VIAL,281.875,112.75,108.0,264.38,68
HCPCS,J0517,BENRALIZUMAB 10 MG/0.5ML SOSY 0.5 ML SYRINGE,10117.76,4047.1,152.06,9105.98,32
HCPCS,J0517,BENRALIZUMAB 30 MG/ML SOSY 1 ML SYRINGE,30353.23,12141.29,152.06,27317.91,32
HCPCS,J0558,PENICILLIN G BENZATHINE AND PROC 1200000 UNIT/2ML SUSP 2 ML SYRINGE,1342.01,536.8,14.37,1207.81,32
HCPCS,J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSY 2 ML SYRINGE,2240.795,896.32,9.61,2016.72,64
HCPCS,J0561,PENICILLIN G BENZATHINE 2400000 UNIT/4ML SUSY 4 ML SYRINGE,4192.48,1676.995,9.61,3773.24,64
HCPCS,J0561,PENICILLIN G BENZATHINE 600000 UNIT/ML SUSY 1 ML SYRINGE,1293.8,517.52,9.61,1164.42,32
HCPCS,J0565,BEZLOTOXUMAB 1000 MG/40ML SOLN 40 ML VIAL,19152.0,7660.8,34.2,17236.8,32
HCPCS,J0572,BUPRENORPHINENALOXONE 20.5 MG SUBL 1 EACH,23.75,9.5,1.87,21.38,17
HCPCS,J0572,BUPRENORPHINENALOXONE 20.5 MG SUBL 30 EACH BOTTLE,19.555,7.82,1.87,26.2,34
HCPCS,J0572,BUPRENORPHINENALOXONE 20.5 MG SUBL 50 EACH BOX,23.75,9.5,1.87,21.38,17
HCPCS,J0574,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 1 EACH,31.35,12.54,1.96,38.05,34
HCPCS,J0574,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 30 EACH BOTTLE,10.0,4.0,1.96,9.0,17
HCPCS,J0574,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 50 EACH BOX,31.35,12.54,1.96,38.05,34
HCPCS,J0574,BUPRENORPHINENALOXONE 82 MG FILM 30 EACH BOX,53.88,21.55,1.96,48.49,17
HCPCS,J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,552.0,220.8,0.22,4298.88,128
HCPCS,J0585,BOTULINUM TOXIN TYPE A 100 UNITS SOLR 1 EACH VIAL,3281.04,1312.42,6.4,2952.94,32
HCPCS,J0585,ONABOTULINUMTOXINA 200 UNITS SOLR 1 EACH VIAL,6562.08,2624.83,6.4,5905.87,32
HCPCS,J0585,ONABOTULINUMTOXINA COSMETIC 100 UNITS SOLR 1 EACH VIAL,3306.24,1322.5,6.4,2975.62,32
HCPCS,J0586,ABOBOTULINUMTOXINA 300 UNITS SOLR 1 EACH VIAL,2663.64,1065.46,8.77,2397.28,32
HCPCS,J0586,ABOBOTULINUMTOXINA 500 UNITS SOLR 1 EACH VIAL,4437.72,1775.09,8.77,3993.95,32
HCPCS,J0587,BOTULINUM TOXIN TYPE B 5000 UNIT/ML SOLN 1 ML VIAL,1752.83,701.13,12.65,1577.55,32
HCPCS,J0587,RIMABOTULINUMTOXINB 2500 UNIT/0.5ML SOLN 0.5 ML VIAL,1752.83,701.13,12.65,1577.55,32
HCPCS,J0588,INCOBOTULINUMTOXIN A 100 UNITS SOLR 1 EACH VIAL,2575.44,1030.18,4.47,2317.9,32
HCPCS,J0592,BUPRENORPHINE 0.3 MG/ML SOLN 1 ML VIAL,81.72,32.69,5.42,73.55,16
HCPCS,J0594,BUSULFAN 6 MG/ML SOLN 10 ML VIAL,690.0,276.0,0.89,621.0,32
HCPCS,J0595,BUTORPHANOL 1 MG/ML SOLN 1 ML VIAL,50.7,20.28,8.36,45.63,32
HCPCS,J0595,BUTORPHANOL 10 MG/ML SOLN 2.5 ML BOTTLE,443.07,177.23,177.23,398.76,17
HCPCS,J0595,BUTORPHANOL 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J0597,C1 ESTERASE INHIBITOR HUMAN 500 UNITS KIT 1 EACH BOX,22390.03,8956.01,75.86,20151.03,32
HCPCS,J0601,DIALYSIS MEDICATION,0.01,0.01,0.01,0.01,32
HCPCS,J0602,DIA SEVELAMER CARBONATE RENVELA POWDER 2400MG PACKETS,0.01,0.01,0.01,0.01,32
HCPCS,J0602,DIA SEVELAMER CARBONATE RENVELA POWDER 800 MG PACKETS,0.02,0.01,0.01,0.02,16
HCPCS,J0604,CINACALCET 30 MG TABS 1 EACH,132.49,53.0,0.01,119.24,22
HCPCS,J0604,CINACALCET 30 MG TABS 30 EACH BOTTLE,153.265,61.305,0.01,137.95,66
HCPCS,J0604,CINACALCET 30 MG TABS 30 EACH BOX,132.49,53.0,0.01,119.24,22
HCPCS,J0604,CINACALCET 60 MG TABS 30 EACH BOTTLE,306.55,125.845,0.01,290.41,88
HCPCS,J0604,CINACALCET 90 MG TABS 30 EACH BOTTLE,445.3,178.12,0.01,400.77,22
HCPCS,J0604,DIALYSIS MEDICATION,4.0,1.6,0.01,3.6,69
HCPCS,J0605,DIA SUCROFERRIC OXYHYDROXIDE VELPHORO 2500MG TABS,0.01,0.01,0.01,0.01,24
HCPCS,J0606,ETELCALCETIDE HCL 10 MG/2ML SOLN 2 ML VIAL,569.805,227.92,2.44,512.83,42
HCPCS,J0606,ETELCALCETIDE HCL 2.5 MG/0.5ML SOLN 0.5 ML VIAL,569.8299999999999,227.93,2.44,512.87,42
HCPCS,J0606,ETELCALCETIDE HCL 5 MG/ML SOLN 1 ML VIAL,569.805,227.92,2.44,512.83,42
HCPCS,J0607,DIA LANTHANUM CARBONATE 1000MG TAB AND POWDER,0.01,0.01,0.01,0.01,27
HCPCS,J0607,DIA LANTHANUM CARBONATE 500MG TAB AND POWDER,0.02,0.01,0.01,0.02,16
HCPCS,J0607,DIA LANTHANUM CARBONATE 750MG TAB AND POWDER,0.01,0.01,0.01,0.01,24
HCPCS,J0609,DIA FERRIC CITRATE AURYXIA 210MG TAB,0.06,0.02,0.02,0.06,16
HCPCS,J0612,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,51
HCPCS,J0612,CALCIUM GLUCONATE 10 % SOLN 100 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J0612,CALCIUM GLUCONATE 10 % SOLN 50 ML VIAL,90.375,36.15,14.0,131.18,51
HCPCS,J0612,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,102
HCPCS,J0613,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
HCPCS,J0615,DIA CALCIUM ACETATE 667MG CAPS,0.02,0.01,0.01,0.02,16
HCPCS,J0616,METOPROLOL TARTRATE 5 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,68
HCPCS,J0630,CALCITONIN 200 UNIT/ML SOLN 2 ML VIAL,5040.0,2016.0,800.0,4536.0,23
HCPCS,J0636,CALCITRIOL 1 MCG/ML SOLN 1 ML AMPULE,46.88,18.75,1.31,42.19,16
HCPCS,J0636,CALCITRIOL 1 MCG/ML SOLN 1 ML VIAL,59.7,23.88,1.31,53.73,16
HCPCS,J0637,CASPOFUNGIN 50 MG SOLR 1 EACH VIAL,1864.15,745.66,4.6,1677.74,16
HCPCS,J0637,CASPOFUNGIN 70 MG SOLR 1 EACH VIAL,1932.0,772.8,4.6,1738.8,32
HCPCS,J0640,LEUCOVORIN 100 MG SOLR 1 EACH VIAL,117.5,47.0,4.19,108.0,48
HCPCS,J0640,LEUCOVORIN 350 MG SOLR 1 EACH VIAL,156.0,62.4,4.19,347.76,64
HCPCS,J0640,LEUCOVORIN 5 MG TABS 1 EACH,16.25,6.5,6.5,14.63,17
HCPCS,J0640,LEUCOVORIN 5 MG TABS 100 EACH BOTTLE,10.065000000000001,4.025,4.0,9.12,34
HCPCS,J0640,LEUCOVORIN 5 MG TABS 30 EACH BOTTLE,10.0,4.0,4.0,9.0,17
HCPCS,J0640,LEUCOVORIN 5 MG TABS 50 EACH BOX,16.25,6.5,6.5,14.63,17
HCPCS,J0640,LEUCOVORIN 50 MG SOLR 1 EACH VIAL,115.0,46.0,46.0,103.5,34
HCPCS,J0640,LEUCOVORIN 500 MG SOLR 1 EACH VIAL,475.78,190.31,4.19,428.2,16
HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG SOLR 1 EACH VIAL,141.175,56.47,4.19,129.6,32
HCPCS,J0641,LEVOLEUCOVORIN CALCIUM 50 MG SOLR 1 EACH VIAL,1006.85,402.74,0.08,906.17,16
HCPCS,J0650,LEVOTHYROXINE SODIUM 100 MCG SOLR 1 EACH VIAL,664.38,265.75,265.75,597.94,17
HCPCS,J0650,LEVOTHYROXINE SODIUM 500 MCG SOLR 1 EACH VIAL,2660.66,1064.26,1064.26,2394.59,34
HCPCS,J0651,LEVOTHYROXINE SODIUM 100 MCG/5ML SOLN 5 ML VIAL,489.58,195.83,6.84,440.62,32
HCPCS,J0665,BUPIVACAINE 0.25 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J0665,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,136
HCPCS,J0665,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,136
HCPCS,J0665,BUPIVACAINE 0.5 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J0665,BUPIVACAINE 0.75% IN DEXTROSE 8.25% INTRATHECAL 0.758.25 % SOLN 2 ML AMPULE,41.15,16.46,14.0,42.57,85
HCPCS,J0665,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,119
HCPCS,J0665,BUPIVACAINE HCL 0.25 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,85
HCPCS,J0665,BUPIVACAINE HCL PF 0.75 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,102
HCPCS,J0665,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,119
HCPCS,J0666,BUPIVACAINE LIPOSOME 1.3 % SUSP 20 ML VIAL,1052.685,421.075,1.1,1039.84,48
HCPCS,J0690,CEFAZOLIN 1 G SOLR 1 EACH VIAL,36.25,14.5,14.0,33.75,102
HCPCS,J0690,CEFAZOLIN 10 G SOLR 1 EACH VIAL,66.3,26.52,26.52,59.67,17
HCPCS,J0690,CEFAZOLIN 3 G SOLR 1 EACH VIAL,54.85,21.94,21.94,49.37,34
HCPCS,J0690,CEFAZOLIN SODIUM INJECTION,13.0,5.2,1.04,11.7,16
HCPCS,J0690,CEFAZOLIN SODIUMDEXTROSE 23 GM%50ML SOLR 1 EACH FLEX CONT,93.6,37.44,37.44,84.24,17
HCPCS,J0690,DIALYSIS MEDICATION,13.0,5.2,1.04,11.7,16
HCPCS,J0692,CEFEPIME 1 G SOLR 1 EACH VIAL,101.65,40.66,1.59,91.5,112
HCPCS,J0692,CEFEPIME 2 G SOLR 1 EACH VIAL,119.64,47.855,1.59,181.62,80
HCPCS,J0692,CEFEPIME HCL FOR INJECTION,24.0,9.6,1.59,21.6,16
HCPCS,J0692,DIALYSIS MEDICATION,25.0,10.0,1.59,22.5,16
HCPCS,J0694,CEFOXITIN 1 G SOLR 1 EACH VIAL,41.95,19.72,14.4,53.46,102
HCPCS,J0694,CEFOXITIN 2 G SOLR 1 EACH VIAL,86.88,34.75,24.0,102.38,34
HCPCS,J0694,CEFOXITIN SODIUM 10 G SOLR 1 EACH VIAL,300.0,120.0,120.0,270.0,17
HCPCS,J0695,CEFTOLOZANETAZOBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,962.47,384.99,4.38,866.22,32
HCPCS,J0696,CEFTRIAXONE 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J0696,CEFTRIAXONE 10 G SOLR 1 EACH VIAL,103.9,41.56,41.56,93.51,17
HCPCS,J0696,CEFTRIAXONE 2 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,51
HCPCS,J0696,CEFTRIAXONE 250 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J0696,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,84.71,33.885000000000005,14.0,120.98,85
HCPCS,J0697,CEFUROXIME 750 MG SOLR 1 EACH VIAL,35.0,14.0,2.41,31.5,16
HCPCS,J0697,CEFUROXIME SODIUM 1.5 G SOLR 1 EACH VIAL,35.08,14.03,14.03,31.57,17
HCPCS,J0699,CEFIDEROCOL SULFATE TOSYLATE 1 G SOLR 1 EACH VIAL,1362.3850000000002,544.955,1.98,1226.15,64
HCPCS,J0701,CEFEPIME 2 GM/100ML SOLN 100 ML PLAS CONT,255.5,102.2,7.85,229.95,16
HCPCS,J0702,BETAMETHASONE ACETATEBETAMETHASONE SODIUM PHOSPHATE 6 33 MG/ML SUSP 5 ML VIAL,110.02,44.01,38.4,118.87,51
HCPCS,J0706,CAFFEINE CITRATE,7.6,3.04,3.04,6.84,17
HCPCS,J0706,CAFFEINE CITRATE 20 MG/ML SOLN 1 ML,47.215,18.89,7.36,68.44,34
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 0.2 ML ORAL SYRINGE,15.21,6.08,6.08,13.69,17
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 0.25 ML ORAL SYRINGE,19.01,7.6,7.6,17.11,17
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 0.3 ML ORAL SYRINGE,22.81,9.12,9.12,20.53,17
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 0.35 ML ORAL SYRINGE,26.61,10.64,10.64,23.95,17
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 0.4 ML ORAL SYRINGE,30.42,12.17,12.17,27.38,17
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 0.45 ML ORAL SYRINGE,34.22,13.69,13.69,30.8,17
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 0.5 ML ORAL SYRINGE,38.02,15.21,15.21,34.22,17
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML SOLN 3 ML VIAL,69.0,27.6,24.0,108.0,85
HCPCS,J0712,CEFTAROLINE 400 MG SOLR 1 EACH VIAL,1289.01,515.6,3.66,1160.11,32
HCPCS,J0712,CEFTAROLINE 600 MG SOLR 1 EACH VIAL,1417.63,567.05,3.66,1279.06,128
HCPCS,J0713,CEFTAZIDIME 1 G SOLR 1 EACH VIAL,35.0,14.0,2.04,31.5,16
HCPCS,J0713,CEFTAZIDIME 2 G SOLR 1 EACH VIAL,60.0,24.0,2.04,54.0,16
HCPCS,J0713,CEFTAZIDIME 2.25 MG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J0713,CEFTAZIDIME 6 G SOLR 1 EACH VIAL,175.0,70.0,70.0,157.5,17
HCPCS,J0714,CEFTAZIDIMEAVIBACTAM 2.5 20.5 G SOLR 1 EACH VIAL,2292.81,917.12,71.82,2063.53,32
HCPCS,J0720,CHLORAMPHENICOL 1 G SOLR 1 EACH VIAL,291.9,116.76,116.76,262.71,17
HCPCS,J0725,CHORIONIC GONADOTROPIN 10000 UNITS SOLR 1 EACH VIAL,1791.79,716.72,716.72,1612.61,17
HCPCS,J0735,CLONIDINE HCL ANALGESIA 100 MCG/ML SOLN 10 ML VIAL,36.4,14.559999999999999,14.0,34.02,32
HCPCS,J0736,CLINDAMYCIN 300 MG/50ML SOLN 50 ML FLEX CONT,49.25,19.7,19.7,44.33,34
HCPCS,J0736,CLINDAMYCIN 600 MG/4ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,51
HCPCS,J0736,CLINDAMYCIN 600 MG/50ML SOLN 50 ML FLEX CONT,69.125,27.65,25.6,66.83,68
HCPCS,J0736,CLINDAMYCIN 9 GM/60ML SOLN 60 ML VIAL,138.0,55.2,55.2,124.2,17
HCPCS,J0736,CLINDAMYCIN 900 MG/50ML SOLN 50 ML FLEX CONT,84.375,33.75,31.3,81.45,51
HCPCS,J0736,CLINDAMYCIN PHOSPHATE 300 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J0736,CLINDAMYCIN PHOSPHATE 900 MG/6ML SOLN 6 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J0740,CIDOFOVIR 75 MG/ML SOLN 5 ML VIAL,4356.365,1742.545,301.1,4484.82,64
HCPCS,J0742,IMIPENEMCILASTATINRELEBACTAM 1.25 G SOLR 1 EACH VIAL,1745.09,698.04,2.05,1570.58,17
HCPCS,J0743,IMIPENEMCILASTATIN 500 MG SOLR 1 EACH VIAL,179.88,71.95,13.33,161.91,64
HCPCS,J0744,CIPROFLOXACIN 200 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,3.77,31.5,48
HCPCS,J0744,CIPROFLOXACIN 400 MG/200ML SOLN 200 ML FLEX CONT,42.0,16.8,3.77,43.2,80
HCPCS,J0750,EMTRICITABINETENOFOVIR DF 200300 MG TABS 1 EACH,11.68,4.67,0.45,10.51,32
HCPCS,J0750,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOTTLE,359.25,143.7,0.45,331.61,128
HCPCS,J0750,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOX,11.68,4.67,0.45,10.51,64
HCPCS,J0751,EMTRICITABINETENOFOVIR AF 20025 MG TABS 30 EACH BOTTLE,405.22,162.09,66.07,364.7,32
HCPCS,J0751,EMTRICITABINETENOFOVIR AF 20025 MG TABS 30 EACH BOX,405.22,162.09,66.07,364.7,32
HCPCS,J0770,COLISTIMETHATE SODIUM CBA 150 MG SOLR 1 EACH VIAL,168.0,67.2,67.2,151.2,17
HCPCS,J0775,COLLAGENASE CLOSTRID HISTOLYT 0.9 MG SOLR 1 EACH VIAL,38673.18,15469.27,73.92,34805.86,32
HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,45.25,18.1,14.0,49.95,204
HCPCS,J0791,CRIZANLIZUMABTMCA 100 MG/10ML SOLN 10 ML VIAL,12362.83,4945.13,122.16,11126.55,32
HCPCS,J0800,CORTICOTROPIN 80 UNIT/ML GEL 5 ML VIAL,23518.15,9407.26,9172.08,21166.34,15
HCPCS,J0834,COSYNTROPIN 0.25 MG SOLR 1 EACH VIAL,515.51,206.205,32.98,529.49,48
HCPCS,J0840,CROTALIDAE POLYVALENT IMMUNE FAB SOLR 1 EACH VIAL,16117.92,6447.17,1826.52,14506.13,64
HCPCS,J0841,CROTALIDAE EQUINE IMMUNE FAB SOLR 1 EACH VIAL,6652.8,2661.12,989.52,6652.8,24
HCPCS,J0850,CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML SOLN 50 ML VIAL,8293.215,3317.29,1233.6,8208.08,64
HCPCS,J0870,IMETELSTAT SODIUM 188 MG SOLR 1 EACH VIAL,53644.75,21457.9,41.0,48280.28,32
HCPCS,J0870,IMETELSTAT SODIUM 47 MG SOLR 1 EACH VIAL,13411.19,5364.48,41.0,12070.07,32
HCPCS,J0875,DALBAVANCIN HCL 500 MG SOLR 1 EACH VIAL,8966.83,3586.73,11.29,8070.15,32
HCPCS,J0878,DAPTOMYCIN 500 MG SOLR 1 EACH VIAL,180.0,72.0,0.04,162.0,16
HCPCS,J0879,DIFELIKEFALIN ACETATE 65 MCG/1.3ML SOLN 1.3 ML VIAL,828.0,331.2,0.18,745.2,32
HCPCS,J0882,DARBEPOETIN ALFA 10 MCG/0.4ML SOSY 0.4 ML SYRINGE,427.25,170.9,2.92,384.53,42
HCPCS,J0882,DARBEPOETIN ALFA 100 MCG/0.5ML SOSY 0.5 ML SYRINGE,3900.96,1560.38,2.92,3510.86,42
HCPCS,J0882,DARBEPOETIN ALFA 150 MCG/0.3ML SOSY 0.3 ML SYRINGE,5851.44,2340.58,2.92,5266.3,42
HCPCS,J0882,DARBEPOETIN ALFA 200 MCG/0.4ML SOSY 0.4 ML SYRINGE,7801.92,3120.77,2.92,7021.73,21
HCPCS,J0882,DARBEPOETIN ALFA 25 MCG/0.42ML SOSY 0.42 ML SYRINGE,1068.12,427.25,2.92,961.31,42
HCPCS,J0882,DARBEPOETIN ALFA 25 MCG/ML SOLN 1 ML VIAL,1068.12,427.25,2.92,961.31,21
HCPCS,J0882,DARBEPOETIN ALFA 300 MCG/0.6ML SOSY 0.6 ML SYRINGE,11702.88,4681.15,2.92,10532.59,21
HCPCS,J0882,DARBEPOETIN ALFA 40 MCG/0.4ML SOSY 0.4 ML SYRINGE,1708.99,683.6,2.92,1538.09,42
HCPCS,J0882,DARBEPOETIN ALFA 40 MCG/ML SOLN 1 ML VIAL,1708.99,683.6,2.92,1538.09,21
HCPCS,J0882,DARBEPOETIN ALFA 500 MCG/ML SOSY 1 ML SYRINGE,19504.8,7801.92,2.92,17554.32,21
HCPCS,J0882,DARBEPOETIN ALFA 60 MCG/0.3ML SOSY 0.3 ML SYRINGE,2340.58,936.23,2.92,2106.52,42
HCPCS,J0882,DARBEPOETIN ALFA 60 MCG/ML SOLN 1 ML VIAL,2340.58,936.23,2.92,2106.52,21
HCPCS,J0882,DARBEPOETIN ALFA ESRD USE,31.0,12.4,2.92,27.9,63
HCPCS,J0882,DIALYSIS MEDICATION,31.0,12.4,2.92,27.9,147
HCPCS,J0883,ARGATROBAN 250 MG/2.5ML SOLN 2.5 ML VIAL,1782.96,713.18,0.61,1604.66,32
HCPCS,J0883,ARGATROBAN 50 MG/50ML SOLN 50 ML VIAL,869.4,347.76,0.61,983.66,128
HCPCS,J0883,ARGATROBAN 500.9 MG/50ML% SOLN 50 ML VIAL,1084.68,433.87,0.61,983.66,64
HCPCS,J0894,DECITABINE 50 MG SOLR 1 EACH VIAL,2070.0,828.0,1.59,7374.78,80
HCPCS,J0895,DEFEROXAMINE 2 G SOLR 1 EACH VIAL,244.325,97.72999999999999,11.71,222.48,64
HCPCS,J0895,DEFEROXAMINE 500 MG SOLR 1 EACH VIAL,77.7,31.08,11.71,79.7,64
HCPCS,J0896,LUSPATERCEPTAAMT 25 MG SOLR 1 EACH VIAL,21144.82,8457.93,40.97,19030.34,26
HCPCS,J0896,LUSPATERCEPTAAMT 75 MG SOLR 1 EACH VIAL,63434.24,25373.7,40.97,57090.82,26
HCPCS,J0897,DENOSUMAB 120 MG/1.7ML SOLN 1.7 ML VIAL,17386.7,6954.68,16.43,15648.03,64
HCPCS,J0897,DENOSUMAB 60 MG/ML SOSY 1 ML SYRINGE,9452.18,3780.87,16.43,8506.96,64
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 20 MG/ML SUSP 5 ML VIAL,213.35,85.34,0.11,192.02,16
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP 1 ML VIAL,35.0,14.0,0.11,31.5,68
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP 1 ML VIAL,108.11,43.245000000000005,0.11,106.52,68
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP 5 ML VIAL,118.43,47.37,0.11,106.59,17
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,315.8,126.32,60.0,405.1,170
HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML SOLN 1 ML VIAL,35.345,14.14,14.0,32.12,68
HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J1096,DEXAMETHASONE 0.4 MG INST 1 EACH BOX,3225.6,1290.24,98.66,2903.04,24
HCPCS,J1096,DEXAMETHASONE 0.4 MG INST 10 EACH BOX,3225.6,1290.24,98.66,2903.04,24
HCPCS,J1097,PHENYLEPHRINEKETOROLAC 10.3 % SOLN 4 ML VIAL,2378.88,951.55,100.47,2140.99,96
HCPCS,J1100,DEXAMETHASONE 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,32
HCPCS,J1100,DEXAMETHASONE 360 MCG/0.36 ML SUSP 1 SYRINGE SYRINGE,3.0,1.2,1.2,2.7,17
HCPCS,J1100,DEXAMETHASONE 4 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
HCPCS,J1100,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,96
HCPCS,J1100,DEXAMETHASONE 400 MCG/0.1 ML SUSP 1 SYRINGE SYRINGE,3.0,1.2,1.2,2.7,17
HCPCS,J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,40.0,16.0,0.12,40.5,112
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML SOLN 10 ML VIAL,63.975,25.59,14.0,83.66,34
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML SOLN 30 ML VIAL,170.7,68.28,25.2,250.56,51
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML SOLN 5 ML VIAL,41.45,16.58,0.12,37.31,16
HCPCS,J1110,DIHYDROERGOTAMINE 1 MG/ML SOLN 1 ML AMPULE,261.095,104.44,78.0,283.5,32
HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLR 1 EACH VIAL,239.1,95.64,78.76,237.38,68
HCPCS,J1160,DIGOXIN 0.1 MG/ML SOLN 1 ML AMPULE,760.27,304.11,304.11,684.24,17
HCPCS,J1160,DIGOXIN 0.1 MG/ML SOLN 1 ML VIAL,790.61,316.24,316.24,711.55,17
HCPCS,J1160,DIGOXIN 0.25 MG/ML SOLN 2 ML AMPULE,36.19,14.475,14.0,33.64,34
HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG SOLR 1 EACH VIAL,27518.4,11007.36,2808.96,24766.56,64
HCPCS,J1163,DILTIAZEM HCL 25 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,51
HCPCS,J1165,PHENYTOIN 50 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J1165,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,85
HCPCS,J1170,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J1171,HYDROMORPHONE 1 MG/ML SOLN 0.5 ML SYRINGE,62.5,25.0,0.12,81.0,64
HCPCS,J1171,HYDROMORPHONE 1 MG/ML SOLN 1 ML CRTRDGNDL,35.0,14.0,0.12,31.5,32
HCPCS,J1171,HYDROMORPHONE 1 MG/ML SOLN 1 ML SYRINGE,35.5,14.2,0.12,32.4,64
HCPCS,J1171,HYDROMORPHONE 2 MG/ML SOLN 1 ML CRTRDGNDL,96.0,38.4,38.4,86.4,34
HCPCS,J1171,HYDROMORPHONE 2 MG/ML SOLN 1 ML VIAL,78.12,31.25,14.0,109.12,68
HCPCS,J1171,HYDROMORPHONE 4 MG/ML SOLN 1 ML CRTRDGNDL,45.0,18.0,18.0,40.5,17
HCPCS,J1171,HYDROMORPHONE HCL PF 1 MG/ML SOLN 1 ML VIAL,12.955,5.18,0.12,11.66,32
HCPCS,J1171,HYDROMORPHONE HCL PF 10 MG/ML SOLN 1 ML AMPULE,35.0,14.0,0.12,31.5,16
HCPCS,J1171,HYDROMORPHONE HCL PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
HCPCS,J1171,HYDROMORPHONE HCL PF 10 MG/ML SOLN 5 ML AMPULE,43.08,17.23,0.12,38.77,16
HCPCS,J1171,HYDROMORPHONE HCL PF 10 MG/ML SOLN 5 ML VIAL,100.08,40.03,0.12,122.7,48
HCPCS,J1171,HYDROMORPHONE HCL PF 10 MG/ML SOLN 50 ML VIAL,938.63,375.45,0.12,1223.99,48
HCPCS,J1171,HYDROMORPHONE HCL PF 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J1190,DEXRAZOXANE HCL 250 MG SOLR 1 EACH VIAL,1392.56,557.02,41.44,1362.52,64
HCPCS,J1190,DEXRAZOXANE HCL 500 MG SOLR 1 EACH VIAL,2202.48,880.99,41.44,1982.23,32
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,136
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J1205,CHLOROTHIAZIDE 28 MG/ML SOLN 1 ML,2182.4,872.96,51.29,1964.16,16
HCPCS,J1205,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,746.925,298.77,51.29,1478.97,64
HCPCS,J1212,DIMETHYL SULFOXIDE 50 % SOLN 50 ML VIAL,3677.94,1471.18,545.82,3310.15,32
HCPCS,J1230,METHADONE 10 MG/ML SOLN 0.1 ML SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J1230,METHADONE 10 MG/ML SOLN 0.2 ML SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J1230,METHADONE 10 MG/ML SOLN 0.25 ML SYRINGE,35.24,14.1,14.1,31.72,17
HCPCS,J1230,METHADONE 10 MG/ML SOLN 0.5 ML SYRINGE,70.47,28.19,28.19,63.42,17
HCPCS,J1230,METHADONE 10 MG/ML SOLN 1.5 ML SYRINGE,211.42,84.57,84.57,190.28,17
HCPCS,J1230,METHADONE 10 MG/ML SOLN 2 ML SYRINGE,281.89,112.76,112.76,253.7,17
HCPCS,J1230,METHADONE 10 MG/ML SOLN 20 ML VIAL,2367.88,947.15,947.15,2131.09,17
HCPCS,J1240,DIMENHYDRINATE 50 MG/ML SOLN 1 ML VIAL,78.84,31.54,7.98,70.96,16
HCPCS,J1250,DOBUTAMINE 15 MG/ML% SOLN 250 ML FLEX CONT,132.5,53.0,53.0,119.25,17
HCPCS,J1250,DOBUTAMINE 25 MG/ML% SOLN 250 ML FLEX CONT,237.5,95.0,94.0,216.0,51
HCPCS,J1250,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL,47.8,19.12,9.2,50.13,96
HCPCS,J1265,DOPAMINE 1.65 MG/ML% SOLN 250 ML FLEX CONT,95.0,38.0,1.08,85.5,32
HCPCS,J1265,DOPAMINE 1.65 MG/ML% SOLN 250 ML PLAS CONT,85.0,34.0,1.08,76.5,16
HCPCS,J1265,DOPAMINE 40 MG/ML SOLN 10 ML VIAL,46.85,18.74,1.08,42.17,16
HCPCS,J1265,DOPAMINE 40 MG/ML SOLN 5 ML VIAL,35.0,14.0,1.08,31.5,16
HCPCS,J1270,DOXERCALCIFEROL 4 MCG/2ML SOLN 2 ML VIAL,38.370000000000005,15.35,14.0,37.57,51
HCPCS,J1271,DOXYCYCLINE 100 MG SOLR 1 EACH VIAL,88.04,35.22,30.0,142.18,51
HCPCS,J1299,ECULIZUMAB 300 MG/30ML SOLN 30 ML VIAL,32875.92,13150.37,33.91,29588.33,32
HCPCS,J1303,RAVULIZUMABCWVZ 1100 MG/11ML SOLN 11 ML VIAL,123730.67,49492.27,182.9,111357.6,32
HCPCS,J1303,RAVULIZUMABCWVZ 300 MG/3ML SOLN 3 ML VIAL,33744.73,13497.89,182.9,30370.26,32
HCPCS,J1304,TOFERSEN 100 MG/15ML SOLN 15 ML VIAL,76086.86,30434.74,128.07,68478.17,32
HCPCS,J1306,INCLISIRAN 284 MG/1.5ML SOSY 1.5 ML SYRINGE,18082.18,7232.87,10.69,16273.96,32
HCPCS,J1308,FAMOTIDINE 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J1308,FAMOTIDINE 200.9 MG/50ML% SOLN 50 ML PLAS CONT,35.0,14.0,14.0,31.5,17
HCPCS,J1308,FAMOTIDINE PF 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,102
HCPCS,J1325,EPOPROSTENOL 0.5 MG SOLR 1 EACH VIAL,126.325,50.53,21.06,126.45,32
HCPCS,J1325,EPOPROSTENOL 1.5 MG SOLR 1 EACH VIAL,281.05,112.42,21.06,252.95,32
HCPCS,J1325,EPOPROSTENOL SODIUM 10 MCG/ML SOLR 1 EACH VIAL,165.8,66.32,21.06,149.22,16
HCPCS,J1326,ZOLBETUXIMABCLZB 100 MG SOLR 1 EACH VIAL,8064.0,3225.6,24.96,7257.6,32
HCPCS,J1326,ZOLBETUXIMABCLZB 300 MG SOLR 1 EACH VIAL,24192.0,9676.8,24.96,21772.8,32
HCPCS,J1327,EPTIFIBATIDE 20 MG/10ML SOLN 10 ML VIAL,566.3399999999999,226.535,3.73,776.41,52
HCPCS,J1327,EPTIFIBATIDE 75 MG/100ML SOLN 100 ML VIAL,1380.0,552.0,3.73,2218.48,156
HCPCS,J1335,ERTAPENEM 1 G SOLR 1 EACH VIAL,469.20000000000005,187.68,12.82,689.56,128
HCPCS,J1364,ERYTHROMYCIN 500 MG SOLR 1 EACH VIAL,1090.4,436.16,84.01,981.36,16
HCPCS,J1380,ESTRADIOL VALERATE 20 MG/ML OIL 5 ML VIAL,97.84,39.14,33.38,101.02,34
HCPCS,J1380,ESTRADIOL VALERATE 40 MG/ML OIL 5 ML VIAL,83.69,33.48,33.48,75.32,17
HCPCS,J1410,CONJUGATED ESTROGENS 25 MG SOLR 1 EACH VIAL,2136.56,854.62,252.77,1922.9,32
HCPCS,J1430,ETHANOLAMINE 5 % SOLN 2 ML AMPULE,2188.4,875.36,373.44,1969.56,32
HCPCS,J1437,FERRIC DERISOMALTOSEONE DOSE 1000 MG/10ML SOLN 10 ML VIAL,19143.26,7657.3,20.46,17228.93,32
HCPCS,J1438,ETANERCEPT 25 MG SOLR 1 EACH BOX,4135.09,1654.04,966.68,3721.58,22
HCPCS,J1438,ETANERCEPT 50 MG/ML SOSY 1 ML SYRINGE,10278.58,4111.43,966.68,9250.72,23
HCPCS,J1439,FERRIC CARBOXYMALTOSE 750 MG/15ML SOLN 15 ML VIAL,8117.61,3247.04,1.12,7305.85,32
HCPCS,J1440,FECAL MICROBIOTA LIVEJSLM 150 ML SUSP 150 ML BOX,46730.88,18692.35,54.0,42057.79,32
HCPCS,J1442,FILGRASTIM 300 MCG/ML SOLN 1 ML VIAL,1737.88,695.15,1.0,1564.09,32
HCPCS,J1442,FILGRASTIM 480 MCG/1.6ML SOLN 1.6 ML VIAL,2526.7,1010.68,1.0,2274.03,32
HCPCS,J1447,TBOFILGRASTIM 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1516.505,606.605,0.24,1488.41,96
HCPCS,J1447,TBOFILGRASTIM 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,2305.99,922.395,0.24,2164.12,96
HCPCS,J1448,TRILACICLIB 300 MG SOLR 1 EACH VIAL,8129.69,3251.88,4.57,7316.72,32
HCPCS,J1450,FLUCONAZOLE 4000.9 MG/200ML% SOLN 200 ML FLEX CONT,84.0,33.6,33.6,75.6,17
HCPCS,J1450,FLUCONAZOLE 4000.9 MG/200ML% SOLN 200 ML PLAS CONT,125.0,50.0,50.0,112.5,17
HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML% SOLN 100 ML FLEX CONT,44.5,17.8,14.0,48.6,34
HCPCS,J1450,FLUCONAZOLE SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
HCPCS,J1450,FLUCONAZOLE SOLN 200 ML FLEX CONT,35.0,14.0,14.0,31.5,17
HCPCS,J1451,FOMEPIZOLE 1.5 GM/1.5ML SOLN 1.5 ML VIAL,8727.31,3490.92,6.18,7854.58,32
HCPCS,J1453,FOSAPREPITANT 150 MG SOLR 1 EACH VIAL,1477.75,591.1,0.13,1494.54,48
HCPCS,J1455,FOSCARNET SODIUM 24 MG/ML SOLN 0.05 ML SYRINGE,35.0,14.0,14.0,35.0,16
HCPCS,J1455,FOSCARNET SODIUM 6000 MG/250ML SOLN 250 ML GLASS CONT,2144.1,857.64,20.9,2176.34,64
HCPCS,J1459,IMMUNE GLOBULIN 10 GM/100ML SOLN 100 ML VIAL,9959.88,3983.95,48.88,8963.89,32
HCPCS,J1459,IMMUNE GLOBULIN 40 GM/400ML SOLN 400 ML VIAL,39839.52,15935.81,48.88,35855.57,32
HCPCS,J1459,IMMUNE GLOBULIN 5 GM/50ML SOLN 50 ML VIAL,4979.94,1991.98,48.88,4481.95,32
HCPCS,J1557,IMMUNE GLOBULIN HUMAN 20 GM/200ML SOLN 200 ML VIAL,19919.76,7967.9,63.93,17927.78,32
HCPCS,J1559,HIZENTRA 1 GM/5ML SOLN 5 ML VIAL,1370.25,548.1,13.14,1233.23,32
HCPCS,J1559,HIZENTRA 2 GM/10ML SOLN 10 ML VIAL,2502.15,1000.86,13.14,2251.94,32
HCPCS,J1559,HIZENTRA 20% 4 GM/20ML SOLN 20 ML VIAL,5004.3,2001.72,13.14,4503.87,32
HCPCS,J1561,GAMUNEXC 1 GM/10ML SOLN 10 ML VIAL,845.66,338.26,48.48,761.09,32
HCPCS,J1561,GAMUNEXC 10 GM/100ML SOLN 100 ML VIAL,7721.28,3088.51,48.48,6949.15,32
HCPCS,J1561,GAMUNEXC 20 GM/200ML SOLN 200 ML VIAL,15442.56,6177.02,48.48,13898.3,32
HCPCS,J1561,GAMUNEXC 40 GM/400ML SOLN 400 ML VIAL,30885.12,12354.05,48.48,27796.61,32
HCPCS,J1561,GAMUNEXC 5 GM/50ML SOLN 50 ML VIAL,3860.64,1544.26,48.48,3474.58,32
HCPCS,J1566,GAMMAGARD S/D LESS IGA 10 G SOLR 1 EACH VIAL,11472.05,4588.82,61.9,10324.85,32
HCPCS,J1566,GAMMAGARD S/D LESS IGA 5 G SOLR 1 EACH VIAL,5736.02,2294.41,61.9,5162.42,32
HCPCS,J1569,IMMUNE GLOBULIN 1 GM/10ML SOLN 10 ML VIAL,963.84,385.54,47.29,867.46,32
HCPCS,J1569,IMMUNE GLOBULIN 10 GM/100ML SOLN 100 ML GLASS CONT,8800.26,3520.1,47.29,7920.23,32
HCPCS,J1569,IMMUNE GLOBULIN 20 GM/200ML SOLN 200 ML GLASS CONT,17600.52,7040.21,47.29,15840.47,32
HCPCS,J1569,IMMUNE GLOBULIN 5 GM/50ML SOLN 50 ML VIAL,4400.13,1760.05,47.29,3960.12,32
HCPCS,J1570,GANCICLOVIR 500 MG SOLR 1 EACH VIAL,397.44,158.98,51.4,483.24,80
HCPCS,J1571,HC HEPAGAM B IM INJECTION,147.0,58.8,58.8,164.03,32
HCPCS,J1572,FLEBOGAMMA 10 GM/100ML SOLN 100 ML VIAL,5336.52,2134.61,38.12,4802.87,32
HCPCS,J1572,FLEBOGAMMA 20 GM/200ML SOLN 200 ML VIAL,10673.04,4269.22,38.12,9605.74,32
HCPCS,J1572,FLEBOGAMMA 5 GM/50ML SOLN 50 ML VIAL,2668.26,1067.3,38.12,2401.43,32
HCPCS,J1573,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML SOLN 5 ML VIAL,3203.79,1281.52,65.61,2883.41,32
HCPCS,J1580,GENTAMICIN 0.80.9 MG/ML% SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
HCPCS,J1580,GENTAMICIN 1.20.9 MG/ML% SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
HCPCS,J1580,GENTAMICIN 10.9 MG/ML% SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
HCPCS,J1580,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,68
HCPCS,J1580,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL,178.55,71.42,62.88,179.91,68
HCPCS,J1580,GENTAMICIN PF 10 MG/ML SOLN 2 ML VIAL,37.010000000000005,14.805,14.8,33.32,34
HCPCS,J1595,GLATIRAMER ACETATE 20 MG/ML SOSY 1 ML SYRINGE,1308.98,523.59,47.77,1178.08,23
HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML SOLN 1 ML VIAL,38.64,15.455,0.98,38.05,68
HCPCS,J1596,GLYCOPYRROLATE 0.4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.98,31.5,68
HCPCS,J1596,GLYCOPYRROLATE 0.4 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,0.98,31.5,85
HCPCS,J1596,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML SYRINGE,35.0,14.0,0.98,31.5,17
HCPCS,J1596,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,68.75,27.5,0.98,201.49,221
HCPCS,J1596,GLYCOPYRROLATE 1 MG/5ML SOSY 5 ML SYRINGE,120.0,48.0,0.98,108.0,17
HCPCS,J1597,INJ GLYCOPYRROLATE GLYRXPF,2.0,0.8,0.8,2.0,16
HCPCS,J1602,GOLIMUMAB 50 MG/4ML SOLN 4 ML VIAL,10075.93,4030.37,11.04,9068.34,32
HCPCS,J1610,GLUCAGON 1 MG SOLR 1 EACH BOX,1622.05,648.8199999999999,117.33,1528.65,64
HCPCS,J1611,GLUCAGON 1 MG SOLR 1 EACH VIAL,1394.79,444.55999999999995,129.28,1255.33,192
HCPCS,J1628,GUSELKUMAB 100 MG/ML SOAJ 1 ML PEN,73414.87,29365.95,64.68,66073.38,32
HCPCS,J1628,GUSELKUMAB 100 MG/ML SOSY 1 ML SYRINGE,73414.87,29365.95,64.68,66073.38,32
HCPCS,J1628,GUSELKUMAB 200 MG/2ML SOSY 2 ML SYRINGE,73414.87,29365.95,64.68,66073.38,32
HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,68
HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J1631,HALOPERIDOL DECANOATE 100 MG/ML SOLN 1 ML VIAL,42.75,17.1,5.72,54.0,80
HCPCS,J1631,HALOPERIDOL DECANOATE 100 MG/ML SOLN 5 ML VIAL,56.11,22.445,5.72,69.5,48
HCPCS,J1631,HALOPERIDOL DECANOATE 50 MG/ML SOLN 1 ML VIAL,66.0,26.4,26.4,59.4,17
HCPCS,J1640,HEMIN 350 MG SOLR 1 EACH VIAL,57592.88,23037.15,21.12,51833.59,32
HCPCS,J1642,HEPARIN IN 0.45NS 0.5 UNIT/ML SYRINGE 1 VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J1642,HEPARIN INFUSION 4 UNITS/ML IN 0.9% NACL 40.9 UNIT/ML% SOLN 1000 ML BAG,35.0,14.0,0.03,31.5,16
HCPCS,J1642,HEPARIN NA PORK LOCK FLSH PF 10 UNIT/ML SOLN 3 ML SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J1642,HEPARIN NA PORK LOCK FLSH PF 10 UNIT/ML SOLN 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J1642,HEPARIN PF 100 UNIT/ML SOLN 5 ML SYRINGE,35.0,14.0,14.0,31.5,34
HCPCS,J1644,HEPARIN PORCINE 100 UNITS/ML IN DEXTROSE 5 % 250 ML 100 UNIT/ML SOLN 250 ML,96.25,38.5,25.5,90.0,85
HCPCS,J1644,HEPARIN PORCINE 100 UNITS/ML IN NACL 0.45% 250 ML 100 UNIT/ML SOLN 250 ML,85.0,34.0,26.0,88.88,68
HCPCS,J1644,HEPARIN PORCINE 100 UNITS/ML IN NORMAL SALINE 250 ML 100 UNIT/ML SOLN 250 ML,35.0,14.0,14.0,31.5,17
HCPCS,J1644,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,43.6,17.44,14.0,40.91,119
HCPCS,J1644,HEPARIN PORCINE 1000 UNIT/ML SOLN 30 ML VIAL,42.75,17.1,17.1,38.48,51
HCPCS,J1644,HEPARIN PORCINE 20000 UNIT/ML SOLN 1 ML VIAL,80.28,32.11,32.11,72.25,34
HCPCS,J1644,HEPARIN PORCINE 5000 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,68
HCPCS,J1644,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,40.0,16.0,0.27,40.5,144
HCPCS,J1645,DALTEPARIN SODIUM 10000 UNIT/ML SOSY 1 ML SYRINGE,1742.91,697.16,21.5,1568.62,16
HCPCS,J1645,DALTEPARIN SODIUM 5000 UNIT/0.2ML SOSY 0.2 ML SYRINGE,871.45,348.58,21.5,784.31,16
HCPCS,J1650,ENOXAPARIN 300 MG/3ML SOLN 3 ML VIAL,290.35,116.13999999999999,0.77,349.83,48
HCPCS,J1650,ENOXAPARIN SODIUM 100 MG/ML SOSY 1 ML SYRINGE,90.0,36.0,0.77,125.74,80
HCPCS,J1650,ENOXAPARIN SODIUM 120 MG/0.8ML SOSY 0.8 ML SYRINGE,66.55,34.910000000000004,0.77,97.2,48
HCPCS,J1650,ENOXAPARIN SODIUM 150 MG/ML SOSY 1 ML SYRINGE,131.31,71.54,0.77,188.67,64
HCPCS,J1650,ENOXAPARIN SODIUM 30 MG/0.3ML SOSY 0.3 ML SYRINGE,35.41,14.165,0.77,32.24,64
HCPCS,J1650,ENOXAPARIN SODIUM 40 MG/0.4ML SOSY 0.4 ML SYRINGE,41.32,16.53,0.77,42.88,96
HCPCS,J1650,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,71.58,28.63,0.77,75.48,112
HCPCS,J1650,ENOXAPARIN SODIUM 80 MG/0.8ML SOSY 0.8 ML SYRINGE,95.4,38.16,0.77,100.58,96
HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5ML SOLN 0.5 ML SYRINGE,273.26,109.3,0.94,245.93,16
HCPCS,J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SOLN 0.8 ML SYRINGE,591.61,236.64,0.94,562.21,80
HCPCS,J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SOLN 0.4 ML SYRINGE,591.61,236.64,0.94,532.45,16
HCPCS,J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SOLN 0.6 ML SYRINGE,591.61,236.64,0.94,562.21,64
HCPCS,J1670,TETANUS IMMUNE GLOBULIN 250 UNIT/ML SOSY 1 ML SYRINGE,2360.37,944.15,438.63,2124.33,32
HCPCS,J1670,TETANUS IMMUNE GLOBULIN INJ,1200.0,480.0,438.63,1487.54,32
HCPCS,J1720,HYDROCORTISONE SOD SUC PF 100 MG SOLR 1 EACH VIAL,148.84,59.54,27.7,136.44,48
HCPCS,J1720,HYDROCORTISONE SOD SUC PF 250 MG SOLR 1 EACH VIAL,307.25,122.9,27.7,276.53,16
HCPCS,J1720,HYDROCORTISONE SOD SUC PF 500 MG SOLR 1 EACH VIAL,555.08,222.03,222.03,499.57,17
HCPCS,J1726,HYDROXYPROGESTERONE CAPROATE 275 MG/1.1ML SOAJ 1.1 ML SYRINGE,4047.12,1618.85,20.06,3642.41,15
HCPCS,J1729,HYDROXYPROGESTERONE CAPROATE 250 MG/ML OIL 1 ML VIAL,3583.4,1433.36,18.08,3225.06,16
HCPCS,J1740,IBANDRONATE SODIUM 3 MG/3ML SOLN 3 ML SYRINGE,2121.84,848.74,37.19,1909.66,16
HCPCS,J1742,IBUTILIDE FUMARATE 1 MG/10ML SOLN 10 ML VIAL,2268.4049999999997,907.3599999999999,175.89,2539.4,96
HCPCS,J1743,IDURSULFASE 6 MG/3ML SOLN 3 ML VIAL,16278.7,6511.48,529.7,14650.83,32
HCPCS,J1745,INFLIXIMAB 100 MG SOLR 1 EACH VIAL,4139.9,1655.96,31.48,5297.22,64
HCPCS,J1750,IRON DEXTRAN COMPLEX 50 MG/ML SOLN 2 ML VIAL,55.93,22.37,11.54,53.37,32
HCPCS,J1756,IRON SUCROSE 20 MG/ML SOLN 10 ML VIAL,358.48,143.39,0.3,322.63,32
HCPCS,J1756,IRON SUCROSE 20 MG/ML SOLN 2.5 ML VIAL,358.57,143.43,0.3,322.71,16
HCPCS,J1756,IRON SUCROSE 20 MG/ML SOLN 5 ML VIAL,289.65999999999997,115.865,0.3,322.67,32
HCPCS,J1786,IMIGLUCERASE 400 UNITS SOLR 1 EACH VIAL,8827.39,3530.96,41.62,7944.65,32
HCPCS,J1790,DROPERIDOL 2.5 MG/ML SOLN 2 ML VIAL,63.78,25.51,23.23,57.42,68
HCPCS,J1800,PROPRANOLOL 1 MG/ML SOLN 1 ML VIAL,58.44,23.375,19.2,61.99,68
HCPCS,J1805,ESMOLOL 10 MG/ML SOLN 50 ML SYRINGE,155.0,62.0,62.0,139.5,17
HCPCS,J1805,ESMOLOL 2000 MG/100ML SOLN 100 ML FLEX CONT,2539.74,1015.9,1015.9,2285.77,17
HCPCS,J1805,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,743.4749999999999,297.39,159.16,1907.01,153
HCPCS,J1805,ESMOLOL HCL 100 MG/10ML SOLN 10 ML VIAL,58.475,23.39,17.5,96.98,85
HCPCS,J1805,POSACONAZOLE 300 MG/16.7ML SOLN 16.7 ML VIAL,2539.84,1015.94,0.29,2406.11,64
HCPCS,J1808,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J1815,INSULIN GLARGINE 100 UNIT/ML SOLN 10 ML VIAL,490.385,196.14999999999998,141.88,563.45,34
HCPCS,J1815,INSULIN LISPRO 100 UNIT/ML SOLN 10 ML VIAL,366.53,146.61,146.61,329.88,17
HCPCS,J1815,INSULIN LISPRO DILUTED 10 UNITS/ML SOLN 10 ML VIAL,169.75,67.9,67.9,152.78,17
HCPCS,J1815,INSULIN LISPRO PROTAMINEINSULIN LISPRO 7525 100 UNIT/ML SUSP 10 ML VIAL,471.45,188.58,188.58,424.31,17
HCPCS,J1815,INSULIN NPH 100 UNIT/ML SUSP 10 ML VIAL,278.42499999999995,111.37,107.06,260.28,34
HCPCS,J1815,INSULIN NPH 100 UNIT/ML SUSP 3 ML VIAL,267.65,107.06,107.06,240.89,17
HCPCS,J1815,INSULIN NPHINSULIN REGULAR 7030 100 UNIT/ML SUSP 10 ML VIAL,267.65,107.06,107.06,240.89,17
HCPCS,J1815,INSULIN NPHINSULIN REGULAR 7030 100 UNIT/ML SUSP 3 ML VIAL,80.3,32.12,32.12,72.27,17
HCPCS,J1815,INSULIN REGULAR 1 UNIT/ML SOLN 3 ML VIAL,267.65,107.06,107.06,240.89,17
HCPCS,J1815,INSULIN REGULAR HUMAN 1000.9 UT/100ML% SOLN 100 ML FLEX CONT,210.0,84.0,0.3,189.0,16
HCPCS,J1817,INSULIN ASPART 100 UNIT/ML SOLN 10 ML VIAL,399.33,159.73,159.73,359.4,34
HCPCS,J1817,INSULIN ASPART PROTAMINEINSULIN ASPART 7030 100 UNIT/ML SUSP 10 ML VIAL,399.33,159.73,159.73,359.4,34
HCPCS,J1817,INSULIN LISPRO 1 UNIT/ML SOLN 3 ML VIAL,119.51,47.8,47.8,107.56,17
HCPCS,J1817,INSULIN LISPRO 100 UNIT/ML SOLN 10 ML VIAL,150.0,60.0,60.0,135.0,17
HCPCS,J1817,INSULIN REGULAR 100 UNIT/ML SOLN 10 ML VIAL,289.2,115.68,115.68,260.28,17
HCPCS,J1817,INSULIN REGULAR 100 UNIT/ML SOLN 3 ML VIAL,267.65,107.06,107.06,240.89,17
HCPCS,J1823,INEBILIZUMABCDON 100 MG/10ML SOLN 10 ML VIAL,235617.48,94246.99,411.29,212055.73,32
HCPCS,J1830,INTERFERON BETA1B 0.3 MG KIT 1 EACH BOX,3758.13,1503.25,682.14,3382.32,16
HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG SOLR 1 EACH VIAL,2177.0,870.8,0.65,1959.3,32
HCPCS,J1836,METRONIDAZOLE 500 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,68
HCPCS,J1885,KETOROLAC 15 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,144
HCPCS,J1885,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,39.18,15.67,0.33,35.28,192
HCPCS,J1885,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,42.1,16.84,0.33,44.28,168
HCPCS,J1920,LABETALOL 5 MG/ML SOLN 20 ML VIAL,39.0,15.600000000000001,14.0,61.92,170
HCPCS,J1920,LABETALOL 5 MG/ML SOLN 4 ML CARTRIDGE,96.0,38.4,38.4,86.4,34
HCPCS,J1920,LABETALOL 5 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,68
HCPCS,J1930,LANREOTIDE ACETATE 120 MG/0.5ML SOLN 0.5 ML SYRINGE,49545.72,19818.29,26.06,47677.9,64
HCPCS,J1930,LANREOTIDE ACETATE 60 MG/0.2ML SOLN 0.2 ML SYRINGE,33732.72,13493.09,26.06,30359.45,32
HCPCS,J1930,LANREOTIDE ACETATE 90 MG/0.3ML SOLN 0.3 ML SYRINGE,44921.52,17968.61,26.06,40429.37,32
HCPCS,J1931,LARONIDASE 2.9 MG/5ML SOLN 5 ML VIAL,5835.9,2334.36,37.78,5252.31,32
HCPCS,J1938,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,85
HCPCS,J1938,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,119
HCPCS,J1938,FUROSEMIDE 10 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,85
HCPCS,J1939,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,153
HCPCS,J1939,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,136
HCPCS,J1950,LEUPROLIDE 11.25 MG KIT 1 EACH BOX,27232.97,10893.19,1005.12,24509.67,32
HCPCS,J1950,LEUPROLIDE 3.75 MG KIT 1 EACH BOX,9077.59,3631.04,1005.12,8169.83,32
HCPCS,J1950,LEUPROLIDE ACETATE PED 11.25 MG KIT 1 EACH BOX,19825.76,7930.3,1005.12,17843.18,32
HCPCS,J1950,LEUPROLIDE ACETATE PED 7.5 MG KIT 1 EACH BOX,10920.42,4368.17,1005.12,9828.38,32
HCPCS,J1950,LEUPROLIDE ACETATE PED3MON 11.25 MG KIT 1 EACH BOX,59477.46,23790.98,1005.12,53529.71,32
HCPCS,J1950,LEUPROLIDE ACETATE PED6MON 45 MG KIT 1 EACH BOX,131016.82,52406.73,1005.12,117915.14,32
HCPCS,J1951,LEUPROLIDE ACETATE PED6MON 45 MG KIT 1 EACH BOX,145228.69,58091.48,120.41,130705.82,96
HCPCS,J1953,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL,35.0,14.0,0.05,31.5,48
HCPCS,J1953,LEVETIRACETAM IN NACL 1000 MG/100ML SOLN 100 ML FLEX CONT,238.75,95.5,0.05,267.75,32
HCPCS,J1953,LEVETIRACETAM IN NACL 1500 MG/100ML SOLN 100 ML FLEX CONT,171.0,68.4,0.05,216.0,64
HCPCS,J1953,LEVETIRACETAM IN NACL 500 MG/100ML SOLN 100 ML FLEX CONT,97.5,39.0,0.05,99.9,64
HCPCS,J1955,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,223.64,89.455,9.7,209.93,72
HCPCS,J1956,CALCIUM GLUCONATE 2 G/250 ML NS 2 G/250 ML SOLN 250 ML FLEX CONT,47.5,19.0,19.0,42.75,17
HCPCS,J1956,LEVOFLOXACIN 25 MG/ML SOLN 20 ML VIAL,220.0,88.0,88.0,198.0,17
HCPCS,J1956,LEVOFLOXACIN IN D5W 250 MG/50ML SOLN 50 ML FLEX CONT,35.5,14.2,3.3,32.4,96
HCPCS,J1956,LEVOFLOXACIN IN D5W 500 MG/100ML SOLN 100 ML FLEX CONT,35.5,14.2,3.3,32.85,96
HCPCS,J1956,LEVOFLOXACIN IN D5W 750 MG/150ML SOLN 150 ML FLEX CONT,37.5,15.0,3.3,59.4,96
HCPCS,J1961,LENACAPAVIR SODIUM 463.5 MG/1.5ML SOLN 1.5 ML VIAL,98280.0,39312.0,18.93,88452.0,32
HCPCS,J2001,LIDOCAINE HCL PF 4 % SOLN 5 ML AMPULE,35.0,14.0,14.0,31.5,15
HCPCS,J2002,LIDOCAINE 45 MG/ML% SOLN 250 ML FLEX CONT,47.5,19.0,0.01,42.75,17
HCPCS,J2002,LIDOCAINE 45 MG/ML% SOLN 500 ML FLEX CONT,47.5,19.0,0.01,49.5,34
HCPCS,J2002,LIDOCAINE 85 MG/ML% SOLN 250 ML FLEX CONT,52.5,21.0,0.01,47.25,17
HCPCS,J2020,LINEZOLID 2 MG/ML SOLN 100 ML FLEX CONT,957.72,383.09,4.64,861.95,16
HCPCS,J2020,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,156.0,62.400000000000006,4.64,322.92,128
HCPCS,J2060,LORAZEPAM 2 MG/ML SOLN 1 ML CRTRDGNDL,48.0,19.2,19.2,43.2,34
HCPCS,J2060,LORAZEPAM 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J2060,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,153
HCPCS,J2060,LORAZEPAM 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,51
HCPCS,J2060,LORAZEPAM 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J2060,LORAZEPAM 4 MG/ML SOLN 10 ML VIAL,104.9,41.96,41.96,94.41,17
HCPCS,J2151,MANNITOL 20 % SOLN 250 ML FLEX CONT,327.5,131.0,131.0,294.75,17
HCPCS,J2151,MANNITOL 20 % SOLN 500 ML FLEX CONT,302.5,121.0,46.0,312.57,68
HCPCS,J2151,MANNITOL 25 % SOLN 50 ML VIAL,45.25,18.1,14.5,48.83,68
HCPCS,J2175,MEPERIDINE 25 MG/ML SOLN 1 ML SYRINGE,132.0,52.8,52.8,118.8,34
HCPCS,J2175,MEPERIDINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J2182,MEPOLIZUMAB 100 MG SOLR 1 EACH VIAL,18521.41,7408.56,31.89,16669.27,32
HCPCS,J2182,MEPOLIZUMAB 100 MG/ML SOSY 1 ML SYRINGE,20114.56,8045.82,31.89,18103.1,32
HCPCS,J2185,MEROPENEM 1 G SOLR 1 EACH VIAL,35.4,14.16,0.55,31.86,32
HCPCS,J2185,MEROPENEM 2 G SOLR 1 EACH VIAL,187.51999999999998,75.00999999999999,0.55,168.79,32
HCPCS,J2185,MEROPENEM 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J2186,MEROPENEMVABORBACTAM 2 11 G SOLR 1 EACH VIAL,1265.07,506.03,1.68,1138.58,64
HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML SOLN 1 ML VIAL,187.68,75.07,75.07,168.91,34
HCPCS,J2212,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SOSY 0.6 ML SYRINGE,1132.93,453.17,1.89,1019.64,16
HCPCS,J2248,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,359.28,143.71,0.34,387.5,48
HCPCS,J2248,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,144.0,57.6,0.34,129.6,16
HCPCS,J2250,MIDAZOLAM 1MG/1ML IN NORMAL SALINE BAG 100 ML FLEX CONT,154.25,61.7,44.2,178.2,34
HCPCS,J2250,MIDAZOLAM 1MG/1ML IN NORMAL SALINE BAG 250 ML FLEX CONT,455.4,182.16,182.16,409.86,17
HCPCS,J2250,MIDAZOLAM 25 MG/5ML SOLN 5 ML VIAL,42.6,17.04,0.2,38.34,16
HCPCS,J2250,MIDAZOLAM 50 MG/50 ML SOLN 50 ML BAG,225.5,90.2,0.2,202.95,16
HCPCS,J2250,MIDAZOLAM 50 MG/50 ML SOLN 50 ML SYRINGE,66.0,26.4,0.2,59.4,16
HCPCS,J2250,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,112
HCPCS,J2250,MIDAZOLAM HCL 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,80
HCPCS,J2250,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,45.1,18.04,0.2,186.84,128
HCPCS,J2250,MIDAZOLAM HCL PF 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,32
HCPCS,J2250,MIDAZOLAM HCL PF 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,16
HCPCS,J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML% SOLN 100 ML FLEX CONT,162.0,64.8,64.8,145.8,17
HCPCS,J2260,MILRINONE 10 MG/10ML SOLN 10 ML VIAL,40.325,16.130000000000003,15.0,38.84,51
HCPCS,J2260,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,117.25,46.9,1.89,181.8,112
HCPCS,J2270,MORPHINE 1 MG/ML SOLN 30 ML SYRINGE,71.4,28.56,20.4,86.81,51
HCPCS,J2270,MORPHINE 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,2.83,31.5,16
HCPCS,J2270,MORPHINE SULFATE 1 MG/ML SOLN 2 ML SYRINGE,40.4,16.16,2.83,41.22,48
HCPCS,J2270,MORPHINE SULFATE 2 MG/ML SOLN 1 ML CARTRIDGE,60.0,24.0,2.83,54.0,32
HCPCS,J2270,MORPHINE SULFATE 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,2.83,31.5,48
HCPCS,J2270,MORPHINE SULFATE 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,32
HCPCS,J2270,MORPHINE SULFATE 50 MG/ML SOLN 20 ML VIAL,93.4,37.36,37.36,84.06,17
HCPCS,J2270,MORPHINE SULFATE 50 MG/ML SOLN 50 ML VIAL,699.54,279.815,79.3,1080.75,34
HCPCS,J2270,MORPHINE SULFATE PF 10 MG/ML SOLN 1 ML CARTRIDGE,35.0,14.0,14.0,31.5,34
HCPCS,J2270,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML CARTRIDGE,35.0,14.0,2.83,31.5,32
HCPCS,J2270,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,64
HCPCS,J2272,MORPHINE SULFATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J2274,MORPHINE PF 1 MG/ML SOLN 10 ML AMPULE,35.0,14.0,14.0,31.5,32
HCPCS,J2274,MORPHINE PF 1 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,16
HCPCS,J2274,MORPHINE SULF MICROINFUSION PF 200 MG/20ML 10 MG/ML SOLN 20 ML AMPULE,1148.16,459.26,15.67,1033.34,16
HCPCS,J2274,MORPHINE SULF MICROINFUSION PF 200 MG/20ML 10 MG/ML SOLN 20 ML VIAL,1252.49,501.0,15.67,1127.24,16
HCPCS,J2274,MORPHINE SULF MICROINFUSION PF 500 MG/20ML 25 MG/ML SOLN 20 ML AMPULE,1952.15,780.86,15.67,1756.94,16
HCPCS,J2274,MORPHINE SULF MICROINFUSION PF 500 MG/20ML 25 MG/ML SOLN 20 ML VIAL,2129.71,851.88,15.67,1916.74,16
HCPCS,J2275,MORPHINE 1 MG/ML SOLN 30 ML SYRINGE,48.1,19.240000000000002,14.0,55.08,34
HCPCS,J2277,MOTIXAFORTIDE ACETATE 62 MG SOLR 1 EACH VIAL,31222.8,12489.12,21.41,28100.52,32
HCPCS,J2280,MOXIFLOXACIN 400 MG/250ML SOLN 250 ML FLEX CONT,275.0,110.0,11.71,247.5,16
HCPCS,J2290,NAFCILLIN 10 G SOLR 1 EACH VIAL,634.8,253.92,220.8,720.36,51
HCPCS,J2290,NAFCILLIN 2 G SOLR 1 EACH VIAL,103.5,41.4,24.68,156.01,85
HCPCS,J2300,NALBUPHINE 10 MG/ML SOLN 1 ML AMPULE,37.13,14.85,4.81,33.44,48
HCPCS,J2300,NALBUPHINE 10 MG/ML SOLN 10 ML VIAL,329.5,131.8,4.81,296.55,32
HCPCS,J2300,NALBUPHINE 20 MG/ML SOLN 1 ML AMPULE,64.39,25.76,4.81,57.95,16
HCPCS,J2305,NITROGLYCERIN 2005 MCG/ML% SOLN 250 ML GLASS CONT,135.0,54.0,54.0,121.5,17
HCPCS,J2305,NITROGLYCERIN 5 MG/ML SOLN 10 ML VIAL,93.3,37.32,37.32,83.97,17
HCPCS,J2312,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,62.5,25.0,14.0,106.76,136
HCPCS,J2312,NALOXONE 2 MG/2ML SOSY 2 ML SYRINGE,193.05,77.22,0.1,178.2,64
HCPCS,J2312,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,423.2,169.28,132.0,589.91,153
HCPCS,J2315,NALTREXONE 380 MG SUSR 1 EACH VIAL,9030.46,3612.18,3.3,8127.41,32
HCPCS,J2323,NATALIZUMAB 300 MG/15ML CONC 15 ML VIAL,44751.23,17900.49,24.41,40276.11,32
HCPCS,J2326,NUSINERSEN 12 MG/5ML SOLN 5 ML VIAL,737346.75,294938.7,1000.0,663612.08,26
HCPCS,J2326,NUSINERSEN 28 MG/5ML SOLN 5 ML VIAL,764997.24,305998.9,1000.0,688497.52,26
HCPCS,J2326,NUSINERSEN 50 MG/5ML SOLN 5 ML VIAL,1366066.55,546426.62,1000.0,1229459.9,26
HCPCS,J2327,RISANKIZUMABRZAA 600 MG/10ML SOLN 10 ML VIAL,53585.36,21434.14,14.93,48226.82,32
HCPCS,J2329,UBLITUXIMABXIIY 150 MG/6ML SOLN 6 ML VIAL,55994.4,22397.76,62.84,50394.96,32
HCPCS,J2350,OCRELIZUMAB 300 MG/10ML SOLN 10 ML VIAL,109440.03,43776.01,59.32,98496.03,32
HCPCS,J2351,OCRELIZUMABHYALURONIDASEOCSQ 92023000 MGUT/23ML SOLN 23 ML VIAL,218880.05,87552.02,35.0,196992.05,32
HCPCS,J2353,OCTREOTIDE 10 MG KIT 1 EACH BOX,17758.1,7103.24,168.02,15982.29,32
HCPCS,J2353,OCTREOTIDE 20 MG KIT 1 EACH BOX,23266.15,9306.46,168.02,20939.54,32
HCPCS,J2353,OCTREOTIDE 30 MG KIT 1 EACH BOX,34839.29,13935.72,168.02,31355.36,32
HCPCS,J2354,OCTREOTIDE 50 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML SOLN 1 ML VIAL,49.32,19.73,0.79,53.68,64
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML SOLN 1 ML VIAL,210.0,84.0,0.79,189.0,16
HCPCS,J2356,TEZEPELUMABEKKO 210 MG/1.91ML SOAJ 1.91 ML PEN,23562.84,9425.14,16.62,21206.56,32
HCPCS,J2356,TEZEPELUMABEKKO 210 MG/1.91ML SOSY 1.91 ML SYRINGE,22019.55,8807.82,16.62,19817.6,32
HCPCS,J2357,OMALIZUMAB 150 MG SOLR 1 EACH VIAL,7830.94,3132.38,45.5,7047.85,32
HCPCS,J2357,OMALIZUMAB 150 MG/ML SOAJ 1 ML PEN,7830.94,3132.38,45.5,7047.85,32
HCPCS,J2357,OMALIZUMAB 150 MG/ML SOSY 1 ML SYRINGE,3915.47,1566.19,45.5,3523.92,64
HCPCS,J2357,OMALIZUMAB 300 MG/2 ML SOSY 2 ML SYRINGE,15661.97,6264.79,45.5,14095.77,32
HCPCS,J2357,OMALIZUMAB 75 MG/0.5ML SOSY 0.5 ML SYRINGE,3915.49,1566.2,45.5,3523.94,64
HCPCS,J2359,OLANZAPINE 10 MG SOLR 1 EACH VIAL,212.65,85.06,83.0,213.26,68
HCPCS,J2370,PHENYLEPHRINE 1000 MCG/10 ML SOLN 1 SYRINGE,35.0,14.0,14.0,31.5,17
HCPCS,J2371,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,153
HCPCS,J2371,PHENYLEPHRINE HCL 10 MG/ML SOLN 5 ML VIAL,59.7,23.88,21.6,123.75,51
HCPCS,J2371,PHENYLEPHRINE HCLNACL 0.1 MG/ML SOSY 10 ML SYRINGE,54.25,21.7,21.7,48.83,17
HCPCS,J2400,CHLOROPROCAINE HCL PF 3 % SOLN 20 ML VIAL,134.3,53.72,53.72,120.87,34
HCPCS,J2401,CHLOROPROCAINE HCL PF 2 % SOLN 20 ML VIAL,36.45,14.58,0.05,32.81,16
HCPCS,J2401,CHLOROPROCAINE HCL PF 3 % SOLN 20 ML VIAL,134.3,53.72,53.72,120.87,34
HCPCS,J2404,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,153.1,61.24,50.96,166.01,102
HCPCS,J2404,NICARDIPINE 200.86 MG/200ML% SOLN 200 ML FLEX CONT,300.0,120.0,120.0,270.0,17
HCPCS,J2404,NICARDIPINE 200.9 MG/200ML% SOLN 200 ML FLEX CONT,448.96,179.58,179.58,404.06,34
HCPCS,J2404,NICARDIPINE 400.83 MG/200ML% SOLN 200 ML FLEX CONT,441.6,176.64,176.64,397.44,34
HCPCS,J2404,NICARDIPINE 400.9 MG/200ML% SOLN 200 ML FLEX CONT,897.92,359.17,359.17,808.13,34
HCPCS,J2405,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,153
HCPCS,J2405,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL,35.0,14.0,1.07,31.5,96
HCPCS,J2407,ORITAVANCIN DIPHOSPHATE 400 MG SOLR 1 EACH VIAL,6025.99,2410.4,23.2,5423.39,32
HCPCS,J2425,PALIFERMIN 6.25 MG SOLR 1 EACH VIAL,15755.28,6302.11,16.34,14179.75,32
HCPCS,J2426,PALIPERIDONE PALMITATE ER 117 MG/0.75ML SUSY 0.75 ML SYRINGE,9210.01,3684.0,8.98,8289.01,32
HCPCS,J2430,PAMIDRONATE 30 MG/10ML SOLN 10 ML VIAL,162.0,64.8,64.8,145.8,17
HCPCS,J2430,PAMIDRONATE 90 MG/10ML SOLN 10 ML VIAL,393.125,157.25,12.53,505.22,32
HCPCS,J2440,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,236.73000000000002,94.69,90.0,223.61,102
HCPCS,J2469,PALONOSETRON 0.25 MG/5ML SOLN 5 ML VIAL,108.0,43.2,0.44,1406.57,48
HCPCS,J2469,PALONOSETRON 0.25 MG/5ML SOSY 5 ML SYRINGE,300.0,120.0,0.44,270.0,16
HCPCS,J2470,INJ PANTOPRAZOLE SODIUM 40MG,5.0,2.0,2.0,4.5,16
HCPCS,J2471,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,38.75,15.5,8.62,38.25,144
HCPCS,J2501,PARICALCITOL 2 MCG/ML SOLN 1 ML VIAL,36.36,14.54,14.54,32.72,17
HCPCS,J2501,PARICALCITOL 5 MCG/ML SOLN 1 ML VIAL,90.9,36.36,1.24,81.81,16
HCPCS,J2501,PARICALCITOL 5 MCG/ML SOLN 2 ML VIAL,181.8,72.72,1.24,163.62,16
HCPCS,J2502,PASIREOTIDE PAMOATE 10 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
HCPCS,J2502,PASIREOTIDE PAMOATE 20 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
HCPCS,J2502,PASIREOTIDE PAMOATE 30 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
HCPCS,J2502,PASIREOTIDE PAMOATE 40 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6ML SOSY 0.6 ML SYRINGE,32346.68,12938.67,52.59,29112.01,32
HCPCS,J2506,PEGFILGRASTIM INF DEV 6 MG/0.6ML SOSY 0.6 ML SYRINGE,32346.68,12938.67,52.59,29112.01,32
HCPCS,J2510,PENICILLIN G PROCAINE 600000 UNIT/ML SUSP 1 ML SYRINGE,275.71,110.28,29.13,248.14,23
HCPCS,J2510,PENICILLIN G PROCAINE 600000 UNIT/ML SUSP 2 ML SYRINGE,426.41,170.56,29.13,383.77,23
HCPCS,J2515,PENTOBARBITAL 50 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,19.3,48.25,26
HCPCS,J2515,PENTOBARBITAL 50 MG/ML SOLN 20 ML VIAL,6098.4,2439.36,19.3,5488.56,26
HCPCS,J2515,PENTOBARBITAL 50 MG/ML SOLN 50 ML VIAL,7660.8,3064.32,19.3,6894.72,26
HCPCS,J2540,PENICILLIN G POTASSIUM 20000000 UNITS SOLR 1 EACH VIAL,302.625,121.05000000000001,119.4,281.25,68
HCPCS,J2540,PENICILLIN G POTASSIUM 40000 UNIT/ML SOLN 50 ML PLAS CONT,62.0,24.8,24.8,55.8,17
HCPCS,J2540,PENICILLIN G POTASSIUM 5000000 UNITS SOLR 1 EACH VIAL,76.33,30.53,30.53,68.7,17
HCPCS,J2540,PENICILLIN G POTASSIUM 60000 UNIT/ML SOLN 50 ML PLAS CONT,64.25,25.7,25.7,57.83,17
HCPCS,J2543,PIPERACILLINTAZOBACTAM 2.25 20.25 G SOLR 1 EACH VIAL,61.54,24.62,24.62,55.39,17
HCPCS,J2543,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,66.0,26.4,14.0,83.09,204
HCPCS,J2543,PIPERACILLINTAZOBACTAM 30.375 GM/50ML SOLN 50 ML PLAS CONT,121.75,48.7,48.7,109.58,34
HCPCS,J2543,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,84.0,33.53,14.4,123.98,306
HCPCS,J2545,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,730.265,292.105,56.65,829.12,176
HCPCS,J2550,PROMETHAZINE 25 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,102
HCPCS,J2550,PROMETHAZINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,68
HCPCS,J2560,PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL,339.75,135.9,39.22,305.8,64
HCPCS,J2560,PHENOBARBITAL 65 MG/ML SOLN 1 ML VIAL,125.45,50.18,39.22,117.81,48
HCPCS,J2562,PLERIXAFOR 24 MG/1.2ML SOLN 1.2 ML VIAL,27783.17,11113.265,28.49,45215.15,64
HCPCS,J2590,OXYTOCIN 10 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,51
HCPCS,J2590,OXYTOCIN 10 UNIT/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J2590,OXYTOCIN 10 UNIT/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J2597,DESMOPRESSIN 4 MCG/ML SOLN 1 ML,364.63,145.85,4.75,328.17,17
HCPCS,J2597,DESMOPRESSIN 4 MCG/ML SOLN 10 ML VIAL,2180.4,872.16,4.75,2381.4,51
HCPCS,J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML SOLN 1 ML AMPULE,228.0,91.2,4.75,205.2,68
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,116.33,46.53,14.0,266.71,187
HCPCS,J2599,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,75.0,30.0,30.0,67.5,17
HCPCS,J2601,VASOPRESSIN 400.9 UT/100ML% SOLN 100 ML FLEX CONT,828.0,331.2,1.75,745.2,32
HCPCS,J2601,VASOPRESSIN 400.9 UT/100ML% SOLN 100 ML GLASS CONT,717.6,287.04,1.75,645.84,32
HCPCS,J2675,PROGESTERONE 50 MG/ML OIL 10 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG/ML SOLN 5 ML VIAL,72.6,29.04,18.72,81.0,51
HCPCS,J2690,PROCAINAMIDE 100 MG/ML SOLN 10 ML VIAL,2262.255,904.9,183.04,2721.6,160
HCPCS,J2690,PROCAINAMIDE 500 MG/ML SOLN 2 ML VIAL,3024.0,1209.6,183.04,2721.6,32
HCPCS,J2700,OXACILLIN 1 G SOLR 1 EACH VIAL,72.5,29.0,1.03,65.25,16
HCPCS,J2700,OXACILLIN 2 G SOLR 1 EACH VIAL,140.76999999999998,56.305,1.03,127.24,32
HCPCS,J2700,OXACILLIN SODIUM 10 G SOLR 1 EACH VIAL,634.8,253.92,1.03,571.32,16
HCPCS,J2704,PROPOFOL 10 MG/ML EMUL 100 ML GLASS CONT,180.0,72.0,72.0,162.0,34
HCPCS,J2704,PROPOFOL 10 MG/ML EMUL 100 ML VIAL,152.5,61.0,51.8,157.95,34
HCPCS,J2704,PROPOFOL 10 MG/ML EMUL 20 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J2704,PROPOFOL 10 MG/ML EMUL 50 ML VIAL,90.0,36.0,36.0,81.0,34
HCPCS,J2704,PROPOFOL INFUSION 20 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J2704,PROPOFOL INFUSION 50 ML VIAL,64.75,25.9,25.9,58.28,17
HCPCS,J2704,PROPOFOL IV PUSH 10 MG/ML EMUL 20 ML VIAL,36.0,14.4,14.4,32.4,34
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,110.15,44.06,16.8,151.2,153
HCPCS,J2720,PROTAMINE 10 MG/ML SOLN 25 ML VIAL,317.5,127.0,127.0,285.75,17
HCPCS,J2720,PROTAMINE 10 MG/ML SOLN 5 ML VIAL,92.88,37.15,37.15,83.59,34
HCPCS,J2724,PROTEIN C CONCENTRATE HUMAN 1000 UNITS SOLR 1 EACH VIAL,35.0,14.0,13.5,37.68,32
HCPCS,J2730,PRALIDOXIME 1 G SOLR 1 EACH VIAL,478.58,191.43,191.43,430.72,34
HCPCS,J2760,PHENTOLAMINE 5 MG SOLR 1 EACH VIAL,2469.39,917.04,288.63,2222.47,96
HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.42,31.5,96
HCPCS,J2777,FARICIMABSVOA 6 MG/0.05ML SOSY 0.05 ML SYRINGE,12124.01,4849.6,32.38,10911.61,26
HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05ML SOLN 0.05 ML VIAL,10237.5,4095.0,51.09,9213.75,32
HCPCS,J2783,RASBURICASE 1.5 MG SOLR 1 EACH VIAL,5635.04,2254.02,241.18,5071.54,32
HCPCS,J2783,RASBURICASE 7.5 MG SOLR 1 EACH VIAL,28175.15,11270.06,241.18,25357.64,32
HCPCS,J2785,REGADENOSON 0.4 MG/5ML SOLN 5 ML SYRINGE,780.69,312.275,3.93,1280.55,64
HCPCS,J2785,REGADENOSON PER 0.1MG,39.0,15.6,3.93,35.1,16
HCPCS,J2786,RESLIZUMAB 100 MG/10ML SOLN 10 ML VIAL,5839.93,2335.97,10.56,5255.94,32
HCPCS,J2790,RHO D IMMUNE GLOBULIN 1500 UNITS SOSY 1 EACH SYRINGE,678.96,271.58,119.79,611.06,16
HCPCS,J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML SOSY 2 ML SYRINGE,976.81,390.72,6.32,879.13,16
HCPCS,J2792,RHO D IMMUNE GLOBULIN 1500 UNIT/1.3ML SOLN 1.3 ML VIAL,2720.76,1088.3,24.88,2448.68,32
HCPCS,J2792,RHO D IMMUNE GLOBULIN 15000 UNIT/13ML SOLN 13 ML VIAL,27376.82,10950.73,24.88,24639.14,32
HCPCS,J2794,RISPERIDONE MICROSPHERES ER 25 MG SRER 1 EACH VIAL,3349.84,1339.94,7.62,3014.86,32
HCPCS,J2794,RISPERIDONE MICROSPHERES ER 37.5 MG SRER 1 EACH VIAL,4719.4349999999995,1887.775,7.62,4522.43,96
HCPCS,J2794,RISPERIDONE MICROSPHERES ER 50 MG SRER 1 EACH VIAL,6292.795,2517.115,7.62,6030.12,96
HCPCS,J2795,ROPIVACAINE 10 MG/ML SOLN 10 ML VIAL,102.15,40.86,40.86,91.94,17
HCPCS,J2795,ROPIVACAINE 10 MG/ML SOLN 20 ML VIAL,69.075,27.63,14.4,91.94,34
HCPCS,J2795,ROPIVACAINE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J2795,ROPIVACAINE 2 MG/ML SOLN 20 ML VIAL,60.150000000000006,24.060000000000002,14.0,59.67,85
HCPCS,J2795,ROPIVACAINE 5 MG/ML SOLN 100 ML VIAL,54.75,21.9,21.9,49.28,34
HCPCS,J2795,ROPIVACAINE 5 MG/ML SOLN 20 ML VIAL,74.33,29.73,29.73,66.9,17
HCPCS,J2795,ROPIVACAINE 5 MG/ML SOLN 200 ML VIAL,54.75,21.9,21.9,49.28,34
HCPCS,J2795,ROPIVACAINE 5 MG/ML SOLN 30 ML VIAL,54.75,21.9,14.0,60.96,68
HCPCS,J2795,ROPIVACAINE 7.5 MG/ML SOLN 20 ML AMPULE,113.4,45.36,45.36,102.06,17
HCPCS,J2795,ROPIVACAINE 7.5 MG/ML SOLN 20 ML VIAL,145.65,58.26,51.72,145.8,51
HCPCS,J2800,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,51.58,20.63,6.23,75.6,176
HCPCS,J2802,ROMIPLOSTIM 125 MCG SOLR 1 EACH VIAL,6937.73,2775.09,8.18,6243.96,32
HCPCS,J2802,ROMIPLOSTIM 250 MCG SOLR 1 EACH VIAL,13875.2,5550.08,8.18,12487.68,32
HCPCS,J2802,ROMIPLOSTIM 500 MCG SOLR 1 EACH VIAL,27750.32,11100.13,8.18,24975.29,32
HCPCS,J2804,RIFAMPIN 600 MG SOLR 1 EACH VIAL,886.1,354.44,0.18,887.08,48
HCPCS,J2805,SINCALIDE 5 MCG SOLR 1 EACH VIAL,720.16,288.06,274.08,678.78,80
HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLR 1 EACH VIAL,1736.75,694.7,47.52,1563.08,32
HCPCS,J2840,SEBELIPASE ALFA 20 MG/10ML SOLN 10 ML VIAL,51458.4,20583.36,508.46,46312.56,32
HCPCS,J2850,SECRETIN 16 MCG SOLR 1 EACH VIAL,2142.0,856.8,24.9,1927.8,32
HCPCS,J2860,SILTUXIMAB 100 MG SOLR 1 EACH VIAL,7198.485000000001,2879.395,82.37,7635.38,64
HCPCS,J2860,SILTUXIMAB 400 MG SOLR 1 EACH VIAL,28793.855,11517.545,82.37,30541.34,64
HCPCS,J2865,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 10 ML VIAL,75.65,30.26,0.07,68.45,80
HCPCS,J2865,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 30 ML VIAL,226.875,90.75,0.07,205.2,48
HCPCS,J2916,FERRIC GLUCONATE 12.5 MG/ML SOLN 5 ML VIAL,190.8,76.32,76.32,171.72,51
HCPCS,J2919,METHYLPREDNISOLONE NA SUC PF 1000 MG SOLR 1 EACH VIAL,380.42,152.17,0.11,342.38,16
HCPCS,J2919,METHYLPREDNISOLONE NA SUC PF 125 MG SOLR 1 EACH VIAL,62.504999999999995,25.0,0.11,56.26,32
HCPCS,J2919,METHYLPREDNISOLONE NA SUC PF 40 MG SOLR 1 EACH VIAL,38.805,15.52,0.11,34.93,32
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL,228.325,91.33000000000001,0.11,237.51,64
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG SOLR 1 EACH VIAL,138.7,55.48,0.11,131.13,51
HCPCS,J2997,ALTEPLASE 100 MG SOLR 1 EACH VIAL,44353.81,17741.52,65.31,39918.43,32
HCPCS,J2997,ALTEPLASE 2 MG SOLR 1 EACH VIAL,1073.27,429.31,65.31,965.94,32
HCPCS,J2997,ALTEPLASE 50 MCG/0.1 ML SOLN 1 EACH,35.0,14.0,14.0,246.47,32
HCPCS,J2997,ALTEPLASE 50 MG SOLR 1 EACH VIAL,22176.92,8870.77,65.31,19959.23,32
HCPCS,J3000,STREPTOMYCIN 1 G SOLR 1 EACH VIAL,234.38,93.75,47.7,210.94,16
HCPCS,J3010,FENTANYL 0.05 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
HCPCS,J3010,FENTANYL 20 MCG/ML SOLN 50 ML SYRINGE,100.0,40.0,1.43,90.0,16
HCPCS,J3010,FENTANYL 25 MCG/ML 50 ML SYRINGE,100.0,40.0,40.0,90.0,34
HCPCS,J3010,FENTANYL 5 MCG/ML SOLN 2 ML SYRINGE,35.0,14.0,1.43,31.5,32
HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML SOLN 10 ML VIAL,60.8,24.32,1.43,54.72,16
HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML AMPULE,35.0,14.0,1.43,31.5,16
HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,96
HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML SOLN 20 ML VIAL,62.9,25.16,1.43,59.4,48
HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML AMPULE,35.0,14.0,1.43,31.5,16
HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML VIAL,35.0,14.0,1.43,31.5,96
HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML SOLN 50 ML VIAL,215.125,86.05,1.43,252.23,32
HCPCS,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN 0.5 ML VIAL,189.125,75.65,26.4,351.9,102
HCPCS,J3055,TALQUETAMABTGVS 3 MG/1.5ML SOLN 1.5 ML VIAL,4367.08,1746.83,58.28,3930.37,32
HCPCS,J3055,TALQUETAMABTGVS 40 MG/ML SOLN 1 ML VIAL,58227.29,23290.92,58.28,52404.56,32
HCPCS,J3060,TALIGLUCERASE ALFA 200 UNITS SOLR 1 EACH VIAL,4756.71,1902.68,40.94,4281.04,32
HCPCS,J3095,TELAVANCIN HCL 750 MG SOLR 1 EACH VIAL,3533.78,1413.51,7.37,3180.4,32
HCPCS,J3101,TENECTEPLASE 25 MG KIT 1 EACH VIAL,43072.76,17229.1,94.73,38765.48,32
HCPCS,J3101,TENECTEPLASE 50 MG KIT 1 EACH BOX,41818.18,16727.27,94.73,37636.36,32
HCPCS,J3101,TENECTEPLASE 50 MG KIT 1 EACH VIAL,43072.76,17229.1,94.73,38765.48,32
HCPCS,J3105,TERBUTALINE 1 MG/ML SOLN 1 ML VIAL,76.6,30.64,14.0,106.38,85
HCPCS,J3111,ROMOSOZUMABAQQG 105 MG/1.17ML SOSY 1.17 ML SYRINGE,6624.87,2649.95,8.34,5962.38,32
HCPCS,J3230,CHLORPROMAZINE 25 MG/ML SOLN 1 ML AMPULE,173.34,69.33500000000001,69.33,156.02,68
HCPCS,J3230,CHLORPROMAZINE 25 MG/ML SOLN 1 ML VIAL,149.76,59.9,59.9,134.78,68
HCPCS,J3230,CHLORPROMAZINE HCL 50 MG/2ML SOLN 2 ML AMPULE,198.60500000000002,79.44,79.44,178.75,34
HCPCS,J3230,CHLORPROMAZINE HCL 50 MG/2ML SOLN 2 ML VIAL,171.6,68.64,68.64,154.44,17
HCPCS,J3240,THYROTROPIN ALFA 0.9 MG SOLR 1 EACH VIAL,10395.36,4158.14,1427.47,9355.82,32
HCPCS,J3241,TEPROTUMUMABTRBW 500 MG SOLR 1 EACH VIAL,90815.51,36326.2,358.93,81733.96,32
HCPCS,J3243,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,719.9,287.96,0.49,775.01,80
HCPCS,J3245,TILDRAKIZUMABASMN 100 MG/ML SOSY 1 ML SYRINGE,92336.16,36934.46,123.79,83102.54,32
HCPCS,J3247,SECUKINUMAB 125 MG/5ML SOLN 5 ML VIAL,11091.32,4436.53,15.85,9982.19,32
HCPCS,J3250,TRIMETHOBENZAMIDE 100 MG/ML SOLN 2 ML VIAL,364.77,145.91,145.91,328.29,17
HCPCS,J3260,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,431.25,172.5,3.08,905.63,160
HCPCS,J3260,TOBRAMYCIN 1.2 GM/30ML SOLN 30 ML VIAL,130.35,52.14,51.48,118.8,34
HCPCS,J3260,TOBRAMYCIN 40 MG/ML NEBU 2 ML VIAL,4.65,1.86,1.86,4.19,17
HCPCS,J3260,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,102
HCPCS,J3262,TOCILIZUMAB 200 MG/10ML SOLN 10 ML VIAL,6692.66,2677.06,5.41,6023.39,32
HCPCS,J3262,TOCILIZUMAB 400 MG/20ML SOLN 20 ML VIAL,13385.32,5354.13,5.41,12046.79,32
HCPCS,J3262,TOCILIZUMAB 80 MG/4ML SOLN 4 ML VIAL,2677.05,1070.82,5.41,2409.35,32
HCPCS,J3263,TORIPALIMABTPZI 240 MG/6ML SOLN 6 ML VIAL,49176.54,19670.62,35.57,44258.89,32
HCPCS,J3285,TREPROSTINIL 20 MG/20ML SOLN 20 ML VIAL,6257.08,2502.835,54.48,5775.77,96
HCPCS,J3285,TREPROSTINIL 200 MG/20ML SOLN 20 ML VIAL,64175.33,25670.13,54.48,57757.8,32
HCPCS,J3300,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,4014.36,1605.74,3.44,4281.98,52
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSP 5 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,49.775,19.91,14.0,50.54,102
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 10 ML VIAL,38.85,15.54,15.54,34.97,17
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 5 ML VIAL,52.02,20.81,20.81,46.82,17
HCPCS,J3315,TRIPTORELIN PAMOATE 11.25 MG SUSR 1 EACH VIAL,13401.485,5360.595,448.7,13056.12,64
HCPCS,J3316,TRIPTORELIN PAMOATE ER CPP 22.5 MG SRER 1 EACH VIAL,115751.66,46300.66,2624.0,104176.49,32
HCPCS,J3357,USTEKINUMAB 45 MG/0.5ML SOSY 0.5 ML SYRINGE,77134.85,30853.94,160.56,69421.37,22
HCPCS,J3357,USTEKINUMAB 90 MG/ML SOSY 1 ML SYRINGE,154269.53,61707.81,160.56,138842.58,22
HCPCS,J3358,USTEKINUMAB 130 MG/26ML SOLN 26 ML VIAL,11217.24,4486.9,11.36,10095.52,32
HCPCS,J3360,DIAZEPAM 5 MG/ML SOLN 2 ML CRTRDGNDL,240.0,96.0,96.0,216.0,34
HCPCS,J3370,VANCOMYCIN 1 MG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,15
HCPCS,J3370,VANCOMYCIN 100 MG/ML SOLR 100 ML BOTTLE,9.19,3.68,3.68,8.27,15
HCPCS,J3370,VANCOMYCIN 25 MG/ML SUSP 5 ML ORAL SYRINGE,18.35,7.34,7.34,16.52,17
HCPCS,J3371,VANCOMYCIN HCL 1.5 G SOLR 1 EACH VIAL,144.72,57.89,57.89,130.25,15
HCPCS,J3373,VANCOMYCIN 1.250.9 GM/250ML% SOLN 250 ML FLEX CONT,122.5,49.0,49.0,110.25,17
HCPCS,J3373,VANCOMYCIN 1.50.9 GM/250ML% SOLN 250 ML FLEX CONT,133.75,53.5,53.5,120.38,17
HCPCS,J3373,VANCOMYCIN 15 GM/200ML% SOLN 200 ML PLAS CONT,162.0,64.8,0.04,145.8,16
HCPCS,J3373,VANCOMYCIN 500 MG SOLR 1 EACH VIAL,48.6,19.439999999999998,0.04,44.07,64
HCPCS,J3373,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,96.25,38.5,0.04,87.93,160
HCPCS,J3373,VANCOMYCIN HCL 10 G SOLR 1 EACH VIAL,764.565,305.825,0.04,1079.22,32
HCPCS,J3373,VANCOMYCIN HCL 5 G SOLR 1 EACH VIAL,498.23,199.29,0.04,448.41,16
HCPCS,J3373,VANCOMYCIN HCL 750 MG SOLR 1 EACH VIAL,59.01,23.6,0.04,53.11,16
HCPCS,J3374,VANCOMYCIN HCL 1.25 G SOLR 1 EACH VIAL,120.6,48.24,0.16,108.54,80
HCPCS,J3374,VANCOMYCIN HCL 1.5 G SOLR 1 EACH VIAL,145.42000000000002,58.17,0.16,131.51,32
HCPCS,J3375,VANCOMYCIN 1000 MG/200ML SOLN 200 ML FLEX CONT,102.0,40.8,0.18,97.2,48
HCPCS,J3380,VEDOLIZUMAB 300 MG SOLR 1 EACH VIAL,50947.85,20379.14,21.37,45853.07,32
HCPCS,J3385,VELAGLUCERASE ALFA 400 UNITS SOLR 1 EACH VIAL,7585.24,3034.1,374.75,6826.72,32
HCPCS,J3396,VERTEPORFIN 15 MG SOLR 1 EACH VIAL,8616.93,3446.77,10.26,7755.24,32
HCPCS,J3410,HYDROXYZINE 25 MG/ML SOLN 1 ML VIAL,183.42,73.37,19.89,165.08,16
HCPCS,J3410,HYDROXYZINE 50 MG/ML SOLN 1 ML VIAL,202.255,80.9,19.89,182.03,32
HCPCS,J3410,HYDROXYZINE 50 MG/ML SOLN 2 ML VIAL,278.52,111.41,19.89,250.67,16
HCPCS,J3411,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,170
HCPCS,J3415,PYRIDOXINE 100 MG/ML SOLN 1 ML VIAL,65.19,26.08,26.08,58.67,17
HCPCS,J3420,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,39.35,15.74,14.0,39.33,187
HCPCS,J3425,HYDROXOCOBALAMIN ACETATE 1000 MCG/ML SOLN 30 ML VIAL,191.25,76.5,0.01,172.13,17
HCPCS,J3430,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML AMPULE,35.0,14.0,3.55,31.5,32
HCPCS,J3430,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML SYRINGE,148.38,59.35,3.55,133.54,16
HCPCS,J3430,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML VIAL,36.0,14.4,3.55,32.4,32
HCPCS,J3430,PHYTONADIONE 10 MG/ML SOLN 1 ML AMPULE,61.455,24.58,3.55,66.11,82
HCPCS,J3430,VITAMIN K1 1 MG/0.5ML SOLN 0.5 ML AMPULE,35.0,14.0,14.0,31.5,17
HCPCS,J3430,VITAMIN K1 1 MG/0.5ML SOLN 0.5 ML SYRINGE,147.61,59.04,59.04,132.85,34
HCPCS,J3465,VORICONAZOLE 100 MCG/0.1 ML SOLN 100 MCG SYRINGE,391.64,156.66,156.66,352.48,17
HCPCS,J3465,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,360.0,144.0,1.0,631.68,112
HCPCS,J3470,HYALURONIDASE BOVINE 150 UNIT/ML SOLN 1 ML VIAL,334.8,133.92,41.89,301.32,16
HCPCS,J3473,HYALURONIDASE HUMAN 150 UNIT/ML SOLN 1 ML VIAL,334.8,133.92,133.92,301.32,34
HCPCS,J3475,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,77.0,30.8,16.3,87.53,153
HCPCS,J3475,MAGNESIUM SULFATE 20 G/500 ML 20 GM/500ML SOLN 500 ML FLEX CONT,65.0,26.0,15.0,83.25,34
HCPCS,J3475,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,39.0,15.6,14.0,49.05,204
HCPCS,J3475,MAGNESIUM SULFATE 40 GM/1000ML SOLN 1000 ML FLEX CONT,50.0,20.0,20.0,45.0,17
HCPCS,J3475,MAGNESIUM SULFATE 50 % SOLN 10 ML VIAL,35.0,14.0,0.62,31.5,16
HCPCS,J3475,MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL,35.0,14.0,0.62,31.5,64
HCPCS,J3475,MAGNESIUM SULFATE 50 % SOLN 20 ML VIAL,35.0,14.0,0.62,31.5,64
HCPCS,J3475,MAGNESIUM SULFATE 50 % SOLN 50 ML VIAL,35.0,14.0,0.62,31.5,16
HCPCS,J3480,0.45 % NACL WITH KCL 20 MEQ 200.45 MEQ/L% SOLN 1000 ML FLEX CONT,30.0,12.0,12.0,27.0,17
HCPCS,J3480,0.9 % NACL WITH KCL 20 MEQ 200.9 MEQ/L% SOLN 1000 ML FLEX CONT,65.0,26.0,26.0,58.5,17
HCPCS,J3480,0.9 % NACL WITH KCL 40 MEQ 400.9 MEQ/L% SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
HCPCS,J3480,DEXTROSE 5 % WITH KCL 20 MEQ 20 MEQ/L SOLN 1000 ML FLEX CONT,60.0,24.0,24.0,54.0,17
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN 100 ML FLEX CONT,240.0,96.0,96.0,216.0,34
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN 100 ML PLAS CONT,23.5,9.4,9.4,21.15,17
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/50ML SOLN 50 ML,77.5,31.0,31.0,69.75,17
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,34
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50ML SOLN 50 ML FLEX CONT,90.75,36.3,12.6,135.0,51
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50ML SOLN 50 ML PLAS CONT,22.75,9.1,9.1,20.48,17
HCPCS,J3480,POTASSIUM CHLORIDE 30 MEQ/100ML SOLN 100 ML,45.5,18.2,18.2,40.95,17
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100ML SOLN 100 ML PLAS CONT,35.0,14.0,14.0,31.5,17
HCPCS,J3485,ZIDOVUDINE 10 MG/ML SOLN 20 ML VIAL,175.1,70.04,1.51,157.59,26
HCPCS,J3486,ZIPRASIDONE 20 MG SOLR 1 EACH VIAL,196.74,78.7,8.88,177.07,32
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100ML SOLN 100 ML PLAS CONT,993.6,397.44,6.58,894.24,16
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5ML CONC 5 ML VIAL,3247.21,1298.885,6.58,3168.74,32
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML BAG,1932.0,772.8,6.58,1738.8,16
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML BOTTLE,828.0,331.2,6.58,745.2,16
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML FLEX CONT,1932.0,772.8,6.58,1738.8,16
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML VIAL,2937.24,1174.895,6.58,3796.63,32
HCPCS,J3490,ANAKINRA 100 MG/0.67ML SOSY 0.67 ML SYRINGE,1244.39,497.76,497.76,1119.95,34
HCPCS,J3490,ANGIOTENSIN II ACETATE 2.5 MG/ML SOLN 1 ML VIAL,9570.96,3828.38,0.5,8613.86,16
HCPCS,J3490,ANTIVENIN MICRURUS FULVIUS SOLR 1 EACH VIAL,46591.69,18636.68,0.5,41932.52,16
HCPCS,J3490,FLUMAZENIL 0.5 MG/5ML SOLN 5 ML VIAL,41.59,16.634999999999998,15.6,40.08,102
HCPCS,J3490,FLUMAZENIL 1 MG/10ML SOLN 10 ML VIAL,96.0,38.4,32.5,387.01,85
HCPCS,J3490,IDARUCIZUMAB 2.5 GM/50ML SOLN 50 ML VIAL,31226.5,12490.6,0.5,28103.85,16
HCPCS,J3490,ISAVUCONAZONIUM SULFATE 186 MG CAPS 14 EACH BOX,638.93,255.57,255.57,575.04,17
HCPCS,J3490,LETROZOLE 2.5 MG TABS 1 EACH,90.26,36.1,0.5,81.23,16
HCPCS,J3490,LETROZOLE 2.5 MG TABS 30 EACH BOTTLE,90.58,36.23,0.5,81.52,16
HCPCS,J3490,LETROZOLE 2.5 MG TABS 50 EACH BOX,90.26,36.1,0.5,81.23,16
HCPCS,J3490,LIRAGLUTIDE 18 MG/3ML SOL PENINJ 3 ML PEN,54.35,21.74,21.74,48.92,17
HCPCS,J3490,NITRIC OXIDE PER HOUR,372.0,148.8,148.8,334.8,17
HCPCS,J3490,SODIUM HYALURONATE 10 MG/ML SOLN 0.85 ML SYRINGE,1071.205,428.48,315.21,1218.94,51
HCPCS,J3490,SUGAMMADEX SODIUM 500 MG/5ML SOLN 5 ML VIAL,1376.41,550.56,550.56,1238.77,34
HCPCS,J3490,TADALAFIL PAH 20 MG TABS 60 EACH BOTTLE,383.64,153.46,0.5,345.28,16
HCPCS,J3490,TERLIPRESSIN 0.85 MG SOLR 1 EACH VIAL,5276.88,2110.75,0.5,4749.19,16
HCPCS,J7030,SODIUM CHLORIDE 0.9 % SOLN 100 ML FLEX CONT,31.75,12.7,8.0,39.15,51
HCPCS,J7030,SODIUM CHLORIDE 0.9 % SOLN 50 ML FLEX CONT,20.0,8.0,8.0,18.0,34
HCPCS,J7040,SODIUM CHLORIDE 0.9 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,34
HCPCS,J7042,DEXTROSE 5 % AND 0.9 % NACL 50.9 % SOLN 1000 ML FLEX CONT,27.5,11.0,8.0,31.5,34
HCPCS,J7042,DEXTROSE 5 % AND 0.9 % NACL 50.9 % SOLN 500 ML FLEX CONT,30.0,12.0,11.0,29.25,34
HCPCS,J7050,SODIUM CHLORIDE 0.9 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
HCPCS,J7060,DEXTROSE 5 % SOLN 100 ML FLEX CONT,20.0,8.0,8.0,18.0,51
HCPCS,J7060,DEXTROSE 5 % SOLN 25 ML FLEX CONT,20.0,8.0,8.0,18.0,17
HCPCS,J7060,DEXTROSE 5 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
HCPCS,J7060,DEXTROSE 5 % SOLN 50 ML FLEX CONT,20.0,8.0,8.0,18.0,34
HCPCS,J7060,DEXTROSE 5 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
HCPCS,J7070,DEXTROSE 5 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,34
HCPCS,J7120,LACTATED RINGERS SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,34
HCPCS,J7120,LACTATED RINGERS SOLN 250 ML FLEX CONT,27.5,11.0,11.0,24.75,17
HCPCS,J7120,LACTATED RINGERS SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
HCPCS,J7168,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS KIT 1 EACH BOX,35.0,14.0,2.01,31.5,32
HCPCS,J7168,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS KIT 1 EACH BOX,35.0,14.0,2.01,31.5,32
HCPCS,J7171,ADAMTS13 RECOMBINANTKRHN 1500 UNITS KIT 1 EACH BOX,35.0,14.0,14.0,90.54,32
HCPCS,J7171,ADAMTS13 RECOMBINANTKRHN 500 UNITS KIT 1 EACH BOX,35.0,14.0,14.0,90.54,32
HCPCS,J7185,ANTIHEM FACT BDDRFVIIIMOR 2000 UNITS KIT 1 EACH BOX,35.0,14.0,1.37,31.5,32
HCPCS,J7187,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.27,31.5,32
HCPCS,J7187,ANTIHEMOPHILIC FACTORVWF 250600 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.27,31.5,32
HCPCS,J7187,ANTIHEMOPHILIC FACTORVWF 5001200 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.27,31.5,32
HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 1 MG SOLR 1 EACH VIAL,35.0,14.0,2.26,31.5,32
HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 5 MG SOLR 1 EACH VIAL,35.0,14.0,2.26,31.5,32
HCPCS,J7192,ANTIHEM FACTOR RECOMB RFVIII 1000 UNITS KIT 1 EACH BOX,35.0,14.0,1.32,31.5,32
HCPCS,J7192,ANTIHEM FACTOR RECOMB RFVIII 12411800 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
HCPCS,J7192,ANTIHEMOPHIL FACTOR RAHFPFM 1000 UNITS SOLR 1 EACH VIAL,11.75,4.7,1.32,10.58,32
HCPCS,J7192,ANTIHEMOPHIL FACTOR RAHFPFM 1500 UNITS SOLR 1 EACH VIAL,11.75,4.7,1.32,10.58,32
HCPCS,J7192,ANTIHEMOPHIL FACTOR RAHFPFM 2000 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
HCPCS,J7192,ANTIHEMOPHIL FACTOR RAHFPFM 500 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
HCPCS,J7192,ANTIHEMOPHILIC FACTOR RECOMB 220400 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
HCPCS,J7192,ANTIHEMOPHILIC FACTOR RECOMB 401800 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
HCPCS,J7192,ANTIHEMOPHILIC FACTOR RECOMB 8011240 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
HCPCS,J7192,RECOMBINANT FACTOR VIII/ANTIHEMOPHILIC FACTOR RAHFPFM 250 UNITS SOLR 1 EACH,35.0,14.0,1.32,31.5,32
HCPCS,J7193,COAGULATION FACTOR IX 1000 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.25,31.5,32
HCPCS,J7195,COAGULATION FACTOR IX RECOMB 1000 UNITS KIT 1 EACH BOX,35.0,14.0,1.67,31.5,32
HCPCS,J7195,COAGULATION FACTOR IX RECOMB 250 UNITS KIT 1 EACH VIAL,35.0,14.0,1.67,31.5,32
HCPCS,J7195,COAGULATION FACTOR IX RECOMB 500 UNITS KIT 1 EACH VIAL,35.0,14.0,1.67,31.5,32
HCPCS,J7197,ANTITHROMBIN III HUMAN 500 UNITS SOLR 1 EACH VIAL,35.0,14.0,3.73,31.5,64
HCPCS,J7198,ANTIINHIBITOR COAGULANT CMPLX 1000 UNITS SOLR 1 EACH VIAL,35.0,14.0,2.07,31.5,32
HCPCS,J7198,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS SOLR 1 EACH VIAL,35.0,14.0,2.07,31.5,32
HCPCS,J7200,COAGULATION FACTOR IX RECOMB 2000 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.72,31.5,26
HCPCS,J7200,COAGULATION FACTOR IX RECOMB 250 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.72,31.5,26
HCPCS,J7200,COAGULATION FACTOR IX RECOMB 500 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.72,31.5,26
HCPCS,J7296,LEVONORGESTREL 19.5 MG IUD 1 EACH BOX,6413.11,2565.24,824.0,5771.8,22
HCPCS,J7298,LEVONORGESTREL 21 MCG/DAY IUD 1 EACH BOX,6413.11,2565.24,778.09,5771.8,22
HCPCS,J7300,INTRAUT COPPER CONTRACEPTIVE,891.0,356.4,356.4,891.0,22
HCPCS,J7300,PARAGARD INTRAUTERINE COPPER IUD 1 EACH BOX,4457.88,1783.15,709.44,4012.09,22
HCPCS,J7301,LEVONORGESTREL 13.5 MG IUD 1 EACH BOX,5339.96,2135.98,624.3,4805.96,22
HCPCS,J7307,ETONOGESTREL 68 MG IMPL 1 EACH BOX,6427.81,2571.12,740.66,5785.03,22
HCPCS,J7312,DEXAMETHASONE 0.7 MG IMPL 1 EACH BOX,6919.92,2767.97,176.53,6227.93,32
HCPCS,J7315,MITOMYCIN 0.25 MG/ML INJECTION 0.25 MG,336.0,134.4,134.4,336.0,16
HCPCS,J7321,SODIUM HYALURONATE 20 MG/2ML SOLN 2 ML VIAL,1048.8,419.52,92.98,943.92,16
HCPCS,J7325,HYLAN GF 20 48 MG/6ML SOSY 6 ML SYRINGE,6902.86,2761.14,6.02,6212.57,32
HCPCS,J7330,AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT,84000.0,33600.0,33600.0,75600.0,17
HCPCS,J7336,CAPSAICIN 8 % KIT 1 PATCH BOX,4578.55,1831.42,2.71,4120.7,32
HCPCS,J7336,CAPSAICIN 8 % KIT 2 PATCH BOX,4578.5,1831.4,2.71,4120.65,32
HCPCS,J7336,CAPSAICIN 8 % KIT 4 PATCH BOX,4578.53,1831.41,2.71,4120.68,32
HCPCS,J7342,CIPROFLOXACIN HCL 0.2 % SOLN 1 EACH PLAS CONT,60.8,24.32,24.32,54.72,16
HCPCS,J7500,AZATHIOPRINE 50 MG TABS 1 EACH,4.23,1.69,0.08,3.81,16
HCPCS,J7500,AZATHIOPRINE 50 MG TABS 100 EACH BOX,4.23,1.69,0.08,3.81,16
HCPCS,J7502,CYCLOSPORINE 100 MG CAPS 1 EACH,104.5,41.8,2.65,98.73,32
HCPCS,J7502,CYCLOSPORINE 100 MG CAPS 30 EACH BOTTLE,88.29,35.32,2.65,79.46,16
HCPCS,J7502,CYCLOSPORINE 100 MG CAPS 30 EACH BOX,104.42,41.765,2.65,98.6,32
HCPCS,J7502,CYCLOSPORINE 100 MG/ML SOLN 50 ML BOTTLE,3230.22,1292.09,2.65,3789.83,48
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPS 1 EACH,42.85,17.14,2.65,63.63,32
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPS 30 EACH BOX,35.78,14.309999999999999,2.65,63.5,64
HCPCS,J7503,TACROLIMUS ER 0.75 MG TB24 100 EACH BOTTLE,32.15,12.86,12.86,28.94,17
HCPCS,J7503,TACROLIMUS ER 0.75 MG TB24 30 EACH BOTTLE,32.15,12.86,12.86,28.94,17
HCPCS,J7503,TACROLIMUS ER 1 MG TB24 100 EACH BOTTLE,42.87,17.15,17.15,38.58,17
HCPCS,J7503,TACROLIMUS ER 1 MG TB24 30 EACH BOTTLE,42.87,17.15,17.15,38.58,17
HCPCS,J7503,TACROLIMUS ER 4 MG TB24 100 EACH BOTTLE,171.47,68.59,68.59,154.32,17
HCPCS,J7504,LYMPHOCYTEANTITHYMO IMM GLOB EQUINE 50 MG/ML SOLN 5 ML AMPULE,26784.47,10713.79,1331.76,24106.04,64
HCPCS,J7507,TACROLIMUS 0.5 MG CAPS 1 EACH,11.15,4.46,0.22,10.04,32
HCPCS,J7507,TACROLIMUS 0.5 MG CAPS 100 EACH BOX,11.15,4.46,0.22,10.04,32
HCPCS,J7507,TACROLIMUS 0.5 MG/ML SOLN 300 ML BOTTLE,22.3,8.92,8.92,20.07,17
HCPCS,J7507,TACROLIMUS 1 MG CAPS 1 EACH,22.3,8.92,0.22,20.07,32
HCPCS,J7507,TACROLIMUS 1 MG CAPS 100 EACH BOX,22.3,8.92,0.22,20.07,32
HCPCS,J7507,TACROLIMUS 1 MG/ML SOLN 300 ML BOTTLE,11.15,4.46,4.46,10.04,17
HCPCS,J7507,TACROLIMUS 5 MG CAPS 1 EACH,111.49,44.6,0.22,100.34,32
HCPCS,J7507,TACROLIMUS 5 MG CAPS 100 EACH BOTTLE,111.49,44.6,0.22,100.34,16
HCPCS,J7507,TACROLIMUS 5 MG CAPS 100 EACH BOX,111.49,44.6,0.22,100.34,32
HCPCS,J7509,METHYLPREDNISOLONE 16 MG TABS 50 EACH BOTTLE,16.62,6.645,6.21,15.94,34
HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABS 100 EACH BOTTLE,7.15,2.86,2.86,6.44,17
HCPCS,J7510,PREDNISOLONE 15 MG/5ML SOLN 480 ML BOTTLE,2903.04,1161.22,1161.22,2612.74,17
HCPCS,J7511,ANTITHYMOCYTE GLOBULIN RABBIT 25 MG SOLR 1 EACH VIAL,5783.19,2313.28,703.26,5204.87,32
HCPCS,J7512,PREDNISONE 1 MG TABS 100 EACH BOTTLE,3.085,1.2349999999999999,0.01,2.85,48
HCPCS,J7512,PREDNISONE 1 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
HCPCS,J7512,PREDNISONE 10 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
HCPCS,J7512,PREDNISONE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,32
HCPCS,J7512,PREDNISONE 10 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
HCPCS,J7512,PREDNISONE 2.5 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
HCPCS,J7512,PREDNISONE 2.5 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
HCPCS,J7512,PREDNISONE 20 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
HCPCS,J7512,PREDNISONE 20 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,32
HCPCS,J7512,PREDNISONE 5 MG TABS 1 EACH,3.0,1.2,0.01,2.7,32
HCPCS,J7512,PREDNISONE 5 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,48
HCPCS,J7512,PREDNISONE 5 MG/ML CONC 30 ML BOTTLE,52.0,20.8,0.01,46.8,16
HCPCS,J7512,PREDNISONE 5 MG/ML CONC 4 ML ORAL SYRINGE,52.0,20.8,0.01,46.8,16
HCPCS,J7512,PREDNISONE 50 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
HCPCS,J7512,PREDNISONE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,32
HCPCS,J7512,PREDNISONE 50 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,32
HCPCS,J7515,CYCLOSPORINE 25 MG CAPS 1 EACH,28.75,11.5,11.5,25.88,17
HCPCS,J7515,CYCLOSPORINE 25 MG CAPS 30 EACH BOTTLE,22.12,8.85,8.85,19.91,17
HCPCS,J7515,CYCLOSPORINE 25 MG CAPS 30 EACH BOX,28.095,11.24,10.98,25.87,34
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPS 1 EACH,6.88,2.75,1.04,16.02,48
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPS 30 EACH BOX,8.959999999999999,3.585,1.04,15.89,80
HCPCS,J7516,CYCLOSPORINE 50 MG/ML SOLN 5 ML AMPULE,392.89,157.16,94.35,353.6,16
HCPCS,J7517,MYCOPHENOLATE 200 MG/ML SUSR 1.25 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
HCPCS,J7517,MYCOPHENOLATE 200 MG/ML SUSR 160 ML BOTTLE,50.76,20.305,0.21,50.96,48
HCPCS,J7517,MYCOPHENOLATE 200 MG/ML SUSR 2.5 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
HCPCS,J7517,MYCOPHENOLATE 200 MG/ML SUSR 3.75 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
HCPCS,J7517,MYCOPHENOLATE 200 MG/ML SUSR 5 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
HCPCS,J7517,MYCOPHENOLATE 200 MG/ML SUSR 6.25 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
HCPCS,J7517,MYCOPHENOLATE 200 MG/ML SUSR 7.5 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
HCPCS,J7517,MYCOPHENOLATE 250 MG CAPS 1 EACH,3.83,1.56,0.21,17.84,64
HCPCS,J7517,MYCOPHENOLATE 250 MG CAPS 100 EACH BOTTLE,19.97,7.99,0.21,17.97,16
HCPCS,J7517,MYCOPHENOLATE 250 MG CAPS 100 EACH BOX,11.865,4.745,0.21,17.84,32
HCPCS,J7517,MYCOPHENOLATE 250 MG CAPS 50 EACH BOX,3.74,1.5,0.21,3.37,16
HCPCS,J7517,MYCOPHENOLATE 500 MG TABS 1 EACH,23.725,9.49,0.21,35.67,32
HCPCS,J7517,MYCOPHENOLATE 500 MG TABS 100 EACH BOX,23.725,9.49,0.21,35.67,32
HCPCS,J7518,MYCOPHENOLATE 180 MG TBEC 120 EACH BOTTLE,22.845,9.14,0.44,20.57,32
HCPCS,J7518,MYCOPHENOLATE 360 MG TBEC 1 EACH,50.0,20.0,0.44,45.0,16
HCPCS,J7518,MYCOPHENOLATE 360 MG TBEC 120 EACH BOTTLE,67.595,27.04,0.44,80.55,32
HCPCS,J7518,MYCOPHENOLATE 360 MG TBEC 30 EACH BOX,50.0,20.0,0.44,45.0,16
HCPCS,J7520,SIROLIMUS 0.5 MG TABS 100 EACH BOTTLE,42.82,17.13,1.13,38.94,32
HCPCS,J7520,SIROLIMUS 1 MG TABS 1 EACH,175.43,70.17,1.13,157.89,16
HCPCS,J7520,SIROLIMUS 1 MG TABS 100 EACH BOX,206.24,82.5,1.13,185.62,16
HCPCS,J7520,SIROLIMUS 1 MG TABS 30 EACH BOX,175.43,70.17,1.13,157.89,16
HCPCS,J7520,SIROLIMUS 1 MG/ML SOLN 60 ML BOTTLE,8388.955,3355.58,3183.16,7938.0,51
HCPCS,J7525,TACROLIMUS 5 MG/ML SOLN 1 ML AMPULE,1407.76,563.1,166.33,1266.98,32
HCPCS,J7525,TACROLIMUS 5 MG/ML SOLN 1 ML VIAL,1380.0,552.0,166.33,1242.0,64
HCPCS,J7527,EVEROLIMUS 0.5 MG TABS 60 EACH BOX,118.36500000000001,47.345,1.78,118.42,32
HCPCS,J7527,EVEROLIMUS 0.75 MG TABS 60 EACH BOX,197.38,78.95,1.78,177.64,16
HCPCS,J7605,ARFORMOTEROL 15 MCG/2ML NEBU 2 ML PLAS CONT,109.995,44.0,0.92,106.37,48
HCPCS,J7606,FORMOTEROL 20 MCG/2ML NEBU 2 ML BOX,105.97,42.39,1.7,95.37,18
HCPCS,J7606,FORMOTEROL 20 MCG/2ML NEBU 2 ML PLAS CONT,126.65,50.66,1.7,113.99,18
HCPCS,J7608,ACETYLCYSTEINE 10 % SOLN 10 ML GLASS CONT,20.74,8.3,4.85,20.44,16
HCPCS,J7608,ACETYLCYSTEINE 10 % SOLN 30 ML GLASS CONT,8.05,3.22,3.22,18.19,16
HCPCS,J7608,ACETYLCYSTEINE 10 % SOLN 4 ML GLASS CONT,38.864999999999995,15.544999999999998,4.85,39.31,64
HCPCS,J7608,ACETYLCYSTEINE 20 % SOLN 10 ML VIAL,103.7,41.48,4.85,93.33,16
HCPCS,J7608,ACETYLCYSTEINE 20 % SOLN 30 ML VIAL,165.375,66.15,4.85,160.11,32
HCPCS,J7608,ACETYLCYSTEINE 20 % SOLN 4 ML VIAL,90.5,36.2,4.85,86.24,96
HCPCS,J7611,ALBUTEROL 0.5 % NEBU 0.5 ML PLAS CONT,3.0,1.2,0.16,2.7,18
HCPCS,J7611,ALBUTEROL 0.5 % NEBU 20 ML BOTTLE,3.0,1.2,0.16,2.7,18
HCPCS,J7611,ALBUTEROL 0.5 % NEBU 20 ML VIAL,3.0,1.2,0.16,2.7,18
HCPCS,J7611,ALBUTEROL 0.5 % NEBU 5 ML PLAS CONT,6.0,2.4,0.16,5.4,18
HCPCS,J7612,LEVALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,32.16,12.86,0.33,28.94,16
HCPCS,J7612,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,32.16,12.86,0.33,28.94,16
HCPCS,J7613,ALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,8.3,3.32,0.04,7.47,18
HCPCS,J7613,ALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,8.135,3.255,0.04,7.47,72
HCPCS,J7613,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,4.01,1.6,0.04,5.99,144
HCPCS,J7614,LEVALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,32.19,12.88,0.05,30.19,64
HCPCS,J7614,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML BOX,10.01,4.0,0.05,9.01,16
HCPCS,J7614,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,21.775,8.71,0.05,30.19,48
HCPCS,J7620,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,10.934999999999999,4.375,0.19,10.36,128
HCPCS,J7626,BUDESONIDE 0.25 MG/2 ML SUSP 2 ML PLAS CONT,61.54,24.62,1.09,55.39,18
HCPCS,J7626,BUDESONIDE 0.25 MG/2ML SUSP 2 ML PLAS CONT,47.07,18.83,1.09,47.06,108
HCPCS,J7626,BUDESONIDE 0.5 MG/2ML SUSP 2 ML PLAS CONT,55.83,22.33,1.09,50.4,90
HCPCS,J7626,BUDESONIDE 1 MG/2ML SUSP 2 ML PLAS CONT,115.4,46.16,1.09,110.79,108
HCPCS,J7631,CROMOLYN 20 MG/2ML NEBU 2 ML PLAS CONT,33.99,13.6,0.55,30.59,18
HCPCS,J7639,DORNASE ALPHA 2.5 MG/2.5ML SOLN 2.5 ML PLAS CONT,760.6,304.24,39.28,684.55,36
HCPCS,J7644,IPRATROPIUM 0.02 % SOLN 2.5 ML PLAS CONT,6.6,2.64,0.35,7.92,108
HCPCS,J7674,METHACHOLINE 100 MG SOLR 1 EACH VIAL,502.32,200.93,200.93,452.09,17
HCPCS,J7682,TOBRAMYCIN 300 MG/4ML NEBU 4 ML PLAS CONT,591.45,236.57999999999998,15.68,548.77,32
HCPCS,J7682,TOBRAMYCIN PF 300 MG/5ML NEBU 5 ML PLAS CONT,852.45,340.98,15.68,767.21,16
HCPCS,J8499,BOSENTAN 62.5 MG TABS 30 EACH BOX,1271.09,508.44,8.74,1143.98,15
HCPCS,J8499,IVABRADINE 5 MG TABS 60 EACH BOTTLE,58.78,23.509999999999998,8.74,56.34,34
HCPCS,J8499,LEDIPASVIRSOFOSBUVIR 90400 MG TABS 28 EACH BOTTLE,5670.0,2268.0,8.74,5103.0,15
HCPCS,J8501,APREPITANT 40 MG CAPS 1 EACH BOX,505.72,202.29,3.55,455.15,32
HCPCS,J8501,APREPITANT 40 MG CAPS 5 EACH BOX,505.71,202.28,3.55,455.14,16
HCPCS,J8501,APREPITANT 80 AND 125 MG CPPK 3 EACH DISP PACK,1424.82,569.93,3.55,1282.34,16
HCPCS,J8501,APREPITANT 80 MG CAPS 6 EACH BOX,937.3,374.92,374.92,843.57,34
HCPCS,J8510,BUSULFAN 2 MG TABS 25 EACH BOTTLE,1707.73,683.09,10.12,1536.96,32
HCPCS,J8522,CAPECITABINE 150 MG TABS 60 EACH BOTTLE,81.35,32.54,0.04,73.22,32
HCPCS,J8522,CAPECITABINE 500 MG TABS 120 EACH BOTTLE,195.6,78.24,0.04,176.04,32
HCPCS,J8522,CAPECITABINE 500 MG TABS 20 EACH BOX,75.0,30.0,0.04,67.5,32
HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPS 100 EACH BOTTLE,46.405,18.56,18.4,42.13,34
HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPS 100 EACH BOTTLE,85.61,34.245000000000005,32.99,79.88,34
HCPCS,J8540,DEXAMETHASONE 0.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
HCPCS,J8540,DEXAMETHASONE 0.5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
HCPCS,J8540,DEXAMETHASONE 0.75 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
HCPCS,J8540,DEXAMETHASONE 1 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
HCPCS,J8540,DEXAMETHASONE 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
HCPCS,J8540,DEXAMETHASONE 1 MG/ML CONC 30 ML BOTTLE,160.8,64.32,64.32,144.72,17
HCPCS,J8540,DEXAMETHASONE 1 MG/ML CONC 4 ML ORAL SYRINGE,21.44,8.58,8.58,19.3,17
HCPCS,J8540,DEXAMETHASONE 2 MG TABS 1 EACH,4.3,1.72,1.72,3.87,17
HCPCS,J8540,DEXAMETHASONE 2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
HCPCS,J8540,DEXAMETHASONE 2 MG TABS 100 EACH BOX,4.005,1.6,1.48,3.87,34
HCPCS,J8540,DEXAMETHASONE 4 MG TABS 1 EACH,6.03,2.41,2.41,5.43,34
HCPCS,J8540,DEXAMETHASONE 4 MG TABS 100 EACH BOTTLE,5.95,2.38,2.38,5.36,17
HCPCS,J8540,DEXAMETHASONE 4 MG TABS 100 EACH BOX,6.03,2.41,2.41,5.43,51
HCPCS,J8560,ETOPOSIDE 50 MG CAPS 20 EACH BOX,477.77,191.11,88.06,429.99,32
HCPCS,J8600,MELPHALAN 2 MG TABS 50 EACH BOTTLE,61.06,24.42,8.24,54.95,17
HCPCS,J8610,METHOTREXATE 2.5 MG TABS 50 EACH BOX,17.82,7.13,7.13,16.04,17
HCPCS,J8670,ROLAPITANT 2 X 90 MG TBPK 2 EACH DISP PACK,1829.31,731.72,1.69,1646.38,24
HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPS 5 EACH BOTTLE,1323.7,529.48,0.59,1191.33,16
HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPS 14 EACH BOTTLE,285.935,114.375,0.59,258.99,48
HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPS 5 EACH BOTTLE,285.66499999999996,114.265,0.59,259.03,32
HCPCS,J8700,TEMOZOLOMIDE 250 MG CAPS 5 EACH BOTTLE,3021.0600000000004,1208.4250000000002,0.59,2720.09,48
HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPS 14 EACH BOTTLE,70.76,28.3,0.59,63.68,16
HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPS 5 EACH BOTTLE,70.89500000000001,28.355,0.59,64.29,48
HCPCS,J8705,TOPOTECAN HCL 0.25 MG CAPS 10 EACH BOTTLE,669.99,268.0,125.33,602.99,26
HCPCS,J8705,TOPOTECAN HCL 1 MG CAPS 10 EACH BOTTLE,2446.89,978.76,125.33,2202.2,26
HCPCS,J8999,ABIRATERONE 250 MG TABS 1 EACH,30.0,12.0,12.0,27.0,15
HCPCS,J8999,ABIRATERONE 250 MG TABS 30 EACH BOX,55.0,22.0,12.0,72.0,30
HCPCS,J8999,ERLOTINIB 100 MG TABS 30 EACH BOTTLE,1374.85,549.94,549.94,1237.37,17
HCPCS,J8999,LOMUSTINE 10 MG CAPS 5 EACH BOTTLE,670.62,268.25,268.25,603.56,15
HCPCS,J8999,LOMUSTINE 100 MG CAPS 5 EACH BOTTLE,6760.95,2704.38,2636.77,6084.86,15
HCPCS,J8999,LOMUSTINE 40 MG CAPS 5 EACH BOTTLE,2449.17,979.67,979.67,2204.25,15
HCPCS,J8999,MIDOSTAURIN 25 MG CAPS 112 EACH BOX,1202.9,481.16,481.16,1082.61,15
HCPCS,J8999,MIDOSTAURIN 25 MG CAPS 56 EACH BOX,1202.9,481.16,481.16,1082.61,15
HCPCS,J9000,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,834.0,333.6,3.93,756.0,64
HCPCS,J9000,DOXORUBICIN 2 MG/ML SOLN 25 ML VIAL,147.38,58.95,3.93,132.64,16
HCPCS,J9000,DOXORUBICIN 50 MG SOLR 1 EACH VIAL,1451.94,580.78,3.93,1306.75,48
HCPCS,J9011,DATOPOTAMAB DERUXTECANDLNK 100 MG SOLR 1 EACH VIAL,25143.26,10057.3,38.14,22628.93,32
HCPCS,J9015,ALDESLEUKIN 22000000 UNITS SOLR 1 EACH VIAL,27979.39,11191.76,2778.24,25181.45,32
HCPCS,J9017,ARSENIC TRIOXIDE 10 MG/10ML SOLN 10 ML VIAL,3373.45,1349.38,10.6,3036.11,16
HCPCS,J9017,ARSENIC TRIOXIDE 12 MG/6ML SOLN 6 ML VIAL,2974.59,1189.84,10.6,2677.19,48
HCPCS,J9021,ASPARAGINASE ERWINIA CHRYRYWN 10 MG/0.5ML SOLN 0.5 ML VIAL,26762.4,10704.96,42.12,24086.16,32
HCPCS,J9022,ATEZOLIZUMAB 1200 MG/20ML SOLN 20 ML VIAL,60162.73,24065.09,73.27,54146.46,32
HCPCS,J9022,ATEZOLIZUMAB 840 MG/14ML SOLN 14 ML VIAL,42113.97,16845.59,73.27,37902.57,32
HCPCS,J9023,AVELUMAB 200 MG/10ML SOLN 10 ML VIAL,11558.97,4623.59,72.19,10403.07,32
HCPCS,J9024,ATEZOLIZUMABHYALURONIDASETQJS 187530000 MGUT/15ML SOLN 15 ML VIAL,60162.67,24065.07,23.4,54146.4,32
HCPCS,J9025,AZACITIDINE 100 MG SUSR 1 EACH VIAL,1432.0,572.8,0.74,2334.6,32
HCPCS,J9026,TARLATAMABDLLE 1 MG SOLR 1 EACH VIAL,7560.0,3024.0,1170.0,6804.0,32
HCPCS,J9026,TARLATAMABDLLE 10 MG SOLR 1 EACH VIAL,75600.0,30240.0,1170.0,68040.0,32
HCPCS,J9027,CLOFARABINE 1 MG/ML SOLN 20 ML VIAL,10488.0,4195.2,5.45,17708.1,128
HCPCS,J9030,BCG LIVE 50 MG SUSR 1 EACH VIAL,1044.66,417.86,3.38,940.19,26
HCPCS,J9032,BELINOSTAT 500 MG SOLR 1 EACH VIAL,13202.74,5281.1,31.44,11882.47,32
HCPCS,J9035,BEVACIZUMAB 100 MG/4ML SOLN 4 ML VIAL,4399.12,1759.645,73.63,3959.22,64
HCPCS,J9035,BEVACIZUMAB 400 MG/16ML SOLN 16 ML VIAL,17596.44,7038.58,73.63,15836.8,64
HCPCS,J9036,BENDAMUSTINE HCL 100 MG/4ML SOLN 4 ML VIAL,14483.785,5793.515,11.6,14849.66,64
HCPCS,J9037,BELANTAMAB MAFODOTINBLMF 100 MG SOLR 1 EACH VIAL,44485.39,17794.16,17349.3,40036.85,15
HCPCS,J9038,AXATILIMABCSFR 22 MG/0.44ML SOLN 0.44 ML VIAL,59099.04,23639.62,40.95,53189.14,32
HCPCS,J9038,AXATILIMABCSFR 9 MG/0.18ML SOLN 0.18 ML VIAL,24176.88,9670.75,40.95,21759.19,32
HCPCS,J9039,BLINATUMOMAB 35 MCG SOLR 1 EACH VIAL,28006.1,11202.44,91.46,25205.49,32
HCPCS,J9040,BLEOMYCIN 15 UNITS SOLR 1 EACH VIAL,302.75,121.1,27.98,272.48,16
HCPCS,J9040,BLEOMYCIN 30 UNITS SOLR 1 EACH VIAL,585.67,234.27,27.98,527.1,32
HCPCS,J9041,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL,1104.0,441.6,3.63,7271.21,96
HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG SOLR 1 EACH VIAL,66377.6,26551.04,121.5,59739.84,32
HCPCS,J9043,CABAZITAXEL 60 MG/1.5ML SOLN 6 ML VIAL,71298.61,28519.44,152.78,64168.75,32
HCPCS,J9045,CARBOPLATIN 450 MG/45ML SOLN 45 ML VIAL,330.08,132.03,3.21,350.94,48
HCPCS,J9045,CARBOPLATIN 50 MG/5ML SOLN 15 ML VIAL,126.0,50.4,3.21,113.4,16
HCPCS,J9045,CARBOPLATIN 50 MG/5ML SOLN 5 ML VIAL,115.0,46.0,3.21,103.5,16
HCPCS,J9045,CARBOPLATIN 600 MG/60ML SOLN 60 ML VIAL,379.8,151.92000000000002,3.21,387.18,64
HCPCS,J9047,CARFILZOMIB 10 MG SOLR 1 EACH VIAL,2971.25,1188.5,30.66,2674.13,32
HCPCS,J9047,CARFILZOMIB 30 MG SOLR 1 EACH VIAL,8913.74,3565.5,30.66,8022.37,32
HCPCS,J9047,CARFILZOMIB 60 MG SOLR 1 EACH VIAL,17827.45,7130.98,30.66,16044.71,32
HCPCS,J9050,CARMUSTINE 100 MG SOLR 1 EACH VIAL,3250.8,1300.3200000000002,145.6,3402.0,64
HCPCS,J9055,CETUXIMAB 100 MG/50ML SOLN 50 ML VIAL,5094.25,2037.7,53.73,4584.83,32
HCPCS,J9055,CETUXIMAB 200 MG/100ML SOLN 100 ML VIAL,10188.5,4075.4,53.73,9169.65,32
HCPCS,J9057,COPANLISIB HCL 60 MG SOLR 1 EACH VIAL,26478.14,10591.26,73.18,23830.33,22
HCPCS,J9060,CISPLATIN 100 MG/100ML SOLN 100 ML VIAL,231.75,92.69999999999999,2.98,222.3,32
HCPCS,J9060,CISPLATIN 200 MG/200ML SOLN 200 ML VIAL,494.0,197.6,2.98,444.6,16
HCPCS,J9060,CISPLATIN 50 MG/50ML SOLN 50 ML VIAL,121.0,48.4,2.98,108.9,16
HCPCS,J9061,AMIVANTAMABVMJW 350 MG/7ML SOLN 7 ML VIAL,19185.68,7674.27,17.27,17267.11,32
HCPCS,J9063,MIRVETUXIMAB SORAVTANSINEGYNX 100 MG/20ML SOLN 20 ML VIAL,34183.04,13673.22,57.1,30764.74,32
HCPCS,J9065,CLADRIBINE 10 MG/10ML SOLN 10 ML VIAL,2100.0,840.0,7.42,2349.0,96
HCPCS,J9071,CYCLOPHOSPHAMIDE 1 GM/5ML SOLN 5 ML VIAL,1500.0,600.0,0.49,1350.0,32
HCPCS,J9075,CYCLOPHOSPHAMIDE 1 G SOLR 1 EACH VIAL,2366.2,946.48,0.58,2129.58,32
HCPCS,J9075,CYCLOPHOSPHAMIDE 2 G SOLR 1 EACH VIAL,4713.0,1885.2,0.58,6645.24,64
HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG SOLR 1 EACH VIAL,2021.7,808.68,0.58,1819.53,32
HCPCS,J9100,CYTARABINE PF 100 MG/ML SOLN 20 ML VIAL,120.0,48.0,1.08,112.86,64
HCPCS,J9100,CYTARABINE PF 20 MG/ML SOLN 5 ML VIAL,115.0,46.0,1.08,103.5,16
HCPCS,J9100,CYTARABINE PF 20 MG/ML SOLN 50 ML VIAL,115.0,46.0,1.08,103.5,16
HCPCS,J9118,CALASPARGASE PEGOLMKNL 3750 UNIT/5ML SOLN 5 ML VIAL,150000.65,60000.26,64.97,135000.59,32
HCPCS,J9119,CEMIPLIMABRWLC 350 MG/7ML SOLN 7 ML VIAL,58983.28,23593.31,24.96,53084.95,32
HCPCS,J9120,DACTINOMYCIN 0.5 MG SOLR 1 EACH VIAL,5087.4349999999995,2034.975,289.0,6889.38,64
HCPCS,J9130,DACARBAZINE 100 MG SOLR 1 EACH VIAL,115.0,46.0,4.49,103.5,16
HCPCS,J9130,DACARBAZINE 200 MG SOLR 1 EACH VIAL,115.0,46.0,4.49,103.5,48
HCPCS,J9144,DARATUMUMABHYALURONIDASEFIHJ 180030000 MGUT/15ML SOLN 15 ML VIAL,53282.19,21312.88,40.4,47953.97,32
HCPCS,J9145,DARATUMUMAB 100 MG/5ML SOLN 5 ML VIAL,4281.5,1712.6,44.41,3853.35,32
HCPCS,J9145,DARATUMUMAB 400 MG/20ML SOLN 20 ML VIAL,16680.845,6672.335,44.41,15413.14,64
HCPCS,J9150,DAUNORUBICIN HCL 20 MG/4ML SOLN 4 ML VIAL,804.85,321.94,23.5,724.37,48
HCPCS,J9153,DAUNORUBICINCYTARABINE LIPO 44100 MG SUSR 1 EACH VIAL,55339.2,22135.68,174.16,49805.28,32
HCPCS,J9155,DEGARELIX ACETATE 120 MG/VIAL SOLR 1 EACH VIAL,3840.94,1536.38,4.45,3456.85,32
HCPCS,J9155,DEGARELIX ACETATE 80 MG SOLR 1 EACH VIAL,2461.79,984.72,4.45,2215.61,32
HCPCS,J9171,DOCETAXEL 160 MG/16ML SOLN 16 ML VIAL,3020.64,1208.26,0.78,2718.58,16
HCPCS,J9171,DOCETAXEL 20 MG/2ML SOLN 2 ML VIAL,418.7,167.48,0.78,376.83,16
HCPCS,J9171,DOCETAXEL 20 MG/ML CONC 1 ML VIAL,601.68,240.67,0.78,541.51,16
HCPCS,J9171,DOCETAXEL 80 MG/4ML CONC 4 ML VIAL,2401.2,960.48,0.78,2161.08,16
HCPCS,J9171,DOCETAXEL 80 MG/8ML SOLN 8 ML VIAL,1650.0,660.0,0.78,6285.21,48
HCPCS,J9173,DURVALUMAB 120 MG/2.4ML SOLN 2.4 ML VIAL,5324.72,2129.89,67.3,4792.25,32
HCPCS,J9173,DURVALUMAB 500 MG/10ML SOLN 10 ML VIAL,22186.25,8874.5,67.3,19967.63,32
HCPCS,J9176,ELOTUZUMAB 300 MG SOLR 1 EACH VIAL,11932.66,4773.06,5.68,10739.39,32
HCPCS,J9176,ELOTUZUMAB 400 MG SOLR 1 EACH VIAL,15910.06,6364.02,5.68,14319.05,32
HCPCS,J9177,ENFORTUMAB VEDOTINEJFV 20 MG SOLR 1 EACH VIAL,14157.36,5662.94,25.32,12741.62,32
HCPCS,J9177,ENFORTUMAB VEDOTINEJFV 30 MG SOLR 1 EACH VIAL,21236.04,8494.42,25.32,19112.44,32
HCPCS,J9178,EPIRUBICIN 200 MG/100ML SOLN 100 ML VIAL,1405.0,562.0,2.74,1264.5,16
HCPCS,J9178,EPIRUBICIN 50 MG/25ML SOLN 25 ML VIAL,288.5,115.4,2.74,259.65,16
HCPCS,J9179,ERIBULIN MESYLATE 1 MG/2ML SOLN 2 ML VIAL,7106.4,2842.56,59.98,6395.76,32
HCPCS,J9181,ETOPOSIDE 1 GM/50ML SOLN 50 ML VIAL,512.25,204.9,1.22,511.65,32
HCPCS,J9181,ETOPOSIDE 100 MG/5ML SOLN 5 ML VIAL,115.0,46.0,1.22,103.5,48
HCPCS,J9181,ETOPOSIDE 500 MG/25ML SOLN 25 ML VIAL,373.13,149.25,1.22,335.82,16
HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG SOLR 1 EACH VIAL,1033.39,413.36,1.22,930.05,16
HCPCS,J9185,FLUDARABINE 50 MG SOLR 1 EACH VIAL,564.4200000000001,225.76999999999998,77.73,546.48,32
HCPCS,J9185,FLUDARABINE 50 MG/2ML SOLN 2 ML VIAL,1500.8,600.32,77.73,1350.72,16
HCPCS,J9190,FLUOROURACIL 1 GM/20ML SOLN 20 ML VIAL,143.5,57.4,2.59,129.15,16
HCPCS,J9190,FLUOROURACIL 2.5 GM/50ML SOLN 50 ML VIAL,115.0,46.0,2.59,103.5,16
HCPCS,J9190,FLUOROURACIL 5 GM/100ML SOLN 100 ML VIAL,260.0,104.0,2.59,309.6,64
HCPCS,J9190,FLUOROURACIL 500 MG/10ML SOLN 10 ML VIAL,115.0,46.0,2.59,103.5,48
HCPCS,J9201,GEMCITABINE 1 G SOLR 1 EACH VIAL,297.9,119.16,4.07,268.11,16
HCPCS,J9201,GEMCITABINE HCL 1 GM/26.3ML SOLN 26.3 ML VIAL,271.81,108.72,4.07,244.63,16
HCPCS,J9201,GEMCITABINE HCL 2 GM/52.6ML SOLN 52.6 ML VIAL,481.29,192.52,4.07,433.16,16
HCPCS,J9202,GOSERELIN 10.8 MG IMPL 1 EACH BOX,16193.06,6477.22,528.48,14573.75,18
HCPCS,J9202,GOSERELIN 3.6 MG IMPL 1 EACH SYRINGE,5942.24,2376.9,528.48,5348.02,18
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG SOLR 1 EACH VIAL,52927.81,21171.12,195.01,47635.03,32
HCPCS,J9204,MOGAMULIZUMABKPKC 20 MG/5ML SOLN 5 ML VIAL,24585.33,9834.13,181.92,22126.8,32
HCPCS,J9205,IRINOTECAN HCL LIPOSOME 43 MG/10ML SUSP 10 ML VIAL,17272.08,6908.83,36.17,15544.87,32
HCPCS,J9206,IRINOTECAN 500 MG/25ML SOLN 25 ML VIAL,1000.5,400.2,2.28,900.45,16
HCPCS,J9206,IRINOTECAN HCL 100 MG/5ML SOLN 5 ML VIAL,147.675,59.07,2.28,162.32,32
HCPCS,J9206,IRINOTECAN HCL 40 MG/2ML SOLN 2 ML VIAL,115.0,46.0,2.28,103.5,16
HCPCS,J9207,IXABEPILONE 15 MG SOLR 1 EACH VIAL,10153.37,4061.35,71.93,9138.03,32
HCPCS,J9207,IXABEPILONE 45 MG SOLR 1 EACH VIAL,30460.16,12184.06,71.93,27414.14,32
HCPCS,J9208,IFOSFAMIDE 1 G SOLR 1 EACH VIAL,348.3,139.32,32.76,313.47,16
HCPCS,J9208,IFOSFAMIDE 3 G SOLR 1 EACH VIAL,593.63,237.45,32.76,534.27,16
HCPCS,J9208,IFOSFAMIDE 3 GM/60ML SOLN 60 ML VIAL,645.3,258.12,32.76,580.77,16
HCPCS,J9209,MESNA 100 MG/ML SOLN 10 ML VIAL,150.0,60.0,2.42,135.0,32
HCPCS,J9210,EMAPALUMABLZSG 50 MG/10ML SOLN 10 ML VIAL,93517.2,37406.88,303.93,84165.48,32
HCPCS,J9211,IDARUBICIN HCL 10 MG/10ML SOLN 10 ML VIAL,803.3,321.32,47.67,722.97,16
HCPCS,J9211,IDARUBICIN HCL 5 MG/5ML SOLN 5 ML VIAL,323.4,129.36,47.67,291.06,16
HCPCS,J9215,INTERFERON ALFAN3 5000000 UNIT/ML SOLN 1 ML VIAL,3036.14,1214.46,31.8,2732.53,16
HCPCS,J9216,INTERFERON GAMMA1B 100 MCG/0.5ML SOLN 0.5 ML VIAL,28424.44,11369.78,8222.78,25582.0,22
HCPCS,J9217,LEUPROLIDE 22.5 MG KIT 1 EACH BOX,19640.755,7856.305,160.34,29206.77,96
HCPCS,J9217,LEUPROLIDE 30 MG KIT 1 EACH BOX,43269.41,17307.76,160.34,38942.47,32
HCPCS,J9217,LEUPROLIDE 45 MG KIT 1 EACH BOX,13659.07,5463.63,160.34,12293.16,32
HCPCS,J9217,LEUPROLIDE 7.5 MG KIT 1 EACH BOX,10817.39,4326.96,160.34,9735.65,32
HCPCS,J9217,LEUPROLIDE ACETATE 4 MONTH 30 MG KIT 1 EACH BOX,9106.06,3642.42,160.34,8195.45,32
HCPCS,J9217,LEUPROLIDE ACETATE 6 MONTH 45 MG KIT 1 EACH BOX,64905.08,25962.03,160.34,58414.57,32
HCPCS,J9217,LEUPROLIDE ACETATE 7.5 MG KIT 1 EACH BOX,2276.53,910.61,160.34,2048.88,32
HCPCS,J9218,LEUPROLIDE ACETATE 1 MG/0.2ML KIT 1 EACH BOX,3742.2,1496.88,66.85,3367.98,16
HCPCS,J9223,LURBINECTEDIN 4 MG SOLR 1 EACH VIAL,41580.0,16632.0,159.19,37422.0,32
HCPCS,J9227,ISATUXIMABIRFC 100 MG/5ML SOLN 5 ML VIAL,5277.67,2111.07,62.4,4749.9,32
HCPCS,J9227,ISATUXIMABIRFC 500 MG/25ML SOLN 25 ML VIAL,26388.59,10555.44,62.4,23749.73,32
HCPCS,J9228,IPILIMUMAB 200 MG/40ML SOLN 40 ML VIAL,186194.06,74477.62,129.77,167574.65,32
HCPCS,J9228,IPILIMUMAB 50 MG/10ML SOLN 10 ML VIAL,46548.6,18619.44,129.77,41893.74,32
HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG SOLR 1 EACH VIAL,122947.1,49178.84,1994.66,110652.39,32
HCPCS,J9245,MELPHALAN 50 MG SOLR 1 EACH VIAL,5730.0,2292.0,86.94,11368.92,128
HCPCS,J9260,METHOTREXATE 1 G SOLR 1 EACH VIAL,351.07,140.43,3.67,315.96,16
HCPCS,J9260,METHOTREXATE PF 50 MG/2ML SOLN 2 ML VIAL,115.0,46.0,3.67,103.5,16
HCPCS,J9260,METHOTREXATE SODIUM 50 MG/2ML SOLN 2 ML VIAL,115.0,46.0,3.67,103.5,16
HCPCS,J9260,METHOTREXATE SODIUM PF 100 MG/4ML SOLN 10 ML VIAL,115.0,46.0,3.67,103.5,16
HCPCS,J9260,METHOTREXATE SODIUM PF 100 MG/4ML SOLN 40 ML VIAL,218.60000000000002,87.44,3.67,208.26,32
HCPCS,J9261,NELARABINE 5 MG/ML SOLN 50 ML VIAL,3966.0,1586.4,65.16,4364.1,128
HCPCS,J9263,OXALIPLATIN 100 MG/20ML SOLN 20 ML VIAL,600.0,240.0,0.1,1909.71,48
HCPCS,J9263,OXALIPLATIN 50 MG/10ML SOLN 10 ML VIAL,300.0,120.0,0.1,954.86,48
HCPCS,J9264,PACLITAXELPROTEIN BOUND 100 MG SUSR 1 EACH VIAL,7963.49,3185.4,6.59,7167.14,32
HCPCS,J9266,PEGASPARGASE 750 UNIT/ML SOLN 5 ML VIAL,138527.09,55410.84,12928.48,124674.38,32
HCPCS,J9267,PACLITAXEL 300 MG/50ML CONC 50 ML VIAL,427.75,171.1,0.18,540.0,48
HCPCS,J9267,PACLITAXEL 6 MG/ML CONC 16.7 ML VIAL,199.98,79.99,0.18,179.98,16
HCPCS,J9268,PENTOSTATIN 10 MG SOLR 1 EACH VIAL,15395.02,6158.01,1940.21,13855.52,32
HCPCS,J9269,TAGRAXOFUSPERZS 1000 MCG/ML SOLN 1 ML VIAL,170133.52,68053.41,245.08,153120.17,32
HCPCS,J9271,PEMBROLIZUMAB 100 MG/4ML SOLN 4 ML VIAL,30925.44,12370.18,42.06,27832.9,64
HCPCS,J9272,DOSTARLIMABGXLY 500 MG/10ML SOLN 10 ML VIAL,61845.25,24738.1,204.05,55660.73,32
HCPCS,J9273,TISOTUMAB VEDOTINTFTV 40 MG SOLR 1 EACH VIAL,37300.03,14920.01,146.74,33570.03,32
HCPCS,J9274,TEBENTAFUSPTEBN 100 MCG/0.5ML SOLN 0.5 ML VIAL,108410.4,43364.16,182.34,97569.36,32
HCPCS,J9277,PEMBROLIZUMABBERAHYALURPMPH 3954800 MG 3954800 MG UNT/2.4ML SOLN 2.4 ML,61850.88,24740.35,23.75,55665.79,29
HCPCS,J9277,PEMBROLIZUMABBERAHYALURPMPH 7909600 MG 7909600 MG UNT/4.8ML SOLN 4.8 ML,123701.76,49480.7,23.75,111331.58,29
HCPCS,J9280,MITOMYCIN 10 MG SOLR 10 ML VIAL,7783.2,3113.28,26.1,7004.88,32
HCPCS,J9280,MITOMYCIN 20 MG SOLR 1 EACH VIAL,2771.62,1108.65,26.1,2866.68,128
HCPCS,J9280,MITOMYCIN 40 MG SOLR 1 EACH VIAL,5492.844999999999,2197.1400000000003,26.1,5351.12,64
HCPCS,J9280,MITOMYCIN 5 MG SOLR 1 EACH VIAL,1253.32,501.33,26.1,1127.99,32
HCPCS,J9286,GLOFITAMABGXBM 10 MG/10ML SOLN 10 ML VIAL,55459.87,22183.95,2299.27,49913.88,32
HCPCS,J9286,GLOFITAMABGXBM 2.5 MG/2.5ML SOLN 2.5 ML VIAL,13864.87,5545.95,2299.27,12478.38,32
HCPCS,J9289,NIVOLUMABHYALURONIDASENVHY 60010000 MGUT/5ML SOLN 5 ML VIAL,40833.79,16333.52,20.24,36750.41,32
HCPCS,J9293,MITOXANTRONE HCL 20 MG/10ML CONC 10 ML VIAL,1740.6499999999999,696.26,29.7,2201.36,64
HCPCS,J9293,MITOXANTRONE HCL 25 MG/12.5ML CONC 12.5 ML VIAL,1190.65,476.26,29.7,1071.59,32
HCPCS,J9298,NIVOLUMABRELATLIMABRMBW 24080 MG/20ML SOLN 20 ML VIAL,79281.3,31712.52,163.49,71353.17,32
HCPCS,J9299,NIVOLUMAB 100 MG/10ML SOLN 10 ML VIAL,18634.37,7453.75,23.72,16770.93,32
HCPCS,J9299,NIVOLUMAB 240 MG/24ML SOLN 24 ML VIAL,44722.71,17889.08,23.72,40250.44,32
HCPCS,J9299,NIVOLUMAB 40 MG/4ML SOLN 4 ML VIAL,7453.84,2981.54,23.72,6708.46,32
HCPCS,J9301,OBINUTUZUMAB 1000 MG/40ML SOLN 40 ML VIAL,52165.66,20866.26,53.74,46949.09,32
HCPCS,J9302,OFATUMUMAB 100 MG/5ML CONC 5 ML VIAL,3330.49,1332.2,49.97,2997.44,32
HCPCS,J9303,PANITUMUMAB 100 MG/5ML SOLN 5 ML VIAL,9130.72,3652.29,104.62,8217.65,32
HCPCS,J9303,PANITUMUMAB 400 MG/20ML SOLN 20 ML VIAL,38349.02,15339.61,104.62,34514.12,32
HCPCS,J9305,PEMETREXED 500 MG SOLR 1 EACH VIAL,10602.36,4240.945,3.59,18339.05,64
HCPCS,J9305,PEMETREXED DISODIUM 100 MG SOLR 1 EACH VIAL,4075.34,1630.14,3.59,3667.81,32
HCPCS,J9306,PERTUZUMAB 420 MG/14ML SOLN 14 ML VIAL,34718.99,13887.6,10.18,31247.09,32
HCPCS,J9307,PRALATREXATE 20 MG/ML SOLN 1 ML VIAL,34209.08,13683.63,216.16,30788.17,32
HCPCS,J9307,PRALATREXATE 40 MG/2ML SOLN 2 ML VIAL,68418.21,27367.28,216.16,61576.39,32
HCPCS,J9308,RAMUCIRUMAB 100 MG/10ML SOLN 10 ML VIAL,8408.62,3363.45,51.45,7567.76,32
HCPCS,J9308,RAMUCIRUMAB 500 MG/50ML SOLN 50 ML VIAL,42043.08,16817.23,51.45,37838.77,32
HCPCS,J9309,POLATUZUMAB VEDOTINPIIQ 140 MG SOLR 1 EACH VIAL,99429.58,39771.83,102.86,89486.62,32
HCPCS,J9309,POLATUZUMAB VEDOTINPIIQ 30 MG SOLR 1 EACH VIAL,21306.39,8522.56,102.86,19175.75,32
HCPCS,J9311,RITUXIMABHYALURONIDASE HUMAN 140023400 MG UT/11.7ML SOLN 11.7 ML VIAL,33145.96,13258.38,36.39,29831.36,32
HCPCS,J9312,RITUXIMAB 100 MG/10ML SOLN 10 ML VIAL,518.61,207.44,73.28,466.75,32
HCPCS,J9312,RITUXIMAB 500 MG/50ML SOLN 50 ML VIAL,25930.66,10372.26,73.28,23337.59,32
HCPCS,J9316,PERTUZUMABTRASTUZUMABHYALURONIDASEZZXF 60602000 MGMGU/ML SOLN 10 ML VIAL,48861.79,19544.72,59.9,43975.61,32
HCPCS,J9316,PERTUZUMABTRASTUZUMABHYALURONIDASEZZXF 80402000 MGMGU/ML SOLN 15 ML VIAL,73295.52,29318.21,59.9,65965.97,32
HCPCS,J9317,SACITUZUMAB GOVITECANHZIY 180 MG SOLR 1 EACH VIAL,13178.42,5271.37,26.83,11860.58,32
HCPCS,J9319,INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG,84.0,33.6,28.52,84.0,32
HCPCS,J9319,ROMIDEPSIN 10 MG SOLR 1 EACH VIAL,16121.2,6448.48,28.52,14509.08,32
HCPCS,J9320,STREPTOZOCIN 1 G SOLR 1 EACH VIAL,1927.77,771.11,381.29,1734.99,22
HCPCS,J9321,EPCORITAMABBYSP 4 MG SOLN 0.8 ML VIAL,282.41,112.96,46.37,254.17,32
HCPCS,J9321,EPCORITAMABBYSP 48 MG/0.8ML SOLN 0.8 ML VIAL,84722.19,33888.88,46.37,76249.97,32
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 1000000 UNIT/ML SUSP 1 ML VIAL,385.66,154.26,44.73,347.09,32
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 100000000 UNIT/ML SUSP 1 ML VIAL,35208.39,14083.36,44.73,31687.55,32
HCPCS,J9328,TEMOZOLOMIDE 100 MG SOLR 1 EACH VIAL,5055.67,2022.27,7.31,4550.1,32
HCPCS,J9330,TEMSIROLIMUS 25 MG/ML SOLN 1 ML VIAL,10585.72,4234.29,20.32,9527.15,32
HCPCS,J9332,EFGARTIGIMOD ALFAFCAB 400 MG/20ML SOLN 20 ML VIAL,31823.57,12729.43,27.31,28641.21,32
HCPCS,J9342,THIOTEPA 15 MG SOLR 1 EACH VIAL,3780.0,1512.0,4.93,3402.0,32
HCPCS,J9345,RETIFANLIMABDLWR 500 MG/20ML SOLN 20 ML VIAL,75791.52,30316.61,25.64,68212.37,32
HCPCS,J9347,TREMELIMUMABACTL 25 MG/1.25ML SOLN 1.25 ML VIAL,17817.16,7126.86,117.0,16035.44,32
HCPCS,J9347,TREMELIMUMABACTL 300 MG/15ML SOLN 15 ML VIAL,213805.81,85522.32,117.0,192425.23,32
HCPCS,J9348,NAXITAMABGQGK 40 MG/10ML SOLN 10 ML VIAL,131372.14,52548.86,488.83,118234.93,32
HCPCS,J9349,TAFASITAMABCXIX 200 MG SOLR 1 EACH VIAL,7176.96,2870.78,11.52,6459.26,32
HCPCS,J9350,MOSUNETUZUMABAXGB 1 MG/ML SOLN 1 ML VIAL,3253.15,1301.26,542.67,2927.84,32
HCPCS,J9350,MOSUNETUZUMABAXGB 30 MG/30ML SOLN 30 ML VIAL,97596.58,39038.63,542.67,87836.92,32
HCPCS,J9351,TOPOTECAN 4 MG SOLR 1 EACH VIAL,1647.95,659.18,3.3,1483.16,16
HCPCS,J9351,TOPOTECAN HCL 4 MG/4ML SOLN 4 ML VIAL,860.46,344.18,3.3,2149.7,48
HCPCS,J9352,TRABECTEDIN 1 MG SOLR 1 EACH VIAL,18594.28,7437.71,264.38,16734.85,32
HCPCS,J9353,MARGETUXIMABCMKB 250 MG/10ML SOLN 10 ML VIAL,15865.63,6346.25,39.87,14279.07,64
HCPCS,J9354,ADOTRASTUZUMAB EMTANSINE 100 MG SOLR 1 EACH VIAL,20912.05,8364.82,27.02,18820.85,32
HCPCS,J9354,ADOTRASTUZUMAB EMTANSINE 160 MG SOLR 1 EACH VIAL,33459.26,13383.7,27.02,30113.33,32
HCPCS,J9355,TRASTUZUMAB 150 MG SOLR 1 EACH VIAL,7854.42,3141.77,70.24,7068.98,32
HCPCS,J9356,TRASTUZUMABHYALURONIDASEOYSK 60010000 MGUNT/5ML SOLN 5 ML VIAL,23563.22,9425.29,58.34,21206.9,32
HCPCS,J9357,VALRUBICIN 40 MG/ML SOLN 5 ML VIAL,40853.52,16341.41,1051.72,36768.17,32
HCPCS,J9358,FAMTRASTUZUMAB DERUXTECNXKI 100 MG SOLR 1 EACH VIAL,16333.59,6533.44,22.04,14700.23,32
HCPCS,J9359,LONCASTUXIMAB TESIRINELPYL 10 MG SOLR 1 EACH VIAL,146310.02,58524.01,153.86,131679.02,32
HCPCS,J9360,VINBLASTINE 1 MG/ML SOLN 10 ML VIAL,322.55,129.02,6.89,290.3,16
HCPCS,J9370,VINCRISTINE 1 MG/ML SOLN 1 ML VIAL,223.7,89.48,10.69,201.33,16
HCPCS,J9370,VINCRISTINE 1 MG/ML SOLN 2 ML VIAL,115.0,46.0,10.69,103.5,16
HCPCS,J9380,TECLISTAMABCQYV 153 MG/1.7ML SOLN 1.7 ML VIAL,52655.65,21062.26,27.88,47390.09,32
HCPCS,J9380,TECLISTAMABCQYV 30 MG/3ML SOLN 3 ML VIAL,10324.6,4129.84,27.88,9292.14,32
HCPCS,J9390,VINORELBINE 10 MG/ML SOLN 1 ML VIAL,150.0,60.0,9.98,135.0,16
HCPCS,J9390,VINORELBINE TARTRATE 50 MG/5ML SOLN 5 ML VIAL,540.0,216.0,9.98,486.0,16
HCPCS,J9395,FULVESTRANT 250 MG/5ML SOSY 5 ML SYRINGE,2808.67,1123.47,7.38,4816.6,80
HCPCS,J9400,ZIVAFLIBERCEPT 100 MG/4ML SOLN 4 ML VIAL,8832.0,3532.8,7.22,7948.8,32
HCPCS,J9400,ZIVAFLIBERCEPT 200 MG/8ML SOLN 8 ML VIAL,17664.0,7065.6,7.22,15897.6,32
HCPCS,J9600,PORFIMER 75 MG SOLR 1 EACH VIAL,117547.92,47019.17,19609.92,105793.13,18
HCPCS,J9999,SORAFENIB 200 MG TABS 120 EACH BOTTLE,586.8,234.72,234.72,528.12,15
HCPCS,L0113,HC CRANIAL CERVICAL TORTICOLLIS,750.0,300.0,210.0,880.95,16
HCPCS,L0120,HC CERV FLEXIBLE NONADJUSTABLE,28.0,11.2,21.84,70.0,15
HCPCS,L0130,HC FLEX THERMOPLASTIC COLLAR MO,489.0,195.6,53.4,624.93,16
HCPCS,L0150,HC CERV SEMIRIG ADJ MOLDED CHN,309.0,123.6,109.28,359.6,15
HCPCS,L0170,HC CERVICAL COLLAR MOLDED TO PT,1200.0,480.0,480.0,2166.63,16
HCPCS,L0172,HC CERV COL THERMPLAS FOAM 2 PI,377.0,150.8,133.5,439.3,15
HCPCS,L0174,HC CERV COL FOAM 2 PIECE W THOR,677.0,270.8,166.2,789.18,16
HCPCS,L0190,HC CERV COLLAR SUPP ADJ CERV BA,1387.0,554.8,490.98,1615.65,16
HCPCS,L0200,CERV COL SUPP ADJ BAR AND THOR,1100.0,440.0,420.0,1483.55,16
HCPCS,L0462,TLSO 3MOD SACROSCAP PRE,3311.0,1324.4,1172.1,3857.0,16
HCPCS,L0464,HC TLSO 4MOD SACROSCAP PRE,3302.0,1320.8,1395.37,4591.6,16
HCPCS,L0472,HC TLSO RIGID FRAME HYPEREX PRE,1051.0,420.4,390.6,1322.9,16
HCPCS,L0480,HC TLSO RIGID PLASTIC CUSTOM FA,3000.0,1200.0,1243.13,4090.68,16
HCPCS,L0484,TLSO RIGID PLASTIC CUST FAB,4221.0,1688.4,1661.61,5467.8,16
HCPCS,L0486,TLSO RIGIDLINED CUST FAB TWO,4200.0,1680.0,1646.03,5416.5,16
HCPCS,L0621,HC SIO FLEX PELVISACRAL PREFAB,73.0,29.2,29.2,73.0,14
HCPCS,L0622,HC SIO FLEX PELVISACRAL CUSTOM,584.0,233.6,110.4,746.9,15
HCPCS,L0625,HC LO FLEXIBL L1BELOW L5 PRE,99.0,39.6,39.6,89.1,14
HCPCS,L0626,HC LO FLEX W/O RIGID STAYS PRE,190.0,76.0,73.18,240.8,14
HCPCS,L0627,HC LO SAGITT RIGID PANEL PREFAB,969.0,387.6,341.4,1269.83,15
HCPCS,L0630,HC LSO POST RIGID PANEL PRE,391.0,156.4,152.01,500.18,14
HCPCS,L0635,HC LSO SAGIT RIGID PANEL PREFAB,2500.0,1000.0,998.22,3284.75,15
HCPCS,L0636,HC LSO SAGITTAL RIGID PANEL CUS,3900.0,1560.0,1472.93,4846.93,15
HCPCS,L0637,HC LSO SAGCORONAL PANEL PREFAB,3285.0,1314.0,1277.96,4205.25,15
HCPCS,L0638,HC LSO SAGCORONAL PANEL CUSTOM,3498.0,1399.2,1238.11,4074.18,15
HCPCS,L0639,HC LSO S/C SHELL/PANEL PREFAB,2300.0,920.0,1140.0,4205.25,15
HCPCS,L0700,HC CTLSO APL CONTROL MOLDED,5352.0,2140.8,2021.12,6650.78,15
HCPCS,L0710,CTLSO APL CONTROL W/ INTER,6232.0,2492.8,2206.19,7259.75,17
HCPCS,L0810,HALO CERVICAL INTO JCKT VEST,6621.0,2648.4,2343.74,7712.48,17
HCPCS,L0820,HALO CERVICAL INTO BODY JACK,4500.0,1800.0,1895.99,6239.03,15
HCPCS,L0859,HC MRI COMPATIBLE SYSTEM,3004.0,1201.6,1063.54,3499.73,15
HCPCS,L0861,HALO REPL LINER/INTERFACE,572.0,228.8,103.2,665.8,15
HCPCS,L0984,HC PROTECTIVE BODY SOCK EACH,100.0,40.0,53.01,174.43,14
HCPCS,L0999,ADD TO SPINAL ORTHOSIS NOS,266.0,106.4,106.4,266.0,14
HCPCS,L1210,HC LATERAL THORACIC EXTENSION,588.0,235.2,112.8,751.7,15
HCPCS,L1240,HC LUMBAR DEROTATION PAD,120.0,48.0,85.41,281.03,14
HCPCS,L1260,HC ANTERIOR THORACIC DEROTATION,244.0,97.6,86.42,284.43,14
HCPCS,L1290,HC LATERAL TROCHANTERIC PAD,225.0,90.0,87.24,287.08,14
HCPCS,L1300,BODY JACKET MOLD TO PATIENT,3900.0,1560.0,1458.32,4798.83,15
HCPCS,L1310,POSTOPERATIVE BODY JACKET,3800.0,1520.0,1500.61,4937.98,15
HCPCS,L1499,SPINAL ORTHOSIS NOS,107.0,42.8,30.45,96.3,14
HCPCS,L1600,HC ABDUCT HIP FLEX FREJKA W CVR,318.0,127.2,112.5,370.2,14
HCPCS,L1620,HC HO ABDUCTION HIP JOINTS PAVLIK HARNESS PREFAB,335.0,134.0,126.21,415.33,14
HCPCS,L1640,HC PELV BAND/SPREAD BAR THIGH,1000.0,400.0,360.0,1325.6,15
HCPCS,L1685,POSTOP HIP ABDUCT CUSTOM FA,3200.0,1280.0,1296.09,4264.98,15
HCPCS,L1686,HC MED/SURG PROSTHETIC/ORTHOTIC DEVICES,890.0,356.0,294.0,2225.0,15
HCPCS,L1810,HC KO ELASTIC WITH JOINTS,322.0,128.8,113.65,373.98,14
HCPCS,L1812,KO ELASTIC W/JOINTS PRE OTS,188.0,75.2,75.2,169.2,14
HCPCS,L1820,HC KO ELAS W/ CONDYLE PADS AND JO,320.0,128.0,113.2,372.48,14
HCPCS,L1830,HC KO IMMOBILIZER CANVAS LONGIT,150.0,60.0,60.0,135.0,14
HCPCS,L1830,KO IMMOB CANVAS LONG PRE OTS,204.0,81.6,81.6,183.6,14
HCPCS,L1831,KNEE ORTH POS LOCKING JOINT,735.0,294.0,201.0,909.1,15
HCPCS,L1832,HC KO ADJ JNT POS RIGID SUPPORT,1916.0,766.4,707.69,2328.78,15
HCPCS,L1833,KO ADJ JNT POS R SUP PRE OTS,337.0,134.8,123.5,303.3,14
HCPCS,L1834,KO W/0 JOINT RIGID MOLDED TO,1300.0,520.0,540.0,2739.78,15
HCPCS,L1836,HC RIGID KO WO JOINTS,250.0,100.0,100.0,225.0,14
HCPCS,L1840,KO DEROT ANT CRUCIATE CUSTOM,2300.0,920.0,875.19,2879.98,15
HCPCS,L1843,HC BLEDSOE BRACE RTANDLT LOWER EXT,1300.0,520.0,540.0,2771.65,15
HCPCS,L1843,KO SINGLE UPRIGHT PRE CST,1500.0,600.0,660.0,2771.65,15
HCPCS,L1844,HC KO W/ADJ JT ROT CNTRL MOLDED,3900.0,1560.0,1459.49,4802.68,15
HCPCS,L1845,KO DOUBLE UPRIGHT PRE CST,2300.0,920.0,941.0,2893.35,15
HCPCS,L1846,HC KO W ADJ FLEX/EXT ROTAT MOLD,1500.0,600.0,660.0,3671.15,15
HCPCS,L1900,HC AFO SPRNG WIR DRSFLX CALF BD,620.0,248.0,132.0,868.93,15
HCPCS,L1902,HC AFO ANKLE GAUNTLET,108.0,43.2,71.71,235.98,14
HCPCS,L1904,HC AFO MOLDED ANKLE GAUNTLET,900.0,360.0,300.0,1350.9,15
HCPCS,L1906,HC AFO MULTILIGAMENTUS ANKLE SU,303.0,121.2,119.96,394.8,14
HCPCS,L1907,AFO SUPRAMALLEOLAR CUSTOM,1100.0,440.0,420.0,1738.18,15
HCPCS,L1910,HC AFO SING BAR CLASP ATTACH SH,601.0,240.4,120.6,768.25,15
HCPCS,L1920,HC AFO SING UPRIGHT W/ ADJUST S,785.0,314.0,231.0,1004.33,15
HCPCS,L1930,HC AFO PLASTIC,157.0,62.8,122.46,392.5,14
HCPCS,L1932,HC AFO RIG ANT TIB PREFAB TCF/=,1300.0,520.0,540.0,2756.55,15
HCPCS,L1940,HC AFO MOLDED TO PATIENT PLASTI,285.0,114.0,222.3,712.5,14
HCPCS,L1945,HC AFO MOLDED PLAS RIG ANT TIB,1800.0,720.0,840.0,2820.38,15
HCPCS,L1950,HC AFO SPIRAL MOLDED TO PT PLAS,1837.0,734.8,650.26,2139.8,15
HCPCS,L1951,HC AFO SPIRAL PREFABRICATED,1300.0,520.0,540.0,2594.28,15
HCPCS,L1960,HC AFO POS SOLID ANK PLASTIC MO,1368.0,547.2,483.9,1592.38,15
HCPCS,L1970,HC AFO PLASTIC MOLDED W/ANKLE J,2022.0,808.8,879.12,2355.25,15
HCPCS,L1971,HC AFO W/ANKLE JOINT PREFAB,261.0,104.4,203.58,652.5,14
HCPCS,L1980,HC AFO SING SOLID STIRRUP CALF,824.0,329.6,254.4,1054.33,15
HCPCS,L1990,HC AFO DOUB SOLID STIRRUP CALF,1000.0,400.0,360.0,1354.65,15
HCPCS,L2000,HC KAFO SING FRE STIRR THI/CALF,2277.0,910.8,885.49,2913.85,15
HCPCS,L2005,HC KAFO SNG/DBL MECHANICAL ACT,9888.0,3955.2,3846.68,12658.1,17
HCPCS,L2010,HC KAFO SNG SOLID STIRRUP W/O J,1300.0,520.0,540.0,2656.25,15
HCPCS,L2020,HC KAFO DBL SOLID STIRRUP BAND/,2600.0,1040.0,1019.38,3354.43,15
HCPCS,L2030,HC KAFO DBL SOLID STIRRUP W/O J,2274.0,909.6,884.41,2910.28,15
HCPCS,L2034,KAFO PLA SIN UP W/WO K/A CUS,4500.0,1800.0,1927.51,6342.83,15
HCPCS,L2035,HC KAFO PLASTIC PEDIATRIC SIZE,400.0,160.0,162.62,535.15,14
HCPCS,L2036,HC KAFO PLAS DOUB FREE KNEE MOL,4164.0,1665.6,1619.73,5329.98,15
HCPCS,L2037,KAFO PLAS SING FREE KNEE MOL,3800.0,1520.0,1492.68,4911.9,15
HCPCS,L2038,HC KAFO W/O JOINT MULTIAXIS AN,3000.0,1200.0,1248.19,4107.35,15
HCPCS,L2040,HC HKAFO TORSION BIL ROT STRAPS,400.0,160.0,159.44,524.63,14
HCPCS,L2050,HC HKAFO TORSION CABLE HIP PELV,1100.0,440.0,420.0,1397.18,15
HCPCS,L2060,HC HKAFO TORSION BALL BEARING J,900.0,360.0,300.0,1793.2,15
HCPCS,L2070,HC HKAFO TORSION UNILAT ROT STR,400.0,160.0,156.54,515.13,14
HCPCS,L2080,HC HKAFO UNILAT TORSION CABLE,859.0,343.6,275.4,1098.63,15
HCPCS,L2090,HC HKAFO UNILAT TORSION BALL BR,1000.0,400.0,360.0,1354.08,15
HCPCS,L2108,HC AFO TIB FX CAST PLASTER MOLD,2138.0,855.2,932.78,3069.45,15
HCPCS,L2112,HC AFO TIBIAL FRACTURE SOFT,1139.0,455.6,442.9,1457.45,15
HCPCS,L2114,HC AFO TIB FX SEMIRIGID,890.0,356.0,294.0,1667.48,15
HCPCS,L2116,HC AFO TIBIAL FRACTURE RIGID,1200.0,480.0,480.0,2196.9,15
HCPCS,L2126,HC KAFO FEM FX CAST THERMOPLAS,3000.0,1200.0,1187.88,3908.95,15
HCPCS,L2128,HC KAFO FEM FX CAST MOLDED TO P,3800.0,1520.0,1497.0,4926.1,15
HCPCS,L2132,HC KAFO FEMORAL FX CAST SOFT,1800.0,720.0,704.25,2317.45,15
HCPCS,L2134,HC KAFO FEM FX CAST SEMIRIGID,1300.0,520.0,540.0,2778.53,15
HCPCS,L2136,HC KAFO FEMORAL FX CAST RIGID,2500.0,1000.0,1032.44,3397.38,15
HCPCS,L2180,PLAS SHOE INSERT W ANK JOINT,265.0,106.0,102.24,336.45,14
HCPCS,L2182,DROP LOCK KNEE,206.0,82.4,80.02,263.33,14
HCPCS,L2184,LIMITED MOTION KNEE JOINT,370.0,148.0,144.2,474.5,14
HCPCS,L2186,HC ADJ MOTION KNEE JNT LERMAN T,400.0,160.0,159.79,525.78,14
HCPCS,L2188,QUADRILATERAL BRIM,897.0,358.8,298.2,1147.18,15
HCPCS,L2190,WAIST BELT,250.0,100.0,90.55,297.95,14
HCPCS,L2192,PELVIC BAND AND BELT THIGH FLA,880.0,352.0,288.0,1024.33,15
HCPCS,L2200,LIMITED ANKLE MOTION EA JNT,118.0,47.2,41.51,136.58,14
HCPCS,L2210,DORSIFLEXION ASSIST EACH JOI,173.0,69.2,67.36,221.6,14
HCPCS,L2220,HC DORSI AND PLANTAR FLEX ASS/RES,199.0,79.6,77.34,254.48,14
HCPCS,L2230,SPLIT FLAT CALIPER STIRR AND P,173.0,69.2,66.99,220.43,14
HCPCS,L2232,HC ROCKER BOTTOM CONTACT AFO,190.0,76.0,90.69,298.45,14
HCPCS,L2240,ROUND CALIPER AND PLATE ATTA,150.0,60.0,73.01,240.28,14
HCPCS,L2250,FOOT PLATE MOLDED STIRRUP AT,798.0,319.2,238.8,1020.78,15
HCPCS,L2260,REINFORCED SOLID STIRRUP,450.0,180.0,30.0,575.88,15
HCPCS,L2265,LONG TONGUE STIRRUP,265.0,106.0,102.81,338.33,14
HCPCS,L2270,VARUS/VALGUS STRAP PADDED/LI,133.0,53.2,46.89,154.28,14
HCPCS,L2275,PLASTIC MOD LOW EXT PAD/LINE,300.0,120.0,114.08,375.4,14
HCPCS,L2280,MOLDED INNER BOOT,1197.0,478.8,478.2,1394.58,15
HCPCS,L2300,ABDUCTION BAR JOINTED ADJUST,600.0,240.0,120.0,787.23,15
HCPCS,L2310,ABDUCTION BARSTRAIGHT,306.0,122.4,107.4,353.43,14
HCPCS,L2320,HC NONMOLDED LACER,500.0,200.0,60.0,591.1,15
HCPCS,L2330,HC LACER MOLDED TO PATIENT MODE,970.0,388.0,342.0,1128.03,15
HCPCS,L2335,ANTERIOR SWING BAND,500.0,200.0,60.0,663.58,15
HCPCS,L2340,PRETIBIAL SHELL MOLDED TO P,800.0,320.0,240.0,1565.9,15
HCPCS,L2350,PROSTHETIC TYPE SOCKET MOLDE,1300.0,520.0,540.0,2559.8,15
HCPCS,L2360,EXTENDED STEEL SHANK,115.0,46.0,45.17,148.63,14
HCPCS,L2370,PATTEN BOTTOM,577.0,230.8,106.2,737.45,15
HCPCS,L2375,TORSION ANK AND HALF SOLID STI,254.0,101.6,98.64,324.6,14
HCPCS,L2380,HC TORSION STRAIGHT KNEE JOINT,306.0,122.4,107.48,353.68,14
HCPCS,L2385,HC STRAIGHT KNEE JOINT HEAVY DU,301.0,120.4,116.94,384.8,14
HCPCS,L2387,HC ADD LE POLY KNEE CUSTOM KAFO,400.0,160.0,158.7,522.2,14
HCPCS,L2390,OFFSET KNEE JOINT EACH,250.0,100.0,95.57,314.48,14
HCPCS,L2395,HC OFFSET KNEE JOINT HEAVY DUTY,350.0,140.0,145.91,480.13,14
HCPCS,L2397,SUSPENSION SLEEVE LOWER EXT,265.0,106.0,102.32,336.7,14
HCPCS,L2405,KNEE JOINT DROP LOCK EA JNT,230.0,92.0,81.85,269.35,14
HCPCS,L2415,KNEE JOINT CAM LOCK EACH JOI,300.0,120.0,114.04,375.25,14
HCPCS,L2425,HC KNEE DISC/DIAL LOCK/ADJ FLEX,381.0,152.4,134.55,442.8,14
HCPCS,L2430,KNEE JNT RATCHET LOCK EA JNT,381.0,152.4,134.55,442.8,14
HCPCS,L2492,KNEE LIFT LOOP DROP LOCK RIN,229.0,91.6,89.02,292.95,14
HCPCS,L2500,THI/GLUT/ISCHIA WGT BEARING,708.0,283.2,184.8,906.3,15
HCPCS,L2510,TH/WGHT BEAR QUADLAT BRIM M,1900.0,760.0,737.4,2426.5,15
HCPCS,L2520,HC TH/WGHT BEAR QUADLAT BRIM C,1000.0,400.0,360.0,1323.45,15
HCPCS,L2525,TH/WGHT BEAR NAR ML BRIM MO,3500.0,1400.0,1379.8,4540.43,15
HCPCS,L2526,HC TH/WGHT BEAR NAR ML BRIM CU,1300.0,520.0,540.0,2447.33,15
HCPCS,L2530,THIGH/WGHT BEAR LACER NONMO,500.0,200.0,60.0,674.98,15
HCPCS,L2540,THIGH/WGHT BEAR LACER MOLDED,700.0,280.0,180.0,1214.58,15
HCPCS,L2550,THIGH/WGHT BEAR HIGH ROLL CU,645.0,258.0,147.0,825.1,15
HCPCS,L2570,HC HIP CLEVIS TYPE 2 POSIT JNT,1100.0,440.0,420.0,1824.45,15
HCPCS,L2580,PELVIC CONTROL PELVIC SLING,1100.0,440.0,420.0,1729.48,15
HCPCS,L2600,HC HIP CLEVIS/THRUST BEARING FR,500.0,200.0,60.0,590.03,15
HCPCS,L2610,HC HIP CLEVIS/THRUST BEARING LO,545.0,218.0,87.0,697.68,15
HCPCS,L2620,HC PELVIC CONTROL HIP HEAVY DUT,601.0,240.4,120.6,768.13,15
HCPCS,L2622,HC HIP JOINT ADJUSTABLE FLEXION,750.0,300.0,210.0,880.98,15
HCPCS,L2624,HC HIP ADJ FLEX EXT ABDUCT CONT,1028.0,411.2,363.96,1197.65,15
HCPCS,L2627,PLASTIC MOLD RECIPRO HIP AND C,3800.0,1520.0,1499.49,4934.3,15
HCPCS,L2628,METAL FRAME RECIPRO HIP AND CA,4200.0,1680.0,1761.42,5796.2,15
HCPCS,L2630,HC PELVIC CONTROL BAND AND BELT U,610.0,244.0,126.0,711.38,15
HCPCS,L2640,HC PELVIC CONTROL BAND AND BELT B,755.0,302.0,213.0,965.43,15
HCPCS,L2650,HC PELV AND THOR CONTROL GLUTEAL,276.0,110.4,104.77,344.75,14
HCPCS,L2660,THORACIC CONTROL THORACIC BA,400.0,160.0,162.72,535.43,14
HCPCS,L2670,THORAC CONT PARASPINAL UPRIG,400.0,160.0,148.92,490.05,14
HCPCS,L2680,THORAC CONT LAT SUPPORT UPRI,300.0,120.0,136.62,449.55,14
HCPCS,L2750,PLATING CHROME/NICKEL PR BAR,150.0,60.0,72.97,240.13,14
HCPCS,L2755,HC CARBON GRAPHITE LAMINATION,350.0,140.0,122.68,403.73,14
HCPCS,L2760,HC EXTENSION PER EXTENSION PER,115.0,46.0,53.05,174.55,14
HCPCS,L2768,HC ORTHO SIDEBAR DISCONNECT,315.0,126.0,122.33,402.5,14
HCPCS,L2780,HC NONCORROSIVE FINISH,125.0,50.0,62.75,206.48,14
HCPCS,L2785,DROP LOCK RETAINER EACH,95.0,38.0,36.89,121.4,14
HCPCS,L2795,KNEE CONTROL FULL KNEECAP,191.0,76.4,74.18,244.13,14
HCPCS,L2800,HC KNEE CAP MEDIAL OR LATERAL P,240.0,96.0,93.12,306.43,14
HCPCS,L2810,KNEE CONTROL CONDYLAR PAD,176.0,70.4,68.19,224.38,14
HCPCS,L2820,SOFT INTERFACE BELOW KNEE SE,130.0,52.0,75.82,249.48,14
HCPCS,L2830,SOFT INTERFACE ABOVE KNEE SE,220.0,88.0,85.26,280.53,14
HCPCS,L2840,TIBIAL LENGTH SOCK FX OR EQU,125.0,50.0,47.58,156.6,14
HCPCS,L2850,FEMORAL LGTH SOCK FX OR EQUA,150.0,60.0,54.05,177.88,14
HCPCS,L2999,LOWER EXTREMITY ORTHOSIS NOS,1200.0,480.0,190.05,1080.0,15
HCPCS,L3020,HC FOOT LONGITUD/METATARSAL SUP,500.0,200.0,60.0,612.88,15
HCPCS,L3150,HC DENIS BROWN BAR W/O SHOES,100.0,40.0,76.42,250.0,14
HCPCS,L3170,FOOT PLAS HEEL STABI PRE OTS,125.0,50.0,47.77,157.18,14
HCPCS,L3208,SURGICAL BOOT EACH INFANT,125.0,50.0,50.0,112.5,14
HCPCS,L3221,ORTHOPEDIC MENS SHOES DPTH I,30.0,12.0,12.0,30.0,14
HCPCS,L3224,WOMAN'S SHOE OXFORD BRACE,132.0,52.8,51.34,168.93,14
HCPCS,L3225,MAN'S SHOE OXFORD BRACE,152.0,60.8,59.06,194.33,14
HCPCS,L3260,AMBULATORY SURGICAL BOOT EAC,36.0,14.4,14.4,32.4,14
HCPCS,L3265,PLASTAZOTE SANDAL EACH,20.0,8.0,8.0,20.0,14
HCPCS,L3300,HC SHO LIFT TAPER TO METATARSAL,139.0,55.6,48.94,161.03,14
HCPCS,L3310,HC SHOE LIFT ELEV HEEL/SOLE NEO,130.0,52.0,76.42,251.45,14
HCPCS,L3332,SHOE LIFTS TAPERED TO ONEHA,12.0,4.8,9.36,30.0,14
HCPCS,L3340,HC DARCO OTHO/HEEL WEDGE,206.0,82.4,80.02,263.33,14
HCPCS,L3350,SHOE HEEL WEDGE,61.0,24.4,21.47,70.65,14
HCPCS,L3649,ORTHOPEDIC SHOE MODIFICA NOS,20.0,8.0,8.0,19.95,14
HCPCS,L3650,HC SHLDER FIG 8 ABDUCT RESTRAIN,145.0,58.0,51.14,168.28,14
HCPCS,L3650,HC SHOULDER ORTHOSIS ABDUCTION RESTRAINER PREFAB OTS,145.0,58.0,51.14,168.28,14
HCPCS,L3660,HC ABDUCT RESTRAINER CANVAS AND WEB,225.0,90.0,87.8,288.93,14
HCPCS,L3670,HC ACROMIO/CLAVICULAR CANVASANDWE,152.0,60.8,118.56,380.0,14
HCPCS,L3671,HC SO CAP DESIGN W/O JNTS CF,1300.0,520.0,540.0,2533.1,15
HCPCS,L3674,HC SO AIRPLANE W/WO JOINT CF,2500.0,1000.0,1009.85,3323.08,15
HCPCS,L3675,HC CANVAS VEST SO,161.0,64.4,125.58,402.5,14
HCPCS,L3702,HC EO W/O JOINTS CF,195.0,78.0,152.1,487.5,14
HCPCS,L3760,EO ADJ JT PREFAB CUSTOM FIT,1000.0,400.0,360.0,1405.88,15
HCPCS,L3761,EO ADJ LOCK JOINT PREFAB OT,318.0,127.2,248.04,795.0,14
HCPCS,L3762,HC RIGID EO WO JOINTS,160.0,64.0,91.87,302.33,14
HCPCS,L3763,HC EWHO RIGID W/O JNTS CF,350.0,140.0,273.0,875.0,14
HCPCS,L3765,EWHFO RIGIS W/O JNTS CUST FAB FIT/ADJ,1600.0,640.0,928.0,3604.75,17
HCPCS,L3766,HC EWHFO W/JOINTS CF,3000.0,1200.0,1160.03,3817.23,15
HCPCS,L3807,HC WHFO NO JOINT PREFABRICATED,160.0,64.0,124.8,400.0,14
HCPCS,L3808,HC WHFO RIGID W/O JOINTS,193.0,77.2,150.54,482.5,14
HCPCS,L3809,WHFO W/O JOINTS PRE OTS,57.0,22.8,44.46,142.5,14
HCPCS,L3905,HC WHO W/NONTORSION JNTS CF,315.0,126.0,245.7,787.5,14
HCPCS,L3906,HC WHO W/O JOINTS CF,175.0,70.0,136.5,437.5,14
HCPCS,L3908,HC WRIST COCKUP NONMOLDED,60.0,24.0,46.8,150.0,14
HCPCS,L3912,HC FLEX GLOVE W/ELASTIC FINGER,44.0,17.6,34.32,110.0,14
HCPCS,L3913,HC HFO W/O JOINTS CF,150.0,60.0,117.0,375.0,14
HCPCS,L3917,HC PREFAB METACARPL FX ORTHOSIS,190.0,76.0,90.25,296.98,14
HCPCS,L3919,HC HO W/O JOINTS CF,140.0,56.0,109.2,350.0,14
HCPCS,L3921,HC HFO W/JOINTS CF,865.0,346.0,274.4,902.95,15
HCPCS,L3923,HC HFO W/O JOINTS PF,80.0,32.0,62.4,200.0,14
HCPCS,L3925,HC FO PIP/DIP WITH JOINT/SPRING,52.0,20.8,40.56,130.0,14
HCPCS,L3927,HC FO PIP/DIP W/O JOINT/SPRING,56.0,22.4,29.9,98.35,14
HCPCS,L3929,HC HFO NONTORSION JOINT PREFAB,77.0,30.8,60.06,192.5,14
HCPCS,L3930,HFO NONTORSION JOINT PREFAB OFF SHELF,193.0,77.2,72.64,236.68,17
HCPCS,L3933,HC FO W/O JOINTS CF,158.0,63.2,123.24,395.0,14
HCPCS,L3956,HC ADD JOINT UPPER EXT ORTHOSIS,100.0,40.0,40.0,90.0,14
HCPCS,L3960,HC SEWHO AIRPLAN DESIG ABDU POS,1800.0,720.0,704.21,2317.28,15
HCPCS,L3961,HC SEWHO CAP DESIGN W/O JNTS CF,4000.0,1600.0,1435.38,4723.33,15
HCPCS,L3980,HC UPP EXT FX ORTHOSIS HUMERAL,236.0,94.4,184.08,590.0,14
HCPCS,L3980,UP EXT FX ORTHOS HUMERAL NOS,832.0,332.8,259.2,869.08,15
HCPCS,L3984,HC UPPER EXT FX ORTHOSIS WRIST,100.0,40.0,78.0,250.0,14
HCPCS,L3999,UPPER LIMB ORTHOSIS NOS,1200.0,480.0,46.2,1080.0,15
HCPCS,L4002,REPLACE STRAP ANY ORTHOSIS,11.0,4.4,4.4,11.0,14
HCPCS,L4205,ORTHO DVC REPAIR PER 15 MIN,35.0,14.0,27.3,74.88,14
HCPCS,L4210,ORTH DEV REPAIR/REPL MINOR P,75.0,30.0,22.05,67.5,14
HCPCS,L4350,HC ANKLE CONTROL ORTHOSI PREFAB,68.0,27.2,53.04,170.0,14
HCPCS,L4360,HC PNEUMATI WALKING BOOT PREFAB,726.0,290.4,195.6,845.15,15
HCPCS,L4361,PNEUMA/VAC WALK BOOT PRE OTS,168.0,67.2,131.04,420.0,14
HCPCS,L4370,PNEUM FULL LEG SPLNT PRE OTS,438.0,175.2,22.8,542.35,15
HCPCS,L4386,HC NONPNEUM WALK BOOT PREFAB,421.0,168.4,12.6,489.73,15
HCPCS,L4387,NONPNEUM WALK BOOT PRE OTS,211.0,84.4,150.33,489.73,14
HCPCS,L4396,HC STATIC AFO,445.0,178.0,27.0,518.53,15
HCPCS,L4397,STATIC OR DYNAMI AFO PRE OTS,300.0,120.0,159.14,518.53,14
HCPCS,L4398,HC FOOT DROP SPLINT RECUMBENT,123.0,49.2,72.51,238.63,14
HCPCS,L5000,SHO INSERT W ARCH TOE FILLER,890.0,356.0,294.0,1619.75,15
HCPCS,L5400,POSTOP DRESS AND 1 CAST CHG BK,3000.0,1200.0,1266.63,4168.05,15
HCPCS,L5420,POSTOP DSG AND 1 CAST CHG AK/D,3400.0,1360.0,1552.22,5107.8,15
HCPCS,L5450,HC BK POST OP RIGID DRESSING NON WEIGHT BEARING,1000.0,400.0,360.0,1252.98,15
HCPCS,L5450,POSTOP APP NONWGT BEAR DSG,399.0,159.6,311.22,997.5,14
HCPCS,L5460,POSTOP APP NONWGT BEAR DSG,890.0,356.0,294.0,1669.38,15
HCPCS,L5673,SOCKET INSERT W LOCK MECH,1200.0,480.0,480.0,2176.28,15
HCPCS,L5694,AK PELVIC CONTROL BELT PAD/L,544.0,217.6,86.4,555.25,15
HCPCS,L5700,HC REPLACE SOCKET BELOW KNEE,5246.0,2098.4,2907.6,8769.25,15
HCPCS,L5783,ADDTION TO LOWER EXTREMITY,7720.0,3088.0,2412.74,7875.18,17
HCPCS,L5976,ENERGY STORING FOOT,1300.0,520.0,520.87,1714.03,15
HCPCS,L6611,ADDITIONAL SWITCH EXT POWER,1030.0,412.0,378.0,1274.25,15
HCPCS,L8042,HC ORBITAL PROSTHESIS,3000.0,1200.0,1560.0,7500.0,15
HCPCS,L8420,HC SOCK PRO MULT PLY BELOW KNEE,66.0,26.4,28.63,76.68,14
HCPCS,L8440,HC SHRINKER BELOW KNEE,138.0,55.2,48.76,160.45,14
HCPCS,L8460,HC SHRINKER ABOVE KNEE,192.0,76.8,67.86,223.33,14
HCPCS,L8465,HC SHRINKER UPPER LIMB,171.0,68.4,60.49,199.05,14
HCPCS,L8500,ARTIFICIAL LARYNX,7500.0,3000.0,613.82,6750.0,17
HCPCS,L8500,HC ARTIFICIAL LARYNX,1700.0,680.0,613.82,2019.88,15
HCPCS,L8501,TRACHEOSTOMY SPEAKING VALVE,385.0,154.0,136.33,448.55,14
HCPCS,L8501,VALVE,300.0,120.0,136.33,448.55,14
HCPCS,L8509,HC PROSTH VOICE INDWELLING,862.5,345.0,102.73,855.0,30
HCPCS,L8509,TRACHESOPH VOICE PROS MD IN,822.0,328.8,102.73,1241.1,29
HCPCS,L8511,HC INDWELLING TRACH,193.0,77.2,68.41,225.13,14
HCPCS,L8514,REPL TRACH PUNCTURE DILATOR,515.0,206.0,69.0,463.5,15
HCPCS,L8600,IMPLANT BREAST SILICONE/EQ,3191.0,1276.4,1276.4,2871.9,15
HCPCS,L8603,COLLAGEN IMP URINARY 2.5 ML,1100.0,440.0,420.0,990.0,15
HCPCS,L8604,HC DEFLUX BIOIMPLANT,6070.0,2428.0,2428.0,5463.0,17
HCPCS,L8606,SYNTHETIC IMPLNT URINARY 1ML,1300.0,520.0,520.0,1170.0,15
HCPCS,L8610,OCULAR IMPLANT,1200.0,480.0,480.0,1080.0,15
HCPCS,L8612,AQUEOUS SHUNT PROSTHESIS,1978.0,791.2,791.2,1780.2,17
HCPCS,L8613,OSSICULAR IMPLANT,1042.0,416.8,385.2,937.8,15
HCPCS,L8614,COCHLEAR DEVICE,51370.0,20548.0,2008.81,46233.0,23
HCPCS,L8630,IMPLANT,3000.0,1200.0,1200.0,2700.0,15
HCPCS,L8641,IMPLANT,3000.0,1200.0,1200.0,2700.0,15
HCPCS,L8641,METATARSAL JOINT IMPLANT,4900.0,1960.0,1960.0,4410.0,15
HCPCS,L8642,IMPLANT,3000.0,1200.0,1200.0,2700.0,15
HCPCS,L8658,IMPLANT,3000.0,1200.0,1200.0,2700.0,15
HCPCS,L8670,VASCULAR GRAFT SYNTHETIC,3968.0,1587.2,1587.2,3571.2,15
HCPCS,L8689,CHARGE,3000.0,1200.0,1560.0,5338.78,15
HCPCS,L8690,AUD OSSEO DEV INT/EXT COMP,88550.0,35420.0,35420.0,79695.0,17
HCPCS,L8693,AUD OSSEO DEV ABUTMENT,4029.0,1611.6,1426.21,4693.18,15
HCPCS,L8699,DUCT OCCLUDER,4390.0,1756.0,1756.0,3951.0,15
HCPCS,L8699,HC INTRSCT PROPEL DRGELTING SINUS IMPLANT,2524.0,1009.6,1009.6,2271.6,15
HCPCS,L8699,HC LINX REFLUX MANAGEMENT SYSTEM,10000.0,4000.0,4000.0,9000.0,17
HCPCS,L8699,HC PECTUS IMPLANT,15917.0,6366.8,5975.6,15205.5,34
HCPCS,L8699,HC TESTICULAR PROSTHESIS EACH,3000.0,1200.0,1200.0,2700.0,15
HCPCS,L8699,PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED,11263.0,4505.2,1763.2,20700.0,117
HCPCS,M0201,COVID19 VACCINE HOME ADMIN,89.0,35.6,32.4,89.0,27
HCPCS,M0224,PEMIVIBART INFUSION VACCINE ADMINISTRATION CODE,1126.0,450.4,450.5,1126.25,33
HCPCS,M0249,INTRAVENOUS INFUSION TOCILIZUMAB FOR HOSPITALIZED ADULTS AND PED,1126.0,450.4,450.5,1126.25,33
HCPCS,M0250,2ND DOSE IINTRAVENOUS INFUSION TOCILIZUMAB FOR HOSPITALIZED ADULTS,1126.0,450.4,450.5,1126.25,33
HCPCS,P3000,SCREEN PAP BY TECH W MD SUPV,40.0,16.0,16.58,46.35,32
HCPCS,P9010,WHOLE BLOOD FOR TRANSFUSION,458.0,183.2,145.34,474.6,128
HCPCS,P9011,BLOOD SPLIT UNIT,377.0,150.8,119.3,389.6,32
HCPCS,P9012,CRYOPRECIPITATE EACH UNIT,200.0,80.0,55.08,200.0,32
HCPCS,P9016,RBC LEUKOCYTES REDUCED,481.0,192.4,105.0,481.0,64
HCPCS,P9017,HC DOUBLE FRESH FROZEN PLASMA,200.0,80.0,65.83,214.95,32
HCPCS,P9019,PLATELETS EACH UNIT,182.0,72.8,40.71,163.8,32
HCPCS,P9021,RED BLOOD CELLS UNIT,350.0,140.0,105.0,376.43,128
HCPCS,P9022,WASHED RED BLOOD CELLS UNIT,970.0,388.0,105.0,970.0,64
HCPCS,P9032,PLATELETS IRRADIATED,362.0,144.8,209.96,982.43,32
HCPCS,P9035,PLATELET PHERES LEUKOREDUCED,1242.0,496.8,391.69,1278.98,32
HCPCS,P9037,HC IRRADIATED APHER PLATELET,1576.0,630.4,521.09,1701.53,32
HCPCS,P9038,RBC IRRADIATED,400.0,160.0,105.0,400.0,64
HCPCS,P9039,RBC DEGLYCEROLIZED,1115.0,446.0,105.0,1003.5,32
HCPCS,P9040,RBC LEUKOREDUCED IRRADIATED,665.0,266.0,105.0,665.0,64
HCPCS,P9041,ALBUMIN HUMAN 5 % SOLN 50 ML VIAL,196.625,78.65,10.62,177.98,64
HCPCS,P9041,ALBUMIN HUMAN 5 % SOLN 500 ML BAG,510.6,204.24,10.62,459.54,32
HCPCS,P9041,ALBUMIN HUMAN 5 % SOLN 500 ML VIAL,641.7,256.68,10.62,689.31,96
HCPCS,P9044,CRYOPRECIPITATEREDUCEDPLASMA,168.0,67.2,97.44,330.13,32
HCPCS,P9045,ALBUMIN HUMAN 5 % SOLN 250 ML FLEX CONT,347.5,139.0,41.9,312.75,64
HCPCS,P9045,ALBUMIN HUMAN 5 % SOLN 250 ML VIAL,287.5,115.0,41.9,447.12,96
HCPCS,P9047,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,529.92,211.97,53.32,894.24,224
HCPCS,P9047,ALBUMIN HUMAN 25 % SOLN 50 ML FLEX CONT,347.25,138.9,53.32,312.53,64
HCPCS,P9047,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,294.0,117.6,53.32,447.12,224
HCPCS,P9050,GRANULOCYTES PHERESIS UNIT,1400.0,560.0,297.4,1400.0,24
HCPCS,P9051,BLOOD L/R CMVNEG,520.0,208.0,116.05,468.0,32
HCPCS,P9052,PLATELETS HLAM L/R UNIT,2000.0,800.0,297.4,1989.65,32
HCPCS,P9054,BLOOD L/R FROZ/DEGLY/WASH,704.0,281.6,203.03,704.0,32
HCPCS,P9058,HC RED BLOOD CELLS LEUKOCYTES REDUCED CMVNEG IRRADIATED EACH UNIT,500.0,200.0,190.94,623.5,32
HCPCS,P9059,HC FRESH FROZEN PLASMA,182.0,72.8,56.49,184.43,32
HCPCS,P9073,PLATELETS PHERESIS PATH REDU,1400.0,560.0,604.45,1518.58,26
HCPCS,P9612,CATHETERIZE FOR URINE SPEC,25.0,10.0,3.6,25.0,26
HCPCS,Q0091,OBTAINING SCREEN PAP SMEAR,63.0,25.2,22.62,65.28,33
HCPCS,Q0138,FERUMOXYTOL 510 MG/17ML SOLN 17 ML VIAL,5928.200000000001,2371.2799999999997,0.36,5414.23,64
HCPCS,Q0162,ONDANSETRON 4 MG TABS 1 EACH,61.714999999999996,24.685,1.48,107.75,34
HCPCS,Q0162,ONDANSETRON 4 MG TABS 100 EACH BOX,119.72,47.89,47.89,107.75,17
HCPCS,Q0162,ONDANSETRON 4 MG TABS 50 EACH BOX,3.71,1.48,1.48,3.34,17
HCPCS,Q0162,ONDANSETRON 4 MG TBDP 1 EACH,115.57,46.23,46.23,104.01,17
HCPCS,Q0162,ONDANSETRON 4 MG TBDP 30 EACH BOX,111.47,44.59,44.57,104.01,51
HCPCS,Q0162,ONDANSETRON 8 MG TABS 1 EACH,5.234999999999999,2.0949999999999998,1.89,5.18,34
HCPCS,Q0162,ONDANSETRON 8 MG TABS 30 EACH BOTTLE,178.38,71.35,71.35,160.54,17
HCPCS,Q0162,ONDANSETRON 8 MG TABS 50 EACH BOX,4.72,1.89,1.89,4.25,17
HCPCS,Q0162,ONDANSETRON 8 MG TBDP 1 EACH,192.49,77.0,77.0,173.24,17
HCPCS,Q0162,ONDANSETRON 8 MG TBDP 10 EACH BOX,192.49,77.0,77.0,173.24,17
HCPCS,Q0162,ONDANSETRON 8 MG TBDP 30 EACH BOX,189.07999999999998,75.63,74.26,173.25,51
HCPCS,Q0163,DIPHENHYDRAMINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
HCPCS,Q0163,DIPHENHYDRAMINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
HCPCS,Q0164,PROCHLORPERAZINE 10 MG TABS 1 EACH,8.85,3.54,3.54,7.97,17
HCPCS,Q0164,PROCHLORPERAZINE 10 MG TABS 50 EACH BOX,8.87,3.55,3.55,7.98,17
HCPCS,Q0164,PROCHLORPERAZINE 5 MG TABS 1 EACH,7.870000000000001,3.1500000000000004,3.08,7.25,34
HCPCS,Q0164,PROCHLORPERAZINE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
HCPCS,Q0164,PROCHLORPERAZINE 5 MG TABS 50 EACH BOX,7.875,3.1500000000000004,3.08,7.25,34
HCPCS,Q0167,DRONABINOL 10 MG CAPS 60 EACH BOTTLE,124.44,49.78,49.78,112.0,17
HCPCS,Q0167,DRONABINOL 2.5 MG CAPS 1 EACH,42.46,16.98,16.98,38.21,17
HCPCS,Q0167,DRONABINOL 2.5 MG CAPS 100 EACH BOX,50.98,20.39,20.39,45.88,17
HCPCS,Q0167,DRONABINOL 2.5 MG CAPS 60 EACH BOTTLE,32.56,13.02,4.95,53.06,51
HCPCS,Q0167,DRONABINOL 5 MG CAPS 1 EACH,85.91,34.36,34.36,77.32,17
HCPCS,Q0167,DRONABINOL 5 MG CAPS 30 EACH BOX,82.24,32.894999999999996,24.53,92.84,34
HCPCS,Q0167,DRONABINOL 5 MG CAPS 60 EACH BOTTLE,43.18,17.27,7.45,60.96,34
HCPCS,Q0169,PROMETHAZINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
HCPCS,Q0169,PROMETHAZINE 25 MG TABS 100 EACH BOX,3.88,1.5499999999999998,1.2,4.28,51
HCPCS,Q0224,PEMIVIBART 500 MG/4ML SOLN 4 ML VIAL,32004.05,12801.62,6687.25,32004.05,29
HCPCS,Q0245,ETESEVIMAB 700 MG/20ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,15
HCPCS,Q0477,PWR MODULE PT CABLE LVAD RPL,1300.0,520.0,92.83,2401.35,18
HCPCS,Q0478,ADAPTER POWER COMBO VENTRICULAR ASSIST DVC VAD,450.0,180.0,172.84,568.75,18
HCPCS,Q0479,HC HMII POWER MODULE,29000.0,11600.0,11359.9,37087.6,18
HCPCS,Q0481,MICROPRCSR CU ELEC VAD REP,38609.0,15443.6,13667.26,44974.2,18
HCPCS,Q0484,MONITOR ELEC OR COMB VAD REP,8804.0,3521.6,3424.69,11269.48,18
HCPCS,Q0486,MON CABLE ELEC/PNEUM VAD REP,1600.0,640.0,275.19,1440.0,16
HCPCS,Q0491,EMR PWR SOURCE COMBO VAD REP,2673.0,1069.2,1039.63,3421.08,16
HCPCS,Q0493,EMR PWR CBL COMBO VAD REP,675.0,270.0,165.0,784.63,16
HCPCS,Q0495,CHARGER ELEC/COMBO VAD REP,11099.0,4439.6,3928.84,12928.45,18
HCPCS,Q0496,BATTERY REPLACEMENT,2669.0,1067.6,1361.4,4640.25,16
HCPCS,Q0497,BAT CLPS ELEC/COMB VAD REP,1200.0,480.0,440.31,1448.85,16
HCPCS,Q0498,HOLSTER ELEC/COMBO VAD REP,1365.0,546.0,483.12,1589.75,16
HCPCS,Q0499,HC VAD BELT/VEST ELEC/COMBO,500.0,200.0,120.0,580.6,31
HCPCS,Q0501,SHWR COV ELEC/COMBO VAD REP,1278.0,511.2,480.34,1580.63,16
HCPCS,Q0503,BATTERY PNEUM VAD REPLACEMNT,3000.0,1200.0,1223.09,4024.73,16
HCPCS,Q0506,BATTERY LITHIUMION WITH ELECTRIC ELECTRIC PNEUMATIC VENTRICULAR ASSIST,2456.0,982.4,803.36,2643.6,18
HCPCS,Q0508,VAD,1257.5,503.0,206.0,1800.0,34
HCPCS,Q0509,MIS SUP/AC IMP VAD NOPAY MED,500.0,200.0,200.0,450.0,17
HCPCS,Q2009,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL,242.59,55.52,0.67,218.34,130
HCPCS,Q2009,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,477.265,190.905,0.67,602.62,208
HCPCS,Q2036,FLULAVAL VACC 3 YRS AND > IM,40.0,16.0,7.2,40.0,26
HCPCS,Q2037,FLUVIRIN VACC 3 YRS AND > IM,74.0,29.6,13.1,74.0,26
HCPCS,Q2038,FLUZONE VACC 3 YRS AND > IM,78.0,31.2,14.04,78.0,26
HCPCS,Q2039,INFLUENZA VIRUS VACCINE NOS,60.0,24.0,10.8,60.0,25
HCPCS,Q2041,AXICABTAGENE CILOLEUCEL 200000000 CELLS SUSP 1 EACH PACKAGE,2538043.2,1015217.28,90000.0,2284238.88,30
HCPCS,Q2042,TISAGENLECLEUCEL 250000000 CELLS SUSP 1 EACH FLEX CONT,2991408.0,1196563.2,90000.0,2692267.2,30
HCPCS,Q2042,TISAGENLECLEUCEL 600000000 CELLS SUSP 1 EACH FLEX CONT,2464191.7,985676.68,90000.0,2217772.53,30
HCPCS,Q2043,SIPULEUCELT 50000000 CELLS SUSP 250 ML FLEX CONT,345565.8,138226.32,50583.0,311009.22,32
HCPCS,Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML SUSP 10 ML VIAL,2700.0,1080.0,92.74,3369.8,96
HCPCS,Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML SUSP 25 ML VIAL,9295.68,3718.27,92.74,8366.11,32
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS SUSP 1 EACH FLEX CONT,2328480.0,931392.0,90000.0,2095632.0,30
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS SUSP 1 EACH FLEX CONT,2328480.0,931392.0,90000.0,2095632.0,30
HCPCS,Q2054,LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML SUSP 1 EACH BOX,2678005.85,1071202.34,562201.24,2410205.27,30
HCPCS,Q2055,IDECABTAGENE VICLEUCEL 510000000 CELLS SUSP 1 EACH FLEX CONT,2662694.75,1065077.9,567977.78,2396425.28,30
HCPCS,Q2056,CILTACABTAGENE AUTOLEUCEL 100000000 CELLS SUSP 1 EACH FLEX CONT,2798764.5,1119505.8,587977.76,2518888.05,30
HCPCS,Q4037,CAST SUP SHRT LEG PLASTER,45.0,18.0,14.0,52.3,26
HCPCS,Q4038,CAST SUP SHRT LEG FIBERGLASS,100.0,40.0,30.0,131.2,26
HCPCS,Q4049,FINGER SPLINT STATIC,10.0,4.0,2.09,9.0,26
HCPCS,Q4081,DIALYSIS MEDICATION,1.0,0.4,0.4,0.9,85
HCPCS,Q4081,EPOETIN ALFA 10000 UNIT/ML SOLN 1 ML VIAL,1475.22,590.09,1.11,1327.7,32
HCPCS,Q4081,EPOETIN ALFA 10000 UNIT/ML SOLN 2 ML VIAL,2693.88,1077.55,1.11,2424.49,16
HCPCS,Q4081,EPOETIN ALFA 2000 UNIT/ML SOLN 1 ML VIAL,320.76,128.3,1.11,288.68,16
HCPCS,Q4081,EPOETIN ALFA 20000 UNIT/ML SOLN 1 ML VIAL,2262.155,904.8599999999999,1.11,2424.49,64
HCPCS,Q4081,EPOETIN ALFA 3000 UNIT/ML SOLN 1 ML VIAL,442.6,177.04,1.11,398.34,16
HCPCS,Q4081,EPOETIN ALFA 4000 UNIT/ML SOLN 1 ML VIAL,590.09,236.04,1.11,531.08,16
HCPCS,Q4081,EPOETIN ALFA 40000 UNIT/ML SOLN 1 ML VIAL,5387.76,2155.1,1.11,4848.98,32
HCPCS,Q4100,SKIN SUBSTITUTE NOS,250.0,100.0,100.0,225.0,14
HCPCS,Q4101,APLIGRAF,95.0,38.0,38.0,316.29,24
HCPCS,Q4102,OASIS WOUND MATRIX,44.0,17.6,15.44,316.29,18
HCPCS,Q4103,OASIS BURN MATRIX,24.0,9.6,9.6,316.29,18
HCPCS,Q4104,INTEGRA BMWD,160.0,64.0,97.34,316.29,21
HCPCS,Q4105,INTEGRA DRT OR OMNIGRAFT,160.0,64.0,35.02,316.29,18
HCPCS,Q4106,DERMAGRAFT,100.0,40.0,40.0,90.0,16
HCPCS,Q4108,INTEGRA MATRIX,160.0,64.0,97.34,316.29,21
HCPCS,Q4110,PRIMATRIX,430.0,172.0,18.0,387.0,16
HCPCS,Q4112,CYMETRA INJECTABLE,1054.0,421.6,421.6,1054.0,16
HCPCS,Q4114,INTEGRA FLOWABLE WOUND MATRI,1800.0,720.0,720.0,1800.0,16
HCPCS,Q4116,ALLODERM,80.0,32.0,62.4,316.29,21
HCPCS,Q4118,HC MATRISTEM MICROMATRIX,20.0,8.0,3.3,18.0,16
HCPCS,Q4122,DERMACELL AWM POROUS SQ CM,100.0,40.0,78.0,316.29,15
HCPCS,Q4124,OASIS TRILAYER WOUND MATRIX,60.0,24.0,3.24,316.29,18
HCPCS,Q4125,ARTHROFLEX,100.0,40.0,78.0,316.29,21
HCPCS,Q4130,TISSUE MATRIX,100.0,40.0,78.0,316.29,21
HCPCS,Q4132,HC GRAFIX CORE PER SQ CM,1350.0,540.0,126.52,1215.0,18
HCPCS,Q4133,GRAFIX STRAVIX PRIME PL SQCM,2200.0,880.0,97.34,1980.0,24
HCPCS,Q4140,BIODFENCE 1CM,100.0,40.0,58.0,316.29,18
HCPCS,Q4158,KERECIS OMEGA3 PER SQ CM,254.0,101.6,97.34,316.29,21
HCPCS,Q4166,CYTAL PER SQUARE CENTIMETER,80.0,32.0,25.96,316.29,24
HCPCS,Q4171,INTERFYL 1 MG,1257.0,502.8,13.12,2172.6,31
HCPCS,Q4181,AMNIO WOUND PER SQUARE CM,100.0,40.0,78.0,316.29,21
HCPCS,Q4186,EPIFIX 1 SQ CM,560.0,224.0,97.34,504.0,24
HCPCS,Q4187,EPICORD 1 SQ CM,800.0,320.0,126.52,720.0,16
HCPCS,Q4193,COLLEDERM 1 SQ CM,2290.0,916.0,126.52,2061.0,16
HCPCS,Q4196,PURAPLY AM 1 SQ CM,100.0,40.0,58.0,316.29,18
HCPCS,Q4418,BIOLAB WRAP FLOW PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4419,BIOLAB WRAP FLW LT PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4421,BIOLAB WRAP SOLO PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4422,AC WRAP PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4423,BIOLAB TRI WRAP FL PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4424,REVIVE FT PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4425,REVIVE TL PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4426,DERMBND TL+ TLX PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4427,DERMBND DLN DL+ DLX SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4428,DERMBND SLN SL+ SLX SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4429,DERMBND CHN CHX PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4435,RENATI MEMBRANE PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4436,RENATI AC MEMBRANE PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4437,REVIVAL AC PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4438,PRETECT PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4439,INSTAGRAFT PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q4440,CURAMATRIX PER SQ CM,290.0,116.0,116.0,316.29,15
HCPCS,Q5099,USTEKINUMABSTBA 130 MG/26ML SOLN 26 ML VIAL,1676.31,670.52,2.32,1508.68,30
HCPCS,Q5099,USTEKINUMABSTBA 90 MG/ML SOSY 1 ML SYRINGE,21049.22,8419.69,2.32,18944.3,30
HCPCS,Q5100,USTEKINUMABKFCE 130 MG/26ML SOLN 26 ML VIAL,2207.94,883.18,3.06,1987.15,32
HCPCS,Q5100,USTEKINUMABKFCE 90 MG/ML SOSY 1 ML SYRINGE,15119.92,6047.97,3.06,13607.93,32
HCPCS,Q5101,FILGRASTIMSNDZ 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1514.46,605.78,0.27,1363.01,32
HCPCS,Q5101,FILGRASTIMSNDZ 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,2212.48,884.99,0.27,1991.23,32
HCPCS,Q5103,INFLIXIMABDYYB 100 MG SOLR 1 EACH VIAL,4769.27,1907.71,13.59,4292.34,32
HCPCS,Q5104,INFLIXIMABABDA 100 MG SOLR 1 EACH VIAL,3797.09,1518.84,24.97,3417.38,32
HCPCS,Q5105,EPOETIN ALFAEPBX 10000 UNIT/ML SOLN 1 ML VIAL,616.345,246.535,0.8,561.45,34
HCPCS,Q5105,EPOETIN ALFAEPBX 2000 UNIT/ML SOLN 1 ML VIAL,135.62,54.25,0.8,122.06,16
HCPCS,Q5105,EPOETIN ALFAEPBX 20000 UNIT/ML SOLN 1 ML VIAL,1247.685,499.075,0.8,1122.93,32
HCPCS,Q5105,EPOETIN ALFAEPBX 3000 UNIT/ML SOLN 1 ML VIAL,203.43,81.37,0.8,183.09,16
HCPCS,Q5105,EPOETIN ALFAEPBX 4000 UNIT/ML SOLN 1 ML VIAL,271.23,108.49,0.8,244.11,16
HCPCS,Q5105,EPOETIN ALFAEPBX 40000 UNIT/ML SOLN 1 ML VIAL,2278.335,911.335,0.8,2050.51,32
HCPCS,Q5107,BEVACIZUMABAWWB 100 MG/4ML SOLN 4 ML VIAL,3851.49,1540.6,22.03,3466.34,32
HCPCS,Q5107,BEVACIZUMABAWWB 400 MG/16ML SOLN 16 ML VIAL,15405.73,6162.29,22.03,13865.16,32
HCPCS,Q5108,PEGFILGRASTIMJMDB 6 MG/0.6ML SOSY 0.6 ML SYRINGE,10521.0,4208.4,67.02,9468.9,32
HCPCS,Q5110,FILGRASTIMAAFI 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1208.88,483.55,0.23,1087.99,64
HCPCS,Q5110,FILGRASTIMAAFI 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,1934.21,773.68,0.23,1740.79,64
HCPCS,Q5110,FILGRASTIMAAFI 480 MCG/1.6ML SOLN 1.6 ML VIAL,1934.21,773.68,0.23,1740.79,64
HCPCS,Q5111,PEGFILGRASTIMCBQV ONBODY 6 MG/0.6ML SOSY 0.6 ML SYRINGE,21042.0,8416.8,126.71,18937.8,64
HCPCS,Q5111,PEGFILGRASTIMCBQV SYRINGE/SHOT 6 MG/0.6ML SOSY 0.6 ML SYRINGE,21042.0,8416.8,126.71,18937.8,64
HCPCS,Q5113,TRASTUZUMABPKRB 150 MG SOLR 1 EACH VIAL,5497.38,2198.95,37.66,4947.64,26
HCPCS,Q5113,TRASTUZUMABPKRB 420 MG SOLR 1 EACH VIAL,15392.66,6157.06,37.66,13853.39,52
HCPCS,Q5114,TRASTUZUMABDKST 150 MG SOLR 1 EACH VIAL,4740.16,1896.06,31.95,4266.14,64
HCPCS,Q5114,TRASTUZUMABDKST 420 MG SOLR 1 EACH VIAL,13230.25,5292.1,31.95,11907.23,64
HCPCS,Q5115,RITUXIMABABBS 100 MG/10ML SOLN 10 ML VIAL,466.74,186.7,27.99,420.07,32
HCPCS,Q5115,RITUXIMABABBS 500 MG/50ML SOLN 50 ML VIAL,23337.18,9334.87,27.99,21003.46,32
HCPCS,Q5116,TRASTUZUMABQYYP 150 MG SOLR 1 EACH VIAL,6103.94,2441.58,8.21,5493.55,32
HCPCS,Q5116,TRASTUZUMABQYYP 420 MG SOLR 1 EACH VIAL,17091.06,6836.42,8.21,15381.95,32
HCPCS,Q5117,TRASTUZUMABANNS 150 MG SOLR 1 EACH VIAL,6854.74,2741.9,8.11,6169.27,32
HCPCS,Q5117,TRASTUZUMABANNS 420 MG SOLR 1 EACH VIAL,19193.24,7677.3,8.11,17273.92,32
HCPCS,Q5118,BEVACIZUMABBVZR 100 MG/4ML SOLN 4 ML VIAL,3385.97,1354.39,17.51,3047.37,32
HCPCS,Q5118,BEVACIZUMABBVZR 400 MG/16ML SOLN 16 ML VIAL,13543.87,5417.55,17.51,12189.48,32
HCPCS,Q5119,RITUXIMABPVVR 100 MG/10ML SOLN 10 ML VIAL,3956.74,1582.7,13.27,3561.07,32
HCPCS,Q5119,RITUXIMABPVVR 500 MG/50ML SOLN 50 ML VIAL,19783.68,7913.47,13.27,17805.31,32
HCPCS,Q5120,PEGFILGRASTIMBMEZ 6 MG/0.6ML SOSY 0.6 ML SYRINGE,19784.69,7913.88,25.94,17806.22,32
HCPCS,Q5121,INFLIXIMABAXXQ 100 MG SOLR 1 EACH VIAL,2520.0,1008.0,20.39,2268.0,32
HCPCS,Q5122,PEGFILGRASTIMAPGF 6 MG/0.6ML SOSY 0.6 ML SYRINGE,19782.0,7912.8,64.73,17803.8,32
HCPCS,Q5130,PEGFILGRASTIMPBBK 6 MG/0.6ML SOSY 0.6 ML SYRINGE,12600.0,5040.0,105.11,11340.0,32
HCPCS,Q5133,TOCILIZUMABBAVI 200 MG/10ML SOLN 10 ML VIAL,5594.4,2237.76,4.33,5034.96,32
HCPCS,Q5133,TOCILIZUMABBAVI 400 MG/20ML SOLN 20 ML VIAL,11188.8,4475.52,4.33,10069.92,32
HCPCS,Q5133,TOCILIZUMABBAVI 80 MG/4ML SOLN 4 ML VIAL,2237.76,895.1,4.33,2013.98,32
HCPCS,Q5135,TOCILIZUMABAAZG 200 MG/10ML SOLN 10 ML VIAL,4935.17,1974.07,4.06,4441.65,32
HCPCS,Q5135,TOCILIZUMABAAZG 400 MG/20ML SOLN 20 ML VIAL,9870.34,3948.14,4.06,8883.31,32
HCPCS,Q5135,TOCILIZUMABAAZG 80 MG/4ML SOLN 4 ML VIAL,2162.09,864.84,4.06,1945.88,32
HCPCS,Q5136,DENOSUMABBBDZ 120 MG/1.7ML SOLN 1.7 ML VIAL,16169.62,6467.85,20.85,14552.66,26
HCPCS,Q5136,DENOSUMABBBDZ 60 MG/ML SOSY 1 ML SYRINGE,8084.83,3233.93,20.85,7276.35,26
HCPCS,Q5157,DENOSUMABBMWO 60 MG/ML SOSY 1 ML SYRINGE,8979.56,3591.82,22.23,8081.6,32
HCPCS,Q5158,DENOSUMABBNHT 120 MG/1.7ML SOLN 1.7 ML VIAL,16865.1,6746.04,22.69,15178.59,32
HCPCS,Q5158,DENOSUMABBNHT 120 MG/1.7ML SOSY 1.7 ML SYRINGE,16865.1,6746.04,22.69,15178.59,32
HCPCS,Q5158,DENOSUMABBNHT 60 MG/ML SOSY 1 ML SYRINGE,9168.6,3667.44,22.69,8251.74,32
HCPCS,Q9950,HC INJECTION SULFUR HEXAFLUORIDE LIPID MICROSPHERES PER ML,55.0,22.0,22.0,49.5,16
HCPCS,Q9951,LOCM >= 400 MG/ML IODINE 1ML,6.0,2.4,2.4,5.4,16
HCPCS,Q9953,INJ FEBASED MR CONTRAST 1ML,2.0,0.8,0.8,2.0,16
HCPCS,Q9955,INJ PERFLEXANE LIP MICROS ML,975.0,390.0,390.0,877.5,16
HCPCS,Q9957,INJ PERFLUTREN LIP MICROS ML,480.0,192.0,192.0,432.0,16
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % SOLN 100 ML GLASS CONT,185.0,74.0,74.0,166.5,16
HCPCS,Q9958,HOCM <=149 MG/ML IODINE 1ML,3.0,1.2,1.2,2.7,16
HCPCS,Q9959,HOCM 150199MG/ML IODINE 1ML,3.0,1.2,1.2,2.7,16
HCPCS,Q9960,HC HOC 200249 MG/ML IODINE CONCENTRATION PER ML,3.0,1.2,1.2,2.7,16
HCPCS,Q9961,HC HOC 250299 MG/ML IODINE CONCENTRATION PER ML,3.0,1.2,1.2,2.7,16
HCPCS,Q9963,DIATRIZOATE MEGLUMINESODIUM 6610 % SOLN 30 ML BOTTLE,86.85,34.74,19.98,111.38,32
HCPCS,Q9963,HOCM 350399MG/ML IODINE 1ML,150.0,60.0,60.0,135.0,17
HCPCS,Q9965,LOCM 100199MG/ML IODINE 1ML,2.0,0.8,0.8,1.8,16
HCPCS,Q9966,IOHEXOL 240 MG/ML SOLN 50 ML BOTTLE,235.0,94.0,94.0,211.5,16
HCPCS,Q9966,LOCM 200299MG/ML IODINE 1ML,2.0,0.8,0.8,1.8,16
HCPCS,Q9967,IOHEXOL 300 MG/ML SOLN 10 ML VIAL,1109.52,443.81,443.81,998.57,16
HCPCS,Q9967,IOHEXOL 300 MG/ML SOLN 100 ML BOTTLE,272.25,108.9,108.9,245.03,16
HCPCS,Q9967,IOHEXOL 300 MG/ML SOLN 30 ML VIAL,382.95,153.18,153.18,344.66,16
HCPCS,Q9967,IOHEXOL 300 MG/ML SOLN 50 ML BOTTLE,278.0,111.2,111.2,250.2,16
HCPCS,Q9967,IOVERSOL 74 % SOLN 50 ML VIAL,114.0,45.6,45.6,102.6,16
HCPCS,Q9967,LOCM 300399MG/ML IODINE 1ML,2.0,0.8,0.8,1.8,16
HCPCS,Q9968,METHYLENE BLUE 50 MG/10ML SOLN 10 ML AMPULE,1293.84,517.54,0.26,1164.46,64
HCPCS,Q9968,METHYLENE BLUE 50 MG/10ML SOLN 10 ML VIAL,1293.84,517.54,0.26,1164.46,64
HCPCS,Q9968,METHYLENE BLUE ANTIDOTE 1 % SOLN 10 ML VIAL,1150.0,460.0,0.26,1035.0,64
HCPCS,Q9996,USTEKINUMABTTWE 90 MG/ML SOSY 1 ML SYRINGE,21049.22,8419.69,35.96,18944.3,16
HCPCS,Q9997,USTEKINUMABTTWE 130 MG/26ML SOLN 26 ML VIAL,5543.97,2217.59,6.6,4989.57,26
HCPCS,Q9998,USTEKINUMABAEKN 130 MG/26ML SOLN 26 ML VIAL,7055.96,2822.38,10.53,6350.36,26
HCPCS,Q9998,USTEKINUMABAEKN 90 MG/ML SOSY 1 ML SYRINGE,21049.22,8419.69,10.53,18944.3,26
HCPCS,Q9999,USTEKINUMABAAUZ 130 MG/26ML SOLN 26 ML VIAL,8495.98,3398.39,10.11,7646.38,26
HCPCS,Q9999,USTEKINUMABAAUZ 90 MG/ML SOSY 1 ML SYRINGE,18242.62,7297.05,10.11,16418.36,26
HCPCS,S0028,FAMOTIDINE 200 MG/20ML SOLN 20 ML VIAL,53.7,21.48,21.36,48.6,34
HCPCS,S0145,PEGINTERFERON ALFA2A 180 MCG/ML SOLN 1 ML VIAL,5611.62,2244.65,1476.4,5050.46,16
HCPCS,S0315,DISEASE MANAGEMENT PROGRAM INIT,50.0,20.0,20.0,45.0,17
HCPCS,S0317,DISEASE MANAGEMENT PROGRAM PER DIEM,10.0,4.0,4.0,9.0,17
HCPCS,S1040,CRANIAL REMOLDING ORTHOTIC PEDIATRIC,3300.0,1320.0,1320.0,2970.0,15
HCPCS,S2095,TRANSCATH EMBOLIZ MICROSPHER,44408.0,17763.2,4093.0,39967.2,17
HCPCS,S2900,HC PERC. ROBOT ASSISTED PROCEDURE,9968.0,3987.2,3987.2,8971.2,17
HCPCS,S5185,MEDICATION REMINDER SERVICE NONFACETOFACE PER MONTH,6.0,2.4,2.4,5.4,17
HCPCS,S9445,PATIENT TEACHING 30 MINUTES,69.0,27.6,27.6,62.1,17
HCPCS,S9470,NUTRITIONAL CONSULT 15 MIN IND,51.0,20.4,20.4,45.9,17
HCPCS,S9470,NUTRITIONAL CONSULT 30 MIN IND,108.0,43.2,43.2,97.2,17
HCPCS,S9470,NUTRITIONAL CONSULT 45 MIN IND,110.0,44.0,44.0,99.0,17
HCPCS,S9470,NUTRITIONAL CONSULT 60 MIN IND,110.0,44.0,44.0,99.0,17
HCPCS,S9470,PAV NUTRITIONAL CON IND 15 MIN,51.0,20.4,20.4,45.9,17
HCPCS,S9470,PAV NUTRITIONAL CON IND 30 MIN,110.0,44.0,44.0,99.0,17
HCPCS,S9470,PAV NUTRITIONAL CON IND 45 MIN,110.0,44.0,44.0,99.0,17
HCPCS,S9470,PAV NUTRITIONAL CON IND 60 MIN,110.0,44.0,44.0,99.0,17
HCPCS,U0002,COVID19 LAB TEST NONCDC,128.0,51.2,47.57,128.28,32
HCPCS,V2630,ANTER CHAMBER INTRAOCUL LENS,690.0,276.0,174.0,621.0,15
HCPCS,V2632,POST CHMBR INTRAOCULAR LENS,325.0,130.0,130.0,292.5,14
HCPCS,V2785,CORNEAL TISSUE PROCESSING,9821.0,3928.4,1954.38,9821.0,18
HCPCS,V2787,HC PREMIUM LENS TORIC,500.0,200.0,60.0,450.0,15
HCPCS,V2788,HC PREMIUM LENS PANOPTIX,1000.0,400.0,360.0,900.0,15
HCPCS,V2788,HC PREMIUM LENS VIVITY,1000.0,400.0,360.0,900.0,15
HCPCS,V2790,AMNIOTIC MEMBRANE,2400.0,960.0,789.6,2880.0,60
HCPCS,V5010,ASSESSMENT FOR HEARING AID,100.0,40.0,40.0,367.44,18
HCPCS,V5010,HC ASSESSMENT FOR HEARING AID,113.0,45.2,45.2,367.44,18
HCPCS,V5011,HC HEARING AID FITTING/CHECKING,138.0,55.2,55.2,826.74,18
HCPCS,V5020,HC CONFORMITY EVALUATION,179.0,71.6,71.6,450.12,18
HCPCS,V5090,HEARING AID DISPENSING FEE,445.0,178.0,178.0,400.5,17
HCPCS,V5110,HEARING AID DISPENSING FEE,600.0,240.0,240.0,540.0,15
HCPCS,V5160,DISPENSING FEE BINAURAL,432.0,172.8,172.8,388.8,15
HCPCS,V5241,DISPENSING FEE MONAURAL,300.0,120.0,120.0,270.0,15
HCPCS,V5264,EAR MOLD/INSERT,125.0,50.0,50.0,112.5,17
HCPCS,V5362,HC SPEECH SCREENING,190.0,76.0,76.0,182.0,17
HCPCS,V5362,SPEECH SCREENING,190.0,76.0,76.0,182.0,17
HCPCS,V5363,LANGUAGE SCREENING,190.0,76.0,76.0,182.0,34
HCPCS,V5364,DYSPHAGIA SCREENING,190.0,76.0,76.0,182.0,34
HCPCS,c1889,HC EXTERNAL FIXATION ALL SITES,3702.0,1480.8,1480.8,3331.8,17
HCPCS,c9248,CLEVIDIPINE 50 MG/100ML EMUL 100 ML VIAL,1002.34,400.94,400.94,902.11,30
HCPCS,j2290,NAFCILLIN 1 G SOLR 1 EACH VIAL,66.0,26.4,26.4,59.4,17
HCPCS,j9342,THIOTEPA 100 MG SOLR 1 EACH VIAL,9072.0,3628.8,3538.08,8164.8,15
NDC,0002-0213-01,INSULIN REGULAR 100 UNIT/ML SOLN 3 ML VIAL,80.3,32.12,32.12,72.27,17
NDC,0002-3228-30,ATOMOXETINE 25 MG CAPS 30 EACH BOTTLE,79.08,31.63,31.63,71.17,17
NDC,0002-7510-01,INSULIN LISPRO 100 UNIT/ML SOLN 10 ML VIAL,366.53,146.61,146.61,329.88,17
NDC,0002-7511-01,INSULIN LISPRO PROTAMINEINSULIN LISPRO 7525 100 UNIT/ML SUSP 10 ML VIAL,471.45,188.58,188.58,424.31,17
NDC,0002-7533-01,INSULIN LISPRO 1 UNIT/ML SOLN 3 ML VIAL,119.51,47.8,47.8,107.56,17
NDC,0002-7623-01,PEMETREXED 500 MG SOLR 1 EACH VIAL,20376.72,8150.69,3.59,18339.05,32
NDC,0002-7640-01,PEMETREXED DISODIUM 100 MG SOLR 1 EACH VIAL,4075.34,1630.14,3.59,3667.81,32
NDC,0002-7669-01,RAMUCIRUMAB 100 MG/10ML SOLN 10 ML VIAL,8408.62,3363.45,51.45,7567.76,32
NDC,0002-7678-01,RAMUCIRUMAB 500 MG/50ML SOLN 50 ML VIAL,42043.08,16817.23,51.45,37838.77,32
NDC,0002-7737-01,INSULIN LISPRO 100 UNIT/ML SOLN 10 ML VIAL,150.0,60.0,60.0,135.0,17
NDC,0002-7950-01,ETESEVIMAB 700 MG/20ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,15
NDC,0002-8215-01,INSULIN REGULAR 100 UNIT/ML SOLN 10 ML VIAL,267.65,107.06,107.06,240.89,17
NDC,0002-8215-17,INSULIN REGULAR 100 UNIT/ML SOLN 3 ML VIAL,267.65,107.06,107.06,240.89,17
NDC,0002-8315-01,INSULIN NPH 100 UNIT/ML SUSP 10 ML VIAL,267.65,107.06,107.06,240.89,17
NDC,0002-8315-17,INSULIN NPH 100 UNIT/ML SUSP 3 ML VIAL,267.65,107.06,107.06,240.89,17
NDC,0002-8715-01,INSULIN NPHINSULIN REGULAR 7030 100 UNIT/ML SUSP 10 ML VIAL,267.65,107.06,107.06,240.89,17
NDC,0002-8715-17,INSULIN NPHINSULIN REGULAR 7030 100 UNIT/ML SUSP 3 ML VIAL,80.3,32.12,32.12,72.27,17
NDC,0002-9401-01,DONANEMABAZBT 350 MG/20ML SOLN 20 ML VIAL,3617.71,1447.08,3.14,3255.94,32
NDC,0003-0050-60,XANOMELINETROSPIUM CHLORIDE 5020 MG CAPS 60 EACH BOTTLE,188.7,75.48,75.48,169.83,17
NDC,0003-0125-60,XANOMELINETROSPIUM CHLORIDE 12530 MG CAPS 60 EACH BOTTLE,188.7,75.48,75.48,169.83,17
NDC,0003-0293-05,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,56.15,22.46,22.46,50.54,17
NDC,0003-0371-13,BELATACEPT 250 MG SOLR 1 EACH VIAL,4888.21,1955.28,3.5,4399.39,32
NDC,0003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSP 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0003-0524-11,DASATINIB 70 MG TABS 60 EACH BOTTLE,1862.77,745.11,745.11,1676.49,17
NDC,0003-0527-11,DASATINIB 20 MG TABS 60 EACH BOTTLE,931.39,372.56,372.56,838.25,17
NDC,0003-0528-11,DASATINIB 50 MG TABS 60 EACH BOTTLE,1862.77,745.11,745.11,1676.49,17
NDC,0003-0893-31,APIXABAN 2.5 MG TABS 100 EACH BOX,34.56,13.82,13.82,31.1,17
NDC,0003-0894-31,APIXABAN 5 MG TABS 100 EACH BOX,34.56,13.82,13.82,31.1,17
NDC,0003-1100-60,XANOMELINETROSPIUM CHLORIDE 10020 MG CAPS 60 EACH BOTTLE,188.7,75.48,75.48,169.83,17
NDC,0003-2187-13,ABATACEPT 250 MG SOLR 1 EACH VIAL,8085.42,3234.17,44.77,7276.88,32
NDC,0003-2291-11,ELOTUZUMAB 300 MG SOLR 1 EACH VIAL,11932.66,4773.06,5.68,10739.39,32
NDC,0003-2327-11,IPILIMUMAB 50 MG/10ML SOLN 10 ML VIAL,46548.6,18619.44,129.77,41893.74,32
NDC,0003-2328-22,IPILIMUMAB 200 MG/40ML SOLN 40 ML VIAL,186194.06,74477.62,129.77,167574.65,32
NDC,0003-3622-12,ATAZANAVIR 300 MG CAPS 30 EACH BOTTLE,289.89,115.96,115.96,260.9,17
NDC,0003-3734-13,NIVOLUMAB 240 MG/24ML SOLN 24 ML VIAL,44722.71,17889.08,23.72,40250.44,32
NDC,0003-3772-11,NIVOLUMAB 40 MG/4ML SOLN 4 ML VIAL,7453.84,2981.54,23.72,6708.46,32
NDC,0003-3774-12,NIVOLUMAB 100 MG/10ML SOLN 10 ML VIAL,18634.37,7453.75,23.72,16770.93,32
NDC,0003-4522-11,ELOTUZUMAB 400 MG SOLR 1 EACH VIAL,15910.06,6364.02,5.68,14319.05,32
NDC,0003-6120-01,NIVOLUMABHYALURONIDASENVHY 60010000 MGUT/5ML SOLN 5 ML VIAL,40833.79,16333.52,20.24,36750.41,32
NDC,0003-6337-17,HYDROXYUREA 400 MG CAPS 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0003-7125-11,NIVOLUMABRELATLIMABRMBW 24080 MG/20ML SOLN 20 ML VIAL,79281.3,31712.52,163.49,71353.17,32
NDC,0004-0802-85,OSELTAMIVIR 30 MG CAPS 10 EACH BOX,83.61,33.44,33.44,75.25,17
NDC,0004-1100-20,CAPECITABINE 150 MG TABS 60 EACH BOTTLE,81.35,32.54,0.04,73.22,32
NDC,0005-1971-01,PNEUMOCOCCAL 13VAL CONJ VACC SUSP 0.5 ML SYRINGE,814.7,325.88,184.77,814.7,24
NDC,0005-1971-02,PNEUMOCOCCAL 13VAL CONJ VACC SUSP 0.5 ML SYRINGE,814.7,325.88,184.77,814.7,24
NDC,0005-2000-01,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML SUSY 0.5 ML SYRINGE,1141.33,456.53,189.92,1141.33,26
NDC,0005-2000-10,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML SUSY 0.5 ML SYRINGE,1141.33,456.53,189.92,1141.33,26
NDC,0005-4343-62,MULTIVITAMIN LIQD 236 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0005-4344-62,MULTIVITAMIN LIQD 236 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0006-0033-30,SUVOREXANT 10 MG TABS 30 EACH BOX,93.12,37.25,37.25,83.81,17
NDC,0006-0112-01,SITAGLIPTIN 50 MG TABS 1 EACH,66.0,26.4,26.4,59.4,17
NDC,0006-0112-28,SITAGLIPTIN 50 MG TABS 100 EACH BOX,66.0,26.4,26.4,59.4,17
NDC,0006-0221-31,SITAGLIPTIN 25 MG TABS 30 EACH BOTTLE,66.0,26.4,26.4,59.4,17
NDC,0006-0227-61,RALTEGRAVIR 400 MG TABS 60 EACH BOTTLE,208.32,83.33,83.33,187.49,17
NDC,0006-0277-31,SITAGLIPTIN 100 MG TABS 30 EACH BOTTLE,66.0,26.4,26.4,59.4,17
NDC,0006-0473-61,RALTEGRAVIR POTASSIUM 25 MG CHEW 60 EACH BOTTLE,13.02,5.21,5.21,11.72,17
NDC,0006-0477-61,RALTEGRAVIR POTASSIUM 100 MG CHEW 60 EACH BOTTLE,52.08,20.83,20.83,46.87,17
NDC,0006-3025-01,BEZLOTOXUMAB 1000 MG/40ML SOLN 40 ML VIAL,19152.0,7660.8,34.2,17236.8,32
NDC,0006-3026-02,PEMBROLIZUMAB 100 MG/4ML SOLN 4 ML VIAL,30925.44,12370.18,42.06,27832.9,32
NDC,0006-3026-04,PEMBROLIZUMAB 100 MG/4ML SOLN 4 ML VIAL,30925.44,12370.18,42.06,27832.9,32
NDC,0006-3069-01,DORAVIRINE 100 MG TABS 30 EACH BOTTLE,367.98,147.19,147.19,331.18,17
NDC,0006-3076-03,LETERMOVIR 480 MG TABS 1 EACH,1514.64,605.86,605.86,1363.18,17
NDC,0006-3076-04,LETERMOVIR 480 MG TABS 14 EACH BOX,1514.63,605.85,605.85,1363.17,17
NDC,0006-3083-01,PEMBROLIZUMABBERAHYALURPMPH 3954800 MG 3954800 MG UNT/2.4ML SOLN 2.4 ML,61850.88,24740.35,23.75,55665.79,29
NDC,0006-3603-61,RALTEGRAVIR POTASSIUM 100 MG PACK 60 EACH BOX,52.08,20.83,20.83,46.87,17
NDC,0006-3822-10,CASPOFUNGIN 50 MG SOLR 1 EACH VIAL,1864.15,745.66,4.6,1677.74,16
NDC,0006-3856-02,IMIPENEMCILASTATINRELEBACTAM 1.25 G SOLR 1 EACH VIAL,1745.09,698.04,2.05,1570.58,17
NDC,0006-3862-03,APREPITANT 80 AND 125 MG CPPK 3 EACH DISP PACK,1424.82,569.93,3.55,1282.34,16
NDC,0006-4047-41,ROTAVIRUS VACCINE LIVE SOLN 2 ML PLAS CONT,369.42,147.77,74.75,332.48,16
NDC,0006-4096-01,HEPATITIS A VACCINE 50 UNIT/ML SUSP 1 ML SYRINGE,300.99,120.4,120.4,270.89,16
NDC,0006-4096-02,HEPATITIS A VACCINE 50 UNIT/ML SUSP 1 ML SYRINGE,300.99,120.4,120.4,270.89,16
NDC,0006-4119-03,HPV 9VALENT RECOMB VACCINE SUSP 0.5 ML VIAL,1184.27,473.71,189.25,1065.84,22
NDC,0006-4121-01,HPV 9VALENT RECOMB VACCINE SUSY 0.5 ML SYRINGE,1184.27,473.71,189.25,1065.84,22
NDC,0006-4121-02,HPV 9VALENT RECOMB VACCINE SUSY 0.5 ML SYRINGE,1184.27,473.71,189.25,1065.84,22
NDC,0006-4171-00,MEASLESMUMPSRUBELLAVARICELL SUSR 1 EACH VIAL,1039.21,415.68,138.61,935.29,16
NDC,0006-4305-02,INFLIXIMABABDA 100 MG SOLR 1 EACH VIAL,3797.09,1518.84,24.97,3417.38,32
NDC,0006-4681-00,MEASLES MUMPS AND RUBELLA VAC SOLR 1 EACH VIAL,351.41,140.56,138.61,316.27,16
NDC,0006-4681-01,MEASLES MUMPS AND RUBELLA VAC SOLR 1 EACH VIAL,351.41,140.56,138.61,316.27,16
NDC,0006-4827-00,VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML SUSR 1 EACH VIAL,691.16,276.46,114.02,622.04,22
NDC,0006-4837-01,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML SOSY 0.5 ML SYRINGE,421.5,168.6,95.6,421.5,24
NDC,0006-4837-03,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML SOSY 0.5 ML SYRINGE,421.49,168.6,95.59,421.49,24
NDC,0006-4897-00,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML SUSP 0.5 ML VIAL,188.09,75.24,45.83,169.28,16
NDC,0006-4897-01,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML SUSP 0.5 ML VIAL,188.09,75.24,45.83,169.28,16
NDC,0006-4981-01,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML SUSP 0.5 ML VIAL,174.84,69.94,36.53,174.84,29
NDC,0006-4995-41,HEPATITIS B VACCINE RECOMBINANT 10 MCG/ML SUSP 1 ML VIAL,129.76,51.9,27.11,129.76,23
NDC,0006-5004-01,LETERMOVIR 480 MG/24ML SOLN 24 ML VIAL,2094.51,837.8,837.8,1885.06,17
NDC,0006-5007-01,DORAVIRINLAMIVUDINTENOFOV DF 100300300 MG TABS 30 EACH BOTTLE,515.29,206.12,206.12,463.76,17
NDC,0006-5083-01,PEMBROLIZUMABBERAHYALURPMPH 7909600 MG 7909600 MG UNT/4.8ML SOLN 4.8 ML,123701.76,49480.7,23.75,111331.58,29
NDC,0006-5085-01,LETERMOVIR 120 MG PACK 30 EACH BOX,378.67,151.47,151.47,340.8,17
NDC,0006-5423-02,SUGAMMADEX SODIUM 200 MG/2ML SOLN 2 ML VIAL,751.5,300.6,300.6,676.35,17
NDC,0006-5423-12,SUGAMMADEX SODIUM 200 MG/2ML SOLN 2 ML VIAL,751.49,300.6,300.6,676.34,17
NDC,0006-5424-02,ANTIVENIN LATRODECTUS MACTANS KIT 1 EACH BOX,166.25,66.5,66.5,149.63,17
NDC,0006-5425-05,SUGAMMADEX SODIUM 500 MG/5ML SOLN 5 ML VIAL,1376.41,550.56,550.56,1238.77,17
NDC,0006-5425-15,SUGAMMADEX SODIUM 500 MG/5ML SOLN 5 ML VIAL,1376.41,550.56,550.56,1238.77,17
NDC,0008-0100-01,INOTUZUMAB OZOGAMICIN 0.9 MG SOLR 1 EACH VIAL,122947.1,49178.84,1994.66,110652.39,32
NDC,0008-0423-01,ANTIVENIN MICRURUS FULVIUS SOLR 1 EACH VIAL,46591.69,18636.68,0.5,41932.52,16
NDC,0008-0844-02,PANTOPRAZOLE SODIUM 40 MG PACK 30 EACH BOX,89.05,35.62,35.62,80.15,17
NDC,0008-0923-51,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,0008-0923-55,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,0008-0923-60,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,0008-1041-10,SIROLIMUS 1 MG TABS 100 EACH BOX,206.24,82.5,1.13,185.62,16
NDC,0008-1179-01,TEMSIROLIMUS 25 MG/ML SOLN 1 ML VIAL,10585.72,4234.29,20.32,9527.15,32
NDC,0008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG SOLR 1 EACH VIAL,52927.81,21171.12,195.01,47635.03,32
NDC,0009-0011-03,HYDROCORTISONE SOD SUC PF 100 MG SOLR 1 EACH VIAL,151.6,60.64,27.7,136.44,16
NDC,0009-0011-04,HYDROCORTISONE SOD SUC PF 100 MG SOLR 1 EACH VIAL,148.84,59.54,27.7,133.96,16
NDC,0009-0012-01,HYDROCORTISONE 5 MG TABS 50 EACH BOTTLE,6.03,2.41,2.41,5.43,17
NDC,0009-0013-05,HYDROCORTISONE SOD SUC PF 250 MG SOLR 1 EACH VIAL,307.25,122.9,27.7,276.53,16
NDC,0009-0016-12,HYDROCORTISONE SOD SUC PF 500 MG SOLR 1 EACH VIAL,555.08,222.03,222.03,499.57,17
NDC,0009-0018-20,METHYLPREDNISOLONE NA SUC PF 1000 MG SOLR 1 EACH VIAL,380.42,152.17,0.11,342.38,16
NDC,0009-0039-28,METHYLPREDNISOLONE NA SUC PF 40 MG SOLR 1 EACH VIAL,38.81,15.52,0.11,34.93,16
NDC,0009-0039-30,METHYLPREDNISOLONE NA SUC PF 40 MG SOLR 1 EACH VIAL,38.8,15.52,0.11,34.92,16
NDC,0009-0047-22,METHYLPREDNISOLONE NA SUC PF 125 MG SOLR 1 EACH VIAL,62.51,25.0,0.11,56.26,16
NDC,0009-0047-25,METHYLPREDNISOLONE NA SUC PF 125 MG SOLR 1 EACH VIAL,62.5,25.0,0.11,56.25,16
NDC,0009-0274-01,METHYLPREDNISOLONE ACETATE 20 MG/ML SUSP 5 ML VIAL,213.35,85.34,0.11,192.02,16
NDC,0009-0297-03,GELATIN ADSORBABLE FILM 6 EACH BOX,1368.68,547.47,547.47,1231.81,17
NDC,0009-0306-02,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP 5 ML VIAL,118.43,47.37,0.11,106.59,17
NDC,0009-0315-08,GELATIN ADSORBABLE 127 MM MISC 12 EACH BOX,57.14,22.86,22.86,51.43,17
NDC,0009-0342-01,GELATIN ADSORBABLE 100 MISC 6 EACH BOX,276.94,110.78,110.78,249.25,17
NDC,0009-0352-01,GLYBURIDE MICRONIZED 3 MG TABS 100 EACH BOTTLE,19.15,7.66,7.66,17.24,17
NDC,0009-0353-01,GELATIN ADSORBABLE 100 CM MISC 6 EACH BOX,276.39,110.56,110.56,248.75,17
NDC,0009-0417-01,TESTOSTERONE CYPIONATE 200 MG/ML SOLN 1 ML VIAL,35.69,14.28,14.28,32.12,17
NDC,0009-0433-04,GELATIN ABSORBABLE POWD 1 G PACKET,463.13,185.25,185.25,416.82,17
NDC,0009-0436-01,ARGININE LARGININE 10 % SOLN 300 ML GLASS CONT,252.0,100.8,100.8,226.8,17
NDC,0009-0450-03,COLESTIPOL 1 G TABS 120 EACH BOTTLE,13.48,5.39,5.39,12.13,17
NDC,0009-0698-01,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL,263.9,105.56,0.11,237.51,16
NDC,0009-0746-30,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,315.8,126.32,126.32,284.22,17
NDC,0009-0746-35,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,315.78,126.31,126.31,284.2,17
NDC,0009-0758-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG SOLR 1 EACH VIAL,145.7,58.28,0.11,131.13,17
NDC,0009-0775-20,CLINDAMYCIN 600 MG/4ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0009-0775-26,CLINDAMYCIN 600 MG/4ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0009-0825-01,HYDROCORTISONE SOD SUC PF 100 MG SOLR 1 EACH VIAL,120.65,48.26,27.7,108.59,16
NDC,0009-0856-05,CARBOPROST 250 MCG/ML SOLN 1 ML AMPULE,772.8,309.12,309.12,695.52,17
NDC,0009-0856-08,CARBOPROST 250 MCG/ML SOLN 1 ML AMPULE,772.8,309.12,309.12,695.52,17
NDC,0009-0870-21,CLINDAMYCIN PHOSPHATE 300 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0009-0870-26,CLINDAMYCIN PHOSPHATE 300 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0009-0902-18,CLINDAMYCIN PHOSPHATE 900 MG/6ML SOLN 6 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0009-1040-01,GELATIN ABSORBABLE PRSY 1 EACH BOX,673.53,269.41,269.41,606.18,17
NDC,0009-3073-01,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP 1 ML VIAL,35.0,14.0,0.11,31.5,17
NDC,0009-3073-03,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP 1 ML VIAL,35.0,14.0,0.11,31.5,17
NDC,0009-3169-01,ALPROSTADIL 500 MCG/ML SOLN 1 ML AMPULE,934.77,373.91,0.35,841.29,17
NDC,0009-3169-06,ALPROSTADIL 500 MCG/ML SOLN 1 ML AMPULE,934.78,373.91,0.35,841.3,17
NDC,0009-3475-01,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP 1 ML VIAL,118.3,47.32,0.11,106.47,17
NDC,0009-3475-03,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP 1 ML VIAL,118.35,47.34,0.11,106.52,17
NDC,0009-3794-01,IBUTILIDE FUMARATE 1 MG/10ML SOLN 10 ML VIAL,2821.56,1128.62,175.89,2539.4,32
NDC,0009-5091-01,EPIRUBICIN 50 MG/25ML SOLN 25 ML VIAL,288.5,115.4,2.74,259.65,16
NDC,0009-5093-01,EPIRUBICIN 200 MG/100ML SOLN 100 ML VIAL,1405.0,562.0,2.74,1264.5,16
NDC,0009-5137-04,LINEZOLID 2 MG/ML SOLN 100 ML FLEX CONT,957.72,383.09,4.64,861.95,16
NDC,0009-5140-01,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,198.0,79.2,4.64,178.2,16
NDC,0009-5140-04,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,198.0,79.2,4.64,178.2,16
NDC,0009-7224-01,LYMPHOCYTEANTITHYMO IMM GLOB EQUINE 50 MG/ML SOLN 5 ML AMPULE,26784.49,10713.8,1331.76,24106.04,32
NDC,0009-7224-02,LYMPHOCYTEANTITHYMO IMM GLOB EQUINE 50 MG/ML SOLN 5 ML AMPULE,26784.45,10713.78,1331.76,24106.01,32
NDC,0013-0101-10,SULFASALAZINE 500 MG TABS 100 EACH BOTTLE,10.02,4.01,4.01,9.02,17
NDC,0013-1114-20,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,120.0,48.0,48.0,108.0,17
NDC,0013-1114-21,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,120.0,48.0,48.0,108.0,17
NDC,0013-2576-91,IDARUBICIN HCL 5 MG/5ML SOLN 5 ML VIAL,323.4,129.36,47.67,291.06,16
NDC,0013-2649-02,SOMATROPIN 0.2 MG PRSY 1 EACH CARTRIDGE,192.12,76.85,76.85,172.91,15
NDC,0019-1333-06,IOVERSOL 74 % SOLN 50 ML VIAL,114.0,45.6,45.6,102.6,16
NDC,0019-4816-04,DIATRIZOATE MEGLUMINESODIUM 6610 % SOLN 30 ML BOTTLE,123.75,49.5,49.5,111.38,16
NDC,0023-0316-04,FLUOROMETHOLONE 0.1 % OINT 3.5 G TUBE,885.4,354.16,354.16,796.86,17
NDC,0023-1145-01,BOTULINUM TOXIN TYPE A 100 UNITS SOLR 1 EACH VIAL,3281.04,1312.42,6.4,2952.94,32
NDC,0023-2181-05,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,1520.39,608.16,608.16,1368.35,17
NDC,0023-3205-03,BIMATOPROST 0.01 % SOLN 2.5 ML BOTTLE,1457.05,582.82,582.82,1311.35,17
NDC,0023-3348-07,DEXAMETHASONE 0.7 MG IMPL 1 EACH BOX,6919.92,2767.97,176.53,6227.93,32
NDC,0023-3921-02,ONABOTULINUMTOXINA 200 UNITS SOLR 1 EACH VIAL,6562.08,2624.83,6.4,5905.87,32
NDC,0023-4554-30,CARBOXYMETHYLCELLULOSE PF 1 % GEL 30 EACH PLAS CONT,3.0,1.2,1.2,2.7,17
NDC,0023-5853-18,MESALAMINE 400 MG CPDR 180 EACH BOTTLE,23.28,9.31,9.31,20.95,17
NDC,0023-5858-01,LEVONORGESTREL 20.1 MCG/DAY IUD 1 EACH BOX,4695.94,1878.38,1878.38,4226.35,15
NDC,0023-5904-12,TRIPTORELIN PAMOATE 11.25 MG SUSR 1 EACH VIAL,12296.17,4918.47,448.7,11066.55,32
NDC,0023-5990-02,TESTOSTERONE 2 MG/24HR PT24 1 EACH BOX,61.6,24.64,24.64,55.44,17
NDC,0023-5992-04,TESTOSTERONE 4 MG/24HR PT24 1 EACH PACKAGE,123.2,49.28,49.28,110.88,17
NDC,0023-6082-10,IRON DEXTRAN COMPLEX 50 MG/ML SOLN 2 ML VIAL,55.93,22.37,11.54,53.37,32
NDC,0023-6153-08,OXYBUTYNIN 3.9 MG/24HR PTTW 8 EACH BOX,469.1,187.64,187.64,422.19,17
NDC,0023-9163-30,CYCLOSPORINE PF 0.05 % EMUL 30 EACH PLAS CONT,64.56,25.82,25.82,58.1,17
NDC,0023-9177-05,BRIMONIDINE 0.15 % SOLN 5 ML BOTTLE,1144.25,457.7,457.7,1029.83,17
NDC,0023-9211-05,BRIMONIDINETIMOLOL 0.20.5 % SOLN 5 ML BOTTLE,1126.82,450.73,450.73,1014.14,17
NDC,0023-9232-01,ONABOTULINUMTOXINA COSMETIC 100 UNITS SOLR 1 EACH VIAL,3306.24,1322.5,6.4,2975.62,32
NDC,0023-9321-05,BRIMONIDINE 0.1 % SOLN 5 ML BOTTLE,1073.32,429.33,429.33,965.99,17
NDC,0024-0654-01,ISATUXIMABIRFC 100 MG/5ML SOLN 5 ML VIAL,5277.67,2111.07,62.4,4749.9,32
NDC,0024-0656-01,ISATUXIMABIRFC 500 MG/25ML SOLN 25 ML VIAL,26388.59,10555.44,62.4,23749.73,32
NDC,0024-1596-01,PRIMAQUINE PHOSPHATE 26.3 15 BASE MG TABS 100 EACH BOTTLE,12.28,4.91,4.91,11.05,17
NDC,0024-2792-01,FERRIC GLUCONATE 12.5 MG/ML SOLN 5 ML VIAL,190.8,76.32,76.32,171.72,17
NDC,0024-2792-10,FERRIC GLUCONATE 12.5 MG/ML SOLN 5 ML VIAL,190.8,76.32,76.32,171.72,17
NDC,0024-4142-60,DRONEDARONE HCL 400 MG TABS 60 EACH BOTTLE,82.62,33.05,33.05,74.36,17
NDC,0024-5150-10,RASBURICASE 1.5 MG SOLR 1 EACH VIAL,5635.04,2254.02,241.18,5071.54,32
NDC,0024-5151-75,RASBURICASE 7.5 MG SOLR 1 EACH VIAL,28175.15,11270.06,241.18,25357.64,32
NDC,0024-5824-11,CABAZITAXEL 60 MG/1.5ML SOLN 6 ML VIAL,71298.61,28519.44,152.78,64168.75,32
NDC,0024-5840-01,ZIVAFLIBERCEPT 100 MG/4ML SOLN 4 ML VIAL,8832.0,3532.8,7.22,7948.8,32
NDC,0024-5841-01,ZIVAFLIBERCEPT 200 MG/8ML SOLN 8 ML VIAL,17664.0,7065.6,7.22,15897.6,32
NDC,0024-5851-30,IRBESARTAN 150 MG TABS 30 EACH BOTTLE,45.93,18.37,18.37,41.34,17
NDC,0024-5860-01,CLOFARABINE 1 MG/ML SOLN 20 ML VIAL,19675.67,7870.27,5.45,17708.1,32
NDC,0024-5862-01,PLERIXAFOR 24 MG/1.2ML SOLN 1.2 ML VIAL,50239.06,20095.62,28.49,45215.15,32
NDC,0024-5910-01,SARILUMAB 200 MG/1.14ML SOSY 1.14 ML SYRINGE,12297.43,4918.97,4796.0,11067.69,15
NDC,0024-5915-02,DUPILUMAB 300 MG/2ML SOAJ 2 ML PEN,10566.44,4226.58,4120.91,9509.8,15
NDC,0024-5919-02,DUPILUMAB 200 MG/1.14ML SOAJ 1.14 ML PEN,10566.45,4226.58,4120.92,9509.81,15
NDC,0025-0166-08,NAFARELIN ACETATE 2 MG/ML SOLN 8 ML BOTTLE,16164.79,6465.92,6465.92,14548.31,17
NDC,0025-1381-31,OXAPROZIN 600 MG TABS 100 EACH BOTTLE,50.17,20.07,20.07,45.15,17
NDC,0025-1520-34,CELECOXIB 100 MG CAPS 100 EACH BOX,60.06,24.02,24.02,54.05,17
NDC,0025-2732-31,DISOPYRAMIDE 100 MG CP12 100 EACH BOTTLE,25.91,10.36,10.36,23.32,17
NDC,0025-2742-31,DISOPYRAMIDE 150 MG CP12 100 EACH BOTTLE,30.62,12.25,12.25,27.56,17
NDC,0026-3785-55,ANTIHEM FACTOR RECOMB RFVIII 1000 UNITS KIT 1 EACH BOX,35.0,14.0,1.32,31.5,32
NDC,0032-0045-70,PANCRELIPASE CREON 3000 UNITS 30009500 UNITS CPEP 70 EACH BOTTLE,10.88,4.35,4.35,9.79,17
NDC,0032-0046-70,PANCRELIPASE CREON 6000 UNITS 600019000 UNITS CPEP 100 EACH BOTTLE,12.88,5.15,5.15,11.59,17
NDC,0032-0047-70,PANCRELIPASE CREON 12000 UNITS 1200038000 UNITS CPEP 100 EACH BOTTLE,25.75,10.3,10.3,23.18,17
NDC,0032-1203-70,PANCRELIPASE CREON 3000 UNITS 30009500 UNITS CPEP 70 EACH BOTTLE,10.88,4.35,4.35,9.79,17
NDC,0032-1206-01,PANCRELIPASE CREON 6000 UNITS 600019000 UNITS CPEP 100 EACH BOTTLE,12.88,5.15,5.15,11.59,17
NDC,0032-1212-01,PANCRELIPASE CREON 12000 UNITS 1200038000 UNITS CPEP 100 EACH BOTTLE,25.75,10.3,10.3,23.18,17
NDC,0032-1224-01,PANCRELIPASE CREON 24000 UNITS 2400076000 UNITS CPEP 100 EACH BOTTLE,51.03,20.41,20.41,45.93,17
NDC,0032-2636-01,PANCRELIPASE CREON 24000 UNITS 2400076000 UNITS CPEP 100 EACH BOTTLE,51.03,20.41,20.41,45.93,17
NDC,0037-0430-01,FELBAMATE 400 MG TABS 100 EACH BOTTLE,92.61,37.04,37.04,83.35,17
NDC,0037-0442-67,FELBAMATE 600 MG/5ML SUSP 237 ML BOTTLE,9104.92,3641.97,3641.97,8194.43,17
NDC,0037-0678-96,CROMOLYN 100 MG/5ML CONC 5 ML PLAS CONT,153.35,61.34,61.34,138.02,17
NDC,0037-4401-01,PENICILLAMINE 250 MG TABS 100 EACH BOTTLE,417.47,166.99,166.99,375.72,17
NDC,0037-6822-10,HYDROCORTPRAMOXINE PERIANAL 11 % FOAM 10 G CAN,1126.63,450.65,450.65,1013.97,17
NDC,0045-0205-04,CETIRIZINE 5 MG/5ML SOLN 118 ML BOTTLE,60.18,24.07,24.07,54.16,17
NDC,0046-0749-05,CONJUGATED ESTROGENS 25 MG SOLR 1 EACH VIAL,2136.56,854.62,252.77,1922.9,32
NDC,0046-0872-21,ESTROGENS CONJUGATED 0.625 MG/GM CREA 30 G TUBE,2385.43,954.17,954.17,2146.89,17
NDC,0046-1100-81,ESTROGENS CONJUGATED 0.3 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
NDC,0046-1101-81,ESTROGENS CONJUGATED 0.45 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
NDC,0046-1102-81,ESTROGENS CONJUGATED 0.625 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
NDC,0046-1103-81,ESTROGENS CONJUGATED 0.9 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
NDC,0046-1104-81,ESTROGENS CONJUGATED 1.25 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
NDC,0046-1105-11,ESTROGEN CONJUGATEDMEDROXYPROGESTERONE 0.31.5 MG TABS 28 EACH DISP PACK,54.5,21.8,21.8,49.05,17
NDC,0049-0116-28,ANIDULAFUNGIN 100 MG SOLR 1 EACH VIAL,1053.72,421.49,0.68,948.35,16
NDC,0049-0520-83,PENICILLIN G POTASSIUM 5000000 UNITS SOLR 1 EACH VIAL,76.33,30.53,30.53,68.7,17
NDC,0049-0530-28,PENICILLIN G POTASSIUM 20000000 UNITS SOLR 1 EACH VIAL,305.3,122.12,122.12,274.77,17
NDC,0049-2330-45,ELETRIPTAN 20 MG TABS 6 EACH BOX,445.84,178.34,178.34,401.26,17
NDC,0049-2340-45,ELETRIPTAN 40 MG TABS 6 EACH BOX,445.84,178.34,178.34,401.26,17
NDC,0049-3160-44,VORICONAZOLE 40 MG/ML SUSR 75 ML BOTTLE,3094.25,1237.7,1237.7,2784.83,17
NDC,0049-3190-28,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,361.8,144.72,1.0,325.62,16
NDC,0049-3450-19,FLUCONAZOLE 40 MG/ML SUSR 35 ML BOTTLE,168.7,67.48,67.48,151.83,17
NDC,0049-4960-30,SERTRALINE 25 MG TABS 30 EACH BOTTLE,93.85,37.54,37.54,84.47,17
NDC,0052-0273-03,ETONOGESTRELETHINYL ESTRADIOL 0.120.015 MG/24HR RING 1 EACH BOX,897.72,359.09,359.09,807.95,15
NDC,0052-0602-02,BCG LIVE 50 MG SUSR 1 EACH VIAL,1044.66,417.86,3.38,940.19,26
NDC,0053-6871-00,DESMOPRESSIN ACETATE 1.5 MG/ML SOLN 2.5 ML BOTTLE,3689.28,1475.71,1475.71,3320.35,17
NDC,0054-0010-21,FLECAINIDE 50 MG TABS 60 EACH BOTTLE,10.1,4.04,4.04,9.09,17
NDC,0054-0018-20,PREDNISONE 20 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,0054-0019-20,PREDNISONE 50 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,0054-0019-25,PREDNISONE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
NDC,0054-0025-11,MEFLOQUINE 250 MG TABS 25 EACH BOTTLE,67.74,27.1,27.1,60.97,17
NDC,0054-0045-44,IPRATROPIUM 0.03 % SOLN 30 ML BOTTLE,513.64,205.46,205.46,462.28,17
NDC,0054-0057-46,DIGOXIN 0.05 MG/ML SOLN 60 ML BOTTLE,772.8,309.12,309.12,695.52,17
NDC,0054-0079-28,BALSALAZIDE 750 MG CAPS 280 EACH BOTTLE,8.0,3.2,3.2,7.2,17
NDC,0054-0176-13,BUPRENORPHINE 2 MG SUBL 30 EACH BOTTLE,20.7,8.28,8.28,18.63,17
NDC,0054-0177-13,BUPRENORPHINE HCL 8 MG SUBL 30 EACH BOTTLE,38.7,15.48,15.48,34.83,17
NDC,0054-0211-25,PROTRIPTYLINE 10 MG TABS 100 EACH BOTTLE,28.67,11.47,11.47,25.8,17
NDC,0054-0235-24,MORPHINE 15 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0054-0237-63,MORPHINE 10 MG/5ML SOLN 500 ML BOTTLE,212.5,85.0,85.0,191.25,17
NDC,0054-0243-24,CODEINE 15 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0054-0293-99,AZELASTINE 0.1 % SOLN 30 ML BOTTLE,483.97,193.59,193.59,435.57,17
NDC,0054-0319-50,LINEZOLID 100 MG/5ML SUSR 150 ML BOTTLE,4018.14,1607.26,1607.26,3616.33,17
NDC,0054-0382-25,CYCLOPHOSPHAMIDE 25 MG CAPS 100 EACH BOTTLE,46.81,18.72,18.72,42.13,17
NDC,0054-0407-13,RITONAVIR 100 MG TABS 30 EACH BOTTLE,46.29,18.52,18.52,41.66,17
NDC,0054-0622-63,DICYCLOMINE 10 MG/5ML SOLN 473 ML BOTTLE,7.5,3.0,3.0,6.75,17
NDC,0054-0668-82,ALVIMOPAN 12 MG CAPS 30 EACH BOX,953.57,381.43,381.43,858.21,17
NDC,0054-0742-87,ALBUTEROL 108 90 BASE MCG/ACT AERS 6.7 G INHALER,418.13,167.25,167.25,376.32,17
NDC,0054-3090-36,BUTORPHANOL 10 MG/ML SOLN 2.5 ML BOTTLE,443.07,177.23,177.23,398.76,17
NDC,0054-3117-63,CALCIUM CARBONATE 1250 MG/5ML SUSP 500 ML BOTTLE,62.5,25.0,25.0,56.25,17
NDC,0054-3120-41,CALCITRIOL 1 MCG/ML ORAL SOLN 15 ML BOTTLE,14.92,5.97,5.97,13.43,17
NDC,0054-3176-44,DEXAMETHASONE 1 MG/ML CONC 30 ML BOTTLE,160.8,64.32,64.32,144.72,17
NDC,0054-3177-63,DEXAMETHASONE 0.5 MG/5ML SOLN 500 ML BOTTLE,120.0,48.0,48.0,108.0,17
NDC,0054-3188-63,DIAZEPAM 1 MG/ML SOLN 500 ML BOTTLE,358.8,143.52,143.52,322.92,17
NDC,0054-3194-46,DIPHENOXYLATEATROPINE 2.50.025 MG/5ML LIQD 60 ML BOTTLE,49.95,19.98,19.98,44.96,17
NDC,0054-3294-46,FUROSEMIDE 10 MG/ML SOLN 60 ML BOTTLE,45.6,18.24,18.24,41.04,17
NDC,0054-3294-50,FUROSEMIDE 10 MG/ML SOLN 120 ML BOTTLE,88.2,35.28,35.28,79.38,17
NDC,0054-3500-49,LIDOCAINE VISCOUS HCL 2 % SOLN 100 ML BOTTLE,3.3,1.32,1.32,2.97,17
NDC,0054-3505-47,LIDOCAINE 4 % SOLN 50 ML BOTTLE,240.0,96.0,96.0,216.0,17
NDC,0054-3545-63,MEPERIDINE 50 MG/5ML SOLN 500 ML BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0054-3555-63,METHADONE 5 MG/5ML SOLN 500 ML BOTTLE,200.0,80.0,80.0,180.0,17
NDC,0054-3721-44,PREDNISONE 5 MG/ML CONC 30 ML BOTTLE,52.0,20.8,0.01,46.8,16
NDC,0054-3727-63,PROPRANOLOL 20 MG/5ML SOLN 500 ML BOTTLE,330.0,132.0,132.0,297.0,17
NDC,0054-4183-25,DEXAMETHASONE 2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0054-4496-25,LEUCOVORIN 5 MG TABS 100 EACH BOTTLE,10.13,4.05,4.05,9.12,17
NDC,0054-4497-05,LEUCOVORIN 10 MG TABS 12 EACH BOTTLE,42.06,16.82,16.82,37.85,17
NDC,0054-4499-11,LEUCOVORIN 25 MG TABS 25 EACH BOTTLE,123.67,49.47,49.47,111.3,17
NDC,0054-4527-25,LITHIUM 300 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0054-4581-11,MERCAPTOPURINE 50 MG TABS 25 EACH BOTTLE,40.93,16.37,16.37,36.84,17
NDC,0054-8146-22,CLOTRIMAZOLE 10 MG TROC 70 EACH BOX,17.18,6.87,6.87,15.46,17
NDC,0054-8174-25,DEXAMETHASONE 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0054-8175-25,DEXAMETHASONE 4 MG TABS 100 EACH BOX,6.03,2.41,2.41,5.43,17
NDC,0054-8176-25,DEXAMETHASONE 2 MG TABS 100 EACH BOX,3.71,1.48,1.48,3.34,17
NDC,0054-8179-25,DEXAMETHASONE 0.5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0054-8180-25,DEXAMETHASONE 0.75 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0054-8297-25,FUROSEMIDE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0054-8299-25,FUROSEMIDE 40 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0054-8527-25,LITHIUM 300 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0054-8528-25,LITHIUM 300 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0054-8724-25,PREDNISONE 5 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,0054-8739-25,PREDNISONE 1 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,0054-8740-25,PREDNISONE 2.5 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,00574-06915,GLUCOSE GEL 37.5 G TUBE,19.69,7.88,7.88,17.72,17
NDC,00574-06930,GLUCOSE GEL 37.5 G TUBE,19.69,7.88,7.88,17.72,17
NDC,00574-07030,GLUCOSE GEL 37.5 G TUBE,19.69,7.88,7.88,17.72,17
NDC,0065-0023-15,CARBACHOL 0.01 % SOLN 1.5 ML VIAL,92.94,37.18,37.18,83.65,17
NDC,0065-0085-15,NAPHAZOLINEPHENIRAMINE 0.0250.3 % SOLN 15 ML BOTTLE,47.03,18.81,18.81,42.33,17
NDC,0065-0092-65,FLUORESCEIN SODIUM 10 % SOLN 5 ML VIAL,300.0,120.0,120.0,270.0,17
NDC,0065-0096-05,FLUOROMETHOLONE 0.1 % SUSP 5 ML BOTTLE,496.57,198.63,198.63,446.91,17
NDC,0065-0359-02,CYCLOPENTOLATEPHENYLEPHRINE 0.21 % SOLN 2 ML BOTTLE,222.1,88.84,88.84,199.89,17
NDC,0065-0395-15,CYCLOPENTOLATE 0.5 % SOLN 15 ML BOTTLE,558.83,223.53,223.53,502.95,17
NDC,0065-0396-02,CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE,212.6,85.04,85.04,191.34,17
NDC,0065-0396-05,CYCLOPENTOLATE 1 % SOLN 5 ML BOTTLE,351.62,140.65,140.65,316.46,17
NDC,0065-0397-02,CYCLOPENTOLATE 2 % SOLN 2 ML BOTTLE,278.2,111.28,111.28,250.38,17
NDC,0065-0411-30,POVIDONEIODINE 5 % SOLN 30 ML BOTTLE,106.5,42.6,42.6,95.85,17
NDC,0065-0426-36,DEXTRAN 70HYPROMELLOSEGLYCERIN 0.10.20.3 % SOLN 15 ML BOTTLE,39.68,15.87,15.87,35.71,17
NDC,0065-0543-01,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,4757.76,1903.1,3.44,4281.98,26
NDC,0065-0660-10,APRACLONIDINE 1 % SOLN 2 EACH PLAS CONT,166.37,66.55,66.55,149.73,17
NDC,0065-0741-14,TETRACAINE 0.5 % SOLN 4 ML PLAS CONT,83.28,33.31,33.31,74.95,17
NDC,0065-0795-15,BALANCED SALTS SOLN 15 ML BOTTLE,75.9,30.36,30.36,68.31,17
NDC,0065-0795-50,BSS SOLN 500 ML GLASS CONT,232.5,93.0,93.0,209.25,17
NDC,0065-0800-50,BALANCED SALTS SOLN 500 ML GLASS CONT,570.4,228.16,228.16,513.36,17
NDC,0065-4274-01,OLOPATADINE 0.1 % SOLN 5 ML BOTTLE,74.6,29.84,29.84,67.14,17
NDC,0065-8064-01,HYPROMELLOSE 0.3 % GEL 10 G TUBE,42.9,17.16,17.16,38.61,17
NDC,0067-6432-08,ACETAMINOPHEN 160 MG/5ML SYRP 118 ML BOTTLE,6.37,2.55,2.55,5.73,17
NDC,0068-0597-01,RIFAMPIN 600 MG SOLR 1 EACH VIAL,985.64,394.26,0.18,887.08,16
NDC,0069-0106-01,TALIGLUCERASE ALFA 200 UNITS SOLR 1 EACH VIAL,4756.71,1902.68,40.94,4281.04,32
NDC,0069-0196-02,DALTEPARIN SODIUM 5000 UNIT/0.2ML SOSY 0.2 ML SYRINGE,871.45,348.58,21.5,784.31,16
NDC,0069-0209-01,PROPOFOL INFUSION 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0069-0217-02,DALTEPARIN SODIUM 10000 UNIT/ML SOSY 1 ML SYRINGE,1742.91,697.16,21.5,1568.62,16
NDC,0069-0238-01,RITUXIMABPVVR 100 MG/10ML SOLN 10 ML VIAL,3956.74,1582.7,13.27,3561.07,32
NDC,0069-0242-30,FESOTERODINE FUMARATE 4 MG TB24 30 EACH BOTTLE,57.99,23.2,23.2,52.19,17
NDC,0069-0249-01,RITUXIMABPVVR 500 MG/50ML SOLN 50 ML VIAL,19783.68,7913.47,13.27,17805.31,32
NDC,0069-0291-01,FILGRASTIMAAFI 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1208.88,483.55,0.23,1087.99,32
NDC,0069-0291-10,FILGRASTIMAAFI 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1208.88,483.55,0.23,1087.99,32
NDC,0069-0292-01,FILGRASTIMAAFI 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,1934.21,773.68,0.23,1740.79,32
NDC,0069-0292-10,FILGRASTIMAAFI 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,1934.21,773.68,0.23,1740.79,32
NDC,0069-0294-01,FILGRASTIMAAFI 480 MCG/1.6ML SOLN 1.6 ML VIAL,1934.21,773.68,0.23,1740.79,32
NDC,0069-0294-10,FILGRASTIMAAFI 480 MCG/1.6ML SOLN 1.6 ML VIAL,1934.21,773.68,0.23,1740.79,32
NDC,0069-0305-01,TRASTUZUMABQYYP 420 MG SOLR 1 EACH VIAL,17091.06,6836.42,8.21,15381.95,32
NDC,0069-0308-01,TRASTUZUMABQYYP 150 MG SOLR 1 EACH VIAL,6103.94,2441.58,8.21,5493.55,32
NDC,0069-0315-01,BEVACIZUMABBVZR 100 MG/4ML SOLN 4 ML VIAL,3385.97,1354.39,17.51,3047.37,32
NDC,0069-0324-01,PEGFILGRASTIMAPGF 6 MG/0.6ML SOSY 0.6 ML SYRINGE,19782.0,7912.8,64.73,17803.8,32
NDC,0069-0342-01,BEVACIZUMABBVZR 400 MG/16ML SOLN 16 ML VIAL,13543.87,5417.55,17.51,12189.48,32
NDC,0069-0809-01,INFLIXIMABDYYB 100 MG SOLR 1 EACH VIAL,4769.27,1907.71,13.59,4292.34,32
NDC,0069-1001-01,TOFACITINIB 5 MG TABS 60 EACH BOTTLE,419.05,167.62,167.62,377.15,17
NDC,0069-1305-10,EPOETIN ALFAEPBX 2000 UNIT/ML SOLN 1 ML VIAL,135.62,54.25,0.8,122.06,16
NDC,0069-1306-10,EPOETIN ALFAEPBX 3000 UNIT/ML SOLN 1 ML VIAL,203.43,81.37,0.8,183.09,16
NDC,0069-1307-10,EPOETIN ALFAEPBX 4000 UNIT/ML SOLN 1 ML VIAL,271.23,108.49,0.8,244.11,16
NDC,0069-1308-10,EPOETIN ALFAEPBX 10000 UNIT/ML SOLN 1 ML VIAL,623.83,249.53,0.8,561.45,17
NDC,0069-1309-01,EPOETIN ALFAEPBX 40000 UNIT/ML SOLN 1 ML VIAL,2278.33,911.33,0.8,2050.5,16
NDC,0069-1309-04,EPOETIN ALFAEPBX 40000 UNIT/ML SOLN 1 ML VIAL,2278.34,911.34,0.8,2050.51,16
NDC,0069-1311-01,EPOETIN ALFAEPBX 20000 UNIT/ML SOLN 1 ML VIAL,1247.7,499.08,0.8,1122.93,16
NDC,0069-1311-10,EPOETIN ALFAEPBX 20000 UNIT/ML SOLN 1 ML VIAL,1247.67,499.07,0.8,1122.9,16
NDC,0069-1542-20,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,392.0,156.8,3.93,352.8,16
NDC,0069-2522-02,ELRANATAMABBCMM 44 MG/1.1ML SOLN 1.1 ML VIAL,11823.48,4729.39,4611.16,10641.13,15
NDC,0069-3032-20,DOXORUBICIN 2 MG/ML SOLN 25 ML VIAL,147.38,58.95,3.93,132.64,16
NDC,0069-3034-20,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,392.0,156.8,3.93,352.8,16
NDC,0069-3051-75,AZITHROMYCIN 1 G PACK 3 EACH BOX,148.2,59.28,59.28,133.38,17
NDC,0069-4061-89,AZITHROMYCIN 250 MG TABS 50 EACH BOX,20.71,8.28,8.28,18.64,17
NDC,0069-4200-30,SILDENAFIL 25 MG TABS 30 EACH BOTTLE,482.6,193.04,193.04,434.34,17
NDC,0069-4220-66,SILDENAFIL 100 MG TABS 100 EACH BOTTLE,482.59,193.04,193.04,434.33,17
NDC,0069-4494-02,ELRANATAMABBCMM 76 MG/1.9ML SOLN 1.9 ML VIAL,74882.01,29952.8,29203.98,67393.81,15
NDC,0069-5810-43,DOFETILIDE 250 MCG CAPS 40 EACH BOX,66.49,26.6,26.6,59.84,17
NDC,0069-6001-02,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL,242.6,97.04,0.67,218.34,26
NDC,0069-6001-10,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,669.58,267.83,0.67,602.62,26
NDC,0069-6001-21,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,669.53,267.81,0.67,602.58,26
NDC,0069-6001-25,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL,242.59,97.04,0.67,218.33,26
NDC,0071-0369-40,PHENYTOIN 100 MG CAPS 100 EACH BOX,12.05,4.82,4.82,10.85,17
NDC,0071-0417-24,NITROGLYCERIN 0.3 MG SUBL 100 EACH BOTTLE,4.45,1.78,1.78,4.01,17
NDC,0071-0419-24,NITROGLYCERIN 0.6 MG SUBL 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0071-1012-68,PREGABALIN 25 MG CAPS 90 EACH BOTTLE,60.72,24.29,24.29,54.65,17
NDC,0071-1015-41,PREGABALIN 100 MG CAPS 100 EACH BOX,66.79,26.72,26.72,60.11,17
NDC,0071-1016-41,PREGABALIN 150 MG CAPS 100 EACH BOX,66.79,26.72,26.72,60.11,17
NDC,0071-1017-68,PREGABALIN 200 MG CAPS 90 EACH BOTTLE,60.72,24.29,24.29,54.65,17
NDC,0071-1018-68,PREGABALIN 300 MG CAPS 90 EACH BOTTLE,60.72,24.29,24.29,54.65,17
NDC,0071-1019-68,PREGABALIN 225 MG CAPS 90 EACH BOTTLE,60.72,24.29,24.29,54.65,17
NDC,0071-2418-19,ETHOSUXIMIDE 250 MG/5ML SOLN 474 ML BOTTLE,791.49,316.6,316.6,712.34,17
NDC,0071-3740-66,PHENYTOIN 30 MG CAPS 100 EACH BOTTLE,9.42,3.77,3.77,8.48,17
NDC,0074-0561-14,VENETOCLAX 10 MG TABS 14 EACH BOX,78.1,31.24,31.24,70.29,17
NDC,0074-0566-07,VENETOCLAX 50 MG TABS 7 EACH BOX,359.28,143.71,143.71,323.35,17
NDC,0074-0576-22,VENETOCLAX 100 MG TABS 120 EACH BOTTLE,718.55,287.42,287.42,646.7,17
NDC,0074-1044-01,TELISOTUZUMAB VEDOTINTLLV 20 MG SOLR 1 EACH VIAL,14091.84,5636.74,5495.82,12682.66,15
NDC,0074-1055-01,TELISOTUZUMAB VEDOTINTLLV 100 MG SOLR 1 EACH VIAL,70459.2,28183.68,27479.09,63413.28,15
NDC,0074-1658-01,PARICALCITOL 5 MCG/ML SOLN 1 ML VIAL,90.9,36.36,1.24,81.81,16
NDC,0074-1658-05,PARICALCITOL 5 MCG/ML SOLN 2 ML VIAL,181.8,72.72,1.24,163.62,16
NDC,0074-2108-03,LEUPROLIDE ACETATE PED 7.5 MG KIT 1 EACH BOX,10920.42,4368.17,1005.12,9828.38,32
NDC,0074-2282-03,LEUPROLIDE ACETATE PED 11.25 MG KIT 1 EACH BOX,19825.76,7930.3,1005.12,17843.18,32
NDC,0074-3108-32,CYCLOSPORINE MODIFIED 25 MG CAPS 30 EACH BOX,11.04,4.42,1.04,9.94,16
NDC,0074-3109-32,CYCLOSPORINE MODIFIED 100 MG CAPS 30 EACH BOX,44.08,17.63,2.65,39.67,16
NDC,0074-3346-03,LEUPROLIDE 22.5 MG KIT 1 EACH BOX,32451.97,12980.79,160.34,29206.77,32
NDC,0074-3473-03,LEUPROLIDE ACETATE 6 MONTH 45 MG KIT 1 EACH BOX,64905.08,25962.03,160.34,58414.57,32
NDC,0074-3575-01,LEUPROLIDE ACETATE PED6MON 45 MG KIT 1 EACH BOX,131016.82,52406.73,1005.12,117915.14,32
NDC,0074-3641-03,LEUPROLIDE 3.75 MG KIT 1 EACH BOX,9077.59,3631.04,1005.12,8169.83,32
NDC,0074-3642-03,LEUPROLIDE 7.5 MG KIT 1 EACH BOX,10817.39,4326.96,160.34,9735.65,32
NDC,0074-3663-03,LEUPROLIDE 11.25 MG KIT 1 EACH BOX,27232.97,10893.19,1005.12,24509.67,32
NDC,0074-3683-03,LEUPROLIDE 30 MG KIT 1 EACH BOX,43269.41,17307.76,160.34,38942.47,32
NDC,0074-3779-03,LEUPROLIDE ACETATE PED3MON 11.25 MG KIT 1 EACH BOX,59477.46,23790.98,1005.12,53529.71,32
NDC,0074-3878-10,AZTREONAMAVIBACTAM 1.50.5 G SOLR 1 EACH VIAL,1805.04,722.02,1.27,1624.54,32
NDC,0074-4339-71,ADALIMUMAB 40 MG/0.8ML KIT 1 EACH BOX,5899.53,2359.81,94.47,5309.58,21
NDC,0074-4637-01,PARICALCITOL 2 MCG/ML SOLN 1 ML VIAL,36.36,14.54,14.54,32.72,17
NDC,0074-5015-01,RISANKIZUMABRZAA 600 MG/10ML SOLN 10 ML VIAL,53585.36,21434.14,14.93,48226.82,32
NDC,0074-6799-22,LOPINAVIRRITONAVIR 20050 MG TABS 120 EACH BOTTLE,51.21,20.48,20.48,46.09,17
NDC,0074-7148-11,LEVOTHYROXINE 200 MCG TABS 100 EACH BOX,9.93,3.97,3.97,8.94,17
NDC,0074-9036-30,PARICALCITOL 1 MCG CAPS 30 EACH BOTTLE,78.07,31.23,31.23,70.26,17
NDC,0078-0109-01,CYCLOSPORINE 50 MG/ML SOLN 5 ML AMPULE,392.89,157.16,94.35,353.6,16
NDC,0078-0110-22,CYCLOSPORINE 100 MG/ML SOLN 50 ML BOTTLE,4210.92,1684.37,2.65,3789.83,16
NDC,0078-0240-15,CYCLOSPORINE 25 MG CAPS 30 EACH BOX,27.45,10.98,10.98,24.71,17
NDC,0078-0241-15,CYCLOSPORINE 100 MG CAPS 30 EACH BOX,109.56,43.82,2.65,98.6,16
NDC,0078-0241-61,CYCLOSPORINE 100 MG CAPS 1 EACH,109.7,43.88,2.65,98.73,16
NDC,0078-0246-15,CYCLOSPORINE MODIFIED 25 MG CAPS 30 EACH BOX,17.66,7.06,1.04,15.89,16
NDC,0078-0246-61,CYCLOSPORINE MODIFIED 25 MG CAPS 1 EACH,17.8,7.12,1.04,16.02,16
NDC,0078-0248-15,CYCLOSPORINE MODIFIED 100 MG CAPS 30 EACH BOX,70.56,28.22,2.65,63.5,16
NDC,0078-0248-61,CYCLOSPORINE MODIFIED 100 MG CAPS 1 EACH,70.7,28.28,2.65,63.63,16
NDC,0078-0274-22,CYCLOSPORINE 100 MG/ML SOLN 50 ML BOTTLE,3230.22,1292.09,2.65,2907.2,16
NDC,0078-0331-84,BASILIXIMAB 20 MG SOLR 1 EACH VIAL,23437.76,9375.1,3152.03,21093.98,32
NDC,0078-0354-15,FLUVASTATIN XL 80 MG TB24 30 EACH BOTTLE,81.92,32.77,32.77,73.73,17
NDC,0078-0359-34,VALSARTAN 160 MG TABS 90 EACH BOTTLE,61.14,24.46,24.46,55.03,17
NDC,0078-0370-05,METHYLPHENIDATE 20 MG CP24 100 EACH BOTTLE,75.73,30.29,30.29,68.16,17
NDC,0078-0380-05,DEXMETHYLPHENIDATE 2.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0078-0381-05,DEXMETHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0078-0386-66,MYCOPHENOLATE 360 MG TBEC 120 EACH BOTTLE,89.5,35.8,0.44,80.55,16
NDC,0078-0393-61,BASILIXIMAB 10 MG SOLR 1 EACH VIAL,17857.39,7142.96,3152.03,16071.65,32
NDC,0078-0414-20,EVEROLIMUS 0.5 MG TABS 60 EACH BOX,131.58,52.63,1.78,118.42,16
NDC,0078-0415-20,EVEROLIMUS 0.75 MG TABS 60 EACH BOX,197.38,78.95,1.78,177.64,16
NDC,0078-0424-05,METHYLPHENIDATE 10 MG CP24 100 EACH BOTTLE,75.73,30.29,30.29,68.16,17
NDC,0078-0430-05,DEXMETHYLPHENIDATE 5 MG CP24 100 EACH BOTTLE,29.51,11.8,11.8,26.56,17
NDC,0078-0431-05,DEXMETHYLPHENIDATE 10 MG CP24 100 EACH BOTTLE,29.95,11.98,11.98,26.96,17
NDC,0078-0439-05,METHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0078-0468-15,DEFERASIROX 125 MG TBSO 30 EACH BOTTLE,308.68,123.47,123.47,277.81,17
NDC,0078-0469-15,DEFERASIROX 250 MG TBSO 30 EACH BOTTLE,567.95,227.18,227.18,511.16,17
NDC,0078-0470-15,DEFERASIROX 500 MG TBSO 30 EACH BOTTLE,1135.89,454.36,454.36,1022.3,17
NDC,0078-0493-05,DEXMETHYLPHENIDATE 15 MG CP24 100 EACH BOTTLE,30.8,12.32,12.32,27.72,17
NDC,0078-0501-15,RIVASTIGMINE 4.6 MG/24HR PT24 30 EACH BOX,137.2,54.88,54.88,123.48,17
NDC,0078-0526-87,NILOTINIB 200 MG CAPS 28 EACH DISP PACK,1066.78,426.71,426.71,960.1,17
NDC,0078-0568-45,ARTEMETHERLUMEFANTRINE 20120 MG TABS 24 EACH BOTTLE,33.69,13.48,13.48,30.32,17
NDC,0078-0592-87,NILOTINIB 150 MG CAPS 28 EACH DISP PACK,1066.78,426.71,426.71,960.1,17
NDC,0078-0639-68,SECUKINUMAB 150 MG/ML SOAJ 1 ML PEN,38461.42,15384.57,15384.57,34615.28,17
NDC,0078-0659-20,SACUBITRILVALSARTAN 2426 MG TABS 60 EACH BOTTLE,70.52,28.21,28.21,63.47,17
NDC,0078-0669-61,OFATUMUMAB 100 MG/5ML CONC 5 ML VIAL,3330.49,1332.2,49.97,2997.44,32
NDC,0078-0671-19,LAPATINIB 250 MG TABS 150 EACH BOTTLE,374.5,149.8,149.8,337.05,17
NDC,0078-0672-01,TOPOTECAN HCL 0.25 MG CAPS 10 EACH BOTTLE,669.99,268.0,125.33,602.99,26
NDC,0078-0673-01,TOPOTECAN HCL 1 MG CAPS 10 EACH BOTTLE,2446.89,978.76,125.33,2202.2,26
NDC,0078-0683-61,NELARABINE 5 MG/ML SOLN 50 ML VIAL,4849.0,1939.6,65.16,4364.1,32
NDC,0078-0686-15,ELTROMBOPAG 50 MG TABS 30 EACH BOTTLE,2379.43,951.77,951.77,2141.49,17
NDC,0078-0696-20,SACUBITRILVALSARTAN 97103 MG TABS 60 EACH BOTTLE,70.52,28.21,28.21,63.47,17
NDC,0078-0698-19,MIDOSTAURIN 25 MG CAPS 112 EACH BOX,1202.9,481.16,481.16,1082.61,15
NDC,0078-0698-99,MIDOSTAURIN 25 MG CAPS 56 EACH BOX,1202.9,481.16,481.16,1082.61,15
NDC,0078-0729-10,BETAXOLOL 0.25 % SUSP 10 ML BOTTLE,2239.1,895.64,895.64,2015.19,17
NDC,0078-0777-20,SACUBITRILVALSARTAN 4951 MG TABS 60 EACH BOTTLE,70.52,28.21,28.21,63.47,17
NDC,0078-0778-03,NEPAFENAC 0.1 % SUSP 3 ML BOTTLE,1816.73,726.69,726.69,1635.06,17
NDC,0078-0811-81,OCTREOTIDE 10 MG KIT 1 EACH BOX,17758.1,7103.24,168.02,15982.29,32
NDC,0078-0813-01,TOBRAMYCIN 0.3 % OINT 3.5 G TUBE,1545.6,618.24,618.24,1391.04,17
NDC,0078-0818-81,OCTREOTIDE 20 MG KIT 1 EACH BOX,23266.15,9306.46,168.02,20939.54,32
NDC,0078-0825-81,OCTREOTIDE 30 MG KIT 1 EACH BOX,34839.29,13935.72,168.02,31355.36,32
NDC,0078-0841-01,CIPROFLOXACIN 0.3 % OINT 3.5 G TUBE,1500.62,600.25,600.25,1350.56,17
NDC,0078-0846-19,TISAGENLECLEUCEL 250000000 CELLS SUSP 1 EACH FLEX CONT,2991408.0,1196563.2,90000.0,2692267.2,30
NDC,0078-0876-01,TOBRAMYCINDEXAMETHASONE 0.30.1 % OINT 3.5 G TUBE,1645.47,658.19,658.19,1480.92,17
NDC,0078-0883-61,CRIZANLIZUMABTMCA 100 MG/10ML SOLN 10 ML VIAL,12362.83,4945.13,122.16,11126.55,32
NDC,0078-0897-78,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,3270.96,1308.38,3.44,2943.86,26
NDC,0078-0939-26,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,1109.15,443.66,443.66,998.24,17
NDC,0078-0958-19,TISAGENLECLEUCEL 600000000 CELLS SUSP 1 EACH FLEX CONT,2464191.7,985676.68,90000.0,2217772.53,30
NDC,0078-1000-60,INCLISIRAN 284 MG/1.5ML SOSY 1.5 ML SYRINGE,18082.18,7232.87,10.69,16273.96,32
NDC,0078-1105-15,TRAMETINIB DIMETHYL SULFOXIDE 0.5 MG TABS 30 EACH BOTTLE,923.45,369.38,369.38,831.11,17
NDC,0078-1112-15,TRAMETINIB DIMETHYL SULFOXIDE 2 MG TABS 30 EACH BOTTLE,2869.66,1147.86,1147.86,2582.69,17
NDC,0078-1161-47,TRAMETINIB DIMETHYL SULFOXIDE 0.05 MG/ML SOLR 90 ML BOTTLE,2216.28,886.51,886.51,1994.65,17
NDC,0078-1168-61,SECUKINUMAB 125 MG/5ML SOLN 5 ML VIAL,11091.32,4436.53,15.85,9982.19,32
NDC,0081-0730-88,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 14.2 G TUBE,7.77,3.11,3.11,6.99,17
NDC,0081-0798-88,POLYSPORIN 50010000 UNIT/GM OINT 14.2 G TUBE,30.1,12.04,12.04,27.09,17
NDC,0085-1328-01,POSACONAZOLE 40 MG/ML SUSP 105 ML BOTTLE,205.65,82.26,82.26,185.09,17
NDC,0085-1381-01,TEMOZOLOMIDE 100 MG SOLR 1 EACH VIAL,5055.67,2022.27,7.31,4550.1,32
NDC,0087-0402-03,PEDIATRIC MULTIVITAMIN SOLN 50 ML BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0087-0405-01,POLYVISOL/IRON 11 MG/ML SOLN 50 ML BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0087-0740-02,FERROUS SULFATE 15 MG OF IRON/ML SOLN 50 ML BOTTLE,16.05,6.42,6.42,14.45,17
NDC,0088-2102-24,RIFAPENTINE 150 MG TABS 24 EACH BOX,30.39,12.16,12.16,27.35,17
NDC,0088-2220-33,INSULIN GLARGINE 100 UNIT/ML SOLN 10 ML VIAL,354.71,141.88,141.88,319.24,17
NDC,0093-0010-06,TOLTERODINE 1 MG TABS 60 EACH BOTTLE,16.55,6.62,6.62,14.9,17
NDC,0093-0018-06,TOLTERODINE 2 MG TABS 60 EACH BOTTLE,16.99,6.8,6.8,15.29,17
NDC,0093-0264-92,FLUOCINONIDE 0.05 % OINT 60 G TUBE,1301.89,520.76,520.76,1171.7,17
NDC,0093-0311-01,LOPERAMIDE 2 MG CAPS 100 EACH BOTTLE,6.83,2.73,2.73,6.15,17
NDC,0093-0314-01,KETOROLAC 10 MG TABS 100 EACH BOTTLE,10.79,4.32,4.32,9.71,17
NDC,0093-0318-01,DILTIAZEM 30 MG TABS 100 EACH BOTTLE,5.0,2.0,2.0,4.5,17
NDC,0093-0319-01,DILTIAZEM 60 MG TABS 100 EACH BOTTLE,7.84,3.14,3.14,7.06,17
NDC,0093-0320-01,DILTIAZEM 90 MG TABS 100 EACH BOTTLE,10.71,4.28,4.28,9.64,17
NDC,0093-0711-01,FLURBIPROFEN 100 MG TABS 100 EACH BOTTLE,10.33,4.13,4.13,9.3,17
NDC,0093-0757-01,PIROXICAM 20 MG CAPS 100 EACH BOTTLE,22.43,8.97,8.97,20.19,17
NDC,0093-0810-01,NORTRIPTYLINE 10 MG CAPS 100 EACH BOTTLE,3.68,1.47,1.47,3.31,17
NDC,0093-0813-01,NORTRIPTYLINE 75 MG CAPS 100 EACH BOTTLE,21.09,8.44,8.44,18.98,17
NDC,0093-0983-01,NYSTATIN 500000 UNITS TABS 100 EACH BOTTLE,7.11,2.84,2.84,6.4,17
NDC,0093-1024-06,NEFAZODONE 100 MG TABS 60 EACH BOTTLE,24.0,9.6,9.6,21.6,17
NDC,0093-1025-06,NEFAZODONE 200 MG TABS 60 EACH BOTTLE,24.91,9.96,9.96,22.42,17
NDC,0093-1177-01,NEOMYCIN 500 MG TABS 100 EACH BOTTLE,7.44,2.98,2.98,6.7,17
NDC,0093-1712-01,WARFARIN 1 MG TABS 100 EACH BOTTLE,3.07,1.23,1.23,2.76,17
NDC,0093-1714-01,WARFARIN 2.5 MG TABS 100 EACH BOTTLE,3.3,1.32,1.32,2.97,17
NDC,0093-1720-01,WARFARIN 10 MG TABS 100 EACH BOTTLE,5.09,2.04,2.04,4.58,17
NDC,0093-1721-01,WARFARIN 5 MG TABS 100 EACH BOTTLE,3.35,1.34,1.34,3.02,17
NDC,0093-2026-31,AZITHROMYCIN 200 MG/5ML SUSR 30 ML BOTTLE,174.45,69.78,69.78,157.01,17
NDC,0093-2064-06,CILOSTAZOL 100 MG TABS 60 EACH BOTTLE,9.13,3.65,3.65,8.22,17
NDC,0093-2065-06,CILOSTAZOL 50 MG TABS 60 EACH BOTTLE,9.64,3.86,3.86,8.68,17
NDC,0093-2204-01,METOCLOPRAMIDE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0093-2267-01,AMOXICILLIN 125 MG CHEW 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0093-2268-01,AMOXICILLIN 250 MG CHEW 100 EACH BOTTLE,3.68,1.47,1.47,3.31,17
NDC,0093-3002-56,QUININE 324 MG CAPS 30 EACH BOTTLE,35.36,14.14,14.14,31.82,17
NDC,0093-3009-93,LANSOPRAZOLE 30 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,17
NDC,0093-3123-01,DICLOXACILLIN 250 MG CAPS 100 EACH BOTTLE,7.51,3.0,3.0,6.76,17
NDC,0093-3125-01,DICLOXACILLIN 500 MG CAPS 100 EACH BOTTLE,13.66,5.46,5.46,12.29,17
NDC,0093-3127-01,DISOPYRAMIDE 100 MG CAPS 100 EACH BOTTLE,14.29,5.72,5.72,12.86,17
NDC,0093-3129-01,DISOPYRAMIDE 150 MG CAPS 100 EACH BOTTLE,16.88,6.75,6.75,15.19,17
NDC,0093-3145-01,CEPHALEXIN 250 MG CAPS 100 EACH BOTTLE,3.47,1.39,1.39,3.12,17
NDC,0093-3147-01,CEPHALEXIN 500 MG CAPS 100 EACH BOTTLE,6.88,2.75,2.75,6.19,17
NDC,0093-3196-53,CEFADROXIL 500 MG CAPS 50 EACH BOTTLE,18.6,7.44,7.44,16.74,17
NDC,0093-3234-01,SULFASALAZINE 500 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0093-3420-01,CYCLOBENZAPRINE 5 MG TABS 100 EACH BOTTLE,8.21,3.28,3.28,7.39,17
NDC,0093-3425-10,LORAZEPAM 0.5 MG TABS 1000 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0093-3426-01,LORAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0093-3427-10,LORAZEPAM 2 MG TABS 1000 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0093-4069-01,PRAZOSIN 5 MG CAPS 100 EACH BOTTLE,11.48,4.59,4.59,10.33,17
NDC,0093-4127-73,PENICILLIN V POTASSIUM 250 MG/5ML SOLR 100 ML BOTTLE,56.0,22.4,22.4,50.4,17
NDC,0093-4127-74,PENICILLIN V POTASSIUM 250 MG/5ML SOLR 200 ML BOTTLE,81.0,32.4,32.4,72.9,17
NDC,0093-4137-64,CEFDINIR 250 MG/5ML SUSR 60 ML BOTTLE,457.61,183.04,183.04,411.85,17
NDC,0093-4137-73,CEFDINIR 250 MG/5ML SUSR 100 ML BOTTLE,724.96,289.98,289.98,652.46,17
NDC,0093-5060-01,HYDROXYZINE 10 MG TABS 100 EACH BOTTLE,3.25,1.3,1.3,2.93,17
NDC,0093-5061-01,HYDROXYZINE 25 MG TABS 100 EACH BOTTLE,4.58,1.83,1.83,4.12,17
NDC,0093-5420-88,CABERGOLINE 0.5 MG TABS 8 EACH BOTTLE,183.3,73.32,73.32,164.97,17
NDC,0093-5527-06,ATAZANAVIR 200 MG CAPS 60 EACH BOTTLE,139.01,55.6,55.6,125.11,17
NDC,0093-5550-01,DEXMETHYLPHENIDATE 5 MG CP24 100 EACH BOTTLE,39.03,15.61,15.61,35.13,17
NDC,0093-5907-86,MESALAMINE 400 MG CPDR 180 EACH BOTTLE,22.12,8.85,8.85,19.91,17
NDC,0093-6450-56,ESOMEPRAZOLE 20 MG CPDR 30 EACH BOTTLE,42.62,17.05,17.05,38.36,17
NDC,0093-6815-19,BUDESONIDE 0.25 MG/2ML SUSP 2 ML PLAS CONT,47.04,18.82,1.09,42.34,18
NDC,0093-6815-45,BUDESONIDE 0.25 MG/2ML SUSP 2 ML PLAS CONT,47.07,18.83,1.09,42.36,18
NDC,0093-6815-55,BUDESONIDE 0.25 MG/2ML SUSP 2 ML PLAS CONT,47.04,18.82,1.09,42.34,18
NDC,0093-6816-73,BUDESONIDE 0.5 MG/2ML SUSP 2 ML PLAS CONT,55.4,22.16,1.09,49.86,18
NDC,0093-7113-06,NEFAZODONE 150 MG TABS 60 EACH BOTTLE,24.45,9.78,9.78,22.01,17
NDC,0093-7472-43,RIZATRIPTAN 10 MG TABS 18 EACH BOX,166.27,66.51,66.51,149.64,17
NDC,0093-7630-56,IMATINIB 400 MG TABS 30 EACH BOTTLE,1676.28,670.51,670.51,1508.65,17
NDC,0093-7865-65,FENTANYL 200 MCG LPOP 30 EACH BOX,94.13,37.65,37.65,84.72,17
NDC,0093-7866-65,FENTANYL 400 MCG LPOP 30 EACH BOX,119.25,47.7,47.7,107.33,17
NDC,0093-7867-65,FENTANYL 600 MCG LPOP 30 EACH BOX,146.07,58.43,58.43,131.46,17
NDC,0093-8035-01,GLYBURIDE MICRONIZED 3 MG TABS 100 EACH BOTTLE,3.28,1.31,1.31,2.95,17
NDC,0093-8076-56,TIAGABINE 16 MG TABS 30 EACH BOTTLE,75.39,30.16,30.16,67.85,17
NDC,0093-8117-56,FAMCICLOVIR 125 MG TABS 30 EACH BOTTLE,29.07,11.63,11.63,26.16,17
NDC,0093-8118-56,FAMCICLOVIR 250 MG TABS 30 EACH BOTTLE,31.61,12.64,12.64,28.45,17
NDC,0093-8119-56,FAMCICLOVIR 500 MG TABS 30 EACH BOTTLE,63.47,25.39,25.39,57.12,17
NDC,0093-8180-64,OSELTAMIVIR 6 MG/ML SUSR 60 ML BOTTLE,72.15,28.86,28.86,64.94,17
NDC,0093-8192-01,CIMETIDINE 300 MG TABS 100 EACH BOTTLE,10.27,4.11,4.11,9.24,17
NDC,0093-8310-18,ELETRIPTAN 20 MG TABS 6 EACH BOX,307.3,122.92,122.92,276.57,17
NDC,0093-8310-19,ELETRIPTAN 20 MG TABS 1 EACH,307.3,122.92,122.92,276.57,17
NDC,0093-8343-01,GLYBURIDE 2.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0093-8344-01,GLYBURIDE 5 MG TABS 100 EACH BOTTLE,3.89,1.56,1.56,3.5,17
NDC,0093-8344-05,GLYBURIDE 5 MG TABS 500 EACH BOTTLE,3.42,1.37,1.37,3.08,17
NDC,0093-8739-01,MEXILETINE 150 MG CAPS 100 EACH BOTTLE,12.68,5.07,5.07,11.41,17
NDC,0093-8740-01,MEXILETINE 200 MG CAPS 100 EACH BOTTLE,15.14,6.06,6.06,13.63,17
NDC,0093-8741-01,MEXILETINE 250 MG CAPS 100 EACH BOTTLE,17.49,7.0,7.0,15.74,17
NDC,0093-9290-19,CLONAZEPAM 0.125 MG TBDP 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0093-9290-67,CLONAZEPAM 0.125 MG TBDP 60 EACH,10.0,4.0,4.0,9.0,17
NDC,0093-9291-19,CLONAZEPAM 0.25 MG TBDP 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0093-9291-67,CLONAZEPAM 0.25 MG TBDP 60 EACH,10.0,4.0,4.0,9.0,17
NDC,0093-9364-05,GLYBURIDE 5 MG TABS 500 EACH BOTTLE,3.42,1.37,1.37,3.08,17
NDC,0093-9614-13,SILVER NITRATE 0.5 % SOLN 960 ML BOTTLE,419.52,167.81,167.81,377.57,17
NDC,0093-9701-01,CARBIDOPALEVODOPA 10100 MG TABS 100 EACH BOTTLE,3.86,1.54,1.54,3.47,17
NDC,0113-0054-52,PSEUDOEPHEDRINE 120 MG TB12 10 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0113-0131-73,SODIUM CHLORIDE 0.65 % SOLN 45 ML SPRAY BOTTLE,6.98,2.79,2.79,6.28,17
NDC,0113-0141-65,FAMOTIDINE 10 MG TABS 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0113-0214-29,MICONAZOLE 2 % CREA 45 G TUBE,31.5,12.6,12.6,28.35,17
NDC,0113-0304-10,OXYMETAZOLINE 0.05 % SOLN 30 ML BOTTLE,9.45,3.78,3.78,8.51,17
NDC,0113-0379-26,DIPHENHYDRAMINE 12.5 MG/5ML LIQD 118 ML BOTTLE,2.48,0.99,0.99,2.23,17
NDC,0113-0403-78,ACETAMINOPHEN 325 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0113-0409-51,CAFFEINE 200 MG TABS 8 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0113-0409-73,CAFFEINE 200 MG TABS 16 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0113-0441-64,DOXYLAMINE SUCCINATE SLEEP 25 MG TABS 32 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0113-0478-47,CALCIUM CARBONATE 500 MG CHEW 150 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0113-0503-26,CETIRIZINE 5 MG/5ML SOLN 118 ML BOTTLE,27.14,10.86,10.86,24.43,17
NDC,0113-0622-64,DIPHENHYDRAMINEZINC ACETATE 20.1 % CREA 28 G TUBE,11.76,4.7,4.7,10.58,17
NDC,0113-0817-10,OXYMETAZOLINE 0.05 % SOLN 30 ML BOTTLE,28.2,11.28,11.28,25.38,17
NDC,0113-0825-29,MICONAZOLE 2 % CREA 45 G TUBE,35.55,14.22,14.22,32.0,17
NDC,0113-0897-34,IBUPROFEN 100 MG/5ML SUSP 240 ML BOTTLE,16.2,6.48,6.48,14.58,17
NDC,0113-1645-26,LOPERAMIDE HCL 1 MG/7.5ML SOLN 120 ML BOTTLE,24.6,9.84,9.84,22.14,17
NDC,0115-1072-01,DIPYRIDAMOLE 75 MG TABS 100 EACH BOTTLE,15.31,6.12,6.12,13.78,17
NDC,0115-1468-53,LIDOCAINEPRILOCAINE 2.52.5 % CREA 5 G TUBE,40.2,16.08,16.08,36.18,17
NDC,0115-1486-01,AMPHETAMINEDEXTROAMPHETAMINE 5 MG CP24 100 EACH BOTTLE,35.25,14.1,14.1,31.73,17
NDC,0115-1491-01,AMPHETAMINEDEXTROAMPHETAMINE 30 MG CP24 100 EACH BOTTLE,35.25,14.1,14.1,31.73,17
NDC,0115-1694-49,EPINEPHRINE 0.3 MG/0.3ML SOAJ 2 EACH PEN,1136.22,454.49,454.49,1022.6,17
NDC,0115-1697-01,HYDROCORTISONE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0115-1700-01,HYDROCORTISONE 20 MG TABS 100 EACH BOTTLE,5.44,2.18,2.18,4.9,17
NDC,0115-1757-01,CYPROHEPTADINE 4 MG TABS 100 EACH BOTTLE,8.04,3.22,3.22,7.24,17
NDC,0115-2611-01,TERBUTALINE 2.5 MG TABS 100 EACH BOTTLE,27.21,10.88,10.88,24.49,17
NDC,0115-3511-01,PYRIDOSTIGMINE 60 MG TABS 100 EACH BOTTLE,6.38,2.55,2.55,5.74,17
NDC,0115-4422-01,DANTROLENE 50 MG CAPS 100 EACH BOTTLE,8.65,3.46,3.46,7.79,17
NDC,0115-4433-01,DANTROLENE 100 MG CAPS 100 EACH BOTTLE,10.84,4.34,4.34,9.76,17
NDC,0115-9918-01,DEXMETHYLPHENIDATE 5 MG CP24 100 EACH BOTTLE,39.03,15.61,15.61,35.13,17
NDC,0115-9931-78,LEVALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,32.19,12.88,0.05,28.97,16
NDC,0116-2001-15,CHLORHEXIDINE 0.12 % SOLN 15 ML BOTTLE,16.28,6.51,6.51,14.65,17
NDC,0116-2001-16,CHLORHEXIDINE 0.12 % SOLN 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0116-4005-16,LACTULOSE 10 GM/15ML SOLN 473 ML BOTTLE,10.95,4.38,4.38,9.86,17
NDC,0116-4010-16,AMANTADINE HCL 50 MG/5ML SOLN 473 ML BOTTLE,361.85,144.74,144.74,325.67,17
NDC,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,17
NDC,0121-0489-00,DIPHENHYDRAMINE 12.5 MG/5ML ELIX 5 ML PACKAGE,7.82,3.13,3.13,7.04,17
NDC,0121-0489-05,DIPHENHYDRAMINE 12.5 MG/5ML ELIX 5 ML CUP,7.82,3.13,3.13,7.04,17
NDC,0121-0489-10,DIPHENHYDRAMINE 12.5 MG/5ML ELIX 10 ML CUP,2.75,1.1,1.1,2.48,17
NDC,0121-0504-05,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 5 ML CUP,24.34,9.74,9.74,21.91,17
NDC,0121-0530-05,FERROUS SULFATE 300 60 FE MG/5ML SOLN 5 ML CUP,6.11,2.44,2.44,5.5,17
NDC,0121-0544-10,DOCUSATE SODIUM 150 MG/15ML LIQD 10 ML CUP,2.0,0.8,0.8,1.8,17
NDC,0121-0576-10,METOCLOPRAMIDE HCL 10 MG/10ML SOLN 10 ML CUP,11.15,4.46,4.46,10.04,17
NDC,0121-0576-16,METOCLOPRAMIDE 5 MG/5ML SOLN 473 ML BOTTLE,177.38,70.95,70.95,159.64,17
NDC,0121-0581-04,HALOPERIDOL 2 MG/ML CONC 120 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0121-0581-05,HALOPERIDOL 2 MG/ML CONC 5 ML CUP,4.19,1.68,1.68,3.77,17
NDC,0121-0595-00,SOD CITRATECITRIC ACID 500334 MG/5ML SOLN 15 ML CUP,29.25,11.7,11.7,26.33,17
NDC,0121-0595-15,SOD CITRATECITRIC ACID 500334 MG/5ML SOLN 15 ML CUP,29.18,11.67,11.67,26.26,17
NDC,0121-0638-05,GUAIFENESINDEXTROMETHORPHAN 10010 MG/5ML SYRP 5 ML CUP,12.48,4.99,4.99,11.23,17
NDC,0121-0646-16,AMANTADINE HCL 50 MG/5ML SOLN 473 ML BOTTLE,364.21,145.68,145.68,327.79,17
NDC,0121-0657-05,ACETAMINOPHEN 160 MG/5ML 5 ML CUP,2.91,1.16,1.16,2.62,17
NDC,0121-0670-16,ETHOSUXIMIDE 250 MG/5ML SOLN 473 ML BOTTLE,1079.2,431.68,431.68,971.28,17
NDC,0121-0675-85,VALPROIC ACID 250 MG/5ML SOLN 473 ML BOTTLE,361.85,144.74,144.74,325.67,17
NDC,0121-0759-08,PREDNISOLONE 15 MG/5ML SOLN 237 ML BOTTLE,369.72,147.89,147.89,332.75,17
NDC,0121-0766-16,CALCIUM CARBONATE 1250 MG/5ML SUSP 473 ML BOTTLE,61.49,24.6,24.6,55.34,17
NDC,0121-0775-04,GUAIFENESINCODEINE 10010 MG/5ML SOLN 118 ML BOTTLE,67.85,27.14,27.14,61.07,17
NDC,0121-0820-16,THEOPHYLLINE 80 MG/15ML ELIX 473 ML BOTTLE,513.49,205.4,205.4,462.14,17
NDC,0121-0833-00,IBUPROFEN 100 MG/5ML SUSP 5 ML BOX,1.66,0.66,0.66,1.49,17
NDC,0121-0833-05,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.66,0.66,0.66,1.49,17
NDC,0121-0854-16,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 473 ML BOTTLE,11.95,4.78,4.78,10.76,17
NDC,0121-0867-20,VANCOMYCIN 125 MG CAPS 20 EACH BOX,156.53,62.61,62.61,140.88,17
NDC,0121-0868-00,NYSTATIN 100000 UNIT/ML SUSP 5 ML BOX,11.33,4.53,4.53,10.2,17
NDC,0121-0868-05,NYSTATIN 100000 UNIT/ML SUSP 5 ML CUP,11.75,4.7,4.7,10.58,17
NDC,0121-0868-16,NYSTATIN 100000 UNIT/ML SUSP 473 ML BOTTLE,6.13,2.45,2.45,5.52,17
NDC,0121-0873-16,LACTULOSE 10 GM/15ML SOLN 473 ML BOTTLE,10.95,4.38,4.38,9.86,17
NDC,0121-0892-50,PHENYTOIN 125 MG/5ML SUSP 4 ML CUP,43.2,17.28,17.28,38.88,17
NDC,0121-0903-15,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML CUP,7.78,3.11,3.11,7.0,17
NDC,0121-0903-40,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML CUP,7.78,3.11,3.11,7.0,17
NDC,0121-0904-05,MORPHINE 10 MG/5ML SOLN 5 ML CUP,10.0,4.0,4.0,9.0,17
NDC,0121-0914-00,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.31,0.52,0.52,1.18,17
NDC,0121-0914-05,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.31,0.52,0.52,1.18,17
NDC,0121-0935-05,DOCUSATE 50 MG/5ML LIQD 5 ML CUP,2.54,1.02,1.02,2.29,17
NDC,0121-0935-16,DOCUSATE 50 MG/5ML LIQD 473 ML BOTTLE,19.87,7.95,7.95,17.88,17
NDC,0121-0942-05,PHENOBARBITAL 20 MG/5ML ELIX 5 ML CUP,18.5,7.4,7.4,16.65,17
NDC,0121-0942-16,PHENOBARBITAL 20 MG/5ML ELIX 473 ML BOTTLE,422.11,168.84,168.84,379.9,17
NDC,0121-0942-50,PHENOBARBITAL 20 MG/5ML ELIX 5 ML CUP,18.5,7.4,7.4,16.65,17
NDC,0121-0970-01,LIDOCAINE 4 % PTCH 1 EACH PACKET,11.73,4.69,4.69,10.56,17
NDC,0121-0970-30,LIDOCAINE 4 % PTCH 30 EACH BOX,11.73,4.69,4.69,10.56,17
NDC,0121-0978-10,DIPHENHYDRAMINE 12.5 MG/5ML ELIX 10 ML CUP,7.74,3.1,3.1,6.97,17
NDC,0121-1012-05,LACOSAMIDE 10 MG/ML SOLN 5 ML CUP,168.4,67.36,67.36,151.56,17
NDC,0121-1012-95,LACOSAMIDE 10 MG/ML SOLN 5 ML BOX,168.38,67.35,67.35,151.54,17
NDC,0121-1016-18,ATOVAQUONE 750 MG/5ML SUSP 5 ML CUP,251.6,100.64,100.64,226.44,17
NDC,0121-1154-00,LACTULOSE 10 GM/15ML SOLN 30 ML BOX,11.4,4.56,4.56,10.26,17
NDC,0121-1154-30,LACTULOSE 10 GM/15ML SOLN 30 ML CUP,12.3,4.92,4.92,11.07,17
NDC,0121-1276-00,GUAIFENESINDEXTROMETHORPHAN 10010 MG/5ML SYRP 10 ML CUP,6.93,2.77,2.77,6.24,17
NDC,0121-1314-00,ACETAMINOPHEN 160 MG/5ML 10.15 ML CUP,3.27,1.31,1.31,2.94,17
NDC,0121-1488-00,GUAIFENESIN 100 MG/5ML LIQD 10 ML CUP,1.45,0.58,0.58,1.31,17
NDC,0121-1488-10,GUAIFENESIN 100 MG/5ML LIQD 10 ML CUP,1.45,0.58,0.58,1.31,17
NDC,0121-1576-10,METOCLOPRAMIDE HCL 10 MG/10ML SOLN 10 ML CUP,24.3,9.72,9.72,21.87,17
NDC,0121-1680-40,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 15 ML CUP,76.05,30.42,30.42,68.45,17
NDC,0121-1744-00,GUAIFENESIN 100 MG/5ML LIQD 5 ML CUP,2.87,1.15,1.15,2.58,17
NDC,0121-1744-05,GUAIFENESIN 100 MG/5ML LIQD 5 ML CUP,2.87,1.15,1.15,2.58,17
NDC,0121-1761-30,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 30 ML CUP,18.9,7.56,7.56,17.01,17
NDC,0121-1775-05,GUAIFENESINCODEINE 10010 MG/5ML SOLN 5 ML CUP,21.5,8.6,8.6,19.35,17
NDC,0121-1870-00,DOCUSATE 50 MG/5ML LIQD 10 ML CUP,3.33,1.33,1.33,3.0,17
NDC,0121-1870-10,DOCUSATE 50 MG/5ML LIQD 10 ML CUP,3.33,1.33,1.33,3.0,17
NDC,0121-1882-11,ACETAMINOPHEN 160 MG/5ML 10.15 ML CUP,2.04,0.82,0.82,1.84,17
NDC,0121-1971-00,ACETAMINOPHEN 160 MG/5ML 20.3 ML CUP,3.65,1.46,1.46,3.29,17
NDC,0121-1971-21,ACETAMINOPHEN 160 MG/5ML 20.3 ML CUP,3.65,1.46,1.46,3.29,17
NDC,0121-2316-15,HYDROCODONEACETAMINOPHEN 7.5325 MG/15ML SOLN 15 ML CUP,27.98,11.19,11.19,25.18,17
NDC,0121-2316-40,HYDROCODONEACETAMINOPHEN 7.5325 MG/15ML SOLN 15 ML CUP,49.65,19.86,19.86,44.69,17
NDC,0121-4675-00,VALPROIC ACID 250 MG/5ML SOLN 5 ML BOX,8.58,3.43,3.43,7.72,17
NDC,0121-4675-05,VALPROIC ACID 250 MG/5ML SOLN 5 ML CUP,8.58,3.43,3.43,7.72,17
NDC,0121-4721-05,FLUOXETINE 20 MG/5ML SOLN 5 ML CUP,17.1,6.84,6.84,15.39,17
NDC,0121-4766-05,CALCIUM CARBONATE 1250 MG/5ML SUSP 5 ML BOX,15.38,6.15,6.15,13.84,17
NDC,0121-4794-15,THEOPHYLLINE 80 MG/15ML ELIX 15 ML CUP,62.63,25.05,25.05,56.37,17
NDC,0121-4799-40,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML CUP,46.73,18.69,18.69,42.06,17
NDC,0121-4799-50,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML CUP,34.35,13.74,13.74,30.92,17
NDC,0121-4802-05,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML CUP,46.73,18.69,18.69,42.06,17
NDC,0121-4827-05,OXYCODONE 5 MG/5ML SOLN 5 ML CUP,37.15,14.86,14.86,33.44,17
NDC,0121-4948-15,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 15 ML CUP,72.3,28.92,28.92,65.07,17
NDC,0121-4948-40,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 15 ML CUP,76.05,30.42,30.42,68.45,17
NDC,0121-4950-15,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML CUP,12.83,5.13,5.13,11.55,17
NDC,0121-4950-40,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML BOX,12.83,5.13,5.13,11.55,17
NDC,0121-4955-05,MORPHINE 10 MG/5ML SOLN 5 ML CUP,16.85,6.74,6.74,15.17,17
NDC,0121-4955-94,MORPHINE 10 MG/5ML SOLN 5 ML BOX,16.85,6.74,6.74,15.17,17
NDC,0131-1810-67,LACOSAMIDE 200 MG/20ML SOLN 20 ML VIAL,561.2,224.48,0.26,505.08,16
NDC,0131-2477-60,LACOSAMIDE 50 MG TABS 60 EACH BOX,81.76,32.7,32.7,73.58,17
NDC,0131-2478-60,LACOSAMIDE 100 MG TABS 60 EACH BOX,127.82,51.13,51.13,115.04,17
NDC,0131-2480-60,LACOSAMIDE 200 MG TABS 60 EACH BOX,135.41,54.16,54.16,121.87,17
NDC,0131-5410-72,LACOSAMIDE 10 MG/ML SOLN 200 ML BOTTLE,2422.56,969.02,969.02,2180.3,17
NDC,0132-0079-24,GLYCERIN LAXATIVE 2 G SUPP 24 EACH JAR,3.0,1.2,1.2,2.7,17
NDC,0132-0201-40,FLEET ENEMA 197 GM/197ML ENEM 133 ML BOTTLE,9.98,3.99,3.99,8.98,17
NDC,0132-0202-20,SODIUM PHOSPHATE 9.53.5 GM/59ML ENEM 66 ML BOTTLE,11.88,4.75,4.75,10.69,17
NDC,0132-0301-40,MINERAL OIL ENEM 133 ML BOTTLE,17.29,6.92,6.92,15.56,17
NDC,0135-0461-02,ORLISTAT 60 MG CAPS 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0135-0615-03,FLUTICASONE 27.5 MCG/SPRAY SUSP 9.1 ML BOTTLE,211.98,84.79,84.79,190.78,17
NDC,0143-1173-01,CAPTOPRIL 50 MG TABS 100 EACH BOTTLE,14.5,5.8,5.8,13.05,17
NDC,0143-9087-01,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,840.0,336.0,3.93,756.0,16
NDC,0143-9093-01,DOXORUBICIN 50 MG SOLR 1 EACH VIAL,1451.94,580.78,3.93,1306.75,16
NDC,0143-9098-01,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL,210.0,84.0,3.63,189.0,16
NDC,0143-9128-01,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9141-01,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL,45.7,18.28,9.2,41.13,16
NDC,0143-9141-10,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL,45.7,18.28,9.2,41.13,16
NDC,0143-9152-01,VANCOMYCIN HCL 1.25 G SOLR 1 EACH VIAL,120.6,48.24,0.16,108.54,16
NDC,0143-9152-10,VANCOMYCIN HCL 1.25 G SOLR 1 EACH VIAL,120.6,48.24,0.16,108.54,16
NDC,0143-9155-25,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9162-01,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,35.0,14.0,0.04,31.5,16
NDC,0143-9162-10,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,35.0,14.0,0.04,31.5,16
NDC,0143-9164-01,VANCOMYCIN HCL 10 G SOLR 1 EACH VIAL,330.0,132.0,0.04,297.0,16
NDC,0143-9183-01,LABETALOL 5 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9183-10,LABETALOL 5 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9184-25,CALCIUM GLUCONATE 10 % SOLN 50 ML VIAL,145.75,58.3,58.3,131.18,17
NDC,0143-9192-01,FOSCARNET SODIUM 6000 MG/250ML SOLN 250 ML GLASS CONT,2144.1,857.64,20.9,1929.69,16
NDC,0143-9210-01,CHLOROPROCAINE HCL PF 3 % SOLN 20 ML VIAL,134.3,53.72,53.72,120.87,17
NDC,0143-9210-10,CHLOROPROCAINE HCL PF 3 % SOLN 20 ML VIAL,134.3,53.72,53.72,120.87,17
NDC,0143-9218-01,IDARUBICIN HCL 10 MG/10ML SOLN 10 ML VIAL,803.3,321.32,47.67,722.97,16
NDC,0143-9233-01,BENZTROPINE MESYLATE 1 MG/ML SOLN 2 ML VIAL,270.0,108.0,108.0,243.0,17
NDC,0143-9233-05,BENZTROPINE MESYLATE 1 MG/ML SOLN 2 ML VIAL,270.0,108.0,108.0,243.0,17
NDC,0143-9241-01,BLEOMYCIN 30 UNITS SOLR 1 EACH VIAL,585.67,234.27,27.98,527.1,16
NDC,0143-9245-01,DACARBAZINE 200 MG SOLR 1 EACH VIAL,115.0,46.0,4.49,103.5,16
NDC,0143-9250-01,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9250-10,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9251-01,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,0143-9273-10,DIHYDROERGOTAMINE 1 MG/ML SOLN 1 ML AMPULE,315.0,126.0,78.0,283.5,16
NDC,0143-9277-01,DOXORUBICIN 50 MG SOLR 1 EACH VIAL,1451.94,580.78,3.93,1306.75,16
NDC,0143-9279-01,MITOMYCIN 20 MG SOLR 1 EACH VIAL,2570.4,1028.16,26.1,2313.36,32
NDC,0143-9280-01,MITOMYCIN 40 MG SOLR 1 EACH VIAL,5040.0,2016.0,26.1,4536.0,32
NDC,0143-9284-01,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,0143-9284-10,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,0143-9291-01,ESTRADIOL VALERATE 40 MG/ML OIL 5 ML VIAL,83.69,33.48,33.48,75.32,17
NDC,0143-9297-01,DANTROLENE 20 MG SOLR 1 EACH VIAL,391.41,156.56,156.56,352.27,17
NDC,0143-9311-01,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9311-10,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9315-01,LEVOFLOXACIN IN D5W 250 MG/50ML SOLN 50 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,0143-9315-24,LEVOFLOXACIN IN D5W 250 MG/50ML SOLN 50 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,0143-9318-01,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9318-10,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9320-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9330-01,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9330-10,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9331-01,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9331-10,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9333-10,BUPIVACAINE HCL 0.25 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9334-01,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9334-10,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9335-01,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9335-10,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9375-10,TERBUTALINE 1 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9380-01,MIDAZOLAMSODIUM CHLORIDE 1000.9 MG/100ML% SOLN 100 ML FLEX CONT,180.0,72.0,72.0,162.0,17
NDC,0143-9382-01,CEFEPIME 1 G SOLR 1 EACH VIAL,35.0,14.0,1.59,31.5,16
NDC,0143-9382-10,CEFEPIME 1 G SOLR 1 EACH VIAL,35.0,14.0,1.59,31.5,16
NDC,0143-9383-01,CEFEPIME 2 G SOLR 1 EACH VIAL,35.0,14.0,1.59,31.5,16
NDC,0143-9383-10,CEFEPIME 2 G SOLR 1 EACH VIAL,35.0,14.0,1.59,31.5,16
NDC,0143-9384-01,FOSAPREPITANT 150 MG SOLR 1 EACH VIAL,252.0,100.8,0.13,226.8,16
NDC,0143-9385-01,DECITABINE 50 MG SOLR 1 EACH VIAL,552.0,220.8,1.59,496.8,16
NDC,0143-9387-01,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9387-25,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9391-01,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,367.5,147.0,147.0,330.75,17
NDC,0143-9391-10,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,367.5,147.0,147.0,330.75,17
NDC,0143-9393-01,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1435.2,574.08,574.08,1291.68,17
NDC,0143-9398-10,ERTAPENEM 1 G SOLR 1 EACH VIAL,240.0,96.0,12.82,216.0,16
NDC,0143-9433-01,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9433-04,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9472-12,VANCOMYCIN 1000 MG/200ML SOLN 200 ML FLEX CONT,108.0,43.2,0.18,97.2,16
NDC,0143-9502-01,HALOPERIDOL LACTATE 5 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9503-01,ACETAZOLAMIDE 500 MG SOLR 1 EACH VIAL,263.75,105.5,105.5,237.38,17
NDC,0143-9506-01,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9506-10,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9507-01,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,40.3,16.12,16.12,36.27,17
NDC,0143-9507-10,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,40.3,16.12,16.12,36.27,17
NDC,0143-9508-01,KETAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9508-10,KETAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9509-01,KETAMINE 100 MG/ML SOLN 5 ML VIAL,76.45,30.58,30.58,68.81,17
NDC,0143-9509-10,KETAMINE 100 MG/ML SOLN 5 ML VIAL,76.45,30.58,30.58,68.81,17
NDC,0143-9512-01,ETOPOSIDE 1 GM/50ML SOLN 50 ML VIAL,456.0,182.4,1.22,410.4,16
NDC,0143-9514-01,DROPERIDOL 2.5 MG/ML SOLN 2 ML VIAL,58.08,23.23,23.23,52.27,17
NDC,0143-9514-25,DROPERIDOL 2.5 MG/ML SOLN 2 ML VIAL,58.08,23.23,23.23,52.27,17
NDC,0143-9519-10,METHOTREXATE PF 50 MG/2ML SOLN 2 ML VIAL,115.0,46.0,3.67,103.5,16
NDC,0143-9529-01,FLUPHENAZINE DECANOATE 25 MG/ML SOLN 5 ML VIAL,72.6,29.04,29.04,65.34,17
NDC,0143-9530-01,IFOSFAMIDE 3 GM/60ML SOLN 60 ML VIAL,645.3,258.12,32.76,580.77,16
NDC,0143-9533-01,ALLOPURINOL 500 MG SOLR 1 EACH VIAL,19656.0,7862.4,4.07,17690.4,32
NDC,0143-9534-01,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,84.0,33.6,4.64,75.6,16
NDC,0143-9534-10,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,84.0,33.6,4.64,75.6,16
NDC,0143-9551-10,DAUNORUBICIN HCL 20 MG/4ML SOLN 4 ML VIAL,804.84,321.94,23.5,724.36,16
NDC,0143-9552-01,LEUCOVORIN 350 MG SOLR 1 EACH VIAL,156.0,62.4,4.19,140.4,16
NDC,0143-9553-01,LEUCOVORIN CALCIUM 200 MG SOLR 1 EACH VIAL,144.0,57.6,4.19,129.6,16
NDC,0143-9555-01,LEUCOVORIN 50 MG SOLR 1 EACH VIAL,115.0,46.0,46.0,103.5,17
NDC,0143-9558-01,LEVOLEUCOVORIN CALCIUM 50 MG SOLR 1 EACH VIAL,1006.85,402.74,0.08,906.17,16
NDC,0143-9559-01,ARGATROBAN 50 MG/50ML SOLN 50 ML VIAL,1092.96,437.18,0.61,983.66,32
NDC,0143-9564-01,PHENTOLAMINE 5 MG SOLR 1 EACH VIAL,2469.39,987.76,288.63,2222.45,32
NDC,0143-9564-10,PHENTOLAMINE 5 MG SOLR 1 EACH VIAL,2469.41,987.76,288.63,2222.47,32
NDC,0143-9565-01,THIOTEPA 15 MG SOLR 1 EACH VIAL,3780.0,1512.0,4.93,3402.0,32
NDC,0143-9570-01,FERRIC GLUCONATE 12.5 MG/ML SOLN 5 ML VIAL,190.8,76.32,76.32,171.72,17
NDC,0143-9577-01,LIDOCAINE 1 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9594-01,LIDOCAINE HCL PF 2 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9594-25,LIDOCAINE HCL PF 2 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9595-01,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9595-25,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9621-01,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9621-25,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9622-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,39.0,15.600000000000001,14.4,37.8,34
NDC,0143-9633-01,NICARDIPINE 400.9 MG/200ML% SOLN 200 ML FLEX CONT,897.92,359.17,359.17,808.13,17
NDC,0143-9633-10,NICARDIPINE 400.9 MG/200ML% SOLN 200 ML FLEX CONT,897.92,359.17,359.17,808.13,17
NDC,0143-9634-01,NICARDIPINE 200.9 MG/200ML% SOLN 200 ML FLEX CONT,448.96,179.58,179.58,404.06,17
NDC,0143-9634-10,NICARDIPINE 200.9 MG/200ML% SOLN 200 ML FLEX CONT,448.96,179.58,179.58,404.06,17
NDC,0143-9638-01,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN 0.5 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,0143-9638-05,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN 0.5 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,0143-9659-01,TESTOSTERONE CYPIONATE 200 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9680-01,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,60.0,24.0,0.98,54.0,17
NDC,0143-9680-25,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,60.0,24.0,0.98,54.0,17
NDC,0143-9681-01,GLYCOPYRROLATE 0.4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,0143-9681-25,GLYCOPYRROLATE 0.4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,0143-9682-01,GLYCOPYRROLATE 0.2 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,0143-9682-25,GLYCOPYRROLATE 0.2 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,0143-9684-01,FLUMAZENIL 0.5 MG/5ML SOLN 5 ML VIAL,39.0,15.6,15.6,35.1,17
NDC,0143-9684-10,FLUMAZENIL 0.5 MG/5ML SOLN 5 ML VIAL,39.0,15.6,15.6,35.1,17
NDC,0143-9689-01,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,153.1,61.24,61.24,137.79,17
NDC,0143-9689-10,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,153.1,61.24,61.24,137.79,17
NDC,0143-9701-01,IRINOTECAN HCL 100 MG/5ML SOLN 5 ML VIAL,115.0,46.0,2.28,103.5,16
NDC,0143-9702-01,IRINOTECAN HCL 40 MG/2ML SOLN 2 ML VIAL,115.0,46.0,2.28,103.5,16
NDC,0143-9710-10,MILRINONE 10 MG/10ML SOLN 10 ML VIAL,37.5,15.0,15.0,33.75,17
NDC,0143-9719-01,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,91.0,36.4,1.89,81.9,16
NDC,0143-9719-10,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,91.0,36.4,1.89,81.9,16
NDC,0143-9720-01,LEVOFLOXACIN IN D5W 750 MG/150ML SOLN 150 ML FLEX CONT,37.5,15.0,3.3,33.75,16
NDC,0143-9720-24,LEVOFLOXACIN IN D5W 750 MG/150ML SOLN 150 ML FLEX CONT,37.5,15.0,3.3,33.75,16
NDC,0143-9721-01,LEVOFLOXACIN IN D5W 500 MG/100ML SOLN 100 ML FLEX CONT,36.5,14.6,3.3,32.85,16
NDC,0143-9721-24,LEVOFLOXACIN IN D5W 500 MG/100ML SOLN 100 ML FLEX CONT,36.5,14.6,3.3,32.85,16
NDC,0143-9722-01,LEVOFLOXACIN IN D5W 250 MG/50ML SOLN 50 ML FLEX CONT,36.0,14.4,3.3,32.4,16
NDC,0143-9722-24,LEVOFLOXACIN IN D5W 250 MG/50ML SOLN 50 ML FLEX CONT,36.0,14.4,3.3,32.4,16
NDC,0143-9724-01,CLONIDINE HCL ANALGESIA 100 MCG/ML SOLN 10 ML VIAL,37.8,15.12,15.12,34.02,16
NDC,0143-9725-01,PROGESTERONE 50 MG/ML OIL 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9746-01,TERBUTALINE 1 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9746-10,TERBUTALINE 1 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9783-01,FLUMAZENIL 1 MG/10ML SOLN 10 ML VIAL,81.25,32.5,32.5,73.13,17
NDC,0143-9783-10,FLUMAZENIL 1 MG/10ML SOLN 10 ML VIAL,81.25,32.5,32.5,73.13,17
NDC,0143-9784-01,FLUMAZENIL 0.5 MG/5ML SOLN 5 ML VIAL,40.63,16.25,16.25,36.57,17
NDC,0143-9784-10,FLUMAZENIL 0.5 MG/5ML SOLN 5 ML VIAL,40.63,16.25,16.25,36.57,17
NDC,0143-9785-01,VALPROATE 100 MG/ML SOLN 5 ML VIAL,42.0,16.8,16.8,37.8,17
NDC,0143-9785-10,VALPROATE 100 MG/ML SOLN 5 ML VIAL,42.0,16.8,16.8,37.8,17
NDC,0143-9786-01,ENALAPRILAT 1.25 MG/ML SOLN 2 ML VIAL,56.9,22.76,22.76,51.21,17
NDC,0143-9786-10,ENALAPRILAT 1.25 MG/ML SOLN 2 ML VIAL,56.89,22.76,22.76,51.2,17
NDC,0143-9830-01,METHOTREXATE 1 G SOLR 1 EACH VIAL,351.07,140.43,3.67,315.96,16
NDC,0143-9850-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG SOLR 1 EACH VIAL,138.7,55.48,0.11,124.83,17
NDC,0143-9851-01,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL,251.35,100.54,0.11,226.22,16
NDC,0143-9852-01,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,214.03,85.61,9.7,192.63,18
NDC,0143-9852-10,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,214.03,85.61,9.7,192.63,18
NDC,0143-9853-16,AMOXICILLINCLAVULANATE 60042.9 MG/5ML SUSR 125 ML BOTTLE,306.88,122.75,122.75,276.19,17
NDC,0143-9871-01,CLADRIBINE 10 MG/10ML SOLN 10 ML VIAL,1500.0,600.0,7.42,1350.0,32
NDC,0143-9872-01,PROPRANOLOL 1 MG/ML SOLN 1 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,0143-9872-10,PROPRANOLOL 1 MG/ML SOLN 1 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,0143-9875-01,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,0143-9875-10,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,0143-9875-25,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,0143-9878-01,CEFOXITIN 1 G SOLR 1 EACH VIAL,59.4,23.76,23.76,53.46,17
NDC,0143-9878-25,CEFOXITIN 1 G SOLR 1 EACH VIAL,59.4,23.76,23.76,53.46,17
NDC,0143-9887-01,AMOXICILLIN 400 MG/5ML SUSR 100 ML BOTTLE,49.0,19.6,19.6,44.1,17
NDC,0143-9887-75,AMOXICILLIN 400 MG/5ML SUSR 75 ML BOTTLE,36.75,14.7,14.7,33.08,17
NDC,0143-9888-80,AMOXICILLIN 125 MG/5ML SUSR 80 ML BOTTLE,15.6,6.24,6.24,14.04,17
NDC,0143-9924-90,CEFAZOLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0143-9977-90,CEFUROXIME SODIUM 1.5 G SOLR 1 EACH VIAL,35.08,14.03,14.03,31.57,17
NDC,0143-9979-22,CEFUROXIME 750 MG SOLR 1 EACH VIAL,35.0,14.0,2.41,31.5,16
NDC,0143-9983-03,CEFAZOLIN 10 G SOLR 1 EACH VIAL,66.3,26.52,26.52,59.67,17
NDC,01490-03947,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP 473 ML BOTTLE,28.38,11.35,11.35,25.54,17
NDC,01490-03977,BISMUTH SUBSALICYLATE 262 MG CHEW 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0168-0003-80,TRIAMCINOLONE 0.025 % CREA 80 G TUBE,55.6,22.24,22.24,50.04,17
NDC,0168-0004-16,TRIAMCINOLONE 0.1 % CREA 453.6 G JAR,120.2,48.08,48.08,108.18,17
NDC,0168-0005-80,TRIAMCINOLONE 0.025 % OINT 80 G TUBE,55.6,22.24,22.24,50.04,17
NDC,0168-0006-80,TRIAMCINOLONE 0.1 % OINT 80 G TUBE,69.6,27.84,27.84,62.64,17
NDC,0168-0015-31,HYDROCORTISONE 1 % CREA 28.35 G TUBE,36.0,14.4,14.4,32.4,17
NDC,0168-0020-31,HYDROCORTISONE 1 % OINT 28.35 G TUBE,41.25,16.5,16.5,37.13,17
NDC,0168-0033-46,BETAMETHASONE VALERATE 0.1 % OINT 45 G TUBE,207.68,83.07,83.07,186.91,17
NDC,0168-0035-01,VITAMIN A AND D OINT 56.7 G TUBE,4.85,1.94,1.94,4.37,17
NDC,0168-0053-16,WHITE PETROLATUM OINT 453.6 G JAR,120.2,48.08,48.08,108.18,17
NDC,0168-0053-21,WHITE PETROLATUM OINT 28.35 G TUBE,12.9,5.16,5.16,11.61,17
NDC,0168-0053-45,WHITE PETROLATUM OINT 5 G PACKET,3.0,1.2,1.2,2.7,17
NDC,0168-0062-02,ZINC OXIDE 20 % OINT 56.7 G TUBE,23.81,9.52,9.52,21.43,17
NDC,0168-0080-16,HYDROCORTISONE 2.5 % CREA 453.6 G JAR,360.61,144.24,144.24,324.55,17
NDC,0168-0080-31,HYDROCORTISONE 2.5 % CREA 30 G TUBE,55.05,22.02,22.02,49.55,17
NDC,0168-0133-15,CLOTRIMAZOLE 1 % CREA 15 G TUBE,99.53,39.81,39.81,89.58,17
NDC,0168-0146-30,HYDROCORTISONE 2.5 % OINT 28.35 G TUBE,55.0,22.0,22.0,49.5,17
NDC,0168-0201-60,CLINDAMYCIN 1 % SOLN 60 ML BOTTLE,216.0,86.4,86.4,194.4,17
NDC,0168-0258-15,CLOTRIMAZOLEBETAMETHASONE 10.05 % CREA 15 G TUBE,101.18,40.47,40.47,91.06,17
NDC,0168-0337-60,TRIAMCINOLONE 0.1 % LOTN 60 ML BOTTLE,414.0,165.6,165.6,372.6,17
NDC,0168-0357-55,LIDOCAINEPRILOCAINE 2.52.5 % CREA 5 G TUBE,49.58,19.83,19.83,44.62,17
NDC,0168-0357-56,LIDOCAINEPRILOCAINE 2.52.5 % KIT 1 EACH BOX,49.6,19.84,19.84,44.64,17
NDC,0169-1833-11,INSULIN REGULAR 100 UNIT/ML SOLN 10 ML VIAL,289.2,115.68,115.68,260.28,17
NDC,0169-1834-11,INSULIN NPH 100 UNIT/ML SUSP 10 ML VIAL,289.2,115.68,115.68,260.28,17
NDC,0169-3685-12,INSULIN ASPART PROTAMINEINSULIN ASPART 7030 100 UNIT/ML SUSP 10 ML VIAL,399.33,159.73,159.73,359.4,17
NDC,0169-3687-12,INSULIN DETEMIR 100 UNIT/ML SOLN 10 ML VIAL,595.33,238.13,238.13,535.8,17
NDC,0169-4060-13,LIRAGLUTIDE 18 MG/3ML SOL PENINJ 3 ML PEN,54.35,21.74,21.74,48.92,17
NDC,0169-4404-31,SEMAGLUTIDE 4 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
NDC,0169-4409-31,SEMAGLUTIDE 9 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
NDC,0169-4415-31,SEMAGLUTIDE 1.5 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
NDC,0169-4425-31,SEMAGLUTIDE 25 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
NDC,0169-5176-03,ESTRADIOL 10 MCG TABS 8 EACH BOX,127.62,51.05,51.05,114.86,17
NDC,0169-7065-15,GLUCAGON 1 MG SOLR 1 EACH BOX,1698.5,679.4,117.33,1528.65,32
NDC,0169-7201-01,COAGULATION FACTOR VIIA RECOMB 1 MG SOLR 1 EACH VIAL,35.0,14.0,2.26,31.5,32
NDC,0169-7205-01,COAGULATION FACTOR VIIA RECOMB 5 MG SOLR 1 EACH VIAL,35.0,14.0,2.26,31.5,32
NDC,0169-7501-11,INSULIN ASPART 100 UNIT/ML SOLN 10 ML VIAL,399.33,159.73,159.73,359.4,17
NDC,0172-2089-60,HYDROCHLOROTHIAZIDE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0172-3925-60,DIAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0172-3926-60,DIAZEPAM 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0172-3927-60,DIAZEPAM 10 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0172-6406-49,CROMOLYN 20 MG/2ML NEBU 2 ML PLAS CONT,33.99,13.6,0.55,30.59,18
NDC,0172-7313-20,CYCLOSPORINE 100 MG/ML SOLN 50 ML BOTTLE,1377.93,551.17,2.65,1240.14,16
NDC,0173-0388-79,BECLOMETHASONE 42 MCG/SPRAY SUSP 25 G INHALER,1619.32,647.73,647.73,1457.39,17
NDC,0173-0517-00,EPOPROSTENOL 0.5 MG SOLR 1 EACH VIAL,112.15,44.86,21.06,100.94,16
NDC,0173-0676-01,ATOVAQUONEPROGUANIL HCL 62.525 MG TABS 100 EACH BOTTLE,14.94,5.98,5.98,13.45,17
NDC,0173-0682-20,ALBUTEROL 108 90 BASE MCG/ACT AERS 18 G INHALER,342.09,136.84,136.84,307.88,17
NDC,0173-0682-24,ALBUTEROL 108 90 BASE MCG/ACT AERS 8 G INHALER,136.32,54.53,54.53,122.69,17
NDC,0173-0695-04,FLUTICASONESALMETEROL 10050 MCG/ACT AEPB 14 EACH DISP PACK,19.51,7.8,7.8,17.56,17
NDC,0173-0696-04,FLUTICASONESALMETEROL 25050 MCG/ACT AEPB 14 EACH DISP PACK,19.51,7.8,7.8,17.56,17
NDC,0173-0697-04,FLUTICASONESALMETEROL 50050 MCG/ACT AEPB 14 EACH DISP PACK,31.8,12.72,12.72,28.62,17
NDC,0173-0715-20,FLUTICASONESALMETEROL 4521 MCG/ACT AEROSOL 12 G INHALER,1384.42,553.77,553.77,1245.98,17
NDC,0173-0715-22,FLUTICASONESALMETEROL 4521 MCG/ACT AEROSOL 8 G INHALER,930.16,372.06,372.06,837.14,17
NDC,0173-0716-20,FLUTICASONESALMETEROL 11521 MCG/ACT AEROSOL 12 G INHALER,1760.44,704.18,704.18,1584.4,17
NDC,0173-0716-22,FLUTICASONESALMETEROL 11521 MCG/ACT AEROSOL 8 G INHALER,863.7,345.48,345.48,777.33,17
NDC,0173-0717-20,FLUTICASONESALMETEROL 23021 MCG/ACT AEROSOL 12 G INHALER,2216.19,886.48,886.48,1994.57,17
NDC,0173-0717-22,FLUTICASONESALMETEROL 23021 MCG/ACT AEROSOL 8 G INHALER,1411.76,564.7,564.7,1270.58,17
NDC,0173-0718-20,FLUTICASONE 44 MCG/ACT AEROSOL 10.6 G INHALER,1129.09,451.64,451.64,1016.18,17
NDC,0173-0719-20,FLUTICASONE 110 MCG/ACT AEROSOL 12 G INHALER,1511.54,604.62,604.62,1360.39,17
NDC,0173-0720-20,FLUTICASONE 220 MCG/ACT AEROSOL 12 G INHALER,2143.66,857.46,857.46,1929.29,17
NDC,0173-0857-02,PH 12 GLYCINE DILUENT FOR FLOLAN SOLN 50 ML VIAL,87.0,34.8,34.8,78.3,17
NDC,0173-0881-01,MEPOLIZUMAB 100 MG SOLR 1 EACH VIAL,18521.41,7408.56,31.89,16669.27,32
NDC,0173-0892-42,MEPOLIZUMAB 100 MG/ML SOSY 1 ML SYRINGE,20114.56,8045.82,31.89,18103.1,32
NDC,0173-0893-10,FLUTICASONEUMECLIDINIUMVILANTEROL 20062.525 MCG/ACT AEPB 60 EACH DISP PACK,69.78,27.91,27.91,62.8,17
NDC,0173-0896-01,BELANTAMAB MAFODOTINBLMF 100 MG SOLR 1 EACH VIAL,44485.39,17794.16,17349.3,40036.85,15
NDC,0173-0898-03,DOSTARLIMABGXLY 500 MG/10ML SOLN 10 ML VIAL,61845.25,24738.1,204.05,55660.73,32
NDC,0173-0901-86,SOTROVIMAB 500 MG/8ML SOLN 8 ML VIAL,0.01,0.01,0.01,0.01,23
NDC,0185-0615-01,HYDROXYZINE 50 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0185-0674-01,HYDROXYZINE 25 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0185-0676-01,HYDROXYZINE 50 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0185-5369-30,EPLERENONE 50 MG TABS 30 EACH BOTTLE,21.7,8.68,8.68,19.53,17
NDC,0185-5600-01,METOLAZONE 10 MG TABS 100 EACH BOTTLE,14.11,5.64,5.64,12.7,17
NDC,0186-0370-28,BUDESONIDEFORMOTEROL 1604.5 MCG/ACT AEROSOL 6 G INHALER,878.78,351.51,351.51,790.9,17
NDC,0186-0372-28,BUDESONIDEFORMOTEROL 804.5 MCG/ACT AEROSOL 6.9 G INHALER,763.98,305.59,305.59,687.58,17
NDC,0186-0776-60,TICAGRELOR 60 MG TABS 60 EACH BOTTLE,46.48,18.59,18.59,41.83,17
NDC,0186-0777-39,TICAGRELOR 90 MG TABS 100 EACH BOX,46.48,18.59,18.59,41.83,17
NDC,0186-0917-06,BUDESONIDE 90 MCG/ACT AEPB 1 EACH INHALER,1090.75,436.3,436.3,981.68,17
NDC,0186-1988-04,BUDESONIDE 0.25 MG/2ML SUSP 2 ML PLAS CONT,52.29,20.92,1.09,47.06,18
NDC,0186-1989-04,BUDESONIDE 0.25 MG/2 ML SUSP 2 ML PLAS CONT,61.54,24.62,1.09,55.39,18
NDC,0186-1990-04,BUDESONIDE 1 MG/2ML SUSP 2 ML PLAS CONT,123.1,49.24,1.09,110.79,18
NDC,0186-6040-01,ESOMEPRAZOLE 40 MG SOLR 1 EACH VIAL,267.9,107.16,107.16,241.11,17
NDC,0187-0007-14,RIBAVIRIN 6 G SOLR 1 EACH VIAL,125804.68,50321.87,50321.87,113224.21,17
NDC,0187-0063-01,LORAZEPAM 0.5 MG TABS 100 EACH BOTTLE,268.08,107.23,107.23,241.27,17
NDC,0187-0993-95,ACYCLOVIR 5 % OINT 30 G TUBE,1000.09,400.04,400.04,900.08,17
NDC,0187-1704-05,PHYTONADIONE 5 MG TABS 100 EACH BOTTLE,352.56,141.02,141.02,317.3,17
NDC,0187-2612-30,DILTIAZEM 120 MG CP24 30 EACH BOTTLE,11.81,4.72,4.72,10.63,17
NDC,0187-2613-30,DILTIAZEM 180 MG CP24 30 EACH BOTTLE,14.26,5.7,5.7,12.83,17
NDC,0187-3012-20,PYRIDOSTIGMINE 60 MG/5ML SOLN 473 ML BOTTLE,10691.88,4276.75,4276.75,9622.69,17
NDC,0187-3013-30,PYRIDOSTIGMINE 180 MG TAB CR 30 EACH BOTTLE,297.2,118.88,118.88,267.48,17
NDC,0187-3204-47,FLUOROURACIL 5 % CREA 40 G TUBE,360.0,144.0,144.0,324.0,17
NDC,0187-3554-10,FLUCYTOSINE 250 MG CAPS 100 EACH BOTTLE,424.18,169.67,169.67,381.76,17
NDC,0187-4303-05,AMOBARBITAL 500 MG SOLR 1 EACH VIAL,3694.57,1477.83,1477.83,3325.11,17
NDC,0187-5600-15,VERTEPORFIN 15 MG SOLR 1 EACH VIAL,8616.93,3446.77,10.26,7755.24,32
NDC,0206-8861-01,PIPERACILLINTAZOBACTAM 30.375 GM/50ML SOLN 50 ML PLAS CONT,121.75,48.7,48.7,109.58,17
NDC,0223-1760-01,SODIUM CHLORIDE 1 G TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0224-1801-24,PSYLLIUM 100 % PACK 100 EACH PACKAGE,3.0,1.2,1.2,2.7,17
NDC,0225-0800-47,PHENYLEPHRINE 0.25 % SOLN 15 ML BOTTLE,6.23,2.49,2.49,5.61,17
NDC,0225-0805-47,PHENYLEPHRINE 0.5 % SOLN 15 ML BOTTLE,6.23,2.49,2.49,5.61,17
NDC,0225-0810-47,PHENYLEPHRINE 1 % SOLN 15 ML BOTTLE,7.0,2.8,2.8,6.3,17
NDC,0228-2027-10,ALPRAZOLAM 0.25 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0228-2031-10,ALPRAZOLAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0228-2069-10,OXAZEPAM 15 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0228-2076-10,TEMAZEPAM 15 MG CAPS 100 EACH BOTTLE,3.68,1.47,1.47,3.31,17
NDC,0228-2077-10,TEMAZEPAM 30 MG CAPS 100 EACH BOTTLE,4.43,1.77,1.77,3.99,17
NDC,0228-2127-10,CLONIDINE 0.1 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0228-2129-10,CLONIDINE 0.3 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0228-2348-10,PROPYLTHIOURACIL 50 MG TABS 100 EACH BOTTLE,4.5,1.8,1.8,4.05,17
NDC,0228-2530-10,NIFEDIPINE 20 MG CAPS 100 EACH BOTTLE,11.52,4.61,4.61,10.37,17
NDC,0228-2550-11,DICLOFENAC 50 MG TBEC 100 EACH BOTTLE,4.73,1.89,1.89,4.26,17
NDC,0228-2551-11,DICLOFENAC 75 MG TBEC 100 EACH BOTTLE,5.73,2.29,2.29,5.16,17
NDC,0228-2620-11,ISOSORBIDE MONONITRATE 20 MG TABS 100 EACH BOTTLE,4.47,1.79,1.79,4.02,17
NDC,0228-2801-11,PILOCARPINE 5 MG TABS 100 EACH BOTTLE,7.61,3.04,3.04,6.85,17
NDC,0228-2850-11,GUANFACINE 1 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
NDC,0228-2851-11,GUANFACINE HCL 2 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
NDC,0228-3154-03,BUPRENORPHINENALOXONE 20.5 MG SUBL 30 EACH BOTTLE,29.11,11.64,1.87,26.2,17
NDC,0228-3640-03,ROPINIROLE HCL 6 MG TB24 30 EACH BOTTLE,41.03,16.41,16.41,36.93,17
NDC,0234-0575-32,CHLORHEXIDINE GLUCONATE 4 % SOLN 946 ML BOTTLE,56.76,22.7,22.7,51.08,17
NDC,0245-0036-89,CHOLESTYRAMINE LIGHT 4 G PACK 1 EACH PACKET,25.55,10.22,10.22,23.0,17
NDC,0245-0104-50,BISACODYL 10 MG SUPP 50 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0245-0144-30,AMIODARONE 100 MG TABS 30 EACH BOTTLE,37.15,14.86,14.86,33.44,17
NDC,0245-0144-89,AMIODARONE 100 MG TABS 1 EACH,37.15,14.86,14.86,33.44,17
NDC,0245-0147-01,AMIODARONE 200 MG TABS 100 EACH BOX,39.72,15.89,15.89,35.75,17
NDC,0245-0147-89,AMIODARONE 200 MG TABS 1 EACH,39.72,15.89,15.89,35.75,17
NDC,0245-0271-11,OXANDROLONE 2.5 MG TABS 100 EACH BOTTLE,33.46,13.38,13.38,30.11,17
NDC,0245-0272-06,OXANDROLONE 10 MG TABS 60 EACH BOTTLE,119.07,47.63,47.63,107.16,17
NDC,0245-0360-30,POTASSIUM CHLORIDE 20 MEQ PACK 30 EACH BOX,53.7,21.48,21.48,48.33,17
NDC,0245-0360-89,POTASSIUM CHLORIDE 20 MEQ PACK 1 EACH PACKET,53.7,21.48,21.48,48.33,17
NDC,0245-5315-01,POTASSIUM CHLORIDE 8 MEQ TAB CR 100 EACH BOX,3.3,1.32,1.32,2.97,17
NDC,0245-5317-90,POTASSIUM CHLORIDE SA 10 MEQ TAB CR 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0245-5319-01,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 100 EACH BOX,3.4,1.36,1.36,3.06,17
NDC,0245-5319-11,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 100 EACH BOTTLE,3.14,1.26,1.26,2.83,17
NDC,0245-5319-89,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 1 EACH,3.4,1.36,1.36,3.06,17
NDC,0245-5319-90,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 90 EACH BOTTLE,3.14,1.26,1.26,2.83,17
NDC,0254-1010-19,DIAZOXIDE 50 MG/ML SUSP 30 ML BOTTLE,1710.92,684.37,684.37,1539.83,17
NDC,0254-1016-36,POSACONAZOLE 40 MG/ML SUSP 105 ML BOTTLE,185.08,74.03,74.03,166.57,17
NDC,0254-3012-55,ALVIMOPAN 12 MG CAPS 30 EACH BOX,867.25,346.9,346.9,780.53,17
NDC,0254-3012-78,ALVIMOPAN 12 MG CAPS 1 EACH,867.25,346.9,346.9,780.53,17
NDC,0256-0152-01,SALINE SPRAY 0.65 % SOLN 45 ML SPRAY BOTTLE,15.3,6.12,6.12,13.77,17
NDC,0259-1610-01,INCOBOTULINUMTOXIN A 100 UNITS SOLR 1 EACH VIAL,2575.44,1030.18,4.47,2317.9,32
NDC,0264-1965-10,HETASTARCH 6% IN 0.9% NACL INFUSION 500 ML 60.9 % SOLN 500 ML PLAS CONT,157.5,63.0,63.0,141.75,17
NDC,0264-3105-11,CEFAZOLIN SODIUMDEXTROSE 23 GM%50ML SOLR 1 EACH FLEX CONT,93.6,37.44,37.44,84.24,17
NDC,0264-3185-11,MEROPENEM 1 GM/50ML SOLR 1 EACH FLEX CONT,179.46,71.78,71.78,161.51,17
NDC,0264-4100-90,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,48.5,19.4,0.07,43.65,16
NDC,0264-4100-95,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,48.5,19.4,0.08,43.65,16
NDC,0264-4206-54,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0264-5535-32,METRONIDAZOLE 500 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0264-7510-00,DEXTROSE 5 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0264-7578-10,MANNITOL 20 % SOLN 500 ML FLEX CONT,302.5,121.0,121.0,272.25,17
NDC,0264-7614-10,DEXTROSE 5 % AND 0.33 % NACL 50.33 % SOLN 500 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0264-7616-10,DEXTROSE 5 % AND 0.2 % NACL 50.2 % SOLN 500 ML FLEX CONT,25.0,10.0,10.0,22.5,17
NDC,0264-7616-20,DEXTROSE 5 % AND 0.2 % NACL 50.2 % SOLN 250 ML FLEX CONT,26.25,10.5,10.5,23.63,17
NDC,0264-7622-00,DEXTROSE 10 % AND 0.45 % NACL 100.45 % SOLN 1000 ML FLEX CONT,55.0,22.0,22.0,49.5,17
NDC,0264-7623-20,DEXTROSE 10 % AND 0.2 % NACL 100.2 % SOLN 250 ML FLEX CONT,23.75,9.5,9.5,21.38,17
NDC,0264-7625-00,DEXTROSE 5 % WITH KCL 20 MEQ 20 MEQ/L SOLN 1000 ML FLEX CONT,60.0,24.0,24.0,54.0,17
NDC,0264-7750-00,LACTATED RINGERS SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0264-7780-00,RINGERS SOLN 1000 ML FLEX CONT,60.0,24.0,24.0,54.0,17
NDC,0264-7800-00,SODIUM CHLORIDE 0.9% SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0264-7800-10,SODIUM CHLORIDE 0.9 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0264-7800-20,SODIUM CHLORIDE 0.9 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0264-7805-10,SODIUM CHLORIDE 3 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0264-9587-20,HEPARIN PORCINE 100 UNITS/ML IN DEXTROSE 5 % 250 ML 100 UNIT/ML SOLN 250 ML,93.75,37.5,37.5,84.38,17
NDC,0264-9594-10,LIDOCAINE 45 MG/ML% SOLN 500 ML FLEX CONT,55.0,22.0,0.01,49.5,17
NDC,0264-9594-20,LIDOCAINE 45 MG/ML% SOLN 250 ML FLEX CONT,47.5,19.0,0.01,42.75,17
NDC,0264-9872-10,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,0.27,31.5,16
NDC,0270-0149-60,DIATRIZOATE MEGLUMINE 30 % SOLN 100 ML GLASS CONT,185.0,74.0,74.0,166.5,16
NDC,0270-0556-15,SINCALIDE 5 MCG SOLR 1 EACH VIAL,720.16,288.06,288.06,648.14,16
NDC,0281-0205-36,SURGICAL LUBRICANT GEL 120.49 G BOX,19.28,7.71,7.71,17.35,17
NDC,0281-0326-08,NITROBID 2 % OINT 1 G PACKET,15.14,6.06,6.06,13.63,17
NDC,0281-0326-30,NITROBID 2 % OINT 30 G TUBE,234.0,93.6,93.6,210.6,17
NDC,0281-0326-60,NITROBID 2 % OINT 60 G TUBE,430.56,172.22,172.22,387.5,17
NDC,0283-0610-26,BENZOCAINE 20 % SOLN 25 EACH BOX,53.18,21.27,21.27,47.86,17
NDC,0299-3820-60,METRONIDAZOLE 1 % GEL 60 G TUBE,2078.0,831.2,831.2,1870.2,17
NDC,0299-3921-40,CETAPHIL GENTLE CLEANSER LIQD 118 ML BOTTLE,18.29,7.32,7.32,16.46,17
NDC,0310-0720-10,FULVESTRANT 250 MG/5ML SOSY 5 ML SYRINGE,5351.78,2140.71,7.38,4816.6,16
NDC,0310-1105-01,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PACK 1 EACH PACKET,177.5,71.0,71.0,159.75,17
NDC,0310-1105-30,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PACK 30 EACH BOX,177.48,70.99,70.99,159.73,17
NDC,0310-1110-01,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PACK 1 EACH PACKET,177.5,71.0,71.0,159.75,17
NDC,0310-1110-30,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PACK 30 EACH BOX,177.48,70.99,70.99,159.73,17
NDC,0310-1730-30,BENRALIZUMAB 30 MG/ML SOSY 1 ML SYRINGE,30353.23,12141.29,152.06,27317.91,32
NDC,0310-1745-01,BENRALIZUMAB 10 MG/0.5ML SOSY 0.5 ML SYRINGE,10117.76,4047.1,152.06,9105.98,32
NDC,0310-3040-00,ANIFROLUMABFNIA 300 MG/2ML SOLN 2 ML VIAL,27832.14,11132.86,15.23,25048.93,32
NDC,0310-4500-12,DURVALUMAB 120 MG/2.4ML SOLN 2.4 ML VIAL,5324.72,2129.89,67.3,4792.25,32
NDC,0310-4505-25,TREMELIMUMABACTL 25 MG/1.25ML SOLN 1.25 ML VIAL,17817.16,7126.86,117.0,16035.44,32
NDC,0310-4535-30,TREMELIMUMABACTL 300 MG/15ML SOLN 15 ML VIAL,213805.81,85522.32,117.0,192425.23,32
NDC,0310-4611-50,DURVALUMAB 500 MG/10ML SOLN 10 ML VIAL,22186.25,8874.5,67.3,19967.63,32
NDC,0310-6100-30,SAXAGLIPTIN HCL 2.5 MG TABS 30 EACH BOTTLE,97.02,38.81,38.81,87.32,17
NDC,0310-6105-30,SAXAGLIPTIN HCL 5 MG TABS 30 EACH BOTTLE,97.02,38.81,38.81,87.32,17
NDC,0310-6210-30,DAPAGLIFLOZIN 10 MG TABS 30 EACH BOTTLE,75.57,30.23,30.23,68.01,17
NDC,0310-6210-39,DAPAGLIFLOZIN 10 MG TABS 30 EACH BOX,75.57,30.23,30.23,68.01,17
NDC,0316-0225-15,MICONAZOLE 2 % POWD 43 G BOTTLE,31.39,12.56,12.56,28.25,17
NDC,0316-0244-08,ALPHA KERI BATH OIL OIL 237 ML BOTTLE,53.33,21.33,21.33,48.0,17
NDC,0338-0004-02,STERILE WATER BOTTLE SOLN 250 ML BOTTLE,31.25,12.5,12.5,28.13,17
NDC,0338-0004-03,STERILE WATER BOTTLE SOLN 500 ML BOTTLE,27.5,11.0,11.0,24.75,17
NDC,0338-0004-04,STERILE WATER BOTTLE SOLN 1000 ML BOTTLE,25.0,10.0,10.0,22.5,17
NDC,0338-0013-06,STERILE WATER SOLN 2000 ML FLEX CONT,40.0,16.0,16.0,36.0,17
NDC,0338-0017-02,DEXTROSE 5 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0017-03,DEXTROSE 5 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0017-04,DEXTROSE 5 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0017-10,DEXTROSE 5 % SOLN 25 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0017-31,DEXTROSE 5 % SOLN 50 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0017-38,DEXTROSE 5 % SOLN 100 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0017-48,DEXTROSE 5 % SOLN 100 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0023-02,DEXTROSE 10 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0023-03,DEXTROSE 10 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0023-04,DEXTROSE 10 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0043-03,SODIUM CHLORIDE 0.45 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0043-04,SODIUM CHLORIDE 0.45 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0048-04,SODIUM CHLORIDE 0.9 % SOLN 1000 ML PLAS CONT,30.0,12.0,12.0,27.0,17
NDC,0338-0049-02,SODIUM CHLORIDE 0.9 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0049-03,SODIUM CHLORIDE 0.9 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0049-04,SODIUM CHLORIDE 0.9 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0049-10,SODIUM CHLORIDE 0.9 % SOLN 25 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0049-31,SODIUM CHLORIDE 0.9 % SOLN 50 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0049-38,SODIUM CHLORIDE 0.9 % SOLN 100 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0049-48,SODIUM CHLORIDE 0.9 % SOLN 100 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0054-03,SODIUM CHLORIDE 3 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0063-01,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML SUSP 10 ML VIAL,1920.95,768.38,92.74,1728.86,32
NDC,0338-0067-01,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML SUSP 25 ML VIAL,9295.68,3718.27,92.74,8366.11,32
NDC,0338-0072-25,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,0338-0077-02,DEXTROSE 5 % AND 0.2 % NACL 50.2 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0077-04,DEXTROSE 5 % AND 0.2 % NACL 50.2 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0085-03,DEXTROSE 5 % AND 0.45 % NACL 50.45 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0085-04,DEXTROSE 5 % AND 0.45 % NACL 50.45 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0089-03,DEXTROSE 5 % AND 0.9 % NACL 50.9 % SOLN 500 ML FLEX CONT,27.5,11.0,11.0,24.75,17
NDC,0338-0089-04,DEXTROSE 5 % AND 0.9 % NACL 50.9 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0117-02,LACTATED RINGERS SOLN 250 ML FLEX CONT,27.5,11.0,11.0,24.75,17
NDC,0338-0117-03,LACTATED RINGERS SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0117-04,LACTATED RINGERS SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0125-03,DEXTROSE 5% LACTATED RINGERS 5 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0125-04,DEXTROSE 5% LACTATED RINGERS 5 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0126-12,INSULIN REGULAR HUMAN 1000.9 UT/100ML% SOLN 100 ML FLEX CONT,210.0,84.0,0.3,189.0,16
NDC,0338-0184-04,AMINO ACIDSDEXTROSE 814% SOLN 2000 ML FLEX CONT,625.6,250.24,250.24,563.04,17
NDC,0338-0194-01,CLINIMIX/DEXTROSE 8/10 8 % SOLN 2000 ML FLEX CONT,579.6,231.84,231.84,521.64,17
NDC,0338-0194-04,CLINIMIX/DEXTROSE 8/10 8 % SOLN 2000 ML FLEX CONT,579.6,231.84,231.84,521.64,17
NDC,0338-0206-04,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 814% SOLN 2000 ML FLEX CONT,671.6,268.64,268.64,604.44,17
NDC,0338-0214-01,CLINIMIX E/DEXTROSE 8/10 8 % SOLN 2000 ML FLEX CONT,625.6,250.24,250.24,563.04,17
NDC,0338-0214-04,CLINIMIX E/DEXTROSE 8/10 8 % SOLN 2000 ML FLEX CONT,625.6,250.24,250.24,563.04,17
NDC,0338-0221-03,ELECTROLYTEA SOLN 500 ML FLEX CONT,42.5,17.0,17.0,38.25,17
NDC,0338-0221-04,ELECTROLYTEA SOLN 1000 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0338-0322-01,THROMBIN RECOMBINANT 5000 UNITS SOLR 1 EACH VIAL,474.72,189.89,189.89,427.25,17
NDC,0338-0357-02,MANNITOL 20 % SOLN 250 ML FLEX CONT,327.5,131.0,131.0,294.75,17
NDC,0338-0357-03,MANNITOL 20 % SOLN 500 ML FLEX CONT,347.3,138.92,138.92,312.57,17
NDC,0338-0409-03,LIDOCAINE 45 MG/ML% SOLN 500 ML FLEX CONT,40.0,16.0,0.01,36.0,17
NDC,0338-0411-02,LIDOCAINE 85 MG/ML% SOLN 250 ML FLEX CONT,52.5,21.0,0.01,47.25,17
NDC,0338-0424-18,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,0.27,31.5,16
NDC,0338-0431-03,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,0.27,31.5,16
NDC,0338-0502-06,AMINO ACIDS CLINISOL 15 % SOLN 2000 ML PLAS CONT,726.8,290.72,290.72,654.12,17
NDC,0338-0503-48,GENTAMICIN 0.80.9 MG/ML% SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0338-0505-48,GENTAMICIN 10.9 MG/ML% SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0338-0507-48,GENTAMICIN 1.20.9 MG/ML% SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0338-0519-09,FAT EMULSION 20 % EMUL 250 ML FLEX CONT,282.5,113.0,113.0,254.25,17
NDC,0338-0519-58,FAT EMULSION 20 % EMUL 100 ML FLEX CONT,433.55,173.42,173.42,390.2,17
NDC,0338-0551-11,DEXTROSE 5 % SOLN 50 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0551-18,DEXTROSE 5 % SOLN 100 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0553-11,SODIUM CHLORIDE 0.9 % SOLN 50 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0553-18,SODIUM CHLORIDE 0.9 % SOLN 100 ML FLEX CONT,43.5,17.4,17.4,39.15,17
NDC,0338-0644-04,AMINO ACIDS TRAVASOL 10 % SOLN 1000 ML FLEX CONT,190.0,76.0,76.0,171.0,17
NDC,0338-0644-06,AMINO ACIDS TRAVASOL 10 % SOLN 2000 ML PLAS CONT,340.0,136.0,136.0,306.0,17
NDC,0338-0656-04,ACETIC ACID 0.25 % SOLN 1000 ML PLAS CONT,55.0,22.0,22.0,49.5,17
NDC,0338-0663-03,DEXTROSE 5 % AND 0.2 % NACL WITH KCL 20 MEQ 2050.2 MEQ/L%% SOLN 500 ML,20.0,8.0,8.0,18.0,17
NDC,0338-0663-04,DEXTROSE 5 % AND 0.2 % NACL WITH KCL 20 MEQ 2050.2 MEQ/L%% SOLN 1000 ML,30.0,12.0,12.0,27.0,17
NDC,0338-0669-04,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 10 MEQ 1050.45 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
NDC,0338-0671-04,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 20 MEQ 2050.45 MEQ/L%% SOLN 1000 ML,35.0,14.0,14.0,31.5,17
NDC,0338-0673-04,DEXROSE 5 % AND 0.45 % NACL WITH KCL 30 MEQ 3050.45 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
NDC,0338-0675-04,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 40 MEQ 4050.45 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
NDC,0338-0691-04,0.9 % NACL WITH KCL 20 MEQ 200.9 MEQ/L% SOLN 1000 ML FLEX CONT,65.0,26.0,26.0,58.5,17
NDC,0338-0695-04,0.9 % NACL WITH KCL 40 MEQ 400.9 MEQ/L% SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,0338-0703-41,POTASSIUM CHLORIDE 20 MEQ/50ML SOLN 50 ML PLAS CONT,22.75,9.1,9.1,20.48,17
NDC,0338-0703-48,POTASSIUM CHLORIDE 40 MEQ/100ML SOLN 100 ML PLAS CONT,35.0,14.0,14.0,31.5,17
NDC,0338-0704-34,0.45 % NACL WITH KCL 20 MEQ 200.45 MEQ/L% SOLN 1000 ML FLEX CONT,30.0,12.0,12.0,27.0,17
NDC,0338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN 100 ML PLAS CONT,23.5,9.4,9.4,21.15,17
NDC,0338-0719-06,DEXTROSE 70 % SOLN 2000 ML PLAS CONT,120.0,48.0,48.0,108.0,17
NDC,0338-0803-04,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 20 MEQ 2050.9 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
NDC,0338-0807-04,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 40 MEQ 4050.9 MEQ/L%% SOLN 1000 ML,60.0,24.0,24.0,54.0,17
NDC,0338-1007-02,DOPAMINE 1.65 MG/ML% SOLN 250 ML PLAS CONT,85.0,34.0,1.08,76.5,16
NDC,0338-1023-41,PENICILLIN G POTASSIUM 40000 UNIT/ML SOLN 50 ML PLAS CONT,62.0,24.8,24.8,55.8,17
NDC,0338-1025-41,PENICILLIN G POTASSIUM 60000 UNIT/ML SOLN 50 ML PLAS CONT,64.25,25.7,25.7,57.83,17
NDC,0338-1049-02,NITROGLYCERIN 2005 MCG/ML% SOLN 250 ML GLASS CONT,135.0,54.0,54.0,121.5,17
NDC,0338-1055-48,METRONIDAZOLE 500 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0338-1075-02,DOBUTAMINE 25 MG/ML% SOLN 250 ML FLEX CONT,240.0,96.0,96.0,216.0,17
NDC,0338-1089-04,CLINIMIX/DEXTROSE 4.25/5 4.25 % SOLN 2000 ML FLEX CONT,414.0,165.6,165.6,372.6,17
NDC,0338-1091-04,CLINIMIX/DEXTROSE 4.25/10 4.25 % SOLN 2000 ML FLEX CONT,414.0,165.6,165.6,372.6,17
NDC,0338-1099-04,CLINIMIX/DEXTROSE 5/15 5 % SOLN 2000 ML FLEX CONT,441.6,176.64,176.64,397.44,17
NDC,0338-1101-04,CLINIMIX/DEXTROSE 5/20 5 % SOLN 2000 ML FLEX CONT,450.8,180.32,180.32,405.72,17
NDC,0338-1113-04,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 4.255% SOLN 2000 ML FLEX CONT,240.0,96.0,96.0,216.0,17
NDC,0338-1123-04,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 515% SOLN 2000 ML FLEX CONT,469.2,187.68,187.68,422.28,17
NDC,0338-1130-03,AMINO ACIDS PREMASOL 10 % SOLN 500 ML PLAS CONT,325.0,130.0,130.0,292.5,17
NDC,0338-1130-04,AMINO ACIDS PREMASOL 10 % SOLN 1000 ML PLAS CONT,552.0,220.8,220.8,496.8,17
NDC,0338-1130-06,AMINO ACIDS PREMASOL 10 % SOLN 2000 ML PLAS CONT,1085.6,434.24,434.24,977.04,17
NDC,0338-1142-03,CLINIMIX E/DEXTROSE 2.75/5 2.75 % SOLN 1000 ML PLAS CONT,265.0,106.0,106.0,238.5,17
NDC,0338-1144-03,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 4.255% SOLN 1000 ML PLAS CONT,260.0,104.0,104.0,234.0,17
NDC,0338-1145-03,CLINIMIX E/DEXTROSE 4.25/10 4.25 % SOLN 1000 ML PLAS CONT,285.0,114.0,114.0,256.5,17
NDC,0338-1147-03,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 515% SOLN 1000 ML PLAS CONT,270.0,108.0,108.0,243.0,17
NDC,0338-1301-48,CEFEPIME 2 GM/100ML SOLN 100 ML PLAS CONT,255.5,102.2,7.85,229.95,16
NDC,0338-1305-01,MESNA 100 MG/ML SOLN 10 ML VIAL,150.0,60.0,2.42,135.0,16
NDC,0338-1715-40,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,37.5,15.0,15.0,33.75,17
NDC,0338-3552-48,VANCOMYCIN 15 GM/200ML% SOLN 200 ML PLAS CONT,162.0,64.8,0.04,145.8,16
NDC,0338-3583-01,VANCOMYCIN 10.9 GM/200ML% SOLN 200 ML PLAS CONT,143.0,57.2,57.2,128.7,15
NDC,0338-3612-24,CLINDAMYCIN 600 MG/50ML SOLN 50 ML FLEX CONT,64.0,25.6,25.6,57.6,17
NDC,0338-3612-50,CLINDAMYCIN 600 MG/50ML SOLN 50 ML FLEX CONT,64.0,25.6,25.6,57.6,17
NDC,0338-3814-24,CLINDAMYCIN 900 MG/50ML SOLN 50 ML FLEX CONT,78.25,31.3,31.3,70.43,17
NDC,0338-3814-50,CLINDAMYCIN 900 MG/50ML SOLN 50 ML FLEX CONT,78.25,31.3,31.3,70.43,17
NDC,0338-5197-41,FAMOTIDINE 200.9 MG/50ML% SOLN 50 ML PLAS CONT,35.0,14.0,14.0,31.5,17
NDC,0338-6010-48,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,202.0,80.8,1.89,181.8,16
NDC,0338-6045-37,FLUCONAZOLE 4000.9 MG/200ML% SOLN 200 ML PLAS CONT,125.0,50.0,50.0,112.5,17
NDC,0338-9555-24,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML FLEX CONT,87.5,35.0,35.0,78.75,17
NDC,0338-9636-24,PIPERACILLINTAZOBACTAM 30.375 GM/50ML SOLN 50 ML PLAS CONT,121.75,48.7,48.7,109.58,17
NDC,0338-9647-12,VASOPRESSIN 400.9 UT/100ML% SOLN 100 ML FLEX CONT,828.0,331.2,1.75,745.2,32
NDC,0363-7142-01,ZINC OXIDE 40 % OINT 57 G TUBE,17.39,6.96,6.96,15.65,17
NDC,0378-0018-01,METOPROLOL TARTRATE 25 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0378-0047-01,METOPROLOL TARTRATE 100 MG TABS 100 EACH BOTTLE,4.01,1.6,1.6,3.61,17
NDC,0378-0053-01,CIMETIDINE 200 MG TABS 100 EACH BOTTLE,7.73,3.09,3.09,6.96,17
NDC,0378-0088-01,CARBIDOPALEVODOPA 25100 MG TAB CR 100 EACH BOTTLE,4.94,1.98,1.98,4.45,17
NDC,0378-0127-01,PINDOLOL 10 MG TABS 100 EACH BOTTLE,8.99,3.6,3.6,8.09,17
NDC,0378-0137-01,ALLOPURINOL 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0378-0182-01,PROPRANOLOL 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0378-0211-01,AMITRIPTYLINECHLORDIAZEPOXIDE 512.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0378-0221-01,TIMOLOL 10 MG TABS 100 EACH BOTTLE,8.52,3.41,3.41,7.67,17
NDC,0378-0351-01,HALOPERIDOL 0.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0378-0372-01,CIMETIDINE 400 MG TABS 100 EACH BOTTLE,13.06,5.22,5.22,11.75,17
NDC,0378-0415-01,DIPHENOXYLATEATROPINE 2.50.025 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0378-0715-01,TIMOLOL 20 MG TABS 100 EACH BOTTLE,15.71,6.28,6.28,14.14,17
NDC,0378-0873-16,CLONIDINE 0.3 MG/24HR PTWK 1 EACH BOX,355.86,142.34,142.34,320.27,17
NDC,0378-0873-99,CLONIDINE 0.3 MG/24HR PTWK 4 EACH BOX,355.86,142.34,142.34,320.27,17
NDC,0378-1134-01,KETOROLAC 10 MG TABS 100 EACH BOTTLE,11.33,4.53,4.53,10.2,17
NDC,0378-1800-77,LEVOTHYROXINE 25 MCG TABS 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0378-1821-77,LEVOTHYROXINE 300 MCG TABS 90 EACH BOTTLE,5.43,2.17,2.17,4.89,17
NDC,0378-2045-01,TACROLIMUS 0.5 MG/ML SOLN 100 EACH BOTTLE,11.15,4.46,4.46,10.04,17
NDC,0378-2096-01,NISOLDIPINE 8.5 MG TB24 100 EACH BOTTLE,30.71,12.28,12.28,27.64,17
NDC,0378-2097-01,NISOLDIPINE 17 MG TB24 100 EACH BOTTLE,38.49,15.4,15.4,34.64,17
NDC,0378-2350-93,ESOMEPRAZOLE 20 MG CPDR 30 EACH BOTTLE,45.12,18.05,18.05,40.61,17
NDC,0378-2351-93,ESOMEPRAZOLE 40 MG CPDR 30 EACH BOTTLE,45.12,18.05,18.05,40.61,17
NDC,0378-3000-01,MECLOFENAMATE 100 MG CAPS 100 EACH BOTTLE,38.69,15.48,15.48,34.82,17
NDC,0378-3025-01,CLOMIPRAMINE 25 MG CAPS 100 EACH BOTTLE,56.21,22.48,22.48,50.59,17
NDC,0378-3050-01,CLOMIPRAMINE 50 MG CAPS 100 EACH BOTTLE,56.21,22.48,22.48,50.59,17
NDC,0378-3075-01,CLOMIPRAMINE 75 MG CAPS 100 EACH BOTTLE,56.21,22.48,22.48,50.59,17
NDC,0378-3266-94,ETOPOSIDE 50 MG CAPS 20 EACH BOX,477.77,191.11,88.06,429.99,32
NDC,0378-3349-99,ESTRADIOL 0.025 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
NDC,0378-3351-99,ESTRADIOL 0.075 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
NDC,0378-3352-99,ESTRADIOL 0.1 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
NDC,0378-3360-99,ESTRADIOL 0.0375 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
NDC,0378-3547-52,MERCAPTOPURINE 50 MG TABS 25 EACH BOTTLE,20.45,8.18,8.18,18.41,17
NDC,0378-4050-91,NEVIRAPINE 200 MG TABS 60 EACH BOTTLE,54.17,21.67,21.67,48.75,17
NDC,0378-6981-32,LANSOPRAZOLE 15 MG TBDD 1 EACH,78.87,31.55,31.55,70.98,17
NDC,0378-6981-88,LANSOPRAZOLE 15 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,17
NDC,0378-6982-32,LANSOPRAZOLE 30 MG TBDD 1 EACH,78.87,31.55,31.55,70.98,17
NDC,0378-6982-88,LANSOPRAZOLE 30 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,17
NDC,0378-6997-89,SODIUM CHLORIDE 3 % NEBU 15 ML PLAS CONT,3.0,1.2,1.2,2.7,17
NDC,0378-7001-93,PAROXETINE 10 MG TABS 30 EACH BOTTLE,13.1,5.24,5.24,11.79,17
NDC,0378-7003-93,PAROXETINE 30 MG TABS 30 EACH BOTTLE,14.08,5.63,5.63,12.67,17
NDC,0378-7058-52,ALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,8.3,3.32,0.04,7.47,18
NDC,0378-7058-98,ALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,8.3,3.32,0.04,7.47,18
NDC,0378-8020-93,FLUVASTATIN 20 MG CAPS 30 EACH BOTTLE,25.03,10.01,10.01,22.53,17
NDC,0378-8021-93,FLUVASTATIN 40 MG CAPS 30 EACH BOTTLE,25.03,10.01,10.01,22.53,17
NDC,0378-8200-01,KETOPROFEN 200 MG CP24 100 EACH BOTTLE,54.08,21.63,21.63,48.67,17
NDC,0378-8270-93,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,6.66,2.66,0.04,5.99,18
NDC,0378-9070-16,RIVASTIGMINE 4.6 MG/24HR PT24 1 EACH PACKET,84.49,33.8,33.8,76.04,17
NDC,0378-9070-93,RIVASTIGMINE 4.6 MG/24HR PT24 30 EACH BOX,84.49,33.8,33.8,76.04,17
NDC,0378-9071-16,RIVASTIGMINE 9.5 MG/24HR PT24 1 EACH PACKET,84.49,33.8,33.8,76.04,17
NDC,0378-9071-93,RIVASTIGMINE 9.5 MG/24HR PT24 30 EACH BOX,84.49,33.8,33.8,76.04,17
NDC,0378-9102-16,NITROGLYCERIN 0.1 MG/HR PT24 1 EACH BOX,9.3,3.72,3.72,8.37,17
NDC,0378-9104-93,NITROGLYCERIN 0.2 MG/HR PT24 30 EACH BOX,9.51,3.8,3.8,8.56,17
NDC,0378-9112-93,NITROGLYCERIN 0.4 MG/HR PT24 30 EACH BOX,10.87,4.35,4.35,9.78,17
NDC,0378-9116-16,NITROGLYCERIN 0.6 MG/HR PT24 1 EACH BOX,11.98,4.79,4.79,10.78,17
NDC,0378-9119-16,FENTANYL 12 MCG/HR PT72 1 EACH PACKAGE,101.5,40.6,40.6,91.35,17
NDC,0378-9119-98,FENTANYL 12 MCG/HR PT72 5 EACH BOX,101.51,40.6,40.6,91.36,17
NDC,0378-9121-16,FENTANYL 25 MCG/HR PT72 1 EACH PACKAGE,72.1,28.84,28.84,64.89,17
NDC,0378-9122-16,FENTANYL 50 MCG/HR PT72 1 EACH PACKAGE,131.8,52.72,52.72,118.62,17
NDC,0378-9123-16,FENTANYL 75 MCG/HR PT72 1 EACH PACKAGE,201.05,80.42,80.42,180.95,17
NDC,0378-9124-16,FENTANYL 100 MCG/HR PT72 1 EACH PACKAGE,266.8,106.72,106.72,240.12,17
NDC,0378-9671-30,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,10.92,4.37,0.19,9.83,16
NDC,0378-9671-31,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,11.51,4.6,0.19,10.36,16
NDC,0378-9671-93,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,11.51,4.6,0.19,10.36,16
NDC,0378-9691-52,LEVALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,33.54,13.42,0.05,30.19,16
NDC,0378-9692-52,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,33.54,13.42,0.05,30.19,16
NDC,0378-9692-62,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,33.54,13.42,0.05,30.19,16
NDC,0386-0001-02,ETHYL CHLORIDE AEROSOL 116 ML CAN,174.0,69.6,69.6,156.6,17
NDC,0386-0004-04,PENTAFLUOROPROPTETRAFLUOROETH AEROSOL 116 ML CAN,190.82,76.33,76.33,171.74,17
NDC,0386-0008-03,PENTAFLUOROPROPTETRAFLUOROETH AEROSOL 116 ML CAN,174.0,69.6,69.6,156.6,17
NDC,0395-0040-16,ETHYL ALCOHOL 70 % SOLN 473 ML BOTTLE,37.84,15.14,15.14,34.06,17
NDC,0395-0090-16,FLAVOR PO SYRUP SYRP 473 ML BOTTLE,89.87,35.95,35.95,80.88,17
NDC,0395-0094-16,FLAVOR PO SYRUP SYRP 473 ML BOTTLE,80.41,32.16,32.16,72.37,17
NDC,0395-0243-92,BENZOIN COMPOUND TINC 59 ML BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0395-0431-01,CALCIUM CARBONATE POWD 454 G BOTTLE,172.52,69.01,69.01,155.27,17
NDC,0395-0515-16,CASTOR OIL OIL 473 ML BOTTLE,130.08,52.03,52.03,117.07,17
NDC,0395-0515-92,CASTOR OIL OIL 59 ML BOTTLE,23.9,9.56,9.56,21.51,17
NDC,0395-1003-92,GENTIAN VIOLET 1 % SOLN 59 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0395-1213-91,IODINE TINCTURE 2 % TINC 30 ML BOTTLE,20.85,8.34,8.34,18.77,17
NDC,0395-2015-91,PEPPERMINT OIL OIL 30 ML BOTTLE,134.4,53.76,53.76,120.96,17
NDC,0395-2063-11,SWEET OIL OIL 30 ML BOTTLE,34.65,13.86,13.86,31.19,17
NDC,0395-2063-94,SWEET OIL OIL 118 ML BOTTLE,36.58,14.63,14.63,32.92,17
NDC,0395-2325-98,POVIDONEIODINE 10 % SOLN 237 ML BOTTLE,27.26,10.9,10.9,24.53,17
NDC,0395-2661-16,FLAVOR PO SYRUP SYRP 473 ML BOTTLE,89.87,35.95,35.95,80.88,17
NDC,0395-2662-16,FLAVOR PO SYRUP SYRP 473 ML BOTTLE,87.51,35.0,35.0,78.76,17
NDC,0395-2664-16,FLAVOR PO SYRUP SYRP 473 ML BOTTLE,101.7,40.68,40.68,91.53,17
NDC,0395-2685-94,SODIUM BICARBONATE ANTACID POWD 113 G BOTTLE,37.86,15.14,15.14,34.07,17
NDC,0395-2775-16,STRONG IODINE 5 % SOLN 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0406-0123-23,HYDROCODONEACETAMINOPHEN 5325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0406-0123-62,HYDROCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0406-0125-12,HYDROCODONEACETAMINOPHEN 10325 MG TABS 120 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-0125-23,HYDROCODONEACETAMINOPHEN 10325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0406-0125-62,HYDROCODONEACETAMINOPHEN 10325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0406-0154-01,METHYLPHENIDATE 54 MG TAB CR 100 EACH BOTTLE,35.79,14.32,14.32,32.21,17
NDC,0406-0484-23,ACETAMINOPHENCODEINE 30030 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0406-0484-62,ACETAMINOPHENCODEINE 30030 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0406-0512-01,OXYCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-0512-23,OXYCODONEACETAMINOPHEN 5325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0406-0512-62,OXYCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0406-0552-01,OXYCODONE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-0552-23,OXYCODONE 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0406-0552-62,OXYCODONE 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0406-1142-01,METHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-1144-01,METHYLPHENIDATE 10 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-1146-01,METHYLPHENIDATE 20 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-1236-01,DIPHENOXYLATEATROPINE 2.50.025 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-3243-01,HYDROMORPHONE 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-3244-01,HYDROMORPHONE 4 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0406-5112-01,LISDEXAMFETAMINE 20 MG CAPS 100 EACH BOTTLE,57.71,23.08,23.08,51.94,17
NDC,0406-5755-23,METHADONE 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0406-5755-62,METHADONE 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0406-5771-23,METHADONE 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0406-5771-62,METHADONE 10 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0406-6225-05,METHADONE 5 MG/5ML SOLN 500 ML BOTTLE,350.0,140.0,140.0,315.0,17
NDC,0406-8315-23,MORPHINE SULFATE ER 15 MG TAB CR 1 EACH,10.2,4.08,4.08,9.18,17
NDC,0406-8315-62,MORPHINE SULFATE ER 15 MG TAB CR 100 EACH BOX,10.21,4.08,4.08,9.19,17
NDC,0406-8330-62,MORPHINE SULFATE ER 30 MG TAB CR 100 EACH BOX,18.42,7.37,7.37,16.58,17
NDC,0406-8380-62,MORPHINE SULFATE ER 60 MG TAB CR 100 EACH BOX,29.02,11.61,11.61,26.12,17
NDC,0406-8390-23,MORPHINE SULFATE ER 100 MG TAB CR 1 EACH,45.45,18.18,18.18,40.91,17
NDC,0406-8390-62,MORPHINE SULFATE ER 100 MG TAB CR 100 EACH BOX,45.44,18.18,18.18,40.9,17
NDC,0406-8515-23,OXYCODONE 15 MG TABS 1 EACH,12.9,5.16,5.16,11.61,17
NDC,0406-8515-62,OXYCODONE 15 MG TABS 100 EACH BOX,12.91,5.16,5.16,11.62,17
NDC,0406-8951-01,AMPHETAMINEDEXTROAMPHETAMINE 5 MG CP24 100 EACH BOTTLE,30.66,12.26,12.26,27.59,17
NDC,0406-8953-01,AMPHETAMINEDEXTROAMPHETAMINE 15 MG CP24 100 EACH BOTTLE,30.66,12.26,12.26,27.59,17
NDC,0406-8954-01,AMPHETAMINEDEXTROAMPHETAMINE 20 MG CP24 100 EACH BOTTLE,30.66,12.26,12.26,27.59,17
NDC,0406-9100-76,FENTANYL 100 MCG/HR PT72 5 EACH BOX,266.8,106.72,106.72,240.12,17
NDC,0406-9112-76,FENTANYL 12 MCG/HR PT72 5 EACH BOX,101.51,40.6,40.6,91.36,17
NDC,0406-9125-76,FENTANYL 25 MCG/HR PT72 5 EACH BOX,72.1,28.84,28.84,64.89,17
NDC,0406-9150-76,FENTANYL 50 MCG/HR PT72 5 EACH BOX,131.8,52.72,52.72,118.62,17
NDC,0407-1412-30,IOHEXOL 240 MG/ML SOLN 50 ML BOTTLE,235.0,94.0,94.0,211.5,16
NDC,0407-1413-10,IOHEXOL 300 MG/ML SOLN 10 ML VIAL,1109.52,443.81,443.81,998.57,16
NDC,0407-1413-58,IOHEXOL 300 MG/ML SOLN 30 ML VIAL,382.95,153.18,153.18,344.66,16
NDC,0407-1413-61,IOHEXOL 300 MG/ML SOLN 50 ML BOTTLE,278.0,111.2,111.2,250.2,16
NDC,0407-1413-63,IOHEXOL 300 MG/ML SOLN 100 ML BOTTLE,272.25,108.9,108.9,245.03,16
NDC,0409-0001-01,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0409-0001-25,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0409-0007-01,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-0007-10,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-0125-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,35.4,14.16,14.16,31.86,17
NDC,0409-0125-25,LABETALOL 5 MG/ML SOLN 20 ML VIAL,35.4,14.16,14.16,31.86,17
NDC,0409-0152-01,METRONIDAZOLE 500 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0409-0181-01,GEMCITABINE HCL 1 GM/26.3ML SOLN 26.3 ML VIAL,271.81,108.72,4.07,244.63,16
NDC,0409-0201-02,DOCETAXEL 20 MG/2ML SOLN 2 ML VIAL,418.7,167.48,0.78,376.83,16
NDC,0409-0201-10,DOCETAXEL 80 MG/8ML SOLN 8 ML VIAL,1512.36,604.94,0.78,1361.12,16
NDC,0409-0201-20,DOCETAXEL 160 MG/16ML SOLN 16 ML VIAL,3020.64,1208.26,0.78,2718.58,16
NDC,0409-0212-01,MILRINONE 10 MG/10ML SOLN 10 ML VIAL,43.15,17.26,17.26,38.84,17
NDC,0409-0212-10,MILRINONE 10 MG/10ML SOLN 10 ML VIAL,43.15,17.26,17.26,38.84,17
NDC,0409-0302-01,TOPOTECAN HCL 4 MG/4ML SOLN 4 ML VIAL,860.46,344.18,3.3,774.41,16
NDC,0409-0528-15,LEVOFLOXACIN IN D5W 250 MG/50ML SOLN 50 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,0409-0528-23,LEVOFLOXACIN IN D5W 500 MG/100ML SOLN 100 ML FLEX CONT,35.5,14.2,3.3,31.95,16
NDC,0409-0528-25,LEVOFLOXACIN IN D5W 500 MG/100ML SOLN 100 ML FLEX CONT,35.5,14.2,3.3,31.95,16
NDC,0409-0528-31,LEVOFLOXACIN IN D5W 750 MG/150ML SOLN 150 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,0409-0528-35,LEVOFLOXACIN IN D5W 750 MG/150ML SOLN 150 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,0409-0801-01,PENTOSTATIN 10 MG SOLR 1 EACH VIAL,15395.02,6158.01,1940.21,13855.52,32
NDC,0409-1005-01,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,45.0,18.0,0.27,40.5,16
NDC,0409-1005-20,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,45.0,18.0,0.27,40.5,16
NDC,0409-1105-02,ATRACURIUM BESYLATE 100 MG/10ML SOLN 10 ML VIAL,84.4,33.76,33.76,75.96,17
NDC,0409-1105-22,ATRACURIUM BESYLATE 100 MG/10ML SOLN 10 ML VIAL,84.4,33.76,33.76,75.96,17
NDC,0409-1134-03,MORPHINE SULFATE 50 MG/ML SOLN 20 ML VIAL,93.4,37.36,37.36,84.06,17
NDC,0409-1134-05,MORPHINE SULFATE 50 MG/ML SOLN 50 ML VIAL,198.25,79.3,79.3,178.43,17
NDC,0409-1141-02,SODIUM CHLORIDE 4 MEQ/ML SOLN 100 ML VIAL,103.5,41.4,41.4,93.15,17
NDC,0409-1144-05,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,176.25,70.5,70.5,158.63,17
NDC,0409-1144-65,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,176.3,70.52,70.52,158.67,17
NDC,0409-1159-01,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1159-02,BUPIVACAINE HCL 0.25 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1159-18,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1159-19,BUPIVACAINE HCL 0.25 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1162-01,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1162-02,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1162-18,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1162-19,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1163-01,BUPIVACAINE 0.5 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1165-02,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1165-18,BUPIVACAINE HCL PF 0.75 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1165-19,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1176-03,MEPERIDINE 25 MG/ML SOLN 1 ML SYRINGE,132.0,52.8,52.8,118.8,17
NDC,0409-1176-30,MEPERIDINE 25 MG/ML SOLN 1 ML SYRINGE,132.0,52.8,52.8,118.8,17
NDC,0409-1207-03,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1219-01,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,655.45,262.18,262.18,589.91,17
NDC,0409-1273-03,DIAZEPAM 5 MG/ML SOLN 2 ML CRTRDGNDL,240.0,96.0,96.0,216.0,17
NDC,0409-1273-32,DIAZEPAM 5 MG/ML SOLN 2 ML CRTRDGNDL,240.0,96.0,96.0,216.0,17
NDC,0409-1283-03,HYDROMORPHONE 1 MG/ML SOLN 1 ML CRTRDGNDL,35.0,14.0,0.12,31.5,16
NDC,0409-1283-17,HYDROMORPHONE 1 MG/ML SOLN 1 ML SYRINGE,36.0,14.4,0.12,32.4,16
NDC,0409-1283-31,HYDROMORPHONE 1 MG/ML SOLN 1 ML CRTRDGNDL,35.0,14.0,0.12,31.5,16
NDC,0409-1283-37,HYDROMORPHONE 1 MG/ML SOLN 1 ML SYRINGE,36.0,14.4,0.12,32.4,16
NDC,0409-1304-31,HYDROMORPHONE 4 MG/ML SOLN 1 ML CRTRDGNDL,45.0,18.0,18.0,40.5,17
NDC,0409-1312-03,HYDROMORPHONE 2 MG/ML SOLN 1 ML CRTRDGNDL,96.0,38.4,38.4,86.4,17
NDC,0409-1312-30,HYDROMORPHONE 2 MG/ML SOLN 1 ML CRTRDGNDL,96.0,38.4,38.4,86.4,17
NDC,0409-1319-01,VANCOMYCIN HCL 10 G SOLR 1 EACH VIAL,1199.13,479.65,0.04,1079.22,16
NDC,0409-1323-05,LIDOCAINE CARDIAC 100 MG/5ML SOSY 5 ML SYRINGE,43.63,17.45,17.45,39.27,17
NDC,0409-1323-15,LIDOCAINE CARDIAC 100 MG/5ML SOSY 5 ML SYRINGE,43.6,17.44,17.44,39.24,17
NDC,0409-1463-01,NALBUPHINE 10 MG/ML SOLN 1 ML AMPULE,37.13,14.85,4.81,33.42,16
NDC,0409-1463-49,NALBUPHINE 10 MG/ML SOLN 1 ML AMPULE,35.0,14.0,4.81,31.5,16
NDC,0409-1463-71,NALBUPHINE 10 MG/ML SOLN 1 ML AMPULE,37.15,14.86,4.81,33.44,16
NDC,0409-1464-01,NALBUPHINE 10 MG/ML SOLN 10 ML VIAL,329.5,131.8,4.81,296.55,16
NDC,0409-1464-61,NALBUPHINE 10 MG/ML SOLN 10 ML VIAL,329.5,131.8,4.81,296.55,16
NDC,0409-1465-01,NALBUPHINE 20 MG/ML SOLN 1 ML AMPULE,64.39,25.76,4.81,57.95,16
NDC,0409-1541-01,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1541-10,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1559-18,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1559-30,BUPIVACAINE HCL 0.25 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1560-10,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1560-18,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1560-19,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1560-29,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1582-18,BUPIVACAINE HCL PF 0.75 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1582-19,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1587-50,BUPIVACAINE 0.25 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1596-01,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML SOLN 100 ML GLASS CONT,300.0,120.0,120.0,270.0,17
NDC,0409-1596-10,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML SOLN 100 ML GLASS CONT,300.0,120.0,120.0,270.0,17
NDC,0409-1623-01,BUTORPHANOL 1 MG/ML SOLN 1 ML VIAL,50.7,20.28,8.36,45.63,16
NDC,0409-1623-21,BUTORPHANOL 1 MG/ML SOLN 1 ML VIAL,50.7,20.28,8.36,45.63,16
NDC,0409-1626-01,BUTORPHANOL 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1626-21,BUTORPHANOL 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1631-10,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,37.85,15.14,15.14,34.07,17
NDC,0409-1631-40,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,37.85,15.14,15.14,34.07,17
NDC,0409-1638-02,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,0409-1638-32,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,0409-1660-10,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML SOLN 100 ML GLASS CONT,300.0,120.0,120.0,270.0,17
NDC,0409-1660-50,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,168.0,67.2,67.2,151.2,17
NDC,0409-1660-55,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,168.0,67.2,67.2,151.2,17
NDC,0409-1746-10,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 10 ML VIAL,47.9,19.16,19.16,43.11,17
NDC,0409-1746-30,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 30 ML VIAL,76.2,30.48,30.48,68.58,17
NDC,0409-1746-70,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 10 ML VIAL,47.9,19.16,19.16,43.11,17
NDC,0409-1746-71,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 30 ML VIAL,76.2,30.48,30.48,68.58,17
NDC,0409-1749-10,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1749-29,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1749-70,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1749-71,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1755-50,BUPIVACAINEEPINEPHRINE 0.5% 1:200000 SOLN 50 ML VIAL,130.75,52.3,52.3,117.68,17
NDC,0409-1761-10,BUPIVACAINE 0.75% IN DEXTROSE 8.25% INTRATHECAL 0.758.25 % SOLN 2 ML AMPULE,47.3,18.92,18.92,42.57,17
NDC,0409-1775-10,DEXTROSE 25 % SOLN 10 ML SYRINGE,135.85,54.34,54.34,122.27,17
NDC,0409-1778-05,METOPROLOL TARTRATE 5 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1778-15,METOPROLOL TARTRATE 5 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1886-02,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL,35.0,14.0,0.05,31.5,16
NDC,0409-1886-22,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL,35.0,14.0,0.05,31.5,16
NDC,0409-1890-01,MORPHINE SULFATE 2 MG/ML SOLN 1 ML CARTRIDGE,60.0,24.0,2.83,54.0,16
NDC,0409-1890-03,MORPHINE SULFATE 2 MG/ML SOLN 1 ML CARTRIDGE,60.0,24.0,2.83,54.0,16
NDC,0409-1890-13,MORPHINE SULFATE 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,2.83,31.5,16
NDC,0409-1890-23,MORPHINE SULFATE 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,2.83,31.5,16
NDC,0409-1891-01,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML CARTRIDGE,35.0,14.0,2.83,31.5,16
NDC,0409-1891-03,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML CARTRIDGE,35.0,14.0,2.83,31.5,16
NDC,0409-1893-01,MORPHINE SULFATE PF 10 MG/ML SOLN 1 ML CARTRIDGE,35.0,14.0,14.0,31.5,17
NDC,0409-1893-03,MORPHINE SULFATE PF 10 MG/ML SOLN 1 ML CARTRIDGE,35.0,14.0,14.0,31.5,17
NDC,0409-1902-01,PROCAINAMIDE 100 MG/ML SOLN 10 ML VIAL,2262.23,904.89,183.04,2036.01,32
NDC,0409-1902-11,PROCAINAMIDE 100 MG/ML SOLN 10 ML VIAL,2262.28,904.91,183.04,2036.05,32
NDC,0409-1966-07,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1966-12,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-1985-03,LORAZEPAM 2 MG/ML SOLN 1 ML CRTRDGNDL,48.0,19.2,19.2,43.2,17
NDC,0409-1985-30,LORAZEPAM 2 MG/ML SOLN 1 ML CRTRDGNDL,48.0,19.2,19.2,43.2,17
NDC,0409-2022-01,MORPHINE SULFATE 50 MG/ML SOLN 50 ML VIAL,1200.83,480.33,480.33,1080.75,17
NDC,0409-2045-01,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,143.5,57.4,1.89,129.15,16
NDC,0409-2050-01,MAGNESIUM SULFATE 20 G/500 ML 20 GM/500ML SOLN 500 ML FLEX CONT,92.5,37.0,37.0,83.25,17
NDC,0409-2051-05,KETAMINE 100 MG/ML SOLN 5 ML VIAL,49.88,19.95,19.95,44.89,17
NDC,0409-2051-15,KETAMINE 100 MG/ML SOLN 5 ML VIAL,49.85,19.94,19.94,44.87,17
NDC,0409-2066-05,LIDOCAINE HCL PF 2 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-2168-17,MAGNESIUM SULFATE 50 % SOLN 20 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,0409-2168-77,MAGNESIUM SULFATE 50 % SOLN 20 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,0409-2267-20,LABETALOL 5 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-2300-24,CIPROFLOXACIN 200 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,3.77,31.5,16
NDC,0409-2305-16,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0409-2305-17,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0409-2308-01,MIDAZOLAM HCL PF 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0409-2308-02,MIDAZOLAM HCL PF 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0409-2308-21,MIDAZOLAM 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-2308-22,MIDAZOLAM HCL PF 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0409-2336-10,DEFEROXAMINE 500 MG SOLR 1 EACH VIAL,56.75,22.7,11.71,51.08,16
NDC,0409-2337-15,DEFEROXAMINE 2 G SOLR 1 EACH VIAL,244.3,97.72,11.71,219.87,16
NDC,0409-2337-25,DEFEROXAMINE 2 G SOLR 1 EACH VIAL,244.35,97.74,11.71,219.92,16
NDC,0409-2339-24,LABETALOL 5 MG/ML SOLN 4 ML CARTRIDGE,96.0,38.4,38.4,86.4,17
NDC,0409-2339-34,LABETALOL 5 MG/ML SOLN 4 ML CARTRIDGE,96.0,38.4,38.4,86.4,17
NDC,0409-2344-01,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL,55.7,22.28,9.2,50.13,16
NDC,0409-2344-02,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL,49.9,19.96,9.2,44.91,16
NDC,0409-2344-62,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL,49.9,19.96,9.2,44.91,16
NDC,0409-2344-88,DOBUTAMINE 250 MG/20ML SOLN 20 ML VIAL,35.0,14.0,9.2,31.5,16
NDC,0409-2346-32,DOBUTAMINE 15 MG/ML% SOLN 250 ML FLEX CONT,132.5,53.0,53.0,119.25,17
NDC,0409-2347-31,DOBUTAMINE 25 MG/ML% SOLN 250 ML FLEX CONT,235.0,94.0,94.0,211.5,17
NDC,0409-2347-32,DOBUTAMINE 25 MG/ML% SOLN 250 ML FLEX CONT,235.0,94.0,94.0,211.5,17
NDC,0409-2596-03,MIDAZOLAM 25 MG/5ML SOLN 5 ML VIAL,42.6,17.04,0.2,38.34,16
NDC,0409-2596-05,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,45.1,18.04,0.2,40.59,16
NDC,0409-2634-05,HYDROMORPHONE HCL PF 10 MG/ML SOLN 5 ML VIAL,136.33,54.53,0.12,122.7,16
NDC,0409-2634-50,HYDROMORPHONE HCL PF 10 MG/ML SOLN 50 ML VIAL,1359.99,544.0,0.12,1223.99,16
NDC,0409-3177-01,LIDOCAINEEPINEPHRINE 0.5 %1:200000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3177-16,LIDOCAINEEPINEPHRINE 0.5 %1:200000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3178-02,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3178-03,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3178-16,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3178-17,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3178-18,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3182-03,LIDOCAINEEPINEPHRINE 2 %1:100000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3182-11,LIDOCAINEEPINEPHRINE 2 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3183-01,LIDOCAINEEPINEPHRINE PF 2 %1:200000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3183-11,LIDOCAINEEPINEPHRINE PF 2 %1:200000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3189-05,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3189-10,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3294-51,POTASSIUM ACETATE 2 MEQ/ML SOLN 50 ML VIAL,67.25,26.9,26.9,60.53,17
NDC,0409-3299-06,SODIUM ACETATE 2 MEQ/ML SOLN 100 ML VIAL,53.0,21.2,21.2,47.7,17
NDC,0409-3299-46,SODIUM ACETATE 2 MEQ/ML SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3300-01,CIPROFLOXACIN 400 MG/200ML SOLN 200 ML FLEX CONT,48.0,19.2,3.77,43.2,16
NDC,0409-3300-24,CIPROFLOXACIN 400 MG/200ML SOLN 200 ML FLEX CONT,48.0,19.2,3.77,43.2,16
NDC,0409-3307-03,ACETYLCYSTEINE 10 % SOLN 30 ML GLASS CONT,8.05,3.22,3.22,18.19,16
NDC,0409-3308-03,ACETYLCYSTEINE 20 % SOLN 30 ML VIAL,152.85,61.14,4.85,137.57,16
NDC,0409-3365-10,HYDROMORPHONE 2 MG/ML SOLN 1 ML VIAL,121.24,48.5,48.5,109.12,17
NDC,0409-3365-11,HYDROMORPHONE 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-3373-01,FENOLDOPAM 10 MG/ML SOLN 1 ML VIAL,2509.42,1003.77,1003.77,2258.48,17
NDC,0409-3375-04,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,0409-3375-14,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,0409-3385-11,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,62.74,25.1,25.1,56.47,17
NDC,0409-3385-15,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,62.74,25.1,25.1,56.47,17
NDC,0409-3390-04,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,83.65,33.46,33.46,75.29,17
NDC,0409-3390-11,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,83.65,33.46,33.46,75.29,17
NDC,0409-3414-01,METOCLOPRAMIDE 5 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.42,31.5,16
NDC,0409-3414-11,METOCLOPRAMIDE 5 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.42,31.5,16
NDC,0409-3414-18,METOCLOPRAMIDE 5 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.42,31.5,16
NDC,0409-3414-21,METOCLOPRAMIDE 5 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.42,31.5,16
NDC,0409-3510-22,ERTAPENEM 1 G SOLR 1 EACH VIAL,496.8,198.72,12.82,447.12,16
NDC,0409-3515-01,VANCOMYCIN HCL 1.5 G SOLR 1 EACH VIAL,146.12,58.45,0.16,131.51,16
NDC,0409-3613-01,BUPIVACAINE 0.75% IN DEXTROSE 8.25% INTRATHECAL 0.758.25 % SOLN 2 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0409-3613-11,BUPIVACAINE 0.75% IN DEXTROSE 8.25% INTRATHECAL 0.758.25 % SOLN 2 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0409-3793-19,KETOROLAC 15 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,0409-3795-01,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,39.18,15.67,0.33,35.26,24
NDC,0409-3795-19,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,39.2,15.68,0.33,35.28,24
NDC,0409-3796-01,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,0409-3815-12,MORPHINE PF 1 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,16
NDC,0409-3977-03,WATER BACTERIOSTATIC SOLN 30 ML VIAL,46.95,18.78,18.78,42.26,17
NDC,0409-4031-01,MANNITOL 25 % SOLN 50 ML VIAL,54.25,21.7,21.7,48.83,17
NDC,0409-4031-16,MANNITOL 25 % SOLN 50 ML VIAL,54.25,21.7,21.7,48.83,17
NDC,0409-4092-01,COPPER 0.4 MG/ML SOLN 10 ML VIAL,190.25,76.1,76.1,171.23,17
NDC,0409-4121-01,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,48.0,19.2,19.2,43.2,17
NDC,0409-4121-50,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,48.0,19.2,19.2,43.2,17
NDC,0409-4208-01,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4208-10,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4264-01,HYDROMORPHONE 1 MG/ML SOLN 0.5 ML SYRINGE,90.0,36.0,0.12,81.0,16
NDC,0409-4264-11,HYDROMORPHONE 1 MG/ML SOLN 0.5 ML SYRINGE,90.0,36.0,0.12,81.0,16
NDC,0409-4276-01,LIDOCAINE 1 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4276-02,LIDOCAINE 1 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4276-16,LIDOCAINE 1 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4276-17,LIDOCAINE 1 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4277-02,LIDOCAINE INJECTION 2 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4277-16,LIDOCAINE INJECTION 2 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4278-01,LIDOCAINE HCL 0.5 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4278-16,LIDOCAINE HCL 0.5 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4279-02,LIDOCAINE HCL PF 1 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4282-02,LIDOCAINE HCL PF 2 % SOLN 10 ML AMPULE,43.4,17.36,17.36,39.06,17
NDC,0409-4282-12,LIDOCAINE HCL PF 2 % SOLN 10 ML AMPULE,43.4,17.36,17.36,39.06,17
NDC,0409-4283-01,LIDOCAINE HCL PF 4 % SOLN 5 ML AMPULE,35.0,14.0,14.0,31.5,15
NDC,0409-4332-01,VANCOMYCIN 500 MG SOLR 1 EACH VIAL,48.97,19.59,0.04,44.07,16
NDC,0409-4332-11,VANCOMYCIN 500 MG SOLR 1 EACH VIAL,48.95,19.58,0.04,44.06,16
NDC,0409-4346-16,AMINOCAPROIC ACID 250 MG/ML SOLN 20 ML VIAL,65.1,26.04,26.04,58.59,17
NDC,0409-4520-02,HEPARIN PORCINE 100 UNITS/ML IN DEXTROSE 5 % 250 ML 100 UNIT/ML SOLN 250 ML,98.75,39.5,39.5,88.88,17
NDC,0409-4520-30,HEPARIN PORCINE 100 UNITS/ML IN DEXTROSE 5 % 250 ML 100 UNIT/ML SOLN 250 ML,100.0,40.0,40.0,90.0,17
NDC,0409-4699-24,PROPOFOL 10 MG/ML EMUL 100 ML VIAL,129.5,51.8,51.8,116.55,17
NDC,0409-4699-33,PROPOFOL INFUSION 50 ML VIAL,64.75,25.9,25.9,58.28,17
NDC,0409-4713-75,LIDOCAINE HCL PF 1 % SOLN 5 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0409-4755-03,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4755-18,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4777-23,CIPROFLOXACIN 200 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,3.77,31.5,16
NDC,0409-4887-10,STERILE WATER PRESERVATIVE FREE SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4887-17,STERILE WATER PRESERVATIVE FREE SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4887-25,STERILE WATER PRESERVATIVE FREE SOLN 100 ML VIAL,61.5,24.6,24.6,55.35,17
NDC,0409-4887-99,STERILE WATER PRESERVATIVE FREE SOLN 100 ML VIAL,61.5,24.6,24.6,55.35,17
NDC,0409-4888-02,SODIUM CHLORIDE PF 0.9 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4888-10,SODIUM CHLORIDE PF 0.9 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-4902-34,DEXTROSE 50 % SOLN 50 ML SYRINGE,110.0,44.0,44.0,99.0,17
NDC,0409-4902-64,DEXTROSE 50 % SOLN 50 ML SYRINGE,110.0,44.0,44.0,99.0,17
NDC,0409-4903-11,LIDOCAINE CARDIAC 100 MG/5ML SOSY 5 ML SYRINGE,45.55,18.22,18.22,41.0,17
NDC,0409-4904-34,LIDOCAINE HCL CARDIAC PF 50 MG/5ML SOSY 5 ML SYRINGE,130.63,52.25,52.25,117.57,17
NDC,0409-4928-11,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,51.3,20.52,20.52,46.17,17
NDC,0409-5738-01,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-5738-10,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-5820-01,DOPAMINE 40 MG/ML SOLN 5 ML VIAL,35.0,14.0,1.08,31.5,16
NDC,0409-5922-01,AMINOPHYLLINE 25 MG/ML SOLN 20 ML VIAL,84.9,33.96,33.96,76.41,17
NDC,0409-5922-16,AMINOPHYLLINE 25 MG/ML SOLN 20 ML VIAL,85.0,34.0,34.0,76.5,17
NDC,0409-6010-02,PROPOFOL INFUSION 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6102-02,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6102-04,FUROSEMIDE 10 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6102-10,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6102-18,FUROSEMIDE 10 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6102-19,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6102-20,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6482-01,ERYTHROMYCIN 500 MG SOLR 1 EACH VIAL,1090.4,436.16,84.01,981.36,16
NDC,0409-6509-01,VANCOMYCIN HCL 5 G SOLR 1 EACH VIAL,498.23,199.29,0.04,448.41,16
NDC,0409-6531-02,VANCOMYCIN HCL 750 MG SOLR 1 EACH VIAL,59.01,23.6,0.04,53.11,16
NDC,0409-6533-11,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,97.7,39.08,0.04,87.93,16
NDC,0409-6533-21,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,97.69,39.08,0.04,87.92,16
NDC,0409-6625-14,SODIUM BICARBONATE 8.4% 1 MEQ/ML SOLN 50 ML VIAL,59.0,23.6,23.6,53.1,17
NDC,0409-6625-22,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,59.0,23.6,23.6,53.1,17
NDC,0409-6637-14,SODIUM BICARBONATE 8.4% 1 MEQ/ML SOLN 50 ML SYRINGE,126.5,50.6,50.6,113.85,17
NDC,0409-6637-24,SODIUM BICARBONATE 8.4 % SOLN 50 ML SYRINGE,126.5,50.6,50.6,113.85,17
NDC,0409-6648-02,DEXTROSE 50 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6648-16,DEXTROSE 50 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6651-06,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6653-05,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6695-01,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6695-11,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-6695-12,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,38.9,15.56,15.56,35.01,17
NDC,0409-6729-09,MAGNESIUM SULFATE 40 GM/1000ML SOLN 1000 ML FLEX CONT,50.0,20.0,20.0,45.0,17
NDC,0409-6729-11,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,97.25,38.9,38.9,87.53,17
NDC,0409-6729-23,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,48.0,19.2,19.2,43.2,17
NDC,0409-6729-24,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,97.25,38.9,38.9,87.53,17
NDC,0409-6729-41,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,48.0,19.2,19.2,43.2,17
NDC,0409-7037-01,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,42.95,17.18,17.18,38.66,17
NDC,0409-7037-10,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,42.95,17.18,17.18,38.66,17
NDC,0409-7248-03,HETASTARCH 6% IN 0.9% NACL INFUSION 500 ML 60.9 % SOLN 500 ML PLAS CONT,349.6,139.84,139.84,314.64,17
NDC,0409-7248-13,HETASTARCH 6% IN 0.9% NACL INFUSION 500 ML 60.9 % SOLN 500 ML FLEX CONT,349.6,139.84,139.84,314.64,17
NDC,0409-7295-01,POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,88.73,35.49,35.49,79.86,17
NDC,0409-7295-11,POTASSIUM PHOSPHATE 3 MMOL/ML SOLN 15 ML VIAL,88.73,35.49,35.49,79.86,17
NDC,0409-7299-73,SODIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,74.5,29.8,29.8,67.05,17
NDC,0409-7299-83,SODIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,74.5,29.8,29.8,67.05,17
NDC,0409-7332-01,CEFTRIAXONE 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7332-11,CEFTRIAXONE 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7334-10,CEFTRIAXONE 10 G SOLR 1 EACH VIAL,103.9,41.56,41.56,93.51,17
NDC,0409-7335-03,CEFTRIAXONE 2 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7335-13,CEFTRIAXONE 2 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7337-01,CEFTRIAXONE 250 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7337-11,CEFTRIAXONE 250 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7338-01,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7338-11,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7338-20,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-7391-72,SODIUM PHOSPHATES 45 MMOLE/15ML SOLN 15 ML VIAL,249.68,99.87,99.87,224.71,17
NDC,0409-7418-03,DEXTRAN 40 IN DEXTROSE 5% 10 % SOLN 500 ML FLEX CONT,1752.6,701.04,701.04,1577.34,17
NDC,0409-7517-16,DEXTROSE 50 % SOLN 50 ML SYRINGE,130.25,52.1,52.1,117.23,17
NDC,0409-7517-66,DEXTROSE 50 % SOLN 50 ML SYRINGE,130.25,52.1,52.1,117.23,17
NDC,0409-7620-03,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,0.27,31.5,16
NDC,0409-7620-13,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,0.27,31.5,16
NDC,0409-7650-05,HEPARIN PORCINE 100 UNITS/ML IN NACL 0.45% 250 ML 100 UNIT/ML SOLN 250 ML,98.75,39.5,39.5,88.88,17
NDC,0409-7650-52,HEPARIN PORCINE 100 UNITS/ML IN NACL 0.45% 250 ML 100 UNIT/ML SOLN 250 ML,85.0,34.0,34.0,76.5,17
NDC,0409-7650-62,HEPARIN PORCINE 100 UNITS/ML IN NACL 0.45% 250 ML 100 UNIT/ML SOLN 250 ML,85.0,34.0,34.0,76.5,17
NDC,0409-7809-11,DOPAMINE 1.65 MG/ML% SOLN 250 ML FLEX CONT,95.0,38.0,1.08,85.5,16
NDC,0409-7809-22,DOPAMINE 1.65 MG/ML% SOLN 250 ML FLEX CONT,95.0,38.0,1.08,85.5,16
NDC,0409-7969-05,PLEGISOL SOLN 1000 ML PLAS CONT,469.2,187.68,187.68,422.28,17
NDC,0409-8126-01,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-8126-10,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-8183-01,POTASSIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-8183-11,POTASSIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-8183-15,POTASSIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-9042-17,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 30 ML VIAL,76.2,30.48,30.48,68.58,17
NDC,0409-9093-32,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML AMPULE,35.0,14.0,1.43,31.5,16
NDC,0409-9093-35,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML AMPULE,35.0,14.0,1.43,31.5,16
NDC,0409-9094-12,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0409-9094-16,FENTANYL CITRATE PF 50 MCG/ML SOLN 20 ML VIAL,62.9,25.16,1.43,56.61,16
NDC,0409-9094-18,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0409-9094-22,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0409-9094-25,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0409-9094-28,FENTANYL CITRATE PF 50 MCG/ML SOLN 10 ML VIAL,60.8,24.32,1.43,54.72,16
NDC,0409-9094-41,FENTANYL CITRATE PF 50 MCG/ML SOLN 50 ML VIAL,280.25,112.1,1.43,252.23,16
NDC,0409-9104-20,DOPAMINE 40 MG/ML SOLN 10 ML VIAL,46.85,18.74,1.08,42.17,16
NDC,0409-9137-05,LIDOCAINE HCL CARDIAC PF 50 MG/5ML SOSY 5 ML SYRINGE,89.93,35.97,35.97,80.94,17
NDC,0409-9157-01,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML AMPULE,35.0,14.0,3.55,31.5,16
NDC,0409-9157-31,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML AMPULE,35.0,14.0,3.55,31.5,16
NDC,0409-9157-50,VITAMIN K1 1 MG/0.5ML SOLN 0.5 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0409-9158-01,PHYTONADIONE 10 MG/ML SOLN 1 ML AMPULE,73.45,29.38,3.55,66.11,16
NDC,0409-9158-31,PHYTONADIONE 10 MG/ML SOLN 1 ML AMPULE,58.76,23.5,23.5,52.88,17
NDC,0409-9158-50,PHYTONADIONE 10 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0409-9558-11,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0409-9630-05,ATROPINE SULFATE 0.25 MG/5ML SOSY 5 ML SYRINGE,39.38,15.75,15.75,35.44,17
NDC,0430-0472-03,RISEDRONATE 35 MG TABS 4 EACH DISP PACK,470.56,188.22,188.22,423.5,17
NDC,0430-0478-01,RISEDRONATE 150 MG TABS 1 EACH DISP PACK,2038.72,815.49,815.49,1834.85,17
NDC,0430-0721-24,ESTRADIOL 1 MG TABS 100 EACH BOTTLE,32.71,13.08,13.08,29.44,17
NDC,0430-3754-14,ESTRADIOL 0.01 % CREA 42.5 G TUBE,1903.19,761.28,761.28,1712.87,17
NDC,0436-0672-16,DAKINS 1/4 STRENGTH 0.125 % SOLN 473 ML BOTTLE,89.87,35.95,35.95,80.88,17
NDC,0436-0936-16,DAKINS 1/2 STRENGTH 0.25 % SOLN 473 ML BOTTLE,89.87,35.95,35.95,80.88,17
NDC,0436-0946-16,DAKINS FULL STRENGTH 0.5 % SOLN 473 ML BOTTLE,89.87,35.95,35.95,80.88,17
NDC,0456-0400-01,CEFTAROLINE 400 MG SOLR 1 EACH VIAL,1289.01,515.6,3.66,1160.11,32
NDC,0456-0458-01,THYROID 30 MG TABS 100 EACH BOTTLE,6.07,2.43,2.43,5.46,17
NDC,0456-0459-01,THYROID 60 MG TABS 100 EACH BOTTLE,6.74,2.7,2.7,6.07,17
NDC,0456-0461-01,THYROID 120 MG TABS 100 EACH BOTTLE,12.35,4.94,4.94,11.12,17
NDC,0456-0462-01,THYROID 180 MG TABS 100 EACH BOTTLE,9.25,3.7,3.7,8.33,17
NDC,0456-0600-01,CEFTAROLINE 600 MG SOLR 1 EACH VIAL,1289.01,515.6,3.66,1160.11,32
NDC,0456-0600-10,CEFTAROLINE 600 MG SOLR 1 EACH VIAL,1421.18,568.47,3.66,1279.06,32
NDC,0456-1110-30,VILAZODONE HCL 10 MG TABS 30 EACH BOTTLE,72.97,29.19,29.19,65.67,17
NDC,0456-1201-30,LINACLOTIDE 145 MCG CAPS 30 EACH BOTTLE,56.5,22.6,22.6,50.85,17
NDC,0456-1405-30,NEBIVOLOL 5 MG TABS 30 EACH BOTTLE,36.57,14.63,14.63,32.91,17
NDC,0456-1410-30,NEBIVOLOL 10 MG TABS 30 EACH BOTTLE,36.57,14.63,14.63,32.91,17
NDC,0456-1510-60,MILNACIPRAN HCL 100 MG TABS 60 EACH BOTTLE,51.18,20.47,20.47,46.06,17
NDC,0456-1525-60,MILNACIPRAN HCL 25 MG TABS 60 EACH BOTTLE,51.18,20.47,20.47,46.06,17
NDC,0456-1550-60,MILNACIPRAN HCL 50 MG TABS 60 EACH BOTTLE,51.18,20.47,20.47,46.06,17
NDC,0456-2405-60,ASENAPINE MALEATE 5 MG SUBL 10 EACH BOX,126.09,50.44,50.44,113.48,17
NDC,0456-2700-01,CEFTAZIDIMEAVIBACTAM 2.5 20.5 G SOLR 1 EACH VIAL,2292.81,917.12,71.82,2063.53,32
NDC,0469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG SOLR 1 EACH VIAL,2177.0,870.8,0.65,1959.3,32
NDC,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPS 14 EACH BOX,638.93,255.57,255.57,575.04,17
NDC,0469-2601-30,MIRABEGRON 25 MG TB24 30 EACH BOTTLE,92.06,36.82,36.82,82.85,17
NDC,0469-3016-01,TACROLIMUS 5 MG/ML SOLN 1 ML AMPULE,1407.76,563.1,166.33,1266.98,32
NDC,0469-3051-30,AMPHOTERICIN B LIPOSOMAL 50 MG SUSR 1 EACH VIAL,1757.06,702.82,19.85,1581.35,32
NDC,0469-3425-10,ZOLBETUXIMABCLZB 100 MG SOLR 1 EACH VIAL,8064.0,3225.6,24.96,7257.6,32
NDC,0469-4425-30,ZOLBETUXIMABCLZB 300 MG SOLR 1 EACH VIAL,24192.0,9676.8,24.96,21772.8,32
NDC,0469-5020-99,MIRABEGRON 8 MG/ML SRER 100 ML BOTTLE,41.58,16.63,16.63,37.42,17
NDC,0469-6501-89,REGADENOSON 0.4 MG/5ML SOLN 5 ML SYRINGE,1422.83,569.13,3.93,1280.55,16
NDC,0472-0013-04,GRISEOFULVIN MICROSIZE 125 MG/5ML SUSP 120 ML BOTTLE,358.8,143.52,143.52,322.92,17
NDC,0472-0082-16,ACYCLOVIR 200 MG/5 ML SUSP 473 ML BOTTLE,2047.43,818.97,818.97,1842.69,17
NDC,0472-0345-56,HYDROCORTISONE 1 % OINT 28 G TUBE,17.36,6.94,6.94,15.62,17
NDC,0472-0825-16,ALBUTEROL 2 MG/5ML SYRP 473 ML BOTTLE,153.73,61.49,61.49,138.36,17
NDC,0472-1030-16,HYDROCODONE BITHOMATROP MBR 51.5 MG/5ML SOLN 473 ML BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0472-1738-03,MICONAZOLE 200 MG SUPP 3 EACH BOX,95.5,38.2,38.2,85.95,17
NDC,0480-1342-08,RISPERIDONE MICROSPHERES ER 37.5 MG SRER 1 EACH VIAL,4413.95,1765.58,7.62,3972.56,32
NDC,0480-1453-08,RISPERIDONE MICROSPHERES ER 50 MG SRER 1 EACH VIAL,5885.46,2354.18,7.62,5296.91,32
NDC,0480-2596-34,FIDAXOMICIN 200 MG TABS 20 EACH BOTTLE,1364.75,545.9,545.9,1228.28,17
NDC,0480-2688-06,TICAGRELOR 60 MG TABS 60 EACH BOTTLE,44.15,17.66,17.66,39.74,17
NDC,0480-3720-56,PYRIMETHAMINE 25 MG TABS 30 EACH BOTTLE,3591.0,1436.4,1436.4,3231.9,17
NDC,0480-4184-89,PAZOPANIB HCL 200 MG TABS 120 EACH BOTTLE,737.55,295.02,295.02,663.8,17
NDC,0480-7062-56,PERAMPANEL 2 MG TABS 30 EACH BOTTLE,117.99,47.2,47.2,106.19,17
NDC,0480-7063-56,PERAMPANEL 4 MG TABS 30 EACH BOTTLE,233.13,93.25,93.25,209.82,17
NDC,0480-7066-56,PERAMPANEL 8 MG TABS 30 EACH BOTTLE,233.13,93.25,93.25,209.82,17
NDC,0486-1125-01,PHOSPHORUS 155852130 MG TABS 100 EACH BOTTLE,4.86,1.94,1.94,4.37,17
NDC,0487-0201-01,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,11.04,4.42,0.19,9.94,16
NDC,0487-0201-03,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,10.95,4.38,0.19,9.86,16
NDC,0487-0201-60,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,10.52,4.21,0.19,9.47,16
NDC,0487-0301-01,ALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,8.3,3.32,0.04,7.47,18
NDC,0487-2784-01,RACEPINEPHRINE HCL 2.25 % NEBU 30 EACH BOX,12.5,5.0,5.0,11.25,17
NDC,0487-5901-99,RACEPINEPHRINE HCL 2.25 % NEBU 30 EACH PLAS CONT,12.5,5.0,5.0,11.25,17
NDC,0487-9003-30,SODIUM CHLORIDE 3 % NEBU 4 ML PLAS CONT,4.0,1.6,1.6,3.6,17
NDC,0487-9003-60,SODIUM CHLORIDE 3 % NEBU 4 ML PLAS CONT,3.0,1.2,1.2,2.7,17
NDC,0487-9501-01,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,4.01,1.6,0.04,3.61,18
NDC,0487-9501-03,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,4.01,1.6,0.04,3.61,18
NDC,0487-9501-25,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,4.01,1.6,0.04,3.61,18
NDC,0487-9601-01,BUDESONIDE 0.25 MG/2ML SUSP 2 ML PLAS CONT,47.44,18.98,1.09,42.7,18
NDC,0487-9601-30,BUDESONIDE 0.25 MG/2ML SUSP 2 ML PLAS CONT,29.75,11.9,1.09,26.78,18
NDC,0487-9701-01,BUDESONIDE 0.5 MG/2ML SUSP 2 ML PLAS CONT,55.83,22.33,1.09,50.25,18
NDC,0487-9801-01,IPRATROPIUM 0.02 % SOLN 2.5 ML PLAS CONT,3.0,1.2,0.35,2.7,18
NDC,0487-9801-60,IPRATROPIUM 0.02 % SOLN 2.5 ML PLAS CONT,6.6,2.64,0.35,5.94,18
NDC,0487-9901-30,ALBUTEROL 0.5 % NEBU 0.5 ML PLAS CONT,3.0,1.2,0.16,2.7,18
NDC,0487-9904-01,ALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,7.97,3.19,0.04,7.17,18
NDC,0487-9904-25,ALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,8.3,3.32,0.04,7.47,18
NDC,0496-0523-23,MASTISOL ADHESIVE LIQD 1 EACH BOX,11.75,4.7,4.7,10.58,17
NDC,0496-0523-48,MASTISOL ADHESIVE LIQD 48 EACH BOX,11.74,4.7,4.7,10.57,17
NDC,0517-0031-01,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,43.7,17.48,17.48,39.33,17
NDC,0517-0031-25,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,43.7,17.48,17.48,39.33,17
NDC,0517-0374-01,METHYLENE BLUE 50 MG/10ML SOLN 10 ML AMPULE,1293.84,517.54,0.26,1164.46,32
NDC,0517-0374-05,METHYLENE BLUE 50 MG/10ML SOLN 10 ML AMPULE,1293.84,517.54,0.26,1164.46,32
NDC,0517-0381-01,METHYLENE BLUE 50 MG/10ML SOLN 10 ML VIAL,1293.84,517.54,0.26,1164.46,32
NDC,0517-0381-05,METHYLENE BLUE 50 MG/10ML SOLN 10 ML VIAL,1293.84,517.54,0.26,1164.46,32
NDC,0517-0420-01,ESTRADIOL VALERATE 20 MG/ML OIL 5 ML VIAL,83.44,33.38,33.38,75.1,17
NDC,0517-0650-01,FERRIC CARBOXYMALTOSE 750 MG/15ML SOLN 15 ML VIAL,8117.61,3247.04,1.12,7305.85,32
NDC,0517-0710-01,FOMEPIZOLE 1.5 GM/1.5ML SOLN 1.5 ML VIAL,8727.31,3490.92,6.18,7854.58,32
NDC,0517-0720-01,BETAMETHASONE ACETATEBETAMETHASONE SODIUM PHOSPHATE 6 33 MG/ML SUSP 5 ML VIAL,132.08,52.83,52.83,118.87,17
NDC,0517-0735-01,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,184.45,73.78,73.78,166.01,17
NDC,0517-0735-10,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,184.45,73.78,73.78,166.01,17
NDC,0517-0740-01,METHYLERGONOVINE 0.2 MG/ML SOLN 1 ML VIAL,187.68,75.07,75.07,168.91,17
NDC,0517-0740-20,METHYLERGONOVINE 0.2 MG/ML SOLN 1 ML VIAL,187.68,75.07,75.07,168.91,17
NDC,0517-0901-01,HYDRALAZINE 20 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0517-0955-01,OLANZAPINE 10 MG SOLR 1 EACH VIAL,236.95,94.78,94.78,213.26,17
NDC,0517-1004-01,ATROPINE SULFATE 0.4 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0517-1004-25,ATROPINE SULFATE 0.4 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0517-1020-01,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,75.0,30.0,30.0,67.5,17
NDC,0517-1020-25,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,75.0,30.0,30.0,67.5,17
NDC,0517-1045-01,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,214.03,85.61,85.61,192.63,17
NDC,0517-1767-01,HYDROXYPROGESTERONE CAPROATE 250 MG/ML OIL 1 ML VIAL,3583.4,1433.36,18.08,3225.06,16
NDC,0517-1820-01,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,920.0,368.0,51.29,828.0,16
NDC,0517-1980-01,DICYCLOMINE 10 MG/ML SOLN 2 ML VIAL,121.88,48.75,48.75,109.69,17
NDC,0517-1980-05,DICYCLOMINE 10 MG/ML SOLN 2 ML VIAL,121.88,48.75,48.75,109.69,17
NDC,0517-2310-01,IRON SUCROSE 20 MG/ML SOLN 10 ML VIAL,358.48,143.39,0.3,322.63,16
NDC,0517-2310-05,IRON SUCROSE 20 MG/ML SOLN 10 ML VIAL,358.48,143.39,0.3,322.63,16
NDC,0517-2325-10,IRON SUCROSE 20 MG/ML SOLN 2.5 ML VIAL,358.57,143.43,0.3,322.71,16
NDC,0517-2340-10,IRON SUCROSE 20 MG/ML SOLN 5 ML VIAL,358.52,143.41,0.3,322.67,16
NDC,0517-2340-99,IRON SUCROSE 20 MG/ML SOLN 5 ML VIAL,220.8,88.32,0.3,198.72,16
NDC,0517-2502-01,CAFFEINESODIUM BENZOATE 125125 MG/ML SOLN 2 ML VIAL,117.43,46.97,46.97,105.69,17
NDC,0517-2502-10,CAFFEINESODIUM BENZOATE 125125 MG/ML SOLN 2 ML VIAL,117.42,46.97,46.97,105.68,17
NDC,0517-4002-01,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,248.46,99.38,99.38,223.61,17
NDC,0517-4002-25,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,248.46,99.38,99.38,223.61,17
NDC,0517-4201-25,HYDROXYZINE 25 MG/ML SOLN 1 ML VIAL,183.42,73.37,19.89,165.08,16
NDC,0517-4810-25,NITROGLYCERIN 5 MG/ML SOLN 10 ML VIAL,93.3,37.32,37.32,83.97,17
NDC,0517-5601-01,HYDROXYZINE 50 MG/ML SOLN 1 ML VIAL,202.25,80.9,19.89,182.03,16
NDC,0517-5601-25,HYDROXYZINE 50 MG/ML SOLN 1 ML VIAL,202.26,80.9,19.89,182.03,16
NDC,0517-5602-25,HYDROXYZINE 50 MG/ML SOLN 2 ML VIAL,278.52,111.41,19.89,250.67,16
NDC,0517-6101-25,ZINC 1 MG/ML SOLN 10 ML VIAL,184.2,73.68,73.68,165.78,17
NDC,0517-6560-01,SELENIOUS ACID 60 MCG/ML SOLN 10 ML VIAL,2257.91,903.16,903.16,2032.12,17
NDC,0517-6560-05,SELENIOUS ACID 60 MCG/ML SOLN 10 ML VIAL,2257.91,903.16,903.16,2032.12,17
NDC,0517-6710-01,CALCIUM CHLORIDE 10 % SOLN 10 ML VIAL,60.65,24.26,24.26,54.59,17
NDC,0517-6710-10,CALCIUM CHLORIDE 10 % SOLN 10 ML VIAL,60.65,24.26,24.26,54.59,17
NDC,0517-7504-01,ACETYLCYSTEINE 10 % SOLN 4 ML GLASS CONT,34.05,13.62,4.85,30.65,16
NDC,0517-7504-25,ACETYLCYSTEINE 10 % SOLN 4 ML GLASS CONT,34.05,13.62,4.85,30.65,16
NDC,0517-7604-01,ACETYLCYSTEINE 20 % SOLN 4 ML VIAL,90.5,36.2,4.85,81.45,16
NDC,0517-7604-25,ACETYLCYSTEINE 20 % SOLN 4 ML VIAL,90.48,36.19,4.85,81.43,16
NDC,0517-8005-01,ZINC SULFATE 5 MG/ML SOLN 5 ML VIAL,423.66,169.46,169.46,381.29,17
NDC,0517-8005-25,ZINC SULFATE 5 MG/ML SOLN 5 ML VIAL,423.66,169.46,169.46,381.29,17
NDC,0517-9120-01,AMINOCAPROIC ACID 250 MG/ML SOLN 20 ML VIAL,61.6,24.64,24.64,55.44,17
NDC,0517-9120-25,AMINOCAPROIC ACID 250 MG/ML SOLN 20 ML VIAL,61.6,24.64,24.64,55.44,17
NDC,0517-9203-25,TRACE ELEMENTS NEOTRACE PT WT < 10 KG 1100251000 MCG/ML SOLN 3 ML VIAL,72.9,29.16,29.16,65.61,17
NDC,0517-9302-01,TRACE ELEMENTS MULTRYS PT WT < 10 KG 60361000 MCG/ML SOLN 1 ML VIAL,156.25,62.5,62.5,140.63,17
NDC,0517-9302-25,TRACE ELEMENTS MULTRYS PT WT < 10 KG 60361000 MCG/ML SOLN 1 ML VIAL,156.24,62.5,62.5,140.62,17
NDC,0517-9305-01,TRACE MINERALS TRALEMENT 30055603000 MCG/ML SOLN 1 ML VIAL,400.0,160.0,160.0,360.0,17
NDC,0517-9305-25,TRACE MINERALS TRALEMENT 30055603000 MCG/ML SOLN 1 ML VIAL,169.14,67.66,67.66,152.23,17
NDC,0517-9702-01,DROPERIDOL 2.5 MG/ML SOLN 2 ML VIAL,63.8,25.52,25.52,57.42,17
NDC,0517-9702-25,DROPERIDOL 2.5 MG/ML SOLN 2 ML VIAL,63.78,25.51,25.51,57.4,17
NDC,0527-0586-01,DICYCLOMINE 10 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0527-1313-01,PILOCARPINE 5 MG TABS 100 EACH BOTTLE,9.07,3.63,3.63,8.16,17
NDC,0527-1337-01,BACLOFEN 20 MG TABS 100 EACH BOTTLE,25.65,10.26,10.26,23.09,17
NDC,0527-1367-01,PROBENECID 500 MG TABS 100 EACH BOTTLE,18.66,7.46,7.46,16.79,17
NDC,0527-1395-01,LOXAPINE 10 MG CAPS 100 EACH BOTTLE,6.36,2.54,2.54,5.72,17
NDC,0527-1698-01,CODEINE 30 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0527-1790-01,FLUPHENAZINE 5 MG TABS 100 EACH BOTTLE,46.0,18.4,18.4,41.4,17
NDC,0527-1791-01,FLUPHENAZINE 10 MG TABS 100 EACH BOTTLE,58.0,23.2,23.2,52.2,17
NDC,0527-1947-48,LOPINAVIRRITONAVIR 400100 MG/5ML SOLN 160 ML BOTTLE,2193.41,877.36,877.36,1974.07,17
NDC,0527-1948-70,LEVOFLOXACIN 25 MG/ML SOLN 480 ML BOTTLE,6406.85,2562.74,2562.74,5766.17,17
NDC,0527-1971-74,COCAINE 40 MG/ML SOLN 4 ML BOTTLE,1217.16,486.86,486.86,1095.44,17
NDC,0527-4116-37,PROPRANOLOL 60 MG CP24 100 EACH BOTTLE,10.29,4.12,4.12,9.26,17
NDC,0527-4117-37,PROPRANOLOL 80 MG CP24 100 EACH BOTTLE,12.04,4.82,4.82,10.84,17
NDC,0527-4118-37,PROPRANOLOL 120 MG CP24 100 EACH BOTTLE,14.91,5.96,5.96,13.42,17
NDC,0527-4663-37,LISDEXAMFETAMINE 30 MG CAPS 100 EACH BOTTLE,66.41,26.56,26.56,59.77,17
NDC,0527-6004-80,LIDOCAINE 4 % SOLN 50 ML BOTTLE,323.25,129.3,129.3,290.93,17
NDC,0536-0015-83,ALUM AND MAG HYDROXIDESIMETH 40040040 MG/5ML SUSP 355 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0536-0091-85,ALUMINUM HYDROXIDE 320 MG/5ML SUSP 473 ML BOTTLE,42.57,17.03,17.03,38.31,17
NDC,0536-1046-10,SODIUM BICARBONATE 325 MG TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0536-1172-01,ACETAMINOPHEN 500 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0536-1182-97,GUAIFENESIN 100 MG/5ML LIQD 118 ML BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0536-1202-07,LIDOCAINE 4 % PTCH 30 EACH BOX,6.53,2.61,2.61,5.88,17
NDC,0536-1211-95,DIBUCAINE 1 % OINT 28 G TUBE,29.4,11.76,11.76,26.46,17
NDC,0536-1228-58,SORE THROAT SPRAY 1.4 % LIQD 177 ML SPRAY BOTTLE,5.04,2.02,2.02,4.54,17
NDC,0536-1234-41,ASPIRIN 81 MG TBEC 120 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0536-1254-94,SODIUM CHLORIDE 5 % SOLN 15 ML BOTTLE,35.7,14.28,14.28,32.13,17
NDC,0536-1263-28,BACITRACIN 500 UNIT/GM OINT 28 G TUBE,14.84,5.94,5.94,13.36,17
NDC,0536-1265-11,CLOTRIMAZOLE 1 % CREA 14.17 G TUBE,7.37,2.95,2.95,6.63,17
NDC,0536-1303-75,SIMETHICONE 40 MG/0.6ML SUSP 30 ML BOTTLE,3.92,1.57,1.57,3.53,17
NDC,0536-1316-28,ZINC OXIDE 20 % OINT 30 G TUBE,12.3,4.92,4.92,11.07,17
NDC,0536-1316-98,ZINC OXIDE 20 % OINT 454 G JAR,45.4,18.16,18.16,40.86,17
NDC,0536-1358-07,COENZYME Q10 30 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0536-1445-40,OLOPATADINE 0.1 % SOLN 5 ML BOTTLE,38.7,15.48,15.48,34.83,17
NDC,0536-1995-53,SELENIUM SULFIDE 1 % LOTN 207 ML BOTTLE,22.77,9.11,9.11,20.49,17
NDC,0536-2525-25,CAPSAICIN 0.025 % CREA 60 G TUBE,49.8,19.92,19.92,44.82,17
NDC,0536-3112-01,NICOTINE POLACRILEX 2 MG GUM 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0536-3112-37,NICOTINE POLACRILEX 2 MG GUM 40 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0536-4406-01,PYRIDOXINE 25 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0536-4661-10,MULTIVITAMIN TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0536-5895-53,NICOTINE 14 MG/24HR PT24 7 EACH BOX,3.59,1.44,1.44,3.23,17
NDC,0536-5895-88,NICOTINE 14 MG/24HR PT24 14 EACH BOX,3.08,1.23,1.23,2.77,17
NDC,0536-7415-51,FLEET ENEMA 197 GM/197ML ENEM 133 ML BOTTLE,8.65,3.46,3.46,7.79,17
NDC,0548-5400-00,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,150.0,60.0,60.0,135.0,17
NDC,0548-5400-25,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,150.0,60.0,60.0,135.0,17
NDC,0548-5605-00,ENOXAPARIN SODIUM 100 MG/ML SOSY 1 ML SYRINGE,90.0,36.0,0.77,81.0,16
NDC,0548-5606-00,ENOXAPARIN SODIUM 120 MG/0.8ML SOSY 0.8 ML SYRINGE,108.0,43.2,0.77,97.2,16
NDC,0548-5608-00,ENOXAPARIN 300 MG/3ML SOLN 3 ML VIAL,192.0,76.8,0.77,172.8,16
NDC,0548-5850-00,GLUCAGON 1 MG SOLR 1 EACH BOX,1545.6,618.24,117.33,1391.04,32
NDC,0548-5900-00,COSYNTROPIN 0.25 MG SOLR 1 EACH VIAL,588.32,235.33,32.98,529.49,16
NDC,0548-9090-10,HYALURONIDASE BOVINE 150 UNIT/ML SOLN 1 ML VIAL,334.8,133.92,41.89,301.32,16
NDC,0548-9501-00,ISOPROTERENOL 0.2 MG/ML SOLN 1 ML VIAL,111.0,44.4,44.4,99.9,17
NDC,0548-9502-00,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0548-9701-00,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,75.0,30.0,30.0,67.5,17
NDC,0555-0033-02,CHLORDIAZEPOXIDE 10 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0066-02,ISONIAZID 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0555-0071-02,ISONIAZID 300 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0555-0158-02,CHLORDIAZEPOXIDE 5 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0159-02,CHLORDIAZEPOXIDE 25 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0159-04,CHLORDIAZEPOXIDE 25 MG CAPS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0171-78,MEFLOQUINE 250 MG TABS 25 EACH BOX,52.95,21.18,21.18,47.66,17
NDC,0555-0211-10,NORETHINDRONE 5 MG TABS 50 EACH BOTTLE,13.25,5.3,5.3,11.93,17
NDC,0555-0606-02,MEGESTROL 20 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0607-02,MEGESTROL 40 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0633-02,DANAZOL 50 MG CAPS 100 EACH BOTTLE,18.14,7.26,7.26,16.33,17
NDC,0555-0634-02,DANAZOL 100 MG CAPS 100 EACH BOTTLE,27.22,10.89,10.89,24.5,17
NDC,0555-0635-09,DANAZOL 200 MG CAPS 60 EACH BOTTLE,51.44,20.58,20.58,46.3,17
NDC,0555-0777-02,AMPHETAMINEDEXTROAMPHETAMINE 15 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0555-0873-02,MEDROXYPROGESTERONE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0555-0886-02,ESTRADIOL 1 MG TABS 100 EACH BOTTLE,3.4,1.36,1.36,3.06,17
NDC,0555-0887-02,ESTRADIOL 2 MG TABS 100 EACH BOTTLE,4.71,1.88,1.88,4.24,17
NDC,0555-0899-02,ESTRADIOL 0.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0555-0952-02,DEXTROAMPHETAMINE 5 MG TABS 100 EACH BOTTLE,14.5,5.8,5.8,13.05,17
NDC,0555-0971-02,AMPHETAMINEDEXTROAMPHETAMINE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-0972-02,AMPHETAMINEDEXTROAMPHETAMINE 10 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0555-1054-86,ISOTRETINOIN 10 MG CAPS 10 EACH BOX,102.52,41.01,41.01,92.27,17
NDC,0555-1057-86,ISOTRETINOIN 40 MG CAPS 10 EACH BOX,141.24,56.5,56.5,127.12,17
NDC,0555-9034-58,NORETHINDRONEETHINYL ESTRADIOL 0.435 MGMCG TABS 28 EACH DISP PACK,8.01,3.2,3.2,7.21,17
NDC,0555-9049-58,NORGESTRELETHINYL ESTRADIOL 0.330 MGMCG TABS 28 EACH DISP PACK,5.45,2.18,2.18,4.91,17
NDC,0562-7805-00,RHO D IMMUNE GLOBULIN 1500 UNITS SOSY 1 EACH SYRINGE,678.96,271.58,119.79,611.06,16
NDC,0574-0067-16,ISOPROPYL ALCOHOL 70 % SOLN 473 ML BOTTLE,14.19,5.68,5.68,12.77,17
NDC,0574-0070-15,GLUCOSE GEL 37.5 G TUBE,19.69,7.88,7.88,17.72,17
NDC,0574-0106-01,BROMOCRIPTINE 2.5 MG TABS 100 EACH BOTTLE,18.78,7.51,7.51,16.9,17
NDC,0574-0107-70,CLOTRIMAZOLE 10 MG TROC 70 EACH BOTTLE,8.04,3.22,3.22,7.24,17
NDC,0574-0107-77,CLOTRIMAZOLE 10 MG TROC 70 EACH BOX,7.15,2.86,2.86,6.44,17
NDC,0574-0115-01,FLAVOXATE 100 MG TABS 100 EACH BOTTLE,7.32,2.93,2.93,6.59,17
NDC,0574-0292-01,AMILORIDE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0574-0303-16,ORAPLUS LIQD 473 ML BOTTLE,111.16,44.46,44.46,100.04,17
NDC,0574-0304-16,ORASWEET SYRP 473 ML BOTTLE,111.16,44.46,44.46,100.04,17
NDC,0574-0311-16,ORABLEND SUSP 473 ML BOTTLE,111.16,44.46,44.46,100.04,17
NDC,0574-0508-01,FERROUS GLUCONATE 38 FE 324 MG 38 FE TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0574-0508-10,FERROUS GLUCONATE 38 FE 324 MG 38 FE TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0574-0520-74,CHARCOAL ACTIVATED W/ SORBITOL 5 GM/24ML SUSP 120 ML TUBE,83.4,33.36,33.36,75.06,17
NDC,0574-0521-74,CHARCOAL ACTIVATED 5 GM/24ML SUSP 120 ML TUBE,83.4,33.36,33.36,75.06,17
NDC,0574-0601-15,PODOPHYLLIN RESIN 25% 25 % SOLN 15 ML BOTTLE,563.52,225.41,225.41,507.17,17
NDC,0574-0792-01,PILOCARPINE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0574-0820-01,TESTOSTERONE CYPIONATE 200 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0574-1133-04,SPIRONOLACTONE 25 MG/5ML SUSP 118 ML BOTTLE,2064.27,825.71,825.71,1857.84,17
NDC,0574-2008-15,NYSTOP 100000 UNIT/GM POWD 15 G BOTTLE,137.33,54.93,54.93,123.6,17
NDC,0574-2008-30,NYSTOP 100000 UNIT/GM POWD 30 G BOTTLE,269.1,107.64,107.64,242.19,17
NDC,0574-4021-35,BACITRACINPOLYMYXIN B 50010000 UNIT/GM OINT 3.5 G TUBE,130.6,52.24,52.24,117.54,17
NDC,0574-4022-35,BACITRACIN 500 UNIT/GM OINT 3.5 G TUBE,596.57,238.63,238.63,536.91,17
NDC,0574-4024-11,ERYTHROMYCIN 5 MG/GM OINT 1 G TUBE,43.48,17.39,17.39,39.13,17
NDC,0574-4024-35,ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE,89.79,35.92,35.92,80.81,17
NDC,0574-4190-35,SULFACETAMIDE 10 % OINT 3.5 G TUBE,329.3,131.72,131.72,296.37,17
NDC,0574-7034-12,ASPIRIN 300 MG SUPP 12 EACH BOX,2.19,0.88,0.88,1.97,17
NDC,0574-7040-12,OPIUMBELLADONNA 16.260 MG SUPP 12 EACH BOX,167.27,66.91,66.91,150.54,17
NDC,0574-7045-12,OPIUMBELLADONNA 16.230 MG SUPP 12 EACH BOX,137.59,55.04,55.04,123.83,17
NDC,0574-7050-12,BISACODYL 10 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0574-7050-50,BISACODYL 10 MG SUPP 50 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0574-7112-12,MORPHINE 10 MG SUPP 12 EACH BOX,31.25,12.5,12.5,28.13,17
NDC,0574-7114-12,MORPHINE 20 MG SUPP 12 EACH BOX,37.5,15.0,15.0,33.75,17
NDC,0574-7116-12,MORPHINE 30 MG SUPP 12 EACH BOX,46.88,18.75,18.75,42.19,17
NDC,0574-7224-06,HYDROMORPHONE 3 MG SUPP 6 EACH BOX,61.34,24.54,24.54,55.21,17
NDC,0574-9855-10,BUDESONIDE 3 MG CPEP 100 EACH BOTTLE,5.93,2.37,2.37,5.34,17
NDC,0575-6200-30,DIAZOXIDE 50 MG/ML SUSP 30 ML BOTTLE,2683.04,1073.22,1073.22,2414.74,17
NDC,0591-0240-01,LORAZEPAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0591-0241-01,LORAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0591-0348-01,TRIAMTERENEHYDROCHLOROTHIAZIDE 7550 MG TABS 100 EACH BOTTLE,4.59,1.84,1.84,4.13,17
NDC,0591-0371-01,LOXAPINE 25 MG CAPS 100 EACH BOTTLE,9.63,3.85,3.85,8.67,17
NDC,0591-0395-01,PENTAZOCINENALOXONE 500.5 MG TABS 100 EACH BOTTLE,12.37,4.95,4.95,11.13,17
NDC,0591-0583-01,PROPAFENONE 225 MG TABS 100 EACH BOTTLE,11.65,4.66,4.66,10.49,17
NDC,0591-1159-30,ACYCLOVIR 5 % OINT 30 G TUBE,3225.6,1290.24,1290.24,2903.04,17
NDC,0591-2070-30,LIDOCAINEPRILOCAINE 2.52.5 % CREA 30 G TUBE,265.65,106.26,106.26,239.09,17
NDC,0591-2312-15,ALVIMOPAN 12 MG CAPS 30 EACH BOX,953.57,381.43,381.43,858.21,17
NDC,0591-2405-30,AMBRISENTAN 5 MG TABS 30 EACH BOTTLE,1696.97,678.79,678.79,1527.27,17
NDC,0591-2472-60,TAMOXIFEN 10 MG TABS 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0591-2475-01,TETRACYCLINE 500 MG CAPS 100 EACH BOTTLE,78.75,31.5,31.5,70.88,17
NDC,0591-2520-01,CHLORZOXAZONE 500 MG TABS 100 EACH BOTTLE,5.42,2.17,2.17,4.88,17
NDC,0591-2679-30,LIDOCAINE 5 % PTCH 30 EACH BOX,46.8,18.72,18.72,42.12,17
NDC,0591-2888-30,HYDROXOCOBALAMIN ACETATE 1000 MCG/ML SOLN 30 ML VIAL,191.25,76.5,0.01,172.13,17
NDC,0591-3005-01,URSODIOL 500 MG TABS 100 EACH BOTTLE,23.77,9.51,9.51,21.39,17
NDC,0591-3508-04,CLONIDINE 0.1 MG/24HR PTWK 4 EACH BOX,165.62,66.25,66.25,149.06,17
NDC,0591-3508-54,CLONIDINE 0.1 MG/24HR PTWK 1 EACH BOX,165.62,66.25,66.25,149.06,17
NDC,0591-3509-04,CLONIDINE 0.2 MG/24HR PTWK 4 EACH BOX,278.83,111.53,111.53,250.95,17
NDC,0591-3509-54,CLONIDINE 0.2 MG/24HR PTWK 1 EACH BOX,278.83,111.53,111.53,250.95,17
NDC,0591-3510-04,CLONIDINE 0.3 MG/24HR PTWK 4 EACH BOX,355.86,142.34,142.34,320.27,17
NDC,0591-3510-54,CLONIDINE 0.3 MG/24HR PTWK 1 EACH BOX,355.86,142.34,142.34,320.27,17
NDC,0591-3525-11,LIDOCAINE 5 % PTCH 1 EACH BOX,46.8,18.72,18.72,42.12,17
NDC,0591-3525-30,LIDOCAINE 5 % PTCH 30 EACH BOX,46.8,18.72,18.72,42.12,17
NDC,0591-3636-30,TROSPIUM CHLORIDE 60 MG CP24 30 EACH BOTTLE,33.69,13.48,13.48,30.32,17
NDC,0591-3670-01,NABUMETONE 500 MG TABS 100 EACH BOTTLE,6.49,2.6,2.6,5.84,17
NDC,0591-3684-01,NITROFURANTOIN 25 MG CAPS 100 EACH BOTTLE,35.16,14.06,14.06,31.64,17
NDC,0591-3870-44,MEMANTINE 5 MG TABS 100 EACH BOX,30.52,12.21,12.21,27.47,17
NDC,0591-3870-45,MEMANTINE 5 MG TABS 1 EACH,30.52,12.21,12.21,27.47,17
NDC,0591-3870-60,MEMANTINE 5 MG TABS 60 EACH BOTTLE,30.52,12.21,12.21,27.47,17
NDC,0591-3875-45,MEMANTINE 10 MG TABS 1 EACH,30.52,12.21,12.21,27.47,17
NDC,0591-4012-01,VALPROIC ACID 250 MG CAPS 100 EACH BOTTLE,3.97,1.59,1.59,3.57,17
NDC,0591-5335-01,TRIHEXYPHENIDYL 2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0591-5337-01,TRIHEXYPHENIDYL 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0597-0024-02,IPRATROPIUMALBUTEROL 20100 MCG/ACT AERS 4 G INHALER,2616.48,1046.59,1046.59,2354.83,17
NDC,0597-0039-37,TELMISARTAN 20 MG TABS 30 EACH BOX,28.05,11.22,11.22,25.25,17
NDC,0597-0041-37,TELMISARTAN 80 MG TABS 30 EACH BOX,28.05,11.22,11.22,25.25,17
NDC,0597-0075-75,TIOTROPIUM BROMIDE 18 MCG CAPS 5 EACH BOX,73.02,29.21,29.21,65.72,17
NDC,0597-0087-17,IPRATROPIUM 17 MCG/ACT AERS 12.9 G INHALER,1693.74,677.5,677.5,1524.37,17
NDC,0597-0153-30,EMPAGLIFLOZIN 25 MG TABS 30 EACH BOTTLE,70.0,28.0,28.0,63.0,17
NDC,0597-0197-05,IDARUCIZUMAB 2.5 GM/50ML SOLN 50 ML VIAL,31226.5,12490.6,0.5,28103.85,16
NDC,0597-0355-56,DABIGATRAN ETEXILATE MESYLATE 75 MG CAPS 60 EACH BOX,19.84,7.94,7.94,17.86,17
NDC,0597-0360-82,DABIGATRAN ETEXILATE MESYLATE 150 MG CAPS 60 EACH BOX,19.84,7.94,7.94,17.86,17
NDC,0603-1161-58,DICYCLOMINE 10 MG/5ML SOLN 473 ML BOTTLE,7.5,3.0,3.0,6.75,17
NDC,0603-1880-10,LIDOCAINE 5 % PTCH 1 EACH BOX,51.4,20.56,20.56,46.26,17
NDC,0603-1880-16,LIDOCAINE 5 % PTCH 30 EACH BOX,51.38,20.55,20.55,46.24,17
NDC,0603-4593-21,METHYLPREDNISOLONE 4 MG TABS 100 EACH BOTTLE,7.15,2.86,2.86,6.44,17
NDC,0603-5165-21,PHENOBARBITAL 16.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0603-5166-21,PHENOBARBITAL 32.4 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0603-5167-21,PHENOBARBITAL 64.8 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0603-5168-21,PHENOBARBITAL 97.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0603-5335-21,PREDNISONE 1 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
NDC,0603-5338-21,PREDNISONE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
NDC,0603-5449-21,PROPAFENONE 225 MG TABS 100 EACH BOTTLE,11.65,4.66,4.66,10.49,17
NDC,0603-5450-21,PROPAFENONE 300 MG TABS 100 EACH BOTTLE,14.85,5.94,5.94,13.37,17
NDC,0603-5483-21,PROPRANOLOL 20 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0603-5486-21,PROPRANOLOL 80 MG TABS 100 EACH BOTTLE,4.85,1.94,1.94,4.37,17
NDC,0641-0367-21,DEXAMETHASONE 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,0641-0367-25,DEXAMETHASONE 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,0641-0376-21,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-0376-25,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-0476-21,PHENOBARBITAL 65 MG/ML SOLN 1 ML VIAL,120.0,48.0,39.22,108.0,16
NDC,0641-0476-25,PHENOBARBITAL 65 MG/ML SOLN 1 ML VIAL,120.0,48.0,39.22,108.0,16
NDC,0641-0477-21,PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL,276.0,110.4,39.22,248.4,16
NDC,0641-0477-25,PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL,276.0,110.4,39.22,248.4,16
NDC,0641-0493-21,PHENYTOIN 50 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-0493-25,PHENYTOIN 50 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-0928-21,PROMETHAZINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-0928-25,PROMETHAZINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-0955-21,PROMETHAZINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-1397-31,CHLORPROMAZINE 25 MG/ML SOLN 1 ML AMPULE,173.35,69.34,69.34,156.02,17
NDC,0641-1397-35,CHLORPROMAZINE 25 MG/ML SOLN 1 ML AMPULE,173.33,69.33,69.33,156.0,17
NDC,0641-1398-31,CHLORPROMAZINE HCL 50 MG/2ML SOLN 2 ML AMPULE,198.6,79.44,79.44,178.74,17
NDC,0641-1398-35,CHLORPROMAZINE HCL 50 MG/2ML SOLN 2 ML AMPULE,198.61,79.44,79.44,178.75,17
NDC,0641-1410-31,DIGOXIN 0.25 MG/ML SOLN 2 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0641-1495-31,PROMETHAZINE 25 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0641-1495-35,PROMETHAZINE 25 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0641-2555-10,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-2555-41,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-2555-45,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6000-01,LORAZEPAM 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6001-01,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6001-25,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6006-10,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,210.6,84.24,84.24,189.54,17
NDC,0641-6007-01,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,0641-6007-10,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,0641-6008-01,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,0641-6008-10,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,0641-6013-01,DILTIAZEM HCL 25 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6013-10,DILTIAZEM HCL 25 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6014-01,DILTIAZEM HCL 50 MG/10ML SOLN 10 ML VIAL,37.4,14.96,14.96,33.66,17
NDC,0641-6014-10,DILTIAZEM HCL 50 MG/10ML SOLN 10 ML VIAL,37.4,14.96,14.96,33.66,17
NDC,0641-6015-01,DILTIAZEM HCL 125 MG/25ML SOLN 25 ML VIAL,54.63,21.85,21.85,49.17,17
NDC,0641-6015-10,DILTIAZEM HCL 125 MG/25ML SOLN 25 ML VIAL,54.63,21.85,21.85,49.17,17
NDC,0641-6018-01,DOXAPRAM 20 MG/ML SOLN 20 ML VIAL,319.3,127.72,127.72,287.37,17
NDC,0641-6019-01,MORPHINE PF 1 MG/ML SOLN 10 ML AMPULE,35.0,14.0,14.0,31.5,16
NDC,0641-6019-10,MORPHINE PF 1 MG/ML SOLN 10 ML AMPULE,35.0,14.0,14.0,31.5,16
NDC,0641-6022-01,FAMOTIDINE PF 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6022-25,FAMOTIDINE PF 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6027-01,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0641-6027-25,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0641-6028-01,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0641-6028-25,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,0641-6029-01,FENTANYL CITRATE PF 50 MCG/ML SOLN 20 ML VIAL,66.0,26.4,1.43,59.4,16
NDC,0641-6030-01,FENTANYL CITRATE PF 50 MCG/ML SOLN 50 ML VIAL,150.0,60.0,1.43,135.0,16
NDC,0641-6039-01,MORPHINE SULF MICROINFUSION PF 200 MG/20ML 10 MG/ML SOLN 20 ML AMPULE,1148.16,459.26,15.67,1033.34,16
NDC,0641-6040-01,MORPHINE SULF MICROINFUSION PF 500 MG/20ML 25 MG/ML SOLN 20 ML AMPULE,1952.15,780.86,15.67,1756.94,16
NDC,0641-6044-01,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6044-25,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6045-25,LORAZEPAM 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6047-10,LORAZEPAM 4 MG/ML SOLN 10 ML VIAL,104.9,41.96,41.96,94.41,17
NDC,0641-6048-01,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6048-25,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6052-01,MEPERIDINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6052-25,MEPERIDINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6057-01,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0641-6057-10,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0641-6057-25,MIDAZOLAM HCL 2 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0641-6060-10,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,41.4,16.56,0.2,37.26,16
NDC,0641-6061-01,MIDAZOLAM HCL 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0641-6061-10,MIDAZOLAM HCL 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0641-6061-25,MIDAZOLAM HCL 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,0641-6078-01,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6078-25,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6079-01,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL,35.0,14.0,1.07,31.5,16
NDC,0641-6082-01,PROMETHAZINE 25 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0641-6082-25,PROMETHAZINE 25 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0641-6103-01,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,0641-6103-10,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,0641-6103-25,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,84.0,33.6,6.23,75.6,16
NDC,0641-6110-01,SUFENTANIL 50 MCG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0641-6111-10,SUFENTANIL CITRATE 100 MCG/2ML SOLN 2 ML AMPULE,48.9,19.56,19.56,44.01,17
NDC,0641-6112-10,SUFENTANIL 250 MCG/5ML SOLN 5 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,0641-6116-01,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,0641-6116-10,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,0641-6117-01,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,0641-6117-10,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,0641-6125-01,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,16
NDC,0641-6125-25,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,16
NDC,0641-6132-01,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,0641-6135-01,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6135-25,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6136-01,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL,35.0,14.0,0.67,31.5,26
NDC,0641-6136-25,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL,35.0,14.0,0.67,31.5,26
NDC,0641-6137-01,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,129.0,51.6,0.67,116.1,26
NDC,0641-6137-10,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,129.0,51.6,0.67,116.1,26
NDC,0641-6142-01,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6142-25,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6145-01,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,0641-6145-25,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,0641-6147-01,STERILE WATER PRESERVATIVE FREE SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6147-10,STERILE WATER PRESERVATIVE FREE SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6149-01,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,54.0,21.6,21.6,48.6,17
NDC,0641-6149-10,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,54.0,21.6,21.6,48.6,17
NDC,0641-6151-01,HYDROMORPHONE 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6151-25,HYDROMORPHONE 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6166-01,AMIKACIN SULFATE 1 GM/4ML SOLN 4 ML VIAL,96.0,38.4,0.82,86.4,16
NDC,0641-6175-01,OCTREOTIDE ACETATE 100 MCG/ML SOLN 1 ML VIAL,39.0,15.6,0.79,35.1,16
NDC,0641-6175-10,OCTREOTIDE ACETATE 100 MCG/ML SOLN 1 ML VIAL,39.0,15.6,0.79,35.1,16
NDC,0641-6176-10,OCTREOTIDE ACETATE 500 MCG/ML SOLN 1 ML VIAL,210.0,84.0,0.79,189.0,16
NDC,0641-6208-25,PROMETHAZINE 25 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6228-01,THIAMINE 100 MG/ML SOLN 2 ML VIAL,43.2,17.28,17.28,38.88,17
NDC,0641-6228-25,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6231-01,HYDRALAZINE 20 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6231-25,HYDRALAZINE 20 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0641-6238-01,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,0641-6238-25,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,0641-6251-01,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,210.6,84.24,84.24,189.54,17
NDC,0641-6251-10,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,210.6,84.24,84.24,189.54,17
NDC,0703-0018-01,HYDROMORPHONE HCL PF 10 MG/ML SOLN 50 ML VIAL,571.32,228.53,0.12,514.19,16
NDC,0703-0110-03,HYDROMORPHONE HCL PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,0703-0113-03,HYDROMORPHONE HCL PF 10 MG/ML SOLN 5 ML VIAL,56.53,22.61,0.12,50.88,16
NDC,0703-0241-01,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,48.55,19.42,19.42,43.7,17
NDC,0703-0666-01,TREPROSTINIL 20 MG/20ML SOLN 20 ML VIAL,6096.64,2438.66,54.48,5486.98,32
NDC,0703-2056-01,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,138.0,55.2,55.2,124.2,17
NDC,0703-2056-03,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,138.0,55.2,55.2,124.2,17
NDC,0703-3155-01,BLEOMYCIN 30 UNITS SOLR 1 EACH VIAL,585.67,234.27,27.98,527.1,16
NDC,0703-3216-81,PACLITAXEL 6 MG/ML CONC 16.7 ML VIAL,199.98,79.99,0.18,179.98,16
NDC,0703-3218-01,PACLITAXEL 300 MG/50ML CONC 50 ML VIAL,600.0,240.0,0.18,540.0,16
NDC,0703-3301-04,OCTREOTIDE 50 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0703-3675-01,METHOTREXATE SODIUM PF 100 MG/4ML SOLN 10 ML VIAL,115.0,46.0,3.67,103.5,16
NDC,0703-4246-01,CARBOPLATIN 50 MG/5ML SOLN 15 ML VIAL,126.0,50.4,3.21,113.4,16
NDC,0703-4248-01,CARBOPLATIN 450 MG/45ML SOLN 45 ML VIAL,389.93,155.97,3.21,350.94,16
NDC,0703-4502-01,METOCLOPRAMIDE 5 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.42,31.5,16
NDC,0703-4502-04,METOCLOPRAMIDE 5 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.42,31.5,16
NDC,0703-4636-01,STREPTOZOCIN 1 G SOLR 1 EACH VIAL,1927.77,771.11,381.29,1734.99,22
NDC,0703-4714-01,TOPOTECAN HCL 4 MG/4ML SOLN 4 ML VIAL,641.3,256.52,3.3,577.17,16
NDC,0703-5075-01,DACARBAZINE 200 MG SOLR 1 EACH VIAL,115.0,46.0,4.49,103.5,16
NDC,0703-5145-01,LEUCOVORIN 350 MG SOLR 1 EACH VIAL,115.0,46.0,4.19,103.5,16
NDC,0703-5233-13,DAUNORUBICIN HCL 20 MG/4ML SOLN 4 ML VIAL,804.86,321.94,23.5,724.37,16
NDC,0703-5747-11,CISPLATIN 50 MG/50ML SOLN 50 ML VIAL,121.0,48.4,2.98,108.9,16
NDC,0703-6801-01,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,270.0,108.0,108.0,243.0,17
NDC,0703-6801-04,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,270.0,108.0,108.0,243.0,17
NDC,0703-9514-01,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 10 ML VIAL,75.25,30.1,0.07,67.73,16
NDC,0703-9514-03,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 10 ML VIAL,75.25,30.1,0.07,67.73,16
NDC,0703-9514-93,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 10 ML VIAL,75.25,30.1,0.07,67.73,16
NDC,0703-9526-01,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 30 ML VIAL,225.75,90.3,0.07,203.18,16
NDC,0713-0118-12,ACETAMINOPHEN 120 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0713-0132-12,PROMETHAZINE 50 MG SUPP 12 EACH BOX,178.83,71.53,71.53,160.95,17
NDC,0713-0135-12,PROCHLORPERAZINE 25 MG SUPP 12 EACH BOX,61.29,24.52,24.52,55.16,17
NDC,0713-0268-31,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 28.4 G TUBE,5.28,2.11,2.11,4.75,17
NDC,0713-0280-31,BACITRACIN 500 UNIT/GM OINT 28.4 G TUBE,17.32,6.93,6.93,15.59,17
NDC,0713-0326-37,BETAMETHASONE VALERATE 0.1 % CREA 45 G TUBE,228.38,91.35,91.35,205.54,17
NDC,0713-0327-37,BETAMETHASONE VALERATE 0.1 % OINT 45 G TUBE,213.3,85.32,85.32,191.97,17
NDC,0713-0526-12,PROMETHAZINE 25 MG SUPP 12 EACH BOX,88.53,35.41,35.41,79.68,17
NDC,0713-0536-06,PROMETHAZINE 12.5 MG SUPP 1 EACH BOX,88.53,35.41,35.41,79.68,17
NDC,0713-0536-12,PROMETHAZINE 12.5 MG SUPP 12 EACH BOX,88.53,35.41,35.41,79.68,17
NDC,0713-0564-31,NITROGLYCERIN 0.4 % OINT 30 G TUBE,2906.06,1162.42,1162.42,2615.45,17
NDC,0713-0682-15,GENTAMICIN 0.1 % OINT 15 G TUBE,246.9,98.76,98.76,222.21,17
NDC,0713-0682-31,GENTAMICIN 0.1 % OINT 30 G TUBE,454.3,181.72,181.72,408.87,17
NDC,0713-0683-15,GENTAMICIN 0.1 % CREA 15 G TUBE,246.9,98.76,98.76,222.21,17
NDC,0761-0049-20,NIACIN 500 MG CPCR 90 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0781-1077-01,ALPRAZOLAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0781-1079-01,ALPRAZOLAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,0781-1635-01,ISOSORBIDE DINITRATE 5 MG TABS 100 EACH BOTTLE,4.93,1.97,1.97,4.44,17
NDC,0781-1852-01,AMOXICILLINCLAVULANATE 875125 MG TABS 100 EACH BOTTLE,24.5,9.8,9.8,22.05,17
NDC,0781-1943-39,AMOXICILLINCLAVULANATE 100062.5 MG TB12 40 EACH BOTTLE,42.16,16.86,16.86,37.94,17
NDC,0781-1962-60,CLARITHROMYCIN 500 MG TABS 60 EACH BOTTLE,30.08,12.03,12.03,27.07,17
NDC,0781-2074-01,TRIAMTERENEHYDROCHLOROTHIAZIDE 37.525 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0781-2074-10,TRIAMTERENEHYDROCHLOROTHIAZIDE 37.525 MG CAPS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0781-2104-01,TACROLIMUS 5 MG CAPS 100 EACH BOTTLE,111.49,44.6,0.22,100.34,16
NDC,0781-2145-01,AMPICILLIN 500 MG CAPS 100 EACH BOTTLE,3.24,1.3,1.3,2.92,17
NDC,0781-2321-06,APREPITANT 40 MG CAPS 1 EACH BOX,505.72,202.29,3.55,455.15,16
NDC,0781-2322-68,APREPITANT 80 MG CAPS 6 EACH BOX,937.3,374.92,374.92,843.57,17
NDC,0781-3040-95,PYRIDOSTIGMINE BROMIDE 10 MG/2ML SOLN 2 ML AMPULE,191.99,76.8,76.8,172.79,17
NDC,0781-3056-70,ISONIAZID 100 MG/ML SOLN 10 ML VIAL,1619.48,647.79,647.79,1457.53,17
NDC,0781-3059-95,DIGOXIN 0.25 MG/ML SOLN 2 ML AMPULE,37.38,14.95,14.95,33.64,17
NDC,0781-3110-95,PIPERACILLINTAZOBACTAM 2.25 20.25 G SOLR 1 EACH VIAL,61.54,24.62,24.62,55.39,17
NDC,0781-3113-90,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,92.32,36.93,36.93,83.09,17
NDC,0781-3113-95,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,92.32,36.93,36.93,83.09,17
NDC,0781-3114-91,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,116.93,46.77,46.77,105.24,17
NDC,0781-3114-95,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,116.93,46.77,46.77,105.24,17
NDC,0781-3158-94,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,4776.53,1910.61,0.22,4298.88,16
NDC,0781-3158-95,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,4776.53,1910.61,0.22,4298.88,16
NDC,0781-3159-72,OLANZAPINE 10 MG SOLR 1 EACH VIAL,207.5,83.0,83.0,186.75,17
NDC,0781-3207-85,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,134.42,53.77,53.77,120.98,17
NDC,0781-3220-70,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,188.8,75.52,75.52,169.92,17
NDC,0781-3253-94,AZACITIDINE 100 MG SUSR 1 EACH VIAL,2594.0,1037.6,0.74,2334.6,16
NDC,0781-3288-09,CLINDAMYCIN 300 MG/50ML SOLN 50 ML FLEX CONT,49.25,19.7,19.7,44.33,17
NDC,0781-3288-91,CLINDAMYCIN 300 MG/50ML SOLN 50 ML FLEX CONT,49.25,19.7,19.7,44.33,17
NDC,0781-3289-91,CLINDAMYCIN 600 MG/50ML SOLN 50 ML FLEX CONT,74.25,29.7,29.7,66.83,17
NDC,0781-3290-09,CLINDAMYCIN 900 MG/50ML SOLN 50 ML FLEX CONT,90.5,36.2,36.2,81.45,17
NDC,0781-3299-69,ENOXAPARIN SODIUM 150 MG/ML SOSY 1 ML SYRINGE,209.63,83.85,0.77,188.67,16
NDC,0781-3312-75,PALONOSETRON 0.25 MG/5ML SOLN 5 ML VIAL,1562.85,625.14,0.44,1406.57,16
NDC,0781-3315-70,OXALIPLATIN 50 MG/10ML SOLN 10 ML VIAL,1060.95,424.38,0.1,954.86,16
NDC,0781-3317-80,OXALIPLATIN 100 MG/20ML SOLN 20 ML VIAL,2121.9,848.76,0.1,1909.71,16
NDC,0781-3400-95,AMPICILLIN 125 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0781-3402-78,AMPICILLIN 250 MG SOLR 1 EACH VIAL,35.0,14.0,0.72,31.5,16
NDC,0781-3402-95,AMPICILLIN 250 MG SOLR 1 EACH VIAL,35.0,14.0,0.72,31.5,16
NDC,0781-3404-85,AMPICILLIN 1 G SOLR 1 EACH VIAL,43.2,17.28,17.28,38.88,17
NDC,0781-3404-95,AMPICILLIN 1 G SOLR 1 EACH VIAL,43.18,17.27,17.27,38.86,17
NDC,0781-3407-78,AMPICILLIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0781-3407-95,AMPICILLIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0781-3408-80,AMPICILLIN 2 G SOLR 1 EACH VIAL,83.75,33.5,33.5,75.38,17
NDC,0781-3408-95,AMPICILLIN 2 G SOLR 1 EACH VIAL,83.77,33.51,33.51,75.39,17
NDC,0781-3409-46,AMPICILLIN SODIUM 10 G SOLR 1 EACH VIAL,495.76,198.3,198.3,446.18,17
NDC,0781-3411-70,SUCCINYLCHOLINE 20 MG/ML SOLN 10 ML VIAL,119.9,47.96,1.2,107.91,16
NDC,0781-3411-95,SUCCINYLCHOLINE 20 MG/ML SOLN 10 ML VIAL,119.9,47.96,1.2,107.91,16
NDC,0781-3416-94,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,701.87,280.75,1.0,631.68,16
NDC,0781-3422-71,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0781-3422-92,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,0781-3440-71,COSYNTROPIN 0.25 MG SOLR 1 EACH VIAL,442.7,177.08,32.98,398.43,16
NDC,0781-3440-95,COSYNTROPIN 0.25 MG SOLR 1 EACH VIAL,442.7,177.08,32.98,398.43,16
NDC,0781-3451-70,CEFAZOLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0781-3451-96,CEFAZOLIN 1 G SOLR 1 EACH VIAL,37.5,15.0,15.0,33.75,17
NDC,0781-3458-95,PHENYLEPHRINE HCL 10 MG/ML SOLN 5 ML VIAL,137.5,55.0,55.0,123.75,17
NDC,0781-3481-70,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,719.9,287.96,0.49,647.91,16
NDC,0781-3481-92,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,719.9,287.96,0.49,647.91,16
NDC,0781-3494-95,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,268.75,107.5,107.5,241.88,17
NDC,0781-3532-01,FULVESTRANT 250 MG/5ML SOSY 5 ML SYRINGE,5017.34,2006.94,7.38,4515.61,16
NDC,0781-3532-12,FULVESTRANT 250 MG/5ML SOSY 5 ML SYRINGE,5017.34,2006.94,7.38,4515.61,16
NDC,0781-3755-75,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,113.8,45.52,45.52,102.42,17
NDC,0781-3755-95,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,113.8,45.52,45.52,102.42,17
NDC,0781-3829-75,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,68.75,27.5,0.98,61.88,17
NDC,0781-3829-96,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,68.75,27.5,0.98,61.88,17
NDC,0781-4003-32,LEUPROLIDE ACETATE 1 MG/0.2ML KIT 1 EACH BOX,3742.2,1496.88,66.85,3367.98,16
NDC,0781-5283-06,CETIRIZINE 5 MG CHEW 1 EACH,26.82,10.73,10.73,24.14,17
NDC,0781-5283-64,CETIRIZINE 5 MG CHEW 30 EACH BOX,26.82,10.73,10.73,24.14,17
NDC,0781-5325-31,BROMOCRIPTINE 2.5 MG TABS 30 EACH BOTTLE,31.34,12.54,12.54,28.21,17
NDC,0781-5784-31,ROPINIROLE HCL 6 MG TB24 30 EACH BOTTLE,41.03,16.41,16.41,36.93,17
NDC,0781-6014-70,BRINZOLAMIDE 1 % SUSP 10 ML BOTTLE,1683.65,673.46,673.46,1515.29,17
NDC,0781-6023-46,CLARITHROMYCIN 250 MG/5ML SUSR 100 ML BOTTLE,1003.72,401.49,401.49,903.35,17
NDC,0781-6104-46,AMOXICILLINCLAVULANATE 40057 MG/5ML SUSR 100 ML BOTTLE,344.5,137.8,137.8,310.05,17
NDC,0781-6136-94,PENICILLIN G POTASSIUM 20000000 UNITS SOLR 1 EACH VIAL,312.5,125.0,125.0,281.25,17
NDC,0781-6153-95,PENICILLIN G SODIUM 5000000 UNITS SOLR 1 EACH VIAL,287.99,115.2,115.2,259.19,17
NDC,0781-6157-46,AMOXICILLIN 400 MG/5ML SUSR 100 ML BOTTLE,49.0,19.6,19.6,44.1,17
NDC,0781-6186-67,CIPROFLOXACINDEXAMETHASONE 0.30.1 % SUSP 7.5 ML BOTTLE,1289.06,515.62,515.62,1160.15,17
NDC,0781-7077-87,METRONIDAZOLE 0.75 % GEL 70 G TUBE,702.93,281.17,281.17,632.64,17
NDC,0781-7133-54,ESTRADIOL 0.05 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
NDC,0781-7136-54,ESTRADIOL 0.075 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
NDC,0781-7296-85,ALBUTEROL 108 90 BASE MCG/ACT AERS 6.7 G INHALER,224.89,89.96,89.96,202.4,17
NDC,0781-7517-87,BUDESONIDE 1 MG/2ML SUSP 2 ML PLAS CONT,115.4,46.16,1.09,103.86,18
NDC,0781-8013-01,CLOBAZAM 10 MG TABS 100 EACH BOTTLE,11.45,4.58,4.58,10.31,17
NDC,0781-8016-01,CARBAMAZEPINE 100 MG TB12 100 EACH BOTTLE,5.73,2.29,2.29,5.16,17
NDC,0781-9242-78,AMPICILLIN 250 MG SOLR 1 EACH VIAL,35.0,14.0,0.72,31.5,16
NDC,0781-9407-95,AMPICILLIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,0813-0012-06,FERROUS FUMARATE 325 106 FE MG TABS 60 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0832-0310-11,VALPROIC ACID 250 MG CAPS 100 EACH BOTTLE,5.16,2.06,2.06,4.64,17
NDC,0832-0465-15,NYSTOP 100000 UNIT/GM POWD 15 G BOTTLE,187.28,74.91,74.91,168.55,17
NDC,0832-0465-30,NYSTOP 100000 UNIT/GM POWD 30 G BOTTLE,366.6,146.64,146.64,329.94,17
NDC,0832-0510-00,BETHANECHOL 5 MG TABS 100 EACH BOTTLE,4.51,1.8,1.8,4.06,17
NDC,0832-0511-01,BETHANECHOL 10 MG TABS 100 EACH BOX,10.01,4.0,4.0,9.01,17
NDC,0832-0511-89,BETHANECHOL 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,0832-0512-01,BETHANECHOL 25 MG TABS 100 EACH BOX,13.35,5.34,5.34,12.02,17
NDC,0832-0512-89,BETHANECHOL 25 MG TABS 1 EACH,13.35,5.34,5.34,12.02,17
NDC,0832-0541-11,BUMETANIDE 1 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
NDC,0832-0580-11,CLOBAZAM 10 MG TABS 100 EACH BOTTLE,91.53,36.61,36.61,82.38,17
NDC,0832-0740-60,PROPAFENONE 225 MG CP12 60 EACH BOTTLE,39.47,15.79,15.79,35.52,17
NDC,0832-0742-60,PROPAFENONE 425 MG CP12 60 EACH BOTTLE,50.0,20.0,20.0,45.0,17
NDC,0832-1211-01,WARFARIN 1 MG TABS 100 EACH BOX,3.08,1.23,1.23,2.77,17
NDC,0832-1211-89,WARFARIN 1 MG TABS 1 EACH,3.05,1.22,1.22,2.75,17
NDC,0832-1212-01,WARFARIN 2 MG TABS 100 EACH BOX,3.21,1.28,1.28,2.89,17
NDC,0832-1212-89,WARFARIN 2 MG TABS 1 EACH,3.2,1.28,1.28,2.88,17
NDC,0832-1213-01,WARFARIN 2.5 MG TABS 100 EACH BOX,3.3,1.32,1.32,2.97,17
NDC,0832-1213-89,WARFARIN 2.5 MG TABS 1 EACH,3.3,1.32,1.32,2.97,17
NDC,0832-1214-01,WARFARIN 3 MG TABS 100 EACH BOX,3.3,1.32,1.32,2.97,17
NDC,0832-1214-89,WARFARIN 3 MG TABS 1 EACH,3.3,1.32,1.32,2.97,17
NDC,0832-1215-01,WARFARIN 4 MG TABS 100 EACH BOX,3.3,1.32,1.32,2.97,17
NDC,0832-1215-89,WARFARIN 4 MG TABS 1 EACH,3.3,1.32,1.32,2.97,17
NDC,0832-1216-01,WARFARIN 5 MG TABS 100 EACH BOX,3.44,1.38,1.38,3.1,17
NDC,0832-1216-89,WARFARIN 5 MG TABS 1 EACH,3.45,1.38,1.38,3.11,17
NDC,0832-1217-01,WARFARIN 6 MG TABS 100 EACH BOX,4.43,1.77,1.77,3.99,17
NDC,0832-1218-01,WARFARIN 7.5 MG TABS 100 EACH BOX,4.61,1.84,1.84,4.15,17
NDC,0832-1218-89,WARFARIN 7.5 MG TABS 1 EACH,4.6,1.84,1.84,4.14,17
NDC,0832-1219-00,WARFARIN 10 MG TABS 100 EACH BOTTLE,4.75,1.9,1.9,4.28,17
NDC,0832-1219-89,WARFARIN 10 MG TABS 1 EACH,4.75,1.9,1.9,4.28,17
NDC,0832-1410-03,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,769.81,307.92,307.92,692.83,17
NDC,0832-1425-05,BRIMONIDINETIMOLOL 0.20.5 % SOLN 5 ML BOTTLE,1070.47,428.19,428.19,963.42,17
NDC,0832-1540-01,HALOPERIDOL 5 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
NDC,0832-1540-89,HALOPERIDOL 5 MG TABS 1 EACH,5.5,2.2,2.2,4.95,17
NDC,0832-5323-11,POTASSIUM CHLORIDE 10 MEQ TAB CR 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0832-6019-01,CHLORPROMAZINE 50 MG TABS 100 EACH BOX,75.22,30.09,30.09,67.7,17
NDC,0832-6019-89,CHLORPROMAZINE 50 MG TABS 1 EACH,75.2,30.08,30.08,67.68,17
NDC,0832-6020-01,CHLORPROMAZINE 100 MG TABS 100 EACH BOX,107.93,43.17,43.17,97.14,17
NDC,0832-6020-89,CHLORPROMAZINE 100 MG TABS 1 EACH,107.95,43.18,43.18,97.16,17
NDC,0832-6022-11,CARBAMAZEPINE 100 MG TB12 100 EACH BOTTLE,5.73,2.29,2.29,5.16,17
NDC,0832-6023-11,CARBAMAZEPINE 200 MG TB12 100 EACH BOTTLE,10.4,4.16,4.16,9.36,17
NDC,0832-6024-11,CARBAMAZEPINE 400 MG TB12 100 EACH BOTTLE,20.77,8.31,8.31,18.69,17
NDC,0832-6032-12,FLUOXETINE 20 MG/5ML SOLN 120 ML BOTTLE,12.24,4.9,4.9,11.02,17
NDC,0832-7123-01,DIVALPROEX 250 MG TBEC 100 EACH BOX,5.37,2.15,2.15,4.83,17
NDC,0832-7123-11,DIVALPROEX 250 MG TBEC 100 EACH BOTTLE,10.83,4.33,4.33,9.75,17
NDC,0832-7123-15,DIVALPROEX 250 MG TBEC 500 EACH BOTTLE,10.83,4.33,4.33,9.75,17
NDC,0832-7123-89,DIVALPROEX 250 MG TBEC 1 EACH BOX,5.37,2.15,2.15,4.83,17
NDC,0832-7124-01,DIVALPROEX 500 MG TBEC 100 EACH BOX,7.11,2.84,2.84,6.4,17
NDC,0832-7124-89,DIVALPROEX 500 MG TBEC 1 EACH BOX,7.11,2.84,2.84,6.4,17
NDC,0869-0063-30,CALAMINE 88 % LOTN 177 ML BOTTLE,8.85,3.54,3.54,7.97,17
NDC,0869-0088-10,IODINE 2 % TINC 30 ML BOTTLE,5.1,2.04,2.04,4.59,17
NDC,0884-6297-30,PHENOL 89 % SWAB 30 EACH PACKAGE,27.29,10.92,10.92,24.56,17
NDC,0904-0277-60,VITAMIN E 450 MG 1000 UT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-0430-04,DOXYCYCLINE 100 MG TABS 30 EACH BOX,22.73,9.09,9.09,20.46,17
NDC,0904-0523-61,ASCORBIC ACID 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-0530-61,TABAVITE/BETA CAROTENE TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-0539-61,MULTIVITAMIN TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-0788-16,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-1315-46,BISMUTH SUBSALICYLATE 262 MG CHEW 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-1883-61,CALCIUM CARBONATE OYSTER SHELL 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-2051-59,DIMENHYDRINATE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-2056-61,DIPHENHYDRAMINE 50 MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-2085-60,VITAMIN A 3 MG 10000 UT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-3865-75,SALINE SPRAY 0.65 % SOLN 44 ML BOTTLE,5.72,2.29,2.29,5.15,17
NDC,0904-4040-73,ASPIRIN 81 MG CHEW 36 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0904-5053-59,PSEUDOEPHEDRINE 30 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-5135-59,ASPIRINACETAMINOPHENCAFFEINE 25025065 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-5154-60,GUAIFENESIN 200 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0904-5306-61,DIPHENHYDRAMINE 25 MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-5309-09,IBUPROFEN 100 MG/5ML SUSP 240 ML BOTTLE,11.16,4.46,4.46,10.04,17
NDC,0904-5313-60,PRENATAL 1 TAB TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-5448-61,PENTOXIFYLLINE 400 MG TAB CR 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-5492-80,MULTIVITAMIN TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-5502-61,ENALAPRIL 5 MG TABS 100 EACH BOX,7.72,3.09,3.09,6.95,17
NDC,0904-5529-87,FAMOTIDINE 10 MG TABS 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-5609-61,ENALAPRIL 2.5 MG TABS 100 EACH BOX,7.29,2.92,2.92,6.56,17
NDC,0904-5611-61,ENALAPRIL 20 MG TABS 100 EACH BOX,11.48,4.59,4.59,10.33,17
NDC,0904-5676-61,PAROXETINE 10 MG TABS 100 EACH BOX,14.07,5.63,5.63,12.66,17
NDC,0904-5784-61,FLUOXETINE 10 MG CAPS 100 EACH BOX,12.1,4.84,4.84,10.89,17
NDC,0904-5785-61,FLUOXETINE 20 MG CAPS 100 EACH BOX,12.42,4.97,4.97,11.18,17
NDC,0904-5789-61,ACYCLOVIR 200 MG CAPS 100 EACH BOX,7.65,3.06,3.06,6.89,17
NDC,0904-5790-61,ACYCLOVIR 400 MG TABS 100 EACH BOX,10.84,4.34,4.34,9.76,17
NDC,0904-5853-61,IBUPROFEN 400 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-5855-60,IBUPROFEN 800 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-5855-61,IBUPROFEN 800 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-5891-61,PRAVASTATIN 10 MG TABS 100 EACH BOX,14.47,5.79,5.79,13.02,17
NDC,0904-5892-61,PRAVASTATIN 20 MG TABS 100 EACH BOX,12.48,4.99,4.99,11.23,17
NDC,0904-5921-61,DIGOXIN 0.125 MG TABS 100 EACH BOX,8.43,3.37,3.37,7.59,17
NDC,0904-5922-61,DIGOXIN 0.25 MG TABS 100 EACH BOX,8.43,3.37,3.37,7.59,17
NDC,0904-6007-61,LORAZEPAM 0.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6008-61,LORAZEPAM 1 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6009-61,LORAZEPAM 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6082-61,ZOLPIDEM 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6084-61,CITALOPRAM 10 MG TABS 100 EACH BOX,12.14,4.86,4.86,10.93,17
NDC,0904-6085-61,CITALOPRAM 20 MG TABS 100 EACH BOX,13.47,5.39,5.39,12.12,17
NDC,0904-6172-61,CARBAMAZEPINE 200 MG TABS 100 EACH BOX,5.6,2.24,2.24,5.04,17
NDC,0904-6221-61,URSODIOL 300 MG CAPS 100 EACH BOX,26.36,10.54,10.54,23.72,17
NDC,0904-6255-49,BENZOCAINEMENTHOL 18 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6271-08,ZIPRASIDONE 60 MG CAPS 40 EACH BOX,54.39,21.76,21.76,48.95,17
NDC,0904-6272-08,ZIPRASIDONE 80 MG CAPS 40 EACH BOX,54.39,21.76,21.76,48.95,17
NDC,0904-6283-61,OLANZAPINE 2.5 MG TABS 100 EACH BOX,55.99,22.4,22.4,50.39,17
NDC,0904-6290-61,ATORVASTATIN 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6291-61,ATORVASTATIN 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6292-61,ATORVASTATIN 40 MG TABS 100 EACH BOX,3.46,1.38,1.38,3.11,17
NDC,0904-6294-61,CLOPIDOGREL 75 MG TABS 100 EACH BOX,21.81,8.72,8.72,19.63,17
NDC,0904-6300-61,CARVEDILOL 3.125 MG TABS 100 EACH BOX,10.51,4.2,4.2,9.46,17
NDC,0904-6301-61,CARVEDILOL 6.25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6302-61,CARVEDILOL 12.5 MG TABS 100 EACH BOX,10.51,4.2,4.2,9.46,17
NDC,0904-6303-61,CARVEDILOL 25 MG TABS 100 EACH BOX,10.51,4.2,4.2,9.46,17
NDC,0904-6351-61,LEVOFLOXACIN 250 MG TABS 100 EACH BOX,73.63,29.45,29.45,66.27,17
NDC,0904-6352-61,LEVOFLOXACIN 500 MG TABS 100 EACH BOX,84.11,33.64,33.64,75.7,17
NDC,0904-6353-61,LEVOFLOXACIN 750 MG TABS 100 EACH BOX,123.07,49.23,49.23,110.76,17
NDC,0904-6358-61,RISPERIDONE 0.5 MG TABS 100 EACH BOX,19.66,7.86,7.86,17.69,17
NDC,0904-6359-61,RISPERIDONE 1 MG TABS 100 EACH BOX,22.82,9.13,9.13,20.54,17
NDC,0904-6360-61,RISPERIDONE 2 MG TABS 100 EACH BOX,35.3,14.12,14.12,31.77,17
NDC,0904-6361-61,RISPERIDONE 3 MG TABS 100 EACH BOX,41.52,16.61,16.61,37.37,17
NDC,0904-6363-45,DIVALPROEX 250 MG TB24 80 EACH BOX,9.73,3.89,3.89,8.76,17
NDC,0904-6369-61,AMLODIPINE 2.5 MG TABS 100 EACH BOX,7.97,3.19,3.19,7.17,17
NDC,0904-6370-61,AMLODIPINE 5 MG TABS 100 EACH BOX,8.22,3.29,3.29,7.4,17
NDC,0904-6371-61,AMLODIPINE 10 MG TABS 100 EACH BOX,11.28,4.51,4.51,10.15,17
NDC,0904-6373-61,ROPINIROLE 0.25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6374-61,ROPINIROLE 1 MG TABS 100 EACH BOX,3.4,1.36,1.36,3.06,17
NDC,0904-6376-61,OLANZAPINE 10 MG TABS 100 EACH BOX,66.08,26.43,26.43,59.47,17
NDC,0904-6377-61,OLANZAPINE 5 MG TABS 100 EACH BOX,66.08,26.43,26.43,59.47,17
NDC,0904-6407-61,BISACODYL 5 MG TBEC 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-6412-92,CALCIUM CARBONATE 500 MG CHEW 150 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,0904-6418-61,TIZANIDINE 4 MG TABS 100 EACH BOX,8.82,3.53,3.53,7.94,17
NDC,0904-6426-61,ESCITALOPRAM 10 MG TABS 100 EACH BOX,21.91,8.76,8.76,19.72,17
NDC,0904-6427-61,ESCITALOPRAM 20 MG TABS 100 EACH BOX,22.86,9.14,9.14,20.57,17
NDC,0904-6440-61,HYDRALAZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6442-61,HYDRALAZINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6449-61,ISOSORBIDE MONONITRATE 30 MG TB24 100 EACH BOX,8.3,3.32,3.32,7.47,17
NDC,0904-6450-61,ISOSORBIDE MONONITRATE 60 MG TB24 100 EACH BOX,10.13,4.05,4.05,9.12,17
NDC,0904-6461-61,PROMETHAZINE 25 MG TABS 100 EACH BOX,4.76,1.9,1.9,4.28,17
NDC,0904-6475-61,BACLOFEN 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6477-61,DONEPEZIL 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6488-38,LUBRIFRESH P.M. OINT 3.5 G TUBE,32.36,12.94,12.94,29.12,17
NDC,0904-6501-61,FLUCONAZOLE 200 MG TABS 100 EACH BOX,81.73,32.69,32.69,73.56,17
NDC,0904-6505-61,MEMANTINE 5 MG TABS 100 EACH BOTTLE,4.77,1.91,1.91,4.29,17
NDC,0904-6506-61,MEMANTINE 10 MG TABS 100 EACH BOX,4.77,1.91,1.91,4.29,17
NDC,0904-6522-61,SENNA 8.6 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6530-61,METHADONE 10 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6550-61,PROPRANOLOL 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6557-61,MORPHINE SULFATE ER 15 MG TAB CR 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6575-61,PHENOBARBITAL 32.4 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6617-61,HYDROXYZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6618-61,HYDROXYZINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6619-61,ISOSORBIDE DINITRATE 10 MG TABS 100 EACH BOX,3.66,1.46,1.46,3.29,17
NDC,0904-6639-61,QUETIAPINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6665-61,GABAPENTIN 100 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6709-61,GLYCOPYRROLATE 1 MG TABS 100 EACH BOX,6.5,2.6,2.6,5.85,17
NDC,0904-6730-61,ACETAMINOPHEN 500 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-6773-61,ACETAMINOPHEN 325 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-6791-04,MODAFINIL 100 MG TABS 30 EACH BOX,55.94,22.38,22.38,50.35,17
NDC,0904-6792-04,MODAFINIL 200 MG TABS 30 EACH BOX,59.9,23.96,23.96,53.91,17
NDC,0904-6794-30,ASPIRIN 81 MG CHEW 300 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-6797-61,LISINOPRIL 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6798-61,LISINOPRIL 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6799-61,LISINOPRIL 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6808-61,MONTELUKAST 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6830-61,FINASTERIDE 5 MG TABS 100 EACH BOX,6.19,2.48,2.48,5.57,17
NDC,0904-6860-61,DIVALPROEX 250 MG TBEC 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6861-61,DIVALPROEX 500 MG TBEC 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6861-90,DIVALPROEX 500 MG TBEC 90 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6869-61,TRAZODONE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6917-61,OMEPRAZOLE 20 MG CPDR 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6928-61,TOPIRAMATE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-6931-86,POLYETHYLENE GLYCOL 17 G PACK 1 EACH PACKET,8.35,3.34,3.34,7.52,17
NDC,0904-6938-06,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 50 EACH BOX,10.84,4.34,4.34,9.76,17
NDC,0904-6966-61,OXYCODONE 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-6985-20,DIPHENHYDRAMINE 12.5 MG/5ML LIQD 118 ML BOTTLE,4.25,1.7,1.7,3.83,17
NDC,0904-6992-61,PREGABALIN 50 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7002-61,PREGABALIN 150 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7020-61,PRAZOSIN 1 MG CAPS 100 EACH BOX,8.1,3.24,3.24,7.29,17
NDC,0904-7024-04,VORICONAZOLE 200 MG TABS 30 EACH BOX,132.1,52.84,52.84,118.89,17
NDC,0904-7027-61,OXYBUTYNIN 5 MG TABS 100 EACH BOX,3.6,1.44,1.44,3.24,17
NDC,0904-7041-61,ALLOPURINOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7043-61,DULOXETINE 20 MG CPEP 100 EACH BOX,9.63,3.85,3.85,8.67,17
NDC,0904-7045-61,DULOXETINE 60 MG CPEP 100 EACH BOX,8.62,3.45,3.45,7.76,17
NDC,0904-7046-61,HYDROXYCHLOROQUINE 200 MG TABS 100 EACH BOX,8.34,3.34,3.34,7.51,17
NDC,0904-7050-60,FEXOFENADINE 180 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0904-7058-61,METHOCARBAMOL 750 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7082-06,NIFEDIPINE 90 MG TB24 50 EACH BOX,5.19,2.08,2.08,4.67,17
NDC,0904-7083-61,CIPROFLOXACIN 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7084-04,BUPROPION 150 MG TB24 30 EACH BOX,7.9,3.16,3.16,7.11,17
NDC,0904-7103-10,EZETIMIBE 10 MG TABS 20 EACH BOX,31.95,12.78,12.78,28.76,17
NDC,0904-7109-61,LABETALOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7121-61,BUSPIRONE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7122-61,BUSPIRONE 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7124-61,LEVETIRACETAM 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7125-61,LEVETIRACETAM 750 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7133-61,CHLORPROMAZINE 200 MG TABS 100 EACH BOX,69.0,27.6,27.6,62.1,17
NDC,0904-7137-61,NITROFURANTOIN MACROCRYSTALMONOHYDRATE 100 MG CAPS 100 EACH BOX,13.85,5.54,5.54,12.47,17
NDC,0904-7140-04,GUANFACINE 1 MG TABS 30 EACH BOX,9.65,3.86,3.86,8.69,17
NDC,0904-7144-61,DRONABINOL 2.5 MG CAPS 100 EACH BOX,50.98,20.39,20.39,45.88,17
NDC,0904-7145-04,DRONABINOL 5 MG CAPS 30 EACH BOX,103.16,41.26,41.26,92.84,17
NDC,0904-7156-61,METRONIDAZOLE 250 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7159-61,FLUPHENAZINE 5 MG TABS 100 EACH BOX,45.3,18.12,18.12,40.77,17
NDC,0904-7162-61,METFORMIN 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7165-07,AMINOCAPROIC ACID 500 MG TABS 30 EACH BOX,159.2,63.68,63.68,143.28,17
NDC,0904-7172-07,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOX,11.68,4.67,0.45,10.51,32
NDC,0904-7177-61,FUROSEMIDE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7178-61,FUROSEMIDE 40 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7179-61,TRAMADOL 50 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7183-61,DOCUSATE SODIUM 100 MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-7193-61,FAMOTIDINE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7194-61,CLINDAMYCIN 300 MG CAPS 100 EACH BOX,6.54,2.62,2.62,5.89,17
NDC,0904-7199-07,PHENYTOIN 50 MG CHEW 30 EACH BOX,7.84,3.14,3.14,7.06,17
NDC,0904-7200-61,LISINOPRIL 40 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7205-46,BISMUTH SUBSALICYLATE 262 MG CHEW 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7208-06,NIFEDIPINE 30 MG TB24 50 EACH BOX,5.77,2.31,2.31,5.19,17
NDC,0904-7208-61,NIFEDIPINE 30 MG TB24 100 EACH BOX,5.71,2.28,2.28,5.14,17
NDC,0904-7214-61,BUPROPION 150 MG TB12 100 EACH BOX,3.52,1.41,1.41,3.17,17
NDC,0904-7216-61,POTASSIUM CHLORIDE 10 MEQ TAB CR 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7219-61,DILTIAZEM 240 MG CP24 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7225-04,NEBIVOLOL 2.5 MG TABS 30 EACH BOX,15.96,6.38,6.38,14.36,17
NDC,0904-7227-61,CLONAZEPAM 0.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7229-61,NIFEDIPINE 10 MG CAPS 100 EACH BOX,6.46,2.58,2.58,5.81,17
NDC,0904-7236-61,MEGESTROL 40 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7237-61,DIPHENHYDRAMINE 25 MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-7239-61,SODIUM CHLORIDE 1 G TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7243-61,CIPROFLOXACIN 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7244-68,LACOSAMIDE 50 MG TABS 60 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7252-61,SENNA 8.6 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7253-68,DABIGATRAN ETEXILATE MESYLATE 75 MG CAPS 60 EACH BOX,18.96,7.58,7.58,17.06,17
NDC,0904-7257-61,CARBIDOPALEVODOPA 25100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7276-70,NYSTATIN 100000 UNIT/ML SUSP 5 ML CUP,7.15,2.86,2.86,6.44,17
NDC,0904-7279-66,DOCUSATE SODIUM 150 MG/15ML LIQD 10 ML CUP,2.06,0.82,0.82,1.85,17
NDC,0904-7279-72,DOCUSATE 50 MG/5ML LIQD 10 ML CUP,2.06,0.82,0.82,1.85,17
NDC,0904-7289-61,BENZTROPINE 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7302-24,TRIPROLIDINEPSEUDOEPHEDRINE 2.560 MG TABS 24 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7304-61,PROMETHAZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7305-61,CARVEDILOL 3.125 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7306-61,CARVEDILOL 6.25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7307-61,CARVEDILOL 12.5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7308-61,CARVEDILOL 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7325-62,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 30 ML CUP,20.85,8.34,8.34,18.77,17
NDC,0904-7325-73,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 30 ML BOX,20.85,8.34,8.34,18.77,17
NDC,0904-7337-06,CEPHALEXIN 500 MG CAPS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7345-61,FLUOXETINE 10 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7346-61,FLUOXETINE 20 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7355-04,LURASIDONE 20 MG TABS 30 EACH BOX,4.17,1.67,1.67,3.75,17
NDC,0904-7356-61,LURASIDONE 40 MG TABS 100 EACH BOX,5.55,2.22,2.22,5.0,17
NDC,0904-7362-61,RISPERIDONE 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7363-61,RISPERIDONE 2 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7366-04,ARIPIPRAZOLE 2 MG TABS 30 EACH BOX,9.0,3.6,3.6,8.1,17
NDC,0904-7367-61,ARIPIPRAZOLE 5 MG TABS 100 EACH BOX,34.11,13.64,13.64,30.7,17
NDC,0904-7368-61,ARIPIPRAZOLE 10 MG TABS 100 EACH BOX,5.7,2.28,2.28,5.13,17
NDC,0904-7370-04,ARIPIPRAZOLE 20 MG TABS 30 EACH BOX,13.7,5.48,5.48,12.33,17
NDC,0904-7402-67,BACITRACIN 500 UNIT/GM OINT 0.9 G PACKAGE,3.0,1.2,1.2,2.7,17
NDC,0904-7418-44,MAGNESIUM CITRATE SOLN 296 ML BOTTLE,8.88,3.55,3.55,7.99,17
NDC,0904-7440-61,SENNADOCUSATE 8.650 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7450-61,HYDRALAZINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7459-53,ATOVAQUONE 750 MG/5ML SUSP 5 ML CUP,88.85,35.54,35.54,79.97,17
NDC,0904-7465-61,BUPROPION 150 MG TB12 100 EACH BOX,4.27,1.71,1.71,3.84,17
NDC,0904-7470-72,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,18.15,7.26,7.26,16.34,17
NDC,0904-7472-61,LOPERAMIDE 2 MG CAPS 100 EACH BOX,4.03,1.61,1.61,3.63,17
NDC,0904-7496-61,TRAMADOL 50 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7505-04,BUPROPION 150 MG TB24 30 EACH BOX,7.9,3.16,3.16,7.11,17
NDC,0904-7507-61,ACYCLOVIR 400 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7509-30,ASPIRIN 81 MG CHEW 300 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-7510-61,CETIRIZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,0904-7591-60,FERROUS SULFATE 325 65 FE MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,0904-7591-61,FERROUS SULFATE 325 65 FE MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0904-7728-61,CLONAZEPAM 1 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,0904-7751-27,DERMACERIN CREA 454 G JAR,24.97,9.99,9.99,22.47,17
NDC,0904-7914-61,IBUPROFEN 200 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,0941-0409-01,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 6000 ML FLEX CONT,386.4,154.56,154.56,347.76,17
NDC,0941-0409-05,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 3000 ML FLEX CONT,345.0,138.0,138.0,310.5,17
NDC,0941-0411-04,DIANEAL PD2/1.5% DEXTROSE 346 MOSM/L SOLN 3000 ML FLEX CONT,345.0,138.0,138.0,310.5,17
NDC,0941-0411-06,DIANEAL PD2/1.5% DEXTROSE 346 MOSM/L SOLN 2000 ML FLEX CONT,200.0,80.0,80.0,180.0,17
NDC,0941-0411-11,DIANEAL PD2/1.5% DEXTROSE 346 MOSM/L SOLN 6000 ML FLEX CONT,386.4,154.56,154.56,347.76,17
NDC,0941-0424-51,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 1500 ML PLAS CONT,330.0,132.0,132.0,297.0,17
NDC,0941-0424-52,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 2000 ML FLEX CONT,310.0,124.0,124.0,279.0,17
NDC,0941-0424-53,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 2500 ML PLAS CONT,337.5,135.0,135.0,303.75,17
NDC,0941-0424-55,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 3000 ML PLAS CONT,375.0,150.0,150.0,337.5,17
NDC,0941-0457-01,DIANEAL LOCAL 2.5% 395 MOSM/L SOLN 6000 ML FLEX CONT,386.4,154.56,154.56,347.76,17
NDC,0942-0641-04,CITRATE DEXTROSE 0.732.452.2 GM/100ML SOLN 1000 ML PLAS CONT,60.0,24.0,24.0,54.0,17
NDC,0942-9504-10,ANTICOAGULANT SODIUM CITRATE 4 % SOLN 500 ML PLAS CONT,60.0,24.0,24.0,54.0,17
NDC,0944-0493-01,ALBUMIN HUMAN 25 % SOLN 50 ML FLEX CONT,347.25,138.9,53.32,312.53,32
NDC,0944-0493-03,ALBUMIN HUMAN 25 % SOLN 50 ML FLEX CONT,347.25,138.9,53.32,312.53,32
NDC,0944-0495-05,ALBUMIN HUMAN 5 % SOLN 250 ML FLEX CONT,347.5,139.0,41.9,312.75,32
NDC,0944-0495-06,ALBUMIN HUMAN 5 % SOLN 250 ML FLEX CONT,347.5,139.0,41.9,312.75,32
NDC,0944-2656-03,GAMMAGARD S/D LESS IGA 5 G SOLR 1 EACH VIAL,5736.02,2294.41,61.9,5162.42,32
NDC,0944-2658-04,GAMMAGARD S/D LESS IGA 10 G SOLR 1 EACH VIAL,11472.05,4588.82,61.9,10324.85,32
NDC,0944-2700-02,IMMUNE GLOBULIN 1 GM/10ML SOLN 10 ML VIAL,963.84,385.54,47.29,867.46,32
NDC,0944-2700-04,IMMUNE GLOBULIN 5 GM/50ML SOLN 50 ML VIAL,4400.13,1760.05,47.29,3960.12,32
NDC,0944-2700-05,IMMUNE GLOBULIN 10 GM/100ML SOLN 100 ML GLASS CONT,8800.26,3520.1,47.29,7920.23,32
NDC,0944-2700-06,IMMUNE GLOBULIN 20 GM/200ML SOLN 200 ML GLASS CONT,17600.52,7040.21,47.29,15840.47,32
NDC,0944-2841-10,ANTIHEMOPHILIC FACTOR RECOMB 220400 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
NDC,0944-2842-10,ANTIHEMOPHILIC FACTOR RECOMB 401800 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
NDC,0944-2843-10,ANTIHEMOPHILIC FACTOR RECOMB 8011240 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
NDC,0944-2844-10,ANTIHEM FACTOR RECOMB RFVIII 12411800 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
NDC,0944-3026-02,COAGULATION FACTOR IX RECOMB 250 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.72,31.5,26
NDC,0944-3028-02,COAGULATION FACTOR IX RECOMB 500 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.72,31.5,26
NDC,0944-3032-02,COAGULATION FACTOR IX RECOMB 2000 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.72,31.5,26
NDC,0944-3045-10,ANTIHEMOPHIL FACTOR RAHFPFM 2000 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
NDC,0944-3051-02,RECOMBINANT FACTOR VIII/ANTIHEMOPHILIC FACTOR RAHFPFM 250 UNITS SOLR 1 EACH,35.0,14.0,1.32,31.5,32
NDC,0944-3052-02,ANTIHEMOPHIL FACTOR RAHFPFM 500 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.32,31.5,32
NDC,0944-3053-02,ANTIHEMOPHIL FACTOR RAHFPFM 1000 UNITS SOLR 1 EACH VIAL,11.75,4.7,1.32,10.58,32
NDC,0944-3054-02,ANTIHEMOPHIL FACTOR RAHFPFM 1500 UNITS SOLR 1 EACH VIAL,11.75,4.7,1.32,10.58,32
NDC,0944-4179-10,PROTEIN C CONCENTRATE HUMAN 1000 UNITS SOLR 1 EACH VIAL,35.0,14.0,13.5,37.68,32
NDC,0955-1020-01,DOCETAXEL 20 MG/ML CONC 1 ML VIAL,601.68,240.67,0.78,541.51,16
NDC,0955-1021-04,DOCETAXEL 80 MG/4ML CONC 4 ML VIAL,2401.2,960.48,0.78,2161.08,16
NDC,0955-1729-01,INSULIN GLARGINE 100 UNIT/ML SOLN 10 ML VIAL,626.06,250.42,250.42,563.45,17
NDC,0990-7077-14,POTASSIUM CHLORIDE 20 MEQ/50ML SOLN 50 ML FLEX CONT,31.5,12.6,12.6,28.35,17
NDC,0990-7077-26,POTASSIUM CHLORIDE 40 MEQ/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,0990-7116-09,0.9 % NACL WITH KCL 40 MEQ 400.9 MEQ/L% SOLN 1000 ML FLEX CONT,55.0,22.0,22.0,49.5,17
NDC,0990-7715-03,MANNITOL 20 % SOLN 500 ML FLEX CONT,115.0,46.0,46.0,103.5,17
NDC,0990-7715-13,MANNITOL 20 % SOLN 500 ML FLEX CONT,115.0,46.0,46.0,103.5,17
NDC,0990-7924-09,DEXTROSE 5 % AND 0.2 % NACL 50.225 % SOLN 1000 ML FLEX CONT,45.0,18.0,18.0,40.5,17
NDC,0990-7930-02,DEXTROSE 10 % SOLN 250 ML FLEX CONT,33.75,13.5,13.5,30.38,17
NDC,0990-7935-19,DEXTROSE 20 % SOLN 500 ML FLEX CONT,95.0,38.0,20.06,85.5,18
NDC,0990-7936-19,DEXTROSE 50 % SOLN 500 ML FLEX CONT,107.5,43.0,43.0,96.75,17
NDC,0990-7941-03,DEXTROSE 5 % AND 0.9 % NACL 50.9 % SOLN 500 ML FLEX CONT,32.5,13.0,13.0,29.25,17
NDC,0990-7941-09,DEXTROSE 5 % AND 0.9 % NACL 50.9 % SOLN 1000 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,10006-70020,NIACIN 250 MG CPCR 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,10006-70028,MAGNESIUM OXIDE 400 240 MG MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,10019-055-61,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,715.3,286.12,286.12,643.77,17
NDC,10019-075-87,ESMOLOL 2000 MG/100ML SOLN 100 ML FLEX CONT,2539.74,1015.9,1015.9,2285.77,17
NDC,10019-120-01,ESMOLOL HCL 100 MG/10ML SOLN 10 ML VIAL,72.95,29.18,29.18,65.66,17
NDC,10019-120-39,ESMOLOL HCL 100 MG/10ML SOLN 10 ML VIAL,72.95,29.18,29.18,65.66,17
NDC,10019-553-04,SCOPOLAMINE 1 MG/3DAYS PT72 24 EACH BOX,127.78,51.11,51.11,115.0,17
NDC,10019-553-90,SCOPOLAMINE 1 MG/3DAYS PT72 1 EACH PACKAGE,127.78,51.11,51.11,115.0,17
NDC,10019-926-02,IFOSFAMIDE 3 G SOLR 1 EACH VIAL,593.63,237.45,32.76,534.27,16
NDC,10019-953-01,MESNA 100 MG/ML SOLN 10 ML VIAL,150.0,60.0,2.42,135.0,16
NDC,10019-955-01,CYCLOPHOSPHAMIDE 500 MG SOLR 1 EACH VIAL,2021.7,808.68,0.58,1819.53,32
NDC,10019-956-01,CYCLOPHOSPHAMIDE 1 G SOLR 1 EACH VIAL,2366.2,946.48,0.58,2129.58,32
NDC,10019-957-01,CYCLOPHOSPHAMIDE 2 G SOLR 1 EACH VIAL,7383.6,2953.44,0.58,6645.24,32
NDC,10119-00252,EYE WASH SOLN 118 ML BOTTLE,6.02,2.41,2.41,5.42,17
NDC,10122-180-02,VELMANASE ALFATYCV 10 MG SOLR 1 EACH VIAL,22784.16,9113.66,378.0,20505.74,32
NDC,10122-510-01,PORACTANT ALFA 120 MG/1.5ML SUSP 1.5 ML VIAL,3166.68,1266.67,1266.67,2850.01,17
NDC,10122-510-03,PORACTANT ALFA 240 MG/3ML SUSP 3 ML VIAL,6244.35,2497.74,2497.74,5619.92,17
NDC,10122-610-10,CLEVIDIPINE 25 MG/50ML EMUL 50 ML VIAL,501.17,200.47,200.47,451.05,15
NDC,10122-611-01,CLEVIDIPINE 50 MG/100ML EMUL 100 ML VIAL,1002.34,400.94,400.94,902.11,15
NDC,10122-611-10,CLEVIDIPINE 50 MG/100ML EMUL 100 ML VIAL,1002.34,400.94,400.94,902.11,15
NDC,10122-820-56,TOBRAMYCIN 300 MG/4ML NEBU 4 ML PLAS CONT,609.74,243.9,15.68,548.77,16
NDC,10147-1700-3,ITRACONAZOLE 100 MG CAPS 30 EACH BOTTLE,46.39,18.56,18.56,41.75,17
NDC,10223-0201-3,BUTAMBENTETRACAINEBENZOCAINE 2214 % AEROSOL 20 G BOTTLE,775.56,310.22,310.22,698.0,17
NDC,10310-28340,BENZOCAINEMENTHOLZINC CL 200.260.15 % GEL 7 G TUBE,31.26,12.5,12.5,28.13,17
NDC,10370-102-03,BUPROPION 300 MG TB24 30 EACH BOTTLE,23.84,9.54,9.54,21.46,17
NDC,10454-710-10,RIMABOTULINUMTOXINB 2500 UNIT/0.5ML SOLN 0.5 ML VIAL,1752.83,701.13,12.65,1577.55,32
NDC,10454-711-10,BOTULINUM TOXIN TYPE B 5000 UNIT/ML SOLN 1 ML VIAL,1752.83,701.13,12.65,1577.55,32
NDC,10572-302-01,POLYETHYLENE GLYCOLELECTROLYTES 420 G SOLR 4000 ML BOTTLE,160.0,64.0,64.0,144.0,16
NDC,10631-206-01,METFORMIN HCL 500 MG/5ML SOLN 118 ML BOTTLE,915.7,366.28,366.28,824.13,17
NDC,10702-002-01,PROMETHAZINE 12.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,10702-004-01,PROMETHAZINE 50 MG TABS 100 EACH BOTTLE,3.88,1.55,1.55,3.49,17
NDC,10702-010-01,HYDROXYZINE 10 MG TABS 100 EACH BOTTLE,3.17,1.27,1.27,2.85,17
NDC,10702-013-01,BETAXOLOL 10 MG TABS 100 EACH BOTTLE,6.22,2.49,2.49,5.6,17
NDC,10702-106-01,DEXMETHYLPHENIDATE 2.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,10702-107-01,DEXMETHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,10742-05250,PHISODERM BABY WASH LIQD 236 ML BOTTLE,18.8,7.52,7.52,16.92,17
NDC,10939-90544,ZINC 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,11509-21217,BENZOCAINEMENTHOL 18 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,11509-21265,MENTHOLCETYLPYRIDINIUM 3 MG LOZG 9 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,11523-7268-8,POLYETHYLENE GLYCOL 17 G PACK 24 EACH BOX,6.79,2.72,2.72,6.11,17
NDC,11528-010-01,ESTROGENS CONJUGATEDMETHYLTESTOSTERONE 1.252.5 MG TABS 100 EACH BOTTLE,18.0,7.2,7.2,16.2,17
NDC,11701-045-14,MICONAZOLE 2 % CREA 142 G TUBE,49.7,19.88,19.88,44.73,17
NDC,11701-045-23,MICONAZOLE 2 % CREA 57 G TUBE,30.5,12.2,12.2,27.45,17
NDC,11822-5059-50,IBUPROFEN 100 MG/5ML SUSP 118 ML BOTTLE,7.26,2.9,2.9,6.53,17
NDC,11822-5381-20,RA CLOTRIMAZOLE 1 % CREA 15 G TUBE,35.93,14.37,14.37,32.34,17
NDC,11845-14315,FERROUS SULFATE DRIED 160 50 FE MG TAB CR 60 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,11917-10927,GLUCOSE 40 % GEL 38 G TUBE,16.72,6.69,6.69,15.05,17
NDC,11917-15907,BENZOCAINEMENTHOL 25 EACH BAG,3.0,1.2,1.2,2.7,17
NDC,11917-16939,MINERAL OILHYDROPHILIC PETROLATUM OINT 85 G TUBE,37.4,14.96,14.96,33.66,17
NDC,11980-174-10,PREDNISOLONE ACETATE 0.12 % SUSP 10 ML BOTTLE,1770.86,708.34,708.34,1593.77,17
NDC,11980-779-05,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,684.8,273.92,273.92,616.32,17
NDC,12165-100-01,SILVER NITRATE 7525 % MISC 100 EACH TUBE,3.0,1.2,1.2,2.7,17
NDC,12165-100-03,SILVER NITRATE 7525 % MISC 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,12496-1208-3,BUPRENORPHINENALOXONE 82 MG FILM 30 EACH BOX,53.88,21.55,1.96,48.49,17
NDC,12539-02082,ARGININE 500 MG PACK 30 EACH BOX,27.69,11.08,11.08,24.92,17
NDC,12539-02089,LCITRULLINE 1 G PACK 30 EACH BOX,27.69,11.08,11.08,24.92,17
NDC,12547-17021,DIPHENHYDRAMINE 25 MG CAPS 24 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,12547-23813,POLYSPORIN 50010000 UNIT/GM OINT 144 EACH PACKET,3.0,1.2,1.2,2.7,17
NDC,12547-23850,DOUBLE ANTIBIOTIC 50010000 UNIT/GM OINT 14.2 G TUBE,30.1,12.04,12.04,27.09,17
NDC,12870-0001-1,SILVER NITRATE 7525 % MISC 100 EACH BOX,4.53,1.81,1.81,4.08,17
NDC,13107-001-30,MIRTAZAPINE 7.5 MG TABS 30 EACH BOTTLE,13.17,5.27,5.27,11.85,17
NDC,13107-014-01,GLYCOPYRROLATE 1 MG TABS 100 EACH BOTTLE,6.57,2.63,2.63,5.91,17
NDC,13107-019-01,HYDROCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-019-05,HYDROCODONEACETAMINOPHEN 5325 MG TABS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-055-01,OXYCODONE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-056-01,OXYCODONE 15 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-068-01,AMPHETAMINEDEXTROAMPHETAMINE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-083-01,LORAZEPAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-083-05,LORAZEPAM 0.5 MG TABS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-084-01,LORAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-085-01,LORAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,13107-319-01,CLORAZEPATE 3.75 MG TABS 100 EACH BOTTLE,10.16,4.06,4.06,9.14,17
NDC,13107-320-01,CLORAZEPATE 7.5 MG TABS 100 EACH BOTTLE,14.22,5.69,5.69,12.8,17
NDC,13107-321-01,CLORAZEPATE 15 MG TABS 100 EACH BOTTLE,23.38,9.35,9.35,21.04,17
NDC,13533-318-01,RABIES IMMUNE GLOBULIN 300 UNIT/ML SOLN 1 ML VIAL,2498.79,999.52,281.19,2248.91,32
NDC,13533-318-05,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML SOLN 5 ML VIAL,12493.98,4997.59,281.19,11244.58,32
NDC,13533-603-20,ANTITHROMBIN III HUMAN 500 UNITS SOLR 1 EACH VIAL,35.0,14.0,3.73,31.5,32
NDC,13533-606-12,ANTITHROMBIN III HUMAN 500 UNITS SOLR 1 EACH VIAL,35.0,14.0,3.73,31.5,32
NDC,13533-634-02,TETANUS IMMUNE GLOBULIN 250 UNIT/ML SOSY 1 ML SYRINGE,2360.37,944.15,438.63,2124.33,32
NDC,13533-636-01,HEPATITIS B IMMUNE GLOBULIN SOLN 1 ML VIAL,309.23,123.69,123.69,342.38,26
NDC,13533-636-02,HEPATITIS B IMMUNE GLOBULIN SOLN 1 ML SYRINGE,300.23,120.09,120.09,342.38,26
NDC,13533-636-05,HEPATITIS B IMMUNE GLOBULIN SOLN 5 ML VIAL,296.73,118.69,118.69,342.38,26
NDC,13533-690-20,ALBUMIN HUMAN 5 % SOLN 50 ML VIAL,195.5,78.2,10.62,175.95,32
NDC,13533-700-02,ALPHA1PROTEINASE INHIBITOR 1000 MG SOLR 1 EACH VIAL,35.0,14.0,4.82,31.5,32
NDC,13533-705-01,ALPHA1PROTEINASE INHIBITOR 1000 MG/20ML SOLN 1 EACH VIAL,35.0,14.0,4.82,31.5,32
NDC,13533-800-12,GAMUNEXC 1 GM/10ML SOLN 10 ML VIAL,845.66,338.26,48.48,761.09,32
NDC,13533-800-20,GAMUNEXC 5 GM/50ML SOLN 50 ML VIAL,3860.64,1544.26,48.48,3474.58,32
NDC,13533-800-24,GAMUNEXC 20 GM/200ML SOLN 200 ML VIAL,15442.56,6177.02,48.48,13898.3,32
NDC,13533-800-40,GAMUNEXC 40 GM/400ML SOLN 400 ML VIAL,30885.12,12354.05,48.48,27796.61,32
NDC,13533-800-71,GAMUNEXC 10 GM/100ML SOLN 100 ML VIAL,7721.28,3088.51,48.48,6949.15,32
NDC,13668-007-01,ZOLPIDEM 5 MG TABS 100 EACH BOTTLE,23.13,9.25,9.25,20.82,17
NDC,13668-008-01,ZOLPIDEM 10 MG TABS 100 EACH BOTTLE,23.13,9.25,9.25,20.82,17
NDC,13668-009-01,CITALOPRAM 10 MG TABS 100 EACH BOTTLE,12.9,5.16,5.16,11.61,17
NDC,13668-010-01,CITALOPRAM 20 MG TABS 100 EACH BOTTLE,13.46,5.38,5.38,12.11,17
NDC,13668-079-90,MONTELUKAST 4 MG CHEW 90 EACH BOTTLE,25.14,10.06,10.06,22.63,17
NDC,13668-086-30,OLANZAPINE ZYDIS 5 MG TBDP 30 EACH BOTTLE,70.0,28.0,28.0,63.0,17
NDC,13668-088-30,OLANZAPINE ZYDIS 10 MG TBDP 30 EACH BOTTLE,103.34,41.34,41.34,93.01,17
NDC,13668-089-30,OLANZAPINE ZYDIS 15 MG TBDP 30 EACH BOTTLE,151.67,60.67,60.67,136.5,17
NDC,13668-090-30,OLANZAPINE ZYDIS 20 MG TBDP 30 EACH BOTTLE,200.0,80.0,80.0,180.0,17
NDC,13668-091-90,PRAMIPEXOLE 0.125 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
NDC,13668-092-90,PRAMIPEXOLE 0.25 MG TABS 90 EACH BOTTLE,14.7,5.88,5.88,13.23,17
NDC,13668-093-90,PRAMIPEXOLE 0.5 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
NDC,13668-094-90,PRAMIPEXOLE 1 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
NDC,13668-095-90,PRAMIPEXOLE 1.5 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
NDC,13668-132-01,FELODIPINE 2.5 MG TB24 100 EACH BOTTLE,7.56,3.02,3.02,6.8,17
NDC,13668-133-01,FELODIPINE 5 MG TB24 100 EACH BOTTLE,7.56,3.02,3.02,6.8,17
NDC,13668-134-01,FELODIPINE 10 MG TB24 100 EACH BOTTLE,13.58,5.43,5.43,12.22,17
NDC,13668-141-90,CLOPIDOGREL 75 MG TABS 90 EACH BOTTLE,32.83,13.13,13.13,29.55,17
NDC,13668-216-30,ARIPIPRAZOLE 2 MG TABS 30 EACH BOTTLE,160.56,64.22,64.22,144.5,17
NDC,13668-220-30,ARIPIPRAZOLE 20 MG TABS 30 EACH BOTTLE,227.05,90.82,90.82,204.35,17
NDC,13668-221-30,ARIPIPRAZOLE 30 MG TABS 30 EACH BOTTLE,227.05,90.82,90.82,204.35,17
NDC,13668-330-01,TRAZODONE 50 MG TABS 100 EACH BOTTLE,5.37,2.15,2.15,4.83,17
NDC,13668-531-94,MONTELUKAST 4 MG PACK 30 EACH BOX,29.92,11.97,11.97,26.93,17
NDC,13668-591-81,APREPITANT 40 MG CAPS 1 EACH BOX,505.72,202.29,3.55,455.15,16
NDC,13668-592-86,APREPITANT 80 MG CAPS 6 EACH BOX,937.3,374.92,374.92,843.57,17
NDC,13668-595-01,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,87.53,35.01,35.01,78.78,17
NDC,13668-745-21,FIDAXOMICIN 200 MG TABS 20 EACH BOTTLE,1364.75,545.9,545.9,1228.28,17
NDC,13709-230-01,CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE,15.0,6.0,6.0,13.5,17
NDC,13811-706-10,METHYLPHENIDATE 18 MG TAB CR 100 EACH BOTTLE,46.71,18.68,18.68,42.04,17
NDC,13811-708-10,METHYLPHENIDATE 36 MG TAB CR 100 EACH BOTTLE,49.39,19.76,19.76,44.45,17
NDC,13845-1202-2,CYCLOSERINE 250 MG CAPS 30 EACH BOX,384.56,153.82,153.82,346.1,17
NDC,14789-011-01,ISOPROTERENOL 0.2 MG/ML SOLN 1 ML VIAL,270.0,108.0,108.0,243.0,17
NDC,14789-015-07,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,14789-107-05,POTASSIUM CHLORIDE 20 MEQ/50ML SOLN 50 ML FLEX CONT,150.0,60.0,60.0,135.0,17
NDC,14789-107-08,POTASSIUM CHLORIDE 20 MEQ/50ML SOLN 50 ML FLEX CONT,150.0,60.0,60.0,135.0,17
NDC,14789-109-10,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN 100 ML FLEX CONT,240.0,96.0,96.0,216.0,17
NDC,14789-109-16,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN 100 ML FLEX CONT,240.0,96.0,96.0,216.0,17
NDC,14789-110-05,LEVETIRACETAM IN NACL 500 MG/100ML SOLN 100 ML FLEX CONT,84.0,33.6,0.05,75.6,16
NDC,14789-110-08,LEVETIRACETAM IN NACL 500 MG/100ML SOLN 100 ML FLEX CONT,84.0,33.6,0.05,75.6,16
NDC,14789-121-05,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,225.0,90.0,90.0,202.5,17
NDC,14789-121-07,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,225.0,90.0,90.0,202.5,17
NDC,14789-122-05,FLUORESCEIN SODIUM 10 % SOLN 5 ML VIAL,1628.4,651.36,651.36,1465.56,17
NDC,14789-122-07,FLUORESCEIN SODIUM 10 % SOLN 5 ML VIAL,1628.4,651.36,651.36,1465.56,17
NDC,14789-135-05,TACROLIMUS 5 MG/ML SOLN 1 ML VIAL,1380.0,552.0,166.33,1242.0,32
NDC,14789-135-07,TACROLIMUS 5 MG/ML SOLN 1 ML VIAL,1380.0,552.0,166.33,1242.0,32
NDC,14789-600-10,ARSENIC TRIOXIDE 10 MG/10ML SOLN 10 ML VIAL,3373.45,1349.38,10.6,3036.11,16
NDC,14789-900-02,PROCAINAMIDE 500 MG/ML SOLN 2 ML VIAL,3024.0,1209.6,183.04,2721.6,32
NDC,14789-901-07,PROCAINAMIDE 100 MG/ML SOLN 10 ML VIAL,3024.0,1209.6,183.04,2721.6,32
NDC,14789-901-10,PROCAINAMIDE 100 MG/ML SOLN 10 ML VIAL,3024.0,1209.6,183.04,2721.6,32
NDC,15054-0043-1,IRINOTECAN HCL LIPOSOME 43 MG/10ML SUSP 10 ML VIAL,17272.08,6908.83,36.17,15544.87,32
NDC,15054-0500-1,ABOBOTULINUMTOXINA 500 UNITS SOLR 1 EACH VIAL,4437.72,1775.09,8.77,3993.95,32
NDC,15054-0530-6,ABOBOTULINUMTOXINA 300 UNITS SOLR 1 EACH VIAL,2663.64,1065.46,8.77,2397.28,32
NDC,15054-1060-4,LANREOTIDE ACETATE 60 MG/0.2ML SOLN 0.2 ML SYRINGE,33732.72,13493.09,26.06,30359.45,32
NDC,15054-1090-4,LANREOTIDE ACETATE 90 MG/0.3ML SOLN 0.3 ML SYRINGE,44921.52,17968.61,26.06,40429.37,32
NDC,15054-1120-3,LANREOTIDE ACETATE 120 MG/0.5ML SOLN 0.5 ML SYRINGE,46116.0,18446.4,26.06,41504.4,32
NDC,15054-1120-4,LANREOTIDE ACETATE 120 MG/0.5ML SOLN 0.5 ML SYRINGE,52975.44,21190.18,26.06,47677.9,32
NDC,15082-302-65,KETAMINE 50 MG/50 ML SYRINGE 50 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,15082-8402-1,ROPIVACAINE ONQ PUMP 0.2 % 400 ML,1744.32,697.73,697.73,1569.89,17
NDC,15127-00888,GLYCERIN LAXATIVE 1.2 G SUPP 25 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,16500-59918,MULTIVITAMIN PEDIATRIC CHEW 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,16571-105-01,AMITRIPTYLINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,16571-108-01,AMITRIPTYLINE 75 MG TABS 100 EACH BOTTLE,9.54,3.82,3.82,8.59,17
NDC,16571-109-01,AMITRIPTYLINE 100 MG TABS 100 EACH BOTTLE,12.7,5.08,5.08,11.43,17
NDC,16571-110-01,AMITRIPTYLINE 150 MG TABS 100 EACH BOTTLE,19.05,7.62,7.62,17.15,17
NDC,16571-203-10,DICLOFENAC 25 MG TBEC 100 EACH BOTTLE,7.11,2.84,2.84,6.4,17
NDC,16571-401-10,CETIRIZINE 5 MG TABS 100 EACH BOTTLE,12.47,4.99,4.99,11.22,17
NDC,16571-659-06,SELEGILINE 5 MG CAPS 60 EACH BOTTLE,11.51,4.6,4.6,10.36,17
NDC,16571-675-16,PHENOBARBITAL 20 MG/5ML ELIX 473 ML BOTTLE,443.86,177.54,177.54,399.47,17
NDC,16571-681-01,CARBAMAZEPINE 200 MG TB12 100 EACH BOTTLE,10.4,4.16,4.16,9.36,17
NDC,16571-682-01,CARBAMAZEPINE 400 MG TB12 100 EACH BOTTLE,20.77,8.31,8.31,18.69,17
NDC,16571-683-09,CLOMIPRAMINE 25 MG CAPS 90 EACH BOTTLE,56.21,22.48,22.48,50.59,17
NDC,16571-686-07,CLOTRIMAZOLE 10 MG TROC 70 EACH BOTTLE,8.05,3.22,3.22,7.25,17
NDC,16571-723-60,MAFENIDE 85 MG/GM CREA 56.7 G TUBE,399.84,159.94,159.94,359.86,17
NDC,16571-755-01,ESCITALOPRAM 5 MG TABS 100 EACH BOTTLE,22.55,9.02,9.02,20.3,17
NDC,16571-781-01,CARISOPRODOL 350 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,16714-055-01,MUPIROCIN 2 % CREA 15 G TUBE,1127.74,451.1,451.1,1014.97,17
NDC,16714-767-01,CEFIXIME 200 MG/5ML SUSR 50 ML BOTTLE,2048.84,819.54,819.54,1843.96,17
NDC,16729-002-01,GLIMEPIRIDE 2 MG TABS 100 EACH BOTTLE,3.26,1.3,1.3,2.93,17
NDC,16729-023-10,BICALUTAMIDE 50 MG TABS 30 EACH BOTTLE,91.77,36.71,36.71,82.59,17
NDC,16729-048-53,TEMOZOLOMIDE 5 MG CAPS 5 EACH BOTTLE,71.43,28.57,0.59,64.29,16
NDC,16729-049-53,TEMOZOLOMIDE 20 MG CAPS 5 EACH BOTTLE,287.81,115.12,0.59,259.03,16
NDC,16729-049-54,TEMOZOLOMIDE 20 MG CAPS 14 EACH BOTTLE,287.77,115.11,0.59,258.99,16
NDC,16729-050-53,TEMOZOLOMIDE 100 MG CAPS 5 EACH BOTTLE,1323.7,529.48,0.59,1191.33,16
NDC,16729-051-53,TEMOZOLOMIDE 250 MG CAPS 5 EACH BOTTLE,3022.32,1208.93,0.59,2720.09,16
NDC,16729-073-29,CAPECITABINE 500 MG TABS 120 EACH BOTTLE,195.6,78.24,0.04,176.04,32
NDC,16729-095-12,QUETIAPINE 200 MG TB24 60 EACH BOTTLE,87.64,35.06,35.06,78.88,17
NDC,16729-096-12,QUETIAPINE 300 MG TB24 60 EACH BOTTLE,114.91,45.96,45.96,103.42,17
NDC,16729-097-12,QUETIAPINE 400 MG TB24 60 EACH BOTTLE,135.05,54.02,54.02,121.55,17
NDC,16729-108-11,MITOMYCIN 20 MG SOLR 1 EACH VIAL,2972.84,1189.14,26.1,2675.56,32
NDC,16729-114-11,ETOPOSIDE 1 GM/50ML SOLN 50 ML VIAL,568.5,227.4,1.22,511.65,16
NDC,16729-114-31,ETOPOSIDE 100 MG/5ML SOLN 5 ML VIAL,115.0,46.0,1.22,103.5,16
NDC,16729-115-05,MITOMYCIN 5 MG SOLR 1 EACH VIAL,1253.32,501.33,26.1,1127.99,32
NDC,16729-116-38,MITOMYCIN 40 MG SOLR 1 EACH VIAL,5945.69,2378.28,26.1,5351.12,32
NDC,16729-132-12,QUETIAPINE FUMARATE 50 MG TB24 60 EACH BOTTLE,44.34,17.74,17.74,39.91,17
NDC,16729-136-00,CLONAZEPAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,16729-137-00,CLONAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,16729-138-00,CLONAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,16729-151-31,TOPOTECAN 4 MG SOLR 1 EACH VIAL,1647.95,659.18,3.3,1483.16,16
NDC,16729-156-15,SIMVASTATIN 5 MG TABS 90 EACH BOTTLE,14.06,5.62,5.62,12.65,17
NDC,16729-171-01,AMITRIPTYLINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,16729-174-01,AMITRIPTYLINE 75 MG TABS 100 EACH BOTTLE,9.54,3.82,3.82,8.59,17
NDC,16729-176-01,AMITRIPTYLINE 150 MG TABS 100 EACH BOTTLE,19.05,7.62,7.62,17.15,17
NDC,16729-189-29,MYCOPHENOLATE 360 MG TBEC 120 EACH BOTTLE,45.69,18.28,0.44,41.12,16
NDC,16729-200-01,BUSPIRONE 5 MG TABS 100 EACH BOTTLE,3.86,1.54,1.54,3.47,17
NDC,16729-201-01,BUSPIRONE 7.5 MG TABS 100 EACH BOTTLE,7.9,3.16,3.16,7.11,17
NDC,16729-203-01,BUSPIRONE 15 MG TABS 100 EACH BOTTLE,10.1,4.04,4.04,9.09,17
NDC,16729-232-01,ROPINIROLE 0.25 MG TABS 100 EACH BOTTLE,12.6,5.04,5.04,11.34,17
NDC,16729-233-01,ROPINIROLE 0.5 MG TABS 100 EACH BOTTLE,12.6,5.04,5.04,11.34,17
NDC,16729-234-01,ROPINIROLE 1 MG TABS 100 EACH BOTTLE,12.6,5.04,5.04,11.34,17
NDC,16729-235-01,ROPINIROLE 2 MG TABS 100 EACH BOTTLE,12.6,5.04,5.04,11.34,17
NDC,16729-236-01,ROPINIROLE 3 MG TABS 100 EACH BOTTLE,13.1,5.24,5.24,11.79,17
NDC,16729-237-01,ROPINIROLE 4 MG TABS 100 EACH BOTTLE,13.1,5.24,5.24,11.79,17
NDC,16729-238-01,ROPINIROLE 5 MG TABS 100 EACH BOTTLE,13.1,5.24,5.24,11.79,17
NDC,16729-239-30,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,114.54,45.82,45.82,103.09,17
NDC,16729-242-31,ZOLEDRONIC ACID 4 MG/5ML CONC 5 ML VIAL,3520.82,1408.33,6.58,3168.74,16
NDC,16729-243-31,TOPOTECAN HCL 4 MG/4ML SOLN 4 ML VIAL,2388.56,955.42,3.3,2149.7,16
NDC,16729-261-29,MYCOPHENOLATE 180 MG TBEC 120 EACH BOTTLE,22.85,9.14,0.44,20.57,16
NDC,16729-272-10,PRASUGREL 5 MG TABS 30 EACH BOTTLE,82.53,33.01,33.01,74.28,17
NDC,16729-273-10,PRASUGREL 10 MG TABS 30 EACH BOTTLE,82.53,33.01,33.01,74.28,17
NDC,16729-275-67,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,4776.53,1910.61,0.22,4298.88,16
NDC,16729-276-38,FLUOROURACIL 5 GM/100ML SOLN 100 ML VIAL,344.0,137.6,2.59,309.6,16
NDC,16729-276-67,FLUOROURACIL 1 GM/20ML SOLN 20 ML VIAL,143.5,57.4,2.59,129.15,16
NDC,16729-276-68,FLUOROURACIL 500 MG/10ML SOLN 10 ML VIAL,115.0,46.0,2.59,103.5,16
NDC,16729-277-35,METHOTREXATE SODIUM PF 100 MG/4ML SOLN 40 ML VIAL,205.8,82.32,3.67,185.22,16
NDC,16729-288-38,CISPLATIN 100 MG/100ML SOLN 100 ML VIAL,216.5,86.6,2.98,194.85,16
NDC,16729-298-05,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL,35.0,14.0,1.07,31.5,16
NDC,16729-318-01,OXYBUTYNIN 10 MG TB24 100 EACH BOTTLE,16.46,6.58,6.58,14.81,17
NDC,16729-320-10,OLMESARTAN 5 MG TABS 30 EACH BOTTLE,28.09,11.24,11.24,25.28,17
NDC,16729-321-10,OLMESARTAN 20 MG TABS 30 EACH BOTTLE,34.37,13.75,13.75,30.93,17
NDC,16729-322-10,OLMESARTAN 40 MG TABS 30 EACH BOTTLE,47.74,19.1,19.1,42.97,17
NDC,16729-331-01,ACETAZOLAMIDE 500 MG CP12 100 EACH BOTTLE,21.47,8.59,8.59,19.32,17
NDC,16729-430-11,ARGATROBAN 500.9 MG/50ML% SOLN 50 ML VIAL,1092.96,437.18,0.61,983.66,32
NDC,16729-433-10,EZETIMIBE 10 MG TABS 30 EACH BOTTLE,56.49,22.6,22.6,50.84,17
NDC,16729-458-15,LEVOTHYROXINE 300 MCG TABS 90 EACH BOTTLE,5.39,2.16,2.16,4.85,17
NDC,16729-484-45,ATROPINE SULFATE 1 MG/10ML SOSY 10 ML SYRINGE,62.5,25.0,25.0,56.25,17
NDC,16729-501-43,FUROSEMIDE 10 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,16729-501-64,FUROSEMIDE 10 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,16729-512-05,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,386.4,154.56,154.56,347.76,17
NDC,16729-512-43,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,386.4,154.56,154.56,347.76,17
NDC,16729-542-35,FLUOROURACIL 5 % CREA 40 G TUBE,1184.04,473.62,473.62,1065.64,17
NDC,16784-11761,BACITRACIN 500 UNIT/GM OINT 425 G JAR,119.0,47.6,47.6,107.1,17
NDC,16864-04002,MICONAZOLE 2 % OINT 57 G TUBE,85.79,34.32,34.32,77.21,17
NDC,16864-68002,BENZOCAINELANOLINALOE VERA 200.5 % AEROSOL 56 G CAN,27.16,10.86,10.86,24.44,17
NDC,16864-68003,BENZOCAINELANOLINALOE VERA 200.5 % AEROSOL 85 G CAN,34.85,13.94,13.94,31.37,17
NDC,17238-501-05,FLUORESCEINBENOXINATE 0.250.4 % SOLN 5 ML BOTTLE,39.3,15.72,15.72,35.37,17
NDC,17238-900-11,FLUORESCEIN 1 MG STRP 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,17238-900-30,FLUORESCEIN 1 MG STRP 300 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,17478-040-01,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,17478-062-35,LUBRIFRESH P.M. OINT 3.5 G TUBE,43.7,17.48,17.48,39.33,17
NDC,17478-067-02,ALFENTANIL HCL 1000 MCG/2ML SOLN 2 ML AMPULE,52.61,21.04,21.04,47.35,17
NDC,17478-215-02,ATROPINE 1 % SOLN 2 ML BOTTLE,239.3,95.72,95.72,215.37,17
NDC,17478-253-10,FLUORESCEIN SODIUM 10 % SOLN 5 ML VIAL,397.44,158.98,158.98,357.7,17
NDC,17478-284-35,GENTAMICIN 0.3 % OINT 3.5 G TUBE,194.76,77.9,77.9,175.28,17
NDC,17478-510-02,PHYSOSTIGMINE SALICYLATE 1 MG/ML SOLN 2 ML AMPULE,432.14,172.86,172.86,388.93,17
NDC,17478-517-01,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,283.74,113.5,113.5,255.37,17
NDC,17478-526-03,DIMERCAPROL 100 MG/ML SOLN 3 ML AMPULE,885.63,354.25,354.25,797.07,17
NDC,17478-540-01,HYDROMORPHONE HCL PF 10 MG/ML SOLN 1 ML AMPULE,35.0,14.0,0.12,31.5,16
NDC,17478-540-05,HYDROMORPHONE HCL PF 10 MG/ML SOLN 5 ML AMPULE,43.08,17.23,0.12,38.77,16
NDC,17478-711-10,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % GEL 5 ML TUBE,42.0,16.8,16.8,37.8,17
NDC,17478-711-30,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % GEL 30 ML TUBE,590.36,236.14,236.14,531.32,17
NDC,17478-711-31,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % GEL 5 ML TUBE,42.0,16.8,16.8,37.8,17
NDC,17478-931-01,CALCITRIOL 1 MCG/ML SOLN 1 ML AMPULE,46.88,18.75,1.31,42.19,16
NDC,17856-1378-1,LACTULOSE 20 GM/30ML SOLN 30 ML CUP,18.0,7.2,7.2,16.2,17
NDC,17856-423-04,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 5 ML CUP,8.85,3.54,3.54,7.97,17
NDC,17856-423-09,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 10 ML CUP,8.07,3.23,3.23,7.26,17
NDC,18657-117-01,HYALURONIDASE HUMAN 150 UNIT/ML SOLN 1 ML VIAL,334.8,133.92,133.92,301.32,17
NDC,18657-117-04,HYALURONIDASE HUMAN 150 UNIT/ML SOLN 1 ML VIAL,334.8,133.92,133.92,301.32,17
NDC,20555-03300,CHOLECALCIFEROL 1000 UNITS TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,20555-03601,MELATONIN 3 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,21724-100-50,NITROGLYCERIN 0.4 MG/SPRAY SOLN 4.9 G BOTTLE,1579.27,631.71,631.71,1421.34,17
NDC,21922-016-04,CLOBETASOL 0.05 % CREA 15 G TUBE,589.88,235.95,235.95,530.89,17
NDC,21922-016-07,CLOBETASOL 0.05 % CREA 60 G TUBE,2111.12,844.45,844.45,1900.01,17
NDC,21922-021-07,PERMETHRIN 5 % CREA 60 G TUBE,542.89,217.16,217.16,488.6,17
NDC,21922-025-04,KETOCONAZOLE 2 % CREA 15 G TUBE,604.1,241.64,241.64,543.69,17
NDC,21922-025-05,KETOCONAZOLE 2 % CREA 30 G TUBE,958.82,383.53,383.53,862.94,17
NDC,21922-063-04,TRIAMCINOLONE 0.1 % OINT 15 G TUBE,27.83,11.13,11.13,25.05,17
NDC,21922-063-15,TRIAMCINOLONE 0.1 % OINT 80 G TUBE,66.0,26.4,26.4,59.4,17
NDC,21922-063-30,TRIAMCINOLONE 0.1 % OINT 454 G JAR,206.57,82.63,82.63,185.91,17
NDC,23155-026-01,VERAPAMIL 80 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,23155-028-01,FLUOXETINE 10 MG CAPS 100 EACH BOTTLE,12.99,5.2,5.2,11.69,17
NDC,23155-044-03,LEFLUNOMIDE 20 MG TABS 30 EACH BOTTLE,82.12,32.85,32.85,73.91,17
NDC,23155-055-19,NARATRIPTAN 2.5 MG TABS 9 EACH BOX,125.0,50.0,50.0,112.5,17
NDC,23155-056-01,GLYBURIDE 1.25 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,23155-195-01,NIFEDIPINE 20 MG CAPS 100 EACH BOTTLE,4.98,1.99,1.99,4.48,17
NDC,23155-216-31,CIDOFOVIR 75 MG/ML SOLN 5 ML VIAL,3729.6,1491.84,301.1,3356.64,32
NDC,23155-258-32,ADENOSINE DIAGNOSTIC 3 MG/ML SOLN 30 ML VIAL,918.53,367.41,0.73,826.68,16
NDC,23155-290-31,AMIKACIN 500 MG/2ML SOLN 2 ML VIAL,45.0,18.0,0.82,40.5,16
NDC,23155-290-41,AMIKACIN 500 MG/2ML SOLN 2 ML VIAL,45.0,18.0,0.82,40.5,16
NDC,23155-294-31,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,23155-294-41,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,23155-294-42,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,23155-313-31,ACETAZOLAMIDE 500 MG SOLR 1 EACH VIAL,238.2,95.28,95.28,214.38,17
NDC,23155-326-31,IBUTILIDE FUMARATE 1 MG/10ML SOLN 10 ML VIAL,1715.25,686.1,175.89,1543.73,32
NDC,23155-486-01,VERAPAMIL 120 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,23155-489-01,DESMOPRESSIN 0.1 MG TABS 100 EACH BOTTLE,26.43,10.57,10.57,23.79,17
NDC,23155-512-00,NIMODIPINE 30 MG CAPS 100 EACH BOX,92.05,36.82,36.82,82.85,17
NDC,23155-547-31,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,23155-547-42,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,23155-549-31,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL,35.0,14.0,1.07,31.5,16
NDC,23155-594-31,AMPHOTERICIN B LIPOSOMAL 50 MG SUSR 1 EACH VIAL,1406.22,562.49,19.85,1265.6,32
NDC,23155-601-32,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,55.2,22.08,0.2,49.68,16
NDC,23155-601-42,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,55.2,22.08,0.2,49.68,16
NDC,23155-649-41,CARMUSTINE 100 MG SOLR 1 EACH VIAL,2721.6,1088.64,145.6,2449.44,32
NDC,23155-748-31,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,539.3,215.72,56.65,485.37,22
NDC,23155-748-41,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,539.3,215.72,56.65,485.37,22
NDC,23155-766-01,TETRACYCLINE 250 MG CAPS 100 EACH BOTTLE,39.38,15.75,15.75,35.44,17
NDC,23155-767-01,TETRACYCLINE 500 MG CAPS 100 EACH BOTTLE,78.75,31.5,31.5,70.88,17
NDC,23155-810-01,OXYBUTYNIN 5 MG TABS 100 EACH BOTTLE,3.8,1.52,1.52,3.42,17
NDC,23155-837-11,CYCLOSPORINE MODIFIED 25 MG CAPS 1 EACH,3.8,1.52,1.04,3.42,16
NDC,23155-837-30,CYCLOSPORINE MODIFIED 25 MG CAPS 30 EACH BOX,3.8,1.52,1.04,3.42,16
NDC,23155-839-11,CYCLOSPORINE MODIFIED 100 MG CAPS 1 EACH,15.0,6.0,2.65,13.5,16
NDC,23155-839-30,CYCLOSPORINE MODIFIED 100 MG CAPS 30 EACH BOX,15.0,6.0,2.65,13.5,16
NDC,24200-1061-10,CALCIUM GLUCONATE 2 G/250 ML NS 2 G/250 ML SOLN 250 ML FLEX CONT,47.5,19.0,19.0,42.75,17
NDC,24201-010-50,PENTOBARBITAL 50 MG/ML SOLN 50 ML VIAL,7660.8,3064.32,19.3,6894.72,26
NDC,24201-201-01,SODIUM TETRADECYL SULFATE 3 % SOLN 2 ML VIAL,425.04,170.02,170.02,382.54,17
NDC,24201-201-05,SODIUM TETRADECYL SULFATE 3 % SOLN 2 ML VIAL,425.04,170.02,170.02,382.54,17
NDC,24201-237-01,FLUDARABINE 50 MG SOLR 1 EACH VIAL,607.2,242.88,77.73,546.48,16
NDC,24208-024-01,GLUCOSE GEL 31 G TUBE,24.65,9.86,9.86,22.19,17
NDC,24208-295-25,TOBRAMYCINDEXAMETHASONE 0.30.1 % SUSP 2.5 ML BOTTLE,303.4,121.36,121.36,273.06,17
NDC,24208-299-05,LOTEPREDNOL 0.5 % SUSP 5 ML BOTTLE,1782.36,712.94,712.94,1604.12,17
NDC,24208-342-05,DESMOPRESSIN 0.01 % SOLN 5 ML BOTTLE,1132.8,453.12,453.12,1019.52,17
NDC,24208-344-25,FLUNISOLIDE 25 MCG/ACT 0.025% SOLN 25 ML BOTTLE,359.75,143.9,143.9,323.78,17
NDC,24208-385-55,SODIUM CHLORIDE 5 % OINT 3.5 G TUBE,100.7,40.28,40.28,90.63,17
NDC,24208-385-56,SODIUM CHLORIDE 5 % OINT 3.5 G TUBE,77.54,31.02,31.02,69.79,17
NDC,24208-399-15,IPRATROPIUM 0.06 % SOLN 15 ML BOTTLE,228.15,91.26,91.26,205.34,17
NDC,24208-410-05,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,709.69,283.88,283.88,638.72,17
NDC,24208-457-05,DICLOFENAC 0.1 % SOLN 5 ML BOTTLE,87.5,35.0,35.0,78.75,17
NDC,24208-486-10,DORZOLAMIDETIMOLOL 20.5 % SOLN 10 ML BOTTLE,337.45,134.98,134.98,303.71,17
NDC,24208-505-05,LEVOBUNOLOL 0.5 % SOLN 5 ML BOTTLE,120.9,48.36,48.36,108.81,17
NDC,24208-535-35,GANCICLOVIR 0.15 % GEL 5 G TUBE,2404.67,961.87,961.87,2164.2,17
NDC,24208-539-20,ACETYLCHOLINE CHLORIDE 20 MG SOLR 1 EACH VIAL,720.73,288.29,288.29,648.66,17
NDC,24208-555-55,BACITRACINPOLYMYXIN B OPHTH OINT 3.5 G TUBE,143.26,57.3,57.3,128.93,17
NDC,24208-580-60,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,214.25,85.7,85.7,192.83,17
NDC,24208-585-59,TROPICAMIDE 1 % SOLN 2 ML BOTTLE,50.0,20.0,20.0,45.0,17
NDC,24208-585-64,TROPICAMIDE 1 % SOLN 15 ML BOTTLE,187.5,75.0,75.0,168.75,17
NDC,24208-590-64,TROPICAMIDE 0.5 % SOLN 15 ML BOTTLE,125.03,50.01,50.01,112.53,17
NDC,24208-631-10,NEOMYCINPOLYMYXINHYDROCORTISONE 3.5100001 SOLN 10 ML BOTTLE,463.13,185.25,185.25,416.82,17
NDC,24208-635-62,NEOMYCINPOLYMYXINHYDROCORTISONE 3.5100001 SUSP 10 ML BOTTLE,463.13,185.25,185.25,416.82,17
NDC,24208-670-04,SULFACETAMIDE 10 % SOLN 15 ML BOTTLE,305.03,122.01,122.01,274.53,17
NDC,24208-720-02,DEXAMETHASONE 0.1 % SOLN 5 ML BOTTLE,323.4,129.36,129.36,291.06,17
NDC,24208-730-06,PROPARACAINE 0.5 % SOLN 15 ML BOTTLE,210.53,84.21,84.21,189.48,17
NDC,24208-735-01,CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE,81.65,32.66,32.66,73.49,17
NDC,24208-735-06,CYCLOPENTOLATE 1 % SOLN 15 ML BOTTLE,191.33,76.53,76.53,172.2,17
NDC,24208-780-55,NEOMYCINBACITRACINPOLYMYXIN 540010000 OINT 3.5 G TUBE,284.74,113.9,113.9,256.27,17
NDC,24208-785-55,NEOMYCINBACITRACINPOLYMYXINHYDROCORTISONE 1 % OINT 3.5 G TUBE,325.26,130.1,130.1,292.73,17
NDC,24208-790-62,NEOMYCINPOLYMYXINGRAMICIDIN 1.7510000.025 SOLN 10 ML BOTTLE,306.3,122.52,122.52,275.67,17
NDC,24208-795-35,NEOMYCINPOLYMYXINDEXAMETH 3.5100000.1 OINT 3.5 G TUBE,99.3,39.72,39.72,89.37,17
NDC,24208-825-55,ATROPINE 1 % OINT 3.5 G TUBE,105.05,42.02,42.02,94.55,17
NDC,24208-830-60,NEOMYCINPOLYMYXINDEXAMETH 3.5100000.1 SUSP 5 ML BOTTLE,99.3,39.72,39.72,89.37,17
NDC,24208-910-19,ERYTHROMYCIN 5 MG/GM OINT 1 G TUBE,62.08,24.83,24.83,55.87,17
NDC,24208-910-55,ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE,95.01,38.0,38.0,85.51,17
NDC,24338-010-09,ISOSORBIDEHYDRALAZINE 2037.5 MG TABS 90 EACH BOTTLE,27.48,10.99,10.99,24.73,17
NDC,24338-102-03,ERYTHROMYCIN BASE 250 MG TABS 30 EACH BOTTLE,69.63,27.85,27.85,62.67,17
NDC,24338-104-13,ERYTHROMYCIN BASE 500 MG TABS 100 EACH BOTTLE,104.96,41.98,41.98,94.46,17
NDC,24338-126-13,ERYTHROMYCIN 500 MG TBEC 100 EACH BOTTLE,68.45,27.38,27.38,61.61,17
NDC,24338-130-13,ERYTHROMYCIN 400 MG/5ML SUSR 100 ML BOTTLE,198.48,79.39,79.39,178.63,17
NDC,24338-132-13,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML SUSR 100 ML BOTTLE,2076.9,830.76,830.76,1869.21,17
NDC,24338-150-20,TRIPTORELIN PAMOATE ER CPP 22.5 MG SRER 1 EACH VIAL,115751.66,46300.66,2624.0,104176.49,32
NDC,24338-530-25,SOTALOL HCL 5 MG/ML SOLN 250 ML BOTTLE,3052.35,1220.94,1220.94,2747.12,17
NDC,24357-701-06,LIDOCAINE 4 % CREA 5 G TUBE,21.0,8.4,8.4,18.9,17
NDC,24470-917-10,ERGOTAMINECAFFEINE 1100 MG TABS 100 EACH BOTTLE,69.39,27.76,27.76,62.45,17
NDC,24979-133-01,TERBUTALINE 5 MG TABS 100 EACH BOTTLE,33.23,13.29,13.29,29.91,17
NDC,24979-139-01,FLUPHENAZINE 10 MG TABS 100 EACH BOTTLE,58.0,23.2,23.2,52.2,17
NDC,24979-211-04,TOPIRAMATE 25 MG CPSP 60 EACH BOTTLE,14.59,5.84,5.84,13.13,17
NDC,24979-534-01,GUANFACINE HCL 2 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
NDC,24979-536-01,GUANFACINE HCL 3 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
NDC,24979-538-01,GUANFACINE HCL 4 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
NDC,25010-305-15,METYROSINE 250 MG CAPS 100 EACH BOTTLE,2306.73,922.69,922.69,2076.06,17
NDC,25010-705-15,PENICILLAMINE 250 MG CAPS 100 EACH BOTTLE,1445.61,578.24,578.24,1301.05,17
NDC,25021-107-20,CEFTRIAXONE 2 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-109-10,CEFOXITIN 1 G SOLR 1 EACH VIAL,36.0,14.4,14.4,32.4,17
NDC,25021-110-20,CEFOXITIN 2 G SOLR 1 EACH VIAL,60.0,24.0,24.0,54.0,17
NDC,25021-111-99,CEFOXITIN SODIUM 10 G SOLR 1 EACH VIAL,300.0,120.0,120.0,270.0,17
NDC,25021-114-87,CIPROFLOXACIN 400 MG/200ML SOLN 200 ML FLEX CONT,42.0,16.8,3.77,37.8,16
NDC,25021-115-04,CLINDAMYCIN 600 MG/4ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-115-51,CLINDAMYCIN 9 GM/60ML SOLN 60 ML VIAL,138.0,55.2,55.2,124.2,17
NDC,25021-129-99,CEFTAZIDIME 6 G SOLR 1 EACH VIAL,175.0,70.0,70.0,157.5,17
NDC,25021-132-82,LEVOFLOXACIN IN D5W 500 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,25021-132-83,LEVOFLOXACIN IN D5W 750 MG/150ML SOLN 150 ML FLEX CONT,66.0,26.4,3.3,59.4,16
NDC,25021-136-10,AMPICILLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-137-20,AMPICILLIN 2 G SOLR 1 EACH VIAL,45.0,18.0,18.0,40.5,17
NDC,25021-141-99,NAFCILLIN 10 G SOLR 1 EACH VIAL,552.0,220.8,220.8,496.8,17
NDC,25021-143-30,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,54.0,21.6,1.81,48.6,16
NDC,25021-151-20,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,35.0,14.0,0.04,31.5,16
NDC,25021-154-51,PENICILLIN G POTASSIUM 20000000 UNITS SOLR 1 EACH VIAL,298.5,119.4,119.4,268.65,17
NDC,25021-184-66,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML% SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,25021-184-82,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML% SOLN 100 ML FLEX CONT,54.0,21.6,21.6,48.6,17
NDC,25021-184-87,FLUCONAZOLE 4000.9 MG/200ML% SOLN 200 ML FLEX CONT,84.0,33.6,33.6,75.6,17
NDC,25021-192-82,CIPROFLOXACIN 200 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,3.77,31.5,16
NDC,25021-192-87,CIPROFLOXACIN 400 MG/200ML SOLN 200 ML FLEX CONT,42.0,16.8,3.77,37.8,16
NDC,25021-199-20,ERTAPENEM 1 G SOLR 1 EACH VIAL,120.0,48.0,12.82,108.0,16
NDC,25021-204-01,VINORELBINE 10 MG/ML SOLN 1 ML VIAL,150.0,60.0,9.98,135.0,16
NDC,25021-204-05,VINORELBINE TARTRATE 50 MG/5ML SOLN 5 ML VIAL,540.0,216.0,9.98,486.0,16
NDC,25021-207-51,DOXORUBICIN 2 MG/ML SOLN 100 ML VIAL,834.0,333.6,3.93,750.6,16
NDC,25021-215-98,FLUOROURACIL 2.5 GM/50ML SOLN 50 ML VIAL,115.0,46.0,2.59,103.5,16
NDC,25021-223-20,CYTARABINE PF 100 MG/ML SOLN 20 ML VIAL,115.0,46.0,1.08,103.5,16
NDC,25021-227-06,ARSENIC TRIOXIDE 12 MG/6ML SOLN 6 ML VIAL,2638.56,1055.42,10.6,2374.7,16
NDC,25021-235-50,GEMCITABINE 1 G SOLR 1 EACH VIAL,297.9,119.16,4.07,268.11,16
NDC,25021-305-20,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,360.0,144.0,51.29,324.0,16
NDC,25021-308-84,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,910.8,364.32,364.32,819.72,17
NDC,25021-311-10,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-312-02,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,25021-313-82,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,57.0,22.8,1.89,51.3,16
NDC,25021-315-01,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-316-04,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,25021-318-02,ADENOSINE 6 MG/2ML SOLN 2 ML VIAL,36.0,14.4,0.73,32.4,16
NDC,25021-319-05,DILTIAZEM HCL 25 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-319-10,DILTIAZEM HCL 50 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-319-25,DILTIAZEM HCL 125 MG/25ML SOLN 25 ML VIAL,54.63,21.85,21.85,49.17,17
NDC,25021-321-10,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,25021-322-10,PROCAINAMIDE 100 MG/ML SOLN 10 ML VIAL,507.84,203.14,183.04,738.4,32
NDC,25021-408-51,EPTIFIBATIDE 75 MG/100ML SOLN 100 ML VIAL,1380.0,552.0,3.73,1242.0,26
NDC,25021-414-50,ARGATROBAN 50 MG/50ML SOLN 50 ML VIAL,966.0,386.4,0.61,869.4,32
NDC,25021-415-10,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-418-82,TRANEXAMIC ACID 10000.7 MG/100ML% SOLN 100 ML FLEX CONT,123.0,49.2,49.2,110.7,17
NDC,25021-461-10,DESMOPRESSIN 4 MCG/ML SOLN 10 ML VIAL,1771.92,708.77,4.75,1594.73,17
NDC,25021-471-74,FULVESTRANT 250 MG/5ML SOSY 5 ML SYRINGE,525.0,210.0,7.38,472.5,16
NDC,25021-481-01,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-500-02,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-601-03,CAFFEINE CITRATE 60 MG/3ML SOLN 3 ML VIAL,120.0,48.0,48.0,108.0,17
NDC,25021-608-51,PROPOFOL 10 MG/ML EMUL 100 ML VIAL,175.5,70.2,70.2,157.95,17
NDC,25021-662-05,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-670-10,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,54.7,21.88,21.88,49.23,17
NDC,25021-673-76,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 6 ML SYRINGE,35.7,14.28,14.28,32.13,17
NDC,25021-673-77,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 11 ML SYRINGE,38.12,15.25,15.25,34.31,17
NDC,25021-674-20,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-675-10,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,25021-676-20,PENTOBARBITAL 50 MG/ML SOLN 20 ML VIAL,6098.4,2439.36,19.3,5488.56,26
NDC,25021-676-50,PENTOBARBITAL 50 MG/ML SOLN 50 ML VIAL,10584.0,4233.6,4233.6,9525.6,17
NDC,25021-679-20,BACLOFEN 40 MG/20ML SOLN 20 ML VIAL,2383.92,953.57,118.0,2145.53,32
NDC,25021-682-20,KETAMINE 10 MG/ML SOLN 20 ML VIAL,145.5,58.2,58.2,130.95,17
NDC,25021-685-10,VECURONIUM 10 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-700-01,KETOROLAC 15 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,25021-753-02,FAMOTIDINE 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-790-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-790-03,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-797-05,VALPROATE 100 MG/ML SOLN 5 ML VIAL,39.0,15.6,15.6,35.1,17
NDC,25021-812-30,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,25021-813-10,LEUCOVORIN 50 MG SOLR 1 EACH VIAL,115.0,46.0,46.0,103.5,17
NDC,25021-814-30,LEUCOVORIN 100 MG SOLR 1 EACH VIAL,120.0,48.0,4.19,108.0,16
NDC,25021-816-30,LEUCOVORIN 350 MG SOLR 1 EACH VIAL,386.4,154.56,4.19,347.76,16
NDC,25021-826-82,ZOLEDRONIC ACID 4 MG/100ML SOLN 100 ML PLAS CONT,993.6,397.44,6.58,894.24,16
NDC,25021-830-82,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML FLEX CONT,1932.0,772.8,6.58,1738.8,16
NDC,25021-833-01,HALOPERIDOL DECANOATE 100 MG/ML SOLN 1 ML VIAL,60.0,24.0,5.72,54.0,16
NDC,25021-836-01,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,25682-001-01,ECULIZUMAB 300 MG/30ML SOLN 30 ML VIAL,32875.92,13150.37,33.91,29588.33,32
NDC,25682-007-01,SEBELIPASE ALFA 20 MG/10ML SOLN 10 ML VIAL,51458.4,20583.36,508.46,46312.56,32
NDC,25682-025-01,RAVULIZUMABCWVZ 300 MG/3ML SOLN 3 ML VIAL,33744.73,13497.89,182.9,30370.26,32
NDC,25682-028-01,RAVULIZUMABCWVZ 1100 MG/11ML SOLN 11 ML VIAL,123730.67,49492.27,182.9,111357.6,32
NDC,25767-735-45,CUSTODIOL 1000 ML BAG,984.4,393.76,393.76,885.96,17
NDC,27241-097-06,DULOXETINE 20 MG CPEP 60 EACH BOTTLE,34.99,14.0,14.0,31.49,17
NDC,27241-098-03,DULOXETINE 30 MG CPEP 30 EACH BOTTLE,39.26,15.7,15.7,35.33,17
NDC,27241-099-03,DULOXETINE 60 MG CPEP 30 EACH BOTTLE,39.26,15.7,15.7,35.33,17
NDC,27241-115-01,DIVALPROEX SODIUM 125 MG CSDR 100 EACH BOTTLE,5.6,2.24,2.24,5.04,17
NDC,27241-125-02,RANOLAZINE 500 MG TB12 60 EACH BOTTLE,33.69,13.48,13.48,30.32,17
NDC,27241-134-21,CHOLESTYRAMINE 4 G PACK 1 EACH SACHET,16.85,6.74,6.74,15.17,17
NDC,27241-134-36,CHOLESTYRAMINE 4 G PACK 60 EACH BOX,16.85,6.74,6.74,15.17,17
NDC,27241-159-19,VALGANCICLOVIR 50 MG/ML SOLR 88 ML BOTTLE,4201.24,1680.5,1680.5,3781.12,17
NDC,27241-192-30,TOLTERODINE 4 MG CP24 30 EACH BOTTLE,65.7,26.28,26.28,59.13,17
NDC,27241-252-01,FLUPHENAZINE 10 MG TABS 100 EACH BOTTLE,58.0,23.2,23.2,52.2,17
NDC,27241-253-01,FLUPHENAZINE 5 MG TABS 100 EACH BOTTLE,46.0,18.4,18.4,41.4,17
NDC,27241-255-01,FLUPHENAZINE 1 MG TABS 100 EACH BOTTLE,21.96,8.78,8.78,19.76,17
NDC,27808-190-01,COLESEVELAM 625 MG TABS 180 EACH BOTTLE,19.78,7.91,7.91,17.8,17
NDC,28595-550-49,NITROGLYCERIN 0.4 MG/SPRAY SOLN 4.9 G SPRAY BOTTLE,1518.54,607.42,607.42,1366.69,17
NDC,28595-570-04,SPINOSAD 0.9 % SUSP 120 ML BOTTLE,1459.49,583.8,583.8,1313.54,17
NDC,29033-019-12,CARBAMAZEPINE 100 MG CP12 120 EACH BOTTLE,9.82,3.93,3.93,8.84,17
NDC,29033-030-01,ACETAZOLAMIDE 500 MG CP12 100 EACH BOTTLE,21.47,8.59,8.59,19.32,17
NDC,29300-113-16,LAMOTRIGINE 150 MG TABS 60 EACH BOTTLE,26.49,10.6,10.6,23.84,17
NDC,29300-114-16,LAMOTRIGINE 200 MG TABS 60 EACH BOTTLE,28.83,11.53,11.53,25.95,17
NDC,29300-126-13,BISOPROLOL 5 MG TABS 30 EACH BOTTLE,7.02,2.81,2.81,6.32,17
NDC,29300-127-13,BISOPROLOL 10 MG TABS 30 EACH BOTTLE,7.02,2.81,2.81,6.32,17
NDC,29300-129-01,HYDROCHLOROTHIAZIDE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,29300-130-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,29300-136-01,CLONIDINE 0.2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,29300-137-01,CLONIDINE 0.3 MG TABS 100 EACH BOTTLE,3.15,1.26,1.26,2.84,17
NDC,29300-140-01,DIVALPROEX 500 MG TBEC 100 EACH BOTTLE,16.25,6.5,6.5,14.63,17
NDC,29300-147-01,QUETIAPINE 25 MG TABS 100 EACH BOTTLE,19.98,7.99,7.99,17.98,17
NDC,29300-168-15,TIZANIDINE 2 MG TABS 150 EACH BOTTLE,6.11,2.44,2.44,5.5,17
NDC,29300-187-01,BISOPROLOLHYDROCHLOROTHIAZIDE 2.56.25 MG TABS 100 EACH BOTTLE,17.88,7.15,7.15,16.09,17
NDC,29300-188-01,BISOPROLOLHYDROCHLOROTHIAZIDE 56.25 MG TABS 100 EACH BOTTLE,17.88,7.15,7.15,16.09,17
NDC,29300-189-13,BISOPROLOLHYDROCHLOROTHIAZIDE 106.25 MG TABS 30 EACH BOTTLE,16.85,6.74,6.74,15.17,17
NDC,29300-244-01,BUSPIRONE 5 MG TABS 100 EACH BOTTLE,3.86,1.54,1.54,3.47,17
NDC,29300-419-01,AMITRIPTYLINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,29300-422-01,AMITRIPTYLINE 75 MG TABS 100 EACH BOTTLE,9.54,3.82,3.82,8.59,17
NDC,29300-423-01,AMITRIPTYLINE 100 MG TABS 100 EACH BOTTLE,12.7,5.08,5.08,11.43,17
NDC,29300-424-01,AMITRIPTYLINE 150 MG TABS 100 EACH BOTTLE,19.05,7.62,7.62,17.15,17
NDC,29300-458-01,GUANFACINE 1 MG TABS 100 EACH BOTTLE,6.35,2.54,2.54,5.72,17
NDC,29829-00277,SODIUM BICARBONATE 8.4 % SOLN 10 ML VIAL,180.0,72.0,72.0,162.0,17
NDC,30237-8900-6,SIPULEUCELT 50000000 CELLS SUSP 250 ML FLEX CONT,345565.8,138226.32,50583.0,311009.22,32
NDC,30698-911-15,CALCITRIOL 1 MCG/ML ORAL SOLN 15 ML BOTTLE,21.47,8.59,8.59,19.32,17
NDC,30768-03304,FISH OIL 1000 MG CAPS 200 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,30768-03553,COENZYME Q10 100 MG CAPS 40 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,31604-02850,UBIQUINOL 100 MG CAPS 30 EACH BOTTLE,3.95,1.58,1.58,3.56,17
NDC,31722-014-90,DROXIDOPA 100 MG CAPS 90 EACH BOTTLE,183.89,73.56,73.56,165.5,17
NDC,31722-017-01,FAMOTIDINE 20 MG TABS 100 EACH BOTTLE,12.11,4.84,4.84,10.9,17
NDC,31722-018-01,FAMOTIDINE 40 MG TABS 100 EACH BOTTLE,23.41,9.36,9.36,21.07,17
NDC,31722-024-01,OXCARBAZEPINE 300 MG TABS 100 EACH BOTTLE,13.2,5.28,5.28,11.88,17
NDC,31722-040-31,PROMETHAZINE 12.5 MG SUPP 12 EACH BOX,79.67,31.87,31.87,71.7,17
NDC,31722-040-32,PROMETHAZINE 12.5 MG SUPP 1 EACH BOX,79.67,31.87,31.87,71.7,17
NDC,31722-103-30,CINACALCET 30 MG TABS 30 EACH BOTTLE,153.28,61.31,0.01,137.95,22
NDC,31722-104-30,CINACALCET 60 MG TABS 30 EACH BOTTLE,306.55,122.62,0.01,275.9,22
NDC,31722-131-90,DUTASTERIDE 0.5 MG CAPS 90 EACH BOTTLE,30.25,12.1,12.1,27.23,17
NDC,31722-211-10,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,96.24,38.5,0.04,86.62,16
NDC,31722-211-33,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,96.25,38.5,0.04,86.63,16
NDC,31722-308-01,OLANZAPINE 10 MG SOLR 1 EACH VIAL,212.65,85.06,85.06,191.39,17
NDC,31722-351-01,LISDEXAMFETAMINE 20 MG CAPS 100 EACH BOTTLE,69.8,27.92,27.92,62.82,17
NDC,31722-391-30,PRUCALOPRIDE 1 MG TABS 30 EACH BOTTLE,100.29,40.12,40.12,90.26,17
NDC,31722-505-60,NEVIRAPINE 200 MG TABS 60 EACH BOTTLE,54.23,21.69,21.69,48.81,17
NDC,31722-506-60,LAMIVUDINEZIDOVUDINE 150300 MG TABS 60 EACH BOTTLE,77.64,31.06,31.06,69.88,17
NDC,31722-515-60,STAVUDINE 15 MG CAPS 60 EACH BOTTLE,36.88,14.75,14.75,33.19,17
NDC,31722-516-60,STAVUDINE 20 MG CAPS 60 EACH BOTTLE,38.35,15.34,15.34,34.52,17
NDC,31722-518-60,STAVUDINE 40 MG CAPS 60 EACH BOTTLE,41.49,16.6,16.6,37.34,17
NDC,31722-519-01,HYDRALAZINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,31722-522-01,HYDRALAZINE 100 MG TABS 100 EACH BOTTLE,5.07,2.03,2.03,4.56,17
NDC,31722-529-01,TORSEMIDE 5 MG TABS 100 EACH BOTTLE,3.17,1.27,1.27,2.85,17
NDC,31722-543-01,INDOMETHACIN 50 MG CAPS 100 EACH BOTTLE,3.18,1.27,1.27,2.86,17
NDC,31722-545-01,LITHIUM 300 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,31722-556-12,LOPINAVIRRITONAVIR 20050 MG TABS 120 EACH BOTTLE,46.08,18.43,18.43,41.47,17
NDC,31722-564-24,CITALOPRAM 10 MG/5ML SOLN 240 ML BOTTLE,12.25,4.9,4.9,11.03,17
NDC,31722-570-30,LANSOPRAZOLE 15 MG CPDR 30 EACH BOTTLE,29.39,11.76,11.76,26.45,17
NDC,31722-574-47,LEVETIRACETAM 100 MG/ML ORAL SOLN 473 ML BOTTLE,1416.45,566.58,566.58,1274.81,17
NDC,31722-597-30,RITONAVIR 100 MG TABS 30 EACH BOTTLE,46.29,18.52,18.52,41.66,17
NDC,31722-608-30,TOLTERODINE 4 MG CP24 30 EACH BOTTLE,65.63,26.25,26.25,59.07,17
NDC,31722-610-90,PREGABALIN 25 MG CAPS 90 EACH BOTTLE,44.48,17.79,17.79,40.03,17
NDC,31722-611-90,PREGABALIN 50 MG CAPS 90 EACH BOTTLE,44.48,17.79,17.79,40.03,17
NDC,31722-612-90,PREGABALIN 75 MG CAPS 90 EACH BOTTLE,44.48,17.79,17.79,40.03,17
NDC,31722-627-26,LACOSAMIDE 10 MG/ML SOLN 200 ML BOTTLE,2051.6,820.64,820.64,1846.44,17
NDC,31722-629-21,ATOVAQUONE 750 MG/5ML SUSP 210 ML BOTTLE,6622.94,2649.18,2649.18,5960.65,17
NDC,31722-630-31,OSELTAMIVIR 30 MG CAPS 10 EACH BOX,70.9,28.36,28.36,63.81,17
NDC,31722-631-31,OSELTAMIVIR 45 MG CAPS 10 EACH BOX,70.9,28.36,28.36,63.81,17
NDC,31722-632-31,OSELTAMIVIR 75 MG CAPS 10 EACH BOX,77.29,30.92,30.92,69.56,17
NDC,31722-653-60,ATAZANAVIR 150 MG CAPS 60 EACH BOTTLE,139.01,55.6,55.6,125.11,17
NDC,31722-654-60,ATAZANAVIR 200 MG CAPS 60 EACH BOTTLE,139.01,55.6,55.6,125.11,17
NDC,31722-664-30,ESOMEPRAZOLE 20 MG CPDR 30 EACH BOTTLE,42.62,17.05,17.05,38.36,17
NDC,31722-665-30,ESOMEPRAZOLE 40 MG CPDR 30 EACH BOTTLE,42.62,17.05,17.05,38.36,17
NDC,31722-729-30,IRBESARTAN 75 MG TABS 30 EACH BOTTLE,14.59,5.84,5.84,13.13,17
NDC,31722-776-90,SILDENAFIL 20 MG TABS 90 EACH BOTTLE,100.02,40.01,40.01,90.02,17
NDC,31722-806-60,TOLTERODINE 2 MG TABS 60 EACH BOTTLE,16.99,6.8,6.8,15.29,17
NDC,31722-832-60,VALGANCICLOVIR 450 MG TABS 60 EACH BOTTLE,321.99,128.8,128.8,289.79,17
NDC,31722-833-30,ENTECAVIR 0.5 MG TABS 30 EACH BOTTLE,222.16,88.86,88.86,199.94,17
NDC,31722-834-30,ENTECAVIR 1 MG TABS 30 EACH BOTTLE,222.16,88.86,88.86,199.94,17
NDC,31722-837-10,VALGANCICLOVIR 50 MG/ML SOLR 88 ML BOTTLE,4201.24,1680.5,1680.5,3781.12,17
NDC,31722-865-25,LINEZOLID 100 MG/5ML SUSR 150 ML BOTTLE,3092.67,1237.07,1237.07,2783.4,17
NDC,31722-882-90,ROSUVASTATIN 5 MG TABS 90 EACH BOTTLE,44.73,17.89,17.89,40.26,17
NDC,31722-885-30,ROSUVASTATIN 40 MG TABS 30 EACH BOTTLE,44.72,17.89,17.89,40.25,17
NDC,31722-937-47,SIMPLE SYRUP SYRP 473 ML BOTTLE,101.7,40.68,40.68,91.53,17
NDC,31722-938-47,FLAVOR PO SYRUP SYRP 473 ML BOTTLE,101.7,40.68,40.68,91.53,17
NDC,31722-946-01,METHADONE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,31722-960-60,DRONABINOL 2.5 MG CAPS 60 EACH BOTTLE,58.96,23.58,23.58,53.06,17
NDC,31722-981-10,SUCCINYLCHOLINE 20 MG/ML SOLN 10 ML VIAL,115.1,46.04,1.2,103.59,16
NDC,31722-981-31,SUCCINYLCHOLINE 20 MG/ML SOLN 10 ML VIAL,115.1,46.04,1.2,103.59,16
NDC,32671-00533,INSULIN PEN NEEDLE 29G X 12.7MM MISC 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,32909-750-03,BARIUM SULFATE 96 % SUSR 176 G BOTTLE,22.88,9.15,9.15,20.59,17
NDC,33342-029-07,DONEPEZIL 5 MG TBDP 30 EACH BOTTLE,38.94,15.58,15.58,35.05,17
NDC,33342-050-07,LOSARTANHYDROCHLOROTHIAZIDE 5012.5 MG TABS 30 EACH BOTTLE,12.51,5.0,5.0,11.26,17
NDC,33342-050-10,LOSARTANHYDROCHLOROTHIAZIDE 5012.5 MG TABS 90 EACH BOTTLE,12.51,5.0,5.0,11.26,17
NDC,33342-052-10,LOSARTANHYDROCHLOROTHIAZIDE 10025 MG TABS 90 EACH BOTTLE,17.04,6.82,6.82,15.34,17
NDC,33342-062-07,VALSARTAN 40 MG TABS 30 EACH BOTTLE,8.11,3.24,3.24,7.3,17
NDC,33342-063-10,VALSARTAN 80 MG TABS 90 EACH BOTTLE,9.7,3.88,3.88,8.73,17
NDC,33342-093-73,RIZATRIPTAN 5 MG TBDP 9 EACH BOX,166.2,66.48,66.48,149.58,17
NDC,33342-097-09,TOLTERODINE 1 MG TABS 60 EACH BOTTLE,16.55,6.62,6.62,14.9,17
NDC,33342-104-09,QUETIAPINE 300 MG TABS 60 EACH BOTTLE,84.77,33.91,33.91,76.29,17
NDC,33342-106-07,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOTTLE,350.04,140.02,0.45,315.04,32
NDC,33342-135-09,QUETIAPINE 200 MG TB24 60 EACH BOTTLE,87.64,35.06,35.06,78.88,17
NDC,33342-136-09,QUETIAPINE 300 MG TB24 60 EACH BOTTLE,114.9,45.96,45.96,103.41,17
NDC,33342-137-09,QUETIAPINE 400 MG TB24 60 EACH BOTTLE,135.05,54.02,54.02,121.55,17
NDC,33342-256-66,OSELTAMIVIR 30 MG CAPS 10 EACH BOX,70.9,28.36,28.36,63.81,17
NDC,33342-257-66,OSELTAMIVIR 45 MG CAPS 10 EACH BOX,70.9,28.36,28.36,63.81,17
NDC,33342-258-66,OSELTAMIVIR 75 MG CAPS 10 EACH BOX,77.29,30.92,30.92,69.56,17
NDC,33342-299-07,ESZOPICLONE 1 MG TABS 30 EACH BOTTLE,60.81,24.32,24.32,54.73,17
NDC,33342-331-15,TRIAMCINOLONE 0.025 % OINT 15 G TUBE,30.6,12.24,12.24,27.54,17
NDC,33342-331-80,TRIAMCINOLONE 0.025 % OINT 80 G TUBE,50.4,20.16,20.16,45.36,17
NDC,35356-205-30,EMTRICITABINE 200 MG CAPS 30 EACH BOTTLE,136.43,54.57,54.57,122.79,17
NDC,35573-415-30,ATOMOXETINE 10 MG CAPS 30 EACH BOTTLE,71.1,28.44,28.44,63.99,17
NDC,35573-416-30,ATOMOXETINE 18 MG CAPS 30 EACH BOTTLE,71.1,28.44,28.44,63.99,17
NDC,35573-428-51,PANTOPRAZOLE 40 MG TBEC 1 EACH,3.0,1.2,1.2,2.7,17
NDC,35573-428-80,PANTOPRAZOLE 40 MG TBEC 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,35573-433-02,KETOCONAZOLE 200 MG TABS 100 EACH BOTTLE,18.95,7.58,7.58,17.06,17
NDC,35573-444-25,LEVALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,32.16,12.86,0.33,28.94,16
NDC,35573-445-25,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,32.16,12.86,0.33,28.94,16
NDC,35573-457-85,NICARDIPINE 20 MG CAPS 90 EACH BOTTLE,77.47,30.99,30.99,69.72,17
NDC,35573-458-85,NICARDIPINE 30 MG CAPS 90 EACH BOTTLE,110.96,44.38,44.38,99.86,17
NDC,36000-009-24,CIPROFLOXACIN 400 MG/200ML SOLN 200 ML FLEX CONT,35.0,14.0,3.77,31.5,16
NDC,36000-012-25,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-033-10,METOPROLOL TARTRATE 5 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-148-01,FLUMAZENIL 0.5 MG/5ML SOLN 5 ML VIAL,42.55,17.02,17.02,38.3,17
NDC,36000-149-01,FLUMAZENIL 1 MG/10ML SOLN 10 ML VIAL,96.0,38.4,38.4,86.4,17
NDC,36000-149-10,FLUMAZENIL 1 MG/10ML SOLN 10 ML VIAL,96.0,38.4,38.4,86.4,17
NDC,36000-242-01,TOBRAMYCIN 1.2 GM/30ML SOLN 30 ML VIAL,128.7,51.48,51.48,115.83,17
NDC,36000-244-01,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-244-25,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-283-25,FUROSEMIDE 10 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-308-01,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-308-10,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-310-01,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,386.4,154.56,154.56,347.76,17
NDC,36000-310-02,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,386.4,154.56,154.56,347.76,17
NDC,36000-320-01,LABETALOL 5 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-320-10,LABETALOL 5 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-322-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36000-322-02,LABETALOL 5 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,36652-73020,CALCIUMPHOSPHORUS 600280 MG TABS 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,36765-42017,MAGNESIUM 84 MG 7MEQ TAB CR 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,37000-024-04,PSYLLIUM 51.7 % PACK 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,37000-024-10,PSYLLIUM 51.7 % PACK 1 EACH PACKAGE,3.0,1.2,1.2,2.7,17
NDC,37000-40511,PSYLLIUM 0.36 G CAPS 160 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,37000-74087,PSYLLIUM 25 % PACK 30 EACH BOX,3.22,1.29,1.29,2.9,17
NDC,37205-949-60,DEXTROMETHORPHANGUAIFENESIN 30600 MG TB12 20 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,38396-52163,GLUCOSE 46 GMMG CHEW 10 EACH TUBE,3.0,1.2,1.2,2.7,17
NDC,39328-020-08,SENNOSIDES 8.8 MG/5ML SYRP 237 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,39328-057-50,FERROUS SULFATE 15 MG OF IRON/ML SOLN 50 ML BOTTLE,13.13,5.25,5.25,11.82,17
NDC,39328-063-25,DAKINS 1/2 STRENGTH 0.25 % SOLN 473 ML BOTTLE,92.24,36.9,36.9,83.02,17
NDC,39328-064-12,DAKINS 1/4 STRENGTH 0.125 % SOLN 473 ML BOTTLE,92.24,36.9,36.9,83.02,17
NDC,39328-067-12,DAKINS 1/4 STRENGTH 0.125 % SOLN 473 ML BOTTLE,163.19,65.28,65.28,146.87,17
NDC,39328-107-10,PHOSPHORUS 155852130 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,39328-357-60,ERGOCALCIFEROL 200 MCG/ML SOLN 60 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,39328-557-50,FERROUS SULFATE 15 MG OF IRON/ML SOLN 50 ML BOTTLE,16.13,6.45,6.45,14.52,17
NDC,39822-0190-1,ACETAZOLAMIDE 500 MG SOLR 1 EACH VIAL,196.9,78.76,78.76,177.21,17
NDC,39822-0412-1,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,460.0,184.0,3.08,414.0,16
NDC,39822-0412-6,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,431.25,172.5,3.08,388.13,16
NDC,39822-0706-2,STREPTOMYCIN 1 G SOLR 1 EACH VIAL,234.38,93.75,47.7,210.94,16
NDC,39822-1000-1,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,37.5,15.0,15.0,33.75,17
NDC,39822-1030-1,IBUPROFEN LYSINE PF 10 MG/ML SOLN 2 ML VIAL,1897.5,759.0,759.0,1707.75,17
NDC,39822-1030-2,IBUPROFEN LYSINE PF 10 MG/ML SOLN 2 ML VIAL,1897.5,759.0,759.0,1707.75,17
NDC,39822-1055-5,AMPHOTERICIN B 50 MG SOLR 1 EACH VIAL,300.0,120.0,120.0,270.0,17
NDC,39822-1100-1,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,39822-1201-5,NEOMYCINPOLYMYXIN B GU SOLN 1 ML AMPULE,70.63,28.25,28.25,63.57,17
NDC,39822-1220-1,NEOMYCINPOLYMYXIN B 40200000 SOLN 20 ML VIAL,782.0,312.8,312.8,703.8,17
NDC,39822-3030-1,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,517.5,207.0,56.65,465.75,22
NDC,39822-3030-2,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,517.5,207.0,56.65,465.75,22
NDC,39822-3050-1,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,517.5,207.0,56.65,465.75,22
NDC,39822-3050-2,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,517.5,207.0,56.65,465.75,22
NDC,39822-4200-1,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,39822-4200-5,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,46.9,18.76,18.76,42.21,17
NDC,39822-5525-2,PROMETHAZINE 25 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,39822-5525-3,PROMETHAZINE 25 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,39822-9300-2,ALCOHOL DEHYDRATED SOLN 5 ML AMPULE,3333.75,1333.5,1333.5,3000.38,17
NDC,40093-10100,PEPPERMINT OIL OIL 15 ML BOTTLE,23.93,9.57,9.57,21.54,17
NDC,40565-12256,CADEXOMER IODINE 0.9 % GEL 10 G TUBE,119.9,47.96,47.96,107.91,17
NDC,41100-81122,VITAMIN A AND D OINT 42.5 G TUBE,4.4,1.76,1.76,3.96,17
NDC,41100-81163,VITAMIN A AND D OINT 42.5 G TUBE,4.78,1.91,1.91,4.3,17
NDC,41100-82033,OXYMETAZOLINE 0.05 % SOLN 15 ML BOTTLE,46.28,18.51,18.51,41.65,17
NDC,41163-602-43,MAGNESIUM SULFATE LAXATIVE GRAN 454 G PACKAGE,11.35,4.54,4.54,10.22,17
NDC,41167-05840,LIDOCAINE 4 % PTCH 6 EACH BOX,13.49,5.4,5.4,12.14,17
NDC,41167-05842,LIDOCAINE 4 % PTCH 4 EACH BOX,16.87,6.75,6.75,15.18,17
NDC,41167-4244-4,FEXOFENADINE 30 MG/5ML SUSP 120 ML BOTTLE,1.0,0.4,0.4,0.9,17
NDC,41167-5800-3,TRIAMCINOLONE ACETONIDE 55 MCG/ACT AEROSOL 10.8 ML BOTTLE,89.96,35.98,35.98,80.96,17
NDC,42023-103-01,EPINEPHRINE 0.1 % SOLN 30 ML BOTTLE,1383.17,553.27,553.27,1244.85,17
NDC,42023-105-01,METHOHEXITAL 0.5 G SOLR 1 EACH VIAL,615.66,246.26,246.26,554.09,17
NDC,42023-107-01,COLISTIMETHATE SODIUM CBA 150 MG SOLR 1 EACH VIAL,168.0,67.2,67.2,151.2,17
NDC,42023-111-01,ESTRADIOL VALERATE 20 MG/ML OIL 5 ML VIAL,112.24,44.9,44.9,101.02,17
NDC,42023-114-10,KETAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,42023-115-10,KETAMINE 100 MG/ML SOLN 5 ML VIAL,80.03,32.01,32.01,72.03,17
NDC,42023-116-25,OXYTOCIN 10 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,42023-119-25,TRIMETHOBENZAMIDE 100 MG/ML SOLN 2 ML VIAL,364.77,145.91,145.91,328.29,17
NDC,42023-123-06,DANTROLENE 20 MG SOLR 1 EACH VIAL,489.29,195.72,195.72,440.36,17
NDC,42023-129-01,FLUPHENAZINE DECANOATE 25 MG/ML SOLN 5 ML VIAL,46.8,18.72,18.72,42.12,17
NDC,42023-159-01,EPINEPHRINE 1 MG/ML SOLN 1 ML VIAL,49.2,19.68,19.68,44.28,17
NDC,42023-159-25,EPINEPHRINE 1 MG/ML SOLN 1 ML VIAL,49.2,19.68,19.68,44.28,17
NDC,42023-164-01,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,296.34,118.54,118.54,266.71,17
NDC,42023-164-10,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,42023-168-01,EPINEPHRINE 1 MG/ML SOLN 30 ML VIAL,540.96,216.38,216.38,486.86,17
NDC,42023-173-01,GANCICLOVIR 500 MG SOLR 1 EACH VIAL,397.44,158.98,51.4,357.7,16
NDC,42023-173-25,GANCICLOVIR 500 MG SOLR 1 EACH VIAL,397.44,158.98,51.4,357.7,16
NDC,42023-179-01,BUPRENORPHINE 0.3 MG/ML SOLN 1 ML VIAL,81.72,32.69,5.42,73.55,16
NDC,42023-186-20,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,258.0,103.2,103.2,232.2,17
NDC,42023-195-01,POSACONAZOLE 300 MG/16.7ML SOLN 16.7 ML VIAL,2673.46,1069.38,0.29,2406.11,16
NDC,42023-203-01,LEVOTHYROXINE SODIUM 500 MCG SOLR 1 EACH VIAL,2660.66,1064.26,1064.26,2394.59,17
NDC,42023-206-01,TREPROSTINIL 20 MG/20ML SOLN 20 ML VIAL,6096.64,2438.66,54.48,5486.98,32
NDC,42023-216-01,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,174.25,69.7,69.7,156.83,17
NDC,42037-10478,CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE,44.03,17.61,17.61,39.63,17
NDC,42192-340-01,HYOSCYAMINE 0.125 MG TABS 100 EACH BOTTLE,4.25,1.7,1.7,3.83,17
NDC,42192-608-40,GABAPENTIN 250 MG/5ML SOLN 6 ML CUP,36.06,14.42,14.42,32.45,17
NDC,42192-614-05,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,42192-614-30,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,42192-615-01,NIFEDIPINE 10 MG CAPS 100 EACH BOTTLE,6.44,2.58,2.58,5.8,17
NDC,42192-619-16,NAPROXEN 125 MG/5ML SUSP 473 ML BOTTLE,4745.99,1898.4,1898.4,4271.39,17
NDC,42195-550-14,CIPROFLOXACIN HCL 0.2 % SOLN 1 EACH PLAS CONT,60.8,24.32,24.32,54.72,16
NDC,42292-038-20,LEVOTHYROXINE 88 MCG TABS 100 EACH BOX,3.04,1.22,1.22,2.74,17
NDC,42292-040-01,LEVOTHYROXINE 175 MCG TABS 1 EACH,4.4,1.76,1.76,3.96,17
NDC,42292-040-20,LEVOTHYROXINE 175 MCG TABS 100 EACH BOX,4.39,1.76,1.76,3.95,17
NDC,42292-041-01,LEVOTHYROXINE 137 MCG TABS 1 EACH,3.65,1.46,1.46,3.29,17
NDC,42292-041-20,LEVOTHYROXINE 137 MCG TABS 100 EACH BOX,3.64,1.46,1.46,3.28,17
NDC,42292-043-01,IMATINIB 100 MG TABS 1 EACH,17.8,7.12,7.12,16.02,17
NDC,42292-043-03,IMATINIB 100 MG TABS 30 EACH BOX,17.8,7.12,7.12,16.02,17
NDC,42292-054-01,COLCHICINE 0.6 MG TABS 1 EACH,55.75,22.3,22.3,50.18,17
NDC,42385-953-30,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOTTLE,350.04,140.02,0.45,315.04,32
NDC,42388-023-26,CABOZANTINIB SMALATE 60 MG TABS 30 EACH BOTTLE,4551.16,1820.46,1820.46,4096.04,15
NDC,42494-415-01,PHENOBARBITAL 65 MG/ML SOLN 1 ML VIAL,130.9,52.36,39.22,117.81,16
NDC,42494-416-01,PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL,339.75,135.9,39.22,305.78,16
NDC,42494-416-25,PHENOBARBITAL 130 MG/ML SOLN 1 ML VIAL,339.78,135.91,39.22,305.8,16
NDC,42494-419-05,METHYLENE BLUE ANTIDOTE 1 % SOLN 10 ML VIAL,1150.0,460.0,0.26,1035.0,32
NDC,42494-437-10,TETRACAINE 1 % SOLN 2 ML VIAL,418.74,167.5,167.5,376.87,17
NDC,42494-450-50,VANCOMYCIN 125 MG CAPS 50 EACH BOTTLE,156.53,62.61,62.61,140.88,17
NDC,42571-130-27,TRAVOPROST BAK FREE 0.004 % SOLN 2.5 ML BOTTLE,942.72,377.09,377.09,848.45,17
NDC,42571-137-25,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,487.6,195.04,195.04,438.84,17
NDC,42571-137-26,KETOROLAC 0.5 % SOLN 10 ML BOTTLE,975.2,390.08,390.08,877.68,17
NDC,42571-141-26,DORZOLAMIDE 2 % SOLN 10 ML BOTTLE,334.0,133.6,133.6,300.6,17
NDC,42571-147-26,DORZOLAMIDETIMOLOL 20.5 % SOLN 10 ML BOTTLE,561.2,224.48,224.48,505.08,17
NDC,42571-160-30,AMOXICILLINCLAVULANATE 250125 MG TABS 30 EACH BOTTLE,29.59,11.84,11.84,26.63,17
NDC,42571-162-01,AMOXICILLINCLAVULANATE 875125 MG TABS 100 EACH BOTTLE,25.26,10.1,10.1,22.73,17
NDC,42571-220-30,RASAGILINE 0.5 MG TABS 30 EACH BOTTLE,124.99,50.0,50.0,112.49,17
NDC,42571-221-30,RASAGILINE MESYLATE 1 MG TABS 30 EACH BOTTLE,124.99,50.0,50.0,112.49,17
NDC,42571-243-01,ACETAZOLAMIDE 500 MG CP12 100 EACH BOTTLE,21.47,8.59,8.59,19.32,17
NDC,42571-274-60,DIPYRIDAMOLEASPIRIN 25200 MG CP12 60 EACH BOTTLE,41.78,16.71,16.71,37.6,17
NDC,42571-357-07,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 473 ML BOTTLE,60.9,24.36,24.36,54.81,17
NDC,42658-010-01,CLADRIBINE 10 MG/10ML SOLN 10 ML VIAL,2100.0,840.0,7.42,1890.0,32
NDC,42658-021-02,DAUNORUBICIN HCL 20 MG/4ML SOLN 4 ML VIAL,804.86,321.94,23.5,724.37,16
NDC,42702-102-10,PHENYLEPHRINE 2.5 % SOLN 10 ML BOTTLE,360.0,144.0,144.0,324.0,17
NDC,42702-103-05,PHENYLEPHRINE 10 % SOLN 5 ML BOTTLE,240.0,96.0,96.0,216.0,17
NDC,42747-761-01,MOGAMULIZUMABKPKC 20 MG/5ML SOLN 5 ML VIAL,24585.33,9834.13,181.92,22126.8,32
NDC,42794-005-02,AMILORIDE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,42794-009-08,FLUCYTOSINE 250 MG CAPS 30 EACH BOTTLE,187.5,75.0,75.0,168.75,17
NDC,42794-010-08,FLUCYTOSINE 500 MG CAPS 30 EACH BOTTLE,354.17,141.67,141.67,318.75,17
NDC,42794-016-10,ASENAPINE MALEATE 5 MG SUBL 60 EACH BOTTLE,22.5,9.0,9.0,20.25,17
NDC,42794-017-10,ASENAPINE MALEATE 10 MG SUBL 60 EACH BOTTLE,35.0,14.0,14.0,31.5,17
NDC,42794-019-12,LIOTHYRONINE 25 MCG TABS 90 EACH BOTTLE,5.5,2.2,2.2,4.95,17
NDC,42794-086-14,SODIUM PHENYLBUTYRATE 3 GM/TSP POWD 266 G BOTTLE,23568.45,9427.38,9427.38,21211.61,17
NDC,42799-105-01,METHENAMINE 0.5 GM TABS 100 EACH BOTTLE,9.0,3.6,3.6,8.1,17
NDC,42799-115-01,COLESTIPOL 1 G TABS 120 EACH BOTTLE,6.32,2.53,2.53,5.69,17
NDC,42799-217-01,OPIUM 10 MG/ML TINC 118 ML BOTTLE,31.41,12.56,12.56,28.27,17
NDC,42806-088-01,ESTRADIOL 1 MG TABS 100 EACH BOTTLE,3.4,1.36,1.36,3.06,17
NDC,42806-089-01,ESTRADIOL 2 MG TABS 100 EACH BOTTLE,4.71,1.88,1.88,4.24,17
NDC,42806-094-30,POTASSIUM CHLORIDE 20 MEQ PACK 30 EACH BOX,53.7,21.48,21.48,48.33,17
NDC,42806-151-34,AZITHROMYCIN 200 MG/5ML SUSR 30 ML BOTTLE,174.45,69.78,69.78,157.01,17
NDC,42806-186-15,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,140.03,56.01,56.01,126.03,17
NDC,42806-270-95,CHOLESTYRAMINE LIGHT 4 G PACK 60 EACH BOX,16.76,6.7,6.7,15.08,17
NDC,42806-270-98,CHOLESTYRAMINE LIGHT 4 G PACK 1 EACH PACKET,16.76,6.7,6.7,15.08,17
NDC,42806-274-01,CARBAMAZEPINE 100 MG TB12 100 EACH BOTTLE,5.75,2.3,2.3,5.18,17
NDC,42806-276-01,CARBAMAZEPINE 400 MG TB12 100 EACH BOTTLE,20.8,8.32,8.32,18.72,17
NDC,42806-339-01,AMPHETAMINEDEXTROAMPHETAMINE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42806-343-01,AMPHETAMINEDEXTROAMPHETAMINE 15 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42806-358-01,LEUCOVORIN 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42806-358-30,LEUCOVORIN 5 MG TABS 30 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42806-359-25,LEUCOVORIN 25 MG TABS 25 EACH BOTTLE,55.88,22.35,22.35,50.29,17
NDC,42806-414-30,BUPROPION 150 MG TB24 30 EACH BOTTLE,21.55,8.62,8.62,19.4,17
NDC,42806-512-30,QUINIDINE SULFATE 300 MG TABS 30 EACH BOTTLE,79.5,31.8,31.8,71.55,17
NDC,42806-513-30,QUINIDINE SULFATE 200 MG TABS 30 EACH BOTTLE,75.44,30.18,30.18,67.9,17
NDC,42806-602-09,VENLAFAXINE 75 MG CP24 90 EACH BOTTLE,34.6,13.84,13.84,31.14,17
NDC,42806-708-01,ETHOSUXIMIDE 250 MG CAPS 100 EACH BOTTLE,13.93,5.57,5.57,12.54,17
NDC,42806-757-60,SULFADIAZINE 500 MG TABS 60 EACH BOTTLE,100.19,40.08,40.08,90.17,17
NDC,42858-001-10,OXYCODONE 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,42858-003-01,OXYCODONE 15 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42858-011-01,DEXMETHYLPHENIDATE 2.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42858-225-01,DEXMETHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42858-301-01,HYDROMORPHONE 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42858-301-25,HYDROMORPHONE 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,42858-302-25,HYDROMORPHONE 4 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,42858-302-50,HYDROMORPHONE 4 MG TABS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,42858-601-03,BUPRENORPHINENALOXONE 20.5 MG SUBL 30 EACH BOTTLE,10.0,4.0,1.87,9.0,17
NDC,42858-602-03,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 30 EACH BOTTLE,10.0,4.0,1.96,9.0,17
NDC,42858-867-06,DRONABINOL 2.5 MG CAPS 60 EACH BOTTLE,12.37,4.95,4.95,11.13,17
NDC,42858-868-06,DRONABINOL 5 MG CAPS 60 EACH BOTTLE,18.63,7.45,7.45,16.77,17
NDC,43066-008-01,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43066-008-10,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43066-009-10,NICARDIPINE 200.86 MG/200ML% SOLN 200 ML FLEX CONT,300.0,120.0,120.0,270.0,17
NDC,43066-013-10,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43066-015-01,ROPIVACAINE 2 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43066-015-10,ROPIVACAINE 2 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43066-016-10,NICARDIPINE 400.83 MG/200ML% SOLN 200 ML FLEX CONT,441.6,176.64,176.64,397.44,17
NDC,43066-031-01,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43066-031-25,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43066-150-10,AMIODARONE 150 MG SOLN 100 ML PLAS CONT,208.0,83.2,2.83,187.2,17
NDC,43066-360-20,AMIODARONE 1.8 MG/ML SOLN 200 ML PLAS CONT,277.0,110.8,2.83,249.3,17
NDC,43066-993-24,CLINDAMYCIN 600 MG/50ML SOLN 50 ML FLEX CONT,64.0,25.6,25.6,57.6,17
NDC,43068-101-02,ILOPERIDONE 1 MG TABS 60 EACH BOTTLE,184.24,73.7,73.7,165.82,17
NDC,43068-104-02,ILOPERIDONE 4 MG TABS 60 EACH BOTTLE,184.24,73.7,73.7,165.82,17
NDC,43068-106-02,ILOPERIDONE 6 MG TABS 60 EACH BOTTLE,226.69,90.68,90.68,204.02,17
NDC,43068-108-02,ILOPERIDONE 8 MG TABS 60 EACH BOTTLE,226.69,90.68,90.68,204.02,17
NDC,43068-110-02,ILOPERIDONE 10 MG TABS 60 EACH BOTTLE,363.04,145.22,145.22,326.74,17
NDC,43068-112-02,ILOPERIDONE 12 MG TABS 60 EACH BOTTLE,363.04,145.22,145.22,326.74,17
NDC,43386-118-01,HYDROCODONE BITHOMATROP MBR 51.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,43386-771-01,FLUCYTOSINE 250 MG CAPS 100 EACH BOTTLE,377.52,151.01,151.01,339.77,17
NDC,43528-003-01,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML SOSY 0.5 ML SYRINGE,560.7,224.28,127.17,560.7,22
NDC,43528-003-05,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML SOSY 0.5 ML SYRINGE,560.7,224.28,127.17,560.7,22
NDC,43547-280-10,ESCITALOPRAM 5 MG TABS 100 EACH BOTTLE,20.75,8.3,8.3,18.68,17
NDC,43547-335-10,BENAZEPRIL 5 MG TABS 100 EACH BOTTLE,5.25,2.1,2.1,4.73,17
NDC,43547-336-10,BENAZEPRIL 10 MG TABS 100 EACH BOTTLE,5.25,2.1,2.1,4.73,17
NDC,43547-349-03,PAROXETINE 30 MG TABS 30 EACH BOTTLE,14.17,5.67,5.67,12.75,17
NDC,43547-351-10,LISINOPRIL 2.5 MG TABS 100 EACH BOTTLE,3.25,1.3,1.3,2.93,17
NDC,43547-360-09,LOSARTAN 25 MG TABS 90 EACH BOTTLE,8.39,3.36,3.36,7.55,17
NDC,43547-365-10,CAPTOPRIL 50 MG TABS 100 EACH BOTTLE,14.5,5.8,5.8,13.05,17
NDC,43547-366-10,CAPTOPRIL 100 MG TABS 100 EACH BOTTLE,19.03,7.61,7.61,17.13,17
NDC,43547-368-09,VALSARTAN 80 MG TABS 90 EACH BOTTLE,24.16,9.66,9.66,21.74,17
NDC,43547-386-09,FOSINOPRIL 10 MG TABS 90 EACH BOTTLE,5.95,2.38,2.38,5.36,17
NDC,43547-387-09,FOSINOPRIL 20 MG TABS 90 EACH BOTTLE,5.95,2.38,2.38,5.36,17
NDC,43547-388-09,FOSINOPRIL 40 MG TABS 90 EACH BOTTLE,5.95,2.38,2.38,5.36,17
NDC,43547-400-10,CYCLOBENZAPRINE 10 MG TABS 100 EACH BOTTLE,5.79,2.32,2.32,5.21,17
NDC,43547-406-10,CLONAZEPAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,43547-407-10,CLONAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,43547-408-10,CLONAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,43547-423-03,LOSARTANHYDROCHLOROTHIAZIDE 5012.5 MG TABS 30 EACH BOTTLE,12.51,5.0,5.0,11.26,17
NDC,43547-424-09,LOSARTANHYDROCHLOROTHIAZIDE 10025 MG TABS 90 EACH BOTTLE,17.04,6.82,6.82,15.34,17
NDC,43547-436-03,ENTECAVIR 0.5 MG TABS 30 EACH BOTTLE,222.18,88.87,88.87,199.96,17
NDC,43547-524-03,NEBIVOLOL 2.5 MG TABS 30 EACH BOTTLE,23.69,9.48,9.48,21.32,17
NDC,43547-526-03,NEBIVOLOL 10 MG TABS 30 EACH BOTTLE,23.69,9.48,9.48,21.32,17
NDC,43547-543-25,GLYCOPYRROLATE 0.2 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,43547-544-01,GLYCOPYRROLATE 0.4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,43547-544-25,GLYCOPYRROLATE 0.4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,43547-545-10,ENALAPRIL 2.5 MG TABS 100 EACH BOTTLE,7.29,2.92,2.92,6.56,17
NDC,43547-546-10,ENALAPRIL 5 MG TABS 100 EACH BOTTLE,9.26,3.7,3.7,8.33,17
NDC,43547-547-10,ENALAPRIL 10 MG TABS 100 EACH BOTTLE,9.72,3.89,3.89,8.75,17
NDC,43547-548-10,ENALAPRIL 20 MG TABS 100 EACH BOTTLE,13.83,5.53,5.53,12.45,17
NDC,43547-688-10,CIPROFLOXACIN 250 MG TABS 100 EACH BOTTLE,22.18,8.87,8.87,19.96,17
NDC,43598-050-11,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43598-050-25,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43598-053-11,DESMOPRESSIN 4 MCG/ML SOLN 10 ML VIAL,2646.0,1058.4,4.75,2381.4,17
NDC,43598-085-11,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,237.07,94.83,94.83,213.36,17
NDC,43598-128-11,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG SOLR 1 EACH VIAL,132.0,52.8,0.11,118.8,17
NDC,43598-130-74,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL,195.0,78.0,0.11,175.5,16
NDC,43598-139-01,KETOROLAC 10 MG TABS 100 EACH BOTTLE,10.79,4.32,4.32,9.71,17
NDC,43598-140-11,CHLORPROMAZINE 25 MG/ML SOLN 1 ML VIAL,149.76,59.9,59.9,134.78,17
NDC,43598-140-25,CHLORPROMAZINE 25 MG/ML SOLN 1 ML VIAL,149.76,59.9,59.9,134.78,17
NDC,43598-169-11,ENALAPRILAT 1.25 MG/ML SOLN 2 ML VIAL,56.89,22.76,22.76,51.2,17
NDC,43598-169-58,ENALAPRILAT 1.25 MG/ML SOLN 2 ML VIAL,56.89,22.76,22.76,51.2,17
NDC,43598-210-40,SILVER SULFADIAZINE 1 % CREA 400 G JAR,318.0,127.2,127.2,286.2,17
NDC,43598-262-23,FULVESTRANT 250 MG/5ML SOSY 5 ML SYRINGE,600.0,240.0,7.38,540.0,16
NDC,43598-283-35,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML SUSP 10 ML VIAL,2700.0,1080.0,92.74,2430.0,32
NDC,43598-291-90,PREGABALIN 25 MG CAPS 90 EACH BOTTLE,42.14,16.86,16.86,37.93,17
NDC,43598-293-66,PREGABALIN 75 MG CAPS 50 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,43598-293-79,PREGABALIN 75 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,43598-293-90,PREGABALIN 75 MG CAPS 90 EACH BOTTLE,42.14,16.86,16.86,37.93,17
NDC,43598-326-75,CIPROFLOXACINDEXAMETHASONE 0.30.1 % SUSP 7.5 ML BOTTLE,1237.48,494.99,494.99,1113.73,17
NDC,43598-405-11,PHYTONADIONE 10 MG/ML SOLN 1 ML AMPULE,64.15,25.66,3.55,57.74,16
NDC,43598-405-16,PHYTONADIONE 10 MG/ML SOLN 1 ML AMPULE,64.15,25.66,3.55,57.74,16
NDC,43598-426-60,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL,1380.0,552.0,3.63,1242.0,16
NDC,43598-435-01,NITROGLYCERIN 0.3 MG SUBL 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,43598-436-11,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,5.08,2.03,2.03,4.57,17
NDC,43598-436-35,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,5.08,2.03,2.03,4.57,17
NDC,43598-437-01,NITROGLYCERIN 0.6 MG SUBL 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,43598-446-74,NICOTINE 7 MG/24HR PT24 14 EACH BOX,3.2,1.28,1.28,2.88,17
NDC,43598-447-70,NICOTINE 14 MG/24HR PT24 7 EACH BOX,3.78,1.51,1.51,3.4,17
NDC,43598-448-74,NICOTINE 21 MG/24HR PT24 14 EACH BOX,3.2,1.28,1.28,2.88,17
NDC,43598-452-02,ALBENDAZOLE 200 MG TABS 2 EACH BOTTLE,526.49,210.6,210.6,473.84,17
NDC,43598-495-01,NAPROXEN SODIUM 550 MG TABS 100 EACH BOTTLE,17.81,7.12,7.12,16.03,17
NDC,43598-509-30,ESOMEPRAZOLE 20 MG CPDR 30 EACH BOTTLE,45.12,18.05,18.05,40.61,17
NDC,43598-560-78,LANSOPRAZOLE 15 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,17
NDC,43598-561-78,LANSOPRAZOLE 30 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,17
NDC,43598-635-10,LEVETIRACETAM IN NACL 500 MG/100ML SOLN 100 ML FLEX CONT,84.0,33.6,0.05,75.6,16
NDC,43598-635-52,LEVETIRACETAM IN NACL 500 MG/100ML SOLN 100 ML FLEX CONT,111.0,44.4,0.05,99.9,16
NDC,43598-636-52,LEVETIRACETAM IN NACL 1000 MG/100ML SOLN 100 ML FLEX CONT,180.0,72.0,0.05,162.0,16
NDC,43598-637-10,LEVETIRACETAM IN NACL 1500 MG/100ML SOLN 100 ML FLEX CONT,171.0,68.4,0.05,153.9,16
NDC,43598-637-52,LEVETIRACETAM IN NACL 1500 MG/100ML SOLN 100 ML FLEX CONT,240.0,96.0,0.05,216.0,16
NDC,43598-676-11,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSP 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,43598-698-11,CARBOPROST 250 MCG/ML SOLN 1 ML VIAL,360.0,144.0,144.0,324.0,17
NDC,43598-698-58,CARBOPROST 250 MCG/ML SOLN 1 ML VIAL,360.0,144.0,144.0,324.0,17
NDC,43598-721-01,HYDROXYCHLOROQUINE 200 MG TABS 100 EACH BOTTLE,20.44,8.18,8.18,18.4,17
NDC,43598-725-11,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,92.4,36.96,36.96,83.16,17
NDC,43598-725-25,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,92.4,36.96,36.96,83.16,17
NDC,43598-748-11,TIMOLOL 0.5 % SOLG 5 ML BOTTLE,1224.01,489.6,489.6,1101.61,17
NDC,43598-750-10,NALOXONE 2 MG/2ML SOSY 2 ML SYRINGE,188.1,75.24,0.1,169.29,16
NDC,43598-750-11,NALOXONE 2 MG/2ML SOSY 2 ML SYRINGE,188.1,75.24,0.1,169.29,16
NDC,43598-750-58,NALOXONE 2 MG/2ML SOSY 2 ML SYRINGE,188.1,75.24,0.1,169.29,16
NDC,43598-891-10,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 15 ML CUP,37.8,15.12,15.12,34.02,17
NDC,43598-901-58,ERTAPENEM 1 G SOLR 1 EACH VIAL,552.0,220.8,12.82,496.8,16
NDC,43598-931-09,DESMOPRESSIN ACETATE PF 4 MCG/ML SOLN 1 ML AMPULE,228.0,91.2,4.75,205.2,17
NDC,43598-931-11,DESMOPRESSIN ACETATE PF 4 MCG/ML SOLN 1 ML AMPULE,228.0,91.2,4.75,205.2,17
NDC,43598-945-11,NEOSTIGMINE 3 MG/3ML SOSY 3 ML SYRINGE,90.0,36.0,36.0,81.0,17
NDC,43598-945-58,NEOSTIGMINE 3 MG/3ML SOSY 3 ML SYRINGE,90.0,36.0,36.0,81.0,17
NDC,43825-200-01,TERLIPRESSIN 0.85 MG SOLR 1 EACH VIAL,5276.88,2110.75,0.5,4749.19,16
NDC,44087-1150-1,CHORIOGONADOTROPIN ALFA 250 MCG/0.5ML SOSY 0.5 ML SYRINGE,1390.17,556.07,556.07,1251.15,17
NDC,44087-3535-1,AVELUMAB 200 MG/10ML SOLN 10 ML VIAL,11558.97,4623.59,72.19,10403.07,32
NDC,44206-251-05,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,496.8,198.72,53.32,447.12,32
NDC,44206-251-10,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,993.6,397.44,53.32,894.24,32
NDC,44206-251-90,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,496.8,198.72,53.32,447.12,32
NDC,44206-300-01,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML SOSY 2 ML SYRINGE,976.81,390.72,6.32,879.13,16
NDC,44206-310-25,ALBUMIN HUMAN 5 % SOLN 250 ML VIAL,496.8,198.72,41.9,447.12,32
NDC,44206-436-05,IMMUNE GLOBULIN 5 GM/50ML SOLN 50 ML VIAL,4979.94,1991.98,48.88,4481.95,32
NDC,44206-437-10,IMMUNE GLOBULIN 10 GM/100ML SOLN 100 ML VIAL,9959.88,3983.95,48.88,8963.89,32
NDC,44206-438-20,IMMUNE GLOBULIN HUMAN 20 GM/200ML SOLN 200 ML VIAL,19919.76,7967.9,63.93,17927.78,32
NDC,44206-439-40,IMMUNE GLOBULIN 40 GM/400ML SOLN 400 ML VIAL,39839.52,15935.81,48.88,35855.57,32
NDC,44206-451-01,HIZENTRA 1 GM/5ML SOLN 5 ML VIAL,1370.25,548.1,13.14,1233.23,32
NDC,44206-452-02,HIZENTRA 2 GM/10ML SOLN 10 ML VIAL,2502.15,1000.86,13.14,2251.94,32
NDC,44206-454-04,HIZENTRA 20% 4 GM/20ML SOLN 20 ML VIAL,5004.3,2001.72,13.14,4503.87,32
NDC,44206-532-11,CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML SOLN 50 ML VIAL,7466.34,2986.54,1233.6,6719.71,32
NDC,44567-101-10,AMPICILLIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,44567-102-10,AMPICILLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,44567-211-10,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,85.5,34.2,1.81,76.95,16
NDC,44567-221-10,NAFCILLIN 1 G SOLR 1 EACH VIAL,66.0,26.4,26.4,59.4,17
NDC,44567-222-10,NAFCILLIN 2 G SOLR 1 EACH VIAL,132.0,52.8,52.8,118.8,17
NDC,44567-223-01,NAFCILLIN 10 G SOLR 1 EACH VIAL,800.4,320.16,320.16,720.36,17
NDC,44567-235-25,CEFTAZIDIME 1 G SOLR 1 EACH VIAL,35.0,14.0,2.04,31.5,16
NDC,44567-236-10,CEFTAZIDIME 2 G SOLR 1 EACH VIAL,60.0,24.0,2.04,54.0,16
NDC,44567-240-10,CEFEPIME 1 G SOLR 1 EACH VIAL,35.0,14.0,1.59,31.5,16
NDC,44567-241-10,CEFEPIME 2 G SOLR 1 EACH VIAL,37.5,15.0,1.59,33.75,16
NDC,44567-245-25,CEFOXITIN 1 G SOLR 1 EACH VIAL,56.64,22.66,22.66,50.98,17
NDC,44567-246-25,CEFOXITIN 2 G SOLR 1 EACH VIAL,113.76,45.5,45.5,102.38,17
NDC,44567-312-01,PENICILLIN G POTASSIUM 20000000 UNITS SOLR 1 EACH VIAL,299.95,119.98,119.98,269.96,17
NDC,44567-402-06,MEROPENEM 2 G SOLR 1 EACH VIAL,187.5,75.0,0.55,168.75,16
NDC,44567-420-24,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,40.75,16.3,16.3,36.68,17
NDC,44567-421-24,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,44567-435-24,LEVOFLOXACIN IN D5W 250 MG/50ML SOLN 50 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,44567-436-24,LEVOFLOXACIN IN D5W 500 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,44567-437-24,LEVOFLOXACIN IN D5W 750 MG/150ML SOLN 150 ML FLEX CONT,35.0,14.0,3.3,31.5,16
NDC,44567-450-01,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,512.9,205.16,205.16,461.61,17
NDC,44567-450-10,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,512.9,205.16,205.16,461.61,17
NDC,44567-503-01,LEVETIRACETAM IN NACL 1500 MG/100ML SOLN 100 ML FLEX CONT,91.0,36.4,0.05,81.9,16
NDC,44567-503-10,LEVETIRACETAM IN NACL 1500 MG/100ML SOLN 100 ML FLEX CONT,91.0,36.4,0.05,81.9,16
NDC,44567-611-01,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML% SOLN 100 ML FLEX CONT,162.0,64.8,64.8,145.8,17
NDC,44567-611-10,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML% SOLN 100 ML FLEX CONT,162.0,64.8,64.8,145.8,17
NDC,44567-621-01,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
NDC,44567-621-24,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
NDC,44567-642-01,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,414.0,165.6,165.6,372.6,17
NDC,44567-642-10,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,414.0,165.6,165.6,372.6,17
NDC,44567-700-25,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,44567-705-01,IMIPENEMCILASTATIN 500 MG SOLR 1 EACH VIAL,164.1,65.64,13.33,147.69,16
NDC,44567-705-10,IMIPENEMCILASTATIN 500 MG SOLR 1 EACH VIAL,164.1,65.64,13.33,147.69,16
NDC,44567-707-25,CEFAZOLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,44567-803-10,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,40.8,16.32,16.32,36.72,17
NDC,44567-820-10,ERTAPENEM 1 G SOLR 1 EACH VIAL,766.18,306.47,12.82,689.56,16
NDC,45802-014-02,HYDROCORTISONE 2.5 % OINT 20 G TUBE,24.8,9.92,9.92,22.32,17
NDC,45802-040-64,SELENIUM SULFIDE 2.5 % LOTN 120 ML BOTTLE,99.0,39.6,39.6,89.1,17
NDC,45802-044-75,ACYCLOVIR 5 % CREA 5 G TUBE,1104.0,441.6,441.6,993.6,17
NDC,45802-046-11,GENTAMICIN 0.1 % OINT 30 G TUBE,454.3,181.72,181.72,408.87,17
NDC,45802-046-35,GENTAMICIN 0.1 % OINT 15 G TUBE,246.9,98.76,98.76,222.21,17
NDC,45802-054-35,TRIAMCINOLONE 0.025 % OINT 15 G TUBE,30.6,12.24,12.24,27.54,17
NDC,45802-055-05,TRIAMCINOLONE 0.1 % OINT 454 G JAR,206.57,82.63,82.63,185.91,17
NDC,45802-055-35,TRIAMCINOLONE 0.1 % OINT 15 G TUBE,27.83,11.13,11.13,25.05,17
NDC,45802-055-36,TRIAMCINOLONE 0.1 % OINT 80 G TUBE,63.6,25.44,25.44,57.24,17
NDC,45802-059-35,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,87.53,35.01,35.01,78.78,17
NDC,45802-060-01,BACITRACIN 500 UNIT/GM OINT 14 G TUBE,17.99,7.2,7.2,16.19,17
NDC,45802-060-03,BACITRACIN 500 UNIT/GM OINT 28 G TUBE,26.32,10.53,10.53,23.69,17
NDC,45802-060-70,BACITRACIN 500 UNIT/GM OINT 0.9 G PACKAGE,3.0,1.2,1.2,2.7,17
NDC,45802-064-36,TRIAMCINOLONE 0.1 % CREA 80 G TUBE,47.6,19.04,19.04,42.84,17
NDC,45802-112-22,MUPIROCIN 2 % OINT 22 G TUBE,56.21,22.48,22.48,50.59,17
NDC,45802-139-70,METRONIDAZOLE 0.75 % GEL 70 G TUBE,702.93,281.17,281.17,632.64,17
NDC,45802-143-01,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 14 G TUBE,6.38,2.55,2.55,5.74,17
NDC,45802-143-70,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 1 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,45802-210-01,NITROGLYCERIN 0.4 MG/SPRAY SOLN 4.9 G SPRAY BOTTLE,1032.56,413.02,413.02,929.3,17
NDC,45802-257-35,MOMETASONE 0.1 % CREA 15 G TUBE,145.8,58.32,58.32,131.22,17
NDC,45802-257-42,MOMETASONE 0.1 % CREA 45 G TUBE,264.6,105.84,105.84,238.14,17
NDC,45802-276-03,HYDROCORTISONE 1 % OINT 28 G TUBE,20.02,8.01,8.01,18.02,17
NDC,45802-390-00,TACROLIMUS 0.03 % OINT 30 G TUBE,386.4,154.56,154.56,347.76,17
NDC,45802-395-04,VITAMIN A AND D OINT 113 G TUBE,5.93,2.37,2.37,5.34,17
NDC,45802-419-54,AMMONIUM LACTATE 12 % LOTN 225 G BOTTLE,165.38,66.15,66.15,148.84,17
NDC,45802-438-03,HYDROCORTISONE 1 % CREA 28 G TUBE,20.02,8.01,8.01,18.02,17
NDC,45802-465-64,KETOCONAZOLE 2 % SHAM 120 ML BOTTLE,151.2,60.48,60.48,136.08,17
NDC,45802-52555,AMMONIUM LACTATE 12 % LOTN 227 G BOTTLE,90.8,36.32,36.32,81.72,17
NDC,45802-626-26,CETIRIZINE 5 MG/5ML SOLN 120 ML BOTTLE,182.4,72.96,72.96,164.16,17
NDC,45802-700-01,TACROLIMUS 0.1 % OINT 60 G TUBE,1104.0,441.6,441.6,993.6,17
NDC,45802-730-30,ACETAMINOPHEN 650 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,45802-730-32,ACETAMINOPHEN 650 MG SUPP 50 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,45802-732-00,ACETAMINOPHEN 120 MG SUPP 1 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,45802-732-30,ACETAMINOPHEN 120 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,45802-732-33,ACETAMINOPHEN 120 MG SUPP 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,45802-923-41,MESALAMINECLEANSER 4 G KIT 1 EACH BOX,786.83,314.73,314.73,708.15,17
NDC,45963-342-02,DESIPRAMINE 25 MG TABS 100 EACH BOTTLE,7.12,2.85,2.85,6.41,17
NDC,45963-343-02,DESIPRAMINE 50 MG TABS 100 EACH BOTTLE,13.39,5.36,5.36,12.05,17
NDC,45963-556-50,GABAPENTIN 300 MG CAPS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,45963-609-55,FLUDARABINE 50 MG SOLR 1 EACH VIAL,521.64,208.66,77.73,469.48,16
NDC,46017-01816,CAFFEINE 200 MG TABS 16 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,46017-01866,CAFFEINE 200 MG TABS 60 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,46036-00686,WHITE PETROLATUM GEL 368 G JAR,12.88,5.15,5.15,11.59,17
NDC,46036-00844,CALCIUM CARBONATE 500 MG CHEW 150 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,46036-00913,CAFFEINE 200 MG TABS 16 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,46287-006-60,SODIUM POLYSTYRENE SULFONATE 15 GM/60ML SUSP 60 ML BOTTLE,155.1,62.04,62.04,139.59,17
NDC,46287-009-01,ISONIAZID 50 MG/5ML SYRP 473 ML BOTTLE,2162.75,865.1,865.1,1946.48,17
NDC,46287-020-04,SPIRONOLACTONE 25 MG/5ML SUSP 118 ML BOTTLE,2178.16,871.26,871.26,1960.34,17
NDC,46287-500-01,SORBITOL 70 % SOLN 473 ML BOTTLE,80.41,32.16,32.16,72.37,17
NDC,46287-500-30,SORBITOL 70 % SOLN 30 ML BOTTLE,20.25,8.1,8.1,18.23,17
NDC,46581-830-01,LIDOCAINE 4 % PTCH 15 EACH BOX,13.13,5.25,5.25,11.82,17
NDC,46581-830-06,LIDOCAINE 4 % PTCH 6 EACH BOX,10.83,4.33,4.33,9.75,17
NDC,47335-177-95,TILDRAKIZUMABASMN 100 MG/ML SOSY 1 ML SYRINGE,92336.16,36934.46,123.79,83102.54,32
NDC,47335-187-88,CARBIDOPALEVODOPA 25100 MG TBDP 100 EACH BOTTLE,6.9,2.76,2.76,6.21,17
NDC,47335-237-83,AMBRISENTAN 10 MG TABS 30 EACH BOTTLE,1566.71,626.68,626.68,1410.04,17
NDC,47335-330-40,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,573.85,229.54,51.29,516.47,16
NDC,47335-472-81,IMATINIB 100 MG TABS 90 EACH BOTTLE,491.04,196.42,196.42,441.94,17
NDC,47335-485-83,BICALUTAMIDE 50 MG TABS 30 EACH BOTTLE,92.67,37.07,37.07,83.4,17
NDC,47335-485-88,BICALUTAMIDE 50 MG TABS 100 EACH BOTTLE,92.65,37.06,37.06,83.39,17
NDC,47335-615-44,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,52.44,20.98,20.98,47.2,17
NDC,47335-836-83,GALANTAMINE 16 MG CP24 30 EACH BOTTLE,31.83,12.73,12.73,28.65,17
NDC,47335-931-40,VECURONIUM 10 MG SOLR 1 EACH VIAL,51.0,20.4,20.4,45.9,17
NDC,47335-956-88,ALFUZOSIN 10 MG TB24 100 EACH BOTTLE,21.07,8.43,8.43,18.96,17
NDC,47335-992-01,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,78.75,31.5,31.5,70.88,17
NDC,47335-992-02,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,39.0,15.6,15.6,35.1,17
NDC,47335-993-01,METRONIDAZOLE 500 MG/100ML SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,47682-223-35,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 1 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,47781-012-01,HYOSCYAMINE SULFATE 0.125 MG TBDP 100 EACH BOTTLE,4.25,1.7,1.7,3.83,17
NDC,47781-176-01,AMPHETAMINEDEXTROAMPHETAMINE 10 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,47781-200-50,MELPHALAN 2 MG TABS 50 EACH BOTTLE,61.06,24.42,8.24,54.95,17
NDC,47781-303-01,NITROFURANTOIN MACROCRYSTALMONOHYDRATE 100 MG CAPS 100 EACH BOTTLE,19.07,7.63,7.63,17.16,17
NDC,47781-306-01,NITROFURANTOIN 25 MG CAPS 100 EACH BOTTLE,63.22,25.29,25.29,56.9,17
NDC,47781-308-01,NITROFURANTOIN 100 MG CAPS 100 EACH BOTTLE,16.88,6.75,6.75,15.19,17
NDC,47781-335-30,PYRIDOSTIGMINE 180 MG TAB CR 30 EACH BOTTLE,124.04,49.62,49.62,111.64,17
NDC,47781-423-11,FENTANYL 12 MCG/HR PT72 1 EACH,101.51,40.6,40.6,91.36,17
NDC,47781-423-47,FENTANYL 12 MCG/HR PT72 5 EACH BOX,101.51,40.6,40.6,91.36,17
NDC,47781-424-11,FENTANYL 25 MCG/HR PT72 1 EACH PACKAGE,106.33,42.53,42.53,95.7,17
NDC,47781-424-47,FENTANYL 25 MCG/HR PT72 5 EACH BOX,106.33,42.53,42.53,95.7,17
NDC,47781-426-11,FENTANYL 50 MCG/HR PT72 1 EACH BOX,194.41,77.76,77.76,174.97,17
NDC,47781-426-47,FENTANYL 50 MCG/HR PT72 5 EACH BOX,194.41,77.76,77.76,174.97,17
NDC,47781-427-11,FENTANYL 75 MCG/HR PT72 1 EACH BOX,296.53,118.61,118.61,266.88,17
NDC,47781-427-47,FENTANYL 75 MCG/HR PT72 5 EACH BOX,296.53,118.61,118.61,266.88,17
NDC,47781-428-11,FENTANYL 100 MCG/HR PT72 1 EACH PACKAGE,362.08,144.83,144.83,325.87,17
NDC,47781-428-47,FENTANYL 100 MCG/HR PT72 5 EACH BOX,362.08,144.83,144.83,325.87,17
NDC,47781-457-04,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,5.14,2.06,2.06,4.63,17
NDC,47781-469-13,OSELTAMIVIR 45 MG CAPS 10 EACH BOX,70.9,28.36,28.36,63.81,17
NDC,47781-470-13,OSELTAMIVIR 75 MG CAPS 10 EACH BOX,77.29,30.92,30.92,69.56,17
NDC,47781-569-73,FLUOCINONIDE 0.05 % OINT 30 G TUBE,650.95,260.38,260.38,585.86,17
NDC,47781-577-01,METHENAMINE 1 G TABS 100 EACH BOTTLE,10.46,4.18,4.18,9.41,17
NDC,47781-624-07,DEFEROXAMINE 2 G SOLR 1 EACH VIAL,186.0,74.4,11.71,167.4,16
NDC,47781-647-26,ERGOCALCIFEROL 200 MCG/ML SOLN 60 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,47781-914-01,DEXAMETHASONE 4 MG TABS 100 EACH BOTTLE,5.95,2.38,2.38,5.36,17
NDC,48433-104-01,CHOLECALCIFEROL 1000 UNITS TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,48433-106-01,CALCIUM CARBONATE 500 MG CHEW 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,48433-127-01,BISMUTH SUBSALICYLATE 262 MG CHEW 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,48433-230-15,STRONG IODINE 5 % SOLN 14 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,48582-00330,BIOTENE DRY MOUTH LIQD 473 ML BOTTLE,49.67,19.87,19.87,44.7,17
NDC,48582-51201,BIOTENE ORALBALANCE DRY MOUTH GEL 42 G TUBE,49.14,19.66,19.66,44.23,17
NDC,48582-80220,BIOTENE DRY MOUTH LIQD 237 ML BOTTLE,29.63,11.85,11.85,26.67,17
NDC,48783-112-08,FERRIC SUBSULFATE SOLN 8 ML BOTTLE,88.4,35.36,35.36,79.56,17
NDC,48818-001-01,PRALATREXATE 20 MG/ML SOLN 1 ML VIAL,34209.08,13683.63,216.16,30788.17,32
NDC,48818-001-02,PRALATREXATE 40 MG/2ML SOLN 2 ML VIAL,68418.21,27367.28,216.16,61576.39,32
NDC,49100-40008,CULTURELLE KIDS PACK 30 EACH BOX,4.53,1.81,1.81,4.08,17
NDC,49100-40015,CULTURELLE KIDS CHEW 30 EACH BOX,4.53,1.81,1.81,4.08,17
NDC,49281-124-65,INFLUENZA VAC SPLIT HIGHDOSE 0.5 ML SUSY 0.5 ML SYRINGE,263.66,105.46,47.46,263.66,29
NDC,49281-124-88,INFLUENZA VAC SPLIT HIGHDOSE 0.5 ML SUSY 0.5 ML SYRINGE,263.66,105.46,47.46,263.66,29
NDC,49281-190-20,RABIES IMMUNE GLOBULIN 300 UNIT/2ML SOLN 2 ML VIAL,3258.48,1303.39,334.09,2932.63,32
NDC,49281-215-10,TETANUSDEPHTHERIA TOXOIDS ADULT 52 LF/0.5ML SUSP 0.5 ML VIAL,164.39,65.76,31.2,147.95,16
NDC,49281-215-15,TETANUSDEPHTHERIA TOXOIDS ADULT 52 LF/0.5ML SUSP 0.5 ML SYRINGE,164.39,65.76,31.2,147.95,16
NDC,49281-215-88,TETANUSDEPHTHERIA TOXOIDS ADULT 52 LF/0.5ML SUSP 0.5 ML SYRINGE,164.39,65.76,31.2,147.95,16
NDC,49281-252-51,RABIES VIRUS VACCINE HDC SUSR 1 EACH VIAL,1689.15,675.66,276.72,1520.24,32
NDC,49281-286-10,DIPHTHACELL PERTUSSISTETANUS 15235 LFMCG/0.5 SUSP 0.5 ML VIAL,112.12,44.85,44.85,100.91,17
NDC,49281-286-58,DIPHTHACELL PERTUSSISTETANUS 15235 LFMCG/0.5 SUSP 0.5 ML VIAL,112.12,44.85,44.85,100.91,17
NDC,49281-400-10,TDAP 5215.5 LFMCG/0.5 SUSP 0.5 ML VIAL,182.53,73.01,73.01,164.28,17
NDC,49281-400-89,TDAP 5215.5 LFMCG/0.5 SUSP 0.5 ML SYRINGE,182.53,73.01,73.01,164.28,17
NDC,49281-424-50,INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE,74.0,29.6,16.78,74.0,24
NDC,49281-424-88,INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE,74.0,29.6,16.78,74.0,24
NDC,49281-425-50,INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE,74.71,29.88,16.94,74.71,24
NDC,49281-425-88,INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE,74.71,29.88,16.94,74.71,24
NDC,49281-510-05,DTAP PENTACEL IPVHIB SUSR 1 EACH VIAL,379.99,152.0,152.0,341.99,16
NDC,49281-511-05,DTAP PENTACEL IPVHIB SUSR 1 EACH VIAL,467.66,187.06,174.81,420.89,16
NDC,49281-545-03,HAEMOPHILUS B POLYSACTETANUS TOXOID ACTHIB SOLR 1 EACH VIAL,82.72,33.09,33.09,74.45,17
NDC,49281-562-10,DTAPIPV SUSP 0.5 ML VIAL,230.67,92.27,92.27,207.6,17
NDC,49281-574-15,NIRSEVIMABALIP 100 MG/ML SOSY 1 ML SYRINGE,2142.22,856.89,386.1,1928.0,16
NDC,49281-574-88,NIRSEVIMABALIP 100 MG/ML SOSY 1 ML SYRINGE,2142.21,856.88,386.1,1927.99,16
NDC,49281-575-00,NIRSEVIMABALIP 50 MG/0.5ML SOSY 0.5 ML SYRINGE,2142.21,856.88,386.1,1927.99,16
NDC,49281-575-15,NIRSEVIMABALIP 50 MG/0.5ML SOSY 0.5 ML SYRINGE,2142.22,856.89,386.1,1928.0,16
NDC,49281-589-05,MENING ACYANDW135 DIPHTH CONJ SOLN 0.5 ML VIAL,535.04,214.02,122.39,481.54,22
NDC,49281-590-10,MENING ACYANDW135 TETANUS CONJ SOLN 0.5 ML VIAL,637.14,254.86,130.15,573.43,16
NDC,49281-752-21,TUBERCULIN 5 UNIT/0.1ML SOLN 1 ML VIAL,75.7,30.28,6.46,73.38,32
NDC,49281-752-22,TUBERCULIN 5 UNIT/0.1ML SOLN 5 ML VIAL,58.99,23.6,6.46,65.28,32
NDC,49281-860-10,POLIOVIRUS VACCINE INACTIVATED SUSP 5 ML VIAL,171.67,68.67,65.13,154.5,16
NDC,49348-031-34,HYDROGEN PEROXIDE 3 % SOLN 118 ML BOTTLE,4.13,1.65,1.65,3.72,17
NDC,49348-133-30,IODINE 2 % TINC 60 ML BOTTLE,9.0,3.6,3.6,8.1,17
NDC,49348-456-37,BROMPHENIRAMINEPSEUDOEPHEDRINE 115 MG/5ML ELIX 236 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,49401-101-01,BELIMUMAB 120 MG SOLR 1 EACH VIAL,3328.42,1331.37,53.74,2995.58,32
NDC,49401-102-01,BELIMUMAB 400 MG SOLR 1 EACH VIAL,11093.88,4437.55,53.74,9984.49,32
NDC,49502-102-02,EPINEPHRINE 0.3 MG/0.3ML SOAJ 2 EACH PEN,862.5,345.0,345.0,776.25,17
NDC,49502-345-73,TOBRAMYCIN PF 300 MG/5ML NEBU 5 ML PLAS CONT,852.45,340.98,15.68,767.21,16
NDC,49502-475-93,EFAVIRENZLAMIVUDINETENOFOVIR DF 600300300 MG TABS 30 EACH BOTTLE,372.16,148.86,148.86,334.94,17
NDC,49502-500-02,EPINEPHRINE 0.3 MG/0.3ML SOAJ 2 EACH PEN,1679.76,671.9,671.9,1511.78,17
NDC,49502-501-02,EPINEPHRINE 0.15 MG/0.3ML SOAJ 2 EACH PEN,1679.76,671.9,671.9,1511.78,17
NDC,49502-605-30,FORMOTEROL 20 MCG/2ML NEBU 2 ML PLAS CONT,126.65,50.66,1.7,113.99,18
NDC,49502-640-15,SODIUM CHLORIDE 3 % NEBU 15 ML PLAS CONT,3.0,1.2,1.2,2.7,17
NDC,49591-532-51,CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML SOLN 50 ML VIAL,9120.09,3648.04,1233.6,8208.08,32
NDC,49702-207-18,FOSAMPRENAVIR 700 MG TABS 60 EACH BOTTLE,115.86,46.34,46.34,104.27,17
NDC,49702-213-26,ZIDOVUDINE 10 MG/ML SOLN 20 ML VIAL,175.1,70.04,1.51,157.59,26
NDC,49702-223-18,MARAVIROC 150 MG TABS 60 EACH BOTTLE,173.01,69.2,69.2,155.71,17
NDC,49702-228-13,DOLUTEGRAVIR SODIUM 50 MG TABS 30 EACH BOTTLE,440.66,176.26,176.26,396.59,17
NDC,49702-242-13,DOLUTEGRAVIRRILPIVIRINE 5025 MG TABS 30 EACH BOTTLE,692.26,276.9,276.9,623.03,17
NDC,49702-246-13,DOLUTEGRAVIRLAMIVUDINE 50300 MG TABS 30 EACH BOTTLE,598.09,239.24,239.24,538.28,17
NDC,49884-054-01,IMIPRAMINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,49884-055-01,IMIPRAMINE 25 MG TABS 100 EACH BOTTLE,3.59,1.44,1.44,3.23,17
NDC,49884-056-01,IMIPRAMINE 50 MG TABS 100 EACH BOTTLE,6.1,2.44,2.44,5.49,17
NDC,49884-065-01,GLYCOPYRROLATE 1 MG TABS 100 EACH BOTTLE,6.57,2.63,2.63,5.91,17
NDC,49884-156-76,VARENICLINE 1 MG TABS 56 EACH BOTTLE,43.94,17.58,17.58,39.55,17
NDC,49884-159-02,EVEROLIMUS 0.5 MG TABS 60 EACH BOX,105.15,42.06,1.78,94.64,16
NDC,49884-161-11,CALCITONIN SALMON 200 UNIT/ACT SOLN 3.7 ML BOTTLE,545.29,218.12,218.12,490.76,17
NDC,49884-170-04,SODIUM PHENYLBUTYRATE 500 MG TABS 250 EACH BOTTLE,133.91,53.56,53.56,120.52,17
NDC,49884-210-02,PROPAFENONE 325 MG CP12 60 EACH BOTTLE,50.0,20.0,20.0,45.0,17
NDC,49884-289-01,MEGESTROL 20 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,49884-307-02,CLONAZEPAM 0.25 MG TBDP 60 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,49884-307-52,CLONAZEPAM 0.25 MG TBDP 1 EACH,10.0,4.0,4.0,9.0,17
NDC,49884-311-55,RISPERIDONE 0.5 MG TBDP 30 EACH BOX,24.58,9.83,9.83,22.12,17
NDC,49884-311-91,RISPERIDONE 0.5 MG TBDP 28 EACH BOX,24.58,9.83,9.83,22.12,17
NDC,49884-315-52,RISPERIDONE 1 MG TBDP 1 EACH,28.72,11.49,11.49,25.85,17
NDC,49884-315-55,RISPERIDONE 1 MG TBDP 30 EACH BOX,28.73,11.49,11.49,25.86,17
NDC,49884-315-91,RISPERIDONE 1 MG TBDP 28 EACH BOX,28.72,11.49,11.49,25.85,17
NDC,49884-347-01,PIMOZIDE 1 MG TABS 100 EACH BOTTLE,9.15,3.66,3.66,8.24,17
NDC,49884-363-01,DANTROLENE 50 MG CAPS 100 EACH BOTTLE,7.78,3.11,3.11,7.0,17
NDC,49884-401-52,RISPERIDONE 2 MG TBDP 1 EACH,46.7,18.68,18.68,42.03,17
NDC,49884-401-91,RISPERIDONE 2 MG TBDP 28 EACH BOX,46.7,18.68,18.68,42.03,17
NDC,49884-402-52,RISPERIDONE 3 MG TBDP 1 EACH,58.91,23.56,23.56,53.02,17
NDC,49884-402-91,RISPERIDONE 3 MG TBDP 28 EACH BOX,58.91,23.56,23.56,53.02,17
NDC,49884-465-64,CHOLESTYRAMINE 4 G PACK 1 EACH PACKET,16.85,6.74,6.74,15.17,17
NDC,49884-465-65,CHOLESTYRAMINE 4 G PACK 60 EACH BOX,16.85,6.74,6.74,15.17,17
NDC,49884-466-63,CHOLESTYRAMINE LIGHT 4 G PACK 1 EACH PACKET,16.75,6.7,6.7,15.08,17
NDC,49884-466-65,CHOLESTYRAMINE LIGHT 4 G PACK 60 EACH BOX,16.76,6.7,6.7,15.08,17
NDC,49884-640-01,METHIMAZOLE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,49884-658-09,CANDESARTAN 4 MG TABS 90 EACH BOTTLE,15.87,6.35,6.35,14.28,17
NDC,49884-659-09,CANDESARTAN 8 MG TABS 90 EACH BOTTLE,15.87,6.35,6.35,14.28,17
NDC,49884-660-09,CANDESARTAN 16 MG TABS 90 EACH BOTTLE,15.88,6.35,6.35,14.29,17
NDC,49884-661-09,CANDESARTAN 32 MG TABS 90 EACH BOTTLE,21.48,8.59,8.59,19.33,17
NDC,49884-724-01,HYDROXYUREA 500 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,49884-726-01,DOXYCYCLINE 50 MG CAPS 100 EACH BOTTLE,7.26,2.9,2.9,6.53,17
NDC,49884-768-54,TOLVAPTAN HYPONATREMIA 15 MG TABS 10 EACH BOX,2359.48,943.79,943.79,2123.53,17
NDC,49884-902-52,MAFENIDE 5 % PACK 1 EACH PACKET,739.62,295.85,295.85,665.66,17
NDC,49884-902-78,MAFENIDE 5 % PACK 5 EACH BOX,739.62,295.85,295.85,665.66,17
NDC,49884-907-38,MEGESTROL 40 MG/ML SUSP 240 ML BOTTLE,662.4,264.96,264.96,596.16,17
NDC,49999-300-28,SALMETEROL XINAFOATE 50 MCG/ACT AEPB 28 EACH INHALER,25.1,10.04,10.04,22.59,17
NDC,49999-413-01,HYDROCORTISONE 0.5 % CREA 28.35 G TUBE,30.33,12.13,12.13,27.3,17
NDC,50090-1079-0,TDAP 5215.5 LFMCG/0.5 SUSP 0.5 ML VIAL,171.94,68.78,68.78,154.75,17
NDC,50090-1606-0,ABACAVIRDOLUTEGRAVIRLAMIVUD 60050300 MG TABS 30 EACH BOTTLE,516.16,206.46,206.46,464.54,17
NDC,50090-4214-0,FLUTICASONESALMETEROL 50050 MCG/ACT AEPB 60 EACH DISP PACK,48.7,19.48,19.48,43.83,17
NDC,50090-6692-0,OMEGA3 ACID ETHYL ESTERS 1 G CAPS 120 EACH BOTTLE,10.34,4.14,4.14,9.31,17
NDC,50111-397-01,HYDRALAZINE 100 MG TABS 100 EACH BOTTLE,5.07,2.03,2.03,4.56,17
NDC,50111-398-01,HYDRALAZINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,50111-456-01,OXYBUTYNIN 5 MG TABS 100 EACH BOTTLE,3.8,1.52,1.52,3.42,17
NDC,50111-647-01,FLUOXETINE 10 MG CAPS 100 EACH BOTTLE,12.99,5.2,5.2,11.69,17
NDC,50111-787-51,AZITHROMYCIN 250 MG TABS 6 EACH DISP PACK,38.92,15.57,15.57,35.03,17
NDC,50242-014-03,TENECTEPLASE 25 MG KIT 1 EACH VIAL,43072.76,17229.1,94.73,38765.48,32
NDC,50242-040-62,OMALIZUMAB 150 MG SOLR 1 EACH VIAL,7830.94,3132.38,45.5,7047.85,32
NDC,50242-041-64,ALTEPLASE 2 MG SOLR 1 EACH VIAL,1073.27,429.31,65.31,965.94,32
NDC,50242-044-13,ALTEPLASE 50 MG SOLR 1 EACH VIAL,22176.92,8870.77,65.31,19959.23,32
NDC,50242-051-21,RITUXIMAB 100 MG/10ML SOLN 10 ML VIAL,518.61,207.44,73.28,466.75,32
NDC,50242-053-06,RITUXIMAB 500 MG/50ML SOLN 50 ML VIAL,25930.66,10372.26,73.28,23337.59,32
NDC,50242-060-01,BEVACIZUMAB 100 MG/4ML SOLN 4 ML VIAL,4399.13,1759.65,73.63,3959.22,32
NDC,50242-060-10,BEVACIZUMAB 100 MG/4ML SOLN 4 ML VIAL,4399.11,1759.64,73.63,3959.2,32
NDC,50242-061-01,BEVACIZUMAB 400 MG/16ML SOLN 16 ML VIAL,17596.44,7038.58,73.63,15836.8,32
NDC,50242-061-10,BEVACIZUMAB 400 MG/16ML SOLN 16 ML VIAL,17596.44,7038.58,73.63,15836.8,32
NDC,50242-063-01,ERLOTINIB 100 MG TABS 30 EACH BOTTLE,1374.85,549.94,549.94,1237.37,17
NDC,50242-070-01,OBINUTUZUMAB 1000 MG/40ML SOLN 40 ML VIAL,52165.66,20866.26,53.74,46949.09,32
NDC,50242-077-01,TRASTUZUMABHYALURONIDASEOYSK 60010000 MGUNT/5ML SOLN 5 ML VIAL,23563.22,9425.29,58.34,21206.9,32
NDC,50242-080-01,RANIBIZUMAB 0.5 MG/0.05ML SOLN 0.05 ML VIAL,10237.5,4095.0,51.09,9213.75,32
NDC,50242-085-27,ALTEPLASE 100 MG SOLR 1 EACH VIAL,44353.81,17741.52,65.31,39918.43,32
NDC,50242-087-01,ADOTRASTUZUMAB EMTANSINE 160 MG SOLR 1 EACH VIAL,33459.26,13383.7,27.02,30113.33,32
NDC,50242-088-01,ADOTRASTUZUMAB EMTANSINE 100 MG SOLR 1 EACH VIAL,20912.05,8364.82,27.02,18820.85,32
NDC,50242-096-06,FARICIMABSVOA 6 MG/0.05ML SOSY 0.05 ML SYRINGE,12124.01,4849.6,32.38,10911.61,26
NDC,50242-100-39,DORNASE ALPHA 2.5 MG/2.5ML SOLN 2.5 ML PLAS CONT,760.61,304.24,39.28,684.55,18
NDC,50242-100-40,DORNASE ALPHA 2.5 MG/2.5ML SOLN 2.5 ML PLAS CONT,760.59,304.24,39.28,684.53,18
NDC,50242-103-01,POLATUZUMAB VEDOTINPIIQ 30 MG SOLR 1 EACH VIAL,21306.39,8522.56,102.86,19175.75,32
NDC,50242-105-01,POLATUZUMAB VEDOTINPIIQ 140 MG SOLR 1 EACH VIAL,99429.58,39771.83,102.86,89486.62,32
NDC,50242-108-01,RITUXIMABHYALURONIDASE HUMAN 140023400 MG UT/11.7ML SOLN 11.7 ML VIAL,33145.96,13258.38,36.39,29831.36,32
NDC,50242-120-47,TENECTEPLASE 50 MG KIT 1 EACH BOX,41818.18,16727.27,94.73,37636.36,32
NDC,50242-125-01,GLOFITAMABGXBM 2.5 MG/2.5ML SOLN 2.5 ML VIAL,13864.87,5545.95,2299.27,12478.38,32
NDC,50242-127-01,GLOFITAMABGXBM 10 MG/10ML SOLN 10 ML VIAL,55459.87,22183.95,2299.27,49913.88,32
NDC,50242-132-01,TRASTUZUMAB 150 MG SOLR 1 EACH VIAL,7854.42,3141.77,70.24,7068.98,32
NDC,50242-135-01,TOCILIZUMAB 80 MG/4ML SOLN 4 ML VIAL,2677.05,1070.82,5.41,2409.35,32
NDC,50242-136-01,TOCILIZUMAB 200 MG/10ML SOLN 10 ML VIAL,6692.66,2677.06,5.41,6023.39,32
NDC,50242-137-01,TOCILIZUMAB 400 MG/20ML SOLN 20 ML VIAL,13385.32,5354.13,5.41,12046.79,32
NDC,50242-142-01,MOSUNETUZUMABAXGB 30 MG/30ML SOLN 30 ML VIAL,97596.58,39038.63,542.67,87836.92,32
NDC,50242-145-01,PERTUZUMAB 420 MG/14ML SOLN 14 ML VIAL,34718.99,13887.6,10.18,31247.09,32
NDC,50242-150-01,OCRELIZUMAB 300 MG/10ML SOLN 10 ML VIAL,109440.03,43776.01,59.32,98496.03,32
NDC,50242-159-01,MOSUNETUZUMABAXGB 1 MG/ML SOLN 1 ML VIAL,3253.15,1301.26,542.67,2927.84,32
NDC,50242-176-01,TENECTEPLASE 50 MG KIT 1 EACH VIAL,43072.76,17229.1,94.73,38765.48,32
NDC,50242-214-01,OMALIZUMAB 75 MG/0.5ML SOSY 0.5 ML SYRINGE,3915.49,1566.2,45.5,3523.94,32
NDC,50242-214-03,OMALIZUMAB 75 MG/0.5ML SOSY 0.5 ML SYRINGE,3915.49,1566.2,45.5,3523.94,32
NDC,50242-215-01,OMALIZUMAB 150 MG/ML SOSY 1 ML SYRINGE,3915.47,1566.19,45.5,3523.92,32
NDC,50242-215-03,OMALIZUMAB 150 MG/ML SOSY 1 ML SYRINGE,3915.47,1566.19,45.5,3523.92,32
NDC,50242-215-55,OMALIZUMAB 150 MG/ML SOAJ 1 ML PEN,7830.94,3132.38,45.5,7047.85,32
NDC,50242-227-01,OMALIZUMAB 300 MG/2 ML SOSY 2 ML SYRINGE,15661.97,6264.79,45.5,14095.77,32
NDC,50242-245-01,PERTUZUMABTRASTUZUMABHYALURONIDASEZZXF 80402000 MGMGU/ML SOLN 15 ML VIAL,73295.52,29318.21,59.9,65965.97,32
NDC,50242-260-01,PERTUZUMABTRASTUZUMABHYALURONIDASEZZXF 60602000 MGMGU/ML SOLN 10 ML VIAL,48861.79,19544.72,59.9,43975.61,32
NDC,50242-554-01,OCRELIZUMABHYALURONIDASEOCSQ 92023000 MGUT/23ML SOLN 23 ML VIAL,218880.05,87552.02,35.0,196992.05,32
NDC,50242-917-01,ATEZOLIZUMAB 1200 MG/20ML SOLN 20 ML VIAL,60162.73,24065.09,73.27,54146.46,32
NDC,50242-918-01,ATEZOLIZUMAB 840 MG/14ML SOLN 14 ML VIAL,42113.97,16845.59,73.27,37902.57,32
NDC,50242-933-01,ATEZOLIZUMABHYALURONIDASETQJS 187530000 MGUT/15ML SOLN 15 ML VIAL,60162.67,24065.07,23.4,54146.4,32
NDC,50268-037-11,AMITRIPTYLINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-037-15,AMITRIPTYLINE 10 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-040-11,AMITRIPTYLINE 75 MG TABS 1 EACH,3.42,1.37,1.37,3.08,17
NDC,50268-040-15,AMITRIPTYLINE 75 MG TABS 50 EACH BOX,3.42,1.37,1.37,3.08,17
NDC,50268-054-11,ACETAZOLAMIDE 250 MG TABS 1 EACH,20.94,8.38,8.38,18.85,17
NDC,50268-054-15,ACETAZOLAMIDE 250 MG TABS 50 EACH BOX,20.94,8.38,8.38,18.85,17
NDC,50268-058-11,ATOMOXETINE 40 MG CAPS 1 EACH,37.94,15.18,15.18,34.15,17
NDC,50268-058-13,ATOMOXETINE 40 MG CAPS 30 EACH BOX,37.94,15.18,15.18,34.15,17
NDC,50268-059-11,ATOMOXETINE 60 MG CAPS 1 EACH,28.63,11.45,11.45,25.77,17
NDC,50268-059-13,ATOMOXETINE 60 MG CAPS 30 EACH BOX,28.63,11.45,11.45,25.77,17
NDC,50268-086-11,ATOVAQUONE 750 MG/5ML SUSP 5 ML SACHET,206.5,82.6,82.6,185.85,17
NDC,50268-086-12,ATOVAQUONE 750 MG/5ML SUSP 5 ML BOX,206.5,82.6,82.6,185.85,17
NDC,50268-090-11,ARIPIPRAZOLE 15 MG TABS 1 EACH,153.07,61.23,61.23,137.76,17
NDC,50268-090-12,ARIPIPRAZOLE 15 MG TABS 20 EACH BOX,153.07,61.23,61.23,137.76,17
NDC,50268-092-12,ARIPIPRAZOLE 30 MG TABS 20 EACH BOX,185.46,74.18,74.18,166.91,17
NDC,50268-097-11,AMIODARONE 100 MG TABS 1 EACH,37.15,14.86,14.86,33.44,17
NDC,50268-097-15,AMIODARONE 100 MG TABS 50 EACH BOX,37.15,14.86,14.86,33.44,17
NDC,50268-105-11,BACLOFEN 5 MG TABS 1 EACH,13.61,5.44,5.44,12.25,17
NDC,50268-105-15,BACLOFEN 5 MG TABS 50 EACH BOX,13.61,5.44,5.44,12.25,17
NDC,50268-106-11,BACLOFEN 10 MG TABS 1 EACH,3.11,1.24,1.24,2.8,17
NDC,50268-106-15,BACLOFEN 10 MG TABS 50 EACH BOX,3.11,1.24,1.24,2.8,17
NDC,50268-107-11,BACLOFEN 20 MG TABS 1 EACH,4.65,1.86,1.86,4.19,17
NDC,50268-107-15,BACLOFEN 20 MG TABS 50 EACH BOX,4.65,1.86,1.86,4.19,17
NDC,50268-111-11,BENAZEPRIL 20 MG TABS 1 EACH,4.75,1.9,1.9,4.28,17
NDC,50268-111-15,BENAZEPRIL 20 MG TABS 50 EACH BOX,4.75,1.9,1.9,4.28,17
NDC,50268-112-11,BENAZEPRIL 40 MG TABS 1 EACH,4.87,1.95,1.95,4.38,17
NDC,50268-112-15,BENAZEPRIL 40 MG TABS 50 EACH BOX,4.87,1.95,1.95,4.38,17
NDC,50268-118-35,ATROPINE 1 % OINT 3.5 G TUBE,186.71,74.68,74.68,168.04,17
NDC,50268-129-11,BUPRENORPHINE HCL 8 MG SUBL 1 EACH,23.23,9.29,9.29,20.91,17
NDC,50268-129-15,BUPRENORPHINE HCL 8 MG SUBL 50 EACH BOX,23.23,9.29,9.29,20.91,17
NDC,50268-131-11,BUMETANIDE 1 MG TABS 1 EACH,7.5,3.0,3.0,6.75,17
NDC,50268-131-15,BUMETANIDE 1 MG TABS 50 EACH BOX,7.5,3.0,3.0,6.75,17
NDC,50268-141-11,BUPROPION 300 MG TB24 1 EACH,23.83,9.53,9.53,21.45,17
NDC,50268-141-15,BUPROPION 300 MG TB24 50 EACH BOX,23.83,9.53,9.53,21.45,17
NDC,50268-142-11,BUPROPION 75 MG TABS 1 EACH,7.96,3.18,3.18,7.16,17
NDC,50268-142-15,BUPROPION 75 MG TABS 50 EACH BOX,7.96,3.18,3.18,7.16,17
NDC,50268-143-15,BUPROPION 100 MG TABS 50 EACH BOX,10.61,4.24,4.24,9.55,17
NDC,50268-144-11,BUPRENORPHINENALOXONE 20.5 MG SUBL 1 EACH,23.75,9.5,1.87,21.38,17
NDC,50268-144-15,BUPRENORPHINENALOXONE 20.5 MG SUBL 50 EACH BOX,23.75,9.5,1.87,21.38,17
NDC,50268-145-11,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 1 EACH,42.28,16.91,1.96,38.05,17
NDC,50268-145-15,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 50 EACH BOX,42.28,16.91,1.96,38.05,17
NDC,50268-151-11,CEPHALEXIN 250 MG CAPS 1 EACH,3.39,1.36,1.36,3.05,17
NDC,50268-151-15,CEPHALEXIN 250 MG CAPS 50 EACH BOX,3.39,1.36,1.36,3.05,17
NDC,50268-152-11,CEPHALEXIN 500 MG CAPS 1 EACH,6.11,2.44,2.44,5.5,17
NDC,50268-152-15,CEPHALEXIN 500 MG CAPS 50 EACH BOX,6.11,2.44,2.44,5.5,17
NDC,50268-163-11,CHLORPROMAZINE 25 MG TABS 1 EACH,37.43,14.97,14.97,33.69,17
NDC,50268-163-15,CHLORPROMAZINE 25 MG TABS 50 EACH BOX,37.43,14.97,14.97,33.69,17
NDC,50268-168-11,CELECOXIB 100 MG CAPS 1 EACH,21.83,8.73,8.73,19.65,17
NDC,50268-168-15,CELECOXIB 100 MG CAPS 50 EACH BOX,21.83,8.73,8.73,19.65,17
NDC,50268-170-11,CARBAMAZEPINE 100 MG CP12 1 EACH,18.6,7.44,7.44,16.74,17
NDC,50268-170-13,CARBAMAZEPINE 100 MG CP12 30 EACH BOX,18.6,7.44,7.44,16.74,17
NDC,50268-172-13,CARBAMAZEPINE 300 MG CP12 30 EACH BOX,20.74,8.3,8.3,18.67,17
NDC,50268-175-11,CLONAZEPAM 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,50268-175-15,CLONAZEPAM 2 MG TABS 50 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,50268-178-15,CLARITHROMYCIN 250 MG TABS 50 EACH BOX,29.19,11.68,11.68,26.27,17
NDC,50268-189-11,CYPROHEPTADINE 4 MG TABS 1 EACH,5.36,2.14,2.14,4.82,17
NDC,50268-189-15,CYPROHEPTADINE 4 MG TABS 50 EACH BOX,5.36,2.14,2.14,4.82,17
NDC,50268-190-11,CYCLOBENZAPRINE 5 MG TABS 1 EACH,6.15,2.46,2.46,5.54,17
NDC,50268-190-15,CYCLOBENZAPRINE 5 MG TABS 50 EACH BOX,6.15,2.46,2.46,5.54,17
NDC,50268-194-11,CLONIDINE 0.3 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-194-15,CLONIDINE 0.3 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-195-60,CAPSAICIN 0.025 % CREA 60 G TUBE,49.8,19.92,19.92,44.82,17
NDC,50268-279-11,DOXYCYCLINE 100 MG TABS 1 EACH,26.73,10.69,10.69,24.06,17
NDC,50268-279-15,DOXYCYCLINE 100 MG TABS 50 EACH BOX,26.73,10.69,10.69,24.06,17
NDC,50268-297-11,ERGOCALCIFEROL 1.25 MG 50000 UT CAPS 1 EACH,9.6,3.84,3.84,8.64,17
NDC,50268-298-11,EZETIMIBE 10 MG TABS 1 EACH,61.96,24.78,24.78,55.76,17
NDC,50268-298-12,EZETIMIBE 10 MG TABS 20 EACH BOX,61.96,24.78,24.78,55.76,17
NDC,50268-304-15,FAMOTIDINE 40 MG TABS 50 EACH BOX,16.36,6.54,6.54,14.72,17
NDC,50268-312-15,FENOFIBRATE 54 MG TABS 50 EACH BOX,8.52,3.41,3.41,7.67,17
NDC,50268-313-11,FENOFIBRATE 160 MG TABS 1 EACH,25.65,10.26,10.26,23.09,17
NDC,50268-313-15,FENOFIBRATE 160 MG TABS 50 EACH BOX,25.65,10.26,10.26,23.09,17
NDC,50268-320-11,FLECAINIDE 50 MG TABS 1 EACH,20.27,8.11,8.11,18.24,17
NDC,50268-320-15,FLECAINIDE 50 MG TABS 50 EACH BOX,20.27,8.11,8.11,18.24,17
NDC,50268-321-15,FLECAINIDE 100 MG TABS 50 EACH BOX,29.88,11.95,11.95,26.89,17
NDC,50268-331-12,FLUCYTOSINE 250 MG CAPS 20 EACH BOX,451.88,180.75,180.75,406.69,17
NDC,50268-332-11,FLUCYTOSINE 500 MG CAPS 1 EACH,850.87,340.35,340.35,765.78,17
NDC,50268-332-12,FLUCYTOSINE 500 MG CAPS 20 EACH BOX,850.87,340.35,340.35,765.78,17
NDC,50268-358-15,GLIMEPIRIDE 1 MG TABS 50 EACH BOX,5.04,2.02,2.02,4.54,17
NDC,50268-361-11,GLIPIZIDE 5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-361-15,GLIPIZIDE 5 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-362-11,GLIPIZIDE 10 MG TABS 1 EACH,3.79,1.52,1.52,3.41,17
NDC,50268-362-15,GLIPIZIDE 10 MG TABS 50 EACH BOX,3.79,1.52,1.52,3.41,17
NDC,50268-363-11,GLYCOPYRROLATE 1 MG TABS 1 EACH,6.24,2.5,2.5,5.62,17
NDC,50268-363-15,GLYCOPYRROLATE 1 MG TABS 50 EACH BOX,6.24,2.5,2.5,5.62,17
NDC,50268-401-11,HYDROCODONEACETAMINOPHEN 5325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,50268-401-15,HYDROCODONEACETAMINOPHEN 5325 MG TABS 50 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,50268-405-11,HYDROCORTISONE 5 MG TABS 1 EACH,9.76,3.9,3.9,8.78,17
NDC,50268-405-15,HYDROCORTISONE 5 MG TABS 50 EACH BOX,9.76,3.9,3.9,8.78,17
NDC,50268-407-11,HYDROCORTISONE 20 MG TABS 1 EACH,11.56,4.62,4.62,10.4,17
NDC,50268-407-15,HYDROCORTISONE 20 MG TABS 50 EACH BOX,11.56,4.62,4.62,10.4,17
NDC,50268-411-12,HYDROCORTISONE 25 MG SUPP 12 EACH BOX,72.1,28.84,28.84,64.89,17
NDC,50268-430-11,INDOMETHACIN 25 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-430-15,INDOMETHACIN 25 MG CAPS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-447-11,ISOSORBIDE DINITRATE 5 MG TABS 1 EACH,5.32,2.13,2.13,4.79,17
NDC,50268-447-15,ISOSORBIDE DINITRATE 5 MG TABS 50 EACH BOX,5.32,2.13,2.13,4.79,17
NDC,50268-476-11,LETROZOLE 2.5 MG TABS 1 EACH,90.26,36.1,0.5,81.23,16
NDC,50268-476-15,LETROZOLE 2.5 MG TABS 50 EACH BOX,90.26,36.1,0.5,81.23,16
NDC,50268-477-15,LEFLUNOMIDE 10 MG TABS 50 EACH BOX,30.0,12.0,12.0,27.0,17
NDC,50268-521-11,METHOCARBAMOL 750 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-521-15,METHOCARBAMOL 750 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-522-11,MECLIZINE 12.5 MG TABS 1 EACH,3.5,1.4,1.4,3.15,17
NDC,50268-522-15,MECLIZINE 12.5 MG TABS 50 EACH BOX,3.5,1.4,1.4,3.15,17
NDC,50268-525-11,MELOXICAM 7.5 MG TABS 1 EACH,15.49,6.2,6.2,13.94,17
NDC,50268-525-15,MELOXICAM 7.5 MG TABS 50 EACH BOX,15.49,6.2,6.2,13.94,17
NDC,50268-527-15,METHOTREXATE 2.5 MG TABS 50 EACH BOX,17.82,7.13,7.13,16.04,17
NDC,50268-528-15,METHYLPHENIDATE 10 MG TABS 50 EACH BOX,11.59,4.64,4.64,10.43,17
NDC,50268-535-15,METRONIDAZOLE 500 MG TABS 50 EACH BOX,4.05,1.62,1.62,3.65,17
NDC,50268-540-11,METOPROLOL SUCCINATE ER 25 MG TB24 1 EACH,5.51,2.2,2.2,4.96,17
NDC,50268-540-15,METOPROLOL SUCCINATE ER 25 MG TB24 50 EACH BOX,5.51,2.2,2.2,4.96,17
NDC,50268-543-11,METOPROLOL SUCCINATE ER 200 MG TB24 1 EACH,13.85,5.54,5.54,12.47,17
NDC,50268-543-15,METOPROLOL SUCCINATE ER 200 MG TB24 50 EACH BOX,13.85,5.54,5.54,12.47,17
NDC,50268-545-11,METHYLPHENIDATE 18 MG TAB CR 1 EACH,38.0,15.2,15.2,34.2,17
NDC,50268-545-12,METHYLPHENIDATE 18 MG TAB CR 20 EACH BOX,38.0,15.2,15.2,34.2,17
NDC,50268-548-11,METHYLPHENIDATE 54 MG TAB CR 1 EACH,51.77,20.71,20.71,46.59,17
NDC,50268-548-12,METHYLPHENIDATE 54 MG TAB CR 20 EACH BOX,51.77,20.71,20.71,46.59,17
NDC,50268-549-11,METHENAMINE 1 G TABS 1 EACH,17.09,6.84,6.84,15.38,17
NDC,50268-549-15,METHENAMINE 1 G TABS 50 EACH BOX,17.09,6.84,6.84,15.38,17
NDC,50268-550-11,METFORMIN 500 MG TB24 1 EACH,3.11,1.24,1.24,2.8,17
NDC,50268-550-15,METFORMIN 500 MG TB24 50 EACH BOX,3.11,1.24,1.24,2.8,17
NDC,50268-557-11,MYCOPHENOLATE 250 MG CAPS 1 EACH,3.74,1.5,0.21,3.37,16
NDC,50268-557-15,MYCOPHENOLATE 250 MG CAPS 50 EACH BOX,3.74,1.5,0.21,3.37,16
NDC,50268-568-11,MUPIROCIN 2 % OINT 1 G TUBE,25.63,10.25,10.25,23.07,17
NDC,50268-568-15,MUPIROCIN 2 % OINT 1 G TUBE,25.63,10.25,10.25,23.07,17
NDC,50268-571-11,MODAFINIL 200 MG TABS 1 EACH,176.75,70.7,70.7,159.08,17
NDC,50268-573-11,MONTELUKAST 4 MG CHEW 1 EACH,18.3,7.32,7.32,16.47,17
NDC,50268-573-15,MONTELUKAST 4 MG CHEW 50 EACH BOX,18.3,7.32,7.32,16.47,17
NDC,50268-574-11,MONTELUKAST 5 MG CHEW 1 EACH,20.53,8.21,8.21,18.48,17
NDC,50268-574-15,MONTELUKAST 5 MG CHEW 50 EACH BOX,20.53,8.21,8.21,18.48,17
NDC,50268-576-13,MOXIFLOXACIN 400 MG TABS 30 EACH BOX,133.58,53.43,53.43,120.22,17
NDC,50268-582-11,NIACIN 100 MG TABS 1 EACH,1.0,0.4,0.4,0.9,17
NDC,50268-582-15,NIACIN 100 MG TABS 50 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,50268-585-11,PANTOPRAZOLE 20 MG TBEC 1 EACH,19.93,7.97,7.97,17.94,17
NDC,50268-585-15,PANTOPRAZOLE 20 MG TBEC 50 EACH BOX,19.93,7.97,7.97,17.94,17
NDC,50268-594-11,NAPROXEN 250 MG TABS 1 EACH,3.89,1.56,1.56,3.5,17
NDC,50268-594-15,NAPROXEN 250 MG TABS 50 EACH BOX,3.89,1.56,1.56,3.5,17
NDC,50268-595-11,NAPROXEN 375 MG TABS 1 EACH,4.94,1.98,1.98,4.45,17
NDC,50268-595-15,NAPROXEN 375 MG TABS 50 EACH BOX,4.94,1.98,1.98,4.45,17
NDC,50268-597-11,NIFEDIPINE 30 MG TB24 1 EACH,6.56,2.62,2.62,5.9,17
NDC,50268-597-15,NIFEDIPINE 30 MG TB24 50 EACH BOX,6.56,2.62,2.62,5.9,17
NDC,50268-599-11,NIFEDIPINE 90 MG TB24 1 EACH,12.47,4.99,4.99,11.22,17
NDC,50268-599-15,NIFEDIPINE 90 MG TB24 50 EACH BOX,12.47,4.99,4.99,11.22,17
NDC,50268-615-11,OLANZAPINE ZYDIS 5 MG TBDP 1 EACH,69.87,27.95,27.95,62.88,17
NDC,50268-615-13,OLANZAPINE ZYDIS 5 MG TBDP 30 EACH BOX,69.87,27.95,27.95,62.88,17
NDC,50268-621-11,ONDANSETRON 4 MG TABS 1 EACH,3.71,1.48,1.48,3.34,17
NDC,50268-621-15,ONDANSETRON 4 MG TABS 50 EACH BOX,3.71,1.48,1.48,3.34,17
NDC,50268-622-11,ONDANSETRON 8 MG TABS 1 EACH,4.72,1.89,1.89,4.25,17
NDC,50268-622-15,ONDANSETRON 8 MG TABS 50 EACH BOX,4.72,1.89,1.89,4.25,17
NDC,50268-623-15,NITROFURANTOIN 50 MG CAPS 50 EACH BOX,22.09,8.84,8.84,19.88,17
NDC,50268-627-11,OXYBUTYNIN 5 MG TB24 1 EACH,15.35,6.14,6.14,13.82,17
NDC,50268-627-15,OXYBUTYNIN 5 MG TB24 50 EACH BOX,15.37,6.15,6.15,13.83,17
NDC,50268-630-11,QUETIAPINE 25 MG TABS 1 EACH,18.57,7.43,7.43,16.71,17
NDC,50268-630-15,QUETIAPINE 25 MG TABS 50 EACH BOX,18.57,7.43,7.43,16.71,17
NDC,50268-631-11,QUETIAPINE 50 MG TABS 1 EACH,30.95,12.38,12.38,27.86,17
NDC,50268-631-15,QUETIAPINE 50 MG TABS 50 EACH BOX,30.95,12.38,12.38,27.86,17
NDC,50268-633-11,QUETIAPINE 200 MG TABS 1 EACH,60.87,24.35,24.35,54.78,17
NDC,50268-633-15,QUETIAPINE 200 MG TABS 50 EACH BOX,60.87,24.35,24.35,54.78,17
NDC,50268-635-11,QUETIAPINE 400 MG TABS 1 EACH,94.06,37.62,37.62,84.65,17
NDC,50268-635-15,QUETIAPINE 400 MG TABS 50 EACH BOX,94.06,37.62,37.62,84.65,17
NDC,50268-644-11,OXYCODONEACETAMINOPHEN 5325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,50268-644-15,OXYCODONEACETAMINOPHEN 5325 MG TABS 50 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,50268-684-11,PROCHLORPERAZINE 5 MG TABS 1 EACH,8.05,3.22,3.22,7.25,17
NDC,50268-684-15,PROCHLORPERAZINE 5 MG TABS 50 EACH BOX,8.06,3.22,3.22,7.25,17
NDC,50268-685-11,PROCHLORPERAZINE 10 MG TABS 1 EACH,8.85,3.54,3.54,7.97,17
NDC,50268-685-15,PROCHLORPERAZINE 10 MG TABS 50 EACH BOX,8.87,3.55,3.55,7.98,17
NDC,50268-687-11,PRIMIDONE 250 MG TABS 1 EACH,3.99,1.6,1.6,3.59,17
NDC,50268-687-15,PRIMIDONE 250 MG TABS 50 EACH BOX,3.99,1.6,1.6,3.59,17
NDC,50268-708-11,RAMELTEON 8 MG TABS 1 EACH,72.94,29.18,29.18,65.65,17
NDC,50268-708-15,RAMELTEON 8 MG TABS 50 EACH BOX,72.94,29.18,29.18,65.65,17
NDC,50268-709-11,ROSUVASTATIN 10 MG TABS 1 EACH,6.87,2.75,2.75,6.18,17
NDC,50268-709-15,ROSUVASTATIN 10 MG TABS 50 EACH BOX,6.87,2.75,2.75,6.18,17
NDC,50268-710-15,ROSUVASTATIN 20 MG TABS 50 EACH BOX,7.4,2.96,2.96,6.66,17
NDC,50268-711-11,ROSUVASTATIN 40 MG TABS 1 EACH,7.94,3.18,3.18,7.15,17
NDC,50268-711-15,ROSUVASTATIN 40 MG TABS 50 EACH BOX,7.94,3.18,3.18,7.15,17
NDC,50268-717-11,SILDENAFIL 20 MG TABS 1 EACH,82.4,32.96,32.96,74.16,17
NDC,50268-717-15,SILDENAFIL 20 MG TABS 50 EACH BOX,82.4,32.96,32.96,74.16,17
NDC,50268-718-11,SIROLIMUS 1 MG TABS 1 EACH,175.43,70.17,1.13,157.89,16
NDC,50268-718-13,SIROLIMUS 1 MG TABS 30 EACH BOX,175.43,70.17,1.13,157.89,16
NDC,50268-720-15,SEVELAMER 800 MG TABS 50 EACH BOX,44.49,17.8,17.8,40.04,17
NDC,50268-728-11,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG TABS 1 EACH,3.31,1.32,1.32,2.98,17
NDC,50268-728-15,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG TABS 50 EACH BOX,3.31,1.32,1.32,2.98,17
NDC,50268-732-11,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,30.45,12.18,12.18,27.41,17
NDC,50268-732-12,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,30.45,12.18,12.18,27.41,17
NDC,50268-742-11,ROPINIROLE 0.5 MG TABS 1 EACH,3.2,1.28,1.28,2.88,17
NDC,50268-742-15,ROPINIROLE 0.5 MG TABS 50 EACH BOX,3.2,1.28,1.28,2.88,17
NDC,50268-744-11,ROPINIROLE 2 MG TABS 1 EACH,3.6,1.44,1.44,3.24,17
NDC,50268-744-15,ROPINIROLE 2 MG TABS 50 EACH BOX,3.6,1.44,1.44,3.24,17
NDC,50268-748-11,VALSARTAN 160 MG TABS 1 EACH,7.85,3.14,3.14,7.07,17
NDC,50268-748-15,VALSARTAN 160 MG TABS 50 EACH BOX,7.85,3.14,3.14,7.07,17
NDC,50268-755-15,TORSEMIDE 10 MG TABS 50 EACH BOX,3.56,1.42,1.42,3.2,17
NDC,50268-756-11,TORSEMIDE 20 MG TABS 1 EACH,4.15,1.66,1.66,3.74,17
NDC,50268-757-11,TORSEMIDE 100 MG TABS 1 EACH,14.47,5.79,5.79,13.02,17
NDC,50268-757-15,TORSEMIDE 100 MG TABS 50 EACH BOX,14.47,5.79,5.79,13.02,17
NDC,50268-759-11,TIZANIDINE 2 MG TABS 1 EACH,8.75,3.5,3.5,7.88,17
NDC,50268-759-15,TIZANIDINE 2 MG TABS 50 EACH BOX,8.75,3.5,3.5,7.88,17
NDC,50268-764-11,TERAZOSIN 1 MG CAPS 1 EACH,8.03,3.21,3.21,7.23,17
NDC,50268-764-15,TERAZOSIN 1 MG CAPS 50 EACH BOX,8.03,3.21,3.21,7.23,17
NDC,50268-779-11,TEMAZEPAM 15 MG CAPS 1 EACH,4.89,1.96,1.96,4.4,17
NDC,50268-779-15,TEMAZEPAM 15 MG CAPS 50 EACH BOX,4.89,1.96,1.96,4.4,17
NDC,50268-780-11,TEMAZEPAM 30 MG CAPS 1 EACH,5.1,2.04,2.04,4.59,17
NDC,50268-780-13,TEMAZEPAM 30 MG CAPS 30 EACH BOX,5.1,2.04,2.04,4.59,17
NDC,50268-849-15,VITAMIN A 3 MG 10000 UT CAPS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-852-11,VITAMIN B12 100 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-852-15,VITAMIN B12 100 MCG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-855-15,VITAMIN B12 1000 MCG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-859-11,PYRIDOXINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-859-15,PYRIDOXINE 100 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-860-11,ASCORBIC ACID 250 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,50268-860-15,ASCORBIC ACID 250 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50268-863-15,CHOLECALCIFEROL 400 UNITS TABS 50 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,50268-865-15,CHOLECALCIFEROL 50 MCG 2000 UT TABS 50 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,50289-3250-1,WITCH HAZELGLYCERIN PADS 40 EACH JAR,3.0,1.2,1.2,2.7,17
NDC,50383-042-48,PREDNISOLONE 15 MG/5ML SOLN 480 ML BOTTLE,850.08,340.03,340.03,765.07,17
NDC,50383-079-16,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 473 ML BOTTLE,10.0,4.0,4.0,9.0,17
NDC,50383-339-13,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 12.5 ML CUP,10.0,4.0,4.0,9.0,17
NDC,50383-363-15,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML CUP,3.0,1.2,1.2,2.7,17
NDC,50383-363-17,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML CUP,3.0,1.2,1.2,2.7,17
NDC,50383-771-16,DOCUSATE SODIUM 150 MG/15ML LIQD 473 ML BOTTLE,9.93,3.97,3.97,8.94,17
NDC,50419-385-01,COPANLISIB HCL 60 MG SOLR 1 EACH VIAL,26478.14,10591.26,73.18,23830.33,22
NDC,50419-422-01,LEVONORGESTREL 13.5 MG IUD 1 EACH BOX,5339.96,2135.98,624.3,4805.96,22
NDC,50419-423-01,LEVONORGESTREL 21 MCG/DAY IUD 1 EACH BOX,6413.11,2565.24,778.09,5771.8,22
NDC,50419-424-01,LEVONORGESTREL 19.5 MG IUD 1 EACH BOX,6413.11,2565.24,824.0,5771.8,22
NDC,50419-452-04,ESTRADIOL 0.1 MG/24HR PTWK 4 EACH BOX,114.45,45.78,45.78,103.01,17
NDC,50419-488-58,SORAFENIB 200 MG TABS 120 EACH BOTTLE,586.8,234.72,234.72,528.12,15
NDC,50419-524-35,INTERFERON BETA1B 0.3 MG KIT 1 EACH BOX,3758.13,1503.25,682.14,3382.32,16
NDC,50419-747-01,PRAZIQUANTEL 600 MG TABS 6 EACH BOTTLE,458.38,183.35,183.35,412.54,17
NDC,50419-773-01,CIPROFLOXACIN 500 MG/5ML 10% SUSR 100 ML BOTTLE,840.88,336.35,336.35,756.79,17
NDC,50419-777-01,CIPROFLOXACIN 250 MG/5ML 5% SUSR 100 ML BOTTLE,719.9,287.96,287.96,647.91,17
NDC,50419-862-51,ACARBOSE 100 MG TABS 100 EACH BOTTLE,7.24,2.9,2.9,6.52,17
NDC,50425-119-89,POVIDONEIODINE 10 % SOLN 118 ML BOTTLE,9.44,3.78,3.78,8.5,17
NDC,50428-6919-34,TALCZINC OXIDE 8115 % POWD 142 G BOTTLE,16.33,6.53,6.53,14.7,17
NDC,50458-098-01,PENTOSAN POLYSULFATE 100 MG CAPS 100 EACH BOTTLE,71.86,28.74,28.74,64.67,17
NDC,50458-140-30,CANAGLIFLOZIN 100 MG TABS 30 EACH BOTTLE,119.71,47.88,47.88,107.74,17
NDC,50458-306-11,RISPERIDONE MICROSPHERES ER 25 MG SRER 1 EACH VIAL,3349.84,1339.94,7.62,3014.86,32
NDC,50458-307-11,RISPERIDONE MICROSPHERES ER 37.5 MG SRER 1 EACH VIAL,5024.92,2009.97,7.62,4522.43,32
NDC,50458-308-11,RISPERIDONE MICROSPHERES ER 50 MG SRER 1 EACH VIAL,6700.13,2680.05,7.62,6030.12,32
NDC,50458-551-01,PALIPERIDONE 6 MG TB24 30 EACH BOTTLE,77.3,30.92,30.92,69.57,17
NDC,50458-552-01,PALIPERIDONE 9 MG TB24 30 EACH BOTTLE,115.94,46.38,46.38,104.35,17
NDC,50458-562-01,PALIPERIDONE PALMITATE ER 117 MG/0.75ML SUSY 0.75 ML SYRINGE,9210.01,3684.0,8.98,8289.01,32
NDC,50458-575-01,RIVAROXABAN 1 MG/ML SUSR 155 ML BOTTLE,57.88,23.15,23.15,52.09,17
NDC,50458-577-10,RIVAROXABAN 2.5 MG TABS 100 EACH BOX,59.81,23.92,23.92,53.83,17
NDC,50458-578-01,RIVAROXABAN 15 MG TABS 1 EACH,119.65,47.86,47.86,107.69,17
NDC,50458-578-10,RIVAROXABAN 15 MG TABS 100 EACH BOX,119.61,47.84,47.84,107.65,17
NDC,50458-579-01,RIVAROXABAN 20 MG TABS 1 EACH,119.65,47.86,47.86,107.69,17
NDC,50458-579-10,RIVAROXABAN 20 MG TABS 100 EACH BOX,119.61,47.84,47.84,107.65,17
NDC,50458-580-01,RIVAROXABAN 10 MG TABS 1 EACH,119.65,47.86,47.86,107.69,17
NDC,50458-580-10,RIVAROXABAN 10 MG TABS 100 EACH BOX,119.61,47.84,47.84,107.65,17
NDC,50458-585-01,METHYLPHENIDATE 18 MG TAB CR 100 EACH BOTTLE,77.39,30.96,30.96,69.65,17
NDC,50458-586-01,METHYLPHENIDATE 36 MG TAB CR 100 EACH BOTTLE,81.84,32.74,32.74,73.66,17
NDC,50458-588-01,METHYLPHENIDATE 27 MG TAB CR 100 EACH BOTTLE,79.33,31.73,31.73,71.4,17
NDC,50458-596-01,RISPERIDONE 1 MG/ML SOLN 30 ML BOTTLE,6.09,2.44,2.44,5.48,17
NDC,50474-470-09,BRIVARACETAM 25 MG TABS 100 EACH BOX,151.13,60.45,60.45,136.02,17
NDC,50474-570-09,BRIVARACETAM 50 MG TABS 100 EACH BOX,151.13,60.45,60.45,136.02,17
NDC,50474-63698,SODIUM HYALURONATE 10 MG/ML SOLN 0.85 ML SYRINGE,788.03,315.21,315.21,709.23,17
NDC,50474-80746,SODIUM HYALURONATE 13.8 MG/0.6ML SOSY 0.6 ML SYRINGE,656.65,262.66,262.66,590.99,17
NDC,50474-870-15,BRIVARACETAM 10 MG/ML SOLN 300 ML BOTTLE,7616.7,3046.68,3046.68,6855.03,17
NDC,50474-970-63,BRIVARACETAM 50 MG/5ML SOLN 5 ML VIAL,357.51,143.0,143.0,321.76,17
NDC,50474-970-75,BRIVARACETAM 50 MG/5ML SOLN 5 ML VIAL,357.54,143.02,143.02,321.79,17
NDC,50483-2000-24,ETHYL ALCOHOL 100 % SOLN 480 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,50484-010-30,COLLAGENASE 250 UNIT/GM OINT 30 G TUBE,1840.09,736.04,736.04,1656.08,17
NDC,50580-457-11,ACETAMINOPHEN 500 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,50580-458-11,ACETAMINOPHEN 325 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,50580-534-04,DIPHENHYDRAMINE 12.5 MG/5ML LIQD 118 ML BOTTLE,10.44,4.18,4.18,9.4,17
NDC,50580-535-01,DIPHENHYDRAMINE 12.5 MG/5ML LIQD 118 ML BOTTLE,10.44,4.18,4.18,9.4,17
NDC,50580-536-04,PSEUDOEPHEDRINE HCL 15 MG/5ML LIQD 118 ML BOTTLE,34.22,13.69,13.69,30.8,17
NDC,50600-546-92,ARGININE 500 MG PACK 30 EACH BOX,27.69,11.08,11.08,24.92,17
NDC,50600-550-95,LCITRULLINE 1 G PACK 30 EACH BOX,27.69,11.08,11.08,24.92,17
NDC,50632-001-02,SMALLPOX AND MONKEYPOX VAC LIVE 0.5 ML SUSP 0.5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,50632-010-01,RABIES VACCINE PCEC SUSR 1 EACH VIAL,1564.59,625.84,276.72,1408.13,32
NDC,50633-110-11,CROTALIDAE POLYVALENT IMMUNE FAB SOLR 1 EACH VIAL,16117.92,6447.17,1826.52,14506.13,32
NDC,50633-110-12,CROTALIDAE POLYVALENT IMMUNE FAB SOLR 1 EACH VIAL,16117.92,6447.17,1826.52,14506.13,32
NDC,50633-120-11,DIGOXIN IMMUNE FAB 40 MG SOLR 1 EACH VIAL,27518.4,11007.36,2808.96,24766.56,32
NDC,50633-210-11,GLUCARPIDASE 1000 UNITS SOLR 1 EACH VIAL,217894.32,87157.73,275.66,196104.89,26
NDC,50633-310-11,HYDROXOCOBALAMIN IV 5 G SOLR 1 EACH BOX,5281.92,2112.77,2112.77,4753.73,17
NDC,50742-362-60,IVABRADINE 5 MG TABS 60 EACH BOTTLE,54.96,21.98,8.74,49.46,17
NDC,50742-394-30,FORMOTEROL 20 MCG/2ML NEBU 2 ML BOX,105.97,42.39,1.7,95.37,18
NDC,50742-505-04,SCOPOLAMINE 1 MG/3DAYS PT72 4 EACH BOX,101.0,40.4,40.4,90.9,17
NDC,50742-505-10,SCOPOLAMINE 1 MG/3DAYS PT72 10 EACH BOX,114.87,45.95,45.95,103.38,17
NDC,50742-505-24,SCOPOLAMINE 1 MG/3DAYS PT72 24 EACH BOX,114.87,45.95,45.95,103.38,17
NDC,50742-552-01,FENTANYL 50 MCG/HR PT72 1 EACH PACKAGE,194.41,77.76,77.76,174.97,17
NDC,50742-552-05,FENTANYL 50 MCG/HR PT72 5 EACH BOX,194.41,77.76,77.76,174.97,17
NDC,50742-665-16,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 480 ML BOTTLE,12.0,4.8,4.8,10.8,17
NDC,50742-666-16,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 480 ML BOTTLE,12.0,4.8,4.8,10.8,17
NDC,50804-091-08,DIPHENHYDRAMINE 25 MG CAPS 24 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,50804-112-17,CALCIUM CARBONATE 500 MG CHEW 150 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,50804-122-04,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP 236 ML BOTTLE,14.16,5.66,5.66,12.74,17
NDC,50804-122-49,BISMUTH SUBSALICYLATE 262 MG CHEW 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50804-164-38,MAGNESIUM CITRATE SOLN 296 ML BOTTLE,8.14,3.26,3.26,7.33,17
NDC,50804-166-38,MAGNESIUM CITRATE SOLN 296 ML BOTTLE,8.14,3.26,3.26,7.33,17
NDC,50804-262-21,CAFFEINE 200 MG TABS 16 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,50804-376-06,SORE THROAT SPRAY 1.4 % LIQD 177 ML BOTTLE,6.9,2.76,2.76,6.21,17
NDC,50804-377-06,SORE THROAT SPRAY 1.4 % LIQD 177 ML BOTTLE,6.9,2.76,2.76,6.21,17
NDC,50804-395-01,MAGNESIUM SULFATE LAXATIVE GRAN 454 G BAG,13.62,5.45,5.45,12.26,17
NDC,50804-831-43,MINERAL OIL OIL 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,50804-880-01,ASPIRIN 81 MG TBEC 120 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,50881-006-03,RETIFANLIMABDLWR 500 MG/20ML SOLN 20 ML VIAL,75791.52,30316.61,25.64,68212.37,32
NDC,50881-023-11,AXATILIMABCSFR 22 MG/0.44ML SOLN 0.44 ML VIAL,59099.04,23639.62,40.95,53189.14,32
NDC,50881-034-12,AXATILIMABCSFR 9 MG/0.18ML SOLN 0.18 ML VIAL,24176.88,9670.75,40.95,21759.19,32
NDC,51079-023-01,METOLAZONE 2.5 MG TABS 1 EACH,16.45,6.58,6.58,14.81,17
NDC,51079-024-01,METOLAZONE 5 MG TABS 1 EACH,18.65,7.46,7.46,16.79,17
NDC,51079-024-20,METOLAZONE 5 MG TABS 100 EACH BOX,18.67,7.47,7.47,16.8,17
NDC,51079-028-01,TACROLIMUS 5 MG CAPS 1 EACH,111.49,44.6,0.22,100.34,16
NDC,51079-028-20,TACROLIMUS 5 MG CAPS 100 EACH BOX,111.49,44.6,0.22,100.34,16
NDC,51079-058-01,CHLORTHALIDONE 25 MG TABS 1 EACH,11.5,4.6,4.6,10.35,17
NDC,51079-058-20,CHLORTHALIDONE 25 MG TABS 100 EACH BOX,11.48,4.59,4.59,10.33,17
NDC,51079-062-01,REPAGLINIDE 0.5 MG TABS 1 EACH,18.7,7.48,7.48,16.83,17
NDC,51079-074-01,HYDRALAZINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-074-20,HYDRALAZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-075-01,HYDRALAZINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-075-20,HYDRALAZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-076-01,HYDRALAZINE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-076-20,HYDRALAZINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-087-01,MIRTAZAPINE 30 MG TABS 1 EACH,13.98,5.59,5.59,12.58,17
NDC,51079-087-20,MIRTAZAPINE 30 MG TABS 100 EACH BOX,13.98,5.59,5.59,12.58,17
NDC,51079-103-01,SPIRONOLACTONE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-103-20,SPIRONOLACTONE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-141-01,CHLORDIAZEPOXIDE 25 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,51079-141-20,CHLORDIAZEPOXIDE 25 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,51079-142-01,LITHIUM 450 MG TAB CR 1 EACH,3.78,1.51,1.51,3.4,17
NDC,51079-142-20,LITHIUM 450 MG TAB CR 100 EACH BOX,3.78,1.51,1.51,3.4,17
NDC,51079-164-03,VORICONAZOLE 50 MG TABS 30 EACH BOX,65.22,26.09,26.09,58.7,17
NDC,51079-169-01,METOPROLOL SUCCINATE ER 25 MG TB24 1 EACH,5.85,2.34,2.34,5.27,17
NDC,51079-169-20,METOPROLOL SUCCINATE ER 25 MG TB24 100 EACH BOX,5.85,2.34,2.34,5.27,17
NDC,51079-170-01,METOPROLOL SUCCINATE ER 50 MG TB24 1 EACH,5.85,2.34,2.34,5.27,17
NDC,51079-170-20,METOPROLOL SUCCINATE ER 50 MG TB24 100 EACH BOX,5.85,2.34,2.34,5.27,17
NDC,51079-204-06,ABACAVIR 300 MG TABS 50 EACH BOX,50.22,20.09,20.09,45.2,17
NDC,51079-205-01,ALLOPURINOL 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-205-20,ALLOPURINOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-246-01,LORATADINE 10 MG TABS 1 EACH,4.28,1.71,1.71,3.85,17
NDC,51079-246-20,LORATADINE 10 MG TABS 100 EACH BOX,4.28,1.71,1.71,3.85,17
NDC,51079-255-01,METOPROLOL TARTRATE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-255-20,METOPROLOL TARTRATE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-284-01,DIAZEPAM 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,51079-284-20,DIAZEPAM 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,51079-285-01,DIAZEPAM 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,51079-285-20,DIAZEPAM 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,51079-286-01,DIAZEPAM 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,51079-374-01,CHLORDIAZEPOXIDE 5 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,51079-374-20,CHLORDIAZEPOXIDE 5 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,51079-379-01,MYCOPHENOLATE 500 MG TABS 1 EACH,39.63,15.85,0.21,35.67,16
NDC,51079-379-20,MYCOPHENOLATE 500 MG TABS 100 EACH BOX,39.63,15.85,0.21,35.67,16
NDC,51079-436-20,DOXEPIN 10 MG CAPS 100 EACH BOX,3.2,1.28,1.28,2.88,17
NDC,51079-437-20,DOXEPIN 25 MG CAPS 100 EACH BOX,4.22,1.69,1.69,3.8,17
NDC,51079-438-01,DOXEPIN 50 MG CAPS 1 EACH,5.85,2.34,2.34,5.27,17
NDC,51079-438-20,DOXEPIN 50 MG CAPS 100 EACH BOX,5.84,2.34,2.34,5.26,17
NDC,51079-440-01,LEVOTHYROXINE 50 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-441-01,LEVOTHYROXINE 75 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-441-20,LEVOTHYROXINE 75 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-442-01,LEVOTHYROXINE 100 MCG TABS 1 EACH,3.05,1.22,1.22,2.75,17
NDC,51079-442-20,LEVOTHYROXINE 100 MCG TABS 100 EACH BOX,3.06,1.22,1.22,2.75,17
NDC,51079-443-01,LEVOTHYROXINE 125 MCG TABS 1 EACH,3.6,1.44,1.44,3.24,17
NDC,51079-443-20,LEVOTHYROXINE 125 MCG TABS 100 EACH BOX,3.59,1.44,1.44,3.23,17
NDC,51079-444-01,LEVOTHYROXINE 25 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-444-20,LEVOTHYROXINE 25 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-458-01,PRAVASTATIN 20 MG TABS 1 EACH,16.34,6.54,6.54,14.71,17
NDC,51079-458-20,PRAVASTATIN 20 MG TABS 100 EACH BOX,16.34,6.54,6.54,14.71,17
NDC,51079-527-01,FUROSEMIDE 80 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-527-20,FUROSEMIDE 80 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-565-20,THIORIDAZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-566-20,THIORIDAZINE 25 MG TABS 100 EACH BOX,3.81,1.52,1.52,3.43,17
NDC,51079-567-20,THIORIDAZINE 50 MG TABS 100 EACH BOX,4.77,1.91,1.91,4.29,17
NDC,51079-572-20,TRIFLUOPERAZINE 1 MG TABS 100 EACH BOX,6.71,2.68,2.68,6.04,17
NDC,51079-573-20,TRIFLUOPERAZINE 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,51079-574-20,TRIFLUOPERAZINE 5 MG TABS 100 EACH BOX,12.74,5.1,5.1,11.47,17
NDC,51079-580-20,THIORIDAZINE 100 MG TABS 100 EACH BOX,5.43,2.17,2.17,4.89,17
NDC,51079-581-01,LEUCOVORIN 5 MG TABS 1 EACH,16.25,6.5,6.5,14.63,17
NDC,51079-581-06,LEUCOVORIN 5 MG TABS 50 EACH BOX,16.25,6.5,6.5,14.63,17
NDC,51079-597-01,CETIRIZINE 10 MG TABS 1 EACH,12.47,4.99,4.99,11.22,17
NDC,51079-597-20,CETIRIZINE 10 MG TABS 100 EACH BOX,12.47,4.99,4.99,11.22,17
NDC,51079-623-82,MAFENIDE 85 MG/GM CREA 113.4 G TUBE,642.14,256.86,256.86,577.93,17
NDC,51079-651-01,DOXEPIN 100 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,51079-651-20,DOXEPIN 100 MG CAPS 100 EACH BOX,9.99,4.0,4.0,8.99,17
NDC,51079-684-01,ATENOLOL 50 MG TABS 1 EACH,4.45,1.78,1.78,4.01,17
NDC,51079-684-20,ATENOLOL 50 MG TABS 100 EACH BOX,4.46,1.78,1.78,4.01,17
NDC,51079-685-01,ATENOLOL 100 MG TABS 1 EACH,7.45,2.98,2.98,6.71,17
NDC,51079-685-20,ATENOLOL 100 MG TABS 100 EACH BOX,7.47,2.99,2.99,6.72,17
NDC,51079-690-01,LOPERAMIDE 2 MG CAPS 1 EACH,4.35,1.74,1.74,3.92,17
NDC,51079-690-20,LOPERAMIDE 2 MG CAPS 100 EACH BOX,4.38,1.75,1.75,3.94,17
NDC,51079-721-01,MYCOPHENOLATE 250 MG CAPS 1 EACH,19.82,7.93,0.21,17.84,16
NDC,51079-721-20,MYCOPHENOLATE 250 MG CAPS 100 EACH BOX,19.82,7.93,0.21,17.84,16
NDC,51079-733-01,HALOPERIDOL 0.5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-733-20,HALOPERIDOL 0.5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-734-01,HALOPERIDOL 1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-734-20,HALOPERIDOL 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-735-01,HALOPERIDOL 2 MG TABS 1 EACH,3.35,1.34,1.34,3.02,17
NDC,51079-735-20,HALOPERIDOL 2 MG TABS 100 EACH BOX,3.37,1.35,1.35,3.03,17
NDC,51079-753-01,SUCRALFATE 1 G TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-753-20,SUCRALFATE 1 G TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-759-01,ATENOLOL 25 MG TABS 1 EACH,4.0,1.6,1.6,3.6,17
NDC,51079-767-01,DIVALPROEX 500 MG TB24 1 EACH,20.35,8.14,8.14,18.32,17
NDC,51079-767-08,DIVALPROEX 500 MG TB24 80 EACH BOX,20.38,8.15,8.15,18.34,17
NDC,51079-771-01,CARVEDILOL 3.125 MG TABS 1 EACH,10.67,4.27,4.27,9.6,17
NDC,51079-771-20,CARVEDILOL 3.125 MG TABS 100 EACH BOX,10.67,4.27,4.27,9.6,17
NDC,51079-801-01,METOPROLOL TARTRATE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,51079-801-20,METOPROLOL TARTRATE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51079-817-01,TACROLIMUS 0.5 MG CAPS 1 EACH,11.15,4.46,0.22,10.04,16
NDC,51079-817-20,TACROLIMUS 0.5 MG CAPS 100 EACH BOX,11.15,4.46,0.22,10.04,16
NDC,51079-818-01,TACROLIMUS 1 MG CAPS 1 EACH,22.3,8.92,0.22,20.07,16
NDC,51079-818-20,TACROLIMUS 1 MG CAPS 100 EACH BOX,22.3,8.92,0.22,20.07,16
NDC,51079-821-01,LEVETIRACETAM 500 MG TABS 1 EACH,17.57,7.03,7.03,15.81,17
NDC,51079-821-20,LEVETIRACETAM 500 MG TABS 100 EACH BOX,17.57,7.03,7.03,15.81,17
NDC,51079-886-01,METOCLOPRAMIDE 5 MG TABS 1 EACH,4.5,1.8,1.8,4.05,17
NDC,51079-886-20,METOCLOPRAMIDE 5 MG TABS 100 EACH BOX,4.52,1.81,1.81,4.07,17
NDC,51079-888-01,METOCLOPRAMIDE 10 MG TABS 1 EACH,4.8,1.92,1.92,4.32,17
NDC,51079-888-20,METOCLOPRAMIDE 10 MG TABS 100 EACH BOX,4.79,1.92,1.92,4.31,17
NDC,51079-921-01,CLOZAPINE 25 MG TABS 1 EACH,6.6,2.64,2.64,5.94,17
NDC,51079-922-20,CLOZAPINE 100 MG TABS 100 EACH BOX,17.14,6.86,6.86,15.43,17
NDC,51079-923-01,CARBIDOPALEVODOPA 50200 MG TAB CR 1 EACH,8.7,3.48,3.48,7.83,17
NDC,51079-923-20,CARBIDOPALEVODOPA 50200 MG TAB CR 100 EACH BOX,8.71,3.48,3.48,7.84,17
NDC,51079-924-20,DILTIAZEM 60 MG CP12 100 EACH BOX,19.87,7.95,7.95,17.88,17
NDC,51079-925-20,DILTIAZEM 90 MG CP12 100 EACH BOX,23.36,9.34,9.34,21.02,17
NDC,51079-926-20,DILTIAZEM 120 MG CP12 100 EACH BOX,32.6,13.04,13.04,29.34,17
NDC,51079-960-01,BUSPIRONE 15 MG TABS 1 EACH,10.1,4.04,4.04,9.09,17
NDC,51079-960-20,BUSPIRONE 15 MG TABS 100 EACH BOX,10.1,4.04,4.04,9.09,17
NDC,51079-985-01,BUSPIRONE 5 MG TABS 1 EACH,3.86,1.54,1.54,3.47,17
NDC,51079-985-20,BUSPIRONE 5 MG TABS 100 EACH BOX,3.86,1.54,1.54,3.47,17
NDC,51079-986-01,BUSPIRONE 10 MG TABS 1 EACH,6.73,2.69,2.69,6.06,17
NDC,51079-986-20,BUSPIRONE 10 MG TABS 100 EACH BOX,6.73,2.69,2.69,6.06,17
NDC,51144-003-01,TISOTUMAB VEDOTINTFTV 40 MG SOLR 1 EACH VIAL,37300.03,14920.01,146.74,33570.03,32
NDC,51144-020-01,ENFORTUMAB VEDOTINEJFV 20 MG SOLR 1 EACH VIAL,14157.36,5662.94,25.32,12741.62,32
NDC,51144-030-01,ENFORTUMAB VEDOTINEJFV 30 MG SOLR 1 EACH VIAL,21236.04,8494.42,25.32,19112.44,32
NDC,51144-050-01,BRENTUXIMAB VEDOTIN 50 MG SOLR 1 EACH VIAL,66377.6,26551.04,121.5,59739.84,32
NDC,51224-007-50,METFORMIN 500 MG TB24 100 EACH BOTTLE,3.73,1.49,1.49,3.36,17
NDC,51224-013-25,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL,35.0,14.0,0.05,31.5,16
NDC,51224-107-50,METFORMIN 750 MG TB24 100 EACH BOTTLE,5.99,2.4,2.4,5.39,17
NDC,51224-222-30,AZITHROMYCIN 600 MG TABS 30 EACH BOTTLE,93.41,37.36,37.36,84.07,17
NDC,51224-425-10,TETRABENAZINE 12.5 MG TABS 112 EACH BOTTLE,347.71,139.08,139.08,312.94,17
NDC,51285-127-97,NORETHINDRONE ACETETHINYL EST 1.530 MGMCG TABS 21 EACH DISP PACK,67.98,27.19,27.19,61.18,17
NDC,51285-204-01,PARAGARD INTRAUTERINE COPPER IUD 1 EACH BOX,4457.88,1783.15,709.44,4012.09,22
NDC,51293-611-01,PHENAZOPYRIDINE 100 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
NDC,51293-612-01,PHENAZOPYRIDINE 200 MG TABS 100 EACH BOTTLE,20.0,8.0,8.0,18.0,17
NDC,51293-625-01,PHENOBARBITAL 16.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,51293-626-01,PHENOBARBITAL 32.4 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,51293-627-01,PHENOBARBITAL 64.8 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,51293-628-01,PHENOBARBITAL 97.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,51293-810-01,PHENAZOPYRIDINE 100 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
NDC,51293-831-97,SODIUM POLYSTYRENE POWD 453.6 G JAR,782.46,312.98,312.98,704.21,17
NDC,51383-00313,VASHE WOUND SOLN 250 ML BOTTLE,95.0,38.0,38.0,85.5,17
NDC,51525-0431-1,FELBAMATE 600 MG TABS 100 EACH BOTTLE,29.62,11.85,11.85,26.66,17
NDC,51525-0442-3,FELBAMATE 600 MG/5ML SUSP 946 ML BOTTLE,10286.61,4114.64,4114.64,9257.95,17
NDC,51525-0442-8,FELBAMATE 600 MG/5ML SUSP 237 ML BOTTLE,2667.67,1067.07,1067.07,2400.9,17
NDC,51552-055-06,ACETIC ACID 5 % SOLN 500 ML BOTTLE,21.0,8.4,8.4,18.9,17
NDC,51552-114-04,COAL TAR 20 % SOLN 100 ML BOTTLE,169.5,67.8,67.8,152.55,17
NDC,51552-264-05,SALICYLIC ACID CRYS 500 G BOTTLE,3.0,1.2,1.2,2.7,17
NDC,51552-357-05,FERRIC SUBSULFATE SOLN 500 ML BOTTLE,496.8,198.72,198.72,447.12,17
NDC,51552-427-09,FORMALDEHYDE 10 % SOLN 3800 ML BOTTLE,1660.6,664.24,664.24,1494.54,17
NDC,51552-694-05,ZINC OXIDE 25 % PSTE 500 G BOTTLE,352.5,141.0,141.0,317.25,17
NDC,51655-295-52,LEVOTHYROXINE 100 MCG TABS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,51672-1258-3,CLOBETASOL 0.05 % CREA 60 G TUBE,2111.12,844.45,844.45,1900.01,17
NDC,51672-1263-1,NYSTATINTRIAMCINOLONE 1000000.1 UNIT/GM% CREA 15 G TUBE,514.95,205.98,205.98,463.46,17
NDC,51672-1263-2,NYSTATINTRIAMCINOLONE 1000000.1 UNIT/GM% CREA 30 G TUBE,733.75,293.5,293.5,660.38,17
NDC,51672-1264-2,FLUOCINONIDE 0.05 % OINT 30 G TUBE,650.95,260.38,260.38,585.86,17
NDC,51672-1267-5,TRIAMCINOLONE 0.1 % PSTE 5 G TUBE,370.71,148.28,148.28,333.64,17
NDC,51672-1272-2,NYSTATINTRIAMCINOLONE 1000000.1 UNIT/GM% OINT 30 G TUBE,147.0,58.8,58.8,132.3,17
NDC,51672-1275-1,CLOTRIMAZOLE 1 % CREA 15 G TUBE,99.68,39.87,39.87,89.71,17
NDC,51672-1275-2,CLOTRIMAZOLE 1 % CREA 30 G TUBE,174.3,69.72,69.72,156.87,17
NDC,51672-1289-1,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,87.75,35.1,35.1,78.98,17
NDC,51672-1298-1,KETOCONAZOLE 2 % CREA 15 G TUBE,604.1,241.64,241.64,543.69,17
NDC,51672-1298-2,KETOCONAZOLE 2 % CREA 30 G TUBE,958.82,383.53,383.53,862.94,17
NDC,51672-1298-3,KETOCONAZOLE 2 % CREA 60 G TUBE,1274.02,509.61,509.61,1146.62,17
NDC,51672-1300-5,AMMONIUM LACTATE 12 % LOTN 225 G BOTTLE,213.75,85.5,85.5,192.38,17
NDC,51672-1312-0,MUPIROCIN 2 % OINT 22 G TUBE,124.96,49.98,49.98,112.46,17
NDC,51672-1360-2,ACYCLOVIR 5 % OINT 30 G TUBE,300.0,120.0,120.0,270.0,17
NDC,51672-1411-3,LIDOCAINE 4 % SOLN 50 ML BOTTLE,159.5,63.8,63.8,143.55,17
NDC,51672-2001-1,MICONAZOLE 2 % CREA 15 G TUBE,26.25,10.5,10.5,23.63,17
NDC,51672-2001-2,MICONAZOLE 2 % CREA 30 G TUBE,36.0,14.4,14.4,32.4,17
NDC,51672-2002-1,CLOTRIMAZOLE 1 % CREA 15 G TUBE,42.53,17.01,17.01,38.28,17
NDC,51672-2020-1,TOLNAFTATE 1 % CREA 15 G TUBE,25.5,10.2,10.2,22.95,17
NDC,51672-2020-2,TOLNAFTATE 1 % CREA 30 G TUBE,43.5,17.4,17.4,39.15,17
NDC,51672-2066-2,DIPHENHYDRAMINEZINC ACETATE 20.1 % CREA 28.4 G TUBE,20.59,8.24,8.24,18.53,17
NDC,51672-2115-2,ACETAMINOPHEN 120 MG SUPP 6 EACH BOX,1.68,0.67,0.67,1.51,17
NDC,51672-2116-2,ACETAMINOPHEN 325 MG SUPP 6 EACH BOX,1.83,0.73,0.73,1.65,17
NDC,51672-2116-4,ACETAMINOPHEN 325 MG SUPP 50 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,51672-3007-1,ACETIC ACIDHYDROCORTISONE 12 % SOLN 10 ML BOTTLE,1038.54,415.42,415.42,934.69,17
NDC,51672-3020-9,LIDOCAINE 5 % OINT 35.44 G TUBE,1456.62,582.65,582.65,1310.96,17
NDC,51672-4004-1,NORTRIPTYLINE 75 MG CAPS 100 EACH BOTTLE,21.09,8.44,8.44,18.98,17
NDC,51672-4017-1,ETODOLAC 300 MG CAPS 100 EACH BOTTLE,8.09,3.24,3.24,7.28,17
NDC,51672-4022-1,ACETAZOLAMIDE 125 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,51672-4030-1,WARFARIN 3 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,51672-4031-1,WARFARIN 4 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,51672-4034-1,WARFARIN 7.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,51672-4047-9,CARBAMAZEPINE 100 MG/5ML SUSP 450 ML BOTTLE,407.79,163.12,163.12,367.01,17
NDC,51672-4048-1,CLOTRIMAZOLEBETAMETHASONE 10.05 % CREA 15 G TUBE,153.6,61.44,61.44,138.24,17
NDC,51672-4069-1,PHENYTOIN 125 MG/5ML SUSP 237 ML BOTTLE,184.86,73.94,73.94,166.37,17
NDC,51672-4125-1,CARBAMAZEPINE 400 MG TB12 100 EACH BOTTLE,20.77,8.31,8.31,18.69,17
NDC,51672-4204-6,PERAMPANEL 2 MG TABS 30 EACH BOTTLE,107.31,42.92,42.92,96.58,17
NDC,51672-4205-6,PERAMPANEL 4 MG TABS 30 EACH BOTTLE,212.03,84.81,84.81,190.83,17
NDC,51672-4207-6,PERAMPANEL 8 MG TABS 30 EACH BOTTLE,212.03,84.81,84.81,190.83,17
NDC,51672-4243-9,LACTULOSE 10 GM/15ML SOLN 473 ML BOTTLE,9.45,3.78,3.78,8.51,17
NDC,51672-5294-4,MALATHION 0.5 % LOTN 59 ML BOTTLE,1224.01,489.6,489.6,1101.61,17
NDC,51754-0103-4,COPPER 0.4 MG/ML SOLN 10 ML VIAL,157.2,62.88,62.88,141.48,17
NDC,51754-0500-1,CAFFEINE CITRATE 60 MG/3ML SOLN 3 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,51754-0501-3,CAFFEINE CITRATE 60 MG/3ML SOLN 3 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,51754-1000-4,MAGNESIUM SULFATE 50 % SOLN 10 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,51754-1007-3,LCYSTEINE 50 MG/ML SOLN 10 ML VIAL,571.92,228.77,228.77,514.73,17
NDC,51754-1220-1,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,110.15,44.06,44.06,99.14,17
NDC,51754-1220-3,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,110.15,44.06,44.06,99.14,17
NDC,51754-5001-1,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,52.5,21.0,21.0,47.25,17
NDC,51754-5001-4,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,52.5,21.0,21.0,47.25,17
NDC,51754-5012-1,SODIUM BICARBONATE 4.2 % SOLN 10 ML VIAL,44.4,17.76,17.76,39.96,17
NDC,51754-5012-4,SODIUM BICARBONATE 4.2 % SOLN 10 ML VIAL,44.4,17.76,17.76,39.96,17
NDC,51754-5060-1,BETAMETHASONE ACETATEBETAMETHASONE SODIUM PHOSPHATE 6 33 MG/ML SUSP 5 ML VIAL,96.0,38.4,38.4,86.4,17
NDC,51759-607-32,USTEKINUMABAEKN 90 MG/ML SOSY 1 ML SYRINGE,21049.22,8419.69,10.53,18944.3,26
NDC,51759-708-13,USTEKINUMABAEKN 130 MG/26ML SOLN 26 ML VIAL,7055.96,2822.38,10.53,6350.36,26
NDC,51801-001-18,POTASSIUM BICARBONATE 25 MEQ TBEF 250 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51801-001-30,POTASSIUM BICARBONATE 25 MEQ TBEF 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51801-006-30,POTASSIUM BICARBONATE 25 MEQ TBEF 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51801-007-30,POTASSIUM BICARBONATE 25 MEQ TBEF 30 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51801-011-30,POTASSIUM BICARBCITRIC ACID 20 MEQ TBEF 30 EACH BOX,3.3,1.32,1.32,2.97,17
NDC,51801-012-30,POTASSIUM BICARBCITRIC ACID 20 MEQ TBEF 30 EACH BOX,3.3,1.32,1.32,2.97,17
NDC,51803-001-01,POTASSIUM IODIDE ANTIDOTE 130 MG TABS 14 EACH BOX,9.84,3.94,3.94,8.86,17
NDC,51862-073-01,ESTAZOLAM 1 MG TABS 100 EACH BOTTLE,29.6,11.84,11.84,26.64,17
NDC,51862-180-15,PRAMOXINE HCL PERIANAL 1 % FOAM 15 G CAN,262.13,104.85,104.85,235.92,17
NDC,51862-453-01,CLONIDINE 0.1 MG/24HR PTWK 1 EACH BOX,165.79,66.32,66.32,149.21,17
NDC,51862-454-04,CLONIDINE 0.2 MG/24HR PTWK 4 EACH BOX,279.14,111.66,111.66,251.23,17
NDC,51862-455-04,CLONIDINE 0.3 MG/24HR PTWK 4 EACH BOX,356.26,142.5,142.5,320.63,17
NDC,51862-458-01,CYCLOSPORINE MODIFIED 25 MG CAPS 1 EACH,6.88,2.75,1.04,6.19,16
NDC,51862-458-47,CYCLOSPORINE MODIFIED 25 MG CAPS 30 EACH BOX,6.88,2.75,1.04,6.19,16
NDC,51862-486-01,TRIMETHOPRIM 100 MG TABS 100 EACH BOTTLE,11.65,4.66,4.66,10.49,17
NDC,51862-564-01,NORGESTRELETHINYL ESTRADIOL 0.330 MGMCG TABS 28 EACH DISP PACK,5.45,2.18,2.18,4.91,17
NDC,51862-564-06,NORGESTRELETHINYL ESTRADIOL 0.330 MGMCG TABS 28 EACH DISP PACK,5.45,2.18,2.18,4.91,17
NDC,51862-609-01,METHYLPHENIDATE 10 MG CP24 100 EACH BOTTLE,53.68,21.47,21.47,48.31,17
NDC,51991-18142,FERROUS FUMARATE 324 106 FE MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51991-203-11,IRON POLYSACCHARIDES 150 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,51991-384-90,FAPYRIDOXINECYANOCOBALAMIN 2.5252 MG TABS 90 EACH BOTTLE,4.58,1.83,1.83,4.12,17
NDC,51991-544-90,MULTIGEN PLUS TABS 90 EACH BOTTLE,6.24,2.5,2.5,5.62,17
NDC,51991-759-33,LETROZOLE 2.5 MG TABS 30 EACH BOTTLE,90.58,36.23,0.5,81.52,16
NDC,51991-808-33,LMETHYLFOLATE 7.5 MG TABS 30 EACH BOTTLE,14.44,5.78,5.78,13.0,17
NDC,51991-817-01,PROPRANOLOL 60 MG CP24 100 EACH BOTTLE,10.29,4.12,4.12,9.26,17
NDC,51991-837-04,CETIRIZINE 5 MG/5ML SOLN 120 ML BOTTLE,182.4,72.96,72.96,164.16,17
NDC,51991-907-01,TETRACYCLINE 500 MG CAPS 100 EACH BOTTLE,78.75,31.5,31.5,70.88,17
NDC,51991-909-90,DEPLIN 15 1590.314 MG CAPS 90 EACH BOTTLE,20.58,8.23,8.23,18.52,17
NDC,52015-080-01,FIDAXOMICIN 200 MG TABS 20 EACH BOTTLE,1436.58,574.63,574.63,1292.92,17
NDC,52244-100-10,THEOPHYLLINE 100 MG CP24 100 EACH BOTTLE,23.91,9.56,9.56,21.52,17
NDC,52244-300-10,THEOPHYLLINE 300 MG CP24 100 EACH BOTTLE,43.68,17.47,17.47,39.31,17
NDC,52268-100-01,POLYETHYLENE GLYCOL 236 G SOLR 4000 ML BOTTLE,140.0,56.0,56.0,126.0,16
NDC,52276-312-05,CARGLUMIC ACID 200 MG TBSO 5 EACH BOTTLE,1217.55,487.02,487.02,1095.8,17
NDC,52533-002-03,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,52533-026-04,FENTANYL 25 MCG/ML 50 ML SYRINGE,100.0,40.0,40.0,90.0,17
NDC,52536-162-01,PERPHENAZINE 2 MG TABS 100 EACH BOTTLE,8.73,3.49,3.49,7.86,17
NDC,52652-4001-1,ENALAPRIL MALEATE 1 MG/ML SOLN 150 ML BOTTLE,69.93,27.97,27.97,62.94,17
NDC,52652-5001-1,AMLODIPINE 1 MG/ML SUSP 150 ML BOTTLE,3321.36,1328.54,1328.54,2989.22,17
NDC,52652-8001-1,ZONISAMIDE 100 MG/5ML SUSP 150 ML BOTTLE,21.61,8.64,8.64,19.45,17
NDC,52747-307-70,FERROUS FUMARATE 324 106 FE MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,52817-181-10,CLONIDINE 0.2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,52817-200-10,ACETAZOLAMIDE 125 MG TABS 100 EACH BOTTLE,10.9,4.36,4.36,9.81,17
NDC,52817-364-10,TRIAMTERENE 50 MG CAPS 100 EACH BOTTLE,59.69,23.88,23.88,53.72,17
NDC,52817-390-10,CARBIDOPALEVODOPA 10100 MG TABS 100 EACH BOTTLE,3.86,1.54,1.54,3.47,17
NDC,52817-611-04,CLONIDINE 0.2 MG/24HR PTWK 4 EACH BOX,606.29,242.52,242.52,545.66,17
NDC,52817-612-04,CLONIDINE 0.3 MG/24HR PTWK 4 EACH BOX,841.05,336.42,336.42,756.95,17
NDC,52817-815-08,AMINOCAPROIC ACID 0.25 GM/ML SOLN 236.5 ML BOTTLE,13382.73,5353.09,5353.09,12044.46,17
NDC,52959-040-50,MINERAL OILHYDROPHILIC PETROLATUM OINT 50 G TUBE,37.5,15.0,15.0,33.75,17
NDC,52959-741-20,ALBUTEROL 0.5 % NEBU 20 ML BOTTLE,3.0,1.2,0.16,2.7,18
NDC,53276-1010-8,MICROFIBRLLAR COLLAGEN PADS 1 EACH BOX,734.16,293.66,293.66,660.74,17
NDC,53436-084-01,PATIROMER SORBITEX CALCIUM 8.4 G PACK 1 EACH PACKET,213.0,85.2,85.2,191.7,17
NDC,53436-084-04,PATIROMER SORBITEX CALCIUM 8.4 G PACK 4 EACH BOX,284.64,113.86,113.86,256.18,17
NDC,53489-141-01,QUINIDINE GLUCONATE 324 MG TAB CR 100 EACH BOTTLE,45.32,18.13,18.13,40.79,17
NDC,53746-194-01,NAPROXEN SODIUM 550 MG TABS 100 EACH BOTTLE,17.83,7.13,7.13,16.05,17
NDC,53746-669-01,ACEBUTOLOL 200 MG CAPS 100 EACH BOTTLE,7.05,2.82,2.82,6.35,17
NDC,53746-745-01,PROMETHAZINE 12.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54092-063-01,ANAGRELIDE 0.5 MG CAPS 100 EACH BOTTLE,49.62,19.85,19.85,44.66,17
NDC,54092-171-12,CARBAMAZEPINE 100 MG CP12 120 EACH BOTTLE,10.64,4.26,4.26,9.58,17
NDC,54092-172-12,CARBAMAZEPINE 200 MG CP12 120 EACH BOTTLE,10.64,4.26,4.26,9.58,17
NDC,54092-173-12,CARBAMAZEPINE 300 MG CP12 120 EACH BOTTLE,10.64,4.26,4.26,9.58,17
NDC,54092-189-81,MESALAMINE 250 MG CPCR 240 EACH BOTTLE,18.22,7.29,7.29,16.4,17
NDC,54092-252-90,LANTHANUM 500 MG CHEW 45 EACH BOTTLE,72.04,28.82,28.82,64.84,17
NDC,54092-253-90,LANTHANUM 750 MG CHEW 15 EACH BOTTLE,72.04,28.82,28.82,64.84,17
NDC,54092-254-10,LANTHANUM 1000 MG CHEW 10 EACH BOTTLE,72.04,28.82,28.82,64.84,17
NDC,54092-381-01,AMPHETAMINEDEXTROAMPHETAMINE 5 MG CP24 100 EACH BOTTLE,42.74,17.1,17.1,38.47,17
NDC,54092-383-01,AMPHETAMINEDEXTROAMPHETAMINE 10 MG CP24 100 EACH BOTTLE,42.74,17.1,17.1,38.47,17
NDC,54092-385-01,AMPHETAMINEDEXTROAMPHETAMINE 15 MG CP24 100 EACH BOTTLE,42.74,17.1,17.1,38.47,17
NDC,54092-387-01,AMPHETAMINEDEXTROAMPHETAMINE 20 MG CP24 100 EACH BOTTLE,42.74,17.1,17.1,38.47,17
NDC,54092-391-01,AMPHETAMINEDEXTROAMPHETAMINE 30 MG CP24 100 EACH BOTTLE,42.74,17.1,17.1,38.47,17
NDC,54092-547-01,PRUCALOPRIDE 2 MG TABS 30 EACH BOTTLE,111.44,44.58,44.58,100.3,17
NDC,54092-700-01,IDURSULFASE 6 MG/3ML SOLN 3 ML VIAL,16278.7,6511.48,529.7,14650.83,32
NDC,54092-701-04,VELAGLUCERASE ALFA 400 UNITS SOLR 1 EACH VIAL,7585.24,3034.1,374.75,6826.72,32
NDC,54288-103-01,EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,54288-103-10,EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,54288-105-02,ALCOHOL DEHYDRATED SOLN 5 ML AMPULE,4197.9,1679.16,1679.16,3778.11,17
NDC,54288-105-15,ALCOHOL DEHYDRATED SOLN 5 ML AMPULE,4197.9,1679.16,1679.16,3778.11,17
NDC,54288-109-02,MELPHALAN 50 MG SOLR 1 EACH VIAL,1380.0,552.0,86.94,1242.0,32
NDC,54288-123-01,EPINEPHRINE 0.1 % SOLN 10 ML BOTTLE,460.0,184.0,184.0,414.0,17
NDC,54288-127-01,TETRACAINE 1 % SOLN 2 ML VIAL,418.74,167.5,167.5,376.87,17
NDC,54288-127-10,TETRACAINE 1 % SOLN 2 ML VIAL,418.74,167.5,167.5,376.87,17
NDC,54288-147-01,METHYLENE BLUE ANTIDOTE 1 % SOLN 10 ML VIAL,1150.0,460.0,0.26,1035.0,32
NDC,54482-054-01,PROCARBAZINE 50 MG CAPS 100 EACH BOTTLE,975.6,390.24,390.24,878.04,17
NDC,54482-147-01,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,233.25,93.3,9.7,209.93,18
NDC,54482-148-01,LEVOCARNITINE 1 GM/10ML SOLN 118 ML BOTTLE,304.44,121.78,121.78,274.0,17
NDC,54482-148-02,LEVOCARNITINE 1 GM/10ML SOLN 118 ML BOTTLE,364.22,145.69,145.69,327.8,17
NDC,54629-050-24,CHOLECALCIFEROL 1000 UNITS TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,54629-051-01,NIACIN 50 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,54629-069-01,ASCORBIC ACID 250 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-085-02,ASCORBIC ACID 250 MG TABS 250 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-107-60,ALPHALIPOIC ACID 100 MG CAPS 60 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-120-01,LECITHIN 1200 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-126-91,B COMPLEXVITAMIN CFOLIC ACID 0.8 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-200-01,VITAMIN E 200 UNIT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-400-01,VITAMIN E 400 UNIT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-630-01,PYRIDOXINE 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-7974-30,COENZYME Q10 100 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-7975-30,COENZYME Q10 200 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54629-848-00,COENZYME Q10 50 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54643-5647-0,INFUVITE PEDIATRIC PT AGE < 11 YEARS SOLN 50 ML VIAL,1357.69,543.08,543.08,1221.92,17
NDC,54643-5649-1,INFUVITE ADULT SOLN 10 ML VIAL,92.3,36.92,36.92,83.07,17
NDC,54643-7862-1,MULTIVITAMIN ADULT INJECTION 10 ML VIAL,400.0,160.0,160.0,360.0,17
NDC,54643-7886-1,INFUVITE PEDIATRIC PT AGE < 11 YEARS SOLN 5 ML VIAL,144.28,57.71,57.71,129.85,17
NDC,54746-001-01,INTERFERON ALFAN3 5000000 UNIT/ML SOLN 1 ML VIAL,3036.14,1214.46,31.8,2732.53,16
NDC,54838-502-80,HYDROXYZINE 10 MG/5ML SYRP 473 ML BOTTLE,1211.92,484.77,484.77,1090.73,17
NDC,54838-506-15,HYOSCYAMINE 0.125 MG/ML SOLN 15 ML BOTTLE,199.95,79.98,79.98,179.96,17
NDC,54838-510-80,OXYBUTYNIN 5 MG/5ML SOLN 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54838-548-80,LEVETIRACETAM 100 MG/ML SOLN 473 ML BOTTLE,1335.94,534.38,534.38,1202.35,17
NDC,54838-558-40,LORATADINE 5 MG/5ML SOLN 120 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54838-566-70,LAMIVUDINE 10 MG/ML SOLN 240 ML BOTTLE,75.1,30.04,30.04,67.59,17
NDC,54859-516-08,NEPHRONEX 0.9 MG/5ML LIQD 237 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54859-701-10,UTIRAC 81.6 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54879-001-01,ETHAMBUTOL 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,54932-501-81,PHENOBARBITAL 20 MG/5ML ELIX 473 ML BOTTLE,443.86,177.54,177.54,399.47,17
NDC,55111-125-06,CIPROFLOXACIN 100 MG TABS 6 EACH DISP PACK,76.09,30.44,30.44,68.48,17
NDC,55111-126-01,CIPROFLOXACIN 250 MG TABS 100 EACH BOTTLE,22.18,8.87,8.87,19.96,17
NDC,55111-127-01,CIPROFLOXACIN 500 MG TABS 100 EACH BOTTLE,25.96,10.38,10.38,23.36,17
NDC,55111-128-50,CIPROFLOXACIN 750 MG TABS 50 EACH BOTTLE,27.23,10.89,10.89,24.51,17
NDC,55111-145-12,FLUCONAZOLE 150 MG TABS 12 EACH BOX,69.67,27.87,27.87,62.7,17
NDC,55111-145-71,FLUCONAZOLE 150 MG TABS 1 EACH BOX,69.67,27.87,27.87,62.7,17
NDC,55111-291-09,SUMATRIPTAN 25 MG TABS 9 EACH BOX,135.26,54.1,54.1,121.73,17
NDC,55111-329-90,NATEGLINIDE 120 MG TABS 90 EACH BOTTLE,8.64,3.46,3.46,7.78,17
NDC,55111-352-60,RIVASTIGMINE 1.5 MG CAPS 60 EACH BOTTLE,21.22,8.49,8.49,19.1,17
NDC,55111-408-60,GALANTAMINE 8 MG TABS 60 EACH BOTTLE,15.91,6.36,6.36,14.32,17
NDC,55111-409-60,GALANTAMINE 12 MG TABS 60 EACH BOTTLE,15.91,6.36,6.36,14.32,17
NDC,55111-519-30,ATOMOXETINE 10 MG CAPS 30 EACH BOTTLE,71.17,28.47,28.47,64.05,17
NDC,55111-520-30,ATOMOXETINE 18 MG CAPS 30 EACH BOTTLE,71.17,28.47,28.47,64.05,17
NDC,55111-522-30,ATOMOXETINE 60 MG CAPS 30 EACH BOTTLE,77.33,30.93,30.93,69.6,17
NDC,55111-532-01,DIVALPROEX SODIUM 125 MG CSDR 100 EACH BOTTLE,5.6,2.24,2.24,5.04,17
NDC,55111-549-90,VENLAFAXINE 100 MG TABS 90 EACH BOTTLE,11.58,4.63,4.63,10.42,17
NDC,55111-639-60,MINOCYCLINE 100 MG TABS 60 EACH BOTTLE,38.14,15.26,15.26,34.33,17
NDC,55111-641-01,MEPROBAMATE 400 MG TABS 100 EACH BOTTLE,41.25,16.5,16.5,37.13,17
NDC,55111-652-07,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,1518.0,607.2,0.22,1366.2,16
NDC,55111-652-37,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,552.0,220.8,0.22,496.8,16
NDC,55111-678-10,FONDAPARINUX 2.5 MG/0.5ML SOLN 0.5 ML SYRINGE,273.26,109.3,0.94,245.93,16
NDC,55111-680-02,FONDAPARINUX SODIUM 7.5 MG/0.6ML SOLN 0.6 ML SYRINGE,624.68,249.87,0.94,562.21,16
NDC,55111-680-10,FONDAPARINUX SODIUM 7.5 MG/0.6ML SOLN 0.6 ML SYRINGE,591.61,236.64,0.94,532.45,16
NDC,55111-681-02,FONDAPARINUX SODIUM 10 MG/0.8ML SOLN 0.8 ML SYRINGE,624.68,249.87,0.94,562.21,16
NDC,55111-681-10,FONDAPARINUX SODIUM 10 MG/0.8ML SOLN 0.8 ML SYRINGE,591.61,236.64,0.94,532.45,16
NDC,55111-688-52,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML BOTTLE,828.0,331.2,6.58,745.2,16
NDC,55111-694-07,PALONOSETRON 0.25 MG/5ML SOLN 5 ML VIAL,108.0,43.2,0.44,97.2,16
NDC,55111-731-30,VALSARTAN 40 MG TABS 30 EACH BOTTLE,8.11,3.24,3.24,7.3,17
NDC,55111-732-90,VALSARTAN 80 MG TABS 90 EACH BOTTLE,9.7,3.88,3.88,8.73,17
NDC,55135-132-01,SACITUZUMAB GOVITECANHZIY 180 MG SOLR 1 EACH VIAL,13178.42,5271.37,26.83,11860.58,32
NDC,55150-113-10,AMPICILLIN 1 G SOLR 1 EACH VIAL,41.03,16.41,16.41,36.93,17
NDC,55150-116-01,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,38.68,15.47,1.81,34.81,16
NDC,55150-116-10,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,38.68,15.47,1.81,34.81,16
NDC,55150-116-20,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,38.68,15.47,1.81,34.81,16
NDC,55150-117-20,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,73.0,29.2,1.81,65.7,16
NDC,55150-120-30,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-121-50,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,39.0,15.6,15.6,35.1,17
NDC,55150-123-15,NAFCILLIN 2 G SOLR 1 EACH VIAL,75.0,30.0,30.0,67.5,17
NDC,55150-124-99,NAFCILLIN 10 G SOLR 1 EACH VIAL,634.8,253.92,253.92,571.32,17
NDC,55150-127-15,OXACILLIN 1 G SOLR 1 EACH VIAL,72.5,29.0,1.03,65.25,16
NDC,55150-128-24,OXACILLIN 2 G SOLR 1 EACH VIAL,141.38,56.55,1.03,127.24,16
NDC,55150-129-99,OXACILLIN SODIUM 10 G SOLR 1 EACH VIAL,634.8,253.92,1.03,571.32,16
NDC,55150-154-10,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL,80.0,32.0,0.05,72.0,16
NDC,55150-155-20,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL,150.0,60.0,0.05,135.0,16
NDC,55150-156-20,LEVOFLOXACIN 25 MG/ML SOLN 20 ML VIAL,220.0,88.0,88.0,198.0,17
NDC,55150-161-02,LIDOCAINE HCL PF 1 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-162-05,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-164-02,LIDOCAINE HCL PF 2 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-165-05,LIDOCAINE HCL PF 2 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-166-13,SILDENAFIL CITRATE 10 MG/12.5ML SOLN 12.5 ML VIAL,1012.0,404.8,404.8,910.8,17
NDC,55150-167-10,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-168-30,BUPIVACAINE HCL 0.25 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-169-10,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-170-30,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-171-10,BUPIVACAINE HCL PF 0.75 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-172-30,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-173-01,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN 0.5 ML VIAL,66.0,26.4,26.4,59.4,17
NDC,55150-174-10,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,55.0,22.0,22.0,49.5,17
NDC,55150-183-01,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,127.4,50.96,50.96,114.66,17
NDC,55150-183-10,NICARDIPINE 2.5 MG/ML SOLN 10 ML VIAL,127.4,50.96,50.96,114.66,17
NDC,55150-194-10,ESMOLOL HCL 100 MG/10ML SOLN 10 ML VIAL,44.0,17.6,17.6,39.6,17
NDC,55150-199-20,ROPIVACAINE 7.5 MG/ML SOLN 20 ML VIAL,162.0,64.8,64.8,145.8,17
NDC,55150-201-20,ROPIVACAINE 10 MG/ML SOLN 20 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,55150-202-10,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,55150-218-99,EPTIFIBATIDE 75 MG/100ML SOLN 100 ML VIAL,828.0,331.2,3.73,745.2,26
NDC,55150-219-10,EPTIFIBATIDE 20 MG/10ML SOLN 10 ML VIAL,270.0,108.0,3.73,243.0,26
NDC,55150-221-10,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,55150-222-20,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,55.5,22.2,22.2,49.95,17
NDC,55150-223-10,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,55150-225-05,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,52.5,21.0,21.0,47.25,17
NDC,55150-232-00,FONDAPARINUX SODIUM 7.5 MG/0.6ML SOLN 0.6 ML SYRINGE,400.2,160.08,0.94,360.18,16
NDC,55150-232-10,FONDAPARINUX SODIUM 7.5 MG/0.6ML SOLN 0.6 ML SYRINGE,400.2,160.08,0.94,360.18,16
NDC,55150-233-00,FONDAPARINUX SODIUM 10 MG/0.8ML SOLN 0.8 ML SYRINGE,400.89,160.36,0.94,360.8,16
NDC,55150-233-10,FONDAPARINUX SODIUM 10 MG/0.8ML SOLN 0.8 ML SYRINGE,400.89,160.36,0.94,360.8,16
NDC,55150-234-10,POLYMYXIN B 500000 UNITS SOLR 1 EACH VIAL,87.5,35.0,35.0,78.75,17
NDC,55150-235-01,VECURONIUM 10 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-235-10,VECURONIUM 10 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-241-01,ARGATROBAN 500.9 MG/50ML% SOLN 50 ML VIAL,1076.4,430.56,0.61,968.76,32
NDC,55150-251-10,LIDOCAINE 1 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-252-20,LIDOCAINE 1 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-253-50,LIDOCAINE 1 % SOLN 50 ML VIAL,37.5,15.0,15.0,33.75,17
NDC,55150-255-20,LIDOCAINE INJECTION 2 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-267-05,FLUPHENAZINE DECANOATE 25 MG/ML SOLN 5 ML VIAL,90.0,36.0,36.0,81.0,17
NDC,55150-271-99,CYCLOPHOSPHAMIDE 1 GM/5ML SOLN 5 ML VIAL,1500.0,600.0,0.49,1350.0,32
NDC,55150-273-01,THIAMINE 100 MG/ML SOLN 2 ML VIAL,39.44,15.78,15.78,35.5,17
NDC,55150-273-25,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-282-20,ERTAPENEM 1 G SOLR 1 EACH VIAL,360.0,144.0,12.82,324.0,16
NDC,55150-284-10,CISATRACURIUM BESYLATE PF 10 MG/5ML SOLN 5 ML VIAL,84.0,33.6,33.6,75.6,17
NDC,55150-286-10,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,138.0,55.2,55.2,124.2,17
NDC,55150-287-01,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,91.0,36.4,1.89,81.9,16
NDC,55150-287-10,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML% SOLN 100 ML FLEX CONT,91.0,36.4,1.89,81.9,16
NDC,55150-296-01,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML FLEX CONT,150.0,60.0,60.0,135.0,17
NDC,55150-296-10,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML FLEX CONT,150.0,60.0,60.0,135.0,17
NDC,55150-300-25,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-304-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,55150-304-25,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,55150-308-01,OLANZAPINE 10 MG SOLR 1 EACH VIAL,212.65,85.06,85.06,191.39,17
NDC,55150-318-01,CHLORPROMAZINE 25 MG/ML SOLN 1 ML AMPULE,173.34,69.34,69.34,156.01,17
NDC,55150-318-25,CHLORPROMAZINE 25 MG/ML SOLN 1 ML AMPULE,173.34,69.34,69.34,156.01,17
NDC,55150-328-01,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,330.0,132.0,132.0,297.0,17
NDC,55150-328-10,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,330.0,132.0,132.0,297.0,17
NDC,55150-335-01,CARBOPLATIN 450 MG/45ML SOLN 45 ML VIAL,330.08,132.03,3.21,297.07,16
NDC,55150-337-01,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL,252.0,100.8,3.63,226.8,16
NDC,55150-365-01,AMPHOTERICIN B LIPOSOMAL 50 MG SUSR 1 EACH VIAL,1406.22,562.49,19.85,1265.6,32
NDC,55150-370-01,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,42.0,16.8,16.8,37.8,17
NDC,55150-370-25,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,42.0,16.8,16.8,37.8,17
NDC,55150-373-01,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,55150-373-25,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,72.0,28.8,28.8,64.8,17
NDC,55150-376-01,DECITABINE 50 MG SOLR 1 EACH VIAL,2070.0,828.0,1.59,1863.0,16
NDC,55150-386-01,CARBOPLATIN 600 MG/60ML SOLN 60 ML VIAL,390.0,156.0,3.21,351.0,16
NDC,55150-388-01,POSACONAZOLE 300 MG/16.7ML SOLN 16.7 ML VIAL,1821.63,728.65,0.29,1639.47,16
NDC,55150-403-01,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL,157.2,62.88,62.88,141.48,17
NDC,55150-403-25,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL,157.2,62.88,62.88,141.48,17
NDC,55150-420-01,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,771.65,308.66,308.66,694.49,17
NDC,55150-420-10,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,771.65,308.66,308.66,694.49,17
NDC,55150-434-01,DEXRAZOXANE HCL 250 MG SOLR 1 EACH VIAL,1513.91,605.56,41.44,1362.52,32
NDC,55150-438-01,KETAMINE 10 MG/ML SOLN 20 ML VIAL,120.6,48.24,48.24,108.54,17
NDC,55150-438-10,KETAMINE 10 MG/ML SOLN 20 ML VIAL,120.6,48.24,48.24,108.54,17
NDC,55150-439-01,KETAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-439-10,KETAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,55150-443-01,REGADENOSON 0.4 MG/5ML SOLN 5 ML SYRINGE,150.0,60.0,3.93,135.0,16
NDC,55150-471-01,VANCOMYCIN HCL 1.25 G SOLR 1 EACH VIAL,120.6,48.24,0.16,108.54,16
NDC,55150-471-10,VANCOMYCIN HCL 1.25 G SOLR 1 EACH VIAL,120.6,48.24,0.16,108.54,16
NDC,55292-139-01,PASIREOTIDE PAMOATE 10 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
NDC,55292-140-01,PASIREOTIDE PAMOATE 20 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
NDC,55292-141-01,PASIREOTIDE PAMOATE 30 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
NDC,55292-142-01,PASIREOTIDE PAMOATE 40 MG SRER 1 EACH VIAL,109664.86,43865.94,268.8,98698.37,32
NDC,55292-201-11,SUCCIMER 100 MG CAPS 100 EACH BOTTLE,132.21,52.88,52.88,118.99,17
NDC,55292-702-55,HEMIN 350 MG SOLR 1 EACH VIAL,57592.88,23037.15,21.12,51833.59,32
NDC,55513-002-04,DARBEPOETIN ALFA 25 MCG/ML SOLN 1 ML VIAL,1068.12,427.25,2.92,961.31,21
NDC,55513-003-04,DARBEPOETIN ALFA 40 MCG/ML SOLN 1 ML VIAL,1708.99,683.6,2.92,1538.09,21
NDC,55513-004-04,DARBEPOETIN ALFA 60 MCG/ML SOLN 1 ML VIAL,2340.58,936.23,2.92,2106.52,21
NDC,55513-021-01,DARBEPOETIN ALFA 40 MCG/0.4ML SOSY 0.4 ML SYRINGE,1708.99,683.6,2.92,1538.09,21
NDC,55513-021-04,DARBEPOETIN ALFA 40 MCG/0.4ML SOSY 0.4 ML SYRINGE,1708.99,683.6,2.92,1538.09,21
NDC,55513-023-01,DARBEPOETIN ALFA 60 MCG/0.3ML SOSY 0.3 ML SYRINGE,2340.58,936.23,2.92,2106.52,21
NDC,55513-023-04,DARBEPOETIN ALFA 60 MCG/0.3ML SOSY 0.3 ML SYRINGE,2340.58,936.23,2.92,2106.52,21
NDC,55513-025-01,DARBEPOETIN ALFA 100 MCG/0.5ML SOSY 0.5 ML SYRINGE,3900.96,1560.38,2.92,3510.86,21
NDC,55513-025-04,DARBEPOETIN ALFA 100 MCG/0.5ML SOSY 0.5 ML SYRINGE,3900.96,1560.38,2.92,3510.86,21
NDC,55513-027-01,DARBEPOETIN ALFA 150 MCG/0.3ML SOSY 0.3 ML SYRINGE,5851.44,2340.58,2.92,5266.3,21
NDC,55513-027-04,DARBEPOETIN ALFA 150 MCG/0.3ML SOSY 0.3 ML SYRINGE,5851.44,2340.58,2.92,5266.3,21
NDC,55513-028-01,DARBEPOETIN ALFA 200 MCG/0.4ML SOSY 0.4 ML SYRINGE,7801.92,3120.77,2.92,7021.73,21
NDC,55513-032-01,DARBEPOETIN ALFA 500 MCG/ML SOSY 1 ML SYRINGE,19504.8,7801.92,2.92,17554.32,21
NDC,55513-057-01,DARBEPOETIN ALFA 25 MCG/0.42ML SOSY 0.42 ML SYRINGE,1068.12,427.25,2.92,961.31,21
NDC,55513-057-04,DARBEPOETIN ALFA 25 MCG/0.42ML SOSY 0.42 ML SYRINGE,1068.12,427.25,2.92,961.31,21
NDC,55513-059-01,TARLATAMABDLLE 1 MG SOLR 1 EACH VIAL,7560.0,3024.0,1170.0,6804.0,32
NDC,55513-074-30,CINACALCET 60 MG TABS 30 EACH BOTTLE,322.68,129.07,0.01,290.41,22
NDC,55513-075-30,CINACALCET 90 MG TABS 30 EACH BOTTLE,445.3,178.12,0.01,400.77,22
NDC,55513-077-01,TARLATAMABDLLE 10 MG SOLR 1 EACH VIAL,75600.0,30240.0,1170.0,68040.0,32
NDC,55513-078-01,TALIMOGENE LAHERPAREPVEC 1000000 UNIT/ML SUSP 1 ML VIAL,385.66,154.26,44.73,347.09,32
NDC,55513-079-01,TALIMOGENE LAHERPAREPVEC 100000000 UNIT/ML SUSP 1 ML VIAL,35208.39,14083.36,44.73,31687.55,32
NDC,55513-098-01,DARBEPOETIN ALFA 10 MCG/0.4ML SOSY 0.4 ML SYRINGE,427.25,170.9,2.92,384.53,21
NDC,55513-098-04,DARBEPOETIN ALFA 10 MCG/0.4ML SOSY 0.4 ML SYRINGE,427.25,170.9,2.92,384.53,21
NDC,55513-111-01,DARBEPOETIN ALFA 300 MCG/0.6ML SOSY 0.6 ML SYRINGE,11702.88,4681.15,2.92,10532.59,21
NDC,55513-112-01,TEZEPELUMABEKKO 210 MG/1.91ML SOSY 1.91 ML SYRINGE,22019.55,8807.82,16.62,19817.6,32
NDC,55513-123-01,TEZEPELUMABEKKO 210 MG/1.91ML SOAJ 1.91 ML PEN,23562.84,9425.14,16.62,21206.56,32
NDC,55513-132-01,TRASTUZUMABANNS 420 MG SOLR 1 EACH VIAL,19193.24,7677.3,8.11,17273.92,32
NDC,55513-141-01,TRASTUZUMABANNS 150 MG SOLR 1 EACH VIAL,6854.74,2741.9,8.11,6169.27,32
NDC,55513-160-01,BLINATUMOMAB 35 MCG SOLR 1 EACH VIAL,28006.1,11202.44,91.46,25205.49,32
NDC,55513-190-01,PEGFILGRASTIM 6 MG/0.6ML SOSY 0.6 ML SYRINGE,32346.68,12938.67,52.59,29112.01,32
NDC,55513-192-01,PEGFILGRASTIM INF DEV 6 MG/0.6ML SOSY 0.6 ML SYRINGE,32346.68,12938.67,52.59,29112.01,32
NDC,55513-206-01,BEVACIZUMABAWWB 100 MG/4ML SOLN 4 ML VIAL,3851.49,1540.6,22.03,3466.34,32
NDC,55513-207-01,BEVACIZUMABAWWB 400 MG/16ML SOLN 16 ML VIAL,15405.73,6162.29,22.03,13865.16,32
NDC,55513-221-01,ROMIPLOSTIM 250 MCG SOLR 1 EACH VIAL,13875.2,5550.08,8.18,12487.68,32
NDC,55513-222-01,ROMIPLOSTIM 500 MCG SOLR 1 EACH VIAL,27750.32,11100.13,8.18,24975.29,32
NDC,55513-223-01,ROMIPLOSTIM 125 MCG SOLR 1 EACH VIAL,6937.73,2775.09,8.18,6243.96,32
NDC,55513-478-01,EPOETIN ALFA 20000 UNIT/ML SOLN 1 ML VIAL,1830.43,732.17,1.11,1647.39,16
NDC,55513-478-10,EPOETIN ALFA 20000 UNIT/ML SOLN 1 ML VIAL,1830.43,732.17,1.11,1647.39,16
NDC,55513-530-10,FILGRASTIM 300 MCG/ML SOLN 1 ML VIAL,1737.88,695.15,1.0,1564.09,32
NDC,55513-546-10,FILGRASTIM 480 MCG/1.6ML SOLN 1.6 ML VIAL,2526.7,1010.68,1.0,2274.03,32
NDC,55513-670-01,INFLIXIMABAXXQ 100 MG SOLR 1 EACH VIAL,2520.0,1008.0,20.39,2268.0,32
NDC,55513-710-01,DENOSUMAB 60 MG/ML SOSY 1 ML SYRINGE,9452.18,3780.87,16.43,8506.96,32
NDC,55513-710-21,DENOSUMAB 60 MG/ML SOSY 1 ML SYRINGE,9452.18,3780.87,16.43,8506.96,32
NDC,55513-730-01,DENOSUMAB 120 MG/1.7ML SOLN 1.7 ML VIAL,17386.7,6954.68,16.43,15648.03,32
NDC,55513-730-21,DENOSUMAB 120 MG/1.7ML SOLN 1.7 ML VIAL,17386.7,6954.68,16.43,15648.03,32
NDC,55513-740-01,ETELCALCETIDE HCL 2.5 MG/0.5ML SOLN 0.5 ML VIAL,569.85,227.94,2.44,512.87,21
NDC,55513-740-10,ETELCALCETIDE HCL 2.5 MG/0.5ML SOLN 0.5 ML VIAL,569.81,227.92,2.44,512.83,21
NDC,55513-741-01,ETELCALCETIDE HCL 5 MG/ML SOLN 1 ML VIAL,569.8,227.92,2.44,512.82,21
NDC,55513-741-10,ETELCALCETIDE HCL 5 MG/ML SOLN 1 ML VIAL,569.81,227.92,2.44,512.83,21
NDC,55513-742-01,ETELCALCETIDE HCL 10 MG/2ML SOLN 2 ML VIAL,569.8,227.92,2.44,512.82,21
NDC,55513-742-10,ETELCALCETIDE HCL 10 MG/2ML SOLN 2 ML VIAL,569.81,227.92,2.44,512.83,21
NDC,55513-800-60,IVABRADINE 5 MG TABS 60 EACH BOTTLE,62.6,25.04,8.74,56.34,17
NDC,55513-810-60,IVABRADINE 7.5 MG TABS 60 EACH BOTTLE,62.6,25.04,25.04,56.34,17
NDC,55513-880-02,ROMOSOZUMABAQQG 105 MG/1.17ML SOSY 1.17 ML SYRINGE,6624.87,2649.95,8.34,5962.38,32
NDC,55513-954-01,PANITUMUMAB 100 MG/5ML SOLN 5 ML VIAL,9130.72,3652.29,104.62,8217.65,32
NDC,55513-956-01,PANITUMUMAB 400 MG/20ML SOLN 20 ML VIAL,38349.02,15339.61,104.62,34514.12,32
NDC,55566-1501-1,CHORIONIC GONADOTROPIN 10000 UNITS SOLR 1 EACH VIAL,1791.79,716.72,716.72,1612.61,17
NDC,55566-2800-1,DINOPROSTONE 10 MG INST 1 EACH BOX,2772.92,1109.17,1109.17,2495.63,17
NDC,55566-8303-1,DEGARELIX ACETATE 80 MG SOLR 1 EACH VIAL,2461.79,984.72,4.45,2215.61,32
NDC,55566-8403-1,DEGARELIX ACETATE 120 MG/VIAL SOLR 1 EACH VIAL,3840.94,1536.38,4.45,3456.85,32
NDC,55566-9800-2,FECAL MICROBIOTA LIVEJSLM 150 ML SUSP 150 ML BOX,46730.88,18692.35,54.0,42057.79,32
NDC,56091-043-50,OXIDIZED CELLULOSE PADS 10 EACH BOX,413.54,165.42,165.42,372.19,17
NDC,56151-1610-11,GLUCOSE 4 G CHEW 10 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,56184-12041,SIMETHICONE 40 MG/0.6ML SUSP 30 ML BOTTLE,13.64,5.46,5.46,12.28,17
NDC,56184-12105,PHENYLEPHRINE 0.125 % SOLN 15 ML BOTTLE,8.39,3.36,3.36,7.55,17
NDC,57074-00177,ALUMINUM SULFATECALCIUM ACETATE PACK 12 EACH BOX,4.0,1.6,1.6,3.6,17
NDC,57237-011-06,MIRTAZAPINE 15 MG TBDP 30 EACH BOX,11.78,4.71,4.71,10.6,17
NDC,57237-012-06,MIRTAZAPINE 30 MG TBDP 30 EACH BOX,12.13,4.85,4.85,10.92,17
NDC,57237-029-01,AMOXICILLIN 875 MG TABS 100 EACH BOTTLE,4.35,1.74,1.74,3.92,17
NDC,57237-031-01,AMOXICILLIN 500 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,57237-035-50,CEFPROZIL 250 MG/5ML SUSR 50 ML BOTTLE,195.5,78.2,78.2,175.95,17
NDC,57237-045-60,CLARITHROMYCIN 500 MG TABS 60 EACH BOTTLE,22.61,9.04,9.04,20.35,17
NDC,57237-077-10,ONDANSETRON 4 MG TBDP 30 EACH BOX,111.42,44.57,44.57,100.28,17
NDC,57237-078-10,ONDANSETRON 8 MG TBDP 30 EACH BOX,185.66,74.26,74.26,167.09,17
NDC,57237-097-01,CEFADROXIL 250 MG/5ML SUSR 100 ML BOTTLE,304.0,121.6,121.6,273.6,17
NDC,57237-099-60,CEFDINIR 300 MG CAPS 60 EACH BOTTLE,25.57,10.23,10.23,23.01,17
NDC,57237-158-01,REPAGLINIDE 1 MG TABS 100 EACH BOTTLE,18.3,7.32,7.32,16.47,17
NDC,57237-220-30,PIOGLITAZONE 30 MG TABS 30 EACH BOTTLE,53.53,21.41,21.41,48.18,17
NDC,57237-221-90,PIOGLITAZONE 45 MG TABS 90 EACH BOTTLE,58.07,23.23,23.23,52.26,17
NDC,57237-232-01,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG TABS 100 EACH BOTTLE,3.33,1.33,1.33,3.0,17
NDC,57664-378-88,DEXMETHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,57664-392-88,VENLAFAXINE 25 MG TABS 100 EACH BOTTLE,9.72,3.89,3.89,8.75,17
NDC,57664-394-88,VENLAFAXINE 50 MG TABS 100 EACH BOTTLE,10.31,4.12,4.12,9.28,17
NDC,57664-396-88,VENLAFAXINE 100 MG TABS 100 EACH BOTTLE,11.58,4.63,4.63,10.42,17
NDC,57664-441-18,DIGOXIN 0.25 MG TABS 1000 EACH BOTTLE,5.94,2.38,2.38,5.35,17
NDC,57664-683-31,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,358.8,143.52,4.64,322.92,16
NDC,57664-683-57,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,358.8,143.52,4.64,322.92,16
NDC,57664-783-86,CLONAZEPAM 0.125 MG TBDP 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,57664-784-86,CLONAZEPAM 0.25 MG TBDP 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,57771-00701,UBIQUINOL LIPOSOMAL 80 MG/10ML LIQD 10 ML PLAS CONT,4.88,1.95,1.95,4.39,17
NDC,57894-030-01,INFLIXIMAB 100 MG SOLR 1 EACH VIAL,5885.8,2354.32,31.48,5297.22,32
NDC,57894-054-27,USTEKINUMAB 130 MG/26ML SOLN 26 ML VIAL,11217.24,4486.9,11.36,10095.52,32
NDC,57894-060-03,USTEKINUMAB 45 MG/0.5ML SOSY 0.5 ML SYRINGE,77134.85,30853.94,160.56,69421.37,22
NDC,57894-061-03,USTEKINUMAB 90 MG/ML SOSY 1 ML SYRINGE,154269.53,61707.81,160.56,138842.58,22
NDC,57894-111-01,CILTACABTAGENE AUTOLEUCEL 100000000 CELLS SUSP 1 EACH FLEX CONT,2798764.5,1119505.8,587977.76,2518888.05,30
NDC,57894-160-01,INFLIXIMAB 100 MG SOLR 1 EACH VIAL,2394.0,957.6,31.48,2154.6,32
NDC,57894-350-01,GOLIMUMAB 50 MG/4ML SOLN 4 ML VIAL,10075.93,4030.37,11.04,9068.34,32
NDC,57894-420-01,SILTUXIMAB 100 MG SOLR 1 EACH VIAL,5913.22,2365.29,82.37,5321.9,32
NDC,57894-421-01,SILTUXIMAB 400 MG SOLR 1 EACH VIAL,23652.89,9461.16,82.37,21287.6,32
NDC,57894-449-01,TECLISTAMABCQYV 30 MG/3ML SOLN 3 ML VIAL,10324.6,4129.84,27.88,9292.14,32
NDC,57894-450-01,TECLISTAMABCQYV 153 MG/1.7ML SOLN 1.7 ML VIAL,52655.65,21062.26,27.88,47390.09,32
NDC,57894-469-01,TALQUETAMABTGVS 3 MG/1.5ML SOLN 1.5 ML VIAL,4367.08,1746.83,58.28,3930.37,32
NDC,57894-470-01,TALQUETAMABTGVS 40 MG/ML SOLN 1 ML VIAL,58227.29,23290.92,58.28,52404.56,32
NDC,57894-501-01,AMIVANTAMABVMJW 350 MG/7ML SOLN 7 ML VIAL,19185.68,7674.27,17.27,17267.11,32
NDC,57894-502-05,DARATUMUMAB 100 MG/5ML SOLN 5 ML VIAL,4281.5,1712.6,44.41,3853.35,32
NDC,57894-502-20,DARATUMUMAB 400 MG/20ML SOLN 20 ML VIAL,16235.98,6494.39,44.41,14612.38,32
NDC,57894-503-01,DARATUMUMABHYALURONIDASEFIHJ 180030000 MGUT/15ML SOLN 15 ML VIAL,53282.19,21312.88,40.4,47953.97,32
NDC,57894-505-20,DARATUMUMAB 400 MG/20ML SOLN 20 ML VIAL,17125.71,6850.28,44.41,15413.14,32
NDC,57894-640-01,GUSELKUMAB 100 MG/ML SOSY 1 ML SYRINGE,73414.87,29365.95,64.68,66073.38,32
NDC,57894-640-11,GUSELKUMAB 100 MG/ML SOAJ 1 ML PEN,73414.87,29365.95,64.68,66073.38,32
NDC,57894-651-11,GUSELKUMAB 200 MG/2ML SOSY 2 ML SYRINGE,73414.87,29365.95,64.68,66073.38,32
NDC,57896-201-10,ACETAMINOPHEN 500 MG TABS 1000 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,57896-304-10,SENNADOCUSATE 8.650 MG TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,57896-413-16,DOCUSATE SODIUM 150 MG/15ML LIQD 473 ML BOTTLE,12.77,5.11,5.11,11.49,17
NDC,57896-423-16,DOCUSATE SODIUM 150 MG/15ML LIQD 473 ML BOTTLE,12.77,5.11,5.11,11.49,17
NDC,57896-443-12,BISACODYL 10 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,57896-555-01,SENNADOCUSATE 8.650 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,57896-555-10,SENNADOCUSATE 8.650 MG TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,57896-639-12,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 355 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,57896-798-01,SIMETHICONE 40 MG/0.6ML SUSP 30 ML BOTTLE,4.77,1.91,1.91,4.29,17
NDC,57896-844-01,POTASSIUM AND SODIUM PHOSPHATES 280160250 MG PACK 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,57962-140-09,IBRUTINIB 140 MG CAPS 90 EACH BOTTLE,651.36,260.54,260.54,586.22,17
NDC,57970-100-01,DALBAVANCIN HCL 500 MG SOLR 1 EACH VIAL,8966.83,3586.73,11.29,8070.15,32
NDC,58151-110-32,PHENYTOIN 100 MG CAPS 1 EACH,12.05,4.82,4.82,10.85,17
NDC,58151-110-88,PHENYTOIN 100 MG CAPS 100 EACH BOX,12.05,4.82,4.82,10.85,17
NDC,58151-118-01,PHENYTOIN 30 MG CAPS 100 EACH BOTTLE,9.42,3.77,3.77,8.48,17
NDC,58151-310-94,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,9.7,3.88,3.88,8.73,17
NDC,58160-740-02,ROTAVIRUS VACCINE LIVE ORAL SUSP 1.5 ML SYRINGE,560.42,224.17,105.58,504.38,22
NDC,58160-740-21,ROTAVIRUS VACCINE LIVE ORAL SUSP 1.5 ML SYRINGE,560.42,224.17,105.58,504.38,22
NDC,58160-810-43,DIPTHERIAACELLULAR PERTUSSISTETANUS 255810 LFMCG/0.5 SUSP 0.5 ML SYRINGE,109.12,43.65,43.65,98.21,17
NDC,58160-810-52,DIPTHERIAACELLULAR PERTUSSISTETANUS 255810 LFMCG/0.5 SUSP 0.5 ML SYRINGE,109.12,43.65,43.65,98.21,17
NDC,58160-811-43,DTAPHEPATITIS B RECOMBIPV SUSY 0.5 ML SYRINGE,398.11,159.24,159.24,358.3,17
NDC,58160-811-52,DTAPHEPATITIS B RECOMBIPV SUSY 0.5 ML SYRINGE,398.11,159.24,159.24,358.3,17
NDC,58160-812-11,DTAPIPV SUSP 0.5 ML VIAL,204.19,81.68,81.68,183.77,17
NDC,58160-815-43,HEPATITIS AHEP B RECOMB VAC 72020 ELUMCG/ML SUSY 1 ML SYRINGE,508.85,203.54,192.82,457.97,16
NDC,58160-815-52,HEPATITIS AHEP B RECOMB VAC 72020 ELUMCG/ML SUSY 1 ML SYRINGE,508.85,203.54,192.82,457.97,16
NDC,58160-818-11,HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG SOLR 1 EACH BOX,78.24,31.3,31.3,70.42,17
NDC,58160-819-12,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML SUSY 1 EACH VIAL,775.83,310.33,154.36,698.25,22
NDC,58160-820-43,HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML SUSY 0.5 ML SYRINGE,107.93,43.17,22.55,107.93,23
NDC,58160-820-52,HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML SUSY 0.5 ML SYRINGE,107.93,43.17,22.55,107.93,23
NDC,58160-821-43,HEPATITIS B VAC RECOMBINANT 20 MCG/ML SUSY 1 ML SYRINGE,134.96,53.98,28.2,134.96,29
NDC,58160-821-52,HEPATITIS B VAC RECOMBINANT 20 MCG/ML SUSY 1 ML SYRINGE,134.96,53.98,28.2,134.96,29
NDC,58160-823-11,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML SUSY 1 EACH VIAL,844.88,337.95,154.36,760.39,22
NDC,58160-825-43,HEPATITIS A VACCINE 720 EL U/0.5ML SUSY 0.5 ML SYRINGE,144.55,57.82,56.98,130.1,16
NDC,58160-825-52,HEPATITIS A VACCINE 720 EL U/0.5ML SUSY 0.5 ML SYRINGE,144.55,57.82,56.98,130.1,16
NDC,58160-826-43,HEPATITIS A VIRUS PF VACCINE 1440 EL U/ML SUSP 1 ML SYRINGE,321.99,128.8,121.91,289.79,16
NDC,58160-826-52,HEPATITIS A VIRUS PF VACCINE 1440 EL U/ML SUSP 1 ML SYRINGE,321.99,128.8,121.91,289.79,16
NDC,58160-827-03,MENINGOCOCCAL A C YANDW 10Y55Y SINGLE VIAL SOLN 0.5 ML VIAL,635.69,254.28,122.39,572.12,22
NDC,58160-827-30,MENINGOCOCCAL A C YANDW 10Y55Y SINGLE VIAL SOLN 0.5 ML VIAL,635.69,254.28,122.39,572.12,22
NDC,58160-842-43,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 SUSY 0.5 ML SYRINGE,179.16,71.66,70.98,161.24,16
NDC,58160-842-52,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 SUSY 0.5 ML SYRINGE,179.16,71.66,70.98,161.24,16
NDC,58160-848-11,RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML SUSR 1 EACH BOX,1155.79,462.32,218.4,1040.21,16
NDC,58160-849-43,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML SUSY 0.5 ML SYRINGE,873.6,349.44,154.36,786.24,22
NDC,58160-849-52,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML SUSY 0.5 ML SYRINGE,873.6,349.44,154.36,786.24,22
NDC,58160-854-52,ROTAVIRUS VACCINE LIVE ORAL SUSR 1 ML VIAL,810.86,324.34,105.58,729.77,22
NDC,58160-955-09,MENINGOCOCCAL A C YANDW135 OLIG SOLR 1 EACH BOX,635.7,254.28,122.39,572.13,22
NDC,58160-959-01,MENINGOCOCCAL A C YANDW135 OLIG SOLR 1 EACH VIAL,635.7,254.28,122.39,572.13,22
NDC,58160-964-12,RABIES VACCINE PCEC SUSR 1 EACH VIAL,1364.55,545.82,276.72,1228.1,32
NDC,58160-976-02,MENINGOCOCCAL B RECOMB OMV ADJ SUSY 0.5 ML SYRINGE,904.26,361.7,127.92,813.83,22
NDC,58160-976-20,MENINGOCOCCAL B RECOMB OMV ADJ SUSY 0.5 ML SYRINGE,904.26,361.7,127.92,813.83,22
NDC,58181-3040-5,LOMUSTINE 10 MG CAPS 5 EACH BOTTLE,670.62,268.25,268.25,603.56,15
NDC,58181-3041-5,LOMUSTINE 40 MG CAPS 5 EACH BOTTLE,2449.17,979.67,979.67,2204.25,15
NDC,58181-3042-5,LOMUSTINE 100 MG CAPS 5 EACH BOTTLE,6760.95,2704.38,2636.77,6084.86,15
NDC,58204-00401,MVW COMPLETE FORMULATION CHEW 60 EACH BOTTLE,3.61,1.44,1.44,3.25,17
NDC,58204-00404,MVW COMPLETE FORMULATION SOLN 30 ML BOTTLE,3.6,1.44,1.44,3.24,17
NDC,58394-025-03,ANTIHEM FACT BDDRFVIIIMOR 2000 UNITS KIT 1 EACH BOX,35.0,14.0,1.37,31.5,32
NDC,58394-633-03,COAGULATION FACTOR IX RECOMB 250 UNITS KIT 1 EACH VIAL,35.0,14.0,1.67,31.5,32
NDC,58394-634-03,COAGULATION FACTOR IX RECOMB 500 UNITS KIT 1 EACH VIAL,35.0,14.0,1.67,31.5,32
NDC,58394-635-03,COAGULATION FACTOR IX RECOMB 1000 UNITS KIT 1 EACH BOX,35.0,14.0,1.67,31.5,32
NDC,58406-021-04,ETANERCEPT 50 MG/ML SOSY 1 ML SYRINGE,10278.58,4111.43,966.68,9250.72,23
NDC,58406-425-34,ETANERCEPT 25 MG SOLR 1 EACH BOX,4135.09,1654.04,966.68,3721.58,22
NDC,58468-0030-2,THYROTROPIN ALFA 0.9 MG SOLR 1 EACH VIAL,10395.36,4158.14,1427.47,9355.82,32
NDC,58468-0040-1,AGALSIDASE BETA 35 MG SOLR 1 EACH VIAL,40633.95,16253.58,220.02,36570.56,32
NDC,58468-0041-1,AGALSIDASE BETA 5 MG SOLR 1 EACH VIAL,5803.85,2321.54,220.02,5223.47,32
NDC,58468-0070-1,LARONIDASE 2.9 MG/5ML SOLN 5 ML VIAL,5835.9,2334.36,37.78,5252.31,32
NDC,58468-0080-1,ANTITHYMOCYTE GLOBULIN RABBIT 25 MG SOLR 1 EACH VIAL,5783.19,2313.28,703.26,5204.87,32
NDC,58468-0090-3,HYLAN GF 20 48 MG/6ML SOSY 6 ML SYRINGE,6902.86,2761.14,6.02,6212.57,32
NDC,58468-0123-1,DOXERCALCIFEROL 4 MCG/2ML SOLN 2 ML VIAL,41.74,16.7,16.7,37.57,17
NDC,58468-0160-1,ALGLUCOSIDASE ALFA 50 MG SOLR 1 EACH VIAL,5106.7,2042.68,197.88,4596.03,32
NDC,58468-0200-1,ALEMTUZUMAB 12 MG/1.2ML SOLN 1.2 ML VIAL,151410.08,60564.03,2447.1,136269.07,32
NDC,58468-0225-1,CAPLACIZUMABYHDP 11 MG KIT 1 EACH BOX,44929.33,17971.73,826.32,40436.4,32
NDC,58468-0426-1,AVALGLUCOSIDASE ALFANGPT 100 MG SOLR 1 EACH VIAL,10213.35,4085.34,77.59,9192.02,32
NDC,58468-4663-1,IMIGLUCERASE 400 UNITS SOLR 1 EACH VIAL,8827.39,3530.96,41.62,7944.65,32
NDC,58487-01751,MAGNESIUM GLUCONATE 500 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,58526-00559,FERROUS SULFATE 300 60 FE MG/5ML SOLN 5 ML CUP,6.17,2.47,2.47,5.55,17
NDC,58657-901-01,HALOPERIDOL 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,58657-901-10,HALOPERIDOL 1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,58657-902-01,HALOPERIDOL 2 MG TABS 100 EACH BOX,3.37,1.35,1.35,3.03,17
NDC,58657-903-01,HALOPERIDOL 5 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
NDC,58657-904-01,HALOPERIDOL 10 MG TABS 100 EACH BOX,10.04,4.02,4.02,9.04,17
NDC,58657-930-01,BACLOFEN 5 MG TABS 100 EACH BOX,9.72,3.89,3.89,8.75,17
NDC,58657-930-05,BACLOFEN 5 MG TABS 50 EACH BOX,9.72,3.89,3.89,8.75,17
NDC,58657-931-01,BACLOFEN 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,58657-932-05,BACLOFEN 20 MG TABS 50 EACH BOX,4.65,1.86,1.86,4.19,17
NDC,58790-000-30,CARBOXYMETHYLCELLULOSE 0.25 % SOLN 30 EACH PLAS CONT,3.0,1.2,1.2,2.7,17
NDC,58790-003-30,CARBOXYMETHYLCELLULOSE PF 1 % GEL 30 EACH PLAS CONT,3.0,1.2,1.2,2.7,17
NDC,58914-080-52,DICYCLOMINE 10 MG/ML SOLN 2 ML AMPULE,252.18,100.87,100.87,226.96,17
NDC,58914-170-14,SUCRALFATE 1 GM/10ML SUSP 420 ML BOTTLE,19.08,7.63,7.63,17.17,17
NDC,58914-301-80,NITROGLYCERIN 0.4 % OINT 30 G TUBE,3229.38,1291.75,1291.75,2906.44,17
NDC,58914-501-56,MESALAMINE 1000 MG SUPP 30 EACH BOX,232.36,92.94,92.94,209.12,17
NDC,58914-601-20,BISMUTHMETRONIDAZOLETETRACYCLINE 140125125 MG CAPS 120 EACH BOX,15.21,6.08,6.08,13.69,17
NDC,58980-409-12,GLYCERIN LAXATIVE 1 G SUPP 12 EACH BOX,4.22,1.69,1.69,3.8,17
NDC,58980-409-25,GLYCERIN LAXATIVE 1 G SUPP 25 EACH BOX,3.05,1.22,1.22,2.75,17
NDC,58980-780-21,VENELEX OINT 56.7 G TUBE,187.39,74.96,74.96,168.65,17
NDC,59011-410-10,OXYCODONE HCL ER 10 MG T12A 100 EACH BOTTLE,36.89,14.76,14.76,33.2,17
NDC,59011-410-20,OXYCODONE HCL ER 10 MG T12A 20 EACH BOX,37.87,15.15,15.15,34.08,17
NDC,59011-420-10,OXYCODONE HCL ER 20 MG T12A 100 EACH BOTTLE,68.79,27.52,27.52,61.91,17
NDC,59011-420-20,OXYCODONE HCL ER 20 MG T12A 20 EACH BOX,70.55,28.22,28.22,63.5,17
NDC,59011-440-10,OXYCODONE HCL ER 40 MG T12A 100 EACH BOTTLE,117.8,47.12,47.12,106.02,17
NDC,59011-440-20,OXYCODONE HCL ER 40 MG T12A 20 EACH BOX,120.78,48.31,48.31,108.7,17
NDC,59016-420-17,MAGNESIUM 84 MG 7MEQ TAB CR 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59016-420-19,MAGNESIUM 84 MG 7MEQ TAB CR 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59148-020-50,TOLVAPTAN HYPONATREMIA 15 MG TABS 10 EACH BOX,2621.79,1048.72,1048.72,2359.61,17
NDC,59212-423-04,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 120 ML BOTTLE,20.49,8.2,8.2,18.44,17
NDC,59212-423-16,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 480 ML BOTTLE,20.52,8.21,8.21,18.47,17
NDC,59212-425-10,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG TABS 100 EACH BOTTLE,87.73,35.09,35.09,78.96,17
NDC,59310-302-40,BECLOMETHASONE 40 MCG/ACT AERB 10.6 G INHALER,1257.23,502.89,502.89,1131.51,17
NDC,59310-304-80,BECLOMETHASONE 80 MCG/ACT AERB 10.6 G INHALER,1683.78,673.51,673.51,1515.4,17
NDC,59310-610-31,RESLIZUMAB 100 MG/10ML SOLN 10 ML VIAL,5839.93,2335.97,10.56,5255.94,32
NDC,59338-775-01,FERUMOXYTOL 510 MG/17ML SOLN 17 ML VIAL,6015.81,2406.32,0.36,5414.23,32
NDC,59338-775-10,FERUMOXYTOL 510 MG/17ML SOLN 17 ML VIAL,5840.59,2336.24,0.36,5256.53,32
NDC,59353-010-01,EPOETIN ALFAEPBX 10000 UNIT/ML SOLN 1 ML VIAL,608.86,243.54,0.8,547.97,17
NDC,59353-065-01,DIFELIKEFALIN ACETATE 65 MCG/1.3ML SOLN 1.3 ML VIAL,828.0,331.2,0.18,745.2,16
NDC,59353-065-12,DIFELIKEFALIN ACETATE 65 MCG/1.3ML SOLN 1.3 ML VIAL,828.0,331.2,0.18,745.2,16
NDC,59365-6064-0,LUGOLS STRONG IODINE 510 % SOLN 8 ML VIAL,52.12,20.85,20.85,46.91,17
NDC,59365-6064-1,LUGOLS STRONG IODINE 510 % SOLN 8 ML VIAL,52.08,20.83,20.83,46.87,17
NDC,59390-034-17,DIPHENHYDRAMINE 2 % CREA 30 G TUBE,19.95,7.98,7.98,17.96,17
NDC,59390-192-05,HOMATROPINE 5 % SOLN 5 ML BOTTLE,120.0,48.0,48.0,108.0,17
NDC,59390-197-13,HYPROMELLOSE 0.3 % SOLN 15 ML BOTTLE,42.38,16.95,16.95,38.14,17
NDC,59390-197-18,HYPROMELLOSE 0.3 % SOLN 30 ML BOTTLE,66.0,26.4,26.4,59.4,17
NDC,59417-102-10,LISDEXAMFETAMINE 20 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
NDC,59417-103-10,LISDEXAMFETAMINE 30 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
NDC,59417-104-10,LISDEXAMFETAMINE 40 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
NDC,59417-105-10,LISDEXAMFETAMINE 50 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
NDC,59417-106-10,LISDEXAMFETAMINE 60 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
NDC,59417-107-10,LISDEXAMFETAMINE 70 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
NDC,59528-0331-2,CALCIUM ACETATE 667 MG TABS 200 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59572-425-21,LENALIDOMIDE 25 MG CAPS 21 EACH BOTTLE,4493.42,1797.37,1797.37,4044.08,17
NDC,59572-515-01,IDECABTAGENE VICLEUCEL 510000000 CELLS SUSP 1 EACH FLEX CONT,2662694.75,1065077.9,567977.78,2396425.28,30
NDC,59572-711-01,LUSPATERCEPTAAMT 25 MG SOLR 1 EACH VIAL,21144.82,8457.93,40.97,19030.34,26
NDC,59572-775-01,LUSPATERCEPTAAMT 75 MG SOLR 1 EACH VIAL,63434.24,25373.7,40.97,57090.82,26
NDC,59572-984-01,ROMIDEPSIN 10 MG SOLR 1 EACH VIAL,16121.2,6448.48,28.52,14509.08,32
NDC,59584-138-01,CANDIDA ALBICANS SKIN TEST SOLN 1 ML VIAL,193.2,77.28,77.28,173.88,17
NDC,59630-266-01,CEFIDEROCOL SULFATE TOSYLATE 1 G SOLR 1 EACH VIAL,1362.38,544.95,1.98,1226.14,32
NDC,59630-266-10,CEFIDEROCOL SULFATE TOSYLATE 1 G SOLR 1 EACH VIAL,1362.39,544.96,1.98,1226.15,32
NDC,59630-300-65,NITROGLYCERIN 0.4 MG/SPRAY SOLN 4.9 G BOTTLE,840.7,336.28,336.28,756.63,17
NDC,59651-018-90,NIACIN 500 MG TAB CR 90 EACH BOTTLE,6.36,2.54,2.54,5.72,17
NDC,59651-019-90,NIACIN 750 MG TAB CR 90 EACH BOTTLE,9.06,3.62,3.62,8.15,17
NDC,59651-119-60,DOFETILIDE 250 MCG CAPS 60 EACH BOTTLE,42.82,17.13,17.13,38.54,17
NDC,59651-152-01,PROGESTERONE 100 MG CAPS 100 EACH BOTTLE,10.5,4.2,4.2,9.45,17
NDC,59651-160-30,DAPAGLIFLOZIN 10 MG TABS 30 EACH BOTTLE,68.0,27.2,27.2,61.2,17
NDC,59651-240-90,IMATINIB 100 MG TABS 90 EACH BOTTLE,465.19,186.08,186.08,418.67,17
NDC,59651-276-60,PROPAFENONE 225 MG CP12 60 EACH BOTTLE,39.47,15.79,15.79,35.52,17
NDC,59651-299-60,TAMOXIFEN 10 MG TABS 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59651-390-01,BUSPIRONE 7.5 MG TABS 100 EACH BOTTLE,7.9,3.16,3.16,7.11,17
NDC,59651-412-30,DEFERASIROX 360 MG TABS 30 EACH BOTTLE,419.12,167.65,167.65,377.21,17
NDC,59651-413-50,HYDROCORTISONE 5 MG TABS 50 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59651-414-01,HYDROCORTISONE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59651-415-01,HYDROCORTISONE 20 MG TABS 100 EACH BOTTLE,5.44,2.18,2.18,4.9,17
NDC,59651-444-01,VALGANCICLOVIR 50 MG/ML SOLR 88 ML BOTTLE,4201.24,1680.5,1680.5,3781.12,17
NDC,59651-484-01,PREDNISONE 1 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
NDC,59651-485-01,PREDNISONE 2.5 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
NDC,59651-489-01,PREDNISONE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
NDC,59651-499-01,HYDROXYZINE 10 MG TABS 100 EACH BOTTLE,3.17,1.27,1.27,2.85,17
NDC,59651-500-01,HYDROXYZINE 25 MG TABS 100 EACH BOTTLE,4.6,1.84,1.84,4.14,17
NDC,59651-646-26,MYCOPHENOLATE 200 MG/ML SUSR 160 ML BOTTLE,44.9,17.96,0.21,40.41,16
NDC,59651-657-00,NITROGLYCERIN 0.3 MG SUBL 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59651-658-04,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,5.14,2.06,2.06,4.63,17
NDC,59651-658-25,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,5.14,2.06,2.06,4.63,17
NDC,59651-722-01,CLONAZEPAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59651-723-01,CLONAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59651-724-01,CLONAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59651-873-50,CIPROFLOXACIN 750 MG TABS 50 EACH BOTTLE,28.13,11.25,11.25,25.32,17
NDC,59676-278-01,RILPIVIRINE HCL 25 MG TABS 30 EACH BOTTLE,296.67,118.67,118.67,267.0,17
NDC,59676-302-01,EPOETIN ALFA 2000 UNIT/ML SOLN 1 ML VIAL,320.76,128.3,1.11,288.68,16
NDC,59676-303-01,EPOETIN ALFA 3000 UNIT/ML SOLN 1 ML VIAL,442.6,177.04,1.11,398.34,16
NDC,59676-304-01,EPOETIN ALFA 4000 UNIT/ML SOLN 1 ML VIAL,590.09,236.04,1.11,531.08,16
NDC,59676-310-00,EPOETIN ALFA 10000 UNIT/ML SOLN 1 ML VIAL,1475.22,590.09,1.11,1327.7,16
NDC,59676-310-01,EPOETIN ALFA 10000 UNIT/ML SOLN 1 ML VIAL,1475.22,590.09,1.11,1327.7,16
NDC,59676-312-04,EPOETIN ALFA 10000 UNIT/ML SOLN 2 ML VIAL,2693.88,1077.55,1.11,2424.49,16
NDC,59676-320-00,EPOETIN ALFA 20000 UNIT/ML SOLN 1 ML VIAL,2693.88,1077.55,1.11,2424.49,16
NDC,59676-320-04,EPOETIN ALFA 20000 UNIT/ML SOLN 1 ML VIAL,2693.88,1077.55,1.11,2424.49,16
NDC,59676-340-00,EPOETIN ALFA 40000 UNIT/ML SOLN 1 ML VIAL,5387.76,2155.1,1.11,4848.98,16
NDC,59676-340-01,EPOETIN ALFA 40000 UNIT/ML SOLN 1 ML VIAL,5387.76,2155.1,1.11,4848.98,16
NDC,59676-562-01,DARUNAVIR 600 MG TABS 60 EACH BOTTLE,215.82,86.33,86.33,194.24,17
NDC,59676-566-30,DARUNAVIR 800 MG TABS 30 EACH BOTTLE,397.1,158.84,158.84,357.39,17
NDC,59676-570-01,ETRAVIRINE 100 MG TABS 120 EACH BOTTLE,74.9,29.96,29.96,67.41,17
NDC,59676-575-30,DARUNAVIRCOBICISTAT 800150 MG TABS 30 EACH BOTTLE,453.88,181.55,181.55,408.49,17
NDC,59676-610-01,TRABECTEDIN 1 MG SOLR 1 EACH VIAL,18594.28,7437.71,264.38,16734.85,32
NDC,59676-800-30,DARUNCOBICEMTRICITTENOF AF 80015020010 MG TABS 30 EACH BOTTLE,867.91,347.16,347.16,781.12,17
NDC,59746-003-14,METHYLPREDNISOLONE 16 MG TABS 50 EACH BOTTLE,15.53,6.21,6.21,13.98,17
NDC,59746-010-32,RISPERIDONE 0.5 MG TBDP 30 EACH BOX,24.58,9.83,9.83,22.12,17
NDC,59746-020-22,RISPERIDONE 1 MG TBDP 28 EACH BOX,27.52,11.01,11.01,24.77,17
NDC,59746-030-22,RISPERIDONE 2 MG TBDP 28 EACH BOX,44.73,17.89,17.89,40.26,17
NDC,59746-040-22,RISPERIDONE 3 MG TBDP 28 EACH BOX,56.45,22.58,22.58,50.81,17
NDC,59746-113-06,PROCHLORPERAZINE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59746-171-06,PREDNISONE 1 MG TABS 100 EACH BOTTLE,3.17,1.27,0.01,2.85,16
NDC,59746-307-12,OLANZAPINE ZYDIS 10 MG TBDP 1 EACH,104.85,41.94,41.94,94.37,17
NDC,59746-307-32,OLANZAPINE ZYDIS 10 MG TBDP 30 EACH BOX,104.87,41.95,41.95,94.38,17
NDC,59746-339-90,LOSARTANHYDROCHLOROTHIAZIDE 10025 MG TABS 90 EACH BOTTLE,17.04,6.82,6.82,15.34,17
NDC,59746-384-06,TERAZOSIN 2 MG CAPS 100 EACH BOTTLE,8.03,3.21,3.21,7.23,17
NDC,59746-385-06,TERAZOSIN 5 MG CAPS 100 EACH BOTTLE,8.03,3.21,3.21,7.23,17
NDC,59746-789-01,CARBAMAZEPINE 100 MG TB12 100 EACH BOTTLE,5.72,2.29,2.29,5.15,17
NDC,59762-0059-1,ALPRAZOLAM 1 MG TB24 60 EACH BOTTLE,13.37,5.35,5.35,12.03,17
NDC,59762-0073-1,HYDROCORTISONE 5 MG TABS 50 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59762-0074-1,HYDROCORTISONE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59762-0075-1,HYDROCORTISONE 20 MG TABS 100 EACH BOTTLE,5.44,2.18,2.18,4.9,17
NDC,59762-0104-5,SULFASALAZINE 500 MG TBEC 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59762-0119-1,PHENELZINE 15 MG TABS 60 EACH BOTTLE,4.18,1.67,1.67,3.76,17
NDC,59762-0131-4,SILVER SULFADIAZINE 1 % CREA 400 G JAR,324.0,129.6,129.6,291.6,17
NDC,59762-0333-2,LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE,438.24,175.3,175.3,394.42,17
NDC,59762-0450-1,COLESTIPOL 1 G TABS 120 EACH BOTTLE,6.32,2.53,2.53,5.69,17
NDC,59762-0540-1,GLIPIZIDE 2.5 MG TB24 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,59762-0707-1,DICLOFENAC EPOLAMINE 1.3 % PTCH 5 EACH BOX,67.14,26.86,26.86,60.43,17
NDC,59762-0707-2,DICLOFENAC EPOLAMINE 1.3 % PTCH 30 EACH BOX,67.14,26.86,26.86,60.43,17
NDC,59762-1061-1,DIPHENOXYLATEATROPINE 2.50.025 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59762-1205-6,SIROLIMUS 1 MG/ML SOLN 60 ML BOTTLE,7957.91,3183.16,3183.16,7162.12,17
NDC,59762-1350-1,RIFABUTIN 150 MG CAPS 100 EACH BOTTLE,87.47,34.99,34.99,78.72,17
NDC,59762-2250-2,ETHOSUXIMIDE 250 MG CAPS 100 EACH BOTTLE,13.93,5.57,5.57,12.54,17
NDC,59762-2858-1,EXEMESTANE 25 MG TABS 30 EACH BOTTLE,101.16,40.46,40.46,91.04,17
NDC,59762-3051-2,AZITHROMYCIN 1 G PACK 3 EACH BOX,145.64,58.26,58.26,131.08,17
NDC,59762-3110-1,AZITHROMYCIN 100 MG/5ML SUSR 15 ML BOTTLE,174.38,69.75,69.75,156.94,17
NDC,59762-3717-9,TRIAZOLAM 0.125 MG TABS 100 EACH BOTTLE,18.34,7.34,7.34,16.51,17
NDC,59762-3718-9,TRIAZOLAM 0.25 MG TABS 100 EACH BOTTLE,18.34,7.34,7.34,16.51,17
NDC,59762-3719-1,ALPRAZOLAM 0.25 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59762-3720-1,ALPRAZOLAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59762-3721-1,ALPRAZOLAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,59762-5007-1,MISOPROSTOL 100 MCG TABS 60 EACH BOTTLE,4.12,1.65,1.65,3.71,17
NDC,59762-5007-2,MISOPROSTOL 100 MCG TABS 120 EACH BOTTLE,4.12,1.65,1.65,3.71,17
NDC,59762-5030-1,FLUCONAZOLE 40 MG/ML SUSR 35 ML BOTTLE,577.51,231.0,231.0,519.76,17
NDC,59762-5050-1,GABAPENTIN 250 MG/5ML SOLN 470 ML BOTTLE,685.35,274.14,274.14,616.82,17
NDC,59767-008-01,PANCRELIPASE LIPPROTAMYL 800028750 UNITS CPEP 100 EACH BOTTLE,16.79,6.72,6.72,15.11,17
NDC,59767-016-01,PANCRELIPASE LIPPROTAMYL 1600057500 UNITS CPEP 100 EACH BOTTLE,33.57,13.43,13.43,30.21,17
NDC,60146-29157,CAPHOSOL SOLN 15 ML AMPULE,31.28,12.51,12.51,28.15,17
NDC,60219-1523-1,TETRACYCLINE 500 MG CAPS 100 EACH BOTTLE,78.75,31.5,31.5,70.88,17
NDC,60219-1673-1,THIOTHIXENE 1 MG CAPS 100 EACH BOTTLE,5.94,2.38,2.38,5.35,17
NDC,60219-1676-1,THIOTHIXENE 10 MG CAPS 100 EACH BOTTLE,16.79,6.72,6.72,15.11,17
NDC,60219-1748-2,ATROPINE 1 % SOLN 2 ML BOTTLE,239.3,95.72,95.72,215.37,17
NDC,60219-1749-3,ATROPINE 1 % SOLN 5 ML BOTTLE,291.9,116.76,116.76,262.71,17
NDC,60219-5522-9,FENOFIBRATE 160 MG TABS 90 EACH BOTTLE,11.88,4.75,4.75,10.69,17
NDC,60258-00116,SOD CITRATECITRIC ACID 500334 MG/5ML SOLN 473 ML BOTTLE,6.83,2.73,2.73,6.15,17
NDC,60258-00216,POTASSIUM AND SODIUM CITRATECITRIC ACIDSUCROSE 550500334 MG/5ML SYRP 473 ML,3.75,1.5,1.5,3.38,17
NDC,60258-00316,CITRIC ACIDPOTASSIUM CITRATE 1100334 MG/5ML SOLN 473 ML BOTTLE,3.95,1.58,1.58,3.56,17
NDC,60258-099-01,IRONVITAMIN C 100250 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,60258-160-01,B COMPLEXVITAMIN CFOLIC ACID 0.8 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,60258-171-01,MAGNESIUM OXIDE 400 240 MG MG TABS 120 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,60267-705-50,SODIUM THIOSULFATE 250 MG/ML SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,60267-812-00,NITHIODOTE 300MG/10MLAND12.5 GM/50ML KIT 60 ML BOX,1081.09,432.44,432.44,972.98,17
NDC,60432-065-00,AMOXICILLINCLAVULANATE 25062.5 MG/5ML SUSR 100 ML BOTTLE,397.44,158.98,158.98,357.7,17
NDC,60432-065-47,AMOXICILLINCLAVULANATE 25062.5 MG/5ML SUSR 150 ML BOTTLE,584.43,233.77,233.77,525.99,17
NDC,60432-126-08,MEGESTROL 40 MG/ML SUSP 240 ML BOTTLE,662.4,264.96,264.96,596.16,17
NDC,60432-129-16,CARBAMAZEPINE 100 MG/5ML SUSP 450 ML BOTTLE,373.5,149.4,149.4,336.15,17
NDC,60432-150-04,HYDROXYZINE 10 MG/5ML SYRP 118 ML BOTTLE,99.71,39.88,39.88,89.74,17
NDC,60432-264-15,FLUTICASONE 50 MCG/ACT SUSP 16 G BOTTLE,392.21,156.88,156.88,352.99,17
NDC,60432-537-16,NYSTATIN 100000 UNIT/ML SUSP 473 ML BOTTLE,6.13,2.45,2.45,5.52,17
NDC,60432-613-60,FUROSEMIDE 10 MG/ML SOLN 60 ML BOTTLE,51.9,20.76,20.76,46.71,17
NDC,60432-621-16,VALPROIC ACID 250 MG/5ML SOLN 473 ML BOTTLE,364.21,145.68,145.68,327.79,17
NDC,60505-0133-0,CYCLOSPORINE 25 MG CAPS 30 EACH BOTTLE,22.12,8.85,8.85,19.91,17
NDC,60505-0134-0,CYCLOSPORINE 100 MG CAPS 30 EACH BOTTLE,88.29,35.32,2.65,79.46,16
NDC,60505-0165-1,FLUVOXAMINE 50 MG TABS 100 EACH BOTTLE,12.87,5.15,5.15,11.58,17
NDC,60505-0166-1,FLUVOXAMINE 100 MG TABS 100 EACH BOTTLE,13.21,5.28,5.28,11.89,17
NDC,60505-0405-4,LACOSAMIDE 10 MG/ML SOLN 200 ML BOTTLE,2051.6,820.64,820.64,1846.44,17
NDC,60505-0560-0,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,104.7,41.88,41.88,94.23,17
NDC,60505-0564-1,BRIMONIDINE 0.15 % SOLN 5 ML BOTTLE,881.73,352.69,352.69,793.56,17
NDC,60505-0578-4,AZELASTINE 0.05 % SOLN 6 ML BOTTLE,478.72,191.49,191.49,430.85,17
NDC,60505-0589-1,BRIMONIDINETIMOLOL 0.20.5 % SOLN 5 ML BOTTLE,1019.5,407.8,407.8,917.55,17
NDC,60505-0815-0,DESMOPRESSIN 0.01 % SOLN 5 ML BOTTLE,1132.75,453.1,453.1,1019.48,17
NDC,60505-0823-6,CALCITONIN SALMON 200 UNIT/ACT SOLN 3.7 ML BOTTLE,545.29,218.12,218.12,490.76,17
NDC,60505-0829-1,FLUTICASONE 50 MCG/ACT SUSP 16 G BOTTLE,392.21,156.88,156.88,352.99,17
NDC,60505-1003-1,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,491.6,196.64,196.64,442.44,17
NDC,60505-2527-3,MODAFINIL 200 MG TABS 30 EACH BOTTLE,199.53,79.81,79.81,179.58,17
NDC,60505-2795-0,IBANDRONATE 150 MG TABS 1 EACH DISP PACK,638.79,255.52,255.52,574.91,17
NDC,60505-2806-7,CARBAMAZEPINE 200 MG CP12 120 EACH BOTTLE,9.82,3.93,3.93,8.84,17
NDC,60505-3110-0,OLANZAPINE 2.5 MG TABS 100 EACH BOX,55.99,22.4,22.4,50.39,17
NDC,60505-3111-0,OLANZAPINE 5 MG TABS 100 EACH BOX,66.08,26.43,26.43,59.47,17
NDC,60505-3112-0,OLANZAPINE 7.5 MG TABS 100 EACH BOX,80.42,32.17,32.17,72.38,17
NDC,60505-3250-6,LAMIVUDINE 100 MG TABS 60 EACH BOTTLE,80.56,32.22,32.22,72.5,17
NDC,60505-3275-0,OLANZAPINE ZYDIS 5 MG TBDP 100 EACH BOX,71.37,28.55,28.55,64.23,17
NDC,60505-3275-3,OLANZAPINE ZYDIS 5 MG TBDP 30 EACH BOTTLE,71.37,28.55,28.55,64.23,17
NDC,60505-3276-3,OLANZAPINE ZYDIS 10 MG TBDP 30 EACH BOTTLE,104.87,41.95,41.95,94.38,17
NDC,60505-3277-3,OLANZAPINE ZYDIS 15 MG TBDP 30 EACH BOTTLE,154.66,61.86,61.86,139.19,17
NDC,60505-3278-3,OLANZAPINE ZYDIS 20 MG TBDP 30 EACH BOTTLE,204.44,81.78,81.78,184.0,17
NDC,60505-3947-3,ADEFOVIR 10 MG TABS 30 EACH BOTTLE,189.48,75.79,75.79,170.53,17
NDC,60505-4317-0,TOLVAPTAN HYPONATREMIA 15 MG TABS 10 EACH BOX,2372.1,948.84,948.84,2134.89,17
NDC,60505-4452-6,TICAGRELOR 90 MG TABS 60 EACH BOTTLE,44.15,17.66,17.66,39.74,17
NDC,60505-4630-3,CYCLOSPORINE MODIFIED 25 MG CAPS 30 EACH BOX,6.88,2.75,1.04,6.19,16
NDC,60505-4632-3,CYCLOSPORINE MODIFIED 100 MG CAPS 30 EACH BOX,27.48,10.99,2.65,24.73,16
NDC,60505-4772-3,VILAZODONE HCL 10 MG TABS 30 EACH BOTTLE,56.73,22.69,22.69,51.06,17
NDC,60505-6116-0,REGADENOSON 0.4 MG/5ML SOLN 5 ML SYRINGE,1381.38,552.55,3.93,1243.24,16
NDC,60505-6125-0,CEFTAROLINE 600 MG SOLR 1 EACH VIAL,1417.63,567.05,3.66,1275.87,32
NDC,60505-6125-1,CEFTAROLINE 600 MG SOLR 1 EACH VIAL,1417.63,567.05,3.66,1275.87,32
NDC,60505-6128-1,IRINOTECAN HCL 100 MG/5ML SOLN 5 ML VIAL,180.35,72.14,2.28,162.32,16
NDC,60505-6129-2,BUDESONIDE 32 MCG/ACT SUSP 8.43 ML BOTTLE,85.94,34.38,34.38,77.35,17
NDC,60505-6130-0,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,60505-6132-6,OXALIPLATIN 50 MG/10ML SOLN 10 ML VIAL,300.0,120.0,0.1,270.0,16
NDC,60505-6132-7,OXALIPLATIN 100 MG/20ML SOLN 20 ML VIAL,600.0,240.0,0.1,540.0,16
NDC,60505-6142-0,CEFAZOLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,60505-6142-5,CEFAZOLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,60505-6144-0,CEFEPIME 1 G SOLR 1 EACH VIAL,101.65,40.66,1.59,91.49,16
NDC,60505-6144-4,CEFEPIME 1 G SOLR 1 EACH VIAL,101.67,40.67,1.59,91.5,16
NDC,60505-6146-0,CEFEPIME 1 G SOLR 1 EACH VIAL,101.65,40.66,1.59,91.49,16
NDC,60505-6146-4,CEFEPIME 1 G SOLR 1 EACH VIAL,101.67,40.67,1.59,91.5,16
NDC,60505-6147-0,CEFEPIME 2 G SOLR 1 EACH VIAL,201.8,80.72,1.59,181.62,16
NDC,60505-6147-4,CEFEPIME 2 G SOLR 1 EACH VIAL,201.78,80.71,1.59,181.6,16
NDC,60505-6157-0,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,85.9,34.36,34.36,77.31,17
NDC,60505-6157-4,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,85.88,34.35,34.35,77.29,17
NDC,60505-6159-0,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,108.75,43.5,43.5,97.88,17
NDC,60505-6159-4,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,108.76,43.5,43.5,97.88,17
NDC,60505-6181-5,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,187.3,74.92,0.98,168.57,17
NDC,60505-6196-4,ERTAPENEM 1 G SOLR 1 EACH VIAL,646.23,258.49,12.82,581.61,16
NDC,60505-6236-0,DEFEROXAMINE 500 MG SOLR 1 EACH VIAL,77.7,31.08,11.71,69.93,16
NDC,60505-6236-6,DEFEROXAMINE 500 MG SOLR 1 EACH VIAL,77.7,31.08,11.71,69.93,16
NDC,60505-6260-0,ZINC SULFATE 5 MG/ML SOLN 5 ML VIAL,228.0,91.2,91.2,205.2,17
NDC,60505-6260-5,ZINC SULFATE 5 MG/ML SOLN 5 ML VIAL,228.0,91.2,91.2,205.2,17
NDC,60505-6266-0,CEFAZOLIN 3 G SOLR 1 EACH VIAL,54.85,21.94,21.94,49.37,17
NDC,60505-6266-5,CEFAZOLIN 3 G SOLR 1 EACH VIAL,54.85,21.94,21.94,49.37,17
NDC,60505-7062-0,NICOTINE 14 MG/24HR PT24 1 EACH PACKAGE,3.43,1.37,1.37,3.09,17
NDC,60505-7082-0,FENTANYL 50 MCG/HR PT72 1 EACH PACKAGE,194.4,77.76,77.76,174.96,17
NDC,60505-7083-0,FENTANYL 75 MCG/HR PT72 1 EACH PACKAGE,296.55,118.62,118.62,266.9,17
NDC,60505-7083-2,FENTANYL 75 MCG/HR PT72 5 EACH BOX,296.53,118.61,118.61,266.88,17
NDC,60505-7084-0,FENTANYL 100 MCG/HR PT72 1 EACH PACKAGE,362.07,144.83,144.83,325.86,17
NDC,60505-7084-2,FENTANYL 100 MCG/HR PT72 5 EACH BOX,362.08,144.83,144.83,325.87,17
NDC,60687-100-01,URSODIOL 300 MG CAPS 100 EACH BOX,38.22,15.29,15.29,34.4,17
NDC,60687-100-11,URSODIOL 300 MG CAPS 1 EACH,38.22,15.29,15.29,34.4,17
NDC,60687-104-11,KETOROLAC 10 MG TABS 1 EACH,36.57,14.63,14.63,32.91,17
NDC,60687-104-21,KETOROLAC 10 MG TABS 30 EACH BOX,36.57,14.63,14.63,32.91,17
NDC,60687-105-11,MEDROXYPROGESTERONE 10 MG TABS 1 EACH BOX,8.38,3.35,3.35,7.54,17
NDC,60687-105-21,MEDROXYPROGESTERONE 10 MG TABS 30 EACH BOX,8.38,3.35,3.35,7.54,17
NDC,60687-111-11,LANSOPRAZOLE 15 MG CPDR 1 EACH,30.03,12.01,12.01,27.03,17
NDC,60687-111-21,LANSOPRAZOLE 15 MG CPDR 30 EACH BOX,30.03,12.01,12.01,27.03,17
NDC,60687-112-21,ANASTROZOLE 1 MG TABS 30 EACH BOX,10.36,4.14,4.14,9.32,17
NDC,60687-113-01,CLONIDINE 0.1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-113-11,CLONIDINE 0.1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-122-01,PREDNISONE 5 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,60687-122-11,PREDNISONE 5 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
NDC,60687-123-01,LANSOPRAZOLE 30 MG CPDR 100 EACH BOX,28.33,11.33,11.33,25.5,17
NDC,60687-124-01,CLONIDINE 0.2 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-124-11,CLONIDINE 0.2 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-134-11,PREDNISONE 10 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
NDC,60687-143-01,METFORMIN 850 MG TABS 100 EACH BOX,6.02,2.41,2.41,5.42,17
NDC,60687-145-01,PREDNISONE 20 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,60687-145-11,PREDNISONE 20 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
NDC,60687-149-94,CAPECITABINE 500 MG TABS 20 EACH BOX,75.0,30.0,0.04,67.5,32
NDC,60687-152-01,CEPHALEXIN 250 MG CAPS 100 EACH BOX,3.57,1.43,1.43,3.21,17
NDC,60687-152-11,CEPHALEXIN 250 MG CAPS 1 EACH,3.57,1.43,1.43,3.21,17
NDC,60687-155-01,METFORMIN 500 MG TABS 100 EACH BOX,3.51,1.4,1.4,3.16,17
NDC,60687-155-11,METFORMIN 500 MG TABS 1 EACH,3.51,1.4,1.4,3.16,17
NDC,60687-156-25,PHENYTOIN 50 MG CHEW 30 EACH BOX,9.0,3.6,3.6,8.1,17
NDC,60687-156-95,PHENYTOIN 50 MG CHEW 1 EACH,9.0,3.6,3.6,8.1,17
NDC,60687-161-01,HALOPERIDOL 5 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
NDC,60687-161-11,HALOPERIDOL 5 MG TABS 1 EACH,5.46,2.18,2.18,4.91,17
NDC,60687-163-01,CEPHALEXIN 500 MG CAPS 100 EACH BOX,6.76,2.7,2.7,6.08,17
NDC,60687-163-11,CEPHALEXIN 500 MG CAPS 1 EACH,6.76,2.7,2.7,6.08,17
NDC,60687-168-01,ARIPIPRAZOLE 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-168-11,ARIPIPRAZOLE 5 MG TABS 1 EACH,150.2,60.08,60.08,135.18,17
NDC,60687-169-01,PRAVASTATIN 10 MG TABS 100 EACH BOX,16.0,6.4,6.4,14.4,17
NDC,60687-169-11,PRAVASTATIN 10 MG TABS 1 EACH,16.0,6.4,6.4,14.4,17
NDC,60687-178-01,PRAVASTATIN 20 MG TABS 100 EACH BOX,16.26,6.5,6.5,14.63,17
NDC,60687-178-11,PRAVASTATIN 20 MG TABS 1 EACH,16.26,6.5,6.5,14.63,17
NDC,60687-179-01,ARIPIPRAZOLE 10 MG TABS 100 EACH BOX,3.74,1.5,1.5,3.37,17
NDC,60687-179-11,ARIPIPRAZOLE 10 MG TABS 1 EACH,3.75,1.5,1.5,3.38,17
NDC,60687-188-11,ENTACAPONE 200 MG TABS 1 EACH,24.7,9.88,9.88,22.23,17
NDC,60687-188-21,ENTACAPONE 200 MG TABS 30 EACH BOX,24.71,9.88,9.88,22.24,17
NDC,60687-192-21,IMATINIB 100 MG TABS 30 EACH BOX,22.36,8.94,8.94,20.12,17
NDC,60687-195-01,DILTIAZEM 120 MG CP24 100 EACH BOX,4.84,1.94,1.94,4.36,17
NDC,60687-195-11,DILTIAZEM 120 MG CP24 1 EACH,4.85,1.94,1.94,4.37,17
NDC,60687-202-11,ARIPIPRAZOLE 20 MG TABS 1 EACH,207.06,82.82,82.82,186.35,17
NDC,60687-202-21,ARIPIPRAZOLE 20 MG TABS 30 EACH BOX,8.49,3.4,3.4,7.64,17
NDC,60687-206-01,DILTIAZEM 180 MG CP24 100 EACH BOX,4.84,1.94,1.94,4.36,17
NDC,60687-206-11,DILTIAZEM 180 MG CP24 1 EACH,4.85,1.94,1.94,4.37,17
NDC,60687-210-01,SIMVASTATIN 40 MG TABS 100 EACH BOX,24.61,9.84,9.84,22.15,17
NDC,60687-210-11,SIMVASTATIN 40 MG TABS 1 EACH,24.61,9.84,9.84,22.15,17
NDC,60687-211-21,DIVALPROEX 125 MG TBEC 30 EACH BOX,4.45,1.78,1.78,4.01,17
NDC,60687-217-01,DILTIAZEM 240 MG CP24 100 EACH BOX,4.02,1.61,1.61,3.62,17
NDC,60687-217-11,DILTIAZEM 240 MG CP24 1 EACH,4.02,1.61,1.61,3.62,17
NDC,60687-224-01,GEMFIBROZIL 600 MG TABS 100 EACH BOX,11.58,4.63,4.63,10.42,17
NDC,60687-224-11,GEMFIBROZIL 600 MG TABS 1 EACH,11.58,4.63,4.63,10.42,17
NDC,60687-226-01,PROPRANOLOL 80 MG CP24 100 EACH BOX,12.25,4.9,4.9,11.03,17
NDC,60687-227-11,LEUCOVORIN 25 MG TABS 1 EACH,64.24,25.7,25.7,57.82,17
NDC,60687-227-94,LEUCOVORIN 25 MG TABS 20 EACH BOX,64.24,25.7,25.7,57.82,17
NDC,60687-229-01,LOPERAMIDE 2 MG CAPS 100 EACH BOX,5.1,2.04,2.04,4.59,17
NDC,60687-229-11,LOPERAMIDE 2 MG CAPS 1 EACH,5.1,2.04,2.04,4.59,17
NDC,60687-230-01,ZONISAMIDE 100 MG CAPS 100 EACH BOX,4.52,1.81,1.81,4.07,17
NDC,60687-230-11,ZONISAMIDE 100 MG CAPS 1 EACH,9.04,3.62,3.62,8.14,17
NDC,60687-231-11,SERTRALINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-234-01,ROSUVASTATIN 5 MG TABS 100 EACH BOX,35.72,14.29,14.29,32.15,17
NDC,60687-234-11,ROSUVASTATIN 5 MG TABS 1 EACH,35.72,14.29,14.29,32.15,17
NDC,60687-242-11,SERTRALINE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-245-01,ROSUVASTATIN 10 MG TABS 100 EACH BOX,35.72,14.29,14.29,32.15,17
NDC,60687-245-11,ROSUVASTATIN 10 MG TABS 1 EACH BOX,35.72,14.29,14.29,32.15,17
NDC,60687-249-40,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML CUP,34.8,13.92,13.92,31.32,17
NDC,60687-249-67,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML CUP,34.8,13.92,13.92,31.32,17
NDC,60687-253-01,SERTRALINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-253-11,SERTRALINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-256-01,ROSUVASTATIN 20 MG TABS 100 EACH BOX,35.72,14.29,14.29,32.15,17
NDC,60687-256-11,ROSUVASTATIN 20 MG TABS 1 EACH BOX,35.72,14.29,14.29,32.15,17
NDC,60687-266-21,RALOXIFENE 60 MG TABS 30 EACH BOX,36.67,14.67,14.67,33.0,17
NDC,60687-272-94,CEFUROXIME 250 MG TABS 20 EACH BOX,20.63,8.25,8.25,18.57,17
NDC,60687-273-21,VORICONAZOLE 200 MG TABS 30 EACH BOX,234.53,93.81,93.81,211.08,17
NDC,60687-275-62,PHENYTOIN 125 MG/5ML SUSP 4 ML CUP,40.2,16.08,16.08,36.18,17
NDC,60687-275-66,PHENYTOIN 125 MG/5ML SUSP 4 ML CUP,40.2,16.08,16.08,36.18,17
NDC,60687-282-01,AZITHROMYCIN 250 MG TABS 100 EACH BOX,21.08,8.43,8.43,18.97,17
NDC,60687-292-01,DONEPEZIL 5 MG TABS 100 EACH BOX,3.88,1.55,1.55,3.49,17
NDC,60687-292-11,DONEPEZIL 5 MG TABS 1 EACH,3.88,1.55,1.55,3.49,17
NDC,60687-293-01,NORTRIPTYLINE 25 MG CAPS 100 EACH BOX,4.41,1.76,1.76,3.97,17
NDC,60687-293-11,NORTRIPTYLINE 25 MG CAPS 1 EACH,4.41,1.76,1.76,3.97,17
NDC,60687-294-11,VORICONAZOLE 50 MG TABS 1 EACH,58.84,23.54,23.54,52.96,17
NDC,60687-294-21,VORICONAZOLE 50 MG TABS 30 EACH BOX,58.84,23.54,23.54,52.96,17
NDC,60687-302-25,NADOLOL 20 MG TABS 30 EACH BOX,18.34,7.34,7.34,16.51,17
NDC,60687-303-01,DONEPEZIL 10 MG TABS 100 EACH BOX,3.88,1.55,1.55,3.49,17
NDC,60687-303-11,DONEPEZIL 10 MG TABS 1 EACH,3.88,1.55,1.55,3.49,17
NDC,60687-304-11,CAPTOPRIL 12.5 MG TABS 1 EACH,8.49,3.4,3.4,7.64,17
NDC,60687-304-21,CAPTOPRIL 12.5 MG TABS 30 EACH BOX,8.49,3.4,3.4,7.64,17
NDC,60687-309-11,LINEZOLID 600 MG TABS 1 EACH,581.13,232.45,232.45,523.02,17
NDC,60687-309-21,LINEZOLID 600 MG TABS 30 EACH BOX,581.13,232.45,232.45,523.02,17
NDC,60687-312-01,BUPROPION 150 MG TB24 100 EACH BOX,23.29,9.32,9.32,20.96,17
NDC,60687-312-11,BUPROPION 150 MG TB24 1 EACH,23.29,9.32,9.32,20.96,17
NDC,60687-313-25,NADOLOL 40 MG TABS 30 EACH BOX,19.85,7.94,7.94,17.87,17
NDC,60687-313-95,NADOLOL 40 MG TABS 1 EACH,19.85,7.94,7.94,17.87,17
NDC,60687-315-11,CAPTOPRIL 25 MG TABS 1 EACH,9.23,3.69,3.69,8.31,17
NDC,60687-315-21,CAPTOPRIL 25 MG TABS 30 EACH BOX,9.23,3.69,3.69,8.31,17
NDC,60687-317-01,CHLORTHALIDONE 25 MG TABS 100 EACH BOX,13.5,5.4,5.4,12.15,17
NDC,60687-317-11,CHLORTHALIDONE 25 MG TABS 1 EACH,13.5,5.4,5.4,12.15,17
NDC,60687-319-21,TOLTERODINE 2 MG CP24 30 EACH BOX,60.25,24.1,24.1,54.23,17
NDC,60687-325-01,LISINOPRIL 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-325-11,LISINOPRIL 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-326-95,ATOMOXETINE 40 MG CAPS 1 EACH,37.94,15.18,15.18,34.15,17
NDC,60687-327-11,QUETIAPINE 25 MG TABS 1 EACH,18.89,7.56,7.56,17.0,17
NDC,60687-333-01,LISINOPRIL 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-333-11,LISINOPRIL 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-336-65,MINOCYCLINE 100 MG CAPS 50 EACH BOX,6.6,2.64,2.64,5.94,17
NDC,60687-338-11,QUETIAPINE 50 MG TABS 1 EACH,31.01,12.4,12.4,27.91,17
NDC,60687-340-01,BUPROPION 75 MG TABS 100 EACH BOX,6.59,2.64,2.64,5.93,17
NDC,60687-340-11,BUPROPION 75 MG TABS 1 EACH,6.59,2.64,2.64,5.93,17
NDC,60687-345-01,CALCITRIOL 0.25 MCG CAPS 100 EACH BOX,4.8,1.92,1.92,4.32,17
NDC,60687-345-11,CALCITRIOL 0.25 MCG CAPS 1 EACH,4.8,1.92,1.92,4.32,17
NDC,60687-349-01,QUETIAPINE 100 MG TABS 100 EACH BOX,32.39,12.96,12.96,29.15,17
NDC,60687-349-11,QUETIAPINE 100 MG TABS 1 EACH,32.39,12.96,12.96,29.15,17
NDC,60687-351-01,BUPROPION 100 MG TABS 100 EACH BOX,8.93,3.57,3.57,8.04,17
NDC,60687-351-11,BUPROPION 100 MG TABS 1 EACH,8.93,3.57,3.57,8.04,17
NDC,60687-360-01,QUETIAPINE 200 MG TABS 100 EACH BOX,61.09,24.44,24.44,54.98,17
NDC,60687-360-11,QUETIAPINE 200 MG TABS 1 EACH,61.09,24.44,24.44,54.98,17
NDC,60687-369-01,DICYCLOMINE 10 MG CAPS 100 EACH BOX,3.3,1.32,1.32,2.97,17
NDC,60687-369-11,DICYCLOMINE 10 MG CAPS 1 EACH,3.3,1.32,1.32,2.97,17
NDC,60687-371-01,QUETIAPINE 300 MG TABS 100 EACH BOX,80.1,32.04,32.04,72.09,17
NDC,60687-371-11,QUETIAPINE 300 MG TABS 1 EACH,80.1,32.04,32.04,72.09,17
NDC,60687-373-11,EZETIMIBE 10 MG TABS 1 EACH,61.98,24.79,24.79,55.78,17
NDC,60687-373-21,EZETIMIBE 10 MG TABS 30 EACH BOX,61.98,24.79,24.79,55.78,17
NDC,60687-375-11,DRONABINOL 2.5 MG CAPS 1 EACH,42.46,16.98,16.98,38.21,17
NDC,60687-377-01,ALPRAZOLAM 0.25 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-377-11,ALPRAZOLAM 0.25 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-379-01,BENZTROPINE 2 MG TABS 100 EACH BOX,3.36,1.34,1.34,3.02,17
NDC,60687-379-11,BENZTROPINE 2 MG TABS 1 EACH,3.36,1.34,1.34,3.02,17
NDC,60687-380-01,DICYCLOMINE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-380-11,DICYCLOMINE 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-381-11,PHYTONADIONE 5 MG TABS 1 EACH,371.91,148.76,148.76,334.72,17
NDC,60687-381-94,PHYTONADIONE 5 MG TABS 20 EACH BOX,371.91,148.76,148.76,334.72,17
NDC,60687-382-01,QUETIAPINE 400 MG TABS 100 EACH BOX,94.14,37.66,37.66,84.73,17
NDC,60687-382-11,QUETIAPINE 400 MG TABS 1 EACH,94.14,37.66,37.66,84.73,17
NDC,60687-384-01,BUMETANIDE 1 MG TABS 100 EACH BOX,6.49,2.6,2.6,5.84,17
NDC,60687-384-25,BUMETANIDE 1 MG TABS 30 EACH BOX,9.79,3.92,3.92,8.81,17
NDC,60687-384-95,BUMETANIDE 1 MG TABS 1 EACH,9.79,3.92,3.92,8.81,17
NDC,60687-386-11,DRONABINOL 5 MG CAPS 1 EACH,85.91,34.36,34.36,77.32,17
NDC,60687-386-21,DRONABINOL 5 MG CAPS 30 EACH BOX,61.32,24.53,24.53,55.19,17
NDC,60687-387-01,MIDODRINE 2.5 MG TABS 100 EACH BOX,7.16,2.86,2.86,6.44,17
NDC,60687-387-11,MIDODRINE 2.5 MG TABS 1 EACH,7.16,2.86,2.86,6.44,17
NDC,60687-388-01,ALPRAZOLAM 0.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-388-11,ALPRAZOLAM 0.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-390-01,METOPROLOL SUCCINATE ER 25 MG TB24 100 EACH BOX,5.58,2.23,2.23,5.02,17
NDC,60687-390-11,METOPROLOL SUCCINATE ER 25 MG TB24 1 EACH,5.58,2.23,2.23,5.02,17
NDC,60687-391-01,PIOGLITAZONE 15 MG TABS 100 EACH BOX,6.3,2.52,2.52,5.67,17
NDC,60687-394-79,IPRATROPIUM 0.02 % SOLN 2.5 ML PLAS CONT,3.0,1.2,0.35,2.7,18
NDC,60687-394-83,IPRATROPIUM 0.02 % SOLN 2.5 ML PLAS CONT,3.0,1.2,0.35,2.7,18
NDC,60687-395-79,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,3.0,1.2,0.04,2.7,18
NDC,60687-395-83,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,3.0,1.2,0.04,2.7,18
NDC,60687-397-25,MESALAMINE 1.2 G TBEC 30 EACH BOX,62.4,24.96,24.96,56.16,17
NDC,60687-398-01,MIDODRINE 5 MG TABS 100 EACH BOX,4.5,1.8,1.8,4.05,17
NDC,60687-398-11,MIDODRINE 5 MG TABS 1 EACH,4.5,1.8,1.8,4.05,17
NDC,60687-402-01,METOPROLOL SUCCINATE ER 50 MG TB24 100 EACH BOX,5.58,2.23,2.23,5.02,17
NDC,60687-402-11,METOPROLOL SUCCINATE ER 50 MG TB24 1 EACH,5.58,2.23,2.23,5.02,17
NDC,60687-404-01,CLOZAPINE 25 MG TABS 100 EACH BOX,6.65,2.66,2.66,5.99,17
NDC,60687-404-11,CLOZAPINE 25 MG TABS 1 EACH,6.65,2.66,2.66,5.99,17
NDC,60687-405-79,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,3.9,1.56,0.19,3.51,16
NDC,60687-405-83,IPRATROPIUMALBUTEROL 0.52.5 3 MG/3ML SOLN 3 ML PLAS CONT,3.9,1.56,0.19,3.51,16
NDC,60687-406-67,OXYCODONE 5 MG/5ML SOLN 5 ML CUP,42.0,16.8,16.8,37.8,17
NDC,60687-406-77,OXYCODONE 5 MG/5ML SOLN 5 ML CUP,35.4,14.16,14.16,31.86,17
NDC,60687-410-11,METHYLERGONOVINE 0.2 MG TABS 1 EACH,330.0,132.0,132.0,297.0,17
NDC,60687-410-94,METHYLERGONOVINE 0.2 MG TABS 20 EACH BOX,330.0,132.0,132.0,297.0,17
NDC,60687-413-01,METOPROLOL SUCCINATE ER 100 MG TB24 100 EACH BOX,8.38,3.35,3.35,7.54,17
NDC,60687-413-11,METOPROLOL SUCCINATE ER 100 MG TB24 1 EACH,8.38,3.35,3.35,7.54,17
NDC,60687-415-11,CLOZAPINE 100 MG TABS 1 EACH,17.29,6.92,6.92,15.56,17
NDC,60687-417-44,HYDROCODONEACETAMINOPHEN 7.5325 MG/15ML SOLN 15 ML CUP,24.6,9.84,9.84,22.14,17
NDC,60687-417-71,HYDROCODONEACETAMINOPHEN 7.5325 MG/15ML SOLN 15 ML CUP,24.6,9.84,9.84,22.14,17
NDC,60687-418-01,HYDROCODONEACETAMINOPHEN 10325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-418-11,HYDROCODONEACETAMINOPHEN 10325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-419-01,CHLORPROMAZINE 10 MG TABS 100 EACH BOX,25.72,10.29,10.29,23.15,17
NDC,60687-419-11,CHLORPROMAZINE 10 MG TABS 1 EACH,25.72,10.29,10.29,23.15,17
NDC,60687-422-01,AMANTADINE 100 MG CAPS 100 EACH BOX,10.89,4.36,4.36,9.8,17
NDC,60687-422-11,AMANTADINE 100 MG CAPS 1 EACH,10.89,4.36,4.36,9.8,17
NDC,60687-423-11,CLOBAZAM 10 MG TABS 1 EACH,15.6,6.24,6.24,14.04,17
NDC,60687-428-11,FINASTERIDE 5 MG TABS 1 EACH,5.4,2.16,2.16,4.86,17
NDC,60687-428-65,FINASTERIDE 5 MG TABS 50 EACH BOX,4.8,1.92,1.92,4.32,17
NDC,60687-429-45,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,17
NDC,60687-430-01,CHLORPROMAZINE 25 MG TABS 100 EACH BOX,35.57,14.23,14.23,32.01,17
NDC,60687-432-01,TRAZODONE 150 MG TABS 100 EACH BOX,7.35,2.94,2.94,6.62,17
NDC,60687-432-11,TRAZODONE 150 MG TABS 1 EACH,7.35,2.94,2.94,6.62,17
NDC,60687-433-01,AMITRIPTYLINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-433-11,AMITRIPTYLINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-435-11,CLARITHROMYCIN 500 MG TABS 1 EACH,30.68,12.27,12.27,27.61,17
NDC,60687-435-21,CLARITHROMYCIN 500 MG TABS 30 EACH BOX,30.68,12.27,12.27,27.61,17
NDC,60687-436-01,CELECOXIB 100 MG CAPS 100 EACH BOX,23.1,9.24,9.24,20.79,17
NDC,60687-436-11,CELECOXIB 100 MG CAPS 1 EACH,23.1,9.24,9.24,20.79,17
NDC,60687-437-01,AMIODARONE 200 MG TABS 100 EACH BOX,3.03,1.21,1.21,2.73,17
NDC,60687-437-11,AMIODARONE 200 MG TABS 1 EACH,3.03,1.21,1.21,2.73,17
NDC,60687-438-01,MYCOPHENOLATE 500 MG TABS 100 EACH BOX,7.82,3.13,0.21,7.04,16
NDC,60687-438-11,MYCOPHENOLATE 500 MG TABS 1 EACH,7.82,3.13,0.21,7.04,16
NDC,60687-439-01,LABETALOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-439-11,LABETALOL 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-441-01,CHLORPROMAZINE 50 MG TABS 100 EACH BOX,51.1,20.44,20.44,45.99,17
NDC,60687-441-11,CHLORPROMAZINE 50 MG TABS 1 EACH,51.1,20.44,20.44,45.99,17
NDC,60687-443-01,TRAZODONE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-443-11,TRAZODONE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-444-11,AMITRIPTYLINE 50 MG TABS 1 EACH,3.48,1.39,1.39,3.13,17
NDC,60687-446-01,IBUPROFEN 400 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-446-11,IBUPROFEN 400 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-447-01,CELECOXIB 200 MG CAPS 100 EACH BOX,12.14,4.86,4.86,10.93,17
NDC,60687-447-11,CELECOXIB 200 MG CAPS 1 EACH,12.14,4.86,4.86,10.93,17
NDC,60687-450-11,LABETALOL 200 MG TABS 1 EACH,3.5,1.4,1.4,3.15,17
NDC,60687-451-21,EPLERENONE 25 MG TABS 30 EACH BOX,25.0,10.0,10.0,22.5,17
NDC,60687-452-01,CHLORPROMAZINE 100 MG TABS 100 EACH BOX,77.95,31.18,31.18,70.16,17
NDC,60687-452-11,CHLORPROMAZINE 100 MG TABS 1 EACH,77.95,31.18,31.18,70.16,17
NDC,60687-453-01,LEVOTHYROXINE 25 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-453-11,LEVOTHYROXINE 25 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-454-01,TRAZODONE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-454-11,TRAZODONE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-455-21,ABIRATERONE 250 MG TABS 30 EACH BOX,80.0,32.0,32.0,72.0,15
NDC,60687-457-01,IBUPROFEN 600 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-457-11,IBUPROFEN 600 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-458-01,GLYCOPYRROLATE 1 MG TABS 100 EACH BOX,6.24,2.5,2.5,5.62,17
NDC,60687-458-11,GLYCOPYRROLATE 1 MG TABS 1 EACH,6.24,2.5,2.5,5.62,17
NDC,60687-459-01,PALIPERIDONE 3 MG TB24 100 EACH BOX,86.74,34.7,34.7,78.07,17
NDC,60687-459-11,PALIPERIDONE 3 MG TB24 1 EACH,86.75,34.7,34.7,78.08,17
NDC,60687-461-01,LABETALOL 300 MG TABS 100 EACH BOX,5.94,2.38,2.38,5.35,17
NDC,60687-461-11,LABETALOL 300 MG TABS 1 EACH,5.94,2.38,2.38,5.35,17
NDC,60687-463-01,CHLORPROMAZINE 200 MG TABS 100 EACH BOX,30.03,12.01,12.01,27.03,17
NDC,60687-463-11,CHLORPROMAZINE 200 MG TABS 1 EACH,30.05,12.02,12.02,27.05,17
NDC,60687-464-01,LEVOTHYROXINE 50 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-464-11,LEVOTHYROXINE 50 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-465-01,SPIRONOLACTONE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-465-11,SPIRONOLACTONE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-468-01,IBUPROFEN 800 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-468-11,IBUPROFEN 800 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-472-01,NITROFURANTOIN 50 MG CAPS 100 EACH BOX,22.09,8.84,8.84,19.88,17
NDC,60687-472-11,NITROFURANTOIN 50 MG CAPS 1 EACH,22.09,8.84,8.84,19.88,17
NDC,60687-473-01,PREGABALIN 25 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-473-11,PREGABALIN 25 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-475-11,LEVOTHYROXINE 75 MCG TABS 1 EACH,3.53,1.41,1.41,3.18,17
NDC,60687-476-01,SPIRONOLACTONE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-476-11,SPIRONOLACTONE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-479-01,CARBAMAZEPINE 100 MG CHEW 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-479-11,CARBAMAZEPINE 100 MG CHEW 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-481-11,BUPRENORPHINE 2 MG SUBL 1 EACH,12.25,4.9,4.9,11.03,17
NDC,60687-481-21,BUPRENORPHINE 2 MG SUBL 30 EACH BOX,12.25,4.9,4.9,11.03,17
NDC,60687-483-01,NITROFURANTOIN 100 MG CAPS 100 EACH BOX,34.5,13.8,13.8,31.05,17
NDC,60687-483-11,NITROFURANTOIN 100 MG CAPS 1 EACH,34.5,13.8,13.8,31.05,17
NDC,60687-484-01,PREGABALIN 50 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-484-11,PREGABALIN 50 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-486-01,LEVOTHYROXINE 88 MCG TABS 100 EACH BOX,3.5,1.4,1.4,3.15,17
NDC,60687-486-11,LEVOTHYROXINE 88 MCG TABS 1 EACH,3.5,1.4,1.4,3.15,17
NDC,60687-487-01,SPIRONOLACTONE 100 MG TABS 100 EACH BOX,4.38,1.75,1.75,3.94,17
NDC,60687-487-11,SPIRONOLACTONE 100 MG TABS 1 EACH,4.38,1.75,1.75,3.94,17
NDC,60687-488-01,AMLODIPINE 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-488-11,AMLODIPINE 5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-491-01,NAPROXEN 500 MG TABS 100 EACH BOX,6.7,2.68,2.68,6.03,17
NDC,60687-491-11,NAPROXEN 500 MG TABS 1 EACH,6.7,2.68,2.68,6.03,17
NDC,60687-494-11,MYCOPHENOLATE 250 MG CAPS 1 EACH,3.75,1.5,0.21,3.38,16
NDC,60687-495-01,PREGABALIN 75 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-495-11,PREGABALIN 75 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-497-01,LEVOTHYROXINE 100 MCG TABS 100 EACH BOX,3.62,1.45,1.45,3.26,17
NDC,60687-497-11,LEVOTHYROXINE 100 MCG TABS 1 EACH,3.62,1.45,1.45,3.26,17
NDC,60687-503-01,BACLOFEN 10 MG TABS 100 EACH BOX,3.69,1.48,1.48,3.32,17
NDC,60687-503-11,BACLOFEN 10 MG TABS 1 EACH,3.69,1.48,1.48,3.32,17
NDC,60687-506-01,PREGABALIN 100 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-506-11,PREGABALIN 100 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-508-01,LEVOTHYROXINE 112 MCG TABS 100 EACH BOX,4.09,1.64,1.64,3.68,17
NDC,60687-508-11,LEVOTHYROXINE 112 MCG TABS 1 EACH,4.09,1.64,1.64,3.68,17
NDC,60687-514-01,BACLOFEN 20 MG TABS 100 EACH BOX,6.05,2.42,2.42,5.45,17
NDC,60687-514-11,BACLOFEN 20 MG TABS 1 EACH,6.05,2.42,2.42,5.45,17
NDC,60687-516-11,CINACALCET 30 MG TABS 1 EACH,132.49,53.0,0.01,119.24,22
NDC,60687-516-21,CINACALCET 30 MG TABS 30 EACH BOX,132.49,53.0,0.01,119.24,22
NDC,60687-517-01,PREGABALIN 150 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-517-11,PREGABALIN 150 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-519-01,LEVOTHYROXINE 125 MCG TABS 100 EACH BOX,4.26,1.7,1.7,3.83,17
NDC,60687-519-11,LEVOTHYROXINE 125 MCG TABS 1 EACH,4.26,1.7,1.7,3.83,17
NDC,60687-523-11,POSACONAZOLE 100 MG TBEC 1 EACH,283.0,113.2,113.2,254.7,17
NDC,60687-523-21,POSACONAZOLE 100 MG TBEC 30 EACH BOX,283.0,113.2,113.2,254.7,17
NDC,60687-524-79,BUDESONIDE 0.5 MG/2ML SUSP 2 ML PLAS CONT,56.0,22.4,1.09,50.4,18
NDC,60687-524-83,BUDESONIDE 0.5 MG/2ML SUSP 2 ML PLAS CONT,56.0,22.4,1.09,50.4,18
NDC,60687-530-01,LEVOTHYROXINE 150 MCG TABS 100 EACH BOX,4.38,1.75,1.75,3.94,17
NDC,60687-530-11,LEVOTHYROXINE 150 MCG TABS 1 EACH,4.38,1.75,1.75,3.94,17
NDC,60687-532-11,METHYLPHENIDATE 18 MG TAB CR 1 EACH,24.5,9.8,9.8,22.05,17
NDC,60687-532-21,METHYLPHENIDATE 18 MG TAB CR 30 EACH BOX,24.51,9.8,9.8,22.06,17
NDC,60687-534-40,ATOVAQUONE 750 MG/5ML SUSP 5 ML CUP,177.85,71.14,71.14,160.07,17
NDC,60687-534-78,ATOVAQUONE 750 MG/5ML SUSP 5 ML BOX,177.85,71.14,71.14,160.07,17
NDC,60687-540-01,DIGOXIN 0.125 MG TABS 100 EACH BOX,6.95,2.78,2.78,6.26,17
NDC,60687-540-11,DIGOXIN 0.125 MG TABS 1 EACH,6.95,2.78,2.78,6.26,17
NDC,60687-541-01,LEVOTHYROXINE 175 MCG TABS 100 EACH BOX,5.09,2.04,2.04,4.58,17
NDC,60687-541-11,LEVOTHYROXINE 175 MCG TABS 1 EACH,5.09,2.04,2.04,4.58,17
NDC,60687-543-11,METHYLPHENIDATE 27 MG TAB CR 1 EACH,24.75,9.9,9.9,22.28,17
NDC,60687-543-21,METHYLPHENIDATE 27 MG TAB CR 30 EACH BOX,24.73,9.89,9.89,22.26,17
NDC,60687-544-11,CLONAZEPAM 0.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-549-11,RANOLAZINE 500 MG TB12 1 EACH,8.4,3.36,3.36,7.56,17
NDC,60687-549-21,RANOLAZINE 500 MG TB12 30 EACH BOX,8.4,3.36,3.36,7.56,17
NDC,60687-550-01,METRONIDAZOLE 500 MG TABS 100 EACH BOX,4.6,1.84,1.84,4.14,17
NDC,60687-550-11,METRONIDAZOLE 500 MG TABS 1 EACH,4.6,1.84,1.84,4.14,17
NDC,60687-551-01,DIGOXIN 0.25 MG TABS 100 EACH BOX,6.95,2.78,2.78,6.26,17
NDC,60687-551-11,DIGOXIN 0.25 MG TABS 1 EACH,6.95,2.78,2.78,6.26,17
NDC,60687-552-01,LEVOTHYROXINE 200 MCG TABS 100 EACH BOX,6.0,2.4,2.4,5.4,17
NDC,60687-552-11,LEVOTHYROXINE 200 MCG TABS 1 EACH,6.0,2.4,2.4,5.4,17
NDC,60687-553-01,ISONIAZID 300 MG TABS 100 EACH BOX,6.6,2.64,2.64,5.94,17
NDC,60687-553-11,ISONIAZID 300 MG TABS 1 EACH,6.6,2.64,2.64,5.94,17
NDC,60687-554-11,METHYLPHENIDATE 36 MG TAB CR 1 EACH,25.0,10.0,10.0,22.5,17
NDC,60687-554-21,METHYLPHENIDATE 36 MG TAB CR 30 EACH BOX,25.01,10.0,10.0,22.51,17
NDC,60687-555-01,CLONAZEPAM 1 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-555-11,CLONAZEPAM 1 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-558-01,CYCLOBENZAPRINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-558-11,CYCLOBENZAPRINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-559-01,METHOCARBAMOL 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-559-11,METHOCARBAMOL 500 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-563-01,LEVOTHYROXINE 137 MCG TABS 100 EACH BOX,4.3,1.72,1.72,3.87,17
NDC,60687-563-11,LEVOTHYROXINE 137 MCG TABS 1 EACH,4.3,1.72,1.72,3.87,17
NDC,60687-565-11,METHYLPHENIDATE 54 MG TAB CR 1 EACH,25.8,10.32,10.32,23.22,17
NDC,60687-565-21,METHYLPHENIDATE 54 MG TAB CR 30 EACH BOX,25.83,10.33,10.33,23.25,17
NDC,60687-568-01,METHOCARBAMOL 750 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-568-11,METHOCARBAMOL 750 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-570-01,PRAMIPEXOLE 0.25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-575-21,RIFAMPIN 150 MG CAPS 30 EACH BOX,19.11,7.64,7.64,17.2,17
NDC,60687-579-01,HYDROMORPHONE 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-579-11,HYDROMORPHONE 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-580-01,GABAPENTIN 100 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-580-11,GABAPENTIN 100 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-581-11,PRAMIPEXOLE 0.5 MG TABS 1 EACH,5.0,2.0,2.0,4.5,17
NDC,60687-581-21,PRAMIPEXOLE 0.5 MG TABS 30 EACH BOX,5.0,2.0,2.0,4.5,17
NDC,60687-582-01,HYDROCORTISONE 10 MG TABS 100 EACH BOX,10.01,4.0,4.0,9.01,17
NDC,60687-582-11,HYDROCORTISONE 10 MG TABS 1 EACH,10.01,4.0,4.0,9.01,17
NDC,60687-583-11,CARBAMAZEPINE 200 MG TB12 1 EACH,20.18,8.07,8.07,18.16,17
NDC,60687-583-21,CARBAMAZEPINE 200 MG TB12 30 EACH BOX,20.18,8.07,8.07,18.16,17
NDC,60687-584-11,MIRTAZAPINE 7.5 MG TABS 1 EACH,17.09,6.84,6.84,15.38,17
NDC,60687-584-21,MIRTAZAPINE 7.5 MG TABS 30 EACH BOX,17.09,6.84,6.84,15.38,17
NDC,60687-586-01,RIFAMPIN 300 MG CAPS 100 EACH BOX,11.16,4.46,4.46,10.04,17
NDC,60687-586-11,RIFAMPIN 300 MG CAPS 1 EACH,11.15,4.46,4.46,10.04,17
NDC,60687-587-01,PROPRANOLOL 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-587-11,PROPRANOLOL 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-588-01,ROPINIROLE 1 MG TABS 100 EACH BOX,3.48,1.39,1.39,3.13,17
NDC,60687-588-11,ROPINIROLE 1 MG TABS 1 EACH,3.48,1.39,1.39,3.13,17
NDC,60687-590-01,HYDROMORPHONE 4 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-590-11,HYDROMORPHONE 4 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-591-01,GABAPENTIN 300 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-591-11,GABAPENTIN 300 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-592-11,PRAMIPEXOLE 1 MG TABS 1 EACH,6.65,2.66,2.66,5.99,17
NDC,60687-592-21,PRAMIPEXOLE 1 MG TABS 30 EACH BOX,6.63,2.65,2.65,5.97,17
NDC,60687-593-01,HYDROCHLOROTHIAZIDE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-593-11,HYDROCHLOROTHIAZIDE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-595-01,FAMOTIDINE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-595-11,FAMOTIDINE 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-596-32,BUDESONIDE 3 MG CPEP 20 EACH BOX,81.0,32.4,32.4,72.9,17
NDC,60687-596-33,BUDESONIDE 3 MG CPEP 1 EACH,81.0,32.4,32.4,72.9,17
NDC,60687-598-01,PROPRANOLOL 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-598-11,PROPRANOLOL 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-602-01,GABAPENTIN 400 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-602-11,GABAPENTIN 400 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-609-01,PROPRANOLOL 40 MG TABS 100 EACH BOX,3.35,1.34,1.34,3.02,17
NDC,60687-609-11,PROPRANOLOL 40 MG TABS 1 EACH,3.35,1.34,1.34,3.02,17
NDC,60687-610-11,FLUCYTOSINE 500 MG CAPS 1 EACH,864.82,345.93,345.93,778.34,17
NDC,60687-610-21,FLUCYTOSINE 500 MG CAPS 30 EACH BOX,864.82,345.93,345.93,778.34,17
NDC,60687-612-21,VALSARTAN 40 MG TABS 30 EACH BOX,5.0,2.0,2.0,4.5,17
NDC,60687-614-01,SULFAMETHOXAZOLETRIMETHOPRIM 800160 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-614-11,SULFAMETHOXAZOLETRIMETHOPRIM 800160 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-620-01,METOCLOPRAMIDE 5 MG TABS 100 EACH BOX,3.46,1.38,1.38,3.11,17
NDC,60687-620-11,METOCLOPRAMIDE 5 MG TABS 1 EACH,3.46,1.38,1.38,3.11,17
NDC,60687-622-01,SENNADOCUSATE 8.650 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-622-11,SENNADOCUSATE 8.650 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-623-01,VALSARTAN 80 MG TABS 100 EACH BOX,6.45,2.58,2.58,5.81,17
NDC,60687-623-11,VALSARTAN 80 MG TABS 1 EACH,6.45,2.58,2.58,5.81,17
NDC,60687-627-11,LORAZEPAM 0.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-631-01,METOCLOPRAMIDE 10 MG TABS 100 EACH BOX,3.6,1.44,1.44,3.24,17
NDC,60687-631-11,METOCLOPRAMIDE 10 MG TABS 1 EACH,3.6,1.44,1.44,3.24,17
NDC,60687-632-01,POTASSIUM CHLORIDE SA 10 MEQ TAB CR 100 EACH BOX,3.6,1.44,1.44,3.24,17
NDC,60687-633-01,NITROFURANTOIN MACROCRYSTALMONOHYDRATE 100 MG CAPS 100 EACH BOX,17.65,7.06,7.06,15.89,17
NDC,60687-634-01,VALSARTAN 160 MG TABS 100 EACH BOX,7.24,2.9,2.9,6.52,17
NDC,60687-634-11,VALSARTAN 160 MG TABS 1 EACH,7.24,2.9,2.9,6.52,17
NDC,60687-635-01,METOLAZONE 5 MG TABS 100 EACH BOX,20.57,8.23,8.23,18.51,17
NDC,60687-635-11,METOLAZONE 5 MG TABS 1 EACH,20.57,8.23,8.23,18.51,17
NDC,60687-637-11,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 1 EACH,20.42,8.17,1.96,18.38,17
NDC,60687-637-65,BUPRENORPHINE HCLNALOXONE HCL 82 MG SUBL 50 EACH BOX,20.42,8.17,1.96,18.38,17
NDC,60687-638-11,LORAZEPAM 1 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-642-11,OXYCODONEACETAMINOPHEN 5325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-649-11,LORAZEPAM 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-655-21,FENOFIBRATE 54 MG TABS 30 EACH BOX,6.52,2.61,2.61,5.87,17
NDC,60687-656-11,LISINOPRIL 2.5 MG TABS 1 EACH,3.42,1.37,1.37,3.08,17
NDC,60687-656-21,LISINOPRIL 2.5 MG TABS 30 EACH BOX,3.42,1.37,1.37,3.08,17
NDC,60687-657-01,LEVETIRACETAM 500 MG TABS 100 EACH BOX,3.6,1.44,1.44,3.24,17
NDC,60687-657-11,LEVETIRACETAM 500 MG TABS 1 EACH,3.6,1.44,1.44,3.24,17
NDC,60687-658-01,DICLOFENAC 75 MG TBEC 100 EACH BOX,4.03,1.61,1.61,3.63,17
NDC,60687-660-01,PROMETHAZINE 12.5 MG TABS 100 EACH BOX,3.08,1.23,1.23,2.77,17
NDC,60687-660-11,PROMETHAZINE 12.5 MG TABS 1 EACH,3.05,1.22,1.22,2.75,17
NDC,60687-661-01,CARBIDOPALEVODOPA 25100 MG TABS 100 EACH BOX,4.1,1.64,1.64,3.69,17
NDC,60687-661-11,CARBIDOPALEVODOPA 25100 MG TABS 1 EACH,4.1,1.64,1.64,3.69,17
NDC,60687-662-91,ALBUTEROL 108 90 BASE MCG/ACT AERS 6.7 G INHALER,150.01,60.0,60.0,135.01,17
NDC,60687-664-01,HYDROXYZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-664-11,HYDROXYZINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-669-01,METHIMAZOLE 5 MG TABS 100 EACH BOX,3.58,1.43,1.43,3.22,17
NDC,60687-669-11,METHIMAZOLE 5 MG TABS 1 EACH,3.6,1.44,1.44,3.24,17
NDC,60687-670-01,OXYBUTYNIN 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-670-11,OXYBUTYNIN 5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-671-40,PHENOBARBITAL 20 MG/5ML ELIX 5 ML CUP,26.78,10.71,10.71,24.1,17
NDC,60687-671-67,PHENOBARBITAL 20 MG/5ML ELIX 5 ML CUP,26.78,10.71,10.71,24.1,17
NDC,60687-672-11,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-672-65,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 50 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-673-21,NATEGLINIDE 60 MG TABS 30 EACH BOX,13.19,5.28,5.28,11.87,17
NDC,60687-675-01,HYDROXYZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-675-11,HYDROXYZINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-676-11,LACOSAMIDE 50 MG TABS 1 EACH,11.79,4.72,4.72,10.61,17
NDC,60687-676-57,LACOSAMIDE 50 MG TABS 60 EACH BOX,11.79,4.72,4.72,10.61,17
NDC,60687-677-01,ALLOPURINOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-677-11,ALLOPURINOL 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-679-11,BISOPROLOL 5 MG TABS 1 EACH,7.8,3.12,3.12,7.02,17
NDC,60687-679-21,BISOPROLOL 5 MG TABS 30 EACH BOX,7.8,3.12,3.12,7.02,17
NDC,60687-680-01,METHIMAZOLE 10 MG TABS 100 EACH BOX,4.98,1.99,1.99,4.48,17
NDC,60687-680-11,METHIMAZOLE 10 MG TABS 1 EACH,5.0,2.0,2.0,4.5,17
NDC,60687-681-01,FOLIC ACID 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-681-11,FOLIC ACID 1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-683-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-683-11,HYDROCHLOROTHIAZIDE 12.5 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-687-11,LACOSAMIDE 100 MG TABS 1 EACH,18.43,7.37,7.37,16.59,17
NDC,60687-687-57,LACOSAMIDE 100 MG TABS 60 EACH BOX,18.43,7.37,7.37,16.59,17
NDC,60687-688-01,ALLOPURINOL 300 MG TABS 100 EACH BOX,4.71,1.88,1.88,4.24,17
NDC,60687-688-11,ALLOPURINOL 300 MG TABS 1 EACH,4.71,1.88,1.88,4.24,17
NDC,60687-689-01,BETHANECHOL 10 MG TABS 100 EACH BOX,6.5,2.6,2.6,5.85,17
NDC,60687-689-11,BETHANECHOL 10 MG TABS 1 EACH,6.5,2.6,2.6,5.85,17
NDC,60687-691-01,DEMECLOCYCLINE 150 MG TABS 100 EACH BOX,53.16,21.26,21.26,47.84,17
NDC,60687-692-11,RAMELTEON 8 MG TABS 1 EACH,23.52,9.41,9.41,21.17,17
NDC,60687-692-65,RAMELTEON 8 MG TABS 50 EACH BOX,23.52,9.41,9.41,21.17,17
NDC,60687-693-01,LAMOTRIGINE 150 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-693-11,LAMOTRIGINE 150 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-696-01,HYDROXYZINE 25 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-696-11,HYDROXYZINE 25 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-698-11,LACOSAMIDE 200 MG TABS 1 EACH,19.52,7.81,7.81,17.57,17
NDC,60687-698-57,LACOSAMIDE 200 MG TABS 60 EACH BOX,19.52,7.81,7.81,17.57,17
NDC,60687-699-11,CEFDINIR 300 MG CAPS 1 EACH,20.25,8.1,8.1,18.23,17
NDC,60687-699-21,CEFDINIR 300 MG CAPS 30 EACH BOX,20.25,8.1,8.1,18.23,17
NDC,60687-700-01,BETHANECHOL 25 MG TABS 100 EACH BOX,8.92,3.57,3.57,8.03,17
NDC,60687-704-01,LAMOTRIGINE 200 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-704-11,LAMOTRIGINE 200 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-705-11,DEMECLOCYCLINE 300 MG TABS 1 EACH,106.32,42.53,42.53,95.69,17
NDC,60687-705-65,DEMECLOCYCLINE 300 MG TABS 50 EACH BOX,106.32,42.53,42.53,95.69,17
NDC,60687-711-01,OXCARBAZEPINE 150 MG TABS 100 EACH BOX,7.55,3.02,3.02,6.8,17
NDC,60687-711-11,OXCARBAZEPINE 150 MG TABS 1 EACH,7.55,3.02,3.02,6.8,17
NDC,60687-714-16,CHLORHEXIDINE 0.12 % SOLN 15 ML CUP,10.8,4.32,4.32,9.72,17
NDC,60687-714-64,CHLORHEXIDINE 0.12 % SOLN 15 ML CUP,11.7,4.68,4.68,10.53,17
NDC,60687-717-01,DILTIAZEM 30 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-717-11,DILTIAZEM 30 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-718-01,DEXAMETHASONE 4 MG TABS 100 EACH BOX,6.03,2.41,2.41,5.43,17
NDC,60687-718-11,DEXAMETHASONE 4 MG TABS 1 EACH,6.03,2.41,2.41,5.43,17
NDC,60687-719-25,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOX,11.68,4.67,0.45,10.51,32
NDC,60687-719-95,EMTRICITABINETENOFOVIR DF 200300 MG TABS 1 EACH,11.68,4.67,0.45,10.51,32
NDC,60687-720-21,LAMIVUDINE 150 MG TABS 30 EACH BOX,40.84,16.34,16.34,36.76,17
NDC,60687-721-11,DESMOPRESSIN 0.1 MG TABS 1 EACH,13.14,5.26,5.26,11.83,17
NDC,60687-721-21,DESMOPRESSIN 0.1 MG TABS 30 EACH BOX,13.14,5.26,5.26,11.83,17
NDC,60687-722-01,OXCARBAZEPINE 300 MG TABS 100 EACH BOX,13.78,5.51,5.51,12.4,17
NDC,60687-722-11,OXCARBAZEPINE 300 MG TABS 1 EACH,13.78,5.51,5.51,12.4,17
NDC,60687-723-11,DULOXETINE 20 MG CPEP 1 EACH,40.83,16.33,16.33,36.75,17
NDC,60687-723-21,DULOXETINE 20 MG CPEP 30 EACH BOX,40.83,16.33,16.33,36.75,17
NDC,60687-725-01,PANTOPRAZOLE 20 MG TBEC 100 EACH BOX,19.0,7.6,7.6,17.1,17
NDC,60687-725-11,PANTOPRAZOLE 20 MG TBEC 1 EACH,19.0,7.6,7.6,17.1,17
NDC,60687-727-11,COLCHICINE 0.6 MG TABS 1 EACH,55.75,22.3,22.3,50.18,17
NDC,60687-727-21,COLCHICINE 0.6 MG TABS 30 EACH BOX,55.75,22.3,22.3,50.18,17
NDC,60687-728-01,DILTIAZEM 60 MG TABS 100 EACH BOX,3.04,1.22,1.22,2.74,17
NDC,60687-728-11,DILTIAZEM 60 MG TABS 1 EACH,3.04,1.22,1.22,2.74,17
NDC,60687-730-01,MECLIZINE 25 MG TABS 100 EACH BOX,4.28,1.71,1.71,3.85,17
NDC,60687-730-11,MECLIZINE 25 MG TABS 1 EACH,4.28,1.71,1.71,3.85,17
NDC,60687-733-01,OXCARBAZEPINE 600 MG TABS 100 EACH BOX,25.32,10.13,10.13,22.79,17
NDC,60687-733-11,OXCARBAZEPINE 600 MG TABS 1 EACH,25.32,10.13,10.13,22.79,17
NDC,60687-735-01,MISOPROSTOL 100 MCG TABS 100 EACH BOX,12.4,4.96,4.96,11.16,17
NDC,60687-735-11,MISOPROSTOL 100 MCG TABS 1 EACH,12.4,4.96,4.96,11.16,17
NDC,60687-738-08,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,27.43,10.97,10.97,24.69,17
NDC,60687-738-23,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,30.75,12.3,12.3,27.68,17
NDC,60687-738-56,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,27.25,10.9,10.9,24.53,17
NDC,60687-742-01,AZITHROMYCIN 250 MG TABS 100 EACH BOX,21.08,8.43,8.43,18.97,17
NDC,60687-742-11,AZITHROMYCIN 250 MG TABS 1 EACH,9.36,3.74,3.74,8.42,17
NDC,60687-745-01,DULOXETINE 60 MG CPEP 100 EACH BOX,38.5,15.4,15.4,34.65,17
NDC,60687-745-11,DULOXETINE 60 MG CPEP 1 EACH,38.5,15.4,15.4,34.65,17
NDC,60687-746-01,MISOPROSTOL 200 MCG TABS 100 EACH BOX,13.63,5.45,5.45,12.27,17
NDC,60687-746-11,MISOPROSTOL 200 MCG TABS 1 EACH,13.63,5.45,5.45,12.27,17
NDC,60687-750-21,TRANEXAMIC ACID 650 MG TABS 30 EACH BOX,25.77,10.31,10.31,23.19,17
NDC,60687-753-21,AZITHROMYCIN 500 MG TABS 30 EACH BOX,34.36,13.74,13.74,30.92,17
NDC,60687-754-05,LINEZOLID 100 MG/5ML SUSR 150 ML BOTTLE,1858.86,743.54,743.54,1672.97,17
NDC,60687-755-40,DIAZEPAM 1 MG/ML SOLN 5 ML CUP,23.58,9.43,9.43,21.22,17
NDC,60687-755-86,DIAZEPAM 1 MG/ML SOLN 5 ML CUP,23.58,9.43,9.43,21.22,17
NDC,60687-758-11,LURASIDONE 40 MG TABS 1 EACH,25.67,10.27,10.27,23.1,17
NDC,60687-758-21,LURASIDONE 40 MG TABS 30 EACH BOX,25.67,10.27,10.27,23.1,17
NDC,60687-760-40,MORPHINE 10 MG/5ML SOLN 5 ML CUP,10.0,4.0,4.0,9.0,17
NDC,60687-760-86,MORPHINE 10 MG/5ML SOLN 5 ML CUP,10.0,4.0,4.0,9.0,17
NDC,60687-765-13,VALGANCICLOVIR 50 MG/ML SOLR 88 ML BOTTLE,3132.73,1253.09,1253.09,2819.46,17
NDC,60687-773-01,DEXAMETHASONE 2 MG TABS 100 EACH BOX,4.3,1.72,1.72,3.87,17
NDC,60687-773-11,DEXAMETHASONE 2 MG TABS 1 EACH,4.3,1.72,1.72,3.87,17
NDC,60687-775-01,MECLIZINE 12.5 MG TABS 100 EACH BOX,3.55,1.42,1.42,3.2,17
NDC,60687-782-01,BUPROPION 150 MG TB24 100 EACH BOX,11.11,4.44,4.44,10.0,17
NDC,60687-782-11,BUPROPION 150 MG TB24 1 EACH,11.11,4.44,4.44,10.0,17
NDC,60687-789-01,PYRAZINAMIDE 500 MG TABS 100 EACH BOX,34.83,13.93,13.93,31.35,17
NDC,60687-789-11,PYRAZINAMIDE 500 MG TABS 1 EACH,34.83,13.93,13.93,31.35,17
NDC,60687-790-11,ABIRATERONE 250 MG TABS 1 EACH,30.0,12.0,12.0,27.0,15
NDC,60687-790-21,ABIRATERONE 250 MG TABS 30 EACH BOX,30.0,12.0,12.0,27.0,15
NDC,60687-794-01,ISOSORBIDE MONONITRATE 60 MG TB24 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-794-11,ISOSORBIDE MONONITRATE 60 MG TB24 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-795-01,TRAMADOL 50 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-795-11,TRAMADOL 50 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-801-11,BUSPIRONE 7.5 MG TABS 1 EACH,11.57,4.63,4.63,10.41,17
NDC,60687-801-21,BUSPIRONE 7.5 MG TABS 30 EACH BOX,11.57,4.63,4.63,10.41,17
NDC,60687-803-01,AMOXICILLINCLAVULANATE 875125 MG TABS 100 EACH BOX,9.48,3.79,3.79,8.53,17
NDC,60687-803-11,AMOXICILLINCLAVULANATE 875125 MG TABS 1 EACH,9.5,3.8,3.8,8.55,17
NDC,60687-807-01,CHLORDIAZEPOXIDE 25 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-807-11,CHLORDIAZEPOXIDE 25 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-809-18,AMOXICILLIN 875 MG TABS 1 EACH,6.45,2.58,2.58,5.81,17
NDC,60687-810-09,POTASSIUM CHLORIDE 10 MEQ TAB CR 80 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-810-11,POTASSIUM CHLORIDE 10 MEQ TAB CR 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-811-01,HYDRALAZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-811-11,HYDRALAZINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-813-11,METHYLERGONOVINE 0.2 MG TABS 1 EACH,330.0,132.0,132.0,297.0,17
NDC,60687-813-94,METHYLERGONOVINE 0.2 MG TABS 20 EACH BOX,330.0,132.0,132.0,297.0,17
NDC,60687-814-11,PROCHLORPERAZINE 5 MG TABS 1 EACH,7.69,3.08,3.08,6.92,17
NDC,60687-814-65,PROCHLORPERAZINE 5 MG TABS 50 EACH BOX,7.69,3.08,3.08,6.92,17
NDC,60687-815-01,BACLOFEN 10 MG TABS 100 EACH BOX,3.11,1.24,1.24,2.8,17
NDC,60687-815-11,BACLOFEN 10 MG TABS 1 EACH,3.11,1.24,1.24,2.8,17
NDC,60687-822-01,HYDRALAZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-822-11,HYDRALAZINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-826-01,BACLOFEN 20 MG TABS 100 EACH BOX,4.43,1.77,1.77,3.99,17
NDC,60687-826-11,BACLOFEN 20 MG TABS 1 EACH,4.43,1.77,1.77,3.99,17
NDC,60687-833-01,HYDRALAZINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-833-11,HYDRALAZINE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-836-01,CARBIDOPALEVODOPA 25250 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-838-01,ZOLPIDEM 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,60687-838-11,ZOLPIDEM 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,60687-839-01,NITROFURANTOIN 50 MG CAPS 100 EACH BOX,10.96,4.38,4.38,9.86,17
NDC,60687-839-11,NITROFURANTOIN 50 MG CAPS 1 EACH,10.96,4.38,4.38,9.86,17
NDC,60687-841-01,PHENYTOIN 100 MG CAPS 100 EACH BOX,9.36,3.74,3.74,8.42,17
NDC,60687-841-11,PHENYTOIN 100 MG CAPS 1 EACH,9.36,3.74,3.74,8.42,17
NDC,60687-850-01,NITROFURANTOIN 100 MG CAPS 100 EACH BOX,16.5,6.6,6.6,14.85,17
NDC,60687-850-11,NITROFURANTOIN 100 MG CAPS 1 EACH,16.5,6.6,6.6,14.85,17
NDC,60687-854-01,PREDNISONE 50 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,60687-854-11,PREDNISONE 50 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
NDC,60687-855-27,POTASSIUM CHLORIDE 20 MEQ PACK 30 EACH BOX,9.12,3.65,3.65,8.21,17
NDC,60687-857-11,DIVALPROEX 125 MG TBEC 1 EACH,6.32,2.53,2.53,5.69,17
NDC,60687-857-21,DIVALPROEX 125 MG TBEC 30 EACH BOX,6.32,2.53,2.53,5.69,17
NDC,60687-858-01,DIGOXIN 0.125 MG TABS 100 EACH BOX,7.29,2.92,2.92,6.56,17
NDC,60687-858-11,DIGOXIN 0.125 MG TABS 1 EACH,7.29,2.92,2.92,6.56,17
NDC,60687-867-01,ACYCLOVIR 800 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
NDC,60687-867-11,ACYCLOVIR 800 MG TABS 1 EACH,5.46,2.18,2.18,4.91,17
NDC,60687-868-01,DIVALPROEX 250 MG TBEC 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-868-11,DIVALPROEX 250 MG TBEC 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-877-45,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 30 ML CUP,18.9,7.56,7.56,17.01,17
NDC,60687-877-76,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 30 ML BOX,18.9,7.56,7.56,17.01,17
NDC,60687-879-11,DIVALPROEX 500 MG TBEC 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60687-879-61,DIVALPROEX 500 MG TBEC 90 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-881-01,GLIPIZIDE 5 MG TB24 100 EACH BOX,4.74,1.9,1.9,4.27,17
NDC,60687-881-11,GLIPIZIDE 5 MG TB24 1 EACH,4.74,1.9,1.9,4.27,17
NDC,60687-883-11,PRASUGREL 10 MG TABS 1 EACH,10.98,4.39,4.39,9.88,17
NDC,60687-883-21,PRASUGREL 10 MG TABS 30 EACH BOX,10.98,4.39,4.39,9.88,17
NDC,60687-885-01,MYCOPHENOLATE 250 MG CAPS 100 EACH BOX,3.91,1.56,0.21,3.52,16
NDC,60687-885-11,MYCOPHENOLATE 250 MG CAPS 1 EACH,3.91,1.56,0.21,3.52,16
NDC,60687-903-01,PREDNISONE 5 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,60687-903-11,PREDNISONE 5 MG TABS 1 EACH,3.0,1.2,0.01,2.7,16
NDC,60687-926-01,PROPRANOLOL 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,60687-926-11,PROPRANOLOL 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,60758-119-05,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,264.0,105.6,105.6,237.6,17
NDC,60758-188-05,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,95.9,38.36,38.36,86.31,17
NDC,60758-801-05,TIMOLOL 0.5 % SOLN 5 ML BOTTLE,32.8,13.12,13.12,29.52,17
NDC,60758-880-05,FLUOROMETHOLONE 0.1 % SUSP 5 ML BOTTLE,427.48,170.99,170.99,384.73,17
NDC,60758-908-10,TRIMETHOPRIMPOLYMYXIN B 100000.1 UNIT/ML% SOLN 10 ML BOTTLE,65.35,26.14,26.14,58.82,17
NDC,60793-115-01,LIOTHYRONINE 5 MCG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,60793-130-10,PENICILLIN G PROCAINE 600000 UNIT/ML SUSP 1 ML SYRINGE,275.71,110.28,29.13,248.14,23
NDC,60793-131-10,PENICILLIN G PROCAINE 600000 UNIT/ML SUSP 2 ML SYRINGE,426.41,170.56,29.13,383.77,23
NDC,60793-215-05,THROMBIN 5000 UNITS SOLR 1 EACH VIAL,418.32,167.33,167.33,376.49,17
NDC,60793-217-20,THROMBIN 20000 UNITS SOLR 1 EACH VIAL,1649.7,659.88,659.88,1484.73,17
NDC,60793-217-21,THROMBIN 20000 UNITS KIT 1 EACH BOX,1888.12,755.25,755.25,1699.31,17
NDC,60793-217-22,THROMBIN 20000 UNITS KIT 1 EACH BOX,1888.12,755.25,755.25,1699.31,17
NDC,60793-600-10,PENICILLIN G BENZATHINE AND PROC 1200000 UNIT/2ML SUSP 2 ML SYRINGE,1342.01,536.8,14.37,1207.81,32
NDC,60793-602-10,PENICILLIN G BENZATHINE AND PROC 900000300000 UNIT/2ML SUSP 2 ML SYRINGE,1342.01,536.8,536.8,1207.81,15
NDC,60793-700-10,PENICILLIN G BENZATHINE 600000 UNIT/ML SUSY 1 ML SYRINGE,1293.8,517.52,9.61,1164.42,32
NDC,60793-701-02,PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSY 2 ML SYRINGE,2240.8,896.32,9.61,2016.72,32
NDC,60793-701-10,PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSY 2 ML SYRINGE,2240.79,896.32,9.61,2016.71,32
NDC,60793-702-04,PENICILLIN G BENZATHINE 2400000 UNIT/4ML SUSY 4 ML SYRINGE,4192.49,1677.0,9.61,3773.24,32
NDC,60793-702-10,PENICILLIN G BENZATHINE 2400000 UNIT/4ML SUSY 4 ML SYRINGE,4192.47,1676.99,9.61,3773.22,32
NDC,60793-705-05,THROMBIN 5000 UNITS KIT 1 EACH BOX,465.15,186.06,186.06,418.64,17
NDC,60923-227-02,CASIMERSEN 100 MG/2ML SOLN 2 ML VIAL,8064.0,3225.6,3225.6,7257.6,17
NDC,60977-141-01,PRALIDOXIME 1 G SOLR 1 EACH VIAL,478.58,191.43,191.43,430.72,17
NDC,60977-141-27,PRALIDOXIME 1 G SOLR 1 EACH VIAL,478.58,191.43,191.43,430.72,17
NDC,61269-220-41,CLOTRIMAZOLE 1 % CREA 45 G TUBE,24.08,9.63,9.63,21.67,17
NDC,61269-220-63,CLOTRIMAZOLE 1 % CREA 45 G TUBE,24.08,9.63,9.63,21.67,17
NDC,61269-410-20,ETOPOSIDE PHOSPHATE 100 MG SOLR 1 EACH VIAL,1033.39,413.36,1.22,930.05,16
NDC,61314-014-05,DICLOFENAC 0.1 % SOLN 5 ML BOTTLE,365.15,146.06,146.06,328.64,17
NDC,61314-014-25,DICLOFENAC 0.1 % SOLN 2.5 ML BOTTLE,223.85,89.54,89.54,201.47,17
NDC,61314-044-75,TRIFLURIDINE 1 % SOLN 7.5 ML BOTTLE,1127.05,450.82,450.82,1014.35,17
NDC,61314-143-05,BRIMONIDINE 0.2 % SOLN 5 ML BOTTLE,163.25,65.3,65.3,146.93,17
NDC,61314-144-05,BRIMONIDINE 0.15 % SOLN 5 ML BOTTLE,881.73,352.69,352.69,793.56,17
NDC,61314-203-15,PILOCARPINE 1 % SOLN 15 ML BOTTLE,453.4,181.36,181.36,408.06,17
NDC,61314-206-15,PILOCARPINE 4 % SOLN 15 ML BOTTLE,486.17,194.47,194.47,437.55,17
NDC,61314-226-05,TIMOLOL 0.25 % SOLN 5 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,61314-228-94,DENOSUMABBBDZ 120 MG/1.7ML SOLN 1.7 ML VIAL,16169.62,6467.85,20.85,14552.66,26
NDC,61314-240-63,DENOSUMABBBDZ 60 MG/ML SOSY 1 ML SYRINGE,8084.83,3233.93,20.85,7276.35,26
NDC,61314-245-01,BETAXOLOL 0.5 % SOLN 5 ML BOTTLE,331.35,132.54,132.54,298.22,17
NDC,61314-318-01,FILGRASTIMSNDZ 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1514.46,605.78,0.27,1363.01,32
NDC,61314-326-01,FILGRASTIMSNDZ 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,2212.48,884.99,0.27,1991.23,32
NDC,61314-355-01,TROPICAMIDE 1 % SOLN 3 ML BOTTLE,70.01,28.0,28.0,63.01,17
NDC,61314-355-02,TROPICAMIDE 1 % SOLN 15 ML BOTTLE,237.98,95.19,95.19,214.18,17
NDC,61314-396-01,CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE,84.0,33.6,33.6,75.6,17
NDC,61314-547-01,LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE,437.0,174.8,174.8,393.3,17
NDC,61314-631-36,NEOMYCINPOLYMYXINDEXAMETH 3.5100000.1 OINT 3.5 G TUBE,219.99,88.0,88.0,197.99,17
NDC,61314-633-05,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,108.5,43.4,43.4,97.65,17
NDC,61314-637-05,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,276.6,110.64,110.64,248.94,17
NDC,61314-643-05,TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE,170.0,68.0,68.0,153.0,17
NDC,61314-645-11,NEOMYCINPOLYMYXINHYDROCORTISONE 3.5100001 SUSP 10 ML BOTTLE,482.45,192.98,192.98,434.21,17
NDC,61314-646-10,NEOMYCINPOLYMYXINHYDROCORTISONE 3.5100001 SOLN 10 ML BOTTLE,482.45,192.98,192.98,434.21,17
NDC,61314-647-25,TOBRAMYCINDEXAMETHASONE 0.30.1 % SUSP 2.5 ML BOTTLE,362.8,145.12,145.12,326.52,17
NDC,61314-652-01,USTEKINUMABTTWE 90 MG/ML SOSY 1 ML SYRINGE,21049.22,8419.69,35.96,18944.3,16
NDC,61314-654-94,USTEKINUMABTTWE 130 MG/26ML SOLN 26 ML VIAL,5543.97,2217.59,6.6,4989.57,26
NDC,61314-656-10,CIPROFLOXACIN 0.3 % SOLN 10 ML BOTTLE,434.42,173.77,173.77,390.98,17
NDC,61314-665-05,APRACLONIDINE 0.5 % SOLN 5 ML BOTTLE,399.14,159.66,159.66,359.23,17
NDC,61314-866-01,PEGFILGRASTIMBMEZ 6 MG/0.6ML SOSY 0.6 ML SYRINGE,19784.69,7913.88,25.94,17806.22,32
NDC,61570-072-01,ESTERIFIED ESTROGENS 0.3 MG TABS 100 EACH BOTTLE,11.35,4.54,4.54,10.22,17
NDC,61570-073-01,ESTERIFIED ESTROGENS 0.625 MG TABS 100 EACH BOTTLE,16.12,6.45,6.45,14.51,17
NDC,61570-131-20,SILVER SULFADIAZINE 1 % CREA 20 G TUBE,54.6,21.84,21.84,49.14,17
NDC,61570-131-40,SILVER SULFADIAZINE 1 % CREA 400 G JAR,296.0,118.4,118.4,266.4,17
NDC,61570-131-50,SILVER SULFADIAZINE 1 % CREA 50 G JAR,86.5,34.6,34.6,77.85,17
NDC,61703-303-46,CYTARABINE PF 20 MG/ML SOLN 50 ML VIAL,115.0,46.0,1.08,103.5,16
NDC,61703-305-38,CYTARABINE PF 20 MG/ML SOLN 5 ML VIAL,115.0,46.0,1.08,103.5,16
NDC,61703-309-06,VINCRISTINE 1 MG/ML SOLN 1 ML VIAL,223.7,89.48,10.69,201.33,16
NDC,61703-309-16,VINCRISTINE 1 MG/ML SOLN 2 ML VIAL,115.0,46.0,10.69,103.5,16
NDC,61703-326-18,PAMIDRONATE 90 MG/10ML SOLN 10 ML VIAL,224.9,89.96,12.53,202.41,16
NDC,61703-332-18,BLEOMYCIN 15 UNITS SOLR 1 EACH VIAL,302.75,121.1,27.98,272.48,16
NDC,61703-339-18,CARBOPLATIN 50 MG/5ML SOLN 5 ML VIAL,115.0,46.0,3.21,103.5,16
NDC,61703-339-50,CARBOPLATIN 450 MG/45ML SOLN 45 ML VIAL,282.83,113.13,3.21,254.55,16
NDC,61703-339-56,CARBOPLATIN 600 MG/60ML SOLN 60 ML VIAL,354.9,141.96,3.21,319.41,16
NDC,61703-342-50,PACLITAXEL 300 MG/50ML CONC 50 ML VIAL,427.75,171.1,0.18,384.98,16
NDC,61703-343-18,MITOXANTRONE HCL 20 MG/10ML CONC 10 ML VIAL,1035.35,414.14,29.7,931.82,32
NDC,61703-343-65,MITOXANTRONE HCL 25 MG/12.5ML CONC 12.5 ML VIAL,1190.65,476.26,29.7,1071.59,32
NDC,61703-349-36,IRINOTECAN 500 MG/25ML SOLN 25 ML VIAL,1000.5,400.2,2.28,900.45,16
NDC,61703-350-38,METHOTREXATE SODIUM 50 MG/2ML SOLN 2 ML VIAL,115.0,46.0,3.67,103.5,16
NDC,61703-363-18,OXALIPLATIN 50 MG/10ML SOLN 10 ML VIAL,288.0,115.2,0.1,259.2,16
NDC,61703-363-22,OXALIPLATIN 100 MG/20ML SOLN 20 ML VIAL,576.0,230.4,0.1,518.4,16
NDC,61703-408-41,METHOTREXATE SODIUM PF 100 MG/4ML SOLN 40 ML VIAL,231.4,92.56,3.67,208.26,16
NDC,61755-005-02,AFLIBERCEPT 2 MG/0.05ML SOLN 0.05 ML VIAL,9789.36,3915.74,743.61,8810.42,32
NDC,61755-008-01,CEMIPLIMABRWLC 350 MG/7ML SOLN 7 ML VIAL,58983.28,23593.31,24.96,53084.95,32
NDC,61874-115-20,CARIPRAZINE HCL 1.5 MG CAPS 20 EACH BOX,303.78,121.51,121.51,273.4,15
NDC,61874-130-20,CARIPRAZINE HCL 3 MG CAPS 20 EACH BOX,303.78,121.51,121.51,273.4,17
NDC,61874-145-30,CARIPRAZINE HCL 4.5 MG CAPS 30 EACH BOTTLE,303.78,121.51,121.51,273.4,17
NDC,61874-160-30,CARIPRAZINE 6 MG CAPS 30 EACH BOTTLE,303.78,121.51,121.51,273.4,17
NDC,61953-0005-1,FLEBOGAMMA 5 GM/50ML SOLN 50 ML VIAL,2668.26,1067.3,38.12,2401.43,32
NDC,61953-0005-2,FLEBOGAMMA 10 GM/100ML SOLN 100 ML VIAL,5336.52,2134.61,38.12,4802.87,32
NDC,61953-0005-3,FLEBOGAMMA 20 GM/200ML SOLN 200 ML VIAL,10673.04,4269.22,38.12,9605.74,32
NDC,61958-0701-1,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOTTLE,368.46,147.38,0.45,331.61,32
NDC,61958-0801-5,AMBRISENTAN 5 MG TABS 10 EACH BOTTLE,2445.64,978.26,978.26,2201.08,17
NDC,61958-0802-5,AMBRISENTAN 10 MG TABS 10 EACH BOTTLE,2445.64,978.26,978.26,2201.08,17
NDC,61958-0901-1,AZTREONAM LYSINE 75 MG SOLR 1 ML PLAS CONT,883.09,353.24,353.24,794.78,17
NDC,61958-1101-1,EMTRICITABRILPIVIRTENOFOV DF 20025300 MG TABS 30 EACH BOTTLE,740.6,296.24,296.24,666.54,17
NDC,61958-1201-1,ELVITEGCOBICEMTRICITTENOF DF 150150200300 MG TABS 30 EACH BOTTLE,853.65,341.46,341.46,768.29,17
NDC,61958-1801-1,LEDIPASVIRSOFOSBUVIR 90400 MG TABS 28 EACH BOTTLE,5670.0,2268.0,8.74,5103.0,15
NDC,61958-1901-1,ELVITEGCOBICEMTRICITTENOF AF 15015020010 MG TABS 30 EACH BOTTLE,813.78,325.51,325.51,732.4,17
NDC,61958-2002-1,EMTRICITABINETENOFOVIR AF 20025 MG TABS 30 EACH BOTTLE,405.22,162.09,66.07,364.7,32
NDC,61958-2002-2,EMTRICITABINETENOFOVIR AF 20025 MG TABS 30 EACH BOX,405.22,162.09,66.07,364.7,32
NDC,61958-2101-1,EMTRICITABRILPIVIRTENOFOV AF 2002525 MG TABS 30 EACH BOTTLE,740.6,296.24,296.24,666.54,17
NDC,61958-2501-1,BICTEGRAVIREMTRICITABINETENOFOVIR AF 5020025 MG TABS 30 EACH BOTTLE,775.76,310.3,310.3,698.18,17
NDC,61958-2501-3,BICTEGRAVIREMTRICITABINETENOFOVIR AF 5020025 MG TABS 30 EACH BOX,775.76,310.3,310.3,698.18,17
NDC,61958-2901-2,REMDESIVIR 100 MG SOLR 1 EACH VIAL,3571.51,1428.6,5.39,3214.36,32
NDC,61958-3002-1,LENACAPAVIR SODIUM 463.5 MG/1.5ML SOLN 1.5 ML VIAL,98280.0,39312.0,18.93,88452.0,32
NDC,61990-0120-1,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,35.63,14.25,14.25,32.07,17
NDC,61990-0120-2,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,35.63,14.25,14.25,32.07,17
NDC,61990-0611-0,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,124.75,49.9,49.9,112.28,17
NDC,61990-0611-2,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,124.75,49.9,49.9,112.28,17
NDC,62103-0323-2,ZINC OXIDE 40 % OINT 57 G TUBE,32.78,13.11,13.11,29.5,17
NDC,62103-0333-2,ZINC OXIDE 16 % OINT 57 G TUBE,28.5,11.4,11.4,25.65,17
NDC,62103-0333-4,ZINC OXIDE 16 % OINT 113 G TUBE,46.33,18.53,18.53,41.7,17
NDC,62103-0333-6,ZINC OXIDE 16 % OINT 454 G JAR,106.69,42.68,42.68,96.02,17
NDC,62135-002-47,LACTULOSE 10 GM/15ML SOLN 473 ML BOTTLE,57.15,22.86,22.86,51.44,17
NDC,62135-191-22,CALCIUM ACETATE PHOS BINDER 667 MG CAPS 200 EACH BOTTLE,5.14,2.06,2.06,4.63,17
NDC,62135-250-47,PREDNISOLONE 15 MG/5ML SOLN 480 ML BOTTLE,2903.04,1161.22,1161.22,2612.74,17
NDC,62135-502-47,HYDROXYZINE 10 MG/5ML SYRP 473 ML BOTTLE,2521.0,1008.4,1008.4,2268.9,17
NDC,62135-626-50,DOXYCYCLINE 100 MG TABS 50 EACH BOTTLE,30.74,12.3,12.3,27.67,17
NDC,62135-736-90,FLURAZEPAM 15 MG CAPS 90 EACH BOTTLE,91.02,36.41,36.41,81.92,17
NDC,62135-750-47,HYDROXYZINE 10 MG/5ML SYRP 473 ML BOTTLE,2521.0,1008.4,1008.4,2268.9,17
NDC,62135-813-47,NYSTATIN 100000 UNIT/ML SUSP 473 ML BOTTLE,31.73,12.69,12.69,28.56,17
NDC,62175-136-32,OMEPRAZOLE 40 MG CPDR 30 EACH BOTTLE,33.44,13.38,13.38,30.1,17
NDC,62175-470-32,PAROXETINE 12.5 MG TB24 30 EACH BOTTLE,27.88,11.15,11.15,25.09,17
NDC,62175-471-32,PAROXETINE 25 MG TB24 30 EACH BOTTLE,29.1,11.64,11.64,26.19,17
NDC,62175-472-32,PAROXETINE 37.5 MG TB24 30 EACH BOTTLE,29.97,11.99,11.99,26.97,17
NDC,62175-840-32,ESOMEPRAZOLE 40 MG CPDR 30 EACH BOTTLE,45.12,18.05,18.05,40.61,17
NDC,62225-600-00,PHENYLEPHRINEKETOROLAC 10.3 % SOLN 4 ML VIAL,2378.88,951.55,100.47,2140.99,24
NDC,62225-600-04,PHENYLEPHRINEKETOROLAC 10.3 % SOLN 4 ML VIAL,2378.88,951.55,100.47,2140.99,24
NDC,62327-333-03,TALC 3 G POWD 1 EACH VIAL,968.76,387.5,387.5,871.88,17
NDC,62327-444-04,TALC 4 G POWD 1 EACH VIAL,1079.16,431.66,431.66,971.24,17
NDC,62332-022-31,FLUOXETINE 10 MG CAPS 100 EACH BOTTLE,12.99,5.2,5.2,11.69,17
NDC,62332-025-31,THEOPHYLLINE 300 MG TB12 100 EACH BOTTLE,21.48,8.59,8.59,19.33,17
NDC,62332-171-60,LACOSAMIDE 50 MG TABS 60 EACH BOTTLE,53.76,21.5,21.5,48.38,17
NDC,62332-174-60,LACOSAMIDE 200 MG TABS 60 EACH BOTTLE,89.04,35.62,35.62,80.14,17
NDC,62332-364-06,CLONAZEPAM 0.125 MG TBDP 60 EACH,10.0,4.0,4.0,9.0,17
NDC,62332-365-06,CLONAZEPAM 0.25 MG TBDP 60 EACH,10.0,4.0,4.0,9.0,17
NDC,62332-518-05,TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE,169.9,67.96,67.96,152.91,17
NDC,62332-546-05,TIMOLOL 0.5 % SOLG 5 ML BOTTLE,1224.01,489.6,489.6,1101.61,17
NDC,62332-661-05,BRIMONIDINE 0.15 % SOLN 5 ML BOTTLE,881.68,352.67,352.67,793.51,17
NDC,62332-779-31,FLUOROURACIL 5 GM/100ML SOLN 100 ML VIAL,344.0,137.6,2.59,309.6,16
NDC,62484-0015-5,HYDROXYUREA 100 MG/ML SOLN 148 ML BOTTLE,123.24,49.3,49.3,110.92,17
NDC,62484-0020-1,MERCAPTOPURINE 2000 MG/100ML SUSP 100 ML BOTTLE,7221.9,2888.76,2888.76,6499.71,17
NDC,62530-00011,UREA 15 G PACK 8 EACH BOX,21.75,8.7,8.7,19.58,17
NDC,62559-138-07,HYDROCORTISONE 100 MG/60ML ENEM 60 ML BOTTLE,128.7,51.48,51.48,115.83,17
NDC,62559-150-01,ESTROGENS CONJUGATEDMETHYLTESTOSTERONE 0.6251.25 MG TABS 100 EACH BOTTLE,24.0,9.6,9.6,21.6,17
NDC,62559-153-04,OPIUM 10 MG/ML TINC 118 ML BOTTLE,31.36,12.54,12.54,28.22,17
NDC,62559-158-01,FLUVOXAMINE 25 MG TABS 100 EACH BOTTLE,11.5,4.6,4.6,10.35,17
NDC,62559-160-01,FLUVOXAMINE 100 MG TABS 100 EACH BOTTLE,13.15,5.26,5.26,11.84,17
NDC,62559-225-30,AMINOCAPROIC ACID 500 MG TABS 30 EACH BOTTLE,112.01,44.8,44.8,100.81,17
NDC,62559-230-01,PROPAFENONE 150 MG TABS 100 EACH BOTTLE,8.18,3.27,3.27,7.36,17
NDC,62559-231-01,PROPAFENONE 225 MG TABS 100 EACH BOTTLE,11.65,4.66,4.66,10.49,17
NDC,62559-240-01,METHAZOLAMIDE 25 MG TABS 100 EACH BOTTLE,25.54,10.22,10.22,22.99,17
NDC,62559-241-01,METHAZOLAMIDE 50 MG TABS 100 EACH BOTTLE,51.08,20.43,20.43,45.97,17
NDC,62559-250-01,ETODOLAC 200 MG CAPS 100 EACH BOTTLE,6.47,2.59,2.59,5.82,17
NDC,62559-380-01,FLECAINIDE 50 MG TABS 100 EACH BOTTLE,8.71,3.48,3.48,7.84,17
NDC,62559-381-01,FLECAINIDE 100 MG TABS 100 EACH BOTTLE,13.66,5.46,5.46,12.29,17
NDC,62559-390-20,VANCOMYCIN 125 MG CAPS 20 EACH BOX,156.53,62.61,62.61,140.88,17
NDC,62559-390-50,VANCOMYCIN 125 MG CAPS 50 EACH BOTTLE,156.53,62.61,62.61,140.88,17
NDC,62559-421-01,HYOSCYAMINE 0.125 MG TABS 100 EACH BOTTLE,4.25,1.7,1.7,3.83,17
NDC,62559-424-01,HYOSCYAMINE 0.125 MG SUBL 100 EACH BOTTLE,4.25,1.7,1.7,3.83,17
NDC,62559-431-30,HYDROCORTISONE PERIANAL 2.5 % CREA 30 G TUBE,382.54,153.02,153.02,344.29,17
NDC,62559-511-01,INDAPAMIDE 2.5 MG TABS 100 EACH BOTTLE,7.75,3.1,3.1,6.98,17
NDC,62559-530-01,PROPRANOLOL 60 MG CP24 100 EACH BOTTLE,10.21,4.08,4.08,9.19,17
NDC,62559-532-01,PROPRANOLOL 120 MG CP24 100 EACH BOTTLE,14.93,5.97,5.97,13.44,17
NDC,62559-631-01,ERYTHROMYCIN 400 MG/5ML SUSR 100 ML BOTTLE,178.45,71.38,71.38,160.61,17
NDC,62559-722-01,TERBUTALINE 5 MG TABS 100 EACH BOTTLE,33.23,13.29,13.29,29.91,17
NDC,62559-931-01,CYCLOPHOSPHAMIDE 50 MG CAPS 100 EACH BOTTLE,82.47,32.99,32.99,74.22,17
NDC,62559-992-12,FLUCONAZOLE 150 MG TABS 12 EACH BOX,69.88,27.95,27.95,62.89,17
NDC,62584-266-01,METOPROLOL TARTRATE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,62584-266-11,METOPROLOL TARTRATE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,62584-693-11,DOXYCYCLINE 100 MG TABS 1 EACH,27.94,11.18,11.18,25.15,17
NDC,62584-693-21,DOXYCYCLINE 100 MG TABS 30 EACH BOX,27.94,11.18,11.18,25.15,17
NDC,62584-713-01,ALLOPURINOL 300 MG TABS 100 EACH BOX,4.71,1.88,1.88,4.24,17
NDC,62584-897-01,FOLIC ACID 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,62584-984-01,WARFARIN 2 MG TABS 100 EACH BOX,3.08,1.23,1.23,2.77,17
NDC,62584-984-11,WARFARIN 2 MG TABS 1 EACH,3.08,1.23,1.23,2.77,17
NDC,62756-059-40,EPOPROSTENOL 0.5 MG SOLR 1 EACH VIAL,140.5,56.2,21.06,126.45,16
NDC,62756-060-40,EPOPROSTENOL 1.5 MG SOLR 1 EACH VIAL,281.05,112.42,21.06,252.95,16
NDC,62756-146-86,RIVASTIGMINE 3 MG CAPS 60 EACH BOTTLE,21.1,8.44,8.44,18.99,17
NDC,62756-148-86,RIVASTIGMINE 6 MG CAPS 60 EACH BOTTLE,21.1,8.44,8.44,18.99,17
NDC,62756-233-01,AMPHOTERICIN B LIPOSOMAL 50 MG SUSR 1 EACH VIAL,1406.17,562.47,19.85,1265.55,32
NDC,62756-258-02,ZONISAMIDE 25 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,62756-259-02,ZONISAMIDE 50 MG CAPS 100 EACH BOTTLE,5.48,2.19,2.19,4.93,17
NDC,62756-427-90,CIPROFLOXACINDEXAMETHASONE 0.30.1 % SUSP 7.5 ML BOTTLE,1289.06,515.62,515.62,1160.15,17
NDC,62756-517-88,CARBIDOPALEVODOPA 10100 MG TABS 100 EACH BOTTLE,3.55,1.42,1.42,3.2,17
NDC,62756-589-88,LIOTHYRONINE 5 MCG TABS 100 EACH BOTTLE,3.96,1.58,1.58,3.56,17
NDC,62756-955-01,MEXILETINE 150 MG CAPS 100 EACH BOTTLE,12.68,5.07,5.07,11.41,17
NDC,62756-956-01,MEXILETINE 200 MG CAPS 100 EACH BOTTLE,15.14,6.06,6.06,13.63,17
NDC,62856-212-01,LECANEMABIRMB 200 MG/2ML SOLN 2 ML VIAL,1485.66,594.26,0.99,1337.09,32
NDC,62856-215-01,LECANEMABIRMB 500 MG/5ML SOLN 5 ML VIAL,3391.25,1356.5,0.99,3052.13,32
NDC,62856-272-30,PERAMPANEL 2 MG TABS 30 EACH BOTTLE,124.2,49.68,49.68,111.78,17
NDC,62856-274-30,PERAMPANEL 4 MG TABS 30 EACH BOTTLE,245.4,98.16,98.16,220.86,17
NDC,62856-278-30,PERAMPANEL 8 MG TABS 30 EACH BOTTLE,245.4,98.16,98.16,220.86,17
NDC,62856-389-01,ERIBULIN MESYLATE 1 MG/2ML SOLN 2 ML VIAL,7106.4,2842.56,59.98,6395.76,32
NDC,62856-582-52,RUFINAMIDE 200 MG TABS 120 EACH BOTTLE,79.2,31.68,31.68,71.28,17
NDC,62856-583-52,RUFINAMIDE 400 MG TABS 120 EACH BOTTLE,158.4,63.36,63.36,142.56,17
NDC,62935-153-50,LEUPROLIDE ACETATE PED6MON 45 MG KIT 1 EACH BOX,145228.69,58091.48,120.41,130705.82,32
NDC,62935-154-50,LEUPROLIDE ACETATE PED6MON 45 MG KIT 1 EACH BOX,145228.69,58091.48,120.41,130705.82,32
NDC,62935-163-60,LEUPROLIDE ACETATE PED6MON 45 MG KIT 1 EACH BOX,145228.69,58091.48,120.41,130705.82,32
NDC,62935-223-05,LEUPROLIDE 22.5 MG KIT 1 EACH BOX,6829.54,2731.82,160.34,6146.59,32
NDC,62935-227-10,LEUPROLIDE 22.5 MG KIT 1 EACH BOX,6829.54,2731.82,160.34,6146.59,32
NDC,62935-303-30,LEUPROLIDE ACETATE 4 MONTH 30 MG KIT 1 EACH BOX,9106.06,3642.42,160.34,8195.45,32
NDC,62935-453-45,LEUPROLIDE 45 MG KIT 1 EACH BOX,13659.07,5463.63,160.34,12293.16,32
NDC,62935-753-75,LEUPROLIDE ACETATE 7.5 MG KIT 1 EACH BOX,2276.53,910.61,160.34,2048.88,32
NDC,62991-1228-2,COAL TAR 20 % SOLN 500 ML BOTTLE,724.5,289.8,289.8,652.05,17
NDC,62991-2753-1,LCITRULLINE POWD 100 G BOTTLE,2385.6,954.24,954.24,2147.04,17
NDC,63004-8710-1,CORTICOTROPIN 80 UNIT/ML GEL 5 ML VIAL,23518.15,9407.26,9172.08,21166.34,15
NDC,63010-010-30,NELFINAVIR 250 MG TABS 300 EACH BOTTLE,24.28,9.71,9.71,21.85,17
NDC,63010-027-70,NELFINAVIR 625 MG TABS 120 EACH BOTTLE,60.7,24.28,24.28,54.63,17
NDC,63020-049-01,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL,8079.12,3231.65,3.63,7271.21,16
NDC,63256-100-30,STERILE TALC 4 G AERP 30 G CAN,579.6,231.84,231.84,521.64,17
NDC,63304-078-01,POTASSIUM CHLORIDE CR 8 MEQ CPCR 100 EACH BOTTLE,4.47,1.79,1.79,4.02,17
NDC,63304-479-01,CEVIMELINE 30 MG CAPS 100 EACH BOTTLE,17.43,6.97,6.97,15.69,17
NDC,63304-621-01,ATENOLOL 25 MG TABS 100 EACH BOTTLE,4.09,1.64,1.64,3.68,17
NDC,63304-962-01,BROMOCRIPTINE 2.5 MG TABS 100 EACH BOTTLE,18.78,7.51,7.51,16.9,17
NDC,63323-010-01,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-010-02,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-010-03,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL,199.9,79.96,79.96,179.91,17
NDC,63323-010-20,GENTAMICIN 40 MG/ML SOLN 20 ML VIAL,199.9,79.96,79.96,179.91,17
NDC,63323-011-15,CHLORAMPHENICOL 1 G SOLR 1 EACH VIAL,291.9,116.76,116.76,262.71,17
NDC,63323-012-02,OXYTOCIN 10 UNIT/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-012-03,OXYTOCIN 10 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-012-10,OXYTOCIN 10 UNIT/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-012-11,OXYTOCIN 10 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-012-30,OXYTOCIN 10 UNIT/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-013-01,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-013-02,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-024-01,MANNITOL 25 % SOLN 50 ML VIAL,36.25,14.5,14.5,32.63,17
NDC,63323-024-25,MANNITOL 25 % SOLN 50 ML VIAL,36.25,14.5,14.5,32.63,17
NDC,63323-032-00,SODIUM ACETATE 4 MEQ/ML SOLN 100 ML VIAL,53.0,21.2,21.2,47.7,17
NDC,63323-044-01,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-064-01,MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,63323-064-03,MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,63323-064-21,MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,63323-064-23,MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,63323-083-05,SODIUM BICARBONATE 4.2 % SOLN 5 ML VIAL,141.18,56.47,56.47,127.06,17
NDC,63323-089-50,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,149.0,59.6,59.6,134.1,17
NDC,63323-090-04,SODIUM CHLORIDE 2.5 MEQ/ML SOLN 40 ML VIAL,52.2,20.88,20.88,46.98,17
NDC,63323-090-20,SODIUM CHLORIDE 2.5 MEQ/ML SOLN 20 ML VIAL,62.2,24.88,24.88,55.98,17
NDC,63323-093-01,SODIUM CHLORIDE 4 MEQ/ML SOLN 30 ML VIAL,45.9,18.36,18.36,41.31,17
NDC,63323-093-30,SODIUM CHLORIDE 4 MEQ/ML SOLN 30 ML VIAL,45.9,18.36,18.36,41.31,17
NDC,63323-103-64,CISPLATIN 200 MG/200ML SOLN 200 ML VIAL,494.0,197.6,2.98,444.6,16
NDC,63323-103-65,CISPLATIN 100 MG/100ML SOLN 100 ML VIAL,247.0,98.8,2.98,222.3,16
NDC,63323-104-05,ETOPOSIDE 100 MG/5ML SOLN 5 ML VIAL,115.0,46.0,1.22,103.5,16
NDC,63323-104-06,ETOPOSIDE 100 MG/5ML SOLN 5 ML VIAL,115.0,46.0,1.22,103.5,16
NDC,63323-104-25,ETOPOSIDE 500 MG/25ML SOLN 25 ML VIAL,373.13,149.25,1.22,335.82,16
NDC,63323-106-00,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,54.5,21.8,21.8,49.05,17
NDC,63323-106-01,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,54.5,21.8,21.8,49.05,17
NDC,63323-106-02,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,77.0,30.8,30.8,69.3,17
NDC,63323-106-05,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,77.0,30.8,30.8,69.3,17
NDC,63323-106-15,MAGNESIUM SULFATE 20 G/500 ML 20 GM/500ML SOLN 500 ML FLEX CONT,37.5,15.0,15.0,33.75,17
NDC,63323-113-10,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,921.23,368.49,56.65,829.11,22
NDC,63323-117-10,FLUOROURACIL 500 MG/10ML SOLN 10 ML VIAL,115.0,46.0,2.59,103.5,16
NDC,63323-117-61,FLUOROURACIL 5 GM/100ML SOLN 100 ML VIAL,176.0,70.4,2.59,158.4,16
NDC,63323-120-20,CYTARABINE PF 100 MG/ML SOLN 20 ML VIAL,125.4,50.16,1.08,112.86,16
NDC,63323-127-10,DACARBAZINE 100 MG SOLR 1 EACH VIAL,115.0,46.0,4.49,103.5,16
NDC,63323-128-20,DACARBAZINE 200 MG SOLR 1 EACH VIAL,115.0,46.0,4.49,103.5,16
NDC,63323-130-11,DOXYCYCLINE 100 MG SOLR 1 EACH VIAL,157.98,63.19,63.19,142.18,17
NDC,63323-132-10,MITOXANTRONE HCL 20 MG/10ML CONC 10 ML VIAL,2445.95,978.38,29.7,2201.36,32
NDC,63323-140-10,CLADRIBINE 10 MG/10ML SOLN 10 ML VIAL,2610.0,1044.0,7.42,2349.0,32
NDC,63323-142-10,IFOSFAMIDE 1 G SOLR 1 EACH VIAL,348.3,139.32,32.76,313.47,16
NDC,63323-161-00,KETOROLAC 15 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,63323-161-01,KETOROLAC 15 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,63323-162-00,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,63323-162-01,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,63323-162-02,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,49.2,19.68,0.33,44.28,24
NDC,63323-162-03,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,49.2,19.68,0.33,44.28,24
NDC,63323-162-14,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,63323-165-01,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,63323-165-02,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,63323-165-05,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML SOLN 5 ML VIAL,41.45,16.58,0.12,37.31,16
NDC,63323-165-30,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML SOLN 30 ML VIAL,278.4,111.36,111.36,250.56,17
NDC,63323-170-05,SODIUM PHOSPHATE 15 MMOLE/5ML SOLN 5 ML VIAL,96.85,38.74,38.74,87.17,17
NDC,63323-170-15,SODIUM PHOSPHATES 45 MMOLE/15ML SOLN 15 ML VIAL,198.08,79.23,79.23,178.27,17
NDC,63323-172-60,CARBOPLATIN 600 MG/60ML SOLN 60 ML VIAL,369.6,147.84,3.21,332.64,16
NDC,63323-173-01,GENTAMICIN PF 10 MG/ML SOLN 2 ML VIAL,37.0,14.8,14.8,33.3,17
NDC,63323-173-02,GENTAMICIN PF 10 MG/ML SOLN 2 ML VIAL,37.02,14.81,14.81,33.32,17
NDC,63323-180-01,PYRIDOXINE 100 MG/ML SOLN 1 ML VIAL,65.19,26.08,26.08,58.67,17
NDC,63323-184-10,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-185-07,STERILE WATER PRESERVATIVE FREE SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-186-01,SODIUM CHLORIDE PF 0.9 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-186-02,SODIUM CHLORIDE PF 0.9 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-192-02,FLUDARABINE 50 MG/2ML SOLN 2 ML VIAL,1500.8,600.32,77.73,1350.72,16
NDC,63323-201-02,LIDOCAINE 1 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-201-03,LIDOCAINE 1 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-201-10,LIDOCAINE 1 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-205-00,FISH OIL TRIGLYCERIDES 10 GM/100ML EMUL 100 ML VIAL,577.76,231.1,231.1,519.98,17
NDC,63323-205-21,FISH OIL TRIGLYCERIDES 10 GM/100ML EMUL 50 ML VIAL,404.8,161.92,161.92,364.32,17
NDC,63323-205-50,FISH OIL TRIGLYCERIDES 5 GM/50ML EMUL 50 ML VIAL,404.8,161.92,161.92,364.32,17
NDC,63323-229-01,PROTAMINE 10 MG/ML SOLN 5 ML VIAL,92.88,37.15,37.15,83.59,17
NDC,63323-229-05,PROTAMINE 10 MG/ML SOLN 5 ML VIAL,92.88,37.15,37.15,83.59,17
NDC,63323-229-30,PROTAMINE 10 MG/ML SOLN 25 ML VIAL,317.5,127.0,127.0,285.75,17
NDC,63323-254-02,MINERAL OIL OIL 2 ML VIAL,118.26,47.3,47.3,106.43,17
NDC,63323-254-10,MINERAL OIL OIL 10 ML VIAL,136.7,54.68,54.68,123.03,17
NDC,63323-262-03,HEPARIN PORCINE 5000 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-262-06,HEPARIN PORCINE 5000 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-265-30,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL,205.3,82.12,0.11,184.77,16
NDC,63323-269-22,PROPOFOL IV PUSH 10 MG/ML EMUL 20 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,63323-269-29,PROPOFOL IV PUSH 10 MG/ML EMUL 20 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,63323-269-30,PROPOFOL 10 MG/ML EMUL 50 ML VIAL,90.0,36.0,36.0,81.0,17
NDC,63323-269-35,PROPOFOL 10 MG/ML EMUL 100 ML GLASS CONT,180.0,72.0,72.0,162.0,17
NDC,63323-269-50,PROPOFOL 10 MG/ML EMUL 50 ML VIAL,90.0,36.0,36.0,81.0,17
NDC,63323-269-65,PROPOFOL 10 MG/ML EMUL 100 ML GLASS CONT,180.0,72.0,72.0,162.0,17
NDC,63323-273-01,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN 0.5 ML VIAL,306.25,122.5,122.5,275.63,17
NDC,63323-278-10,VINBLASTINE 1 MG/ML SOLN 10 ML VIAL,322.55,129.02,6.89,290.3,16
NDC,63323-280-01,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-280-02,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-285-03,ROPIVACAINE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-285-07,ROPIVACAINE 2 MG/ML SOLN 20 ML VIAL,66.3,26.52,26.52,59.67,17
NDC,63323-285-13,ROPIVACAINE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-285-23,ROPIVACAINE 2 MG/ML SOLN 20 ML VIAL,66.2,26.48,26.48,59.58,17
NDC,63323-286-00,ROPIVACAINE 5 MG/ML SOLN 100 ML VIAL,54.75,21.9,21.9,49.28,17
NDC,63323-286-03,ROPIVACAINE 5 MG/ML SOLN 100 ML VIAL,54.75,21.9,21.9,49.28,17
NDC,63323-286-11,ROPIVACAINE 5 MG/ML SOLN 30 ML VIAL,54.75,21.9,21.9,49.28,17
NDC,63323-286-23,ROPIVACAINE 5 MG/ML SOLN 20 ML VIAL,74.33,29.73,29.73,66.9,17
NDC,63323-286-33,ROPIVACAINE 5 MG/ML SOLN 200 ML VIAL,54.75,21.9,21.9,49.28,17
NDC,63323-286-35,ROPIVACAINE 5 MG/ML SOLN 30 ML VIAL,67.73,27.09,27.09,60.96,17
NDC,63323-286-63,ROPIVACAINE 5 MG/ML SOLN 200 ML VIAL,54.75,21.9,21.9,49.28,17
NDC,63323-287-03,ROPIVACAINE 7.5 MG/ML SOLN 20 ML VIAL,129.3,51.72,51.72,116.37,17
NDC,63323-287-20,ROPIVACAINE 7.5 MG/ML SOLN 20 ML AMPULE,113.4,45.36,45.36,102.06,17
NDC,63323-287-21,ROPIVACAINE 7.5 MG/ML SOLN 20 ML VIAL,129.3,51.72,51.72,116.37,17
NDC,63323-288-11,ROPIVACAINE 10 MG/ML SOLN 10 ML VIAL,102.15,40.86,40.86,91.94,17
NDC,63323-288-21,ROPIVACAINE 10 MG/ML SOLN 20 ML VIAL,102.15,40.86,40.86,91.94,17
NDC,63323-303-01,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,460.92,184.37,3.08,414.83,16
NDC,63323-303-51,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,460.92,184.37,3.08,414.83,16
NDC,63323-303-55,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,353.81,141.52,3.08,318.43,16
NDC,63323-306-01,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-306-02,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-306-26,TOBRAMYCIN 40 MG/ML NEBU 2 ML VIAL,4.65,1.86,1.86,4.19,17
NDC,63323-306-30,TOBRAMYCIN 1.2 GM/30ML SOLN 30 ML VIAL,132.0,52.8,52.8,118.8,17
NDC,63323-315-01,GANCICLOVIR 500 MG SOLR 1 EACH VIAL,536.93,214.77,51.4,483.24,16
NDC,63323-315-10,GANCICLOVIR 500 MG SOLR 1 EACH VIAL,536.93,214.77,51.4,483.24,16
NDC,63323-321-01,POLYMYXIN B 500000 UNITS SOLR 1 EACH VIAL,68.35,27.34,27.34,61.52,17
NDC,63323-321-10,POLYMYXIN B 500000 UNITS SOLR 1 EACH VIAL,68.34,27.34,27.34,61.51,17
NDC,63323-322-01,IMIPENEMCILASTATIN 500 MG SOLR 1 EACH VIAL,179.9,71.96,13.33,161.91,16
NDC,63323-322-25,IMIPENEMCILASTATIN 500 MG SOLR 1 EACH VIAL,179.88,71.95,13.33,161.89,16
NDC,63323-325-09,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL,210.0,84.0,0.05,189.0,16
NDC,63323-325-10,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL,90.0,36.0,0.05,81.0,16
NDC,63323-325-20,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL,210.0,84.0,0.05,189.0,16
NDC,63323-328-20,NAFCILLIN 2 G SOLR 1 EACH VIAL,173.34,69.34,69.34,156.01,17
NDC,63323-341-01,CEFOXITIN 1 G SOLR 1 EACH VIAL,41.95,16.78,16.78,37.76,17
NDC,63323-341-25,CEFOXITIN 1 G SOLR 1 EACH VIAL,41.94,16.78,16.78,37.75,17
NDC,63323-351-20,RIFAMPIN 600 MG SOLR 1 EACH VIAL,844.56,337.82,0.18,760.1,16
NDC,63323-358-01,CASPOFUNGIN 70 MG SOLR 1 EACH VIAL,1932.0,772.8,4.6,1738.8,16
NDC,63323-358-10,CASPOFUNGIN 70 MG SOLR 1 EACH VIAL,1932.0,772.8,4.6,1738.8,16
NDC,63323-360-01,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-360-05,CALCIUM GLUCONATE 10 % SOLN 100 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-360-19,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-360-59,CALCIUM GLUCONATE 10 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-366-01,DIMENHYDRINATE 50 MG/ML SOLN 1 ML VIAL,78.84,31.54,7.98,70.96,16
NDC,63323-376-00,OCTREOTIDE ACETATE 100 MCG/ML SOLN 1 ML VIAL,59.64,23.86,0.79,53.68,16
NDC,63323-376-01,OCTREOTIDE ACETATE 100 MCG/ML SOLN 1 ML VIAL,59.64,23.86,0.79,53.68,16
NDC,63323-385-10,CEFOTETAN 1 G SOLR 1 EACH VIAL,145.32,58.13,58.13,130.79,17
NDC,63323-386-20,CEFOTETAN 2 G SOLR 1 EACH VIAL,290.64,116.26,116.26,261.58,17
NDC,63323-401-01,AZTREONAM 1 G SOLR 1 EACH VIAL,216.48,86.59,86.59,194.83,17
NDC,63323-401-20,AZTREONAM 1 G SOLR 1 EACH VIAL,216.48,86.59,86.59,194.83,17
NDC,63323-402-01,AZTREONAM 2 G SOLR 1 EACH VIAL,343.2,137.28,137.28,308.88,17
NDC,63323-402-20,AZTREONAM 2 G SOLR 1 EACH VIAL,343.2,137.28,137.28,308.88,17
NDC,63323-403-01,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL,35.0,14.0,0.67,31.5,26
NDC,63323-412-10,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,207.6,83.04,0.2,186.84,16
NDC,63323-412-13,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,207.6,83.04,0.2,186.84,16
NDC,63323-412-18,MIDAZOLAM HCL 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,63323-412-25,MIDAZOLAM HCL 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.2,31.5,16
NDC,63323-415-01,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,168.0,67.2,67.2,151.2,17
NDC,63323-415-10,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,168.0,67.2,67.2,151.2,17
NDC,63323-415-36,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,42.0,16.8,16.8,37.8,17
NDC,63323-416-05,CISATRACURIUM BESYLATE PF 10 MG/5ML SOLN 5 ML VIAL,84.0,33.6,33.6,75.6,17
NDC,63323-417-10,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,110.4,44.16,44.16,99.36,17
NDC,63323-418-20,CISATRACURIUM BESYLATE 200 MG/20ML SOLN 20 ML VIAL,919.63,367.85,367.85,827.67,17
NDC,63323-424-05,FLUMAZENIL 0.5 MG/5ML SOLN 5 ML VIAL,44.53,17.81,17.81,40.08,17
NDC,63323-424-10,FLUMAZENIL 1 MG/10ML SOLN 10 ML VIAL,430.01,172.0,172.0,387.01,17
NDC,63323-434-00,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,57.5,23.0,0.08,51.75,16
NDC,63323-434-41,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,57.5,23.0,0.08,51.75,16
NDC,63323-451-00,MORPHINE SULFATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-451-01,MORPHINE SULFATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-452-00,MORPHINE SULFATE 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,16
NDC,63323-452-01,MORPHINE SULFATE 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,16
NDC,63323-454-00,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,16
NDC,63323-454-01,MORPHINE SULFATE PF 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,2.83,31.5,16
NDC,63323-462-01,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 30 ML VIAL,78.15,31.26,31.26,70.34,17
NDC,63323-462-04,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 10 ML VIAL,47.05,18.82,18.82,42.35,17
NDC,63323-462-17,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-462-37,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-463-01,BUPIVACAINEEPINEPHRINE 0.5% 1:200000 SOLN 50 ML VIAL,124.5,49.8,49.8,112.05,17
NDC,63323-464-01,BUPIVACAINE HCL 0.25 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-466-01,BUPIVACAINE 0.5 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-466-03,BUPIVACAINE 0.5 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-468-01,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 10 ML VIAL,45.9,18.36,18.36,41.31,17
NDC,63323-468-02,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 30 ML VIAL,72.6,29.04,29.04,65.34,17
NDC,63323-471-05,HALOPERIDOL DECANOATE 100 MG/ML SOLN 5 ML VIAL,77.22,30.89,5.72,69.5,16
NDC,63323-472-03,BUPIVACAINE HCL PF 0.75 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-472-17,BUPIVACAINE HCL PF 0.75 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-472-37,BUPIVACAINE HCL PF 0.75 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-474-00,HALOPERIDOL LACTATE 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-474-01,HALOPERIDOL LACTATE 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-474-10,HALOPERIDOL LACTATE 5 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-477-01,CHLOROPROCAINE HCL PF 2 % SOLN 20 ML VIAL,36.45,14.58,0.05,32.81,16
NDC,63323-478-01,CHLOROPROCAINE HCL PF 3 % SOLN 20 ML VIAL,134.3,53.72,53.72,120.87,17
NDC,63323-478-27,CHLOROPROCAINE HCL PF 3 % SOLN 20 ML VIAL,134.3,53.72,53.72,120.87,17
NDC,63323-481-01,LIDOCAINEEPINEPHRINE 0.5 %1:200000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-481-57,LIDOCAINEEPINEPHRINE 0.5 %1:200000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-482-01,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-482-03,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-482-05,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-482-17,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-482-27,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-482-57,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-483-03,LIDOCAINEEPINEPHRINE 2 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-483-27,LIDOCAINEEPINEPHRINE 2 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-484-57,LIDOCAINE 0.5 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-485-01,LIDOCAINE 1 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-485-03,LIDOCAINE 1 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-486-01,LIDOCAINE INJECTION 2 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-486-02,LIDOCAINE INJECTION 2 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-486-17,LIDOCAINE INJECTION 2 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-487-17,LIDOCAINEEPINEPHRINE PF 1 %1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-489-02,LIDOCAINEEPINEPHRINE PF 2 %1:200000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-489-21,LIDOCAINEEPINEPHRINE PF 2 %1:200000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-489-27,LIDOCAINEEPINEPHRINE PF 2 %1:200000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-492-04,LIDOCAINE HCL PF 1 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-492-07,LIDOCAINE HCL PF 1 % SOLN 30 ML VIAL,70.8,28.32,28.32,63.72,17
NDC,63323-492-09,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-492-27,LIDOCAINE HCL PF 1 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-492-57,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-492-97,LIDOCAINE HCL PF 1 % SOLN 10 ML AMPULE,35.7,14.28,14.28,32.13,17
NDC,63323-494-01,VALPROATE 100 MG/ML SOLN 5 ML VIAL,40.2,16.08,16.08,36.18,17
NDC,63323-494-05,VALPROATE 100 MG/ML SOLN 5 ML VIAL,40.2,16.08,16.08,36.18,17
NDC,63323-495-04,LIDOCAINE HCL PF 2 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-496-97,LIDOCAINE HCL PF 2 % SOLN 10 ML AMPULE,41.6,16.64,16.64,37.44,17
NDC,63323-506-00,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,45.0,18.0,0.12,40.5,16
NDC,63323-506-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,45.0,18.0,0.12,40.5,16
NDC,63323-507-01,MEROPENEM 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-507-20,MEROPENEM 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-508-01,MEROPENEM 1 G SOLR 1 EACH VIAL,35.4,14.16,0.55,31.86,16
NDC,63323-508-30,MEROPENEM 1 G SOLR 1 EACH VIAL,35.4,14.16,0.55,31.86,16
NDC,63323-516-10,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML SOLN 10 ML VIAL,92.95,37.18,37.18,83.66,17
NDC,63323-517-01,HEPARIN PORCINE 100 UNITS/ML IN NACL 0.45% 250 ML 100 UNIT/ML SOLN 250 ML,65.0,26.0,26.0,58.5,17
NDC,63323-519-02,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,0.27,31.5,16
NDC,63323-519-77,HEPARIN PORCINE IN NACL 10000.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,0.27,31.5,16
NDC,63323-523-01,HEPARIN PORCINE 100 UNITS/ML IN DEXTROSE 5 % 250 ML 100 UNIT/ML SOLN 250 ML,63.75,25.5,25.5,57.38,17
NDC,63323-523-74,HEPARIN PORCINE 100 UNITS/ML IN DEXTROSE 5 % 250 ML 100 UNIT/ML SOLN 250 ML,63.75,25.5,25.5,57.38,17
NDC,63323-526-03,ARGATROBAN 250 MG/2.5ML SOLN 2.5 ML VIAL,1782.96,713.18,0.61,1604.66,32
NDC,63323-531-90,ENOXAPARIN SODIUM 80 MG/0.8ML SOSY 0.8 ML SYRINGE,95.4,38.16,0.77,85.86,16
NDC,63323-533-01,ENOXAPARIN SODIUM 30 MG/0.3ML SOSY 0.3 ML SYRINGE,35.82,14.33,0.77,32.24,16
NDC,63323-533-83,ENOXAPARIN SODIUM 30 MG/0.3ML SOSY 0.3 ML SYRINGE,35.82,14.33,0.77,32.24,16
NDC,63323-535-01,ENOXAPARIN SODIUM 40 MG/0.4ML SOSY 0.4 ML SYRINGE,47.64,19.06,0.77,42.88,16
NDC,63323-535-87,ENOXAPARIN SODIUM 40 MG/0.4ML SOSY 0.4 ML SYRINGE,47.64,19.06,0.77,42.88,16
NDC,63323-537-84,ENOXAPARIN SODIUM 150 MG/ML SOSY 1 ML SYRINGE,178.86,71.54,0.77,160.97,16
NDC,63323-539-03,ENOXAPARIN 300 MG/3ML SOLN 3 ML VIAL,388.7,155.48,0.77,349.83,16
NDC,63323-540-05,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,43.6,17.44,17.44,39.24,17
NDC,63323-540-11,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,45.45,18.18,18.18,40.91,17
NDC,63323-540-15,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,43.6,17.44,17.44,39.24,17
NDC,63323-540-31,HEPARIN PORCINE 1000 UNIT/ML SOLN 30 ML VIAL,42.75,17.1,17.1,38.48,17
NDC,63323-540-33,HEPARIN PORCINE 1000 UNIT/ML SOLN 30 ML VIAL,42.75,17.1,17.1,38.48,17
NDC,63323-540-36,HEPARIN PORCINE 1000 UNIT/ML SOLN 30 ML VIAL,42.75,17.1,17.1,38.48,17
NDC,63323-559-21,ENOXAPARIN SODIUM 30 MG/0.3ML SOSY 0.3 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,63323-559-93,ENOXAPARIN SODIUM 30 MG/0.3ML SOSY 0.3 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,63323-564-21,ENOXAPARIN SODIUM 40 MG/0.4ML SOSY 0.4 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,63323-564-97,ENOXAPARIN SODIUM 40 MG/0.4ML SOSY 0.4 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,63323-566-21,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,63323-566-98,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,63323-579-01,SINCALIDE 5 MCG SOLR 1 EACH VIAL,685.2,274.08,274.08,616.68,16
NDC,63323-579-05,SINCALIDE 5 MCG SOLR 1 EACH VIAL,685.2,274.08,274.08,616.68,16
NDC,63323-580-03,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,421.18,168.47,168.47,379.06,17
NDC,63323-580-20,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,421.18,168.47,168.47,379.06,17
NDC,63323-584-21,ENOXAPARIN SODIUM 80 MG/0.8ML SOSY 0.8 ML SYRINGE,44.4,17.76,0.77,39.96,16
NDC,63323-584-99,ENOXAPARIN SODIUM 80 MG/0.8ML SOSY 0.8 ML SYRINGE,44.4,17.76,0.77,39.96,16
NDC,63323-586-21,ENOXAPARIN SODIUM 100 MG/ML SOSY 1 ML SYRINGE,55.9,22.36,0.77,50.31,16
NDC,63323-586-96,ENOXAPARIN SODIUM 100 MG/ML SOSY 1 ML SYRINGE,55.92,22.37,0.77,50.33,16
NDC,63323-589-21,ENOXAPARIN SODIUM 150 MG/ML SOSY 1 ML SYRINGE,83.75,33.5,0.77,75.38,16
NDC,63323-589-94,ENOXAPARIN SODIUM 150 MG/ML SOSY 1 ML SYRINGE,83.76,33.5,0.77,75.38,16
NDC,63323-593-03,GLUCAGON 1 MG SOLR 1 EACH VIAL,1394.81,557.92,129.28,1255.33,32
NDC,63323-596-03,GLUCAGON 1 MG SOLR 1 EACH VIAL,1394.81,557.92,129.28,1255.33,32
NDC,63323-596-08,GLUCAGON 1 MG SOLR 1 EACH VIAL,828.0,331.2,129.28,745.2,32
NDC,63323-596-11,GLUCAGON 1 MG SOLR 1 EACH VIAL,1394.81,557.92,129.28,1255.33,32
NDC,63323-596-13,GLUCAGON 1 MG SOLR 1 EACH VIAL,1394.79,557.92,129.28,1255.31,32
NDC,63323-596-16,GLUCAGON 1 MG SOLR 1 EACH VIAL,828.0,331.2,129.28,745.2,32
NDC,63323-597-10,DEFEROXAMINE 500 MG SOLR 1 EACH VIAL,88.55,35.42,11.71,79.7,16
NDC,63323-599-30,DEFEROXAMINE 2 G SOLR 1 EACH VIAL,247.2,98.88,11.71,222.48,16
NDC,63323-604-00,PROPRANOLOL 1 MG/ML SOLN 1 ML VIAL,68.88,27.55,27.55,61.99,17
NDC,63323-604-01,PROPRANOLOL 1 MG/ML SOLN 1 ML VIAL,68.88,27.55,27.55,61.99,17
NDC,63323-605-84,ENOXAPARIN SODIUM 100 MG/ML SOSY 1 ML SYRINGE,119.28,47.71,0.77,107.35,16
NDC,63323-607-01,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,71.58,28.63,0.77,64.42,16
NDC,63323-607-88,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,71.58,28.63,0.77,64.42,16
NDC,63323-614-00,HYDRALAZINE 20 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-614-01,HYDRALAZINE 20 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-616-01,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,63323-616-03,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,63323-616-09,AMIODARONE HCL 450 MG/9ML SOLN 9 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,63323-642-01,MAGNESIUM SULFATE 50 % SOLN 20 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,63323-642-20,MAGNESIUM SULFATE 50 % SOLN 20 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,63323-642-50,MAGNESIUM SULFATE 50 % SOLN 50 ML VIAL,35.0,14.0,0.62,31.5,16
NDC,63323-648-10,LEVOTHYROXINE SODIUM 500 MCG SOLR 1 EACH VIAL,2660.66,1064.26,1064.26,2394.59,17
NDC,63323-649-07,LEVOTHYROXINE SODIUM 100 MCG SOLR 1 EACH VIAL,664.38,265.75,265.75,597.94,17
NDC,63323-651-02,ADENOSINE 6 MG/2ML SOLN 2 ML VIAL,65.7,26.28,0.73,59.13,16
NDC,63323-651-30,ADENOSINE DIAGNOSTIC 3 MG/ML SOLN 30 ML VIAL,1071.16,428.46,0.73,964.04,16
NDC,63323-652-10,ESMOLOL HCL 100 MG/10ML SOLN 10 ML VIAL,107.75,43.1,43.1,96.98,17
NDC,63323-655-21,ENOXAPARIN SODIUM 120 MG/0.8ML SOSY 0.8 ML SYRINGE,66.55,26.62,0.77,59.9,16
NDC,63323-655-99,ENOXAPARIN SODIUM 120 MG/0.8ML SOSY 0.8 ML SYRINGE,66.54,26.62,0.77,59.89,16
NDC,63323-658-20,CHLOROTHIAZIDE 500 MG SOLR 1 EACH VIAL,1643.3,657.32,51.29,1478.97,16
NDC,63323-659-03,INDOMETHACIN 1 MG SOLR 1 EACH VIAL,2665.87,1066.35,1066.35,2399.28,17
NDC,63323-660-05,METOPROLOL TARTRATE 5 MG/5ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-664-00,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-664-01,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-665-00,TERBUTALINE 1 MG/ML SOLN 1 ML VIAL,118.2,47.28,47.28,106.38,17
NDC,63323-665-01,TERBUTALINE 1 MG/ML SOLN 1 ML VIAL,118.2,47.28,47.28,106.38,17
NDC,63323-671-05,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,258.0,103.2,103.2,232.2,17
NDC,63323-671-50,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,258.0,103.2,103.2,232.2,17
NDC,63323-673-21,PALONOSETRON 0.25 MG/5ML SOSY 5 ML SYRINGE,300.0,120.0,0.44,270.0,16
NDC,63323-690-30,ACETYLCYSTEINE 20 % SOLN 30 ML VIAL,177.9,71.16,4.85,160.11,16
NDC,63323-692-10,ACETYLCYSTEINE 20 % SOLN 10 ML VIAL,103.7,41.48,4.85,93.33,16
NDC,63323-693-10,ACETYLCYSTEINE 10 % SOLN 10 ML GLASS CONT,20.74,8.3,4.85,20.44,16
NDC,63323-694-04,ACETYLCYSTEINE 20 % SOLN 4 ML VIAL,95.82,38.33,4.85,86.24,16
NDC,63323-694-22,ACETYLCYSTEINE 20 % SOLN 4 ML VIAL,95.82,38.33,4.85,86.24,16
NDC,63323-695-04,ACETYLCYSTEINE 10 % SOLN 4 ML GLASS CONT,43.68,17.47,4.85,39.31,16
NDC,63323-695-22,ACETYLCYSTEINE 10 % SOLN 4 ML GLASS CONT,43.68,17.47,4.85,39.31,16
NDC,63323-710-50,LEUCOVORIN CALCIUM 200 MG SOLR 1 EACH VIAL,138.35,55.34,4.19,124.52,16
NDC,63323-711-00,LEUCOVORIN 500 MG SOLR 1 EACH VIAL,475.78,190.31,4.19,428.2,16
NDC,63323-723-01,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,404.66,161.86,161.86,364.19,17
NDC,63323-723-03,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,404.67,161.87,161.87,364.2,17
NDC,63323-724-05,REMIFENTANIL 2 MG SOLR 1 EACH VIAL,709.98,283.99,283.99,638.98,17
NDC,63323-725-01,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1876.57,750.63,750.63,1688.91,17
NDC,63323-725-10,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1876.58,750.63,750.63,1688.92,17
NDC,63323-728-10,MICAFUNGIN 50 MG SOLR 1 EACH VIAL,144.0,57.6,0.34,129.6,16
NDC,63323-729-01,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,288.0,115.2,0.34,259.2,16
NDC,63323-729-10,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,288.0,115.2,0.34,259.2,16
NDC,63323-738-06,FAMOTIDINE 200 MG/20ML SOLN 20 ML VIAL,54.0,21.6,21.6,48.6,17
NDC,63323-739-11,FAMOTIDINE PF 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-739-12,FAMOTIDINE PF 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-739-16,FAMOTIDINE 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-751-00,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-751-01,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-778-10,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,63323-778-21,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,63323-781-10,VECURONIUM 10 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-781-21,VECURONIUM 10 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-806-02,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,63323-806-05,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,63323-806-12,FENTANYL CITRATE PF 50 MCG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,63323-806-13,FENTANYL CITRATE PF 50 MCG/ML SOLN 5 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,63323-806-14,FENTANYL CITRATE PF 50 MCG/ML SOLN 20 ML VIAL,51.0,20.4,1.43,45.9,16
NDC,63323-812-20,OXACILLIN 2 G SOLR 1 EACH VIAL,140.16,56.06,1.03,126.14,16
NDC,63323-820-00,FAT EMUL FISH OIL/PLANT BASED 20 % EMUL 100 ML FLEX CONT,362.5,145.0,145.0,326.25,17
NDC,63323-820-74,FAT EMUL FISH OIL/PLANT BASED 20 % EMUL 250 ML FLEX CONT,171.25,68.5,68.5,154.13,17
NDC,63323-824-24,DEXTROSE 10 % SOLN 250 ML FLEX CONT,28.75,11.5,11.5,25.88,17
NDC,63323-824-74,DEXTROSE 10 % SOLN 250 ML FLEX CONT,28.75,11.5,11.5,25.88,17
NDC,63323-851-15,HYDROMORPHONE HCL PF 10 MG/ML SOLN 5 ML VIAL,100.08,40.03,0.12,90.07,16
NDC,63323-851-50,HYDROMORPHONE HCL PF 10 MG/ML SOLN 50 ML VIAL,938.63,375.45,0.12,844.77,16
NDC,63323-852-03,HYDROMORPHONE HCL PF 1 MG/ML SOLN 1 ML VIAL,12.95,5.18,0.12,11.66,16
NDC,63323-852-25,HYDROMORPHONE HCL PF 1 MG/ML SOLN 1 ML VIAL,12.96,5.18,0.12,11.66,16
NDC,63323-853-25,HYDROMORPHONE HCL PF 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-873-10,DEXTROSE 5 % AND 0.2 % NACL 50.225 % SOLN 1000 ML FLEX CONT,25.0,10.0,10.0,22.5,17
NDC,63323-873-74,DEXTROSE 5 % AND 0.2 % NACL 50.225 % SOLN 500 ML FLEX CONT,22.5,9.0,9.0,20.25,17
NDC,63323-877-15,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,921.24,368.5,56.65,829.12,22
NDC,63323-881-16,SODIUM PHOSPHATES 45 MMOLE/15ML SOLN 15 ML VIAL,247.28,98.91,98.91,222.55,17
NDC,63323-884-01,SODIUM PHOSPHATE 3 MMOL/ML SOLN 5 ML VIAL,116.45,46.58,46.58,104.81,17
NDC,63323-885-10,LEVOTHYROXINE SODIUM 100 MCG/5ML SOLN 5 ML VIAL,489.58,195.83,6.84,440.62,32
NDC,63323-886-01,SODIUM PHOSPHATE 150 MMOLE/50ML SOLN 50 ML VIAL,758.31,303.32,303.32,682.48,17
NDC,63323-886-56,SODIUM PHOSPHATE 150 MMOLE/50ML SOLN 50 ML VIAL,758.31,303.32,303.32,682.48,17
NDC,63323-924-10,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-930-00,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-930-01,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-940-21,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,63323-960-10,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,861.12,344.45,0.49,775.01,16
NDC,63323-965-20,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63323-966-00,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML VIAL,1656.0,662.4,6.58,1490.4,16
NDC,63323-967-30,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63402-191-10,ESZOPICLONE 2 MG TABS 100 EACH BOTTLE,119.45,47.78,47.78,107.51,17
NDC,63402-193-10,ESZOPICLONE 3 MG TABS 100 EACH BOTTLE,119.45,47.78,47.78,107.51,17
NDC,63402-202-30,ESLICARBAZEPINE ACETATE 200 MG TABS 30 EACH BOTTLE,277.49,111.0,111.0,249.74,17
NDC,63402-204-30,ESLICARBAZEPINE ACETATE 400 MG TABS 30 EACH BOTTLE,277.49,111.0,111.0,249.74,17
NDC,63402-206-60,ESLICARBAZEPINE ACETATE 600 MG TABS 60 EACH BOTTLE,277.49,111.0,111.0,249.74,17
NDC,63402-208-30,ESLICARBAZEPINE ACETATE 800 MG TABS 30 EACH BOTTLE,277.49,111.0,111.0,249.74,17
NDC,63402-304-30,LURASIDONE 40 MG TABS 30 EACH BOTTLE,292.25,116.9,116.9,263.03,17
NDC,63402-510-01,LEVALBUTEROL 45 MCG/ACT AEROSOL 15 G INHALER,395.51,158.2,158.2,355.96,17
NDC,63402-911-30,ARFORMOTEROL 15 MCG/2ML NEBU 2 ML PLAS CONT,118.19,47.28,0.92,106.37,16
NDC,63459-103-10,RITUXIMABABBS 100 MG/10ML SOLN 10 ML VIAL,466.74,186.7,27.99,420.07,32
NDC,63459-104-50,RITUXIMABABBS 500 MG/50ML SOLN 50 ML VIAL,23337.18,9334.87,27.99,21003.46,32
NDC,63459-303-43,TRASTUZUMABPKRB 150 MG SOLR 1 EACH VIAL,5497.38,2198.95,37.66,4947.64,26
NDC,63459-305-47,TRASTUZUMABPKRB 420 MG SOLR 1 EACH VIAL,15392.66,6157.06,37.66,13853.39,26
NDC,63459-307-41,TRASTUZUMABPKRB 420 MG SOLR 1 EACH VIAL,15392.66,6157.06,37.66,13853.39,26
NDC,63459-348-04,BENDAMUSTINE HCL 100 MG/4ML SOLN 4 ML VIAL,12467.95,4987.18,11.6,11221.16,32
NDC,63459-910-11,TBOFILGRASTIM 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1379.22,551.69,0.24,1241.3,32
NDC,63459-910-17,TBOFILGRASTIM 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1653.79,661.52,0.24,1488.41,32
NDC,63459-910-36,TBOFILGRASTIM 300 MCG/0.5ML SOSY 0.5 ML SYRINGE,1653.79,661.52,0.24,1488.41,32
NDC,63459-912-11,TBOFILGRASTIM 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,2207.4,882.96,0.24,1986.66,32
NDC,63459-912-17,TBOFILGRASTIM 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,2404.58,961.83,0.24,2164.12,32
NDC,63459-912-36,TBOFILGRASTIM 480 MCG/0.8ML SOSY 0.8 ML SYRINGE,2404.58,961.83,0.24,2164.12,32
NDC,63481-687-01,LIDOCAINE 5 % PTCH 1 EACH PACKAGE,159.05,63.62,63.62,143.15,17
NDC,63481-687-06,LIDOCAINE 5 % PTCH 30 EACH BOX,159.04,63.62,63.62,143.14,17
NDC,63629-2399-1,PHENOBARBITAL 20 MG/5ML ELIX 473 ML BOTTLE,443.86,177.54,177.54,399.47,17
NDC,63629-8450-1,SCOPOLAMINE 1 MG/3DAYS PT72 24 EACH BOX,115.0,46.0,46.0,103.5,17
NDC,63713-019-73,GELATIN ADSORBABLE 50 MISC 4 EACH BOX,211.55,84.62,84.62,190.4,17
NDC,63713-020-83,OXIDIZED CELLULOSE PADS 10 EACH BOX,1470.96,588.38,588.38,1323.86,17
NDC,63717-100-01,IRONVIT CVIT B12FOLIC ACID 1002500.0251 MG TABS 100 EACH BOTTLE,8.6,3.44,3.44,7.74,17
NDC,63736-12002,PERMETHRIN 1 % LIQD 59 ML BOTTLE,77.88,31.15,31.15,70.09,17
NDC,63739-008-33,VORICONAZOLE 200 MG TABS 30 EACH BOX,118.5,47.4,47.4,106.65,17
NDC,63739-051-10,AMIODARONE 200 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-070-10,ARIPIPRAZOLE 5 MG TABS 100 EACH BOX,34.13,13.65,13.65,30.72,17
NDC,63739-074-10,ARIPIPRAZOLE 10 MG TABS 100 EACH BOX,32.97,13.19,13.19,29.67,17
NDC,63739-077-10,VALACYCLOVIR 500 MG TABS 100 EACH BOX,8.18,3.27,3.27,7.36,17
NDC,63739-098-10,MIRTAZAPINE 15 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-108-10,CARBIDOPALEVODOPA 25100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-145-10,MIDODRINE 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-178-30,CLOPIDOGREL 300 MG TABS 30 EACH BOX,79.72,31.89,31.89,71.75,17
NDC,63739-269-10,TAMOXIFEN 10 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,63739-327-10,HYDRALAZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-410-10,ALLOPURINOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-434-02,ASPIRIN 81 MG CHEW 30 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,63739-478-02,DOCUSATE SODIUM 100 MG CAPS 30 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,63739-479-10,BACLOFEN 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-480-10,BACLOFEN 20 MG TABS 100 EACH BOX,4.28,1.71,1.71,3.85,17
NDC,63739-486-10,HYDROXYZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-519-10,PREDNISONE 10 MG TABS 100 EACH BOX,3.0,1.2,0.01,2.7,16
NDC,63739-545-10,SPIRONOLACTONE 50 MG TABS 100 EACH BOX,4.36,1.74,1.74,3.92,17
NDC,63739-571-10,SIMVASTATIN 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-572-10,SIMVASTATIN 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-645-10,FAMOTIDINE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-666-32,ZIPRASIDONE 60 MG CAPS 40 EACH BOX,19.5,7.8,7.8,17.55,17
NDC,63739-795-10,LEVETIRACETAM 250 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-796-10,ALLOPURINOL 300 MG TABS 100 EACH BOX,3.05,1.22,1.22,2.75,17
NDC,63739-888-10,PAROXETINE 10 MG TABS 100 EACH BOX,3.64,1.46,1.46,3.28,17
NDC,63739-931-14,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63739-931-28,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,63739-973-10,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 100 EACH BOX,4.32,1.73,1.73,3.89,17
NDC,63739-986-11,HEPARIN PORCINE 20000 UNIT/ML SOLN 1 ML VIAL,80.28,32.11,32.11,72.25,17
NDC,63739-986-25,HEPARIN PORCINE 20000 UNIT/ML SOLN 1 ML VIAL,80.28,32.11,32.11,72.25,17
NDC,63739-991-10,METHOCARBAMOL 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63739-992-10,METHOCARBAMOL 750 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63824-008-15,GUAIFENESIN 600 MG TB12 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,63824-056-20,DEXTROMETHORPHANGUAIFENESIN 30600 MG TB12 20 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,63824-056-34,DEXTROMETHORPHANGUAIFENESIN 30600 MG TB12 40 EACH BOX,3.36,1.34,1.34,3.02,17
NDC,63824-171-65,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5ML SUER 148 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,63824-732-16,BENZOCAINEMENTHOL 152.6 MG LOZG 16 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,63833-386-02,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS KIT 1 EACH BOX,35.0,14.0,2.01,31.5,32
NDC,63833-387-02,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS KIT 1 EACH BOX,35.0,14.0,2.01,31.5,32
NDC,63833-615-02,ANTIHEMOPHILIC FACTORVWF 250600 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.27,31.5,32
NDC,63833-616-02,ANTIHEMOPHILIC FACTORVWF 5001200 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.27,31.5,32
NDC,63833-627-01,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.27,31.5,32
NDC,63833-825-02,C1 ESTERASE INHIBITOR HUMAN 500 UNITS KIT 1 EACH BOX,22390.03,8956.01,75.86,20151.03,32
NDC,64011-301-03,HYDROXYPROGESTERONE CAPROATE 275 MG/1.1ML SOAJ 1.1 ML SYRINGE,4047.12,1618.85,20.06,3642.41,15
NDC,64193-424-02,ANTIINHIBITOR COAGULANT CMPLX 1000 UNITS SOLR 1 EACH VIAL,35.0,14.0,2.07,31.5,32
NDC,64193-425-02,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS SOLR 1 EACH VIAL,35.0,14.0,2.07,31.5,32
NDC,64253-222-33,HEPARIN NA PORK LOCK FLSH PF 10 UNIT/ML SOLN 3 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,64253-222-35,HEPARIN NA PORK LOCK FLSH PF 10 UNIT/ML SOLN 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,64253-333-35,HEPARIN PF 100 UNIT/ML SOLN 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,64253-900-30,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,64253-900-36,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,64253-900-91,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,64281-100-06,METHACHOLINE 100 MG SOLR 1 EACH VIAL,502.32,200.93,200.93,452.09,17
NDC,64380-158-01,MEGESTROL 20 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,64380-159-01,MEGESTROL 40 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,64380-160-01,MEGESTROL 40 MG/ML SUSP 240 ML BOTTLE,662.4,264.96,264.96,596.16,17
NDC,64380-166-01,PHENOBARBITAL 20 MG/5ML ELIX 473 ML BOTTLE,422.11,168.84,168.84,379.9,17
NDC,64380-736-06,HYDRALAZINE 100 MG TABS 100 EACH BOTTLE,5.07,2.03,2.03,4.56,17
NDC,64380-741-06,BUSPIRONE 5 MG TABS 100 EACH BOTTLE,3.86,1.54,1.54,3.47,17
NDC,64380-759-06,ACARBOSE 50 MG TABS 100 EACH BOTTLE,4.84,1.94,1.94,4.36,17
NDC,64380-784-06,PREDNISONE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,0.01,2.7,16
NDC,64380-799-01,OSELTAMIVIR 75 MG CAPS 10 EACH BOX,77.29,30.92,30.92,69.56,17
NDC,64380-883-04,CINACALCET 30 MG TABS 30 EACH BOTTLE,153.28,61.31,0.01,137.95,22
NDC,64380-884-04,CINACALCET 60 MG TABS 30 EACH BOTTLE,306.55,122.62,0.01,275.9,22
NDC,64380-889-04,EFAVIRENZ 600 MG TABS 30 EACH BOTTLE,186.32,74.53,74.53,167.69,17
NDC,64380-933-05,LOSARTAN 25 MG TABS 90 EACH BOTTLE,8.41,3.36,3.36,7.57,17
NDC,64406-008-01,NATALIZUMAB 300 MG/15ML CONC 15 ML VIAL,44751.23,17900.49,24.41,40276.11,32
NDC,64406-022-01,TOCILIZUMABBAVI 200 MG/10ML SOLN 10 ML VIAL,5594.4,2237.76,4.33,5034.96,32
NDC,64406-023-01,TOCILIZUMABBAVI 400 MG/20ML SOLN 20 ML VIAL,11188.8,4475.52,4.33,10069.92,32
NDC,64406-024-01,TOCILIZUMABBAVI 80 MG/4ML SOLN 4 ML VIAL,2237.76,895.1,4.33,2013.98,32
NDC,64406-036-01,NUSINERSEN 28 MG/5ML SOLN 5 ML VIAL,764997.24,305998.9,1000.0,688497.52,26
NDC,64406-037-01,NUSINERSEN 50 MG/5ML SOLN 5 ML VIAL,1366066.55,546426.62,1000.0,1229459.9,26
NDC,64406-058-01,NUSINERSEN 12 MG/5ML SOLN 5 ML VIAL,737346.75,294938.7,1000.0,663612.08,26
NDC,64406-109-01,TOFERSEN 100 MG/15ML SOLN 15 ML VIAL,76086.86,30434.74,128.07,68478.17,32
NDC,64597-301-60,DEXTROMETHORPHANQUINIDINE 2010 MG CAPS 60 EACH BOTTLE,157.38,62.95,62.95,141.64,17
NDC,64679-012-01,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,137.75,55.1,55.1,123.98,17
NDC,64679-012-02,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,137.75,55.1,55.1,123.98,17
NDC,64679-728-01,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN 0.5 ML VIAL,391.0,156.4,156.4,351.9,17
NDC,64679-728-08,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN 0.5 ML VIAL,391.0,156.4,156.4,351.9,17
NDC,64679-924-02,ENALAPRIL 5 MG TABS 100 EACH BOTTLE,9.26,3.7,3.7,8.33,17
NDC,64764-080-60,LUBIPROSTONE 8 MCG CAPS 60 EACH BOTTLE,37.11,14.84,14.84,33.4,17
NDC,64764-140-05,ADAMTS13 RECOMBINANTKRHN 500 UNITS KIT 1 EACH BOX,35.0,14.0,14.0,90.54,32
NDC,64764-145-05,ADAMTS13 RECOMBINANTKRHN 1500 UNITS KIT 1 EACH BOX,35.0,14.0,14.0,90.54,32
NDC,64764-240-60,LUBIPROSTONE 24 MCG CAPS 60 EACH BOTTLE,37.11,14.84,14.84,33.4,17
NDC,64764-300-20,VEDOLIZUMAB 300 MG SOLR 1 EACH VIAL,50947.85,20379.14,21.37,45853.07,32
NDC,64764-677-30,FEBUXOSTAT 80 MG TABS 30 EACH BOTTLE,66.01,26.4,26.4,59.41,17
NDC,64764-720-30,VORTIOXETINE HBR 5 MG TABS 30 EACH BOTTLE,107.97,43.19,43.19,97.17,17
NDC,64764-800-28,MARIBAVIR 200 MG TABS 28 EACH BOTTLE,1264.02,505.61,505.61,1137.62,17
NDC,64764-805-30,RAMELTEON 8 MG TABS 30 EACH BOTTLE,77.81,31.12,31.12,70.03,17
NDC,64850-910-01,ISRADIPINE 2.5 MG CAPS 100 EACH BOTTLE,20.13,8.05,8.05,18.12,17
NDC,64850-911-01,ISRADIPINE 5 MG CAPS 100 EACH BOTTLE,20.74,8.3,8.3,18.67,17
NDC,64896-663-01,CARBIDOPALEVODOPA ER 48.75195 MG CPCR 100 EACH BOTTLE,24.93,9.97,9.97,22.44,17
NDC,64950-216-10,ISONIAZID 100 MG TABS 100 EACH BOTTLE,10.68,4.27,4.27,9.61,17
NDC,64950-217-10,ISONIAZID 300 MG TABS 100 EACH BOTTLE,17.52,7.01,7.01,15.77,17
NDC,64950-359-04,COCAINE 40 MG/ML SOLN 4 ML BOTTLE,1352.4,540.96,540.96,1217.16,17
NDC,64950-362-04,COCAINE 40 MG/ML SOLN 4 ML BOTTLE,1352.4,540.96,540.96,1217.16,17
NDC,64950-572-01,PHENOBARBITAL 16.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,64950-574-01,PHENOBARBITAL 32.4 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,64980-104-01,PHOSPHORUS 155852130 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,64980-133-01,DIPYRIDAMOLE 25 MG TABS 100 EACH BOTTLE,7.11,2.84,2.84,6.4,17
NDC,64980-134-01,DIPYRIDAMOLE 50 MG TABS 100 EACH BOTTLE,11.44,4.58,4.58,10.3,17
NDC,64980-135-01,DIPYRIDAMOLE 75 MG TABS 100 EACH BOTTLE,15.31,6.12,6.12,13.78,17
NDC,64980-146-12,LACTOBACILLUS PACK 12 EACH BOX,10.16,4.06,4.06,9.14,17
NDC,64980-147-03,RISAQUAD CAPS 30 EACH BOTTLE,6.13,2.45,2.45,5.52,17
NDC,64980-177-50,CHLOROQUINE 250 MG TABS 50 EACH BOTTLE,45.97,18.39,18.39,41.37,15
NDC,64980-178-02,CHLOROQUINE 500 MG TABS 25 EACH BOTTLE,119.27,47.71,47.71,107.34,17
NDC,64980-220-03,PYRIDOSTIGMINE 180 MG TAB CR 30 EACH BOTTLE,124.04,49.62,49.62,111.64,17
NDC,64980-281-01,GLIPIZIDE 10 MG TB24 100 EACH BOTTLE,4.03,1.61,1.61,3.63,17
NDC,64980-281-05,GLIPIZIDE 10 MG TB24 500 EACH BOTTLE,4.03,1.61,1.61,3.63,17
NDC,64980-290-01,PERPHENAZINE 2 MG TABS 100 EACH BOTTLE,8.73,3.49,3.49,7.86,17
NDC,64980-291-01,PERPHENAZINE 4 MG TABS 100 EACH BOTTLE,11.95,4.78,4.78,10.76,17
NDC,64980-324-30,HYDROCORTISONE PERIANAL 2.5 % CREA 30 G TUBE,401.72,160.69,160.69,361.55,17
NDC,64980-340-03,ALENDRONATE 10 MG TABS 30 EACH BOTTLE,14.64,5.86,5.86,13.18,17
NDC,64980-342-14,ALENDRONATE 70 MG TABS 4 EACH BOX,102.42,40.97,40.97,92.18,17
NDC,64980-407-09,EFAVIRENZ 200 MG CAPS 90 EACH BOTTLE,58.84,23.54,23.54,52.96,17
NDC,64980-409-06,SERTRALINE 20 MG/ML CONC 60 ML BOTTLE,6.99,2.8,2.8,6.29,17
NDC,64980-442-01,ALBUTEROL 2 MG TABS 100 EACH BOTTLE,29.37,11.75,11.75,26.43,17
NDC,64980-443-01,ALBUTEROL 4 MG TABS 100 EACH BOTTLE,29.37,11.75,11.75,26.43,17
NDC,64980-447-15,CALCITRIOL 1 MCG/ML ORAL SOLN 15 ML BOTTLE,39.67,15.87,15.87,35.7,17
NDC,64980-504-48,CYPROHEPTADINE 2 MG/5ML SYRP 473 ML BOTTLE,3.4,1.36,1.36,3.06,17
NDC,64980-511-10,CLINDAMYCIN 75 MG/5ML SOLR 100 ML BOTTLE,310.0,124.0,124.0,279.0,17
NDC,64980-513-05,TIMOLOL 0.25 % SOLN 5 ML BOTTLE,75.0,30.0,30.0,67.5,17
NDC,64980-515-05,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,351.75,140.7,140.7,316.58,17
NDC,64980-526-03,NITAZOXANIDE 500 MG TABS 30 EACH BOTTLE,706.02,282.41,282.41,635.42,17
NDC,64980-526-60,NITAZOXANIDE 500 MG TABS 6 EACH BOTTLE,759.94,303.98,303.98,683.95,17
NDC,64980-564-01,FUROSEMIDE 80 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,65145-126-01,ARGATROBAN 50 MG/50ML SOLN 50 ML VIAL,772.8,309.12,0.61,695.52,32
NDC,65145-132-01,CARBOPROST 250 MCG/ML SOLN 1 ML VIAL,441.6,176.64,176.64,397.44,17
NDC,65145-133-01,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,65145-133-10,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,65145-158-01,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,54.0,21.6,21.6,48.6,17
NDC,65145-158-25,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,54.0,21.6,21.6,48.6,17
NDC,65162-058-27,SEVELAMER 800 MG TABS 270 EACH BOTTLE,30.48,12.19,12.19,27.43,17
NDC,65162-087-74,ITRACONAZOLE 10 MG/ML SOLN 150 ML BOTTLE,1689.12,675.65,675.65,1520.21,17
NDC,65162-189-10,NAPROXEN 375 MG TABS 100 EACH BOTTLE,5.32,2.13,2.13,4.79,17
NDC,65162-190-10,NAPROXEN 500 MG TABS 100 EACH BOTTLE,6.29,2.52,2.52,5.66,17
NDC,65162-323-09,NIACIN 1000 MG TAB CR 90 EACH BOTTLE,13.84,5.54,5.54,12.46,17
NDC,65162-468-19,CLINDAMYCIN 75 MG/5ML SOLR 100 ML BOTTLE,310.0,124.0,124.0,279.0,17
NDC,65162-553-10,METAXALONE 800 MG TABS 100 EACH BOTTLE,29.95,11.98,11.98,26.96,17
NDC,65162-555-48,DEMECLOCYCLINE 300 MG TABS 48 EACH BOTTLE,85.34,34.14,34.14,76.81,17
NDC,65162-649-78,OXCARBAZEPINE 300 MG/5ML SUSP 250 ML BOTTLE,1255.8,502.32,502.32,1130.22,17
NDC,65162-681-10,PHENAZOPYRIDINE 100 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
NDC,65162-682-10,PHENAZOPYRIDINE 200 MG TABS 100 EACH BOTTLE,20.0,8.0,8.0,18.0,17
NDC,65162-686-88,FELBAMATE 600 MG/5ML SUSP 240 ML BOTTLE,2694.38,1077.75,1077.75,2424.94,17
NDC,65162-791-04,LIDOCAINE 5 % PTCH 1 EACH PACKAGE,51.38,20.55,20.55,46.24,17
NDC,65162-791-08,LIDOCAINE 5 % PTCH 30 EACH BOX,51.38,20.55,20.55,46.24,17
NDC,65162-806-51,TEMOZOLOMIDE 250 MG CAPS 5 EACH BOTTLE,3022.32,1208.93,0.59,2720.09,16
NDC,65162-836-14,ACYCLOVIR 5 % CREA 5 G TUBE,4042.46,1616.98,1616.98,3638.21,17
NDC,65162-891-29,MOMETASONE 50 MCG/ACT SUSP 17 G BOTTLE,1227.9,491.16,491.16,1105.11,17
NDC,65162-913-22,VORICONAZOLE 40 MG/ML SUSR 75 ML BOTTLE,7091.28,2836.51,2836.51,6382.15,17
NDC,65162-918-38,LIDOCAINE 5 % OINT 35.44 G TUBE,1380.0,552.0,552.0,1242.0,17
NDC,65197-400-10,VITAMIN A AND D OINT 42.5 G TUBE,4.78,1.91,1.91,4.3,17
NDC,65197-400-12,VITAMIN A AND D OINT 42.5 G TUBE,4.78,1.91,1.91,4.3,17
NDC,65219-014-01,AMPICILLIN 250 MG SOLR 1 EACH VIAL,35.0,14.0,0.72,31.5,16
NDC,65219-014-10,AMPICILLIN 250 MG SOLR 1 EACH VIAL,35.0,14.0,0.72,31.5,16
NDC,65219-020-23,AMPICILLIN 2 G SOLR 1 EACH VIAL,47.64,19.06,19.06,42.88,17
NDC,65219-052-29,POTASSIUM PHOSPHATE 15 MMOLE/5ML SOLN 5 ML VIAL,143.88,57.55,57.55,129.49,17
NDC,65219-054-09,POTASSIUM PHOSPHATE 3 MMOL/ML SOLN 15 ML VIAL,287.78,115.11,115.11,259.0,17
NDC,65219-056-09,POTASSIUM PHOSPHATES 150 MMOLE/50ML SOLN 50 ML VIAL,655.27,262.11,262.11,589.74,17
NDC,65219-056-29,POTASSIUM PHOSPHATES 150 MMOLE/50ML SOLN 50 ML VIAL,655.27,262.11,262.11,589.74,17
NDC,65219-164-01,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
NDC,65219-164-50,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
NDC,65219-184-01,KETAMINE 10 MG/ML SOLN 20 ML VIAL,118.7,47.48,47.48,106.83,17
NDC,65219-184-20,KETAMINE 10 MG/ML SOLN 20 ML VIAL,118.7,47.48,47.48,106.83,17
NDC,65219-187-01,STERILE WATER PRESERVATIVE FREE SOLN 100 ML VIAL,59.5,23.8,23.8,53.55,17
NDC,65219-187-10,STERILE WATER PRESERVATIVE FREE SOLN 100 ML VIAL,59.5,23.8,23.8,53.55,17
NDC,65219-190-30,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,360.0,144.0,1.0,324.0,16
NDC,65219-204-01,LACOSAMIDE 200 MG/20ML SOLN 20 ML VIAL,240.0,96.0,0.26,216.0,16
NDC,65219-204-20,LACOSAMIDE 200 MG/20ML SOLN 20 ML VIAL,240.0,96.0,0.26,216.0,16
NDC,65219-257-00,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,46.75,18.7,18.7,42.08,17
NDC,65219-257-01,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,46.74,18.7,18.7,42.07,17
NDC,65219-259-05,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,63.48,25.39,25.39,57.13,17
NDC,65219-259-15,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,36.0,14.4,14.4,32.4,17
NDC,65219-259-45,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,63.48,25.39,25.39,57.13,17
NDC,65219-368-01,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,65219-368-02,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,65219-380-30,ALLOPURINOL 500 MG SOLR 1 EACH VIAL,14616.0,5846.4,4.07,13154.4,32
NDC,65219-429-50,ARGATROBAN 50 MG/50ML SOLN 50 ML VIAL,664.93,265.97,0.61,598.44,32
NDC,65219-445-01,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,65219-445-10,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,65219-447-02,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,38.1,15.24,15.24,34.29,17
NDC,65219-447-20,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,38.1,15.24,15.24,34.29,17
NDC,65219-533-01,FAT EMULSION 20 % EMUL 250 ML FLEX CONT,290.0,116.0,116.0,261.0,17
NDC,65219-566-20,MITOMYCIN 20 MG SOLR 1 EACH VIAL,3185.2,1274.08,26.1,2866.68,32
NDC,65219-570-01,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,65219-570-04,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,65219-572-01,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,65219-572-10,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,65219-590-04,TOCILIZUMABAAZG 80 MG/4ML SOLN 4 ML VIAL,2162.09,864.84,4.06,1945.88,32
NDC,65219-592-10,TOCILIZUMABAAZG 200 MG/10ML SOLN 10 ML VIAL,4935.17,1974.07,4.06,4441.65,32
NDC,65219-594-20,TOCILIZUMABAAZG 400 MG/20ML SOLN 20 ML VIAL,9870.34,3948.14,4.06,8883.31,32
NDC,65219-622-02,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL,92.1,36.84,0.05,82.89,16
NDC,65219-622-10,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL,92.1,36.84,0.05,82.89,16
NDC,65219-624-04,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL,172.0,68.8,0.05,154.8,16
NDC,65219-624-20,ACYCLOVIR 50 MG/ML SOLN 20 ML VIAL,172.0,68.8,0.05,154.8,16
NDC,65219-668-01,DENOSUMABBNHT 60 MG/ML SOSY 1 ML SYRINGE,9168.6,3667.44,22.69,8251.74,32
NDC,65219-670-01,DENOSUMABBNHT 120 MG/1.7ML SOLN 1.7 ML VIAL,16865.1,6746.04,22.69,15178.59,32
NDC,65219-672-01,DENOSUMABBNHT 120 MG/1.7ML SOSY 1.7 ML SYRINGE,16865.1,6746.04,22.69,15178.59,32
NDC,65219-826-26,USTEKINUMABAAUZ 90 MG/ML SOSY 1 ML SYRINGE,18242.62,7297.05,10.11,16418.36,26
NDC,65219-828-05,USTEKINUMABAAUZ 130 MG/26ML SOLN 26 ML VIAL,8495.98,3398.39,10.11,7646.38,26
NDC,65250-266-09,BUPIVACAINE LIPOSOME 1.3 % SUSP 20 ML VIAL,1155.38,462.15,1.1,1039.84,24
NDC,65250-266-20,BUPIVACAINE LIPOSOME 1.3 % SUSP 20 ML VIAL,949.99,380.0,1.1,854.99,24
NDC,65282-1605-1,LIDOCAINE HCL PF 1 % SOLN 5 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,65504-914-07,BROMPHENIRAMINEPHENYLEPHRINE 12.5 MG/5ML ELIX 118 ML BOTTLE,20.06,8.02,8.02,18.05,17
NDC,65597-406-01,FAMTRASTUZUMAB DERUXTECNXKI 100 MG SOLR 1 EACH VIAL,16333.59,6533.44,22.04,14700.23,32
NDC,65597-801-01,DATOPOTAMAB DERUXTECANDLNK 100 MG SOLR 1 EACH VIAL,25143.26,10057.3,38.14,22628.93,32
NDC,65628-050-01,FIRSTMOUTHWASH BLM SUSP 237 ML BOTTLE,47.48,18.99,18.99,42.73,17
NDC,65628-202-05,METRONIDAZOLE 50 MG/ML SUSR 150 ML BOTTLE,15.0,6.0,6.0,13.5,17
NDC,65628-206-05,VANCOMYCIN 50 MG/ML SOLR 150 ML BOTTLE,1012.23,404.89,404.89,911.01,17
NDC,65649-301-03,RIFAXIMIN 200 MG TABS 30 EACH BOTTLE,78.47,31.39,31.39,70.62,17
NDC,65649-303-02,RIFAXIMIN 550 MG TABS 60 EACH BOTTLE,371.17,148.47,148.47,334.05,17
NDC,65649-303-03,RIFAXIMIN 550 MG TABS 60 EACH BOX,371.17,148.47,148.47,334.05,17
NDC,65649-311-12,CHLOROTHIAZIDE 250 MG/5ML SUSP 237 ML BOTTLE,418.64,167.46,167.46,376.78,17
NDC,65649-551-03,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SOSY 0.6 ML SYRINGE,1132.93,453.17,1.89,1019.64,16
NDC,65757-300-01,NALTREXONE 380 MG SUSR 1 EACH VIAL,9030.46,3612.18,3.3,8127.41,32
NDC,65862-012-30,SERTRALINE 50 MG TABS 30 EACH BOTTLE,14.24,5.7,5.7,12.82,17
NDC,65862-013-01,SERTRALINE 100 MG TABS 100 EACH BOTTLE,14.24,5.7,5.7,12.82,17
NDC,65862-016-01,AMOXICILLIN 250 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,65862-019-01,CEPHALEXIN 500 MG CAPS 100 EACH BOTTLE,6.65,2.66,2.66,5.99,17
NDC,65862-048-24,ZIDOVUDINE 10 MG/ML SYRP 240 ML BOTTLE,282.0,112.8,112.8,253.8,17
NDC,65862-055-24,LAMIVUDINE 10 MG/ML SOLN 240 ML BOTTLE,177.74,71.1,71.1,159.97,17
NDC,65862-057-24,NEVIRAPINE 50 MG/5ML SUSP 240 ML BOTTLE,871.06,348.42,348.42,783.95,17
NDC,65862-070-01,AMOXICILLIN 200 MG/5ML SUSR 100 ML BOTTLE,45.5,18.2,18.2,40.95,17
NDC,65862-076-01,CIPROFLOXACIN 250 MG TABS 100 EACH BOTTLE,22.91,9.16,9.16,20.62,17
NDC,65862-078-50,CIPROFLOXACIN 750 MG TABS 50 EACH BOTTLE,28.13,11.25,11.25,25.32,17
NDC,65862-079-30,TERBINAFINE 250 MG TABS 30 EACH BOTTLE,63.93,25.57,25.57,57.54,17
NDC,65862-095-20,CEFPODOXIME 100 MG TABS 20 EACH BOTTLE,33.69,13.48,13.48,30.32,17
NDC,65862-107-01,ZIDOVUDINE 100 MG CAPS 100 EACH BOTTLE,10.1,4.04,4.04,9.09,17
NDC,65862-146-36,SUMATRIPTAN 25 MG TABS 9 EACH BOX,135.26,54.1,54.1,121.73,17
NDC,65862-147-36,SUMATRIPTAN 50 MG TABS 9 EACH BOX,125.7,50.28,50.28,113.13,17
NDC,65862-159-01,ZOLPIDEM 5 MG TABS 100 EACH BOTTLE,25.7,10.28,10.28,23.13,17
NDC,65862-160-01,ZOLPIDEM 10 MG TABS 100 EACH BOTTLE,25.7,10.28,10.28,23.13,17
NDC,65862-175-01,PENICILLIN V POTASSIUM 250 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,65862-176-01,PENICILLIN V POTASSIUM 500 MG TABS 100 EACH BOTTLE,3.89,1.56,1.56,3.5,17
NDC,65862-177-60,CEFDINIR 300 MG CAPS 60 EACH BOTTLE,25.54,10.22,10.22,22.99,17
NDC,65862-192-01,FLUOXETINE 10 MG CAPS 100 EACH BOTTLE,12.99,5.2,5.2,11.69,17
NDC,65862-193-01,FLUOXETINE 20 MG CAPS 100 EACH BOTTLE,13.34,5.34,5.34,12.01,17
NDC,65862-218-01,CEFDINIR 125 MG/5ML SUSR 100 ML BOTTLE,371.22,148.49,148.49,334.1,17
NDC,65862-219-60,CEFDINIR 250 MG/5ML SUSR 60 ML BOTTLE,457.06,182.82,182.82,411.35,17
NDC,65862-226-60,CLARITHROMYCIN 500 MG TABS 60 EACH BOTTLE,30.08,12.03,12.03,27.07,17
NDC,65862-288-01,PERINDOPRIL 8 MG TABS 100 EACH BOTTLE,13.98,5.59,5.59,12.58,17
NDC,65862-290-84,RIBAVIRIN 200 MG CAPS 84 EACH BOTTLE,47.63,19.05,19.05,42.87,17
NDC,65862-306-12,FLUOXETINE 20 MG/5ML SOLN 120 ML BOTTLE,12.29,4.92,4.92,11.06,17
NDC,65862-329-04,ALENDRONATE 70 MG TABS 4 EACH BOX,102.44,40.98,40.98,92.2,17
NDC,65862-390-10,ONDANSETRON 4 MG TBDP 30 EACH BOX,111.47,44.59,44.59,100.32,17
NDC,65862-391-10,ONDANSETRON 8 MG TBDP 30 EACH BOX,185.66,74.26,74.26,167.09,17
NDC,65862-421-30,TENOFOVIR DF 300 MG TABS 30 EACH BOTTLE,191.97,76.79,76.79,172.77,17
NDC,65862-468-30,LOSARTANHYDROCHLOROTHIAZIDE 5012.5 MG TABS 30 EACH BOTTLE,12.51,5.0,5.0,11.26,17
NDC,65862-470-90,LOSARTANHYDROCHLOROTHIAZIDE 10025 MG TABS 90 EACH BOTTLE,17.04,6.82,6.82,15.34,17
NDC,65862-496-47,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 473 ML BOTTLE,22.75,9.1,9.1,20.48,17
NDC,65862-497-30,EFAVIRENZEMTRICITABTENOFO DF 600200300 MG TABS 30 EACH BOTTLE,523.48,209.39,209.39,471.13,17
NDC,65862-502-20,AMOXICILLINCLAVULANATE 500125 MG TABS 20 EACH BOTTLE,18.93,7.57,7.57,17.04,17
NDC,65862-503-01,AMOXICILLINCLAVULANATE 875125 MG TABS 100 EACH BOTTLE,24.76,9.9,9.9,22.28,17
NDC,65862-534-01,AMOXICILLINCLAVULANATE 40057 MG/5ML SUSR 100 ML BOTTLE,344.5,137.8,137.8,310.05,17
NDC,65862-598-01,TAMSULOSIN 0.4 MG CAPS 100 EACH BOTTLE,21.09,8.44,8.44,18.98,17
NDC,65862-603-30,MOXIFLOXACIN 400 MG TABS 30 EACH BOTTLE,136.13,54.45,54.45,122.52,17
NDC,65862-617-90,QUINAPRIL 5 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
NDC,65862-618-90,QUINAPRIL 10 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
NDC,65862-619-90,QUINAPRIL 20 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
NDC,65862-620-90,QUINAPRIL 40 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
NDC,65862-648-60,RIVASTIGMINE 1.5 MG CAPS 60 EACH BOTTLE,23.31,9.32,9.32,20.98,17
NDC,65862-676-01,ALPRAZOLAM 0.25 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,65862-677-01,ALPRAZOLAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,65862-699-60,CEFUROXIME 250 MG TABS 60 EACH BOTTLE,22.0,8.8,8.8,19.8,17
NDC,65862-707-01,AMOXICILLIN 250 MG/5ML SUSR 100 ML BOTTLE,30.5,12.2,12.2,27.45,17
NDC,65862-711-60,ATAZANAVIR 150 MG CAPS 60 EACH BOTTLE,139.01,55.6,55.6,125.11,17
NDC,65862-712-60,ATAZANAVIR 200 MG CAPS 60 EACH BOTTLE,139.01,55.6,55.6,125.11,17
NDC,65862-829-30,PRASUGREL 5 MG TABS 30 EACH BOTTLE,82.53,33.01,33.01,74.28,17
NDC,65862-830-30,PRASUGREL 10 MG TABS 30 EACH BOTTLE,82.53,33.01,33.01,74.28,17
NDC,65862-840-03,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,769.81,307.92,307.92,692.83,17
NDC,65862-895-10,LANSOPRAZOLE 15 MG TBDD 1 EACH,78.87,31.55,31.55,70.98,17
NDC,65862-895-78,LANSOPRAZOLE 15 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,17
NDC,65862-896-10,LANSOPRAZOLE 30 MG TBDD 1 EACH,78.87,31.55,31.55,70.98,17
NDC,65862-896-78,LANSOPRAZOLE 30 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,17
NDC,65862-930-08,SEVELAMER CARBONATE 0.8 G PACK 1 EACH PACKET,91.43,36.57,36.57,82.29,17
NDC,65862-930-90,SEVELAMER CARBONATE 0.8 G PACK 90 EACH BOX,91.43,36.57,36.57,82.29,17
NDC,65862-946-01,DORZOLAMIDETIMOLOL 20.5 % SOLN 10 ML BOTTLE,561.2,224.48,224.48,505.08,17
NDC,65862-954-30,LURASIDONE 40 MG TABS 30 EACH BOTTLE,255.16,102.06,102.06,229.64,17
NDC,66215-101-03,BOSENTAN 62.5 MG TABS 30 EACH BOX,1271.09,508.44,8.74,1143.98,15
NDC,66215-103-56,BOSENTAN 32 MG TBSO 56 EACH BOX,1234.07,493.63,493.63,1110.66,17
NDC,66215-232-14,BOSENTAN 32 MG TBSO 1 EACH,1271.07,508.43,508.43,1143.96,17
NDC,66215-403-01,EPOPROSTENOL SODIUM 10 MCG/ML SOLR 1 EACH VIAL,165.8,66.32,21.06,149.22,16
NDC,66215-604-06,SELEXIPAG 400 MCG TABS 60 EACH BOTTLE,2228.9,891.56,891.56,2006.01,17
NDC,66220-017-03,AMIFOSTINE 500 MG SOLR 1 EACH VIAL,5624.89,2249.96,451.96,5062.4,16
NDC,66220-160-10,CONIVAPTAN HCL IN DEXTROSE 205 MG/100ML% SOLN 100 ML PLAS CONT,4679.64,1871.86,48.66,4211.68,24
NDC,66220-207-30,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,66220-315-44,TELAVANCIN HCL 750 MG SOLR 1 EACH VIAL,3533.78,1413.51,7.37,3180.4,32
NDC,66302-014-01,DINUTUXIMAB 17.5 MG/5ML SOLN 5 ML VIAL,105502.03,42200.81,41145.79,94951.83,17
NDC,66302-101-01,TREPROSTINIL 20 MG/20ML SOLN 20 ML VIAL,6417.52,2567.01,54.48,5775.77,32
NDC,66302-110-01,TREPROSTINIL 200 MG/20ML SOLN 20 ML VIAL,64175.33,25670.13,54.48,57757.8,32
NDC,66302-302-01,TREPROSTINIL DIOLAMINE ER 0.25 MG TAB CR 100 EACH BOTTLE,91.67,36.67,36.67,82.5,17
NDC,66302-310-01,TREPROSTINIL DIOLAMINE ER 1 MG TAB CR 100 EACH BOTTLE,366.66,146.66,146.66,329.99,17
NDC,66302-467-60,TADALAFIL PAH 20 MG TABS 60 EACH BOTTLE,383.64,153.46,0.5,345.28,16
NDC,66553-001-01,ASPIRIN 325 MG TABS 500 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,66553-002-01,ASPIRIN 81 MG CHEW 500 EACH DISP PACK,1.0,0.4,0.4,0.9,17
NDC,66553-004-01,CALCIUM CARBONATE 500 MG CHEW 500 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,66553-008-01,SODIUM BICARBONATE 650 MG TABS 500 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,66621-0790-2,CROTALIDAE EQUINE IMMUNE FAB SOLR 1 EACH VIAL,6652.8,2661.12,989.52,6652.8,24
NDC,66658-112-06,PALIFERMIN 6.25 MG SOLR 1 EACH VIAL,15755.28,6302.11,16.34,14179.75,32
NDC,66658-113-03,PALIFERMIN 5.16 MG SOLR 1 EACH VIAL,19327.73,7731.09,7537.81,17394.96,15
NDC,66658-230-01,PALIVIZUMAB 50 MG/0.5ML SOLN 0.5 ML VIAL,9176.12,3670.45,436.75,8258.51,26
NDC,66658-231-01,PALIVIZUMAB 100 MG/ML SOLN 1 ML VIAL,17327.1,6930.84,436.75,15594.39,26
NDC,66658-234-01,ANAKINRA 100 MG/0.67ML SOSY 0.67 ML SYRINGE,1244.39,497.76,497.76,1119.95,17
NDC,66658-234-07,ANAKINRA 100 MG/0.67ML SOSY 0.67 ML SYRINGE,1244.39,497.76,497.76,1119.95,17
NDC,66658-505-01,EMAPALUMABLZSG 50 MG/10ML SOLN 10 ML VIAL,93517.2,37406.88,303.93,84165.48,32
NDC,66685-1001-0,AMOXICILLINCLAVULANATE 875125 MG TABS 20 EACH BOTTLE,25.26,10.1,10.1,22.73,17
NDC,66685-1011-0,AMOXICILLINCLAVULANATE 20028.5 MG/5ML SUSR 50 ML BOTTLE,92.25,36.9,36.9,83.03,17
NDC,66689-008-02,NYSTATIN 100000 UNIT/ML SUSP 60 ML BOTTLE,6.0,2.4,2.4,5.4,17
NDC,66689-020-01,MEGESTROL 40 MG/ML SUSP 10 ML CUP,35.15,14.06,14.06,31.64,17
NDC,66689-020-50,MEGESTROL 40 MG/ML SUSP 10 ML CUP,35.15,14.06,14.06,31.64,17
NDC,66689-023-01,HYDROCODONEACETAMINOPHEN 7.5325 MG/15ML SOLN 15 ML CUP,26.63,10.65,10.65,23.97,17
NDC,66689-036-01,PHENYTOIN 125 MG/5ML SUSP 4 ML CUP,43.2,17.28,17.28,38.88,17
NDC,66689-037-99,NYSTATIN 100000 UNITS/ML SUSP 5 ML CUP,3.0,1.2,1.2,2.7,17
NDC,66689-047-01,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 15 ML CUP,93.0,37.2,37.2,83.7,17
NDC,66689-047-50,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 15 ML CUP,93.0,37.2,37.2,83.7,17
NDC,66689-202-04,CHARCOAL ACTIVATED 5 GM/24ML SUSP 120 ML BOTTLE,148.2,59.28,59.28,133.38,17
NDC,66689-203-04,CHARCOAL ACTIVATED W/ SORBITOL 5 GM/24ML SUSP 120 ML BOTTLE,148.2,59.28,59.28,133.38,17
NDC,66689-307-08,MYCOPHENOLATE 200 MG/ML SUSR 160 ML BOTTLE,56.62,22.65,0.21,50.96,16
NDC,66689-347-02,SIROLIMUS 1 MG/ML SOLN 60 ML BOTTLE,8820.0,3528.0,3528.0,7938.0,17
NDC,66689-401-01,OXYCODONE 5 MG/5ML SOLN 5 ML CUP,43.13,17.25,17.25,38.82,17
NDC,66733-948-23,CETUXIMAB 100 MG/50ML SOLN 50 ML VIAL,5094.25,2037.7,53.73,4584.83,32
NDC,66733-958-23,CETUXIMAB 200 MG/100ML SOLN 100 ML VIAL,10188.5,4075.4,53.73,9169.65,32
NDC,66758-050-02,DOCETAXEL 80 MG/8ML SOLN 8 ML VIAL,6983.57,2793.43,0.78,6285.21,16
NDC,66794-151-01,BACLOFEN 50 MCG/ML SOSY 1 ML SYRINGE,529.0,211.6,64.94,476.1,16
NDC,66794-155-01,BACLOFEN 10000 MCG/20ML SOSY 20 ML SYRINGE,1527.48,610.99,118.0,1374.73,32
NDC,66794-155-02,BACLOFEN 10 MG/20ML SOLN 20 ML VIAL,1421.77,568.71,118.0,1279.59,32
NDC,66794-156-01,BACLOFEN 20000 MCG/20ML SOSY 20 ML SYRINGE,2789.39,1115.76,118.0,2510.45,32
NDC,66794-156-02,BACLOFEN 20 MG/20ML SOLN 20 ML VIAL,2596.1,1038.44,118.0,2336.49,32
NDC,66794-157-01,BACLOFEN 40000 MCG/20ML SOSY 20 ML SYRINGE,5584.66,2233.86,118.0,5026.19,32
NDC,66794-157-02,BACLOFEN 40 MG/20ML SOLN 20 ML VIAL,5192.21,2076.88,118.0,4672.99,32
NDC,66794-160-02,MORPHINE SULF MICROINFUSION PF 200 MG/20ML 10 MG/ML SOLN 20 ML VIAL,1252.49,501.0,15.67,1127.24,16
NDC,66794-162-02,MORPHINE SULF MICROINFUSION PF 500 MG/20ML 25 MG/ML SOLN 20 ML VIAL,2129.71,851.88,15.67,1916.74,16
NDC,66794-204-02,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,66794-204-42,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,35.0,14.0,0.98,31.5,17
NDC,66794-207-02,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,37.5,15.0,1.81,33.75,16
NDC,66794-207-41,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,37.5,15.0,1.81,33.75,16
NDC,66794-219-43,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,114.0,45.6,4.64,102.6,16
NDC,66794-219-63,LINEZOLID 600 MG/300ML SOLN 300 ML FLEX CONT,114.0,45.6,4.64,102.6,16
NDC,66794-230-02,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,66794-230-42,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,66794-234-02,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML VIAL,156.0,62.4,62.4,140.4,17
NDC,66794-234-44,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,156.0,62.4,62.4,140.4,17
NDC,66794-237-41,DOXYCYCLINE 100 MG SOLR 1 EACH VIAL,75.0,30.0,30.0,67.5,17
NDC,66887-001-05,TESTOSTERONE 50 MG/5GM 1% GEL 5 G TUBE,118.4,47.36,47.36,106.56,17
NDC,66887-003-01,COLLAGENASE CLOSTRID HISTOLYT 0.9 MG SOLR 1 EACH VIAL,38673.18,15469.27,73.92,34805.86,32
NDC,66977-117-04,LIDOCAINE HCL 2 % LIQD 120 ML BOTTLE,103.8,41.52,41.52,93.42,17
NDC,66993-019-68,ALBUTEROL 108 90 BASE MCG/ACT AERS 18 G INHALER,312.21,124.88,124.88,280.99,17
NDC,66993-060-27,ATOVAQUONEPROGUANIL 250100 MG TABS 24 EACH BOX,37.04,14.82,14.82,33.34,17
NDC,66993-078-96,FLUTICASONE 44 MCG/ACT AEROSOL 10.6 G INHALER,1072.62,429.05,429.05,965.36,17
NDC,66993-079-96,FLUTICASONE 110 MCG/ACT AEROSOL 12 G INHALER,1435.97,574.39,574.39,1292.37,17
NDC,66993-080-96,FLUTICASONE 220 MCG/ACT AEROSOL 12 G INHALER,2230.47,892.19,892.19,2007.42,17
NDC,66993-088-96,FLUTICASONESALMETEROL 23021 MCG/ACT AEROSOL 12 G INHALER,2555.08,1022.03,1022.03,2299.57,17
NDC,66993-407-32,CARBAMAZEPINE 100 MG CP12 120 EACH BOTTLE,9.82,3.93,3.93,8.84,17
NDC,66993-408-32,CARBAMAZEPINE 200 MG CP12 120 EACH BOTTLE,9.82,3.93,3.93,8.84,17
NDC,66993-456-30,DAPAGLIFLOZIN 5 MG TABS 30 EACH BOTTLE,110.63,44.25,44.25,99.57,17
NDC,66993-490-36,IBUPROFEN LYSINE PF 10 MG/ML SOLN 2 ML VIAL,2299.44,919.78,919.78,2069.5,17
NDC,66993-490-84,IBUPROFEN LYSINE PF 10 MG/ML SOLN 2 ML VIAL,2299.44,919.78,919.78,2069.5,17
NDC,66993-682-30,OLANZAPINE 7.5 MG TABS 30 EACH BOTTLE,80.33,32.13,32.13,72.3,17
NDC,66993-727-57,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 473 ML BOTTLE,22.75,9.1,9.1,20.48,17
NDC,66993-730-51,DEXAMETHASONE 4 MG TABS 1 EACH,6.03,2.41,2.41,5.43,17
NDC,66993-730-80,DEXAMETHASONE 4 MG TABS 100 EACH BOX,6.03,2.41,2.41,5.43,17
NDC,67066-006-01,SECRETIN 16 MCG SOLR 1 EACH VIAL,2142.0,856.8,24.9,1927.8,32
NDC,67157-101-50,ASCORBIC ACID 25000 MG/50ML SOLN 50 ML VIAL,1493.62,597.45,597.45,1344.26,17
NDC,67157-101-51,ASCORBIC ACID 25000 MG/50ML SOLN 50 ML VIAL,1475.45,590.18,590.18,1327.91,17
NDC,67457-118-50,ASCORBIC ACID 500 MG/ML SOLN 50 ML VIAL,499.56,199.82,199.82,449.6,17
NDC,67457-124-10,DIPHENHYDRAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-134-50,MAGNESIUM CHLORIDE 200 MG/ML SOLN 50 ML VIAL,95.5,38.2,38.2,85.95,17
NDC,67457-153-00,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,67457-153-03,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL,35.0,14.0,0.56,31.5,16
NDC,67457-153-09,AMIODARONE HCL 450 MG/9ML SOLN 9 ML VIAL,53.37,21.35,0.56,48.03,16
NDC,67457-153-99,AMIODARONE HCL 450 MG/9ML SOLN 9 ML VIAL,53.42,21.37,0.56,48.08,16
NDC,67457-162-02,SODIUM TETRADECYL SULFATE 1 % SOLN 2 ML VIAL,431.26,172.5,172.5,388.13,17
NDC,67457-163-02,SODIUM TETRADECYL SULFATE 3 % SOLN 2 ML VIAL,431.26,172.5,172.5,388.13,17
NDC,67457-177-50,DIMETHYL SULFOXIDE 50 % SOLN 50 ML VIAL,3677.94,1471.18,545.82,3310.15,32
NDC,67457-181-20,KETAMINE 10 MG/ML SOLN 20 ML VIAL,120.6,48.24,48.24,108.54,17
NDC,67457-182-00,ESMOLOL HCL 100 MG/10ML SOLN 10 ML VIAL,43.75,17.5,17.5,39.38,17
NDC,67457-187-50,ALLOPURINOL 500 MG SOLR 1 EACH VIAL,20094.77,8037.91,4.07,18085.29,32
NDC,67457-195-01,MELPHALAN 50 MG SOLR 1 EACH VIAL,12632.13,5052.85,86.94,11368.92,32
NDC,67457-196-00,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-197-00,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,399.23,159.69,159.69,359.31,17
NDC,67457-197-10,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,399.23,159.69,159.69,359.31,17
NDC,67457-198-10,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1582.23,632.89,632.89,1424.01,17
NDC,67457-198-98,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1582.26,632.9,632.9,1424.03,17
NDC,67457-210-05,CIDOFOVIR 75 MG/ML SOLN 5 ML VIAL,4983.13,1993.25,301.1,4484.82,32
NDC,67457-217-20,METHADONE 10 MG/ML SOLN 20 ML VIAL,2367.88,947.15,947.15,2131.09,17
NDC,67457-218-10,CLONIDINE HCL ANALGESIA 100 MCG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,16
NDC,67457-220-00,ISOSULFAN BLUE 1 % SOLN 5 ML VIAL,670.23,268.09,268.09,603.21,17
NDC,67457-220-05,ISOSULFAN BLUE 1 % SOLN 5 ML VIAL,670.23,268.09,268.09,603.21,17
NDC,67457-228-00,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-228-05,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-228-10,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,43.75,17.5,17.5,39.38,17
NDC,67457-228-99,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,43.75,17.5,17.5,39.38,17
NDC,67457-265-10,LEVETIRACETAM IN NACL 1000 MG/100ML SOLN 100 ML FLEX CONT,297.5,119.0,0.05,267.75,16
NDC,67457-292-00,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,118.62,47.45,47.45,106.76,17
NDC,67457-292-02,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,118.62,47.45,47.45,106.76,17
NDC,67457-297-50,ETHACRYNIC ACID 50 MG SOLR 1 EACH VIAL,19152.0,7660.8,7660.8,17236.8,17
NDC,67457-299-00,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,655.45,262.18,262.18,589.91,17
NDC,67457-299-10,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,655.45,262.18,262.18,589.91,17
NDC,67457-323-25,MOXIFLOXACIN 400 MG/250ML SOLN 250 ML FLEX CONT,275.0,110.0,11.71,247.5,16
NDC,67457-339-00,VANCOMYCIN 500 MG SOLR 1 EACH VIAL,48.25,19.3,0.04,43.43,16
NDC,67457-340-00,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,96.25,38.5,0.04,86.63,16
NDC,67457-340-01,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,96.24,38.5,0.04,86.62,16
NDC,67457-351-01,AMPICILLIN 1 G SOLR 1 EACH VIAL,43.2,17.28,17.28,38.88,17
NDC,67457-351-10,AMPICILLIN 1 G SOLR 1 EACH VIAL,43.2,17.28,17.28,38.88,17
NDC,67457-366-10,IBUTILIDE FUMARATE 1 MG/10ML SOLN 10 ML VIAL,1715.25,686.1,175.89,1543.73,32
NDC,67457-385-10,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-385-99,HEPARIN PORCINE 1000 UNIT/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-386-00,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,400.2,160.08,160.08,360.18,17
NDC,67457-386-81,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,400.2,160.08,160.08,360.18,17
NDC,67457-390-54,ZOLEDRONIC ACID 4 MG/5ML CONC 5 ML VIAL,2973.6,1189.44,6.58,2676.24,16
NDC,67457-410-13,HALOPERIDOL DECANOATE 50 MG/ML SOLN 1 ML VIAL,66.0,26.4,26.4,59.4,17
NDC,67457-420-10,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-421-00,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML SOLN 30 ML VIAL,63.0,25.2,25.2,56.7,17
NDC,67457-421-30,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML SOLN 30 ML VIAL,63.0,25.2,25.2,56.7,17
NDC,67457-423-00,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,67457-423-12,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,67457-426-00,HALOPERIDOL LACTATE 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-426-12,HALOPERIDOL LACTATE 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-430-10,PAMIDRONATE 30 MG/10ML SOLN 10 ML VIAL,162.0,64.8,64.8,145.8,17
NDC,67457-433-00,FAMOTIDINE PF 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-433-22,FAMOTIDINE PF 20 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-436-50,DOXORUBICIN 50 MG SOLR 1 EACH VIAL,1451.94,580.78,3.93,1306.75,16
NDC,67457-438-00,VECURONIUM 10 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-438-10,VECURONIUM SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-440-22,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-445-60,RIFAMPIN 600 MG SOLR 1 EACH VIAL,886.1,354.44,0.18,797.49,16
NDC,67457-446-10,PAMIDRONATE 90 MG/10ML SOLN 10 ML VIAL,561.35,224.54,12.53,505.22,16
NDC,67457-452-20,CYTARABINE PF 100 MG/ML SOLN 20 ML VIAL,120.0,48.0,1.08,108.0,16
NDC,67457-457-20,FAMOTIDINE 200 MG/20ML SOLN 20 ML VIAL,53.4,21.36,21.36,48.06,17
NDC,67457-473-00,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-473-22,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,67457-475-20,VECURONIUM 20 MG SOLR 1 EACH VIAL,68.4,27.36,27.36,61.56,17
NDC,67457-513-05,DACTINOMYCIN 0.5 MG SOLR 1 EACH VIAL,7654.87,3061.95,289.0,6889.38,32
NDC,67457-524-33,IBANDRONATE SODIUM 3 MG/3ML SOLN 3 ML SYRINGE,2121.84,848.74,37.19,1909.66,16
NDC,67457-528-10,LEUCOVORIN 100 MG SOLR 1 EACH VIAL,120.0,48.0,4.19,108.0,16
NDC,67457-530-35,LEUCOVORIN 350 MG SOLR 1 EACH VIAL,156.0,62.4,4.19,140.4,16
NDC,67457-532-08,DOCETAXEL 80 MG/8ML SOLN 8 ML VIAL,1650.0,660.0,0.78,1485.0,16
NDC,67457-553-00,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,78.75,31.5,31.5,70.88,17
NDC,67457-554-00,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,39.0,15.6,15.6,35.1,17
NDC,67457-583-04,FONDAPARINUX SODIUM 5 MG/0.4ML SOLN 0.4 ML SYRINGE,591.61,236.64,0.94,532.45,16
NDC,67457-585-08,FONDAPARINUX SODIUM 10 MG/0.8ML SOLN 0.8 ML SYRINGE,591.61,236.64,0.94,532.45,16
NDC,67457-588-10,EPOPROSTENOL 1.5 MG SOLR 1 EACH VIAL,281.05,112.42,21.06,252.95,16
NDC,67457-618-10,GEMCITABINE HCL 2 GM/52.6ML SOLN 52.6 ML VIAL,481.29,192.52,4.07,433.16,16
NDC,67457-619-10,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML VIAL,4218.48,1687.39,6.58,3796.63,16
NDC,67457-629-10,EPTIFIBATIDE 20 MG/10ML SOLN 10 ML VIAL,862.68,345.07,3.73,776.41,26
NDC,67457-631-10,EPTIFIBATIDE 75 MG/100ML SOLN 100 ML VIAL,2464.98,985.99,3.73,2218.48,26
NDC,67457-640-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,55.5,22.2,22.2,49.95,17
NDC,67457-657-25,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,2118.9,847.56,847.56,1907.01,17
NDC,67457-665-20,POSACONAZOLE 300 MG/16.7ML SOLN 16.7 ML VIAL,2539.84,1015.94,0.29,2285.86,16
NDC,67457-675-02,CALCITONIN 200 UNIT/ML SOLN 2 ML VIAL,5040.0,2016.0,800.0,4536.0,23
NDC,67457-779-30,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 30 ML VIAL,225.75,90.3,0.07,203.18,16
NDC,67457-794-10,ZOLEDRONIC ACID 5 MG/100ML SOLN 100 ML BAG,1932.0,772.8,6.58,1738.8,16
NDC,67457-823-12,VANCOMYCIN HCL 1.25 G SOLR 1 EACH VIAL,120.6,48.24,0.16,108.54,16
NDC,67457-824-15,VANCOMYCIN HCL 1.5 G SOLR 1 EACH VIAL,144.72,57.89,0.16,130.25,16
NDC,67457-824-99,VANCOMYCIN HCL 1.5 G SOLR 1 EACH VIAL,144.72,57.89,57.89,130.25,15
NDC,67457-839-02,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,1488.74,595.5,595.5,1339.87,17
NDC,67457-847-44,TRASTUZUMABDKST 420 MG SOLR 1 EACH VIAL,13230.25,5292.1,31.95,11907.23,32
NDC,67457-852-00,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,109.12,43.65,43.65,98.21,17
NDC,67457-852-04,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,109.12,43.65,43.65,98.21,17
NDC,67457-853-50,ACETAZOLAMIDE 500 MG SOLR 1 EACH VIAL,240.0,96.0,96.0,216.0,17
NDC,67457-855-00,ADENOSINE 6 MG/2ML SOLN 2 ML VIAL,37.5,15.0,0.73,33.75,16
NDC,67457-855-02,ADENOSINE 6 MG/2ML SOLN 2 ML VIAL,37.5,15.0,0.73,33.75,16
NDC,67457-857-30,ADENOSINE DIAGNOSTIC 3 MG/ML SOLN 30 ML VIAL,1081.92,432.77,0.73,973.73,16
NDC,67457-887-00,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,449.65,179.86,179.86,404.69,17
NDC,67457-887-99,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,450.11,180.04,180.04,405.1,17
NDC,67457-902-00,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,58.85,23.54,23.54,52.97,17
NDC,67457-902-10,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,58.85,23.54,23.54,52.97,17
NDC,67457-903-00,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,65.4,26.16,26.16,58.86,17
NDC,67457-903-20,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,65.4,26.16,26.16,58.86,17
NDC,67457-940-10,ACETAMINOPHEN 10 MG/ML SOLN 100 ML FLEX CONT,225.0,90.0,0.08,202.5,16
NDC,67457-991-15,TRASTUZUMABDKST 150 MG SOLR 1 EACH VIAL,4740.16,1896.06,31.95,4266.14,32
NDC,67546-111-14,NITAZOXANIDE 500 MG TABS 12 EACH BOTTLE,799.94,319.98,319.98,719.95,17
NDC,67546-212-21,NITAZOXANIDE 100 MG/5ML SUSR 60 ML BOTTLE,261.0,104.4,104.4,234.9,17
NDC,67618-101-30,DOCUSATE SODIUM 100 MG CAPS 30 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,67618-11128,DOCUSATE SODIUM 50 MG CAPS 28 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,67777-251-01,AMMONIA INHA 10 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,67777-419-01,POVIDONEIODINE 10 % SWAB 50 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,67850-021-00,AMPICILLIN 1 G SOLR 1 EACH VIAL,39.5,15.8,15.8,35.55,17
NDC,67850-024-00,AMPICILLIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,67871-4790-6,ETHANOLAMINE 5 % SOLN 2 ML AMPULE,2188.4,875.36,373.44,1969.56,32
NDC,67877-124-20,SILVER SULFADIAZINE 1 % CREA 20 G TUBE,144.8,57.92,57.92,130.32,17
NDC,67877-124-40,SILVER SULFADIAZINE 1 % CREA 400 G JAR,382.72,153.09,153.09,344.45,17
NDC,67877-197-90,AMLODIPINE 2.5 MG TABS 90 EACH BOTTLE,8.72,3.49,3.49,7.85,17
NDC,67877-215-60,CEFUROXIME 250 MG TABS 60 EACH BOTTLE,28.43,11.37,11.37,25.59,17
NDC,67877-222-10,GABAPENTIN 100 MG CAPS 1000 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,67877-223-01,GABAPENTIN 300 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,67877-230-22,MYCOPHENOLATE 200 MG/ML SUSR 160 ML BOTTLE,56.62,22.65,0.21,50.96,16
NDC,67877-251-15,TRIAMCINOLONE 0.1 % CREA 15 G TUBE,29.18,11.67,11.67,26.26,17
NDC,67877-251-45,TRIAMCINOLONE 0.1 % CREA 454 G JAR,156.63,62.65,62.65,140.97,17
NDC,67877-251-80,TRIAMCINOLONE 0.1 % CREA 80 G TUBE,72.8,29.12,29.12,65.52,17
NDC,67877-266-01,MYCOPHENOLATE 250 MG CAPS 100 EACH BOTTLE,19.97,7.99,0.21,17.97,16
NDC,67877-274-30,LANSOPRAZOLE 15 MG CPDR 30 EACH BOTTLE,29.23,11.69,11.69,26.31,17
NDC,67877-286-60,RILUZOLE 50 MG TABS 60 EACH BOTTLE,184.7,73.88,73.88,166.23,17
NDC,67877-298-09,CHOLESTYRAMINE 4 G PACK 1 EACH PACKET,16.84,6.74,6.74,15.16,17
NDC,67877-298-60,CHOLESTYRAMINE 4 G PACK 60 EACH BOX,16.84,6.74,6.74,15.16,17
NDC,67877-317-15,TRIAMCINOLONE 0.025 % CREA 15 G TUBE,22.73,9.09,9.09,20.46,17
NDC,67877-419-01,LINEZOLID 600 MG TABS 100 EACH BOTTLE,844.85,337.94,337.94,760.37,17
NDC,67877-419-20,LINEZOLID 600 MG TABS 20 EACH BOTTLE,844.85,337.94,337.94,760.37,17
NDC,67877-419-33,LINEZOLID 600 MG TABS 1 EACH,844.85,337.94,337.94,760.37,17
NDC,67877-419-84,LINEZOLID 600 MG TABS 30 EACH BOX,844.85,337.94,337.94,760.37,17
NDC,67877-426-12,MYCOPHENOLATE 180 MG TBEC 120 EACH BOTTLE,22.84,9.14,0.44,20.56,16
NDC,67877-430-03,ARIPIPRAZOLE 2 MG TABS 30 EACH BOTTLE,160.03,64.01,64.01,144.03,17
NDC,67877-473-79,LIDOCAINE 5 % OINT 35.44 G TUBE,1386.52,554.61,554.61,1247.87,17
NDC,67877-503-30,CINACALCET 30 MG TABS 30 EACH BOTTLE,153.25,61.3,0.01,137.93,22
NDC,67877-504-30,CINACALCET 60 MG TABS 30 EACH BOTTLE,306.54,122.62,0.01,275.89,22
NDC,67877-537-07,TEMOZOLOMIDE 5 MG CAPS 5 EACH BOTTLE,70.36,28.14,0.59,63.32,16
NDC,67877-538-07,TEMOZOLOMIDE 20 MG CAPS 5 EACH BOTTLE,283.52,113.41,0.59,255.17,16
NDC,67877-538-14,TEMOZOLOMIDE 20 MG CAPS 14 EACH BOTTLE,284.1,113.64,0.59,255.69,16
NDC,67877-545-88,CEPHALEXIN 250 MG/5ML SUSR 100 ML BOTTLE,114.5,45.8,45.8,103.05,17
NDC,67877-547-98,CEFDINIR 125 MG/5ML SUSR 60 ML BOTTLE,254.4,101.76,101.76,228.96,17
NDC,67877-548-98,CEFDINIR 250 MG/5ML SUSR 60 ML BOTTLE,456.78,182.71,182.71,411.1,17
NDC,67877-656-01,DEXMETHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,67877-674-63,VIGABATRIN 500 MG PACK 50 EACH BOX,600.97,240.39,240.39,540.87,17
NDC,67877-697-01,CHLORTHALIDONE 50 MG TABS 100 EACH BOTTLE,7.42,2.97,2.97,6.68,17
NDC,67877-746-01,SIROLIMUS 0.5 MG TABS 100 EACH BOTTLE,42.37,16.95,1.13,38.13,16
NDC,67877-753-60,DRONABINOL 2.5 MG CAPS 60 EACH BOTTLE,32.56,13.02,13.02,29.3,17
NDC,67877-754-60,DRONABINOL 5 MG CAPS 60 EACH BOTTLE,67.73,27.09,27.09,60.96,17
NDC,67877-755-60,DRONABINOL 10 MG CAPS 60 EACH BOTTLE,124.44,49.78,49.78,112.0,17
NDC,67877-878-20,CEFPODOXIME 100 MG TABS 20 EACH BOTTLE,33.72,13.49,13.49,30.35,17
NDC,67877-879-20,CEFPODOXIME 200 MG TABS 20 EACH BOTTLE,42.14,16.86,16.86,37.93,17
NDC,67919-020-10,ALVIMOPAN 12 MG CAPS 30 EACH BOX,1003.76,401.5,401.5,903.38,17
NDC,67919-030-01,CEFTOLOZANETAZOBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,962.47,384.99,4.38,866.22,32
NDC,67979-001-01,VALRUBICIN 40 MG/ML SOLN 5 ML VIAL,40853.52,16341.41,1051.72,36768.17,32
NDC,68001-439-00,FEXOFENADINE 60 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,68084-027-01,WARFARIN 2.5 MG TABS 100 EACH BOX,3.18,1.27,1.27,2.86,17
NDC,68084-027-11,WARFARIN 2.5 MG TABS 1 EACH,3.18,1.27,1.27,2.86,17
NDC,68084-040-01,MISOPROSTOL 100 MCG TABS 100 EACH BOX,12.4,4.96,4.96,11.16,17
NDC,68084-044-01,PAROXETINE 10 MG TABS 100 EACH BOX,13.36,5.34,5.34,12.02,17
NDC,68084-044-11,PAROXETINE 10 MG TABS 1 EACH,13.36,5.34,5.34,12.02,17
NDC,68084-045-01,PAROXETINE 20 MG TABS 100 EACH BOX,13.95,5.58,5.58,12.56,17
NDC,68084-045-11,PAROXETINE 20 MG TABS 1 EACH,13.95,5.58,5.58,12.56,17
NDC,68084-059-21,ZAFIRLUKAST 20 MG TABS 30 EACH BOX,17.22,6.89,6.89,15.5,17
NDC,68084-070-01,CIPROFLOXACIN 500 MG TABS 100 EACH BOX,15.89,6.36,6.36,14.3,17
NDC,68084-070-11,CIPROFLOXACIN 500 MG TABS 1 EACH,15.89,6.36,6.36,14.3,17
NDC,68084-075-11,TRETINOIN 10 MG CAPS 1 EACH,151.6,60.64,60.64,136.44,17
NDC,68084-075-21,TRETINOIN 10 MG CAPS 30 EACH BOX,151.6,60.64,60.64,136.44,17
NDC,68084-082-01,ISOSORBIDE DINITRATE 10 MG TABS 100 EACH BOX,6.25,2.5,2.5,5.63,17
NDC,68084-082-11,ISOSORBIDE DINITRATE 10 MG TABS 1 EACH,6.25,2.5,2.5,5.63,17
NDC,68084-083-01,ISOSORBIDE DINITRATE 20 MG TABS 100 EACH BOX,6.75,2.7,2.7,6.08,17
NDC,68084-083-11,ISOSORBIDE DINITRATE 20 MG TABS 1 EACH,6.75,2.7,2.7,6.08,17
NDC,68084-094-01,CARBIDOPALEVODOPA 25250 MG TABS 100 EACH BOX,4.74,1.9,1.9,4.27,17
NDC,68084-097-01,ATORVASTATIN 10 MG TABS 100 EACH BOX,3.16,1.26,1.26,2.84,17
NDC,68084-097-11,ATORVASTATIN 10 MG TABS 1 EACH,3.16,1.26,1.26,2.84,17
NDC,68084-098-01,ATORVASTATIN 20 MG TABS 100 EACH BOX,4.29,1.72,1.72,3.86,17
NDC,68084-098-11,ATORVASTATIN 20 MG TABS 1 EACH,4.29,1.72,1.72,3.86,17
NDC,68084-099-01,ATORVASTATIN 40 MG TABS 100 EACH BOX,4.29,1.72,1.72,3.86,17
NDC,68084-099-11,ATORVASTATIN 40 MG TABS 1 EACH,4.29,1.72,1.72,3.86,17
NDC,68084-103-09,ZIPRASIDONE 20 MG CAPS 80 EACH BOX,42.33,16.93,16.93,38.1,17
NDC,68084-103-11,ZIPRASIDONE 20 MG CAPS 1 EACH,42.33,16.93,16.93,38.1,17
NDC,68084-104-09,ZIPRASIDONE 40 MG CAPS 80 EACH BOX,42.33,16.93,16.93,38.1,17
NDC,68084-104-11,ZIPRASIDONE 40 MG CAPS 1 EACH,42.33,16.93,16.93,38.1,17
NDC,68084-107-01,ACYCLOVIR 200 MG CAPS 100 EACH BOX,6.55,2.62,2.62,5.9,17
NDC,68084-107-11,ACYCLOVIR 200 MG CAPS 1 EACH,6.55,2.62,2.62,5.9,17
NDC,68084-108-01,ACYCLOVIR 400 MG TABS 100 EACH BOX,9.88,3.95,3.95,8.89,17
NDC,68084-108-11,ACYCLOVIR 400 MG TABS 1 EACH,9.88,3.95,3.95,8.89,17
NDC,68084-109-01,ACYCLOVIR 800 MG TABS 100 EACH BOX,22.75,9.1,9.1,20.48,17
NDC,68084-109-11,ACYCLOVIR 800 MG TABS 1 EACH,22.75,9.1,9.1,20.48,17
NDC,68084-111-01,GLIPIZIDE 5 MG TB24 100 EACH BOX,3.6,1.44,1.44,3.24,17
NDC,68084-111-11,GLIPIZIDE 5 MG TB24 1 EACH,3.6,1.44,1.44,3.24,17
NDC,68084-119-01,MIRTAZAPINE 15 MG TABS 100 EACH BOX,5.23,2.09,2.09,4.71,17
NDC,68084-119-11,MIRTAZAPINE 15 MG TABS 1 EACH,5.2,2.08,2.08,4.68,17
NDC,68084-120-01,MIRTAZAPINE 30 MG TABS 100 EACH BOX,6.44,2.58,2.58,5.8,17
NDC,68084-120-11,MIRTAZAPINE 30 MG TABS 1 EACH,6.45,2.58,2.58,5.81,17
NDC,68084-128-01,OMEPRAZOLE 20 MG CPDR 100 EACH BOX,5.57,2.23,2.23,5.01,17
NDC,68084-128-11,OMEPRAZOLE 20 MG CPDR 1 EACH,5.55,2.22,2.22,5.0,17
NDC,68084-155-01,PROMETHAZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-155-11,PROMETHAZINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-157-01,MORPHINE SULFATE ER 15 MG TAB CR 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-157-11,MORPHINE SULFATE ER 15 MG TAB CR 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-189-11,ZOLPIDEM 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-202-01,PRIMIDONE 50 MG TABS 100 EACH BOX,4.88,1.95,1.95,4.39,17
NDC,68084-202-11,PRIMIDONE 50 MG TABS 1 EACH,4.9,1.96,1.96,4.41,17
NDC,68084-203-01,PRIMIDONE 250 MG TABS 100 EACH BOX,5.25,2.1,2.1,4.73,17
NDC,68084-203-11,PRIMIDONE 250 MG TABS 1 EACH,5.25,2.1,2.1,4.73,17
NDC,68084-204-01,MINOXIDIL 2.5 MG TABS 100 EACH BOX,8.48,3.39,3.39,7.63,17
NDC,68084-204-11,MINOXIDIL 2.5 MG TABS 1 EACH,8.48,3.39,3.39,7.63,17
NDC,68084-205-01,MINOXIDIL 10 MG TABS 100 EACH BOX,10.59,4.24,4.24,9.53,17
NDC,68084-205-11,MINOXIDIL 10 MG TABS 1 EACH,10.6,4.24,4.24,9.54,17
NDC,68084-214-01,BENZONATATE 100 MG CAPS 100 EACH BOX,3.65,1.46,1.46,3.29,17
NDC,68084-214-11,BENZONATATE 100 MG CAPS 1 EACH,3.65,1.46,1.46,3.29,17
NDC,68084-215-01,VALACYCLOVIR 500 MG TABS 100 EACH BOX,19.87,7.95,7.95,17.88,17
NDC,68084-215-11,VALACYCLOVIR 500 MG TABS 1 EACH,19.87,7.95,7.95,17.88,17
NDC,68084-220-01,ONDANSETRON 4 MG TABS 100 EACH BOX,119.72,47.89,47.89,107.75,17
NDC,68084-220-11,ONDANSETRON 4 MG TABS 1 EACH,119.72,47.89,47.89,107.75,17
NDC,68084-221-11,ONDANSETRON 8 MG TABS 1 EACH,5.75,2.3,2.3,5.18,17
NDC,68084-229-01,AZATHIOPRINE 50 MG TABS 100 EACH BOX,4.23,1.69,0.08,3.81,16
NDC,68084-229-11,AZATHIOPRINE 50 MG TABS 1 EACH,4.23,1.69,0.08,3.81,16
NDC,68084-243-01,CLINDAMYCIN 150 MG CAPS 100 EACH BOX,3.14,1.26,1.26,2.83,17
NDC,68084-243-11,CLINDAMYCIN 150 MG CAPS 1 EACH,3.14,1.26,1.26,2.83,17
NDC,68084-244-01,CLINDAMYCIN 300 MG CAPS 100 EACH BOX,6.49,2.6,2.6,5.84,17
NDC,68084-248-01,LORATADINE 10 MG TABS 100 EACH BOX,3.51,1.4,1.4,3.16,17
NDC,68084-248-11,LORATADINE 10 MG TABS 1 EACH,3.51,1.4,1.4,3.16,17
NDC,68084-249-01,HALOPERIDOL 10 MG TABS 100 EACH BOX,9.51,3.8,3.8,8.56,17
NDC,68084-249-11,HALOPERIDOL 10 MG TABS 1 EACH,9.5,3.8,3.8,8.55,17
NDC,68084-252-11,BUPROPION 300 MG TB24 1 EACH,23.84,9.54,9.54,21.46,17
NDC,68084-252-21,BUPROPION 300 MG TB24 30 EACH BOX,23.84,9.54,9.54,21.46,17
NDC,68084-269-01,HYDROXYCHLOROQUINE 200 MG TABS 100 EACH BOX,21.95,8.78,8.78,19.76,17
NDC,68084-269-11,HYDROXYCHLOROQUINE 200 MG TABS 1 EACH,21.95,8.78,8.78,19.76,17
NDC,68084-270-01,RISPERIDONE 0.25 MG TABS 100 EACH BOX,19.47,7.79,7.79,17.52,17
NDC,68084-270-11,RISPERIDONE 0.25 MG TABS 1 EACH,19.47,7.79,7.79,17.52,17
NDC,68084-271-01,RISPERIDONE 0.5 MG TABS 100 EACH BOX,21.36,8.54,8.54,19.22,17
NDC,68084-271-11,RISPERIDONE 0.5 MG TABS 1 EACH,21.36,8.54,8.54,19.22,17
NDC,68084-272-01,RISPERIDONE 1 MG TABS 100 EACH BOX,22.71,9.08,9.08,20.44,17
NDC,68084-272-11,RISPERIDONE 1 MG TABS 1 EACH,22.71,9.08,9.08,20.44,17
NDC,68084-274-01,RISPERIDONE 3 MG TABS 100 EACH BOX,44.57,17.83,17.83,40.11,17
NDC,68084-274-11,RISPERIDONE 3 MG TABS 1 EACH,44.57,17.83,17.83,40.11,17
NDC,68084-280-01,ETHAMBUTOL 400 MG TABS 100 EACH BOX,8.13,3.25,3.25,7.32,17
NDC,68084-280-11,ETHAMBUTOL 400 MG TABS 1 EACH,8.13,3.25,3.25,7.32,17
NDC,68084-282-01,CARBIDOPALEVODOPA 50200 MG TAB CR 100 EACH BOX,7.91,3.16,3.16,7.12,17
NDC,68084-284-01,HYDROXYUREA 500 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-284-11,HYDROXYUREA 500 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-288-01,FLUDROCORTISONE 0.1 MG TABS 100 EACH BOX,5.28,2.11,2.11,4.75,17
NDC,68084-288-11,FLUDROCORTISONE 0.1 MG TABS 1 EACH,5.25,2.1,2.1,4.73,17
NDC,68084-291-21,NALTREXONE 50 MG TABS 30 EACH BOX,21.56,8.62,8.62,19.4,17
NDC,68084-299-01,TAMSULOSIN 0.4 MG CAPS 100 EACH BOX,21.07,8.43,8.43,18.96,17
NDC,68084-299-11,TAMSULOSIN 0.4 MG CAPS 1 EACH,21.07,8.43,8.43,18.96,17
NDC,68084-300-11,DANTROLENE 25 MG CAPS 1 EACH,9.7,3.88,3.88,8.73,17
NDC,68084-300-21,DANTROLENE 25 MG CAPS 30 EACH BOX,9.69,3.88,3.88,8.72,17
NDC,68084-310-01,DIVALPROEX 250 MG TB24 100 EACH BOX,12.24,4.9,4.9,11.02,17
NDC,68084-310-11,DIVALPROEX 250 MG TB24 1 EACH,12.24,4.9,4.9,11.02,17
NDC,68084-313-01,DIVALPROEX SODIUM 125 MG CSDR 100 EACH BOX,7.1,2.84,2.84,6.39,17
NDC,68084-313-65,DIVALPROEX SODIUM 125 MG CSDR 50 EACH BOX,5.56,2.22,2.22,5.0,17
NDC,68084-318-01,LAMOTRIGINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-318-11,LAMOTRIGINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-319-01,LAMOTRIGINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-319-11,LAMOTRIGINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-327-01,GLIMEPIRIDE 4 MG TABS 100 EACH BOX,6.1,2.44,2.44,5.49,17
NDC,68084-342-01,TOPIRAMATE 25 MG TABS 100 EACH BOX,10.5,4.2,4.2,9.45,17
NDC,68084-342-11,TOPIRAMATE 25 MG TABS 1 EACH,10.5,4.2,4.2,9.45,17
NDC,68084-344-01,TOPIRAMATE 100 MG TABS 100 EACH BOX,31.0,12.4,12.4,27.9,17
NDC,68084-344-11,TOPIRAMATE 100 MG TABS 1 EACH,31.0,12.4,12.4,27.9,17
NDC,68084-345-11,TOPIRAMATE 200 MG TABS 1 EACH,5.6,2.24,2.24,5.04,17
NDC,68084-345-21,TOPIRAMATE 200 MG TABS 30 EACH BOX,5.61,2.24,2.24,5.05,17
NDC,68084-346-01,LOSARTAN 25 MG TABS 100 EACH BOX,8.39,3.36,3.36,7.55,17
NDC,68084-346-11,LOSARTAN 25 MG TABS 1 EACH,8.39,3.36,3.36,7.55,17
NDC,68084-347-01,LOSARTAN 50 MG TABS 100 EACH BOX,11.25,4.5,4.5,10.13,17
NDC,68084-347-11,LOSARTAN 50 MG TABS 1 EACH,11.25,4.5,4.5,10.13,17
NDC,68084-354-01,OXYCODONE 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-354-11,OXYCODONE 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-355-01,OXYCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-360-09,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 80 EACH BOX,4.0,1.6,1.6,3.6,17
NDC,68084-373-01,ACETAMINOPHENCODEINE 30060 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-376-01,PHENYTOIN 100 MG CAPS 100 EACH BOX,3.21,1.28,1.28,2.89,17
NDC,68084-376-11,PHENYTOIN 100 MG CAPS 1 EACH,3.2,1.28,1.28,2.88,17
NDC,68084-381-01,BENZTROPINE 0.5 MG TABS 100 EACH BOX,6.0,2.4,2.4,5.4,17
NDC,68084-381-11,BENZTROPINE 0.5 MG TABS 1 EACH,6.0,2.4,2.4,5.4,17
NDC,68084-388-01,BENZTROPINE 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-388-11,BENZTROPINE 1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-389-01,BENZTROPINE 2 MG TABS 100 EACH BOX,3.36,1.34,1.34,3.02,17
NDC,68084-389-11,BENZTROPINE 2 MG TABS 1 EACH,3.35,1.34,1.34,3.02,17
NDC,68084-411-11,INDOMETHACIN 75 MG CPCR 1 EACH,15.39,6.16,6.16,13.85,17
NDC,68084-411-21,INDOMETHACIN 75 MG CPCR 30 EACH BOX,15.39,6.16,6.16,13.85,17
NDC,68084-415-01,DIVALPROEX 500 MG TB24 100 EACH BOX,19.16,7.66,7.66,17.24,17
NDC,68084-415-11,DIVALPROEX 500 MG TB24 1 EACH,19.16,7.66,7.66,17.24,17
NDC,68084-444-01,CARBAMAZEPINE 200 MG TABS 100 EACH BOX,3.4,1.36,1.36,3.06,17
NDC,68084-444-11,CARBAMAZEPINE 200 MG TABS 1 EACH,3.4,1.36,1.36,3.06,17
NDC,68084-447-01,HYDRALAZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-447-11,HYDRALAZINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-449-01,TACROLIMUS 0.5 MG CAPS 100 EACH BOX,11.15,4.46,0.22,10.04,16
NDC,68084-449-11,TACROLIMUS 0.5 MG CAPS 1 EACH,11.15,4.46,0.22,10.04,16
NDC,68084-450-01,TACROLIMUS 1 MG CAPS 100 EACH BOX,22.3,8.92,0.22,20.07,16
NDC,68084-450-11,TACROLIMUS 1 MG CAPS 1 EACH,22.3,8.92,0.22,20.07,16
NDC,68084-451-01,TACROLIMUS 5 MG CAPS 100 EACH BOX,111.49,44.6,0.22,100.34,16
NDC,68084-451-11,TACROLIMUS 5 MG CAPS 1 EACH,111.49,44.6,0.22,100.34,16
NDC,68084-479-01,CALCIUM ACETATE PHOS BINDER 667 MG CAPS 100 EACH BOX,8.4,3.36,3.36,7.56,17
NDC,68084-479-11,CALCIUM ACETATE PHOS BINDER 667 MG CAPS 1 EACH,8.4,3.36,3.36,7.56,17
NDC,68084-494-01,PYRIDOSTIGMINE 60 MG TABS 100 EACH BOX,7.41,2.96,2.96,6.67,17
NDC,68084-494-11,PYRIDOSTIGMINE 60 MG TABS 1 EACH,7.4,2.96,2.96,6.66,17
NDC,68084-511-01,SIMVASTATIN 10 MG TABS 100 EACH BOX,13.95,5.58,5.58,12.56,17
NDC,68084-511-11,SIMVASTATIN 10 MG TABS 1 EACH,13.95,5.58,5.58,12.56,17
NDC,68084-512-01,SIMVASTATIN 20 MG TABS 100 EACH BOX,24.61,9.84,9.84,22.15,17
NDC,68084-512-11,SIMVASTATIN 20 MG TABS 1 EACH,24.61,9.84,9.84,22.15,17
NDC,68084-525-01,OLANZAPINE 2.5 MG TABS 100 EACH BOX,55.86,22.34,22.34,50.27,17
NDC,68084-525-11,OLANZAPINE 2.5 MG TABS 1 EACH,55.86,22.34,22.34,50.27,17
NDC,68084-536-01,CLOPIDOGREL 75 MG TABS 100 EACH BOX,34.07,13.63,13.63,30.66,17
NDC,68084-536-11,CLOPIDOGREL 75 MG TABS 1 EACH,34.07,13.63,13.63,30.66,17
NDC,68084-539-01,TORSEMIDE 20 MG TABS 100 EACH BOX,4.19,1.68,1.68,3.77,17
NDC,68084-539-11,TORSEMIDE 20 MG TABS 1 EACH,4.19,1.68,1.68,3.77,17
NDC,68084-549-11,TEMAZEPAM 7.5 MG CAPS 1 EACH,41.75,16.7,16.7,37.58,17
NDC,68084-549-21,TEMAZEPAM 7.5 MG CAPS 30 EACH BOX,41.75,16.7,16.7,37.58,17
NDC,68084-572-01,GUAIFENESIN 600 MG TB12 100 EACH BOX,1.5,0.6,0.6,1.35,17
NDC,68084-572-11,GUAIFENESIN 600 MG TB12 1 EACH,1.5,0.6,0.6,1.35,17
NDC,68084-598-01,NIFEDIPINE 60 MG TB24 100 EACH BOX,14.84,5.94,5.94,13.36,17
NDC,68084-598-11,NIFEDIPINE 60 MG TB24 1 EACH,14.85,5.94,5.94,13.37,17
NDC,68084-602-01,PERPHENAZINE 4 MG TABS 100 EACH BOX,10.52,4.21,4.21,9.47,17
NDC,68084-607-01,PERPHENAZINE 8 MG TABS 100 EACH BOX,12.64,5.06,5.06,11.38,17
NDC,68084-618-01,ESCITALOPRAM 20 MG TABS 100 EACH BOX,22.99,9.2,9.2,20.69,17
NDC,68084-618-11,ESCITALOPRAM 20 MG TABS 1 EACH,22.99,9.2,9.2,20.69,17
NDC,68084-621-11,MODAFINIL 100 MG TABS 1 EACH,131.89,52.76,52.76,118.7,17
NDC,68084-621-21,MODAFINIL 100 MG TABS 30 EACH BOX,131.89,52.76,52.76,118.7,17
NDC,68084-640-01,LITHIUM 300 MG TAB CR 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-640-11,LITHIUM 300 MG TAB CR 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-645-01,TIZANIDINE 4 MG TABS 100 EACH BOX,7.57,3.03,3.03,6.81,17
NDC,68084-645-11,TIZANIDINE 4 MG TABS 1 EACH,7.57,3.03,3.03,6.81,17
NDC,68084-654-01,SOTALOL 80 MG TABS 100 EACH BOX,11.6,4.64,4.64,10.44,17
NDC,68084-654-11,SOTALOL 80 MG TABS 1 EACH,11.6,4.64,4.64,10.44,17
NDC,68084-655-01,LITHIUM 450 MG TAB CR 100 EACH BOX,3.78,1.51,1.51,3.4,17
NDC,68084-655-11,LITHIUM 450 MG TAB CR 1 EACH,3.78,1.51,1.51,3.4,17
NDC,68084-697-01,BUPROPION 100 MG TB12 100 EACH BOX,8.32,3.33,3.33,7.49,17
NDC,68084-698-01,VENLAFAXINE 37.5 MG CP24 100 EACH BOX,18.71,7.48,7.48,16.84,17
NDC,68084-698-11,VENLAFAXINE 37.5 MG CP24 1 EACH,18.71,7.48,7.48,16.84,17
NDC,68084-708-25,BUPROPION 150 MG TB12 30 EACH BOX,3.67,1.47,1.47,3.3,17
NDC,68084-708-95,BUPROPION 150 MG TB12 1 EACH,3.67,1.47,1.47,3.3,17
NDC,68084-709-01,VENLAFAXINE 75 MG CP24 100 EACH BOX,20.99,8.4,8.4,18.89,17
NDC,68084-709-11,VENLAFAXINE 75 MG CP24 1 EACH,20.99,8.4,8.4,18.89,17
NDC,68084-713-01,VENLAFAXINE 150 MG CP24 100 EACH BOX,22.86,9.14,9.14,20.57,17
NDC,68084-713-11,VENLAFAXINE 150 MG CP24 1 EACH,22.86,9.14,9.14,20.57,17
NDC,68084-722-11,MOXIFLOXACIN 400 MG TABS 1 EACH,134.57,53.83,53.83,121.11,17
NDC,68084-722-65,MOXIFLOXACIN 400 MG TABS 50 EACH BOX,134.57,53.83,53.83,121.11,17
NDC,68084-723-01,OLANZAPINE 5 MG TABS 100 EACH BOX,54.46,21.78,21.78,49.01,17
NDC,68084-728-01,FLUCONAZOLE 100 MG TABS 100 EACH BOX,11.23,4.49,4.49,10.11,17
NDC,68084-728-11,FLUCONAZOLE 100 MG TABS 1 EACH,11.2,4.48,4.48,10.08,17
NDC,68084-729-21,GALANTAMINE 4 MG TABS 30 EACH BOX,23.94,9.58,9.58,21.55,17
NDC,68084-735-01,FLUCONAZOLE 200 MG TABS 100 EACH BOX,16.17,6.47,6.47,14.55,17
NDC,68084-735-11,FLUCONAZOLE 200 MG TABS 1 EACH,16.15,6.46,6.46,14.54,17
NDC,68084-738-01,METHADONE 10 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-738-11,METHADONE 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-752-25,CLOPIDOGREL 300 MG TABS 30 EACH BOX,133.17,53.27,53.27,119.85,17
NDC,68084-752-95,CLOPIDOGREL 300 MG TABS 1 EACH,133.17,53.27,53.27,119.85,17
NDC,68084-753-11,CYCLOBENZAPRINE 5 MG TABS 1 EACH,4.23,1.69,1.69,3.81,17
NDC,68084-753-25,CYCLOBENZAPRINE 5 MG TABS 30 EACH BOX,6.25,2.5,2.5,5.63,17
NDC,68084-753-65,CYCLOBENZAPRINE 5 MG TABS 50 EACH BOX,4.23,1.69,1.69,3.81,17
NDC,68084-753-95,CYCLOBENZAPRINE 5 MG TABS 1 EACH,6.25,2.5,2.5,5.63,17
NDC,68084-765-11,LISINOPRIL 2.5 MG TABS 1 EACH,3.42,1.37,1.37,3.08,17
NDC,68084-765-21,LISINOPRIL 2.5 MG TABS 30 EACH BOX,3.42,1.37,1.37,3.08,17
NDC,68084-775-95,TIZANIDINE 2 MG TABS 1 EACH,8.75,3.5,3.5,7.88,17
NDC,68084-776-01,DIVALPROEX 250 MG TBEC 100 EACH BOX,8.81,3.52,3.52,7.93,17
NDC,68084-776-11,DIVALPROEX 250 MG TBEC 1 EACH,8.81,3.52,3.52,7.93,17
NDC,68084-782-11,DIVALPROEX 500 MG TBEC 1 EACH,16.15,6.46,6.46,14.54,17
NDC,68084-782-61,DIVALPROEX 500 MG TBEC 90 EACH BOX,16.15,6.46,6.46,14.54,17
NDC,68084-805-11,METHYLPHENIDATE 5 MG TABS 1 EACH,14.05,5.62,5.62,12.65,17
NDC,68084-805-21,METHYLPHENIDATE 5 MG TABS 30 EACH BOX,14.04,5.62,5.62,12.64,17
NDC,68084-808-01,TRAMADOL 50 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,68084-808-11,TRAMADOL 50 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-823-11,METHYLPHENIDATE 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-823-21,METHYLPHENIDATE 10 MG TABS 30 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-827-25,FENOFIBRATE 54 MG TABS 30 EACH BOX,6.52,2.61,2.61,5.87,17
NDC,68084-836-25,DOXAZOSIN 1 MG TABS 30 EACH BOX,5.08,2.03,2.03,4.57,17
NDC,68084-844-01,VENLAFAXINE 37.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-844-11,VENLAFAXINE 37.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-847-01,HYDROXYZINE 25 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-847-11,HYDROXYZINE 25 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-851-01,DOXAZOSIN 2 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
NDC,68084-854-01,CARVEDILOL 6.25 MG TABS 100 EACH BOX,9.75,3.9,3.9,8.78,17
NDC,68084-854-11,CARVEDILOL 6.25 MG TABS 1 EACH,9.75,3.9,3.9,8.78,17
NDC,68084-856-01,VENLAFAXINE 75 MG TABS 100 EACH BOX,10.93,4.37,4.37,9.84,17
NDC,68084-856-11,VENLAFAXINE 75 MG TABS 1 EACH,10.93,4.37,4.37,9.84,17
NDC,68084-859-01,LEVETIRACETAM 250 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68084-859-11,LEVETIRACETAM 250 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68084-862-01,DOXAZOSIN 4 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
NDC,68084-875-01,MONTELUKAST 10 MG TABS 100 EACH BOX,27.53,11.01,11.01,24.78,17
NDC,68084-875-11,MONTELUKAST 10 MG TABS 1 EACH,27.53,11.01,11.01,24.78,17
NDC,68084-879-25,CYCLOSPORINE 25 MG CAPS 30 EACH BOX,28.74,11.5,11.5,25.87,17
NDC,68084-879-95,CYCLOSPORINE 25 MG CAPS 1 EACH,28.75,11.5,11.5,25.88,17
NDC,68084-882-01,LEVETIRACETAM 750 MG TABS 100 EACH BOX,4.2,1.68,1.68,3.78,17
NDC,68084-882-11,LEVETIRACETAM 750 MG TABS 1 EACH,4.2,1.68,1.68,3.78,17
NDC,68084-896-25,VENLAFAXINE 25 MG TABS 30 EACH BOX,10.34,4.14,4.14,9.31,17
NDC,68084-896-95,VENLAFAXINE 25 MG TABS 1 EACH,10.34,4.14,4.14,9.31,17
NDC,68084-918-25,MYCOPHENOLATE 360 MG TBEC 30 EACH BOX,50.0,20.0,0.44,45.0,16
NDC,68084-918-95,MYCOPHENOLATE 360 MG TBEC 1 EACH,50.0,20.0,0.44,45.0,16
NDC,68084-921-25,CYCLOSPORINE 100 MG CAPS 30 EACH BOX,99.28,39.71,2.65,89.35,16
NDC,68084-921-95,CYCLOSPORINE 100 MG CAPS 1 EACH,99.3,39.72,2.65,89.37,16
NDC,68084-947-32,QUININE 324 MG CAPS 20 EACH BOX,26.47,10.59,10.59,23.82,17
NDC,68084-965-25,VALGANCICLOVIR 450 MG TABS 30 EACH BOX,95.64,38.26,38.26,86.08,17
NDC,68084-965-95,VALGANCICLOVIR 450 MG TABS 1 EACH,95.65,38.26,38.26,86.09,17
NDC,68084-975-01,OXYCODONE 15 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68084-975-11,OXYCODONE 15 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68084-996-01,PRAZOSIN 1 MG CAPS 100 EACH BOX,8.93,3.57,3.57,8.04,17
NDC,68084-996-11,PRAZOSIN 1 MG CAPS 1 EACH,8.93,3.57,3.57,8.04,17
NDC,68094-001-59,MORPHINE 10 MG/5ML SOLN 5 ML CUP,10.0,4.0,4.0,9.0,17
NDC,68094-004-59,CETIRIZINE 5 MG/5ML SOLN 5 ML CUP,17.3,6.92,6.92,15.57,17
NDC,68094-004-62,CETIRIZINE 5 MG/5ML SOLN 5 ML CUP,17.3,6.92,6.92,15.57,17
NDC,68094-005-59,OXYCODONE 15 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
NDC,68094-005-61,OXYCODONE 15 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
NDC,68094-018-59,DIPHENHYDRAMINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68094-018-61,DIPHENHYDRAMINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68094-029-59,LOPERAMIDE HCL 1 MG/7.5ML SOLN 7.5 ML CUP,15.71,6.28,6.28,14.14,17
NDC,68094-030-59,ACETAMINOPHEN 160 MG/5ML 20.3 ML CUP,3.47,1.39,1.39,3.12,17
NDC,68094-031-59,METHADONE 5 MG/5ML SOLN 5 ML CUP,12.05,4.82,4.82,10.85,17
NDC,68094-031-62,METHADONE 5 MG/5ML SOLN 5 ML CUP,12.05,4.82,4.82,10.85,17
NDC,68094-034-64,SEVELAMER 800 MG TABS 90 EACH BOX,11.4,4.56,4.56,10.26,17
NDC,68094-043-59,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,27.05,10.82,10.82,24.35,17
NDC,68094-043-61,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,27.05,10.82,10.82,24.35,17
NDC,68094-045-01,MORPHINE 20 MG/ML SOLN 0.5 ML SYRINGE,8.88,3.55,3.55,7.99,17
NDC,68094-045-58,MORPHINE 20 MG/ML SOLN 0.5 ML SYRINGE,8.88,3.55,3.55,7.99,17
NDC,68094-065-62,GUANFACINE 1 MG TABS 30 EACH BOX,16.4,6.56,6.56,14.76,17
NDC,68094-074-01,CLOBAZAM 2.5 MG/ML SUSP 4 ML SYRINGE,32.4,12.96,12.96,29.16,17
NDC,68094-074-58,CLOBAZAM 2.5 MG/ML SUSP 4 ML SYRINGE,32.4,12.96,12.96,29.16,17
NDC,68094-101-20,PHENTOLAMINE 5 MG SOLR 1 EACH VIAL,2115.79,846.32,288.63,1904.21,32
NDC,68094-110-59,MELATONIN 3 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,68094-110-61,MELATONIN 3 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,68094-147-01,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML BOTTLE,100.25,40.1,40.1,90.23,17
NDC,68094-147-20,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML BOTTLE,100.25,40.1,40.1,90.23,17
NDC,68094-231-59,ACETAMINOPHEN 160 MG/5ML 5 ML CUP,1.62,0.65,0.65,1.46,17
NDC,68094-231-61,ACETAMINOPHEN 160 MG/5ML 5 ML CUP,1.62,0.65,0.65,1.46,17
NDC,68094-231-62,ACETAMINOPHEN 160 MG/5ML 5 ML CUP,1.76,0.7,0.7,1.58,17
NDC,68094-494-59,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.68,0.67,0.67,1.51,17
NDC,68094-494-61,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.68,0.67,0.67,1.51,17
NDC,68094-494-62,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.76,0.7,0.7,1.58,17
NDC,68094-600-59,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.84,0.74,0.74,1.66,17
NDC,68094-600-61,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.84,0.74,0.74,1.66,17
NDC,68094-600-62,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.9,0.76,0.76,1.71,17
NDC,68094-690-30,AZITHROMYCIN 600 MG TABS 30 EACH BOTTLE,11.37,4.55,4.55,10.23,17
NDC,68094-750-59,DIAZEPAM 1 MG/ML SOLN 5 ML CUP,23.0,9.2,9.2,20.7,17
NDC,68094-750-62,DIAZEPAM 1 MG/ML SOLN 5 ML CUP,23.0,9.2,9.2,20.7,17
NDC,68094-804-50,METFORMIN 750 MG TB24 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,68094-808-50,METHAZOLAMIDE 50 MG TABS 100 EACH BOTTLE,17.95,7.18,7.18,16.16,17
NDC,68094-908-50,METHAZOLAMIDE 25 MG TABS 100 EACH BOTTLE,9.18,3.67,3.67,8.26,17
NDC,68176-00015,DEKAS PLUS CHEW 60 EACH BOTTLE,3.05,1.22,1.22,2.75,17
NDC,68180-180-01,CEFADROXIL 500 MG CAPS 100 EACH BOTTLE,18.0,7.2,7.2,16.2,17
NDC,68180-181-02,CEFADROXIL 250 MG/5ML SUSR 100 ML BOTTLE,304.0,121.6,121.6,273.6,17
NDC,68180-280-01,ETHAMBUTOL 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,68180-282-01,ATOVAQUONE 750 MG/5ML SUSP 210 ML BOTTLE,5788.57,2315.43,2315.43,5209.71,17
NDC,68180-286-07,ABACAVIRLAMIVUDINEZIDOVUDINE 300150300 MG TABS 60 EACH BOTTLE,144.87,57.95,57.95,130.38,17
NDC,68180-314-06,IMIPRAMINE 75 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
NDC,68180-315-06,IMIPRAMINE 100 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
NDC,68180-316-06,IMIPRAMINE 125 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
NDC,68180-317-06,IMIPRAMINE 150 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
NDC,68180-319-06,BUPROPION 150 MG TB24 30 EACH BOTTLE,23.87,9.55,9.55,21.48,17
NDC,68180-320-06,BUPROPION 300 MG TB24 30 EACH BOTTLE,23.84,9.54,9.54,21.46,17
NDC,68180-402-01,CEFPROZIL 250 MG/5ML SUSR 50 ML BOTTLE,195.5,78.2,78.2,175.95,17
NDC,68180-407-03,CEFIXIME 200 MG/5ML SUSR 50 ML BOTTLE,2048.84,819.54,819.54,1843.96,17
NDC,68180-422-01,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,769.81,307.92,307.92,692.83,17
NDC,68180-441-01,CEPHALEXIN 250 MG/5ML SUSR 100 ML BOTTLE,144.0,57.6,57.6,129.6,17
NDC,68180-441-02,CEPHALEXIN 250 MG/5ML SUSR 200 ML BOTTLE,256.0,102.4,102.4,230.4,17
NDC,68180-467-07,LOVASTATIN 10 MG TABS 60 EACH BOTTLE,6.73,2.69,2.69,6.06,17
NDC,68180-468-01,LOVASTATIN 20 MG TABS 100 EACH BOTTLE,11.87,4.75,4.75,10.68,17
NDC,68180-479-02,SIMVASTATIN 20 MG TABS 90 EACH BOTTLE,24.61,9.84,9.84,22.15,17
NDC,68180-502-01,MELOXICAM 15 MG TABS 100 EACH BOTTLE,24.22,9.69,9.69,21.8,17
NDC,68180-518-01,LISINOPRILHYDROCHLOROTHIAZIDE 1012.5 MG TABS 100 EACH BOTTLE,5.6,2.24,2.24,5.04,17
NDC,68180-519-01,LISINOPRILHYDROCHLOROTHIAZIDE 2012.5 MG TABS 100 EACH BOTTLE,6.07,2.43,2.43,5.46,17
NDC,68180-520-01,LISINOPRILHYDROCHLOROTHIAZIDE 2025 MG TABS 100 EACH BOTTLE,6.14,2.46,2.46,5.53,17
NDC,68180-560-06,QUININE 324 MG CAPS 30 EACH BOTTLE,35.36,14.14,14.14,31.82,17
NDC,68180-566-01,TRANDOLAPRIL 1 MG TABS 100 EACH BOTTLE,6.2,2.48,2.48,5.58,17
NDC,68180-567-01,TRANDOLAPRIL 2 MG TABS 100 EACH BOTTLE,6.2,2.48,2.48,5.58,17
NDC,68180-568-01,TRANDOLAPRIL 4 MG TABS 100 EACH BOTTLE,6.2,2.48,2.48,5.58,17
NDC,68180-612-07,QUETIAPINE FUMARATE 50 MG TB24 60 EACH BOTTLE,44.35,17.74,17.74,39.92,17
NDC,68180-614-07,QUETIAPINE 200 MG TB24 60 EACH BOTTLE,87.64,35.06,35.06,78.88,17
NDC,68180-615-07,QUETIAPINE 300 MG TB24 60 EACH BOTTLE,114.91,45.96,45.96,103.42,17
NDC,68180-616-07,QUETIAPINE 400 MG TB24 60 EACH BOTTLE,135.05,54.02,54.02,121.55,17
NDC,68180-657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5ML SUSR 60 ML BOTTLE,114.0,45.6,45.6,102.6,17
NDC,68180-678-01,OSELTAMIVIR 6 MG/ML SUSR 60 ML BOTTLE,68.23,27.29,27.29,61.41,17
NDC,68180-711-60,CEFDINIR 300 MG CAPS 60 EACH BOTTLE,25.57,10.23,10.23,23.01,17
NDC,68180-722-04,CEFDINIR 125 MG/5ML SUSR 60 ML BOTTLE,255.0,102.0,102.0,229.5,17
NDC,68180-722-10,CEFDINIR 125 MG/5ML SUSR 100 ML BOTTLE,371.68,148.67,148.67,334.51,17
NDC,68180-723-04,CEFDINIR 250 MG/5ML SUSR 60 ML BOTTLE,457.61,183.04,183.04,411.85,17
NDC,68180-852-11,LEVONORGESTREL 1.5 MG TABS 1 EACH BOX,182.8,73.12,73.12,164.52,17
NDC,68180-861-11,AZITHROMYCIN 250 MG TABS 6 EACH DISP PACK,38.92,15.57,15.57,35.03,17
NDC,68180-963-01,ALBUTEROL 108 90 BASE MCG/ACT AERS 8.5 G INHALER,370.09,148.04,148.04,333.08,17
NDC,68308-152-15,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,109.73,43.89,43.89,98.76,17
NDC,68382-004-14,TOPIRAMATE 15 MG CPSP 60 EACH BOTTLE,12.08,4.83,4.83,10.87,17
NDC,68382-005-14,TOPIRAMATE 25 MG CPSP 60 EACH BOTTLE,14.61,5.84,5.84,13.15,17
NDC,68382-018-01,VENLAFAXINE 25 MG TABS 100 EACH BOTTLE,9.72,3.89,3.89,8.75,17
NDC,68382-020-01,VENLAFAXINE 50 MG TABS 100 EACH BOTTLE,10.31,4.12,4.12,9.28,17
NDC,68382-080-01,HALOPERIDOL 10 MG TABS 100 EACH BOTTLE,7.18,2.87,2.87,6.46,17
NDC,68382-092-01,CARVEDILOL 3.125 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
NDC,68382-093-01,CARVEDILOL 6.25 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
NDC,68382-094-01,CARVEDILOL 12.5 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
NDC,68382-095-01,CARVEDILOL 25 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
NDC,68382-132-01,TAMSULOSIN 0.4 MG CAPS 100 EACH BOTTLE,21.07,8.43,8.43,18.96,17
NDC,68382-187-01,DIPYRIDAMOLE 25 MG TABS 100 EACH BOTTLE,7.11,2.84,2.84,6.4,17
NDC,68382-189-01,DIPYRIDAMOLE 75 MG TABS 100 EACH BOTTLE,15.31,6.12,6.12,13.78,17
NDC,68382-247-01,BENZONATATE 100 MG CAPS 100 EACH BOTTLE,5.07,2.03,2.03,4.56,17
NDC,68382-297-06,AMIODARONE 100 MG TABS 30 EACH BOTTLE,37.15,14.86,14.86,33.44,17
NDC,68382-370-01,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,140.03,56.01,56.01,126.03,17
NDC,68382-396-01,SODIUM BENZOATESODIUM PHENYLACETATE 1010 % SOLN 50 ML VIAL,183960.0,73584.0,71744.4,165564.0,17
NDC,68382-407-01,HALOPERIDOL 0.5 MG TABS 100 EACH BOTTLE,4.47,1.79,1.79,4.02,17
NDC,68382-520-01,SIROLIMUS 0.5 MG TABS 100 EACH BOTTLE,43.27,17.31,1.13,38.94,16
NDC,68382-536-01,POTASSIUM CITRATE 5 MEQ 540 MG TAB CR 100 EACH BOTTLE,8.76,3.5,3.5,7.88,17
NDC,68382-582-01,LIOTHYRONINE 5 MCG TABS 100 EACH BOTTLE,3.96,1.58,1.58,3.56,17
NDC,68382-583-01,LIOTHYRONINE 25 MCG TABS 100 EACH BOTTLE,5.21,2.08,2.08,4.69,17
NDC,68382-619-28,COLESEVELAM 625 MG TABS 180 EACH BOTTLE,18.72,7.49,7.49,16.85,17
NDC,68382-623-01,BUSPIRONE 7.5 MG TABS 100 EACH BOTTLE,7.9,3.16,3.16,7.11,17
NDC,68382-659-06,PYRIDOSTIGMINE 60 MG TABS 30 EACH BOTTLE,6.38,2.55,2.55,5.74,17
NDC,68382-758-01,METFORMIN 500 MG TABS 100 EACH BOTTLE,3.52,1.41,1.41,3.17,17
NDC,68382-782-01,DOXYCYCLINE 50 MG CAPS 100 EACH BOTTLE,7.26,2.9,2.9,6.53,17
NDC,68382-799-01,LABETALOL 200 MG TABS 100 EACH BOTTLE,5.68,2.27,2.27,5.11,17
NDC,68382-860-02,BENZTROPINE MESYLATE 1 MG/ML SOLN 2 ML VIAL,293.75,117.5,117.5,264.38,17
NDC,68382-860-10,BENZTROPINE MESYLATE 1 MG/ML SOLN 2 ML VIAL,293.75,117.5,117.5,264.38,17
NDC,68382-918-18,METHYLPREDNISOLONE 16 MG TABS 50 EACH BOTTLE,17.71,7.08,7.08,15.94,17
NDC,68403-1100-6,BOTULISM IMMUNE GLOBULIN HUMAN 100 MG SOLR 1 EACH VIAL,145530.0,58212.0,13.65,130977.0,16
NDC,68455-10697,DUODERM CGF DRESSING MISC 5 EACH BOX,37.14,14.86,14.86,33.43,17
NDC,68455-10826,STOMAHESIVE PROTECTIVE POWD 28.3 G BOTTLE,36.37,14.55,14.55,32.73,17
NDC,68462-106-30,ONDANSETRON 8 MG TABS 30 EACH BOTTLE,178.38,71.35,71.35,160.54,17
NDC,68462-108-60,TOPIRAMATE 25 MG TABS 60 EACH BOTTLE,11.09,4.44,4.44,9.98,17
NDC,68462-110-60,TOPIRAMATE 200 MG TABS 60 EACH BOTTLE,35.37,14.15,14.15,31.83,17
NDC,68462-138-01,OXCARBAZEPINE 300 MG TABS 100 EACH BOTTLE,13.05,5.22,5.22,11.75,17
NDC,68462-157-13,ONDANSETRON 4 MG TBDP 30 EACH BOX,115.57,46.23,46.23,104.01,17
NDC,68462-157-40,ONDANSETRON 4 MG TBDP 1 EACH,115.57,46.23,46.23,104.01,17
NDC,68462-158-11,ONDANSETRON 8 MG TBDP 10 EACH BOX,192.49,77.0,77.0,173.24,17
NDC,68462-158-13,ONDANSETRON 8 MG TBDP 30 EACH BOX,192.5,77.0,77.0,173.25,17
NDC,68462-158-40,ONDANSETRON 8 MG TBDP 1 EACH,192.49,77.0,77.0,173.24,17
NDC,68462-208-01,MOEXIPRIL 15 MG TABS 100 EACH BOTTLE,7.28,2.91,2.91,6.55,17
NDC,68462-209-01,MOEXIPRIL 7.5 MG TABS 100 EACH BOTTLE,6.95,2.78,2.78,6.26,17
NDC,68462-257-01,ROPINIROLE 3 MG TABS 100 EACH BOTTLE,13.0,5.2,5.2,11.7,17
NDC,68462-260-01,VERAPAMIL 240 MG TAB CR 100 EACH BOTTLE,8.18,3.27,3.27,7.36,17
NDC,68462-292-01,VERAPAMIL 120 MG TAB CR 100 EACH BOTTLE,5.37,2.15,2.15,4.83,17
NDC,68462-293-01,VERAPAMIL 180 MG TAB CR 100 EACH BOTTLE,7.2,2.88,2.88,6.48,17
NDC,68462-302-01,INDOMETHACIN 50 MG CAPS 100 EACH BOTTLE,3.19,1.28,1.28,2.87,17
NDC,68462-304-50,NORETHINDRONE 5 MG TABS 50 EACH BOTTLE,13.25,5.3,5.3,11.93,17
NDC,68462-406-01,INDOMETHACIN 25 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,68462-461-60,TROSPIUM 20 MG TABS 60 EACH BOTTLE,14.19,5.68,5.68,12.77,17
NDC,68462-470-40,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,68462-470-54,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,68462-534-65,TACROLIMUS 0.1 % OINT 60 G TUBE,2187.86,875.14,875.14,1969.07,17
NDC,68462-583-85,APREPITANT 40 MG CAPS 5 EACH BOX,505.71,202.28,3.55,455.14,16
NDC,68462-622-10,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,285.0,114.0,0.67,256.5,26
NDC,68462-622-64,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,285.0,114.0,0.67,256.5,26
NDC,68462-850-01,DILTIAZEM 60 MG CP12 100 EACH BOTTLE,17.29,6.92,6.92,15.56,17
NDC,68462-904-01,POSACONAZOLE 300 MG/16.7ML SOLN 16.7 ML VIAL,2673.46,1069.38,0.29,2406.11,16
NDC,68462-945-10,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,285.0,114.0,0.67,256.5,26
NDC,68462-945-64,FOSPHENYTOIN 500 MG PE/10ML SOLN 10 ML VIAL,285.0,114.0,0.67,256.5,26
NDC,68516-3605-2,COAGULATION FACTOR IX 1000 UNITS SOLR 1 EACH VIAL,35.0,14.0,1.25,31.5,32
NDC,68516-5214-1,ALBUMIN HUMAN 5 % SOLN 250 ML VIAL,281.25,112.5,41.9,253.13,32
NDC,68516-5214-2,ALBUMIN HUMAN 5 % SOLN 500 ML VIAL,517.5,207.0,10.62,465.75,32
NDC,68516-5214-4,ALBUMIN HUMAN 5 % SOLN 500 ML VIAL,517.5,207.0,10.62,465.75,32
NDC,68516-5214-5,ALBUMIN HUMAN 5 % SOLN 50 ML VIAL,197.75,79.1,10.62,177.98,32
NDC,68516-5216-1,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,280.75,112.3,53.32,252.68,32
NDC,68516-5216-2,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,516.58,206.63,53.32,464.92,32
NDC,68516-5216-3,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,280.75,112.3,53.32,252.68,32
NDC,68516-5216-4,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,516.58,206.63,53.32,464.92,32
NDC,68546-317-30,GLATIRAMER ACETATE 20 MG/ML SOSY 1 ML SYRINGE,1308.98,523.59,47.77,1178.08,23
NDC,68547-111-10,SULBACTAMDURLOBACTAM 11 G SOLR 3 EACH BOX,966.0,386.4,386.4,869.4,17
NDC,68547-501-02,ANGIOTENSIN II ACETATE 2.5 MG/ML SOLN 1 ML VIAL,9570.96,3828.38,0.5,8613.86,16
NDC,68682-008-10,DILTIAZEM 90 MG TABS 100 EACH BOTTLE,10.71,4.28,4.28,9.64,17
NDC,68682-299-05,LOTEPREDNOL 0.5 % SUSP 5 ML BOTTLE,1179.67,471.87,471.87,1061.7,17
NDC,68682-455-70,METRONIDAZOLE 0.75 % GEL 70 G TUBE,735.45,294.18,294.18,661.91,17
NDC,68682-650-20,DIAZEPAM 2.5 MG GEL 1 EACH BOX,1411.74,564.7,564.7,1270.57,17
NDC,68682-652-20,DIAZEPAM 10 MG GEL 1 EACH BOX,1674.68,669.87,669.87,1507.21,17
NDC,68682-655-20,DIAZEPAM 20 MG GEL 1 EACH BOX,1674.68,669.87,669.87,1507.21,17
NDC,68682-710-01,ENALAPRIL 2.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,68682-711-01,ENALAPRIL 5 MG TABS 100 EACH BOTTLE,3.33,1.33,1.33,3.0,17
NDC,68682-712-01,ENALAPRIL 10 MG TABS 100 EACH BOTTLE,3.5,1.4,1.4,3.15,17
NDC,68682-713-01,ENALAPRIL 20 MG TABS 100 EACH BOTTLE,4.98,1.99,1.99,4.48,17
NDC,68682-713-10,ENALAPRIL 20 MG TABS 1000 EACH BOTTLE,4.73,1.89,1.89,4.26,17
NDC,68682-920-64,TETRACAINE 0.5 % SOLN 15 ML BOTTLE,496.8,198.72,198.72,447.12,17
NDC,68682-994-98,DILTIAZEM 180 MG CP24 90 EACH BOTTLE,5.61,2.24,2.24,5.05,17
NDC,68682-997-98,DILTIAZEM 240 MG CP24 90 EACH BOTTLE,7.96,3.18,3.18,7.16,17
NDC,68682-998-98,DILTIAZEM 300 MG CP24 90 EACH BOTTLE,10.32,4.13,4.13,9.29,17
NDC,68727-712-01,LURBINECTEDIN 4 MG SOLR 1 EACH VIAL,41580.0,16632.0,159.19,37422.0,32
NDC,68727-745-02,DAUNORUBICINCYTARABINE LIPO 44100 MG SUSR 1 EACH VIAL,55339.2,22135.68,174.16,49805.28,32
NDC,68727-800-01,DEFIBROTIDE SODIUM 200 MG/2.5ML SOLN 2.5 ML VIAL,6022.8,2409.12,2348.89,5420.52,17
NDC,68727-900-03,ASPARAGINASE ERWINIA CHRYRYWN 10 MG/0.5ML SOLN 0.5 ML VIAL,26762.4,10704.96,42.12,24086.16,32
NDC,68803-612-10,TRYPAN BLUE 0.06 % SOSY 0.5 ML SYRINGE,478.2,191.28,191.28,430.38,17
NDC,68803-672-05,TRYPAN BLUE 0.15 % SOSY 0.5 ML SYRINGE,1066.46,426.58,426.58,959.81,17
NDC,68803-722-05,BRILLIANT BLUE G 0.025 % SOSY 0.5 ML SYRINGE,926.72,370.69,370.69,834.05,17
NDC,68803-722-25,BRILLIANT BLUE G 0.025 % SOSY 0.5 ML SYRINGE,926.69,370.68,370.68,834.02,17
NDC,68817-134-50,PACLITAXELPROTEIN BOUND 100 MG SUSR 1 EACH VIAL,7963.49,3185.4,6.59,7167.14,32
NDC,68850-012-02,ETHAMBUTOL 400 MG TABS 100 EACH BOX,4.88,1.95,1.95,4.39,17
NDC,68968-5555-3,METHYLPHENIDATE 30 MG/9HR PTCH 30 EACH BOX,36.12,14.45,14.45,32.51,17
NDC,68982-623-03,ALBUMIN HUMAN 5 % SOLN 500 ML VIAL,765.9,306.36,10.62,689.31,32
NDC,68982-643-02,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,633.88,253.55,53.32,570.49,32
NDC,68992-3010-1,TACROLIMUS ER 1 MG TB24 100 EACH BOTTLE,42.87,17.15,17.15,38.58,17
NDC,68992-3010-3,TACROLIMUS ER 1 MG TB24 30 EACH BOTTLE,42.87,17.15,17.15,38.58,17
NDC,68992-3040-1,TACROLIMUS ER 4 MG TB24 100 EACH BOTTLE,171.47,68.59,68.59,154.32,17
NDC,68992-3075-1,TACROLIMUS ER 0.75 MG TB24 100 EACH BOTTLE,32.15,12.86,12.86,28.94,17
NDC,68992-3075-3,TACROLIMUS ER 0.75 MG TB24 30 EACH BOTTLE,32.15,12.86,12.86,28.94,17
NDC,69097-008-22,NICARDIPINE 400.83 MG/200ML% SOLN 200 ML FLEX CONT,441.6,176.64,176.64,397.44,17
NDC,69097-055-67,POTASSIUM PHOSPHATES 150 MMOLE/50ML SOLN 50 ML VIAL,642.16,256.86,256.86,577.94,17
NDC,69097-055-97,POTASSIUM PHOSPHATES 150 MMOLE/50ML SOLN 50 ML VIAL,642.16,256.86,256.86,577.94,17
NDC,69097-142-60,ALBUTEROL 108 90 BASE MCG/ACT AERS 6.7 G INHALER,370.11,148.04,148.04,333.1,17
NDC,69097-210-02,EFAVIRENZEMTRICITABTENOFO DF 600200300 MG TABS 30 EACH BOTTLE,523.48,209.39,209.39,471.13,17
NDC,69097-301-02,EFAVIRENZ 600 MG TABS 30 EACH BOTTLE,178.87,71.55,71.55,160.98,17
NDC,69097-319-53,BUDESONIDE 0.5 MG/2ML SUSP 2 ML PLAS CONT,55.83,22.33,1.09,50.25,18
NDC,69097-321-32,BUDESONIDE 1 MG/2ML SUSP 2 ML PLAS CONT,60.0,24.0,1.09,54.0,18
NDC,69097-321-53,BUDESONIDE 1 MG/2ML SUSP 2 ML PLAS CONT,60.0,24.0,1.09,54.0,18
NDC,69097-321-86,BUDESONIDE 1 MG/2ML SUSP 2 ML PLAS CONT,115.4,46.16,1.09,103.86,18
NDC,69097-321-87,BUDESONIDE 1 MG/2ML SUSP 2 ML PLAS CONT,115.4,46.16,1.09,103.86,18
NDC,69097-361-08,GRISEOFULVIN MICROSIZE 125 MG/5ML SUSP 120 ML BOTTLE,358.8,143.52,143.52,322.92,17
NDC,69097-362-02,ABACAVIRLAMIVUDINE 600300 MG TABS 30 EACH BOTTLE,232.51,93.0,93.0,209.26,17
NDC,69097-387-02,AMBRISENTAN 10 MG TABS 30 EACH BOTTLE,1530.86,612.34,612.34,1377.77,17
NDC,69097-516-07,CYCLOPHOSPHAMIDE 25 MG CAPS 100 EACH BOTTLE,46.0,18.4,18.4,41.4,17
NDC,69097-517-07,CYCLOPHOSPHAMIDE 50 MG CAPS 100 EACH BOTTLE,88.75,35.5,35.5,79.88,17
NDC,69097-709-30,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML VIAL,36.0,14.4,3.55,32.4,16
NDC,69097-709-96,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML VIAL,36.0,14.4,3.55,32.4,16
NDC,69097-845-07,CYCLOBENZAPRINE 5 MG TABS 100 EACH BOTTLE,8.21,3.28,3.28,7.39,17
NDC,69097-846-07,CYCLOBENZAPRINE 10 MG TABS 100 EACH BOTTLE,5.79,2.32,2.32,5.21,17
NDC,69194-210-01,CALCIUM CHLORIDE 10 G/500 ML SOLN 500 ML BAG,217.25,86.9,86.9,195.53,17
NDC,69194-550-01,BRILLIANT BLUE G 0.5 ML VIAL,60.0,24.0,24.0,54.0,17
NDC,69194-625-01,CALCIUM CHLORIDE 10 G/500 ML SOLN 500 ML BAG,217.25,86.9,86.9,195.53,17
NDC,69238-1124-9,NADOLOL 40 MG TABS 90 EACH BOTTLE,27.26,10.9,10.9,24.53,17
NDC,69238-1125-9,NADOLOL 80 MG TABS 90 EACH BOTTLE,37.45,14.98,14.98,33.71,17
NDC,69238-1126-1,ETHACRYNIC ACID 25 MG TABS 100 EACH BOTTLE,120.96,48.38,48.38,108.86,17
NDC,69238-1342-1,ETODOLAC 400 MG TABS 100 EACH BOTTLE,7.34,2.94,2.94,6.61,17
NDC,69238-1459-2,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 473 ML BOTTLE,60.9,24.36,24.36,54.81,17
NDC,69238-1476-6,POSACONAZOLE 100 MG TBEC 60 EACH BOTTLE,370.04,148.02,148.02,333.04,17
NDC,69238-1489-1,BUMETANIDE 0.5 MG TABS 100 EACH BOTTLE,12.14,4.86,4.86,10.93,17
NDC,69238-1678-1,FLUPHENAZINE 1 MG TABS 100 EACH BOTTLE,21.96,8.78,8.78,19.76,17
NDC,69238-1679-1,FLUPHENAZINE 2.5 MG TABS 100 EACH BOTTLE,34.0,13.6,13.6,30.6,17
NDC,69238-1681-1,FLUPHENAZINE 10 MG TABS 100 EACH BOTTLE,58.0,23.2,23.2,52.2,17
NDC,69238-1731-2,PYRIDOSTIGMINE 60 MG/5ML SOLN 473 ML BOTTLE,5626.05,2250.42,2250.42,5063.45,17
NDC,69238-1745-8,PILOCARPINE 1 % SOLN 15 ML BOTTLE,453.4,181.36,181.36,408.06,17
NDC,69238-1746-8,PILOCARPINE 2 % SOLN 15 ML BOTTLE,463.75,185.5,185.5,417.38,17
NDC,69238-1837-1,LEVOTHYROXINE 137 MCG TABS 100 EACH BOTTLE,3.34,1.34,1.34,3.01,17
NDC,69238-2078-1,PROPRANOLOL 20 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69292-524-01,CAPTOPRIL 25 MG TABS 100 EACH BOTTLE,8.35,3.34,3.34,7.52,17
NDC,69292-526-01,CAPTOPRIL 50 MG TABS 100 EACH BOTTLE,14.5,5.8,5.8,13.05,17
NDC,69292-528-01,CAPTOPRIL 100 MG TABS 100 EACH BOTTLE,19.03,7.61,7.61,17.13,17
NDC,69292-566-01,METOLAZONE 10 MG TABS 100 EACH BOTTLE,17.54,7.02,7.02,15.79,17
NDC,69292-605-60,DIGOXIN 0.05 MG/ML SOLN 60 ML BOTTLE,783.84,313.54,313.54,705.46,17
NDC,69292-722-25,FLURBIPROFEN 0.03 % SOLN 2.5 ML BOTTLE,216.0,86.4,86.4,194.4,17
NDC,69315-118-01,FUROSEMIDE 80 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69315-134-01,IMIPRAMINE 25 MG TABS 100 EACH BOTTLE,3.59,1.44,1.44,3.23,17
NDC,69315-135-01,IMIPRAMINE 50 MG TABS 100 EACH BOTTLE,6.6,2.64,2.64,5.94,17
NDC,69315-211-01,NIFEDIPINE 10 MG CAPS 100 EACH BOTTLE,5.34,2.14,2.14,4.81,17
NDC,69315-212-01,NIFEDIPINE 20 MG CAPS 100 EACH BOTTLE,11.52,4.61,4.61,10.37,17
NDC,69315-231-03,AMINOCAPROIC ACID 500 MG TABS 30 EACH BOTTLE,112.01,44.8,44.8,100.81,17
NDC,69315-308-02,CIPROFLOXACIN 0.3 % SOLN 2.5 ML BOTTLE,63.0,25.2,25.2,56.7,17
NDC,69315-312-28,HYDROCORTISONE PERIANAL 2.5 % CREA 28 G TUBE,386.4,154.56,154.56,347.76,17
NDC,69315-318-20,LACOSAMIDE 10 MG/ML SOLN 200 ML BOTTLE,406.64,162.66,162.66,365.98,17
NDC,69315-322-05,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69315-323-08,PHENYLEPHRINE 2.5 % SOLN 2 ML BOTTLE,195.0,78.0,78.0,175.5,17
NDC,69315-323-15,PHENYLEPHRINE 2.5 % SOLN 15 ML BOTTLE,496.8,198.72,198.72,447.12,17
NDC,69315-330-05,BRIMONIDINETIMOLOL 0.20.5 % SOLN 5 ML BOTTLE,162.0,64.8,64.8,145.8,17
NDC,69315-504-60,NYSTATIN 100000 UNIT/ML SUSP 60 ML BOTTLE,6.0,2.4,2.4,5.4,17
NDC,69315-701-50,ETHACRYNIC ACID 50 MG SOLR 1 EACH VIAL,19152.0,7660.8,7660.8,17236.8,17
NDC,69315-904-01,LORAZEPAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69315-905-01,LORAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69315-906-01,LORAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69315-910-01,DIPHENOXYLATEATROPINE 2.50.025 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69339-148-19,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,27.0,10.8,10.8,24.3,17
NDC,69339-153-01,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,17
NDC,69339-153-17,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,17
NDC,69339-160-16,MEGESTROL 40 MG/ML SUSP 10 ML CUP,35.95,14.38,14.38,32.36,17
NDC,69339-160-18,MEGESTROL ACETATE 400 MG/10ML SUSP 10 ML CUP,35.15,14.06,14.06,31.64,17
NDC,69339-209-01,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,30.45,12.18,12.18,27.41,17
NDC,69339-209-17,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,30.45,12.18,12.18,27.41,17
NDC,69339-209-19,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,27.0,10.8,10.8,24.3,17
NDC,69344-101-01,INDOMETHACIN 25 MG/5ML SUSP 237 ML BOTTLE,11934.85,4773.94,4773.94,10741.37,17
NDC,69344-102-33,INDOMETHACIN 50 MG SUPP 30 EACH BOX,1997.72,799.09,799.09,1797.95,17
NDC,69367-203-01,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69367-211-01,PHENOBARBITAL 16.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69367-212-01,PHENOBARBITAL 32.4 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69367-243-12,HYDROCORTISONE 25 MG SUPP 12 EACH BOX,72.13,28.85,28.85,64.92,17
NDC,69367-283-02,ERGOCALCIFEROL 200 MCG/ML SOLN 60 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69367-351-60,LACOSAMIDE 200 MG TABS 60 EACH BOTTLE,104.6,41.84,41.84,94.14,17
NDC,69367-378-30,DAPSONE 25 MG TABS 30 EACH BOTTLE,12.33,4.93,4.93,11.1,17
NDC,69367-379-30,DAPSONE 100 MG TABS 30 EACH BOTTLE,15.12,6.05,6.05,13.61,17
NDC,69367-611-01,PHENAZOPYRIDINE 100 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
NDC,69367-625-01,PHENOBARBITAL 16.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69367-627-01,PHENOBARBITAL 64.8 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69367-628-01,PHENOBARBITAL 97.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69374-300-05,SUCCINYLCHOLINE 20 MG/ML SOLN 5 ML VIAL,37.5,15.0,1.2,33.75,16
NDC,69374-302-10,PHENYLEPHRINE 1 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,69374-309-20,ALBUTEROL 0.5 % NEBU 20 ML VIAL,3.0,1.2,0.16,2.7,18
NDC,69374-314-10,MIDAZOLAM 100 MG/100ML SOLN 100 ML FLEX CONT,132.0,52.8,52.8,118.8,17
NDC,69374-315-25,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,137.5,55.0,55.0,123.75,17
NDC,69374-330-05,ALBUTEROL 0.5 % NEBU 5 ML PLAS CONT,6.0,2.4,0.16,5.4,18
NDC,69374-520-05,LIDOCAINE 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,69374-521-20,KETAMINE 1 MG/ML SOLN 200 ML FLEX CONT,108.0,43.2,43.2,97.2,17
NDC,69374-529-30,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,58.5,23.4,23.4,52.65,17
NDC,69374-533-25,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,167.5,67.0,67.0,150.75,17
NDC,69374-902-05,NEOSTIGMINE METHYLSULFATE 5 MG/5ML SOSY 5 ML SYRINGE,123.0,49.2,49.2,110.7,17
NDC,69374-902-35,NEOSTIGMINE METHYLSULFATE 5 MG/5ML SOLN 5 ML VIAL,36.0,14.4,14.4,32.4,17
NDC,69374-903-05,GLYCOPYRROLATE 1 MG/5ML SOSY 5 ML SYRINGE,120.0,48.0,0.98,108.0,17
NDC,69374-919-10,SUCCINYLCHOLINE 200 MG/10ML SOSY 10 ML SYRINGE,175.75,70.3,70.3,158.18,17
NDC,69374-920-05,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML SOSY 5 ML SYRINGE,84.0,33.6,33.6,75.6,17
NDC,69374-925-10,EPINEPHRINE PF 1 MG/10ML SOSY 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,69374-935-03,ATROPINE SULFATE 1.2 MG/3ML SOSY 3 ML SYRINGE,51.0,20.4,20.4,45.9,17
NDC,69374-946-04,LABETALOL HCL 20 MG/4ML SOSY 4 ML SYRINGE,39.0,15.6,15.6,35.1,17
NDC,69374-953-50,DEXTROSE 50 % SOLN 50 ML SYRINGE,90.0,36.0,36.0,81.0,17
NDC,69374-957-10,PHENYLEPHRINE HCL 0.1 MG/ML SOSY 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,69374-979-02,MORPHINE SULFATE 1 MG/ML SOLN 2 ML SYRINGE,35.0,14.0,2.83,31.5,16
NDC,69374-979-30,MORPHINE 1 MG/ML SOLN 30 ML SYRINGE,51.0,20.4,20.4,45.9,17
NDC,69374-982-55,KETAMINE HCL 50 MG/5ML SOSY 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,69374-985-05,LIDOCAINE HCL PF 10 MG/ML SOSY 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,69374-988-10,AMINO ACID 5 % SOLN 1000 ML FLEX CONT,1104.0,441.6,441.6,993.6,17
NDC,69413-330-30,PYRIMETHAMINE 25 MG TABS 30 EACH BOTTLE,3780.0,1512.0,1512.0,3402.0,17
NDC,69448-005-12,CARBOPLATIN 600 MG/60ML SOLN 60 ML VIAL,430.2,172.08,3.21,387.18,16
NDC,69448-025-63,PEGFILGRASTIMCBQV SYRINGE/SHOT 6 MG/0.6ML SOSY 0.6 ML SYRINGE,21042.0,8416.8,126.71,18937.8,32
NDC,69448-027-63,PEGFILGRASTIMCBQV ONBODY 6 MG/0.6ML SOSY 0.6 ML SYRINGE,21042.0,8416.8,126.71,18937.8,32
NDC,69452-116-45,CLOBAZAM 2.5 MG/ML SUSP 120 ML BOTTLE,4357.58,1743.03,1743.03,3921.82,17
NDC,69452-125-50,OXCARBAZEPINE 300 MG/5ML SUSP 250 ML BOTTLE,1309.85,523.94,523.94,1178.87,17
NDC,69452-126-19,SEVELAMER CARBONATE 0.8 G PACK 90 EACH BOX,96.27,38.51,38.51,86.64,17
NDC,69452-126-60,SEVELAMER CARBONATE 0.8 G PACK 1 EACH PACKET,96.27,38.51,38.51,86.64,17
NDC,69452-143-20,BENZONATATE 100 MG CAPS 100 EACH BOTTLE,12.52,5.01,5.01,11.27,17
NDC,69452-151-20,ERGOCALCIFEROL 1.25 MG 50000 UT CAPS 100 EACH BOTTLE,3.6,1.44,1.44,3.24,17
NDC,69452-152-20,ETHOSUXIMIDE 250 MG CAPS 100 EACH BOTTLE,10.71,4.28,4.28,9.64,17
NDC,69452-158-25,COLESEVELAM 625 MG TABS 180 EACH BOTTLE,18.72,7.49,7.49,16.85,17
NDC,69452-173-13,AZITHROMYCIN 600 MG TABS 30 EACH BOTTLE,93.41,37.36,37.36,84.07,17
NDC,69452-207-20,CALCITRIOL 0.25 MCG CAPS 100 EACH BOTTLE,6.05,2.42,2.42,5.45,17
NDC,69452-209-20,NIMODIPINE 30 MG CAPS 100 EACH BOX,92.05,36.82,36.82,82.85,17
NDC,69452-233-20,PROGESTERONE 100 MG CAPS 100 EACH BOTTLE,10.24,4.1,4.1,9.22,17
NDC,69452-241-20,TRIHEXYPHENIDYL 2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69452-242-20,TRIHEXYPHENIDYL 5 MG TABS 100 EACH BOTTLE,5.5,2.2,2.2,4.95,17
NDC,69452-287-20,FLUVOXAMINE 25 MG TABS 100 EACH BOTTLE,11.52,4.61,4.61,10.37,17
NDC,69452-351-13,TERBINAFINE 250 MG TABS 30 EACH BOTTLE,63.93,25.57,25.57,57.54,17
NDC,69452-357-20,ROPINIROLE 0.5 MG TABS 100 EACH BOTTLE,12.53,5.01,5.01,11.28,17
NDC,69452-359-20,ROPINIROLE 2 MG TABS 100 EACH BOTTLE,12.53,5.01,5.01,11.28,17
NDC,69452-360-20,ROPINIROLE 3 MG TABS 100 EACH BOTTLE,13.0,5.2,5.2,11.7,17
NDC,69452-361-20,ROPINIROLE 4 MG TABS 100 EACH BOTTLE,13.0,5.2,5.2,11.7,17
NDC,69452-362-20,ROPINIROLE 5 MG TABS 100 EACH BOTTLE,13.0,5.2,5.2,11.7,17
NDC,69452-455-20,FLUVOXAMINE 100 MG TABS 100 EACH BOTTLE,13.21,5.28,5.28,11.89,17
NDC,69452-471-20,PROCHLORPERAZINE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69584-091-10,BUSPIRONE 5 MG TABS 100 EACH BOTTLE,3.86,1.54,1.54,3.47,17
NDC,69584-111-10,CARISOPRODOL 350 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,69584-362-10,HYDROCHLOROTHIAZIDE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69584-425-10,IMIPRAMINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69584-426-10,IMIPRAMINE 25 MG TABS 100 EACH BOTTLE,3.59,1.44,1.44,3.23,17
NDC,69584-611-10,METHOCARBAMOL 500 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69584-611-50,METHOCARBAMOL 500 MG TABS 500 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69584-612-10,METHOCARBAMOL 750 MG TABS 100 EACH BOTTLE,3.63,1.45,1.45,3.27,17
NDC,69584-684-10,PRIMIDONE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69616-272-30,PERAMPANEL 2 MG TABS 30 EACH BOTTLE,124.2,49.68,49.68,111.78,17
NDC,69616-274-30,PERAMPANEL 4 MG TABS 30 EACH BOTTLE,245.4,98.16,98.16,220.86,17
NDC,69616-278-30,PERAMPANEL 8 MG TABS 30 EACH BOTTLE,245.4,98.16,98.16,220.86,17
NDC,69618-00858,MULTIVITAMIN LIQD 236 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69618-010-01,ACETAMINOPHEN 325 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,69618-015-01,ASPIRIN 325 MG TBEC 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,69618-024-01,DIPHENHYDRAMINE 25 MG CAPS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,69618-033-01,SIMETHICONE 80 MG CHEW 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,69618-064-01,SENNA 8.6 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,69618-068-54,GUAIFENESIN 100 MG/5ML LIQD 118 ML BOTTLE,1.0,0.4,0.4,0.9,17
NDC,69618-07059,FERROUS SULFATE 15 MG OF IRON/ML SOLN 50 ML BOTTLE,4.8,1.92,1.92,4.32,17
NDC,69623-191-37,LIDOCAINE HCL PF 1 % SOLN 20 ML VIAL,87.5,35.0,35.0,78.75,17
NDC,69623-211-31,BRILLIANT BLUE G 1 ML VIAL,180.0,72.0,72.0,162.0,17
NDC,69623-801-14,LIDOCAINEEPINEPHRINETETRACAINE SOLN 3 ML,40.01,16.0,16.0,36.01,17
NDC,69680-112-25,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,69784-230-20,SODIUM ACETATE 2 MEQ/ML SOLN 50 ML VIAL,109.0,43.6,43.6,98.1,17
NDC,69784-231-20,SODIUM ACETATE 2 MEQ/ML SOLN 100 ML GLASS CONT,149.5,59.8,59.8,134.55,17
NDC,69918-101-01,DESMOPRESSIN 0.1 MG TABS 100 EACH BOTTLE,26.43,10.57,10.57,23.79,17
NDC,69918-201-01,DESMOPRESSIN 0.2 MG TABS 100 EACH BOTTLE,38.08,15.23,15.23,34.27,17
NDC,69918-301-30,TRANEXAMIC ACID 650 MG TABS 30 EACH BOTTLE,26.07,10.43,10.43,23.46,17
NDC,69918-731-01,ISOPROTERENOL 0.2 MG/ML SOLN 1 ML VIAL,75.0,30.0,30.0,67.5,17
NDC,69918-731-10,ISOPROTERENOL 0.2 MG/ML SOLN 1 ML VIAL,75.0,30.0,30.0,67.5,17
NDC,69918-735-01,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,69918-735-10,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,69918-899-01,DESMOPRESSIN ACETATE PF 4 MCG/ML SOLN 1 ML AMPULE,228.0,91.2,4.75,205.2,17
NDC,69918-899-10,DESMOPRESSIN ACETATE PF 4 MCG/ML SOLN 1 ML AMPULE,228.0,91.2,4.75,205.2,17
NDC,69918-901-10,DESMOPRESSIN 4 MCG/ML SOLN 10 ML VIAL,2180.4,872.16,4.75,1962.36,17
NDC,70000-0000-07,LIDOCAINEMAALOXDIPHENHYDRAMINE SUSP 300 ML BOTTLE,73.5,29.4,29.4,66.15,17
NDC,70000-0334-1,ZINC OXIDE 20 % OINT 454 G JAR,61.29,24.52,24.52,55.16,17
NDC,70000-0585-1,DIPHENHYDRAMINE 25 MG CAPS 24 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,70004-0300-32,HYDROMORPHONE HCLNACL 200.9 MG/100ML% SOLN 100 ML BAG,62.0,24.8,24.8,55.8,17
NDC,70004-083-46,OXYTOCIN 20 UNITS IN LR SOLN 1 L BAG,31.55,12.62,12.62,28.4,17
NDC,70004-084-46,OXYTOCINSODIUM CHLORIDE 200.9 UNIT/L% SOLN 1000 ML FLEX CONT,145.0,58.0,58.0,130.5,17
NDC,70004-095-44,OXYTOCIN IN NS BOLUS 500 ML FLEX CONT,70.0,28.0,28.0,63.0,17
NDC,70004-100-18,MORPHINE 1 MG/ML SOLN 30 ML SYRINGE,96.45,38.58,38.58,86.81,17
NDC,70004-201-06,FENTANYL 5 MCG/ML SOLN 2 ML SYRINGE,35.0,14.0,1.43,31.5,16
NDC,70004-440-11,METHOHEXITAL 0.5 G SOLR 50 MG SYRINGE,74.75,29.9,29.9,67.28,17
NDC,70004-440-14,METHOHEXITAL 0.5 G SOLR 100 MG SYRINGE,114.5,45.8,45.8,103.05,17
NDC,70004-608-40,EPINEPHRINE 50.9 MG/250ML% SOLN 250 ML FLEX CONT,360.0,144.0,144.0,324.0,17
NDC,70004-616-22,EPINEPHRINE HCL 50 MCG/ML SOSY 50 ML SYRINGE,97.05,38.82,38.82,87.35,17
NDC,70004-640-09,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML SYRINGE,35.0,14.0,0.98,31.5,17
NDC,70004-662-46,HEPARIN INFUSION 4 UNITS/ML IN 0.9% NACL 40.9 UNIT/ML% SOLN 1000 ML BAG,35.0,14.0,0.03,31.5,16
NDC,70004-725-05,LIDOCAINE BUFFERED 1 SYRINGE,35.0,14.0,14.0,31.5,17
NDC,70004-761-29,NITROGLYCERIN 1005 MCG/ML% SOLN 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,70004-770-40,NOREPINEPHRINE SOLN 250 ML BAG,70.0,28.0,28.0,63.0,17
NDC,70004-810-12,PHENYLEPHRINE 0.1 MG/ML 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,70004-910-29,SUCCINYLCHOLINE 20 MG/ML SOLN 10 ML SYRINGE,46.0,18.4,1.2,41.4,16
NDC,70004-9100-9,SUCCINYLCHOLINE 20 MG/ML SOLN 5 ML SYRINGE,44.0,17.6,1.2,39.6,16
NDC,70010-004-01,DEXMETHYLPHENIDATE 5 MG CP24 100 EACH BOTTLE,47.28,18.91,18.91,42.55,17
NDC,70010-135-01,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 100 EACH BOTTLE,3.52,1.41,1.41,3.17,17
NDC,70010-138-01,NAPROXEN 375 MG TABS 100 EACH BOTTLE,4.98,1.99,1.99,4.48,17
NDC,70010-149-01,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,70020-1910-1,IXABEPILONE 15 MG SOLR 1 EACH VIAL,10153.37,4061.35,71.93,9138.03,32
NDC,70020-1911-1,IXABEPILONE 45 MG SOLR 1 EACH VIAL,30460.16,12184.06,71.93,27414.14,32
NDC,70020-1915-1,EPISIL LIQD 10 ML,2086.56,834.62,834.62,1877.9,17
NDC,70030-13173,SALINE SPRAY 0.65 % SOLN 44 ML BOTTLE,20.02,8.01,8.01,18.02,17
NDC,70069-019-01,ACETYLCYSTEINE 20 % SOLN 4 ML VIAL,95.82,38.33,4.85,86.24,16
NDC,70069-019-25,ACETYLCYSTEINE 20 % SOLN 4 ML VIAL,95.82,38.33,4.85,86.24,16
NDC,70069-021-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,70069-021-25,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,70069-062-10,ROPIVACAINE 2 MG/ML SOLN 20 ML VIAL,54.1,21.64,21.64,48.69,17
NDC,70069-064-10,ROPIVACAINE 5 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70069-064-25,ROPIVACAINE 5 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70069-071-01,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,62.5,25.0,25.0,56.25,17
NDC,70069-071-10,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,62.5,25.0,25.0,56.25,17
NDC,70069-072-01,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,460.0,184.0,184.0,414.0,17
NDC,70069-072-10,NALOXONE HCL 4 MG/10ML SOLN 10 ML VIAL,460.0,184.0,184.0,414.0,17
NDC,70069-101-01,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,51.58,20.63,6.23,46.42,16
NDC,70069-101-25,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,70069-121-01,TROPICAMIDE 1 % SOLN 15 ML BOTTLE,178.13,71.25,71.25,160.32,17
NDC,70069-131-01,TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE,31.25,12.5,12.5,28.13,17
NDC,70069-161-01,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,138.0,55.2,55.2,124.2,17
NDC,70069-161-10,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,138.0,55.2,55.2,124.2,17
NDC,70069-261-01,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,125.0,50.0,50.0,112.5,17
NDC,70069-362-01,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 10 ML VIAL,76.05,30.42,0.07,68.45,16
NDC,70069-362-10,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 10 ML VIAL,76.05,30.42,0.07,68.45,16
NDC,70069-363-01,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG/5ML SOLN 30 ML VIAL,228.0,91.2,0.07,205.2,16
NDC,70069-384-01,HALOPERIDOL DECANOATE 100 MG/ML SOLN 5 ML VIAL,77.22,30.89,5.72,69.5,16
NDC,70069-481-01,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,386.4,154.56,154.56,347.76,17
NDC,70069-481-10,ATROPINE SULFATE 8 MG/20ML SOLN 20 ML VIAL,386.4,154.56,154.56,347.76,17
NDC,70069-651-01,BRIMONIDINETIMOLOL 0.20.5 % SOLN 5 ML BOTTLE,1126.82,450.73,450.73,1014.14,17
NDC,70069-727-25,CALCIUM GLUCONATE 10 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70069-801-01,PHENYLEPHRINE HCL 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70069-810-01,VALGANCICLOVIR 50 MG/ML SOLR 88 ML BOTTLE,4173.89,1669.56,1669.56,3756.5,17
NDC,70092-1030-36,MIDAZOLAM 1MG/1ML IN NORMAL SALINE BAG 100 ML FLEX CONT,198.0,79.2,79.2,178.2,17
NDC,70092-1046-46,PHENYLEPHRINE HCLNACL 0.1 MG/ML SOSY 10 ML SYRINGE,54.25,21.7,21.7,48.83,17
NDC,70092-1067-08,OXYTOCINSODIUM CHLORIDE 200.9 UNIT/L% SOLN 1000 ML FLEX CONT,130.0,52.0,52.0,117.0,17
NDC,70092-1068-07,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,70092-1084-44,NEOSTIGMINE METHYLSULFATE 5 MG/5ML SOSY 5 ML SYRINGE,105.4,42.16,42.16,94.86,17
NDC,70092-1086-44,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML SOSY 5 ML SYRINGE,116.05,46.42,46.42,104.45,17
NDC,70092-1094-36,FENTANYL CITRATENACL 20 MCG/ML SOLN 100 ML FLEX CONT,158.5,63.4,63.4,142.65,17
NDC,70092-1108-36,FENTANYL CITROPIVACAINENACL 0.20.20.9 MG/100ML% SOLN 100 ML FLEX CONT,273.0,109.2,109.2,245.7,17
NDC,70092-1111-48,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,59.85,23.94,23.94,53.87,17
NDC,70092-1115-36,HYDROMORPHONE HCLNACL 200.9 MG/100ML% SOLN 100 ML FLEX CONT,130.0,52.0,52.0,117.0,17
NDC,70092-1119-44,KETAMINE 10 MG/ML 5 ML SYRINGE,47.1,18.84,18.84,42.39,17
NDC,70092-1125-48,MORPHINE 1 MG/ML SOLN 30 ML SYRINGE,71.4,28.56,28.56,64.26,17
NDC,70092-1133-43,MORPHINE SULFATE 1 MG/ML SOLN 2 ML SYRINGE,45.8,18.32,2.83,41.22,16
NDC,70092-1135-44,LIDORACEPINEPHRINETETRACAINE GEL 3 ML SYRINGE,75.95,30.38,30.38,68.36,17
NDC,70092-1161-43,METHADONE 1 MG/ML SOSY 1 ML SYRINGE,96.05,38.42,38.42,86.45,17
NDC,70092-1175-46,LIDOCAINESODIUM BICARBONATE 18.4 % SOSY 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,70092-1207-37,FENTANYL CITROPIVACAINENACL 0.40.10.9 MG/200ML% SOLN 200 ML FLEX CONT,278.0,111.2,111.2,250.2,17
NDC,70092-1310-46,METHOHEXITAL 100 MG/10ML SOSY 10 ML SYRINGE,373.8,149.52,149.52,336.42,17
NDC,70092-1418-36,MIDAZOLAMSODIUM CHLORIDE 1000.9 MG/100ML% SOLN 100 ML FLEX CONT,176.5,70.6,70.6,158.85,17
NDC,70092-1468-05,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,293.75,117.5,117.5,264.38,17
NDC,70092-1475-50,DEXTROSE 50 % SOLN 50 ML SYRINGE,72.0,28.8,28.8,64.8,17
NDC,70092-1507-36,FENTANYL CITRATENACL 20 MCG/ML SOLN 100 ML FLEX CONT,350.06,140.02,140.02,315.05,17
NDC,70092-1519-48,MORPHINE 1 MG/ML SOLN 30 ML SYRINGE,61.2,24.48,24.48,55.08,17
NDC,70092-1552-07,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,70092-1573-43,METHADONE 1 MG/ML SOSY 1 ML SYRINGE,54.9,21.96,21.96,49.41,17
NDC,70092-1611-44,LIDORACEPINEPHRINETETRACAINE GEL 3 ML SYRINGE,96.95,38.78,38.78,87.26,17
NDC,70092-1652-05,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,326.25,130.5,130.5,293.63,17
NDC,70092-2229-43,ATROPINE SULFATE 1 MG/2.5ML SOSY 2.5 ML SYRINGE,133.8,53.52,53.52,120.42,17
NDC,70092-7207-37,ROPIVACAINE 0.1% + FENTANYL 2 MCG/ML PCEA PEDS <50KG 200 ML FLEX CONT,299.0,119.6,119.6,269.1,17
NDC,70092-9111-48,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,90.75,36.3,36.3,81.68,17
NDC,70092-9119-44,KETAMINE 10 MG/ML 5 ML SYRINGE,63.65,25.46,25.46,57.29,17
NDC,70095-025-01,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,36.0,14.4,14.4,32.4,17
NDC,70095-025-02,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,36.0,14.4,14.4,32.4,17
NDC,70100-424-01,INDOCYANINE GREEN 25 MG SOLR 1 EACH VIAL,556.79,222.72,222.72,501.11,17
NDC,70114-101-01,PEGFILGRASTIMCBQV SYRINGE/SHOT 6 MG/0.6ML SOSY 0.6 ML SYRINGE,21042.0,8416.8,126.71,18937.8,32
NDC,70114-130-01,PEGFILGRASTIMCBQV ONBODY 6 MG/0.6ML SOSY 0.6 ML SYRINGE,21042.0,8416.8,126.71,18937.8,32
NDC,70114-340-01,TORIPALIMABTPZI 240 MG/6ML SOLN 6 ML VIAL,49176.54,19670.62,35.57,44258.89,32
NDC,70121-1049-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,51.0,20.4,20.4,45.9,17
NDC,70121-1049-5,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 1 ML VIAL,51.0,20.4,20.4,45.9,17
NDC,70121-1168-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 5 ML VIAL,52.02,20.81,20.81,46.82,17
NDC,70121-1169-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP 10 ML VIAL,38.85,15.54,15.54,34.97,17
NDC,70121-1236-1,CLOFARABINE 1 MG/ML SOLN 20 ML VIAL,10488.0,4195.2,5.45,9439.2,32
NDC,70121-1240-1,CYCLOPHOSPHAMIDE 2 G SOLR 1 EACH VIAL,2042.4,816.96,0.58,1838.16,32
NDC,70121-1388-1,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,268.5,107.4,107.4,241.65,17
NDC,70121-1388-8,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,268.5,107.4,107.4,241.65,17
NDC,70121-1394-5,GLYCOPYRROLATE 0.2 MG/ML SOLN 1 ML VIAL,42.28,16.91,0.98,38.05,17
NDC,70121-1573-1,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP 1 ML VIAL,35.0,14.0,0.11,31.5,17
NDC,70121-1573-5,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP 1 ML VIAL,35.0,14.0,0.11,31.5,17
NDC,70121-1574-1,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP 1 ML VIAL,97.9,39.16,0.11,88.11,17
NDC,70121-1574-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP 1 ML VIAL,97.92,39.17,0.11,88.13,17
NDC,70121-1576-1,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,108.12,43.25,43.25,97.31,17
NDC,70121-1627-1,PEGFILGRASTIMPBBK 6 MG/0.6ML SOSY 0.6 ML SYRINGE,12600.0,5040.0,105.11,11340.0,32
NDC,70121-1631-1,THIOTEPA 100 MG SOLR 1 EACH VIAL,9072.0,3628.8,3538.08,8164.8,15
NDC,70121-1642-1,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,157.66,63.06,63.06,141.89,17
NDC,70121-1642-5,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL,157.66,63.06,63.06,141.89,17
NDC,70121-1682-1,VITAMIN K1 1 MG/0.5ML SOLN 0.5 ML SYRINGE,147.61,59.04,59.04,132.85,17
NDC,70121-1682-7,VITAMIN K1 1 MG/0.5ML SOLN 0.5 ML SYRINGE,147.61,59.04,59.04,132.85,17
NDC,70121-1694-2,PLERIXAFOR 24 MG/1.2ML SOLN 1.2 ML VIAL,5327.28,2130.91,28.49,4794.55,32
NDC,70121-1699-7,GLYCOPYRROLATE 0.4 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,0.98,31.5,17
NDC,70121-1716-1,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,397.9,159.16,159.16,358.11,17
NDC,70121-1716-7,ESMOLOL 2500 MG/250ML SOLN 250 ML FLEX CONT,397.9,159.16,159.16,358.11,17
NDC,70121-1719-1,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,75.0,30.0,30.0,67.5,17
NDC,70121-1719-2,MAGNESIUM SULFATE 2 GM/50ML SOLN 50 ML FLEX CONT,75.0,30.0,30.0,67.5,17
NDC,70121-1720-9,MAGNESIUM SULFATE 4 GM/100ML SOLN 100 ML FLEX CONT,37.5,15.0,15.0,33.75,17
NDC,70121-1722-1,POTASSIUM PHOSPHATE 15 MMOL/250ML SOLN 250 ML FLEX CONT,210.0,84.0,84.0,189.0,17
NDC,70121-1722-9,POTASSIUM PHOSPHATE 15 MMOL/250ML SOLN 250 ML FLEX CONT,210.0,84.0,84.0,189.0,17
NDC,70127-100-06,CANNABIDIOL 100 MG/ML SOLN 60 ML BOTTLE,5171.29,2068.52,2068.52,4654.16,17
NDC,70127-100-10,CANNABIDIOL 100 MG/ML SOLN 100 ML BOTTLE,8618.4,3447.36,3447.36,7756.56,17
NDC,70127-100-60,CANNABIDIOL 100 MG/ML SOLN 60 ML BOTTLE,5171.29,2068.52,2068.52,4654.16,17
NDC,70156-104-01,HYOSCYAMINE 0.125 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,70199-026-11,VITAMIN A 15 MG/ML SOLN 2 ML VIAL,396.75,158.7,158.7,357.08,17
NDC,70257-051-51,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML SOLN 5 ML VIAL,3203.79,1281.52,65.61,2883.41,32
NDC,70257-126-11,VARICELLAZOSTER IMMUNE GLOB 125 UNIT/1.2ML SOLN 1.2 ML VIAL,7857.24,3142.9,687.96,7071.52,26
NDC,70257-300-13,RHO D IMMUNE GLOBULIN 15000 UNIT/13ML SOLN 13 ML VIAL,27376.82,10950.73,24.88,24639.14,32
NDC,70257-330-51,RHO D IMMUNE GLOBULIN 1500 UNIT/1.3ML SOLN 1.3 ML VIAL,2720.76,1088.3,24.88,2448.68,32
NDC,70377-031-12,SACUBITRILVALSARTAN 2426 MG TABS 60 EACH BOTTLE,49.37,19.75,19.75,44.43,17
NDC,70377-032-12,SACUBITRILVALSARTAN 4951 MG TABS 60 EACH BOTTLE,49.37,19.75,19.75,44.43,17
NDC,70377-033-12,SACUBITRILVALSARTAN 97103 MG TABS 60 EACH BOTTLE,49.37,19.75,19.75,44.43,17
NDC,70377-083-11,DASATINIB 20 MG TABS 60 EACH BOTTLE,884.81,353.92,353.92,796.33,17
NDC,70382-204-01,DEXAMETHASONE 0.4 MG INST 1 EACH BOX,3225.6,1290.24,98.66,2903.04,24
NDC,70382-204-10,DEXAMETHASONE 0.4 MG INST 10 EACH BOX,3225.6,1290.24,98.66,2903.04,24
NDC,70408-146-34,PROMETHAZINE HCL 6.25 MG/5ML SOLN 473 ML BOTTLE,250.69,100.28,100.28,225.62,17
NDC,70408-239-32,NITROFURANTOIN 25 MG/5ML SUSP 240 ML BOTTLE,14112.0,5644.8,5644.8,12700.8,17
NDC,70408-644-34,THEOPHYLLINE 80 MG/15ML ELIX 473 ML BOTTLE,1812.44,724.98,724.98,1631.2,17
NDC,70436-012-04,DESVENLAFAXINE 50 MG TB24 30 EACH BOTTLE,55.06,22.02,22.02,49.55,17
NDC,70436-019-82,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,86.5,34.6,34.6,77.85,17
NDC,70436-020-82,VANCOMYCIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,0.04,31.5,16
NDC,70436-021-82,VANCOMYCIN HCL 1 G SOLR 1 EACH VIAL,35.0,14.0,0.04,31.5,16
NDC,70436-027-80,EPTIFIBATIDE 75 MG/100ML SOLN 100 ML VIAL,2156.48,862.59,3.73,1940.83,26
NDC,70436-029-80,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,701.87,280.75,1.0,631.68,16
NDC,70436-039-01,GUANFACINE 1 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
NDC,70436-040-01,GUANFACINE HCL 2 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
NDC,70436-058-01,BUPROPION 100 MG TB12 100 EACH BOTTLE,8.45,3.38,3.38,7.61,17
NDC,70436-089-55,GANCICLOVIR 500 MG SOLR 1 EACH VIAL,264.0,105.6,51.4,237.6,16
NDC,70436-110-56,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,397.44,158.98,3.08,357.7,16
NDC,70436-227-48,FLUCONAZOLE 40 MG/ML SUSR 35 ML BOTTLE,597.95,239.18,239.18,538.16,17
NDC,70512-790-05,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,485.3,194.12,194.12,436.77,17
NDC,70515-262-10,DIGOXIN 0.1 MG/ML SOLN 1 ML AMPULE,760.27,304.11,304.11,684.24,17
NDC,70515-263-10,DIGOXIN 0.1 MG/ML SOLN 1 ML VIAL,790.61,316.24,316.24,711.55,17
NDC,70594-042-01,VANCOMYCIN 1000 MG/200ML SOLN 200 ML FLEX CONT,96.0,38.4,0.18,86.4,16
NDC,70594-042-03,VANCOMYCIN 1000 MG/200ML SOLN 200 ML FLEX CONT,96.0,38.4,0.18,86.4,16
NDC,70594-049-02,POLYMYXIN B 500000 UNITS SOLR 1 EACH VIAL,67.5,27.0,27.0,60.75,17
NDC,70594-067-01,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,240.0,96.0,1.0,216.0,16
NDC,70594-079-01,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,66.0,26.4,26.4,59.4,17
NDC,70594-079-02,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,66.0,26.4,26.4,59.4,17
NDC,70594-080-02,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,84.0,33.6,33.6,75.6,17
NDC,70594-082-01,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,54.0,21.6,1.81,48.6,16
NDC,70594-082-02,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,54.0,21.6,1.81,48.6,16
NDC,70594-087-02,AMPICILLIN 2 G SOLR 1 EACH VIAL,42.3,16.92,16.92,38.07,17
NDC,70594-111-01,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70594-111-02,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70594-120-02,BUPIVACAINE HCL PF 0.75 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70655-002-10,FLUCONAZOLE SOLN 100 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,70655-088-10,FLUCONAZOLE SOLN 200 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,70700-162-01,PROGESTERONE 100 MG CAPS 100 EACH BOTTLE,25.86,10.34,10.34,23.27,17
NDC,70700-167-22,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,223.88,89.55,0.98,201.49,17
NDC,70700-167-25,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,223.88,89.55,0.98,201.49,17
NDC,70700-172-22,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,112.5,45.0,45.0,101.25,17
NDC,70700-172-23,NEOSTIGMINE METHYLSULFATE 10 MG/10ML SOLN 10 ML VIAL,112.5,45.0,45.0,101.25,17
NDC,70700-173-22,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,1006.25,402.5,3.08,905.63,16
NDC,70700-173-86,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,1006.25,402.5,3.08,905.63,16
NDC,70700-186-23,FLUOROURACIL 500 MG/10ML SOLN 10 ML VIAL,115.0,46.0,2.59,103.5,16
NDC,70700-189-22,FLUOROURACIL 5 GM/100ML SOLN 100 ML VIAL,344.0,137.6,2.59,309.6,16
NDC,70700-249-22,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,295.57,118.23,118.23,266.01,17
NDC,70700-249-23,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,295.57,118.23,118.23,266.01,17
NDC,70700-268-94,FOSFOMYCIN 3 G PACK 1 EACH BOX,461.84,184.74,184.74,415.66,17
NDC,70700-268-99,FOSFOMYCIN 3 G PACK 1 EACH SACHET,461.84,184.74,184.74,415.66,17
NDC,70700-272-30,RAMELTEON 8 MG TABS 30 EACH BOTTLE,73.92,29.57,29.57,66.53,17
NDC,70700-278-97,MELPHALAN 50 MG SOLR 1 EACH VIAL,10080.0,4032.0,86.94,9072.0,32
NDC,70700-289-22,TESTOSTERONE CYPIONATE 200 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70700-290-22,TESTOSTERONE CYPIONATE 200 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70700-315-22,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,449.63,179.85,179.85,404.67,17
NDC,70700-315-25,MEDROXYPROGESTERONE 150 MG/ML SUSP 1 ML VIAL,449.63,179.85,179.85,404.67,17
NDC,70710-1047-3,ERYTHROMYCIN BASE 250 MG TABS 30 EACH BOTTLE,66.15,26.46,26.46,59.54,17
NDC,70710-1061-1,ALBUTEROL 2 MG TABS 100 EACH BOTTLE,29.38,11.75,11.75,26.44,17
NDC,70710-1062-1,ALBUTEROL 4 MG TABS 100 EACH BOTTLE,29.38,11.75,11.75,26.44,17
NDC,70710-1110-1,CYPROHEPTADINE 4 MG TABS 100 EACH BOTTLE,5.34,2.14,2.14,4.81,17
NDC,70710-1165-6,OSELTAMIVIR 6 MG/ML SUSR 60 ML BOTTLE,68.35,27.34,27.34,61.52,17
NDC,70710-1167-1,ATENOLOLCHLORTHALIDONE 5025 MG TABS 100 EACH BOTTLE,9.42,3.77,3.77,8.48,17
NDC,70710-1197-7,RIVASTIGMINE 9.5 MG/24HR PT24 30 EACH BOX,84.49,33.8,33.8,76.04,17
NDC,70710-1225-1,AMITRIPTYLINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,70710-1344-3,RAMELTEON 8 MG TABS 30 EACH BOTTLE,69.95,27.98,27.98,62.96,17
NDC,70710-1359-1,LACOSAMIDE 200 MG/20ML SOLN 20 ML VIAL,361.65,144.66,0.26,325.49,16
NDC,70710-1359-6,LACOSAMIDE 200 MG/20ML SOLN 20 ML VIAL,361.65,144.66,0.26,325.49,16
NDC,70710-1367-3,EMTRICITABINETENOFOVIR DF 200300 MG TABS 30 EACH BOTTLE,350.04,140.02,0.45,315.04,32
NDC,70710-1525-9,CARMUSTINE 100 MG SOLR 1 EACH VIAL,3780.0,1512.0,145.6,3402.0,32
NDC,70710-1530-1,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML SUSP 10 ML VIAL,3744.22,1497.69,92.74,3369.8,32
NDC,70710-1609-1,BACLOFEN 5 MG TABS 100 EACH BOTTLE,6.18,2.47,2.47,5.56,17
NDC,70710-1610-1,ARSENIC TRIOXIDE 12 MG/6ML SOLN 6 ML VIAL,2974.65,1189.86,10.6,2677.19,16
NDC,70710-1610-6,ARSENIC TRIOXIDE 12 MG/6ML SOLN 6 ML VIAL,2974.59,1189.84,10.6,2677.13,16
NDC,70710-1641-6,LUBIPROSTONE 8 MCG CAPS 60 EACH BOTTLE,33.4,13.36,13.36,30.06,17
NDC,70710-1643-5,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,62.5,25.0,25.0,56.25,17
NDC,70710-1643-7,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,62.5,25.0,25.0,56.25,17
NDC,70710-1663-1,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70710-1710-1,KETOROLAC 10 MG TABS 100 EACH BOTTLE,10.79,4.32,4.32,9.71,17
NDC,70710-1725-1,MICAFUNGIN 100 MG SOLR 1 EACH VIAL,430.56,172.22,0.34,387.5,16
NDC,70710-1726-1,NELARABINE 5 MG/ML SOLN 50 ML VIAL,3966.0,1586.4,65.16,3569.4,32
NDC,70710-1849-1,CHLORPROMAZINE 25 MG/ML SOLN 1 ML VIAL,149.76,59.9,59.9,134.78,17
NDC,70710-1849-7,CHLORPROMAZINE 25 MG/ML SOLN 1 ML VIAL,149.76,59.9,59.9,134.78,17
NDC,70710-1850-7,CHLORPROMAZINE HCL 50 MG/2ML SOLN 2 ML VIAL,171.6,68.64,68.64,154.44,17
NDC,70710-1852-6,INDOMETHACIN 50 MG SUPP 1 EACH PACKAGE,1897.83,759.13,759.13,1708.05,17
NDC,70710-1852-7,INDOMETHACIN 50 MG SUPP 30 EACH BOX,1897.83,759.13,759.13,1708.05,17
NDC,70720-101-02,ROLAPITANT 2 X 90 MG TBPK 2 EACH DISP PACK,1829.31,731.72,1.69,1646.38,24
NDC,70720-120-20,ERGOTAMINE 2 MG SUBL 20 EACH BOX,392.82,157.13,157.13,353.54,17
NDC,70720-950-36,GOSERELIN 3.6 MG IMPL 1 EACH SYRINGE,5942.24,2376.9,528.48,5348.02,18
NDC,70720-951-30,GOSERELIN 10.8 MG IMPL 1 EACH BOX,16193.06,6477.22,528.48,14573.75,18
NDC,70748-258-07,POSACONAZOLE 100 MG TBEC 60 EACH BOTTLE,370.04,148.02,148.02,333.04,17
NDC,70748-271-13,RISPERIDONE MICROSPHERES ER 37.5 MG SRER 1 EACH VIAL,4413.95,1765.58,7.62,3972.56,32
NDC,70748-272-13,RISPERIDONE MICROSPHERES ER 50 MG SRER 1 EACH VIAL,5885.46,2354.18,7.62,5296.91,32
NDC,70748-332-02,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,264.0,105.6,105.6,237.6,17
NDC,70756-404-11,NITROFURANTOIN MACROCRYSTALMONOHYDRATE 100 MG CAPS 100 EACH BOTTLE,20.42,8.17,8.17,18.38,17
NDC,70756-410-11,NITROFURANTOIN 25 MG CAPS 100 EACH BOTTLE,63.22,25.29,25.29,56.9,17
NDC,70756-429-11,PRAZOSIN 1 MG CAPS 100 EACH BOTTLE,4.77,1.91,1.91,4.29,17
NDC,70756-612-12,ARFORMOTEROL 15 MCG/2ML NEBU 2 ML PLAS CONT,101.8,40.72,0.92,91.62,16
NDC,70756-612-70,ARFORMOTEROL 15 MCG/2ML NEBU 2 ML PLAS CONT,101.8,40.72,0.92,91.62,16
NDC,70756-614-30,PHENYLEPHRINE 10 % SOLN 5 ML BOTTLE,250.0,100.0,100.0,225.0,17
NDC,70756-616-10,HALOPERIDOL DECANOATE 100 MG/ML SOLN 1 ML VIAL,45.0,18.0,5.72,40.5,16
NDC,70756-616-81,HALOPERIDOL DECANOATE 100 MG/ML SOLN 1 ML VIAL,40.5,16.2,5.72,36.45,16
NDC,70756-617-56,TOBRAMYCIN 300 MG/4ML NEBU 4 ML PLAS CONT,573.16,229.26,15.68,515.84,16
NDC,70756-629-25,PHENYLEPHRINE 2.5 % SOLN 2 ML BOTTLE,203.15,81.26,81.26,182.84,17
NDC,70756-641-25,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70756-643-25,LIDOCAINE HCL PF 2 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70756-649-35,PHENYLEPHRINE 2.5 % SOLN 15 ML BOTTLE,517.5,207.0,207.0,465.75,17
NDC,70756-652-25,ATROPINE 1 % SOLN 5 ML BOTTLE,291.9,116.76,116.76,262.71,17
NDC,70756-658-25,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL,76.18,30.47,30.47,68.56,17
NDC,70839-150-30,ALISKIREN 150 MG TABS 30 EACH BOTTLE,69.06,27.62,27.62,62.15,17
NDC,70839-362-04,COCAINE 40 MG/ML SOLN 4 ML BOTTLE,1782.96,713.18,713.18,1604.66,17
NDC,70842-120-01,MEROPENEMVABORBACTAM 2 11 G SOLR 1 EACH VIAL,1265.09,506.04,1.68,1138.58,32
NDC,70842-120-06,MEROPENEMVABORBACTAM 2 11 G SOLR 1 EACH VIAL,1265.05,506.02,1.68,1138.55,32
NDC,70842-140-03,ORITAVANCIN DIPHOSPHATE 400 MG SOLR 1 EACH VIAL,6025.99,2410.4,23.2,5423.39,32
NDC,70842-160-01,MINOCYCLINE HCL 100 MG SOLR 1 EACH VIAL,1469.75,587.9,587.9,1322.78,17
NDC,70842-160-10,MINOCYCLINE HCL 100 MG SOLR 1 EACH VIAL,1469.73,587.89,587.89,1322.76,17
NDC,70860-100-10,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,70860-100-41,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,70860-200-50,PACLITAXEL 300 MG/50ML CONC 50 ML VIAL,360.0,144.0,0.18,324.0,16
NDC,70860-225-10,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL,1104.0,441.6,3.63,993.6,16
NDC,70860-405-04,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,70860-405-41,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,70860-701-03,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,70860-701-41,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,70860-701-42,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,70860-777-20,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL,35.0,14.0,1.07,31.5,16
NDC,70860-777-21,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL,35.0,14.0,1.07,31.5,16
NDC,70860-784-05,VALPROATE 100 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70860-784-41,VALPROATE 100 MG/ML SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,70954-014-10,THIOTHIXENE 1 MG CAPS 100 EACH BOTTLE,5.94,2.38,2.38,5.35,17
NDC,70954-015-10,THIOTHIXENE 2 MG CAPS 100 EACH BOTTLE,7.85,3.14,3.14,7.07,17
NDC,70954-016-10,THIOTHIXENE 5 MG CAPS 100 EACH BOTTLE,11.91,4.76,4.76,10.72,17
NDC,70954-020-10,PRAZOSIN 2 MG CAPS 100 EACH BOTTLE,6.61,2.64,2.64,5.95,17
NDC,70954-041-10,RIFABUTIN 150 MG CAPS 100 EACH BOTTLE,87.47,34.99,34.99,78.72,17
NDC,70954-135-10,DAPSONE 25 MG TABS 30 EACH BOTTLE,12.33,4.93,4.93,11.1,17
NDC,70954-136-10,DAPSONE 100 MG TABS 30 EACH BOTTLE,15.12,6.05,6.05,13.61,17
NDC,70954-136-20,DAPSONE 100 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
NDC,70954-148-10,PYRIDOSTIGMINE 60 MG/5ML SOLN 473 ML BOTTLE,5626.05,2250.42,2250.42,5063.45,17
NDC,70954-158-50,CLORAZEPATE 7.5 MG TABS 30 EACH BOX,25.09,10.04,10.04,22.58,17
NDC,70954-168-10,SILDENAFIL CITRATE 10 MG/ML SUSR 112 ML BOTTLE,365.33,146.13,146.13,328.8,17
NDC,70954-188-10,ACYCLOVIR 200 MG/5ML SUSP 473 ML BOTTLE,23.53,9.41,9.41,21.18,17
NDC,70954-211-10,TRIHEXYPHENIDYL 5 MG TABS 100 EACH BOTTLE,3.64,1.46,1.46,3.28,17
NDC,70954-212-10,TRIHEXYPHENIDYL 2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,70954-261-10,DICYCLOMINE 10 MG/5ML SOLN 473 ML BOTTLE,7.5,3.0,3.0,6.75,17
NDC,70954-316-10,FAMOTIDINE 40 MG/5ML SUSR 50 ML BOTTLE,22.12,8.85,8.85,19.91,17
NDC,70954-484-10,PYRAZINAMIDE 500 MG TABS 60 EACH BOTTLE,31.58,12.63,12.63,28.42,17
NDC,70954-484-20,PYRAZINAMIDE 500 MG TABS 90 EACH BOTTLE,31.38,12.55,12.55,28.24,17
NDC,70954-484-30,PYRAZINAMIDE 500 MG TABS 100 EACH BOTTLE,30.78,12.31,12.31,27.7,17
NDC,70954-484-40,PYRAZINAMIDE 500 MG TABS 500 EACH BOTTLE,30.42,12.17,12.17,27.38,17
NDC,70954-492-10,LEVOCARNITINE 330 MG TABS 90 EACH BOX,5.49,2.2,2.2,4.94,17
NDC,70954-522-10,HYDROCHLOROTHIAZIDE 10 MG/ML SUSR 80 ML BOTTLE,2099.81,839.92,839.92,1889.83,17
NDC,70954-541-10,TRIMETHOPRIM 100 MG TABS 100 EACH BOTTLE,11.65,4.66,4.66,10.49,17
NDC,70954-566-10,ESTRADIOL 2 MG TABS 100 EACH BOTTLE,4.71,1.88,1.88,4.24,17
NDC,71019-337-01,SODIUM PHOSPHATENACL 30 MMOL/250ML SOLN 260 ML BAG,163.8,65.52,65.52,147.42,17
NDC,71093-119-04,TRAMADOL 50 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,71225-120-01,BENDAMUSTINE HCL 100 MG/4ML SOLN 4 ML VIAL,16499.62,6599.85,11.6,14849.66,32
NDC,71225-132-01,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML BOTTLE,180.0,72.0,72.0,162.0,17
NDC,71225-132-02,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML BOTTLE,180.0,72.0,72.0,162.0,17
NDC,71266-5040-1,FENTANYL CITRATENACL 20 MCG/ML SOLN 100 ML FLEX CONT,196.0,78.4,78.4,176.4,17
NDC,71266-5083-1,VANCOMYCIN 1.250.9 GM/250ML% SOLN 250 ML FLEX CONT,122.5,49.0,49.0,110.25,17
NDC,71266-5085-1,VANCOMYCIN 1.50.9 GM/250ML% SOLN 250 ML FLEX CONT,133.75,53.5,53.5,120.38,17
NDC,71266-5100-1,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,71266-5103-1,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,14.0,31.5,17
NDC,71266-5250-1,PHENYLEPHRINE 500.9 MG/250ML% SOLN 250 ML FLEX CONT,227.5,91.0,91.0,204.75,17
NDC,71266-6519-1,PHENOL 6 % SOLN 10 ML VIAL,410.73,164.29,164.29,369.66,17
NDC,71266-8006-1,BEVACIZUMAB 1.25 MG/0.05ML SOSY 0.05 ML SYRINGE,489.89,195.96,1.79,440.9,26
NDC,71266-8006-5,BEVACIZUMAB 1.25 MG/0.05ML SOSY 0.05 ML SYRINGE,489.89,195.96,1.79,440.9,26
NDC,71266-8020-1,AMINO ACID 5 % SOLN 1000 ML FLEX CONT,1743.4,697.36,697.36,1569.06,17
NDC,71266-9080-2,KETAMINE HCL 50 MG/5ML SOSY 5 ML SYRINGE,39.8,15.92,15.92,35.82,17
NDC,71266-9080-4,KETAMINE 10 MG/ML 5 ML SYRINGE,41.15,16.46,16.46,37.04,17
NDC,71266-9110-4,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,109.95,43.98,43.98,98.96,17
NDC,71266-9684-5,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML SOSY 5 ML SYRINGE,171.8,68.72,68.72,154.62,17
NDC,71287-119-01,AXICABTAGENE CILOLEUCEL 200000000 CELLS SUSP 1 EACH PACKAGE,2538043.2,1015217.28,90000.0,2284238.88,30
NDC,71287-219-01,BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS SUSP 1 EACH FLEX CONT,2328480.0,931392.0,90000.0,2095632.0,30
NDC,71287-220-01,BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS SUSP 1 EACH FLEX CONT,2328480.0,931392.0,90000.0,2095632.0,30
NDC,71288-003-31,PIPERACILLINTAZOBACTAM 3.375 30.375 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-016-15,DAPTOMYCIN 500 MG SOLR 1 EACH VIAL,180.0,72.0,0.04,162.0,16
NDC,71288-019-10,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,579.6,231.84,0.49,521.64,16
NDC,71288-019-11,TIGECYCLINE 50 MG SOLR 1 EACH VIAL,579.6,231.84,0.49,521.64,16
NDC,71288-027-30,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,210.0,84.0,1.0,189.0,16
NDC,71288-031-20,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,71288-031-21,AMPICILLINSULBACTAM 1.5 10.5 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,71288-032-20,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,49.02,19.61,1.81,44.12,16
NDC,71288-032-21,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,49.02,19.61,1.81,44.12,16
NDC,71288-109-20,CYTARABINE PF 100 MG/ML SOLN 20 ML VIAL,115.0,46.0,1.08,103.5,16
NDC,71288-115-30,AZACITIDINE 100 MG SUSR 1 EACH VIAL,270.0,108.0,0.74,243.0,16
NDC,71288-116-11,BUSULFAN 6 MG/ML SOLN 10 ML VIAL,690.0,276.0,0.89,621.0,32
NDC,71288-118-10,BORTEZOMIB 3.5 MG SOLR 1 EACH VIAL,252.0,100.8,3.63,226.8,16
NDC,71288-119-20,DECITABINE 50 MG SOLR 1 EACH VIAL,552.0,220.8,1.59,496.8,16
NDC,71288-128-20,CLOFARABINE 1 MG/ML SOLN 20 ML VIAL,4800.0,1920.0,5.45,4320.0,32
NDC,71288-129-02,DACTINOMYCIN 0.5 MG SOLR 1 EACH VIAL,2520.0,1008.0,289.0,2268.0,32
NDC,71288-132-90,MELPHALAN 50 MG SOLR 1 EACH VIAL,1104.0,441.6,86.94,993.6,32
NDC,71288-138-50,MITOMYCIN 20 MG SOLR 1 EACH VIAL,2268.0,907.2,26.1,2041.2,32
NDC,71288-161-20,LEUCOVORIN 100 MG SOLR 1 EACH VIAL,115.0,46.0,4.19,103.5,16
NDC,71288-167-50,PEMETREXED 500 MG SOLR 1 EACH VIAL,828.0,331.2,3.59,745.2,32
NDC,71288-202-02,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,120.0,48.0,48.0,108.0,17
NDC,71288-203-02,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-203-03,FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-203-10,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-203-11,FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-208-30,ADENOSINE DIAGNOSTIC 3 MG/ML SOLN 30 ML VIAL,986.7,394.68,0.73,888.03,16
NDC,71288-300-01,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-300-02,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-303-01,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-303-02,CYANOCOBALAMIN 1000 MCG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-403-01,HEPARIN PORCINE 5000 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-403-02,HEPARIN PORCINE 5000 UNIT/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-409-05,PALONOSETRON 0.25 MG/5ML SOLN 5 ML VIAL,54.0,21.6,0.44,48.6,16
NDC,71288-413-51,EPTIFIBATIDE 75 MG/100ML SOLN 100 ML VIAL,552.0,220.8,3.73,496.8,26
NDC,71288-415-05,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,48.0,19.2,0.98,43.2,17
NDC,71288-415-06,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,48.0,19.2,0.98,43.2,17
NDC,71288-426-03,ENOXAPARIN 300 MG/3ML SOLN 3 ML VIAL,192.0,76.8,0.77,172.8,16
NDC,71288-427-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,386.4,154.56,0.22,347.76,16
NDC,71288-427-11,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,386.4,154.56,0.22,347.76,16
NDC,71288-433-82,ENOXAPARIN SODIUM 40 MG/0.4ML SOSY 0.4 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,71288-433-83,ENOXAPARIN SODIUM 40 MG/0.4ML SOSY 0.4 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,71288-434-84,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,71288-434-85,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,35.0,14.0,0.77,31.5,16
NDC,71288-435-86,ENOXAPARIN SODIUM 80 MG/0.8ML SOSY 0.8 ML SYRINGE,44.4,17.76,0.77,39.96,16
NDC,71288-435-87,ENOXAPARIN SODIUM 80 MG/0.8ML SOSY 0.8 ML SYRINGE,44.4,17.76,0.77,39.96,16
NDC,71288-503-01,HALOPERIDOL DECANOATE 100 MG/ML SOLN 1 ML VIAL,35.0,14.0,5.72,31.5,16
NDC,71288-503-02,HALOPERIDOL DECANOATE 100 MG/ML SOLN 1 ML VIAL,35.0,14.0,5.72,31.5,16
NDC,71288-504-05,HALOPERIDOL DECANOATE 100 MG/ML SOLN 5 ML VIAL,35.0,14.0,5.72,31.5,16
NDC,71288-505-02,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-505-03,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-600-10,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,71288-600-11,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,35.0,14.0,8.62,31.5,16
NDC,71288-702-10,ATRACURIUM BESYLATE 100 MG/10ML SOLN 10 ML VIAL,56.7,22.68,22.68,51.03,17
NDC,71288-712-06,CISATRACURIUM BESYLATE PF 10 MG/5ML SOLN 5 ML VIAL,42.0,16.8,16.8,37.8,17
NDC,71288-714-10,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,60.0,24.0,24.0,54.0,17
NDC,71288-714-11,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,60.0,24.0,24.0,54.0,17
NDC,71288-716-10,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,71288-716-11,METHOCARBAMOL 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,6.23,31.5,16
NDC,71288-802-02,DOXERCALCIFEROL 4 MCG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-802-04,DOXERCALCIFEROL 4 MCG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71288-803-20,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,400.2,160.08,160.08,360.18,17
NDC,71288-803-21,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,400.2,160.08,160.08,360.18,17
NDC,71321-800-10,MAGNESIUM 84 MG 7MEQ TAB CR 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,71336-1000-1,PATISIRAN SODIUM 10 MG/5ML SOLN 5 ML VIAL,49316.4,19726.56,88.07,44384.76,32
NDC,71336-1001-1,GIVOSIRAN SODIUM 189 MG/ML SOLN 1 ML VIAL,221225.76,88490.3,115.66,199103.18,26
NDC,71336-1003-1,VUTRISIRAN SODIUM 25 MG/0.5ML SOSY 0.5 ML SYRINGE,601529.04,240611.62,3723.75,541376.14,32
NDC,71351-010-01,POTASSIUM AND SODIUM PHOSPHATES 280160250 MG PACK 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,71351-010-99,POTASSIUM AND SODIUM PHOSPHATES 280160250 MG PACK 1 EACH PACKET,3.0,1.2,1.2,2.7,17
NDC,71351-021-10,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,71351-022-02,BUPIVACAINE 0.75% IN DEXTROSE 8.25% INTRATHECAL 0.758.25 % SOLN 2 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,71351-022-10,BUPIVACAINE 0.75% IN DEXTROSE 8.25% INTRATHECAL 0.758.25 % SOLN 2 ML AMPULE,35.0,14.0,14.0,31.5,17
NDC,71357-001-01,TROMETHAMINE 30 MEQ/100ML SOLN 500 ML GLASS CONT,1929.7,771.88,771.88,1736.73,17
NDC,71399-1028-1,DIPHENHYDRAMINE 50 MG CAPS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,71399-2829-1,DIBUCAINE PERIANAL 1 % OINT 28 G TUBE,19.6,7.84,7.84,17.64,17
NDC,71414-115-01,ASCORBIC ACID 500 MG/ML SOLN 50 ML VIAL,469.66,187.86,187.86,422.69,17
NDC,71449-079-51,ROPIVACAINE ONQ PUMP 0.2 % 545 ML FLEX CONT,910.04,364.02,364.02,819.04,17
NDC,71449-091-43,BEVACIZUMAB 2.5 MG/0.1ML SOSY 0.1 ML SYRINGE,362.88,145.15,1.79,326.59,26
NDC,71469-231-01,AMINOLEVULINIC ACID HCL 1.5 G SOLR 1 EACH VIAL,14056.56,5622.62,5622.62,12650.9,17
NDC,71506-074-05,KETAMINE 10 MG/ML 5 ML SYRINGE,83.0,33.2,33.2,74.7,17
NDC,71699-050-30,CENOBAMATE 50 MG TABS 30 EACH BOTTLE,250.38,100.15,100.15,225.34,17
NDC,71715-002-21,OMADACYCLINE 150 MG TABS 6 EACH DISP PACK,1496.2,598.48,598.48,1346.58,17
NDC,71740-112-30,POTASSIUM IODIDE EXPECTORANT 1 GM/ML SOLN 30 ML BOTTLE,2399.04,959.62,959.62,2159.14,17
NDC,71773-100-05,ERAVACYCLINE DIHYDROCHLORIDE 100 MG SOLR 1 EACH VIAL,689.54,275.82,1.37,620.59,26
NDC,71776-005-15,NATAMYCIN 5 % SUSP 15 ML BOTTLE,4772.88,1909.15,1909.15,4295.59,17
NDC,71837-5843-5,SARGRAMOSTIM 250 MCG SOLR 1 EACH VIAL,1736.75,694.7,47.52,1563.08,32
NDC,71839-104-01,FOSAPREPITANT 150 MG SOLR 1 EACH VIAL,1660.6,664.24,0.13,1494.54,16
NDC,71839-111-10,ENOXAPARIN SODIUM 60 MG/0.6ML SOSY 0.6 ML SYRINGE,83.87,33.55,0.77,75.48,16
NDC,71839-112-10,ENOXAPARIN SODIUM 80 MG/0.8ML SOSY 0.8 ML SYRINGE,111.76,44.7,0.77,100.58,16
NDC,71839-113-10,ENOXAPARIN SODIUM 100 MG/ML SOSY 1 ML SYRINGE,139.71,55.88,0.77,125.74,16
NDC,71839-122-10,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL,42.5,17.0,8.62,38.25,16
NDC,71839-125-01,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,222.2,88.88,0.98,199.98,17
NDC,71839-125-25,GLYCOPYRROLATE 1 MG/5ML SOLN 5 ML VIAL,222.2,88.88,0.98,199.98,17
NDC,71858-0405-4,DICLOFENAC EPOLAMINE 1.3 % PTCH 5 EACH PACKAGE,64.8,25.92,25.92,58.32,17
NDC,71858-0405-5,DICLOFENAC EPOLAMINE 1.3 % PTCH 30 EACH BOX,64.8,25.92,25.92,58.32,17
NDC,71863-114-60,CARGLUMIC ACID 200 MG TBSO 60 EACH BOTTLE,1156.66,462.66,462.66,1040.99,17
NDC,71921-308-56,VARENICLINE 0.5 MG TABS 56 EACH BOTTLE,46.38,18.55,18.55,41.74,17
NDC,71921-405-21,RIVAROXABAN 2.5 MG TABS 180 EACH BOTTLE,31.92,12.77,12.77,28.73,17
NDC,71930-078-50,HYDROCORTISONE 5 MG TABS 50 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72078-034-00,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,371.82,148.73,148.73,334.64,17
NDC,72078-034-01,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,371.82,148.73,148.73,334.64,17
NDC,72078-035-00,REMIFENTANIL 2 MG SOLR 1 EACH VIAL,743.64,297.46,297.46,669.28,17
NDC,72078-035-02,REMIFENTANIL 2 MG SOLR 1 EACH VIAL,743.64,297.46,297.46,669.28,17
NDC,72078-036-00,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1582.26,632.9,632.9,1424.03,17
NDC,72078-036-05,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1582.23,632.89,632.89,1424.01,17
NDC,72078-081-06,MEROPENEM 2 G SOLR 1 EACH VIAL,187.54,75.02,0.55,168.79,16
NDC,72140-00021,HYDROCERIN CREA 454 G JAR,111.23,44.49,44.49,100.11,17
NDC,72140-00022,HYDROCERIN CREA 113 G JAR,64.41,25.76,25.76,57.97,17
NDC,72140-03147,MINERAL OILHYDROPHILIC PETROLATUM OINT 396 G JAR,85.14,34.06,34.06,76.63,17
NDC,72140-03263,MINERAL OILHYDROPHILIC PETROLATUM OINT 99 G JAR,65.34,26.14,26.14,58.81,17
NDC,72140-03711,HYDROPHOR OINT 80 G JAR,52.0,20.8,20.8,46.8,17
NDC,72140-45231,MINERAL OILHYDROPHILIC PETROLATUM OINT 50 G TUBE,43.0,17.2,17.2,38.7,17
NDC,72140-63377,MINERAL OILHYDROPHILIC PETROLATUM OINT 85 G TUBE,62.48,24.99,24.99,56.23,17
NDC,72140-63386,MINERAL OILHYDROPHILIC PETROLATUM OINT 396 G JAR,128.7,51.48,51.48,115.83,17
NDC,72140-63608,HYDROPHOR OINT 396 G JAR,128.7,51.48,51.48,115.83,17
NDC,72187-0401-1,TAGRAXOFUSPERZS 1000 MCG/ML SOLN 1 ML VIAL,170133.52,68053.41,245.08,153120.17,32
NDC,72205-001-30,MOXIFLOXACIN 400 MG TABS 30 EACH BOTTLE,136.13,54.45,54.45,122.52,17
NDC,72205-020-30,SOLIFENACIN 5 MG TABS 30 EACH BOTTLE,69.59,27.84,27.84,62.63,17
NDC,72205-021-30,SOLIFENACIN 10 MG TABS 30 EACH BOTTLE,69.59,27.84,27.84,62.63,17
NDC,72205-027-90,ROSUVASTATIN 5 MG TABS 90 EACH BOTTLE,44.73,17.89,17.89,40.26,17
NDC,72205-028-30,FEBUXOSTAT 40 MG TABS 30 EACH BOTTLE,50.33,20.13,20.13,45.3,17
NDC,72205-031-01,DECITABINE 50 MG SOLR 1 EACH VIAL,8194.2,3277.68,1.59,7374.78,16
NDC,72205-036-01,DECITABINE 50 MG SOLR 1 EACH VIAL,8194.2,3277.68,1.59,7374.78,16
NDC,72205-039-60,DOFETILIDE 125 MCG CAPS 60 EACH BOTTLE,48.72,19.49,19.49,43.85,17
NDC,72205-040-60,DOFETILIDE 250 MCG CAPS 60 EACH BOTTLE,48.72,19.49,19.49,43.85,17
NDC,72205-041-60,DOFETILIDE 500 MCG CAPS 60 EACH BOTTLE,48.72,19.49,19.49,43.85,17
NDC,72205-049-30,AMINOCAPROIC ACID 500 MG TABS 30 EACH BOTTLE,112.01,44.8,44.8,100.81,17
NDC,72205-054-01,FOSAPREPITANT 150 MG SOLR 1 EACH VIAL,1477.75,591.1,0.13,1329.98,16
NDC,72205-099-78,SIROLIMUS 1 MG/ML SOLN 60 ML BOTTLE,7957.91,3183.16,3183.16,7162.12,17
NDC,72205-101-01,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,72205-101-07,BUMETANIDE 0.25 MG/ML SOLN 4 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,72205-102-01,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,72205-102-07,BUMETANIDE 0.25 MG/ML SOLN 10 ML VIAL,35.0,14.0,0.59,31.5,17
NDC,72205-280-60,SACUBITRILVALSARTAN 2426 MG TABS 60 EACH BOTTLE,68.12,27.25,27.25,61.31,17
NDC,72205-433-01,DAPAGLIFLOZIN 10 MG TABS 30 EACH BOTTLE,88.5,35.4,35.4,79.65,17
NDC,72241-006-05,HYDRALAZINE 100 MG TABS 100 EACH BOTTLE,5.07,2.03,2.03,4.56,17
NDC,72241-007-05,FLUOXETINE 10 MG CAPS 100 EACH BOTTLE,12.99,5.2,5.2,11.69,17
NDC,72252-510-02,DIAZEPAM 10 MG/0.1ML LIQD 1 EACH BOX,2110.85,844.34,844.34,1899.77,15
NDC,72252-510-05,DIAZEPAM 10 MG/0.1ML LIQD 1 EACH BOX,2110.87,844.35,844.35,1899.78,15
NDC,72266-102-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,48.0,19.2,19.2,43.2,17
NDC,72266-108-01,CLOFARABINE 1 MG/ML SOLN 20 ML VIAL,4800.0,1920.0,5.45,4320.0,32
NDC,72266-118-01,KETOROLAC 30 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,72266-119-01,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,72266-119-25,KETOROLAC 60 MG/2ML SOLN 2 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,72266-124-01,ONDANSETRON 40 MG/20ML SOLN 20 ML VIAL,35.0,14.0,1.07,31.5,16
NDC,72266-127-01,DICYCLOMINE 10 MG/ML SOLN 2 ML VIAL,73.8,29.52,29.52,66.42,17
NDC,72266-127-05,DICYCLOMINE 10 MG/ML SOLN 2 ML VIAL,73.8,29.52,29.52,66.42,17
NDC,72266-131-01,VORICONAZOLE 200 MG SOLR 1 EACH VIAL,360.0,144.0,1.0,324.0,16
NDC,72266-146-01,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72266-146-10,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72266-147-01,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72266-147-10,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72266-158-01,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,69.6,27.84,27.84,62.64,17
NDC,72266-159-05,ERTAPENEM 1 G SOLR 1 EACH VIAL,441.6,176.64,12.82,397.44,16
NDC,72266-160-01,ZIPRASIDONE 20 MG SOLR 1 EACH VIAL,196.74,78.7,8.88,177.07,16
NDC,72266-160-10,ZIPRASIDONE 20 MG SOLR 1 EACH VIAL,196.74,78.7,8.88,177.07,16
NDC,72266-163-01,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,425.04,170.02,3.08,382.54,16
NDC,72266-163-06,TOBRAMYCIN 1.2 G SOLR 1 EACH VIAL,425.04,170.02,3.08,382.54,16
NDC,72266-204-01,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72266-204-10,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72266-234-01,KETOROLAC 15 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,72266-234-25,KETOROLAC 15 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.33,31.5,24
NDC,72266-235-01,DEXRAZOXANE HCL 250 MG SOLR 1 EACH VIAL,1271.21,508.48,41.44,1144.09,32
NDC,72266-237-05,DOXYCYCLINE 100 MG SOLR 1 EACH VIAL,88.04,35.22,35.22,79.24,17
NDC,72266-248-01,SINCALIDE 5 MCG SOLR 1 EACH VIAL,754.2,301.68,301.68,678.78,16
NDC,72266-248-05,SINCALIDE 5 MCG SOLR 1 EACH VIAL,754.2,301.68,301.68,678.78,16
NDC,72266-251-10,CALCITRIOL 1 MCG/ML SOLN 1 ML VIAL,59.7,23.88,1.31,53.73,16
NDC,72485-101-01,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-101-05,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-101-25,DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-104-01,CAFFEINE CITRATE 60 MG/3ML SOLN 3 ML VIAL,60.0,24.0,24.0,54.0,17
NDC,72485-104-10,CAFFEINE CITRATE 60 MG/3ML SOLN 3 ML VIAL,66.0,26.4,26.4,59.4,17
NDC,72485-105-01,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,120.0,48.0,48.0,108.0,17
NDC,72485-118-25,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML SOLN 1 ML VIAL,35.0,14.0,0.12,31.5,16
NDC,72485-404-01,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,108.5,43.4,43.4,97.65,17
NDC,72485-404-10,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,108.5,43.4,43.4,97.65,17
NDC,72485-406-01,NAFCILLIN 2 G SOLR 1 EACH VIAL,61.69,24.68,24.68,55.52,17
NDC,72485-406-10,NAFCILLIN 2 G SOLR 1 EACH VIAL,61.69,24.68,24.68,55.52,17
NDC,72485-417-01,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,72485-417-10,AMPICILLINSULBACTAM 3 21 G SOLR 1 EACH VIAL,35.0,14.0,1.81,31.5,16
NDC,72485-421-01,AMPICILLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-421-10,AMPICILLIN 1 G SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-422-10,AMPICILLIN 2 G SOLR 1 EACH VIAL,42.66,17.06,17.06,38.39,17
NDC,72485-505-10,PHENYLEPHRINE HCL 10 MG/ML SOLN 5 ML VIAL,59.7,23.88,23.88,53.73,17
NDC,72485-507-01,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-507-25,THIAMINE 100 MG/ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-508-01,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-508-10,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72485-510-01,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,69.0,27.6,27.6,62.1,17
NDC,72485-510-10,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,69.0,27.6,27.6,62.1,17
NDC,72485-611-31,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % GEL 5 ML TUBE,16.68,6.67,6.67,15.01,17
NDC,72485-625-13,CIPROFLOXACINDEXAMETHASONE 0.30.1 % SUSP 7.5 ML BOTTLE,707.63,283.05,283.05,636.87,17
NDC,72485-665-05,LOTEPREDNOL 0.5 % SUSP 5 ML BOTTLE,806.29,322.52,322.52,725.66,17
NDC,72485-670-31,ERYTHROMYCIN 5 MG/GM OINT 1 G TUBE,100.18,40.07,40.07,90.16,17
NDC,72485-670-35,ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE,144.74,57.9,57.9,130.27,17
NDC,72512-928-01,CAPSAICIN 8 % KIT 1 PATCH BOX,4578.55,1831.42,2.71,4120.7,32
NDC,72512-929-01,CAPSAICIN 8 % KIT 2 PATCH BOX,4578.5,1831.4,2.71,4120.65,32
NDC,72512-930-01,CAPSAICIN 8 % KIT 4 PATCH BOX,4578.53,1831.41,2.71,4120.68,32
NDC,72516-024-10,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,225.0,90.0,90.0,202.5,17
NDC,72516-024-25,PAPAVERINE 30 MG/ML SOLN 2 ML VIAL,225.0,90.0,90.0,202.5,17
NDC,72572-170-01,FENTANYL 0.05 MG/ML SOLN 2 ML VIAL,35.0,14.0,1.43,31.5,16
NDC,72578-002-01,ACYCLOVIR 200 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72578-002-05,ACYCLOVIR 200 MG CAPS 500 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72578-040-01,ZONISAMIDE 25 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72578-041-01,ZONISAMIDE 50 MG CAPS 100 EACH BOTTLE,5.48,2.19,2.19,4.93,17
NDC,72578-082-06,ACYCLOVIR 5 % OINT 30 G TUBE,3349.84,1339.94,1339.94,3014.86,17
NDC,72578-084-02,CLINDAMYCIN 1 % SOLN 30 ML BOTTLE,190.05,76.02,76.02,171.05,17
NDC,72578-086-01,DESONIDE 0.05 % CREA 15 G TUBE,369.36,147.74,147.74,332.42,17
NDC,72578-088-04,NYSTATINTRIAMCINOLONE 1000000.1 UNIT/GM% OINT 30 G TUBE,291.0,116.4,116.4,261.9,17
NDC,72578-089-01,NYSTATIN 100000 UNIT/GM OINT 15 G TUBE,84.0,33.6,33.6,75.6,17
NDC,72578-104-69,MIRTAZAPINE 30 MG TBDP 1 EACH,12.09,4.84,4.84,10.88,17
NDC,72578-104-84,MIRTAZAPINE 30 MG TBDP 30 EACH BOX,12.09,4.84,4.84,10.88,17
NDC,72578-111-06,BISOPROLOL 5 MG TABS 30 EACH BOTTLE,11.17,4.47,4.47,10.05,17
NDC,72578-112-01,BISOPROLOL 10 MG TABS 100 EACH BOTTLE,11.25,4.5,4.5,10.13,17
NDC,72578-112-06,BISOPROLOL 10 MG TABS 30 EACH BOTTLE,11.17,4.47,4.47,10.05,17
NDC,72578-136-06,FEBUXOSTAT 40 MG TABS 30 EACH BOTTLE,50.3,20.12,20.12,45.27,17
NDC,72578-156-12,KETOCONAZOLE 2 % SHAM 120 ML BOTTLE,151.2,60.48,60.48,136.08,17
NDC,72578-166-01,DEXAMETHASONE 1 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72578-168-01,DEXAMETHASONE 0.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72578-173-01,THEOPHYLLINE 300 MG TB12 100 EACH BOTTLE,21.48,8.59,8.59,19.33,17
NDC,72606-028-01,USTEKINUMABSTBA 90 MG/ML SOSY 1 ML SYRINGE,21049.22,8419.69,2.32,18944.3,30
NDC,72606-029-01,USTEKINUMABSTBA 130 MG/26ML SOLN 26 ML VIAL,1676.31,670.52,2.32,1508.68,30
NDC,72606-037-01,DENOSUMABBMWO 60 MG/ML SOSY 1 ML SYRINGE,8979.56,3591.82,22.23,8081.6,32
NDC,72611-716-01,DEXRAZOXANE HCL 500 MG SOLR 1 EACH VIAL,2202.48,880.99,41.44,1982.23,32
NDC,72611-734-01,LABETALOL 5 MG/ML SOLN 20 ML VIAL,68.8,27.52,27.52,61.92,17
NDC,72611-749-01,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,35.4,14.16,0.2,31.86,16
NDC,72611-749-10,MIDAZOLAM HCL 50 MG/10ML SOLN 10 ML VIAL,35.4,14.16,0.2,31.86,16
NDC,72611-860-04,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,72682-2243-3,ASCORBIC ACID 500 MG/ML SOLN 30 ML VIAL,199.95,79.98,79.98,179.96,17
NDC,72682-2625-0,AMINO ACID 5 % SOLN 1000 ML FLEX CONT,1357.0,542.8,542.8,1221.3,17
NDC,72694-515-01,CALASPARGASE PEGOLMKNL 3750 UNIT/5ML SOLN 5 ML VIAL,150000.65,60000.26,64.97,135000.59,32
NDC,72694-954-01,PEGASPARGASE 750 UNIT/ML SOLN 5 ML VIAL,138527.09,55410.84,12928.48,124674.38,32
NDC,72769-181-01,PERAMIVIR 200 MG/20ML SOLN 20 ML VIAL,1748.0,699.2,699.2,1573.2,15
NDC,72888-004-00,METOPROLOL TARTRATE 25 MG TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72888-010-01,BACLOFEN 10 MG TABS 100 EACH BOTTLE,12.36,4.94,4.94,11.12,17
NDC,72888-034-01,CARVEDILOL 3.125 MG TABS 100 EACH BOTTLE,8.44,3.38,3.38,7.6,17
NDC,72888-034-05,CARVEDILOL 3.125 MG TABS 500 EACH BOTTLE,8.44,3.38,3.38,7.6,17
NDC,72888-060-30,AMIODARONE 100 MG TABS 30 EACH BOTTLE,37.15,14.86,14.86,33.44,17
NDC,72888-081-01,ISOSORBIDE DINITRATE 5 MG TABS 100 EACH BOTTLE,4.93,1.97,1.97,4.44,17
NDC,72888-125-26,LIDOCAINE VISCOUS HCL 2 % SOLN 100 ML BOTTLE,3.3,1.32,1.32,2.97,17
NDC,72888-139-32,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,5.14,2.06,2.06,4.63,17
NDC,72888-139-33,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,3.85,1.54,1.54,3.47,17
NDC,72888-141-35,FLUTICASONE 50 MCG/ACT SUSP 16 G BOTTLE,429.31,171.72,171.72,386.38,17
NDC,72888-143-30,DESVENLAFAXINE 50 MG TB24 30 EACH BOTTLE,55.06,22.02,22.02,49.55,17
NDC,72888-148-37,IPRATROPIUM 0.06 % SOLN 15 ML BOTTLE,440.29,176.12,176.12,396.26,17
NDC,72888-172-46,LITHIUM 8 MEQ/5ML SOLN 500 ML BOTTLE,1490.4,596.16,596.16,1341.36,17
NDC,72888-173-48,HALOPERIDOL 2 MG/ML CONC 120 ML BOTTLE,3.0,1.2,1.2,2.7,17
NDC,72888-212-01,METOPROLOL TARTRATE 100 MG TABS 100 EACH BOTTLE,4.01,1.6,1.6,3.61,17
NDC,72893-002-01,BELINOSTAT 500 MG SOLR 1 EACH VIAL,13202.74,5281.1,31.44,11882.47,32
NDC,72903-853-01,MIRVETUXIMAB SORAVTANSINEGYNX 100 MG/20ML SOLN 20 ML VIAL,34183.04,13673.22,57.1,30764.74,32
NDC,73042-201-01,NAXITAMABGQGK 40 MG/10ML SOLN 10 ML VIAL,131372.14,52548.86,488.83,118234.93,32
NDC,73043-005-01,CYCLOSPORINE PF 0.05 % EMUL 30 EACH PLAS CONT,61.33,24.53,24.53,55.2,17
NDC,73043-005-02,CYCLOSPORINE PF 0.05 % EMUL 60 EACH PLAS CONT,61.34,24.54,24.54,55.21,17
NDC,73043-011-05,TEMOZOLOMIDE 5 MG CAPS 5 EACH BOTTLE,70.36,28.14,0.59,63.32,16
NDC,73043-011-14,TEMOZOLOMIDE 5 MG CAPS 14 EACH BOTTLE,70.76,28.3,0.59,63.68,16
NDC,73043-012-14,TEMOZOLOMIDE 20 MG CAPS 14 EACH BOTTLE,284.1,113.64,0.59,255.69,16
NDC,73043-016-05,TEMOZOLOMIDE 250 MG CAPS 5 EACH BOTTLE,3019.8,1207.92,0.59,2717.82,16
NDC,73043-034-01,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,214.03,85.61,9.7,192.63,18
NDC,73070-100-11,INSULIN ASPART 100 UNIT/ML SOLN 10 ML VIAL,399.33,159.73,159.73,359.4,17
NDC,73070-200-11,INSULIN ASPART PROTAMINEINSULIN ASPART 7030 100 UNIT/ML SUSP 10 ML VIAL,399.33,159.73,159.73,359.4,17
NDC,73090-420-01,SILTUXIMAB 100 MG SOLR 1 EACH VIAL,8483.75,3393.5,82.37,7635.38,32
NDC,73090-421-01,SILTUXIMAB 400 MG SOLR 1 EACH VIAL,33934.82,13573.93,82.37,30541.34,32
NDC,73150-150-06,UBLITUXIMABXIIY 150 MG/6ML SOLN 6 ML VIAL,55994.4,22397.76,62.84,50394.96,32
NDC,73153-900-01,LISOCABTAGENE MARALEUCEL 70000000 CELLS/ML SUSP 1 EACH BOX,2678005.85,1071202.34,562201.24,2410205.27,30
NDC,73177-114-15,DESMOPRESSIN ACETATE 1.5 MG/ML SOLN 1 EACH BOTTLE,1656.0,662.4,662.4,1490.4,17
NDC,73177-122-01,ATROPINE SULFATE 0.8 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,73177-161-43,METHADONE HCL 100.8 MG/ML% SOSY 1 ML SYRINGE,252.0,100.8,100.8,226.8,17
NDC,73293-0001-1,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,73293-0001-2,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,73302-456-01,ULIPRISTAL ACETATE 30 MG TABS 1 EACH BOX,232.5,93.0,93.0,209.25,17
NDC,73462-101-01,TRILACICLIB 300 MG SOLR 1 EACH VIAL,8129.69,3251.88,4.57,7316.72,32
NDC,73473-303-70,METRONIDAZOLE 0.75 % GEL 70 G TUBE,120.05,48.02,48.02,108.05,17
NDC,73475-3041-5,EFGARTIGIMOD ALFAFCAB 400 MG/20ML SOLN 20 ML VIAL,31823.57,12729.43,27.31,28641.21,32
NDC,73535-208-01,TAFASITAMABCXIX 200 MG SOLR 1 EACH VIAL,7176.96,2870.78,11.52,6459.26,32
NDC,73594-9310-1,FERRIC DERISOMALTOSEONE DOSE 1000 MG/10ML SOLN 10 ML VIAL,19143.26,7657.3,20.46,17228.93,32
NDC,73607-011-11,ARTESUNATE 110 MG SOLR 1 EACH VIAL,27107.64,10843.06,40.75,24396.88,32
NDC,73702-125-10,PHENYLEPHRINE 0.1 MG/ML 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,73702-134-10,SUCCINYLCHOLINE 200 MG/10ML SOSY 10 ML SYRINGE,175.75,70.3,70.3,158.18,17
NDC,73702-134-15,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML SOSY 5 ML SYRINGE,125.05,50.02,50.02,112.55,17
NDC,74312-00640,VITAMIN B2 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,74312-07760,LARGININE 1000 MG TABS 50 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,74312-07961,BIOTIN 1000 MCG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,74312-13430,BIOTIN 5 MG CAPS 72 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,74312-58913,BIOTIN 5000 MCG SUBL 60 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,74527-022-02,MARGETUXIMABCMKB 250 MG/10ML SOLN 10 ML VIAL,15865.63,6346.25,39.87,14279.07,32
NDC,74527-022-03,MARGETUXIMABCMKB 250 MG/10ML SOLN 10 ML VIAL,15865.63,6346.25,39.87,14279.07,32
NDC,74676-5904-1,TRIPTORELIN PAMOATE 11.25 MG SUSR 1 EACH VIAL,14506.8,5802.72,448.7,13056.12,32
NDC,75834-159-01,VERAPAMIL 240 MG TAB CR 100 EACH BOTTLE,8.18,3.27,3.27,7.36,17
NDC,75834-171-19,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,75834-242-30,ERYTHROMYCIN BASE 250 MG TABS 30 EACH BOTTLE,66.15,26.46,26.46,59.54,17
NDC,75834-294-01,ERYTHROMYCIN 400 MG/5ML SUSR 100 ML BOTTLE,178.45,71.38,71.38,160.61,17
NDC,75834-320-01,VERAPAMIL 120 MG TAB CR 100 EACH BOTTLE,5.37,2.15,2.15,4.83,17
NDC,75834-327-01,DEXMETHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
NDC,75907-023-11,CLONIDINE 0.1 MG/24HR PTWK 1 EACH PACKAGE,165.79,66.32,66.32,149.21,17
NDC,75907-023-48,CLONIDINE 0.1 MG/24HR PTWK 4 EACH BOX,165.79,66.32,66.32,149.21,17
NDC,75907-070-01,NORTRIPTYLINE 25 MG CAPS 100 EACH BOTTLE,7.34,2.94,2.94,6.61,17
NDC,75907-072-01,NORTRIPTYLINE 75 MG CAPS 100 EACH BOTTLE,21.09,8.44,8.44,18.98,17
NDC,75907-095-40,FLUOROURACIL 5 % CREA 40 G TUBE,1184.04,473.62,473.62,1065.64,17
NDC,75987-060-08,SODIUM PHENYLBUTYRATE 500 MG TABS 250 EACH BOTTLE,163.56,65.42,65.42,147.2,17
NDC,75987-111-11,INTERFERON GAMMA1B 100 MCG/0.5ML SOLN 0.5 ML VIAL,28424.44,11369.78,8222.78,25582.0,22
NDC,75987-130-15,TEPROTUMUMABTRBW 500 MG SOLR 1 EACH VIAL,90815.51,36326.2,358.93,81733.96,32
NDC,75987-150-03,INEBILIZUMABCDON 100 MG/10ML SOLN 10 ML VIAL,235617.48,94246.99,411.29,212055.73,32
NDC,76045-004-01,MORPHINE SULFATE 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,2.83,31.5,16
NDC,76045-004-11,MORPHINE 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,2.83,31.5,16
NDC,76045-009-01,HYDROMORPHONE 1 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,0.12,31.5,16
NDC,76045-009-06,HYDROMORPHONE 1 MG/ML SOLN 0.5 ML SYRINGE,35.0,14.0,0.12,31.5,16
NDC,76045-009-11,HYDROMORPHONE 1 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,0.12,31.5,16
NDC,76045-009-96,HYDROMORPHONE 1 MG/ML SOLN 0.5 ML SYRINGE,35.0,14.0,0.12,31.5,16
NDC,76045-203-02,GLYCOPYRROLATE 0.4 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,0.98,31.5,17
NDC,76045-203-20,GLYCOPYRROLATE 0.4 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,0.98,31.5,17
NDC,76045-208-02,GLYCOPYRROLATE 0.4 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,0.98,31.5,17
NDC,76045-208-20,GLYCOPYRROLATE 0.4 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,0.98,31.5,17
NDC,76045-214-00,NEOSTIGMINE 3 MG/3ML SOSY 3 ML SYRINGE,90.6,36.24,36.24,81.54,17
NDC,76045-214-30,NEOSTIGMINE 3 MG/3ML SOSY 3 ML SYRINGE,90.6,36.24,36.24,81.54,17
NDC,76045-383-13,NEOSTIGMINE 3 MG/3ML SOSY 3 ML SYRINGE,90.0,36.0,36.0,81.0,17
NDC,76045-383-30,NEOSTIGMINE 3 MG/3ML SOSY 3 ML SYRINGE,90.0,36.0,36.0,81.0,17
NDC,76075-101-01,CARFILZOMIB 60 MG SOLR 1 EACH VIAL,17827.45,7130.98,30.66,16044.71,32
NDC,76075-102-01,CARFILZOMIB 30 MG SOLR 1 EACH VIAL,8913.74,3565.5,30.66,8022.37,32
NDC,76075-103-01,CARFILZOMIB 10 MG SOLR 1 EACH VIAL,2971.25,1188.5,30.66,2674.13,32
NDC,76125-150-02,RABIES IMMUNE GLOBULIN 300 UNIT/2ML SOLN 2 ML VIAL,2684.22,1073.69,243.2,2415.8,32
NDC,76125-150-10,RABIES IMMUNE GLOBULIN 1500 UNIT/10ML SOLN 10 ML VIAL,17152.34,6860.94,243.2,15437.11,32
NDC,76125-790-25,ALBUMIN HUMAN 5 % SOLN 250 ML VIAL,287.5,115.0,41.9,258.75,32
NDC,76125-792-10,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,529.92,211.97,53.32,476.93,32
NDC,76125-792-25,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,288.0,115.2,53.32,259.2,32
NDC,76125-792-26,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,288.0,115.2,53.32,259.2,32
NDC,76128-155-75,PORFIMER 75 MG SOLR 1 EACH VIAL,117547.92,47019.17,19609.92,105793.13,18
NDC,76179-025-02,ALBUMIN HUMAN 25 % SOLN 50 ML VIAL,300.0,120.0,53.32,270.0,32
NDC,76179-025-03,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,517.5,207.0,53.32,465.75,32
NDC,76179-025-04,ALBUMIN HUMAN 25 % SOLN 100 ML VIAL,517.5,207.0,53.32,465.75,32
NDC,76204-022-60,SODIUM CHLORIDE 3 % NEBU 4 ML PLAS CONT,4.2,1.68,1.68,3.78,17
NDC,76204-100-25,IPRATROPIUM 0.02 % SOLN 2.5 ML PLAS CONT,8.8,3.52,0.35,7.92,18
NDC,76204-100-30,IPRATROPIUM 0.02 % SOLN 2.5 ML PLAS CONT,8.8,3.52,0.35,7.92,18
NDC,76204-200-25,ALBUTEROL 2.5 MG/3ML NEBU 3 ML PLAS CONT,6.66,2.66,2.66,5.99,17
NDC,76204-200-30,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,6.66,2.66,0.04,5.99,18
NDC,76204-200-60,ALBUTEROL 2.5 MG/3ML 0.083% NEBU 3 ML PLAS CONT,6.66,2.66,0.04,5.99,18
NDC,76204-800-01,LEVALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,10.01,4.0,0.05,9.01,16
NDC,76204-800-11,LEVALBUTEROL 0.63 MG/3ML NEBU 3 ML PLAS CONT,10.01,4.0,0.05,9.01,16
NDC,76204-900-01,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML BOX,10.01,4.0,0.05,9.01,16
NDC,76204-900-11,LEVALBUTEROL 1.25 MG/3ML NEBU 3 ML PLAS CONT,10.01,4.0,0.05,9.01,16
NDC,76310-017-50,AMIFOSTINE 500 MG SOLR 1 EACH VIAL,5399.89,2159.96,451.96,4859.9,16
NDC,76310-022-01,ALDESLEUKIN 22000000 UNITS SOLR 1 EACH VIAL,27979.39,11191.76,2778.24,25181.45,32
NDC,76310-024-01,FOSCARNET SODIUM 6000 MG/250ML SOLN 250 ML GLASS CONT,1891.75,756.7,20.9,1702.58,16
NDC,76310-024-15,FOSCARNET SODIUM 6000 MG/250ML SOLN 250 ML GLASS CONT,2418.15,967.26,20.9,2176.34,16
NDC,76310-024-25,FOSCARNET SODIUM 6000 MG/250ML SOLN 250 ML GLASS CONT,2418.15,967.26,20.9,2176.34,16
NDC,76329-1240-1,PHYTONADIONE 1 MG/0.5ML SOLN 0.5 ML SYRINGE,148.38,59.35,3.55,133.54,16
NDC,76329-1912-1,MORPHINE PF 1 MG/ML SOLN 30 ML SYRINGE,84.0,33.6,33.6,75.6,15
NDC,76329-3012-5,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 5 ML SYRINGE,37.93,15.17,15.17,34.14,17
NDC,76329-3013-5,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 10 ML SYRINGE,42.25,16.9,16.9,38.03,17
NDC,76329-3301-1,DEXTROSE 50 % SOLN 50 ML SYRINGE,79.5,31.8,31.8,71.55,17
NDC,76329-3302-1,DEXTROSE 50 % SOLN 50 ML SYRINGE,121.5,48.6,48.6,109.35,17
NDC,76329-3304-1,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,76329-3316-1,EPINEPHRINE 0.1 MG/ML SOLN 10 ML SYRINGE,59.1,23.64,23.64,53.19,17
NDC,76329-3318-1,EPINEPHRINE PF 1 MG/10ML SOSY 10 ML SYRINGE,82.45,32.98,32.98,74.21,17
NDC,76329-3321-0,REGADENOSON 0.4 MG/5ML SOLN 5 ML SYRINGE,180.0,72.0,3.93,162.0,16
NDC,76329-3340-1,ATROPINE SULFATE 1 MG/10ML SOSY 10 ML SYRINGE,68.7,27.48,27.48,61.83,17
NDC,76329-3352-1,SODIUM BICARBONATE 8.4 % SOLN 50 ML SYRINGE,118.25,47.3,47.3,106.43,17
NDC,76329-3369-1,NALOXONE 2 MG/2ML SOSY 2 ML SYRINGE,198.0,79.2,0.1,178.2,16
NDC,76329-3390-1,LIDOCAINE CARDIAC 100 MG/5ML SOSY 5 ML SYRINGE,53.75,21.5,21.5,48.38,17
NDC,76329-6300-5,LIDOCAINE HCL 4 % SOLN 4 ML BOTTLE,181.2,72.48,72.48,163.08,17
NDC,76329-8261-0,LORAZEPAM 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,76329-8261-1,LORAZEPAM 2 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,76329-9060-0,EPINEPHRINE 1 MG/ML SOLN 30 ML VIAL,1242.0,496.8,496.8,1117.8,17
NDC,76385-131-01,PINDOLOL 5 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
NDC,77333-113-10,CALCIUM CITRATEVITAMIN D 3156.25 MGMCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-113-25,CALCIUM CITRATEVITAMIN D 3156.25 MGMCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-115-10,CALCIUM CARBCHOLECALCIFEROL 60010 MGMCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-115-25,CALCIUM CARBCHOLECALCIFEROL 60010 MGMCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-308-10,FISH OIL 1000 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-308-25,FISH OIL 1000 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-812-10,SIMETHICONE 80 MG CHEW 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,77333-812-25,SIMETHICONE 80 MG CHEW 1 EACH,1.0,0.4,0.4,0.9,17
NDC,77333-827-10,SODIUM BICARBONATE 650 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-827-25,SODIUM BICARBONATE 650 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-844-10,SODIUM CHLORIDE 1 G TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-844-25,SODIUM CHLORIDE 1 G TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-934-10,THIAMINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-934-25,THIAMINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-937-10,VITAMIN B12 500 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-937-25,VITAMIN B12 500 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-938-10,VITAMIN B12 1000 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-938-25,VITAMIN B12 1000 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-940-25,PYRIDOXINE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-945-10,PYRIDOXINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,77333-945-25,PYRIDOXINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
NDC,77333-948-10,CHOLECALCIFEROL 400 UNITS TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,77333-948-25,CHOLECALCIFEROL 400 UNITS TABS 1 EACH,1.0,0.4,0.4,0.9,17
NDC,77333-983-10,ZINC SULFATE 220 50 ZN MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
NDC,77333-983-25,ZINC SULFATE 220 50 ZN MG CAPS 1 EACH,1.0,0.4,0.4,0.9,17
NDC,7777-7878-78,INSULIN LISPRO DILUTED 10 UNITS/ML SOLN 10 ML VIAL,169.75,67.9,67.9,152.78,17
NDC,78112-00068,PHENOLGLYCERIN 1.533 % LIQD 118 ML BOTTLE,39.53,15.81,15.81,35.58,17
NDC,78112-01103,SORE THROAT SPRAY 1.4 % LIQD 177 ML BOTTLE,11.95,4.78,4.78,10.76,17
NDC,78112-01104,SORE THROAT SPRAY 1.4 % LIQD 177 ML BOTTLE,11.95,4.78,4.78,10.76,17
NDC,78112-01255,SORE THROAT SPRAY 1.4 % LIQD 177 ML BOTTLE,11.95,4.78,4.78,10.76,17
NDC,78112-01266,BENZOCAINEMENTHOL 18 EACH BOX,3.0,1.2,1.2,2.7,17
NDC,78112-73621,CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE,40.13,16.05,16.05,36.12,17
NDC,78206-114-03,MOMETASONE FUROATE 220 MCG/ACT AEPB 1 EACH INHALER,232.8,93.12,93.12,209.52,17
NDC,78206-118-01,BETAMETHASONE ACETATEBETAMETHASONE SODIUM PHOSPHATE 6 33 MG/ML SUSP 5 ML VIAL,110.02,44.01,44.01,99.02,17
NDC,78206-126-01,MOMETASONE FUROFORMOTEROL FUM 2005 MCG/ACT AEROSOL 13 G INHALER,1891.18,756.47,756.47,1702.06,17
NDC,78206-139-01,LOSARTANHYDROCHLOROTHIAZIDE 5012.5 MG TABS 30 EACH BOTTLE,31.19,12.48,12.48,28.07,17
NDC,78206-145-01,ETONOGESTREL 68 MG IMPL 1 EACH BOX,6427.81,2571.12,740.66,5785.03,22
NDC,78670-003-67,DANTROLENE 20 MG SOLR 1 EACH VIAL,386.4,154.56,154.56,347.76,17
NDC,79854-01269,B COMPLEXVITAMIN CFOLIC ACID 0.8 MG TABS 100 EACH,3.0,1.2,1.2,2.7,17
NDC,79854-05023,CHOLECALCIFEROL 1000 UNITS TABS 300 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,79854-05024,CHOLECALCIFEROL 1000 UNITS TABS 300 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,79854-20035,PYRIDOXINE 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,79952-110-01,LONCASTUXIMAB TESIRINELPYL 10 MG SOLR 1 EACH VIAL,146310.02,58524.01,153.86,131679.02,32
NDC,80446-401-01,TEBENTAFUSPTEBN 100 MCG/0.5ML SOLN 0.5 ML VIAL,108410.4,43364.16,182.34,97569.36,32
NDC,8065-183085,SODIUM HYALURONATE 10 MG/ML SOLN 0.85 ML SYRINGE,1354.38,541.75,541.75,1218.94,17
NDC,8065-183150,SOD HYALURONATESOD CHONDROITINSOD HYALURONATE 0.550.5 ML KIT 1.05 ML SYRINGE,1521.36,608.54,608.54,1369.22,15
NDC,8065-183905,NA CHONDROIT SULFNA HYALURON 2015 MG/0.5ML SOSY 0.5 ML SYRINGE,1094.43,437.77,437.77,984.99,17
NDC,8065-183975,NA CHONDROIT SULFNA HYALURON 3022.5 MG/0.75ML SOSY 0.75 ML SYRINGE,1438.14,575.26,575.26,1294.33,17
NDC,80681-00200,ZINC GLUCONATE 50 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,80681-05700,NIACIN 100 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,80681-07100,VITAMIN B12 100 MCG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,80681-09700,VITAMIN B1 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,80681-16000,MULTIVITAMIN TABS 130 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,80681-16900,CHOLECALCIFEROL 1000 UNITS TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
NDC,80725-610-25,CHLORAMBUCIL 2 MG TABS 25 EACH BOTTLE,2998.28,1199.31,1199.31,2698.45,17
NDC,80725-620-25,BUSULFAN 2 MG TABS 25 EACH BOTTLE,1707.73,683.09,10.12,1536.96,32
NDC,80725-630-25,THIOGUANINE 40 MG TABS 25 EACH BOTTLE,2806.54,1122.62,1122.62,2525.89,17
NDC,80830-1188-1,PROPOFOL 10 MG/ML EMUL 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,80830-1188-7,PROPOFOL 10 MG/ML EMUL 20 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,80830-1691-1,POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,270.0,108.0,108.0,243.0,17
NDC,80830-1691-2,POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,270.0,108.0,108.0,243.0,17
NDC,80830-2363-1,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
NDC,80830-2363-2,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
NDC,80830-2363-9,CALCIUM GLUCONATE 20.675 GM/100ML% SOLN 100 ML FLEX CONT,237.0,94.8,94.8,213.3,17
NDC,81033-011-05,FERROUS SULFATE 300 60 FE MG/5ML SOLN 5 ML CUP,4.86,1.94,1.94,4.37,17
NDC,81033-011-50,FERROUS SULFATE 300 60 FE MG/5ML SOLN 5 ML BOX,4.86,1.94,1.94,4.37,17
NDC,81033-013-05,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML CUP,20.4,8.16,8.16,18.36,17
NDC,81033-013-50,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML BOX,20.4,8.16,8.16,18.36,17
NDC,81033-020-50,MUPIROCIN 2 % OINT 1 G TUBE,15.0,6.0,6.0,13.5,17
NDC,81033-032-50,MUPIROCIN 2 % OINT 1 G TUBE,15.0,6.0,6.0,13.5,17
NDC,81033-032-99,MUPIROCIN 2 % OINT 1 G TUBE,15.0,6.0,6.0,13.5,17
NDC,81033-104-05,ATOVAQUONE 750 MG/5ML SUSP 5 ML CUP,113.58,45.43,45.43,102.22,17
NDC,81033-104-42,ATOVAQUONE 750 MG/5ML SUSP 5 ML CUP,113.58,45.43,45.43,102.22,17
NDC,81033-149-52,SUCRALFATE 1 GM/10ML SUSP 10 ML BOX,18.0,7.2,7.2,16.2,17
NDC,81033-266-50,VALPROIC ACID 250 MG/5ML SOLN 5 ML BOX,7.8,3.12,3.12,7.02,17
NDC,81052-138-10,PAFOLACIANINE SODIUM 3.2 MG/1.6ML SOLN 1.6 ML BOX,21420.0,8568.0,176.11,19278.0,16
NDC,81131-14500,CASCARA SAGRADA 450 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,81284-153-00,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,36.0,14.4,14.4,32.4,17
NDC,81284-153-10,PIPERACILLINTAZOBACTAM 4.5 40.5 G SOLR 1 EACH VIAL,36.0,14.4,14.4,32.4,17
NDC,81284-212-10,PHENYLEPHRINE HCL 10 MG/ML SOLN 5 ML VIAL,54.0,21.6,21.6,48.6,17
NDC,81284-315-00,INDIGOTINDISULFONATE 8 MG/ML SOLN 5 ML AMPULE,2208.0,883.2,883.2,1987.2,17
NDC,81284-315-05,INDIGOTINDISULFONATE 8 MG/ML SOLN 5 ML AMPULE,2208.0,883.2,883.2,1987.2,17
NDC,81284-411-10,DIHYDROERGOTAMINE 1 MG/ML SOLN 1 ML AMPULE,207.19,82.88,78.0,186.47,16
NDC,81284-521-01,PENICILLIN G BENZATHINE 1200000 UNITS SUSR 1 EACH VIAL,1048.8,419.52,419.52,943.92,15
NDC,81284-522-01,PENICILLIN G BENZATHINE 2400000 UNITS SUSR 1 EACH VIAL,2097.6,839.04,839.04,1887.84,17
NDC,81284-611-00,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,81284-611-10,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,81284-612-00,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,81284-612-10,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,81298-8554-3,VASOPRESSIN 400.9 UT/100ML% SOLN 100 ML GLASS CONT,717.6,287.04,1.75,645.84,32
NDC,81298-9658-1,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,358.8,143.52,143.52,322.92,17
NDC,81298-9658-3,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,358.8,143.52,143.52,322.92,17
NDC,8137-001963,OXIDIZED CELLULOSE PADS 1 EACH BOX,375.0,150.0,150.0,337.5,17
NDC,8137-003640,AVEENO SOOTHING BATH TREATMENT PACK 8 EACH BOX,3.99,1.6,1.6,3.59,17
NDC,8137-008946,KY LUBRICATING GEL 5 G TUBE,3.0,1.2,1.2,2.7,17
NDC,81421-02101,BISACODYL 10 MG SUPP 4 EACH BOX,3.75,1.5,1.5,3.38,17
NDC,81665-107-10,ISONIAZID 100 MG TABS 100 EACH BOTTLE,11.88,4.75,4.75,10.69,17
NDC,81665-108-10,ISONIAZID 300 MG TABS 100 EACH BOTTLE,19.5,7.8,7.8,17.55,17
NDC,81665-301-02,COCAINE 40 MG/ML SOLN 4 ML BOTTLE,1981.68,792.67,792.67,1783.51,17
NDC,81927-111-01,NELARABINE 5 MG/ML SOLN 50 ML VIAL,3960.0,1584.0,65.16,3564.0,32
NDC,81927-111-06,NELARABINE 5 MG/ML SOLN 50 ML VIAL,3960.0,1584.0,65.16,3564.0,32
NDC,81960-031-03,PEMIVIBART 500 MG/4ML SOLN 4 ML VIAL,32004.05,12801.62,6687.25,32004.05,29
NDC,81964-221-01,AMOXICILLINCLAVULANATE 875125 MG TABS 100 EACH BOTTLE,25.76,10.3,10.3,23.18,17
NDC,82089-101-34,CLONIDINE 0.1 MG/24HR PTWK 4 EACH BOX,400.54,160.22,160.22,360.49,17
NDC,82154-0449-1,PEGINTERFERON ALFA2A 180 MCG/ML SOLN 1 ML VIAL,5611.62,2244.65,1476.4,5050.46,16
NDC,82182-773-05,BRIMONIDINE 0.15 % SOLN 5 ML BOTTLE,881.73,352.69,352.69,793.56,17
NDC,82260-102-10,PHENYLEPHRINE 2.5 % SOLN 10 ML BOTTLE,360.0,144.0,144.0,324.0,17
NDC,82293-027-10,SACUBITRILVALSARTAN 2426 MG TABS 60 EACH BOTTLE,45.58,18.23,18.23,41.02,17
NDC,82293-028-10,SACUBITRILVALSARTAN 4951 MG TABS 60 EACH BOTTLE,45.58,18.23,18.23,41.02,17
NDC,82293-029-10,SACUBITRILVALSARTAN 97103 MG TABS 60 EACH BOTTLE,45.58,18.23,18.23,41.02,17
NDC,82293-029-20,SACUBITRILVALSARTAN 97103 MG TABS 180 EACH BOTTLE,45.58,18.23,18.23,41.02,17
NDC,82347-0405-4,DICLOFENAC EPOLAMINE 1.3 % PTCH 5 EACH PACKAGE,63.78,25.51,25.51,57.4,17
NDC,82347-0405-5,DICLOFENAC EPOLAMINE 1.3 % PTCH 30 EACH BOX,63.78,25.51,25.51,57.4,17
NDC,82347-0505-4,LIDOCAINE 5 % PTCH 1 EACH PACKAGE,17.1,6.84,6.84,15.39,17
NDC,82347-0505-5,LIDOCAINE 5 % PTCH 30 EACH BOX,17.1,6.84,6.84,15.39,17
NDC,82604-600-00,PHENYLEPHRINEKETOROLAC 10.3 % SOLN 4 ML VIAL,2378.88,951.55,100.47,2140.99,24
NDC,82604-600-04,PHENYLEPHRINEKETOROLAC 10.3 % SOLN 4 ML VIAL,2378.88,951.55,100.47,2140.99,24
NDC,82667-700-03,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,546.48,218.59,218.59,491.83,17
NDC,82705-002-01,EPCORITAMABBYSP 4 MG SOLN 0.8 ML VIAL,282.41,112.96,46.37,254.17,32
NDC,82705-010-01,EPCORITAMABBYSP 48 MG/0.8ML SOLN 0.8 ML VIAL,84722.19,33888.88,46.37,76249.97,32
NDC,82737-073-01,MOTIXAFORTIDE ACETATE 62 MG SOLR 1 EACH VIAL,31222.8,12489.12,21.41,28100.52,32
NDC,8290-236712,LACTOBACILLUS PACK 12 EACH BOX,5.59,2.24,2.24,5.03,17
NDC,8290-306424,HEPARIN PF 100 UNIT/ML SOLN 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,82959-111-01,IMETELSTAT SODIUM 188 MG SOLR 1 EACH VIAL,53644.75,21457.9,41.0,48280.28,32
NDC,82959-112-01,IMETELSTAT SODIUM 47 MG SOLR 1 EACH VIAL,13411.19,5364.48,41.0,12070.07,32
NDC,83257-001-11,TRASTUZUMABDKST 150 MG SOLR 1 EACH VIAL,4740.16,1896.06,31.95,4266.14,32
NDC,83257-004-12,TRASTUZUMABDKST 420 MG SOLR 1 EACH VIAL,13230.25,5292.1,31.95,11907.23,32
NDC,83257-005-41,PEGFILGRASTIMJMDB 6 MG/0.6ML SOSY 0.6 ML SYRINGE,10521.0,4208.4,67.02,9468.9,32
NDC,83257-025-41,USTEKINUMABKFCE 90 MG/ML SOSY 1 ML SYRINGE,15119.92,6047.97,3.06,13607.93,32
NDC,83257-026-11,USTEKINUMABKFCE 130 MG/26ML SOLN 26 ML VIAL,2207.94,883.18,3.06,1987.15,32
NDC,83490-207-60,SODIUM CHLORIDE 7 % NEBU 4 ML PLAS CONT,4.64,1.86,1.86,4.18,17
NDC,83490-235-60,SODIUM CHLORIDE 3.5 % NEBU 4 ML PLAS CONT,4.64,1.86,1.86,4.18,17
NDC,83490-307-60,SODIUM CHLORIDE 7 % NEBU 4 ML PLAS CONT,3.0,1.2,1.2,2.7,17
NDC,83634-301-51,EPTIFIBATIDE 75 MG/100ML SOLN 100 ML VIAL,828.0,331.2,3.73,745.2,26
NDC,83634-306-05,ALCOHOL DEHYDRATED SOLN 5 ML VIAL,2600.64,1040.26,1040.26,2340.58,17
NDC,83634-400-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG SOLR 1 EACH VIAL,496.8,198.72,0.22,447.12,16
NDC,83634-401-10,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,83634-401-41,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,83634-778-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,83634-778-41,PROCHLORPERAZINE EDISYLATE 10 MG/2ML SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,83745-232-16,HYDROXYZINE 10 MG/5ML SYRP 473 ML BOTTLE,2521.0,1008.4,1008.4,2268.9,17
NDC,84976-001-01,TIVIDENOFUSP ALFAEKNM 150 MG SOLR 1 EACH VIAL,26208.0,10483.2,10221.12,23587.2,15
NDC,8544-636981,SODIUM HYALURONATE 10 MG/ML SOLN 0.85 ML SYRINGE,788.03,315.21,315.21,709.23,17
NDC,8544-636991,SODIUM HYALURONATE 13.8 MG/0.6ML SOSY 0.6 ML SYRINGE,656.65,262.66,262.66,590.99,17
NDC,85612-010-01,BUDESONIDE 90 MCG/ACT AEPB 1 EACH INHALER,1090.75,436.3,436.3,981.68,17
NDC,87131-120-11,DIGOXIN IMMUNE FAB 40 MG SOLR 1 EACH VIAL,27518.4,11007.36,2808.96,24766.56,32
NDC,8888-0001-81,ASPIRIN 10 MG/ML ORAL SOLN 32.5 ML BOTTLE,16.25,6.5,6.5,14.63,17
NDC,8888-0008-01,HIRUDO MEDICINALIS 1 EACH,53.75,21.5,21.5,48.38,17
NDC,8888-0009-01,URSODIOL 60 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0009-02,URSODIOL 60 MG/ML SUSP 180 ML BOTTLE,180.0,72.0,72.0,162.0,17
NDC,8888-0010-01,ALLOPURINOL 20 MG/ML SUSP 100 ML BOTTLE,20.0,8.0,8.0,18.0,17
NDC,8888-0011-01,AMITRIPTYLINE 5 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0012-01,AZATHIOPRINE 50 MG/ML SUSP 30 ML BOTTLE,1108.28,443.31,443.31,997.45,17
NDC,8888-0013-01,BACLOFEN 10 MG/ML SUSP 1 ML,11.31,4.52,4.52,10.18,17
NDC,8888-0013-12,VANCOMYCIN 31 MG/ML SOLN 15 ML BOTTLE,109.6,43.84,43.84,98.64,17
NDC,8888-0014-01,ALTEPLASE 25 MCG/0.1 ML SOLN 3 ML VIAL,365.05,146.02,146.02,328.55,15
NDC,8888-0016-01,CEFTAZIDIME 2.25 MG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,8888-0018-01,CAPTOPRIL 1 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0020-04,SPIRONOLACTONE 25 MG/5ML SUSP 5 ML ORAL SYRINGE,109.88,43.95,43.95,98.89,17
NDC,8888-0021-01,CLINDAMYCIN 450 MCG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,8888-0021-02,CLINDAMYCIN 1 MG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,8888-0022-01,FLUCYTOSINE 10 MG/ML SUSP 1 ML,18.44,7.38,7.38,16.6,17
NDC,8888-0023-01,FOLIC ACID 1 MG SOLN 0.2 ML SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-0024-01,FOLIC ACID 1 MG/ML SOLN 1 ML,38.35,15.34,15.34,34.52,17
NDC,8888-0025-01,HYDROXYZINE 10 MG/5ML SYRP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0026-01,IBUPROFEN 100 MG/5 ML SUSP 40 ML BOTTLE,76.2,30.48,30.48,68.58,17
NDC,8888-0027-01,LACTULOSE 200 MG/ML SOLN 1000 ML BOTTLE,354.2,141.68,141.68,318.78,17
NDC,8888-0028-01,METRONIDAZOLE 50 MG/ML SUSP 150 ML BOTTLE,18.2,7.28,7.28,16.38,17
NDC,8888-0029-01,MISOPROSTOL 25 MCG TABS 1 EACH,25.15,10.06,10.06,22.64,17
NDC,8888-0030-01,MISOPROSTOL 50 MCG TABS 1 EACH,25.15,10.06,10.06,22.64,17
NDC,8888-0031-01,MITOMYCIN 0.4 MG/ML SOLN 10 ML BOTTLE,393.07,157.23,157.23,353.76,17
NDC,8888-0032-01,MITOMYCIN 2 MG/ML SOLN 2.5 ML BOTTLE,212.5,85.0,85.0,191.25,17
NDC,8888-0033-01,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSP 15 ML CUP,3.0,1.2,1.2,2.7,17
NDC,8888-0034-01,DEXAMETHASONE 360 MCG/0.36 ML SUSP 1 SYRINGE SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-0035-01,BUPIVACAINE 0.75%/LIDOCAINE 2% 0.75% AND 2% SOLN 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-0037-01,FLECAINIDE 20 MG/ML ORAL SUSP 100 ML BOTTLE,128.02,51.21,51.21,115.22,17
NDC,8888-0038-01,FENTANYL 20 MCG/ML SOLN 50 ML SYRINGE,100.0,40.0,1.43,90.0,16
NDC,8888-0041-01,BUPIVACAINE 0.5 % SOLN 270 ML,1182.2,472.88,472.88,1063.98,17
NDC,8888-0043-01,SIMETHICONE 40 MG CHEW 1 EACH,1.0,0.4,0.4,0.9,17
NDC,8888-0045-01,SODIUM CHLORIDE 0.2 % SOLN 250 ML BAG,20.0,8.0,8.0,18.0,17
NDC,8888-0048-01,LIDOCAINEEPINEPHRINETETRACAINE SOLN 3 ML,12.5,5.0,5.0,11.25,17
NDC,8888-0048-24,ZIDOVUDINE 10 MG/ML SYRP 30 ML ORAL SYRINGE,35.25,14.1,14.1,31.73,17
NDC,8888-0050-01,LIDOCAINEEPINEPHRINETETRACAINE SOLN 5 ML,12.5,5.0,5.0,11.25,17
NDC,8888-0050-15,FIRSTMOUTHWASH BLM SUSP 15 ML CUP,47.48,18.99,18.99,42.73,17
NDC,8888-0051-01,ACYCLOVIR 200 MG/5 ML SUSP 1 ML,4.71,1.88,1.88,4.24,17
NDC,8888-0052-01,CARDIOPLEGIA SOLN.#1 INDUCTION 1 BAG BAG 1 EACH,257.5,103.0,103.0,231.75,17
NDC,8888-0053-01,CARDIOPLEGIA SOLN.#2 MAINT. 1 BAG BAG 1 EACH,257.5,103.0,103.0,231.75,17
NDC,8888-0054-01,CARDIOPLEGIA COLD MULTIDOSE 1 BAG 1 EACH,280.0,112.0,112.0,252.0,17
NDC,8888-0055-01,CARDIOPLEGIA WARM REPERFUSION 1 BAG 1 EACH,667.0,266.8,266.8,600.3,17
NDC,8888-0056-01,CARDIOPLEGIA WARM INDUCTION 1 BAG 1 EACH,667.0,266.8,266.8,600.3,17
NDC,8888-0056-02,CARDIOPLEGIA KCL SOLUTION 1 EACH BAG,375.0,150.0,150.0,337.5,17
NDC,8888-0056-03,CARDIOPLEGIA DEL NIDO SOLUTION 1 EACH BAG,225.0,90.0,90.0,202.5,17
NDC,8888-0060-01,ADENOSINE 6 MG/2ML SOLN 1 ML,35.0,14.0,0.73,31.5,16
NDC,8888-0061-01,ALBUTEROL 2.5 MG/3ML NEBU 1 AMPULE AMPULE,3.0,1.2,1.2,2.7,17
NDC,8888-0062-01,AMIKACIN 250 MG/ML SOLN 2 ML,40.2,16.08,0.82,36.18,16
NDC,8888-0064-01,EPINEPHRINE 0.1 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
NDC,8888-0067-01,CAFFEINE CITRATE 20 MG/ML SOLN 1 ML,76.04,30.42,30.42,68.44,17
NDC,8888-0068-01,CAFFEINE CITRATE 20 MG/ML SOLN 1 ML,18.39,7.36,7.36,16.55,17
NDC,8888-0068-54,GUAIFENESIN 100 MG/5ML LIQD 10 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-0069-01,CALCIUM GLUCONATE IV SYRINGE LOADING DOSE NICU 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0070-01,CAPTOPRIL 1 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0071-01,BEER CAN 1 CAN CAN,5.0,2.0,2.0,4.5,17
NDC,8888-0073-01,CHLOROTHIAZIDE 50 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0074-01,SODIUM CHLORIDE 23.4% SOLN 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0076-01,DEXAMETHASONE 4 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
NDC,8888-0077-01,DEXAMETHASONE 1 MG/ML CONC 1 ML,5.36,2.14,2.14,4.82,17
NDC,8888-0079-01,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0081-01,FLUCONAZOLE 40 MG/ML SUSP 1 ML,17.94,7.18,7.18,16.15,17
NDC,8888-0081-10,DIGOXIN 0.05 MG/ML SOLN 2.5 ML ORAL SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-0083-01,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1 ML,1.0,0.4,0.4,0.9,17
NDC,8888-0084-01,METOCLOPRAMIDE 1 MG/ML SOLN 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0085-01,METRONIDAZOLE 50 MG/ML SUSP 1 ML,3.64,1.46,1.46,3.28,17
NDC,8888-0087-74,ITRACONAZOLE 10 MG/ML SOLN 20 ML ORAL SYRINGE,244.8,97.92,97.92,220.32,17
NDC,8888-0089-01,PANCURONIUM 1 ML,35.0,14.0,14.0,31.5,17
NDC,8888-0093-01,PHENYTOIN 50 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
NDC,8888-0094-01,PHENYTOIN 50 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
NDC,8888-0095-01,PHENYTOIN 125MG/5ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0096-01,POTASSIUM CHLORIDE 10% LIQD 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0097-01,PROPRANOLOL 1 MG/ML SOLN 1 ML,48.0,19.2,19.2,43.2,17
NDC,8888-0098-01,PROPRANOLOL 4 MG/ML SOLN 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0101-01,DEXTROSE 12.5% AND 0.225% NACL SOLN 500 ML BAG,50.0,20.0,20.0,45.0,17
NDC,8888-0105-01,VITAMIN A 5000/0.1 ML SOLN 1 ML,346.5,138.6,138.6,311.85,17
NDC,8888-0107-01,AMIODARONE 200 TABS 1 TABLET,16.91,6.76,6.76,15.22,17
NDC,8888-0108-01,CLINDAMYCIN 75 MG/5 ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
NDC,8888-0110-01,URSODIOL 60 MG/ML SUSP 60 ML BOTTLE,60.0,24.0,24.0,54.0,17
NDC,8888-0112-01,EPINEPHRINE 0.1 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-0114-01,FUROSEMIDE 10 MG/ML SOLN 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0115-01,FUROSEMIDE 10 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
NDC,8888-0117-01,HEPATITIS B IMMUNE GLOBULIN SOLN 0.5 ML,251.77,100.71,100.71,342.38,26
NDC,8888-0123-01,LACOSAMIDE 10 MG/ML SOLN 2 ML ORAL SYRINGE,28.84,11.54,11.54,25.96,17
NDC,8888-0124-01,LACOSAMIDE 10 MG/ML SOLN 5 ML ORAL SYRINGE,72.1,28.84,28.84,64.89,17
NDC,8888-0124-02,LACOSAMIDE 10 MG/ML SOLN 10 ML ORAL SYRINGE,144.2,57.68,57.68,129.78,17
NDC,8888-0125-50,OXCARBAZEPINE 300 MG/5ML SUSP 5 ML ORAL SYRINGE,28.48,11.39,11.39,25.63,17
NDC,8888-0128-01,MIDAZOLAM 50 MG/50 ML SOLN 50 ML BAG,225.5,90.2,0.2,202.95,16
NDC,8888-0129-01,MIDAZOLAM 50 MG/50 ML SOLN 50 ML SYRINGE,66.0,26.4,0.2,59.4,16
NDC,8888-0131-01,MITOMYCIN 10 MG SOLR 10 ML VIAL,7783.2,3113.28,26.1,7004.88,32
NDC,8888-0133-01,PENTOBARBITAL 50 MG/ML SOLN 3 ML SYRINGE,90.0,36.0,36.0,81.0,17
NDC,8888-0136-01,TOBRAMYCIN 1.4% SOLN 5 ML BOTTLE,169.9,67.96,67.96,152.91,17
NDC,8888-0137-01,TOBRAMYCIN 1.8% SOLN 5 ML BOTTLE,169.9,67.96,67.96,152.91,17
NDC,8888-0138-01,DIAPER RASH 60 G JAR,25.0,10.0,10.0,22.5,17
NDC,8888-0139-01,VANCOMYCIN 1 MG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,15
NDC,8888-0141-01,VERAPAMIL 50 MG/ML SUSP 1 ML SYRINGE,4.9,1.96,1.96,4.41,17
NDC,8888-0142-01,WHISKEY 30 ML CUP,3.0,1.2,1.2,2.7,17
NDC,8888-0144-01,BEVACIZUMAB 1.25 MG/0.05 ML SOLN 0.05 ML SYRINGE,115.0,46.0,1.79,103.5,26
NDC,8888-0146-01,DESMOPRESSIN 4 MCG/ML SOLN 1 ML,364.63,145.85,4.75,328.17,17
NDC,8888-0146-34,PROMETHAZINE HCL 6.25 MG/5ML SOLN 10 ML ORAL SYRINGE,5.3,2.12,2.12,4.77,17
NDC,8888-0148-01,CHLOROTHIAZIDE 28 MG/ML SOLN 1 ML,2182.4,872.96,51.29,1964.16,16
NDC,8888-0148-10,PYRIDOSTIGMINE 60 MG/5ML SOLN 5 ML ORAL SYRINGE,70.8,28.32,28.32,63.72,17
NDC,8888-0149-01,TRIAMCINOLONE 0.1% OINT 45 G TUBE,54.0,21.6,21.6,48.6,17
NDC,8888-0149-02,TRIAMCINOLONE 0.1% OINT 60 G TUBE,72.0,28.8,28.8,64.8,17
NDC,8888-0149-03,TRIAMCINOLONE 0.1% OINT 80 G TUBE,96.0,38.4,38.4,86.4,17
NDC,8888-0153-04,OPIUM 10 MG/ML TINC 1 ML ORAL SYRINGE,31.35,12.54,12.54,28.22,17
NDC,8888-0163-01,PROPARACAINE 0.5 % SOLN 15 ML,16.85,6.74,6.74,15.17,17
NDC,8888-0170-14,SUCRALFATE 1 GM/10ML SUSP 10 ML ORAL SYRINGE,19.08,7.63,7.63,17.17,17
NDC,8888-0172-46,LITHIUM 8 MEQ/5ML SOLN 5 ML ORAL SYRINGE,16.2,6.48,6.48,14.58,17
NDC,8888-0184-04,IBUPROFEN 100 MG/5ML SUSP 5 ML SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-0188-10,ACYCLOVIR 200 MG/5ML SUSP 5 ML ORAL SYRINGE,23.53,9.41,9.41,21.18,17
NDC,8888-0189-25,CYPROHEPTADINE 2 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0197-01,CEFADROXIL 250 MG/5ML SUSR 10 ML ORAL SYRINGE,30.4,12.16,12.16,27.36,17
NDC,8888-0200-01,DEXTROSE 12.5% AND 0.225% NACL SOLN 1000 ML BAG,100.0,40.0,40.0,90.0,17
NDC,8888-0202-81,METRONIDAZOLE 0.025 MG/ML ORAL SOLN 50 ML BOTTLE,150.0,60.0,60.0,135.0,17
NDC,8888-0202-82,METRONIDAZOLE 0.25 MG/ML ORAL SOLN 100 ML BOTTLE,300.0,120.0,120.0,270.0,17
NDC,8888-0202-83,METRONIDAZOLE 2.5 MG/ML ORAL SOLN 100 ML BOTTLE,300.0,120.0,120.0,270.0,17
NDC,8888-0206-01,LEVOTHYROXINE 25 MCG TABS 1 TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0206-05,VANCOMYCIN 50 MG/ML SOLR 5 ML ORAL SYRINGE,36.68,14.67,14.67,33.01,17
NDC,8888-0207-01,DEXTROSE 12.5% AND 0.225% NACL SOLN 250 ML BAG,25.0,10.0,10.0,22.5,17
NDC,8888-0208-01,ZIDOVUDINE 10 MG/ML SYRP 1 ML,3.0,1.2,1.2,2.7,17
NDC,8888-0209-01,NALOXONE 1 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-0210-01,NYSTATINHYDROCORTISONEZINC OXIDE 2 OZ BOTTLE,10.0,4.0,4.0,9.0,17
NDC,8888-0210-02,NYSTATINHYDROCORTISONEZINC OXIDE 4 OZ BOTTLE,20.0,8.0,8.0,18.0,17
NDC,8888-0210-03,NYSTATINHYDROCORTISONEZINC OXIDE 6 OZ BOTTLE,30.0,12.0,12.0,27.0,17
NDC,8888-0211-01,CETAPHILGLYCERINPMC 245 G JAR,40.0,16.0,16.0,36.0,17
NDC,8888-0212-01,CLIOQUINOLLCDTRIAMCINOLONE 2 OZ BOTTLE,30.0,12.0,12.0,27.0,17
NDC,8888-0212-02,CLIOQUINOLLCDTRIAMCINOLONE 4 OZ BOTTLE,60.0,24.0,24.0,54.0,17
NDC,8888-0212-03,CLIOQUINOLLCDTRIAMCINOLONE 6 OZ BAG,90.0,36.0,36.0,81.0,17
NDC,8888-0212-04,CLIOQUINOLLCDTRIAMCINOLONE 8 OZ BOTTLE,120.0,48.0,48.0,108.0,17
NDC,8888-0212-21,NITAZOXANIDE 100 MG/5ML SUSR 25 ML ORAL SYRINGE,261.0,104.4,104.4,234.9,17
NDC,8888-0217-20,METHADONE 10 MG/ML SOLN 1.5 ML SYRINGE,211.42,84.57,84.57,190.28,17
NDC,8888-0230-22,MYCOPHENOLATE 200 MG/ML SUSR 1.25 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
NDC,8888-0230-23,MYCOPHENOLATE 200 MG/ML SUSR 2.5 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
NDC,8888-0230-24,MYCOPHENOLATE 200 MG/ML SUSR 3.75 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
NDC,8888-0230-25,MYCOPHENOLATE 200 MG/ML SUSR 5 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
NDC,8888-0230-26,MYCOPHENOLATE 200 MG/ML SUSR 7.5 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
NDC,8888-0230-27,MYCOPHENOLATE 200 MG/ML SUSR 6.25 ML ORAL SYRINGE,56.62,22.65,0.21,50.96,16
NDC,8888-0237-63,MORPHINE 10 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-0239-32,NITROFURANTOIN 25 MG/5ML SUSP 10 ML ORAL SYRINGE,644.0,257.6,257.6,579.6,17
NDC,8888-0280-60,SACUBITRIL/VALSARTAN 4 MG/ML ORAL SUSP 200 ML BOTTLE,518.88,207.55,207.55,466.99,17
NDC,8888-0283-02,ERGOCALCIFEROL 200 MCG/ML SOLN 0.25 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-0283-03,ERGOCALCIFEROL 200 MCG/ML SOLN 6.25 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-0311-12,CHLOROTHIAZIDE 250 MG/5ML SUSP 10 ML ORAL SYRINGE,19.2,7.68,7.68,17.28,17
NDC,8888-0319-50,LINEZOLID 100 MG/5ML SUSR 30 ML ORAL SYRINGE,880.16,352.06,352.06,792.14,17
NDC,8888-0330-01,TRAZODONE 25 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0333-35,HEPARIN 100 UNIT/ML SOLN 50 ML SYRINGE,185.0,74.0,74.0,166.5,17
NDC,8888-0390-22,METOPROLOL SUCCINATE ER 12.5 MG TB24 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0409-06,SERTRALINE 20 MG/ML CONC 5 ML ORAL SYRINGE,6.99,2.8,2.8,6.29,17
NDC,8888-0444-01,VALGANCICLOVIR 50 MG/ML SOLR 9 ML ORAL SYRINGE,470.59,188.24,188.24,423.53,17
NDC,8888-0504-48,CYPROHEPTADINE 2 MG/5ML SYRP 5 ML ORAL SYRINGE,3.4,1.36,1.36,3.06,17
NDC,8888-0510-80,OXYBUTYNIN 5 MG/5ML SOLN 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-0512-01,TRANEXAMIC ACID 5% PO 5 % 20 ML BOTTLE,225.0,90.0,90.0,202.5,17
NDC,8888-0520-01,PENICILLIN V POTASSIUM 50000 UNITS/ML 100 ML BAG,75.0,30.0,30.0,67.5,17
NDC,8888-0520-02,PENICILLIN V POTASSIUM 500 UNITS/ML 200 ML BAG,150.0,60.0,60.0,135.0,17
NDC,8888-0520-03,PENICILLIN V POTASSIUM 5 UNITS/ML 200 ML BAG,150.0,60.0,60.0,135.0,17
NDC,8888-0555-10,DEXTROSE 7.5% AND 0.2 % NACL 7.50.2 % SOLN 250 ML,25.0,10.0,10.0,22.5,17
NDC,8888-0555-30,MIDAZOLAM 1MG/1ML IN NORMAL SALINE BAG 250 ML FLEX CONT,455.4,182.16,182.16,409.86,17
NDC,8888-0564-24,CITALOPRAM 10 MG/5ML SOLN 5 ML ORAL SYRINGE,12.25,4.9,4.9,11.03,17
NDC,8888-0566-70,LAMIVUDINE 10 MG/ML SOLN 5 ML ORAL SYRINGE,75.1,30.04,30.04,67.59,17
NDC,8888-0601-01,ASPIRIN 40.5 MG CHEW 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0601-02,ASPIRIN 20.25 MG CHEW 1 QUARTER TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0601-03,CLONIDINE 0.05 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0601-04,DESMOPRESSIN 0.05 MG TABS 1 HALF TABLET,13.22,5.29,5.29,11.9,17
NDC,8888-0601-05,GLYCOPYRROLATE 0.5 MG TABS 1 HALF TABLET,3.28,1.31,1.31,2.95,17
NDC,8888-0601-06,TRIHEXYPHENIDYL 1 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0601-07,HYDROCORTISONE 2.5 MG TABS 1 HALF TABLET,3.02,1.21,1.21,2.72,17
NDC,8888-0601-08,LEUCOVORIN 2.5 MG TABS 1 HALF TABLET,3.73,1.49,1.49,3.36,17
NDC,8888-0608-40,GABAPENTIN 250 MG/5ML SOLN 6 ML ORAL SYRINGE,36.06,14.42,14.42,32.45,17
NDC,8888-0613-60,FUROSEMIDE 10 MG/ML SOLN 4 ML ORAL SYRINGE,3.46,1.38,1.38,3.11,17
NDC,8888-0619-16,NAPROXEN 125 MG/5ML SUSP 10 ML ORAL SYRINGE,119.45,47.78,47.78,107.51,17
NDC,8888-0621-16,VALPROIC ACID 250 MG/5ML SOLN 5 ML ORAL SYRINGE,3.85,1.54,1.54,3.47,17
NDC,8888-0631-01,ERYTHROMYCIN 400 MG/5ML SUSR 5 ML ORAL SYRINGE,178.45,71.38,71.38,160.61,17
NDC,8888-0646-16,AMANTADINE HCL 50 MG/5ML SOLN 10 ML ORAL SYRINGE,7.7,3.08,3.08,6.93,17
NDC,8888-0657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5ML SUSR 20 ML ORAL SYRINGE,38.0,15.2,15.2,34.2,17
NDC,8888-0659-20,SACUBITRILVALSARTAN 1213 MG TABS 1 HALF TABLET,35.0,14.0,14.0,31.5,17
NDC,8888-0677-01,ALLOPURINOL 50 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-0750-47,HYDROXYZINE 10 MG/5ML SYRP 12.5 ML ORAL SYRINGE,79.31,31.72,31.72,71.38,17
NDC,8888-0775-04,GUAIFENESINCODEINE 10010 MG/5ML SOLN 5 ML SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-0815-08,AMINOCAPROIC ACID 0.25 GM/ML SOLN 4 ML ORAL SYRINGE,269.46,107.78,107.78,242.51,17
NDC,8888-0888-01,OXYTOCINSODIUM CHLORIDE 200.9 UNIT/L% SOLN 1000 ML FLEX CONT,75.0,30.0,30.0,67.5,17
NDC,8888-0888-08,FENTANYL 5 MCG/ML SOLN 2 ML SYRINGE,35.0,14.0,1.43,31.5,16
NDC,8888-0888-22,HYDROMORPHONE 1 EACH,35.0,14.0,14.0,31.5,17
NDC,8888-0888-30,DEXTROSE 7.5 % SOLN 250 ML,25.0,10.0,10.0,22.5,17
NDC,8888-0888-32,HAPPY HINEY TOPICAL 30 G JAR,25.0,10.0,10.0,22.5,17
NDC,8888-0888-41,CHLORHEXIDINE 0.12 % SOLN 15 ML CUP,5.63,2.25,2.25,5.07,17
NDC,8888-0911-15,CALCITRIOL 1 MCG/ML ORAL SOLN 0.5 ML ORAL SYRINGE,21.47,8.59,8.59,19.32,17
NDC,8888-1000-30,LIDOCAINEMAALOXDIPHENHYDRAMINE SUSP 15 ML CUP,47.48,18.99,18.99,42.73,17
NDC,8888-1001-30,LIDOCAINEMAALOXDIPHENHYDRAMINENYSTATIN SUSP 15 ML,4.88,1.95,1.95,4.39,17
NDC,8888-1002-30,MAALOXDIPHENHYDRAMINE SUSP 30 ML,4.5,1.8,1.8,4.05,17
NDC,8888-1007-01,ROPIVACAINE 0.1% PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-02,ROPIVACAINE 0.1% + FENTANYL 2 MCG/ML PCEA 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-03,ROPIVACAINE 0.2% PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-05,ROPIVACAINE 0.1% OB PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-07,BUPIVACAINE 0.125% OB PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-08,ROPIVACAINE 0.1% PERIPHERAL NERVE CATHETER ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-09,ROPIVACAINE 0.2% PERIPHERAL NERVE CATHETER ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-10,ROPIVACAINE 0.1% + FENTANYL 2 MCG/ML PERIPHERAL NERVE CATHETER ADULT 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-12,ROPIVACAINE 0.1% PIB ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-13,ROPIVACAINE 0.2% PIB ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-14,BUPIVACAINE 0.125% PIB ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-15,ROPIVACAINE 0.1% OB INTRATHECAL 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-17,BUPIVACAINE 0.125% OB INTRATHECAL 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-18,ROPIVACAINE 0.1% OB PIEB 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-20,ROPIVACAINE 0.2% OB PIEB 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-22,BUPIVACAINE 0.125% OB PIEB 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-24,ROPIVACAINE 0.2% + FENTANYL 5 MCG/ML PERIPHERAL NERVE CATHETER ADULT 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-28,ROPIVACAINE 0.1% PERIPHERAL NERVE CATHETER PEDS <6 MOS 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-29,ROPIVACAINE 0.1%/FENTANYL 2 MCG/ML/CLONIDINE 0.4 MCG/ML PNC PEDS 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-31,ROPIVACAINE 0.1% PCEA PEDS < 50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-32,ROPIVACAINE 0.1% + CLONIDINE 0.4 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-33,ROPIVACAINE 0.1%/FENTANYL 2MCG/ML/CLONIDINE 0.4 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-34,ROPIVACAINE 0.15% PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-35,ROPIVACAINE 0.15% + FENTANYL 2 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-36,ROPIVACAINE 0.15% + CLONIDINE 0.4 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-37,ROPIVACAINE 0.15%/FENTANYL 2MCG/ML/CLONIDINE 0.4MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-38,ROPIVACAINE 0.1% PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-40,ROPIVACAINE 0.1% + CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-41,ROPIVACAINE 0.1%/FENTANYL 2 MCG/ML/CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-42,ROPIVACAINE 0.15% PCEA PEDS >50KG 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-43,ROPIVACAINE 0.15% + FENTANYL 2 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-44,ROPIVACAINE 0.15% + CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-45,ROPIVACAINE 0.15%/FENTANYL 2 MCG/ML/CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-46,ROPIVACAINE 0.1% PNCPCA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-47,ROPIVACAINE 0.2% PNCPCA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-48,ROPIVACAINE 0.1% PNCPCA PEDS >50KG 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-49,ROPIVACAINE 0.2% PNCPCA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-50,ROPIVACAINE 0.1% PIB PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-51,ROPIVACAINE 0.2% PIB PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-52,ROPIVACAINE 0.1% PIB PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-53,ROPIVACAINE 0.2% PIB PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
NDC,8888-1007-75,ROPIVACAINE 0.1% OB CONTINUOUS 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1007-77,ROPIVACAINE 0.2% OB CONTINUOUS 200 ML BAG,460.0,184.0,184.0,414.0,17
NDC,8888-1014-01,ALTEPLASE 50 MCG/0.1 ML SOLN 1 EACH,35.0,14.0,14.0,246.47,32
NDC,8888-1016-36,POSACONAZOLE 40 MG/ML SUSP 5 ML ORAL SYRINGE,185.08,74.03,74.03,166.57,17
NDC,8888-1040-10,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,828.0,331.2,331.2,745.2,17
NDC,8888-1047-05,ANTITHYMOCYTE GLOBULIN EQUINE TEST DOSE 50 MCG/ML 0.1 ML SYRINGE,343.55,137.42,137.42,309.2,17
NDC,8888-1050-10,PHENYTOIN 125 MG/5ML SUSP 20 ML ORAL SYRINGE,4.7,1.88,1.88,4.23,17
NDC,8888-1055-12,AMPHOTERICIN B 0.15% 10 ML BOTTLE,250.0,100.0,100.0,225.0,17
NDC,8888-1059-99,MEXILETINE 10 MG/ML SUSP 120 ML BOTTLE,101.4,40.56,40.56,91.26,17
NDC,8888-1060-10,FENTANYL 25 MCG/ML 50 ML SYRINGE,100.0,40.0,40.0,90.0,17
NDC,8888-1111-01,DEXTROSE 12.5 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
NDC,8888-1161-58,DICYCLOMINE 10 MG/5ML SOLN 5 ML ORAL SYRINGE,7.5,3.0,3.0,6.75,17
NDC,8888-1165-06,OSELTAMIVIR 6 MG/ML SUSR 12.5 ML ORAL SYRINGE,68.35,27.34,27.34,61.52,17
NDC,8888-1165-07,OSELTAMIVIR 6 MG/ML SUSR 5 ML ORAL SYRINGE,68.35,27.34,27.34,61.52,17
NDC,8888-1445-14,AMPHOTERICIN B 0.5 MG/ML SOLN 12.5 ML,300.0,120.0,120.0,270.0,17
NDC,8888-1451-88,TACROLIMUS 0.5 MG/ML SOLN 300 ML BOTTLE,22.3,8.92,8.92,20.07,17
NDC,8888-1508-05,DEXTROSE 2.5 % SOLN 250 ML BAG,20.0,8.0,8.0,18.0,17
NDC,8888-1551-58,TACROLIMUS 1 MG/ML SOLN 300 ML BOTTLE,11.15,4.46,4.46,10.04,17
NDC,8888-1558-04,HYDROCHLOROTHIAZIDE 5 MG/ML SUSP 120 ML BOTTLE,150.0,60.0,60.0,135.0,17
NDC,8888-1572-73,HYDROXYCHLOROQUINE 25 MG/ML SUSP 1 EACH,21.95,8.78,8.78,19.76,17
NDC,8888-1614-10,ENTECAVIR 0.05 MG/ML SOLN 10 ML ORAL SYRINGE,274.5,109.8,109.8,247.05,17
NDC,8888-1645-26,LOPERAMIDE HCL 1 MG/7.5ML SOLN 15 ML ORAL SYRINGE,3.08,1.23,1.23,2.77,17
NDC,8888-1716-50,ESMOLOL 10 MG/ML SOLN 50 ML SYRINGE,155.0,62.0,62.0,139.5,17
NDC,8888-1933-05,LOSARTAN 12.5 MG TABS 1 HALF TABLET,4.21,1.68,1.68,3.79,17
NDC,8888-1948-70,LEVOFLOXACIN 25 MG/ML SOLN 10 ML ORAL SYRINGE,158.9,63.56,63.56,143.01,17
NDC,8888-2525-25,RIFAMPIN 25 MG/ML SUSP 120 ML BOTTLE,156.0,62.4,62.4,140.4,17
NDC,8888-2572-74,HYDROXYCHLOROQUINE 25 MG/ML SUSP 1 EACH,21.95,8.78,8.78,19.76,17
NDC,8888-3160-44,VORICONAZOLE 40 MG/ML SUSR 5 ML ORAL SYRINGE,245.58,98.23,98.23,221.02,17
NDC,8888-3176-44,DEXAMETHASONE 1 MG/ML CONC 4 ML ORAL SYRINGE,21.44,8.58,8.58,19.3,17
NDC,8888-3423-60,NOREPINEPHRINE 16 MCG/ML SOLN 60 ML,120.0,48.0,48.0,108.0,17
NDC,8888-3445-01,HYDROXYUREA 100 MG/ML SUSP 500 ML BOTTLE,575.0,230.0,230.0,517.5,17
NDC,8888-3500-49,LIDOCAINE VISCOUS HCL 2 % SOLN 5 ML ORAL SYRINGE,3.3,1.32,1.32,2.97,17
NDC,8888-3721-44,PREDNISONE 5 MG/ML CONC 4 ML ORAL SYRINGE,52.0,20.8,0.01,46.8,16
NDC,8888-3727-63,PROPRANOLOL 20 MG/5ML SOLN 5 ML ORAL SYRINGE,3.3,1.32,1.32,2.97,17
NDC,8888-4003-28,SODIUM BICARBONATE 8.4% 1 MEQ/ML SOLN 250 ML BAG,483.0,193.2,193.2,434.7,17
NDC,8888-4047-09,CARBAMAZEPINE 100 MG/5ML SUSP 5 ML ORAL SYRINGE,4.93,1.97,1.97,4.44,17
NDC,8888-4400-10,POTASSIUM CHLORIDE 10 MEQ/50ML SOLN 50 ML,77.5,31.0,31.0,69.75,17
NDC,8888-4423-05,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-4424-05,LORATADINE 5 MG/5ML SOLN 10 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-4500-30,POTASSIUM CHLORIDE 30 MEQ/100ML SOLN 100 ML,45.5,18.2,18.2,40.95,17
NDC,8888-465-01,SPIRONOLACTONE 12.5 MG 0.5 EACH,3.0,1.2,1.2,2.7,17
NDC,8888-5030-01,FLUCONAZOLE 40 MG/ML SUSR 5 ML ORAL SYRINGE,89.68,35.87,35.87,80.71,17
NDC,8888-5050-50,FENTANYL 50 MCG/ML SOLN 100 ML BAG,515.66,206.26,206.26,464.09,17
NDC,8888-5100-01,TOBRAMYCIN 500 MCG/0.1 ML SOLN 0.1 ML SYRINGE,62.85,25.14,25.14,56.57,17
NDC,8888-5214-2,ALBUMIN HUMAN 5 % SOLN 500 ML BAG,510.6,204.24,10.62,459.54,32
NDC,8888-5400-10,THIOGUANINE 40 MG/ML SOLN 1 ML,48.09,19.24,19.24,43.28,17
NDC,8888-5555-01,AMPICILLINHEPARIN 10 MG10 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-02,AMPICILLINHEPARIN 10 MG10 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-03,AMPICILLINHEPARIN 10 MG5000 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-04,AMPICILLINHEPARIN 10 MG5000 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-05,CEFAZOLINHEPARIN 5 MG10 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-06,CEFAZOLINHEPARIN 5 MG10 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-08,CEFAZOLINHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-09,CEFAZOLINHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-10,CEFTAZIDIMEHEPARIN 0.5 MG100 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-11,CEFTAZIDIMEHEPARIN 0.5 MG100 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-12,CEFTAZIDIMEHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-13,CEFTAZIDIMEHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-14,CIPROFLOXACINHEPARIN 0.125 MG100 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-15,CIPROFLOXACINHEPARIN 0.125 MG100 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-16,CIPROFLOXACINHEPARIN 0.2 MG5000 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-17,CIPROFLOXACINHEPARIN 0.2 MG5000 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-20,GENTAMICIN 5 MG/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-21,GENTAMICIN 5 MG/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-22,VANCOMYCINHEPARIN 2 MG10 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-23,VANCOMYCINHEPARIN 2 MG10 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-24,VANCOMYCINHEPARIN 2.5 MG2500 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5555-25,VANCOMYCINHEPARIN 2.5 MG2500 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-5808-50,VECURONIUM 1 MG/ML SOLN 50 ML SYRINGE,460.0,184.0,184.0,414.0,17
NDC,8888-6023-26,CLARITHROMYCIN 250 MG/5ML SUSR 10 ML ORAL SYRINGE,109.1,43.64,43.64,98.19,17
NDC,8888-6032-12,FLUOXETINE 20 MG/5ML SOLN 5 ML ORAL SYRINGE,12.24,4.9,4.9,11.02,17
NDC,8888-6064-88,LUGOLS STRONG IODINE 510 % SOLN 10 ML CUP,65.15,26.06,26.06,58.64,17
NDC,8888-6104-46,AMOXICILLINCLAVULANATE 40057 MG/5ML SUSR 5 ML ORAL SYRINGE,17.23,6.89,6.89,15.51,17
NDC,8888-7307-61,CARVEDILOL 0.5 MG/ML SUSP 100 ML BOTTLE,460.0,184.0,184.0,414.0,17
NDC,8888-7773-01,CIPROFLOXACIN 500 MG/5ML 10% SUSR 5 ML ORAL SYRINGE,45.7,18.28,18.28,41.13,17
NDC,8888-7777-01,CLOBAZAM 2.5 MG/ML SUSP 1 ML ORAL SYRINGE,43.23,17.29,17.29,38.91,17
NDC,8888-7878-78,GANCICLOVIR 20 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,8888-7979-79,GANCICLOVIR 2 MG/ML 10 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,8888-8001-20,ZONISAMIDE 100 MG/5ML SUSP 5 ML ORAL SYRINGE,21.61,8.64,8.64,19.45,17
NDC,8888-8670-01,GABAPENTIN 100 MG/ML SUSP 240 ML BOTTLE,349.97,139.99,139.99,314.97,17
NDC,8888-8700-10,PENTOBARBITAL 50 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,19.3,48.25,26
NDC,8888-8701-01,PENTOBARBITAL 50 MG/ML 50 ML SYRINGE,1380.0,552.0,552.0,1242.0,17
NDC,8888-8702-02,PENTOBARBITAL 50 MG/ML 100 ML BAG,2520.0,1008.0,1008.0,2268.0,17
NDC,8888-8712-20,ISRADIPINE 1 MG/ML SUSP 1 MG ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8800-20,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 5 ML ORAL SYRINGE,11.95,4.78,4.78,10.76,17
NDC,8888-8800-40,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 10 ML ORAL SYRINGE,11.95,4.78,4.78,10.76,17
NDC,8888-8800-50,CAFFEINE CITRATE,7.6,3.04,3.04,6.84,17
NDC,8888-8800-60,CAFFEINE CITRATE 60 MG/3ML SOLN 0.2 ML ORAL SYRINGE,15.21,6.08,6.08,13.69,17
NDC,8888-8800-70,CAFFEINE CITRATE 60 MG/3ML SOLN 0.25 ML ORAL SYRINGE,19.01,7.6,7.6,17.11,17
NDC,8888-8800-80,CAFFEINE CITRATE 60 MG/3ML SOLN 0.3 ML ORAL SYRINGE,22.81,9.12,9.12,20.53,17
NDC,8888-8800-90,CAFFEINE CITRATE 60 MG/3ML SOLN 0.35 ML ORAL SYRINGE,26.61,10.64,10.64,23.95,17
NDC,8888-8801-00,CAFFEINE CITRATE 60 MG/3ML SOLN 0.4 ML ORAL SYRINGE,30.42,12.17,12.17,27.38,17
NDC,8888-8801-10,CAFFEINE CITRATE 60 MG/3ML SOLN 0.45 ML ORAL SYRINGE,34.22,13.69,13.69,30.8,17
NDC,8888-8801-20,CAFFEINE CITRATE 60 MG/3ML SOLN 0.5 ML ORAL SYRINGE,38.02,15.21,15.21,34.22,17
NDC,8888-8801-30,CETIRIZINE 5 MG/5ML SOLN 2.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8801-40,CETIRIZINE 5 MG/5ML SOLN 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8801-50,DIGOXIN 50 MCG/ML SOLN 0.4 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8801-60,DIGOXIN 50 MCG/ML SOLN 0.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8801-70,DIGOXIN 50 MCG/ML SOLN 0.6 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8801-80,DIGOXIN 50 MCG/ML SOLN 0.8 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8801-90,DIGOXIN 50 MCG/ML SOLN 1 ML ORAL SYRINGE,3.48,1.39,1.39,3.13,17
NDC,8888-8802-00,DOCUSATE SODIUM 150 MG/15ML LIQD 1 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-10,DOCUSATE SODIUM 150 MG/15ML LIQD 2 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-20,DOCUSATE SODIUM 150 MG/15ML LIQD 3 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-30,DOCUSATE SODIUM 150 MG/15ML LIQD 4 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-40,DOCUSATE SODIUM 150 MG/15ML LIQD 5 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-50,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.067 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-60,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.1 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-70,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.133 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-80,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.167 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8802-90,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.2 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-00,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.233 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-10,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.267 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-20,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.3 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-30,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.333 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-40,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.367 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-50,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.4 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-60,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.433 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-70,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.467 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-80,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.5 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8803-90,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.533 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-00,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.6 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-10,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.667 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-20,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.8 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-30,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-40,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1.2 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-50,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1.3333 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-60,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1.6667 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-70,FERROUS SULFATE 15 MG OF IRON/ML SOLN 3.3333 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,8888-8804-80,FUROSEMIDE 10 MG/ML SOLN 0.15 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8804-90,FUROSEMIDE 10 MG/ML SOLN 0.2 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-00,FUROSEMIDE 10 MG/ML SOLN 0.25 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-10,FUROSEMIDE 10 MG/ML SOLN 0.3 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-20,FUROSEMIDE 10 MG/ML SOLN 0.4 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-30,FUROSEMIDE 10 MG/ML SOLN 0.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-40,FUROSEMIDE 10 MG/ML SOLN 0.6 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-50,FUROSEMIDE 10 MG/ML SOLN 0.7 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-60,FUROSEMIDE 10 MG/ML SOLN 0.8 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-70,FUROSEMIDE 10 MG/ML SOLN 0.9 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8805-80,FUROSEMIDE 10 MG/ML SOLN 10 ML ORAL SYRINGE,7.6,3.04,3.04,6.84,17
NDC,8888-8805-90,FUROSEMIDE 10 MG/ML SOLN 1.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8806-00,FUROSEMIDE 10 MG/ML SOLN 2 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8806-10,DIATRIZOATE MEGLUMINESODIUM 6610 % SOLN 30 ML BOTTLE,49.95,19.98,19.98,44.96,16
NDC,8888-8806-40,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8806-50,MULTIVITAMIN WITH IRONMINERALS LIQD 1 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8806-60,MULTIVITAMIN WITH IRONMINERALS LIQD 3 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8806-70,MULTIVITAMIN WITH IRONMINERALS LIQD 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8806-75,MULTIVITAMIN LIQD 15 ML CUP,3.0,1.2,1.2,2.7,17
NDC,8888-8807-05,NYSTATIN 100000 UNIT/ML SUSP 5 ML ORAL SYRINGE,6.13,2.45,2.45,5.52,17
NDC,8888-8807-10,NYSTATIN 100000 UNIT/ML SUSP 1 ML ORAL SYRINGE,6.13,2.45,2.45,5.52,17
NDC,8888-8807-20,NYSTATIN 100000 UNIT/ML SUSP 2 ML ORAL SYRINGE,6.13,2.45,2.45,5.52,17
NDC,8888-8807-30,PHENOBARBITAL 20 MG/5ML ELIX 2.5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-8807-40,PHENOBARBITAL 20 MG/5ML ELIX 3.75 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-8807-45,PHENOBARBITAL 20 MG/5ML ELIX 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-8807-50,PHENOBARBITAL 20 MG/5ML ELIX 7.5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-8807-60,PHENOBARBITAL 20 MG/5ML ELIX 22.5 ML ORAL SYRINGE,21.83,8.73,8.73,19.65,17
NDC,8888-8807-70,PHENYTOIN 125 MG/5ML SUSP 4 ML ORAL SYRINGE,3.12,1.25,1.25,2.81,17
NDC,8888-8807-80,PHENYTOIN 125 MG/5ML SUSP 6 ML ORAL SYRINGE,5.91,2.36,2.36,5.32,17
NDC,8888-8809-20,PREDNISOLONE 15 MG/5ML SOLN 3.33 ML ORAL SYRINGE,8.03,3.21,3.21,7.23,17
NDC,8888-8809-30,PREDNISOLONE 15 MG/5ML SOLN 5 ML ORAL SYRINGE,7.85,3.14,3.14,7.07,17
NDC,8888-8811-90,SODIUM CHLORIDE 4 MEQ/ML SOLN 0.125 ML ORAL SYRINGE,20.0,8.0,8.0,18.0,17
NDC,8888-8812-00,SODIUM CHLORIDE 4 MEQ/ML SOLN 0.25 ML ORAL SYRINGE,20.0,8.0,8.0,18.0,17
NDC,8888-8812-10,SODIUM CHLORIDE 4 MEQ/ML SOLN 0.5 ML ORAL SYRINGE,20.0,8.0,8.0,18.0,17
NDC,8888-8812-50,METHADONE 5 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-8830-20,CAPTOPRIL 6.25 MG TABS 1 EACH,8.48,3.39,3.39,7.63,17
NDC,8888-8830-25,METOPROLOL TARTRATE 12.5 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-8830-30,HYDRALAZINE 12.5 MG TABS 1 TABLET,3.0,1.2,1.2,2.7,17
NDC,8888-8830-31,AMIODARONE 50 MG TABS 1 TABLET,16.91,6.76,6.76,15.22,17
NDC,8888-8840-10,LIDOCAINE BUFFERED 1 SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-8850-10,LIDOCAINE 1 % SOLN 0.5 ML SYRINGE,3.0,1.2,1.2,2.7,17
NDC,8888-8860-10,HEPARIN IN 0.45NS 0.5 UNIT/ML SYRINGE 1 VIAL,35.0,14.0,14.0,31.5,17
NDC,8888-8875-10,MIDAZOLAM 2 MG/ML SYRP 1 EACH ORAL SYRINGE,17.2,6.88,6.88,15.48,17
NDC,8888-8881-01,HEPARIN PORCINE 500 UNIT/ML SOLN 20 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,8888-8888-01,SODIUM BICARBONATE 8.4 % SOLN 5 ML SYRINGE,42.15,16.86,16.86,37.94,17
NDC,8888-8888-25,BRIVARACETAM 10 MG/ML SOLN 2.5 ML ORAL SYRINGE,75.56,30.22,30.22,68.0,17
NDC,8888-8888-50,BRIVARACETAM 10 MG/ML SOLN 5 ML ORAL SYRINGE,151.13,60.45,60.45,136.02,17
NDC,8888-8888-8850,CALCIUM CHLORIDE PREMIX CRRT ONLY 500 ML,40.0,16.0,16.0,36.0,17
NDC,8888-8930-84,AMIODARONE 5 MG/ML SOLN 200 ML BOTTLE,557.52,223.01,223.01,501.77,17
NDC,8888-8999-05,GABAPENTIN 250 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,8888-9192-01,FOSCARNET SODIUM 24 MG/ML SOLN 0.05 ML SYRINGE,35.0,14.0,14.0,35.0,16
NDC,8888-9279-11,MITOMYCIN 0.4 MG/ML SOLN 3 ML VIAL,12.82,5.13,5.13,11.54,17
NDC,88888-0012-20,SODIUM CHLORIDE 10 % SOLN 20 ML,50.0,20.0,20.0,45.0,17
NDC,88888-003-65,PHENYLEPHRINE 1000 MCG/10 ML SOLN 1 SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-0051-02,LIDOCAINE W/ EPINEPHRINE BUFFERED 1 SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-006-26,EPHEDRINE 5 MG/ML SOLN 1 SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-0404-01,MITOMYCIN 0.4 MG/ML SOLN 3 ML,127.5,51.0,51.0,114.75,17
NDC,88888-0442-8,FELBAMATE 600 MG/5ML SUSP 5 ML ORAL SYRINGE,67.0,26.8,26.8,60.3,17
NDC,88888-0819-01,VANCOMYCIN 100 MG/ML SOLR 100 ML BOTTLE,9.19,3.68,3.68,8.27,15
NDC,88888-100-05,CANNABIDIOL 100 MG/ML SOLN 5 ML ORAL SYRINGE,471.96,188.78,188.78,424.76,17
NDC,88888-120-01,AMIKACIN 400 MCG/ 0.1ML SOLN 1 SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-123-02,METHADONE 10 MG/ML SOLN 0.5 ML SYRINGE,70.47,28.19,28.19,63.42,17
NDC,88888-1234-02,METHADONE 10 MG/ML SOLN 0.1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-1234-12,METHOHEXITAL 100 MG/10ML SOSY 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-1234-34,VORICONAZOLE 100 MCG/0.1 ML SOLN 100 MCG SYRINGE,391.64,156.66,156.66,352.48,17
NDC,88888-1235-02,METHADONE 10 MG/ML SOLN 0.2 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-1236-02,METHADONE 10 MG/ML SOLN 0.25 ML SYRINGE,35.24,14.1,14.1,31.72,17
NDC,88888-1283-03,HYDROMORPHONE 0.4 MG/ML SOLN 30 ML SYRINGE,58.5,23.4,23.4,52.65,17
NDC,88888-139-05,AMPHOTERICIN B 5 MCG/0.1 ML INJECTION 10 ML VIAL,35.0,14.0,14.0,35.0,16
NDC,88888-148-01,LEVOCARNITINE 1 GM/10ML SOLN 10 ML ORAL SYRINGE,25.8,10.32,10.32,23.22,17
NDC,88888-158-03,NITROGLYCERIN 200 MCG/ML SOLN 3 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-1890-02,MORPHINE SULFATE 1 MG/ML SOLN 2 ML SYRINGE,35.0,14.0,2.83,31.5,16
NDC,88888-2133-1,CLOPIDOGREL 5 MG/ML SUSP 60 ML BOTTLE,150.0,60.0,60.0,135.0,17
NDC,88888-2700-01,CEFTAZIDIMEAVIBACTAM IN NS 50 MG/ML SOLN 50 ML BAG,1980.3,792.12,792.12,1782.27,17
NDC,88888-3422-01,MITOMYCIN 1 MG/ML SOLN 3 ML,42.5,17.0,17.0,38.25,17
NDC,88888-345-25,HEPARIN PORCINE 100 UNITS/ML IN NORMAL SALINE 250 ML 100 UNIT/ML SOLN 250 ML,35.0,14.0,14.0,31.5,17
NDC,88888-380-20,METHADONE 10 MG/ML SOLN 2 ML SYRINGE,281.89,112.76,112.76,253.7,17
NDC,88888-435-12,DIPHENHYDRAMINENYSTATINHYDROCORTISONECLINDAMYCIN SUSP 270 ML BOTTLE,87.75,35.1,35.1,78.98,17
NDC,88888-4356-20,PHENOL 6 % SOLN 20 ML,63.95,25.58,25.58,57.56,17
NDC,88888-444-04,METHOTREXATE 4 MG/ML SOLN 10 ML VIAL,115.0,46.0,46.0,103.5,17
NDC,88888-466-95,DEXAMETHASONE 400 MCG/0.1 ML SUSP 1 SYRINGE SYRINGE,3.0,1.2,1.2,2.7,17
NDC,88888-543-01,LABETALOL 40 MG/ML ORAL SUSP 120 ML BOTTLE,339.6,135.84,135.84,305.64,17
NDC,88888-545-05,VANCOMYCIN 25 MG/ML SUSP 5 ML ORAL SYRINGE,18.35,7.34,7.34,16.52,17
NDC,88888-546-20,PHYTONADIONE 2.5 MG/2.5 ML SOLN 2.5 ML ORAL SYRINGE,55.75,22.3,22.3,50.18,17
NDC,88888-600-01,MEDICAL MAGGOTS 1 EACH,1334.0,533.6,533.6,1200.6,17
NDC,88888-601-01,DAPTOMYCINHEPARIN 1 MG100 UNITS/ML LOCK SYRINGE 5 ML VIAL,35.0,14.0,14.0,31.5,17
NDC,88888-6044-01,LORAZEPAM 2 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-630-25,QUETIAPINE 12.5 MG TABS 1 HALF TABLET,9.29,3.72,3.72,8.36,17
NDC,88888-654-01,MERCAPTOPURINE 50 MG/ML SUSP 1 ML,10.42,4.17,4.17,9.38,17
NDC,88888-656-01,CLONIDINE 20 MCG/ML SUSP 300 ML BOTTLE,621.0,248.4,248.4,558.9,17
NDC,88888-657-01,MITOMYCIN 0.25 MG/ML INJECTION 0.25 MG,336.0,134.4,134.4,336.0,16
NDC,88888-666-01,ALUM AND MAG HYDROXIDESIMETH 40040040 MG/5ML SUSP 15 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,88888-670-16,ETHOSUXIMIDE 250 MG/5ML SOLN 5 ML ORAL SYRINGE,12.4,4.96,4.96,11.16,17
NDC,88888-671-03,ERGOCALCIFEROL 8000 UNITS/ML SOLN 0.03 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,88888-671-05,ERGOCALCIFEROL 8000 UNITS/ML SOLN 0.05 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
NDC,88888-672-30,MINERAL OIL OIL 30 ML CUP,3.0,1.2,1.2,2.7,17
NDC,88888-788-88,MORPHINE 20 MG/ML SOLN 0.5 ML SYRINGE,6.29,2.52,2.52,5.66,17
NDC,88888-874-01,METHADONE 1 MG/ML SOSY 1 ML SYRINGE,54.9,21.96,21.96,49.41,17
NDC,88888-8804-71,FERROUS SULFATE 15 MG OF IRON/ML SOLN 5 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
NDC,88888-8811-65,CASTOR OIL OIL 30 ML CUP,8.25,3.3,3.3,7.43,17
NDC,88888-8812-20,METHADONE 5 MG/5ML SOLN 0.5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,88888-8812-30,METHADONE 5 MG/5ML SOLN 1 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,88888-8812-40,METHADONE 5 MG/5ML SOLN 2 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,88888-888-01,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,17
NDC,88888-888-04,DIPHENOXYLATEATROPINE 2.50.025 MG/5ML LIQD 10 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
NDC,88888-888-07,MIDAZOLAM 1MG/1ML IN NORMAL SALINE BAG 100 ML FLEX CONT,110.5,44.2,44.2,99.45,17
NDC,88888-888-88,KETAMINE 50 MG/50 ML SYRINGE 50 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,88888-888-99,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 5 ML ORAL SYRINGE,8.09,3.24,3.24,7.28,17
NDC,88888-909-09,PENICILLIN V POTASSIUM 0.5 MG/ML 100 ML BOTTLE,56.0,22.4,22.4,50.4,17
NDC,88888-999-99,NEOMYCINPOLYMYXIN B GU SOLN 1 ML SYRINGE,70.63,28.25,28.25,63.57,17
NDC,8888881201,INSULIN REGULAR 1 UNIT/ML SOLN 3 ML VIAL,267.65,107.06,107.06,240.89,17
NDC,89122-724-12,SODIUM HYALURONATE 20 MG/2ML SOLN 2 ML VIAL,1048.8,419.52,92.98,943.92,16
NDC,89141-456-02,GELCLAIR GEL 15 ML BOX,271.65,108.66,108.66,244.49,17
NDC,96121-00264,VITAMIN E 100 UNIT CAPS 1 EACH PACKAGE,3.0,1.2,1.2,2.7,17
NDC,96295-11389,GLYCERIN LIQD 177 ML BOTTLE,13.54,5.42,5.42,12.19,17
NDC,96974-00005,CO Q 10 10 MG CAPS 60 EACH BOTTLE,3.0,1.2,1.2,2.7,17
NDC,99999-890-00,MORPHINE 1 MG/ML SOLN 30 ML SYRINGE,35.0,14.0,14.0,31.5,17
NDC,99999-917-87,HYDROMORPHONE HCLNACL 200.9 MG/100ML% SOLN 100 ML BAG,75.0,30.0,30.0,67.5,17
RC,101,HC NONSKILLED NURSING ROOM,2072.0,828.8,1657.6,72722.9,26
RC,101,HC SKILLED NURSING ROOM,2072.0,828.8,1657.6,72722.9,26
RC,110,ACCOMODATIONS,1200.0,480.0,960.0,72722.9,26
RC,110,GRENADA TELEMETRY BED,900.0,360.0,720.0,72722.9,26
RC,110,ROOM PRIVATE,1200.0,480.0,960.0,72722.9,26
RC,110,ROOM PRIVATE BMT,1500.0,600.0,1200.0,72722.9,26
RC,110,ROOM PRIVATE CVH,1200.0,480.0,960.0,72722.9,26
RC,110,SWING BED,700.0,280.0,560.0,72722.9,26
RC,112,GRENADA LABOR PRIVATE ROOM,1080.0,432.0,864.0,72722.9,26
RC,113,GRENADA PEDIATRIC ROOM CCU,850.0,340.0,680.0,72722.9,26
RC,113,HC PEDS BED/BOARD ACCOMODATIONS,1800.0,720.0,1440.0,72722.9,26
RC,113,ROOM PRIVATE PEDIATRIC,1500.0,600.0,1200.0,72722.9,26
RC,114,ROOM PSYCHIATRIC PRIVATE,1800.0,720.0,900.0,72722.9,23
RC,118,ROOM PEDS REHAB PRIVATE,1500.0,600.0,945.0,72722.9,25
RC,118,ROOM REHAB PRIVATE,1500.0,600.0,945.0,72722.9,25
RC,120,ROOM SEMIPRIVATE,900.0,360.0,720.0,72722.9,26
RC,124,ROOM PSYCHIATRIC SEMIPRIVATE,1000.0,400.0,800.0,72722.9,23
RC,128,ROOM MED/SURG REHAB,1250.0,500.0,800.0,72722.9,50
RC,164,ROOM STERILE,3000.0,1200.0,1799.0,72722.9,26
RC,169,PLACEMENT ISSUE ROOM,600.0,240.0,480.0,72722.9,26
RC,170,HC NB NURSERY WELLCARE,1040.0,416.0,0.01,72722.9,26
RC,171,NB NURSERY LEVEL I,1040.0,416.0,0.01,72722.9,26
RC,172,NB NURSERY LEVEL II,1560.0,624.0,900.0,72722.9,26
RC,173,NB NURSERY LEVEL III,1872.0,748.8,1497.6,72722.9,26
RC,174,NB NURSERY LEVEL IV,3120.0,1248.0,2496.0,72722.9,26
RC,183,HC LOA HOME AND THERAPEUTIC,2072.0,828.8,1657.6,72722.9,22
RC,185,HC LOA HOSPITALIZATION,2072.0,828.8,1657.6,72722.9,22
RC,200,ROOM BMT ICU,3500.0,1400.0,2800.0,72722.9,26
RC,200,ROOM ICU,4500.0,1800.0,3250.0,72722.9,26
RC,201,ROOM SICU,3500.0,1400.0,2800.0,72722.9,26
RC,202,ROOM MICU,3500.0,1400.0,2800.0,72722.9,26
RC,203,ROOM PEDIATRIC ICU,3500.0,1400.0,2800.0,72722.9,26
RC,206,GRENADA PROGRESSIVE CARE UNIT,750.0,300.0,600.0,72722.9,26
RC,206,ROOM INTERMEDIATE ICU,2500.0,1000.0,1799.0,72722.9,26
RC,208,HC ICU TRAUMA ROOM,5400.0,2160.0,3250.0,72722.9,26
RC,211,ROOM CCU,3500.0,1400.0,2800.0,72722.9,26
RC,250,5% DEX AND 0.45% SOD CHL INJ,5.0,2.0,2.0,4.5,17
RC,250,ACETIC ACID 0.25 % SOLN 1000 ML PLAS CONT,55.0,22.0,22.0,49.5,17
RC,250,ACETIC ACID 5 % SOLN 500 ML BOTTLE,21.0,8.4,8.4,18.9,17
RC,250,ACETYLCHOLINE CHLORIDE 20 MG SOLR 1 EACH VIAL,720.73,288.29,288.29,648.66,17
RC,250,ALBUTEROL 2.5 MG/3ML NEBU 1 AMPULE AMPULE,3.0,1.2,1.2,2.7,17
RC,250,ALBUTEROL 2.5 MG/3ML NEBU 3 ML PLAS CONT,6.66,2.66,2.66,5.99,17
RC,250,ALCOHOL DEHYDRATED SOLN 5 ML AMPULE,3765.825,1506.33,1333.5,3778.11,51
RC,250,ALCOHOL DEHYDRATED SOLN 5 ML VIAL,2600.64,1040.26,1040.26,2340.58,17
RC,250,ALFENTANIL HCL 1000 MCG/2ML SOLN 2 ML AMPULE,52.61,21.04,21.04,47.35,17
RC,250,ALLOPURINOL 20 MG/ML SUSP 100 ML BOTTLE,20.0,8.0,8.0,18.0,17
RC,250,ALPHA KERI BATH OIL OIL 237 ML BOTTLE,53.33,21.33,21.33,48.0,17
RC,250,ALUMINUM SULFATECALCIUM ACETATE PACK 12 EACH BOX,4.0,1.6,1.6,3.6,17
RC,250,AMBRISENTAN 5 MG TABS 10 EACH BOTTLE,2445.64,978.26,978.26,2201.08,17
RC,250,AMBRISENTAN 5 MG TABS 30 EACH BOTTLE,1696.97,678.79,678.79,1527.27,17
RC,250,AMINO ACID 5 % SOLN 1000 ML FLEX CONT,1357.0,542.8,441.6,1569.06,51
RC,250,AMINO ACIDS CLINISOL 15 % SOLN 2000 ML PLAS CONT,726.8,290.72,290.72,654.12,17
RC,250,AMINO ACIDS PREMASOL 10 % SOLN 1000 ML PLAS CONT,552.0,220.8,220.8,496.8,17
RC,250,AMINO ACIDS PREMASOL 10 % SOLN 2000 ML PLAS CONT,1085.6,434.24,434.24,977.04,17
RC,250,AMINO ACIDS PREMASOL 10 % SOLN 500 ML PLAS CONT,325.0,130.0,130.0,292.5,17
RC,250,AMINO ACIDS TRAVASOL 10 % SOLN 1000 ML FLEX CONT,190.0,76.0,76.0,171.0,17
RC,250,AMINO ACIDS TRAVASOL 10 % SOLN 2000 ML PLAS CONT,340.0,136.0,136.0,306.0,17
RC,250,AMINO ACIDSDEXTROSE 814% SOLN 2000 ML FLEX CONT,625.6,250.24,250.24,563.04,17
RC,250,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 4.255% SOLN 1000 ML PLAS CONT,260.0,104.0,104.0,234.0,17
RC,250,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 4.255% SOLN 2000 ML FLEX CONT,240.0,96.0,96.0,216.0,17
RC,250,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 515% SOLN 1000 ML PLAS CONT,270.0,108.0,108.0,243.0,17
RC,250,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 515% SOLN 2000 ML FLEX CONT,469.2,187.68,187.68,422.28,17
RC,250,AMINO ACIDSDEXTROSE W/ ELECTROLYTES 814% SOLN 2000 ML FLEX CONT,671.6,268.64,268.64,604.44,17
RC,250,AMINOCAPROIC ACID 0.25 GM/ML SOLN 236.5 ML BOTTLE,13382.73,5353.09,5353.09,12044.46,17
RC,250,AMINOCAPROIC ACID 0.25 GM/ML SOLN 4 ML ORAL SYRINGE,269.46,107.78,107.78,242.51,17
RC,250,AMINOLEVULINIC ACID HCL 1.5 G SOLR 1 EACH VIAL,14056.56,5622.62,5622.62,12650.9,17
RC,250,AMITRIPTYLINE 5 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
RC,250,AMLODIPINE 1 MG/ML SUSP 150 ML BOTTLE,3321.36,1328.54,1328.54,2989.22,17
RC,250,AMMONIA INHA 10 EACH BOX,3.0,1.2,1.2,2.7,17
RC,250,AMPHOTERICIN B 0.15% 10 ML BOTTLE,250.0,100.0,100.0,225.0,17
RC,250,AMPICILLINHEPARIN 10 MG10 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,AMPICILLINHEPARIN 10 MG10 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,AMPICILLINHEPARIN 10 MG5000 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,AMPICILLINHEPARIN 10 MG5000 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,ANTICOAGULANT SODIUM CITRATE 4 % SOLN 500 ML PLAS CONT,60.0,24.0,24.0,54.0,17
RC,250,ANTITHYMOCYTE GLOBULIN EQUINE TEST DOSE 50 MCG/ML 0.1 ML SYRINGE,343.55,137.42,137.42,309.2,17
RC,250,APRACLONIDINE 0.5 % SOLN 5 ML BOTTLE,399.14,159.66,159.66,359.23,17
RC,250,APRACLONIDINE 1 % SOLN 2 EACH PLAS CONT,166.37,66.55,66.55,149.73,17
RC,250,ARGININE LARGININE 10 % SOLN 300 ML GLASS CONT,252.0,100.8,100.8,226.8,17
RC,250,ASCORBIC ACID 25000 MG/50ML SOLN 50 ML VIAL,1484.5349999999999,593.815,590.18,1344.26,34
RC,250,ASCORBIC ACID 500 MG/ML SOLN 30 ML VIAL,199.95,79.98,79.98,179.96,17
RC,250,ASCORBIC ACID 500 MG/ML SOLN 50 ML VIAL,484.61,193.84,187.86,449.6,34
RC,250,ASPIRIN 10 MG/ML ORAL SOLN 32.5 ML BOTTLE,16.25,6.5,6.5,14.63,17
RC,250,ATRACURIUM BESYLATE 100 MG/10ML SOLN 10 ML VIAL,70.55000000000001,28.22,22.68,75.96,51
RC,250,ATROPINE 1 % OINT 3.5 G TUBE,145.88,58.35000000000001,42.02,168.04,34
RC,250,ATROPINE 1 % SOLN 2 ML BOTTLE,239.3,95.72,95.72,215.37,34
RC,250,ATROPINE 1 % SOLN 5 ML BOTTLE,291.9,116.76,116.76,262.71,34
RC,250,ATROPINE SULFATE 0.8 MG/2ML SOSY 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,ATROPINE SULFATE 1 MG/2.5ML SOSY 2.5 ML SYRINGE,133.8,53.52,53.52,120.42,17
RC,250,ATROPINE SULFATE 1.2 MG/3ML SOSY 3 ML SYRINGE,51.0,20.4,20.4,45.9,17
RC,250,AZATHIOPRINE 50 MG/ML SUSP 30 ML BOTTLE,1108.28,443.31,443.31,997.45,17
RC,250,AZTREONAM LYSINE 75 MG SOLR 1 ML PLAS CONT,883.09,353.24,353.24,794.78,17
RC,250,BACITRACIN 500 UNIT/GM OINT 0.9 G PACKAGE,3.0,1.2,1.2,2.7,34
RC,250,BACITRACIN 500 UNIT/GM OINT 14 G TUBE,17.99,7.2,7.2,16.19,17
RC,250,BACITRACIN 500 UNIT/GM OINT 28 G TUBE,20.58,8.235,5.94,23.69,34
RC,250,BACITRACIN 500 UNIT/GM OINT 28.4 G TUBE,17.32,6.93,6.93,15.59,17
RC,250,BACITRACIN 500 UNIT/GM OINT 3.5 G TUBE,596.57,238.63,238.63,536.91,17
RC,250,BACITRACIN 500 UNIT/GM OINT 425 G JAR,119.0,47.6,47.6,107.1,17
RC,250,BACITRACINPOLYMYXIN B 50010000 UNIT/GM OINT 3.5 G TUBE,130.6,52.24,52.24,117.54,17
RC,250,BACITRACINPOLYMYXIN B OPHTH OINT 3.5 G TUBE,143.26,57.3,57.3,128.93,17
RC,250,BALANCED SALTS SOLN 15 ML BOTTLE,75.9,30.36,30.36,68.31,17
RC,250,BALANCED SALTS SOLN 500 ML GLASS CONT,570.4,228.16,228.16,513.36,17
RC,250,BARIUM SULFATE 96 % SUSR 176 G BOTTLE,22.88,9.15,9.15,20.59,17
RC,250,BEER CAN 1 CAN CAN,5.0,2.0,2.0,4.5,17
RC,250,BENZOCAINE 20 % SOLN 25 EACH BOX,53.18,21.27,21.27,47.86,17
RC,250,BENZOCAINELANOLINALOE VERA 200.5 % AEROSOL 56 G CAN,27.16,10.86,10.86,24.44,17
RC,250,BENZOCAINELANOLINALOE VERA 200.5 % AEROSOL 85 G CAN,34.85,13.94,13.94,31.37,17
RC,250,BENZOCAINEMENTHOLZINC CL 200.260.15 % GEL 7 G TUBE,31.26,12.5,12.5,28.13,17
RC,250,BENZOIN COMPOUND TINC 59 ML BOTTLE,1.0,0.4,0.4,0.9,17
RC,250,BETAMETHASONE VALERATE 0.1 % CREA 45 G TUBE,228.38,91.35,91.35,205.54,17
RC,250,BETAMETHASONE VALERATE 0.1 % OINT 45 G TUBE,210.49,84.195,83.07,191.97,34
RC,250,BETAXOLOL 0.25 % SUSP 10 ML BOTTLE,2239.1,895.64,895.64,2015.19,17
RC,250,BETAXOLOL 0.5 % SOLN 5 ML BOTTLE,331.35,132.54,132.54,298.22,17
RC,250,BIMATOPROST 0.01 % SOLN 2.5 ML BOTTLE,1457.05,582.82,582.82,1311.35,17
RC,250,BIOTENE ORALBALANCE DRY MOUTH GEL 42 G TUBE,49.14,19.66,19.66,44.23,17
RC,250,BRILLIANT BLUE G 0.025 % SOSY 0.5 ML SYRINGE,926.705,370.685,370.68,834.05,34
RC,250,BRILLIANT BLUE G 0.5 ML VIAL,60.0,24.0,24.0,54.0,17
RC,250,BRILLIANT BLUE G 1 ML VIAL,180.0,72.0,72.0,162.0,17
RC,250,BRINZOLAMIDE 1 % SUSP 10 ML BOTTLE,1683.65,673.46,673.46,1515.29,17
RC,250,BRIVARACETAM 10 MG/ML SOLN 2.5 ML ORAL SYRINGE,75.56,30.22,30.22,68.0,17
RC,250,BRIVARACETAM 10 MG/ML SOLN 300 ML BOTTLE,7616.7,3046.68,3046.68,6855.03,17
RC,250,BRIVARACETAM 10 MG/ML SOLN 5 ML ORAL SYRINGE,151.13,60.45,60.45,136.02,17
RC,250,BRIVARACETAM 50 MG/5ML SOLN 5 ML VIAL,357.525,143.01,143.0,321.79,34
RC,250,BSS SOLN 500 ML GLASS CONT,232.5,93.0,93.0,209.25,17
RC,250,BUPIVACAINE 0.125% OB INTRATHECAL 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,BUPIVACAINE 0.125% OB PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,BUPIVACAINE 0.125% OB PIEB 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,BUPIVACAINE 0.125% PIB ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,BUPIVACAINE 0.5 % SOLN 270 ML,1182.2,472.88,472.88,1063.98,17
RC,250,BUPIVACAINE 0.75%/LIDOCAINE 2% 0.75% AND 2% SOLN 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,BUPIVACAINEEPINEPHRINE 0.5% 1:200000 SOLN 50 ML VIAL,127.625,51.05,49.8,117.68,34
RC,250,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 10 ML VIAL,45.9,18.36,14.0,43.11,85
RC,250,BUPIVACAINEEPINEPHRINE PF 0.25% 1:200000 SOLN 30 ML VIAL,72.6,29.04,14.0,68.58,102
RC,250,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 10 ML VIAL,41.025,16.41,14.0,42.35,102
RC,250,BUPIVACAINEEPINEPHRINE PF 0.5% 1:200000 SOLN 30 ML VIAL,56.575,22.630000000000003,14.0,70.34,102
RC,250,CADEXOMER IODINE 0.9 % GEL 10 G TUBE,119.9,47.96,47.96,107.91,17
RC,250,CAFFEINESODIUM BENZOATE 125125 MG/ML SOLN 2 ML VIAL,117.42500000000001,46.97,46.97,105.69,34
RC,250,CALAMINE 88 % LOTN 177 ML BOTTLE,8.85,3.54,3.54,7.97,17
RC,250,CALCITONIN SALMON 200 UNIT/ACT SOLN 3.7 ML BOTTLE,545.29,218.12,218.12,490.76,34
RC,250,CALCITRIOL 0.25 MCG CAPS 1 EACH,4.8,1.92,1.92,4.32,17
RC,250,CALCITRIOL 0.25 MCG CAPS 100 EACH BOTTLE,6.05,2.42,2.42,5.45,17
RC,250,CALCITRIOL 0.25 MCG CAPS 100 EACH BOX,4.8,1.92,1.92,4.32,17
RC,250,CALCITRIOL 1 MCG/ML ORAL SOLN 0.5 ML ORAL SYRINGE,21.47,8.59,8.59,19.32,17
RC,250,CALCITRIOL 1 MCG/ML ORAL SOLN 15 ML BOTTLE,21.47,8.59,5.97,35.7,51
RC,250,CALCIUM CHLORIDE 10 % SOLN 10 ML SYRINGE,37.85,15.14,14.0,46.17,119
RC,250,CALCIUM CHLORIDE 10 % SOLN 10 ML VIAL,60.65,24.26,24.26,54.59,34
RC,250,CALCIUM CHLORIDE 10 G/500 ML SOLN 500 ML BAG,217.25,86.9,86.9,195.53,34
RC,250,CALCIUM CHLORIDE PREMIX CRRT ONLY 500 ML,40.0,16.0,16.0,36.0,17
RC,250,CALCIUM GLUCONATE IV SYRINGE LOADING DOSE NICU 1 ML,3.0,1.2,1.2,2.7,17
RC,250,CANDIDA ALBICANS SKIN TEST SOLN 1 ML VIAL,193.2,77.28,77.28,173.88,17
RC,250,CAPHOSOL SOLN 15 ML AMPULE,31.28,12.51,12.51,28.15,17
RC,250,CAPSAICIN 0.025 % CREA 60 G TUBE,49.8,19.92,19.92,44.82,34
RC,250,CARBACHOL 0.01 % SOLN 1.5 ML VIAL,92.94,37.18,37.18,83.65,17
RC,250,CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE,40.13,16.05,6.0,39.63,51
RC,250,CARBIDOPALEVODOPA ER 48.75195 MG CPCR 100 EACH BOTTLE,24.93,9.97,9.97,22.44,17
RC,250,CARBOPROST 250 MCG/ML SOLN 1 ML AMPULE,772.8,309.12,309.12,695.52,34
RC,250,CARBOPROST 250 MCG/ML SOLN 1 ML VIAL,400.8,160.32,144.0,397.44,51
RC,250,CARBOXYMETHYLCELLULOSE 0.25 % SOLN 30 EACH PLAS CONT,3.0,1.2,1.2,2.7,17
RC,250,CARBOXYMETHYLCELLULOSE PF 1 % GEL 30 EACH PLAS CONT,3.0,1.2,1.2,2.7,34
RC,250,CARDIOPLEGIA COLD MULTIDOSE 1 BAG 1 EACH,280.0,112.0,112.0,252.0,17
RC,250,CARDIOPLEGIA DEL NIDO SOLUTION 1 EACH BAG,225.0,90.0,90.0,202.5,17
RC,250,CARDIOPLEGIA KCL SOLUTION 1 EACH BAG,375.0,150.0,150.0,337.5,17
RC,250,CARDIOPLEGIA SOLN.#1 INDUCTION 1 BAG BAG 1 EACH,257.5,103.0,103.0,231.75,17
RC,250,CARDIOPLEGIA SOLN.#2 MAINT. 1 BAG BAG 1 EACH,257.5,103.0,103.0,231.75,17
RC,250,CARDIOPLEGIA WARM INDUCTION 1 BAG 1 EACH,667.0,266.8,266.8,600.3,17
RC,250,CARDIOPLEGIA WARM REPERFUSION 1 BAG 1 EACH,667.0,266.8,266.8,600.3,17
RC,250,CARGLUMIC ACID 200 MG TBSO 5 EACH BOTTLE,1217.55,487.02,487.02,1095.8,17
RC,250,CARGLUMIC ACID 200 MG TBSO 60 EACH BOTTLE,1156.66,462.66,462.66,1040.99,17
RC,250,CARIPRAZINE 6 MG CAPS 30 EACH BOTTLE,303.78,121.51,121.51,273.4,17
RC,250,CARVEDILOL 0.5 MG/ML SUSP 100 ML BOTTLE,460.0,184.0,184.0,414.0,17
RC,250,CASIMERSEN 100 MG/2ML SOLN 2 ML VIAL,8064.0,3225.6,3225.6,7257.6,17
RC,250,CEFAZOLINHEPARIN 5 MG10 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CEFAZOLINHEPARIN 5 MG10 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CEFAZOLINHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CEFAZOLINHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CEFOTETAN 1 G SOLR 1 EACH VIAL,145.32,58.13,58.13,130.79,17
RC,250,CEFOTETAN 2 G SOLR 1 EACH VIAL,290.64,116.26,116.26,261.58,17
RC,250,CEFTAZIDIMEAVIBACTAM IN NS 50 MG/ML SOLN 50 ML BAG,1980.3,792.12,792.12,1782.27,17
RC,250,CEFTAZIDIMEHEPARIN 0.5 MG100 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CEFTAZIDIMEHEPARIN 0.5 MG100 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CEFTAZIDIMEHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CEFTAZIDIMEHEPARIN 5 MG2500 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CETAPHIL GENTLE CLEANSER LIQD 118 ML BOTTLE,18.29,7.32,7.32,16.46,17
RC,250,CETAPHILGLYCERINPMC 245 G JAR,40.0,16.0,16.0,36.0,17
RC,250,CETIRIZINE 5 MG CHEW 1 EACH,26.82,10.73,10.73,24.14,17
RC,250,CETIRIZINE 5 MG CHEW 30 EACH BOX,26.82,10.73,10.73,24.14,17
RC,250,CHARCOAL ACTIVATED 5 GM/24ML SUSP 120 ML BOTTLE,148.2,59.28,59.28,133.38,17
RC,250,CHARCOAL ACTIVATED 5 GM/24ML SUSP 120 ML TUBE,83.4,33.36,33.36,75.06,17
RC,250,CHARCOAL ACTIVATED W/ SORBITOL 5 GM/24ML SUSP 120 ML BOTTLE,148.2,59.28,59.28,133.38,17
RC,250,CHARCOAL ACTIVATED W/ SORBITOL 5 GM/24ML SUSP 120 ML TUBE,83.4,33.36,33.36,75.06,17
RC,250,CHLORAMBUCIL 2 MG TABS 25 EACH BOTTLE,2998.28,1199.31,1199.31,2698.45,17
RC,250,CHLORHEXIDINE 0.12 % SOLN 15 ML BOTTLE,16.28,6.51,6.51,14.65,17
RC,250,CHLORHEXIDINE 0.12 % SOLN 15 ML CUP,10.8,4.32,2.25,10.53,51
RC,250,CHLORHEXIDINE 0.12 % SOLN 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,CHLORHEXIDINE GLUCONATE 4 % SOLN 946 ML BOTTLE,56.76,22.7,22.7,51.08,17
RC,250,CHLOROTHIAZIDE 250 MG/5ML SUSP 10 ML ORAL SYRINGE,19.2,7.68,7.68,17.28,17
RC,250,CHLOROTHIAZIDE 250 MG/5ML SUSP 237 ML BOTTLE,418.64,167.46,167.46,376.78,17
RC,250,CHLOROTHIAZIDE 50 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
RC,250,CHLORPROMAZINE 100 MG TABS 1 EACH,92.95,37.18,31.18,97.16,34
RC,250,CHLORPROMAZINE 100 MG TABS 100 EACH BOX,92.94,37.175,31.18,97.14,34
RC,250,CHLORPROMAZINE 200 MG TABS 1 EACH,30.05,12.02,12.02,27.05,17
RC,250,CHLORPROMAZINE 200 MG TABS 100 EACH BOX,49.515,19.805,12.01,62.1,34
RC,250,CHLORPROMAZINE 25 MG TABS 1 EACH,37.43,14.97,14.97,33.69,17
RC,250,CHLORPROMAZINE 25 MG TABS 100 EACH BOX,35.57,14.23,14.23,32.01,17
RC,250,CHLORPROMAZINE 25 MG TABS 50 EACH BOX,37.43,14.97,14.97,33.69,17
RC,250,CHLORPROMAZINE 50 MG TABS 1 EACH,63.150000000000006,25.259999999999998,20.44,67.68,34
RC,250,CHLORPROMAZINE 50 MG TABS 100 EACH BOX,63.16,25.265,20.44,67.7,34
RC,250,CHOLESTYRAMINE 4 G PACK 1 EACH PACKET,16.845,6.74,6.74,15.17,34
RC,250,CHOLESTYRAMINE 4 G PACK 1 EACH SACHET,16.85,6.74,6.74,15.17,17
RC,250,CHOLESTYRAMINE 4 G PACK 60 EACH BOX,16.845,6.74,6.74,15.17,51
RC,250,CHORIOGONADOTROPIN ALFA 250 MCG/0.5ML SOSY 0.5 ML SYRINGE,1390.17,556.07,556.07,1251.15,17
RC,250,CIPROFLOXACIN 0.3 % SOLN 10 ML BOTTLE,434.42,173.77,173.77,390.98,17
RC,250,CIPROFLOXACIN 0.3 % SOLN 2.5 ML BOTTLE,63.0,25.2,25.2,56.7,17
RC,250,CIPROFLOXACINHEPARIN 0.125 MG100 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CIPROFLOXACINHEPARIN 0.125 MG100 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CIPROFLOXACINHEPARIN 0.2 MG5000 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CIPROFLOXACINHEPARIN 0.2 MG5000 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,CISATRACURIUM BESYLATE 20 MG/10ML SOLN 10 ML VIAL,85.2,34.08,21.88,124.2,153
RC,250,CISATRACURIUM BESYLATE 200 MG/20ML SOLN 20 ML VIAL,919.63,367.85,367.85,827.67,17
RC,250,CISATRACURIUM BESYLATE PF 10 MG/5ML SOLN 5 ML VIAL,63.0,25.200000000000003,16.8,75.6,51
RC,250,CITRATE DEXTROSE 0.732.452.2 GM/100ML SOLN 1000 ML PLAS CONT,60.0,24.0,24.0,54.0,17
RC,250,CITRIC ACIDPOTASSIUM CITRATE 1100334 MG/5ML SOLN 473 ML BOTTLE,3.95,1.58,1.58,3.56,17
RC,250,CLARITHROMYCIN 250 MG/5ML SUSR 10 ML ORAL SYRINGE,109.1,43.64,43.64,98.19,17
RC,250,CLARITHROMYCIN 250 MG/5ML SUSR 100 ML BOTTLE,1003.72,401.49,401.49,903.35,17
RC,250,CLINDAMYCIN 1 MG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,CLINDAMYCIN 450 MCG/0.1 ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,CLINDAMYCIN 75 MG/5 ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
RC,250,CLINIMIX E/DEXTROSE 2.75/5 2.75 % SOLN 1000 ML PLAS CONT,265.0,106.0,106.0,238.5,17
RC,250,CLINIMIX E/DEXTROSE 4.25/10 4.25 % SOLN 1000 ML PLAS CONT,285.0,114.0,114.0,256.5,17
RC,250,CLINIMIX E/DEXTROSE 8/10 8 % SOLN 2000 ML FLEX CONT,625.6,250.24,250.24,563.04,34
RC,250,CLINIMIX/DEXTROSE 4.25/10 4.25 % SOLN 2000 ML FLEX CONT,414.0,165.6,165.6,372.6,17
RC,250,CLINIMIX/DEXTROSE 4.25/5 4.25 % SOLN 2000 ML FLEX CONT,414.0,165.6,165.6,372.6,17
RC,250,CLINIMIX/DEXTROSE 5/15 5 % SOLN 2000 ML FLEX CONT,441.6,176.64,176.64,397.44,17
RC,250,CLINIMIX/DEXTROSE 5/20 5 % SOLN 2000 ML FLEX CONT,450.8,180.32,180.32,405.72,17
RC,250,CLINIMIX/DEXTROSE 8/10 8 % SOLN 2000 ML FLEX CONT,579.6,231.84,231.84,521.64,34
RC,250,CLIOQUINOLLCDTRIAMCINOLONE 2 OZ BOTTLE,30.0,12.0,12.0,27.0,17
RC,250,CLIOQUINOLLCDTRIAMCINOLONE 4 OZ BOTTLE,60.0,24.0,24.0,54.0,17
RC,250,CLIOQUINOLLCDTRIAMCINOLONE 6 OZ BAG,90.0,36.0,36.0,81.0,17
RC,250,CLIOQUINOLLCDTRIAMCINOLONE 8 OZ BOTTLE,120.0,48.0,48.0,108.0,17
RC,250,CLOPIDOGREL 5 MG/ML SUSP 60 ML BOTTLE,150.0,60.0,60.0,135.0,17
RC,250,COCAINE 40 MG/ML SOLN 4 ML BOTTLE,1567.68,627.0699999999999,486.86,1783.51,85
RC,250,COPPER 0.4 MG/ML SOLN 10 ML VIAL,173.725,69.49,62.88,171.23,34
RC,250,CROMOLYN 100 MG/5ML CONC 5 ML PLAS CONT,153.35,61.34,61.34,138.02,17
RC,250,CULTURELLE KIDS CHEW 30 EACH BOX,4.53,1.81,1.81,4.08,17
RC,250,CULTURELLE KIDS PACK 30 EACH BOX,4.53,1.81,1.81,4.08,17
RC,250,CUSTODIOL 1000 ML BAG,984.4,393.76,393.76,885.96,17
RC,250,CYCLOPENTOLATE 0.5 % SOLN 15 ML BOTTLE,558.83,223.53,223.53,502.95,17
RC,250,CYCLOPENTOLATE 1 % SOLN 15 ML BOTTLE,191.33,76.53,76.53,172.2,17
RC,250,CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE,84.0,33.6,32.66,191.34,51
RC,250,CYCLOPENTOLATE 1 % SOLN 5 ML BOTTLE,351.62,140.65,140.65,316.46,17
RC,250,CYCLOPENTOLATE 2 % SOLN 2 ML BOTTLE,278.2,111.28,111.28,250.38,17
RC,250,DAKINS 1/2 STRENGTH 0.25 % SOLN 473 ML BOTTLE,91.055,36.425,35.95,83.02,34
RC,250,DAKINS 1/4 STRENGTH 0.125 % SOLN 473 ML BOTTLE,92.24,36.9,35.95,146.87,51
RC,250,DAKINS FULL STRENGTH 0.5 % SOLN 473 ML BOTTLE,89.87,35.95,35.95,80.88,17
RC,250,DANTROLENE 20 MG SOLR 1 EACH VIAL,391.41,156.56,154.56,440.36,51
RC,250,DAPAGLIFLOZIN 10 MG TABS 30 EACH BOTTLE,75.57,30.23,27.2,79.65,51
RC,250,DAPAGLIFLOZIN 10 MG TABS 30 EACH BOX,75.57,30.23,30.23,68.01,17
RC,250,DAPAGLIFLOZIN 5 MG TABS 30 EACH BOTTLE,110.63,44.25,44.25,99.57,17
RC,250,DAPTOMYCINHEPARIN 1 MG100 UNITS/ML LOCK SYRINGE 5 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,DESMOPRESSIN 0.01 % SOLN 5 ML BOTTLE,1132.775,453.11,453.1,1019.52,34
RC,250,DESONIDE 0.05 % CREA 15 G TUBE,369.36,147.74,147.74,332.42,17
RC,250,DEXAMETHASONE 0.1 % SOLN 5 ML BOTTLE,323.4,129.36,129.36,291.06,17
RC,250,DEXAMETHASONE 1 MG/ML CONC 1 ML,5.36,2.14,2.14,4.82,17
RC,250,DEXMEDETOMIDINE HCL 200 MCG/2ML SOLN 2 ML VIAL,36.0,14.4,14.0,103.09,119
RC,250,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML BOTTLE,140.125,56.05,40.1,162.0,68
RC,250,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML FLEX CONT,118.75,47.5,35.0,135.0,51
RC,250,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML GLASS CONT,258.0,103.2,62.4,241.88,153
RC,250,DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML SOLN 50 ML VIAL,156.0,62.4,62.4,140.4,17
RC,250,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML SOLN 100 ML GLASS CONT,300.0,120.0,120.0,270.0,51
RC,250,DEXMETHYLPHENIDATE 10 MG CP24 100 EACH BOTTLE,29.95,11.98,11.98,26.96,17
RC,250,DEXMETHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,102
RC,250,DEXROSE 5 % AND 0.45 % NACL WITH KCL 30 MEQ 3050.45 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
RC,250,DEXTRAN 40 IN DEXTROSE 5% 10 % SOLN 500 ML FLEX CONT,1752.6,701.04,701.04,1577.34,17
RC,250,DEXTRAN 70HYPROMELLOSEGLYCERIN 0.10.20.3 % SOLN 15 ML BOTTLE,39.68,15.87,15.87,35.71,17
RC,250,DEXTROSE 25 % SOLN 10 ML SYRINGE,135.85,54.34,54.34,122.27,17
RC,250,DEXTROSE 5 % AND 0.2 % NACL 50.2 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,250,DEXTROSE 5 % AND 0.2 % NACL 50.2 % SOLN 250 ML FLEX CONT,23.125,9.25,8.0,23.63,34
RC,250,DEXTROSE 5 % AND 0.2 % NACL 50.2 % SOLN 500 ML FLEX CONT,25.0,10.0,10.0,22.5,17
RC,250,DEXTROSE 5 % AND 0.2 % NACL WITH KCL 20 MEQ 2050.2 MEQ/L%% SOLN 1000 ML,30.0,12.0,12.0,27.0,17
RC,250,DEXTROSE 5 % AND 0.2 % NACL WITH KCL 20 MEQ 2050.2 MEQ/L%% SOLN 500 ML,20.0,8.0,8.0,18.0,17
RC,250,DEXTROSE 5 % AND 0.45 % NACL 50.45 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,250,DEXTROSE 5 % AND 0.45 % NACL 50.45 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,250,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 10 MEQ 1050.45 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
RC,250,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 20 MEQ 2050.45 MEQ/L%% SOLN 1000 ML,35.0,14.0,14.0,31.5,17
RC,250,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 40 MEQ 4050.45 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
RC,250,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 20 MEQ 2050.9 MEQ/L%% SOLN 1000 ML,20.0,8.0,8.0,18.0,17
RC,250,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 40 MEQ 4050.9 MEQ/L%% SOLN 1000 ML,60.0,24.0,24.0,54.0,17
RC,250,DEXTROSE 50 % SOLN 50 ML SYRINGE,120.125,48.05,44.0,117.23,34
RC,250,DEXTROSE 50 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,DEXTROSE 70 % SOLN 2000 ML PLAS CONT,120.0,48.0,48.0,108.0,17
RC,250,DIA CALCIUM CARBONATE 1000MG CHEW,0.15,0.06,0.06,0.14,17
RC,250,DIA CALCIUM CARBONATE 500MG CHEW,0.1,0.04,0.04,0.09,17
RC,250,DIALYSIS MEDICATION,15.0,6.0,6.0,13.5,17
RC,250,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 1500 ML PLAS CONT,330.0,132.0,132.0,297.0,17
RC,250,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 2000 ML FLEX CONT,310.0,124.0,124.0,279.0,17
RC,250,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 2500 ML PLAS CONT,337.5,135.0,135.0,303.75,17
RC,250,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 3000 ML FLEX CONT,345.0,138.0,138.0,310.5,17
RC,250,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 3000 ML PLAS CONT,375.0,150.0,150.0,337.5,17
RC,250,DIANEAL LOCAL 1.5% 344 MOSM/L SOLN 6000 ML FLEX CONT,386.4,154.56,154.56,347.76,17
RC,250,DIANEAL LOCAL 2.5% 395 MOSM/L SOLN 6000 ML FLEX CONT,386.4,154.56,154.56,347.76,17
RC,250,DIANEAL PD2/1.5% DEXTROSE 346 MOSM/L SOLN 2000 ML FLEX CONT,200.0,80.0,80.0,180.0,17
RC,250,DIANEAL PD2/1.5% DEXTROSE 346 MOSM/L SOLN 3000 ML FLEX CONT,345.0,138.0,138.0,310.5,17
RC,250,DIANEAL PD2/1.5% DEXTROSE 346 MOSM/L SOLN 6000 ML FLEX CONT,386.4,154.56,154.56,347.76,17
RC,250,DIAPER RASH 60 G JAR,25.0,10.0,10.0,22.5,17
RC,250,DIAZEPAM 10 MG GEL 1 EACH BOX,1674.68,669.87,669.87,1507.21,17
RC,250,DIAZEPAM 2.5 MG GEL 1 EACH BOX,1411.74,564.7,564.7,1270.57,17
RC,250,DIAZEPAM 20 MG GEL 1 EACH BOX,1674.68,669.87,669.87,1507.21,17
RC,250,DIAZOXIDE 50 MG/ML SUSP 30 ML BOTTLE,2196.98,878.7950000000001,684.37,2414.74,34
RC,250,DIBUCAINE 1 % OINT 28 G TUBE,29.4,11.76,11.76,26.46,17
RC,250,DIBUCAINE PERIANAL 1 % OINT 28 G TUBE,19.6,7.84,7.84,17.64,17
RC,250,DICLOFENAC 0.1 % SOLN 2.5 ML BOTTLE,223.85,89.54,89.54,201.47,17
RC,250,DICLOFENAC 0.1 % SOLN 5 ML BOTTLE,226.325,90.53,35.0,328.64,34
RC,250,DICLOFENAC EPOLAMINE 1.3 % PTCH 30 EACH BOX,64.8,25.92,25.51,60.43,51
RC,250,DICLOFENAC EPOLAMINE 1.3 % PTCH 5 EACH BOX,67.14,26.86,26.86,60.43,17
RC,250,DICLOFENAC EPOLAMINE 1.3 % PTCH 5 EACH PACKAGE,64.28999999999999,25.715000000000003,25.51,58.32,34
RC,250,DIGOXIN 50 MCG/ML SOLN 0.4 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,DIGOXIN 50 MCG/ML SOLN 0.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,DIGOXIN 50 MCG/ML SOLN 0.6 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,DIGOXIN 50 MCG/ML SOLN 0.8 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,DIGOXIN 50 MCG/ML SOLN 1 ML ORAL SYRINGE,3.48,1.39,1.39,3.13,17
RC,250,DILTIAZEM HCL 125 MG/25ML SOLN 25 ML VIAL,54.63,21.85,21.85,49.17,51
RC,250,DILTIAZEM HCL 50 MG/10ML SOLN 10 ML VIAL,36.2,14.48,14.0,33.66,51
RC,250,DINOPROSTONE 10 MG INST 1 EACH BOX,2772.92,1109.17,1109.17,2495.63,17
RC,250,DIPHENHYDRAMINENYSTATINHYDROCORTISONECLINDAMYCIN SUSP 270 ML BOTTLE,87.75,35.1,35.1,78.98,17
RC,250,DORZOLAMIDE 2 % SOLN 10 ML BOTTLE,334.0,133.6,133.6,300.6,17
RC,250,DOUBLE ANTIBIOTIC 50010000 UNIT/GM OINT 14.2 G TUBE,30.1,12.04,12.04,27.09,17
RC,250,DOXAPRAM 20 MG/ML SOLN 20 ML VIAL,319.3,127.72,127.72,287.37,17
RC,250,DRONEDARONE HCL 400 MG TABS 60 EACH BOTTLE,82.62,33.05,33.05,74.36,17
RC,250,DROXIDOPA 100 MG CAPS 90 EACH BOTTLE,183.89,73.56,73.56,165.5,17
RC,250,DTAPHEPATITIS B RECOMBIPV SUSY 0.5 ML SYRINGE,398.11,159.24,159.24,358.3,34
RC,250,DTAPIPV SUSP 0.5 ML VIAL,217.43,86.975,81.68,207.6,34
RC,250,DUODERM CGF DRESSING MISC 5 EACH BOX,37.14,14.86,14.86,33.43,17
RC,250,ELECTROLYTEA SOLN 1000 ML FLEX CONT,35.0,14.0,14.0,31.5,17
RC,250,ELECTROLYTEA SOLN 500 ML FLEX CONT,42.5,17.0,17.0,38.25,17
RC,250,ENALAPRIL MALEATE 1 MG/ML SOLN 150 ML BOTTLE,69.93,27.97,27.97,62.94,17
RC,250,ENALAPRILAT 1.25 MG/ML SOLN 2 ML VIAL,56.894999999999996,22.76,22.76,51.21,68
RC,250,ENTECAVIR 0.05 MG/ML SOLN 10 ML ORAL SYRINGE,274.5,109.8,109.8,247.05,17
RC,250,EPHEDRINE 5 MG/ML SOLN 1 SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,EPHEDRINE SULFATE PRESSORS 50 MG/ML SOLN 1 ML VIAL,72.0,32.88,18.7,266.01,255
RC,250,EPINEPHRINE 0.1 % SOLN 10 ML BOTTLE,460.0,184.0,184.0,414.0,17
RC,250,EPINEPHRINE 0.1 % SOLN 30 ML BOTTLE,1383.17,553.27,553.27,1244.85,17
RC,250,EPINEPHRINE 0.1 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
RC,250,EPINEPHRINE 0.1 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,EPINEPHRINE 0.1 MG/ML SOLN 10 ML SYRINGE,59.1,23.64,23.64,53.19,17
RC,250,EPINEPHRINE 0.15 MG/0.3ML SOAJ 2 EACH PEN,1679.76,671.9,671.9,1511.78,17
RC,250,EPINEPHRINE 0.3 MG/0.3ML SOAJ 2 EACH PEN,1136.22,454.49,345.0,1511.78,51
RC,250,EPINEPHRINE 50.9 MG/250ML% SOLN 250 ML FLEX CONT,360.0,144.0,144.0,324.0,17
RC,250,EPISIL LIQD 10 ML,2086.56,834.62,834.62,1877.9,17
RC,250,ERGOCALCIFEROL 200 MCG/ML SOLN 0.25 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,ERGOCALCIFEROL 200 MCG/ML SOLN 6.25 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,ERGOCALCIFEROL 200 MCG/ML SOLN 60 ML BOTTLE,3.0,1.2,1.2,2.7,51
RC,250,ERGOCALCIFEROL 8000 UNITS/ML SOLN 0.03 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,ERGOCALCIFEROL 8000 UNITS/ML SOLN 0.05 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
RC,250,ESOMEPRAZOLE 40 MG SOLR 1 EACH VIAL,267.9,107.16,107.16,241.11,17
RC,250,ESTROGENS CONJUGATED 0.625 MG/GM CREA 30 G TUBE,2385.43,954.17,954.17,2146.89,17
RC,250,ETHACRYNIC ACID 50 MG SOLR 1 EACH VIAL,19152.0,7660.8,7660.8,17236.8,34
RC,250,ETHOSUXIMIDE 250 MG/5ML SOLN 473 ML BOTTLE,1079.2,431.68,431.68,971.28,17
RC,250,ETHOSUXIMIDE 250 MG/5ML SOLN 474 ML BOTTLE,791.49,316.6,316.6,712.34,17
RC,250,ETHOSUXIMIDE 250 MG/5ML SOLN 5 ML ORAL SYRINGE,12.4,4.96,4.96,11.16,17
RC,250,ETHYL ALCOHOL 100 % SOLN 480 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,ETHYL ALCOHOL 70 % SOLN 473 ML BOTTLE,37.84,15.14,15.14,34.06,17
RC,250,ETHYL CHLORIDE AEROSOL 116 ML CAN,174.0,69.6,69.6,156.6,17
RC,250,ETOMIDATE 2 MG/ML SOLN 10 ML VIAL,48.0,19.2,14.0,52.97,221
RC,250,ETOMIDATE 2 MG/ML SOLN 20 ML VIAL,39.599999999999994,15.84,14.0,58.86,221
RC,250,EYE WASH SOLN 118 ML BOTTLE,6.02,2.41,2.41,5.42,17
RC,250,FAT EMUL FISH OIL/PLANT BASED 20 % EMUL 100 ML FLEX CONT,362.5,145.0,145.0,326.25,17
RC,250,FAT EMUL FISH OIL/PLANT BASED 20 % EMUL 250 ML FLEX CONT,171.25,68.5,68.5,154.13,17
RC,250,FAT EMULSION 20 % EMUL 100 ML FLEX CONT,433.55,173.42,173.42,390.2,17
RC,250,FAT EMULSION 20 % EMUL 250 ML FLEX CONT,286.25,114.5,113.0,261.0,34
RC,250,FEBUXOSTAT 80 MG TABS 30 EACH BOTTLE,66.01,26.4,26.4,59.41,17
RC,250,FELBAMATE 600 MG/5ML SUSP 237 ML BOTTLE,5886.295,2354.52,1067.07,8194.43,34
RC,250,FELBAMATE 600 MG/5ML SUSP 240 ML BOTTLE,2694.38,1077.75,1077.75,2424.94,17
RC,250,FELBAMATE 600 MG/5ML SUSP 5 ML ORAL SYRINGE,67.0,26.8,26.8,60.3,17
RC,250,FELBAMATE 600 MG/5ML SUSP 946 ML BOTTLE,10286.61,4114.64,4114.64,9257.95,17
RC,250,FENOLDOPAM 10 MG/ML SOLN 1 ML VIAL,2509.42,1003.77,1003.77,2258.48,17
RC,250,FENTANYL 50 MCG/ML SOLN 100 ML BAG,515.66,206.26,206.26,464.09,17
RC,250,FENTANYL CITRATENACL 20 MCG/ML SOLN 100 ML FLEX CONT,196.0,78.4,63.4,315.05,51
RC,250,FENTANYL CITROPIVACAINENACL 0.20.20.9 MG/100ML% SOLN 100 ML FLEX CONT,273.0,109.2,109.2,245.7,17
RC,250,FENTANYL CITROPIVACAINENACL 0.40.10.9 MG/200ML% SOLN 200 ML FLEX CONT,278.0,111.2,111.2,250.2,17
RC,250,FERRIC SUBSULFATE SOLN 500 ML BOTTLE,496.8,198.72,198.72,447.12,17
RC,250,FERRIC SUBSULFATE SOLN 8 ML BOTTLE,88.4,35.36,35.36,79.56,17
RC,250,FESOTERODINE FUMARATE 4 MG TB24 30 EACH BOTTLE,57.99,23.2,23.2,52.19,17
RC,250,FEXOFENADINE 30 MG/5ML SUSP 120 ML BOTTLE,1.0,0.4,0.4,0.9,17
RC,250,FIRSTMOUTHWASH BLM SUSP 15 ML CUP,47.48,18.99,18.99,42.73,17
RC,250,FIRSTMOUTHWASH BLM SUSP 237 ML BOTTLE,47.48,18.99,18.99,42.73,17
RC,250,FISH OIL TRIGLYCERIDES 10 GM/100ML EMUL 100 ML VIAL,577.76,231.1,231.1,519.98,17
RC,250,FISH OIL TRIGLYCERIDES 10 GM/100ML EMUL 50 ML VIAL,404.8,161.92,161.92,364.32,17
RC,250,FISH OIL TRIGLYCERIDES 5 GM/50ML EMUL 50 ML VIAL,404.8,161.92,161.92,364.32,17
RC,250,FLAVOR PO SYRUP SYRP 473 ML BOTTLE,88.69,35.475,32.16,91.53,102
RC,250,FLECAINIDE 20 MG/ML ORAL SUSP 100 ML BOTTLE,128.02,51.21,51.21,115.22,17
RC,250,FLUCONAZOLE 40 MG/ML SUSP 1 ML,17.94,7.18,7.18,16.15,17
RC,250,FLUCONAZOLE 40 MG/ML SUSR 35 ML BOTTLE,577.51,231.0,67.48,538.16,51
RC,250,FLUCONAZOLE 40 MG/ML SUSR 5 ML ORAL SYRINGE,89.68,35.87,35.87,80.71,17
RC,250,FLUCYTOSINE 10 MG/ML SUSP 1 ML,18.44,7.38,7.38,16.6,17
RC,250,FLUDROCORTISONE 0.1 MG TABS 1 EACH,5.25,2.1,2.1,4.73,17
RC,250,FLUDROCORTISONE 0.1 MG TABS 100 EACH BOX,5.28,2.11,2.11,4.75,17
RC,250,FLUNISOLIDE 25 MCG/ACT 0.025% SOLN 25 ML BOTTLE,359.75,143.9,143.9,323.78,17
RC,250,FLUORESCEIN 1 MG STRP 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,250,FLUORESCEIN 1 MG STRP 300 EACH BOX,3.0,1.2,1.2,2.7,17
RC,250,FLUORESCEIN SODIUM 10 % SOLN 5 ML VIAL,397.44,158.98,120.0,1465.56,68
RC,250,FLUORESCEINBENOXINATE 0.250.4 % SOLN 5 ML BOTTLE,39.3,15.72,15.72,35.37,17
RC,250,FLUOROMETHOLONE 0.1 % SUSP 5 ML BOTTLE,427.48,170.99,170.99,384.73,17
RC,250,FLURBIPROFEN 0.03 % SOLN 2.5 ML BOTTLE,216.0,86.4,86.4,194.4,17
RC,250,FLUTICASONE 220 MCG/ACT AEROSOL 12 G INHALER,2187.0649999999996,874.825,857.46,2007.42,34
RC,250,FLUTICASONE 50 MCG/ACT SUSP 16 G BOTTLE,410.76,164.3,156.88,386.38,51
RC,250,FOLIC ACID 1 MG SOLN 0.2 ML SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,FOLIC ACID 1 MG/ML SOLN 1 ML,38.35,15.34,15.34,34.52,17
RC,250,FORMALDEHYDE 10 % SOLN 3800 ML BOTTLE,1660.6,664.24,664.24,1494.54,17
RC,250,FUROSEMIDE 10 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,17
RC,250,GANCICLOVIR 0.15 % GEL 5 G TUBE,2404.67,961.87,961.87,2164.2,17
RC,250,GANCICLOVIR 2 MG/ML 10 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,GANCICLOVIR 20 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,GELATIN ABSORBABLE POWD 1 G PACKET,463.13,185.25,185.25,416.82,17
RC,250,GELATIN ABSORBABLE PRSY 1 EACH BOX,673.53,269.41,269.41,606.18,17
RC,250,GELATIN ADSORBABLE 100 CM MISC 6 EACH BOX,276.39,110.56,110.56,248.75,17
RC,250,GELATIN ADSORBABLE 100 MISC 6 EACH BOX,276.94,110.78,110.78,249.25,17
RC,250,GELATIN ADSORBABLE 127 MM MISC 12 EACH BOX,57.14,22.86,22.86,51.43,17
RC,250,GELATIN ADSORBABLE 50 MISC 4 EACH BOX,211.55,84.62,84.62,190.4,17
RC,250,GELATIN ADSORBABLE FILM 6 EACH BOX,1368.68,547.47,547.47,1231.81,17
RC,250,GELCLAIR GEL 15 ML BOX,271.65,108.66,108.66,244.49,17
RC,250,GENTAMICIN 0.1 % CREA 15 G TUBE,246.9,98.76,98.76,222.21,17
RC,250,GENTAMICIN 0.1 % OINT 15 G TUBE,246.9,98.76,98.76,222.21,34
RC,250,GENTAMICIN 0.1 % OINT 30 G TUBE,454.3,181.72,181.72,408.87,34
RC,250,GENTAMICIN 0.3 % OINT 3.5 G TUBE,194.76,77.9,77.9,175.28,17
RC,250,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,108.5,43.4,38.36,192.83,51
RC,250,GENTAMICIN 5 MG/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,GENTAMICIN 5 MG/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,GENTIAN VIOLET 1 % SOLN 59 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,GLUCOSE 40 % GEL 38 G TUBE,16.72,6.69,6.69,15.05,17
RC,250,GLUCOSE 46 GMMG CHEW 10 EACH TUBE,3.0,1.2,1.2,2.7,17
RC,250,GLUCOSE GEL 31 G TUBE,24.65,9.86,9.86,22.19,17
RC,250,GLUCOSE GEL 37.5 G TUBE,19.69,7.88,7.88,17.72,68
RC,250,GUANFACINE HCL 2 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,51
RC,250,GUANFACINE HCL 4 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
RC,250,HAPPY HINEY TOPICAL 30 G JAR,25.0,10.0,10.0,22.5,17
RC,250,HEPARIN 100 UNIT/ML SOLN 50 ML SYRINGE,185.0,74.0,74.0,166.5,17
RC,250,HEPARIN PORCINE 500 UNIT/ML SOLN 20 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,HETASTARCH 6% IN 0.9% NACL INFUSION 500 ML 60.9 % SOLN 500 ML FLEX CONT,349.6,139.84,139.84,314.64,17
RC,250,HETASTARCH 6% IN 0.9% NACL INFUSION 500 ML 60.9 % SOLN 500 ML PLAS CONT,253.55,101.42,63.0,314.64,34
RC,250,HIRUDO MEDICINALIS 1 EACH,53.75,21.5,21.5,48.38,17
RC,250,HOMATROPINE 5 % SOLN 5 ML BOTTLE,120.0,48.0,48.0,108.0,17
RC,250,HYDROCODONEACETAMINOPHEN 7.5325 MG/15ML SOLN 15 ML CUP,27.305,10.92,9.84,44.69,85
RC,250,HYDROCORTISONE 100 MG/60ML ENEM 60 ML BOTTLE,128.7,51.48,51.48,115.83,17
RC,250,HYDROCORTISONE 2.5 % OINT 20 G TUBE,24.8,9.92,9.92,22.32,17
RC,250,HYDROCORTISONE 2.5 % OINT 28.35 G TUBE,55.0,22.0,22.0,49.5,17
RC,250,HYDROGEN PEROXIDE 3 % SOLN 118 ML BOTTLE,4.13,1.65,1.65,3.72,17
RC,250,HYDROMORPHONE 0.2 MG/ML SOLN 30 ML SYRINGE,90.75,36.3,23.4,745.2,85
RC,250,HYDROMORPHONE 0.4 MG/ML SOLN 30 ML SYRINGE,58.5,23.4,23.4,52.65,17
RC,250,HYDROMORPHONE 1 EACH,35.0,14.0,14.0,31.5,17
RC,250,HYDROMORPHONE HCLNACL 200.9 MG/100ML% SOLN 100 ML BAG,68.5,27.4,24.8,67.5,34
RC,250,HYDROMORPHONE HCLNACL 200.9 MG/100ML% SOLN 100 ML FLEX CONT,130.0,52.0,52.0,117.0,17
RC,250,HYDROPHOR OINT 396 G JAR,128.7,51.48,51.48,115.83,17
RC,250,HYDROPHOR OINT 80 G JAR,52.0,20.8,20.8,46.8,17
RC,250,HYDROXOCOBALAMIN IV 5 G SOLR 1 EACH BOX,5281.92,2112.77,2112.77,4753.73,17
RC,250,HYDROXYZINE 25 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,34
RC,250,HYDROXYZINE 25 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,HYDROXYZINE 25 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,250,HYDROXYZINE 50 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,250,HYPROMELLOSE 0.3 % GEL 10 G TUBE,42.9,17.16,17.16,38.61,17
RC,250,HYPROMELLOSE 0.3 % SOLN 15 ML BOTTLE,42.38,16.95,16.95,38.14,17
RC,250,HYPROMELLOSE 0.3 % SOLN 30 ML BOTTLE,66.0,26.4,26.4,59.4,17
RC,250,IBUPROFEN LYSINE PF 10 MG/ML SOLN 2 ML VIAL,2098.4700000000003,839.39,759.0,2069.5,68
RC,250,INDOCYANINE GREEN 25 MG SOLR 1 EACH VIAL,556.79,222.72,222.72,501.11,17
RC,250,INDOMETHACIN 1 MG SOLR 1 EACH VIAL,2665.87,1066.35,1066.35,2399.28,17
RC,250,INFUVITE ADULT SOLN 10 ML VIAL,92.3,36.92,36.92,83.07,17
RC,250,INFUVITE PEDIATRIC PT AGE < 11 YEARS SOLN 5 ML VIAL,144.28,57.71,57.71,129.85,17
RC,250,INFUVITE PEDIATRIC PT AGE < 11 YEARS SOLN 50 ML VIAL,1357.69,543.08,543.08,1221.92,17
RC,250,INSULIN PEN NEEDLE 29G X 12.7MM MISC 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,250,INSULIN REGULAR 100 UNIT/ML SOLN 10 ML VIAL,267.65,107.06,107.06,240.89,17
RC,250,INSULIN REGULAR 100 UNIT/ML SOLN 3 ML VIAL,80.3,32.12,32.12,72.27,17
RC,250,IODINE 2 % TINC 30 ML BOTTLE,5.1,2.04,2.04,4.59,17
RC,250,IODINE 2 % TINC 60 ML BOTTLE,9.0,3.6,3.6,8.1,17
RC,250,IODINE TINCTURE 2 % TINC 30 ML BOTTLE,20.85,8.34,8.34,18.77,17
RC,250,IPRATROPIUM 0.03 % SOLN 30 ML BOTTLE,513.64,205.46,205.46,462.28,17
RC,250,IPRATROPIUM 0.06 % SOLN 15 ML BOTTLE,334.22,133.69,91.26,396.26,34
RC,250,ISONIAZID 100 MG/ML SOLN 10 ML VIAL,1619.48,647.79,647.79,1457.53,17
RC,250,ISOPROPYL ALCOHOL 70 % SOLN 473 ML BOTTLE,14.19,5.68,5.68,12.77,17
RC,250,ISOPROTERENOL 0.2 MG/ML SOLN 1 ML VIAL,111.0,44.4,30.0,243.0,68
RC,250,ISOPROTERENOL 0.2 MG/ML SOLN 5 ML VIAL,53.5,21.4,14.0,64.8,68
RC,250,ISOSULFAN BLUE 1 % SOLN 5 ML VIAL,670.23,268.09,268.09,603.21,34
RC,250,ISRADIPINE 1 MG/ML SUSP 1 MG ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,ITRACONAZOLE 10 MG/ML SOLN 150 ML BOTTLE,1689.12,675.65,675.65,1520.21,17
RC,250,ITRACONAZOLE 10 MG/ML SOLN 20 ML ORAL SYRINGE,244.8,97.92,97.92,220.32,17
RC,250,KETAMINE 1 MG/ML SOLN 200 ML FLEX CONT,108.0,43.2,43.2,97.2,17
RC,250,KETAMINE 10 MG/ML 5 ML SYRINGE,55.375,22.15,16.46,74.7,68
RC,250,KETAMINE 10 MG/ML SOLN 20 ML VIAL,120.6,48.24,47.48,130.95,102
RC,250,KETAMINE 100 MG/ML SOLN 5 ML VIAL,63.165000000000006,25.265,19.94,72.03,85
RC,250,KETAMINE 50 MG/50 ML SYRINGE 50 ML SYRINGE,35.0,14.0,14.0,31.5,34
RC,250,KETAMINE 50 MG/ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,85
RC,250,KETAMINE HCL 50 MG/5ML SOSY 5 ML SYRINGE,37.4,14.96,14.0,35.82,34
RC,250,KETOROLAC 0.5 % SOLN 10 ML BOTTLE,975.2,390.08,390.08,877.68,17
RC,250,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,487.6,195.04,1.2,1368.35,85
RC,250,KY LUBRICATING GEL 5 G TUBE,3.0,1.2,1.2,2.7,17
RC,250,LABETALOL HCL 20 MG/4ML SOSY 4 ML SYRINGE,39.0,15.6,15.6,35.1,17
RC,250,LACTULOSE 10 GM/15ML SOLN 30 ML BOX,11.4,4.56,4.56,10.26,17
RC,250,LACTULOSE 10 GM/15ML SOLN 30 ML CUP,12.3,4.92,4.92,11.07,17
RC,250,LACTULOSE 10 GM/15ML SOLN 473 ML BOTTLE,10.95,4.38,3.78,51.44,68
RC,250,LCITRULLINE POWD 100 G BOTTLE,2385.6,954.24,954.24,2147.04,17
RC,250,LCYSTEINE 50 MG/ML SOLN 10 ML VIAL,571.92,228.77,228.77,514.73,17
RC,250,LETERMOVIR 120 MG PACK 30 EACH BOX,378.67,151.47,151.47,340.8,17
RC,250,LEUCOVORIN 10 MG TABS 12 EACH BOTTLE,42.06,16.82,16.82,37.85,17
RC,250,LEUCOVORIN 25 MG TABS 1 EACH,64.24,25.7,25.7,57.82,17
RC,250,LEUCOVORIN 25 MG TABS 20 EACH BOX,64.24,25.7,25.7,57.82,17
RC,250,LEUCOVORIN 25 MG TABS 25 EACH BOTTLE,89.775,35.91,22.35,111.3,34
RC,250,LEVALBUTEROL 45 MCG/ACT AEROSOL 15 G INHALER,395.51,158.2,158.2,355.96,17
RC,250,LEVOBUNOLOL 0.5 % SOLN 5 ML BOTTLE,120.9,48.36,48.36,108.81,17
RC,250,LEVOCARNITINE 1 GM/10ML SOLN 10 ML ORAL SYRINGE,25.8,10.32,10.32,23.22,17
RC,250,LEVOCARNITINE 1 GM/10ML SOLN 118 ML BOTTLE,334.33000000000004,133.735,121.78,327.8,34
RC,250,LEVOCARNITINE 200 MG/ML SOLN 5 ML VIAL,214.03,85.61,85.61,192.63,17
RC,250,LEVOTHYROXINE 25 MCG TABS 1 TABLET,3.0,1.2,1.2,2.7,17
RC,250,LIDOCAINE 0.5 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINE 1 % SOLN 0.5 ML SYRINGE,3.0,1.2,1.2,2.7,17
RC,250,LIDOCAINE 1 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,51
RC,250,LIDOCAINE 1 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINE 1 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,68
RC,250,LIDOCAINE 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINE 1 % SOLN 50 ML VIAL,36.25,14.5,14.0,33.75,85
RC,250,LIDOCAINE 4 % PTCH 1 EACH PACKET,11.73,4.69,4.69,10.56,17
RC,250,LIDOCAINE 4 % PTCH 15 EACH BOX,13.13,5.25,5.25,11.82,17
RC,250,LIDOCAINE 4 % PTCH 30 EACH BOX,9.13,3.6500000000000004,2.61,10.56,34
RC,250,LIDOCAINE 4 % PTCH 4 EACH BOX,16.87,6.75,6.75,15.18,17
RC,250,LIDOCAINE 4 % PTCH 6 EACH BOX,12.16,4.865,4.33,12.14,34
RC,250,LIDOCAINE 4 % SOLN 50 ML BOTTLE,240.0,96.0,63.8,290.93,51
RC,250,LIDOCAINE 5 % OINT 35.44 G TUBE,1386.52,554.61,552.0,1310.96,51
RC,250,LIDOCAINE 5 % PTCH 1 EACH BOX,49.099999999999994,19.64,18.72,46.26,34
RC,250,LIDOCAINE 5 % PTCH 1 EACH PACKAGE,51.38,20.55,6.84,143.15,51
RC,250,LIDOCAINE 5 % PTCH 30 EACH BOX,49.09,19.634999999999998,6.84,143.14,102
RC,250,LIDOCAINE BUFFERED 1 SYRINGE,35.0,14.0,14.0,31.5,34
RC,250,LIDOCAINE CARDIAC 100 MG/5ML SOSY 5 ML SYRINGE,44.59,17.835,17.44,48.38,68
RC,250,LIDOCAINE HCL 0.5 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,34
RC,250,LIDOCAINE HCL 2 % LIQD 120 ML BOTTLE,103.8,41.52,41.52,93.42,17
RC,250,LIDOCAINE HCL 4 % SOLN 4 ML BOTTLE,181.2,72.48,72.48,163.08,17
RC,250,LIDOCAINE HCL CARDIAC PF 50 MG/5ML SOSY 5 ML SYRINGE,110.28,44.11,35.97,117.57,34
RC,250,LIDOCAINE HCL PF 1 % SOLN 10 ML AMPULE,35.7,14.28,14.28,32.13,17
RC,250,LIDOCAINE HCL PF 1 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,51
RC,250,LIDOCAINE HCL PF 1 % SOLN 20 ML VIAL,87.5,35.0,35.0,78.75,17
RC,250,LIDOCAINE HCL PF 1 % SOLN 30 ML VIAL,52.9,21.16,14.0,63.72,34
RC,250,LIDOCAINE HCL PF 1 % SOLN 5 ML AMPULE,35.0,14.0,14.0,31.5,34
RC,250,LIDOCAINE HCL PF 1 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,153
RC,250,LIDOCAINE HCL PF 10 MG/ML SOSY 5 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINE HCL PF 2 % SOLN 10 ML AMPULE,42.5,17.0,16.64,39.06,51
RC,250,LIDOCAINE HCL PF 2 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINE HCL PF 2 % SOLN 5 ML VIAL,35.0,14.0,14.0,31.5,102
RC,250,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % GEL 30 ML TUBE,590.36,236.14,236.14,531.32,17
RC,250,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % GEL 5 ML TUBE,29.34,11.735,6.67,37.8,51
RC,250,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 10 ML SYRINGE,42.25,16.9,16.9,38.03,17
RC,250,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 11 ML SYRINGE,38.12,15.25,15.25,34.31,17
RC,250,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 5 ML SYRINGE,37.93,15.17,15.17,34.14,17
RC,250,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % PRSY 6 ML SYRINGE,35.7,14.28,14.28,32.13,17
RC,250,LIDOCAINE INJECTION 2 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,34
RC,250,LIDOCAINE INJECTION 2 % SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,51
RC,250,LIDOCAINE INJECTION 2 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINE VISCOUS HCL 2 % SOLN 100 ML BOTTLE,3.3,1.32,1.32,2.97,34
RC,250,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML BOX,12.83,5.13,5.13,11.55,17
RC,250,LIDOCAINE VISCOUS HCL 2 % SOLN 15 ML CUP,7.78,3.11,1.2,11.55,85
RC,250,LIDOCAINE VISCOUS HCL 2 % SOLN 5 ML ORAL SYRINGE,3.3,1.32,1.32,2.97,17
RC,250,LIDOCAINE W/ EPINEPHRINE BUFFERED 1 SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINEEPINEPHRINE 0.5 %1:200000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,68
RC,250,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,34
RC,250,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,85
RC,250,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,34
RC,250,LIDOCAINEEPINEPHRINE 1 %1:100000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,68
RC,250,LIDOCAINEEPINEPHRINE 2 %1:100000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,51
RC,250,LIDOCAINEEPINEPHRINE 2 %1:100000 SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINEEPINEPHRINE PF 1 %1:200000 SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,LIDOCAINEEPINEPHRINE PF 2 %1:200000 SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,85
RC,250,LIDOCAINEEPINEPHRINETETRACAINE SOLN 3 ML,26.255,10.5,5.0,36.01,34
RC,250,LIDOCAINEEPINEPHRINETETRACAINE SOLN 5 ML,12.5,5.0,5.0,11.25,17
RC,250,LIDOCAINEMAALOXDIPHENHYDRAMINE SUSP 15 ML CUP,47.48,18.99,18.99,42.73,17
RC,250,LIDOCAINEMAALOXDIPHENHYDRAMINE SUSP 300 ML BOTTLE,73.5,29.4,29.4,66.15,17
RC,250,LIDOCAINEMAALOXDIPHENHYDRAMINENYSTATIN SUSP 15 ML,4.88,1.95,1.95,4.39,17
RC,250,LIDOCAINESODIUM BICARBONATE 18.4 % SOSY 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,LIDORACEPINEPHRINETETRACAINE GEL 3 ML SYRINGE,86.45,34.58,30.38,87.26,34
RC,250,LMETHYLFOLATE 7.5 MG TABS 30 EACH BOTTLE,14.44,5.78,5.78,13.0,17
RC,250,LUBRIFRESH P.M. OINT 3.5 G TUBE,38.03,15.21,12.94,39.33,34
RC,250,LUGOLS STRONG IODINE 510 % SOLN 10 ML CUP,65.15,26.06,26.06,58.64,17
RC,250,LUGOLS STRONG IODINE 510 % SOLN 8 ML VIAL,52.099999999999994,20.84,20.83,46.91,34
RC,250,MAALOXDIPHENHYDRAMINE SUSP 30 ML,4.5,1.8,1.8,4.05,17
RC,250,MAGNESIUM CHLORIDE 200 MG/ML SOLN 50 ML VIAL,95.5,38.2,38.2,85.95,17
RC,250,MAGNESIUM SULFATE LAXATIVE GRAN 454 G BAG,13.62,5.45,5.45,12.26,17
RC,250,MAGNESIUM SULFATE LAXATIVE GRAN 454 G PACKAGE,11.35,4.54,4.54,10.22,17
RC,250,MASTISOL ADHESIVE LIQD 1 EACH BOX,11.75,4.7,4.7,10.58,17
RC,250,MASTISOL ADHESIVE LIQD 48 EACH BOX,11.74,4.7,4.7,10.57,17
RC,250,MEDICAL MAGGOTS 1 EACH,1334.0,533.6,533.6,1200.6,17
RC,250,MEGESTROL 40 MG/ML SUSP 10 ML CUP,35.55,14.22,14.06,32.36,51
RC,250,MEGESTROL 40 MG/ML SUSP 240 ML BOTTLE,662.4,264.96,264.96,596.16,51
RC,250,MEGESTROL ACETATE 400 MG/10ML SUSP 10 ML CUP,35.15,14.06,14.06,31.64,17
RC,250,MERCAPTOPURINE 50 MG TABS 25 EACH BOTTLE,30.689999999999998,12.275,8.18,36.84,34
RC,250,MEROPENEM 1 GM/50ML SOLR 1 EACH FLEX CONT,179.46,71.78,71.78,161.51,17
RC,250,MESALAMINECLEANSER 4 G KIT 1 EACH BOX,786.83,314.73,314.73,708.15,17
RC,250,METFORMIN HCL 500 MG/5ML SOLN 118 ML BOTTLE,915.7,366.28,366.28,824.13,17
RC,250,METHADONE 1 MG/ML SOSY 1 ML SYRINGE,75.475,30.19,21.96,86.45,51
RC,250,METHADONE HCL 100.8 MG/ML% SOSY 1 ML SYRINGE,252.0,100.8,100.8,226.8,17
RC,250,METHOHEXITAL 0.5 G SOLR 1 EACH VIAL,615.66,246.26,246.26,554.09,17
RC,250,METHOHEXITAL 0.5 G SOLR 100 MG SYRINGE,114.5,45.8,45.8,103.05,17
RC,250,METHOHEXITAL 0.5 G SOLR 50 MG SYRINGE,74.75,29.9,29.9,67.28,17
RC,250,METHOHEXITAL 100 MG/10ML SOSY 10 ML SYRINGE,204.4,81.76,14.0,336.42,34
RC,250,METHOTREXATE 4 MG/ML SOLN 10 ML VIAL,115.0,46.0,46.0,103.5,17
RC,250,METHYLPHENIDATE 30 MG/9HR PTCH 30 EACH BOX,36.12,14.45,14.45,32.51,17
RC,250,METRONIDAZOLE 0.025 MG/ML ORAL SOLN 50 ML BOTTLE,150.0,60.0,60.0,135.0,17
RC,250,METRONIDAZOLE 0.25 MG/ML ORAL SOLN 100 ML BOTTLE,300.0,120.0,120.0,270.0,17
RC,250,METRONIDAZOLE 1 % GEL 60 G TUBE,2078.0,831.2,831.2,1870.2,17
RC,250,METRONIDAZOLE 2.5 MG/ML ORAL SOLN 100 ML BOTTLE,300.0,120.0,120.0,270.0,17
RC,250,MEXILETINE 10 MG/ML SUSP 120 ML BOTTLE,101.4,40.56,40.56,91.26,17
RC,250,MICONAZOLE 2 % POWD 43 G BOTTLE,31.39,12.56,12.56,28.25,17
RC,250,MICROFIBRLLAR COLLAGEN PADS 1 EACH BOX,734.16,293.66,293.66,660.74,17
RC,250,MIDAZOLAM 100 MG/100ML SOLN 100 ML FLEX CONT,132.0,52.8,52.8,118.8,17
RC,250,MIDAZOLAM 5 MG/ML SOLN 1 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML% SOLN 100 ML FLEX CONT,162.0,64.8,64.8,145.8,17
RC,250,MIDAZOLAMSODIUM CHLORIDE 1000.9 MG/100ML% SOLN 100 ML FLEX CONT,178.25,71.3,70.6,162.0,34
RC,250,MINERAL OIL ENEM 133 ML BOTTLE,17.29,6.92,6.92,15.56,17
RC,250,MINERAL OIL OIL 10 ML VIAL,136.7,54.68,54.68,123.03,17
RC,250,MINERAL OIL OIL 2 ML VIAL,118.26,47.3,47.3,106.43,17
RC,250,MINERAL OILHYDROPHILIC PETROLATUM OINT 396 G JAR,106.91999999999999,42.769999999999996,34.06,115.83,34
RC,250,MINERAL OILHYDROPHILIC PETROLATUM OINT 50 G TUBE,40.25,16.1,15.0,38.7,34
RC,250,MINERAL OILHYDROPHILIC PETROLATUM OINT 85 G TUBE,49.94,19.975,14.96,56.23,34
RC,250,MINERAL OILHYDROPHILIC PETROLATUM OINT 99 G JAR,65.34,26.14,26.14,58.81,17
RC,250,MINOCYCLINE HCL 100 MG SOLR 1 EACH VIAL,1469.74,587.895,587.89,1322.78,34
RC,250,MIRABEGRON 8 MG/ML SRER 100 ML BOTTLE,41.58,16.63,16.63,37.42,17
RC,250,MITOMYCIN 0.4 MG/ML SOLN 10 ML BOTTLE,393.07,157.23,157.23,353.76,17
RC,250,MITOMYCIN 0.4 MG/ML SOLN 3 ML,127.5,51.0,51.0,114.75,17
RC,250,MITOMYCIN 0.4 MG/ML SOLN 3 ML VIAL,12.82,5.13,5.13,11.54,17
RC,250,MITOMYCIN 1 MG/ML SOLN 3 ML,42.5,17.0,17.0,38.25,17
RC,250,MITOMYCIN 2 MG/ML SOLN 2.5 ML BOTTLE,212.5,85.0,85.0,191.25,17
RC,250,MOMETASONE 0.1 % CREA 15 G TUBE,145.8,58.32,58.32,131.22,17
RC,250,MOMETASONE 0.1 % CREA 45 G TUBE,264.6,105.84,105.84,238.14,17
RC,250,MORPHINE 15 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,250,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,658.145,263.255,27.84,998.24,102
RC,250,MULTIGEN PLUS TABS 90 EACH BOTTLE,6.24,2.5,2.5,5.62,17
RC,250,MULTIVITAMIN ADULT INJECTION 10 ML VIAL,400.0,160.0,160.0,360.0,17
RC,250,MUPIROCIN 2 % OINT 1 G TUBE,20.314999999999998,8.125,6.0,23.07,68
RC,250,MYCOPHENOLATE 500 MG SOLR 1 EACH VIAL,400.2,160.08,160.08,360.18,68
RC,250,NAFARELIN ACETATE 2 MG/ML SOLN 8 ML BOTTLE,16164.79,6465.92,6465.92,14548.31,17
RC,250,NALOXONE 1 MG/ML SOLN 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 1 EACH BOX,1.0,0.4,0.4,0.9,34
RC,250,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 14 G TUBE,6.38,2.55,2.55,5.74,17
RC,250,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 14.2 G TUBE,7.77,3.11,3.11,6.99,17
RC,250,NEOMYCINBACITRACINPOLYMYXIN 3.54005000 OINT 28.4 G TUBE,5.28,2.11,2.11,4.75,17
RC,250,NEOMYCINBACITRACINPOLYMYXIN 540010000 OINT 3.5 G TUBE,284.74,113.9,113.9,256.27,17
RC,250,NEOMYCINPOLYMYXIN B 40200000 SOLN 20 ML VIAL,782.0,312.8,312.8,703.8,17
RC,250,NEOMYCINPOLYMYXIN B GU SOLN 1 ML AMPULE,70.63,28.25,28.25,63.57,17
RC,250,NEOMYCINPOLYMYXIN B GU SOLN 1 ML SYRINGE,70.63,28.25,28.25,63.57,17
RC,250,NEOMYCINPOLYMYXINDEXAMETH 3.5100000.1 OINT 3.5 G TUBE,159.645,63.86,39.72,197.99,34
RC,250,NEOMYCINPOLYMYXINDEXAMETH 3.5100000.1 SUSP 5 ML BOTTLE,99.3,39.72,39.72,89.37,17
RC,250,NEOMYCINPOLYMYXINGRAMICIDIN 1.7510000.025 SOLN 10 ML BOTTLE,306.3,122.52,122.52,275.67,17
RC,250,NEOMYCINPOLYMYXINHYDROCORTISONE 3.5100001 SOLN 10 ML BOTTLE,472.78999999999996,189.115,185.25,434.21,34
RC,250,NEOMYCINPOLYMYXINHYDROCORTISONE 3.5100001 SUSP 10 ML BOTTLE,472.78999999999996,189.115,185.25,434.21,34
RC,250,NEOSTIGMINE 3 MG/3ML SOSY 3 ML SYRINGE,90.3,36.120000000000005,36.0,81.54,102
RC,250,NEOSTIGMINE METHYLSULFATE 5 MG/5ML SOLN 5 ML VIAL,36.0,14.4,14.4,32.4,17
RC,250,NEOSTIGMINE METHYLSULFATE 5 MG/5ML SOSY 5 ML SYRINGE,114.2,45.68,42.16,110.7,34
RC,250,NEPHRONEX 0.9 MG/5ML LIQD 237 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,NILOTINIB 150 MG CAPS 28 EACH DISP PACK,1066.78,426.71,426.71,960.1,17
RC,250,NITHIODOTE 300MG/10MLAND12.5 GM/50ML KIT 60 ML BOX,1081.09,432.44,432.44,972.98,17
RC,250,NITROBID 2 % OINT 1 G PACKET,15.14,6.06,6.06,13.63,17
RC,250,NITROBID 2 % OINT 30 G TUBE,234.0,93.6,93.6,210.6,17
RC,250,NITROBID 2 % OINT 60 G TUBE,430.56,172.22,172.22,387.5,17
RC,250,NITROGLYCERIN 0.4 % OINT 30 G TUBE,3067.7200000000003,1227.085,1162.42,2906.44,34
RC,250,NITROGLYCERIN 1005 MCG/ML% SOLN 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,NITROGLYCERIN 200 MCG/ML SOLN 3 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,NITROPRUSSIDE 25 MG/ML SOLN 2 ML VIAL,125.0,50.0,48.0,1339.87,68
RC,250,NOREPINEPHRINE 16 MCG/ML SOLN 60 ML,120.0,48.0,48.0,108.0,17
RC,250,NOREPINEPHRINE 160.9 MG/250ML% SOLN 250 ML FLEX CONT,310.0,124.0,55.0,372.6,136
RC,250,NOREPINEPHRINE BITARTRATE 1 MG/ML SOLN 4 ML VIAL,52.44,20.98,14.0,102.42,238
RC,250,NOREPINEPHRINE SOLN 250 ML BAG,70.0,28.0,28.0,63.0,17
RC,250,NYSTATINHYDROCORTISONEZINC OXIDE 2 OZ BOTTLE,10.0,4.0,4.0,9.0,17
RC,250,NYSTATINHYDROCORTISONEZINC OXIDE 4 OZ BOTTLE,20.0,8.0,8.0,18.0,17
RC,250,NYSTATINHYDROCORTISONEZINC OXIDE 6 OZ BOTTLE,30.0,12.0,12.0,27.0,17
RC,250,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,351.75,140.7,41.88,616.32,51
RC,250,OMADACYCLINE 150 MG TABS 6 EACH DISP PACK,1496.2,598.48,598.48,1346.58,17
RC,250,OPIUM 10 MG/ML TINC 1 ML ORAL SYRINGE,31.35,12.54,12.54,28.22,17
RC,250,OPIUM 10 MG/ML TINC 118 ML BOTTLE,31.384999999999998,12.55,12.54,28.27,34
RC,250,ORABLEND SUSP 473 ML BOTTLE,111.16,44.46,44.46,100.04,17
RC,250,ORAPLUS LIQD 473 ML BOTTLE,111.16,44.46,44.46,100.04,17
RC,250,ORASWEET SYRP 473 ML BOTTLE,111.16,44.46,44.46,100.04,17
RC,250,OXIDIZED CELLULOSE PADS 1 EACH BOX,375.0,150.0,150.0,337.5,17
RC,250,OXIDIZED CELLULOSE PADS 10 EACH BOX,942.25,376.9,165.42,1323.86,34
RC,250,OXYMETAZOLINE 0.05 % SOLN 15 ML BOTTLE,46.28,18.51,18.51,41.65,17
RC,250,OXYMETAZOLINE 0.05 % SOLN 30 ML BOTTLE,18.825,7.529999999999999,3.78,25.38,34
RC,250,OXYTOCIN 20 UNITS IN LR SOLN 1 L BAG,31.55,12.62,12.62,28.4,17
RC,250,OXYTOCIN IN NS BOLUS 500 ML FLEX CONT,70.0,28.0,28.0,63.0,17
RC,250,OXYTOCINSODIUM CHLORIDE 200.9 UNIT/L% SOLN 1000 ML FLEX CONT,130.0,52.0,30.0,130.5,51
RC,250,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML% SOLN 500 ML FLEX CONT,35.0,14.0,14.0,31.5,68
RC,250,PANCURONIUM 1 ML,35.0,14.0,14.0,31.5,17
RC,250,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 10 ML CUP,8.07,3.23,3.23,7.26,17
RC,250,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 120 ML BOTTLE,20.49,8.2,8.2,18.44,17
RC,250,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 480 ML BOTTLE,16.259999999999998,6.505000000000001,4.8,18.47,51
RC,250,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 5 ML CUP,8.85,3.54,3.54,7.97,17
RC,250,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG/5ML ELIX 5 ML ORAL SYRINGE,8.09,3.24,3.24,7.28,17
RC,250,PENICILLIN G BENZATHINE 2400000 UNITS SUSR 1 EACH VIAL,2097.6,839.04,839.04,1887.84,17
RC,250,PENICILLIN G SODIUM 5000000 UNITS SOLR 1 EACH VIAL,287.99,115.2,115.2,259.19,17
RC,250,PENICILLIN V POTASSIUM 0.5 MG/ML 100 ML BOTTLE,56.0,22.4,22.4,50.4,17
RC,250,PENICILLIN V POTASSIUM 5 UNITS/ML 200 ML BAG,150.0,60.0,60.0,135.0,17
RC,250,PENICILLIN V POTASSIUM 500 UNITS/ML 200 ML BAG,150.0,60.0,60.0,135.0,17
RC,250,PENICILLIN V POTASSIUM 50000 UNITS/ML 100 ML BAG,75.0,30.0,30.0,67.5,17
RC,250,PENTAFLUOROPROPTETRAFLUOROETH AEROSOL 116 ML CAN,182.41,72.965,69.6,171.74,34
RC,250,PENTOBARBITAL 50 MG/ML 100 ML BAG,2520.0,1008.0,1008.0,2268.0,17
RC,250,PENTOBARBITAL 50 MG/ML 50 ML SYRINGE,1380.0,552.0,552.0,1242.0,17
RC,250,PENTOBARBITAL 50 MG/ML SOLN 3 ML SYRINGE,90.0,36.0,36.0,81.0,17
RC,250,PENTOBARBITAL 50 MG/ML SOLN 50 ML VIAL,10584.0,4233.6,4233.6,9525.6,17
RC,250,PEPPERMINT OIL OIL 15 ML BOTTLE,23.93,9.57,9.57,21.54,17
RC,250,PEPPERMINT OIL OIL 30 ML BOTTLE,134.4,53.76,53.76,120.96,17
RC,250,PERAMPANEL 4 MG TABS 30 EACH BOTTLE,233.13,93.25,84.81,220.86,68
RC,250,PERAMPANEL 8 MG TABS 30 EACH BOTTLE,233.13,93.25,84.81,220.86,68
RC,250,PH 12 GLYCINE DILUENT FOR FLOLAN SOLN 50 ML VIAL,87.0,34.8,34.8,78.3,17
RC,250,PHENOL 6 % SOLN 10 ML VIAL,410.73,164.29,164.29,369.66,17
RC,250,PHENOL 6 % SOLN 20 ML,63.95,25.58,25.58,57.56,17
RC,250,PHENOL 89 % SWAB 30 EACH PACKAGE,27.29,10.92,10.92,24.56,17
RC,250,PHENYLEPHRINE 0.1 MG/ML 10 ML SYRINGE,35.0,14.0,14.0,31.5,34
RC,250,PHENYLEPHRINE 1 % SOLN 15 ML BOTTLE,7.0,2.8,2.8,6.3,17
RC,250,PHENYLEPHRINE 1 MG/10ML SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,PHENYLEPHRINE 10 % SOLN 5 ML BOTTLE,245.0,98.0,96.0,225.0,34
RC,250,PHENYLEPHRINE 2.5 % SOLN 10 ML BOTTLE,360.0,144.0,144.0,324.0,34
RC,250,PHENYLEPHRINE 2.5 % SOLN 15 ML BOTTLE,507.15,202.86,198.72,465.75,34
RC,250,PHENYLEPHRINE 2.5 % SOLN 2 ML BOTTLE,199.075,79.63,78.0,182.84,34
RC,250,PHENYLEPHRINE 500.9 MG/250ML% SOLN 250 ML FLEX CONT,227.5,91.0,91.0,204.75,17
RC,250,PHENYLEPHRINE HCL 0.1 MG/ML SOSY 10 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,PHENYTOIN 125MG/5ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
RC,250,PHENYTOIN 50 MG/ML SOLN 1 ML,35.0,14.0,14.0,31.5,34
RC,250,PHISODERM BABY WASH LIQD 236 ML BOTTLE,18.8,7.52,7.52,16.92,17
RC,250,PHYSOSTIGMINE SALICYLATE 1 MG/ML SOLN 2 ML AMPULE,432.14,172.86,172.86,388.93,17
RC,250,PHYTONADIONE 2.5 MG/2.5 ML SOLN 2.5 ML ORAL SYRINGE,55.75,22.3,22.3,50.18,17
RC,250,PILOCARPINE 1 % SOLN 15 ML BOTTLE,453.4,181.36,181.36,408.06,34
RC,250,PILOCARPINE 2 % SOLN 15 ML BOTTLE,463.75,185.5,185.5,417.38,17
RC,250,PILOCARPINE 4 % SOLN 15 ML BOTTLE,486.17,194.47,194.47,437.55,17
RC,250,PLEGISOL SOLN 1000 ML PLAS CONT,469.2,187.68,187.68,422.28,17
RC,250,PODOPHYLLIN RESIN 25% 25 % SOLN 15 ML BOTTLE,563.52,225.41,225.41,507.17,17
RC,250,POLYMYXIN B 500000 UNITS SOLR 1 EACH VIAL,68.345,27.34,27.0,78.75,68
RC,250,POLYSPORIN 50010000 UNIT/GM OINT 14.2 G TUBE,30.1,12.04,12.04,27.09,17
RC,250,POLYSPORIN 50010000 UNIT/GM OINT 144 EACH PACKET,3.0,1.2,1.2,2.7,17
RC,250,POLYVISOL/IRON 11 MG/ML SOLN 50 ML BOTTLE,1.0,0.4,0.4,0.9,17
RC,250,PORACTANT ALFA 120 MG/1.5ML SUSP 1.5 ML VIAL,3166.68,1266.67,1266.67,2850.01,17
RC,250,PORACTANT ALFA 240 MG/3ML SUSP 3 ML VIAL,6244.35,2497.74,2497.74,5619.92,17
RC,250,POTASSIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,35.0,14.0,14.0,31.5,51
RC,250,POTASSIUM ACETATE 2 MEQ/ML SOLN 50 ML VIAL,67.25,26.9,26.9,60.53,17
RC,250,POTASSIUM AND SODIUM CITRATECITRIC ACIDSUCROSE 550500334 MG/5ML SYRP 473 ML,3.75,1.5,1.5,3.38,17
RC,250,POTASSIUM CHLORIDE 10% LIQD 1 ML,3.0,1.2,1.2,2.7,17
RC,250,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 15 ML CUP,74.175,29.67,15.12,83.7,102
RC,250,POTASSIUM CHLORIDE 20 MEQ/15ML 10% SOLN 473 ML BOTTLE,60.9,24.36,24.36,54.81,34
RC,250,POTASSIUM IODIDE EXPECTORANT 1 GM/ML SOLN 30 ML BOTTLE,2399.04,959.62,959.62,2159.14,17
RC,250,POTASSIUM PHOSPHATE 15 MMOL/250ML SOLN 250 ML FLEX CONT,210.0,84.0,84.0,189.0,34
RC,250,POTASSIUM PHOSPHATE 15 MMOLE/5ML SOLN 5 ML VIAL,143.88,57.55,57.55,129.49,17
RC,250,POTASSIUM PHOSPHATE 3 MMOL/ML SOLN 15 ML VIAL,188.255,75.3,35.49,259.0,34
RC,250,POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,179.365,71.745,35.49,243.0,51
RC,250,POTASSIUM PHOSPHATES 150 MMOLE/50ML SOLN 50 ML VIAL,648.7149999999999,259.485,256.86,589.74,68
RC,250,POVIDONEIODINE 10 % SOLN 118 ML BOTTLE,9.44,3.78,3.78,8.5,17
RC,250,POVIDONEIODINE 10 % SOLN 237 ML BOTTLE,27.26,10.9,10.9,24.53,17
RC,250,POVIDONEIODINE 10 % SWAB 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,250,POVIDONEIODINE 5 % SOLN 30 ML BOTTLE,106.5,42.6,42.6,95.85,17
RC,250,PREDNISOLONE ACETATE 0.12 % SUSP 10 ML BOTTLE,1770.86,708.34,708.34,1593.77,17
RC,250,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,270.3,108.12,105.6,248.94,51
RC,250,PROMETHAZINE HCL 6.25 MG/5ML SOLN 10 ML ORAL SYRINGE,5.3,2.12,2.12,4.77,17
RC,250,PROMETHAZINE HCL 6.25 MG/5ML SOLN 473 ML BOTTLE,250.69,100.28,100.28,225.62,17
RC,250,PROPARACAINE 0.5 % SOLN 15 ML,16.85,6.74,6.74,15.17,17
RC,250,PROPARACAINE 0.5 % SOLN 15 ML BOTTLE,210.53,84.21,84.21,189.48,17
RC,250,PROPRANOLOL 1 MG/ML SOLN 1 ML,48.0,19.2,19.2,43.2,17
RC,250,PRUCALOPRIDE 1 MG TABS 30 EACH BOTTLE,100.29,40.12,40.12,90.26,17
RC,250,PRUCALOPRIDE 2 MG TABS 30 EACH BOTTLE,111.44,44.58,44.58,100.3,17
RC,250,PYRIDOSTIGMINE BROMIDE 10 MG/2ML SOLN 2 ML AMPULE,191.99,76.8,76.8,172.79,17
RC,250,RACEPINEPHRINE HCL 2.25 % NEBU 30 EACH BOX,12.5,5.0,5.0,11.25,17
RC,250,RACEPINEPHRINE HCL 2.25 % NEBU 30 EACH PLAS CONT,12.5,5.0,5.0,11.25,17
RC,250,RALTEGRAVIR POTASSIUM 100 MG CHEW 60 EACH BOTTLE,52.08,20.83,20.83,46.87,17
RC,250,RALTEGRAVIR POTASSIUM 25 MG CHEW 60 EACH BOTTLE,13.02,5.21,5.21,11.72,17
RC,250,REMIFENTANIL 1 MG SOLR 1 EACH VIAL,388.24,155.29500000000002,147.0,364.2,102
RC,250,REMIFENTANIL 2 MG SOLR 1 EACH VIAL,726.81,290.725,283.99,669.28,51
RC,250,REMIFENTANIL 5 MG SOLR 1 EACH VIAL,1582.26,632.895,574.08,1688.92,119
RC,250,RIBAVIRIN 6 G SOLR 1 EACH VIAL,125804.68,50321.87,50321.87,113224.21,17
RC,250,RIFAMPIN 25 MG/ML SUSP 120 ML BOTTLE,156.0,62.4,62.4,140.4,17
RC,250,RILPIVIRINE HCL 25 MG TABS 30 EACH BOTTLE,296.67,118.67,118.67,267.0,17
RC,250,RINGERS SOLN 1000 ML FLEX CONT,60.0,24.0,24.0,54.0,17
RC,250,RISPERIDONE 1 MG/ML SOLN 30 ML BOTTLE,6.09,2.44,2.44,5.48,17
RC,250,ROCURONIUM BROMIDE 100 MG/10ML SOLN 10 ML VIAL,43.35,17.34,14.0,169.92,136
RC,250,ROCURONIUM BROMIDE 50 MG/5ML SOSY 5 ML VIAL,43.75,17.5,14.0,47.25,170
RC,250,ROPIVACAINE 0.1% + CLONIDINE 0.4 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% + CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% + FENTANYL 2 MCG/ML PCEA 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% + FENTANYL 2 MCG/ML PCEA PEDS <50KG 200 ML FLEX CONT,299.0,119.6,119.6,269.1,17
RC,250,ROPIVACAINE 0.1% + FENTANYL 2 MCG/ML PERIPHERAL NERVE CATHETER ADULT 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% OB CONTINUOUS 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% OB INTRATHECAL 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% OB PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% OB PIEB 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PCEA PEDS < 50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PERIPHERAL NERVE CATHETER ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PERIPHERAL NERVE CATHETER PEDS <6 MOS 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PIB ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PIB PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PIB PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PNCPCA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1% PNCPCA PEDS >50KG 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1%/FENTANYL 2 MCG/ML/CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1%/FENTANYL 2 MCG/ML/CLONIDINE 0.4 MCG/ML PNC PEDS 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.1%/FENTANYL 2MCG/ML/CLONIDINE 0.4 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15% + CLONIDINE 0.4 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15% + CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15% + FENTANYL 2 MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15% + FENTANYL 2 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15% PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15% PCEA PEDS >50KG 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15%/FENTANYL 2 MCG/ML/CLONIDINE 0.4 MCG/ML PCEA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.15%/FENTANYL 2MCG/ML/CLONIDINE 0.4MCG/ML PCEA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% + FENTANYL 5 MCG/ML PERIPHERAL NERVE CATHETER ADULT 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% OB CONTINUOUS 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% OB PIEB 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% PCEA ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% PERIPHERAL NERVE CATHETER ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% PIB ADULT 200 ML BAG,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% PIB PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% PIB PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% PNCPCA PEDS <50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE 0.2% PNCPCA PEDS >50KG 200 ML,460.0,184.0,184.0,414.0,17
RC,250,ROPIVACAINE ONQ PUMP 0.2 % 400 ML,1744.32,697.73,697.73,1569.89,17
RC,250,ROPIVACAINE ONQ PUMP 0.2 % 545 ML FLEX CONT,910.04,364.02,364.02,819.04,17
RC,250,SALICYLIC ACID CRYS 500 G BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,SAXAGLIPTIN HCL 5 MG TABS 30 EACH BOTTLE,97.02,38.81,38.81,87.32,17
RC,250,SELENIOUS ACID 60 MCG/ML SOLN 10 ML VIAL,2257.91,903.16,903.16,2032.12,34
RC,250,SELENIUM SULFIDE 1 % LOTN 207 ML BOTTLE,22.77,9.11,9.11,20.49,17
RC,250,SELENIUM SULFIDE 2.5 % LOTN 120 ML BOTTLE,99.0,39.6,39.6,89.1,17
RC,250,SERTRALINE 20 MG/ML CONC 5 ML ORAL SYRINGE,6.99,2.8,2.8,6.29,17
RC,250,SERTRALINE 20 MG/ML CONC 60 ML BOTTLE,6.99,2.8,2.8,6.29,17
RC,250,SEVELAMER CARBONATE 0.8 G PACK 1 EACH PACKET,93.85,37.54,36.57,86.64,34
RC,250,SEVELAMER CARBONATE 0.8 G PACK 90 EACH BOX,93.85,37.54,36.57,86.64,34
RC,250,SILDENAFIL 25 MG TABS 30 EACH BOTTLE,482.6,193.04,193.04,434.34,17
RC,250,SILDENAFIL CITRATE 10 MG/12.5ML SOLN 12.5 ML VIAL,1012.0,404.8,404.8,910.8,17
RC,250,SILDENAFIL CITRATE 10 MG/ML SUSR 112 ML BOTTLE,365.33,146.13,146.13,328.8,17
RC,250,SILVER NITRATE 0.5 % SOLN 960 ML BOTTLE,419.52,167.81,167.81,377.57,17
RC,250,SILVER NITRATE 7525 % MISC 100 EACH BOX,3.765,1.505,1.2,4.08,34
RC,250,SILVER NITRATE 7525 % MISC 100 EACH TUBE,3.0,1.2,1.2,2.7,17
RC,250,SMALLPOX AND MONKEYPOX VAC LIVE 0.5 ML SUSP 0.5 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,SODIUM ACETATE 2 MEQ/ML SOLN 100 ML GLASS CONT,149.5,59.8,59.8,134.55,17
RC,250,SODIUM ACETATE 2 MEQ/ML SOLN 100 ML VIAL,53.0,21.2,21.2,47.7,17
RC,250,SODIUM ACETATE 2 MEQ/ML SOLN 20 ML VIAL,74.5,29.8,29.8,67.05,34
RC,250,SODIUM ACETATE 2 MEQ/ML SOLN 50 ML VIAL,72.0,28.8,14.0,98.1,34
RC,250,SODIUM ACETATE 4 MEQ/ML SOLN 100 ML VIAL,53.0,21.2,21.2,47.7,17
RC,250,SODIUM BICARBONATE 4.2 % SOLN 10 ML VIAL,44.4,17.76,17.76,39.96,34
RC,250,SODIUM BICARBONATE 4.2 % SOLN 5 ML VIAL,141.18,56.47,56.47,127.06,17
RC,250,SODIUM BICARBONATE 8.4 % SOLN 10 ML VIAL,180.0,72.0,72.0,162.0,17
RC,250,SODIUM BICARBONATE 8.4 % SOLN 5 ML SYRINGE,42.15,16.86,16.86,37.94,17
RC,250,SODIUM BICARBONATE 8.4 % SOLN 50 ML SYRINGE,122.375,48.95,47.3,113.85,34
RC,250,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,59.0,23.6,21.0,134.1,68
RC,250,SODIUM BICARBONATE 8.4% 1 MEQ/ML SOLN 250 ML BAG,483.0,193.2,193.2,434.7,17
RC,250,SODIUM BICARBONATE 8.4% 1 MEQ/ML SOLN 50 ML SYRINGE,126.5,50.6,50.6,113.85,17
RC,250,SODIUM BICARBONATE 8.4% 1 MEQ/ML SOLN 50 ML VIAL,59.0,23.6,23.6,53.1,17
RC,250,SODIUM CHLORIDE 0.65 % SOLN 45 ML SPRAY BOTTLE,6.98,2.79,2.79,6.28,17
RC,250,SODIUM CHLORIDE 0.9 % SOLN 1000 ML PLAS CONT,30.0,12.0,12.0,27.0,17
RC,250,SODIUM CHLORIDE 10 % SOLN 20 ML,50.0,20.0,20.0,45.0,17
RC,250,SODIUM CHLORIDE 2.5 MEQ/ML SOLN 20 ML VIAL,62.2,24.88,24.88,55.98,17
RC,250,SODIUM CHLORIDE 2.5 MEQ/ML SOLN 40 ML VIAL,52.2,20.88,20.88,46.98,17
RC,250,SODIUM CHLORIDE 23.4% SOLN 1 ML,3.0,1.2,1.2,2.7,17
RC,250,SODIUM CHLORIDE 3 % NEBU 15 ML PLAS CONT,3.0,1.2,1.2,2.7,34
RC,250,SODIUM CHLORIDE 3 % NEBU 4 ML PLAS CONT,4.0,1.6,1.2,3.78,51
RC,250,SODIUM CHLORIDE 3.5 % NEBU 4 ML PLAS CONT,4.64,1.86,1.86,4.18,17
RC,250,SODIUM CHLORIDE 4 MEQ/ML SOLN 0.125 ML ORAL SYRINGE,20.0,8.0,8.0,18.0,17
RC,250,SODIUM CHLORIDE 4 MEQ/ML SOLN 0.25 ML ORAL SYRINGE,20.0,8.0,8.0,18.0,17
RC,250,SODIUM CHLORIDE 4 MEQ/ML SOLN 0.5 ML ORAL SYRINGE,20.0,8.0,8.0,18.0,17
RC,250,SODIUM CHLORIDE 4 MEQ/ML SOLN 100 ML VIAL,103.5,41.4,41.4,93.15,17
RC,250,SODIUM CHLORIDE 4 MEQ/ML SOLN 30 ML VIAL,45.9,18.36,18.36,41.31,34
RC,250,SODIUM CHLORIDE 5 % SOLN 15 ML BOTTLE,35.7,14.28,14.28,32.13,17
RC,250,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,34
RC,250,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN 30 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,SODIUM CHLORIDE PF 0.9 % SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,51
RC,250,SODIUM CHLORIDE PF 0.9 % SOLN 2 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,SODIUM HYALURONATE 13.8 MG/0.6ML SOSY 0.6 ML SYRINGE,656.65,262.66,262.66,590.99,34
RC,250,SODIUM PHENYLBUTYRATE 3 GM/TSP POWD 266 G BOTTLE,23568.45,9427.38,9427.38,21211.61,17
RC,250,SODIUM PHOSPHATE 15 MMOLE/5ML SOLN 5 ML VIAL,96.85,38.74,38.74,87.17,17
RC,250,SODIUM PHOSPHATE 150 MMOLE/50ML SOLN 50 ML VIAL,758.31,303.32,303.32,682.48,34
RC,250,SODIUM PHOSPHATE 3 MMOL/ML SOLN 5 ML VIAL,116.45,46.58,46.58,104.81,17
RC,250,SODIUM PHOSPHATE 9.53.5 GM/59ML ENEM 66 ML BOTTLE,11.88,4.75,4.75,10.69,17
RC,250,SODIUM PHOSPHATES 45 MMOLE/15ML SOLN 15 ML VIAL,247.28,98.91,79.23,224.71,51
RC,250,SODIUM POLYSTYRENE POWD 453.6 G JAR,782.46,312.98,312.98,704.21,17
RC,250,SODIUM POLYSTYRENE SULFONATE 15 GM/60ML SUSP 60 ML BOTTLE,155.1,62.04,62.04,139.59,17
RC,250,SODIUM TETRADECYL SULFATE 1 % SOLN 2 ML VIAL,431.26,172.5,172.5,388.13,17
RC,250,SODIUM TETRADECYL SULFATE 3 % SOLN 2 ML VIAL,428.15,171.26,170.02,388.13,51
RC,250,SODIUM THIOSULFATE 250 MG/ML SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
RC,250,SOTROVIMAB 500 MG/8ML SOLN 8 ML VIAL,0.01,0.01,0.01,0.01,23
RC,250,STERILE TALC 4 G AERP 30 G CAN,579.6,231.84,231.84,521.64,17
RC,250,STERILE WATER BOTTLE SOLN 1000 ML BOTTLE,25.0,10.0,10.0,22.5,17
RC,250,STERILE WATER BOTTLE SOLN 250 ML BOTTLE,31.25,12.5,12.5,28.13,17
RC,250,STERILE WATER BOTTLE SOLN 500 ML BOTTLE,27.5,11.0,11.0,24.75,17
RC,250,STERILE WATER PRESERVATIVE FREE SOLN 10 ML VIAL,35.0,14.0,14.0,31.5,85
RC,250,STERILE WATER PRESERVATIVE FREE SOLN 100 ML VIAL,60.5,24.200000000000003,23.8,55.35,68
RC,250,STERILE WATER SOLN 2000 ML FLEX CONT,40.0,16.0,16.0,36.0,17
RC,250,STOMAHESIVE PROTECTIVE POWD 28.3 G BOTTLE,36.37,14.55,14.55,32.73,17
RC,250,STRONG IODINE 5 % SOLN 14 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,STRONG IODINE 5 % SOLN 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,SUCCINYLCHOLINE 200 MG/10ML SOSY 10 ML SYRINGE,175.75,70.3,70.3,158.18,34
RC,250,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML SOSY 5 ML SYRINGE,120.55,48.22,33.6,154.62,68
RC,250,SUFENTANIL 250 MCG/5ML SOLN 5 ML AMPULE,35.0,14.0,14.0,31.5,17
RC,250,SUFENTANIL 50 MCG/ML SOLN 1 ML AMPULE,35.0,14.0,14.0,31.5,17
RC,250,SUFENTANIL CITRATE 100 MCG/2ML SOLN 2 ML AMPULE,48.9,19.56,19.56,44.01,17
RC,250,SUGAMMADEX SODIUM 200 MG/2ML SOLN 2 ML VIAL,751.495,300.6,300.6,676.35,34
RC,250,SULBACTAMDURLOBACTAM 11 G SOLR 3 EACH BOX,966.0,386.4,386.4,869.4,17
RC,250,SULFACETAMIDE 10 % OINT 3.5 G TUBE,329.3,131.72,131.72,296.37,17
RC,250,SULFACETAMIDE 10 % SOLN 15 ML BOTTLE,305.03,122.01,122.01,274.53,17
RC,250,SURGICAL LUBRICANT GEL 120.49 G BOX,19.28,7.71,7.71,17.35,17
RC,250,TACROLIMUS 0.03 % OINT 30 G TUBE,386.4,154.56,154.56,347.76,17
RC,250,TACROLIMUS 0.1 % OINT 60 G TUBE,1645.93,658.37,441.6,1969.07,34
RC,250,TACROLIMUS 0.5 MG/ML SOLN 100 EACH BOTTLE,11.15,4.46,4.46,10.04,17
RC,250,TALC 3 G POWD 1 EACH VIAL,968.76,387.5,387.5,871.88,17
RC,250,TALC 4 G POWD 1 EACH VIAL,1079.16,431.66,431.66,971.24,17
RC,250,TAMOXIFEN 10 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,250,TAMOXIFEN 10 MG TABS 60 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,250,TESTOSTERONE 50 MG/5GM 1% GEL 5 G TUBE,118.4,47.36,47.36,106.56,17
RC,250,TETRACAINE 0.5 % SOLN 15 ML BOTTLE,496.8,198.72,198.72,447.12,17
RC,250,TETRACAINE 0.5 % SOLN 4 ML PLAS CONT,83.28,33.31,33.31,74.95,17
RC,250,TETRACAINE 1 % SOLN 2 ML VIAL,418.74,167.5,167.5,376.87,51
RC,250,THIAMINE 100 MG/ML SOLN 2 ML VIAL,41.32,16.53,15.78,38.88,34
RC,250,THIOGUANINE 40 MG TABS 25 EACH BOTTLE,2806.54,1122.62,1122.62,2525.89,17
RC,250,THIOGUANINE 40 MG/ML SOLN 1 ML,48.09,19.24,19.24,43.28,17
RC,250,THROMBIN 20000 UNITS KIT 1 EACH BOX,1888.12,755.25,755.25,1699.31,34
RC,250,THROMBIN 20000 UNITS SOLR 1 EACH VIAL,1649.7,659.88,659.88,1484.73,17
RC,250,THROMBIN 5000 UNITS KIT 1 EACH BOX,465.15,186.06,186.06,418.64,17
RC,250,THROMBIN 5000 UNITS SOLR 1 EACH VIAL,418.32,167.33,167.33,376.49,17
RC,250,THROMBIN RECOMBINANT 5000 UNITS SOLR 1 EACH VIAL,474.72,189.89,189.89,427.25,17
RC,250,TIMOLOL 0.25 % SOLN 5 ML BOTTLE,39.0,15.6,1.2,67.5,34
RC,250,TIMOLOL 0.5 % SOLG 5 ML BOTTLE,1224.01,489.6,489.6,1101.61,34
RC,250,TIMOLOL 0.5 % SOLN 5 ML BOTTLE,32.8,13.12,13.12,29.52,17
RC,250,TOBRAMYCIN 0.3 % OINT 3.5 G TUBE,1545.6,618.24,618.24,1391.04,17
RC,250,TOBRAMYCIN 1.4% SOLN 5 ML BOTTLE,169.9,67.96,67.96,152.91,17
RC,250,TOBRAMYCIN 1.8% SOLN 5 ML BOTTLE,169.9,67.96,67.96,152.91,17
RC,250,TOBRAMYCIN 500 MCG/0.1 ML SOLN 0.1 ML SYRINGE,62.85,25.14,25.14,56.57,17
RC,250,TOBRAMYCINDEXAMETHASONE 0.30.1 % OINT 3.5 G TUBE,1645.47,658.19,658.19,1480.92,17
RC,250,TOFACITINIB 5 MG TABS 60 EACH BOTTLE,419.05,167.62,167.62,377.15,17
RC,250,TRACE ELEMENTS MULTRYS PT WT < 10 KG 60361000 MCG/ML SOLN 1 ML VIAL,156.245,62.5,62.5,140.63,34
RC,250,TRACE ELEMENTS NEOTRACE PT WT < 10 KG 1100251000 MCG/ML SOLN 3 ML VIAL,72.9,29.16,29.16,65.61,17
RC,250,TRACE MINERALS TRALEMENT 30055603000 MCG/ML SOLN 1 ML VIAL,284.57,113.83,67.66,360.0,34
RC,250,TRAMETINIB DIMETHYL SULFOXIDE 2 MG TABS 30 EACH BOTTLE,2869.66,1147.86,1147.86,2582.69,17
RC,250,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,94.5,37.8,14.0,359.31,306
RC,250,TRANEXAMIC ACID 10000.7 MG/100ML% SOLN 100 ML FLEX CONT,123.0,49.2,49.2,110.7,17
RC,250,TRANEXAMIC ACID 5% PO 5 % 20 ML BOTTLE,225.0,90.0,90.0,202.5,17
RC,250,TRIFLURIDINE 1 % SOLN 7.5 ML BOTTLE,1127.05,450.82,450.82,1014.35,17
RC,250,TRIMETHOPRIMPOLYMYXIN B 100000.1 UNIT/ML% SOLN 10 ML BOTTLE,65.35,26.14,26.14,58.82,17
RC,250,TROMETHAMINE 30 MEQ/100ML SOLN 500 ML GLASS CONT,1929.7,771.88,771.88,1736.73,17
RC,250,TROPICAMIDE 0.5 % SOLN 15 ML BOTTLE,125.03,50.01,50.01,112.53,17
RC,250,TROPICAMIDE 1 % SOLN 15 ML BOTTLE,187.5,75.0,71.25,214.18,51
RC,250,TROPICAMIDE 1 % SOLN 2 ML BOTTLE,50.0,20.0,20.0,45.0,17
RC,250,TROPICAMIDE 1 % SOLN 3 ML BOTTLE,70.01,28.0,28.0,63.01,17
RC,250,TRYPAN BLUE 0.06 % SOSY 0.5 ML SYRINGE,478.2,191.28,191.28,430.38,17
RC,250,UREA 15 G PACK 8 EACH BOX,21.75,8.7,8.7,19.58,17
RC,250,URSODIOL 60 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,17
RC,250,URSODIOL 60 MG/ML SUSP 180 ML BOTTLE,180.0,72.0,72.0,162.0,17
RC,250,URSODIOL 60 MG/ML SUSP 60 ML BOTTLE,60.0,24.0,24.0,54.0,17
RC,250,UTIRAC 81.6 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,250,VALPROATE 100 MG/ML SOLN 5 ML VIAL,39.6,15.84,14.0,37.8,119
RC,250,VANCOMYCIN 31 MG/ML SOLN 15 ML BOTTLE,109.6,43.84,43.84,98.64,17
RC,250,VANCOMYCIN 50 MG/ML SOLR 150 ML BOTTLE,1012.23,404.89,404.89,911.01,17
RC,250,VANCOMYCIN 50 MG/ML SOLR 5 ML ORAL SYRINGE,36.68,14.67,14.67,33.01,17
RC,250,VANCOMYCINHEPARIN 2 MG10 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,VANCOMYCINHEPARIN 2 MG10 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,VANCOMYCINHEPARIN 2.5 MG2500 UNITS/ML LOCK SYRINGE 1 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,VANCOMYCINHEPARIN 2.5 MG2500 UNITS/ML LOCK SYRINGE 2 ML SYRINGE,35.0,14.0,14.0,31.5,17
RC,250,VASHE WOUND SOLN 250 ML BOTTLE,95.0,38.0,38.0,85.5,17
RC,250,VECURONIUM 1 MG/ML SOLN 50 ML SYRINGE,460.0,184.0,184.0,414.0,17
RC,250,VECURONIUM 10 MG SOLR 1 EACH VIAL,43.0,17.2,14.0,45.9,119
RC,250,VECURONIUM 20 MG SOLR 1 EACH VIAL,68.4,27.36,27.36,61.56,17
RC,250,VECURONIUM SOLR 1 EACH VIAL,35.0,14.0,14.0,31.5,17
RC,250,VENELEX OINT 56.7 G TUBE,187.39,74.96,74.96,168.65,17
RC,250,VERAPAMIL 2.5 MG/ML SOLN 2 ML VIAL,62.5,25.0,14.0,158.67,119
RC,250,VERAPAMIL 50 MG/ML SUSP 1 ML SYRINGE,4.9,1.96,1.96,4.41,17
RC,250,VIGABATRIN 500 MG PACK 50 EACH BOX,600.97,240.39,240.39,540.87,17
RC,250,VILAZODONE HCL 10 MG TABS 30 EACH BOTTLE,64.85,25.94,22.69,65.67,34
RC,250,VITAMIN A 5000/0.1 ML SOLN 1 ML,346.5,138.6,138.6,311.85,17
RC,250,VORICONAZOLE 40 MG/ML SUSR 5 ML ORAL SYRINGE,245.58,98.23,98.23,221.02,17
RC,250,VORICONAZOLE 40 MG/ML SUSR 75 ML BOTTLE,5092.764999999999,2037.105,1237.7,6382.15,34
RC,250,WATER BACTERIOSTATIC SOLN 30 ML VIAL,46.95,18.78,18.78,42.26,17
RC,250,WHISKEY 30 ML CUP,3.0,1.2,1.2,2.7,17
RC,250,WHITE PETROLATUM GEL 368 G JAR,12.88,5.15,5.15,11.59,17
RC,250,WHITE PETROLATUM OINT 28.35 G TUBE,12.9,5.16,5.16,11.61,17
RC,250,WHITE PETROLATUM OINT 453.6 G JAR,120.2,48.08,48.08,108.18,17
RC,250,WHITE PETROLATUM OINT 5 G PACKET,3.0,1.2,1.2,2.7,17
RC,250,ZIDOVUDINE 10 MG/ML SYRP 1 ML,3.0,1.2,1.2,2.7,17
RC,250,ZINC 1 MG/ML SOLN 10 ML VIAL,184.2,73.68,73.68,165.78,17
RC,250,ZINC OXIDE 16 % OINT 113 G TUBE,46.33,18.53,18.53,41.7,17
RC,250,ZINC OXIDE 16 % OINT 454 G JAR,106.69,42.68,42.68,96.02,17
RC,250,ZINC OXIDE 16 % OINT 57 G TUBE,28.5,11.4,11.4,25.65,17
RC,250,ZINC OXIDE 20 % OINT 30 G TUBE,12.3,4.92,4.92,11.07,17
RC,250,ZINC OXIDE 20 % OINT 454 G JAR,53.345,21.34,18.16,55.16,34
RC,250,ZINC OXIDE 20 % OINT 56.7 G TUBE,23.81,9.52,9.52,21.43,17
RC,250,ZINC SULFATE 5 MG/ML SOLN 5 ML VIAL,325.83000000000004,130.33,91.2,381.29,68
RC,255,IODINE 123 ALTROPANE,1.0,0.4,0.4,0.9,16
RC,255,POLYETHYLENE GLYCOL 236 G SOLR 4000 ML BOTTLE,140.0,56.0,56.0,126.0,16
RC,255,POLYETHYLENE GLYCOLELECTROLYTES 420 G SOLR 4000 ML BOTTLE,160.0,64.0,64.0,144.0,16
RC,258,0.9 % NACL WITH KCL 40 MEQ 400.9 MEQ/L% SOLN 1000 ML FLEX CONT,55.0,22.0,22.0,49.5,17
RC,258,DEXTROSE 10 % AND 0.2 % NACL 100.2 % SOLN 250 ML FLEX CONT,23.75,9.5,9.5,21.38,17
RC,258,DEXTROSE 10 % AND 0.45 % NACL 100.45 % SOLN 1000 ML FLEX CONT,55.0,22.0,22.0,49.5,17
RC,258,DEXTROSE 10 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,DEXTROSE 10 % SOLN 250 ML FLEX CONT,28.75,11.5,8.0,30.38,68
RC,258,DEXTROSE 10 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,DEXTROSE 12.5 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,DEXTROSE 12.5% AND 0.225% NACL SOLN 1000 ML BAG,100.0,40.0,40.0,90.0,17
RC,258,DEXTROSE 12.5% AND 0.225% NACL SOLN 250 ML BAG,25.0,10.0,10.0,22.5,17
RC,258,DEXTROSE 12.5% AND 0.225% NACL SOLN 500 ML BAG,50.0,20.0,20.0,45.0,17
RC,258,DEXTROSE 2.5 % SOLN 250 ML BAG,20.0,8.0,8.0,18.0,17
RC,258,DEXTROSE 5 % AND 0.2 % NACL 50.225 % SOLN 1000 ML FLEX CONT,35.0,14.0,10.0,40.5,34
RC,258,DEXTROSE 5 % AND 0.2 % NACL 50.225 % SOLN 500 ML FLEX CONT,22.5,9.0,9.0,20.25,17
RC,258,DEXTROSE 5 % AND 0.33 % NACL 50.33 % SOLN 500 ML FLEX CONT,35.0,14.0,14.0,31.5,17
RC,258,DEXTROSE 5% LACTATED RINGERS 5 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,DEXTROSE 5% LACTATED RINGERS 5 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,DEXTROSE 50 % SOLN 50 ML SYRINGE,100.0,40.0,28.8,117.23,102
RC,258,DEXTROSE 50 % SOLN 50 ML VIAL,35.0,14.0,14.0,31.5,17
RC,258,DEXTROSE 50 % SOLN 500 ML FLEX CONT,107.5,43.0,43.0,96.75,17
RC,258,DEXTROSE 7.5 % SOLN 250 ML,25.0,10.0,10.0,22.5,17
RC,258,DEXTROSE 7.5% AND 0.2 % NACL 7.50.2 % SOLN 250 ML,25.0,10.0,10.0,22.5,17
RC,258,HC IV SOLUTIONS,15.0,6.0,6.0,13.5,17
RC,258,HC SOD CHL INJ USP 0.9%,5.0,2.0,2.0,4.5,17
RC,258,SODIUM CHLORIDE 0.2 % SOLN 250 ML BAG,20.0,8.0,8.0,18.0,17
RC,258,SODIUM CHLORIDE 0.45 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,SODIUM CHLORIDE 0.45 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,SODIUM CHLORIDE 0.9 % SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,SODIUM CHLORIDE 0.9 % SOLN 25 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,SODIUM CHLORIDE 0.9 % SOLN 250 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,SODIUM CHLORIDE 0.9% SOLN 1000 ML FLEX CONT,20.0,8.0,8.0,18.0,17
RC,258,SODIUM CHLORIDE 3 % SOLN 500 ML FLEX CONT,20.0,8.0,8.0,18.0,34
RC,258,SODIUM PHOSPHATENACL 30 MMOL/250ML SOLN 260 ML BAG,163.8,65.52,65.52,147.42,17
RC,259,ACYCLOVIR 200 MG/5 ML SUSP 1 ML,4.71,1.88,1.88,4.24,17
RC,259,ACYCLOVIR 200 MG/5 ML SUSP 473 ML BOTTLE,2047.43,818.97,818.97,1842.69,17
RC,259,ACYCLOVIR 200 MG/5ML SUSP 473 ML BOTTLE,23.53,9.41,9.41,21.18,17
RC,259,ACYCLOVIR 200 MG/5ML SUSP 5 ML ORAL SYRINGE,23.53,9.41,9.41,21.18,17
RC,259,AMANTADINE HCL 50 MG/5ML SOLN 10 ML ORAL SYRINGE,7.7,3.08,3.08,6.93,17
RC,259,AMANTADINE HCL 50 MG/5ML SOLN 473 ML BOTTLE,363.03,145.21,144.74,327.79,34
RC,259,AMITRIPTYLINECHLORDIAZEPOXIDE 512.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,BUPRENORPHINE 2 MG SUBL 1 EACH,12.25,4.9,4.9,11.03,17
RC,259,BUPRENORPHINE 2 MG SUBL 30 EACH BOTTLE,20.7,8.28,8.28,18.63,17
RC,259,BUPRENORPHINE 2 MG SUBL 30 EACH BOX,12.25,4.9,4.9,11.03,17
RC,259,BUPRENORPHINE HCL 8 MG SUBL 1 EACH,23.23,9.29,9.29,20.91,17
RC,259,BUPRENORPHINE HCL 8 MG SUBL 30 EACH BOTTLE,38.7,15.48,15.48,34.83,17
RC,259,BUPRENORPHINE HCL 8 MG SUBL 50 EACH BOX,23.23,9.29,9.29,20.91,17
RC,259,BUPROPION 100 MG TABS 1 EACH,8.93,3.57,3.57,8.04,17
RC,259,BUPROPION 100 MG TABS 100 EACH BOX,8.93,3.57,3.57,8.04,17
RC,259,BUPROPION 100 MG TABS 50 EACH BOX,10.61,4.24,4.24,9.55,17
RC,259,BUPROPION 100 MG TB12 100 EACH BOTTLE,8.45,3.38,3.38,7.61,17
RC,259,BUPROPION 100 MG TB12 100 EACH BOX,8.32,3.33,3.33,7.49,17
RC,259,BUPROPION 150 MG TB24 1 EACH,17.2,6.880000000000001,4.44,20.96,34
RC,259,BUPROPION 150 MG TB24 100 EACH BOX,17.2,6.880000000000001,4.44,20.96,34
RC,259,BUPROPION 150 MG TB24 30 EACH BOTTLE,22.71,9.085,8.62,21.48,34
RC,259,BUPROPION 150 MG TB24 30 EACH BOX,7.9,3.16,3.16,7.11,34
RC,259,BUPROPION 300 MG TB24 1 EACH,23.835,9.535,9.53,21.46,34
RC,259,BUPROPION 300 MG TB24 30 EACH BOTTLE,23.84,9.54,9.54,21.46,34
RC,259,BUPROPION 300 MG TB24 30 EACH BOX,23.84,9.54,9.54,21.46,17
RC,259,BUPROPION 300 MG TB24 50 EACH BOX,23.83,9.53,9.53,21.45,17
RC,259,BUPROPION 75 MG TABS 1 EACH,7.275,2.91,2.64,7.16,34
RC,259,BUPROPION 75 MG TABS 100 EACH BOX,6.59,2.64,2.64,5.93,17
RC,259,BUPROPION 75 MG TABS 50 EACH BOX,7.96,3.18,3.18,7.16,17
RC,259,BUSPIRONE 10 MG TABS 1 EACH,6.73,2.69,2.69,6.06,17
RC,259,BUSPIRONE 10 MG TABS 100 EACH BOX,4.865,1.9449999999999998,1.2,6.06,34
RC,259,BUSPIRONE 15 MG TABS 1 EACH,10.1,4.04,4.04,9.09,17
RC,259,BUSPIRONE 15 MG TABS 100 EACH BOTTLE,10.1,4.04,4.04,9.09,17
RC,259,BUSPIRONE 15 MG TABS 100 EACH BOX,10.1,4.04,4.04,9.09,17
RC,259,BUSPIRONE 5 MG TABS 1 EACH,3.86,1.54,1.54,3.47,17
RC,259,BUSPIRONE 5 MG TABS 100 EACH BOTTLE,3.86,1.54,1.54,3.47,68
RC,259,BUSPIRONE 5 MG TABS 100 EACH BOX,3.4299999999999997,1.37,1.2,3.47,34
RC,259,BUSPIRONE 7.5 MG TABS 1 EACH,11.57,4.63,4.63,10.41,17
RC,259,BUSPIRONE 7.5 MG TABS 100 EACH BOTTLE,7.9,3.16,3.16,7.11,51
RC,259,BUSPIRONE 7.5 MG TABS 30 EACH BOX,11.57,4.63,4.63,10.41,17
RC,259,CAFFEINE 200 MG TABS 16 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,CAFFEINE 200 MG TABS 16 EACH BOX,3.0,1.2,1.2,2.7,51
RC,259,CAFFEINE 200 MG TABS 60 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,CAFFEINE 200 MG TABS 8 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,CALCIUM CARBONATE POWD 454 G BOTTLE,172.52,69.01,69.01,155.27,17
RC,259,CALCIUMPHOSPHORUS 600280 MG TABS 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,CAPTOPRIL 1 MG/ML SUSP 1 ML,3.0,1.2,1.2,2.7,34
RC,259,CAPTOPRIL 100 MG TABS 100 EACH BOTTLE,19.03,7.61,7.61,17.13,34
RC,259,CAPTOPRIL 25 MG TABS 1 EACH,9.23,3.69,3.69,8.31,17
RC,259,CAPTOPRIL 25 MG TABS 100 EACH BOTTLE,8.35,3.34,3.34,7.52,17
RC,259,CAPTOPRIL 25 MG TABS 30 EACH BOX,9.23,3.69,3.69,8.31,17
RC,259,CAPTOPRIL 50 MG TABS 100 EACH BOTTLE,14.5,5.8,5.8,13.05,51
RC,259,CARBAMAZEPINE 100 MG CHEW 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,CARBAMAZEPINE 100 MG CHEW 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,CARBAMAZEPINE 100 MG CP12 1 EACH,18.6,7.44,7.44,16.74,17
RC,259,CARBAMAZEPINE 100 MG CP12 120 EACH BOTTLE,10.23,4.095,3.93,9.58,51
RC,259,CARBAMAZEPINE 100 MG CP12 30 EACH BOX,18.6,7.44,7.44,16.74,17
RC,259,CARBAMAZEPINE 100 MG TB12 100 EACH BOTTLE,5.73,2.295,2.29,5.18,68
RC,259,CARBAMAZEPINE 100 MG/5ML SUSP 450 ML BOTTLE,390.645,156.26,149.4,367.01,34
RC,259,CARBAMAZEPINE 100 MG/5ML SUSP 5 ML ORAL SYRINGE,4.93,1.97,1.97,4.44,17
RC,259,CARBAMAZEPINE 200 MG CP12 120 EACH BOTTLE,10.23,4.095,3.93,9.58,51
RC,259,CARBAMAZEPINE 200 MG TABS 1 EACH,3.4,1.36,1.36,3.06,17
RC,259,CARBAMAZEPINE 200 MG TABS 100 EACH BOX,4.5,1.8000000000000003,1.36,5.04,34
RC,259,CARBAMAZEPINE 200 MG TB12 1 EACH,20.18,8.07,8.07,18.16,17
RC,259,CARBAMAZEPINE 200 MG TB12 100 EACH BOTTLE,10.4,4.16,4.16,9.36,34
RC,259,CARBAMAZEPINE 200 MG TB12 30 EACH BOX,20.18,8.07,8.07,18.16,17
RC,259,CARBAMAZEPINE 300 MG CP12 120 EACH BOTTLE,10.64,4.26,4.26,9.58,17
RC,259,CARBAMAZEPINE 300 MG CP12 30 EACH BOX,20.74,8.3,8.3,18.67,17
RC,259,CARBAMAZEPINE 400 MG TB12 100 EACH BOTTLE,20.785,8.315000000000001,8.31,18.72,68
RC,259,CARBIDOPALEVODOPA 10100 MG TABS 100 EACH BOTTLE,3.705,1.48,1.42,3.47,51
RC,259,CARVEDILOL 12.5 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
RC,259,CARVEDILOL 12.5 MG TABS 100 EACH BOX,6.755,2.7,1.2,9.46,34
RC,259,CARVEDILOL 25 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
RC,259,CARVEDILOL 25 MG TABS 100 EACH BOX,6.755,2.7,1.2,9.46,34
RC,259,CARVEDILOL 3.125 MG TABS 1 EACH,10.67,4.27,4.27,9.6,17
RC,259,CARVEDILOL 3.125 MG TABS 100 EACH BOTTLE,9.565,3.83,3.38,9.62,34
RC,259,CARVEDILOL 3.125 MG TABS 100 EACH BOX,10.51,4.2,1.2,9.6,51
RC,259,CARVEDILOL 3.125 MG TABS 500 EACH BOTTLE,8.44,3.38,3.38,7.6,17
RC,259,CARVEDILOL 6.25 MG TABS 1 EACH,9.75,3.9,3.9,8.78,17
RC,259,CARVEDILOL 6.25 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
RC,259,CARVEDILOL 6.25 MG TABS 100 EACH BOX,6.375,2.55,1.2,8.78,51
RC,259,CEFDINIR 125 MG/5ML SUSR 100 ML BOTTLE,371.45000000000005,148.57999999999998,148.49,334.51,34
RC,259,CEFDINIR 125 MG/5ML SUSR 60 ML BOTTLE,254.7,101.88,101.76,229.5,34
RC,259,CEFDINIR 300 MG CAPS 1 EACH,20.25,8.1,8.1,18.23,17
RC,259,CEFDINIR 300 MG CAPS 30 EACH BOX,20.25,8.1,8.1,18.23,17
RC,259,CEFDINIR 300 MG CAPS 60 EACH BOTTLE,25.555,10.225000000000001,10.22,23.01,51
RC,259,CEFUROXIME 250 MG TABS 20 EACH BOX,20.63,8.25,8.25,18.57,17
RC,259,CEFUROXIME 250 MG TABS 60 EACH BOTTLE,25.215,10.085,8.8,25.59,34
RC,259,CELECOXIB 100 MG CAPS 1 EACH,22.465,8.985,8.73,20.79,34
RC,259,CELECOXIB 100 MG CAPS 100 EACH BOX,41.58,16.63,9.24,54.05,34
RC,259,CELECOXIB 100 MG CAPS 50 EACH BOX,21.83,8.73,8.73,19.65,17
RC,259,CELECOXIB 200 MG CAPS 1 EACH,12.14,4.86,4.86,10.93,17
RC,259,CELECOXIB 200 MG CAPS 100 EACH BOX,12.14,4.86,4.86,10.93,17
RC,259,CEPHALEXIN 250 MG CAPS 1 EACH,3.48,1.395,1.36,3.21,34
RC,259,CEPHALEXIN 250 MG CAPS 100 EACH BOTTLE,3.47,1.39,1.39,3.12,17
RC,259,CEPHALEXIN 250 MG CAPS 100 EACH BOX,3.57,1.43,1.43,3.21,17
RC,259,CEPHALEXIN 250 MG CAPS 50 EACH BOX,3.39,1.36,1.36,3.05,17
RC,259,CEPHALEXIN 250 MG/5ML SUSR 100 ML BOTTLE,129.25,51.7,45.8,129.6,34
RC,259,CEPHALEXIN 250 MG/5ML SUSR 200 ML BOTTLE,256.0,102.4,102.4,230.4,17
RC,259,CEPHALEXIN 500 MG CAPS 1 EACH,6.4350000000000005,2.5700000000000003,2.44,6.08,34
RC,259,CEPHALEXIN 500 MG CAPS 100 EACH BOTTLE,6.765000000000001,2.705,2.66,6.19,34
RC,259,CEPHALEXIN 500 MG CAPS 100 EACH BOX,6.76,2.7,2.7,6.08,17
RC,259,CEPHALEXIN 500 MG CAPS 50 EACH BOX,4.555,1.8199999999999998,1.2,5.5,34
RC,259,CETIRIZINE 10 MG TABS 1 EACH,12.47,4.99,4.99,11.22,17
RC,259,CETIRIZINE 10 MG TABS 100 EACH BOX,7.735,3.095,1.2,11.22,34
RC,259,CETIRIZINE 5 MG TABS 100 EACH BOTTLE,12.47,4.99,4.99,11.22,17
RC,259,CHLORDIAZEPOXIDE 10 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,CHLORDIAZEPOXIDE 25 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,34
RC,259,CHLORDIAZEPOXIDE 25 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,CHLORDIAZEPOXIDE 25 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,259,CHLORDIAZEPOXIDE 25 MG CAPS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,CHLORDIAZEPOXIDE 5 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,259,CHLORDIAZEPOXIDE 5 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,CHLORDIAZEPOXIDE 5 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,259,CHLOROQUINE 500 MG TABS 25 EACH BOTTLE,119.27,47.71,47.71,107.34,17
RC,259,CHLORTHALIDONE 25 MG TABS 1 EACH,12.5,5.0,4.6,12.15,34
RC,259,CHLORTHALIDONE 25 MG TABS 100 EACH BOX,12.49,4.995,4.59,12.15,34
RC,259,CHLORTHALIDONE 50 MG TABS 100 EACH BOTTLE,7.42,2.97,2.97,6.68,17
RC,259,CHOLESTYRAMINE LIGHT 4 G PACK 1 EACH PACKET,16.76,8.46,6.7,23.0,51
RC,259,CHOLESTYRAMINE LIGHT 4 G PACK 60 EACH BOX,16.76,6.7,6.7,15.08,34
RC,259,CIMETIDINE 200 MG TABS 100 EACH BOTTLE,7.73,3.09,3.09,6.96,17
RC,259,CIMETIDINE 300 MG TABS 100 EACH BOTTLE,10.27,4.11,4.11,9.24,17
RC,259,CIMETIDINE 400 MG TABS 100 EACH BOTTLE,13.06,5.22,5.22,11.75,17
RC,259,CIPROFLOXACIN 0.3 % OINT 3.5 G TUBE,1500.62,600.25,600.25,1350.56,17
RC,259,CIPROFLOXACIN 100 MG TABS 6 EACH DISP PACK,76.09,30.44,30.44,68.48,17
RC,259,CIPROFLOXACIN 250 MG TABS 100 EACH BOTTLE,22.545,9.015,8.87,20.62,51
RC,259,CIPROFLOXACIN 500 MG TABS 1 EACH,15.89,6.36,6.36,14.3,17
RC,259,CIPROFLOXACIN 500 MG TABS 100 EACH BOTTLE,25.96,10.38,10.38,23.36,17
RC,259,CIPROFLOXACIN 500 MG TABS 100 EACH BOX,9.445,3.7800000000000002,1.2,14.3,51
RC,259,CIPROFLOXACIN 750 MG TABS 50 EACH BOTTLE,27.68,11.07,10.89,25.32,51
RC,259,CIPROFLOXACINDEXAMETHASONE 0.30.1 % SUSP 7.5 ML BOTTLE,1237.48,494.99,283.05,1160.15,68
RC,259,CITALOPRAM 10 MG TABS 100 EACH BOTTLE,12.9,5.16,5.16,11.61,17
RC,259,CITALOPRAM 10 MG TABS 100 EACH BOX,12.14,4.86,4.86,10.93,17
RC,259,CITALOPRAM 10 MG/5ML SOLN 240 ML BOTTLE,12.25,4.9,4.9,11.03,17
RC,259,CITALOPRAM 10 MG/5ML SOLN 5 ML ORAL SYRINGE,12.25,4.9,4.9,11.03,17
RC,259,CITALOPRAM 20 MG TABS 100 EACH BOTTLE,13.46,5.38,5.38,12.11,17
RC,259,CITALOPRAM 20 MG TABS 100 EACH BOX,13.47,5.39,5.39,12.12,17
RC,259,CLARITHROMYCIN 250 MG TABS 50 EACH BOX,29.19,11.68,11.68,26.27,17
RC,259,CLARITHROMYCIN 500 MG TABS 1 EACH,30.68,12.27,12.27,27.61,17
RC,259,CLARITHROMYCIN 500 MG TABS 30 EACH BOX,30.68,12.27,12.27,27.61,17
RC,259,CLARITHROMYCIN 500 MG TABS 60 EACH BOTTLE,26.345,10.535,9.04,27.07,51
RC,259,CLINDAMYCIN 1 % SOLN 30 ML BOTTLE,190.05,76.02,76.02,171.05,17
RC,259,CLINDAMYCIN 1 % SOLN 60 ML BOTTLE,216.0,86.4,86.4,194.4,17
RC,259,CLINDAMYCIN 150 MG CAPS 1 EACH,3.14,1.26,1.26,2.83,17
RC,259,CLINDAMYCIN 150 MG CAPS 100 EACH BOX,3.14,1.26,1.26,2.83,17
RC,259,CLINDAMYCIN 300 MG CAPS 100 EACH BOX,6.515000000000001,2.6100000000000003,2.6,5.89,34
RC,259,CLINDAMYCIN 75 MG/5ML SOLR 100 ML BOTTLE,310.0,124.0,124.0,279.0,34
RC,259,CLOMIPRAMINE 25 MG CAPS 100 EACH BOTTLE,56.21,22.48,22.48,50.59,17
RC,259,CLOMIPRAMINE 25 MG CAPS 90 EACH BOTTLE,56.21,22.48,22.48,50.59,17
RC,259,CLOMIPRAMINE 50 MG CAPS 100 EACH BOTTLE,56.21,22.48,22.48,50.59,17
RC,259,CLOMIPRAMINE 75 MG CAPS 100 EACH BOTTLE,56.21,22.48,22.48,50.59,17
RC,259,CLONAZEPAM 0.25 MG TBDP 1 EACH,10.0,4.0,4.0,9.0,34
RC,259,CLONAZEPAM 0.25 MG TBDP 60 EACH,10.0,4.0,4.0,9.0,34
RC,259,CLONAZEPAM 0.25 MG TBDP 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,CLONAZEPAM 0.25 MG TBDP 60 EACH BOX,10.0,4.0,4.0,9.0,17
RC,259,CLONAZEPAM 0.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,259,CLONAZEPAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,259,CLONAZEPAM 0.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,259,CLONAZEPAM 1 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,259,CLONAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,259,CLONAZEPAM 1 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,259,CLONAZEPAM 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,259,CLONAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,259,CLONAZEPAM 2 MG TABS 50 EACH BOX,10.0,4.0,4.0,9.0,17
RC,259,CLONIDINE 0.1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,CLONIDINE 0.1 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,CLONIDINE 0.1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,CLONIDINE 0.1 MG/24HR PTWK 1 EACH BOX,165.70499999999998,66.285,66.25,149.21,34
RC,259,CLONIDINE 0.1 MG/24HR PTWK 1 EACH PACKAGE,165.79,66.32,66.32,149.21,17
RC,259,CLONIDINE 0.1 MG/24HR PTWK 4 EACH BOX,165.79,66.32,66.25,360.49,51
RC,259,CLONIDINE 0.2 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,CLONIDINE 0.2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,259,CLONIDINE 0.2 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,CLONIDINE 0.2 MG/24HR PTWK 1 EACH BOX,278.83,111.53,111.53,250.95,17
RC,259,CLONIDINE 0.2 MG/24HR PTWK 4 EACH BOX,279.14,111.66,111.53,545.66,51
RC,259,CLONIDINE 0.3 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,CLONIDINE 0.3 MG TABS 100 EACH BOTTLE,3.075,1.23,1.2,2.84,34
RC,259,CLONIDINE 0.3 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,CLONIDINE 0.3 MG/24HR PTWK 1 EACH BOX,355.86,142.34,142.34,320.27,34
RC,259,CLONIDINE 0.3 MG/24HR PTWK 4 EACH BOX,356.26,142.5,142.34,756.95,68
RC,259,CLOPIDOGREL 300 MG TABS 1 EACH,133.17,53.27,53.27,119.85,17
RC,259,CLOPIDOGREL 300 MG TABS 30 EACH BOX,106.445,42.58,31.89,119.85,34
RC,259,CLOPIDOGREL 75 MG TABS 1 EACH,34.07,13.63,13.63,30.66,17
RC,259,CLOPIDOGREL 75 MG TABS 100 EACH BOX,27.939999999999998,11.175,8.72,30.66,34
RC,259,CLOPIDOGREL 75 MG TABS 90 EACH BOTTLE,32.83,13.13,13.13,29.55,17
RC,259,CLORAZEPATE 15 MG TABS 100 EACH BOTTLE,23.38,9.35,9.35,21.04,17
RC,259,CLORAZEPATE 3.75 MG TABS 100 EACH BOTTLE,10.16,4.06,4.06,9.14,17
RC,259,CLORAZEPATE 7.5 MG TABS 100 EACH BOTTLE,14.22,5.69,5.69,12.8,17
RC,259,CLORAZEPATE 7.5 MG TABS 30 EACH BOX,25.09,10.04,10.04,22.58,17
RC,259,CLOTRIMAZOLE 1 % CREA 14.17 G TUBE,7.37,2.95,2.95,6.63,17
RC,259,CLOTRIMAZOLE 1 % CREA 15 G TUBE,99.53,39.81,17.01,89.71,51
RC,259,CLOTRIMAZOLE 1 % CREA 30 G TUBE,174.3,69.72,69.72,156.87,17
RC,259,CLOTRIMAZOLE 1 % CREA 45 G TUBE,24.08,9.63,9.63,21.67,34
RC,259,CLOZAPINE 100 MG TABS 1 EACH,17.29,6.92,6.92,15.56,17
RC,259,CLOZAPINE 100 MG TABS 100 EACH BOX,17.14,6.86,6.86,15.43,17
RC,259,CLOZAPINE 25 MG TABS 1 EACH,6.625,2.6500000000000004,2.64,5.99,34
RC,259,CLOZAPINE 25 MG TABS 100 EACH BOX,6.65,2.66,2.66,5.99,17
RC,259,CODEINE 15 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,259,CODEINE 30 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,COLCHICINE 0.6 MG TABS 1 EACH,55.75,22.3,22.3,50.18,34
RC,259,COLCHICINE 0.6 MG TABS 30 EACH BOX,55.75,22.3,22.3,50.18,17
RC,259,DESMOPRESSIN ACETATE 1.5 MG/ML SOLN 1 EACH BOTTLE,1656.0,662.4,662.4,1490.4,17
RC,259,DESMOPRESSIN ACETATE 1.5 MG/ML SOLN 2.5 ML BOTTLE,3689.28,1475.71,1475.71,3320.35,17
RC,259,ESTROGENS CONJUGATED 0.45 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
RC,259,ESTROGENS CONJUGATED 0.9 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
RC,259,EXEMESTANE 25 MG TABS 30 EACH BOTTLE,101.16,40.46,40.46,91.04,17
RC,259,HALOPERIDOL 2 MG/ML CONC 120 ML BOTTLE,3.0,1.2,1.2,2.7,34
RC,259,HALOPERIDOL 2 MG/ML CONC 5 ML CUP,4.19,1.68,1.68,3.77,17
RC,259,LACOSAMIDE 100 MG TABS 1 EACH,18.43,7.37,7.37,16.59,17
RC,259,LACOSAMIDE 100 MG TABS 60 EACH BOX,73.125,29.25,7.37,115.04,34
RC,259,LACOSAMIDE 200 MG TABS 1 EACH,19.52,7.81,7.81,17.57,17
RC,259,LACOSAMIDE 200 MG TABS 60 EACH BOTTLE,96.82,38.730000000000004,35.62,94.14,34
RC,259,LACOSAMIDE 200 MG TABS 60 EACH BOX,77.465,30.985,7.81,121.87,34
RC,259,LAMOTRIGINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,LAMOTRIGINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,LEVOTHYROXINE 100 MCG TABS 1 EACH,3.335,1.335,1.22,3.26,34
RC,259,LEVOTHYROXINE 100 MCG TABS 100 EACH BOX,3.34,1.335,1.22,3.26,34
RC,259,LEVOTHYROXINE 100 MCG TABS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,LEVOTHYROXINE 125 MCG TABS 1 EACH,3.9299999999999997,1.5699999999999998,1.44,3.83,34
RC,259,LEVOTHYROXINE 125 MCG TABS 100 EACH BOX,3.925,1.5699999999999998,1.44,3.83,34
RC,259,LEVOTHYROXINE 150 MCG TABS 1 EACH,4.38,1.75,1.75,3.94,17
RC,259,LEVOTHYROXINE 150 MCG TABS 100 EACH BOX,4.38,1.75,1.75,3.94,17
RC,259,LEVOTHYROXINE 50 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,259,LEVOTHYROXINE 50 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,LOPERAMIDE HCL 1 MG/7.5ML SOLN 120 ML BOTTLE,24.6,9.84,9.84,22.14,17
RC,259,LOPERAMIDE HCL 1 MG/7.5ML SOLN 15 ML ORAL SYRINGE,3.08,1.23,1.23,2.77,17
RC,259,LOPERAMIDE HCL 1 MG/7.5ML SOLN 7.5 ML CUP,15.71,6.28,6.28,14.14,17
RC,259,MENTHOLCETYLPYRIDINIUM 3 MG LOZG 9 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,METFORMIN 500 MG TABS 1 EACH,3.51,1.4,1.4,3.16,17
RC,259,METFORMIN 500 MG TABS 100 EACH BOTTLE,3.52,1.41,1.41,3.17,17
RC,259,METFORMIN 500 MG TABS 100 EACH BOX,3.255,1.2999999999999998,1.2,3.16,34
RC,259,METFORMIN 850 MG TABS 100 EACH BOX,6.02,2.41,2.41,5.42,17
RC,259,METHADONE 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,34
RC,259,METHADONE 10 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,51
RC,259,METHADONE 5 MG/5ML SOLN 0.5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,METHADONE 5 MG/5ML SOLN 1 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,METHADONE 5 MG/5ML SOLN 2 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,METHADONE 5 MG/5ML SOLN 5 ML CUP,12.05,4.82,4.82,10.85,34
RC,259,METHADONE 5 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,METHADONE 5 MG/5ML SOLN 500 ML BOTTLE,275.0,110.0,80.0,315.0,34
RC,259,METHIMAZOLE 5 MG TABS 1 EACH,3.6,1.44,1.44,3.24,17
RC,259,METHIMAZOLE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,METHIMAZOLE 5 MG TABS 100 EACH BOX,3.58,1.43,1.43,3.22,17
RC,259,METHOCARBAMOL 500 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,METHOCARBAMOL 500 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,METHOCARBAMOL 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,259,METHOCARBAMOL 500 MG TABS 500 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,METHOCARBAMOL 750 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,259,METHOCARBAMOL 750 MG TABS 100 EACH BOTTLE,3.63,1.45,1.45,3.27,17
RC,259,METHOCARBAMOL 750 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,51
RC,259,METHOCARBAMOL 750 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,METHYLERGONOVINE 0.2 MG TABS 1 EACH,330.0,132.0,132.0,297.0,34
RC,259,METHYLERGONOVINE 0.2 MG TABS 20 EACH BOX,330.0,132.0,132.0,297.0,34
RC,259,METHYLPHENIDATE 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,259,METHYLPHENIDATE 10 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,METHYLPHENIDATE 10 MG TABS 30 EACH BOX,10.0,4.0,4.0,9.0,17
RC,259,METHYLPHENIDATE 10 MG TABS 50 EACH BOX,11.59,4.64,4.64,10.43,17
RC,259,METHYLPHENIDATE 20 MG CP24 100 EACH BOTTLE,75.73,30.29,30.29,68.16,17
RC,259,METHYLPHENIDATE 5 MG TABS 1 EACH,14.05,5.62,5.62,12.65,17
RC,259,METHYLPHENIDATE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,259,METHYLPHENIDATE 5 MG TABS 30 EACH BOX,14.04,5.62,5.62,12.64,17
RC,259,METOCLOPRAMIDE 10 MG TABS 1 EACH,4.2,1.68,1.44,4.32,34
RC,259,METOCLOPRAMIDE 10 MG TABS 100 EACH BOX,4.195,1.68,1.44,4.31,34
RC,259,METOCLOPRAMIDE 5 MG/5ML SOLN 473 ML BOTTLE,177.38,70.95,70.95,159.64,17
RC,259,METOLAZONE 10 MG TABS 100 EACH BOTTLE,15.825,6.33,5.64,15.79,34
RC,259,METOLAZONE 2.5 MG TABS 1 EACH,16.45,6.58,6.58,14.81,17
RC,259,METOLAZONE 5 MG TABS 1 EACH,19.61,7.845000000000001,7.46,18.51,34
RC,259,METOLAZONE 5 MG TABS 100 EACH BOX,19.62,7.85,7.47,18.51,34
RC,259,METOPROLOL SUCCINATE ER 200 MG TB24 1 EACH,13.85,5.54,5.54,12.47,17
RC,259,METOPROLOL SUCCINATE ER 200 MG TB24 50 EACH BOX,13.85,5.54,5.54,12.47,17
RC,259,METOPROLOL TARTRATE 100 MG TABS 100 EACH BOTTLE,4.01,1.6,1.6,3.61,34
RC,259,METOPROLOL TARTRATE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,259,METOPROLOL TARTRATE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,259,METRONIDAZOLE 50 MG/ML SUSP 1 ML,3.64,1.46,1.46,3.28,17
RC,259,METRONIDAZOLE 50 MG/ML SUSP 150 ML BOTTLE,18.2,7.28,7.28,16.38,17
RC,259,METRONIDAZOLE 500 MG TABS 1 EACH,4.6,1.84,1.84,4.14,17
RC,259,METRONIDAZOLE 500 MG TABS 100 EACH BOX,4.6,1.84,1.84,4.14,17
RC,259,METRONIDAZOLE 500 MG TABS 50 EACH BOX,4.05,1.62,1.62,3.65,17
RC,259,MEXILETINE 150 MG CAPS 100 EACH BOTTLE,12.68,5.07,5.07,11.41,34
RC,259,MEXILETINE 200 MG CAPS 100 EACH BOTTLE,15.14,6.06,6.06,13.63,34
RC,259,MICONAZOLE 2 % CREA 142 G TUBE,49.7,19.88,19.88,44.73,17
RC,259,MICONAZOLE 2 % CREA 15 G TUBE,26.25,10.5,10.5,23.63,17
RC,259,MICONAZOLE 2 % CREA 30 G TUBE,36.0,14.4,14.4,32.4,17
RC,259,MICONAZOLE 2 % CREA 57 G TUBE,30.5,12.2,12.2,27.45,17
RC,259,MINERAL OIL OIL 30 ML CUP,3.0,1.2,1.2,2.7,17
RC,259,MINERAL OIL OIL 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,MINOXIDIL 10 MG TABS 1 EACH,10.6,4.24,4.24,9.54,17
RC,259,MINOXIDIL 10 MG TABS 100 EACH BOX,10.59,4.24,4.24,9.53,17
RC,259,MINOXIDIL 2.5 MG TABS 1 EACH,8.48,3.39,3.39,7.63,17
RC,259,MINOXIDIL 2.5 MG TABS 100 EACH BOX,8.48,3.39,3.39,7.63,17
RC,259,MORPHINE 10 MG SUPP 12 EACH BOX,31.25,12.5,12.5,28.13,17
RC,259,MORPHINE 10 MG/5ML SOLN 5 ML BOX,16.85,6.74,6.74,15.17,17
RC,259,MORPHINE 10 MG/5ML SOLN 5 ML CUP,13.425,5.37,4.0,15.17,85
RC,259,MORPHINE 10 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,MORPHINE 10 MG/5ML SOLN 500 ML BOTTLE,212.5,85.0,85.0,191.25,17
RC,259,MORPHINE SULFATE ER 100 MG TAB CR 1 EACH,45.45,18.18,18.18,40.91,17
RC,259,MORPHINE SULFATE ER 100 MG TAB CR 100 EACH BOX,45.44,18.18,18.18,40.9,17
RC,259,MORPHINE SULFATE ER 15 MG TAB CR 1 EACH,10.1,4.04,4.0,9.18,34
RC,259,MORPHINE SULFATE ER 15 MG TAB CR 100 EACH BOX,10.105,4.04,4.0,9.19,51
RC,259,MORPHINE SULFATE ER 60 MG TAB CR 100 EACH BOX,29.02,11.61,11.61,26.12,17
RC,259,MULTIVITAMIN LIQD 15 ML CUP,3.0,1.2,1.2,2.7,17
RC,259,MULTIVITAMIN LIQD 236 ML BOTTLE,3.0,1.2,1.2,2.7,51
RC,259,MUPIROCIN 2 % OINT 1 G TUBE,15.0,6.0,6.0,13.5,17
RC,259,MUPIROCIN 2 % OINT 22 G TUBE,90.585,36.23,22.48,112.46,34
RC,259,NA CHONDROIT SULFNA HYALURON 2015 MG/0.5ML SOSY 0.5 ML SYRINGE,1094.43,437.77,437.77,984.99,17
RC,259,NA CHONDROIT SULFNA HYALURON 3022.5 MG/0.75ML SOSY 0.75 ML SYRINGE,1438.14,575.26,575.26,1294.33,17
RC,259,NABUMETONE 500 MG TABS 100 EACH BOTTLE,6.49,2.6,2.6,5.84,17
RC,259,NADOLOL 20 MG TABS 30 EACH BOX,18.34,7.34,7.34,16.51,17
RC,259,NADOLOL 40 MG TABS 1 EACH,19.85,7.94,7.94,17.87,17
RC,259,NADOLOL 40 MG TABS 30 EACH BOX,19.85,7.94,7.94,17.87,17
RC,259,NADOLOL 40 MG TABS 90 EACH BOTTLE,27.26,10.9,10.9,24.53,17
RC,259,NADOLOL 80 MG TABS 90 EACH BOTTLE,37.45,14.98,14.98,33.71,17
RC,259,NAPROXEN 125 MG/5ML SUSP 10 ML ORAL SYRINGE,119.45,47.78,47.78,107.51,17
RC,259,NAPROXEN 125 MG/5ML SUSP 473 ML BOTTLE,4745.99,1898.4,1898.4,4271.39,17
RC,259,NAPROXEN 375 MG TABS 1 EACH,4.94,1.98,1.98,4.45,17
RC,259,NAPROXEN 375 MG TABS 100 EACH BOTTLE,5.15,2.06,1.99,4.79,34
RC,259,NAPROXEN 375 MG TABS 50 EACH BOX,4.94,1.98,1.98,4.45,17
RC,259,NAPROXEN 500 MG TABS 1 EACH,6.7,2.68,2.68,6.03,17
RC,259,NAPROXEN 500 MG TABS 100 EACH BOTTLE,6.29,2.52,2.52,5.66,17
RC,259,NAPROXEN 500 MG TABS 100 EACH BOX,6.7,2.68,2.68,6.03,17
RC,259,NAPROXEN SODIUM 550 MG TABS 100 EACH BOTTLE,17.82,7.125,7.12,16.05,34
RC,259,NATAMYCIN 5 % SUSP 15 ML BOTTLE,4772.88,1909.15,1909.15,4295.59,17
RC,259,NEOMYCIN 500 MG TABS 100 EACH BOTTLE,7.44,2.98,2.98,6.7,17
RC,259,NIACIN 100 MG TABS 1 EACH,1.0,0.4,0.4,0.9,17
RC,259,NIACIN 100 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,259,NIACIN 100 MG TABS 50 EACH BOX,1.0,0.4,0.4,0.9,17
RC,259,NICOTINE 14 MG/24HR PT24 1 EACH PACKAGE,3.43,1.37,1.37,3.09,17
RC,259,NICOTINE 14 MG/24HR PT24 14 EACH BOX,3.08,1.23,1.23,2.77,17
RC,259,NICOTINE 14 MG/24HR PT24 7 EACH BOX,3.6849999999999996,1.475,1.44,3.4,34
RC,259,NICOTINE 21 MG/24HR PT24 14 EACH BOX,3.2,1.28,1.28,2.88,17
RC,259,NICOTINE 7 MG/24HR PT24 14 EACH BOX,3.2,1.28,1.28,2.88,17
RC,259,NICOTINE POLACRILEX 2 MG GUM 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,259,NICOTINE POLACRILEX 2 MG GUM 40 EACH BOX,1.0,0.4,0.4,0.9,17
RC,259,NIFEDIPINE 10 MG CAPS 100 EACH BOTTLE,5.890000000000001,2.3600000000000003,2.14,5.8,34
RC,259,NIFEDIPINE 10 MG CAPS 100 EACH BOX,6.46,2.58,2.58,5.81,17
RC,259,NIFEDIPINE 20 MG CAPS 100 EACH BOTTLE,8.25,3.3000000000000003,1.99,10.37,51
RC,259,NIMODIPINE 30 MG CAPS 100 EACH BOX,92.05,36.82,36.82,82.85,34
RC,259,NITROFURANTOIN 25 MG CAPS 100 EACH BOTTLE,49.19,19.675,14.06,56.9,51
RC,259,NITROFURANTOIN 25 MG/5ML SUSP 10 ML ORAL SYRINGE,644.0,257.6,257.6,579.6,17
RC,259,NITROFURANTOIN 25 MG/5ML SUSP 240 ML BOTTLE,14112.0,5644.8,5644.8,12700.8,17
RC,259,NITROFURANTOIN 50 MG CAPS 1 EACH,16.525,6.609999999999999,4.38,19.88,34
RC,259,NITROFURANTOIN 50 MG CAPS 100 EACH BOX,16.525,6.609999999999999,4.38,19.88,34
RC,259,NITROFURANTOIN 50 MG CAPS 50 EACH BOX,22.09,8.84,8.84,19.88,17
RC,259,NITROGLYCERIN 0.3 MG SUBL 100 EACH BOTTLE,3.725,1.49,1.2,4.01,51
RC,259,NITROGLYCERIN 0.4 MG SUBL 25 EACH BOTTLE,5.109999999999999,2.045,1.54,8.73,136
RC,259,NITROGLYCERIN 0.4 MG/HR PT24 30 EACH BOX,10.87,4.35,4.35,9.78,17
RC,259,NITROGLYCERIN 0.4 MG/SPRAY SOLN 4.9 G BOTTLE,1209.9850000000001,483.995,336.28,1421.34,34
RC,259,NITROGLYCERIN 0.4 MG/SPRAY SOLN 4.9 G SPRAY BOTTLE,1275.55,510.21999999999997,413.02,1366.69,34
RC,259,NITROGLYCERIN 0.6 MG SUBL 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,259,NITROGLYCERIN 0.6 MG/HR PT24 1 EACH BOX,11.98,4.79,4.79,10.78,17
RC,259,NORTRIPTYLINE 10 MG CAPS 100 EACH BOTTLE,3.68,1.47,1.47,3.31,17
RC,259,NORTRIPTYLINE 25 MG CAPS 1 EACH,4.41,1.76,1.76,3.97,17
RC,259,NORTRIPTYLINE 25 MG CAPS 100 EACH BOTTLE,7.34,2.94,2.94,6.61,17
RC,259,NORTRIPTYLINE 25 MG CAPS 100 EACH BOX,4.41,1.76,1.76,3.97,17
RC,259,NORTRIPTYLINE 75 MG CAPS 100 EACH BOTTLE,21.09,8.44,8.44,18.98,51
RC,259,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,87.64,35.055,35.01,78.98,51
RC,259,NYSTATIN 100000 UNIT/GM OINT 15 G TUBE,84.0,33.6,33.6,75.6,17
RC,259,NYSTATIN 100000 UNIT/ML SUSP 1 ML ORAL SYRINGE,6.13,2.45,2.45,5.52,17
RC,259,NYSTATIN 100000 UNIT/ML SUSP 2 ML ORAL SYRINGE,6.13,2.45,2.45,5.52,17
RC,259,NYSTATIN 100000 UNIT/ML SUSP 473 ML BOTTLE,18.93,7.57,2.45,28.56,51
RC,259,NYSTATIN 100000 UNIT/ML SUSP 5 ML BOX,11.33,4.53,4.53,10.2,17
RC,259,NYSTATIN 100000 UNIT/ML SUSP 5 ML CUP,9.45,3.7800000000000002,2.86,10.58,34
RC,259,NYSTATIN 100000 UNIT/ML SUSP 5 ML ORAL SYRINGE,6.13,2.45,2.45,5.52,17
RC,259,NYSTATIN 100000 UNIT/ML SUSP 60 ML BOTTLE,6.0,2.4,2.4,5.4,34
RC,259,NYSTATIN 100000 UNITS/ML SUSP 5 ML CUP,3.0,1.2,1.2,2.7,17
RC,259,NYSTATIN 500000 UNITS TABS 100 EACH BOTTLE,7.11,2.84,2.84,6.4,17
RC,259,NYSTATINTRIAMCINOLONE 1000000.1 UNIT/GM% CREA 15 G TUBE,514.95,205.98,205.98,463.46,17
RC,259,NYSTATINTRIAMCINOLONE 1000000.1 UNIT/GM% CREA 30 G TUBE,733.75,293.5,293.5,660.38,17
RC,259,NYSTOP 100000 UNIT/GM POWD 15 G BOTTLE,162.305,64.92,54.93,168.55,34
RC,259,NYSTOP 100000 UNIT/GM POWD 30 G BOTTLE,317.85,127.13999999999999,107.64,329.94,34
RC,259,OXYBUTYNIN 5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,OXYBUTYNIN 5 MG TABS 100 EACH BOTTLE,3.8,1.52,1.52,3.42,34
RC,259,OXYBUTYNIN 5 MG TABS 100 EACH BOX,3.3,1.3199999999999998,1.2,3.24,34
RC,259,OXYBUTYNIN 5 MG/5ML SOLN 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,OXYBUTYNIN 5 MG/5ML SOLN 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,259,OXYCODONE 15 MG TABS 1 EACH,11.45,4.58,4.0,11.61,51
RC,259,OXYCODONE 15 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,259,OXYCODONE 15 MG TABS 100 EACH BOX,11.455,4.58,4.0,11.62,51
RC,259,OXYCODONEACETAMINOPHEN 5325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,51
RC,259,OXYCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,259,OXYCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,259,OXYCODONEACETAMINOPHEN 5325 MG TABS 50 EACH BOX,10.0,4.0,4.0,9.0,17
RC,259,PENICILLIN V POTASSIUM 500 MG TABS 100 EACH BOTTLE,3.89,1.56,1.56,3.5,17
RC,259,PHENAZOPYRIDINE 100 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,68
RC,259,PHENAZOPYRIDINE 200 MG TABS 100 EACH BOTTLE,20.0,8.0,8.0,18.0,34
RC,259,PHENELZINE 15 MG TABS 60 EACH BOTTLE,4.18,1.67,1.67,3.76,17
RC,259,PHENOBARBITAL 20 MG/5ML ELIX 2.5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,PHENOBARBITAL 20 MG/5ML ELIX 22.5 ML ORAL SYRINGE,21.83,8.73,8.73,19.65,17
RC,259,PHENOBARBITAL 20 MG/5ML ELIX 3.75 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,PHENOBARBITAL 20 MG/5ML ELIX 473 ML BOTTLE,432.985,173.19,168.84,399.47,85
RC,259,PHENOBARBITAL 20 MG/5ML ELIX 5 ML CUP,22.64,9.055,7.4,24.1,68
RC,259,PHENOBARBITAL 20 MG/5ML ELIX 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,PHENOBARBITAL 20 MG/5ML ELIX 7.5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,259,PHENOBARBITAL 64.8 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,259,PROMETHAZINE 50 MG TABS 100 EACH BOTTLE,3.88,1.55,1.55,3.49,17
RC,259,QUETIAPINE FUMARATE 50 MG TB24 60 EACH BOTTLE,44.345,17.74,17.74,39.92,34
RC,259,RA CLOTRIMAZOLE 1 % CREA 15 G TUBE,35.93,14.37,14.37,32.34,17
RC,259,SENNADOCUSATE 8.650 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,SENNADOCUSATE 8.650 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,259,SENNADOCUSATE 8.650 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,259,SENNADOCUSATE 8.650 MG TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,259,SWEET OIL OIL 118 ML BOTTLE,36.58,14.63,14.63,32.92,17
RC,259,SWEET OIL OIL 30 ML BOTTLE,34.65,13.86,13.86,31.19,17
RC,259,TALCZINC OXIDE 8115 % POWD 142 G BOTTLE,16.33,6.53,6.53,14.7,17
RC,259,VITAMIN B12 1000 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,259,VITAMIN B12 1000 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,259,VITAMIN B12 1000 MCG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,270,ADDITIONAL FRACTURE KIT,4100.0,1640.0,1640.0,3690.0,17
RC,270,CORNEAL TISSUE WITH NO CORNEA TRANSPLANTLION'S EYE BANK,1006.0,402.4,402.4,905.4,17
RC,270,FIRST FRACTURE KIT,6200.0,2480.0,2480.0,5580.0,17
RC,270,GLIDESCOPE VIDEO BATONS,42.0,16.8,16.8,37.8,17
RC,270,HC CANNULA,772.0,308.8,308.8,694.8,17
RC,270,REV CODE 270 SUPPLIES,250.0,100.0,100.0,225.0,17
RC,270,THERAPY CASH PAY $10,10.0,4.0,4.0,9.0,17
RC,270,THERAPY CASH PAY $15,15.0,6.0,6.0,13.5,17
RC,270,THERAPY CASH PAY $20,20.0,8.0,8.0,18.0,17
RC,270,THERAPY CASH PAY $25,25.0,10.0,10.0,22.5,17
RC,271,BANDAGE,125.0,50.0,50.0,112.5,17
RC,271,BREAST BINDER,59.0,23.6,23.6,53.1,17
RC,271,HC BAG DRAINAGE WOUND,206.0,82.4,82.4,185.4,17
RC,271,HC CPSGLF GAS LINE,50.0,20.0,20.0,45.0,17
RC,271,HC PAIN PUMP EXTERNAL,1500.0,600.0,200.0,2250.0,51
RC,271,HC PAIN PUMP EXTERNAL B,1000.0,400.0,400.0,900.0,17
RC,271,HC POSITIONER PATIENT,195.0,78.0,78.0,175.5,17
RC,271,JAW MOTION REHAB SYSTEM,875.0,350.0,350.0,787.5,17
RC,271,KIT FECAL MANAGEMEN FLEXISE,510.0,204.0,204.0,459.0,17
RC,271,REV CODE 271 SUPPLIES,250.0,100.0,100.0,225.0,17
RC,271,RIB BELT,30.0,12.0,12.0,27.0,17
RC,271,SURGICAL BRA,130.0,52.0,52.0,117.0,17
RC,271,TUBE PORT MIC GAST,142.0,56.8,56.8,127.8,17
RC,271,TWO CAL HN,9.0,3.6,3.6,8.1,17
RC,272,AIRWAY EXCHANGE CATH,258.0,103.2,103.2,232.2,17
RC,272,ANEURYSM ENDOGRAFT,24000.0,9600.0,9600.0,21600.0,17
RC,272,ANNULOPLASTY BANDS,4882.0,1952.8,1952.8,4393.8,17
RC,272,BAND LIGATION KIT,925.0,370.0,370.0,832.5,17
RC,272,BIOPSY FORCEPS CATHETER,1100.0,440.0,440.0,990.0,17
RC,272,BLADE SEPTOSTOMY CATHETER,3500.0,1400.0,1400.0,3150.0,17
RC,272,BONE GRAFT HUMAN TISSUE,2500.0,1000.0,1000.0,2250.0,17
RC,272,BONE TAMP,2500.0,1000.0,1000.0,2250.0,17
RC,272,BRIDLE,500.0,200.0,200.0,450.0,17
RC,272,CATH BILIARY DILATION,390.0,156.0,156.0,351.0,17
RC,272,CATH DIAGNOSTIC CORONARY,100.0,40.0,40.0,90.0,17
RC,272,CATH IABP DELIVERY SYS CON,3020.0,1208.0,1208.0,2718.0,17
RC,272,CATH IMPELLA,51500.0,20600.0,20600.0,46350.0,17
RC,272,CATH PERICARDIUM,250.0,100.0,100.0,225.0,17
RC,272,CATH REENTRY,3000.0,1200.0,1200.0,2700.0,17
RC,272,CATH TRI LUMEN KIT,280.0,112.0,112.0,252.0,17
RC,272,CATH VENTRICULAR TRAUMA,415.0,166.0,166.0,373.5,17
RC,272,CLIP,409.0,163.6,16.8,1224.0,51
RC,272,CLOSURE DERMABOND,80.0,32.0,32.0,72.0,17
RC,272,COABLATION WAND,4781.0,1912.4,1912.4,4302.9,17
RC,272,COLON DECOMPRESSION SET,389.0,155.6,155.6,350.1,17
RC,272,COMPRESSION ASSIST DEVICE,300.0,120.0,120.0,270.0,17
RC,272,CONNECTOR,3700.0,1480.0,1480.0,3330.0,17
RC,272,CRANIOTOMY ACCESS KIT,850.0,340.0,340.0,765.0,17
RC,272,DRESSINGS,109.0,43.6,43.6,98.1,17
RC,272,EAR TUBES,52.0,20.8,20.8,46.8,17
RC,272,EYELID WEIGHT,464.0,185.6,185.6,417.6,17
RC,272,FAILURE TO RETURN HOME SLEEP STUDY EQUIP TIMELY,50.0,20.0,20.0,45.0,17
RC,272,FIBRIN SEALANT PATCH LARGE,1400.0,560.0,560.0,1260.0,17
RC,272,FIBRIN SEALANT PATCH MEDIUM,450.0,180.0,180.0,405.0,17
RC,272,FLOWTRIEVERSYSTEM PULMONARY CLOT INPT ONLY.,25000.0,10000.0,10000.0,22500.0,17
RC,272,HC BONE CEMENT KIT,200.0,80.0,80.0,180.0,17
RC,272,HC CAPSULES PH BRAVO,723.5,289.4,206.0,838.8,34
RC,272,HC CLIP APPLIER,233.5,93.4,52.8,301.5,34
RC,272,HC CLOSURE SUTURE,422.5,169.0,38.0,675.0,34
RC,272,HC CSF SHUNTS/DRAINS/CONNECTORS,1751.0,700.4,216.8,1868.4,51
RC,272,HC CV SHUNTS,900.0,360.0,120.0,1350.0,34
RC,272,HC DRAIN CHEST,127.0,50.8,50.8,114.3,17
RC,272,HC DRAIN INCISION,286.0,114.4,114.4,257.4,17
RC,272,HC EXTERNAL FIXATION ALL SITES,3375.0,1350.0,1350.0,3037.5,17
RC,272,HC EXTERNAL FIXATION ALL SITESL,44788.0,17915.2,17915.2,40309.2,17
RC,272,HC GASTROSTOMY MIC KEY KIT,545.5,218.2,148.0,648.9,34
RC,272,HC GOLD PROBE,515.0,206.0,206.0,463.5,17
RC,272,HC HEMOSTATIC AGENTS AND SUPP,1373.0,549.2,158.0,1661.4,51
RC,272,HC NEEDLE BIOPSY,880.5,352.2,84.4,1395.0,34
RC,272,HC NEUROSTIMULATOR KIT/ SUPPLIES,1044.0,417.6,235.2,1350.0,34
RC,272,HC PEG KIT,750.0,300.0,189.6,900.0,51
RC,272,HC SPECIMEN RETRIEVER,355.5,142.2,126.0,356.4,34
RC,272,HC TRANSCATH VALVE DEVICE/SYSTEM,51500.0,20600.0,20600.0,46350.0,17
RC,272,HC TRANSSEPTAL NEEDLE,500.0,200.0,200.0,450.0,17
RC,272,HC TUBE TRACH SHILEY,159.0,63.6,63.6,143.1,17
RC,272,IMPLANT HUNTER TENDON,5000.0,2000.0,2000.0,4500.0,17
RC,272,IMPLANT SEPTAL SUPPLIES,500.0,200.0,200.0,450.0,17
RC,272,IMPLANTS HEAD AND FACIAL,2336.0,934.4,934.4,2102.4,17
RC,272,INCISION MANAGEMENT SYSTEM,1240.0,496.0,496.0,1116.0,17
RC,272,INFLATION DEVICE,200.0,80.0,80.0,180.0,17
RC,272,INTRACRANIAL PRESSURE MONITORING KIT,1800.0,720.0,720.0,1620.0,17
RC,272,INTRODUCER,318.0,127.2,127.2,286.2,17
RC,272,KIT VNTICLR DRN SYSTM II W/O C,500.0,200.0,200.0,450.0,17
RC,272,LIVER DIALYSIS SUPPLIES XMARS,5500.0,2200.0,2200.0,4950.0,17
RC,272,MAGNETIC EXCH DEVICE,325.0,130.0,130.0,292.5,17
RC,272,NEEDLE,2500.0,1000.0,200.0,4050.0,34
RC,272,NEEDLE BIOPSY,1000.0,400.0,400.0,900.0,17
RC,272,NG TUBE,1300.0,520.0,520.0,1170.0,17
RC,272,PEG REPLACEMENT KIT,721.0,288.4,288.4,648.9,17
RC,272,PROBE,775.0,310.0,200.0,720.0,51
RC,272,PROBE CARDIAC ABLATION,5768.0,2307.2,2307.2,5191.2,17
RC,272,PROBE HEMOSTASIS,278.0,111.2,111.2,250.2,17
RC,272,PROBE IMPEDANCE SUPPLY,575.0,230.0,230.0,517.5,17
RC,272,PROBE PH,515.0,206.0,206.0,463.5,17
RC,272,PROTEKDUO PROCEDURE KIT,20085.0,8034.0,8034.0,18076.5,17
RC,272,QUADRASPHERE MICROSPHERES,3090.0,1236.0,1236.0,2781.0,17
RC,272,REPOSE GAHM PROCEDURE KIT,6500.0,2600.0,2600.0,5850.0,17
RC,272,REV CODE 272 SUPPLIES,250.0,100.0,100.0,225.0,17
RC,272,ROTH NET,360.0,144.0,144.0,324.0,17
RC,272,ROTH NET FOREIGN BODY RETRIEVE,320.0,128.0,128.0,288.0,17
RC,272,ROTH NET PLATINUM RET UNIRSAL,300.0,120.0,120.0,270.0,17
RC,272,SNARE,90.0,36.0,36.0,81.0,17
RC,272,SPOT,93.0,37.2,37.2,83.7,17
RC,272,SPOT DYE 10,82.0,32.8,32.8,73.8,17
RC,272,STONETOME,775.0,310.0,310.0,697.5,17
RC,272,SYRING DILATION,500.0,200.0,200.0,450.0,17
RC,272,TEMP PACING LEAD,100.0,40.0,40.0,90.0,17
RC,272,THERAPY SYSTEM KIT 7 DAYS,1450.0,580.0,580.0,1305.0,17
RC,272,TRACH TUBE,200.0,80.0,80.0,180.0,17
RC,272,TUBE FEEING RETENTION SYSTEM,220.0,88.0,88.0,198.0,17
RC,272,TUBE GASTROSTOMY,374.0,149.6,149.6,336.6,17
RC,272,TUBE LARGECTOMY,326.0,130.4,130.4,293.4,17
RC,272,TUBE NJ,464.0,185.6,185.6,417.6,17
RC,272,VAC DRESSING,135.0,54.0,48.4,134.1,34
RC,272,VENTRICULAR TUNNELING CATH,1221.0,488.4,488.4,1098.9,17
RC,272,VERTPLASTY CEMEN CANNULA,180.0,72.0,72.0,162.0,17
RC,273,REV CODE 273 SUPPLIES,250.0,100.0,100.0,225.0,15
RC,274,REV CODE 274 SUPPLIES,2580.0,1032.0,1032.0,2322.0,15
RC,275,REV CODE 275 SUPPLIES,250.0,100.0,100.0,225.0,14
RC,276,REV CODE 276 SUPPLIES,250.0,100.0,100.0,225.0,14
RC,278,BILARY STENT,100.0,40.0,40.0,90.0,14
RC,278,EDWARDS PASCAL DEVICE COMPLETE PACKAGE,62100.0,24840.0,24840.0,55890.0,17
RC,278,HC CENTRIMAG LVAD,31000.0,12400.0,12400.0,27900.0,17
RC,278,HC CRANIAL MESH,8000.0,3200.0,2400.0,14400.0,51
RC,278,HC CSF SHUNTS/DRAINS/CONNECTORS,2217.0,886.8,475.2,2917.8,30
RC,278,HC CSF SHUNTS/DRAINS/CONNECTORS F,3500.0,1400.0,1400.0,3150.0,15
RC,278,HC CSF SHUNTS/DRANS/CONNECTORS E,3726.0,1490.4,1490.4,3353.4,15
RC,278,HC EXCLUDER ENDOPROSTHESIS,15772.0,6308.8,3817.6,19800.0,34
RC,278,HC LEFT ATRIAL APPENDAGE CLOSURE DEVICE,34000.0,13600.0,13600.0,30600.0,17
RC,278,HC SURGICAL MESH,3000.0,1200.0,1200.0,2700.0,15
RC,278,IMPLANT LAPBAND SYSTEM,13800.0,5520.0,5520.0,12420.0,17
RC,278,MICROSENSOR ICP TRANSDUCER,1500.0,600.0,600.0,1350.0,15
RC,278,MITRA CLIP DEVICE,46350.0,18540.0,18540.0,41715.0,17
RC,278,REV CODE 278 SUPPLIES,250.0,100.0,100.0,225.0,14
RC,278,STENT,39646.0,15858.4,15858.4,35681.4,17
RC,278,THORACIC ENDOPROSTHESIS,31000.0,12400.0,12400.0,27900.0,17
RC,278,VAD VENTRICAL ASSIST DEVICE,244908.0,97963.2,97963.2,220417.2,17
RC,292,FIT/ORIENT/CHECK AID,95.0,38.0,38.0,85.5,15
RC,300,COLLECTION FEE,29.0,11.6,11.6,26.1,13
RC,300,DRUG SCREEN TEST AND COLLECTION,42.0,16.8,16.8,37.8,13
RC,300,DRUG SCREEN TEST ONLY,35.0,14.0,14.0,31.5,13
RC,300,MORA PANEL SEROLOGY,1400.0,560.0,560.0,1260.0,13
RC,300,MORA TISSUE TYPING PANEL,1800.0,720.0,720.0,1620.0,13
RC,300,TOX ONLY BUPRENORPHRINE SCREEN,211.0,84.4,84.4,189.9,13
RC,300,TOX ONLY CHAIN OF CUSTODY FEE,29.0,11.6,11.6,26.1,13
RC,300,TOX ONLY DRUG SCREEN GASTRIC CONTENTS,12.0,4.8,4.8,10.8,13
RC,300,TOX ONLY DRUGS OF ABUSE SCREEN,35.0,14.0,14.0,31.5,13
RC,300,TOX ONLY DRUGS OF ABUSE SCREEN COC,42.0,16.8,16.8,37.8,13
RC,300,TOX ONLY LEGAL WHOLE BLOOD ALCOHOL,50.0,20.0,20.0,45.0,13
RC,320,CONFIRMATORY INTERPRETATION,200.0,80.0,80.0,180.0,17
RC,360,BIOPSY STEREOTACTIC BRAIN,10000.0,4000.0,4000.0,9000.0,17
RC,360,CATH BLADDER CPLX,500.0,200.0,200.0,500.0,17
RC,360,CHIARI DECOMPRESSION,25000.0,10000.0,4093.0,22500.0,17
RC,360,CP TEST 30 MINUTES OF OR TIME,250.0,100.0,100.0,250.0,17
RC,360,CRANI SKULL BASE TUMOR,30000.0,12000.0,4093.0,27000.0,17
RC,360,CRANIOTOMY REMOVAL OF TUMOR,23000.0,9200.0,4093.0,20700.0,17
RC,360,CRANIOTOMYHEMATOMA ASPIRATION,11000.0,4400.0,4093.0,9900.0,17
RC,360,CRANIOTOMYTRANSECT/CORP COLLO,29000.0,11600.0,4093.0,26100.0,17
RC,360,CRANITEMPORAL LOBE BX,31000.0,12400.0,4093.0,27900.0,17
RC,360,CSECTION EACH ADD 30 MIN,1763.0,705.2,705.2,1763.0,17
RC,360,DIL STRICT URETH FILIFORM MALE,3000.0,1200.0,1200.0,3000.0,17
RC,360,ENDOSCOPIC SHUNTCSF,23000.0,9200.0,4093.0,20700.0,17
RC,360,ENDOVASCULAR EA ADD 30 MIN,3568.0,1427.2,1427.2,3568.0,17
RC,360,ENDOVASCULAR INITIAL 30 MIN,10596.0,4238.4,4093.0,9536.4,17
RC,360,GEN SURG EA ADDL 30 MIN,1942.0,776.8,776.8,1942.0,17
RC,360,GEN SURG INITIAL 30 MIN,7597.0,3038.8,3038.8,6837.3,17
RC,360,HARVEST ORGANSEACH ADD 30 MIN,2598.0,1039.2,1039.2,2598.0,17
RC,360,HARVEST ORGANSINITIAL 30 MIN,4266.0,1706.4,1706.4,4266.0,17
RC,360,HARVEST TISSUE,800.0,320.0,320.0,800.0,17
RC,360,LASAR ABLATIONBRAIN MASS,33000.0,13200.0,4093.0,29700.0,17
RC,360,MISC SURG INITIAL 30 MIN,6896.0,2758.4,2758.4,6206.4,17
RC,360,MORA TISSUE HARVESTING,108.0,43.2,43.2,108.0,17
RC,360,OB/GYN EA ADDL 30 MIN,2598.0,1039.2,1039.2,2598.0,17
RC,360,OB/GYN INITIAL 30 MIN,8050.0,3220.0,3220.0,7245.0,17
RC,360,OR LEVEL 1 SC4 ADDL MIN,39.0,15.6,15.6,39.0,17
RC,360,OR LEVEL 1 SC4 INITIAL MIN,3258.0,1303.2,1303.2,3258.0,17
RC,360,OR LEVEL 2 SC4 ADDL MIN,67.0,26.8,26.8,67.0,17
RC,360,OR LEVEL 2 SC4 INITIAL MIN,5701.0,2280.4,2280.4,5130.9,17
RC,360,OR LEVEL 3 SC4 ADDL MIN,87.0,34.8,34.8,87.0,17
RC,360,OR LEVEL 3 SC4 INITIAL MIN,7330.0,2932.0,2932.0,6597.0,17
RC,360,OR LEVEL 4 SC4 ADDL MIN,106.0,42.4,42.4,106.0,17
RC,360,OR LEVEL 4 SC4 INITIAL MIN,8958.0,3583.2,3583.2,8062.2,17
RC,360,OR LEVEL 5 SC4 ADDL MIN,121.0,48.4,48.4,121.0,17
RC,360,OR LEVEL 5 SC4 INITIAL MIN,10262.0,4104.8,4093.0,9235.8,17
RC,360,OR LEVEL ONE SC4 ADDL MIN,38.0,15.2,15.2,38.0,17
RC,360,OR LEVEL ONE SC4 INITIAL MIN,3258.0,1303.2,1303.2,3258.0,17
RC,360,PEDIATRICSINITIAL 30 MIN,8050.0,3220.0,3220.0,7245.0,17
RC,360,RELEASE TETHERED CORD,29000.0,11600.0,4093.0,26100.0,17
RC,360,RPR ELECT TRANSVEN SGL,8474.0,3389.6,3389.6,7626.6,17
RC,360,STERI ASPIRATE ABSCESSBRAIN,12000.0,4800.0,4093.0,10800.0,17
RC,360,TRACHEOSTOMYMINOR PROCEDURE,3653.0,1461.2,1461.2,3653.0,17
RC,360,TRANSPHEN PITUITARY TUMOR RESE,29000.0,11600.0,4093.0,26100.0,17
RC,361,BIOPSY MUSCLE OR SOFT TISSUE,400.0,160.0,160.0,400.0,17
RC,361,BRONCHOSCOPYMINOR PROCEDURE,2347.0,938.8,929.6,2370.0,34
RC,361,DIAGNOSTIC EAD,1300.0,520.0,520.0,1300.0,17
RC,361,EGDCONTROL BLEEDING,2400.0,960.0,960.0,2400.0,17
RC,361,ENT EXAM AND TREATMENT IP,100.0,40.0,40.0,100.0,17
RC,361,GI EACH ADDTNL 30 MINUTES,2000.0,800.0,800.0,2000.0,17
RC,361,GI INITIAL 30 MINUTES,3500.0,1400.0,1400.0,3500.0,17
RC,361,HC MINOR PROC EACH ADD 30 MINUTES,2084.0,833.6,833.6,2084.0,17
RC,361,HC MINOR PROCEDURE INITIAL 30 MIN,8147.0,3258.8,3258.8,7332.3,17
RC,361,HEART TRANSINITIAL 30 MIN,13542.0,5416.8,4093.0,12187.8,17
RC,361,HEART TRANSPEACH ADD 30 MIN,2907.0,1162.8,1162.8,2907.0,17
RC,361,PEDS MINOR PROCEDURE UNDER SEDATION EA ADD 30 MIN,750.0,300.0,300.0,750.0,17
RC,361,PEDS MINOR PROCEDURE UNDER SEDATION INIT 30 MIN,1500.0,600.0,600.0,1500.0,17
RC,361,PEDS SEDATION CHEMO ADMIN EA 30 MIN,1500.0,600.0,600.0,1500.0,17
RC,361,PEG TUBE INSERTION,2000.0,800.0,800.0,2000.0,17
RC,361,TRACHEOSTOMYMINOR PROCEDURE,3653.0,1461.2,1461.2,3653.0,17
RC,362,LIVER TRANCADAVER EACH SUB 30 MIN,2692.0,1076.8,1076.8,2422.8,15
RC,362,LIVER TRANCADAVER INITIAL 30 MIN,10663.0,4265.2,4265.2,9596.7,15
RC,362,LIVER TRANLIVE DONOR EACH SUB 30MIN,2692.0,1076.8,1076.8,2422.8,15
RC,362,LIVER TRANLIVE DONOR INITIAL 30 MIN,9000.0,3600.0,3600.0,8100.0,15
RC,362,MULTI ORGAN TRAN/LIVE EACH SUB 30,3000.0,1200.0,1200.0,2700.0,15
RC,362,MULTI ORGAN TRAN/LIVE INITIAL 30,12400.0,4960.0,4960.0,11160.0,15
RC,362,MULTI ORGAN TRANCADAVEREACH SUB,3180.0,1272.0,1272.0,2862.0,15
RC,362,MULTI ORGAN TRANCADAVERINITIAL 30,13144.0,5257.6,5257.6,11829.6,15
RC,362,PANCREAS TRAN/LIVE D EACH ADD 30,3000.0,1200.0,1200.0,2700.0,15
RC,362,PANCREAS TRAN/LIVE D INITIAL 30,11520.0,4608.0,4608.0,10368.0,15
RC,362,PANCREAS TRANCADAVEREACH ADD 30,3180.0,1272.0,1272.0,2862.0,15
RC,362,PANCREAS TRANCADAVERINITIAL 30,12211.0,4884.4,4884.4,10989.9,15
RC,367,KIDNEY TRAN/LIVE D EACH ADD 30,2907.0,1162.8,1162.8,2616.3,15
RC,367,KIDNEY TRAN/LIVE D INITIAL 30,11516.0,4606.4,4606.4,10364.4,15
RC,367,KIDNEY TRANCADAVEREACH ADD 30,2907.0,1162.8,1162.8,2616.3,15
RC,367,KIDNEY TRANCADAVERINITIAL 30,11516.0,4606.4,4606.4,10364.4,15
RC,370,COMPLEX ANESTHESIA EACH ADD MIN,16.0,6.4,6.4,14.4,17
RC,370,COMPLEX ANESTHESIA INITIAL MIN,240.0,96.0,96.0,216.0,17
RC,370,COMPLEX MAC MONITORED ANESTHESIA CARE EACH ADD MIN,12.0,4.8,4.8,10.8,17
RC,370,COMPLEX MAC MONITORED ANESTHESIA CARE INITIAL MIN,192.0,76.8,76.8,172.8,17
RC,370,CONSCIOUS SED. IV IM INH,320.0,128.0,128.0,288.0,17
RC,370,LOCAL ANESTHESIA INITIAL MIN,250.0,100.0,100.0,225.0,17
RC,370,PROC SEDATION ORAL RECTAL INT,320.0,128.0,128.0,288.0,17
RC,370,PROCED SED ORAL RECTAL NASAL,320.0,128.0,128.0,288.0,17
RC,370,REGIONAL/SPINAL/EPIDURAL EACH ADD MIN,8.0,3.2,3.2,7.2,17
RC,370,REGIONAL/SPINAL/EPIDURAL INITIAL MIN,128.0,51.2,51.2,115.2,17
RC,370,STANDARD ANESTHESIA EACH ADD MIN,13.0,5.2,5.2,11.7,17
RC,370,STANDARD ANESTHESIA INITIAL MIN,200.0,80.0,80.0,180.0,17
RC,370,STANDARD MAC MONITORED ANESTHESIA CARE EACH ADD MIN,10.0,4.0,4.0,9.0,17
RC,370,STANDARD MAC MONITORED ANESTHESIA CARE INITIAL MIN,160.0,64.0,64.0,144.0,17
RC,440,THERAPEUTIC FEEDING 1ST UNIT,200.0,80.0,80.0,182.0,17
RC,510,FOR USE IN ESTIMATES ONLY. DO NOT USE TO BILL.,396.0,158.4,158.4,356.4,34
RC,511,KETAMINE INFUSION,300.0,120.0,120.0,270.0,17
RC,636,ALTEPLASE 25 MCG/0.1 ML SOLN 3 ML VIAL,365.05,146.02,146.02,328.55,15
RC,636,CABOZANTINIB SMALATE 60 MG TABS 30 EACH BOTTLE,4551.16,1820.46,1820.46,4096.04,15
RC,636,CARIPRAZINE HCL 1.5 MG CAPS 20 EACH BOX,303.78,121.51,121.51,273.4,15
RC,636,CHLOROQUINE 250 MG TABS 50 EACH BOTTLE,45.97,18.39,18.39,41.37,15
RC,636,DIA CALCIUM CARBONATE 500MG TAB,0.06,0.02,0.02,0.05,15
RC,636,DIA CALCIUM CARBONATE 600MG TAB,0.25,0.1,0.1,0.23,15
RC,636,DIAZEPAM 10 MG/0.1ML LIQD 1 EACH BOX,2110.8599999999997,844.345,844.34,1899.78,30
RC,636,DUPILUMAB 200 MG/1.14ML SOAJ 1.14 ML PEN,10566.45,4226.58,4120.92,9509.81,15
RC,636,DUPILUMAB 300 MG/2ML SOAJ 2 ML PEN,10566.44,4226.58,4120.91,9509.8,15
RC,636,ELRANATAMABBCMM 44 MG/1.1ML SOLN 1.1 ML VIAL,11823.48,4729.39,4611.16,10641.13,15
RC,636,ELRANATAMABBCMM 76 MG/1.9ML SOLN 1.9 ML VIAL,74882.01,29952.8,29203.98,67393.81,15
RC,636,ETONOGESTRELETHINYL ESTRADIOL 0.120.015 MG/24HR RING 1 EACH BOX,897.72,359.09,359.09,807.95,15
RC,636,LEVONORGESTREL 20.1 MCG/DAY IUD 1 EACH BOX,4695.94,1878.38,1878.38,4226.35,15
RC,636,MORPHINE PF 1 MG/ML SOLN 30 ML SYRINGE,84.0,33.6,33.6,75.6,15
RC,636,PALIFERMIN 5.16 MG SOLR 1 EACH VIAL,19327.73,7731.09,7537.81,17394.96,15
RC,636,PENICILLIN G BENZATHINE 1200000 UNITS SUSR 1 EACH VIAL,1048.8,419.52,419.52,943.92,15
RC,636,PENICILLIN G BENZATHINE AND PROC 900000300000 UNIT/2ML SUSP 2 ML SYRINGE,1342.01,536.8,536.8,1207.81,15
RC,636,PERAMIVIR 200 MG/20ML SOLN 20 ML VIAL,1748.0,699.2,699.2,1573.2,15
RC,636,SARILUMAB 200 MG/1.14ML SOSY 1.14 ML SYRINGE,12297.43,4918.97,4796.0,11067.69,15
RC,636,SEMAGLUTIDE 1.5 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
RC,636,SEMAGLUTIDE 25 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
RC,636,SEMAGLUTIDE 4 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
RC,636,SEMAGLUTIDE 9 MG TABS 30 EACH BOTTLE,269.81,107.92,107.92,242.83,15
RC,636,SOD HYALURONATESOD CHONDROITINSOD HYALURONATE 0.550.5 ML KIT 1.05 ML SYRINGE,1521.36,608.54,608.54,1369.22,15
RC,636,SOMATROPIN 0.2 MG PRSY 1 EACH CARTRIDGE,192.12,76.85,76.85,172.91,15
RC,636,TELISOTUZUMAB VEDOTINTLLV 100 MG SOLR 1 EACH VIAL,70459.2,28183.68,27479.09,63413.28,15
RC,636,TELISOTUZUMAB VEDOTINTLLV 20 MG SOLR 1 EACH VIAL,14091.84,5636.74,5495.82,12682.66,15
RC,636,TIVIDENOFUSP ALFAEKNM 150 MG SOLR 1 EACH VIAL,26208.0,10483.2,10221.12,23587.2,15
RC,636,VANCOMYCIN 10.9 GM/200ML% SOLN 200 ML PLAS CONT,143.0,57.2,57.2,128.7,15
RC,637,ABACAVIR 300 MG TABS 50 EACH BOX,50.22,20.09,20.09,45.2,17
RC,637,ABACAVIRDOLUTEGRAVIRLAMIVUD 60050300 MG TABS 30 EACH BOTTLE,516.16,206.46,206.46,464.54,17
RC,637,ABACAVIRLAMIVUDINE 600300 MG TABS 30 EACH BOTTLE,232.51,93.0,93.0,209.26,17
RC,637,ABACAVIRLAMIVUDINEZIDOVUDINE 300150300 MG TABS 60 EACH BOTTLE,144.87,57.95,57.95,130.38,17
RC,637,ACARBOSE 100 MG TABS 100 EACH BOTTLE,7.24,2.9,2.9,6.52,17
RC,637,ACARBOSE 50 MG TABS 100 EACH BOTTLE,4.84,1.94,1.94,4.36,17
RC,637,ACEBUTOLOL 200 MG CAPS 100 EACH BOTTLE,7.05,2.82,2.82,6.35,17
RC,637,ACETAMINOPHEN 120 MG SUPP 1 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ACETAMINOPHEN 120 MG SUPP 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ACETAMINOPHEN 120 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,ACETAMINOPHEN 120 MG SUPP 6 EACH BOX,1.68,0.67,0.67,1.51,17
RC,637,ACETAMINOPHEN 160 MG/5ML 10.15 ML CUP,2.6550000000000002,1.065,0.82,2.94,34
RC,637,ACETAMINOPHEN 160 MG/5ML 20.3 ML CUP,3.56,1.4249999999999998,1.39,3.29,51
RC,637,ACETAMINOPHEN 160 MG/5ML 5 ML CUP,1.76,0.7,0.65,2.62,68
RC,637,ACETAMINOPHEN 160 MG/5ML SYRP 118 ML BOTTLE,6.37,2.55,2.55,5.73,17
RC,637,ACETAMINOPHEN 325 MG SUPP 50 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ACETAMINOPHEN 325 MG SUPP 6 EACH BOX,1.83,0.73,0.73,1.65,17
RC,637,ACETAMINOPHEN 325 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,34
RC,637,ACETAMINOPHEN 325 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,ACETAMINOPHEN 500 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,ACETAMINOPHEN 500 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,ACETAMINOPHEN 500 MG TABS 1000 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,ACETAMINOPHEN 650 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ACETAMINOPHEN 650 MG SUPP 50 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 12.5 ML CUP,10.0,4.0,4.0,9.0,17
RC,637,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 473 ML BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 5 ML CUP,24.34,9.74,9.74,21.91,17
RC,637,ACETAMINOPHENCODEINE 12012 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,637,ACETAMINOPHENCODEINE 30030 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,ACETAMINOPHENCODEINE 30030 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,ACETAMINOPHENCODEINE 30060 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,ACETAZOLAMIDE 125 MG TABS 100 EACH BOTTLE,6.95,2.7800000000000002,1.2,9.81,34
RC,637,ACETAZOLAMIDE 250 MG TABS 1 EACH,20.94,8.38,8.38,18.85,17
RC,637,ACETAZOLAMIDE 250 MG TABS 50 EACH BOX,20.94,8.38,8.38,18.85,17
RC,637,ACETAZOLAMIDE 500 MG CP12 100 EACH BOTTLE,21.47,8.59,8.59,19.32,51
RC,637,ACETIC ACIDHYDROCORTISONE 12 % SOLN 10 ML BOTTLE,1038.54,415.42,415.42,934.69,17
RC,637,ACYCLOVIR 200 MG CAPS 1 EACH,6.55,2.62,2.62,5.9,17
RC,637,ACYCLOVIR 200 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ACYCLOVIR 200 MG CAPS 100 EACH BOX,7.1,2.84,2.62,6.89,34
RC,637,ACYCLOVIR 200 MG CAPS 500 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ACYCLOVIR 400 MG TABS 1 EACH,9.88,3.95,3.95,8.89,17
RC,637,ACYCLOVIR 400 MG TABS 100 EACH BOX,9.88,3.95,1.2,9.76,51
RC,637,ACYCLOVIR 5 % CREA 5 G TUBE,2573.23,1029.29,441.6,3638.21,34
RC,637,ACYCLOVIR 5 % OINT 30 G TUBE,2112.845,845.14,120.0,3014.86,68
RC,637,ACYCLOVIR 800 MG TABS 1 EACH,14.105,5.64,2.18,20.48,34
RC,637,ACYCLOVIR 800 MG TABS 100 EACH BOX,14.105,5.64,2.18,20.48,34
RC,637,ADEFOVIR 10 MG TABS 30 EACH BOTTLE,189.48,75.79,75.79,170.53,17
RC,637,ALBENDAZOLE 200 MG TABS 2 EACH BOTTLE,526.49,210.6,210.6,473.84,17
RC,637,ALBUTEROL 108 90 BASE MCG/ACT AERS 18 G INHALER,327.15,130.86,124.88,307.88,34
RC,637,ALBUTEROL 108 90 BASE MCG/ACT AERS 6.7 G INHALER,297.5,119.0,60.0,376.32,68
RC,637,ALBUTEROL 108 90 BASE MCG/ACT AERS 8 G INHALER,136.32,54.53,54.53,122.69,17
RC,637,ALBUTEROL 108 90 BASE MCG/ACT AERS 8.5 G INHALER,370.09,148.04,148.04,333.08,17
RC,637,ALBUTEROL 2 MG TABS 100 EACH BOTTLE,29.375,11.75,11.75,26.44,34
RC,637,ALBUTEROL 2 MG/5ML SYRP 473 ML BOTTLE,153.73,61.49,61.49,138.36,17
RC,637,ALBUTEROL 4 MG TABS 100 EACH BOTTLE,29.375,11.75,11.75,26.44,34
RC,637,ALENDRONATE 10 MG TABS 30 EACH BOTTLE,14.64,5.86,5.86,13.18,17
RC,637,ALENDRONATE 70 MG TABS 4 EACH BOX,102.43,40.974999999999994,40.97,92.2,34
RC,637,ALFUZOSIN 10 MG TB24 100 EACH BOTTLE,21.07,8.43,8.43,18.96,17
RC,637,ALISKIREN 150 MG TABS 30 EACH BOTTLE,69.06,27.62,27.62,62.15,17
RC,637,ALLOPURINOL 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,ALLOPURINOL 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ALLOPURINOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,68
RC,637,ALLOPURINOL 300 MG TABS 1 EACH,4.71,1.88,1.88,4.24,17
RC,637,ALLOPURINOL 300 MG TABS 100 EACH BOX,3.88,1.5499999999999998,1.22,4.24,51
RC,637,ALLOPURINOL 50 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,ALPHALIPOIC ACID 100 MG CAPS 60 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ALPRAZOLAM 0.25 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,ALPRAZOLAM 0.25 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,637,ALPRAZOLAM 0.25 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,ALPRAZOLAM 0.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,ALPRAZOLAM 0.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,637,ALPRAZOLAM 0.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,ALPRAZOLAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,637,ALPRAZOLAM 1 MG TB24 60 EACH BOTTLE,13.37,5.35,5.35,12.03,17
RC,637,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 30 ML BOX,19.875,7.949999999999999,7.56,18.77,34
RC,637,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 30 ML CUP,19.875,7.949999999999999,7.56,18.77,51
RC,637,ALUM AND MAG HYDROXIDESIMETH 20020020 MG/5ML SUSP 355 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ALUM AND MAG HYDROXIDESIMETH 40040040 MG/5ML SUSP 15 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,ALUM AND MAG HYDROXIDESIMETH 40040040 MG/5ML SUSP 355 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ALUMINUM HYDROXIDE 320 MG/5ML SUSP 473 ML BOTTLE,42.57,17.03,17.03,38.31,17
RC,637,ALVIMOPAN 12 MG CAPS 1 EACH,867.25,346.9,346.9,780.53,17
RC,637,ALVIMOPAN 12 MG CAPS 30 EACH BOX,953.57,381.43,346.9,903.38,68
RC,637,AMANTADINE 100 MG CAPS 1 EACH,10.89,4.36,4.36,9.8,17
RC,637,AMANTADINE 100 MG CAPS 100 EACH BOX,10.89,4.36,4.36,9.8,17
RC,637,AMBRISENTAN 10 MG TABS 10 EACH BOTTLE,2445.64,978.26,978.26,2201.08,17
RC,637,AMBRISENTAN 10 MG TABS 30 EACH BOTTLE,1548.7849999999999,619.51,612.34,1410.04,34
RC,637,AMILORIDE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,AMINOCAPROIC ACID 500 MG TABS 30 EACH BOTTLE,112.01,44.8,44.8,100.81,51
RC,637,AMINOCAPROIC ACID 500 MG TABS 30 EACH BOX,159.2,63.68,63.68,143.28,17
RC,637,AMIODARONE 100 MG TABS 1 EACH,37.15,14.86,14.86,33.44,34
RC,637,AMIODARONE 100 MG TABS 30 EACH BOTTLE,37.15,14.86,14.86,33.44,51
RC,637,AMIODARONE 100 MG TABS 50 EACH BOX,37.15,14.86,14.86,33.44,17
RC,637,AMIODARONE 200 MG TABS 1 EACH,21.375,8.55,1.21,35.75,34
RC,637,AMIODARONE 200 MG TABS 100 EACH BOX,3.03,1.21,1.2,35.75,51
RC,637,AMIODARONE 200 TABS 1 TABLET,16.91,6.76,6.76,15.22,17
RC,637,AMIODARONE 5 MG/ML SOLN 200 ML BOTTLE,557.52,223.01,223.01,501.77,17
RC,637,AMIODARONE 50 MG TABS 1 TABLET,16.91,6.76,6.76,15.22,17
RC,637,AMITRIPTYLINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,AMITRIPTYLINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,68
RC,637,AMITRIPTYLINE 10 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,AMITRIPTYLINE 100 MG TABS 100 EACH BOTTLE,12.7,5.08,5.08,11.43,34
RC,637,AMITRIPTYLINE 150 MG TABS 100 EACH BOTTLE,19.05,7.62,7.62,17.15,51
RC,637,AMITRIPTYLINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,AMITRIPTYLINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,AMITRIPTYLINE 50 MG TABS 1 EACH,3.48,1.39,1.39,3.13,17
RC,637,AMITRIPTYLINE 75 MG TABS 1 EACH,3.42,1.37,1.37,3.08,17
RC,637,AMITRIPTYLINE 75 MG TABS 100 EACH BOTTLE,9.54,3.82,3.82,8.59,51
RC,637,AMITRIPTYLINE 75 MG TABS 50 EACH BOX,3.42,1.37,1.37,3.08,17
RC,637,AMLODIPINE 10 MG TABS 100 EACH BOX,11.28,4.51,4.51,10.15,17
RC,637,AMLODIPINE 2.5 MG TABS 100 EACH BOX,7.97,3.19,3.19,7.17,17
RC,637,AMLODIPINE 2.5 MG TABS 90 EACH BOTTLE,8.72,3.49,3.49,7.85,17
RC,637,AMLODIPINE 5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,AMLODIPINE 5 MG TABS 100 EACH BOX,5.61,2.245,1.2,7.4,34
RC,637,AMMONIUM LACTATE 12 % LOTN 225 G BOTTLE,189.565,75.825,66.15,192.38,34
RC,637,AMMONIUM LACTATE 12 % LOTN 227 G BOTTLE,90.8,36.32,36.32,81.72,17
RC,637,AMOXICILLIN 125 MG CHEW 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,AMOXICILLIN 125 MG/5ML SUSR 80 ML BOTTLE,15.6,6.24,6.24,14.04,17
RC,637,AMOXICILLIN 200 MG/5ML SUSR 100 ML BOTTLE,45.5,18.2,18.2,40.95,17
RC,637,AMOXICILLIN 250 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,AMOXICILLIN 250 MG CHEW 100 EACH BOTTLE,3.68,1.47,1.47,3.31,17
RC,637,AMOXICILLIN 250 MG/5ML SUSR 100 ML BOTTLE,30.5,12.2,12.2,27.45,17
RC,637,AMOXICILLIN 400 MG/5ML SUSR 100 ML BOTTLE,49.0,19.6,19.6,44.1,34
RC,637,AMOXICILLIN 400 MG/5ML SUSR 75 ML BOTTLE,36.75,14.7,14.7,33.08,17
RC,637,AMOXICILLIN 500 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,AMOXICILLIN 875 MG TABS 1 EACH,6.45,2.58,2.58,5.81,17
RC,637,AMOXICILLIN 875 MG TABS 100 EACH BOTTLE,4.35,1.74,1.74,3.92,17
RC,637,AMOXICILLINCLAVULANATE 100062.5 MG TB12 40 EACH BOTTLE,42.16,16.86,16.86,37.94,17
RC,637,AMOXICILLINCLAVULANATE 20028.5 MG/5ML SUSR 50 ML BOTTLE,92.25,36.9,36.9,83.03,17
RC,637,AMOXICILLINCLAVULANATE 250125 MG TABS 30 EACH BOTTLE,29.59,11.84,11.84,26.63,17
RC,637,AMOXICILLINCLAVULANATE 25062.5 MG/5ML SUSR 100 ML BOTTLE,397.44,158.98,158.98,357.7,17
RC,637,AMOXICILLINCLAVULANATE 25062.5 MG/5ML SUSR 150 ML BOTTLE,584.43,233.77,233.77,525.99,17
RC,637,AMOXICILLINCLAVULANATE 40057 MG/5ML SUSR 100 ML BOTTLE,344.5,137.8,137.8,310.05,34
RC,637,AMOXICILLINCLAVULANATE 40057 MG/5ML SUSR 5 ML ORAL SYRINGE,17.23,6.89,6.89,15.51,17
RC,637,AMOXICILLINCLAVULANATE 500125 MG TABS 20 EACH BOTTLE,18.93,7.57,7.57,17.04,17
RC,637,AMOXICILLINCLAVULANATE 60042.9 MG/5ML SUSR 125 ML BOTTLE,306.88,122.75,122.75,276.19,17
RC,637,AMOXICILLINCLAVULANATE 875125 MG TABS 1 EACH,9.5,3.8,3.8,8.55,17
RC,637,AMOXICILLINCLAVULANATE 875125 MG TABS 100 EACH BOTTLE,25.01,10.0,9.8,23.18,68
RC,637,AMOXICILLINCLAVULANATE 875125 MG TABS 100 EACH BOX,9.48,3.79,3.79,8.53,17
RC,637,AMOXICILLINCLAVULANATE 875125 MG TABS 20 EACH BOTTLE,25.26,10.1,10.1,22.73,17
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 10 MG CP24 100 EACH BOTTLE,42.74,17.1,17.1,38.47,17
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 10 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 15 MG CP24 100 EACH BOTTLE,36.7,14.68,12.26,38.47,34
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 15 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 20 MG CP24 100 EACH BOTTLE,36.7,14.68,12.26,38.47,34
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 30 MG CP24 100 EACH BOTTLE,38.995000000000005,15.600000000000001,14.1,38.47,34
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 5 MG CP24 100 EACH BOTTLE,35.25,14.1,12.26,38.47,51
RC,637,AMPHETAMINEDEXTROAMPHETAMINE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,637,AMPICILLIN 500 MG CAPS 100 EACH BOTTLE,3.24,1.3,1.3,2.92,17
RC,637,ANAGRELIDE 0.5 MG CAPS 100 EACH BOTTLE,49.62,19.85,19.85,44.66,17
RC,637,ANASTROZOLE 1 MG TABS 30 EACH BOX,10.36,4.14,4.14,9.32,17
RC,637,APIXABAN 2.5 MG TABS 100 EACH BOX,34.56,13.82,13.82,31.1,17
RC,637,APIXABAN 5 MG TABS 100 EACH BOX,34.56,13.82,13.82,31.1,17
RC,637,ARGININE 500 MG PACK 30 EACH BOX,27.69,11.08,11.08,24.92,34
RC,637,ARIPIPRAZOLE 10 MG TABS 1 EACH,3.75,1.5,1.5,3.38,17
RC,637,ARIPIPRAZOLE 10 MG TABS 100 EACH BOX,5.7,2.28,1.5,29.67,51
RC,637,ARIPIPRAZOLE 15 MG TABS 1 EACH,153.07,61.23,61.23,137.76,17
RC,637,ARIPIPRAZOLE 15 MG TABS 20 EACH BOX,153.07,61.23,61.23,137.76,17
RC,637,ARIPIPRAZOLE 2 MG TABS 30 EACH BOTTLE,160.29500000000002,64.11500000000001,64.01,144.5,34
RC,637,ARIPIPRAZOLE 2 MG TABS 30 EACH BOX,9.0,3.6,3.6,8.1,17
RC,637,ARIPIPRAZOLE 20 MG TABS 1 EACH,207.06,82.82,82.82,186.35,17
RC,637,ARIPIPRAZOLE 20 MG TABS 30 EACH BOTTLE,227.05,90.82,90.82,204.35,17
RC,637,ARIPIPRAZOLE 20 MG TABS 30 EACH BOX,11.094999999999999,4.44,3.4,12.33,34
RC,637,ARIPIPRAZOLE 30 MG TABS 20 EACH BOX,185.46,74.18,74.18,166.91,17
RC,637,ARIPIPRAZOLE 30 MG TABS 30 EACH BOTTLE,227.05,90.82,90.82,204.35,17
RC,637,ARIPIPRAZOLE 5 MG TABS 1 EACH,150.2,60.08,60.08,135.18,17
RC,637,ARIPIPRAZOLE 5 MG TABS 100 EACH BOX,34.11,13.64,1.2,30.72,51
RC,637,ARTEMETHERLUMEFANTRINE 20120 MG TABS 24 EACH BOTTLE,33.69,13.48,13.48,30.32,17
RC,637,ASCORBIC ACID 250 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,ASCORBIC ACID 250 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ASCORBIC ACID 250 MG TABS 250 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ASCORBIC ACID 250 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,ASCORBIC ACID 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,ASENAPINE MALEATE 10 MG SUBL 60 EACH BOTTLE,35.0,14.0,14.0,31.5,17
RC,637,ASENAPINE MALEATE 5 MG SUBL 10 EACH BOX,126.09,50.44,50.44,113.48,17
RC,637,ASENAPINE MALEATE 5 MG SUBL 60 EACH BOTTLE,22.5,9.0,9.0,20.25,17
RC,637,ASPIRIN 20.25 MG CHEW 1 QUARTER TABLET,3.0,1.2,1.2,2.7,17
RC,637,ASPIRIN 300 MG SUPP 12 EACH BOX,2.19,0.88,0.88,1.97,17
RC,637,ASPIRIN 325 MG TABS 500 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ASPIRIN 325 MG TBEC 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,ASPIRIN 40.5 MG CHEW 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,ASPIRIN 81 MG CHEW 30 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ASPIRIN 81 MG CHEW 300 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,ASPIRIN 81 MG CHEW 36 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,ASPIRIN 81 MG CHEW 500 EACH DISP PACK,1.0,0.4,0.4,0.9,17
RC,637,ASPIRIN 81 MG TBEC 120 EACH BOTTLE,1.0,0.4,0.4,0.9,34
RC,637,ASPIRINACETAMINOPHENCAFFEINE 25025065 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ATAZANAVIR 150 MG CAPS 60 EACH BOTTLE,139.01,55.6,55.6,125.11,34
RC,637,ATAZANAVIR 200 MG CAPS 60 EACH BOTTLE,139.01,55.6,55.6,125.11,51
RC,637,ATAZANAVIR 300 MG CAPS 30 EACH BOTTLE,289.89,115.96,115.96,260.9,17
RC,637,ATENOLOL 100 MG TABS 1 EACH,7.45,2.98,2.98,6.71,17
RC,637,ATENOLOL 100 MG TABS 100 EACH BOX,7.47,2.99,2.99,6.72,17
RC,637,ATENOLOL 25 MG TABS 1 EACH,4.0,1.6,1.6,3.6,17
RC,637,ATENOLOL 25 MG TABS 100 EACH BOTTLE,4.09,1.64,1.64,3.68,17
RC,637,ATENOLOL 50 MG TABS 1 EACH,4.45,1.78,1.78,4.01,17
RC,637,ATENOLOL 50 MG TABS 100 EACH BOX,4.46,1.78,1.78,4.01,17
RC,637,ATENOLOLCHLORTHALIDONE 5025 MG TABS 100 EACH BOTTLE,9.42,3.77,3.77,8.48,17
RC,637,ATOMOXETINE 10 MG CAPS 30 EACH BOTTLE,71.13499999999999,28.455,28.44,64.05,34
RC,637,ATOMOXETINE 18 MG CAPS 30 EACH BOTTLE,71.13499999999999,28.455,28.44,64.05,34
RC,637,ATOMOXETINE 25 MG CAPS 30 EACH BOTTLE,79.08,31.63,31.63,71.17,17
RC,637,ATOMOXETINE 40 MG CAPS 1 EACH,37.94,15.18,15.18,34.15,34
RC,637,ATOMOXETINE 40 MG CAPS 30 EACH BOX,37.94,15.18,15.18,34.15,17
RC,637,ATOMOXETINE 60 MG CAPS 1 EACH,28.63,11.45,11.45,25.77,17
RC,637,ATOMOXETINE 60 MG CAPS 30 EACH BOTTLE,77.33,30.93,30.93,69.6,17
RC,637,ATOMOXETINE 60 MG CAPS 30 EACH BOX,28.63,11.45,11.45,25.77,17
RC,637,ATORVASTATIN 10 MG TABS 1 EACH,3.16,1.26,1.26,2.84,17
RC,637,ATORVASTATIN 10 MG TABS 100 EACH BOX,3.08,1.23,1.2,2.84,34
RC,637,ATORVASTATIN 20 MG TABS 1 EACH,4.29,1.72,1.72,3.86,17
RC,637,ATORVASTATIN 20 MG TABS 100 EACH BOX,3.645,1.46,1.2,3.86,34
RC,637,ATORVASTATIN 40 MG TABS 1 EACH,4.29,1.72,1.72,3.86,17
RC,637,ATORVASTATIN 40 MG TABS 100 EACH BOX,3.875,1.5499999999999998,1.38,3.86,34
RC,637,ATOVAQUONE 750 MG/5ML SUSP 210 ML BOTTLE,6205.754999999999,2482.305,2315.43,5960.65,34
RC,637,ATOVAQUONE 750 MG/5ML SUSP 5 ML BOX,192.175,76.87,71.14,185.85,34
RC,637,ATOVAQUONE 750 MG/5ML SUSP 5 ML CUP,145.715,58.285,35.54,226.44,85
RC,637,ATOVAQUONE 750 MG/5ML SUSP 5 ML SACHET,206.5,82.6,82.6,185.85,17
RC,637,ATOVAQUONEPROGUANIL 250100 MG TABS 24 EACH BOX,37.04,14.82,14.82,33.34,17
RC,637,ATOVAQUONEPROGUANIL HCL 62.525 MG TABS 100 EACH BOTTLE,14.94,5.98,5.98,13.45,17
RC,637,AVEENO SOOTHING BATH TREATMENT PACK 8 EACH BOX,3.99,1.6,1.6,3.59,17
RC,637,AZELASTINE 0.05 % SOLN 6 ML BOTTLE,478.72,191.49,191.49,430.85,17
RC,637,AZELASTINE 0.1 % SOLN 30 ML BOTTLE,483.97,193.59,193.59,435.57,17
RC,637,AZITHROMYCIN 1 G PACK 3 EACH BOX,146.92,58.769999999999996,58.26,133.38,34
RC,637,AZITHROMYCIN 100 MG/5ML SUSR 15 ML BOTTLE,174.38,69.75,69.75,156.94,17
RC,637,AZITHROMYCIN 200 MG/5ML SUSR 30 ML BOTTLE,174.45,69.78,69.78,157.01,34
RC,637,AZITHROMYCIN 250 MG TABS 1 EACH,9.36,3.74,3.74,8.42,17
RC,637,AZITHROMYCIN 250 MG TABS 100 EACH BOX,21.08,8.43,8.43,18.97,34
RC,637,AZITHROMYCIN 250 MG TABS 50 EACH BOX,20.71,8.28,8.28,18.64,17
RC,637,AZITHROMYCIN 250 MG TABS 6 EACH DISP PACK,38.92,15.57,15.57,35.03,34
RC,637,AZITHROMYCIN 500 MG TABS 30 EACH BOX,34.36,13.74,13.74,30.92,17
RC,637,AZITHROMYCIN 600 MG TABS 30 EACH BOTTLE,52.39,20.955,4.55,84.07,51
RC,637,B COMPLEXVITAMIN CFOLIC ACID 0.8 MG TABS 100 EACH,3.0,1.2,1.2,2.7,17
RC,637,B COMPLEXVITAMIN CFOLIC ACID 0.8 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,BACLOFEN 10 MG TABS 1 EACH,3.4,1.3599999999999999,1.24,3.32,51
RC,637,BACLOFEN 10 MG TABS 100 EACH BOTTLE,12.36,4.94,4.94,11.12,17
RC,637,BACLOFEN 10 MG TABS 100 EACH BOX,3.11,1.24,1.2,3.32,85
RC,637,BACLOFEN 10 MG TABS 50 EACH BOX,3.11,1.24,1.24,2.8,17
RC,637,BACLOFEN 10 MG/ML SUSP 1 ML,11.31,4.52,4.52,10.18,17
RC,637,BACLOFEN 20 MG TABS 1 EACH,4.65,1.86,1.77,5.45,51
RC,637,BACLOFEN 20 MG TABS 100 EACH BOTTLE,25.65,10.26,10.26,23.09,17
RC,637,BACLOFEN 20 MG TABS 100 EACH BOX,4.43,1.77,1.71,5.45,51
RC,637,BACLOFEN 20 MG TABS 50 EACH BOX,4.65,1.86,1.86,4.19,34
RC,637,BACLOFEN 5 MG TABS 1 EACH,13.61,5.44,5.44,12.25,17
RC,637,BACLOFEN 5 MG TABS 100 EACH BOTTLE,6.18,2.47,2.47,5.56,17
RC,637,BACLOFEN 5 MG TABS 100 EACH BOX,9.72,3.89,3.89,8.75,17
RC,637,BACLOFEN 5 MG TABS 50 EACH BOX,11.665,4.665,3.89,12.25,34
RC,637,BALSALAZIDE 750 MG CAPS 280 EACH BOTTLE,8.0,3.2,3.2,7.2,17
RC,637,BECLOMETHASONE 40 MCG/ACT AERB 10.6 G INHALER,1257.23,502.89,502.89,1131.51,17
RC,637,BECLOMETHASONE 42 MCG/SPRAY SUSP 25 G INHALER,1619.32,647.73,647.73,1457.39,17
RC,637,BECLOMETHASONE 80 MCG/ACT AERB 10.6 G INHALER,1683.78,673.51,673.51,1515.4,17
RC,637,BENAZEPRIL 10 MG TABS 100 EACH BOTTLE,5.25,2.1,2.1,4.73,17
RC,637,BENAZEPRIL 20 MG TABS 1 EACH,4.75,1.9,1.9,4.28,17
RC,637,BENAZEPRIL 20 MG TABS 50 EACH BOX,4.75,1.9,1.9,4.28,17
RC,637,BENAZEPRIL 40 MG TABS 1 EACH,4.87,1.95,1.95,4.38,17
RC,637,BENAZEPRIL 40 MG TABS 50 EACH BOX,4.87,1.95,1.95,4.38,17
RC,637,BENAZEPRIL 5 MG TABS 100 EACH BOTTLE,5.25,2.1,2.1,4.73,17
RC,637,BENZOCAINEMENTHOL 152.6 MG LOZG 16 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,BENZOCAINEMENTHOL 18 EACH BOX,3.0,1.2,1.2,2.7,51
RC,637,BENZOCAINEMENTHOL 25 EACH BAG,3.0,1.2,1.2,2.7,17
RC,637,BENZONATATE 100 MG CAPS 1 EACH,3.65,1.46,1.46,3.29,17
RC,637,BENZONATATE 100 MG CAPS 100 EACH BOTTLE,8.795,3.5199999999999996,2.03,11.27,34
RC,637,BENZONATATE 100 MG CAPS 100 EACH BOX,3.65,1.46,1.46,3.29,17
RC,637,BENZTROPINE 0.5 MG TABS 1 EACH,6.0,2.4,2.4,5.4,17
RC,637,BENZTROPINE 0.5 MG TABS 100 EACH BOX,6.0,2.4,2.4,5.4,17
RC,637,BENZTROPINE 1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,BENZTROPINE 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,BENZTROPINE 2 MG TABS 1 EACH,3.355,1.34,1.34,3.02,34
RC,637,BENZTROPINE 2 MG TABS 100 EACH BOX,3.36,1.34,1.34,3.02,34
RC,637,BETAXOLOL 10 MG TABS 100 EACH BOTTLE,6.22,2.49,2.49,5.6,17
RC,637,BETHANECHOL 10 MG TABS 1 EACH,8.25,3.3,2.6,9.0,34
RC,637,BETHANECHOL 10 MG TABS 100 EACH BOX,8.254999999999999,3.3,2.6,9.01,34
RC,637,BETHANECHOL 25 MG TABS 1 EACH,13.35,5.34,5.34,12.02,17
RC,637,BETHANECHOL 25 MG TABS 100 EACH BOX,11.135,4.455,3.57,12.02,34
RC,637,BETHANECHOL 5 MG TABS 100 EACH BOTTLE,4.51,1.8,1.8,4.06,17
RC,637,BICALUTAMIDE 50 MG TABS 100 EACH BOTTLE,92.65,37.06,37.06,83.39,17
RC,637,BICALUTAMIDE 50 MG TABS 30 EACH BOTTLE,92.22,36.89,36.71,83.4,34
RC,637,BICTEGRAVIREMTRICITABINETENOFOVIR AF 5020025 MG TABS 30 EACH BOTTLE,775.76,310.3,310.3,698.18,17
RC,637,BICTEGRAVIREMTRICITABINETENOFOVIR AF 5020025 MG TABS 30 EACH BOX,775.76,310.3,310.3,698.18,17
RC,637,BIOTENE DRY MOUTH LIQD 237 ML BOTTLE,29.63,11.85,11.85,26.67,17
RC,637,BIOTENE DRY MOUTH LIQD 473 ML BOTTLE,49.67,19.87,19.87,44.7,17
RC,637,BIOTIN 1000 MCG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,BIOTIN 5 MG CAPS 72 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,BIOTIN 5000 MCG SUBL 60 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,BISACODYL 10 MG SUPP 12 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,BISACODYL 10 MG SUPP 4 EACH BOX,3.75,1.5,1.5,3.38,17
RC,637,BISACODYL 10 MG SUPP 50 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,BISACODYL 5 MG TBEC 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,BISMUTH SUBSALICYLATE 262 MG CHEW 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,BISMUTH SUBSALICYLATE 262 MG CHEW 30 EACH BOX,3.0,1.2,1.2,2.7,68
RC,637,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP 236 ML BOTTLE,14.16,5.66,5.66,12.74,17
RC,637,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,17
RC,637,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP 473 ML BOTTLE,28.38,11.35,11.35,25.54,17
RC,637,BISMUTHMETRONIDAZOLETETRACYCLINE 140125125 MG CAPS 120 EACH BOX,15.21,6.08,6.08,13.69,17
RC,637,BISOPROLOL 10 MG TABS 100 EACH BOTTLE,11.25,4.5,4.5,10.13,17
RC,637,BISOPROLOL 10 MG TABS 30 EACH BOTTLE,9.094999999999999,3.6399999999999997,2.81,10.05,34
RC,637,BISOPROLOL 5 MG TABS 1 EACH,7.8,3.12,3.12,7.02,17
RC,637,BISOPROLOL 5 MG TABS 30 EACH BOTTLE,9.094999999999999,3.6399999999999997,2.81,10.05,34
RC,637,BISOPROLOL 5 MG TABS 30 EACH BOX,7.8,3.12,3.12,7.02,17
RC,637,BISOPROLOLHYDROCHLOROTHIAZIDE 106.25 MG TABS 30 EACH BOTTLE,16.85,6.74,6.74,15.17,17
RC,637,BISOPROLOLHYDROCHLOROTHIAZIDE 2.56.25 MG TABS 100 EACH BOTTLE,17.88,7.15,7.15,16.09,17
RC,637,BISOPROLOLHYDROCHLOROTHIAZIDE 56.25 MG TABS 100 EACH BOTTLE,17.88,7.15,7.15,16.09,17
RC,637,BOSENTAN 32 MG TBSO 1 EACH,1271.07,508.43,508.43,1143.96,17
RC,637,BOSENTAN 32 MG TBSO 56 EACH BOX,1234.07,493.63,493.63,1110.66,17
RC,637,BRIMONIDINE 0.1 % SOLN 5 ML BOTTLE,1073.32,429.33,429.33,965.99,17
RC,637,BRIMONIDINE 0.15 % SOLN 5 ML BOTTLE,881.73,352.69,352.67,1029.83,85
RC,637,BRIMONIDINE 0.2 % SOLN 5 ML BOTTLE,163.25,65.3,65.3,146.93,17
RC,637,BRIMONIDINETIMOLOL 0.20.5 % SOLN 5 ML BOTTLE,1044.9850000000001,417.995,64.8,1014.14,85
RC,637,BRIVARACETAM 25 MG TABS 100 EACH BOX,151.13,60.45,60.45,136.02,17
RC,637,BRIVARACETAM 50 MG TABS 100 EACH BOX,151.13,60.45,60.45,136.02,17
RC,637,BROMOCRIPTINE 2.5 MG TABS 100 EACH BOTTLE,18.78,7.51,7.51,16.9,34
RC,637,BROMOCRIPTINE 2.5 MG TABS 30 EACH BOTTLE,31.34,12.54,12.54,28.21,17
RC,637,BROMPHENIRAMINEPHENYLEPHRINE 12.5 MG/5ML ELIX 118 ML BOTTLE,20.06,8.02,8.02,18.05,17
RC,637,BROMPHENIRAMINEPSEUDOEPHEDRINE 115 MG/5ML ELIX 236 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,BUDESONIDE 3 MG CPEP 1 EACH,81.0,32.4,32.4,72.9,17
RC,637,BUDESONIDE 3 MG CPEP 100 EACH BOTTLE,5.93,2.37,2.37,5.34,17
RC,637,BUDESONIDE 3 MG CPEP 20 EACH BOX,81.0,32.4,32.4,72.9,17
RC,637,BUDESONIDE 32 MCG/ACT SUSP 8.43 ML BOTTLE,85.94,34.38,34.38,77.35,17
RC,637,BUDESONIDE 90 MCG/ACT AEPB 1 EACH INHALER,1090.75,436.3,436.3,981.68,34
RC,637,BUDESONIDEFORMOTEROL 1604.5 MCG/ACT AEROSOL 6 G INHALER,878.78,351.51,351.51,790.9,17
RC,637,BUDESONIDEFORMOTEROL 804.5 MCG/ACT AEROSOL 6.9 G INHALER,763.98,305.59,305.59,687.58,17
RC,637,BUMETANIDE 0.5 MG TABS 100 EACH BOTTLE,12.14,4.86,4.86,10.93,17
RC,637,BUMETANIDE 1 MG TABS 1 EACH,8.645,3.46,3.0,8.81,34
RC,637,BUMETANIDE 1 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
RC,637,BUMETANIDE 1 MG TABS 100 EACH BOX,6.49,2.6,2.6,5.84,17
RC,637,BUMETANIDE 1 MG TABS 30 EACH BOX,9.79,3.92,3.92,8.81,17
RC,637,BUMETANIDE 1 MG TABS 50 EACH BOX,7.5,3.0,3.0,6.75,17
RC,637,BUPROPION 150 MG TB12 1 EACH,3.67,1.47,1.47,3.3,17
RC,637,BUPROPION 150 MG TB12 100 EACH BOX,3.8949999999999996,1.56,1.41,3.84,34
RC,637,BUPROPION 150 MG TB12 30 EACH BOX,3.67,1.47,1.47,3.3,17
RC,637,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,BUTALBITALACETAMINOPHENCAFFEINE 5032540 MG TABS 50 EACH BOX,10.42,4.17,4.0,9.76,34
RC,637,BUTAMBENTETRACAINEBENZOCAINE 2214 % AEROSOL 20 G BOTTLE,775.56,310.22,310.22,698.0,17
RC,637,CABERGOLINE 0.5 MG TABS 8 EACH BOTTLE,183.3,73.32,73.32,164.97,17
RC,637,CALCIUM ACETATE 667 MG TABS 200 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,CALCIUM ACETATE PHOS BINDER 667 MG CAPS 1 EACH,8.4,3.36,3.36,7.56,17
RC,637,CALCIUM ACETATE PHOS BINDER 667 MG CAPS 100 EACH BOX,8.4,3.36,3.36,7.56,17
RC,637,CALCIUM ACETATE PHOS BINDER 667 MG CAPS 200 EACH BOTTLE,5.14,2.06,2.06,4.63,17
RC,637,CALCIUM CARBCHOLECALCIFEROL 60010 MGMCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,CALCIUM CARBCHOLECALCIFEROL 60010 MGMCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,CALCIUM CARBONATE 1250 MG/5ML SUSP 473 ML BOTTLE,61.49,24.6,24.6,55.34,17
RC,637,CALCIUM CARBONATE 1250 MG/5ML SUSP 5 ML BOX,15.38,6.15,6.15,13.84,17
RC,637,CALCIUM CARBONATE 1250 MG/5ML SUSP 500 ML BOTTLE,62.5,25.0,25.0,56.25,17
RC,637,CALCIUM CARBONATE 500 MG CHEW 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,CALCIUM CARBONATE 500 MG CHEW 150 EACH BOTTLE,3.0,1.2,1.2,2.7,68
RC,637,CALCIUM CARBONATE 500 MG CHEW 500 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,CALCIUM CARBONATE OYSTER SHELL 500 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,CALCIUM CITRATEVITAMIN D 3156.25 MGMCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,CALCIUM CITRATEVITAMIN D 3156.25 MGMCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,CANAGLIFLOZIN 100 MG TABS 30 EACH BOTTLE,119.71,47.88,47.88,107.74,17
RC,637,CANDESARTAN 16 MG TABS 90 EACH BOTTLE,15.88,6.35,6.35,14.29,17
RC,637,CANDESARTAN 32 MG TABS 90 EACH BOTTLE,21.48,8.59,8.59,19.33,17
RC,637,CANDESARTAN 4 MG TABS 90 EACH BOTTLE,15.87,6.35,6.35,14.28,17
RC,637,CANDESARTAN 8 MG TABS 90 EACH BOTTLE,15.87,6.35,6.35,14.28,17
RC,637,CANNABIDIOL 100 MG/ML SOLN 100 ML BOTTLE,8618.4,3447.36,3447.36,7756.56,17
RC,637,CANNABIDIOL 100 MG/ML SOLN 5 ML ORAL SYRINGE,471.96,188.78,188.78,424.76,17
RC,637,CANNABIDIOL 100 MG/ML SOLN 60 ML BOTTLE,5171.29,2068.52,2068.52,4654.16,34
RC,637,CAPTOPRIL 12.5 MG TABS 1 EACH,8.49,3.4,3.4,7.64,17
RC,637,CAPTOPRIL 12.5 MG TABS 30 EACH BOX,8.49,3.4,3.4,7.64,17
RC,637,CAPTOPRIL 6.25 MG TABS 1 EACH,8.48,3.39,3.39,7.63,17
RC,637,CARBIDOPALEVODOPA 25100 MG TAB CR 100 EACH BOTTLE,4.94,1.98,1.98,4.45,17
RC,637,CARBIDOPALEVODOPA 25100 MG TABS 1 EACH,4.1,1.64,1.64,3.69,17
RC,637,CARBIDOPALEVODOPA 25100 MG TABS 100 EACH BOX,3.55,1.42,1.2,3.69,51
RC,637,CARBIDOPALEVODOPA 25100 MG TBDP 100 EACH BOTTLE,6.9,2.76,2.76,6.21,17
RC,637,CARBIDOPALEVODOPA 25250 MG TABS 100 EACH BOX,3.87,1.5499999999999998,1.2,4.27,34
RC,637,CARBIDOPALEVODOPA 50200 MG TAB CR 1 EACH,8.7,3.48,3.48,7.83,17
RC,637,CARBIDOPALEVODOPA 50200 MG TAB CR 100 EACH BOX,8.31,3.3200000000000003,3.16,7.84,34
RC,637,CARIPRAZINE HCL 3 MG CAPS 20 EACH BOX,303.78,121.51,121.51,273.4,17
RC,637,CARIPRAZINE HCL 4.5 MG CAPS 30 EACH BOTTLE,303.78,121.51,121.51,273.4,17
RC,637,CARISOPRODOL 350 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,CASCARA SAGRADA 450 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,CASTOR OIL OIL 30 ML CUP,8.25,3.3,3.3,7.43,17
RC,637,CASTOR OIL OIL 473 ML BOTTLE,130.08,52.03,52.03,117.07,17
RC,637,CASTOR OIL OIL 59 ML BOTTLE,23.9,9.56,9.56,21.51,17
RC,637,CEFADROXIL 250 MG/5ML SUSR 10 ML ORAL SYRINGE,30.4,12.16,12.16,27.36,17
RC,637,CEFADROXIL 250 MG/5ML SUSR 100 ML BOTTLE,304.0,121.6,121.6,273.6,34
RC,637,CEFADROXIL 500 MG CAPS 100 EACH BOTTLE,18.0,7.2,7.2,16.2,17
RC,637,CEFADROXIL 500 MG CAPS 50 EACH BOTTLE,18.6,7.44,7.44,16.74,17
RC,637,CEFDINIR 250 MG/5ML SUSR 100 ML BOTTLE,724.96,289.98,289.98,652.46,17
RC,637,CEFDINIR 250 MG/5ML SUSR 60 ML BOTTLE,457.06,182.82,182.71,411.85,68
RC,637,CEFIXIME 200 MG/5ML SUSR 50 ML BOTTLE,2048.84,819.54,819.54,1843.96,34
RC,637,CEFPODOXIME 100 MG TABS 20 EACH BOTTLE,33.705,13.485,13.48,30.35,34
RC,637,CEFPODOXIME 200 MG TABS 20 EACH BOTTLE,42.14,16.86,16.86,37.93,17
RC,637,CEFPROZIL 250 MG/5ML SUSR 50 ML BOTTLE,195.5,78.2,78.2,175.95,34
RC,637,CENOBAMATE 50 MG TABS 30 EACH BOTTLE,250.38,100.15,100.15,225.34,17
RC,637,CETIRIZINE 5 MG/5ML SOLN 118 ML BOTTLE,43.66,17.465,10.86,54.16,34
RC,637,CETIRIZINE 5 MG/5ML SOLN 120 ML BOTTLE,182.4,72.96,72.96,164.16,34
RC,637,CETIRIZINE 5 MG/5ML SOLN 2.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,CETIRIZINE 5 MG/5ML SOLN 5 ML CUP,17.3,6.92,6.92,15.57,34
RC,637,CETIRIZINE 5 MG/5ML SOLN 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,CEVIMELINE 30 MG CAPS 100 EACH BOTTLE,17.43,6.97,6.97,15.69,17
RC,637,CHLORPROMAZINE 10 MG TABS 1 EACH,25.72,10.29,10.29,23.15,17
RC,637,CHLORPROMAZINE 10 MG TABS 100 EACH BOX,25.72,10.29,10.29,23.15,17
RC,637,CHLORZOXAZONE 500 MG TABS 100 EACH BOTTLE,5.42,2.17,2.17,4.88,17
RC,637,CHOLECALCIFEROL 1000 UNITS TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,34
RC,637,CHOLECALCIFEROL 1000 UNITS TABS 100 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,CHOLECALCIFEROL 1000 UNITS TABS 300 EACH BOTTLE,1.0,0.4,0.4,0.9,34
RC,637,CHOLECALCIFEROL 400 UNITS TABS 1 EACH,1.0,0.4,0.4,0.9,17
RC,637,CHOLECALCIFEROL 400 UNITS TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,CHOLECALCIFEROL 400 UNITS TABS 50 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,CHOLECALCIFEROL 50 MCG 2000 UT TABS 50 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,CILOSTAZOL 100 MG TABS 60 EACH BOTTLE,9.13,3.65,3.65,8.22,17
RC,637,CILOSTAZOL 50 MG TABS 60 EACH BOTTLE,9.64,3.86,3.86,8.68,17
RC,637,CIPROFLOXACIN 250 MG/5ML 5% SUSR 100 ML BOTTLE,719.9,287.96,287.96,647.91,17
RC,637,CIPROFLOXACIN 500 MG/5ML 10% SUSR 100 ML BOTTLE,840.88,336.35,336.35,756.79,17
RC,637,CIPROFLOXACIN 500 MG/5ML 10% SUSR 5 ML ORAL SYRINGE,45.7,18.28,18.28,41.13,17
RC,637,CLOBAZAM 10 MG TABS 1 EACH,15.6,6.24,6.24,14.04,17
RC,637,CLOBAZAM 10 MG TABS 100 EACH BOTTLE,51.49,20.595,4.58,82.38,34
RC,637,CLOBAZAM 2.5 MG/ML SUSP 1 ML ORAL SYRINGE,43.23,17.29,17.29,38.91,17
RC,637,CLOBAZAM 2.5 MG/ML SUSP 120 ML BOTTLE,4357.58,1743.03,1743.03,3921.82,17
RC,637,CLOBAZAM 2.5 MG/ML SUSP 4 ML SYRINGE,32.4,12.96,12.96,29.16,34
RC,637,CLOBETASOL 0.05 % CREA 15 G TUBE,589.88,235.95,235.95,530.89,17
RC,637,CLOBETASOL 0.05 % CREA 60 G TUBE,2111.12,844.45,844.45,1900.01,34
RC,637,CLONAZEPAM 0.125 MG TBDP 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,CLONAZEPAM 0.125 MG TBDP 60 EACH,10.0,4.0,4.0,9.0,34
RC,637,CLONAZEPAM 0.125 MG TBDP 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,CLONIDINE 0.05 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,CLONIDINE 20 MCG/ML SUSP 300 ML BOTTLE,621.0,248.4,248.4,558.9,17
RC,637,CLOTRIMAZOLE 10 MG TROC 70 EACH BOTTLE,8.045,3.22,3.22,7.25,34
RC,637,CLOTRIMAZOLE 10 MG TROC 70 EACH BOX,12.165,4.865,2.86,15.46,34
RC,637,CLOTRIMAZOLEBETAMETHASONE 10.05 % CREA 15 G TUBE,127.39,50.955,40.47,138.24,34
RC,637,CO Q 10 10 MG CAPS 60 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,COAL TAR 20 % SOLN 100 ML BOTTLE,169.5,67.8,67.8,152.55,17
RC,637,COAL TAR 20 % SOLN 500 ML BOTTLE,724.5,289.8,289.8,652.05,17
RC,637,COENZYME Q10 100 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,COENZYME Q10 100 MG CAPS 40 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,COENZYME Q10 200 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,COENZYME Q10 30 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,COENZYME Q10 50 MG CAPS 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,COLESEVELAM 625 MG TABS 180 EACH BOTTLE,19.25,7.7,7.49,17.8,51
RC,637,COLESTIPOL 1 G TABS 120 EACH BOTTLE,9.9,3.96,2.53,12.13,51
RC,637,COLLAGENASE 250 UNIT/GM OINT 30 G TUBE,1840.09,736.04,736.04,1656.08,17
RC,637,CYCLOBENZAPRINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,CYCLOBENZAPRINE 10 MG TABS 100 EACH BOTTLE,5.79,2.32,2.32,5.21,34
RC,637,CYCLOBENZAPRINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,CYCLOBENZAPRINE 5 MG TABS 1 EACH,6.15,2.46,1.69,5.63,51
RC,637,CYCLOBENZAPRINE 5 MG TABS 100 EACH BOTTLE,8.21,3.28,3.28,7.39,34
RC,637,CYCLOBENZAPRINE 5 MG TABS 30 EACH BOX,6.25,2.5,2.5,5.63,17
RC,637,CYCLOBENZAPRINE 5 MG TABS 50 EACH BOX,5.19,2.075,1.69,5.54,34
RC,637,CYCLOPENTOLATEPHENYLEPHRINE 0.21 % SOLN 2 ML BOTTLE,222.1,88.84,88.84,199.89,17
RC,637,CYCLOSERINE 250 MG CAPS 30 EACH BOX,384.56,153.82,153.82,346.1,17
RC,637,CYCLOSPORINE PF 0.05 % EMUL 30 EACH PLAS CONT,62.945,25.175,24.53,58.1,34
RC,637,CYCLOSPORINE PF 0.05 % EMUL 60 EACH PLAS CONT,61.34,24.54,24.54,55.21,17
RC,637,CYPROHEPTADINE 2 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,CYPROHEPTADINE 2 MG/5ML SYRP 473 ML BOTTLE,3.4,1.36,1.36,3.06,17
RC,637,CYPROHEPTADINE 2 MG/5ML SYRP 5 ML ORAL SYRINGE,3.4,1.36,1.36,3.06,17
RC,637,CYPROHEPTADINE 4 MG TABS 1 EACH,5.36,2.14,2.14,4.82,17
RC,637,CYPROHEPTADINE 4 MG TABS 100 EACH BOTTLE,6.6899999999999995,2.68,2.14,7.24,34
RC,637,CYPROHEPTADINE 4 MG TABS 50 EACH BOX,5.36,2.14,2.14,4.82,17
RC,637,DABIGATRAN ETEXILATE MESYLATE 150 MG CAPS 60 EACH BOX,19.84,7.94,7.94,17.86,17
RC,637,DABIGATRAN ETEXILATE MESYLATE 75 MG CAPS 60 EACH BOX,19.4,7.76,7.58,17.86,34
RC,637,DANAZOL 100 MG CAPS 100 EACH BOTTLE,27.22,10.89,10.89,24.5,17
RC,637,DANAZOL 200 MG CAPS 60 EACH BOTTLE,51.44,20.58,20.58,46.3,17
RC,637,DANAZOL 50 MG CAPS 100 EACH BOTTLE,18.14,7.26,7.26,16.33,17
RC,637,DANTROLENE 100 MG CAPS 100 EACH BOTTLE,10.84,4.34,4.34,9.76,17
RC,637,DANTROLENE 25 MG CAPS 1 EACH,9.7,3.88,3.88,8.73,17
RC,637,DANTROLENE 25 MG CAPS 30 EACH BOX,9.69,3.88,3.88,8.72,17
RC,637,DANTROLENE 50 MG CAPS 100 EACH BOTTLE,8.215,3.285,3.11,7.79,34
RC,637,DAPSONE 100 MG TABS 100 EACH BOTTLE,13.5,5.4,5.4,12.15,17
RC,637,DAPSONE 100 MG TABS 30 EACH BOTTLE,15.12,6.05,6.05,13.61,34
RC,637,DAPSONE 25 MG TABS 30 EACH BOTTLE,12.33,4.93,4.93,11.1,34
RC,637,DARUNAVIR 600 MG TABS 60 EACH BOTTLE,215.82,86.33,86.33,194.24,17
RC,637,DARUNAVIR 800 MG TABS 30 EACH BOTTLE,397.1,158.84,158.84,357.39,17
RC,637,DARUNAVIRCOBICISTAT 800150 MG TABS 30 EACH BOTTLE,453.88,181.55,181.55,408.49,17
RC,637,DARUNCOBICEMTRICITTENOF AF 80015020010 MG TABS 30 EACH BOTTLE,867.91,347.16,347.16,781.12,17
RC,637,DASATINIB 20 MG TABS 60 EACH BOTTLE,908.0999999999999,363.24,353.92,838.25,34
RC,637,DASATINIB 50 MG TABS 60 EACH BOTTLE,1862.77,745.11,745.11,1676.49,17
RC,637,DASATINIB 70 MG TABS 60 EACH BOTTLE,1862.77,745.11,745.11,1676.49,17
RC,637,DEFERASIROX 125 MG TBSO 30 EACH BOTTLE,308.68,123.47,123.47,277.81,17
RC,637,DEFERASIROX 250 MG TBSO 30 EACH BOTTLE,567.95,227.18,227.18,511.16,17
RC,637,DEFERASIROX 360 MG TABS 30 EACH BOTTLE,419.12,167.65,167.65,377.21,17
RC,637,DEFERASIROX 500 MG TBSO 30 EACH BOTTLE,1135.89,454.36,454.36,1022.3,17
RC,637,DEKAS PLUS CHEW 60 EACH BOTTLE,3.05,1.22,1.22,2.75,17
RC,637,DEMECLOCYCLINE 150 MG TABS 100 EACH BOX,53.16,21.26,21.26,47.84,17
RC,637,DEMECLOCYCLINE 300 MG TABS 1 EACH,106.32,42.53,42.53,95.69,17
RC,637,DEMECLOCYCLINE 300 MG TABS 48 EACH BOTTLE,85.34,34.14,34.14,76.81,17
RC,637,DEMECLOCYCLINE 300 MG TABS 50 EACH BOX,106.32,42.53,42.53,95.69,17
RC,637,DEPLIN 15 1590.314 MG CAPS 90 EACH BOTTLE,20.58,8.23,8.23,18.52,17
RC,637,DERMACERIN CREA 454 G JAR,24.97,9.99,9.99,22.47,17
RC,637,DESIPRAMINE 25 MG TABS 100 EACH BOTTLE,7.12,2.85,2.85,6.41,17
RC,637,DESIPRAMINE 50 MG TABS 100 EACH BOTTLE,13.39,5.36,5.36,12.05,17
RC,637,DESMOPRESSIN 0.05 MG TABS 1 HALF TABLET,13.22,5.29,5.29,11.9,17
RC,637,DESMOPRESSIN 0.1 MG TABS 1 EACH,13.14,5.26,5.26,11.83,17
RC,637,DESMOPRESSIN 0.1 MG TABS 100 EACH BOTTLE,26.43,10.57,10.57,23.79,34
RC,637,DESMOPRESSIN 0.1 MG TABS 30 EACH BOX,13.14,5.26,5.26,11.83,17
RC,637,DESMOPRESSIN 0.2 MG TABS 100 EACH BOTTLE,38.08,15.23,15.23,34.27,17
RC,637,DESVENLAFAXINE 50 MG TB24 30 EACH BOTTLE,55.06,22.02,22.02,49.55,34
RC,637,DEXAMETHASONE 0.5 MG/5ML SOLN 500 ML BOTTLE,120.0,48.0,48.0,108.0,17
RC,637,DEXMETHYLPHENIDATE 15 MG CP24 100 EACH BOTTLE,30.8,12.32,12.32,27.72,17
RC,637,DEXMETHYLPHENIDATE 2.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,637,DEXMETHYLPHENIDATE 5 MG CP24 100 EACH BOTTLE,39.03,15.61,11.8,42.55,68
RC,637,DEXTROAMPHETAMINE 5 MG TABS 100 EACH BOTTLE,14.5,5.8,5.8,13.05,17
RC,637,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5ML SUER 148 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,DEXTROMETHORPHANGUAIFENESIN 30600 MG TB12 20 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,DEXTROMETHORPHANGUAIFENESIN 30600 MG TB12 20 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,DEXTROMETHORPHANGUAIFENESIN 30600 MG TB12 40 EACH BOX,3.36,1.34,1.34,3.02,17
RC,637,DEXTROMETHORPHANQUINIDINE 2010 MG CAPS 60 EACH BOTTLE,157.38,62.95,62.95,141.64,17
RC,637,DIAZEPAM 1 MG/ML SOLN 5 ML CUP,23.29,9.315,9.2,21.22,68
RC,637,DIAZEPAM 1 MG/ML SOLN 500 ML BOTTLE,358.8,143.52,143.52,322.92,17
RC,637,DIAZEPAM 10 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,DIAZEPAM 10 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,DIAZEPAM 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,DIAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,DIAZEPAM 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,DIAZEPAM 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,DIAZEPAM 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,DIAZEPAM 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,DICLOFENAC 25 MG TBEC 100 EACH BOTTLE,7.11,2.84,2.84,6.4,17
RC,637,DICLOFENAC 50 MG TBEC 100 EACH BOTTLE,4.73,1.89,1.89,4.26,17
RC,637,DICLOFENAC 75 MG TBEC 100 EACH BOTTLE,5.73,2.29,2.29,5.16,17
RC,637,DICLOFENAC 75 MG TBEC 100 EACH BOX,4.03,1.61,1.61,3.63,17
RC,637,DICLOXACILLIN 250 MG CAPS 100 EACH BOTTLE,7.51,3.0,3.0,6.76,17
RC,637,DICLOXACILLIN 500 MG CAPS 100 EACH BOTTLE,13.66,5.46,5.46,12.29,17
RC,637,DICYCLOMINE 10 MG CAPS 1 EACH,3.3,1.32,1.32,2.97,17
RC,637,DICYCLOMINE 10 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,DICYCLOMINE 10 MG CAPS 100 EACH BOX,3.3,1.32,1.32,2.97,17
RC,637,DICYCLOMINE 10 MG/5ML SOLN 473 ML BOTTLE,7.5,3.0,3.0,6.75,51
RC,637,DICYCLOMINE 10 MG/5ML SOLN 5 ML ORAL SYRINGE,7.5,3.0,3.0,6.75,17
RC,637,DIGOXIN 0.05 MG/ML SOLN 2.5 ML ORAL SYRINGE,35.0,14.0,14.0,31.5,17
RC,637,DIGOXIN 0.05 MG/ML SOLN 60 ML BOTTLE,778.3199999999999,311.33000000000004,309.12,705.46,34
RC,637,DIGOXIN 0.125 MG TABS 1 EACH,7.12,2.8499999999999996,2.78,6.56,34
RC,637,DIGOXIN 0.125 MG TABS 100 EACH BOX,7.29,2.92,2.78,7.59,51
RC,637,DIGOXIN 0.25 MG TABS 1 EACH,6.95,2.78,2.78,6.26,17
RC,637,DIGOXIN 0.25 MG TABS 100 EACH BOX,7.6899999999999995,3.075,2.78,7.59,34
RC,637,DIGOXIN 0.25 MG TABS 1000 EACH BOTTLE,5.94,2.38,2.38,5.35,17
RC,637,DILTIAZEM 120 MG CP12 100 EACH BOX,32.6,13.04,13.04,29.34,17
RC,637,DILTIAZEM 120 MG CP24 1 EACH,4.85,1.94,1.94,4.37,17
RC,637,DILTIAZEM 120 MG CP24 100 EACH BOX,4.84,1.94,1.94,4.36,17
RC,637,DILTIAZEM 120 MG CP24 30 EACH BOTTLE,11.81,4.72,4.72,10.63,17
RC,637,DILTIAZEM 180 MG CP24 1 EACH,4.85,1.94,1.94,4.37,17
RC,637,DILTIAZEM 180 MG CP24 100 EACH BOX,4.84,1.94,1.94,4.36,17
RC,637,DILTIAZEM 180 MG CP24 30 EACH BOTTLE,14.26,5.7,5.7,12.83,17
RC,637,DILTIAZEM 180 MG CP24 90 EACH BOTTLE,5.61,2.24,2.24,5.05,17
RC,637,DILTIAZEM 240 MG CP24 1 EACH,4.02,1.61,1.61,3.62,17
RC,637,DILTIAZEM 240 MG CP24 100 EACH BOX,3.51,1.405,1.2,3.62,34
RC,637,DILTIAZEM 240 MG CP24 90 EACH BOTTLE,7.96,3.18,3.18,7.16,17
RC,637,DILTIAZEM 30 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,DILTIAZEM 30 MG TABS 100 EACH BOTTLE,5.0,2.0,2.0,4.5,17
RC,637,DILTIAZEM 30 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,DILTIAZEM 300 MG CP24 90 EACH BOTTLE,10.32,4.13,4.13,9.29,17
RC,637,DILTIAZEM 60 MG CP12 100 EACH BOTTLE,17.29,6.92,6.92,15.56,17
RC,637,DILTIAZEM 60 MG CP12 100 EACH BOX,19.87,7.95,7.95,17.88,17
RC,637,DILTIAZEM 60 MG TABS 1 EACH,3.04,1.22,1.22,2.74,17
RC,637,DILTIAZEM 60 MG TABS 100 EACH BOTTLE,7.84,3.14,3.14,7.06,17
RC,637,DILTIAZEM 60 MG TABS 100 EACH BOX,3.04,1.22,1.22,2.74,17
RC,637,DILTIAZEM 90 MG CP12 100 EACH BOX,23.36,9.34,9.34,21.02,17
RC,637,DILTIAZEM 90 MG TABS 100 EACH BOTTLE,10.71,4.28,4.28,9.64,34
RC,637,DIMENHYDRINATE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,DIPHENHYDRAMINE 12.5 MG/5ML ELIX 10 ML CUP,5.245,2.1,1.1,6.97,34
RC,637,DIPHENHYDRAMINE 12.5 MG/5ML ELIX 5 ML CUP,7.82,3.13,3.13,7.04,17
RC,637,DIPHENHYDRAMINE 12.5 MG/5ML ELIX 5 ML PACKAGE,7.82,3.13,3.13,7.04,17
RC,637,DIPHENHYDRAMINE 12.5 MG/5ML LIQD 118 ML BOTTLE,4.25,1.7,0.99,9.4,68
RC,637,DIPHENHYDRAMINE 2 % CREA 30 G TUBE,19.95,7.98,7.98,17.96,17
RC,637,DIPHENHYDRAMINE 25 MG CAPS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,DIPHENHYDRAMINE 25 MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,34
RC,637,DIPHENHYDRAMINE 25 MG CAPS 24 EACH BOX,1.0,0.4,0.4,0.9,51
RC,637,DIPHENHYDRAMINE 50 MG CAPS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,DIPHENHYDRAMINE 50 MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,DIPHENHYDRAMINEZINC ACETATE 20.1 % CREA 28 G TUBE,11.76,4.7,4.7,10.58,17
RC,637,DIPHENHYDRAMINEZINC ACETATE 20.1 % CREA 28.4 G TUBE,20.59,8.24,8.24,18.53,17
RC,637,DIPHENOXYLATEATROPINE 2.50.025 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,68
RC,637,DIPHENOXYLATEATROPINE 2.50.025 MG/5ML LIQD 10 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,637,DIPHENOXYLATEATROPINE 2.50.025 MG/5ML LIQD 60 ML BOTTLE,49.95,19.98,19.98,44.96,17
RC,637,DIPYRIDAMOLE 25 MG TABS 100 EACH BOTTLE,7.11,2.84,2.84,6.4,34
RC,637,DIPYRIDAMOLE 50 MG TABS 100 EACH BOTTLE,11.44,4.58,4.58,10.3,17
RC,637,DIPYRIDAMOLE 75 MG TABS 100 EACH BOTTLE,15.31,6.12,6.12,13.78,51
RC,637,DIPYRIDAMOLEASPIRIN 25200 MG CP12 60 EACH BOTTLE,41.78,16.71,16.71,37.6,17
RC,637,DISOPYRAMIDE 100 MG CAPS 100 EACH BOTTLE,14.29,5.72,5.72,12.86,17
RC,637,DISOPYRAMIDE 100 MG CP12 100 EACH BOTTLE,25.91,10.36,10.36,23.32,17
RC,637,DISOPYRAMIDE 150 MG CAPS 100 EACH BOTTLE,16.88,6.75,6.75,15.19,17
RC,637,DISOPYRAMIDE 150 MG CP12 100 EACH BOTTLE,30.62,12.25,12.25,27.56,17
RC,637,DIVALPROEX 125 MG TBEC 1 EACH,6.32,2.53,2.53,5.69,17
RC,637,DIVALPROEX 125 MG TBEC 30 EACH BOX,5.385,2.155,1.78,5.69,34
RC,637,DIVALPROEX 250 MG TB24 1 EACH,12.24,4.9,4.9,11.02,17
RC,637,DIVALPROEX 250 MG TB24 100 EACH BOX,12.24,4.9,4.9,11.02,17
RC,637,DIVALPROEX 250 MG TB24 80 EACH BOX,9.73,3.89,3.89,8.76,17
RC,637,DIVALPROEX 250 MG TBEC 1 EACH,5.905,2.36,1.2,7.93,34
RC,637,DIVALPROEX 250 MG TBEC 1 EACH BOX,5.37,2.15,2.15,4.83,17
RC,637,DIVALPROEX 250 MG TBEC 100 EACH BOTTLE,10.83,4.33,4.33,9.75,17
RC,637,DIVALPROEX 250 MG TBEC 100 EACH BOX,5.37,2.15,1.2,7.93,68
RC,637,DIVALPROEX 250 MG TBEC 500 EACH BOTTLE,10.83,4.33,4.33,9.75,17
RC,637,DIVALPROEX 500 MG TB24 1 EACH,19.755000000000003,7.9,7.66,18.32,34
RC,637,DIVALPROEX 500 MG TB24 100 EACH BOX,19.16,7.66,7.66,17.24,17
RC,637,DIVALPROEX 500 MG TB24 80 EACH BOX,20.38,8.15,8.15,18.34,17
RC,637,DIVALPROEX 500 MG TBEC 1 EACH,9.575,3.83,1.2,14.54,34
RC,637,DIVALPROEX 500 MG TBEC 1 EACH BOX,7.11,2.84,2.84,6.4,17
RC,637,DIVALPROEX 500 MG TBEC 100 EACH BOTTLE,16.25,6.5,6.5,14.63,17
RC,637,DIVALPROEX 500 MG TBEC 100 EACH BOX,5.055,2.02,1.2,6.4,34
RC,637,DIVALPROEX 500 MG TBEC 90 EACH BOX,9.575,3.83,1.2,14.54,51
RC,637,DIVALPROEX SODIUM 125 MG CSDR 100 EACH BOTTLE,5.6,2.24,2.24,5.04,34
RC,637,DIVALPROEX SODIUM 125 MG CSDR 100 EACH BOX,7.1,2.84,2.84,6.39,17
RC,637,DIVALPROEX SODIUM 125 MG CSDR 50 EACH BOX,5.56,2.22,2.22,5.0,17
RC,637,DOCUSATE 50 MG/5ML LIQD 10 ML CUP,2.6950000000000003,1.075,0.82,3.0,51
RC,637,DOCUSATE 50 MG/5ML LIQD 473 ML BOTTLE,19.87,7.95,7.95,17.88,17
RC,637,DOCUSATE 50 MG/5ML LIQD 5 ML CUP,2.54,1.02,1.02,2.29,17
RC,637,DOCUSATE SODIUM 100 MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 100 MG CAPS 30 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 100 MG CAPS 30 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 150 MG/15ML LIQD 1 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 150 MG/15ML LIQD 10 ML CUP,2.0300000000000002,0.81,0.8,1.85,34
RC,637,DOCUSATE SODIUM 150 MG/15ML LIQD 2 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 150 MG/15ML LIQD 3 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 150 MG/15ML LIQD 4 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 150 MG/15ML LIQD 473 ML BOTTLE,11.35,4.54,3.97,11.49,51
RC,637,DOCUSATE SODIUM 150 MG/15ML LIQD 5 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,DOCUSATE SODIUM 50 MG CAPS 28 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,DOFETILIDE 125 MCG CAPS 60 EACH BOTTLE,48.72,19.49,19.49,43.85,17
RC,637,DOFETILIDE 250 MCG CAPS 40 EACH BOX,66.49,26.6,26.6,59.84,17
RC,637,DOFETILIDE 250 MCG CAPS 60 EACH BOTTLE,45.769999999999996,18.31,17.13,43.85,34
RC,637,DOFETILIDE 500 MCG CAPS 60 EACH BOTTLE,48.72,19.49,19.49,43.85,17
RC,637,DOLUTEGRAVIR SODIUM 50 MG TABS 30 EACH BOTTLE,440.66,176.26,176.26,396.59,17
RC,637,DOLUTEGRAVIRLAMIVUDINE 50300 MG TABS 30 EACH BOTTLE,598.09,239.24,239.24,538.28,17
RC,637,DOLUTEGRAVIRRILPIVIRINE 5025 MG TABS 30 EACH BOTTLE,692.26,276.9,276.9,623.03,17
RC,637,DONEPEZIL 10 MG TABS 1 EACH,3.88,1.55,1.55,3.49,17
RC,637,DONEPEZIL 10 MG TABS 100 EACH BOX,3.88,1.55,1.55,3.49,17
RC,637,DONEPEZIL 5 MG TABS 1 EACH,3.88,1.55,1.55,3.49,17
RC,637,DONEPEZIL 5 MG TABS 100 EACH BOX,3.44,1.375,1.2,3.49,34
RC,637,DONEPEZIL 5 MG TBDP 30 EACH BOTTLE,38.94,15.58,15.58,35.05,17
RC,637,DORAVIRINE 100 MG TABS 30 EACH BOTTLE,367.98,147.19,147.19,331.18,17
RC,637,DORAVIRINLAMIVUDINTENOFOV DF 100300300 MG TABS 30 EACH BOTTLE,515.29,206.12,206.12,463.76,17
RC,637,DORZOLAMIDETIMOLOL 20.5 % SOLN 10 ML BOTTLE,449.32500000000005,179.73,134.98,505.08,51
RC,637,DOXAZOSIN 1 MG TABS 30 EACH BOX,5.08,2.03,2.03,4.57,17
RC,637,DOXAZOSIN 2 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
RC,637,DOXAZOSIN 4 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,17
RC,637,DOXEPIN 10 MG CAPS 100 EACH BOX,3.2,1.28,1.28,2.88,17
RC,637,DOXEPIN 100 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,DOXEPIN 100 MG CAPS 100 EACH BOX,9.99,4.0,4.0,8.99,17
RC,637,DOXEPIN 25 MG CAPS 100 EACH BOX,4.22,1.69,1.69,3.8,17
RC,637,DOXEPIN 50 MG CAPS 1 EACH,5.85,2.34,2.34,5.27,17
RC,637,DOXEPIN 50 MG CAPS 100 EACH BOX,5.84,2.34,2.34,5.26,17
RC,637,DOXYCYCLINE 100 MG TABS 1 EACH,27.335,10.934999999999999,10.69,25.15,34
RC,637,DOXYCYCLINE 100 MG TABS 30 EACH BOX,25.335,10.135,9.09,25.15,34
RC,637,DOXYCYCLINE 100 MG TABS 50 EACH BOTTLE,30.74,12.3,12.3,27.67,17
RC,637,DOXYCYCLINE 100 MG TABS 50 EACH BOX,26.73,10.69,10.69,24.06,17
RC,637,DOXYCYCLINE 50 MG CAPS 100 EACH BOTTLE,7.26,2.9,2.9,6.53,34
RC,637,DOXYCYCLINE MONOHYDRATE 25 MG/5ML SUSR 20 ML ORAL SYRINGE,38.0,15.2,15.2,34.2,17
RC,637,DOXYCYCLINE MONOHYDRATE 25 MG/5ML SUSR 60 ML BOTTLE,114.0,45.6,45.6,102.6,17
RC,637,DOXYLAMINE SUCCINATE SLEEP 25 MG TABS 32 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,DULOXETINE 20 MG CPEP 1 EACH,40.83,16.33,16.33,36.75,17
RC,637,DULOXETINE 20 MG CPEP 100 EACH BOX,9.63,3.85,3.85,8.67,17
RC,637,DULOXETINE 20 MG CPEP 30 EACH BOX,40.83,16.33,16.33,36.75,17
RC,637,DULOXETINE 20 MG CPEP 60 EACH BOTTLE,34.99,14.0,14.0,31.49,17
RC,637,DULOXETINE 30 MG CPEP 30 EACH BOTTLE,39.26,15.7,15.7,35.33,17
RC,637,DULOXETINE 60 MG CPEP 1 EACH,38.5,15.4,15.4,34.65,17
RC,637,DULOXETINE 60 MG CPEP 100 EACH BOX,23.56,9.425,3.45,34.65,34
RC,637,DULOXETINE 60 MG CPEP 30 EACH BOTTLE,39.26,15.7,15.7,35.33,17
RC,637,DUTASTERIDE 0.5 MG CAPS 90 EACH BOTTLE,30.25,12.1,12.1,27.23,17
RC,637,EFAVIRENZ 200 MG CAPS 90 EACH BOTTLE,58.84,23.54,23.54,52.96,17
RC,637,EFAVIRENZ 600 MG TABS 30 EACH BOTTLE,182.595,73.03999999999999,71.55,167.69,34
RC,637,EFAVIRENZEMTRICITABTENOFO DF 600200300 MG TABS 30 EACH BOTTLE,523.48,209.39,209.39,471.13,34
RC,637,EFAVIRENZLAMIVUDINETENOFOVIR DF 600300300 MG TABS 30 EACH BOTTLE,372.16,148.86,148.86,334.94,17
RC,637,ELETRIPTAN 20 MG TABS 1 EACH,307.3,122.92,122.92,276.57,17
RC,637,ELETRIPTAN 20 MG TABS 6 EACH BOX,376.57,150.63,122.92,401.26,34
RC,637,ELETRIPTAN 40 MG TABS 6 EACH BOX,445.84,178.34,178.34,401.26,17
RC,637,ELTROMBOPAG 50 MG TABS 30 EACH BOTTLE,2379.43,951.77,951.77,2141.49,17
RC,637,ELVITEGCOBICEMTRICITTENOF AF 15015020010 MG TABS 30 EACH BOTTLE,813.78,325.51,325.51,732.4,17
RC,637,ELVITEGCOBICEMTRICITTENOF DF 150150200300 MG TABS 30 EACH BOTTLE,853.65,341.46,341.46,768.29,17
RC,637,EMPAGLIFLOZIN 25 MG TABS 30 EACH BOTTLE,70.0,28.0,28.0,63.0,17
RC,637,EMTRICITABINE 200 MG CAPS 30 EACH BOTTLE,136.43,54.57,54.57,122.79,17
RC,637,EMTRICITABRILPIVIRTENOFOV AF 2002525 MG TABS 30 EACH BOTTLE,740.6,296.24,296.24,666.54,17
RC,637,EMTRICITABRILPIVIRTENOFOV DF 20025300 MG TABS 30 EACH BOTTLE,740.6,296.24,296.24,666.54,17
RC,637,ENALAPRIL 10 MG TABS 100 EACH BOTTLE,6.61,2.645,1.4,8.75,34
RC,637,ENALAPRIL 2.5 MG TABS 100 EACH BOTTLE,5.145,2.06,1.2,6.56,34
RC,637,ENALAPRIL 2.5 MG TABS 100 EACH BOX,7.29,2.92,2.92,6.56,17
RC,637,ENALAPRIL 20 MG TABS 100 EACH BOTTLE,9.405000000000001,3.7600000000000002,1.99,12.45,34
RC,637,ENALAPRIL 20 MG TABS 100 EACH BOX,11.48,4.59,4.59,10.33,17
RC,637,ENALAPRIL 20 MG TABS 1000 EACH BOTTLE,4.73,1.89,1.89,4.26,17
RC,637,ENALAPRIL 5 MG TABS 100 EACH BOTTLE,6.295,2.515,1.33,8.33,51
RC,637,ENALAPRIL 5 MG TABS 100 EACH BOX,7.72,3.09,3.09,6.95,17
RC,637,ENTACAPONE 200 MG TABS 1 EACH,24.7,9.88,9.88,22.23,17
RC,637,ENTACAPONE 200 MG TABS 30 EACH BOX,24.71,9.88,9.88,22.24,17
RC,637,ENTECAVIR 0.5 MG TABS 30 EACH BOTTLE,222.17000000000002,88.86500000000001,88.86,199.96,34
RC,637,ENTECAVIR 1 MG TABS 30 EACH BOTTLE,222.16,88.86,88.86,199.94,17
RC,637,EPLERENONE 25 MG TABS 30 EACH BOX,25.0,10.0,10.0,22.5,17
RC,637,EPLERENONE 50 MG TABS 30 EACH BOTTLE,21.7,8.68,8.68,19.53,17
RC,637,ERGOCALCIFEROL 1.25 MG 50000 UT CAPS 1 EACH,9.6,3.84,3.84,8.64,17
RC,637,ERGOCALCIFEROL 1.25 MG 50000 UT CAPS 100 EACH BOTTLE,3.6,1.44,1.44,3.24,17
RC,637,ERGOTAMINE 2 MG SUBL 20 EACH BOX,392.82,157.13,157.13,353.54,17
RC,637,ERGOTAMINECAFFEINE 1100 MG TABS 100 EACH BOTTLE,69.39,27.76,27.76,62.45,17
RC,637,ERYTHROMYCIN 400 MG/5ML SUSR 100 ML BOTTLE,188.46499999999997,75.38499999999999,71.38,178.63,51
RC,637,ERYTHROMYCIN 400 MG/5ML SUSR 5 ML ORAL SYRINGE,178.45,71.38,71.38,160.61,17
RC,637,ERYTHROMYCIN 5 MG/GM OINT 1 G TUBE,62.08,24.83,17.39,90.16,51
RC,637,ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE,95.01,38.0,35.92,130.27,51
RC,637,ERYTHROMYCIN 500 MG TBEC 100 EACH BOTTLE,68.45,27.38,27.38,61.61,17
RC,637,ERYTHROMYCIN BASE 250 MG TABS 30 EACH BOTTLE,67.89,27.155,26.46,62.67,51
RC,637,ERYTHROMYCIN BASE 500 MG TABS 100 EACH BOTTLE,104.96,41.98,41.98,94.46,17
RC,637,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML SUSR 100 ML BOTTLE,2076.9,830.76,830.76,1869.21,17
RC,637,ESCITALOPRAM 10 MG TABS 100 EACH BOX,21.91,8.76,8.76,19.72,17
RC,637,ESCITALOPRAM 20 MG TABS 1 EACH,22.99,9.2,9.2,20.69,17
RC,637,ESCITALOPRAM 20 MG TABS 100 EACH BOX,22.924999999999997,9.17,9.14,20.69,34
RC,637,ESCITALOPRAM 5 MG TABS 100 EACH BOTTLE,21.65,8.66,8.3,20.3,34
RC,637,ESLICARBAZEPINE ACETATE 200 MG TABS 30 EACH BOTTLE,277.49,111.0,111.0,249.74,17
RC,637,ESLICARBAZEPINE ACETATE 400 MG TABS 30 EACH BOTTLE,277.49,111.0,111.0,249.74,17
RC,637,ESLICARBAZEPINE ACETATE 600 MG TABS 60 EACH BOTTLE,277.49,111.0,111.0,249.74,17
RC,637,ESLICARBAZEPINE ACETATE 800 MG TABS 30 EACH BOTTLE,277.49,111.0,111.0,249.74,17
RC,637,ESOMEPRAZOLE 20 MG CPDR 30 EACH BOTTLE,43.87,17.55,17.05,40.61,68
RC,637,ESOMEPRAZOLE 40 MG CPDR 30 EACH BOTTLE,43.87,17.55,17.05,40.61,51
RC,637,ESTAZOLAM 1 MG TABS 100 EACH BOTTLE,29.6,11.84,11.84,26.64,17
RC,637,ESTERIFIED ESTROGENS 0.3 MG TABS 100 EACH BOTTLE,11.35,4.54,4.54,10.22,17
RC,637,ESTERIFIED ESTROGENS 0.625 MG TABS 100 EACH BOTTLE,16.12,6.45,6.45,14.51,17
RC,637,ESTRADIOL 0.01 % CREA 42.5 G TUBE,1903.19,761.28,761.28,1712.87,17
RC,637,ESTRADIOL 0.025 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
RC,637,ESTRADIOL 0.0375 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
RC,637,ESTRADIOL 0.05 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,17
RC,637,ESTRADIOL 0.075 MG/24HR PTWK 4 EACH BOX,116.04,46.42,46.42,104.44,34
RC,637,ESTRADIOL 0.1 MG/24HR PTWK 4 EACH BOX,115.245,46.1,45.78,104.44,34
RC,637,ESTRADIOL 0.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ESTRADIOL 1 MG TABS 100 EACH BOTTLE,18.055,7.22,1.36,29.44,51
RC,637,ESTRADIOL 10 MCG TABS 8 EACH BOX,127.62,51.05,51.05,114.86,17
RC,637,ESTRADIOL 2 MG TABS 100 EACH BOTTLE,4.71,1.88,1.88,4.24,51
RC,637,ESTROGEN CONJUGATEDMEDROXYPROGESTERONE 0.31.5 MG TABS 28 EACH DISP PACK,54.5,21.8,21.8,49.05,17
RC,637,ESTROGENS CONJUGATED 0.3 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
RC,637,ESTROGENS CONJUGATED 0.625 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
RC,637,ESTROGENS CONJUGATED 1.25 MG TABS 100 EACH BOTTLE,43.58,17.43,17.43,39.22,17
RC,637,ESTROGENS CONJUGATEDMETHYLTESTOSTERONE 0.6251.25 MG TABS 100 EACH BOTTLE,24.0,9.6,9.6,21.6,17
RC,637,ESTROGENS CONJUGATEDMETHYLTESTOSTERONE 1.252.5 MG TABS 100 EACH BOTTLE,18.0,7.2,7.2,16.2,17
RC,637,ESZOPICLONE 1 MG TABS 30 EACH BOTTLE,60.81,24.32,24.32,54.73,17
RC,637,ESZOPICLONE 2 MG TABS 100 EACH BOTTLE,119.45,47.78,47.78,107.51,17
RC,637,ESZOPICLONE 3 MG TABS 100 EACH BOTTLE,119.45,47.78,47.78,107.51,17
RC,637,ETHACRYNIC ACID 25 MG TABS 100 EACH BOTTLE,120.96,48.38,48.38,108.86,17
RC,637,ETHAMBUTOL 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,ETHAMBUTOL 400 MG TABS 1 EACH,8.13,3.25,3.25,7.32,17
RC,637,ETHAMBUTOL 400 MG TABS 100 EACH BOX,6.505000000000001,2.6,1.95,7.32,34
RC,637,ETHOSUXIMIDE 250 MG CAPS 100 EACH BOTTLE,12.32,4.925000000000001,4.28,12.54,51
RC,637,ETODOLAC 200 MG CAPS 100 EACH BOTTLE,6.47,2.59,2.59,5.82,17
RC,637,ETODOLAC 300 MG CAPS 100 EACH BOTTLE,8.09,3.24,3.24,7.28,17
RC,637,ETODOLAC 400 MG TABS 100 EACH BOTTLE,7.34,2.94,2.94,6.61,17
RC,637,ETRAVIRINE 100 MG TABS 120 EACH BOTTLE,74.9,29.96,29.96,67.41,17
RC,637,EZETIMIBE 10 MG TABS 1 EACH,61.97,24.785,24.78,55.78,34
RC,637,EZETIMIBE 10 MG TABS 20 EACH BOX,46.955,18.78,12.78,55.76,34
RC,637,EZETIMIBE 10 MG TABS 30 EACH BOTTLE,56.49,22.6,22.6,50.84,17
RC,637,EZETIMIBE 10 MG TABS 30 EACH BOX,61.98,24.79,24.79,55.78,17
RC,637,FAMCICLOVIR 125 MG TABS 30 EACH BOTTLE,29.07,11.63,11.63,26.16,17
RC,637,FAMCICLOVIR 250 MG TABS 30 EACH BOTTLE,31.61,12.64,12.64,28.45,17
RC,637,FAMCICLOVIR 500 MG TABS 30 EACH BOTTLE,63.47,25.39,25.39,57.12,17
RC,637,FAMOTIDINE 10 MG TABS 30 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,FAMOTIDINE 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,FAMOTIDINE 20 MG TABS 100 EACH BOTTLE,12.11,4.84,4.84,10.9,17
RC,637,FAMOTIDINE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,51
RC,637,FAMOTIDINE 40 MG TABS 100 EACH BOTTLE,23.41,9.36,9.36,21.07,17
RC,637,FAMOTIDINE 40 MG TABS 50 EACH BOX,16.36,6.54,6.54,14.72,17
RC,637,FAMOTIDINE 40 MG/5ML SUSR 50 ML BOTTLE,22.12,8.85,8.85,19.91,17
RC,637,FAPYRIDOXINECYANOCOBALAMIN 2.5252 MG TABS 90 EACH BOTTLE,4.58,1.83,1.83,4.12,17
RC,637,FEBUXOSTAT 40 MG TABS 30 EACH BOTTLE,50.315,20.125,20.12,45.3,34
RC,637,FELBAMATE 400 MG TABS 100 EACH BOTTLE,92.61,37.04,37.04,83.35,17
RC,637,FELBAMATE 600 MG TABS 100 EACH BOTTLE,29.62,11.85,11.85,26.66,17
RC,637,FELODIPINE 10 MG TB24 100 EACH BOTTLE,13.58,5.43,5.43,12.22,17
RC,637,FELODIPINE 2.5 MG TB24 100 EACH BOTTLE,7.56,3.02,3.02,6.8,17
RC,637,FELODIPINE 5 MG TB24 100 EACH BOTTLE,7.56,3.02,3.02,6.8,17
RC,637,FENOFIBRATE 160 MG TABS 1 EACH,25.65,10.26,10.26,23.09,17
RC,637,FENOFIBRATE 160 MG TABS 50 EACH BOX,25.65,10.26,10.26,23.09,17
RC,637,FENOFIBRATE 160 MG TABS 90 EACH BOTTLE,11.88,4.75,4.75,10.69,17
RC,637,FENOFIBRATE 54 MG TABS 30 EACH BOX,6.52,2.61,2.61,5.87,34
RC,637,FENOFIBRATE 54 MG TABS 50 EACH BOX,8.52,3.41,3.41,7.67,17
RC,637,FENTANYL 100 MCG/HR PT72 1 EACH PACKAGE,362.07,125.775,106.72,325.87,51
RC,637,FENTANYL 100 MCG/HR PT72 5 EACH BOX,314.44,125.775,106.72,325.87,51
RC,637,FENTANYL 12 MCG/HR PT72 1 EACH,101.51,40.6,40.6,91.36,17
RC,637,FENTANYL 12 MCG/HR PT72 1 EACH PACKAGE,101.5,40.6,40.6,91.35,17
RC,637,FENTANYL 12 MCG/HR PT72 5 EACH BOX,101.51,40.6,40.6,91.36,51
RC,637,FENTANYL 200 MCG LPOP 30 EACH BOX,94.13,37.65,37.65,84.72,17
RC,637,FENTANYL 25 MCG/HR PT72 1 EACH PACKAGE,89.215,35.685,28.84,95.7,34
RC,637,FENTANYL 25 MCG/HR PT72 5 EACH BOX,89.215,35.685,28.84,95.7,34
RC,637,FENTANYL 400 MCG LPOP 30 EACH BOX,119.25,47.7,47.7,107.33,17
RC,637,FENTANYL 50 MCG/HR PT72 1 EACH BOX,194.41,77.76,77.76,174.97,17
RC,637,FENTANYL 50 MCG/HR PT72 1 EACH PACKAGE,194.4,65.24000000000001,52.72,174.97,51
RC,637,FENTANYL 50 MCG/HR PT72 5 EACH BOX,163.10500000000002,65.24000000000001,52.72,174.97,51
RC,637,FENTANYL 600 MCG LPOP 30 EACH BOX,146.07,58.43,58.43,131.46,17
RC,637,FENTANYL 75 MCG/HR PT72 1 EACH BOX,296.53,118.61,118.61,266.88,17
RC,637,FENTANYL 75 MCG/HR PT72 1 EACH PACKAGE,248.8,99.52000000000001,80.42,266.9,34
RC,637,FENTANYL 75 MCG/HR PT72 5 EACH BOX,296.53,118.61,118.61,266.88,34
RC,637,FERROUS FUMARATE 324 106 FE MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,FERROUS FUMARATE 325 106 FE MG TABS 60 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,FERROUS GLUCONATE 38 FE 324 MG 38 FE TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,FERROUS GLUCONATE 38 FE 324 MG 38 FE TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.067 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.1 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.133 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.167 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.2 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.233 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.267 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.3 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.333 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.367 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.4 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.433 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.467 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.5 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.533 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.6 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.667 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 0.8 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1 ML,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1.2 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1.3333 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 1.6667 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 3.3333 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 5 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 15 MG OF IRON/ML SOLN 50 ML BOTTLE,14.59,5.835,1.92,14.52,68
RC,637,FERROUS SULFATE 300 60 FE MG/5ML SOLN 5 ML BOX,4.86,1.94,1.94,4.37,17
RC,637,FERROUS SULFATE 300 60 FE MG/5ML SOLN 5 ML CUP,6.11,2.44,1.94,5.55,51
RC,637,FERROUS SULFATE 325 65 FE MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE 325 65 FE MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,FERROUS SULFATE DRIED 160 50 FE MG TAB CR 60 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,FEXOFENADINE 180 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,FEXOFENADINE 60 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,FIDAXOMICIN 200 MG TABS 20 EACH BOTTLE,1400.665,560.265,545.9,1292.92,51
RC,637,FINASTERIDE 5 MG TABS 1 EACH,5.4,2.16,2.16,4.86,17
RC,637,FINASTERIDE 5 MG TABS 100 EACH BOX,6.19,2.48,2.48,5.57,17
RC,637,FINASTERIDE 5 MG TABS 50 EACH BOX,4.8,1.92,1.92,4.32,17
RC,637,FISH OIL 1000 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,FISH OIL 1000 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,FISH OIL 1000 MG CAPS 200 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,FLAVOXATE 100 MG TABS 100 EACH BOTTLE,7.32,2.93,2.93,6.59,17
RC,637,FLECAINIDE 100 MG TABS 100 EACH BOTTLE,13.66,5.46,5.46,12.29,17
RC,637,FLECAINIDE 100 MG TABS 50 EACH BOX,29.88,11.95,11.95,26.89,17
RC,637,FLECAINIDE 50 MG TABS 1 EACH,20.27,8.11,8.11,18.24,17
RC,637,FLECAINIDE 50 MG TABS 100 EACH BOTTLE,8.71,3.48,3.48,7.84,17
RC,637,FLECAINIDE 50 MG TABS 50 EACH BOX,20.27,8.11,8.11,18.24,17
RC,637,FLECAINIDE 50 MG TABS 60 EACH BOTTLE,10.1,4.04,4.04,9.09,17
RC,637,FLEET ENEMA 197 GM/197ML ENEM 133 ML BOTTLE,9.315000000000001,3.725,3.46,8.98,34
RC,637,FLUCONAZOLE 100 MG TABS 1 EACH,11.2,4.48,4.48,10.08,17
RC,637,FLUCONAZOLE 100 MG TABS 100 EACH BOX,11.23,4.49,4.49,10.11,17
RC,637,FLUCONAZOLE 150 MG TABS 1 EACH BOX,69.67,27.87,27.87,62.7,17
RC,637,FLUCONAZOLE 150 MG TABS 12 EACH BOX,69.775,27.91,27.87,62.89,34
RC,637,FLUCONAZOLE 200 MG TABS 1 EACH,16.15,6.46,6.46,14.54,17
RC,637,FLUCONAZOLE 200 MG TABS 100 EACH BOX,48.95,19.58,6.47,73.56,34
RC,637,FLUCYTOSINE 250 MG CAPS 100 EACH BOTTLE,400.85,160.33999999999997,151.01,381.76,34
RC,637,FLUCYTOSINE 250 MG CAPS 20 EACH BOX,451.88,180.75,180.75,406.69,17
RC,637,FLUCYTOSINE 250 MG CAPS 30 EACH BOTTLE,187.5,75.0,75.0,168.75,17
RC,637,FLUCYTOSINE 500 MG CAPS 1 EACH,857.845,343.14,340.35,778.34,34
RC,637,FLUCYTOSINE 500 MG CAPS 20 EACH BOX,850.87,340.35,340.35,765.78,17
RC,637,FLUCYTOSINE 500 MG CAPS 30 EACH BOTTLE,354.17,141.67,141.67,318.75,17
RC,637,FLUCYTOSINE 500 MG CAPS 30 EACH BOX,864.82,345.93,345.93,778.34,17
RC,637,FLUOCINONIDE 0.05 % OINT 30 G TUBE,650.95,260.38,260.38,585.86,34
RC,637,FLUOCINONIDE 0.05 % OINT 60 G TUBE,1301.89,520.76,520.76,1171.7,17
RC,637,FLUOROMETHOLONE 0.1 % OINT 3.5 G TUBE,885.4,354.16,354.16,796.86,17
RC,637,FLUOROMETHOLONE 0.1 % SUSP 5 ML BOTTLE,496.57,198.63,198.63,446.91,17
RC,637,FLUOROURACIL 5 % CREA 40 G TUBE,772.02,308.81,144.0,1065.64,51
RC,637,FLUOXETINE 10 MG CAPS 100 EACH BOTTLE,12.99,5.2,5.2,11.69,85
RC,637,FLUOXETINE 10 MG CAPS 100 EACH BOX,7.55,3.02,1.2,10.89,34
RC,637,FLUOXETINE 20 MG CAPS 100 EACH BOTTLE,13.34,5.34,5.34,12.01,17
RC,637,FLUOXETINE 20 MG CAPS 100 EACH BOX,7.71,3.085,1.2,11.18,34
RC,637,FLUOXETINE 20 MG/5ML SOLN 120 ML BOTTLE,12.265,4.91,4.9,11.06,34
RC,637,FLUOXETINE 20 MG/5ML SOLN 5 ML CUP,17.1,6.84,6.84,15.39,17
RC,637,FLUOXETINE 20 MG/5ML SOLN 5 ML ORAL SYRINGE,12.24,4.9,4.9,11.02,17
RC,637,FLUPHENAZINE 1 MG TABS 100 EACH BOTTLE,21.96,8.78,8.78,19.76,34
RC,637,FLUPHENAZINE 10 MG TABS 100 EACH BOTTLE,58.0,23.2,23.2,52.2,68
RC,637,FLUPHENAZINE 2.5 MG TABS 100 EACH BOTTLE,34.0,13.6,13.6,30.6,17
RC,637,FLUPHENAZINE 5 MG TABS 100 EACH BOTTLE,46.0,18.4,18.4,41.4,34
RC,637,FLUPHENAZINE 5 MG TABS 100 EACH BOX,45.3,18.12,18.12,40.77,17
RC,637,FLURAZEPAM 15 MG CAPS 90 EACH BOTTLE,91.02,36.41,36.41,81.92,17
RC,637,FLURBIPROFEN 100 MG TABS 100 EACH BOTTLE,10.33,4.13,4.13,9.3,17
RC,637,FLUTICASONE 110 MCG/ACT AEROSOL 12 G INHALER,1473.755,589.505,574.39,1360.39,34
RC,637,FLUTICASONE 27.5 MCG/SPRAY SUSP 9.1 ML BOTTLE,211.98,84.79,84.79,190.78,17
RC,637,FLUTICASONE 44 MCG/ACT AEROSOL 10.6 G INHALER,1100.855,440.345,429.05,1016.18,34
RC,637,FLUTICASONESALMETEROL 10050 MCG/ACT AEPB 14 EACH DISP PACK,19.51,7.8,7.8,17.56,17
RC,637,FLUTICASONESALMETEROL 11521 MCG/ACT AEROSOL 12 G INHALER,1760.44,704.18,704.18,1584.4,17
RC,637,FLUTICASONESALMETEROL 11521 MCG/ACT AEROSOL 8 G INHALER,863.7,345.48,345.48,777.33,17
RC,637,FLUTICASONESALMETEROL 23021 MCG/ACT AEROSOL 12 G INHALER,2385.635,954.255,886.48,2299.57,34
RC,637,FLUTICASONESALMETEROL 23021 MCG/ACT AEROSOL 8 G INHALER,1411.76,564.7,564.7,1270.58,17
RC,637,FLUTICASONESALMETEROL 25050 MCG/ACT AEPB 14 EACH DISP PACK,19.51,7.8,7.8,17.56,17
RC,637,FLUTICASONESALMETEROL 4521 MCG/ACT AEROSOL 12 G INHALER,1384.42,553.77,553.77,1245.98,17
RC,637,FLUTICASONESALMETEROL 4521 MCG/ACT AEROSOL 8 G INHALER,930.16,372.06,372.06,837.14,17
RC,637,FLUTICASONESALMETEROL 50050 MCG/ACT AEPB 14 EACH DISP PACK,31.8,12.72,12.72,28.62,17
RC,637,FLUTICASONESALMETEROL 50050 MCG/ACT AEPB 60 EACH DISP PACK,48.7,19.48,19.48,43.83,17
RC,637,FLUTICASONEUMECLIDINIUMVILANTEROL 20062.525 MCG/ACT AEPB 60 EACH DISP PACK,69.78,27.91,27.91,62.8,17
RC,637,FLUVASTATIN 20 MG CAPS 30 EACH BOTTLE,25.03,10.01,10.01,22.53,17
RC,637,FLUVASTATIN 40 MG CAPS 30 EACH BOTTLE,25.03,10.01,10.01,22.53,17
RC,637,FLUVASTATIN XL 80 MG TB24 30 EACH BOTTLE,81.92,32.77,32.77,73.73,17
RC,637,FLUVOXAMINE 100 MG TABS 100 EACH BOTTLE,13.18,5.27,5.26,11.89,51
RC,637,FLUVOXAMINE 25 MG TABS 100 EACH BOTTLE,11.51,4.605,4.6,10.37,34
RC,637,FLUVOXAMINE 50 MG TABS 100 EACH BOTTLE,12.87,5.15,5.15,11.58,17
RC,637,FOLIC ACID 1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,FOLIC ACID 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,FOSAMPRENAVIR 700 MG TABS 60 EACH BOTTLE,115.86,46.34,46.34,104.27,17
RC,637,FOSFOMYCIN 3 G PACK 1 EACH BOX,461.84,184.74,184.74,415.66,17
RC,637,FOSFOMYCIN 3 G PACK 1 EACH SACHET,461.84,184.74,184.74,415.66,17
RC,637,FOSINOPRIL 10 MG TABS 90 EACH BOTTLE,5.95,2.38,2.38,5.36,17
RC,637,FOSINOPRIL 20 MG TABS 90 EACH BOTTLE,5.95,2.38,2.38,5.36,17
RC,637,FOSINOPRIL 40 MG TABS 90 EACH BOTTLE,5.95,2.38,2.38,5.36,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.15 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.2 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.25 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.3 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.4 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.6 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.7 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.8 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 0.9 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 1 ML,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 1.5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 10 ML ORAL SYRINGE,7.6,3.04,3.04,6.84,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 120 ML BOTTLE,88.2,35.28,35.28,79.38,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 2 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 4 ML ORAL SYRINGE,3.46,1.38,1.38,3.11,17
RC,637,FUROSEMIDE 10 MG/ML SOLN 60 ML BOTTLE,48.75,19.5,18.24,46.71,34
RC,637,FUROSEMIDE 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,FUROSEMIDE 40 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,FUROSEMIDE 80 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,FUROSEMIDE 80 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,FUROSEMIDE 80 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,GABAPENTIN 100 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 100 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,637,GABAPENTIN 100 MG CAPS 1000 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 100 MG/ML SUSP 240 ML BOTTLE,349.97,139.99,139.99,314.97,17
RC,637,GABAPENTIN 250 MG/5ML SOLN 470 ML BOTTLE,685.35,274.14,274.14,616.82,17
RC,637,GABAPENTIN 250 MG/5ML SOLN 5 ML ORAL SYRINGE,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 250 MG/5ML SOLN 6 ML CUP,36.06,14.42,14.42,32.45,17
RC,637,GABAPENTIN 250 MG/5ML SOLN 6 ML ORAL SYRINGE,36.06,14.42,14.42,32.45,17
RC,637,GABAPENTIN 300 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 300 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 300 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 300 MG CAPS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 400 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,GABAPENTIN 400 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,GALANTAMINE 12 MG TABS 60 EACH BOTTLE,15.91,6.36,6.36,14.32,17
RC,637,GALANTAMINE 16 MG CP24 30 EACH BOTTLE,31.83,12.73,12.73,28.65,17
RC,637,GALANTAMINE 4 MG TABS 30 EACH BOX,23.94,9.58,9.58,21.55,17
RC,637,GALANTAMINE 8 MG TABS 60 EACH BOTTLE,15.91,6.36,6.36,14.32,17
RC,637,GEMFIBROZIL 600 MG TABS 1 EACH,11.58,4.63,4.63,10.42,17
RC,637,GEMFIBROZIL 600 MG TABS 100 EACH BOX,11.58,4.63,4.63,10.42,17
RC,637,GLIMEPIRIDE 1 MG TABS 50 EACH BOX,5.04,2.02,2.02,4.54,17
RC,637,GLIMEPIRIDE 2 MG TABS 100 EACH BOTTLE,3.26,1.3,1.3,2.93,17
RC,637,GLIMEPIRIDE 4 MG TABS 100 EACH BOX,6.1,2.44,2.44,5.49,17
RC,637,GLIPIZIDE 10 MG TABS 1 EACH,3.79,1.52,1.52,3.41,17
RC,637,GLIPIZIDE 10 MG TABS 50 EACH BOX,3.79,1.52,1.52,3.41,17
RC,637,GLIPIZIDE 10 MG TB24 100 EACH BOTTLE,4.03,1.61,1.61,3.63,17
RC,637,GLIPIZIDE 10 MG TB24 500 EACH BOTTLE,4.03,1.61,1.61,3.63,17
RC,637,GLIPIZIDE 2.5 MG TB24 30 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,GLIPIZIDE 5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,GLIPIZIDE 5 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,GLIPIZIDE 5 MG TB24 1 EACH,4.17,1.67,1.44,4.27,34
RC,637,GLIPIZIDE 5 MG TB24 100 EACH BOX,4.17,1.67,1.44,4.27,34
RC,637,GLUCOSE 4 G CHEW 10 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,GLYBURIDE 1.25 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,GLYBURIDE 2.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,GLYBURIDE 5 MG TABS 100 EACH BOTTLE,3.89,1.56,1.56,3.5,17
RC,637,GLYBURIDE 5 MG TABS 500 EACH BOTTLE,3.42,1.37,1.37,3.08,34
RC,637,GLYBURIDE MICRONIZED 3 MG TABS 100 EACH BOTTLE,11.215,4.485,1.31,17.24,34
RC,637,GLYCERIN LAXATIVE 1 G SUPP 12 EACH BOX,4.22,1.69,1.69,3.8,17
RC,637,GLYCERIN LAXATIVE 1 G SUPP 25 EACH BOX,3.05,1.22,1.22,2.75,17
RC,637,GLYCERIN LAXATIVE 1.2 G SUPP 25 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,GLYCERIN LAXATIVE 2 G SUPP 24 EACH JAR,3.0,1.2,1.2,2.7,17
RC,637,GLYCERIN LIQD 177 ML BOTTLE,13.54,5.42,5.42,12.19,17
RC,637,GLYCOPYRROLATE 0.5 MG TABS 1 HALF TABLET,3.28,1.31,1.31,2.95,17
RC,637,GLYCOPYRROLATE 1 MG TABS 1 EACH,6.24,2.5,2.5,5.62,34
RC,637,GLYCOPYRROLATE 1 MG TABS 100 EACH BOTTLE,6.57,2.63,2.63,5.91,34
RC,637,GLYCOPYRROLATE 1 MG TABS 100 EACH BOX,6.37,2.55,2.5,5.85,34
RC,637,GLYCOPYRROLATE 1 MG TABS 50 EACH BOX,6.24,2.5,2.5,5.62,17
RC,637,GRISEOFULVIN MICROSIZE 125 MG/5ML SUSP 120 ML BOTTLE,358.8,143.52,143.52,322.92,34
RC,637,GUAIFENESIN 100 MG/5ML LIQD 10 ML CUP,1.45,0.58,0.58,1.31,34
RC,637,GUAIFENESIN 100 MG/5ML LIQD 10 ML ORAL SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,GUAIFENESIN 100 MG/5ML LIQD 118 ML BOTTLE,1.0,0.4,0.4,0.9,34
RC,637,GUAIFENESIN 100 MG/5ML LIQD 5 ML CUP,2.87,1.15,1.15,2.58,34
RC,637,GUAIFENESIN 200 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,GUAIFENESIN 600 MG TB12 1 EACH,1.5,0.6,0.6,1.35,17
RC,637,GUAIFENESIN 600 MG TB12 100 EACH BOX,1.25,0.5,0.4,1.35,34
RC,637,GUAIFENESINCODEINE 10010 MG/5ML SOLN 118 ML BOTTLE,67.85,27.14,27.14,61.07,17
RC,637,GUAIFENESINCODEINE 10010 MG/5ML SOLN 5 ML CUP,21.5,8.6,8.6,19.35,17
RC,637,GUAIFENESINCODEINE 10010 MG/5ML SOLN 5 ML SYRINGE,10.0,4.0,4.0,9.0,17
RC,637,GUAIFENESINDEXTROMETHORPHAN 10010 MG/5ML SYRP 10 ML CUP,6.93,2.77,2.77,6.24,17
RC,637,GUAIFENESINDEXTROMETHORPHAN 10010 MG/5ML SYRP 5 ML CUP,12.48,4.99,4.99,11.23,17
RC,637,GUANFACINE 1 MG TABS 100 EACH BOTTLE,6.35,2.54,2.54,5.72,17
RC,637,GUANFACINE 1 MG TABS 30 EACH BOX,13.024999999999999,5.21,3.86,14.76,34
RC,637,GUANFACINE 1 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,34
RC,637,GUANFACINE HCL 3 MG TB24 100 EACH BOTTLE,52.46,20.98,20.98,47.21,17
RC,637,HALOPERIDOL 0.5 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,HALOPERIDOL 0.5 MG TABS 100 EACH BOTTLE,3.735,1.495,1.2,4.02,34
RC,637,HALOPERIDOL 0.5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,HALOPERIDOL 1 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,HALOPERIDOL 1 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,HALOPERIDOL 10 MG TABS 1 EACH,9.5,3.8,3.8,8.55,17
RC,637,HALOPERIDOL 10 MG TABS 100 EACH BOTTLE,7.18,2.87,2.87,6.46,17
RC,637,HALOPERIDOL 10 MG TABS 100 EACH BOX,9.774999999999999,3.9099999999999997,3.8,9.04,34
RC,637,HALOPERIDOL 2 MG TABS 1 EACH,3.35,1.34,1.34,3.02,17
RC,637,HALOPERIDOL 2 MG TABS 100 EACH BOX,3.37,1.35,1.35,3.03,34
RC,637,HALOPERIDOL 5 MG TABS 1 EACH,5.48,2.1900000000000004,2.18,4.95,34
RC,637,HALOPERIDOL 5 MG TABS 100 EACH BOX,5.46,2.18,2.18,4.91,51
RC,637,HYDRALAZINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,51
RC,637,HYDRALAZINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,HYDRALAZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,68
RC,637,HYDRALAZINE 100 MG TABS 100 EACH BOTTLE,5.07,2.03,2.03,4.56,68
RC,637,HYDRALAZINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,HYDRALAZINE 12.5 MG TABS 1 TABLET,3.0,1.2,1.2,2.7,17
RC,637,HYDRALAZINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,HYDRALAZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,51
RC,637,HYDRALAZINE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,HYDRALAZINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,51
RC,637,HYDROCERIN CREA 113 G JAR,64.41,25.76,25.76,57.97,17
RC,637,HYDROCERIN CREA 454 G JAR,111.23,44.49,44.49,100.11,17
RC,637,HYDROCHLOROTHIAZIDE 10 MG/ML SUSR 80 ML BOTTLE,2099.81,839.92,839.92,1889.83,17
RC,637,HYDROCHLOROTHIAZIDE 12.5 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,HYDROCHLOROTHIAZIDE 12.5 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,HYDROCHLOROTHIAZIDE 12.5 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,HYDROCHLOROTHIAZIDE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,HYDROCHLOROTHIAZIDE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,HYDROCHLOROTHIAZIDE 5 MG/ML SUSP 120 ML BOTTLE,150.0,60.0,60.0,135.0,17
RC,637,HYDROCHLOROTHIAZIDE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,51
RC,637,HYDROCODONE BITHOMATROP MBR 51.5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROCODONE BITHOMATROP MBR 51.5 MG/5ML SOLN 473 ML BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROCODONEACETAMINOPHEN 10325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,34
RC,637,HYDROCODONEACETAMINOPHEN 10325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,637,HYDROCODONEACETAMINOPHEN 10325 MG TABS 120 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROCODONEACETAMINOPHEN 5325 MG TABS 1 EACH,10.0,4.0,4.0,9.0,34
RC,637,HYDROCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROCODONEACETAMINOPHEN 5325 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,HYDROCODONEACETAMINOPHEN 5325 MG TABS 50 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,HYDROCODONEACETAMINOPHEN 5325 MG TABS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROCORTISONE 0.5 % CREA 28.35 G TUBE,30.33,12.13,12.13,27.3,17
RC,637,HYDROCORTISONE 1 % CREA 28 G TUBE,20.02,8.01,8.01,18.02,17
RC,637,HYDROCORTISONE 1 % CREA 28.35 G TUBE,36.0,14.4,14.4,32.4,17
RC,637,HYDROCORTISONE 1 % OINT 28 G TUBE,18.689999999999998,7.475,6.94,18.02,34
RC,637,HYDROCORTISONE 1 % OINT 28.35 G TUBE,41.25,16.5,16.5,37.13,17
RC,637,HYDROCORTISONE 10 MG TABS 1 EACH,10.01,4.0,4.0,9.01,17
RC,637,HYDROCORTISONE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,51
RC,637,HYDROCORTISONE 10 MG TABS 100 EACH BOX,10.01,4.0,4.0,9.01,17
RC,637,HYDROCORTISONE 2.5 % CREA 30 G TUBE,55.05,22.02,22.02,49.55,17
RC,637,HYDROCORTISONE 2.5 % CREA 453.6 G JAR,360.61,144.24,144.24,324.55,17
RC,637,HYDROCORTISONE 2.5 MG TABS 1 HALF TABLET,3.02,1.21,1.21,2.72,17
RC,637,HYDROCORTISONE 20 MG TABS 1 EACH,11.56,4.62,4.62,10.4,17
RC,637,HYDROCORTISONE 20 MG TABS 100 EACH BOTTLE,5.44,2.18,2.18,4.9,51
RC,637,HYDROCORTISONE 20 MG TABS 50 EACH BOX,11.56,4.62,4.62,10.4,17
RC,637,HYDROCORTISONE 25 MG SUPP 12 EACH BOX,72.115,28.845,28.84,64.92,34
RC,637,HYDROCORTISONE 5 MG TABS 1 EACH,9.76,3.9,3.9,8.78,17
RC,637,HYDROCORTISONE 5 MG TABS 50 EACH BOTTLE,4.515000000000001,1.8050000000000002,1.2,5.43,68
RC,637,HYDROCORTISONE 5 MG TABS 50 EACH BOX,9.76,3.9,3.9,8.78,17
RC,637,HYDROCORTISONE PERIANAL 2.5 % CREA 28 G TUBE,386.4,154.56,154.56,347.76,17
RC,637,HYDROCORTISONE PERIANAL 2.5 % CREA 30 G TUBE,392.13,156.85500000000002,153.02,361.55,34
RC,637,HYDROCORTPRAMOXINE PERIANAL 11 % FOAM 10 G CAN,1126.63,450.65,450.65,1013.97,17
RC,637,HYDROMORPHONE 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,HYDROMORPHONE 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,HYDROMORPHONE 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,637,HYDROMORPHONE 3 MG SUPP 6 EACH BOX,61.34,24.54,24.54,55.21,17
RC,637,HYDROMORPHONE 4 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,HYDROMORPHONE 4 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROMORPHONE 4 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,637,HYDROMORPHONE 4 MG TABS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROXYCHLOROQUINE 200 MG TABS 1 EACH,21.95,8.78,8.78,19.76,17
RC,637,HYDROXYCHLOROQUINE 200 MG TABS 100 EACH BOTTLE,20.44,8.18,8.18,18.4,17
RC,637,HYDROXYCHLOROQUINE 200 MG TABS 100 EACH BOX,15.145,6.06,3.34,19.76,34
RC,637,HYDROXYCHLOROQUINE 25 MG/ML SUSP 1 EACH,21.95,8.78,8.78,19.76,34
RC,637,HYDROXYUREA 100 MG/ML SOLN 148 ML BOTTLE,123.24,49.3,49.3,110.92,17
RC,637,HYDROXYUREA 100 MG/ML SUSP 500 ML BOTTLE,575.0,230.0,230.0,517.5,17
RC,637,HYDROXYUREA 400 MG CAPS 60 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROXYUREA 500 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,HYDROXYUREA 500 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,HYDROXYUREA 500 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,HYDROXYZINE 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,HYDROXYZINE 10 MG TABS 100 EACH BOTTLE,3.21,1.2850000000000001,1.27,2.93,51
RC,637,HYDROXYZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,HYDROXYZINE 10 MG/5ML SYRP 1 ML,3.0,1.2,1.2,2.7,17
RC,637,HYDROXYZINE 10 MG/5ML SYRP 118 ML BOTTLE,99.71,39.88,39.88,89.74,17
RC,637,HYDROXYZINE 10 MG/5ML SYRP 12.5 ML ORAL SYRINGE,79.31,31.72,31.72,71.38,17
RC,637,HYDROXYZINE 10 MG/5ML SYRP 473 ML BOTTLE,1866.46,746.585,484.77,2268.9,68
RC,637,HYDROXYZINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,HYDROXYZINE 25 MG TABS 100 EACH BOTTLE,4.59,1.835,1.83,4.14,34
RC,637,HYDROXYZINE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,51
RC,637,HYDROXYZINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,HYOSCYAMINE 0.125 MG SUBL 100 EACH BOTTLE,4.25,1.7,1.7,3.83,17
RC,637,HYOSCYAMINE 0.125 MG TABS 100 EACH BOTTLE,3.625,1.45,1.2,3.83,51
RC,637,HYOSCYAMINE 0.125 MG/ML SOLN 15 ML BOTTLE,199.95,79.98,79.98,179.96,17
RC,637,HYOSCYAMINE SULFATE 0.125 MG TBDP 100 EACH BOTTLE,4.25,1.7,1.7,3.83,17
RC,637,IBANDRONATE 150 MG TABS 1 EACH DISP PACK,638.79,255.52,255.52,574.91,17
RC,637,IBUPROFEN 100 MG/5 ML SUSP 40 ML BOTTLE,76.2,30.48,30.48,68.58,17
RC,637,IBUPROFEN 100 MG/5ML SUSP 118 ML BOTTLE,7.26,2.9,2.9,6.53,17
RC,637,IBUPROFEN 100 MG/5ML SUSP 240 ML BOTTLE,13.68,5.470000000000001,4.46,14.58,34
RC,637,IBUPROFEN 100 MG/5ML SUSP 5 ML BOX,1.66,0.66,0.66,1.49,17
RC,637,IBUPROFEN 100 MG/5ML SUSP 5 ML CUP,1.72,0.685,0.52,1.71,153
RC,637,IBUPROFEN 100 MG/5ML SUSP 5 ML SYRINGE,1.0,0.4,0.4,0.9,17
RC,637,IBUPROFEN 200 MG TABS 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,IBUPROFEN 400 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,IBUPROFEN 400 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,IBUPROFEN 600 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,IBUPROFEN 600 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,IBUPROFEN 800 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,IBUPROFEN 800 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,IBUPROFEN 800 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,ILOPERIDONE 1 MG TABS 60 EACH BOTTLE,184.24,73.7,73.7,165.82,17
RC,637,ILOPERIDONE 10 MG TABS 60 EACH BOTTLE,363.04,145.22,145.22,326.74,17
RC,637,ILOPERIDONE 12 MG TABS 60 EACH BOTTLE,363.04,145.22,145.22,326.74,17
RC,637,ILOPERIDONE 4 MG TABS 60 EACH BOTTLE,184.24,73.7,73.7,165.82,17
RC,637,ILOPERIDONE 6 MG TABS 60 EACH BOTTLE,226.69,90.68,90.68,204.02,17
RC,637,ILOPERIDONE 8 MG TABS 60 EACH BOTTLE,226.69,90.68,90.68,204.02,17
RC,637,IMATINIB 100 MG TABS 1 EACH,17.8,7.12,7.12,16.02,17
RC,637,IMATINIB 100 MG TABS 30 EACH BOX,20.08,8.03,7.12,20.12,34
RC,637,IMATINIB 100 MG TABS 90 EACH BOTTLE,478.115,191.25,186.08,441.94,34
RC,637,IMATINIB 400 MG TABS 30 EACH BOTTLE,1676.28,670.51,670.51,1508.65,17
RC,637,IMIPRAMINE 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,IMIPRAMINE 100 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
RC,637,IMIPRAMINE 125 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
RC,637,IMIPRAMINE 150 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
RC,637,IMIPRAMINE 25 MG TABS 100 EACH BOTTLE,3.59,1.44,1.44,3.23,51
RC,637,IMIPRAMINE 50 MG TABS 100 EACH BOTTLE,6.35,2.54,2.44,5.94,34
RC,637,IMIPRAMINE 75 MG CAPS 30 EACH BOTTLE,84.29,33.72,33.72,75.86,17
RC,637,INDAPAMIDE 2.5 MG TABS 100 EACH BOTTLE,7.75,3.1,3.1,6.98,17
RC,637,INDOMETHACIN 25 MG CAPS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,INDOMETHACIN 25 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,INDOMETHACIN 25 MG CAPS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,INDOMETHACIN 25 MG/5ML SUSP 237 ML BOTTLE,11934.85,4773.94,4773.94,10741.37,17
RC,637,INDOMETHACIN 50 MG CAPS 100 EACH BOTTLE,3.185,1.275,1.27,2.87,34
RC,637,INDOMETHACIN 50 MG SUPP 1 EACH PACKAGE,1897.83,759.13,759.13,1708.05,17
RC,637,INDOMETHACIN 50 MG SUPP 30 EACH BOX,1947.775,779.11,759.13,1797.95,34
RC,637,INDOMETHACIN 75 MG CPCR 1 EACH,15.39,6.16,6.16,13.85,17
RC,637,INDOMETHACIN 75 MG CPCR 30 EACH BOX,15.39,6.16,6.16,13.85,17
RC,637,INSULIN DETEMIR 100 UNIT/ML SOLN 10 ML VIAL,595.33,238.13,238.13,535.8,17
RC,637,IPRATROPIUM 17 MCG/ACT AERS 12.9 G INHALER,1693.74,677.5,677.5,1524.37,17
RC,637,IPRATROPIUMALBUTEROL 20100 MCG/ACT AERS 4 G INHALER,2616.48,1046.59,1046.59,2354.83,17
RC,637,IRBESARTAN 150 MG TABS 30 EACH BOTTLE,45.93,18.37,18.37,41.34,17
RC,637,IRBESARTAN 75 MG TABS 30 EACH BOTTLE,14.59,5.84,5.84,13.13,17
RC,637,IRON POLYSACCHARIDES 150 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,IRONVIT CVIT B12FOLIC ACID 1002500.0251 MG TABS 100 EACH BOTTLE,8.6,3.44,3.44,7.74,17
RC,637,IRONVITAMIN C 100250 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ISONIAZID 100 MG TABS 100 EACH BOTTLE,10.68,4.27,1.2,10.69,51
RC,637,ISONIAZID 300 MG TABS 1 EACH,6.6,2.64,2.64,5.94,17
RC,637,ISONIAZID 300 MG TABS 100 EACH BOTTLE,17.52,7.01,1.2,17.55,51
RC,637,ISONIAZID 300 MG TABS 100 EACH BOX,6.6,2.64,2.64,5.94,17
RC,637,ISONIAZID 50 MG/5ML SYRP 473 ML BOTTLE,2162.75,865.1,865.1,1946.48,17
RC,637,ISOSORBIDE DINITRATE 10 MG TABS 1 EACH,6.25,2.5,2.5,5.63,17
RC,637,ISOSORBIDE DINITRATE 10 MG TABS 100 EACH BOX,4.955,1.98,1.46,5.63,34
RC,637,ISOSORBIDE DINITRATE 20 MG TABS 1 EACH,6.75,2.7,2.7,6.08,17
RC,637,ISOSORBIDE DINITRATE 20 MG TABS 100 EACH BOX,6.75,2.7,2.7,6.08,17
RC,637,ISOSORBIDE DINITRATE 5 MG TABS 1 EACH,5.32,2.13,2.13,4.79,17
RC,637,ISOSORBIDE DINITRATE 5 MG TABS 100 EACH BOTTLE,4.93,1.97,1.97,4.44,34
RC,637,ISOSORBIDE DINITRATE 5 MG TABS 50 EACH BOX,5.32,2.13,2.13,4.79,17
RC,637,ISOSORBIDE MONONITRATE 20 MG TABS 100 EACH BOTTLE,4.47,1.79,1.79,4.02,17
RC,637,ISOSORBIDE MONONITRATE 30 MG TB24 100 EACH BOX,8.3,3.32,3.32,7.47,17
RC,637,ISOSORBIDE MONONITRATE 60 MG TB24 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,ISOSORBIDE MONONITRATE 60 MG TB24 100 EACH BOX,6.565,2.625,1.2,9.12,34
RC,637,ISOSORBIDEHYDRALAZINE 2037.5 MG TABS 90 EACH BOTTLE,27.48,10.99,10.99,24.73,17
RC,637,ISOTRETINOIN 10 MG CAPS 10 EACH BOX,102.52,41.01,41.01,92.27,17
RC,637,ISOTRETINOIN 40 MG CAPS 10 EACH BOX,141.24,56.5,56.5,127.12,17
RC,637,ISRADIPINE 2.5 MG CAPS 100 EACH BOTTLE,20.13,8.05,8.05,18.12,17
RC,637,ISRADIPINE 5 MG CAPS 100 EACH BOTTLE,20.74,8.3,8.3,18.67,17
RC,637,ITRACONAZOLE 100 MG CAPS 30 EACH BOTTLE,46.39,18.56,18.56,41.75,17
RC,637,IVABRADINE 7.5 MG TABS 60 EACH BOTTLE,62.6,25.04,25.04,56.34,17
RC,637,KETOCONAZOLE 2 % CREA 15 G TUBE,604.1,241.64,241.64,543.69,34
RC,637,KETOCONAZOLE 2 % CREA 30 G TUBE,958.82,383.53,383.53,862.94,34
RC,637,KETOCONAZOLE 2 % CREA 60 G TUBE,1274.02,509.61,509.61,1146.62,17
RC,637,KETOCONAZOLE 2 % SHAM 120 ML BOTTLE,151.2,60.48,60.48,136.08,34
RC,637,KETOCONAZOLE 200 MG TABS 100 EACH BOTTLE,18.95,7.58,7.58,17.06,17
RC,637,KETOPROFEN 200 MG CP24 100 EACH BOTTLE,54.08,21.63,21.63,48.67,17
RC,637,KETOROLAC 10 MG TABS 1 EACH,36.57,14.63,14.63,32.91,17
RC,637,KETOROLAC 10 MG TABS 100 EACH BOTTLE,11.059999999999999,4.425000000000001,4.32,10.2,68
RC,637,KETOROLAC 10 MG TABS 30 EACH BOX,36.57,14.63,14.63,32.91,17
RC,637,LABETALOL 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LABETALOL 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,LABETALOL 200 MG TABS 1 EACH,3.5,1.4,1.4,3.15,17
RC,637,LABETALOL 200 MG TABS 100 EACH BOTTLE,5.68,2.27,2.27,5.11,17
RC,637,LABETALOL 300 MG TABS 1 EACH,5.94,2.38,2.38,5.35,17
RC,637,LABETALOL 300 MG TABS 100 EACH BOX,5.94,2.38,2.38,5.35,17
RC,637,LABETALOL 40 MG/ML ORAL SUSP 120 ML BOTTLE,339.6,135.84,135.84,305.64,17
RC,637,LACOSAMIDE 10 MG/ML SOLN 10 ML ORAL SYRINGE,144.2,57.68,57.68,129.78,17
RC,637,LACOSAMIDE 10 MG/ML SOLN 2 ML ORAL SYRINGE,28.84,11.54,11.54,25.96,17
RC,637,LACOSAMIDE 10 MG/ML SOLN 200 ML BOTTLE,2051.6,820.64,162.66,2180.3,68
RC,637,LACOSAMIDE 10 MG/ML SOLN 5 ML BOX,168.38,67.35,67.35,151.54,17
RC,637,LACOSAMIDE 10 MG/ML SOLN 5 ML CUP,168.4,67.36,67.36,151.56,17
RC,637,LACOSAMIDE 10 MG/ML SOLN 5 ML ORAL SYRINGE,72.1,28.84,28.84,64.89,17
RC,637,LACOSAMIDE 50 MG TABS 1 EACH,11.79,4.72,4.72,10.61,17
RC,637,LACOSAMIDE 50 MG TABS 60 EACH BOTTLE,53.76,21.5,21.5,48.38,17
RC,637,LACOSAMIDE 50 MG TABS 60 EACH BOX,11.79,4.72,4.0,73.58,51
RC,637,LACTOBACILLUS PACK 12 EACH BOX,7.875,3.15,2.24,9.14,34
RC,637,LACTULOSE 20 GM/30ML SOLN 30 ML CUP,18.0,7.2,7.2,16.2,17
RC,637,LACTULOSE 200 MG/ML SOLN 1000 ML BOTTLE,354.2,141.68,141.68,318.78,17
RC,637,LAMIVUDINE 10 MG/ML SOLN 240 ML BOTTLE,126.42,50.56999999999999,30.04,159.97,34
RC,637,LAMIVUDINE 10 MG/ML SOLN 5 ML ORAL SYRINGE,75.1,30.04,30.04,67.59,17
RC,637,LAMIVUDINE 100 MG TABS 60 EACH BOTTLE,80.56,32.22,32.22,72.5,17
RC,637,LAMIVUDINE 150 MG TABS 30 EACH BOX,40.84,16.34,16.34,36.76,17
RC,637,LAMIVUDINEZIDOVUDINE 150300 MG TABS 60 EACH BOTTLE,77.64,31.06,31.06,69.88,17
RC,637,LAMOTRIGINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LAMOTRIGINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LAMOTRIGINE 150 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LAMOTRIGINE 150 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LAMOTRIGINE 150 MG TABS 60 EACH BOTTLE,26.49,10.6,10.6,23.84,17
RC,637,LAMOTRIGINE 200 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LAMOTRIGINE 200 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LAMOTRIGINE 200 MG TABS 60 EACH BOTTLE,28.83,11.53,11.53,25.95,17
RC,637,LANSOPRAZOLE 15 MG CPDR 1 EACH,30.03,12.01,12.01,27.03,17
RC,637,LANSOPRAZOLE 15 MG CPDR 30 EACH BOTTLE,29.310000000000002,11.725,11.69,26.45,34
RC,637,LANSOPRAZOLE 15 MG CPDR 30 EACH BOX,30.03,12.01,12.01,27.03,17
RC,637,LANSOPRAZOLE 15 MG TBDD 1 EACH,78.87,31.55,31.55,70.98,34
RC,637,LANSOPRAZOLE 15 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,51
RC,637,LANSOPRAZOLE 30 MG CPDR 100 EACH BOX,28.33,11.33,11.33,25.5,17
RC,637,LANSOPRAZOLE 30 MG TBDD 1 EACH,78.87,31.55,31.55,70.98,34
RC,637,LANSOPRAZOLE 30 MG TBDD 100 EACH BOX,78.87,31.55,31.55,70.98,68
RC,637,LANTHANUM 1000 MG CHEW 10 EACH BOTTLE,72.04,28.82,28.82,64.84,17
RC,637,LANTHANUM 500 MG CHEW 45 EACH BOTTLE,72.04,28.82,28.82,64.84,17
RC,637,LANTHANUM 750 MG CHEW 15 EACH BOTTLE,72.04,28.82,28.82,64.84,17
RC,637,LAPATINIB 250 MG TABS 150 EACH BOTTLE,374.5,149.8,149.8,337.05,17
RC,637,LARGININE 1000 MG TABS 50 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE,437.62,175.05,174.8,394.42,34
RC,637,LCITRULLINE 1 G PACK 30 EACH BOX,27.69,11.08,11.08,24.92,34
RC,637,LECITHIN 1200 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,LEFLUNOMIDE 10 MG TABS 50 EACH BOX,30.0,12.0,12.0,27.0,17
RC,637,LEFLUNOMIDE 20 MG TABS 30 EACH BOTTLE,82.12,32.85,32.85,73.91,17
RC,637,LETERMOVIR 480 MG TABS 1 EACH,1514.64,605.86,605.86,1363.18,17
RC,637,LETERMOVIR 480 MG TABS 14 EACH BOX,1514.63,605.85,605.85,1363.17,17
RC,637,LEUCOVORIN 2.5 MG TABS 1 HALF TABLET,3.73,1.49,1.49,3.36,17
RC,637,LEVETIRACETAM 100 MG/ML ORAL SOLN 473 ML BOTTLE,1416.45,566.58,566.58,1274.81,17
RC,637,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML BOX,20.4,8.16,8.16,18.36,17
RC,637,LEVETIRACETAM 100 MG/ML ORAL SOLN 5 ML CUP,34.575,13.83,8.16,42.06,102
RC,637,LEVETIRACETAM 100 MG/ML SOLN 473 ML BOTTLE,1335.94,534.38,534.38,1202.35,17
RC,637,LEVETIRACETAM 250 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LEVETIRACETAM 250 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,LEVETIRACETAM 500 MG TABS 1 EACH,10.585,4.235,1.44,15.81,34
RC,637,LEVETIRACETAM 500 MG TABS 100 EACH BOX,3.6,1.44,1.2,15.81,51
RC,637,LEVETIRACETAM 750 MG TABS 1 EACH,4.2,1.68,1.68,3.78,17
RC,637,LEVETIRACETAM 750 MG TABS 100 EACH BOX,3.6,1.44,1.2,3.78,34
RC,637,LEVOCARNITINE 330 MG TABS 90 EACH BOX,5.49,2.2,2.2,4.94,17
RC,637,LEVOFLOXACIN 25 MG/ML SOLN 10 ML ORAL SYRINGE,158.9,63.56,63.56,143.01,17
RC,637,LEVOFLOXACIN 25 MG/ML SOLN 480 ML BOTTLE,6406.85,2562.74,2562.74,5766.17,17
RC,637,LEVOFLOXACIN 250 MG TABS 100 EACH BOX,73.63,29.45,29.45,66.27,17
RC,637,LEVOFLOXACIN 500 MG TABS 100 EACH BOX,84.11,33.64,33.64,75.7,17
RC,637,LEVOFLOXACIN 750 MG TABS 100 EACH BOX,123.07,49.23,49.23,110.76,17
RC,637,LEVONORGESTREL 1.5 MG TABS 1 EACH BOX,182.8,73.12,73.12,164.52,17
RC,637,LEVOTHYROXINE 112 MCG TABS 1 EACH,4.09,1.64,1.64,3.68,17
RC,637,LEVOTHYROXINE 112 MCG TABS 100 EACH BOX,4.09,1.64,1.64,3.68,17
RC,637,LEVOTHYROXINE 137 MCG TABS 1 EACH,3.9749999999999996,1.5899999999999999,1.46,3.87,34
RC,637,LEVOTHYROXINE 137 MCG TABS 100 EACH BOTTLE,3.34,1.34,1.34,3.01,17
RC,637,LEVOTHYROXINE 137 MCG TABS 100 EACH BOX,3.9699999999999998,1.5899999999999999,1.46,3.87,34
RC,637,LEVOTHYROXINE 175 MCG TABS 1 EACH,4.745,1.9,1.76,4.58,34
RC,637,LEVOTHYROXINE 175 MCG TABS 100 EACH BOX,4.74,1.9,1.76,4.58,34
RC,637,LEVOTHYROXINE 200 MCG TABS 1 EACH,6.0,2.4,2.4,5.4,17
RC,637,LEVOTHYROXINE 200 MCG TABS 100 EACH BOX,7.965,3.185,2.4,8.94,34
RC,637,LEVOTHYROXINE 25 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,LEVOTHYROXINE 25 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,LEVOTHYROXINE 25 MCG TABS 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,LEVOTHYROXINE 300 MCG TABS 90 EACH BOTTLE,5.41,2.165,2.16,4.89,34
RC,637,LEVOTHYROXINE 75 MCG TABS 1 EACH,3.2649999999999997,1.305,1.2,3.18,34
RC,637,LEVOTHYROXINE 75 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LEVOTHYROXINE 88 MCG TABS 1 EACH,3.5,1.4,1.4,3.15,17
RC,637,LEVOTHYROXINE 88 MCG TABS 100 EACH BOX,3.27,1.31,1.22,3.15,34
RC,637,LIDOCAINE 4 % CREA 5 G TUBE,21.0,8.4,8.4,18.9,17
RC,637,LIDOCAINEPRILOCAINE 2.52.5 % CREA 30 G TUBE,265.65,106.26,106.26,239.09,17
RC,637,LIDOCAINEPRILOCAINE 2.52.5 % CREA 5 G TUBE,44.89,17.955,16.08,44.62,34
RC,637,LIDOCAINEPRILOCAINE 2.52.5 % KIT 1 EACH BOX,49.6,19.84,19.84,44.64,17
RC,637,LINACLOTIDE 145 MCG CAPS 30 EACH BOTTLE,56.5,22.6,22.6,50.85,17
RC,637,LINEZOLID 100 MG/5ML SUSR 150 ML BOTTLE,3092.67,1237.07,743.54,3616.33,51
RC,637,LINEZOLID 100 MG/5ML SUSR 30 ML ORAL SYRINGE,880.16,352.06,352.06,792.14,17
RC,637,LINEZOLID 600 MG TABS 1 EACH,712.99,285.195,232.45,760.37,34
RC,637,LINEZOLID 600 MG TABS 100 EACH BOTTLE,844.85,337.94,337.94,760.37,17
RC,637,LINEZOLID 600 MG TABS 20 EACH BOTTLE,844.85,337.94,337.94,760.37,17
RC,637,LINEZOLID 600 MG TABS 30 EACH BOX,712.99,285.195,232.45,760.37,34
RC,637,LIOTHYRONINE 25 MCG TABS 100 EACH BOTTLE,5.21,2.08,2.08,4.69,17
RC,637,LIOTHYRONINE 25 MCG TABS 90 EACH BOTTLE,5.5,2.2,2.2,4.95,17
RC,637,LIOTHYRONINE 5 MCG TABS 100 EACH BOTTLE,3.48,1.3900000000000001,1.2,3.56,51
RC,637,LISDEXAMFETAMINE 20 MG CAPS 100 EACH BOTTLE,69.8,27.92,23.08,69.8,51
RC,637,LISDEXAMFETAMINE 30 MG CAPS 100 EACH BOTTLE,71.985,28.79,26.56,69.8,34
RC,637,LISDEXAMFETAMINE 40 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
RC,637,LISDEXAMFETAMINE 50 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
RC,637,LISDEXAMFETAMINE 60 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
RC,637,LISDEXAMFETAMINE 70 MG CAPS 100 EACH BOTTLE,77.56,31.02,31.02,69.8,17
RC,637,LISINOPRIL 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LISINOPRIL 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,LISINOPRIL 2.5 MG TABS 1 EACH,3.42,1.37,1.37,3.08,34
RC,637,LISINOPRIL 2.5 MG TABS 100 EACH BOTTLE,3.25,1.3,1.3,2.93,17
RC,637,LISINOPRIL 2.5 MG TABS 30 EACH BOX,3.42,1.37,1.37,3.08,34
RC,637,LISINOPRIL 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LISINOPRIL 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,LISINOPRIL 40 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LISINOPRIL 5 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LISINOPRILHYDROCHLOROTHIAZIDE 1012.5 MG TABS 100 EACH BOTTLE,5.6,2.24,2.24,5.04,17
RC,637,LISINOPRILHYDROCHLOROTHIAZIDE 2012.5 MG TABS 100 EACH BOTTLE,6.07,2.43,2.43,5.46,17
RC,637,LISINOPRILHYDROCHLOROTHIAZIDE 2025 MG TABS 100 EACH BOTTLE,6.14,2.46,2.46,5.53,17
RC,637,LITHIUM 300 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,LITHIUM 300 MG CAPS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LITHIUM 300 MG TAB CR 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,LITHIUM 300 MG TAB CR 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LITHIUM 300 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,LITHIUM 300 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,LITHIUM 450 MG TAB CR 1 EACH,3.78,1.51,1.51,3.4,34
RC,637,LITHIUM 450 MG TAB CR 100 EACH BOX,3.78,1.51,1.51,3.4,34
RC,637,LITHIUM 8 MEQ/5ML SOLN 5 ML ORAL SYRINGE,16.2,6.48,6.48,14.58,17
RC,637,LITHIUM 8 MEQ/5ML SOLN 500 ML BOTTLE,1490.4,596.16,596.16,1341.36,17
RC,637,LOPERAMIDE 2 MG CAPS 1 EACH,4.725,1.8900000000000001,1.74,4.59,34
RC,637,LOPERAMIDE 2 MG CAPS 100 EACH BOTTLE,6.83,2.73,2.73,6.15,17
RC,637,LOPERAMIDE 2 MG CAPS 100 EACH BOX,4.38,1.75,1.61,4.59,51
RC,637,LOPINAVIRRITONAVIR 20050 MG TABS 120 EACH BOTTLE,48.644999999999996,19.455,18.43,46.09,34
RC,637,LOPINAVIRRITONAVIR 400100 MG/5ML SOLN 160 ML BOTTLE,2193.41,877.36,877.36,1974.07,17
RC,637,LORATADINE 10 MG TABS 1 EACH,3.895,1.555,1.4,3.85,34
RC,637,LORATADINE 10 MG TABS 100 EACH BOX,3.895,1.555,1.4,3.85,34
RC,637,LORATADINE 5 MG/5ML SOLN 10 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,LORATADINE 5 MG/5ML SOLN 120 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,LORAZEPAM 0.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 0.5 MG TABS 100 EACH BOTTLE,139.04,55.615,4.0,241.27,68
RC,637,LORAZEPAM 0.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 0.5 MG TABS 1000 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 0.5 MG TABS 500 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 1 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 1 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,68
RC,637,LORAZEPAM 1 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 2 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,LORAZEPAM 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,LORAZEPAM 2 MG TABS 1000 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,LOSARTAN 12.5 MG TABS 1 HALF TABLET,4.21,1.68,1.68,3.79,17
RC,637,LOSARTAN 25 MG TABS 1 EACH,8.39,3.36,3.36,7.55,17
RC,637,LOSARTAN 25 MG TABS 100 EACH BOX,8.39,3.36,3.36,7.55,17
RC,637,LOSARTAN 25 MG TABS 90 EACH BOTTLE,8.4,3.36,3.36,7.57,34
RC,637,LOSARTAN 50 MG TABS 1 EACH,11.25,4.5,4.5,10.13,17
RC,637,LOSARTAN 50 MG TABS 100 EACH BOX,11.25,4.5,4.5,10.13,17
RC,637,LOSARTANHYDROCHLOROTHIAZIDE 10025 MG TABS 90 EACH BOTTLE,17.04,6.82,6.82,15.34,68
RC,637,LOSARTANHYDROCHLOROTHIAZIDE 5012.5 MG TABS 30 EACH BOTTLE,21.85,8.74,5.0,28.07,68
RC,637,LOSARTANHYDROCHLOROTHIAZIDE 5012.5 MG TABS 90 EACH BOTTLE,12.51,5.0,5.0,11.26,17
RC,637,LOTEPREDNOL 0.5 % SUSP 5 ML BOTTLE,1179.67,471.87,322.52,1604.12,51
RC,637,LOVASTATIN 10 MG TABS 60 EACH BOTTLE,6.73,2.69,2.69,6.06,17
RC,637,LOVASTATIN 20 MG TABS 100 EACH BOTTLE,11.87,4.75,4.75,10.68,17
RC,637,LOXAPINE 10 MG CAPS 100 EACH BOTTLE,6.36,2.54,2.54,5.72,17
RC,637,LOXAPINE 25 MG CAPS 100 EACH BOTTLE,9.63,3.85,3.85,8.67,17
RC,637,LUBIPROSTONE 24 MCG CAPS 60 EACH BOTTLE,37.11,14.84,14.84,33.4,17
RC,637,LUBIPROSTONE 8 MCG CAPS 60 EACH BOTTLE,35.254999999999995,14.1,13.36,33.4,34
RC,637,LURASIDONE 20 MG TABS 30 EACH BOX,4.17,1.67,1.67,3.75,17
RC,637,LURASIDONE 40 MG TABS 1 EACH,25.67,10.27,10.27,23.1,17
RC,637,LURASIDONE 40 MG TABS 100 EACH BOX,5.55,2.22,2.22,5.0,17
RC,637,LURASIDONE 40 MG TABS 30 EACH BOTTLE,273.705,109.48,102.06,263.03,34
RC,637,LURASIDONE 40 MG TABS 30 EACH BOX,25.67,10.27,10.27,23.1,17
RC,637,MAFENIDE 5 % PACK 1 EACH PACKET,739.62,295.85,295.85,665.66,17
RC,637,MAFENIDE 5 % PACK 5 EACH BOX,739.62,295.85,295.85,665.66,17
RC,637,MAFENIDE 85 MG/GM CREA 113.4 G TUBE,642.14,256.86,256.86,577.93,17
RC,637,MAFENIDE 85 MG/GM CREA 56.7 G TUBE,399.84,159.94,159.94,359.86,17
RC,637,MAGNESIUM 84 MG 7MEQ TAB CR 100 EACH BOTTLE,3.0,1.2,1.2,2.7,68
RC,637,MAGNESIUM CITRATE SOLN 296 ML BOTTLE,8.510000000000002,3.405,3.26,7.99,51
RC,637,MAGNESIUM GLUCONATE 500 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSP 15 ML CUP,3.0,1.2,1.2,2.7,17
RC,637,MAGNESIUM HYDROXIDE 400 MG/5 ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,34
RC,637,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP 30 ML CUP,3.0,1.2,1.2,2.7,34
RC,637,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP 473 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,MAGNESIUM OXIDE 400 240 MG MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,MAGNESIUM OXIDE 400 240 MG MG TABS 120 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,MALATHION 0.5 % LOTN 59 ML BOTTLE,1224.01,489.6,489.6,1101.61,17
RC,637,MARAVIROC 150 MG TABS 60 EACH BOTTLE,173.01,69.2,69.2,155.71,17
RC,637,MARIBAVIR 200 MG TABS 28 EACH BOTTLE,1264.02,505.61,505.61,1137.62,17
RC,637,MECLIZINE 12.5 MG TABS 1 EACH,3.5,1.4,1.4,3.15,17
RC,637,MECLIZINE 12.5 MG TABS 100 EACH BOX,3.55,1.42,1.42,3.2,17
RC,637,MECLIZINE 12.5 MG TABS 50 EACH BOX,3.5,1.4,1.4,3.15,17
RC,637,MECLIZINE 25 MG TABS 1 EACH,4.28,1.71,1.71,3.85,17
RC,637,MECLIZINE 25 MG TABS 100 EACH BOX,4.28,1.71,1.71,3.85,17
RC,637,MECLOFENAMATE 100 MG CAPS 100 EACH BOTTLE,38.69,15.48,15.48,34.82,17
RC,637,MEDROXYPROGESTERONE 10 MG TABS 1 EACH BOX,8.38,3.35,3.35,7.54,17
RC,637,MEDROXYPROGESTERONE 10 MG TABS 30 EACH BOX,8.38,3.35,3.35,7.54,17
RC,637,MEDROXYPROGESTERONE 2.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,MEDROXYPROGESTERONE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,MEFLOQUINE 250 MG TABS 25 EACH BOTTLE,67.74,27.1,27.1,60.97,17
RC,637,MEFLOQUINE 250 MG TABS 25 EACH BOX,52.95,21.18,21.18,47.66,17
RC,637,MEGESTROL 20 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,637,MEGESTROL 40 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,MEGESTROL 40 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,MELATONIN 3 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,MELATONIN 3 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,MELOXICAM 15 MG TABS 100 EACH BOTTLE,24.22,9.69,9.69,21.8,17
RC,637,MELOXICAM 7.5 MG TABS 1 EACH,15.49,6.2,6.2,13.94,17
RC,637,MELOXICAM 7.5 MG TABS 50 EACH BOX,15.49,6.2,6.2,13.94,17
RC,637,MEMANTINE 10 MG TABS 1 EACH,30.52,12.21,12.21,27.47,17
RC,637,MEMANTINE 10 MG TABS 100 EACH BOX,4.77,1.91,1.91,4.29,17
RC,637,MEMANTINE 5 MG TABS 1 EACH,30.52,12.21,12.21,27.47,17
RC,637,MEMANTINE 5 MG TABS 100 EACH BOTTLE,4.77,1.91,1.91,4.29,17
RC,637,MEMANTINE 5 MG TABS 100 EACH BOX,30.52,12.21,12.21,27.47,17
RC,637,MEMANTINE 5 MG TABS 60 EACH BOTTLE,30.52,12.21,12.21,27.47,17
RC,637,MEPERIDINE 50 MG/5ML SOLN 500 ML BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,MEPROBAMATE 400 MG TABS 100 EACH BOTTLE,41.25,16.5,16.5,37.13,17
RC,637,MERCAPTOPURINE 2000 MG/100ML SUSP 100 ML BOTTLE,7221.9,2888.76,2888.76,6499.71,17
RC,637,MERCAPTOPURINE 50 MG/ML SUSP 1 ML,10.42,4.17,4.17,9.38,17
RC,637,MESALAMINE 1.2 G TBEC 30 EACH BOX,62.4,24.96,24.96,56.16,17
RC,637,MESALAMINE 1000 MG SUPP 30 EACH BOX,232.36,92.94,92.94,209.12,17
RC,637,MESALAMINE 250 MG CPCR 240 EACH BOTTLE,18.22,7.29,7.29,16.4,17
RC,637,MESALAMINE 400 MG CPDR 180 EACH BOTTLE,22.700000000000003,9.08,8.85,20.95,34
RC,637,METAXALONE 800 MG TABS 100 EACH BOTTLE,29.95,11.98,11.98,26.96,17
RC,637,METFORMIN 500 MG TB24 1 EACH,3.11,1.24,1.24,2.8,17
RC,637,METFORMIN 500 MG TB24 100 EACH BOTTLE,3.73,1.49,1.49,3.36,17
RC,637,METFORMIN 500 MG TB24 50 EACH BOX,3.11,1.24,1.24,2.8,17
RC,637,METFORMIN 750 MG TB24 100 EACH BOTTLE,4.495,1.7999999999999998,1.2,5.39,34
RC,637,METHADONE 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,METHADONE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,METHADONE 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,METHAZOLAMIDE 25 MG TABS 100 EACH BOTTLE,17.36,6.945,3.67,22.99,34
RC,637,METHAZOLAMIDE 50 MG TABS 100 EACH BOTTLE,34.515,13.805,7.18,45.97,34
RC,637,METHENAMINE 0.5 GM TABS 100 EACH BOTTLE,9.0,3.6,3.6,8.1,17
RC,637,METHENAMINE 1 G TABS 1 EACH,17.09,6.84,6.84,15.38,17
RC,637,METHENAMINE 1 G TABS 100 EACH BOTTLE,10.46,4.18,4.18,9.41,17
RC,637,METHENAMINE 1 G TABS 50 EACH BOX,17.09,6.84,6.84,15.38,17
RC,637,METHIMAZOLE 10 MG TABS 1 EACH,5.0,2.0,2.0,4.5,17
RC,637,METHIMAZOLE 10 MG TABS 100 EACH BOX,4.98,1.99,1.99,4.48,17
RC,637,METHYLPHENIDATE 10 MG CP24 100 EACH BOTTLE,64.705,25.88,21.47,68.16,34
RC,637,METHYLPHENIDATE 18 MG TAB CR 1 EACH,31.25,12.5,9.8,34.2,34
RC,637,METHYLPHENIDATE 18 MG TAB CR 100 EACH BOTTLE,62.05,24.82,18.68,69.65,34
RC,637,METHYLPHENIDATE 18 MG TAB CR 20 EACH BOX,38.0,15.2,15.2,34.2,17
RC,637,METHYLPHENIDATE 18 MG TAB CR 30 EACH BOX,24.51,9.8,9.8,22.06,17
RC,637,METHYLPHENIDATE 20 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,METHYLPHENIDATE 27 MG TAB CR 1 EACH,24.75,9.9,9.9,22.28,17
RC,637,METHYLPHENIDATE 27 MG TAB CR 100 EACH BOTTLE,79.33,31.73,31.73,71.4,17
RC,637,METHYLPHENIDATE 27 MG TAB CR 30 EACH BOX,24.73,9.89,9.89,22.26,17
RC,637,METHYLPHENIDATE 36 MG TAB CR 1 EACH,25.0,10.0,10.0,22.5,17
RC,637,METHYLPHENIDATE 36 MG TAB CR 100 EACH BOTTLE,65.61500000000001,26.25,19.76,73.66,34
RC,637,METHYLPHENIDATE 36 MG TAB CR 30 EACH BOX,25.01,10.0,10.0,22.51,17
RC,637,METHYLPHENIDATE 54 MG TAB CR 1 EACH,38.785000000000004,15.515,10.32,46.59,34
RC,637,METHYLPHENIDATE 54 MG TAB CR 100 EACH BOTTLE,35.79,14.32,14.32,32.21,17
RC,637,METHYLPHENIDATE 54 MG TAB CR 20 EACH BOX,51.77,20.71,20.71,46.59,17
RC,637,METHYLPHENIDATE 54 MG TAB CR 30 EACH BOX,25.83,10.33,10.33,23.25,17
RC,637,METOCLOPRAMIDE 1 MG/ML SOLN 1 ML,3.0,1.2,1.2,2.7,17
RC,637,METOCLOPRAMIDE 5 MG TABS 1 EACH,3.98,1.5899999999999999,1.38,4.05,34
RC,637,METOCLOPRAMIDE 5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,METOCLOPRAMIDE 5 MG TABS 100 EACH BOX,3.9899999999999998,1.595,1.38,4.07,34
RC,637,METOCLOPRAMIDE HCL 10 MG/10ML SOLN 10 ML CUP,17.725,7.09,4.46,21.87,34
RC,637,METOPROLOL SUCCINATE ER 100 MG TB24 1 EACH,8.38,3.35,3.35,7.54,17
RC,637,METOPROLOL SUCCINATE ER 100 MG TB24 100 EACH BOX,8.38,3.35,3.35,7.54,17
RC,637,METOPROLOL SUCCINATE ER 12.5 MG TB24 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,METOPROLOL SUCCINATE ER 25 MG TB24 1 EACH,5.58,2.23,2.2,5.27,51
RC,637,METOPROLOL SUCCINATE ER 25 MG TB24 100 EACH BOX,5.715,2.285,2.23,5.27,34
RC,637,METOPROLOL SUCCINATE ER 25 MG TB24 50 EACH BOX,5.51,2.2,2.2,4.96,17
RC,637,METOPROLOL SUCCINATE ER 50 MG TB24 1 EACH,5.715,2.285,2.23,5.27,34
RC,637,METOPROLOL SUCCINATE ER 50 MG TB24 100 EACH BOX,5.715,2.285,2.23,5.27,34
RC,637,METOPROLOL TARTRATE 12.5 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,METOPROLOL TARTRATE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,METOPROLOL TARTRATE 25 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,METOPROLOL TARTRATE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,METOPROLOL TARTRATE 25 MG TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,METRONIDAZOLE 0.75 % GEL 70 G TUBE,702.93,281.17,48.02,661.91,68
RC,637,METRONIDAZOLE 250 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,METRONIDAZOLE 50 MG/ML SUSR 150 ML BOTTLE,15.0,6.0,6.0,13.5,17
RC,637,METYROSINE 250 MG CAPS 100 EACH BOTTLE,2306.73,922.69,922.69,2076.06,17
RC,637,MEXILETINE 250 MG CAPS 100 EACH BOTTLE,17.49,7.0,7.0,15.74,17
RC,637,MICONAZOLE 2 % CREA 45 G TUBE,33.525,13.41,12.6,32.0,34
RC,637,MICONAZOLE 2 % OINT 57 G TUBE,85.79,34.32,34.32,77.21,17
RC,637,MICONAZOLE 200 MG SUPP 3 EACH BOX,95.5,38.2,38.2,85.95,17
RC,637,MIDAZOLAM 2 MG/ML SYRP 1 EACH ORAL SYRINGE,17.2,6.88,6.88,15.48,17
RC,637,MIDODRINE 2.5 MG TABS 1 EACH,7.16,2.86,2.86,6.44,17
RC,637,MIDODRINE 2.5 MG TABS 100 EACH BOX,7.16,2.86,2.86,6.44,17
RC,637,MIDODRINE 5 MG TABS 1 EACH,4.5,1.8,1.8,4.05,17
RC,637,MIDODRINE 5 MG TABS 100 EACH BOX,3.75,1.5,1.2,4.05,34
RC,637,MILNACIPRAN HCL 100 MG TABS 60 EACH BOTTLE,51.18,20.47,20.47,46.06,17
RC,637,MILNACIPRAN HCL 25 MG TABS 60 EACH BOTTLE,51.18,20.47,20.47,46.06,17
RC,637,MILNACIPRAN HCL 50 MG TABS 60 EACH BOTTLE,51.18,20.47,20.47,46.06,17
RC,637,MINOCYCLINE 100 MG CAPS 50 EACH BOX,6.6,2.64,2.64,5.94,17
RC,637,MINOCYCLINE 100 MG TABS 60 EACH BOTTLE,38.14,15.26,15.26,34.33,17
RC,637,MIRABEGRON 25 MG TB24 30 EACH BOTTLE,92.06,36.82,36.82,82.85,17
RC,637,MIRTAZAPINE 15 MG TABS 1 EACH,5.2,2.08,2.08,4.68,17
RC,637,MIRTAZAPINE 15 MG TABS 100 EACH BOX,4.115,1.645,1.2,4.71,34
RC,637,MIRTAZAPINE 15 MG TBDP 30 EACH BOX,11.78,4.71,4.71,10.6,17
RC,637,MIRTAZAPINE 30 MG TABS 1 EACH,10.215,4.085,2.58,12.58,34
RC,637,MIRTAZAPINE 30 MG TABS 100 EACH BOX,10.21,4.085,2.58,12.58,34
RC,637,MIRTAZAPINE 30 MG TBDP 1 EACH,12.09,4.84,4.84,10.88,17
RC,637,MIRTAZAPINE 30 MG TBDP 30 EACH BOX,12.11,4.845,4.84,10.92,34
RC,637,MIRTAZAPINE 7.5 MG TABS 1 EACH,17.09,6.84,6.84,15.38,17
RC,637,MIRTAZAPINE 7.5 MG TABS 30 EACH BOTTLE,13.17,5.27,5.27,11.85,17
RC,637,MIRTAZAPINE 7.5 MG TABS 30 EACH BOX,17.09,6.84,6.84,15.38,17
RC,637,MISOPROSTOL 100 MCG TABS 1 EACH,12.4,4.96,4.96,11.16,17
RC,637,MISOPROSTOL 100 MCG TABS 100 EACH BOX,12.4,4.96,4.96,11.16,34
RC,637,MISOPROSTOL 100 MCG TABS 120 EACH BOTTLE,4.12,1.65,1.65,3.71,17
RC,637,MISOPROSTOL 100 MCG TABS 60 EACH BOTTLE,4.12,1.65,1.65,3.71,17
RC,637,MISOPROSTOL 200 MCG TABS 1 EACH,13.63,5.45,5.45,12.27,17
RC,637,MISOPROSTOL 200 MCG TABS 100 EACH BOX,13.63,5.45,5.45,12.27,17
RC,637,MISOPROSTOL 25 MCG TABS 1 EACH,25.15,10.06,10.06,22.64,17
RC,637,MISOPROSTOL 50 MCG TABS 1 EACH,25.15,10.06,10.06,22.64,17
RC,637,MODAFINIL 100 MG TABS 1 EACH,131.89,52.76,52.76,118.7,17
RC,637,MODAFINIL 100 MG TABS 30 EACH BOX,93.91499999999999,37.57,22.38,118.7,34
RC,637,MODAFINIL 200 MG TABS 1 EACH,176.75,70.7,70.7,159.08,17
RC,637,MODAFINIL 200 MG TABS 30 EACH BOTTLE,199.53,79.81,79.81,179.58,17
RC,637,MODAFINIL 200 MG TABS 30 EACH BOX,59.9,23.96,23.96,53.91,17
RC,637,MOEXIPRIL 15 MG TABS 100 EACH BOTTLE,7.28,2.91,2.91,6.55,17
RC,637,MOEXIPRIL 7.5 MG TABS 100 EACH BOTTLE,6.95,2.78,2.78,6.26,17
RC,637,MOMETASONE 50 MCG/ACT SUSP 17 G BOTTLE,1227.9,491.16,491.16,1105.11,17
RC,637,MOMETASONE FUROATE 220 MCG/ACT AEPB 1 EACH INHALER,232.8,93.12,93.12,209.52,17
RC,637,MOMETASONE FUROFORMOTEROL FUM 2005 MCG/ACT AEROSOL 13 G INHALER,1891.18,756.47,756.47,1702.06,17
RC,637,MONTELUKAST 10 MG TABS 1 EACH,27.53,11.01,11.01,24.78,17
RC,637,MONTELUKAST 10 MG TABS 100 EACH BOX,15.265,6.1049999999999995,1.2,24.78,34
RC,637,MONTELUKAST 4 MG CHEW 1 EACH,18.3,7.32,7.32,16.47,17
RC,637,MONTELUKAST 4 MG CHEW 50 EACH BOX,18.3,7.32,7.32,16.47,17
RC,637,MONTELUKAST 4 MG CHEW 90 EACH BOTTLE,25.14,10.06,10.06,22.63,17
RC,637,MONTELUKAST 4 MG PACK 30 EACH BOX,29.92,11.97,11.97,26.93,17
RC,637,MONTELUKAST 5 MG CHEW 1 EACH,20.53,8.21,8.21,18.48,17
RC,637,MONTELUKAST 5 MG CHEW 50 EACH BOX,20.53,8.21,8.21,18.48,17
RC,637,MORPHINE 20 MG SUPP 12 EACH BOX,37.5,15.0,15.0,33.75,17
RC,637,MORPHINE 20 MG/ML SOLN 0.5 ML SYRINGE,7.585000000000001,3.035,2.52,7.99,51
RC,637,MORPHINE 30 MG SUPP 12 EACH BOX,46.88,18.75,18.75,42.19,17
RC,637,MORPHINE SULFATE ER 30 MG TAB CR 100 EACH BOX,18.42,7.37,7.37,16.58,17
RC,637,MOXIFLOXACIN 400 MG TABS 1 EACH,134.57,53.83,53.83,121.11,17
RC,637,MOXIFLOXACIN 400 MG TABS 30 EACH BOTTLE,136.13,54.45,54.45,122.52,34
RC,637,MOXIFLOXACIN 400 MG TABS 30 EACH BOX,133.58,53.43,53.43,120.22,17
RC,637,MOXIFLOXACIN 400 MG TABS 50 EACH BOX,134.57,53.83,53.83,121.11,17
RC,637,MULTIVITAMIN PEDIATRIC CHEW 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,MULTIVITAMIN TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,MULTIVITAMIN TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,MULTIVITAMIN TABS 130 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,MULTIVITAMIN WITH IRONMINERALS LIQD 1 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,MULTIVITAMIN WITH IRONMINERALS LIQD 3 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,MULTIVITAMIN WITH IRONMINERALS LIQD 5 ML ORAL SYRINGE,3.0,1.2,1.2,2.7,17
RC,637,MUPIROCIN 2 % CREA 15 G TUBE,1127.74,451.1,451.1,1014.97,17
RC,637,MVW COMPLETE FORMULATION CHEW 60 EACH BOTTLE,3.61,1.44,1.44,3.25,17
RC,637,MVW COMPLETE FORMULATION SOLN 30 ML BOTTLE,3.6,1.44,1.44,3.24,17
RC,637,NALTREXONE 50 MG TABS 30 EACH BOX,21.56,8.62,8.62,19.4,17
RC,637,NAPHAZOLINEPHENIRAMINE 0.0250.3 % SOLN 15 ML BOTTLE,47.03,18.81,18.81,42.33,17
RC,637,NAPROXEN 250 MG TABS 1 EACH,3.89,1.56,1.56,3.5,17
RC,637,NAPROXEN 250 MG TABS 50 EACH BOX,3.89,1.56,1.56,3.5,17
RC,637,NARATRIPTAN 2.5 MG TABS 9 EACH BOX,125.0,50.0,50.0,112.5,17
RC,637,NATEGLINIDE 120 MG TABS 90 EACH BOTTLE,8.64,3.46,3.46,7.78,17
RC,637,NATEGLINIDE 60 MG TABS 30 EACH BOX,13.19,5.28,5.28,11.87,17
RC,637,NEBIVOLOL 10 MG TABS 30 EACH BOTTLE,30.130000000000003,12.055,9.48,32.91,34
RC,637,NEBIVOLOL 2.5 MG TABS 30 EACH BOTTLE,23.69,9.48,9.48,21.32,17
RC,637,NEBIVOLOL 2.5 MG TABS 30 EACH BOX,15.96,6.38,6.38,14.36,17
RC,637,NEBIVOLOL 5 MG TABS 30 EACH BOTTLE,36.57,14.63,14.63,32.91,17
RC,637,NEFAZODONE 100 MG TABS 60 EACH BOTTLE,24.0,9.6,9.6,21.6,17
RC,637,NEFAZODONE 150 MG TABS 60 EACH BOTTLE,24.45,9.78,9.78,22.01,17
RC,637,NEFAZODONE 200 MG TABS 60 EACH BOTTLE,24.91,9.96,9.96,22.42,17
RC,637,NELFINAVIR 250 MG TABS 300 EACH BOTTLE,24.28,9.71,9.71,21.85,17
RC,637,NELFINAVIR 625 MG TABS 120 EACH BOTTLE,60.7,24.28,24.28,54.63,17
RC,637,NEOMYCINBACITRACINPOLYMYXINHYDROCORTISONE 1 % OINT 3.5 G TUBE,325.26,130.1,130.1,292.73,17
RC,637,NEPAFENAC 0.1 % SUSP 3 ML BOTTLE,1816.73,726.69,726.69,1635.06,17
RC,637,NEVIRAPINE 200 MG TABS 60 EACH BOTTLE,54.2,21.68,21.67,48.81,34
RC,637,NEVIRAPINE 50 MG/5ML SUSP 240 ML BOTTLE,871.06,348.42,348.42,783.95,17
RC,637,NIACIN 1000 MG TAB CR 90 EACH BOTTLE,13.84,5.54,5.54,12.46,17
RC,637,NIACIN 250 MG CPCR 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,NIACIN 50 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,NIACIN 500 MG CPCR 90 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,NIACIN 500 MG TAB CR 90 EACH BOTTLE,6.36,2.54,2.54,5.72,17
RC,637,NIACIN 750 MG TAB CR 90 EACH BOTTLE,9.06,3.62,3.62,8.15,17
RC,637,NICARDIPINE 20 MG CAPS 90 EACH BOTTLE,77.47,30.99,30.99,69.72,17
RC,637,NICARDIPINE 30 MG CAPS 90 EACH BOTTLE,110.96,44.38,44.38,99.86,17
RC,637,NIFEDIPINE 30 MG TB24 1 EACH,6.56,2.62,2.62,5.9,17
RC,637,NIFEDIPINE 30 MG TB24 100 EACH BOX,5.71,2.28,2.28,5.14,17
RC,637,NIFEDIPINE 30 MG TB24 50 EACH BOX,6.164999999999999,2.465,2.31,5.9,34
RC,637,NIFEDIPINE 60 MG TB24 1 EACH,14.85,5.94,5.94,13.37,17
RC,637,NIFEDIPINE 60 MG TB24 100 EACH BOX,14.84,5.94,5.94,13.36,17
RC,637,NIFEDIPINE 90 MG TB24 1 EACH,12.47,4.99,4.99,11.22,17
RC,637,NIFEDIPINE 90 MG TB24 50 EACH BOX,8.83,3.535,2.08,11.22,34
RC,637,NILOTINIB 200 MG CAPS 28 EACH DISP PACK,1066.78,426.71,426.71,960.1,17
RC,637,NISOLDIPINE 17 MG TB24 100 EACH BOTTLE,38.49,15.4,15.4,34.64,17
RC,637,NISOLDIPINE 8.5 MG TB24 100 EACH BOTTLE,30.71,12.28,12.28,27.64,17
RC,637,NITAZOXANIDE 100 MG/5ML SUSR 25 ML ORAL SYRINGE,261.0,104.4,104.4,234.9,17
RC,637,NITAZOXANIDE 100 MG/5ML SUSR 60 ML BOTTLE,261.0,104.4,104.4,234.9,17
RC,637,NITAZOXANIDE 500 MG TABS 12 EACH BOTTLE,799.94,319.98,319.98,719.95,17
RC,637,NITAZOXANIDE 500 MG TABS 30 EACH BOTTLE,706.02,282.41,282.41,635.42,17
RC,637,NITAZOXANIDE 500 MG TABS 6 EACH BOTTLE,759.94,303.98,303.98,683.95,17
RC,637,NITROFURANTOIN 100 MG CAPS 1 EACH,25.5,10.2,6.6,31.05,34
RC,637,NITROFURANTOIN 100 MG CAPS 100 EACH BOTTLE,16.88,6.75,6.75,15.19,17
RC,637,NITROFURANTOIN 100 MG CAPS 100 EACH BOX,25.5,10.2,6.6,31.05,34
RC,637,NITROFURANTOIN MACROCRYSTALMONOHYDRATE 100 MG CAPS 100 EACH BOTTLE,19.745,7.9,7.63,18.38,34
RC,637,NITROFURANTOIN MACROCRYSTALMONOHYDRATE 100 MG CAPS 100 EACH BOX,15.75,6.3,5.54,15.89,34
RC,637,NITROGLYCERIN 0.1 MG/HR PT24 1 EACH BOX,9.3,3.72,3.72,8.37,17
RC,637,NITROGLYCERIN 0.2 MG/HR PT24 30 EACH BOX,9.51,3.8,3.8,8.56,17
RC,637,NORETHINDRONE 5 MG TABS 50 EACH BOTTLE,13.25,5.3,5.3,11.93,34
RC,637,NORETHINDRONE ACETETHINYL EST 1.530 MGMCG TABS 21 EACH DISP PACK,67.98,27.19,27.19,61.18,17
RC,637,NORETHINDRONEETHINYL ESTRADIOL 0.435 MGMCG TABS 28 EACH DISP PACK,8.01,3.2,3.2,7.21,17
RC,637,NORGESTRELETHINYL ESTRADIOL 0.330 MGMCG TABS 28 EACH DISP PACK,5.45,2.18,2.18,4.91,51
RC,637,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,124.88,49.95,43.89,126.03,51
RC,637,NYSTATINTRIAMCINOLONE 1000000.1 UNIT/GM% OINT 30 G TUBE,219.0,87.6,58.8,261.9,34
RC,637,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,709.69,283.88,283.88,638.72,17
RC,637,OLANZAPINE 10 MG TABS 100 EACH BOX,66.08,26.43,26.43,59.47,17
RC,637,OLANZAPINE 2.5 MG TABS 1 EACH,55.86,22.34,22.34,50.27,17
RC,637,OLANZAPINE 2.5 MG TABS 100 EACH BOX,55.925,22.369999999999997,22.34,50.39,51
RC,637,OLANZAPINE 5 MG TABS 100 EACH BOX,60.269999999999996,24.105,21.78,59.47,51
RC,637,OLANZAPINE 7.5 MG TABS 100 EACH BOX,80.42,32.17,32.17,72.38,17
RC,637,OLANZAPINE 7.5 MG TABS 30 EACH BOTTLE,80.33,32.13,32.13,72.3,17
RC,637,OLANZAPINE ZYDIS 10 MG TBDP 1 EACH,104.85,41.94,41.94,94.37,17
RC,637,OLANZAPINE ZYDIS 10 MG TBDP 30 EACH BOTTLE,104.105,41.645,41.34,94.38,34
RC,637,OLANZAPINE ZYDIS 10 MG TBDP 30 EACH BOX,104.87,41.95,41.95,94.38,17
RC,637,OLANZAPINE ZYDIS 15 MG TBDP 30 EACH BOTTLE,153.165,61.265,60.67,139.19,34
RC,637,OLANZAPINE ZYDIS 20 MG TBDP 30 EACH BOTTLE,202.22,80.89,80.0,184.0,34
RC,637,OLANZAPINE ZYDIS 5 MG TBDP 1 EACH,69.87,27.95,27.95,62.88,17
RC,637,OLANZAPINE ZYDIS 5 MG TBDP 100 EACH BOX,71.37,28.55,28.55,64.23,17
RC,637,OLANZAPINE ZYDIS 5 MG TBDP 30 EACH BOTTLE,70.685,28.275,28.0,64.23,34
RC,637,OLANZAPINE ZYDIS 5 MG TBDP 30 EACH BOX,69.87,27.95,27.95,62.88,17
RC,637,OLMESARTAN 20 MG TABS 30 EACH BOTTLE,34.37,13.75,13.75,30.93,17
RC,637,OLMESARTAN 40 MG TABS 30 EACH BOTTLE,47.74,19.1,19.1,42.97,17
RC,637,OLMESARTAN 5 MG TABS 30 EACH BOTTLE,28.09,11.24,11.24,25.28,17
RC,637,OLOPATADINE 0.1 % SOLN 5 ML BOTTLE,56.65,22.66,15.48,67.14,34
RC,637,OMEGA3 ACID ETHYL ESTERS 1 G CAPS 120 EACH BOTTLE,10.34,4.14,4.14,9.31,17
RC,637,OMEPRAZOLE 20 MG CPDR 1 EACH,5.55,2.22,2.22,5.0,17
RC,637,OMEPRAZOLE 20 MG CPDR 100 EACH BOX,4.285,1.7149999999999999,1.2,5.01,34
RC,637,OMEPRAZOLE 40 MG CPDR 30 EACH BOTTLE,33.44,13.38,13.38,30.1,17
RC,637,OPIUMBELLADONNA 16.230 MG SUPP 12 EACH BOX,137.59,55.04,55.04,123.83,17
RC,637,OPIUMBELLADONNA 16.260 MG SUPP 12 EACH BOX,167.27,66.91,66.91,150.54,17
RC,637,ORLISTAT 60 MG CAPS 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,OSELTAMIVIR 30 MG CAPS 10 EACH BOX,77.255,30.9,28.36,75.25,51
RC,637,OSELTAMIVIR 45 MG CAPS 10 EACH BOX,70.9,28.36,28.36,63.81,51
RC,637,OSELTAMIVIR 6 MG/ML SUSR 12.5 ML ORAL SYRINGE,68.35,27.34,27.34,61.52,17
RC,637,OSELTAMIVIR 6 MG/ML SUSR 5 ML ORAL SYRINGE,68.35,27.34,27.34,61.52,17
RC,637,OSELTAMIVIR 6 MG/ML SUSR 60 ML BOTTLE,68.35,27.34,27.29,64.94,51
RC,637,OSELTAMIVIR 75 MG CAPS 10 EACH BOX,77.29,30.92,30.92,69.56,68
RC,637,OXANDROLONE 10 MG TABS 60 EACH BOTTLE,119.07,47.63,47.63,107.16,17
RC,637,OXANDROLONE 2.5 MG TABS 100 EACH BOTTLE,33.46,13.38,13.38,30.11,17
RC,637,OXAPROZIN 600 MG TABS 100 EACH BOTTLE,50.17,20.07,20.07,45.15,17
RC,637,OXAZEPAM 15 MG CAPS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,17
RC,637,OXCARBAZEPINE 150 MG TABS 1 EACH,7.55,3.02,3.02,6.8,17
RC,637,OXCARBAZEPINE 150 MG TABS 100 EACH BOX,7.55,3.02,3.02,6.8,17
RC,637,OXCARBAZEPINE 300 MG TABS 1 EACH,13.78,5.51,5.51,12.4,17
RC,637,OXCARBAZEPINE 300 MG TABS 100 EACH BOTTLE,13.125,5.25,5.22,11.88,34
RC,637,OXCARBAZEPINE 300 MG TABS 100 EACH BOX,13.78,5.51,5.51,12.4,17
RC,637,OXCARBAZEPINE 300 MG/5ML SUSP 250 ML BOTTLE,1282.8249999999998,513.13,502.32,1178.87,34
RC,637,OXCARBAZEPINE 300 MG/5ML SUSP 5 ML ORAL SYRINGE,28.48,11.39,11.39,25.63,17
RC,637,OXCARBAZEPINE 600 MG TABS 1 EACH,25.32,10.13,10.13,22.79,17
RC,637,OXCARBAZEPINE 600 MG TABS 100 EACH BOX,25.32,10.13,10.13,22.79,17
RC,637,OXYBUTYNIN 10 MG TB24 100 EACH BOTTLE,16.46,6.58,6.58,14.81,17
RC,637,OXYBUTYNIN 3.9 MG/24HR PTTW 8 EACH BOX,469.1,187.64,187.64,422.19,17
RC,637,OXYBUTYNIN 5 MG TB24 1 EACH,15.35,6.14,6.14,13.82,17
RC,637,OXYBUTYNIN 5 MG TB24 50 EACH BOX,15.37,6.15,6.15,13.83,17
RC,637,OXYCODONE 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,34
RC,637,OXYCODONE 5 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,OXYCODONE 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,68
RC,637,OXYCODONE 5 MG/5ML SOLN 5 ML CUP,39.575,15.83,14.16,38.82,68
RC,637,OXYCODONE HCL ER 10 MG T12A 100 EACH BOTTLE,36.89,14.76,14.76,33.2,17
RC,637,OXYCODONE HCL ER 10 MG T12A 20 EACH BOX,37.87,15.15,15.15,34.08,17
RC,637,OXYCODONE HCL ER 20 MG T12A 100 EACH BOTTLE,68.79,27.52,27.52,61.91,17
RC,637,OXYCODONE HCL ER 20 MG T12A 20 EACH BOX,70.55,28.22,28.22,63.5,17
RC,637,OXYCODONE HCL ER 40 MG T12A 100 EACH BOTTLE,117.8,47.12,47.12,106.02,17
RC,637,OXYCODONE HCL ER 40 MG T12A 20 EACH BOX,120.78,48.31,48.31,108.7,17
RC,637,PALIPERIDONE 3 MG TB24 1 EACH,86.75,34.7,34.7,78.08,17
RC,637,PALIPERIDONE 3 MG TB24 100 EACH BOX,86.74,34.7,34.7,78.07,17
RC,637,PALIPERIDONE 6 MG TB24 30 EACH BOTTLE,77.3,30.92,30.92,69.57,17
RC,637,PALIPERIDONE 9 MG TB24 30 EACH BOTTLE,115.94,46.38,46.38,104.35,17
RC,637,PANCRELIPASE CREON 12000 UNITS 1200038000 UNITS CPEP 100 EACH BOTTLE,25.75,10.3,10.3,23.18,34
RC,637,PANCRELIPASE CREON 24000 UNITS 2400076000 UNITS CPEP 100 EACH BOTTLE,51.03,20.41,20.41,45.93,34
RC,637,PANCRELIPASE CREON 3000 UNITS 30009500 UNITS CPEP 70 EACH BOTTLE,10.88,4.35,4.35,9.79,34
RC,637,PANCRELIPASE CREON 6000 UNITS 600019000 UNITS CPEP 100 EACH BOTTLE,12.88,5.15,5.15,11.59,34
RC,637,PANCRELIPASE LIPPROTAMYL 1600057500 UNITS CPEP 100 EACH BOTTLE,33.57,13.43,13.43,30.21,17
RC,637,PANCRELIPASE LIPPROTAMYL 800028750 UNITS CPEP 100 EACH BOTTLE,16.79,6.72,6.72,15.11,17
RC,637,PANTOPRAZOLE 20 MG TBEC 1 EACH,19.465,7.785,7.6,17.94,34
RC,637,PANTOPRAZOLE 20 MG TBEC 100 EACH BOX,19.0,7.6,7.6,17.1,17
RC,637,PANTOPRAZOLE 20 MG TBEC 50 EACH BOX,19.93,7.97,7.97,17.94,17
RC,637,PANTOPRAZOLE 40 MG TBEC 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,PANTOPRAZOLE 40 MG TBEC 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PANTOPRAZOLE SODIUM 40 MG PACK 30 EACH BOX,89.05,35.62,35.62,80.15,17
RC,637,PARICALCITOL 1 MCG CAPS 30 EACH BOTTLE,78.07,31.23,31.23,70.26,17
RC,637,PAROXETINE 10 MG TABS 1 EACH,13.36,5.34,5.34,12.02,17
RC,637,PAROXETINE 10 MG TABS 100 EACH BOX,13.36,5.34,1.46,12.66,51
RC,637,PAROXETINE 10 MG TABS 30 EACH BOTTLE,13.1,5.24,5.24,11.79,17
RC,637,PAROXETINE 12.5 MG TB24 30 EACH BOTTLE,27.88,11.15,11.15,25.09,17
RC,637,PAROXETINE 20 MG TABS 1 EACH,13.95,5.58,5.58,12.56,17
RC,637,PAROXETINE 20 MG TABS 100 EACH BOX,13.95,5.58,5.58,12.56,17
RC,637,PAROXETINE 25 MG TB24 30 EACH BOTTLE,29.1,11.64,11.64,26.19,17
RC,637,PAROXETINE 30 MG TABS 30 EACH BOTTLE,14.125,5.65,5.63,12.75,34
RC,637,PAROXETINE 37.5 MG TB24 30 EACH BOTTLE,29.97,11.99,11.99,26.97,17
RC,637,PATIROMER SORBITEX CALCIUM 8.4 G PACK 1 EACH PACKET,213.0,85.2,85.2,191.7,17
RC,637,PATIROMER SORBITEX CALCIUM 8.4 G PACK 4 EACH BOX,284.64,113.86,113.86,256.18,17
RC,637,PBHYOSCYATROPINESCOPOLAMINE 16.2 MG TABS 100 EACH BOTTLE,87.73,35.09,35.09,78.96,17
RC,637,PEDIATRIC MULTIVITAMIN SOLN 50 ML BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,PENICILLAMINE 250 MG CAPS 100 EACH BOTTLE,1445.61,578.24,578.24,1301.05,17
RC,637,PENICILLAMINE 250 MG TABS 100 EACH BOTTLE,417.47,166.99,166.99,375.72,17
RC,637,PENICILLIN V POTASSIUM 250 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,PENICILLIN V POTASSIUM 250 MG/5ML SOLR 100 ML BOTTLE,56.0,22.4,22.4,50.4,17
RC,637,PENICILLIN V POTASSIUM 250 MG/5ML SOLR 200 ML BOTTLE,81.0,32.4,32.4,72.9,17
RC,637,PENTAZOCINENALOXONE 500.5 MG TABS 100 EACH BOTTLE,12.37,4.95,4.95,11.13,17
RC,637,PENTOSAN POLYSULFATE 100 MG CAPS 100 EACH BOTTLE,71.86,28.74,28.74,64.67,17
RC,637,PENTOXIFYLLINE 400 MG TAB CR 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PERAMPANEL 2 MG TABS 30 EACH BOTTLE,117.99,47.2,42.92,111.78,68
RC,637,PERINDOPRIL 8 MG TABS 100 EACH BOTTLE,13.98,5.59,5.59,12.58,17
RC,637,PERMETHRIN 1 % LIQD 59 ML BOTTLE,77.88,31.15,31.15,70.09,17
RC,637,PERMETHRIN 5 % CREA 60 G TUBE,542.89,217.16,217.16,488.6,17
RC,637,PERPHENAZINE 2 MG TABS 100 EACH BOTTLE,8.73,3.49,3.49,7.86,34
RC,637,PERPHENAZINE 4 MG TABS 100 EACH BOTTLE,11.95,4.78,4.78,10.76,17
RC,637,PERPHENAZINE 4 MG TABS 100 EACH BOX,10.52,4.21,4.21,9.47,17
RC,637,PERPHENAZINE 8 MG TABS 100 EACH BOX,12.64,5.06,5.06,11.38,17
RC,637,PHENOBARBITAL 16.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,85
RC,637,PHENOBARBITAL 32.4 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,68
RC,637,PHENOBARBITAL 32.4 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,PHENOBARBITAL 97.2 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,51
RC,637,PHENOLGLYCERIN 1.533 % LIQD 118 ML BOTTLE,39.53,15.81,15.81,35.58,17
RC,637,PHENYLEPHRINE 0.125 % SOLN 15 ML BOTTLE,8.39,3.36,3.36,7.55,17
RC,637,PHENYLEPHRINE 0.25 % SOLN 15 ML BOTTLE,6.23,2.49,2.49,5.61,17
RC,637,PHENYLEPHRINE 0.5 % SOLN 15 ML BOTTLE,6.23,2.49,2.49,5.61,17
RC,637,PHENYTOIN 100 MG CAPS 1 EACH,9.36,3.74,1.28,10.85,51
RC,637,PHENYTOIN 100 MG CAPS 100 EACH BOX,9.36,3.74,1.28,10.85,68
RC,637,PHENYTOIN 125 MG/5ML SUSP 20 ML ORAL SYRINGE,4.7,1.88,1.88,4.23,17
RC,637,PHENYTOIN 125 MG/5ML SUSP 237 ML BOTTLE,184.86,73.94,73.94,166.37,17
RC,637,PHENYTOIN 125 MG/5ML SUSP 4 ML CUP,41.7,16.68,16.08,38.88,68
RC,637,PHENYTOIN 125 MG/5ML SUSP 4 ML ORAL SYRINGE,3.12,1.25,1.25,2.81,17
RC,637,PHENYTOIN 125 MG/5ML SUSP 6 ML ORAL SYRINGE,5.91,2.36,2.36,5.32,17
RC,637,PHENYTOIN 30 MG CAPS 100 EACH BOTTLE,9.42,3.77,3.77,8.48,34
RC,637,PHENYTOIN 50 MG CHEW 1 EACH,9.0,3.6,3.6,8.1,17
RC,637,PHENYTOIN 50 MG CHEW 30 EACH BOX,8.42,3.37,3.14,8.1,34
RC,637,PHOSPHORUS 155852130 MG TABS 100 EACH BOTTLE,3.93,1.5699999999999998,1.2,4.37,51
RC,637,PHYTONADIONE 5 MG TABS 1 EACH,371.91,148.76,148.76,334.72,17
RC,637,PHYTONADIONE 5 MG TABS 100 EACH BOTTLE,352.56,141.02,141.02,317.3,17
RC,637,PHYTONADIONE 5 MG TABS 20 EACH BOX,371.91,148.76,148.76,334.72,17
RC,637,PILOCARPINE 5 MG TABS 100 EACH BOTTLE,7.61,3.04,1.2,8.16,51
RC,637,PIMOZIDE 1 MG TABS 100 EACH BOTTLE,9.15,3.66,3.66,8.24,17
RC,637,PINDOLOL 10 MG TABS 100 EACH BOTTLE,8.99,3.6,3.6,8.09,17
RC,637,PINDOLOL 5 MG TABS 100 EACH BOTTLE,10.69,4.28,4.28,9.62,17
RC,637,PIOGLITAZONE 15 MG TABS 100 EACH BOX,6.3,2.52,2.52,5.67,17
RC,637,PIOGLITAZONE 30 MG TABS 30 EACH BOTTLE,53.53,21.41,21.41,48.18,17
RC,637,PIOGLITAZONE 45 MG TABS 90 EACH BOTTLE,58.07,23.23,23.23,52.26,17
RC,637,PIROXICAM 20 MG CAPS 100 EACH BOTTLE,22.43,8.97,8.97,20.19,17
RC,637,POLYETHYLENE GLYCOL 17 G PACK 1 EACH PACKET,8.35,3.34,3.34,7.52,17
RC,637,POLYETHYLENE GLYCOL 17 G PACK 24 EACH BOX,6.79,2.72,2.72,6.11,17
RC,637,POSACONAZOLE 100 MG TBEC 1 EACH,283.0,113.2,113.2,254.7,17
RC,637,POSACONAZOLE 100 MG TBEC 30 EACH BOX,283.0,113.2,113.2,254.7,17
RC,637,POSACONAZOLE 100 MG TBEC 60 EACH BOTTLE,370.04,148.02,148.02,333.04,34
RC,637,POSACONAZOLE 40 MG/ML SUSP 105 ML BOTTLE,195.365,78.14500000000001,74.03,185.09,34
RC,637,POSACONAZOLE 40 MG/ML SUSP 5 ML ORAL SYRINGE,185.08,74.03,74.03,166.57,17
RC,637,POTASSIUM AND SODIUM PHOSPHATES 280160250 MG PACK 1 EACH PACKET,3.0,1.2,1.2,2.7,17
RC,637,POTASSIUM AND SODIUM PHOSPHATES 280160250 MG PACK 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,POTASSIUM BICARBCITRIC ACID 20 MEQ TBEF 30 EACH BOX,3.3,1.32,1.32,2.97,34
RC,637,POTASSIUM BICARBONATE 25 MEQ TBEF 250 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,POTASSIUM BICARBONATE 25 MEQ TBEF 30 EACH BOX,3.0,1.2,1.2,2.7,51
RC,637,POTASSIUM CHLORIDE 10 MEQ TAB CR 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,POTASSIUM CHLORIDE 10 MEQ TAB CR 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,POTASSIUM CHLORIDE 10 MEQ TAB CR 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,POTASSIUM CHLORIDE 10 MEQ TAB CR 80 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,POTASSIUM CHLORIDE 20 MEQ PACK 1 EACH PACKET,53.7,21.48,21.48,48.33,17
RC,637,POTASSIUM CHLORIDE 20 MEQ PACK 30 EACH BOX,31.41,12.565,3.65,48.33,51
RC,637,POTASSIUM CHLORIDE 8 MEQ TAB CR 100 EACH BOX,3.3,1.32,1.32,2.97,17
RC,637,POTASSIUM CHLORIDE CR 8 MEQ CPCR 100 EACH BOTTLE,4.47,1.79,1.79,4.02,17
RC,637,POTASSIUM CHLORIDE SA 10 MEQ TAB CR 100 EACH BOX,3.6,1.44,1.44,3.24,17
RC,637,POTASSIUM CHLORIDE SA 10 MEQ TAB CR 90 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 1 EACH,3.4,1.36,1.36,3.06,17
RC,637,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 100 EACH BOTTLE,3.33,1.335,1.26,3.17,34
RC,637,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 100 EACH BOX,3.8600000000000003,1.545,1.36,3.89,34
RC,637,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 80 EACH BOX,4.0,1.6,1.6,3.6,17
RC,637,POTASSIUM CHLORIDE SA 20 MEQ TAB CR 90 EACH BOTTLE,3.14,1.26,1.26,2.83,17
RC,637,POTASSIUM CITRATE 5 MEQ 540 MG TAB CR 100 EACH BOTTLE,8.76,3.5,3.5,7.88,17
RC,637,POTASSIUM IODIDE ANTIDOTE 130 MG TABS 14 EACH BOX,9.84,3.94,3.94,8.86,17
RC,637,PRAMIPEXOLE 0.125 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
RC,637,PRAMIPEXOLE 0.25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PRAMIPEXOLE 0.25 MG TABS 90 EACH BOTTLE,14.7,5.88,5.88,13.23,17
RC,637,PRAMIPEXOLE 0.5 MG TABS 1 EACH,5.0,2.0,2.0,4.5,17
RC,637,PRAMIPEXOLE 0.5 MG TABS 30 EACH BOX,5.0,2.0,2.0,4.5,17
RC,637,PRAMIPEXOLE 0.5 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
RC,637,PRAMIPEXOLE 1 MG TABS 1 EACH,6.65,2.66,2.66,5.99,17
RC,637,PRAMIPEXOLE 1 MG TABS 30 EACH BOX,6.63,2.65,2.65,5.97,17
RC,637,PRAMIPEXOLE 1 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
RC,637,PRAMIPEXOLE 1.5 MG TABS 90 EACH BOTTLE,14.75,5.9,5.9,13.28,17
RC,637,PRAMOXINE HCL PERIANAL 1 % FOAM 15 G CAN,262.13,104.85,104.85,235.92,17
RC,637,PRASUGREL 10 MG TABS 1 EACH,10.98,4.39,4.39,9.88,17
RC,637,PRASUGREL 10 MG TABS 30 EACH BOTTLE,82.53,33.01,33.01,74.28,34
RC,637,PRASUGREL 10 MG TABS 30 EACH BOX,10.98,4.39,4.39,9.88,17
RC,637,PRASUGREL 5 MG TABS 30 EACH BOTTLE,82.53,33.01,33.01,74.28,34
RC,637,PRAVASTATIN 10 MG TABS 1 EACH,16.0,6.4,6.4,14.4,17
RC,637,PRAVASTATIN 10 MG TABS 100 EACH BOX,15.235,6.095000000000001,5.79,14.4,34
RC,637,PRAVASTATIN 20 MG TABS 1 EACH,16.3,6.52,6.5,14.71,34
RC,637,PRAVASTATIN 20 MG TABS 100 EACH BOX,16.26,6.5,4.99,14.71,51
RC,637,PRAZIQUANTEL 600 MG TABS 6 EACH BOTTLE,458.38,183.35,183.35,412.54,17
RC,637,PRAZOSIN 1 MG CAPS 1 EACH,8.93,3.57,3.57,8.04,17
RC,637,PRAZOSIN 1 MG CAPS 100 EACH BOTTLE,4.77,1.91,1.91,4.29,17
RC,637,PRAZOSIN 1 MG CAPS 100 EACH BOX,8.515,3.4050000000000002,3.24,8.04,34
RC,637,PRAZOSIN 2 MG CAPS 100 EACH BOTTLE,6.61,2.64,2.64,5.95,17
RC,637,PRAZOSIN 5 MG CAPS 100 EACH BOTTLE,11.48,4.59,4.59,10.33,17
RC,637,PREDNISOLONE 15 MG/5ML SOLN 237 ML BOTTLE,369.72,147.89,147.89,332.75,17
RC,637,PREDNISOLONE 15 MG/5ML SOLN 3.33 ML ORAL SYRINGE,8.03,3.21,3.21,7.23,17
RC,637,PREDNISOLONE 15 MG/5ML SOLN 480 ML BOTTLE,850.08,340.03,340.03,765.07,17
RC,637,PREDNISOLONE 15 MG/5ML SOLN 5 ML ORAL SYRINGE,7.85,3.14,3.14,7.07,17
RC,637,PREGABALIN 100 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,PREGABALIN 100 MG CAPS 100 EACH BOX,38.395,15.36,4.0,60.11,34
RC,637,PREGABALIN 150 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,PREGABALIN 150 MG CAPS 100 EACH BOX,38.395,15.36,4.0,60.11,51
RC,637,PREGABALIN 200 MG CAPS 90 EACH BOTTLE,60.72,24.29,24.29,54.65,17
RC,637,PREGABALIN 225 MG CAPS 90 EACH BOTTLE,60.72,24.29,24.29,54.65,17
RC,637,PREGABALIN 25 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,PREGABALIN 25 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,PREGABALIN 25 MG CAPS 90 EACH BOTTLE,44.48,17.79,16.86,54.65,51
RC,637,PREGABALIN 300 MG CAPS 90 EACH BOTTLE,60.72,24.29,24.29,54.65,17
RC,637,PREGABALIN 50 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,PREGABALIN 50 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,637,PREGABALIN 50 MG CAPS 90 EACH BOTTLE,44.48,17.79,17.79,40.03,17
RC,637,PREGABALIN 75 MG CAPS 1 EACH,10.0,4.0,4.0,9.0,34
RC,637,PREGABALIN 75 MG CAPS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,PREGABALIN 75 MG CAPS 50 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,PREGABALIN 75 MG CAPS 90 EACH BOTTLE,43.31,17.325,16.86,40.03,34
RC,637,PRENATAL 1 TAB TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,PRIMAQUINE PHOSPHATE 26.3 15 BASE MG TABS 100 EACH BOTTLE,12.28,4.91,4.91,11.05,17
RC,637,PRIMIDONE 250 MG TABS 1 EACH,4.62,1.85,1.6,4.73,34
RC,637,PRIMIDONE 250 MG TABS 100 EACH BOX,5.25,2.1,2.1,4.73,17
RC,637,PRIMIDONE 250 MG TABS 50 EACH BOX,3.99,1.6,1.6,3.59,17
RC,637,PRIMIDONE 50 MG TABS 1 EACH,4.9,1.96,1.96,4.41,17
RC,637,PRIMIDONE 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,PRIMIDONE 50 MG TABS 100 EACH BOX,4.88,1.95,1.95,4.39,17
RC,637,PROBENECID 500 MG TABS 100 EACH BOTTLE,18.66,7.46,7.46,16.79,17
RC,637,PROCARBAZINE 50 MG CAPS 100 EACH BOTTLE,975.6,390.24,390.24,878.04,17
RC,637,PROCHLORPERAZINE 25 MG SUPP 12 EACH BOX,61.29,24.52,24.52,55.16,17
RC,637,PROGESTERONE 100 MG CAPS 100 EACH BOTTLE,10.5,4.2,4.1,23.27,51
RC,637,PROMETHAZINE 12.5 MG SUPP 1 EACH BOX,84.1,33.64,31.87,79.68,34
RC,637,PROMETHAZINE 12.5 MG SUPP 12 EACH BOX,84.1,33.64,31.87,79.68,34
RC,637,PROMETHAZINE 12.5 MG TABS 1 EACH,3.05,1.22,1.22,2.75,17
RC,637,PROMETHAZINE 12.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,PROMETHAZINE 12.5 MG TABS 100 EACH BOX,3.08,1.23,1.23,2.77,17
RC,637,PROMETHAZINE 25 MG SUPP 12 EACH BOX,88.53,35.41,35.41,79.68,17
RC,637,PROMETHAZINE 50 MG SUPP 12 EACH BOX,178.83,71.53,71.53,160.95,17
RC,637,PROPAFENONE 150 MG TABS 100 EACH BOTTLE,8.18,3.27,3.27,7.36,17
RC,637,PROPAFENONE 225 MG CP12 60 EACH BOTTLE,39.47,15.79,15.79,35.52,34
RC,637,PROPAFENONE 225 MG TABS 100 EACH BOTTLE,11.65,4.66,4.66,10.49,51
RC,637,PROPAFENONE 300 MG TABS 100 EACH BOTTLE,14.85,5.94,5.94,13.37,17
RC,637,PROPAFENONE 325 MG CP12 60 EACH BOTTLE,50.0,20.0,20.0,45.0,17
RC,637,PROPAFENONE 425 MG CP12 60 EACH BOTTLE,50.0,20.0,20.0,45.0,17
RC,637,PROPRANOLOL 10 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,PROPRANOLOL 10 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,PROPRANOLOL 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,51
RC,637,PROPRANOLOL 120 MG CP24 100 EACH BOTTLE,14.92,5.965,5.96,13.44,34
RC,637,PROPRANOLOL 20 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,PROPRANOLOL 20 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,PROPRANOLOL 20 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PROPRANOLOL 20 MG/5ML SOLN 5 ML ORAL SYRINGE,3.3,1.32,1.32,2.97,17
RC,637,PROPRANOLOL 20 MG/5ML SOLN 500 ML BOTTLE,330.0,132.0,132.0,297.0,17
RC,637,PROPRANOLOL 4 MG/ML SOLN 1 ML,3.0,1.2,1.2,2.7,17
RC,637,PROPRANOLOL 40 MG TABS 1 EACH,3.35,1.34,1.34,3.02,17
RC,637,PROPRANOLOL 40 MG TABS 100 EACH BOX,3.35,1.34,1.34,3.02,17
RC,637,PROPRANOLOL 60 MG CP24 100 EACH BOTTLE,10.25,4.1,4.08,9.26,51
RC,637,PROPRANOLOL 80 MG CP24 100 EACH BOTTLE,12.04,4.82,4.82,10.84,17
RC,637,PROPRANOLOL 80 MG CP24 100 EACH BOX,12.25,4.9,4.9,11.03,17
RC,637,PROPRANOLOL 80 MG TABS 100 EACH BOTTLE,4.85,1.94,1.94,4.37,17
RC,637,PROPYLTHIOURACIL 50 MG TABS 100 EACH BOTTLE,4.5,1.8,1.8,4.05,17
RC,637,PROTRIPTYLINE 10 MG TABS 100 EACH BOTTLE,28.67,11.47,11.47,25.8,17
RC,637,PSEUDOEPHEDRINE 120 MG TB12 10 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PSEUDOEPHEDRINE 30 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,PSEUDOEPHEDRINE HCL 15 MG/5ML LIQD 118 ML BOTTLE,34.22,13.69,13.69,30.8,17
RC,637,PSYLLIUM 0.36 G CAPS 160 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,PSYLLIUM 100 % PACK 100 EACH PACKAGE,3.0,1.2,1.2,2.7,17
RC,637,PSYLLIUM 25 % PACK 30 EACH BOX,3.22,1.29,1.29,2.9,17
RC,637,PSYLLIUM 51.7 % PACK 1 EACH PACKAGE,3.0,1.2,1.2,2.7,17
RC,637,PSYLLIUM 51.7 % PACK 30 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PYRAZINAMIDE 500 MG TABS 1 EACH,34.83,13.93,13.93,31.35,17
RC,637,PYRAZINAMIDE 500 MG TABS 100 EACH BOTTLE,30.78,12.31,12.31,27.7,17
RC,637,PYRAZINAMIDE 500 MG TABS 100 EACH BOX,34.83,13.93,13.93,31.35,17
RC,637,PYRAZINAMIDE 500 MG TABS 500 EACH BOTTLE,30.42,12.17,12.17,27.38,17
RC,637,PYRAZINAMIDE 500 MG TABS 60 EACH BOTTLE,31.58,12.63,12.63,28.42,17
RC,637,PYRAZINAMIDE 500 MG TABS 90 EACH BOTTLE,31.38,12.55,12.55,28.24,17
RC,637,PYRIDOSTIGMINE 180 MG TAB CR 30 EACH BOTTLE,210.62,84.25,49.62,267.48,51
RC,637,PYRIDOSTIGMINE 60 MG TABS 1 EACH,7.4,2.96,2.96,6.66,17
RC,637,PYRIDOSTIGMINE 60 MG TABS 100 EACH BOTTLE,6.38,2.55,2.55,5.74,17
RC,637,PYRIDOSTIGMINE 60 MG TABS 100 EACH BOX,7.41,2.96,2.96,6.67,17
RC,637,PYRIDOSTIGMINE 60 MG TABS 30 EACH BOTTLE,6.38,2.55,2.55,5.74,17
RC,637,PYRIDOSTIGMINE 60 MG/5ML SOLN 473 ML BOTTLE,8158.965,3263.585,2250.42,9622.69,51
RC,637,PYRIDOSTIGMINE 60 MG/5ML SOLN 5 ML ORAL SYRINGE,70.8,28.32,28.32,63.72,17
RC,637,PYRIDOXINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,PYRIDOXINE 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,PYRIDOXINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PYRIDOXINE 100 MG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,PYRIDOXINE 25 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,PYRIDOXINE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,PYRIMETHAMINE 25 MG TABS 30 EACH BOTTLE,3685.5,1474.2,1436.4,3402.0,34
RC,637,QUETIAPINE 100 MG TABS 1 EACH,32.39,12.96,12.96,29.15,17
RC,637,QUETIAPINE 100 MG TABS 100 EACH BOX,32.39,12.96,12.96,29.15,17
RC,637,QUETIAPINE 12.5 MG TABS 1 HALF TABLET,9.29,3.72,3.72,8.36,17
RC,637,QUETIAPINE 200 MG TABS 1 EACH,60.980000000000004,24.395000000000003,24.35,54.98,34
RC,637,QUETIAPINE 200 MG TABS 100 EACH BOX,61.09,24.44,24.44,54.98,17
RC,637,QUETIAPINE 200 MG TABS 50 EACH BOX,60.87,24.35,24.35,54.78,17
RC,637,QUETIAPINE 200 MG TB24 60 EACH BOTTLE,87.64,35.06,35.06,78.88,51
RC,637,QUETIAPINE 25 MG TABS 1 EACH,18.73,7.494999999999999,7.43,17.0,34
RC,637,QUETIAPINE 25 MG TABS 100 EACH BOTTLE,19.98,7.99,7.99,17.98,17
RC,637,QUETIAPINE 25 MG TABS 50 EACH BOX,18.57,7.43,7.43,16.71,17
RC,637,QUETIAPINE 300 MG TABS 1 EACH,80.1,32.04,32.04,72.09,17
RC,637,QUETIAPINE 300 MG TABS 100 EACH BOX,80.1,32.04,32.04,72.09,17
RC,637,QUETIAPINE 300 MG TABS 60 EACH BOTTLE,84.77,33.91,33.91,76.29,17
RC,637,QUETIAPINE 300 MG TB24 60 EACH BOTTLE,114.905,45.96,45.96,103.42,51
RC,637,QUETIAPINE 400 MG TABS 1 EACH,94.1,37.64,37.62,84.73,34
RC,637,QUETIAPINE 400 MG TABS 100 EACH BOX,94.14,37.66,37.66,84.73,17
RC,637,QUETIAPINE 400 MG TABS 50 EACH BOX,94.06,37.62,37.62,84.65,17
RC,637,QUETIAPINE 400 MG TB24 60 EACH BOTTLE,135.05,54.02,54.02,121.55,51
RC,637,QUETIAPINE 50 MG TABS 1 EACH,30.98,12.39,12.38,27.91,34
RC,637,QUETIAPINE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,QUETIAPINE 50 MG TABS 50 EACH BOX,30.95,12.38,12.38,27.86,17
RC,637,QUINAPRIL 10 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
RC,637,QUINAPRIL 20 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
RC,637,QUINAPRIL 40 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
RC,637,QUINAPRIL 5 MG TABS 90 EACH BOTTLE,6.12,2.45,2.45,5.51,17
RC,637,QUINIDINE GLUCONATE 324 MG TAB CR 100 EACH BOTTLE,45.32,18.13,18.13,40.79,17
RC,637,QUINIDINE SULFATE 200 MG TABS 30 EACH BOTTLE,75.44,30.18,30.18,67.9,17
RC,637,QUINIDINE SULFATE 300 MG TABS 30 EACH BOTTLE,79.5,31.8,31.8,71.55,17
RC,637,QUININE 324 MG CAPS 20 EACH BOX,26.47,10.59,10.59,23.82,17
RC,637,QUININE 324 MG CAPS 30 EACH BOTTLE,35.36,14.14,14.14,31.82,34
RC,637,RALOXIFENE 60 MG TABS 30 EACH BOX,36.67,14.67,14.67,33.0,17
RC,637,RALTEGRAVIR 400 MG TABS 60 EACH BOTTLE,208.32,83.33,83.33,187.49,17
RC,637,RALTEGRAVIR POTASSIUM 100 MG PACK 60 EACH BOX,52.08,20.83,20.83,46.87,17
RC,637,RAMELTEON 8 MG TABS 1 EACH,48.23,19.295,9.41,65.65,34
RC,637,RAMELTEON 8 MG TABS 30 EACH BOTTLE,73.92,29.57,27.98,70.03,51
RC,637,RAMELTEON 8 MG TABS 50 EACH BOX,48.23,19.295,9.41,65.65,34
RC,637,RANOLAZINE 500 MG TB12 1 EACH,8.4,3.36,3.36,7.56,17
RC,637,RANOLAZINE 500 MG TB12 30 EACH BOX,8.4,3.36,3.36,7.56,17
RC,637,RANOLAZINE 500 MG TB12 60 EACH BOTTLE,33.69,13.48,13.48,30.32,17
RC,637,RASAGILINE 0.5 MG TABS 30 EACH BOTTLE,124.99,50.0,50.0,112.49,17
RC,637,RASAGILINE MESYLATE 1 MG TABS 30 EACH BOTTLE,124.99,50.0,50.0,112.49,17
RC,637,REPAGLINIDE 0.5 MG TABS 1 EACH,18.7,7.48,7.48,16.83,17
RC,637,REPAGLINIDE 1 MG TABS 100 EACH BOTTLE,18.3,7.32,7.32,16.47,17
RC,637,RIBAVIRIN 200 MG CAPS 84 EACH BOTTLE,47.63,19.05,19.05,42.87,17
RC,637,RIFABUTIN 150 MG CAPS 100 EACH BOTTLE,87.47,34.99,34.99,78.72,34
RC,637,RIFAMPIN 150 MG CAPS 30 EACH BOX,19.11,7.64,7.64,17.2,17
RC,637,RIFAMPIN 300 MG CAPS 1 EACH,11.15,4.46,4.46,10.04,17
RC,637,RIFAMPIN 300 MG CAPS 100 EACH BOX,11.16,4.46,4.46,10.04,17
RC,637,RIFAPENTINE 150 MG TABS 24 EACH BOX,30.39,12.16,12.16,27.35,17
RC,637,RIFAXIMIN 200 MG TABS 30 EACH BOTTLE,78.47,31.39,31.39,70.62,17
RC,637,RIFAXIMIN 550 MG TABS 60 EACH BOTTLE,371.17,148.47,148.47,334.05,17
RC,637,RIFAXIMIN 550 MG TABS 60 EACH BOX,371.17,148.47,148.47,334.05,17
RC,637,RILUZOLE 50 MG TABS 60 EACH BOTTLE,184.7,73.88,73.88,166.23,17
RC,637,RISAQUAD CAPS 30 EACH BOTTLE,6.13,2.45,2.45,5.52,17
RC,637,RISEDRONATE 150 MG TABS 1 EACH DISP PACK,2038.72,815.49,815.49,1834.85,17
RC,637,RISEDRONATE 35 MG TABS 4 EACH DISP PACK,470.56,188.22,188.22,423.5,17
RC,637,RISPERIDONE 0.25 MG TABS 1 EACH,19.47,7.79,7.79,17.52,17
RC,637,RISPERIDONE 0.25 MG TABS 100 EACH BOX,19.47,7.79,7.79,17.52,17
RC,637,RISPERIDONE 0.5 MG TABS 1 EACH,21.36,8.54,8.54,19.22,17
RC,637,RISPERIDONE 0.5 MG TABS 100 EACH BOX,20.509999999999998,8.2,7.86,19.22,34
RC,637,RISPERIDONE 0.5 MG TBDP 28 EACH BOX,24.58,9.83,9.83,22.12,17
RC,637,RISPERIDONE 0.5 MG TBDP 30 EACH BOX,24.58,9.83,9.83,22.12,34
RC,637,RISPERIDONE 1 MG TABS 1 EACH,22.71,9.08,9.08,20.44,17
RC,637,RISPERIDONE 1 MG TABS 100 EACH BOX,22.71,9.08,1.2,20.54,51
RC,637,RISPERIDONE 1 MG TBDP 1 EACH,28.72,11.49,11.49,25.85,17
RC,637,RISPERIDONE 1 MG TBDP 28 EACH BOX,28.119999999999997,11.25,11.01,25.85,34
RC,637,RISPERIDONE 1 MG TBDP 30 EACH BOX,28.73,11.49,11.49,25.86,17
RC,637,RISPERIDONE 2 MG TABS 100 EACH BOX,19.15,7.659999999999999,1.2,31.77,34
RC,637,RISPERIDONE 2 MG TBDP 1 EACH,46.7,18.68,18.68,42.03,17
RC,637,RISPERIDONE 2 MG TBDP 28 EACH BOX,45.715,18.285,17.89,42.03,34
RC,637,RISPERIDONE 3 MG TABS 1 EACH,44.57,17.83,17.83,40.11,17
RC,637,RISPERIDONE 3 MG TABS 100 EACH BOX,43.045,17.22,16.61,40.11,34
RC,637,RISPERIDONE 3 MG TBDP 1 EACH,58.91,23.56,23.56,53.02,17
RC,637,RISPERIDONE 3 MG TBDP 28 EACH BOX,57.68,23.07,22.58,53.02,34
RC,637,RITONAVIR 100 MG TABS 30 EACH BOTTLE,46.29,18.52,18.52,41.66,34
RC,637,RIVAROXABAN 1 MG/ML SUSR 155 ML BOTTLE,57.88,23.15,23.15,52.09,17
RC,637,RIVAROXABAN 10 MG TABS 1 EACH,119.65,47.86,47.86,107.69,17
RC,637,RIVAROXABAN 10 MG TABS 100 EACH BOX,119.61,47.84,47.84,107.65,17
RC,637,RIVAROXABAN 15 MG TABS 1 EACH,119.65,47.86,47.86,107.69,17
RC,637,RIVAROXABAN 15 MG TABS 100 EACH BOX,119.61,47.84,47.84,107.65,17
RC,637,RIVAROXABAN 2.5 MG TABS 100 EACH BOX,59.81,23.92,23.92,53.83,17
RC,637,RIVAROXABAN 2.5 MG TABS 180 EACH BOTTLE,31.92,12.77,12.77,28.73,17
RC,637,RIVAROXABAN 20 MG TABS 1 EACH,119.65,47.86,47.86,107.69,17
RC,637,RIVAROXABAN 20 MG TABS 100 EACH BOX,119.61,47.84,47.84,107.65,17
RC,637,RIVASTIGMINE 1.5 MG CAPS 60 EACH BOTTLE,22.265,8.905000000000001,8.49,20.98,34
RC,637,RIVASTIGMINE 3 MG CAPS 60 EACH BOTTLE,21.1,8.44,8.44,18.99,17
RC,637,RIVASTIGMINE 4.6 MG/24HR PT24 1 EACH PACKET,84.49,33.8,33.8,76.04,17
RC,637,RIVASTIGMINE 4.6 MG/24HR PT24 30 EACH BOX,110.845,44.34,33.8,123.48,34
RC,637,RIVASTIGMINE 6 MG CAPS 60 EACH BOTTLE,21.1,8.44,8.44,18.99,17
RC,637,RIVASTIGMINE 9.5 MG/24HR PT24 1 EACH PACKET,84.49,33.8,33.8,76.04,17
RC,637,RIVASTIGMINE 9.5 MG/24HR PT24 30 EACH BOX,84.49,33.8,33.8,76.04,34
RC,637,RIZATRIPTAN 10 MG TABS 18 EACH BOX,166.27,66.51,66.51,149.64,17
RC,637,RIZATRIPTAN 5 MG TBDP 9 EACH BOX,166.2,66.48,66.48,149.58,17
RC,637,ROPINIROLE 0.25 MG TABS 100 EACH BOTTLE,12.6,5.04,5.04,11.34,17
RC,637,ROPINIROLE 0.25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,ROPINIROLE 0.5 MG TABS 1 EACH,3.2,1.28,1.28,2.88,17
RC,637,ROPINIROLE 0.5 MG TABS 100 EACH BOTTLE,12.565,5.025,5.01,11.34,34
RC,637,ROPINIROLE 0.5 MG TABS 50 EACH BOX,3.2,1.28,1.28,2.88,17
RC,637,ROPINIROLE 1 MG TABS 1 EACH,3.48,1.39,1.39,3.13,17
RC,637,ROPINIROLE 1 MG TABS 100 EACH BOTTLE,12.6,5.04,5.04,11.34,17
RC,637,ROPINIROLE 1 MG TABS 100 EACH BOX,3.44,1.375,1.36,3.13,34
RC,637,ROPINIROLE 2 MG TABS 1 EACH,3.6,1.44,1.44,3.24,17
RC,637,ROPINIROLE 2 MG TABS 100 EACH BOTTLE,12.565,5.025,5.01,11.34,34
RC,637,ROPINIROLE 2 MG TABS 50 EACH BOX,3.6,1.44,1.44,3.24,17
RC,637,ROPINIROLE 3 MG TABS 100 EACH BOTTLE,13.05,5.220000000000001,5.2,11.79,51
RC,637,ROPINIROLE 4 MG TABS 100 EACH BOTTLE,13.05,5.220000000000001,5.2,11.79,34
RC,637,ROPINIROLE 5 MG TABS 100 EACH BOTTLE,13.05,5.220000000000001,5.2,11.79,34
RC,637,ROPINIROLE HCL 6 MG TB24 30 EACH BOTTLE,41.03,16.41,16.41,36.93,34
RC,637,ROSUVASTATIN 10 MG TABS 1 EACH,6.87,2.75,2.75,6.18,17
RC,637,ROSUVASTATIN 10 MG TABS 1 EACH BOX,35.72,14.29,14.29,32.15,17
RC,637,ROSUVASTATIN 10 MG TABS 100 EACH BOX,35.72,14.29,14.29,32.15,17
RC,637,ROSUVASTATIN 10 MG TABS 50 EACH BOX,6.87,2.75,2.75,6.18,17
RC,637,ROSUVASTATIN 20 MG TABS 1 EACH BOX,35.72,14.29,14.29,32.15,17
RC,637,ROSUVASTATIN 20 MG TABS 100 EACH BOX,35.72,14.29,14.29,32.15,17
RC,637,ROSUVASTATIN 20 MG TABS 50 EACH BOX,7.4,2.96,2.96,6.66,17
RC,637,ROSUVASTATIN 40 MG TABS 1 EACH,7.94,3.18,3.18,7.15,17
RC,637,ROSUVASTATIN 40 MG TABS 30 EACH BOTTLE,44.72,17.89,17.89,40.25,17
RC,637,ROSUVASTATIN 40 MG TABS 50 EACH BOX,7.94,3.18,3.18,7.15,17
RC,637,ROSUVASTATIN 5 MG TABS 1 EACH,35.72,14.29,14.29,32.15,17
RC,637,ROSUVASTATIN 5 MG TABS 100 EACH BOX,35.72,14.29,14.29,32.15,17
RC,637,ROSUVASTATIN 5 MG TABS 90 EACH BOTTLE,44.73,17.89,17.89,40.26,34
RC,637,RUFINAMIDE 200 MG TABS 120 EACH BOTTLE,79.2,31.68,31.68,71.28,17
RC,637,RUFINAMIDE 400 MG TABS 120 EACH BOTTLE,158.4,63.36,63.36,142.56,17
RC,637,SACUBITRIL/VALSARTAN 4 MG/ML ORAL SUSP 200 ML BOTTLE,518.88,207.55,207.55,466.99,17
RC,637,SACUBITRILVALSARTAN 1213 MG TABS 1 HALF TABLET,35.0,14.0,14.0,31.5,17
RC,637,SACUBITRILVALSARTAN 2426 MG TABS 60 EACH BOTTLE,58.745000000000005,23.5,18.23,63.47,68
RC,637,SACUBITRILVALSARTAN 4951 MG TABS 60 EACH BOTTLE,49.37,19.75,18.23,63.47,51
RC,637,SACUBITRILVALSARTAN 97103 MG TABS 180 EACH BOTTLE,45.58,18.23,18.23,41.02,17
RC,637,SACUBITRILVALSARTAN 97103 MG TABS 60 EACH BOTTLE,49.37,19.75,18.23,63.47,51
RC,637,SALINE SPRAY 0.65 % SOLN 44 ML BOTTLE,12.87,5.15,2.29,18.02,34
RC,637,SALINE SPRAY 0.65 % SOLN 45 ML SPRAY BOTTLE,15.3,6.12,6.12,13.77,17
RC,637,SALMETEROL XINAFOATE 50 MCG/ACT AEPB 28 EACH INHALER,25.1,10.04,10.04,22.59,17
RC,637,SAXAGLIPTIN HCL 2.5 MG TABS 30 EACH BOTTLE,97.02,38.81,38.81,87.32,17
RC,637,SCOPOLAMINE 1 MG/3DAYS PT72 1 EACH PACKAGE,127.78,51.11,51.11,115.0,17
RC,637,SCOPOLAMINE 1 MG/3DAYS PT72 10 EACH BOX,114.87,45.95,45.95,103.38,17
RC,637,SCOPOLAMINE 1 MG/3DAYS PT72 24 EACH BOX,115.0,46.0,45.95,115.0,51
RC,637,SCOPOLAMINE 1 MG/3DAYS PT72 4 EACH BOX,101.0,40.4,40.4,90.9,17
RC,637,SECUKINUMAB 150 MG/ML SOAJ 1 ML PEN,38461.42,15384.57,15384.57,34615.28,17
RC,637,SELEGILINE 5 MG CAPS 60 EACH BOTTLE,11.51,4.6,4.6,10.36,17
RC,637,SELEXIPAG 400 MCG TABS 60 EACH BOTTLE,2228.9,891.56,891.56,2006.01,17
RC,637,SELF ADMINISTERED DRUGS,40.0,16.0,16.0,36.0,17
RC,637,SENNA 8.6 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,SENNA 8.6 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,SENNOSIDES 8.8 MG/5ML SYRP 237 ML BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,SERTRALINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SERTRALINE 100 MG TABS 100 EACH BOTTLE,14.24,5.7,5.7,12.82,17
RC,637,SERTRALINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,SERTRALINE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SERTRALINE 25 MG TABS 30 EACH BOTTLE,93.85,37.54,37.54,84.47,17
RC,637,SERTRALINE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SERTRALINE 50 MG TABS 30 EACH BOTTLE,14.24,5.7,5.7,12.82,17
RC,637,SEVELAMER 800 MG TABS 270 EACH BOTTLE,30.48,12.19,12.19,27.43,17
RC,637,SEVELAMER 800 MG TABS 50 EACH BOX,44.49,17.8,17.8,40.04,17
RC,637,SEVELAMER 800 MG TABS 90 EACH BOX,11.4,4.56,4.56,10.26,17
RC,637,SILDENAFIL 100 MG TABS 100 EACH BOTTLE,482.59,193.04,193.04,434.33,17
RC,637,SILDENAFIL 20 MG TABS 1 EACH,82.4,32.96,32.96,74.16,17
RC,637,SILDENAFIL 20 MG TABS 50 EACH BOX,82.4,32.96,32.96,74.16,17
RC,637,SILDENAFIL 20 MG TABS 90 EACH BOTTLE,100.02,40.01,40.01,90.02,17
RC,637,SILVER SULFADIAZINE 1 % CREA 20 G TUBE,99.7,39.88,21.84,130.32,34
RC,637,SILVER SULFADIAZINE 1 % CREA 400 G JAR,321.0,128.4,118.4,344.45,68
RC,637,SILVER SULFADIAZINE 1 % CREA 50 G JAR,86.5,34.6,34.6,77.85,17
RC,637,SIMETHICONE 40 MG CHEW 1 EACH,1.0,0.4,0.4,0.9,17
RC,637,SIMETHICONE 40 MG/0.6ML SUSP 30 ML BOTTLE,4.77,1.91,1.57,12.28,51
RC,637,SIMETHICONE 80 MG CHEW 1 EACH,1.0,0.4,0.4,0.9,17
RC,637,SIMETHICONE 80 MG CHEW 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,SIMETHICONE 80 MG CHEW 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,SIMPLE SYRUP SYRP 473 ML BOTTLE,101.7,40.68,40.68,91.53,17
RC,637,SIMVASTATIN 10 MG TABS 1 EACH,13.95,5.58,5.58,12.56,17
RC,637,SIMVASTATIN 10 MG TABS 100 EACH BOX,8.475,3.39,1.2,12.56,34
RC,637,SIMVASTATIN 20 MG TABS 1 EACH,24.61,9.84,9.84,22.15,17
RC,637,SIMVASTATIN 20 MG TABS 100 EACH BOX,13.805,5.52,1.2,22.15,34
RC,637,SIMVASTATIN 20 MG TABS 90 EACH BOTTLE,24.61,9.84,9.84,22.15,17
RC,637,SIMVASTATIN 40 MG TABS 1 EACH,24.61,9.84,9.84,22.15,17
RC,637,SIMVASTATIN 40 MG TABS 100 EACH BOX,24.61,9.84,9.84,22.15,17
RC,637,SIMVASTATIN 5 MG TABS 90 EACH BOTTLE,14.06,5.62,5.62,12.65,17
RC,637,SITAGLIPTIN 100 MG TABS 30 EACH BOTTLE,66.0,26.4,26.4,59.4,17
RC,637,SITAGLIPTIN 25 MG TABS 30 EACH BOTTLE,66.0,26.4,26.4,59.4,17
RC,637,SITAGLIPTIN 50 MG TABS 1 EACH,66.0,26.4,26.4,59.4,17
RC,637,SITAGLIPTIN 50 MG TABS 100 EACH BOX,66.0,26.4,26.4,59.4,17
RC,637,SOD CITRATECITRIC ACID 500334 MG/5ML SOLN 15 ML CUP,29.215,11.684999999999999,11.67,26.33,34
RC,637,SOD CITRATECITRIC ACID 500334 MG/5ML SOLN 473 ML BOTTLE,6.83,2.73,2.73,6.15,17
RC,637,SODIUM BICARBONATE 325 MG TABS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,SODIUM BICARBONATE 650 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SODIUM BICARBONATE 650 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,SODIUM BICARBONATE 650 MG TABS 500 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,SODIUM BICARBONATE ANTACID POWD 113 G BOTTLE,37.86,15.14,15.14,34.07,17
RC,637,SODIUM CHLORIDE 1 G TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SODIUM CHLORIDE 1 G TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,SODIUM CHLORIDE 1 G TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,SODIUM CHLORIDE 5 % OINT 3.5 G TUBE,89.12,35.65,31.02,90.63,34
RC,637,SODIUM CHLORIDE 7 % NEBU 4 ML PLAS CONT,3.82,1.53,1.2,4.18,34
RC,637,SODIUM PHENYLBUTYRATE 500 MG TABS 250 EACH BOTTLE,148.735,59.49,53.56,147.2,34
RC,637,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PACK 1 EACH PACKET,177.5,71.0,71.0,159.75,17
RC,637,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PACK 30 EACH BOX,177.48,70.99,70.99,159.73,17
RC,637,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PACK 1 EACH PACKET,177.5,71.0,71.0,159.75,17
RC,637,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PACK 30 EACH BOX,177.48,70.99,70.99,159.73,17
RC,637,SOLIFENACIN 10 MG TABS 30 EACH BOTTLE,69.59,27.84,27.84,62.63,17
RC,637,SOLIFENACIN 5 MG TABS 30 EACH BOTTLE,69.59,27.84,27.84,62.63,17
RC,637,SORBITOL 70 % SOLN 30 ML BOTTLE,20.25,8.1,8.1,18.23,17
RC,637,SORBITOL 70 % SOLN 473 ML BOTTLE,80.41,32.16,32.16,72.37,17
RC,637,SORE THROAT SPRAY 1.4 % LIQD 177 ML BOTTLE,9.425,3.77,2.76,10.76,85
RC,637,SORE THROAT SPRAY 1.4 % LIQD 177 ML SPRAY BOTTLE,5.04,2.02,2.02,4.54,17
RC,637,SOTALOL 80 MG TABS 1 EACH,11.6,4.64,4.64,10.44,17
RC,637,SOTALOL 80 MG TABS 100 EACH BOX,11.6,4.64,4.64,10.44,17
RC,637,SOTALOL HCL 5 MG/ML SOLN 250 ML BOTTLE,3052.35,1220.94,1220.94,2747.12,17
RC,637,SPINOSAD 0.9 % SUSP 120 ML BOTTLE,1459.49,583.8,583.8,1313.54,17
RC,637,SPIRONOLACTONE 100 MG TABS 1 EACH,4.38,1.75,1.75,3.94,17
RC,637,SPIRONOLACTONE 100 MG TABS 100 EACH BOX,4.38,1.75,1.75,3.94,17
RC,637,SPIRONOLACTONE 12.5 MG 0.5 EACH,3.0,1.2,1.2,2.7,17
RC,637,SPIRONOLACTONE 25 MG TABS 1 EACH,3.0,1.2,1.2,2.7,34
RC,637,SPIRONOLACTONE 25 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,SPIRONOLACTONE 25 MG/5ML SUSP 118 ML BOTTLE,2121.215,848.485,825.71,1960.34,34
RC,637,SPIRONOLACTONE 25 MG/5ML SUSP 5 ML ORAL SYRINGE,109.88,43.95,43.95,98.89,17
RC,637,SPIRONOLACTONE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SPIRONOLACTONE 50 MG TABS 100 EACH BOX,3.68,1.47,1.2,3.92,34
RC,637,STAVUDINE 15 MG CAPS 60 EACH BOTTLE,36.88,14.75,14.75,33.19,17
RC,637,STAVUDINE 20 MG CAPS 60 EACH BOTTLE,38.35,15.34,15.34,34.52,17
RC,637,STAVUDINE 40 MG CAPS 60 EACH BOTTLE,41.49,16.6,16.6,37.34,17
RC,637,SUCCIMER 100 MG CAPS 100 EACH BOTTLE,132.21,52.88,52.88,118.99,17
RC,637,SUCRALFATE 1 G TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SUCRALFATE 1 G TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,SUCRALFATE 1 GM/10ML SUSP 10 ML BOX,18.0,7.2,7.2,16.2,17
RC,637,SUCRALFATE 1 GM/10ML SUSP 10 ML CUP,27.25,10.9,7.26,27.68,204
RC,637,SUCRALFATE 1 GM/10ML SUSP 10 ML ORAL SYRINGE,19.08,7.63,7.63,17.17,17
RC,637,SUCRALFATE 1 GM/10ML SUSP 420 ML BOTTLE,19.08,7.63,7.63,17.17,17
RC,637,SULFADIAZINE 500 MG TABS 60 EACH BOTTLE,100.19,40.08,40.08,90.17,17
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 10 ML ORAL SYRINGE,11.95,4.78,4.78,10.76,17
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 473 ML BOTTLE,17.35,6.9399999999999995,4.78,20.48,51
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 20040 MG/5ML SUSP 5 ML ORAL SYRINGE,11.95,4.78,4.78,10.76,17
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG TABS 1 EACH,3.31,1.32,1.32,2.98,17
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG TABS 100 EACH BOTTLE,3.33,1.33,1.33,3.0,17
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 40080 MG TABS 50 EACH BOX,3.31,1.32,1.32,2.98,17
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 800160 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,SULFAMETHOXAZOLETRIMETHOPRIM 800160 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,SULFASALAZINE 500 MG TABS 100 EACH BOTTLE,6.51,2.605,1.2,9.02,34
RC,637,SULFASALAZINE 500 MG TBEC 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,SUMATRIPTAN 25 MG TABS 9 EACH BOX,135.26,54.1,54.1,121.73,34
RC,637,SUMATRIPTAN 50 MG TABS 9 EACH BOX,125.7,50.28,50.28,113.13,17
RC,637,SUVOREXANT 10 MG TABS 30 EACH BOX,93.12,37.25,37.25,83.81,17
RC,637,TABAVITE/BETA CAROTENE TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,TAMSULOSIN 0.4 MG CAPS 1 EACH,21.07,8.43,8.43,18.96,17
RC,637,TAMSULOSIN 0.4 MG CAPS 100 EACH BOTTLE,21.08,8.434999999999999,8.43,18.98,34
RC,637,TAMSULOSIN 0.4 MG CAPS 100 EACH BOX,21.07,8.43,8.43,18.96,17
RC,637,TELMISARTAN 20 MG TABS 30 EACH BOX,28.05,11.22,11.22,25.25,17
RC,637,TELMISARTAN 80 MG TABS 30 EACH BOX,28.05,11.22,11.22,25.25,17
RC,637,TEMAZEPAM 15 MG CAPS 1 EACH,4.89,1.96,1.96,4.4,17
RC,637,TEMAZEPAM 15 MG CAPS 100 EACH BOTTLE,3.68,1.47,1.47,3.31,17
RC,637,TEMAZEPAM 15 MG CAPS 50 EACH BOX,4.89,1.96,1.96,4.4,17
RC,637,TEMAZEPAM 30 MG CAPS 1 EACH,5.1,2.04,2.04,4.59,17
RC,637,TEMAZEPAM 30 MG CAPS 100 EACH BOTTLE,4.43,1.77,1.77,3.99,17
RC,637,TEMAZEPAM 30 MG CAPS 30 EACH BOX,5.1,2.04,2.04,4.59,17
RC,637,TEMAZEPAM 7.5 MG CAPS 1 EACH,41.75,16.7,16.7,37.58,17
RC,637,TEMAZEPAM 7.5 MG CAPS 30 EACH BOX,41.75,16.7,16.7,37.58,17
RC,637,TENOFOVIR DF 300 MG TABS 30 EACH BOTTLE,191.97,76.79,76.79,172.77,17
RC,637,TERAZOSIN 1 MG CAPS 1 EACH,8.03,3.21,3.21,7.23,17
RC,637,TERAZOSIN 1 MG CAPS 50 EACH BOX,8.03,3.21,3.21,7.23,17
RC,637,TERAZOSIN 2 MG CAPS 100 EACH BOTTLE,8.03,3.21,3.21,7.23,17
RC,637,TERAZOSIN 5 MG CAPS 100 EACH BOTTLE,8.03,3.21,3.21,7.23,17
RC,637,TERBINAFINE 250 MG TABS 30 EACH BOTTLE,63.93,25.57,25.57,57.54,34
RC,637,TERBUTALINE 2.5 MG TABS 100 EACH BOTTLE,27.21,10.88,10.88,24.49,17
RC,637,TERBUTALINE 5 MG TABS 100 EACH BOTTLE,33.23,13.29,13.29,29.91,34
RC,637,TESTOSTERONE 2 MG/24HR PT24 1 EACH BOX,61.6,24.64,24.64,55.44,17
RC,637,TESTOSTERONE 4 MG/24HR PT24 1 EACH PACKAGE,123.2,49.28,49.28,110.88,17
RC,637,TETRABENAZINE 12.5 MG TABS 112 EACH BOTTLE,347.71,139.08,139.08,312.94,17
RC,637,TETRACYCLINE 250 MG CAPS 100 EACH BOTTLE,39.38,15.75,15.75,35.44,17
RC,637,TETRACYCLINE 500 MG CAPS 100 EACH BOTTLE,78.75,31.5,31.5,70.88,68
RC,637,THEOPHYLLINE 100 MG CP24 100 EACH BOTTLE,23.91,9.56,9.56,21.52,17
RC,637,THEOPHYLLINE 300 MG CP24 100 EACH BOTTLE,43.68,17.47,17.47,39.31,17
RC,637,THEOPHYLLINE 300 MG TB12 100 EACH BOTTLE,21.48,8.59,8.59,19.33,34
RC,637,THEOPHYLLINE 80 MG/15ML ELIX 15 ML CUP,62.63,25.05,25.05,56.37,17
RC,637,THEOPHYLLINE 80 MG/15ML ELIX 473 ML BOTTLE,1162.9650000000001,465.19,205.4,1631.2,34
RC,637,THIAMINE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,THIAMINE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,THIORIDAZINE 10 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,THIORIDAZINE 100 MG TABS 100 EACH BOX,5.43,2.17,2.17,4.89,17
RC,637,THIORIDAZINE 25 MG TABS 100 EACH BOX,3.81,1.52,1.52,3.43,17
RC,637,THIORIDAZINE 50 MG TABS 100 EACH BOX,4.77,1.91,1.91,4.29,17
RC,637,THIOTHIXENE 1 MG CAPS 100 EACH BOTTLE,5.94,2.38,2.38,5.35,34
RC,637,THIOTHIXENE 10 MG CAPS 100 EACH BOTTLE,16.79,6.72,6.72,15.11,17
RC,637,THIOTHIXENE 2 MG CAPS 100 EACH BOTTLE,7.85,3.14,3.14,7.07,17
RC,637,THIOTHIXENE 5 MG CAPS 100 EACH BOTTLE,11.91,4.76,4.76,10.72,17
RC,637,THYROID 120 MG TABS 100 EACH BOTTLE,12.35,4.94,4.94,11.12,17
RC,637,THYROID 180 MG TABS 100 EACH BOTTLE,9.25,3.7,3.7,8.33,17
RC,637,THYROID 30 MG TABS 100 EACH BOTTLE,6.07,2.43,2.43,5.46,17
RC,637,THYROID 60 MG TABS 100 EACH BOTTLE,6.74,2.7,2.7,6.07,17
RC,637,TIAGABINE 16 MG TABS 30 EACH BOTTLE,75.39,30.16,30.16,67.85,17
RC,637,TICAGRELOR 60 MG TABS 60 EACH BOTTLE,45.315,18.125,17.66,41.83,34
RC,637,TICAGRELOR 90 MG TABS 100 EACH BOX,46.48,18.59,18.59,41.83,17
RC,637,TICAGRELOR 90 MG TABS 60 EACH BOTTLE,44.15,17.66,17.66,39.74,17
RC,637,TIMOLOL 10 MG TABS 100 EACH BOTTLE,8.52,3.41,3.41,7.67,17
RC,637,TIMOLOL 20 MG TABS 100 EACH BOTTLE,15.71,6.28,6.28,14.14,17
RC,637,TIOTROPIUM BROMIDE 18 MCG CAPS 5 EACH BOX,73.02,29.21,29.21,65.72,17
RC,637,TIZANIDINE 2 MG TABS 1 EACH,8.75,3.5,3.5,7.88,34
RC,637,TIZANIDINE 2 MG TABS 150 EACH BOTTLE,6.11,2.44,2.44,5.5,17
RC,637,TIZANIDINE 2 MG TABS 50 EACH BOX,8.75,3.5,3.5,7.88,17
RC,637,TIZANIDINE 4 MG TABS 1 EACH,7.57,3.03,3.03,6.81,17
RC,637,TIZANIDINE 4 MG TABS 100 EACH BOX,8.195,3.28,3.03,7.94,34
RC,637,TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE,169.9,67.96,12.5,153.0,51
RC,637,TOBRAMYCINDEXAMETHASONE 0.30.1 % SUSP 2.5 ML BOTTLE,333.1,133.24,121.36,326.52,34
RC,637,TOLNAFTATE 1 % CREA 15 G TUBE,25.5,10.2,10.2,22.95,17
RC,637,TOLNAFTATE 1 % CREA 30 G TUBE,43.5,17.4,17.4,39.15,17
RC,637,TOLTERODINE 1 MG TABS 60 EACH BOTTLE,16.55,6.62,6.62,14.9,34
RC,637,TOLTERODINE 2 MG CP24 30 EACH BOX,60.25,24.1,24.1,54.23,17
RC,637,TOLTERODINE 2 MG TABS 60 EACH BOTTLE,16.99,6.8,6.8,15.29,34
RC,637,TOLTERODINE 4 MG CP24 30 EACH BOTTLE,65.66499999999999,26.265,26.25,59.13,34
RC,637,TOLVAPTAN HYPONATREMIA 15 MG TABS 10 EACH BOX,2372.1,948.84,943.79,2359.61,51
RC,637,TOPIRAMATE 100 MG TABS 1 EACH,31.0,12.4,12.4,27.9,17
RC,637,TOPIRAMATE 100 MG TABS 100 EACH BOX,31.0,12.4,12.4,27.9,17
RC,637,TOPIRAMATE 15 MG CPSP 60 EACH BOTTLE,12.08,4.83,4.83,10.87,17
RC,637,TOPIRAMATE 200 MG TABS 1 EACH,5.6,2.24,2.24,5.04,17
RC,637,TOPIRAMATE 200 MG TABS 30 EACH BOX,5.61,2.24,2.24,5.05,17
RC,637,TOPIRAMATE 200 MG TABS 60 EACH BOTTLE,35.37,14.15,14.15,31.83,17
RC,637,TOPIRAMATE 25 MG CPSP 60 EACH BOTTLE,14.6,5.84,5.84,13.15,34
RC,637,TOPIRAMATE 25 MG TABS 1 EACH,10.5,4.2,4.2,9.45,17
RC,637,TOPIRAMATE 25 MG TABS 100 EACH BOX,6.75,2.7,1.2,9.45,34
RC,637,TOPIRAMATE 25 MG TABS 60 EACH BOTTLE,11.09,4.44,4.44,9.98,17
RC,637,TORSEMIDE 10 MG TABS 50 EACH BOX,3.56,1.42,1.42,3.2,17
RC,637,TORSEMIDE 100 MG TABS 1 EACH,14.47,5.79,5.79,13.02,17
RC,637,TORSEMIDE 100 MG TABS 50 EACH BOX,14.47,5.79,5.79,13.02,17
RC,637,TORSEMIDE 20 MG TABS 1 EACH,4.17,1.67,1.66,3.77,34
RC,637,TORSEMIDE 20 MG TABS 100 EACH BOX,4.19,1.68,1.68,3.77,17
RC,637,TORSEMIDE 5 MG TABS 100 EACH BOTTLE,3.17,1.27,1.27,2.85,17
RC,637,TRAMADOL 50 MG TABS 1 EACH,10.0,4.0,4.0,9.0,34
RC,637,TRAMADOL 50 MG TABS 100 EACH BOTTLE,10.0,4.0,4.0,9.0,34
RC,637,TRAMADOL 50 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,51
RC,637,TRAMETINIB DIMETHYL SULFOXIDE 0.05 MG/ML SOLR 90 ML BOTTLE,2216.28,886.51,886.51,1994.65,17
RC,637,TRAMETINIB DIMETHYL SULFOXIDE 0.5 MG TABS 30 EACH BOTTLE,923.45,369.38,369.38,831.11,17
RC,637,TRANDOLAPRIL 1 MG TABS 100 EACH BOTTLE,6.2,2.48,2.48,5.58,17
RC,637,TRANDOLAPRIL 2 MG TABS 100 EACH BOTTLE,6.2,2.48,2.48,5.58,17
RC,637,TRANDOLAPRIL 4 MG TABS 100 EACH BOTTLE,6.2,2.48,2.48,5.58,17
RC,637,TRANEXAMIC ACID 650 MG TABS 30 EACH BOTTLE,26.07,10.43,10.43,23.46,17
RC,637,TRANEXAMIC ACID 650 MG TABS 30 EACH BOX,25.77,10.31,10.31,23.19,17
RC,637,TRAVOPROST BAK FREE 0.004 % SOLN 2.5 ML BOTTLE,942.72,377.09,377.09,848.45,17
RC,637,TRAZODONE 100 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,TRAZODONE 100 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,34
RC,637,TRAZODONE 150 MG TABS 1 EACH,7.35,2.94,2.94,6.62,17
RC,637,TRAZODONE 150 MG TABS 100 EACH BOX,7.35,2.94,2.94,6.62,17
RC,637,TRAZODONE 25 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,TRAZODONE 50 MG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,TRAZODONE 50 MG TABS 100 EACH BOTTLE,5.37,2.15,2.15,4.83,17
RC,637,TRAZODONE 50 MG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,TREPROSTINIL DIOLAMINE ER 0.25 MG TAB CR 100 EACH BOTTLE,91.67,36.67,36.67,82.5,17
RC,637,TREPROSTINIL DIOLAMINE ER 1 MG TAB CR 100 EACH BOTTLE,366.66,146.66,146.66,329.99,17
RC,637,TRETINOIN 10 MG CAPS 1 EACH,151.6,60.64,60.64,136.44,17
RC,637,TRETINOIN 10 MG CAPS 30 EACH BOX,151.6,60.64,60.64,136.44,17
RC,637,TRIAMCINOLONE 0.025 % CREA 15 G TUBE,22.73,9.09,9.09,20.46,17
RC,637,TRIAMCINOLONE 0.025 % CREA 80 G TUBE,55.6,22.24,22.24,50.04,17
RC,637,TRIAMCINOLONE 0.025 % OINT 15 G TUBE,30.6,12.24,12.24,27.54,34
RC,637,TRIAMCINOLONE 0.025 % OINT 80 G TUBE,53.0,21.2,20.16,50.04,34
RC,637,TRIAMCINOLONE 0.1 % CREA 15 G TUBE,29.18,11.67,11.67,26.26,17
RC,637,TRIAMCINOLONE 0.1 % CREA 453.6 G JAR,120.2,48.08,48.08,108.18,17
RC,637,TRIAMCINOLONE 0.1 % CREA 454 G JAR,156.63,62.65,62.65,140.97,17
RC,637,TRIAMCINOLONE 0.1 % CREA 80 G TUBE,60.2,24.08,19.04,65.52,34
RC,637,TRIAMCINOLONE 0.1 % LOTN 60 ML BOTTLE,414.0,165.6,165.6,372.6,17
RC,637,TRIAMCINOLONE 0.1 % OINT 15 G TUBE,27.83,11.13,11.13,25.05,34
RC,637,TRIAMCINOLONE 0.1 % OINT 454 G JAR,206.57,82.63,82.63,185.91,34
RC,637,TRIAMCINOLONE 0.1 % OINT 80 G TUBE,66.0,26.4,25.44,62.64,51
RC,637,TRIAMCINOLONE 0.1 % PSTE 5 G TUBE,370.71,148.28,148.28,333.64,17
RC,637,TRIAMCINOLONE 0.1% OINT 45 G TUBE,54.0,21.6,21.6,48.6,17
RC,637,TRIAMCINOLONE 0.1% OINT 60 G TUBE,72.0,28.8,28.8,64.8,17
RC,637,TRIAMCINOLONE 0.1% OINT 80 G TUBE,96.0,38.4,38.4,86.4,17
RC,637,TRIAMCINOLONE ACETONIDE 55 MCG/ACT AEROSOL 10.8 ML BOTTLE,89.96,35.98,35.98,80.96,17
RC,637,TRIAMTERENE 50 MG CAPS 100 EACH BOTTLE,59.69,23.88,23.88,53.72,17
RC,637,TRIAMTERENEHYDROCHLOROTHIAZIDE 37.525 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,TRIAMTERENEHYDROCHLOROTHIAZIDE 37.525 MG CAPS 1000 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,TRIAMTERENEHYDROCHLOROTHIAZIDE 7550 MG TABS 100 EACH BOTTLE,4.59,1.84,1.84,4.13,17
RC,637,TRIAZOLAM 0.125 MG TABS 100 EACH BOTTLE,18.34,7.34,7.34,16.51,17
RC,637,TRIAZOLAM 0.25 MG TABS 100 EACH BOTTLE,18.34,7.34,7.34,16.51,17
RC,637,TRIFLUOPERAZINE 1 MG TABS 100 EACH BOX,6.71,2.68,2.68,6.04,17
RC,637,TRIFLUOPERAZINE 2 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,TRIFLUOPERAZINE 5 MG TABS 100 EACH BOX,12.74,5.1,5.1,11.47,17
RC,637,TRIHEXYPHENIDYL 1 MG TABS 1 HALF TABLET,3.0,1.2,1.2,2.7,17
RC,637,TRIHEXYPHENIDYL 2 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,51
RC,637,TRIHEXYPHENIDYL 5 MG TABS 100 EACH BOTTLE,3.64,1.46,1.2,4.95,51
RC,637,TRIMETHOPRIM 100 MG TABS 100 EACH BOTTLE,11.65,4.66,4.66,10.49,34
RC,637,TRIPROLIDINEPSEUDOEPHEDRINE 2.560 MG TABS 24 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,TROSPIUM 20 MG TABS 60 EACH BOTTLE,14.19,5.68,5.68,12.77,17
RC,637,TROSPIUM CHLORIDE 60 MG CP24 30 EACH BOTTLE,33.69,13.48,13.48,30.32,17
RC,637,UBIQUINOL 100 MG CAPS 30 EACH BOTTLE,3.95,1.58,1.58,3.56,17
RC,637,UBIQUINOL LIPOSOMAL 80 MG/10ML LIQD 10 ML PLAS CONT,4.88,1.95,1.95,4.39,17
RC,637,ULIPRISTAL ACETATE 30 MG TABS 1 EACH BOX,232.5,93.0,93.0,209.25,17
RC,637,URSODIOL 300 MG CAPS 1 EACH,38.22,15.29,15.29,34.4,17
RC,637,URSODIOL 300 MG CAPS 100 EACH BOX,32.29,12.915,10.54,34.4,34
RC,637,URSODIOL 500 MG TABS 100 EACH BOTTLE,23.77,9.51,9.51,21.39,17
RC,637,VALACYCLOVIR 500 MG TABS 1 EACH,19.87,7.95,7.95,17.88,17
RC,637,VALACYCLOVIR 500 MG TABS 100 EACH BOX,14.025,5.61,3.27,17.88,34
RC,637,VALGANCICLOVIR 450 MG TABS 1 EACH,95.65,38.26,38.26,86.09,17
RC,637,VALGANCICLOVIR 450 MG TABS 30 EACH BOX,95.64,38.26,38.26,86.08,17
RC,637,VALGANCICLOVIR 450 MG TABS 60 EACH BOTTLE,321.99,128.8,128.8,289.79,17
RC,637,VALGANCICLOVIR 50 MG/ML SOLR 88 ML BOTTLE,4173.89,1669.56,1253.09,3781.12,85
RC,637,VALGANCICLOVIR 50 MG/ML SOLR 9 ML ORAL SYRINGE,470.59,188.24,188.24,423.53,17
RC,637,VALPROIC ACID 250 MG CAPS 100 EACH BOTTLE,4.565,1.8250000000000002,1.59,4.64,34
RC,637,VALPROIC ACID 250 MG/5ML SOLN 473 ML BOTTLE,363.03,145.21,144.74,327.79,34
RC,637,VALPROIC ACID 250 MG/5ML SOLN 5 ML BOX,8.19,3.2750000000000004,3.12,7.72,34
RC,637,VALPROIC ACID 250 MG/5ML SOLN 5 ML CUP,8.58,3.43,3.43,7.72,17
RC,637,VALPROIC ACID 250 MG/5ML SOLN 5 ML ORAL SYRINGE,3.85,1.54,1.54,3.47,17
RC,637,VALSARTAN 160 MG TABS 1 EACH,7.545,3.02,2.9,7.07,34
RC,637,VALSARTAN 160 MG TABS 100 EACH BOX,7.24,2.9,2.9,6.52,17
RC,637,VALSARTAN 160 MG TABS 50 EACH BOX,7.85,3.14,3.14,7.07,17
RC,637,VALSARTAN 160 MG TABS 90 EACH BOTTLE,61.14,24.46,24.46,55.03,17
RC,637,VALSARTAN 40 MG TABS 30 EACH BOTTLE,8.11,3.24,3.24,7.3,34
RC,637,VALSARTAN 40 MG TABS 30 EACH BOX,5.0,2.0,2.0,4.5,17
RC,637,VALSARTAN 80 MG TABS 1 EACH,6.45,2.58,2.58,5.81,17
RC,637,VALSARTAN 80 MG TABS 100 EACH BOX,6.45,2.58,2.58,5.81,17
RC,637,VALSARTAN 80 MG TABS 90 EACH BOTTLE,16.93,6.77,3.88,21.74,51
RC,637,VANCOMYCIN 125 MG CAPS 20 EACH BOX,156.53,62.61,62.61,140.88,34
RC,637,VANCOMYCIN 125 MG CAPS 50 EACH BOTTLE,156.53,62.61,62.61,140.88,34
RC,637,VARENICLINE 0.5 MG TABS 56 EACH BOTTLE,46.38,18.55,18.55,41.74,17
RC,637,VARENICLINE 1 MG TABS 56 EACH BOTTLE,43.94,17.58,17.58,39.55,17
RC,637,VENETOCLAX 10 MG TABS 14 EACH BOX,78.1,31.24,31.24,70.29,17
RC,637,VENETOCLAX 100 MG TABS 120 EACH BOTTLE,718.55,287.42,287.42,646.7,17
RC,637,VENETOCLAX 50 MG TABS 7 EACH BOX,359.28,143.71,143.71,323.35,17
RC,637,VENLAFAXINE 100 MG TABS 100 EACH BOTTLE,11.58,4.63,4.63,10.42,17
RC,637,VENLAFAXINE 100 MG TABS 90 EACH BOTTLE,11.58,4.63,4.63,10.42,17
RC,637,VENLAFAXINE 150 MG CP24 1 EACH,22.86,9.14,9.14,20.57,17
RC,637,VENLAFAXINE 150 MG CP24 100 EACH BOX,22.86,9.14,9.14,20.57,17
RC,637,VENLAFAXINE 25 MG TABS 1 EACH,10.34,4.14,4.14,9.31,17
RC,637,VENLAFAXINE 25 MG TABS 100 EACH BOTTLE,9.72,3.89,3.89,8.75,34
RC,637,VENLAFAXINE 25 MG TABS 30 EACH BOX,10.34,4.14,4.14,9.31,17
RC,637,VENLAFAXINE 37.5 MG CP24 1 EACH,18.71,7.48,7.48,16.84,17
RC,637,VENLAFAXINE 37.5 MG CP24 100 EACH BOX,18.71,7.48,7.48,16.84,17
RC,637,VENLAFAXINE 37.5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,17
RC,637,VENLAFAXINE 37.5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,17
RC,637,VENLAFAXINE 50 MG TABS 100 EACH BOTTLE,10.31,4.12,4.12,9.28,34
RC,637,VENLAFAXINE 75 MG CP24 1 EACH,20.99,8.4,8.4,18.89,17
RC,637,VENLAFAXINE 75 MG CP24 100 EACH BOX,20.99,8.4,8.4,18.89,17
RC,637,VENLAFAXINE 75 MG CP24 90 EACH BOTTLE,34.6,13.84,13.84,31.14,17
RC,637,VENLAFAXINE 75 MG TABS 1 EACH,10.93,4.37,4.37,9.84,17
RC,637,VENLAFAXINE 75 MG TABS 100 EACH BOX,10.93,4.37,4.37,9.84,17
RC,637,VERAPAMIL 120 MG TAB CR 100 EACH BOTTLE,5.37,2.15,2.15,4.83,34
RC,637,VERAPAMIL 120 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VERAPAMIL 180 MG TAB CR 100 EACH BOTTLE,7.2,2.88,2.88,6.48,17
RC,637,VERAPAMIL 240 MG TAB CR 100 EACH BOTTLE,8.18,3.27,3.27,7.36,34
RC,637,VERAPAMIL 80 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN A 15 MG/ML SOLN 2 ML VIAL,396.75,158.7,158.7,357.08,17
RC,637,VITAMIN A 3 MG 10000 UT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN A 3 MG 10000 UT CAPS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN A AND D OINT 113 G TUBE,5.93,2.37,2.37,5.34,17
RC,637,VITAMIN A AND D OINT 42.5 G TUBE,4.59,1.835,1.76,4.3,68
RC,637,VITAMIN A AND D OINT 56.7 G TUBE,4.85,1.94,1.94,4.37,17
RC,637,VITAMIN B1 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN B12 100 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN B12 100 MCG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN B12 100 MCG TABS 50 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN B12 500 MCG TABS 1 EACH,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN B12 500 MCG TABS 100 EACH BOX,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN B2 100 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN E 100 UNIT CAPS 1 EACH PACKAGE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN E 200 UNIT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN E 400 UNIT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VITAMIN E 450 MG 1000 UT CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,VORICONAZOLE 200 MG TABS 30 EACH BOX,132.1,52.84,47.4,211.08,51
RC,637,VORICONAZOLE 50 MG TABS 1 EACH,58.84,23.54,23.54,52.96,17
RC,637,VORICONAZOLE 50 MG TABS 30 EACH BOX,62.03,24.814999999999998,23.54,58.7,34
RC,637,VORTIOXETINE HBR 5 MG TABS 30 EACH BOTTLE,107.97,43.19,43.19,97.17,17
RC,637,WARFARIN 1 MG TABS 1 EACH,3.05,1.22,1.22,2.75,17
RC,637,WARFARIN 1 MG TABS 100 EACH BOTTLE,3.07,1.23,1.23,2.76,17
RC,637,WARFARIN 1 MG TABS 100 EACH BOX,3.08,1.23,1.23,2.77,17
RC,637,WARFARIN 10 MG TABS 1 EACH,4.75,1.9,1.9,4.28,17
RC,637,WARFARIN 10 MG TABS 100 EACH BOTTLE,4.92,1.97,1.9,4.58,34
RC,637,WARFARIN 2 MG TABS 1 EACH,3.14,1.255,1.23,2.88,34
RC,637,WARFARIN 2 MG TABS 100 EACH BOX,3.145,1.255,1.23,2.89,34
RC,637,WARFARIN 2.5 MG TABS 1 EACH,3.24,1.295,1.27,2.97,34
RC,637,WARFARIN 2.5 MG TABS 100 EACH BOTTLE,3.3,1.32,1.32,2.97,17
RC,637,WARFARIN 2.5 MG TABS 100 EACH BOX,3.24,1.295,1.27,2.97,34
RC,637,WARFARIN 3 MG TABS 1 EACH,3.3,1.32,1.32,2.97,17
RC,637,WARFARIN 3 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,WARFARIN 3 MG TABS 100 EACH BOX,3.3,1.32,1.32,2.97,17
RC,637,WARFARIN 4 MG TABS 1 EACH,3.3,1.32,1.32,2.97,17
RC,637,WARFARIN 4 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,WARFARIN 4 MG TABS 100 EACH BOX,3.3,1.32,1.32,2.97,17
RC,637,WARFARIN 5 MG TABS 1 EACH,3.45,1.38,1.38,3.11,17
RC,637,WARFARIN 5 MG TABS 100 EACH BOTTLE,3.35,1.34,1.34,3.02,17
RC,637,WARFARIN 5 MG TABS 100 EACH BOX,3.44,1.38,1.38,3.1,17
RC,637,WARFARIN 6 MG TABS 100 EACH BOX,4.43,1.77,1.77,3.99,17
RC,637,WARFARIN 7.5 MG TABS 1 EACH,4.6,1.84,1.84,4.14,17
RC,637,WARFARIN 7.5 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,WARFARIN 7.5 MG TABS 100 EACH BOX,4.61,1.84,1.84,4.15,17
RC,637,WITCH HAZELGLYCERIN PADS 40 EACH JAR,3.0,1.2,1.2,2.7,17
RC,637,XANOMELINETROSPIUM CHLORIDE 10020 MG CAPS 60 EACH BOTTLE,188.7,75.48,75.48,169.83,17
RC,637,XANOMELINETROSPIUM CHLORIDE 12530 MG CAPS 60 EACH BOTTLE,188.7,75.48,75.48,169.83,17
RC,637,XANOMELINETROSPIUM CHLORIDE 5020 MG CAPS 60 EACH BOTTLE,188.7,75.48,75.48,169.83,17
RC,637,ZAFIRLUKAST 20 MG TABS 30 EACH BOX,17.22,6.89,6.89,15.5,17
RC,637,ZIDOVUDINE 10 MG/ML SYRP 240 ML BOTTLE,282.0,112.8,112.8,253.8,17
RC,637,ZIDOVUDINE 10 MG/ML SYRP 30 ML ORAL SYRINGE,35.25,14.1,14.1,31.73,17
RC,637,ZIDOVUDINE 100 MG CAPS 100 EACH BOTTLE,10.1,4.04,4.04,9.09,17
RC,637,ZINC 50 MG TABS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,17
RC,637,ZINC GLUCONATE 50 MG TABS 100 EACH BOTTLE,1.0,0.4,0.4,0.9,17
RC,637,ZINC OXIDE 25 % PSTE 500 G BOTTLE,352.5,141.0,141.0,317.25,17
RC,637,ZINC OXIDE 40 % OINT 57 G TUBE,25.085,10.035,6.96,29.5,34
RC,637,ZINC SULFATE 220 50 ZN MG CAPS 1 EACH,1.0,0.4,0.4,0.9,17
RC,637,ZINC SULFATE 220 50 ZN MG CAPS 100 EACH BOX,1.0,0.4,0.4,0.9,17
RC,637,ZIPRASIDONE 20 MG CAPS 1 EACH,42.33,16.93,16.93,38.1,17
RC,637,ZIPRASIDONE 20 MG CAPS 80 EACH BOX,42.33,16.93,16.93,38.1,17
RC,637,ZIPRASIDONE 40 MG CAPS 1 EACH,42.33,16.93,16.93,38.1,17
RC,637,ZIPRASIDONE 40 MG CAPS 80 EACH BOX,42.33,16.93,16.93,38.1,17
RC,637,ZIPRASIDONE 60 MG CAPS 40 EACH BOX,36.945,14.780000000000001,7.8,48.95,34
RC,637,ZIPRASIDONE 80 MG CAPS 40 EACH BOX,54.39,21.76,21.76,48.95,17
RC,637,ZOLPIDEM 10 MG TABS 100 EACH BOTTLE,24.415,9.765,9.25,23.13,34
RC,637,ZOLPIDEM 5 MG TABS 1 EACH,10.0,4.0,4.0,9.0,34
RC,637,ZOLPIDEM 5 MG TABS 100 EACH BOTTLE,24.415,9.765,9.25,23.13,34
RC,637,ZOLPIDEM 5 MG TABS 100 EACH BOX,10.0,4.0,4.0,9.0,34
RC,637,ZONISAMIDE 100 MG CAPS 1 EACH,9.04,3.62,3.62,8.14,17
RC,637,ZONISAMIDE 100 MG CAPS 100 EACH BOX,4.52,1.81,1.81,4.07,17
RC,637,ZONISAMIDE 100 MG/5ML SUSP 150 ML BOTTLE,21.61,8.64,8.64,19.45,17
RC,637,ZONISAMIDE 100 MG/5ML SUSP 5 ML ORAL SYRINGE,21.61,8.64,8.64,19.45,17
RC,637,ZONISAMIDE 25 MG CAPS 100 EACH BOTTLE,3.0,1.2,1.2,2.7,34
RC,637,ZONISAMIDE 50 MG CAPS 100 EACH BOTTLE,5.48,2.19,2.19,4.93,34
RC,681,BRAVO TRAUMA ACTIVATION W/O CRITICAL CARE,11790.0,4716.0,2000.0,11790.0,19
RC,681,CHARLIE TRAUMA ACTIVATON W/O CRITICAL CARE,7250.0,2900.0,2000.0,7250.0,19
RC,681,TRAUMA ACTIVATION W/O CRITICAL CARE,15547.0,6218.8,2000.0,15547.0,19
RC,710,HC RECOVERY ROOOM EA ADD 15 MINUTES,150.0,60.0,60.0,135.0,17
RC,710,PACU PHASE I COMPLEX EACH ADD MIN,12.0,4.8,4.8,10.8,17
RC,710,PACU PHASE I COMPLEX INITIAL MIN,12.0,4.8,4.8,10.8,17
RC,710,PACU PHASE I STANDARD EACH ADD MIN,10.0,4.0,4.0,9.0,17
RC,710,PACU PHASE I STANDARD INITIAL MIN,10.0,4.0,4.0,9.0,17
RC,710,PACU PHASE II EACH ADD MIN,4.0,1.6,1.6,3.6,17
RC,710,PACU PHASE II INITIAL MIN,4.0,1.6,1.6,3.6,17
RC,710,PHASE II RECOVERY,46.0,18.4,18.4,41.4,17
RC,710,RECOVERY ROOM INIT 30 MINUTES,300.0,120.0,120.0,270.0,17
RC,710,RECOVERY ROOM/HOUR,545.0,218.0,218.0,490.5,17
RC,720,LABOR ROOM SERVICE/HOUR,150.0,60.0,60.0,135.0,17
RC,722,DELIVERY ROOM,1000.0,400.0,400.0,900.0,17
RC,722,DELIVERY ROOM LEVEL 3,2000.0,800.0,800.0,1800.0,17
RC,722,DELIVERY ROOM LEVEL 4,2500.0,1000.0,1000.0,2250.0,17
RC,722,DELVERY ROOM,1500.0,600.0,600.0,1350.0,17
RC,761,BACLOFEN PUMP TRIAL SESSION,925.0,370.0,370.0,832.5,17
RC,761,SAE,534.0,213.6,213.6,480.6,17
RC,803,CAPD COMP/INPT,2431.0,972.4,972.4,2187.9,17
RC,803,CAPD UNCOMPLICATED/INPT,1019.0,407.6,407.6,917.1,17
RC,804,PERIT DIALY CYCLER UNCOM INPT,2913.0,1165.2,1165.2,2621.7,17
RC,804,PERIT DIALY.CYCLER COMP/INPT,5950.0,2380.0,2380.0,5355.0,17
RC,809,BIOCOMPA HEMOPERF SYS CLARK/IP,1300.0,520.0,520.0,1170.0,17
RC,809,CRRT CONTINOUS RENAL REPL TX,2519.0,1007.6,1007.6,2267.1,17
RC,809,MONITORING FOR CRRT,210.0,84.0,84.0,189.0,17
RC,811,ACQUISITION FEE,70485.5,28194.2,25988.4,68400.0,30
RC,812,ACQUISITION FEE,75942.0,30376.8,25988.4,68400.0,45
RC,812,AQUISTION FEES,70000.0,28000.0,28000.0,63000.0,15
RC,916,MULTIPLEFAMILY GROUP PSYCHOTHERAPY,270.0,108.0,108.0,243.0,15
RC,9999,RISK ASSESSMENT,30.0,12.0,12.0,27.0,12