code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CDM,00000-0029-15,ETHYLENEDIAMINETETRAACETIC ACID (EDTA) 3% PRES FREE OPHTHALMIC SOLN,332.5,196.18,40.45,299.25,23
CDM,00000-1053-51,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM 8 POT 2 MEQ-MAG 1 MEQ/L,100.0,59.0,12.16,90.0,23
CDM,0002-0213-01,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,23.4,13.81,2.85,21.06,23
CDM,0002-1433-01,DULAGLUTIDE 0.75 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1184.52,698.87,144.09,1066.07,23
CDM,0002-1433-80,DULAGLUTIDE 0.75 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1184.52,698.87,144.09,1066.07,23
CDM,0002-1434-01,DULAGLUTIDE 1.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1184.52,698.87,144.09,1066.07,23
CDM,0002-1434-80,DULAGLUTIDE 1.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1184.52,698.87,144.09,1066.07,23
CDM,0002-1436-01,GALCANEZUMAB-GNLM 120 MG/ML SUBCUTANEOUS PEN INJECTOR,3424.15,2020.25,416.53,3081.74,23
CDM,0002-1436-11,GALCANEZUMAB-GNLM 120 MG/ML SUBCUTANEOUS PEN INJECTOR,3424.15,2020.25,416.53,3081.74,23
CDM,0002-1445-01,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS AUTO-INJECTOR,33523.95,19779.13,4078.01,30171.56,23
CDM,0002-1445-11,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS AUTO-INJECTOR,33523.95,19779.13,4078.01,30171.56,23
CDM,0002-2236-01,DULAGLUTIDE 3 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1184.52,698.87,144.09,1066.07,23
CDM,0002-2236-80,DULAGLUTIDE 3 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1184.52,698.87,144.09,1066.07,23
CDM,0002-3182-01,DULAGLUTIDE 4.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1184.52,698.87,144.09,1066.07,23
CDM,0002-3227-30,ATOMOXETINE 10 MG CAPSULE,61.07,36.03,7.43,54.96,23
CDM,0002-3228-30,ATOMOXETINE 25 MG CAPSULE,61.07,36.03,7.43,54.96,23
CDM,0002-3229-30,ATOMOXETINE 40 MG CAPSULE,66.35,39.15,8.07,59.72,23
CDM,0002-3235-60,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",38.65,22.8,4.7,34.79,23
CDM,0002-3238-30,ATOMOXETINE 18 MG CAPSULE,61.07,36.03,7.43,54.96,23
CDM,0002-3239-30,ATOMOXETINE 60 MG CAPSULE,66.35,39.15,8.07,59.72,23
CDM,0002-3240-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",43.32,25.56,5.27,38.99,23
CDM,0002-3270-30,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",43.32,25.56,5.27,38.99,23
CDM,0002-4182-30,BARICITINIB 2 MG TABLET,444.11,262.02,54.02,399.7,23
CDM,0002-4464-30,TADALAFIL 20 MG TABLET,260.85,153.9,31.73,234.77,23
CDM,0002-4732-30,BARICITINIB 1 MG TABLET,444.11,262.02,54.02,399.7,23
CDM,0002-6120-60,SELPERCATINIB 120 MG TABLET,31.39,18.52,3.82,28.25,23
CDM,0002-7026-60,PIRTOBRUTINIB 100 MG TABLET,1814.53,1070.57,220.73,1633.08,23
CDM,0002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,249.7,147.32,30.37,224.73,23
CDM,0002-7511-01,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,249.7,147.32,30.37,224.73,23
CDM,0002-7516-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS CARTRIDGE,146.12,86.21,17.77,131.51,23
CDM,0002-7533-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,94.4,55.7,11.48,84.96,23
CDM,0002-7575-01,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,47366.48,27946.22,5761.88,42629.83,23
CDM,0002-7623-01,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,18731.2,11051.41,2278.55,16858.08,23
CDM,0002-7640-01,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,3746.25,2210.29,455.71,3371.63,23
CDM,0002-7669-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,6281.4,3706.03,764.1,5653.26,23
CDM,0002-7678-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,31407.0,18530.13,3820.5,28266.3,23
CDM,0002-7715-01,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,249.96,147.48,30.41,224.96,23
CDM,0002-7715-59,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,249.96,147.48,30.41,224.96,23
CDM,0002-7737-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,121.2,71.51,14.74,109.08,23
CDM,0002-8215-01,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,72.5,42.78,8.82,65.25,23
CDM,0002-8222-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,94.4,55.7,11.48,84.96,23
CDM,0002-8222-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,94.4,55.7,11.48,84.96,23
CDM,0002-8233-01,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN,94.4,55.7,11.48,84.96,23
CDM,0002-8233-05,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN,94.4,55.7,11.48,84.96,23
CDM,0002-8315-01,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,72.5,42.78,8.82,65.25,23
CDM,0002-8501-01,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN,7136.2,4210.36,868.08,6422.58,23
CDM,0002-8715-01,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,84.55,49.88,10.29,76.1,23
CDM,0002-8715-17,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,23.4,13.81,2.85,21.06,23
CDM,0002-8797-01,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN,93.62,55.24,11.39,84.26,23
CDM,0002-8797-59,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN,93.62,55.24,11.39,84.26,23
CDM,0002-8799-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,94.4,55.7,11.48,84.96,23
CDM,0002-8799-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,94.4,55.7,11.48,84.96,23
CDM,0002-8803-01,INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN,64.88,38.28,7.89,58.39,23
CDM,0002-8803-59,INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN,64.88,38.28,7.89,58.39,23
CDM,0002-8805-01,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,64.88,38.28,7.89,58.39,23
CDM,0002-8824-01,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1377.8,812.9,167.6,1240.02,23
CDM,0002-8824-27,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1377.8,812.9,167.6,1240.02,23
CDM,0002-9401-01,DONANEMAB-AZBT 17.5 MG/ML INTRAVENOUS SOLUTION,3434.75,2026.5,417.82,3091.28,23
CDM,00021700224,SODIUM CHLORIDE 0.9% CADD PUMP CASSETTE 100 ML,35.88,21.17,4.36,32.29,23
CDM,00021704624,CADD PUMP EXTENSION SET,6.75,3.98,0.82,6.08,23
CDM,0003-0293-05,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,43.35,25.58,5.27,39.02,23
CDM,0003-0293-20,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,220.1,129.86,26.77,198.09,23
CDM,0003-0293-28,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,328.75,193.96,39.99,295.88,23
CDM,0003-0371-13,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3456.6,2039.39,420.48,3110.94,23
CDM,0003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,56.0,33.04,6.81,50.4,23
CDM,0003-0524-11,DASATINIB 70 MG TABLET,1563.45,922.44,190.19,1407.11,23
CDM,0003-0527-11,DASATINIB 20 MG TABLET,781.73,461.22,95.09,703.56,23
CDM,0003-0528-11,DASATINIB 50 MG TABLET,1563.45,922.44,190.19,1407.11,23
CDM,0003-0852-22,DASATINIB 100 MG TABLET,2817.84,1662.53,342.78,2536.06,23
CDM,0003-0857-22,DASATINIB 140 MG TABLET,2817.84,1662.53,342.78,2536.06,23
CDM,0003-0893-21,APIXABAN 2.5 MG TABLET,6.92,4.08,0.84,6.23,23
CDM,0003-0893-31,APIXABAN 2.5 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,0003-0894-21,APIXABAN 5 MG TABLET,6.92,4.08,0.84,6.23,23
CDM,0003-0894-31,APIXABAN 5 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,0003-0894-70,APIXABAN 5 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,0003-1611-12,ENTECAVIR 0.5 MG TABLET,211.96,125.06,25.78,190.76,23
CDM,0003-1612-12,ENTECAVIR 1 MG TABLET,211.96,125.06,25.78,190.76,23
CDM,0003-1614-12,ENTECAVIR 0.05 MG/ML ORAL SOLUTION,4450.95,2626.06,541.43,4005.86,23
CDM,0003-2187-13,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,7089.35,4182.72,862.38,6380.42,23
CDM,0003-2291-11,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,11015.75,6499.29,1340.01,9914.18,23
CDM,0003-2327-11,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,42971.75,25353.33,5227.29,38674.58,23
CDM,0003-2328-22,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,174062.4,102696.82,21173.78,156656.16,23
CDM,0003-2560-16,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,137.72,81.25,16.75,123.95,23
CDM,0003-2570-16,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,275.43,162.5,33.5,247.89,23
CDM,0003-3622-12,ATAZANAVIR 300 MG CAPSULE,223.84,132.07,27.23,201.46,23
CDM,0003-3631-12,ATAZANAVIR 200 MG CAPSULE,112.75,66.52,13.72,101.48,23
CDM,0003-3734-13,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,37696.08,22240.69,4585.53,33926.47,23
CDM,0003-3756-14,NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION,18847.98,11120.31,2292.76,16963.18,23
CDM,0003-3772-11,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,6282.66,3706.77,764.25,5654.39,23
CDM,0003-3774-12,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,15706.65,9266.92,1910.63,14135.99,23
CDM,0003-4040-12,REPOTRECTINIB 40 MG CAPSULE,596.62,352.01,72.58,536.96,23
CDM,0003-4160-14,REPOTRECTINIB 160 MG CAPSULE,2529.65,1492.49,307.72,2276.69,23
CDM,0003-4160-60,REPOTRECTINIB 160 MG CAPSULE,2561.67,1511.39,311.61,2305.5,23
CDM,0003-4522-11,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,14687.55,8665.65,1786.66,13218.8,23
CDM,0003-7125-11,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,73189.2,43181.63,8903.08,65870.28,23
CDM,0004-0038-22,VALGANCICLOVIR 450 MG TABLET,298.99,176.4,36.37,269.09,23
CDM,0004-0039-09,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,4957.92,2925.17,603.1,4462.13,23
CDM,0004-0259-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,4.15,2.45,0.5,3.74,23
CDM,0004-0260-01,MYCOPHENOLATE MOFETIL 500 MG TABLET,8.29,4.89,1.01,7.46,23
CDM,0004-0261-29,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,4962.4,2927.82,603.65,4466.16,23
CDM,0004-0298-09,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,318.4,187.86,38.73,286.56,23
CDM,0004-0350-09,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,4945.05,2917.58,601.54,4450.55,23
CDM,0004-0381-40,ENFUVIRTIDE 90 MG SUBCUTANEOUS SOLUTION,276.87,163.35,33.68,249.18,23
CDM,0004-0800-85,OSELTAMIVIR 75 MG CAPSULE,70.37,41.52,8.56,63.33,23
CDM,0004-0801-85,OSELTAMIVIR 45 MG CAPSULE,64.56,38.09,7.85,58.1,23
CDM,0004-0802-85,OSELTAMIVIR 30 MG CAPSULE,64.56,38.09,7.85,58.1,23
CDM,0004-0822-05,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,703.8,415.24,85.61,633.42,23
CDM,0004-1100-20,CAPECITABINE 150 MG TABLET,62.82,37.06,7.64,56.54,23
CDM,0004-1101-50,CAPECITABINE 500 MG TABLET,209.35,123.52,25.47,188.42,23
CDM,0005-2000-01,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1177.35,694.64,143.22,1059.62,23
CDM,0005-2000-02,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1177.35,694.64,143.22,1059.62,23
CDM,0005-2500-02,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,0005-4344-15,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,4.88,2.88,0.59,4.39,23
CDM,0005434462,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,35.4,20.89,4.31,31.86,23
CDM,0005556819,CALCIUM 600 MG (AS CARBONATE)-VIT D3 20 MCG (800 UNIT) CHEWABLE TABLET,0.55,0.32,0.07,0.5,23
CDM,0005556919,CALCIUM 600 MG (AS CARBONATE)-VIT D3 20 MCG (800 UNIT) CHEWABLE TABLET,0.52,0.31,0.06,0.47,23
CDM,0006-0005-10,SUVOREXANT 5 MG TABLET,68.23,40.26,8.3,61.41,23
CDM,0006-0005-30,SUVOREXANT 5 MG TABLET,68.23,40.26,8.3,61.41,23
CDM,0006-0032-20,IVERMECTIN 3 MG TABLET,21.56,12.72,2.62,19.4,23
CDM,0006-0112-28,SITAGLIPTIN PHOSPHATE 50 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0112-31,SITAGLIPTIN PHOSPHATE 50 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0221-01,SITAGLIPTIN PHOSPHATE 25 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0221-28,SITAGLIPTIN PHOSPHATE 25 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0221-31,SITAGLIPTIN PHOSPHATE 25 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0227-61,RALTEGRAVIR 400 MG TABLET,154.19,90.97,18.76,138.77,23
CDM,0006-0277-01,SITAGLIPTIN PHOSPHATE 100 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0277-31,SITAGLIPTIN PHOSPHATE 100 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0277-54,SITAGLIPTIN PHOSPHATE 100 MG TABLET,88.0,51.92,10.7,79.2,23
CDM,0006-0277-82,SITAGLIPTIN PHOSPHATE 100 MG TABLET,88.01,51.93,10.71,79.21,23
CDM,0006-0461-02,APREPITANT 80 MG CAPSULE,1007.88,594.65,122.6,907.09,23
CDM,0006-0477-61,RALTEGRAVIR 100 MG CHEWABLE TABLET,38.55,22.74,4.69,34.7,23
CDM,0006-0568-40,VORINOSTAT 100 MG CAPSULE,625.4,368.99,76.08,562.86,23
CDM,0006-0577-61,"SITAGLIPTIN PHOSPHATE 50 MG-METFORMIN 1,000 MG TABLET",44.01,25.97,5.35,39.61,23
CDM,0006-0577-62,"SITAGLIPTIN PHOSPHATE 50 MG-METFORMIN 1,000 MG TABLET",44.0,25.96,5.35,39.6,23
CDM,0006-0577-82,"SITAGLIPTIN PHOSPHATE 50 MG-METFORMIN 1,000 MG TABLET",44.0,25.96,5.35,39.6,23
CDM,0006-3025-00,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,18762.2,11069.7,2282.32,16885.98,23
CDM,0006-3025-01,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,18762.2,11069.7,2282.32,16885.98,23
CDM,0006-3026-01,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,27989.1,16513.57,3404.73,25190.19,23
CDM,0006-3026-02,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,27989.1,16513.57,3404.73,25190.19,23
CDM,0006-3061-00,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,1541.6,909.54,187.53,1387.44,23
CDM,0006-3069-01,DORAVIRINE 100 MG TABLET,271.91,160.43,33.08,244.72,23
CDM,0006-3075-03,LETERMOVIR 240 MG TABLET,1306.6,770.89,158.94,1175.94,23
CDM,0006-3075-04,LETERMOVIR 240 MG TABLET,1306.6,770.89,158.94,1175.94,23
CDM,0006-3076-01,LETERMOVIR 480 MG TABLET,1306.6,770.89,158.94,1175.94,23
CDM,0006-3076-02,LETERMOVIR 480 MG TABLET,1306.6,770.89,158.94,1175.94,23
CDM,0006-3076-03,LETERMOVIR 480 MG TABLET,1306.6,770.89,158.94,1175.94,23
CDM,0006-3076-04,LETERMOVIR 480 MG TABLET,1306.6,770.89,158.94,1175.94,23
CDM,0006-3516-59,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,151.28,89.26,18.4,136.15,23
CDM,0006-3822-10,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,1564.6,923.11,190.33,1408.14,23
CDM,0006-3823-10,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,1645.9,971.08,200.22,1481.31,23
CDM,0006-3862-03,APREPITANT 125 MG (1)-80 MG (2) CAPSULES IN A DOSE PACK,1189.22,701.64,144.66,1070.3,23
CDM,0006-4047-01,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",414.52,244.57,50.42,373.07,23
CDM,0006-4047-20,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",414.52,244.57,50.42,373.07,23
CDM,0006-4047-41,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",414.53,244.57,50.43,373.08,23
CDM,0006-4093-01,HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE,103.44,61.03,12.58,93.1,23
CDM,0006-4093-02,HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE,103.44,61.03,12.58,93.1,23
CDM,0006-4095-01,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,136.62,80.61,16.62,122.96,23
CDM,0006-4095-02,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,136.62,80.61,16.62,122.96,23
CDM,0006-4096-01,HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE,337.43,199.08,41.05,303.69,23
CDM,0006-4096-02,HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE,337.43,199.08,41.05,303.69,23
CDM,0006-4119-01,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION",1118.89,660.15,136.11,1007.0,23
CDM,0006-4119-03,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION",1118.89,660.15,136.11,1007.0,23
CDM,0006-4121-01,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",1352.24,797.82,164.49,1217.02,23
CDM,0006-4121-02,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",1352.24,797.82,164.49,1217.02,23
CDM,0006-4171-00,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1257.24,741.77,152.94,1131.52,23
CDM,0006-4171-01,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1257.24,741.77,152.94,1131.52,23
CDM,0006-4347-02,PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1297.05,765.26,157.78,1167.35,23
CDM,0006-4347-99,PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1297.05,765.26,157.78,1167.35,23
CDM,0006-4681-00,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",0.01,0.01,0.01,0.01,23
CDM,0006-4681-01,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",0.01,0.01,0.01,0.01,23
CDM,0006-4827-00,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",828.22,488.65,100.75,745.4,23
CDM,0006-4827-01,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",828.22,488.65,100.75,745.4,23
CDM,0006-4831-01,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION,140.8,83.07,17.13,126.72,23
CDM,0006-4831-41,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION,140.8,83.07,17.13,126.72,23
CDM,0006-4837-01,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,550.53,324.81,66.97,495.48,23
CDM,0006-4837-03,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,550.53,324.81,66.97,495.48,23
CDM,0006-4841-00,HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION,342.7,202.19,41.69,308.43,23
CDM,0006-4841-01,HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION,342.7,202.19,41.69,308.43,23
CDM,0006-4841-41,HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION,337.31,199.01,41.03,303.58,23
CDM,0006-4897-00,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,137.11,80.89,16.68,123.4,23
CDM,0006-4897-01,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,137.11,80.89,16.68,123.4,23
CDM,0006-4981-00,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP,103.44,61.03,12.58,93.1,23
CDM,0006-4981-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP,103.44,61.03,12.58,93.1,23
CDM,0006-4992-00,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,533.45,314.74,64.89,480.11,23
CDM,0006-4992-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,533.45,314.74,64.89,480.11,23
CDM,0006-4995-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP,225.73,133.18,27.46,203.16,23
CDM,0006-4995-41,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP,225.73,133.18,27.46,203.16,23
CDM,0006-5087-01,SOTATERCEPT-CSRK 45 MG SUBCUTANEOUS 1 SYRINGE KIT,140000.0,82600.0,17030.27,126000.0,23
CDM,0006-5088-01,SOTATERCEPT-CSRK 60 MG SUBCUTANEOUS 1 SYRINGE KIT,140000.0,82600.0,17030.27,126000.0,23
CDM,0006-5090-01,SOTATERCEPT-CSRK 45 MG SUBCUTANEOUS 1 SYRINGE KIT,70000.0,41300.0,8515.13,63000.0,23
CDM,0006-5091-01,SOTATERCEPT-CSRK 60 MG SUBCUTANEOUS 1 SYRINGE KIT,70000.0,41300.0,8515.13,63000.0,23
CDM,0006-5331-01,BELZUTIFAN 40 MG TABLET,106443.0,62801.37,12948.23,95798.7,23
CDM,0006-5423-02,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,597.39,352.46,72.67,537.65,23
CDM,0006-5423-12,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,597.39,352.46,72.67,537.65,23
CDM,0006-5424-02,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",138.55,81.74,16.85,124.7,23
CDM,0006-5425-05,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1094.25,645.61,133.11,984.83,23
CDM,0006-5425-15,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1094.25,645.61,133.11,984.83,23
CDM,0008-0100-01,INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLN,111434.55,65746.38,13555.43,100291.1,23
CDM,0008-0836-21,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",96.71,57.06,11.76,87.04,23
CDM,0008-0841-81,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",67.07,39.57,8.16,60.36,23
CDM,0008-0843-81,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",67.07,39.57,8.16,60.36,23
CDM,0008-0844-01,PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET,66.76,39.39,8.12,60.08,23
CDM,0008-0844-02,PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET,66.76,39.39,8.12,60.08,23
CDM,0008-0923-51,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,23.04,13.59,2.8,20.74,23
CDM,0008-0923-55,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,23.04,13.59,2.8,20.74,23
CDM,0008-0923-60,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,23.38,13.79,2.84,21.04,23
CDM,0008-1179-01,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,9216.45,5437.71,1121.13,8294.81,23
CDM,0008-1210-30,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",67.64,39.91,8.23,60.88,23
CDM,0008-1211-01,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",67.64,39.91,8.23,60.88,23
CDM,0008-1211-30,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",67.64,39.91,8.23,60.88,23
CDM,0008-1222-01,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",67.64,39.91,8.23,60.88,23
CDM,0008-1222-14,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",63.61,37.53,7.74,57.25,23
CDM,0008-1222-30,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",67.64,39.91,8.23,60.88,23
CDM,0008-4001-25,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,18.95,11.18,2.31,17.06,23
CDM,0008-4117-01,ETHIONAMIDE 250 MG TABLET,25.97,15.32,3.16,23.37,23
CDM,0008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLN,48864.25,28829.91,5944.08,43977.83,23
CDM,0008-4990-19,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,322.52,190.29,39.23,290.27,23
CDM,0008-4990-20,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,322.52,190.29,39.23,290.27,23
CDM,0009-0003-02,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,216.85,127.94,26.38,195.17,23
CDM,0009-0005-01,"HYDROCORTISONE SOD SUCCINATE (PF) 1,000 MG/8 ML SOLUTION FOR INJECTION",729.45,430.38,88.73,656.51,23
CDM,0009-0011-03,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,97.55,57.55,11.87,87.8,23
CDM,0009-0011-04,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,98.69,58.23,12.01,88.82,23
CDM,0009-0012-01,HYDROCORTISONE 5 MG TABLET,4.66,2.75,0.57,4.19,23
CDM,0009-0013-05,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,181.5,107.09,22.08,163.35,23
CDM,0009-0013-06,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,182.58,107.72,22.21,164.32,23
CDM,0009-0016-12,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION,364.25,214.91,44.31,327.83,23
CDM,0009-0017-58,TRIAZOLAM 0.25 MG TABLET,26.8,15.81,3.26,24.12,23
CDM,0009-0018-20,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",281.95,166.35,34.3,253.76,23
CDM,0009-0020-01,METHYLPREDNISOLONE 2 MG TABLET,7.61,4.49,0.93,6.85,23
CDM,0009-0022-01,METHYLPREDNISOLONE 8 MG TABLET,11.95,7.05,1.45,10.76,23
CDM,0009-0029-01,ALPRAZOLAM 0.25 MG TABLET,25.24,14.89,3.07,22.72,23
CDM,0009-0031-01,HYDROCORTISONE 10 MG TABLET,7.87,4.64,0.96,7.08,23
CDM,0009-0039-28,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,23.56,13.9,2.87,21.2,23
CDM,0009-0039-30,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,23.56,13.9,2.87,21.2,23
CDM,0009-0039-33,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,23.56,13.9,2.87,21.2,23
CDM,0009-0047-03,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,35.66,21.04,4.34,32.09,23
CDM,0009-0047-22,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,37.5,22.13,4.56,33.75,23
CDM,0009-0047-25,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,37.5,22.13,4.56,33.75,23
CDM,0009-0047-26,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,37.5,22.13,4.56,33.75,23
CDM,0009-0047-27,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,37.5,22.13,4.56,33.75,23
CDM,0009-0055-01,ALPRAZOLAM 0.5 MG TABLET,31.45,18.56,3.83,28.31,23
CDM,0009-0056-02,METHYLPREDNISOLONE 4 MG TABLET,11.98,7.07,1.46,10.78,23
CDM,0009-0059-07,"ALPRAZOLAM ER 1 MG TABLET,EXTENDED RELEASE 24 HR",60.53,35.71,7.36,54.48,23
CDM,0009-0073-01,METHYLPREDNISOLONE 16 MG TABLET,13.73,8.1,1.67,12.36,23
CDM,0009-0085-10,TESTOSTERONE CYPIONATE 100 MG/ML INTRAMUSCULAR OIL,172.0,101.48,20.92,154.8,23
CDM,0009-0086-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,34.55,20.38,4.2,31.1,23
CDM,0009-0086-10,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,111.05,65.52,13.51,99.95,23
CDM,0009-0215-01,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,606.19,357.65,73.74,545.57,23
CDM,0009-0271-01,ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL,934.3,551.24,113.65,840.87,23
CDM,0009-0280-02,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,154.0,90.86,18.73,138.6,23
CDM,0009-0283-01,GELATIN ABSORBABLE IMPLANT FILM,10336.1,6098.3,1257.33,9302.49,23
CDM,0009-0306-02,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,214.7,126.67,26.12,193.23,23
CDM,0009-0315-08,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE",21.2,12.51,2.58,19.08,23
CDM,0009-0331-02,CLINDAMYCIN HCL 75 MG CAPSULE,1.04,0.61,0.13,0.94,23
CDM,0009-0333-03,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,21.35,12.6,2.6,19.22,23
CDM,0009-0342-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE",96.8,57.11,11.78,87.12,23
CDM,0009-0349-03,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 200 TOPICAL SPONGE",245.21,144.67,29.83,220.69,23
CDM,0009-0353-01,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 CM TOPICAL SPONGE",96.8,57.11,11.78,87.12,23
CDM,0009-0400-02,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,21.35,12.6,2.6,19.22,23
CDM,0009-0417-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,34.55,20.38,4.2,31.1,23
CDM,0009-0436-01,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,193.5,114.17,23.54,174.15,23
CDM,0009-0450-03,COLESTIPOL 1 GRAM TABLET,10.41,6.14,1.27,9.37,23
CDM,0009-0698-01,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",202.4,119.42,24.62,182.16,23
CDM,0009-0698-02,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",202.4,119.42,24.62,182.16,23
CDM,0009-0746-30,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,243.85,143.87,29.66,219.47,23
CDM,0009-0758-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,111.65,65.87,13.58,100.49,23
CDM,0009-0760-04,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,122.0,71.98,14.84,109.8,23
CDM,0009-0775-20,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,9.62,5.68,1.17,8.66,23
CDM,0009-0775-26,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,9.62,5.68,1.17,8.66,23
CDM,0009-0825-01,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,71.9,42.42,8.75,64.71,23
CDM,0009-0850-01,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,476.25,280.99,57.93,428.63,23
CDM,0009-0856-05,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,358.01,211.23,43.55,322.21,23
CDM,0009-0856-08,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,358.01,211.23,43.55,322.21,23
CDM,0009-0870-21,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,7.82,4.61,0.95,7.04,23
CDM,0009-0870-26,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,7.82,4.61,0.95,7.04,23
CDM,0009-0902-11,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,12.75,7.52,1.55,11.48,23
CDM,0009-0902-18,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,12.75,7.52,1.55,11.48,23
CDM,0009-3051-01,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,7.82,4.61,0.95,7.04,23
CDM,0009-3073-01,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,17.5,10.33,2.13,15.75,23
CDM,0009-3073-03,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,20.28,11.97,2.47,18.25,23
CDM,0009-3073-22,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,17.5,10.33,2.13,15.75,23
CDM,0009-3073-23,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,20.28,11.97,2.47,18.25,23
CDM,0009-3169-01,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,606.19,357.65,73.74,545.57,23
CDM,0009-3169-06,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,606.19,357.65,73.74,545.57,23
CDM,0009-3359-01,DINOPROSTONE 0.5 MG/3 G VAGINAL GEL,3665.96,2162.92,445.94,3299.36,23
CDM,0009-3475-01,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,39.15,23.1,4.76,35.24,23
CDM,0009-3475-03,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,39.17,23.11,4.76,35.25,23
CDM,0009-3794-01,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,411.95,243.05,50.11,370.76,23
CDM,0009-3794-22,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,411.95,243.05,50.11,370.76,23
CDM,0009-4992-01,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,223.5,131.87,27.19,201.15,23
CDM,0009-5091-01,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,149.25,88.06,18.16,134.33,23
CDM,0009-5093-01,EPIRUBICIN 200 MG/100 ML INTRAVENOUS SOLUTION,587.0,346.33,71.41,528.3,23
CDM,0009-5136-01,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,2857.5,1685.93,347.6,2571.75,23
CDM,0009-5140-01,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,148.5,87.62,18.06,133.65,23
CDM,0009-7224-01,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",20318.35,11987.83,2471.62,18286.52,23
CDM,0009-7224-02,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",20318.35,11987.83,2471.62,18286.52,23
CDM,0009-7376-11,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,254.6,150.21,30.97,229.14,23
CDM,0009-7663-04,EXEMESTANE 25 MG TABLET,177.78,104.89,21.63,160.0,23
CDM,0009-7686-01,ALPROSTADIL 40 MCG INTRACAVERNOSAL SOLUTION,641.79,378.66,78.07,577.61,23
CDM,0009-7686-04,ALPROSTADIL 40 MCG INTRACAVERNOSAL SOLUTION,641.79,378.66,78.07,577.61,23
CDM,0009029703,GELATIN ABSORBABLE EYE FILM,1142.24,673.92,138.95,1028.02,23
CDM,0013-0101-10,SULFASALAZINE 500 MG TABLET,7.01,4.14,0.85,6.31,23
CDM,0013-0102-50,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",9.74,5.75,1.18,8.77,23
CDM,0013-1114-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",15.6,9.2,1.9,14.04,23
CDM,0013-1114-15,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",15.6,9.2,1.9,14.04,23
CDM,0013-1114-20,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",20.3,11.98,2.47,18.27,23
CDM,0013-2576-05,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,248.35,146.53,30.21,223.52,23
CDM,0013-2576-91,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,229.75,135.55,27.95,206.78,23
CDM,0013-2586-10,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,459.45,271.08,55.89,413.51,23
CDM,0013-2586-91,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,459.45,271.08,55.89,413.51,23
CDM,0013-2596-20,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,882.2,520.5,107.32,793.98,23
CDM,0013-2596-91,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,882.2,520.5,107.32,793.98,23
CDM,0013-2649-02,SOMATROPIN 0.2 MG/0.25 ML SUBCUTANEOUS SYRINGE,147.16,86.82,17.9,132.44,23
CDM,0015-3012-60,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,819.35,483.42,99.67,737.42,23
CDM,0019-0862-07,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,112.5,66.38,13.69,101.25,23
CDM,0019-0862-50,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,130.0,76.7,15.81,117.0,23
CDM,0019-0952-11,IOTHALAMATE MEGLUMINE 30 % INTRAVENOUS SOLUTION,108.75,64.16,13.23,97.88,23
CDM,0019-0953-05,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,59.5,35.11,7.24,53.55,23
CDM,0019-0953-09,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,118.0,69.62,14.35,106.2,23
CDM,0019-0953-11,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,147.0,86.73,17.88,132.3,23
CDM,0019-0953-13,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,45.75,26.99,5.57,41.18,23
CDM,0019-1323-02,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,48.6,28.67,5.91,43.74,23
CDM,0019-1323-06,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,45.75,26.99,5.57,41.18,23
CDM,0019-1323-52,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,83.5,49.27,10.16,75.15,23
CDM,0019-1323-87,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,128.13,75.6,15.59,115.32,23
CDM,0019-1323-90,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,109.0,64.31,13.26,98.1,23
CDM,0019-1333-16,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,128.25,75.67,15.6,115.43,23
CDM,0019-4816-04,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,59.4,35.05,7.23,53.46,23
CDM,0019-9050-40,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,8382.36,4945.59,1019.67,7544.12,23
CDM,0019-9068-20,TECHNETIUM TC-99M LABELED RED BLOOD CELLS INJECTION,339.54,200.33,41.3,305.59,23
CDM,0023-0312-04,WHITE PETROLATUM-MINERAL OIL 56.8 %-42.5 % EYE OINTMENT,45.0,26.55,5.47,40.5,23
CDM,0023-0403-30,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-0403-50,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-0403-70,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-0506-01,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-0506-50,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-0798-15,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-1145-01,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,3230.0,1905.7,392.91,2907.0,23
CDM,0023-2181-05,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-3205-03,BIMATOPROST 0.01 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-3205-05,BIMATOPROST 0.01 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-3205-08,BIMATOPROST 0.01 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-3240-15,CARBOXYMETHYLCELLULOSE 0.5 %-GLYCERIN 0.9 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-3348-07,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,6865.0,4050.35,835.09,6178.5,23
CDM,0023-3507-31,KETOROLAC (PF) 0.45 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-3919-50,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,1810.0,1067.9,220.18,1629.0,23
CDM,0023-3921-02,ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION,6460.0,3811.4,785.83,5814.0,23
CDM,0023-4554-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-5858-01,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,4436.8,2617.71,539.71,3993.12,23
CDM,0023-6082-01,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,163.52,96.48,19.89,147.17,23
CDM,0023-6082-10,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,163.52,96.48,19.89,147.17,23
CDM,0023-6142-30,SILODOSIN 8 MG CAPSULE,40.38,23.82,4.91,36.34,23
CDM,0023-6153-01,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,393.72,232.29,47.89,354.35,23
CDM,0023-6153-08,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,393.72,232.29,47.89,354.35,23
CDM,0023-9163-30,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-9163-60,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0023-9205-15,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9211-05,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9211-10,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9211-15,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9277-05,KETOROLAC 0.4 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9321-05,BRIMONIDINE 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9321-10,BRIMONIDINE 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9321-15,BRIMONIDINE 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0023-9652-01,BIMATOPROST 10 MCG INTRACAMERAL IMPLANT,9935.0,5861.65,1208.54,8941.5,23
CDM,0023066704,WHITE PETROLATUM-MINERAL OIL 57.3 %-42.5 % EYE OINTMENT,39.55,23.33,4.81,35.6,23
CDM,0024-0654-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3908.0,2305.72,475.39,3517.2,23
CDM,0024-0656-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,19540.0,11528.6,2376.94,17586.0,23
CDM,0024-1352-02,PHENYLEPHRINE 1 % NASAL SPRAY,16.8,9.91,2.04,15.12,23
CDM,0024-1596-01,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,9.48,5.59,1.15,8.53,23
CDM,0024-2792-01,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,147.33,86.92,17.92,132.6,23
CDM,0024-2792-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,147.33,86.92,17.92,132.6,23
CDM,0024-4142-60,DRONEDARONE 400 MG TABLET,60.06,35.44,7.31,54.05,23
CDM,0024-5150-06,CAMPHOR-PHENOL 10.8 %-4.7 % TOPICAL SOLUTION,28.13,16.6,3.42,25.32,23
CDM,0024-5150-10,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,5305.44,3130.21,645.38,4774.9,23
CDM,0024-5150-11,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,5305.44,3130.21,645.38,4774.9,23
CDM,0024-5151-75,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,26527.05,15650.96,3226.88,23874.35,23
CDM,0024-5154-11,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,5305.44,3130.21,645.38,4774.9,23
CDM,0024-5823-15,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,69848.49,41210.61,8496.7,62863.64,23
CDM,0024-5824-11,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,69848.49,41210.61,8496.7,62863.64,23
CDM,0024-5840-01,ZIV-AFLIBERCEPT 100 MG/4 ML (25 MG/ML) INTRAVENOUS SOLUTION,3900.0,2301.0,474.41,3510.0,23
CDM,0024-5852-30,IRBESARTAN 300 MG TABLET,42.64,25.16,5.19,38.38,23
CDM,0024-5862-01,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,49840.35,29405.81,6062.82,44856.32,23
CDM,0024-5914-00,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,9218.0,5438.62,1121.32,8296.2,23
CDM,0024-5914-01,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,9218.0,5438.62,1121.32,8296.2,23
CDM,0024-5914-02,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,7753.8,4574.74,943.21,6978.42,23
CDM,0024-5915-00,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,9218.0,5438.62,1121.32,8296.2,23
CDM,0024-5915-01,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,8177.35,4824.64,994.73,7359.62,23
CDM,0024-5915-02,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,9218.0,5438.62,1121.32,8296.2,23
CDM,0024-5918-00,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,9218.01,5438.63,1121.32,8296.21,23
CDM,0024-5918-01,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,9218.01,5438.63,1121.32,8296.21,23
CDM,0024-5919-00,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS PEN INJECTOR,9218.01,5438.63,1121.32,8296.21,23
CDM,0024-5924-10,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,380.35,224.41,46.27,342.32,23
CDM,0024-5925-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,146.87,86.65,17.87,132.18,23
CDM,0024-5925-05,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,146.87,86.65,17.87,132.18,23
CDM,0024-5926-05,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,58.95,34.78,7.17,53.06,23
CDM,0025-0061-31,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,13.17,7.77,1.6,11.85,23
CDM,0025-1041-31,SPIRONOLACTONE 50 MG TABLET,22.04,13.0,2.68,19.84,23
CDM,0025-1451-60,MISOPROSTOL 100 MCG TABLET,18.45,10.89,2.24,16.61,23
CDM,0025-1461-60,MISOPROSTOL 200 MCG TABLET,26.97,15.91,3.28,24.27,23
CDM,0025-1525-34,CELECOXIB 200 MG CAPSULE,76.07,44.88,9.25,68.46,23
CDM,0025-1710-01,EPLERENONE 25 MG TABLET,65.24,38.49,7.94,58.72,23
CDM,0025-2732-31,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE",19.81,11.69,2.41,17.83,23
CDM,0025-2742-31,"DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE",23.41,13.81,2.85,21.07,23
CDM,0026-3782-25,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION",1500.0,885.0,182.47,1350.0,23
CDM,0026-3783-35,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",3000.0,1770.0,364.93,2700.0,23
CDM,0026-3785-55,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",6000.0,3540.0,729.87,5400.0,23
CDM,0026-3786-65,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION",12000.0,7080.0,1459.74,10800.0,23
CDM,0026-3787-75,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",18000.0,10620.0,2189.61,16200.0,23
CDM,0026-4783-01,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",5.0,2.95,0.61,4.5,23
CDM,0026-4787-01,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",18000.0,10620.0,2189.61,16200.0,23
CDM,0026-4828-01,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",15.0,8.85,1.82,13.5,23
CDM,0032-0045-70,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL",8.75,5.16,1.06,7.88,23
CDM,0032-0046-70,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",10.07,5.94,1.22,9.06,23
CDM,0032-0047-70,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",20.14,11.88,2.45,18.13,23
CDM,0032-2636-01,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",39.91,23.55,4.85,35.92,23
CDM,0032-3016-13,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL",60.6,35.75,7.37,54.54,23
CDM,0037-0245-23,AZELASTINE 137 MCG-FLUTICASONE 50 MCG/SPRAY NASAL SPRAY,971.06,572.93,118.12,873.95,23
CDM,0037-0430-01,FELBAMATE 400 MG TABLET,68.11,40.18,8.29,61.3,23
CDM,0037-0431-01,FELBAMATE 600 MG TABLET,78.05,46.05,9.49,70.25,23
CDM,0037-0678-08,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,53.7,31.68,6.53,48.33,23
CDM,0037-0678-96,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,53.7,31.68,6.53,48.33,23
CDM,0037-2001-01,CARISOPRODOL 350 MG TABLET,49.63,29.28,6.04,44.67,23
CDM,0037-6822-10,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM,857.65,506.01,104.33,771.89,23
CDM,0037-6824-10,HYDROCORTISONE-PRAMOXINE 1 %-1 % TOPICAL FOAM,441.75,260.63,53.74,397.58,23
CDM,0037-6860-10,OLSALAZINE 250 MG CAPSULE,69.17,40.81,8.41,62.25,23
CDM,0038-0049-41,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,12.5,7.38,1.52,11.25,23
CDM,0039410202,SOD FLUORIDE-CA CARBONATE 3.75 MG (8.25)-145 MG (364) CAPSULE,0.51,0.3,0.06,0.46,23
CDM,0039413012,BIOTIN 5 MG CAPSULE,1.58,0.93,0.19,1.42,23
CDM,0039485932,HYDROCORTISONE 1 % LOTION,39.9,23.54,4.85,35.91,23
CDM,0043-0117-18,SIMETHICONE 125 MG CHEWABLE TABLET,1.07,0.63,0.13,0.96,23
CDM,0043-0117-48,SIMETHICONE 125 MG CHEWABLE TABLET,0.85,0.5,0.1,0.77,23
CDM,0043-6345-04,PHENYLEPHRINE-DEXTROMETHORPHAN 2.5 MG-5 MG/5 ML ORAL LIQUID,27.73,16.36,3.37,24.96,23
CDM,0045020504,CETIRIZINE 1 MG/ML ORAL SOLUTION,9.44,5.57,1.15,8.5,23
CDM,0045049304,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,24.6,14.51,2.99,22.14,23
CDM,0045049660,ACETAMINOPHEN 325 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,0045093032,"LACTASE 9,000 UNIT CHEWABLE TABLET",0.88,0.52,0.11,0.79,23
CDM,0045093060,"LACTASE 9,000 UNIT CHEWABLE TABLET",1.06,0.63,0.13,0.95,23
CDM,0046-0749-05,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,1705.2,1006.07,207.43,1534.68,23
CDM,0046-0872-21,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,2085.15,1230.24,253.65,1876.64,23
CDM,0046-1100-81,CONJUGATED ESTROGENS 0.3 MG TABLET,32.0,18.88,3.89,28.8,23
CDM,0046-1101-81,CONJUGATED ESTROGENS 0.45 MG TABLET,32.0,18.88,3.89,28.8,23
CDM,0046-1102-81,CONJUGATED ESTROGENS 0.625 MG TABLET,32.0,18.88,3.89,28.8,23
CDM,0046-1104-81,CONJUGATED ESTROGENS 1.25 MG TABLET,32.0,18.88,3.89,28.8,23
CDM,0046-1105-11,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET,40.01,23.61,4.87,36.01,23
CDM,00472-5002-04,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,6.16,3.63,0.75,5.54,23
CDM,0049-0013-81,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,34.9,20.59,4.25,31.41,23
CDM,0049-0013-83,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,34.9,20.59,4.25,31.41,23
CDM,0049-0014-81,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,65.99,38.93,8.03,59.39,23
CDM,0049-0014-83,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,65.99,38.93,8.03,59.39,23
CDM,0049-0114-28,ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION,73.7,43.48,8.97,66.33,23
CDM,0049-0116-28,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION,156.2,92.16,19.0,140.58,23
CDM,0049-0520-22,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,20.74,12.24,2.52,18.67,23
CDM,0049-0520-23,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,20.74,12.24,2.52,18.67,23
CDM,0049-0520-83,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,20.74,12.24,2.52,18.67,23
CDM,0049-0520-84,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,20.74,12.24,2.52,18.67,23
CDM,0049-0530-22,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,110.6,65.25,13.45,99.54,23
CDM,0049-0530-28,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,110.6,65.25,13.45,99.54,23
CDM,0049-2330-45,ELETRIPTAN 20 MG TABLET,374.21,220.78,45.52,336.79,23
CDM,0049-2410-10,DOXAZOSIN 1 MG TABLET,27.98,16.51,3.4,25.18,23
CDM,0049-3160-44,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,1958.25,1155.37,238.21,1762.43,23
CDM,0049-3170-30,VORICONAZOLE 50 MG TABLET,143.41,84.61,17.45,129.07,23
CDM,0049-3190-01,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,66.25,39.09,8.06,59.63,23
CDM,0049-3190-28,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,66.25,39.09,8.06,59.63,23
CDM,0049-4910-41,SERTRALINE 100 MG TABLET,67.01,39.54,8.15,60.31,23
CDM,0051-8462-30,TESTOSTERONE 1.62 % (40.5 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,98.97,58.39,12.04,89.07,23
CDM,0051-8462-33,TESTOSTERONE 20.25 MG/1.25 GRAM PER PUMP ACT.(1.62 %) TRANSDERMAL GEL,2877.38,1697.65,350.02,2589.64,23
CDM,0052-0602-01,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,791.6,467.04,96.29,712.44,23
CDM,0052-0602-02,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,791.6,467.04,96.29,712.44,23
CDM,0053-7201-02,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION",2400.0,1416.0,291.95,2160.0,23
CDM,0053-7211-01,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION",2400.0,1416.0,291.95,2160.0,23
CDM,0054-0007-13,CALCITRIOL 0.25 MCG CAPSULE,4.72,2.78,0.57,4.25,23
CDM,0054-0007-25,CALCITRIOL 0.25 MCG CAPSULE,4.36,2.57,0.53,3.92,23
CDM,0054-0010-20,FLECAINIDE 50 MG TABLET,2.05,1.21,0.25,1.85,23
CDM,0054-0010-21,FLECAINIDE 50 MG TABLET,2.13,1.26,0.26,1.92,23
CDM,0054-0010-25,FLECAINIDE 50 MG TABLET,2.65,1.56,0.32,2.39,23
CDM,0054-0011-20,FLECAINIDE 100 MG TABLET,3.75,2.21,0.46,3.38,23
CDM,0054-0011-21,FLECAINIDE 100 MG TABLET,3.4,2.01,0.41,3.06,23
CDM,0054-0011-25,FLECAINIDE 100 MG TABLET,4.32,2.55,0.53,3.89,23
CDM,0054-0012-21,FLECAINIDE 150 MG TABLET,4.73,2.79,0.58,4.26,23
CDM,0054-0012-25,FLECAINIDE 150 MG TABLET,5.94,3.5,0.72,5.35,23
CDM,0054-0017-20,PREDNISONE 10 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,0054-0017-29,PREDNISONE 10 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,0054-0018-20,PREDNISONE 20 MG TABLET,1.06,0.63,0.13,0.95,23
CDM,0054-0018-25,PREDNISONE 20 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,0054-0018-29,PREDNISONE 20 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,0054-0019-20,PREDNISONE 50 MG TABLET,1.55,0.91,0.19,1.4,23
CDM,0054-0019-25,PREDNISONE 50 MG TABLET,1.51,0.89,0.18,1.36,23
CDM,0054-0020-25,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",1.98,1.17,0.24,1.78,23
CDM,0054-0021-25,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",1.54,0.91,0.19,1.39,23
CDM,0054-0025-11,MEFLOQUINE 250 MG TABLET,36.8,21.71,4.48,33.12,23
CDM,0054-0045-44,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,165.9,97.88,20.18,149.31,23
CDM,0054-0046-41,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,166.8,98.41,20.29,150.12,23
CDM,0054-0057-46,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,645.0,380.55,78.46,580.5,23
CDM,0054-0062-58,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,266.4,157.18,32.41,239.76,23
CDM,0054-0064-47,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,386.75,228.18,47.05,348.08,23
CDM,0054-0077-25,TORSEMIDE 20 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,0054-0077-29,TORSEMIDE 20 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,0054-0079-28,BALSALAZIDE 750 MG CAPSULE,2.34,1.38,0.28,2.11,23
CDM,0054-0080-13,EXEMESTANE 25 MG TABLET,50.31,29.68,6.12,45.28,23
CDM,0054-0084-25,ZALEPLON 5 MG CAPSULE,1.85,1.09,0.23,1.67,23
CDM,0054-0085-25,ZALEPLON 10 MG CAPSULE,1.94,1.14,0.24,1.75,23
CDM,0054-0088-13,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,3.8,2.24,0.46,3.42,23
CDM,0054-0088-26,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,2.62,1.55,0.32,2.36,23
CDM,0054-0110-25,PERINDOPRIL ERBUMINE 2 MG TABLET,2.9,1.71,0.35,2.61,23
CDM,0054-0111-25,PERINDOPRIL ERBUMINE 4 MG TABLET,3.07,1.81,0.37,2.76,23
CDM,0054-0140-25,ACARBOSE 25 MG TABLET,2.15,1.27,0.26,1.94,23
CDM,0054-0141-25,ACARBOSE 50 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,0054-0163-25,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,2.19,1.29,0.27,1.97,23
CDM,0054-0166-25,MYCOPHENOLATE MOFETIL 500 MG TABLET,3.76,2.22,0.46,3.38,23
CDM,0054-0166-29,MYCOPHENOLATE MOFETIL 500 MG TABLET,3.95,2.33,0.48,3.56,23
CDM,0054-0176-13,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,2.29,1.35,0.28,2.06,23
CDM,0054-0177-13,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,6.2,3.66,0.75,5.58,23
CDM,0054-0188-13,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,3.71,2.19,0.45,3.34,23
CDM,0054-0189-13,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,6.22,3.67,0.76,5.6,23
CDM,0054-0199-59,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,767.5,452.83,93.36,690.75,23
CDM,0054-0210-25,PROTRIPTYLINE 5 MG TABLET,22.14,13.06,2.69,19.93,23
CDM,0054-0211-25,PROTRIPTYLINE 10 MG TABLET,22.14,13.06,2.69,19.93,23
CDM,0054-0230-25,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,5.92,3.49,0.72,5.33,23
CDM,0054-0235-24,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,3.02,1.78,0.37,2.72,23
CDM,0054-0235-25,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,1.99,1.17,0.24,1.79,23
CDM,0054-0236-24,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,5.15,3.04,0.63,4.64,23
CDM,0054-0236-25,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,3.39,2.0,0.41,3.05,23
CDM,0054-0237-49,MORPHINE 10 MG/5 ML ORAL SOLUTION,36.5,21.54,4.44,32.85,23
CDM,0054-0237-63,MORPHINE 10 MG/5 ML ORAL SOLUTION,85.0,50.15,10.34,76.5,23
CDM,0054-0238-63,MORPHINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,140.0,82.6,17.03,126.0,23
CDM,0054-0243-24,CODEINE SULFATE 15 MG TABLET,2.88,1.7,0.35,2.59,23
CDM,0054-0244-24,CODEINE SULFATE 30 MG TABLET,3.96,2.34,0.48,3.56,23
CDM,0054-0244-25,CODEINE SULFATE 30 MG TABLET,2.9,1.71,0.35,2.61,23
CDM,0054-0245-25,CODEINE SULFATE 60 MG TABLET,5.07,2.99,0.62,4.56,23
CDM,0054-0264-24,HYDROMORPHONE 4 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,0054-0264-25,HYDROMORPHONE 4 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0054-0265-25,HYDROMORPHONE 8 MG TABLET,3.67,2.17,0.45,3.3,23
CDM,0054-0271-21,CAPECITABINE 150 MG TABLET,12.74,7.52,1.55,11.47,23
CDM,0054-0273-13,IMIPRAMINE PAMOATE 75 MG CAPSULE,54.37,32.08,6.61,48.93,23
CDM,0054-0274-13,IMIPRAMINE PAMOATE 100 MG CAPSULE,54.37,32.08,6.61,48.93,23
CDM,0054-0279-03,NARATRIPTAN 2.5 MG TABLET,14.46,8.53,1.76,13.01,23
CDM,0054-0283-25,OXYMORPHONE 5 MG TABLET,12.01,7.09,1.46,10.81,23
CDM,0054-0284-25,OXYMORPHONE 10 MG TABLET,6.11,3.6,0.74,5.5,23
CDM,0054-0293-99,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,204.15,120.45,24.83,183.74,23
CDM,0054-0326-56,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,6.25,3.69,0.76,5.63,23
CDM,0054-0327-56,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,7.77,4.58,0.95,6.99,23
CDM,0054-0328-56,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,10.21,6.02,1.24,9.19,23
CDM,0054-0334-25,CEVIMELINE 30 MG CAPSULE,11.91,7.03,1.45,10.72,23
CDM,0054-0349-25,PHENOXYBENZAMINE 10 MG CAPSULE,500.33,295.19,60.86,450.3,23
CDM,0054-0371-25,LISDEXAMFETAMINE 30 MG CAPSULE,48.5,28.62,5.9,43.65,23
CDM,0054-0372-25,LISDEXAMFETAMINE 40 MG CAPSULE,48.5,28.62,5.9,43.65,23
CDM,0054-0382-25,CYCLOPHOSPHAMIDE 25 MG CAPSULE,34.51,20.36,4.2,31.06,23
CDM,0054-0383-25,CYCLOPHOSPHAMIDE 50 MG CAPSULE,63.33,37.36,7.7,57.0,23
CDM,0054-0386-63,HYDROMORPHONE 1 MG/ML ORAL LIQUID,662.2,390.7,80.55,595.98,23
CDM,0054-0390-63,OXYCODONE 5 MG/5 ML ORAL SOLUTION,297.5,175.53,36.19,267.75,23
CDM,0054-0392-68,METHADONE 10 MG/ML ORAL CONCENTRATE,235.0,138.65,28.59,211.5,23
CDM,0054-0399-25,BEXAROTENE 75 MG CAPSULE,272.65,160.86,33.17,245.39,23
CDM,0054-0400-13,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.12,2.43,0.5,3.71,23
CDM,0054-0400-22,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",2.11,1.24,0.26,1.9,23
CDM,0054-0401-13,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4.9,2.89,0.6,4.41,23
CDM,0054-0401-22,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4.9,2.89,0.6,4.41,23
CDM,0054-0407-13,RITONAVIR 100 MG TABLET,24.71,14.58,3.01,22.24,23
CDM,0054-0413-13,FEBUXOSTAT 40 MG TABLET,23.04,13.59,2.8,20.74,23
CDM,0054-0415-25,ETHACRYNIC ACID 25 MG TABLET,46.26,27.29,5.63,41.63,23
CDM,0054-0425-23,RUFINAMIDE 200 MG TABLET,7.91,4.67,0.96,7.12,23
CDM,0054-0427-25,FLUCYTOSINE 250 MG CAPSULE,304.18,179.47,37.0,273.76,23
CDM,0054-0428-25,FLUCYTOSINE 500 MG CAPSULE,588.6,347.27,71.6,529.74,23
CDM,0054-0438-25,LEVORPHANOL TARTRATE 2 MG TABLET,133.5,78.77,16.24,120.15,23
CDM,0054-0470-21,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,24.06,14.2,2.93,21.65,23
CDM,0054-0471-21,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,53.43,31.52,6.5,48.09,23
CDM,0054-0472-21,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,73.58,43.41,8.95,66.22,23
CDM,0054-0481-13,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,1031.26,608.44,125.45,928.13,23
CDM,0054-0481-14,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,643.37,379.59,78.26,579.03,23
CDM,0054-0517-41,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,34.2,20.18,4.16,30.78,23
CDM,0054-0517-44,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,37.95,22.39,4.62,34.16,23
CDM,0054-0517-50,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,225.6,133.1,27.44,203.04,23
CDM,0054-0528-63,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,5540.7,3269.01,674.0,4986.63,23
CDM,0054-0532-22,DROXIDOPA 100 MG CAPSULE,6.43,3.79,0.78,5.79,23
CDM,0054-0534-22,DROXIDOPA 300 MG CAPSULE,19.27,11.37,2.34,17.34,23
CDM,0054-0561-50,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,2427.0,1431.93,295.23,2184.3,23
CDM,0054-0603-13,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.5,2.66,0.55,4.05,23
CDM,0054-0622-63,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,319.28,188.38,38.84,287.35,23
CDM,0054-0709-20,METHADONE 5 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,0054-0709-25,METHADONE 5 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,0054-0710-20,METHADONE 10 MG TABLET,1.22,0.72,0.15,1.1,23
CDM,0054-0742-87,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,117.89,69.56,14.34,106.1,23
CDM,0054-2526-25,LITHIUM CARBONATE IMMEDIATE RELEASE 150 MG CAPSULE,0.62,0.37,0.08,0.56,23
CDM,0054-2527-25,LITHIUM CARBONATE IMMEDIATE RELEASE 300 MG CAPSULE,1.02,0.6,0.12,0.92,23
CDM,0054-2531-25,LITHIUM CARBONATE 600 MG CAPSULE,1.73,1.02,0.21,1.56,23
CDM,0054-3090-36,BUTORPHANOL 10 MG/ML NASAL SPRAY,259.85,153.31,31.61,233.87,23
CDM,0054-3120-41,CALCITRIOL 1 MCG/ML ORAL SOLUTION,659.78,389.27,80.26,593.8,23
CDM,0054-3176-44,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),95.1,56.11,11.57,85.59,23
CDM,0054-3177-57,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,153.6,90.62,18.68,138.24,23
CDM,0054-3177-63,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,65.0,38.35,7.91,58.5,23
CDM,0054-3185-44,DIAZEPAM 5 MG/ML ORAL CONCENTRATE,118.35,69.83,14.4,106.52,23
CDM,0054-3188-63,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION,230.0,135.7,27.98,207.0,23
CDM,0054-3194-46,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID,324.3,191.34,39.45,291.87,23
CDM,0054-3270-99,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",41.04,24.21,4.99,36.94,23
CDM,0054-3294-01,FUROSEMIDE 10 MG/ML ORAL SOLUTION,0.44,0.26,0.05,0.4,23
CDM,0054-3294-46,FUROSEMIDE 10 MG/ML ORAL SOLUTION,23.1,13.63,2.81,20.79,23
CDM,0054-3298-63,FUROSEMIDE 40 MG/5 ML (8 MG/ML) ORAL SOLUTION,155.0,91.45,18.85,139.5,23
CDM,0054-3500-49,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,50.5,29.8,6.14,45.45,23
CDM,0054-3505-47,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,184.25,108.71,22.41,165.83,23
CDM,0054-3532-44,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,145.35,85.76,17.68,130.82,23
CDM,0054-3553-44,METHADONE 10 MG/ML ORAL CONCENTRATE,79.05,46.64,9.62,71.15,23
CDM,0054-3555-63,METHADONE 5 MG/5 ML ORAL SOLUTION,147.5,87.03,17.94,132.75,23
CDM,0054-3566-99,MIDAZOLAM 2 MG/ML ORAL SYRUP,316.24,186.58,38.47,284.62,23
CDM,0054-3721-44,PREDNISONE 5 MG/ML ORAL CONCENTRATE,506.85,299.04,61.66,456.17,23
CDM,0054-3722-05,PREDNISONE 5 MG/5 ML ORAL SOLUTION,7.48,4.41,0.91,6.73,23
CDM,0054-3722-50,PREDNISONE 5 MG/5 ML ORAL SOLUTION,279.0,164.61,33.94,251.1,23
CDM,0054-3722-63,PREDNISONE 5 MG/5 ML ORAL SOLUTION,1142.5,674.08,138.98,1028.25,23
CDM,0054-3727-63,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,192.5,113.58,23.42,173.25,23
CDM,0054-4146-22,CLOTRIMAZOLE 10 MG TROCHE,3.28,1.94,0.4,2.95,23
CDM,0054-4146-23,CLOTRIMAZOLE 10 MG TROCHE,8.01,4.73,0.97,7.21,23
CDM,0054-4179-25,DEXAMETHASONE 0.5 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,0054-4180-25,DEXAMETHASONE 0.75 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,0054-4181-25,DEXAMETHASONE 1 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,0054-4182-25,DEXAMETHASONE 1.5 MG TABLET,1.83,1.08,0.22,1.65,23
CDM,0054-4183-25,DEXAMETHASONE 2 MG TABLET,2.29,1.35,0.28,2.06,23
CDM,0054-4184-25,DEXAMETHASONE 4 MG TABLET,3.97,2.34,0.48,3.57,23
CDM,0054-4186-25,DEXAMETHASONE 6 MG TABLET,6.85,4.04,0.83,6.17,23
CDM,0054-4297-25,FUROSEMIDE 20 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,0054-4496-13,LEUCOVORIN CALCIUM 5 MG TABLET,5.15,3.04,0.63,4.64,23
CDM,0054-4496-25,LEUCOVORIN CALCIUM 5 MG TABLET,5.02,2.96,0.61,4.52,23
CDM,0054-4499-11,LEUCOVORIN CALCIUM 25 MG TABLET,52.06,30.72,6.33,46.85,23
CDM,0054-4550-15,METHOTREXATE SODIUM 2.5 MG TABLET,2.48,1.46,0.3,2.23,23
CDM,0054-4581-11,MERCAPTOPURINE 50 MG TABLET,14.61,8.62,1.78,13.15,23
CDM,0054-4581-27,MERCAPTOPURINE 50 MG TABLET,9.4,5.55,1.14,8.46,23
CDM,0054-4728-25,PREDNISONE 5 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,0054-4728-31,PREDNISONE 5 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,0054-4741-25,PREDNISONE 1 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,0054-4742-25,PREDNISONE 2.5 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,0054-4859-25,TRIAZOLAM 0.25 MG TABLET,13.59,8.02,1.65,12.23,23
CDM,0054-8146-22,CLOTRIMAZOLE 10 MG TROCHE,12.74,7.52,1.55,11.47,23
CDM,0054-8174-25,DEXAMETHASONE 1 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,0054-8175-25,DEXAMETHASONE 4 MG TABLET,4.02,2.37,0.49,3.62,23
CDM,0054-8176-25,DEXAMETHASONE 2 MG TABLET,2.85,1.68,0.35,2.57,23
CDM,0054-8179-25,DEXAMETHASONE 0.5 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,0054-8180-25,DEXAMETHASONE 0.75 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,0054-8181-25,DEXAMETHASONE 1.5 MG TABLET,1.83,1.08,0.22,1.65,23
CDM,0054-8183-25,DEXAMETHASONE 6 MG TABLET,6.32,3.73,0.77,5.69,23
CDM,0054-8297-25,FUROSEMIDE 20 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,0054-8299-25,FUROSEMIDE 40 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0054-8301-25,FUROSEMIDE 80 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,0054-8496-19,LEUCOVORIN CALCIUM 5 MG TABLET,7.26,4.28,0.88,6.53,23
CDM,0054-8526-25,LITHIUM CARBONATE IMMEDIATE RELEASE 150 MG CAPSULE,0.6,0.35,0.07,0.54,23
CDM,0054-8527-25,LITHIUM CARBONATE IMMEDIATE RELEASE 300 MG CAPSULE,0.9,0.53,0.11,0.81,23
CDM,0054-8528-25,LITHIUM CARBONATE 150 MG HALFTAB,1.08,0.64,0.13,0.97,23
CDM,0054-8550-25,METHOTREXATE SODIUM 2.5 MG TABLET,14.12,8.33,1.72,12.71,23
CDM,0054-8724-25,PREDNISONE 5 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,0054-8739-25,PREDNISONE 1 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,0054-8740-25,PREDNISONE 2.5 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,0054-9817-25,PREDNISONE 10 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,0054-9828-31,PREDNISONE 5 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,0054372705,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,2.0,1.18,0.24,1.8,23
CDM,0065-0023-15,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,68.47,40.4,8.33,61.62,23
CDM,0065-0085-15,NAPHAZOLINE 0.025 %-PHENIRAMINE 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0092-65,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,240.28,141.77,29.23,216.25,23
CDM,0065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0395-15,CYCLOPENTOLATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0396-02,CYCLOPENTOLATE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0397-02,CYCLOPENTOLATE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0397-05,CYCLOPENTOLATE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0397-15,CYCLOPENTOLATE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0408-72,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0411-30,POVIDONE-IODINE 5 % EYE SOLUTION,0.01,0.01,0.01,0.01,23
CDM,0065-0418-81,DEXTRAN 70-HYPROMELLOSE 0.1 %-0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0429-15,PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0474-01,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,45.4,26.79,5.52,40.86,23
CDM,0065-0481-01,PROPYLENE GLYCOL 0.6 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0481-10,PROPYLENE GLYCOL 0.6 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0509-35,WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT,36.11,21.3,4.39,32.5,23
CDM,0065-0518-01,WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT,33.15,19.56,4.03,29.84,23
CDM,0065-0652-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.05 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0065-0741-14,TETRACAINE HCL (PF) 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0795-15,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,27.45,16.2,3.34,24.71,23
CDM,0065-0795-50,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,52.5,30.98,6.39,47.25,23
CDM,0065-0800-50,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,317.5,187.33,38.62,285.75,23
CDM,0065-0817-01,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-0817-02,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-1431-05,PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-1431-18,PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-1431-28,PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-1795-04,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,52.5,30.98,6.39,47.25,23
CDM,0065-4011-05,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0065-4147-27,"BRINZOLAMIDE 1 %-BRIMONIDINE 0.2 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0065-8064-01,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,33.15,19.56,4.03,29.84,23
CDM,0067-0117-48,SIMETHICONE 125 MG CHEWABLE TABLET,0.83,0.49,0.1,0.75,23
CDM,0067-2086-01,PHENYLEPHRINE 1 % NASAL SPRAY,24.72,14.58,3.01,22.25,23
CDM,0067-6282-12,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,26.63,15.71,3.24,23.97,23
CDM,0067-6286-14,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",2.95,1.74,0.36,2.66,23
CDM,0067-8100-30,TERBINAFINE HCL 1 % TOPICAL CREAM,56.25,33.19,6.84,50.63,23
CDM,0067-8152-02,DICLOFENAC 1 % TOPICAL GEL,41.5,24.49,5.05,37.35,23
CDM,0067-8152-03,DICLOFENAC 1 % TOPICAL GEL,66.0,38.94,8.03,59.4,23
CDM,0067120176,DICLOFENAC 1 % TOPICAL GEL,66.0,38.94,8.03,59.4,23
CDM,0068-0597-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,340.95,201.16,41.47,306.86,23
CDM,0068-0599-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,827.25,488.08,100.63,744.53,23
CDM,0069-0043-01,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",18.12,10.69,2.2,16.31,23
CDM,0069-0043-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",18.12,10.69,2.2,16.31,23
CDM,0069-0058-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",14.4,8.5,1.75,12.96,23
CDM,0069-0058-02,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",14.4,8.5,1.75,12.96,23
CDM,0069-0059-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",25.8,15.22,3.14,23.22,23
CDM,0069-0059-03,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",4.52,2.67,0.55,4.07,23
CDM,0069-0059-04,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",4.52,2.67,0.55,4.07,23
CDM,0069-0137-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",28.65,16.9,3.49,25.79,23
CDM,0069-0145-01,AXITINIB 1 MG TABLET,439.91,259.55,53.51,395.92,23
CDM,0069-0151-11,AXITINIB 5 MG TABLET,1319.72,778.63,160.54,1187.75,23
CDM,0069-0195-02,"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",40.38,23.82,4.91,36.34,23
CDM,0069-0196-02,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",65.44,38.61,7.96,58.9,23
CDM,0069-0206-02,"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE",98.21,57.94,11.95,88.39,23
CDM,0069-0207-01,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",1223.3,721.75,148.81,1100.97,23
CDM,0069-0209-01,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,8.8,5.19,1.07,7.92,23
CDM,0069-0209-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,8.8,5.19,1.07,7.92,23
CDM,0069-0217-02,"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE",130.83,77.19,15.91,117.75,23
CDM,0069-0220-02,"DALTEPARIN (PORCINE) 12,500 ANTI-XA UNIT/0.5 ML SUBCUTANEOUS SYRINGE",163.56,96.5,19.9,147.2,23
CDM,0069-0223-02,"DALTEPARIN (PORCINE) 15,000 ANTI-XA UNIT/0.6 ML SUBCUTANEOUS SYRINGE",196.27,115.8,23.88,176.64,23
CDM,0069-0228-02,"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE",235.51,138.95,28.65,211.96,23
CDM,0069-0234-01,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,22.0,12.98,2.68,19.8,23
CDM,0069-0234-20,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,22.0,12.98,2.68,19.8,23
CDM,0069-0238-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,2714.1,1601.32,330.16,2442.69,23
CDM,0069-0242-30,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",44.78,26.42,5.45,40.3,23
CDM,0069-0248-01,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,44.0,25.96,5.35,39.6,23
CDM,0069-0248-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,44.0,25.96,5.35,39.6,23
CDM,0069-0249-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,13570.5,8006.6,1650.78,12213.45,23
CDM,0069-0277-02,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,87.3,51.51,10.62,78.57,23
CDM,0069-0291-01,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,748.25,441.47,91.02,673.43,23
CDM,0069-0291-10,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,748.27,441.48,91.02,673.44,23
CDM,0069-0292-01,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1197.26,706.38,145.64,1077.53,23
CDM,0069-0292-10,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1197.24,706.37,145.64,1077.52,23
CDM,0069-0293-01,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,748.27,441.48,91.02,673.44,23
CDM,0069-0294-01,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,1197.24,706.37,145.64,1077.52,23
CDM,0069-0305-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,11908.35,7025.93,1448.59,10717.52,23
CDM,0069-0306-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,11908.35,7025.93,1448.59,10717.52,23
CDM,0069-0315-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,2409.9,1421.84,293.15,2168.91,23
CDM,0069-0324-01,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,9728.4,5739.76,1183.41,8755.56,23
CDM,0069-0338-01,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLUTION,1258.0,742.22,153.03,1132.2,23
CDM,0069-0342-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,9639.68,5687.41,1172.62,8675.71,23
CDM,0069-0343-02,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,104.75,61.8,12.74,94.28,23
CDM,0069-0344-01,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",1223.3,721.75,148.81,1100.97,23
CDM,0069-0358-20,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,34.85,20.56,4.24,31.37,23
CDM,0069-0469-03,VARENICLINE TARTRATE 1 MG TABLET,37.72,22.25,4.59,33.95,23
CDM,0069-0469-56,VARENICLINE TARTRATE 1 MG TABLET,37.72,22.25,4.59,33.95,23
CDM,0069-0501-30,"TOFACITINIB ER 11 MG TABLET,EXTENDED RELEASE 24 HR",893.24,527.01,108.66,803.92,23
CDM,0069-0550-38,SUNITINIB MALATE 12.5 MG CAPSULE,962.36,567.79,117.07,866.12,23
CDM,0069-0770-38,SUNITINIB MALATE 25 MG CAPSULE,1924.72,1135.58,234.13,1732.25,23
CDM,0069-0809-01,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,2135.5,1259.95,259.77,1921.95,23
CDM,0069-0980-38,SUNITINIB MALATE 50 MG CAPSULE,3350.66,1976.89,407.59,3015.59,23
CDM,0069-1001-01,TOFACITINIB 5 MG TABLET,446.62,263.51,54.33,401.96,23
CDM,0069-1002-01,TOFACITINIB 10 MG TABLET,446.62,263.51,54.33,401.96,23
CDM,0069-1029-02,TOFACITINIB 1 MG/ML ORAL SOLUTION,21438.0,12648.42,2607.82,19294.2,23
CDM,0069-1305-01,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",85.63,50.52,10.42,77.07,23
CDM,0069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",85.63,50.52,10.42,77.07,23
CDM,0069-1306-01,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",128.44,75.78,15.62,115.6,23
CDM,0069-1306-10,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",128.44,75.78,15.62,115.6,23
CDM,0069-1307-01,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",171.25,101.04,20.83,154.13,23
CDM,0069-1307-10,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",171.25,101.04,20.83,154.13,23
CDM,0069-1308-01,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",428.12,252.59,52.08,385.31,23
CDM,0069-1308-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",428.12,252.59,52.08,385.31,23
CDM,0069-1309-01,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1712.49,1010.37,208.32,1541.24,23
CDM,0069-1309-04,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1712.49,1010.37,208.32,1541.24,23
CDM,0069-1311-01,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",856.25,505.19,104.16,770.63,23
CDM,0069-1311-10,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",856.25,505.19,104.16,770.63,23
CDM,0069-1318-01,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",856.25,505.19,104.16,770.63,23
CDM,0069-1318-10,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",856.25,505.19,104.16,770.63,23
CDM,0069-1542-20,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,288.0,169.92,35.03,259.2,23
CDM,0069-3030-20,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,34.85,20.56,4.24,31.37,23
CDM,0069-3031-20,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,47.7,28.14,5.8,42.93,23
CDM,0069-3070-30,AZITHROMYCIN 500 MG TABLET,3.84,2.27,0.47,3.46,23
CDM,0069-3150-83,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,27.33,16.12,3.32,24.6,23
CDM,0069-3150-84,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,27.33,16.12,3.32,24.6,23
CDM,0069-4031-12,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,47.65,28.11,5.8,42.89,23
CDM,0069-4061-89,AZITHROMYCIN 250 MG TABLET,15.99,9.43,1.95,14.39,23
CDM,0069-4190-68,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,286.58,169.08,34.86,257.92,23
CDM,0069-5317-02,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,672.97,397.05,81.86,605.67,23
CDM,0069-5317-20,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,336.49,198.53,40.93,302.84,23
CDM,0069-5321-03,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",672.96,397.05,81.86,605.66,23
CDM,0069-5321-30,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",672.96,397.05,81.86,605.66,23
CDM,0069-5471-01,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,10.54,6.22,1.28,9.49,23
CDM,0069-5471-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,10.54,6.22,1.28,9.49,23
CDM,0069-5474-01,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,60.05,35.43,7.3,54.05,23
CDM,0069-5474-02,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,60.05,35.43,7.3,54.05,23
CDM,0069-5800-60,DOFETILIDE 125 MCG CAPSULE,37.11,21.89,4.51,33.4,23
CDM,0069-5800-61,DOFETILIDE 125 MCG CAPSULE,17.7,10.44,2.15,15.93,23
CDM,0069-5810-60,DOFETILIDE 250 MCG CAPSULE,50.34,29.7,6.12,45.31,23
CDM,0069-5810-61,DOFETILIDE 250 MCG CAPSULE,12.65,7.46,1.54,11.39,23
CDM,0069-5820-60,DOFETILIDE 500 MCG CAPSULE,51.35,30.3,6.25,46.22,23
CDM,0069-5820-61,DOFETILIDE 500 MCG CAPSULE,19.75,11.65,2.4,17.78,23
CDM,0069-6001-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,10.54,6.22,1.28,9.49,23
CDM,0069-6001-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,60.05,35.43,7.3,54.05,23
CDM,0069-6001-21,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,60.05,35.43,7.3,54.05,23
CDM,0069-6339-01,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",28483.5,16805.27,3464.87,25635.15,23
CDM,0069-6339-02,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",28483.5,16805.27,3464.87,25635.15,23
CDM,0069-8140-20,CRIZOTINIB 250 MG CAPSULE,1475.13,870.33,179.44,1327.62,23
CDM,0071-0007-24,PHENYTOIN 50 MG CHEWABLE TABLET,7.31,4.31,0.89,6.58,23
CDM,0071-0156-23,ATORVASTATIN 20 MG TABLET,81.55,48.11,9.92,73.4,23
CDM,0071-0157-23,ATORVASTATIN 40 MG TABLET,85.63,50.52,10.42,77.07,23
CDM,0071-0237-24,ETHOSUXIMIDE 250 MG CAPSULE,6.15,3.63,0.75,5.54,23
CDM,0071-0350-60,PHENELZINE 15 MG TABLET,11.82,6.97,1.44,10.64,23
CDM,0071-0369-24,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,7.8,4.6,0.95,7.02,23
CDM,0071-0369-40,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,8.6,5.07,1.05,7.74,23
CDM,0071-0418-13,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.14,4.21,0.87,6.43,23
CDM,0071-0419-24,NITROGLYCERIN 0.6 MG SUBLINGUAL TABLET,3.44,2.03,0.42,3.1,23
CDM,0071-0525-24,METHSUXIMIDE 300 MG CAPSULE,21.06,12.43,2.56,18.95,23
CDM,0071-0532-23,QUINAPRIL 20 MG TABLET,18.97,11.19,2.31,17.07,23
CDM,0071-0803-24,GABAPENTIN 100 MG CAPSULE,13.41,7.91,1.63,12.07,23
CDM,0071-1014-41,PREGABALIN 75 MG CAPSULE,51.57,30.43,6.27,46.41,23
CDM,0071-1014-68,PREGABALIN 75 MG CAPSULE,46.89,27.67,5.7,42.2,23
CDM,0071-1015-41,PREGABALIN 100 MG CAPSULE,51.57,30.43,6.27,46.41,23
CDM,0071-1015-68,PREGABALIN 100 MG CAPSULE,46.89,27.67,5.7,42.2,23
CDM,0071-2214-35,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,926.67,546.74,112.72,834.0,23
CDM,0071-3740-66,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,6.72,3.96,0.82,6.05,23
CDM,0073140106,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.61,0.36,0.07,0.55,23
CDM,0074-0124-02,ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT,33557.48,19798.91,4082.09,30201.73,23
CDM,0074-0124-03,ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT,33557.54,19798.95,4082.1,30201.79,23
CDM,0074-0124-74,ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT,26993.05,15925.9,3283.56,24293.75,23
CDM,0074-0243-02,ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS SYRINGE KIT,16778.7,9899.43,2041.04,15100.83,23
CDM,0074-0554-02,ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS PEN KIT,16778.7,9899.43,2041.04,15100.83,23
CDM,0074-0561-11,VENETOCLAX 10 MG TABLET,63.43,37.42,7.72,57.09,23
CDM,0074-0561-14,VENETOCLAX 10 MG TABLET,63.45,37.44,7.72,57.11,23
CDM,0074-0566-07,VENETOCLAX 50 MG TABLET,317.25,187.18,38.59,285.53,23
CDM,0074-0566-11,VENETOCLAX 50 MG TABLET,317.25,187.18,38.59,285.53,23
CDM,0074-0576-11,VENETOCLAX 100 MG TABLET,634.35,374.27,77.17,570.92,23
CDM,0074-0576-22,VENETOCLAX 100 MG TABLET,634.48,374.34,77.18,571.03,23
CDM,0074-0576-30,VENETOCLAX 100 MG TABLET,634.43,374.31,77.18,570.99,23
CDM,0074-1040-04,BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,1299.6,766.76,158.09,1169.64,23
CDM,0074-1040-08,BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,2300.24,1357.14,279.81,2070.22,23
CDM,0074-1050-01,RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS SYRINGE,108000.35,63720.21,13137.68,97200.32,23
CDM,0074-1069-01,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,101881.66,60110.18,12393.37,91693.49,23
CDM,0074-1070-01,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,101881.66,60110.18,12393.37,91693.49,23
CDM,0074-1539-03,ADALIMUMAB 80 MG/0.8 ML (X 1) AND 40 MG/0.4 ML (X 2) SUBCUTAN PEN KIT,22371.65,13199.27,2721.39,20134.49,23
CDM,0074-1658-01,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,46.07,27.18,5.6,41.46,23
CDM,0074-2100-01,RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS PEN INJECTOR,101881.65,60110.17,12393.37,91693.49,23
CDM,0074-2108-03,LEUPROLIDE 7.5 MG (PED) INTRAMUSCULAR KIT,9560.5,5640.7,1162.98,8604.45,23
CDM,0074-2282-03,LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT,17356.9,10240.57,2111.38,15621.21,23
CDM,0074-2340-30,RITONAVIR 100 MG TABLET,39.72,23.43,4.83,35.75,23
CDM,0074-2440-03,LEUPROLIDE 15 MG INTRAMUSCULAR KIT,19116.85,11278.94,2325.46,17205.17,23
CDM,0074-3108-32,CYCLOSPORINE MODIFIED 25 MG CAPSULE,4.12,2.43,0.5,3.71,23
CDM,0074-3109-32,CYCLOSPORINE MODIFIED 100 MG CAPSULE,16.44,9.7,2.0,14.8,23
CDM,0074-3173-90,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,0074-3189-90,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,0074-3346-03,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,28410.8,16762.37,3456.02,25569.72,23
CDM,0074-3399-30,RITONAVIR 100 MG ORAL POWDER PACKET,39.72,23.43,4.83,35.75,23
CDM,0074-3473-03,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,56822.6,33525.33,6912.17,51140.34,23
CDM,0074-3641-03,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,7947.15,4688.82,966.73,7152.44,23
CDM,0074-3642-03,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,9470.3,5587.48,1152.01,8523.27,23
CDM,0074-3663-03,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,23841.75,14066.63,2900.22,21457.58,23
CDM,0074-3683-03,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,37881.15,22349.88,4608.04,34093.04,23
CDM,0074-3727-19,LEVOTHYROXINE 137 MCG TABLET,0.85,0.5,0.1,0.77,23
CDM,0074-3727-90,LEVOTHYROXINE 137 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-3779-03,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,52070.85,30721.8,6334.15,46863.77,23
CDM,0074-3799-02,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT,16778.7,9899.43,2041.04,15100.83,23
CDM,0074-3956-46,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,2359.2,1391.93,286.98,2123.28,23
CDM,0074-4339-02,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT,16778.7,9899.43,2041.04,15100.83,23
CDM,0074-4341-19,LEVOTHYROXINE 25 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-4341-90,LEVOTHYROXINE 25 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-4378-05,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,72.63,42.85,8.84,65.37,23
CDM,0074-4380-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,127.45,75.2,15.5,114.71,23
CDM,0074-4382-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1376.0,811.84,167.38,1238.4,23
CDM,0074-4456-04,SEVOFLURANE 99.97 % INHALATION LIQUID,303.75,179.21,36.95,273.38,23
CDM,0074-4456-51,SEVOFLURANE 99.97 % INHALATION LIQUID,303.75,179.21,36.95,273.38,23
CDM,0074-4552-11,LEVOTHYROXINE 50 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-4552-90,LEVOTHYROXINE 50 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-4637-01,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,18.43,10.87,2.24,16.59,23
CDM,0074-5015-01,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,49055.3,28942.63,5967.32,44149.77,23
CDM,0074-5182-11,LEVOTHYROXINE 75 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-5182-90,LEVOTHYROXINE 75 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-6594-19,LEVOTHYROXINE 88 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-6594-90,LEVOTHYROXINE 88 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-6624-11,LEVOTHYROXINE 100 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-6624-90,LEVOTHYROXINE 100 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7068-11,LEVOTHYROXINE 125 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7068-90,LEVOTHYROXINE 125 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7069-11,LEVOTHYROXINE 150 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7069-90,LEVOTHYROXINE 150 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7070-19,LEVOTHYROXINE 175 MCG TABLET,7.3,4.31,0.89,6.57,23
CDM,0074-7070-90,LEVOTHYROXINE 175 MCG TABLET,7.3,4.31,0.89,6.57,23
CDM,0074-7126-11,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",27.3,16.11,3.32,24.57,23
CDM,0074-7148-11,LEVOTHYROXINE 200 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7148-90,LEVOTHYROXINE 200 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7149-90,LEVOTHYROXINE 300 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-7269-50,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,929.0,548.11,113.01,836.1,23
CDM,0074-9037-30,PARICALCITOL 2 MCG CAPSULE,119.89,70.74,14.58,107.9,23
CDM,0074-9296-90,LEVOTHYROXINE 112 MCG TABLET,7.31,4.31,0.89,6.58,23
CDM,0074-9694-03,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,57350.85,33837.0,6976.43,51615.77,23
CDM,0075-0620-40,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,45.98,27.13,5.59,41.38,23
CDM,0075-0621-01,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,69.04,40.73,8.4,62.14,23
CDM,0075-0621-60,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,69.04,40.73,8.4,62.14,23
CDM,0075-0622-80,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,92.06,54.32,11.2,82.85,23
CDM,0075-0623-00,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,115.07,67.89,14.0,103.56,23
CDM,0075-0623-03,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,115.07,67.89,14.0,103.56,23
CDM,0075-0624-30,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,34.49,20.35,4.2,31.04,23
CDM,0075-0626-03,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,1146.86,676.65,139.51,1032.17,23
CDM,0075-2912-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,138.13,81.5,16.8,124.32,23
CDM,0075-2915-00,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,172.66,101.87,21.0,155.39,23
CDM,0075-2915-01,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,172.66,101.87,21.0,155.39,23
CDM,0075-8022-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,459.42,271.06,55.89,413.48,23
CDM,0078-0109-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,316.95,187.0,38.56,285.26,23
CDM,0078-0109-61,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,316.95,187.0,38.56,285.26,23
CDM,0078-0180-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,65.4,38.59,7.96,58.86,23
CDM,0078-0180-61,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,65.4,38.59,7.96,58.86,23
CDM,0078-0181-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,130.4,76.94,15.86,117.36,23
CDM,0078-0181-61,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,130.4,76.94,15.86,117.36,23
CDM,0078-0240-15,CYCLOSPORINE 25 MG CAPSULE,20.38,12.02,2.48,18.34,23
CDM,0078-0240-61,CYCLOSPORINE 25 MG CAPSULE,20.38,12.02,2.48,18.34,23
CDM,0078-0241-15,CYCLOSPORINE 100 MG CAPSULE,81.32,47.98,9.89,73.19,23
CDM,0078-0241-61,CYCLOSPORINE 100 MG CAPSULE,81.32,47.98,9.89,73.19,23
CDM,0078-0246-15,CYCLOSPORINE MODIFIED 25 MG CAPSULE,12.41,7.32,1.51,11.17,23
CDM,0078-0246-61,CYCLOSPORINE MODIFIED 25 MG CAPSULE,12.41,7.32,1.51,11.17,23
CDM,0078-0248-15,CYCLOSPORINE MODIFIED 100 MG CAPSULE,49.58,29.25,6.03,44.62,23
CDM,0078-0248-61,CYCLOSPORINE MODIFIED 100 MG CAPSULE,49.58,29.25,6.03,44.62,23
CDM,0078-0249-15,LETROZOLE 2.5 MG TABLET,122.74,72.42,14.93,110.47,23
CDM,0078-0274-22,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,2702.0,1594.18,328.68,2431.8,23
CDM,0078-0314-34,VALSARTAN 80 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,48.17,28.42,5.86,43.35,23
CDM,0078-0315-34,VALSARTAN 160 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,39.02,23.02,4.75,35.12,23
CDM,0078-0331-84,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,21667.2,12783.65,2635.7,19500.48,23
CDM,0078-0357-52,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,2213.75,1306.11,269.29,1992.38,23
CDM,0078-0358-34,VALSARTAN 80 MG TABLET,42.83,25.27,5.21,38.55,23
CDM,0078-0359-34,VALSARTAN 160 MG TABLET,46.06,27.18,5.6,41.45,23
CDM,0078-0360-34,VALSARTAN 320 MG TABLET,58.27,34.38,7.09,52.44,23
CDM,0078-0370-05,"METHYLPHENIDATE LA 20 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",58.47,34.5,7.11,52.62,23
CDM,0078-0371-05,"METHYLPHENIDATE LA 30 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",59.81,35.29,7.28,53.83,23
CDM,0078-0385-66,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",31.44,18.55,3.82,28.3,23
CDM,0078-0386-66,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",62.88,37.1,7.65,56.59,23
CDM,0078-0393-61,BASILIXIMAB 10 MG INTRAVENOUS SOLUTION,7084.8,4180.03,861.83,6376.32,23
CDM,0078-0401-34,IMATINIB 100 MG TABLET,433.83,255.96,52.77,390.45,23
CDM,0078-0406-05,AMLODIPINE 5 MG-BENAZEPRIL 20 MG CAPSULE,58.91,34.76,7.17,53.02,23
CDM,0078-0414-20,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,97.66,57.62,11.88,87.89,23
CDM,0078-0414-61,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,97.66,57.62,11.88,87.89,23
CDM,0078-0415-20,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,140.8,83.07,17.13,126.72,23
CDM,0078-0415-61,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,140.8,83.07,17.13,126.72,23
CDM,0078-0417-20,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,45.12,26.62,5.49,40.61,23
CDM,0078-0417-61,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,45.11,26.61,5.49,40.6,23
CDM,0078-0423-15,VALSARTAN 40 MG TABLET,35.83,21.14,4.36,32.25,23
CDM,0078-0424-05,"METHYLPHENIDATE LA 10 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",58.47,34.5,7.11,52.62,23
CDM,0078-0457-05,OXCARBAZEPINE 600 MG TABLET,88.33,52.11,10.74,79.5,23
CDM,0078-0467-61,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,160.87,94.91,19.57,144.78,23
CDM,0078-0467-91,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,643.46,379.64,78.27,579.11,23
CDM,0078-0468-15,DEFERASIROX 125 MG DISPERSIBLE TABLET,247.82,146.21,30.15,223.04,23
CDM,0078-0470-15,DEFERASIROX 500 MG DISPERSIBLE TABLET,991.24,584.83,120.58,892.12,23
CDM,0078-0501-15,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,105.94,62.5,12.89,95.35,23
CDM,0078-0501-61,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,105.94,62.5,12.89,95.35,23
CDM,0078-0502-15,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,105.94,62.5,12.89,95.35,23
CDM,0078-0502-61,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,105.94,62.5,12.89,95.35,23
CDM,0078-0503-15,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,105.94,62.5,12.89,95.35,23
CDM,0078-0503-61,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,105.94,62.5,12.89,95.35,23
CDM,0078-0508-83,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,897.75,529.67,109.21,807.98,23
CDM,0078-0509-05,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,13.96,8.24,1.7,12.56,23
CDM,0078-0510-05,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",7.47,4.41,0.91,6.72,23
CDM,0078-0511-05,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",14.91,8.8,1.81,13.42,23
CDM,0078-0512-05,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",29.79,17.58,3.62,26.81,23
CDM,0078-0526-51,NILOTINIB HCL 200 MG CAPSULE,883.53,521.28,107.48,795.18,23
CDM,0078-0526-87,NILOTINIB HCL 200 MG CAPSULE,883.53,521.28,107.48,795.18,23
CDM,0078-0566-51,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,3291.99,1942.27,400.45,2962.79,23
CDM,0078-0566-61,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,3291.99,1942.27,400.45,2962.79,23
CDM,0078-0568-45,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,26.02,15.35,3.17,23.42,23
CDM,0078-0592-51,NILOTINIB HCL 150 MG CAPSULE,883.53,521.28,107.48,795.18,23
CDM,0078-0592-87,NILOTINIB HCL 150 MG CAPSULE,883.53,521.28,107.48,795.18,23
CDM,0078-0607-15,FINGOLIMOD 0.5 MG CAPSULE,1641.85,968.69,199.72,1477.67,23
CDM,0078-0609-05,"DEXMETHYLPHENIDATE ER 35 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",26.22,15.47,3.19,23.6,23
CDM,0078-0639-41,SECUKINUMAB 150 MG/ML SUBCUTANEOUS PEN INJECTOR,17957.48,10594.91,2184.43,16161.73,23
CDM,0078-0639-97,SECUKINUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,35914.95,21189.82,4368.87,32323.46,23
CDM,0078-0639-98,SECUKINUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,17874.13,10545.74,2174.29,16086.72,23
CDM,0078-0654-15,DEFERASIROX 90 MG TABLET,205.13,121.03,24.95,184.62,23
CDM,0078-0655-15,DEFERASIROX 180 MG TABLET,465.06,274.39,56.57,418.55,23
CDM,0078-0656-15,DEFERASIROX 360 MG TABLET,930.11,548.76,113.14,837.1,23
CDM,0078-0659-20,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,52.31,30.86,6.36,47.08,23
CDM,0078-0659-67,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,52.31,30.86,6.36,47.08,23
CDM,0078-0671-19,LAPATINIB 250 MG TABLET,326.82,192.82,39.76,294.14,23
CDM,0078-0681-66,DABRAFENIB 75 MG CAPSULE,599.39,353.64,72.91,539.45,23
CDM,0078-0683-61,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,3284.25,1937.71,399.51,2955.83,23
CDM,0078-0685-15,ELTROMBOPAG OLAMINE 25 MG TABLET,1192.68,703.68,145.08,1073.41,23
CDM,0078-0696-20,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,52.31,30.86,6.36,47.08,23
CDM,0078-0696-67,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,52.31,30.86,6.36,47.08,23
CDM,0078-0698-02,MIDOSTAURIN 25 MG CAPSULE,918.66,542.01,111.75,826.79,23
CDM,0078-0698-19,MIDOSTAURIN 25 MG CAPSULE,918.66,542.01,111.75,826.79,23
CDM,0078-0698-51,MIDOSTAURIN 25 MG CAPSULE,918.67,542.02,111.75,826.8,23
CDM,0078-0698-99,MIDOSTAURIN 25 MG CAPSULE,918.66,542.01,111.75,826.79,23
CDM,0078-0716-56,CAPMATINIB 200 MG TABLET,1003.54,592.09,122.08,903.19,23
CDM,0078-0729-10,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0078-0734-61,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,96004.05,56642.39,11678.39,86403.65,23
CDM,0078-0777-20,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,52.31,30.86,6.36,47.08,23
CDM,0078-0777-67,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,52.31,30.86,6.36,47.08,23
CDM,0078-0790-61,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16071.9,9482.42,1955.06,14464.71,23
CDM,0078-0797-61,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",21056.9,12423.57,2561.46,18951.21,23
CDM,0078-0804-61,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",31531.1,18603.35,3835.59,28377.99,23
CDM,0078-0811-81,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16071.9,9482.42,1955.06,14464.71,23
CDM,0078-0813-01,TOBRAMYCIN 0.3 % EYE OINTMENT,1180.4,696.44,143.59,1062.36,23
CDM,0078-0818-81,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",21056.9,12423.57,2561.46,18951.21,23
CDM,0078-0825-81,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",31531.1,18603.35,3835.59,28377.99,23
CDM,0078-0846-19,TISAGENLECLEUCEL (KYMRIAH) INFUSION- B ALL,2719137.5,1604291.13,330768.82,2447223.75,23
CDM,0078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,1256.66,741.43,152.87,1130.99,23
CDM,0078-0883-61,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,12111.4,7145.73,1473.29,10900.26,23
CDM,0078-0897-78,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,4349.5,2566.21,529.09,3914.55,23
CDM,0078-0958-19,TISAGENLECLEUCEL (KYMRIAH) INFUSION - FL AND LBCL,2719137.5,1604291.13,330768.82,2447223.75,23
CDM,0078-1000-60,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,16693.65,9849.25,2030.69,15024.29,23
CDM,0078-1077-66,PAZOPANIB 200 MG TABLET,715.28,422.02,87.01,643.75,23
CDM,0078-1091-20,ASCIMINIB 20 MG TABLET,1786.86,1054.25,217.36,1608.17,23
CDM,0078-1098-20,ASCIMINIB 40 MG TABLET,1786.86,1054.25,217.36,1608.17,23
CDM,0078-1112-15,TRAMETINIB 2 MG TABLET,2603.06,1535.81,316.65,2342.75,23
CDM,0078-1168-61,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION,10493.85,6191.37,1276.52,9444.47,23
CDM,0078-1196-20,ASCIMINIB 100 MG TABLET,1809.48,1067.59,220.11,1628.53,23
CDM,0081073088,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",4.19,2.47,0.51,3.77,23
CDM,0081079887,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",37.4,22.07,4.55,33.66,23
CDM,0085-1328-01,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,6632.33,3913.07,806.79,5969.1,23
CDM,0085-1381-01,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION,4647.4,2741.97,565.33,4182.66,23
CDM,0085-4324-02,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",315.76,186.3,38.41,284.18,23
CDM,0085126001,CLOTRIMAZOLE 2 % VAGINAL CREAM,45.0,26.55,5.47,40.5,23
CDM,00869-4206-10,MINERAL OIL ORAL,12.0,7.08,1.46,10.8,23
CDM,0087-0402-01,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,0.76,0.45,0.09,0.68,23
CDM,0087-0866-01,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.76,0.45,0.09,0.68,23
CDM,0087040203,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,38.0,22.42,4.62,34.2,23
CDM,0087040501,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS,38.0,22.42,4.62,34.2,23
CDM,0087074002,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,41.25,24.34,5.02,37.13,23
CDM,0087086644,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,38.0,22.42,4.62,34.2,23
CDM,0087134541,WATER ORAL LIQUID,10.62,6.27,1.29,9.56,23
CDM,0088-1173-12,ALUMINUM HYDROX-MAGNESIUM CARB 254 MG-237.5 MG/5 ML ORAL SUSPENSION,35.5,20.95,4.32,31.95,23
CDM,0088-2102-01,RIFAPENTINE 150 MG TABLET,22.45,13.25,2.73,20.21,23
CDM,0088-2102-24,RIFAPENTINE 150 MG TABLET,22.45,13.25,2.73,20.21,23
CDM,0088-2160-30,LEFLUNOMIDE 10 MG TABLET,183.46,108.24,22.32,165.11,23
CDM,0088-2161-30,LEFLUNOMIDE 20 MG TABLET,183.46,108.24,22.32,165.11,23
CDM,0088-2219-01,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,89.19,52.62,10.85,80.27,23
CDM,0088-2219-05,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,89.19,52.62,10.85,80.27,23
CDM,0088-2220-33,INSULIN GLARGINE 100 UNIT/ML SUBCUTANEOUS SOLUTION,297.3,175.41,36.16,267.57,23
CDM,0088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,408.85,241.22,49.73,367.97,23
CDM,0088117447,ALUMINUM HYDROX-MAGNESIUM CARB 160 MG-105 MG CHEWABLE TABLET,0.36,0.21,0.04,0.32,23
CDM,0088165475,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.37,0.22,0.05,0.33,23
CDM,0093-0017-01,MOEXIPRIL 7.5 MG TABLET,4.19,2.47,0.51,3.77,23
CDM,0093-0018-06,TOLTERODINE 2 MG TABLET,12.59,7.43,1.53,11.33,23
CDM,0093-0051-01,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,0093-0053-01,BUSPIRONE 5 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,0093-0053-05,BUSPIRONE 5 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,0093-0054-01,BUSPIRONE 10 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,0093-0054-05,BUSPIRONE 10 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0093-0073-01,ZOLPIDEM 5 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,0093-0074-01,ZOLPIDEM 10 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,0093-0135-01,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,0093-0135-05,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,0093-0262-15,FLUOCINONIDE 0.05 % TOPICAL CREAM,167.93,99.08,20.43,151.14,23
CDM,0093-0264-15,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,262.28,154.75,31.9,236.05,23
CDM,0093-0311-01,LOPERAMIDE 2 MG CAPSULE,1.18,0.7,0.14,1.06,23
CDM,0093-0311-05,LOPERAMIDE 2 MG CAPSULE,1.27,0.75,0.15,1.14,23
CDM,0093-0314-01,KETOROLAC 10 MG TABLET,4.97,2.93,0.6,4.47,23
CDM,0093-0318-01,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,0093-0318-05,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,0093-0319-01,DILTIAZEM IMMEDIATE RELEASE 60 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,0093-0319-05,DILTIAZEM IMMEDIATE RELEASE 60 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,0093-0320-01,DILTIAZEM IMMEDIATE RELEASE 90 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,0093-0321-01,DILTIAZEM IMMEDIATE RELEASE 120 MG TABLET,2.01,1.19,0.24,1.81,23
CDM,0093-0752-01,ATENOLOL 50 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,0093-0753-01,ATENOLOL 100 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,0093-0756-01,PIROXICAM 10 MG CAPSULE,5.19,3.06,0.63,4.67,23
CDM,0093-0757-01,PIROXICAM 20 MG CAPSULE,9.73,5.74,1.18,8.76,23
CDM,0093-0757-05,PIROXICAM 20 MG CAPSULE,4.08,2.41,0.5,3.67,23
CDM,0093-0787-01,ATENOLOL 25 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,0093-0810-01,NORTRIPTYLINE 10 MG CAPSULE,0.9,0.53,0.11,0.81,23
CDM,0093-0811-01,NORTRIPTYLINE 25 MG CAPSULE,0.72,0.42,0.09,0.65,23
CDM,0093-0811-05,NORTRIPTYLINE 25 MG CAPSULE,0.47,0.28,0.06,0.42,23
CDM,0093-0812-01,NORTRIPTYLINE 50 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,0093-0813-01,NORTRIPTYLINE 75 MG CAPSULE,1.01,0.6,0.12,0.91,23
CDM,0093-0832-01,CLONAZEPAM 0.5 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,0093-0832-05,CLONAZEPAM 0.5 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,0093-0926-06,LOVASTATIN 10 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,0093-0948-01,DICLOFENAC POTASSIUM 50 MG TABLET,4.82,2.84,0.59,4.34,23
CDM,0093-0983-01,"NYSTATIN 500,000 UNIT TABLET",4.62,2.73,0.56,4.16,23
CDM,0093-1003-01,BUSPIRONE 15 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,0093-1003-05,BUSPIRONE 15 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,0093-1010-42,MUPIROCIN 2 % TOPICAL OINTMENT,30.91,18.24,3.76,27.82,23
CDM,0093-1024-06,NEFAZODONE 100 MG TABLET,6.32,3.73,0.77,5.69,23
CDM,0093-1025-06,NEFAZODONE 200 MG TABLET,6.96,4.11,0.85,6.26,23
CDM,0093-1060-01,SOTALOL 120 MG TABLET,1.73,1.02,0.21,1.56,23
CDM,0093-1061-01,SOTALOL 80 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0093-1062-01,SOTALOL 160 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,0093-1063-01,SOTALOL 240 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,0093-1135-56,ACITRETIN 10 MG CAPSULE,23.52,13.88,2.86,21.17,23
CDM,0093-1136-56,ACITRETIN 25 MG CAPSULE,70.88,41.82,8.62,63.79,23
CDM,0093-1172-01,PENICILLIN V POTASSIUM 250 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,0093-1177-01,NEOMYCIN 500 MG TABLET,3.9,2.3,0.47,3.51,23
CDM,0093-1714-01,WARFARIN 2.5 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,0093-1715-01,WARFARIN 3 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,0093-1720-01,WARFARIN 10 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,0093-1723-01,WARFARIN 7.5 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,0093-2026-23,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,120.53,71.11,14.66,108.48,23
CDM,0093-2026-31,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,120.6,71.15,14.67,108.54,23
CDM,0093-2027-23,AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION,120.53,71.11,14.66,108.48,23
CDM,0093-2063-01,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.86,0.51,0.1,0.77,23
CDM,0093-2064-06,CILOSTAZOL 100 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0093-2065-06,CILOSTAZOL 50 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,0093-2068-01,DOXAZOSIN 4 MG TABLET,3.26,1.92,0.4,2.93,23
CDM,0093-2069-01,DOXAZOSIN 2 MG TABLET,3.11,1.83,0.38,2.8,23
CDM,0093-2070-01,DOXAZOSIN 1 MG TABLET,3.13,1.85,0.38,2.82,23
CDM,0093-2179-01,LIOTHYRONINE 5 MCG TABLET,2.2,1.3,0.27,1.98,23
CDM,0093-2180-01,LIOTHYRONINE 50 MCG TABLET,5.08,3.0,0.62,4.57,23
CDM,0093-2203-01,METOCLOPRAMIDE 10 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,0093-2203-05,METOCLOPRAMIDE 10 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0093-2203-10,METOCLOPRAMIDE 10 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,0093-2204-01,METOCLOPRAMIDE 5 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0093-2204-05,METOCLOPRAMIDE 5 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,0093-2210-01,SUCRALFATE 1 GRAM TABLET,1.25,0.74,0.15,1.13,23
CDM,0093-2210-05,SUCRALFATE 1 GRAM TABLET,0.96,0.57,0.12,0.86,23
CDM,0093-2210-98,SUCRALFATE 1 GRAM TABLET,0.91,0.54,0.11,0.82,23
CDM,0093-2267-01,AMOXICILLIN 125 MG CHEWABLE TABLET,0.87,0.51,0.11,0.78,23
CDM,0093-2268-01,AMOXICILLIN 250 MG CHEWABLE TABLET,1.31,0.77,0.16,1.18,23
CDM,0093-2270-34,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG CHEWABLE TABLET,10.72,6.32,1.3,9.65,23
CDM,0093-2272-34,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG CHEWABLE TABLET,20.42,12.05,2.48,18.38,23
CDM,0093-2275-34,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,7.78,4.59,0.95,7.0,23
CDM,0093-2279-73,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,238.5,140.72,29.01,214.65,23
CDM,0093-3002-56,QUININE 324 MG CAPSULE,26.07,15.38,3.17,23.46,23
CDM,0093-3008-19,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",55.27,32.61,6.72,49.74,23
CDM,0093-3008-93,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",55.27,32.61,6.72,49.74,23
CDM,0093-3060-56,RASAGILINE 0.5 MG TABLET,31.68,18.69,3.85,28.51,23
CDM,0093-3061-56,RASAGILINE 1 MG TABLET,31.85,18.79,3.87,28.67,23
CDM,0093-3099-56,RISEDRONATE 5 MG TABLET,32.65,19.26,3.97,29.39,23
CDM,0093-3100-56,RISEDRONATE 30 MG TABLET,228.35,134.73,27.78,205.52,23
CDM,0093-3107-01,AMOXICILLIN 250 MG CAPSULE,0.55,0.32,0.07,0.5,23
CDM,0093-3109-05,AMOXICILLIN 500 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,0093-3109-53,AMOXICILLIN 500 MG CAPSULE,0.86,0.51,0.1,0.77,23
CDM,0093-3123-01,DICLOXACILLIN 250 MG CAPSULE,3.15,1.86,0.38,2.84,23
CDM,0093-3125-01,DICLOXACILLIN 500 MG CAPSULE,6.3,3.72,0.77,5.67,23
CDM,0093-3127-01,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,7.97,4.7,0.97,7.17,23
CDM,0093-3129-01,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,7.27,4.29,0.88,6.54,23
CDM,0093-3145-01,CEPHALEXIN 250 MG CAPSULE,0.39,0.23,0.05,0.35,23
CDM,0093-3147-01,CEPHALEXIN 500 MG CAPSULE,0.58,0.34,0.07,0.52,23
CDM,0093-3147-05,CEPHALEXIN 500 MG CAPSULE,0.57,0.34,0.07,0.51,23
CDM,0093-3160-06,CEFDINIR 300 MG CAPSULE,17.68,10.43,2.15,15.91,23
CDM,0093-3174-31,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,165.8,97.82,20.17,149.22,23
CDM,0093-3212-01,CLONAZEPAM 1 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,0093-3213-01,CLONAZEPAM 2 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,0093-3219-92,KETOCONAZOLE 2 % TOPICAL CREAM,293.4,173.11,35.69,264.06,23
CDM,0093-3242-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,3.12,1.84,0.38,2.81,23
CDM,0093-3301-01,TRAMADOL 50 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,0093-3420-01,CYCLOBENZAPRINE 5 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,0093-3422-01,CYCLOBENZAPRINE 10 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,0093-3422-10,CYCLOBENZAPRINE 10 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,0093-3425-01,LORAZEPAM 0.5 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,0093-3425-10,LORAZEPAM 0.5 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,0093-3426-01,LORAZEPAM 1 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0093-3426-05,LORAZEPAM 1 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0093-3426-10,LORAZEPAM 1 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,0093-3427-01,LORAZEPAM 2 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,0093-3427-05,LORAZEPAM 2 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,0093-3541-43,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,341.49,201.48,41.54,307.34,23
CDM,0093-3560-26,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,290.25,171.25,35.31,261.23,23
CDM,0093-3656-21,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,243.99,143.95,29.68,219.59,23
CDM,0093-3656-40,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,243.99,143.95,29.68,219.59,23
CDM,0093-3657-21,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,368.02,217.13,44.77,331.22,23
CDM,0093-3658-21,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,530.85,313.2,64.58,477.77,23
CDM,0093-3658-40,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,530.85,313.2,64.58,477.77,23
CDM,0093-3659-21,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,651.52,384.4,79.25,586.37,23
CDM,0093-3659-40,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,651.52,384.4,79.25,586.37,23
CDM,0093-4061-06,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,74.01,43.67,9.0,66.61,23
CDM,0093-4061-19,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,74.01,43.67,9.0,66.61,23
CDM,0093-4067-01,PRAZOSIN 1 MG CAPSULE,1.72,1.01,0.21,1.55,23
CDM,0093-4068-01,PRAZOSIN 2 MG CAPSULE,1.69,1.0,0.21,1.52,23
CDM,0093-4069-01,PRAZOSIN 5 MG CAPSULE,2.22,1.31,0.27,2.0,23
CDM,0093-4085-63,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,85.45,50.42,10.39,76.91,23
CDM,0093-4125-73,PENICILLIN V POTASSIUM 125 MG/5 ML ORAL SOLUTION,30.0,17.7,3.65,27.0,23
CDM,0093-4127-73,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,30.0,17.7,3.65,27.0,23
CDM,0093-4127-74,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,45.0,26.55,5.47,40.5,23
CDM,0093-4136-64,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,176.4,104.08,21.46,158.76,23
CDM,0093-4136-73,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,279.0,164.61,33.94,251.1,23
CDM,0093-4145-45,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,6.08,3.59,0.74,5.47,23
CDM,0093-4145-56,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,6.08,3.59,0.74,5.47,23
CDM,0093-4146-45,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,6.36,3.75,0.77,5.72,23
CDM,0093-4146-56,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,6.36,3.75,0.77,5.72,23
CDM,0093-4148-45,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,5.73,3.38,0.7,5.16,23
CDM,0093-4148-56,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,5.73,3.38,0.7,5.16,23
CDM,0093-4155-73,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,17.0,10.03,2.07,15.3,23
CDM,0093-4155-79,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,14.8,8.73,1.8,13.32,23
CDM,0093-4155-80,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,24.0,14.16,2.92,21.6,23
CDM,0093-4161-73,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,36.0,21.24,4.38,32.4,23
CDM,0093-4161-76,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,18.0,10.62,2.19,16.2,23
CDM,0093-4177-73,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,106.0,62.54,12.89,95.4,23
CDM,0093-4177-74,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,107.0,63.13,13.02,96.3,23
CDM,0093-5030-56,TIAGABINE 2 MG TABLET,29.25,17.26,3.56,26.33,23
CDM,0093-5031-56,TIAGABINE 4 MG TABLET,29.25,17.26,3.56,26.33,23
CDM,0093-5056-10,ATORVASTATIN 10 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,0093-5057-98,ATORVASTATIN 80 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0093-5058-10,ATORVASTATIN 40 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0093-5058-98,ATORVASTATIN 40 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0093-5062-01,HYDROXYZINE HCL 50 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,0093-5245-19,OLANZAPINE 5 MG DISINTEGRATING TABLET,7.14,4.21,0.87,6.43,23
CDM,0093-5245-65,OLANZAPINE 5 MG DISINTEGRATING TABLET,7.14,4.21,0.87,6.43,23
CDM,0093-5246-19,OLANZAPINE 10 MG DISINTEGRATING TABLET,8.05,4.75,0.98,7.25,23
CDM,0093-5246-65,OLANZAPINE 10 MG DISINTEGRATING TABLET,8.05,4.75,0.98,7.25,23
CDM,0093-5247-19,OLANZAPINE 15 MG DISINTEGRATING TABLET,12.35,7.29,1.5,11.12,23
CDM,0093-5247-65,OLANZAPINE 15 MG DISINTEGRATING TABLET,12.35,7.29,1.5,11.12,23
CDM,0093-5248-19,OLANZAPINE 20 MG DISINTEGRATING TABLET,23.56,13.9,2.87,21.2,23
CDM,0093-5248-65,OLANZAPINE 20 MG DISINTEGRATING TABLET,23.56,13.9,2.87,21.2,23
CDM,0093-5377-01,CLOZAPINE 200 MG DISINTEGRATING TABLET,84.11,49.62,10.23,75.7,23
CDM,0093-5377-19,CLOZAPINE 200 MG DISINTEGRATING TABLET,91.03,53.71,11.07,81.93,23
CDM,0093-5377-84,CLOZAPINE 200 MG DISINTEGRATING TABLET,91.03,53.71,11.07,81.93,23
CDM,0093-5417-01,CLOZAPINE 25 MG DISINTEGRATING TABLET,8.86,5.23,1.08,7.97,23
CDM,0093-5417-19,CLOZAPINE 25 MG DISINTEGRATING TABLET,11.05,6.52,1.34,9.95,23
CDM,0093-5417-84,CLOZAPINE 25 MG DISINTEGRATING TABLET,11.05,6.52,1.34,9.95,23
CDM,0093-5419-01,CLOZAPINE 100 MG DISINTEGRATING TABLET,26.03,15.36,3.17,23.43,23
CDM,0093-5419-19,CLOZAPINE 100 MG DISINTEGRATING TABLET,30.14,17.78,3.67,27.13,23
CDM,0093-5419-84,CLOZAPINE 100 MG DISINTEGRATING TABLET,30.14,17.78,3.67,27.13,23
CDM,0093-5420-88,CABERGOLINE 0.5 MG TABLET,19.49,11.5,2.37,17.54,23
CDM,0093-5517-98,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,0093-5537-56,ESZOPICLONE 1 MG TABLET,3.24,1.91,0.39,2.92,23
CDM,0093-5539-01,ESZOPICLONE 3 MG TABLET,3.24,1.91,0.39,2.92,23
CDM,0093-5907-86,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),15.45,9.12,1.88,13.91,23
CDM,0093-5938-98,LANTHANUM 500 MG CHEWABLE TABLET,31.71,18.71,3.86,28.54,23
CDM,0093-5955-06,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,29.72,17.53,3.62,26.75,23
CDM,0093-5955-45,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,29.72,17.53,3.62,26.75,23
CDM,0093-5985-19,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",691.13,407.77,84.07,622.02,23
CDM,0093-5985-27,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",691.13,407.77,84.07,622.02,23
CDM,0093-5986-19,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",691.13,407.77,84.07,622.02,23
CDM,0093-5986-27,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",691.13,407.77,84.07,622.02,23
CDM,0093-6815-19,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,34.89,20.59,4.24,31.4,23
CDM,0093-6815-45,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,34.7,20.47,4.22,31.23,23
CDM,0093-6815-55,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,34.89,20.59,4.24,31.4,23
CDM,0093-6815-73,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,34.7,20.47,4.22,31.23,23
CDM,0093-6816-19,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,41.06,24.23,4.99,36.95,23
CDM,0093-6816-45,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,40.84,24.1,4.97,36.76,23
CDM,0093-6816-55,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,41.06,24.23,4.99,36.95,23
CDM,0093-6816-73,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,40.84,24.1,4.97,36.76,23
CDM,0093-6817-19,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,85.07,50.19,10.35,76.56,23
CDM,0093-6817-45,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,85.07,50.19,10.35,76.56,23
CDM,0093-6817-73,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,85.07,50.19,10.35,76.56,23
CDM,0093-7113-06,NEFAZODONE 150 MG TABLET,6.64,3.92,0.81,5.98,23
CDM,0093-7163-05,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",29.62,17.48,3.6,26.66,23
CDM,0093-7164-56,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",29.62,17.48,3.6,26.66,23
CDM,0093-7178-01,NEFAZODONE 50 MG TABLET,6.0,3.54,0.73,5.4,23
CDM,0093-7272-56,PIOGLITAZONE 30 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,0093-7272-98,PIOGLITAZONE 30 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,0093-7290-56,RALOXIFENE 60 MG TABLET,17.82,10.51,2.17,16.04,23
CDM,0093-7295-01,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,0093-7296-01,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,0093-7334-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,2.96,1.75,0.36,2.66,23
CDM,0093-7350-56,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",8.68,5.12,1.06,7.81,23
CDM,0093-7351-56,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",8.68,5.12,1.06,7.81,23
CDM,0093-7352-01,CALCITRIOL 0.25 MCG CAPSULE,4.41,2.6,0.54,3.97,23
CDM,0093-7353-01,CALCITRIOL 0.5 MCG CAPSULE,7.04,4.15,0.86,6.34,23
CDM,0093-7384-56,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",1.18,0.7,0.14,1.06,23
CDM,0093-7384-98,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",1.08,0.64,0.13,0.97,23
CDM,0093-7385-56,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",1.42,0.84,0.17,1.28,23
CDM,0093-7385-98,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",1.32,0.78,0.16,1.19,23
CDM,0093-7386-56,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",2.06,1.22,0.25,1.85,23
CDM,0093-7386-98,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",1.7,1.0,0.21,1.53,23
CDM,0093-7442-01,FLUVASTATIN 20 MG CAPSULE,11.82,6.97,1.44,10.64,23
CDM,0093-7472-19,RIZATRIPTAN 10 MG TABLET,6.93,4.09,0.84,6.24,23
CDM,0093-7472-43,RIZATRIPTAN 10 MG TABLET,6.94,4.09,0.84,6.25,23
CDM,0093-7474-89,CAPECITABINE 500 MG TABLET,7.98,4.71,0.97,7.18,23
CDM,0093-7516-31,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,10.21,6.02,1.24,9.19,23
CDM,0093-7518-31,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,7.77,4.58,0.95,6.99,23
CDM,0093-7536-56,ANASTROZOLE 1 MG TABLET,1.5,0.89,0.18,1.35,23
CDM,0093-7620-56,LETROZOLE 2.5 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0093-7629-98,IMATINIB 100 MG TABLET,4.86,2.87,0.59,4.37,23
CDM,0093-7630-56,IMATINIB 400 MG TABLET,17.26,10.18,2.1,15.53,23
CDM,0093-7701-98,LEVOCETIRIZINE 5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,0093-7704-56,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,4.0,2.36,0.49,3.6,23
CDM,0093-7767-19,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,88.68,52.32,10.79,79.81,23
CDM,0093-7767-24,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,88.69,52.33,10.79,79.82,23
CDM,0093-8034-01,GLYBURIDE MICRONIZED 1.5 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,0093-8035-01,GLYBURIDE MICRONIZED 3 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,0093-8072-56,TIAGABINE 12 MG TABLET,40.21,23.72,4.89,36.19,23
CDM,0093-8117-56,FAMCICLOVIR 125 MG TABLET,2.95,1.74,0.36,2.66,23
CDM,0093-8118-56,FAMCICLOVIR 250 MG TABLET,2.59,1.53,0.32,2.33,23
CDM,0093-8119-56,FAMCICLOVIR 500 MG TABLET,4.42,2.61,0.54,3.98,23
CDM,0093-8164-01,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,7.82,4.61,0.95,7.04,23
CDM,0093-8180-64,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,193.5,114.17,23.54,174.15,23
CDM,0093-8192-01,CIMETIDINE 300 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,0093-8305-01,CIMETIDINE 800 MG TABLET,3.57,2.11,0.43,3.21,23
CDM,0093-8311-18,ELETRIPTAN 40 MG TABLET,84.97,50.13,10.34,76.47,23
CDM,0093-8311-19,ELETRIPTAN 40 MG TABLET,84.96,50.13,10.33,76.46,23
CDM,0093-8342-01,GLYBURIDE 1.25 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,0093-8343-01,GLYBURIDE 2.5 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,0093-8344-01,GLYBURIDE 5 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,0093-8675-78,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,132.75,78.32,16.15,119.48,23
CDM,0093-8739-01,MEXILETINE 150 MG CAPSULE,4.22,2.49,0.51,3.8,23
CDM,0093-8740-01,MEXILETINE 200 MG CAPSULE,7.29,4.3,0.89,6.56,23
CDM,0093-8741-01,MEXILETINE 250 MG CAPSULE,8.54,5.04,1.04,7.69,23
CDM,0093-9018-19,CYCLOSPORINE MODIFIED 25 MG CAPSULE,4.3,2.54,0.52,3.87,23
CDM,0093-9018-65,CYCLOSPORINE MODIFIED 25 MG CAPSULE,4.3,2.54,0.52,3.87,23
CDM,0093-9020-19,CYCLOSPORINE MODIFIED 100 MG CAPSULE,20.26,11.95,2.46,18.23,23
CDM,0093-9020-65,CYCLOSPORINE MODIFIED 100 MG CAPSULE,20.26,11.95,2.46,18.23,23
CDM,0093-9147-01,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,0093-9148-01,VENLAFAXINE IMMEDIATE RELEASE 37.5 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,0093-9222-01,DIFLUNISAL 500 MG TABLET,4.96,2.93,0.6,4.46,23
CDM,0093-9224-89,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",14.52,8.57,1.77,13.07,23
CDM,0093-9291-19,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,2.77,1.63,0.34,2.49,23
CDM,0093-9291-67,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,2.77,1.63,0.34,2.49,23
CDM,0093-9433-01,GLYBURIDE 2.5 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,0093-9477-53,GLYBURIDE 1.25 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,0093-9701-01,CARBIDOPA 10 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.58,0.34,0.07,0.52,23
CDM,0093-9702-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,1.17,0.69,0.14,1.05,23
CDM,0093-9702-05,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.52,0.31,0.06,0.47,23
CDM,0096-0707-35,ALUMINUM CHLORIDE 20 % TOPICAL SOLUTION,39.38,23.23,4.79,35.44,23
CDM,0096-0732-04,HYDROCORTISONE 1 % LOTION,63.6,37.52,7.74,57.24,23
CDM,0113-0214-29,MICONAZOLE NITRATE 2 % VAGINAL CREAM,27.5,16.23,3.35,24.75,23
CDM,0113-0304-10,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),12.45,7.35,1.51,11.21,23
CDM,0113-0403-78,ACETAMINOPHEN 325 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,0113-0441-64,DOXYLAMINE SUCCINATE 25 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,0113-0479-78,DIPHENHYDRAMINE 25 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0113-0484-71,ACETAMINOPHEN 500 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,0113-0604-62,IBUPROFEN 200 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,0113-0817-10,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),7.46,4.4,0.91,6.71,23
CDM,0113-0873-05,NICOTINE (POLACRILEX) 4 MG BUCCAL LOZENGE,1.84,1.09,0.22,1.66,23
CDM,0115-1070-01,DIPYRIDAMOLE 25 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,0115-1071-01,DIPYRIDAMOLE 50 MG TABLET,3.22,1.9,0.39,2.9,23
CDM,0115-1072-01,DIPYRIDAMOLE 75 MG TABLET,4.31,2.54,0.52,3.88,23
CDM,0115-1320-19,COLESEVELAM 625 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,0115-1365-29,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,7.52,4.44,0.91,6.77,23
CDM,0115-1365-30,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,7.52,4.44,0.91,6.77,23
CDM,0115-1404-08,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",74.71,44.08,9.09,67.24,23
CDM,0115-1488-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",5.41,3.19,0.66,4.87,23
CDM,0115-1489-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",5.41,3.19,0.66,4.87,23
CDM,0115-1491-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 30 MG 24HR CAPSULE,EXTEND RELEASE",5.41,3.19,0.66,4.87,23
CDM,0115-1643-01,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,3.48,2.05,0.42,3.13,23
CDM,0115-1659-01,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,0115-1660-01,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,0115-1661-01,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,0115-1694-30,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",562.53,331.89,68.43,506.28,23
CDM,0115-1694-49,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",562.53,331.89,68.43,506.28,23
CDM,0115-1695-49,EPINEPHRINE 0.15 MG/0.15 ML AUTO-INJECTOR (FOR 33 TO 66 LB PATIENTS),691.13,407.77,84.07,622.02,23
CDM,0115-1697-01,HYDROCORTISONE 10 MG TABLET,2.22,1.31,0.27,2.0,23
CDM,0115-1700-01,HYDROCORTISONE 20 MG TABLET,4.21,2.48,0.51,3.79,23
CDM,0115-1724-01,GRISEOFULVIN ULTRAMICROSIZE 125 MG TABLET,11.44,6.75,1.39,10.3,23
CDM,0115-1750-08,ACITRETIN 10 MG CAPSULE,57.51,33.93,7.0,51.76,23
CDM,0115-1753-08,ACITRETIN 25 MG CAPSULE,57.25,33.78,6.96,51.53,23
CDM,0115-1757-01,CYPROHEPTADINE 4 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,0115-1800-01,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,0115-1801-01,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,0115-1802-01,METHYLPHENIDATE IMMEDIATE RELEASE 20 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,0115-1911-01,RIMANTADINE 100 MG TABLET,9.03,5.33,1.1,8.13,23
CDM,0115-3511-01,PYRIDOSTIGMINE BROMIDE IMMEDIATE RELEASE 60 MG TABLET,2.47,1.46,0.3,2.22,23
CDM,0115-4411-01,DANTROLENE 25 MG CAPSULE,2.72,1.6,0.33,2.45,23
CDM,0115-4422-01,DANTROLENE 50 MG CAPSULE,4.82,2.84,0.59,4.34,23
CDM,0115-4433-01,DANTROLENE 100 MG CAPSULE,5.53,3.26,0.67,4.98,23
CDM,0115-5211-16,COLESTIPOL 1 GRAM TABLET,4.76,2.81,0.58,4.28,23
CDM,0115-5212-18,COLESTIPOL 5 GRAM ORAL PACKET,14.57,8.6,1.77,13.11,23
CDM,0115-5511-10,FENOFIBRATE 54 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0115-5522-02,FENOFIBRATE 160 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,0115-5522-10,FENOFIBRATE 160 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,0115-5922-01,PILOCARPINE 5 MG TABLET,2.78,1.64,0.34,2.5,23
CDM,0115-7033-01,FLUDROCORTISONE 0.1 MG TABLET,2.72,1.6,0.33,2.45,23
CDM,0115-9930-76,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,5.57,3.29,0.68,5.01,23
CDM,0115-9930-78,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,5.57,3.29,0.68,5.01,23
CDM,0115-9932-76,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,5.57,3.29,0.68,5.01,23
CDM,0115-9932-78,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,5.57,3.29,0.68,5.01,23
CDM,0116-2001-15,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,6.98,4.12,0.85,6.28,23
CDM,0116-2001-16,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,9.46,5.58,1.15,8.51,23
CDM,0116-2001-89,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,0.3,0.18,0.04,0.27,23
CDM,0116-4005-15,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.75,3.98,0.82,6.08,23
CDM,0116-4005-30,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.9,4.07,0.84,6.21,23
CDM,0116-4005-41,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,9.0,5.31,1.09,8.1,23
CDM,0121-0489-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,17.48,10.31,2.13,15.73,23
CDM,0121-0489-05,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,17.48,10.31,2.13,15.73,23
CDM,0121-0504-05,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION,10.88,6.42,1.32,9.79,23
CDM,0121-0581-04,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,96.0,56.64,11.68,86.4,23
CDM,0121-0581-05,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,12.25,7.23,1.49,11.03,23
CDM,0121-0638-00,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,9.58,5.65,1.17,8.62,23
CDM,0121-0638-05,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,9.58,5.65,1.17,8.62,23
CDM,0121-0646-10,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,16.55,9.76,2.01,14.9,23
CDM,0121-0646-16,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,99.33,58.6,12.08,89.4,23
CDM,0121-0653-04,FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE,1445.4,852.79,175.83,1300.86,23
CDM,0121-0654-02,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR,121.8,71.86,14.82,109.62,23
CDM,0121-0654-16,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR,1180.14,696.28,143.56,1062.13,23
CDM,0121-0657-00,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION,5.63,3.32,0.68,5.07,23
CDM,0121-0657-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION,5.63,3.32,0.68,5.07,23
CDM,0121-0658-16,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR,170.28,100.47,20.71,153.25,23
CDM,0121-0670-16,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,260.15,153.49,31.65,234.14,23
CDM,0121-0675-85,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,87.51,51.63,10.65,78.76,23
CDM,0121-0678-16,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,730.79,431.17,88.9,657.71,23
CDM,0121-0721-04,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,133.2,78.59,16.2,119.88,23
CDM,0121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,239.37,141.23,29.12,215.43,23
CDM,0121-0766-16,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",44.94,26.51,5.47,40.45,23
CDM,0121-0770-01,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,59.85,35.31,7.28,53.87,23
CDM,0121-0775-04,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,30.09,17.75,3.66,27.08,23
CDM,0121-0775-05,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,1.99,1.17,0.24,1.79,23
CDM,0121-0775-16,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,73.32,43.26,8.92,65.99,23
CDM,0121-0853-20,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,68.7,40.53,8.36,61.83,23
CDM,0121-0853-40,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,68.7,40.53,8.36,61.83,23
CDM,0121-0865-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.0,4.72,0.97,7.2,23
CDM,0121-0865-05,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.0,4.72,0.97,7.2,23
CDM,0121-0868-02,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",60.9,35.93,7.41,54.81,23
CDM,0121-0868-05,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",8.7,5.13,1.06,7.83,23
CDM,0121-0868-16,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",160.82,94.88,19.56,144.74,23
CDM,0121-0873-16,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,52.03,30.7,6.33,46.83,23
CDM,0121-0885-08,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,699.6,412.76,85.1,629.64,23
CDM,0121-0885-16,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,1329.6,784.46,161.74,1196.64,23
CDM,0121-0893-15,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,7.05,4.16,0.86,6.35,23
CDM,0121-0893-40,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,3.9,2.3,0.47,3.51,23
CDM,0121-0904-05,MORPHINE 10 MG/5 ML ORAL SOLUTION,4.88,2.88,0.59,4.39,23
CDM,0121-0904-94,MORPHINE 10 MG/5 ML ORAL SOLUTION,4.88,2.88,0.59,4.39,23
CDM,0121-0905-05,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",15.25,9.0,1.86,13.73,23
CDM,0121-0905-94,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",15.25,9.0,1.86,13.73,23
CDM,0121-0914-00,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.9,1.71,0.35,2.61,23
CDM,0121-0914-05,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.9,1.71,0.35,2.61,23
CDM,0121-0942-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,122.98,72.56,14.96,110.68,23
CDM,0121-0942-50,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,8.2,4.84,1.0,7.38,23
CDM,0121-0945-10,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,19.25,11.36,2.34,17.33,23
CDM,0121-0945-40,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,18.4,10.86,2.24,16.56,23
CDM,0121-0948-16,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,118.25,69.77,14.38,106.43,23
CDM,0121-0966-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,5.35,3.16,0.65,4.82,23
CDM,0121-0970-01,LIDOCAINE 4 % TOPICAL PATCH,3.82,2.25,0.46,3.44,23
CDM,0121-0972-51,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,73.5,43.37,8.94,66.15,23
CDM,0121-0974-10,SUCRALFATE 100 MG/ML ORAL SUSPENSION,34.25,20.21,4.17,30.83,23
CDM,0121-0974-94,SUCRALFATE 100 MG/ML ORAL SUSPENSION,36.2,21.36,4.4,32.58,23
CDM,0121-0978-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,17.3,10.21,2.1,15.57,23
CDM,0121-0978-10,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,17.3,10.21,2.1,15.57,23
CDM,0121-1016-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,123.33,72.76,15.0,111.0,23
CDM,0121-1016-18,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,123.33,72.76,15.0,111.0,23
CDM,0121-1022-05,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.8,1.65,0.34,2.52,23
CDM,0121-1154-00,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.9,4.07,0.84,6.21,23
CDM,0121-1154-30,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.9,4.07,0.84,6.21,23
CDM,0121-1154-40,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0121-1276-00,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,7.3,4.31,0.89,6.57,23
CDM,0121-1276-10,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,7.3,4.31,0.89,6.57,23
CDM,0121-1314-00,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,7.26,4.28,0.88,6.53,23
CDM,0121-1314-11,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,7.26,4.28,0.88,6.53,23
CDM,0121-1488-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.4,4.37,0.9,6.66,23
CDM,0121-1488-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.4,4.37,0.9,6.66,23
CDM,0121-1550-10,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,15.0,8.85,1.82,13.5,23
CDM,0121-1550-40,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,15.0,8.85,1.82,13.5,23
CDM,0121-1576-10,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,16.15,9.53,1.96,14.54,23
CDM,0121-1598-10,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,38.95,22.98,4.74,35.06,23
CDM,0121-1680-15,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,57.3,33.81,6.97,51.57,23
CDM,0121-1730-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.85,5.22,1.08,7.97,23
CDM,0121-1730-10,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.85,5.22,1.08,7.97,23
CDM,0121-1744-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.35,4.34,0.89,6.62,23
CDM,0121-1744-05,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,7.35,4.34,0.89,6.62,23
CDM,0121-1760-30,ALUMINUM-MAGNESIUM HYDROXIDE 200 MG-200 MG/5 ML ORAL SUSPENSION,21.75,12.83,2.65,19.58,23
CDM,0121-1761-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.55,8.58,1.77,13.1,23
CDM,0121-1762-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,13.05,7.7,1.59,11.75,23
CDM,0121-1775-05,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,12.65,7.46,1.54,11.39,23
CDM,0121-1775-40,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,12.65,7.46,1.54,11.39,23
CDM,0121-1781-00,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,5.35,3.16,0.65,4.82,23
CDM,0121-1781-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,5.35,3.16,0.65,4.82,23
CDM,0121-1828-00,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,3.65,2.15,0.44,3.29,23
CDM,0121-1828-10,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,3.65,2.15,0.44,3.29,23
CDM,0121-1870-00,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,8.5,5.02,1.03,7.65,23
CDM,0121-1882-00,ACETAMINOPHEN 325 MG/10.15 ML ORAL SUSPENSION,5.03,2.97,0.61,4.53,23
CDM,0121-1971-00,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION,7.52,4.44,0.91,6.77,23
CDM,0121-1971-21,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION,7.52,4.44,0.91,6.77,23
CDM,0121-2044-00,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.75,2.8,0.58,4.28,23
CDM,0121-2044-10,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.75,2.8,0.58,4.28,23
CDM,0121-2232-00,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,8.4,4.96,1.02,7.56,23
CDM,0121-2232-15,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,8.4,4.96,1.02,7.56,23
CDM,0121-2316-15,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,18.68,11.02,2.27,16.81,23
CDM,0121-2316-50,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,18.68,11.02,2.27,16.81,23
CDM,0121-2823-21,ACETAMINOPHEN 650 MG/20.3 ML ORAL SUSPENSION,7.92,4.67,0.96,7.13,23
CDM,0121-2823-94,ACETAMINOPHEN 650 MG/20.3 ML ORAL SUSPENSION,7.92,4.67,0.96,7.13,23
CDM,0121-2826-50,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,25.58,15.09,3.11,23.02,23
CDM,0121-4577-40,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,4.8,2.83,0.58,4.32,23
CDM,0121-4675-00,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,5.75,3.39,0.7,5.18,23
CDM,0121-4675-05,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,5.75,3.39,0.7,5.18,23
CDM,0121-4675-40,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,7.85,4.63,0.95,7.07,23
CDM,0121-4721-05,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,16.45,9.71,2.0,14.81,23
CDM,0121-4766-05,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",9.53,5.62,1.16,8.58,23
CDM,0121-4772-05,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,33.78,19.93,4.11,30.4,23
CDM,0121-4772-40,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,33.78,19.93,4.11,30.4,23
CDM,0121-4799-05,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,11.7,6.9,1.42,10.53,23
CDM,0121-4799-40,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,11.7,6.9,1.42,10.53,23
CDM,0121-4820-15,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,40.28,23.77,4.9,36.25,23
CDM,0121-4820-40,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,40.28,23.77,4.9,36.25,23
CDM,0121-4827-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION,22.8,13.45,2.77,20.52,23
CDM,0121-4827-40,OXYCODONE 5 MG/5 ML ORAL SOLUTION,22.8,13.45,2.77,20.52,23
CDM,0121-4948-00,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,27.23,16.07,3.31,24.51,23
CDM,0121-4948-15,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,23.03,13.59,2.8,20.73,23
CDM,0121-4948-50,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,57.0,33.63,6.93,51.3,23
CDM,0121-4950-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,22.05,13.01,2.68,19.85,23
CDM,0121-4950-40,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,22.05,13.01,2.68,19.85,23
CDM,0121053005,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,10.45,6.17,1.27,9.41,23
CDM,0121059500,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,19.58,11.55,2.38,17.62,23
CDM,0121059515,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,19.58,11.55,2.38,17.62,23
CDM,0121059516,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,47.3,27.91,5.75,42.57,23
CDM,0121067616,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",163.19,96.28,19.85,146.87,23
CDM,0121067716,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,92.24,54.42,11.22,83.02,23
CDM,0121072208,SENNA LEAF EXTRACT 176 MG/5 ML ORAL SYRUP,43.85,25.87,5.33,39.47,23
CDM,0121119000,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,21.3,12.57,2.59,19.17,23
CDM,0121119030,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,21.3,12.57,2.59,19.17,23
CDM,0121472215,SENNA LEAF EXTRACT 176 MG/5 ML ORAL SYRUP,18.53,10.93,2.25,16.68,23
CDM,0126-0165-93,STANNOUS FLUORIDE 0.4 % DENTAL GEL,82.35,48.59,10.02,74.12,23
CDM,0131-1810-67,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,447.9,264.26,54.48,403.11,23
CDM,0131-2477-35,LACOSAMIDE 50 MG TABLET,54.27,32.02,6.6,48.84,23
CDM,0131-2477-60,LACOSAMIDE 50 MG TABLET,59.7,35.22,7.26,53.73,23
CDM,0131-2478-35,LACOSAMIDE 100 MG TABLET,84.85,50.06,10.32,76.37,23
CDM,0131-2478-60,LACOSAMIDE 100 MG TABLET,93.33,55.06,11.35,84.0,23
CDM,0131-2479-35,LACOSAMIDE 150 MG TABLET,89.86,53.02,10.93,80.87,23
CDM,0131-2479-60,LACOSAMIDE 150 MG TABLET,98.84,58.32,12.02,88.96,23
CDM,0131-2480-35,LACOSAMIDE 200 MG TABLET,89.88,53.03,10.93,80.89,23
CDM,0131-2480-60,LACOSAMIDE 200 MG TABLET,98.87,58.33,12.03,88.98,23
CDM,0131-5410-72,LACOSAMIDE 10 MG/ML ORAL SOLUTION,2106.0,1242.54,256.18,1895.4,23
CDM,0132-0079-12,GLYCERIN (ADULT) RECTAL SUPPOSITORY,0.47,0.28,0.06,0.42,23
CDM,0132-0201-40,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,5.32,3.14,0.65,4.79,23
CDM,0132-0201-42,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,9.31,5.49,1.13,8.38,23
CDM,0132-0202-20,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,6.27,3.7,0.76,5.64,23
CDM,0132-0301-40,MINERAL OIL ENEMA,9.31,5.49,1.13,8.38,23
CDM,0132-0703-36,BISACODYL 10 MG/30 ML ENEMA,11.1,6.55,1.35,9.99,23
CDM,0135-0118-83,"CALCIUM 400 MG (AS CALCIUM CARBONATE 1,000 MG) CHEWABLE TABLET",0.36,0.21,0.04,0.32,23
CDM,0135-0145-02,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,13.82,8.15,1.68,12.44,23
CDM,0135-0157-07,NICOTINE (POLACRILEX) 2 MG GUM,1.93,1.14,0.23,1.74,23
CDM,0135-0194-02,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,15.61,9.21,1.9,14.05,23
CDM,0135-0194-08,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,14.34,8.46,1.74,12.91,23
CDM,0135-0195-02,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,15.61,9.21,1.9,14.05,23
CDM,0135-0195-08,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,14.12,8.33,1.72,12.71,23
CDM,0135-0200-01,DOCOSANOL 10 % TOPICAL CREAM,75.25,44.4,9.15,67.73,23
CDM,0135-0456-03,CALCIUM 300 MG (AS CALCIUM CARBONATE 750 MG) CHEWABLE TABLET,0.43,0.25,0.05,0.39,23
CDM,0135-0467-02,NICOTINE (POLACRILEX) 4 MG GUM,2.12,1.25,0.26,1.91,23
CDM,0135-0510-06,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.77,1.04,0.22,1.59,23
CDM,0135-0574-01,ALUMINUM HYDROX-MAGNESIUM CARB 254 MG-237.5 MG/5 ML ORAL SUSPENSION,40.83,24.09,4.97,36.75,23
CDM,0140-0005-01,DIAZEPAM 5 MG TABLET,25.1,14.81,3.05,22.59,23
CDM,0143-1171-01,CAPTOPRIL 12.5 MG TABLET,4.67,2.76,0.57,4.2,23
CDM,0143-1172-01,CAPTOPRIL 25 MG TABLET,5.0,2.95,0.61,4.5,23
CDM,0143-1173-01,CAPTOPRIL 50 MG TABLET,8.68,5.12,1.06,7.81,23
CDM,0143-1174-01,CAPTOPRIL 100 MG TABLET,11.4,6.73,1.39,10.26,23
CDM,0143-1227-01,DICYCLOMINE 20 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,0143-1240-01,DIGOXIN 125 MCG (0.125 MG) TABLET,5.46,3.22,0.66,4.91,23
CDM,0143-1241-01,DIGOXIN 250 MCG (0.25 MG) TABLET,5.46,3.22,0.66,4.91,23
CDM,0143-1455-05,PHENOBARBITAL 60 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,0143-1458-01,PHENOBARBITAL 100 MG TABLET,2.86,1.69,0.35,2.57,23
CDM,0143-1458-05,PHENOBARBITAL 100 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,0143-1495-01,PHENOBARBITAL 15 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,0143-1769-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 5 MG TABLET,2.42,1.43,0.29,2.18,23
CDM,0143-1771-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,2.67,1.58,0.32,2.4,23
CDM,0143-1772-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,2.93,1.73,0.36,2.64,23
CDM,0143-2112-50,DOXYCYCLINE HYCLATE 100 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,0143-3141-50,DOXYCYCLINE HYCLATE 50 MG CAPSULE,5.55,3.27,0.68,5.0,23
CDM,0143-9006-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,115.2,67.97,14.01,103.68,23
CDM,0143-9022-01,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,167.95,99.09,20.43,151.16,23
CDM,0143-9022-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,167.95,99.09,20.43,151.16,23
CDM,0143-9084-01,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,37.05,21.86,4.51,33.35,23
CDM,0143-9085-01,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,74.15,43.75,9.02,66.74,23
CDM,0143-9086-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,162.13,95.66,19.72,145.92,23
CDM,0143-9088-01,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,27.8,16.4,3.38,25.02,23
CDM,0143-9089-01,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,50.95,30.06,6.2,45.86,23
CDM,0143-9090-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,60.25,35.55,7.33,54.23,23
CDM,0143-9093-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1151.3,679.27,140.05,1036.17,23
CDM,0143-9098-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,80.65,47.58,9.81,72.59,23
CDM,0143-9135-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,253.4,149.51,30.82,228.06,23
CDM,0143-9136-01,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,506.85,299.04,61.66,456.17,23
CDM,0143-9141-10,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,20.7,12.21,2.52,18.63,23
CDM,0143-9152-01,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,73.72,43.49,8.97,66.35,23
CDM,0143-9152-10,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,73.72,43.49,8.97,66.35,23
CDM,0143-9153-01,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,48.38,28.54,5.89,43.54,23
CDM,0143-9161-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,7.83,4.62,0.95,7.05,23
CDM,0143-9162-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",7.88,4.65,0.96,7.09,23
CDM,0143-9162-10,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",7.88,4.65,0.96,7.09,23
CDM,0143-9164-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,93.3,55.05,11.35,83.97,23
CDM,0143-9167-01,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,2764.5,1631.06,336.29,2488.05,23
CDM,0143-9180-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,36.7,21.65,4.46,33.03,23
CDM,0143-9180-25,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,36.7,21.65,4.46,33.03,23
CDM,0143-9204-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,276.45,163.11,33.63,248.81,23
CDM,0143-9205-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1105.8,652.42,134.51,995.22,23
CDM,0143-9209-01,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,86.6,51.09,10.53,77.94,23
CDM,0143-9210-01,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,90.9,53.63,11.06,81.81,23
CDM,0143-9210-10,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,90.9,53.63,11.06,81.81,23
CDM,0143-9218-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,260.55,153.72,31.69,234.5,23
CDM,0143-9219-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,515.9,304.38,62.76,464.31,23
CDM,0143-9233-01,BENZTROPINE 1 MG/ML INJECTION SOLUTION,115.19,67.96,14.01,103.67,23
CDM,0143-9233-05,BENZTROPINE 1 MG/ML INJECTION SOLUTION,115.19,67.96,14.01,103.67,23
CDM,0143-9240-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,90.15,53.19,10.97,81.14,23
CDM,0143-9241-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,180.35,106.41,21.94,162.32,23
CDM,0143-9245-01,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,24.42,14.41,2.97,21.98,23
CDM,0143-9245-10,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,24.42,14.41,2.97,21.98,23
CDM,0143-9247-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,1251.05,738.12,152.18,1125.95,23
CDM,0143-9248-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,1390.0,820.1,169.09,1251.0,23
CDM,0143-9249-20,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,5.44,3.21,0.66,4.9,23
CDM,0143-9250-01,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.53,5.03,1.04,7.68,23
CDM,0143-9250-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.53,5.03,1.04,7.68,23
CDM,0143-9251-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,32.25,19.03,3.92,29.03,23
CDM,0143-9252-25,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,12.8,7.55,1.56,11.52,23
CDM,0143-9254-01,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,25.6,15.1,3.11,23.04,23
CDM,0143-9254-25,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,25.6,15.1,3.11,23.04,23
CDM,0143-9261-10,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,19.86,11.72,2.42,17.87,23
CDM,0143-9262-01,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,2.82,1.66,0.34,2.54,23
CDM,0143-9262-25,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,2.82,1.66,0.34,2.54,23
CDM,0143-9273-01,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,327.1,192.99,39.79,294.39,23
CDM,0143-9273-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,327.1,192.99,39.79,294.39,23
CDM,0143-9279-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,253.4,149.51,30.82,228.06,23
CDM,0143-9280-01,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,506.85,299.04,61.66,456.17,23
CDM,0143-9284-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,12.79,7.55,1.56,11.51,23
CDM,0143-9284-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,12.79,7.55,1.56,11.51,23
CDM,0143-9290-01,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,697.4,411.47,84.84,627.66,23
CDM,0143-9292-01,THIOTEPA 100 MG SOLUTION FOR INJECTION,5298.65,3126.2,644.55,4768.79,23
CDM,0143-9295-01,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,72.75,42.92,8.85,65.48,23
CDM,0143-9298-01,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,36.4,21.48,4.43,32.76,23
CDM,0143-9298-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,36.4,21.48,4.43,32.76,23
CDM,0143-9299-01,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,165.87,97.86,20.18,149.28,23
CDM,0143-9299-10,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,165.87,97.86,20.18,149.28,23
CDM,0143-9300-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,12.79,7.55,1.56,11.51,23
CDM,0143-9300-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,12.79,7.55,1.56,11.51,23
CDM,0143-9310-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,12.2,7.2,1.48,10.98,23
CDM,0143-9310-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,12.2,7.2,1.48,10.98,23
CDM,0143-9311-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,18.0,10.62,2.19,16.2,23
CDM,0143-9311-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,18.0,10.62,2.19,16.2,23
CDM,0143-9315-01,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,7.0,4.13,0.85,6.3,23
CDM,0143-9315-24,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,7.0,4.13,0.85,6.3,23
CDM,0143-9316-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,9.5,5.61,1.16,8.55,23
CDM,0143-9316-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,9.5,5.61,1.16,8.55,23
CDM,0143-9317-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,0143-9317-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,0143-9318-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,14.06,8.3,1.71,12.65,23
CDM,0143-9318-10,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,14.06,8.3,1.71,12.65,23
CDM,0143-9330-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,5.75,3.39,0.7,5.18,23
CDM,0143-9330-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,5.75,3.39,0.7,5.18,23
CDM,0143-9331-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,6.2,3.66,0.75,5.58,23
CDM,0143-9331-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,6.2,3.66,0.75,5.58,23
CDM,0143-9332-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,7.05,4.16,0.86,6.35,23
CDM,0143-9332-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,7.05,4.16,0.86,6.35,23
CDM,0143-9333-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,6.3,3.72,0.77,5.67,23
CDM,0143-9333-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,6.3,3.72,0.77,5.67,23
CDM,0143-9334-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,13.8,8.14,1.68,12.42,23
CDM,0143-9334-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,13.8,8.14,1.68,12.42,23
CDM,0143-9335-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,11.1,6.55,1.35,9.99,23
CDM,0143-9335-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,11.1,6.55,1.35,9.99,23
CDM,0143-9338-01,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,11.05,6.52,1.34,9.95,23
CDM,0143-9338-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,11.05,6.52,1.34,9.95,23
CDM,0143-9355-01,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,27.68,16.33,3.37,24.91,23
CDM,0143-9355-10,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,27.68,16.33,3.37,24.91,23
CDM,0143-9357-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.98,7.07,1.46,10.78,23
CDM,0143-9357-10,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.98,7.07,1.46,10.78,23
CDM,0143-9358-01,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,68.25,40.27,8.3,61.43,23
CDM,0143-9359-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,124.25,73.31,15.11,111.83,23
CDM,0143-9368-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,44.3,26.14,5.39,39.87,23
CDM,0143-9375-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,5.9,3.48,0.72,5.31,23
CDM,0143-9375-10,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,5.9,3.48,0.72,5.31,23
CDM,0143-9376-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,21.45,12.66,2.61,19.31,23
CDM,0143-9378-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,64.85,38.26,7.89,58.37,23
CDM,0143-9380-01,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,76.0,44.84,9.25,68.4,23
CDM,0143-9381-01,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,55.29,32.62,6.73,49.76,23
CDM,0143-9381-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,55.29,32.62,6.73,49.76,23
CDM,0143-9384-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,108.1,63.78,13.15,97.29,23
CDM,0143-9385-01,DECITABINE 50 MG INTRAVENOUS SOLUTION,179.7,106.02,21.86,161.73,23
CDM,0143-9386-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",22.0,12.98,2.68,19.8,23
CDM,0143-9386-10,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",22.0,12.98,2.68,19.8,23
CDM,0143-9387-25,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,13.82,8.15,1.68,12.44,23
CDM,0143-9391-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,183.84,108.47,22.36,165.46,23
CDM,0143-9391-10,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,183.84,108.47,22.36,165.46,23
CDM,0143-9392-10,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,413.3,243.85,50.28,371.97,23
CDM,0143-9393-10,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,688.82,406.4,83.79,619.94,23
CDM,0143-9396-01,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,0143-9398-01,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,99.06,58.45,12.05,89.15,23
CDM,0143-9398-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,99.06,58.45,12.05,89.15,23
CDM,0143-9428-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,108.1,63.78,13.15,97.29,23
CDM,0143-9431-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,13.83,8.16,1.68,12.45,23
CDM,0143-9431-10,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,13.83,8.16,1.68,12.45,23
CDM,0143-9501-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,7.01,4.14,0.85,6.31,23
CDM,0143-9501-25,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,7.01,4.14,0.85,6.31,23
CDM,0143-9503-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,115.2,67.97,14.01,103.68,23
CDM,0143-9504-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,67.0,39.53,8.15,60.3,23
CDM,0143-9505-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,141.0,83.19,17.15,126.9,23
CDM,0143-9506-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,12.2,7.2,1.48,10.98,23
CDM,0143-9506-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,12.2,7.2,1.48,10.98,23
CDM,0143-9507-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,18.0,10.62,2.19,16.2,23
CDM,0143-9507-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,18.0,10.62,2.19,16.2,23
CDM,0143-9508-01,KETAMINE 50 MG/ML INJECTION SOLUTION,29.25,17.26,3.56,26.33,23
CDM,0143-9508-10,KETAMINE 50 MG/ML INJECTION SOLUTION,29.25,17.26,3.56,26.33,23
CDM,0143-9509-01,KETAMINE 100 MG/ML INJECTION SOLUTION,58.48,34.5,7.11,52.63,23
CDM,0143-9509-10,KETAMINE 100 MG/ML INJECTION SOLUTION,58.48,34.5,7.11,52.63,23
CDM,0143-9510-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,21.45,12.66,2.61,19.31,23
CDM,0143-9511-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,171.5,101.19,20.86,154.35,23
CDM,0143-9513-01,PALONOSETRON 0.25 MG/2 ML INTRAVENOUS SOLUTION,185.3,109.33,22.54,166.77,23
CDM,0143-9514-01,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,43.26,25.52,5.26,38.93,23
CDM,0143-9519-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,15.46,9.12,1.88,13.91,23
CDM,0143-9519-10,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,15.46,9.12,1.88,13.91,23
CDM,0143-9525-01,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,129.0,76.11,15.69,116.1,23
CDM,0143-9529-01,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,283.7,167.38,34.51,255.33,23
CDM,0143-9530-01,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION,446.7,263.55,54.34,402.03,23
CDM,0143-9531-01,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION,152.4,89.92,18.54,137.16,23
CDM,0143-9532-01,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,10.35,6.11,1.26,9.32,23
CDM,0143-9532-25,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,10.35,6.11,1.26,9.32,23
CDM,0143-9533-01,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION,10942.8,6456.25,1331.13,9848.52,23
CDM,0143-9551-01,DAUNORUBICIN INTRAVENOUS SOLUTION,304.1,179.42,36.99,273.69,23
CDM,0143-9551-10,DAUNORUBICIN INTRAVENOUS SOLUTION,304.1,179.42,36.99,273.69,23
CDM,0143-9552-01,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,119.55,70.53,14.54,107.6,23
CDM,0143-9553-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,44.3,26.14,5.39,39.87,23
CDM,0143-9554-01,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,73.5,43.37,8.94,66.15,23
CDM,0143-9555-01,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,45.85,27.05,5.58,41.27,23
CDM,0143-9558-01,LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS POWDER FOR SOLUTION,498.35,294.03,60.62,448.52,23
CDM,0143-9564-01,PHENTOLAMINE 5 MG INJECTION SOLUTION,2144.65,1265.34,260.89,1930.19,23
CDM,0143-9564-10,PHENTOLAMINE 5 MG INJECTION SOLUTION,2144.63,1265.33,260.88,1930.17,23
CDM,0143-9565-01,THIOTEPA 15 MG SOLUTION FOR INJECTION,871.5,514.19,106.01,784.35,23
CDM,0143-9566-01,AZATHIOPRINE 100 MG SOLUTION FOR INJECTION,1015.95,599.41,123.58,914.36,23
CDM,0143-9567-01,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,18.8,11.09,2.29,16.92,23
CDM,0143-9567-25,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,18.8,11.09,2.29,16.92,23
CDM,0143-9568-01,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,8.85,5.22,1.08,7.97,23
CDM,0143-9568-25,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,8.85,5.22,1.08,7.97,23
CDM,0143-9570-01,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,36.4,21.48,4.43,32.76,23
CDM,0143-9570-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,36.4,21.48,4.43,32.76,23
CDM,0143-9575-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,17.0,10.03,2.07,15.3,23
CDM,0143-9575-10,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,17.0,10.03,2.07,15.3,23
CDM,0143-9577-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,12.75,7.52,1.55,11.48,23
CDM,0143-9577-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,12.75,7.52,1.55,11.48,23
CDM,0143-9594-01,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,7.38,4.35,0.9,6.64,23
CDM,0143-9594-25,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,7.38,4.35,0.9,6.64,23
CDM,0143-9595-01,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,7.38,4.35,0.9,6.64,23
CDM,0143-9595-25,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,7.38,4.35,0.9,6.64,23
CDM,0143-9606-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION,115.2,67.97,14.01,103.68,23
CDM,0143-9619-10,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",78.45,46.29,9.54,70.61,23
CDM,0143-9621-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",15.1,8.91,1.84,13.59,23
CDM,0143-9621-25,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",15.1,8.91,1.84,13.59,23
CDM,0143-9622-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,31.1,18.35,3.78,27.99,23
CDM,0143-9623-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,63.4,37.41,7.71,57.06,23
CDM,0143-9633-01,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,261.0,153.99,31.75,234.9,23
CDM,0143-9633-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,261.0,153.99,31.75,234.9,23
CDM,0143-9637-01,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,11.05,6.52,1.34,9.95,23
CDM,0143-9637-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,11.05,6.52,1.34,9.95,23
CDM,0143-9638-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,27.65,16.31,3.36,24.89,23
CDM,0143-9638-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,27.65,16.31,3.36,24.89,23
CDM,0143-9659-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,64.5,38.06,7.85,58.05,23
CDM,0143-9660-01,METOPROLOL TARTRATE 5 MG/5 ML IV,2.78,1.64,0.34,2.5,23
CDM,0143-9660-10,METOPROLOL TARTRATE 5 MG/5 ML IV,2.78,1.64,0.34,2.5,23
CDM,0143-9673-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,17.88,10.55,2.18,16.09,23
CDM,0143-9673-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,17.88,10.55,2.18,16.09,23
CDM,0143-9674-01,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,322.55,190.3,39.24,290.3,23
CDM,0143-9681-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,6.9,4.07,0.84,6.21,23
CDM,0143-9681-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,6.9,4.07,0.84,6.21,23
CDM,0143-9682-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,2.95,1.74,0.36,2.66,23
CDM,0143-9682-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,2.95,1.74,0.36,2.66,23
CDM,0143-9683-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,31.5,18.59,3.83,28.35,23
CDM,0143-9684-01,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,12.63,7.45,1.54,11.37,23
CDM,0143-9684-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,12.63,7.45,1.54,11.37,23
CDM,0143-9689-01,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,56.65,33.42,6.89,50.99,23
CDM,0143-9689-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,56.65,33.42,6.89,50.99,23
CDM,0143-9701-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,64.5,38.06,7.85,58.05,23
CDM,0143-9702-01,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,33.15,19.56,4.03,29.84,23
CDM,0143-9709-01,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,22.8,13.45,2.77,20.52,23
CDM,0143-9709-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,22.8,13.45,2.77,20.52,23
CDM,0143-9710-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,17.85,10.53,2.17,16.07,23
CDM,0143-9718-01,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,54.0,31.86,6.57,48.6,23
CDM,0143-9718-10,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,54.0,31.86,6.57,48.6,23
CDM,0143-9719-01,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,21.5,12.69,2.62,19.35,23
CDM,0143-9720-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,0143-9720-24,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,0143-9721-01,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,9.5,5.61,1.16,8.55,23
CDM,0143-9721-24,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,9.5,5.61,1.16,8.55,23
CDM,0143-9723-01,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION",225.55,133.07,27.44,203.0,23
CDM,0143-9724-01,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",78.35,46.23,9.53,70.52,23
CDM,0143-9725-01,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,141.1,83.25,17.16,126.99,23
CDM,0143-9729-01,BENZTROPINE 1 MG/ML INJECTION SOLUTION,211.3,124.67,25.7,190.17,23
CDM,0143-9729-05,BENZTROPINE 1 MG/ML INJECTION SOLUTION,211.3,124.67,25.7,190.17,23
CDM,0143-9744-10,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,12.0,7.08,1.46,10.8,23
CDM,0143-9745-05,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,37.16,21.92,4.52,33.44,23
CDM,0143-9746-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,5.9,3.48,0.72,5.31,23
CDM,0143-9746-10,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,5.9,3.48,0.72,5.31,23
CDM,0143-9750-01,TESTOSTERONE ENANTHATE 200 MG/ML INTRAMUSCULAR OIL,326.95,192.9,39.77,294.26,23
CDM,0143-9753-01,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,7.74,4.57,0.94,6.97,23
CDM,0143-9753-25,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,7.74,4.57,0.94,6.97,23
CDM,0143-9754-01,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,9.4,5.55,1.14,8.46,23
CDM,0143-9754-25,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,9.4,5.55,1.14,8.46,23
CDM,0143-9783-01,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,31.5,18.59,3.83,28.35,23
CDM,0143-9783-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,31.5,18.59,3.83,28.35,23
CDM,0143-9784-01,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,12.63,7.45,1.54,11.37,23
CDM,0143-9784-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,12.63,7.45,1.54,11.37,23
CDM,0143-9785-01,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,11.05,6.52,1.34,9.95,23
CDM,0143-9785-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,11.05,6.52,1.34,9.95,23
CDM,0143-9786-01,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,38.54,22.74,4.69,34.69,23
CDM,0143-9786-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,38.54,22.74,4.69,34.69,23
CDM,0143-9787-01,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,21.58,12.73,2.63,19.42,23
CDM,0143-9787-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,21.58,12.73,2.63,19.42,23
CDM,0143-9830-01,METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTION,205.15,121.04,24.96,184.64,23
CDM,0143-9837-01,PENICILLIN V POTASSIUM 250 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,0143-9850-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,75.9,44.78,9.23,68.31,23
CDM,0143-9851-01,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",39.15,23.1,4.76,35.24,23
CDM,0143-9852-01,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,101.38,59.81,12.33,91.24,23
CDM,0143-9852-10,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,101.38,59.81,12.33,91.24,23
CDM,0143-9853-75,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,65.63,38.72,7.98,59.07,23
CDM,0143-9856-01,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,8.85,5.22,1.08,7.97,23
CDM,0143-9856-25,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,8.85,5.22,1.08,7.97,23
CDM,0143-9857-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,4.98,2.94,0.61,4.48,23
CDM,0143-9857-25,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,4.98,2.94,0.61,4.48,23
CDM,0143-9858-01,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,3.8,2.24,0.46,3.42,23
CDM,0143-9858-25,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,3.8,2.24,0.46,3.42,23
CDM,0143-9871-01,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,414.7,244.67,50.45,373.23,23
CDM,0143-9872-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,22.12,13.05,2.69,19.91,23
CDM,0143-9872-10,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,22.12,13.05,2.69,19.91,23
CDM,0143-9873-01,METOPROLOL TARTRATE 5 MG/5 ML IV,11.18,6.6,1.36,10.06,23
CDM,0143-9873-25,METOPROLOL TARTRATE 5 MG/5 ML IV,11.18,6.6,1.36,10.06,23
CDM,0143-9875-01,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,8.3,4.9,1.01,7.47,23
CDM,0143-9875-25,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,8.3,4.9,1.01,7.47,23
CDM,0143-9877-25,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,25.8,15.22,3.14,23.22,23
CDM,0143-9878-01,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,12.9,7.61,1.57,11.61,23
CDM,0143-9878-25,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,12.9,7.61,1.57,11.61,23
CDM,0143-9887-50,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,15.0,8.85,1.82,13.5,23
CDM,0143-9889-01,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,13.5,7.97,1.64,12.15,23
CDM,0143-9889-15,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,21.75,12.83,2.65,19.58,23
CDM,0143-9923-90,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,5.76,3.4,0.7,5.18,23
CDM,0143-9924-90,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,2.82,1.66,0.34,2.54,23
CDM,0143-9927-01,CIPROFLOXACIN 250 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,0143-9929-50,CIPROFLOXACIN 750 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,0143-9977-22,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,18.8,11.09,2.29,16.92,23
CDM,0143-9977-90,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,18.8,11.09,2.29,16.92,23
CDM,0143-9979-22,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,8.85,5.22,1.08,7.97,23
CDM,0143-9979-90,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,8.85,5.22,1.08,7.97,23
CDM,0143-9981-01,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,50.0,29.5,6.08,45.0,23
CDM,0143-9981-50,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,39.75,23.45,4.84,35.78,23
CDM,0143-9982-50,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,49.75,29.35,6.05,44.78,23
CDM,0143-9982-75,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,52.88,31.2,6.43,47.59,23
CDM,0143-9983-03,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,19.86,11.72,2.42,17.87,23
CDM,0143-9983-91,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,19.86,11.72,2.42,17.87,23
CDM,0149003908,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,16.32,9.63,1.99,14.69,23
CDM,0149003942,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,21.83,12.88,2.66,19.65,23
CDM,0168-0003-15,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,10.35,6.11,1.26,9.32,23
CDM,0168-0004-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,12.15,7.17,1.48,10.94,23
CDM,0168-0004-16,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,90.72,53.52,11.04,81.65,23
CDM,0168-0004-80,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,30.4,17.94,3.7,27.36,23
CDM,0168-0005-80,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,28.8,16.99,3.5,25.92,23
CDM,0168-0006-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,12.38,7.3,1.51,11.14,23
CDM,0168-0006-16,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,115.67,68.25,14.07,104.1,23
CDM,0168-0006-80,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,31.2,18.41,3.8,28.08,23
CDM,0168-0015-31,HYDROCORTISONE 1 % TOPICAL CREAM,20.98,12.38,2.55,18.88,23
CDM,0168-0020-31,HYDROCORTISONE 1 % TOPICAL OINTMENT,19.57,11.55,2.38,17.61,23
CDM,0168-0033-15,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,41.48,24.47,5.05,37.33,23
CDM,0168-0033-46,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,95.4,56.29,11.6,85.86,23
CDM,0168-0040-15,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,62.48,36.86,7.6,56.23,23
CDM,0168-0040-46,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,120.15,70.89,14.62,108.14,23
CDM,0168-0041-60,BETAMETHASONE VALERATE 0.1 % LOTION,177.0,104.43,21.53,159.3,23
CDM,0168-0055-15,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,140.48,82.88,17.09,126.43,23
CDM,0168-0055-46,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,251.33,148.28,30.57,226.2,23
CDM,0168-0056-15,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,196.73,116.07,23.93,177.06,23
CDM,0168-0056-46,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,435.15,256.74,52.93,391.64,23
CDM,0168-0059-60,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,153.9,90.8,18.72,138.51,23
CDM,0168-0064-15,FLUOCINOLONE 0.025 % TOPICAL OINTMENT,130.35,76.91,15.86,117.32,23
CDM,0168-0064-60,FLUOCINOLONE 0.025 % TOPICAL OINTMENT,281.7,166.2,34.27,253.53,23
CDM,0168-0080-31,HYDROCORTISONE 2.5 % TOPICAL CREAM,10.8,6.37,1.31,9.72,23
CDM,0168-0099-15,KETOCONAZOLE 2 % TOPICAL CREAM,59.93,35.36,7.29,53.94,23
CDM,0168-0099-30,KETOCONAZOLE 2 % TOPICAL CREAM,107.25,63.28,13.05,96.53,23
CDM,0168-0099-60,KETOCONAZOLE 2 % TOPICAL CREAM,160.8,94.87,19.56,144.72,23
CDM,0168-0134-60,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,171.6,101.24,20.87,154.44,23
CDM,0168-0146-30,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,12.9,7.61,1.57,11.61,23
CDM,0168-0163-15,CLOBETASOL 0.05 % TOPICAL CREAM,74.85,44.16,9.11,67.37,23
CDM,0168-0201-30,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,79.35,46.82,9.65,71.42,23
CDM,0168-0202-30,CLINDAMYCIN 1 % TOPICAL GEL,213.45,125.94,25.97,192.11,23
CDM,0168-0203-60,CLINDAMYCIN 1 % LOTION,327.9,193.46,39.89,295.11,23
CDM,0168-0204-37,LIDOCAINE 5 % TOPICAL OINTMENT,1044.24,616.1,127.03,939.82,23
CDM,0168-0258-15,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,74.63,44.03,9.08,67.17,23
CDM,0168-0258-46,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,160.65,94.78,19.54,144.59,23
CDM,0168-0267-30,"BETAMETHASONE, AUGMENTED 0.05 % LOTION",174.9,103.19,21.28,157.41,23
CDM,0168-0267-60,"BETAMETHASONE, AUGMENTED 0.05 % LOTION",361.2,213.11,43.94,325.08,23
CDM,0168-0268-15,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",159.68,94.21,19.42,143.71,23
CDM,0168-0269-50,CLOBETASOL 0.05 % SCALP SOLUTION,210.0,123.9,25.55,189.0,23
CDM,0168-0293-15,CLOBETASOL 0.05 % TOPICAL GEL,165.98,97.93,20.19,149.38,23
CDM,0168-0301-15,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM,114.68,67.66,13.95,103.21,23
CDM,0168-0301-30,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM,229.35,135.32,27.9,206.42,23
CDM,0168-0301-60,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM,458.7,270.63,55.8,412.83,23
CDM,0168-0357-30,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,64.65,38.14,7.86,58.19,23
CDM,0168-0357-55,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,35.35,20.86,4.3,31.82,23
CDM,0168-0357-56,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL KIT,176.8,104.31,21.51,159.12,23
CDM,0168-0416-60,TACROLIMUS 0.1 % TOPICAL OINTMENT,1033.2,609.59,125.68,929.88,23
CDM,0168-0416-99,TACROLIMUS 0.1 % TOPICAL OINTMENT,1722.0,1015.98,209.47,1549.8,23
CDM,0169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,68.45,40.39,8.33,61.61,23
CDM,0169-1834-02,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,168.9,99.65,20.55,152.01,23
CDM,0169-1834-11,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,68.45,40.39,8.33,61.61,23
CDM,0169-1837-11,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,68.45,40.39,8.33,61.61,23
CDM,0169-2100-11,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,533.5,314.77,64.9,480.15,23
CDM,0169-2660-15,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,492.92,290.82,59.96,443.63,23
CDM,0169-2660-97,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,5622.3,3317.16,683.92,5060.07,23
CDM,0169-3004-15,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,88.31,52.1,10.74,79.48,23
CDM,0169-3685-12,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,350.65,206.88,42.65,315.59,23
CDM,0169-3696-19,INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN,135.45,79.92,16.48,121.91,23
CDM,0169-4060-12,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1259.06,742.85,153.16,1133.15,23
CDM,0169-4060-13,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1259.06,742.85,153.16,1133.15,23
CDM,0169-4130-01,SEMAGLUTIDE 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,4487.15,2647.42,545.84,4038.44,23
CDM,0169-4130-13,SEMAGLUTIDE 1 MG/DOSE (4 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,4487.15,2647.42,545.84,4038.44,23
CDM,0169-6339-10,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,135.45,79.92,16.48,121.91,23
CDM,0169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",10740.75,6337.04,1306.56,9666.68,23
CDM,0169-7202-01,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",21481.55,12674.11,2613.12,19333.4,23
CDM,0169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",53703.85,31685.27,6532.79,48333.47,23
CDM,0169-7208-01,"COAGULATION FACTOR VIIA RECOMB 8 MG (8,000 MCG) INTRAVENOUS SOLUTION",85926.15,50696.43,10452.47,77333.54,23
CDM,0169-7211-11,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",10740.75,6337.04,1306.56,9666.68,23
CDM,0169-7212-11,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",21481.55,12674.11,2613.12,19333.4,23
CDM,0169-7215-11,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",53703.85,31685.27,6532.79,48333.47,23
CDM,0169-7501-11,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,350.65,206.88,42.65,315.59,23
CDM,0169-7704-21,SOMATROPIN 5 MG/1.5 ML (3.3 MG/ML) SUBCUTANEOUS PEN INJECTOR,3904.41,2303.6,474.95,3513.97,23
CDM,0172-2083-60,HYDROCHLOROTHIAZIDE 25 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,0172-2089-60,HYDROCHLOROTHIAZIDE 50 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,0172-3925-60,DIAZEPAM 2 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,0172-3925-70,DIAZEPAM 2 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,0172-3926-60,DIAZEPAM 5 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,0172-3926-70,DIAZEPAM 5 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,0172-3926-80,DIAZEPAM 5 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,0172-3927-60,DIAZEPAM 10 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,0172-3927-70,DIAZEPAM 10 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,0172-4096-60,BACLOFEN 10 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,0172-5728-60,FAMOTIDINE 20 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,0172-5728-70,FAMOTIDINE 20 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,0172-5728-80,FAMOTIDINE 20 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,0172-5729-60,FAMOTIDINE 40 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,0172-6406-05,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,25.2,14.87,3.07,22.68,23
CDM,0172-6406-49,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,25.2,14.87,3.07,22.68,23
CDM,0172-7313-20,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,519.25,306.36,63.16,467.33,23
CDM,0173-0519-00,EPOPROSTENOL (GLYCINE) 1.5 MG INTRAVENOUS SOLUTION,282.15,166.47,34.32,253.94,23
CDM,0173-0521-00,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION,32.71,19.3,3.98,29.44,23
CDM,0173-0547-00,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,151.23,89.23,18.4,136.11,23
CDM,0173-0565-04,VALACYCLOVIR 1 GRAM TABLET,96.47,56.92,11.74,86.82,23
CDM,0173-0565-10,VALACYCLOVIR 1 GRAM TABLET,96.47,56.92,11.74,86.82,23
CDM,0173-0642-55,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,50.59,29.85,6.15,45.53,23
CDM,0173-0665-18,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,6977.25,4116.58,848.75,6279.53,23
CDM,0173-0675-01,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,31.3,18.47,3.81,28.17,23
CDM,0173-0675-02,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,31.82,18.77,3.87,28.64,23
CDM,0173-0681-01,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION,13.46,7.94,1.64,12.11,23
CDM,0173-0682-20,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,264.15,155.85,32.13,237.74,23
CDM,0173-0682-24,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,103.6,61.12,12.6,93.24,23
CDM,0173-0695-00,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,12.05,7.11,1.47,10.85,23
CDM,0173-0696-00,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,15.12,8.92,1.84,13.61,23
CDM,0173-0697-00,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,20.49,12.09,2.49,18.44,23
CDM,0173-0716-20,FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,1477.56,871.76,179.74,1329.8,23
CDM,0173-0735-00,SUMATRIPTAN 25 MG TABLET,158.45,93.49,19.27,142.61,23
CDM,0173-0736-01,SUMATRIPTAN 50 MG TABLET,345.39,203.78,42.01,310.85,23
CDM,0173-0754-00,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",63.86,37.68,7.77,57.47,23
CDM,0173-0755-00,"LAMOTRIGINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",127.71,75.35,15.54,114.94,23
CDM,0173-0756-00,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",136.8,80.71,16.64,123.12,23
CDM,0173-0757-00,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",145.88,86.07,17.75,131.29,23
CDM,0173-0761-00,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",218.82,129.1,26.62,196.94,23
CDM,0173-0859-10,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,31.45,18.56,3.83,28.31,23
CDM,0173-0859-14,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,10.49,6.19,1.28,9.44,23
CDM,0173-0869-06,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,21.36,12.6,2.6,19.22,23
CDM,0173-0869-10,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,36.67,21.64,4.46,33.0,23
CDM,0173-0881-01,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,14760.7,8708.81,1795.56,13284.63,23
CDM,0173-0887-10,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,50.79,29.97,6.18,45.71,23
CDM,0173-0887-14,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,23.58,13.91,2.87,21.22,23
CDM,0173-0892-42,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,18213.6,10746.02,2215.59,16392.24,23
CDM,0173-0893-10,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,50.79,29.97,6.18,45.71,23
CDM,0173-0893-14,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,23.02,13.58,2.8,20.72,23
CDM,0173-0898-03,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,57092.9,33684.81,6945.05,51383.61,23
CDM,0173-0904-42,MEPOLIZUMAB 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,7285.5,4298.45,886.24,6556.95,23
CDM,0173-0933-08,VALACYCLOVIR 500 MG TABLET,61.25,36.14,7.45,55.13,23
CDM,0178-0320-03,METHYL SALICYLATE 15 %-MENTHOL 1 % TOPICAL CREAM,20.83,12.29,2.53,18.75,23
CDM,0178-0610-01,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",9.91,5.85,1.21,8.92,23
CDM,0178055001,THERAPEUTIC MULTIVITAMIN TABLET,0.89,0.53,0.11,0.8,23
CDM,0185-0055-01,METOLAZONE 5 MG TABLET,3.04,1.79,0.37,2.74,23
CDM,0185-0122-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,2.06,1.22,0.25,1.85,23
CDM,0185-0128-01,BUMETANIDE 0.5 MG TABLET,2.08,1.23,0.25,1.87,23
CDM,0185-0129-01,BUMETANIDE 1 MG TABLET,2.1,1.24,0.26,1.89,23
CDM,0185-0130-01,BUMETANIDE 2 MG TABLET,3.9,2.3,0.47,3.51,23
CDM,0185-0676-01,HYDROXYZINE PAMOATE 50 MG CAPSULE,0.38,0.22,0.05,0.34,23
CDM,0185-0842-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,1.72,1.01,0.21,1.55,23
CDM,0185-0853-01,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,0185-5050-01,METOLAZONE 2.5 MG TABLET,2.64,1.56,0.32,2.38,23
CDM,0185-5600-01,METOLAZONE 10 MG TABLET,3.64,2.15,0.44,3.28,23
CDM,0186-0370-20,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1085.39,640.38,132.03,976.85,23
CDM,0186-0370-28,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,281.1,165.85,34.19,252.99,23
CDM,0186-0372-20,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,949.68,560.31,115.52,854.71,23
CDM,0186-0372-28,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,281.11,165.85,34.2,253.0,23
CDM,0186-0776-60,TICAGRELOR 60 MG TABLET,34.48,20.34,4.19,31.03,23
CDM,0186-0777-39,TICAGRELOR 90 MG TABLET,34.48,20.34,4.19,31.03,23
CDM,0186-0777-60,TICAGRELOR 90 MG TABLET,34.48,20.34,4.19,31.03,23
CDM,0186-1988-04,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,40.11,23.66,4.88,36.1,23
CDM,0186-1989-04,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,47.22,27.86,5.74,42.5,23
CDM,0186-4010-01,ESOMEPRAZOLE MAGNESIUM DR 10 MG GRANULES DELAYED RELEASE FOR SUSP,44.08,26.01,5.36,39.67,23
CDM,0186-4020-01,ESOMEPRAZOLE MAGNESIUM DR 20 MG GRANULES DELAYED RELEASE FOR SUSP,44.08,26.01,5.36,39.67,23
CDM,0186-4025-01,ESOMEPRAZOLE MAGNESIUM DR 2.5 MG GRANULES DELAYED RELEASE FOR SUSP,44.08,26.01,5.36,39.67,23
CDM,0186-4040-01,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,44.08,26.01,5.36,39.67,23
CDM,0186-4050-01,ESOMEPRAZOLE MAGNESIUM DR 5 MG GRANULES DELAYED RELEASE FOR SUSP,44.08,26.01,5.36,39.67,23
CDM,0186-5020-31,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",42.24,24.92,5.14,38.02,23
CDM,0186-5040-31,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",42.24,24.92,5.14,38.02,23
CDM,0187-0010-50,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,228303.5,134699.07,27771.92,205473.15,23
CDM,0187-0063-01,LORAZEPAM 0.5 MG TABLET,158.69,93.63,19.3,142.82,23
CDM,0187-0064-01,LORAZEPAM 1 MG TABLET,211.99,125.07,25.79,190.79,23
CDM,0187-0065-01,LORAZEPAM 2 MG TABLET,337.84,199.33,41.1,304.06,23
CDM,0187-0143-30,ENALAPRIL MALEATE 20 MG TABLET,147.95,87.29,18.0,133.16,23
CDM,0187-0192-01,ISOSORBIDE DINITRATE 40 MG TABLET,93.52,55.18,11.38,84.17,23
CDM,0187-0453-02,SELEGILINE 1.25 MG DISINTEGRATING TABLET,442.29,260.95,53.8,398.06,23
CDM,0187-0730-30,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",308.43,181.97,37.52,277.59,23
CDM,0187-0730-90,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",308.45,181.99,37.52,277.61,23
CDM,0187-0795-30,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",131.83,77.78,16.04,118.65,23
CDM,0187-0938-01,TOLCAPONE 100 MG TABLET,549.19,324.02,66.81,494.27,23
CDM,0187-1416-16,COAL TAR 1 % SHAMPOO,104.06,61.4,12.66,93.65,23
CDM,0187-2120-10,TRIENTINE 250 MG CAPSULE,985.29,581.32,119.86,886.76,23
CDM,0187-3012-20,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,7603.48,4486.05,924.92,6843.13,23
CDM,0187-3013-30,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",177.58,104.77,21.6,159.82,23
CDM,0187-3554-10,FLUCYTOSINE 250 MG CAPSULE,360.51,212.7,43.85,324.46,23
CDM,0187-3555-10,FLUCYTOSINE 500 MG CAPSULE,688.9,406.45,83.8,620.01,23
CDM,0187-5100-01,PIMECROLIMUS 1 % TOPICAL CREAM,1385.55,817.47,168.54,1247.0,23
CDM,0187-5160-20,TRETINOIN 0.025 % TOPICAL CREAM,69.5,41.01,8.45,62.55,23
CDM,0187-5160-45,TRETINOIN 0.025 % TOPICAL CREAM,156.38,92.26,19.02,140.74,23
CDM,0187-5162-20,TRETINOIN 0.05 % TOPICAL CREAM,69.5,41.01,8.45,62.55,23
CDM,0187-5162-45,TRETINOIN 0.05 % TOPICAL CREAM,156.38,92.26,19.02,140.74,23
CDM,0187-5164-20,TRETINOIN 0.1 % TOPICAL CREAM,92.7,54.69,11.28,83.43,23
CDM,0187-5164-45,TRETINOIN 0.1 % TOPICAL CREAM,208.58,123.06,25.37,187.72,23
CDM,0187-5172-15,TRETINOIN 0.01 % TOPICAL GEL,69.53,41.02,8.46,62.58,23
CDM,0187-5202-60,METRONIDAZOLE 1 % TOPICAL CREAM,9064.5,5348.06,1102.65,8158.05,23
CDM,0187-5526-75,BEXAROTENE 75 MG CAPSULE,1215.75,717.29,147.89,1094.18,23
CDM,0223-1720-01,SODIUM BICARBONATE 325 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,0223-1760-01,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",0.3,0.18,0.04,0.27,23
CDM,0225-0800-47,PHENYLEPHRINE 0.25 % NASAL SPRAY,16.13,9.52,1.96,14.52,23
CDM,0225-0805-47,PHENYLEPHRINE 0.5 % NASAL SPRAY,16.13,9.52,1.96,14.52,23
CDM,0225-0810-47,PHENYLEPHRINE 1 % NASAL SPRAY,18.08,10.67,2.2,16.27,23
CDM,0225052547,SODIUM CHLORIDE-ALOE VERA NASAL GEL,12.91,7.62,1.57,11.62,23
CDM,0225070010,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",0.64,0.38,0.08,0.58,23
CDM,0228-1422-03,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",47.87,28.24,5.82,43.08,23
CDM,0228-1453-03,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",51.05,30.12,6.21,45.95,23
CDM,0228-1580-03,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",77.0,45.43,9.37,69.3,23
CDM,0228-2027-10,ALPRAZOLAM 0.25 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,0228-2029-10,ALPRAZOLAM 0.5 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,0228-2029-50,ALPRAZOLAM 0.5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,0228-2067-10,OXAZEPAM 10 MG CAPSULE,2.96,1.75,0.36,2.66,23
CDM,0228-2069-10,OXAZEPAM 15 MG CAPSULE,3.79,2.24,0.46,3.41,23
CDM,0228-2073-10,OXAZEPAM 30 MG CAPSULE,5.06,2.99,0.62,4.55,23
CDM,0228-2076-10,TEMAZEPAM 15 MG CAPSULE,0.42,0.25,0.05,0.38,23
CDM,0228-2077-10,TEMAZEPAM 30 MG CAPSULE,0.54,0.32,0.07,0.49,23
CDM,0228-2127-10,CLONIDINE HCL 0.1 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,0228-2127-50,CLONIDINE HCL 0.1 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,0228-2128-10,CLONIDINE HCL 0.2 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,0228-2128-50,CLONIDINE HCL 0.2 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,0228-2129-10,CLONIDINE HCL 0.3 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,0228-2550-06,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE",1.46,0.86,0.18,1.31,23
CDM,0228-2550-11,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE",1.46,0.86,0.18,1.31,23
CDM,0228-2551-06,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",1.8,1.06,0.22,1.62,23
CDM,0228-2571-11,INDAPAMIDE 2.5 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,0228-2597-11,INDAPAMIDE 1.25 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,0228-2597-96,INDAPAMIDE 1.25 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,0228-2778-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",7.75,4.57,0.94,6.98,23
CDM,0228-2779-11,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",9.05,5.34,1.1,8.15,23
CDM,0228-2780-11,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",11.23,6.63,1.37,10.11,23
CDM,0228-2781-11,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",14.7,8.67,1.79,13.23,23
CDM,0228-2801-11,PILOCARPINE 5 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,0228-2820-11,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,0228-2850-11,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",3.39,2.0,0.41,3.05,23
CDM,0228-2851-11,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",3.39,2.0,0.41,3.05,23
CDM,0228-2853-11,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",3.39,2.0,0.41,3.05,23
CDM,0228-2890-06,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",5.94,3.5,0.72,5.35,23
CDM,0228-2891-03,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",6.29,3.71,0.77,5.66,23
CDM,0228-2892-03,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",6.33,3.73,0.77,5.7,23
CDM,0228-3059-11,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",2.38,1.4,0.29,2.14,23
CDM,0228-3060-11,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",4.67,2.76,0.57,4.2,23
CDM,0228-3061-11,"DEXTROAMPHETAMINE-AMPHETAMINE ER 30 MG 24HR CAPSULE,EXTEND RELEASE",4.67,2.76,0.57,4.2,23
CDM,0228-3062-11,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",4.67,2.76,0.57,4.2,23
CDM,0228-3063-11,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",3.82,2.25,0.46,3.44,23
CDM,0228-3156-03,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,6.33,3.73,0.77,5.7,23
CDM,0228-4241-06,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",15.36,9.06,1.87,13.82,23
CDM,0228-4271-11,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",5.9,3.48,0.72,5.31,23
CDM,0245-0144-01,AMIODARONE 100 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,0245-0144-30,AMIODARONE 100 MG TABLET,2.69,1.59,0.33,2.42,23
CDM,0245-0144-89,AMIODARONE 100 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,0245-0147-01,AMIODARONE 200 MG TABLET,1.14,0.67,0.14,1.03,23
CDM,0245-0147-89,AMIODARONE 200 MG TABLET,1.14,0.67,0.14,1.03,23
CDM,0245-0211-11,MIDODRINE 2.5 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,0245-0212-01,MIDODRINE 5 MG TABLET,3.99,2.35,0.49,3.59,23
CDM,0245-0212-11,MIDODRINE 5 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,0245-0212-89,MIDODRINE 5 MG TABLET,3.99,2.35,0.49,3.59,23
CDM,0245-0360-01,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,6.08,3.59,0.74,5.47,23
CDM,0245-0360-89,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,6.08,3.59,0.74,5.47,23
CDM,0245-0860-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,345.8,204.02,42.06,311.22,23
CDM,0245-5315-01,"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE",0.56,0.33,0.07,0.5,23
CDM,0245-5316-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",1.34,0.79,0.16,1.21,23
CDM,0245-5316-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",0.48,0.28,0.06,0.43,23
CDM,0245-5316-89,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",1.34,0.79,0.16,1.21,23
CDM,0245-5317-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",1.98,1.17,0.24,1.78,23
CDM,0245-5317-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.96,0.57,0.12,0.86,23
CDM,0245-5317-89,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",1.98,1.17,0.24,1.78,23
CDM,0245-5319-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",2.18,1.29,0.27,1.96,23
CDM,0245-5319-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.55,0.32,0.07,0.5,23
CDM,0245-5319-89,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",2.18,1.29,0.27,1.96,23
CDM,0245-5326-01,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,4.29,2.53,0.52,3.86,23
CDM,0245-5326-30,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,3.1,1.83,0.38,2.79,23
CDM,0245-5326-89,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,4.29,2.53,0.52,3.86,23
CDM,0254-2008-01,COLCHICINE 0.6 MG TABLET,26.01,15.35,3.16,23.41,23
CDM,0254-3012-55,ALVIMOPAN 12 MG CAPSULE,577.32,340.62,70.23,519.59,23
CDM,0254-3012-78,ALVIMOPAN 12 MG CAPSULE,577.32,340.62,70.23,519.59,23
CDM,0254-3028-02,LUBIPROSTONE 8 MCG CAPSULE,4.01,2.37,0.49,3.61,23
CDM,0254-3029-02,LUBIPROSTONE 24 MCG CAPSULE,3.78,2.23,0.46,3.4,23
CDM,0259-0501-16,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,2315.34,1366.05,281.65,2083.81,23
CDM,0259-1605-01,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1340.0,790.6,163.0,1206.0,23
CDM,0259-1610-01,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,2555.0,1507.45,310.8,2299.5,23
CDM,0264-1510-31,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,11.5,6.79,1.4,10.35,23
CDM,0264-1510-32,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,11.5,6.79,1.4,10.35,23
CDM,0264-1800-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,12.5,7.38,1.52,11.25,23
CDM,0264-1800-32,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,12.5,7.38,1.52,11.25,23
CDM,0264-1800-36,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,7.13,4.21,0.87,6.42,23
CDM,0264-1933-10,AMINO ACID 10 % INTRAVENOUS SOLUTION,182.5,107.68,22.2,164.25,23
CDM,0264-1944-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,111.25,65.64,13.53,100.13,23
CDM,0264-2101-00,"WATER FOR IRRIGATION, STERILE SOLUTION",20.0,11.8,2.43,18.0,23
CDM,0264-2101-10,"WATER FOR IRRIGATION, STERILE SOLUTION",17.5,10.33,2.13,15.75,23
CDM,0264-2201-00,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0264-2201-10,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,17.5,10.33,2.13,15.75,23
CDM,0264-2203-00,LACTATED RINGERS IRRIGATION SOLUTION,92.95,54.84,11.31,83.66,23
CDM,0264-2304-00,ACETIC ACID 0.25 % IRRIGATION SOLUTION,40.0,23.6,4.87,36.0,23
CDM,0264-3103-11,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,44.7,26.37,5.44,40.23,23
CDM,0264-3105-11,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,53.63,31.64,6.52,48.27,23
CDM,0264-3125-11,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,110.18,65.01,13.4,99.16,23
CDM,0264-3153-11,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,73.33,43.26,8.92,66.0,23
CDM,0264-4100-90,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",28.0,16.52,3.41,25.2,23
CDM,0264-4204-52,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,16.25,9.59,1.98,14.63,23
CDM,0264-4400-54,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,14.0,8.26,1.7,12.6,23
CDM,0264-4460-00,FAT EMULSION 20 % INTRAVENOUS,180.0,106.2,21.9,162.0,23
CDM,0264-4460-10,FAT EMULSION 20 % INTRAVENOUS,97.5,57.53,11.86,87.75,23
CDM,0264-4460-30,FAT EMULSION 20 % INTRAVENOUS,73.75,43.51,8.97,66.38,23
CDM,0264-4500-00,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,185.0,109.15,22.5,166.5,23
CDM,0264-4500-05,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,280.0,165.2,34.06,252.0,23
CDM,0264-5535-32,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,15.0,8.85,1.82,13.5,23
CDM,0264-5802-00,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-5802-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-7055-10,CHLOROPROCAINE (PF) 10 MG/ML (1 %) INTRATHECAL SOLUTION,2.68,1.58,0.33,2.41,23
CDM,0264-7385-60,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",60.0,35.4,7.3,54.0,23
CDM,0264-7387-50,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,70.0,41.3,8.52,63.0,23
CDM,0264-7510-00,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0264-7510-10,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,17.5,10.33,2.13,15.75,23
CDM,0264-7510-20,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,16.25,9.59,1.98,14.63,23
CDM,0264-7520-10,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,22.5,13.28,2.74,20.25,23
CDM,0264-7520-20,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,18.75,11.06,2.28,16.88,23
CDM,0264-7578-10,MANNITOL 20 % INTRAVENOUS SOLUTION,250.0,147.5,30.41,225.0,23
CDM,0264-7610-00,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0264-7612-00,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-7612-10,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0264-7614-10,DEXTROSE 5% AND 0.3 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,30.0,17.7,3.65,27.0,23
CDM,0264-7623-20,DEXTROSE 10 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-7625-00,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,50.0,29.5,6.08,45.0,23
CDM,0264-7634-00,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,45.0,26.55,5.47,40.5,23
CDM,0264-7635-00,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,25.0,14.75,3.04,22.5,23
CDM,0264-7636-00,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,45.0,26.55,5.47,40.5,23
CDM,0264-7638-00,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,45.0,26.55,5.47,40.5,23
CDM,0264-7652-00,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,25.0,14.75,3.04,22.5,23
CDM,0264-7750-00,LACTATED RINGERS INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-7750-10,LACTATED RINGERS INTRAVENOUS SOLUTION,17.5,10.33,2.13,15.75,23
CDM,0264-7750-20,LACTATED RINGERS INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0264-7751-00,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-7780-00,RINGER'S INTRAVENOUS SOLUTION,50.0,29.5,6.08,45.0,23
CDM,0264-7800-00,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-7800-09,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0264-7800-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,17.5,10.33,2.13,15.75,23
CDM,0264-7800-20,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,13.75,8.11,1.67,12.38,23
CDM,0264-7802-00,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0264-7802-10,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0264-7805-10,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0264-7850-00,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",20.0,11.8,2.43,18.0,23
CDM,0264-7850-10,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",20.0,11.8,2.43,18.0,23
CDM,0264-7865-00,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,25.0,14.75,3.04,22.5,23
CDM,0264-9375-88,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,4.7,2.77,0.57,4.23,23
CDM,0264-9577-10,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",82.5,48.68,10.04,74.25,23
CDM,0264-9587-20,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",71.25,42.04,8.67,64.13,23
CDM,0264-9598-20,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,35.0,20.65,4.26,31.5,23
CDM,0264-9872-10,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",20.0,11.8,2.43,18.0,23
CDM,0268-0247-05,HISTAMINE 0.1 MG/ML MULTIDOSE VIAL,1980.0,1168.2,240.86,1782.0,23
CDM,0268-0248-05,HISTAMINE 0.1 MG/ML (0.275 MG/ML) INTRADERMAL INJECTION SOLUTION,1720.0,1014.8,209.23,1548.0,23
CDM,0268-0248-07,HISTAMINE 1 MG/ML SKIN PRICK TEST,560.0,330.4,68.12,504.0,23
CDM,0268-0249-01,GLYCERIN 50% IN SODIUM CHLORIDE 0.9%,155.0,91.45,18.85,139.5,23
CDM,0270-0149-57,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,138.0,81.42,16.79,124.2,23
CDM,0270-0149-60,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,92.0,54.28,11.19,82.8,23
CDM,0270-0445-35,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,60.45,35.67,7.35,54.41,23
CDM,0270-0445-40,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,96.0,56.64,11.68,86.4,23
CDM,0270-0523-30,IODIPAMIDE AND DIATRIZOATE MEGLUMINE 52.7 %-26.8 % INJECTION SOLUTION,249.25,147.06,30.32,224.33,23
CDM,0270-0556-15,SINCALIDE 5 MCG SOLUTION FOR INJECTION,604.44,356.62,73.53,544.0,23
CDM,0270-1111-01,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,122.1,72.04,14.85,109.89,23
CDM,0270-1111-04,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,61.05,36.02,7.43,54.95,23
CDM,0270-1315-30,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,108.5,64.02,13.2,97.65,23
CDM,0270-1315-35,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,195.5,115.35,23.78,175.95,23
CDM,0270-1315-41,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,306.0,180.54,37.22,275.4,23
CDM,0270-1316-30,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,118.0,69.62,14.35,106.2,23
CDM,0270-1316-35,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,228.0,134.52,27.74,205.2,23
CDM,0270-1317-02,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,19.0,11.21,2.31,17.1,23
CDM,0270-1317-41,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,347.0,204.73,42.21,312.3,23
CDM,0270-1411-25,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,228.9,135.05,27.84,206.01,23
CDM,0270-1412-15,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,262.05,154.61,31.88,235.85,23
CDM,0270-5164-12,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,67.73,39.96,8.24,60.96,23
CDM,0270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,135.45,79.92,16.48,121.91,23
CDM,0270-5164-14,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,199.73,117.84,24.3,179.76,23
CDM,0270-5164-15,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,266.3,157.12,32.39,239.67,23
CDM,0270-7020-38,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,86.97,51.31,10.58,78.27,23
CDM,0270-7025-40,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,213.72,126.09,26.0,192.35,23
CDM,0270-7030-42,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,284.95,168.12,34.66,256.46,23
CDM,0270-7097-07,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,387.14,228.41,47.09,348.43,23
CDM,0270-7097-08,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,387.14,228.41,47.09,348.43,23
CDM,0270-7099-16,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,387.14,228.41,47.09,348.43,23
CDM,0273-0104-10,AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION,12.4,7.32,1.51,11.16,23
CDM,0280-0210-01,CAMPHOR-PHENOL 10.8 %-4.7 % TOPICAL SOLUTION,16.17,9.54,1.97,14.55,23
CDM,0281-0326-08,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,10.16,5.99,1.24,9.14,23
CDM,0281-0326-30,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,156.9,92.57,19.09,141.21,23
CDM,0281-0326-60,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,313.8,185.14,38.17,282.42,23
CDM,0281020502,SURGICAL LUBRICANT JELLY TOPICAL,7.66,4.52,0.93,6.89,23
CDM,0281020512,SURGICAL LUBRICANT JELLY TOPICAL,8.23,4.86,1.0,7.41,23
CDM,0281020536,SURGICAL LUBRICANT JELLY TOPICAL,12.66,7.47,1.54,11.39,23
CDM,0281020543,SURGICAL LUBRICANT JELLY TOPICAL,0.53,0.31,0.06,0.48,23
CDM,0281020545,SURGICAL LUBRICANT JELLY TOPICAL,0.78,0.46,0.09,0.7,23
CDM,0283-0610-11,BENZOCAINE 20 % MUCOSAL SPRAY,49.75,29.35,6.05,44.78,23
CDM,0283-0610-26,BENZOCAINE 20 % MUCOSAL SPRAY,46.67,27.54,5.68,42.0,23
CDM,0283-0610-43,BENZOCAINE 20 % MUCOSAL SPRAY,49.75,29.35,6.05,44.78,23
CDM,0283-0871-31,BENZOCAINE 20 % MUCOSAL GEL,34.35,20.27,4.18,30.92,23
CDM,0295134796,WHITE PETROLATUM TOPICAL OINTMENT,25.65,15.13,3.12,23.09,23
CDM,0299-3820-60,METRONIDAZOLE 1 % TOPICAL GEL,1744.2,1029.08,212.17,1569.78,23
CDM,0299-3848-02,CLOBETASOL 0.05 % LOTION,2432.87,1435.39,295.95,2189.58,23
CDM,0299-5962-30,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,2290.0,1351.1,278.57,2061.0,23
CDM,0299024133,VIT E-GLYCERIN-DIMETHICONE LOTION,55.25,32.6,6.72,49.73,23
CDM,0299391808,VIT E-GLYCERIN-DIMETHICONE LOTION,27.26,16.08,3.32,24.53,23
CDM,0299391816,VIT E-GLYCERIN-DIMETHICONE LOTION,44.94,26.51,5.47,40.45,23
CDM,0310-0095-30,ROFLUMILAST 500 MCG TABLET,61.35,36.2,7.46,55.22,23
CDM,0310-0095-90,ROFLUMILAST 500 MCG TABLET,61.35,36.2,7.46,55.22,23
CDM,0310-0272-10,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,58.27,34.38,7.09,52.44,23
CDM,0310-0274-60,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,76.41,45.08,9.29,68.77,23
CDM,0310-0280-60,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",37.66,22.22,4.58,33.89,23
CDM,0310-0281-60,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",63.87,37.68,7.77,57.48,23
CDM,0310-0282-60,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",70.3,41.48,8.55,63.27,23
CDM,0310-0283-60,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",90.21,53.22,10.97,81.19,23
CDM,0310-0284-60,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",106.01,62.55,12.9,95.41,23
CDM,0310-0720-10,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,4491.8,2650.16,546.4,4042.62,23
CDM,0310-1105-01,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,21.43,12.64,2.61,19.29,23
CDM,0310-1105-30,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,21.43,12.64,2.61,19.29,23
CDM,0310-1110-01,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,21.43,12.64,2.61,19.29,23
CDM,0310-1110-30,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,21.43,12.64,2.61,19.29,23
CDM,0310-1110-39,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,21.43,12.64,2.61,19.29,23
CDM,0310-1350-30,OSIMERTINIB 80 MG TABLET,2817.22,1662.16,342.7,2535.5,23
CDM,0310-1730-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,24764.8,14611.23,3012.51,22288.32,23
CDM,0310-1745-01,BENRALIZUMAB 10 MG/0.5 ML SUBCUTANEOUS SYRINGE,8254.95,4870.42,1004.17,7429.46,23
CDM,0310-3040-00,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,25820.0,15233.8,3140.87,23238.0,23
CDM,0310-3512-60,ACALABRUTINIB MALEATE 100 MG TABLET,1264.67,746.16,153.84,1138.2,23
CDM,0310-4500-12,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,4891.6,2886.04,595.04,4402.44,23
CDM,0310-4505-25,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,16367.8,9657.0,1991.06,14731.02,23
CDM,0310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,198900.0,117351.0,24195.14,179010.0,23
CDM,0310-4600-12,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1591.47,938.97,193.59,1432.32,23
CDM,0310-4611-50,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,20381.5,12025.09,2479.3,18343.35,23
CDM,0310-6205-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,60.68,35.8,7.38,54.61,23
CDM,0310-6210-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,60.68,35.8,7.38,54.61,23
CDM,0310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,51.73,30.52,6.29,46.56,23
CDM,0310-7370-20,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1000.17,590.1,121.67,900.15,23
CDM,0310-7372-20,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,874.86,516.17,106.42,787.37,23
CDM,0310-9501-01,CAPIVASERTIB 200 MG TABLET,1768.4,1043.36,215.12,1591.56,23
CDM,0316-0193-30,HYDROCORTISONE 2.5 % TOPICAL CREAM,19.2,11.33,2.34,17.28,23
CDM,0316-0225-30,MICONAZOLE NITRATE 2 % TOPICAL POWDER,21.68,12.79,2.64,19.51,23
CDM,0327-0001-10,OXYCHLOROSENE SODIUM TOPICAL POWDER FOR SOLUTION,21.34,12.59,2.6,19.21,23
CDM,0338-0003-44,"WATER FOR IRRIGATION, STERILE SOLUTION",15.0,8.85,1.82,13.5,23
CDM,0338-0003-47,"WATER FOR IRRIGATION, STERILE SOLUTION",30.0,17.7,3.65,27.0,23
CDM,0338-0004-02,"WATER FOR IRRIGATION, STERILE SOLUTION",7.5,4.43,0.91,6.75,23
CDM,0338-0004-03,"WATER FOR IRRIGATION, STERILE SOLUTION",7.5,4.43,0.91,6.75,23
CDM,0338-0004-04,"WATER FOR IRRIGATION, STERILE SOLUTION",10.0,5.9,1.22,9.0,23
CDM,0338-0008-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,92.15,54.37,11.21,82.94,23
CDM,0338-0013-04,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",10.0,5.9,1.22,9.0,23
CDM,0338-0013-06,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",20.0,11.8,2.43,18.0,23
CDM,0338-0013-08,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",45.0,26.55,5.47,40.5,23
CDM,0338-0013-29,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",75.0,44.25,9.12,67.5,23
CDM,0338-0017-02,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,6.25,3.69,0.76,5.63,23
CDM,0338-0017-03,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0017-04,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0017-10,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,6.88,4.06,0.84,6.19,23
CDM,0338-0017-11,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0338-0017-18,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0338-0017-31,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,6.0,3.54,0.73,5.4,23
CDM,0338-0017-38,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,6.0,3.54,0.73,5.4,23
CDM,0338-0017-41,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,7.0,4.13,0.85,6.3,23
CDM,0338-0017-48,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,7.0,4.13,0.85,6.3,23
CDM,0338-0023-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,8.75,5.16,1.06,7.88,23
CDM,0338-0023-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0023-04,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0043-03,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0043-04,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0047-27,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,62.7,36.99,7.63,56.43,23
CDM,0338-0047-44,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0047-46,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,55.0,32.45,6.69,49.5,23
CDM,0338-0047-47,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0338-0048-02,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0048-03,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0048-04,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0049-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,6.25,3.69,0.76,5.63,23
CDM,0338-0049-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0049-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,5.0,2.95,0.61,4.5,23
CDM,0338-0049-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,7.13,4.21,0.87,6.42,23
CDM,0338-0049-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0338-0049-18,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0338-0049-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,6.0,3.54,0.73,5.4,23
CDM,0338-0049-38,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,6.0,3.54,0.73,5.4,23
CDM,0338-0049-41,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,7.0,4.13,0.85,6.3,23
CDM,0338-0049-48,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,7.0,4.13,0.85,6.3,23
CDM,0338-0050-47,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,45.0,26.55,5.47,40.5,23
CDM,0338-0054-03,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0056-03,SODIUM CHLORIDE 5 % HYPERTONIC INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0063-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1428.35,842.73,173.75,1285.52,23
CDM,0338-0066-20,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,17.5,10.33,2.13,15.75,23
CDM,0338-0067-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",7802.0,4603.18,949.07,7021.8,23
CDM,0338-0069-10,KETOROLAC 15 MG/ML INJECTION SOLUTION,3.46,2.04,0.42,3.11,23
CDM,0338-0072-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,3.46,2.04,0.42,3.11,23
CDM,0338-0077-04,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0085-03,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0085-04,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0089-03,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0089-04,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0112-20,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,92.5,54.58,11.25,83.25,23
CDM,0338-0114-04,LACTATED RINGERS IRRIGATION SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0338-0116-20,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV,196.25,115.79,23.87,176.63,23
CDM,0338-0117-02,LACTATED RINGERS INTRAVENOUS SOLUTION,6.25,3.69,0.76,5.63,23
CDM,0338-0117-03,LACTATED RINGERS INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0122-04,VANCOMYCIN 1.25 GRAM/250 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,60.0,35.4,7.3,54.0,23
CDM,0338-0124-04,VANCOMYCIN 1.5 GRAM/300 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,75.0,44.25,9.12,67.5,23
CDM,0338-0125-03,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0338-0125-04,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,0338-0126-12,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION,77.5,45.73,9.43,69.75,23
CDM,0338-0137-27,LACTATED RINGERS IRRIGATION SOLUTION,66.6,39.29,8.1,59.94,23
CDM,0338-0221-03,ELECTROLYTE-A INTRAVENOUS SOLUTION,12.5,7.38,1.52,11.25,23
CDM,0338-0221-04,ELECTROLYTE-A INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0338-0289-47,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,30.0,17.7,3.65,27.0,23
CDM,0338-0295-47,SORBITOL 3 % IRRIGATION SOLUTION,30.0,17.7,3.65,27.0,23
CDM,0338-0322-01,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",331.7,195.7,40.35,298.53,23
CDM,0338-0353-03,MANNITOL 10 % INTRAVENOUS SOLUTION,45.0,26.55,5.47,40.5,23
CDM,0338-0357-03,MANNITOL 20 % INTRAVENOUS SOLUTION,72.5,42.78,8.82,65.25,23
CDM,0338-0409-03,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,30.0,17.7,3.65,27.0,23
CDM,0338-0411-02,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,16.25,9.59,1.98,14.63,23
CDM,0338-0424-18,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",15.0,8.85,1.82,13.5,23
CDM,0338-0431-03,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",12.5,7.38,1.52,11.25,23
CDM,0338-0502-03,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,262.5,154.88,31.93,236.25,23
CDM,0338-0502-06,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,210.0,123.9,25.55,189.0,23
CDM,0338-0503-48,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,9.5,5.61,1.16,8.55,23
CDM,0338-0505-48,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,0338-0507-41,GENTAMICIN 60 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,9.25,5.46,1.13,8.33,23
CDM,0338-0507-48,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,11.5,6.79,1.4,10.35,23
CDM,0338-0509-41,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,9.25,5.46,1.13,8.33,23
CDM,0338-0511-41,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,10.25,6.05,1.25,9.23,23
CDM,0338-0551-11,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,13.5,7.97,1.64,12.15,23
CDM,0338-0551-18,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,13.5,7.97,1.64,12.15,23
CDM,0338-0553-11,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,13.5,7.97,1.64,12.15,23
CDM,0338-0553-18,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,13.5,7.97,1.64,12.15,23
CDM,0338-0644-03,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,45.0,26.55,5.47,40.5,23
CDM,0338-0644-04,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,70.0,41.3,8.52,63.0,23
CDM,0338-0644-06,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,130.0,76.7,15.81,117.0,23
CDM,0338-0656-04,ACETIC ACID 0.25 % IRRIGATION SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0338-0663-04,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,15.0,8.85,1.82,13.5,23
CDM,0338-0669-04,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,15.0,8.85,1.82,13.5,23
CDM,0338-0671-04,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,10.0,5.9,1.22,9.0,23
CDM,0338-0675-04,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,15.0,8.85,1.82,13.5,23
CDM,0338-0683-04,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0338-0691-04,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,10.0,5.9,1.22,9.0,23
CDM,0338-0695-04,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,15.0,8.85,1.82,13.5,23
CDM,0338-0703-41,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,0338-0704-34,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,10.0,5.9,1.22,9.0,23
CDM,0338-0705-48,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,11.5,6.79,1.4,10.35,23
CDM,0338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,11.5,6.79,1.4,10.35,23
CDM,0338-0719-06,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,50.0,29.5,6.08,45.0,23
CDM,0338-0803-04,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,10.0,5.9,1.22,9.0,23
CDM,0338-0807-04,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,15.0,8.85,1.82,13.5,23
CDM,0338-0811-04,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,15.0,8.85,1.82,13.5,23
CDM,0338-1005-02,"DOPAMINE 16,000 MCG IN D5W 20ML (800 MCG/ML) IV SYRINGE INFUSION (NEWBORN)",30.0,17.7,3.65,27.0,23
CDM,0338-1007-02,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",38.75,22.86,4.71,34.88,23
CDM,0338-1009-02,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",55.0,32.45,6.69,49.5,23
CDM,0338-1023-41,PENICILLIN G POT 2 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,50.0,29.5,6.08,45.0,23
CDM,0338-1025-41,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,52.5,30.98,6.39,47.25,23
CDM,0338-1047-02,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS,48.75,28.76,5.93,43.88,23
CDM,0338-1049-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,51.25,30.24,6.23,46.13,23
CDM,0338-1051-02,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,57.5,33.93,6.99,51.75,23
CDM,0338-1055-48,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,8.0,4.72,0.97,7.2,23
CDM,0338-1073-02,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,27.5,16.23,3.35,24.75,23
CDM,0338-1075-02,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",43.75,25.81,5.32,39.38,23
CDM,0338-1077-02,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",67.5,39.83,8.21,60.75,23
CDM,0338-1130-03,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,87.5,51.63,10.64,78.75,23
CDM,0338-1130-04,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,155.0,91.45,18.85,139.5,23
CDM,0338-1130-06,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,270.0,159.3,32.84,243.0,23
CDM,0338-1305-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION,37.5,22.13,4.56,33.75,23
CDM,0338-1708-40,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,58.0,34.22,7.06,52.2,23
CDM,0338-1709-40,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,6.5,3.84,0.79,5.85,23
CDM,0338-1715-40,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,28.5,16.82,3.47,25.65,23
CDM,0338-3410-24,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,13.25,7.82,1.61,11.93,23
CDM,0338-3410-50,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,13.25,7.82,1.61,11.93,23
CDM,0338-3503-41,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,30.75,18.14,3.74,27.68,23
CDM,0338-3551-48,VANCOMYCIN 500 MG/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,34.1,20.12,4.15,30.69,23
CDM,0338-3552-48,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,46.0,27.14,5.6,41.4,23
CDM,0338-3580-48,VANCOMYCIN 750 MG/150 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,42.1,24.84,5.12,37.89,23
CDM,0338-3583-01,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,46.0,27.14,5.6,41.4,23
CDM,0338-3612-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,18.5,10.92,2.25,16.65,23
CDM,0338-3612-50,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,18.5,10.92,2.25,16.65,23
CDM,0338-3814-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,22.75,13.42,2.77,20.48,23
CDM,0338-3814-50,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,22.75,13.42,2.77,20.48,23
CDM,0338-3993-01,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,484.75,286.0,58.97,436.28,23
CDM,0338-4301-02,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYNTHETC-CALCIUM 2 ML TOPICAL KIT,881.2,519.91,107.19,793.08,23
CDM,0338-4302-04,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYNTHETC-CALCIUM 4 ML TOPICAL KIT,1513.15,892.76,184.07,1361.84,23
CDM,0338-5002-41,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,268.75,158.56,32.69,241.88,23
CDM,0338-5003-41,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK,470.5,277.6,57.23,423.45,23
CDM,0338-5197-41,FAMOTIDINE (PF) 20 MG/50 ML IN 0.9 % NACL (ISO) INTRAVENOUS PIGGYBACK,8.75,5.16,1.06,7.88,23
CDM,0338-6011-37,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,107.0,63.13,13.02,96.3,23
CDM,0338-6045-37,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,31.0,18.29,3.77,27.9,23
CDM,0338-6046-48,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,28.0,16.52,3.41,25.2,23
CDM,0338-9143-30,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,14.5,8.56,1.76,13.05,23
CDM,0338-9147-30,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,14.5,8.56,1.76,13.05,23
CDM,0338-9151-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,14.5,8.56,1.76,13.05,23
CDM,0338-9159-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,14.5,8.56,1.76,13.05,23
CDM,0338-9543-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,1.25,0.74,0.15,1.13,23
CDM,0338-9543-04,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,5.0,2.95,0.61,4.5,23
CDM,0338-9543-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,7.58,4.47,0.92,6.82,23
CDM,0338-9543-06,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,5.0,2.95,0.61,4.5,23
CDM,0338-9545-24,CLINDAMYCIN 300 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,14.75,8.7,1.79,13.28,23
CDM,0338-9549-24,CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,22.25,13.13,2.71,20.03,23
CDM,0338-9553-24,CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,26.5,15.64,3.22,23.85,23
CDM,0338-9555-24,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,60.75,35.84,7.39,54.68,23
CDM,0338-9557-12,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,81.5,48.09,9.91,73.35,23
CDM,0338-9560-01,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 2 ML TOPICAL SYRINGE,821.2,484.51,99.89,739.08,23
CDM,0338-9564-01,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE,1383.8,816.44,168.33,1245.42,23
CDM,0338-9567-60,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0338-9568-01,THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 10 ML TOPICAL SYRINGE,3395.15,2003.14,413.0,3055.64,23
CDM,0338-9632-01,PIPERACILLIN-TAZOBACTAM 2.25 GRAM/50 ML IN DEXTROSE(ISO) IV PIGGYBACK,37.75,22.27,4.59,33.98,23
CDM,0338-9632-24,PIPERACILLIN-TAZOBACTAM 2.25 GRAM/50 ML IN DEXTROSE(ISO) IV PIGGYBACK,37.75,22.27,4.59,33.98,23
CDM,0338-9636-01,PIPERACILLIN-TAZOBACTAM 3.375 GRAM/50 ML DEXTROSE(ISO-OS) IV PIGGYBACK,49.25,29.06,5.99,44.33,23
CDM,0338-9636-24,PIPERACILLIN-TAZOBACTAM 3.375 GRAM/50 ML DEXTROSE(ISO-OS) IV PIGGYBACK,49.25,29.06,5.99,44.33,23
CDM,0338-9637-01,THROMBIN(HUM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(2ML) TOPICAL SYR,1144.6,675.31,139.23,1030.14,23
CDM,0338-9638-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK,61.5,36.29,7.48,55.35,23
CDM,0338-9638-12,PIPERACILLIN-TAZOBACTAM 4.5 GRAM/100 ML DEXTROSE(ISO-OSM) IV PIGGYBACK,61.5,36.29,7.48,55.35,23
CDM,0338-9639-01,THROMBIN(HUM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(4ML) TOPICAL SYR,1949.4,1150.15,237.13,1754.46,23
CDM,0338-9641-01,THROMBIN(HM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(10ML) TOPICAL SYR,4362.9,2574.11,530.72,3926.61,23
CDM,0338-9647-12,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV,520.5,307.1,63.32,468.45,23
CDM,0338-9791-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,0362-0262-05,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:50,000 INJECTION CARTRIDGE",4.8,2.83,0.58,4.32,23
CDM,0362-0557-05,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",8.91,5.26,1.08,8.02,23
CDM,0362-9011-50,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",7.6,4.48,0.92,6.84,23
CDM,0363-0133-38,MAGNESIUM CITRATE ORAL SOLUTION,7.4,4.37,0.9,6.66,23
CDM,0363-0165-22,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",4.67,2.76,0.57,4.2,23
CDM,0363-0207-65,FAMOTIDINE 10 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,0363-0304-10,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),24.95,14.72,3.04,22.46,23
CDM,0363-0379-34,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,32.45,19.15,3.95,29.21,23
CDM,0363-0442-09,DEXTROMETHORPHAN HBR 15 MG CAPSULE,1.5,0.89,0.18,1.35,23
CDM,0363-0447-01,ACETAMINOPHEN 80 MG DISINTEGRATING TABLET,0.19,0.11,0.02,0.17,23
CDM,0363-0667-38,MAGNESIUM CITRATE ORAL SOLUTION,11.46,6.76,1.39,10.31,23
CDM,0363-0871-43,HYDROGEN PEROXIDE 3 % SOLUTION,11.83,6.98,1.44,10.65,23
CDM,0363-6771-57,ZINC OXIDE 40 % TOPICAL OINTMENT,16.25,9.59,1.98,14.63,23
CDM,0363-7142-01,ZINC OXIDE 40 % TOPICAL OINTMENT,6.56,3.87,0.8,5.9,23
CDM,0372-0006-04,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,19.8,11.68,2.41,17.82,23
CDM,0378-0014-01,METHOTREXATE SODIUM 2.5 MG TABLET,10.85,6.4,1.32,9.77,23
CDM,0378-0018-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0378-0023-01,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,0378-0023-05,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,0378-0032-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0378-0047-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,0378-0053-01,CIMETIDINE 200 MG TABLET,1.65,0.97,0.2,1.49,23
CDM,0378-0055-01,TIMOLOL 5 MG TABLET,5.11,3.01,0.62,4.6,23
CDM,0378-0078-01,CARBIDOPA 10 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,1.21,0.71,0.15,1.09,23
CDM,0378-0085-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,1.37,0.81,0.17,1.23,23
CDM,0378-0088-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",1.55,0.91,0.19,1.4,23
CDM,0378-0094-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",6.48,3.82,0.79,5.83,23
CDM,0378-0135-05,DILTIAZEM IMMEDIATE RELEASE 90 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,0378-0137-01,ALLOPURINOL 100 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,0378-0144-91,TAMOXIFEN 10 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,0378-0156-01,PROBENECID 500 MG TABLET,2.92,1.72,0.36,2.63,23
CDM,0378-0182-01,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,0378-0182-10,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,0378-0183-01,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,1.65,0.97,0.2,1.49,23
CDM,0378-0183-10,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,1.65,0.97,0.2,1.49,23
CDM,0378-0184-01,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,0378-0185-01,PROPRANOLOL IMMEDIATE RELEASE 80 MG TABLET,3.13,1.85,0.38,2.82,23
CDM,0378-0187-01,PROPRANOLOL IMMEDIATE RELEASE 60 MG TABLET,4.11,2.42,0.5,3.7,23
CDM,0378-0213-01,CHLORTHALIDONE 50 MG TABLET,3.16,1.86,0.38,2.84,23
CDM,0378-0214-01,HALOPERIDOL 2 MG TABLET,2.33,1.37,0.28,2.1,23
CDM,0378-0216-01,FUROSEMIDE 40 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,0378-0218-01,ATENOLOL 25 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,0378-0221-01,TIMOLOL 10 MG TABLET,6.31,3.72,0.77,5.68,23
CDM,0378-0222-01,CHLORTHALIDONE 25 MG TABLET,2.29,1.35,0.28,2.06,23
CDM,0378-0222-10,CHLORTHALIDONE 25 MG TABLET,4.45,2.63,0.54,4.01,23
CDM,0378-0257-01,HALOPERIDOL 1 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,0378-0327-01,HALOPERIDOL 5 MG TABLET,3.78,2.23,0.46,3.4,23
CDM,0378-0351-01,HALOPERIDOL 0.5 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,0378-0433-01,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,0378-0435-01,BUPROPION HCL IMMEDIATE RELEASE 100 MG TABLET,3.1,1.83,0.38,2.79,23
CDM,0378-0437-01,SPIRONOLACTONE 100 MG TABLET,3.54,2.09,0.43,3.19,23
CDM,0378-0472-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",2.32,1.37,0.28,2.09,23
CDM,0378-0473-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",4.64,2.74,0.56,4.18,23
CDM,0378-0525-01,DILTIAZEM IMMEDIATE RELEASE 120 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,0378-0531-01,SULINDAC 200 MG TABLET,1.5,0.89,0.18,1.35,23
CDM,0378-0577-01,AMILORIDE 5 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,0378-0611-01,METHYLDOPA 250 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,0378-0612-01,THIORIDAZINE 10 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,0378-0614-01,THIORIDAZINE 25 MG TABLET,2.62,1.55,0.32,2.36,23
CDM,0378-0616-01,THIORIDAZINE 50 MG TABLET,2.96,1.75,0.36,2.66,23
CDM,0378-0618-01,THIORIDAZINE 100 MG TABLET,2.83,1.67,0.34,2.55,23
CDM,0378-0640-01,PREDNISONE 5 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,0378-0641-10,PREDNISONE 10 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,0378-0711-01,METHYLDOPA 250 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,7.98,4.71,0.97,7.18,23
CDM,0378-0715-01,TIMOLOL 20 MG TABLET,11.65,6.87,1.42,10.49,23
CDM,0378-0757-01,ATENOLOL 100 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,0378-0825-01,CLOZAPINE 25 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,0378-0860-01,CLOZAPINE 100 MG TABLET,4.07,2.4,0.5,3.66,23
CDM,0378-0871-16,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,66.28,39.11,8.06,59.65,23
CDM,0378-0871-99,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,66.28,39.11,8.06,59.65,23
CDM,0378-0872-16,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,102.49,60.47,12.47,92.24,23
CDM,0378-0872-99,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,102.49,60.47,12.47,92.24,23
CDM,0378-0873-16,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,134.03,79.08,16.3,120.63,23
CDM,0378-0873-99,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,134.03,79.08,16.3,120.63,23
CDM,0378-0972-01,CLOZAPINE 50 MG TABLET,3.33,1.96,0.41,3.0,23
CDM,0378-0973-01,CLOZAPINE 200 MG TABLET,8.32,4.91,1.01,7.49,23
CDM,0378-1020-77,NICARDIPINE 20 MG CAPSULE,8.27,4.88,1.01,7.44,23
CDM,0378-1049-01,DOXEPIN 10 MG CAPSULE,2.17,1.28,0.26,1.95,23
CDM,0378-1086-01,COLCHICINE 0.6 MG TABLET,9.37,5.53,1.14,8.43,23
CDM,0378-1101-01,PRAZOSIN 1 MG CAPSULE,2.48,1.46,0.3,2.23,23
CDM,0378-1101-10,PRAZOSIN 1 MG CAPSULE,2.48,1.46,0.3,2.23,23
CDM,0378-1134-01,KETOROLAC 10 MG TABLET,8.4,4.96,1.02,7.56,23
CDM,0378-1140-01,BUSPIRONE 5 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,0378-1145-01,BUSPIRONE 7.5 MG TABLET,2.1,1.24,0.26,1.89,23
CDM,0378-1150-01,BUSPIRONE 10 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,0378-1165-91,BUSPIRONE 15 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,0378-1201-78,SORAFENIB 200 MG TABLET,461.14,272.07,56.1,415.03,23
CDM,0378-1258-91,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",27.04,15.95,3.29,24.34,23
CDM,0378-1355-01,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,0378-1430-05,NICARDIPINE 30 MG CAPSULE,11.57,6.83,1.41,10.41,23
CDM,0378-1430-77,NICARDIPINE 30 MG CAPSULE,11.84,6.99,1.44,10.66,23
CDM,0378-1454-01,ESTRADIOL 1 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,0378-1560-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,2.38,1.4,0.29,2.14,23
CDM,0378-1570-01,TERAZOSIN 10 MG CAPSULE,0.94,0.55,0.11,0.85,23
CDM,0378-1626-93,VORICONAZOLE 50 MG TABLET,44.02,25.97,5.35,39.62,23
CDM,0378-1704-05,PRAMIPEXOLE 0.125 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,0378-1707-05,PRAMIPEXOLE 0.5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,0378-1800-77,LEVOTHYROXINE 25 MCG TABLET,1.32,0.78,0.16,1.19,23
CDM,0378-1803-77,LEVOTHYROXINE 50 MCG TABLET,1.43,0.84,0.17,1.29,23
CDM,0378-1805-10,LEVOTHYROXINE 75 MCG TABLET,1.6,0.94,0.19,1.44,23
CDM,0378-1805-77,LEVOTHYROXINE 75 MCG TABLET,1.57,0.93,0.19,1.41,23
CDM,0378-1807-77,LEVOTHYROXINE 88 MCG TABLET,1.62,0.96,0.2,1.46,23
CDM,0378-1809-77,LEVOTHYROXINE 100 MCG TABLET,1.7,1.0,0.21,1.53,23
CDM,0378-1811-77,LEVOTHYROXINE 112 MCG TABLET,1.68,0.99,0.2,1.51,23
CDM,0378-1813-10,LEVOTHYROXINE 125 MCG TABLET,1.98,1.17,0.24,1.78,23
CDM,0378-1813-77,LEVOTHYROXINE 125 MCG TABLET,1.85,1.09,0.23,1.67,23
CDM,0378-1815-77,LEVOTHYROXINE 150 MCG TABLET,2.04,1.2,0.25,1.84,23
CDM,0378-1817-10,LEVOTHYROXINE 175 MCG TABLET,2.25,1.33,0.27,2.03,23
CDM,0378-1819-77,LEVOTHYROXINE 200 MCG TABLET,2.33,1.37,0.28,2.1,23
CDM,0378-1821-77,LEVOTHYROXINE 300 MCG TABLET,2.99,1.76,0.36,2.69,23
CDM,0378-1823-77,LEVOTHYROXINE 137 MCG TABLET,1.98,1.17,0.24,1.78,23
CDM,0378-1901-01,MIDODRINE 2.5 MG TABLET,3.76,2.22,0.46,3.38,23
CDM,0378-1902-01,MIDODRINE 5 MG TABLET,3.52,2.08,0.43,3.17,23
CDM,0378-1905-77,ROFLUMILAST 500 MCG TABLET,19.64,11.59,2.39,17.68,23
CDM,0378-1905-93,ROFLUMILAST 500 MCG TABLET,19.64,11.59,2.39,17.68,23
CDM,0378-2046-01,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,4.34,2.56,0.53,3.91,23
CDM,0378-2047-01,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,21.59,12.74,2.63,19.43,23
CDM,0378-2085-93,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",40.26,23.75,4.9,36.23,23
CDM,0378-2086-77,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",40.26,23.75,4.9,36.23,23
CDM,0378-2086-93,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",40.26,23.75,4.9,36.23,23
CDM,0378-2096-01,"NISOLDIPINE ER 8.5 MG TABLET,EXTENDED RELEASE 24 HR",21.23,12.53,2.58,19.11,23
CDM,0378-2100-01,LOPERAMIDE 2 MG CAPSULE,1.7,1.0,0.21,1.53,23
CDM,0378-2100-05,LOPERAMIDE 2 MG CAPSULE,1.7,1.0,0.21,1.53,23
CDM,0378-2146-01,SPIRONOLACTONE 25 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0378-2150-01,MECLOFENAMATE 50 MG CAPSULE,15.45,9.12,1.88,13.91,23
CDM,0378-2222-01,"NISOLDIPINE ER 20 MG TABLET,EXTENDED RELEASE 24 HR",41.37,24.41,5.03,37.23,23
CDM,0378-2246-93,IMATINIB 400 MG TABLET,54.21,31.98,6.59,48.79,23
CDM,0378-2264-01,TERAZOSIN 2 MG CAPSULE,0.94,0.55,0.11,0.85,23
CDM,0378-2302-01,PRAZOSIN 2 MG CAPSULE,3.66,2.16,0.45,3.29,23
CDM,0378-2350-77,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",3.91,2.31,0.48,3.52,23
CDM,0378-2351-93,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",3.91,2.31,0.48,3.52,23
CDM,0378-2401-01,TRIFLUOPERAZINE 1 MG TABLET,2.82,1.66,0.34,2.54,23
CDM,0378-2402-01,TRIFLUOPERAZINE 2 MG TABLET,4.16,2.45,0.51,3.74,23
CDM,0378-2405-01,TRIFLUOPERAZINE 5 MG TABLET,3.89,2.3,0.47,3.5,23
CDM,0378-2410-01,TRIFLUOPERAZINE 10 MG TABLET,7.89,4.66,0.96,7.1,23
CDM,0378-2921-93,TELMISARTAN 40 MG TABLET,4.97,2.93,0.6,4.47,23
CDM,0378-3022-01,CAPTOPRIL 100 MG TABLET,11.47,6.77,1.4,10.32,23
CDM,0378-3065-77,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,0378-3125-01,DOXEPIN 25 MG CAPSULE,2.86,1.69,0.35,2.57,23
CDM,0378-3205-01,PRAZOSIN 5 MG CAPSULE,6.04,3.56,0.73,5.44,23
CDM,0378-3224-77,CANDESARTAN 4 MG TABLET,5.87,3.46,0.71,5.28,23
CDM,0378-3224-93,CANDESARTAN 4 MG TABLET,5.87,3.46,0.71,5.28,23
CDM,0378-3232-77,CANDESARTAN 32 MG TABLET,7.84,4.63,0.95,7.06,23
CDM,0378-3232-93,CANDESARTAN 32 MG TABLET,6.7,3.95,0.82,6.03,23
CDM,0378-3266-32,ETOPOSIDE 50 MG CAPSULE,349.0,205.91,42.45,314.1,23
CDM,0378-3266-94,ETOPOSIDE 50 MG CAPSULE,349.0,205.91,42.45,314.1,23
CDM,0378-3349-16,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,67.53,39.84,8.21,60.78,23
CDM,0378-3349-99,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,67.53,39.84,8.21,60.78,23
CDM,0378-3350-16,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,67.35,39.74,8.19,60.62,23
CDM,0378-3350-99,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,67.35,39.74,8.19,60.62,23
CDM,0378-3351-16,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,65.62,38.72,7.98,59.06,23
CDM,0378-3351-99,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,65.62,38.72,7.98,59.06,23
CDM,0378-3352-16,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,67.45,39.8,8.2,60.71,23
CDM,0378-3352-99,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,67.45,39.8,8.2,60.71,23
CDM,0378-3360-16,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,73.13,43.15,8.9,65.82,23
CDM,0378-3360-99,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,73.13,43.15,8.9,65.82,23
CDM,0378-3361-99,ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH,65.34,38.55,7.95,58.81,23
CDM,0378-3431-93,ARMODAFINIL 50 MG TABLET,4.02,2.37,0.49,3.62,23
CDM,0378-3432-93,ARMODAFINIL 150 MG TABLET,6.09,3.59,0.74,5.48,23
CDM,0378-3515-01,MIRTAZAPINE 15 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,0378-3547-52,MERCAPTOPURINE 50 MG TABLET,8.41,4.96,1.02,7.57,23
CDM,0378-3635-01,CETIRIZINE 5 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,0378-3637-01,CETIRIZINE 10 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,0378-3813-01,CLOZAPINE 25 MG DISINTEGRATING TABLET,8.48,5.0,1.03,7.63,23
CDM,0378-3815-01,CLOZAPINE 100 MG DISINTEGRATING TABLET,24.89,14.69,3.03,22.4,23
CDM,0378-3817-01,CLOZAPINE 200 MG DISINTEGRATING TABLET,106.06,62.58,12.9,95.45,23
CDM,0378-3857-77,ESCITALOPRAM 20 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,0378-3950-77,ATORVASTATIN 10 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,0378-3951-77,ATORVASTATIN 20 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,0378-3952-77,ATORVASTATIN 40 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,0378-3953-05,ATORVASTATIN 80 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,0378-3953-77,ATORVASTATIN 80 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,0378-4010-01,TEMAZEPAM 15 MG CAPSULE,0.44,0.26,0.05,0.4,23
CDM,0378-4105-91,ABACAVIR 300 MG TABLET,10.02,5.91,1.22,9.02,23
CDM,0378-4122-01,"ALBUTEROL SULFATE ER 4 MG TABLET,EXTENDED RELEASE,12 HR",6.6,3.89,0.8,5.94,23
CDM,0378-4145-91,RILUZOLE 50 MG TABLET,13.05,7.7,1.59,11.75,23
CDM,0378-4151-01,TRAMADOL 50 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,0378-4162-01,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,26.36,15.55,3.21,23.72,23
CDM,0378-4250-01,DOXEPIN 50 MG CAPSULE,4.07,2.4,0.5,3.66,23
CDM,0378-4275-77,VALACYCLOVIR 500 MG TABLET,1.79,1.06,0.22,1.61,23
CDM,0378-4275-93,VALACYCLOVIR 500 MG TABLET,1.86,1.1,0.23,1.67,23
CDM,0378-4276-77,VALACYCLOVIR 1 GRAM TABLET,2.83,1.67,0.34,2.55,23
CDM,0378-4288-32,ELETRIPTAN 40 MG TABLET,55.37,32.67,6.74,49.83,23
CDM,0378-4288-85,ELETRIPTAN 40 MG TABLET,55.37,32.67,6.74,49.83,23
CDM,0378-4472-01,MYCOPHENOLATE MOFETIL 500 MG TABLET,4.18,2.47,0.51,3.76,23
CDM,0378-4500-93,"BUDESONIDE DR-ER 9 MG TABLET,DELAYED AND EXTENDED RELEASE",239.22,141.14,29.1,215.3,23
CDM,0378-4546-01,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,3.45,2.04,0.42,3.11,23
CDM,0378-4561-05,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",1.02,0.6,0.12,0.92,23
CDM,0378-4595-77,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.46,2.04,0.42,3.11,23
CDM,0378-4597-10,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",5.77,3.4,0.7,5.19,23
CDM,0378-4640-16,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.33,21.43,4.42,32.7,23
CDM,0378-4640-26,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.33,21.43,4.42,32.7,23
CDM,0378-4641-16,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.32,21.43,4.42,32.69,23
CDM,0378-4641-26,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.32,21.43,4.42,32.69,23
CDM,0378-4642-26,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.1,21.3,4.39,32.49,23
CDM,0378-4643-26,ESTRADIOL 0.0375 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.24,21.38,4.41,32.62,23
CDM,0378-4644-26,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.24,21.38,4.41,32.62,23
CDM,0378-4791-06,FLUOROURACIL 5 % TOPICAL CREAM,1091.0,643.69,132.71,981.9,23
CDM,0378-5050-01,TEMAZEPAM 30 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,0378-5051-01,CARBIDOPA 10 MG-LEVODOPA 100 MG DISINTEGRATING TABLET,3.6,2.12,0.44,3.24,23
CDM,0378-5052-01,CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET,4.06,2.4,0.49,3.65,23
CDM,0378-5053-01,CARBIDOPA 25 MG-LEVODOPA 250 MG DISINTEGRATING TABLET,5.17,3.05,0.63,4.65,23
CDM,0378-5089-73,VARENICLINE TARTRATE 0.5 MG TABLET,7.82,4.61,0.95,7.04,23
CDM,0378-5090-73,VARENICLINE TARTRATE 1 MG TABLET,7.82,4.61,0.95,7.04,23
CDM,0378-5185-93,PRASUGREL HCL 5 MG TABLET,4.64,2.74,0.56,4.18,23
CDM,0378-5208-77,AMLODIPINE 2.5 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,0378-5353-01,PERPHENAZINE 16 MG TABLET,4.69,2.77,0.57,4.22,23
CDM,0378-5375-01,DOXEPIN 75 MG CAPSULE,6.26,3.69,0.76,5.63,23
CDM,0378-5573-05,MODAFINIL 100 MG TABLET,11.42,6.74,1.39,10.28,23
CDM,0378-5575-93,MODAFINIL 200 MG TABLET,14.65,8.64,1.78,13.19,23
CDM,0378-5615-78,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,1.68,0.99,0.2,1.51,23
CDM,0378-5630-59,SUMATRIPTAN 25 MG TABLET,4.06,2.4,0.49,3.65,23
CDM,0378-5807-93,VALSARTAN 40 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,0378-5813-77,VALSARTAN 80 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,0378-5814-77,VALSARTAN 160 MG TABLET,2.05,1.21,0.25,1.85,23
CDM,0378-5815-77,VALSARTAN 320 MG TABLET,2.56,1.51,0.31,2.3,23
CDM,0378-6141-44,TRETINOIN 0.025 % TOPICAL CREAM,397.3,234.41,48.33,357.57,23
CDM,0378-6156-01,DIGOXIN 250 MCG (0.25 MG) TABLET,5.5,3.25,0.67,4.95,23
CDM,0378-6156-10,DIGOXIN 250 MCG (0.25 MG) TABLET,4.6,2.71,0.56,4.14,23
CDM,0378-6172-01,METOLAZONE 2.5 MG TABLET,8.36,4.93,1.02,7.52,23
CDM,0378-6173-01,METOLAZONE 5 MG TABLET,9.5,5.61,1.16,8.55,23
CDM,0378-6174-01,METOLAZONE 10 MG TABLET,11.38,6.71,1.38,10.24,23
CDM,0378-6231-01,CITALOPRAM 10 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,0378-6232-01,CITALOPRAM 20 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,0378-6233-01,CITALOPRAM 40 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0378-6273-01,METOLAZONE 5 MG TABLET,6.25,3.69,0.76,5.63,23
CDM,0378-6320-01,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",6.74,3.98,0.82,6.07,23
CDM,0378-6333-80,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",3.79,2.24,0.46,3.41,23
CDM,0378-6410-01,DOXEPIN 100 MG CAPSULE,6.85,4.04,0.83,6.17,23
CDM,0378-6440-01,"VERAPAMIL ER 240 MG 24 HR CAPSULE,EXTENDED RELEASE",7.97,4.7,0.97,7.17,23
CDM,0378-6470-16,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,84.69,49.97,10.3,76.22,23
CDM,0378-6470-44,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,84.69,49.97,10.3,76.22,23
CDM,0378-6470-99,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,74.47,43.94,9.06,67.02,23
CDM,0378-6612-93,ISOTRETINOIN 20 MG CAPSULE,43.37,25.59,5.28,39.03,23
CDM,0378-6629-93,EPROSARTAN 600 MG TABLET,11.82,6.97,1.44,10.64,23
CDM,0378-6688-77,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",0.52,0.31,0.06,0.47,23
CDM,0378-6689-10,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.42,0.25,0.05,0.38,23
CDM,0378-6689-77,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.52,0.31,0.06,0.47,23
CDM,0378-6750-82,BALSALAZIDE 750 MG CAPSULE,1.0,0.59,0.12,0.9,23
CDM,0378-6920-78,ABIRATERONE 250 MG TABLET,65.64,38.73,7.98,59.08,23
CDM,0378-6921-91,ABIRATERONE 500 MG TABLET,721.54,425.71,87.77,649.39,23
CDM,0378-6960-32,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,299.49,176.7,36.43,269.54,23
CDM,0378-6960-93,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,299.49,176.7,36.43,269.54,23
CDM,0378-6961-12,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,748.72,441.74,91.08,673.85,23
CDM,0378-6961-32,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,748.72,441.74,91.08,673.85,23
CDM,0378-6985-01,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,1.65,0.97,0.2,1.49,23
CDM,0378-6986-01,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,1.65,0.97,0.2,1.49,23
CDM,0378-6987-89,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,3.15,1.86,0.38,2.84,23
CDM,0378-6989-31,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,2.75,1.62,0.33,2.48,23
CDM,0378-6993-31,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,21.44,12.65,2.61,19.3,23
CDM,0378-6993-93,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,21.44,12.65,2.61,19.3,23
CDM,0378-7001-93,PAROXETINE 10 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,0378-7003-93,PAROXETINE 30 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,0378-7005-01,LOXAPINE SUCCINATE 5 MG CAPSULE,2.53,1.49,0.31,2.28,23
CDM,0378-7010-01,LOXAPINE SUCCINATE 10 MG CAPSULE,3.35,1.98,0.41,3.02,23
CDM,0378-7025-01,LOXAPINE SUCCINATE 25 MG CAPSULE,5.06,2.99,0.62,4.55,23
CDM,0378-7050-01,LOXAPINE SUCCINATE 50 MG CAPSULE,6.74,3.98,0.82,6.07,23
CDM,0378-7100-77,FENOFIBRATE 54 MG TABLET,2.92,1.72,0.36,2.63,23
CDM,0378-7101-77,FENOFIBRATE 160 MG TABLET,8.76,5.17,1.07,7.88,23
CDM,0378-7124-77,OLMESARTAN 40 MG TABLET,1.58,0.93,0.19,1.42,23
CDM,0378-7124-93,OLMESARTAN 40 MG TABLET,1.58,0.93,0.19,1.42,23
CDM,0378-7150-01,CELECOXIB 200 MG CAPSULE,7.42,4.38,0.9,6.68,23
CDM,0378-7155-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",20.62,12.17,2.51,18.56,23
CDM,0378-7160-01,CELECOXIB 100 MG CAPSULE,4.48,2.64,0.54,4.03,23
CDM,0378-7185-05,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,0378-7286-53,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,3.59,2.12,0.44,3.23,23
CDM,0378-7287-53,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,1.22,0.72,0.15,1.1,23
CDM,0378-7287-85,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,1.22,0.72,0.15,1.1,23
CDM,0378-7291-89,NORETHINDRONE ACETATE 5 MG TABLET,8.54,5.04,1.04,7.69,23
CDM,0378-7503-32,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1000.24,590.14,121.67,900.22,23
CDM,0378-7970-31,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.08,0.64,0.13,0.97,23
CDM,0378-7970-52,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,0.7,0.41,0.09,0.63,23
CDM,0378-7970-55,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.08,0.64,0.13,0.97,23
CDM,0378-8021-93,FLUVASTATIN 40 MG CAPSULE,18.56,10.95,2.26,16.7,23
CDM,0378-8030-05,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",4.61,2.72,0.56,4.15,23
CDM,0378-8030-93,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",4.61,2.72,0.56,4.15,23
CDM,0378-8082-20,TRETINOIN 0.025 % TOPICAL CREAM,385.7,227.56,46.92,347.13,23
CDM,0378-8083-20,TRETINOIN 0.05 % TOPICAL CREAM,432.6,255.23,52.62,389.34,23
CDM,0378-8085-15,TRETINOIN 0.01 % TOPICAL GEL,164.55,97.08,20.02,148.1,23
CDM,0378-8222-50,MICONAZOLE NIT 0.25 %-ZINC OX 15 %-PETROLATUM 81.35 % TOPICAL OINTMENT,1661.0,979.99,202.05,1494.9,23
CDM,0378-8270-31,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.19,0.7,0.14,1.07,23
CDM,0378-8270-52,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,0.95,0.56,0.12,0.86,23
CDM,0378-8270-55,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.19,0.7,0.14,1.07,23
CDM,0378-8270-64,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,0.59,0.35,0.07,0.53,23
CDM,0378-8270-91,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,0.59,0.35,0.07,0.53,23
CDM,0378-8270-93,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,0378-8301-01,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET,13.87,8.18,1.69,12.48,23
CDM,0378-8304-01,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,13.87,8.18,1.69,12.48,23
CDM,0378-8700-06,ACYCLOVIR 5 % TOPICAL OINTMENT,347.48,205.01,42.27,312.73,23
CDM,0378-8712-73,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,1650.77,973.95,200.81,1485.69,23
CDM,0378-8760-58,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0378-8760-98,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0378-8765-16,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,10.32,6.09,1.26,9.29,23
CDM,0378-8765-93,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,10.32,6.09,1.26,9.29,23
CDM,0378-8766-16,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,15.72,9.27,1.91,14.15,23
CDM,0378-8766-93,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,15.72,9.27,1.91,14.15,23
CDM,0378-8767-16,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,18.48,10.9,2.25,16.63,23
CDM,0378-8767-93,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,18.48,10.9,2.25,16.63,23
CDM,0378-8768-16,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,31.91,18.83,3.88,28.72,23
CDM,0378-8768-93,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,31.91,18.83,3.88,28.72,23
CDM,0378-8770-35,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,727.82,429.41,88.54,655.04,23
CDM,0378-9055-16,LIDOCAINE 5 % ADHESIVE PATCH,38.09,22.47,4.63,34.28,23
CDM,0378-9055-93,LIDOCAINE 5 % ADHESIVE PATCH,38.09,22.47,4.63,34.28,23
CDM,0378-9070-16,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,0378-9070-93,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,0378-9071-16,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,0378-9071-93,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,0378-9072-16,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,0378-9072-93,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,0378-9080-01,ENTACAPONE 200 MG TABLET,14.66,8.65,1.78,13.19,23
CDM,0378-9102-16,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,2.27,1.34,0.28,2.04,23
CDM,0378-9102-93,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,2.27,1.34,0.28,2.04,23
CDM,0378-9104-16,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,2.2,1.3,0.27,1.98,23
CDM,0378-9104-93,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,2.2,1.3,0.27,1.98,23
CDM,0378-9112-16,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,3.1,1.83,0.38,2.79,23
CDM,0378-9112-93,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,3.1,1.83,0.38,2.79,23
CDM,0378-9116-16,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,3.83,2.26,0.47,3.45,23
CDM,0378-9116-93,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,3.83,2.26,0.47,3.45,23
CDM,0378-9119-16,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,56.6,33.39,6.89,50.94,23
CDM,0378-9119-98,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,56.6,33.39,6.89,50.94,23
CDM,0378-9121-16,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,28.51,16.82,3.47,25.66,23
CDM,0378-9121-98,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,28.51,16.82,3.47,25.66,23
CDM,0378-9122-16,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,50.66,29.89,6.16,45.59,23
CDM,0378-9122-98,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,50.66,29.89,6.16,45.59,23
CDM,0378-9123-16,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,80.08,47.25,9.74,72.07,23
CDM,0378-9123-98,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,80.08,47.25,9.74,72.07,23
CDM,0378-9124-16,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,126.97,74.91,15.45,114.27,23
CDM,0378-9124-98,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,126.97,74.91,15.45,114.27,23
CDM,0378-9320-32,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,6.26,3.69,0.76,5.63,23
CDM,0378-9321-32,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,7.77,4.58,0.95,6.99,23
CDM,0378-9322-32,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,10.21,6.02,1.24,9.19,23
CDM,0378-9651-50,TRAVOPROST 0.004 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0378-9671-30,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.33,1.37,0.28,2.1,23
CDM,0378-9671-31,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.33,1.37,0.28,2.1,23
CDM,0378-9671-60,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.33,1.37,0.28,2.1,23
CDM,0378-9671-93,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.33,1.37,0.28,2.1,23
CDM,0378-9690-52,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,5.55,3.27,0.68,5.0,23
CDM,0378-9691-52,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,3.18,1.88,0.39,2.86,23
CDM,0378-9720-55,PENCICLOVIR 1 % TOPICAL CREAM,3761.95,2219.55,457.62,3385.76,23
CDM,0378699789,SODIUM CHLORIDE 3 % FOR NEBULIZATION,3.45,2.04,0.42,3.11,23
CDM,0386000102,ETHYL CHLORIDE 100 % TOPICAL SPRAY,255.65,150.83,31.1,230.09,23
CDM,0386000103,ETHYL CHLORIDE 100 % TOPICAL SPRAY,152.54,90.0,18.56,137.29,23
CDM,0386000104,ETHYL CHLORIDE 100 % TOPICAL SPRAY,163.56,96.5,19.9,147.2,23
CDM,0386000404,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,158.34,93.42,19.26,142.51,23
CDM,0386000802,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,149.64,88.29,18.2,134.68,23
CDM,0386000803,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,145.0,85.55,17.64,130.5,23
CDM,0395-0243-92,BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE,37.17,21.93,4.52,33.45,23
CDM,0395-0413-96,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,19.8,11.68,2.41,17.82,23
CDM,0395-0420-96,PRAMOXINE-CALAMINE 1 %-8 % LOTION,8.85,5.22,1.08,7.97,23
CDM,0395-1003-92,GENTIAN VIOLET 1 % TOPICAL SOLUTION,29.21,17.23,3.55,26.29,23
CDM,0395-1005-92,GENTIAN VIOLET 2 % TOPICAL SOLUTION,55.76,32.9,6.78,50.18,23
CDM,0395-1031-16,GLYCERIN 99.5 % TOPICAL SOLUTION,92.24,54.42,11.22,83.02,23
CDM,0395-1031-96,GLYCERIN 99.5 % TOPICAL SOLUTION,30.98,18.28,3.77,27.88,23
CDM,0395-1213-16,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,111.16,65.58,13.52,100.04,23
CDM,0395-1213-91,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,12.45,7.35,1.51,11.21,23
CDM,0395-2325-16,POVIDONE-IODINE 10 % TOPICAL SOLUTION,21.29,12.56,2.59,19.16,23
CDM,0395004912,"ALUM, AMMONIUM (BULK) POWDER",69.7,41.12,8.48,62.73,23
CDM,0395009416,COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID,66.22,39.07,8.06,59.6,23
CDM,0395201591,PEPPERMINT OIL,89.25,52.66,10.86,80.33,23
CDM,0395224391,PEPPERMINT SPIRIT ORAL,33.9,20.0,4.12,30.51,23
CDM,0395266116,SIMPLE SYRUP,60.0,35.4,7.3,54.0,23
CDM,0395266216,CHERRY FLAVOR (BULK) ORAL LIQUID,56.76,33.49,6.9,51.08,23
CDM,0395268594,SODIUM BICARBONATE (BULK) POWDER,22.04,13.0,2.68,19.84,23
CDM,0406-0123-01,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,0406-0123-23,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,0406-0123-62,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,0406-0124-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,0406-0124-10,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,0406-0124-23,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,0406-0124-62,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,0406-0125-01,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0406-0125-23,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,0406-0125-62,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,0406-0127-01,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",15.92,9.39,1.94,14.33,23
CDM,0406-0136-01,"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR",16.52,9.75,2.01,14.87,23
CDM,0406-0483-01,ACETAMINOPHEN 300 MG-CODEINE 15 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,0406-0484-01,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,0406-0484-23,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,0406-0484-62,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,0406-0512-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,0406-0512-05,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,0406-0512-23,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,1.62,0.96,0.2,1.46,23
CDM,0406-0512-62,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,1.62,0.96,0.2,1.46,23
CDM,0406-0523-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,1.5,0.89,0.18,1.35,23
CDM,0406-0540-34,METHADONE 40 MG SOLUBLE TABLET,1.02,0.6,0.12,0.92,23
CDM,0406-0552-01,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,0406-0552-23,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,0406-0552-62,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,0406-1142-01,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,0406-1144-01,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,0406-1146-01,METHYLPHENIDATE IMMEDIATE RELEASE 20 MG TABLET,1.86,1.1,0.23,1.67,23
CDM,0406-1170-01,NALTREXONE 50 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,0406-1170-03,NALTREXONE 50 MG TABLET,5.64,3.33,0.69,5.08,23
CDM,0406-1236-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,0406-1473-01,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",4.6,2.71,0.56,4.14,23
CDM,0406-1810-01,"METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",11.4,6.73,1.39,10.26,23
CDM,0406-1820-01,"METHYLPHENIDATE CD 20 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",11.4,6.73,1.39,10.26,23
CDM,0406-1830-01,"METHYLPHENIDATE CD 30 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",11.4,6.73,1.39,10.26,23
CDM,0406-3243-01,HYDROMORPHONE 2 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0406-3244-01,HYDROMORPHONE 4 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,0406-3249-01,HYDROMORPHONE 8 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,0406-5755-01,METHADONE 5 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0406-5755-23,METHADONE 5 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,0406-5755-62,METHADONE 5 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,0406-5771-01,METHADONE 10 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,0406-5771-23,METHADONE 10 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,0406-5771-62,METHADONE 10 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,0406-6225-05,METHADONE 5 MG/5 ML ORAL SOLUTION,147.5,87.03,17.94,132.75,23
CDM,0406-8003-12,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,309.6,182.66,37.66,278.64,23
CDM,0406-8003-15,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,41.48,24.47,5.05,37.33,23
CDM,0406-8003-30,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,76.05,44.87,9.25,68.45,23
CDM,0406-8005-03,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,6.15,3.63,0.75,5.54,23
CDM,0406-8020-03,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,6.4,3.78,0.78,5.76,23
CDM,0406-8315-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",0.94,0.55,0.11,0.85,23
CDM,0406-8315-23,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",2.3,1.36,0.28,2.07,23
CDM,0406-8315-62,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",2.3,1.36,0.28,2.07,23
CDM,0406-8320-01,"MORPHINE ER 200 MG TABLET,EXTENDED RELEASE",19.82,11.69,2.41,17.84,23
CDM,0406-8330-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",2.21,1.3,0.27,1.99,23
CDM,0406-8330-23,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",4.77,2.81,0.58,4.29,23
CDM,0406-8330-62,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",4.77,2.81,0.58,4.29,23
CDM,0406-8380-01,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",2.27,1.34,0.28,2.04,23
CDM,0406-8380-23,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",8.38,4.94,1.02,7.54,23
CDM,0406-8380-62,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",8.38,4.94,1.02,7.54,23
CDM,0406-8390-01,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",5.16,3.04,0.63,4.64,23
CDM,0406-8390-23,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",13.55,7.99,1.65,12.2,23
CDM,0406-8390-62,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",13.55,7.99,1.65,12.2,23
CDM,0406-8510-01,OXYCODONE IMMEDIATE RELEASE 10 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,0406-8510-23,OXYCODONE IMMEDIATE RELEASE 10 MG TABLET,2.37,1.4,0.29,2.13,23
CDM,0406-8510-62,OXYCODONE IMMEDIATE RELEASE 10 MG TABLET,2.37,1.4,0.29,2.13,23
CDM,0406-8515-01,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,0406-8515-23,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,3.43,2.02,0.42,3.09,23
CDM,0406-8515-62,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,3.43,2.02,0.42,3.09,23
CDM,0406-8530-01,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,0406-8530-23,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,5.36,3.16,0.65,4.82,23
CDM,0406-8530-62,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,5.36,3.16,0.65,4.82,23
CDM,0406-8557-30,OXYCODONE 20 MG/ML ORAL CONCENTRATE,331.35,195.5,40.31,298.22,23
CDM,0406-8958-01,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,6.36,3.75,0.77,5.72,23
CDM,0406-8960-01,"DEXTROAMPHETAMINE SULFATE ER 5 MG CAPSULE,EXTENDED RELEASE",7.2,4.25,0.88,6.48,23
CDM,0406-8961-01,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE",10.04,5.92,1.22,9.04,23
CDM,0406-9000-76,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,45.78,27.01,5.57,41.2,23
CDM,0406-9012-76,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,46.87,27.65,5.7,42.18,23
CDM,0406-9025-76,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,22.67,13.38,2.76,20.4,23
CDM,0406-9050-76,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,36.57,21.58,4.45,32.91,23
CDM,0406-9075-76,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,54.2,31.98,6.59,48.78,23
CDM,0406-9100-76,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,127.68,75.33,15.53,114.91,23
CDM,0406-9112-76,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,48.88,28.84,5.95,43.99,23
CDM,0406-9125-76,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,33.03,19.49,4.02,29.73,23
CDM,0406-9150-76,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,58.68,34.62,7.14,52.81,23
CDM,0406-9175-76,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,92.75,54.72,11.28,83.48,23
CDM,0406-9202-30,FENTANYL 200 MCG LOZENGE ON A HANDLE,56.46,33.31,6.87,50.81,23
CDM,0406-9911-03,NORTRIPTYLINE 25 MG CAPSULE,185.3,109.33,22.54,166.77,23
CDM,0406-9916-01,TEMAZEPAM 15 MG CAPSULE,97.65,57.61,11.88,87.89,23
CDM,0406-9961-01,TEMAZEPAM 15 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,0406-9962-01,TEMAZEPAM 30 MG CAPSULE,0.46,0.27,0.06,0.41,23
CDM,0407-1411-10,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,118.9,70.15,14.46,107.01,23
CDM,0407-1412-08,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,34.75,20.5,4.23,31.28,23
CDM,0407-1412-10,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,129.25,76.26,15.72,116.33,23
CDM,0407-1412-20,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,136.6,80.59,16.62,122.94,23
CDM,0407-1412-30,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,34.75,20.5,4.23,31.28,23
CDM,0407-1412-33,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,62.0,36.58,7.54,55.8,23
CDM,0407-1413-08,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,36.25,21.39,4.41,32.63,23
CDM,0407-1413-10,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,119.35,70.42,14.52,107.42,23
CDM,0407-1413-59,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,37.05,21.86,4.51,33.35,23
CDM,0407-1413-61,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,36.25,21.39,4.41,32.63,23
CDM,0407-1413-63,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,69.0,40.71,8.39,62.1,23
CDM,0407-1413-65,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,101.25,59.74,12.32,91.13,23
CDM,0407-1413-72,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,332.5,196.18,40.45,299.25,23
CDM,0407-1414-72,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,340.0,200.6,41.36,306.0,23
CDM,0407-1414-89,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,39.25,23.16,4.77,35.33,23
CDM,0407-1414-90,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,69.0,40.71,8.39,62.1,23
CDM,0407-1414-91,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,77.0,45.43,9.37,69.3,23
CDM,0407-1414-93,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,106.5,62.84,12.96,95.85,23
CDM,0407-1414-94,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,155.0,91.45,18.85,139.5,23
CDM,0407-2222-16,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,80.75,47.64,9.82,72.68,23
CDM,0407-2222-17,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,161.5,95.29,19.65,145.35,23
CDM,0407-2222-19,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,242.25,142.93,29.47,218.03,23
CDM,0407-2222-21,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,323.0,190.57,39.29,290.7,23
CDM,0407-2223-16,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,80.75,47.64,9.82,72.68,23
CDM,0407-2223-17,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,161.5,95.29,19.65,145.35,23
CDM,0407-2223-19,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,242.25,142.93,29.47,218.03,23
CDM,0407-2223-21,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,323.0,190.57,39.29,290.7,23
CDM,0407-2223-61,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,88.0,51.92,10.7,79.2,23
CDM,0407-2707-03,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,460.01,271.41,55.96,414.01,23
CDM,0407-2943-01,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,115.2,67.97,14.01,103.68,23
CDM,0407-2943-70,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,1152.0,679.68,140.13,1036.8,23
CDM,0407-8787-01,"FLURPIRIDAZ F-18 190 MBQ/ML TO 2,050 MBQ/ML INTRAVENOUS SOLUTION",7500.0,4425.0,912.34,6750.0,23
CDM,0409-0001-01,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,5.0,2.95,0.61,4.5,23
CDM,0409-0001-25,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,3.73,2.2,0.45,3.36,23
CDM,0409-0007-01,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",6.08,3.59,0.74,5.47,23
CDM,0409-0040-05,KETAMINE 100 MG/ML INJECTION SOLUTION,32.25,19.03,3.92,29.03,23
CDM,0409-0040-10,KETAMINE 100 MG/ML INJECTION SOLUTION,32.25,19.03,3.92,29.03,23
CDM,0409-0125-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,0409-0125-25,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,0409-0144-11,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,42.62,25.15,5.18,38.36,23
CDM,0409-0147-01,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",7.8,4.6,0.95,7.02,23
CDM,0409-0152-01,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,7.5,4.43,0.91,6.75,23
CDM,0409-0152-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,7.5,4.43,0.91,6.75,23
CDM,0409-0181-01,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,57.21,33.75,6.96,51.49,23
CDM,0409-0181-25,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,57.21,33.75,6.96,51.49,23
CDM,0409-0182-01,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,124.4,73.4,15.13,111.96,23
CDM,0409-0182-25,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,124.4,73.4,15.13,111.96,23
CDM,0409-0183-01,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,20.76,12.25,2.53,18.68,23
CDM,0409-0183-25,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,20.41,12.04,2.48,18.37,23
CDM,0409-0185-01,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,49.45,29.18,6.02,44.51,23
CDM,0409-0186-01,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,225.8,133.22,27.47,203.22,23
CDM,0409-0201-02,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,58.1,34.28,7.07,52.29,23
CDM,0409-0201-10,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,547.36,322.94,66.58,492.62,23
CDM,0409-0201-20,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION,439.28,259.18,53.44,395.35,23
CDM,0409-0302-01,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,114.1,67.32,13.88,102.69,23
CDM,0409-0323-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,274.15,161.75,33.35,246.74,23
CDM,0409-0366-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,129.4,76.35,15.74,116.46,23
CDM,0409-0367-01,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,492.66,290.67,59.93,443.39,23
CDM,0409-0801-01,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION,10592.65,6249.66,1288.54,9533.39,23
CDM,0409-0829-01,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,110.58,65.24,13.45,99.52,23
CDM,0409-0829-11,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,110.58,65.24,13.45,99.52,23
CDM,0409-0830-01,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,225.77,133.2,27.46,203.19,23
CDM,0409-0830-11,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,225.77,133.2,27.46,203.19,23
CDM,0409-1098-02,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,50.4,29.74,6.13,45.36,23
CDM,0409-1098-12,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,50.4,29.74,6.13,45.36,23
CDM,0409-1103-01,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,504.2,297.48,61.33,453.78,23
CDM,0409-1103-11,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,504.2,297.48,61.33,453.78,23
CDM,0409-1105-02,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,56.3,33.22,6.85,50.67,23
CDM,0409-1105-22,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,56.3,33.22,6.85,50.67,23
CDM,0409-1141-02,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,15.5,9.15,1.89,13.95,23
CDM,0409-1141-12,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,15.5,9.15,1.89,13.95,23
CDM,0409-1144-02,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,25.86,15.26,3.15,23.27,23
CDM,0409-1144-05,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,126.25,74.49,15.36,113.63,23
CDM,0409-1144-10,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,20.52,12.11,2.5,18.47,23
CDM,0409-1144-11,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,20.52,12.11,2.5,18.47,23
CDM,0409-1144-65,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,126.25,74.49,15.36,113.63,23
CDM,0409-1159-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,8.5,5.02,1.03,7.65,23
CDM,0409-1159-02,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,8.55,5.04,1.04,7.7,23
CDM,0409-1159-09,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,7.95,4.69,0.97,7.16,23
CDM,0409-1159-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,7.95,4.69,0.97,7.16,23
CDM,0409-1159-18,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,8.5,5.02,1.03,7.65,23
CDM,0409-1159-19,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,8.55,5.04,1.04,7.7,23
CDM,0409-1160-01,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,15.0,8.85,1.82,13.5,23
CDM,0409-1162-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,9.75,5.75,1.19,8.78,23
CDM,0409-1162-02,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,9.45,5.58,1.15,8.51,23
CDM,0409-1162-18,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,9.75,5.75,1.19,8.78,23
CDM,0409-1162-19,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,9.45,5.58,1.15,8.51,23
CDM,0409-1163-01,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,12.5,7.38,1.52,11.25,23
CDM,0409-1165-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,9.8,5.78,1.19,8.82,23
CDM,0409-1165-02,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,16.5,9.74,2.01,14.85,23
CDM,0409-1165-18,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,9.8,5.78,1.19,8.82,23
CDM,0409-1165-19,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,16.5,9.74,2.01,14.85,23
CDM,0409-1176-30,MEPERIDINE 25 MG/ML INJECTION,27.81,16.41,3.38,25.03,23
CDM,0409-1179-30,MEPERIDINE (PF) 75 MG/ML INJECTION SYRINGE,27.32,16.12,3.32,24.59,23
CDM,0409-1180-69,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE,27.32,16.12,3.32,24.59,23
CDM,0409-1181-30,MEPERIDINE 50 MG/ML INJECTION SOLUTION,545.7,321.96,66.38,491.13,23
CDM,0409-1207-03,GENTAMICIN 40 MG/ML INJECTION SOLUTION,15.2,8.97,1.85,13.68,23
CDM,0409-1207-13,GENTAMICIN 40 MG/ML INJECTION SOLUTION,15.2,8.97,1.85,13.68,23
CDM,0409-1208-01,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,70.6,41.65,8.59,63.54,23
CDM,0409-1208-11,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,70.6,41.65,8.59,63.54,23
CDM,0409-1209-01,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",15.93,9.4,1.94,14.34,23
CDM,0409-1209-10,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",15.93,9.4,1.94,14.34,23
CDM,0409-1215-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,70.77,41.75,8.61,63.69,23
CDM,0409-1215-21,NALOXONE 0.4 MG/ML INJECTION SOLUTION,70.77,41.75,8.61,63.69,23
CDM,0409-1219-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,92.15,54.37,11.21,82.94,23
CDM,0409-1219-41,NALOXONE 0.4 MG/ML INJECTION SOLUTION,92.15,54.37,11.21,82.94,23
CDM,0409-1273-03,DIAZEPAM 5 MG/ML INJECTION SYRINGE,109.66,64.7,13.34,98.69,23
CDM,0409-1273-32,DIAZEPAM 5 MG/ML INJECTION SYRINGE,109.66,64.7,13.34,98.69,23
CDM,0409-1283-03,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,8.56,5.05,1.04,7.7,23
CDM,0409-1283-17,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,14.52,8.57,1.77,13.07,23
CDM,0409-1283-31,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,8.56,5.05,1.04,7.7,23
CDM,0409-1283-37,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,14.52,8.57,1.77,13.07,23
CDM,0409-1304-03,HYDROMORPHONE 4 MG/ML INJECTION SYRINGE,8.56,5.05,1.04,7.7,23
CDM,0409-1304-31,HYDROMORPHONE 4 MG/ML INJECTION SYRINGE,8.56,5.05,1.04,7.7,23
CDM,0409-1312-03,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,9.11,5.37,1.11,8.2,23
CDM,0409-1312-16,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,19.54,11.53,2.38,17.59,23
CDM,0409-1312-30,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,9.11,5.37,1.11,8.2,23
CDM,0409-1312-36,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,19.54,11.53,2.38,17.59,23
CDM,0409-1319-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,131.3,77.47,15.97,118.17,23
CDM,0409-1323-05,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,24.75,14.6,3.01,22.28,23
CDM,0409-1323-15,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,24.75,14.6,3.01,22.28,23
CDM,0409-1391-21,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,19.42,11.46,2.36,17.48,23
CDM,0409-1391-22,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,19.42,11.46,2.36,17.48,23
CDM,0409-1401-01,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,807.13,476.21,98.18,726.42,23
CDM,0409-1402-12,"HEPARIN (PORCINE) 5,000 UNIT/ML (1 ML) INJECTION CARTRIDGE",9.71,5.73,1.18,8.74,23
CDM,0409-1403-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.03,4.74,0.98,7.23,23
CDM,0409-1403-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.03,4.74,0.98,7.23,23
CDM,0409-1410-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,95.46,56.32,11.61,85.91,23
CDM,0409-1434-01,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",185.0,109.15,22.5,166.5,23
CDM,0409-1463-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION,15.9,9.38,1.93,14.31,23
CDM,0409-1463-49,NALBUPHINE 10 MG/ML INJECTION SOLUTION,15.71,9.27,1.91,14.14,23
CDM,0409-1463-69,NALBUPHINE 10 MG/ML INJECTION SOLUTION,15.71,9.27,1.91,14.14,23
CDM,0409-1463-71,NALBUPHINE 10 MG/ML INJECTION SOLUTION,15.9,9.38,1.93,14.31,23
CDM,0409-1465-01,NALBUPHINE 20 MG/ML INJECTION SOLUTION,24.98,14.74,3.04,22.48,23
CDM,0409-1467-01,NALBUPHINE 20 MG/ML INJECTION SOLUTION,209.25,123.46,25.45,188.33,23
CDM,0409-1467-61,NALBUPHINE 20 MG/ML INJECTION SOLUTION,209.25,123.46,25.45,188.33,23
CDM,0409-1555-54,HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION,377.5,222.73,45.92,339.75,23
CDM,0409-1559-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,17.05,10.06,2.07,15.35,23
CDM,0409-1559-18,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,17.05,10.06,2.07,15.35,23
CDM,0409-1559-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,20.1,11.86,2.45,18.09,23
CDM,0409-1560-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.9,11.74,2.42,17.91,23
CDM,0409-1560-18,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,19.9,11.74,2.42,17.91,23
CDM,0409-1560-19,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,21.15,12.48,2.57,19.04,23
CDM,0409-1560-29,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,21.15,12.48,2.57,19.04,23
CDM,0409-1582-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,19.1,11.27,2.32,17.19,23
CDM,0409-1582-18,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,19.1,11.27,2.32,17.19,23
CDM,0409-1587-50,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,30.25,17.85,3.68,27.23,23
CDM,0409-1593-04,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION,1495.0,882.05,181.86,1345.5,23
CDM,0409-1623-01,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,32.44,19.14,3.95,29.2,23
CDM,0409-1623-21,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,32.44,19.14,3.95,29.2,23
CDM,0409-1626-01,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,39.63,23.38,4.82,35.67,23
CDM,0409-1626-02,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,55.8,32.92,6.79,50.22,23
CDM,0409-1626-21,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,39.63,23.38,4.82,35.67,23
CDM,0409-1626-42,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,55.8,32.92,6.79,50.22,23
CDM,0409-1630-10,ATROPINE 0.1 MG/ML INJECTION SYRINGE,44.95,26.52,5.47,40.46,23
CDM,0409-1630-15,ATROPINE 0.1 MG/ML INJECTION SYRINGE,44.95,26.52,5.47,40.46,23
CDM,0409-1631-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,55.35,32.66,6.73,49.82,23
CDM,0409-1631-40,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,55.35,32.66,6.73,49.82,23
CDM,0409-1638-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,26.26,15.49,3.19,23.63,23
CDM,0409-1660-50,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,47.0,27.73,5.72,42.3,23
CDM,0409-1660-55,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,47.0,27.73,5.72,42.3,23
CDM,0409-1746-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",16.45,9.71,2.0,14.81,23
CDM,0409-1746-30,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",25.05,14.78,3.05,22.55,23
CDM,0409-1746-70,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",16.45,9.71,2.0,14.81,23
CDM,0409-1749-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",14.9,8.79,1.81,13.41,23
CDM,0409-1749-29,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.2,13.1,2.7,19.98,23
CDM,0409-1749-71,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.2,13.1,2.7,19.98,23
CDM,0409-1752-50,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",41.25,24.34,5.02,37.13,23
CDM,0409-1754-10,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,145.55,85.87,17.71,131.0,23
CDM,0409-1755-50,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",48.5,28.62,5.9,43.65,23
CDM,0409-1761-18,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,21.22,12.52,2.58,19.1,23
CDM,0409-1775-10,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,73.6,43.42,8.95,66.24,23
CDM,0409-1775-40,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,73.6,43.42,8.95,66.24,23
CDM,0409-1778-05,METOPROLOL TARTRATE 5 MG/5 ML IV,2.7,1.59,0.33,2.43,23
CDM,0409-1778-15,METOPROLOL TARTRATE 5 MG/5 ML IV,2.7,1.59,0.33,2.43,23
CDM,0409-1782-03,NALOXONE 0.4 MG/ML INJECTION SYRINGE,71.12,41.96,8.65,64.01,23
CDM,0409-1782-69,NALOXONE 0.4 MG/ML INJECTION SYRINGE,71.12,41.96,8.65,64.01,23
CDM,0409-1886-02,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,6.1,3.6,0.74,5.49,23
CDM,0409-1886-22,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,6.1,3.6,0.74,5.49,23
CDM,0409-1890-01,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,7.17,4.23,0.87,6.45,23
CDM,0409-1890-03,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,7.17,4.23,0.87,6.45,23
CDM,0409-1890-13,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,12.3,7.26,1.5,11.07,23
CDM,0409-1890-23,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,12.3,7.26,1.5,11.07,23
CDM,0409-1891-01,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE,7.17,4.23,0.87,6.45,23
CDM,0409-1891-03,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE,7.17,4.23,0.87,6.45,23
CDM,0409-1893-01,MORPHINE 10 MG/ML INTRAVENOUS SYRINGE,7.17,4.23,0.87,6.45,23
CDM,0409-1893-03,MORPHINE 10 MG/ML INTRAVENOUS SYRINGE,7.17,4.23,0.87,6.45,23
CDM,0409-1896-20,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,72.1,42.54,8.77,64.89,23
CDM,0409-1902-01,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,298.55,176.14,36.32,268.7,23
CDM,0409-1902-11,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,298.55,176.14,36.32,268.7,23
CDM,0409-1966-02,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",4.05,2.39,0.49,3.65,23
CDM,0409-1966-07,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",4.05,2.39,0.49,3.65,23
CDM,0409-1966-12,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",8.25,4.87,1.0,7.43,23
CDM,0409-1983-01,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,145.0,85.55,17.64,130.5,23
CDM,0409-1983-10,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,145.0,85.55,17.64,130.5,23
CDM,0409-1985-03,LORAZEPAM 2 MG/ML INJECTION SYRINGE,12.64,7.46,1.54,11.38,23
CDM,0409-1985-30,LORAZEPAM 2 MG/ML INJECTION SYRINGE,12.64,7.46,1.54,11.38,23
CDM,0409-2011-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,6.1,3.6,0.74,5.49,23
CDM,0409-2011-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,6.1,3.6,0.74,5.49,23
CDM,0409-2016-05,METOPROLOL TARTRATE 5 MG/5 ML IV,2.7,1.59,0.33,2.43,23
CDM,0409-2022-01,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,244.0,143.96,29.68,219.6,23
CDM,0409-2026-01,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,58.1,34.28,7.07,52.29,23
CDM,0409-2045-10,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,72.5,42.78,8.82,65.25,23
CDM,0409-2050-01,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0409-2050-20,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0409-2051-05,KETAMINE 100 MG/ML INJECTION SOLUTION,32.25,19.03,3.92,29.03,23
CDM,0409-2051-15,KETAMINE 100 MG/ML INJECTION SOLUTION,32.25,19.03,3.92,29.03,23
CDM,0409-2053-10,KETAMINE 50 MG/ML INJECTION SOLUTION,16.35,9.65,1.99,14.72,23
CDM,0409-2066-05,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,5.43,3.2,0.66,4.89,23
CDM,0409-2066-10,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,5.43,3.2,0.66,4.89,23
CDM,0409-2168-17,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,22.2,13.1,2.7,19.98,23
CDM,0409-2168-77,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,22.2,13.1,2.7,19.98,23
CDM,0409-2267-20,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,16.7,9.85,2.03,15.03,23
CDM,0409-2267-54,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,45.8,27.02,5.57,41.22,23
CDM,0409-2300-01,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,13.0,7.67,1.58,11.7,23
CDM,0409-2300-24,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,13.0,7.67,1.58,11.7,23
CDM,0409-2305-04,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,3.93,2.32,0.48,3.54,23
CDM,0409-2305-05,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,3.93,2.32,0.48,3.54,23
CDM,0409-2305-16,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,3.41,2.01,0.41,3.07,23
CDM,0409-2305-17,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,3.41,2.01,0.41,3.07,23
CDM,0409-2305-50,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,3.93,2.32,0.48,3.54,23
CDM,0409-2305-55,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,3.93,2.32,0.48,3.54,23
CDM,0409-2308-01,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.15,2.45,0.5,3.74,23
CDM,0409-2308-02,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.66,2.75,0.57,4.19,23
CDM,0409-2308-21,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.15,2.45,0.5,3.74,23
CDM,0409-2308-22,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.66,2.75,0.57,4.19,23
CDM,0409-2308-49,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.15,2.45,0.5,3.74,23
CDM,0409-2308-50,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.66,2.75,0.57,4.19,23
CDM,0409-2308-69,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.15,2.45,0.5,3.74,23
CDM,0409-2308-70,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,4.66,2.75,0.57,4.19,23
CDM,0409-2337-15,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,161.95,95.55,19.7,145.76,23
CDM,0409-2337-25,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,161.95,95.55,19.7,145.76,23
CDM,0409-2339-24,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,32.04,18.9,3.9,28.84,23
CDM,0409-2339-34,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,32.04,18.9,3.9,28.84,23
CDM,0409-2344-01,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,22.5,13.28,2.74,20.25,23
CDM,0409-2344-02,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,22.7,13.39,2.76,20.43,23
CDM,0409-2344-68,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,22.3,13.16,2.71,20.07,23
CDM,0409-2344-88,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,22.3,13.16,2.71,20.07,23
CDM,0409-2346-31,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,36.25,21.39,4.41,32.63,23
CDM,0409-2346-32,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,36.25,21.39,4.41,32.63,23
CDM,0409-2347-31,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",52.5,30.98,6.39,47.25,23
CDM,0409-2347-32,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",52.5,30.98,6.39,47.25,23
CDM,0409-2585-01,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION,10.78,6.36,1.31,9.7,23
CDM,0409-2587-04,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,5.8,3.42,0.71,5.22,23
CDM,0409-2587-05,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,5.8,3.42,0.71,5.22,23
CDM,0409-2596-03,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,20.65,12.18,2.51,18.59,23
CDM,0409-2596-05,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,26.65,15.72,3.24,23.99,23
CDM,0409-2634-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,10.45,6.17,1.27,9.41,23
CDM,0409-2634-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,40.73,24.03,4.95,36.66,23
CDM,0409-2634-10,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,10.45,6.17,1.27,9.41,23
CDM,0409-2634-25,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,40.73,24.03,4.95,36.66,23
CDM,0409-2634-50,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,564.25,332.91,68.64,507.83,23
CDM,0409-2689-01,AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,13.93,8.22,1.69,12.54,23
CDM,0409-2720-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",5.03,2.97,0.61,4.53,23
CDM,0409-2720-02,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",11.3,6.67,1.37,10.17,23
CDM,0409-2720-30,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",5.03,2.97,0.61,4.53,23
CDM,0409-2720-31,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",11.3,6.67,1.37,10.17,23
CDM,0409-2721-01,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",7.14,4.21,0.87,6.43,23
CDM,0409-2721-30,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",7.14,4.21,0.87,6.43,23
CDM,0409-2723-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",3.37,1.99,0.41,3.03,23
CDM,0409-2723-02,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",38.7,22.83,4.71,34.83,23
CDM,0409-2723-30,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",3.37,1.99,0.41,3.03,23
CDM,0409-2723-31,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",38.7,22.83,4.71,34.83,23
CDM,0409-2815-01,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",185.0,109.15,22.5,166.5,23
CDM,0409-2987-03,AMPICILLIN-SULBACTAM 3 GRAM INTRAVENOUS SOLUTION,27.86,16.44,3.39,25.07,23
CDM,0409-3177-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",11.25,6.64,1.37,10.13,23
CDM,0409-3177-16,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",11.25,6.64,1.37,10.13,23
CDM,0409-3178-02,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",16.2,9.56,1.97,14.58,23
CDM,0409-3178-03,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",10.5,6.2,1.28,9.45,23
CDM,0409-3178-17,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",16.2,9.56,1.97,14.58,23
CDM,0409-3178-18,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",10.5,6.2,1.28,9.45,23
CDM,0409-3181-01,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",27.3,16.11,3.32,24.57,23
CDM,0409-3182-02,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.1,11.86,2.45,18.09,23
CDM,0409-3182-03,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",14.75,8.7,1.79,13.28,23
CDM,0409-3182-21,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.1,11.86,2.45,18.09,23
CDM,0409-3182-31,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",14.75,8.7,1.79,13.28,23
CDM,0409-3183-01,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",14.0,8.26,1.7,12.6,23
CDM,0409-3183-11,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",14.0,8.26,1.7,12.6,23
CDM,0409-3189-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.03,4.74,0.98,7.23,23
CDM,0409-3213-12,DIAZEPAM 5 MG/ML INJECTION SOLUTION,167.4,98.77,20.36,150.66,23
CDM,0409-3294-51,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,45.0,26.55,5.47,40.5,23
CDM,0409-3294-61,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,45.0,26.55,5.47,40.5,23
CDM,0409-3299-05,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,21.25,12.54,2.58,19.13,23
CDM,0409-3299-06,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,29.0,17.11,3.53,26.1,23
CDM,0409-3299-15,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,21.25,12.54,2.58,19.13,23
CDM,0409-3299-16,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,29.0,17.11,3.53,26.1,23
CDM,0409-3300-01,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,16.0,9.44,1.95,14.4,23
CDM,0409-3300-24,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,16.0,9.44,1.95,14.4,23
CDM,0409-3307-03,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,43.65,25.75,5.31,39.29,23
CDM,0409-3308-03,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,44.85,26.46,5.46,40.37,23
CDM,0409-3308-11,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,44.85,26.46,5.46,40.37,23
CDM,0409-3365-10,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,5.41,3.19,0.66,4.87,23
CDM,0409-3365-11,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,5.41,3.19,0.66,4.87,23
CDM,0409-3374-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,26.77,15.79,3.26,24.09,23
CDM,0409-3375-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,26.26,15.49,3.19,23.63,23
CDM,0409-3375-14,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,26.26,15.49,3.19,23.63,23
CDM,0409-3378-11,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,37.51,22.13,4.56,33.76,23
CDM,0409-3378-13,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,37.51,22.13,4.56,33.76,23
CDM,0409-3379-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,48.1,28.38,5.85,43.29,23
CDM,0409-3382-21,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,38.77,22.87,4.72,34.89,23
CDM,0409-3383-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,28.15,16.61,3.42,25.34,23
CDM,0409-3383-11,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,28.15,16.61,3.42,25.34,23
CDM,0409-3385-11,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,42.25,24.93,5.14,38.03,23
CDM,0409-3385-13,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,42.25,24.93,5.14,38.03,23
CDM,0409-3390-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,60.81,35.88,7.4,54.73,23
CDM,0409-3390-11,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,60.81,35.88,7.4,54.73,23
CDM,0409-3414-21,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,5.72,3.37,0.7,5.15,23
CDM,0409-3510-21,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,152.05,89.71,18.5,136.85,23
CDM,0409-3510-22,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,152.05,89.71,18.5,136.85,23
CDM,0409-3515-01,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,58.06,34.26,7.06,52.25,23
CDM,0409-3515-11,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,58.06,34.26,7.06,52.25,23
CDM,0409-3578-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,13.33,7.86,1.62,12.0,23
CDM,0409-3578-11,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,13.33,7.86,1.62,12.0,23
CDM,0409-3595-01,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,57.92,34.17,7.05,52.13,23
CDM,0409-3595-11,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,57.92,34.17,7.05,52.13,23
CDM,0409-3613-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,10.0,5.9,1.22,9.0,23
CDM,0409-3613-11,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,10.0,5.9,1.22,9.0,23
CDM,0409-3724-11,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",67.5,39.83,8.21,60.75,23
CDM,0409-3724-32,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",67.5,39.83,8.21,60.75,23
CDM,0409-3793-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,13.86,8.18,1.69,12.47,23
CDM,0409-3793-19,KETOROLAC 15 MG/ML INJECTION SOLUTION,13.86,8.18,1.69,12.47,23
CDM,0409-3795-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,4.47,2.64,0.54,4.02,23
CDM,0409-3795-19,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,4.47,2.64,0.54,4.02,23
CDM,0409-3796-01,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,4.84,2.86,0.59,4.36,23
CDM,0409-3796-19,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,4.84,2.86,0.59,4.36,23
CDM,0409-3814-12,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,36.55,21.56,4.45,32.9,23
CDM,0409-3815-11,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,38.2,22.54,4.65,34.38,23
CDM,0409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,38.2,22.54,4.65,34.38,23
CDM,0409-3977-03,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION",8.4,4.96,1.02,7.56,23
CDM,0409-4011-01,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,41.47,24.47,5.04,37.32,23
CDM,0409-4011-61,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,41.47,24.47,5.04,37.32,23
CDM,0409-4031-01,MANNITOL 25 % INTRAVENOUS SOLUTION,8.75,5.16,1.06,7.88,23
CDM,0409-4031-16,MANNITOL 25 % INTRAVENOUS SOLUTION,8.75,5.16,1.06,7.88,23
CDM,0409-4090-01,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION,67.75,39.97,8.24,60.98,23
CDM,0409-4091-01,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,152.1,89.74,18.5,136.89,23
CDM,0409-4091-11,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,152.1,89.74,18.5,136.89,23
CDM,0409-4092-01,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,131.75,77.73,16.03,118.58,23
CDM,0409-4092-11,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,131.75,77.73,16.03,118.58,23
CDM,0409-4093-01,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,88.45,52.19,10.76,79.61,23
CDM,0409-4093-11,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,88.45,52.19,10.76,79.61,23
CDM,0409-4264-01,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,11.06,6.53,1.35,9.95,23
CDM,0409-4264-11,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,11.06,6.53,1.35,9.95,23
CDM,0409-4275-01,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION,20.5,12.1,2.49,18.45,23
CDM,0409-4276-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,4.3,2.54,0.52,3.87,23
CDM,0409-4276-02,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,14.75,8.7,1.79,13.28,23
CDM,0409-4276-16,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,4.3,2.54,0.52,3.87,23
CDM,0409-4276-17,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,14.75,8.7,1.79,13.28,23
CDM,0409-4277-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,9.4,5.55,1.14,8.46,23
CDM,0409-4277-02,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.25,11.36,2.34,17.33,23
CDM,0409-4277-16,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,9.4,5.55,1.14,8.46,23
CDM,0409-4277-17,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,19.25,11.36,2.34,17.33,23
CDM,0409-4278-01,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,10.5,6.2,1.28,9.45,23
CDM,0409-4278-16,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,10.5,6.2,1.28,9.45,23
CDM,0409-4279-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,7.95,4.69,0.97,7.16,23
CDM,0409-4279-16,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,7.95,4.69,0.97,7.16,23
CDM,0409-4282-01,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,4.47,2.64,0.54,4.02,23
CDM,0409-4282-02,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,9.7,5.72,1.18,8.73,23
CDM,0409-4282-12,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,9.7,5.72,1.18,8.73,23
CDM,0409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,14.23,8.4,1.73,12.81,23
CDM,0409-4283-11,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,14.23,8.4,1.73,12.81,23
CDM,0409-4283-25,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,14.23,8.4,1.73,12.81,23
CDM,0409-4332-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,10.83,6.39,1.32,9.75,23
CDM,0409-4332-11,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,10.83,6.39,1.32,9.75,23
CDM,0409-4346-16,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,32.1,18.94,3.9,28.89,23
CDM,0409-4346-73,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,32.1,18.94,3.9,28.89,23
CDM,0409-4350-03,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,44.28,26.13,5.39,39.85,23
CDM,0409-4444-01,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,12.0,7.08,1.46,10.8,23
CDM,0409-4520-02,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",32.5,19.18,3.95,29.25,23
CDM,0409-4520-30,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",32.5,19.18,3.95,29.25,23
CDM,0409-4699-24,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,41.5,24.49,5.05,37.35,23
CDM,0409-4699-33,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.75,12.24,2.52,18.68,23
CDM,0409-4699-53,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.75,12.24,2.52,18.68,23
CDM,0409-4699-54,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,41.5,24.49,5.05,37.35,23
CDM,0409-4713-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,4.0,2.36,0.49,3.6,23
CDM,0409-4713-12,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,4.0,2.36,0.49,3.6,23
CDM,0409-4713-25,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,3.23,1.91,0.39,2.91,23
CDM,0409-4713-32,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,3.23,1.91,0.39,2.91,23
CDM,0409-4713-42,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,3.23,1.91,0.39,2.91,23
CDM,0409-4713-62,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,3.25,1.92,0.4,2.93,23
CDM,0409-4755-03,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,5.91,3.49,0.72,5.32,23
CDM,0409-4755-18,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,5.91,3.49,0.72,5.32,23
CDM,0409-4759-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,32.9,19.41,4.0,29.61,23
CDM,0409-4776-01,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,38.8,22.89,4.72,34.92,23
CDM,0409-4888-01,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,9.7,5.72,1.18,8.73,23
CDM,0409-4888-02,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,4.35,2.57,0.53,3.92,23
CDM,0409-4888-03,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,6.0,3.54,0.73,5.4,23
CDM,0409-4888-06,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,13.0,7.67,1.58,11.7,23
CDM,0409-4888-10,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,4.35,2.57,0.53,3.92,23
CDM,0409-4888-12,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,9.7,5.72,1.18,8.73,23
CDM,0409-4888-20,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,6.0,3.54,0.73,5.4,23
CDM,0409-4888-50,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,13.0,7.67,1.58,11.7,23
CDM,0409-4900-14,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,101.4,59.83,12.33,91.26,23
CDM,0409-4900-24,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,101.4,59.83,12.33,91.26,23
CDM,0409-4902-34,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,73.25,43.22,8.91,65.93,23
CDM,0409-4902-64,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,73.25,43.22,8.91,65.93,23
CDM,0409-4903-11,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,23.73,14.0,2.89,21.36,23
CDM,0409-4903-34,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,23.73,14.0,2.89,21.36,23
CDM,0409-4904-11,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,75.85,44.75,9.23,68.27,23
CDM,0409-4904-34,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,75.85,44.75,9.23,68.27,23
CDM,0409-4910-11,ATROPINE 0.1 MG/ML INJECTION SYRINGE,69.63,41.08,8.47,62.67,23
CDM,0409-4910-34,ATROPINE 0.1 MG/ML INJECTION SYRINGE,69.63,41.08,8.47,62.67,23
CDM,0409-4911-11,ATROPINE 0.1 MG/ML INJECTION SYRINGE,80.85,47.7,9.83,72.77,23
CDM,0409-4911-34,ATROPINE 0.1 MG/ML INJECTION SYRINGE,80.85,47.7,9.83,72.77,23
CDM,0409-4928-11,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,74.85,44.16,9.11,67.37,23
CDM,0409-4928-34,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,74.85,44.16,9.11,67.37,23
CDM,0409-5017-01,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,131.3,77.47,15.97,118.17,23
CDM,0409-5082-11,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,13.82,8.15,1.68,12.44,23
CDM,0409-5082-16,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,13.82,8.15,1.68,12.44,23
CDM,0409-5084-11,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,19.3,11.39,2.35,17.37,23
CDM,0409-5084-13,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,19.3,11.39,2.35,17.37,23
CDM,0409-5086-11,CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION,49.27,29.07,5.99,44.34,23
CDM,0409-5093-11,CEFTAZIDIME 2 GRAM INTRAVENOUS SOLUTION,52.3,30.86,6.36,47.07,23
CDM,0409-5239-01,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,15.0,8.85,1.82,13.5,23
CDM,0409-5239-60,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,15.0,8.85,1.82,13.5,23
CDM,0409-5534-14,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,82.95,48.94,10.09,74.66,23
CDM,0409-5534-24,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,82.95,48.94,10.09,74.66,23
CDM,0409-5555-01,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,19.35,11.42,2.35,17.42,23
CDM,0409-5820-01,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,13.4,7.91,1.63,12.06,23
CDM,0409-5921-01,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,57.35,33.84,6.98,51.62,23
CDM,0409-5921-16,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,57.35,33.84,6.98,51.62,23
CDM,0409-5922-01,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,37.0,21.83,4.5,33.3,23
CDM,0409-5922-16,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,37.0,21.83,4.5,33.3,23
CDM,0409-6010-02,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,8.3,4.9,1.01,7.47,23
CDM,0409-6010-25,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,8.3,4.9,1.01,7.47,23
CDM,0409-6102-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.13,1.85,0.38,2.82,23
CDM,0409-6102-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.32,1.96,0.4,2.99,23
CDM,0409-6102-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.7,2.77,0.57,4.23,23
CDM,0409-6102-18,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.32,1.96,0.4,2.99,23
CDM,0409-6102-19,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.13,1.85,0.38,2.82,23
CDM,0409-6102-20,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.7,2.77,0.57,4.23,23
CDM,0409-6102-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.13,1.85,0.38,2.82,23
CDM,0409-6102-26,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.32,1.96,0.4,2.99,23
CDM,0409-6102-27,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.7,2.77,0.57,4.23,23
CDM,0409-6102-35,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.13,1.85,0.38,2.82,23
CDM,0409-6102-36,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.32,1.96,0.4,2.99,23
CDM,0409-6102-37,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.7,2.77,0.57,4.23,23
CDM,0409-6476-44,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,105.67,62.35,12.85,95.1,23
CDM,0409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,268.5,158.42,32.66,241.65,23
CDM,0409-6509-01,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,80.65,47.58,9.81,72.59,23
CDM,0409-6509-49,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,80.65,47.58,9.81,72.59,23
CDM,0409-6531-01,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,27.65,16.31,3.36,24.89,23
CDM,0409-6531-02,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,34.42,20.31,4.19,30.98,23
CDM,0409-6531-12,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,34.42,20.31,4.19,30.98,23
CDM,0409-6533-11,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.84,6.99,1.44,10.66,23
CDM,0409-6533-21,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.84,6.99,1.44,10.66,23
CDM,0409-6533-31,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.84,6.99,1.44,10.66,23
CDM,0409-6533-59,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.84,6.99,1.44,10.66,23
CDM,0409-6534-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,18.06,10.66,2.2,16.25,23
CDM,0409-6535-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",27.65,16.31,3.36,24.89,23
CDM,0409-6562-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,34.55,20.38,4.2,31.1,23
CDM,0409-6581-01,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",48.5,28.62,5.9,43.65,23
CDM,0409-6625-14,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,40.25,23.75,4.9,36.23,23
CDM,0409-6625-22,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,40.25,23.75,4.9,36.23,23
CDM,0409-6625-30,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,39.5,23.31,4.8,35.55,23
CDM,0409-6625-35,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,39.5,23.31,4.8,35.55,23
CDM,0409-6629-02,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,88.35,52.13,10.75,79.52,23
CDM,0409-6629-12,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,88.35,52.13,10.75,79.52,23
CDM,0409-6635-01,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,18.63,10.99,2.27,16.77,23
CDM,0409-6635-18,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,18.63,10.99,2.27,16.77,23
CDM,0409-6637-14,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,74.25,43.81,9.03,66.83,23
CDM,0409-6637-24,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,74.25,43.81,9.03,66.83,23
CDM,0409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,19.25,11.36,2.34,17.33,23
CDM,0409-6648-16,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,19.25,11.36,2.34,17.33,23
CDM,0409-6651-06,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,14.3,8.44,1.74,12.87,23
CDM,0409-6651-19,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,14.3,8.44,1.74,12.87,23
CDM,0409-6653-05,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,23.3,13.75,2.83,20.97,23
CDM,0409-6653-18,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,23.3,13.75,2.83,20.97,23
CDM,0409-6660-01,SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION,30.2,17.82,3.67,27.18,23
CDM,0409-6660-75,SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION,30.2,17.82,3.67,27.18,23
CDM,0409-6695-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,25.5,15.05,3.1,22.95,23
CDM,0409-6695-02,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,29.3,17.29,3.56,26.37,23
CDM,0409-6695-11,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,25.5,15.05,3.1,22.95,23
CDM,0409-6695-12,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,29.3,17.29,3.56,26.37,23
CDM,0409-6727-23,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,34.5,20.36,4.2,31.05,23
CDM,0409-6729-11,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,19.75,11.65,2.4,17.78,23
CDM,0409-6729-23,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,23.0,13.57,2.8,20.7,23
CDM,0409-6729-24,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,19.75,11.65,2.4,17.78,23
CDM,0409-6729-41,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,23.0,13.57,2.8,20.7,23
CDM,0409-7037-01,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.5,10.33,2.13,15.75,23
CDM,0409-7100-02,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,15.0,8.85,1.82,13.5,23
CDM,0409-7100-66,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,10.25,6.05,1.25,9.23,23
CDM,0409-7100-67,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,0409-7101-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,16.25,9.59,1.98,14.63,23
CDM,0409-7101-66,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,10.25,6.05,1.25,9.23,23
CDM,0409-7101-67,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,10.0,5.9,1.22,9.0,23
CDM,0409-7101-68,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,10.25,6.05,1.25,9.23,23
CDM,0409-7101-69,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,10.0,5.9,1.22,9.0,23
CDM,0409-7248-03,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,62.5,36.88,7.6,56.25,23
CDM,0409-7248-13,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,62.5,36.88,7.6,56.25,23
CDM,0409-7295-01,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,64.13,37.84,7.8,57.72,23
CDM,0409-7295-11,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,64.13,37.84,7.8,57.72,23
CDM,0409-7299-25,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,13.9,8.2,1.69,12.51,23
CDM,0409-7299-45,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,13.9,8.2,1.69,12.51,23
CDM,0409-7299-73,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,14.5,8.56,1.76,13.05,23
CDM,0409-7299-83,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,14.5,8.56,1.76,13.05,23
CDM,0409-7332-01,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,4.54,2.68,0.55,4.09,23
CDM,0409-7332-11,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,4.54,2.68,0.55,4.09,23
CDM,0409-7332-20,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,4.54,2.68,0.55,4.09,23
CDM,0409-7332-21,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,4.54,2.68,0.55,4.09,23
CDM,0409-7333-04,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,12.56,7.41,1.53,11.3,23
CDM,0409-7333-11,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,12.56,7.41,1.53,11.3,23
CDM,0409-7333-31,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,12.37,7.3,1.5,11.13,23
CDM,0409-7333-49,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,12.37,7.3,1.5,11.13,23
CDM,0409-7334-10,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,46.05,27.17,5.6,41.45,23
CDM,0409-7335-03,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,11.15,6.58,1.36,10.04,23
CDM,0409-7335-13,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,11.15,6.58,1.36,10.04,23
CDM,0409-7335-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,11.15,6.58,1.36,10.04,23
CDM,0409-7335-21,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,11.15,6.58,1.36,10.04,23
CDM,0409-7336-04,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,24.48,14.44,2.98,22.03,23
CDM,0409-7336-11,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,24.48,14.44,2.98,22.03,23
CDM,0409-7337-01,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,2.58,1.52,0.31,2.32,23
CDM,0409-7337-11,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,2.58,1.52,0.31,2.32,23
CDM,0409-7337-20,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,2.54,1.5,0.31,2.29,23
CDM,0409-7337-21,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,2.54,1.5,0.31,2.29,23
CDM,0409-7338-01,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,3.18,1.88,0.39,2.86,23
CDM,0409-7338-11,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,3.18,1.88,0.39,2.86,23
CDM,0409-7338-20,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,3.14,1.85,0.38,2.83,23
CDM,0409-7338-21,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,3.14,1.85,0.38,2.83,23
CDM,0409-7391-72,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,84.23,49.7,10.25,75.81,23
CDM,0409-7391-82,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,84.23,49.7,10.25,75.81,23
CDM,0409-7517-16,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,71.75,42.33,8.73,64.58,23
CDM,0409-7517-66,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,71.75,42.33,8.73,64.58,23
CDM,0409-7620-03,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",17.5,10.33,2.13,15.75,23
CDM,0409-7620-13,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",17.5,10.33,2.13,15.75,23
CDM,0409-7620-59,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV",20.0,11.8,2.43,18.0,23
CDM,0409-7650-05,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",47.5,28.03,5.78,42.75,23
CDM,0409-7650-30,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",47.5,28.03,5.78,42.75,23
CDM,0409-7809-11,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",35.0,20.65,4.26,31.5,23
CDM,0409-7809-22,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",35.0,20.65,4.26,31.5,23
CDM,0409-7810-11,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",50.0,29.5,6.08,45.0,23
CDM,0409-7810-22,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",50.0,29.5,6.08,45.0,23
CDM,0409-7875-01,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",210.0,123.9,25.55,189.0,23
CDM,0409-7983-53,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0409-8183-01,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,14.6,8.61,1.78,13.14,23
CDM,0409-8183-11,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,14.6,8.61,1.78,13.14,23
CDM,0409-8183-25,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,14.6,8.61,1.78,13.14,23
CDM,0409-9042-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",17.5,10.33,2.13,15.75,23
CDM,0409-9042-11,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",17.5,10.33,2.13,15.75,23
CDM,0409-9042-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",11.55,6.81,1.4,10.4,23
CDM,0409-9043-01,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",23.5,13.87,2.86,21.15,23
CDM,0409-9045-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",9.7,5.72,1.18,8.73,23
CDM,0409-9045-16,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",11.25,6.64,1.37,10.13,23
CDM,0409-9045-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",11.25,6.64,1.37,10.13,23
CDM,0409-9046-01,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",20.25,11.95,2.46,18.23,23
CDM,0409-9046-11,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",20.25,11.95,2.46,18.23,23
CDM,0409-9093-09,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,2.63,1.55,0.32,2.37,23
CDM,0409-9093-11,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,2.63,1.55,0.32,2.37,23
CDM,0409-9094-12,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,2.76,1.63,0.34,2.48,23
CDM,0409-9094-16,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,16.7,9.85,2.03,15.03,23
CDM,0409-9094-18,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,5.23,3.09,0.64,4.71,23
CDM,0409-9094-22,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,2.76,1.63,0.34,2.48,23
CDM,0409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,5.23,3.09,0.64,4.71,23
CDM,0409-9094-28,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,14.0,8.26,1.7,12.6,23
CDM,0409-9094-31,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,16.7,9.85,2.03,15.03,23
CDM,0409-9094-41,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,44.75,26.4,5.44,40.28,23
CDM,0409-9094-61,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,44.75,26.4,5.44,40.28,23
CDM,0409-9104-20,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,9.95,5.87,1.21,8.96,23
CDM,0409-9157-01,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,18.66,11.01,2.27,16.79,23
CDM,0409-9157-31,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,18.66,11.01,2.27,16.79,23
CDM,0409-9157-50,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,18.66,11.01,2.27,16.79,23
CDM,0409-9158-01,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,119.8,70.68,14.57,107.82,23
CDM,0409-9158-11,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,119.8,70.68,14.57,107.82,23
CDM,0409-9158-25,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,119.8,70.68,14.57,107.82,23
CDM,0409-9158-31,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,119.8,70.68,14.57,107.82,23
CDM,0409-9158-50,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,119.8,70.68,14.57,107.82,23
CDM,0409-9158-55,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,119.8,70.68,14.57,107.82,23
CDM,0409-9558-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.05,4.75,0.98,7.25,23
CDM,0409-9558-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,33.0,19.47,4.01,29.7,23
CDM,0409-9558-11,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.05,4.75,0.98,7.25,23
CDM,0409-9558-31,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,33.0,19.47,4.01,29.7,23
CDM,0409-9558-49,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.05,4.75,0.98,7.25,23
CDM,0409-9558-50,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.6,10.38,2.14,15.84,23
CDM,0409-9558-69,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.05,4.75,0.98,7.25,23
CDM,0409-9558-70,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.6,10.38,2.14,15.84,23
CDM,0409-9735-01,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,28.57,16.86,3.48,25.71,23
CDM,0409-9735-10,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,28.57,16.86,3.48,25.71,23
CDM,0414200007,SACCHAROMYCES BOULARDII 250 MG CAPSULE,3.65,2.15,0.44,3.29,23
CDM,0414200024,SACCHAROMYCES BOULARDII 250 MG CAPSULE,3.48,2.05,0.42,3.13,23
CDM,0430-0472-03,RISEDRONATE 35 MG TABLET,395.2,233.17,48.07,355.68,23
CDM,0430-0720-24,ESTRADIOL 0.5 MG TABLET,12.64,7.46,1.54,11.38,23
CDM,0430-0721-24,ESTRADIOL 1 MG TABLET,25.26,14.9,3.07,22.73,23
CDM,0430-3754-14,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,1597.37,942.45,194.31,1437.63,23
CDM,0435150012,INHALATIONAL SPACING DEVICE,168.5,99.42,20.5,151.65,23
CDM,0435150212,INHALATIONAL SPACING DEVICE WITH MEDIUM MASK,227.2,134.05,27.64,204.48,23
CDM,0435152510,INHALATIONAL SPACING DEVICE,45.0,26.55,5.47,40.5,23
CDM,0435178810,INHALATIONAL SPACING DEVICE WITH MEDIUM MASK,100.0,59.0,12.16,90.0,23
CDM,0435179710,INHALATIONAL SPACING DEVICE,47.6,28.08,5.79,42.84,23
CDM,0435180810,INHALATIONAL SPACING DEVICE WITH LARGE MASK,180.45,106.47,21.95,162.41,23
CDM,0436-0669-16,SODIUM HYPOCHLORITE 0.0125 % TOPICAL SOLUTION,59.13,34.89,7.19,53.22,23
CDM,0456-0400-01,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,892.51,526.58,108.57,803.26,23
CDM,0456-0400-10,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,892.51,526.58,108.57,803.26,23
CDM,0456-0458-01,THYROID (PORK) 30 MG TABLET,4.46,2.63,0.54,4.01,23
CDM,0456-0459-01,THYROID (PORK) 60 MG TABLET,4.96,2.93,0.6,4.46,23
CDM,0456-0460-01,THYROID (PORK) 90 MG TABLET,7.76,4.58,0.94,6.98,23
CDM,0456-0461-01,THYROID (PORK) 120 MG TABLET,9.09,5.36,1.11,8.18,23
CDM,0456-0600-01,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,892.51,526.58,108.57,803.26,23
CDM,0456-0600-10,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,892.51,526.58,108.57,803.26,23
CDM,0456-1110-30,VILAZODONE 10 MG TABLET,53.34,31.47,6.49,48.01,23
CDM,0456-1120-30,VILAZODONE 20 MG TABLET,53.34,31.47,6.49,48.01,23
CDM,0456-1140-30,VILAZODONE 40 MG TABLET,53.34,31.47,6.49,48.01,23
CDM,0456-1201-30,LINACLOTIDE 145 MCG CAPSULE,83.04,48.99,10.1,74.74,23
CDM,0456-1202-04,LINACLOTIDE 290 MCG CAPSULE,65.66,38.74,7.99,59.09,23
CDM,0456-1202-30,LINACLOTIDE 290 MCG CAPSULE,83.04,48.99,10.1,74.74,23
CDM,0456-1203-30,LINACLOTIDE 72 MCG CAPSULE,83.04,48.99,10.1,74.74,23
CDM,0456-1402-30,NEBIVOLOL 2.5 MG TABLET,28.24,16.66,3.44,25.42,23
CDM,0456-1405-90,NEBIVOLOL 5 MG TABLET,28.23,16.66,3.43,25.41,23
CDM,0456-1410-90,NEBIVOLOL 10 MG TABLET,28.23,16.66,3.43,25.41,23
CDM,0456-1420-90,NEBIVOLOL 20 MG TABLET,28.23,16.66,3.43,25.41,23
CDM,0456-2020-01,ESCITALOPRAM 20 MG TABLET,70.8,41.77,8.61,63.72,23
CDM,0456-2405-06,ASENAPINE 5 MG SUBLINGUAL TABLET,92.17,54.38,11.21,82.95,23
CDM,0456-2405-60,ASENAPINE 5 MG SUBLINGUAL TABLET,92.17,54.38,11.21,82.95,23
CDM,0456-2410-06,ASENAPINE 10 MG SUBLINGUAL TABLET,92.17,54.38,11.21,82.95,23
CDM,0456-2410-60,ASENAPINE 10 MG SUBLINGUAL TABLET,92.17,54.38,11.21,82.95,23
CDM,0456-2700-01,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1821.75,1074.83,221.61,1639.58,23
CDM,0456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1821.75,1074.83,221.61,1639.58,23
CDM,0469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1411.3,832.67,171.68,1270.17,23
CDM,0469-0520-01,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,414.22,244.39,50.39,372.8,23
CDM,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,414.22,244.39,50.39,372.8,23
CDM,0469-0607-73,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,3.81,2.25,0.46,3.43,23
CDM,0469-0617-73,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,7.62,4.5,0.93,6.86,23
CDM,0469-0647-73,"TACROLIMUS XL 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR",3.23,1.91,0.39,2.91,23
CDM,0469-0677-73,"TACROLIMUS XL 1 MG CAPSULE,EXTENDED RELEASE 24 HR",6.46,3.81,0.79,5.81,23
CDM,0469-0687-73,"TACROLIMUS XL 5 MG CAPSULE,EXTENDED RELEASE 24 HR",32.31,19.06,3.93,29.08,23
CDM,0469-2601-30,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",71.09,41.94,8.65,63.98,23
CDM,0469-2601-90,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",71.09,41.94,8.65,63.98,23
CDM,0469-2602-30,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",71.09,41.94,8.65,63.98,23
CDM,0469-2602-90,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",71.09,41.94,8.65,63.98,23
CDM,0469-2860-01,ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE,166.04,97.96,20.2,149.44,23
CDM,0469-2860-35,ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE,166.04,97.96,20.2,149.44,23
CDM,0469-3016-01,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,262.39,154.81,31.92,236.15,23
CDM,0469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,476.15,280.93,57.92,428.54,23
CDM,0469-3211-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,866.35,511.15,105.39,779.72,23
CDM,0469-3250-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,433.2,255.59,52.7,389.88,23
CDM,0469-3425-10,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,7900.0,4661.0,960.99,7110.0,23
CDM,0469-6501-89,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,665.1,392.41,80.91,598.59,23
CDM,0472-0082-05,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,17.7,10.44,2.15,15.93,23
CDM,0472-0082-16,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,1641.31,968.37,199.66,1477.18,23
CDM,0472-0242-60,PERMETHRIN 5 % TOPICAL CREAM,106.2,62.66,12.92,95.58,23
CDM,0472-0321-26,HYDROCORTISONE 1 % TOPICAL CREAM,18.04,10.64,2.19,16.24,23
CDM,0472-0337-20,HYDROCORTISONE 2.5 % TOPICAL CREAM,11.5,6.79,1.4,10.35,23
CDM,0472-0337-30,HYDROCORTISONE 2.5 % TOPICAL CREAM,30.0,17.7,3.65,27.0,23
CDM,0472-0370-45,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,212.4,125.32,25.84,191.16,23
CDM,0472-0371-15,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,76.35,45.05,9.29,68.72,23
CDM,0472-0380-15,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,150.08,88.55,18.26,135.07,23
CDM,0472-0382-15,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",243.53,143.68,29.62,219.18,23
CDM,0472-0382-45,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",354.6,209.21,43.14,319.14,23
CDM,0472-0404-92,CLOBETASOL 0.05 % LOTION,1049.02,618.92,127.61,944.12,23
CDM,0472-0478-15,DESOXIMETASONE 0.25 % TOPICAL CREAM,92.18,54.39,11.21,82.96,23
CDM,0472-0478-60,DESOXIMETASONE 0.25 % TOPICAL CREAM,165.9,97.88,20.18,149.31,23
CDM,0472-0479-15,DESOXIMETASONE 0.25 % TOPICAL OINTMENT,129.83,76.6,15.79,116.85,23
CDM,0472-0803-02,DESONIDE 0.05 % LOTION,343.97,202.94,41.84,309.57,23
CDM,0472-0803-04,DESONIDE 0.05 % LOTION,633.07,373.51,77.01,569.76,23
CDM,0472-0804-15,DESONIDE 0.05 % TOPICAL CREAM,295.95,174.61,36.0,266.36,23
CDM,0472-1030-16,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,321.64,189.77,39.13,289.48,23
CDM,0472-1738-03,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,53.3,31.45,6.48,47.97,23
CDM,0472-1992-08,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,2199.95,1297.97,267.61,1979.96,23
CDM,0480-1243-28,LENALIDOMIDE 10 MG CAPSULE,3923.49,2314.86,477.27,3531.14,23
CDM,0480-2043-56,VILAZODONE 40 MG TABLET,42.05,24.81,5.12,37.85,23
CDM,0480-2688-06,TICAGRELOR 60 MG TABLET,30.83,18.19,3.75,27.75,23
CDM,0480-3156-56,TERIFLUNOMIDE 14 MG TABLET,63.59,37.52,7.74,57.23,23
CDM,0480-3290-01,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,6358.35,3751.43,773.46,5722.52,23
CDM,0480-3310-01,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",11.69,6.9,1.42,10.52,23
CDM,0480-3479-06,LUBIPROSTONE 8 MCG CAPSULE,8.17,4.82,0.99,7.35,23
CDM,0480-3610-87,PIRFENIDONE 267 MG TABLET,36.8,21.71,4.48,33.12,23
CDM,0480-3611-98,PIRFENIDONE 801 MG TABLET,110.38,65.12,13.43,99.34,23
CDM,0480-4138-06,LUBIPROSTONE 24 MCG CAPSULE,8.17,4.82,0.99,7.35,23
CDM,0480-4184-89,PAZOPANIB 200 MG TABLET,433.65,255.85,52.75,390.29,23
CDM,0485-0098-16,CHLORPHENIRAMINE 2 MG/5 ML ORAL SYRUP,1939.3,1144.19,235.91,1745.37,23
CDM,0486112501,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,3.43,2.02,0.42,3.09,23
CDM,0486113201,MAGNESIUM OXIDE-PYRIDOXINE HCL 362 MG-20 MG TABLET,2.39,1.41,0.29,2.15,23
CDM,0487-0201-00,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.2,0.71,0.15,1.08,23
CDM,0487-0201-01,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.85,1.09,0.23,1.67,23
CDM,0487-0201-03,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.2,0.71,0.15,1.08,23
CDM,0487-0201-60,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.2,0.71,0.15,1.08,23
CDM,0487-0301-01,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,6.12,3.61,0.74,5.51,23
CDM,0487-2784-01,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,3.87,2.28,0.47,3.48,23
CDM,0487-5901-99,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,9.22,5.44,1.12,8.3,23
CDM,0487-9301-03,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,0487-9301-33,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,1.38,0.81,0.17,1.24,23
CDM,0487-9501-00,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,0487-9501-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.2,0.71,0.15,1.08,23
CDM,0487-9501-03,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,0487-9501-25,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,0487-9501-60,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,0487-9601-01,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,36.43,21.49,4.43,32.79,23
CDM,0487-9601-30,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,15.03,8.87,1.83,13.53,23
CDM,0487-9701-01,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,42.87,25.29,5.21,38.58,23
CDM,0487-9701-30,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,19.88,11.73,2.42,17.89,23
CDM,0487-9801-00,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.15,0.68,0.14,1.04,23
CDM,0487-9801-01,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.39,0.82,0.17,1.25,23
CDM,0487-9801-30,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.15,0.68,0.14,1.04,23
CDM,0487-9801-60,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.15,0.68,0.14,1.04,23
CDM,0487-9904-01,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,6.12,3.61,0.74,5.51,23
CDM,0487-9904-25,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,6.12,3.61,0.74,5.51,23
CDM,0487900330,SODIUM CHLORIDE 3 % FOR NEBULIZATION,3.08,1.82,0.37,2.77,23
CDM,0496-0882-05,LIDOCAINE 4 % TOPICAL CREAM,51.75,30.53,6.3,46.58,23
CDM,0496-0882-06,LIDOCAINE 4 % TOPICAL CREAM,14.25,8.41,1.73,12.83,23
CDM,0496-0882-07,LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT,94.9,55.99,11.54,85.41,23
CDM,0496-0882-30,LIDOCAINE 4 % TOPICAL CREAM,151.8,89.56,18.47,136.62,23
CDM,0496052348,"GUM MASTIC-STORAX-METHYLSALICYLATE-ALCOHOL DROPS,DROPPERETTE",6.93,4.09,0.84,6.24,23
CDM,05047-4508-32,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,156.0,92.04,18.98,140.4,23
CDM,05047-4508-58,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,221.41,130.63,26.93,199.27,23
CDM,0517-0020-10,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,82.25,48.53,10.01,74.03,23
CDM,0517-0031-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",10.41,6.14,1.27,9.37,23
CDM,0517-0031-25,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",10.41,6.14,1.27,9.37,23
CDM,0517-0032-25,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",200.45,118.27,24.38,180.41,23
CDM,0517-0130-05,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",497.55,293.55,60.52,447.8,23
CDM,0517-0301-10,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,16.5,9.74,2.01,14.85,23
CDM,0517-0374-01,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,460.75,271.84,56.05,414.68,23
CDM,0517-0374-05,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,460.75,271.84,56.05,414.68,23
CDM,0517-0375-10,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION,15.13,8.93,1.84,13.62,23
CDM,0517-0381-01,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,562.1,331.64,68.38,505.89,23
CDM,0517-0420-01,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,422.35,249.19,51.38,380.12,23
CDM,0517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4611.9,2721.02,561.01,4150.71,23
CDM,0517-0710-01,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,2595.7,1531.46,315.75,2336.13,23
CDM,0517-0720-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,170.95,100.86,20.8,153.86,23
CDM,0517-0735-01,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,105.5,62.25,12.83,94.95,23
CDM,0517-0740-01,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,98.45,58.09,11.98,88.61,23
CDM,0517-0740-20,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,98.45,58.09,11.98,88.61,23
CDM,0517-0791-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,170.95,100.86,20.8,153.86,23
CDM,0517-0901-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,30.46,17.97,3.71,27.41,23
CDM,0517-0901-25,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,30.46,17.97,3.71,27.41,23
CDM,0517-0955-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,103.65,61.15,12.61,93.29,23
CDM,0517-1001-01,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,33.78,19.93,4.11,30.4,23
CDM,0517-1001-25,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,33.78,19.93,4.11,30.4,23
CDM,0517-1004-01,ATROPINE 0.4 MG/ML INJECTION SOLUTION,20.59,12.15,2.5,18.53,23
CDM,0517-1004-25,ATROPINE 0.4 MG/ML INJECTION SOLUTION,20.59,12.15,2.5,18.53,23
CDM,0517-1020-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,139.68,82.41,16.99,125.71,23
CDM,0517-1020-25,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,139.68,82.41,16.99,125.71,23
CDM,0517-1045-01,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,164.35,96.97,19.99,147.92,23
CDM,0517-1045-05,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,164.35,96.97,19.99,147.92,23
CDM,0517-1820-01,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,184.3,108.74,22.42,165.87,23
CDM,0517-1905-25,DOPAMINE 400 MG/5 ML (80 MG/ML) INTRAVENOUS SOLUTION,9.43,5.56,1.15,8.49,23
CDM,0517-1980-01,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,179.69,106.02,21.86,161.72,23
CDM,0517-1980-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,179.69,106.02,21.86,161.72,23
CDM,0517-2051-01,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,110.45,65.17,13.44,99.41,23
CDM,0517-2310-01,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION,328.3,193.7,39.94,295.47,23
CDM,0517-2310-05,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION,328.3,193.7,39.94,295.47,23
CDM,0517-2325-01,IRON SUCROSE 50 MG IRON/2.5 ML INTRAVENOUS SOLUTION,141.82,83.67,17.25,127.64,23
CDM,0517-2325-10,IRON SUCROSE 50 MG IRON/2.5 ML INTRAVENOUS SOLUTION,141.82,83.67,17.25,127.64,23
CDM,0517-2340-01,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,163.6,96.52,19.9,147.24,23
CDM,0517-2340-10,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,163.6,96.52,19.9,147.24,23
CDM,0517-2502-01,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,128.96,76.09,15.69,116.06,23
CDM,0517-2502-10,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,128.96,76.09,15.69,116.06,23
CDM,0517-3605-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,27.9,16.46,3.39,25.11,23
CDM,0517-3605-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,27.9,16.46,3.39,25.11,23
CDM,0517-4002-01,PAPAVERINE 30 MG/ML INJECTION SOLUTION,155.13,91.53,18.87,139.62,23
CDM,0517-4002-25,PAPAVERINE 30 MG/ML INJECTION SOLUTION,76.6,45.19,9.32,68.94,23
CDM,0517-4201-25,HYDROXYZINE HCL 25 MG/ML INTRAMUSCULAR SOLUTION,74.1,43.72,9.01,66.69,23
CDM,0517-4300-01,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,6697.75,3951.67,814.75,6027.98,23
CDM,0517-4601-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,59.04,34.83,7.18,53.14,23
CDM,0517-4601-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,11.61,6.85,1.41,10.45,23
CDM,0517-4602-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,18.15,10.71,2.21,16.34,23
CDM,0517-4605-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,43.3,25.55,5.27,38.97,23
CDM,0517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,55.95,33.01,6.81,50.36,23
CDM,0517-5601-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,90.33,53.29,10.99,81.3,23
CDM,0517-5602-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,97.17,57.33,11.82,87.45,23
CDM,0517-6101-01,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,82.5,48.68,10.04,74.25,23
CDM,0517-6101-25,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,82.5,48.68,10.04,74.25,23
CDM,0517-6202-25,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS,49.56,29.24,6.03,44.6,23
CDM,0517-6510-25,SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION,64.15,37.85,7.8,57.74,23
CDM,0517-6560-01,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,982.85,579.88,119.56,884.57,23
CDM,0517-6560-05,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,982.85,579.88,119.56,884.57,23
CDM,0517-6710-01,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,37.45,22.1,4.56,33.71,23
CDM,0517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,37.45,22.1,4.56,33.71,23
CDM,0517-7201-25,TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN,56.79,33.51,6.91,51.11,23
CDM,0517-7504-01,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,25.06,14.79,3.05,22.55,23
CDM,0517-7504-25,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,25.06,14.79,3.05,22.55,23
CDM,0517-7604-01,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,24.2,14.28,2.94,21.78,23
CDM,0517-7604-25,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,24.2,14.28,2.94,21.78,23
CDM,0517-7610-03,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,56.95,33.6,6.93,51.26,23
CDM,0517-8005-25,ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION,206.3,121.72,25.1,185.67,23
CDM,0517-8905-10,METHYLDOPATE 250 MG/5 ML INTRAVENOUS SOLUTION,200.0,118.0,24.33,180.0,23
CDM,0517-9120-01,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,36.9,21.77,4.49,33.21,23
CDM,0517-9120-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,36.9,21.77,4.49,33.21,23
CDM,0517-9191-01,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,36.9,21.77,4.49,33.21,23
CDM,0517-9191-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,36.9,21.77,4.49,33.21,23
CDM,0517-9305-01,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,102.29,60.35,12.44,92.06,23
CDM,0517-9305-25,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,102.29,60.35,12.44,92.06,23
CDM,0517-9702-01,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,35.11,20.71,4.27,31.6,23
CDM,0517-9702-25,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,35.11,20.71,4.27,31.6,23
CDM,0527-0586-01,DICYCLOMINE 10 MG CAPSULE,0.92,0.54,0.11,0.83,23
CDM,0527-0586-10,DICYCLOMINE 10 MG CAPSULE,0.68,0.4,0.08,0.61,23
CDM,0527-0760-37,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,2.33,1.37,0.28,2.1,23
CDM,0527-0790-37,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",5.36,3.16,0.65,4.82,23
CDM,0527-0791-37,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",5.36,3.16,0.65,4.82,23
CDM,0527-0792-37,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",5.36,3.16,0.65,4.82,23
CDM,0527-1231-01,PRIMIDONE 250 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,0527-1282-01,DICYCLOMINE 20 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,0527-1282-10,DICYCLOMINE 20 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,0527-1301-01,PRIMIDONE 50 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0527-1311-01,TERBUTALINE 5 MG TABLET,24.5,14.46,2.98,22.05,23
CDM,0527-1313-01,PILOCARPINE 5 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,0527-1318-01,TERBUTALINE 2.5 MG TABLET,20.06,11.84,2.44,18.05,23
CDM,0527-1326-01,URSODIOL 300 MG CAPSULE,5.76,3.4,0.7,5.18,23
CDM,0527-1330-01,BACLOFEN 10 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,0527-1333-01,BACLOFEN 5 MG TABLET,3.14,1.85,0.38,2.83,23
CDM,0527-1367-01,PROBENECID 500 MG TABLET,9.29,5.48,1.13,8.36,23
CDM,0527-1368-01,DANAZOL 100 MG CAPSULE,17.55,10.35,2.13,15.8,23
CDM,0527-1369-01,DANAZOL 200 MG CAPSULE,29.24,17.25,3.56,26.32,23
CDM,0527-1369-06,DANAZOL 200 MG CAPSULE,33.17,19.57,4.03,29.85,23
CDM,0527-1392-01,DANAZOL 50 MG CAPSULE,11.69,6.9,1.42,10.52,23
CDM,0527-1394-01,LOXAPINE SUCCINATE 5 MG CAPSULE,2.52,1.49,0.31,2.27,23
CDM,0527-1395-01,LOXAPINE SUCCINATE 10 MG CAPSULE,1.98,1.17,0.24,1.78,23
CDM,0527-1396-01,LOXAPINE SUCCINATE 25 MG CAPSULE,3.45,2.04,0.42,3.11,23
CDM,0527-1435-01,METAXALONE 800 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,0527-1632-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,1.05,0.62,0.13,0.95,23
CDM,0527-1695-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,0.86,0.51,0.1,0.77,23
CDM,0527-1695-05,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,0527-1788-01,FLUPHENAZINE 1 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,0527-1789-01,FLUPHENAZINE 2.5 MG TABLET,10.69,6.31,1.3,9.62,23
CDM,0527-1790-01,FLUPHENAZINE 5 MG TABLET,14.47,8.54,1.76,13.02,23
CDM,0527-1790-05,FLUPHENAZINE 5 MG TABLET,11.44,6.75,1.39,10.3,23
CDM,0527-1791-01,FLUPHENAZINE 10 MG TABLET,18.24,10.76,2.22,16.42,23
CDM,0527-1930-06,"CLARITHROMYCIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",24.48,14.44,2.98,22.03,23
CDM,0527-1931-06,CLARITHROMYCIN 250 MG TABLET,4.33,2.55,0.53,3.9,23
CDM,0527-1948-66,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,1183.5,698.27,143.97,1065.15,23
CDM,0527-1948-70,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,5623.2,3317.69,684.03,5060.88,23
CDM,0527-2133-35,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",56.45,33.31,6.87,50.81,23
CDM,0527-2395-32,AZITHROMYCIN 500 MG TABLET,10.29,6.07,1.25,9.26,23
CDM,0527-2425-46,OLMESARTAN 5 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,0527-2426-32,OLMESARTAN 20 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,0527-2961-37,CHLORPROMAZINE 10 MG TABLET,3.24,1.91,0.39,2.92,23
CDM,0527-2962-37,CHLORPROMAZINE 25 MG TABLET,4.62,2.73,0.56,4.16,23
CDM,0527-3012-48,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",6.5,3.84,0.79,5.85,23
CDM,0527-3280-46,LEVOTHYROXINE 25 MCG TABLET,0.39,0.23,0.05,0.35,23
CDM,0527-3282-46,LEVOTHYROXINE 75 MCG TABLET,0.42,0.25,0.05,0.38,23
CDM,0527-3283-46,LEVOTHYROXINE 88 MCG TABLET,0.41,0.24,0.05,0.37,23
CDM,0527-3284-46,LEVOTHYROXINE 100 MCG TABLET,0.43,0.25,0.05,0.39,23
CDM,0527-3286-46,LEVOTHYROXINE 125 MCG TABLET,0.53,0.31,0.06,0.48,23
CDM,0527-4116-37,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",0.81,0.48,0.1,0.73,23
CDM,0527-4117-37,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",0.9,0.53,0.11,0.81,23
CDM,0527-4118-37,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",1.08,0.64,0.13,0.97,23
CDM,0527-4119-37,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",1.44,0.85,0.18,1.3,23
CDM,0527-4591-13,OSELTAMIVIR 30 MG CAPSULE,3.87,2.28,0.47,3.48,23
CDM,0527-5125-30,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,5.25,3.1,0.64,4.73,23
CDM,0527-5125-70,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,23.65,13.95,2.88,21.29,23
CDM,0527-6004-80,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,129.0,76.11,15.69,116.1,23
CDM,0536-0015-83,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,14.2,8.38,1.73,12.78,23
CDM,0536-0091-85,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,26.02,15.35,3.17,23.42,23
CDM,0536-1046-10,SODIUM BICARBONATE 325 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,0536-1047-10,SODIUM BICARBONATE 650 MG TABLET,0.04,0.02,0.01,0.04,23
CDM,0536-1048-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.06,0.04,0.01,0.05,23
CDM,0536-1054-29,ASPIRIN IMMEDIATE RELEASE 325 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,0536-1056-56,BENZOYL PEROXIDE 10 % TOPICAL GEL,15.3,9.03,1.86,13.77,23
CDM,0536-1101-45,METHYL SALICYLATE 15 %-MENTHOL 1 % TOPICAL CREAM,13.18,7.78,1.6,11.86,23
CDM,0536-1106-88,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.41,3.78,0.78,5.77,23
CDM,0536-1107-88,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.41,3.78,0.78,5.77,23
CDM,0536-1108-88,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.41,3.78,0.78,5.77,23
CDM,0536-1112-48,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY,61.75,36.43,7.51,55.58,23
CDM,0536-1118-25,CAPSAICIN 0.075 % TOPICAL CREAM,16.82,9.92,2.05,15.14,23
CDM,0536-1143-97,WHITE PETROLATUM 42 % TOPICAL OINTMENT,17.5,10.33,2.13,15.75,23
CDM,0536-1143-98,WHITE PETROLATUM 42 % TOPICAL OINTMENT,38.59,22.77,4.69,34.73,23
CDM,0536-1161-34,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,1.82,1.07,0.22,1.64,23
CDM,0536-1172-01,ACETAMINOPHEN 500 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,0536-1186-12,PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY,0.8,0.47,0.1,0.72,23
CDM,0536-1202-07,LIDOCAINE 4 % TOPICAL PATCH,3.54,2.09,0.43,3.19,23
CDM,0536-1202-15,LIDOCAINE 4 % TOPICAL PATCH,5.01,2.96,0.61,4.51,23
CDM,0536-1206-10,CALCIUM 260 MG (AS CALCIUM CARBONATE 648 MG) TABLET,0.04,0.02,0.01,0.04,23
CDM,0536-1211-95,DIBUCAINE 1 % TOPICAL OINTMENT,14.7,8.67,1.79,13.23,23
CDM,0536-1217-94,TETRAHYDROZOLINE 0.05 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0536-1223-08,SIMETHICONE 125 MG CHEWABLE TABLET,0.3,0.18,0.04,0.27,23
CDM,0536-1228-58,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,11.51,6.79,1.4,10.36,23
CDM,0536-1232-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.09,0.05,0.01,0.08,23
CDM,0536-1234-41,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.06,0.04,0.01,0.05,23
CDM,0536-1239-27,NICOTINE (POLACRILEX) 2 MG BUCCAL MINI LOZENGE,1.94,1.14,0.24,1.75,23
CDM,0536-1239-81,NICOTINE (POLACRILEX) 2 MG BUCCAL MINI LOZENGE,1.94,1.14,0.24,1.75,23
CDM,0536-1241-27,NICOTINE (POLACRILEX) 4 MG BUCCAL MINI LOZENGE,1.94,1.14,0.24,1.75,23
CDM,0536-1241-81,NICOTINE (POLACRILEX) 4 MG BUCCAL MINI LOZENGE,1.94,1.14,0.24,1.75,23
CDM,0536-1247-10,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,0536-1248-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,0536-1252-40,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0536-1254-94,SODIUM CHLORIDE 5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0536-1263-28,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,9.94,5.86,1.21,8.95,23
CDM,0536-1264-56,CAPSAICIN 0.1 % TOPICAL CREAM,38.47,22.7,4.68,34.62,23
CDM,0536-1265-11,CLOTRIMAZOLE 1 % TOPICAL CREAM,5.67,3.35,0.69,5.1,23
CDM,0536-1268-12,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,21.09,12.44,2.57,18.98,23
CDM,0536-1271-80,POVIDONE-IODINE 10 % TOPICAL OINTMENT,5.97,3.52,0.73,5.37,23
CDM,0536-1286-30,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,2.7,1.59,0.33,2.43,23
CDM,0536-1286-36,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,11.85,6.99,1.44,10.67,23
CDM,0536-1288-06,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,9.41,5.55,1.14,8.47,23
CDM,0536-1293-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,4.8,2.83,0.58,4.32,23
CDM,0536-1294-97,DICLOFENAC 1 % TOPICAL GEL,35.5,20.95,4.32,31.95,23
CDM,0536-1297-01,MECLIZINE 12.5 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,0536-1298-01,FAMOTIDINE 20 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,0536-1299-01,MECLIZINE 25 MG CHEWABLE TABLET,0.14,0.08,0.02,0.13,23
CDM,0536-1303-75,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",8.7,5.13,1.06,7.83,23
CDM,0536-1315-43,TOLNAFTATE 1 % TOPICAL CREAM,5.11,3.01,0.62,4.6,23
CDM,0536-1316-98,ZINC OXIDE 20 % TOPICAL OINTMENT,24.97,14.73,3.04,22.47,23
CDM,0536-1317-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,4.95,2.92,0.6,4.46,23
CDM,0536-1319-83,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,10.65,6.28,1.3,9.59,23
CDM,0536-1327-01,ACETAMINOPHEN 325 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,0536-1327-06,ACETAMINOPHEN 325 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,0536-1327-10,ACETAMINOPHEN 325 MG TABLET,0.04,0.02,0.01,0.04,23
CDM,0536-1329-26,TOLNAFTATE 1 % TOPICAL POWDER,8.55,5.04,1.04,7.7,23
CDM,0536-1334-34,DEXTROMETHORPHAN HBR 15 MG CAPSULE,0.48,0.28,0.06,0.43,23
CDM,0536-1349-57,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM,12.75,7.52,1.55,11.48,23
CDM,0536-1362-06,NICOTINE (POLACRILEX) 2 MG GUM,1.48,0.87,0.18,1.33,23
CDM,0536-1362-23,NICOTINE (POLACRILEX) 2 MG GUM,0.56,0.33,0.07,0.5,23
CDM,0536-1362-25,NICOTINE (POLACRILEX) 2 MG GUM,0.56,0.33,0.07,0.5,23
CDM,0536-1372-34,NICOTINE (POLACRILEX) 4 MG GUM,1.4,0.83,0.17,1.26,23
CDM,0536-1387-92,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,0536-1407-95,HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM,6.72,3.96,0.82,6.05,23
CDM,0536-1962-97,SALICYLIC ACID-SULFUR 2 %-2 % SHAMPOO,11.21,6.61,1.36,10.09,23
CDM,0536-1995-53,SELENIUM SULFIDE 1 % SHAMPOO,10.35,6.11,1.26,9.32,23
CDM,0536-2470-85,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,14.19,8.37,1.73,12.77,23
CDM,0536-2506-76,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,5.5,3.25,0.67,4.95,23
CDM,0536-2525-25,CAPSAICIN 0.025 % TOPICAL CREAM,27.9,16.46,3.39,25.11,23
CDM,0536-2790-15,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,3.75,2.21,0.46,3.38,23
CDM,0536-3029-06,NICOTINE (POLACRILEX) 2 MG GUM,1.24,0.73,0.15,1.12,23
CDM,0536-3029-25,NICOTINE (POLACRILEX) 2 MG GUM,1.54,0.91,0.19,1.39,23
CDM,0536-3029-34,NICOTINE (POLACRILEX) 2 MG GUM,1.54,0.91,0.19,1.39,23
CDM,0536-3112-01,NICOTINE (POLACRILEX) 2 MG GUM,1.0,0.59,0.12,0.9,23
CDM,0536-3113-37,NICOTINE (POLACRILEX) 4 MG GUM,1.09,0.64,0.13,0.98,23
CDM,0536-4306-08,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,0536-4306-11,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0536-5894-88,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.85,4.04,0.83,6.17,23
CDM,0536-5895-88,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.82,4.02,0.83,6.14,23
CDM,0536-5896-53,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,9.18,5.42,1.12,8.26,23
CDM,0536-5896-88,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.82,4.02,0.83,6.14,23
CDM,05361-0090-13,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.12,0.07,0.01,0.11,23
CDM,0536110945,UREA 20 % TOPICAL CREAM,25.08,14.8,3.05,22.57,23
CDM,0536134380,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,15.75,9.29,1.92,14.18,23
CDM,0536134480,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,13.5,7.97,1.64,12.15,23
CDM,0536135201,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",0.26,0.15,0.03,0.23,23
CDM,0536137801,VITAMIN B COMPLEX CAPSULE,0.23,0.14,0.03,0.21,23
CDM,0536141401,VITAMIN B COMPLEX TABLET,0.08,0.05,0.01,0.07,23
CDM,0536141501,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,0536141638,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,0.06,0.04,0.01,0.05,23
CDM,0536407810,NIACIN 500 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,0536440601,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,0536478701,VITAMIN B COMPLEX CAPSULE,0.19,0.11,0.02,0.17,23
CDM,0536509008,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.24,0.14,0.03,0.22,23
CDM,0536781708,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.11,0.06,0.01,0.1,23
CDM,0548-5400-00,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,208.5,123.02,25.36,187.65,23
CDM,0548-5400-25,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,208.49,123.01,25.36,187.64,23
CDM,0548-5601-00,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,20.74,12.24,2.52,18.67,23
CDM,0548-5602-00,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,27.65,16.31,3.36,24.89,23
CDM,0548-5603-00,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,41.47,24.47,5.04,37.32,23
CDM,0548-5604-00,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,55.3,32.63,6.73,49.77,23
CDM,0548-5605-00,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,69.12,40.78,8.41,62.21,23
CDM,0548-5606-00,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,82.94,48.93,10.09,74.65,23
CDM,0548-5607-00,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,103.67,61.17,12.61,93.3,23
CDM,0548-5701-00,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,254.8,150.33,31.0,229.32,23
CDM,0548-5850-00,GLUCAGON 1 MG SOLUTION FOR INJECTION,1290.1,761.16,156.93,1161.09,23
CDM,0548-5900-00,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,92.15,54.37,11.21,82.94,23
CDM,0548-9501-00,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,852.39,502.91,103.69,767.15,23
CDM,0555-0033-02,CHLORDIAZEPOXIDE 10 MG CAPSULE,0.53,0.31,0.06,0.48,23
CDM,0555-0158-02,CHLORDIAZEPOXIDE 5 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,0555-0159-02,CHLORDIAZEPOXIDE 25 MG CAPSULE,0.67,0.4,0.08,0.6,23
CDM,0555-0159-04,CHLORDIAZEPOXIDE 25 MG CAPSULE,0.65,0.38,0.08,0.59,23
CDM,0555-0171-78,MEFLOQUINE 250 MG TABLET,25.86,15.26,3.15,23.27,23
CDM,0555-0171-88,MEFLOQUINE 250 MG TABLET,25.86,15.26,3.15,23.27,23
CDM,0555-0211-10,NORETHINDRONE ACETATE 5 MG TABLET,8.54,5.04,1.04,7.69,23
CDM,0555-0302-02,HYDROXYZINE PAMOATE 50 MG CAPSULE,0.93,0.55,0.11,0.84,23
CDM,0555-0323-02,HYDROXYZINE PAMOATE 25 MG CAPSULE,0.68,0.4,0.08,0.61,23
CDM,0555-0324-02,HYDROXYZINE PAMOATE 100 MG CAPSULE,1.88,1.11,0.23,1.69,23
CDM,0555-0483-02,AMILORIDE 5 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,1.87,1.1,0.23,1.68,23
CDM,0555-0484-01,LEUCOVORIN CALCIUM 5 MG TABLET,5.38,3.17,0.65,4.84,23
CDM,0555-0484-02,LEUCOVORIN CALCIUM 5 MG TABLET,2.92,1.72,0.36,2.63,23
CDM,0555-0485-27,LEUCOVORIN CALCIUM 25 MG TABLET,41.2,24.31,5.01,37.08,23
CDM,0555-0572-02,METHOTREXATE SODIUM 2.5 MG TABLET,3.26,1.92,0.4,2.93,23
CDM,0555-0606-02,MEGESTROL 20 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,0555-0607-02,MEGESTROL 40 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0555-0634-02,DANAZOL 100 MG CAPSULE,12.86,7.59,1.56,11.57,23
CDM,0555-0635-02,DANAZOL 200 MG CAPSULE,14.23,8.4,1.73,12.81,23
CDM,0555-0635-09,DANAZOL 200 MG CAPSULE,19.58,11.55,2.38,17.62,23
CDM,0555-0779-02,MEDROXYPROGESTERONE 10 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,0555-0779-04,MEDROXYPROGESTERONE 10 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,0555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,0555-0873-02,MEDROXYPROGESTERONE 5 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,0555-0882-02,HYDROXYUREA 500 MG CAPSULE,2.58,1.52,0.31,2.32,23
CDM,0555-0886-02,ESTRADIOL 1 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,0555-0886-04,ESTRADIOL 1 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,0555-0887-02,ESTRADIOL 2 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0555-0899-02,ESTRADIOL 0.5 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,0555-0952-02,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,0555-0971-02,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,3.99,2.35,0.49,3.59,23
CDM,0555-0972-02,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,3.99,2.35,0.49,3.59,23
CDM,0555-0973-02,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,1.83,1.08,0.22,1.65,23
CDM,0555-9010-58,NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET,2.42,1.43,0.29,2.18,23
CDM,0555-9010-79,NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET,2.42,1.43,0.29,2.18,23
CDM,0555-9016-58,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,3.58,2.11,0.44,3.22,23
CDM,0555-9045-58,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,2.91,1.72,0.35,2.62,23
CDM,0555-9049-58,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,2.41,1.42,0.29,2.17,23
CDM,0555-9049-79,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,2.41,1.42,0.29,2.17,23
CDM,0562-7805-00,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",405.65,239.33,49.35,365.09,23
CDM,0573-0151-10,IBUPROFEN 200 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0573-0169-20,IBUPROFEN 200 MG CAPSULE,0.89,0.53,0.11,0.8,23
CDM,0573-0169-89,IBUPROFEN 200 MG CAPSULE,0.54,0.32,0.07,0.49,23
CDM,0573-0225-67,BENZOCAINE 20 % MUCOSAL GEL,21.24,12.53,2.58,19.12,23
CDM,0573-0556-20,WITCH HAZEL 50 % TOPICAL PADS,0.51,0.3,0.06,0.46,23
CDM,0573-2450-14,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",3.3,1.95,0.4,2.97,23
CDM,0573-2452-14,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",3.3,1.95,0.4,2.97,23
CDM,0573-2871-93,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,32.2,19.0,3.92,28.98,23
CDM,0573-2883-11,PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY,2.81,1.66,0.34,2.53,23
CDM,0573-2883-20,PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY,2.48,1.46,0.3,2.23,23
CDM,0574-0106-01,BROMOCRIPTINE 2.5 MG TABLET,8.62,5.09,1.05,7.76,23
CDM,0574-0106-03,BROMOCRIPTINE 2.5 MG TABLET,15.25,9.0,1.86,13.73,23
CDM,0574-0107-14,CLOTRIMAZOLE 10 MG TROCHE,3.79,2.24,0.46,3.41,23
CDM,0574-0107-70,CLOTRIMAZOLE 10 MG TROCHE,3.12,1.84,0.38,2.81,23
CDM,0574-0107-77,CLOTRIMAZOLE 10 MG TROCHE,5.29,3.12,0.64,4.76,23
CDM,0574-0115-01,FLAVOXATE 100 MG TABLET,5.11,3.01,0.62,4.6,23
CDM,0574-0122-25,ACTIVATED CHARCOAL 25 GRAM ORAL SUSPENSION,65.5,38.65,7.97,58.95,23
CDM,0574-0145-60,TROSPIUM 20 MG TABLET,3.14,1.85,0.38,2.83,23
CDM,0574-0275-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",1.3,0.77,0.16,1.17,23
CDM,0574-0292-01,AMILORIDE 5 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,0574-0520-74,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,61.8,36.46,7.52,55.62,23
CDM,0574-0520-76,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION,87.6,51.68,10.66,78.84,23
CDM,0574-0521-74,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,53.4,31.51,6.5,48.06,23
CDM,0574-0521-76,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,75.6,44.6,9.2,68.04,23
CDM,0574-0601-15,PODOPHYLLUM RESIN 25 % TOPICAL LIQUID,391.8,231.16,47.66,352.62,23
CDM,0574-0790-01,METHAZOLAMIDE 25 MG TABLET,10.66,6.29,1.3,9.59,23
CDM,0574-0791-01,METHAZOLAMIDE 50 MG TABLET,18.4,10.86,2.24,16.56,23
CDM,0574-0805-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,506.85,299.04,61.66,456.17,23
CDM,0574-0820-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,85.9,50.68,10.45,77.31,23
CDM,0574-0827-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,85.9,50.68,10.45,77.31,23
CDM,0574-0827-10,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,373.7,220.48,45.46,336.33,23
CDM,0574-1133-16,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,6903.44,4073.03,839.77,6213.1,23
CDM,0574-2008-02,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",319.2,188.33,38.83,287.28,23
CDM,0574-2008-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",30.08,17.75,3.66,27.07,23
CDM,0574-2008-30,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",73.65,43.45,8.96,66.29,23
CDM,0574-2205-20,TRETINOIN 0.05 % TOPICAL CREAM,432.5,255.18,52.61,389.25,23
CDM,0574-2225-20,TRETINOIN 0.025 % TOPICAL CREAM,305.5,180.25,37.16,274.95,23
CDM,0574-2225-45,TRETINOIN 0.025 % TOPICAL CREAM,730.35,430.91,88.84,657.32,23
CDM,0574-4012-10,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0574-4012-15,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0574-4021-35,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",101.26,59.74,12.32,91.13,23
CDM,0574-4022-35,BACITRACIN 500 UNIT/GRAM EYE OINTMENT,498.0,293.82,60.58,448.2,23
CDM,0574-4024-11,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,33.58,19.81,4.08,30.22,23
CDM,0574-4024-35,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,59.8,35.28,7.27,53.82,23
CDM,0574-4024-50,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,33.58,19.81,4.08,30.22,23
CDM,0574-4031-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0574-4160-35,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",72.75,42.92,8.85,65.48,23
CDM,0574-7034-12,ASPIRIN 300 MG RECTAL SUPPOSITORY,5.38,3.17,0.65,4.84,23
CDM,0574-7045-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,101.99,60.17,12.41,91.79,23
CDM,0574-7050-12,BISACODYL 10 MG RECTAL SUPPOSITORY,1.17,0.69,0.14,1.05,23
CDM,0574-7050-50,BISACODYL 10 MG RECTAL SUPPOSITORY,1.05,0.62,0.13,0.95,23
CDM,0574-7090-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,14.34,8.46,1.74,12.91,23
CDM,0574-7110-12,MORPHINE 5 MG RECTAL SUPPOSITORY,18.43,10.87,2.24,16.59,23
CDM,0574-7112-12,MORPHINE 10 MG RECTAL SUPPOSITORY,20.0,11.8,2.43,18.0,23
CDM,0574-7114-12,MORPHINE 20 MG RECTAL SUPPOSITORY,23.47,13.85,2.86,21.12,23
CDM,0574-7224-06,HYDROMORPHONE 3 MG RECTAL SUPPOSITORY,39.06,23.05,4.75,35.15,23
CDM,0574-7226-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,34.85,20.56,4.24,31.37,23
CDM,0574-9855-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",4.55,2.68,0.55,4.1,23
CDM,0574006915,DEXTROSE 40 % ORAL GEL,5.85,3.45,0.71,5.27,23
CDM,0574006930,DEXTROSE 40 % ORAL GEL,5.85,3.45,0.71,5.27,23
CDM,0574007030,DEXTROSE 40 % ORAL GEL,5.85,3.45,0.71,5.27,23
CDM,0574030216,COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID,80.41,47.44,9.78,72.37,23
CDM,0574030316,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL,80.41,47.44,9.78,72.37,23
CDM,0574030416,COMPOUNDING VEHICLE SYRUP NO.23,70.95,41.86,8.63,63.86,23
CDM,0574031216,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.1 ORAL,80.41,47.44,9.78,72.37,23
CDM,0574050801,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.19,0.11,0.02,0.17,23
CDM,0574050810,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.2,0.12,0.02,0.18,23
CDM,0574050811,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET,0.31,0.18,0.04,0.28,23
CDM,0575-6200-30,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1947.0,1148.73,236.84,1752.3,23
CDM,0591-0343-01,VERAPAMIL IMMEDIATE RELEASE 80 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,0591-0345-01,VERAPAMIL IMMEDIATE RELEASE 120 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,0591-0347-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,0591-0347-05,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,0.35,0.21,0.04,0.32,23
CDM,0591-0369-01,LOXAPINE SUCCINATE 5 MG CAPSULE,1.45,0.86,0.18,1.31,23
CDM,0591-0370-01,LOXAPINE SUCCINATE 10 MG CAPSULE,3.32,1.96,0.4,2.99,23
CDM,0591-0371-01,LOXAPINE SUCCINATE 25 MG CAPSULE,2.88,1.7,0.35,2.59,23
CDM,0591-0372-01,LOXAPINE SUCCINATE 50 MG CAPSULE,6.76,3.99,0.82,6.08,23
CDM,0591-0395-01,PENTAZOCINE 50 MG-NALOXONE 0.5 MG TABLET,9.56,5.64,1.16,8.6,23
CDM,0591-0404-01,VERAPAMIL IMMEDIATE RELEASE 40 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,0591-0405-01,LISINOPRIL 2.5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,0591-0406-01,LISINOPRIL 5 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0591-0407-01,LISINOPRIL 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,0591-0408-01,LISINOPRIL 20 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,0591-0409-01,LISINOPRIL 40 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,0591-0424-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,1.24,0.73,0.15,1.12,23
CDM,0591-0444-01,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,0591-0460-01,GLIPIZIDE IMMEDIATE RELEASE 5 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,0591-0461-01,GLIPIZIDE IMMEDIATE RELEASE 10 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0591-0582-01,PROPAFENONE 150 MG TABLET,1.78,1.05,0.22,1.6,23
CDM,0591-0583-01,PROPAFENONE 225 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,0591-0605-01,LABETALOL 100 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,0591-0606-01,LABETALOL 200 MG TABLET,2.7,1.59,0.33,2.43,23
CDM,0591-0606-05,LABETALOL 200 MG TABLET,2.57,1.52,0.31,2.31,23
CDM,0591-0607-01,LABETALOL 300 MG TABLET,3.59,2.12,0.44,3.23,23
CDM,0591-0794-01,DICYCLOMINE 10 MG CAPSULE,0.68,0.4,0.08,0.61,23
CDM,0591-0795-01,DICYCLOMINE 20 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,0591-2191-01,RAMELTEON 8 MG TABLET,23.84,14.07,2.9,21.46,23
CDM,0591-2191-30,RAMELTEON 8 MG TABLET,23.84,14.07,2.9,21.46,23
CDM,0591-2245-22,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",20.49,12.09,2.49,18.44,23
CDM,0591-2258-54,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,49.05,28.94,5.97,44.15,23
CDM,0591-2312-15,ALVIMOPAN 12 MG CAPSULE,785.55,463.47,95.56,707.0,23
CDM,0591-2312-45,ALVIMOPAN 12 MG CAPSULE,785.55,463.47,95.56,707.0,23
CDM,0591-2406-30,AMBRISENTAN 10 MG TABLET,461.14,272.07,56.1,415.03,23
CDM,0591-2511-60,BOSENTAN 62.5 MG TABLET,101.83,60.08,12.39,91.65,23
CDM,0591-2520-01,CHLORZOXAZONE 500 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,0591-2579-20,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,3687.2,2175.45,448.53,3318.48,23
CDM,0591-2679-11,LIDOCAINE 5 % ADHESIVE PATCH,6.83,4.03,0.83,6.15,23
CDM,0591-2679-30,LIDOCAINE 5 % ADHESIVE PATCH,6.83,4.03,0.83,6.15,23
CDM,0591-2729-01,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",1.53,0.9,0.19,1.38,23
CDM,0591-2880-01,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",4.96,2.93,0.6,4.46,23
CDM,0591-2884-01,"VERAPAMIL ER 240 MG 24 HR CAPSULE,EXTENDED RELEASE",6.68,3.94,0.81,6.01,23
CDM,0591-2888-30,"HYDROXOCOBALAMIN 1,000 MCG/ML INTRAMUSCULAR SOLUTION",108.3,63.9,13.17,97.47,23
CDM,0591-2924-18,TESTOSTERONE 20.25 MG/1.25 GRAM PER PUMP ACT.(1.62 %) TRANSDERMAL GEL,407.63,240.5,49.59,366.87,23
CDM,0591-2927-54,LEVALBUTEROL HFA 45 MCG/ACTUATION AEROSOL INHALER,235.73,139.08,28.68,212.16,23
CDM,0591-2944-30,PIMECROLIMUS 1 % TOPICAL CREAM,720.75,425.24,87.68,648.68,23
CDM,0591-3128-79,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,143.7,84.78,17.48,129.33,23
CDM,0591-3137-60,NIZATIDINE 150 MG CAPSULE,3.84,2.27,0.47,3.46,23
CDM,0591-3159-01,URSODIOL 300 MG CAPSULE,4.71,2.78,0.57,4.24,23
CDM,0591-3331-19,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",6.02,3.55,0.73,5.42,23
CDM,0591-3331-30,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",6.02,3.55,0.73,5.42,23
CDM,0591-3369-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,3.08,1.82,0.37,2.77,23
CDM,0591-3467-53,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,4.25,2.51,0.52,3.83,23
CDM,0591-3508-04,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,122.09,72.03,14.85,109.88,23
CDM,0591-3508-54,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,122.09,72.03,14.85,109.88,23
CDM,0591-3510-04,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,285.17,168.25,34.69,256.65,23
CDM,0591-3510-54,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,285.17,168.25,34.69,256.65,23
CDM,0591-3525-11,LIDOCAINE 5 % ADHESIVE PATCH,6.76,3.99,0.82,6.08,23
CDM,0591-3525-30,LIDOCAINE 5 % ADHESIVE PATCH,6.76,3.99,0.82,6.08,23
CDM,0591-3540-60,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",0.99,0.58,0.12,0.89,23
CDM,0591-3541-60,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",0.87,0.51,0.11,0.78,23
CDM,0591-3659-30,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.5,2.66,0.55,4.05,23
CDM,0591-3713-05,EZETIMIBE 10 MG TABLET,2.08,1.23,0.25,1.87,23
CDM,0591-3713-19,EZETIMIBE 10 MG TABLET,2.08,1.23,0.25,1.87,23
CDM,0591-3713-30,EZETIMIBE 10 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,0591-3720-30,TRANEXAMIC ACID 650 MG TABLET,19.24,11.35,2.34,17.32,23
CDM,0591-3870-44,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,0591-3870-45,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,0591-3870-60,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,0591-3875-44,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,0591-3875-45,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,0591-4012-01,VALPROIC ACID 250 MG CAPSULE,1.41,0.83,0.17,1.27,23
CDM,0591-4050-94,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,1253.28,739.44,152.45,1127.95,23
CDM,0591-4060-30,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.5,2.66,0.55,4.05,23
CDM,0591-4101-01,PERPHENAZINE 2 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,0591-4103-01,PERPHENAZINE 8 MG TABLET,3.02,1.78,0.37,2.72,23
CDM,0591-4104-01,PERPHENAZINE 16 MG TABLET,3.57,2.11,0.43,3.21,23
CDM,0591-4171-01,PENICILLAMINE 250 MG CAPSULE,104.83,61.85,12.75,94.35,23
CDM,0591-5052-01,PREDNISONE 5 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,0591-5321-01,PRIMIDONE 250 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,0591-5335-01,TRIHEXYPHENIDYL 2 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,0591-5337-01,TRIHEXYPHENIDYL 5 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,0591-5347-01,PROBENECID 500 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,0591-5442-01,PREDNISONE 10 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,0591-5443-05,PREDNISONE 20 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,0591-5443-10,PREDNISONE 20 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,0591-5554-01,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,0591-5554-10,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,0591-5555-01,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,1.59,0.94,0.19,1.43,23
CDM,0591-5555-10,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,1.52,0.9,0.18,1.37,23
CDM,0591-5556-01,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,2.24,1.32,0.27,2.02,23
CDM,0591-5557-01,PROPRANOLOL IMMEDIATE RELEASE 80 MG TABLET,2.81,1.66,0.34,2.53,23
CDM,0591-5590-01,TRANYLCYPROMINE 10 MG TABLET,12.44,7.34,1.51,11.2,23
CDM,0591-5643-01,MINOXIDIL 10 MG TABLET,2.14,1.26,0.26,1.93,23
CDM,0591-5660-01,SULINDAC 200 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,0591-5661-01,SULINDAC 150 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,0591-5694-01,MINOCYCLINE 50 MG CAPSULE,1.22,0.72,0.15,1.1,23
CDM,0591-5695-50,MINOCYCLINE 100 MG CAPSULE,2.51,1.48,0.31,2.26,23
CDM,0591-5714-01,AMOXAPINE 50 MG TABLET,3.71,2.19,0.45,3.34,23
CDM,0591-5715-01,AMOXAPINE 100 MG TABLET,6.35,3.75,0.77,5.72,23
CDM,0592800308,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",5.1,3.01,0.62,4.59,23
CDM,0597-0003-02,TIPRANAVIR 250 MG CAPSULE,71.25,42.04,8.67,64.13,23
CDM,0597-0024-02,IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION,1803.7,1064.18,219.41,1623.33,23
CDM,0597-0035-10,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION,130389.15,76929.6,15861.16,117350.24,23
CDM,0597-0040-37,TELMISARTAN 40 MG TABLET,21.66,12.78,2.63,19.49,23
CDM,0597-0041-37,TELMISARTAN 80 MG TABLET,21.66,12.78,2.63,19.49,23
CDM,0597-0075-41,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,77.86,45.94,9.47,70.07,23
CDM,0597-0075-47,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,77.86,45.94,9.47,70.07,23
CDM,0597-0075-75,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,21.19,12.5,2.58,19.07,23
CDM,0597-0087-17,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER,2187.07,1290.37,266.05,1968.36,23
CDM,0597-0100-51,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION,101.36,59.8,12.33,91.22,23
CDM,0597-0100-61,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION,1887.3,1113.51,229.58,1698.57,23
CDM,0597-0140-30,LINAGLIPTIN 5 MG TABLET,62.9,37.11,7.65,56.61,23
CDM,0597-0140-61,LINAGLIPTIN 5 MG TABLET,62.9,37.11,7.65,56.61,23
CDM,0597-0140-90,LINAGLIPTIN 5 MG TABLET,62.9,37.11,7.65,56.61,23
CDM,0597-0152-30,EMPAGLIFLOZIN 10 MG TABLET,61.95,36.55,7.54,55.76,23
CDM,0597-0152-37,EMPAGLIFLOZIN 10 MG TABLET,61.95,36.55,7.54,55.76,23
CDM,0597-0152-90,EMPAGLIFLOZIN 10 MG TABLET,61.95,36.55,7.54,55.76,23
CDM,0597-0153-30,EMPAGLIFLOZIN 25 MG TABLET,61.95,36.55,7.54,55.76,23
CDM,0597-0153-37,EMPAGLIFLOZIN 25 MG TABLET,61.95,36.55,7.54,55.76,23
CDM,0597-0153-90,EMPAGLIFLOZIN 25 MG TABLET,61.95,36.55,7.54,55.76,23
CDM,0597-0155-61,TIOTROPIUM 2.5 MCG-OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION,1514.6,893.61,184.24,1363.14,23
CDM,0597-0155-70,TIOTROPIUM 2.5 MCG-OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION,207.36,122.34,25.22,186.62,23
CDM,0597-0160-61,TIOTROPIUM BROMIDE 1.25 MCG/ACTUATION MIST FOR INHALATION,1651.4,974.33,200.88,1486.26,23
CDM,0597-0197-05,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,12050.75,7109.94,1465.91,10845.68,23
CDM,0597-0355-09,DABIGATRAN ETEXILATE 75 MG CAPSULE,14.48,8.54,1.76,13.03,23
CDM,0597-0355-56,DABIGATRAN ETEXILATE 75 MG CAPSULE,14.48,8.54,1.76,13.03,23
CDM,0597-0360-55,DABIGATRAN ETEXILATE 150 MG CAPSULE,14.48,8.54,1.76,13.03,23
CDM,0597-0360-82,DABIGATRAN ETEXILATE 150 MG CAPSULE,14.48,8.54,1.76,13.03,23
CDM,0603-0209-22,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.14,0.08,0.02,0.13,23
CDM,0603-0823-10,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,3.15,1.86,0.38,2.84,23
CDM,0603-1161-58,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,522.67,308.38,63.58,470.4,23
CDM,0603-1491-05,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,3.2,1.89,0.39,2.88,23
CDM,0603-1542-15,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,33.83,19.96,4.12,30.45,23
CDM,0603-1542-58,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,307.45,181.4,37.4,276.71,23
CDM,0603-1554-04,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,16.09,9.49,1.96,14.48,23
CDM,0603-1554-10,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,16.09,9.49,1.96,14.48,23
CDM,0603-1554-16,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,14.98,8.84,1.82,13.48,23
CDM,0603-1880-10,LIDOCAINE 5 % ADHESIVE PATCH,11.34,6.69,1.38,10.21,23
CDM,0603-1880-16,LIDOCAINE 5 % ADHESIVE PATCH,11.34,6.69,1.38,10.21,23
CDM,0603-2115-21,ALLOPURINOL 100 MG TABLET,1.45,0.86,0.18,1.31,23
CDM,0603-2115-32,ALLOPURINOL 100 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,0603-2116-21,ALLOPURINOL 300 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,0603-2116-28,ALLOPURINOL 300 MG TABLET,2.63,1.55,0.32,2.37,23
CDM,0603-2406-21,BACLOFEN 10 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,0603-2406-28,BACLOFEN 10 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,0603-2434-21,BENZTROPINE 1 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0603-2435-21,BENZTROPINE 2 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,0603-3581-21,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",2.57,1.52,0.31,2.31,23
CDM,0603-3582-21,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",2.58,1.52,0.31,2.32,23
CDM,0603-4593-15,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,5.25,3.1,0.64,4.73,23
CDM,0603-4593-21,METHYLPREDNISOLONE 4 MG TABLET,5.27,3.11,0.64,4.74,23
CDM,0603-5060-21,PERPHENAZINE 2 MG TABLET,4.29,2.53,0.52,3.86,23
CDM,0603-5061-21,PERPHENAZINE 4 MG TABLET,5.87,3.46,0.71,5.28,23
CDM,0603-5062-21,PERPHENAZINE 8 MG TABLET,7.11,4.19,0.86,6.4,23
CDM,0603-5063-21,PERPHENAZINE 16 MG TABLET,9.59,5.66,1.17,8.63,23
CDM,0603-5165-21,PHENOBARBITAL 16.2 MG TABLET,1.97,1.16,0.24,1.77,23
CDM,0603-5166-21,PHENOBARBITAL 32.4 MG TABLET,2.49,1.47,0.3,2.24,23
CDM,0603-5167-21,PHENOBARBITAL 64.8 MG TABLET,3.11,1.83,0.38,2.8,23
CDM,0603-5168-21,PHENOBARBITAL 97.2 MG TABLET,4.39,2.59,0.53,3.95,23
CDM,0603-5335-21,PREDNISONE 1 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,0603-5336-21,PREDNISONE 2.5 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,0603-5337-21,PREDNISONE 5 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,0603-5337-32,PREDNISONE 5 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,0603-5338-21,PREDNISONE 10 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,0603-5338-32,PREDNISONE 10 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,0603-5339-21,PREDNISONE 20 MG TABLET,1.04,0.61,0.13,0.94,23
CDM,0603-5482-21,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,0603-5482-32,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0603-5483-21,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,0603-5484-21,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,0603-5484-32,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,0603-5485-21,PROPRANOLOL IMMEDIATE RELEASE 60 MG TABLET,3.27,1.93,0.4,2.94,23
CDM,0603-5486-21,PROPRANOLOL IMMEDIATE RELEASE 80 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,0641-0367-21,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,3.75,2.21,0.46,3.38,23
CDM,0641-0367-25,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,3.75,2.21,0.46,3.38,23
CDM,0641-0376-21,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,2.45,1.45,0.3,2.21,23
CDM,0641-0376-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,2.45,1.45,0.3,2.21,23
CDM,0641-0391-12,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",11.88,7.01,1.45,10.69,23
CDM,0641-0391-37,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",11.88,7.01,1.45,10.69,23
CDM,0641-0400-12,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",6.54,3.86,0.8,5.89,23
CDM,0641-0400-37,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",6.54,3.86,0.8,5.89,23
CDM,0641-0410-12,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.46,12.66,2.61,19.31,23
CDM,0641-0410-37,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.46,12.66,2.61,19.31,23
CDM,0641-0476-21,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,73.49,43.36,8.94,66.14,23
CDM,0641-0476-25,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,73.49,43.36,8.94,66.14,23
CDM,0641-0477-21,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,184.3,108.74,22.42,165.87,23
CDM,0641-0477-25,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,184.3,108.74,22.42,165.87,23
CDM,0641-0493-21,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,6.08,3.59,0.74,5.47,23
CDM,0641-0493-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,6.08,3.59,0.74,5.47,23
CDM,0641-0497-25,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,3.87,2.28,0.47,3.48,23
CDM,0641-0928-21,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,0641-0928-25,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,0641-0948-31,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,3.49,2.06,0.42,3.14,23
CDM,0641-0948-35,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,0641-0955-21,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,0641-0955-25,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,0641-1397-31,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,126.45,74.61,15.38,113.81,23
CDM,0641-1397-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,126.45,74.61,15.38,113.81,23
CDM,0641-1398-31,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,104.69,61.77,12.73,94.22,23
CDM,0641-1398-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,104.69,61.77,12.73,94.22,23
CDM,0641-1410-31,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,14.47,8.54,1.76,13.02,23
CDM,0641-1410-35,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,14.47,8.54,1.76,13.02,23
CDM,0641-1495-31,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,0641-1495-35,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,0641-1496-31,PROMETHAZINE 50 MG/ML INJECTION SOLUTION,10.74,6.34,1.31,9.67,23
CDM,0641-1496-35,PROMETHAZINE 50 MG/ML INJECTION SOLUTION,10.74,6.34,1.31,9.67,23
CDM,0641-2555-41,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,8.73,5.15,1.06,7.86,23
CDM,0641-2569-41,DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION,84.95,50.12,10.33,76.46,23
CDM,0641-2569-44,DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION,84.95,50.12,10.33,76.46,23
CDM,0641-6001-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,8.72,5.14,1.06,7.85,23
CDM,0641-6001-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION,8.72,5.14,1.06,7.85,23
CDM,0641-6007-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,9.65,5.69,1.17,8.69,23
CDM,0641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,9.65,5.69,1.17,8.69,23
CDM,0641-6008-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,8.9,5.25,1.08,8.01,23
CDM,0641-6008-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,8.9,5.25,1.08,8.01,23
CDM,0641-6013-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,9.85,5.81,1.2,8.87,23
CDM,0641-6013-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,9.85,5.81,1.2,8.87,23
CDM,0641-6014-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,17.95,10.59,2.18,16.16,23
CDM,0641-6014-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,17.95,10.59,2.18,16.16,23
CDM,0641-6015-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,26.25,15.49,3.19,23.63,23
CDM,0641-6015-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,26.25,15.49,3.19,23.63,23
CDM,0641-6019-01,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,133.3,78.65,16.22,119.97,23
CDM,0641-6019-10,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,133.3,78.65,16.22,119.97,23
CDM,0641-6021-10,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,18.4,10.86,2.24,16.56,23
CDM,0641-6022-01,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,2.57,1.52,0.31,2.31,23
CDM,0641-6022-25,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,2.57,1.52,0.31,2.31,23
CDM,0641-6027-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,9.3,5.49,1.13,8.37,23
CDM,0641-6027-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,9.3,5.49,1.13,8.37,23
CDM,0641-6028-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,8.85,5.22,1.08,7.97,23
CDM,0641-6029-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,48.2,28.44,5.86,43.38,23
CDM,0641-6030-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,72.25,42.63,8.79,65.03,23
CDM,0641-6039-01,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,948.8,559.79,115.42,853.92,23
CDM,0641-6040-01,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1613.2,951.79,196.24,1451.88,23
CDM,0641-6041-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0641-6041-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0641-6042-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,7.33,4.32,0.89,6.6,23
CDM,0641-6042-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,7.33,4.32,0.89,6.6,23
CDM,0641-6044-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,4.89,2.89,0.59,4.4,23
CDM,0641-6044-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION,4.89,2.89,0.59,4.4,23
CDM,0641-6045-25,LORAZEPAM 4 MG/ML INJECTION SOLUTION,11.72,6.91,1.43,10.55,23
CDM,0641-6046-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,44.15,26.05,5.37,39.74,23
CDM,0641-6046-10,LORAZEPAM 2 MG/ML INJECTION SOLUTION,44.15,26.05,5.37,39.74,23
CDM,0641-6048-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,4.89,2.89,0.59,4.4,23
CDM,0641-6048-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION,4.89,2.89,0.59,4.4,23
CDM,0641-6049-01,LORAZEPAM 4 MG/ML INJECTION SOLUTION,8.34,4.92,1.01,7.51,23
CDM,0641-6049-25,LORAZEPAM 4 MG/ML INJECTION SOLUTION,8.34,4.92,1.01,7.51,23
CDM,0641-6050-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,44.15,26.05,5.37,39.74,23
CDM,0641-6050-10,LORAZEPAM 2 MG/ML INJECTION SOLUTION,44.15,26.05,5.37,39.74,23
CDM,0641-6052-01,MEPERIDINE 25 MG/ML INJECTION,9.3,5.49,1.13,8.37,23
CDM,0641-6052-25,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,9.3,5.49,1.13,8.37,23
CDM,0641-6053-01,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,9.66,5.7,1.18,8.69,23
CDM,0641-6053-25,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,9.66,5.7,1.18,8.69,23
CDM,0641-6054-01,MEPERIDINE (PF) 100 MG/ML INJECTION SOLUTION,10.61,6.26,1.29,9.55,23
CDM,0641-6054-25,MEPERIDINE (PF) 100 MG/ML INJECTION SOLUTION,10.61,6.26,1.29,9.55,23
CDM,0641-6057-01,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,1.36,0.8,0.17,1.22,23
CDM,0641-6057-25,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,1.36,0.8,0.17,1.22,23
CDM,0641-6059-01,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,6.38,3.76,0.78,5.74,23
CDM,0641-6059-10,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,6.38,3.76,0.78,5.74,23
CDM,0641-6060-01,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,7.8,4.6,0.95,7.02,23
CDM,0641-6060-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,7.8,4.6,0.95,7.02,23
CDM,0641-6061-01,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,5.52,3.26,0.67,4.97,23
CDM,0641-6061-25,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,5.52,3.26,0.67,4.97,23
CDM,0641-6063-01,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,5.75,3.39,0.7,5.18,23
CDM,0641-6063-25,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,5.75,3.39,0.7,5.18,23
CDM,0641-6078-01,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.84,1.09,0.22,1.66,23
CDM,0641-6078-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.84,1.09,0.22,1.66,23
CDM,0641-6079-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,11.4,6.73,1.39,10.26,23
CDM,0641-6080-01,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.84,1.09,0.22,1.66,23
CDM,0641-6080-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.84,1.09,0.22,1.66,23
CDM,0641-6084-25,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,14.76,8.71,1.8,13.28,23
CDM,0641-6103-01,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,21.9,12.92,2.66,19.71,23
CDM,0641-6103-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,21.9,12.92,2.66,19.71,23
CDM,0641-6116-01,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,9.68,5.71,1.18,8.71,23
CDM,0641-6116-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,9.68,5.71,1.18,8.71,23
CDM,0641-6117-01,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,31.6,18.64,3.84,28.44,23
CDM,0641-6117-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,31.6,18.64,3.84,28.44,23
CDM,0641-6125-01,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION,11.46,6.76,1.39,10.31,23
CDM,0641-6125-25,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION,11.46,6.76,1.39,10.31,23
CDM,0641-6127-01,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,11.69,6.9,1.42,10.52,23
CDM,0641-6127-25,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,11.69,6.9,1.42,10.52,23
CDM,0641-6132-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,17.51,10.33,2.13,15.76,23
CDM,0641-6132-25,NALOXONE 0.4 MG/ML INJECTION SOLUTION,17.51,10.33,2.13,15.76,23
CDM,0641-6135-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,20.73,12.23,2.52,18.66,23
CDM,0641-6135-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,20.73,12.23,2.52,18.66,23
CDM,0641-6136-01,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,12.9,7.61,1.57,11.61,23
CDM,0641-6136-25,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,12.9,7.61,1.57,11.61,23
CDM,0641-6137-01,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,55.3,32.63,6.73,49.77,23
CDM,0641-6137-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,55.3,32.63,6.73,49.77,23
CDM,0641-6138-01,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,5.37,3.17,0.65,4.83,23
CDM,0641-6138-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,5.37,3.17,0.65,4.83,23
CDM,0641-6139-01,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,7.6,4.48,0.92,6.84,23
CDM,0641-6142-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,5.53,3.26,0.67,4.98,23
CDM,0641-6142-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,5.53,3.26,0.67,4.98,23
CDM,0641-6145-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,4.01,2.37,0.49,3.61,23
CDM,0641-6145-25,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,4.01,2.37,0.49,3.61,23
CDM,0641-6149-01,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,0641-6149-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,0641-6150-10,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,0641-6151-01,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,3.09,1.82,0.38,2.78,23
CDM,0641-6151-25,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,3.09,1.82,0.38,2.78,23
CDM,0641-6164-01,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,16.43,9.69,2.0,14.79,23
CDM,0641-6166-01,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",32.02,18.89,3.9,28.82,23
CDM,0641-6166-10,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",32.02,18.89,3.9,28.82,23
CDM,0641-6167-01,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,14.75,8.7,1.79,13.28,23
CDM,0641-6167-10,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,14.75,8.7,1.79,13.28,23
CDM,0641-6169-01,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,12.44,7.34,1.51,11.2,23
CDM,0641-6169-10,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,12.44,7.34,1.51,11.2,23
CDM,0641-6173-10,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,76.39,45.07,9.29,68.75,23
CDM,0641-6174-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,10.07,5.94,1.22,9.06,23
CDM,0641-6174-10,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,10.07,5.94,1.22,9.06,23
CDM,0641-6175-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,7.6,4.48,0.92,6.84,23
CDM,0641-6175-10,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,7.6,4.48,0.92,6.84,23
CDM,0641-6176-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,46.31,27.32,5.63,41.68,23
CDM,0641-6176-10,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,46.31,27.32,5.63,41.68,23
CDM,0641-6177-01,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,124.4,73.4,15.13,111.96,23
CDM,0641-6178-01,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",469.25,276.86,57.08,422.33,23
CDM,0641-6184-01,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,14.47,8.54,1.76,13.02,23
CDM,0641-6184-25,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,14.47,8.54,1.76,13.02,23
CDM,0641-6188-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,21.55,12.71,2.62,19.4,23
CDM,0641-6188-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,21.55,12.71,2.62,19.4,23
CDM,0641-6189-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,59.45,35.08,7.23,53.51,23
CDM,0641-6189-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,59.45,35.08,7.23,53.51,23
CDM,0641-6191-01,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,9.56,5.64,1.16,8.6,23
CDM,0641-6196-01,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,38.5,22.72,4.68,34.65,23
CDM,0641-6196-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,38.5,22.72,4.68,34.65,23
CDM,0641-6205-01,NALOXONE 1 MG/ML INJECTION SYRINGE,51.41,30.33,6.25,46.27,23
CDM,0641-6206-01,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,12.44,7.34,1.51,11.2,23
CDM,0641-6217-01,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,21.9,12.92,2.66,19.71,23
CDM,0641-6217-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,21.9,12.92,2.66,19.71,23
CDM,0641-6228-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,14.74,8.7,1.79,13.27,23
CDM,0641-6228-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,14.74,8.7,1.79,13.27,23
CDM,0641-6231-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,12.9,7.61,1.57,11.61,23
CDM,0641-6231-25,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,12.9,7.61,1.57,11.61,23
CDM,0641-6244-01,DIAZEPAM 5 MG/ML INJECTION SYRINGE,66.81,39.42,8.13,60.13,23
CDM,0641-6244-10,DIAZEPAM 5 MG/ML INJECTION SYRINGE,66.81,39.42,8.13,60.13,23
CDM,0641-6247-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,6.29,3.71,0.77,5.66,23
CDM,0641-6247-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,6.29,3.71,0.77,5.66,23
CDM,0641-6248-01,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE,7.05,4.16,0.86,6.35,23
CDM,0641-6248-10,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE,7.05,4.16,0.86,6.35,23
CDM,0641-6251-10,ATROPINE 0.4 MG/ML INJECTION SOLUTION,39.5,23.31,4.8,35.55,23
CDM,0641-6281-01,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,1.36,0.8,0.17,1.22,23
CDM,0641-6282-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,2.45,1.45,0.3,2.21,23
CDM,0641-9217-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,9.85,5.81,1.2,8.87,23
CDM,0641-9217-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,9.85,5.81,1.2,8.87,23
CDM,0641-9218-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,17.95,10.59,2.18,16.16,23
CDM,0641-9218-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,17.95,10.59,2.18,16.16,23
CDM,0641-9219-01,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,26.25,15.49,3.19,23.63,23
CDM,0641-9219-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,26.25,15.49,3.19,23.63,23
CDM,0642007912,PRENATAL VITS NO.10-FERROUS FUMARATE 65 MG IRON-FOLIC ACID 1 MG TABLET,19.19,11.32,2.33,17.27,23
CDM,06808-4599-11,BACLOFEN 10 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,0703-0018-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,477.0,281.43,58.02,429.3,23
CDM,0703-0110-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,15.32,9.04,1.86,13.79,23
CDM,0703-0110-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,15.32,9.04,1.86,13.79,23
CDM,0703-0113-01,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,43.4,25.61,5.28,39.06,23
CDM,0703-0113-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,43.4,25.61,5.28,39.06,23
CDM,0703-0241-01,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,14.75,8.7,1.79,13.28,23
CDM,0703-0666-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,2047.0,1207.73,249.01,1842.3,23
CDM,0703-0676-01,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,5117.6,3019.38,622.53,4605.84,23
CDM,0703-0686-01,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,10235.1,6038.71,1245.05,9211.59,23
CDM,0703-0696-01,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,20470.3,12077.48,2490.1,18423.27,23
CDM,0703-3213-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",45.6,26.9,5.55,41.04,23
CDM,0703-3216-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",152.06,89.72,18.5,136.85,23
CDM,0703-3217-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",251.63,148.46,30.61,226.47,23
CDM,0703-3218-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",152.0,89.68,18.49,136.8,23
CDM,0703-3671-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,33.4,19.71,4.06,30.06,23
CDM,0703-3675-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,21.15,12.48,2.57,19.04,23
CDM,0703-3678-01,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,112.0,66.08,13.62,100.8,23
CDM,0703-3985-01,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,148.8,87.79,18.1,133.92,23
CDM,0703-3986-01,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,297.6,175.58,36.2,267.84,23
CDM,0703-4094-01,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,92.15,54.37,11.21,82.94,23
CDM,0703-4239-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,295.5,174.35,35.95,265.95,23
CDM,0703-4244-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,36.85,21.74,4.48,33.17,23
CDM,0703-4246-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,93.83,55.36,11.41,84.45,23
CDM,0703-4248-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,290.48,171.38,35.34,261.43,23
CDM,0703-4402-11,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,69.35,40.92,8.44,62.42,23
CDM,0703-4412-11,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION,138.7,81.83,16.87,124.83,23
CDM,0703-4502-01,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,3.69,2.18,0.45,3.32,23
CDM,0703-4502-04,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,3.69,2.18,0.45,3.32,23
CDM,0703-5328-01,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,131.0,77.29,15.94,117.9,23
CDM,0703-5747-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,90.0,53.1,10.95,81.0,23
CDM,0703-5748-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,180.0,106.2,21.9,162.0,23
CDM,0703-9503-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,28.3,16.7,3.44,25.47,23
CDM,0703-9503-03,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,28.3,16.7,3.44,25.47,23
CDM,0703-9514-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,36.1,21.3,4.39,32.49,23
CDM,0703-9514-03,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,36.1,21.3,4.39,32.49,23
CDM,0703-9514-91,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,29.05,17.14,3.53,26.15,23
CDM,0703-9514-93,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,29.05,17.14,3.53,26.15,23
CDM,0703-9526-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,123.9,73.1,15.07,111.51,23
CDM,0713-0132-12,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,123.59,72.92,15.03,111.23,23
CDM,0713-0135-06,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,40.37,23.82,4.91,36.33,23
CDM,0713-0135-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,40.37,23.82,4.91,36.33,23
CDM,0713-0225-80,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,27.6,16.28,3.36,24.84,23
CDM,0713-0226-15,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,14.63,8.63,1.78,13.17,23
CDM,0713-0280-31,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,8.81,5.2,1.07,7.93,23
CDM,0713-0318-53,CALCIPOTRIENE 0.005 % SCALP SOLUTION,944.4,557.2,114.88,849.96,23
CDM,0713-0339-15,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,201.53,118.9,24.52,181.38,23
CDM,0713-0339-86,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,224.5,132.46,27.31,202.05,23
CDM,0713-0351-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,16.02,9.45,1.95,14.42,23
CDM,0713-0351-09,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,16.02,9.45,1.95,14.42,23
CDM,0713-0351-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,14.52,8.57,1.77,13.07,23
CDM,0713-0503-06,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,52.99,31.26,6.45,47.69,23
CDM,0713-0526-12,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,44.92,26.5,5.46,40.43,23
CDM,0713-0536-06,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,44.92,26.5,5.46,40.43,23
CDM,0713-0536-12,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,44.92,26.5,5.46,40.43,23
CDM,0713-0592-04,KETOCONAZOLE 2 % SHAMPOO,90.5,53.4,11.01,81.45,23
CDM,0713-0634-37,MOMETASONE 0.1 % TOPICAL CREAM,103.73,61.2,12.62,93.36,23
CDM,0713-0635-15,MOMETASONE 0.1 % TOPICAL OINTMENT,23.03,13.59,2.8,20.73,23
CDM,0713-0635-37,MOMETASONE 0.1 % TOPICAL OINTMENT,54.45,32.13,6.62,49.01,23
CDM,0713-0637-37,METRONIDAZOLE 0.75 % TOPICAL GEL,171.0,100.89,20.8,153.9,23
CDM,0713-0640-15,HALOBETASOL PROPIONATE 0.05 % TOPICAL CREAM,293.33,173.06,35.68,264.0,23
CDM,0713-0655-40,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,163.45,96.44,19.88,147.11,23
CDM,0713-0661-15,DESONIDE 0.05 % TOPICAL CREAM,94.73,55.89,11.52,85.26,23
CDM,0713-0676-53,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,69.3,40.89,8.43,62.37,23
CDM,0713-0678-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",60.23,35.54,7.33,54.21,23
CDM,0713-0682-15,GENTAMICIN 0.1 % TOPICAL OINTMENT,157.2,92.75,19.12,141.48,23
CDM,0713-0683-15,GENTAMICIN 0.1 % TOPICAL CREAM,183.0,107.97,22.26,164.7,23
CDM,0713-0683-31,GENTAMICIN 0.1 % TOPICAL CREAM,366.3,216.12,44.56,329.67,23
CDM,0713-0709-15,FLUOCINOLONE 0.025 % TOPICAL CREAM,86.03,50.76,10.47,77.43,23
CDM,0713-0860-30,OLMESARTAN 5 MG TABLET,36.88,21.76,4.49,33.19,23
CDM,0713-0879-81,COLESEVELAM 625 MG TABLET,20.82,12.28,2.53,18.74,23
CDM,0713-0882-30,PRASUGREL HCL 10 MG TABLET,85.62,50.52,10.42,77.06,23
CDM,0713-0883-01,CEVIMELINE 30 MG CAPSULE,37.72,22.25,4.59,33.95,23
CDM,0713-0885-09,CLOMIPHENE CITRATE 50 MG TABLET,36.43,21.49,4.43,32.79,23
CDM,0713-0936-81,COLESEVELAM 625 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,0713-0937-01,CEVIMELINE 30 MG CAPSULE,9.94,5.86,1.21,8.95,23
CDM,0761003220,RIBOFLAVIN (VITAMIN B2) 100 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,0761012012,ALPHA LIPOIC ACID 100 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,0761044020,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.15,0.09,0.02,0.14,23
CDM,0761055520,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,0761087840,FOLIC ACID 400 MCG TABLET,0.05,0.03,0.01,0.05,23
CDM,0766074152,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.1,0.06,0.01,0.09,23
CDM,0766725000,CALCIUM 300 MG (AS CALCIUM CARBONATE 750 MG) CHEWABLE TABLET,0.34,0.2,0.04,0.31,23
CDM,0766788000,NICOTINE (POLACRILEX) 2 MG BUCCAL MINI LOZENGE,2.14,1.26,0.26,1.93,23
CDM,0777-3105-30,FLUOXETINE 20 MG CAPSULE,67.6,39.88,8.22,60.84,23
CDM,0781-1061-01,ALPRAZOLAM 0.25 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,0781-1061-05,ALPRAZOLAM 0.25 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,0781-1077-01,ALPRAZOLAM 0.5 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,0781-1077-05,ALPRAZOLAM 0.5 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0781-1079-01,ALPRAZOLAM 1 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0781-1486-01,AMITRIPTYLINE 10 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0781-1488-01,AMITRIPTYLINE 50 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,0781-1489-01,AMITRIPTYLINE 75 MG TABLET,3.47,2.05,0.42,3.12,23
CDM,0781-1556-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,2.43,1.43,0.3,2.19,23
CDM,0781-1635-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 5 MG TABLET,2.49,1.47,0.3,2.24,23
CDM,0781-1695-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,3.21,1.89,0.39,2.89,23
CDM,0781-1831-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,4.39,2.59,0.53,3.95,23
CDM,0781-1831-20,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,4.4,2.6,0.54,3.96,23
CDM,0781-1852-20,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,5.26,3.1,0.64,4.73,23
CDM,0781-1874-31,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,15.31,9.03,1.86,13.78,23
CDM,0781-1943-82,"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR",22.01,12.99,2.68,19.81,23
CDM,0781-1961-60,CLARITHROMYCIN 250 MG TABLET,4.51,2.66,0.55,4.06,23
CDM,0781-1962-60,CLARITHROMYCIN 500 MG TABLET,4.51,2.66,0.55,4.06,23
CDM,0781-2020-01,AMOXICILLIN 250 MG CAPSULE,0.53,0.31,0.06,0.48,23
CDM,0781-2074-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,0.68,0.4,0.08,0.61,23
CDM,0781-2074-10,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,0.54,0.32,0.07,0.49,23
CDM,0781-2076-01,TAMSULOSIN 0.4 MG CAPSULE,2.32,1.37,0.28,2.09,23
CDM,0781-2081-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,2.91,1.72,0.35,2.62,23
CDM,0781-2102-01,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,1.6,0.94,0.19,1.44,23
CDM,0781-2103-01,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,1.76,1.04,0.21,1.58,23
CDM,0781-2104-01,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,16.26,9.59,1.98,14.63,23
CDM,0781-2145-01,AMPICILLIN 500 MG CAPSULE,2.0,1.18,0.24,1.8,23
CDM,0781-2158-32,PIRFENIDONE 267 MG CAPSULE,29.0,17.11,3.53,26.1,23
CDM,0781-2164-60,ZIPRASIDONE 20 MG CAPSULE,2.31,1.36,0.28,2.08,23
CDM,0781-2234-01,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",0.52,0.31,0.06,0.47,23
CDM,0781-2234-31,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",0.51,0.3,0.06,0.46,23
CDM,0781-2270-01,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,4.03,2.38,0.49,3.63,23
CDM,0781-2321-06,APREPITANT 40 MG CAPSULE,341.9,201.72,41.59,307.71,23
CDM,0781-2321-51,APREPITANT 40 MG CAPSULE,351.79,207.56,42.79,316.61,23
CDM,0781-2323-06,APREPITANT 125 MG CAPSULE,995.68,587.45,121.12,896.11,23
CDM,0781-2323-68,APREPITANT 125 MG CAPSULE,995.68,587.45,121.12,896.11,23
CDM,0781-2613-01,AMOXICILLIN 500 MG CAPSULE,0.83,0.49,0.1,0.75,23
CDM,0781-2868-31,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",0.52,0.31,0.06,0.47,23
CDM,0781-3006-42,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLUTION,7260.12,4283.47,883.16,6534.11,23
CDM,0781-3040-72,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,138.71,81.84,16.87,124.84,23
CDM,0781-3040-95,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,138.71,81.84,16.87,124.84,23
CDM,0781-3056-70,ISONIAZID 100 MG/ML INJECTION SOLUTION,1459.95,861.37,177.6,1313.96,23
CDM,0781-3059-72,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,25.65,15.13,3.12,23.09,23
CDM,0781-3059-95,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,25.65,15.13,3.12,23.09,23
CDM,0781-3098-95,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,25.29,14.92,3.08,22.76,23
CDM,0781-3110-90,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,10.39,6.13,1.26,9.35,23
CDM,0781-3110-95,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,10.39,6.13,1.26,9.35,23
CDM,0781-3113-90,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,14.18,8.37,1.72,12.76,23
CDM,0781-3113-95,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,14.18,8.37,1.72,12.76,23
CDM,0781-3114-91,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,18.05,10.65,2.2,16.25,23
CDM,0781-3114-95,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,18.05,10.65,2.2,16.25,23
CDM,0781-3150-75,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,15.55,9.17,1.89,14.0,23
CDM,0781-3150-95,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,15.55,9.17,1.89,14.0,23
CDM,0781-3152-70,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,28.8,16.99,3.5,25.92,23
CDM,0781-3152-95,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,28.8,16.99,3.5,25.92,23
CDM,0781-3153-80,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,252.0,148.68,30.65,226.8,23
CDM,0781-3153-95,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,252.0,148.68,30.65,226.8,23
CDM,0781-3154-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,1354.56,799.19,164.78,1219.1,23
CDM,0781-3156-06,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",19.5,11.51,2.37,17.55,23
CDM,0781-3156-95,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",19.5,11.51,2.37,17.55,23
CDM,0781-3158-94,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,184.3,108.74,22.42,165.87,23
CDM,0781-3158-95,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,184.3,108.74,22.42,165.87,23
CDM,0781-3159-72,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,85.8,50.62,10.44,77.22,23
CDM,0781-3206-85,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,3.47,2.05,0.42,3.12,23
CDM,0781-3206-95,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,3.47,2.05,0.42,3.12,23
CDM,0781-3207-85,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,8.9,5.25,1.08,8.01,23
CDM,0781-3207-95,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,4.9,2.89,0.6,4.41,23
CDM,0781-3208-85,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,7.95,4.69,0.97,7.16,23
CDM,0781-3208-95,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,6.08,3.59,0.74,5.47,23
CDM,0781-3209-90,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,11.02,6.5,1.34,9.92,23
CDM,0781-3209-95,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,11.02,6.5,1.34,9.92,23
CDM,0781-3220-75,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.6,10.38,2.14,15.84,23
CDM,0781-3220-92,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,27.45,16.2,3.34,24.71,23
CDM,0781-3220-95,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.6,10.38,2.14,15.84,23
CDM,0781-3232-95,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,7.68,4.53,0.93,6.91,23
CDM,0781-3233-94,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,406.4,239.78,49.44,365.76,23
CDM,0781-3234-71,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,196.42,115.89,23.89,176.78,23
CDM,0781-3238-01,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,11.14,6.57,1.36,10.03,23
CDM,0781-3238-63,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,11.14,6.57,1.36,10.03,23
CDM,0781-3244-94,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,903.05,532.8,109.85,812.75,23
CDM,0781-3246-02,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,13.26,7.82,1.61,11.93,23
CDM,0781-3246-64,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,13.26,7.82,1.61,11.93,23
CDM,0781-3250-71,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,491.05,289.72,59.73,441.95,23
CDM,0781-3255-94,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,2040.95,1204.16,248.27,1836.86,23
CDM,0781-3256-03,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,23.11,13.63,2.81,20.8,23
CDM,0781-3256-66,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,23.11,13.63,2.81,20.8,23
CDM,0781-3262-04,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,29.5,17.41,3.59,26.55,23
CDM,0781-3262-68,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,29.5,17.41,3.59,26.55,23
CDM,0781-3268-05,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,37.61,22.19,4.58,33.85,23
CDM,0781-3268-69,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,37.61,22.19,4.58,33.85,23
CDM,0781-3269-71,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,19.92,11.75,2.42,17.93,23
CDM,0781-3269-95,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,19.92,11.75,2.42,17.93,23
CDM,0781-3288-09,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,33.75,19.91,4.11,30.38,23
CDM,0781-3288-91,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,33.75,19.91,4.11,30.38,23
CDM,0781-3289-09,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,35.75,21.09,4.35,32.18,23
CDM,0781-3289-91,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,35.75,21.09,4.35,32.18,23
CDM,0781-3290-09,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,43.5,25.67,5.29,39.15,23
CDM,0781-3290-91,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,43.5,25.67,5.29,39.15,23
CDM,0781-3298-04,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,45.08,26.6,5.48,40.57,23
CDM,0781-3298-68,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,45.08,26.6,5.48,40.57,23
CDM,0781-3315-70,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,45.15,26.64,5.49,40.64,23
CDM,0781-3317-80,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,90.3,53.28,10.98,81.27,23
CDM,0781-3402-78,AMPICILLIN 250 MG SOLUTION FOR INJECTION,2.91,1.72,0.35,2.62,23
CDM,0781-3402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION,2.91,1.72,0.35,2.62,23
CDM,0781-3404-85,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,7.03,4.15,0.86,6.33,23
CDM,0781-3404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,7.03,4.15,0.86,6.33,23
CDM,0781-3407-78,AMPICILLIN 500 MG SOLUTION FOR INJECTION,3.57,2.11,0.43,3.21,23
CDM,0781-3407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION,3.57,2.11,0.43,3.21,23
CDM,0781-3408-80,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,12.22,7.21,1.49,11.0,23
CDM,0781-3408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,11.9,7.02,1.45,10.71,23
CDM,0781-3409-95,AMPICILLIN 10 GRAM SOLUTION FOR INJECTION,311.66,183.88,37.91,280.49,23
CDM,0781-3411-70,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.6,13.33,2.75,20.34,23
CDM,0781-3412-92,AMPICILLIN 1 GRAM INTRAVENOUS SOLUTION,47.23,27.87,5.75,42.51,23
CDM,0781-3413-15,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,91.62,54.06,11.15,82.46,23
CDM,0781-3413-92,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,91.62,54.06,11.15,82.46,23
CDM,0781-3415-75,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,45.15,26.64,5.49,40.64,23
CDM,0781-3416-94,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,78.4,46.26,9.54,70.56,23
CDM,0781-3433-46,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,34.5,20.36,4.2,31.05,23
CDM,0781-3433-95,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,34.5,20.36,4.2,31.05,23
CDM,0781-3440-71,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,146.75,86.58,17.85,132.08,23
CDM,0781-3440-95,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,146.75,86.58,17.85,132.08,23
CDM,0781-3451-70,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,4.36,2.57,0.53,3.92,23
CDM,0781-3451-96,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,4.36,2.57,0.53,3.92,23
CDM,0781-3452-95,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,29.35,17.32,3.57,26.42,23
CDM,0781-3458-75,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,22.58,13.32,2.75,20.32,23
CDM,0781-3458-95,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,22.58,13.32,2.75,20.32,23
CDM,0781-3466-70,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,47.85,28.23,5.82,43.07,23
CDM,0781-3481-70,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,64.01,37.77,7.79,57.61,23
CDM,0781-3481-92,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,64.01,37.77,7.79,57.61,23
CDM,0781-3498-94,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,201.15,118.68,24.47,181.04,23
CDM,0781-3498-95,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,182.88,107.9,22.25,164.59,23
CDM,0781-3531-91,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,4815.8,2841.32,585.82,4334.22,23
CDM,0781-3532-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,341.08,201.24,41.49,306.97,23
CDM,0781-3755-75,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,15.8,9.32,1.92,14.22,23
CDM,0781-3755-95,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,15.8,9.32,1.92,14.22,23
CDM,0781-3825-71,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,5.83,3.44,0.71,5.25,23
CDM,0781-3825-96,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,5.83,3.44,0.71,5.25,23
CDM,0781-3829-75,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,28.75,16.96,3.5,25.88,23
CDM,0781-3829-96,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,28.75,16.96,3.5,25.88,23
CDM,0781-4003-32,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT,2569.2,1515.83,312.53,2312.28,23
CDM,0781-5224-01,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,0781-5274-06,DONEPEZIL 5 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,0781-5283-64,CETIRIZINE 5 MG CHEWABLE TABLET,14.13,8.34,1.72,12.72,23
CDM,0781-5317-01,ZOLPIDEM 5 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,0781-5318-01,ZOLPIDEM 10 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,0781-5318-10,ZOLPIDEM 10 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,0781-5438-20,CEFPODOXIME 100 MG TABLET,20.39,12.03,2.48,18.35,23
CDM,0781-5439-01,CEFPODOXIME 200 MG TABLET,26.93,15.89,3.28,24.24,23
CDM,0781-5439-20,CEFPODOXIME 200 MG TABLET,25.06,14.79,3.05,22.55,23
CDM,0781-5515-01,GRISEOFULVIN MICROSIZE 500 MG TABLET,34.66,20.45,4.22,31.19,23
CDM,0781-5578-01,ENTACAPONE 200 MG TABLET,11.74,6.93,1.43,10.57,23
CDM,0781-5613-01,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET,2.94,1.73,0.36,2.65,23
CDM,0781-5625-01,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET,2.79,1.65,0.34,2.51,23
CDM,0781-5637-01,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET,2.65,1.56,0.32,2.39,23
CDM,0781-5641-01,CARBIDOPA 31.25 MG-LEVODOPA 125 MG-ENTACAPONE 200 MG TABLET,2.87,1.69,0.35,2.58,23
CDM,0781-5654-01,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,13.83,8.16,1.68,12.45,23
CDM,0781-5667-31,VORICONAZOLE 50 MG TABLET,13.76,8.12,1.67,12.38,23
CDM,0781-5668-31,VORICONAZOLE 200 MG TABLET,6.81,4.02,0.83,6.13,23
CDM,0781-5669-01,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,0781-6000-78,DIFLUPREDNATE 0.05 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0781-6014-70,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0781-6022-46,CLARITHROMYCIN 125 MG/5 ML ORAL SUSPENSION,358.0,211.22,43.55,322.2,23
CDM,0781-6022-52,CLARITHROMYCIN 125 MG/5 ML ORAL SUSPENSION,204.5,120.66,24.88,184.05,23
CDM,0781-6023-46,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,557.0,328.63,67.76,501.3,23
CDM,0781-6023-52,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,302.0,178.18,36.74,271.8,23
CDM,0781-6041-46,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,16.5,9.74,2.01,14.85,23
CDM,0781-6041-55,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,23.25,13.72,2.83,20.93,23
CDM,0781-6041-58,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,14.4,8.5,1.75,12.96,23
CDM,0781-6135-95,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,21.22,12.52,2.58,19.1,23
CDM,0781-6136-94,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,94.8,55.93,11.53,85.32,23
CDM,0781-6139-57,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,56.25,33.19,6.84,50.63,23
CDM,0781-6153-94,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,180.68,106.6,21.98,162.61,23
CDM,0781-6153-95,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,180.68,106.6,21.98,162.61,23
CDM,0781-6157-52,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,15.0,8.85,1.82,13.5,23
CDM,0781-6157-57,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,22.5,13.28,2.74,20.25,23
CDM,0781-6160-86,SEVOFLURANE 99.97 % INHALATION LIQUID,318.75,188.06,38.77,286.88,23
CDM,0781-6172-86,DESFLURANE 100 % INHALATION LIQUID,428.4,252.76,52.11,385.56,23
CDM,0781-6185-75,TRAVOPROST 0.004 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0781-6186-67,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,0781-7104-58,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,85.54,50.47,10.41,76.99,23
CDM,0781-7119-54,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,85.54,50.47,10.41,76.99,23
CDM,0781-7119-58,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,85.54,50.47,10.41,76.99,23
CDM,0781-7129-58,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,43.48,25.65,5.29,39.13,23
CDM,0781-7129-83,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,43.48,25.65,5.29,39.13,23
CDM,0781-7133-54,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,85.54,50.47,10.41,76.99,23
CDM,0781-7133-58,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,85.54,50.47,10.41,76.99,23
CDM,0781-7135-93,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0781-7167-83,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,43.57,25.71,5.3,39.21,23
CDM,0781-7186-75,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0781-7186-85,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0781-7296-85,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,122.85,72.48,14.94,110.57,23
CDM,0781-7304-31,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,62.28,36.75,7.58,56.05,23
CDM,0781-7304-58,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,62.28,36.75,7.58,56.05,23
CDM,0781-7309-31,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,62.28,36.75,7.58,56.05,23
CDM,0781-7309-58,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,62.28,36.75,7.58,56.05,23
CDM,0781-7313-31,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,62.28,36.75,7.58,56.05,23
CDM,0781-7313-58,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,62.28,36.75,7.58,56.05,23
CDM,0781-7515-14,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.47,7.36,1.52,11.22,23
CDM,0781-7515-87,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.47,7.36,1.52,11.22,23
CDM,0781-7516-14,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,13.6,8.02,1.65,12.24,23
CDM,0781-7516-87,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,13.6,8.02,1.65,12.24,23
CDM,0781-8017-31,"FLUVASTATIN ER 80 MG TABLET,EXTENDED RELEASE 24 HR",16.94,9.99,2.06,15.25,23
CDM,0781-8034-01,TRIFLUOPERAZINE 5 MG TABLET,3.14,1.85,0.38,2.83,23
CDM,0781-8036-01,TRIFLUOPERAZINE 10 MG TABLET,7.33,4.32,0.89,6.6,23
CDM,0781-8046-01,PERPHENAZINE 2 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,0781-8047-01,PERPHENAZINE 4 MG TABLET,1.06,0.63,0.13,0.95,23
CDM,0781-8049-01,PERPHENAZINE 16 MG TABLET,2.65,1.56,0.32,2.39,23
CDM,0781-9053-70,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.6,13.33,2.75,20.34,23
CDM,0781-9055-01,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,341.08,201.24,41.49,306.97,23
CDM,0781-9055-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,341.08,201.24,41.49,306.97,23
CDM,0781-9227-75,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,22.58,13.32,2.75,20.32,23
CDM,0781-9228-70,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,47.85,28.23,5.82,43.07,23
CDM,0781-9261-85,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,12.0,7.08,1.46,10.8,23
CDM,0781-9261-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,12.0,7.08,1.46,10.8,23
CDM,0781-9402-78,AMPICILLIN 250 MG SOLUTION FOR INJECTION,15.51,9.15,1.89,13.96,23
CDM,0781-9402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION,15.51,9.15,1.89,13.96,23
CDM,0781-9404-85,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,7.03,4.15,0.86,6.33,23
CDM,0781-9404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,7.03,4.15,0.86,6.33,23
CDM,0781-9407-78,AMPICILLIN 500 MG SOLUTION FOR INJECTION,16.33,9.63,1.99,14.7,23
CDM,0781-9407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION,16.33,9.63,1.99,14.7,23
CDM,0781-9408-80,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,11.9,7.02,1.45,10.71,23
CDM,0781-9408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,11.9,7.02,1.45,10.71,23
CDM,0781-9412-92,AMPICILLIN 1 GRAM INTRAVENOUS SOLUTION,47.23,27.87,5.75,42.51,23
CDM,0781-9413-92,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,91.62,54.06,11.15,82.46,23
CDM,07985-4040-97,ACETYLCYSTEINE 600 MG CAPSULE,0.29,0.17,0.04,0.26,23
CDM,0799-0001-02,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT,18.11,10.68,2.2,16.3,23
CDM,0799-0001-05,MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT IN PACKET,1.86,1.1,0.23,1.67,23
CDM,0832-0038-00,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,0832-0038-01,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,0832-0038-89,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,0832-0233-00,"MORPHINE ER 100 MG CAPSULE,EXTENDED RELEASE PELLETS",22.14,13.06,2.69,19.93,23
CDM,0832-0285-00,BEXAROTENE 75 MG CAPSULE,117.51,69.33,14.29,105.76,23
CDM,0832-0310-11,VALPROIC ACID 250 MG CAPSULE,2.02,1.19,0.25,1.82,23
CDM,0832-0356-11,DOXAZOSIN 1 MG TABLET,1.97,1.16,0.24,1.77,23
CDM,0832-0465-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",50.18,29.61,6.1,45.16,23
CDM,0832-0465-30,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",98.25,57.97,11.95,88.43,23
CDM,0832-0465-60,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",175.2,103.37,21.31,157.68,23
CDM,0832-0510-00,BETHANECHOL CHLORIDE 5 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,0832-0511-01,BETHANECHOL CHLORIDE 10 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,0832-0511-89,BETHANECHOL CHLORIDE 10 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,0832-0512-01,BETHANECHOL CHLORIDE 25 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,0832-0512-89,BETHANECHOL CHLORIDE 25 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,0832-0542-11,BUMETANIDE 2 MG TABLET,2.72,1.6,0.33,2.45,23
CDM,0832-0595-30,EXEMESTANE 25 MG TABLET,15.36,9.06,1.87,13.82,23
CDM,0832-1113-60,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0832-1211-00,WARFARIN 1 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,0832-1211-01,WARFARIN 1 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1211-10,WARFARIN 1 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0832-1211-89,WARFARIN 1 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1212-00,WARFARIN 2 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,0832-1212-01,WARFARIN 2 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1212-10,WARFARIN 2 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0832-1212-89,WARFARIN 2 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1213-00,WARFARIN 2.5 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,0832-1213-01,WARFARIN 2.5 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1213-89,WARFARIN 2.5 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1214-01,WARFARIN 3 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1214-89,WARFARIN 3 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1216-01,WARFARIN 5 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1216-89,WARFARIN 5 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,0832-1218-00,WARFARIN 7.5 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,0832-1218-01,WARFARIN 7.5 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,0832-1218-89,WARFARIN 7.5 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,0832-1219-01,WARFARIN 10 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,0832-1219-89,WARFARIN 10 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,0832-1410-03,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0832-1425-05,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0832-1510-11,HALOPERIDOL 0.5 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,0832-1520-11,HALOPERIDOL 1 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,0832-1520-89,HALOPERIDOL 1 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,0832-1530-11,HALOPERIDOL 2 MG TABLET,2.33,1.37,0.28,2.1,23
CDM,0832-1540-89,HALOPERIDOL 5 MG TABLET,3.49,2.06,0.42,3.14,23
CDM,0832-1550-89,HALOPERIDOL 10 MG TABLET,5.31,3.13,0.65,4.78,23
CDM,0832-5324-11,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",2.2,1.3,0.27,1.98,23
CDM,0832-5325-10,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.94,0.55,0.11,0.85,23
CDM,0832-5325-11,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",2.32,1.37,0.28,2.09,23
CDM,0832-6004-11,FLUPHENAZINE 2.5 MG TABLET,7.56,4.46,0.92,6.8,23
CDM,0832-6017-00,CHLORPROMAZINE 10 MG TABLET,2.76,1.63,0.34,2.48,23
CDM,0832-6018-00,CHLORPROMAZINE 25 MG TABLET,3.93,2.32,0.48,3.54,23
CDM,0832-6019-00,CHLORPROMAZINE 50 MG TABLET,6.4,3.78,0.78,5.76,23
CDM,0832-6020-00,CHLORPROMAZINE 100 MG TABLET,10.43,6.15,1.27,9.39,23
CDM,0832-6022-11,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",2.09,1.23,0.25,1.88,23
CDM,0832-6045-50,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,229.25,135.26,27.89,206.33,23
CDM,0832-6072-11,METHIMAZOLE 5 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,0832-7122-11,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",0.42,0.25,0.05,0.38,23
CDM,0832-7123-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",1.02,0.6,0.12,0.92,23
CDM,0832-7123-11,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",0.81,0.48,0.1,0.73,23
CDM,0832-7123-15,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",0.81,0.48,0.1,0.73,23
CDM,0832-7123-89,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",1.02,0.6,0.12,0.92,23
CDM,0869-0166-38,MAGNESIUM CITRATE ORAL SOLUTION,7.4,4.37,0.9,6.66,23
CDM,0869-0602-43,MAGNESIUM SULFATE (BULK) 100 % CRYSTALS,6.81,4.02,0.83,6.13,23
CDM,0869-0667-38,MAGNESIUM CITRATE ORAL SOLUTION,5.92,3.49,0.72,5.33,23
CDM,0869-0686-38,MAGNESIUM CITRATE ORAL SOLUTION,4.44,2.62,0.54,4.0,23
CDM,0869-0810-43,ISOPROPYL ALCOHOL 70 % SOLUTION,7.1,4.19,0.86,6.39,23
CDM,0869-0831-30,MINERAL OIL ORAL,0.9,0.53,0.11,0.81,23
CDM,0869-0831-43,MINERAL OIL ORAL,16.56,9.77,2.01,14.9,23
CDM,0869-3851-10,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,9.3,5.49,1.13,8.37,23
CDM,0884629730,PHENOL 89 % TOPICAL SWAB,21.09,12.44,2.57,18.98,23
CDM,0904-0012-59,CHLORPHENIRAMINE 4 MG TABLET,0.04,0.02,0.01,0.04,23
CDM,0904-0012-61,CHLORPHENIRAMINE 4 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,0904-0430-04,DOXYCYCLINE HYCLATE 100 MG TABLET,9.39,5.54,1.14,8.45,23
CDM,0904-0430-06,DOXYCYCLINE HYCLATE 100 MG TABLET,7.72,4.55,0.94,6.95,23
CDM,0904-1103-09,POVIDONE-IODINE 10 % TOPICAL SOLUTION,14.16,8.35,1.72,12.74,23
CDM,0904-1313-15,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,2.03,1.2,0.25,1.83,23
CDM,0904-2015-59,"ASPIRIN,BUFFERED (CALCIUM CARBONATE-MAGNESIUM) 325 MG TABLET",0.09,0.05,0.01,0.08,23
CDM,0904-2051-59,DIMENHYDRINATE 50 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,0904-2056-61,DIPHENHYDRAMINE 50 MG CAPSULE,0.18,0.11,0.02,0.16,23
CDM,0904-2500-91,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,0904-2533-21,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,6.2,3.66,0.75,5.58,23
CDM,0904-2725-61,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,0904-3854-61,CARBAMAZEPINE 100 MG CHEWABLE TABLET,2.36,1.39,0.29,2.12,23
CDM,0904-3865-75,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,3.74,2.21,0.45,3.37,23
CDM,0904-4040-73,ASPIRIN 81 MG CHEWABLE TABLET,0.09,0.05,0.01,0.08,23
CDM,0904-5053-59,PSEUDOEPHEDRINE 30 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,0904-5154-60,GUAIFENESIN 200 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,0904-5174-05,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,1.9,1.12,0.23,1.71,23
CDM,0904-5174-10,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,3.1,1.83,0.38,2.79,23
CDM,0904-5259-44,COAL TAR 0.5 % SHAMPOO,10.04,5.92,1.22,9.04,23
CDM,0904-5307-60,DIPHENHYDRAMINE 50 MG CAPSULE,0.1,0.06,0.01,0.09,23
CDM,0904-5307-80,DIPHENHYDRAMINE 50 MG CAPSULE,0.07,0.04,0.01,0.06,23
CDM,0904-5309-20,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,13.2,7.79,1.61,11.88,23
CDM,0904-5354-31,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,7.56,4.46,0.92,6.8,23
CDM,0904-5365-60,ALUMINUM HYDROX-MAGNESIUM CARB 160 MG-105 MG CHEWABLE TABLET,0.16,0.09,0.02,0.14,23
CDM,0904-5448-61,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",0.92,0.54,0.11,0.83,23
CDM,0904-5522-61,DOXAZOSIN 1 MG TABLET,3.91,2.31,0.48,3.52,23
CDM,0904-5523-61,DOXAZOSIN 2 MG TABLET,2.34,1.38,0.28,2.11,23
CDM,0904-5524-61,DOXAZOSIN 4 MG TABLET,3.94,2.32,0.48,3.55,23
CDM,0904-5529-52,FAMOTIDINE 10 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,0904-5529-87,FAMOTIDINE 10 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,0904-5551-59,DIPHENHYDRAMINE 25 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,0904-5676-61,PAROXETINE 10 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,0904-5677-61,PAROXETINE 20 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,0904-5725-14,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,14.2,8.38,1.73,12.78,23
CDM,0904-5731-82,WHITE PETROLATUM TOPICAL JELLY,12.88,7.6,1.57,11.59,23
CDM,0904-5780-51,FAMOTIDINE 20 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,0904-5789-61,ACYCLOVIR 200 MG CAPSULE,0.54,0.32,0.07,0.49,23
CDM,0904-5791-46,ACETAMINOPHEN 80 MG CHEWABLE TABLET,0.26,0.15,0.03,0.23,23
CDM,0904-5853-40,IBUPROFEN 400 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,0904-5853-61,IBUPROFEN 400 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,0904-5854-40,IBUPROFEN 600 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,0904-5854-60,IBUPROFEN 600 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,0904-5854-61,IBUPROFEN 600 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,0904-5855-40,IBUPROFEN 800 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,0904-5855-60,IBUPROFEN 800 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,0904-5855-61,IBUPROFEN 800 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,0904-5891-61,PRAVASTATIN 10 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,0904-5892-61,PRAVASTATIN 20 MG TABLET,2.01,1.19,0.24,1.81,23
CDM,0904-5893-61,PRAVASTATIN 40 MG TABLET,2.66,1.57,0.32,2.39,23
CDM,0904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABLET,5.14,3.03,0.63,4.63,23
CDM,0904-5922-61,DIGOXIN 250 MCG (0.25 MG) TABLET,4.78,2.82,0.58,4.3,23
CDM,0904-5959-61,CLINDAMYCIN HCL 150 MG CAPSULE,0.91,0.54,0.11,0.82,23
CDM,0904-6082-61,ZOLPIDEM 5 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,0904-6084-61,CITALOPRAM 10 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0904-6085-61,CITALOPRAM 20 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,0904-6172-61,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,2.58,1.52,0.31,2.32,23
CDM,0904-6221-61,URSODIOL 300 MG CAPSULE,20.35,12.01,2.48,18.32,23
CDM,0904-6255-49,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,0.64,0.38,0.08,0.58,23
CDM,0904-6269-45,ZIPRASIDONE 20 MG CAPSULE,8.91,5.26,1.08,8.02,23
CDM,0904-6270-08,ZIPRASIDONE 40 MG CAPSULE,15.68,9.25,1.91,14.11,23
CDM,0904-6270-45,ZIPRASIDONE 40 MG CAPSULE,8.82,5.2,1.07,7.94,23
CDM,0904-6271-08,ZIPRASIDONE 60 MG CAPSULE,18.81,11.1,2.29,16.93,23
CDM,0904-6271-45,ZIPRASIDONE 60 MG CAPSULE,8.71,5.14,1.06,7.84,23
CDM,0904-6272-08,ZIPRASIDONE 80 MG CAPSULE,20.65,12.18,2.51,18.59,23
CDM,0904-6272-45,ZIPRASIDONE 80 MG CAPSULE,9.97,5.88,1.21,8.97,23
CDM,0904-6290-06,ATORVASTATIN 10 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,0904-6290-61,ATORVASTATIN 10 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,0904-6291-06,ATORVASTATIN 20 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,0904-6291-61,ATORVASTATIN 20 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,0904-6292-61,ATORVASTATIN 40 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,0904-6293-04,ATORVASTATIN 80 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,0904-6294-61,CLOPIDOGREL 75 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,0904-6305-21,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,11.51,6.79,1.4,10.36,23
CDM,0904-6322-06,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2.03,1.2,0.25,1.83,23
CDM,0904-6322-61,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2.92,1.72,0.36,2.63,23
CDM,0904-6323-61,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.19,2.47,0.51,3.77,23
CDM,0904-6324-61,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4.23,2.5,0.51,3.81,23
CDM,0904-6351-61,LEVOFLOXACIN 250 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,0904-6352-61,LEVOFLOXACIN 500 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,0904-6353-61,LEVOFLOXACIN 750 MG TABLET,2.03,1.2,0.25,1.83,23
CDM,0904-6363-45,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",6.06,3.58,0.74,5.45,23
CDM,0904-6363-61,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",3.16,1.86,0.38,2.84,23
CDM,0904-6369-61,AMLODIPINE 2.5 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,0904-6370-61,AMLODIPINE 5 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,0904-6371-61,AMLODIPINE 10 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,0904-6373-61,ROPINIROLE 0.25 MG TABLET,1.55,0.91,0.19,1.4,23
CDM,0904-6374-61,ROPINIROLE 1 MG TABLET,1.61,0.95,0.2,1.45,23
CDM,0904-6376-61,OLANZAPINE 10 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,0904-6377-61,OLANZAPINE 5 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,0904-6407-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.13,0.08,0.02,0.12,23
CDM,0904-6412-92,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.06,0.04,0.01,0.05,23
CDM,0904-6418-61,TIZANIDINE 4 MG TABLET,2.11,1.24,0.26,1.9,23
CDM,0904-6426-61,ESCITALOPRAM 10 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,0904-6427-61,ESCITALOPRAM 20 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,0904-6436-04,TEMAZEPAM 7.5 MG CAPSULE,14.01,8.27,1.7,12.61,23
CDM,0904-6449-61,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",1.52,0.9,0.18,1.37,23
CDM,0904-6450-61,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",1.65,0.97,0.2,1.49,23
CDM,0904-6467-07,CLOPIDOGREL 300 MG TABLET,39.61,23.37,4.82,35.65,23
CDM,0904-6467-10,CLOPIDOGREL 300 MG TABLET,24.8,14.63,3.02,22.32,23
CDM,0904-6474-61,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",1.14,0.67,0.14,1.03,23
CDM,0904-6475-61,BACLOFEN 10 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,0904-6476-61,BACLOFEN 20 MG TABLET,2.41,1.42,0.29,2.17,23
CDM,0904-6477-61,DONEPEZIL 5 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,0904-6478-61,DONEPEZIL 10 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,0904-6488-38,WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT,25.01,14.76,3.04,22.51,23
CDM,0904-6500-06,FLUCONAZOLE 100 MG TABLET,6.11,3.6,0.74,5.5,23
CDM,0904-6500-61,FLUCONAZOLE 100 MG TABLET,5.32,3.14,0.65,4.79,23
CDM,0904-6501-06,FLUCONAZOLE 200 MG TABLET,4.74,2.8,0.58,4.27,23
CDM,0904-6501-61,FLUCONAZOLE 200 MG TABLET,8.12,4.79,0.99,7.31,23
CDM,0904-6505-06,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,0904-6505-61,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.61,0.95,0.2,1.45,23
CDM,0904-6506-61,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,1.61,0.95,0.2,1.45,23
CDM,0904-6519-61,MIRTAZAPINE 15 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,0904-6552-61,ONDANSETRON HCL 8 MG TABLET,1.84,1.09,0.22,1.66,23
CDM,0904-6553-04,LINEZOLID 600 MG TABLET,18.6,10.97,2.26,16.74,23
CDM,0904-6557-61,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",2.02,1.19,0.25,1.82,23
CDM,0904-6558-61,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",4.48,2.64,0.54,4.03,23
CDM,0904-6560-61,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",11.66,6.88,1.42,10.49,23
CDM,0904-6564-60,BENZONATATE 100 MG CAPSULE,0.67,0.4,0.08,0.6,23
CDM,0904-6565-07,VALACYCLOVIR 500 MG TABLET,9.74,5.75,1.18,8.77,23
CDM,0904-6565-61,VALACYCLOVIR 500 MG TABLET,4.66,2.75,0.57,4.19,23
CDM,0904-6570-04,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",9.7,5.72,1.18,8.73,23
CDM,0904-6570-06,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",10.2,6.02,1.24,9.18,23
CDM,0904-6570-61,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",10.55,6.22,1.28,9.5,23
CDM,0904-6572-61,ALLOPURINOL 300 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,0904-6575-61,PHENOBARBITAL 32.4 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,0904-6583-04,LAMIVUDINE 150 MG TABLET,23.83,14.06,2.9,21.45,23
CDM,0904-6592-04,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",26.64,15.72,3.24,23.98,23
CDM,0904-6593-04,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",27.77,16.38,3.38,24.99,23
CDM,0904-6596-04,VORICONAZOLE 50 MG TABLET,32.34,19.08,3.93,29.11,23
CDM,0904-6599-61,PERPHENAZINE 2 MG TABLET,3.5,2.07,0.43,3.15,23
CDM,0904-6600-61,PERPHENAZINE 4 MG TABLET,4.74,2.8,0.58,4.27,23
CDM,0904-6601-61,PERPHENAZINE 8 MG TABLET,7.19,4.24,0.87,6.47,23
CDM,0904-6615-61,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",3.16,1.86,0.38,2.84,23
CDM,0904-6617-61,HYDROXYZINE HCL 25 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,0904-6619-61,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,2.43,1.43,0.3,2.19,23
CDM,0904-6620-61,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,2.84,1.68,0.35,2.56,23
CDM,0904-6622-61,PYRIDOSTIGMINE BROMIDE IMMEDIATE RELEASE 60 MG TABLET,6.2,3.66,0.75,5.58,23
CDM,0904-6623-61,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,3.77,2.22,0.46,3.39,23
CDM,0904-6624-61,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,33.05,19.5,4.02,29.75,23
CDM,0904-6627-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,0904-6635-61,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,4.33,2.55,0.53,3.9,23
CDM,0904-6636-61,BUPROPION HCL IMMEDIATE RELEASE 100 MG TABLET,6.52,3.85,0.79,5.87,23
CDM,0904-6637-61,GLIPIZIDE IMMEDIATE RELEASE 5 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,0904-6638-61,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,0904-6639-61,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,0904-6640-61,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,0904-6641-61,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,3.78,2.23,0.46,3.4,23
CDM,0904-6642-61,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,0904-6643-61,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,6.37,3.76,0.77,5.73,23
CDM,0904-6663-61,ACETAZOLAMIDE IMMEDIATE RELEASE 250 MG TABLET,11.75,6.93,1.43,10.58,23
CDM,0904-6665-61,GABAPENTIN 100 MG CAPSULE,0.39,0.23,0.05,0.35,23
CDM,0904-6666-61,GABAPENTIN 300 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,0904-6667-61,GABAPENTIN 400 MG CAPSULE,0.66,0.39,0.08,0.59,23
CDM,0904-6671-04,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,3.05,1.8,0.37,2.75,23
CDM,0904-6671-06,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,1.99,1.17,0.24,1.79,23
CDM,0904-6678-40,OXYCODONE 5 MG/5 ML ORAL SOLUTION,160.0,94.4,19.46,144.0,23
CDM,0904-6682-08,DOFETILIDE 250 MCG CAPSULE,14.76,8.71,1.8,13.28,23
CDM,0904-6700-60,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-25 MG CHEWABLE TABLET,0.17,0.1,0.02,0.15,23
CDM,0904-6703-10,LEUCOVORIN CALCIUM 25 MG TABLET,27.98,16.51,3.4,25.18,23
CDM,0904-6704-61,PRAMIPEXOLE 0.25 MG TABLET,1.19,0.7,0.14,1.07,23
CDM,0904-6707-82,SEVELAMER CARBONATE 800 MG TABLET,17.56,10.36,2.14,15.8,23
CDM,0904-6709-61,GLYCOPYRROLATE 1 MG TABLET,4.99,2.94,0.61,4.49,23
CDM,0904-6717-60,CETIRIZINE 10 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,0904-6720-40,ACETAMINOPHEN 500 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,0904-6720-59,ACETAMINOPHEN 500 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,0904-6720-60,ACETAMINOPHEN 500 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,0904-6728-46,PSEUDOEPHEDRINE 60 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,0904-6728-52,PSEUDOEPHEDRINE 60 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,0904-6730-59,ACETAMINOPHEN 500 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,0904-6730-60,ACETAMINOPHEN 500 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,0904-6730-61,ACETAMINOPHEN 500 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,0904-6733-61,HALOPERIDOL 10 MG TABLET,4.6,2.71,0.56,4.14,23
CDM,0904-6747-51,IBUPROFEN 200 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,0904-6747-59,IBUPROFEN 200 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,0904-6748-60,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.06,0.04,0.01,0.05,23
CDM,0904-6751-80,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.03,0.02,0.01,0.03,23
CDM,0904-6773-61,ACETAMINOPHEN 325 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,0904-6779-61,ROSUVASTATIN 10 MG TABLET,5.46,3.22,0.66,4.91,23
CDM,0904-6782-61,HALOPERIDOL 5 MG TABLET,3.02,1.78,0.37,2.72,23
CDM,0904-6783-70,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.05,0.03,0.01,0.05,23
CDM,0904-6786-61,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",44.98,26.54,5.47,40.48,23
CDM,0904-6791-04,MODAFINIL 100 MG TABLET,42.96,25.35,5.23,38.66,23
CDM,0904-6794-30,ASPIRIN 81 MG CHEWABLE TABLET,0.29,0.17,0.04,0.26,23
CDM,0904-6794-80,ASPIRIN 81 MG CHEWABLE TABLET,0.03,0.02,0.01,0.03,23
CDM,0904-6794-89,ASPIRIN 81 MG CHEWABLE TABLET,0.07,0.04,0.01,0.06,23
CDM,0904-6797-61,LISINOPRIL 5 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,0904-6798-61,LISINOPRIL 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,0904-6799-61,LISINOPRIL 20 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,0904-6802-61,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",2.66,1.57,0.32,2.39,23
CDM,0904-6808-06,MONTELUKAST 10 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,0904-6808-61,MONTELUKAST 10 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,0904-6817-06,MIDODRINE 2.5 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,0904-6817-61,MIDODRINE 2.5 MG TABLET,3.95,2.33,0.48,3.56,23
CDM,0904-6818-06,MIDODRINE 5 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,0904-6818-61,MIDODRINE 5 MG TABLET,2.51,1.48,0.31,2.26,23
CDM,0904-6821-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,15.92,9.39,1.94,14.33,23
CDM,0904-6823-61,GABAPENTIN 600 MG TABLET,1.04,0.61,0.13,0.94,23
CDM,0904-6828-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION,10.9,6.43,1.33,9.81,23
CDM,0904-6828-92,OXYCODONE 5 MG/5 ML ORAL SOLUTION,10.9,6.43,1.33,9.81,23
CDM,0904-6828-94,OXYCODONE 5 MG/5 ML ORAL SOLUTION,11.25,6.64,1.37,10.13,23
CDM,0904-6830-06,FINASTERIDE 5 MG TABLET,1.84,1.09,0.22,1.66,23
CDM,0904-6830-61,FINASTERIDE 5 MG TABLET,4.75,2.8,0.58,4.28,23
CDM,0904-6836-20,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,16.8,9.91,2.04,15.12,23
CDM,0904-6860-61,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",0.92,0.54,0.11,0.83,23
CDM,0904-6861-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",0.78,0.46,0.09,0.7,23
CDM,0904-6861-90,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",86.4,50.98,10.51,77.76,23
CDM,0904-6868-61,TRAZODONE 50 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,0904-6869-61,TRAZODONE 100 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,0904-6870-45,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.79,0.47,0.1,0.71,23
CDM,0904-6890-04,URSODIOL 250 MG TABLET,9.28,5.48,1.13,8.35,23
CDM,0904-6907-06,PSEUDOEPHEDRINE 60 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,0904-6908-04,ATOMOXETINE 40 MG CAPSULE,24.35,14.37,2.96,21.92,23
CDM,0904-6914-61,METHYLPREDNISOLONE 4 MG TABLET,5.5,3.25,0.67,4.95,23
CDM,0904-6917-61,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",0.8,0.47,0.1,0.72,23
CDM,0904-6923-61,PREDNISONE 10 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,0904-6924-61,SERTRALINE 25 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,0904-6925-61,SERTRALINE 50 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,0904-6926-61,SERTRALINE 100 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,0904-6927-61,SPIRONOLACTONE 25 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,0904-6928-61,TOPIRAMATE 25 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,0904-6929-61,TOPIRAMATE 100 MG TABLET,1.78,1.05,0.22,1.6,23
CDM,0904-6931-26,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.08,3.59,0.74,5.47,23
CDM,0904-6931-76,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.41,3.78,0.78,5.77,23
CDM,0904-6931-81,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.16,3.04,0.63,4.64,23
CDM,0904-6931-86,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.08,3.59,0.74,5.47,23
CDM,0904-6935-61,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",50.82,29.98,6.18,45.74,23
CDM,0904-6938-06,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.24,3.09,0.64,4.72,23
CDM,0904-6939-61,HYDROXYUREA 500 MG CAPSULE,2.86,1.69,0.35,2.57,23
CDM,0904-6949-61,LEVOTHYROXINE 25 MCG TABLET,1.74,1.03,0.21,1.57,23
CDM,0904-6950-61,LEVOTHYROXINE 50 MCG TABLET,1.69,1.0,0.21,1.52,23
CDM,0904-6951-61,LEVOTHYROXINE 75 MCG TABLET,1.91,1.13,0.23,1.72,23
CDM,0904-6953-61,LEVOTHYROXINE 100 MCG TABLET,1.74,1.03,0.21,1.57,23
CDM,0904-6955-61,LEVOTHYROXINE 125 MCG TABLET,2.04,1.2,0.25,1.84,23
CDM,0904-6966-61,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,0904-6985-16,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,14.19,8.37,1.73,12.77,23
CDM,0904-6985-20,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,9.44,5.57,1.15,8.5,23
CDM,0904-6987-61,DICYCLOMINE 10 MG CAPSULE,2.62,1.55,0.32,2.36,23
CDM,0904-6988-61,DICYCLOMINE 20 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,0904-6990-61,PSEUDOEPHEDRINE 30 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,0904-6991-04,PREGABALIN 25 MG CAPSULE,2.65,1.56,0.32,2.39,23
CDM,0904-6991-61,PREGABALIN 25 MG CAPSULE,2.36,1.39,0.29,2.12,23
CDM,0904-6992-61,PREGABALIN 50 MG CAPSULE,1.64,0.97,0.2,1.48,23
CDM,0904-7000-61,PREGABALIN 75 MG CAPSULE,1.68,0.99,0.2,1.51,23
CDM,0904-7001-61,PREGABALIN 100 MG CAPSULE,1.83,1.08,0.22,1.65,23
CDM,0904-7002-61,PREGABALIN 150 MG CAPSULE,1.97,1.16,0.24,1.77,23
CDM,0904-7007-61,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,0904-7008-61,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,0904-7014-16,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID,18.92,11.16,2.3,17.03,23
CDM,0904-7016-04,BUMETANIDE 1 MG TABLET,6.02,3.55,0.73,5.42,23
CDM,0904-7016-61,BUMETANIDE 1 MG TABLET,3.4,2.01,0.41,3.06,23
CDM,0904-7020-61,PRAZOSIN 1 MG CAPSULE,4.0,2.36,0.49,3.6,23
CDM,0904-7021-61,PRAZOSIN 2 MG CAPSULE,5.9,3.48,0.72,5.31,23
CDM,0904-7023-67,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET,0.36,0.21,0.04,0.32,23
CDM,0904-7024-04,VORICONAZOLE 200 MG TABLET,88.07,51.96,10.71,79.26,23
CDM,0904-7027-61,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,0904-7035-80,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,4.43,2.61,0.54,3.99,23
CDM,0904-7035-88,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,4.43,2.61,0.54,3.99,23
CDM,0904-7036-04,NALTREXONE 50 MG TABLET,8.23,4.86,1.0,7.41,23
CDM,0904-7041-61,ALLOPURINOL 100 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,0904-7042-06,AMANTADINE HCL 100 MG CAPSULE,3.76,2.22,0.46,3.38,23
CDM,0904-7045-61,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",3.01,1.78,0.37,2.71,23
CDM,0904-7047-61,LOSARTAN 25 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,0904-7048-61,LOSARTAN 50 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,0904-7049-61,LOSARTAN 100 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,0904-7052-61,DOXEPIN 10 MG CAPSULE,2.24,1.32,0.27,2.02,23
CDM,0904-7053-61,DOXEPIN 25 MG CAPSULE,3.08,1.82,0.37,2.77,23
CDM,0904-7057-61,METHOCARBAMOL 500 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,0904-7058-61,METHOCARBAMOL 750 MG TABLET,1.15,0.68,0.14,1.04,23
CDM,0904-7059-16,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.05,0.03,0.01,0.05,23
CDM,0904-7070-61,NADOLOL 20 MG TABLET,13.46,7.94,1.64,12.11,23
CDM,0904-7071-61,NADOLOL 40 MG TABLET,16.53,9.75,2.01,14.88,23
CDM,0904-7073-41,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,65.38,38.57,7.95,58.84,23
CDM,0904-7073-93,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,65.38,38.57,7.95,58.84,23
CDM,0904-7076-61,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",1.75,1.03,0.21,1.58,23
CDM,0904-7097-61,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,5.19,3.06,0.63,4.67,23
CDM,0904-7105-61,CAPTOPRIL 12.5 MG TABLET,4.52,2.67,0.55,4.07,23
CDM,0904-7106-61,CAPTOPRIL 25 MG TABLET,6.9,4.07,0.84,6.21,23
CDM,0904-7107-61,RIVASTIGMINE 1.5 MG CAPSULE,12.11,7.14,1.47,10.9,23
CDM,0904-7108-61,GABAPENTIN 800 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,0904-7119-06,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,4.03,2.38,0.49,3.63,23
CDM,0904-7120-04,COLCHICINE 0.6 MG TABLET,22.11,13.04,2.69,19.9,23
CDM,0904-7122-61,BUSPIRONE 5 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,0904-7123-61,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,0904-7124-61,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,0904-7125-61,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,0904-7126-61,METRONIDAZOLE 500 MG TABLET,2.39,1.41,0.29,2.15,23
CDM,0904-7130-61,CHLORPROMAZINE 25 MG TABLET,20.73,12.23,2.52,18.66,23
CDM,0904-7131-61,CHLORPROMAZINE 50 MG TABLET,25.83,15.24,3.14,23.25,23
CDM,0904-7132-61,CHLORPROMAZINE 100 MG TABLET,49.95,29.47,6.08,44.96,23
CDM,0904-7137-61,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,8.14,4.8,0.99,7.33,23
CDM,0904-7140-04,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,5.24,3.09,0.64,4.72,23
CDM,0904-7141-10,METHOTREXATE SODIUM 2.5 MG TABLET,9.37,5.53,1.14,8.43,23
CDM,0904-7142-12,BISACODYL 10 MG RECTAL SUPPOSITORY,1.64,0.97,0.2,1.48,23
CDM,0904-7145-04,DRONABINOL 5 MG CAPSULE,32.49,19.17,3.95,29.24,23
CDM,0904-7156-61,METRONIDAZOLE 250 MG TABLET,1.61,0.95,0.2,1.45,23
CDM,0904-7162-61,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,0904-7163-61,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,0904-7164-61,"METFORMIN 1,000 MG TABLET",0.41,0.24,0.05,0.37,23
CDM,0904-7172-07,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,6.52,3.85,0.79,5.87,23
CDM,0904-7177-61,FUROSEMIDE 20 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,0904-7178-61,FUROSEMIDE 40 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,0904-7182-45,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",9.78,5.77,1.19,8.8,23
CDM,0904-7182-61,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",5.77,3.4,0.7,5.19,23
CDM,0904-7187-61,ATENOLOL 25 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,0904-7188-61,HYDROCORTISONE 10 MG TABLET,7.18,4.24,0.87,6.46,23
CDM,0904-7193-06,FAMOTIDINE 20 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,0904-7193-61,FAMOTIDINE 20 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,0904-7199-07,PHENYTOIN 50 MG CHEWABLE TABLET,4.42,2.61,0.54,3.98,23
CDM,0904-7200-61,LISINOPRIL 40 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,0904-7205-46,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.29,0.17,0.04,0.26,23
CDM,0904-7206-60,SIMETHICONE 80 MG CHEWABLE TABLET,0.12,0.07,0.01,0.11,23
CDM,0904-7216-61,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",87.0,51.33,10.58,78.3,23
CDM,0904-7217-61,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",1.43,0.84,0.17,1.29,23
CDM,0904-7218-61,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",1.24,0.73,0.15,1.12,23
CDM,0904-7219-61,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",1.57,0.93,0.19,1.41,23
CDM,0904-7224-61,FOLIC ACID 1 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,0904-7227-61,CLONAZEPAM 0.5 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,0904-7236-61,MEGESTROL 40 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,0904-7237-24,DIPHENHYDRAMINE 25 MG CAPSULE,0.2,0.12,0.02,0.18,23
CDM,0904-7237-60,DIPHENHYDRAMINE 25 MG CAPSULE,0.09,0.05,0.01,0.08,23
CDM,0904-7237-61,DIPHENHYDRAMINE 25 MG CAPSULE,0.16,0.09,0.02,0.14,23
CDM,0904-7243-61,CIPROFLOXACIN 500 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,0904-7244-68,LACOSAMIDE 50 MG TABLET,4.93,2.91,0.6,4.44,23
CDM,0904-7245-68,LACOSAMIDE 100 MG TABLET,8.21,4.84,1.0,7.39,23
CDM,0904-7246-68,LACOSAMIDE 150 MG TABLET,9.85,5.81,1.2,8.87,23
CDM,0904-7247-68,LACOSAMIDE 200 MG TABLET,9.85,5.81,1.2,8.87,23
CDM,0904-7248-04,SIROLIMUS 1 MG TABLET,30.5,18.0,3.71,27.45,23
CDM,0904-7252-60,SENNOSIDES 8.6 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,0904-7252-61,SENNOSIDES 8.6 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,0904-7252-80,SENNOSIDES 8.6 MG TABLET,0.04,0.02,0.01,0.04,23
CDM,0904-7261-61,SODIUM BICARBONATE 650 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,0904-7263-61,OXCARBAZEPINE 300 MG TABLET,3.27,1.93,0.4,2.94,23
CDM,0904-7264-61,OXCARBAZEPINE 600 MG TABLET,5.36,3.16,0.65,4.82,23
CDM,0904-7265-41,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,11.03,6.51,1.34,9.93,23
CDM,0904-7265-94,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,7.43,4.38,0.9,6.69,23
CDM,0904-7266-61,DEXAMETHASONE 4 MG TABLET,4.18,2.47,0.51,3.76,23
CDM,0904-7276-41,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",2.78,1.64,0.34,2.5,23
CDM,0904-7276-70,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",2.78,1.64,0.34,2.5,23
CDM,0904-7276-92,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.35,2.57,0.53,3.92,23
CDM,0904-7278-70,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,3.73,2.2,0.45,3.36,23
CDM,0904-7283-06,TORSEMIDE 20 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,0904-7283-61,TORSEMIDE 20 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,0904-7288-61,BENZTROPINE 0.5 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,0904-7289-61,BENZTROPINE 1 MG TABLET,1.89,1.12,0.23,1.7,23
CDM,0904-7292-61,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",1.48,0.87,0.18,1.33,23
CDM,0904-7293-61,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",1.26,0.74,0.15,1.13,23
CDM,0904-7302-24,TRIPROLIDINE-PSEUDOEPHEDRINE 2.5 MG-60 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,0904-7305-61,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,0904-7306-61,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,0904-7307-61,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,0904-7308-61,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,0904-7323-70,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,4.0,2.36,0.49,3.6,23
CDM,0904-7336-61,CEPHALEXIN 250 MG CAPSULE,1.34,0.79,0.16,1.21,23
CDM,0904-7337-06,CEPHALEXIN 500 MG CAPSULE,1.12,0.66,0.14,1.01,23
CDM,0904-7337-35,CEPHALEXIN 500 MG CAPSULE,1.12,0.66,0.14,1.01,23
CDM,0904-7337-61,CEPHALEXIN 500 MG CAPSULE,1.33,0.78,0.16,1.2,23
CDM,0904-7346-61,FLUOXETINE 20 MG CAPSULE,0.38,0.22,0.05,0.34,23
CDM,0904-7350-06,AZITHROMYCIN 250 MG TABLET,2.98,1.76,0.36,2.68,23
CDM,0904-7350-61,AZITHROMYCIN 250 MG TABLET,6.93,4.09,0.84,6.24,23
CDM,0904-7351-04,AZITHROMYCIN 500 MG TABLET,9.11,5.37,1.11,8.2,23
CDM,0904-7355-04,LURASIDONE 20 MG TABLET,3.2,1.89,0.39,2.88,23
CDM,0904-7356-61,LURASIDONE 40 MG TABLET,4.27,2.52,0.52,3.84,23
CDM,0904-7357-61,LURASIDONE 60 MG TABLET,4.72,2.78,0.57,4.25,23
CDM,0904-7358-61,LURASIDONE 80 MG TABLET,7.72,4.55,0.94,6.95,23
CDM,0904-7359-04,LURASIDONE 120 MG TABLET,8.97,5.29,1.09,8.07,23
CDM,0904-7361-61,RISPERIDONE 0.5 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,0904-7362-61,RISPERIDONE 1 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,0904-7363-61,RISPERIDONE 2 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,0904-7364-61,RISPERIDONE 3 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,0904-7365-61,RISPERIDONE 4 MG TABLET,2.34,1.38,0.28,2.11,23
CDM,0904-7366-04,ARIPIPRAZOLE 2 MG TABLET,4.32,2.55,0.53,3.89,23
CDM,0904-7368-06,ARIPIPRAZOLE 10 MG TABLET,2.88,1.7,0.35,2.59,23
CDM,0904-7369-04,ARIPIPRAZOLE 15 MG TABLET,43.01,25.38,5.23,38.71,23
CDM,0904-7375-61,MECLIZINE 12.5 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,0904-7376-61,MECLIZINE 25 MG TABLET,1.85,1.09,0.23,1.67,23
CDM,0904-7383-61,TAMSULOSIN 0.4 MG CAPSULE,2.05,1.21,0.25,1.85,23
CDM,0904-7392-89,DROXIDOPA 100 MG CAPSULE,138.13,81.5,16.8,124.32,23
CDM,0904-7400-06,CYCLOBENZAPRINE 5 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,0904-7401-61,CYCLOBENZAPRINE 10 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,0904-7407-04,MOXIFLOXACIN 400 MG TABLET,29.21,17.23,3.55,26.29,23
CDM,0904-7411-61,AMITRIPTYLINE 50 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,0904-7417-61,METHADONE 10 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,0904-7418-44,MAGNESIUM CITRATE ORAL SOLUTION,11.84,6.99,1.44,10.66,23
CDM,0904-7423-46,LURASIDONE 60 MG TABLET,77.06,45.47,9.37,69.35,23
CDM,0904-7427-30,OXYMETAZOLINE 0.05 % NASAL SPRAY,10.35,6.11,1.26,9.32,23
CDM,0904-7435-35,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),7.2,4.25,0.88,6.48,23
CDM,0904-7442-61,CLONIDINE HCL 0.1 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,0904-7453-61,LABETALOL 300 MG TABLET,285.0,168.15,34.67,256.5,23
CDM,0904-7496-61,TRAMADOL 50 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,0904-7501-61,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.92,0.54,0.11,0.83,23
CDM,0904-7505-04,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",5.27,3.11,0.64,4.74,23
CDM,0904-7505-61,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",7.37,4.35,0.9,6.63,23
CDM,0904-7507-61,ACYCLOVIR 400 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,0904-7727-14,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION,17.75,10.47,2.16,15.98,23
CDM,0904-7728-61,CLONAZEPAM 1 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,0904-7734-45,MICONAZOLE NITRATE 2 % VAGINAL CREAM,19.35,11.42,2.35,17.42,23
CDM,0904-7914-61,IBUPROFEN 200 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,0904027746,"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE",0.5,0.3,0.06,0.45,23
CDM,0904027760,"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE",0.5,0.3,0.06,0.45,23
CDM,0904052360,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,0904052361,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,0904052380,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,0904053061,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.14,0.08,0.02,0.13,23
CDM,0904053961,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.18,0.11,0.02,0.16,23
CDM,0904188361,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.13,0.08,0.02,0.12,23
CDM,0904188372,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.07,0.04,0.01,0.06,23
CDM,0904208560,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE",0.16,0.09,0.02,0.14,23
CDM,0904227260,NIACIN 500 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,0904421551,ARGININE (L-ARGININE) 500 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,0904429909,LANOLIN-MINERAL OIL LOTION,7.08,4.18,0.86,6.37,23
CDM,0904522452,"LACTASE 3,000 UNIT TABLET",0.32,0.19,0.04,0.29,23
CDM,0904530016,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,11.83,6.98,1.44,10.65,23
CDM,0904539561,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,0.51,0.3,0.06,0.46,23
CDM,0904546052,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.11,0.06,0.01,0.1,23
CDM,0904546072,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.08,0.05,0.01,0.07,23
CDM,0904546080,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.06,0.04,0.01,0.05,23
CDM,0904546092,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.09,0.05,0.01,0.08,23
CDM,0904582360,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.06,0.04,0.01,0.05,23
CDM,0904598348,AMMONIUM LACTATE 12 % TOPICAL CREAM,18.9,11.15,2.3,17.01,23
CDM,0904598426,AMMONIUM LACTATE 12 % LOTION,15.75,9.29,1.92,14.18,23
CDM,0904598463,AMMONIUM LACTATE 12 % LOTION,23.76,14.02,2.89,21.38,23
CDM,0904719106,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,0904723961,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",0.8,0.47,0.1,0.72,23
CDM,0904740361,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.74,0.44,0.09,0.67,23
CDM,0904759060,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.06,0.04,0.01,0.05,23
CDM,0904759080,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.04,0.02,0.01,0.04,23
CDM,0904759160,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.06,0.04,0.01,0.05,23
CDM,0904759161,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.12,0.07,0.01,0.11,23
CDM,0904759182,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.07,0.04,0.01,0.06,23
CDM,0904775127,WATER PETROLATUM-MINERAL OIL-CERESIN-LANOLIN ALC CREAM,15.89,9.38,1.93,14.3,23
CDM,0941-0409-01,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,240.0,141.6,29.19,216.0,23
CDM,0941-0409-06,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,90.0,53.1,10.95,81.0,23
CDM,0941-0409-07,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,175.0,103.25,21.29,157.5,23
CDM,0941-0411-05,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,140.0,82.6,17.03,126.0,23
CDM,0941-0411-06,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,90.0,53.1,10.95,81.0,23
CDM,0941-0411-11,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,210.0,123.9,25.55,189.0,23
CDM,0941-0413-01,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,240.0,141.6,29.19,216.0,23
CDM,0941-0413-05,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,1450.0,855.5,176.38,1305.0,23
CDM,0941-0413-06,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,180.0,106.2,21.9,162.0,23
CDM,0941-0413-07,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,200.0,118.0,24.33,180.0,23
CDM,0941-0415-01,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,210.0,123.9,25.55,189.0,23
CDM,0941-0415-05,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,150.0,88.5,18.25,135.0,23
CDM,0941-0415-06,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,1100.0,649.0,133.81,990.0,23
CDM,0941-0415-07,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,450.0,265.5,54.74,405.0,23
CDM,0941-0424-51,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,180.08,106.25,21.91,162.07,23
CDM,0941-0424-52,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,168.3,99.3,20.47,151.47,23
CDM,0941-0424-53,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,186.88,110.26,22.73,168.19,23
CDM,0941-0424-55,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,206.7,121.95,25.14,186.03,23
CDM,0941-0426-52,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,168.3,99.3,20.47,151.47,23
CDM,0941-0426-53,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,186.88,110.26,22.73,168.19,23
CDM,0941-0427-52,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,187.8,110.8,22.84,169.02,23
CDM,0941-0427-53,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,192.13,113.36,23.37,172.92,23
CDM,0941-0429-52,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,189.5,111.81,23.05,170.55,23
CDM,0941-0429-53,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,196.25,115.79,23.87,176.63,23
CDM,0941-0430-51,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,185.03,109.17,22.51,166.53,23
CDM,0941-0430-52,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,187.8,110.8,22.84,169.02,23
CDM,0941-0430-53,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,192.13,113.36,23.37,172.92,23
CDM,0941-0430-55,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,211.2,124.61,25.69,190.08,23
CDM,0941-0433-51,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,186.45,110.01,22.68,167.81,23
CDM,0941-0433-52,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,189.5,111.81,23.05,170.55,23
CDM,0941-0433-53,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,196.25,115.79,23.87,176.63,23
CDM,0941-0433-55,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,217.65,128.41,26.48,195.89,23
CDM,0941-0457-01,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,210.0,123.9,25.55,189.0,23
CDM,0941-0457-05,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,175.0,103.25,21.29,157.5,23
CDM,0941-0457-08,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,110.0,64.9,13.38,99.0,23
CDM,0941-0459-01,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,210.0,123.9,25.55,189.0,23
CDM,0941-0459-02,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,165.0,97.35,20.07,148.5,23
CDM,0941-0459-05,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,175.0,103.25,21.29,157.5,23
CDM,0941-0459-08,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,110.0,64.9,13.38,99.0,23
CDM,0941-0679-05,PERITONEAL DIALYSIS 28 AND ICODEXTRIN 7.5 % CA 3.5 MEQ/L-MAG 0.5 MEQ/L,112.5,66.38,13.69,101.25,23
CDM,0941-0679-53,PERITONEAL DIALYSIS 28 AND ICODEXTRIN 7.5 % CA 3.5 MEQ/L-MAG 0.5 MEQ/L,112.5,66.38,13.69,101.25,23
CDM,0942-0641-03,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,30.0,17.7,3.65,27.0,23
CDM,0942-0641-04,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,950.0,560.5,115.56,855.0,23
CDM,0942-9504-10,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,30.0,17.7,3.65,27.0,23
CDM,0942-9505-10,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,68.75,40.56,8.36,61.88,23
CDM,0944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",3711.2,2189.61,451.45,3340.08,23
CDM,0944-2657-07,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",3711.2,2189.61,451.45,3340.08,23
CDM,0944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",7422.35,4379.19,902.89,6680.12,23
CDM,0944-2659-08,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",7422.35,4379.19,902.89,6680.12,23
CDM,0944-2700-02,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",532.8,314.35,64.81,479.52,23
CDM,0944-2700-03,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1332.0,785.88,162.03,1198.8,23
CDM,0944-2700-04,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",2664.0,1571.76,324.06,2397.6,23
CDM,0944-2700-05,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",5328.0,3143.52,648.12,4795.2,23
CDM,0944-2700-06,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",10656.0,6287.04,1296.25,9590.4,23
CDM,0944-2700-07,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",15984.0,9430.56,1944.37,14385.6,23
CDM,0944-2700-08,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",532.8,314.35,64.81,479.52,23
CDM,0944-2700-09,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1332.0,785.88,162.03,1198.8,23
CDM,0944-2700-10,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",2664.0,1571.76,324.06,2397.6,23
CDM,0944-2700-11,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",5328.0,3143.52,648.12,4795.2,23
CDM,0944-2700-12,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",10656.0,6287.04,1296.25,9590.4,23
CDM,0944-2700-13,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",15984.0,9430.56,1944.37,14385.6,23
CDM,0944-2841-10,ANTIHEMOPHILIC FACTOR (RECOMB) 250 (+/-) UNIT INTRAVENOUS SOLUTION,1650.0,973.5,200.71,1485.0,23
CDM,0944-2842-10,ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION,3300.0,1947.0,401.43,2970.0,23
CDM,0944-2843-10,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION",6600.0,3894.0,802.86,5940.0,23
CDM,0944-2845-10,"ANTIHEMOPHILIC FACTOR (RECOMB) 2,000 (+/-) UNIT INTRAVENOUS SOLUTION",13200.0,7788.0,1605.71,11880.0,23
CDM,0944-3045-10,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION",13200.0,7788.0,1605.71,11880.0,23
CDM,0944-3045-11,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION",13200.0,7788.0,1605.71,11880.0,23
CDM,0944-3046-10,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",19800.0,11682.0,2408.57,17820.0,23
CDM,0944-3046-11,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",19800.0,11682.0,2408.57,17820.0,23
CDM,0944-3047-10,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 4,000 (+/-) UNIT IV SOLUTION",27200.0,16048.0,3308.74,24480.0,23
CDM,0944-3051-02,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION",1650.0,973.5,200.71,1485.0,23
CDM,0944-3051-03,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION",1650.0,973.5,200.71,1485.0,23
CDM,0944-3052-02,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",3300.0,1947.0,401.43,2970.0,23
CDM,0944-3052-03,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",3300.0,1947.0,401.43,2970.0,23
CDM,0944-3053-02,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",6600.0,3894.0,802.86,5940.0,23
CDM,0944-3053-03,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",6600.0,3894.0,802.86,5940.0,23
CDM,0944-3054-02,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,500 (+/-) UNIT IV SOLUTION",9900.0,5841.0,1204.28,8910.0,23
CDM,0944-4177-05,"PROTEIN C CONCENTRATE, HUMAN 500 UNIT INTRAVENOUS SOLUTION",3600.0,2124.0,437.92,3240.0,23
CDM,0944-4178-02,"PROTEIN C CONCENTRATE, HUMAN 1,000 UNIT INTRAVENOUS SOLUTION",7750.0,4572.5,942.75,6975.0,23
CDM,0944-4179-10,"PROTEIN C CONCENTRATE, HUMAN 1,000 UNIT INTRAVENOUS SOLUTION",7750.0,4572.5,942.75,6975.0,23
CDM,0944-7550-01,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,6305.0,3719.95,766.97,5674.5,23
CDM,0944-7551-02,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,6305.0,3719.95,766.97,5674.5,23
CDM,0944-7552-01,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",12610.0,7439.9,1533.94,11349.0,23
CDM,0944-7553-02,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",12610.0,7439.9,1533.94,11349.0,23
CDM,0955-1003-01,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,29.56,17.44,3.6,26.6,23
CDM,0955-1003-10,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,29.56,17.44,3.6,26.6,23
CDM,0955-1004-01,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,39.35,23.22,4.79,35.42,23
CDM,0955-1004-10,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,39.35,23.22,4.79,35.42,23
CDM,0955-1006-01,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,59.08,34.86,7.19,53.17,23
CDM,0955-1006-10,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,59.08,34.86,7.19,53.17,23
CDM,0955-1008-01,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,78.76,46.47,9.58,70.88,23
CDM,0955-1008-10,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,78.76,46.47,9.58,70.88,23
CDM,0955-1010-01,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,98.46,58.09,11.98,88.61,23
CDM,0955-1010-10,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,98.46,58.09,11.98,88.61,23
CDM,0955-1012-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,118.14,69.7,14.37,106.33,23
CDM,0955-1012-10,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,118.14,69.7,14.37,106.33,23
CDM,0955-1015-10,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,147.67,87.13,17.96,132.9,23
CDM,0955-1020-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,505.3,298.13,61.47,454.77,23
CDM,0955-1021-04,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,2016.66,1189.83,245.32,1814.99,23
CDM,0955-1048-18,SEVELAMER HCL 800 MG TABLET,27.8,16.4,3.38,25.02,23
CDM,0990-6139-22,"WATER FOR IRRIGATION, STERILE SOLUTION",25.0,14.75,3.04,22.5,23
CDM,0990-6141-09,PHYSIOLOGICAL IRRIGATION NO.1 140 MEQ-5 MEQ-3 MEQ-98 MEQ/L SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-6143-09,ACETIC ACID 0.25 % IRRIGATION SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-6143-22,ACETIC ACID 0.25 % IRRIGATION SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,23.5,13.87,2.86,21.15,23
CDM,0990-7075-14,POTASSIUM CHLORIDE 10 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,24.0,14.16,2.92,21.6,23
CDM,0990-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,24.0,14.16,2.92,21.6,23
CDM,0990-7077-14,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,24.0,14.16,2.92,21.6,23
CDM,0990-7107-09,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,35.0,20.65,4.26,31.5,23
CDM,0990-7109-09,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,40.0,23.6,4.87,36.0,23
CDM,0990-7111-09,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,40.0,23.6,4.87,36.0,23
CDM,0990-7115-09,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,35.0,20.65,4.26,31.5,23
CDM,0990-7116-09,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,40.0,23.6,4.87,36.0,23
CDM,0990-7118-07,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",30.0,17.7,3.65,27.0,23
CDM,0990-7120-07,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,50.0,29.5,6.08,45.0,23
CDM,0990-7138-36,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,22.5,13.28,2.74,20.25,23
CDM,0990-7139-36,"WATER FOR IRRIGATION, STERILE SOLUTION",225.0,132.75,27.37,202.5,23
CDM,0990-7171-17,PARENTERAL AMINO ACID 15 % COMBINATION NO.2 INTRAVENOUS SOLUTION,190.0,112.1,23.11,171.0,23
CDM,0990-7372-62,ELECTROLYTE-MB IN DEXTROSE 5 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7670-09,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7715-02,MANNITOL 20 % INTRAVENOUS SOLUTION,100.0,59.0,12.16,90.0,23
CDM,0990-7715-03,MANNITOL 20 % INTRAVENOUS SOLUTION,87.5,51.63,10.64,78.75,23
CDM,0990-7715-13,MANNITOL 20 % INTRAVENOUS SOLUTION,87.5,51.63,10.64,78.75,23
CDM,0990-7901-09,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,35.0,20.65,4.26,31.5,23
CDM,0990-7902-03,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,40.0,23.6,4.87,36.0,23
CDM,0990-7902-09,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,35.0,20.65,4.26,31.5,23
CDM,0990-7904-09,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,35.0,20.65,4.26,31.5,23
CDM,0990-7918-19,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,37.5,22.13,4.56,33.75,23
CDM,0990-7922-02,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7922-03,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7922-09,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7922-61,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,25.5,15.05,3.1,22.95,23
CDM,0990-7923-13,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,9.0,5.31,1.09,8.1,23
CDM,0990-7923-23,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,9.0,5.31,1.09,8.1,23
CDM,0990-7923-36,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,7.25,4.28,0.88,6.53,23
CDM,0990-7923-37,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,7.5,4.43,0.91,6.75,23
CDM,0990-7924-03,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7924-09,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7926-02,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7926-09,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7930-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7930-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7930-09,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7935-19,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,27.5,16.23,3.35,24.75,23
CDM,0990-7936-19,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,30.0,17.7,3.65,27.0,23
CDM,0990-7941-09,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7953-03,LACTATED RINGERS INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7953-09,LACTATED RINGERS INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7967-09,ELECTROLYTE-R INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7972-08,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,45.0,26.55,5.47,40.5,23
CDM,0990-7981-08,SORBITOL 2.7 GRAM-MANNITOL 0.54 GRAM/100 ML TRANSURETHRAL SOLUTION,60.0,35.4,7.3,54.0,23
CDM,0990-7983-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7983-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7983-09,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7983-55,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7983-61,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.5,15.05,3.1,22.95,23
CDM,0990-7984-13,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.75,6.34,1.31,9.68,23
CDM,0990-7984-20,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,8.38,4.94,1.02,7.54,23
CDM,0990-7984-36,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,6.5,3.84,0.79,5.85,23
CDM,0990-7984-37,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,9.0,5.31,1.09,8.1,23
CDM,0990-7985-02,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7985-09,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,0990-7990-09,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",25.0,14.75,3.04,22.5,23
CDM,0990-7993-09,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,35.0,20.65,4.26,31.5,23
CDM,0990-8004-15,DEXTROSE 30 % IN WATER (D30W) INTRAVENOUS SOLUTION,35.0,20.65,4.26,31.5,23
CDM,0990-9257-39,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,35.0,20.65,4.26,31.5,23
CDM,09958-03400,HONEY 80 % TOPICAL GEL,20.48,12.08,2.49,18.43,23
CDM,0995803360,HONEY 100 % TOPICAL PASTE,68.42,40.37,8.32,61.58,23
CDM,0995803361,HONEY 100 % TOPICAL PASTE,68.42,40.37,8.32,61.58,23
CDM,0995803471,HONEY 80 % TOPICAL GEL,57.2,33.75,6.96,51.48,23
CDM,0998-0016-15,PROPARACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,0998-0355-15,TROPICAMIDE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,1000670011,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,1000670012,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,1000670020,"NIACIN ER 250 MG CAPSULE,EXTENDED RELEASE",0.36,0.21,0.04,0.32,23
CDM,1000670022,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.11,0.06,0.01,0.1,23
CDM,1000670028,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.29,0.17,0.04,0.26,23
CDM,1000670038,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.19,0.11,0.02,0.17,23
CDM,1000673013,"FERROUS SULFATE ER 140 MG (45 MG IRON) TABLET,EXTENDED RELEASE",0.66,0.39,0.08,0.59,23
CDM,1000673017,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,1000673021,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,1000673038,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.13,0.08,0.02,0.12,23
CDM,10019-055-61,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",391.25,230.84,47.59,352.13,23
CDM,10019-075-87,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",615.0,362.85,74.81,553.5,23
CDM,10019-079-01,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,4814.86,2840.77,585.7,4333.37,23
CDM,10019-120-01,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,54.35,32.07,6.61,48.92,23
CDM,10019-360-40,ISOFLURANE 99.9 % INHALATION LIQUID,106.5,62.84,12.96,95.85,23
CDM,10019-553-03,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,58.66,34.61,7.14,52.79,23
CDM,10019-553-04,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,58.66,34.61,7.14,52.79,23
CDM,10019-553-90,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,58.66,34.61,7.14,52.79,23
CDM,10019-641-34,DESFLURANE 100 % INHALATION LIQUID,592.8,349.75,72.11,533.52,23
CDM,10019-641-64,DESFLURANE 100 % INHALATION LIQUID,592.8,349.75,72.11,533.52,23
CDM,10019-644-64,DESFLURANE 100 % INHALATION LIQUID,592.8,349.75,72.11,533.52,23
CDM,10019-651-64,SEVOFLURANE 99.97 % INHALATION LIQUID,506.25,298.69,61.58,455.63,23
CDM,10019-666-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",741.5,437.49,90.2,667.35,23
CDM,10019-672-10,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",391.25,230.84,47.59,352.13,23
CDM,10019-925-01,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,124.4,73.4,15.13,111.96,23
CDM,10019-925-82,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,124.4,73.4,15.13,111.96,23
CDM,10019-926-02,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,391.65,231.07,47.64,352.49,23
CDM,10019-926-16,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,391.65,231.07,47.64,352.49,23
CDM,10019-938-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,452.0,266.68,54.98,406.8,23
CDM,10019-938-25,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,452.0,266.68,54.98,406.8,23
CDM,10019-939-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,960.7,566.81,116.86,864.63,23
CDM,10019-939-50,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,960.7,566.81,116.86,864.63,23
CDM,10019-942-01,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1825.55,1077.07,222.07,1643.0,23
CDM,10019-942-10,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1825.55,1077.07,222.07,1643.0,23
CDM,10019-953-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION,37.5,22.13,4.56,33.75,23
CDM,10019-953-62,MESNA 100 MG/ML INTRAVENOUS SOLUTION,37.5,22.13,4.56,33.75,23
CDM,10019-955-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,452.0,266.68,54.98,406.8,23
CDM,10019-955-50,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,452.0,266.68,54.98,406.8,23
CDM,10019-956-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,960.7,566.81,116.86,864.63,23
CDM,10019-956-16,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,960.7,566.81,116.86,864.63,23
CDM,10019-957-01,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1825.55,1077.07,222.07,1643.0,23
CDM,10019-957-11,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1825.55,1077.07,222.07,1643.0,23
CDM,10019-991-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,202.75,119.62,24.66,182.48,23
CDM,1011900252,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,15.34,9.05,1.87,13.81,23
CDM,10122-325-01,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,336.0,198.24,40.87,302.4,23
CDM,10122-325-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,336.0,198.24,40.87,302.4,23
CDM,10122-510-01,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,2525.65,1490.13,307.23,2273.09,23
CDM,10122-510-03,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,4912.05,2898.11,597.53,4420.85,23
CDM,10122-611-01,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,729.5,430.41,88.74,656.55,23
CDM,10122-611-10,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,729.5,430.41,88.74,656.55,23
CDM,10122-620-01,CANGRELOR 50 MG INTRAVENOUS SOLUTION,4388.33,2589.11,533.82,3949.5,23
CDM,10122-620-10,CANGRELOR 50 MG INTRAVENOUS SOLUTION,4388.33,2589.11,533.82,3949.5,23
CDM,10122-901-12,ZILEUTON 600 MG TABLET,145.13,85.63,17.65,130.62,23
CDM,10135-106-08,ISOPROPYL ALCOHOL 70 % SOLUTION,9.46,5.58,1.15,8.51,23
CDM,10135-111-13,DOCUSATE SODIUM 100 MG CAPSULE,0.19,0.11,0.02,0.17,23
CDM,10135-111-30,DOCUSATE SODIUM 100 MG CAPSULE,0.18,0.11,0.02,0.16,23
CDM,10135-136-60,DOCUSATE SODIUM 250 MG CAPSULE,15.06,8.89,1.83,13.55,23
CDM,10135-146-14,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,14.7,8.67,1.79,13.23,23
CDM,10135-147-02,DIBUCAINE 1 % TOPICAL OINTMENT,32.36,19.09,3.94,29.12,23
CDM,10135-151-01,DIPHENHYDRAMINE 25 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,10135-173-62,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.04,0.02,0.01,0.04,23
CDM,10135-177-01,DIMENHYDRINATE 50 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,10135-182-01,FOLIC ACID 1 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,10135-314-01,SENNOSIDES 8.6 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,10135-495-01,PROMETHAZINE 25 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,10135-532-01,BACLOFEN 10 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,10135-533-01,BACLOFEN 20 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,10135-541-01,PROBENECID 500 MG TABLET,3.34,1.97,0.41,3.01,23
CDM,10135-601-90,FELBAMATE 400 MG TABLET,17.01,10.04,2.07,15.31,23
CDM,10135-603-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,2.43,1.43,0.3,2.19,23
CDM,10135-607-01,BENZTROPINE 1 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,10135-610-01,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",3.18,1.88,0.39,2.86,23
CDM,10135-612-90,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",4.62,2.73,0.56,4.16,23
CDM,10135-613-90,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",6.24,3.68,0.76,5.62,23
CDM,10135-620-01,PHENAZOPYRIDINE 100 MG TABLET,2.93,1.73,0.36,2.64,23
CDM,10135-621-01,PHENAZOPYRIDINE 200 MG TABLET,5.38,3.17,0.65,4.84,23
CDM,10135-623-01,BETAXOLOL 10 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,10135-630-01,ACEBUTOLOL 200 MG CAPSULE,2.34,1.38,0.28,2.11,23
CDM,10135-638-01,CYPROHEPTADINE 4 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,10135-657-60,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",2.79,1.65,0.34,2.51,23
CDM,10135-667-01,PRAZOSIN 2 MG CAPSULE,0.48,0.28,0.06,0.43,23
CDM,10135-669-01,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,10135-674-01,ROPINIROLE 0.5 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,10135-684-10,SODIUM BICARBONATE 325 MG TABLET,0.04,0.02,0.01,0.04,23
CDM,10135-689-62,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.03,0.02,0.01,0.03,23
CDM,10135-697-12,ALENDRONATE 70 MG TABLET,109.48,64.59,13.32,98.53,23
CDM,10135-711-01,LABETALOL 100 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,10135-712-01,LABETALOL 200 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,10135-720-85,MICONAZOLE NITRATE 2 % TOPICAL POWDER,9.78,5.77,1.19,8.8,23
CDM,10135-729-62,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.03,0.02,0.01,0.03,23
CDM,10135-731-01,MEXILETINE 200 MG CAPSULE,3.13,1.85,0.38,2.82,23
CDM,10135-739-01,TRANYLCYPROMINE 10 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,10135-746-60,MISOPROSTOL 200 MCG TABLET,1.42,0.84,0.17,1.28,23
CDM,10135-778-01,PREDNISONE 20 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,10135-779-01,PREDNISONE 50 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,1013511901,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,1013513201,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,1013514201,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,1013518001,FOLIC ACID 400 MCG TABLET,0.06,0.04,0.01,0.05,23
CDM,1013565201,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.09,0.05,0.01,0.08,23
CDM,10147-0921-3,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,90.64,53.48,11.03,81.58,23
CDM,10147-0922-5,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,161.27,95.15,19.62,145.14,23
CDM,10147-1700-3,ITRACONAZOLE 100 MG CAPSULE,34.39,20.29,4.18,30.95,23
CDM,10223-0201-3,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY,520.9,307.33,63.36,468.81,23
CDM,10361-778-31,BARIUM SULFATE 700 MG TABLET,9.59,5.66,1.17,8.63,23
CDM,10361-793-01,SOD BICARB-CITRIC AC-SIMETH 2.21 GRAM-1.53 GRAM/4 GRAM GRANULES EFFERV,9.8,5.78,1.19,8.82,23
CDM,10370-268-01,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,107.04,63.15,13.02,96.34,23
CDM,10370-829-11,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",3.67,2.17,0.45,3.3,23
CDM,10370-831-09,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.11,3.6,0.74,5.5,23
CDM,10370-831-11,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,3.72,0.77,5.67,23
CDM,10370-832-09,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",7.92,4.67,0.96,7.13,23
CDM,10454-710-10,"RIMABOTULINUMTOXINB 2,500 UNIT/0.5 ML INTRAMUSCULAR SOLUTION",1556.55,918.36,189.35,1400.9,23
CDM,10454-711-10,"RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION",3113.1,1836.73,378.69,2801.79,23
CDM,10454-712-10,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",6226.2,3673.46,757.38,5603.58,23
CDM,10481-0111-8,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,48.32,28.51,5.88,43.49,23
CDM,10481-0112-8,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,53.56,31.6,6.52,48.2,23
CDM,10481-3008-1,TRICHLOROACETIC ACID 80 % TOPICAL SOLUTION,315.23,185.99,38.35,283.71,23
CDM,10511-3001-2,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,4400.0,2596.0,535.24,3960.0,23
CDM,1054201010,VITAMIN B COMPLEX-VITAMIN C 100 MG-FOLIC ACID 1 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,10565-001-16,HYDROGEN PEROXIDE 3 % SOLUTION,4.73,2.79,0.58,4.26,23
CDM,10572-100-01,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,100.0,59.0,12.16,90.0,23
CDM,10599-003-01,"MOMETASONE 1,350 MCG SINUS IMPLANT",7279.6,4294.96,885.53,6551.64,23
CDM,10631-091-60,CROTAMITON 10 % TOPICAL CREAM,2373.6,1400.42,288.74,2136.24,23
CDM,10631-407-01,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,322.49,190.27,39.23,290.24,23
CDM,10702-002-01,PROMETHAZINE 12.5 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,10702-006-50,CYCLOBENZAPRINE 5 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,10702-007-09,CYCLOBENZAPRINE 10 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,10702-008-01,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,10702-009-01,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,2.28,1.35,0.28,2.05,23
CDM,10702-011-01,HYDROXYZINE HCL 25 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,10702-012-10,HYDROXYZINE HCL 50 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,10702-013-01,BETAXOLOL 10 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,10702-016-06,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",1.38,0.81,0.17,1.24,23
CDM,10702-018-01,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,10702-018-50,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,10702-036-15,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,50.03,29.52,6.09,45.03,23
CDM,10702-055-01,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET,5.3,3.13,0.64,4.77,23
CDM,10702-065-01,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,2.21,1.3,0.27,1.99,23
CDM,10702-070-06,OXYMORPHONE 5 MG TABLET,1.6,0.94,0.19,1.44,23
CDM,10702-076-01,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",2.63,1.55,0.32,2.37,23
CDM,10702-100-01,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,10702-150-16,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,156.09,92.09,18.99,140.48,23
CDM,10702-201-01,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,10702-237-01,URSODIOL 300 MG CAPSULE,3.64,2.15,0.44,3.28,23
CDM,10702-253-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,0.86,0.51,0.1,0.77,23
CDM,10702-277-03,LEFLUNOMIDE 10 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,10702-278-03,LEFLUNOMIDE 20 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,10702-808-03,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,10819-3885-2,POVIDONE-IODINE 10 % TOPICAL SWAB,0.5,0.3,0.06,0.45,23
CDM,10819-3888-1,POVIDONE-IODINE 10 % TOPICAL SWAB,0.05,0.03,0.01,0.05,23
CDM,10858-08130,RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE,508.53,300.03,61.86,457.68,23
CDM,1085808107,RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE,370.18,218.41,45.03,333.16,23
CDM,10888-7135-2,PROGESTERONE MICRONIZED 100 MG CAPSULE,8.53,5.03,1.04,7.68,23
CDM,1093913844,FAMOTIDINE 20 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,1093914833,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,9.74,5.75,1.18,8.77,23
CDM,1093919344,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.61,0.95,0.2,1.45,23
CDM,1093925144,POLYETHYLENE GLYCOL ORAL POWDER (BOWEL PREP),16.66,9.83,2.03,14.99,23
CDM,1093927533,ASPIRIN 81 MG CHEWABLE TABLET,0.14,0.08,0.02,0.13,23
CDM,1093941433,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),8.25,4.87,1.0,7.43,23
CDM,1093943444,ACETAMINOPHEN 325 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,1093956433,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,7.39,4.36,0.9,6.65,23
CDM,1093977544,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.13,0.08,0.02,0.12,23
CDM,1093984844,CAFFEINE 200 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,1093989544,MELATONIN 3 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,1093995702,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.32,0.19,0.04,0.29,23
CDM,1101711075,SALICYLIC ACID 40 % TOPICAL PATCH,34.3,20.24,4.17,30.87,23
CDM,1101725220,SALICYLIC ACID 17 % TOPICAL LIQUID,23.48,13.85,2.86,21.13,23
CDM,11086-037-01,ANTHRALIN 1 % TOPICAL CREAM,1627.5,960.23,197.98,1464.75,23
CDM,11086-038-01,SALICYLIC ACID 3 % TOPICAL GEL,54.67,32.26,6.65,49.2,23
CDM,11523-1159-1,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),30.6,18.05,3.72,27.54,23
CDM,11523-1167-3,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),21.98,12.97,2.67,19.78,23
CDM,11523-1167-6,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),28.35,16.73,3.45,25.52,23
CDM,11523-7162-2,"LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR",4.75,2.8,0.58,4.28,23
CDM,11523-7162-3,"LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR",4.29,2.53,0.52,3.86,23
CDM,11523-7234-2,POLYETHYLENE GLYCOL ORAL POWDER (BOWEL PREP),32.13,18.96,3.91,28.92,23
CDM,11523-7268-3,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.75,3.39,0.7,5.18,23
CDM,1152372688,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,0.22,0.13,0.03,0.2,23
CDM,11534-165-01,FOLIC ACID 1 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,11534-165-03,FOLIC ACID 1 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,11534-166-15,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,30.08,17.75,3.66,27.07,23
CDM,11534-188-01,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,1.87,1.1,0.23,1.68,23
CDM,11534-197-01,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,6.87,4.05,0.84,6.18,23
CDM,11701-038-16,MICONAZOLE NITRATE 2 % TOPICAL POWDER,28.9,17.05,3.52,26.01,23
CDM,11701-045-14,MICONAZOLE NITRATE 2 % TOPICAL CREAM,39.76,23.46,4.84,35.78,23
CDM,11701-045-23,MICONAZOLE NITRATE 2 % TOPICAL CREAM,23.37,13.79,2.84,21.03,23
CDM,11701-066-32,PETROLATUM-ZINC OXIDE-DIMETHICONE-VITAMIN E 71.5 % TOPICAL OINTMENT,44.2,26.08,5.38,39.78,23
CDM,11701-066-33,PETROLATUM-ZINC OXIDE-DIMETHICONE-VITAMIN E 71.5 % TOPICAL OINTMENT,26.63,15.71,3.24,23.97,23
CDM,1170116195,GEL DRESSING TOPICAL,30.37,17.92,3.69,27.33,23
CDM,11788-009-01,IBUPROFEN 600 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,11788-010-01,IBUPROFEN 800 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,11822-0017-80,DOCUSATE SODIUM 100 MG CAPSULE,0.28,0.17,0.03,0.25,23
CDM,11822-3135-50,HYDROGEN PEROXIDE 3 % SOLUTION,4.73,2.79,0.58,4.26,23
CDM,11822-3138-20,ISOPROPYL ALCOHOL 70 % SOLUTION,7.2,4.25,0.88,6.48,23
CDM,11822-3479-90,SALICYLIC ACID 40 % TOPICAL PLASTER,1.56,0.92,0.19,1.4,23
CDM,1184505651,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,1184507791,PHYTONADIONE (VITAMIN K1) 100 MCG TABLET,0.1,0.06,0.01,0.09,23
CDM,1184511308,PRASTERONE (DHEA) 50 MG CAPSULE,22.8,13.45,2.77,20.52,23
CDM,1184515339,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",0.09,0.05,0.01,0.08,23
CDM,1184557401,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.21,0.12,0.03,0.19,23
CDM,1184557501,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,0.16,0.09,0.02,0.14,23
CDM,1184557601,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.32,0.19,0.04,0.29,23
CDM,1184570801,SELENIUM 50 MCG TABLET,0.19,0.11,0.02,0.17,23
CDM,1184571301,RIBOFLAVIN (VITAMIN B2) 50 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,1184574505,"MULTIVIT,STRESS FORMULA-ZINC TABLET",0.51,0.3,0.06,0.46,23
CDM,11868-814-01,PRAMOXINE-ZINC OXIDE 1 %-5 % TOPICAL CREAM,26.88,15.86,3.27,24.19,23
CDM,1191700451,ZINC OXIDE TOPICAL OINTMENT,17.45,10.3,2.12,15.71,23
CDM,1191701526,VITAMIN A AND D TOPICAL OINTMENT,19.96,11.78,2.43,17.96,23
CDM,1191703929,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.25,0.15,0.03,0.23,23
CDM,1191703960,FOLIC ACID 400 MCG TABLET,0.07,0.04,0.01,0.06,23
CDM,1191706244,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,4.65,2.74,0.57,4.19,23
CDM,1191710743,PRASTERONE (DHEA) 25 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,1191711329,CALCIUM 250 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.11,0.06,0.01,0.1,23
CDM,1191712183,"FOOD SUPPLEMENT, LACTOSE-REDUCED 0.05 GRAM-1.5 KCAL/ML ORAL LIQUID",7.11,4.19,0.86,6.4,23
CDM,11980-174-05,"PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,11980-174-10,"PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,11980-180-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,11980-180-10,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,11980-211-05,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,11980-228-05,"FLUOROMETHOLONE 0.25 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,11980-779-05,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,11994-011-01,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,425.01,250.76,51.7,382.51,23
CDM,11994-011-04,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,425.03,250.77,51.7,382.53,23
CDM,12165-100-01,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,1.81,1.07,0.22,1.63,23
CDM,12462-0201-04,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,487.34,287.53,59.28,438.61,23
CDM,12496-0100-1,"BUPRENORPHINE ER 100 MG/0.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",10082.6,5948.73,1226.5,9074.34,23
CDM,12496-0100-2,"BUPRENORPHINE ER 100 MG/0.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",8295.0,4894.05,1009.04,7465.5,23
CDM,12496-0300-1,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",10082.63,5948.75,1226.5,9074.37,23
CDM,12496-0300-2,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",9145.0,5395.55,1112.44,8230.5,23
CDM,12496-0300-5,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",9145.0,5395.55,1112.44,8230.5,23
CDM,12496-1202-1,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,23.21,13.69,2.82,20.89,23
CDM,12496-1202-3,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,23.21,13.69,2.82,20.89,23
CDM,12496-1208-1,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,41.61,24.55,5.06,37.45,23
CDM,12496-1208-3,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,41.61,24.55,5.06,37.45,23
CDM,12496-1212-1,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,83.21,49.09,10.12,74.89,23
CDM,12496-1212-3,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,83.21,49.09,10.12,74.89,23
CDM,1253902091,CITRULLINE 200 MG/4 GRAM ORAL POWDER PACKET,0.5,0.3,0.06,0.45,23
CDM,1254717162,DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM,16.14,9.52,1.96,14.53,23
CDM,1254723813,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",0.93,0.55,0.11,0.84,23
CDM,1284337312,MAGNESIUM HYDROXIDE 311 MG CHEWABLE TABLET,0.19,0.11,0.02,0.17,23
CDM,1284353635,ASPIRIN IMMEDIATE RELEASE 325 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,12870-0001-1,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,3.49,2.06,0.42,3.14,23
CDM,12870-0001-2,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,3.21,1.89,0.39,2.89,23
CDM,1298002000,WHITE PETROLATUM-ZINC TOPICAL PASTE,90.06,53.14,10.96,81.05,23
CDM,13107-001-05,MIRTAZAPINE 7.5 MG TABLET,3.42,2.02,0.42,3.08,23
CDM,13107-001-30,MIRTAZAPINE 7.5 MG TABLET,4.34,2.56,0.53,3.91,23
CDM,13107-003-34,MIRTAZAPINE 30 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,13107-014-01,GLYCOPYRROLATE 1 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,13107-031-34,MIRTAZAPINE 15 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,13107-035-01,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,1.99,1.17,0.24,1.79,23
CDM,13107-056-01,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,13107-068-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,1.73,1.02,0.21,1.56,23
CDM,13107-070-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,1.73,1.02,0.21,1.56,23
CDM,13107-073-01,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,13107-079-01,TRAZODONE 50 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,13107-083-01,LORAZEPAM 0.5 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,13107-083-05,LORAZEPAM 0.5 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,13107-084-01,LORAZEPAM 1 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,13107-084-05,LORAZEPAM 1 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,13107-085-01,LORAZEPAM 2 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,13107-103-01,OXYMORPHONE 5 MG TABLET,3.34,1.97,0.41,3.01,23
CDM,13107-116-30,OMEPRAZOLE 40 MG-SODIUM BICARBONATE 1.1 GRAM CAPSULE,51.52,30.4,6.27,46.37,23
CDM,13107-154-30,PAROXETINE 10 MG TABLET,1.05,0.62,0.13,0.95,23
CDM,13107-155-30,PAROXETINE 20 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,13107-156-30,PAROXETINE 30 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,13107-319-01,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,4.61,2.72,0.56,4.15,23
CDM,13107-321-01,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,10.61,6.26,1.29,9.55,23
CDM,13267-345-56,FLUORODOPA F-18 0.42 MCI/ML TO 8.33 MCI/ML INTRAVENOUS SOLUTION,7056.0,4163.04,858.33,6350.4,23
CDM,13310-153-07,QUININE 324 MG CAPSULE,31.3,18.47,3.81,28.17,23
CDM,13517-100-30,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1238.4,730.66,150.64,1114.56,23
CDM,13517-107-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,319.28,188.38,38.84,287.35,23
CDM,13517-107-75,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,5.07,2.99,0.62,4.56,23
CDM,13517-110-01,PHENOBARBITAL 16.2 MG TABLET,1.97,1.16,0.24,1.77,23
CDM,13517-111-01,PHENOBARBITAL 32.4 MG TABLET,2.47,1.46,0.3,2.22,23
CDM,13517-112-01,PHENOBARBITAL 64.8 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,13517-113-01,PHENOBARBITAL 97.2 MG TABLET,4.36,2.57,0.53,3.92,23
CDM,13517-626-01,PHENOBARBITAL 32.4 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,13517-627-01,PHENOBARBITAL 64.8 MG TABLET,1.53,0.9,0.19,1.38,23
CDM,13517-691-01,PHENOBARBITAL 15 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,13517-694-01,PHENOBARBITAL 100 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,13517-694-05,PHENOBARBITAL 100 MG TABLET,1.24,0.73,0.15,1.12,23
CDM,13533-318-01,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,2243.85,1323.87,272.95,2019.47,23
CDM,13533-318-03,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,6731.55,3971.61,818.86,6058.4,23
CDM,13533-318-05,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,11219.25,6619.36,1364.76,10097.33,23
CDM,13533-318-10,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,2243.85,1323.87,272.95,2019.47,23
CDM,13533-318-30,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,6731.55,3971.61,818.86,6058.4,23
CDM,13533-318-50,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,11219.25,6619.36,1364.76,10097.33,23
CDM,13533-335-04,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",464.4,274.0,56.49,417.96,23
CDM,13533-335-12,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",2152.85,1270.18,261.88,1937.57,23
CDM,13533-335-40,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",464.4,274.0,56.49,417.96,23
CDM,13533-602-50,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,8525.0,5029.75,1037.02,7672.5,23
CDM,13533-605-21,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,8775.0,5177.25,1067.43,7897.5,23
CDM,13533-606-12,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,8775.0,5177.25,1067.43,7897.5,23
CDM,13533-631-02,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",361.65,213.37,43.99,325.49,23
CDM,13533-631-20,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",361.65,213.37,43.99,325.49,23
CDM,13533-634-02,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2628.85,1551.02,319.79,2365.97,23
CDM,13533-634-20,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2628.85,1551.02,319.79,2365.97,23
CDM,13533-636-05,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION,3259.25,1922.96,396.47,2933.33,23
CDM,13533-705-01,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION",2550.0,1504.5,310.19,2295.0,23
CDM,13533-705-11,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION",2550.0,1504.5,310.19,2295.0,23
CDM,13533-800-12,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,546.95,322.7,66.53,492.26,23
CDM,13533-800-13,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,546.95,322.7,66.53,492.26,23
CDM,13533-800-15,IMMUNE GLOB G 2.5 GRAM/25 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,1367.38,806.75,166.33,1230.64,23
CDM,13533-800-20,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,2734.75,1613.5,332.67,2461.28,23
CDM,13533-800-21,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,2734.75,1613.5,332.67,2461.28,23
CDM,13533-800-24,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,10939.0,6454.01,1330.67,9845.1,23
CDM,13533-800-25,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,10939.0,6454.01,1330.67,9845.1,23
CDM,13533-800-40,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,21878.0,12908.02,2661.34,19690.2,23
CDM,13533-800-41,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,21878.0,12908.02,2661.34,19690.2,23
CDM,13533-800-71,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,5469.5,3227.01,665.34,4922.55,23
CDM,13533-800-72,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,5469.5,3227.01,665.34,4922.55,23
CDM,13668-007-01,ZOLPIDEM 5 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,13668-008-01,ZOLPIDEM 10 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,13668-008-05,ZOLPIDEM 10 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,13668-008-10,ZOLPIDEM 10 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,13668-008-15,ZOLPIDEM 10 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,13668-009-05,CITALOPRAM 10 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,13668-010-01,CITALOPRAM 20 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,13668-010-05,CITALOPRAM 20 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,13668-011-01,CITALOPRAM 40 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,13668-037-60,RISPERIDONE 1 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,13668-039-60,RISPERIDONE 3 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,13668-048-60,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,13668-049-60,LAMOTRIGINE 200 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,13668-080-30,MONTELUKAST 5 MG CHEWABLE TABLET,1.55,0.91,0.19,1.4,23
CDM,13668-081-90,MONTELUKAST 10 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,13668-086-30,OLANZAPINE 5 MG DISINTEGRATING TABLET,5.05,2.98,0.61,4.55,23
CDM,13668-088-30,OLANZAPINE 10 MG DISINTEGRATING TABLET,5.24,3.09,0.64,4.72,23
CDM,13668-089-30,OLANZAPINE 15 MG DISINTEGRATING TABLET,3.21,1.89,0.39,2.89,23
CDM,13668-090-30,OLANZAPINE 20 MG DISINTEGRATING TABLET,18.64,11.0,2.27,16.78,23
CDM,13668-091-90,PRAMIPEXOLE 0.125 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,13668-092-90,PRAMIPEXOLE 0.25 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,13668-094-90,PRAMIPEXOLE 1 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,13668-103-30,DONEPEZIL 10 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,13668-103-90,DONEPEZIL 10 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,13668-104-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",0.56,0.33,0.07,0.5,23
CDM,13668-105-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",0.52,0.31,0.06,0.47,23
CDM,13668-106-01,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",1.04,0.61,0.13,0.94,23
CDM,13668-107-30,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",4.61,2.72,0.56,4.15,23
CDM,13668-107-90,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",4.61,2.72,0.56,4.15,23
CDM,13668-109-60,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,13668-110-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,13668-111-30,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,13668-132-01,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",1.75,1.03,0.21,1.58,23
CDM,13668-132-10,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",1.67,0.99,0.2,1.5,23
CDM,13668-137-01,ESCITALOPRAM 20 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,13668-184-90,PRAMIPEXOLE 0.75 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,13668-189-30,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",4.0,2.36,0.49,3.6,23
CDM,13668-190-30,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",4.0,2.36,0.49,3.6,23
CDM,13668-202-30,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR",4.61,2.72,0.56,4.15,23
CDM,13668-216-30,ARIPIPRAZOLE 2 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,13668-217-30,ARIPIPRAZOLE 5 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,13668-217-90,ARIPIPRAZOLE 5 MG TABLET,34.88,20.58,4.24,31.39,23
CDM,13668-218-30,ARIPIPRAZOLE 10 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,13668-219-30,ARIPIPRAZOLE 15 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,13668-221-30,ARIPIPRAZOLE 30 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,13668-268-01,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,13668-271-01,CARBAMAZEPINE 100 MG CHEWABLE TABLET,1.36,0.8,0.17,1.22,23
CDM,13668-330-01,TRAZODONE 50 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,13668-339-30,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.8,2.24,0.46,3.42,23
CDM,13668-354-30,NEBIVOLOL 5 MG TABLET,3.66,2.16,0.45,3.29,23
CDM,13668-355-30,NEBIVOLOL 10 MG TABLET,3.66,2.16,0.45,3.29,23
CDM,13668-356-30,NEBIVOLOL 20 MG TABLET,3.66,2.16,0.45,3.29,23
CDM,13668-356-90,NEBIVOLOL 20 MG TABLET,3.66,2.16,0.45,3.29,23
CDM,13668-429-90,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.92,0.54,0.11,0.83,23
CDM,13668-453-01,ANAGRELIDE 0.5 MG CAPSULE,3.84,2.27,0.47,3.46,23
CDM,13668-462-01,ANAGRELIDE 1 MG CAPSULE,7.17,4.23,0.87,6.45,23
CDM,13668-463-30,ITRACONAZOLE 100 MG CAPSULE,7.68,4.53,0.93,6.91,23
CDM,13668-464-30,LURASIDONE 20 MG TABLET,6.58,3.88,0.8,5.92,23
CDM,13668-482-01,MINOCYCLINE 50 MG CAPSULE,0.9,0.53,0.11,0.81,23
CDM,13668-484-50,MINOCYCLINE 100 MG CAPSULE,1.92,1.13,0.23,1.73,23
CDM,13668-509-30,LURASIDONE 60 MG TABLET,6.58,3.88,0.8,5.92,23
CDM,13668-568-30,TADALAFIL 20 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,13668-581-30,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),5.94,3.5,0.72,5.35,23
CDM,13668-591-81,APREPITANT 40 MG CAPSULE,331.5,195.59,40.33,298.35,23
CDM,13668-593-80,APREPITANT 125 MG CAPSULE,876.71,517.26,106.65,789.04,23
CDM,13668-593-86,APREPITANT 125 MG CAPSULE,876.72,517.26,106.65,789.05,23
CDM,13668-595-02,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",60.6,35.75,7.37,54.54,23
CDM,13811-701-10,"HYDROMORPHONE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",35.47,20.93,4.31,31.92,23
CDM,13811-702-10,"HYDROMORPHONE ER 12 MG TABLET,EXTENDED RELEASE 24 HR",43.74,25.81,5.32,39.37,23
CDM,13811-703-10,"HYDROMORPHONE ER 16 MG TABLET,EXTENDED RELEASE 24 HR",70.69,41.71,8.6,63.62,23
CDM,13811-704-10,"HYDROMORPHONE ER 32 MG TABLET,EXTENDED RELEASE 24 HR",93.49,55.16,11.37,84.14,23
CDM,13811-706-10,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",3.33,1.96,0.41,3.0,23
CDM,13811-708-10,"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR",3.59,2.12,0.44,3.23,23
CDM,1381100710,"PRENATAL VIT,CALCIUM 27-FERROUS FUM 60 MG IRON-FOLIC ACID 1 MG TABLET",0.86,0.51,0.1,0.77,23
CDM,1381152501,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,0.6,0.35,0.07,0.54,23
CDM,13845-1202-2,CYCLOSERINE 250 MG CAPSULE,322.77,190.43,39.26,290.49,23
CDM,13925-166-04,PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN,361.2,213.11,43.94,325.08,23
CDM,13925-515-01,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,474.97,280.23,57.78,427.47,23
CDM,13925-515-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,474.97,280.23,57.78,427.47,23
CDM,13925-522-01,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,540.3,318.78,65.72,486.27,23
CDM,14789-012-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,322.55,190.3,39.24,290.3,23
CDM,14789-015-05,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,299.5,176.71,36.43,269.55,23
CDM,14789-015-07,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,299.5,176.71,36.43,269.55,23
CDM,14789-104-05,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,60.25,35.55,7.33,54.23,23
CDM,14789-104-07,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,60.25,35.55,7.33,54.23,23
CDM,14789-108-10,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,161.5,95.29,19.65,145.35,23
CDM,14789-108-16,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,161.5,95.29,19.65,145.35,23
CDM,14789-109-10,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,161.5,95.29,19.65,145.35,23
CDM,14789-109-16,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,161.5,95.29,19.65,145.35,23
CDM,14789-121-05,PAPAVERINE 30 MG/ML INJECTION SOLUTION,77.41,45.67,9.42,69.67,23
CDM,14789-121-07,PAPAVERINE 30 MG/ML INJECTION SOLUTION,77.41,45.67,9.42,69.67,23
CDM,14789-122-05,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,947.48,559.01,115.26,852.73,23
CDM,14789-128-05,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,123.48,72.85,15.02,111.13,23
CDM,14789-128-07,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,123.48,72.85,15.02,111.13,23
CDM,14789-133-05,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,66.35,39.15,8.07,59.72,23
CDM,14789-133-07,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,66.35,39.15,8.07,59.72,23
CDM,14789-137-05,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,91.9,54.22,11.18,82.71,23
CDM,14789-137-07,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,91.9,54.22,11.18,82.71,23
CDM,14789-220-10,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",36.5,21.54,4.44,32.85,23
CDM,14789-250-07,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,47.4,27.97,5.77,42.66,23
CDM,14789-250-10,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,47.4,27.97,5.77,42.66,23
CDM,14789-600-07,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,2234.65,1318.44,271.83,2011.19,23
CDM,14789-600-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,2234.65,1318.44,271.83,2011.19,23
CDM,14789-900-02,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,2626.28,1549.51,319.47,2363.65,23
CDM,14789-900-07,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,2626.28,1549.51,319.47,2363.65,23
CDM,14789-901-07,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,2626.3,1549.52,319.48,2363.67,23
CDM,14789-901-10,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,2626.3,1549.52,319.48,2363.67,23
CDM,15054-0043-1,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,13997.8,8258.7,1702.76,12598.02,23
CDM,15054-0500-1,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,3811.8,2248.96,463.69,3430.62,23
CDM,15054-0530-6,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,2287.55,1349.65,278.27,2058.8,23
CDM,15054-1060-4,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,30059.5,17735.11,3656.58,27053.55,23
CDM,15054-1090-4,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE,40033.25,23619.62,4869.83,36029.93,23
CDM,15054-1120-4,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,47212.4,27855.32,5743.14,42491.16,23
CDM,16110-042-10,TAZAROTENE 0.1 % TOPICAL GEL,7869.0,4642.71,957.22,7082.1,23
CDM,16110-042-30,TAZAROTENE 0.1 % TOPICAL GEL,2292.15,1352.37,278.83,2062.94,23
CDM,16110-587-80,FLURANDRENOLIDE 4 MCG/CM2 TAPE,3793.9,2238.4,461.51,3414.51,23
CDM,16110-915-30,TAZAROTENE 0.05 % TOPICAL CREAM,2222.25,1311.13,270.33,2000.03,23
CDM,16252-539-01,ISRADIPINE 2.5 MG CAPSULE,6.65,3.92,0.81,5.99,23
CDM,16252-540-01,ISRADIPINE 5 MG CAPSULE,9.72,5.73,1.18,8.75,23
CDM,16477-201-01,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,23.04,13.59,2.8,20.74,23
CDM,16477-738-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",1.2,0.71,0.15,1.08,23
CDM,1650002322,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.5,1.48,0.3,2.25,23
CDM,1650002324,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",3.14,1.85,0.38,2.83,23
CDM,1650053506,CALCIUM 250 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.36,0.21,0.04,0.32,23
CDM,1650053539,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.53,0.31,0.06,0.48,23
CDM,1650059918,PEDIATRIC MULTIVITAMIN NO.227-FERROUS SULFATE 10 MG CHEWABLE TABLET,0.49,0.29,0.06,0.44,23
CDM,16571-0330-75,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,1.84,1.09,0.22,1.66,23
CDM,16571-105-01,AMITRIPTYLINE 10 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,16571-108-01,AMITRIPTYLINE 75 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,16571-109-01,AMITRIPTYLINE 100 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,16571-128-48,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,23.65,13.95,2.88,21.29,23
CDM,16571-201-06,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",0.72,0.42,0.09,0.65,23
CDM,16571-202-06,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE",0.94,0.55,0.11,0.85,23
CDM,16571-203-10,"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE",3.86,2.28,0.47,3.47,23
CDM,16571-401-10,CETIRIZINE 5 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,16571-402-10,CETIRIZINE 10 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,16571-413-05,CIPROFLOXACIN 750 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,16571-600-96,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,18.63,10.99,2.27,16.77,23
CDM,16571-661-01,MECLIZINE 25 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,16571-664-01,METRONIDAZOLE 500 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,16571-667-01,PHENOBARBITAL 64.8 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,16571-669-01,PHENOBARBITAL 100 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,16571-671-01,PHENOBARBITAL 16.2 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,16571-672-01,PHENOBARBITAL 30 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,16571-673-01,PHENOBARBITAL 32.4 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,16571-675-16,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,208.12,122.79,25.32,187.31,23
CDM,16571-675-75,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,3.31,1.95,0.4,2.98,23
CDM,16571-683-03,CLOMIPRAMINE 25 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,16571-683-09,CLOMIPRAMINE 25 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,16571-685-03,CLOMIPRAMINE 75 MG CAPSULE,2.31,1.36,0.28,2.08,23
CDM,16571-689-01,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET,4.62,2.73,0.56,4.16,23
CDM,16571-691-01,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET,4.62,2.73,0.56,4.16,23
CDM,16571-692-01,CARBIDOPA 31.25 MG-LEVODOPA 125 MG-ENTACAPONE 200 MG TABLET,4.62,2.73,0.56,4.16,23
CDM,16571-693-01,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,4.62,2.73,0.56,4.16,23
CDM,16571-694-01,CARBIDOPA 50 MG-LEVODOPA 200 MG-ENTACAPONE 200 MG TABLET,4.62,2.73,0.56,4.16,23
CDM,16571-722-01,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,16571-723-48,MAFENIDE 85 MG/G TOPICAL CREAM,2313.36,1364.88,281.41,2082.02,23
CDM,16571-723-60,MAFENIDE 85 MG/G TOPICAL CREAM,335.67,198.05,40.83,302.1,23
CDM,16571-743-09,GLYCOPYRROLATE 1 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,16571-762-09,LEVOCARNITINE 330 MG TABLET,3.51,2.07,0.43,3.16,23
CDM,16571-773-01,GLIMEPIRIDE 1 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,16571-778-09,DONEPEZIL 5 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,16571-813-20,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,1.0,0.59,0.12,0.9,23
CDM,16571-835-01,AZATHIOPRINE 50 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,16571-869-01,GABAPENTIN 400 MG CAPSULE,0.33,0.19,0.04,0.3,23
CDM,16714-006-01,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,11.96,7.06,1.45,10.76,23
CDM,16714-006-10,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,11.96,7.06,1.45,10.76,23
CDM,16714-007-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 5 MG TABLET,1.83,1.08,0.22,1.65,23
CDM,16714-008-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,16714-009-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,2.87,1.69,0.35,2.58,23
CDM,16714-010-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 30 MG TABLET,2.44,1.44,0.3,2.2,23
CDM,16714-014-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,16714-014-02,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,3.9,2.3,0.47,3.51,23
CDM,16714-016-01,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,12.76,7.53,1.55,11.48,23
CDM,16714-016-10,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,12.76,7.53,1.55,11.48,23
CDM,16714-026-01,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,20.2,11.92,2.46,18.18,23
CDM,16714-026-10,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,20.2,11.92,2.46,18.18,23
CDM,16714-035-01,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,16714-036-01,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,30.24,17.84,3.68,27.22,23
CDM,16714-036-10,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,30.24,17.84,3.68,27.22,23
CDM,16714-039-01,COLCHICINE 0.6 MG TABLET,9.01,5.32,1.1,8.11,23
CDM,16714-039-02,COLCHICINE 0.6 MG TABLET,16.7,9.85,2.03,15.03,23
CDM,16714-046-01,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,37.68,22.23,4.58,33.91,23
CDM,16714-046-10,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,37.68,22.23,4.58,33.91,23
CDM,16714-047-01,CHLORPROMAZINE 10 MG TABLET,4.35,2.57,0.53,3.92,23
CDM,16714-048-01,CHLORPROMAZINE 25 MG TABLET,6.58,3.88,0.8,5.92,23
CDM,16714-049-01,CHLORPROMAZINE 50 MG TABLET,6.53,3.85,0.79,5.88,23
CDM,16714-050-01,CHLORPROMAZINE 100 MG TABLET,13.23,7.81,1.61,11.91,23
CDM,16714-051-01,CHLORPROMAZINE 200 MG TABLET,37.83,22.32,4.6,34.05,23
CDM,16714-052-10,CLOPIDOGREL 75 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,16714-052-11,CLOPIDOGREL 75 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,16714-055-02,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,974.25,574.81,118.51,876.83,23
CDM,16714-056-01,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,40.22,23.73,4.89,36.2,23
CDM,16714-056-10,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,40.22,23.73,4.89,36.2,23
CDM,16714-059-01,FEBUXOSTAT 40 MG TABLET,18.96,11.19,2.31,17.06,23
CDM,16714-063-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",1.73,1.02,0.21,1.56,23
CDM,16714-064-01,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",4.8,2.83,0.58,4.32,23
CDM,16714-065-01,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",8.62,5.09,1.05,7.76,23
CDM,16714-066-01,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,56.93,33.59,6.93,51.24,23
CDM,16714-066-10,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,56.93,33.59,6.93,51.24,23
CDM,16714-067-01,CARBIDOPA 25 MG TABLET,5.63,3.32,0.68,5.07,23
CDM,16714-0671-65,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,7.05,4.16,0.86,6.35,23
CDM,16714-070-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,349.1,205.97,42.47,314.19,23
CDM,16714-071-04,BACLOFEN 10 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,16714-072-04,BACLOFEN 20 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,16714-081-10,HYDROXYZINE HCL 10 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,16714-082-10,HYDROXYZINE HCL 25 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,16714-083-10,HYDROXYZINE HCL 50 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,16714-085-01,SPIRONOLACTONE 50 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,16714-087-01,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,207.0,122.13,25.18,186.3,23
CDM,16714-098-01,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,0.55,0.32,0.07,0.5,23
CDM,16714-100-01,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,9.07,5.35,1.1,8.16,23
CDM,16714-101-02,GEMFIBROZIL 600 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,16714-115-01,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,21.42,12.64,2.61,19.28,23
CDM,16714-115-02,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,21.42,12.64,2.61,19.28,23
CDM,16714-116-01,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,12.37,7.3,1.5,11.13,23
CDM,16714-116-02,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,12.37,7.3,1.5,11.13,23
CDM,16714-117-01,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,12.01,7.09,1.46,10.81,23
CDM,16714-117-02,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,12.01,7.09,1.46,10.81,23
CDM,16714-119-02,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,53.73,31.7,6.54,48.36,23
CDM,16714-119-03,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,53.73,31.7,6.54,48.36,23
CDM,16714-121-01,PILOCARPINE 5 MG TABLET,4.58,2.7,0.56,4.12,23
CDM,16714-123-01,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",0.46,0.27,0.06,0.41,23
CDM,16714-123-02,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",0.23,0.14,0.03,0.21,23
CDM,16714-128-01,CHLORTHALIDONE 25 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,16714-130-01,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,13.88,8.19,1.69,12.49,23
CDM,16714-130-25,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,13.88,8.19,1.69,12.49,23
CDM,16714-131-01,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,41.2,24.31,5.01,37.08,23
CDM,16714-135-01,DOXEPIN 75 MG CAPSULE,3.37,1.99,0.41,3.03,23
CDM,16714-137-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",145.25,85.7,17.67,130.73,23
CDM,16714-140-01,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,76.0,44.84,9.25,68.4,23
CDM,16714-141-01,ARIPIPRAZOLE 2 MG TABLET,1.15,0.68,0.14,1.04,23
CDM,16714-142-01,ARIPIPRAZOLE 5 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,16714-143-01,ARIPIPRAZOLE 10 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,16714-144-01,ARIPIPRAZOLE 15 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,16714-146-01,ARIPIPRAZOLE 30 MG TABLET,1.97,1.16,0.24,1.77,23
CDM,16714-157-01,PROGESTERONE MICRONIZED 100 MG CAPSULE,2.02,1.19,0.25,1.82,23
CDM,16714-158-01,PROGESTERONE MICRONIZED 200 MG CAPSULE,3.6,2.12,0.44,3.24,23
CDM,16714-160-01,ONDANSETRON HCL 8 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,16714-166-01,LIOTHYRONINE 5 MCG TABLET,2.13,1.26,0.26,1.92,23
CDM,16714-167-01,LIOTHYRONINE 25 MCG TABLET,2.44,1.44,0.3,2.2,23
CDM,16714-171-01,TIZANIDINE 2 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,16714-172-01,TIZANIDINE 4 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,16714-178-01,FLUOROURACIL 5 % TOPICAL CREAM,237.6,140.18,28.9,213.84,23
CDM,16714-181-03,PAROXETINE 10 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,16714-183-01,PAROXETINE 30 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,16714-190-01,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",2.55,1.5,0.31,2.3,23
CDM,16714-191-01,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",1.84,1.09,0.22,1.66,23
CDM,16714-192-01,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",1.92,1.13,0.23,1.73,23
CDM,16714-194-01,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,16714-195-01,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,16714-196-01,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,16714-197-01,LAMOTRIGINE 200 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,16714-198-01,VORICONAZOLE 50 MG TABLET,9.77,5.76,1.19,8.79,23
CDM,16714-199-01,VORICONAZOLE 200 MG TABLET,16.72,9.86,2.03,15.05,23
CDM,16714-200-10,ONDANSETRON 4 MG DISINTEGRATING TABLET,0.94,0.55,0.11,0.85,23
CDM,16714-200-30,ONDANSETRON 4 MG DISINTEGRATING TABLET,0.94,0.55,0.11,0.85,23
CDM,16714-201-10,ONDANSETRON 8 MG DISINTEGRATING TABLET,2.27,1.34,0.28,2.04,23
CDM,16714-201-30,ONDANSETRON 8 MG DISINTEGRATING TABLET,1.49,0.88,0.18,1.34,23
CDM,16714-213-01,RALOXIFENE 60 MG TABLET,3.99,2.35,0.49,3.59,23
CDM,16714-227-01,"CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE",21.87,12.9,2.66,19.68,23
CDM,16714-228-01,"CARVEDILOL PHOSPHATE ER 20 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE",31.61,18.65,3.85,28.45,23
CDM,16714-229-01,"CARVEDILOL PHOSPHATE ER 40 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE",23.72,13.99,2.89,21.35,23
CDM,16714-230-01,"CARVEDILOL PHOSPHATE ER 80 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE",23.44,13.83,2.85,21.1,23
CDM,16714-234-01,PENICILLIN V POTASSIUM 250 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,16714-235-01,PENICILLIN V POTASSIUM 500 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,16714-245-30,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",20.49,12.09,2.49,18.44,23
CDM,16714-248-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,101.9,60.12,12.4,91.71,23
CDM,16714-257-01,AMITRIPTYLINE 10 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,16714-258-01,AMITRIPTYLINE 25 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,16714-259-01,AMITRIPTYLINE 50 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,16714-260-01,AMITRIPTYLINE 75 MG TABLET,2.65,1.56,0.32,2.39,23
CDM,16714-261-01,AMITRIPTYLINE 100 MG TABLET,3.46,2.04,0.42,3.11,23
CDM,16714-268-01,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT,29.48,17.39,3.59,26.53,23
CDM,16714-293-01,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,20.0,11.8,2.43,18.0,23
CDM,16714-293-02,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,31.13,18.37,3.79,28.02,23
CDM,16714-293-03,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,48.0,28.32,5.84,43.2,23
CDM,16714-294-01,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,37.13,21.91,4.52,33.42,23
CDM,16714-294-03,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,61.0,35.99,7.42,54.9,23
CDM,16714-296-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,16714-297-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,16714-297-02,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,6.98,4.12,0.85,6.28,23
CDM,16714-298-01,AMOXICILLIN 250 MG CAPSULE,0.21,0.12,0.03,0.19,23
CDM,16714-299-03,AMOXICILLIN 500 MG CAPSULE,0.36,0.21,0.04,0.32,23
CDM,16714-299-04,AMOXICILLIN 500 MG CAPSULE,0.32,0.19,0.04,0.29,23
CDM,16714-309-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.25,6.64,1.37,10.13,23
CDM,16714-309-10,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.25,6.64,1.37,10.13,23
CDM,16714-330-01,GABAPENTIN 600 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,16714-330-02,GABAPENTIN 600 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,16714-332-01,GABAPENTIN 800 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,16714-348-04,NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET,1.44,0.85,0.18,1.3,23
CDM,16714-354-01,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,16714-354-02,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,16714-356-01,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,16714-358-01,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,63.86,37.68,7.77,57.47,23
CDM,16714-365-01,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,1.91,1.13,0.23,1.72,23
CDM,16714-375-01,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,16714-376-01,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,16714-394-01,CEFPODOXIME 100 MG TABLET,14.63,8.63,1.78,13.17,23
CDM,16714-395-01,CEFPODOXIME 200 MG TABLET,23.21,13.69,2.82,20.89,23
CDM,16714-396-02,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,30.0,17.7,3.65,27.0,23
CDM,16714-400-01,CEFUROXIME AXETIL 250 MG TABLET,1.78,1.05,0.22,1.6,23
CDM,16714-400-02,CEFUROXIME AXETIL 250 MG TABLET,3.42,2.02,0.42,3.08,23
CDM,16714-401-01,CEFUROXIME AXETIL 500 MG TABLET,10.49,6.19,1.28,9.44,23
CDM,16714-401-02,CEFUROXIME AXETIL 500 MG TABLET,5.83,3.44,0.71,5.25,23
CDM,16714-403-01,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,198.25,116.97,24.12,178.43,23
CDM,16714-403-02,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,349.5,206.21,42.51,314.55,23
CDM,16714-439-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,5.2,3.07,0.63,4.68,23
CDM,16714-442-01,ENALAPRIL MALEATE 2.5 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,16714-443-01,ENALAPRIL MALEATE 5 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,16714-444-01,ENALAPRIL MALEATE 10 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,16714-445-01,ENALAPRIL MALEATE 20 MG TABLET,1.81,1.07,0.22,1.63,23
CDM,16714-452-01,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,16714-455-01,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,16714-456-01,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,16714-467-01,CAPECITABINE 150 MG TABLET,2.07,1.22,0.25,1.86,23
CDM,16714-476-01,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,15.45,9.12,1.88,13.91,23
CDM,16714-477-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.3,1.36,0.28,2.07,23
CDM,16714-483-01,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,219.5,129.51,26.7,197.55,23
CDM,16714-483-02,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,88.0,51.92,10.7,79.2,23
CDM,16714-484-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",0.82,0.48,0.1,0.74,23
CDM,16714-485-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1.87,1.1,0.23,1.68,23
CDM,16714-496-01,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,24.15,14.25,2.94,21.74,23
CDM,16714-496-02,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,56.48,33.32,6.87,50.83,23
CDM,16714-517-01,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,66.9,39.47,8.14,60.21,23
CDM,16714-523-01,"DILTIAZEM ER (XR/XT) 120 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",2.16,1.27,0.26,1.94,23
CDM,16714-524-01,"DILTIAZEM ER (XR/XT) 180 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",2.72,1.6,0.33,2.45,23
CDM,16714-525-01,"DILTIAZEM ER (XR/XT) 240 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",2.8,1.65,0.34,2.52,23
CDM,16714-526-01,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,135.45,79.92,16.48,121.91,23
CDM,16714-527-01,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,141.15,83.28,17.17,127.04,23
CDM,16714-528-01,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,9.0,5.31,1.09,8.1,23
CDM,16714-534-01,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,3.84,2.27,0.47,3.46,23
CDM,16714-536-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,5.48,3.23,0.67,4.93,23
CDM,16714-536-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,5.48,3.23,0.67,4.93,23
CDM,16714-537-01,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,16714-548-01,LACOSAMIDE 50 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,16714-549-01,LACOSAMIDE 100 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,16714-550-01,LACOSAMIDE 150 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,16714-557-01,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,308.0,181.72,37.47,277.2,23
CDM,16714-558-01,PRAVASTATIN 10 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,16714-559-01,PRAVASTATIN 20 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,16714-560-01,PRAVASTATIN 40 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,16714-576-01,ALLOPURINOL 100 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,16714-576-02,ALLOPURINOL 100 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,16714-577-01,ALLOPURINOL 300 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,16714-590-01,DIGOXIN 125 MCG (0.125 MG) TABLET,1.66,0.98,0.2,1.49,23
CDM,16714-591-01,DIGOXIN 250 MCG (0.25 MG) TABLET,2.08,1.23,0.25,1.87,23
CDM,16714-601-02,SERTRALINE 20 MG/ML ORAL CONCENTRATE,151.8,89.56,18.47,136.62,23
CDM,16714-611-01,SERTRALINE 25 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,16714-611-04,SERTRALINE 25 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,16714-612-01,SERTRALINE 50 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,16714-612-04,SERTRALINE 50 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,16714-612-05,SERTRALINE 50 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,16714-613-01,SERTRALINE 100 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,16714-613-04,SERTRALINE 100 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,16714-613-05,SERTRALINE 100 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,16714-621-01,ZOLPIDEM 5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,16714-621-02,ZOLPIDEM 5 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,16714-622-01,ZOLPIDEM 10 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,16714-626-01,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",16.1,9.5,1.96,14.49,23
CDM,16714-627-01,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",47.6,28.08,5.79,42.84,23
CDM,16714-628-01,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,16714-631-01,ALENDRONATE 10 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,16714-631-02,ALENDRONATE 10 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,16714-632-01,ALENDRONATE 35 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,16714-632-02,ALENDRONATE 35 MG TABLET,2.89,1.71,0.35,2.6,23
CDM,16714-633-01,ALENDRONATE 70 MG TABLET,2.43,1.43,0.3,2.19,23
CDM,16714-633-02,ALENDRONATE 70 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,16714-643-01,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,16714-644-01,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,70.54,41.62,8.58,63.49,23
CDM,16714-644-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,70.54,41.62,8.58,63.49,23
CDM,16714-645-01,PIOGLITAZONE 15 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,16714-645-02,PIOGLITAZONE 15 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,16714-646-01,PIOGLITAZONE 30 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,16714-647-01,PIOGLITAZONE 45 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,16714-647-02,PIOGLITAZONE 45 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,16714-661-01,GABAPENTIN 100 MG CAPSULE,0.14,0.08,0.02,0.13,23
CDM,16714-661-02,GABAPENTIN 100 MG CAPSULE,0.11,0.06,0.01,0.1,23
CDM,16714-662-01,GABAPENTIN 300 MG CAPSULE,0.19,0.11,0.02,0.17,23
CDM,16714-662-02,GABAPENTIN 300 MG CAPSULE,0.18,0.11,0.02,0.16,23
CDM,16714-663-01,GABAPENTIN 400 MG CAPSULE,0.38,0.22,0.05,0.34,23
CDM,16714-663-02,GABAPENTIN 400 MG CAPSULE,0.26,0.15,0.03,0.23,23
CDM,16714-671-02,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,66.5,39.24,8.09,59.85,23
CDM,16714-681-01,SIMVASTATIN 5 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,16714-681-02,SIMVASTATIN 5 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,16714-682-01,SIMVASTATIN 10 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,16714-682-02,SIMVASTATIN 10 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,16714-683-02,SIMVASTATIN 20 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,16714-683-03,SIMVASTATIN 20 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,16714-684-02,SIMVASTATIN 40 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,16714-684-03,SIMVASTATIN 40 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,16714-685-02,SIMVASTATIN 80 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,16714-690-01,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,36.5,21.54,4.44,32.85,23
CDM,16714-691-01,FLUCONAZOLE 100 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,16714-691-02,FLUCONAZOLE 100 MG TABLET,4.11,2.42,0.5,3.7,23
CDM,16714-692-10,FLUCONAZOLE 150 MG TABLET,6.14,3.62,0.75,5.53,23
CDM,16714-692-11,FLUCONAZOLE 150 MG TABLET,6.14,3.62,0.75,5.53,23
CDM,16714-693-01,FLUCONAZOLE 200 MG TABLET,4.07,2.4,0.5,3.66,23
CDM,16714-693-02,FLUCONAZOLE 200 MG TABLET,5.16,3.04,0.63,4.64,23
CDM,16714-694-01,FLUCONAZOLE 50 MG TABLET,2.88,1.7,0.35,2.59,23
CDM,16714-695-01,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,40.6,23.95,4.94,36.54,23
CDM,16714-696-01,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,111.3,65.67,13.54,100.17,23
CDM,16714-698-03,VALACYCLOVIR 500 MG TABLET,1.51,0.89,0.18,1.36,23
CDM,16714-717-01,ENTECAVIR 0.5 MG TABLET,8.63,5.09,1.05,7.77,23
CDM,16714-720-02,FLUOXETINE 10 MG CAPSULE,0.17,0.1,0.02,0.15,23
CDM,16714-720-03,FLUOXETINE 10 MG CAPSULE,0.09,0.05,0.01,0.08,23
CDM,16714-721-02,FLUOXETINE 20 MG CAPSULE,0.14,0.08,0.02,0.13,23
CDM,16714-729-01,DESONIDE 0.05 % TOPICAL CREAM,81.38,48.01,9.9,73.24,23
CDM,16714-729-02,DESONIDE 0.05 % TOPICAL CREAM,457.2,269.75,55.62,411.48,23
CDM,16714-732-01,CELECOXIB 100 MG CAPSULE,0.94,0.55,0.11,0.85,23
CDM,16714-733-01,CELECOXIB 200 MG CAPSULE,1.04,0.61,0.13,0.94,23
CDM,16714-742-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",775.0,457.25,94.27,697.5,23
CDM,16714-755-01,ATOMOXETINE 10 MG CAPSULE,9.33,5.5,1.13,8.4,23
CDM,16714-756-01,ATOMOXETINE 18 MG CAPSULE,9.55,5.63,1.16,8.6,23
CDM,16714-757-01,ATOMOXETINE 25 MG CAPSULE,9.53,5.62,1.16,8.58,23
CDM,16714-758-01,ATOMOXETINE 40 MG CAPSULE,9.5,5.61,1.16,8.55,23
CDM,16714-759-01,ATOMOXETINE 60 MG CAPSULE,10.59,6.25,1.29,9.53,23
CDM,16714-760-01,ATOMOXETINE 80 MG CAPSULE,11.24,6.63,1.37,10.12,23
CDM,16714-761-01,ATOMOXETINE 100 MG CAPSULE,11.29,6.66,1.37,10.16,23
CDM,16714-763-01,CALCIPOTRIENE 0.005 % TOPICAL CREAM,704.1,415.42,85.65,633.69,23
CDM,16714-770-01,RASAGILINE 0.5 MG TABLET,15.14,8.93,1.84,13.63,23
CDM,16714-771-01,RASAGILINE 1 MG TABLET,30.81,18.18,3.75,27.73,23
CDM,16714-775-02,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,1563.27,922.33,190.16,1406.94,23
CDM,16714-780-01,EZETIMIBE 10 MG-SIMVASTATIN 40 MG TABLET,8.35,4.93,1.02,7.52,23
CDM,16714-795-01,TERBINAFINE HCL 250 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,16714-796-01,SUMATRIPTAN 25 MG TABLET,4.44,2.62,0.54,4.0,23
CDM,16714-797-01,SUMATRIPTAN 50 MG TABLET,7.06,4.17,0.86,6.35,23
CDM,16714-798-01,SUMATRIPTAN 100 MG TABLET,4.42,2.61,0.54,3.98,23
CDM,16714-799-01,CETIRIZINE 10 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,16714-799-02,CETIRIZINE 10 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,16714-809-01,LEVONORGESTREL 1.5 MG TABLET,63.9,37.7,7.77,57.51,23
CDM,16714-813-02,EZETIMIBE 10 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,16714-814-01,SEVELAMER CARBONATE 800 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,16714-815-01,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,466.9,275.47,56.8,420.21,23
CDM,16714-816-01,BICALUTAMIDE 50 MG TABLET,3.27,1.93,0.4,2.94,23
CDM,16714-816-02,BICALUTAMIDE 50 MG TABLET,1.57,0.93,0.19,1.41,23
CDM,16714-820-01,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,6.96,4.11,0.85,6.26,23
CDM,16714-825-01,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",7.41,4.37,0.9,6.67,23
CDM,16714-826-01,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",9.26,5.46,1.13,8.33,23
CDM,16714-829-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",8.49,5.01,1.03,7.64,23
CDM,16714-830-01,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",12.44,7.34,1.51,11.2,23
CDM,16714-834-01,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,32.0,18.88,3.89,28.8,23
CDM,16714-835-01,ZIPRASIDONE 20 MG CAPSULE,3.36,1.98,0.41,3.02,23
CDM,16714-836-01,ZIPRASIDONE 40 MG CAPSULE,1.47,0.87,0.18,1.32,23
CDM,16714-837-01,ZIPRASIDONE 60 MG CAPSULE,2.02,1.19,0.25,1.82,23
CDM,16714-838-01,ZIPRASIDONE 80 MG CAPSULE,1.65,0.97,0.2,1.49,23
CDM,16714-849-01,CLOMIPRAMINE 25 MG CAPSULE,12.77,7.53,1.55,11.49,23
CDM,16714-849-03,CLOMIPRAMINE 25 MG CAPSULE,9.67,5.71,1.18,8.7,23
CDM,16714-850-01,CLOMIPRAMINE 50 MG CAPSULE,17.51,10.33,2.13,15.76,23
CDM,16714-850-03,CLOMIPRAMINE 50 MG CAPSULE,13.66,8.06,1.66,12.29,23
CDM,16714-851-01,CLOMIPRAMINE 75 MG CAPSULE,13.81,8.15,1.68,12.43,23
CDM,16714-852-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",0.78,0.46,0.09,0.7,23
CDM,16714-852-02,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",0.8,0.47,0.1,0.72,23
CDM,16714-854-03,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",1.83,1.08,0.22,1.65,23
CDM,16714-857-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,942.05,555.81,114.6,847.85,23
CDM,16714-858-01,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1862.6,1098.93,226.58,1676.34,23
CDM,16714-859-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,453.1,267.33,55.12,407.79,23
CDM,16714-866-01,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",23.13,13.65,2.81,20.82,23
CDM,16714-867-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",15.54,9.17,1.89,13.99,23
CDM,16714-868-01,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",15.99,9.43,1.95,14.39,23
CDM,16714-869-01,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",29.12,17.18,3.54,26.21,23
CDM,16714-878-01,LIDOCAINE 5 % TOPICAL OINTMENT,40.23,23.74,4.89,36.21,23
CDM,16714-886-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,91.9,54.22,11.18,82.71,23
CDM,16714-887-01,CLOBAZAM 10 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,16714-889-01,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,142.89,84.31,17.38,128.6,23
CDM,16714-889-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,142.89,84.31,17.38,128.6,23
CDM,16714-892-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,104.45,61.63,12.71,94.01,23
CDM,16714-894-01,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",0.9,0.53,0.11,0.81,23
CDM,16714-895-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",0.41,0.24,0.05,0.37,23
CDM,16714-896-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",0.68,0.4,0.08,0.61,23
CDM,16714-897-01,PERMETHRIN 5 % TOPICAL CREAM,81.0,47.79,9.85,72.9,23
CDM,16714-898-02,LORATADINE 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,16714-899-01,FEXOFENADINE 180 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,16714-900-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,75.75,44.69,9.21,68.18,23
CDM,16714-908-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,227.45,134.2,27.67,204.71,23
CDM,16714-909-01,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,24.15,14.25,2.94,21.74,23
CDM,16714-930-01,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,80.4,47.44,9.78,72.36,23
CDM,16714-948-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,2.65,1.56,0.32,2.39,23
CDM,16714-950-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,16714-955-01,KETOCONAZOLE 2 % TOPICAL CREAM,57.0,33.63,6.93,51.3,23
CDM,16714-963-01,ABIRATERONE 250 MG TABLET,7.18,4.24,0.87,6.46,23
CDM,16714-964-01,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",3.71,2.19,0.45,3.34,23
CDM,16714-985-01,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,9.98,5.89,1.21,8.98,23
CDM,16714-986-01,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,6.23,3.68,0.76,5.61,23
CDM,16714-986-03,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,26.8,15.81,3.26,24.12,23
CDM,16714-986-04,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,72.64,42.86,8.84,65.38,23
CDM,16714-988-01,ROSUVASTATIN 5 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,16714-989-01,ROSUVASTATIN 10 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,16714-990-01,ROSUVASTATIN 20 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,16714-991-01,ROSUVASTATIN 40 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,16714-997-01,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,159.0,93.81,19.34,143.1,23
CDM,16729-002-01,GLIMEPIRIDE 2 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,16729-003-01,GLIMEPIRIDE 4 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,16729-005-17,SIMVASTATIN 20 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,16729-006-17,SIMVASTATIN 40 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,16729-019-01,MYCOPHENOLATE MOFETIL 500 MG TABLET,1.04,0.61,0.13,0.94,23
CDM,16729-022-15,PIOGLITAZONE 45 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,16729-023-01,BICALUTAMIDE 50 MG TABLET,3.04,1.79,0.37,2.74,23
CDM,16729-023-10,BICALUTAMIDE 50 MG TABLET,3.04,1.79,0.37,2.74,23
CDM,16729-034-10,LETROZOLE 2.5 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,16729-034-15,LETROZOLE 2.5 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,16729-035-10,ANASTROZOLE 1 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,16729-035-15,ANASTROZOLE 1 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,16729-035-16,ANASTROZOLE 1 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,16729-041-01,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,1.55,0.91,0.19,1.4,23
CDM,16729-042-01,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,2.69,1.59,0.33,2.42,23
CDM,16729-043-01,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,13.44,7.93,1.63,12.1,23
CDM,16729-048-54,TEMOZOLOMIDE 5 MG CAPSULE,12.3,7.26,1.5,11.07,23
CDM,16729-073-29,CAPECITABINE 500 MG TABLET,2.2,1.3,0.27,1.98,23
CDM,16729-078-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",1.57,0.93,0.19,1.41,23
CDM,16729-079-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",2.9,1.71,0.35,2.61,23
CDM,16729-081-01,NALTREXONE 50 MG TABLET,7.64,4.51,0.93,6.88,23
CDM,16729-081-10,NALTREXONE 50 MG TABLET,7.64,4.51,0.93,6.88,23
CDM,16729-090-01,FINASTERIDE 5 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,16729-090-10,FINASTERIDE 5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,16729-090-15,FINASTERIDE 5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,16729-094-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,0.85,0.5,0.1,0.77,23
CDM,16729-095-12,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",2.16,1.27,0.26,1.94,23
CDM,16729-096-12,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",2.47,1.46,0.3,2.22,23
CDM,16729-097-12,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",2.34,1.38,0.28,2.11,23
CDM,16729-108-11,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,763.9,450.7,92.92,687.51,23
CDM,16729-109-12,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",1.93,1.14,0.23,1.74,23
CDM,16729-114-08,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,225.13,132.83,27.39,202.62,23
CDM,16729-114-11,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.25,265.65,54.77,405.23,23
CDM,16729-114-31,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,45.0,26.55,5.47,40.5,23
CDM,16729-115-05,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,958.3,565.4,116.57,862.47,23
CDM,16729-116-38,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,5855.95,3455.01,712.35,5270.36,23
CDM,16729-132-12,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",0.63,0.37,0.08,0.57,23
CDM,16729-134-01,ALLOPURINOL 100 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,16729-135-01,ALLOPURINOL 300 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,16729-136-00,CLONAZEPAM 0.5 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,16729-136-16,CLONAZEPAM 0.5 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,16729-137-00,CLONAZEPAM 1 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,16729-138-00,CLONAZEPAM 2 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,16729-142-01,CLOZAPINE 100 MG TABLET,2.46,1.45,0.3,2.21,23
CDM,16729-145-01,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,16729-151-31,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,612.05,361.11,74.45,550.85,23
CDM,16729-168-01,ESCITALOPRAM 5 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,16729-169-01,ESCITALOPRAM 10 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,16729-170-01,ESCITALOPRAM 20 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,16729-172-01,AMITRIPTYLINE 25 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,16729-174-01,AMITRIPTYLINE 75 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,16729-175-01,AMITRIPTYLINE 100 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,16729-182-01,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,16729-182-17,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,16729-183-01,HYDROCHLOROTHIAZIDE 25 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,16729-183-17,HYDROCHLOROTHIAZIDE 25 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,16729-184-01,HYDROCHLOROTHIAZIDE 50 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,16729-189-29,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",1.69,1.0,0.21,1.52,23
CDM,16729-201-01,BUSPIRONE 7.5 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,16729-202-01,BUSPIRONE 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,16729-203-12,BUSPIRONE 15 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,16729-211-01,DOXAZOSIN 1 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,16729-213-01,DOXAZOSIN 4 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,16729-216-15,SERTRALINE 50 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,16729-221-30,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,2641.38,1558.41,321.31,2377.24,23
CDM,16729-223-61,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,2641.38,1558.41,321.31,2377.24,23
CDM,16729-224-05,DECITABINE 50 MG INTRAVENOUS SOLUTION,149.75,88.35,18.22,134.78,23
CDM,16729-225-01,SPIRONOLACTONE 25 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,16729-229-03,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,468.1,276.18,56.94,421.29,23
CDM,16729-230-11,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,604.85,356.86,73.58,544.37,23
CDM,16729-239-30,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,8.94,5.27,1.09,8.05,23
CDM,16729-239-93,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,8.94,5.27,1.09,8.05,23
CDM,16729-242-31,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,76.65,45.22,9.32,68.99,23
CDM,16729-247-11,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,2927.95,1727.49,356.17,2635.16,23
CDM,16729-248-38,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,5855.95,3455.01,712.35,5270.36,23
CDM,16729-261-29,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",0.85,0.5,0.1,0.77,23
CDM,16729-262-31,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,24.45,14.43,2.97,22.01,23
CDM,16729-267-63,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,124.4,73.4,15.13,111.96,23
CDM,16729-267-64,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,422.96,249.55,51.45,380.66,23
CDM,16729-272-10,PRASUGREL HCL 5 MG TABLET,3.82,2.25,0.46,3.44,23
CDM,16729-273-10,PRASUGREL HCL 10 MG TABLET,3.82,2.25,0.46,3.44,23
CDM,16729-275-03,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,331.66,195.68,40.34,298.49,23
CDM,16729-275-67,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,331.66,195.68,40.34,298.49,23
CDM,16729-276-05,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,114.2,67.38,13.89,102.78,23
CDM,16729-276-11,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,136.75,80.68,16.63,123.08,23
CDM,16729-276-38,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,273.5,161.37,33.27,246.15,23
CDM,16729-276-67,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,114.2,67.38,13.89,102.78,23
CDM,16729-276-68,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,63.45,37.44,7.72,57.11,23
CDM,16729-277-30,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,19.45,11.48,2.37,17.51,23
CDM,16729-277-35,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,95.4,56.29,11.6,85.86,23
CDM,16729-278-10,ARIPIPRAZOLE 2 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,16729-279-01,ARIPIPRAZOLE 5 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,16729-279-10,ARIPIPRAZOLE 5 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,16729-280-10,ARIPIPRAZOLE 10 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,16729-281-10,ARIPIPRAZOLE 15 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,16729-287-15,ROSUVASTATIN 40 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,16729-288-11,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,64.0,37.76,7.79,57.6,23
CDM,16729-288-38,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,117.5,69.33,14.29,105.75,23
CDM,16729-293-10,EPLERENONE 25 MG TABLET,6.45,3.81,0.78,5.81,23
CDM,16729-293-15,EPLERENONE 25 MG TABLET,6.49,3.83,0.79,5.84,23
CDM,16729-295-12,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,202.8,119.65,24.67,182.52,23
CDM,16729-295-34,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,159.53,94.12,19.41,143.58,23
CDM,16729-298-05,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,19.7,11.62,2.4,17.73,23
CDM,16729-306-10,AZACITIDINE 100 MG SOLUTION FOR INJECTION,198.3,117.0,24.12,178.47,23
CDM,16729-318-01,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",1.16,0.68,0.14,1.04,23
CDM,16729-331-01,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",2.0,1.18,0.24,1.8,23
CDM,16729-332-03,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,42.4,25.02,5.16,38.16,23
CDM,16729-332-05,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,55.3,32.63,6.73,49.77,23
CDM,16729-346-10,LURASIDONE 20 MG TABLET,5.63,3.32,0.68,5.07,23
CDM,16729-347-10,LURASIDONE 40 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,16729-348-10,LURASIDONE 60 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,16729-349-10,LURASIDONE 80 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,16729-351-03,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,146.5,86.44,17.82,131.85,23
CDM,16729-351-92,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,146.5,86.44,17.82,131.85,23
CDM,16729-352-10,VILAZODONE 10 MG TABLET,38.29,22.59,4.66,34.46,23
CDM,16729-354-10,VILAZODONE 40 MG TABLET,38.29,22.59,4.66,34.46,23
CDM,16729-364-03,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,147.24,86.87,17.91,132.52,23
CDM,16729-364-68,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,147.24,86.87,17.91,132.52,23
CDM,16729-414-01,DOXAZOSIN 2 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,16729-415-01,DOXAZOSIN 8 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,16729-422-12,TACROLIMUS 0.1 % TOPICAL OINTMENT,921.6,543.74,112.11,829.44,23
CDM,16729-434-05,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,227.0,133.93,27.61,204.3,23
CDM,16729-436-30,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,624.4,368.4,75.95,561.96,23
CDM,16729-436-31,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,624.4,368.4,75.95,561.96,23
CDM,16729-440-10,CINACALCET 30 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,16729-440-15,CINACALCET 30 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,16729-441-10,CINACALCET 60 MG TABLET,4.15,2.45,0.5,3.74,23
CDM,16729-442-10,CINACALCET 90 MG TABLET,3.44,2.03,0.42,3.1,23
CDM,16729-442-15,CINACALCET 90 MG TABLET,6.03,3.56,0.73,5.43,23
CDM,16729-443-10,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",0.59,0.35,0.07,0.53,23
CDM,16729-443-15,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",0.59,0.35,0.07,0.53,23
CDM,16729-444-10,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",0.74,0.44,0.09,0.67,23
CDM,16729-447-15,LEVOTHYROXINE 25 MCG TABLET,0.38,0.22,0.05,0.34,23
CDM,16729-448-15,LEVOTHYROXINE 50 MCG TABLET,0.4,0.24,0.05,0.36,23
CDM,16729-449-15,LEVOTHYROXINE 75 MCG TABLET,0.41,0.24,0.05,0.37,23
CDM,16729-450-15,LEVOTHYROXINE 88 MCG TABLET,0.41,0.24,0.05,0.37,23
CDM,16729-451-15,LEVOTHYROXINE 100 MCG TABLET,0.43,0.25,0.05,0.39,23
CDM,16729-452-15,LEVOTHYROXINE 112 MCG TABLET,0.46,0.27,0.06,0.41,23
CDM,16729-453-15,LEVOTHYROXINE 125 MCG TABLET,0.52,0.31,0.06,0.47,23
CDM,16729-455-15,LEVOTHYROXINE 150 MCG TABLET,0.43,0.25,0.05,0.39,23
CDM,16729-457-15,LEVOTHYROXINE 200 MCG TABLET,0.56,0.33,0.07,0.5,23
CDM,16729-458-15,LEVOTHYROXINE 300 MCG TABLET,0.41,0.24,0.05,0.37,23
CDM,16729-471-63,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,310.4,183.14,37.76,279.36,23
CDM,16729-477-31,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,40.65,23.98,4.94,36.59,23
CDM,16729-478-01,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,16729-479-01,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,16729-484-03,ATROPINE 0.1 MG/ML INJECTION SYRINGE,32.05,18.91,3.9,28.85,23
CDM,16729-484-45,ATROPINE 0.1 MG/ML INJECTION SYRINGE,32.05,18.91,3.9,28.85,23
CDM,16729-486-01,METHOTREXATE SODIUM 2.5 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,16729-490-12,DOFETILIDE 125 MCG CAPSULE,7.42,4.38,0.9,6.68,23
CDM,16729-492-12,DOFETILIDE 500 MCG CAPSULE,7.42,4.38,0.9,6.68,23
CDM,16729-500-08,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,10.13,5.98,1.23,9.12,23
CDM,16729-500-30,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,10.13,5.98,1.23,9.12,23
CDM,16729-501-43,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,13.36,7.88,1.63,12.02,23
CDM,16729-501-64,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,13.36,7.88,1.63,12.02,23
CDM,16729-502-03,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,14.95,8.82,1.82,13.46,23
CDM,16729-502-43,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,14.95,8.82,1.82,13.46,23
CDM,16729-512-05,ATROPINE 0.4 MG/ML INJECTION SOLUTION,40.1,23.66,4.88,36.09,23
CDM,16729-525-08,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,55.29,32.62,6.73,49.76,23
CDM,16729-525-63,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,55.29,32.62,6.73,49.76,23
CDM,16729-526-08,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,31.04,18.31,3.78,27.94,23
CDM,16729-526-63,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,31.04,18.31,3.78,27.94,23
CDM,16729-533-63,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",15.75,9.29,1.92,14.18,23
CDM,16729-542-35,FLUOROURACIL 5 % TOPICAL CREAM,477.0,281.43,58.02,429.3,23
CDM,16729-550-10,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,5.34,3.15,0.65,4.81,23
CDM,16864-240-01,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.92,1.72,0.36,2.63,23
CDM,16864-680-01,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,26.13,15.42,3.18,23.52,23
CDM,16864-680-02,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,19.88,11.73,2.42,17.89,23
CDM,16864-680-03,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,24.23,14.3,2.95,21.81,23
CDM,16963-00209,ACETYLCYSTEINE 600 MG CAPSULE,0.53,0.31,0.06,0.48,23
CDM,17150-0201-03,IODINE (I-123) SODIUM IODIDE 100 UCI CAPSULE,191.16,112.78,23.25,172.04,23
CDM,17156-067-30,FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION,8400.0,4956.0,1021.82,7560.0,23
CDM,17156-210-01,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION,1800.0,1062.0,218.96,1620.0,23
CDM,17156-235-01,IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN,68250.0,40267.5,8302.25,61425.0,23
CDM,17156-299-18,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,408.41,240.96,49.68,367.57,23
CDM,17238-900-11,FLUORESCEIN 1 MG EYE STRIPS,0.98,0.58,0.12,0.88,23
CDM,17238-900-30,FLUORESCEIN 1 MG EYE STRIPS,0.77,0.45,0.09,0.69,23
CDM,17238-900-99,FLUORESCEIN 1 MG EYE STRIPS,0.98,0.58,0.12,0.88,23
CDM,17238-920-11,LISSAMINE GREEN 1.5 MG EYE STRIPS,1.39,0.82,0.17,1.25,23
CDM,17238-920-98,LISSAMINE GREEN 1.5 MG EYE STRIPS,1.39,0.82,0.17,1.25,23
CDM,17271-701-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,8.5,5.02,1.03,7.65,23
CDM,17271-701-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,8.5,5.02,1.03,7.65,23
CDM,17271-701-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,8.75,5.16,1.06,7.88,23
CDM,17271-701-06,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,17271-701-07,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,17271-720-05,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,17433-9876-0,DOCUSATE SODIUM 283 MG/5 ML ENEMA,8.15,4.81,0.99,7.34,23
CDM,17433-9876-3,DOCUSATE SODIUM 283 MG/5 ML ENEMA,8.15,4.81,0.99,7.34,23
CDM,17518-060-04,POVIDONE-IODINE 5 % KIT,60.6,35.75,7.37,54.54,23
CDM,17772-122-01,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",58.12,34.29,7.07,52.31,23
CDM,17856-0091-3,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,2.55,1.5,0.31,2.3,23
CDM,17856-2002-3,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,2.93,1.73,0.36,2.64,23
CDM,18657-117-01,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",195.22,115.18,23.75,175.7,23
CDM,18657-117-02,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",195.22,115.18,23.75,175.7,23
CDM,18657-117-04,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",195.22,115.18,23.75,175.7,23
CDM,19515-810-41,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,72.48,42.76,8.82,65.23,23
CDM,19515-810-52,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,72.48,42.76,8.82,65.23,23
CDM,1990301021,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",20.18,11.91,2.45,18.16,23
CDM,2045117813,LANOLIN TOPICAL CREAM,7.21,4.25,0.88,6.49,23
CDM,2045187121,LANOLIN TOPICAL CREAM,6.48,3.82,0.79,5.83,23
CDM,2055500100,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,2055501700,CALCIUM 600 MG (AS CARBONATE)-VITAMIN D3 10 MCG (400 UNIT) TABLET,0.59,0.35,0.07,0.53,23
CDM,2055501900,FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABLET,0.13,0.08,0.02,0.12,23
CDM,2055502500,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET,0.35,0.21,0.04,0.32,23
CDM,2055503200,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.54,0.32,0.07,0.49,23
CDM,2055503300,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.16,0.09,0.02,0.14,23
CDM,2055503600,MELATONIN 3 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,2055503601,MELATONIN 3 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,2055504000,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.74,0.44,0.09,0.67,23
CDM,21922-004-04,DESONIDE 0.05 % TOPICAL OINTMENT,75.98,44.83,9.24,68.38,23
CDM,21922-016-05,CLOBETASOL 0.05 % TOPICAL CREAM,46.05,27.17,5.6,41.45,23
CDM,21922-025-05,KETOCONAZOLE 2 % TOPICAL CREAM,115.2,67.97,14.01,103.68,23
CDM,21922-025-07,KETOCONAZOLE 2 % TOPICAL CREAM,172.8,101.95,21.02,155.52,23
CDM,21922-031-04,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",19.95,11.77,2.43,17.96,23
CDM,21922-036-01,CLINDAMYCIN 1 % LOTION,184.2,108.68,22.41,165.78,23
CDM,21922-039-23,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,347.55,205.05,42.28,312.8,23
CDM,23155-001-01,HYDRALAZINE 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,23155-002-01,HYDRALAZINE 25 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,23155-003-01,HYDRALAZINE 50 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,23155-003-10,HYDRALAZINE 50 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,23155-004-01,HYDRALAZINE 100 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,23155-008-10,HYDROCHLOROTHIAZIDE 25 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,23155-018-01,TETRACYCLINE 500 MG CAPSULE,29.95,17.67,3.64,26.96,23
CDM,23155-026-01,VERAPAMIL IMMEDIATE RELEASE 80 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,23155-027-01,VERAPAMIL IMMEDIATE RELEASE 120 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,23155-043-03,LEFLUNOMIDE 10 MG TABLET,3.38,1.99,0.41,3.04,23
CDM,23155-044-03,LEFLUNOMIDE 20 MG TABLET,3.38,1.99,0.41,3.04,23
CDM,23155-051-01,"NYSTATIN 500,000 UNIT TABLET",3.18,1.88,0.39,2.86,23
CDM,23155-054-19,NARATRIPTAN 1 MG TABLET,13.52,7.98,1.64,12.17,23
CDM,23155-055-19,NARATRIPTAN 2.5 MG TABLET,14.27,8.42,1.74,12.84,23
CDM,23155-056-01,GLYBURIDE 1.25 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,23155-057-01,GLYBURIDE 2.5 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,23155-058-01,GLYBURIDE 5 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,23155-059-01,VERAPAMIL IMMEDIATE RELEASE 40 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,23155-070-01,METHIMAZOLE 5 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,23155-071-01,METHIMAZOLE 10 MG TABLET,1.04,0.61,0.13,0.94,23
CDM,23155-102-01,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,23155-102-09,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,23155-102-10,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,23155-103-01,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,23155-104-01,"METFORMIN 1,000 MG TABLET",0.33,0.19,0.04,0.3,23
CDM,23155-104-05,"METFORMIN 1,000 MG TABLET",0.13,0.08,0.02,0.12,23
CDM,23155-105-01,HYDROXYZINE HCL 10 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,23155-106-01,HYDROXYZINE HCL 25 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,23155-110-01,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,23155-111-01,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,23155-112-01,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,23155-113-01,PROPRANOLOL IMMEDIATE RELEASE 60 MG TABLET,4.27,2.52,0.52,3.84,23
CDM,23155-114-01,PROPRANOLOL IMMEDIATE RELEASE 80 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,23155-120-01,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",5.79,3.42,0.7,5.21,23
CDM,23155-137-01,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,23155-160-32,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,13.6,8.02,1.65,12.24,23
CDM,23155-160-42,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,13.6,8.02,1.65,12.24,23
CDM,23155-166-31,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",11.5,6.79,1.4,10.35,23
CDM,23155-166-41,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",11.5,6.79,1.4,10.35,23
CDM,23155-178-01,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",1.86,1.1,0.23,1.67,23
CDM,23155-191-01,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,1.12,0.66,0.14,1.01,23
CDM,23155-192-01,BUPROPION HCL IMMEDIATE RELEASE 100 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,23155-194-01,NIFEDIPINE IMMEDIATE RELEASE 10 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,23155-195-01,NIFEDIPINE IMMEDIATE RELEASE 20 MG CAPSULE,3.32,1.96,0.4,2.99,23
CDM,23155-196-43,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,2.16,1.27,0.26,1.94,23
CDM,23155-214-31,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,226.85,133.84,27.6,204.17,23
CDM,23155-216-31,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,2303.75,1359.21,280.24,2073.38,23
CDM,23155-240-31,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,3.69,2.18,0.45,3.32,23
CDM,23155-240-41,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,3.69,2.18,0.45,3.32,23
CDM,23155-246-01,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,23155-246-09,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,3.65,2.15,0.44,3.29,23
CDM,23155-248-01,VENLAFAXINE IMMEDIATE RELEASE 50 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,23155-249-01,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,23155-249-09,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,4.11,2.42,0.5,3.7,23
CDM,23155-258-31,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,138.3,81.6,16.82,124.47,23
CDM,23155-261-41,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,12219.05,7209.24,1486.38,10997.15,23
CDM,23155-287-01,ACETAZOLAMIDE IMMEDIATE RELEASE 125 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,23155-288-01,ACETAZOLAMIDE IMMEDIATE RELEASE 250 MG TABLET,1.62,0.96,0.2,1.46,23
CDM,23155-290-31,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,10.95,6.46,1.33,9.86,23
CDM,23155-290-32,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",20.7,12.21,2.52,18.63,23
CDM,23155-290-41,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,10.95,6.46,1.33,9.86,23
CDM,23155-290-42,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",20.7,12.21,2.52,18.63,23
CDM,23155-294-31,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,13.82,8.15,1.68,12.44,23
CDM,23155-294-41,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,13.82,8.15,1.68,12.44,23
CDM,23155-294-42,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,13.83,8.16,1.68,12.45,23
CDM,23155-313-31,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,138.25,81.57,16.82,124.43,23
CDM,23155-345-31,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,8.1,4.78,0.99,7.29,23
CDM,23155-345-44,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,15.2,8.97,1.85,13.68,23
CDM,23155-473-31,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.32,1.96,0.4,2.99,23
CDM,23155-473-32,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.06,2.4,0.49,3.65,23
CDM,23155-473-33,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,6.45,3.81,0.78,5.81,23
CDM,23155-473-41,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.32,1.96,0.4,2.99,23
CDM,23155-473-42,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.06,2.4,0.49,3.65,23
CDM,23155-473-44,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,6.45,3.81,0.78,5.81,23
CDM,23155-486-01,VERAPAMIL IMMEDIATE RELEASE 120 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,23155-489-01,DESMOPRESSIN 0.1 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,23155-490-01,DESMOPRESSIN 0.2 MG TABLET,3.32,1.96,0.4,2.99,23
CDM,23155-497-31,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,9.27,5.47,1.13,8.34,23
CDM,23155-497-42,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,9.27,5.47,1.13,8.34,23
CDM,23155-500-01,HYDROXYZINE HCL 10 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,23155-501-01,HYDROXYZINE HCL 25 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,23155-502-01,HYDROXYZINE HCL 50 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,23155-512-00,NIMODIPINE 30 MG CAPSULE,4.39,2.59,0.53,3.95,23
CDM,23155-512-11,NIMODIPINE 30 MG CAPSULE,4.39,2.59,0.53,3.95,23
CDM,23155-512-30,NIMODIPINE 30 MG CAPSULE,4.8,2.83,0.58,4.32,23
CDM,23155-517-31,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,12.45,7.35,1.51,11.21,23
CDM,23155-519-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",0.97,0.57,0.12,0.87,23
CDM,23155-530-06,TROSPIUM 20 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,23155-531-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,1.0,0.59,0.12,0.9,23
CDM,23155-532-01,ETHOSUXIMIDE 250 MG CAPSULE,5.53,3.26,0.67,4.98,23
CDM,23155-540-25,DOXERCALCIFEROL 2.5 MCG CAPSULE,70.39,41.53,8.56,63.35,23
CDM,23155-547-31,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.66,0.98,0.2,1.49,23
CDM,23155-547-41,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,2.14,1.26,0.26,1.93,23
CDM,23155-547-42,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.66,0.98,0.2,1.49,23
CDM,23155-549-31,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,19.4,11.45,2.36,17.46,23
CDM,23155-578-01,DESIPRAMINE 10 MG TABLET,4.06,2.4,0.49,3.65,23
CDM,23155-579-01,DESIPRAMINE 25 MG TABLET,4.24,2.5,0.52,3.82,23
CDM,23155-580-01,DESIPRAMINE 50 MG TABLET,9.18,5.42,1.12,8.26,23
CDM,23155-581-01,DESIPRAMINE 75 MG TABLET,11.04,6.51,1.34,9.94,23
CDM,23155-600-31,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,2.52,1.49,0.31,2.27,23
CDM,23155-600-41,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,2.52,1.49,0.31,2.27,23
CDM,23155-601-32,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,17.85,10.53,2.17,16.07,23
CDM,23155-601-42,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,17.85,10.53,2.17,16.07,23
CDM,23155-605-03,MODAFINIL 200 MG TABLET,6.65,3.92,0.81,5.99,23
CDM,23155-606-01,GLYCOPYRROLATE 1 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,23155-651-05,METRONIDAZOLE 250 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,23155-660-31,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,276.45,163.11,33.63,248.81,23
CDM,23155-660-43,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,276.45,163.11,33.63,248.81,23
CDM,23155-661-31,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,501.75,296.03,61.04,451.58,23
CDM,23155-662-01,CALCITRIOL 0.25 MCG CAPSULE,1.09,0.64,0.13,0.98,23
CDM,23155-663-01,CALCITRIOL 0.5 MCG CAPSULE,1.7,1.0,0.21,1.53,23
CDM,23155-686-31,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",414.7,244.67,50.45,373.23,23
CDM,23155-687-31,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,11.06,6.53,1.35,9.95,23
CDM,23155-687-41,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,11.06,6.53,1.35,9.95,23
CDM,23155-689-31,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,40.55,23.92,4.93,36.5,23
CDM,23155-689-41,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,40.55,23.92,4.93,36.5,23
CDM,23155-723-01,LABETALOL 100 MG TABLET,1.33,0.78,0.16,1.2,23
CDM,23155-724-01,LABETALOL 200 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,23155-725-01,LABETALOL 300 MG TABLET,2.5,1.48,0.3,2.25,23
CDM,23155-731-01,NADOLOL 40 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,23155-732-01,NADOLOL 80 MG TABLET,2.13,1.26,0.26,1.92,23
CDM,23155-746-03,RASAGILINE 0.5 MG TABLET,13.21,7.79,1.61,11.89,23
CDM,23155-747-03,RASAGILINE 1 MG TABLET,13.21,7.79,1.61,11.89,23
CDM,23155-764-01,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,23155-773-01,ENALAPRIL MALEATE 20 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,23155-785-31,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,11.06,6.53,1.35,9.95,23
CDM,23155-785-41,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,11.06,6.53,1.35,9.95,23
CDM,23155-786-41,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",20.9,12.33,2.54,18.81,23
CDM,23155-787-01,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",3.17,1.87,0.39,2.85,23
CDM,23155-795-01,DOXEPIN 25 MG CAPSULE,0.87,0.51,0.11,0.78,23
CDM,23155-798-01,DOXEPIN 100 MG CAPSULE,2.16,1.27,0.26,1.94,23
CDM,23155-799-01,PERPHENAZINE 2 MG TABLET,1.24,0.73,0.15,1.12,23
CDM,23155-801-01,PERPHENAZINE 8 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,23155-802-01,PERPHENAZINE 16 MG TABLET,2.3,1.36,0.28,2.07,23
CDM,23155-823-73,CABERGOLINE 0.5 MG TABLET,9.42,5.56,1.15,8.48,23
CDM,23155-832-01,HYDRALAZINE 10 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,23155-833-01,HYDRALAZINE 25 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,23155-834-01,HYDRALAZINE 50 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,23155-835-01,HYDRALAZINE 100 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,23155-837-11,CYCLOSPORINE MODIFIED 25 MG CAPSULE,3.78,2.23,0.46,3.4,23
CDM,23155-837-30,CYCLOSPORINE MODIFIED 25 MG CAPSULE,3.78,2.23,0.46,3.4,23
CDM,23155-839-11,CYCLOSPORINE MODIFIED 100 MG CAPSULE,8.82,5.2,1.07,7.94,23
CDM,23155-839-30,CYCLOSPORINE MODIFIED 100 MG CAPSULE,8.82,5.2,1.07,7.94,23
CDM,23155-858-78,VANCOMYCIN 125 MG CAPSULE,10.1,5.96,1.23,9.09,23
CDM,23155-859-78,VANCOMYCIN 250 MG CAPSULE,20.19,11.91,2.46,18.17,23
CDM,23155-860-03,FLUCYTOSINE 250 MG CAPSULE,40.0,23.6,4.87,36.0,23
CDM,23155-861-03,FLUCYTOSINE 500 MG CAPSULE,80.0,47.2,9.73,72.0,23
CDM,23155-868-01,GABAPENTIN 400 MG CAPSULE,0.33,0.19,0.04,0.3,23
CDM,23155-871-01,TORSEMIDE 5 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,23155-872-01,TORSEMIDE 10 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,23155-874-01,TORSEMIDE 100 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,23594-505-50,PREDNISOLONE 5 MG TABLET,65.36,38.56,7.95,58.82,23
CDM,23635-508-60,LUBIPROSTONE 8 MCG CAPSULE,31.24,18.43,3.8,28.12,23
CDM,23635-524-60,LUBIPROSTONE 24 MCG CAPSULE,31.24,18.43,3.8,28.12,23
CDM,23635-581-10,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,24.07,14.2,2.93,21.66,23
CDM,23731-6030-3,SODIUM CITRATE DIHYDRATE 46.7 % CONCENTRATE FOR INJECTION,358.5,211.52,43.61,322.65,23
CDM,2390001252,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),8.33,4.91,1.01,7.5,23
CDM,24200-0051-80,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,76.25,44.99,9.28,68.63,23
CDM,24201-010-20,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,3052.5,1800.98,371.32,2747.25,23
CDM,24201-010-50,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,4628.0,2730.52,562.97,4165.2,23
CDM,24201-100-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",26.5,15.64,3.22,23.85,23
CDM,24201-100-24,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",26.5,15.64,3.22,23.85,23
CDM,24201-110-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",26.5,15.64,3.22,23.85,23
CDM,24201-110-24,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",26.5,15.64,3.22,23.85,23
CDM,24201-201-01,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,322.53,190.29,39.23,290.28,23
CDM,24201-201-05,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,322.53,190.29,39.23,290.28,23
CDM,24201-237-01,FLUDARABINE 50 MG INTRAVENOUS SOLUTION,396.25,233.79,48.2,356.63,23
CDM,24201-400-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,4837.9,2854.36,588.51,4354.11,23
CDM,24208-023-10,METHAZOLAMIDE 50 MG TABLET,28.25,16.67,3.44,25.43,23
CDM,24208-040-40,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION,8146.9,4806.67,991.03,7332.21,23
CDM,24208-276-15,SODIUM CHLORIDE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-277-15,SODIUM CHLORIDE 5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-290-05,TOBRAMYCIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-295-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,24208-295-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,24208-315-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",0.01,0.01,0.01,0.01,23
CDM,24208-317-05,SULFACETAMIDE-PREDNISOLONE 10 %-0.23 % (0.25 %) EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-342-05,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,715.8,422.32,87.07,644.22,23
CDM,24208-344-25,FLUNISOLIDE 25 MCG (0.025 %) NASAL SPRAY,239.75,141.45,29.16,215.78,23
CDM,24208-353-05,"LOTEPREDNOL ETABONATE 0.2 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,24208-358-05,"TOBRAMYCIN 0.3 %-LOTEPRED 0.5 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,24208-385-55,SODIUM CHLORIDE 5 % EYE OINTMENT,77.11,45.49,9.38,69.4,23
CDM,24208-385-56,SODIUM CHLORIDE 5 % EYE OINTMENT,59.43,35.06,7.23,53.49,23
CDM,24208-398-30,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,145.95,86.11,17.75,131.36,23
CDM,24208-399-15,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,145.2,85.67,17.66,130.68,23
CDM,24208-410-05,OFLOXACIN 0.3 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-411-05,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-411-10,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-411-15,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-434-05,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-457-05,DICLOFENAC 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-463-25,LATANOPROST 0.005 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-485-10,DORZOLAMIDE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-486-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-503-07,LOTEPREDNOL ETABONATE 0.5 % EYE GEL DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-504-02,LATANOPROSTENE BUNOD 0.024 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-504-05,LATANOPROSTENE BUNOD 0.024 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-505-05,LEVOBUNOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-539-20,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT,391.2,230.81,47.59,352.08,23
CDM,24208-555-55,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",29.6,17.46,3.6,26.64,23
CDM,24208-580-60,GENTAMICIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-601-10,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-631-10,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION",0.01,0.01,0.01,0.01,23
CDM,24208-635-62,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",0.01,0.01,0.01,0.01,23
CDM,24208-670-04,SULFACETAMIDE SODIUM 10 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-715-10,PREDNISOLONE SODIUM PHOSPHATE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-720-02,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-730-06,PROPARACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-735-01,CYCLOPENTOLATE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-735-06,CYCLOPENTOLATE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,24208-780-55,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",209.95,123.87,25.54,188.96,23
CDM,24208-785-55,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT",208.1,122.78,25.31,187.29,23
CDM,24208-790-62,"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS",0.01,0.01,0.01,0.01,23
CDM,24208-795-35,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",63.51,37.47,7.73,57.16,23
CDM,24208-830-60,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",0.01,0.01,0.01,0.01,23
CDM,24208-910-19,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,29.52,17.42,3.59,26.57,23
CDM,24208-910-55,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,60.8,35.87,7.4,54.72,23
CDM,2420838762,VIT A 300 MCG-C 200 MG-E 27 MG-LUTEIN 2 MG AND MINERALS TABLET,0.41,0.24,0.05,0.37,23
CDM,2420843262,"VITAMINS A,C,E-ZINC-COPPER 2,148 MCG-113 MG-45 MG-17.4 MG TABLET",0.56,0.33,0.07,0.5,23
CDM,2420869760,VIT C 250 MG-VIT E 90 MG-ZINC 40 MG-COPPER 1 MG-LUTEIN-ZEAXAN CAPSULE,0.93,0.55,0.11,0.84,23
CDM,2420869762,VIT C 250 MG-VIT E 90 MG-ZINC 40 MG-COPPER 1 MG-LUTEIN-ZEAXAN CAPSULE,1.01,0.6,0.12,0.91,23
CDM,24338-050-08,CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT,24220.17,14289.9,2946.26,21798.15,23
CDM,24338-106-03,ERYTHROMYCIN STEARATE 250 MG TABLET,50.57,29.84,6.15,45.51,23
CDM,24338-110-03,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,56.4,33.28,6.86,50.76,23
CDM,24338-124-03,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",34.66,20.45,4.22,31.19,23
CDM,24338-130-13,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,1978.5,1167.32,240.67,1780.65,23
CDM,24338-132-13,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1125.0,663.75,136.85,1012.5,23
CDM,24338-134-02,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1125.0,663.75,136.85,1012.5,23
CDM,24338-136-10,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1978.0,1167.02,240.61,1780.2,23
CDM,24338-150-01,TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION,101004.35,59592.57,12286.65,90903.92,23
CDM,24338-150-20,TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION,101004.35,59592.57,12286.65,90903.92,23
CDM,24338-230-05,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),234.98,138.64,28.58,211.48,23
CDM,24338-230-12,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),234.98,138.64,28.58,211.48,23
CDM,24338-230-15,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),245.0,144.55,29.8,220.5,23
CDM,24338-230-30,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),245.0,144.55,29.8,220.5,23
CDM,24338-530-25,SOTALOL 5 MG/ML ORAL SOLUTION,2433.75,1435.91,296.05,2190.38,23
CDM,24357-701-05,LIDOCAINE 4 % TOPICAL CREAM,12.45,7.35,1.51,11.21,23
CDM,24357-701-06,LIDOCAINE 4 % TOPICAL CREAM,12.45,7.35,1.51,11.21,23
CDM,24357-701-07,LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT,80.65,47.58,9.81,72.59,23
CDM,2435730001,POTASSIUM ALUM (BULK) POWDER,383.85,226.47,46.69,345.47,23
CDM,24385-118-78,SIMETHICONE 80 MG CHEWABLE TABLET,0.27,0.16,0.03,0.24,23
CDM,24385-241-54,METHYL SALICYLATE-MENTHOL 29 %-7.6 % TOPICAL OINTMENT,24.8,14.63,3.02,22.32,23
CDM,2438514976,"LACTASE 3,000 UNIT TABLET",0.38,0.22,0.05,0.34,23
CDM,24470-900-04,BENZOYL PEROXIDE 5 % TOPICAL CLEANSER,87.58,51.67,10.65,78.82,23
CDM,24470-917-10,ERGOTAMINE 1 MG-CAFFEINE 100 MG TABLET,43.74,25.81,5.32,39.37,23
CDM,24510-050-10,TAPENTADOL 50 MG TABLET,49.04,28.93,5.97,44.14,23
CDM,24510-110-10,OXYCODONE ER 9 MG CAPSULE SPRINKLE EXTENDED RELEASE 12 HR(DON'T CRUSH),29.53,17.42,3.59,26.58,23
CDM,24510-115-10,OXYCODONE ER 13.5 MG CAPSULE SPRINKLE EXTEND RELEASE 12HR(DON'T CRUSH),43.46,25.64,5.29,39.11,23
CDM,24510-130-10,OXYCODONE ER 27 MG CAPSULE SPRINKLE EXTENDED RELEASE 12HR(DON'T CRUSH),76.67,45.24,9.33,69.0,23
CDM,24510-140-10,OXYCODONE ER 36 MG CAPSULE SPRINKLE EXTENDED RELEASE 12HR(DON'T CRUSH),94.37,55.68,11.48,84.93,23
CDM,24571-102-06,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM 8 POT 2 MEQ-MAG 1 MEQ/L,100.0,59.0,12.16,90.0,23
CDM,24571-103-06,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,125.0,73.75,15.21,112.5,23
CDM,24571-105-06,BICARBONATE HEMODIALYSIS SOLUTION NO.9 K 4 MEQ-CA 2.5 MEQ-MG 1.5 MEQ/L,100.0,59.0,12.16,90.0,23
CDM,24571-111-06,BICARB HEMODIALYSIS SOLN WITHOUT CALCIUM NO 16 POT 4 MEQ-MAG 1.5 MEQ/L,200.0,118.0,24.33,180.0,23
CDM,24571-113-06,"BICARBONATE DIALYSIS SOLN NO.13 WITHOUT CAL,POT,DEXTROSE-MAG 1.2 MEQ/L",25.0,14.75,3.04,22.5,23
CDM,24571-114-06,BICARBONATE DIALYSIS SOLN WITHOUT CALCIUM NO15 POT 4 MEQ-MAG 1.2 MEQ/L,100.0,59.0,12.16,90.0,23
CDM,24571-116-05,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,425.0,250.75,51.7,382.5,23
CDM,24571-116-06,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,125.0,73.75,15.21,112.5,23
CDM,24571-117-05,"PHOSPHATE DIALY SOLN W-OUT CALCIUM,DEX K 4 MEQ-MG 1.5 MEQ-PO4 1 MMOL/L",175.0,103.25,21.29,157.5,23
CDM,24658-261-90,ROSUVASTATIN 5 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,24689-119-01,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,24979-001-06,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",984.0,580.56,119.7,885.6,23
CDM,24979-002-06,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",31.69,18.7,3.85,28.52,23
CDM,24979-011-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",2.08,1.23,0.25,1.87,23
CDM,24979-028-07,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",1.1,0.65,0.13,0.99,23
CDM,24979-102-06,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",0.92,0.54,0.11,0.83,23
CDM,24979-137-01,FLUPHENAZINE 2.5 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,24979-715-44,SORAFENIB 200 MG TABLET,418.74,247.06,50.94,376.87,23
CDM,25010-215-15,ETHACRYNIC ACID 25 MG TABLET,113.25,66.82,13.78,101.93,23
CDM,25010-305-15,METYROSINE 250 MG CAPSULE,1703.48,1005.05,207.22,1533.13,23
CDM,25010-705-15,PENICILLAMINE 250 MG CAPSULE,1213.32,715.86,147.59,1091.99,23
CDM,25021-053-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,6.58,3.88,0.8,5.92,23
CDM,25021-100-10,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,6.36,3.75,0.77,5.72,23
CDM,25021-101-10,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,2.33,1.37,0.28,2.1,23
CDM,25021-106-10,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,8.94,5.27,1.09,8.05,23
CDM,25021-107-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,18.16,10.71,2.21,16.34,23
CDM,25021-110-20,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,32.72,19.3,3.98,29.45,23
CDM,25021-114-82,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,25021-114-87,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,13.0,7.67,1.58,11.7,23
CDM,25021-115-02,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,13.76,8.12,1.67,12.38,23
CDM,25021-115-04,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,16.26,9.59,1.98,14.63,23
CDM,25021-115-06,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,22.02,12.99,2.68,19.82,23
CDM,25021-118-10,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,10.51,6.2,1.28,9.46,23
CDM,25021-119-20,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,17.51,10.33,2.13,15.76,23
CDM,25021-121-20,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,20.13,11.88,2.45,18.12,23
CDM,25021-122-50,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,36.1,21.3,4.39,32.49,23
CDM,25021-127-20,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,20.82,12.28,2.53,18.74,23
CDM,25021-128-50,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,41.47,24.47,5.04,37.32,23
CDM,25021-129-99,CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION,103.14,60.85,12.55,92.83,23
CDM,25021-131-82,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,2.5,1.48,0.3,2.25,23
CDM,25021-135-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION,6.8,4.01,0.83,6.12,23
CDM,25021-136-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,10.3,6.08,1.25,9.27,23
CDM,25021-137-20,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,16.04,9.46,1.95,14.44,23
CDM,25021-142-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,18.55,10.94,2.26,16.7,23
CDM,25021-143-30,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,40.55,23.92,4.93,36.5,23
CDM,25021-146-10,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,20.63,12.17,2.51,18.57,23
CDM,25021-151-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.4,6.73,1.39,10.26,23
CDM,25021-157-99,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,86.4,50.98,10.51,77.76,23
CDM,25021-158-99,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,139.75,82.45,17.0,125.78,23
CDM,25021-159-10,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,65.1,38.41,7.92,58.59,23
CDM,25021-162-24,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,32.99,19.46,4.01,29.69,23
CDM,25021-162-68,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,32.99,19.46,4.01,29.69,23
CDM,25021-164-30,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,32.43,19.13,3.94,29.19,23
CDM,25021-165-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,50.97,30.07,6.2,45.87,23
CDM,25021-166-48,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,67.18,39.64,8.17,60.46,23
CDM,25021-169-87,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,36.0,21.24,4.38,32.4,23
CDM,25021-174-15,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,95.6,56.4,11.63,86.04,23
CDM,25021-176-20,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,8.53,5.03,1.04,7.68,23
CDM,25021-177-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,12.86,7.59,1.56,11.57,23
CDM,25021-179-15,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,59.45,35.08,7.23,53.51,23
CDM,25021-179-66,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,59.45,35.08,7.23,53.51,23
CDM,25021-179-67,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,59.44,35.07,7.23,53.5,23
CDM,25021-184-66,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,18.5,10.92,2.25,16.65,23
CDM,25021-184-67,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,20.0,11.8,2.43,18.0,23
CDM,25021-184-82,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,18.5,10.92,2.25,16.65,23
CDM,25021-184-87,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,20.0,11.8,2.43,18.0,23
CDM,25021-186-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,24.88,14.68,3.03,22.39,23
CDM,25021-187-30,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,40.55,23.92,4.93,36.5,23
CDM,25021-192-82,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,10.5,6.2,1.28,9.45,23
CDM,25021-192-87,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,13.0,7.67,1.58,11.7,23
CDM,25021-201-10,MESNA 100 MG/ML INTRAVENOUS SOLUTION,38.4,22.66,4.67,34.56,23
CDM,25021-201-11,MESNA 100 MG/ML INTRAVENOUS SOLUTION,37.05,21.86,4.51,33.35,23
CDM,25021-204-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,38.25,22.57,4.65,34.43,23
CDM,25021-204-05,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,156.65,92.42,19.06,140.99,23
CDM,25021-207-25,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,40.25,23.75,4.9,36.23,23
CDM,25021-215-98,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,62.75,37.02,7.63,56.48,23
CDM,25021-215-99,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,125.5,74.05,15.27,112.95,23
CDM,25021-219-20,DECITABINE 50 MG INTRAVENOUS SOLUTION,207.35,122.34,25.22,186.62,23
CDM,25021-229-05,CYTARABINE (PF) 100 MG/5 ML INJECTION,16.35,9.65,1.99,14.72,23
CDM,25021-230-02,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,41.45,24.46,5.04,37.31,23
CDM,25021-230-05,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,61.05,36.02,7.43,54.95,23
CDM,25021-231-20,DECITABINE 50 MG INTRAVENOUS SOLUTION,463.3,273.35,56.36,416.97,23
CDM,25021-233-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,64.5,38.06,7.85,58.05,23
CDM,25021-233-20,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,133.6,78.82,16.25,120.24,23
CDM,25021-234-10,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,14.95,8.82,1.82,13.46,23
CDM,25021-235-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,71.9,42.42,8.75,64.71,23
CDM,25021-242-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,382.4,225.62,46.52,344.16,23
CDM,25021-244-10,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,124.4,73.4,15.13,111.96,23
CDM,25021-245-01,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,46.65,27.52,5.67,41.99,23
CDM,25021-245-04,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,148.2,87.44,18.03,133.38,23
CDM,25021-246-02,THIOTEPA 15 MG SOLUTION FOR INJECTION,618.75,365.06,75.27,556.88,23
CDM,25021-247-50,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,282.05,166.41,34.31,253.85,23
CDM,25021-251-50,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,269.55,159.03,32.79,242.6,23
CDM,25021-253-50,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,34.5,20.36,4.2,31.05,23
CDM,25021-253-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,71.5,42.19,8.7,64.35,23
CDM,25021-255-05,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",32.65,19.26,3.97,29.39,23
CDM,25021-255-17,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",72.15,42.57,8.78,64.94,23
CDM,25021-255-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",172.25,101.63,20.95,155.03,23
CDM,25021-256-10,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,596.65,352.02,72.58,536.99,23
CDM,25021-258-61,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,596.65,352.02,72.58,536.99,23
CDM,25021-301-67,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,43.56,25.7,5.3,39.2,23
CDM,25021-301-68,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,65.34,38.55,7.95,58.81,23
CDM,25021-302-66,AMIODARONE 150 MG/3 ML INTRAVENOUS SYRINGE,40.55,23.92,4.93,36.5,23
CDM,25021-305-20,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,145.65,85.93,17.72,131.09,23
CDM,25021-305-66,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,145.65,85.93,17.72,131.09,23
CDM,25021-308-84,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",350.0,206.5,42.58,315.0,23
CDM,25021-309-82,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",306.5,180.84,37.28,275.85,23
CDM,25021-310-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,89.0,52.51,10.83,80.1,23
CDM,25021-311-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.58,2.11,0.44,3.22,23
CDM,25021-311-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.7,2.77,0.57,4.23,23
CDM,25021-311-10,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,7.05,4.16,0.86,6.35,23
CDM,25021-313-87,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,76.0,44.84,9.25,68.4,23
CDM,25021-314-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,25021-315-98,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,67.95,40.09,8.27,61.16,23
CDM,25021-315-99,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,8.65,5.1,1.05,7.79,23
CDM,25021-316-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,21.88,12.91,2.66,19.69,23
CDM,25021-318-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,12.44,7.34,1.51,11.2,23
CDM,25021-318-04,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,22.12,13.05,2.69,19.91,23
CDM,25021-319-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,15.05,8.88,1.83,13.55,23
CDM,25021-319-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,18.05,10.65,2.2,16.25,23
CDM,25021-319-25,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,36.86,21.75,4.48,33.17,23
CDM,25021-321-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,7.22,4.26,0.88,6.5,23
CDM,25021-323-02,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,1842.38,1087.0,224.12,1658.14,23
CDM,25021-400-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",4.89,2.89,0.59,4.4,23
CDM,25021-400-10,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",13.1,7.73,1.59,11.79,23
CDM,25021-400-30,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.95,13.54,2.79,20.66,23
CDM,25021-401-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",16.91,9.98,2.06,15.22,23
CDM,25021-402-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",4.15,2.45,0.5,3.74,23
CDM,25021-402-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",24.1,14.22,2.93,21.69,23
CDM,25021-403-01,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",10.97,6.47,1.33,9.87,23
CDM,25021-403-04,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",29.2,17.23,3.55,26.28,23
CDM,25021-410-70,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,9.68,5.71,1.18,8.71,23
CDM,25021-410-71,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,33.64,19.85,4.09,30.28,23
CDM,25021-410-76,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,11.06,6.53,1.35,9.95,23
CDM,25021-410-77,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,17.97,10.6,2.19,16.17,23
CDM,25021-410-78,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,26.5,15.64,3.22,23.85,23
CDM,25021-451-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,20.85,12.3,2.54,18.77,23
CDM,25021-452-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,30.12,17.77,3.66,27.11,23
CDM,25021-453-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,162.16,95.67,19.73,145.94,23
CDM,25021-454-05,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,315.25,186.0,38.35,283.73,23
CDM,25021-460-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,234.99,138.64,28.59,211.49,23
CDM,25021-461-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,640.45,377.87,77.91,576.41,23
CDM,25021-462-74,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,694.95,410.02,84.54,625.46,23
CDM,25021-467-05,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",438.0,258.42,53.28,394.2,23
CDM,25021-468-10,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,262.4,154.82,31.92,236.16,23
CDM,25021-471-74,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,244.2,144.08,29.71,219.78,23
CDM,25021-474-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,52.53,30.99,6.39,47.28,23
CDM,25021-500-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,13.7,8.08,1.67,12.33,23
CDM,25021-502-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",4.98,2.94,0.61,4.48,23
CDM,25021-601-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,20.15,11.89,2.45,18.14,23
CDM,25021-602-03,CAFFEINE CITRATE 20 MG/ML ORAL SOLUTION,40.44,23.86,4.92,36.4,23
CDM,25021-608-20,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,7.7,4.54,0.94,6.93,23
CDM,25021-608-50,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,19.25,11.36,2.34,17.33,23
CDM,25021-608-51,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,31.5,18.59,3.83,28.35,23
CDM,25021-612-81,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,21.5,12.69,2.62,19.35,23
CDM,25021-659-05,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,37.1,21.89,4.51,33.39,23
CDM,25021-662-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.3,4.9,1.01,7.47,23
CDM,25021-670-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,20.15,11.89,2.45,18.14,23
CDM,25021-671-66,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,112.0,66.08,13.62,100.8,23
CDM,25021-671-82,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,112.0,66.08,13.62,100.8,23
CDM,25021-671-87,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,191.0,112.69,23.23,171.9,23
CDM,25021-672-10,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,74.2,43.78,9.03,66.78,23
CDM,25021-673-76,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,23.79,14.04,2.89,21.41,23
CDM,25021-673-77,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,21.45,12.66,2.61,19.31,23
CDM,25021-674-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,10.15,5.99,1.23,9.14,23
CDM,25021-674-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,13.8,8.14,1.68,12.42,23
CDM,25021-675-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,25.25,14.9,3.07,22.73,23
CDM,25021-676-20,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,3312.8,1954.55,402.98,2981.52,23
CDM,25021-676-50,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,4718.75,2784.06,574.01,4246.88,23
CDM,25021-679-20,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1317.8,777.5,160.3,1186.02,23
CDM,25021-682-20,KETAMINE 10 MG/ML INJECTION SOLUTION,55.3,32.63,6.73,49.77,23
CDM,25021-683-10,KETAMINE 50 MG/ML INJECTION SOLUTION,34.55,20.38,4.2,31.1,23
CDM,25021-685-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,238.6,140.77,29.02,214.74,23
CDM,25021-687-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,16.35,9.65,1.99,14.72,23
CDM,25021-700-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,2.77,1.63,0.34,2.49,23
CDM,25021-701-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,3.14,1.85,0.38,2.83,23
CDM,25021-701-02,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,3.59,2.12,0.44,3.23,23
CDM,25021-780-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,5.08,3.0,0.62,4.57,23
CDM,25021-783-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,66.8,39.41,8.13,60.12,23
CDM,25021-790-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,25021-791-20,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,82.9,48.91,10.08,74.61,23
CDM,25021-806-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,10.14,5.98,1.23,9.13,23
CDM,25021-812-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,191.25,112.84,23.26,172.13,23
CDM,25021-813-10,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,20.74,12.24,2.52,18.67,23
CDM,25021-813-66,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,24.75,14.6,3.01,22.28,23
CDM,25021-814-30,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,31.8,18.76,3.87,28.62,23
CDM,25021-815-30,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,124.4,73.4,15.13,111.96,23
CDM,25021-816-30,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,58.5,34.52,7.12,52.65,23
CDM,25021-826-67,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,115.0,67.85,13.99,103.5,23
CDM,25021-826-82,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,115.0,67.85,13.99,103.5,23
CDM,25021-827-61,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,1158.26,683.37,140.9,1042.43,23
CDM,25021-828-50,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,359.4,212.05,43.72,323.46,23
CDM,25021-829-02,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,2405.1,1419.01,292.57,2164.59,23
CDM,25021-830-82,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,173.0,102.07,21.04,155.7,23
CDM,25021-838-05,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,175.1,103.31,21.3,157.59,23
CDM,25208-001-04,"TIROFIBAN 250 MCG/ML CONCENTRATE,INTRAVENOUS",192.6,113.63,23.43,173.34,23
CDM,25208-002-01,TIROFIBAN (AGGRASTAT) 5 MG IN 100 ML (50 MCG/ML) INFUSION (POST-PROCEDURE CRCL > 60 ML/MIN),284.5,167.86,34.61,256.05,23
CDM,25208-002-02,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,547.5,323.03,66.6,492.75,23
CDM,25208-002-03,TIROFIBAN (AGGRASTAT) 5 MG IN 100 ML (50 MCG/ML) INFUSION (POST-PROCEDURE CRCL > 60 ML/MIN),244.0,143.96,29.68,219.6,23
CDM,25208-902-01,TIROFIBAN (AGGRASTAT) 5 MG IN 100 ML (50 MCG/ML) INFUSION (POST-PROCEDURE CRCL > 60 ML/MIN),426.5,251.64,51.88,383.85,23
CDM,25682-001-01,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,32614.95,19242.82,3967.44,29353.46,23
CDM,25682-025-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,32020.01,18891.81,3895.07,28818.01,23
CDM,25682-028-01,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,117406.63,69269.91,14281.9,105665.97,23
CDM,27241-001-06,RISPERIDONE 1 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,27241-002-06,RISPERIDONE 0.25 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,27241-003-06,RISPERIDONE 0.5 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,27241-004-06,RISPERIDONE 2 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,27241-005-06,RISPERIDONE 3 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,27241-022-38,ZOLMITRIPTAN 5 MG TABLET,7.69,4.54,0.94,6.92,23
CDM,27241-032-03,OMEPRAZOLE 40 MG-SODIUM BICARBONATE 1.1 GRAM CAPSULE,6.67,3.94,0.81,6.0,23
CDM,27241-049-10,ENTACAPONE 200 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,27241-052-03,ARIPIPRAZOLE 5 MG TABLET,3.25,1.92,0.4,2.93,23
CDM,27241-062-03,VORICONAZOLE 50 MG TABLET,10.04,5.92,1.22,9.04,23
CDM,27241-063-03,VORICONAZOLE 200 MG TABLET,34.56,20.39,4.2,31.1,23
CDM,27241-097-06,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",1.2,0.71,0.15,1.08,23
CDM,27241-098-09,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1.19,0.7,0.14,1.07,23
CDM,27241-099-03,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1.38,0.81,0.17,1.24,23
CDM,27241-125-02,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",2.32,1.37,0.28,2.09,23
CDM,27241-134-21,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,4.0,2.36,0.49,3.6,23
CDM,27241-134-36,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,4.01,2.37,0.49,3.61,23
CDM,27241-139-09,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,120.0,70.8,14.6,108.0,23
CDM,27241-145-01,SILODOSIN 8 MG CAPSULE,4.61,2.72,0.56,4.15,23
CDM,27241-159-19,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,3200.56,1888.33,389.33,2880.5,23
CDM,27241-160-01,CAPTOPRIL 12.5 MG TABLET,3.69,2.18,0.45,3.32,23
CDM,27241-163-01,CAPTOPRIL 100 MG TABLET,8.3,4.9,1.01,7.47,23
CDM,27241-168-01,DOXEPIN 25 MG CAPSULE,1.39,0.82,0.17,1.25,23
CDM,27241-191-30,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",4.64,2.74,0.56,4.18,23
CDM,2743400211,ACETYLCYSTEINE 600 MG CAPSULE,0.76,0.45,0.09,0.68,23
CDM,27437-056-01,LEVALBUTEROL HFA 45 MCG/ACTUATION AEROSOL INHALER,207.98,122.71,25.3,187.18,23
CDM,27505-003-67,DANTROLENE 20 MG INTRAVENOUS SOLUTION,308.34,181.92,37.51,277.51,23
CDM,27808-002-01,RISPERIDONE 1 MG/ML ORAL SOLUTION,66.0,38.94,8.03,59.4,23
CDM,27808-033-01,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,217.58,128.37,26.47,195.82,23
CDM,27808-065-02,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,73.32,43.26,8.92,65.99,23
CDM,27808-086-01,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,224.83,132.65,27.35,202.35,23
CDM,27808-092-01,DEXMETHYLPHENIDATE 5 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,27808-155-01,ROSUVASTATIN 5 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,27808-156-01,ROSUVASTATIN 10 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,27808-157-01,ROSUVASTATIN 20 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,27808-157-03,ROSUVASTATIN 20 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,27808-158-01,ROSUVASTATIN 40 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,27808-158-03,ROSUVASTATIN 40 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,27808-206-01,FEBUXOSTAT 40 MG TABLET,5.38,3.17,0.65,4.84,23
CDM,27808-223-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",9.99,5.89,1.22,8.99,23
CDM,27808-225-01,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",14.59,8.61,1.77,13.13,23
CDM,27808-234-01,DOXYCYCLINE HYCLATE 100 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,27808-234-02,DOXYCYCLINE HYCLATE 100 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,29033-001-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",5.63,3.32,0.68,5.07,23
CDM,29033-002-01,"THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR",7.06,4.17,0.86,6.35,23
CDM,29033-003-01,SUCRALFATE 1 GRAM TABLET,1.18,0.7,0.14,1.06,23
CDM,29033-019-12,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",7.59,4.48,0.92,6.83,23
CDM,29033-026-02,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,3.25,1.92,0.4,2.93,23
CDM,29033-030-01,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",5.79,3.42,0.7,5.21,23
CDM,29033-056-01,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",5.95,3.51,0.72,5.36,23
CDM,29033-057-01,"THEOPHYLLINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",14.1,8.32,1.72,12.69,23
CDM,29033-058-01,"THEOPHYLLINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",20.96,12.37,2.55,18.86,23
CDM,29300-113-16,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,29300-114-05,LAMOTRIGINE 200 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,29300-114-16,LAMOTRIGINE 200 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,29300-125-01,MELOXICAM 15 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,29300-126-13,BISOPROLOL FUMARATE 5 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,29300-127-13,BISOPROLOL FUMARATE 10 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,29300-130-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,0.16,0.09,0.02,0.14,23
CDM,29300-132-01,ZALEPLON 10 MG CAPSULE,1.12,0.66,0.14,1.01,23
CDM,29300-135-01,CLONIDINE HCL 0.1 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,29300-136-01,CLONIDINE HCL 0.2 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,29300-137-01,CLONIDINE HCL 0.3 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,29300-138-01,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",0.3,0.18,0.04,0.27,23
CDM,29300-139-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",0.65,0.38,0.08,0.59,23
CDM,29300-140-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",1.15,0.68,0.14,1.04,23
CDM,29300-147-01,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,29300-148-01,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,29300-151-01,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,1.45,0.86,0.18,1.31,23
CDM,29300-151-16,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,29300-152-01,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,2.14,1.26,0.26,1.93,23
CDM,29300-155-19,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",1.8,1.06,0.22,1.62,23
CDM,29300-171-16,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,29300-172-16,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,29300-187-01,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,29300-188-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,29300-189-13,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,2.23,1.32,0.27,2.01,23
CDM,29300-227-01,METRONIDAZOLE 500 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,29300-227-05,METRONIDAZOLE 500 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,29300-227-46,METRONIDAZOLE 500 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,29300-239-16,TOLTERODINE 1 MG TABLET,3.34,1.97,0.41,3.01,23
CDM,29300-251-11,DONEPEZIL 10 MG DISINTEGRATING TABLET,3.05,1.8,0.37,2.75,23
CDM,29300-251-87,DONEPEZIL 10 MG DISINTEGRATING TABLET,3.05,1.8,0.37,2.75,23
CDM,29300-349-01,ALLOPURINOL 100 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,29300-355-01,TRAMADOL 50 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,29300-397-19,AMLODIPINE 5 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,29300-411-01,ATENOLOL 50 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,29300-411-05,ATENOLOL 50 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,29300-412-01,ATENOLOL 100 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,29300-413-01,CYCLOBENZAPRINE 5 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,29300-413-19,CYCLOBENZAPRINE 5 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,29300-419-01,AMITRIPTYLINE 10 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,29300-420-01,AMITRIPTYLINE 25 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,29300-421-01,AMITRIPTYLINE 50 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,29300-423-01,AMITRIPTYLINE 100 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,29300-429-01,ZONISAMIDE 50 MG CAPSULE,0.74,0.44,0.09,0.67,23
CDM,29300-468-01,CLONIDINE HCL 0.1 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,30237-8900-6,SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION,354080.0,208907.2,43071.97,318672.0,23
CDM,30698-060-01,FUROSEMIDE 40 MG TABLET,5.09,3.0,0.62,4.58,23
CDM,30698-911-15,CALCITRIOL 1 MCG/ML ORAL SOLUTION,855.6,504.8,104.08,770.04,23
CDM,31604-0133-08,VITAMIN B COMPLEX TABLET,0.26,0.15,0.03,0.23,23
CDM,3160401224,VITAMIN E 268 MG (400 UNIT) CAPSULE,0.47,0.28,0.06,0.42,23
CDM,3160401281,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,3160401338,B-COMPLEX WITH VITAMIN C TABLET,0.26,0.15,0.03,0.23,23
CDM,31722-010-90,DROXIDOPA 300 MG CAPSULE,9.91,5.85,1.21,8.92,23
CDM,31722-014-90,DROXIDOPA 100 MG CAPSULE,3.59,2.12,0.44,3.23,23
CDM,31722-015-90,DROXIDOPA 200 MG CAPSULE,6.79,4.01,0.83,6.11,23
CDM,31722-017-01,FAMOTIDINE 20 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,31722-017-10,FAMOTIDINE 20 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,31722-018-01,FAMOTIDINE 40 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,31722-049-30,EPLERENONE 25 MG TABLET,3.84,2.27,0.47,3.46,23
CDM,31722-103-30,CINACALCET 30 MG TABLET,2.94,1.73,0.36,2.65,23
CDM,31722-104-30,CINACALCET 60 MG TABLET,6.76,3.99,0.82,6.08,23
CDM,31722-105-30,CINACALCET 90 MG TABLET,9.99,5.89,1.22,8.99,23
CDM,31722-119-01,"HYDROMORPHONE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",25.22,14.88,3.07,22.7,23
CDM,31722-120-01,"HYDROMORPHONE ER 12 MG TABLET,EXTENDED RELEASE 24 HR",53.31,31.45,6.48,47.98,23
CDM,31722-121-01,"HYDROMORPHONE ER 16 MG TABLET,EXTENDED RELEASE 24 HR",50.26,29.65,6.11,45.23,23
CDM,31722-122-01,"HYDROMORPHONE ER 32 MG TABLET,EXTENDED RELEASE 24 HR",94.01,55.47,11.44,84.61,23
CDM,31722-131-30,DUTASTERIDE 0.5 MG CAPSULE,0.9,0.53,0.11,0.81,23
CDM,31722-131-90,DUTASTERIDE 0.5 MG CAPSULE,1.69,1.0,0.21,1.52,23
CDM,31722-136-31,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,552.72,326.1,67.24,497.45,23
CDM,31722-138-01,BACLOFEN 5 MG TABLET,4.3,2.54,0.52,3.87,23
CDM,31722-141-01,CAPTOPRIL 12.5 MG TABLET,3.11,1.83,0.38,2.8,23
CDM,31722-143-01,CAPTOPRIL 50 MG TABLET,5.55,3.27,0.68,5.0,23
CDM,31722-144-01,CAPTOPRIL 100 MG TABLET,7.11,4.19,0.86,6.4,23
CDM,31722-153-90,VALSARTAN 160 MG TABLET,1.58,0.93,0.19,1.42,23
CDM,31722-154-90,VALSARTAN 320 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,31722-173-01,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,31722-174-01,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,31722-175-01,METHYLPHENIDATE IMMEDIATE RELEASE 20 MG TABLET,1.87,1.1,0.23,1.68,23
CDM,31722-185-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",3.25,1.92,0.4,2.93,23
CDM,31722-187-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",3.25,1.92,0.4,2.93,23
CDM,31722-205-10,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",44.93,26.51,5.47,40.44,23
CDM,31722-205-31,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",44.93,26.51,5.47,40.44,23
CDM,31722-229-01,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",3.01,1.78,0.37,2.71,23
CDM,31722-247-30,TERIFLUNOMIDE 14 MG TABLET,7.68,4.53,0.93,6.91,23
CDM,31722-308-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,60.0,35.4,7.3,54.0,23
CDM,31722-504-30,EFAVIRENZ 600 MG TABLET,10.67,6.3,1.3,9.6,23
CDM,31722-505-60,NEVIRAPINE 200 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,31722-506-60,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,10.26,6.05,1.25,9.23,23
CDM,31722-519-01,HYDRALAZINE 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,31722-520-01,HYDRALAZINE 25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,31722-521-01,HYDRALAZINE 50 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,31722-522-01,HYDRALAZINE 100 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,31722-525-30,FINASTERIDE 5 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,31722-526-30,FINASTERIDE 1 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,31722-526-90,FINASTERIDE 1 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,31722-529-01,TORSEMIDE 5 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,31722-530-01,TORSEMIDE 10 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,31722-531-01,TORSEMIDE 20 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,31722-532-01,TORSEMIDE 100 MG TABLET,2.08,1.23,0.25,1.87,23
CDM,31722-535-30,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,4.61,2.72,0.56,4.15,23
CDM,31722-536-12,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,31722-537-12,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,31722-538-12,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,31722-542-01,INDOMETHACIN 25 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,31722-543-01,INDOMETHACIN 50 MG CAPSULE,0.9,0.53,0.11,0.81,23
CDM,31722-545-01,LITHIUM CARBONATE IMMEDIATE RELEASE 300 MG CAPSULE,0.3,0.18,0.04,0.27,23
CDM,31722-556-12,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET,24.5,14.46,2.98,22.05,23
CDM,31722-557-60,ABACAVIR 300 MG TABLET,11.52,6.8,1.4,10.37,23
CDM,31722-562-24,ABACAVIR 20 MG/ML ORAL SOLUTION,426.0,251.34,51.82,383.4,23
CDM,31722-564-24,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,300.0,177.0,36.49,270.0,23
CDM,31722-565-60,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",1.39,0.82,0.17,1.25,23
CDM,31722-570-30,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",1.54,0.91,0.19,1.39,23
CDM,31722-572-30,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",1.55,0.91,0.19,1.4,23
CDM,31722-573-30,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",1.55,0.91,0.19,1.4,23
CDM,31722-581-60,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",2.27,1.34,0.28,2.04,23
CDM,31722-582-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",2.28,1.35,0.28,2.05,23
CDM,31722-585-30,NEBIVOLOL 2.5 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,31722-586-30,NEBIVOLOL 5 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,31722-587-30,NEBIVOLOL 10 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,31722-588-30,NEBIVOLOL 20 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,31722-597-30,RITONAVIR 100 MG TABLET,12.29,7.25,1.5,11.06,23
CDM,31722-598-12,RUFINAMIDE 200 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,31722-612-90,PREGABALIN 75 MG CAPSULE,0.43,0.25,0.05,0.39,23
CDM,31722-629-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,44.13,26.04,5.37,39.72,23
CDM,31722-630-31,OSELTAMIVIR 30 MG CAPSULE,11.98,7.07,1.46,10.78,23
CDM,31722-632-31,OSELTAMIVIR 75 MG CAPSULE,11.98,7.07,1.46,10.78,23
CDM,31722-636-30,SILODOSIN 8 MG CAPSULE,4.64,2.74,0.56,4.18,23
CDM,31722-643-30,TADALAFIL 2.5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,31722-653-60,ATAZANAVIR 150 MG CAPSULE,13.69,8.08,1.67,12.32,23
CDM,31722-665-30,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",1.54,0.91,0.19,1.39,23
CDM,31722-665-90,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",1.54,0.91,0.19,1.39,23
CDM,31722-683-01,TRIENTINE 250 MG CAPSULE,28.0,16.52,3.41,25.2,23
CDM,31722-700-10,LOSARTAN 25 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,31722-700-90,LOSARTAN 25 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,31722-701-30,LOSARTAN 50 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,31722-701-90,LOSARTAN 50 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,31722-702-10,LOSARTAN 100 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,31722-702-30,LOSARTAN 100 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,31722-702-90,LOSARTAN 100 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,31722-704-30,VALACYCLOVIR 500 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,31722-705-30,VALACYCLOVIR 1 GRAM TABLET,2.83,1.67,0.34,2.55,23
CDM,31722-707-30,FAMCICLOVIR 250 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,31722-708-30,FAMCICLOVIR 500 MG TABLET,5.37,3.17,0.65,4.83,23
CDM,31722-712-90,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",0.52,0.31,0.06,0.47,23
CDM,31722-713-90,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.52,0.31,0.06,0.47,23
CDM,31722-714-30,ATOMOXETINE 10 MG CAPSULE,8.45,4.99,1.03,7.61,23
CDM,31722-715-30,ATOMOXETINE 18 MG CAPSULE,8.45,4.99,1.03,7.61,23
CDM,31722-716-30,ATOMOXETINE 25 MG CAPSULE,1.22,0.72,0.15,1.1,23
CDM,31722-721-50,LEVOFLOXACIN 250 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,31722-723-20,LEVOFLOXACIN 750 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,31722-726-30,MONTELUKAST 10 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,31722-726-90,MONTELUKAST 10 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,31722-727-30,MONTELUKAST 4 MG CHEWABLE TABLET,1.14,0.67,0.14,1.03,23
CDM,31722-728-30,MONTELUKAST 5 MG CHEWABLE TABLET,1.08,0.64,0.13,0.97,23
CDM,31722-729-30,IRBESARTAN 75 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,31722-730-30,IRBESARTAN 150 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,31722-731-30,IRBESARTAN 300 MG TABLET,1.12,0.66,0.14,1.01,23
CDM,31722-731-90,IRBESARTAN 300 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,31722-749-20,LINEZOLID 600 MG TABLET,12.56,7.41,1.53,11.3,23
CDM,31722-776-90,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,31722-777-01,ACYCLOVIR 400 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,31722-777-05,ACYCLOVIR 400 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,31722-778-01,ACYCLOVIR 800 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,31722-813-60,LACOSAMIDE 100 MG TABLET,3.11,1.83,0.38,2.8,23
CDM,31722-819-30,ARIPIPRAZOLE 2 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,31722-820-30,ARIPIPRAZOLE 5 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,31722-821-11,TETRABENAZINE 12.5 MG TABLET,6.17,3.64,0.75,5.55,23
CDM,31722-827-30,ARIPIPRAZOLE 10 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,31722-828-30,ARIPIPRAZOLE 15 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,31722-832-60,VALGANCICLOVIR 450 MG TABLET,15.87,9.36,1.93,14.28,23
CDM,31722-869-03,TOLVAPTAN 30 MG TABLET,480.0,283.2,58.39,432.0,23
CDM,31722-869-31,TOLVAPTAN 30 MG TABLET,480.0,283.2,58.39,432.0,23
CDM,31722-878-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,0.72,0.42,0.09,0.65,23
CDM,31722-882-90,ROSUVASTATIN 5 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,31722-883-90,ROSUVASTATIN 10 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,31722-884-90,ROSUVASTATIN 20 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,31722-917-05,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,31722-926-01,METHYLPHENIDATE 2.5 MG CHEWABLE TABLET,11.53,6.8,1.4,10.38,23
CDM,31722-935-02,ALBENDAZOLE 200 MG TABLET,139.0,82.01,16.91,125.1,23
CDM,31722-949-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,31722-953-01,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",3.47,2.05,0.42,3.12,23
CDM,31722-958-01,BENZONATATE 200 MG CAPSULE,1.39,0.82,0.17,1.25,23
CDM,31722-963-31,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,161.81,95.47,19.68,145.63,23
CDM,31722-963-32,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,161.81,95.47,19.68,145.63,23
CDM,31722-981-10,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,27.65,16.31,3.36,24.89,23
CDM,31722-981-31,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,27.65,16.31,3.36,24.89,23
CDM,3172293747,SIMPLE SYRUP,54.4,32.1,6.62,48.96,23
CDM,3243061212,"SILVER SULFATE-FOAM BANDAGE 6"" X 6",31.55,18.61,3.84,28.4,23
CDM,32909-105-10,BARIUM SULFATE 81 % (W/W) ORAL POWDER,25.9,15.28,3.15,23.31,23
CDM,32909-115-00,"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION",64.8,38.23,7.88,58.32,23
CDM,32909-122-07,"BARIUM SULFATE 40 % (W/V), 29% (W/W) ORAL SUSPENSION",252.5,148.98,30.72,227.25,23
CDM,32909-125-22,"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE",232.3,137.06,28.26,209.07,23
CDM,32909-167-55,"BARIUM SULFATE 105 % (W/V), 58 % (W/W) ORAL SUSPENSION",56.25,33.19,6.84,50.63,23
CDM,32909-168-02,"BARIUM SULFATE 105 % (W/V), 58 % (W/W) ORAL SUSPENSION",142.5,84.08,17.33,128.25,23
CDM,32909-186-01,BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION,95.0,56.05,11.56,85.5,23
CDM,32909-187-02,BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION,21.3,12.57,2.59,19.17,23
CDM,32909-711-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,15.75,9.29,1.92,14.18,23
CDM,32909-722-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,15.75,9.29,1.92,14.18,23
CDM,32909-724-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,18.0,10.62,2.19,16.2,23
CDM,32909-741-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,15.75,9.29,1.92,14.18,23
CDM,32909-742-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,15.75,9.29,1.92,14.18,23
CDM,32909-744-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,18.0,10.62,2.19,16.2,23
CDM,32909-746-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,15.75,9.29,1.92,14.18,23
CDM,32909-750-01,BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION,84.0,49.56,10.22,75.6,23
CDM,32909-750-03,BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION,15.84,9.35,1.93,14.26,23
CDM,32909-756-03,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,15.75,9.29,1.92,14.18,23
CDM,32909-764-01,BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION,23.27,13.73,2.83,20.94,23
CDM,32909-770-01,BARIUM SULFATE 60 % ORAL CREAM,174.79,103.13,21.26,157.31,23
CDM,32909-804-01,BARIUM SULFATE 96 % ENEMA,0.09,0.05,0.01,0.08,23
CDM,32909-814-53,"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION",143.44,84.63,17.45,129.1,23
CDM,32909-927-03,"BARIUM SULFATE 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION",31.5,18.59,3.83,28.35,23
CDM,33332-024-03,FLU VACC TS2024-25 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE,105.01,61.96,12.77,94.51,23
CDM,33342-003-09,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,9.66,5.7,1.18,8.69,23
CDM,33342-025-07,FAMCICLOVIR 250 MG TABLET,2.47,1.46,0.3,2.22,23
CDM,33342-027-10,DONEPEZIL 5 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,33342-029-07,DONEPEZIL 5 MG DISINTEGRATING TABLET,1.62,0.96,0.2,1.46,23
CDM,33342-030-07,DONEPEZIL 10 MG DISINTEGRATING TABLET,1.6,0.94,0.19,1.44,23
CDM,33342-031-10,PRAMIPEXOLE 0.125 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,33342-032-10,PRAMIPEXOLE 0.25 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,33342-034-10,PRAMIPEXOLE 1 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,33342-035-10,PRAMIPEXOLE 1.5 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,33342-047-07,IRBESARTAN 75 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,33342-047-10,IRBESARTAN 75 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,33342-054-07,PIOGLITAZONE 15 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,33342-054-10,PIOGLITAZONE 15 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,33342-055-07,PIOGLITAZONE 30 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,33342-055-10,PIOGLITAZONE 30 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,33342-056-07,PIOGLITAZONE 45 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,33342-056-10,PIOGLITAZONE 45 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,33342-060-10,CLOPIDOGREL 75 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,33342-060-15,CLOPIDOGREL 75 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,33342-064-10,VALSARTAN 160 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,33342-067-07,OLANZAPINE 2.5 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,33342-070-07,OLANZAPINE 10 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,33342-075-10,VALSARTAN 160 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,33342-083-07,OLANZAPINE 5 MG DISINTEGRATING TABLET,3.94,2.32,0.48,3.55,23
CDM,33342-084-07,OLANZAPINE 10 MG DISINTEGRATING TABLET,5.79,3.42,0.7,5.21,23
CDM,33342-087-02,RIZATRIPTAN 5 MG TABLET,4.48,2.64,0.54,4.03,23
CDM,33342-087-41,RIZATRIPTAN 5 MG TABLET,4.48,2.64,0.54,4.03,23
CDM,33342-087-45,RIZATRIPTAN 5 MG TABLET,2.84,1.68,0.35,2.56,23
CDM,33342-089-09,RIVASTIGMINE 1.5 MG CAPSULE,1.32,0.78,0.16,1.19,23
CDM,33342-090-09,RIVASTIGMINE 3 MG CAPSULE,1.34,0.79,0.16,1.21,23
CDM,33342-091-09,RIVASTIGMINE 4.5 MG CAPSULE,1.32,0.78,0.16,1.19,23
CDM,33342-093-02,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,4.42,2.61,0.54,3.98,23
CDM,33342-093-41,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,4.42,2.61,0.54,3.98,23
CDM,33342-093-52,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,8.27,4.88,1.01,7.44,23
CDM,33342-093-72,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,12.57,7.42,1.53,11.31,23
CDM,33342-094-02,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,4.56,2.69,0.55,4.1,23
CDM,33342-094-41,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,4.56,2.69,0.55,4.1,23
CDM,33342-094-73,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,8.75,5.16,1.06,7.88,23
CDM,33342-096-07,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,8.9,5.25,1.08,8.01,23
CDM,33342-098-09,TOLTERODINE 2 MG TABLET,1.65,0.97,0.2,1.49,23
CDM,33342-102-07,MONTELUKAST 10 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,33342-107-07,RISEDRONATE 5 MG TABLET,9.88,5.83,1.2,8.89,23
CDM,33342-114-07,CANDESARTAN 4 MG TABLET,5.07,2.99,0.62,4.56,23
CDM,33342-115-07,CANDESARTAN 8 MG TABLET,6.15,3.63,0.75,5.54,23
CDM,33342-116-07,CANDESARTAN 16 MG TABLET,4.13,2.44,0.5,3.72,23
CDM,33342-117-07,CANDESARTAN 32 MG TABLET,6.8,4.01,0.83,6.12,23
CDM,33342-124-07,ARIPIPRAZOLE 10 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,33342-145-09,ZIPRASIDONE 40 MG CAPSULE,2.32,1.37,0.28,2.09,23
CDM,33342-178-07,OLMESARTAN 5 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,33342-179-10,OLMESARTAN 20 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,33342-180-10,OLMESARTAN 40 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,33342-200-10,LEVOCETIRIZINE 5 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,33342-215-58,SEVELAMER CARBONATE 800 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,33342-256-66,OSELTAMIVIR 30 MG CAPSULE,5.89,3.48,0.72,5.3,23
CDM,33342-258-66,OSELTAMIVIR 75 MG CAPSULE,9.46,5.58,1.15,8.51,23
CDM,33342-274-07,FEBUXOSTAT 40 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,33342-277-07,"DARIFENACIN ER 15 MG TABLET,EXTENDED RELEASE 24 HR",8.67,5.12,1.05,7.8,23
CDM,33342-297-09,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,33342-301-11,ESZOPICLONE 3 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,33342-321-86,CLOBETASOL 0.05 % SCALP SOLUTION,115.25,68.0,14.02,103.73,23
CDM,33342-329-54,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,115.77,68.3,14.08,104.19,23
CDM,33342-333-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,20.03,11.82,2.44,18.03,23
CDM,33342-448-11,PERPHENAZINE 2 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,33342-462-06,CYCLOSERINE 250 MG CAPSULE,279.05,164.64,33.94,251.15,23
CDM,3504600120,RIBOFLAVIN (VITAMIN B2) 50 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,35561-286-10,SOLIFENACIN 10 MG TABLET,51.45,30.36,6.26,46.31,23
CDM,35573-412-30,TADALAFIL 20 MG TABLET,18.1,10.68,2.2,16.29,23
CDM,35573-428-51,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",1.21,0.71,0.15,1.09,23
CDM,35573-428-80,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",1.21,0.71,0.15,1.09,23
CDM,35573-433-02,KETOCONAZOLE 200 MG TABLET,2.9,1.71,0.35,2.61,23
CDM,35573-433-30,KETOCONAZOLE 200 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,35573-453-91,BENZOYL PEROXIDE 5 % TOPICAL CLEANSER,29.6,17.46,3.6,26.64,23
CDM,35573-459-60,CARGLUMIC ACID 200 MG DISPERSIBLE TABLET,664.24,391.9,80.8,597.82,23
CDM,36000-012-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,2.07,1.22,0.25,1.86,23
CDM,36000-033-10,METOPROLOL TARTRATE 5 MG/5 ML IV,3.33,1.96,0.41,3.0,23
CDM,36000-148-01,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,15.28,9.02,1.86,13.75,23
CDM,36000-148-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,15.28,9.02,1.86,13.75,23
CDM,36000-242-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,89.85,53.01,10.93,80.87,23
CDM,36000-244-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,8.99,5.3,1.09,8.09,23
CDM,36000-244-25,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,8.99,5.3,1.09,8.09,23
CDM,36000-282-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.73,2.2,0.45,3.36,23
CDM,36000-283-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.94,2.32,0.48,3.55,23
CDM,36000-284-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,6.05,3.57,0.74,5.45,23
CDM,36000-298-24,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,11.0,6.49,1.34,9.9,23
CDM,36000-306-60,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",42.5,25.08,5.17,38.25,23
CDM,36000-308-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,13.09,7.72,1.59,11.78,23
CDM,36000-308-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,13.09,7.72,1.59,11.78,23
CDM,36000-310-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,154.3,91.04,18.77,138.87,23
CDM,36000-310-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION,154.3,91.04,18.77,138.87,23
CDM,36000-322-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,9.6,5.66,1.17,8.64,23
CDM,36000-322-02,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,9.6,5.66,1.17,8.64,23
CDM,36000-324-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,21.8,12.86,2.65,19.62,23
CDM,36000-324-02,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,21.8,12.86,2.65,19.62,23
CDM,36000-326-01,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,22.6,13.33,2.75,20.34,23
CDM,36000-326-02,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,22.6,13.33,2.75,20.34,23
CDM,3676542001,"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE",1.3,0.77,0.16,1.17,23
CDM,37000-018-04,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.71,0.42,0.09,0.64,23
CDM,37000-032-02,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,20.06,11.84,2.44,18.05,23
CDM,37000-032-04,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,30.75,18.14,3.74,27.68,23
CDM,37000-032-30,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,27.75,16.37,3.38,24.98,23
CDM,37000-803-01,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),20.18,11.91,2.45,18.16,23
CDM,3786400051,SENNOSIDES 8.6 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,3786408289,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.49,0.29,0.06,0.44,23
CDM,3786476099,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.1,0.06,0.01,0.09,23
CDM,3786491401,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.22,0.13,0.03,0.2,23
CDM,3786499101,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.1,0.06,0.01,0.09,23
CDM,3834110449,FLUORIDE 0.02 % (0.044 % SODIUM FLUORIDE) DENTAL SOLUTION,47.3,27.91,5.75,42.57,23
CDM,3834110677,BENZOCAINE 20 % MUCOSAL PASTE,24.82,14.64,3.02,22.34,23
CDM,3839653506,GLUCOSE 4 GRAM CHEWABLE TABLET,0.95,0.56,0.12,0.86,23
CDM,3839659175,DEXTROSE 15 GRAM/59 ML ORAL LIQUID,12.98,7.66,1.58,11.68,23
CDM,3848500027,CALCIUM POLYCARBOPHIL 500 MG CHEWABLE TABLET,0.62,0.37,0.08,0.56,23
CDM,3848580857,PSYLLIUM ORAL PACKET,1.86,1.1,0.23,1.67,23
CDM,3848598018,UREA 10 % LOTION,41.48,24.47,5.05,37.33,23
CDM,38779-0008-1,HYDROCORTISONE ACETATE (BULK) POWDER,89.55,52.83,10.89,80.6,23
CDM,38779-0038-4,MICONAZOLE NITRATE (BULK) POWDER,228.25,134.67,27.77,205.43,23
CDM,38779-0051-1,TRIAMCINOLONE (BULK) POWDER,495.0,292.05,60.21,445.5,23
CDM,38779-0242-6,NYSTATIN (BULK) 1 BILLION UNIT POWDER,1875.35,1106.46,228.13,1687.82,23
CDM,38779-0348-5,NEOMYCIN SULFATE (BULK) POWDER,207.0,122.13,25.18,186.3,23
CDM,38779-0494-5,RESORCINOL (BULK) CRYSTALS,0.01,0.01,0.01,0.01,23
CDM,38779-0610-5,COAL TAR (BULK) 20 % TOPICAL SOLUTION,45.0,26.55,5.47,40.5,23
CDM,38779-0723-3,COCAINE (BULK) 100 % CRYSTALS,170.18,100.41,20.7,153.16,23
CDM,38779-1046-5,BISMUTH SUBGALLATE (BULK) POWDER,129.0,76.11,15.69,116.1,23
CDM,38779-1370-5,ORNITHINE HYDROCHLORIDE (BULK) 100 % POWDER,334.85,197.56,40.73,301.37,23
CDM,38779-1938-5,PHENOL (BULK) 89 % LIQUID,69.5,41.01,8.45,62.55,23
CDM,38779-1938-8,PHENOL (BULK) 89 % LIQUID,197.5,116.53,24.02,177.75,23
CDM,3877900808,LACTOSE (BULK) POWDER,92.5,54.58,11.25,83.25,23
CDM,3877903162,LACTOSE (BULK) POWDER,29.75,17.55,3.62,26.78,23
CDM,3877905261,POLYSORBATE 80 SOLUTION,380.0,224.2,46.23,342.0,23
CDM,3877905268,POLYSORBATE 80 SOLUTION,107.5,63.43,13.08,96.75,23
CDM,3877905513,SODIUM BENZOATE (BULK) POWDER,956.75,564.48,116.38,861.08,23
CDM,3877905828,ACETIC ACID (BULK) 100 % LIQUID,92.5,54.58,11.25,83.25,23
CDM,3877907438,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL,186.84,110.24,22.73,168.16,23
CDM,3877911534,CHERRY FLAVOR (BULK) ORAL LIQUID,38.25,22.57,4.65,34.43,23
CDM,3877911865,CITRULLINE (BULK) POWDER,208.5,123.02,25.36,187.65,23
CDM,3877911869,CITRULLINE (BULK) POWDER,1480.0,873.2,180.03,1332.0,23
CDM,3877915564,PYRIDOXAL-5 PHOSPHATE (BULK) 100 % POWDER,759.0,447.81,92.33,683.1,23
CDM,3877925108,COMPOUNDING VEHICLE SUSPENSION NO.7 ORAL,104.06,61.4,12.66,93.65,23
CDM,3877925354,ALPHA LIPOIC ACID (BULK) 100 % POWDER,348.75,205.76,42.42,313.88,23
CDM,3877926008,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.18 ORAL,139.54,82.33,16.97,125.59,23
CDM,39328-024-15,LIDOCAINE 4 % TOPICAL CREAM,48.75,28.76,5.93,43.88,23
CDM,39328-024-55,LIDOCAINE 4 % TOPICAL CREAM,32.25,19.03,3.92,29.03,23
CDM,39328-029-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,5.95,3.51,0.72,5.36,23
CDM,39328-031-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION,3.93,2.32,0.48,3.54,23
CDM,3932801416,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL,73.32,43.26,8.92,65.99,23
CDM,3932810610,"PRENATAL VIT,CALCIUM 27-FERROUS FUM 60 MG IRON-FOLIC ACID 1 MG TABLET",0.55,0.32,0.07,0.5,23
CDM,3932855750,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,22.0,12.98,2.68,19.8,23
CDM,39822-0151-1,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1589.6,937.86,193.37,1430.64,23
CDM,39822-0190-1,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,145.95,86.11,17.75,131.36,23
CDM,39822-0255-1,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,806.3,475.72,98.08,725.67,23
CDM,39822-0412-1,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,370.65,218.68,45.09,333.59,23
CDM,39822-0412-6,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,347.48,205.01,42.27,312.73,23
CDM,39822-0706-2,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION,193.21,113.99,23.5,173.89,23
CDM,39822-1000-1,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",27.8,16.4,3.38,25.02,23
CDM,39822-1030-1,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1414.2,834.38,172.03,1272.78,23
CDM,39822-1030-2,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1414.2,834.38,172.03,1272.78,23
CDM,39822-1055-5,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,173.95,102.63,21.16,156.56,23
CDM,39822-1100-1,FOLIC ACID 5 MG/ML INJECTION SOLUTION,161.25,95.14,19.62,145.13,23
CDM,39822-1201-1,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",50.62,29.87,6.16,45.56,23
CDM,39822-2000-1,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",115.2,67.97,14.01,103.68,23
CDM,39822-4200-1,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,19.28,11.38,2.35,17.35,23
CDM,39822-4200-2,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,19.28,11.38,2.35,17.35,23
CDM,39822-4200-5,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,34.45,20.33,4.19,31.01,23
CDM,39822-4200-6,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,34.45,20.33,4.19,31.01,23
CDM,39822-5525-2,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,6.89,4.07,0.84,6.2,23
CDM,39822-5525-3,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,6.89,4.07,0.84,6.2,23
CDM,40085-201-60,NAFTIFINE 1 % TOPICAL CREAM,1441.2,850.31,175.31,1297.08,23
CDM,40085-842-05,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,22.25,13.13,2.71,20.03,23
CDM,4009310134,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.14,0.08,0.02,0.13,23
CDM,4056511527,GEL DRESSING TOPICAL,249.9,147.44,30.4,224.91,23
CDM,4056512249,CADEXOMER IODINE 0.9 % TOPICAL GEL,377.6,222.78,45.93,339.84,23
CDM,4056512251,CADEXOMER IODINE 0.9 % TOPICAL PADS,53.03,31.29,6.45,47.73,23
CDM,4056512256,CADEXOMER IODINE 0.9 % TOPICAL GEL,52.7,31.09,6.41,47.43,23
CDM,4098521341,COENZYME Q10 30 MG CAPSULE,1.12,0.66,0.14,1.01,23
CDM,4098522309,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.16,0.09,0.02,0.14,23
CDM,4098527116,BIOTIN 5 MG CAPSULE,0.26,0.15,0.03,0.23,23
CDM,4110081123,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),21.98,12.97,2.67,19.78,23
CDM,4110081124,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,16.37,9.66,1.99,14.73,23
CDM,41167-4310-2,"FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR",4.95,2.92,0.6,4.46,23
CDM,41167-4310-4,"FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR",3.66,2.16,0.45,3.29,23
CDM,41167-4320-5,"FEXOFENADINE-PSEUDOEPHEDRINE ER 180 MG-240 MG TABLET,EXT.RELEASE 24 HR",5.61,3.31,0.68,5.05,23
CDM,4116700607,DOXYLAMINE SUCCINATE 25 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,4116700609,DOXYLAMINE SUCCINATE 25 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,4116700879,METHYL SALICYLATE-MENTHOL 29 %-7.6 % TOPICAL OINTMENT,24.31,14.34,2.96,21.88,23
CDM,4116705724,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,34.55,20.38,4.2,31.1,23
CDM,4141525173,PHENYLEPHRINE 0.25 %-SHARK LIV.OIL 3 %-COCOA BUTTER RECTAL SUPPOSITORY,2.05,1.21,0.25,1.85,23
CDM,4160808743,POVIDONE-IODINE 0.3 % VAGINAL SOLUTION,13.7,8.08,1.67,12.33,23
CDM,41616-219-90,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,41616-220-90,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,4167936503,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,52.03,30.7,6.33,46.83,23
CDM,4167936513,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,52.03,30.7,6.33,46.83,23
CDM,42023-104-01,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,424.95,250.72,51.69,382.46,23
CDM,42023-104-05,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,1672.15,986.57,203.41,1504.94,23
CDM,42023-105-01,METHOHEXITAL 500 MG SOLUTION FOR INJECTION,424.35,250.37,51.62,381.92,23
CDM,42023-107-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,48.4,28.56,5.89,43.56,23
CDM,42023-111-01,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,866.7,511.35,105.43,780.03,23
CDM,42023-113-10,KETAMINE 10 MG/ML INJECTION SOLUTION,53.0,31.27,6.45,47.7,23
CDM,42023-114-10,KETAMINE 50 MG/ML INJECTION SOLUTION,32.55,19.2,3.96,29.3,23
CDM,42023-115-10,KETAMINE 100 MG/ML INJECTION SOLUTION,61.8,36.46,7.52,55.62,23
CDM,42023-116-02,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,29.2,17.23,3.55,26.28,23
CDM,42023-116-25,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,7.19,4.24,0.87,6.47,23
CDM,42023-119-25,TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION,223.23,131.71,27.15,200.91,23
CDM,42023-123-06,DANTROLENE 20 MG INTRAVENOUS SOLUTION,325.0,191.75,39.53,292.5,23
CDM,42023-129-01,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,279.1,164.67,33.95,251.19,23
CDM,42023-146-25,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,15.67,9.25,1.91,14.1,23
CDM,42023-157-01,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,17605.4,10387.19,2141.6,15844.86,23
CDM,42023-159-01,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,64.51,38.06,7.85,58.06,23
CDM,42023-159-25,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,64.51,38.06,7.85,58.06,23
CDM,42023-164-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,99.06,58.45,12.05,89.15,23
CDM,42023-164-25,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,99.06,58.45,12.05,89.15,23
CDM,42023-168-01,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,783.3,462.15,95.28,704.97,23
CDM,42023-168-99,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,783.3,462.15,95.28,704.97,23
CDM,42023-172-04,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,123.25,72.72,14.99,110.93,23
CDM,42023-173-01,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,230.38,135.92,28.02,207.34,23
CDM,42023-173-25,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,230.38,135.92,28.02,207.34,23
CDM,42023-179-01,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,59.57,35.15,7.25,53.61,23
CDM,42023-179-05,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,59.57,35.15,7.25,53.61,23
CDM,42023-186-01,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,64.5,38.06,7.85,58.05,23
CDM,42023-186-20,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,64.5,38.06,7.85,58.05,23
CDM,42023-188-01,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,27.2,16.05,3.31,24.48,23
CDM,42023-188-10,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,27.2,16.05,3.31,24.48,23
CDM,42023-189-01,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,27.2,16.05,3.31,24.48,23
CDM,42023-189-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,27.2,16.05,3.31,24.48,23
CDM,42023-201-01,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,324.85,191.66,39.52,292.37,23
CDM,42023-203-01,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION,1948.95,1149.88,237.08,1754.06,23
CDM,42023-205-01,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,3916.4,2310.68,476.41,3524.76,23
CDM,42023-214-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,25.38,14.97,3.09,22.84,23
CDM,42023-214-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,25.38,14.97,3.09,22.84,23
CDM,42023-215-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,60.2,35.52,7.32,54.18,23
CDM,42023-216-01,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,58.98,34.8,7.17,53.08,23
CDM,42023-216-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,58.98,34.8,7.17,53.08,23
CDM,42023-219-01,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION,553.0,326.27,67.27,497.7,23
CDM,42023-219-10,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION,553.0,326.27,67.27,497.7,23
CDM,42023-221-01,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,230.38,135.92,28.02,207.34,23
CDM,42023-221-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,230.38,135.92,28.02,207.34,23
CDM,42023-243-01,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,47.45,28.0,5.77,42.71,23
CDM,42023-315-01,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,300.0,177.0,36.49,270.0,23
CDM,42023-315-10,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,300.0,177.0,36.49,270.0,23
CDM,4203710475,CARBAMIDE PEROXIDE 10 % ORAL RINSE,11.25,6.64,1.37,10.13,23
CDM,4203710476,CARBAMIDE PEROXIDE 10 % ORAL RINSE,36.0,21.24,4.38,32.4,23
CDM,4203710478,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,42192-152-06,SELENIUM SULFIDE 2.25 % SHAMPOO,518.4,305.86,63.06,466.56,23
CDM,42192-327-01,THYROID (PORK) 15 MG TABLET,2.29,1.35,0.28,2.06,23
CDM,42192-329-01,THYROID (PORK) 30 MG TABLET,2.75,1.62,0.33,2.48,23
CDM,42192-330-01,THYROID (PORK) 60 MG TABLET,3.06,1.81,0.37,2.75,23
CDM,42192-339-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,0.97,0.57,0.12,0.87,23
CDM,42192-340-01,HYOSCYAMINE SULFATE 0.125 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,42192-605-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",81.4,48.03,9.9,73.26,23
CDM,42192-605-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",81.4,48.03,9.9,73.26,23
CDM,42192-608-05,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,14.93,8.81,1.82,13.44,23
CDM,42192-608-06,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,17.25,10.18,2.1,15.53,23
CDM,42192-608-16,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,253.8,149.74,30.87,228.42,23
CDM,42192-608-40,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,17.25,10.18,2.1,15.53,23
CDM,42192-608-45,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,14.93,8.81,1.82,13.44,23
CDM,42192-608-89,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,3.24,1.91,0.39,2.92,23
CDM,42192-614-02,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,16.0,9.44,1.95,14.4,23
CDM,42192-614-05,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.95,13.54,2.79,20.66,23
CDM,42192-614-10,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,16.0,9.44,1.95,14.4,23
CDM,42192-614-30,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.95,13.54,2.79,20.66,23
CDM,42192-617-01,BENZONATATE 100 MG CAPSULE,0.7,0.41,0.09,0.63,23
CDM,42192-801-01,PHENAZOPYRIDINE 100 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,42192-802-01,PHENAZOPYRIDINE 200 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,42195-550-14,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,42227-081-01,C1 ESTERASE INHIBITOR 500 UNIT INTRAVENOUS SOLUTION,16125.0,9513.75,1961.52,14512.5,23
CDM,42291-024-12,ABIRATERONE 250 MG TABLET,13.83,8.16,1.68,12.45,23
CDM,42291-063-01,AZATHIOPRINE 100 MG TABLET,32.63,19.25,3.97,29.37,23
CDM,42291-064-30,ATOMOXETINE 10 MG CAPSULE,6.82,4.02,0.83,6.14,23
CDM,42291-066-30,ATOMOXETINE 25 MG CAPSULE,6.36,3.75,0.77,5.72,23
CDM,42291-067-30,ATOMOXETINE 40 MG CAPSULE,6.26,3.69,0.76,5.63,23
CDM,42291-069-30,ATOMOXETINE 80 MG CAPSULE,6.66,3.93,0.81,5.99,23
CDM,42291-082-30,AZITHROMYCIN 250 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,42291-083-30,AZITHROMYCIN 500 MG TABLET,2.07,1.22,0.25,1.86,23
CDM,42291-086-30,ACITRETIN 10 MG CAPSULE,24.21,14.28,2.95,21.79,23
CDM,42291-094-30,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,52.05,30.71,6.33,46.85,23
CDM,42291-154-30,CYCLOBENZAPRINE 10 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,42291-154-90,CYCLOBENZAPRINE 10 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,42291-209-50,CEPHALEXIN 500 MG CAPSULE,0.92,0.54,0.11,0.83,23
CDM,42291-259-01,DOXAZOSIN 4 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,42291-266-01,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",5.98,3.53,0.73,5.38,23
CDM,42291-310-01,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,1.86,1.1,0.23,1.67,23
CDM,42291-350-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 30 MG TABLET,4.72,2.78,0.57,4.25,23
CDM,42291-415-30,FAMCICLOVIR 250 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,42291-416-30,FAMCICLOVIR 500 MG TABLET,2.9,1.71,0.35,2.61,23
CDM,42291-446-30,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",9.08,5.36,1.1,8.17,23
CDM,42291-459-30,CINACALCET 30 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,42291-468-01,FUROSEMIDE 20 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,42291-469-01,FUROSEMIDE 40 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,42291-472-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.32,0.19,0.04,0.29,23
CDM,42291-494-30,MIRTAZAPINE 7.5 MG TABLET,10.11,5.96,1.23,9.1,23
CDM,42291-560-90,MIDODRINE 2.5 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,42291-561-90,MIDODRINE 5 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,42291-623-30,MONTELUKAST 5 MG CHEWABLE TABLET,1.0,0.59,0.12,0.9,23
CDM,42291-624-01,MEXILETINE 150 MG CAPSULE,3.52,2.08,0.43,3.17,23
CDM,42291-626-01,MEXILETINE 250 MG CAPSULE,8.52,5.03,1.04,7.67,23
CDM,42291-632-30,NALTREXONE 50 MG TABLET,3.8,2.24,0.46,3.42,23
CDM,42291-764-01,FLUDROCORTISONE 0.1 MG TABLET,2.15,1.27,0.26,1.94,23
CDM,42291-773-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",0.84,0.5,0.1,0.76,23
CDM,42291-774-60,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",1.33,0.78,0.16,1.2,23
CDM,42291-775-60,RILUZOLE 50 MG TABLET,45.37,26.77,5.52,40.83,23
CDM,42291-781-42,SUCRALFATE 100 MG/ML ORAL SUSPENSION,470.4,277.54,57.22,423.36,23
CDM,42291-800-30,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,42291-808-15,TIZANIDINE 2 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,42291-809-15,TIZANIDINE 4 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,42291-857-90,VALSARTAN 80 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,42291-868-90,TRAZODONE 50 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,42291-869-10,TRAZODONE 100 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,42291-897-90,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",0.26,0.15,0.03,0.23,23
CDM,42291-898-90,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",0.29,0.17,0.04,0.26,23
CDM,42291-899-30,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",0.57,0.34,0.07,0.51,23
CDM,42291-899-90,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",0.53,0.31,0.06,0.48,23
CDM,42291-923-01,URSODIOL 300 MG CAPSULE,2.23,1.32,0.27,2.01,23
CDM,42291-963-01,ZOLPIDEM 5 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,4229140305,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET,0.81,0.48,0.1,0.73,23
CDM,42292-001-01,METRONIDAZOLE 500 MG TABLET,3.08,1.82,0.37,2.77,23
CDM,42292-001-20,METRONIDAZOLE 500 MG TABLET,3.08,1.82,0.37,2.77,23
CDM,42292-006-06,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,4.57,2.7,0.56,4.11,23
CDM,42292-018-01,CLINDAMYCIN HCL 150 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,42292-018-20,CLINDAMYCIN HCL 150 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,42292-038-01,LEVOTHYROXINE 88 MCG TABLET,2.33,1.37,0.28,2.1,23
CDM,42292-038-20,LEVOTHYROXINE 88 MCG TABLET,2.33,1.37,0.28,2.1,23
CDM,42292-039-01,LEVOTHYROXINE 112 MCG TABLET,2.72,1.6,0.33,2.45,23
CDM,42292-039-20,LEVOTHYROXINE 112 MCG TABLET,2.72,1.6,0.33,2.45,23
CDM,42292-040-01,LEVOTHYROXINE 175 MCG TABLET,3.37,1.99,0.41,3.03,23
CDM,42292-040-20,LEVOTHYROXINE 175 MCG TABLET,3.37,1.99,0.41,3.03,23
CDM,42292-041-01,LEVOTHYROXINE 137 MCG TABLET,2.81,1.66,0.34,2.53,23
CDM,42292-041-20,LEVOTHYROXINE 137 MCG TABLET,2.81,1.66,0.34,2.53,23
CDM,42292-043-01,IMATINIB 100 MG TABLET,13.67,8.07,1.66,12.3,23
CDM,42292-043-03,IMATINIB 100 MG TABLET,13.67,8.07,1.66,12.3,23
CDM,42292-054-01,COLCHICINE 0.6 MG TABLET,19.16,11.3,2.33,17.24,23
CDM,42292-054-03,COLCHICINE 0.6 MG TABLET,19.16,11.3,2.33,17.24,23
CDM,42367-521-25,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,10172.76,6001.93,1237.46,9155.48,23
CDM,42367-540-32,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,10318.25,6087.77,1255.16,9286.43,23
CDM,42385-920-60,ATAZANAVIR 150 MG CAPSULE,11.88,7.01,1.45,10.69,23
CDM,42385-923-29,PIRFENIDONE 267 MG CAPSULE,9.93,5.86,1.21,8.94,23
CDM,42385-924-90,PIRFENIDONE 267 MG TABLET,9.93,5.86,1.21,8.94,23
CDM,42385-948-01,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,42385-953-30,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,3.84,2.27,0.47,3.46,23
CDM,42388-024-26,CABOZANTINIB 20 MG TABLET,3881.25,2289.94,472.13,3493.13,23
CDM,42494-339-01,FLUCYTOSINE 250 MG CAPSULE,254.82,150.34,31.0,229.34,23
CDM,42494-339-03,FLUCYTOSINE 250 MG CAPSULE,138.99,82.0,16.91,125.09,23
CDM,42494-340-03,FLUCYTOSINE 500 MG CAPSULE,262.54,154.9,31.94,236.29,23
CDM,42494-415-01,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,49.16,29.0,5.98,44.24,23
CDM,42494-415-25,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,49.16,29.0,5.98,44.24,23
CDM,42494-416-01,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,124.96,73.73,15.2,112.46,23
CDM,42494-419-05,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,718.1,423.68,87.35,646.29,23
CDM,42494-441-01,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,49.16,29.0,5.98,44.24,23
CDM,42515-002-01,JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE,1438.0,848.42,174.93,1294.2,23
CDM,42536-6044-01,UREA BREATH TEST 14C,270.0,159.3,32.84,243.0,23
CDM,42543-140-50,HYDROCORTISONE 5 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,42543-141-01,HYDROCORTISONE 10 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,42543-407-01,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",1.32,0.78,0.16,1.19,23
CDM,42571-100-01,GLIMEPIRIDE 1 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,42571-122-90,LEVOCETIRIZINE 5 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,42571-130-21,TRAVOPROST 0.004 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,42571-130-27,TRAVOPROST 0.004 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,42571-132-21,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,9.6,5.66,1.17,8.64,23
CDM,42571-132-52,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,9.6,5.66,1.17,8.64,23
CDM,42571-132-95,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,47.98,28.31,5.84,43.18,23
CDM,42571-137-25,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,42571-137-26,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,42571-141-26,DORZOLAMIDE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,42571-147-26,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,42571-160-30,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.99,5.89,1.22,8.99,23
CDM,42571-161-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,42571-161-42,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,42571-162-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,42571-162-42,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,42571-220-30,RASAGILINE 0.5 MG TABLET,23.14,13.65,2.81,20.83,23
CDM,42571-221-30,RASAGILINE 1 MG TABLET,36.68,21.64,4.46,33.01,23
CDM,42571-250-01,CLINDAMYCIN HCL 75 MG CAPSULE,2.0,1.18,0.24,1.8,23
CDM,42571-252-01,CLINDAMYCIN HCL 300 MG CAPSULE,1.99,1.17,0.24,1.79,23
CDM,42571-259-30,ROFLUMILAST 500 MCG TABLET,4.63,2.73,0.56,4.17,23
CDM,42571-315-01,CLOBAZAM 10 MG TABLET,6.68,3.94,0.81,6.01,23
CDM,42571-332-01,METHENAMINE HIPPURATE 1 GRAM TABLET,8.03,4.74,0.98,7.23,23
CDM,42571-344-30,CLOMIPRAMINE 75 MG CAPSULE,22.27,13.14,2.71,20.04,23
CDM,42571-350-08,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,25.06,14.79,3.05,22.55,23
CDM,42571-350-09,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,25.06,14.79,3.05,22.55,23
CDM,42571-382-71,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,42571-382-73,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,42571-384-25,ERYTHROMYCIN WITH ETHANOL 2 % TOPICAL SOLUTION,111.0,65.49,13.5,99.9,23
CDM,42582-900-06,SELENIUM SULFIDE 2.25 % SHAMPOO,511.2,301.61,62.18,460.08,23
CDM,42658-008-01,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,2303.75,1359.21,280.24,2073.38,23
CDM,42658-010-01,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,413.5,243.97,50.3,372.15,23
CDM,42658-021-01,DAUNORUBICIN INTRAVENOUS SOLUTION,246.8,145.61,30.02,222.12,23
CDM,42658-021-02,DAUNORUBICIN INTRAVENOUS SOLUTION,154.98,91.44,18.85,139.48,23
CDM,42747-102-01,BUROSUMAB-TWZA 10 MG/ML SUBCUTANEOUS SOLUTION,22924.95,13525.72,2788.7,20632.46,23
CDM,42747-203-01,BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION,42394.5,25012.76,5157.07,38155.05,23
CDM,42747-304-01,BUROSUMAB-TWZA 30 MG/ML SUBCUTANEOUS SOLUTION,66771.8,39395.36,8122.44,60094.62,23
CDM,42747-761-01,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,22251.35,13128.3,2706.76,20026.22,23
CDM,42794-003-08,ADEFOVIR 10 MG TABLET,98.0,57.82,11.92,88.2,23
CDM,42794-009-08,FLUCYTOSINE 250 MG CAPSULE,138.99,82.0,16.91,125.09,23
CDM,42794-010-08,FLUCYTOSINE 500 MG CAPSULE,262.54,154.9,31.94,236.29,23
CDM,42794-016-10,ASENAPINE 5 MG SUBLINGUAL TABLET,16.22,9.57,1.97,14.6,23
CDM,42794-018-02,LIOTHYRONINE 5 MCG TABLET,1.46,0.86,0.18,1.31,23
CDM,42794-019-02,LIOTHYRONINE 25 MCG TABLET,1.77,1.04,0.22,1.59,23
CDM,42794-019-12,LIOTHYRONINE 25 MCG TABLET,4.08,2.41,0.5,3.67,23
CDM,42794-080-08,ACITRETIN 10 MG CAPSULE,115.72,68.27,14.08,104.15,23
CDM,42794-083-08,ACITRETIN 25 MG CAPSULE,143.07,84.41,17.4,128.76,23
CDM,42794-086-14,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER,39185.0,23119.15,4766.65,35266.5,23
CDM,42799-106-01,METHENAMINE MANDELATE 1 GRAM TABLET,4.64,2.74,0.56,4.18,23
CDM,42799-119-01,BUMETANIDE 0.5 MG TABLET,1.57,0.93,0.19,1.41,23
CDM,42799-120-01,BUMETANIDE 1 MG TABLET,1.57,0.93,0.19,1.41,23
CDM,42799-121-01,BUMETANIDE 2 MG TABLET,3.14,1.85,0.38,2.83,23
CDM,42799-121-02,BUMETANIDE 2 MG TABLET,3.14,1.85,0.38,2.83,23
CDM,42799-129-01,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,42799-405-01,ETHACRYNIC ACID 25 MG TABLET,11.59,6.84,1.41,10.43,23
CDM,42799-806-01,IVERMECTIN 3 MG TABLET,16.47,9.72,2.0,14.82,23
CDM,42799-815-05,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,0.42,0.25,0.05,0.38,23
CDM,42799-953-01,"DICLOFENAC ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4.14,2.44,0.5,3.73,23
CDM,42806-011-01,SULINDAC 200 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,42806-018-01,SULINDAC 150 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,42806-019-01,CITALOPRAM 10 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,42806-050-30,MEPERIDINE 50 MG TABLET,171.81,101.37,20.9,154.63,23
CDM,42806-058-01,FLAVOXATE 100 MG TABLET,1.6,0.94,0.19,1.44,23
CDM,42806-087-01,ESTRADIOL 0.5 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,42806-088-01,ESTRADIOL 1 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,42806-089-01,ESTRADIOL 2 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,42806-101-01,ETHAMBUTOL 100 MG TABLET,2.13,1.26,0.26,1.92,23
CDM,42806-102-01,ETHAMBUTOL 400 MG TABLET,2.44,1.44,0.3,2.2,23
CDM,42806-143-01,DEMECLOCYCLINE 150 MG TABLET,58.35,34.43,7.1,52.52,23
CDM,42806-151-34,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,35.7,21.06,4.34,32.13,23
CDM,42806-263-01,ISRADIPINE 2.5 MG CAPSULE,45.24,26.69,5.5,40.72,23
CDM,42806-266-95,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,4.01,2.37,0.49,3.61,23
CDM,42806-266-98,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,4.0,2.36,0.49,3.6,23
CDM,42806-274-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",1.15,0.68,0.14,1.04,23
CDM,42806-312-50,DOXYCYCLINE HYCLATE 100 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,42806-336-01,MOLINDONE 5 MG TABLET,40.82,24.08,4.97,36.74,23
CDM,42806-339-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,1.45,0.86,0.18,1.31,23
CDM,42806-341-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,1.45,0.86,0.18,1.31,23
CDM,42806-344-01,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,1.45,0.86,0.18,1.31,23
CDM,42806-359-25,LEUCOVORIN CALCIUM 25 MG TABLET,25.94,15.3,3.16,23.35,23
CDM,42806-400-01,METHYLPREDNISOLONE 4 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,42806-416-30,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",1.05,0.62,0.13,0.95,23
CDM,42806-502-09,NICARDIPINE 30 MG CAPSULE,25.6,15.1,3.11,23.04,23
CDM,42806-503-01,URSODIOL 300 MG CAPSULE,4.63,2.73,0.56,4.17,23
CDM,42806-512-30,QUINIDINE SULFATE 300 MG TABLET,49.55,29.23,6.03,44.6,23
CDM,42806-513-30,QUINIDINE SULFATE 200 MG TABLET,48.04,28.34,5.84,43.24,23
CDM,42806-549-09,DUTASTERIDE 0.5 MG CAPSULE,0.93,0.55,0.11,0.84,23
CDM,42806-549-30,DUTASTERIDE 0.5 MG CAPSULE,1.49,0.88,0.18,1.34,23
CDM,42806-552-12,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE,0.79,0.47,0.1,0.71,23
CDM,42806-600-22,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,506.25,298.69,61.58,455.63,23
CDM,42806-658-30,ENTECAVIR 0.5 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,42806-659-30,ENTECAVIR 1 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,42806-711-01,ETHOSUXIMIDE 250 MG CAPSULE,5.56,3.28,0.68,5.0,23
CDM,42806-715-01,BENZONATATE 200 MG CAPSULE,0.75,0.44,0.09,0.68,23
CDM,42806-757-60,SULFADIAZINE 500 MG TABLET,74.27,43.82,9.03,66.84,23
CDM,42806-801-30,RIFAMPIN 150 MG CAPSULE,15.35,9.06,1.87,13.82,23
CDM,42858-001-01,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,42858-001-10,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,42858-002-01,OXYCODONE IMMEDIATE RELEASE 10 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,42858-002-10,OXYCODONE IMMEDIATE RELEASE 10 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,42858-003-01,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,42858-005-01,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,42858-040-01,HYDROCODONE 5 MG-ACETAMINOPHEN 300 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,42858-215-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",2.78,1.64,0.34,2.5,23
CDM,42858-234-01,HYDROMORPHONE 4 MG TABLET,19.19,11.32,2.33,17.27,23
CDM,42858-301-01,HYDROMORPHONE 2 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,42858-301-25,HYDROMORPHONE 2 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,42858-302-01,HYDROMORPHONE 4 MG TABLET,1.59,0.94,0.19,1.43,23
CDM,42858-302-25,HYDROMORPHONE 4 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,42858-303-01,HYDROMORPHONE 8 MG TABLET,3.5,2.07,0.43,3.15,23
CDM,42858-304-16,HYDROMORPHONE 1 MG/ML ORAL LIQUID,700.04,413.02,85.16,630.04,23
CDM,42858-353-40,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,348.24,205.46,42.36,313.42,23
CDM,42858-454-45,FENOFIBRATE 54 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,42858-493-40,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,373.12,220.14,45.39,335.81,23
CDM,42858-501-03,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,1.43,0.84,0.17,1.29,23
CDM,42858-502-03,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,2.4,1.42,0.29,2.16,23
CDM,42858-515-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",21.26,12.54,2.59,19.13,23
CDM,42858-586-40,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,538.23,317.56,65.47,484.41,23
CDM,42858-610-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",2.78,1.64,0.34,2.5,23
CDM,42858-631-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",40.4,23.84,4.91,36.36,23
CDM,42858-660-45,FENOFIBRATE 160 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,42858-701-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",4.79,2.83,0.58,4.31,23
CDM,42858-723-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,42858-750-40,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,248.75,146.76,30.26,223.88,23
CDM,42858-760-01,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",78.83,46.51,9.59,70.95,23
CDM,42858-801-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",2.15,1.27,0.26,1.94,23
CDM,42858-802-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",2.46,1.45,0.3,2.21,23
CDM,42858-804-01,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",4.28,2.53,0.52,3.85,23
CDM,42858-805-01,"MORPHINE ER 200 MG TABLET,EXTENDED RELEASE",10.49,6.19,1.28,9.44,23
CDM,42858-839-40,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,660.55,389.72,80.35,594.5,23
CDM,42858-867-06,DRONABINOL 2.5 MG CAPSULE,9.55,5.63,1.16,8.6,23
CDM,42858-868-06,DRONABINOL 5 MG CAPSULE,14.38,8.48,1.75,12.94,23
CDM,42858-869-06,DRONABINOL 10 MG CAPSULE,28.77,16.97,3.5,25.89,23
CDM,42937-701-10,PHENAZOPYRIDINE 100 MG TABLET,3.95,2.33,0.48,3.56,23
CDM,42937-702-10,PHENAZOPYRIDINE 200 MG TABLET,7.59,4.48,0.92,6.83,23
CDM,43063-547-01,CIPROFLOXACIN 500 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,43063-934-01,ALLOPURINOL 300 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,43066-001-01,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,58.0,34.22,7.06,52.2,23
CDM,43066-006-01,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,165.6,97.7,20.14,149.04,23
CDM,43066-007-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.2,4.84,1.0,7.38,23
CDM,43066-008-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",14.85,8.76,1.81,13.37,23
CDM,43066-008-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",14.85,8.76,1.81,13.37,23
CDM,43066-013-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.3,10.21,2.1,15.57,23
CDM,43066-016-10,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,315.0,185.85,38.32,283.5,23
CDM,43066-090-01,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,12.08,7.13,1.47,10.87,23
CDM,43066-090-25,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,12.08,7.13,1.47,10.87,23
CDM,43066-150-10,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",160.5,94.7,19.52,144.45,23
CDM,43066-154-01,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,149.0,87.91,18.13,134.1,23
CDM,43066-154-10,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,149.0,87.91,18.13,134.1,23
CDM,43066-360-20,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",214.0,126.26,26.03,192.6,23
CDM,43066-993-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,18.5,10.92,2.25,16.65,23
CDM,43066-995-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,22.75,13.42,2.77,20.48,23
CDM,43066-997-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,19.16,11.3,2.33,17.24,23
CDM,43066-997-10,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,19.16,11.3,2.33,17.24,23
CDM,43068-101-02,ILOPERIDONE 1 MG TABLET,91.23,53.83,11.1,82.11,23
CDM,43068-102-02,ILOPERIDONE 2 MG TABLET,124.89,73.69,15.19,112.4,23
CDM,43068-104-02,ILOPERIDONE 4 MG TABLET,137.36,81.04,16.71,123.62,23
CDM,4329250022,LACTOBACILLUS ACIDOPHILUS CAPSULE,0.12,0.07,0.01,0.11,23
CDM,4329255538,RIBOFLAVIN (VITAMIN B2) 25 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,4329255565,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.1,0.06,0.01,0.09,23
CDM,4329255606,CALCIUM 250 MG (AS CITRATE) TABLET,0.1,0.06,0.01,0.09,23
CDM,4329255746,LACTOBACILLUS ACIDOPHILUS CAPSULE,0.14,0.08,0.02,0.13,23
CDM,4329256108,COENZYME Q10  60 MG CAPSULE,1.6,0.94,0.19,1.44,23
CDM,43386-028-60,CLOBETASOL 0.05 % SCALP SOLUTION,147.5,87.03,17.94,132.75,23
CDM,43386-060-19,PEG 3350 240 GRAM-ELECTROLYTES 22.72 GRAM-6.72 G-5.84 G POWDR FOR SOLN,60.0,35.4,7.3,54.0,23
CDM,43386-090-19,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,100.0,59.0,12.16,90.0,23
CDM,43386-096-61,CLOBETASOL 0.05 % TOPICAL OINTMENT,55.35,32.66,6.73,49.82,23
CDM,43386-480-24,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",2.78,1.64,0.34,2.5,23
CDM,43386-480-26,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",2.06,1.22,0.25,1.85,23
CDM,43386-770-01,FLUCYTOSINE 500 MG CAPSULE,80.0,47.2,9.73,72.0,23
CDM,43386-771-01,FLUCYTOSINE 250 MG CAPSULE,40.0,23.6,4.87,36.0,23
CDM,43393-001-01,MIFEPRISTONE 200 MG TABLET,410.0,241.9,49.87,369.0,23
CDM,43393-001-06,MIFEPRISTONE 200 MG TABLET,212.5,125.38,25.85,191.25,23
CDM,43528-003-01,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,633.5,373.77,77.06,570.15,23
CDM,43528-003-05,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,633.5,373.77,77.06,570.15,23
CDM,43547-005-03,ROFLUMILAST 500 MCG TABLET,6.46,3.81,0.79,5.81,23
CDM,43547-222-15,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,43547-257-50,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,43547-268-10,ROPINIROLE 0.25 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,43547-269-10,ROPINIROLE 0.5 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,43547-270-10,ROPINIROLE 1 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,43547-271-10,ROPINIROLE 2 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,43547-272-10,ROPINIROLE 3 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,43547-273-10,ROPINIROLE 4 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,43547-274-10,ROPINIROLE 5 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,43547-275-03,DONEPEZIL 5 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,43547-275-09,DONEPEZIL 5 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,43547-276-03,DONEPEZIL 10 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,43547-276-09,DONEPEZIL 10 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,43547-277-09,IRBESARTAN 75 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,43547-278-03,IRBESARTAN 150 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,43547-278-09,IRBESARTAN 150 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,43547-280-10,ESCITALOPRAM 5 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,43547-281-10,ESCITALOPRAM 10 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,43547-282-10,ESCITALOPRAM 20 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,43547-284-03,TELMISARTAN 40 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,43547-288-10,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",1.15,0.68,0.14,1.04,23
CDM,43547-312-09,VALSARTAN 160 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,43547-335-10,BENAZEPRIL 5 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,43547-336-10,BENAZEPRIL 10 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,43547-339-06,RISPERIDONE 0.25 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,43547-341-06,RISPERIDONE 1 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,43547-342-06,RISPERIDONE 2 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,43547-344-06,RISPERIDONE 4 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,43547-347-03,PAROXETINE 10 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,43547-347-09,PAROXETINE 10 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,43547-348-09,PAROXETINE 20 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,43547-349-09,PAROXETINE 30 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,43547-351-10,LISINOPRIL 2.5 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,43547-351-50,LISINOPRIL 2.5 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,43547-352-10,LISINOPRIL 5 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,43547-353-10,LISINOPRIL 10 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,43547-354-10,LISINOPRIL 20 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,43547-356-10,LISINOPRIL 40 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,43547-360-09,LOSARTAN 25 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,43547-361-09,LOSARTAN 50 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,43547-365-10,CAPTOPRIL 50 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,43547-377-03,VORICONAZOLE 50 MG TABLET,26.33,15.53,3.2,23.7,23
CDM,43547-378-03,VORICONAZOLE 200 MG TABLET,94.8,55.93,11.53,85.32,23
CDM,43547-386-09,FOSINOPRIL 10 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,43547-388-09,FOSINOPRIL 40 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,43547-390-50,GABAPENTIN 800 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,43547-394-10,GLIMEPIRIDE 1 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,43547-397-10,HYDROCHLOROTHIAZIDE 25 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,43547-399-10,CYCLOBENZAPRINE 5 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,43547-400-10,CYCLOBENZAPRINE 10 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,43547-401-10,FUROSEMIDE 20 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,43547-402-10,FUROSEMIDE 40 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,43547-403-10,FUROSEMIDE 80 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,43547-407-10,CLONAZEPAM 1 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,43547-409-03,PAROXETINE MESYLATE (MENOPAUSAL SYMPTOMS SUPPRESSANT) 7.5 MG CAPSULE,15.52,9.16,1.89,13.97,23
CDM,43547-414-10,LISINOPRIL 2.5 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,43547-415-10,LISINOPRIL 5 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,43547-416-10,LISINOPRIL 10 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,43547-417-10,LISINOPRIL 20 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,43547-419-10,LISINOPRIL 40 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,43547-435-06,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",13.44,7.93,1.63,12.1,23
CDM,43547-436-03,ENTECAVIR 0.5 MG TABLET,15.36,9.06,1.87,13.82,23
CDM,43547-487-10,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,43547-526-03,NEBIVOLOL 10 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,43547-527-03,NEBIVOLOL 20 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,43547-543-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,4.1,2.42,0.5,3.69,23
CDM,43547-543-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,4.1,2.42,0.5,3.69,23
CDM,43547-566-10,CLONIDINE HCL 0.2 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,43547-640-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,8.06,4.76,0.98,7.25,23
CDM,43547-640-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,8.06,4.76,0.98,7.25,23
CDM,43547-688-10,CIPROFLOXACIN 250 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,43547-689-10,CIPROFLOXACIN 500 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,43547-897-10,BUMETANIDE 1 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,43598-012-52,AMOXICILLIN 125 MG-POTASSIUM CLAVULANATE 31.25 MG/5 ML ORAL SUSP,2609.5,1539.61,317.43,2348.55,23
CDM,43598-050-11,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,15.67,9.25,1.91,14.1,23
CDM,43598-050-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,15.67,9.25,1.91,14.1,23
CDM,43598-053-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,828.1,488.58,100.73,745.29,23
CDM,43598-078-11,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,19.28,11.38,2.35,17.35,23
CDM,43598-106-10,DIAZEPAM 5 MG/ML INJECTION SYRINGE,114.02,67.27,13.87,102.62,23
CDM,43598-106-11,DIAZEPAM 5 MG/ML INJECTION SYRINGE,114.02,67.27,13.87,102.62,23
CDM,43598-127-25,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,11.18,6.6,1.36,10.06,23
CDM,43598-127-45,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,11.18,6.6,1.36,10.06,23
CDM,43598-128-11,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,68.85,40.62,8.38,61.97,23
CDM,43598-129-01,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,11.62,6.86,1.41,10.46,23
CDM,43598-129-25,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,11.62,6.86,1.41,10.46,23
CDM,43598-130-74,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",60.35,35.61,7.34,54.32,23
CDM,43598-142-11,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1069.0,630.71,130.04,962.1,23
CDM,43598-163-60,LUBIPROSTONE 8 MCG CAPSULE,11.4,6.73,1.39,10.26,23
CDM,43598-164-30,OLANZAPINE 5 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,43598-165-30,OLANZAPINE 7.5 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,43598-166-30,OLANZAPINE 10 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,43598-168-60,LUBIPROSTONE 24 MCG CAPSULE,11.4,6.73,1.39,10.26,23
CDM,43598-169-11,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,33.15,19.56,4.03,29.84,23
CDM,43598-169-58,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,33.15,19.56,4.03,29.84,23
CDM,43598-210-25,SILVER SULFADIAZINE 1 % TOPICAL CREAM,16.63,9.81,2.02,14.97,23
CDM,43598-210-40,SILVER SULFADIAZINE 1 % TOPICAL CREAM,156.0,92.04,18.98,140.4,23
CDM,43598-210-50,SILVER SULFADIAZINE 1 % TOPICAL CREAM,32.75,19.32,3.98,29.48,23
CDM,43598-210-55,SILVER SULFADIAZINE 1 % TOPICAL CREAM,26.25,15.49,3.19,23.63,23
CDM,43598-210-85,SILVER SULFADIAZINE 1 % TOPICAL CREAM,61.63,36.36,7.5,55.47,23
CDM,43598-230-18,COLESEVELAM 625 MG TABLET,4.23,2.5,0.51,3.81,23
CDM,43598-235-31,CYCLOSERINE 250 MG CAPSULE,354.74,209.3,43.15,319.27,23
CDM,43598-258-11,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,98.8,58.29,12.02,88.92,23
CDM,43598-262-02,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,245.8,145.02,29.9,221.22,23
CDM,43598-262-11,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,245.8,145.02,29.9,221.22,23
CDM,43598-262-23,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,245.8,145.02,29.9,221.22,23
CDM,43598-265-20,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,7.4,4.37,0.9,6.66,23
CDM,43598-265-25,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,7.4,4.37,0.9,6.66,23
CDM,43598-283-35,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",889.4,524.75,108.19,800.46,23
CDM,43598-292-66,PREGABALIN 50 MG CAPSULE,1.46,0.86,0.18,1.31,23
CDM,43598-292-79,PREGABALIN 50 MG CAPSULE,1.46,0.86,0.18,1.31,23
CDM,43598-293-90,PREGABALIN 75 MG CAPSULE,1.28,0.76,0.16,1.15,23
CDM,43598-294-66,PREGABALIN 100 MG CAPSULE,1.78,1.05,0.22,1.6,23
CDM,43598-294-79,PREGABALIN 100 MG CAPSULE,1.78,1.05,0.22,1.6,23
CDM,43598-294-90,PREGABALIN 100 MG CAPSULE,1.28,0.76,0.16,1.15,23
CDM,43598-295-66,PREGABALIN 150 MG CAPSULE,1.94,1.14,0.24,1.75,23
CDM,43598-295-79,PREGABALIN 150 MG CAPSULE,1.94,1.14,0.24,1.75,23
CDM,43598-305-62,AZACITIDINE 100 MG SOLUTION FOR INJECTION,158.95,93.78,19.34,143.06,23
CDM,43598-326-75,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,43598-330-11,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,28.15,16.61,3.42,25.34,23
CDM,43598-349-01,PROGESTERONE MICRONIZED 100 MG CAPSULE,5.06,2.99,0.62,4.55,23
CDM,43598-351-30,LURASIDONE 20 MG TABLET,2.74,1.62,0.33,2.47,23
CDM,43598-352-30,LURASIDONE 40 MG TABLET,3.29,1.94,0.4,2.96,23
CDM,43598-353-30,LURASIDONE 60 MG TABLET,3.84,2.27,0.47,3.46,23
CDM,43598-358-04,ABIRATERONE 250 MG TABLET,14.98,8.84,1.82,13.48,23
CDM,43598-372-30,COLCHICINE 0.6 MG TABLET,6.03,3.56,0.73,5.43,23
CDM,43598-386-62,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,67.05,39.56,8.16,60.35,23
CDM,43598-387-11,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,335.2,197.77,40.78,301.68,23
CDM,43598-390-30,FINASTERIDE 1 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,43598-391-50,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,429.05,253.14,52.19,386.15,23
CDM,43598-392-48,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,429.05,253.14,52.19,386.15,23
CDM,43598-394-67,TETRABENAZINE 12.5 MG TABLET,12.13,7.16,1.48,10.92,23
CDM,43598-405-11,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,88.49,52.21,10.76,79.64,23
CDM,43598-405-16,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,88.49,52.21,10.76,79.64,23
CDM,43598-409-05,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,5.55,3.27,0.68,5.0,23
CDM,43598-409-25,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,9.0,5.31,1.09,8.1,23
CDM,43598-412-25,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,10.19,6.01,1.24,9.17,23
CDM,43598-413-11,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,71.5,42.19,8.7,64.35,23
CDM,43598-426-60,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,80.65,47.58,9.81,72.59,23
CDM,43598-435-01,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,1.16,0.68,0.14,1.04,23
CDM,43598-436-11,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,3.9,2.3,0.47,3.51,23
CDM,43598-436-35,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,3.9,2.3,0.47,3.51,23
CDM,43598-446-71,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.41,3.78,0.78,5.77,23
CDM,43598-446-74,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.79,4.01,0.83,6.11,23
CDM,43598-447-71,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.41,3.78,0.78,5.77,23
CDM,43598-447-74,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.27,3.7,0.76,5.64,23
CDM,43598-448-71,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,5.32,3.14,0.65,4.79,23
CDM,43598-448-74,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.12,3.61,0.74,5.51,23
CDM,43598-452-02,ALBENDAZOLE 200 MG TABLET,159.98,94.39,19.46,143.98,23
CDM,43598-476-11,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,61.7,36.4,7.51,55.53,23
CDM,43598-478-01,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,43.57,25.71,5.3,39.21,23
CDM,43598-478-90,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,43.57,25.71,5.3,39.21,23
CDM,43598-486-72,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.53,0.9,0.19,1.38,23
CDM,43598-494-01,NAPROXEN SODIUM 275 MG TABLET,1.91,1.13,0.23,1.72,23
CDM,43598-495-01,NAPROXEN SODIUM 550 MG TABLET,3.46,2.04,0.42,3.11,23
CDM,43598-510-30,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",3.93,2.32,0.48,3.54,23
CDM,43598-510-90,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",3.93,2.32,0.48,3.54,23
CDM,43598-513-21,LENALIDOMIDE 15 MG CAPSULE,3599.54,2123.73,437.87,3239.59,23
CDM,43598-541-25,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2055.88,1212.97,250.09,1850.29,23
CDM,43598-548-21,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.5,12.1,2.49,18.45,23
CDM,43598-548-50,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,20.5,12.1,2.49,18.45,23
CDM,43598-549-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,35.5,20.95,4.32,31.95,23
CDM,43598-549-52,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,35.5,20.95,4.32,31.95,23
CDM,43598-554-30,ARIPIPRAZOLE 2 MG TABLET,3.25,1.92,0.4,2.93,23
CDM,43598-555-30,ARIPIPRAZOLE 5 MG TABLET,3.25,1.92,0.4,2.93,23
CDM,43598-556-30,ARIPIPRAZOLE 10 MG TABLET,6.88,4.06,0.84,6.19,23
CDM,43598-557-30,ARIPIPRAZOLE 15 MG TABLET,6.88,4.06,0.84,6.19,23
CDM,43598-559-30,ARIPIPRAZOLE 30 MG TABLET,7.78,4.59,0.95,7.0,23
CDM,43598-563-11,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,18.77,11.07,2.28,16.89,23
CDM,43598-563-25,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,18.77,11.07,2.28,16.89,23
CDM,43598-564-25,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,46.92,27.68,5.71,42.23,23
CDM,43598-578-60,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),3.34,1.97,0.41,3.01,23
CDM,43598-579-01,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,13.03,7.69,1.59,11.73,23
CDM,43598-579-30,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,13.03,7.69,1.59,11.73,23
CDM,43598-581-01,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,46.69,27.55,5.68,42.02,23
CDM,43598-581-30,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,46.69,27.55,5.68,42.02,23
CDM,43598-582-01,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,23.35,13.78,2.84,21.02,23
CDM,43598-582-30,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,23.35,13.78,2.84,21.02,23
CDM,43598-587-23,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,73.75,43.51,8.97,66.38,23
CDM,43598-607-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,36.65,21.62,4.46,32.99,23
CDM,43598-607-11,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,36.65,21.62,4.46,32.99,23
CDM,43598-609-10,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,135.52,79.96,16.49,121.97,23
CDM,43598-609-11,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,135.53,79.96,16.49,121.98,23
CDM,43598-635-10,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,31.5,18.59,3.83,28.35,23
CDM,43598-635-52,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,31.5,18.59,3.83,28.35,23
CDM,43598-637-10,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",67.0,39.53,8.15,60.3,23
CDM,43598-637-52,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",67.0,39.53,8.15,60.3,23
CDM,43598-647-11,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,26400.7,15576.41,3211.51,23760.63,23
CDM,43598-650-11,THIOTEPA 15 MG SOLUTION FOR INJECTION,921.5,543.69,112.1,829.35,23
CDM,43598-651-01,VIGABATRIN 500 MG TABLET,525.6,310.1,63.94,473.04,23
CDM,43598-655-30,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",1.47,0.87,0.18,1.32,23
CDM,43598-672-30,PYRIMETHAMINE 25 MG TABLET,1170.0,690.3,142.32,1053.0,23
CDM,43598-682-35,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",889.4,524.75,108.19,800.46,23
CDM,43598-683-25,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2055.88,1212.97,250.09,1850.29,23
CDM,43598-698-11,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,268.15,158.21,32.62,241.34,23
CDM,43598-698-58,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,331.74,195.73,40.35,298.57,23
CDM,43598-725-25,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,19.22,11.34,2.34,17.3,23
CDM,43598-741-01,RAMELTEON 8 MG TABLET,11.84,6.99,1.44,10.66,23
CDM,43598-750-11,NALOXONE 1 MG/ML INJECTION SYRINGE,78.21,46.14,9.51,70.39,23
CDM,43598-750-58,NALOXONE 1 MG/ML INJECTION SYRINGE,78.21,46.14,9.51,70.39,23
CDM,43598-839-11,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,27.3,16.11,3.32,24.57,23
CDM,43598-861-11,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,835.75,493.09,101.66,752.18,23
CDM,43598-891-16,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,12.53,7.39,1.52,11.28,23
CDM,43598-891-52,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,12.53,7.39,1.52,11.28,23
CDM,43598-917-11,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,331.74,195.73,40.35,298.57,23
CDM,43598-917-58,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,331.74,195.73,40.35,298.57,23
CDM,43598-931-09,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,89.39,52.74,10.87,80.45,23
CDM,43598-931-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,89.39,52.74,10.87,80.45,23
CDM,43598-948-11,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,147.5,87.03,17.94,132.75,23
CDM,43598-965-30,ARIPIPRAZOLE 2 MG TABLET,3.23,1.91,0.39,2.91,23
CDM,43598-977-10,DICLOFENAC 1 % TOPICAL GEL,48.0,28.32,5.84,43.2,23
CDM,43825-006-41,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",416.9,245.97,50.71,375.21,23
CDM,43825-007-41,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",1243.55,733.69,151.27,1119.2,23
CDM,43825-200-01,TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION,4215.65,2487.23,512.81,3794.09,23
CDM,4390028300,GLUTAMINE 15 GRAM ORAL POWDER PACKET,6.86,4.05,0.83,6.17,23
CDM,4390097647,GUAR GUM ORAL PACKET,1.73,1.02,0.21,1.56,23
CDM,43975-220-10,CARBIDOPA 25 MG TABLET,40.54,23.92,4.93,36.49,23
CDM,43975-254-14,TEMOZOLOMIDE 100 MG CAPSULE,74.63,44.03,9.08,67.17,23
CDM,43975-255-14,TEMOZOLOMIDE 140 MG CAPSULE,104.26,61.51,12.68,93.83,23
CDM,43975-322-03,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",3.07,1.81,0.37,2.76,23
CDM,43975-349-03,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",9.99,5.89,1.22,8.99,23
CDM,43975-350-03,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",9.99,5.89,1.22,8.99,23
CDM,43975-351-03,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",8.53,5.03,1.04,7.68,23
CDM,43975-352-03,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",14.67,8.66,1.78,13.2,23
CDM,44087-0022-3,INTERFERON BETA-1A (ALBUMIN) 22 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4268.1,2518.18,519.19,3841.29,23
CDM,44087-0044-3,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4268.1,2518.18,519.19,3841.29,23
CDM,44087-0044-9,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4268.1,2518.18,519.19,3841.29,23
CDM,44087-3535-1,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,9559.2,5639.93,1162.83,8603.28,23
CDM,44206-251-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",151.5,89.39,18.43,136.35,23
CDM,44206-251-10,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",303.0,178.77,36.86,272.7,23
CDM,44206-251-90,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",151.5,89.39,18.43,136.35,23
CDM,44206-251-91,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",303.0,178.77,36.86,272.7,23
CDM,44206-300-01,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",317.7,187.44,38.65,285.93,23
CDM,44206-300-10,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",317.69,187.44,38.65,285.92,23
CDM,44206-300-90,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",317.7,187.44,38.65,285.93,23
CDM,44206-310-25,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",166.25,98.09,20.22,149.63,23
CDM,44206-310-50,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",332.5,196.18,40.45,299.25,23
CDM,44206-310-90,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",166.25,98.09,20.22,149.63,23
CDM,44206-310-91,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",332.5,196.18,40.45,299.25,23
CDM,44206-436-05,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",1759.5,1038.11,214.03,1583.55,23
CDM,44206-436-90,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",1759.5,1038.11,214.03,1583.55,23
CDM,44206-437-10,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3519.0,2076.21,428.07,3167.1,23
CDM,44206-437-91,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3519.0,2076.21,428.07,3167.1,23
CDM,44206-438-20,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",7038.0,4152.42,856.14,6334.2,23
CDM,44206-438-92,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",7038.0,4152.42,856.14,6334.2,23
CDM,44206-439-40,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",14076.0,8304.84,1712.27,12668.4,23
CDM,44206-439-93,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",14076.0,8304.84,1712.27,12668.4,23
CDM,44206-451-01,IMMUNE GLOB G 1 GRAM/5 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,650.0,383.5,79.07,585.0,23
CDM,44206-451-90,IMMUNE GLOB G 1 GRAM/5 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,650.0,383.5,79.07,585.0,23
CDM,44206-452-02,IMMUN GLOB G 2 GRAM/10 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,1300.0,767.0,158.14,1170.0,23
CDM,44206-452-91,IMMUN GLOB G 2 GRAM/10 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,1300.0,767.0,158.14,1170.0,23
CDM,44206-454-04,IMMUN GLOB G 4 GRAM/20 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,2600.0,1534.0,316.28,2340.0,23
CDM,44206-455-10,IMMUN GLOB G 10 GRAM/50 ML(20 %)-PRO-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN,6500.0,3835.0,790.69,5850.0,23
CDM,44206-455-25,IMMUN GLOB G 10 GRAM/50 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SYR,6500.0,3835.0,790.69,5850.0,23
CDM,44206-455-97,IMMUN GLOB G 10 GRAM/50 ML(20 %)-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SYR,6762.5,3989.88,822.62,6086.25,23
CDM,4422930760,SODIUM CHLORIDE 7 % FOR NEBULIZATION,1.5,0.89,0.18,1.35,23
CDM,44567-100-10,AMPICILLIN 250 MG SOLUTION FOR INJECTION,5.54,3.27,0.67,4.99,23
CDM,44567-101-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION,4.61,2.72,0.56,4.15,23
CDM,44567-102-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,7.42,4.38,0.9,6.68,23
CDM,44567-103-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,11.98,7.07,1.46,10.78,23
CDM,44567-210-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,9.86,5.82,1.2,8.87,23
CDM,44567-211-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.31,9.62,1.98,14.68,23
CDM,44567-221-10,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,22.21,13.1,2.7,19.99,23
CDM,44567-222-10,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,32.21,19.0,3.92,28.99,23
CDM,44567-235-25,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,13.46,7.94,1.64,12.11,23
CDM,44567-236-10,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,26.96,15.91,3.28,24.26,23
CDM,44567-237-06,CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION,75.66,44.64,9.2,68.09,23
CDM,44567-240-10,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,13.36,7.88,1.63,12.02,23
CDM,44567-241-10,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,36.77,21.69,4.47,33.09,23
CDM,44567-245-25,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,11.52,6.8,1.4,10.37,23
CDM,44567-246-25,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,27.65,16.31,3.36,24.89,23
CDM,44567-311-10,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,20.05,11.83,2.44,18.05,23
CDM,44567-312-01,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,108.75,64.16,13.23,97.88,23
CDM,44567-402-01,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,143.99,84.95,17.52,129.59,23
CDM,44567-402-06,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,143.99,84.95,17.52,129.59,23
CDM,44567-410-24,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,14.5,8.56,1.76,13.05,23
CDM,44567-420-00,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,19.5,11.51,2.37,17.55,23
CDM,44567-420-24,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,19.5,11.51,2.37,17.55,23
CDM,44567-421-00,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,17.0,10.03,2.07,15.3,23
CDM,44567-421-24,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,17.0,10.03,2.07,15.3,23
CDM,44567-450-01,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",406.25,239.69,49.42,365.63,23
CDM,44567-502-01,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",51.0,30.09,6.2,45.9,23
CDM,44567-505-01,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",152.98,90.26,18.61,137.68,23
CDM,44567-510-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,69.5,41.01,8.45,62.55,23
CDM,44567-511-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,230.0,135.7,27.98,207.0,23
CDM,44567-530-01,CISPLATIN 50 MG INTRAVENOUS POWDER FOR SOLUTION,2316.5,1366.74,281.79,2084.85,23
CDM,44567-600-04,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,40.92,24.14,4.98,36.83,23
CDM,44567-601-04,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,129.0,76.11,15.69,116.1,23
CDM,44567-602-24,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN DEXTROSE 5 % IV SOLUTION,30.5,18.0,3.71,27.45,23
CDM,44567-603-24,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN DEXTROSE 5 % IV SOLUTION,73.0,43.07,8.88,65.7,23
CDM,44567-610-01,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,64.0,37.76,7.79,57.6,23
CDM,44567-610-10,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,64.0,37.76,7.79,57.6,23
CDM,44567-611-01,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,85.5,50.45,10.4,76.95,23
CDM,44567-611-10,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,85.5,50.45,10.4,76.95,23
CDM,44567-622-01,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",41.5,24.49,5.05,37.35,23
CDM,44567-622-24,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",41.5,24.49,5.05,37.35,23
CDM,44567-642-01,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,280.0,165.2,34.06,252.0,23
CDM,44567-642-10,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,280.0,165.2,34.06,252.0,23
CDM,44567-700-25,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,10.09,5.95,1.23,9.08,23
CDM,44567-701-25,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,6.45,3.81,0.78,5.81,23
CDM,44567-702-25,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,27.6,16.28,3.36,24.84,23
CDM,44567-705-10,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,96.58,56.98,11.75,86.92,23
CDM,44567-706-25,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,7.33,4.32,0.89,6.6,23
CDM,44567-707-25,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,7.56,4.46,0.92,6.8,23
CDM,44567-708-10,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,50.64,29.88,6.16,45.58,23
CDM,44567-801-10,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,11.06,6.53,1.35,9.95,23
CDM,44567-802-10,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,23.64,13.95,2.88,21.28,23
CDM,44567-803-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,22.49,13.27,2.74,20.24,23
CDM,44567-804-01,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,138.25,81.57,16.82,124.43,23
CDM,44567-811-10,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN STERILE WATER INTRAVENOUS SOLN",363.75,214.61,44.25,327.38,23
CDM,44567-812-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN STERILE WATER INTRAVENOUS SOLN",341.0,201.19,41.48,306.9,23
CDM,44567-820-01,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,138.23,81.56,16.81,124.41,23
CDM,44567-820-10,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,138.23,81.56,16.81,124.41,23
CDM,4467710202,MODIFIED LANOLIN 100 % TOPICAL CREAM,10.26,6.05,1.25,9.23,23
CDM,44827-303-01,ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION,107.08,63.18,13.03,96.37,23
CDM,4494610328,FLUORIDE 0.5 MG (1.1 MG SODIUM FLUORIDE)/ML ORAL DROPS,28.25,16.67,3.44,25.43,23
CDM,4494610415,PRENATAL VIT NO.37-IRON FUM 29 MG IRON-FOLIC ACID 1 MG CHEWABLE TABLET,0.4,0.24,0.05,0.36,23
CDM,45567-0060-1,KIT PREPARATION OF TC-99M-SODIUM PYROPHOSPHATE 12 MG IV SOLUTION,94.38,55.68,11.48,84.94,23
CDM,45802-004-02,HYDROCORTISONE 2.5 % TOPICAL CREAM,10.4,6.14,1.27,9.36,23
CDM,45802-004-03,HYDROCORTISONE 2.5 % TOPICAL CREAM,17.5,10.33,2.13,15.75,23
CDM,45802-009-10,FLUOCINOLONE ACETONIDE OIL 0.01 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,45802-014-02,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,10.4,6.14,1.27,9.36,23
CDM,45802-038-46,ERYTHROMYCIN WITH ETHANOL 2 % TOPICAL SOLUTION,184.2,108.68,22.41,165.78,23
CDM,45802-040-64,SELENIUM SULFIDE 2.5 % LOTION,31.8,18.76,3.87,28.62,23
CDM,45802-046-11,GENTAMICIN 0.1 % TOPICAL OINTMENT,287.85,169.83,35.02,259.07,23
CDM,45802-046-35,GENTAMICIN 0.1 % TOPICAL OINTMENT,157.2,92.75,19.12,141.48,23
CDM,45802-048-35,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",36.98,21.82,4.5,33.28,23
CDM,45802-049-35,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT,37.73,22.26,4.59,33.96,23
CDM,45802-054-35,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,18.6,10.97,2.26,16.74,23
CDM,45802-054-36,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,37.6,22.18,4.57,33.84,23
CDM,45802-055-05,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,95.34,56.25,11.6,85.81,23
CDM,45802-055-35,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,12.3,7.26,1.5,11.07,23
CDM,45802-055-36,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,21.2,12.51,2.58,19.08,23
CDM,45802-056-35,GENTAMICIN 0.1 % TOPICAL CREAM,157.2,92.75,19.12,141.48,23
CDM,45802-059-11,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",43.05,25.4,5.24,38.75,23
CDM,45802-059-35,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",22.58,13.32,2.75,20.32,23
CDM,45802-060-00,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET,0.61,0.36,0.07,0.55,23
CDM,45802-060-03,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,11.34,6.69,1.38,10.21,23
CDM,45802-060-70,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET,0.61,0.36,0.07,0.55,23
CDM,45802-063-05,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,83.99,49.55,10.22,75.59,23
CDM,45802-063-35,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,16.58,9.78,2.02,14.92,23
CDM,45802-064-05,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,77.18,45.54,9.39,69.46,23
CDM,45802-064-35,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,8.03,4.74,0.98,7.23,23
CDM,45802-064-36,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,31.6,18.64,3.84,28.44,23
CDM,45802-065-35,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,29.18,17.22,3.55,26.26,23
CDM,45802-066-01,AZELASTINE 137 MCG-FLUTICASONE 50 MCG/SPRAY NASAL SPRAY,683.33,403.16,83.12,615.0,23
CDM,45802-088-01,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,129.59,76.46,15.76,116.63,23
CDM,45802-097-35,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,357.64,211.01,43.51,321.88,23
CDM,45802-098-46,MESALAMINE 4 GRAM/60 ML ENEMA,60.3,35.58,7.34,54.27,23
CDM,45802-098-51,MESALAMINE 4 GRAM/60 ML ENEMA,61.5,36.29,7.48,55.35,23
CDM,45802-112-22,MUPIROCIN 2 % TOPICAL OINTMENT,29.59,17.46,3.6,26.63,23
CDM,45802-131-35,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,293.33,173.06,35.68,264.0,23
CDM,45802-138-35,CICLOPIROX 0.77 % TOPICAL CREAM,70.8,41.77,8.61,63.72,23
CDM,45802-139-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,586.95,346.3,71.4,528.26,23
CDM,45802-143-00,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",0.59,0.35,0.07,0.53,23
CDM,45802-143-01,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",7.98,4.71,0.97,7.18,23
CDM,45802-143-03,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",13.35,7.88,1.62,12.02,23
CDM,45802-143-70,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",0.59,0.35,0.07,0.53,23
CDM,45802-188-16,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,10.55,6.22,1.28,9.5,23
CDM,45802-201-26,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,9.44,5.57,1.15,8.5,23
CDM,45802-203-26,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,11.21,6.61,1.36,10.09,23
CDM,45802-210-01,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,670.4,395.54,81.55,603.36,23
CDM,45802-216-96,BENZOYL PEROXIDE 5 % TOPICAL GEL,54.3,32.04,6.61,48.87,23
CDM,45802-222-11,FLUTICASONE PROPIONATE 0.05 % TOPICAL CREAM,54.45,32.13,6.62,49.01,23
CDM,45802-257-42,MOMETASONE 0.1 % TOPICAL CREAM,119.93,70.76,14.59,107.94,23
CDM,45802-269-37,PERMETHRIN 5 % TOPICAL CREAM,456.3,269.22,55.51,410.67,23
CDM,45802-276-03,HYDROCORTISONE 1 % TOPICAL OINTMENT,8.26,4.87,1.0,7.43,23
CDM,45802-280-01,BENZOYL PEROXIDE 5 % TOPICAL CLEANSER,34.79,20.53,4.23,31.31,23
CDM,45802-344-03,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.58,0.93,0.19,1.42,23
CDM,45802-344-05,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.58,0.93,0.19,1.42,23
CDM,45802-357-58,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,4.28,2.53,0.52,3.85,23
CDM,45802-358-03,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,8.54,5.04,1.04,7.69,23
CDM,45802-368-00,IMIQUIMOD 5 % TOPICAL CREAM PACKET,7.87,4.64,0.96,7.08,23
CDM,45802-368-53,IMIQUIMOD 5 % TOPICAL CREAM PACKET,67.81,40.01,8.25,61.03,23
CDM,45802-368-62,IMIQUIMOD 5 % TOPICAL CREAM PACKET,7.88,4.65,0.96,7.09,23
CDM,45802-376-32,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL CREAM",34.5,20.36,4.2,31.05,23
CDM,45802-390-00,TACROLIMUS 0.03 % TOPICAL OINTMENT,322.5,190.28,39.23,290.25,23
CDM,45802-410-59,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),9.75,5.75,1.19,8.78,23
CDM,45802-419-26,AMMONIUM LACTATE 12 % LOTION,116.0,68.44,14.11,104.4,23
CDM,45802-419-54,AMMONIUM LACTATE 12 % LOTION,81.0,47.79,9.85,72.9,23
CDM,45802-423-35,DESONIDE 0.05 % TOPICAL OINTMENT,89.1,52.57,10.84,80.19,23
CDM,45802-432-62,PSEUDOEPHEDRINE 30 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,45802-433-21,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,24.03,14.18,2.92,21.63,23
CDM,45802-434-01,CLOTRIMAZOLE 1 % TOPICAL CREAM,14.63,8.63,1.78,13.17,23
CDM,45802-434-11,CLOTRIMAZOLE 1 % TOPICAL CREAM,7.35,4.34,0.89,6.62,23
CDM,45802-438-03,HYDROCORTISONE 1 % TOPICAL CREAM,8.4,4.96,1.02,7.56,23
CDM,45802-465-64,KETOCONAZOLE 2 % SHAMPOO,59.4,35.05,7.23,53.46,23
CDM,45802-466-35,ECONAZOLE NITRATE 1 % TOPICAL CREAM,115.35,68.06,14.03,103.82,23
CDM,45802-472-64,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % RECTAL CREAM,381.45,225.06,46.4,343.31,23
CDM,45802-495-35,DESOXIMETASONE 0.25 % TOPICAL CREAM,123.53,72.88,15.03,111.18,23
CDM,45802-495-37,DESOXIMETASONE 0.25 % TOPICAL CREAM,219.3,129.39,26.68,197.37,23
CDM,45802-562-01,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,63.15,37.26,7.68,56.84,23
CDM,45802-580-01,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,88.31,52.1,10.74,79.48,23
CDM,45802-580-62,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,88.32,52.11,10.74,79.49,23
CDM,45802-580-84,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,57.92,34.17,7.05,52.13,23
CDM,45802-598-00,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,227.95,134.49,27.73,205.16,23
CDM,45802-619-00,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY,227.95,134.49,27.73,205.16,23
CDM,45802-650-87,LORATADINE 10 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,45802-700-00,TACROLIMUS 0.1 % TOPICAL OINTMENT,460.8,271.87,56.05,414.72,23
CDM,45802-700-02,TACROLIMUS 0.1 % TOPICAL OINTMENT,1536.0,906.24,186.85,1382.4,23
CDM,45802-717-08,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,126.09,74.39,15.34,113.48,23
CDM,45802-730-00,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.29,0.76,0.16,1.16,23
CDM,45802-730-30,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.42,0.84,0.17,1.28,23
CDM,45802-730-32,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.29,0.76,0.16,1.16,23
CDM,45802-730-33,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,0.94,0.55,0.11,0.85,23
CDM,45802-732-00,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.23,0.73,0.15,1.11,23
CDM,45802-732-30,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.23,0.73,0.15,1.11,23
CDM,45802-732-33,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.79,0.47,0.1,0.71,23
CDM,45802-754-01,TESTOSTERONE 20.25 MG/1.25 GRAM PER PUMP ACT.(1.62 %) TRANSDERMAL GEL,256.13,151.12,31.16,230.52,23
CDM,45802-758-30,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,29.95,17.67,3.64,26.96,23
CDM,45802-759-30,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,24.14,14.24,2.94,21.73,23
CDM,45802-868-00,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,7.41,4.37,0.9,6.67,23
CDM,45802-868-01,POLYETHYLENE GLYCOL ORAL POWDER (BOWEL PREP),19.04,11.23,2.32,17.14,23
CDM,45802-868-02,POLYETHYLENE GLYCOL ORAL POWDER (BOWEL PREP),22.61,13.34,2.75,20.35,23
CDM,45802-868-66,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,7.41,4.37,0.9,6.67,23
CDM,45802-873-05,NICOTINE (POLACRILEX) 4 MG BUCCAL LOZENGE,1.58,0.93,0.19,1.42,23
CDM,45802-880-14,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",83.63,49.34,10.17,75.27,23
CDM,45802-919-39,CETIRIZINE 10 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,45802-925-14,CLOBETASOL 0.05 % TOPICAL GEL,190.28,112.27,23.15,171.25,23
CDM,45802-925-94,CLOBETASOL 0.05 % TOPICAL GEL,318.15,187.71,38.7,286.34,23
CDM,45802-937-16,HYDROCORTISONE 2.5 % LOTION,60.18,35.51,7.32,54.16,23
CDM,45802-952-26,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,34.8,20.53,4.23,31.32,23
CDM,45802-953-01,DICLOFENAC 1 % TOPICAL GEL,57.0,33.63,6.93,51.3,23
CDM,45802-974-26,CETIRIZINE 1 MG/ML ORAL SOLUTION,37.76,22.28,4.59,33.98,23
CDM,45802-974-26,CETIRIZINE 1MG/ML ORAL SOLUTION (WRAPPED E-RX),37.76,22.28,4.59,33.98,23
CDM,4580251377,AMMONIUM LACTATE 12 % TOPICAL CREAM,48.3,28.5,5.88,43.47,23
CDM,4580252526,AMMONIUM LACTATE 12 % LOTION,72.0,42.48,8.76,64.8,23
CDM,4580252555,AMMONIUM LACTATE 12 % LOTION,44.27,26.12,5.39,39.84,23
CDM,45963-142-30,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",6.89,4.07,0.84,6.2,23
CDM,45963-142-90,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",6.93,4.09,0.84,6.24,23
CDM,45963-341-02,DESIPRAMINE 10 MG TABLET,4.3,2.54,0.52,3.87,23
CDM,45963-342-02,DESIPRAMINE 25 MG TABLET,5.17,3.05,0.63,4.65,23
CDM,45963-343-02,DESIPRAMINE 50 MG TABLET,9.73,5.74,1.18,8.76,23
CDM,45963-344-02,DESIPRAMINE 75 MG TABLET,11.26,6.64,1.37,10.13,23
CDM,45963-345-02,DESIPRAMINE 100 MG TABLET,16.26,9.59,1.98,14.63,23
CDM,45963-438-64,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,23.65,13.95,2.88,21.29,23
CDM,45963-439-65,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,52.03,30.7,6.33,46.83,23
CDM,45963-555-11,GABAPENTIN 100 MG CAPSULE,0.28,0.17,0.03,0.25,23
CDM,45963-556-11,GABAPENTIN 300 MG CAPSULE,0.41,0.24,0.05,0.37,23
CDM,45963-557-11,GABAPENTIN 400 MG CAPSULE,0.52,0.31,0.06,0.47,23
CDM,45963-607-55,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,82.95,48.94,10.09,74.66,23
CDM,45963-607-56,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,414.7,244.67,50.45,373.23,23
CDM,45963-609-55,FLUDARABINE 50 MG INTRAVENOUS SOLUTION,431.1,254.35,52.44,387.99,23
CDM,45963-614-51,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,38.4,22.66,4.67,34.56,23
CDM,45963-614-55,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,90.1,53.16,10.96,81.09,23
CDM,45963-677-11,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",1.74,1.03,0.21,1.57,23
CDM,45963-733-55,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,33.65,19.85,4.09,30.29,23
CDM,45963-733-57,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,92.15,54.37,11.21,82.94,23
CDM,45963-733-68,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,161.25,95.14,19.62,145.13,23
CDM,45963-734-54,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,271.4,160.13,33.01,244.26,23
CDM,45963-765-52,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,789.5,465.81,96.04,710.55,23
CDM,4601701816,CAFFEINE 200 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,4601701840,CAFFEINE 200 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,46163-300-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,155.0,91.45,18.85,139.5,23
CDM,46287-006-60,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP,111.3,65.67,13.54,100.17,23
CDM,46287-009-01,ISONIAZID 50 MG/5 ML ORAL SOLUTION,1352.78,798.14,164.56,1217.5,23
CDM,46287-020-01,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,7035.88,4151.17,855.88,6332.29,23
CDM,46287-020-20,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,103.2,60.89,12.55,92.88,23
CDM,46287-020-50,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,103.2,60.89,12.55,92.88,23
CDM,46287-024-10,POTASSIUM PHOS-MONO-DIBASIC 3 MMOL/ML (4.7 MEQ POTASSIUM/ML) IV SOLN,147.3,86.91,17.92,132.57,23
CDM,46287-024-15,POTASSIUM PHOS-MONO-DIBASIC 3 MMOL/ML (4.7 MEQ POTASSIUM/ML) IV SOLN,147.3,86.91,17.92,132.57,23
CDM,4628750001,SORBITOL 70 % SOLUTION,49.67,29.31,6.04,44.7,23
CDM,4628750030,SORBITOL 70 % SOLUTION,12.75,7.52,1.55,11.48,23
CDM,46414-2222-1,AMYL NITRITE 0.3 ML SOLUTION FOR INHALATION,2.52,1.49,0.31,2.27,23
CDM,47335-002-88,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET,14.38,8.48,1.75,12.94,23
CDM,47335-004-88,CARBIDOPA 31.25 MG-LEVODOPA 125 MG-ENTACAPONE 200 MG TABLET,14.38,8.48,1.75,12.94,23
CDM,47335-005-88,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,14.29,8.43,1.74,12.86,23
CDM,47335-007-88,ENTACAPONE 200 MG TABLET,17.49,10.32,2.13,15.74,23
CDM,47335-047-40,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,938.3,553.6,114.14,844.47,23
CDM,47335-049-40,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",871.5,514.19,106.01,784.35,23
CDM,47335-050-40,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2011.13,1186.57,244.64,1810.02,23
CDM,47335-061-86,DOFETILIDE 125 MCG CAPSULE,0.82,0.48,0.1,0.74,23
CDM,47335-153-40,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,131.35,77.5,15.98,118.22,23
CDM,47335-154-40,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,656.8,387.51,79.9,591.12,23
CDM,47335-176-40,OXALIPLATIN 50 MG INTRAVENOUS SOLUTION,232.5,137.18,28.28,209.25,23
CDM,47335-177-95,TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE,65697.95,38761.79,7991.81,59128.16,23
CDM,47335-178-40,OXALIPLATIN 100 MG INTRAVENOUS SOLUTION,2464.5,1454.06,299.79,2218.05,23
CDM,47335-187-88,CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET,2.62,1.55,0.32,2.36,23
CDM,47335-188-88,CARBIDOPA 25 MG-LEVODOPA 250 MG DISINTEGRATING TABLET,3.35,1.98,0.41,3.02,23
CDM,47335-220-90,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,47335-235-83,METHOTREXATE SODIUM 2.5 MG TABLET,2.2,1.3,0.27,1.98,23
CDM,47335-235-96,METHOTREXATE SODIUM 2.5 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,47335-236-83,AMBRISENTAN 5 MG TABLET,225.0,132.75,27.37,202.5,23
CDM,47335-237-83,AMBRISENTAN 10 MG TABLET,225.0,132.75,27.37,202.5,23
CDM,47335-289-26,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,164.21,96.88,19.98,147.79,23
CDM,47335-289-27,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,164.21,96.88,19.98,147.79,23
CDM,47335-289-40,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,97.65,57.61,11.88,87.89,23
CDM,47335-290-26,CAFFEINE CITRATE 20 MG/ML ORAL SOLUTION,164.21,96.88,19.98,147.79,23
CDM,47335-290-27,CAFFEINE CITRATE 20 MG/ML ORAL SOLUTION,164.21,96.88,19.98,147.79,23
CDM,47335-290-44,CAFFEINE CITRATE 20 MG/ML ORAL SOLUTION,92.19,54.39,11.21,82.97,23
CDM,47335-308-88,"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE",1.15,0.68,0.14,1.04,23
CDM,47335-321-86,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,47335-322-86,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,47335-323-40,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,50.8,29.97,6.18,45.72,23
CDM,47335-330-40,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,145.15,85.64,17.66,130.64,23
CDM,47335-361-40,DECITABINE 50 MG INTRAVENOUS SOLUTION,460.75,271.84,56.05,414.68,23
CDM,47335-361-41,DECITABINE 50 MG INTRAVENOUS SOLUTION,460.75,271.84,56.05,414.68,23
CDM,47335-379-83,CINACALCET 30 MG TABLET,1.12,0.66,0.14,1.01,23
CDM,47335-380-83,CINACALCET 60 MG TABLET,3.5,2.07,0.43,3.15,23
CDM,47335-472-81,IMATINIB 100 MG TABLET,7.55,4.45,0.92,6.8,23
CDM,47335-475-83,IMATINIB 400 MG TABLET,23.22,13.7,2.82,20.9,23
CDM,47335-485-83,BICALUTAMIDE 50 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,47335-603-88,ALPRAZOLAM 0.25 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,47335-604-88,ALPRAZOLAM 0.5 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,47335-614-81,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",2.82,1.66,0.34,2.54,23
CDM,47335-615-40,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,40.5,23.9,4.93,36.45,23
CDM,47335-615-44,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,40.5,23.9,4.93,36.45,23
CDM,47335-631-48,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,11.33,6.68,1.38,10.2,23
CDM,47335-631-49,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,11.33,6.68,1.38,10.2,23
CDM,47335-676-81,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",1.42,0.84,0.17,1.28,23
CDM,47335-677-13,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",1.76,1.04,0.21,1.58,23
CDM,47335-689-88,PREGABALIN 100 MG CAPSULE,0.18,0.11,0.02,0.16,23
CDM,47335-703-48,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,0.74,0.44,0.09,0.67,23
CDM,47335-703-52,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,0.65,0.38,0.08,0.59,23
CDM,47335-707-86,TOPIRAMATE 25 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,47335-711-86,TOPIRAMATE 100 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,47335-712-86,TOPIRAMATE 200 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,47335-721-83,FEBUXOSTAT 40 MG TABLET,5.38,3.17,0.65,4.84,23
CDM,47335-736-86,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",0.39,0.23,0.05,0.35,23
CDM,47335-736-88,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",0.2,0.12,0.02,0.18,23
CDM,47335-746-49,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,12.94,7.63,1.57,11.65,23
CDM,47335-756-48,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.85,1.09,0.23,1.67,23
CDM,47335-756-49,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.85,1.09,0.23,1.67,23
CDM,47335-788-91,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),225.75,133.19,27.46,203.18,23
CDM,47335-890-60,TEMOZOLOMIDE 5 MG CAPSULE,9.41,5.55,1.14,8.47,23
CDM,47335-890-72,TEMOZOLOMIDE 5 MG CAPSULE,9.41,5.55,1.14,8.47,23
CDM,47335-891-60,TEMOZOLOMIDE 20 MG CAPSULE,24.52,14.47,2.98,22.07,23
CDM,47335-891-72,TEMOZOLOMIDE 20 MG CAPSULE,24.52,14.47,2.98,22.07,23
CDM,47335-892-60,TEMOZOLOMIDE 100 MG CAPSULE,94.04,55.48,11.44,84.64,23
CDM,47335-892-72,TEMOZOLOMIDE 100 MG CAPSULE,94.04,55.48,11.44,84.64,23
CDM,47335-893-74,TEMOZOLOMIDE 250 MG CAPSULE,204.56,120.69,24.88,184.1,23
CDM,47335-894-81,CLOPIDOGREL 75 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,47335-895-40,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,163.96,96.74,19.94,147.56,23
CDM,47335-902-88,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,47335-918-86,LACOSAMIDE 50 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,47335-929-60,TEMOZOLOMIDE 140 MG CAPSULE,144.08,85.01,17.53,129.67,23
CDM,47335-929-72,TEMOZOLOMIDE 140 MG CAPSULE,144.08,85.01,17.53,129.67,23
CDM,47335-930-60,TEMOZOLOMIDE 180 MG CAPSULE,176.0,103.84,21.41,158.4,23
CDM,47335-930-72,TEMOZOLOMIDE 180 MG CAPSULE,176.0,103.84,21.41,158.4,23
CDM,47335-931-40,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,39.17,23.11,4.76,35.25,23
CDM,47335-931-44,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,39.17,23.11,4.76,35.25,23
CDM,47335-932-44,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,78.33,46.21,9.53,70.5,23
CDM,47335-938-90,AZELASTINE 0.05 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,47335-992-01,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,58.0,34.22,7.06,52.2,23
CDM,47335-992-02,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,29.0,17.11,3.53,26.1,23
CDM,47335-993-01,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,12.5,7.38,1.52,11.25,23
CDM,47426-201-01,APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION,1013.67,598.07,123.31,912.3,23
CDM,47682-116-13,ASPIRIN IMMEDIATE RELEASE 325 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,47735-289-27,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,20.55,12.12,2.5,18.5,23
CDM,4778-1206-11,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,56.3,33.22,6.85,50.67,23
CDM,47781-176-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,1.72,1.01,0.21,1.55,23
CDM,47781-179-01,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,1.73,1.02,0.21,1.56,23
CDM,47781-196-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,47781-335-30,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",28.81,17.0,3.5,25.93,23
CDM,47781-355-03,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,11.45,6.76,1.39,10.31,23
CDM,47781-355-11,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,11.45,6.76,1.39,10.31,23
CDM,47781-356-03,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,22.2,13.1,2.7,19.98,23
CDM,47781-356-11,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,22.2,13.1,2.7,19.98,23
CDM,47781-357-03,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,22.64,13.36,2.75,20.38,23
CDM,47781-357-11,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,22.64,13.36,2.75,20.38,23
CDM,47781-358-03,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,42.97,25.35,5.23,38.67,23
CDM,47781-358-11,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,42.97,25.35,5.23,38.67,23
CDM,47781-423-11,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,28.31,16.7,3.44,25.48,23
CDM,47781-423-47,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,28.31,16.7,3.44,25.48,23
CDM,47781-424-11,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,22.07,13.02,2.68,19.86,23
CDM,47781-424-47,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,22.07,13.02,2.68,19.86,23
CDM,47781-426-11,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,59.55,35.13,7.24,53.6,23
CDM,47781-426-47,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,35.26,20.8,4.29,31.73,23
CDM,47781-427-11,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,78.47,46.3,9.55,70.62,23
CDM,47781-427-47,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,78.47,46.3,9.55,70.62,23
CDM,47781-428-11,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,83.62,49.34,10.17,75.26,23
CDM,47781-428-47,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,83.62,49.34,10.17,75.26,23
CDM,47781-468-13,OSELTAMIVIR 30 MG CAPSULE,43.12,25.44,5.25,38.81,23
CDM,47781-470-13,OSELTAMIVIR 75 MG CAPSULE,47.0,27.73,5.72,42.3,23
CDM,47781-562-01,LISDEXAMFETAMINE 10 MG CAPSULE,37.11,21.89,4.51,33.4,23
CDM,47781-568-01,LISDEXAMFETAMINE 70 MG CAPSULE,36.92,21.78,4.49,33.23,23
CDM,47781-607-30,DISULFIRAM 250 MG TABLET,10.21,6.02,1.24,9.19,23
CDM,47781-640-90,LEVOTHYROXINE 25 MCG TABLET,0.36,0.21,0.04,0.32,23
CDM,47781-643-90,LEVOTHYROXINE 50 MCG TABLET,0.4,0.24,0.05,0.36,23
CDM,47781-657-90,LEVOTHYROXINE 125 MCG TABLET,0.49,0.29,0.06,0.44,23
CDM,47781-690-30,RASAGILINE 1 MG TABLET,68.36,40.33,8.32,61.52,23
CDM,47783-101-01,ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLUTION,81235.65,47929.03,9881.89,73112.09,23
CDM,48102-057-11,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,45.41,26.79,5.52,40.87,23
CDM,4810702489,NIACIN 250 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,48433-106-01,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.74,0.44,0.09,0.67,23
CDM,48433-202-30,MINERAL OIL ORAL,7.95,4.69,0.97,7.16,23
CDM,48433-230-15,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,156.87,92.55,19.08,141.18,23
CDM,4843310401,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.87,0.51,0.11,0.78,23
CDM,4843310801,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,4843321501,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,262.52,154.89,31.93,236.27,23
CDM,4858200155,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,28.8,16.99,3.5,25.92,23
CDM,4858251201,SALIVA STIMULANT COMBINATION NO.7 ORAL MUCOSAL GEL,21.42,12.64,2.61,19.28,23
CDM,48783-112-08,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,656.8,387.51,79.9,591.12,23
CDM,48878-0620-4,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,2.93,1.73,0.36,2.64,23
CDM,4902213112,WHITE PETROLATUM-MINERAL OIL TOPICAL CREAM,29.95,17.67,3.64,26.96,23
CDM,4902214067,PERMETHRIN 1 % TOPICAL LIQUID,74.95,44.22,9.12,67.46,23
CDM,4910036374,LACTOBACILLUS RHAMNOSUS GG 15 BILLION CELL SPRINKLE CAPSULE,2.54,1.5,0.31,2.29,23
CDM,4910040009,LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL-INULIN 200 MG SPRINKLE CAPSULE,2.31,1.36,0.28,2.08,23
CDM,49230-212-94,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,237.5,140.13,28.89,213.75,23
CDM,49230-300-10,SODIUM CHLORIDE 0.9 % IV BOLUS NEW BAG (DROPS CHARGE),5.0,2.95,0.61,4.5,23
CDM,49281-190-20,RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION,4387.6,2588.68,533.73,3948.84,23
CDM,49281-215-10,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP,180.04,106.22,21.9,162.04,23
CDM,49281-215-15,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,180.04,106.22,21.9,162.04,23
CDM,49281-215-88,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,180.04,106.22,21.9,162.04,23
CDM,49281-246-58,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",1505.6,888.3,183.15,1355.04,23
CDM,49281-248-58,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",1527.6,901.28,185.82,1374.84,23
CDM,49281-250-51,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",1527.6,901.28,185.82,1374.84,23
CDM,49281-252-51,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",2020.15,1191.89,245.74,1818.14,23
CDM,49281-286-10,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",137.1,80.89,16.68,123.39,23
CDM,49281-286-58,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",137.1,80.89,16.68,123.39,23
CDM,49281-400-10,"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP",231.91,136.83,28.21,208.72,23
CDM,49281-400-20,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE",231.91,136.83,28.21,208.72,23
CDM,49281-400-58,"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP",231.91,136.83,28.21,208.72,23
CDM,49281-400-89,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE",231.91,136.83,28.21,208.72,23
CDM,49281-545-03,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,61.61,36.35,7.49,55.45,23
CDM,49281-547-58,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,61.61,36.35,7.49,55.45,23
CDM,49281-561-01,DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION,454.0,267.86,55.23,408.6,23
CDM,49281-574-15,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2469.1,1456.77,300.35,2222.19,23
CDM,49281-574-88,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2469.1,1456.77,300.35,2222.19,23
CDM,49281-575-00,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2469.1,1456.77,300.35,2222.19,23
CDM,49281-575-15,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2469.1,1456.77,300.35,2222.19,23
CDM,49281-752-21,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,424.15,250.25,51.6,381.74,23
CDM,49281-752-22,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,1655.4,976.69,201.37,1489.86,23
CDM,49281-752-78,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,424.15,250.25,51.6,381.74,23
CDM,49281-752-98,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,1655.4,976.69,201.37,1489.86,23
CDM,49281-790-51,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,676.6,399.19,82.3,608.94,23
CDM,49281-790-88,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,676.6,399.19,82.3,608.94,23
CDM,49281-860-10,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,1963.85,1158.67,238.89,1767.47,23
CDM,49281-860-78,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,1963.85,1158.67,238.89,1767.47,23
CDM,49281-915-01,YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP,1175.75,693.69,143.02,1058.18,23
CDM,49281-915-58,YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP,1175.75,693.69,143.02,1058.18,23
CDM,49348-028-27,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),8.55,5.04,1.04,7.7,23
CDM,49348-032-10,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.12,0.07,0.01,0.11,23
CDM,49348-037-29,TETRAHYDROZOLINE 0.05 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,49348-076-44,PHENAZOPYRIDINE 95 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,49348-154-72,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,11.2,6.61,1.36,10.08,23
CDM,49348-185-20,MINERAL OIL ENEMA,7.98,4.71,0.97,7.18,23
CDM,49348-186-20,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,4.66,2.75,0.57,4.19,23
CDM,49348-274-72,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",11.34,6.69,1.38,10.21,23
CDM,49348-355-43,MICONAZOLE NITRATE 200 MG-2 % (9 GRAM) VAGINAL KIT,43.8,25.84,5.33,39.42,23
CDM,49348-356-25,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,6.6,3.89,0.8,5.94,23
CDM,49348-573-08,NICOTINE (POLACRILEX) 2 MG GUM,1.14,0.67,0.14,1.03,23
CDM,49348-757-07,ASPIRIN 81 MG CHEWABLE TABLET,0.16,0.09,0.02,0.14,23
CDM,49348-817-05,FAMOTIDINE 20 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,49348-852-16,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,1.78,1.05,0.22,1.6,23
CDM,49348-853-16,NICOTINE (POLACRILEX) 4 MG BUCCAL LOZENGE,1.78,1.05,0.22,1.6,23
CDM,49348-854-72,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,10.65,6.28,1.3,9.59,23
CDM,49348-872-77,MICONAZOLE NITRATE 2 % VAGINAL CREAM,34.43,20.31,4.19,30.99,23
CDM,49348-893-50,POLYETHYLENE GLYCOL ORAL POWDER (BOWEL PREP),19.04,11.23,2.32,17.14,23
CDM,49348-973-10,ACETAMINOPHEN 325 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,49401-088-01,BELIMUMAB 200 MG/ML SUBCUTANEOUS AUTO-INJECTOR,5977.47,3526.71,727.13,5379.72,23
CDM,49401-088-35,BELIMUMAB 200 MG/ML SUBCUTANEOUS AUTO-INJECTOR,5977.47,3526.71,727.13,5379.72,23
CDM,49401-101-01,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,3072.6,1812.83,373.77,2765.34,23
CDM,49401-102-01,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,10241.45,6042.46,1245.82,9217.31,23
CDM,49411-050-30,AMINOCAPROIC ACID 500 MG TABLET,99.52,58.72,12.11,89.57,23
CDM,49411-052-08,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,12949.56,7640.24,1575.25,11654.6,23
CDM,49471-001-01,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INJECTION SOLUTION,782.98,461.96,95.25,704.68,23
CDM,49471-001-05,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INJECTION SOLUTION,782.98,461.96,95.25,704.68,23
CDM,49483-003-01,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.13,0.08,0.02,0.12,23
CDM,49483-080-10,SENNOSIDES 8.6 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,49483-221-10,"NITROGLYCERIN ER 2.5 MG CAPSULE,EXTENDED RELEASE",1.98,1.17,0.24,1.78,23
CDM,49483-222-06,"NITROGLYCERIN ER 6.5 MG CAPSULE,EXTENDED RELEASE",3.66,2.16,0.45,3.29,23
CDM,49483-222-10,"NITROGLYCERIN ER 6.5 MG CAPSULE,EXTENDED RELEASE",2.12,1.25,0.26,1.91,23
CDM,49483-223-10,"NITROGLYCERIN ER 9 MG CAPSULE,EXTENDED RELEASE",3.09,1.82,0.38,2.78,23
CDM,49483-340-01,ACETAMINOPHEN 325 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,49483-340-10,ACETAMINOPHEN 325 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,49483-341-50,ACETAMINOPHEN 500 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,49483-481-12,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.06,0.04,0.01,0.05,23
CDM,49483-602-01,IBUPROFEN 400 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,49483-606-01,GABAPENTIN 300 MG CAPSULE,0.28,0.17,0.03,0.25,23
CDM,49483-687-03,PARICALCITOL 1 MCG CAPSULE,4.0,2.36,0.49,3.6,23
CDM,49483-688-03,PARICALCITOL 2 MCG CAPSULE,8.0,4.72,0.97,7.2,23
CDM,49483-689-03,PARICALCITOL 4 MCG CAPSULE,23.94,14.12,2.91,21.55,23
CDM,49502-101-01,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",656.58,387.38,79.87,590.92,23
CDM,49502-101-02,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",656.58,387.38,79.87,590.92,23
CDM,49502-102-01,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",656.58,387.38,79.87,590.92,23
CDM,49502-102-02,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",656.58,387.38,79.87,590.92,23
CDM,49502-203-01,INHALATIONAL SPACING DEVICE,70.7,41.71,8.6,63.63,23
CDM,49502-250-80,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,1252.75,739.12,152.39,1127.48,23
CDM,49502-476-26,PRETOMANID 200 MG TABLET,116.56,68.77,14.18,104.9,23
CDM,49502-500-01,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1388.05,818.95,168.85,1249.25,23
CDM,49502-500-02,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1388.05,818.95,168.85,1249.25,23
CDM,49502-501-01,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1388.05,818.95,168.85,1249.25,23
CDM,49502-501-02,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1388.05,818.95,168.85,1249.25,23
CDM,49502-605-61,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,22.73,13.41,2.76,20.46,23
CDM,49502-605-95,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,22.73,13.41,2.76,20.46,23
CDM,49502-900-01,SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH,331.26,195.44,40.3,298.13,23
CDM,49502-900-30,SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH,331.26,195.44,40.3,298.13,23
CDM,49502-901-01,SELEGILINE 9 MG/24 HR TRANSDERMAL 24 HOUR PATCH,331.26,195.44,40.3,298.13,23
CDM,49502-901-30,SELEGILINE 9 MG/24 HR TRANSDERMAL 24 HOUR PATCH,331.26,195.44,40.3,298.13,23
CDM,49502-902-01,SELEGILINE 12 MG/24 HR TRANSDERMAL 24 HOUR PATCH,331.26,195.44,40.3,298.13,23
CDM,49502-902-30,SELEGILINE 12 MG/24 HR TRANSDERMAL 24 HOUR PATCH,331.26,195.44,40.3,298.13,23
CDM,49580-0300-04,HYDROGEN PEROXIDE 3 % SOLUTION,2.95,1.74,0.36,2.66,23
CDM,49591-051-05,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN,2594.9,1530.99,315.66,2335.41,23
CDM,49591-051-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN,2594.9,1530.99,315.66,2335.41,23
CDM,49591-052-11,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION,591.95,349.25,72.01,532.76,23
CDM,49591-052-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION,591.95,349.25,72.01,532.76,23
CDM,49591-330-51,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",2079.11,1226.67,252.91,1871.2,23
CDM,49591-532-51,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,8586.5,5066.04,1044.5,7727.85,23
CDM,49702-203-18,LAMIVUDINE 150 MG TABLET,32.13,18.96,3.91,28.92,23
CDM,49702-205-48,LAMIVUDINE 10 MG/ML ORAL SOLUTION,512.4,302.32,62.33,461.16,23
CDM,49702-212-48,ZIDOVUDINE 10 MG/ML ORAL SYRUP,309.6,182.66,37.66,278.64,23
CDM,49702-213-01,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,135.2,79.77,16.45,121.68,23
CDM,49702-213-26,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,135.2,79.77,16.45,121.68,23
CDM,49702-222-48,ABACAVIR 20 MG/ML ORAL SOLUTION,680.4,401.44,82.77,612.36,23
CDM,49702-223-18,MARAVIROC 150 MG TABLET,133.59,78.82,16.25,120.23,23
CDM,49702-224-18,MARAVIROC 300 MG TABLET,133.59,78.82,16.25,120.23,23
CDM,49702-228-13,DOLUTEGRAVIR 50 MG TABLET,348.62,205.69,42.41,313.76,23
CDM,49702-231-13,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,578.74,341.46,70.4,520.87,23
CDM,49702-238-01,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16352.15,9647.77,1989.15,14716.94,23
CDM,49702-238-03,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",19389.8,11439.98,2358.67,17450.82,23
CDM,49702-240-15,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER",32704.29,19295.53,3978.31,29433.86,23
CDM,49702-253-15,"CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER",21802.9,12863.71,2652.21,19622.61,23
CDM,49702-264-23,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",19389.8,11439.98,2358.67,17450.82,23
CDM,49708-153-07,QUININE 324 MG CAPSULE,30.28,17.87,3.68,27.25,23
CDM,49708-754-41,BROMFENAC 0.075 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,49730-111-30,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,3.32,1.96,0.4,2.99,23
CDM,49730-112-30,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,3.83,2.26,0.47,3.45,23
CDM,49730-113-30,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,4.42,2.61,0.54,3.98,23
CDM,49771-002-01,MITOMYCIN 0.2 MG OPHTHALMIC KIT,995.0,587.05,121.04,895.5,23
CDM,49771-002-03,MITOMYCIN 0.2 MG OPHTHALMIC KIT,745.0,439.55,90.63,670.5,23
CDM,49781-015-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,5.0,2.95,0.61,4.5,23
CDM,49884-006-04,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER,17998.89,10619.35,2189.47,16199.0,23
CDM,49884-007-02,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",22.98,13.56,2.8,20.68,23
CDM,49884-009-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 30 MG TABLET,4.84,2.86,0.59,4.36,23
CDM,49884-022-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,4.4,2.6,0.54,3.96,23
CDM,49884-042-05,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,15.0,8.85,1.82,13.5,23
CDM,49884-060-01,TRIENTINE 250 MG CAPSULE,60.0,35.4,7.3,54.0,23
CDM,49884-065-01,GLYCOPYRROLATE 1 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,49884-117-01,AMILORIDE 5 MG TABLET,4.16,2.45,0.51,3.74,23
CDM,49884-122-01,LABETALOL 100 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,49884-123-01,LABETALOL 200 MG TABLET,2.7,1.59,0.33,2.43,23
CDM,49884-123-05,LABETALOL 200 MG TABLET,2.7,1.59,0.33,2.43,23
CDM,49884-124-01,LABETALOL 300 MG TABLET,3.57,2.11,0.43,3.21,23
CDM,49884-125-91,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,209.34,123.51,25.47,188.41,23
CDM,49884-147-11,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",40.26,23.75,4.9,36.23,23
CDM,49884-148-09,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",40.26,23.75,4.9,36.23,23
CDM,49884-148-11,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",40.26,23.75,4.9,36.23,23
CDM,49884-155-76,VARENICLINE TARTRATE 0.5 MG TABLET,3.93,2.32,0.48,3.54,23
CDM,49884-156-76,VARENICLINE TARTRATE 1 MG TABLET,3.93,2.32,0.48,3.54,23
CDM,49884-160-52,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,103.11,60.83,12.54,92.8,23
CDM,49884-161-11,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,137.11,80.89,16.68,123.4,23
CDM,49884-170-04,SODIUM PHENYLBUTYRATE 500 MG TABLET,55.44,32.71,6.74,49.9,23
CDM,49884-212-52,RISPERIDONE 0.25 MG DISINTEGRATING TABLET,11.61,6.85,1.41,10.45,23
CDM,49884-212-55,RISPERIDONE 0.25 MG DISINTEGRATING TABLET,11.61,6.85,1.41,10.45,23
CDM,49884-222-01,DOXEPIN 150 MG CAPSULE,3.03,1.79,0.37,2.73,23
CDM,49884-231-83,PRAZIQUANTEL 600 MG TABLET,204.65,120.74,24.89,184.19,23
CDM,49884-250-11,OLANZAPINE-FLUOXETINE 6 MG-25 MG CAPSULE,41.46,24.46,5.04,37.31,23
CDM,49884-251-11,OLANZAPINE-FLUOXETINE 6 MG-50 MG CAPSULE,25.44,15.01,3.09,22.9,23
CDM,49884-252-11,OLANZAPINE-FLUOXETINE 12 MG-25 MG CAPSULE,39.56,23.34,4.81,35.6,23
CDM,49884-253-11,OLANZAPINE-FLUOXETINE 12 MG-50 MG CAPSULE,38.89,22.95,4.73,35.0,23
CDM,49884-256-01,MINOXIDIL 2.5 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,49884-257-01,MINOXIDIL 10 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,49884-277-11,OLANZAPINE-FLUOXETINE 3 MG-25 MG CAPSULE,28.09,16.57,3.42,25.28,23
CDM,49884-306-02,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,2.66,1.57,0.32,2.39,23
CDM,49884-306-52,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,2.66,1.57,0.32,2.39,23
CDM,49884-307-02,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,4.26,2.51,0.52,3.83,23
CDM,49884-307-52,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,4.26,2.51,0.52,3.83,23
CDM,49884-311-52,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,4.68,2.76,0.57,4.21,23
CDM,49884-311-55,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,4.68,2.76,0.57,4.21,23
CDM,49884-311-91,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,16.11,9.5,1.96,14.5,23
CDM,49884-315-52,RISPERIDONE 1 MG DISINTEGRATING TABLET,10.85,6.4,1.32,9.77,23
CDM,49884-315-55,RISPERIDONE 1 MG DISINTEGRATING TABLET,10.85,6.4,1.32,9.77,23
CDM,49884-315-91,RISPERIDONE 1 MG DISINTEGRATING TABLET,13.43,7.92,1.63,12.09,23
CDM,49884-347-01,PIMOZIDE 1 MG TABLET,5.3,3.13,0.64,4.77,23
CDM,49884-348-01,PIMOZIDE 2 MG TABLET,7.11,4.19,0.86,6.4,23
CDM,49884-401-52,RISPERIDONE 2 MG DISINTEGRATING TABLET,14.25,8.41,1.73,12.83,23
CDM,49884-401-91,RISPERIDONE 2 MG DISINTEGRATING TABLET,14.25,8.41,1.73,12.83,23
CDM,49884-412-01,URSODIOL 250 MG TABLET,6.53,3.85,0.79,5.88,23
CDM,49884-413-01,URSODIOL 500 MG TABLET,4.5,2.66,0.55,4.05,23
CDM,49884-425-11,ALISKIREN 300 MG TABLET,32.21,19.0,3.92,28.99,23
CDM,49884-465-64,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,9.45,5.58,1.15,8.51,23
CDM,49884-465-65,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,9.45,5.58,1.15,8.51,23
CDM,49884-484-11,LAMOTRIGINE 25 MG DISINTEGRATING TABLET,32.83,19.37,3.99,29.55,23
CDM,49884-562-11,"LAMOTRIGINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",44.69,26.37,5.44,40.22,23
CDM,49884-605-11,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",76.58,45.18,9.32,68.92,23
CDM,49884-659-09,CANDESARTAN 8 MG TABLET,10.83,6.39,1.32,9.75,23
CDM,49884-660-09,CANDESARTAN 16 MG TABLET,10.84,6.4,1.32,9.76,23
CDM,49884-724-01,HYDROXYUREA 500 MG CAPSULE,1.34,0.79,0.16,1.21,23
CDM,49884-768-52,TOLVAPTAN 15 MG TABLET,240.0,141.6,29.19,216.0,23
CDM,49884-768-54,TOLVAPTAN 15 MG TABLET,240.0,141.6,29.19,216.0,23
CDM,49938-101-30,DAPSONE 100 MG TABLET,12.97,7.65,1.58,11.67,23
CDM,49938-102-30,DAPSONE 25 MG TABLET,10.58,6.24,1.29,9.52,23
CDM,49938-107-04,AMINOSALICYLIC ACID DR 4 GRAM GRANULES DELAY-RELEASE FOR SUSP PKT,30.89,18.23,3.76,27.8,23
CDM,50090-0405-0,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,30.5,18.0,3.71,27.45,23
CDM,50111-327-01,HYDRALAZINE 25 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,50111-327-03,HYDRALAZINE 25 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,50111-328-01,HYDRALAZINE 50 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,50111-328-03,HYDRALAZINE 50 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,50111-333-01,METRONIDAZOLE 250 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,50111-334-01,METRONIDAZOLE 500 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,50111-334-02,METRONIDAZOLE 500 MG TABLET,2.23,1.32,0.27,2.01,23
CDM,50111-397-01,HYDRALAZINE 100 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,50111-398-01,HYDRALAZINE 10 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,50111-398-03,HYDRALAZINE 10 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,50111-456-01,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,2.02,1.19,0.25,1.82,23
CDM,50111-560-01,TRAZODONE 50 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,50111-561-01,TRAZODONE 100 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,50111-647-01,FLUOXETINE 10 MG CAPSULE,0.26,0.15,0.03,0.23,23
CDM,50111-648-01,FLUOXETINE 20 MG CAPSULE,0.27,0.16,0.03,0.24,23
CDM,50111-648-02,FLUOXETINE 20 MG CAPSULE,0.26,0.15,0.03,0.23,23
CDM,50111-648-03,FLUOXETINE 20 MG CAPSULE,0.25,0.15,0.03,0.23,23
CDM,50111-787-10,AZITHROMYCIN 250 MG TABLET,9.79,5.78,1.19,8.81,23
CDM,50111-787-51,AZITHROMYCIN 250 MG TABLET,4.32,2.55,0.53,3.89,23
CDM,50111-787-66,AZITHROMYCIN 250 MG TABLET,4.24,2.5,0.52,3.82,23
CDM,50111-788-10,AZITHROMYCIN 500 MG TABLET,22.23,13.12,2.7,20.01,23
CDM,50111-788-55,AZITHROMYCIN 500 MG TABLET,23.04,13.59,2.8,20.74,23
CDM,50111-789-10,AZITHROMYCIN 600 MG TABLET,21.22,12.52,2.58,19.1,23
CDM,50111-915-01,TORSEMIDE 5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,50111-916-01,TORSEMIDE 10 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,50111-917-01,TORSEMIDE 20 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,50111-918-01,TORSEMIDE 100 MG TABLET,1.62,0.96,0.2,1.46,23
CDM,5019014123,SODIUM CHLORIDE 7 % FOR NEBULIZATION,2.94,1.73,0.36,2.65,23
CDM,5019014263,SODIUM CHLORIDE 3 % FOR NEBULIZATION,2.94,1.73,0.36,2.65,23
CDM,50227-1020-5,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:50,000 INJECTION CARTRIDGE",4.05,2.39,0.49,3.65,23
CDM,50228-105-01,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,50228-106-01,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,50228-109-01,CARISOPRODOL 350 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,50228-109-05,CARISOPRODOL 350 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,50228-116-05,ROSUVASTATIN 5 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,50228-116-10,ROSUVASTATIN 5 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,50228-118-05,ROSUVASTATIN 20 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,50228-119-05,ROSUVASTATIN 40 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,50228-145-30,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",1.06,0.63,0.13,0.95,23
CDM,50228-146-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,50228-177-01,GABAPENTIN 600 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,50228-178-01,GABAPENTIN 800 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,50228-179-01,GABAPENTIN 100 MG CAPSULE,0.22,0.13,0.03,0.2,23
CDM,50228-179-10,GABAPENTIN 100 MG CAPSULE,0.12,0.07,0.01,0.11,23
CDM,50228-181-01,GABAPENTIN 400 MG CAPSULE,0.36,0.21,0.04,0.32,23
CDM,50228-183-01,HYDRALAZINE 25 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,50228-184-01,HYDRALAZINE 50 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,50228-192-60,LACOSAMIDE 50 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,50228-193-60,LACOSAMIDE 100 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,50228-225-01,BENZTROPINE 0.5 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,50228-226-01,BENZTROPINE 1 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,50228-350-90,PREGABALIN 25 MG CAPSULE,0.57,0.34,0.07,0.51,23
CDM,50228-351-90,PREGABALIN 50 MG CAPSULE,0.59,0.35,0.07,0.53,23
CDM,50228-352-90,PREGABALIN 75 MG CAPSULE,0.62,0.37,0.08,0.56,23
CDM,50228-353-90,PREGABALIN 100 MG CAPSULE,0.64,0.38,0.08,0.58,23
CDM,50228-354-90,PREGABALIN 150 MG CAPSULE,0.69,0.41,0.08,0.62,23
CDM,50228-382-60,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",0.54,0.32,0.07,0.49,23
CDM,50228-423-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",1.89,1.12,0.23,1.7,23
CDM,50228-424-60,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",2.33,1.37,0.28,2.1,23
CDM,50228-427-30,SOLIFENACIN 5 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,50228-428-30,SOLIFENACIN 10 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,50228-433-01,NAPROXEN SODIUM 550 MG TABLET,1.53,0.9,0.19,1.38,23
CDM,50228-457-01,CARBIDOPA 10 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.41,0.24,0.05,0.37,23
CDM,50228-458-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.47,0.28,0.06,0.42,23
CDM,50228-458-05,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.46,0.27,0.06,0.41,23
CDM,50228-458-10,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.36,0.21,0.04,0.32,23
CDM,50228-459-01,CARBIDOPA 25 MG-LEVODOPA 250 MG IMMEDIATE RELEASE TABLET,0.47,0.28,0.06,0.42,23
CDM,50228-460-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",1.05,0.62,0.13,0.95,23
CDM,50228-461-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",2.09,1.23,0.25,1.88,23
CDM,50228-465-01,NABUMETONE 500 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,50228-466-01,NABUMETONE 750 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,50228-472-12,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,50228-481-01,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,50228-482-01,DILTIAZEM IMMEDIATE RELEASE 60 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,50228-483-01,DILTIAZEM IMMEDIATE RELEASE 90 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,50228-484-01,DILTIAZEM IMMEDIATE RELEASE 120 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,50242-037-06,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,37944.3,22387.14,4615.73,34149.87,23
CDM,50242-040-62,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,6838.25,4034.57,831.84,6154.43,23
CDM,50242-041-64,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,854.85,504.36,103.99,769.37,23
CDM,50242-044-06,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,21329.75,12584.55,2594.65,19196.78,23
CDM,50242-044-13,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,21329.75,12584.55,2594.65,19196.78,23
CDM,50242-051-21,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",3934.25,2321.21,478.58,3540.83,23
CDM,50242-053-06,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",19671.25,11606.04,2392.9,17704.13,23
CDM,50242-060-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,3337.2,1968.95,405.95,3003.48,23
CDM,50242-061-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,13348.72,7875.74,1623.8,12013.85,23
CDM,50242-070-01,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",32852.0,19382.68,3996.27,29566.8,23
CDM,50242-077-01,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",19577.55,11550.75,2381.51,17619.8,23
CDM,50242-085-25,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,42659.75,25169.25,5189.33,38393.78,23
CDM,50242-085-27,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,42659.75,25169.25,5189.33,38393.78,23
CDM,50242-087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,31052.25,18320.83,3777.34,27947.03,23
CDM,50242-088-01,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,19407.7,11450.54,2360.84,17466.93,23
CDM,50242-100-39,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,629.59,371.46,76.59,566.63,23
CDM,50242-100-40,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,629.59,371.46,76.59,566.63,23
CDM,50242-103-01,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,19118.05,11279.65,2325.61,17206.25,23
CDM,50242-105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,89217.3,52638.21,10852.82,80295.57,23
CDM,50242-108-01,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",27539.41,16248.25,3350.02,24785.47,23
CDM,50242-109-01,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",31473.66,18569.46,3828.61,28326.29,23
CDM,50242-120-47,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,37944.3,22387.14,4615.73,34149.87,23
CDM,50242-121-01,PIRFENIDONE 267 MG CAPSULE,191.09,112.74,23.25,171.98,23
CDM,50242-122-06,PIRFENIDONE 267 MG TABLET,191.09,112.74,23.25,171.98,23
CDM,50242-123-01,PIRFENIDONE 801 MG TABLET,573.27,338.23,69.74,515.94,23
CDM,50242-125-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,12992.45,7665.55,1580.46,11693.21,23
CDM,50242-127-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,51969.9,30662.24,6321.87,46772.91,23
CDM,50242-132-01,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,6525.9,3850.28,793.84,5873.31,23
CDM,50242-135-01,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,2655.8,1566.92,323.06,2390.22,23
CDM,50242-136-01,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,6639.55,3917.33,807.67,5975.6,23
CDM,50242-137-01,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,13279.1,7834.67,1615.33,11951.19,23
CDM,50242-138-01,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,5694.9,3359.99,692.75,5125.41,23
CDM,50242-142-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,90654.75,53486.3,11027.67,81589.28,23
CDM,50242-145-01,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,32225.97,19013.32,3920.12,29003.37,23
CDM,50242-150-01,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,97339.75,57430.45,11840.87,87605.78,23
CDM,50242-159-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,3021.8,1782.86,367.59,2719.62,23
CDM,50242-214-01,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,3419.1,2017.27,415.92,3077.19,23
CDM,50242-214-03,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,3496.05,2062.67,425.28,3146.45,23
CDM,50242-215-01,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,6838.25,4034.57,831.84,6154.43,23
CDM,50242-215-03,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,6992.1,4125.34,850.55,6292.89,23
CDM,50242-227-01,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,13676.5,8069.14,1663.67,12308.85,23
CDM,50242-245-01,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",61092.83,36044.77,7431.62,54983.55,23
CDM,50242-260-01,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,40727.0,24028.93,4954.23,36654.3,23
CDM,50242-554-01,"OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN",197144.96,116315.53,23981.65,177430.46,23
CDM,50242-860-01,BALOXAVIR MARBOXIL 40 MG TABLET,759.4,448.05,92.38,683.46,23
CDM,50242-877-01,BALOXAVIR MARBOXIL 80 MG TABLET,759.4,448.05,92.38,683.46,23
CDM,50242-917-01,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",53937.7,31823.24,6561.24,48543.93,23
CDM,50242-918-01,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,37756.32,22276.23,4592.86,33980.69,23
CDM,50242-920-01,EMICIZUMAB-KXWH 30 MG/ML SUBCUTANEOUS SOLUTION,14773.0,8716.07,1797.06,13295.7,23
CDM,50242-921-01,EMICIZUMAB-KXWH 60 MG/0.4 ML SUBCUTANEOUS SOLUTION,29546.0,17432.14,3594.12,26591.4,23
CDM,50242-922-01,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION,51705.55,30506.27,6289.71,46535.0,23
CDM,50242-923-01,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION,73865.05,43580.38,8985.3,66478.55,23
CDM,50242-933-01,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",53937.7,31823.24,6561.24,48543.93,23
CDM,50268-039-11,AMITRIPTYLINE 50 MG TABLET,1.91,1.13,0.23,1.72,23
CDM,50268-039-15,AMITRIPTYLINE 50 MG TABLET,1.91,1.13,0.23,1.72,23
CDM,50268-040-11,AMITRIPTYLINE 75 MG TABLET,2.63,1.55,0.32,2.37,23
CDM,50268-040-15,AMITRIPTYLINE 75 MG TABLET,2.63,1.55,0.32,2.37,23
CDM,50268-057-11,ATOMOXETINE 25 MG CAPSULE,16.18,9.55,1.97,14.56,23
CDM,50268-057-13,ATOMOXETINE 25 MG CAPSULE,16.18,9.55,1.97,14.56,23
CDM,50268-061-11,ACYCLOVIR 400 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,50268-061-15,ACYCLOVIR 400 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,50268-066-15,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,0.01,0.01,0.01,0.01,23
CDM,50268-069-11,AMANTADINE HCL 100 MG CAPSULE,5.99,3.53,0.73,5.39,23
CDM,50268-069-15,AMANTADINE HCL 100 MG CAPSULE,5.99,3.53,0.73,5.39,23
CDM,50268-074-11,AZITHROMYCIN 250 MG TABLET,2.36,1.39,0.29,2.12,23
CDM,50268-075-11,ANASTROZOLE 1 MG TABLET,3.63,2.14,0.44,3.27,23
CDM,50268-075-15,ANASTROZOLE 1 MG TABLET,3.63,2.14,0.44,3.27,23
CDM,50268-086-11,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,60.8,35.87,7.4,54.72,23
CDM,50268-086-12,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,60.8,35.87,7.4,54.72,23
CDM,50268-087-11,ARIPIPRAZOLE 2 MG TABLET,4.15,2.45,0.5,3.74,23
CDM,50268-087-12,ARIPIPRAZOLE 2 MG TABLET,4.15,2.45,0.5,3.74,23
CDM,50268-088-11,ARIPIPRAZOLE 5 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,50268-088-15,ARIPIPRAZOLE 5 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,50268-089-11,ARIPIPRAZOLE 10 MG TABLET,2.49,1.47,0.3,2.24,23
CDM,50268-089-15,ARIPIPRAZOLE 10 MG TABLET,2.49,1.47,0.3,2.24,23
CDM,50268-090-11,ARIPIPRAZOLE 15 MG TABLET,5.63,3.32,0.68,5.07,23
CDM,50268-090-12,ARIPIPRAZOLE 15 MG TABLET,5.63,3.32,0.68,5.07,23
CDM,50268-093-11,ATORVASTATIN 10 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,50268-093-15,ATORVASTATIN 10 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,50268-097-11,AMIODARONE 100 MG TABLET,12.52,7.39,1.52,11.27,23
CDM,50268-098-11,AZITHROMYCIN 250 MG TABLET,6.94,4.09,0.84,6.25,23
CDM,50268-102-11,BALSALAZIDE 750 MG CAPSULE,6.12,3.61,0.74,5.51,23
CDM,50268-102-13,BALSALAZIDE 750 MG CAPSULE,6.12,3.61,0.74,5.51,23
CDM,50268-105-11,BACLOFEN 5 MG TABLET,5.7,3.36,0.69,5.13,23
CDM,50268-105-15,BACLOFEN 5 MG TABLET,5.7,3.36,0.69,5.13,23
CDM,50268-106-11,BACLOFEN 10 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,50268-106-15,BACLOFEN 10 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,50268-130-11,BUMETANIDE 0.5 MG TABLET,4.83,2.85,0.59,4.35,23
CDM,50268-130-15,BUMETANIDE 0.5 MG TABLET,4.83,2.85,0.59,4.35,23
CDM,50268-131-11,BUMETANIDE 1 MG TABLET,3.86,2.28,0.47,3.47,23
CDM,50268-131-15,BUMETANIDE 1 MG TABLET,3.86,2.28,0.47,3.47,23
CDM,50268-132-11,BUMETANIDE 2 MG TABLET,6.75,3.98,0.82,6.08,23
CDM,50268-132-15,BUMETANIDE 2 MG TABLET,6.75,3.98,0.82,6.08,23
CDM,50268-144-11,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,13.36,7.88,1.63,12.02,23
CDM,50268-144-15,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,13.36,7.88,1.63,12.02,23
CDM,50268-145-11,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,17.28,10.2,2.1,15.55,23
CDM,50268-145-15,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,17.28,10.2,2.1,15.55,23
CDM,50268-151-11,CEPHALEXIN 250 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,50268-151-15,CEPHALEXIN 250 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,50268-152-11,CEPHALEXIN 500 MG CAPSULE,1.14,0.67,0.14,1.03,23
CDM,50268-152-15,CEPHALEXIN 500 MG CAPSULE,1.14,0.67,0.14,1.03,23
CDM,50268-165-11,CHLORPROMAZINE 100 MG TABLET,17.0,10.03,2.07,15.3,23
CDM,50268-165-15,CHLORPROMAZINE 100 MG TABLET,17.0,10.03,2.07,15.3,23
CDM,50268-168-11,CELECOXIB 100 MG CAPSULE,4.39,2.59,0.53,3.95,23
CDM,50268-168-15,CELECOXIB 100 MG CAPSULE,4.39,2.59,0.53,3.95,23
CDM,50268-173-11,CLONAZEPAM 0.5 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,50268-176-11,CILOSTAZOL 50 MG TABLET,3.67,2.17,0.45,3.3,23
CDM,50268-176-15,CILOSTAZOL 50 MG TABLET,3.67,2.17,0.45,3.3,23
CDM,50268-177-11,CILOSTAZOL 100 MG TABLET,4.25,2.51,0.52,3.83,23
CDM,50268-177-15,CILOSTAZOL 100 MG TABLET,4.25,2.51,0.52,3.83,23
CDM,50268-178-11,CLARITHROMYCIN 250 MG TABLET,11.43,6.74,1.39,10.29,23
CDM,50268-178-15,CLARITHROMYCIN 250 MG TABLET,11.43,6.74,1.39,10.29,23
CDM,50268-179-11,CLARITHROMYCIN 500 MG TABLET,8.96,5.29,1.09,8.06,23
CDM,50268-179-13,CLARITHROMYCIN 500 MG TABLET,8.96,5.29,1.09,8.06,23
CDM,50268-189-11,CYPROHEPTADINE 4 MG TABLET,2.57,1.52,0.31,2.31,23
CDM,50268-189-15,CYPROHEPTADINE 4 MG TABLET,2.57,1.52,0.31,2.31,23
CDM,50268-190-11,CYCLOBENZAPRINE 5 MG TABLET,2.73,1.61,0.33,2.46,23
CDM,50268-190-15,CYCLOBENZAPRINE 5 MG TABLET,2.73,1.61,0.33,2.46,23
CDM,50268-191-11,CYCLOBENZAPRINE 10 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,50268-191-15,CYCLOBENZAPRINE 10 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,50268-192-11,CLONIDINE HCL 0.1 MG TABLET,1.35,0.8,0.16,1.22,23
CDM,50268-196-57,CAPSAICIN 0.075 % TOPICAL CREAM,19.1,11.27,2.32,17.19,23
CDM,50268-277-11,DOXYCYCLINE HYCLATE 50 MG CAPSULE,6.24,3.68,0.76,5.62,23
CDM,50268-277-15,DOXYCYCLINE HYCLATE 50 MG CAPSULE,6.24,3.68,0.76,5.62,23
CDM,50268-278-11,DOXYCYCLINE HYCLATE 100 MG CAPSULE,5.39,3.18,0.66,4.85,23
CDM,50268-278-15,DOXYCYCLINE HYCLATE 100 MG CAPSULE,5.39,3.18,0.66,4.85,23
CDM,50268-280-11,DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE,2.03,1.2,0.25,1.83,23
CDM,50268-280-15,DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE,2.03,1.2,0.25,1.83,23
CDM,50268-281-11,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,3.76,2.22,0.46,3.38,23
CDM,50268-281-15,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,3.76,2.22,0.46,3.38,23
CDM,50268-298-11,EZETIMIBE 10 MG TABLET,19.99,11.79,2.43,17.99,23
CDM,50268-298-12,EZETIMIBE 10 MG TABLET,19.99,11.79,2.43,17.99,23
CDM,50268-299-11,FAMOTIDINE 20 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,50268-304-11,FAMOTIDINE 40 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,50268-304-15,FAMOTIDINE 40 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,50268-312-11,FENOFIBRATE 54 MG TABLET,4.44,2.62,0.54,4.0,23
CDM,50268-312-15,FENOFIBRATE 54 MG TABLET,4.44,2.62,0.54,4.0,23
CDM,50268-313-11,FENOFIBRATE 160 MG TABLET,8.01,4.73,0.97,7.21,23
CDM,50268-313-15,FENOFIBRATE 160 MG TABLET,8.01,4.73,0.97,7.21,23
CDM,50268-314-11,FINASTERIDE 5 MG TABLET,2.28,1.35,0.28,2.05,23
CDM,50268-314-15,FINASTERIDE 5 MG TABLET,2.28,1.35,0.28,2.05,23
CDM,50268-320-11,FLECAINIDE 50 MG TABLET,3.59,2.12,0.44,3.23,23
CDM,50268-320-15,FLECAINIDE 50 MG TABLET,3.59,2.12,0.44,3.23,23
CDM,50268-321-11,FLECAINIDE 100 MG TABLET,2.83,1.67,0.34,2.55,23
CDM,50268-321-15,FLECAINIDE 100 MG TABLET,2.83,1.67,0.34,2.55,23
CDM,50268-330-11,FLUDROCORTISONE 0.1 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,50268-330-15,FLUDROCORTISONE 0.1 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,50268-337-11,FLUCONAZOLE 100 MG TABLET,5.09,3.0,0.62,4.58,23
CDM,50268-337-15,FLUCONAZOLE 100 MG TABLET,5.09,3.0,0.62,4.58,23
CDM,50268-339-11,FLUCONAZOLE 200 MG TABLET,7.62,4.5,0.93,6.86,23
CDM,50268-339-15,FLUCONAZOLE 200 MG TABLET,7.62,4.5,0.93,6.86,23
CDM,50268-358-11,GLIMEPIRIDE 1 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,50268-358-15,GLIMEPIRIDE 1 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,50268-360-11,GLIMEPIRIDE 4 MG TABLET,2.29,1.35,0.28,2.06,23
CDM,50268-360-15,GLIMEPIRIDE 4 MG TABLET,2.29,1.35,0.28,2.06,23
CDM,50268-361-11,GLIPIZIDE IMMEDIATE RELEASE 5 MG TABLET,1.14,0.67,0.14,1.03,23
CDM,50268-361-15,GLIPIZIDE IMMEDIATE RELEASE 5 MG TABLET,1.14,0.67,0.14,1.03,23
CDM,50268-405-11,HYDROCORTISONE 5 MG TABLET,7.5,4.43,0.91,6.75,23
CDM,50268-411-11,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,7.67,4.53,0.93,6.9,23
CDM,50268-411-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,7.67,4.53,0.93,6.9,23
CDM,50268-430-11,INDOMETHACIN 25 MG CAPSULE,1.23,0.73,0.15,1.11,23
CDM,50268-430-15,INDOMETHACIN 25 MG CAPSULE,1.23,0.73,0.15,1.11,23
CDM,50268-431-11,INDOMETHACIN 50 MG CAPSULE,1.3,0.77,0.16,1.17,23
CDM,50268-431-15,INDOMETHACIN 50 MG CAPSULE,1.3,0.77,0.16,1.17,23
CDM,50268-447-11,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 5 MG TABLET,2.81,1.66,0.34,2.53,23
CDM,50268-447-15,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 5 MG TABLET,2.81,1.66,0.34,2.53,23
CDM,50268-448-11,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,3.05,1.8,0.37,2.75,23
CDM,50268-448-15,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,3.05,1.8,0.37,2.75,23
CDM,50268-449-11,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,3.87,2.28,0.47,3.48,23
CDM,50268-449-15,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,3.87,2.28,0.47,3.48,23
CDM,50268-470-13,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.93,8.22,1.69,12.54,23
CDM,50268-476-11,LETROZOLE 2.5 MG TABLET,2.22,1.31,0.27,2.0,23
CDM,50268-476-15,LETROZOLE 2.5 MG TABLET,2.22,1.31,0.27,2.0,23
CDM,50268-477-11,LEFLUNOMIDE 10 MG TABLET,9.04,5.33,1.1,8.14,23
CDM,50268-477-15,LEFLUNOMIDE 10 MG TABLET,9.04,5.33,1.1,8.14,23
CDM,50268-478-11,LEFLUNOMIDE 20 MG TABLET,7.69,4.54,0.94,6.92,23
CDM,50268-478-15,LEFLUNOMIDE 20 MG TABLET,7.69,4.54,0.94,6.92,23
CDM,50268-504-11,LOSARTAN 25 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,50268-504-15,LOSARTAN 25 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,50268-505-11,LOSARTAN 50 MG TABLET,1.35,0.8,0.16,1.22,23
CDM,50268-505-15,LOSARTAN 50 MG TABLET,1.35,0.8,0.16,1.22,23
CDM,50268-506-11,LOSARTAN 100 MG TABLET,2.24,1.32,0.27,2.02,23
CDM,50268-506-15,LOSARTAN 100 MG TABLET,2.24,1.32,0.27,2.02,23
CDM,50268-522-11,MECLIZINE 12.5 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,50268-522-15,MECLIZINE 12.5 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,50268-523-11,MECLIZINE 25 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,50268-523-15,MECLIZINE 25 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,50268-525-11,MELOXICAM 7.5 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,50268-525-15,MELOXICAM 7.5 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,50268-526-11,MELOXICAM 15 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,50268-526-15,MELOXICAM 15 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,50268-527-11,METHOTREXATE SODIUM 2.5 MG TABLET,4.56,2.69,0.55,4.1,23
CDM,50268-527-15,METHOTREXATE SODIUM 2.5 MG TABLET,4.56,2.69,0.55,4.1,23
CDM,50268-528-11,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,6.71,3.96,0.82,6.04,23
CDM,50268-528-15,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,6.71,3.96,0.82,6.04,23
CDM,50268-534-11,METRONIDAZOLE 250 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,50268-534-15,METRONIDAZOLE 250 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,50268-535-11,METRONIDAZOLE 500 MG TABLET,2.51,1.48,0.31,2.26,23
CDM,50268-535-15,METRONIDAZOLE 500 MG TABLET,2.51,1.48,0.31,2.26,23
CDM,50268-540-11,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2.94,1.73,0.36,2.65,23
CDM,50268-540-15,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2.94,1.73,0.36,2.65,23
CDM,50268-541-11,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",1.73,1.02,0.21,1.56,23
CDM,50268-541-15,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",1.73,1.02,0.21,1.56,23
CDM,50268-542-11,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",2.27,1.34,0.28,2.04,23
CDM,50268-542-15,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",2.27,1.34,0.28,2.04,23
CDM,50268-549-11,METHENAMINE HIPPURATE 1 GRAM TABLET,9.09,5.36,1.11,8.18,23
CDM,50268-549-15,METHENAMINE HIPPURATE 1 GRAM TABLET,9.09,5.36,1.11,8.18,23
CDM,50268-553-11,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.94,3.5,0.72,5.35,23
CDM,50268-553-13,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.94,3.5,0.72,5.35,23
CDM,50268-557-11,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,2.07,1.22,0.25,1.86,23
CDM,50268-573-11,MONTELUKAST 4 MG CHEWABLE TABLET,3.51,2.07,0.43,3.16,23
CDM,50268-573-15,MONTELUKAST 4 MG CHEWABLE TABLET,3.51,2.07,0.43,3.16,23
CDM,50268-574-11,MONTELUKAST 5 MG CHEWABLE TABLET,3.18,1.88,0.39,2.86,23
CDM,50268-574-15,MONTELUKAST 5 MG CHEWABLE TABLET,3.18,1.88,0.39,2.86,23
CDM,50268-576-11,MOXIFLOXACIN 400 MG TABLET,26.98,15.92,3.28,24.28,23
CDM,50268-576-13,MOXIFLOXACIN 400 MG TABLET,26.98,15.92,3.28,24.28,23
CDM,50268-594-11,NAPROXEN 250 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,50268-594-15,NAPROXEN 250 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,50268-595-11,NAPROXEN 375 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,50268-595-15,NAPROXEN 375 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,50268-597-11,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",3.99,2.35,0.49,3.59,23
CDM,50268-597-15,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",3.99,2.35,0.49,3.59,23
CDM,50268-599-11,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",8.43,4.97,1.03,7.59,23
CDM,50268-599-15,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",8.43,4.97,1.03,7.59,23
CDM,50268-603-11,NORTRIPTYLINE 10 MG CAPSULE,1.27,0.75,0.15,1.14,23
CDM,50268-603-15,NORTRIPTYLINE 10 MG CAPSULE,1.27,0.75,0.15,1.14,23
CDM,50268-604-11,NORTRIPTYLINE 25 MG CAPSULE,1.77,1.04,0.22,1.59,23
CDM,50268-604-15,NORTRIPTYLINE 25 MG CAPSULE,1.77,1.04,0.22,1.59,23
CDM,50268-605-11,NORTRIPTYLINE 50 MG CAPSULE,1.77,1.04,0.22,1.59,23
CDM,50268-605-15,NORTRIPTYLINE 50 MG CAPSULE,1.77,1.04,0.22,1.59,23
CDM,50268-628-11,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",10.78,6.36,1.31,9.7,23
CDM,50268-628-15,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",10.78,6.36,1.31,9.7,23
CDM,50268-630-11,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,50268-630-15,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,50268-631-11,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,50268-631-15,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,50268-632-11,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,50268-632-15,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,50268-633-11,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,2.63,1.55,0.32,2.37,23
CDM,50268-633-15,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,2.63,1.55,0.32,2.37,23
CDM,50268-634-11,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,50268-634-15,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,50268-639-11,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.72,0.42,0.09,0.65,23
CDM,50268-639-15,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.72,0.42,0.09,0.65,23
CDM,50268-640-11,PAROXETINE 10 MG TABLET,1.94,1.14,0.24,1.75,23
CDM,50268-640-15,PAROXETINE 10 MG TABLET,1.94,1.14,0.24,1.75,23
CDM,50268-647-11,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,52.73,31.11,6.41,47.46,23
CDM,50268-662-11,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.05,0.62,0.13,0.95,23
CDM,50268-662-15,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.05,0.62,0.13,0.95,23
CDM,50268-663-11,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,1.97,1.16,0.24,1.77,23
CDM,50268-663-15,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,1.97,1.16,0.24,1.77,23
CDM,50268-666-11,PRAVASTATIN 20 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,50268-666-15,PRAVASTATIN 20 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,50268-678-15,POLYVINYL ALCOHOL 1.4 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,50268-684-11,PROCHLORPERAZINE MALEATE 5 MG TABLET,4.43,2.61,0.54,3.99,23
CDM,50268-684-15,PROCHLORPERAZINE MALEATE 5 MG TABLET,4.43,2.61,0.54,3.99,23
CDM,50268-685-11,PROCHLORPERAZINE MALEATE 10 MG TABLET,4.78,2.82,0.58,4.3,23
CDM,50268-685-15,PROCHLORPERAZINE MALEATE 10 MG TABLET,4.78,2.82,0.58,4.3,23
CDM,50268-686-11,PRIMIDONE 50 MG TABLET,1.99,1.17,0.24,1.79,23
CDM,50268-686-15,PRIMIDONE 50 MG TABLET,1.99,1.17,0.24,1.79,23
CDM,50268-687-11,PRIMIDONE 250 MG TABLET,2.59,1.53,0.32,2.33,23
CDM,50268-687-15,PRIMIDONE 250 MG TABLET,2.59,1.53,0.32,2.33,23
CDM,50268-709-11,ROSUVASTATIN 10 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,50268-709-15,ROSUVASTATIN 10 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,50268-710-11,ROSUVASTATIN 20 MG TABLET,3.13,1.85,0.38,2.82,23
CDM,50268-710-15,ROSUVASTATIN 20 MG TABLET,3.13,1.85,0.38,2.82,23
CDM,50268-711-11,ROSUVASTATIN 40 MG TABLET,6.09,3.59,0.74,5.48,23
CDM,50268-711-15,ROSUVASTATIN 40 MG TABLET,6.09,3.59,0.74,5.48,23
CDM,50268-717-11,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,2.97,1.75,0.36,2.67,23
CDM,50268-717-15,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,2.97,1.75,0.36,2.67,23
CDM,50268-718-11,SIROLIMUS 1 MG TABLET,37.65,22.21,4.58,33.89,23
CDM,50268-718-13,SIROLIMUS 1 MG TABLET,37.65,22.21,4.58,33.89,23
CDM,50268-722-11,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",6.31,3.72,0.77,5.68,23
CDM,50268-722-15,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",6.31,3.72,0.77,5.68,23
CDM,50268-728-11,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,50268-728-15,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,50268-740-11,TAMSULOSIN 0.4 MG CAPSULE,0.92,0.54,0.11,0.83,23
CDM,50268-740-15,TAMSULOSIN 0.4 MG CAPSULE,0.92,0.54,0.11,0.83,23
CDM,50268-742-11,ROPINIROLE 0.5 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,50268-742-15,ROPINIROLE 0.5 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,50268-744-11,ROPINIROLE 2 MG TABLET,2.12,1.25,0.26,1.91,23
CDM,50268-754-11,TORSEMIDE 5 MG TABLET,1.15,0.68,0.14,1.04,23
CDM,50268-754-15,TORSEMIDE 5 MG TABLET,1.15,0.68,0.14,1.04,23
CDM,50268-755-11,TORSEMIDE 10 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,50268-755-15,TORSEMIDE 10 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,50268-756-11,TORSEMIDE 20 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,50268-756-15,TORSEMIDE 20 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,50268-757-11,TORSEMIDE 100 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,50268-757-15,TORSEMIDE 100 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,50268-759-11,TIZANIDINE 2 MG TABLET,3.46,2.04,0.42,3.11,23
CDM,50268-759-15,TIZANIDINE 2 MG TABLET,3.46,2.04,0.42,3.11,23
CDM,50268-760-11,TIZANIDINE 4 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,50268-760-15,TIZANIDINE 4 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,50268-768-11,SERTRALINE 25 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,50268-772-11,TRANEXAMIC ACID 650 MG TABLET,19.39,11.44,2.36,17.45,23
CDM,50268-774-15,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,50268-779-11,TEMAZEPAM 15 MG CAPSULE,3.76,2.22,0.46,3.38,23
CDM,50268-787-11,VALGANCICLOVIR 450 MG TABLET,63.76,37.62,7.76,57.38,23
CDM,50268-787-12,VALGANCICLOVIR 450 MG TABLET,63.76,37.62,7.76,57.38,23
CDM,50268-788-11,VALACYCLOVIR 500 MG TABLET,7.0,4.13,0.85,6.3,23
CDM,50268-788-15,VALACYCLOVIR 500 MG TABLET,7.0,4.13,0.85,6.3,23
CDM,50268-789-11,VALACYCLOVIR 1 GRAM TABLET,8.03,4.74,0.98,7.23,23
CDM,50268-789-15,VALACYCLOVIR 1 GRAM TABLET,8.03,4.74,0.98,7.23,23
CDM,50268-812-11,ZIPRASIDONE 40 MG CAPSULE,7.48,4.41,0.91,6.73,23
CDM,50268-812-12,ZIPRASIDONE 40 MG CAPSULE,7.48,4.41,0.91,6.73,23
CDM,50268-816-11,ZONISAMIDE 100 MG CAPSULE,2.24,1.32,0.27,2.02,23
CDM,50268-816-15,ZONISAMIDE 100 MG CAPSULE,2.24,1.32,0.27,2.02,23
CDM,5026814711,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 6.25 MCG (250 UNIT) TABLET,2.93,1.73,0.36,2.64,23
CDM,5026814715,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 6.25 MCG (250 UNIT) TABLET,2.93,1.73,0.36,2.64,23
CDM,5026833611,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,14.78,8.72,1.8,13.3,23
CDM,5026833624,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,14.78,8.72,1.8,13.3,23
CDM,5026834611,FOLIC ACID 400 MCG TABLET,0.79,0.47,0.1,0.71,23
CDM,5026834615,FOLIC ACID 400 MCG TABLET,0.79,0.47,0.1,0.71,23
CDM,5026852411,MELATONIN 3 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,5026852415,MELATONIN 3 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,5026858211,NIACIN IMMEDIATE RELEASE 100 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,5026858215,NIACIN IMMEDIATE RELEASE 100 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,5026885111,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,5026885115,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,5026885211,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.69,0.41,0.08,0.62,23
CDM,5026885215,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.69,0.41,0.08,0.62,23
CDM,5026885311,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,0.75,0.44,0.09,0.68,23
CDM,5026885315,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,0.75,0.44,0.09,0.68,23
CDM,5026885411,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.6,0.35,0.07,0.54,23
CDM,5026885415,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,0.6,0.35,0.07,0.54,23
CDM,5026885511,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.83,0.49,0.1,0.75,23
CDM,5026885811,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,5026885911,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,5026885915,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,5026886011,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,5026886015,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,5026886311,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.92,0.54,0.11,0.83,23
CDM,5026886315,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.92,0.54,0.11,0.83,23
CDM,5026886611,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.01,0.6,0.12,0.91,23
CDM,5026886615,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.01,0.6,0.12,0.91,23
CDM,50289-0822-40,WITCH HAZEL LEAF (HAMAMELIS) TOPICAL PADS,0.2,0.12,0.02,0.18,23
CDM,50289-3250-1,GLYCERIN-WITCH HAZEL 12.5 %-50 % TOPICAL PADS,0.28,0.17,0.03,0.25,23
CDM,50383-042-05,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,3.05,1.8,0.37,2.75,23
CDM,50383-587-05,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",1.5,0.89,0.18,1.35,23
CDM,50383-705-47,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,0.53,0.31,0.06,0.48,23
CDM,50383-775-89,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,12.23,7.22,1.49,11.01,23
CDM,50383-810-05,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,11.1,6.55,1.35,9.99,23
CDM,50419-188-84,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,386.0,227.74,46.95,347.4,23
CDM,50419-208-01,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN",90256.68,53251.44,10979.25,81231.01,23
CDM,50419-250-01,RIOCIGUAT 0.5 MG TABLET,725.05,427.78,88.2,652.55,23
CDM,50419-250-91,RIOCIGUAT 0.5 MG TABLET,477.65,281.81,58.1,429.89,23
CDM,50419-251-01,RIOCIGUAT 1 MG TABLET,768.55,453.44,93.49,691.7,23
CDM,50419-251-91,RIOCIGUAT 1 MG TABLET,568.9,335.65,69.2,512.01,23
CDM,50419-320-05,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,654.05,385.89,79.56,588.65,23
CDM,50419-325-08,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,281.97,166.36,34.3,253.77,23
CDM,50419-325-11,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,117.49,69.32,14.29,105.74,23
CDM,50419-325-12,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,156.65,92.42,19.06,140.99,23
CDM,50419-325-13,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,234.98,138.64,28.58,211.48,23
CDM,50419-325-15,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,622.05,367.01,75.67,559.85,23
CDM,50419-325-18,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,281.97,166.36,34.3,253.77,23
CDM,50419-325-27,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SYRINGE,135.23,79.79,16.45,121.71,23
CDM,50419-325-28,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SYRINGE,174.4,102.9,21.21,156.96,23
CDM,50419-325-29,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SYRINGE,252.75,149.12,30.75,227.48,23
CDM,50419-344-10,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,185.0,109.15,22.5,166.5,23
CDM,50419-344-58,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,972.5,573.78,118.3,875.25,23
CDM,50419-346-10,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,217.5,128.33,26.46,195.75,23
CDM,50419-346-20,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,128.0,75.52,15.57,115.2,23
CDM,50419-346-58,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,320.0,188.8,38.93,288.0,23
CDM,50419-385-01,COPANLISIB 60 MG INTRAVENOUS SOLUTION,25752.0,15193.68,3132.6,23176.8,23
CDM,50419-422-01,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,4816.1,2841.5,585.85,4334.49,23
CDM,50419-423-01,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,5783.95,3412.53,703.59,5205.56,23
CDM,50419-424-01,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,5783.95,3412.53,703.59,5205.56,23
CDM,50419-451-01,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.38,52.14,10.75,79.54,23
CDM,50419-451-04,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.38,52.14,10.75,79.54,23
CDM,50419-454-01,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.38,52.14,10.75,79.54,23
CDM,50419-454-04,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.38,52.14,10.75,79.54,23
CDM,50419-522-01,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS SOLUTION,3376.92,1992.38,410.78,3039.23,23
CDM,50419-524-01,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT,3376.92,1992.38,410.78,3039.23,23
CDM,50419-524-35,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT,3376.92,1992.38,410.78,3039.23,23
CDM,50419-537-01,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,240.0,141.6,29.19,216.0,23
CDM,50419-747-01,PRAZIQUANTEL 600 MG TABLET,384.72,226.98,46.8,346.25,23
CDM,50419-754-01,CIPROFLOXACIN 500 MG TABLET,26.58,15.68,3.23,23.92,23
CDM,50419-777-01,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,604.0,356.36,73.47,543.6,23
CDM,50425-011-98,POVIDONE-IODINE 10 % TOPICAL SOLUTION,7.08,4.18,0.86,6.37,23
CDM,5042834138,MELATONIN 3 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,50458-028-00,ESKETAMINE 28 MG NASAL SPRAY,1778.55,1049.34,216.35,1600.7,23
CDM,50458-028-02,ESKETAMINE 56 MG (28 MG X 2) NASAL SPRAY,1778.55,1049.34,216.35,1600.7,23
CDM,50458-028-03,ESKETAMINE 84 MG (28 MG X 3) NASAL SPRAY,1778.55,1049.34,216.35,1600.7,23
CDM,50458-098-01,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE,52.34,30.88,6.37,47.11,23
CDM,50458-305-03,RISPERIDONE 1 MG/ML ORAL SOLUTION,760.95,448.96,92.57,684.86,23
CDM,50458-306-01,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2774.95,1637.22,337.56,2497.46,23
CDM,50458-306-11,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2774.95,1637.22,337.56,2497.46,23
CDM,50458-307-01,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",4162.6,2455.93,506.36,3746.34,23
CDM,50458-307-11,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",4162.6,2455.93,506.36,3746.34,23
CDM,50458-308-01,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",5550.35,3274.71,675.17,4995.32,23
CDM,50458-308-11,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",5550.35,3274.71,675.17,4995.32,23
CDM,50458-309-01,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1387.6,818.68,168.79,1248.84,23
CDM,50458-309-11,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1387.6,818.68,168.79,1248.84,23
CDM,50458-330-06,RISPERIDONE 3 MG TABLET,44.31,26.14,5.39,39.88,23
CDM,50458-550-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",56.47,33.32,6.87,50.82,23
CDM,50458-551-01,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",56.47,33.32,6.87,50.82,23
CDM,50458-552-01,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",84.7,49.97,10.3,76.23,23
CDM,50458-560-01,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE,2617.75,1544.47,318.44,2355.98,23
CDM,50458-561-01,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE,5235.7,3089.06,636.9,4712.13,23
CDM,50458-562-01,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE,7853.66,4633.66,955.36,7068.29,23
CDM,50458-563-01,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,10471.95,6178.45,1273.86,9424.76,23
CDM,50458-564-01,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,15707.55,9267.45,1910.74,14136.8,23
CDM,50458-575-01,RIVAROXABAN 1 MG/ML ORAL SUSPENSION,2135.9,1260.18,259.82,1922.31,23
CDM,50458-577-01,RIVAROXABAN 2.5 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-577-10,RIVAROXABAN 2.5 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-577-60,RIVAROXABAN 2.5 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-578-01,RIVAROXABAN 15 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-578-10,RIVAROXABAN 15 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-578-30,RIVAROXABAN 15 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-578-90,RIVAROXABAN 15 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-579-01,RIVAROXABAN 20 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-579-10,RIVAROXABAN 20 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-579-30,RIVAROXABAN 20 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-579-90,RIVAROXABAN 20 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-580-01,RIVAROXABAN 10 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-580-10,RIVAROXABAN 10 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-580-30,RIVAROXABAN 10 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,50458-585-01,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",59.76,35.26,7.27,53.78,23
CDM,50458-586-01,"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR",63.19,37.28,7.69,56.87,23
CDM,50458-587-01,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",68.76,40.57,8.36,61.88,23
CDM,50458-588-01,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",61.26,36.14,7.45,55.13,23
CDM,50458-596-01,RISPERIDONE 1 MG/ML ORAL SOLUTION,561.15,331.08,68.26,505.04,23
CDM,50458-607-01,PALIPERIDONE PALMITATE (3 MONTH) 410 MG/1.32 ML INTRAMUSCULAR SYRINGE,23561.05,13901.02,2866.08,21204.95,23
CDM,50458-639-65,TOPIRAMATE 25 MG TABLET,30.37,17.92,3.69,27.33,23
CDM,50458-647-65,TOPIRAMATE 15 MG SPRINKLE CAPSULE,28.72,16.94,3.49,25.85,23
CDM,50458-820-02,TAPENTADOL 50 MG TABLET,29.58,17.45,3.6,26.62,23
CDM,50474-002-63,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,252.53,148.99,30.72,227.28,23
CDM,50474-200-01,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",9.58,5.65,1.17,8.62,23
CDM,50474-300-01,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",11.78,6.95,1.43,10.6,23
CDM,50474-470-09,BRIVARACETAM 25 MG TABLET,110.36,65.11,13.42,99.32,23
CDM,50474-470-66,BRIVARACETAM 25 MG TABLET,110.35,65.11,13.42,99.32,23
CDM,50474-500-14,MIDAZOLAM 5 MG/SPRAY (0.1 ML) NASAL SPRAY,1498.93,884.37,182.34,1349.04,23
CDM,50474-500-15,MIDAZOLAM 5 MG/SPRAY (0.1 ML) NASAL SPRAY,1498.93,884.37,182.34,1349.04,23
CDM,50474-570-09,BRIVARACETAM 50 MG TABLET,110.36,65.11,13.42,99.32,23
CDM,50474-570-66,BRIVARACETAM 50 MG TABLET,110.35,65.11,13.42,99.32,23
CDM,50474-670-66,BRIVARACETAM 75 MG TABLET,110.35,65.11,13.42,99.32,23
CDM,50474-700-62,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT,14119.25,8330.36,1717.53,12707.33,23
CDM,50474-710-79,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT,27307.9,16111.66,3321.86,24577.11,23
CDM,50474-770-09,BRIVARACETAM 100 MG TABLET,110.36,65.11,13.42,99.32,23
CDM,50474-770-66,BRIVARACETAM 100 MG TABLET,110.35,65.11,13.42,99.32,23
CDM,50474-803-03,ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,129.45,76.38,15.75,116.51,23
CDM,50474-870-15,BRIVARACETAM 10 MG/ML ORAL SOLUTION,6621.0,3906.39,805.41,5958.9,23
CDM,50474-970-63,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,22.7,13.39,2.76,20.43,23
CDM,50474-970-75,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,22.7,13.39,2.76,20.43,23
CDM,50484-010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,0.01,0.01,0.01,0.01,23
CDM,50484-010-90,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,0.01,0.01,0.01,0.01,23
CDM,50484-329-00,MICONAZOLE NITRATE 2 % TOPICAL CREAM,23.92,14.11,2.91,21.53,23
CDM,50484-810-15,BECAPLERMIN 0.01 % TOPICAL GEL,6591.15,3888.78,801.78,5932.04,23
CDM,50580-134-04,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,24.6,14.51,2.99,22.14,23
CDM,50580-296-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,5.05,2.98,0.61,4.55,23
CDM,50580-457-11,ACETAMINOPHEN 500 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,50580-457-70,ACETAMINOPHEN 500 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,50580-458-11,ACETAMINOPHEN 325 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,50580-496-98,ACETAMINOPHEN 325 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,50580-509-01,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,24.6,14.51,2.99,22.14,23
CDM,50580-534-05,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.9,0.53,0.11,0.81,23
CDM,50580-534-08,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,42.48,25.06,5.17,38.23,23
CDM,50580-535-01,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,27.14,16.01,3.3,24.43,23
CDM,50580-535-04,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,5.31,3.13,0.65,4.78,23
CDM,50580-785-04,PHENYLEPHRINE-DEXTROMETHORPHAN 2.5 MG-5 MG/5 ML ORAL LIQUID,26.55,15.66,3.23,23.9,23
CDM,50632-001-01,"SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP",1309.5,772.61,159.29,1178.55,23
CDM,50632-001-03,"SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP",1309.5,772.61,159.29,1178.55,23
CDM,50632-010-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",1476.35,871.05,179.59,1328.72,23
CDM,50632-013-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",1476.35,871.05,179.59,1328.72,23
CDM,50633-110-12,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,15499.88,9144.93,1885.48,13949.89,23
CDM,50633-120-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,23185.6,13679.5,2820.41,20867.04,23
CDM,50633-120-12,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,23185.6,13679.5,2820.41,20867.04,23
CDM,50633-121-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,23185.6,13679.5,2820.41,20867.04,23
CDM,50633-210-11,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",205870.0,121463.3,25043.01,185283.0,23
CDM,50633-310-11,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,4623.75,2728.01,562.45,4161.38,23
CDM,50633-320-10,EDETATE CALCIUM DISODIUM 50 MG/ML INTRAVENOUS SOLUTION,1750.0,1032.5,212.88,1575.0,23
CDM,50742-112-01,DESIPRAMINE 10 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,50742-113-01,DESIPRAMINE 25 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,50742-114-01,DESIPRAMINE 50 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,50742-115-01,DESIPRAMINE 75 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,50742-118-08,CABERGOLINE 0.5 MG TABLET,14.4,8.5,1.75,12.96,23
CDM,50742-142-01,METHENAMINE HIPPURATE 1 GRAM TABLET,3.34,1.97,0.41,3.01,23
CDM,50742-175-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",0.48,0.28,0.06,0.43,23
CDM,50742-181-30,LEUCOVORIN CALCIUM 5 MG TABLET,4.23,2.5,0.51,3.81,23
CDM,50742-184-25,LEUCOVORIN CALCIUM 25 MG TABLET,1126.63,664.71,137.05,1013.97,23
CDM,50742-190-01,CYPROHEPTADINE 4 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,50742-193-90,TOLCAPONE 100 MG TABLET,53.34,31.47,6.49,48.01,23
CDM,50742-233-01,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",2.32,1.37,0.28,2.09,23
CDM,50742-238-30,QUININE 324 MG CAPSULE,2.67,1.58,0.32,2.4,23
CDM,50742-239-01,MEXILETINE 150 MG CAPSULE,1.4,0.83,0.17,1.26,23
CDM,50742-240-01,MEXILETINE 200 MG CAPSULE,2.31,1.36,0.28,2.08,23
CDM,50742-247-60,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",1.34,0.79,0.16,1.21,23
CDM,50742-248-30,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",1.13,0.67,0.14,1.02,23
CDM,50742-248-90,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",0.65,0.38,0.08,0.59,23
CDM,50742-249-30,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",1.62,0.96,0.2,1.46,23
CDM,50742-249-90,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",0.87,0.51,0.11,0.78,23
CDM,50742-250-90,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",0.96,0.57,0.12,0.86,23
CDM,50742-251-90,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",1.43,0.84,0.17,1.29,23
CDM,50742-260-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",1.01,0.6,0.12,0.91,23
CDM,50742-261-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",1.1,0.65,0.13,0.99,23
CDM,50742-262-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",1.81,1.07,0.22,1.63,23
CDM,50742-263-01,PROBENECID 500 MG-COLCHICINE 0.5 MG TABLET,5.43,3.2,0.66,4.89,23
CDM,50742-267-50,NORETHINDRONE ACETATE 5 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,50742-279-01,DICLOFENAC POTASSIUM 50 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,50742-299-09,FROVATRIPTAN 2.5 MG TABLET,43.76,25.82,5.32,39.38,23
CDM,50742-350-01,METOLAZONE 5 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,50742-351-01,METOLAZONE 10 MG TABLET,3.0,1.77,0.36,2.7,23
CDM,50742-362-60,IVABRADINE 5 MG TABLET,11.14,6.57,1.36,10.03,23
CDM,50742-364-01,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,13.05,7.7,1.59,11.75,23
CDM,50742-364-30,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,12.98,7.66,1.58,11.68,23
CDM,50742-372-01,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,166.49,98.23,20.25,149.84,23
CDM,50742-372-04,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,166.49,98.23,20.25,149.84,23
CDM,50742-374-01,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,249.74,147.35,30.38,224.77,23
CDM,50742-374-04,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,249.74,147.35,30.38,224.77,23
CDM,50742-448-60,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,460.8,271.87,56.05,414.72,23
CDM,50742-484-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,1382.25,815.53,168.14,1244.03,23
CDM,50742-505-01,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,43.78,25.83,5.33,39.4,23
CDM,50742-505-24,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,22.57,13.32,2.75,20.31,23
CDM,50742-514-30,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,116.81,68.92,14.21,105.13,23
CDM,50742-515-01,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,245.51,144.85,29.87,220.96,23
CDM,50742-515-30,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,245.51,144.85,29.87,220.96,23
CDM,50742-516-01,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,130.94,77.25,15.93,117.85,23
CDM,50742-518-01,NITROGLYCERIN 0.8 MG/HR TRANSDERMAL 24 HOUR PATCH,266.26,157.09,32.39,239.63,23
CDM,50742-518-30,NITROGLYCERIN 0.8 MG/HR TRANSDERMAL 24 HOUR PATCH,266.26,157.09,32.39,239.63,23
CDM,50742-615-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",0.51,0.3,0.06,0.46,23
CDM,50742-616-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",0.51,0.3,0.06,0.46,23
CDM,50742-616-10,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",0.4,0.24,0.05,0.36,23
CDM,50742-617-01,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",0.68,0.4,0.08,0.61,23
CDM,50742-622-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",2.24,1.32,0.27,2.02,23
CDM,50804-166-38,MAGNESIUM CITRATE ORAL SOLUTION,10.36,6.11,1.26,9.32,23
CDM,50816-100-02,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",1.47,0.87,0.18,1.32,23
CDM,50881-005-60,RUXOLITINIB 5 MG TABLET,1350.0,796.5,164.22,1215.0,23
CDM,50881-010-60,RUXOLITINIB 10 MG TABLET,1350.0,796.5,164.22,1215.0,23
CDM,50881-013-03,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,6842.5,4037.08,832.35,6158.25,23
CDM,50881-015-60,RUXOLITINIB 15 MG TABLET,1350.0,796.5,164.22,1215.0,23
CDM,50881-020-60,RUXOLITINIB 20 MG TABLET,1350.0,796.5,164.22,1215.0,23
CDM,50881-023-11,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,56450.65,33305.88,6866.93,50805.59,23
CDM,50881-025-60,RUXOLITINIB 25 MG TABLET,1350.0,796.5,164.22,1215.0,23
CDM,50881-034-12,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,23093.45,13625.14,2809.2,20784.11,23
CDM,5093009802,XYLITOL-YERBA SANTA MUCOSAL SPRAY WITH PUMP,24.9,14.69,3.03,22.41,23
CDM,5093009808,XYLITOL-YERBA SANTA MUCOSAL SPRAY WITH PUMP,48.38,28.54,5.89,43.54,23
CDM,50991-783-60,DEXBROMPHENIRAMINE MALEATE 2 MG TABLET,2.81,1.66,0.34,2.53,23
CDM,51079-020-01,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",54.17,31.96,6.59,48.75,23
CDM,51079-020-03,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",54.17,31.96,6.59,48.75,23
CDM,51079-023-01,METOLAZONE 2.5 MG TABLET,10.9,6.43,1.33,9.81,23
CDM,51079-023-20,METOLAZONE 2.5 MG TABLET,10.9,6.43,1.33,9.81,23
CDM,51079-024-01,METOLAZONE 5 MG TABLET,12.38,7.3,1.51,11.14,23
CDM,51079-024-20,METOLAZONE 5 MG TABLET,12.38,7.3,1.51,11.14,23
CDM,51079-028-01,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,35.71,21.07,4.34,32.14,23
CDM,51079-028-20,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,35.71,21.07,4.34,32.14,23
CDM,51079-051-01,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",1.14,0.67,0.14,1.03,23
CDM,51079-051-20,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",1.14,0.67,0.14,1.03,23
CDM,51079-058-01,CHLORTHALIDONE 25 MG TABLET,7.62,4.5,0.93,6.86,23
CDM,51079-058-20,CHLORTHALIDONE 25 MG TABLET,7.62,4.5,0.93,6.86,23
CDM,51079-074-01,HYDRALAZINE 10 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,51079-074-20,HYDRALAZINE 10 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,51079-075-01,HYDRALAZINE 25 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,51079-075-20,HYDRALAZINE 25 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,51079-076-01,HYDRALAZINE 50 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,51079-076-20,HYDRALAZINE 50 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,51079-083-01,ISONIAZID 300 MG TABLET,4.07,2.4,0.5,3.66,23
CDM,51079-083-20,ISONIAZID 300 MG TABLET,4.07,2.4,0.5,3.66,23
CDM,51079-086-01,MIRTAZAPINE 15 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,51079-086-20,MIRTAZAPINE 15 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,51079-087-01,MIRTAZAPINE 30 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,51079-087-20,MIRTAZAPINE 30 MG TABLET,1.09,0.64,0.13,0.98,23
CDM,51079-088-01,MIRTAZAPINE 45 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,51079-088-20,MIRTAZAPINE 45 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,51079-103-01,SPIRONOLACTONE 25 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,51079-103-20,SPIRONOLACTONE 25 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,51079-118-01,DICYCLOMINE 10 MG CAPSULE,2.3,1.36,0.28,2.07,23
CDM,51079-118-20,DICYCLOMINE 10 MG CAPSULE,2.3,1.36,0.28,2.07,23
CDM,51079-121-01,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",5.73,3.38,0.7,5.16,23
CDM,51079-121-08,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",5.73,3.38,0.7,5.16,23
CDM,51079-129-01,PHENYTOIN 50 MG CHEWABLE TABLET,2.91,1.72,0.35,2.62,23
CDM,51079-129-06,PHENYTOIN 50 MG CHEWABLE TABLET,2.91,1.72,0.35,2.62,23
CDM,51079-130-01,CHLORPROMAZINE 50 MG TABLET,39.08,23.06,4.75,35.17,23
CDM,51079-130-20,CHLORPROMAZINE 50 MG TABLET,39.08,23.06,4.75,35.17,23
CDM,51079-133-01,AMITRIPTYLINE 50 MG TABLET,2.64,1.56,0.32,2.38,23
CDM,51079-133-20,AMITRIPTYLINE 50 MG TABLET,2.64,1.56,0.32,2.38,23
CDM,51079-141-01,CHLORDIAZEPOXIDE 25 MG CAPSULE,2.46,1.45,0.3,2.21,23
CDM,51079-141-20,CHLORDIAZEPOXIDE 25 MG CAPSULE,2.46,1.45,0.3,2.21,23
CDM,51079-147-01,AMITRIPTYLINE 75 MG TABLET,3.03,1.79,0.37,2.73,23
CDM,51079-147-20,AMITRIPTYLINE 75 MG TABLET,3.03,1.79,0.37,2.73,23
CDM,51079-149-01,SERTRALINE 25 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,51079-149-20,SERTRALINE 25 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,51079-164-01,VORICONAZOLE 50 MG TABLET,25.96,15.32,3.16,23.36,23
CDM,51079-164-03,VORICONAZOLE 50 MG TABLET,25.96,15.32,3.16,23.36,23
CDM,51079-165-01,VORICONAZOLE 200 MG TABLET,84.06,49.6,10.23,75.65,23
CDM,51079-165-03,VORICONAZOLE 200 MG TABLET,84.06,49.6,10.23,75.65,23
CDM,51079-169-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.48,2.05,0.42,3.13,23
CDM,51079-169-20,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.48,2.05,0.42,3.13,23
CDM,51079-170-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.5,2.07,0.43,3.15,23
CDM,51079-170-20,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.5,2.07,0.43,3.15,23
CDM,51079-182-01,CIPROFLOXACIN 500 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,51079-182-20,CIPROFLOXACIN 500 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,51079-197-01,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",46.85,27.64,5.7,42.17,23
CDM,51079-197-03,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",46.85,27.64,5.7,42.17,23
CDM,51079-200-01,METHYLDOPA 250 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,51079-200-20,METHYLDOPA 250 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,51079-201-01,METHYLDOPA 500 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,51079-201-20,METHYLDOPA 500 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,51079-204-01,ABACAVIR 300 MG TABLET,39.79,23.48,4.84,35.81,23
CDM,51079-204-06,ABACAVIR 300 MG TABLET,39.79,23.48,4.84,35.81,23
CDM,51079-205-01,ALLOPURINOL 100 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,51079-205-20,ALLOPURINOL 100 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,51079-206-01,ALLOPURINOL 300 MG TABLET,2.91,1.72,0.35,2.62,23
CDM,51079-206-20,ALLOPURINOL 300 MG TABLET,2.91,1.72,0.35,2.62,23
CDM,51079-208-01,ATORVASTATIN 10 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,51079-208-20,ATORVASTATIN 10 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,51079-209-01,ATORVASTATIN 20 MG TABLET,1.72,1.01,0.21,1.55,23
CDM,51079-209-20,ATORVASTATIN 20 MG TABLET,1.72,1.01,0.21,1.55,23
CDM,51079-210-01,ATORVASTATIN 40 MG TABLET,2.28,1.35,0.28,2.05,23
CDM,51079-210-20,ATORVASTATIN 40 MG TABLET,2.28,1.35,0.28,2.05,23
CDM,51079-211-01,ATORVASTATIN 80 MG TABLET,2.5,1.48,0.3,2.25,23
CDM,51079-211-03,ATORVASTATIN 80 MG TABLET,2.5,1.48,0.3,2.25,23
CDM,51079-215-01,CELECOXIB 200 MG CAPSULE,8.45,4.99,1.03,7.61,23
CDM,51079-215-20,CELECOXIB 200 MG CAPSULE,8.45,4.99,1.03,7.61,23
CDM,51079-241-01,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",3.99,2.35,0.49,3.59,23
CDM,51079-241-06,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",3.99,2.35,0.49,3.59,23
CDM,51079-246-20,LORATADINE 10 MG TABLET,1.91,1.13,0.23,1.72,23
CDM,51079-255-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,51079-255-20,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,51079-273-01,ENTACAPONE 200 MG TABLET,22.43,13.23,2.73,20.19,23
CDM,51079-273-03,ENTACAPONE 200 MG TABLET,22.43,13.23,2.73,20.19,23
CDM,51079-284-01,DIAZEPAM 2 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,51079-284-20,DIAZEPAM 2 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,51079-285-01,DIAZEPAM 5 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,51079-285-20,DIAZEPAM 5 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,51079-286-01,DIAZEPAM 10 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,51079-286-20,DIAZEPAM 10 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,51079-294-01,TAMSULOSIN 0.4 MG CAPSULE,2.67,1.58,0.32,2.4,23
CDM,51079-294-20,TAMSULOSIN 0.4 MG CAPSULE,2.67,1.58,0.32,2.4,23
CDM,51079-306-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.94,4.09,0.84,6.25,23
CDM,51079-306-30,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.94,4.09,0.84,6.25,23
CDM,51079-348-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,17.29,10.2,2.1,15.56,23
CDM,51079-348-20,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,17.29,10.2,2.1,15.56,23
CDM,51079-379-01,MYCOPHENOLATE MOFETIL 500 MG TABLET,4.59,2.71,0.56,4.13,23
CDM,51079-379-20,MYCOPHENOLATE MOFETIL 500 MG TABLET,4.59,2.71,0.56,4.13,23
CDM,51079-391-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",3.57,2.11,0.43,3.21,23
CDM,51079-391-20,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",3.57,2.11,0.43,3.21,23
CDM,51079-418-01,TEMAZEPAM 15 MG CAPSULE,0.44,0.26,0.05,0.4,23
CDM,51079-418-20,TEMAZEPAM 15 MG CAPSULE,0.44,0.26,0.05,0.4,23
CDM,51079-419-01,TEMAZEPAM 30 MG CAPSULE,0.68,0.4,0.08,0.61,23
CDM,51079-419-20,TEMAZEPAM 30 MG CAPSULE,0.68,0.4,0.08,0.61,23
CDM,51079-431-01,HALOPERIDOL 10 MG TABLET,7.71,4.55,0.94,6.94,23
CDM,51079-431-20,HALOPERIDOL 10 MG TABLET,7.71,4.55,0.94,6.94,23
CDM,51079-436-01,DOXEPIN 10 MG CAPSULE,2.46,1.45,0.3,2.21,23
CDM,51079-436-20,DOXEPIN 10 MG CAPSULE,2.46,1.45,0.3,2.21,23
CDM,51079-437-01,DOXEPIN 25 MG CAPSULE,2.8,1.65,0.34,2.52,23
CDM,51079-437-20,DOXEPIN 25 MG CAPSULE,2.8,1.65,0.34,2.52,23
CDM,51079-438-01,DOXEPIN 50 MG CAPSULE,3.88,2.29,0.47,3.49,23
CDM,51079-438-20,DOXEPIN 50 MG CAPSULE,3.88,2.29,0.47,3.49,23
CDM,51079-440-01,LEVOTHYROXINE 50 MCG TABLET,1.98,1.17,0.24,1.78,23
CDM,51079-440-20,LEVOTHYROXINE 50 MCG TABLET,1.98,1.17,0.24,1.78,23
CDM,51079-441-01,LEVOTHYROXINE 75 MCG TABLET,2.54,1.5,0.31,2.29,23
CDM,51079-441-20,LEVOTHYROXINE 75 MCG TABLET,2.54,1.5,0.31,2.29,23
CDM,51079-442-01,LEVOTHYROXINE 100 MCG TABLET,2.6,1.53,0.32,2.34,23
CDM,51079-442-20,LEVOTHYROXINE 100 MCG TABLET,2.6,1.53,0.32,2.34,23
CDM,51079-443-01,LEVOTHYROXINE 125 MCG TABLET,3.06,1.81,0.37,2.75,23
CDM,51079-443-20,LEVOTHYROXINE 125 MCG TABLET,3.06,1.81,0.37,2.75,23
CDM,51079-444-01,LEVOTHYROXINE 25 MCG TABLET,1.76,1.04,0.21,1.58,23
CDM,51079-444-20,LEVOTHYROXINE 25 MCG TABLET,1.76,1.04,0.21,1.58,23
CDM,51079-445-01,LEVOTHYROXINE 150 MCG TABLET,3.14,1.85,0.38,2.83,23
CDM,51079-445-20,LEVOTHYROXINE 150 MCG TABLET,3.14,1.85,0.38,2.83,23
CDM,51079-451-01,AMLODIPINE 5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,51079-451-20,AMLODIPINE 5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,51079-453-01,MIDODRINE 5 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,51079-453-20,MIDODRINE 5 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,51079-458-01,PRAVASTATIN 20 MG TABLET,2.86,1.69,0.35,2.57,23
CDM,51079-458-20,PRAVASTATIN 20 MG TABLET,2.86,1.69,0.35,2.57,23
CDM,51079-460-01,RISPERIDONE 0.25 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,51079-460-20,RISPERIDONE 0.25 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,51079-480-01,VENLAFAXINE IMMEDIATE RELEASE 37.5 MG TABLET,2.83,1.67,0.34,2.55,23
CDM,51079-480-20,VENLAFAXINE IMMEDIATE RELEASE 37.5 MG TABLET,2.83,1.67,0.34,2.55,23
CDM,51079-482-01,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,5.65,3.33,0.69,5.09,23
CDM,51079-482-20,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,5.65,3.33,0.69,5.09,23
CDM,51079-485-01,FLUPHENAZINE 1 MG TABLET,2.16,1.27,0.26,1.94,23
CDM,51079-485-20,FLUPHENAZINE 1 MG TABLET,2.16,1.27,0.26,1.94,23
CDM,51079-499-01,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,51079-499-20,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,51079-510-01,CAPECITABINE 500 MG TABLET,162.78,96.04,19.8,146.5,23
CDM,51079-510-05,CAPECITABINE 500 MG TABLET,162.78,96.04,19.8,146.5,23
CDM,51079-513-01,PIOGLITAZONE 15 MG TABLET,7.53,4.44,0.92,6.78,23
CDM,51079-513-20,PIOGLITAZONE 15 MG TABLET,7.53,4.44,0.92,6.78,23
CDM,51079-516-01,CHLORPROMAZINE 100 MG TABLET,62.81,37.06,7.64,56.53,23
CDM,51079-516-20,CHLORPROMAZINE 100 MG TABLET,62.81,37.06,7.64,56.53,23
CDM,51079-517-20,CHLORPROMAZINE 200 MG TABLET,47.87,28.24,5.82,43.08,23
CDM,51079-518-01,CHLORPROMAZINE 10 MG TABLET,20.43,12.05,2.49,18.39,23
CDM,51079-518-20,CHLORPROMAZINE 10 MG TABLET,20.43,12.05,2.49,18.39,23
CDM,51079-519-01,CHLORPROMAZINE 25 MG TABLET,27.01,15.94,3.29,24.31,23
CDM,51079-519-20,CHLORPROMAZINE 25 MG TABLET,27.01,15.94,3.29,24.31,23
CDM,51079-544-01,ESCITALOPRAM 20 MG TABLET,6.9,4.07,0.84,6.21,23
CDM,51079-544-20,ESCITALOPRAM 20 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,51079-562-01,MODAFINIL 200 MG TABLET,81.51,48.09,9.92,73.36,23
CDM,51079-562-03,MODAFINIL 200 MG TABLET,81.51,48.09,9.92,73.36,23
CDM,51079-563-01,AMITRIPTYLINE 100 MG TABLET,4.03,2.38,0.49,3.63,23
CDM,51079-563-20,AMITRIPTYLINE 100 MG TABLET,4.03,2.38,0.49,3.63,23
CDM,51079-565-01,THIORIDAZINE 10 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,51079-565-20,THIORIDAZINE 10 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,51079-566-01,THIORIDAZINE 25 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,51079-566-20,THIORIDAZINE 25 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,51079-567-01,THIORIDAZINE 50 MG TABLET,3.06,1.81,0.37,2.75,23
CDM,51079-567-20,THIORIDAZINE 50 MG TABLET,3.06,1.81,0.37,2.75,23
CDM,51079-572-01,TRIFLUOPERAZINE 1 MG TABLET,4.48,2.64,0.54,4.03,23
CDM,51079-572-20,TRIFLUOPERAZINE 1 MG TABLET,4.48,2.64,0.54,4.03,23
CDM,51079-573-01,TRIFLUOPERAZINE 2 MG TABLET,6.67,3.94,0.81,6.0,23
CDM,51079-573-20,TRIFLUOPERAZINE 2 MG TABLET,6.67,3.94,0.81,6.0,23
CDM,51079-574-01,TRIFLUOPERAZINE 5 MG TABLET,8.49,5.01,1.03,7.64,23
CDM,51079-574-20,TRIFLUOPERAZINE 5 MG TABLET,8.49,5.01,1.03,7.64,23
CDM,51079-575-01,TRIFLUOPERAZINE 10 MG TABLET,10.14,5.98,1.23,9.13,23
CDM,51079-575-20,TRIFLUOPERAZINE 10 MG TABLET,10.14,5.98,1.23,9.13,23
CDM,51079-580-01,THIORIDAZINE 100 MG TABLET,3.48,2.05,0.42,3.13,23
CDM,51079-580-20,THIORIDAZINE 100 MG TABLET,3.48,2.05,0.42,3.13,23
CDM,51079-581-01,LEUCOVORIN CALCIUM 5 MG TABLET,12.14,7.16,1.48,10.93,23
CDM,51079-581-06,LEUCOVORIN CALCIUM 5 MG TABLET,12.14,7.16,1.48,10.93,23
CDM,51079-597-01,CETIRIZINE 10 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,51079-597-20,CETIRIZINE 10 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,51079-624-84,MAFENIDE 50 GRAM TOPICAL PACKET,1057.33,623.82,128.62,951.6,23
CDM,51079-624-85,MAFENIDE 50 GRAM TOPICAL PACKET,1057.33,623.82,128.62,951.6,23
CDM,51079-630-01,PRAZOSIN 1 MG CAPSULE,6.01,3.55,0.73,5.41,23
CDM,51079-630-20,PRAZOSIN 1 MG CAPSULE,6.01,3.55,0.73,5.41,23
CDM,51079-631-01,PRAZOSIN 2 MG CAPSULE,7.9,4.66,0.96,7.11,23
CDM,51079-631-20,PRAZOSIN 2 MG CAPSULE,7.9,4.66,0.96,7.11,23
CDM,51079-632-01,PRAZOSIN 5 MG CAPSULE,14.36,8.47,1.75,12.92,23
CDM,51079-632-20,PRAZOSIN 5 MG CAPSULE,14.36,8.47,1.75,12.92,23
CDM,51079-644-01,CYCLOBENZAPRINE 10 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,51079-644-20,CYCLOBENZAPRINE 10 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,51079-651-20,DOXEPIN 100 MG CAPSULE,6.58,3.88,0.8,5.92,23
CDM,51079-670-01,METHOTREXATE SODIUM 2.5 MG TABLET,9.99,5.89,1.22,8.99,23
CDM,51079-670-05,METHOTREXATE SODIUM 2.5 MG TABLET,9.99,5.89,1.22,8.99,23
CDM,51079-684-01,ATENOLOL 50 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,51079-684-20,ATENOLOL 50 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,51079-685-01,ATENOLOL 100 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,51079-685-20,ATENOLOL 100 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,51079-690-01,LOPERAMIDE 2 MG CAPSULE,3.36,1.98,0.41,3.02,23
CDM,51079-690-20,LOPERAMIDE 2 MG CAPSULE,3.36,1.98,0.41,3.02,23
CDM,51079-721-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,1.82,1.07,0.22,1.64,23
CDM,51079-721-20,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,1.82,1.07,0.22,1.64,23
CDM,51079-722-01,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",12.27,7.24,1.49,11.04,23
CDM,51079-722-20,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",12.27,7.24,1.49,11.04,23
CDM,51079-723-01,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",12.62,7.45,1.54,11.36,23
CDM,51079-723-20,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",12.62,7.45,1.54,11.36,23
CDM,51079-724-01,ZOLPIDEM 5 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,51079-724-20,ZOLPIDEM 5 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,51079-725-01,ZOLPIDEM 10 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,51079-725-20,ZOLPIDEM 10 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,51079-733-01,HALOPERIDOL 0.5 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,51079-733-20,HALOPERIDOL 0.5 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,51079-734-01,HALOPERIDOL 1 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,51079-734-20,HALOPERIDOL 1 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,51079-735-01,HALOPERIDOL 2 MG TABLET,2.25,1.33,0.27,2.03,23
CDM,51079-735-20,HALOPERIDOL 2 MG TABLET,2.25,1.33,0.27,2.03,23
CDM,51079-736-01,HALOPERIDOL 5 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,51079-736-20,HALOPERIDOL 5 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,51079-745-01,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,51079-745-20,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,51079-747-01,DILTIAZEM IMMEDIATE RELEASE 90 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,51079-747-20,DILTIAZEM IMMEDIATE RELEASE 90 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,51079-753-01,SUCRALFATE 1 GRAM TABLET,1.47,0.87,0.18,1.32,23
CDM,51079-753-20,SUCRALFATE 1 GRAM TABLET,1.47,0.87,0.18,1.32,23
CDM,51079-759-01,ATENOLOL 25 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,51079-759-20,ATENOLOL 25 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,51079-766-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",5.88,3.47,0.72,5.29,23
CDM,51079-766-08,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",5.88,3.47,0.72,5.29,23
CDM,51079-767-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.43,3.79,0.78,5.79,23
CDM,51079-767-08,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.43,3.79,0.78,5.79,23
CDM,51079-771-01,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,51079-771-20,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,51079-782-01,PRAVASTATIN 40 MG TABLET,3.78,2.23,0.46,3.4,23
CDM,51079-782-20,PRAVASTATIN 40 MG TABLET,3.78,2.23,0.46,3.4,23
CDM,51079-788-01,ALPRAZOLAM 0.25 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,51079-788-20,ALPRAZOLAM 0.25 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,51079-789-01,ALPRAZOLAM 0.5 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,51079-789-20,ALPRAZOLAM 0.5 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,51079-790-01,ALPRAZOLAM 1 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,51079-790-20,ALPRAZOLAM 1 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,51079-801-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,51079-801-20,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,51079-802-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,51079-802-20,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,51079-810-01,GLIPIZIDE IMMEDIATE RELEASE 5 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,51079-810-20,GLIPIZIDE IMMEDIATE RELEASE 5 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,51079-811-01,GLIPIZIDE IMMEDIATE RELEASE 10 MG TABLET,2.5,1.48,0.3,2.25,23
CDM,51079-811-20,GLIPIZIDE IMMEDIATE RELEASE 10 MG TABLET,2.5,1.48,0.3,2.25,23
CDM,51079-812-01,NADOLOL 20 MG TABLET,23.91,14.11,2.91,21.52,23
CDM,51079-812-20,NADOLOL 20 MG TABLET,23.91,14.11,2.91,21.52,23
CDM,51079-817-01,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,5.07,2.99,0.62,4.56,23
CDM,51079-817-20,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,5.07,2.99,0.62,4.56,23
CDM,51079-818-01,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,5.3,3.13,0.64,4.77,23
CDM,51079-818-20,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,5.3,3.13,0.64,4.77,23
CDM,51079-820-01,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,51079-820-20,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,51079-821-01,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,2.69,1.59,0.33,2.42,23
CDM,51079-821-20,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,2.69,1.59,0.33,2.42,23
CDM,51079-852-01,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,14.31,8.44,1.74,12.88,23
CDM,51079-852-03,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,14.31,8.44,1.74,12.88,23
CDM,51079-853-03,GALANTAMINE IMMEDIATE RELEASE 8 MG TABLET,15.03,8.87,1.83,13.53,23
CDM,51079-863-01,CAPTOPRIL 12.5 MG TABLET,6.63,3.91,0.81,5.97,23
CDM,51079-863-20,CAPTOPRIL 12.5 MG TABLET,6.63,3.91,0.81,5.97,23
CDM,51079-864-01,CAPTOPRIL 25 MG TABLET,6.14,3.62,0.75,5.53,23
CDM,51079-864-20,CAPTOPRIL 25 MG TABLET,6.14,3.62,0.75,5.53,23
CDM,51079-866-01,LAMOTRIGINE 200 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,51079-866-20,LAMOTRIGINE 200 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,51079-870-01,CARBAMAZEPINE 100 MG CHEWABLE TABLET,2.49,1.47,0.3,2.24,23
CDM,51079-870-20,CARBAMAZEPINE 100 MG CHEWABLE TABLET,2.49,1.47,0.3,2.24,23
CDM,51079-882-01,CLONAZEPAM 1 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,51079-882-20,CLONAZEPAM 1 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,51079-883-01,CLONAZEPAM 2 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,51079-883-20,CLONAZEPAM 2 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,51079-886-01,METOCLOPRAMIDE 5 MG TABLET,3.47,2.05,0.42,3.12,23
CDM,51079-886-20,METOCLOPRAMIDE 5 MG TABLET,3.47,2.05,0.42,3.12,23
CDM,51079-888-01,METOCLOPRAMIDE 10 MG TABLET,3.68,2.17,0.45,3.31,23
CDM,51079-888-20,METOCLOPRAMIDE 10 MG TABLET,3.68,2.17,0.45,3.31,23
CDM,51079-901-01,LOXAPINE SUCCINATE 10 MG CAPSULE,2.69,1.59,0.33,2.42,23
CDM,51079-901-20,LOXAPINE SUCCINATE 10 MG CAPSULE,2.69,1.59,0.33,2.42,23
CDM,51079-902-01,LOXAPINE SUCCINATE 25 MG CAPSULE,4.07,2.4,0.5,3.66,23
CDM,51079-902-20,LOXAPINE SUCCINATE 25 MG CAPSULE,4.07,2.4,0.5,3.66,23
CDM,51079-903-01,LOXAPINE SUCCINATE 50 MG CAPSULE,4.91,2.9,0.6,4.42,23
CDM,51079-903-20,LOXAPINE SUCCINATE 50 MG CAPSULE,4.91,2.9,0.6,4.42,23
CDM,51079-917-01,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",17.89,10.56,2.18,16.1,23
CDM,51079-917-20,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",17.89,10.56,2.18,16.1,23
CDM,51079-921-01,CLOZAPINE 25 MG TABLET,1.81,1.07,0.22,1.63,23
CDM,51079-921-20,CLOZAPINE 25 MG TABLET,1.81,1.07,0.22,1.63,23
CDM,51079-922-01,CLOZAPINE 100 MG TABLET,4.53,2.67,0.55,4.08,23
CDM,51079-922-20,CLOZAPINE 100 MG TABLET,4.53,2.67,0.55,4.08,23
CDM,51079-923-01,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",3.57,2.11,0.43,3.21,23
CDM,51079-923-20,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",3.57,2.11,0.43,3.21,23
CDM,51079-928-01,LABETALOL 100 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,51079-928-20,LABETALOL 100 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,51079-929-01,LABETALOL 200 MG TABLET,2.96,1.75,0.36,2.66,23
CDM,51079-929-20,LABETALOL 200 MG TABLET,2.96,1.75,0.36,2.66,23
CDM,51079-931-01,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,51079-931-20,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,51079-932-01,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,51079-932-20,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,51079-937-01,TERAZOSIN 2 MG CAPSULE,0.76,0.45,0.09,0.68,23
CDM,51079-937-20,TERAZOSIN 2 MG CAPSULE,0.76,0.45,0.09,0.68,23
CDM,51079-943-01,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,5.68,3.35,0.69,5.11,23
CDM,51079-943-20,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,5.68,3.35,0.69,5.11,23
CDM,51079-958-01,DOXAZOSIN 2 MG TABLET,12.4,7.32,1.51,11.16,23
CDM,51079-958-20,DOXAZOSIN 2 MG TABLET,12.4,7.32,1.51,11.16,23
CDM,51079-959-01,DOXAZOSIN 4 MG TABLET,13.02,7.68,1.58,11.72,23
CDM,51079-959-20,DOXAZOSIN 4 MG TABLET,13.02,7.68,1.58,11.72,23
CDM,51079-960-01,BUSPIRONE 15 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,51079-960-20,BUSPIRONE 15 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,51079-966-01,FAMOTIDINE 20 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,51079-966-20,FAMOTIDINE 20 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,51079-978-01,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",1.32,0.78,0.16,1.19,23
CDM,51079-978-20,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",1.32,0.78,0.16,1.19,23
CDM,51079-980-01,SPIRONOLACTONE 100 MG TABLET,4.9,2.89,0.6,4.41,23
CDM,51079-985-01,BUSPIRONE 5 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,51079-985-20,BUSPIRONE 5 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,51079-986-01,BUSPIRONE 10 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,51079-986-20,BUSPIRONE 10 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,51079-991-01,TRAMADOL 50 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,51079-991-20,TRAMADOL 50 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,51079-992-01,FLUVOXAMINE 50 MG TABLET,2.07,1.22,0.25,1.86,23
CDM,51079-992-20,FLUVOXAMINE 50 MG TABLET,2.07,1.22,0.25,1.86,23
CDM,51079-993-01,FLUVOXAMINE 100 MG TABLET,2.39,1.41,0.29,2.15,23
CDM,51079-993-20,FLUVOXAMINE 100 MG TABLET,2.39,1.41,0.29,2.15,23
CDM,51079-998-01,TIZANIDINE 4 MG TABLET,3.04,1.79,0.37,2.74,23
CDM,51079-998-20,TIZANIDINE 4 MG TABLET,3.04,1.79,0.37,2.74,23
CDM,51144-003-01,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION,34280.0,20225.2,4169.98,30852.0,23
CDM,51144-020-01,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,14045.0,8286.55,1708.5,12640.5,23
CDM,51144-030-01,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,21067.5,12429.83,2562.75,18960.75,23
CDM,51144-050-01,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,58710.0,34638.9,7141.76,52839.0,23
CDM,51167-200-01,IVACAFTOR 150 MG TABLET,2340.55,1380.92,284.72,2106.5,23
CDM,51167-290-01,EXAGAMGLOGENE AUTOTEMCEL 4 X 10EXP6 TO 13 X 10EXP6 CELL/ML IV SUSP,11000000.0,6490000.0,1338092.31,9900000.0,23
CDM,51167-290-09,EXAGAMGLOGENE AUTOTEMCEL 4 X 10EXP6 TO 13 X 10EXP6 CELL/ML IV SUSP,11000000.0,6490000.0,1338092.31,9900000.0,23
CDM,51167-331-01,ELEXACAFTOR 100 MG-TEZACAF 50MG-IVACAF 75MG(D)/IVACAF 150MG(N) TABLETS,1560.37,920.62,189.81,1404.33,23
CDM,51167-661-01,TEZACAFTOR 100 MG-IVACAFTOR 150 MG(DAY)/IVACAFTOR 150 MG(NITE) TABLETS,2194.01,1294.47,266.89,1974.61,23
CDM,51167-700-02,LUMACAFTOR 100 MG-IVACAFTOR 125 MG TABLET,1024.49,604.45,124.62,922.04,23
CDM,51167-809-01,LUMACAFTOR 200 MG-IVACAFTOR 125 MG TABLET,1024.49,604.45,124.62,922.04,23
CDM,51224-001-50,BENZONATATE 200 MG CAPSULE,1.49,0.88,0.18,1.34,23
CDM,51248-150-01,SOLIFENACIN 5 MG TABLET,59.54,35.13,7.24,53.59,23
CDM,51248-151-01,SOLIFENACIN 10 MG TABLET,59.54,35.13,7.24,53.59,23
CDM,51293-611-01,PHENAZOPYRIDINE 100 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,51293-625-01,PHENOBARBITAL 16.2 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,51293-625-10,PHENOBARBITAL 16.2 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,51293-628-01,PHENOBARBITAL 97.2 MG TABLET,4.41,2.6,0.54,3.97,23
CDM,51293-804-01,SALSALATE 750 MG TABLET,1.86,1.1,0.23,1.67,23
CDM,51293-810-01,PHENAZOPYRIDINE 100 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,51293-820-01,METHIMAZOLE 5 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,51293-821-01,METHIMAZOLE 10 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,5138300313,SODIUM CHLORIDE-HYPOCHLOROUS ACID 0.033 % IRRIGATION SOLUTION,73.75,43.51,8.97,66.38,23
CDM,5138300322,SODIUM CHLORIDE-HYPOCHLOROUS ACID 0.033 % IRRIGATION SOLUTION,45.05,26.58,5.48,40.55,23
CDM,51407-380-01,MEXILETINE 200 MG CAPSULE,6.28,3.71,0.76,5.65,23
CDM,51525-0431-1,FELBAMATE 600 MG TABLET,20.04,11.82,2.44,18.04,23
CDM,51525-5901-1,CARISOPRODOL 250 MG TABLET,12.19,7.19,1.48,10.97,23
CDM,51552-0041-6,NYSTATIN (BULK) 1 BILLION UNIT POWDER,845.0,498.55,102.79,760.5,23
CDM,51552-0106-9,LIDOCAINE HCL (BULK) 100 % POWDER,31.5,18.59,3.83,28.35,23
CDM,51552-0202-5,BISMUTH SUBGALLATE (BULK) POWDER,140.5,82.9,17.09,126.45,23
CDM,51552-0218-6,"ALUM, AMMONIUM (BULK) POWDER",82.5,48.68,10.04,74.25,23
CDM,51552-0261-2,TRICHLOROACETIC ACID 85 % TOPICAL POWDER FOR SOLUTION,98.47,58.1,11.98,88.62,23
CDM,51552-0269-9,TETRACAINE HCL (BULK) POWDER,31.5,18.59,3.83,28.35,23
CDM,51552-0311-2,TRICHLOROACETIC ACID 30 % TOPICAL POWDER FOR SOLUTION,254.4,150.1,30.95,228.96,23
CDM,51552-0454-9,EPINEPHRINE BITARTRATE (BULK) POWDER,63.0,37.17,7.66,56.7,23
CDM,51552-0469-2,TRICHLOROACETIC ACID 25 % TOPICAL POWDER FOR SOLUTION,67.08,39.58,8.16,60.37,23
CDM,51552-0843-4,D-XYLOSE (BULK) POWDER,99.75,58.85,12.13,89.78,23
CDM,51552-0883-2,BECLOMETHASONE DIPROP (BULK) POWDER,746.75,440.58,90.84,672.08,23
CDM,51552-1536-01,LET TOPICAL GEL,215.25,127.0,26.18,193.73,23
CDM,5155200026,COCOA BUTTER (BULK) 100 % TOPICAL OINTMENT,182.5,107.68,22.2,164.25,23
CDM,5155200516,ACETIC ACID (BULK) 3 % LIQUID,110.0,64.9,13.38,99.0,23
CDM,5155200556,ACETIC ACID (BULK) 5 % LIQUID,117.5,69.33,14.29,105.75,23
CDM,5155200699,SODIUM METABISULFITE (BULK) 100 % GRANULES,24.61,14.52,2.99,22.15,23
CDM,5155200944,GLYCERIN (BULK) 100 % LIQUID,17.0,10.03,2.07,15.3,23
CDM,5155201146,COAL TAR (BULK) 20 % TOPICAL SOLUTION,60.0,35.4,7.3,54.0,23
CDM,5155201272,TANNIC ACID (BULK) POWDER,30.0,17.7,3.65,27.0,23
CDM,5155202035,COLLODION (BULK) LIQUID,46.5,27.44,5.66,41.85,23
CDM,5155202109,METHYLCELLULOSE 4000CPS (BULK) 30 % POWDER,50.0,29.5,6.08,45.0,23
CDM,5155202384,ACETONE LIQUID,28.88,17.04,3.51,25.99,23
CDM,5155204276,FORMALDEHYDE (BULK) 10 % SOLUTION,150.0,88.5,18.25,135.0,23
CDM,5155204556,BISMUTH SUBCARBONATE (BULK) POWDER,325.0,191.75,39.53,292.5,23
CDM,5155214042,PYRIDOXAL-5 PHOSPHATE (BULK) 100 % POWDER,200.0,118.0,24.33,180.0,23
CDM,51645-0905-01,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,51645-703-10,ACETAMINOPHEN 325 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,51645-851-01,SENNOSIDES 8.6 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,5164582799,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.36,0.21,0.04,0.32,23
CDM,5164582899,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.37,0.22,0.05,0.33,23
CDM,5164590501,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,5164592001,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,5164593201,FOLIC ACID 400 MCG TABLET,0.05,0.03,0.01,0.05,23
CDM,51660-200-30,EZETIMIBE 10 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,51660-200-90,EZETIMIBE 10 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,51660-724-15,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",1.58,0.93,0.19,1.42,23
CDM,51660-939-01,CETIRIZINE 10 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,51660-996-28,COLESEVELAM 625 MG TABLET,4.25,2.51,0.52,3.83,23
CDM,51672-1254-1,FLUOCINONIDE-EMOLLIENT 0.05 % TOPICAL CREAM,177.53,104.74,21.6,159.78,23
CDM,51672-1258-1,CLOBETASOL 0.05 % TOPICAL CREAM,39.98,23.59,4.86,35.98,23
CDM,51672-1258-2,CLOBETASOL 0.05 % TOPICAL CREAM,79.95,47.17,9.73,71.96,23
CDM,51672-1258-3,CLOBETASOL 0.05 % TOPICAL CREAM,184.2,108.68,22.41,165.78,23
CDM,51672-1259-1,CLOBETASOL 0.05 % TOPICAL OINTMENT,23.03,13.59,2.8,20.73,23
CDM,51672-1259-2,CLOBETASOL 0.05 % TOPICAL OINTMENT,46.05,27.17,5.6,41.45,23
CDM,51672-1260-3,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,223.95,132.13,27.24,201.56,23
CDM,51672-1263-1,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",96.53,56.95,11.74,86.88,23
CDM,51672-1264-1,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,65.93,38.9,8.02,59.34,23
CDM,51672-1264-2,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,97.5,57.53,11.86,87.75,23
CDM,51672-1267-5,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,297.05,175.26,36.13,267.35,23
CDM,51672-1269-1,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,82.43,48.63,10.03,74.19,23
CDM,51672-1270-1,DESOXIMETASONE 0.25 % TOPICAL CREAM,123.53,72.88,15.03,111.18,23
CDM,51672-1272-1,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",71.93,42.44,8.75,64.74,23
CDM,51672-1272-3,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",184.8,109.03,22.48,166.32,23
CDM,51672-1273-2,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,80.0,47.2,9.73,72.0,23
CDM,51672-1275-1,CLOTRIMAZOLE 1 % TOPICAL CREAM,38.7,22.83,4.71,34.83,23
CDM,51672-1275-2,CLOTRIMAZOLE 1 % TOPICAL CREAM,102.0,60.18,12.41,91.8,23
CDM,51672-1279-1,FLUOCINONIDE 0.05 % TOPICAL GEL,119.33,70.4,14.52,107.4,23
CDM,51672-1279-2,FLUOCINONIDE 0.05 % TOPICAL GEL,231.75,136.73,28.19,208.58,23
CDM,51672-1280-1,DESONIDE 0.05 % TOPICAL CREAM,89.1,52.57,10.84,80.19,23
CDM,51672-1280-3,DESONIDE 0.05 % TOPICAL CREAM,356.4,210.28,43.35,320.76,23
CDM,51672-1281-1,DESONIDE 0.05 % TOPICAL OINTMENT,106.58,62.88,12.96,95.92,23
CDM,51672-1282-2,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,29.1,17.17,3.54,26.19,23
CDM,51672-1284-1,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,20.03,11.82,2.44,18.03,23
CDM,51672-1284-2,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,20.1,11.86,2.45,18.09,23
CDM,51672-1284-8,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,45.6,26.9,5.55,41.04,23
CDM,51672-1289-1,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",40.2,23.72,4.89,36.18,23
CDM,51672-1289-2,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",60.15,35.49,7.32,54.14,23
CDM,51672-1290-1,HYDROCORTISONE VALERATE 0.2 % TOPICAL CREAM,249.75,147.35,30.38,224.78,23
CDM,51672-1292-1,HYDROCORTISONE VALERATE 0.2 % TOPICAL OINTMENT,313.43,184.92,38.13,282.09,23
CDM,51672-1292-3,HYDROCORTISONE VALERATE 0.2 % TOPICAL OINTMENT,735.3,433.83,89.45,661.77,23
CDM,51672-1293-2,CLOBETASOL 0.05 % SCALP SOLUTION,120.0,70.8,14.6,108.0,23
CDM,51672-1293-3,CLOBETASOL 0.05 % SCALP SOLUTION,240.0,141.6,29.19,216.0,23
CDM,51672-1294-1,CLOBETASOL 0.05 % TOPICAL GEL,143.25,84.52,17.43,128.93,23
CDM,51672-1294-2,CLOBETASOL 0.05 % TOPICAL GEL,249.3,147.09,30.33,224.37,23
CDM,51672-1295-1,DIFLORASONE 0.05 % TOPICAL OINTMENT,775.43,457.5,94.33,697.89,23
CDM,51672-1296-2,DIFLORASONE 0.05 % TOPICAL CREAM,1208.4,712.96,147.0,1087.56,23
CDM,51672-1297-1,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM,99.98,58.99,12.16,89.98,23
CDM,51672-1298-1,KETOCONAZOLE 2 % TOPICAL CREAM,90.68,53.5,11.03,81.61,23
CDM,51672-1298-2,KETOCONAZOLE 2 % TOPICAL CREAM,176.25,103.99,21.44,158.63,23
CDM,51672-1298-3,KETOCONAZOLE 2 % TOPICAL CREAM,264.3,155.94,32.15,237.87,23
CDM,51672-1300-5,AMMONIUM LACTATE 12 % LOTION,76.5,45.14,9.31,68.85,23
CDM,51672-1300-9,AMMONIUM LACTATE 12 % LOTION,248.0,146.32,30.17,223.2,23
CDM,51672-1303-2,ECONAZOLE NITRATE 1 % TOPICAL CREAM,86.55,51.06,10.53,77.9,23
CDM,51672-1304-6,TERCONAZOLE 0.4 % VAGINAL CREAM,113.4,66.91,13.79,102.06,23
CDM,51672-1308-3,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % LOTION,327.0,192.93,39.78,294.3,23
CDM,51672-1310-1,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL CREAM",97.88,57.75,11.91,88.09,23
CDM,51672-1312-0,MUPIROCIN 2 % TOPICAL OINTMENT,31.35,18.5,3.81,28.22,23
CDM,51672-1312-1,MUPIROCIN 2 % TOPICAL OINTMENT,31.95,18.85,3.89,28.76,23
CDM,51672-1318-1,CICLOPIROX 0.77 % TOPICAL CREAM,18.53,10.93,2.25,16.68,23
CDM,51672-1350-4,CLOBETASOL 0.05 % LOTION,179.95,106.17,21.89,161.96,23
CDM,51672-1356-8,FLUOCINOLONE 0.01 % TOPICAL BODY OIL,123.02,72.58,14.96,110.72,23
CDM,51672-1357-8,FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP,124.79,73.63,15.18,112.31,23
CDM,51672-1365-4,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,80.1,47.26,9.74,72.09,23
CDM,51672-1373-2,TAZAROTENE 0.1 % TOPICAL CREAM,999.0,589.41,121.52,899.1,23
CDM,51672-1386-1,FLUOCINONIDE 0.05 % TOPICAL CREAM,54.98,32.44,6.69,49.48,23
CDM,51672-1386-3,FLUOCINONIDE 0.05 % TOPICAL CREAM,198.0,116.82,24.09,178.2,23
CDM,51672-1394-0,TRETINOIN 0.05 % TOPICAL CREAM,375.5,221.55,45.68,337.95,23
CDM,51672-1400-4,CLINDAMYCIN 1 % LOTION,278.1,164.08,33.83,250.29,23
CDM,51672-2001-1,MICONAZOLE NITRATE 2 % TOPICAL CREAM,14.48,8.54,1.76,13.03,23
CDM,51672-2001-2,MICONAZOLE NITRATE 2 % TOPICAL CREAM,15.75,9.29,1.92,14.18,23
CDM,51672-2002-1,CLOTRIMAZOLE 1 % TOPICAL CREAM,6.08,3.59,0.74,5.47,23
CDM,51672-2002-2,CLOTRIMAZOLE 1 % TOPICAL CREAM,6.75,3.98,0.82,6.08,23
CDM,51672-2003-6,CLOTRIMAZOLE 1 % VAGINAL CREAM,12.6,7.43,1.53,11.34,23
CDM,51672-2010-2,HYDROCORTISONE 0.5 % TOPICAL CREAM,15.2,8.97,1.85,13.68,23
CDM,51672-2018-2,HYDROCORTISONE 1 % TOPICAL OINTMENT,17.9,10.56,2.18,16.11,23
CDM,51672-2020-1,TOLNAFTATE 1 % TOPICAL CREAM,14.1,8.32,1.72,12.69,23
CDM,51672-2020-2,TOLNAFTATE 1 % TOPICAL CREAM,20.55,12.12,2.5,18.5,23
CDM,51672-2035-6,MICONAZOLE NITRATE 2 % VAGINAL CREAM,16.43,9.69,2.0,14.79,23
CDM,51672-2037-1,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,123.6,72.92,15.04,111.24,23
CDM,51672-2075-1,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,9.59,5.66,1.17,8.63,23
CDM,51672-2075-2,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,21.45,12.66,2.61,19.31,23
CDM,51672-2080-1,TERBINAFINE HCL 1 % TOPICAL CREAM,25.43,15.0,3.09,22.89,23
CDM,51672-2080-2,TERBINAFINE HCL 1 % TOPICAL CREAM,38.1,22.48,4.63,34.29,23
CDM,51672-2102-8,CETIRIZINE 1 MG/ML ORAL SOLUTION,9.6,5.66,1.17,8.64,23
CDM,51672-2102-8,CETIRIZINE 1MG/ML ORAL SOLUTION (WRAPPED E-RX),9.6,5.66,1.17,8.64,23
CDM,51672-2114-0,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,3.25,1.92,0.4,2.93,23
CDM,51672-2114-2,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,3.26,1.92,0.4,2.93,23
CDM,51672-2115-0,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,3.25,1.92,0.4,2.93,23
CDM,51672-2116-0,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,3.25,1.92,0.4,2.93,23
CDM,51672-2120-2,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",7.81,4.61,0.95,7.03,23
CDM,51672-3003-2,HYDROCORTISONE 2.5 % TOPICAL CREAM,13.33,7.86,1.62,12.0,23
CDM,51672-3007-1,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,51672-4001-1,NORTRIPTYLINE 10 MG CAPSULE,0.41,0.24,0.05,0.37,23
CDM,51672-4001-5,NORTRIPTYLINE 10 MG CAPSULE,0.41,0.24,0.05,0.37,23
CDM,51672-4002-1,NORTRIPTYLINE 25 MG CAPSULE,1.24,0.73,0.15,1.12,23
CDM,51672-4002-5,NORTRIPTYLINE 25 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,51672-4003-1,NORTRIPTYLINE 50 MG CAPSULE,1.51,0.89,0.18,1.36,23
CDM,51672-4003-5,NORTRIPTYLINE 50 MG CAPSULE,0.68,0.4,0.08,0.61,23
CDM,51672-4004-1,NORTRIPTYLINE 75 MG CAPSULE,2.09,1.23,0.25,1.88,23
CDM,51672-4004-5,NORTRIPTYLINE 75 MG CAPSULE,0.94,0.55,0.11,0.85,23
CDM,51672-4005-1,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,51672-4005-2,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,51672-4011-5,CLOMIPRAMINE 25 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,51672-4011-6,CLOMIPRAMINE 25 MG CAPSULE,2.31,1.36,0.28,2.08,23
CDM,51672-4012-5,CLOMIPRAMINE 50 MG CAPSULE,2.05,1.21,0.25,1.85,23
CDM,51672-4012-6,CLOMIPRAMINE 50 MG CAPSULE,3.07,1.81,0.37,2.76,23
CDM,51672-4016-1,ETODOLAC 200 MG CAPSULE,4.97,2.93,0.6,4.47,23
CDM,51672-4017-1,ETODOLAC 300 MG CAPSULE,5.96,3.52,0.73,5.36,23
CDM,51672-4022-1,ACETAZOLAMIDE IMMEDIATE RELEASE 125 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,51672-4023-1,ACETAZOLAMIDE IMMEDIATE RELEASE 250 MG TABLET,1.62,0.96,0.2,1.46,23
CDM,51672-4025-4,AMIODARONE 200 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,51672-4026-1,KETOCONAZOLE 200 MG TABLET,10.21,6.02,1.24,9.19,23
CDM,51672-4026-6,KETOCONAZOLE 200 MG TABLET,9.95,5.87,1.21,8.96,23
CDM,51672-4028-1,WARFARIN 2 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,51672-4032-1,WARFARIN 5 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,51672-4034-1,WARFARIN 7.5 MG TABLET,1.13,0.67,0.14,1.02,23
CDM,51672-4040-1,ENALAPRIL MALEATE 20 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,51672-4041-1,CARBAMAZEPINE 100 MG CHEWABLE TABLET,1.85,1.09,0.23,1.67,23
CDM,51672-4042-1,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,4.59,2.71,0.56,4.13,23
CDM,51672-4043-1,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,6.43,3.79,0.78,5.79,23
CDM,51672-4044-1,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,10.56,6.23,1.28,9.5,23
CDM,51672-4047-9,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,326.25,192.49,39.69,293.63,23
CDM,51672-4048-1,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,42.08,24.83,5.12,37.87,23
CDM,51672-4048-6,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,106.43,62.79,12.95,95.79,23
CDM,51672-4051-1,"ETODOLAC ER 400 MG TABLET,EXTENDED RELEASE 24 HR",10.7,6.31,1.3,9.63,23
CDM,51672-4052-1,"ETODOLAC ER 500 MG TABLET,EXTENDED RELEASE 24 HR",11.36,6.7,1.38,10.22,23
CDM,51672-4055-6,AMIODARONE 100 MG TABLET,6.67,3.94,0.81,6.0,23
CDM,51672-4057-6,AMIODARONE 400 MG TABLET,6.15,3.63,0.75,5.54,23
CDM,51672-4069-1,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,95.99,56.63,11.68,86.39,23
CDM,51672-4070-8,CETIRIZINE 1 MG/ML ORAL SOLUTION,16.2,9.56,1.97,14.58,23
CDM,51672-4111-1,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,0.85,0.5,0.1,0.77,23
CDM,51672-4116-6,METRONIDAZOLE 0.75 % TOPICAL GEL,199.8,117.88,24.3,179.82,23
CDM,51672-4118-6,FLUOROURACIL 5 % TOPICAL CREAM,408.6,241.07,49.7,367.74,23
CDM,51672-4123-1,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",2.08,1.23,0.25,1.87,23
CDM,51672-4124-1,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",4.15,2.45,0.5,3.74,23
CDM,51672-4125-1,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",6.4,3.78,0.78,5.76,23
CDM,51672-4130-1,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,51672-4131-1,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,51672-4132-4,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,51672-4133-4,LAMOTRIGINE 200 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,51672-4146-1,PHENYTOIN 50 MG CHEWABLE TABLET,1.07,0.63,0.13,0.96,23
CDM,51672-4185-1,FELBAMATE 400 MG TABLET,6.43,3.79,0.78,5.79,23
CDM,51672-4186-1,FELBAMATE 600 MG TABLET,8.34,4.92,1.01,7.51,23
CDM,51672-4225-1,BUMETANIDE 2 MG TABLET,1.58,0.93,0.19,1.42,23
CDM,51672-5204-3,DESOXIMETASONE 0.25 % TOPICAL CREAM,1613.1,951.73,196.23,1451.79,23
CDM,51672-5293-4,MALATHION 0.5 % LOTION,1060.82,625.88,129.04,954.74,23
CDM,51672-5294-4,MALATHION 0.5 % LOTION,876.45,517.11,106.62,788.81,23
CDM,51715-100-03,BUPIVACAINE HCL 100 MG IMPLANT,415.0,244.85,50.48,373.5,23
CDM,51715-100-04,BUPIVACAINE HCL 100 MG IMPLANT,415.0,244.85,50.48,373.5,23
CDM,51754-0103-1,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,120.7,71.21,14.68,108.63,23
CDM,51754-0103-4,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,120.7,71.21,14.68,108.63,23
CDM,51754-0203-1,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,41.47,24.47,5.04,37.32,23
CDM,51754-0203-2,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,41.47,24.47,5.04,37.32,23
CDM,51754-0203-4,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,41.47,24.47,5.04,37.32,23
CDM,51754-0500-1,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,29.96,17.68,3.64,26.96,23
CDM,51754-0501-3,CAFFEINE CITRATE 20 MG/ML ORAL SOLUTION,33.54,19.79,4.08,30.19,23
CDM,51754-1000-1,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,24.8,14.63,3.02,22.32,23
CDM,51754-1000-4,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,24.8,14.63,3.02,22.32,23
CDM,51754-1006-1,NITROPRUSSIDE 50 MG/100 ML (0.5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SOLN,196.0,115.64,23.84,176.4,23
CDM,51754-1007-1,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,421.25,248.54,51.24,379.13,23
CDM,51754-1007-3,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,421.25,248.54,51.24,379.13,23
CDM,51754-1240-1,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,85.05,50.18,10.35,76.55,23
CDM,51754-2004-4,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,101.5,59.89,12.35,91.35,23
CDM,51754-4000-1,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,102.25,60.33,12.44,92.03,23
CDM,51754-4000-3,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,102.25,60.33,12.44,92.03,23
CDM,51754-4250-1,EPHEDRINE 25 MG/5 ML IN 0.9% SODIUM CHLORIDE (WRAPPED ERX),54.15,31.95,6.59,48.74,23
CDM,51754-5001-1,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,25.25,14.9,3.07,22.73,23
CDM,51754-5001-4,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,25.25,14.9,3.07,22.73,23
CDM,51754-5001-5,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,25.25,14.9,3.07,22.73,23
CDM,51754-5060-1,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,170.5,100.6,20.74,153.45,23
CDM,51754-9131-1,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",110.0,64.9,13.38,99.0,23
CDM,51754-9131-5,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",110.0,64.9,13.38,99.0,23
CDM,51754-9150-1,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,110.0,64.9,13.38,99.0,23
CDM,51754-9150-5,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,110.0,64.9,13.38,99.0,23
CDM,51759-708-13,USTEKINUMAB-AEKN 130 MG/26 ML INTRAVENOUS SOLUTION,6583.5,3884.27,800.85,5925.15,23
CDM,51801-001-01,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,1.6,0.94,0.19,1.44,23
CDM,51801-001-30,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,0.98,0.58,0.12,0.88,23
CDM,51801-001-40,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,1.6,0.94,0.19,1.44,23
CDM,51801-007-01,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,1.83,1.08,0.22,1.65,23
CDM,51801-007-30,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,1.83,1.08,0.22,1.65,23
CDM,51801-011-01,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET,2.55,1.5,0.31,2.3,23
CDM,51801-011-30,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET,2.55,1.5,0.31,2.3,23
CDM,51801-012-01,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET,2.55,1.5,0.31,2.3,23
CDM,51801-012-30,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET,2.55,1.5,0.31,2.3,23
CDM,51801-013-30,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,2.21,1.3,0.27,1.99,23
CDM,51801-014-30,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,2.21,1.3,0.27,1.99,23
CDM,51862-005-60,DOFETILIDE 500 MCG CAPSULE,31.54,18.61,3.84,28.39,23
CDM,51862-025-60,DOFETILIDE 250 MCG CAPSULE,31.54,18.61,3.84,28.39,23
CDM,51862-028-01,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,3.92,2.31,0.48,3.53,23
CDM,51862-028-06,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,3.92,2.31,0.48,3.53,23
CDM,51862-125-60,DOFETILIDE 125 MCG CAPSULE,31.54,18.61,3.84,28.39,23
CDM,51862-240-30,AMIODARONE 100 MG TABLET,12.84,7.58,1.56,11.56,23
CDM,51862-320-01,LIOTHYRONINE 5 MCG TABLET,4.88,2.88,0.59,4.39,23
CDM,51862-321-01,LIOTHYRONINE 25 MCG TABLET,6.44,3.8,0.78,5.8,23
CDM,51862-454-01,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,89.33,52.7,10.87,80.4,23
CDM,51862-454-04,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,89.33,52.7,10.87,80.4,23
CDM,51862-455-01,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,143.53,84.68,17.46,129.18,23
CDM,51862-455-04,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,143.53,84.68,17.46,129.18,23
CDM,51862-458-01,CYCLOSPORINE MODIFIED 25 MG CAPSULE,3.08,1.82,0.37,2.77,23
CDM,51862-458-47,CYCLOSPORINE MODIFIED 25 MG CAPSULE,3.08,1.82,0.37,2.77,23
CDM,51862-460-01,CYCLOSPORINE MODIFIED 100 MG CAPSULE,8.38,4.94,1.02,7.54,23
CDM,51862-460-47,CYCLOSPORINE MODIFIED 100 MG CAPSULE,8.38,4.94,1.02,7.54,23
CDM,51862-545-01,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,1.96,1.16,0.24,1.76,23
CDM,51862-545-06,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,1.96,1.16,0.24,1.76,23
CDM,51862-564-01,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,3.77,2.22,0.46,3.39,23
CDM,51862-564-06,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,3.77,2.22,0.46,3.39,23
CDM,51862-636-28,"FENTANYL 400 MCG BUCCAL TABLET, EFFERVESCENT",303.22,178.9,36.89,272.9,23
CDM,51862-638-28,"FENTANYL 800 MCG BUCCAL TABLET, EFFERVESCENT",508.75,300.16,61.89,457.88,23
CDM,51862-856-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,1.37,0.81,0.17,1.23,23
CDM,51862-884-01,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,4.12,2.43,0.5,3.71,23
CDM,51927-1262-0,BISMUTH SUBGALLATE (BULK) POWDER,1.25,0.74,0.15,1.13,23
CDM,5192710750,POLYSORBATE 80 SOLUTION,1.15,0.68,0.14,1.04,23
CDM,5192712040,COLLODION (BULK) LIQUID,2.55,1.5,0.31,2.3,23
CDM,5192715120,CHERRY FLAVOR (BULK) ORAL LIQUID,0.1,0.06,0.01,0.09,23
CDM,5192717310,COCOA BUTTER CREAM,0.5,0.3,0.06,0.45,23
CDM,5192721460,CHERRY FLAVOR (BULK) ORAL LIQUID,0.1,0.06,0.01,0.09,23
CDM,5192729490,"BETA 1,3 GLUCAN (BULK) 91 % POWDER",300.0,177.0,36.49,270.0,23
CDM,5192730970,FORMALDEHYDE (BULK) 37 % SOLUTION,5.5,3.25,0.67,4.95,23
CDM,5192733610,FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION,0.23,0.14,0.03,0.21,23
CDM,51991-005-90,EXEMESTANE 25 MG TABLET,7.59,4.48,0.92,6.83,23
CDM,51991-006-33,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.5,2.66,0.55,4.05,23
CDM,51991-144-17,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,75.79,44.72,9.22,68.21,23
CDM,51991-144-99,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,75.79,44.72,9.22,68.21,23
CDM,51991-192-06,METHSCOPOLAMINE 5 MG TABLET,7.69,4.54,0.94,6.92,23
CDM,51991-292-01,OXCARBAZEPINE 150 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,51991-293-01,OXCARBAZEPINE 300 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,51991-294-01,OXCARBAZEPINE 600 MG TABLET,3.69,2.18,0.45,3.32,23
CDM,51991-311-33,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.48,2.05,0.42,3.13,23
CDM,51991-311-90,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.48,2.05,0.42,3.13,23
CDM,51991-312-33,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",3.48,2.05,0.42,3.13,23
CDM,51991-312-90,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",3.01,1.78,0.37,2.71,23
CDM,51991-348-06,LACOSAMIDE 50 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,51991-349-06,LACOSAMIDE 100 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,51991-350-06,LACOSAMIDE 150 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,51991-358-60,ASENAPINE 5 MG SUBLINGUAL TABLET,23.5,13.87,2.86,21.15,23
CDM,51991-360-60,ASENAPINE 10 MG SUBLINGUAL TABLET,23.5,13.87,2.86,21.15,23
CDM,51991-380-60,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,31.69,18.7,3.85,28.52,23
CDM,51991-380-99,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,31.68,18.69,3.85,28.51,23
CDM,51991-381-60,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,37.38,22.05,4.55,33.64,23
CDM,51991-381-99,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,37.38,22.05,4.55,33.64,23
CDM,51991-526-01,TERBINAFINE HCL 250 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,51991-620-33,ANASTROZOLE 1 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,51991-735-20,GRANISETRON HCL 1 MG TABLET,16.59,9.79,2.02,14.93,23
CDM,51991-735-99,GRANISETRON HCL 1 MG TABLET,16.59,9.79,2.02,14.93,23
CDM,51991-746-90,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",0.73,0.43,0.09,0.66,23
CDM,51991-747-90,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1.38,0.81,0.17,1.24,23
CDM,51991-748-90,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1.38,0.81,0.17,1.24,23
CDM,51991-759-33,LETROZOLE 2.5 MG TABLET,1.15,0.68,0.14,1.04,23
CDM,51991-759-90,LETROZOLE 2.5 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,51991-820-01,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",4.78,2.82,0.58,4.3,23
CDM,51991-822-28,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,289.62,170.88,35.23,260.66,23
CDM,51991-822-99,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,289.62,170.88,35.23,260.66,23
CDM,51991-877-33,EPLERENONE 25 MG TABLET,2.93,1.73,0.36,2.64,23
CDM,51991-877-90,EPLERENONE 25 MG TABLET,3.66,2.16,0.45,3.29,23
CDM,51991-897-30,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,51991-897-99,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,51991-898-30,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,51991-898-99,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,51991-899-30,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,51991-899-99,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,7.68,4.53,0.93,6.91,23
CDM,51991-944-01,TRIMIPRAMINE 25 MG CAPSULE,9.99,5.89,1.22,8.99,23
CDM,51991-945-01,TRIMIPRAMINE 50 MG CAPSULE,15.79,9.32,1.92,14.21,23
CDM,5199101406,MELATONIN 3 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,5199154490,IRON 151 MG-VIT C 60 MG-B12 10 MCG-FOLIC ACID 1 MG-CALCIUM-SUCC TABLET,3.53,2.08,0.43,3.18,23
CDM,5199170390,IRON ASPGL AND PS CMPLX 150 MG-VIT C 50 MG-SUCCINIC ACID 50 MG CAPSULE,3.61,2.13,0.44,3.25,23
CDM,52015-080-01,FIDAXOMICIN 200 MG TABLET,562.25,331.73,68.39,506.03,23
CDM,52187-532-01,HYDROCORTISONE 1 %-IODOQUINOL 1 % TOPICAL CREAM,635.6,375.0,77.32,572.04,23
CDM,52244-010-02,ALPROSTADIL 10 MCG INTRACAVERNOSAL KIT,392.83,231.77,47.79,353.55,23
CDM,52244-020-02,ALPROSTADIL 20 MCG INTRACAVERNOSAL KIT,510.3,301.08,62.08,459.27,23
CDM,52244-040-02,ALPROSTADIL 40 MCG INTRACAVERNOSAL KIT,693.03,408.89,84.3,623.73,23
CDM,52244-100-10,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",16.31,9.62,1.98,14.68,23
CDM,52244-200-10,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",24.24,14.3,2.95,21.82,23
CDM,52244-300-10,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",29.8,17.58,3.63,26.82,23
CDM,52268-100-01,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,100.0,59.0,12.16,90.0,23
CDM,52276-312-05,CARGLUMIC ACID 200 MG DISPERSIBLE TABLET,1020.3,601.98,124.11,918.27,23
CDM,52276-312-60,CARGLUMIC ACID 200 MG DISPERSIBLE TABLET,1020.3,601.98,124.11,918.27,23
CDM,52376-021-02,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,21.29,12.56,2.59,19.16,23
CDM,52380-0001-3,POVIDONE-IODINE 10 % TOPICAL LIQUID PACKET,5.4,3.19,0.66,4.86,23
CDM,52380-0011-1,POVIDONE-IODINE 10 % TOPICAL LIQUID PACKET,45.0,26.55,5.47,40.5,23
CDM,52380-0011-3,POVIDONE-IODINE 10 % TOPICAL LIQUID PACKET,33.75,19.91,4.11,30.38,23
CDM,52380-0013-1,HYDROGEN PEROXIDE 3 % SOLUTION,1.05,0.62,0.13,0.95,23
CDM,52380-0126-2,POVIDONE-IODINE 10 % TOPICAL OINTMENT,0.58,0.34,0.07,0.52,23
CDM,52380-1855-6,POVIDONE-IODINE 7.5 % TOPICAL SOLUTION,2.37,1.4,0.29,2.13,23
CDM,52380-1905-4,POVIDONE-IODINE 10 % TOPICAL SOLUTION,5.9,3.48,0.72,5.31,23
CDM,52380-1905-8,POVIDONE-IODINE 10 % TOPICAL SOLUTION,7.11,4.19,0.86,6.4,23
CDM,52380-4101-1,POVIDONE-IODINE 10 % TOPICAL SWAB,0.91,0.54,0.11,0.82,23
CDM,52536-103-03,ERYTHROMYCIN 250 MG TABLET,43.55,25.69,5.3,39.2,23
CDM,52536-106-05,VANCOMYCIN 50 MG/ML ORAL SOLUTION,501.0,295.59,60.94,450.9,23
CDM,52536-107-10,VANCOMYCIN 25 MG/ML ORAL SOLUTION,510.0,300.9,62.04,459.0,23
CDM,52536-108-10,VANCOMYCIN 50 MG/ML ORAL SOLUTION,798.0,470.82,97.07,718.2,23
CDM,52536-132-13,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1508.0,889.72,183.44,1357.2,23
CDM,52536-164-01,PERPHENAZINE 4 MG TABLET,2.15,1.27,0.26,1.94,23
CDM,52536-168-01,PERPHENAZINE 8 MG TABLET,2.61,1.54,0.32,2.35,23
CDM,52536-170-01,PERPHENAZINE 16 MG TABLET,3.51,2.07,0.43,3.16,23
CDM,52536-485-37,"VERAPAMIL ER (PM) 100 MG CAPSULE 24HR PELLET CT,EXT.RELEASE",14.81,8.74,1.8,13.33,23
CDM,52536-486-37,"VERAPAMIL ER (PM) 200 MG CAPSULE 24HR PELLET CT,EXT.RELEASE",18.48,10.9,2.25,16.63,23
CDM,52536-487-37,"VERAPAMIL ER (PM) 300 MG CAPSULE 24HR PELLET CT,EXT.RELEASE",28.22,16.65,3.43,25.4,23
CDM,52536-600-11,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,2904.0,1713.36,353.26,2613.6,23
CDM,52565-008-14,LIDOCAINE 5 % TOPICAL OINTMENT,48.73,28.75,5.93,43.86,23
CDM,52565-009-50,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,249.5,147.21,30.35,224.55,23
CDM,52565-010-59,TRIAMCINOLONE ACETONIDE 0.025 % LOTION,134.4,79.3,16.35,120.96,23
CDM,52565-011-59,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,135.0,79.65,16.42,121.5,23
CDM,52565-012-59,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,370.8,218.77,45.11,333.72,23
CDM,52565-013-15,FLUOCINOLONE 0.025 % TOPICAL OINTMENT,135.53,79.96,16.49,121.98,23
CDM,52565-014-26,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,115.77,68.3,14.08,104.19,23
CDM,52565-022-15,ECONAZOLE NITRATE 1 % TOPICAL CREAM,57.9,34.16,7.04,52.11,23
CDM,52565-031-60,FLUOCINOLONE 0.01 % TOPICAL CREAM,515.1,303.91,62.66,463.59,23
CDM,52609-0001-5,MELPHALAN 2 MG TABLET,52.34,30.88,6.37,47.11,23
CDM,52609-3001-0,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,7708.6,4548.07,937.71,6937.74,23
CDM,52652-2001-6,METHOTREXATE 2.5 MG/ML ORAL SOLUTION,5552.1,3275.74,675.38,4996.89,23
CDM,52652-3001-1,LISINOPRIL 1 MG/ML ORAL SOLUTION,2886.0,1702.74,351.07,2597.4,23
CDM,52652-4001-1,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,2869.5,1693.01,349.06,2582.55,23
CDM,52652-5001-1,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,2704.5,1595.66,328.99,2434.05,23
CDM,52652-8001-1,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,1783.5,1052.27,216.95,1605.15,23
CDM,52652-9001-2,TOPIRAMATE 25 MG/ML ORAL SOLUTION,2632.8,1553.35,320.27,2369.52,23
CDM,5280048816,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,11.51,6.79,1.4,10.36,23
CDM,5280048826,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,11.51,6.79,1.4,10.36,23
CDM,52817-180-10,CLONIDINE HCL 0.1 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,52817-181-10,CLONIDINE HCL 0.2 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,52817-182-10,CLONIDINE HCL 0.3 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,52817-210-10,CYPROHEPTADINE 4 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,52817-260-10,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,52817-295-90,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,52817-319-10,BACLOFEN 5 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,52817-320-10,BACLOFEN 10 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,52817-323-10,MIDODRINE 2.5 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,52817-324-10,MIDODRINE 5 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,52817-330-10,CYCLOBENZAPRINE 5 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,52817-330-50,CYCLOBENZAPRINE 5 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,52817-332-10,CYCLOBENZAPRINE 10 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,52817-391-10,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.47,0.28,0.06,0.42,23
CDM,52817-610-04,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,37.89,22.36,4.61,34.1,23
CDM,52817-815-08,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,2840.37,1675.82,345.52,2556.33,23
CDM,52817-816-15,ACETIC ACID 2 % EAR SOLUTION,0.01,0.01,0.01,0.01,23
CDM,52817-830-04,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,82.01,48.39,9.98,73.81,23
CDM,53276-1010-01,MICROFIBRILLAR COLLAGEN HEMOSTAT TOPICAL POWDER IN PACKET,506.54,298.86,61.62,455.89,23
CDM,53276-1010-02,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER,1119.64,660.59,136.2,1007.68,23
CDM,53276-1010-08,MICROFIBRILLAR COLLAGEN HEMOSTAT 35 MM X 35 MM SHEETS,559.83,330.3,68.1,503.85,23
CDM,53276-1010-34,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER,798.55,471.14,97.14,718.7,23
CDM,53276-1010-59,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER,2186.35,1289.95,265.96,1967.72,23
CDM,53329-013-11,MINERAL OIL ENEMA,10.64,6.28,1.29,9.58,23
CDM,53329-014-11,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,12.05,7.11,1.47,10.85,23
CDM,53329-067-04,VITAMIN A AND D TOPICAL OINTMENT,13.56,8.0,1.65,12.2,23
CDM,53329-068-01,WHITE PETROLATUM TOPICAL JELLY,7.25,4.28,0.88,6.53,23
CDM,53329-162-04,MICONAZOLE NITRATE 2 % TOPICAL CREAM,38.35,22.63,4.67,34.52,23
CDM,53329-169-79,MICONAZOLE NITRATE 2 % TOPICAL POWDER,18.28,10.79,2.22,16.45,23
CDM,53329-170-79,MICONAZOLE NITRATE 2 % TOPICAL POWDER,18.28,10.79,2.22,16.45,23
CDM,53329-939-04,POVIDONE-IODINE 10 % TOPICAL SOLUTION,6.49,3.83,0.79,5.84,23
CDM,5332941009,SALICYLIC ACID 40 % TOPICAL PATCH,5.1,3.01,0.62,4.59,23
CDM,53436-084-01,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,152.66,90.07,18.57,137.39,23
CDM,53436-084-04,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,203.99,120.35,24.81,183.59,23
CDM,53489-118-02,DOXYCYCLINE HYCLATE 50 MG CAPSULE,1.62,0.96,0.2,1.46,23
CDM,53489-120-05,DOXYCYCLINE HYCLATE 100 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,53489-141-01,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",23.21,13.69,2.82,20.89,23
CDM,53489-143-01,SPIRONOLACTONE 25 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,53489-144-01,SPIRONOLACTONE 25 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,4.24,2.5,0.52,3.82,23
CDM,53489-145-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,53489-146-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,53489-148-01,THIORIDAZINE 10 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,53489-149-01,THIORIDAZINE 25 MG TABLET,1.33,0.78,0.16,1.2,23
CDM,53489-150-01,THIORIDAZINE 50 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,53489-156-01,ALLOPURINOL 100 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,53489-157-01,ALLOPURINOL 300 MG TABLET,1.05,0.62,0.13,0.95,23
CDM,53489-176-01,ALBUTEROL SULFATE 2 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,53489-177-01,ALBUTEROL SULFATE 4 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,53489-328-01,SPIRONOLACTONE 50 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,53489-329-01,SPIRONOLACTONE 100 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,53489-329-06,SPIRONOLACTONE 100 MG TABLET,2.03,1.2,0.25,1.83,23
CDM,53489-330-01,IMIPRAMINE 10 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,53489-331-01,IMIPRAMINE 25 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,53489-332-01,IMIPRAMINE 50 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,53489-368-01,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",1.81,1.07,0.22,1.63,23
CDM,53489-369-01,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",5.05,2.98,0.61,4.55,23
CDM,53489-370-01,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",9.07,5.35,1.1,8.16,23
CDM,53489-376-01,TRIMETHOBENZAMIDE 300 MG CAPSULE,6.07,3.58,0.74,5.46,23
CDM,53489-386-01,MINOXIDIL 2.5 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,53489-387-01,MINOXIDIL 10 MG TABLET,2.14,1.26,0.26,1.93,23
CDM,53489-400-01,"NYSTATIN 500,000 UNIT TABLET",4.84,2.86,0.59,4.36,23
CDM,53489-478-01,SULINDAC 150 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,53489-479-01,SULINDAC 200 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,53489-551-01,PROPAFENONE 150 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,53489-552-01,PROPAFENONE 225 MG TABLET,4.85,2.86,0.59,4.37,23
CDM,53489-553-01,PROPAFENONE 300 MG TABLET,8.75,5.16,1.06,7.88,23
CDM,53489-676-01,PHENTERMINE 37.5 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,53489-700-07,QUININE 324 MG CAPSULE,11.59,6.84,1.41,10.43,23
CDM,53746-110-01,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,53746-173-60,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,53746-203-01,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,53746-204-01,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,2.3,1.36,0.28,2.07,23
CDM,53746-271-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,53746-272-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,53746-361-01,FOLIC ACID 1 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,53746-511-01,SPIRONOLACTONE 25 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,53746-511-05,SPIRONOLACTONE 25 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,53746-514-01,SPIRONOLACTONE 50 MG TABLET,1.37,0.81,0.17,1.23,23
CDM,53746-515-01,SPIRONOLACTONE 100 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,53746-544-01,PRIMIDONE 50 MG TABLET,1.19,0.7,0.14,1.07,23
CDM,53746-544-05,PRIMIDONE 50 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,53746-545-01,PRIMIDONE 250 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,53746-554-01,DEMECLOCYCLINE 150 MG TABLET,25.33,14.94,3.08,22.8,23
CDM,53746-571-01,BETHANECHOL CHLORIDE 5 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,53746-572-01,BETHANECHOL CHLORIDE 10 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,53746-574-01,BETHANECHOL CHLORIDE 50 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,53746-642-01,FLECAINIDE 100 MG TABLET,2.25,1.33,0.27,2.03,23
CDM,53746-643-01,FLECAINIDE 150 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,53746-669-01,ACEBUTOLOL 200 MG CAPSULE,2.82,1.66,0.34,2.54,23
CDM,53746-670-01,ACEBUTOLOL 400 MG CAPSULE,2.56,1.51,0.31,2.3,23
CDM,53746-711-01,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,2.58,1.52,0.31,2.32,23
CDM,53746-734-90,FELBAMATE 400 MG TABLET,11.06,6.53,1.35,9.95,23
CDM,53746-831-53,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,54092-100-01,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",39.03,23.03,4.75,35.13,23
CDM,54092-189-81,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",14.07,8.3,1.71,12.66,23
CDM,54092-191-12,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",28.14,16.6,3.42,25.33,23
CDM,54092-252-45,LANTHANUM 500 MG CHEWABLE TABLET,55.63,32.82,6.77,50.07,23
CDM,54092-252-90,LANTHANUM 500 MG CHEWABLE TABLET,55.63,32.82,6.77,50.07,23
CDM,54092-254-10,"LANTHANUM 1,000 MG CHEWABLE TABLET",55.67,32.85,6.77,50.1,23
CDM,54092-381-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",33.0,19.47,4.01,29.7,23
CDM,54092-383-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",33.0,19.47,4.01,29.7,23
CDM,54092-385-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",33.0,19.47,4.01,29.7,23
CDM,54092-476-12,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",43.37,25.59,5.28,39.03,23
CDM,54092-546-01,PRUCALOPRIDE 1 MG TABLET,81.96,48.36,9.97,73.76,23
CDM,54092-547-01,PRUCALOPRIDE 2 MG TABLET,81.96,48.36,9.97,73.76,23
CDM,54092-700-01,IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION,15483.15,9135.06,1883.44,13934.84,23
CDM,54092-701-04,VELAGLUCERASE ALFA 400 UNIT INTRAVENOUS SOLUTION,7213.0,4255.67,877.42,6491.7,23
CDM,54162-007-15,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,2.78,1.64,0.34,2.5,23
CDM,54288-100-01,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,102.2,60.3,12.43,91.98,23
CDM,54288-103-01,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,40.32,23.79,4.9,36.29,23
CDM,54288-103-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,40.32,23.79,4.9,36.29,23
CDM,54288-105-02,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,3778.15,2229.11,459.59,3400.34,23
CDM,54288-105-15,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,3778.15,2229.11,459.59,3400.34,23
CDM,54288-111-05,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,221.16,130.48,26.9,199.04,23
CDM,54288-123-01,EPINEPHRINE 1 MG/ML NASAL SOLUTION,287.95,169.89,35.03,259.16,23
CDM,54288-127-01,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,172.78,101.94,21.02,155.5,23
CDM,54288-127-10,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,172.78,101.94,21.02,155.5,23
CDM,54288-136-01,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,99.06,58.45,12.05,89.15,23
CDM,54288-136-25,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,66.88,39.46,8.14,60.19,23
CDM,54288-137-01,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,253.41,149.51,30.83,228.07,23
CDM,54288-141-01,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,104.83,61.85,12.75,94.35,23
CDM,54288-141-04,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,104.83,61.85,12.75,94.35,23
CDM,54288-142-01,PAPAVERINE 30 MG/ML INJECTION SOLUTION,78.33,46.21,9.53,70.5,23
CDM,54288-142-10,PAPAVERINE 30 MG/ML INJECTION SOLUTION,78.33,46.21,9.53,70.5,23
CDM,54288-147-01,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,691.15,407.78,84.07,622.04,23
CDM,54288-164-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,41.9,24.72,5.1,37.71,23
CDM,54288-165-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,125.25,73.9,15.24,112.73,23
CDM,54288-166-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,320.18,188.91,38.95,288.16,23
CDM,54295-312-18,UREA 40 % LOTION,472.88,279.0,57.52,425.59,23
CDM,54460-863-01,EPINEPHRINE 0.025%/LIDOCAINE 0.75% IN BSS PF INTRA-OP OPHTHALMIC INJECTION (SIMPLE),100.0,59.0,12.16,90.0,23
CDM,54482-054-01,PROCARBAZINE 50 MG CAPSULE,647.35,381.94,78.75,582.62,23
CDM,54482-144-07,LEVOCARNITINE 330 MG TABLET,5.67,3.35,0.69,5.1,23
CDM,54482-147-01,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,175.8,103.72,21.39,158.22,23
CDM,54482-148-01,LEVOCARNITINE 100 MG/ML ORAL SOLUTION,200.01,118.01,24.33,180.01,23
CDM,54629-0050-01,PEDIATRIC MULTIVITAMIN NO.17 CHEWABLE TABLET,0.22,0.13,0.03,0.2,23
CDM,54629-0050-24,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.16,0.09,0.02,0.14,23
CDM,54629-0055-01,RIBOFLAVIN (VITAMIN B2) 25 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,54629-0058-01,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.13,0.08,0.02,0.12,23
CDM,54629-0069-01,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,54629-0095-01,RIBOFLAVIN (VITAMIN B2) 100 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,54629-0100-01,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE",0.16,0.09,0.02,0.14,23
CDM,54629-0110-01,"VITAMIN A 2,400 MCG CAPSULE",0.13,0.08,0.02,0.12,23
CDM,54629-0586-05,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.43,0.25,0.05,0.39,23
CDM,54629-0645-01,FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABLET,0.22,0.13,0.03,0.2,23
CDM,54629-0683-01,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.18,0.11,0.02,0.16,23
CDM,54629-4097-60,ACETYLCYSTEINE 600 MG CAPSULE,0.35,0.21,0.04,0.32,23
CDM,54629-7941-01,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",0.27,0.16,0.03,0.24,23
CDM,54643-5646-1,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",3.98,2.35,0.48,3.58,23
CDM,54643-5647-0,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",67.75,39.97,8.24,60.98,23
CDM,54643-5649-1,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",2.35,1.39,0.29,2.12,23
CDM,54643-5650-2,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",40.5,23.9,4.93,36.45,23
CDM,54643-9007-9,"MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN",2.35,1.39,0.29,2.12,23
CDM,5473814001,FOLIC ACID 400 MCG TABLET,0.05,0.03,0.01,0.05,23
CDM,54766-093-06,AURANOFIN 3 MG CAPSULE,120.93,71.35,14.71,108.84,23
CDM,54766-777-04,HYDROCORTISONE-PRAMOXINE 2.5 %- 1 % TOPICAL OINTMENT,783.56,462.3,95.32,705.2,23
CDM,54838-0008-05,THERAPEUTIC MULTIVITAMIN ORAL LIQUID,0.37,0.22,0.05,0.33,23
CDM,54838-501-15,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,72.98,43.06,8.88,65.68,23
CDM,54838-501-40,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,101.4,59.83,12.33,91.26,23
CDM,54838-502-80,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,446.99,263.72,54.37,402.29,23
CDM,54838-506-15,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,85.35,50.36,10.38,76.82,23
CDM,54838-510-05,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,0.84,0.5,0.1,0.76,23
CDM,54838-510-80,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,68.59,40.47,8.34,61.73,23
CDM,54838-511-80,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,99.33,58.6,12.08,89.4,23
CDM,54838-512-40,DOXEPIN 10 MG/ML ORAL CONCENTRATE,157.2,92.75,19.12,141.48,23
CDM,54838-558-40,LORATADINE 5 MG/5 ML ORAL SOLUTION,25.8,15.22,3.14,23.22,23
CDM,54838-570-59,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,1413.0,833.67,171.88,1271.7,23
CDM,5483800650,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,23.5,13.87,2.86,21.15,23
CDM,5483801150,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,16.75,9.88,2.04,15.08,23
CDM,54879-001-00,ETHAMBUTOL 100 MG TABLET,2.23,1.32,0.27,2.01,23
CDM,54879-001-01,ETHAMBUTOL 100 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,54879-002-01,ETHAMBUTOL 400 MG TABLET,2.78,1.64,0.34,2.5,23
CDM,54879-003-08,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR,99.54,58.73,12.11,89.59,23
CDM,54879-004-60,BETAMETHASONE VALERATE 0.1 % LOTION,278.7,164.43,33.9,250.83,23
CDM,54879-021-01,CYCLOPHOSPHAMIDE 25 MG CAPSULE,13.21,7.79,1.61,11.89,23
CDM,54879-022-01,CYCLOPHOSPHAMIDE 50 MG CAPSULE,18.53,10.93,2.25,16.68,23
CDM,54879-027-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,694.95,410.02,84.54,625.46,23
CDM,55111-121-90,ATORVASTATIN 10 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,55111-123-90,ATORVASTATIN 40 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,55111-124-90,ATORVASTATIN 80 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,55111-126-01,CIPROFLOXACIN 250 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,55111-128-50,CIPROFLOXACIN 750 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,55111-143-30,FLUCONAZOLE 50 MG TABLET,5.19,3.06,0.63,4.67,23
CDM,55111-144-01,FLUCONAZOLE 100 MG TABLET,8.12,4.79,0.99,7.31,23
CDM,55111-158-01,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",0.42,0.25,0.05,0.38,23
CDM,55111-158-30,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",0.65,0.38,0.08,0.59,23
CDM,55111-163-30,OLANZAPINE 2.5 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,55111-166-05,OLANZAPINE 10 MG TABLET,1.55,0.91,0.19,1.4,23
CDM,55111-167-30,OLANZAPINE 15 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,55111-170-01,OXAPROZIN 600 MG TABLET,5.18,3.06,0.63,4.66,23
CDM,55111-179-15,TIZANIDINE 2 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,55111-180-15,TIZANIDINE 4 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,55111-196-90,CLOPIDOGREL 75 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,55111-198-90,SIMVASTATIN 10 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,55111-200-05,SIMVASTATIN 40 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,55111-200-10,SIMVASTATIN 40 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,55111-200-90,SIMVASTATIN 40 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,55111-220-01,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,55111-229-90,PRAVASTATIN 10 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,55111-230-90,PRAVASTATIN 20 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,55111-256-60,ZIPRASIDONE 20 MG CAPSULE,6.26,3.69,0.76,5.63,23
CDM,55111-257-60,ZIPRASIDONE 40 MG CAPSULE,2.32,1.37,0.28,2.09,23
CDM,55111-258-60,ZIPRASIDONE 60 MG CAPSULE,7.05,4.16,0.86,6.35,23
CDM,55111-262-79,OLANZAPINE 5 MG DISINTEGRATING TABLET,7.97,4.7,0.97,7.17,23
CDM,55111-262-81,OLANZAPINE 5 MG DISINTEGRATING TABLET,7.97,4.7,0.97,7.17,23
CDM,55111-263-79,OLANZAPINE 10 MG DISINTEGRATING TABLET,11.77,6.94,1.43,10.59,23
CDM,55111-263-81,OLANZAPINE 10 MG DISINTEGRATING TABLET,11.77,6.94,1.43,10.59,23
CDM,55111-264-79,OLANZAPINE 15 MG DISINTEGRATING TABLET,17.36,10.24,2.11,15.62,23
CDM,55111-264-81,OLANZAPINE 15 MG DISINTEGRATING TABLET,17.36,10.24,2.11,15.62,23
CDM,55111-265-79,OLANZAPINE 20 MG DISINTEGRATING TABLET,22.82,13.46,2.78,20.54,23
CDM,55111-265-81,OLANZAPINE 20 MG DISINTEGRATING TABLET,22.82,13.46,2.78,20.54,23
CDM,55111-274-90,PRAVASTATIN 80 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,55111-279-50,LEVOFLOXACIN 250 MG TABLET,1.55,0.91,0.19,1.4,23
CDM,55111-280-50,LEVOFLOXACIN 500 MG TABLET,1.78,1.05,0.22,1.6,23
CDM,55111-284-48,"FLUOXETINE 90 MG CAPSULE,DELAYED RELEASE",127.78,75.39,15.54,115.0,23
CDM,55111-292-09,SUMATRIPTAN 50 MG TABLET,5.15,3.04,0.63,4.64,23
CDM,55111-292-98,SUMATRIPTAN 50 MG TABLET,5.15,3.04,0.63,4.64,23
CDM,55111-320-01,GLIMEPIRIDE 1 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,55111-321-01,GLIMEPIRIDE 2 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,55111-322-01,GLIMEPIRIDE 4 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,55111-328-90,NATEGLINIDE 60 MG TABLET,1.79,1.06,0.22,1.61,23
CDM,55111-329-90,NATEGLINIDE 120 MG TABLET,2.19,1.29,0.27,1.97,23
CDM,55111-333-90,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",1.05,0.62,0.13,0.95,23
CDM,55111-342-01,CITALOPRAM 10 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,55111-352-60,RIVASTIGMINE 1.5 MG CAPSULE,2.7,1.59,0.33,2.43,23
CDM,55111-353-60,RIVASTIGMINE 3 MG CAPSULE,2.7,1.59,0.33,2.43,23
CDM,55111-354-60,RIVASTIGMINE 4.5 MG CAPSULE,2.7,1.59,0.33,2.43,23
CDM,55111-355-60,RIVASTIGMINE 6 MG CAPSULE,2.7,1.59,0.33,2.43,23
CDM,55111-398-30,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",2.05,1.21,0.25,1.85,23
CDM,55111-399-90,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",1.73,1.02,0.21,1.56,23
CDM,55111-428-30,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",31.05,18.32,3.78,27.95,23
CDM,55111-466-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",1.13,0.67,0.14,1.02,23
CDM,55111-467-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",1.13,0.67,0.14,1.02,23
CDM,55111-467-05,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",1.13,0.67,0.14,1.02,23
CDM,55111-468-01,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",1.69,1.0,0.21,1.52,23
CDM,55111-469-01,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",2.69,1.59,0.33,2.42,23
CDM,55111-497-04,CAPECITABINE 500 MG TABLET,3.46,2.04,0.42,3.11,23
CDM,55111-519-30,ATOMOXETINE 10 MG CAPSULE,7.5,4.43,0.91,6.75,23
CDM,55111-527-01,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,15.91,9.39,1.94,14.32,23
CDM,55111-528-30,ATOMOXETINE 25 MG CAPSULE,7.5,4.43,0.91,6.75,23
CDM,55111-532-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",1.45,0.86,0.18,1.31,23
CDM,55111-533-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",1.98,1.17,0.24,1.78,23
CDM,55111-534-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",3.29,1.94,0.4,2.96,23
CDM,55111-556-10,DECITABINE 50 MG INTRAVENOUS SOLUTION,345.55,203.87,42.03,311.0,23
CDM,55111-564-30,ATOMOXETINE 100 MG CAPSULE,8.82,5.2,1.07,7.94,23
CDM,55111-575-43,IBANDRONATE 150 MG TABLET,16.37,9.66,1.99,14.73,23
CDM,55111-596-60,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,55111-597-60,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,55111-619-01,ESZOPICLONE 2 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,55111-626-60,ZAFIRLUKAST 20 MG TABLET,5.33,3.14,0.65,4.8,23
CDM,55111-640-01,MEPROBAMATE 200 MG TABLET,7.71,4.55,0.94,6.94,23
CDM,55111-641-01,MEPROBAMATE 400 MG TABLET,30.69,18.11,3.73,27.62,23
CDM,55111-648-01,GLYCOPYRROLATE 1 MG TABLET,4.43,2.61,0.54,3.99,23
CDM,55111-650-01,METAXALONE 800 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,55111-652-07,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,223.47,131.85,27.18,201.12,23
CDM,55111-652-37,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,223.47,131.85,27.18,201.12,23
CDM,55111-653-01,SIROLIMUS 1 MG TABLET,25.16,14.84,3.06,22.64,23
CDM,55111-654-01,SIROLIMUS 2 MG TABLET,42.14,24.86,5.13,37.93,23
CDM,55111-663-30,PARICALCITOL 1 MCG CAPSULE,14.96,8.83,1.82,13.46,23
CDM,55111-671-06,CLOPIDOGREL 300 MG TABLET,95.7,56.46,11.64,86.13,23
CDM,55111-671-31,CLOPIDOGREL 300 MG TABLET,95.7,56.46,11.64,86.13,23
CDM,55111-678-02,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,36.65,21.62,4.46,32.99,23
CDM,55111-678-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,28.14,16.6,3.42,25.33,23
CDM,55111-678-11,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,36.65,21.62,4.46,32.99,23
CDM,55111-679-02,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,91.63,54.06,11.15,82.47,23
CDM,55111-679-11,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,91.63,54.06,11.15,82.47,23
CDM,55111-680-02,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,250.28,147.67,30.45,225.25,23
CDM,55111-680-10,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,254.8,150.33,31.0,229.32,23
CDM,55111-680-11,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,250.28,147.67,30.45,225.25,23
CDM,55111-681-02,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,250.28,147.67,30.45,225.25,23
CDM,55111-681-11,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,250.28,147.67,30.45,225.25,23
CDM,55111-685-07,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,28.15,16.61,3.42,25.34,23
CDM,55111-687-25,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,730.75,431.14,88.89,657.68,23
CDM,55111-688-52,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,234.5,138.36,28.53,211.05,23
CDM,55111-694-07,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,30.85,18.2,3.75,27.77,23
CDM,55111-718-30,"LAMOTRIGINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",13.52,7.98,1.64,12.17,23
CDM,55111-719-30,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",14.56,8.59,1.77,13.1,23
CDM,55111-720-30,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",15.44,9.11,1.88,13.9,23
CDM,55111-725-30,MONTELUKAST 10 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,55111-725-90,MONTELUKAST 10 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,55111-729-01,ALLOPURINOL 100 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,55111-732-90,VALSARTAN 80 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,55111-734-90,VALSARTAN 320 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,55111-762-60,VALGANCICLOVIR 450 MG TABLET,108.54,64.04,13.2,97.69,23
CDM,55111-783-01,FEXOFENADINE 60 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,55111-784-30,FEXOFENADINE 180 MG TABLET,2.03,1.2,0.25,1.83,23
CDM,55111-789-27,SEVELAMER CARBONATE 800 MG TABLET,8.51,5.02,1.04,7.66,23
CDM,55135-132-01,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,12165.8,7177.82,1479.91,10949.22,23
CDM,55150-113-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,6.26,3.69,0.76,5.63,23
CDM,55150-114-20,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,11.4,6.73,1.39,10.26,23
CDM,55150-116-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,8.72,5.14,1.06,7.85,23
CDM,55150-117-01,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.95,10.0,2.06,15.26,23
CDM,55150-117-20,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.85,9.94,2.05,15.17,23
CDM,55150-119-30,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,7.58,4.47,0.92,6.82,23
CDM,55150-120-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,9.19,5.42,1.12,8.27,23
CDM,55150-121-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,11.46,6.76,1.39,10.31,23
CDM,55150-122-15,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,14.93,8.81,1.82,13.44,23
CDM,55150-123-15,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,26.82,15.82,3.26,24.14,23
CDM,55150-123-16,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,26.82,15.82,3.26,24.14,23
CDM,55150-124-09,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,164.5,97.06,20.01,148.05,23
CDM,55150-127-15,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,18.52,10.93,2.25,16.67,23
CDM,55150-128-24,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,26.82,15.82,3.26,24.14,23
CDM,55150-128-25,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,104.48,61.64,12.71,94.03,23
CDM,55150-129-09,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,513.15,302.76,62.42,461.84,23
CDM,55150-129-99,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,139.0,82.01,16.91,125.1,23
CDM,55150-154-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,11.1,6.55,1.35,9.99,23
CDM,55150-154-11,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,15.35,9.06,1.87,13.82,23
CDM,55150-155-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,21.4,12.63,2.6,19.26,23
CDM,55150-161-02,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,6.64,3.92,0.81,5.98,23
CDM,55150-162-05,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,5.2,3.07,0.63,4.68,23
CDM,55150-163-30,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,6.0,3.54,0.73,5.4,23
CDM,55150-164-02,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,6.71,3.96,0.82,6.04,23
CDM,55150-165-05,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,4.48,2.64,0.54,4.03,23
CDM,55150-166-13,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLUTION,558.63,329.59,67.95,502.77,23
CDM,55150-167-10,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,6.45,3.81,0.78,5.81,23
CDM,55150-168-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,7.35,4.34,0.89,6.62,23
CDM,55150-169-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,7.0,4.13,0.85,6.3,23
CDM,55150-170-30,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,7.05,4.16,0.86,6.35,23
CDM,55150-171-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,7.9,4.66,0.96,7.11,23
CDM,55150-172-30,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,13.2,7.79,1.61,11.88,23
CDM,55150-173-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,17.66,10.42,2.15,15.89,23
CDM,55150-173-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,18.2,10.74,2.21,16.38,23
CDM,55150-174-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,8.94,5.27,1.09,8.05,23
CDM,55150-177-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,4.93,2.91,0.6,4.44,23
CDM,55150-183-01,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,53.65,31.65,6.53,48.29,23
CDM,55150-183-10,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,53.65,31.65,6.53,48.29,23
CDM,55150-186-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,40.5,23.9,4.93,36.45,23
CDM,55150-188-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.65,6.28,1.3,9.59,23
CDM,55150-191-83,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,357.56,210.96,43.5,321.8,23
CDM,55150-192-01,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,89.2,52.63,10.85,80.28,23
CDM,55150-193-01,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,84.9,50.09,10.33,76.41,23
CDM,55150-194-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,20.25,11.95,2.46,18.23,23
CDM,55150-195-20,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,27.2,16.05,3.31,24.48,23
CDM,55150-197-20,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,10.7,6.31,1.3,9.63,23
CDM,55150-198-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,19.65,11.59,2.39,17.69,23
CDM,55150-202-00,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,7.31,4.31,0.89,6.58,23
CDM,55150-202-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,7.31,4.31,0.89,6.58,23
CDM,55150-207-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION,7.22,4.26,0.88,6.5,23
CDM,55150-208-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,16.72,9.86,2.03,15.05,23
CDM,55150-209-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,8.94,5.27,1.09,8.05,23
CDM,55150-221-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,12.05,7.11,1.47,10.85,23
CDM,55150-222-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,17.0,10.03,2.07,15.3,23
CDM,55150-223-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,19.65,11.59,2.39,17.69,23
CDM,55150-225-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,8.6,5.07,1.05,7.74,23
CDM,55150-226-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.9,10.56,2.18,16.11,23
CDM,55150-228-10,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,134.06,79.1,16.31,120.65,23
CDM,55150-230-00,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,30.26,17.85,3.68,27.23,23
CDM,55150-230-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,30.26,17.85,3.68,27.23,23
CDM,55150-231-00,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,73.27,43.23,8.91,65.94,23
CDM,55150-231-10,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,73.27,43.23,8.91,65.94,23
CDM,55150-232-00,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,38.11,22.48,4.64,34.3,23
CDM,55150-232-10,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,38.11,22.48,4.64,34.3,23
CDM,55150-233-00,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,48.38,28.54,5.89,43.54,23
CDM,55150-233-10,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,48.38,28.54,5.89,43.54,23
CDM,55150-234-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",15.67,9.25,1.91,14.1,23
CDM,55150-235-01,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,11.18,6.6,1.36,10.06,23
CDM,55150-235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,11.18,6.6,1.36,10.06,23
CDM,55150-236-02,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,22.81,13.46,2.77,20.53,23
CDM,55150-242-51,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,42.0,24.78,5.11,37.8,23
CDM,55150-250-50,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,8.75,5.16,1.06,7.88,23
CDM,55150-251-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,5.25,3.1,0.64,4.73,23
CDM,55150-252-20,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,4.4,2.6,0.54,3.96,23
CDM,55150-253-50,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,27.75,16.37,3.38,24.98,23
CDM,55150-254-10,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,4.85,2.86,0.59,4.37,23
CDM,55150-255-20,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,4.1,2.42,0.5,3.69,23
CDM,55150-256-50,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,34.5,20.36,4.2,31.05,23
CDM,55150-259-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,145.2,85.67,17.66,130.68,23
CDM,55150-267-05,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,178.75,105.46,21.74,160.88,23
CDM,55150-273-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,15.73,9.28,1.91,14.16,23
CDM,55150-282-09,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,118.6,69.97,14.43,106.74,23
CDM,55150-282-20,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,118.6,69.97,14.43,106.74,23
CDM,55150-297-01,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,760.0,448.4,92.45,684.0,23
CDM,55150-297-10,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,760.0,448.4,92.45,684.0,23
CDM,55150-299-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,85.8,50.62,10.44,77.22,23
CDM,55150-302-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,60.35,35.61,7.34,54.32,23
CDM,55150-304-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,8.05,4.75,0.98,7.25,23
CDM,55150-304-25,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,8.05,4.75,0.98,7.25,23
CDM,55150-305-01,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,10.85,6.4,1.32,9.77,23
CDM,55150-305-10,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,10.85,6.4,1.32,9.77,23
CDM,55150-306-10,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,61.0,35.99,7.42,54.9,23
CDM,55150-307-01,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",26.0,15.34,3.16,23.4,23
CDM,55150-307-24,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",26.0,15.34,3.16,23.4,23
CDM,55150-308-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,86.7,51.15,10.55,78.03,23
CDM,55150-318-01,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,80.27,47.36,9.76,72.24,23
CDM,55150-318-25,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,80.27,47.36,9.76,72.24,23
CDM,55150-323-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,4.36,2.57,0.53,3.92,23
CDM,55150-328-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,169.35,99.92,20.6,152.42,23
CDM,55150-328-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,169.35,99.92,20.6,152.42,23
CDM,55150-329-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,110.55,65.22,13.45,99.5,23
CDM,55150-329-25,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,110.55,65.22,13.45,99.5,23
CDM,55150-330-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,62.75,37.02,7.63,56.48,23
CDM,55150-335-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,86.63,51.11,10.54,77.97,23
CDM,55150-337-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,76.45,45.11,9.3,68.81,23
CDM,55150-344-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,73.75,43.51,8.97,66.38,23
CDM,55150-345-01,NALOXONE 1 MG/ML INJECTION SYRINGE,62.57,36.92,7.61,56.31,23
CDM,55150-345-10,NALOXONE 1 MG/ML INJECTION SYRINGE,62.57,36.92,7.61,56.31,23
CDM,55150-352-01,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,22.35,13.19,2.72,20.12,23
CDM,55150-354-01,IRINOTECAN 300 MG/15 ML INTRAVENOUS SOLUTION,165.38,97.57,20.12,148.84,23
CDM,55150-356-01,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,903.05,532.8,109.85,812.75,23
CDM,55150-365-01,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,424.6,250.51,51.65,382.14,23
CDM,55150-370-00,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,72.76,42.93,8.85,65.48,23
CDM,55150-370-01,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,71.28,42.06,8.67,64.15,23
CDM,55150-382-01,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,402.25,237.33,48.93,362.03,23
CDM,55150-386-01,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,130.2,76.82,15.84,117.18,23
CDM,55150-402-01,GENTAMICIN 40 MG/ML INJECTION SOLUTION,7.86,4.64,0.96,7.07,23
CDM,55150-429-01,TIROFIBAN (AGGRASTAT) 5 MG IN 100 ML (50 MCG/ML) INFUSION (POST-PROCEDURE CRCL > 60 ML/MIN),294.5,173.76,35.82,265.05,23
CDM,55150-431-01,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,1741.65,1027.57,211.86,1567.49,23
CDM,55150-432-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,357.55,210.95,43.49,321.8,23
CDM,55150-434-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,357.55,210.95,43.49,321.8,23
CDM,55150-435-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,442.45,261.05,53.82,398.21,23
CDM,55150-437-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,442.45,261.05,53.82,398.21,23
CDM,55150-438-01,KETAMINE 10 MG/ML INJECTION SOLUTION,67.0,39.53,8.15,60.3,23
CDM,55150-438-10,KETAMINE 10 MG/ML INJECTION SOLUTION,67.0,39.53,8.15,60.3,23
CDM,55150-439-01,KETAMINE 50 MG/ML INJECTION SOLUTION,15.2,8.97,1.85,13.68,23
CDM,55150-439-10,KETAMINE 50 MG/ML INJECTION SOLUTION,15.2,8.97,1.85,13.68,23
CDM,55150-443-01,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,77.1,45.49,9.38,69.39,23
CDM,55150-459-01,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,247.6,146.08,30.12,222.84,23
CDM,55150-459-10,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,247.6,146.08,30.12,222.84,23
CDM,55150-472-01,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,54.19,31.97,6.59,48.77,23
CDM,55150-472-10,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,54.19,31.97,6.59,48.77,23
CDM,55292-122-52,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,6731.43,3971.54,818.84,6058.29,23
CDM,55292-201-11,SUCCIMER 100 MG CAPSULE,110.18,65.01,13.4,99.16,23
CDM,55292-702-54,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,53472.6,31548.83,6504.66,48125.34,23
CDM,55292-702-55,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,53472.6,31548.83,6504.66,48125.34,23
CDM,55292-811-55,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,13542.7,7990.19,1647.4,12188.43,23
CDM,55390-003-10,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,9.51,5.61,1.16,8.56,23
CDM,55390-007-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,10.13,5.98,1.23,9.12,23
CDM,55390-020-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,47.3,27.91,5.75,42.57,23
CDM,55390-035-01,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION,186.4,109.98,22.67,167.76,23
CDM,55390-037-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,15.09,8.9,1.84,13.58,23
CDM,55390-068-01,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,388.3,229.1,47.23,349.47,23
CDM,55390-077-01,PROCHLORPERAZINE EDISYLATE 5 MG/ML INJECTION SOLUTION,232.8,137.35,28.32,209.52,23
CDM,55390-077-10,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.0,13.57,2.8,20.7,23
CDM,55390-079-01,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,94.0,55.46,11.43,84.6,23
CDM,55390-092-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,25.8,15.22,3.14,23.22,23
CDM,55390-183-01,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,6.69,3.95,0.81,6.02,23
CDM,55390-184-02,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,22.47,13.26,2.73,20.22,23
CDM,55390-194-01,FLUCONAZOLE 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,29.25,17.26,3.56,26.33,23
CDM,55390-251-01,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,183.85,108.47,22.36,165.47,23
CDM,55390-252-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,674.0,397.66,81.99,606.6,23
CDM,55390-253-01,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,1129.75,666.55,137.43,1016.78,23
CDM,55390-500-02,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,4.07,2.4,0.5,3.66,23
CDM,55513-002-01,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,382.95,225.94,46.58,344.66,23
CDM,55513-002-04,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,382.95,225.94,46.58,344.66,23
CDM,55513-003-01,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,612.73,361.51,74.54,551.46,23
CDM,55513-003-04,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,612.73,361.51,74.54,551.46,23
CDM,55513-004-01,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,919.09,542.26,111.8,827.18,23
CDM,55513-004-04,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,919.09,542.26,111.8,827.18,23
CDM,55513-005-01,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,1770.75,1044.74,215.4,1593.68,23
CDM,55513-005-04,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,1531.82,903.77,186.34,1378.64,23
CDM,55513-006-01,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,3063.6,1807.52,372.67,2757.24,23
CDM,55513-021-01,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,612.73,361.51,74.54,551.46,23
CDM,55513-021-04,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,612.73,361.51,74.54,551.46,23
CDM,55513-023-01,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,919.09,542.26,111.8,827.18,23
CDM,55513-023-04,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,919.09,542.26,111.8,827.18,23
CDM,55513-025-01,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,1531.82,903.77,186.34,1378.64,23
CDM,55513-025-04,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,1531.82,903.77,186.34,1378.64,23
CDM,55513-027-01,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2297.72,1355.65,279.51,2067.95,23
CDM,55513-027-04,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2297.72,1355.65,279.51,2067.95,23
CDM,55513-028-01,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,3063.6,1807.52,372.67,2757.24,23
CDM,55513-032-01,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,7659.05,4518.84,931.68,6893.15,23
CDM,55513-057-01,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,382.95,225.94,46.58,344.66,23
CDM,55513-057-04,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,382.95,225.94,46.58,344.66,23
CDM,55513-059-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,7500.0,4425.0,912.34,6750.0,23
CDM,55513-069-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,75000.0,44250.0,9123.36,67500.0,23
CDM,55513-073-30,CINACALCET 30 MG TABLET,80.54,47.52,9.8,72.49,23
CDM,55513-074-30,CINACALCET 60 MG TABLET,161.07,95.03,19.59,144.96,23
CDM,55513-075-30,CINACALCET 90 MG TABLET,241.6,142.54,29.39,217.44,23
CDM,55513-077-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,75000.0,44250.0,9123.36,67500.0,23
CDM,55513-078-01,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,274.3,161.84,33.37,246.87,23
CDM,55513-079-01,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,27426.95,16181.9,3336.34,24684.26,23
CDM,55513-103-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,7500.0,4425.0,912.34,6750.0,23
CDM,55513-111-01,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,4595.46,2711.32,559.01,4135.91,23
CDM,55513-112-01,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,20544.51,12121.26,2499.13,18490.06,23
CDM,55513-126-01,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",159.14,93.89,19.36,143.23,23
CDM,55513-132-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,8298.55,4896.14,1009.48,7468.7,23
CDM,55513-137-60,APREMILAST 30 MG TABLET,384.19,226.67,46.73,345.77,23
CDM,55513-141-01,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,2963.75,1748.61,360.52,2667.38,23
CDM,55513-144-01,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",795.68,469.45,96.79,716.11,23
CDM,55513-144-10,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",795.68,469.45,96.79,716.11,23
CDM,55513-148-01,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",318.27,187.78,38.72,286.44,23
CDM,55513-150-01,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION,21210.5,12514.2,2580.15,19089.45,23
CDM,55513-155-01,IV SOLUTION STABILIZER FOR BLINATUMOMAB INTRAVENOUS SOLUTION,0.01,0.01,0.01,0.01,23
CDM,55513-160-01,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,23135.75,13650.09,2814.34,20822.18,23
CDM,55513-164-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,8057.25,4753.78,980.12,7251.53,23
CDM,55513-190-01,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,18902.91,11152.72,2299.44,17012.62,23
CDM,55513-192-01,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,18902.91,11152.72,2299.44,17012.62,23
CDM,55513-206-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,1876.06,1106.88,228.21,1688.45,23
CDM,55513-207-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,7504.16,4427.45,912.84,6753.74,23
CDM,55513-209-10,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,2573.52,1518.38,313.06,2316.17,23
CDM,55513-221-01,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,12944.45,7637.23,1574.62,11650.01,23
CDM,55513-222-01,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,25888.8,15274.39,3149.24,23299.92,23
CDM,55513-223-01,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,6472.95,3819.04,787.4,5825.66,23
CDM,55513-224-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,2040.95,1204.16,248.27,1836.86,23
CDM,55513-267-01,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",238.71,140.84,29.04,214.84,23
CDM,55513-326-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,10204.75,6020.8,1241.35,9184.28,23
CDM,55513-478-01,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1591.36,938.9,193.58,1432.22,23
CDM,55513-478-10,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1591.36,938.9,193.58,1432.22,23
CDM,55513-504-50,SOTORASIB 320 MG TABLET,1158.34,683.42,140.91,1042.51,23
CDM,55513-512-60,SOTORASIB 240 MG TABLET,906.1,534.6,110.22,815.49,23
CDM,55513-530-01,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1524.63,899.53,185.46,1372.17,23
CDM,55513-530-10,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1524.63,899.53,185.46,1372.17,23
CDM,55513-546-01,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,2427.77,1432.38,295.33,2184.99,23
CDM,55513-546-10,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,2427.77,1432.38,295.33,2184.99,23
CDM,55513-670-01,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1827.0,1077.93,222.24,1644.3,23
CDM,55513-710-01,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,8658.2,5108.34,1053.22,7792.38,23
CDM,55513-710-21,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,8618.05,5084.65,1048.34,7756.25,23
CDM,55513-730-01,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,15924.7,9395.57,1937.16,14332.23,23
CDM,55513-800-60,IVABRADINE 5 MG TABLET,45.78,27.01,5.57,41.2,23
CDM,55513-810-60,IVABRADINE 7.5 MG TABLET,45.78,27.01,5.57,41.2,23
CDM,55513-813-01,IVABRADINE 5 MG/5 ML ORAL SOLUTION,47.31,27.91,5.76,42.58,23
CDM,55513-813-28,IVABRADINE 5 MG/5 ML ORAL SOLUTION,47.25,27.88,5.75,42.53,23
CDM,55513-880-02,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,6181.1,3646.85,751.9,5562.99,23
CDM,55513-924-10,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,1616.02,953.45,196.58,1454.42,23
CDM,55513-954-01,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,8362.95,4934.14,1017.31,7526.66,23
CDM,55513-956-01,PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,33451.8,19736.56,4069.24,30106.62,23
CDM,55513-998-02,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,6181.1,3646.85,751.9,5562.99,23
CDM,55566-1050-0,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,76125.0,44913.75,9260.21,68512.5,23
CDM,55566-1050-1,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,76125.0,44913.75,9260.21,68512.5,23
CDM,55566-2200-0,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,375.92,221.79,45.73,338.33,23
CDM,55566-2300-0,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,3806.05,2245.57,462.99,3425.45,23
CDM,55566-2800-0,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2427.6,1432.28,295.3,2184.84,23
CDM,55566-2800-1,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2427.6,1432.28,295.3,2184.84,23
CDM,55566-6500-2,PROGESTERONE MICRONIZED 100 MG VAGINAL INSERT,65.69,38.76,7.99,59.12,23
CDM,55566-6500-3,PROGESTERONE MICRONIZED 100 MG VAGINAL INSERT,65.69,38.76,7.99,59.12,23
CDM,55566-8303-1,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION,2263.0,1335.17,275.28,2036.7,23
CDM,55566-8402-0,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,3530.78,2083.16,429.5,3177.7,23
CDM,55566-8403-1,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,3530.78,2083.16,429.5,3177.7,23
CDM,5556641001,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,491.47,289.97,59.78,442.32,23
CDM,56062-00300,LIDOCAINE 3.6 %-MENTHOL 1.25 % TOPICAL PATCH,7.45,4.4,0.91,6.71,23
CDM,57237-002-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,57237-003-30,FLUCONAZOLE 50 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,57237-004-30,FLUCONAZOLE 100 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,57237-005-11,FLUCONAZOLE 150 MG TABLET,4.5,2.66,0.55,4.05,23
CDM,57237-006-01,FLUCONAZOLE 200 MG TABLET,3.07,1.81,0.37,2.76,23
CDM,57237-006-30,FLUCONAZOLE 200 MG TABLET,3.07,1.81,0.37,2.76,23
CDM,57237-007-30,MIRTAZAPINE 7.5 MG TABLET,9.72,5.73,1.18,8.75,23
CDM,57237-008-30,MIRTAZAPINE 15 MG TABLET,1.37,0.81,0.17,1.23,23
CDM,57237-010-30,MIRTAZAPINE 45 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,57237-012-06,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,2.84,1.68,0.35,2.56,23
CDM,57237-014-01,TAMSULOSIN 0.4 MG CAPSULE,1.11,0.65,0.14,1.0,23
CDM,57237-014-05,TAMSULOSIN 0.4 MG CAPSULE,1.11,0.65,0.14,1.0,23
CDM,57237-017-60,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",1.2,0.71,0.15,1.08,23
CDM,57237-018-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1.0,0.59,0.12,0.9,23
CDM,57237-018-90,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",0.87,0.51,0.11,0.78,23
CDM,57237-018-99,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",0.88,0.52,0.11,0.79,23
CDM,57237-019-30,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",0.76,0.45,0.09,0.68,23
CDM,57237-019-90,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1.24,0.73,0.15,1.12,23
CDM,57237-023-01,GLYBURIDE 1.25 MG-METFORMIN 250 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,57237-025-01,GLYBURIDE 5 MG-METFORMIN 500 MG TABLET,1.13,0.67,0.14,1.02,23
CDM,57237-040-01,PENICILLIN V POTASSIUM 250 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,57237-041-01,PENICILLIN V POTASSIUM 500 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,57237-042-30,VALACYCLOVIR 500 MG TABLET,1.85,1.09,0.23,1.67,23
CDM,57237-045-60,CLARITHROMYCIN 500 MG TABLET,4.33,2.55,0.53,3.9,23
CDM,57237-047-01,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",0.58,0.34,0.07,0.52,23
CDM,57237-048-01,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",1.11,0.65,0.14,1.0,23
CDM,57237-049-60,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,2.62,1.55,0.32,2.36,23
CDM,57237-051-60,GALANTAMINE IMMEDIATE RELEASE 12 MG TABLET,2.62,1.55,0.32,2.36,23
CDM,57237-059-60,CEFUROXIME AXETIL 500 MG TABLET,7.3,4.31,0.89,6.57,23
CDM,57237-077-10,ONDANSETRON 4 MG DISINTEGRATING TABLET,1.0,0.59,0.12,0.9,23
CDM,57237-077-30,ONDANSETRON 4 MG DISINTEGRATING TABLET,0.98,0.58,0.12,0.88,23
CDM,57237-078-10,ONDANSETRON 8 MG DISINTEGRATING TABLET,1.6,0.94,0.19,1.44,23
CDM,57237-085-63,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,6.58,3.88,0.8,5.92,23
CDM,57237-090-01,TRANDOLAPRIL 2 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,57237-101-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,57237-102-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,57237-106-01,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",0.29,0.17,0.04,0.26,23
CDM,57237-114-90,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",0.56,0.33,0.07,0.5,23
CDM,57237-119-01,WARFARIN 1 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,57237-120-01,WARFARIN 2 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,57237-126-01,WARFARIN 7.5 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,57237-149-35,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,92.23,54.42,11.22,83.01,23
CDM,57237-154-30,MODAFINIL 100 MG TABLET,2.92,1.72,0.36,2.63,23
CDM,57237-154-90,MODAFINIL 100 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,57237-155-30,MODAFINIL 200 MG TABLET,4.07,2.4,0.5,3.66,23
CDM,57237-156-30,MOXIFLOXACIN 400 MG TABLET,26.88,15.86,3.27,24.19,23
CDM,57237-158-01,REPAGLINIDE 1 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,57237-161-90,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",0.31,0.18,0.04,0.28,23
CDM,57237-169-90,ROSUVASTATIN 10 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,57237-170-90,ROSUVASTATIN 20 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,57237-171-05,ROSUVASTATIN 40 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,57237-171-90,ROSUVASTATIN 40 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,57237-172-01,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,57237-172-90,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,57237-176-01,VENLAFAXINE IMMEDIATE RELEASE 100 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,57237-180-90,PRAMIPEXOLE 0.125 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,57237-181-90,PRAMIPEXOLE 0.25 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,57237-184-90,PRAMIPEXOLE 1 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,57237-212-90,MONTELUKAST 4 MG CHEWABLE TABLET,0.47,0.28,0.06,0.42,23
CDM,57237-213-30,MONTELUKAST 5 MG CHEWABLE TABLET,0.54,0.32,0.07,0.49,23
CDM,57237-219-30,PIOGLITAZONE 15 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,57237-221-90,PIOGLITAZONE 45 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,57237-232-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,57237-233-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,57237-233-05,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,57237-274-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION,320.4,189.04,38.97,288.36,23
CDM,57237-301-24,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,46.22,27.27,5.62,41.6,23
CDM,57237-316-03,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.7,8.67,1.79,13.23,23
CDM,57237-316-31,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.7,8.67,1.79,13.23,23
CDM,57237-325-52,GLYCERIN (ADULT) RECTAL SUPPOSITORY,1.2,0.71,0.15,1.08,23
CDM,57237-326-21,GLYCERIN (CHILD) RECTAL SUPPOSITORY,2.5,1.48,0.3,2.25,23
CDM,57237-327-21,BISACODYL 10 MG RECTAL SUPPOSITORY,1.92,1.13,0.23,1.73,23
CDM,57664-108-88,PROMETHAZINE 25 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,57664-116-88,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",3.37,1.99,0.41,3.03,23
CDM,57664-117-88,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",1.72,1.01,0.21,1.55,23
CDM,57664-135-60,NIMODIPINE 30 MG CAPSULE,20.05,11.83,2.44,18.05,23
CDM,57664-135-65,NIMODIPINE 30 MG CAPSULE,7.73,4.56,0.94,6.96,23
CDM,57664-136-88,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",1.09,0.64,0.13,0.98,23
CDM,57664-167-52,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,57664-167-58,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,57664-211-88,CLOZAPINE 200 MG TABLET,12.11,7.14,1.47,10.9,23
CDM,57664-223-88,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,57664-228-88,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,57664-229-88,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,57664-230-88,METHYLPHENIDATE IMMEDIATE RELEASE 20 MG TABLET,1.86,1.1,0.23,1.67,23
CDM,57664-231-88,NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE,27.0,15.93,3.28,24.3,23
CDM,57664-347-88,CLOZAPINE 100 MG TABLET,7.65,4.51,0.93,6.89,23
CDM,57664-376-88,DEXMETHYLPHENIDATE 2.5 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,57664-377-08,TRAMADOL 50 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,57664-392-88,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,57664-394-88,VENLAFAXINE IMMEDIATE RELEASE 50 MG TABLET,1.57,0.93,0.19,1.41,23
CDM,57664-395-88,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,57664-397-51,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,57664-397-53,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,57664-397-58,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,57664-437-88,DIGOXIN 125 MCG (0.125 MG) TABLET,1.45,0.86,0.18,1.31,23
CDM,57664-474-53,"METFORMIN 1,000 MG TABLET",0.39,0.23,0.05,0.35,23
CDM,57664-474-58,"METFORMIN 1,000 MG TABLET",0.15,0.09,0.02,0.14,23
CDM,57664-477-52,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,57664-501-83,MIRTAZAPINE 45 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,57664-502-89,TIZANIDINE 2 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,57664-506-52,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,57664-506-58,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,57664-508-13,CITALOPRAM 20 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,57664-510-83,MIRTAZAPINE 7.5 MG TABLET,9.71,5.73,1.18,8.74,23
CDM,57664-641-08,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,5.36,3.16,0.65,4.82,23
CDM,57664-648-88,CHLORTHALIDONE 25 MG TABLET,1.12,0.66,0.14,1.01,23
CDM,57664-655-88,PINDOLOL 5 MG TABLET,3.52,2.08,0.43,3.17,23
CDM,57664-656-88,PINDOLOL 10 MG TABLET,4.69,2.77,0.57,4.22,23
CDM,57664-664-83,"CARVEDILOL PHOSPHATE ER 20 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE",38.05,22.45,4.63,34.25,23
CDM,57664-683-31,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,115.5,68.15,14.05,103.95,23
CDM,57664-683-57,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,115.5,68.15,14.05,103.95,23
CDM,57664-688-88,AMITRIPTYLINE 25 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,57664-689-88,AMITRIPTYLINE 50 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,57664-745-88,REPAGLINIDE 1 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,57664-783-86,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,4.34,2.56,0.53,3.91,23
CDM,57664-784-86,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,4.34,2.56,0.53,3.91,23
CDM,57664-808-88,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,1.14,0.67,0.14,1.03,23
CDM,57664-853-85,MINOCYCLINE 100 MG CAPSULE,2.57,1.52,0.31,2.31,23
CDM,5766407001,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.07,0.04,0.01,0.06,23
CDM,5766407010,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.04,0.02,0.01,0.04,23
CDM,57665-101-41,AMPHOTERICIN B LIPID COMPLEX 5 MG/ML INTRAVENOUS SUSPENSION,486.5,287.04,59.18,437.85,23
CDM,5777100702,COENZYME Q10 (LIPOSOMAL UBIQUINOL) 100 MG/ML ORAL LIQUID,1237.6,730.18,150.55,1113.84,23
CDM,57782-397-26,CROMOLYN 5.2 MG/SPRAY (4 %) NASAL SPRAY,23.79,14.04,2.89,21.41,23
CDM,57844-105-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,49.68,29.31,6.04,44.71,23
CDM,57844-110-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,49.68,29.31,6.04,44.71,23
CDM,5789-06629-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,3.0,1.77,0.36,2.7,23
CDM,5789-6201-05,ACETAMINOPHEN 500 MG TABLET,3.25,1.92,0.4,2.93,23
CDM,57894-030-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,5658.2,3338.34,688.29,5092.38,23
CDM,57894-054-27,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,9990.89,5894.63,1215.34,8991.8,23
CDM,57894-060-03,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,67484.15,39815.65,8209.09,60735.74,23
CDM,57894-061-03,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,134968.2,79631.24,16418.17,121471.38,23
CDM,57894-111-01,CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,2610277.5,1540063.73,317526.57,2349249.75,23
CDM,57894-111-02,CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,2610277.5,1540063.73,317526.57,2349249.75,23
CDM,57894-150-12,ABIRATERONE 250 MG TABLET,441.35,260.4,53.69,397.22,23
CDM,57894-160-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,2301.4,1357.83,279.95,2071.26,23
CDM,57894-195-06,ABIRATERONE 500 MG TABLET,882.7,520.79,107.38,794.43,23
CDM,57894-350-01,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,9686.26,5714.89,1178.28,8717.63,23
CDM,57894-449-01,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,6838.25,4034.57,831.84,6154.43,23
CDM,57894-450-01,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,34713.45,20480.94,4222.71,31242.11,23
CDM,57894-469-01,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,2892.06,1706.32,351.8,2602.85,23
CDM,57894-470-01,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,38528.1,22731.58,4686.74,34675.29,23
CDM,57894-501-00,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,17195.64,10145.43,2091.76,15476.08,23
CDM,57894-501-01,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,17195.64,10145.43,2091.76,15476.08,23
CDM,57894-503-01,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",47617.2,28094.15,5792.38,42855.48,23
CDM,57894-505-05,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,3493.5,2061.17,424.97,3144.15,23
CDM,57894-505-20,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,13974.0,8244.66,1699.86,12576.6,23
CDM,57894-640-01,GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,67248.4,39676.56,8180.42,60523.56,23
CDM,57894-650-01,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,68462.25,40392.73,8328.07,61616.03,23
CDM,57894-650-02,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,68462.25,40392.73,8328.07,61616.03,23
CDM,57894-651-11,GUSELKUMAB 200 MG/2 ML SUBCUTANEOUS SYRINGE,70283.05,41467.0,8549.56,63254.75,23
CDM,57894-651-22,GUSELKUMAB 200 MG/2 ML SUBCUTANEOUS SYRINGE,70283.05,41467.0,8549.56,63254.75,23
CDM,57896-102-05,ACETAMINOPHEN 325 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,57896-104-10,ACETAMINOPHEN 325 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,57896-116-03,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM,12.75,7.52,1.55,11.48,23
CDM,57896-131-01,DIBUCAINE 1 % TOPICAL OINTMENT,19.74,11.65,2.4,17.77,23
CDM,57896-145-09,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET,0.29,0.17,0.04,0.26,23
CDM,57896-145-14,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET,0.29,0.17,0.04,0.26,23
CDM,57896-164-05,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.33,0.19,0.04,0.3,23
CDM,57896-164-14,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.33,0.19,0.04,0.3,23
CDM,57896-201-10,ACETAMINOPHEN 500 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,57896-204-01,ACETAMINOPHEN 500 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,57896-221-10,ACETAMINOPHEN 500 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,57896-434-01,SENNOSIDES 8.6 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,57896-441-01,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.06,0.04,0.01,0.05,23
CDM,57896-443-01,BISACODYL 10 MG RECTAL SUPPOSITORY,0.39,0.23,0.05,0.35,23
CDM,57896-454-01,SENNOSIDES 8.6 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,57896-490-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,3.07,1.81,0.37,2.76,23
CDM,57896-490-03,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,3.07,1.81,0.37,2.76,23
CDM,57896-629-12,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.2,8.38,1.73,12.78,23
CDM,57896-791-01,SIMETHICONE 80 MG CHEWABLE TABLET,0.11,0.06,0.01,0.1,23
CDM,57896-901-01,ASPIRIN IMMEDIATE RELEASE 325 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,57896-911-36,ASPIRIN 81 MG CHEWABLE TABLET,0.09,0.05,0.01,0.08,23
CDM,57896-921-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.08,0.05,0.01,0.07,23
CDM,57896-921-10,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.05,0.03,0.01,0.05,23
CDM,57896-941-01,IBUPROFEN 200 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,57896-981-01,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.05,0.03,0.01,0.05,23
CDM,57896-981-12,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.05,0.03,0.01,0.05,23
CDM,5789663412,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.11,0.06,0.01,0.1,23
CDM,5789670301,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,0.08,0.05,0.01,0.07,23
CDM,5789673101,CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET,0.1,0.06,0.01,0.09,23
CDM,5789675201,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",0.22,0.13,0.03,0.2,23
CDM,5789684101,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,5789684401,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",1.38,0.81,0.17,1.24,23
CDM,5789685101,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,5789686406,MELATONIN 3 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,5789687503,COENZYME Q10 100 MG CAPSULE,0.55,0.32,0.07,0.5,23
CDM,5789689601,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.2,0.12,0.02,0.18,23
CDM,57970-100-01,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,7787.45,4594.6,947.3,7008.71,23
CDM,58060-002-02,PRUSSIAN BLUE 0.5 GRAM CAPSULE,17.1,10.09,2.08,15.39,23
CDM,58151-083-32,CELECOXIB 100 MG CAPSULE,46.12,27.21,5.61,41.51,23
CDM,58151-157-77,ATORVASTATIN 40 MG TABLET,85.63,50.52,10.42,77.07,23
CDM,58151-310-01,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,3.44,2.03,0.42,3.1,23
CDM,58151-310-94,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,7.49,4.42,0.91,6.74,23
CDM,58160-726-15,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,57.37,33.85,6.98,51.63,23
CDM,58160-810-43,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",108.23,63.86,13.17,97.41,23
CDM,58160-810-52,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",108.23,63.86,13.17,97.41,23
CDM,58160-811-43,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,320.84,189.3,39.03,288.76,23
CDM,58160-811-52,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,320.84,189.3,39.03,288.76,23
CDM,58160-812-52,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE",235.25,138.8,28.62,211.73,23
CDM,58160-815-43,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,483.64,285.35,58.83,435.28,23
CDM,58160-815-52,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,483.64,285.35,58.83,435.28,23
CDM,58160-816-03,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,57.37,33.85,6.98,51.63,23
CDM,58160-819-12,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",741.85,437.69,90.24,667.67,23
CDM,58160-820-43,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE,96.42,56.89,11.73,86.78,23
CDM,58160-820-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE,96.42,56.89,11.73,86.78,23
CDM,58160-821-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP,222.28,131.15,27.04,200.05,23
CDM,58160-821-11,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP,222.28,131.15,27.04,200.05,23
CDM,58160-821-43,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,222.28,131.15,27.04,200.05,23
CDM,58160-821-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,222.28,131.15,27.04,200.05,23
CDM,58160-823-11,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",892.15,526.37,108.53,802.94,23
CDM,58160-824-15,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",400.59,236.35,48.73,360.53,23
CDM,58160-825-43,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,141.85,83.69,17.26,127.67,23
CDM,58160-825-52,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,141.85,83.69,17.26,127.67,23
CDM,58160-826-43,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",332.91,196.42,40.5,299.62,23
CDM,58160-826-52,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",332.91,196.42,40.5,299.62,23
CDM,58160-827-03,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",536.58,316.58,65.27,482.92,23
CDM,58160-827-30,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",536.58,316.58,65.27,482.92,23
CDM,58160-829-01,"ADJUVANT AS01B (PF), COMPONENT VIAL 1 OF 2 INTRAMUSCULAR SUSPENSION",733.25,432.62,89.2,659.93,23
CDM,58160-829-03,"ADJUVANT AS01B (PF), COMPONENT VIAL 1 OF 2 INTRAMUSCULAR SUSPENSION",733.25,432.62,89.2,659.93,23
CDM,58160-831-03,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",400.59,236.35,48.73,360.53,23
CDM,58160-842-43,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",181.77,107.24,22.11,163.59,23
CDM,58160-842-52,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",181.77,107.24,22.11,163.59,23
CDM,58160-884-41,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,72.48,42.76,8.82,65.23,23
CDM,58160-884-52,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,72.48,42.76,8.82,65.23,23
CDM,58160-955-09,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",536.57,316.58,65.27,482.91,23
CDM,58160-959-01,"MENINGOCO C,Y,W-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION",495.36,292.26,60.26,445.82,23
CDM,58160-976-02,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",814.48,480.54,99.08,733.03,23
CDM,58160-976-20,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",814.48,480.54,99.08,733.03,23
CDM,58181-3040-5,LOMUSTINE 10 MG CAPSULE,521.17,307.49,63.4,469.05,23
CDM,58181-3041-5,LOMUSTINE 40 MG CAPSULE,2084.62,1229.93,253.58,1876.16,23
CDM,58181-3042-5,LOMUSTINE 100 MG CAPSULE,5754.6,3395.21,700.02,5179.14,23
CDM,58284-208-01,"BUPRENORPHINE ER 8 MG/0.16 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE WEEKLY",2199.05,1297.44,267.5,1979.15,23
CDM,58284-216-01,"BUPRENORPHINE ER 16 MG/0.32 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE WEEKLY",2199.05,1297.44,267.5,1979.15,23
CDM,58284-224-01,"BUPRENORPHINE ER 24 MG/0.48 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE WEEKLY",2199.05,1297.44,267.5,1979.15,23
CDM,58284-228-01,"BUPRENORPHINE ER 128 MG/0.36 ML SOLUTION,EXT.REL.SUBCUTANEOUS SYRINGE MONTHLY",8796.2,5189.76,1070.01,7916.58,23
CDM,58284-232-01,"BUPRENORPHINE ER 32 MG/0.64 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE WEEKLY",2199.05,1297.44,267.5,1979.15,23
CDM,58284-264-01,"BUPRENORPHINE ER 64 MG/0.18 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE MONTHLY",8796.2,5189.76,1070.01,7916.58,23
CDM,58284-296-01,"BUPRENORPHINE ER 96 MG/0.27 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE MONTHLY",8796.2,5189.76,1070.01,7916.58,23
CDM,58337000801,"TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE",60.7,35.81,7.38,54.63,23
CDM,58394-133-03,COAGULATION FACTOR IX (RECOMB) 250 UNIT INTRAVENOUS SOLUTION,1250.0,737.5,152.06,1125.0,23
CDM,58394-134-03,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,2500.0,1475.0,304.11,2250.0,23
CDM,58394-135-03,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",5000.0,2950.0,608.22,4500.0,23
CDM,58394-136-03,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION",10000.0,5900.0,1216.45,9000.0,23
CDM,58394-137-03,"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION",15000.0,8850.0,1824.67,13500.0,23
CDM,58394-633-03,COAGULATION FACTOR IX (RECOMB) 250 UNIT INTRAVENOUS SOLUTION,1250.0,737.5,152.06,1125.0,23
CDM,58394-634-03,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,2500.0,1475.0,304.11,2250.0,23
CDM,58394-635-03,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",5000.0,2950.0,608.22,4500.0,23
CDM,58394-636-03,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION",10000.0,5900.0,1216.45,9000.0,23
CDM,58394-637-03,"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION",15000.0,8850.0,1824.67,13500.0,23
CDM,58406-010-01,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,4485.04,2646.17,545.58,4036.54,23
CDM,58406-010-04,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,4485.04,2646.17,545.58,4036.54,23
CDM,58406-021-01,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,8970.09,5292.35,1091.16,8073.08,23
CDM,58406-021-04,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,8970.09,5292.35,1091.16,8073.08,23
CDM,58406-032-01,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS PEN INJECTOR,8970.09,5292.35,1091.16,8073.08,23
CDM,58406-032-04,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS PEN INJECTOR,8970.09,5292.35,1091.16,8073.08,23
CDM,58468-0030-1,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,9886.2,5832.86,1202.6,8897.58,23
CDM,58468-0030-2,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,9886.2,5832.86,1202.6,8897.58,23
CDM,58468-0040-1,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,37273.65,21991.45,4534.14,33546.29,23
CDM,58468-0041-1,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,5323.9,3141.1,647.62,4791.51,23
CDM,58468-0050-1,OLIPUDASE ALFA-RPCP 20 MG INTRAVENOUS SOLUTION,36424.2,21490.28,4430.81,32781.78,23
CDM,58468-0051-1,OLIPUDASE ALFA-RPCP 4 MG INTRAVENOUS SOLUTION,7284.85,4298.06,886.16,6556.37,23
CDM,58468-0070-1,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION,5352.8,3158.15,651.14,4817.52,23
CDM,58468-0080-1,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,5330.8,3145.17,648.46,4797.72,23
CDM,58468-0131-1,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,82.75,48.82,10.07,74.48,23
CDM,58468-0131-2,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,82.75,48.82,10.07,74.48,23
CDM,58468-0132-1,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,82.69,48.79,10.06,74.42,23
CDM,58468-0132-2,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,82.69,48.79,10.06,74.42,23
CDM,58468-0160-1,ALGLUCOSIDASE ALFA 50 MG INTRAVENOUS SOLUTION,4822.15,2845.07,586.59,4339.94,23
CDM,58468-0200-1,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION,147248.7,86876.73,17912.03,132523.83,23
CDM,58468-0210-4,TERIFLUNOMIDE 14 MG TABLET,1538.16,907.51,187.11,1384.34,23
CDM,58468-0227-1,CAPLACIZUMAB-YHDP 11 MG SOLUTION FOR INJECTION,32452.9,19147.21,3947.73,29207.61,23
CDM,58468-0357-1,ALEMTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION,0.01,0.01,0.01,0.01,23
CDM,58468-0426-1,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,9273.35,5471.28,1128.05,8346.02,23
CDM,58468-4663-1,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,8584.8,5065.03,1044.3,7726.32,23
CDM,5846800901,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,675.77,398.7,82.2,608.19,23
CDM,5846800903,HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE,2027.31,1196.11,246.61,1824.58,23
CDM,5852600557,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,15.8,9.32,1.92,14.22,23
CDM,58602-006-40,OLOPATADINE 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,58602-604-07,DICLOFENAC 1 % TOPICAL GEL,40.0,23.6,4.87,36.0,23
CDM,58602-702-04,LORATADINE 10 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,58602-702-83,LORATADINE 10 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,58602-773-21,ACETAMINOPHEN 500 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,58650-820-43,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE,122.08,72.03,14.85,109.87,23
CDM,58657-120-12,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.25,0.15,0.03,0.23,23
CDM,58657-500-05,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,0.7,0.41,0.09,0.63,23
CDM,58657-500-16,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,70.95,41.86,8.63,63.86,23
CDM,58657-602-01,LABETALOL 100 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,58657-603-01,LABETALOL 200 MG TABLET,2.69,1.59,0.33,2.42,23
CDM,58657-647-01,CLONIDINE HCL 0.1 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,5865732450,"PEDI MV A,C,D3 NO.21 W-FLUORIDE 0.5 MG FLUORIDE (1.1 MG)/ML ORAL DROPS",52.0,30.68,6.33,46.8,23
CDM,58914-170-14,SUCRALFATE 100 MG/ML ORAL SUSPENSION,1230.6,726.05,149.7,1107.54,23
CDM,58914-171-10,SUCRALFATE 1 GRAM TABLET,22.84,13.48,2.78,20.56,23
CDM,58914-501-56,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",193.63,114.24,23.55,174.27,23
CDM,58980-011-10,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT,15.54,9.17,1.89,13.99,23
CDM,58980-012-05,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",16.12,9.51,1.96,14.51,23
CDM,58980-350-50,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.85,0.5,0.1,0.77,23
CDM,58980-409-12,GLYCERIN (CHILD) RECTAL SUPPOSITORY,2.3,1.36,0.28,2.07,23
CDM,58980-409-25,GLYCERIN (CHILD) RECTAL SUPPOSITORY,1.66,0.98,0.2,1.49,23
CDM,58980-415-01,BISACODYL 10 MG RECTAL SUPPOSITORY,1.06,0.63,0.13,0.95,23
CDM,58980-415-12,BISACODYL 10 MG RECTAL SUPPOSITORY,1.06,0.63,0.13,0.95,23
CDM,5898060880,UREA 10 % LOTION,30.68,18.1,3.73,27.61,23
CDM,5898061030,UREA 20 % TOPICAL CREAM,39.95,23.57,4.86,35.96,23
CDM,59011-410-10,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",20.15,11.89,2.45,18.14,23
CDM,59011-410-20,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",20.69,12.21,2.52,18.62,23
CDM,59011-415-10,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",29.66,17.5,3.61,26.69,23
CDM,59011-415-20,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",30.43,17.95,3.7,27.39,23
CDM,59011-420-10,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",37.57,22.17,4.57,33.81,23
CDM,59011-420-20,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",38.54,22.74,4.69,34.69,23
CDM,59011-440-10,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",64.35,37.97,7.83,57.92,23
CDM,59011-440-20,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",65.97,38.92,8.02,59.37,23
CDM,59011-480-10,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",112.28,66.25,13.66,101.05,23
CDM,59011-480-20,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",115.17,67.95,14.01,103.65,23
CDM,59011-750-04,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,212.07,125.12,25.8,190.86,23
CDM,59011-751-04,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,319.49,188.5,38.86,287.54,23
CDM,59011-752-04,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,569.03,335.73,69.22,512.13,23
CDM,5908810673,FLUORIDE 1 MG (2.2 MG SODIUM FLUORIDE) CHEWABLE TABLET,0.19,0.11,0.02,0.17,23
CDM,59137-335-00,TREOSULFAN 1 GRAM INTRAVENOUS SOLUTION,3050.0,1799.5,371.02,2745.0,23
CDM,59137-365-00,TREOSULFAN 5 GRAM INTRAVENOUS SOLUTION,15250.0,8997.5,1855.08,13725.0,23
CDM,59148-006-13,ARIPIPRAZOLE 2 MG TABLET,90.16,53.19,10.97,81.14,23
CDM,59148-007-13,ARIPIPRAZOLE 5 MG TABLET,90.16,53.19,10.97,81.14,23
CDM,59148-008-13,ARIPIPRAZOLE 10 MG TABLET,90.16,53.19,10.97,81.14,23
CDM,59148-009-13,ARIPIPRAZOLE 15 MG TABLET,90.16,53.19,10.97,81.14,23
CDM,59148-010-13,ARIPIPRAZOLE 20 MG TABLET,127.49,75.22,15.51,114.74,23
CDM,59148-011-13,ARIPIPRAZOLE 30 MG TABLET,127.49,75.22,15.51,114.74,23
CDM,59148-018-70,"ARIPIPRAZOLE ER 300 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",9354.5,5519.16,1137.93,8419.05,23
CDM,59148-018-71,"ARIPIPRAZOLE ER 300 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",9354.5,5519.16,1137.93,8419.05,23
CDM,59148-020-50,TOLVAPTAN 15 MG TABLET,2587.98,1526.91,314.81,2329.18,23
CDM,59148-021-50,TOLVAPTAN 30 MG TABLET,2684.73,1583.99,326.58,2416.26,23
CDM,59148-035-13,BREXPIPRAZOLE 0.25 MG TABLET,227.26,134.08,27.64,204.53,23
CDM,59148-036-13,BREXPIPRAZOLE 0.5 MG TABLET,227.26,134.08,27.64,204.53,23
CDM,59148-037-13,BREXPIPRAZOLE 1 MG TABLET,227.26,134.08,27.64,204.53,23
CDM,59148-038-13,BREXPIPRAZOLE 2 MG TABLET,227.26,134.08,27.64,204.53,23
CDM,59148-053-16,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,120.86,71.31,14.7,108.77,23
CDM,59148-070-90,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,2316.5,1366.74,281.79,2084.85,23
CDM,59148-070-91,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,2316.5,1366.74,281.79,2084.85,23
CDM,59148-072-80,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE",12472.75,7358.92,1517.24,11225.48,23
CDM,59148-072-92,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE",8804.95,5194.92,1071.08,7924.46,23
CDM,59148-245-12,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",12842.75,7577.22,1562.25,11558.48,23
CDM,59212-002-01,TRIAMTERENE 50 MG CAPSULE,68.15,40.21,8.29,61.34,23
CDM,59212-003-01,TRIAMTERENE 100 MG CAPSULE,68.15,40.21,8.29,61.34,23
CDM,59212-111-14,NILUTAMIDE 150 MG TABLET,478.75,282.46,58.24,430.88,23
CDM,59212-422-04,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,1798.2,1060.94,218.74,1618.38,23
CDM,59212-423-04,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,2302.8,1358.65,280.12,2072.52,23
CDM,59212-423-05,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,5.55,3.27,0.68,5.0,23
CDM,59212-425-10,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET,55.6,32.8,6.76,50.04,23
CDM,59212-700-12,PREDNISOLONE 10 MG DISINTEGRATING TABLET,100.77,59.45,12.26,90.69,23
CDM,59310-610-31,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION,5288.05,3119.95,643.26,4759.25,23
CDM,59338-775-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,760.24,448.54,92.48,684.22,23
CDM,59365-5128-1,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,4882.5,2880.68,593.93,4394.25,23
CDM,59365-5129-1,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,4882.5,2880.68,593.93,4394.25,23
CDM,59365-6065-0,FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION,72.52,42.79,8.82,65.27,23
CDM,59365-6065-1,FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION,72.52,42.79,8.82,65.27,23
CDM,59385-021-01,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,33.05,19.5,4.02,29.75,23
CDM,59385-021-60,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,33.06,19.51,4.02,29.75,23
CDM,59385-022-01,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,33.05,19.5,4.02,29.75,23
CDM,59385-022-60,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,33.06,19.51,4.02,29.75,23
CDM,59385-023-01,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,51.91,30.63,6.31,46.72,23
CDM,59385-023-60,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,51.92,30.63,6.32,46.73,23
CDM,59385-024-01,BUPRENORPHINE HCL 450 MCG BUCCAL FILM,70.53,41.61,8.58,63.48,23
CDM,59385-024-60,BUPRENORPHINE HCL 450 MCG BUCCAL FILM,70.54,41.62,8.58,63.49,23
CDM,59385-025-01,BUPRENORPHINE HCL 600 MCG BUCCAL FILM,75.26,44.4,9.15,67.73,23
CDM,59385-026-01,BUPRENORPHINE HCL 750 MCG BUCCAL FILM,79.14,46.69,9.63,71.23,23
CDM,59385-026-60,BUPRENORPHINE HCL 750 MCG BUCCAL FILM,79.15,46.7,9.63,71.24,23
CDM,59390-182-13,GONIOVISC (HYPROMELLOSE) 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,59390-183-13,SODIUM CHLORIDE 5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,59390-192-05,HOMATROPINE 5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,59390-205-05,FLUORESCEIN 0.25 %-PROPARACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,59390-218-05,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,59417-101-10,LISDEXAMFETAMINE 10 MG CAPSULE,59.89,35.34,7.29,53.9,23
CDM,59417-102-10,LISDEXAMFETAMINE 20 MG CAPSULE,59.89,35.34,7.29,53.9,23
CDM,59417-103-10,LISDEXAMFETAMINE 30 MG CAPSULE,59.89,35.34,7.29,53.9,23
CDM,59417-104-10,LISDEXAMFETAMINE 40 MG CAPSULE,59.89,35.34,7.29,53.9,23
CDM,59417-105-10,LISDEXAMFETAMINE 50 MG CAPSULE,59.89,35.34,7.29,53.9,23
CDM,59417-106-10,LISDEXAMFETAMINE 60 MG CAPSULE,59.89,35.34,7.29,53.9,23
CDM,59572-102-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION,2889.6,1704.86,351.5,2600.64,23
CDM,59572-205-14,THALIDOMIDE 50 MG CAPSULE,854.52,504.17,103.95,769.07,23
CDM,59572-402-00,LENALIDOMIDE 2.5 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-405-00,LENALIDOMIDE 5 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-405-28,LENALIDOMIDE 5 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-410-00,LENALIDOMIDE 10 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-410-28,LENALIDOMIDE 10 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-415-00,LENALIDOMIDE 15 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-415-21,LENALIDOMIDE 15 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-425-00,LENALIDOMIDE 25 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-425-21,LENALIDOMIDE 25 MG CAPSULE,4457.76,2630.08,542.26,4011.98,23
CDM,59572-515-01,IDECABTAGENE VICLEUCEL (ABECMA) INFUSION - MM,2641562.15,1558521.67,321332.18,2377405.94,23
CDM,59572-515-02,IDECABTAGENE VICLEUCEL (ABECMA) INFUSION - MM,2641562.15,1558521.67,321332.18,2377405.94,23
CDM,59572-515-03,IDECABTAGENE VICLEUCEL (ABECMA) INFUSION - MM,2641562.15,1558521.67,321332.18,2377405.94,23
CDM,59572-711-01,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,19520.0,11516.8,2374.51,17568.0,23
CDM,59572-775-01,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,58559.85,34550.31,7123.5,52703.87,23
CDM,59572-984-01,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,15793.35,9318.08,1921.18,14214.02,23
CDM,59584-138-01,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,1434.85,846.56,174.54,1291.37,23
CDM,59627-222-05,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE KIT,9970.68,5882.7,1212.88,8973.61,23
CDM,59630-266-01,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,1017.69,600.44,123.8,915.92,23
CDM,59630-266-10,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,1017.69,600.44,123.8,915.92,23
CDM,59630-755-50,METHYLPHENIDATE 10 MG/5 ML ORAL SOLUTION,462.5,272.88,56.26,416.25,23
CDM,59651-008-15,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,59.93,35.36,7.29,53.94,23
CDM,59651-008-30,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,69.15,40.8,8.41,62.24,23
CDM,59651-018-90,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1.41,0.83,0.17,1.27,23
CDM,59651-019-90,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",3.55,2.09,0.43,3.2,23
CDM,59651-026-01,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,276.5,163.14,33.63,248.85,23
CDM,59651-032-47,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,92.24,54.42,11.22,83.02,23
CDM,59651-052-90,EZETIMIBE 10 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,59651-055-30,TERIFLUNOMIDE 14 MG TABLET,4.99,2.94,0.61,4.49,23
CDM,59651-086-30,DARUNAVIR 800 MG TABLET,19.92,11.75,2.42,17.93,23
CDM,59651-096-30,SILODOSIN 8 MG CAPSULE,3.11,1.83,0.38,2.8,23
CDM,59651-105-06,ELETRIPTAN 40 MG TABLET,47.56,28.06,5.79,42.8,23
CDM,59651-105-69,ELETRIPTAN 40 MG TABLET,47.57,28.07,5.79,42.81,23
CDM,59651-113-30,FEBUXOSTAT 40 MG TABLET,2.41,1.42,0.29,2.17,23
CDM,59651-118-60,DOFETILIDE 125 MCG CAPSULE,7.38,4.35,0.9,6.64,23
CDM,59651-119-60,DOFETILIDE 250 MCG CAPSULE,442.2,260.9,53.79,397.98,23
CDM,59651-120-60,DOFETILIDE 500 MCG CAPSULE,7.38,4.35,0.9,6.64,23
CDM,59651-152-01,PROGESTERONE MICRONIZED 100 MG CAPSULE,0.93,0.55,0.11,0.84,23
CDM,59651-180-30,LETROZOLE 2.5 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,59651-214-30,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,72.0,42.48,8.76,64.8,23
CDM,59651-240-90,IMATINIB 100 MG TABLET,4.87,2.87,0.59,4.38,23
CDM,59651-241-30,IMATINIB 400 MG TABLET,17.25,10.18,2.1,15.53,23
CDM,59651-247-01,MIDODRINE 5 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,59651-256-01,PROPAFENONE 150 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,59651-257-01,PROPAFENONE 225 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,59651-258-01,PROPAFENONE 300 MG TABLET,4.97,2.93,0.6,4.47,23
CDM,59651-299-60,TAMOXIFEN 10 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,59651-331-01,FLUCYTOSINE 250 MG CAPSULE,4000.0,2360.0,486.58,3600.0,23
CDM,59651-332-01,FLUCYTOSINE 500 MG CAPSULE,78.64,46.4,9.57,70.78,23
CDM,59651-348-30,LEFLUNOMIDE 10 MG TABLET,3.4,2.01,0.41,3.06,23
CDM,59651-349-30,LEFLUNOMIDE 20 MG TABLET,3.4,2.01,0.41,3.06,23
CDM,59651-360-01,IBUPROFEN 400 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,59651-361-01,IBUPROFEN 600 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,59651-362-01,IBUPROFEN 800 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,59651-379-01,ZONISAMIDE 50 MG CAPSULE,0.85,0.5,0.1,0.77,23
CDM,59651-382-01,CLOMIPRAMINE 50 MG CAPSULE,1.6,0.94,0.19,1.44,23
CDM,59651-394-01,BACLOFEN 10 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,59651-395-05,BACLOFEN 20 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,59651-397-08,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",5.0,2.95,0.61,4.5,23
CDM,59651-413-50,HYDROCORTISONE 5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,59651-420-11,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,161.28,95.16,19.62,145.15,23
CDM,59651-422-01,CEVIMELINE 30 MG CAPSULE,8.48,5.0,1.03,7.63,23
CDM,59651-426-01,SPIRONOLACTONE 25 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,59651-437-01,DIGOXIN 125 MCG (0.125 MG) TABLET,1.37,0.81,0.17,1.23,23
CDM,59651-455-01,COLCHICINE 0.6 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,59651-455-30,COLCHICINE 0.6 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,59651-456-01,CARBIDOPA 10 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.23,0.14,0.03,0.21,23
CDM,59651-457-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.28,0.17,0.03,0.25,23
CDM,59651-484-01,PREDNISONE 1 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,59651-485-01,PREDNISONE 2.5 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,59651-486-01,PREDNISONE 5 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,59651-487-01,PREDNISONE 10 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,59651-488-01,PREDNISONE 20 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,59651-489-01,PREDNISONE 50 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,59651-491-01,PREDNISOLONE 5 MG TABLET,49.43,29.16,6.01,44.49,23
CDM,59651-516-30,EXEMESTANE 25 MG TABLET,6.67,3.94,0.81,6.0,23
CDM,59651-539-01,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",0.56,0.33,0.07,0.5,23
CDM,59651-565-01,DICLOXACILLIN 250 MG CAPSULE,2.51,1.48,0.31,2.26,23
CDM,59651-575-90,FENOFIBRATE 54 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,59651-658-25,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,1.75,1.03,0.21,1.58,23
CDM,59651-691-01,LOPERAMIDE 2 MG CAPSULE,0.24,0.14,0.03,0.22,23
CDM,59651-722-01,CLONAZEPAM 0.5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,59651-723-01,CLONAZEPAM 1 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,59651-867-01,CIPROFLOXACIN 500 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,59651-873-50,CIPROFLOXACIN 750 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,59676-278-01,RILPIVIRINE HCL 25 MG TABLET,229.08,135.16,27.87,206.17,23
CDM,59676-302-00,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",256.55,151.36,31.21,230.9,23
CDM,59676-302-01,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",256.55,151.36,31.21,230.9,23
CDM,59676-303-01,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",384.79,227.03,46.81,346.31,23
CDM,59676-304-00,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",513.02,302.68,62.41,461.72,23
CDM,59676-304-01,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",513.02,302.68,62.41,461.72,23
CDM,59676-310-00,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",699.57,412.75,85.1,629.61,23
CDM,59676-310-01,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",699.57,412.75,85.1,629.61,23
CDM,59676-320-00,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1399.14,825.49,170.2,1259.23,23
CDM,59676-320-04,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1399.14,825.49,170.2,1259.23,23
CDM,59676-340-00,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2798.27,1650.98,340.39,2518.44,23
CDM,59676-340-01,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2798.27,1650.98,340.39,2518.44,23
CDM,59676-562-01,DARUNAVIR 600 MG TABLET,166.65,98.32,20.27,149.99,23
CDM,59676-564-01,DARUNAVIR 150 MG TABLET,44.96,26.53,5.47,40.46,23
CDM,59676-565-01,DARUNAVIR 100 MG/ML ORAL SUSPENSION,5994.0,3536.46,729.14,5394.6,23
CDM,59676-566-30,DARUNAVIR 800 MG TABLET,333.29,196.64,40.54,299.96,23
CDM,59676-570-01,ETRAVIRINE 100 MG TABLET,57.83,34.12,7.03,52.05,23
CDM,59676-610-01,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION,17024.4,10044.4,2070.93,15321.96,23
CDM,5967682001,"HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE",6949.5,4100.21,845.37,6254.55,23
CDM,59746-001-03,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,1.24,0.73,0.15,1.12,23
CDM,59746-001-06,METHYLPREDNISOLONE 4 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,59746-003-14,METHYLPREDNISOLONE 16 MG TABLET,11.45,6.76,1.39,10.31,23
CDM,59746-010-32,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,3.67,2.17,0.45,3.3,23
CDM,59746-015-04,METHYLPREDNISOLONE 32 MG TABLET,17.05,10.06,2.07,15.35,23
CDM,59746-020-22,RISPERIDONE 1 MG DISINTEGRATING TABLET,4.79,2.83,0.58,4.31,23
CDM,59746-030-22,RISPERIDONE 2 MG DISINTEGRATING TABLET,4.56,2.69,0.55,4.1,23
CDM,59746-113-06,PROCHLORPERAZINE MALEATE 5 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,59746-115-06,PROCHLORPERAZINE MALEATE 10 MG TABLET,2.41,1.42,0.29,2.17,23
CDM,59746-121-06,MECLIZINE 25 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,59746-122-06,MECLIZINE 12.5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,59746-171-06,PREDNISONE 1 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,59746-172-06,PREDNISONE 5 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,59746-173-06,PREDNISONE 10 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,59746-173-10,PREDNISONE 10 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,59746-175-06,PREDNISONE 20 MG TABLET,0.86,0.51,0.1,0.77,23
CDM,59746-175-09,PREDNISONE 20 MG TABLET,0.61,0.36,0.07,0.55,23
CDM,59746-211-06,CYCLOBENZAPRINE 5 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,59746-216-01,SPIRONOLACTONE 25 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,59746-217-01,SPIRONOLACTONE 50 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,59746-218-01,SPIRONOLACTONE 100 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,59746-246-01,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,59746-247-60,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,59746-383-06,TERAZOSIN 1 MG CAPSULE,0.47,0.28,0.06,0.42,23
CDM,59746-384-06,TERAZOSIN 2 MG CAPSULE,0.48,0.28,0.06,0.43,23
CDM,59746-385-06,TERAZOSIN 5 MG CAPSULE,0.83,0.49,0.1,0.75,23
CDM,59746-386-06,TERAZOSIN 10 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,59762-0033-1,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,2.39,1.41,0.29,2.15,23
CDM,59762-0038-2,DOFETILIDE 250 MCG CAPSULE,19.27,11.37,2.34,17.34,23
CDM,59762-0048-1,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",10.01,5.91,1.22,9.01,23
CDM,59762-0049-1,METHYLPREDNISOLONE 8 MG TABLET,7.41,4.37,0.9,6.67,23
CDM,59762-0050-1,METHYLPREDNISOLONE 16 MG TABLET,13.05,7.7,1.59,11.75,23
CDM,59762-0051-1,METHYLPREDNISOLONE 32 MG TABLET,19.71,11.63,2.4,17.74,23
CDM,59762-0056-1,MEDROXYPROGESTERONE 10 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,59762-0057-1,"ALPRAZOLAM ER 0.5 MG TABLET,EXTENDED RELEASE 24 HR",1.49,0.88,0.18,1.34,23
CDM,59762-0073-1,HYDROCORTISONE 5 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,59762-0074-1,HYDROCORTISONE 10 MG TABLET,1.14,0.67,0.14,1.03,23
CDM,59762-0075-1,HYDROCORTISONE 20 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,59762-0104-5,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",1.14,0.67,0.14,1.03,23
CDM,59762-0117-1,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),7.39,4.36,0.9,6.65,23
CDM,59762-0118-3,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",26.13,15.42,3.18,23.52,23
CDM,59762-0119-1,PHENELZINE 15 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,59762-0131-0,SILVER SULFADIAZINE 1 % TOPICAL CREAM,66.7,39.35,8.11,60.03,23
CDM,59762-0131-4,SILVER SULFADIAZINE 1 % TOPICAL CREAM,244.0,143.96,29.68,219.6,23
CDM,59762-0131-6,SILVER SULFADIAZINE 1 % TOPICAL CREAM,56.75,33.48,6.9,51.08,23
CDM,59762-0155-1,ATORVASTATIN 10 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,59762-0156-1,ATORVASTATIN 20 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,59762-0157-1,ATORVASTATIN 40 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,59762-0158-1,ATORVASTATIN 80 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,59762-0170-6,TOLTERODINE 1 MG TABLET,6.91,4.08,0.84,6.22,23
CDM,59762-0181-3,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",2.29,1.35,0.28,2.06,23
CDM,59762-0333-2,LATANOPROST 0.005 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,59762-0401-1,SUCRALFATE 1 GRAM TABLET,0.74,0.44,0.09,0.67,23
CDM,59762-0401-5,SUCRALFATE 1 GRAM TABLET,0.71,0.42,0.09,0.64,23
CDM,59762-0450-1,COLESTIPOL 1 GRAM TABLET,3.38,1.99,0.41,3.04,23
CDM,59762-0531-2,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,111.39,65.72,13.55,100.25,23
CDM,59762-0540-1,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",1.07,0.63,0.13,0.96,23
CDM,59762-0541-1,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",0.58,0.34,0.07,0.52,23
CDM,59762-0542-1,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",0.91,0.54,0.11,0.82,23
CDM,59762-0800-2,TOLTERODINE 2 MG TABLET,7.09,4.18,0.86,6.38,23
CDM,59762-0935-3,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,2572.13,1517.56,312.89,2314.92,23
CDM,59762-1001-1,SIROLIMUS 0.5 MG TABLET,17.42,10.28,2.12,15.68,23
CDM,59762-1002-1,SIROLIMUS 1 MG TABLET,34.84,20.56,4.24,31.36,23
CDM,59762-1003-1,SIROLIMUS 2 MG TABLET,69.69,41.12,8.48,62.72,23
CDM,59762-1005-1,CABERGOLINE 0.5 MG TABLET,26.95,15.9,3.28,24.26,23
CDM,59762-1061-1,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,59762-1206-1,LIOTHYRONINE 5 MCG TABLET,2.72,1.6,0.33,2.45,23
CDM,59762-1207-1,LIOTHYRONINE 25 MCG TABLET,3.52,2.08,0.43,3.17,23
CDM,59762-1210-3,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.07,1.81,0.37,2.76,23
CDM,59762-1211-3,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.07,1.81,0.37,2.76,23
CDM,59762-1222-3,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",3.07,1.81,0.37,2.76,23
CDM,59762-1307-2,LINEZOLID 600 MG TABLET,20.04,11.82,2.44,18.04,23
CDM,59762-1342-1,PREGABALIN 25 MG CAPSULE,1.0,0.59,0.12,0.9,23
CDM,59762-1350-1,RIFABUTIN 150 MG CAPSULE,64.49,38.05,7.84,58.04,23
CDM,59762-1710-1,EPLERENONE 25 MG TABLET,14.36,8.47,1.75,12.92,23
CDM,59762-2012-1,ASENAPINE 5 MG SUBLINGUAL TABLET,24.02,14.17,2.92,21.62,23
CDM,59762-2012-6,ASENAPINE 5 MG SUBLINGUAL TABLET,24.02,14.17,2.92,21.62,23
CDM,59762-2198-1,AZITHROMYCIN 250 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,59762-2198-3,AZITHROMYCIN 250 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,59762-2198-7,AZITHROMYCIN 250 MG TABLET,1.04,0.61,0.13,0.94,23
CDM,59762-2350-7,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,225.15,132.84,27.39,202.64,23
CDM,59762-2858-1,EXEMESTANE 25 MG TABLET,7.72,4.55,0.94,6.95,23
CDM,59762-2888-1,ASENAPINE 10 MG SUBLINGUAL TABLET,23.9,14.1,2.91,21.51,23
CDM,59762-2888-6,ASENAPINE 10 MG SUBLINGUAL TABLET,23.9,14.1,2.91,21.51,23
CDM,59762-3051-1,AZITHROMYCIN 1 GRAM ORAL PACKET,88.52,52.23,10.77,79.67,23
CDM,59762-3051-2,AZITHROMYCIN 1 GRAM ORAL PACKET,89.39,52.74,10.87,80.45,23
CDM,59762-3060-3,AZITHROMYCIN 250 MG TABLET,6.43,3.79,0.78,5.79,23
CDM,59762-3120-1,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,37.28,22.0,4.53,33.55,23
CDM,59762-3140-1,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,39.3,23.19,4.78,35.37,23
CDM,59762-3304-3,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,1.75,1.03,0.21,1.58,23
CDM,59762-3717-4,TRIAZOLAM 0.125 MG TABLET,4.99,2.94,0.61,4.49,23
CDM,59762-3719-1,ALPRAZOLAM 0.25 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,59762-3719-4,ALPRAZOLAM 0.25 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,59762-3720-1,ALPRAZOLAM 0.5 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,59762-3720-3,ALPRAZOLAM 0.5 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,59762-3721-1,ALPRAZOLAM 1 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,59762-3721-3,ALPRAZOLAM 1 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,59762-3744-1,CLINDAMYCIN 1 % LOTION,443.1,261.43,53.9,398.79,23
CDM,59762-4440-3,METHYLPREDNISOLONE 4 MG TABLET,5.32,3.14,0.65,4.79,23
CDM,59762-4900-3,SERTRALINE 50 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,59762-4910-3,SERTRALINE 100 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,59762-5000-5,SULFASALAZINE 500 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,59762-5007-1,MISOPROSTOL 100 MCG TABLET,3.08,1.82,0.37,2.77,23
CDM,59762-5008-1,MISOPROSTOL 200 MCG TABLET,4.46,2.63,0.54,4.01,23
CDM,59762-5008-2,MISOPROSTOL 200 MCG TABLET,4.48,2.64,0.54,4.03,23
CDM,59762-5010-1,CLINDAMYCIN HCL 300 MG CAPSULE,1.56,0.92,0.19,1.4,23
CDM,59762-5011-1,SPIRONOLACTONE 25 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,59762-5013-1,SPIRONOLACTONE 100 MG TABLET,4.51,2.66,0.55,4.06,23
CDM,59762-5019-1,QUINAPRIL 5 MG TABLET,4.53,2.67,0.55,4.08,23
CDM,59762-5029-1,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,75.08,44.3,9.13,67.57,23
CDM,59762-5030-1,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,272.65,160.86,33.17,245.39,23
CDM,59762-5050-06,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,3.45,2.04,0.42,3.11,23
CDM,59762-5050-7,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,270.25,159.45,32.87,243.23,23
CDM,59923-601-10,PAMIDRONATE 30 MG INTRAVENOUS SOLUTION,86.85,51.24,10.56,78.17,23
CDM,59923-603-10,PAMIDRONATE 90 MG INTRAVENOUS SOLUTION,260.6,153.75,31.7,234.54,23
CDM,59923-615-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,23.04,13.59,2.8,20.74,23
CDM,59923-701-25,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,269.63,159.08,32.8,242.67,23
CDM,59923-720-10,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,28.1,16.58,3.42,25.29,23
CDM,6014629312,SALIVA SUBSTITUTE COMBO NO.2,48.3,28.5,5.88,43.47,23
CDM,60219-1076-1,AZATHIOPRINE 50 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,60219-1165-7,ABIRATERONE 250 MG TABLET,18.24,10.76,2.22,16.42,23
CDM,60219-1585-3,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,60219-1586-6,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,60219-1673-1,THIOTHIXENE 1 MG CAPSULE,3.34,1.97,0.41,3.01,23
CDM,60219-1674-1,THIOTHIXENE 2 MG CAPSULE,4.64,2.74,0.56,4.18,23
CDM,60219-1675-1,THIOTHIXENE 5 MG CAPSULE,7.17,4.23,0.87,6.45,23
CDM,60219-1676-1,THIOTHIXENE 10 MG CAPSULE,9.41,5.55,1.14,8.47,23
CDM,60219-1707-1,PREDNISONE 10 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,60219-1708-1,PREDNISONE 20 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,60219-1721-7,ETRAVIRINE 100 MG TABLET,32.47,19.16,3.95,29.22,23
CDM,60219-1748-2,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60219-1749-3,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60219-1750-8,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60219-1754-6,ABIRATERONE 500 MG TABLET,140.65,82.98,17.11,126.59,23
CDM,60219-2036-1,AZATHIOPRINE 75 MG TABLET,47.29,27.9,5.75,42.56,23
CDM,60219-2037-1,AZATHIOPRINE 100 MG TABLET,21.09,12.44,2.57,18.98,23
CDM,60219-2044-1,DEXAMETHASONE 6 MG TABLET,6.85,4.04,0.83,6.17,23
CDM,60219-2056-1,DEXAMETHASONE 2 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,60219-2348-1,TRAMADOL 50 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,60219-2651-1,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,339.92,200.55,41.35,305.93,23
CDM,60219-5511-9,FENOFIBRATE 54 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,60219-5522-9,FENOFIBRATE 160 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,6025800116,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,165.55,97.67,20.14,149.0,23
CDM,6025800316,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",288.53,170.23,35.1,259.68,23
CDM,6025800601,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",1.77,1.04,0.22,1.59,23
CDM,6025800615,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",1.77,1.04,0.22,1.59,23
CDM,6025816001,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,6025816101,VITAMIN B COMP NO.3-FOLIC ACID 1 MG-VIT C 60 MG-BIOTIN 300 MCG TABLET,0.53,0.31,0.06,0.48,23
CDM,6025816201,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,2.17,1.28,0.26,1.95,23
CDM,6025817101,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.12,0.07,0.01,0.11,23
CDM,6025819701,PRENATAL VITAMINS NO.115-IRON 29 MG-FOLIC ACID 1 MG CHEWABLE TABLET,0.89,0.53,0.11,0.8,23
CDM,60267-311-10,SODIUM NITRITE 30 MG/ML INTRAVENOUS SOLUTION,485.0,286.15,59.0,436.5,23
CDM,60267-705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,485.0,286.15,59.0,436.5,23
CDM,60432-092-05,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,3.5,2.07,0.43,3.15,23
CDM,60432-131-04,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,2.28,1.35,0.28,2.05,23
CDM,60432-212-05,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,1.38,0.81,0.17,1.24,23
CDM,60505-0014-8,"DILTIAZEM ER (XR/XT) 120 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",2.38,1.4,0.29,2.14,23
CDM,60505-0016-6,"DILTIAZEM ER (XR/XT) 240 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",4.26,2.51,0.52,3.83,23
CDM,60505-0033-6,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",1.68,0.99,0.2,1.51,23
CDM,60505-0039-1,ETODOLAC 200 MG CAPSULE,4.97,2.93,0.6,4.47,23
CDM,60505-0040-1,ETODOLAC 300 MG CAPSULE,5.96,3.52,0.73,5.36,23
CDM,60505-0042-6,ACYCLOVIR 200 MG CAPSULE,0.83,0.49,0.1,0.75,23
CDM,60505-0055-1,SELEGILINE 5 MG CAPSULE,7.73,4.56,0.94,6.96,23
CDM,60505-0080-0,SOTALOL 80 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,60505-0082-0,SOTALOL 240 MG TABLET,0.97,0.57,0.12,0.87,23
CDM,60505-0083-2,PAROXETINE 20 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,60505-0084-1,PAROXETINE 30 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,60505-0084-2,PAROXETINE 30 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,60505-0093-0,DOXAZOSIN 1 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,60505-0096-0,DOXAZOSIN 8 MG TABLET,2.21,1.3,0.27,1.99,23
CDM,60505-0097-2,PAROXETINE 10 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,60505-0112-0,GABAPENTIN 100 MG CAPSULE,1.17,0.69,0.14,1.05,23
CDM,60505-0114-1,GABAPENTIN 400 MG CAPSULE,1.03,0.61,0.13,0.93,23
CDM,60505-0133-0,CYCLOSPORINE 25 MG CAPSULE,14.18,8.37,1.72,12.76,23
CDM,60505-0134-0,CYCLOSPORINE 100 MG CAPSULE,56.6,33.39,6.89,50.94,23
CDM,60505-0141-0,GLIPIZIDE IMMEDIATE RELEASE 5 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,60505-0142-0,GLIPIZIDE IMMEDIATE RELEASE 10 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,60505-0142-2,GLIPIZIDE IMMEDIATE RELEASE 10 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,60505-0146-0,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",2.68,1.58,0.33,2.41,23
CDM,60505-0157-1,BUPROPION HCL IMMEDIATE RELEASE 100 MG TABLET,3.29,1.94,0.4,2.96,23
CDM,60505-0158-1,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,2.47,1.46,0.3,2.22,23
CDM,60505-0159-0,SOTALOL 120 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,60505-0164-1,FLUVOXAMINE 25 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,60505-0165-1,FLUVOXAMINE 50 MG TABLET,1.57,0.93,0.19,1.41,23
CDM,60505-0166-1,FLUVOXAMINE 100 MG TABLET,2.01,1.19,0.24,1.81,23
CDM,60505-0168-9,PRAVASTATIN 10 MG TABLET,1.19,0.7,0.14,1.07,23
CDM,60505-0169-9,PRAVASTATIN 20 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,60505-0170-9,PRAVASTATIN 40 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,60505-0183-0,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,60505-0223-1,SOTALOL 120 MG TABLET,1.65,0.97,0.2,1.49,23
CDM,60505-0247-1,MIRTAZAPINE 15 MG TABLET,1.37,0.81,0.17,1.23,23
CDM,60505-0247-8,MIRTAZAPINE 15 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,60505-0248-1,MIRTAZAPINE 30 MG TABLET,1.73,1.02,0.21,1.56,23
CDM,60505-0249-1,MIRTAZAPINE 45 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,60505-0251-3,TIZANIDINE 2 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,60505-0252-3,TIZANIDINE 4 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,60505-0253-2,CLOPIDOGREL 75 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,60505-0257-1,DESMOPRESSIN 0.1 MG TABLET,3.39,2.0,0.41,3.05,23
CDM,60505-0258-1,DESMOPRESSIN 0.2 MG TABLET,3.8,2.24,0.46,3.42,23
CDM,60505-0363-1,OFLOXACIN 0.3 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0363-2,OFLOXACIN 0.3 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0402-5,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,2055.0,1212.45,249.98,1849.5,23
CDM,60505-0404-5,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,999.75,589.85,121.61,899.78,23
CDM,60505-0560-0,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0560-1,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0582-4,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0584-1,EPINASTINE 0.05 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0593-1,TRAVOPROST 0.004 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0593-4,TRAVOPROST 0.004 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-0749-1,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,4.68,2.76,0.57,4.21,23
CDM,60505-0749-5,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,6.71,3.96,0.82,6.04,23
CDM,60505-0769-0,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,38.45,22.69,4.68,34.61,23
CDM,60505-0791-0,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,14.18,8.37,1.72,12.76,23
CDM,60505-0791-4,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,14.18,8.37,1.72,12.76,23
CDM,60505-0793-0,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,21.81,12.87,2.65,19.63,23
CDM,60505-0793-4,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,21.81,12.87,2.65,19.63,23
CDM,60505-0794-0,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.62,18.66,3.85,28.46,23
CDM,60505-0794-4,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.62,18.66,3.85,28.46,23
CDM,60505-0795-1,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,39.25,23.16,4.77,35.33,23
CDM,60505-0795-4,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,39.25,23.16,4.77,35.33,23
CDM,60505-0796-0,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,44.7,26.37,5.44,40.23,23
CDM,60505-0796-4,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,44.7,26.37,5.44,40.23,23
CDM,60505-0798-0,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,57.23,33.77,6.96,51.51,23
CDM,60505-0798-4,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,57.23,33.77,6.96,51.51,23
CDM,60505-0815-0,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),456.1,269.1,55.48,410.49,23
CDM,60505-0823-6,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,291.9,172.22,35.51,262.71,23
CDM,60505-0829-1,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",82.96,48.95,10.09,74.66,23
CDM,60505-0830-1,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY,552.93,326.23,67.26,497.64,23
CDM,60505-0833-5,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,77.7,45.84,9.45,69.93,23
CDM,60505-1003-1,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-1003-2,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-1005-4,TIMOLOL MALEATE 0.5 % ONCE DAILY EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-1316-3,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",4.61,2.72,0.56,4.15,23
CDM,60505-1317-3,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.9,2.89,0.6,4.41,23
CDM,60505-1318-3,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR",5.96,3.52,0.73,5.36,23
CDM,60505-1320-1,MIDODRINE 2.5 MG TABLET,1.83,1.08,0.22,1.65,23
CDM,60505-1321-1,MIDODRINE 5 MG TABLET,2.55,1.5,0.31,2.3,23
CDM,60505-1323-9,PRAVASTATIN 80 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,60505-2503-1,LEFLUNOMIDE 20 MG TABLET,12.75,7.52,1.55,11.48,23
CDM,60505-2521-1,CILOSTAZOL 50 MG TABLET,1.68,0.99,0.2,1.51,23
CDM,60505-2522-1,CILOSTAZOL 100 MG TABLET,1.68,0.99,0.2,1.51,23
CDM,60505-2529-6,ZIPRASIDONE 40 MG CAPSULE,6.15,3.63,0.75,5.54,23
CDM,60505-2531-6,ZIPRASIDONE 80 MG CAPSULE,6.92,4.08,0.84,6.23,23
CDM,60505-2542-6,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,10.66,6.29,1.3,9.59,23
CDM,60505-2543-6,GALANTAMINE IMMEDIATE RELEASE 8 MG TABLET,10.6,6.25,1.29,9.54,23
CDM,60505-2544-6,GALANTAMINE IMMEDIATE RELEASE 12 MG TABLET,10.6,6.25,1.29,9.54,23
CDM,60505-2552-1,GABAPENTIN 800 MG TABLET,3.68,2.17,0.45,3.31,23
CDM,60505-2578-8,ATORVASTATIN 10 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,60505-2578-9,ATORVASTATIN 10 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,60505-2579-8,ATORVASTATIN 20 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,60505-2579-9,ATORVASTATIN 20 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,60505-2580-9,ATORVASTATIN 40 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,60505-2653-1,TRAZODONE 50 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,60505-2656-1,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,60505-2671-8,ATORVASTATIN 80 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,60505-2671-9,ATORVASTATIN 80 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,60505-2673-3,ARIPIPRAZOLE 5 MG TABLET,6.89,4.07,0.84,6.2,23
CDM,60505-2674-3,ARIPIPRAZOLE 10 MG TABLET,6.89,4.07,0.84,6.2,23
CDM,60505-2677-3,ARIPIPRAZOLE 30 MG TABLET,7.79,4.6,0.95,7.01,23
CDM,60505-2795-0,IBANDRONATE 150 MG TABLET,130.55,77.02,15.88,117.5,23
CDM,60505-2805-7,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",6.55,3.86,0.8,5.9,23
CDM,60505-2850-1,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",1.62,0.96,0.2,1.46,23
CDM,60505-2900-9,IMATINIB 100 MG TABLET,24.53,14.47,2.98,22.08,23
CDM,60505-2901-3,IMATINIB 400 MG TABLET,88.37,52.14,10.75,79.53,23
CDM,60505-2985-3,ANASTROZOLE 1 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,60505-2996-3,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",2.28,1.35,0.28,2.05,23
CDM,60505-3110-0,OLANZAPINE 2.5 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,60505-3110-3,OLANZAPINE 2.5 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,60505-3111-0,OLANZAPINE 5 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,60505-3112-0,OLANZAPINE 7.5 MG TABLET,1.31,0.77,0.16,1.18,23
CDM,60505-3113-0,OLANZAPINE 10 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,60505-3114-0,OLANZAPINE 15 MG TABLET,2.08,1.23,0.25,1.87,23
CDM,60505-3130-1,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,60505-3170-7,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE,3.74,2.21,0.45,3.37,23
CDM,60505-3246-3,FAMCICLOVIR 250 MG TABLET,2.45,1.45,0.3,2.21,23
CDM,60505-3247-3,FAMCICLOVIR 500 MG TABLET,5.37,3.17,0.65,4.83,23
CDM,60505-3250-6,LAMIVUDINE 100 MG TABLET,36.76,21.69,4.47,33.08,23
CDM,60505-3251-6,LAMIVUDINE 150 MG TABLET,17.28,10.2,2.1,15.55,23
CDM,60505-3275-0,OLANZAPINE 5 MG DISINTEGRATING TABLET,8.23,4.86,1.0,7.41,23
CDM,60505-3275-3,OLANZAPINE 5 MG DISINTEGRATING TABLET,3.94,2.32,0.48,3.55,23
CDM,60505-3276-0,OLANZAPINE 10 MG DISINTEGRATING TABLET,5.88,3.47,0.72,5.29,23
CDM,60505-3276-3,OLANZAPINE 10 MG DISINTEGRATING TABLET,5.79,3.42,0.7,5.21,23
CDM,60505-3277-0,OLANZAPINE 15 MG DISINTEGRATING TABLET,17.92,10.57,2.18,16.13,23
CDM,60505-3277-3,OLANZAPINE 15 MG DISINTEGRATING TABLET,8.54,5.04,1.04,7.69,23
CDM,60505-3278-0,OLANZAPINE 20 MG DISINTEGRATING TABLET,23.69,13.98,2.88,21.32,23
CDM,60505-3278-3,OLANZAPINE 20 MG DISINTEGRATING TABLET,11.29,6.66,1.37,10.16,23
CDM,60505-3285-6,RILUZOLE 50 MG TABLET,12.21,7.2,1.49,10.99,23
CDM,60505-3438-3,SELEGILINE 5 MG TABLET,5.32,3.14,0.65,4.79,23
CDM,60505-3438-8,SELEGILINE 5 MG TABLET,6.16,3.63,0.75,5.54,23
CDM,60505-3630-6,DASATINIB 70 MG TABLET,878.69,518.43,106.89,790.82,23
CDM,60505-3675-3,"PAROXETINE ER 37.5 MG TABLET,EXTENDED RELEASE 24 HR",10.17,6.0,1.24,9.15,23
CDM,60505-3927-1,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",1.94,1.14,0.24,1.75,23
CDM,60505-3928-1,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",1.94,1.14,0.24,1.75,23
CDM,60505-3929-1,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",1.94,1.14,0.24,1.75,23
CDM,60505-3930-1,"GUANFACINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",1.94,1.14,0.24,1.75,23
CDM,60505-3947-3,ADEFOVIR 10 MG TABLET,112.58,66.42,13.69,101.32,23
CDM,60505-4327-1,ABIRATERONE 250 MG TABLET,38.4,22.66,4.67,34.56,23
CDM,60505-4373-3,VILAZODONE 20 MG TABLET,23.53,13.88,2.86,21.18,23
CDM,60505-4374-3,VILAZODONE 40 MG TABLET,705.75,416.39,85.85,635.18,23
CDM,60505-4632-3,CYCLOSPORINE MODIFIED 100 MG CAPSULE,20.26,11.95,2.46,18.23,23
CDM,60505-4642-3,PRASUGREL HCL 5 MG TABLET,2.25,1.33,0.27,2.03,23
CDM,60505-4643-3,PRASUGREL HCL 10 MG TABLET,3.3,1.95,0.4,2.97,23
CDM,60505-4702-3,SOLIFENACIN 5 MG TABLET,3.2,1.89,0.39,2.88,23
CDM,60505-4756-1,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,16.31,9.62,1.98,14.68,23
CDM,60505-4764-6,ABIRATERONE 500 MG TABLET,381.24,224.93,46.38,343.12,23
CDM,60505-4773-3,VILAZODONE 20 MG TABLET,23.66,13.96,2.88,21.29,23
CDM,60505-4779-7,PAZOPANIB 200 MG TABLET,376.18,221.95,45.76,338.56,23
CDM,60505-5306-1,ACYCLOVIR 400 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,60505-5307-1,ACYCLOVIR 800 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,60505-6050-4,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,276.45,163.11,33.63,248.81,23
CDM,60505-6097-0,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,378.75,223.46,46.07,340.88,23
CDM,60505-6098-0,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,87.55,51.65,10.65,78.8,23
CDM,60505-6098-1,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,87.55,51.65,10.65,78.8,23
CDM,60505-6101-4,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,2046.0,1207.14,248.89,1841.4,23
CDM,60505-6116-0,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,37.35,22.04,4.54,33.62,23
CDM,60505-6128-0,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,22.35,13.19,2.72,20.12,23
CDM,60505-6128-1,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,27.1,15.99,3.3,24.39,23
CDM,60505-6129-2,BUDESONIDE 32 MCG/ACTUATION NASAL SPRAY,54.72,32.28,6.66,49.25,23
CDM,60505-6130-0,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.38,0.81,0.17,1.24,23
CDM,60505-6130-5,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,1.38,0.81,0.17,1.24,23
CDM,60505-6132-6,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,24.3,14.34,2.96,21.87,23
CDM,60505-6132-7,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,40.9,24.13,4.98,36.81,23
CDM,60505-6142-0,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,4.39,2.59,0.53,3.95,23
CDM,60505-6142-5,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,4.39,2.59,0.53,3.95,23
CDM,60505-6144-0,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,11.38,6.71,1.38,10.24,23
CDM,60505-6144-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,11.38,6.71,1.38,10.24,23
CDM,60505-6145-0,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,21.34,12.59,2.6,19.21,23
CDM,60505-6145-4,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,21.34,12.59,2.6,19.21,23
CDM,60505-6146-0,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,11.4,6.73,1.39,10.26,23
CDM,60505-6146-4,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,11.38,6.71,1.38,10.24,23
CDM,60505-6147-0,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,21.35,12.6,2.6,19.22,23
CDM,60505-6147-4,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,21.34,12.59,2.6,19.21,23
CDM,60505-6148-0,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,5.0,2.95,0.61,4.5,23
CDM,60505-6148-4,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,5.29,3.12,0.64,4.76,23
CDM,60505-6149-0,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,9.1,5.37,1.11,8.19,23
CDM,60505-6149-4,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,9.1,5.37,1.11,8.19,23
CDM,60505-6151-4,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,3.7,2.18,0.45,3.33,23
CDM,60505-6152-4,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,4.4,2.6,0.54,3.96,23
CDM,60505-6156-0,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,13.36,7.88,1.63,12.02,23
CDM,60505-6156-4,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,13.36,7.88,1.63,12.02,23
CDM,60505-6157-0,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,10.83,6.39,1.32,9.75,23
CDM,60505-6157-4,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,10.83,6.39,1.32,9.75,23
CDM,60505-6159-0,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,23.39,13.8,2.85,21.05,23
CDM,60505-6159-4,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,23.39,13.8,2.85,21.05,23
CDM,60505-6169-0,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",12.45,7.35,1.51,11.21,23
CDM,60505-6169-1,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",12.45,7.35,1.51,11.21,23
CDM,60505-6184-6,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,851.4,502.33,103.57,766.26,23
CDM,60505-6193-1,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,41.45,24.46,5.04,37.31,23
CDM,60505-6196-0,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,117.49,69.32,14.29,105.74,23
CDM,60505-6196-4,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,117.49,69.32,14.29,105.74,23
CDM,60505-6202-1,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,60505-6202-2,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,60505-6225-0,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-6226-2,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60505-6228-0,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,6450.5,3805.8,784.67,5805.45,23
CDM,60505-6230-4,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,6676.2,3938.96,812.12,6008.58,23
CDM,60505-6236-0,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,47.57,28.07,5.79,42.81,23
CDM,60505-6236-6,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,47.57,28.07,5.79,42.81,23
CDM,60505-6271-1,AZACITIDINE 100 MG SOLUTION FOR INJECTION,124.75,73.6,15.18,112.28,23
CDM,60505-6272-1,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,27.1,15.99,3.3,24.39,23
CDM,60505-6277-0,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,138.25,81.57,16.82,124.43,23
CDM,60505-6282-1,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,27.4,16.17,3.33,24.66,23
CDM,60505-6282-7,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,253.5,149.57,30.84,228.15,23
CDM,60505-6287-2,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,24.3,14.34,2.96,21.87,23
CDM,60505-6287-4,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,40.9,24.13,4.98,36.81,23
CDM,60505-7061-0,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,8.55,5.04,1.04,7.7,23
CDM,60505-7062-0,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,8.55,5.04,1.04,7.7,23
CDM,60505-7063-0,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,8.55,5.04,1.04,7.7,23
CDM,60505-7088-0,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,8.55,5.04,1.04,7.7,23
CDM,60505-7089-0,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,8.55,5.04,1.04,7.7,23
CDM,60505-7090-0,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,8.55,5.04,1.04,7.7,23
CDM,6056906404,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-200 MG/5 ML ORAL LIQUID,34.96,20.63,4.25,31.46,23
CDM,6056949412,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.57,0.34,0.07,0.51,23
CDM,6056949501,MAGNESIUM 84.5 MG (AS MAGNESIUM OXIDE 140 MG) CAPSULE,0.62,0.37,0.08,0.56,23
CDM,60635-118-01,POLIDOCANOL 1 % INTRAVENOUS FOAM,17474.85,10310.16,2125.72,15727.37,23
CDM,60687-103-25,FAMCICLOVIR 500 MG TABLET,10.67,6.3,1.3,9.6,23
CDM,60687-103-95,FAMCICLOVIR 500 MG TABLET,10.67,6.3,1.3,9.6,23
CDM,60687-105-11,MEDROXYPROGESTERONE 10 MG TABLET,5.59,3.3,0.68,5.03,23
CDM,60687-105-21,MEDROXYPROGESTERONE 10 MG TABLET,5.59,3.3,0.68,5.03,23
CDM,60687-112-11,ANASTROZOLE 1 MG TABLET,3.63,2.14,0.44,3.27,23
CDM,60687-112-21,ANASTROZOLE 1 MG TABLET,3.63,2.14,0.44,3.27,23
CDM,60687-113-01,CLONIDINE HCL 0.1 MG TABLET,1.22,0.72,0.15,1.1,23
CDM,60687-113-11,CLONIDINE HCL 0.1 MG TABLET,1.22,0.72,0.15,1.1,23
CDM,60687-122-01,PREDNISONE 5 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,60687-122-11,PREDNISONE 5 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,60687-124-01,CLONIDINE HCL 0.2 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,60687-124-11,CLONIDINE HCL 0.2 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,60687-129-01,DOCUSATE SODIUM 100 MG CAPSULE,0.83,0.49,0.1,0.75,23
CDM,60687-129-11,DOCUSATE SODIUM 100 MG CAPSULE,0.83,0.49,0.1,0.75,23
CDM,60687-134-01,PREDNISONE 10 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,60687-134-11,PREDNISONE 10 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,60687-143-01,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,60687-143-11,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,60687-145-01,PREDNISONE 20 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,60687-145-11,PREDNISONE 20 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,60687-149-11,CAPECITABINE 500 MG TABLET,57.6,33.98,7.01,51.84,23
CDM,60687-149-94,CAPECITABINE 500 MG TABLET,57.6,33.98,7.01,51.84,23
CDM,60687-152-01,CEPHALEXIN 250 MG CAPSULE,1.3,0.77,0.16,1.17,23
CDM,60687-152-11,CEPHALEXIN 250 MG CAPSULE,1.3,0.77,0.16,1.17,23
CDM,60687-155-01,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,60687-155-11,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,60687-156-25,PHENYTOIN 50 MG CHEWABLE TABLET,5.97,3.52,0.73,5.37,23
CDM,60687-156-95,PHENYTOIN 50 MG CHEWABLE TABLET,5.97,3.52,0.73,5.37,23
CDM,60687-157-11,ARIPIPRAZOLE 2 MG TABLET,43.06,25.41,5.24,38.75,23
CDM,60687-157-21,ARIPIPRAZOLE 2 MG TABLET,43.06,25.41,5.24,38.75,23
CDM,60687-161-01,HALOPERIDOL 5 MG TABLET,3.19,1.88,0.39,2.87,23
CDM,60687-161-11,HALOPERIDOL 5 MG TABLET,3.19,1.88,0.39,2.87,23
CDM,60687-162-01,"METFORMIN 1,000 MG TABLET",0.81,0.48,0.1,0.73,23
CDM,60687-162-11,"METFORMIN 1,000 MG TABLET",0.81,0.48,0.1,0.73,23
CDM,60687-163-01,CEPHALEXIN 500 MG CAPSULE,1.22,0.72,0.15,1.1,23
CDM,60687-163-11,CEPHALEXIN 500 MG CAPSULE,1.22,0.72,0.15,1.1,23
CDM,60687-168-01,ARIPIPRAZOLE 5 MG TABLET,37.86,22.34,4.61,34.07,23
CDM,60687-168-11,ARIPIPRAZOLE 5 MG TABLET,37.86,22.34,4.61,34.07,23
CDM,60687-173-57,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.51,0.89,0.18,1.36,23
CDM,60687-179-01,ARIPIPRAZOLE 10 MG TABLET,22.73,13.41,2.76,20.46,23
CDM,60687-179-11,ARIPIPRAZOLE 10 MG TABLET,22.73,13.41,2.76,20.46,23
CDM,60687-184-11,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,1.52,0.9,0.18,1.37,23
CDM,60687-184-57,MEMANTINE IMMEDIATE RELEASE 10 MG TABLET,1.52,0.9,0.18,1.37,23
CDM,60687-188-11,ENTACAPONE 200 MG TABLET,16.47,9.72,2.0,14.82,23
CDM,60687-188-21,ENTACAPONE 200 MG TABLET,16.47,9.72,2.0,14.82,23
CDM,60687-191-11,ARIPIPRAZOLE 15 MG TABLET,37.72,22.25,4.59,33.95,23
CDM,60687-191-21,ARIPIPRAZOLE 15 MG TABLET,37.72,22.25,4.59,33.95,23
CDM,60687-195-01,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",3.71,2.19,0.45,3.34,23
CDM,60687-195-11,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",3.71,2.19,0.45,3.34,23
CDM,60687-206-01,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",3.71,2.19,0.45,3.34,23
CDM,60687-206-11,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",3.71,2.19,0.45,3.34,23
CDM,60687-215-11,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",7.97,4.7,0.97,7.17,23
CDM,60687-216-25,ENTECAVIR 0.5 MG TABLET,74.31,43.84,9.04,66.88,23
CDM,60687-216-95,ENTECAVIR 0.5 MG TABLET,74.31,43.84,9.04,66.88,23
CDM,60687-217-01,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",2.37,1.4,0.29,2.13,23
CDM,60687-217-11,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",2.37,1.4,0.29,2.13,23
CDM,60687-224-01,GEMFIBROZIL 600 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,60687-226-01,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",10.57,6.24,1.29,9.51,23
CDM,60687-226-11,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",10.57,6.24,1.29,9.51,23
CDM,60687-227-11,LEUCOVORIN CALCIUM 25 MG TABLET,35.23,20.79,4.29,31.71,23
CDM,60687-227-94,LEUCOVORIN CALCIUM 25 MG TABLET,35.23,20.79,4.29,31.71,23
CDM,60687-228-01,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",7.33,4.32,0.89,6.6,23
CDM,60687-228-11,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",7.33,4.32,0.89,6.6,23
CDM,60687-229-01,LOPERAMIDE 2 MG CAPSULE,2.7,1.59,0.33,2.43,23
CDM,60687-229-11,LOPERAMIDE 2 MG CAPSULE,2.7,1.59,0.33,2.43,23
CDM,60687-230-01,ZONISAMIDE 100 MG CAPSULE,2.21,1.3,0.27,1.99,23
CDM,60687-230-11,ZONISAMIDE 100 MG CAPSULE,2.21,1.3,0.27,1.99,23
CDM,60687-231-01,SERTRALINE 25 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,60687-231-11,SERTRALINE 25 MG TABLET,1.3,0.77,0.16,1.17,23
CDM,60687-234-01,ROSUVASTATIN 5 MG TABLET,5.05,2.98,0.61,4.55,23
CDM,60687-234-11,ROSUVASTATIN 5 MG TABLET,5.05,2.98,0.61,4.55,23
CDM,60687-242-01,SERTRALINE 50 MG TABLET,1.52,0.9,0.18,1.37,23
CDM,60687-242-11,SERTRALINE 50 MG TABLET,1.52,0.9,0.18,1.37,23
CDM,60687-245-01,ROSUVASTATIN 10 MG TABLET,5.6,3.3,0.68,5.04,23
CDM,60687-245-11,ROSUVASTATIN 10 MG TABLET,5.6,3.3,0.68,5.04,23
CDM,60687-249-40,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,19.18,11.32,2.33,17.26,23
CDM,60687-249-46,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,19.18,11.32,2.33,17.26,23
CDM,60687-249-67,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,19.18,11.32,2.33,17.26,23
CDM,60687-252-40,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,49.48,29.19,6.02,44.53,23
CDM,60687-252-86,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,49.48,29.19,6.02,44.53,23
CDM,60687-253-01,SERTRALINE 100 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,60687-253-11,SERTRALINE 100 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,60687-256-01,ROSUVASTATIN 20 MG TABLET,5.57,3.29,0.68,5.01,23
CDM,60687-256-11,ROSUVASTATIN 20 MG TABLET,5.57,3.29,0.68,5.01,23
CDM,60687-266-11,RALOXIFENE 60 MG TABLET,22.81,13.46,2.77,20.53,23
CDM,60687-266-21,RALOXIFENE 60 MG TABLET,22.81,13.46,2.77,20.53,23
CDM,60687-272-11,CEFUROXIME AXETIL 250 MG TABLET,14.94,8.81,1.82,13.45,23
CDM,60687-272-94,CEFUROXIME AXETIL 250 MG TABLET,14.94,8.81,1.82,13.45,23
CDM,60687-275-62,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,22.82,13.46,2.78,20.54,23
CDM,60687-275-66,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,22.82,13.46,2.78,20.54,23
CDM,60687-292-01,DONEPEZIL 5 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,60687-292-11,DONEPEZIL 5 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,60687-303-01,DONEPEZIL 10 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,60687-303-11,DONEPEZIL 10 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,60687-304-11,CAPTOPRIL 12.5 MG TABLET,5.58,3.29,0.68,5.02,23
CDM,60687-304-21,CAPTOPRIL 12.5 MG TABLET,5.58,3.29,0.68,5.02,23
CDM,60687-315-11,CAPTOPRIL 25 MG TABLET,6.09,3.59,0.74,5.48,23
CDM,60687-315-21,CAPTOPRIL 25 MG TABLET,6.09,3.59,0.74,5.48,23
CDM,60687-317-25,CHLORTHALIDONE 25 MG TABLET,7.57,4.47,0.92,6.81,23
CDM,60687-317-95,CHLORTHALIDONE 25 MG TABLET,7.57,4.47,0.92,6.81,23
CDM,60687-319-11,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",25.6,15.1,3.11,23.04,23
CDM,60687-319-21,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",25.6,15.1,3.11,23.04,23
CDM,60687-325-01,LISINOPRIL 10 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,60687-325-11,LISINOPRIL 10 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,60687-326-25,ATOMOXETINE 40 MG CAPSULE,24.72,14.58,3.01,22.25,23
CDM,60687-326-95,ATOMOXETINE 40 MG CAPSULE,24.72,14.58,3.01,22.25,23
CDM,60687-327-01,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,60687-327-11,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,60687-328-31,SEVELAMER CARBONATE 800 MG TABLET,17.84,10.53,2.17,16.06,23
CDM,60687-328-33,SEVELAMER CARBONATE 800 MG TABLET,17.84,10.53,2.17,16.06,23
CDM,60687-333-01,LISINOPRIL 20 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,60687-333-11,LISINOPRIL 20 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,60687-336-11,MINOCYCLINE 100 MG CAPSULE,4.34,2.56,0.53,3.91,23
CDM,60687-336-65,MINOCYCLINE 100 MG CAPSULE,4.34,2.56,0.53,3.91,23
CDM,60687-338-01,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,60687-338-11,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,60687-340-01,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,4.33,2.55,0.53,3.9,23
CDM,60687-340-11,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,4.33,2.55,0.53,3.9,23
CDM,60687-345-01,CALCITRIOL 0.25 MCG CAPSULE,3.4,2.01,0.41,3.06,23
CDM,60687-345-11,CALCITRIOL 0.25 MCG CAPSULE,3.4,2.01,0.41,3.06,23
CDM,60687-349-01,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,2.44,1.44,0.3,2.2,23
CDM,60687-349-11,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,2.44,1.44,0.3,2.2,23
CDM,60687-351-01,BUPROPION HCL IMMEDIATE RELEASE 100 MG TABLET,5.92,3.49,0.72,5.33,23
CDM,60687-351-11,BUPROPION HCL IMMEDIATE RELEASE 100 MG TABLET,5.92,3.49,0.72,5.33,23
CDM,60687-360-01,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,4.84,2.86,0.59,4.36,23
CDM,60687-360-11,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,4.84,2.86,0.59,4.36,23
CDM,60687-369-01,DICYCLOMINE 10 MG CAPSULE,1.83,1.08,0.22,1.65,23
CDM,60687-369-11,DICYCLOMINE 10 MG CAPSULE,1.83,1.08,0.22,1.65,23
CDM,60687-373-21,EZETIMIBE 10 MG TABLET,41.11,24.25,5.0,37.0,23
CDM,60687-377-01,ALPRAZOLAM 0.25 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,60687-377-11,ALPRAZOLAM 0.25 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,60687-382-01,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,3.88,2.29,0.47,3.49,23
CDM,60687-382-11,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,3.88,2.29,0.47,3.49,23
CDM,60687-384-01,BUMETANIDE 1 MG TABLET,4.98,2.94,0.61,4.48,23
CDM,60687-384-11,BUMETANIDE 1 MG TABLET,4.98,2.94,0.61,4.48,23
CDM,60687-387-01,MIDODRINE 2.5 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,60687-387-11,MIDODRINE 2.5 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,60687-388-01,ALPRAZOLAM 0.5 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,60687-388-11,ALPRAZOLAM 0.5 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,60687-390-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.31,1.95,0.4,2.98,23
CDM,60687-390-11,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.31,1.95,0.4,2.98,23
CDM,60687-391-01,PIOGLITAZONE 15 MG TABLET,3.88,2.29,0.47,3.49,23
CDM,60687-391-11,PIOGLITAZONE 15 MG TABLET,3.88,2.29,0.47,3.49,23
CDM,60687-394-79,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.4,0.83,0.17,1.26,23
CDM,60687-394-83,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.4,0.83,0.17,1.26,23
CDM,60687-395-79,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.34,0.79,0.16,1.21,23
CDM,60687-395-83,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.34,0.79,0.16,1.21,23
CDM,60687-397-25,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",37.48,22.11,4.56,33.73,23
CDM,60687-397-95,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",37.48,22.11,4.56,33.73,23
CDM,60687-398-01,MIDODRINE 5 MG TABLET,3.46,2.04,0.42,3.11,23
CDM,60687-398-11,MIDODRINE 5 MG TABLET,3.46,2.04,0.42,3.11,23
CDM,60687-402-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.89,2.3,0.47,3.5,23
CDM,60687-402-11,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.89,2.3,0.47,3.5,23
CDM,60687-402-65,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.29,1.94,0.4,2.96,23
CDM,60687-404-01,CLOZAPINE 25 MG TABLET,3.02,1.78,0.37,2.72,23
CDM,60687-404-11,CLOZAPINE 25 MG TABLET,3.02,1.78,0.37,2.72,23
CDM,60687-405-79,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.99,1.76,0.36,2.69,23
CDM,60687-405-83,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.99,1.76,0.36,2.69,23
CDM,60687-413-01,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",5.56,3.28,0.68,5.0,23
CDM,60687-413-11,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",5.56,3.28,0.68,5.0,23
CDM,60687-415-01,CLOZAPINE 100 MG TABLET,7.7,4.54,0.94,6.93,23
CDM,60687-415-11,CLOZAPINE 100 MG TABLET,7.7,4.54,0.94,6.93,23
CDM,60687-417-44,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,18.9,11.15,2.3,17.01,23
CDM,60687-417-71,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,18.9,11.15,2.3,17.01,23
CDM,60687-419-01,CHLORPROMAZINE 10 MG TABLET,14.78,8.72,1.8,13.3,23
CDM,60687-419-11,CHLORPROMAZINE 10 MG TABLET,14.78,8.72,1.8,13.3,23
CDM,60687-423-11,CLOBAZAM 10 MG TABLET,10.4,6.14,1.27,9.36,23
CDM,60687-423-21,CLOBAZAM 10 MG TABLET,10.4,6.14,1.27,9.36,23
CDM,60687-426-01,CLOZAPINE 200 MG TABLET,12.24,7.22,1.49,11.02,23
CDM,60687-426-11,CLOZAPINE 200 MG TABLET,12.24,7.22,1.49,11.02,23
CDM,60687-428-01,FINASTERIDE 5 MG TABLET,4.15,2.45,0.5,3.74,23
CDM,60687-428-11,FINASTERIDE 5 MG TABLET,4.15,2.45,0.5,3.74,23
CDM,60687-428-65,FINASTERIDE 5 MG TABLET,3.0,1.77,0.36,2.7,23
CDM,60687-429-45,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,9.15,5.4,1.11,8.24,23
CDM,60687-429-76,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,9.15,5.4,1.11,8.24,23
CDM,60687-430-01,CHLORPROMAZINE 25 MG TABLET,20.42,12.05,2.48,18.38,23
CDM,60687-430-11,CHLORPROMAZINE 25 MG TABLET,20.42,12.05,2.48,18.38,23
CDM,60687-431-92,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.4,3.78,0.78,5.76,23
CDM,60687-431-99,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.4,3.78,0.78,5.76,23
CDM,60687-433-01,AMITRIPTYLINE 25 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,60687-433-11,AMITRIPTYLINE 25 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,60687-436-01,CELECOXIB 100 MG CAPSULE,3.66,2.16,0.45,3.29,23
CDM,60687-436-11,CELECOXIB 100 MG CAPSULE,3.66,2.16,0.45,3.29,23
CDM,60687-437-01,AMIODARONE 200 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,60687-437-11,AMIODARONE 200 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,60687-438-01,MYCOPHENOLATE MOFETIL 500 MG TABLET,2.95,1.74,0.36,2.66,23
CDM,60687-438-11,MYCOPHENOLATE MOFETIL 500 MG TABLET,2.95,1.74,0.36,2.66,23
CDM,60687-439-01,LABETALOL 100 MG TABLET,1.33,0.78,0.16,1.2,23
CDM,60687-439-11,LABETALOL 100 MG TABLET,1.33,0.78,0.16,1.2,23
CDM,60687-441-01,CHLORPROMAZINE 50 MG TABLET,33.9,20.0,4.12,30.51,23
CDM,60687-441-11,CHLORPROMAZINE 50 MG TABLET,33.9,20.0,4.12,30.51,23
CDM,60687-443-01,TRAZODONE 50 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,60687-443-11,TRAZODONE 50 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,60687-444-01,AMITRIPTYLINE 50 MG TABLET,2.68,1.58,0.33,2.41,23
CDM,60687-444-11,AMITRIPTYLINE 50 MG TABLET,2.68,1.58,0.33,2.41,23
CDM,60687-446-01,IBUPROFEN 400 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,60687-446-11,IBUPROFEN 400 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,60687-447-01,CELECOXIB 200 MG CAPSULE,8.09,4.77,0.98,7.28,23
CDM,60687-447-11,CELECOXIB 200 MG CAPSULE,8.09,4.77,0.98,7.28,23
CDM,60687-449-01,SEVELAMER HCL 800 MG TABLET,34.27,20.22,4.17,30.84,23
CDM,60687-450-01,LABETALOL 200 MG TABLET,1.81,1.07,0.22,1.63,23
CDM,60687-450-11,LABETALOL 200 MG TABLET,1.81,1.07,0.22,1.63,23
CDM,60687-453-01,LEVOTHYROXINE 25 MCG TABLET,1.66,0.98,0.2,1.49,23
CDM,60687-453-11,LEVOTHYROXINE 25 MCG TABLET,1.66,0.98,0.2,1.49,23
CDM,60687-454-01,TRAZODONE 100 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,60687-454-11,TRAZODONE 100 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,60687-457-01,IBUPROFEN 600 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,60687-457-11,IBUPROFEN 600 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,60687-459-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",66.61,39.3,8.1,59.95,23
CDM,60687-459-11,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",66.61,39.3,8.1,59.95,23
CDM,60687-461-01,LABETALOL 300 MG TABLET,2.85,1.68,0.35,2.57,23
CDM,60687-461-11,LABETALOL 300 MG TABLET,2.85,1.68,0.35,2.57,23
CDM,60687-462-11,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",23.49,13.86,2.86,21.14,23
CDM,60687-462-21,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",23.49,13.86,2.86,21.14,23
CDM,60687-464-01,LEVOTHYROXINE 50 MCG TABLET,1.88,1.11,0.23,1.69,23
CDM,60687-464-11,LEVOTHYROXINE 50 MCG TABLET,1.88,1.11,0.23,1.69,23
CDM,60687-465-01,SPIRONOLACTONE 25 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,60687-465-11,SPIRONOLACTONE 25 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,60687-468-01,IBUPROFEN 800 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,60687-468-11,IBUPROFEN 800 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,60687-473-01,PREGABALIN 25 MG CAPSULE,2.17,1.28,0.26,1.95,23
CDM,60687-473-11,PREGABALIN 25 MG CAPSULE,2.17,1.28,0.26,1.95,23
CDM,60687-475-01,LEVOTHYROXINE 75 MCG TABLET,2.0,1.18,0.24,1.8,23
CDM,60687-475-11,LEVOTHYROXINE 75 MCG TABLET,2.0,1.18,0.24,1.8,23
CDM,60687-479-01,CARBAMAZEPINE 100 MG CHEWABLE TABLET,1.76,1.04,0.21,1.58,23
CDM,60687-479-11,CARBAMAZEPINE 100 MG CHEWABLE TABLET,1.76,1.04,0.21,1.58,23
CDM,60687-481-11,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,8.13,4.8,0.99,7.32,23
CDM,60687-481-21,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,8.13,4.8,0.99,7.32,23
CDM,60687-484-01,PREGABALIN 50 MG CAPSULE,2.01,1.19,0.24,1.81,23
CDM,60687-484-11,PREGABALIN 50 MG CAPSULE,2.01,1.19,0.24,1.81,23
CDM,60687-486-01,LEVOTHYROXINE 88 MCG TABLET,2.04,1.2,0.25,1.84,23
CDM,60687-486-11,LEVOTHYROXINE 88 MCG TABLET,2.04,1.2,0.25,1.84,23
CDM,60687-487-01,SPIRONOLACTONE 100 MG TABLET,2.92,1.72,0.36,2.63,23
CDM,60687-487-11,SPIRONOLACTONE 100 MG TABLET,2.92,1.72,0.36,2.63,23
CDM,60687-488-01,AMLODIPINE 5 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,60687-488-11,AMLODIPINE 5 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,60687-491-01,NAPROXEN 500 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,60687-491-11,NAPROXEN 500 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,60687-492-11,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,16.13,9.52,1.96,14.52,23
CDM,60687-492-21,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,16.13,9.52,1.96,14.52,23
CDM,60687-495-01,PREGABALIN 75 MG CAPSULE,1.95,1.15,0.24,1.76,23
CDM,60687-495-11,PREGABALIN 75 MG CAPSULE,1.95,1.15,0.24,1.76,23
CDM,60687-497-01,LEVOTHYROXINE 100 MCG TABLET,2.15,1.27,0.26,1.94,23
CDM,60687-497-11,LEVOTHYROXINE 100 MCG TABLET,2.15,1.27,0.26,1.94,23
CDM,60687-506-01,PREGABALIN 100 MG CAPSULE,2.1,1.24,0.26,1.89,23
CDM,60687-506-11,PREGABALIN 100 MG CAPSULE,2.1,1.24,0.26,1.89,23
CDM,60687-507-01,GABAPENTIN 600 MG TABLET,2.61,1.54,0.32,2.35,23
CDM,60687-507-11,GABAPENTIN 600 MG TABLET,2.61,1.54,0.32,2.35,23
CDM,60687-508-01,LEVOTHYROXINE 112 MCG TABLET,2.39,1.41,0.29,2.15,23
CDM,60687-508-11,LEVOTHYROXINE 112 MCG TABLET,2.39,1.41,0.29,2.15,23
CDM,60687-517-01,PREGABALIN 150 MG CAPSULE,3.82,2.25,0.46,3.44,23
CDM,60687-517-11,PREGABALIN 150 MG CAPSULE,3.82,2.25,0.46,3.44,23
CDM,60687-518-01,GABAPENTIN 800 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,60687-518-11,GABAPENTIN 800 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,60687-519-01,LEVOTHYROXINE 125 MCG TABLET,2.52,1.49,0.31,2.27,23
CDM,60687-519-11,LEVOTHYROXINE 125 MCG TABLET,2.52,1.49,0.31,2.27,23
CDM,60687-523-11,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",171.87,101.4,20.91,154.68,23
CDM,60687-523-21,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",171.87,101.4,20.91,154.68,23
CDM,60687-524-79,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,37.33,22.02,4.54,33.6,23
CDM,60687-524-83,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,37.33,22.02,4.54,33.6,23
CDM,60687-526-01,METRONIDAZOLE 250 MG TABLET,1.58,0.93,0.19,1.42,23
CDM,60687-526-11,METRONIDAZOLE 250 MG TABLET,1.58,0.93,0.19,1.42,23
CDM,60687-527-11,URSODIOL 250 MG TABLET,16.13,9.52,1.96,14.52,23
CDM,60687-527-21,URSODIOL 250 MG TABLET,16.13,9.52,1.96,14.52,23
CDM,60687-528-11,CIPROFLOXACIN 250 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,60687-530-01,LEVOTHYROXINE 150 MCG TABLET,2.64,1.56,0.32,2.38,23
CDM,60687-530-11,LEVOTHYROXINE 150 MCG TABLET,2.64,1.56,0.32,2.38,23
CDM,60687-534-40,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,136.58,80.58,16.61,122.92,23
CDM,60687-534-78,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,136.58,80.58,16.61,122.92,23
CDM,60687-538-21,FEBUXOSTAT 40 MG TABLET,10.0,5.9,1.22,9.0,23
CDM,60687-549-11,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",6.45,3.81,0.78,5.81,23
CDM,60687-549-21,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",6.45,3.81,0.78,5.81,23
CDM,60687-550-01,METRONIDAZOLE 500 MG TABLET,2.34,1.38,0.28,2.11,23
CDM,60687-550-11,METRONIDAZOLE 500 MG TABLET,2.34,1.38,0.28,2.11,23
CDM,60687-552-01,LEVOTHYROXINE 200 MCG TABLET,3.76,2.22,0.46,3.38,23
CDM,60687-552-11,LEVOTHYROXINE 200 MCG TABLET,3.76,2.22,0.46,3.38,23
CDM,60687-556-32,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),31.98,18.87,3.89,28.78,23
CDM,60687-556-33,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),31.98,18.87,3.89,28.78,23
CDM,60687-558-01,CYCLOBENZAPRINE 10 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,60687-558-11,CYCLOBENZAPRINE 10 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,60687-559-01,METHOCARBAMOL 500 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,60687-568-01,METHOCARBAMOL 750 MG TABLET,1.24,0.73,0.15,1.12,23
CDM,60687-575-11,RIFAMPIN 150 MG CAPSULE,14.68,8.66,1.79,13.21,23
CDM,60687-575-21,RIFAMPIN 150 MG CAPSULE,14.68,8.66,1.79,13.21,23
CDM,60687-576-03,MIDAZOLAM 2 MG/ML ORAL SYRUP,21.23,12.53,2.58,19.11,23
CDM,60687-576-10,MIDAZOLAM 2 MG/ML ORAL SYRUP,21.23,12.53,2.58,19.11,23
CDM,60687-576-40,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,24.55,14.48,2.99,22.1,23
CDM,60687-576-86,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,24.55,14.48,2.99,22.1,23
CDM,60687-577-01,ROPINIROLE 0.25 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,60687-577-11,ROPINIROLE 0.25 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,60687-578-11,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",18.19,10.73,2.21,16.37,23
CDM,60687-578-21,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",18.19,10.73,2.21,16.37,23
CDM,60687-579-01,HYDROMORPHONE 2 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,60687-579-11,HYDROMORPHONE 2 MG TABLET,1.38,0.81,0.17,1.24,23
CDM,60687-580-01,GABAPENTIN 100 MG CAPSULE,0.58,0.34,0.07,0.52,23
CDM,60687-580-11,GABAPENTIN 100 MG CAPSULE,0.58,0.34,0.07,0.52,23
CDM,60687-582-11,HYDROCORTISONE 10 MG TABLET,7.69,4.54,0.94,6.92,23
CDM,60687-583-11,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",13.45,7.94,1.64,12.11,23
CDM,60687-583-21,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",13.45,7.94,1.64,12.11,23
CDM,60687-584-11,MIRTAZAPINE 7.5 MG TABLET,13.12,7.74,1.6,11.81,23
CDM,60687-586-01,RIFAMPIN 300 MG CAPSULE,7.44,4.39,0.91,6.7,23
CDM,60687-586-11,RIFAMPIN 300 MG CAPSULE,7.44,4.39,0.91,6.7,23
CDM,60687-587-01,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,60687-587-11,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,60687-588-01,ROPINIROLE 1 MG TABLET,1.57,0.93,0.19,1.41,23
CDM,60687-588-11,ROPINIROLE 1 MG TABLET,1.57,0.93,0.19,1.41,23
CDM,60687-590-01,HYDROMORPHONE 4 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,60687-590-11,HYDROMORPHONE 4 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,60687-591-01,GABAPENTIN 300 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,60687-591-11,GABAPENTIN 300 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,60687-593-01,HYDROCHLOROTHIAZIDE 25 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,60687-593-11,HYDROCHLOROTHIAZIDE 25 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,60687-594-11,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",26.74,15.78,3.25,24.07,23
CDM,60687-594-21,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",26.74,15.78,3.25,24.07,23
CDM,60687-595-01,FAMOTIDINE 20 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,60687-595-11,FAMOTIDINE 20 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,60687-598-01,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,60687-598-11,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,60687-602-01,GABAPENTIN 400 MG CAPSULE,0.78,0.46,0.09,0.7,23
CDM,60687-602-11,GABAPENTIN 400 MG CAPSULE,0.78,0.46,0.09,0.7,23
CDM,60687-607-11,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",8.57,5.06,1.04,7.71,23
CDM,60687-607-21,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",8.57,5.06,1.04,7.71,23
CDM,60687-609-01,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,2.44,1.44,0.3,2.2,23
CDM,60687-609-11,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,2.44,1.44,0.3,2.2,23
CDM,60687-610-11,FLUCYTOSINE 500 MG CAPSULE,465.89,274.88,56.67,419.3,23
CDM,60687-610-21,FLUCYTOSINE 500 MG CAPSULE,465.89,274.88,56.67,419.3,23
CDM,60687-614-11,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,1.21,0.71,0.15,1.09,23
CDM,60687-618-21,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,4.92,2.9,0.6,4.43,23
CDM,60687-620-01,METOCLOPRAMIDE 5 MG TABLET,2.66,1.57,0.32,2.39,23
CDM,60687-620-11,METOCLOPRAMIDE 5 MG TABLET,2.66,1.57,0.32,2.39,23
CDM,60687-622-11,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,60687-626-65,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,11.69,6.9,1.42,10.52,23
CDM,60687-631-01,METOCLOPRAMIDE 10 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,60687-631-11,METOCLOPRAMIDE 10 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,60687-637-65,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,15.69,9.26,1.91,14.12,23
CDM,60687-648-11,VARENICLINE TARTRATE 1 MG TABLET,51.79,30.56,6.3,46.61,23
CDM,60687-648-21,VARENICLINE TARTRATE 1 MG TABLET,51.79,30.56,6.3,46.61,23
CDM,60687-656-11,LISINOPRIL 2.5 MG TABLET,2.21,1.3,0.27,1.99,23
CDM,60687-656-21,LISINOPRIL 2.5 MG TABLET,2.21,1.3,0.27,1.99,23
CDM,60687-657-01,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,60687-657-11,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,60687-658-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",2.39,1.41,0.29,2.15,23
CDM,60687-661-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,1.36,0.8,0.17,1.22,23
CDM,60687-661-11,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,1.36,0.8,0.17,1.22,23
CDM,60687-667-01,LISINOPRIL 5 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,60687-667-11,LISINOPRIL 5 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,60687-669-01,METHIMAZOLE 5 MG TABLET,2.16,1.27,0.26,1.94,23
CDM,60687-669-11,METHIMAZOLE 5 MG TABLET,2.16,1.27,0.26,1.94,23
CDM,60687-671-40,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,20.55,12.12,2.5,18.5,23
CDM,60687-672-11,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.28,3.12,0.64,4.75,23
CDM,60687-672-65,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.28,3.12,0.64,4.75,23
CDM,60687-675-11,HYDROXYZINE HCL 25 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,60687-676-11,LACOSAMIDE 50 MG TABLET,9.05,5.34,1.1,8.15,23
CDM,60687-677-11,ALLOPURINOL 100 MG TABLET,1.91,1.13,0.23,1.72,23
CDM,60687-678-11,LISINOPRIL 40 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,60687-680-01,METHIMAZOLE 10 MG TABLET,2.93,1.73,0.36,2.64,23
CDM,60687-680-11,METHIMAZOLE 10 MG TABLET,2.93,1.73,0.36,2.64,23
CDM,60687-681-01,FOLIC ACID 1 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,60687-681-11,FOLIC ACID 1 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,60687-687-11,LACOSAMIDE 100 MG TABLET,14.15,8.35,1.72,12.74,23
CDM,60687-688-01,ALLOPURINOL 300 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,60687-688-11,ALLOPURINOL 300 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,60687-691-01,DEMECLOCYCLINE 150 MG TABLET,27.74,16.37,3.37,24.97,23
CDM,60687-691-11,DEMECLOCYCLINE 150 MG TABLET,27.74,16.37,3.37,24.97,23
CDM,60687-693-01,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,60687-693-11,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,60687-694-11,METHENAMINE HIPPURATE 1 GRAM TABLET,9.11,5.37,1.11,8.2,23
CDM,60687-694-21,METHENAMINE HIPPURATE 1 GRAM TABLET,9.11,5.37,1.11,8.2,23
CDM,60687-704-11,LAMOTRIGINE 200 MG TABLET,2.04,1.2,0.25,1.84,23
CDM,60687-710-11,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,12.75,7.52,1.55,11.48,23
CDM,60687-710-21,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,12.75,7.52,1.55,11.48,23
CDM,60687-711-01,OXCARBAZEPINE 150 MG TABLET,1.84,1.09,0.22,1.66,23
CDM,60687-711-11,OXCARBAZEPINE 150 MG TABLET,1.84,1.09,0.22,1.66,23
CDM,60687-716-11,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,4.27,2.52,0.52,3.84,23
CDM,60687-716-21,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,4.27,2.52,0.52,3.84,23
CDM,60687-717-01,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,60687-717-11,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,60687-718-01,DEXAMETHASONE 4 MG TABLET,4.63,2.73,0.56,4.17,23
CDM,60687-718-11,DEXAMETHASONE 4 MG TABLET,4.63,2.73,0.56,4.17,23
CDM,60687-720-11,LAMIVUDINE 150 MG TABLET,24.69,14.57,3.0,22.22,23
CDM,60687-721-11,DESMOPRESSIN 0.1 MG TABLET,10.09,5.95,1.23,9.08,23
CDM,60687-722-01,OXCARBAZEPINE 300 MG TABLET,2.98,1.76,0.36,2.68,23
CDM,60687-722-11,OXCARBAZEPINE 300 MG TABLET,2.98,1.76,0.36,2.68,23
CDM,60687-728-11,DILTIAZEM IMMEDIATE RELEASE 60 MG TABLET,2.34,1.38,0.28,2.11,23
CDM,60687-730-01,MECLIZINE 25 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,60687-730-11,MECLIZINE 25 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,60687-732-11,DESMOPRESSIN 0.2 MG TABLET,14.45,8.53,1.76,13.01,23
CDM,60687-732-21,DESMOPRESSIN 0.2 MG TABLET,14.45,8.53,1.76,13.01,23
CDM,60687-733-01,OXCARBAZEPINE 600 MG TABLET,5.37,3.17,0.65,4.83,23
CDM,60687-733-11,OXCARBAZEPINE 600 MG TABLET,5.37,3.17,0.65,4.83,23
CDM,60687-735-01,MISOPROSTOL 100 MCG TABLET,8.27,4.88,1.01,7.44,23
CDM,60687-735-11,MISOPROSTOL 100 MCG TABLET,8.27,4.88,1.01,7.44,23
CDM,60687-736-09,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.71,0.42,0.09,0.64,23
CDM,60687-736-11,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.71,0.42,0.09,0.64,23
CDM,60687-738-08,SUCRALFATE 100 MG/ML ORAL SUSPENSION,36.55,21.56,4.45,32.9,23
CDM,60687-738-42,SUCRALFATE 100 MG/ML ORAL SUSPENSION,36.55,21.56,4.45,32.9,23
CDM,60687-742-01,AZITHROMYCIN 250 MG TABLET,6.95,4.1,0.85,6.26,23
CDM,60687-742-11,AZITHROMYCIN 250 MG TABLET,6.95,4.1,0.85,6.26,23
CDM,60687-743-17,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.93,1.73,0.36,2.64,23
CDM,60687-743-40,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.93,1.73,0.36,2.64,23
CDM,60687-746-01,MISOPROSTOL 200 MCG TABLET,8.82,5.2,1.07,7.94,23
CDM,60687-746-11,MISOPROSTOL 200 MCG TABLET,8.82,5.2,1.07,7.94,23
CDM,60687-750-11,TRANEXAMIC ACID 650 MG TABLET,14.7,8.67,1.79,13.23,23
CDM,60687-750-21,TRANEXAMIC ACID 650 MG TABLET,14.7,8.67,1.79,13.23,23
CDM,60687-753-11,AZITHROMYCIN 500 MG TABLET,11.02,6.5,1.34,9.92,23
CDM,60687-753-21,AZITHROMYCIN 500 MG TABLET,11.02,6.5,1.34,9.92,23
CDM,60687-755-40,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",18.1,10.68,2.2,16.29,23
CDM,60687-755-86,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",18.1,10.68,2.2,16.29,23
CDM,60687-760-40,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.33,3.73,0.77,5.7,23
CDM,60687-760-86,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.33,3.73,0.77,5.7,23
CDM,60687-775-01,MECLIZINE 12.5 MG TABLET,1.95,1.15,0.24,1.76,23
CDM,60687-775-11,MECLIZINE 12.5 MG TABLET,1.95,1.15,0.24,1.76,23
CDM,60687-780-11,LURASIDONE 80 MG TABLET,20.28,11.97,2.47,18.25,23
CDM,60687-780-21,LURASIDONE 80 MG TABLET,20.28,11.97,2.47,18.25,23
CDM,60687-788-11,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,3.77,2.22,0.46,3.39,23
CDM,60687-793-11,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",10.08,5.95,1.23,9.07,23
CDM,60687-793-21,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",10.08,5.95,1.23,9.07,23
CDM,60687-795-01,TRAMADOL 50 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,60687-795-11,TRAMADOL 50 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,60687-803-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.51,17.41,3.59,26.56,23
CDM,60687-803-11,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,29.51,17.41,3.59,26.56,23
CDM,60687-822-01,HYDRALAZINE 25 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,60687-822-11,HYDRALAZINE 25 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,60687-828-42,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,10.69,6.31,1.3,9.62,23
CDM,60687-829-40,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.01,4.73,0.97,7.21,23
CDM,60687-830-42,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.84,5.22,1.08,7.96,23
CDM,60687-833-01,HYDRALAZINE 50 MG TABLET,1.24,0.73,0.15,1.12,23
CDM,60687-833-11,HYDRALAZINE 50 MG TABLET,1.24,0.73,0.15,1.12,23
CDM,60687-836-01,CARBIDOPA 25 MG-LEVODOPA 250 MG IMMEDIATE RELEASE TABLET,1.46,0.86,0.18,1.31,23
CDM,60687-836-11,CARBIDOPA 25 MG-LEVODOPA 250 MG IMMEDIATE RELEASE TABLET,1.46,0.86,0.18,1.31,23
CDM,60687-841-11,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,7.19,4.24,0.87,6.47,23
CDM,60687-845-40,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,16.69,9.85,2.03,15.02,23
CDM,60687-854-11,PREDNISONE 50 MG TABLET,2.07,1.22,0.25,1.86,23
CDM,60687-856-11,ACYCLOVIR 400 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,60687-857-11,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",4.85,2.86,0.59,4.37,23
CDM,60687-860-11,CIPROFLOXACIN 500 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,60687-865-11,ESCITALOPRAM 5 MG TABLET,1.64,0.97,0.2,1.48,23
CDM,60687-872-11,CLONAZEPAM 1 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,60687-885-11,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,3.0,1.77,0.36,2.7,23
CDM,60687-886-11,PRAVASTATIN 10 MG TABLET,2.27,1.34,0.28,2.04,23
CDM,60758-119-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,60758-119-10,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,60758-801-05,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60758-801-10,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60758-802-05,TIMOLOL MALEATE 0.25 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,60758-880-05,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,60758-880-10,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,60793-115-01,LIOTHYRONINE 5 MCG TABLET,1.78,1.05,0.22,1.6,23
CDM,60793-116-01,LIOTHYRONINE 25 MCG TABLET,2.47,1.46,0.3,2.22,23
CDM,60793-117-01,LIOTHYRONINE 50 MCG TABLET,18.63,10.99,2.27,16.77,23
CDM,60793-205-05,"THROMBIN (BOVINE) 5,000 UNIT NASAL SPRAY SYRINGE",244.9,144.49,29.79,220.41,23
CDM,60793-215-05,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",209.8,123.78,25.52,188.82,23
CDM,60793-217-20,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION",827.35,488.14,100.64,744.62,23
CDM,60793-217-21,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY",946.9,558.67,115.19,852.21,23
CDM,60793-217-22,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE",946.9,558.67,115.19,852.21,23
CDM,60793-315-01,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",209.8,123.78,25.52,188.82,23
CDM,60793-600-02,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",1120.05,660.83,136.25,1008.05,23
CDM,60793-600-10,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",1120.05,660.83,136.25,1008.05,23
CDM,60793-700-01,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",811.25,478.64,98.68,730.13,23
CDM,60793-700-10,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",811.25,478.64,98.68,730.13,23
CDM,60793-701-02,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1405.12,829.02,170.93,1264.61,23
CDM,60793-701-10,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1405.12,829.02,170.93,1264.61,23
CDM,60793-702-04,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",2879.44,1698.87,350.27,2591.5,23
CDM,60793-702-10,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",2879.44,1698.87,350.27,2591.5,23
CDM,60793-705-05,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE",233.25,137.62,28.37,209.93,23
CDM,60793-856-01,LEVOTHYROXINE 125 MCG TABLET,5.19,3.06,0.63,4.67,23
CDM,60793-857-10,LEVOTHYROXINE 137 MCG TABLET,3.97,2.34,0.48,3.57,23
CDM,60846-803-01,LEVOTHYROXINE 75 MCG TABLET,20.34,12.0,2.47,18.31,23
CDM,60846-805-01,LEVOTHYROXINE 100 MCG TABLET,20.39,12.03,2.48,18.35,23
CDM,60846-806-01,LEVOTHYROXINE 112 MCG TABLET,20.43,12.05,2.49,18.39,23
CDM,60846-808-01,LEVOTHYROXINE 137 MCG TABLET,20.49,12.09,2.49,18.44,23
CDM,60846-810-01,LEVOTHYROXINE 175 MCG TABLET,20.54,12.12,2.5,18.49,23
CDM,60923-363-02,ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLUTION,8000.0,4720.0,973.16,7200.0,23
CDM,60923-501-10,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-502-11,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-503-12,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-504-13,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-505-14,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-506-15,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-507-16,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-508-17,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-509-18,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-510-19,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-511-20,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-512-21,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-513-22,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-514-23,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-515-24,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-516-25,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-517-26,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-518-27,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-519-28,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-520-29,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-521-30,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-522-31,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-523-32,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-524-33,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-525-34,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-526-35,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-527-36,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-528-37,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-529-38,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-530-39,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-531-40,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-532-41,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-533-42,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-534-43,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-535-44,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-536-45,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-537-46,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-538-47,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-539-48,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-540-49,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-541-50,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-542-51,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-543-52,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-544-53,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-545-54,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-546-55,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-547-56,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-548-57,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-549-58,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-550-59,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-551-60,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-552-61,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-553-62,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-554-63,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-555-64,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-556-65,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-557-66,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-558-67,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-559-68,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60923-560-69,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.0,2832000.0,583894.83,4320000.0,23
CDM,60923-561-70,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,4800000.01,2832000.01,583894.83,4320000.01,23
CDM,60977-141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,2410.11,1421.96,293.18,2169.1,23
CDM,60977-141-27,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,401.69,237.0,48.86,361.52,23
CDM,61269-220-41,CLOTRIMAZOLE 1 % VAGINAL CREAM,18.45,10.89,2.24,16.61,23
CDM,61269-220-63,CLOTRIMAZOLE 1 % VAGINAL CREAM,18.45,10.89,2.24,16.61,23
CDM,61269-402-60,HYDROXYUREA (SICKLE CELL) 200 MG CAPSULE,3.51,2.07,0.43,3.16,23
CDM,61269-403-60,HYDROXYUREA (SICKLE CELL) 300 MG CAPSULE,3.51,2.07,0.43,3.16,23
CDM,61269-410-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,789.25,465.66,96.01,710.33,23
CDM,61269-509-06,BUDESONIDE 90 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,915.5,540.15,111.37,823.95,23
CDM,61269-518-12,BUDESONIDE 180 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,1225.9,723.28,149.12,1103.31,23
CDM,61269-610-10,CLONAZEPAM 1 MG TABLET,13.49,7.96,1.64,12.14,23
CDM,61269-620-10,CLONAZEPAM 2 MG TABLET,18.69,11.03,2.27,16.82,23
CDM,61269-730-41,MICONAZOLE NITRATE 2 % VAGINAL CREAM,23.85,14.07,2.9,21.47,23
CDM,61269-730-63,MICONAZOLE NITRATE 2 % VAGINAL CREAM,27.45,16.2,3.34,24.71,23
CDM,61314-014-25,DICLOFENAC 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-016-01,PROPARACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-019-10,DORZOLAMIDE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-030-02,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-044-75,TRIFLURIDINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-126-05,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-126-10,KETOROLAC 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-143-05,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-143-10,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-143-15,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-144-05,BRIMONIDINE 0.15 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-203-15,PILOCARPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-204-15,PILOCARPINE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-206-15,PILOCARPINE 4 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-224-05,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,0.01,0.01,0.01,0.01,23
CDM,61314-225-05,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,0.01,0.01,0.01,0.01,23
CDM,61314-226-05,TIMOLOL MALEATE 0.25 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-226-10,TIMOLOL MALEATE 0.25 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-226-15,TIMOLOL MALEATE 0.25 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-227-05,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-227-10,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-227-15,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-237-10,CROMOLYN 4 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-238-05,CARTEOLOL 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-245-01,BETAXOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-245-02,BETAXOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-245-03,BETAXOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-318-01,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,351.55,207.41,42.76,316.4,23
CDM,61314-318-05,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,351.54,207.41,42.76,316.39,23
CDM,61314-318-10,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,351.54,207.41,42.76,316.39,23
CDM,61314-326-01,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,562.46,331.85,68.42,506.21,23
CDM,61314-326-05,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,562.46,331.85,68.42,506.21,23
CDM,61314-326-10,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,562.46,331.85,68.42,506.21,23
CDM,61314-354-01,TROPICAMIDE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-355-01,TROPICAMIDE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-355-02,TROPICAMIDE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-396-01,CYCLOPENTOLATE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-396-03,CYCLOPENTOLATE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-547-01,LATANOPROST 0.005 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-547-03,LATANOPROST 0.005 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-628-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",0.01,0.01,0.01,0.01,23
CDM,61314-630-06,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",0.01,0.01,0.01,0.01,23
CDM,61314-631-36,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",71.65,42.27,8.72,64.49,23
CDM,61314-633-05,GENTAMICIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-637-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,61314-637-10,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,61314-637-15,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,61314-641-75,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",0.01,0.01,0.01,0.01,23
CDM,61314-643-05,TOBRAMYCIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-645-11,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",0.01,0.01,0.01,0.01,23
CDM,61314-647-05,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,61314-647-10,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,61314-647-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,61314-656-05,CIPROFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-656-25,CIPROFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-665-05,APRACLONIDINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61314-672-25,GATIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,61364-181-01,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1583.3,934.15,192.6,1424.97,23
CDM,61442-116-01,GLIMEPIRIDE 2 MG TABLET,3.2,1.89,0.39,2.88,23
CDM,61442-121-01,FAMOTIDINE 20 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,61442-121-10,FAMOTIDINE 20 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,61442-122-01,FAMOTIDINE 40 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,61442-122-10,FAMOTIDINE 40 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,61442-171-30,CEFACLOR 250 MG CAPSULE,5.3,3.13,0.64,4.77,23
CDM,61442-172-30,CEFACLOR 500 MG CAPSULE,5.81,3.43,0.71,5.23,23
CDM,61540-0136-91,HYDROMORPHONE 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,38.0,22.42,4.62,34.2,23
CDM,61540-0137-14,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,76.25,44.99,9.28,68.63,23
CDM,61570-072-01,ESTERIFIED ESTROGENS 0.3 MG TABLET,8.59,5.07,1.04,7.73,23
CDM,61570-073-01,ESTERIFIED ESTROGENS 0.625 MG TABLET,12.33,7.27,1.5,11.1,23
CDM,61570-131-20,SILVER SULFADIAZINE 1 % TOPICAL CREAM,37.2,21.95,4.53,33.48,23
CDM,61570-131-40,SILVER SULFADIAZINE 1 % TOPICAL CREAM,162.0,95.58,19.71,145.8,23
CDM,61570-131-50,SILVER SULFADIAZINE 1 % TOPICAL CREAM,41.25,24.34,5.02,37.13,23
CDM,61570-131-55,SILVER SULFADIAZINE 1 % TOPICAL CREAM,36.75,21.68,4.47,33.08,23
CDM,61703-015-04,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",41.75,24.63,5.08,37.58,23
CDM,61703-150-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,43.73,25.8,5.32,39.36,23
CDM,61703-262-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,84.6,49.91,10.29,76.14,23
CDM,61703-303-46,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION,87.25,51.48,10.61,78.53,23
CDM,61703-304-36,CYTARABINE 20 MG/ML INJECTION SOLUTION,48.38,28.54,5.89,43.54,23
CDM,61703-305-38,CYTARABINE (PF) 100 MG/5 ML INJECTION,23.43,13.82,2.85,21.09,23
CDM,61703-305-58,CYTARABINE (PF) 100 MG/5 ML INJECTION,23.43,13.82,2.85,21.09,23
CDM,61703-309-06,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,26.4,15.58,3.21,23.76,23
CDM,61703-309-16,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION,49.1,28.97,5.97,44.19,23
CDM,61703-309-25,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION,48.4,28.56,5.89,43.56,23
CDM,61703-309-26,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,26.05,15.37,3.17,23.45,23
CDM,61703-319-22,CYTARABINE (PF) 100 MG/ML INJECTION,84.2,49.68,10.24,75.78,23
CDM,61703-323-22,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,278.35,164.23,33.86,250.52,23
CDM,61703-324-18,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,64.35,37.97,7.83,57.92,23
CDM,61703-325-18,PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLUTION,181.25,106.94,22.05,163.13,23
CDM,61703-326-18,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,167.45,98.8,20.37,150.71,23
CDM,61703-332-18,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,114.6,67.61,13.94,103.14,23
CDM,61703-339-18,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,39.05,23.04,4.75,35.15,23
CDM,61703-339-22,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,43.73,25.8,5.32,39.36,23
CDM,61703-339-50,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,84.6,49.91,10.29,76.14,23
CDM,61703-339-56,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,120.9,71.33,14.71,108.81,23
CDM,61703-342-22,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",128.76,75.97,15.66,115.88,23
CDM,61703-342-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",327.25,193.08,39.81,294.53,23
CDM,61703-343-18,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",794.85,468.96,96.69,715.37,23
CDM,61703-343-66,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",1192.43,703.53,145.05,1073.19,23
CDM,61703-349-09,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,78.15,46.11,9.51,70.34,23
CDM,61703-349-16,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,59.75,35.25,7.27,53.78,23
CDM,61703-350-09,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,22.12,13.05,2.69,19.91,23
CDM,61703-350-10,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,22.12,13.05,2.69,19.91,23
CDM,61703-350-37,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,22.12,13.05,2.69,19.91,23
CDM,61703-350-38,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,22.12,13.05,2.69,19.91,23
CDM,61703-360-18,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,39.05,23.04,4.75,35.15,23
CDM,61703-363-18,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,209.1,123.37,25.44,188.19,23
CDM,61703-363-22,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,418.2,246.74,50.87,376.38,23
CDM,61703-408-25,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,53.0,31.27,6.45,47.7,23
CDM,61703-408-41,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,53.0,31.27,6.45,47.7,23
CDM,61703-600-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,120.9,71.33,14.71,108.81,23
CDM,61755-005-02,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,9134.4,5389.3,1111.15,8220.96,23
CDM,61755-008-01,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,50845.52,29998.86,6185.09,45760.97,23
CDM,61755-010-01,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION,219348.5,129415.62,26682.59,197413.65,23
CDM,61755-013-01,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION,63062.7,37206.99,7671.25,56756.43,23
CDM,61755-021-02,ALIROCUMAB 150 MG/ML SUBCUTANEOUS PEN INJECTOR,1227.58,724.27,149.33,1104.82,23
CDM,61755-050-00,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,12960.96,7646.97,1576.63,11664.86,23
CDM,61755-050-01,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,12960.96,7646.97,1576.63,11664.86,23
CDM,61772-590-81,SODIUM HYALURONATE 12 MG/ML INTRAOCULAR SYRINGE,591.26,348.84,71.92,532.13,23
CDM,61772-600-81,SODIUM HYALURONATE 16 MG/ML INTRAOCULAR SYRINGE,713.26,420.82,86.76,641.93,23
CDM,61787-062-04,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL LIQUID,19.47,11.49,2.37,17.52,23
CDM,61874-115-11,CARIPRAZINE 1.5 MG CAPSULE,222.06,131.02,27.01,199.85,23
CDM,61874-115-20,CARIPRAZINE 1.5 MG CAPSULE,222.06,131.02,27.01,199.85,23
CDM,61874-115-30,CARIPRAZINE 1.5 MG CAPSULE,222.06,131.02,27.01,199.85,23
CDM,61874-130-11,CARIPRAZINE 3 MG CAPSULE,222.06,131.02,27.01,199.85,23
CDM,61874-130-20,CARIPRAZINE 3 MG CAPSULE,222.06,131.02,27.01,199.85,23
CDM,61874-130-30,CARIPRAZINE 3 MG CAPSULE,222.06,131.02,27.01,199.85,23
CDM,61874-145-30,CARIPRAZINE 4.5 MG CAPSULE,222.06,131.02,27.01,199.85,23
CDM,61924-184-04,MINERAL OIL-HYDROPHIL PETROLAT TOPICAL OINTMENT,15.37,9.07,1.87,13.83,23
CDM,61924-188-08,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,21.09,12.44,2.57,18.98,23
CDM,6192424507,SODIUM CHLORIDE 0.9 % SOLUTION,21.0,12.39,2.55,18.9,23
CDM,61938-456-06,CALFACTANT 35 MG/ML IN 0.9% SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,3258.9,1922.75,396.43,2933.01,23
CDM,61953-0004-3,"IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",2355.0,1389.45,286.47,2119.5,23
CDM,61953-0004-4,"IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",4710.0,2778.9,572.95,4239.0,23
CDM,61953-0004-5,"IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",9420.0,5557.8,1145.89,8478.0,23
CDM,61953-0005-1,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",2354.75,1389.3,286.44,2119.28,23
CDM,61953-0011-1,THROMBIN(HUM-PLAS)-FIBRIN-CALC 500 UNIT-80 MG/ML (2ML) TOPICAL SYRINGE,529.05,312.14,64.36,476.15,23
CDM,61953-0012-1,THROMBIN(HUM-PLAS)-FIBRIN-CALC 500 UNIT-80 MG/ML (4ML) TOPICAL SYRINGE,979.7,578.02,119.18,881.73,23
CDM,61953-0014-1,THROMBIN(HUM-PLAS)-FIBRIN-CAL 500 UNIT-80 MG/ML (10ML) TOPICAL SYRINGE,2253.3,1329.45,274.1,2027.97,23
CDM,61958-0401-1,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,193.58,114.21,23.55,174.22,23
CDM,61958-0501-1,ADEFOVIR 10 MG TABLET,251.77,148.54,30.63,226.59,23
CDM,61958-0601-1,EMTRICITABINE 200 MG CAPSULE,82.86,48.89,10.08,74.57,23
CDM,61958-0602-1,EMTRICITABINE 10 MG/ML ORAL SOLUTION,587.35,346.54,71.45,528.62,23
CDM,61958-0701-1,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,284.51,167.86,34.61,256.06,23
CDM,61958-0801-1,AMBRISENTAN 5 MG TABLET,1850.95,1092.06,225.16,1665.86,23
CDM,61958-0801-5,AMBRISENTAN 5 MG TABLET,2474.85,1460.16,301.05,2227.37,23
CDM,61958-0802-1,AMBRISENTAN 10 MG TABLET,2034.8,1200.53,247.52,1831.32,23
CDM,61958-0802-5,AMBRISENTAN 10 MG TABLET,2474.85,1460.16,301.05,2227.37,23
CDM,61958-0901-1,AZTREONAM LYSINE 75 MG/ML SOLUTION FOR NEBULIZATION,704.34,415.56,85.68,633.91,23
CDM,61958-1101-1,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR DISPROX 300 MG TABLET,559.55,330.13,68.07,503.6,23
CDM,61958-1201-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,644.96,380.53,78.46,580.46,23
CDM,61958-1401-1,COBICISTAT 150 MG TABLET,45.9,27.08,5.58,41.31,23
CDM,61958-1501-1,SOFOSBUVIR 400 MG TABLET,4633.01,2733.48,563.58,4169.71,23
CDM,61958-1801-1,LEDIPASVIR 90 MG-SOFOSBUVIR 400 MG TABLET,5212.13,3075.16,634.03,4690.92,23
CDM,61958-1901-1,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,614.83,362.75,74.79,553.35,23
CDM,61958-2002-1,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,340.11,200.66,41.37,306.1,23
CDM,61958-2201-1,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG TABLET,4123.37,2432.79,501.59,3711.03,23
CDM,61958-2301-1,TENOFOVIR ALAFENAMIDE 25 MG TABLET,222.63,131.35,27.08,200.37,23
CDM,61958-2501-1,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,614.83,362.75,74.79,553.35,23
CDM,61958-2501-3,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,614.83,362.75,74.79,553.35,23
CDM,61958-2901-2,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2959.95,1746.37,360.06,2663.96,23
CDM,61958-3002-1,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,48750.0,28762.5,5930.18,43875.0,23
CDM,61958-3004-1,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,48750.0,28762.5,5930.18,43875.0,23
CDM,61958-3005-1,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,48140.63,28402.97,5856.06,43326.57,23
CDM,61959-001-01,LIDOCAINE 5 % ADHESIVE PATCH,122.81,72.46,14.94,110.53,23
CDM,61959-001-30,LIDOCAINE 5 % ADHESIVE PATCH,122.81,72.46,14.94,110.53,23
CDM,61990-0110-1,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,12.04,7.1,1.46,10.84,23
CDM,61990-0110-2,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,12.04,7.1,1.46,10.84,23
CDM,61990-0213-0,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,137.15,80.92,16.68,123.44,23
CDM,61990-0213-1,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,137.15,80.92,16.68,123.44,23
CDM,61990-0411-0,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,201.12,118.66,24.47,181.01,23
CDM,61990-0411-2,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,201.12,118.66,24.47,181.01,23
CDM,61990-0611-0,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.5,6.2,1.28,9.45,23
CDM,61990-0611-2,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.5,6.2,1.28,9.45,23
CDM,62037-597-05,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",2.14,1.26,0.26,1.93,23
CDM,62037-597-90,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",0.64,0.38,0.08,0.58,23
CDM,62037-598-05,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",1.14,0.67,0.14,1.03,23
CDM,62037-598-90,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",2.59,1.53,0.32,2.33,23
CDM,62037-599-05,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",2.11,1.24,0.26,1.9,23
CDM,62037-599-90,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",3.67,2.17,0.45,3.3,23
CDM,62037-600-90,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",4.76,2.81,0.58,4.28,23
CDM,62037-720-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",2.32,1.37,0.28,2.09,23
CDM,62037-725-01,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",19.62,11.58,2.39,17.66,23
CDM,62064-122-01,IBALIZUMAB-UIYK 200 MG/1.33 ML (150 MG/ML) INTRAVENOUS SOLUTION,13380.01,7894.21,1627.61,12042.01,23
CDM,62064-122-02,IBALIZUMAB-UIYK 200 MG/1.33 ML (150 MG/ML) INTRAVENOUS SOLUTION,7399.95,4365.97,900.17,6659.96,23
CDM,6210332302,ZINC OXIDE 40 % TOPICAL OINTMENT,17.39,10.26,2.12,15.65,23
CDM,6210332304,ZINC OXIDE 40 % TOPICAL OINTMENT,27.12,16.0,3.3,24.41,23
CDM,6210333302,ZINC OXIDE 16 % TOPICAL OINTMENT,15.11,8.91,1.84,13.6,23
CDM,6210333304,ZINC OXIDE 16 % TOPICAL OINTMENT,24.86,14.67,3.02,22.37,23
CDM,62135-057-47,CETIRIZINE 1 MG/ML ORAL SOLUTION,1158.85,683.72,140.97,1042.97,23
CDM,62135-191-22,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,3.25,1.92,0.4,2.93,23
CDM,62135-242-60,NALTREXONE 50 MG TABLET,34.76,20.51,4.23,31.28,23
CDM,62135-308-01,CIPROFLOXACIN 250 MG TABLET,13.62,8.04,1.66,12.26,23
CDM,62135-309-01,CIPROFLOXACIN 500 MG TABLET,15.94,9.4,1.94,14.35,23
CDM,62135-309-20,CIPROFLOXACIN 500 MG TABLET,15.94,9.4,1.94,14.35,23
CDM,62135-310-50,CIPROFLOXACIN 750 MG TABLET,23.92,14.11,2.91,21.53,23
CDM,62135-431-30,DISULFIRAM 250 MG TABLET,44.79,26.43,5.45,40.31,23
CDM,62135-431-90,DISULFIRAM 250 MG TABLET,44.79,26.43,5.45,40.31,23
CDM,62135-432-90,DISULFIRAM 500 MG TABLET,61.77,36.44,7.51,55.59,23
CDM,62135-436-90,SUCRALFATE 1 GRAM TABLET,18.53,10.93,2.25,16.68,23
CDM,62135-485-90,QUINAPRIL 10 MG TABLET,22.47,13.26,2.73,20.22,23
CDM,62135-486-90,QUINAPRIL 20 MG TABLET,22.7,13.39,2.76,20.43,23
CDM,62135-502-47,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,2315.34,1366.05,281.65,2083.81,23
CDM,62135-520-47,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,2315.34,1366.05,281.65,2083.81,23
CDM,62135-549-43,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,1158.3,683.4,140.9,1042.47,23
CDM,62135-579-12,HYDRALAZINE 10 MG TABLET,11.59,6.84,1.41,10.43,23
CDM,62135-712-42,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,454.0,267.86,55.23,408.6,23
CDM,62135-736-90,FLURAZEPAM 15 MG CAPSULE,70.29,41.47,8.55,63.26,23
CDM,62135-750-47,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,2315.34,1366.05,281.65,2083.81,23
CDM,62135-802-53,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,2317.5,1367.33,281.91,2085.75,23
CDM,62135-960-01,SULFASALAZINE 500 MG TABLET,9.27,5.47,1.13,8.34,23
CDM,62135-984-50,DOXYCYCLINE HYCLATE 50 MG CAPSULE,3.76,2.22,0.46,3.38,23
CDM,62175-260-37,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",4.93,2.91,0.6,4.44,23
CDM,62175-261-37,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",2.38,1.4,0.29,2.14,23
CDM,62175-261-46,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",8.53,5.03,1.04,7.68,23
CDM,62175-262-37,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",9.84,5.81,1.2,8.86,23
CDM,62175-270-37,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",3.41,2.01,0.41,3.07,23
CDM,62175-271-37,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",3.42,2.02,0.42,3.08,23
CDM,62175-302-32,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",2.18,1.29,0.27,1.96,23
CDM,62175-310-37,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",16.03,9.46,1.95,14.43,23
CDM,62175-320-46,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",3.17,1.87,0.39,2.85,23
CDM,62175-470-32,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",5.14,3.03,0.63,4.63,23
CDM,62175-471-32,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",5.37,3.17,0.65,4.83,23
CDM,62175-617-43,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.64,0.38,0.08,0.58,23
CDM,62175-617-46,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.65,0.38,0.08,0.59,23
CDM,62225-600-04,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,2360.0,1392.4,287.08,2124.0,23
CDM,62327-222-02,STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION,560.0,330.4,68.12,504.0,23
CDM,62327-222-42,STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION,593.75,350.31,72.23,534.38,23
CDM,62327-333-03,STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER,710.0,418.9,86.37,639.0,23
CDM,62327-333-43,STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER,762.5,449.88,92.75,686.25,23
CDM,62332-001-31,FAMOTIDINE 20 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,62332-002-31,FAMOTIDINE 40 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,62332-008-31,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,62332-012-31,VENLAFAXINE IMMEDIATE RELEASE 100 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,62332-020-31,MEPROBAMATE 400 MG TABLET,30.41,17.94,3.7,27.37,23
CDM,62332-023-31,FLUOXETINE 20 MG CAPSULE,1.04,0.61,0.13,0.94,23
CDM,62332-025-31,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",13.75,8.11,1.67,12.38,23
CDM,62332-032-31,ROPINIROLE 1 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,62332-033-31,ROPINIROLE 2 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,62332-039-60,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,62332-040-60,LAMOTRIGINE 200 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,62332-046-90,VALSARTAN 160 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,62332-055-31,CLONIDINE HCL 0.2 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,62332-061-30,LEFLUNOMIDE 10 MG TABLET,12.74,7.52,1.55,11.47,23
CDM,62332-062-30,LEFLUNOMIDE 20 MG TABLET,13.76,8.12,1.67,12.38,23
CDM,62332-095-31,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,1.19,0.7,0.14,1.07,23
CDM,62332-096-31,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,2.03,1.2,0.25,1.83,23
CDM,62332-103-30,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET,92.06,54.32,11.2,82.85,23
CDM,62332-104-30,ARIPIPRAZOLE 15 MG DISINTEGRATING TABLET,100.73,59.43,12.25,90.66,23
CDM,62332-112-31,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,62332-119-90,PREGABALIN 25 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,62332-121-90,PREGABALIN 75 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,62332-122-90,PREGABALIN 100 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,62332-123-90,PREGABALIN 150 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,62332-133-30,OLMESARTAN 40 MG TABLET,1.85,1.09,0.23,1.67,23
CDM,62332-190-30,FEBUXOSTAT 40 MG TABLET,8.19,4.83,1.0,7.37,23
CDM,62332-198-10,ASENAPINE 5 MG SUBLINGUAL TABLET,14.41,8.5,1.75,12.97,23
CDM,62332-198-31,ASENAPINE 5 MG SUBLINGUAL TABLET,14.41,8.5,1.75,12.97,23
CDM,62332-246-31,AMANTADINE HCL 100 MG CAPSULE,2.89,1.71,0.35,2.6,23
CDM,62332-250-50,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,1.69,1.0,0.21,1.52,23
CDM,62332-313-30,TERIFLUNOMIDE 7 MG TABLET,3.57,2.11,0.43,3.21,23
CDM,62332-314-30,TERIFLUNOMIDE 14 MG TABLET,4.16,2.45,0.51,3.74,23
CDM,62332-339-31,MIDODRINE 5 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,62332-341-30,CANDESARTAN 4 MG TABLET,5.12,3.02,0.62,4.61,23
CDM,62332-342-30,CANDESARTAN 8 MG TABLET,5.28,3.12,0.64,4.75,23
CDM,62332-343-30,CANDESARTAN 16 MG TABLET,4.06,2.4,0.49,3.65,23
CDM,62332-343-90,CANDESARTAN 16 MG TABLET,7.19,4.24,0.87,6.47,23
CDM,62332-365-06,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,4.34,2.56,0.53,3.91,23
CDM,62332-385-30,MODAFINIL 100 MG TABLET,4.46,2.63,0.54,4.01,23
CDM,62332-413-10,OSELTAMIVIR 30 MG CAPSULE,34.09,20.11,4.15,30.68,23
CDM,62332-415-10,OSELTAMIVIR 75 MG CAPSULE,36.86,21.75,4.48,33.17,23
CDM,62332-495-30,LURASIDONE 40 MG TABLET,2.67,1.58,0.32,2.4,23
CDM,62332-497-30,LURASIDONE 80 MG TABLET,2.67,1.58,0.32,2.4,23
CDM,62332-498-30,LURASIDONE 120 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,62332-505-03,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,62332-507-25,BIMATOPROST 0.03 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,62332-508-17,BROMFENAC 0.09 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,62332-518-05,TOBRAMYCIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,62332-546-05,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,0.01,0.01,0.01,0.01,23
CDM,62332-547-15,CLOBETASOL 0.05 % TOPICAL CREAM,74.78,44.12,9.1,67.3,23
CDM,62332-565-30,ERLOTINIB 25 MG TABLET,6.67,3.94,0.81,6.0,23
CDM,62332-566-30,ERLOTINIB 100 MG TABLET,16.67,9.84,2.03,15.0,23
CDM,62332-567-30,ERLOTINIB 150 MG TABLET,20.0,11.8,2.43,18.0,23
CDM,62332-582-31,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,105.0,61.95,12.77,94.5,23
CDM,62332-599-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,8.3,4.9,1.01,7.47,23
CDM,62332-599-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,8.3,4.9,1.01,7.47,23
CDM,62332-600-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,8.76,5.17,1.07,7.88,23
CDM,62332-600-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,8.76,5.17,1.07,7.88,23
CDM,62332-601-02,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,9.22,5.44,1.12,8.3,23
CDM,62332-601-25,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,9.22,5.44,1.12,8.3,23
CDM,62332-620-05,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",77.35,45.64,9.41,69.62,23
CDM,62332-621-17,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",198.99,117.4,24.21,179.09,23
CDM,62332-678-02,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,57.35,33.84,6.98,51.62,23
CDM,62332-735-31,CHLORPROMAZINE 10 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,62332-736-31,CHLORPROMAZINE 25 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,62332-738-31,CHLORPROMAZINE 100 MG TABLET,1.81,1.07,0.22,1.63,23
CDM,62332-745-31,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",1.5,0.89,0.18,1.35,23
CDM,62332-746-31,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",1.59,0.94,0.19,1.43,23
CDM,62332-747-31,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",1.68,0.99,0.2,1.51,23
CDM,62332-751-50,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,117.25,69.18,14.26,105.53,23
CDM,62332-777-01,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,345.55,203.87,42.03,311.0,23
CDM,62332-779-31,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,273.5,161.37,33.27,246.15,23
CDM,62484-0020-2,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,6788.5,4005.22,825.79,6109.65,23
CDM,6253000011,UREA 15 GRAM ORAL POWDER PACKET,16.82,9.92,2.05,15.14,23
CDM,62541-405-10,"LIPASE 21,000-PROTEASE 54,700-AMYLASE 83,900 UNIT CAPSULE,DELAYED REL",30.57,18.04,3.72,27.51,23
CDM,62559-111-11,HYDROCORTISONE 100 MG/60 ML ENEMA,121.5,71.69,14.78,109.35,23
CDM,62559-138-07,HYDROCORTISONE 100 MG/60 ML ENEMA,99.3,58.59,12.08,89.37,23
CDM,62559-138-11,HYDROCORTISONE 100 MG/60 ML ENEMA,99.3,58.59,12.08,89.37,23
CDM,62559-149-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,13.91,8.21,1.69,12.52,23
CDM,62559-150-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,13.9,8.2,1.69,12.51,23
CDM,62559-153-04,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,2085.06,1230.19,253.64,1876.55,23
CDM,62559-157-10,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.28,3.12,0.64,4.75,23
CDM,62559-157-17,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.28,3.12,0.64,4.75,23
CDM,62559-157-30,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.35,3.16,0.65,4.82,23
CDM,62559-158-01,FLUVOXAMINE 25 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,62559-159-01,FLUVOXAMINE 50 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,62559-160-01,FLUVOXAMINE 100 MG TABLET,3.0,1.77,0.36,2.7,23
CDM,62559-173-31,NILUTAMIDE 150 MG TABLET,710.47,419.18,86.42,639.42,23
CDM,62559-190-16,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,75.68,44.65,9.21,68.11,23
CDM,62559-204-12,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,2610.6,1540.25,317.57,2349.54,23
CDM,62559-225-30,AMINOCAPROIC ACID 500 MG TABLET,23.63,13.94,2.87,21.27,23
CDM,62559-230-01,PROPAFENONE 150 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,62559-232-01,PROPAFENONE 300 MG TABLET,5.32,3.14,0.65,4.79,23
CDM,62559-265-30,TRANEXAMIC ACID 650 MG TABLET,12.36,7.29,1.5,11.12,23
CDM,62559-278-90,NEBIVOLOL 20 MG TABLET,13.05,7.7,1.59,11.75,23
CDM,62559-285-30,OXICONAZOLE 1 % LOTION,3856.35,2275.25,469.1,3470.72,23
CDM,62559-310-20,VANCOMYCIN 125 MG CAPSULE,399.01,235.42,48.54,359.11,23
CDM,62559-390-20,VANCOMYCIN 125 MG CAPSULE,11.59,6.84,1.41,10.43,23
CDM,62559-390-50,VANCOMYCIN 125 MG CAPSULE,7.63,4.5,0.93,6.87,23
CDM,62559-391-20,VANCOMYCIN 250 MG CAPSULE,23.17,13.67,2.82,20.85,23
CDM,62559-391-50,VANCOMYCIN 250 MG CAPSULE,17.04,10.05,2.07,15.34,23
CDM,62559-395-12,COLESTIPOL 1 GRAM TABLET,3.36,1.98,0.41,3.02,23
CDM,62559-423-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",5.9,3.48,0.72,5.31,23
CDM,62559-431-30,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,321.0,189.39,39.05,288.9,23
CDM,62559-490-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,62559-511-01,INDAPAMIDE 2.5 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,62559-630-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,830.5,490.0,101.03,747.45,23
CDM,62559-631-01,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,1693.0,998.87,205.94,1523.7,23
CDM,62559-643-30,CANDESARTAN 32 MG TABLET,48.32,28.51,5.88,43.49,23
CDM,62559-721-01,TERBUTALINE 2.5 MG TABLET,4.0,2.36,0.49,3.6,23
CDM,62559-722-01,TERBUTALINE 5 MG TABLET,4.88,2.88,0.59,4.39,23
CDM,62559-730-01,FELBAMATE 400 MG TABLET,4.37,2.58,0.53,3.93,23
CDM,62559-731-01,FELBAMATE 600 MG TABLET,5.01,2.96,0.61,4.51,23
CDM,62559-820-01,MEXILETINE 150 MG CAPSULE,2.54,1.5,0.31,2.29,23
CDM,62559-821-01,MEXILETINE 200 MG CAPSULE,3.03,1.79,0.37,2.73,23
CDM,62559-822-01,MEXILETINE 250 MG CAPSULE,3.5,2.07,0.43,3.15,23
CDM,62559-830-55,VANCOMYCIN 50 MG/ML ORAL SOLUTION,1572.0,927.48,191.23,1414.8,23
CDM,62559-860-11,CORTICOTROPIN 80 UNIT/ML INJECTION GEL,36024.25,21254.31,4382.16,32421.83,23
CDM,62584-265-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,62584-265-11,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,62584-266-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,62584-266-11,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,62584-267-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,62584-267-11,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,62584-812-01,OXAZEPAM 10 MG CAPSULE,9.53,5.62,1.16,8.58,23
CDM,62584-812-11,OXAZEPAM 10 MG CAPSULE,9.53,5.62,1.16,8.58,23
CDM,62584-813-01,OXAZEPAM 15 MG CAPSULE,12.1,7.14,1.47,10.89,23
CDM,62584-813-11,OXAZEPAM 15 MG CAPSULE,12.1,7.14,1.47,10.89,23
CDM,62584-984-01,WARFARIN 2 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,62584-984-11,WARFARIN 2 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,62584-994-01,WARFARIN 5 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,62584-994-11,WARFARIN 5 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,62756-059-40,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,91.55,54.01,11.14,82.4,23
CDM,62756-060-40,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,183.1,108.03,22.27,164.79,23
CDM,62756-129-40,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,18.47,10.9,2.25,16.62,23
CDM,62756-129-44,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,13.74,8.11,1.67,12.37,23
CDM,62756-139-02,GABAPENTIN 400 MG CAPSULE,0.18,0.11,0.02,0.16,23
CDM,62756-142-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",0.23,0.14,0.03,0.21,23
CDM,62756-142-02,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",0.39,0.23,0.05,0.35,23
CDM,62756-143-01,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",0.22,0.13,0.03,0.2,23
CDM,62756-145-86,RIVASTIGMINE 1.5 MG CAPSULE,2.71,1.6,0.33,2.44,23
CDM,62756-146-86,RIVASTIGMINE 3 MG CAPSULE,2.71,1.6,0.33,2.44,23
CDM,62756-183-13,OXCARBAZEPINE 150 MG TABLET,1.35,0.8,0.16,1.22,23
CDM,62756-183-88,OXCARBAZEPINE 150 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,62756-184-13,OXCARBAZEPINE 300 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,62756-184-88,OXCARBAZEPINE 300 MG TABLET,2.55,1.5,0.31,2.3,23
CDM,62756-185-88,OXCARBAZEPINE 600 MG TABLET,3.69,2.18,0.45,3.32,23
CDM,62756-202-01,GABAPENTIN 600 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,62756-204-01,GABAPENTIN 800 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,62756-232-90,"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,62756-240-60,ONDANSETRON 4 MG DISINTEGRATING TABLET,0.82,0.48,0.1,0.74,23
CDM,62756-240-64,ONDANSETRON 4 MG DISINTEGRATING TABLET,0.82,0.48,0.1,0.74,23
CDM,62756-258-02,ZONISAMIDE 25 MG CAPSULE,0.33,0.19,0.04,0.3,23
CDM,62756-259-02,ZONISAMIDE 50 MG CAPSULE,0.57,0.34,0.07,0.51,23
CDM,62756-260-02,ZONISAMIDE 100 MG CAPSULE,0.47,0.28,0.06,0.42,23
CDM,62756-294-88,CEPHALEXIN 500 MG CAPSULE,1.14,0.67,0.14,1.03,23
CDM,62756-348-44,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,6.94,4.09,0.84,6.25,23
CDM,62756-349-44,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,13.88,8.19,1.69,12.49,23
CDM,62756-427-90,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,62756-446-02,CARISOPRODOL 350 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,62756-457-88,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",3.23,1.91,0.39,2.91,23
CDM,62756-459-83,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,2.14,1.26,0.26,1.93,23
CDM,62756-461-88,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",1.73,1.02,0.21,1.56,23
CDM,62756-512-40,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,16.22,9.57,1.97,14.6,23
CDM,62756-512-44,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,16.22,9.57,1.97,14.6,23
CDM,62756-517-13,CARBIDOPA 10 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.79,0.47,0.1,0.71,23
CDM,62756-517-88,CARBIDOPA 10 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.77,0.45,0.09,0.69,23
CDM,62756-518-88,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.59,0.35,0.07,0.53,23
CDM,62756-522-69,SUMATRIPTAN 100 MG TABLET,2.47,1.46,0.3,2.22,23
CDM,62756-529-26,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,905.45,534.22,110.14,814.91,23
CDM,62756-529-40,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,871.0,513.89,105.95,783.9,23
CDM,62756-589-88,LIOTHYRONINE 5 MCG TABLET,2.53,1.49,0.31,2.28,23
CDM,62756-590-88,LIOTHYRONINE 25 MCG TABLET,1.53,0.9,0.19,1.38,23
CDM,62756-718-60,LEVONORGESTREL 1.5 MG TABLET,93.0,54.87,11.31,83.7,23
CDM,62756-796-88,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",0.25,0.15,0.03,0.23,23
CDM,62756-797-88,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",0.5,0.3,0.06,0.45,23
CDM,62756-798-88,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",0.72,0.42,0.09,0.65,23
CDM,62756-969-83,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,2.59,1.53,0.32,2.33,23
CDM,62756-970-83,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,3.72,2.19,0.45,3.35,23
CDM,62856-212-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1258.1,742.28,153.04,1132.29,23
CDM,62856-215-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,3145.3,1855.73,382.61,2830.77,23
CDM,62856-389-01,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,6961.9,4107.52,846.88,6265.71,23
CDM,62856-582-52,RUFINAMIDE 200 MG TABLET,61.16,36.08,7.44,55.04,23
CDM,62856-584-46,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,8148.9,4807.85,991.27,7334.01,23
CDM,62935-153-50,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE,119098.95,70268.38,14487.76,107189.06,23
CDM,62935-154-50,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE,119098.95,70268.38,14487.76,107189.06,23
CDM,62935-163-60,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) SUBCUTANEOUS SYRINGE,129047.8,76138.2,15697.99,116143.02,23
CDM,62935-221-04,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1727.8,1019.4,210.18,1555.02,23
CDM,62935-223-05,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1727.8,1019.4,210.18,1555.02,23
CDM,62935-227-10,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1727.8,1019.4,210.18,1555.02,23
CDM,62935-303-30,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,2303.75,1359.21,280.24,2073.38,23
CDM,62935-305-29,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,2303.75,1359.21,280.24,2073.38,23
CDM,62935-306-40,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,2303.75,1359.21,280.24,2073.38,23
CDM,62935-453-45,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2613.0,1541.67,317.86,2351.7,23
CDM,62935-454-44,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2613.0,1541.67,317.86,2351.7,23
CDM,62935-461-50,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,3455.65,2038.83,420.36,3110.09,23
CDM,62935-753-75,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,575.95,339.81,70.06,518.36,23
CDM,62935-754-74,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,575.95,339.81,70.06,518.36,23
CDM,62935-756-80,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,575.95,339.81,70.06,518.36,23
CDM,6299114351,CHERRY FLAVOR (BULK) ORAL LIQUID,3.0,1.77,0.36,2.7,23
CDM,6299125422,ALPHA LIPOIC ACID (BULK) 100 % POWDER,61.25,36.14,7.45,55.13,23
CDM,6299128101,ORNITHINE HYDROCHLORIDE (BULK) 100 % POWDER,334.85,197.56,40.73,301.37,23
CDM,6299128291,CORN OIL (BULK),95.0,56.05,11.56,85.5,23
CDM,63004-8710-1,CORTICOTROPIN 80 UNIT/ML INJECTION GEL,219920.0,129752.8,26752.11,197928.0,23
CDM,63010-010-30,NELFINAVIR 250 MG TABLET,18.75,11.06,2.28,16.88,23
CDM,63010-027-70,NELFINAVIR 625 MG TABLET,46.87,27.65,5.7,42.18,23
CDM,63020-049-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,8015.0,4728.85,974.98,7213.5,23
CDM,63020-225-21,FRUQUINTINIB 5 MG CAPSULE,5925.0,3495.75,720.75,5332.5,23
CDM,63020-533-30,PONATINIB 30 MG TABLET,3628.15,2140.61,441.35,3265.34,23
CDM,63020-534-30,PONATINIB 45 MG TABLET,3628.15,2140.61,441.35,3265.34,23
CDM,63020-535-30,PONATINIB 15 MG TABLET,3628.15,2140.61,441.35,3265.34,23
CDM,63044-484-09,AMMONIUM LACTATE 12 % LOTION,30.38,17.92,3.7,27.34,23
CDM,6304415001,"PRENATAL VIT,CALCIUM 27-FERROUS FUM 60 MG IRON-FOLIC ACID 1 MG TABLET",0.29,0.17,0.04,0.26,23
CDM,6304420361,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,0.42,0.25,0.05,0.38,23
CDM,6304440101,"CHOLECALCIFEROL (VITAMIN D3) 250 MCG (10,000 UNIT) CAPSULE",2.3,1.36,0.28,2.07,23
CDM,6304440201,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",2.17,1.28,0.26,1.95,23
CDM,6304462201,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,0.65,0.38,0.08,0.59,23
CDM,63090-340-30,PIMAVANSERIN 34 MG CAPSULE,822.1,485.04,100.0,739.89,23
CDM,63162-518-30,ACETAMINOPHEN 80 MG/0.8 ML ORAL DROPS,20.4,12.04,2.48,18.36,23
CDM,63304-017-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",1.93,1.14,0.23,1.74,23
CDM,63304-086-90,DROXIDOPA 100 MG CAPSULE,5.15,3.04,0.63,4.64,23
CDM,63304-089-13,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",25.18,14.86,3.06,22.66,23
CDM,63304-097-19,SUMATRIPTAN 25 MG TABLET,9.35,5.52,1.14,8.42,23
CDM,63304-098-19,SUMATRIPTAN 50 MG TABLET,8.26,4.87,1.0,7.43,23
CDM,63304-099-19,SUMATRIPTAN 100 MG TABLET,3.07,1.81,0.37,2.76,23
CDM,63304-175-13,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",20.49,12.09,2.49,18.44,23
CDM,63304-191-30,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",21.4,12.63,2.6,19.26,23
CDM,63304-241-59,CALCITRIOL 1 MCG/ML ORAL SOLUTION,630.23,371.84,76.66,567.21,23
CDM,63304-450-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",1.02,0.6,0.12,0.92,23
CDM,63304-451-01,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",2.18,1.29,0.27,1.96,23
CDM,63304-479-01,CEVIMELINE 30 MG CAPSULE,11.98,7.07,1.46,10.78,23
CDM,63304-583-60,FOSAMPRENAVIR 700 MG TABLET,59.14,34.89,7.19,53.23,23
CDM,63304-616-50,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,3.07,1.81,0.37,2.76,23
CDM,63304-621-01,ATENOLOL 25 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,63304-622-01,ATENOLOL 50 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,63304-684-01,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",64.5,38.06,7.85,58.05,23
CDM,63304-692-01,CLINDAMYCIN HCL 150 MG CAPSULE,0.58,0.34,0.07,0.52,23
CDM,63304-693-01,CLINDAMYCIN HCL 300 MG CAPSULE,1.98,1.17,0.24,1.78,23
CDM,63304-720-90,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",1.6,0.94,0.19,1.44,23
CDM,63304-721-90,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",2.77,1.63,0.34,2.49,23
CDM,63304-772-01,LORAZEPAM 0.5 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,63304-774-01,LORAZEPAM 2 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,63304-827-90,ATORVASTATIN 10 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,63304-828-90,ATORVASTATIN 20 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,63304-829-90,ATORVASTATIN 40 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,63304-900-90,FENOFIBRATE 54 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,63304-901-90,FENOFIBRATE 160 MG TABLET,1.84,1.09,0.22,1.66,23
CDM,63304-905-30,VALACYCLOVIR 1 GRAM TABLET,5.97,3.52,0.73,5.37,23
CDM,63304-924-01,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",1.22,0.72,0.15,1.1,23
CDM,63304-925-01,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",1.25,0.74,0.15,1.13,23
CDM,63304-962-01,BROMOCRIPTINE 2.5 MG TABLET,5.05,2.98,0.61,4.55,23
CDM,63304-962-30,BROMOCRIPTINE 2.5 MG TABLET,5.14,3.03,0.63,4.63,23
CDM,63323-010-01,GENTAMICIN 40 MG/ML INJECTION SOLUTION,21.33,12.58,2.59,19.2,23
CDM,63323-010-02,GENTAMICIN 40 MG/ML INJECTION SOLUTION,21.33,12.58,2.59,19.2,23
CDM,63323-010-03,GENTAMICIN 40 MG/ML INJECTION SOLUTION,115.0,67.85,13.99,103.5,23
CDM,63323-010-20,GENTAMICIN 40 MG/ML INJECTION SOLUTION,115.0,67.85,13.99,103.5,23
CDM,63323-010-94,GENTAMICIN 40 MG/ML INJECTION SOLUTION,4.0,2.36,0.49,3.6,23
CDM,63323-011-15,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION,225.4,132.99,27.42,202.86,23
CDM,63323-012-02,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,182.55,107.7,22.21,164.3,23
CDM,63323-012-03,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,4.52,2.67,0.55,4.07,23
CDM,63323-012-07,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,4.52,2.67,0.55,4.07,23
CDM,63323-012-10,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,47.1,27.79,5.73,42.39,23
CDM,63323-012-11,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,4.52,2.67,0.55,4.07,23
CDM,63323-012-17,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,4.52,2.67,0.55,4.07,23
CDM,63323-012-30,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,182.55,107.7,22.21,164.3,23
CDM,63323-013-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,18.94,11.17,2.3,17.05,23
CDM,63323-013-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,18.94,11.17,2.3,17.05,23
CDM,63323-013-09,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,18.94,11.17,2.3,17.05,23
CDM,63323-013-21,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,18.94,11.17,2.3,17.05,23
CDM,63323-024-01,MANNITOL 25 % INTRAVENOUS SOLUTION,28.0,16.52,3.41,25.2,23
CDM,63323-024-25,MANNITOL 25 % INTRAVENOUS SOLUTION,28.0,16.52,3.41,25.2,23
CDM,63323-025-10,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION",1079.24,636.75,131.28,971.32,23
CDM,63323-030-11,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION",1115.05,657.88,135.64,1003.55,23
CDM,63323-032-00,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,40.5,23.9,4.93,36.45,23
CDM,63323-032-04,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,40.5,23.9,4.93,36.45,23
CDM,63323-044-00,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",5.99,3.53,0.73,5.39,23
CDM,63323-044-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",5.99,3.53,0.73,5.39,23
CDM,63323-044-41,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",11.07,6.53,1.35,9.96,23
CDM,63323-044-44,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",9.98,5.89,1.21,8.98,23
CDM,63323-047-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",31.3,18.47,3.81,28.17,23
CDM,63323-047-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",31.3,18.47,3.81,28.17,23
CDM,63323-064-01,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,5.3,3.13,0.64,4.77,23
CDM,63323-064-02,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,5.07,2.99,0.62,4.56,23
CDM,63323-064-03,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,5.3,3.13,0.64,4.77,23
CDM,63323-064-04,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,9.45,5.58,1.15,8.51,23
CDM,63323-064-10,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,8.0,4.72,0.97,7.2,23
CDM,63323-064-11,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,9.45,5.58,1.15,8.51,23
CDM,63323-064-21,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,5.3,3.13,0.64,4.77,23
CDM,63323-064-23,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,5.3,3.13,0.64,4.77,23
CDM,63323-086-05,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,52.15,30.77,6.34,46.94,23
CDM,63323-086-15,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,140.33,82.79,17.07,126.3,23
CDM,63323-089-50,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,114.5,67.56,13.93,103.05,23
CDM,63323-093-01,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,30.9,18.23,3.76,27.81,23
CDM,63323-093-30,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,30.9,18.23,3.76,27.81,23
CDM,63323-095-02,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,71.0,41.89,8.64,63.9,23
CDM,63323-095-61,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,71.0,41.89,8.64,63.9,23
CDM,63323-099-03,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,124.0,73.16,15.08,111.6,23
CDM,63323-099-63,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,124.0,73.16,15.08,111.6,23
CDM,63323-100-10,GENTAMICIN 40 MG/ML INJECTION SOLUTION,21.33,12.58,2.59,19.2,23
CDM,63323-101-61,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,614.0,362.26,74.69,552.6,23
CDM,63323-102-13,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,55.25,32.6,6.72,49.73,23
CDM,63323-103-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,79.0,46.61,9.61,71.1,23
CDM,63323-103-64,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,316.0,186.44,38.44,284.4,23
CDM,63323-103-65,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,158.0,93.22,19.22,142.2,23
CDM,63323-104-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,57.28,33.8,6.97,51.55,23
CDM,63323-104-05,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,57.28,33.8,6.97,51.55,23
CDM,63323-104-06,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,57.65,34.01,7.01,51.89,23
CDM,63323-104-25,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,93.63,55.24,11.39,84.27,23
CDM,63323-104-50,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,180.0,106.2,21.9,162.0,23
CDM,63323-106-00,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,11.0,6.49,1.34,9.9,23
CDM,63323-106-01,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,11.0,6.49,1.34,9.9,23
CDM,63323-106-02,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,16.0,9.44,1.95,14.4,23
CDM,63323-106-05,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,16.0,9.44,1.95,14.4,23
CDM,63323-106-10,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",25.0,14.75,3.04,22.5,23
CDM,63323-106-15,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,17.5,10.33,2.13,15.75,23
CDM,63323-107-05,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,16.75,9.88,2.04,15.08,23
CDM,63323-108-00,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,11.5,6.79,1.4,10.35,23
CDM,63323-108-01,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,11.5,6.79,1.4,10.35,23
CDM,63323-113-01,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,225.72,133.17,27.46,203.15,23
CDM,63323-113-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,225.72,133.17,27.46,203.15,23
CDM,63323-117-00,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,8.9,5.25,1.08,8.01,23
CDM,63323-117-01,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,22.2,13.1,2.7,19.98,23
CDM,63323-117-10,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,8.9,5.25,1.08,8.01,23
CDM,63323-117-19,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,8.9,5.25,1.08,8.01,23
CDM,63323-117-20,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,22.2,13.1,2.7,19.98,23
CDM,63323-117-31,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,8.9,5.25,1.08,8.01,23
CDM,63323-117-51,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,40.75,24.04,4.96,36.68,23
CDM,63323-117-59,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,40.75,24.04,4.96,36.68,23
CDM,63323-117-61,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,81.0,47.79,9.85,72.9,23
CDM,63323-117-69,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,81.0,47.79,9.85,72.9,23
CDM,63323-120-20,CYTARABINE (PF) 100 MG/ML INJECTION,57.3,33.81,6.97,51.57,23
CDM,63323-122-50,METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTION,290.1,171.16,35.29,261.09,23
CDM,63323-123-10,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,119.0,70.21,14.48,107.1,23
CDM,63323-125-53,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,225.7,133.16,27.46,203.13,23
CDM,63323-127-00,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,56.49,33.33,6.87,50.84,23
CDM,63323-127-10,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,56.49,33.33,6.87,50.84,23
CDM,63323-128-00,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,54.37,32.08,6.61,48.93,23
CDM,63323-128-20,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,54.37,32.08,6.61,48.93,23
CDM,63323-130-02,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,76.03,44.86,9.25,68.43,23
CDM,63323-130-03,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,76.03,44.86,9.25,68.43,23
CDM,63323-130-11,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,76.03,44.86,9.25,68.43,23
CDM,63323-130-13,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,76.03,44.86,9.25,68.43,23
CDM,63323-132-10,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",448.05,264.35,54.5,403.25,23
CDM,63323-132-12,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",481.0,283.79,58.51,432.9,23
CDM,63323-132-15,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",2953.58,1742.61,359.29,2658.22,23
CDM,63323-136-10,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,132.55,78.2,16.12,119.3,23
CDM,63323-137-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,287.25,169.48,34.94,258.53,23
CDM,63323-140-10,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,497.6,293.58,60.53,447.84,23
CDM,63323-142-10,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,267.25,157.68,32.51,240.53,23
CDM,63323-142-12,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,120.85,71.3,14.7,108.77,23
CDM,63323-147-10,TRACE ELEMENTS PEDI ZN-CU-MN-SE-F-I 521 MCG-53.7 MCG-3.6 MCG/ML IV,56.25,33.19,6.84,50.63,23
CDM,63323-148-01,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,470.0,277.3,57.17,423.0,23
CDM,63323-148-05,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,2351.25,1387.24,286.02,2116.13,23
CDM,63323-161-00,KETOROLAC 15 MG/ML INJECTION SOLUTION,3.09,1.82,0.38,2.78,23
CDM,63323-161-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,3.09,1.82,0.38,2.78,23
CDM,63323-161-12,KETOROLAC 15 MG/ML INJECTION SOLUTION,3.09,1.82,0.38,2.78,23
CDM,63323-161-21,KETOROLAC 15 MG/ML INJECTION SOLUTION,3.09,1.82,0.38,2.78,23
CDM,63323-162-00,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,3.18,1.88,0.39,2.86,23
CDM,63323-162-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,3.18,1.88,0.39,2.86,23
CDM,63323-162-02,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,3.96,2.34,0.48,3.56,23
CDM,63323-162-03,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,3.96,2.34,0.48,3.56,23
CDM,63323-162-12,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,3.18,1.88,0.39,2.86,23
CDM,63323-162-14,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,3.96,2.34,0.48,3.56,23
CDM,63323-162-23,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,3.18,1.88,0.39,2.86,23
CDM,63323-162-25,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,3.96,2.34,0.48,3.56,23
CDM,63323-165-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,13.23,7.81,1.61,11.91,23
CDM,63323-165-02,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,13.23,7.81,1.61,11.91,23
CDM,63323-165-03,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,26.5,15.64,3.22,23.85,23
CDM,63323-165-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,26.5,15.64,3.22,23.85,23
CDM,63323-165-30,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,156.45,92.31,19.03,140.81,23
CDM,63323-167-21,CARBOPLATIN 150 MG INTRAVENOUS SOLUTION,1027.7,606.34,125.01,924.93,23
CDM,63323-172-15,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,127.28,75.1,15.48,114.55,23
CDM,63323-172-45,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,439.88,259.53,53.51,395.89,23
CDM,63323-172-60,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,232.2,137.0,28.25,208.98,23
CDM,63323-173-01,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,9.58,5.65,1.17,8.62,23
CDM,63323-173-02,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,9.58,5.65,1.17,8.62,23
CDM,63323-180-00,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,55.8,32.92,6.79,50.22,23
CDM,63323-180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,55.8,32.92,6.79,50.22,23
CDM,63323-184-10,FOLIC ACID 5 MG/ML INJECTION SOLUTION,259.75,153.25,31.6,233.78,23
CDM,63323-184-11,FOLIC ACID 5 MG/ML INJECTION SOLUTION,91.85,54.19,11.17,82.67,23
CDM,63323-186-00,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,40.0,23.6,4.87,36.0,23
CDM,63323-186-01,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,2.75,1.62,0.33,2.48,23
CDM,63323-186-02,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,4.84,2.86,0.59,4.36,23
CDM,63323-186-03,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,5.3,3.13,0.64,4.77,23
CDM,63323-186-10,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,2.75,1.62,0.33,2.48,23
CDM,63323-186-20,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,5.3,3.13,0.64,4.77,23
CDM,63323-192-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,190.4,112.34,23.16,171.36,23
CDM,63323-193-02,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,80.0,47.2,9.73,72.0,23
CDM,63323-193-05,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,431.65,254.67,52.51,388.49,23
CDM,63323-193-52,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,73.65,43.45,8.96,66.29,23
CDM,63323-193-55,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,156.6,92.39,19.05,140.94,23
CDM,63323-201-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,11.38,6.71,1.38,10.24,23
CDM,63323-201-02,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,11.38,6.71,1.38,10.24,23
CDM,63323-201-03,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,6.55,3.86,0.8,5.9,23
CDM,63323-201-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,6.55,3.86,0.8,5.9,23
CDM,63323-202-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,11.38,6.71,1.38,10.24,23
CDM,63323-202-02,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,11.38,6.71,1.38,10.24,23
CDM,63323-203-01,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,43.73,25.8,5.32,39.36,23
CDM,63323-203-20,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,43.73,25.8,5.32,39.36,23
CDM,63323-205-00,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,395.0,233.05,48.05,355.5,23
CDM,63323-205-21,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,276.5,163.14,33.63,248.85,23
CDM,63323-205-31,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,395.0,233.05,48.05,355.5,23
CDM,63323-205-50,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,276.5,163.14,33.63,248.85,23
CDM,63323-208-01,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,15.8,9.32,1.92,14.22,23
CDM,63323-208-05,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,15.8,9.32,1.92,14.22,23
CDM,63323-221-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,11.2,6.61,1.36,10.08,23
CDM,63323-221-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,11.2,6.61,1.36,10.08,23
CDM,63323-229-01,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,50.23,29.64,6.11,45.21,23
CDM,63323-229-05,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,50.23,29.64,6.11,45.21,23
CDM,63323-229-15,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,50.23,29.64,6.11,45.21,23
CDM,63323-229-21,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,50.23,29.64,6.11,45.21,23
CDM,63323-229-30,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,150.75,88.94,18.34,135.68,23
CDM,63323-229-35,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,150.75,88.94,18.34,135.68,23
CDM,63323-236-10,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,11.96,7.06,1.45,10.76,23
CDM,63323-237-01,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,7.97,4.7,0.97,7.17,23
CDM,63323-237-10,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,7.97,4.7,0.97,7.17,23
CDM,63323-238-61,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,57.73,34.06,7.02,51.96,23
CDM,63323-241-20,SODIUM GLYCEROPHOSPHATE 1 MMOL/ML INTRAVENOUS SOLUTION,53.1,31.33,6.46,47.79,23
CDM,63323-255-01,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,27.97,16.5,3.4,25.17,23
CDM,63323-255-03,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,27.97,16.5,3.4,25.17,23
CDM,63323-258-01,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,53.63,31.64,6.52,48.27,23
CDM,63323-258-03,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,53.63,31.64,6.52,48.27,23
CDM,63323-260-01,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,27.9,16.46,3.39,25.11,23
CDM,63323-260-37,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,27.9,16.46,3.39,25.11,23
CDM,63323-261-10,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,40.35,23.81,4.91,36.32,23
CDM,63323-262-03,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",4.33,2.55,0.53,3.9,23
CDM,63323-262-06,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",4.33,2.55,0.53,3.9,23
CDM,63323-262-09,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",4.33,2.55,0.53,3.9,23
CDM,63323-262-26,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",4.33,2.55,0.53,3.9,23
CDM,63323-265-30,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",157.6,92.98,19.17,141.84,23
CDM,63323-269-10,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,5.15,3.04,0.63,4.64,23
CDM,63323-269-22,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,10.3,6.08,1.25,9.27,23
CDM,63323-269-25,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,9.3,5.49,1.13,8.37,23
CDM,63323-269-29,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,10.3,6.08,1.25,9.27,23
CDM,63323-269-37,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,10.3,6.08,1.25,9.27,23
CDM,63323-269-50,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.75,15.19,3.13,23.18,23
CDM,63323-269-57,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.75,15.19,3.13,23.18,23
CDM,63323-269-65,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,51.5,30.39,6.26,46.35,23
CDM,63323-269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,51.5,30.39,6.26,46.35,23
CDM,63323-269-78,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,53.5,31.57,6.51,48.15,23
CDM,63323-272-05,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,718.0,423.62,87.34,646.2,23
CDM,63323-273-01,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,27.7,16.34,3.37,24.93,23
CDM,63323-276-01,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",24.42,14.41,2.97,21.98,23
CDM,63323-276-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",24.42,14.41,2.97,21.98,23
CDM,63323-278-10,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,245.15,144.64,29.82,220.64,23
CDM,63323-280-01,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,9.63,5.68,1.17,8.67,23
CDM,63323-280-02,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,9.63,5.68,1.17,8.67,23
CDM,63323-280-03,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,8.7,5.13,1.06,7.83,23
CDM,63323-280-04,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,8.7,5.13,1.06,7.83,23
CDM,63323-281-10,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,505.4,298.19,61.48,454.86,23
CDM,63323-282-06,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,22.77,13.43,2.77,20.49,23
CDM,63323-283-01,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,39.25,23.16,4.77,35.33,23
CDM,63323-284-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",20.64,12.18,2.51,18.58,23
CDM,63323-284-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",20.64,12.18,2.51,18.58,23
CDM,63323-285-03,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,15.1,8.91,1.84,13.59,23
CDM,63323-285-04,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,325.0,191.75,39.53,292.5,23
CDM,63323-285-07,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,30.2,17.82,3.67,27.18,23
CDM,63323-285-13,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,15.1,8.91,1.84,13.59,23
CDM,63323-285-20,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,44.9,26.49,5.46,40.41,23
CDM,63323-285-23,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,30.2,17.82,3.67,27.18,23
CDM,63323-285-63,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,325.0,191.75,39.53,292.5,23
CDM,63323-285-64,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,182.0,107.38,22.14,163.8,23
CDM,63323-285-65,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,89.5,52.81,10.89,80.55,23
CDM,63323-285-67,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,89.5,52.81,10.89,80.55,23
CDM,63323-286-00,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,144.0,84.96,17.52,129.6,23
CDM,63323-286-11,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,22.95,13.54,2.79,20.66,23
CDM,63323-286-30,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,108.6,64.07,13.21,97.74,23
CDM,63323-286-31,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,37.65,22.21,4.58,33.89,23
CDM,63323-286-35,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,22.95,13.54,2.79,20.66,23
CDM,63323-287-20,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,87.6,51.68,10.66,78.84,23
CDM,63323-287-21,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,23.0,13.57,2.8,20.7,23
CDM,63323-288-10,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.1,11.86,2.45,18.09,23
CDM,63323-288-27,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,40.0,23.6,4.87,36.0,23
CDM,63323-293-01,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,37.8,22.3,4.6,34.02,23
CDM,63323-293-37,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,37.8,22.3,4.6,34.02,23
CDM,63323-294-01,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,31.0,18.29,3.77,27.9,23
CDM,63323-294-27,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,31.0,18.29,3.77,27.9,23
CDM,63323-295-61,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,368.3,217.3,44.8,331.47,23
CDM,63323-296-57,MEPIVACAINE 2 % INJECTION SOLUTION,40.25,23.75,4.9,36.23,23
CDM,63323-303-51,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,258.76,152.67,31.48,232.88,23
CDM,63323-303-55,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,258.76,152.67,31.48,232.88,23
CDM,63323-306-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,6.45,3.81,0.78,5.81,23
CDM,63323-306-02,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,6.45,3.81,0.78,5.81,23
CDM,63323-306-05,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,56.85,33.54,6.92,51.17,23
CDM,63323-306-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,56.85,33.54,6.92,51.17,23
CDM,63323-307-51,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,212.0,125.08,25.79,190.8,23
CDM,63323-314-61,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,129.05,76.14,15.7,116.15,23
CDM,63323-315-01,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,222.41,131.22,27.06,200.17,23
CDM,63323-315-10,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,222.41,131.22,27.06,200.17,23
CDM,63323-318-01,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,92.65,54.66,11.27,83.39,23
CDM,63323-321-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",52.77,31.13,6.42,47.49,23
CDM,63323-322-01,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,49.21,29.03,5.99,44.29,23
CDM,63323-322-25,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,49.21,29.03,5.99,44.29,23
CDM,63323-322-94,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,45.57,26.89,5.54,41.01,23
CDM,63323-325-09,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,20.7,12.21,2.52,18.63,23
CDM,63323-325-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,20.7,12.21,2.52,18.63,23
CDM,63323-327-10,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,68.52,40.43,8.34,61.67,23
CDM,63323-329-31,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",41.61,24.55,5.06,37.45,23
CDM,63323-338-20,VANCOMYCIN 125 MG CAPSULE,134.45,79.33,16.36,121.01,23
CDM,63323-341-01,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,32.16,18.97,3.91,28.94,23
CDM,63323-341-25,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,32.16,18.97,3.91,28.94,23
CDM,63323-342-25,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,64.28,37.93,7.82,57.85,23
CDM,63323-344-10,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,7.51,4.43,0.91,6.76,23
CDM,63323-346-10,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,17.93,10.58,2.18,16.14,23
CDM,63323-347-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,35.89,21.18,4.37,32.3,23
CDM,63323-349-25,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION,28.66,16.91,3.49,25.79,23
CDM,63323-354-45,CEFUROXIME SODIUM 7.5 GRAM INTRAVENOUS SOLUTION,173.25,102.22,21.07,155.93,23
CDM,63323-360-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,40.95,24.16,4.98,36.86,23
CDM,63323-360-03,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,88.75,52.36,10.8,79.88,23
CDM,63323-360-05,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,177.5,104.73,21.59,159.75,23
CDM,63323-360-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,40.95,24.16,4.98,36.86,23
CDM,63323-360-59,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,88.75,52.36,10.8,79.88,23
CDM,63323-360-61,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,177.5,104.73,21.59,159.75,23
CDM,63323-365-01,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,23.46,13.84,2.85,21.11,23
CDM,63323-366-01,DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION,26.73,15.77,3.25,24.06,23
CDM,63323-368-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,18.04,10.64,2.19,16.24,23
CDM,63323-369-20,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,35.75,21.09,4.35,32.18,23
CDM,63323-370-62,AMPICILLIN-SULBACTAM 15 GRAM SOLUTION FOR INJECTION,149.05,87.94,18.13,134.15,23
CDM,63323-371-10,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,2063.9,1217.7,251.06,1857.51,23
CDM,63323-371-19,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,105.0,61.95,12.77,94.5,23
CDM,63323-373-02,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,10.32,6.09,1.26,9.29,23
CDM,63323-376-00,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,11.57,6.83,1.41,10.41,23
CDM,63323-376-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,11.57,6.83,1.41,10.41,23
CDM,63323-377-00,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,54.14,31.94,6.59,48.73,23
CDM,63323-377-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,54.14,31.94,6.59,48.73,23
CDM,63323-378-05,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,111.0,65.49,13.5,99.9,23
CDM,63323-379-05,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",493.65,291.25,60.05,444.29,23
CDM,63323-385-10,CEFOTETAN 1 GRAM SOLUTION FOR INJECTION,46.26,27.29,5.63,41.63,23
CDM,63323-386-20,CEFOTETAN 2 GRAM SOLUTION FOR INJECTION,92.52,54.59,11.25,83.27,23
CDM,63323-393-06,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,50.6,29.85,6.16,45.54,23
CDM,63323-398-01,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,34.19,20.17,4.16,30.77,23
CDM,63323-398-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,34.19,20.17,4.16,30.77,23
CDM,63323-398-12,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,13.91,8.21,1.69,12.52,23
CDM,63323-400-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,16.58,9.78,2.02,14.92,23
CDM,63323-401-01,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,110.58,65.24,13.45,99.52,23
CDM,63323-401-20,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,110.58,65.24,13.45,99.52,23
CDM,63323-401-21,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,110.58,65.24,13.45,99.52,23
CDM,63323-401-26,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,110.58,65.24,13.45,99.52,23
CDM,63323-402-01,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,225.77,133.2,27.46,203.19,23
CDM,63323-402-03,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,225.77,133.2,27.46,203.19,23
CDM,63323-402-20,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,225.77,133.2,27.46,203.19,23
CDM,63323-402-30,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,225.77,133.2,27.46,203.19,23
CDM,63323-403-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.24,13.12,2.71,20.02,23
CDM,63323-403-10,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,104.25,61.51,12.68,93.83,23
CDM,63323-405-10,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",92.7,54.69,11.28,83.43,23
CDM,63323-406-03,CAFFEINE CITRATE 20 MG/ML ORAL SOLUTION,178.49,105.31,21.71,160.64,23
CDM,63323-407-03,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,143.4,84.61,17.44,129.06,23
CDM,63323-411-12,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,5.94,3.5,0.72,5.35,23
CDM,63323-411-15,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,5.94,3.5,0.72,5.35,23
CDM,63323-411-25,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,6.45,3.81,0.78,5.81,23
CDM,63323-412-02,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,29.58,17.45,3.6,26.62,23
CDM,63323-412-03,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,29.58,17.45,3.6,26.62,23
CDM,63323-412-18,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,14.98,8.84,1.82,13.48,23
CDM,63323-412-25,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,14.98,8.84,1.82,13.48,23
CDM,63323-413-10,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,10.35,6.11,1.26,9.32,23
CDM,63323-415-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,10.35,6.11,1.26,9.32,23
CDM,63323-416-01,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,43.3,25.55,5.27,38.97,23
CDM,63323-416-05,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,43.3,25.55,5.27,38.97,23
CDM,63323-417-01,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,18.25,10.77,2.22,16.43,23
CDM,63323-417-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,18.25,10.77,2.22,16.43,23
CDM,63323-418-01,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,238.0,140.42,28.95,214.2,23
CDM,63323-418-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,238.0,140.42,28.95,214.2,23
CDM,63323-424-05,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,34.15,20.15,4.15,30.74,23
CDM,63323-424-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,314.8,185.73,38.29,283.32,23
CDM,63323-426-02,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,29.9,17.64,3.64,26.91,23
CDM,63323-426-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,29.9,17.64,3.64,26.91,23
CDM,63323-427-10,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION",468.85,276.62,57.03,421.97,23
CDM,63323-434-00,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",27.5,16.23,3.35,24.75,23
CDM,63323-434-41,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",27.5,16.23,3.35,24.75,23
CDM,63323-451-00,MORPHINE 10 MG/ML INJECTION SOLUTION,9.03,5.33,1.1,8.13,23
CDM,63323-451-01,MORPHINE 10 MG/ML INJECTION SOLUTION,9.03,5.33,1.1,8.13,23
CDM,63323-452-00,MORPHINE 2 MG/ML INJECTION SOLUTION,7.97,4.7,0.97,7.17,23
CDM,63323-452-01,MORPHINE 2 MG/ML INJECTION SOLUTION,7.97,4.7,0.97,7.17,23
CDM,63323-454-00,MORPHINE 4 MG/ML INJECTION SOLUTION,8.2,4.84,1.0,7.38,23
CDM,63323-454-01,MORPHINE 4 MG/ML INJECTION SOLUTION,8.2,4.84,1.0,7.38,23
CDM,63323-455-00,MORPHINE 5 MG/ML INJECTION SOLUTION,8.8,5.19,1.07,7.92,23
CDM,63323-455-01,MORPHINE 5 MG/ML INJECTION SOLUTION,8.8,5.19,1.07,7.92,23
CDM,63323-458-00,MORPHINE 8 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,63323-458-01,MORPHINE 8 MG/ML INJECTION SOLUTION,7.65,4.51,0.93,6.89,23
CDM,63323-460-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",54.6,32.21,6.64,49.14,23
CDM,63323-461-57,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",78.75,46.46,9.58,70.88,23
CDM,63323-462-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",52.95,31.24,6.44,47.66,23
CDM,63323-462-02,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",38.25,22.57,4.65,34.43,23
CDM,63323-462-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",31.9,18.82,3.88,28.71,23
CDM,63323-462-31,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",38.25,22.57,4.65,34.43,23
CDM,63323-462-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",52.95,31.24,6.44,47.66,23
CDM,63323-463-57,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",84.5,49.86,10.28,76.05,23
CDM,63323-464-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,30.4,17.94,3.7,27.36,23
CDM,63323-464-02,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,34.8,20.53,4.23,31.32,23
CDM,63323-464-17,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,30.4,17.94,3.7,27.36,23
CDM,63323-464-37,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,34.8,20.53,4.23,31.32,23
CDM,63323-465-57,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,53.5,31.57,6.51,48.15,23
CDM,63323-466-01,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,33.6,19.82,4.09,30.24,23
CDM,63323-466-03,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,24.3,14.34,2.96,21.87,23
CDM,63323-466-17,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,24.3,14.34,2.96,21.87,23
CDM,63323-466-31,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,25.8,15.22,3.14,23.22,23
CDM,63323-466-37,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,33.6,19.82,4.09,30.24,23
CDM,63323-468-01,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",31.1,18.35,3.78,27.99,23
CDM,63323-468-17,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",31.1,18.35,3.78,27.99,23
CDM,63323-468-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",49.2,29.03,5.98,44.28,23
CDM,63323-469-01,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,34.6,20.41,4.21,31.14,23
CDM,63323-469-05,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,374.6,221.01,45.57,337.14,23
CDM,63323-471-01,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,39.2,23.13,4.77,35.28,23
CDM,63323-472-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,34.95,20.62,4.25,31.46,23
CDM,63323-472-03,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,25.3,14.93,3.08,22.77,23
CDM,63323-472-17,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,25.3,14.93,3.08,22.77,23
CDM,63323-472-37,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,34.95,20.62,4.25,31.46,23
CDM,63323-474-00,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,3.64,2.15,0.44,3.28,23
CDM,63323-474-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,3.64,2.15,0.44,3.28,23
CDM,63323-476-37,CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLUTION,80.1,47.26,9.74,72.09,23
CDM,63323-477-01,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,92.3,54.46,11.23,83.07,23
CDM,63323-477-27,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,92.3,54.46,11.23,83.07,23
CDM,63323-478-01,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,96.9,57.17,11.79,87.21,23
CDM,63323-478-27,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,96.9,57.17,11.79,87.21,23
CDM,63323-481-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",32.25,19.03,3.92,29.03,23
CDM,63323-481-57,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",32.25,19.03,3.92,29.03,23
CDM,63323-482-01,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",15.9,9.38,1.93,14.31,23
CDM,63323-482-03,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.8,11.68,2.41,17.82,23
CDM,63323-482-05,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",46.0,27.14,5.6,41.4,23
CDM,63323-482-17,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",15.9,9.38,1.93,14.31,23
CDM,63323-482-27,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",19.8,11.68,2.41,17.82,23
CDM,63323-482-57,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",46.0,27.14,5.6,41.4,23
CDM,63323-483-03,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.0,11.8,2.43,18.0,23
CDM,63323-483-27,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.0,11.8,2.43,18.0,23
CDM,63323-483-57,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",37.5,22.13,4.56,33.75,23
CDM,63323-484-57,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION,25.75,15.19,3.13,23.18,23
CDM,63323-485-01,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,8.4,4.96,1.02,7.56,23
CDM,63323-485-03,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,16.5,9.74,2.01,14.85,23
CDM,63323-485-27,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,8.4,4.96,1.02,7.56,23
CDM,63323-485-57,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,16.5,9.74,2.01,14.85,23
CDM,63323-486-01,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,8.15,4.81,0.99,7.34,23
CDM,63323-486-02,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,8.0,4.72,0.97,7.2,23
CDM,63323-486-05,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,17.0,10.03,2.07,15.3,23
CDM,63323-486-17,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,8.15,4.81,0.99,7.34,23
CDM,63323-486-27,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,8.0,4.72,0.97,7.2,23
CDM,63323-486-57,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,17.0,10.03,2.07,15.3,23
CDM,63323-487-07,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",54.45,32.13,6.62,49.01,23
CDM,63323-487-17,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",39.05,23.04,4.75,35.15,23
CDM,63323-487-31,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",47.1,27.79,5.73,42.39,23
CDM,63323-487-37,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",54.45,32.13,6.62,49.01,23
CDM,63323-488-07,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",72.0,42.48,8.76,64.8,23
CDM,63323-488-37,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",72.0,42.48,8.76,64.8,23
CDM,63323-489-01,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",47.25,27.88,5.75,42.53,23
CDM,63323-489-02,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",83.2,49.09,10.12,74.88,23
CDM,63323-489-17,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",47.25,27.88,5.75,42.53,23
CDM,63323-489-21,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",43.9,25.9,5.34,39.51,23
CDM,63323-489-27,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",83.2,49.09,10.12,74.88,23
CDM,63323-491-01,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,63.25,37.32,7.69,56.93,23
CDM,63323-491-57,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,63.25,37.32,7.69,56.93,23
CDM,63323-492-04,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,8.66,5.11,1.05,7.79,23
CDM,63323-492-07,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,51.6,30.44,6.28,46.44,23
CDM,63323-492-08,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,27.55,16.25,3.35,24.8,23
CDM,63323-492-09,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,18.2,10.74,2.21,16.38,23
CDM,63323-492-16,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,8.74,5.16,1.06,7.87,23
CDM,63323-492-27,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,8.66,5.11,1.05,7.79,23
CDM,63323-492-31,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,32.55,19.2,3.96,29.3,23
CDM,63323-492-37,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,51.6,30.44,6.28,46.44,23
CDM,63323-492-43,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,11.58,6.83,1.41,10.42,23
CDM,63323-492-57,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,18.2,10.74,2.21,16.38,23
CDM,63323-492-97,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,27.55,16.25,3.35,24.8,23
CDM,63323-493-91,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,63.5,37.47,7.72,57.15,23
CDM,63323-494-01,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,31.05,18.32,3.78,27.95,23
CDM,63323-494-05,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,31.05,18.32,3.78,27.95,23
CDM,63323-495-04,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,9.73,5.74,1.18,8.76,23
CDM,63323-495-07,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,9.73,5.74,1.18,8.76,23
CDM,63323-495-09,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,12.76,7.53,1.55,11.48,23
CDM,63323-495-26,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,9.78,5.77,1.19,8.8,23
CDM,63323-495-27,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,12.76,7.53,1.55,11.48,23
CDM,63323-496-03,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,32.1,18.94,3.9,28.89,23
CDM,63323-496-97,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,32.1,18.94,3.9,28.89,23
CDM,63323-506-00,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,5.76,3.4,0.7,5.18,23
CDM,63323-506-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,6.78,4.0,0.82,6.1,23
CDM,63323-507-01,MEROPENEM 500 MG INTRAVENOUS SOLUTION,13.36,7.88,1.63,12.02,23
CDM,63323-507-19,MEROPENEM 500 MG INTRAVENOUS SOLUTION,13.36,7.88,1.63,12.02,23
CDM,63323-507-20,MEROPENEM 500 MG INTRAVENOUS SOLUTION,13.36,7.88,1.63,12.02,23
CDM,63323-507-21,MEROPENEM 500 MG INTRAVENOUS SOLUTION,13.36,7.88,1.63,12.02,23
CDM,63323-508-01,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,26.73,15.77,3.25,24.06,23
CDM,63323-508-21,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,26.73,15.77,3.25,24.06,23
CDM,63323-508-25,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,28.23,16.66,3.43,25.41,23
CDM,63323-508-30,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,26.73,15.77,3.25,24.06,23
CDM,63323-508-31,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,26.73,15.77,3.25,24.06,23
CDM,63323-516-10,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,71.35,42.1,8.68,64.22,23
CDM,63323-517-01,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",38.75,22.86,4.71,34.88,23
CDM,63323-517-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",38.75,22.86,4.71,34.88,23
CDM,63323-518-77,"HEPARIN (PORCINE) 25,000 UNIT/500 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",30.0,17.7,3.65,27.0,23
CDM,63323-519-02,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",17.5,10.33,2.13,15.75,23
CDM,63323-519-10,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV",30.0,17.7,3.65,27.0,23
CDM,63323-519-77,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",17.5,10.33,2.13,15.75,23
CDM,63323-523-01,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",37.5,22.13,4.56,33.75,23
CDM,63323-523-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",37.5,22.13,4.56,33.75,23
CDM,63323-530-21,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,10.0,5.9,1.22,9.0,23
CDM,63323-530-75,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,10.0,5.9,1.22,9.0,23
CDM,63323-531-01,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,33.08,19.52,4.02,29.77,23
CDM,63323-531-90,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,33.08,19.52,4.02,29.77,23
CDM,63323-533-01,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,12.26,7.23,1.49,11.03,23
CDM,63323-533-13,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,12.26,7.23,1.49,11.03,23
CDM,63323-533-83,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,12.26,7.23,1.49,11.03,23
CDM,63323-535-01,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,16.68,9.84,2.03,15.01,23
CDM,63323-535-87,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,16.68,9.84,2.03,15.01,23
CDM,63323-537-01,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,64.17,37.86,7.81,57.75,23
CDM,63323-537-84,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,64.17,37.86,7.81,57.75,23
CDM,63323-540-03,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",4.06,2.4,0.49,3.65,23
CDM,63323-540-05,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",9.1,5.37,1.11,8.19,23
CDM,63323-540-07,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",9.1,5.37,1.11,8.19,23
CDM,63323-540-11,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",11.15,6.58,1.36,10.04,23
CDM,63323-540-13,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",4.06,2.4,0.49,3.65,23
CDM,63323-540-15,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",9.1,5.37,1.11,8.19,23
CDM,63323-540-67,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",9.1,5.37,1.11,8.19,23
CDM,63323-544-01,HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML INTRAVENOUS SOLUTION,7.47,4.41,0.91,6.72,23
CDM,63323-544-11,HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML INTRAVENOUS SOLUTION,15.8,9.32,1.92,14.22,23
CDM,63323-545-01,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,7.46,4.4,0.91,6.71,23
CDM,63323-559-21,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,11.3,6.67,1.37,10.17,23
CDM,63323-559-63,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,11.3,6.67,1.37,10.17,23
CDM,63323-559-93,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,11.3,6.67,1.37,10.17,23
CDM,63323-562-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,230.01,135.71,27.98,207.01,23
CDM,63323-563-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",42.85,25.28,5.21,38.57,23
CDM,63323-564-21,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,13.64,8.05,1.66,12.28,23
CDM,63323-564-63,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,13.64,8.05,1.66,12.28,23
CDM,63323-564-65,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,13.64,8.05,1.66,12.28,23
CDM,63323-564-97,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,13.64,8.05,1.66,12.28,23
CDM,63323-566-21,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,20.88,12.32,2.54,18.79,23
CDM,63323-566-63,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,20.88,12.32,2.54,18.79,23
CDM,63323-566-65,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,20.88,12.32,2.54,18.79,23
CDM,63323-566-98,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,20.88,12.32,2.54,18.79,23
CDM,63323-569-95,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,69.78,41.17,8.49,62.8,23
CDM,63323-569-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,55.84,32.95,6.79,50.26,23
CDM,63323-579-01,SINCALIDE 5 MCG SOLUTION FOR INJECTION,318.61,187.98,38.76,286.75,23
CDM,63323-580-20,ATROPINE 0.4 MG/ML INJECTION SOLUTION,37.1,21.89,4.51,33.39,23
CDM,63323-584-21,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.02,18.3,3.77,27.92,23
CDM,63323-584-63,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.02,18.3,3.77,27.92,23
CDM,63323-584-65,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.02,18.3,3.77,27.92,23
CDM,63323-584-99,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.02,18.3,3.77,27.92,23
CDM,63323-586-21,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,38.94,22.97,4.74,35.05,23
CDM,63323-586-63,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,38.94,22.97,4.74,35.05,23
CDM,63323-586-65,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,38.94,22.97,4.74,35.05,23
CDM,63323-586-96,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,38.94,22.97,4.74,35.05,23
CDM,63323-589-21,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,60.18,35.51,7.32,54.16,23
CDM,63323-589-94,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,60.18,35.51,7.32,54.16,23
CDM,63323-593-03,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.45,335.39,69.15,511.61,23
CDM,63323-594-03,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.45,335.39,69.15,511.61,23
CDM,63323-596-03,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.45,335.39,69.15,511.61,23
CDM,63323-596-06,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.45,335.39,69.15,511.61,23
CDM,63323-596-08,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.43,335.37,69.15,511.59,23
CDM,63323-596-11,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.43,335.37,69.15,511.59,23
CDM,63323-596-13,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.43,335.37,69.15,511.59,23
CDM,63323-596-16,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,568.43,335.37,69.15,511.59,23
CDM,63323-597-10,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,59.6,35.16,7.25,53.64,23
CDM,63323-599-30,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,113.25,66.82,13.78,101.93,23
CDM,63323-604-00,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,53.19,31.38,6.47,47.87,23
CDM,63323-604-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,53.19,31.38,6.47,47.87,23
CDM,63323-605-01,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,42.44,25.04,5.16,38.2,23
CDM,63323-605-04,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,42.67,25.18,5.19,38.4,23
CDM,63323-605-84,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,42.44,25.04,5.16,38.2,23
CDM,63323-605-94,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,42.67,25.18,5.19,38.4,23
CDM,63323-607-01,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.24,14.3,2.95,21.82,23
CDM,63323-607-08,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.24,14.3,2.95,21.82,23
CDM,63323-607-88,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.24,14.3,2.95,21.82,23
CDM,63323-607-98,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.24,14.3,2.95,21.82,23
CDM,63323-614-00,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,15.62,9.22,1.9,14.06,23
CDM,63323-614-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,15.62,9.22,1.9,14.06,23
CDM,63323-614-21,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,15.62,9.22,1.9,14.06,23
CDM,63323-614-55,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,15.62,9.22,1.9,14.06,23
CDM,63323-616-01,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,9.17,5.41,1.12,8.25,23
CDM,63323-616-02,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,25.16,14.84,3.06,22.64,23
CDM,63323-616-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,9.17,5.41,1.12,8.25,23
CDM,63323-616-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,25.16,14.84,3.06,22.64,23
CDM,63323-617-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,19.7,11.62,2.4,17.73,23
CDM,63323-617-20,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,27.6,16.28,3.36,24.84,23
CDM,63323-623-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,65.0,38.35,7.91,58.5,23
CDM,63323-623-51,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,63323-637-03,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,250.65,147.88,30.49,225.59,23
CDM,63323-637-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,250.65,147.88,30.49,225.59,23
CDM,63323-642-01,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.3,12.57,2.59,19.17,23
CDM,63323-642-02,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,62.25,36.73,7.57,56.03,23
CDM,63323-642-20,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.3,12.57,2.59,19.17,23
CDM,63323-642-50,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,62.25,36.73,7.57,56.03,23
CDM,63323-647-10,LEVOTHYROXINE 200 MCG INTRAVENOUS POWDER FOR SOLUTION,751.7,443.5,91.44,676.53,23
CDM,63323-648-10,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION,1819.75,1073.65,221.36,1637.78,23
CDM,63323-649-07,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,387.4,228.57,47.13,348.66,23
CDM,63323-649-16,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,387.4,228.57,47.13,348.66,23
CDM,63323-650-20,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,2217.6,1308.38,269.76,1995.84,23
CDM,63323-651-00,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,12.07,7.12,1.47,10.86,23
CDM,63323-651-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,12.07,7.12,1.47,10.86,23
CDM,63323-651-04,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,100.68,59.4,12.25,90.61,23
CDM,63323-651-21,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,51.01,30.1,6.21,45.91,23
CDM,63323-651-89,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,51.01,30.1,6.21,45.91,23
CDM,63323-651-90,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,90.82,53.58,11.05,81.74,23
CDM,63323-652-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,72.5,42.78,8.82,65.25,23
CDM,63323-655-21,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,41.61,24.55,5.06,37.45,23
CDM,63323-655-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,41.61,24.55,5.06,37.45,23
CDM,63323-658-20,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,195.8,115.52,23.82,176.22,23
CDM,63323-658-27,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,225.75,133.19,27.46,203.18,23
CDM,63323-659-03,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,1336.2,788.36,162.54,1202.58,23
CDM,63323-659-09,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,1336.2,788.36,162.54,1202.58,23
CDM,63323-660-01,METOPROLOL TARTRATE 5 MG/5 ML IV,6.83,4.03,0.83,6.15,23
CDM,63323-660-05,METOPROLOL TARTRATE 5 MG/5 ML IV,6.83,4.03,0.83,6.15,23
CDM,63323-664-00,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,13.82,8.15,1.68,12.44,23
CDM,63323-664-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,13.82,8.15,1.68,12.44,23
CDM,63323-665-00,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,7.28,4.3,0.89,6.55,23
CDM,63323-665-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,7.28,4.3,0.89,6.55,23
CDM,63323-673-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,101.35,59.8,12.33,91.22,23
CDM,63323-683-01,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,15.0,8.85,1.82,13.5,23
CDM,63323-683-10,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,15.0,8.85,1.82,13.5,23
CDM,63323-686-01,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,15.0,8.85,1.82,13.5,23
CDM,63323-686-10,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,15.0,8.85,1.82,13.5,23
CDM,63323-690-30,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,120.45,71.07,14.65,108.41,23
CDM,63323-692-10,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,69.8,41.18,8.49,62.82,23
CDM,63323-694-04,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,74.0,43.66,9.0,66.6,23
CDM,63323-695-04,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,58.8,34.69,7.15,52.92,23
CDM,63323-710-50,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,74.6,44.01,9.07,67.14,23
CDM,63323-711-00,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,207.35,122.34,25.22,186.62,23
CDM,63323-715-05,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,2316.5,1366.74,281.79,2084.85,23
CDM,63323-723-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,337.73,199.26,41.08,303.96,23
CDM,63323-723-03,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,337.73,199.26,41.08,303.96,23
CDM,63323-724-05,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,592.57,349.62,72.08,533.31,23
CDM,63323-731-01,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION,14.1,8.32,1.72,12.69,23
CDM,63323-733-11,MESNA 100 MG/ML INTRAVENOUS SOLUTION,305.45,180.22,37.16,274.91,23
CDM,63323-734-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,166.15,98.03,20.21,149.54,23
CDM,63323-735-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,497.8,293.7,60.55,448.02,23
CDM,63323-738-20,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,18.0,10.62,2.19,16.2,23
CDM,63323-739-11,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,3.23,1.91,0.39,2.91,23
CDM,63323-739-12,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,3.23,1.91,0.39,2.91,23
CDM,63323-751-00,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,5.72,3.37,0.7,5.15,23
CDM,63323-751-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,5.72,3.37,0.7,5.15,23
CDM,63323-751-03,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,5.72,3.37,0.7,5.15,23
CDM,63323-751-05,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,16.15,9.53,1.96,14.54,23
CDM,63323-751-10,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.5,26.85,5.53,40.95,23
CDM,63323-751-13,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,5.72,3.37,0.7,5.15,23
CDM,63323-760-20,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,589.75,347.95,71.74,530.78,23
CDM,63323-761-20,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,589.75,347.95,71.74,530.78,23
CDM,63323-762-10,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,175.85,103.75,21.39,158.27,23
CDM,63323-763-05,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",59.55,35.13,7.24,53.6,23
CDM,63323-763-16,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",198.99,117.4,24.21,179.09,23
CDM,63323-763-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",595.75,351.49,72.47,536.18,23
CDM,63323-763-52,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",190.25,112.25,23.14,171.23,23
CDM,63323-771-39,AZACITIDINE 100 MG SOLUTION FOR INJECTION,161.25,95.14,19.62,145.13,23
CDM,63323-781-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,26.36,15.55,3.21,23.72,23
CDM,63323-781-21,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,24.18,14.27,2.94,21.76,23
CDM,63323-806-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,6.04,3.56,0.73,5.44,23
CDM,63323-806-02,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,10.51,6.2,1.28,9.46,23
CDM,63323-806-05,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,11.43,6.74,1.39,10.29,23
CDM,63323-806-11,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,6.04,3.56,0.73,5.44,23
CDM,63323-806-12,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,10.51,6.2,1.28,9.46,23
CDM,63323-806-13,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,11.43,6.74,1.39,10.29,23
CDM,63323-806-14,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,39.1,23.07,4.76,35.19,23
CDM,63323-806-20,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,39.1,23.07,4.76,35.19,23
CDM,63323-806-50,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,77.75,45.87,9.46,69.98,23
CDM,63323-808-01,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE,8.99,5.3,1.09,8.09,23
CDM,63323-808-11,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE,8.99,5.3,1.09,8.09,23
CDM,63323-810-20,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,15.48,9.13,1.88,13.93,23
CDM,63323-812-01,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,21.15,12.48,2.57,19.04,23
CDM,63323-812-20,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,21.15,12.48,2.57,19.04,23
CDM,63323-813-01,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,13.87,8.18,1.69,12.48,23
CDM,63323-813-20,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,13.87,8.18,1.69,12.48,23
CDM,63323-815-02,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,53.63,31.64,6.52,48.27,23
CDM,63323-815-04,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",107.32,63.32,13.05,96.59,23
CDM,63323-815-22,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",107.32,63.32,13.05,96.59,23
CDM,63323-820-00,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,100.0,59.0,12.16,90.0,23
CDM,63323-820-03,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,147.5,87.03,17.94,132.75,23
CDM,63323-820-04,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,118.75,70.06,14.45,106.88,23
CDM,63323-820-05,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,255.0,150.45,31.02,229.5,23
CDM,63323-820-10,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,255.0,150.45,31.02,229.5,23
CDM,63323-820-50,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,147.5,87.03,17.94,132.75,23
CDM,63323-820-74,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,118.75,70.06,14.45,106.88,23
CDM,63323-821-10,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,161.25,95.14,19.62,145.13,23
CDM,63323-842-02,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,36.86,21.75,4.48,33.17,23
CDM,63323-842-21,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,36.86,21.75,4.48,33.17,23
CDM,63323-851-03,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,21.61,12.75,2.63,19.45,23
CDM,63323-851-10,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,21.61,12.75,2.63,19.45,23
CDM,63323-851-15,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,76.75,45.28,9.34,69.08,23
CDM,63323-851-50,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,219.75,129.65,26.73,197.78,23
CDM,63323-852-03,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION,19.86,11.72,2.42,17.87,23
CDM,63323-852-25,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION,19.86,11.72,2.42,17.87,23
CDM,63323-853-03,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,8.07,4.76,0.98,7.26,23
CDM,63323-853-25,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,8.07,4.76,0.98,7.26,23
CDM,63323-854-03,HYDROMORPHONE (PF) 4 MG/ML INJECTION SOLUTION,20.6,12.15,2.51,18.54,23
CDM,63323-854-10,HYDROMORPHONE (PF) 4 MG/ML INJECTION SOLUTION,20.6,12.15,2.51,18.54,23
CDM,63323-869-75,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,8.75,5.16,1.06,7.88,23
CDM,63323-875-50,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1960.0,1156.4,238.42,1764.0,23
CDM,63323-877-15,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,446.35,263.35,54.3,401.72,23
CDM,63323-881-01,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,107.7,63.54,13.1,96.93,23
CDM,63323-881-16,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,107.7,63.54,13.1,96.93,23
CDM,63323-883-05,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,30.35,17.91,3.69,27.32,23
CDM,63323-883-30,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,43.75,25.81,5.32,39.38,23
CDM,63323-884-01,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,89.38,52.73,10.87,80.44,23
CDM,63323-884-06,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,89.38,52.73,10.87,80.44,23
CDM,63323-885-10,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,328.8,193.99,40.0,295.92,23
CDM,63323-885-14,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,328.8,193.99,40.0,295.92,23
CDM,63323-915-03,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",31.61,18.65,3.85,28.45,23
CDM,63323-915-13,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",31.61,18.65,3.85,28.45,23
CDM,63323-924-03,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",10.95,6.46,1.33,9.86,23
CDM,63323-924-30,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",10.95,6.46,1.33,9.86,23
CDM,63323-925-17,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,14513.65,8563.05,1765.51,13062.29,23
CDM,63323-926-88,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,14513.65,8563.05,1765.51,13062.29,23
CDM,63323-930-00,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,59.76,35.26,7.27,53.78,23
CDM,63323-940-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,23.14,13.65,2.81,20.83,23
CDM,63323-940-21,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,23.14,13.65,2.81,20.83,23
CDM,63323-960-10,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,5.07,2.99,0.62,4.56,23
CDM,63323-961-98,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,202.2,119.3,24.6,181.98,23
CDM,63323-963-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,506.85,299.04,61.66,456.17,23
CDM,63323-965-01,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,13.23,7.81,1.61,11.91,23
CDM,63323-965-02,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,6.3,3.72,0.77,5.67,23
CDM,63323-965-03,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,63323-965-05,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,13.23,7.81,1.61,11.91,23
CDM,63323-965-10,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,9.2,5.43,1.12,8.28,23
CDM,63323-965-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,6.3,3.72,0.77,5.67,23
CDM,63323-966-00,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,216.5,127.74,26.34,194.85,23
CDM,63323-967-01,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,15.9,9.38,1.93,14.31,23
CDM,63323-981-21,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,11.52,6.8,1.4,10.37,23
CDM,63323-981-23,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,11.52,6.8,1.4,10.37,23
CDM,6332325410,"MINERAL OIL, LIGHT STERILE",92.0,54.28,11.19,82.8,23
CDM,6332354901,"HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION",13.02,7.68,1.58,11.72,23
CDM,6332355701,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SOLUTION",11.16,6.58,1.36,10.04,23
CDM,63361-243-15,"DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG",694.55,409.78,84.49,625.1,23
CDM,63361-243-88,"DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG",694.55,409.78,84.49,625.1,23
CDM,63402-202-30,ESLICARBAZEPINE 200 MG TABLET,175.66,103.64,21.37,158.09,23
CDM,63402-204-30,ESLICARBAZEPINE 400 MG TABLET,175.66,103.64,21.37,158.09,23
CDM,63402-206-60,ESLICARBAZEPINE 600 MG TABLET,175.66,103.64,21.37,158.09,23
CDM,63402-208-30,ESLICARBAZEPINE 800 MG TABLET,175.66,103.64,21.37,158.09,23
CDM,63402-302-30,LURASIDONE 20 MG TABLET,185.21,109.27,22.53,166.69,23
CDM,63402-304-30,LURASIDONE 40 MG TABLET,185.21,109.27,22.53,166.69,23
CDM,63402-306-30,LURASIDONE 60 MG TABLET,185.21,109.27,22.53,166.69,23
CDM,63402-308-30,LURASIDONE 80 MG TABLET,185.21,109.27,22.53,166.69,23
CDM,63402-312-30,LURASIDONE 120 MG TABLET,276.46,163.11,33.63,248.81,23
CDM,63402-911-01,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,33.58,19.81,4.08,30.22,23
CDM,63402-911-04,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,33.58,19.81,4.08,30.22,23
CDM,63402-911-30,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,33.58,19.81,4.08,30.22,23
CDM,63402-911-64,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,33.58,19.81,4.08,30.22,23
CDM,63459-101-30,MODAFINIL 100 MG TABLET,236.33,139.43,28.75,212.7,23
CDM,63459-103-10,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,2889.05,1704.54,351.44,2600.15,23
CDM,63459-104-50,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,14445.25,8522.7,1757.19,13000.73,23
CDM,63459-201-30,MODAFINIL 200 MG TABLET,357.08,210.68,43.44,321.37,23
CDM,63459-205-30,ARMODAFINIL 50 MG TABLET,47.58,28.07,5.79,42.82,23
CDM,63459-215-30,ARMODAFINIL 150 MG TABLET,168.89,99.65,20.54,152.0,23
CDM,63459-225-30,ARMODAFINIL 250 MG TABLET,168.89,99.65,20.54,152.0,23
CDM,63459-305-47,TRASTUZUMAB-PKRB 420 MG INTRAVENOUS SOLUTION,18635.6,10995.0,2266.92,16772.04,23
CDM,63459-307-41,TRASTUZUMAB-PKRB 420 MG INTRAVENOUS SOLUTION,18635.6,10995.0,2266.92,16772.04,23
CDM,63459-348-04,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,10030.26,5917.85,1220.13,9027.23,23
CDM,63459-390-08,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION,2601.6,1534.94,316.47,2341.44,23
CDM,63459-601-06,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,5404.95,3188.92,657.48,4864.46,23
CDM,63459-910-01,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,801.55,472.91,97.5,721.4,23
CDM,63459-910-11,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,801.55,472.91,97.5,721.4,23
CDM,63459-910-15,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,801.54,472.91,97.5,721.39,23
CDM,63459-910-17,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1278.05,754.05,155.47,1150.25,23
CDM,63459-910-18,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1278.05,754.05,155.47,1150.25,23
CDM,63481-025-09,FROVATRIPTAN 2.5 MG TABLET,660.55,389.72,80.35,594.5,23
CDM,63481-529-10,"NEOMYCIN-COLIST-HC-THONZONM 3.3 MG-3 MG-10 MG-0.5 MG/ML EAR DROPS,SUSP",0.01,0.01,0.01,0.01,23
CDM,63629-1046-1,NALTREXONE 50 MG TABLET,3.63,2.14,0.44,3.27,23
CDM,63629-1061-1,SPIRONOLACTONE 25 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,63629-1064-1,SPIRONOLACTONE 25 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,63629-1064-3,SPIRONOLACTONE 25 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,63629-1913-1,INDOMETHACIN 25 MG CAPSULE,0.53,0.31,0.06,0.48,23
CDM,63629-1998-2,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,233.74,137.91,28.43,210.37,23
CDM,63629-2095-15,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,11.03,6.51,1.34,9.93,23
CDM,63629-2169-1,DANTROLENE 50 MG CAPSULE,4.36,2.57,0.53,3.92,23
CDM,63629-2375-1,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,1.49,0.88,0.18,1.34,23
CDM,63629-2464-1,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,3.05,1.8,0.37,2.75,23
CDM,63629-8687-1,MUPIROCIN 2 % TOPICAL OINTMENT,39.38,23.23,4.79,35.44,23
CDM,63629-8734-1,VORICONAZOLE 200 MG TABLET,11.89,7.02,1.45,10.7,23
CDM,63713-390-11,"THROMBIN (HUM PLAS)-FIBRINOGEN-CA 800-1,200 UNIT/ML(1 ML X 2) TOP SOLN",1007.15,594.22,122.51,906.44,23
CDM,63713-390-55,"THROMBIN (HUM PLAS)-FIBRINOGEN-CA 800-1,200 UNIT/ML(5 ML X 2) TOP SOLN",4289.6,2530.86,521.81,3860.64,23
CDM,6371301972,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE",52.18,30.79,6.35,46.96,23
CDM,6371301975,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 CM TOPICAL SPONGE",254.71,150.28,30.98,229.24,23
CDM,6373612002,PERMETHRIN 1 % TOPICAL LIQUID,39.53,23.32,4.81,35.58,23
CDM,6373612003,PERMETHRIN 1 % TOPICAL LIQUID,33.34,19.67,4.06,30.01,23
CDM,6373614308,WHITE PETROLATUM 57.7 %-MINERAL OIL 31.9 % EYE OINTMENT,24.01,14.17,2.92,21.61,23
CDM,6373636305,ZINC OXIDE 15 %-CORN STARCH 81 % TOPICAL POWDER,15.62,9.22,1.9,14.06,23
CDM,6373644180,"MICONAZOLE NITRATE 1,200 MG-2 % VAGINAL KIT",78.95,46.58,9.6,71.06,23
CDM,63739-003-33,TEMAZEPAM 7.5 MG CAPSULE,13.81,8.15,1.68,12.43,23
CDM,63739-005-32,ZIPRASIDONE 40 MG CAPSULE,10.24,6.04,1.25,9.22,23
CDM,63739-008-33,VORICONAZOLE 200 MG TABLET,69.76,41.16,8.49,62.78,23
CDM,63739-016-10,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",1.75,1.03,0.21,1.58,23
CDM,63739-019-70,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,9.05,5.34,1.1,8.15,23
CDM,63739-019-71,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,9.05,5.34,1.1,8.15,23
CDM,63739-051-10,AMIODARONE 200 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,63739-052-57,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,6.08,3.59,0.74,5.47,23
CDM,63739-052-69,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,6.08,3.59,0.74,5.47,23
CDM,63739-052-74,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,6.08,3.59,0.74,5.47,23
CDM,63739-069-33,ARIPIPRAZOLE 2 MG TABLET,27.82,16.41,3.38,25.04,23
CDM,63739-072-33,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,2.02,1.19,0.25,1.82,23
CDM,63739-074-10,ARIPIPRAZOLE 10 MG TABLET,21.7,12.8,2.64,19.53,23
CDM,63739-076-33,VALGANCICLOVIR 450 MG TABLET,146.1,86.2,17.77,131.49,23
CDM,63739-077-10,VALACYCLOVIR 500 MG TABLET,4.43,2.61,0.54,3.99,23
CDM,63739-078-33,ARIPIPRAZOLE 15 MG TABLET,28.8,16.99,3.5,25.92,23
CDM,63739-086-10,VALPROIC ACID 250 MG CAPSULE,1.27,0.75,0.15,1.14,23
CDM,63739-087-02,ACETAMINOPHEN 325 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,63739-097-10,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.86,2.28,0.47,3.47,23
CDM,63739-098-10,MIRTAZAPINE 15 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,63739-108-10,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.66,0.39,0.08,0.59,23
CDM,63739-143-10,TAMOXIFEN 10 MG TABLET,1.89,1.12,0.23,1.7,23
CDM,63739-145-10,MIDODRINE 5 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,63739-158-32,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,10.23,6.04,1.24,9.21,23
CDM,63739-158-70,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,10.23,6.04,1.24,9.21,23
CDM,63739-159-10,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,7.5,4.43,0.91,6.75,23
CDM,63739-159-77,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,7.5,4.43,0.91,6.75,23
CDM,63739-160-10,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.65,2.15,0.44,3.29,23
CDM,63739-160-70,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.65,2.15,0.44,3.29,23
CDM,63739-168-33,DOXYCYCLINE HYCLATE 100 MG TABLET,11.01,6.5,1.34,9.91,23
CDM,63739-170-13,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,4.95,2.92,0.6,4.46,23
CDM,63739-178-30,CLOPIDOGREL 300 MG TABLET,29.4,17.35,3.58,26.46,23
CDM,63739-192-10,PHENOBARBITAL 16.2 MG TABLET,2.3,1.36,0.28,2.07,23
CDM,63739-196-01,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,7.05,4.16,0.86,6.35,23
CDM,63739-196-10,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,7.05,4.16,0.86,6.35,23
CDM,63739-198-61,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,4.23,2.5,0.51,3.81,23
CDM,63739-198-62,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,4.23,2.5,0.51,3.81,23
CDM,63739-203-01,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,105.13,62.03,12.79,94.62,23
CDM,63739-212-02,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.19,0.11,0.02,0.17,23
CDM,63739-236-10,GABAPENTIN 300 MG CAPSULE,0.48,0.28,0.06,0.43,23
CDM,63739-297-10,CELECOXIB 100 MG CAPSULE,2.98,1.76,0.36,2.68,23
CDM,63739-298-10,CELECOXIB 200 MG CAPSULE,4.99,2.94,0.61,4.49,23
CDM,63739-327-10,HYDRALAZINE 25 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,63739-328-10,HYDRALAZINE 50 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,63739-333-10,ONDANSETRON HCL 8 MG TABLET,2.03,1.2,0.25,1.83,23
CDM,63739-357-33,VALGANCICLOVIR 450 MG TABLET,144.71,85.38,17.6,130.24,23
CDM,63739-367-10,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,3.17,1.87,0.39,2.85,23
CDM,63739-403-10,NAPROXEN 500 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,63739-410-10,ALLOPURINOL 100 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,63739-411-10,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,63739-434-02,ASPIRIN 81 MG CHEWABLE TABLET,0.27,0.16,0.03,0.24,23
CDM,63739-479-10,BACLOFEN 10 MG TABLET,1.68,0.99,0.2,1.51,23
CDM,63739-480-10,BACLOFEN 20 MG TABLET,2.66,1.57,0.32,2.39,23
CDM,63739-483-10,HYDROXYZINE HCL 10 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,63739-486-10,HYDROXYZINE HCL 25 MG TABLET,0.79,0.47,0.1,0.71,23
CDM,63739-505-01,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,5.43,3.2,0.66,4.89,23
CDM,63739-505-10,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,5.43,3.2,0.66,4.89,23
CDM,63739-506-01,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,5.79,3.42,0.7,5.21,23
CDM,63739-506-10,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,5.79,3.42,0.7,5.21,23
CDM,63739-508-32,ZIPRASIDONE 80 MG CAPSULE,12.38,7.3,1.51,11.14,23
CDM,63739-526-10,ZOLPIDEM 10 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,63739-544-10,SPIRONOLACTONE 25 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,63739-545-10,SPIRONOLACTONE 50 MG TABLET,1.13,0.67,0.14,1.02,23
CDM,63739-548-33,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",11.53,6.8,1.4,10.38,23
CDM,63739-564-10,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.95,0.56,0.12,0.86,23
CDM,63739-567-10,TAMSULOSIN 0.4 MG CAPSULE,1.12,0.66,0.14,1.01,23
CDM,63739-569-10,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,2.56,1.51,0.31,2.3,23
CDM,63739-572-10,SIMVASTATIN 20 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,63739-573-10,SIMVASTATIN 40 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,63739-591-10,GABAPENTIN 100 MG CAPSULE,0.27,0.16,0.03,0.24,23
CDM,63739-645-10,FAMOTIDINE 20 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,63739-673-10,LOSARTAN 25 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,63739-686-10,LOSARTAN 50 MG TABLET,2.42,1.43,0.29,2.18,23
CDM,63739-698-10,LOSARTAN 100 MG TABLET,2.65,1.56,0.32,2.39,23
CDM,63739-724-01,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,870.68,513.7,105.91,783.61,23
CDM,63739-724-50,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,870.68,513.7,105.91,783.61,23
CDM,63739-760-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.15,3.04,0.63,4.64,23
CDM,63739-787-10,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,1.05,0.62,0.13,0.95,23
CDM,63739-795-10,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,0.91,0.54,0.11,0.82,23
CDM,63739-796-10,ALLOPURINOL 300 MG TABLET,2.36,1.39,0.29,2.12,23
CDM,63739-797-33,NIMODIPINE 30 MG CAPSULE,6.79,4.01,0.83,6.11,23
CDM,63739-798-01,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.93,1.73,0.36,2.64,23
CDM,63739-888-10,PAROXETINE 10 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,63739-901-14,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",37.05,21.86,4.51,33.35,23
CDM,63739-901-28,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",37.05,21.86,4.51,33.35,23
CDM,63739-902-10,GABAPENTIN 100 MG CAPSULE,0.36,0.21,0.04,0.32,23
CDM,63739-903-10,GABAPENTIN 300 MG CAPSULE,0.55,0.32,0.07,0.5,23
CDM,63739-904-10,GABAPENTIN 400 MG CAPSULE,0.49,0.29,0.06,0.44,23
CDM,63739-920-11,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",3.62,2.14,0.44,3.26,23
CDM,63739-920-25,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",3.62,2.14,0.44,3.26,23
CDM,63739-953-11,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",3.89,2.3,0.47,3.5,23
CDM,63739-953-25,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",3.89,2.3,0.47,3.5,23
CDM,63739-963-10,PAROXETINE 20 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,63739-964-11,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",10.65,6.28,1.3,9.59,23
CDM,63739-964-25,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",10.65,6.28,1.3,9.59,23
CDM,63739-972-10,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",1.67,0.99,0.2,1.5,23
CDM,63739-973-10,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",2.22,1.31,0.27,2.0,23
CDM,63739-984-10,GABAPENTIN 400 MG CAPSULE,0.86,0.51,0.1,0.77,23
CDM,63739-986-11,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",28.96,17.09,3.52,26.06,23
CDM,63739-986-25,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",28.96,17.09,3.52,26.06,23
CDM,63739-988-32,ZIPRASIDONE 20 MG CAPSULE,10.52,6.21,1.28,9.47,23
CDM,63739-995-10,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",3.01,1.78,0.37,2.71,23
CDM,63739-997-64,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,172.25,101.63,20.95,155.03,23
CDM,6373905802,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.35,0.21,0.04,0.32,23
CDM,6373915770,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,8.95,5.28,1.09,8.06,23
CDM,6380750055,"HEPARIN, PORCINE (PF) 10 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",1.93,1.14,0.23,1.74,23
CDM,6380760005,"HEPARIN, PORCINE (PF) 100 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.4,1.42,0.29,2.16,23
CDM,6380760055,"HEPARIN, PORCINE (PF) 100 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.08,1.23,0.25,1.87,23
CDM,63824-008-15,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.55,0.91,0.19,1.4,23
CDM,63824-008-34,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.66,0.98,0.2,1.49,23
CDM,63824-008-50,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.46,0.86,0.18,1.31,23
CDM,63824-056-32,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,2.0,1.18,0.24,1.8,23
CDM,63824-056-34,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,1.83,1.08,0.22,1.65,23
CDM,63824-171-63,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,32.93,19.43,4.01,29.64,23
CDM,63824-171-65,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,60.68,35.8,7.38,54.61,23
CDM,63824-175-63,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,32.93,19.43,4.01,29.64,23
CDM,63824-175-65,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5 ML ORAL SUSP EXT.RELEASE 12HR,45.14,26.63,5.49,40.63,23
CDM,63833-386-02,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",4525.0,2669.75,550.44,4072.5,23
CDM,63833-387-02,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",9050.0,5339.5,1100.89,8145.0,23
CDM,63833-396-01,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",4525.0,2669.75,550.44,4072.5,23
CDM,63833-397-01,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",9050.0,5339.5,1100.89,8145.0,23
CDM,63833-518-02,"FACTOR XIII 1,000 UNIT-1,600 UNIT INTRAVENOUS SOLUTION",47800.0,28202.0,5814.62,43020.0,23
CDM,63833-615-02,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,2775.0,1637.25,337.56,2497.5,23
CDM,63833-616-02,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",5550.0,3274.5,675.13,4995.0,23
CDM,63833-617-02,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",11100.0,6549.0,1350.26,9990.0,23
CDM,63833-625-01,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,2775.0,1637.25,337.56,2497.5,23
CDM,63833-626-01,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",5550.0,3274.5,675.13,4995.0,23
CDM,63833-825-02,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,17000.0,10030.0,2067.96,15300.0,23
CDM,63833-891-51,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION",5700.0,3363.0,693.38,5130.0,23
CDM,63868-339-12,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,11.95,7.05,1.45,10.76,23
CDM,64067-216-01,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,3155.0,1861.45,383.79,2839.5,23
CDM,64193-325-01,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",31850.0,18791.5,3874.39,28665.0,23
CDM,64193-326-01,ANTI-INHIBITOR COAGULANT COMPLEX 350 UNIT-650 UNIT INTRAVENOUS SOLN,6370.0,3758.3,774.88,5733.0,23
CDM,64193-424-02,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN",11760.0,6938.4,1430.54,10584.0,23
CDM,64193-425-02,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",31850.0,18791.5,3874.39,28665.0,23
CDM,64193-426-02,ANTI-INHIBITOR COAGULANT COMPLEX 350 UNIT-650 UNIT INTRAVENOUS SOLN,6370.0,3758.3,774.88,5733.0,23
CDM,64253-400-30,ATROPINE 0.1 MG/ML INJECTION SYRINGE,40.3,23.78,4.9,36.27,23
CDM,64253-400-91,ATROPINE 0.1 MG/ML INJECTION SYRINGE,40.3,23.78,4.9,36.27,23
CDM,64253-900-30,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,36.85,21.74,4.48,33.17,23
CDM,64253-900-36,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,36.85,21.74,4.48,33.17,23
CDM,64253-900-91,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,40.3,23.78,4.9,36.27,23
CDM,6425322221,"HEPARIN, PORCINE (PF) 10 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.54,1.5,0.31,2.29,23
CDM,6425322223,"HEPARIN, PORCINE (PF) 10 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.54,1.5,0.31,2.29,23
CDM,6425322235,"HEPARIN, PORCINE (PF) 10 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.33,1.37,0.28,2.1,23
CDM,6425333333,"HEPARIN, PORCINE (PF) 100 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.67,1.58,0.32,2.4,23
CDM,6425333335,"HEPARIN, PORCINE (PF) 100 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.58,1.52,0.31,2.32,23
CDM,6425344425,"HEPARIN, PORCINE (PF) 1 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",4.0,2.36,0.49,3.6,23
CDM,64281-100-00,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION,384.54,226.88,46.78,346.09,23
CDM,64281-100-06,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION,384.54,226.88,46.78,346.09,23
CDM,64281-111-00,METHACHOLINE CHLORIDE 0 MG/3 ML (0 MG/ML) NEBULIZATION SOLUTION,625.46,369.02,76.08,562.91,23
CDM,64380-157-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,64380-158-01,MEGESTROL 20 MG TABLET,87.5,51.63,10.64,78.75,23
CDM,64380-159-01,MEGESTROL 40 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,64380-160-01,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,144.0,84.96,17.52,129.6,23
CDM,64380-176-01,TRANYLCYPROMINE 10 MG TABLET,4.28,2.53,0.52,3.85,23
CDM,64380-707-03,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,10.36,6.11,1.26,9.32,23
CDM,64380-710-03,LAMIVUDINE 150 MG TABLET,2.67,1.58,0.32,2.4,23
CDM,64380-721-06,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,2.21,1.3,0.27,1.99,23
CDM,64380-723-06,CALCITRIOL 0.25 MCG CAPSULE,1.09,0.64,0.13,0.98,23
CDM,64380-724-06,CALCITRIOL 0.5 MCG CAPSULE,1.7,1.0,0.21,1.53,23
CDM,64380-725-06,MYCOPHENOLATE MOFETIL 500 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,64380-726-06,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,0.79,0.47,0.1,0.71,23
CDM,64380-734-06,HYDRALAZINE 25 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,64380-737-06,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",0.9,0.53,0.11,0.81,23
CDM,64380-741-06,BUSPIRONE 5 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,64380-741-07,BUSPIRONE 5 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,64380-741-08,BUSPIRONE 5 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,64380-742-06,BUSPIRONE 10 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,64380-743-18,BUSPIRONE 15 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,64380-752-16,"METHOXSALEN 10 MG LIQUID-FILLED,RAPID RELEASE CAPSULE",264.15,155.85,32.13,237.74,23
CDM,64380-758-06,ACARBOSE 25 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,64380-759-06,ACARBOSE 50 MG TABLET,1.32,0.78,0.16,1.19,23
CDM,64380-760-06,ACARBOSE 100 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,64380-761-11,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE,0.9,0.53,0.11,0.81,23
CDM,64380-769-21,PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION,200.0,118.0,24.33,180.0,23
CDM,64380-782-06,PREDNISONE 1 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,64380-783-06,PREDNISONE 5 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,64380-787-06,BUSPIRONE 7.5 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,64380-789-32,LIDOCAINE 5 % TOPICAL OINTMENT,46.25,27.29,5.63,41.63,23
CDM,64380-797-01,OSELTAMIVIR 30 MG CAPSULE,5.53,3.26,0.67,4.98,23
CDM,64380-799-01,OSELTAMIVIR 75 MG CAPSULE,8.53,5.03,1.04,7.68,23
CDM,64380-808-07,IBUPROFEN 600 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,64380-827-06,KETOCONAZOLE 200 MG TABLET,4.85,2.86,0.59,4.37,23
CDM,64380-833-06,ACETAZOLAMIDE IMMEDIATE RELEASE 125 MG TABLET,1.06,0.63,0.13,0.95,23
CDM,64380-834-06,ACETAZOLAMIDE IMMEDIATE RELEASE 250 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,64380-883-04,CINACALCET 30 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,64380-884-04,CINACALCET 60 MG TABLET,4.15,2.45,0.5,3.74,23
CDM,64380-885-04,CINACALCET 90 MG TABLET,5.99,3.53,0.73,5.39,23
CDM,64380-918-06,URSODIOL 250 MG TABLET,3.0,1.77,0.36,2.7,23
CDM,64380-919-06,URSODIOL 500 MG TABLET,4.0,2.36,0.49,3.6,23
CDM,64380-949-06,PREDNISONE 50 MG TABLET,1.51,0.89,0.18,1.36,23
CDM,64380-970-25,HYDROCORTISONE 5 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,64380-971-06,HYDROCORTISONE 10 MG TABLET,2.24,1.32,0.27,2.02,23
CDM,64406-008-01,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,41046.75,24217.58,4993.12,36942.08,23
CDM,64406-022-01,TOCILIZUMAB-BAVI 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,5480.65,3233.58,666.69,4932.59,23
CDM,64406-058-01,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,355094.63,209505.83,43195.4,319585.17,23
CDM,64679-012-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,21.43,12.64,2.61,19.29,23
CDM,64679-012-02,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,21.43,12.64,2.61,19.29,23
CDM,64679-034-01,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,11.52,6.8,1.4,10.37,23
CDM,64679-034-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,11.52,6.8,1.4,10.37,23
CDM,64679-056-01,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,13.83,8.16,1.68,12.45,23
CDM,64679-056-02,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,13.83,8.16,1.68,12.45,23
CDM,64679-698-01,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,23.5,13.87,2.86,21.15,23
CDM,64679-698-02,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,23.5,13.87,2.86,21.15,23
CDM,64679-699-01,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,42.85,25.28,5.21,38.57,23
CDM,64679-699-02,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,42.85,25.28,5.21,38.57,23
CDM,64679-700-02,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,225.75,133.19,27.46,203.18,23
CDM,64679-700-03,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,225.75,133.19,27.46,203.18,23
CDM,64679-923-02,ENALAPRIL MALEATE 2.5 MG TABLET,1.72,1.01,0.21,1.55,23
CDM,64679-924-02,ENALAPRIL MALEATE 5 MG TABLET,2.19,1.29,0.27,1.97,23
CDM,64679-925-02,ENALAPRIL MALEATE 10 MG TABLET,2.3,1.36,0.28,2.07,23
CDM,64679-926-02,ENALAPRIL MALEATE 20 MG TABLET,3.27,1.93,0.4,2.94,23
CDM,64764-080-60,LUBIPROSTONE 8 MCG CAPSULE,28.66,16.91,3.49,25.79,23
CDM,64764-108-20,VEDOLIZUMAB 108 MG/0.68 ML SUBCUTANEOUS PEN INJECTOR,22940.95,13535.16,2790.65,20646.86,23
CDM,64764-108-21,VEDOLIZUMAB 108 MG/0.68 ML SUBCUTANEOUS PEN INJECTOR,22940.95,13535.16,2790.65,20646.86,23
CDM,64764-119-01,COLCHICINE 0.6 MG TABLET,33.32,19.66,4.05,29.99,23
CDM,64764-119-07,COLCHICINE 0.6 MG TABLET,33.32,19.66,4.05,29.99,23
CDM,64764-130-01,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT",9292.5,5482.58,1130.38,8363.25,23
CDM,64764-135-01,"ADAMTS13, RECOMBINANT-KRHN 1,500 (+/-) UNIT INTRAVENOUS KIT",27877.5,16447.73,3391.15,25089.75,23
CDM,64764-140-05,"ADAMTS13, RECOMBINANT-KRHN 500 (+/-) UNIT INTRAVENOUS KIT",9292.5,5482.58,1130.38,8363.25,23
CDM,64764-145-05,"ADAMTS13, RECOMBINANT-KRHN 1,500 (+/-) UNIT INTRAVENOUS KIT",27877.5,16447.73,3391.15,25089.75,23
CDM,64764-151-04,PIOGLITAZONE 15 MG TABLET,59.88,35.33,7.28,53.89,23
CDM,64764-171-30,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",47.63,28.1,5.79,42.87,23
CDM,64764-175-30,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",47.63,28.1,5.79,42.87,23
CDM,64764-175-90,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",47.63,28.1,5.79,42.87,23
CDM,64764-300-20,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,42791.25,25246.84,5205.33,38512.13,23
CDM,64764-451-24,PIOGLITAZONE 45 MG TABLET,100.73,59.43,12.25,90.66,23
CDM,64764-543-11,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",64.11,37.82,7.8,57.7,23
CDM,64764-544-11,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",64.11,37.82,7.8,57.7,23
CDM,64764-544-30,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",64.11,37.82,7.8,57.7,23
CDM,64764-720-30,VORTIOXETINE 5 MG TABLET,75.62,44.62,9.2,68.06,23
CDM,64764-730-30,VORTIOXETINE 10 MG TABLET,75.62,44.62,9.2,68.06,23
CDM,64764-750-07,VORTIOXETINE 20 MG TABLET,58.64,34.6,7.13,52.78,23
CDM,64764-750-30,VORTIOXETINE 20 MG TABLET,75.62,44.62,9.2,68.06,23
CDM,64764-800-28,MARIBAVIR 200 MG TABLET,1111.6,655.84,135.22,1000.44,23
CDM,64764-800-56,MARIBAVIR 200 MG TABLET,1111.6,655.84,135.22,1000.44,23
CDM,64764-805-30,RAMELTEON 8 MG TABLET,60.08,35.45,7.31,54.07,23
CDM,64764-918-30,FEBUXOSTAT 40 MG TABLET,50.97,30.07,6.2,45.87,23
CDM,64850-500-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,64850-502-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,64850-505-01,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,64850-510-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",1.95,1.15,0.24,1.76,23
CDM,64850-512-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",1.96,1.16,0.24,1.76,23
CDM,64850-910-01,ISRADIPINE 2.5 MG CAPSULE,13.42,7.92,1.63,12.08,23
CDM,64850-911-01,ISRADIPINE 5 MG CAPSULE,13.54,7.99,1.65,12.19,23
CDM,64875-001-01,MIFEPRISTONE 200 MG TABLET,215.0,126.85,26.15,193.5,23
CDM,64896-661-01,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",19.25,11.36,2.34,17.33,23
CDM,64896-661-09,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",17.83,10.52,2.17,16.05,23
CDM,64896-663-01,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE",19.25,11.36,2.34,17.33,23
CDM,64950-205-10,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET,4.11,2.42,0.5,3.7,23
CDM,64950-216-10,ISONIAZID 100 MG TABLET,8.2,4.84,1.0,7.38,23
CDM,64950-217-10,ISONIAZID 300 MG TABLET,13.46,7.94,1.64,12.11,23
CDM,64950-342-05,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,44.93,26.51,5.47,40.44,23
CDM,64950-354-05,OXYCODONE 5 MG/5 ML ORAL SOLUTION,27.18,16.04,3.31,24.46,23
CDM,64950-354-45,OXYCODONE 5 MG/5 ML ORAL SOLUTION,27.68,16.33,3.37,24.91,23
CDM,64950-362-04,COCAINE 4 % NASAL SOLUTION,1135.1,669.71,138.08,1021.59,23
CDM,64950-374-16,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML ORAL SOLUTION,972.02,573.49,118.24,874.82,23
CDM,64950-378-96,SILVER NITRATE 0.5 % TOPICAL SOLUTION,1747.2,1030.85,212.54,1572.48,23
CDM,64980-133-01,DIPYRIDAMOLE 25 MG TABLET,5.49,3.24,0.67,4.94,23
CDM,64980-134-01,DIPYRIDAMOLE 50 MG TABLET,8.84,5.22,1.08,7.96,23
CDM,64980-135-01,DIPYRIDAMOLE 75 MG TABLET,11.83,6.98,1.44,10.65,23
CDM,64980-178-02,CHLOROQUINE 500 MG TABLET,31.68,18.69,3.85,28.51,23
CDM,64980-206-12,"ZILEUTON ER 600 MG TABLET,EXTENDED RELEASE 12HR MPHASE",57.6,33.98,7.01,51.84,23
CDM,64980-209-01,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",0.6,0.35,0.07,0.54,23
CDM,64980-210-01,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",0.72,0.42,0.09,0.65,23
CDM,64980-220-03,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",30.57,18.04,3.72,27.51,23
CDM,64980-221-01,METHYLPHENIDATE 2.5 MG CHEWABLE TABLET,6.0,3.54,0.73,5.4,23
CDM,64980-280-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",0.61,0.36,0.07,0.55,23
CDM,64980-282-03,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",13.33,7.86,1.62,12.0,23
CDM,64980-290-01,PERPHENAZINE 2 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,64980-292-01,PERPHENAZINE 8 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,64980-293-01,PERPHENAZINE 16 MG TABLET,2.81,1.66,0.34,2.53,23
CDM,64980-301-30,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,345.75,203.99,42.06,311.18,23
CDM,64980-320-05,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,297.05,175.26,36.13,267.35,23
CDM,64980-324-30,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,91.65,54.07,11.15,82.49,23
CDM,64980-350-03,FAMCICLOVIR 250 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,64980-373-03,ATOMOXETINE 10 MG CAPSULE,7.5,4.43,0.91,6.75,23
CDM,64980-374-03,ATOMOXETINE 18 MG CAPSULE,7.5,4.43,0.91,6.75,23
CDM,64980-375-03,ATOMOXETINE 25 MG CAPSULE,7.5,4.43,0.91,6.75,23
CDM,64980-376-03,ATOMOXETINE 40 MG CAPSULE,8.16,4.81,0.99,7.34,23
CDM,64980-377-03,ATOMOXETINE 60 MG CAPSULE,8.16,4.81,0.99,7.34,23
CDM,64980-378-03,ATOMOXETINE 80 MG CAPSULE,8.82,5.2,1.07,7.94,23
CDM,64980-379-03,ATOMOXETINE 100 MG CAPSULE,8.82,5.2,1.07,7.94,23
CDM,64980-413-09,PREGABALIN 100 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,64980-437-01,ATENOLOL 25 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,64980-437-10,ATENOLOL 25 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,64980-439-01,ATENOLOL 100 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,64980-447-15,CALCITRIOL 1 MCG/ML ORAL SOLUTION,1842.98,1087.36,224.19,1658.68,23
CDM,64980-449-03,FINGOLIMOD 0.5 MG CAPSULE,999.75,589.85,121.61,899.78,23
CDM,64980-503-12,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,90.27,53.26,10.98,81.24,23
CDM,64980-504-48,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,146.63,86.51,17.84,131.97,23
CDM,64980-513-01,TIMOLOL MALEATE 0.25 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,64980-513-05,TIMOLOL MALEATE 0.25 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,64980-514-01,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,64980-514-05,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,64980-514-15,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,64980-515-05,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,64980-526-03,NITAZOXANIDE 500 MG TABLET,476.19,280.95,57.93,428.57,23
CDM,64980-526-21,NITAZOXANIDE 500 MG TABLET,512.56,302.41,62.35,461.3,23
CDM,64980-526-60,NITAZOXANIDE 500 MG TABLET,492.35,290.49,59.89,443.12,23
CDM,64980-528-10,SODIUM BICARBONATE 650 MG TABLET,0.04,0.02,0.01,0.04,23
CDM,64980-561-03,LINEZOLID 600 MG TABLET,55.29,32.62,6.73,49.76,23
CDM,64980-562-01,FUROSEMIDE 20 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,64980-562-10,FUROSEMIDE 20 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,64980-563-01,FUROSEMIDE 40 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,6498010401,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,6498012950,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET,0.8,0.47,0.1,0.72,23
CDM,6498014612,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",5.67,3.35,0.69,5.1,23
CDM,6498014698,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",5.67,3.35,0.69,5.1,23
CDM,6498033901,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.36,0.21,0.04,0.32,23
CDM,6498033912,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.22,0.13,0.03,0.2,23
CDM,6498033990,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.36,0.21,0.04,0.32,23
CDM,65044-9998-1,HISTAMINE DIHYDROCHLORIDE 10 MG/ML INTRADERMAL INJECTION SOLUTION,1100.0,649.0,133.81,990.0,23
CDM,65162-001-03,PRASUGREL HCL 5 MG TABLET,3.01,1.78,0.37,2.71,23
CDM,65162-002-03,PRASUGREL HCL 10 MG TABLET,3.0,1.77,0.36,2.7,23
CDM,65162-024-09,LISDEXAMFETAMINE 30 MG CAPSULE,9.97,5.88,1.21,8.97,23
CDM,65162-034-16,OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE,1.05,0.62,0.13,0.95,23
CDM,65162-058-27,SEVELAMER CARBONATE 800 MG TABLET,1.79,1.06,0.22,1.61,23
CDM,65162-0691-65,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,0.68,0.4,0.08,0.61,23
CDM,65162-087-74,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,737.25,434.98,89.68,663.53,23
CDM,65162-126-04,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,75.14,44.33,9.14,67.63,23
CDM,65162-126-08,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,75.14,44.33,9.14,67.63,23
CDM,65162-149-08,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,75.14,44.33,9.14,67.63,23
CDM,65162-188-10,NAPROXEN 250 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,65162-189-10,NAPROXEN 375 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,65162-190-10,NAPROXEN 500 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,65162-190-11,NAPROXEN 500 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,65162-247-09,CHLORTHALIDONE 25 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,65162-248-03,ALOSETRON 0.5 MG TABLET,23.94,14.12,2.91,21.55,23
CDM,65162-271-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,65162-281-03,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",10.04,5.92,1.22,9.04,23
CDM,65162-282-03,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",8.67,5.12,1.05,7.8,23
CDM,65162-321-09,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1.64,0.97,0.2,1.48,23
CDM,65162-351-09,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,65162-361-10,FOLIC ACID 1 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,65162-361-11,FOLIC ACID 1 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,65162-415-03,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,7.95,4.69,0.97,7.16,23
CDM,65162-416-03,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,4.45,2.63,0.54,4.01,23
CDM,65162-441-10,MECLIZINE 12.5 MG TABLET,0.8,0.47,0.1,0.72,23
CDM,65162-442-10,MECLIZINE 25 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,65162-464-10,IBUPROFEN 400 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,65162-465-10,IBUPROFEN 600 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,65162-465-50,IBUPROFEN 600 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,65162-466-10,IBUPROFEN 800 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,65162-466-50,IBUPROFEN 800 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,65162-475-05,NORETHINDRONE ACETATE 5 MG TABLET,8.53,5.03,1.04,7.68,23
CDM,65162-521-10,PROMETHAZINE 25 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,65162-554-10,DEMECLOCYCLINE 150 MG TABLET,29.36,17.32,3.57,26.42,23
CDM,65162-555-48,DEMECLOCYCLINE 300 MG TABLET,53.11,31.33,6.46,47.8,23
CDM,65162-571-10,BETHANECHOL CHLORIDE 5 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,65162-572-10,BETHANECHOL CHLORIDE 10 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,65162-573-10,BETHANECHOL CHLORIDE 25 MG TABLET,2.11,1.24,0.26,1.9,23
CDM,65162-574-10,BETHANECHOL CHLORIDE 50 MG TABLET,3.49,2.06,0.42,3.14,23
CDM,65162-596-06,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",4.62,2.73,0.56,4.16,23
CDM,65162-627-10,TRAMADOL 50 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,65162-627-11,TRAMADOL 50 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,65162-627-50,TRAMADOL 50 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,65162-630-03,ITRACONAZOLE 100 MG CAPSULE,6.67,3.94,0.81,6.0,23
CDM,65162-637-09,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.52,0.31,0.06,0.47,23
CDM,65162-649-78,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,762.5,449.88,92.75,686.25,23
CDM,65162-673-84,RISPERIDONE 1 MG/ML ORAL SOLUTION,97.35,57.44,11.84,87.62,23
CDM,65162-676-84,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,92.1,54.34,11.2,82.89,23
CDM,65162-681-10,PHENAZOPYRIDINE 100 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,65162-682-10,PHENAZOPYRIDINE 200 MG TABLET,1.91,1.13,0.23,1.72,23
CDM,65162-686-88,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,835.2,492.77,101.6,751.68,23
CDM,65162-686-90,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,1646.04,971.16,200.23,1481.44,23
CDM,65162-687-84,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,125.4,73.99,15.25,112.86,23
CDM,65162-691-79,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,115.25,68.0,14.02,103.73,23
CDM,65162-693-88,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,3962.7,2337.99,482.04,3566.43,23
CDM,65162-698-90,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,279.07,164.65,33.95,251.16,23
CDM,65162-710-03,COLCHICINE 0.6 MG TABLET,2.46,1.45,0.3,2.21,23
CDM,65162-710-09,COLCHICINE 0.6 MG TABLET,2.74,1.62,0.33,2.47,23
CDM,65162-711-10,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,65162-734-09,FELBAMATE 400 MG TABLET,11.12,6.56,1.35,10.01,23
CDM,65162-749-34,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,19.6,11.56,2.38,17.64,23
CDM,65162-750-09,DUTASTERIDE 0.5 MG CAPSULE,2.31,1.36,0.28,2.08,23
CDM,65162-752-10,BENAZEPRIL 10 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,65162-755-10,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",1.2,0.71,0.15,1.08,23
CDM,65162-757-50,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1.98,1.17,0.24,1.78,23
CDM,65162-761-10,WARFARIN 1 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,65162-778-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",8.85,5.22,1.08,7.97,23
CDM,65162-791-04,LIDOCAINE 5 % ADHESIVE PATCH,9.26,5.46,1.13,8.33,23
CDM,65162-791-08,LIDOCAINE 5 % ADHESIVE PATCH,9.26,5.46,1.13,8.33,23
CDM,65162-801-14,TEMOZOLOMIDE 5 MG CAPSULE,12.23,7.22,1.49,11.01,23
CDM,65162-802-14,TEMOZOLOMIDE 20 MG CAPSULE,28.25,16.67,3.44,25.43,23
CDM,65162-825-34,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,19.6,11.56,2.38,17.64,23
CDM,65162-835-94,ACYCLOVIR 5 % TOPICAL OINTMENT,69.53,41.02,8.46,62.58,23
CDM,65162-838-09,VALSARTAN 80 MG TABLET,1.51,0.89,0.18,1.36,23
CDM,65162-839-09,VALSARTAN 160 MG TABLET,1.84,1.09,0.22,1.66,23
CDM,65162-891-29,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY,403.33,237.96,49.06,363.0,23
CDM,65162-896-03,ARIPIPRAZOLE 2 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,65162-897-03,ARIPIPRAZOLE 5 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,65162-897-09,ARIPIPRAZOLE 5 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,65162-898-03,ARIPIPRAZOLE 10 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,65162-899-03,ARIPIPRAZOLE 15 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,65162-899-09,ARIPIPRAZOLE 15 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,65162-914-46,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,67.85,40.03,8.25,61.07,23
CDM,65162-918-38,LIDOCAINE 5 % TOPICAL OINTMENT,51.92,30.63,6.32,46.73,23
CDM,65162-958-03,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",8.5,5.02,1.03,7.65,23
CDM,65162-986-03,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",9.08,5.36,1.1,8.17,23
CDM,65162-993-04,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.31,19.65,4.05,29.98,23
CDM,65162-993-08,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.31,19.65,4.05,29.98,23
CDM,65162-997-04,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.15,21.33,4.4,32.54,23
CDM,65162-997-08,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.15,21.33,4.4,32.54,23
CDM,65174-461-05,SODIUM IODIDE-131 (I-131) 3.7 MBQ (100 MICROCI) CAPSULE,176.97,104.41,21.53,159.27,23
CDM,65219-014-01,AMPICILLIN 250 MG SOLUTION FOR INJECTION,10.32,6.09,1.26,9.29,23
CDM,65219-014-10,AMPICILLIN 250 MG SOLUTION FOR INJECTION,10.32,6.09,1.26,9.29,23
CDM,65219-016-01,AMPICILLIN 500 MG SOLUTION FOR INJECTION,11.29,6.66,1.37,10.16,23
CDM,65219-016-10,AMPICILLIN 500 MG SOLUTION FOR INJECTION,11.29,6.66,1.37,10.16,23
CDM,65219-020-03,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,36.54,21.56,4.44,32.89,23
CDM,65219-020-23,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,36.54,21.56,4.44,32.89,23
CDM,65219-052-09,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,52.48,30.96,6.38,47.23,23
CDM,65219-052-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,52.48,30.96,6.38,47.23,23
CDM,65219-054-09,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,220.95,130.36,26.88,198.86,23
CDM,65219-054-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,220.95,130.36,26.88,198.86,23
CDM,65219-056-09,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,259.75,153.25,31.6,233.78,23
CDM,65219-056-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,259.75,153.25,31.6,233.78,23
CDM,65219-118-01,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,45.0,26.55,5.47,40.5,23
CDM,65219-131-20,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,506.85,299.04,61.66,456.17,23
CDM,65219-135-20,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,253.4,149.51,30.82,228.06,23
CDM,65219-150-75,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,27.5,16.23,3.35,24.75,23
CDM,65219-188-01,KETAMINE 50 MG/ML INJECTION SOLUTION,20.0,11.8,2.43,18.0,23
CDM,65219-190-30,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,70.25,41.45,8.55,63.23,23
CDM,65219-200-05,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,4146.75,2446.58,504.43,3732.08,23
CDM,65219-205-05,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,4146.75,2446.58,504.43,3732.08,23
CDM,65219-222-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,16.25,9.59,1.98,14.63,23
CDM,65219-222-25,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,16.25,9.59,1.98,14.63,23
CDM,65219-238-01,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,16.25,9.59,1.98,14.63,23
CDM,65219-256-00,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,204.05,120.39,24.82,183.65,23
CDM,65219-256-24,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,204.05,120.39,24.82,183.65,23
CDM,65219-259-05,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,17.46,10.3,2.12,15.71,23
CDM,65219-259-45,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,17.46,10.3,2.12,15.71,23
CDM,65219-287-10,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,169.2,99.83,20.58,152.28,23
CDM,65219-287-30,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,169.2,99.83,20.58,152.28,23
CDM,65219-293-00,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,67.92,40.07,8.26,61.13,23
CDM,65219-293-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,67.92,40.07,8.26,61.13,23
CDM,65219-295-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,679.2,400.73,82.62,611.28,23
CDM,65219-368-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION,6.5,3.84,0.79,5.85,23
CDM,65219-387-10,ELECTROLYTE-148 INTRAVENOUS SOLUTION,60.0,35.4,7.3,54.0,23
CDM,65219-434-02,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,13.78,8.13,1.68,12.4,23
CDM,65219-434-20,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,13.78,8.13,1.68,12.4,23
CDM,65219-436-02,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,18.39,10.85,2.24,16.55,23
CDM,65219-436-20,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,18.39,10.85,2.24,16.55,23
CDM,65219-445-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,12.35,7.29,1.5,11.12,23
CDM,65219-445-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,12.35,7.29,1.5,11.12,23
CDM,65219-447-02,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,17.4,10.27,2.12,15.66,23
CDM,65219-447-20,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,17.4,10.27,2.12,15.66,23
CDM,65219-458-05,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,10.05,5.93,1.22,9.05,23
CDM,65219-460-05,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,65219-464-05,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,9.6,5.66,1.17,8.64,23
CDM,65219-470-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,65219-470-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,65219-472-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,65219-474-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,65219-474-10,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,65219-533-01,FAT EMULSION 20 % INTRAVENOUS,65.0,38.35,7.91,58.5,23
CDM,65219-533-25,FAT EMULSION 20 % INTRAVENOUS,65.0,38.35,7.91,58.5,23
CDM,65219-550-01,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,22954.4,13543.1,2792.28,20658.96,23
CDM,65219-552-02,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,45908.8,27086.19,5584.56,41317.92,23
CDM,65219-564-20,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,227.15,134.02,27.63,204.44,23
CDM,65219-566-20,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,264.95,156.32,32.23,238.46,23
CDM,65219-570-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,15.9,9.38,1.93,14.31,23
CDM,65219-570-04,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,15.9,9.38,1.93,14.31,23
CDM,65219-572-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.55,11.53,2.38,17.6,23
CDM,65219-572-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,19.55,11.53,2.38,17.6,23
CDM,65219-590-04,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1824.0,1076.16,221.88,1641.6,23
CDM,65219-592-10,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,4560.0,2690.4,554.7,4104.0,23
CDM,65219-594-20,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,9120.0,5380.8,1109.4,8208.0,23
CDM,65219-632-04,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,276.0,162.84,33.57,248.4,23
CDM,65250-001-01,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2734.0,1613.06,332.58,2460.6,23
CDM,65250-133-04,BUPIVACAINE LIPOSOME INJECTION (EXPAREL),1138.15,671.51,138.45,1024.34,23
CDM,65250-133-09,BUPIVACAINE LIPOSOME INJECTION (EXPAREL),1138.15,671.51,138.45,1024.34,23
CDM,65250-133-10,BUPIVACAINE LIPOSOME INJECTION (EXPAREL),1138.15,671.51,138.45,1024.34,23
CDM,65250-266-09,BUPIVACAINE LIPOSOME INJECTION (EXPAREL),1880.6,1109.55,228.77,1692.54,23
CDM,65250-266-20,BUPIVACAINE LIPOSOME INJECTION (EXPAREL),1880.6,1109.55,228.77,1692.54,23
CDM,65282-1605-1,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,6.25,3.69,0.76,5.63,23
CDM,65302-528-15,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,187.5,110.63,22.81,168.75,23
CDM,65580-530-01,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,3.48,2.05,0.42,3.13,23
CDM,65580-532-01,METHYLPHENIDATE IMMEDIATE RELEASE 20 MG TABLET,5.09,3.0,0.62,4.58,23
CDM,65597-202-30,EDOXABAN 30 MG TABLET,66.9,39.47,8.14,60.21,23
CDM,65597-203-30,EDOXABAN 60 MG TABLET,66.9,39.47,8.14,60.21,23
CDM,65597-406-01,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,13866.35,8181.15,1686.77,12479.72,23
CDM,65597-801-01,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION,24455.35,14428.66,2974.87,22009.82,23
CDM,65628-0201-10,VANCOMYCIN 50 MG/ML ORAL SOLUTION (DR FIRST BRAND),442.55,261.1,53.83,398.3,23
CDM,65628-050-04,"DIPHENHYD 25 MG-LIDO 200 MG-MAG,AL 400 MG-SIMETH 40 MG/30 ML MOUTHWASH",417.1,246.09,50.74,375.39,23
CDM,65628-080-03,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,810.9,478.43,98.64,729.81,23
CDM,65628-080-05,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT,810.75,478.34,98.62,729.68,23
CDM,65628-080-10,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION COMPOUNDING KIT,811.5,478.79,98.71,730.35,23
CDM,65628-208-10,VANCOMYCIN 50 MG/ML ORAL SOLUTION,919.5,542.51,111.85,827.55,23
CDM,65649-0311-05,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,3.55,2.09,0.43,3.2,23
CDM,65649-103-02,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",19.6,11.56,2.38,17.64,23
CDM,65649-201-75,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,579.95,342.17,70.55,521.96,23
CDM,65649-301-03,RIFAXIMIN 200 MG TABLET,48.8,28.79,5.94,43.92,23
CDM,65649-303-02,RIFAXIMIN 550 MG TABLET,250.9,148.03,30.52,225.81,23
CDM,65649-303-03,RIFAXIMIN 550 MG TABLET,250.9,148.03,30.52,225.81,23
CDM,65649-311-12,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,319.95,188.77,38.92,287.96,23
CDM,65649-551-02,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,738.6,435.77,89.85,664.74,23
CDM,65649-551-03,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,738.63,435.79,89.85,664.77,23
CDM,65649-551-07,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,738.6,435.77,89.85,664.74,23
CDM,65757-300-01,NALTREXONE ER (VIVITROL) INTRAMUSCULAR SUSPENSION,7603.25,4485.92,924.9,6842.93,23
CDM,65757-302-02,NALTREXONE ER (VIVITROL) INTRAMUSCULAR SUSPENSION,7603.25,4485.92,924.9,6842.93,23
CDM,65757-401-03,"ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6 ML SUSPENSION, EXT.REL. IM SYRINGE",7156.4,4222.28,870.54,6440.76,23
CDM,65757-402-03,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE",10742.75,6338.22,1306.8,9668.48,23
CDM,65757-403-03,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",14312.76,8444.53,1741.07,12881.48,23
CDM,65757-404-03,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE",17266.3,10187.12,2100.35,15539.67,23
CDM,65757-500-03,"ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE",10953.7,6462.68,1332.46,9858.33,23
CDM,65862-005-01,CITALOPRAM 10 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,65862-006-01,CITALOPRAM 20 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,65862-007-01,CITALOPRAM 40 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,65862-008-01,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,65862-008-05,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,65862-009-01,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,65862-010-01,"METFORMIN 1,000 MG TABLET",0.19,0.11,0.02,0.17,23
CDM,65862-010-05,"METFORMIN 1,000 MG TABLET",0.15,0.09,0.02,0.14,23
CDM,65862-012-01,SERTRALINE 50 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,65862-012-30,SERTRALINE 50 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,65862-013-01,SERTRALINE 100 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,65862-013-30,SERTRALINE 100 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,65862-016-01,AMOXICILLIN 250 MG CAPSULE,0.24,0.14,0.03,0.22,23
CDM,65862-017-01,AMOXICILLIN 500 MG CAPSULE,0.42,0.25,0.05,0.38,23
CDM,65862-018-01,CEPHALEXIN 250 MG CAPSULE,0.51,0.3,0.06,0.46,23
CDM,65862-019-01,CEPHALEXIN 500 MG CAPSULE,0.84,0.5,0.1,0.76,23
CDM,65862-019-05,CEPHALEXIN 500 MG CAPSULE,0.8,0.47,0.1,0.72,23
CDM,65862-021-06,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,1.71,1.01,0.21,1.54,23
CDM,65862-022-06,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,2.32,1.37,0.28,2.09,23
CDM,65862-023-06,MIRTAZAPINE 45 MG DISINTEGRATING TABLET,2.24,1.32,0.27,2.02,23
CDM,65862-027-60,NEVIRAPINE 200 MG TABLET,3.1,1.83,0.38,2.79,23
CDM,65862-028-01,GLYBURIDE 1.25 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,65862-029-01,GLYBURIDE 2.5 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,65862-036-60,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,8.34,4.92,1.01,7.51,23
CDM,65862-048-24,ZIDOVUDINE 10 MG/ML ORAL SYRUP,166.8,98.41,20.29,150.12,23
CDM,65862-049-30,EFAVIRENZ 600 MG TABLET,10.67,6.3,1.3,9.6,23
CDM,65862-053-30,SIMVASTATIN 40 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,65862-053-90,SIMVASTATIN 40 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,65862-053-99,SIMVASTATIN 40 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,65862-055-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION,382.8,225.85,46.57,344.52,23
CDM,65862-057-24,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,589.2,347.63,71.67,530.28,23
CDM,65862-062-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,65862-062-99,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,65862-063-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,65862-063-99,METOPROLOL TARTRATE IMMEDIATE RELEASE 50 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,65862-064-01,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,65862-064-99,METOPROLOL TARTRATE IMMEDIATE RELEASE 100 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,65862-073-60,ABACAVIR 300 MG TABLET,11.52,6.8,1.4,10.37,23
CDM,65862-076-01,CIPROFLOXACIN 250 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,65862-077-01,CIPROFLOXACIN 500 MG TABLET,1.07,0.63,0.13,0.96,23
CDM,65862-077-05,CIPROFLOXACIN 500 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,65862-078-50,CIPROFLOXACIN 750 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,65862-080-01,GLYBURIDE 1.25 MG-METFORMIN 250 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,65862-081-01,GLYBURIDE 2.5 MG-METFORMIN 500 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,65862-095-01,CEFPODOXIME 100 MG TABLET,26.68,15.74,3.25,24.01,23
CDM,65862-095-20,CEFPODOXIME 100 MG TABLET,9.64,5.69,1.17,8.68,23
CDM,65862-096-20,CEFPODOXIME 200 MG TABLET,17.2,10.15,2.09,15.48,23
CDM,65862-117-01,BENAZEPRIL 20 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,65862-144-01,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,65862-146-36,SUMATRIPTAN 25 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,65862-148-36,SUMATRIPTAN 100 MG TABLET,3.07,1.81,0.37,2.76,23
CDM,65862-149-01,FINASTERIDE 5 MG TABLET,1.35,0.8,0.16,1.22,23
CDM,65862-149-30,FINASTERIDE 5 MG TABLET,0.57,0.34,0.07,0.51,23
CDM,65862-149-90,FINASTERIDE 5 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,65862-160-01,ZOLPIDEM 10 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,65862-160-05,ZOLPIDEM 10 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,65862-165-01,TRANDOLAPRIL 2 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,65862-185-01,CLINDAMYCIN HCL 150 MG CAPSULE,0.89,0.53,0.11,0.8,23
CDM,65862-186-01,CLINDAMYCIN HCL 300 MG CAPSULE,1.2,0.71,0.15,1.08,23
CDM,65862-187-30,ONDANSETRON HCL 4 MG TABLET,0.85,0.5,0.1,0.77,23
CDM,65862-188-30,ONDANSETRON HCL 8 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,65862-192-01,FLUOXETINE 10 MG CAPSULE,0.27,0.16,0.03,0.24,23
CDM,65862-193-01,FLUOXETINE 20 MG CAPSULE,0.26,0.15,0.03,0.23,23
CDM,65862-198-01,GABAPENTIN 100 MG CAPSULE,0.23,0.14,0.03,0.21,23
CDM,65862-199-01,GABAPENTIN 300 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,65862-200-01,GABAPENTIN 400 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,65862-201-90,LOSARTAN 25 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,65862-201-99,LOSARTAN 25 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,65862-202-30,LOSARTAN 50 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,65862-202-90,LOSARTAN 50 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,65862-202-99,LOSARTAN 50 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,65862-203-30,LOSARTAN 100 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,65862-203-90,LOSARTAN 100 MG TABLET,0.66,0.39,0.08,0.59,23
CDM,65862-207-68,RIBAVIRIN 200 MG TABLET,2.84,1.68,0.35,2.56,23
CDM,65862-209-01,MINOCYCLINE 50 MG CAPSULE,1.22,0.72,0.15,1.1,23
CDM,65862-211-50,MINOCYCLINE 100 MG CAPSULE,2.2,1.3,0.27,1.98,23
CDM,65862-218-01,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,100.0,59.0,12.16,90.0,23
CDM,65862-218-60,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,80.1,47.26,9.74,72.09,23
CDM,65862-225-60,CLARITHROMYCIN 250 MG TABLET,3.53,2.08,0.43,3.18,23
CDM,65862-226-60,CLARITHROMYCIN 500 MG TABLET,3.4,2.01,0.41,3.06,23
CDM,65862-227-01,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,65862-228-01,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,65862-229-60,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,65862-230-60,LAMOTRIGINE 200 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,65862-245-08,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,65862-246-08,LEVETIRACETAM IMMEDIATE RELEASE 500 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,65862-247-08,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,65862-250-47,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,137.17,80.93,16.69,123.45,23
CDM,65862-287-01,PERINDOPRIL ERBUMINE 4 MG TABLET,2.36,1.39,0.29,2.12,23
CDM,65862-288-01,PERINDOPRIL ERBUMINE 8 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,65862-290-84,RIBAVIRIN 200 MG CAPSULE,6.15,3.63,0.75,5.54,23
CDM,65862-294-90,ROSUVASTATIN 10 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,65862-295-90,ROSUVASTATIN 20 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,65862-295-99,ROSUVASTATIN 20 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,65862-296-90,ROSUVASTATIN 40 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,65862-306-12,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,211.8,124.96,25.76,190.62,23
CDM,65862-329-04,ALENDRONATE 70 MG TABLET,6.34,3.74,0.77,5.71,23
CDM,65862-357-05,CLOPIDOGREL 75 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,65862-357-30,CLOPIDOGREL 75 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,65862-357-90,CLOPIDOGREL 75 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,65862-373-01,ESCITALOPRAM 5 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,65862-373-05,ESCITALOPRAM 5 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,65862-374-01,ESCITALOPRAM 10 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,65862-375-01,ESCITALOPRAM 20 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,65862-390-10,ONDANSETRON 4 MG DISINTEGRATING TABLET,1.08,0.64,0.13,0.97,23
CDM,65862-391-10,ONDANSETRON 8 MG DISINTEGRATING TABLET,3.37,1.99,0.41,3.03,23
CDM,65862-419-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,65862-420-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,65862-449-30,VALACYCLOVIR 1 GRAM TABLET,5.97,3.52,0.73,5.37,23
CDM,65862-458-60,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,2.64,1.56,0.32,2.38,23
CDM,65862-459-60,GALANTAMINE IMMEDIATE RELEASE 8 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,65862-475-01,RAMIPRIL 2.5 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,65862-491-01,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,65862-495-01,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,65862-496-20,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,31.0,18.29,3.77,27.9,23
CDM,65862-496-47,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,170.28,100.47,20.71,153.25,23
CDM,65862-497-30,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,11.0,6.49,1.34,9.9,23
CDM,65862-502-20,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.03,1.2,0.25,1.83,23
CDM,65862-503-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,65862-503-20,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,65862-512-30,PIOGLITAZONE 15 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,65862-512-90,PIOGLITAZONE 15 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,65862-513-30,PIOGLITAZONE 30 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,65862-522-01,NAPROXEN 500 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,65862-523-01,GABAPENTIN 600 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,65862-523-05,GABAPENTIN 600 MG TABLET,0.83,0.49,0.1,0.75,23
CDM,65862-524-01,GABAPENTIN 800 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,65862-527-30,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",0.58,0.34,0.07,0.52,23
CDM,65862-527-90,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",0.53,0.31,0.06,0.48,23
CDM,65862-528-30,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",0.71,0.42,0.09,0.64,23
CDM,65862-528-90,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",0.69,0.41,0.08,0.62,23
CDM,65862-536-50,LEVOFLOXACIN 250 MG TABLET,1.48,0.87,0.18,1.33,23
CDM,65862-537-50,LEVOFLOXACIN 500 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,65862-552-60,LAMIVUDINE 150 MG TABLET,10.68,6.3,1.3,9.61,23
CDM,65862-559-90,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",0.4,0.24,0.05,0.36,23
CDM,65862-560-90,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.38,0.22,0.05,0.34,23
CDM,65862-560-99,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.41,0.24,0.05,0.37,23
CDM,65862-568-90,MONTELUKAST 5 MG CHEWABLE TABLET,1.03,0.61,0.13,0.93,23
CDM,65862-570-30,VALSARTAN 40 MG TABLET,1.89,1.12,0.23,1.7,23
CDM,65862-574-90,MONTELUKAST 10 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,65862-594-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",0.5,0.3,0.06,0.45,23
CDM,65862-595-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",0.59,0.35,0.07,0.53,23
CDM,65862-596-01,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,218.0,128.62,26.52,196.2,23
CDM,65862-598-01,TAMSULOSIN 0.4 MG CAPSULE,0.31,0.18,0.04,0.28,23
CDM,65862-600-12,RIZATRIPTAN 10 MG TABLET,5.15,3.04,0.63,4.64,23
CDM,65862-601-30,MODAFINIL 100 MG TABLET,1.6,0.94,0.19,1.44,23
CDM,65862-602-01,MODAFINIL 200 MG TABLET,3.2,1.89,0.39,2.88,23
CDM,65862-602-30,MODAFINIL 200 MG TABLET,3.69,2.18,0.45,3.32,23
CDM,65862-603-30,MOXIFLOXACIN 400 MG TABLET,11.71,6.91,1.42,10.54,23
CDM,65862-604-90,PRAMIPEXOLE 0.125 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,65862-617-90,QUINAPRIL 5 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,65862-618-90,QUINAPRIL 10 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,65862-625-03,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,7.9,4.66,0.96,7.11,23
CDM,65862-625-12,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,9.96,5.88,1.21,8.96,23
CDM,65862-626-03,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,7.66,4.52,0.93,6.89,23
CDM,65862-626-12,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,9.96,5.88,1.21,8.96,23
CDM,65862-641-30,AZITHROMYCIN 250 MG TABLET,3.52,2.08,0.43,3.17,23
CDM,65862-641-63,AZITHROMYCIN 250 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,65862-641-69,AZITHROMYCIN 250 MG TABLET,3.42,2.02,0.42,3.08,23
CDM,65862-642-30,AZITHROMYCIN 500 MG TABLET,5.1,3.01,0.62,4.59,23
CDM,65862-648-60,RIVASTIGMINE 1.5 MG CAPSULE,1.8,1.06,0.22,1.62,23
CDM,65862-649-60,RIVASTIGMINE 3 MG CAPSULE,2.7,1.59,0.33,2.43,23
CDM,65862-654-01,ENTACAPONE 200 MG TABLET,2.86,1.69,0.35,2.57,23
CDM,65862-661-30,ARIPIPRAZOLE 2 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,65862-662-30,ARIPIPRAZOLE 5 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,65862-663-30,ARIPIPRAZOLE 10 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,65862-664-30,ARIPIPRAZOLE 15 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,65862-670-01,REPAGLINIDE 0.5 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,65862-671-01,REPAGLINIDE 1 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,65862-672-01,REPAGLINIDE 2 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,65862-687-30,RITONAVIR 100 MG TABLET,8.93,5.27,1.09,8.04,23
CDM,65862-688-90,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,65862-692-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,1.56,0.92,0.19,1.4,23
CDM,65862-692-99,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,0.64,0.38,0.08,0.58,23
CDM,65862-697-30,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",0.85,0.5,0.1,0.77,23
CDM,65862-697-90,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",0.65,0.38,0.08,0.59,23
CDM,65862-699-60,CEFUROXIME AXETIL 250 MG TABLET,2.42,1.43,0.29,2.18,23
CDM,65862-700-60,CEFUROXIME AXETIL 500 MG TABLET,6.32,3.73,0.77,5.69,23
CDM,65862-702-60,ZIPRASIDONE 20 MG CAPSULE,1.92,1.13,0.23,1.73,23
CDM,65862-705-60,ZIPRASIDONE 80 MG CAPSULE,3.08,1.82,0.37,2.77,23
CDM,65862-707-01,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,8.5,5.02,1.03,7.65,23
CDM,65862-707-55,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,11.25,6.64,1.37,10.13,23
CDM,65862-711-60,ATAZANAVIR 150 MG CAPSULE,13.69,8.08,1.67,12.32,23
CDM,65862-712-60,ATAZANAVIR 200 MG CAPSULE,13.69,8.08,1.67,12.32,23
CDM,65862-713-30,ATAZANAVIR 300 MG CAPSULE,27.37,16.15,3.33,24.63,23
CDM,65862-732-60,AMIODARONE 200 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,65862-742-30,OLMESARTAN 20 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,65862-743-30,OLMESARTAN 40 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,65862-751-50,CEFIXIME 100 MG/5 ML ORAL SUSPENSION,769.75,454.15,93.64,692.78,23
CDM,65862-753-60,VALGANCICLOVIR 450 MG TABLET,15.88,9.37,1.93,14.29,23
CDM,65862-757-05,OLOPATADINE 0.1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,65862-776-28,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,65862-782-01,METHENAMINE HIPPURATE 1 GRAM TABLET,3.2,1.89,0.39,2.88,23
CDM,65862-783-30,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",1.54,0.91,0.19,1.39,23
CDM,65862-805-30,ARMODAFINIL 50 MG TABLET,1.69,1.0,0.21,1.52,23
CDM,65862-806-30,ARMODAFINIL 150 MG TABLET,5.04,2.97,0.61,4.54,23
CDM,65862-830-30,PRASUGREL HCL 10 MG TABLET,3.29,1.94,0.4,2.96,23
CDM,65862-831-30,CINACALCET 30 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,65862-832-30,CINACALCET 60 MG TABLET,4.17,2.46,0.51,3.75,23
CDM,65862-840-03,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,65862-841-30,ENTECAVIR 0.5 MG TABLET,7.98,4.71,0.97,7.18,23
CDM,65862-842-30,ENTECAVIR 1 MG TABLET,9.83,5.8,1.2,8.85,23
CDM,65862-844-01,CLOZAPINE 25 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,65862-846-01,CLOZAPINE 100 MG TABLET,3.53,2.08,0.43,3.18,23
CDM,65862-847-01,CLOZAPINE 200 MG TABLET,7.07,4.17,0.86,6.36,23
CDM,65862-849-28,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,1.41,0.83,0.17,1.27,23
CDM,65862-853-30,TADALAFIL 20 MG TABLET,1.55,0.91,0.19,1.4,23
CDM,65862-859-01,FAMOTIDINE 20 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,65862-859-99,FAMOTIDINE 20 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,65862-879-30,SOLIFENACIN 10 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,65862-880-60,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),3.84,2.27,0.47,3.46,23
CDM,65862-908-01,CELECOXIB 100 MG CAPSULE,0.69,0.41,0.08,0.62,23
CDM,65862-909-01,CELECOXIB 200 MG CAPSULE,1.39,0.82,0.17,1.25,23
CDM,65862-921-27,SEVELAMER CARBONATE 800 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,65862-922-05,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,65862-925-28,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,65862-925-85,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,65862-925-87,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,65862-927-30,FINASTERIDE 1 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,65862-930-08,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,7.56,4.46,0.92,6.8,23
CDM,65862-930-90,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,7.56,4.46,0.92,6.8,23
CDM,65862-931-08,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,8.75,5.16,1.06,7.88,23
CDM,65862-931-90,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,8.75,5.16,1.06,7.88,23
CDM,65862-936-30,PARICALCITOL 1 MCG CAPSULE,6.87,4.05,0.84,6.18,23
CDM,65862-937-30,PARICALCITOL 2 MCG CAPSULE,13.67,8.07,1.66,12.3,23
CDM,65862-946-01,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,65862-947-15,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,65862-947-60,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,65862-955-30,LURASIDONE 60 MG TABLET,3.07,1.81,0.37,2.76,23
CDM,65862-967-01,ESZOPICLONE 1 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,65862-967-30,ESZOPICLONE 1 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,65862-969-01,ESZOPICLONE 3 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,65909-089-01,STRONTIUM-89 CHLORIDE 1 MCI/ML INTRAVENOUS SOLUTION,12809.1,7557.37,1558.16,11528.19,23
CDM,66215-101-03,BOSENTAN 62.5 MG TABLET,596.9,352.17,72.61,537.21,23
CDM,66215-101-06,BOSENTAN 62.5 MG TABLET,1163.15,686.26,141.49,1046.84,23
CDM,66215-102-03,BOSENTAN 125 MG TABLET,1163.15,686.26,141.49,1046.84,23
CDM,66215-102-06,BOSENTAN 125 MG TABLET,822.01,484.99,99.99,739.81,23
CDM,66215-302-00,ILOPROST 10 MCG/ML SOLUTION FOR NEBULIZATION,808.2,476.84,98.31,727.38,23
CDM,66215-302-30,ILOPROST 10 MCG/ML SOLUTION FOR NEBULIZATION,848.6,500.67,103.23,763.74,23
CDM,66215-303-30,ILOPROST 20 MCG/ML SOLUTION FOR NEBULIZATION,848.6,500.67,103.23,763.74,23
CDM,66215-402-01,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,307.4,181.37,37.39,276.66,23
CDM,66215-403-01,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,146.4,86.38,17.81,131.76,23
CDM,66215-501-15,MACITENTAN 10 MG TABLET,2106.5,1242.84,256.24,1895.85,23
CDM,66215-501-30,MACITENTAN 10 MG TABLET,2358.6,1391.57,286.91,2122.74,23
CDM,66215-602-06,SELEXIPAG 200 MCG TABLET,1307.6,771.48,159.06,1176.84,23
CDM,66215-608-06,SELEXIPAG 800 MCG TABLET,2033.5,1199.77,247.36,1830.15,23
CDM,66220-207-30,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,1016.55,599.76,123.66,914.9,23
CDM,66220-315-11,TELAVANCIN 750 MG INTRAVENOUS SOLUTION,2360.99,1392.98,287.2,2124.89,23
CDM,66220-315-22,TELAVANCIN 750 MG INTRAVENOUS SOLUTION,2360.99,1392.98,287.2,2124.89,23
CDM,66259-146-01,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,17850.15,10531.59,2171.38,16065.14,23
CDM,66267-095-28,ETODOLAC 400 MG TABLET,8.91,5.26,1.08,8.02,23
CDM,66267-924-15,TETRACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,66267-989-15,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,32.35,19.09,3.94,29.12,23
CDM,6626721330,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,66302-014-01,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,86657.3,51127.81,10541.41,77991.57,23
CDM,66302-101-01,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,7958.0,4695.22,968.05,7162.2,23
CDM,66302-102-01,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,19896.0,11738.64,2420.24,17906.4,23
CDM,66302-105-01,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,39926.0,23556.34,4856.79,35933.4,23
CDM,66302-110-01,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,79583.0,46953.97,9680.85,71624.7,23
CDM,66302-206-03,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,16655.28,9826.62,2026.03,14989.75,23
CDM,66302-300-01,"TREPROSTINIL DIOLAMINE ER 0.125 MG TABLET,EXTENDED RELEASE",38.75,22.86,4.71,34.88,23
CDM,66302-310-01,"TREPROSTINIL DIOLAMINE ER 1 MG TABLET,EXTENDED RELEASE",309.75,182.75,37.68,278.78,23
CDM,66302-325-01,"TREPROSTINIL DIOLAMINE ER 2.5 MG TABLET,EXTENDED RELEASE",774.5,456.96,94.21,697.05,23
CDM,66302-467-60,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),322.0,189.98,39.17,289.8,23
CDM,66440-0115-8,COAL TAR 2 % SHAMPOO,68.44,40.38,8.33,61.6,23
CDM,66440-0401-8,PHENOL-SODIUM CHLORIDE TOPICAL LIQUID,68.44,40.38,8.33,61.6,23
CDM,66553-001-01,ASPIRIN IMMEDIATE RELEASE 325 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,66553-002-01,ASPIRIN 81 MG CHEWABLE TABLET,0.38,0.22,0.05,0.34,23
CDM,66553-004-01,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.39,0.23,0.05,0.35,23
CDM,66553-008-01,SODIUM BICARBONATE 650 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,66621-0790-1,ANTIVENIN CROTALIDAE (EQUINE) SOLUTION FOR INJECTION,6150.0,3628.5,748.12,5535.0,23
CDM,66621-0790-2,ANTIVENIN CROTALIDAE (EQUINE) SOLUTION FOR INJECTION,6150.0,3628.5,748.12,5535.0,23
CDM,66647-0140-23,TPN NEONATAL OFF HOURS INFUSION PREMIX,207.5,122.43,25.24,186.75,23
CDM,66658-113-01,PALIFERMIN 5.16 MG INTRAVENOUS SOLUTION,16360.95,9652.96,1990.22,14724.86,23
CDM,66658-230-01,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION,8989.5,5303.81,1093.53,8090.55,23
CDM,66658-234-01,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,1040.26,613.75,126.54,936.23,23
CDM,66658-234-07,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,1040.26,613.75,126.54,936.23,23
CDM,66658-501-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,32981.5,19459.09,4012.03,29683.35,23
CDM,66658-505-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,83369.95,49188.27,10141.52,75032.96,23
CDM,66689-201-08,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,120.0,70.8,14.6,108.0,23
CDM,66689-202-04,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,88.2,52.04,10.73,79.38,23
CDM,66689-203-04,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,83.4,49.21,10.15,75.06,23
CDM,66689-203-08,ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION,120.0,70.8,14.6,108.0,23
CDM,66689-307-08,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,1639.2,967.13,199.4,1475.28,23
CDM,66689-710-06,GENT VIOLET-BRLNT GRN-PROFLAV 2.29 MG-2.29 MG-1.14 MG/ML TOPICAL SWAB,18.56,10.95,2.26,16.7,23
CDM,66689-898-40,METHADONE 40 MG SOLUBLE TABLET,1.15,0.68,0.14,1.04,23
CDM,66733-948-23,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3897.75,2299.67,474.14,3507.98,23
CDM,66733-958-23,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,7795.5,4599.35,948.28,7015.95,23
CDM,66758-050-01,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,70.0,41.3,8.52,63.0,23
CDM,66758-050-03,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION,365.76,215.8,44.49,329.18,23
CDM,66758-071-38,CIPROFLOXACIN 0.3 % EYE OINTMENT,1252.55,739.0,152.37,1127.3,23
CDM,66758-085-70,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,66758-087-70,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,66758-101-11,TOPOTECAN 0.25 MG CAPSULE,559.24,329.95,68.03,503.32,23
CDM,66794-015-25,SEVOFLURANE 99.97 % INHALATION LIQUID,300.0,177.0,36.49,270.0,23
CDM,66794-203-02,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,25.43,15.0,3.09,22.89,23
CDM,66794-203-42,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,25.43,15.0,3.09,22.89,23
CDM,66794-219-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,37.5,22.13,4.56,33.75,23
CDM,66794-219-63,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,37.5,22.13,4.56,33.75,23
CDM,66794-228-02,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,7.95,4.69,0.97,7.16,23
CDM,66794-228-41,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,7.95,4.69,0.97,7.16,23
CDM,66794-229-02,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.25,10.18,2.1,15.53,23
CDM,66794-229-41,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,17.25,10.18,2.1,15.53,23
CDM,66794-230-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,10.32,6.09,1.26,9.29,23
CDM,66794-230-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,10.32,6.09,1.26,9.29,23
CDM,66794-232-02,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,31.25,18.44,3.8,28.13,23
CDM,66794-232-42,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,31.25,18.44,3.8,28.13,23
CDM,66794-233-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,10.32,6.09,1.26,9.29,23
CDM,66794-233-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,10.32,6.09,1.26,9.29,23
CDM,66794-236-63,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,37.5,22.13,4.56,33.75,23
CDM,66794-259-64,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,1187.0,700.33,144.39,1068.3,23
CDM,66887-003-01,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,32922.1,19424.04,4004.8,29629.89,23
CDM,66887-004-01,TESTOSTERONE 75 MG IMPLANT PELLET,375.0,221.25,45.62,337.5,23
CDM,66887-004-10,TESTOSTERONE 75 MG IMPLANT PELLET,375.0,221.25,45.62,337.5,23
CDM,66993-002-10,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,460.7,271.81,56.04,414.63,23
CDM,66993-019-68,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,143.91,84.91,17.51,129.52,23
CDM,66993-078-96,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,612.58,361.42,74.52,551.32,23
CDM,66993-079-96,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER,820.08,483.85,99.76,738.07,23
CDM,66993-080-96,FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER,1273.8,751.54,154.95,1146.42,23
CDM,66993-135-97,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,16.56,9.77,2.01,14.9,23
CDM,66993-370-25,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,182.0,107.38,22.14,163.8,23
CDM,66993-370-83,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,182.0,107.38,22.14,163.8,23
CDM,66993-407-32,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",5.97,3.52,0.73,5.37,23
CDM,66993-422-85,LANTHANUM 500 MG CHEWABLE TABLET,29.42,17.36,3.58,26.48,23
CDM,66993-432-85,PRAZOSIN 2 MG CAPSULE,1.19,0.7,0.14,1.07,23
CDM,66993-433-85,PRAZOSIN 5 MG CAPSULE,1.72,1.01,0.21,1.55,23
CDM,66993-456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,58.13,34.3,7.07,52.32,23
CDM,66993-457-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,58.13,34.3,7.07,52.32,23
CDM,66993-489-83,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,7033.9,4150.0,855.64,6330.51,23
CDM,66993-490-36,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1235.4,728.89,150.28,1111.86,23
CDM,66993-495-28,TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR,11641.89,6868.72,1416.17,10477.7,23
CDM,66993-584-97,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,6.22,3.67,0.76,5.6,23
CDM,66993-585-97,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,7.74,4.57,0.94,6.97,23
CDM,66993-586-97,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,10.21,6.02,1.24,9.19,23
CDM,66993-897-15,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",245.18,144.66,29.82,220.66,23
CDM,66993-897-49,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",545.5,321.85,66.36,490.95,23
CDM,66993-938-61,CALCIPOTRIENE-BETAMETHASONE 0.005 %-0.064 % TOPICAL OINTMENT,1536.9,906.77,186.96,1383.21,23
CDM,66993-962-45,METRONIDAZOLE 0.75 % TOPICAL GEL,638.78,376.88,77.7,574.9,23
CDM,67066-005-01,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,3213.0,1895.67,390.84,2891.7,23
CDM,67108-3565-9,MESNA 400 MG TABLET,356.78,210.5,43.4,321.1,23
CDM,6711290250,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",4.55,2.68,0.55,4.1,23
CDM,67157-101-50,ASCORBIC ACID (VITAMIN C) 500 MG/ML INTRAVENOUS SOLUTION,1253.75,739.71,152.51,1128.38,23
CDM,67253-651-10,PROPYLTHIOURACIL 50 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,67386-111-01,VIGABATRIN 500 MG TABLET,1009.1,595.37,122.75,908.19,23
CDM,67386-130-51,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,9024.9,5324.69,1097.83,8122.41,23
CDM,67386-211-65,VIGABATRIN 500 MG ORAL POWDER PACKET,1009.1,595.37,122.75,908.19,23
CDM,67386-313-21,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,7257.6,4281.98,882.85,6531.84,23
CDM,67386-314-01,CLOBAZAM 10 MG TABLET,138.14,81.5,16.8,124.33,23
CDM,67386-820-19,DROXIDOPA 100 MG CAPSULE,200.52,118.31,24.39,180.47,23
CDM,67386-822-19,DROXIDOPA 300 MG CAPSULE,601.55,354.91,73.18,541.4,23
CDM,67405-825-05,BENZOYL PEROXIDE 5 % TOPICAL CLEANSER,1.48,0.87,0.18,1.33,23
CDM,67457-118-50,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION,408.0,240.72,49.63,367.2,23
CDM,67457-153-00,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,17.64,10.41,2.15,15.88,23
CDM,67457-153-03,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,17.64,10.41,2.15,15.88,23
CDM,67457-153-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,32.0,18.88,3.89,28.8,23
CDM,67457-153-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,62.01,36.59,7.54,55.81,23
CDM,67457-153-99,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,32.0,18.88,3.89,28.8,23
CDM,67457-163-00,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,359.04,211.83,43.68,323.14,23
CDM,67457-163-02,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,359.04,211.83,43.68,323.14,23
CDM,67457-177-50,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,3219.75,1899.65,391.67,2897.78,23
CDM,67457-182-00,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,30.6,18.05,3.72,27.54,23
CDM,67457-182-10,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,30.6,18.05,3.72,27.54,23
CDM,67457-187-50,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION,7929.45,4678.38,964.58,7136.51,23
CDM,67457-193-50,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,949.15,560.0,115.46,854.24,23
CDM,67457-195-01,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,949.15,560.0,115.46,854.24,23
CDM,67457-196-00,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,15.29,9.02,1.86,13.76,23
CDM,67457-196-02,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,15.29,9.02,1.86,13.76,23
CDM,67457-197-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",32.25,19.03,3.92,29.03,23
CDM,67457-197-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",32.25,19.03,3.92,29.03,23
CDM,67457-210-05,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,1750.4,1032.74,212.93,1575.36,23
CDM,67457-211-02,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,4542.96,2680.35,552.63,4088.66,23
CDM,67457-217-20,METHADONE 10 MG/ML INJECTION SOLUTION,1980.6,1168.55,240.93,1782.54,23
CDM,67457-218-10,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",65.65,38.73,7.99,59.09,23
CDM,67457-220-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,4839.18,2855.12,588.66,4355.26,23
CDM,67457-227-00,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,408.49,241.01,49.69,367.64,23
CDM,67457-227-02,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,408.49,241.01,49.69,367.64,23
CDM,67457-228-00,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.95,12.95,2.67,19.76,23
CDM,67457-228-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.95,12.95,2.67,19.76,23
CDM,67457-228-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,31.9,18.82,3.88,28.71,23
CDM,67457-228-99,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,31.9,18.82,3.88,28.71,23
CDM,67457-238-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,420.65,248.18,51.17,378.59,23
CDM,67457-239-00,OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE,17.05,10.06,2.07,15.35,23
CDM,67457-239-01,OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE,17.05,10.06,2.07,15.35,23
CDM,67457-245-00,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,24.14,14.24,2.94,21.73,23
CDM,67457-245-01,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,24.14,14.24,2.94,21.73,23
CDM,67457-246-01,OCTREOTIDE ACETATE 500 MCG/ML (1 ML) INJECTION SYRINGE,87.08,51.38,10.59,78.37,23
CDM,67457-251-00,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,53.45,31.54,6.5,48.11,23
CDM,67457-251-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,53.45,31.54,6.5,48.11,23
CDM,67457-255-00,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,58.0,34.22,7.06,52.2,23
CDM,67457-255-10,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,58.0,34.22,7.06,52.2,23
CDM,67457-256-00,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,269.77,159.16,32.82,242.79,23
CDM,67457-256-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,269.77,159.16,32.82,242.79,23
CDM,67457-265-00,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",84.5,49.86,10.28,76.05,23
CDM,67457-265-10,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",84.5,49.86,10.28,76.05,23
CDM,67457-266-00,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",110.0,64.9,13.38,99.0,23
CDM,67457-266-10,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",110.0,64.9,13.38,99.0,23
CDM,67457-291-00,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,14.42,8.51,1.75,12.98,23
CDM,67457-291-01,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,14.42,8.51,1.75,12.98,23
CDM,67457-292-00,NALOXONE 0.4 MG/ML INJECTION SOLUTION,21.01,12.4,2.56,18.91,23
CDM,67457-292-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION,21.01,12.4,2.56,18.91,23
CDM,67457-297-50,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,4311.45,2543.76,524.47,3880.31,23
CDM,67457-299-00,NALOXONE 0.4 MG/ML INJECTION SOLUTION,183.85,108.47,22.36,165.47,23
CDM,67457-299-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,183.85,108.47,22.36,165.47,23
CDM,67457-311-00,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,2143.35,1264.58,260.73,1929.02,23
CDM,67457-311-05,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,2143.35,1264.58,260.73,1929.02,23
CDM,67457-316-25,DECITABINE 50 MG INTRAVENOUS SOLUTION,852.4,502.92,103.69,767.16,23
CDM,67457-317-25,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,57.35,33.84,6.98,51.62,23
CDM,67457-323-25,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,202.5,119.48,24.63,182.25,23
CDM,67457-339-00,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,36.59,21.59,4.45,32.93,23
CDM,67457-339-50,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,36.59,21.59,4.45,32.93,23
CDM,67457-340-00,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.82,6.97,1.44,10.64,23
CDM,67457-340-01,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",11.82,6.97,1.44,10.64,23
CDM,67457-341-05,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,405.15,239.04,49.28,364.64,23
CDM,67457-342-10,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,981.45,579.06,119.39,883.31,23
CDM,67457-348-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,13.69,8.08,1.67,12.32,23
CDM,67457-348-15,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,13.69,8.08,1.67,12.32,23
CDM,67457-349-03,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,18.05,10.65,2.2,16.25,23
CDM,67457-349-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,18.05,10.65,2.2,16.25,23
CDM,67457-351-01,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,22.13,13.06,2.69,19.92,23
CDM,67457-351-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,22.13,13.06,2.69,19.92,23
CDM,67457-352-02,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,32.43,19.13,3.94,29.19,23
CDM,67457-352-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,32.43,19.13,3.94,29.19,23
CDM,67457-359-59,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,280.9,165.73,34.17,252.81,23
CDM,67457-366-10,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,1374.35,810.87,167.18,1236.92,23
CDM,67457-372-12,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",12.72,7.5,1.55,11.45,23
CDM,67457-372-99,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",12.72,7.5,1.55,11.45,23
CDM,67457-374-12,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",13.78,8.13,1.68,12.4,23
CDM,67457-374-99,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",13.78,8.13,1.68,12.4,23
CDM,67457-383-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",44.5,26.26,5.41,40.05,23
CDM,67457-383-99,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",44.5,26.26,5.41,40.05,23
CDM,67457-385-10,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.05,11.24,2.32,17.15,23
CDM,67457-385-99,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",19.05,11.24,2.32,17.15,23
CDM,67457-386-00,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,334.04,197.08,40.63,300.64,23
CDM,67457-386-81,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,334.04,197.08,40.63,300.64,23
CDM,67457-390-54,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,161.25,95.14,19.62,145.13,23
CDM,67457-404-10,AMPICILLIN 10 GRAM SOLUTION FOR INJECTION,301.15,177.68,36.63,271.04,23
CDM,67457-409-00,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,80.86,47.71,9.84,72.77,23
CDM,67457-409-13,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,80.86,47.71,9.84,72.77,23
CDM,67457-418-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.25,1.33,0.27,2.03,23
CDM,67457-418-05,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.25,1.33,0.27,2.03,23
CDM,67457-419-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.27,1.34,0.28,2.04,23
CDM,67457-419-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.27,1.34,0.28,2.04,23
CDM,67457-420-00,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,6.35,3.75,0.77,5.72,23
CDM,67457-420-10,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,6.35,3.75,0.77,5.72,23
CDM,67457-422-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.25,1.33,0.27,2.03,23
CDM,67457-422-54,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.25,1.33,0.27,2.03,23
CDM,67457-423-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.27,1.34,0.28,2.04,23
CDM,67457-423-12,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,2.27,1.34,0.28,2.04,23
CDM,67457-426-00,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,2.55,1.5,0.31,2.3,23
CDM,67457-426-12,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,2.55,1.5,0.31,2.3,23
CDM,67457-428-00,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,100.2,59.12,12.19,90.18,23
CDM,67457-428-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,100.2,59.12,12.19,90.18,23
CDM,67457-430-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,42.45,25.05,5.16,38.21,23
CDM,67457-433-00,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,2.39,1.41,0.29,2.15,23
CDM,67457-433-22,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,2.39,1.41,0.29,2.15,23
CDM,67457-436-50,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,805.85,475.45,98.03,725.27,23
CDM,67457-437-00,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,76.81,45.32,9.34,69.13,23
CDM,67457-437-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,76.81,45.32,9.34,69.13,23
CDM,67457-438-00,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,22.66,13.37,2.76,20.39,23
CDM,67457-438-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,22.66,13.37,2.76,20.39,23
CDM,67457-442-20,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,202.8,119.65,24.67,182.52,23
CDM,67457-445-60,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,597.5,352.53,72.68,537.75,23
CDM,67457-446-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,129.25,76.26,15.72,116.33,23
CDM,67457-450-10,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,715.1,421.91,86.99,643.59,23
CDM,67457-452-20,CYTARABINE (PF) 100 MG/ML INJECTION,37.3,22.01,4.54,33.57,23
CDM,67457-455-00,CYTARABINE (PF) 100 MG/5 ML INJECTION,4.63,2.73,0.56,4.17,23
CDM,67457-455-52,CYTARABINE (PF) 100 MG/5 ML INJECTION,4.63,2.73,0.56,4.17,23
CDM,67457-464-20,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,69.55,41.03,8.46,62.6,23
CDM,67457-469-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,103.65,61.15,12.61,93.29,23
CDM,67457-473-00,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,3.83,2.26,0.47,3.45,23
CDM,67457-473-22,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,3.83,2.26,0.47,3.45,23
CDM,67457-524-33,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,224.51,132.46,27.31,202.06,23
CDM,67457-528-10,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,92.1,54.34,11.2,82.89,23
CDM,67457-529-20,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,184.25,108.71,22.41,165.83,23
CDM,67457-530-35,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,87.25,51.48,10.61,78.53,23
CDM,67457-531-02,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,184.25,108.71,22.41,165.83,23
CDM,67457-532-08,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,288.64,170.3,35.11,259.78,23
CDM,67457-553-00,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,58.25,34.37,7.09,52.43,23
CDM,67457-554-00,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,16.5,9.74,2.01,14.85,23
CDM,67457-582-00,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,46.17,27.24,5.62,41.55,23
CDM,67457-582-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,46.17,27.24,5.62,41.55,23
CDM,67457-583-00,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,147.54,87.05,17.95,132.79,23
CDM,67457-583-04,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,147.54,87.05,17.95,132.79,23
CDM,67457-584-00,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,147.54,87.05,17.95,132.79,23
CDM,67457-584-06,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,147.54,87.05,17.95,132.79,23
CDM,67457-585-00,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,147.54,87.05,17.95,132.79,23
CDM,67457-585-08,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,147.54,87.05,17.95,132.79,23
CDM,67457-588-10,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,135.15,79.74,16.44,121.64,23
CDM,67457-611-00,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,7.99,4.71,0.97,7.19,23
CDM,67457-611-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,377.2,222.55,45.88,339.48,23
CDM,67457-612-00,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",12.94,7.63,1.57,11.65,23
CDM,67457-612-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",75.25,44.4,9.15,67.73,23
CDM,67457-617-30,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,57.21,33.75,6.96,51.49,23
CDM,67457-618-10,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,124.4,73.4,15.13,111.96,23
CDM,67457-619-10,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,299.5,176.71,36.43,269.55,23
CDM,67457-621-99,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,12.65,7.46,1.54,11.39,23
CDM,67457-640-00,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,85.71,50.57,10.43,77.14,23
CDM,67457-640-02,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,85.71,50.57,10.43,77.14,23
CDM,67457-645-00,NALOXONE 0.4 MG/ML INJECTION SOLUTION,21.01,12.4,2.56,18.91,23
CDM,67457-645-02,NALOXONE 0.4 MG/ML INJECTION SOLUTION,21.01,12.4,2.56,18.91,23
CDM,67457-657-25,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",646.25,381.29,78.61,581.63,23
CDM,67457-658-10,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",762.5,449.88,92.75,686.25,23
CDM,67457-675-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,5251.65,3098.47,638.84,4726.49,23
CDM,67457-705-00,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,44.64,26.34,5.43,40.18,23
CDM,67457-705-75,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,44.64,26.34,5.43,40.18,23
CDM,67457-778-00,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,19.8,11.68,2.41,17.82,23
CDM,67457-778-05,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,19.8,11.68,2.41,17.82,23
CDM,67457-779-30,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,118.65,70.0,14.43,106.79,23
CDM,67457-790-00,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,9.33,5.5,1.13,8.4,23
CDM,67457-790-05,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,9.33,5.5,1.13,8.4,23
CDM,67457-813-50,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,161.05,95.02,19.59,144.95,23
CDM,67457-814-00,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,5.47,3.23,0.67,4.92,23
CDM,67457-814-02,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,5.47,3.23,0.67,4.92,23
CDM,67457-815-04,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,11.6,6.84,1.41,10.44,23
CDM,67457-816-00,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,16.8,9.91,2.04,15.12,23
CDM,67457-816-06,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,16.8,9.91,2.04,15.12,23
CDM,67457-823-12,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,89.85,53.01,10.93,80.87,23
CDM,67457-823-99,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,89.85,53.01,10.93,80.87,23
CDM,67457-824-15,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,111.12,65.56,13.52,100.01,23
CDM,67457-824-99,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,111.12,65.56,13.52,100.01,23
CDM,67457-833-06,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,7592.8,4479.75,923.62,6833.52,23
CDM,67457-839-02,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,109.45,64.58,13.31,98.51,23
CDM,67457-852-00,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,20.46,12.07,2.49,18.41,23
CDM,67457-852-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,20.46,12.07,2.49,18.41,23
CDM,67457-853-50,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,184.25,108.71,22.41,165.83,23
CDM,67457-854-00,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,19.6,11.56,2.38,17.64,23
CDM,67457-854-04,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,19.6,11.56,2.38,17.64,23
CDM,67457-855-00,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,8.64,5.1,1.05,7.78,23
CDM,67457-855-02,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,8.64,5.1,1.05,7.78,23
CDM,67457-857-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,177.9,104.96,21.64,160.11,23
CDM,67457-887-00,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,40.27,23.76,4.9,36.24,23
CDM,67457-889-10,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,207.3,122.31,25.22,186.57,23
CDM,67457-893-00,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,416.25,245.59,50.63,374.63,23
CDM,67457-893-08,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,416.25,245.59,50.63,374.63,23
CDM,67457-912-00,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,227.36,134.14,27.66,204.62,23
CDM,67457-914-05,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,741.9,437.72,90.25,667.71,23
CDM,67457-920-05,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,203.85,120.27,24.8,183.47,23
CDM,67457-921-00,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,19.8,11.68,2.41,17.82,23
CDM,67457-921-05,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,19.8,11.68,2.41,17.82,23
CDM,67457-922-30,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,118.8,70.09,14.45,106.92,23
CDM,67457-940-10,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",32.5,19.18,3.95,29.25,23
CDM,67546-111-12,NITAZOXANIDE 500 MG TABLET,623.76,368.02,75.88,561.38,23
CDM,67546-111-14,NITAZOXANIDE 500 MG TABLET,671.4,396.13,81.67,604.26,23
CDM,67546-212-21,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION,2418.6,1426.97,294.21,2176.74,23
CDM,67618-101-30,DOCUSATE SODIUM 100 MG CAPSULE,1.35,0.8,0.16,1.22,23
CDM,67618-101-60,DOCUSATE SODIUM 100 MG CAPSULE,1.22,0.72,0.15,1.1,23
CDM,67618-150-01,POVIDONE-IODINE 10 % TOPICAL SOLUTION,94.5,55.76,11.5,85.05,23
CDM,67618-150-04,POVIDONE-IODINE 10 % TOPICAL SOLUTION,8.26,4.87,1.0,7.43,23
CDM,67618-300-50,SENNOSIDES 8.6 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,6761811128,DOCUSATE SODIUM 50 MG CAPSULE,1.19,0.7,0.14,1.07,23
CDM,67684-1901-2,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,5470.0,3227.3,665.4,4923.0,23
CDM,67684-2000-1,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,50.95,30.06,6.2,45.86,23
CDM,67684-2000-2,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,76.05,44.87,9.25,68.45,23
CDM,67684-2000-3,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,101.9,60.12,12.4,91.71,23
CDM,67684-2000-4,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,576.0,339.84,70.07,518.4,23
CDM,67684-2001-1,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,43.75,25.81,5.32,39.38,23
CDM,67684-2001-2,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,65.63,38.72,7.98,59.07,23
CDM,67684-2001-3,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,87.5,51.63,10.64,78.75,23
CDM,67684-2001-4,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,414.5,244.56,50.42,373.05,23
CDM,67684-4230-1,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,41.48,24.47,5.05,37.33,23
CDM,67684-4230-2,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,41.48,24.47,5.05,37.33,23
CDM,67684-4231-1,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,79.47,46.89,9.67,71.52,23
CDM,67684-4231-2,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,79.47,46.89,9.67,71.52,23
CDM,67684-4232-1,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,106.0,62.54,12.89,95.4,23
CDM,67684-4232-2,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,106.0,62.54,12.89,95.4,23
CDM,67850-022-00,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,22.71,13.4,2.76,20.44,23
CDM,67850-022-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,22.71,13.4,2.76,20.44,23
CDM,67850-041-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",40.85,24.1,4.97,36.77,23
CDM,67850-041-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",40.85,24.1,4.97,36.77,23
CDM,67850-140-00,POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION,91.27,53.85,11.1,82.14,23
CDM,67850-140-05,POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION,91.27,53.85,11.1,82.14,23
CDM,67850-141-00,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,104.71,61.78,12.74,94.24,23
CDM,67850-141-05,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,104.71,61.78,12.74,94.24,23
CDM,67850-552-01,MANNITOL 0 MG-5 MG-10 MG-20 MG-40 MG INHALATION POWDER IN A CAPSULE,30.48,17.98,3.71,27.43,23
CDM,67871-4790-6,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION,2225.7,1313.16,270.74,2003.13,23
CDM,67877-116-01,METHADONE 10 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,67877-124-05,SILVER SULFADIAZINE 1 % TOPICAL CREAM,56.5,33.34,6.87,50.85,23
CDM,67877-124-20,SILVER SULFADIAZINE 1 % TOPICAL CREAM,23.3,13.75,2.83,20.97,23
CDM,67877-124-25,SILVER SULFADIAZINE 1 % TOPICAL CREAM,34.38,20.28,4.18,30.94,23
CDM,67877-124-40,SILVER SULFADIAZINE 1 % TOPICAL CREAM,244.0,143.96,29.68,219.6,23
CDM,67877-124-50,SILVER SULFADIAZINE 1 % TOPICAL CREAM,56.5,33.34,6.87,50.85,23
CDM,67877-124-85,SILVER SULFADIAZINE 1 % TOPICAL CREAM,101.58,59.93,12.36,91.42,23
CDM,67877-146-01,TEMAZEPAM 15 MG CAPSULE,0.43,0.25,0.05,0.39,23
CDM,67877-147-01,TEMAZEPAM 30 MG CAPSULE,0.54,0.32,0.07,0.49,23
CDM,67877-159-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",0.23,0.14,0.03,0.21,23
CDM,67877-169-30,ONDANSETRON HCL 4 MG TABLET,1.88,1.11,0.23,1.69,23
CDM,67877-197-05,AMLODIPINE 2.5 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,67877-197-90,AMLODIPINE 2.5 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,67877-198-05,AMLODIPINE 5 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,67877-198-90,AMLODIPINE 5 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,67877-199-90,AMLODIPINE 10 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,67877-215-20,CEFUROXIME AXETIL 250 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,67877-215-60,CEFUROXIME AXETIL 250 MG TABLET,2.1,1.24,0.26,1.89,23
CDM,67877-216-20,CEFUROXIME AXETIL 500 MG TABLET,7.66,4.52,0.93,6.89,23
CDM,67877-216-60,CEFUROXIME AXETIL 500 MG TABLET,6.32,3.73,0.77,5.69,23
CDM,67877-219-01,CEPHALEXIN 500 MG CAPSULE,1.3,0.77,0.16,1.17,23
CDM,67877-220-01,CEPHALEXIN 250 MG CAPSULE,0.36,0.21,0.04,0.32,23
CDM,67877-222-01,GABAPENTIN 100 MG CAPSULE,0.18,0.11,0.02,0.16,23
CDM,67877-222-10,GABAPENTIN 100 MG CAPSULE,0.14,0.08,0.02,0.13,23
CDM,67877-223-01,GABAPENTIN 300 MG CAPSULE,0.31,0.18,0.04,0.28,23
CDM,67877-223-05,GABAPENTIN 300 MG CAPSULE,0.22,0.13,0.03,0.2,23
CDM,67877-223-10,GABAPENTIN 300 MG CAPSULE,0.19,0.11,0.02,0.17,23
CDM,67877-224-01,GABAPENTIN 400 MG CAPSULE,0.33,0.19,0.04,0.3,23
CDM,67877-225-01,MYCOPHENOLATE MOFETIL 500 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,67877-225-05,MYCOPHENOLATE MOFETIL 500 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,67877-230-22,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,4405.6,2599.3,535.92,3965.04,23
CDM,67877-246-01,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,67877-246-33,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,5.55,3.27,0.68,5.0,23
CDM,67877-246-38,QUETIAPINE IMMEDIATE RELEASE 200 MG TABLET,5.6,3.3,0.68,5.04,23
CDM,67877-247-33,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,6.2,3.66,0.75,5.58,23
CDM,67877-247-60,QUETIAPINE IMMEDIATE RELEASE 300 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,67877-248-01,QUETIAPINE IMMEDIATE RELEASE 400 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,67877-249-38,QUETIAPINE IMMEDIATE RELEASE 50 MG TABLET,2.35,1.39,0.29,2.12,23
CDM,67877-250-01,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,67877-250-33,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,2.6,1.53,0.32,2.34,23
CDM,67877-251-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,19.58,11.55,2.38,17.62,23
CDM,67877-251-30,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,20.1,11.86,2.45,18.09,23
CDM,67877-251-45,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,79.46,46.88,9.67,71.51,23
CDM,67877-251-80,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,40.4,23.84,4.91,36.36,23
CDM,67877-263-60,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",0.32,0.19,0.04,0.29,23
CDM,67877-264-30,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",0.77,0.45,0.09,0.69,23
CDM,67877-265-90,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",0.55,0.32,0.07,0.5,23
CDM,67877-266-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,1.67,0.99,0.2,1.5,23
CDM,67877-286-60,RILUZOLE 50 MG TABLET,2.67,1.58,0.32,2.4,23
CDM,67877-288-90,FINASTERIDE 5 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,67877-294-01,IBUPROFEN 400 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,67877-295-01,IBUPROFEN 600 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,67877-296-01,IBUPROFEN 800 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,67877-298-09,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,4.45,2.63,0.54,4.01,23
CDM,67877-298-60,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,4.46,2.63,0.54,4.01,23
CDM,67877-319-01,IBUPROFEN 400 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,67877-320-01,IBUPROFEN 600 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,67877-321-01,IBUPROFEN 800 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,67877-321-05,IBUPROFEN 800 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,67877-414-01,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",0.33,0.19,0.04,0.3,23
CDM,67877-416-90,VALSARTAN 80 MG TABLET,1.51,0.89,0.18,1.36,23
CDM,67877-419-20,LINEZOLID 600 MG TABLET,12.67,7.48,1.54,11.4,23
CDM,67877-419-33,LINEZOLID 600 MG TABLET,14.0,8.26,1.7,12.6,23
CDM,67877-419-84,LINEZOLID 600 MG TABLET,14.0,8.26,1.7,12.6,23
CDM,67877-426-12,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",0.74,0.44,0.09,0.67,23
CDM,67877-427-12,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",1.49,0.88,0.18,1.34,23
CDM,67877-430-03,ARIPIPRAZOLE 2 MG TABLET,1.08,0.64,0.13,0.97,23
CDM,67877-432-03,ARIPIPRAZOLE 10 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,67877-443-30,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",1.41,0.83,0.17,1.27,23
CDM,67877-464-90,PREGABALIN 75 MG CAPSULE,0.42,0.25,0.05,0.38,23
CDM,67877-466-90,PREGABALIN 150 MG CAPSULE,0.49,0.29,0.06,0.44,23
CDM,67877-483-30,TELMISARTAN 40 MG TABLET,2.06,1.22,0.25,1.85,23
CDM,67877-490-90,EZETIMIBE 10 MG TABLET,1.26,0.74,0.15,1.13,23
CDM,67877-493-01,AZATHIOPRINE 50 MG TABLET,1.15,0.68,0.14,1.04,23
CDM,67877-503-30,CINACALCET 30 MG TABLET,1.98,1.17,0.24,1.78,23
CDM,67877-504-30,CINACALCET 60 MG TABLET,3.56,2.1,0.43,3.2,23
CDM,67877-514-90,ATORVASTATIN 80 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,67877-539-07,TEMOZOLOMIDE 100 MG CAPSULE,100.86,59.51,12.27,90.77,23
CDM,67877-539-14,TEMOZOLOMIDE 100 MG CAPSULE,100.9,59.53,12.27,90.81,23
CDM,67877-543-60,CEFDINIR 300 MG CAPSULE,3.34,1.97,0.41,3.01,23
CDM,67877-545-88,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,59.5,35.11,7.24,53.55,23
CDM,67877-547-88,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,69.0,40.71,8.39,62.1,23
CDM,67877-547-98,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,46.5,27.44,5.66,41.85,23
CDM,67877-584-50,CEFIXIME 400 MG CAPSULE,44.35,26.17,5.39,39.92,23
CDM,67877-589-01,COLCHICINE 0.6 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,67877-590-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",0.29,0.17,0.04,0.26,23
CDM,67877-591-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",0.29,0.17,0.04,0.26,23
CDM,67877-592-01,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",0.43,0.25,0.05,0.39,23
CDM,67877-605-30,PRASUGREL HCL 10 MG TABLET,3.03,1.79,0.37,2.73,23
CDM,67877-616-01,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,67877-617-01,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,67877-638-30,LURASIDONE 20 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,67877-639-30,LURASIDONE 40 MG TABLET,2.51,1.48,0.31,2.26,23
CDM,67877-640-30,LURASIDONE 60 MG TABLET,3.75,2.21,0.46,3.38,23
CDM,67877-704-90,DROXIDOPA 100 MG CAPSULE,7.17,4.23,0.87,6.45,23
CDM,67877-717-12,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",8.75,5.16,1.06,7.88,23
CDM,67877-719-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,32.79,19.35,3.99,29.51,23
CDM,67877-719-33,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,32.79,19.35,3.99,29.51,23
CDM,67877-731-01,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,1.7,1.0,0.21,1.53,23
CDM,67877-733-60,LACOSAMIDE 50 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,67877-734-60,LACOSAMIDE 100 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,67877-747-01,SIROLIMUS 1 MG TABLET,22.97,13.55,2.79,20.67,23
CDM,67877-748-01,SIROLIMUS 2 MG TABLET,39.92,23.55,4.86,35.93,23
CDM,67877-749-57,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,323.4,190.81,39.34,291.06,23
CDM,67877-753-60,DRONABINOL 2.5 MG CAPSULE,8.64,5.1,1.05,7.78,23
CDM,67877-754-60,DRONABINOL 5 MG CAPSULE,15.91,9.39,1.94,14.32,23
CDM,67877-755-60,DRONABINOL 10 MG CAPSULE,26.36,15.55,3.21,23.72,23
CDM,67877-758-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",62.5,36.88,7.6,56.25,23
CDM,67877-842-01,FAMOTIDINE 20 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,67877-879-20,CEFPODOXIME 200 MG TABLET,17.2,10.15,2.09,15.48,23
CDM,67919-030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,730.96,431.27,88.92,657.86,23
CDM,67979-001-01,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,11421.3,6738.57,1389.34,10279.17,23
CDM,67979-002-01,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT,243836.85,143863.74,29661.47,219453.17,23
CDM,67979-511-43,TESTOSTERONE UNDECANOATE 750 MG/3 ML (250MG/ML) INTRAMUSCULAR SOLUTION,9425.9,5561.28,1146.61,8483.31,23
CDM,68012-309-30,"BUDESONIDE DR-ER 9 MG TABLET,DELAYED AND EXTENDED RELEASE",275.35,162.46,33.49,247.82,23
CDM,68084-021-11,ABACAVIR 300 MG TABLET,35.27,20.81,4.29,31.74,23
CDM,68084-021-21,ABACAVIR 300 MG TABLET,35.27,20.81,4.29,31.74,23
CDM,68084-027-01,WARFARIN 2.5 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,68084-027-11,WARFARIN 2.5 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,68084-044-01,PAROXETINE 10 MG TABLET,3.92,2.31,0.48,3.53,23
CDM,68084-044-11,PAROXETINE 10 MG TABLET,3.92,2.31,0.48,3.53,23
CDM,68084-045-01,PAROXETINE 20 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,68084-045-11,PAROXETINE 20 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,68084-046-01,PAROXETINE 30 MG TABLET,4.37,2.58,0.53,3.93,23
CDM,68084-046-11,PAROXETINE 30 MG TABLET,4.37,2.58,0.53,3.93,23
CDM,68084-075-11,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,90.41,53.34,11.0,81.37,23
CDM,68084-075-21,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,90.41,53.34,11.0,81.37,23
CDM,68084-082-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,4.29,2.53,0.52,3.86,23
CDM,68084-082-11,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,4.29,2.53,0.52,3.86,23
CDM,68084-083-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,68084-083-11,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,68084-098-01,ATORVASTATIN 20 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,68084-098-11,ATORVASTATIN 20 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,68084-099-01,ATORVASTATIN 40 MG TABLET,1.79,1.06,0.22,1.61,23
CDM,68084-099-11,ATORVASTATIN 40 MG TABLET,1.79,1.06,0.22,1.61,23
CDM,68084-103-09,ZIPRASIDONE 20 MG CAPSULE,12.76,7.53,1.55,11.48,23
CDM,68084-103-11,ZIPRASIDONE 20 MG CAPSULE,12.76,7.53,1.55,11.48,23
CDM,68084-104-09,ZIPRASIDONE 40 MG CAPSULE,9.29,5.48,1.13,8.36,23
CDM,68084-104-11,ZIPRASIDONE 40 MG CAPSULE,9.29,5.48,1.13,8.36,23
CDM,68084-105-09,ZIPRASIDONE 60 MG CAPSULE,12.76,7.53,1.55,11.48,23
CDM,68084-105-11,ZIPRASIDONE 60 MG CAPSULE,12.76,7.53,1.55,11.48,23
CDM,68084-106-09,ZIPRASIDONE 80 MG CAPSULE,12.76,7.53,1.55,11.48,23
CDM,68084-106-11,ZIPRASIDONE 80 MG CAPSULE,12.76,7.53,1.55,11.48,23
CDM,68084-119-01,MIRTAZAPINE 15 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,68084-119-11,MIRTAZAPINE 15 MG TABLET,1.11,0.65,0.14,1.0,23
CDM,68084-120-01,MIRTAZAPINE 30 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,68084-120-11,MIRTAZAPINE 30 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,68084-121-01,MIRTAZAPINE 45 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,68084-121-11,MIRTAZAPINE 45 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,68084-149-01,METHYLPREDNISOLONE 4 MG TABLET,6.68,3.94,0.81,6.01,23
CDM,68084-149-11,METHYLPREDNISOLONE 4 MG TABLET,6.68,3.94,0.81,6.01,23
CDM,68084-184-01,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,4.44,2.62,0.54,4.0,23
CDM,68084-184-11,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,4.44,2.62,0.54,4.0,23
CDM,68084-185-01,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,6.45,3.81,0.78,5.81,23
CDM,68084-185-11,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,6.45,3.81,0.78,5.81,23
CDM,68084-201-21,ROPINIROLE 0.5 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,68084-202-01,PRIMIDONE 50 MG TABLET,3.75,2.21,0.46,3.38,23
CDM,68084-202-11,PRIMIDONE 50 MG TABLET,3.75,2.21,0.46,3.38,23
CDM,68084-203-01,PRIMIDONE 250 MG TABLET,3.5,2.07,0.43,3.15,23
CDM,68084-203-11,PRIMIDONE 250 MG TABLET,3.5,2.07,0.43,3.15,23
CDM,68084-204-01,MINOXIDIL 2.5 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,68084-204-11,MINOXIDIL 2.5 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,68084-205-01,MINOXIDIL 10 MG TABLET,2.56,1.51,0.31,2.3,23
CDM,68084-205-11,MINOXIDIL 10 MG TABLET,2.56,1.51,0.31,2.3,23
CDM,68084-215-01,VALACYCLOVIR 500 MG TABLET,14.75,8.7,1.79,13.28,23
CDM,68084-215-11,VALACYCLOVIR 500 MG TABLET,14.75,8.7,1.79,13.28,23
CDM,68084-220-01,ONDANSETRON HCL 4 MG TABLET,1.95,1.15,0.24,1.76,23
CDM,68084-220-11,ONDANSETRON HCL 4 MG TABLET,1.95,1.15,0.24,1.76,23
CDM,68084-229-01,AZATHIOPRINE 50 MG TABLET,3.12,1.84,0.38,2.81,23
CDM,68084-229-11,AZATHIOPRINE 50 MG TABLET,3.12,1.84,0.38,2.81,23
CDM,68084-244-01,CLINDAMYCIN HCL 300 MG CAPSULE,4.16,2.45,0.51,3.74,23
CDM,68084-244-11,CLINDAMYCIN HCL 300 MG CAPSULE,4.16,2.45,0.51,3.74,23
CDM,68084-248-01,LORATADINE 10 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,68084-248-11,LORATADINE 10 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,68084-249-01,HALOPERIDOL 10 MG TABLET,5.2,3.07,0.63,4.68,23
CDM,68084-270-01,RISPERIDONE 0.25 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,68084-270-11,RISPERIDONE 0.25 MG TABLET,0.9,0.53,0.11,0.81,23
CDM,68084-271-01,RISPERIDONE 0.5 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,68084-271-11,RISPERIDONE 0.5 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,68084-272-01,RISPERIDONE 1 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,68084-272-11,RISPERIDONE 1 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,68084-277-01,RISPERIDONE 4 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,68084-277-11,RISPERIDONE 4 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,68084-280-01,ETHAMBUTOL 400 MG TABLET,4.99,2.94,0.61,4.49,23
CDM,68084-280-11,ETHAMBUTOL 400 MG TABLET,4.99,2.94,0.61,4.49,23
CDM,68084-284-01,HYDROXYUREA 500 MG CAPSULE,3.4,2.01,0.41,3.06,23
CDM,68084-284-11,HYDROXYUREA 500 MG CAPSULE,3.4,2.01,0.41,3.06,23
CDM,68084-288-01,FLUDROCORTISONE 0.1 MG TABLET,3.89,2.3,0.47,3.5,23
CDM,68084-288-11,FLUDROCORTISONE 0.1 MG TABLET,3.89,2.3,0.47,3.5,23
CDM,68084-291-11,NALTREXONE 50 MG TABLET,9.33,5.5,1.13,8.4,23
CDM,68084-291-21,NALTREXONE 50 MG TABLET,9.33,5.5,1.13,8.4,23
CDM,68084-299-01,TAMSULOSIN 0.4 MG CAPSULE,1.71,1.01,0.21,1.54,23
CDM,68084-299-11,TAMSULOSIN 0.4 MG CAPSULE,1.71,1.01,0.21,1.54,23
CDM,68084-300-11,DANTROLENE 25 MG CAPSULE,7.5,4.43,0.91,6.75,23
CDM,68084-300-21,DANTROLENE 25 MG CAPSULE,7.5,4.43,0.91,6.75,23
CDM,68084-310-01,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",3.2,1.89,0.39,2.88,23
CDM,68084-310-11,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",3.2,1.89,0.39,2.88,23
CDM,68084-313-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",3.21,1.89,0.39,2.89,23
CDM,68084-313-11,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",3.21,1.89,0.39,2.89,23
CDM,68084-318-01,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,68084-318-11,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,68084-319-01,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,68084-319-11,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,68084-326-01,GLIMEPIRIDE 2 MG TABLET,2.11,1.24,0.26,1.9,23
CDM,68084-326-11,GLIMEPIRIDE 2 MG TABLET,2.11,1.24,0.26,1.9,23
CDM,68084-327-01,GLIMEPIRIDE 4 MG TABLET,2.24,1.32,0.27,2.02,23
CDM,68084-327-11,GLIMEPIRIDE 4 MG TABLET,2.24,1.32,0.27,2.02,23
CDM,68084-342-01,TOPIRAMATE 25 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,68084-342-11,TOPIRAMATE 25 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,68084-343-01,TOPIRAMATE 50 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,68084-343-11,TOPIRAMATE 50 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,68084-344-01,TOPIRAMATE 100 MG TABLET,1.55,0.91,0.19,1.4,23
CDM,68084-344-11,TOPIRAMATE 100 MG TABLET,1.55,0.91,0.19,1.4,23
CDM,68084-345-11,TOPIRAMATE 200 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,68084-345-21,TOPIRAMATE 200 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,68084-346-01,LOSARTAN 25 MG TABLET,2.06,1.22,0.25,1.85,23
CDM,68084-346-11,LOSARTAN 25 MG TABLET,2.06,1.22,0.25,1.85,23
CDM,68084-347-01,LOSARTAN 50 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,68084-347-11,LOSARTAN 50 MG TABLET,1.47,0.87,0.18,1.32,23
CDM,68084-348-01,LOSARTAN 100 MG TABLET,3.2,1.89,0.39,2.88,23
CDM,68084-348-11,LOSARTAN 100 MG TABLET,3.2,1.89,0.39,2.88,23
CDM,68084-354-01,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,68084-354-11,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,68084-371-01,AMIODARONE 200 MG TABLET,1.72,1.01,0.21,1.55,23
CDM,68084-372-11,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,0.82,0.48,0.1,0.74,23
CDM,68084-381-01,BENZTROPINE 0.5 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,68084-381-11,BENZTROPINE 0.5 MG TABLET,1.77,1.04,0.22,1.59,23
CDM,68084-388-01,BENZTROPINE 1 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,68084-388-11,BENZTROPINE 1 MG TABLET,1.67,0.99,0.2,1.5,23
CDM,68084-389-01,BENZTROPINE 2 MG TABLET,2.58,1.52,0.31,2.32,23
CDM,68084-389-11,BENZTROPINE 2 MG TABLET,2.58,1.52,0.31,2.32,23
CDM,68084-403-01,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",2.96,1.75,0.36,2.66,23
CDM,68084-403-11,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",3.04,1.79,0.37,2.74,23
CDM,68084-415-01,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",5.53,3.26,0.67,4.98,23
CDM,68084-415-11,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",5.53,3.26,0.67,4.98,23
CDM,68084-430-98,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,7.32,4.32,0.89,6.59,23
CDM,68084-430-99,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,7.32,4.32,0.89,6.59,23
CDM,68084-444-01,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,2.27,1.34,0.28,2.04,23
CDM,68084-444-11,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,2.27,1.34,0.28,2.04,23
CDM,68084-449-01,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,4.31,2.54,0.52,3.88,23
CDM,68084-449-11,TACROLIMUS IMMEDIATE RELEASE 0.5 MG CAPSULE,4.31,2.54,0.52,3.88,23
CDM,68084-450-01,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,5.42,3.2,0.66,4.88,23
CDM,68084-450-11,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,5.42,3.2,0.66,4.88,23
CDM,68084-451-01,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,45.17,26.65,5.49,40.65,23
CDM,68084-451-11,TACROLIMUS IMMEDIATE RELEASE 5 MG CAPSULE,45.17,26.65,5.49,40.65,23
CDM,68084-479-01,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,5.57,3.29,0.68,5.01,23
CDM,68084-479-11,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,5.57,3.29,0.68,5.01,23
CDM,68084-480-01,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",5.82,3.43,0.71,5.24,23
CDM,68084-480-11,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",5.82,3.43,0.71,5.24,23
CDM,68084-494-11,PYRIDOSTIGMINE BROMIDE IMMEDIATE RELEASE 60 MG TABLET,4.06,2.4,0.49,3.65,23
CDM,68084-525-01,OLANZAPINE 2.5 MG TABLET,2.03,1.2,0.25,1.83,23
CDM,68084-525-11,OLANZAPINE 2.5 MG TABLET,2.03,1.2,0.25,1.83,23
CDM,68084-536-01,CLOPIDOGREL 75 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,68084-536-11,CLOPIDOGREL 75 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,68084-539-01,TORSEMIDE 20 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,68084-539-11,TORSEMIDE 20 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,68084-549-11,TEMAZEPAM 7.5 MG CAPSULE,13.88,8.19,1.69,12.49,23
CDM,68084-549-21,TEMAZEPAM 7.5 MG CAPSULE,13.88,8.19,1.69,12.49,23
CDM,68084-572-01,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",3.33,1.96,0.41,3.0,23
CDM,68084-572-11,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",3.33,1.96,0.41,3.0,23
CDM,68084-590-25,ATORVASTATIN 80 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,68084-590-95,ATORVASTATIN 80 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,68084-597-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.66,3.34,0.69,5.09,23
CDM,68084-597-11,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.66,3.34,0.69,5.09,23
CDM,68084-598-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",9.14,5.39,1.11,8.23,23
CDM,68084-598-11,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",9.14,5.39,1.11,8.23,23
CDM,68084-602-01,PERPHENAZINE 4 MG TABLET,5.81,3.43,0.71,5.23,23
CDM,68084-602-11,PERPHENAZINE 4 MG TABLET,5.81,3.43,0.71,5.23,23
CDM,68084-603-11,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",11.55,6.81,1.4,10.4,23
CDM,68084-603-21,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",11.55,6.81,1.4,10.4,23
CDM,68084-607-01,PERPHENAZINE 8 MG TABLET,5.19,3.06,0.63,4.67,23
CDM,68084-607-11,PERPHENAZINE 8 MG TABLET,5.19,3.06,0.63,4.67,23
CDM,68084-610-11,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",10.78,6.36,1.31,9.7,23
CDM,68084-610-21,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",10.78,6.36,1.31,9.7,23
CDM,68084-617-01,ESCITALOPRAM 10 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,68084-617-11,ESCITALOPRAM 10 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,68084-618-01,ESCITALOPRAM 20 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,68084-618-11,ESCITALOPRAM 20 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,68084-621-11,MODAFINIL 100 MG TABLET,43.78,25.83,5.33,39.4,23
CDM,68084-621-21,MODAFINIL 100 MG TABLET,43.78,25.83,5.33,39.4,23
CDM,68084-640-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",1.46,0.86,0.18,1.31,23
CDM,68084-640-11,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",1.46,0.86,0.18,1.31,23
CDM,68084-643-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",0.88,0.52,0.11,0.79,23
CDM,68084-643-11,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",0.88,0.52,0.11,0.79,23
CDM,68084-645-01,TIZANIDINE 4 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,68084-645-11,TIZANIDINE 4 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,68084-651-25,CLARITHROMYCIN 500 MG TABLET,23.16,13.66,2.82,20.84,23
CDM,68084-654-01,SOTALOL 80 MG TABLET,4.3,2.54,0.52,3.87,23
CDM,68084-654-11,SOTALOL 80 MG TABLET,4.3,2.54,0.52,3.87,23
CDM,68084-655-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",1.92,1.13,0.23,1.73,23
CDM,68084-655-11,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",1.92,1.13,0.23,1.73,23
CDM,68084-697-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",2.77,1.63,0.34,2.49,23
CDM,68084-697-11,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",2.77,1.63,0.34,2.49,23
CDM,68084-698-01,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",1.97,1.16,0.24,1.77,23
CDM,68084-698-11,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",1.97,1.16,0.24,1.77,23
CDM,68084-709-01,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",1.76,1.04,0.21,1.58,23
CDM,68084-709-11,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",1.76,1.04,0.21,1.58,23
CDM,68084-713-01,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",1.78,1.05,0.22,1.6,23
CDM,68084-713-11,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",1.78,1.05,0.22,1.6,23
CDM,68084-721-11,MODAFINIL 200 MG TABLET,32.22,19.01,3.92,29.0,23
CDM,68084-721-21,MODAFINIL 200 MG TABLET,32.22,19.01,3.92,29.0,23
CDM,68084-722-11,MOXIFLOXACIN 400 MG TABLET,52.99,31.26,6.45,47.69,23
CDM,68084-722-65,MOXIFLOXACIN 400 MG TABLET,52.99,31.26,6.45,47.69,23
CDM,68084-723-01,OLANZAPINE 5 MG TABLET,2.3,1.36,0.28,2.07,23
CDM,68084-723-11,OLANZAPINE 5 MG TABLET,2.3,1.36,0.28,2.07,23
CDM,68084-728-01,FLUCONAZOLE 100 MG TABLET,5.19,3.06,0.63,4.67,23
CDM,68084-728-11,FLUCONAZOLE 100 MG TABLET,5.19,3.06,0.63,4.67,23
CDM,68084-729-11,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,14.0,8.26,1.7,12.6,23
CDM,68084-729-21,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,14.0,8.26,1.7,12.6,23
CDM,68084-735-01,FLUCONAZOLE 200 MG TABLET,10.08,5.95,1.23,9.07,23
CDM,68084-750-25,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,3.79,2.24,0.46,3.41,23
CDM,68084-750-95,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,3.79,2.24,0.46,3.41,23
CDM,68084-753-11,CYCLOBENZAPRINE 5 MG TABLET,3.25,1.92,0.4,2.93,23
CDM,68084-753-25,CYCLOBENZAPRINE 5 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,68084-753-95,CYCLOBENZAPRINE 5 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,68084-775-25,TIZANIDINE 2 MG TABLET,4.25,2.51,0.52,3.83,23
CDM,68084-775-95,TIZANIDINE 2 MG TABLET,4.25,2.51,0.52,3.83,23
CDM,68084-788-25,GLIMEPIRIDE 1 MG TABLET,3.89,2.3,0.47,3.5,23
CDM,68084-788-95,GLIMEPIRIDE 1 MG TABLET,3.89,2.3,0.47,3.5,23
CDM,68084-790-25,CLOMIPRAMINE 25 MG CAPSULE,48.55,28.64,5.91,43.7,23
CDM,68084-790-95,CLOMIPRAMINE 25 MG CAPSULE,48.55,28.64,5.91,43.7,23
CDM,68084-805-11,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,9.46,5.58,1.15,8.51,23
CDM,68084-805-21,METHYLPHENIDATE IMMEDIATE RELEASE 5 MG TABLET,9.46,5.58,1.15,8.51,23
CDM,68084-823-11,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,5.92,3.49,0.72,5.33,23
CDM,68084-823-21,METHYLPHENIDATE IMMEDIATE RELEASE 10 MG TABLET,5.92,3.49,0.72,5.33,23
CDM,68084-836-25,DOXAZOSIN 1 MG TABLET,3.39,2.0,0.41,3.05,23
CDM,68084-836-95,DOXAZOSIN 1 MG TABLET,3.39,2.0,0.41,3.05,23
CDM,68084-843-01,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,68084-843-11,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,68084-844-01,VENLAFAXINE IMMEDIATE RELEASE 37.5 MG TABLET,2.43,1.43,0.3,2.19,23
CDM,68084-844-11,VENLAFAXINE IMMEDIATE RELEASE 37.5 MG TABLET,2.43,1.43,0.3,2.19,23
CDM,68084-851-25,DOXAZOSIN 2 MG TABLET,3.39,2.0,0.41,3.05,23
CDM,68084-851-95,DOXAZOSIN 2 MG TABLET,3.39,2.0,0.41,3.05,23
CDM,68084-854-01,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,68084-854-11,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,68084-856-01,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,3.74,2.21,0.45,3.37,23
CDM,68084-856-11,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,3.74,2.21,0.45,3.37,23
CDM,68084-859-01,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,68084-859-11,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,68084-862-01,DOXAZOSIN 4 MG TABLET,2.47,1.46,0.3,2.22,23
CDM,68084-862-11,DOXAZOSIN 4 MG TABLET,2.47,1.46,0.3,2.22,23
CDM,68084-862-25,DOXAZOSIN 4 MG TABLET,3.45,2.04,0.42,3.11,23
CDM,68084-862-95,DOXAZOSIN 4 MG TABLET,3.45,2.04,0.42,3.11,23
CDM,68084-875-01,MONTELUKAST 10 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,68084-875-11,MONTELUKAST 10 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,68084-882-01,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,68084-882-11,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,68084-896-25,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,4.16,2.45,0.51,3.74,23
CDM,68084-896-95,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,4.16,2.45,0.51,3.74,23
CDM,68084-907-11,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",14.82,8.74,1.8,13.34,23
CDM,68084-907-21,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",14.82,8.74,1.8,13.34,23
CDM,68084-915-25,SIROLIMUS 1 MG TABLET,63.97,37.74,7.78,57.57,23
CDM,68084-915-95,SIROLIMUS 1 MG TABLET,63.97,37.74,7.78,57.57,23
CDM,68084-918-25,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",29.57,17.45,3.6,26.61,23
CDM,68084-918-95,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",29.57,17.45,3.6,26.61,23
CDM,68084-928-25,PILOCARPINE 5 MG TABLET,9.1,5.37,1.11,8.19,23
CDM,68084-928-95,PILOCARPINE 5 MG TABLET,9.1,5.37,1.11,8.19,23
CDM,68084-930-25,HYDROCORTISONE 20 MG TABLET,6.44,3.8,0.78,5.8,23
CDM,68084-948-25,EPLERENONE 25 MG TABLET,14.17,8.36,1.72,12.75,23
CDM,68084-948-95,EPLERENONE 25 MG TABLET,14.17,8.36,1.72,12.75,23
CDM,68084-949-25,ALBUTEROL SULFATE 2 MG TABLET,24.91,14.7,3.03,22.42,23
CDM,68084-954-25,REPAGLINIDE 1 MG TABLET,13.69,8.08,1.67,12.32,23
CDM,68084-954-95,REPAGLINIDE 1 MG TABLET,13.69,8.08,1.67,12.32,23
CDM,68084-956-25,SIROLIMUS 0.5 MG TABLET,40.12,23.67,4.88,36.11,23
CDM,68084-956-95,SIROLIMUS 0.5 MG TABLET,40.12,23.67,4.88,36.11,23
CDM,68084-964-25,PROPYLTHIOURACIL 50 MG TABLET,10.51,6.2,1.28,9.46,23
CDM,68084-964-95,PROPYLTHIOURACIL 50 MG TABLET,10.51,6.2,1.28,9.46,23
CDM,68084-965-25,VALGANCICLOVIR 450 MG TABLET,63.76,37.62,7.76,57.38,23
CDM,68084-965-95,VALGANCICLOVIR 450 MG TABLET,63.76,37.62,7.76,57.38,23
CDM,68084-968-01,OXYCODONE IMMEDIATE RELEASE 10 MG TABLET,3.29,1.94,0.4,2.96,23
CDM,68084-968-11,OXYCODONE IMMEDIATE RELEASE 10 MG TABLET,3.29,1.94,0.4,2.96,23
CDM,68084-975-01,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,4.4,2.6,0.54,3.96,23
CDM,68084-975-11,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,4.4,2.6,0.54,3.96,23
CDM,68084-983-01,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,6.39,3.77,0.78,5.75,23
CDM,68084-983-11,OXYCODONE IMMEDIATE RELEASE 30 MG TABLET,6.39,3.77,0.78,5.75,23
CDM,68084-988-33,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,2.95,1.74,0.36,2.66,23
CDM,68084-996-01,PRAZOSIN 1 MG CAPSULE,5.95,3.51,0.72,5.36,23
CDM,68084-996-11,PRAZOSIN 1 MG CAPSULE,5.95,3.51,0.72,5.36,23
CDM,68084-997-01,PRAZOSIN 2 MG CAPSULE,9.56,5.64,1.16,8.6,23
CDM,68084-997-11,PRAZOSIN 2 MG CAPSULE,9.56,5.64,1.16,8.6,23
CDM,6808476495,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.2,3.66,0.75,5.58,23
CDM,6808479425,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.63,2.73,0.56,4.17,23
CDM,6808479495,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",4.63,2.73,0.56,4.17,23
CDM,68094-001-59,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.25,3.69,0.76,5.63,23
CDM,68094-001-62,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.25,3.69,0.76,5.63,23
CDM,68094-004-59,CETIRIZINE 5 MG/5 ML ORAL SOLUTION,11.03,6.51,1.34,9.93,23
CDM,68094-004-62,CETIRIZINE 5 MG/5 ML ORAL SOLUTION,11.03,6.51,1.34,9.93,23
CDM,68094-005-59,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,2.74,1.62,0.33,2.47,23
CDM,68094-005-61,OXYCODONE IMMEDIATE RELEASE 15 MG TABLET,2.74,1.62,0.33,2.47,23
CDM,68094-018-59,DIPHENHYDRAMINE 25 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,68094-018-61,DIPHENHYDRAMINE 25 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,68094-029-59,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,10.09,5.95,1.23,9.08,23
CDM,68094-029-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,10.09,5.95,1.23,9.08,23
CDM,68094-030-59,ACETAMINOPHEN 650 MG/20.3 ML ORAL SUSPENSION,8.33,4.91,1.01,7.5,23
CDM,68094-030-62,ACETAMINOPHEN 650 MG/20.3 ML ORAL SUSPENSION,8.33,4.91,1.01,7.5,23
CDM,68094-034-59,SEVELAMER CARBONATE 800 MG TABLET,8.76,5.17,1.07,7.88,23
CDM,68094-034-64,SEVELAMER CARBONATE 800 MG TABLET,8.76,5.17,1.07,7.88,23
CDM,68094-043-59,SUCRALFATE 100 MG/ML ORAL SUSPENSION,41.55,24.51,5.05,37.4,23
CDM,68094-043-62,SUCRALFATE 100 MG/ML ORAL SUSPENSION,41.9,24.72,5.1,37.71,23
CDM,68094-045-58,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),13.64,8.05,1.66,12.28,23
CDM,68094-061-59,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,6.28,3.71,0.76,5.65,23
CDM,68094-061-61,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,6.28,3.71,0.76,5.65,23
CDM,68094-061-62,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,6.28,3.71,0.76,5.65,23
CDM,68094-063-59,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,21.5,12.69,2.62,19.35,23
CDM,68094-063-62,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,21.95,12.95,2.67,19.76,23
CDM,68094-065-59,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,12.6,7.43,1.53,11.34,23
CDM,68094-065-62,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,12.6,7.43,1.53,11.34,23
CDM,68094-123-59,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,33.48,19.75,4.07,30.13,23
CDM,68094-123-62,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,33.48,19.75,4.07,30.13,23
CDM,68094-129-59,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,12.15,7.17,1.48,10.94,23
CDM,68094-129-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,12.15,7.17,1.48,10.94,23
CDM,68094-193-59,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,11.03,6.51,1.34,9.93,23
CDM,68094-231-59,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,4.15,2.45,0.5,3.74,23
CDM,68094-231-61,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,4.15,2.45,0.5,3.74,23
CDM,68094-231-62,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION,4.2,2.48,0.51,3.78,23
CDM,68094-330-59,ACETAMINOPHEN 325 MG/10.15 ML ORAL SUSPENSION,4.52,2.67,0.55,4.07,23
CDM,68094-330-61,ACETAMINOPHEN 325 MG/10.15 ML ORAL SUSPENSION,4.52,2.67,0.55,4.07,23
CDM,68094-330-62,ACETAMINOPHEN 325 MG/10.15 ML ORAL SUSPENSION,4.57,2.7,0.56,4.11,23
CDM,68094-494-59,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.55,1.5,0.31,2.3,23
CDM,68094-494-61,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,3.63,2.14,0.44,3.27,23
CDM,68094-503-59,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,4.8,2.83,0.58,4.32,23
CDM,68094-503-61,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,6.0,3.54,0.73,5.4,23
CDM,68094-503-62,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,6.1,3.6,0.74,5.49,23
CDM,68094-600-59,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,3.93,2.32,0.48,3.54,23
CDM,68094-750-59,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",18.3,10.8,2.23,16.47,23
CDM,68094-750-62,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",17.65,10.41,2.15,15.89,23
CDM,68094-756-59,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,10.26,6.05,1.25,9.23,23
CDM,68094-756-62,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,9.46,5.58,1.15,8.51,23
CDM,68094-762-59,MIDAZOLAM 2 MG/ML ORAL SYRUP,24.3,14.34,2.96,21.87,23
CDM,68094-762-62,MIDAZOLAM 2 MG/ML ORAL SYRUP,24.3,14.34,2.96,21.87,23
CDM,68094-763-59,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,58.83,34.71,7.16,52.95,23
CDM,68094-763-62,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,58.83,34.71,7.16,52.95,23
CDM,68094-764-59,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,28.15,16.61,3.42,25.34,23
CDM,68094-764-62,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,28.15,16.61,3.42,25.34,23
CDM,68094-799-50,AZITHROMYCIN 500 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,68094-867-59,FUROSEMIDE 40 MG/5 ML (8 MG/ML) ORAL SOLUTION,9.45,5.58,1.15,8.51,23
CDM,68094-867-62,FUROSEMIDE 40 MG/5 ML (8 MG/ML) ORAL SOLUTION,9.45,5.58,1.15,8.51,23
CDM,6809411059,MELATONIN 3 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,6809411061,MELATONIN 3 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,68134-201-16,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,2170.0,1280.3,263.97,1953.0,23
CDM,68135-020-01,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION,11730.0,6920.7,1426.89,10557.0,23
CDM,6817600010,PEDIATRIC MULTIVITAMIN NO.128-VITAMIN K 500 MCG/ML ORAL LIQUID,118.2,69.74,14.38,106.38,23
CDM,6817600011,"MULTIVIT-MINERALS NO.53-FA 200 MCG-VIT K 1,000 MCG-COQ10 10 MG CAPSULE",2.4,1.42,0.29,2.16,23
CDM,68180-112-16,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,68180-114-09,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,2.05,1.21,0.25,1.85,23
CDM,68180-114-16,LEVETIRACETAM IMMEDIATE RELEASE 750 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,68180-121-01,CEPHALEXIN 250 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,68180-122-01,CEPHALEXIN 500 MG CAPSULE,1.37,0.81,0.17,1.23,23
CDM,68180-150-01,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,120.0,70.8,14.6,108.0,23
CDM,68180-151-06,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",43.7,25.78,5.32,39.33,23
CDM,68180-151-09,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",43.59,25.72,5.3,39.23,23
CDM,68180-152-09,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",45.57,26.89,5.54,41.01,23
CDM,68180-153-01,DESLORATADINE 5 MG TABLET,1.86,1.1,0.23,1.67,23
CDM,68180-157-01,CLOBAZAM 10 MG TABLET,2.78,1.64,0.34,2.5,23
CDM,68180-160-06,AZITHROMYCIN 250 MG TABLET,9.85,5.81,1.2,8.87,23
CDM,68180-166-11,VANCOMYCIN 125 MG CAPSULE,11.59,6.84,1.41,10.43,23
CDM,68180-166-13,VANCOMYCIN 125 MG CAPSULE,11.59,6.84,1.41,10.43,23
CDM,68180-167-11,VANCOMYCIN 250 MG CAPSULE,20.0,11.8,2.43,18.0,23
CDM,68180-167-13,VANCOMYCIN 250 MG CAPSULE,20.0,11.8,2.43,18.0,23
CDM,68180-214-30,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,68180-229-07,MEMANTINE IMMEDIATE RELEASE 5 MG TABLET,1.7,1.0,0.21,1.53,23
CDM,68180-231-09,FENOFIBRATE 54 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,68180-280-01,ETHAMBUTOL 100 MG TABLET,1.81,1.07,0.22,1.63,23
CDM,68180-281-01,ETHAMBUTOL 400 MG TABLET,5.86,3.46,0.71,5.27,23
CDM,68180-294-07,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,68180-295-06,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,68180-295-09,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,68180-296-06,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,68180-296-09,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1.39,0.82,0.17,1.25,23
CDM,68180-319-06,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",0.85,0.5,0.1,0.77,23
CDM,68180-319-09,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",0.74,0.44,0.09,0.67,23
CDM,68180-320-06,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",0.92,0.54,0.11,0.83,23
CDM,68180-320-09,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",0.65,0.38,0.08,0.59,23
CDM,68180-346-06,DARUNAVIR 800 MG TABLET,15.21,8.97,1.85,13.69,23
CDM,68180-351-06,SERTRALINE 25 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,68180-351-09,SERTRALINE 25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,68180-352-09,SERTRALINE 50 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,68180-353-09,SERTRALINE 100 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,68180-376-09,LOSARTAN 25 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,68180-377-09,LOSARTAN 50 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,68180-405-01,CEFIXIME 100 MG/5 ML ORAL SUSPENSION,150.75,88.94,18.34,135.68,23
CDM,68180-422-01,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,68180-423-08,CEFIXIME 400 MG CAPSULE,47.76,28.18,5.81,42.98,23
CDM,68180-436-01,BROMFENAC 0.09 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,68180-440-01,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,42.0,24.78,5.11,37.8,23
CDM,68180-441-01,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,71.0,41.89,8.64,63.9,23
CDM,68180-445-01,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,68180-447-01,QUETIAPINE IMMEDIATE RELEASE 100 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,68180-464-06,SIMVASTATIN 40 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,68180-464-09,SIMVASTATIN 40 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,68180-465-09,SIMVASTATIN 80 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,68180-467-07,LOVASTATIN 10 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,68180-468-01,LOVASTATIN 20 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,68180-468-07,LOVASTATIN 20 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,68180-469-01,LOVASTATIN 40 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,68180-478-01,SIMVASTATIN 10 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,68180-479-03,SIMVASTATIN 20 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,68180-512-01,LISINOPRIL 2.5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,68180-513-01,LISINOPRIL 5 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,68180-513-03,LISINOPRIL 5 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,68180-524-06,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",10.04,5.92,1.22,9.04,23
CDM,68180-536-01,CLOBETASOL 0.05 % LOTION,207.39,122.36,25.23,186.65,23
CDM,68180-566-01,TRANDOLAPRIL 1 MG TABLET,1.13,0.67,0.14,1.02,23
CDM,68180-568-01,TRANDOLAPRIL 4 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,68180-589-01,RAMIPRIL 2.5 MG CAPSULE,1.51,0.89,0.18,1.36,23
CDM,68180-590-01,RAMIPRIL 5 MG CAPSULE,1.59,0.94,0.19,1.43,23
CDM,68180-591-01,RAMIPRIL 10 MG CAPSULE,1.75,1.03,0.21,1.58,23
CDM,68180-592-06,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.9,2.3,0.47,3.51,23
CDM,68180-593-06,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",3.9,2.3,0.47,3.51,23
CDM,68180-604-06,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.9,2.3,0.47,3.51,23
CDM,68180-615-07,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",2.46,1.45,0.3,2.21,23
CDM,68180-652-08,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,3.08,1.82,0.37,2.77,23
CDM,68180-657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,63.9,37.7,7.77,57.51,23
CDM,68180-658-06,RIFAMPIN 150 MG CAPSULE,3.13,1.85,0.38,2.82,23
CDM,68180-659-06,RIFAMPIN 300 MG CAPSULE,4.64,2.74,0.56,4.18,23
CDM,68180-659-07,RIFAMPIN 300 MG CAPSULE,4.43,2.61,0.54,3.99,23
CDM,68180-673-06,LURASIDONE 80 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,68180-675-11,OSELTAMIVIR 30 MG CAPSULE,11.98,7.07,1.46,10.78,23
CDM,68180-677-11,OSELTAMIVIR 75 MG CAPSULE,11.98,7.07,1.46,10.78,23
CDM,68180-678-01,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,138.3,81.6,16.82,124.47,23
CDM,68180-711-60,CEFDINIR 300 MG CAPSULE,3.08,1.82,0.37,2.77,23
CDM,68180-722-04,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,80.1,47.26,9.74,72.09,23
CDM,68180-741-09,SILODOSIN 8 MG CAPSULE,4.64,2.74,0.56,4.18,23
CDM,68180-755-01,AMLODIPINE 2.5 MG-BENAZEPRIL 10 MG CAPSULE,0.84,0.5,0.1,0.76,23
CDM,68180-756-01,AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE,0.62,0.37,0.08,0.56,23
CDM,68180-780-01,"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE",1.16,0.68,0.14,1.04,23
CDM,68180-797-01,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,1727.3,1019.11,210.12,1554.57,23
CDM,68180-852-11,LEVONORGESTREL 1.5 MG TABLET,62.2,36.7,7.57,55.98,23
CDM,68180-854-73,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,0.93,0.55,0.11,0.84,23
CDM,68180-862-06,AZITHROMYCIN 500 MG TABLET,8.13,4.8,0.99,7.32,23
CDM,68180-862-11,AZITHROMYCIN 500 MG TABLET,6.5,3.84,0.79,5.85,23
CDM,68180-876-71,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,68180-876-73,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,68180-877-71,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,2.49,1.47,0.3,2.24,23
CDM,68180-877-73,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,2.49,1.47,0.3,2.24,23
CDM,68180-941-11,TESTOSTERONE 20.25 MG/1.25 GRAM PER PUMP ACT.(1.62 %) TRANSDERMAL GEL,199.88,117.93,24.31,179.89,23
CDM,68180-947-02,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",218.75,129.06,26.61,196.88,23
CDM,68180-962-04,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,28.58,16.86,3.48,25.72,23
CDM,68180-963-01,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,128.95,76.08,15.69,116.06,23
CDM,68180-964-12,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,61.15,36.08,7.44,55.04,23
CDM,68180-965-01,LEVOTHYROXINE 25 MCG TABLET,0.42,0.25,0.05,0.38,23
CDM,68180-965-03,LEVOTHYROXINE 25 MCG TABLET,0.42,0.25,0.05,0.38,23
CDM,68180-965-09,LEVOTHYROXINE 25 MCG TABLET,0.42,0.25,0.05,0.38,23
CDM,68180-966-01,LEVOTHYROXINE 50 MCG TABLET,0.58,0.34,0.07,0.52,23
CDM,68180-966-09,LEVOTHYROXINE 50 MCG TABLET,0.58,0.34,0.07,0.52,23
CDM,68180-968-01,LEVOTHYROXINE 88 MCG TABLET,0.59,0.35,0.07,0.53,23
CDM,68180-969-01,LEVOTHYROXINE 100 MCG TABLET,0.62,0.37,0.08,0.56,23
CDM,68180-970-01,LEVOTHYROXINE 112 MCG TABLET,0.66,0.39,0.08,0.59,23
CDM,68180-970-09,LEVOTHYROXINE 112 MCG TABLET,0.66,0.39,0.08,0.59,23
CDM,68180-972-01,LEVOTHYROXINE 137 MCG TABLET,0.62,0.37,0.08,0.56,23
CDM,68180-973-01,LEVOTHYROXINE 150 MCG TABLET,0.63,0.37,0.08,0.57,23
CDM,68180-974-01,LEVOTHYROXINE 175 MCG TABLET,0.93,0.55,0.11,0.84,23
CDM,68180-979-01,LISINOPRIL 40 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,68180-979-03,LISINOPRIL 40 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,68180-980-01,LISINOPRIL 10 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,68180-980-03,LISINOPRIL 10 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,68180-981-01,LISINOPRIL 20 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,68180-984-05,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,4.0,2.36,0.49,3.6,23
CDM,68180-984-30,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,4.0,2.36,0.49,3.6,23
CDM,68382-004-14,TOPIRAMATE 15 MG SPRINKLE CAPSULE,1.96,1.16,0.24,1.76,23
CDM,68382-005-14,TOPIRAMATE 25 MG SPRINKLE CAPSULE,5.31,3.13,0.65,4.78,23
CDM,68382-006-01,LAMOTRIGINE IMMEDIATE RELEASE 25 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,68382-009-14,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,68382-010-14,LAMOTRIGINE 200 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,68382-018-01,VENLAFAXINE IMMEDIATE RELEASE 25 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,68382-020-01,VENLAFAXINE IMMEDIATE RELEASE 50 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,68382-021-01,VENLAFAXINE IMMEDIATE RELEASE 75 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,68382-022-01,ATENOLOL 25 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,68382-023-01,ATENOLOL 50 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,68382-024-01,ATENOLOL 100 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,68382-034-16,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",1.32,0.78,0.16,1.19,23
CDM,68382-035-16,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",1.48,0.87,0.18,1.33,23
CDM,68382-036-16,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",1.61,0.95,0.2,1.45,23
CDM,68382-040-01,PROMETHAZINE 12.5 MG TABLET,0.33,0.19,0.04,0.3,23
CDM,68382-041-01,PROMETHAZINE 25 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,68382-050-01,MELOXICAM 7.5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,68382-051-01,MELOXICAM 15 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,68382-079-01,HALOPERIDOL 5 MG TABLET,2.88,1.7,0.35,2.59,23
CDM,68382-080-01,HALOPERIDOL 10 MG TABLET,2.85,1.68,0.35,2.57,23
CDM,68382-092-01,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,68382-092-05,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,68382-093-01,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,68382-094-01,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,68382-095-01,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,68382-095-05,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,68382-098-01,PAROXETINE 20 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,68382-101-01,VENLAFAXINE IMMEDIATE RELEASE 100 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,68382-106-01,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",2.6,1.53,0.32,2.34,23
CDM,68382-112-14,RISPERIDONE 0.25 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,68382-113-14,RISPERIDONE 0.5 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,68382-114-14,RISPERIDONE 1 MG TABLET,0.63,0.37,0.08,0.57,23
CDM,68382-115-14,RISPERIDONE 2 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,68382-116-14,RISPERIDONE 3 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,68382-121-16,AMLODIPINE 2.5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,68382-122-05,AMLODIPINE 5 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,68382-122-16,AMLODIPINE 5 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,68382-123-16,AMLODIPINE 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,68382-132-01,TAMSULOSIN 0.4 MG CAPSULE,1.27,0.75,0.15,1.14,23
CDM,68382-132-10,TAMSULOSIN 0.4 MG CAPSULE,0.96,0.57,0.12,0.86,23
CDM,68382-135-16,LOSARTAN 25 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,68382-136-06,LOSARTAN 50 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,68382-138-14,TOPIRAMATE 25 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,68382-139-14,TOPIRAMATE 50 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,68382-140-14,TOPIRAMATE 100 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,68382-141-14,TOPIRAMATE 200 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,68382-144-06,RAMIPRIL 1.25 MG CAPSULE,0.74,0.44,0.09,0.67,23
CDM,68382-146-01,RAMIPRIL 5 MG CAPSULE,0.44,0.26,0.05,0.4,23
CDM,68382-180-01,BUSPIRONE 5 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,68382-181-01,BUSPIRONE 10 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,68382-182-01,BUSPIRONE 15 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,68382-209-06,ANASTROZOLE 1 MG TABLET,2.33,1.37,0.28,2.1,23
CDM,68382-227-14,AMIODARONE 200 MG TABLET,0.75,0.44,0.09,0.68,23
CDM,68382-255-01,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",1.21,0.71,0.15,1.09,23
CDM,68382-256-01,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",1.39,0.82,0.17,1.25,23
CDM,68382-353-06,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",1.57,0.93,0.19,1.41,23
CDM,68382-353-16,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",1.57,0.93,0.19,1.41,23
CDM,68382-370-01,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",32.25,19.03,3.92,29.03,23
CDM,68382-370-03,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",101.4,59.83,12.33,91.26,23
CDM,68382-383-06,EXEMESTANE 25 MG TABLET,7.68,4.53,0.93,6.91,23
CDM,68382-407-01,HALOPERIDOL 0.5 MG TABLET,1.52,0.9,0.18,1.37,23
CDM,68382-435-28,"MESALAMINE 800 MG TABLET,DELAYED RELEASE",34.19,20.17,4.16,30.77,23
CDM,68382-442-06,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",2.53,1.49,0.31,2.28,23
CDM,68382-444-05,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,455.0,268.45,55.35,409.5,23
CDM,68382-446-14,BOSENTAN 62.5 MG TABLET,76.39,45.07,9.29,68.75,23
CDM,68382-500-10,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",0.61,0.36,0.07,0.55,23
CDM,68382-520-01,SIROLIMUS 0.5 MG TABLET,17.84,10.53,2.17,16.06,23
CDM,68382-528-60,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,9.4,5.55,1.14,8.46,23
CDM,68382-536-01,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",1.61,0.95,0.2,1.45,23
CDM,68382-537-01,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",2.24,1.32,0.27,2.02,23
CDM,68382-559-01,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,2.78,1.64,0.34,2.5,23
CDM,68382-569-28,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",2.45,1.45,0.3,2.21,23
CDM,68382-582-01,LIOTHYRONINE 5 MCG TABLET,2.19,1.29,0.27,1.97,23
CDM,68382-591-01,PERPHENAZINE 2 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,68382-659-06,PYRIDOSTIGMINE BROMIDE IMMEDIATE RELEASE 60 MG TABLET,4.73,2.79,0.58,4.26,23
CDM,68382-707-18,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,3.87,2.28,0.47,3.48,23
CDM,68382-711-19,"MESALAMINE (LIALDA) 1.2 G TABLET,DELAYED RELEASE",20.49,12.09,2.49,18.44,23
CDM,68382-758-01,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,68382-759-01,METFORMIN IMMEDIATE RELEASE 850 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,68382-773-06,EZETIMIBE 10 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,68382-782-01,DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE,0.58,0.34,0.07,0.52,23
CDM,68382-783-01,DOXAZOSIN 1 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,68382-784-01,DOXAZOSIN 2 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,68382-785-01,DOXAZOSIN 4 MG TABLET,1.06,0.63,0.13,0.95,23
CDM,68382-786-01,DOXAZOSIN 8 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,68382-798-01,LABETALOL 100 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,68382-800-01,LABETALOL 300 MG TABLET,1.19,0.7,0.14,1.07,23
CDM,68382-805-01,TRAZODONE 50 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,68382-805-05,TRAZODONE 50 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,68382-806-01,TRAZODONE 100 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,68382-807-01,TRAZODONE 150 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,68382-848-93,ESOMEPRAZOLE MAGNESIUM DR 20 MG GRANULES DELAYED RELEASE FOR SUSP,28.32,16.71,3.44,25.49,23
CDM,68382-856-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,68382-859-06,LURASIDONE 60 MG TABLET,9.42,5.56,1.15,8.48,23
CDM,68382-860-02,BENZTROPINE 1 MG/ML INJECTION SOLUTION,217.75,128.47,26.49,195.98,23
CDM,68382-860-10,BENZTROPINE 1 MG/ML INJECTION SOLUTION,217.75,128.47,26.49,195.98,23
CDM,68382-910-01,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,111.32,65.68,13.54,100.19,23
CDM,68382-910-10,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,111.32,65.68,13.54,100.19,23
CDM,68382-916-01,METHYLPREDNISOLONE 4 MG TABLET,1.63,0.96,0.2,1.47,23
CDM,68382-918-18,METHYLPREDNISOLONE 16 MG TABLET,9.29,5.48,1.13,8.36,23
CDM,68382-919-11,METHYLPREDNISOLONE 32 MG TABLET,13.61,8.03,1.66,12.25,23
CDM,68382-921-06,ENTECAVIR 1 MG TABLET,12.04,7.1,1.46,10.84,23
CDM,68382-923-86,ELETRIPTAN 40 MG TABLET,55.37,32.67,6.74,49.83,23
CDM,68382-968-06,LURASIDONE 120 MG TABLET,421.5,248.69,51.27,379.35,23
CDM,68382-969-06,ROFLUMILAST 500 MCG TABLET,4.02,2.37,0.49,3.62,23
CDM,68382-997-01,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,248.35,146.53,30.21,223.52,23
CDM,68382-997-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,248.35,146.53,30.21,223.52,23
CDM,68403-1100-6,"BOTULISM IMMUNE GLOBULIN, HUMAN 100 MG INTRAVENOUS SOLUTION",57300.0,33807.0,6970.24,51570.0,23
CDM,6845510690,OSTOMY ADHESIVE PASTE,19.57,11.55,2.38,17.61,23
CDM,6845510764,"ZINC OXIDE 4"" X 10 YARD BANDAGE",63.55,37.49,7.73,57.2,23
CDM,68462-101-30,FLUCONAZOLE 50 MG TABLET,3.07,1.81,0.37,2.76,23
CDM,68462-102-30,FLUCONAZOLE 100 MG TABLET,4.61,2.72,0.56,4.15,23
CDM,68462-104-30,FLUCONAZOLE 200 MG TABLET,6.15,3.63,0.75,5.54,23
CDM,68462-109-60,TOPIRAMATE 100 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,68462-127-01,GABAPENTIN 800 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,68462-128-01,ZONISAMIDE 25 MG CAPSULE,0.42,0.25,0.05,0.38,23
CDM,68462-129-01,ZONISAMIDE 50 MG CAPSULE,0.85,0.5,0.1,0.77,23
CDM,68462-130-01,ZONISAMIDE 100 MG CAPSULE,0.6,0.35,0.07,0.54,23
CDM,68462-135-08,ABIRATERONE 250 MG TABLET,8.64,5.1,1.05,7.78,23
CDM,68462-137-01,OXCARBAZEPINE 150 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,68462-138-01,OXCARBAZEPINE 300 MG TABLET,1.37,0.81,0.17,1.23,23
CDM,68462-139-01,OXCARBAZEPINE 600 MG TABLET,2.74,1.62,0.33,2.47,23
CDM,68462-143-01,CLINDAMYCIN HCL 150 MG CAPSULE,0.45,0.27,0.05,0.41,23
CDM,68462-157-13,ONDANSETRON 4 MG DISINTEGRATING TABLET,2.12,1.25,0.26,1.91,23
CDM,68462-157-40,ONDANSETRON 4 MG DISINTEGRATING TABLET,2.12,1.25,0.26,1.91,23
CDM,68462-158-11,ONDANSETRON 8 MG DISINTEGRATING TABLET,2.92,1.72,0.36,2.63,23
CDM,68462-158-13,ONDANSETRON 8 MG DISINTEGRATING TABLET,2.92,1.72,0.36,2.63,23
CDM,68462-158-40,ONDANSETRON 8 MG DISINTEGRATING TABLET,2.92,1.72,0.36,2.63,23
CDM,68462-162-01,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,68462-163-01,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,68462-164-01,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,68462-165-01,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,68462-180-22,MUPIROCIN 2 % TOPICAL OINTMENT,30.14,17.78,3.67,27.13,23
CDM,68462-181-17,CLOTRIMAZOLE 1 % TOPICAL CREAM,30.38,17.92,3.7,27.34,23
CDM,68462-181-35,CLOTRIMAZOLE 1 % TOPICAL CREAM,66.45,39.21,8.08,59.81,23
CDM,68462-189-01,NAPROXEN 375 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,68462-190-01,NAPROXEN 500 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,68462-190-05,NAPROXEN 500 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,68462-195-90,PRAVASTATIN 10 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,68462-196-90,PRAVASTATIN 20 MG TABLET,1.19,0.7,0.14,1.07,23
CDM,68462-197-90,PRAVASTATIN 40 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,68462-198-90,PRAVASTATIN 80 MG TABLET,1.74,1.03,0.21,1.57,23
CDM,68462-199-11,TELMISARTAN 20 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,68462-199-13,TELMISARTAN 20 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,68462-201-11,TELMISARTAN 80 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,68462-201-13,TELMISARTAN 80 MG TABLET,1.27,0.75,0.15,1.14,23
CDM,68462-208-01,MOEXIPRIL 15 MG TABLET,4.16,2.45,0.51,3.74,23
CDM,68462-209-01,MOEXIPRIL 7.5 MG TABLET,3.97,2.34,0.48,3.57,23
CDM,68462-220-01,LITHIUM CARBONATE IMMEDIATE RELEASE 150 MG CAPSULE,0.41,0.24,0.05,0.37,23
CDM,68462-221-01,LITHIUM CARBONATE IMMEDIATE RELEASE 300 MG CAPSULE,0.41,0.24,0.05,0.37,23
CDM,68462-223-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",0.87,0.51,0.11,0.78,23
CDM,68462-224-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",0.87,0.51,0.11,0.78,23
CDM,68462-228-01,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,1.91,1.13,0.23,1.72,23
CDM,68462-229-01,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,1.24,0.73,0.15,1.12,23
CDM,68462-233-01,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",1.52,0.9,0.18,1.37,23
CDM,68462-234-01,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",0.64,0.38,0.08,0.58,23
CDM,68462-235-01,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",2.26,1.33,0.27,2.03,23
CDM,68462-253-01,ROPINIROLE 0.25 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,68462-254-01,ROPINIROLE 0.5 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,68462-255-01,ROPINIROLE 1 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,68462-256-01,ROPINIROLE 2 MG TABLET,0.48,0.28,0.06,0.43,23
CDM,68462-260-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",1.43,0.84,0.17,1.29,23
CDM,68462-261-90,ROSUVASTATIN 5 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,68462-262-90,ROSUVASTATIN 10 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,68462-263-90,ROSUVASTATIN 20 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,68462-264-30,ROSUVASTATIN 40 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,68462-265-30,ATOMOXETINE 10 MG CAPSULE,7.31,4.31,0.89,6.58,23
CDM,68462-266-30,ATOMOXETINE 18 MG CAPSULE,7.31,4.31,0.89,6.58,23
CDM,68462-267-30,ATOMOXETINE 25 MG CAPSULE,7.31,4.31,0.89,6.58,23
CDM,68462-268-30,ATOMOXETINE 40 MG CAPSULE,8.0,4.72,0.97,7.2,23
CDM,68462-269-30,ATOMOXETINE 60 MG CAPSULE,8.0,4.72,0.97,7.2,23
CDM,68462-270-30,ATOMOXETINE 80 MG CAPSULE,8.69,5.13,1.06,7.82,23
CDM,68462-271-30,ATOMOXETINE 100 MG CAPSULE,8.69,5.13,1.06,7.82,23
CDM,68462-292-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",1.53,0.9,0.19,1.38,23
CDM,68462-293-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",1.49,0.88,0.18,1.34,23
CDM,68462-293-05,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",0.65,0.38,0.08,0.59,23
CDM,68462-297-17,CICLOPIROX 0.77 % TOPICAL CREAM,16.28,9.61,1.98,14.65,23
CDM,68462-297-35,CICLOPIROX 0.77 % TOPICAL CREAM,124.8,73.63,15.18,112.32,23
CDM,68462-302-01,INDOMETHACIN 50 MG CAPSULE,1.25,0.74,0.15,1.13,23
CDM,68462-302-05,INDOMETHACIN 50 MG CAPSULE,0.65,0.38,0.08,0.59,23
CDM,68462-303-29,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,68462-303-84,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,68462-304-50,NORETHINDRONE ACETATE 5 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,68462-305-29,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,2.74,1.62,0.33,2.47,23
CDM,68462-305-84,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,2.74,1.62,0.33,2.47,23
CDM,68462-309-29,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,2.59,1.53,0.32,2.33,23
CDM,68462-309-84,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,2.59,1.53,0.32,2.33,23
CDM,68462-319-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",3.08,1.82,0.37,2.77,23
CDM,68462-323-30,EZETIMIBE 10 MG-SIMVASTATIN 40 MG TABLET,3.86,2.28,0.47,3.47,23
CDM,68462-330-90,PRAMIPEXOLE 0.125 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,68462-331-90,PRAMIPEXOLE 0.25 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,68462-332-90,PRAMIPEXOLE 0.5 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,68462-333-90,PRAMIPEXOLE 1 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,68462-334-90,PRAMIPEXOLE 1.5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,68462-381-60,RILUZOLE 50 MG TABLET,4.53,2.67,0.55,4.08,23
CDM,68462-384-01,ESZOPICLONE 3 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,68462-386-30,SOLIFENACIN 5 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,68462-387-30,SOLIFENACIN 10 MG TABLET,1.54,0.91,0.19,1.39,23
CDM,68462-394-29,NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET,2.49,1.47,0.3,2.24,23
CDM,68462-394-84,NORETHINDRONE 1 MG-ETHINYL ESTRADIOL 35 MCG TABLET,2.49,1.47,0.3,2.24,23
CDM,68462-397-01,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",0.6,0.35,0.07,0.54,23
CDM,68462-404-01,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,10.06,5.94,1.22,9.05,23
CDM,68462-404-44,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,17.22,10.16,2.09,15.5,23
CDM,68462-404-67,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,17.22,10.16,2.09,15.5,23
CDM,68462-406-01,INDOMETHACIN 25 MG CAPSULE,1.02,0.6,0.12,0.92,23
CDM,68462-418-20,LIDOCAINE 5 % TOPICAL OINTMENT,127.77,75.38,15.54,114.99,23
CDM,68462-421-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,47.5,28.03,5.78,42.75,23
CDM,68462-421-69,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,135.93,80.2,16.54,122.34,23
CDM,68462-435-18,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",5.06,2.99,0.62,4.55,23
CDM,68462-436-30,OLMESARTAN 5 MG TABLET,0.45,0.27,0.05,0.41,23
CDM,68462-437-30,OLMESARTAN 20 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,68462-437-90,OLMESARTAN 20 MG TABLET,0.64,0.38,0.08,0.58,23
CDM,68462-438-30,OLMESARTAN 40 MG TABLET,0.71,0.42,0.09,0.64,23
CDM,68462-438-90,OLMESARTAN 40 MG TABLET,0.89,0.53,0.11,0.8,23
CDM,68462-446-26,SEVELAMER HCL 400 MG TABLET,10.41,6.14,1.27,9.37,23
CDM,68462-469-40,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,7.4,4.37,0.9,6.66,23
CDM,68462-469-54,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,7.4,4.37,0.9,6.66,23
CDM,68462-470-40,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,8.9,5.25,1.08,8.01,23
CDM,68462-470-54,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,8.9,5.25,1.08,8.01,23
CDM,68462-472-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",2.33,1.37,0.28,2.1,23
CDM,68462-473-01,URSODIOL 250 MG TABLET,6.57,3.88,0.8,5.91,23
CDM,68462-474-01,URSODIOL 500 MG TABLET,5.85,3.45,0.71,5.27,23
CDM,68462-497-76,ZOLMITRIPTAN 2.5 MG TABLET,16.27,9.6,1.98,14.64,23
CDM,68462-498-33,ZOLMITRIPTAN 5 MG TABLET,19.95,11.77,2.43,17.96,23
CDM,68462-499-76,ZOLMITRIPTAN 2.5 MG DISINTEGRATING TABLET,21.72,12.81,2.64,19.55,23
CDM,68462-501-65,CALCIPOTRIENE 0.005 % TOPICAL CREAM,1016.4,599.68,123.64,914.76,23
CDM,68462-534-94,TACROLIMUS 0.1 % TOPICAL OINTMENT,1333.5,786.77,162.21,1200.15,23
CDM,68462-536-70,IMIQUIMOD 5 % TOPICAL CREAM PACKET,28.96,17.09,3.52,26.06,23
CDM,68462-564-17,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,700.35,413.21,85.19,630.32,23
CDM,68462-564-35,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,1531.8,903.76,186.34,1378.62,23
CDM,68462-572-30,VORICONAZOLE 50 MG TABLET,9.99,5.89,1.22,8.99,23
CDM,68462-573-30,VORICONAZOLE 200 MG TABLET,34.56,20.39,4.2,31.1,23
CDM,68462-583-40,APREPITANT 40 MG CAPSULE,300.1,177.06,36.51,270.09,23
CDM,68462-583-85,APREPITANT 40 MG CAPSULE,319.92,188.75,38.92,287.93,23
CDM,68462-584-40,APREPITANT 80 MG CAPSULE,483.32,285.16,58.79,434.99,23
CDM,68462-584-76,APREPITANT 80 MG CAPSULE,483.32,285.16,58.79,434.99,23
CDM,68462-585-40,APREPITANT 125 MG CAPSULE,773.75,456.51,94.12,696.38,23
CDM,68462-585-76,APREPITANT 125 MG CAPSULE,773.76,456.52,94.12,696.38,23
CDM,68462-609-35,PIMECROLIMUS 1 % TOPICAL CREAM,1168.65,689.5,142.16,1051.79,23
CDM,68462-621-02,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,9.34,5.51,1.14,8.41,23
CDM,68462-621-54,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,9.34,5.51,1.14,8.41,23
CDM,68462-639-25,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,0.42,0.25,0.05,0.38,23
CDM,68462-639-45,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,0.42,0.25,0.05,0.38,23
CDM,68462-678-60,LACOSAMIDE 50 MG TABLET,1.23,0.73,0.15,1.11,23
CDM,68462-686-01,TACROLIMUS IMMEDIATE RELEASE 1 MG CAPSULE,1.35,0.8,0.16,1.22,23
CDM,68462-721-01,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",5.19,3.06,0.63,4.67,23
CDM,68462-746-17,ACYCLOVIR 5 % TOPICAL OINTMENT,119.93,70.76,14.59,107.94,23
CDM,68462-792-01,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,135.69,80.06,16.51,122.12,23
CDM,68462-881-94,TACROLIMUS 0.03 % TOPICAL OINTMENT,617.0,364.03,75.05,555.3,23
CDM,68462-882-60,ABIRATERONE 500 MG TABLET,145.81,86.03,17.74,131.23,23
CDM,68516-3211-2,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION",6550.0,3864.5,796.77,5895.0,23
CDM,68516-4606-1,ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,2225.0,1312.75,270.66,2002.5,23
CDM,68516-4610-2,"ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN",8900.0,5251.0,1082.64,8010.0,23
CDM,68516-4616-1,ANTIHEMOPHILIC FACTOR-VWF 250 (100 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,1112.5,656.38,135.33,1001.25,23
CDM,68516-4617-1,ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,2225.0,1312.75,270.66,2002.5,23
CDM,68516-4618-2,"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN",4.45,2.63,0.54,4.01,23
CDM,68516-4619-2,"ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML INTRAVENOUS SOLN",4.45,2.63,0.54,4.01,23
CDM,68516-4620-2,"ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN",8900.0,5251.0,1082.64,8010.0,23
CDM,68516-5214-2,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",400.0,236.0,48.66,360.0,23
CDM,68516-5214-4,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",400.0,236.0,48.66,360.0,23
CDM,68516-5214-5,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",151.75,89.53,18.46,136.58,23
CDM,68516-5214-6,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",151.75,89.53,18.46,136.58,23
CDM,68516-5216-1,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",200.5,118.3,24.39,180.45,23
CDM,68516-5216-2,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",401.0,236.59,48.78,360.9,23
CDM,68516-5216-3,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",200.5,118.3,24.39,180.45,23
CDM,68516-5216-4,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",401.0,236.59,48.78,360.9,23
CDM,68516-5216-8,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",2004.0,1182.36,243.78,1803.6,23
CDM,68546-142-56,RASAGILINE 0.5 MG TABLET,128.31,75.7,15.61,115.48,23
CDM,68546-229-56,RASAGILINE 1 MG TABLET,176.61,104.2,21.48,158.95,23
CDM,68546-317-30,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,1098.64,648.2,133.64,988.78,23
CDM,68546-325-12,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,2251.64,1328.47,273.9,2026.48,23
CDM,6858500575,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",0.34,0.2,0.04,0.31,23
CDM,68682-006-10,DILTIAZEM IMMEDIATE RELEASE 30 MG TABLET,3.84,2.27,0.47,3.46,23
CDM,68682-103-01,"DICLOFENAC ER 100 MG TABLET,EXTENDED RELEASE 24 HR",10.37,6.12,1.26,9.33,23
CDM,68682-107-10,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",2.58,1.52,0.31,2.32,23
CDM,68682-110-01,PIMECROLIMUS 1 % TOPICAL CREAM,664.5,392.06,80.83,598.05,23
CDM,68682-200-25,CARBIDOPA 25 MG TABLET,6.73,3.97,0.82,6.06,23
CDM,68682-201-75,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,270.6,159.65,32.92,243.54,23
CDM,68682-309-30,"BUDESONIDE DR-ER 9 MG TABLET,DELAYED AND EXTENDED RELEASE",172.72,101.9,21.01,155.45,23
CDM,68682-464-10,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,68682-464-15,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,68682-650-20,DIAZEPAM 2.5 MG RECTAL KIT,453.55,267.59,55.17,408.2,23
CDM,68682-652-20,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,598.13,352.9,72.76,538.32,23
CDM,68682-655-20,DIAZEPAM 12.5 MG-15 MG-17.5 MG-20 MG RECTAL KIT,1119.1,660.27,136.13,1007.19,23
CDM,68682-901-46,ERYTHROMYCIN-BENZOYL PEROXIDE 3 %-5 % TOPICAL GEL,250.01,147.51,30.41,225.01,23
CDM,68682-920-05,TETRACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,68682-920-64,TETRACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,68682-993-98,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",0.99,0.58,0.12,0.89,23
CDM,68682-994-98,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",4.31,2.54,0.52,3.88,23
CDM,68682-997-98,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",1.15,0.68,0.14,1.04,23
CDM,68682-998-98,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",7.92,4.67,0.96,7.13,23
CDM,68727-712-01,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,39648.15,23392.41,4822.99,35683.34,23
CDM,68727-745-01,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,50576.08,29839.89,6152.31,45518.47,23
CDM,68727-745-02,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,50576.08,29839.89,6152.31,45518.47,23
CDM,68727-800-01,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,5618.88,3315.14,683.51,5056.99,23
CDM,68727-800-02,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,5618.88,3315.14,683.51,5056.99,23
CDM,68727-900-01,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,25329.39,14944.34,3081.19,22796.45,23
CDM,68727-900-03,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,25329.39,14944.34,3081.19,22796.45,23
CDM,68784-102-12,BISACODYL 10 MG RECTAL SUPPOSITORY,0.32,0.19,0.04,0.29,23
CDM,68803-612-10,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,381.55,225.11,46.41,343.4,23
CDM,68803-722-05,BRILLIANT BLUE G (TISSUEBLUE) OPHTHALMIC SOLUTION 0.025% 0.5 ML - FOR ILM STAINING,757.0,446.63,92.09,681.3,23
CDM,68817-134-50,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,7320.4,4319.04,890.49,6588.36,23
CDM,68875-0101-1,TEDUGLUTIDE 5 MG SUBCUTANEOUS KIT,8989.65,5303.89,1093.54,8090.69,23
CDM,68875-0103-1,TEDUGLUTIDE 5 MG SUBCUTANEOUS KIT,8989.65,5303.89,1093.54,8090.69,23
CDM,68968-0514-1,ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH,143.6,84.72,17.47,129.24,23
CDM,68968-0514-8,ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH,143.6,84.72,17.47,129.24,23
CDM,68982-182-01,ANTIHEMOPHILIC FACTOR-VWF 500 (500 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,2425.0,1430.75,294.99,2182.5,23
CDM,68982-182-02,"ANTIHEMOPHILIC FACTOR-VWF 1,000(VWF 1,000) UNIT/10 ML INTRAVENOUS SOLN",4850.0,2861.5,589.98,4365.0,23
CDM,68982-347-01,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",3900.0,2301.0,474.41,3510.0,23
CDM,68982-348-01,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",3900.0,2301.0,474.41,3510.0,23
CDM,68982-623-03,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",380.0,224.2,46.23,342.0,23
CDM,68982-643-01,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",190.5,112.4,23.17,171.45,23
CDM,68982-643-02,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",381.0,224.79,46.35,342.9,23
CDM,68982-840-01,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",454.6,268.21,55.3,409.14,23
CDM,68982-840-02,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",1136.25,670.39,138.22,1022.63,23
CDM,68982-840-03,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",2272.5,1340.78,276.44,2045.25,23
CDM,68982-840-04,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",4545.0,2681.55,552.88,4090.5,23
CDM,68982-850-03,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",4545.5,2681.85,552.94,4090.95,23
CDM,68982-850-04,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",9091.0,5363.69,1105.87,8181.9,23
CDM,68982-850-05,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",13636.5,8045.54,1658.81,12272.85,23
CDM,68992-3010-1,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",2.99,1.76,0.36,2.69,23
CDM,68992-3010-3,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",2.99,1.76,0.36,2.69,23
CDM,68992-3040-1,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",11.96,7.06,1.45,10.76,23
CDM,68992-3040-3,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",11.96,7.06,1.45,10.76,23
CDM,68992-3075-1,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",2.24,1.32,0.27,2.02,23
CDM,68992-3075-3,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",2.24,1.32,0.27,2.02,23
CDM,69076-146-01,ACYCLOVIR 200 MG CAPSULE,0.51,0.3,0.06,0.46,23
CDM,69076-913-02,MERCAPTOPURINE 50 MG TABLET,14.69,8.67,1.79,13.22,23
CDM,69097-004-67,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,69.8,41.18,8.49,62.82,23
CDM,69097-122-03,TOPIRAMATE 25 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,69097-123-03,TOPIRAMATE 50 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,69097-124-03,TOPIRAMATE 100 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,69097-125-03,TOPIRAMATE 200 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,69097-125-12,TOPIRAMATE 200 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,69097-127-05,AMLODIPINE 5 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,69097-128-05,AMLODIPINE 10 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,69097-142-60,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,103.89,61.3,12.64,93.5,23
CDM,69097-173-48,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.38,0.81,0.17,1.24,23
CDM,69097-173-64,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,1.38,0.81,0.17,1.24,23
CDM,69097-224-16,ALENDRONATE 70 MG TABLET,4.04,2.38,0.49,3.64,23
CDM,69097-301-02,EFAVIRENZ 600 MG TABLET,12.36,7.29,1.5,11.12,23
CDM,69097-316-02,EXEMESTANE 25 MG TABLET,7.68,4.53,0.93,6.91,23
CDM,69097-318-32,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,36.63,21.61,4.46,32.97,23
CDM,69097-318-53,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,36.63,21.61,4.46,32.97,23
CDM,69097-319-32,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,15.29,9.02,1.86,13.76,23
CDM,69097-319-53,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,15.29,9.02,1.86,13.76,23
CDM,69097-362-02,ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET,7.27,4.29,0.88,6.54,23
CDM,69097-386-02,AMBRISENTAN 5 MG TABLET,192.01,113.29,23.36,172.81,23
CDM,69097-387-02,AMBRISENTAN 10 MG TABLET,192.01,113.29,23.36,172.81,23
CDM,69097-410-02,CINACALCET 30 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,69097-411-02,CINACALCET 60 MG TABLET,4.17,2.46,0.51,3.75,23
CDM,69097-431-02,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR",15.1,8.91,1.84,13.59,23
CDM,69097-432-02,"DARIFENACIN ER 15 MG TABLET,EXTENDED RELEASE 24 HR",15.1,8.91,1.84,13.59,23
CDM,69097-526-03,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),3.86,2.28,0.47,3.47,23
CDM,69097-527-34,ESOMEPRAZOLE MAGNESIUM DR 10 MG GRANULES DELAYED RELEASE FOR SUSP,28.32,16.71,3.44,25.49,23
CDM,69097-533-02,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,4.45,2.63,0.54,4.01,23
CDM,69097-579-67,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,238.8,140.89,29.05,214.92,23
CDM,69097-642-02,EMTRICITABINE 200 MG CAPSULE,71.58,42.23,8.71,64.42,23
CDM,69097-644-48,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,135.14,79.73,16.44,121.63,23
CDM,69097-708-31,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,92.18,54.39,11.21,82.96,23
CDM,69097-708-96,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,92.18,54.39,11.21,82.96,23
CDM,69097-709-30,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,27.65,16.31,3.36,24.89,23
CDM,69097-709-96,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,27.65,16.31,3.36,24.89,23
CDM,69097-720-44,DICLOFENAC 1 % TOPICAL GEL,75.0,44.25,9.12,67.5,23
CDM,69097-802-32,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,62.55,36.9,7.61,56.3,23
CDM,69097-813-07,GABAPENTIN 100 MG CAPSULE,0.18,0.11,0.02,0.16,23
CDM,69097-815-07,GABAPENTIN 400 MG CAPSULE,0.33,0.19,0.04,0.3,23
CDM,69097-825-02,RALOXIFENE 60 MG TABLET,2.38,1.4,0.29,2.14,23
CDM,69097-834-02,SERTRALINE 50 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,69097-845-07,CYCLOBENZAPRINE 5 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,69097-846-07,CYCLOBENZAPRINE 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,69097-847-05,ESCITALOPRAM 5 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,69097-856-05,FOSINOPRIL 10 MG TABLET,0.59,0.35,0.07,0.53,23
CDM,69097-857-05,FOSINOPRIL 20 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,69097-861-07,ZONISAMIDE 100 MG CAPSULE,1.7,1.0,0.21,1.53,23
CDM,69097-867-07,NADOLOL 20 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,69097-868-07,NADOLOL 40 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,69097-869-07,NADOLOL 80 MG TABLET,2.12,1.25,0.26,1.91,23
CDM,69097-870-67,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,27262.6,16084.93,3316.35,24536.34,23
CDM,69097-934-57,LANTHANUM 500 MG CHEWABLE TABLET,1158.3,683.4,140.9,1042.47,23
CDM,69097-940-93,PIRFENIDONE 267 MG CAPSULE,8.07,4.76,0.98,7.26,23
CDM,69097-964-53,VIGABATRIN 500 MG ORAL POWDER PACKET,29.5,17.41,3.59,26.55,23
CDM,69097-967-93,SEVELAMER CARBONATE 800 MG TABLET,1.37,0.81,0.17,1.23,23
CDM,69097-988-05,PIRFENIDONE 801 MG TABLET,15.1,8.91,1.84,13.59,23
CDM,69102-150-06,LAMOTRIGINE IMMEDIATE RELEASE 150 MG TABLET,0.47,0.28,0.06,0.42,23
CDM,69230-300-01,FEXOFENADINE 180 MG TABLET,1.22,0.72,0.15,1.1,23
CDM,69238-1013-2,TESTOSTERONE 20.25 MG/1.25 GRAM PER PUMP ACT.(1.62 %) TRANSDERMAL GEL,306.38,180.76,37.27,275.74,23
CDM,69238-1056-1,CHLORPROMAZINE 25 MG TABLET,3.93,2.32,0.48,3.54,23
CDM,69238-1058-1,CHLORPROMAZINE 50 MG TABLET,7.37,4.35,0.9,6.63,23
CDM,69238-1060-1,CHLORPROMAZINE 100 MG TABLET,10.43,6.15,1.27,9.39,23
CDM,69238-1062-1,CHLORPROMAZINE 200 MG TABLET,15.48,9.13,1.88,13.93,23
CDM,69238-1065-1,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.61,0.36,0.07,0.55,23
CDM,69238-1100-2,DOXYCYCLINE HYCLATE 100 MG CAPSULE,1.29,0.76,0.16,1.16,23
CDM,69238-1123-9,NADOLOL 20 MG TABLET,1.16,0.68,0.14,1.04,23
CDM,69238-1124-9,NADOLOL 40 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,69238-1125-9,NADOLOL 80 MG TABLET,1.96,1.16,0.24,1.76,23
CDM,69238-1126-1,ETHACRYNIC ACID 25 MG TABLET,9.0,5.31,1.09,8.1,23
CDM,69238-1154-3,EZETIMIBE 10 MG TABLET,1.2,0.71,0.15,1.08,23
CDM,69238-1154-9,EZETIMIBE 10 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,69238-1165-7,ABIRATERONE 250 MG TABLET,15.84,9.35,1.93,14.26,23
CDM,69238-1170-9,DOXEPIN 25 MG CAPSULE,1.0,0.59,0.12,0.9,23
CDM,69238-1202-2,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,211.83,124.98,25.77,190.65,23
CDM,69238-1203-2,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,317.73,187.46,38.65,285.96,23
CDM,69238-1204-2,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,457.18,269.74,55.61,411.46,23
CDM,69238-1205-2,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,562.49,331.87,68.42,506.24,23
CDM,69238-1266-1,OSELTAMIVIR 75 MG CAPSULE,40.18,23.71,4.89,36.16,23
CDM,69238-1305-1,CLOBAZAM 10 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,69238-1314-9,PREGABALIN 150 MG CAPSULE,0.48,0.28,0.06,0.43,23
CDM,69238-1344-1,ALBUTEROL SULFATE 2 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,69238-1345-1,ALBUTEROL SULFATE 4 MG TABLET,2.39,1.41,0.29,2.15,23
CDM,69238-1346-3,TADALAFIL 2.5 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,69238-1380-3,DIFLUPREDNATE 0.05 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69238-1420-3,SILODOSIN 8 MG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,69238-1489-1,BUMETANIDE 0.5 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,69238-1490-1,BUMETANIDE 1 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,69238-1491-1,BUMETANIDE 2 MG TABLET,2.72,1.6,0.33,2.45,23
CDM,69238-1532-5,CLOBETASOL 0.05 % TOPICAL CREAM,17.93,10.58,2.18,16.14,23
CDM,69238-1540-1,URSODIOL 300 MG CAPSULE,3.86,2.28,0.47,3.47,23
CDM,69238-1574-1,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,479.92,283.15,58.38,431.93,23
CDM,69238-1594-3,SIROLIMUS 1 MG/ML ORAL SOLUTION,2934.3,1731.24,356.94,2640.87,23
CDM,69238-1594-6,SIROLIMUS 1 MG/ML ORAL SOLUTION,2934.3,1731.24,356.94,2640.87,23
CDM,69238-1596-8,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,3270.8,1929.77,397.88,2943.72,23
CDM,69238-1605-2,METHYLERGONOVINE 0.2 MG TABLET,66.0,38.94,8.03,59.4,23
CDM,69238-1605-8,METHYLERGONOVINE 0.2 MG TABLET,66.01,38.95,8.03,59.41,23
CDM,69238-1745-8,PILOCARPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69238-1746-8,PILOCARPINE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69238-1747-8,PILOCARPINE 4 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69238-1754-6,ABIRATERONE 500 MG TABLET,162.01,95.59,19.71,145.81,23
CDM,69238-1831-1,LEVOTHYROXINE 50 MCG TABLET,0.98,0.58,0.12,0.88,23
CDM,69238-1837-1,LEVOTHYROXINE 137 MCG TABLET,1.58,0.93,0.19,1.42,23
CDM,69238-1840-1,LEVOTHYROXINE 200 MCG TABLET,1.9,1.12,0.23,1.71,23
CDM,69238-1992-1,DIGOXIN 250 MCG (0.25 MG) TABLET,1.39,0.82,0.17,1.25,23
CDM,69238-2029-3,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,277.95,163.99,33.81,250.16,23
CDM,69238-2077-1,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,69238-2078-1,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,69238-2079-1,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,1.17,0.69,0.14,1.05,23
CDM,69238-2080-1,PROPRANOLOL IMMEDIATE RELEASE 60 MG TABLET,3.25,1.92,0.4,2.93,23
CDM,69238-2081-1,PROPRANOLOL IMMEDIATE RELEASE 80 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,69292-536-01,PROPRANOLOL IMMEDIATE RELEASE 60 MG TABLET,3.29,1.94,0.4,2.96,23
CDM,69292-538-01,PROPRANOLOL IMMEDIATE RELEASE 80 MG TABLET,1.78,1.05,0.22,1.6,23
CDM,69292-562-01,METOLAZONE 2.5 MG TABLET,2.71,1.6,0.33,2.44,23
CDM,69292-564-01,METOLAZONE 5 MG TABLET,3.13,1.85,0.38,2.82,23
CDM,69292-580-01,HALOPERIDOL 0.5 MG TABLET,1.85,1.09,0.23,1.67,23
CDM,69292-605-60,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,465.6,274.7,56.64,419.04,23
CDM,69292-722-25,FLURBIPROFEN 0.03 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69307-1024-2,"BARIUM SULFATE 2.1 % (W/V), 2.0 % (W/W) ORAL SUSPENSION",15.75,9.29,1.92,14.18,23
CDM,69315-116-01,FUROSEMIDE 20 MG TABLET,0.18,0.11,0.02,0.16,23
CDM,69315-117-01,FUROSEMIDE 40 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,69315-127-01,FOLIC ACID 1 MG TABLET,0.88,0.52,0.11,0.79,23
CDM,69315-127-10,FOLIC ACID 1 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,69315-133-01,IMIPRAMINE 10 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,69315-134-01,IMIPRAMINE 25 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,69315-135-01,IMIPRAMINE 50 MG TABLET,1.22,0.72,0.15,1.1,23
CDM,69315-136-01,BENZTROPINE 0.5 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,69315-137-01,BENZTROPINE 1 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,69315-138-01,BENZTROPINE 2 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,69315-155-01,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,69315-211-01,NIFEDIPINE IMMEDIATE RELEASE 10 MG CAPSULE,2.19,1.29,0.27,1.97,23
CDM,69315-212-01,NIFEDIPINE IMMEDIATE RELEASE 20 MG CAPSULE,7.37,4.35,0.9,6.63,23
CDM,69315-226-01,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",13.46,7.94,1.64,12.11,23
CDM,69315-304-10,DORZOLAMIDE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69315-306-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",38.63,22.79,4.7,34.77,23
CDM,69315-308-02,CIPROFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69315-308-05,CIPROFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,69315-312-28,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,135.94,80.2,16.54,122.35,23
CDM,69315-504-60,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",33.9,20.0,4.12,30.51,23
CDM,69315-701-50,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,2488.05,1467.95,302.66,2239.25,23
CDM,69315-904-01,LORAZEPAM 0.5 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,69315-904-05,LORAZEPAM 0.5 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,69315-905-01,LORAZEPAM 1 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,69315-905-05,LORAZEPAM 1 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,69315-905-10,LORAZEPAM 1 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,69315-906-01,LORAZEPAM 2 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,69315-906-05,LORAZEPAM 2 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,69315-906-10,LORAZEPAM 2 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,69315-910-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,2.15,1.27,0.26,1.94,23
CDM,69339-136-03,DIAZEPAM 5 MG/ML INJECTION SYRINGE,71.41,42.13,8.69,64.27,23
CDM,69339-136-34,DIAZEPAM 5 MG/ML INJECTION SYRINGE,71.41,42.13,8.69,64.27,23
CDM,69339-138-15,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,7.58,4.47,0.92,6.82,23
CDM,69339-138-17,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,7.58,4.47,0.92,6.82,23
CDM,69339-138-19,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,7.13,4.21,0.87,6.42,23
CDM,69339-149-05,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,9.65,5.69,1.17,8.69,23
CDM,69339-149-19,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,9.65,5.69,1.17,8.69,23
CDM,69339-150-01,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,10.7,6.31,1.3,9.63,23
CDM,69339-150-19,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,10.7,6.31,1.3,9.63,23
CDM,69339-151-05,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.45,4.99,1.03,7.61,23
CDM,69339-151-17,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,8.45,4.99,1.03,7.61,23
CDM,69339-151-19,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,9.45,5.58,1.15,8.51,23
CDM,69339-152-01,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,9.55,5.63,1.16,8.6,23
CDM,69339-152-17,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,9.55,5.63,1.16,8.6,23
CDM,69339-153-01,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,9.0,5.31,1.09,8.1,23
CDM,69339-153-17,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,9.0,5.31,1.09,8.1,23
CDM,69339-157-05,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,11.03,6.51,1.34,9.93,23
CDM,69339-157-17,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,11.03,6.51,1.34,9.93,23
CDM,69339-159-17,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,91.85,54.19,11.17,82.67,23
CDM,69339-160-01,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,27.6,16.28,3.36,24.84,23
CDM,69339-173-01,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,1.75,1.03,0.21,1.58,23
CDM,69344-101-01,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION,10970.73,6472.73,1334.53,9873.66,23
CDM,69344-102-33,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,1227.9,724.46,149.37,1105.11,23
CDM,69367-138-05,ACYCLOVIR 800 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,69367-162-04,PHENAZOPYRIDINE 100 MG TABLET,3.94,2.32,0.48,3.55,23
CDM,69367-163-04,PHENAZOPYRIDINE 200 MG TABLET,5.56,3.28,0.68,5.0,23
CDM,69367-180-01,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,69367-203-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,2.67,1.58,0.32,2.4,23
CDM,69367-213-01,PHENOBARBITAL 64.8 MG TABLET,3.11,1.83,0.38,2.8,23
CDM,69367-214-01,PHENOBARBITAL 97.2 MG TABLET,4.39,2.59,0.53,3.95,23
CDM,69367-219-01,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,0.37,0.22,0.05,0.33,23
CDM,69367-229-18,SELENIUM SULFIDE 2.25 % SHAMPOO,338.4,199.66,41.16,304.56,23
CDM,69367-272-04,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,32.45,19.15,3.95,29.21,23
CDM,69367-272-05,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,1.4,0.83,0.17,1.26,23
CDM,69367-298-20,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.14,0.08,0.02,0.13,23
CDM,69367-301-01,CELECOXIB 100 MG CAPSULE,0.69,0.41,0.08,0.62,23
CDM,69367-302-01,CELECOXIB 200 MG CAPSULE,1.38,0.81,0.17,1.24,23
CDM,69367-303-01,MIGLITOL 25 MG TABLET,6.42,3.79,0.78,5.78,23
CDM,69367-304-01,MIGLITOL 50 MG TABLET,6.96,4.11,0.85,6.26,23
CDM,69367-305-01,MIGLITOL 100 MG TABLET,8.19,4.83,1.0,7.37,23
CDM,69367-307-30,EPLERENONE 25 MG TABLET,6.45,3.81,0.78,5.81,23
CDM,69367-323-04,ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID,12.98,7.66,1.58,11.68,23
CDM,69367-338-01,CARBIDOPA 10 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.41,0.24,0.05,0.37,23
CDM,69367-388-01,AMITRIPTYLINE 10 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,69367-391-01,AMITRIPTYLINE 75 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,6936721001,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,0.59,0.35,0.07,0.53,23
CDM,6936722001,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",0.3,0.18,0.04,0.27,23
CDM,6936725001,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,6936728302,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",111.6,65.84,13.58,100.44,23
CDM,6936731401,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,0.54,0.32,0.07,0.49,23
CDM,69374-330-05,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,75.0,44.25,9.12,67.5,23
CDM,69374-541-03,METHACHOLINE CHLORIDE 0 MG/3 ML (0 MG/ML) NEBULIZATION SOLUTION,112.5,66.38,13.69,101.25,23
CDM,69374-914-50,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,50.0,29.5,6.08,45.0,23
CDM,69374-925-10,"EPINEPHRINE 1 MG/10 ML (100 MCG/ML) IN SODIUM CHLOR,ISO-OSM IV SYRINGE",25.0,14.75,3.04,22.5,23
CDM,69374-953-50,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,62.5,36.88,7.6,56.25,23
CDM,69374-957-10,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,25.0,14.75,3.04,22.5,23
CDM,69374-984-10,CARDIOPLEGIC SOLUTION NO.25 29 MMOL/L (POTASSIUM) FOR PERFUSION,700.0,413.0,85.15,630.0,23
CDM,69452-125-50,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,440.0,259.6,53.52,396.0,23
CDM,69452-131-17,DOFETILIDE 125 MCG CAPSULE,3.51,2.07,0.43,3.16,23
CDM,69452-132-17,DOFETILIDE 250 MCG CAPSULE,3.51,2.07,0.43,3.16,23
CDM,69452-133-17,DOFETILIDE 500 MCG CAPSULE,3.51,2.07,0.43,3.16,23
CDM,69452-143-20,BENZONATATE 100 MG CAPSULE,1.38,0.81,0.17,1.24,23
CDM,69452-145-13,PARICALCITOL 1 MCG CAPSULE,19.2,11.33,2.34,17.28,23
CDM,69452-150-20,VALPROIC ACID 250 MG CAPSULE,1.62,0.96,0.2,1.46,23
CDM,69452-151-20,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",1.18,0.7,0.14,1.06,23
CDM,69452-152-20,ETHOSUXIMIDE 250 MG CAPSULE,1.68,0.99,0.2,1.51,23
CDM,69452-156-73,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,3.83,2.26,0.47,3.45,23
CDM,69452-156-74,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,3.83,2.26,0.47,3.45,23
CDM,69452-157-73,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,3.96,2.34,0.48,3.56,23
CDM,69452-157-74,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,3.96,2.34,0.48,3.56,23
CDM,69452-173-13,AZITHROMYCIN 600 MG TABLET,8.28,4.89,1.01,7.45,23
CDM,69452-207-13,CALCITRIOL 0.25 MCG CAPSULE,1.05,0.62,0.13,0.95,23
CDM,69452-207-20,CALCITRIOL 0.25 MCG CAPSULE,1.09,0.64,0.13,0.98,23
CDM,69452-208-20,CALCITRIOL 0.5 MCG CAPSULE,1.96,1.16,0.24,1.76,23
CDM,69452-209-07,NIMODIPINE 30 MG CAPSULE,6.88,4.06,0.84,6.19,23
CDM,69452-209-13,NIMODIPINE 30 MG CAPSULE,6.88,4.06,0.84,6.19,23
CDM,69452-223-84,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,1499.6,884.76,182.42,1349.64,23
CDM,69452-233-20,PROGESTERONE MICRONIZED 100 MG CAPSULE,1.2,0.71,0.15,1.08,23
CDM,69452-234-20,PROGESTERONE MICRONIZED 200 MG CAPSULE,2.4,1.42,0.29,2.16,23
CDM,69452-237-46,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,2256.75,1331.48,274.52,2031.08,23
CDM,69452-241-20,TRIHEXYPHENIDYL 2 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,69452-252-87,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,1600.2,944.12,194.66,1440.18,23
CDM,69452-288-20,FLUVOXAMINE 50 MG TABLET,1.29,0.76,0.16,1.16,23
CDM,69452-329-20,METHIMAZOLE 10 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,69452-343-13,MODAFINIL 200 MG TABLET,2.32,1.37,0.28,2.09,23
CDM,69452-345-60,SUMATRIPTAN 50 MG TABLET,2.05,1.21,0.25,1.85,23
CDM,69452-345-72,SUMATRIPTAN 50 MG TABLET,2.05,1.21,0.25,1.85,23
CDM,69452-346-60,SUMATRIPTAN 100 MG TABLET,2.56,1.51,0.31,2.3,23
CDM,69452-350-11,GRANISETRON HCL 1 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,69452-350-92,GRANISETRON HCL 1 MG TABLET,4.2,2.48,0.51,3.78,23
CDM,69452-351-20,TERBINAFINE HCL 250 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,69452-389-98,MAGNESIUM CITRATE ORAL SOLUTION,7.4,4.37,0.9,6.66,23
CDM,69488-003-01,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,137000.0,80830.0,16665.33,123300.0,23
CDM,69488-003-70,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,137000.0,80830.0,16665.33,123300.0,23
CDM,69488-010-61,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",130050.0,76729.5,15819.9,117045.0,23
CDM,69584-092-10,BUSPIRONE 10 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,69584-111-10,CARISOPRODOL 350 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,69584-182-10,DIPYRIDAMOLE 50 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,69584-426-10,IMIPRAMINE 25 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,69584-427-10,IMIPRAMINE 50 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,69584-684-10,PRIMIDONE 50 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,69584-841-10,SOTALOL 80 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,69584-842-10,SOTALOL 120 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,69584-844-10,SOTALOL 240 MG TABLET,0.55,0.32,0.07,0.5,23
CDM,69584-852-10,SPIRONOLACTONE 25 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,69616-272-30,PERAMPANEL 2 MG TABLET,95.91,56.59,11.67,86.32,23
CDM,69616-276-30,PERAMPANEL 6 MG TABLET,189.49,111.8,23.05,170.54,23
CDM,69616-282-30,PERAMPANEL 12 MG TABLET,189.49,111.8,23.05,170.54,23
CDM,69616-290-38,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,7344.0,4332.96,893.36,6609.6,23
CDM,69618-010-01,ACETAMINOPHEN 325 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,69618-011-01,ACETAMINOPHEN 500 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,69618-015-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.08,0.05,0.01,0.07,23
CDM,69618-020-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.07,0.04,0.01,0.06,23
CDM,69618-024-01,DIPHENHYDRAMINE 25 MG CAPSULE,0.1,0.06,0.01,0.09,23
CDM,69618-027-01,MECLIZINE 12.5 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,69618-029-03,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.31,0.18,0.04,0.28,23
CDM,69618-032-06,SIMETHICONE 125 MG CHEWABLE TABLET,0.23,0.14,0.03,0.21,23
CDM,69618-033-01,SIMETHICONE 80 MG CHEWABLE TABLET,0.11,0.06,0.01,0.1,23
CDM,69618-059-51,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",14.7,8.67,1.79,13.23,23
CDM,69618-062-01,PEDIATRIC MULTIVITAMIN NO.171 750 UNIT-35 MG-400 UNIT/ML ORAL DROPS,0.31,0.18,0.04,0.28,23
CDM,69618-064-01,SENNOSIDES 8.6 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,6961800858,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,25.96,15.32,3.16,23.36,23
CDM,6961801854,ASCORBIC ACID (VITAMIN C) 500 MG/5 ML ORAL LIQUID,21.0,12.39,2.55,18.9,23
CDM,6961806259,PEDIATRIC MULTIVITAMIN NO.171 750 UNIT-35 MG-400 UNIT/ML ORAL DROPS,15.5,9.15,1.89,13.95,23
CDM,69680-112-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.74,12.24,2.52,18.67,23
CDM,69680-112-10,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.74,12.24,2.52,18.67,23
CDM,69680-115-30,AMINOCAPROIC ACID 500 MG TABLET,27.49,16.22,3.34,24.74,23
CDM,69680-120-35,LIDOCAINE 5 % TOPICAL OINTMENT,100.48,59.28,12.22,90.43,23
CDM,69680-135-00,CELECOXIB 200 MG CAPSULE,1.28,0.76,0.16,1.15,23
CDM,69724-112-10,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,16480.0,9723.2,2004.71,14832.0,23
CDM,69740-329-00,MICONAZOLE NITRATE 2 % TOPICAL CREAM,35.42,20.9,4.31,31.88,23
CDM,69794-001-01,VESTRONIDASE ALFA-VJBK 2 MG/ML INTRAVENOUS SOLUTION,6592.5,3889.58,801.94,5933.25,23
CDM,69794-050-50,TRIHEPTANOIN 8.3 KCAL/ML ORAL LIQUID,27405.0,16168.95,3333.67,24664.5,23
CDM,69800-4202-1,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,833.25,491.62,101.36,749.93,23
CDM,69800-4202-2,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,833.25,491.62,101.36,749.93,23
CDM,69800-4203-1,"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION",3648.85,2152.82,443.86,3283.97,23
CDM,69800-4203-2,"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION",3648.85,2152.82,443.86,3283.97,23
CDM,69853-0102-1,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",12157.65,7173.01,1478.91,10941.89,23
CDM,69866-1030-5,"AUTOL CHONDROCYTE-COLLAG,PORC 500,000 CELL/CM2 (3 X 5 CM)IMPLANT SHEET",260000.0,153400.0,31627.64,234000.0,23
CDM,69866-2005-3,ANACAULASE-BCDB 8.8 % TOPICAL GEL,15750.0,9292.5,1915.9,14175.0,23
CDM,69918-101-01,DESMOPRESSIN 0.1 MG TABLET,4.84,2.86,0.59,4.36,23
CDM,69918-201-01,DESMOPRESSIN 0.2 MG TABLET,5.43,3.2,0.66,4.89,23
CDM,69918-301-30,TRANEXAMIC ACID 650 MG TABLET,10.03,5.92,1.22,9.03,23
CDM,69918-560-30,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",24.79,14.63,3.02,22.31,23
CDM,69918-700-01,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,47.25,27.88,5.75,42.53,23
CDM,69918-700-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,47.25,27.88,5.75,42.53,23
CDM,69918-899-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,98.98,58.4,12.04,89.08,23
CDM,69918-899-02,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,98.98,58.4,12.04,89.08,23
CDM,69918-899-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,98.98,58.4,12.04,89.08,23
CDM,69918-899-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,98.98,58.4,12.04,89.08,23
CDM,69918-901-10,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,772.8,455.95,94.01,695.52,23
CDM,69918-901-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,772.8,455.95,94.01,695.52,23
CDM,69932-002-01,"FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",15504.75,9147.8,1886.07,13954.28,23
CDM,69932-002-50,"FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",15504.75,9147.8,1886.07,13954.28,23
CDM,69945-064-01,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,12150.0,7168.5,1477.98,10935.0,23
CDM,69968-0060-9,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOP OINT PACKET",1.06,0.63,0.13,0.95,23
CDM,70004-085-44,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,92.5,54.58,11.25,83.25,23
CDM,70004-100-62,MORPHINE 50 MG/50 ML (1 MG/ML) IN 0.9 % SOD.CHLOR IV PUMP RESERVOIR,69.5,41.01,8.45,62.55,23
CDM,70004-231-32,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,131.0,77.29,15.94,117.9,23
CDM,70004-231-64,FENTANYL(PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL EPIDURAL PUMP RESERVOIR,12.0,7.08,1.46,10.8,23
CDM,70004-244-40,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,200.0,118.0,24.33,180.0,23
CDM,70004-253-40,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,222.5,131.28,27.07,200.25,23
CDM,70004-300-30,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,110.3,65.08,13.42,99.27,23
CDM,70004-380-05,METHADONE 10 MG/ML INTRAVENOUS SYRINGE,262.0,154.58,31.87,235.8,23
CDM,70004-541-35,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",118.75,70.06,14.45,106.88,23
CDM,70004-650-46,"HEPARIN (PORCINE) 5,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV SOLN",100.0,59.0,12.16,90.0,23
CDM,70004-810-12,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,29.55,17.43,3.59,26.6,23
CDM,70004-825-40,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,262.5,154.88,31.93,236.25,23
CDM,70004-841-40,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,168.75,99.56,20.53,151.88,23
CDM,70004-900-25,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,26.0,15.34,3.16,23.4,23
CDM,70004-926-44,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,287.1,169.39,34.92,258.39,23
CDM,70004-928-44,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,337.05,198.86,41.0,303.35,23
CDM,70010-002-01,COLCHICINE 0.6 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,70010-022-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",0.48,0.28,0.06,0.43,23
CDM,70010-031-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",2.4,1.42,0.29,2.16,23
CDM,70010-063-01,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,70010-135-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",1.62,0.96,0.2,1.46,23
CDM,70010-135-05,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.96,0.57,0.12,0.86,23
CDM,70010-135-10,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.98,0.58,0.12,0.88,23
CDM,70010-137-01,NAPROXEN 250 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,70010-139-01,NAPROXEN 500 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,70010-149-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,70010-161-01,ACETAMINOPHEN 500 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,70010-161-10,ACETAMINOPHEN 500 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,70010-163-09,CETIRIZINE 10 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,70010-491-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",0.19,0.11,0.02,0.17,23
CDM,70010-491-09,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",0.24,0.14,0.03,0.22,23
CDM,70010-754-01,METHOCARBAMOL 500 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,70010-770-01,METHOCARBAMOL 750 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,70020-1910-1,IXABEPILONE 15 MG INTRAVENOUS SOLUTION,9751.85,5753.59,1186.26,8776.67,23
CDM,70020-1911-1,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,29255.6,17260.8,3558.79,26330.04,23
CDM,70020-1911-2,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,29255.6,17260.8,3558.79,26330.04,23
CDM,70069-005-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",5.92,3.49,0.72,5.33,23
CDM,70069-005-10,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",5.92,3.49,0.72,5.33,23
CDM,70069-008-01,EPINASTINE 0.05 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-011-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,4.5,2.66,0.55,4.05,23
CDM,70069-011-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,4.5,2.66,0.55,4.05,23
CDM,70069-012-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,7.41,4.37,0.9,6.67,23
CDM,70069-012-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,7.41,4.37,0.9,6.67,23
CDM,70069-021-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,7.93,4.68,0.96,7.14,23
CDM,70069-021-25,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,7.93,4.68,0.96,7.14,23
CDM,70069-051-01,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-064-01,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,16.65,9.82,2.03,14.99,23
CDM,70069-064-10,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,22.65,13.36,2.76,20.39,23
CDM,70069-067-10,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,12.4,7.32,1.51,11.16,23
CDM,70069-071-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,20.76,12.25,2.53,18.68,23
CDM,70069-071-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,20.76,12.25,2.53,18.68,23
CDM,70069-072-01,NALOXONE 0.4 MG/ML INJECTION SOLUTION,129.95,76.67,15.81,116.96,23
CDM,70069-072-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,129.95,76.67,15.81,116.96,23
CDM,70069-101-01,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,27.6,16.28,3.36,24.84,23
CDM,70069-101-05,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,27.6,16.28,3.36,24.84,23
CDM,70069-101-25,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,27.45,16.2,3.34,24.71,23
CDM,70069-121-01,TROPICAMIDE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-131-01,TOBRAMYCIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-151-01,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,222.5,131.28,27.07,200.25,23
CDM,70069-151-10,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,222.5,131.28,27.07,200.25,23
CDM,70069-161-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,39.15,23.1,4.76,35.24,23
CDM,70069-181-01,PILOCARPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-191-01,PILOCARPINE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-231-01,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-232-01,BRIMONIDINE 0.2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-271-01,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,43.49,25.66,5.29,39.14,23
CDM,70069-271-05,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,43.49,25.66,5.29,39.14,23
CDM,70069-271-25,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,15.84,9.35,1.93,14.26,23
CDM,70069-301-01,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,20.95,12.36,2.55,18.86,23
CDM,70069-301-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,18.4,10.86,2.24,16.56,23
CDM,70069-361-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,22.08,13.03,2.69,19.87,23
CDM,70069-361-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,22.08,13.03,2.69,19.87,23
CDM,70069-362-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,55.55,32.77,6.76,50.0,23
CDM,70069-362-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,55.55,32.77,6.76,50.0,23
CDM,70069-363-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,100.95,59.56,12.28,90.86,23
CDM,70069-381-01,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,41.25,24.34,5.02,37.13,23
CDM,70069-381-10,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,50.69,29.91,6.17,45.62,23
CDM,70069-383-01,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,33.15,19.56,4.03,29.84,23
CDM,70069-383-10,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,64.05,37.79,7.79,57.65,23
CDM,70069-401-01,BIMATOPROST 0.03 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-421-01,LATANOPROST 0.005 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-421-03,LATANOPROST 0.005 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-506-01,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,88.45,52.19,10.76,79.61,23
CDM,70069-596-01,TETRACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-601-01,PROPARACAINE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-671-01,NALBUPHINE 10 MG/ML INJECTION SOLUTION,25.66,15.14,3.12,23.09,23
CDM,70069-672-10,NALBUPHINE 20 MG/ML INJECTION SOLUTION,44.51,26.26,5.41,40.06,23
CDM,70069-706-01,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-707-01,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70069-728-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,127.0,74.93,15.45,114.3,23
CDM,70069-803-01,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,56.45,33.31,6.87,50.81,23
CDM,70069-815-90,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",0.54,0.32,0.07,0.49,23
CDM,7007440702,"FOOD SUPPLEMENT, LACTOSE-REDUCED 0.05 GRAM-1.5 KCAL/ML ORAL LIQUID",9.48,5.59,1.15,8.53,23
CDM,70092-1002-36,AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,160.0,94.4,19.46,144.0,23
CDM,70092-1009-44,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,32.15,18.97,3.91,28.94,23
CDM,70092-1030-36,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,92.5,54.58,11.25,83.25,23
CDM,70092-1038-17,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV,229.9,135.64,27.97,206.91,23
CDM,70092-1046-46,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,25.0,14.75,3.04,22.5,23
CDM,70092-1068-07,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,97.5,57.53,11.86,87.75,23
CDM,70092-1071-24,OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION,102.5,60.48,12.47,92.25,23
CDM,70092-1086-44,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,97.5,57.53,11.86,87.75,23
CDM,70092-1114-50,HYDROMORPHONE 10MG/50ML (0.2MG/ML) INFUSION(PYXIS)-BH,13.5,7.97,1.64,12.15,23
CDM,70092-1120-43,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,22.25,13.13,2.71,20.03,23
CDM,70092-1130-36,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,57.5,33.93,6.99,51.75,23
CDM,70092-1148-43,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,36.4,21.48,4.43,32.76,23
CDM,70092-1152-44,EPHEDRINE 25 MG/5 ML IN 0.9% SODIUM CHLORIDE (WRAPPED ERX),134.5,79.36,16.36,121.05,23
CDM,70092-1160-37,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,165.0,97.35,20.07,148.5,23
CDM,70092-1269-37,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,146.25,86.29,17.79,131.63,23
CDM,70092-1281-08,"HEPARIN (PORCINE) 30,000 UNIT/1,000 ML IN 0.9 % SOD CHLORIDE IV",149.7,88.32,18.21,134.73,23
CDM,70092-1287-35,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,59.75,35.25,7.27,53.78,23
CDM,70092-1310-46,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE,159.0,93.81,19.34,143.1,23
CDM,70092-1380-36,MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION,61.9,36.52,7.53,55.71,23
CDM,70092-1418-36,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,120.45,71.07,14.65,108.41,23
CDM,70092-1433-50,ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG,233.65,137.85,28.42,210.29,23
CDM,70092-1478-44,EPHEDRINE 25 MG/5 ML IN 0.9% SODIUM CHLORIDE (WRAPPED ERX),134.5,79.36,16.36,121.05,23
CDM,70092-1522-35,MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION,45.5,26.85,5.53,40.95,23
CDM,70092-1547-46,NICARDIPINE 1 MG/10 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,13.05,7.7,1.59,11.75,23
CDM,70092-1617-46,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,35.0,20.65,4.26,31.5,23
CDM,70092-1655-17,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV,225.0,132.75,27.37,202.5,23
CDM,70092-9053-05,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,106.95,63.1,13.01,96.26,23
CDM,70092-9054-05,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,60.0,35.4,7.3,54.0,23
CDM,70092-9120-43,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,21.2,12.51,2.58,19.08,23
CDM,70092-9170-05,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,147.3,86.91,17.92,132.57,23
CDM,70095-024-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,23.04,13.59,2.8,20.74,23
CDM,70095-025-01,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,16.13,9.52,1.96,14.52,23
CDM,70095-025-02,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,16.13,9.52,1.96,14.52,23
CDM,70095-026-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,241.9,142.72,29.43,217.71,23
CDM,70095-050-01,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,27.75,16.37,3.38,24.98,23
CDM,70100-424-01,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,731.23,431.43,88.95,658.11,23
CDM,70100-424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,731.23,431.43,88.95,658.11,23
CDM,70114-101-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,8304.66,4899.75,1010.22,7474.19,23
CDM,70114-130-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,16145.25,9525.7,1963.98,14530.73,23
CDM,70114-340-01,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,44782.5,26421.68,5447.56,40304.25,23
CDM,70121-1049-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,16.05,9.47,1.95,14.45,23
CDM,70121-1049-5,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,15.92,9.39,1.94,14.33,23
CDM,70121-1221-1,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,69.1,40.77,8.41,62.19,23
CDM,70121-1222-1,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,230.4,135.94,28.03,207.36,23
CDM,70121-1236-1,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,852.4,502.92,103.69,767.16,23
CDM,70121-1238-1,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,364.9,215.29,44.39,328.41,23
CDM,70121-1239-1,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,875.45,516.52,106.49,787.91,23
CDM,70121-1240-1,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1497.45,883.5,182.16,1347.71,23
CDM,70121-1381-5,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,18.9,11.15,2.3,17.01,23
CDM,70121-1390-1,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,101.0,59.59,12.29,90.9,23
CDM,70121-1390-7,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,101.0,59.59,12.29,90.9,23
CDM,70121-1453-1,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,31.74,18.73,3.86,28.57,23
CDM,70121-1453-7,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,31.74,18.73,3.86,28.57,23
CDM,70121-1454-1,MEROPENEM 500 MG INTRAVENOUS SOLUTION,16.01,9.45,1.95,14.41,23
CDM,70121-1454-7,MEROPENEM 500 MG INTRAVENOUS SOLUTION,16.01,9.45,1.95,14.41,23
CDM,70121-1463-2,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,188.9,111.45,22.98,170.01,23
CDM,70121-1483-1,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,181.65,107.17,22.1,163.49,23
CDM,70121-1483-7,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,181.65,107.17,22.1,163.49,23
CDM,70121-1552-1,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,28.85,17.02,3.51,25.97,23
CDM,70121-1552-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,28.83,17.01,3.51,25.95,23
CDM,70121-1573-1,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,34.1,20.12,4.15,30.69,23
CDM,70121-1573-5,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,34.1,20.12,4.15,30.69,23
CDM,70121-1574-1,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,28.85,17.02,3.51,25.97,23
CDM,70121-1574-5,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,28.83,17.01,3.51,25.95,23
CDM,70121-1576-1,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,19.3,11.39,2.35,17.37,23
CDM,70121-1578-1,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,22.53,13.29,2.74,20.28,23
CDM,70121-1578-7,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,22.53,13.29,2.74,20.28,23
CDM,70121-1579-1,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,69.1,40.77,8.41,62.19,23
CDM,70121-1581-1,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,41.45,24.46,5.04,37.31,23
CDM,70121-1581-5,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,41.45,24.46,5.04,37.31,23
CDM,70121-1630-1,THIOTEPA 15 MG SOLUTION FOR INJECTION,889.5,524.81,108.2,800.55,23
CDM,70121-1637-7,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,37.2,21.95,4.53,33.48,23
CDM,70121-1642-1,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,94.44,55.72,11.49,85.0,23
CDM,70121-1647-1,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,105.98,62.53,12.89,95.38,23
CDM,70121-1647-7,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,105.98,62.53,12.89,95.38,23
CDM,70121-1651-1,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,16.05,9.47,1.95,14.45,23
CDM,70121-1651-5,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,15.92,9.39,1.94,14.33,23
CDM,70121-1658-1,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,449.22,265.04,54.65,404.3,23
CDM,70121-1658-6,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,449.22,265.04,54.65,404.3,23
CDM,70121-1680-1,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,330.71,195.12,40.23,297.64,23
CDM,70121-1694-2,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,907.7,535.54,110.42,816.93,23
CDM,70121-1705-1,ATROPINE 0.1 MG/ML INJECTION SYRINGE,33.4,19.71,4.06,30.06,23
CDM,70121-1705-7,ATROPINE 0.1 MG/ML INJECTION SYRINGE,33.4,19.71,4.06,30.06,23
CDM,70121-1716-1,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",367.5,216.83,44.7,330.75,23
CDM,70121-1717-1,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",313.0,184.67,38.07,281.7,23
CDM,70121-1719-1,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,15.0,8.85,1.82,13.5,23
CDM,70121-1719-9,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,15.0,8.85,1.82,13.5,23
CDM,70121-1722-1,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,155.0,91.45,18.85,139.5,23
CDM,70121-1722-9,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,155.0,91.45,18.85,139.5,23
CDM,70121-1733-1,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,141.0,83.19,17.15,126.9,23
CDM,70121-1743-1,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1175.0,693.25,142.93,1057.5,23
CDM,70121-1743-4,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1175.0,693.25,142.93,1057.5,23
CDM,70121-2309-1,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,36.45,21.51,4.43,32.81,23
CDM,70121-2495-1,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3300.0,1947.0,401.43,2970.0,23
CDM,70121-2496-5,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,150.0,88.5,18.25,135.0,23
CDM,70121-2501-1,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,825.0,486.75,100.36,742.5,23
CDM,70121-2503-1,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3300.0,1947.0,401.43,2970.0,23
CDM,70121-2505-2,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3300.0,1947.0,401.43,2970.0,23
CDM,70127-100-01,CANNABIDIOL 100 MG/ML ORAL SOLUTION,8073.0,4763.07,982.04,7265.7,23
CDM,70127-100-10,CANNABIDIOL 100 MG/ML ORAL SOLUTION,8073.0,4763.07,982.04,7265.7,23
CDM,70156-105-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,1.07,0.63,0.13,0.96,23
CDM,70199-026-11,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",3329.95,1964.67,405.07,2996.96,23
CDM,70257-310-51,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN",6929.15,4088.2,842.89,6236.24,23
CDM,70257-560-01,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,760.3,448.58,92.49,684.27,23
CDM,70257-562-11,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,138.23,81.56,16.81,124.41,23
CDM,70257-562-55,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,138.23,81.56,16.81,124.41,23
CDM,70257-563-01,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3041.0,1794.19,369.92,2736.9,23
CDM,70370-1080-1,VALBENAZINE 80 MG CAPSULE,1358.64,801.6,165.27,1222.78,23
CDM,70377-006-12,ROSUVASTATIN 5 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,70377-006-13,ROSUVASTATIN 5 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,70377-007-12,ROSUVASTATIN 10 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,70377-007-13,ROSUVASTATIN 10 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,70377-008-12,ROSUVASTATIN 20 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,70377-008-13,ROSUVASTATIN 20 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,70377-009-11,ROSUVASTATIN 40 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,70377-009-13,ROSUVASTATIN 40 MG TABLET,0.52,0.31,0.06,0.47,23
CDM,70377-027-11,ATORVASTATIN 10 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,70377-030-12,ATORVASTATIN 80 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,70377-040-11,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",1.7,1.0,0.21,1.53,23
CDM,70377-056-12,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",2.31,1.36,0.28,2.08,23
CDM,70377-081-11,DORZOLAMIDE 2 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70382-204-01,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,2223.15,1311.66,270.43,2000.84,23
CDM,70408-239-32,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,11083.2,6539.09,1348.21,9974.88,23
CDM,70436-004-06,GALANTAMINE IMMEDIATE RELEASE 4 MG TABLET,3.04,1.79,0.37,2.74,23
CDM,70436-006-06,GALANTAMINE IMMEDIATE RELEASE 12 MG TABLET,3.04,1.79,0.37,2.74,23
CDM,70436-007-04,CINACALCET 30 MG TABLET,26.26,15.49,3.19,23.63,23
CDM,70436-008-04,CINACALCET 60 MG TABLET,4.17,2.46,0.51,3.75,23
CDM,70436-009-04,CINACALCET 90 MG TABLET,6.03,3.56,0.73,5.43,23
CDM,70436-010-04,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",4.55,2.68,0.55,4.1,23
CDM,70436-011-04,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",6.16,3.63,0.75,5.54,23
CDM,70436-012-04,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",4.69,2.77,0.57,4.22,23
CDM,70436-013-04,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4.69,2.77,0.57,4.22,23
CDM,70436-019-82,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,11.68,6.89,1.42,10.51,23
CDM,70436-020-82,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,8.5,5.02,1.03,7.65,23
CDM,70436-021-82,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",13.83,8.16,1.68,12.45,23
CDM,70436-022-82,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,138.25,81.57,16.82,124.43,23
CDM,70436-029-80,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,87.3,51.51,10.62,78.57,23
CDM,70436-036-04,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",4.69,2.77,0.57,4.22,23
CDM,70436-041-01,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",1.95,1.15,0.24,1.76,23
CDM,70436-101-09,TETRABENAZINE 12.5 MG TABLET,9.83,5.8,1.2,8.85,23
CDM,70436-142-06,DROXIDOPA 300 MG CAPSULE,15.45,9.12,1.88,13.91,23
CDM,70436-147-80,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,179.69,106.02,21.86,161.72,23
CDM,70436-147-81,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,179.69,106.02,21.86,161.72,23
CDM,70436-183-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",0.28,0.17,0.03,0.25,23
CDM,70436-190-82,ESOMEPRAZOLE SODIUM 40 MG INTRAVENOUS SOLUTION,16.87,9.95,2.05,15.18,23
CDM,70461-024-03,FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE,356.46,210.31,43.36,320.81,23
CDM,70461-024-04,FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE,356.46,210.31,43.36,320.81,23
CDM,70461-554-10,FLU VACC TS 2024(6 MS UP) CELL DER. 45 MCG (15 MCG X 3)/0.5 ML IM SUSP,1577.2,930.55,191.86,1419.48,23
CDM,70461-654-03,FLU VAC TS 2024(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE,157.72,93.05,19.19,141.95,23
CDM,70461-654-04,FLU VAC TS 2024(6 MOS UP)C.DER.(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE,157.72,93.05,19.19,141.95,23
CDM,70510-2171-1,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,2715.0,1601.85,330.27,2443.5,23
CDM,70510-2171-2,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,2715.0,1601.85,330.27,2443.5,23
CDM,70512-014-30,LIDOCAINE 4 % TOPICAL PATCH,25.75,15.19,3.13,23.18,23
CDM,70512-812-01,LIDOCAINE 4 % TOPICAL PATCH,4.36,2.57,0.53,3.92,23
CDM,70512-812-30,LIDOCAINE 4 % TOPICAL PATCH,4.36,2.57,0.53,3.92,23
CDM,70512-840-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",12.53,7.39,1.52,11.28,23
CDM,70512-841-25,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,21.25,12.54,2.58,19.13,23
CDM,70512-841-26,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,21.25,12.54,2.58,19.13,23
CDM,70512-841-50,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,70512-841-60,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,30.0,17.7,3.65,27.0,23
CDM,70512-841-61,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,30.0,17.7,3.65,27.0,23
CDM,70512-843-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,7.29,4.3,0.89,6.56,23
CDM,70512-843-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,7.29,4.3,0.89,6.56,23
CDM,70515-002-02,ACLIDINIUM BROMIDE 400 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,1133.7,668.88,137.91,1020.33,23
CDM,70515-260-10,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,506.22,298.67,61.58,455.6,23
CDM,70515-262-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,467.14,275.61,56.83,420.43,23
CDM,70515-263-10,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,504.02,297.37,61.31,453.62,23
CDM,70515-701-01,CICLESONIDE 50 MCG NASAL SPRAY,1364.38,804.98,165.97,1227.94,23
CDM,70515-712-01,CICLESONIDE HFA 160 MCG/ACTUATION AEROSOL INHALER,1010.74,596.34,122.95,909.67,23
CDM,70594-023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,47.25,27.88,5.75,42.53,23
CDM,70594-023-04,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,47.23,27.87,5.75,42.51,23
CDM,70594-026-03,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",13.82,8.15,1.68,12.44,23
CDM,70594-026-04,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",13.82,8.15,1.68,12.44,23
CDM,70594-034-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,278.0,164.02,33.82,250.2,23
CDM,70594-053-01,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,184.3,108.74,22.42,165.87,23
CDM,70594-067-01,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,184.3,108.74,22.42,165.87,23
CDM,70594-069-02,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,36.85,21.74,4.48,33.17,23
CDM,70594-080-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,64.86,38.27,7.89,58.37,23
CDM,70594-080-02,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,64.86,38.27,7.89,58.37,23
CDM,70594-081-01,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,23.17,13.67,2.82,20.85,23
CDM,70594-081-02,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,23.17,13.67,2.82,20.85,23
CDM,70594-084-01,AMPICILLIN 250 MG SOLUTION FOR INJECTION,9.27,5.47,1.13,8.34,23
CDM,70594-084-02,AMPICILLIN 250 MG SOLUTION FOR INJECTION,9.27,5.47,1.13,8.34,23
CDM,70594-111-01,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,276.45,163.11,33.63,248.81,23
CDM,70594-111-02,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,276.45,163.11,33.63,248.81,23
CDM,70594-112-01,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,184.3,108.74,22.42,165.87,23
CDM,70594-112-02,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,184.3,108.74,22.42,165.87,23
CDM,70594-114-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,30.25,17.85,3.68,27.23,23
CDM,70594-114-02,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,30.25,17.85,3.68,27.23,23
CDM,70594-117-02,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,24.15,14.25,2.94,21.74,23
CDM,70677-0021-1,CAFFEINE 200 MG TABLET,0.32,0.19,0.04,0.29,23
CDM,70677-0054-1,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,15.0,8.85,1.82,13.5,23
CDM,70677-0068-1,DOXYLAMINE SUCCINATE 25 MG TABLET,0.49,0.29,0.06,0.44,23
CDM,70677-0163-2,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.05,0.03,0.01,0.05,23
CDM,70677-1004-1,CHLORPHENIRAMINE 2 MG-PHENYLEPHRINE 5 MG-ACETAMINOPHEN 325 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,70677-1037-1,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),7.95,4.69,0.97,7.16,23
CDM,70677-1040-1,OXYMETAZOLINE 0.05% INTRANASAL (WRAPPED E-RX),8.55,5.04,1.04,7.7,23
CDM,70677-1057-1,LORATADINE 5 MG/5 ML ORAL SOLUTION,22.8,13.45,2.77,20.52,23
CDM,70677-1074-2,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,16.56,9.77,2.01,14.9,23
CDM,70677-1097-1,SENNOSIDES 8.6 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,70677-1107-1,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,15.0,8.85,1.82,13.5,23
CDM,70677-1108-1,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,13.5,7.97,1.64,12.15,23
CDM,70677-1110-1,MINERAL OIL ORAL,23.65,13.95,2.88,21.29,23
CDM,70677-1111-1,MAGNESIUM CITRATE ORAL SOLUTION,8.88,5.24,1.08,7.99,23
CDM,70677-1112-1,MAGNESIUM CITRATE ORAL SOLUTION,8.88,5.24,1.08,7.99,23
CDM,70677-1129-1,DOXYLAMINE SUCCINATE 25 MG TABLET,0.54,0.32,0.07,0.49,23
CDM,70677-1138-5,ACETAMINOPHEN 500 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,70677-1150-3,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.06,0.04,0.01,0.05,23
CDM,70677-1152-2,PHENYLEPHRINE 10 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,70677-1153-1,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,70677-1154-1,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,70677-1166-1,NICOTINE (POLACRILEX) 2 MG GUM,1.06,0.63,0.13,0.95,23
CDM,70677-1188-1,LIDOCAINE 4 % TOPICAL PATCH,4.77,2.81,0.58,4.29,23
CDM,70677-1189-1,ASPIRIN IMMEDIATE RELEASE 325 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,70677-1190-1,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,70677-1193-1,NICOTINE (POLACRILEX) 4 MG GUM,0.72,0.42,0.09,0.65,23
CDM,70677-1210-1,MAGNESIUM SULFATE 495 MG/5 GRAM GRANULES,9.08,5.36,1.1,8.17,23
CDM,70677-1212-1,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",10.51,6.2,1.28,9.46,23
CDM,70677-1220-1,ETHYL ALCOHOL 70 % TOPICAL SOLUTION,118.25,69.77,14.38,106.43,23
CDM,70677-1235-2,WHITE PETROLATUM TOPICAL JELLY,14.72,8.68,1.79,13.25,23
CDM,70700-109-17,CLOBETASOL 0.05 % TOPICAL CREAM,205.5,121.25,25.0,184.95,23
CDM,70700-118-84,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,0.93,0.55,0.11,0.84,23
CDM,70700-118-85,LEVONORGESTREL-ETHINYL ESTRADIOL 0.1 MG-20 MCG TABLET,0.93,0.55,0.11,0.84,23
CDM,70700-162-01,PROGESTERONE MICRONIZED 100 MG CAPSULE,1.6,0.94,0.19,1.44,23
CDM,70700-163-01,PROGESTERONE MICRONIZED 200 MG CAPSULE,3.2,1.89,0.39,2.88,23
CDM,70700-166-22,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,14.98,8.84,1.82,13.48,23
CDM,70700-166-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,14.98,8.84,1.82,13.48,23
CDM,70700-169-22,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,24.15,14.25,2.94,21.74,23
CDM,70700-173-22,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,247.05,145.76,30.05,222.35,23
CDM,70700-186-22,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,25.2,14.87,3.07,22.68,23
CDM,70700-186-23,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,25.2,14.87,3.07,22.68,23
CDM,70700-187-22,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,50.4,29.74,6.13,45.36,23
CDM,70700-188-22,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,60.0,35.4,7.3,54.0,23
CDM,70700-189-22,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,215.5,127.15,26.21,193.95,23
CDM,70700-249-22,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,22.12,13.05,2.69,19.91,23
CDM,70700-263-30,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",1.38,0.81,0.17,1.24,23
CDM,70700-268-94,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,372.1,219.54,45.26,334.89,23
CDM,70700-268-99,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,372.1,219.54,45.26,334.89,23
CDM,70700-270-30,DEFERASIROX 180 MG TABLET,4.42,2.61,0.54,3.98,23
CDM,70700-271-30,DEFERASIROX 360 MG TABLET,8.87,5.23,1.08,7.98,23
CDM,70700-277-22,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,479.2,282.73,58.29,431.28,23
CDM,70700-289-22,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,41.15,24.28,5.01,37.04,23
CDM,70710-1110-1,CYPROHEPTADINE 4 MG TABLET,1.76,1.04,0.21,1.58,23
CDM,70710-1130-1,CHLORPROMAZINE 25 MG TABLET,4.62,2.73,0.56,4.16,23
CDM,70710-1157-3,LEFLUNOMIDE 10 MG TABLET,5.04,2.97,0.61,4.54,23
CDM,70710-1158-3,LEFLUNOMIDE 20 MG TABLET,5.04,2.97,0.61,4.54,23
CDM,70710-1159-3,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",43.0,25.37,5.23,38.7,23
CDM,70710-1160-3,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",48.27,28.48,5.87,43.44,23
CDM,70710-1161-1,MECLIZINE 12.5 MG TABLET,0.68,0.4,0.08,0.61,23
CDM,70710-1162-1,MECLIZINE 25 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,70710-1196-1,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,19.6,11.56,2.38,17.64,23
CDM,70710-1196-7,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,19.6,11.56,2.38,17.64,23
CDM,70710-1225-1,AMITRIPTYLINE 10 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,70710-1285-1,BACLOFEN 10 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,70710-1344-3,RAMELTEON 8 MG TABLET,7.21,4.25,0.88,6.49,23
CDM,70710-1359-1,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,83.7,49.38,10.18,75.33,23
CDM,70710-1359-6,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,83.7,49.38,10.18,75.33,23
CDM,70710-1377-1,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,44.2,26.08,5.38,39.78,23
CDM,70710-1377-2,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,44.2,26.08,5.38,39.78,23
CDM,70710-1389-9,DROXIDOPA 100 MG CAPSULE,6.59,3.89,0.8,5.93,23
CDM,70710-1390-9,DROXIDOPA 200 MG CAPSULE,13.18,7.78,1.6,11.86,23
CDM,70710-1391-9,DROXIDOPA 300 MG CAPSULE,19.77,11.66,2.4,17.79,23
CDM,70710-1411-1,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,590.85,348.6,71.87,531.77,23
CDM,70710-1457-1,AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION,65.03,38.37,7.91,58.53,23
CDM,70710-1458-2,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,65.03,38.37,7.91,58.53,23
CDM,70710-1460-2,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,64.95,38.32,7.9,58.46,23
CDM,70710-1463-1,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,118.0,69.62,14.35,106.2,23
CDM,70710-1478-1,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,6949.5,4100.21,845.37,6254.55,23
CDM,70710-1524-1,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1377.65,812.81,167.58,1239.89,23
CDM,70710-1525-9,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1377.65,812.81,167.58,1239.89,23
CDM,70710-1530-1,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",857.9,506.16,104.36,772.11,23
CDM,70710-1531-1,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1467.5,865.83,178.51,1320.75,23
CDM,70710-1591-1,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",3.17,1.87,0.39,2.85,23
CDM,70710-1642-6,LUBIPROSTONE 24 MCG CAPSULE,8.17,4.82,0.99,7.35,23
CDM,70710-1667-1,PROCHLORPERAZINE MALEATE 5 MG TABLET,160.5,94.7,19.52,144.45,23
CDM,70710-1726-1,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1212.25,715.23,147.46,1091.03,23
CDM,70710-1726-8,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1223.25,721.72,148.8,1100.93,23
CDM,70710-1852-6,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,978.33,577.21,119.01,880.5,23
CDM,70710-1852-7,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,978.33,577.21,119.01,880.5,23
CDM,70710-1886-1,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,66.8,39.41,8.13,60.12,23
CDM,70710-1886-6,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,66.8,39.41,8.13,60.12,23
CDM,70720-720-10,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,5566.8,3284.41,677.17,5010.12,23
CDM,70720-950-36,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4964.1,2928.82,603.86,4467.69,23
CDM,70720-951-30,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,13918.15,8211.71,1693.07,12526.34,23
CDM,70727-497-25,NETARSUDIL 0.02 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70727-497-99,NETARSUDIL 0.02 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70748-128-49,VARENICLINE TARTRATE 1 MG TABLET,6.79,4.01,0.83,6.11,23
CDM,70748-129-06,LEFLUNOMIDE 10 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,70748-130-06,LEFLUNOMIDE 20 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,70748-258-07,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",30.01,17.71,3.65,27.01,23
CDM,70748-299-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,38.1,22.48,4.63,34.29,23
CDM,70748-323-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,7.66,4.52,0.93,6.89,23
CDM,70748-332-02,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,70752-102-12,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,99.33,58.6,12.08,89.4,23
CDM,70752-104-06,CETIRIZINE 1 MG/ML ORAL SOLUTION,18.29,10.79,2.22,16.46,23
CDM,70752-104-06,CETIRIZINE 1MG/ML ORAL SOLUTION (WRAPPED E-RX),18.29,10.79,2.22,16.46,23
CDM,70752-113-03,LIDOCAINE 5 % TOPICAL OINTMENT,46.96,27.71,5.71,42.26,23
CDM,70752-171-10,PROPYLTHIOURACIL 50 MG TABLET,2.54,1.5,0.31,2.29,23
CDM,70752-180-06,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,48.38,28.54,5.89,43.54,23
CDM,70752-180-12,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,111.16,65.58,13.52,100.04,23
CDM,70756-001-11,HALOPERIDOL 0.5 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,70756-004-11,HALOPERIDOL 5 MG TABLET,0.4,0.24,0.05,0.36,23
CDM,70756-014-05,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,1.33,0.78,0.16,1.2,23
CDM,70756-085-11,BACLOFEN 5 MG TABLET,1.4,0.83,0.17,1.26,23
CDM,70756-201-11,AMITRIPTYLINE 10 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,70756-202-11,AMITRIPTYLINE 25 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,70756-203-11,AMITRIPTYLINE 50 MG TABLET,0.86,0.51,0.1,0.77,23
CDM,70756-312-30,TELMISARTAN 20 MG TABLET,0.78,0.46,0.09,0.7,23
CDM,70756-404-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,1.65,0.97,0.2,1.49,23
CDM,70756-405-11,CLOMIPRAMINE 25 MG CAPSULE,2.09,1.23,0.25,1.88,23
CDM,70756-410-11,NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE,8.2,4.84,1.0,7.38,23
CDM,70756-440-11,PRAZOSIN 5 MG CAPSULE,1.07,0.63,0.13,0.96,23
CDM,70756-607-30,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70756-609-15,OFLOXACIN 0.3 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,70756-614-30,PHENYLEPHRINE 10 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70756-615-81,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,55.3,32.63,6.73,49.77,23
CDM,70756-616-10,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,37.78,22.29,4.6,34.0,23
CDM,70756-616-81,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,36.65,21.62,4.46,32.99,23
CDM,70756-621-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,7.0,4.13,0.85,6.3,23
CDM,70756-621-82,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,7.0,4.13,0.85,6.3,23
CDM,70756-622-85,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,18.58,10.96,2.26,16.72,23
CDM,70756-629-25,PHENYLEPHRINE 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70756-640-82,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,5.37,3.17,0.65,4.83,23
CDM,70756-644-25,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,4.79,2.83,0.58,4.31,23
CDM,70756-644-82,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,4.79,2.83,0.58,4.31,23
CDM,70756-645-86,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,7.2,4.25,0.88,6.48,23
CDM,70756-649-35,PHENYLEPHRINE 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70756-652-25,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,70756-702-30,ALOSETRON 0.5 MG TABLET,23.81,14.05,2.9,21.43,23
CDM,70756-703-60,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",1.17,0.69,0.14,1.05,23
CDM,70756-721-11,ACETAZOLAMIDE IMMEDIATE RELEASE 250 MG TABLET,1.62,0.96,0.2,1.46,23
CDM,70839-150-30,ALISKIREN 150 MG TABLET,37.8,22.3,4.6,34.02,23
CDM,70839-362-04,COCAINE 4 % NASAL SOLUTION,1362.1,803.64,165.69,1225.89,23
CDM,70842-120-06,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,895.7,528.46,108.96,806.13,23
CDM,70842-140-01,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,5337.69,3149.24,649.3,4803.92,23
CDM,70842-140-03,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,5337.69,3149.24,649.3,4803.92,23
CDM,70842-160-01,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1154.18,680.97,140.4,1038.76,23
CDM,70842-160-10,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1154.18,680.97,140.4,1038.76,23
CDM,70842-225-01,"ORITAVANCIN 1,200 MG INTRAVENOUS SOLUTION",24557.4,14488.87,2987.28,22101.66,23
CDM,70860-100-10,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,13.46,7.94,1.64,12.11,23
CDM,70860-100-41,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,13.46,7.94,1.64,12.11,23
CDM,70860-103-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",41.7,24.6,5.07,37.53,23
CDM,70860-103-41,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",41.7,24.6,5.07,37.53,23
CDM,70860-104-10,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,12.28,7.25,1.49,11.05,23
CDM,70860-104-41,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,12.28,7.25,1.49,11.05,23
CDM,70860-105-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",12.74,7.52,1.55,11.47,23
CDM,70860-105-41,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",12.74,7.52,1.55,11.47,23
CDM,70860-115-26,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,22.67,13.38,2.76,20.4,23
CDM,70860-120-20,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,9.87,5.82,1.2,8.88,23
CDM,70860-120-41,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,9.87,5.82,1.2,8.88,23
CDM,70860-122-41,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.8,29.97,6.18,45.72,23
CDM,70860-122-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.8,29.97,6.18,45.72,23
CDM,70860-125-41,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,13.46,7.94,1.64,12.11,23
CDM,70860-125-66,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,13.46,7.94,1.64,12.11,23
CDM,70860-126-20,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,19.81,11.69,2.41,17.83,23
CDM,70860-126-41,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,19.81,11.69,2.41,17.83,23
CDM,70860-127-51,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,103.9,61.3,12.64,93.51,23
CDM,70860-200-05,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",34.55,20.38,4.2,31.1,23
CDM,70860-200-17,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",115.23,67.99,14.02,103.71,23
CDM,70860-200-50,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",230.5,136.0,28.04,207.45,23
CDM,70860-210-51,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,42.5,25.08,5.17,38.25,23
CDM,70860-211-41,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,257.9,152.16,31.37,232.11,23
CDM,70860-211-74,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,257.9,152.16,31.37,232.11,23
CDM,70860-215-66,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",37.05,21.86,4.51,33.35,23
CDM,70860-215-67,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",78.75,46.46,9.58,70.88,23
CDM,70860-215-68,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",176.0,103.84,21.41,158.4,23
CDM,70860-216-10,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,1551.2,915.21,188.7,1396.08,23
CDM,70860-216-41,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,1551.2,915.21,188.7,1396.08,23
CDM,70860-217-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,347.85,205.23,42.31,313.07,23
CDM,70860-225-10,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,161.05,95.02,19.59,144.95,23
CDM,70860-300-05,METOPROLOL TARTRATE 5 MG/5 ML IV,2.78,1.64,0.34,2.5,23
CDM,70860-300-41,METOPROLOL TARTRATE 5 MG/5 ML IV,2.78,1.64,0.34,2.5,23
CDM,70860-301-05,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,8.98,5.3,1.09,8.08,23
CDM,70860-301-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,17.95,10.59,2.18,16.16,23
CDM,70860-301-25,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,27.88,16.45,3.39,25.09,23
CDM,70860-301-41,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,8.98,5.3,1.09,8.08,23
CDM,70860-301-42,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,12.15,7.17,1.48,10.94,23
CDM,70860-301-43,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,27.88,16.45,3.39,25.09,23
CDM,70860-400-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",15.2,8.97,1.85,13.68,23
CDM,70860-400-41,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",15.2,8.97,1.85,13.68,23
CDM,70860-451-10,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,262.4,154.82,31.92,236.16,23
CDM,70860-454-01,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,135.23,79.79,16.45,121.71,23
CDM,70860-454-41,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,135.23,79.79,16.45,121.71,23
CDM,70860-600-02,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,1.43,0.84,0.17,1.29,23
CDM,70860-600-41,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,1.43,0.84,0.17,1.29,23
CDM,70860-601-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,8.35,4.93,1.02,7.52,23
CDM,70860-700-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,7.92,4.67,0.96,7.13,23
CDM,70860-701-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,8.37,4.94,1.02,7.53,23
CDM,70860-701-03,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,8.75,5.16,1.06,7.88,23
CDM,70860-701-04,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,7.0,4.13,0.85,6.3,23
CDM,70860-701-41,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,8.75,5.16,1.06,7.88,23
CDM,70860-701-42,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,7.0,4.13,0.85,6.3,23
CDM,70860-751-02,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,3.18,1.88,0.39,2.86,23
CDM,70860-751-41,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,3.18,1.88,0.39,2.86,23
CDM,70860-776-02,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,2.12,1.25,0.26,1.91,23
CDM,70860-776-41,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,2.12,1.25,0.26,1.91,23
CDM,70860-781-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,2.86,1.69,0.35,2.57,23
CDM,70860-781-41,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,2.86,1.69,0.35,2.57,23
CDM,70860-781-42,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,7.1,4.19,0.86,6.39,23
CDM,70860-784-41,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,9.83,5.8,1.2,8.85,23
CDM,70860-801-01,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,4.38,2.58,0.53,3.94,23
CDM,70954-005-10,OXYBUTYNIN CHLORIDE IMMEDIATE RELEASE 5 MG TABLET,0.35,0.21,0.04,0.32,23
CDM,70954-014-10,THIOTHIXENE 1 MG CAPSULE,4.38,2.58,0.53,3.94,23
CDM,70954-015-10,THIOTHIXENE 2 MG CAPSULE,5.79,3.42,0.7,5.21,23
CDM,70954-016-10,THIOTHIXENE 5 MG CAPSULE,8.78,5.18,1.07,7.9,23
CDM,70954-017-10,THIOTHIXENE 10 MG CAPSULE,12.38,7.3,1.51,11.14,23
CDM,70954-019-10,PRAZOSIN 1 MG CAPSULE,0.57,0.34,0.07,0.51,23
CDM,70954-019-50,PRAZOSIN 1 MG CAPSULE,1.0,0.59,0.12,0.9,23
CDM,70954-020-10,PRAZOSIN 2 MG CAPSULE,0.77,0.45,0.09,0.69,23
CDM,70954-021-10,PRAZOSIN 5 MG CAPSULE,1.09,0.64,0.13,0.98,23
CDM,70954-036-20,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,138.3,81.6,16.82,124.47,23
CDM,70954-041-10,RIFABUTIN 150 MG CAPSULE,50.39,29.73,6.13,45.35,23
CDM,70954-051-10,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,417.12,246.1,50.74,375.41,23
CDM,70954-059-10,PREDNISONE 10 MG TABLET,0.37,0.22,0.05,0.33,23
CDM,70954-135-10,DAPSONE 25 MG TABLET,3.94,2.32,0.48,3.55,23
CDM,70954-135-20,DAPSONE 25 MG TABLET,3.52,2.08,0.43,3.17,23
CDM,70954-136-10,DAPSONE 100 MG TABLET,4.84,2.86,0.59,4.36,23
CDM,70954-139-10,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,159.89,94.34,19.45,143.9,23
CDM,70954-140-10,LEVOCARNITINE 100 MG/ML ORAL SOLUTION,125.67,74.15,15.29,113.1,23
CDM,70954-159-10,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,5.02,2.96,0.61,4.52,23
CDM,70954-159-30,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,5.79,3.42,0.7,5.21,23
CDM,70954-188-05,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,4.28,2.53,0.52,3.85,23
CDM,70954-201-10,DIGOXIN 125 MCG (0.125 MG) TABLET,1.37,0.81,0.17,1.23,23
CDM,70954-211-10,TRIHEXYPHENIDYL 5 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,70954-212-10,TRIHEXYPHENIDYL 2 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,70954-240-10,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,227.25,134.08,27.64,204.53,23
CDM,70954-273-10,FLUPHENAZINE 1 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,70954-274-10,FLUPHENAZINE 2.5 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,70954-275-10,FLUPHENAZINE 5 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,70954-276-10,FLUPHENAZINE 10 MG TABLET,2.77,1.63,0.34,2.49,23
CDM,70954-316-10,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,144.5,85.26,17.58,130.05,23
CDM,70954-401-10,DEXAMETHASONE 1.5 MG TABLET,1.51,0.89,0.18,1.36,23
CDM,70954-403-10,DEXAMETHASONE 4 MG TABLET,3.81,2.25,0.46,3.43,23
CDM,70954-444-10,MISOPROSTOL 200 MCG TABLET,3.35,1.98,0.41,3.02,23
CDM,70954-444-20,MISOPROSTOL 200 MCG TABLET,3.01,1.78,0.37,2.71,23
CDM,70954-484-10,PYRAZINAMIDE 500 MG TABLET,18.19,10.73,2.21,16.37,23
CDM,70954-488-10,LACOSAMIDE 10 MG/ML ORAL SOLUTION,413.0,243.67,50.24,371.7,23
CDM,70954-492-10,LEVOCARNITINE 330 MG TABLET,3.51,2.07,0.43,3.16,23
CDM,70954-504-10,SELEGILINE 5 MG CAPSULE,5.01,2.96,0.61,4.51,23
CDM,70954-518-10,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,106.25,62.69,12.92,95.63,23
CDM,70954-538-10,TRANYLCYPROMINE 10 MG TABLET,4.93,2.91,0.6,4.44,23
CDM,70954-541-10,TRIMETHOPRIM 100 MG TABLET,8.59,5.07,1.04,7.73,23
CDM,70954-597-10,PRUCALOPRIDE 2 MG TABLET,62.48,36.86,7.6,56.23,23
CDM,70954-662-10,KETOCONAZOLE 2 % SHAMPOO,52.25,30.83,6.36,47.03,23
CDM,70954-689-10,PROCHLORPERAZINE MALEATE 10 MG TABLET,2.4,1.42,0.29,2.16,23
CDM,71093-111-04,GABAPENTIN 600 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,71093-112-04,GABAPENTIN 800 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,71093-121-05,GABAPENTIN 300 MG CAPSULE,0.32,0.19,0.04,0.29,23
CDM,71093-122-04,GABAPENTIN 400 MG CAPSULE,0.42,0.25,0.05,0.38,23
CDM,71093-143-11,SERTRALINE 20 MG/ML ORAL CONCENTRATE,231.6,136.64,28.17,208.44,23
CDM,71104-978-01,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 250 (+/-) UNIT IV SOLUTION",6425.0,3790.75,781.57,5782.5,23
CDM,71104-979-01,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 500 (+/-) UNIT IV SOLUTION",12850.0,7581.5,1563.14,11565.0,23
CDM,71104-981-01,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 1,000 (+/-) UNIT IV SOLUTION",25700.0,15163.0,3126.27,23130.0,23
CDM,71104-982-01,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 2,000 (+/-) UNIT IV SOLUTION",51400.0,30326.0,6252.54,46260.0,23
CDM,71104-983-01,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 3,000 (+/-) UNIT IV SOLUTION",77100.0,45489.0,9378.81,69390.0,23
CDM,71104-984-01,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 4,000 (+/-) UNIT IV SOLUTION",102800.0,60652.0,12505.08,92520.0,23
CDM,71104-985-08,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 250 (+/-) UNIT IV SOLUTION",6425.0,3790.75,781.57,5782.5,23
CDM,71104-986-08,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 500 (+/-) UNIT IV SOLUTION",12850.0,7581.5,1563.14,11565.0,23
CDM,71104-988-08,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 1,000 (+/-) UNIT IV SOLUTION",25700.0,15163.0,3126.27,23130.0,23
CDM,71104-989-08,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 2,000 (+/-) UNIT IV SOLUTION",51400.0,30326.0,6252.54,46260.0,23
CDM,71104-990-08,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 3,000 (+/-) UNIT IV SOLUTION",77100.0,45489.0,9378.81,69390.0,23
CDM,71104-991-08,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 4,000 (+/-) UNIT IV SOLUTION",102800.0,60652.0,12505.08,92520.0,23
CDM,71127-1000-1,"COAGULATION FACTOR VIIA RECOMBINANT-JNCW 1 MG (1,000 MCG) IV SOLUTION",9513.5,5612.97,1157.27,8562.15,23
CDM,71127-1100-1,"COAGULATION FACTOR VIIA RECOMBINANT-JNCW 1 MG (1,000 MCG) IV SOLUTION",9513.5,5612.97,1157.27,8562.15,23
CDM,71127-5000-1,"COAGULATION FACTOR VIIA RECOMBINANT-JNCW 5 MG (5,000 MCG) IV SOLUTION",47567.6,28064.88,5786.35,42810.84,23
CDM,71127-5100-1,"COAGULATION FACTOR VIIA RECOMBINANT-JNCW 5 MG (5,000 MCG) IV SOLUTION",47567.6,28064.88,5786.35,42810.84,23
CDM,71205-871-00,PREGABALIN 75 MG CAPSULE,0.8,0.47,0.1,0.72,23
CDM,71205-891-90,PHENOBARBITAL 32.4 MG TABLET,1.22,0.72,0.15,1.1,23
CDM,71205-909-00,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,71205-909-30,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,71205-909-60,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,71205-909-90,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,0.81,0.48,0.1,0.73,23
CDM,71205-932-60,GABAPENTIN 800 MG TABLET,0.96,0.57,0.12,0.86,23
CDM,71205-949-30,FENOFIBRATE 160 MG TABLET,1.1,0.65,0.13,0.99,23
CDM,71205-975-30,FLUOXETINE 20 MG CAPSULE,0.41,0.24,0.05,0.37,23
CDM,71205-981-00,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,71205-981-30,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,1.45,0.86,0.18,1.31,23
CDM,71205-998-10,PHENAZOPYRIDINE 100 MG TABLET,3.35,1.98,0.41,3.02,23
CDM,71247-126-01,LABETALOL 100 MG TABLET,1.9,1.12,0.23,1.71,23
CDM,71247-127-01,LABETALOL 200 MG TABLET,2.7,1.59,0.33,2.43,23
CDM,71247-130-01,LABETALOL 300 MG TABLET,3.59,2.12,0.44,3.23,23
CDM,71266-5000-1,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,77.5,45.73,9.43,69.75,23
CDM,71266-5103-1,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,77.4,45.67,9.42,69.66,23
CDM,71266-6519-1,PHENOL 6 % INJECTION SOLUTION,203.5,120.07,24.75,183.15,23
CDM,71266-8020-1,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION,1475.0,870.25,179.43,1327.5,23
CDM,71266-8211-5,CYCLOPENTOLATE 1 %-TROPICAM 1 %-PHENYLEPHRINE 2.5 % IN WATER EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,71266-8310-1,PHENYLEPHRINE 2.5 %-TROPICAMIDE 1 % IN STERILE WATER EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,7126975010,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE",0.77,0.45,0.09,0.69,23
CDM,71285-0111-1,CARDIOPLEGIC SOLN #17(INDUCT 4:1) 50 MEQ/500 ML (POTASSIUM) PERFUSION,532.5,314.18,64.78,479.25,23
CDM,71285-0112-1,CARDIOPLEGIC SOLUTION NO.19 (MAINT 4:1) 40MEQ/L (POTASSIUM) PERFUSION,710.0,418.9,86.37,639.0,23
CDM,71285-0202-1,"CARDIOPLEGIC SOLUTION NO.16 26 MEQ/1,052.8 ML(POTASSIUM) FOR PERFUSION",368.48,217.4,44.82,331.63,23
CDM,71285-0205-1,CARDIOPLEGIC SOLN 29 (MAINT 4:1) 12 MEQ/504.8 ML (POTASSIUM) PERFUSION,302.88,178.7,36.84,272.59,23
CDM,71285-0206-1,CARDIOPLEG SOL 27 (INDUCTION 4:1) 48 MEQ/522.8 ML (POTASSIUM)PERFUSION,313.68,185.07,38.16,282.31,23
CDM,71285-0416-1,TPN NEONATAL STARTER BAG INFUSION PREMIX (GH-NEW),250.0,147.5,30.41,225.0,23
CDM,71285-0422-1,AMINO ACID 4 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,268.55,158.44,32.67,241.7,23
CDM,71285-6017-1,CALCIUM GLUCONATE 1 GRAM/60 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,41.7,24.6,5.07,37.53,23
CDM,71285-6038-1,"OXYTOCIN IN LACTATED RINGERS 20 UNIT/1,000 ML INTRAVENOUS SOLUTION",50.0,29.5,6.08,45.0,23
CDM,71285-6039-1,OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION,67.5,39.83,8.21,60.75,23
CDM,71285-6055-1,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",101.25,59.74,12.32,91.13,23
CDM,71285-6056-1,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,100.0,59.0,12.16,90.0,23
CDM,71285-6071-1,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,50.0,29.5,6.08,45.0,23
CDM,71285-6074-1,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,68.75,40.56,8.36,61.88,23
CDM,71285-6092-1,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,128.75,75.96,15.66,115.88,23
CDM,71285-7018-1,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,107.5,63.43,13.08,96.75,23
CDM,71285-8000-1,"HEPARIN(PORCINE) 2,500 UNIT/250 ML(10 UNIT/ML)-0.9 % SOD CHLOR IV SOLN",62.5,36.88,7.6,56.25,23
CDM,71285-8095-1,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV,218.75,129.06,26.61,196.88,23
CDM,71286-2003-4,FENTANYL (PF) 50 MCG/ML INTRAVENOUS SOLUTION,109.5,64.61,13.32,98.55,23
CDM,71286-2010-3,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,71.75,42.33,8.73,64.58,23
CDM,71286-2040-5,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,51.5,30.39,6.26,46.35,23
CDM,71286-2040-6,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,57.5,33.93,6.99,51.75,23
CDM,71286-2071-5,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,166.25,98.09,20.22,149.63,23
CDM,71286-2082-1,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,106.0,62.54,12.89,95.4,23
CDM,71286-4035-3,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,45.0,26.55,5.47,40.5,23
CDM,71286-6003-1,EPHEDRINE 25 MG/5 ML IN 0.9% SODIUM CHLORIDE (WRAPPED ERX),106.75,62.98,12.99,96.08,23
CDM,71286-6009-1,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,32.0,18.88,3.89,28.8,23
CDM,71286-6010-1,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,38.5,22.72,4.68,34.65,23
CDM,71286-6011-1,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,87.5,51.63,10.64,78.75,23
CDM,71287-119-01,AXICABTAGENE CILOLEUCEL (YESCARTA) INFUSION - FL AND LBCL,2120000.0,1250800.0,257886.88,1908000.0,23
CDM,71287-119-02,AXICABTAGENE CILOLEUCEL (YESCARTA) INFUSION - FL AND LBCL,2120000.0,1250800.0,257886.88,1908000.0,23
CDM,71287-219-01,BREXUCABTAGENE AUTOLEUCEL (TECARTUS) INFUSION - MCL,2310000.0,1362900.0,280999.38,2079000.0,23
CDM,71287-219-02,BREXUCABTAGENE AUTOLEUCEL (TECARTUS) INFUSION - MCL,2120000.0,1250800.0,257886.88,1908000.0,23
CDM,71287-220-01,BREXUCABTAGENE AUTOLEUCEL (TECARTUS) INFUSION - B-ALL,2310000.0,1362900.0,280999.38,2079000.0,23
CDM,71287-220-02,BREXUCABTAGENE AUTOLEUCEL (TECARTUS) INFUSION - B-ALL,2120000.0,1250800.0,257886.88,1908000.0,23
CDM,71288-016-15,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,71.5,42.19,8.7,64.35,23
CDM,71288-016-95,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,73.7,43.48,8.97,66.33,23
CDM,71288-017-15,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,115.2,67.97,14.01,103.68,23
CDM,71288-019-10,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,126.71,74.76,15.41,114.04,23
CDM,71288-019-11,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,126.71,74.76,15.41,114.04,23
CDM,71288-026-75,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,979.1,577.67,119.1,881.19,23
CDM,71288-031-20,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,10.05,5.93,1.22,9.05,23
CDM,71288-031-21,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,10.05,5.93,1.22,9.05,23
CDM,71288-031-91,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,10.37,6.12,1.26,9.33,23
CDM,71288-032-20,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.5,9.74,2.01,14.85,23
CDM,71288-032-21,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.5,9.74,2.01,14.85,23
CDM,71288-101-10,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,69.5,41.01,8.45,62.55,23
CDM,71288-106-10,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,92.75,54.72,11.28,83.48,23
CDM,71288-107-20,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,186.5,110.04,22.69,167.85,23
CDM,71288-109-20,CYTARABINE (PF) 100 MG/ML INJECTION,84.4,49.8,10.27,75.96,23
CDM,71288-111-10,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,926.6,546.69,112.72,833.94,23
CDM,71288-113-10,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,19.2,11.33,2.34,17.28,23
CDM,71288-114-50,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,70.8,41.77,8.61,63.72,23
CDM,71288-115-30,AZACITIDINE 100 MG SOLUTION FOR INJECTION,134.1,79.12,16.31,120.69,23
CDM,71288-116-10,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,150.2,88.62,18.27,135.18,23
CDM,71288-116-11,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,150.2,88.62,18.27,135.18,23
CDM,71288-117-28,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,51.42,30.34,6.25,46.28,23
CDM,71288-117-54,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,102.57,60.52,12.48,92.31,23
CDM,71288-118-10,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,193.5,114.17,23.54,174.15,23
CDM,71288-119-20,DECITABINE 50 MG INTRAVENOUS SOLUTION,460.75,271.84,56.05,414.68,23
CDM,71288-124-30,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,3225.25,1902.9,392.33,2902.73,23
CDM,71288-126-90,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,3225.25,1902.9,392.33,2902.73,23
CDM,71288-128-20,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,635.2,374.77,77.27,571.68,23
CDM,71288-129-02,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,2303.75,1359.21,280.24,2073.38,23
CDM,71288-137-20,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,691.15,407.78,84.07,622.04,23
CDM,71288-138-50,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,2073.4,1223.31,252.22,1866.06,23
CDM,71288-139-51,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,2764.5,1631.06,336.29,2488.05,23
CDM,71288-144-08,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,737.2,434.95,89.68,663.48,23
CDM,71288-153-95,AZACITIDINE 100 MG SOLUTION FOR INJECTION,138.25,81.57,16.82,124.43,23
CDM,71288-155-01,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,2303.75,1359.21,280.24,2073.38,23
CDM,71288-157-10,THIOTEPA 100 MG SOLUTION FOR INJECTION,10827.65,6388.31,1317.13,9744.89,23
CDM,71288-161-20,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,73.7,43.48,8.97,66.33,23
CDM,71288-162-30,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,110.6,65.25,13.45,99.54,23
CDM,71288-163-30,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,119.8,70.68,14.57,107.82,23
CDM,71288-164-50,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,397.1,234.29,48.31,357.39,23
CDM,71288-165-52,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1228.75,724.96,149.47,1105.88,23
CDM,71288-166-10,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,52.45,30.95,6.38,47.21,23
CDM,71288-166-91,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,54.05,31.89,6.57,48.65,23
CDM,71288-167-50,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,226.15,133.43,27.51,203.54,23
CDM,71288-167-95,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,233.15,137.56,28.36,209.84,23
CDM,71288-174-20,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,46.08,27.19,5.61,41.47,23
CDM,71288-174-21,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,46.08,27.19,5.61,41.47,23
CDM,71288-201-85,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,58.1,34.28,7.07,52.29,23
CDM,71288-303-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",4.38,2.58,0.53,3.94,23
CDM,71288-303-02,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",4.38,2.58,0.53,3.94,23
CDM,71288-303-91,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",4.47,2.64,0.54,4.02,23
CDM,71288-400-02,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",43.77,25.82,5.32,39.39,23
CDM,71288-400-03,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",43.77,25.82,5.32,39.39,23
CDM,71288-402-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",8.3,4.9,1.01,7.47,23
CDM,71288-402-02,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",8.3,4.9,1.01,7.47,23
CDM,71288-402-10,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",18.25,10.77,2.22,16.43,23
CDM,71288-402-11,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",18.25,10.77,2.22,16.43,23
CDM,71288-403-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",8.76,5.17,1.07,7.88,23
CDM,71288-403-02,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",8.76,5.17,1.07,7.88,23
CDM,71288-403-10,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",54.9,32.39,6.68,49.41,23
CDM,71288-403-11,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",54.9,32.39,6.68,49.41,23
CDM,71288-409-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,41.45,24.46,5.04,37.31,23
CDM,71288-414-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,11.58,6.83,1.41,10.42,23
CDM,71288-420-95,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",14.2,8.38,1.73,12.78,23
CDM,71288-427-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,175.09,103.3,21.3,157.58,23
CDM,71288-427-11,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,175.09,103.3,21.3,157.58,23
CDM,71288-432-80,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,12.77,7.53,1.55,11.49,23
CDM,71288-433-82,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,16.96,10.01,2.06,15.26,23
CDM,71288-434-84,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.75,14.6,3.01,22.28,23
CDM,71288-435-86,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,34.1,20.12,4.15,30.69,23
CDM,71288-500-11,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,36.85,21.74,4.48,33.17,23
CDM,71288-502-01,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,31.7,18.7,3.86,28.53,23
CDM,71288-502-02,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,31.7,18.7,3.86,28.53,23
CDM,71288-503-01,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,33.55,19.79,4.08,30.2,23
CDM,71288-503-02,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,33.55,19.79,4.08,30.2,23
CDM,71288-505-02,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,24.88,14.68,3.03,22.39,23
CDM,71288-505-03,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,24.88,14.68,3.03,22.39,23
CDM,71288-555-85,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,426.2,251.46,51.84,383.58,23
CDM,71288-555-86,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,426.2,251.46,51.84,383.58,23
CDM,71288-600-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,13.69,8.08,1.67,12.32,23
CDM,71288-600-11,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,13.69,8.08,1.67,12.32,23
CDM,71288-700-05,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,18.43,10.87,2.24,16.59,23
CDM,71288-702-10,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,21.35,12.6,2.6,19.22,23
CDM,71288-702-11,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,21.35,12.6,2.6,19.22,23
CDM,71288-712-06,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,14.23,8.4,1.73,12.81,23
CDM,71288-716-10,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,25.8,15.22,3.14,23.22,23
CDM,71288-716-11,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,25.8,15.22,3.14,23.22,23
CDM,71288-718-10,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,36.85,21.74,4.48,33.17,23
CDM,71288-719-10,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,16.25,9.59,1.98,14.63,23
CDM,71288-719-11,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,16.25,9.59,1.98,14.63,23
CDM,71288-727-11,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,18.45,10.89,2.24,16.61,23
CDM,71288-803-20,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,81.0,47.79,9.85,72.9,23
CDM,71288-803-21,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,81.0,47.79,9.85,72.9,23
CDM,71288-808-75,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.08,27.19,5.61,41.47,23
CDM,71288-808-76,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.08,27.19,5.61,41.47,23
CDM,71297-240-35,AMOXICILLIN 125 MG-POTASSIUM CLAVULANATE 31.25 MG/5 ML ORAL SUSP,2783.0,1641.97,338.54,2504.7,23
CDM,7132180010,"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE",0.83,0.49,0.1,0.75,23
CDM,7132180230,"VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROPS",109.8,64.78,13.36,98.82,23
CDM,71335-0082-5,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,0.73,0.43,0.09,0.66,23
CDM,71336-1000-1,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION,48313.45,28504.94,5877.08,43482.11,23
CDM,71336-1001-1,GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION,213080.0,125717.2,25920.06,191772.0,23
CDM,71336-1003-1,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,298377.5,176042.73,36296.06,268539.75,23
CDM,71351-022-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,23.03,13.59,2.8,20.73,23
CDM,7135101101,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,1.56,0.92,0.19,1.4,23
CDM,71357-008-01,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,78.5,46.32,9.55,70.65,23
CDM,71369-020-10,AVATROMBOPAG 20 MG TABLET,2032.33,1199.07,247.22,1829.1,23
CDM,71369-020-15,AVATROMBOPAG 20 MG TABLET,2032.33,1199.07,247.22,1829.1,23
CDM,71369-020-30,AVATROMBOPAG 20 MG TABLET,2032.33,1199.07,247.22,1829.1,23
CDM,71399-0051-1,MAGNESIUM CITRATE ORAL SOLUTION,13.32,7.86,1.62,11.99,23
CDM,71399-0053-1,MAGNESIUM CITRATE ORAL SOLUTION,13.32,7.86,1.62,11.99,23
CDM,71399-0120-1,HYDROCORTISONE 1 % LOTION,26.4,15.58,3.21,23.76,23
CDM,71399-0122-4,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,15.26,9.0,1.86,13.73,23
CDM,71399-0125-4,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,11.8,6.96,1.44,10.62,23
CDM,71399-0160-6,ACETAMINOPHEN 160 MG/5 ML ORAL ELIXIR,21.29,12.56,2.59,19.16,23
CDM,71399-0500-3,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,58.95,34.78,7.17,53.06,23
CDM,71399-1027-1,DIPHENHYDRAMINE 25 MG CAPSULE,0.1,0.06,0.01,0.09,23
CDM,71399-2829-1,DIBUCAINE 1 % TOPICAL OINTMENT,14.7,8.67,1.79,13.23,23
CDM,71399-2829-2,DIBUCAINE 1 % RECTAL OINTMENT,17.92,10.57,2.18,16.13,23
CDM,71399-5101-1,WHITE PETROLATUM 42 % TOPICAL OINTMENT,47.67,28.13,5.8,42.9,23
CDM,71399-7480-01,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.27,0.16,0.03,0.24,23
CDM,71399-7889-1,MAGNESIUM CITRATE ORAL SOLUTION,13.32,7.86,1.62,11.99,23
CDM,7139974015,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,12.0,7.08,1.46,10.8,23
CDM,7139974405,PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10 MCG-5 MG/ML ORAL DROPS,6.25,3.69,0.76,5.63,23
CDM,7139974805,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,13.25,7.82,1.61,11.93,23
CDM,71506-028-59,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,77.5,45.73,9.43,69.75,23
CDM,71656-021-15,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,27.53,16.24,3.35,24.78,23
CDM,71656-021-50,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,27.53,16.24,3.35,24.78,23
CDM,71699-050-30,CENOBAMATE 50 MG TABLET,181.23,106.93,22.05,163.11,23
CDM,71699-100-30,CENOBAMATE 100 MG TABLET,181.23,106.93,22.05,163.11,23
CDM,71699-200-30,CENOBAMATE 200 MG TABLET,181.23,106.93,22.05,163.11,23
CDM,71715-001-02,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,2042.55,1205.1,248.47,1838.3,23
CDM,71740-112-30,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,1992.15,1175.37,242.33,1792.94,23
CDM,71776-005-15,"NATAMYCIN 5 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,71776-100-05,"FLUOROMETHOLONE ACETATE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,71837-5843-1,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1465.34,864.55,178.25,1318.81,23
CDM,71837-5843-5,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1465.34,864.55,178.25,1318.81,23
CDM,71839-104-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,101.35,59.8,12.33,91.22,23
CDM,71839-107-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,105.95,62.51,12.89,95.36,23
CDM,71839-108-01,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,87.55,51.65,10.65,78.8,23
CDM,71839-111-10,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,31.8,18.76,3.87,28.62,23
CDM,71839-113-10,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,47.46,28.0,5.77,42.71,23
CDM,71839-124-01,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,18.43,10.87,2.24,16.59,23
CDM,71839-124-25,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,18.43,10.87,2.24,16.59,23
CDM,71858-0020-4,LEVOTHYROXINE 75 MCG CAPSULE,19.44,11.47,2.36,17.5,23
CDM,71858-0030-4,LEVOTHYROXINE 100 MCG CAPSULE,19.44,11.47,2.36,17.5,23
CDM,71858-0035-4,LEVOTHYROXINE 112 MCG CAPSULE,19.44,11.47,2.36,17.5,23
CDM,71858-0040-4,LEVOTHYROXINE 125 MCG CAPSULE,19.44,11.47,2.36,17.5,23
CDM,71858-0050-4,LEVOTHYROXINE 150 MCG CAPSULE,19.44,11.47,2.36,17.5,23
CDM,71858-0105-4,LEVOTHYROXINE 13 MCG/ML ORAL SOLUTION,19.44,11.47,2.36,17.5,23
CDM,71858-0105-5,LEVOTHYROXINE 13 MCG/ML ORAL SOLUTION,19.44,11.47,2.36,17.5,23
CDM,71858-0115-4,LEVOTHYROXINE 50 MCG/ML ORAL SOLUTION,19.44,11.47,2.36,17.5,23
CDM,71858-0115-5,LEVOTHYROXINE 50 MCG/ML ORAL SOLUTION,19.44,11.47,2.36,17.5,23
CDM,71879-001-01,DEXAMETHASONE (PF) 9 % INTRAOCULAR SUSPENSION,235025.0,138664.75,28589.56,211522.5,23
CDM,71879-136-01,FLUOCINOLONE 0.18 MG INTRAVITREAL IMPLANT,44417.75,26206.47,5403.19,39975.98,23
CDM,71894-120-02,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-121-03,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-122-03,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-123-03,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-124-04,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-125-04,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-126-04,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-127-05,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-128-05,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-129-05,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-130-06,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-131-06,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-132-06,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-133-07,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-134-07,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-135-07,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-136-08,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-137-08,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-138-08,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-139-09,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-140-09,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71894-141-09,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",3483066.54,2055009.26,423696.78,3134759.89,23
CDM,71914-162-05,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,32.7,19.29,3.98,29.43,23
CDM,71921-214-01,GLIMEPIRIDE 1 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,71921-226-10,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,71930-016-12,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",33.22,19.6,4.04,29.9,23
CDM,71930-027-43,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,515.57,304.19,62.72,464.01,23
CDM,71930-028-90,PYRIDOSTIGMINE BROMIDE IMMEDIATE RELEASE 60 MG TABLET,4.7,2.77,0.57,4.23,23
CDM,71930-035-12,LABETALOL 100 MG TABLET,1.8,1.06,0.22,1.62,23
CDM,71930-037-12,LABETALOL 300 MG TABLET,3.41,2.01,0.41,3.07,23
CDM,72000-320-10,TEDIZOLID 200 MG INTRAVENOUS SOLUTION,1548.34,913.52,188.35,1393.51,23
CDM,72078-033-00,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,8.63,5.09,1.05,7.77,23
CDM,72078-034-00,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,227.36,134.14,27.66,204.62,23
CDM,72078-034-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,227.36,134.14,27.66,204.62,23
CDM,72078-035-02,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,443.61,261.73,53.96,399.25,23
CDM,72078-040-08,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,289.12,170.58,35.17,260.21,23
CDM,72078-046-00,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,32.0,18.88,3.89,28.8,23
CDM,72078-046-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,32.0,18.88,3.89,28.8,23
CDM,72078-046-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,62.01,36.59,7.54,55.81,23
CDM,7214000021,WATER PETROLATUM-MINERAL OIL-CERESIN-LANOLIN ALC CREAM,52.21,30.8,6.35,46.99,23
CDM,7214000022,WATER PETROLATUM-MINERAL OIL-CERESIN-LANOLIN ALC CREAM,32.21,19.0,3.92,28.99,23
CDM,7214000375,WHITE PETROLATUM 41 % TOPICAL OINTMENT,0.46,0.27,0.06,0.41,23
CDM,7214003147,WHITE PETROLATUM 41 % TOPICAL OINTMENT,69.3,40.89,8.43,62.37,23
CDM,7214003868,WATER PETROLATUM-MINERAL OIL-CERESIN-LANOLIN ALC CREAM,18.24,10.76,2.22,16.42,23
CDM,7214011019,LANOLIN-MINERAL OIL LOTION,27.5,16.23,3.35,24.75,23
CDM,7214045231,WHITE PETROLATUM 41 % TOPICAL OINTMENT,22.75,13.42,2.77,20.48,23
CDM,7214063377,WHITE PETROLATUM 41 % TOPICAL OINTMENT,33.15,19.56,4.03,29.84,23
CDM,72162-1176-3,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,72162-1329-2,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,138.99,82.0,16.91,125.09,23
CDM,72162-1330-4,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,313.45,184.94,38.13,282.11,23
CDM,72162-1330-6,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,314.5,185.56,38.26,283.05,23
CDM,72162-2057-1,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",1.49,0.88,0.18,1.34,23
CDM,72187-0102-3,ELACESTRANT 345 MG TABLET,3561.5,2101.29,433.24,3205.35,23
CDM,72187-0401-1,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",160745.95,94840.11,19553.9,144671.36,23
CDM,72196-0205-1,CARDIOPLEGIC SOLN 29 (MAINT 4:1) 12 MEQ/504.8 ML (POTASSIUM) PERFUSION,311.95,184.05,37.95,280.76,23
CDM,72196-0206-1,CARDIOPLEG SOL 27 (INDUCTION 4:1) 48 MEQ/522.8 ML (POTASSIUM)PERFUSION,311.07,183.53,37.84,279.96,23
CDM,72196-0422-1,AMINO ACID 4 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,252.25,148.83,30.68,227.03,23
CDM,72196-6039-1,OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION,61.25,36.14,7.45,55.13,23
CDM,72196-6092-1,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,128.0,75.52,15.57,115.2,23
CDM,72196-8000-1,"HEPARIN(PORCINE) 2,500 UNIT/250 ML(10 UNIT/ML)-0.9 % SOD CHLOR IV SOLN",61.25,36.14,7.45,55.13,23
CDM,72205-003-90,ROSUVASTATIN 10 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,72205-005-99,ROSUVASTATIN 40 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,72205-007-92,CAPECITABINE 500 MG TABLET,2.0,1.18,0.24,1.8,23
CDM,72205-008-91,TRIENTINE 250 MG CAPSULE,18.43,10.87,2.24,16.59,23
CDM,72205-011-90,PREGABALIN 25 MG CAPSULE,0.27,0.16,0.03,0.24,23
CDM,72205-012-90,PREGABALIN 50 MG CAPSULE,0.27,0.16,0.03,0.24,23
CDM,72205-013-90,PREGABALIN 75 MG CAPSULE,0.24,0.14,0.03,0.22,23
CDM,72205-014-90,PREGABALIN 100 MG CAPSULE,0.27,0.16,0.03,0.24,23
CDM,72205-015-90,PREGABALIN 150 MG CAPSULE,0.29,0.17,0.04,0.26,23
CDM,72205-022-90,ATORVASTATIN 10 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,72205-025-90,ATORVASTATIN 80 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,72205-027-90,ROSUVASTATIN 5 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,72205-028-30,FEBUXOSTAT 40 MG TABLET,2.31,1.36,0.28,2.08,23
CDM,72205-030-92,ABIRATERONE 250 MG TABLET,7.5,4.43,0.91,6.75,23
CDM,72205-031-01,DECITABINE 50 MG INTRAVENOUS SOLUTION,277.7,163.84,33.78,249.93,23
CDM,72205-036-01,DECITABINE 50 MG INTRAVENOUS SOLUTION,277.7,163.84,33.78,249.93,23
CDM,72205-039-60,DOFETILIDE 125 MCG CAPSULE,1.55,0.91,0.19,1.4,23
CDM,72205-040-60,DOFETILIDE 250 MCG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,72205-041-60,DOFETILIDE 500 MCG CAPSULE,1.54,0.91,0.19,1.39,23
CDM,72205-042-11,OSELTAMIVIR 30 MG CAPSULE,7.65,4.51,0.93,6.89,23
CDM,72205-044-11,OSELTAMIVIR 75 MG CAPSULE,8.57,5.06,1.04,7.71,23
CDM,72205-045-01,THIOTEPA 15 MG SOLUTION FOR INJECTION,1625.55,959.07,197.74,1463.0,23
CDM,72205-049-30,AMINOCAPROIC ACID 500 MG TABLET,49.92,29.45,6.07,44.93,23
CDM,72205-051-08,ALBENDAZOLE 200 MG TABLET,119.5,70.51,14.54,107.55,23
CDM,72205-054-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,115.2,67.97,14.01,103.68,23
CDM,72205-072-90,DROXIDOPA 100 MG CAPSULE,5.15,3.04,0.63,4.64,23
CDM,72205-084-30,TIAGABINE 2 MG TABLET,16.73,9.87,2.04,15.06,23
CDM,72205-085-30,TIAGABINE 4 MG TABLET,15.12,8.92,1.84,13.61,23
CDM,72205-086-30,TIAGABINE 12 MG TABLET,27.73,16.36,3.37,24.96,23
CDM,72205-087-30,TIAGABINE 16 MG TABLET,32.04,18.9,3.9,28.84,23
CDM,72205-100-01,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,359.4,212.05,43.72,323.46,23
CDM,72205-101-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,11.98,7.07,1.46,10.78,23
CDM,72205-101-07,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,11.98,7.07,1.46,10.78,23
CDM,72205-102-01,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,13.9,8.2,1.69,12.51,23
CDM,72205-184-60,DARUNAVIR 600 MG TABLET,4.64,2.74,0.56,4.18,23
CDM,72205-185-30,DARUNAVIR 800 MG TABLET,9.27,5.47,1.13,8.34,23
CDM,72205-200-90,ROFLUMILAST 500 MCG TABLET,2.56,1.51,0.31,2.3,23
CDM,72205-207-30,LURASIDONE 20 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,72205-209-30,LURASIDONE 60 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,72205-210-30,LURASIDONE 80 MG TABLET,3.09,1.82,0.38,2.78,23
CDM,72205-249-01,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,5052.11,2980.74,614.56,4546.9,23
CDM,72205-260-30,VILAZODONE 10 MG TABLET,4.5,2.66,0.55,4.05,23
CDM,72205-262-30,VILAZODONE 40 MG TABLET,4.5,2.66,0.55,4.05,23
CDM,72205-368-91,TICAGRELOR 90 MG TABLET,1.79,1.06,0.22,1.61,23
CDM,72241-011-03,RIVASTIGMINE 1.5 MG CAPSULE,0.78,0.46,0.09,0.7,23
CDM,72241-012-03,RIVASTIGMINE 3 MG CAPSULE,0.78,0.46,0.09,0.7,23
CDM,72241-023-05,CELECOXIB 100 MG CAPSULE,0.32,0.19,0.04,0.29,23
CDM,72241-024-05,CELECOXIB 200 MG CAPSULE,0.46,0.27,0.06,0.41,23
CDM,72241-038-05,GLYBURIDE 1.25 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,72266-101-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,606.7,357.95,73.8,546.03,23
CDM,72266-102-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,11.3,6.67,1.37,10.17,23
CDM,72266-103-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,19.6,11.56,2.38,17.64,23
CDM,72266-103-41,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,22.0,12.98,2.68,19.8,23
CDM,72266-118-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,2.19,1.29,0.27,1.97,23
CDM,72266-118-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,2.19,1.29,0.27,1.97,23
CDM,72266-119-01,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,3.87,2.28,0.47,3.48,23
CDM,72266-119-25,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,3.87,2.28,0.47,3.48,23
CDM,72266-122-01,METOPROLOL TARTRATE 5 MG/5 ML IV,3.1,1.83,0.38,2.79,23
CDM,72266-122-25,METOPROLOL TARTRATE 5 MG/5 ML IV,2.93,1.73,0.36,2.64,23
CDM,72266-124-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,12.4,7.32,1.51,11.16,23
CDM,72266-127-01,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,36.17,21.34,4.4,32.55,23
CDM,72266-127-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,36.17,21.34,4.4,32.55,23
CDM,72266-128-01,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,355.35,209.66,43.23,319.82,23
CDM,72266-142-01,BROMFENAC 0.09 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72266-144-01,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,355.35,209.66,43.23,319.82,23
CDM,72266-146-01,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,14.0,8.26,1.7,12.6,23
CDM,72266-146-10,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,14.0,8.26,1.7,12.6,23
CDM,72266-152-01,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,94.0,55.46,11.43,84.6,23
CDM,72266-158-01,MOXIFLOXACIN 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72266-160-10,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,56.08,33.09,6.82,50.47,23
CDM,72266-161-01,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,28.85,17.02,3.51,25.97,23
CDM,72266-162-01,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,46.1,27.2,5.61,41.49,23
CDM,72266-163-06,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,186.64,110.12,22.7,167.98,23
CDM,72266-234-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,3.21,1.89,0.39,2.89,23
CDM,72266-234-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,3.21,1.89,0.39,2.89,23
CDM,72266-235-01,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,323.85,191.07,39.39,291.47,23
CDM,72266-236-01,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,7691.6,4538.04,935.64,6922.44,23
CDM,72266-237-01,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,55.7,32.86,6.78,50.13,23
CDM,72266-242-01,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,75.7,44.66,9.21,68.13,23
CDM,72266-242-05,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,75.7,44.66,9.21,68.13,23
CDM,72266-248-01,SINCALIDE 5 MCG SOLUTION FOR INJECTION,370.95,218.86,45.12,333.86,23
CDM,72266-251-10,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION,33.74,19.91,4.1,30.37,23
CDM,72266-252-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,53.75,31.71,6.54,48.38,23
CDM,72266-253-01,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,89.5,52.81,10.89,80.55,23
CDM,72305-125-30,LEVOTHYROXINE 125 MCG TABLET,0.89,0.53,0.11,0.8,23
CDM,72319-023-02,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",28.7,16.93,3.49,25.83,23
CDM,72482-100-12,PACRITINIB 100 MG CAPSULE,812.5,479.38,98.84,731.25,23
CDM,72485-101-01,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,4.61,2.72,0.56,4.15,23
CDM,72485-101-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,4.61,2.72,0.56,4.15,23
CDM,72485-104-01,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,29.96,17.68,3.64,26.96,23
CDM,72485-105-01,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,55.05,32.48,6.7,49.55,23
CDM,72485-106-01,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,11.53,6.8,1.4,10.38,23
CDM,72485-106-10,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,11.53,6.8,1.4,10.38,23
CDM,72485-107-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",16.1,9.5,1.96,14.49,23
CDM,72485-107-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",16.1,9.5,1.96,14.49,23
CDM,72485-108-01,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,20.27,11.96,2.47,18.24,23
CDM,72485-108-25,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,16.59,9.79,2.02,14.93,23
CDM,72485-113-01,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,317.93,187.58,38.67,286.14,23
CDM,72485-113-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,317.93,187.58,38.67,286.14,23
CDM,72485-201-01,AZACITIDINE 100 MG SOLUTION FOR INJECTION,105.95,62.51,12.89,95.36,23
CDM,72485-202-90,IMATINIB 100 MG TABLET,5.07,2.99,0.62,4.56,23
CDM,72485-205-12,CAPECITABINE 500 MG TABLET,4.15,2.45,0.5,3.74,23
CDM,72485-211-02,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,18.45,10.89,2.24,16.61,23
CDM,72485-212-05,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,32.25,19.03,3.92,29.03,23
CDM,72485-215-04,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,361.36,213.2,43.96,325.22,23
CDM,72485-221-02,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,9.21,5.43,1.12,8.29,23
CDM,72485-403-01,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,16.13,9.52,1.96,14.52,23
CDM,72485-404-01,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,20.74,12.24,2.52,18.67,23
CDM,72485-404-10,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,20.74,12.24,2.52,18.67,23
CDM,72485-409-01,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,38.03,22.44,4.63,34.23,23
CDM,72485-409-10,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,38.03,22.44,4.63,34.23,23
CDM,72485-416-01,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,8.99,5.3,1.09,8.09,23
CDM,72485-416-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,8.99,5.3,1.09,8.09,23
CDM,72485-417-01,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.77,9.89,2.04,15.09,23
CDM,72485-417-10,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.77,9.89,2.04,15.09,23
CDM,72485-422-01,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,9.19,5.42,1.12,8.27,23
CDM,72485-422-10,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,9.19,5.42,1.12,8.27,23
CDM,72485-507-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,17.32,10.22,2.11,15.59,23
CDM,72485-510-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",13.8,8.14,1.68,12.42,23
CDM,72485-613-11,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72485-617-10,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72485-670-31,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,30.87,18.21,3.76,27.78,23
CDM,72493-101-40,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,113300.0,66847.0,13782.35,101970.0,23
CDM,72493-103-03,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,116135.0,68519.65,14127.21,104521.5,23
CDM,72516-014-01,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,1.12,0.66,0.14,1.01,23
CDM,72516-016-01,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,0.93,0.55,0.11,0.84,23
CDM,72516-030-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",0.29,0.17,0.04,0.26,23
CDM,72516-031-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",0.29,0.17,0.04,0.26,23
CDM,72578-002-01,ACYCLOVIR 200 MG CAPSULE,0.39,0.23,0.05,0.35,23
CDM,72578-005-06,MODAFINIL 100 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,72578-006-06,MODAFINIL 200 MG TABLET,2.63,1.55,0.32,2.37,23
CDM,72578-008-01,METRONIDAZOLE 500 MG TABLET,1.66,0.98,0.2,1.49,23
CDM,72578-056-01,FELBAMATE 400 MG TABLET,5.58,3.29,0.68,5.02,23
CDM,72578-056-16,FELBAMATE 400 MG TABLET,4.03,2.38,0.49,3.63,23
CDM,72578-057-16,FELBAMATE 600 MG TABLET,5.23,3.09,0.64,4.71,23
CDM,72578-063-06,VORICONAZOLE 200 MG TABLET,34.75,20.5,4.23,31.28,23
CDM,72578-084-02,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,85.2,50.27,10.36,76.68,23
CDM,72578-085-01,CLOBETASOL 0.05 % LOTION,258.42,152.47,31.44,232.58,23
CDM,72578-086-02,DESONIDE 0.05 % TOPICAL CREAM,378.9,223.55,46.09,341.01,23
CDM,72578-088-04,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",134.1,79.12,16.31,120.69,23
CDM,72578-090-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,0.97,0.57,0.12,0.87,23
CDM,72578-091-01,DESOXIMETASONE 0.25 % TOPICAL CREAM,92.63,54.65,11.27,83.37,23
CDM,72578-111-06,BISOPROLOL FUMARATE 5 MG TABLET,2.36,1.39,0.29,2.12,23
CDM,72578-136-06,FEBUXOSTAT 40 MG TABLET,2.11,1.24,0.26,1.9,23
CDM,72578-150-01,ACETAZOLAMIDE IMMEDIATE RELEASE 250 MG TABLET,1.22,0.72,0.15,1.1,23
CDM,72578-171-01,DEXAMETHASONE 4 MG TABLET,2.09,1.23,0.25,1.88,23
CDM,72603-101-01,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,55.4,32.69,6.74,49.86,23
CDM,72603-103-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",775.0,457.25,94.27,697.5,23
CDM,72603-104-01,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,414.5,244.56,50.42,373.05,23
CDM,72603-107-01,DECITABINE 50 MG INTRAVENOUS SOLUTION,245.15,144.64,29.82,220.64,23
CDM,72603-110-01,ABIRATERONE 250 MG TABLET,7.47,4.41,0.91,6.72,23
CDM,72603-111-01,ABIRATERONE 500 MG TABLET,279.03,164.63,33.94,251.13,23
CDM,72603-112-01,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,5.78,3.41,0.7,5.2,23
CDM,72603-115-01,TAMSULOSIN 0.4 MG CAPSULE,0.49,0.29,0.06,0.44,23
CDM,72603-128-01,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,8.85,5.22,1.08,7.97,23
CDM,72603-128-10,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,8.85,5.22,1.08,7.97,23
CDM,72603-130-01,DOFETILIDE 125 MCG CAPSULE,19.63,11.58,2.39,17.67,23
CDM,72603-131-01,DOFETILIDE 250 MCG CAPSULE,15.27,9.01,1.86,13.74,23
CDM,72603-133-01,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.11,1.83,0.38,2.8,23
CDM,72603-134-01,SPIRONOLACTONE 25 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,72603-139-01,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,16.13,9.52,1.96,14.52,23
CDM,72603-139-25,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,16.13,9.52,1.96,14.52,23
CDM,72603-141-02,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,103.15,60.86,12.55,92.84,23
CDM,72603-142-01,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",0.78,0.46,0.09,0.7,23
CDM,72603-143-01,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",1.22,0.72,0.15,1.1,23
CDM,72603-146-01,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,17.3,10.21,2.1,15.57,23
CDM,72603-147-01,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,75.4,44.49,9.17,67.86,23
CDM,72603-152-01,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,73.15,43.16,8.9,65.84,23
CDM,72603-153-01,KETOROLAC 15 MG/ML INJECTION SOLUTION,4.0,2.36,0.49,3.6,23
CDM,72603-153-25,KETOROLAC 15 MG/ML INJECTION SOLUTION,4.0,2.36,0.49,3.6,23
CDM,72603-156-01,OLANZAPINE 7.5 MG TABLET,0.53,0.31,0.06,0.48,23
CDM,72603-160-06,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,231.85,136.79,28.2,208.67,23
CDM,72603-161-01,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,4.52,2.67,0.55,4.07,23
CDM,72603-161-25,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,4.52,2.67,0.55,4.07,23
CDM,72603-163-01,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,0.01,0.01,0.01,0.01,23
CDM,72603-164-01,DESONIDE 0.05 % TOPICAL OINTMENT,74.48,43.94,9.06,67.03,23
CDM,72603-165-10,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,7.59,4.48,0.92,6.83,23
CDM,72603-166-01,METHAZOLAMIDE 25 MG TABLET,7.15,4.22,0.87,6.44,23
CDM,72603-171-01,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,199.75,117.85,24.3,179.78,23
CDM,72603-174-01,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,3193.08,1883.92,388.42,2873.77,23
CDM,72603-175-01,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,11.39,6.72,1.39,10.25,23
CDM,72603-178-01,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",0.37,0.22,0.05,0.33,23
CDM,72603-179-01,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",8.65,5.1,1.05,7.79,23
CDM,72603-180-01,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,15.36,9.06,1.87,13.82,23
CDM,72603-180-10,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,15.36,9.06,1.87,13.82,23
CDM,72603-181-01,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,80.7,47.61,9.82,72.63,23
CDM,72603-182-01,NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE,8.12,4.79,0.99,7.31,23
CDM,72603-183-01,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,1.67,0.99,0.2,1.5,23
CDM,72603-184-01,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,3.34,1.97,0.41,3.01,23
CDM,72603-186-01,OFLOXACIN 0.3 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,72603-187-01,DEXAMETHASONE 1.5 MG TABLET,1.36,0.8,0.17,1.22,23
CDM,72603-188-01,DEXAMETHASONE 2 MG TABLET,1.44,0.85,0.18,1.3,23
CDM,72603-192-01,OFLOXACIN 0.3 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72603-196-01,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,6.95,4.1,0.85,6.26,23
CDM,72603-198-01,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,33.35,19.68,4.06,30.02,23
CDM,72603-200-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1993.5,1176.17,242.5,1794.15,23
CDM,72603-209-01,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,38.25,22.57,4.65,34.43,23
CDM,72603-209-25,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,38.25,22.57,4.65,34.43,23
CDM,72603-212-01,DEXAMETHASONE 0.5 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,72603-220-01,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,8.67,5.12,1.05,7.8,23
CDM,72603-220-10,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,8.67,5.12,1.05,7.8,23
CDM,72603-221-01,AMPICILLIN 500 MG SOLUTION FOR INJECTION,4.36,2.57,0.53,3.92,23
CDM,72603-224-01,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",27.91,16.47,3.4,25.12,23
CDM,72603-251-01,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.64,2.15,0.44,3.28,23
CDM,72603-251-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,3.64,2.15,0.44,3.28,23
CDM,72603-264-02,ATROPINE 1 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72603-266-01,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,1.33,0.78,0.16,1.2,23
CDM,72603-270-01,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,67.15,39.62,8.17,60.44,23
CDM,72603-271-01,OXCARBAZEPINE 300 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,72603-272-01,OXCARBAZEPINE 600 MG TABLET,2.51,1.48,0.31,2.26,23
CDM,72603-286-01,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,84.85,50.06,10.32,76.37,23
CDM,72603-301-01,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,31.6,18.64,3.84,28.44,23
CDM,72603-302-01,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,4.96,2.93,0.6,4.46,23
CDM,72603-308-01,CLONAZEPAM 1 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,72603-310-01,CYCLOBENZAPRINE 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,72603-320-01,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,55.45,32.72,6.75,49.91,23
CDM,72603-323-01,CLOBETASOL 0.05 % TOPICAL CREAM,24.2,14.28,2.94,21.78,23
CDM,72603-326-01,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,920.95,543.36,112.03,828.86,23
CDM,72603-335-01,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,16.28,9.61,1.98,14.65,23
CDM,72603-337-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.61,0.36,0.07,0.55,23
CDM,72603-338-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",0.81,0.48,0.1,0.73,23
CDM,72603-345-01,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,108.65,64.1,13.22,97.79,23
CDM,72603-363-01,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,5.95,3.51,0.72,5.36,23
CDM,72603-363-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,5.95,3.51,0.72,5.36,23
CDM,72603-387-01,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.15,5.99,1.23,9.14,23
CDM,72603-387-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.15,5.99,1.23,9.14,23
CDM,72603-420-01,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,22.75,13.42,2.77,20.48,23
CDM,72603-425-01,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,2007.9,1184.66,244.25,1807.11,23
CDM,72603-454-01,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,11.16,6.58,1.36,10.04,23
CDM,72603-474-01,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,6.1,3.6,0.74,5.49,23
CDM,72603-474-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,6.1,3.6,0.74,5.49,23
CDM,72603-520-01,PHENYLEPHRINE 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72603-540-01,TIMOLOL MALEATE 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,72606-029-01,USTEKINUMAB-STBA 130 MG/26 ML INTRAVENOUS SOLUTION,1370.4,808.54,166.7,1233.36,23
CDM,72611-716-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,658.65,388.6,80.12,592.79,23
CDM,72611-716-72,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,658.65,388.6,80.12,592.79,23
CDM,72611-780-01,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,5943.13,3506.45,722.95,5348.82,23
CDM,72611-785-02,TEMSIROLIMUS 25 MG/2.5 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,5943.13,3506.45,722.95,5348.82,23
CDM,72626-2701-1,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG TABLET,1323.72,780.99,161.02,1191.35,23
CDM,72694-515-01,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,128920.5,76063.1,15682.5,116028.45,23
CDM,72694-728-40,VORASIDENIB 40 MG TABLET,6646.85,3921.64,808.55,5982.17,23
CDM,72694-954-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,127691.25,75337.84,15532.97,114922.13,23
CDM,72769-181-01,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1583.3,934.15,192.6,1424.97,23
CDM,72769-181-03,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1583.3,934.15,192.6,1424.97,23
CDM,72789-325-77,TIZANIDINE 4 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,72789-325-90,TIZANIDINE 4 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,72819-156-08,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",33.87,19.98,4.12,30.48,23
CDM,72865-181-30,ARIPIPRAZOLE 5 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,72865-273-60,DABIGATRAN ETEXILATE 150 MG CAPSULE,11.04,6.51,1.34,9.94,23
CDM,72874-001-01,"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION",14674.53,8657.97,1785.08,13207.08,23
CDM,72888-009-01,BACLOFEN 5 MG TABLET,0.42,0.25,0.05,0.38,23
CDM,72888-012-01,CYCLOBENZAPRINE 5 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,72888-014-01,CYCLOBENZAPRINE 10 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,72888-018-90,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,72888-026-01,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,72888-034-01,CARVEDILOL IMMEDIATE RELEASE 3.125 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,72888-035-01,CARVEDILOL IMMEDIATE RELEASE 6.25 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,72888-036-01,CARVEDILOL IMMEDIATE RELEASE 12.5 MG TABLET,0.19,0.11,0.02,0.17,23
CDM,72888-037-01,CARVEDILOL IMMEDIATE RELEASE 25 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,72888-045-01,PRIMIDONE 50 MG TABLET,0.74,0.44,0.09,0.67,23
CDM,72888-052-01,METOLAZONE 2.5 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,72888-059-30,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",0.61,0.36,0.07,0.55,23
CDM,72888-073-01,DICLOFENAC POTASSIUM 50 MG TABLET,1.39,0.82,0.17,1.25,23
CDM,72888-080-01,TRAMADOL 50 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,72888-081-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 5 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,72888-082-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 10 MG TABLET,0.98,0.58,0.12,0.88,23
CDM,72888-083-01,ISOSORBIDE DINITRATE IMMEDIATE RELEASE 20 MG TABLET,0.92,0.54,0.11,0.83,23
CDM,72888-085-01,ISOSORBIDE DINITRATE 40 MG TABLET,16.78,9.9,2.04,15.1,23
CDM,72888-100-20,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,600.0,354.0,72.99,540.0,23
CDM,72888-107-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.32,0.19,0.04,0.29,23
CDM,72888-121-01,LABETALOL 200 MG TABLET,1.75,1.03,0.21,1.58,23
CDM,72888-125-26,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,44.0,25.96,5.35,39.6,23
CDM,72888-152-01,CLONAZEPAM 0.5 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,72888-153-01,CLONAZEPAM 1 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,72888-172-46,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION,1040.0,613.6,126.51,936.0,23
CDM,72888-175-30,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",1.85,1.09,0.23,1.67,23
CDM,72888-183-30,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,83.4,49.21,10.15,75.06,23
CDM,72888-200-12,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",1.69,1.0,0.21,1.52,23
CDM,72893-001-01,MELPHALAN 50 MG-BETADEX SULFOBUTYL ETHER SODIUM INTRAVENOUS SOLUTION,5298.65,3126.2,644.55,4768.79,23
CDM,72893-002-01,BELINOSTAT 500 MG INTRAVENOUS SOLUTION,11859.05,6996.84,1442.59,10673.15,23
CDM,72893-003-01,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,35168.6,20749.47,4278.08,31651.74,23
CDM,72893-005-01,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,70337.15,41498.92,8556.15,63303.44,23
CDM,72893-007-04,KIT FOR YTTRIUM-90-IBRITUMOMAB 3.2 MG/2 ML INTRAVENOUS,114000.01,67260.01,13867.5,102600.01,23
CDM,72903-853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,32435.8,19137.12,3945.64,29192.22,23
CDM,73070-403-10,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,93.08,54.92,11.32,83.77,23
CDM,73090-420-01,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,7413.25,4373.82,901.78,6671.93,23
CDM,73090-421-01,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,29653.1,17495.33,3607.14,26687.79,23
CDM,73150-150-06,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,51707.94,30507.68,6290.0,46537.15,23
CDM,73153-901-08,LISOCABTAGENE MARALEUCEL (BREYANZI) CD8 INJECTION - LBCL,2656752.0,1567483.68,323179.95,2391076.8,23
CDM,73177-105-30,MORPHINE (PF) 30 MG/30 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,62.4,36.82,7.59,56.16,23
CDM,73177-106-05,"MIDAZOLAM (PF) 50 MG/50 ML (1 MG/ML) IN SOD CHLOR,ISO-OSM IV SYRINGE",99.75,58.85,12.13,89.78,23
CDM,73177-108-03,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,31.35,18.5,3.81,28.22,23
CDM,73177-109-13,"ROPIVACAINE(PF) 0.2 %-0.9 % NACL 545ML INFIL,HI VAR RATE,PCA,ELAS PUMP",575.0,339.25,69.95,517.5,23
CDM,73177-121-19,LIDOCAINE 4 %-EPINEPHRINE 0.09 %-TETRACAINE 0.5 % TOPICAL GEL,55.15,32.54,6.71,49.64,23
CDM,73177-166-25,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,185.0,109.15,22.5,166.5,23
CDM,73177-169-26,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,300.0,177.0,36.49,270.0,23
CDM,73207-302-40,VIMSELTINIB 14 MG CAPSULE,16330.0,9634.7,1986.46,14697.0,23
CDM,73207-303-40,VIMSELTINIB 20 MG CAPSULE,16330.0,9634.7,1986.46,14697.0,23
CDM,73207-304-40,VIMSELTINIB 30 MG CAPSULE,16330.0,9634.7,1986.46,14697.0,23
CDM,73293-0001-1,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,6.9,4.07,0.84,6.21,23
CDM,73302-456-01,ULIPRISTAL 30 MG TABLET,179.55,105.93,21.84,161.6,23
CDM,73372-0116-1,AFAMELANOTIDE 16 MG SUBCUTANEOUS IMPLANT,216855.0,127944.45,26379.27,195169.5,23
CDM,73475-3041-5,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION,30951.9,18261.62,3765.14,27856.71,23
CDM,73535-208-01,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,6656.75,3927.48,809.76,5991.08,23
CDM,73554-1111-1,LOVOTIBEGLOGENE AUTOTEMCEL 1.7 X 10EXP6 TO 20 X 10EXP6 CELL/ML IV SUSP,15500000.0,9145000.0,1885493.71,13950000.0,23
CDM,73554-3111-1,BETIBEGLOGENE AUTOTEMCEL 2 X 10EXP6 TO 20 X 10EXP6 CELL/ML IV SUSP,14000000.0,8260000.0,1703026.58,12600000.0,23
CDM,73555-501-00,REVUMENIB 110 MG TABLET,3291.65,1942.07,400.41,2962.49,23
CDM,73555-502-00,REVUMENIB 160 MG TABLET,3291.65,1942.07,400.41,2962.49,23
CDM,73562-110-01,"LIPASE-PROTEASE-AMYLASE 10,000-32,000-42,000 UNIT CAPSULE,DELAYED REL",19.8,11.68,2.41,17.82,23
CDM,73562-111-01,"LIPASE-PROTEASE-AMYLASE 15,000-47,000-63,000 UNIT CAPSULE,DELAYED REL",28.6,16.87,3.48,25.74,23
CDM,73562-112-01,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL",38.85,22.92,4.73,34.97,23
CDM,73562-113-01,"LIPASE-PROTEASE-AMYLASE 3,000-10,000-14,000 UNIT CAPSULE,DELAYED REL",10.5,6.2,1.28,9.45,23
CDM,73562-114-01,"LIPASE-PROTEASE-AMYLASE 40,000-126,000-168,000 UNIT CAPSULE, DELAY REL",76.66,45.23,9.33,68.99,23
CDM,73562-115-01,"LIPASE-PROTEASE-AMYLASE 5,000-17,000-24,000 UNIT CAPSULE, DELAYED REL",10.02,5.91,1.22,9.02,23
CDM,73562-116-01,"LIPASE-PROTEASE-AMYLASE 25,000-79,000-105,000 UNIT CAPSULE,DELAYED REL",48.07,28.36,5.85,43.26,23
CDM,73594-9310-1,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION,16030.95,9458.26,1950.08,14427.86,23
CDM,73607-002-01,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,26556.35,15668.25,3230.44,23900.72,23
CDM,73607-011-11,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,26556.35,15668.25,3230.44,23900.72,23
CDM,73650-316-01,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,72054.8,42512.33,8765.09,64849.32,23
CDM,73650-316-10,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,72054.8,42512.33,8765.09,64849.32,23
CDM,73650-316-14,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,72054.8,42512.33,8765.09,64849.32,23
CDM,73776-001-11,LIFILEUCEL 7.5 X 10EXP9 TO 72 X 10EXP9 CELL INTRAVENOUS SUSPENSION,2810000.0,1657900.0,341821.76,2529000.0,23
CDM,73776-022-01,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION,30300.0,17877.0,3685.84,27270.0,23
CDM,7430000065,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,65.83,38.84,8.01,59.25,23
CDM,7430000070,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,14.51,8.56,1.77,13.06,23
CDM,7430000071,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,25.99,15.33,3.16,23.39,23
CDM,7431200650,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,0.25,0.15,0.03,0.23,23
CDM,7431201380,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.35,0.21,0.04,0.32,23
CDM,7431203201,SELENIUM 200 MCG TABLET,0.28,0.17,0.03,0.25,23
CDM,7431235873,"CHOLECALCIFEROL (VITAMIN D3) 250 MCG (10,000 UNIT) CAPSULE",0.66,0.39,0.08,0.59,23
CDM,74527-022-01,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION,11662.25,6880.73,1418.65,10496.03,23
CDM,74527-022-02,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION,11662.25,6880.73,1418.65,10496.03,23
CDM,74676-5904-1,TRIPTORELIN PAMOATE 11.25 MG IM SUSPENSION,10366.9,6116.47,1261.08,9330.21,23
CDM,74725-100-25,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,14100.0,8319.0,1715.19,12690.0,23
CDM,74725-100-64,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,14100.0,8319.0,1715.19,12690.0,23
CDM,7513759110,SALICYLIC ACID 17 % TOPICAL LIQUID,27.72,16.35,3.37,24.95,23
CDM,75826-114-10,PHENAZOPYRIDINE 100 MG TABLET,1.25,0.74,0.15,1.13,23
CDM,75826-115-10,PHENAZOPYRIDINE 200 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,75826-118-10,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET,7.88,4.65,0.96,7.09,23
CDM,75826-136-10,PHENOBARBITAL 15 MG TABLET,0.39,0.23,0.05,0.35,23
CDM,75826-137-10,PHENOBARBITAL 16.2 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,75826-138-10,PHENOBARBITAL 30 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,75826-139-10,PHENOBARBITAL 32.4 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,75826-141-10,PHENOBARBITAL 64.8 MG TABLET,0.72,0.42,0.09,0.65,23
CDM,75826-142-10,PHENOBARBITAL 97.2 MG TABLET,0.94,0.55,0.11,0.85,23
CDM,75834-110-01,CHLORTHALIDONE 50 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,75834-158-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",0.75,0.44,0.09,0.68,23
CDM,75834-159-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",0.76,0.45,0.09,0.68,23
CDM,75834-170-01,ZINC OXIDE 20 % TOPICAL OINTMENT,16.9,9.97,2.06,15.21,23
CDM,75834-170-02,ZINC OXIDE 20 % TOPICAL OINTMENT,25.24,14.89,3.07,22.72,23
CDM,75834-171-01,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,21.7,12.8,2.64,19.53,23
CDM,75834-171-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,21.7,12.8,2.64,19.53,23
CDM,75834-221-01,CARBAMAZEPINE IMMEDIATE RELEASE 200 MG TABLET,0.6,0.35,0.07,0.54,23
CDM,75834-237-05,CELECOXIB 100 MG CAPSULE,0.56,0.33,0.07,0.5,23
CDM,75834-242-30,ERYTHROMYCIN 250 MG TABLET,22.39,13.21,2.72,20.15,23
CDM,75834-280-30,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,1325.4,781.99,161.23,1192.86,23
CDM,75834-295-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,674.5,397.96,82.05,607.05,23
CDM,75834-320-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",1.49,0.88,0.18,1.34,23
CDM,7583401060,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",135.9,80.18,16.53,122.31,23
CDM,75907-020-01,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,1.38,0.81,0.17,1.24,23
CDM,75907-023-11,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,53.05,31.3,6.45,47.75,23
CDM,75907-023-48,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,53.05,31.3,6.45,47.75,23
CDM,75907-025-11,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,116.93,68.99,14.22,105.24,23
CDM,75907-043-01,TRIMETHOPRIM 100 MG TABLET,7.45,4.4,0.91,6.71,23
CDM,75907-058-60,TAMOXIFEN 10 MG TABLET,0.7,0.41,0.09,0.63,23
CDM,75907-069-01,NORTRIPTYLINE 10 MG CAPSULE,0.45,0.27,0.05,0.41,23
CDM,75907-070-01,NORTRIPTYLINE 25 MG CAPSULE,1.23,0.73,0.15,1.11,23
CDM,75907-075-32,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,4.12,2.43,0.5,3.71,23
CDM,75987-050-06,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID,27391.25,16160.84,3332.0,24652.13,23
CDM,75987-080-10,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,139802.8,82483.65,17006.28,125822.52,23
CDM,75987-130-15,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,80886.15,47722.83,9839.38,72797.54,23
CDM,75987-150-01,INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION,228492.15,134810.37,27794.87,205642.94,23
CDM,76014-004-25,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,17.01,10.04,2.07,15.31,23
CDM,76014-004-30,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,17.01,10.04,2.07,15.31,23
CDM,76045-001-00,MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE,13.18,7.78,1.6,11.86,23
CDM,76045-004-01,MORPHINE 2 MG/ML INJECTION SYRINGE,10.23,6.04,1.24,9.21,23
CDM,76045-004-11,MORPHINE 2 MG/ML INJECTION SYRINGE,10.23,6.04,1.24,9.21,23
CDM,76045-005-01,MORPHINE 4 MG/ML INJECTION SYRINGE,10.46,6.17,1.27,9.41,23
CDM,76045-005-10,MORPHINE 4 MG/ML INJECTION SYRINGE,6.94,4.09,0.84,6.25,23
CDM,76045-005-11,MORPHINE 4 MG/ML INJECTION SYRINGE,10.46,6.17,1.27,9.41,23
CDM,76045-006-10,MORPHINE 5 MG/ML INJECTION SYRINGE,7.4,4.37,0.9,6.66,23
CDM,76045-009-01,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,11.38,6.71,1.38,10.24,23
CDM,76045-009-03,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,16.5,9.74,2.01,14.85,23
CDM,76045-009-05,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,16.5,9.74,2.01,14.85,23
CDM,76045-009-06,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,12.03,7.1,1.46,10.83,23
CDM,76045-009-10,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,16.65,9.82,2.03,14.99,23
CDM,76045-009-11,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,11.38,6.71,1.38,10.24,23
CDM,76045-009-96,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,12.03,7.1,1.46,10.83,23
CDM,76045-010-01,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,11.8,6.96,1.44,10.62,23
CDM,76045-010-10,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,16.18,9.55,1.97,14.56,23
CDM,76045-101-20,METOCLOPRAMIDE 5 MG/ML INJECTION SYRINGE,8.85,5.22,1.08,7.97,23
CDM,76045-102-10,DIPHENHYDRAMINE 50 MG/ML INJECTION (WRAPPED E-RX),8.53,5.03,1.04,7.68,23
CDM,76045-106-10,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE,11.15,6.58,1.36,10.04,23
CDM,76045-109-10,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SYRINGE,13.04,7.69,1.59,11.74,23
CDM,76045-121-01,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,10.14,5.98,1.23,9.13,23
CDM,76045-121-11,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,10.14,5.98,1.23,9.13,23
CDM,76045-204-00,DIAZEPAM 5 MG/ML INJECTION SYRINGE,66.81,39.42,8.13,60.13,23
CDM,76045-204-20,DIAZEPAM 5 MG/ML INJECTION SYRINGE,66.81,39.42,8.13,60.13,23
CDM,76075-101-01,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,16169.55,9540.03,1966.94,14552.6,23
CDM,76075-102-01,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION,8084.8,4770.03,983.47,7276.32,23
CDM,76075-103-01,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION,2694.95,1590.02,327.83,2425.46,23
CDM,76125-150-02,RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION,2199.35,1297.62,267.54,1979.42,23
CDM,76125-150-03,RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION,2199.35,1297.62,267.54,1979.42,23
CDM,76125-150-10,RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION,10996.85,6488.14,1337.71,9897.17,23
CDM,76125-150-11,RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION,10996.85,6488.14,1337.71,9897.17,23
CDM,76125-792-10,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",341.0,201.19,41.48,306.9,23
CDM,76125-792-11,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",341.0,201.19,41.48,306.9,23
CDM,76125-900-20,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,10264.0,6055.76,1248.56,9237.6,23
CDM,76125-900-21,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,10264.0,6055.76,1248.56,9237.6,23
CDM,76128-155-75,PORFIMER 75 MG INTRAVENOUS SOLUTION,116615.0,68802.85,14185.6,104953.5,23
CDM,76204-011-05,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,1.65,0.97,0.2,1.49,23
CDM,76204-025-96,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,4.63,2.73,0.56,4.17,23
CDM,76204-028-12,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,10.0,5.9,1.22,9.0,23
CDM,76204-100-01,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.6,0.94,0.19,1.44,23
CDM,76204-100-25,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.43,0.84,0.17,1.29,23
CDM,76204-100-30,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,1.43,0.84,0.17,1.29,23
CDM,76204-200-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.37,0.81,0.17,1.23,23
CDM,76204-200-25,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,76204-600-01,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.25,1.33,0.27,2.03,23
CDM,76204-600-05,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,2.0,1.18,0.24,1.8,23
CDM,76204-700-01,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,6.38,3.76,0.78,5.74,23
CDM,76204-700-11,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,6.38,3.76,0.78,5.74,23
CDM,76204-800-01,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,6.41,3.78,0.78,5.77,23
CDM,76204-800-11,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,6.41,3.78,0.78,5.77,23
CDM,76204-900-01,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,5.88,3.47,0.72,5.29,23
CDM,76204-900-11,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,5.88,3.47,0.72,5.29,23
CDM,76204-900-25,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,4.77,2.81,0.58,4.29,23
CDM,7620402260,SODIUM CHLORIDE 3 % FOR NEBULIZATION,2.32,1.37,0.28,2.09,23
CDM,7620430003,SODIUM CHLORIDE 0.9 % FOR NEBULIZATION,0.92,0.54,0.11,0.83,23
CDM,76282-208-90,CITALOPRAM 40 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,76282-212-90,SERTRALINE 25 MG TABLET,0.15,0.09,0.02,0.14,23
CDM,76282-213-90,SERTRALINE 50 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,76282-239-90,AMLODIPINE 10 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,76282-249-90,ESCITALOPRAM 5 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,76282-302-90,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",0.54,0.32,0.07,0.49,23
CDM,76282-312-01,HYDRALAZINE 100 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,76282-347-01,NADOLOL 20 MG TABLET,0.29,0.17,0.04,0.26,23
CDM,76282-348-01,NADOLOL 40 MG TABLET,0.46,0.27,0.06,0.41,23
CDM,76282-349-01,NADOLOL 80 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,76282-476-45,LANTHANUM 500 MG CHEWABLE TABLET,15.31,9.03,1.86,13.78,23
CDM,76282-476-90,LANTHANUM 500 MG CHEWABLE TABLET,15.31,9.03,1.86,13.78,23
CDM,76282-568-90,PREGABALIN 25 MG CAPSULE,0.11,0.06,0.01,0.1,23
CDM,76282-569-90,PREGABALIN 50 MG CAPSULE,0.17,0.1,0.02,0.15,23
CDM,76282-570-90,PREGABALIN 75 MG CAPSULE,0.19,0.11,0.02,0.17,23
CDM,76282-571-90,PREGABALIN 100 MG CAPSULE,0.21,0.12,0.03,0.19,23
CDM,76282-572-90,PREGABALIN 150 MG CAPSULE,0.26,0.15,0.03,0.23,23
CDM,76282-629-90,CITALOPRAM 20 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,76282-641-37,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,10.06,5.94,1.22,9.05,23
CDM,76282-641-38,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,10.06,5.94,1.22,9.05,23
CDM,76282-702-45,OSELTAMIVIR 30 MG CAPSULE,7.92,4.67,0.96,7.13,23
CDM,76282-721-01,PRAZOSIN 1 MG CAPSULE,0.27,0.16,0.03,0.24,23
CDM,76282-722-01,PRAZOSIN 2 MG CAPSULE,0.39,0.23,0.05,0.35,23
CDM,76282-723-01,PRAZOSIN 5 MG CAPSULE,0.57,0.34,0.07,0.51,23
CDM,76282-730-01,LISINOPRIL 10 MG TABLET,0.09,0.05,0.01,0.08,23
CDM,76282-731-01,LISINOPRIL 20 MG TABLET,0.1,0.06,0.01,0.09,23
CDM,76297-001-01,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,76297-001-02,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,76297-001-21,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,11.5,6.79,1.4,10.35,23
CDM,76297-001-22,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,11.5,6.79,1.4,10.35,23
CDM,76297-001-31,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,23.75,14.01,2.89,21.38,23
CDM,76297-001-32,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,23.75,14.01,2.89,21.38,23
CDM,76297-001-41,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,76297-001-42,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,7630033210,INSULIN PUMP SYRINGE 3 ML,21.92,12.93,2.67,19.73,23
CDM,76310-017-50,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,4963.84,2928.67,603.83,4467.46,23
CDM,76310-024-15,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1503.75,887.21,182.92,1353.38,23
CDM,76310-024-25,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1503.75,887.21,182.92,1353.38,23
CDM,76329-1240-1,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,109.98,64.89,13.38,98.98,23
CDM,76329-1469-1,NALOXONE 1 MG/ML INJECTION SYRINGE,96.53,56.95,11.74,86.88,23
CDM,76329-1912-1,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,46.05,27.17,5.6,41.45,23
CDM,76329-3011-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,22.95,13.54,2.79,20.66,23
CDM,76329-3012-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,23.78,14.03,2.89,21.4,23
CDM,76329-3013-5,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,30.0,17.7,3.65,27.0,23
CDM,76329-3302-1,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,73.75,43.51,8.97,66.38,23
CDM,76329-3304-1,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,43.75,25.81,5.32,39.38,23
CDM,76329-3318-1,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,47.9,28.26,5.83,43.11,23
CDM,76329-3321-0,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,139.0,82.01,16.91,125.1,23
CDM,76329-3340-1,ATROPINE 0.1 MG/ML INJECTION SYRINGE,47.85,28.23,5.82,43.07,23
CDM,76329-3352-1,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,74.5,43.96,9.06,67.05,23
CDM,76329-3369-1,NALOXONE 1 MG/ML INJECTION SYRINGE,96.53,56.95,11.74,86.88,23
CDM,76329-3390-1,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,30.4,17.94,3.7,27.36,23
CDM,76329-6300-5,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,130.76,77.15,15.91,117.68,23
CDM,76329-8261-0,LORAZEPAM 2 MG/ML INJECTION SOLUTION,46.1,27.2,5.61,41.49,23
CDM,76329-8261-1,LORAZEPAM 2 MG/ML INJECTION SOLUTION,46.1,27.2,5.61,41.49,23
CDM,76329-9060-0,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,781.5,461.09,95.07,703.35,23
CDM,76336-080-60,MITOTANE 500 MG TABLET,22.52,13.29,2.74,20.27,23
CDM,76385-100-01,METHSCOPOLAMINE 2.5 MG TABLET,5.0,2.95,0.61,4.5,23
CDM,76385-102-01,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,6.17,3.64,0.75,5.55,23
CDM,76385-106-17,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,76385-114-01,SOTALOL 80 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,76385-133-01,NADOLOL 20 MG TABLET,0.99,0.58,0.12,0.89,23
CDM,76385-134-01,NADOLOL 40 MG TABLET,0.87,0.51,0.11,0.78,23
CDM,76385-135-01,NADOLOL 80 MG TABLET,1.82,1.07,0.22,1.64,23
CDM,77333-812-10,SIMETHICONE 80 MG CHEWABLE TABLET,0.75,0.44,0.09,0.68,23
CDM,77333-812-25,SIMETHICONE 80 MG CHEWABLE TABLET,0.75,0.44,0.09,0.68,23
CDM,77333-827-10,SODIUM BICARBONATE 650 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,77333-827-25,SODIUM BICARBONATE 650 MG TABLET,0.62,0.37,0.08,0.56,23
CDM,7733311025,CALCIUM 500 MG (AS CARBONATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.85,0.5,0.1,0.77,23
CDM,7733311310,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 6.25 MCG (250 UNIT) TABLET,0.83,0.49,0.1,0.75,23
CDM,7733311325,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 6.25 MCG (250 UNIT) TABLET,0.83,0.49,0.1,0.75,23
CDM,7733343025,"LACTASE 3,000 UNIT TABLET",2.03,1.2,0.25,1.83,23
CDM,7733351610,MELATONIN 3 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,7733351625,MELATONIN 3 MG TABLET,1.01,0.6,0.12,0.91,23
CDM,7733383110,SODIUM BICARBONATE 650 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,7733383125,SODIUM BICARBONATE 650 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,7733386110,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.95,0.56,0.12,0.86,23
CDM,7733386125,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.95,0.56,0.12,0.86,23
CDM,7733393410,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,7733393425,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.76,0.45,0.09,0.68,23
CDM,7733393810,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.67,0.4,0.08,0.6,23
CDM,7733393825,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.67,0.4,0.08,0.6,23
CDM,7733394010,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,7733394025,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,7733394810,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.89,0.53,0.11,0.8,23
CDM,7733394825,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.89,0.53,0.11,0.8,23
CDM,7733395110,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",0.95,0.56,0.12,0.86,23
CDM,7733395125,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",0.95,0.56,0.12,0.86,23
CDM,7733398310,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.74,0.44,0.09,0.67,23
CDM,7733398325,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.74,0.44,0.09,0.67,23
CDM,77771-158-01,CELECOXIB 200 MG CAPSULE,1.38,0.81,0.17,1.24,23
CDM,77790-022-15,GONIOVISC (HYPROMELLOSE) 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,7811201103,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,21.24,12.53,2.58,19.12,23
CDM,7811201104,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,20.91,12.34,2.54,18.82,23
CDM,7811201106,BENZOCAINE 6 MG-MENTHOL 10 MG LOZENGES,0.82,0.48,0.1,0.74,23
CDM,7811273621,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,7811273623,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,0.01,0.01,0.01,0.01,23
CDM,78206-112-01,MOMETASONE 100 MCG/ACTUATION HFA AEROSOL INHALER,453.18,267.38,55.13,407.86,23
CDM,78206-113-01,MOMETASONE 200 MCG/ACTUATION HFA AEROSOL INHALER,532.68,314.28,64.8,479.41,23
CDM,78206-114-01,MOMETASONE 220 MCG/ACTUATION (WRAPPED ERX),762.8,450.05,92.79,686.52,23
CDM,78206-114-03,MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER,175.2,103.37,21.31,157.68,23
CDM,78206-114-04,MOMETASONE 220 MCG/ACTUATION(30 DOSES) BREATH ACTIVATED POWDER INHALER,453.65,267.65,55.18,408.29,23
CDM,78206-115-01,MOMETASONE 110 MCG/ACTUATION(30 DOSES) BREATH ACTIVATED POWDER INHALER,420.1,247.86,51.1,378.09,23
CDM,78206-118-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,191.35,112.9,23.28,172.22,23
CDM,78206-121-01,LOSARTAN 25 MG TABLET,14.76,8.71,1.8,13.28,23
CDM,78206-122-01,LOSARTAN 50 MG TABLET,19.76,11.66,2.4,17.78,23
CDM,78206-122-02,LOSARTAN 50 MG TABLET,19.76,11.66,2.4,17.78,23
CDM,78206-123-01,LOSARTAN 100 MG TABLET,26.95,15.9,3.28,24.26,23
CDM,78206-145-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,5153.2,3040.39,626.86,4637.88,23
CDM,78206-148-01,TRASTUZUMAB-DTTB 420 MG INTRAVENOUS SOLUTION,15665.15,9242.44,1905.58,14098.64,23
CDM,78206-150-01,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION",864.45,510.03,105.16,778.01,23
CDM,78206-150-99,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION",864.45,510.03,105.16,778.01,23
CDM,78206-153-01,FINASTERIDE 5 MG TABLET,25.09,14.8,3.05,22.58,23
CDM,78206-162-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1999.15,1179.5,243.19,1799.24,23
CDM,78206-162-99,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1999.15,1179.5,243.19,1799.24,23
CDM,79672-613-03,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,79672-613-05,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,79672-613-30,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,79672-613-50,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,79802-200-30,BELUMOSUDIL 200 MG TABLET,3044.68,1796.36,370.37,2740.21,23
CDM,7985401107,ALPHA LIPOIC ACID 100 MG CAPSULE,0.43,0.25,0.05,0.39,23
CDM,7985404097,ACETYLCYSTEINE 600 MG CAPSULE,0.3,0.18,0.04,0.27,23
CDM,7985405024,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.15,0.09,0.02,0.14,23
CDM,7985407941,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",0.24,0.14,0.03,0.22,23
CDM,7985408412,PHYTONADIONE (VITAMIN K1) 100 MCG TABLET,0.12,0.07,0.01,0.11,23
CDM,7985420010,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,7985420025,RIBOFLAVIN (VITAMIN B2) 25 MG TABLET,0.21,0.12,0.03,0.19,23
CDM,7985420050,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.13,0.08,0.02,0.12,23
CDM,7985420055,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,0.07,0.04,0.01,0.06,23
CDM,7985420062,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",0.43,0.25,0.05,0.39,23
CDM,7985420195,RIBOFLAVIN (VITAMIN B2) 100 MG TABLET,0.24,0.14,0.03,0.22,23
CDM,7985430015,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,7985430035,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,7985450021,"CALCIUM 500 MG (AS CALCIUM CARBONATE 1,250 MG) TABLET",0.18,0.11,0.02,0.16,23
CDM,7985451280,FOLIC ACID 1 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,7985490005,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE",0.25,0.15,0.03,0.23,23
CDM,79952-110-01,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,135116.3,79718.62,16436.19,121604.67,23
CDM,8019630260,SALICYLIC ACID 40 % TOPICAL PATCH,5.1,3.01,0.62,4.59,23
CDM,8019630308,SALICYLIC ACID 40 % TOPICAL PATCH,5.1,3.01,0.62,4.59,23
CDM,8019652856,MICONAZOLE NITRATE 2 % TOPICAL POWDER,18.28,10.79,2.22,16.45,23
CDM,8019656775,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,9.98,5.89,1.21,8.98,23
CDM,80203-347-01,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION,9468.14,5586.2,1151.75,8521.33,23
CDM,80446-401-01,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,100033.75,59019.91,12168.58,90030.38,23
CDM,8065183055,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,832.66,491.27,101.29,749.39,23
CDM,8065183085,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,1093.0,644.87,132.96,983.7,23
CDM,8065183135,CHONDROITIN-SOD HYALURON 3 %-4 %(0.35 ML)1 %(0.4 ML)INTRAOCULAR SYRING,1160.6,684.75,141.18,1044.54,23
CDM,8065183150,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING,1227.81,724.41,149.36,1105.03,23
CDM,8065183710,CHONDROITIN SULF-SODIUM HYALURONATE 40 MG-17 MG/ML INTRAOCULAR SYRINGE,1471.85,868.39,179.04,1324.67,23
CDM,8065183810,HYPROMELLOSE 2 % INTRAOCULAR SYRINGE,137.55,81.15,16.73,123.8,23
CDM,8065183905,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,883.25,521.12,107.44,794.93,23
CDM,8065183975,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,1160.6,684.75,141.18,1044.54,23
CDM,8068100300,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.11,0.06,0.01,0.1,23
CDM,8068101900,NIACINAMIDE 500 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,8068102000,MULTIVITAMIN TABLET,0.06,0.04,0.01,0.05,23
CDM,8068102500,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,8068104900,PEDIATRIC MULTIVITAMIN NO.42 CHEWABLE TABLET,0.11,0.06,0.01,0.1,23
CDM,8068105000,MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET,0.08,0.05,0.01,0.07,23
CDM,8068105200,"VITAMINS A,C,E-ZINC-COPPER 2,148 MCG-113 MG-45 MG-17.4 MG TABLET",0.28,0.17,0.03,0.25,23
CDM,8068105700,NIACIN IMMEDIATE RELEASE 100 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,8068106300,MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET,0.09,0.05,0.01,0.08,23
CDM,8068107100,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.06,0.04,0.01,0.05,23
CDM,8068108500,MELATONIN 3 MG TABLET,0.28,0.17,0.03,0.25,23
CDM,8068108600,MELATONIN 3 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,8068109700,THIAMINE HCL (VITAMIN B1) 50 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,8068109800,THIAMINE HCL (VITAMIN B1) 100 MG TABLET,0.14,0.08,0.02,0.13,23
CDM,8068109900,FOLIC ACID 400 MCG TABLET,0.08,0.05,0.01,0.07,23
CDM,8068112600,B-COMPLEX WITH VITAMIN C TABLET,0.1,0.06,0.01,0.09,23
CDM,8068113400,"VITAMIN E (DL, ACETATE) 45 MG (100 UNIT) CAPSULE",0.08,0.05,0.01,0.07,23
CDM,8068113500,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,0.11,0.06,0.01,0.1,23
CDM,8068114000,CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET,0.14,0.08,0.02,0.13,23
CDM,8068114800,MELATONIN 3 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,8068115500,WATER PETROLATUM-MINERAL OIL-CERESIN-LANOLIN ALC CREAM,10.17,6.0,1.24,9.15,23
CDM,8068116800,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.09,0.05,0.01,0.08,23
CDM,8068116801,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.08,0.05,0.01,0.07,23
CDM,8068116900,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",0.07,0.04,0.01,0.06,23
CDM,80725-610-25,CHLORAMBUCIL 2 MG TABLET,2572.98,1518.06,312.99,2315.68,23
CDM,80725-620-25,BUSULFAN 2 MG TABLET,1338.06,789.46,162.77,1204.25,23
CDM,80725-630-25,THIOGUANINE 40 MG TABLET,2408.42,1420.97,292.97,2167.58,23
CDM,80739-812-18,ADAGRASIB 200 MG TABLET,607.57,358.47,73.91,546.81,23
CDM,80777-110-01,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,709.0,418.31,86.25,638.1,23
CDM,80777-110-93,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,709.0,418.31,86.25,638.1,23
CDM,80777-110-96,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,709.0,418.31,86.25,638.1,23
CDM,80777-291-09,COVID VAC 2024-25 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYR (EUA),645.0,380.55,78.46,580.5,23
CDM,80777-291-80,COVID VAC 2024-25 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYR (EUA),645.0,380.55,78.46,580.5,23
CDM,8080100000,"WATER FOR IRRIGATION, STERILE SOLUTION",4.5,2.66,0.55,4.05,23
CDM,80803-153-50,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,37697.6,22241.58,4585.72,33927.84,23
CDM,8080433200,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.7,0.41,0.09,0.63,23
CDM,8080433605,"BISMUTH TRIBROM-PETROLATUM,WH 5"" X 9"" BANDAGE",2.1,1.24,0.26,1.89,23
CDM,80830-1673-1,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,59.5,35.11,7.24,53.55,23
CDM,80830-1673-2,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,59.5,35.11,7.24,53.55,23
CDM,80830-2329-1,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",29.5,17.41,3.59,26.55,23
CDM,80830-2329-2,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",29.5,17.41,3.59,26.55,23
CDM,80830-2329-3,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",29.5,17.41,3.59,26.55,23
CDM,81033-002-05,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION,3.0,1.77,0.36,2.7,23
CDM,81033-002-20,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION,10.05,5.93,1.22,9.05,23
CDM,81033-002-30,ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION,10.05,5.93,1.22,9.05,23
CDM,81033-002-50,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLUTION,3.0,1.77,0.36,2.7,23
CDM,81033-102-10,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,6.3,3.72,0.77,5.67,23
CDM,81033-102-52,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,6.3,3.72,0.77,5.67,23
CDM,81033-104-05,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,86.68,51.14,10.54,78.01,23
CDM,81033-512-15,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,4.88,2.88,0.59,4.39,23
CDM,81033-512-50,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,4.88,2.88,0.59,4.39,23
CDM,81284-152-00,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,23.5,13.87,2.86,21.15,23
CDM,81284-153-00,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,23.94,14.12,2.91,21.55,23
CDM,81284-315-00,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,1853.2,1093.39,225.43,1667.88,23
CDM,81284-315-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,1853.2,1093.39,225.43,1667.88,23
CDM,81284-411-00,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,223.46,131.84,27.18,201.11,23
CDM,81284-411-05,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,223.46,131.84,27.18,201.11,23
CDM,81284-411-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,201.12,118.66,24.47,181.01,23
CDM,81284-611-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.5,6.2,1.28,9.45,23
CDM,81284-611-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.5,6.2,1.28,9.45,23
CDM,81284-612-00,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.5,6.2,1.28,9.45,23
CDM,81284-612-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",10.5,6.2,1.28,9.45,23
CDM,81284-831-05,PHYSOSTIGMINE 0.4 MG/ML INTRAVENOUS SOLUTION,625.0,368.75,76.03,562.5,23
CDM,81298-8554-1,VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV,391.0,230.69,47.56,351.9,23
CDM,81298-8660-3,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,331.75,195.73,40.36,298.58,23
CDM,8137003011,TALC TOPICAL POWDER,6.6,3.89,0.8,5.94,23
CDM,8137003314,MINERAL OIL TOPICAL,18.63,10.99,2.27,16.77,23
CDM,8137003640,COLLOIDAL OATMEAL TOPICAL PACKET,3.49,2.06,0.42,3.14,23
CDM,8142102001,"BISACODYL 5 MG TABLET,DELAYED RELEASE",1.08,0.64,0.13,0.97,23
CDM,8142102002,"BISACODYL 5 MG TABLET,DELAYED RELEASE",1.04,0.61,0.13,0.94,23
CDM,8142102004,"BISACODYL 5 MG TABLET,DELAYED RELEASE",0.71,0.42,0.09,0.64,23
CDM,8142102101,BISACODYL 10 MG RECTAL SUPPOSITORY,5.13,3.03,0.62,4.62,23
CDM,8142102102,BISACODYL 10 MG RECTAL SUPPOSITORY,4.79,2.83,0.58,4.31,23
CDM,81561-413-05,"ASPARAGINASE (ERWINIA CHRYSANTHEMI) 10,000 UNIT SOLUTION FOR INJECTION",20154.2,11890.98,2451.65,18138.78,23
CDM,81565-204-01,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,12.3,7.26,1.5,11.07,23
CDM,81565-205-01,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,10.6,6.25,1.29,9.54,23
CDM,81565-205-02,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,10.6,6.25,1.29,9.54,23
CDM,81643-9270-1,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION,18203.05,10739.8,2214.31,16382.75,23
CDM,81665-103-10,ISOSORBIDE MONONITRATE 20 MG TABLET,16.08,9.49,1.96,14.47,23
CDM,81665-108-10,ISONIAZID 300 MG TABLET,11.98,7.07,1.46,10.78,23
CDM,81864-101-30,MOMELOTINIB 200 MG TABLET,4648.66,2742.71,565.49,4183.79,23
CDM,81952-111-01,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",11.98,7.07,1.46,10.78,23
CDM,81952-111-06,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",11.98,7.07,1.46,10.78,23
CDM,81960-031-03,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),3208.34,1892.92,390.28,2887.51,23
CDM,81964-221-14,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,2.18,1.29,0.27,1.96,23
CDM,8212427181,WHITE PETROLATUM-ZINC TOPICAL PASTE,30.0,17.7,3.65,27.0,23
CDM,82154-0449-1,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,5397.3,3184.41,656.55,4857.57,23
CDM,82154-0451-4,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,5397.33,3184.42,656.56,4857.6,23
CDM,82260-102-10,PHENYLEPHRINE 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,82260-103-05,PHENYLEPHRINE 10 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,82293-001-10,ABIRATERONE 250 MG TABLET,8.69,5.13,1.06,7.82,23
CDM,82293-002-10,ABIRATERONE 500 MG TABLET,61.78,36.45,7.52,55.6,23
CDM,82293-003-10,MIDODRINE 2.5 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,82293-004-10,MIDODRINE 5 MG TABLET,0.69,0.41,0.08,0.62,23
CDM,82347-0505-4,LIDOCAINE 5 % ADHESIVE PATCH,11.4,6.73,1.39,10.26,23
CDM,82347-0505-5,LIDOCAINE 5 % ADHESIVE PATCH,11.4,6.73,1.39,10.26,23
CDM,82448-130-42,MIRDAMETINIB 1 MG CAPSULE,1031.25,608.44,125.45,928.13,23
CDM,82448-134-42,MIRDAMETINIB 1 MG TABLET FOR ORAL SUSPENSION,1031.25,608.44,125.45,928.13,23
CDM,82448-134-84,MIRDAMETINIB 1 MG TABLET FOR ORAL SUSPENSION,1031.25,608.44,125.45,928.13,23
CDM,82448-260-42,MIRDAMETINIB 2 MG CAPSULE,2062.5,1216.88,250.89,1856.25,23
CDM,82448-260-84,MIRDAMETINIB 2 MG CAPSULE,2062.5,1216.88,250.89,1856.25,23
CDM,82584-001-05,TIMOLOL 0.25 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,82584-002-05,TIMOLOL 0.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,82584-604-01,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,82584-604-30,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,82584-792-01,LIDOCAINE (PF) 3.5 % EYE GEL,93.05,54.9,11.32,83.75,23
CDM,82584-792-25,LIDOCAINE (PF) 3.5 % EYE GEL,93.03,54.89,11.32,83.73,23
CDM,82604-600-04,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,2330.5,1375.0,283.49,2097.45,23
CDM,82625-8801-1,NALOXEGOL 12.5 MG TABLET,64.19,37.87,7.81,57.77,23
CDM,82625-8802-1,NALOXEGOL 25 MG TABLET,64.19,37.87,7.81,57.77,23
CDM,82625-8802-3,NALOXEGOL 25 MG TABLET,64.19,37.87,7.81,57.77,23
CDM,82667-100-05,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",0.01,0.01,0.01,0.01,23
CDM,82667-200-01,APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,82667-500-03,"NEPAFENAC 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,82667-600-05,"DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",0.01,0.01,0.01,0.01,23
CDM,82705-002-01,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION,6517.66,3845.42,792.84,5865.89,23
CDM,82705-010-01,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,78211.8,46144.96,9514.06,70390.62,23
CDM,8290306413,"HEPARIN, PORCINE (PF) 10 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.07,1.22,0.25,1.86,23
CDM,8290306414,"HEPARIN, PORCINE (PF) 10 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.0,1.18,0.24,1.8,23
CDM,8290306423,"HEPARIN, PORCINE (PF) 100 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.12,1.25,0.26,1.91,23
CDM,8290306424,"HEPARIN, PORCINE (PF) 100 UNIT/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",2.08,1.23,0.25,1.87,23
CDM,8290372453,POVIDONE-IODINE 0.5 % SPONGE,3.5,2.07,0.43,3.15,23
CDM,82959-111-01,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,49420.0,29157.8,6011.68,44478.0,23
CDM,82959-112-01,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,12355.0,7289.45,1502.92,11119.5,23
CDM,83047-410-04,OBECABTAGENE AUTOLEUCEL (AUCATZYL) - B-ALL INFUSION (DROPS CHARGE),2625000.0,1548750.0,319317.48,2362500.0,23
CDM,83090-001-01,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,9.83,5.8,1.2,8.85,23
CDM,83090-001-10,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,9.83,5.8,1.2,8.85,23
CDM,83090-003-01,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.05,11.83,2.44,18.05,23
CDM,83090-003-10,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.05,11.83,2.44,18.05,23
CDM,83257-001-11,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION,4095.35,2416.26,498.18,3685.82,23
CDM,83257-003-11,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,11460.4,6761.64,1394.1,10314.36,23
CDM,83257-004-12,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,11460.4,6761.64,1394.1,10314.36,23
CDM,83257-005-41,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,7592.8,4479.75,923.62,6833.52,23
CDM,83257-011-11,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,1252.75,739.12,152.39,1127.48,23
CDM,83257-014-11,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,280.0,165.2,34.06,252.0,23
CDM,83257-015-31,INSULIN GLARGINE-YFGN (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,84.47,49.84,10.28,76.02,23
CDM,83257-026-11,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION,1899.95,1120.97,231.12,1709.96,23
CDM,8349030760,SODIUM CHLORIDE 7 % FOR NEBULIZATION,1.16,0.68,0.14,1.04,23
CDM,83634-400-10,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,196.19,115.75,23.87,176.57,23
CDM,83634-400-41,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,196.19,115.75,23.87,176.57,23
CDM,83634-776-10,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,83.75,49.41,10.19,75.38,23
CDM,83980-005-01,PROPRANOLOL IMMEDIATE RELEASE 10 MG TABLET,0.44,0.26,0.05,0.4,23
CDM,83980-006-01,PROPRANOLOL IMMEDIATE RELEASE 20 MG TABLET,0.27,0.16,0.03,0.24,23
CDM,83980-007-01,PROPRANOLOL IMMEDIATE RELEASE 40 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,83980-009-01,PROPRANOLOL IMMEDIATE RELEASE 80 MG TABLET,1.28,0.76,0.16,1.15,23
CDM,8438911138,WHITE PETROLATUM TOPICAL JELLY,7.25,4.28,0.88,6.53,23
CDM,8438911249,"BISMUTH TRIBROM-PETROLATUM,WH 5"" X 9"" BANDAGE",2.17,1.28,0.26,1.95,23
CDM,8452100686,WHITE PETROLATUM TOPICAL OINTMENT IN PACKET,0.58,0.34,0.07,0.52,23
CDM,8452701495,"BISMUTH TRIBROM-PETROLATUM,WH 5"" X 9"" BANDAGE",2.17,1.28,0.26,1.95,23
CDM,84612-066-01,USTEKINUMAB-AUUB 130 MG/26 ML INTRAVENOUS SOLUTION,6731.5,3971.59,818.85,6058.35,23
CDM,8765130152,PHENAZOPYRIDINE 95 MG TABLET,1.03,0.61,0.13,0.93,23
CDM,8884433200,WHITE PETROLATUM TOPICAL JELLY,2.5,1.48,0.3,2.25,23
CDM,88888-0000-07,MIDAZOLAM 500 MG/100 ML UNDILUTED INFUSION (NON-TITRATABLE) (PYXIS),266.5,157.24,32.42,239.85,23
CDM,91154-00698,LIDOCAINE 3.6 %-MENTHOL 1.25 % TOPICAL PATCH,7.45,4.4,0.91,6.71,23
CDM,91154-00699,LIDOCAINE 3.6 %-MENTHOL 1.25 % TOPICAL PATCH,7.45,4.4,0.91,6.71,23
CDM,9629513468,ACETAMINOPHEN 500 MG TABLET,0.08,0.05,0.01,0.07,23
CDM,9866-9002-01,OASIS MOISTURIZING MOUTH SPRAY,22.3,13.16,2.71,20.07,23
CDM,9999-0010-79,CELESTONE 6MG/1ML + GENTAMICIN 40MG/1ML,34.42,20.31,4.19,30.98,23
CDM,9999-0010-87,INV CLINICAL TRIAL NCCTG N08CA GLUTATHIONE OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,9999-0010-88,INV CLINICAL TRIAL NCIC MA.32 METFORMIN OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,9999-0010-89,INV CLINICAL TRIAL CALGB 70806 VITAMIN D OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,9999-0010-95,INV CLINICAL TRIAL H8A-MC-LZAO SOLANEZUMAB IVPB,0.01,0.01,0.01,0.01,23
CDM,9999-0014-03,MITOMYCIN 0.4 MG/1ML EYE PREPARATION,48.39,28.55,5.89,43.55,23
CDM,9999-0020-44,INV CLINICAL TRIAL MLN C05013 BORTEZOMIB,0.01,0.01,0.01,0.01,23
CDM,9999-0020-50,HEMOSTATIC MATRIX,940.45,554.87,114.4,846.41,23
CDM,9999-0020-52,PROGEL PLEURAL AIR LEAK SEALANT,4075.0,2404.25,495.7,3667.5,23
CDM,9999-0049-47,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,9999-0072-18,SODIUM CHLORIDE (4 MEQ/ML) PO SYRINGE (NEWBORN),0.37,0.22,0.05,0.33,23
CDM,9999-0072-19,FOLIC ACID 1 MG/0.2 ML SYRINGE,1.72,1.01,0.21,1.55,23
CDM,9999-4440-77,NIFEDIPINE 4 MG/ML ORAL SUSPENSION,1.65,0.97,0.2,1.49,23
CDM,9999-9444-124,ALTEPLASE 1 MG SOLUTION FOR INJECTION (CATHETER CLEARANCE),358.79,211.69,43.64,322.91,23
CDM,9999001070,BSS 500ML + EPINEPHRINE 1:1000 0.5ML,51.5,30.39,6.26,46.35,23
CDM,99999-0000-08,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,10.0,5.9,1.22,9.0,23
CDM,99999-0000-12,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,0.4,0.24,0.05,0.36,23
CDM,99999-0000-16,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,2.98,1.76,0.36,2.68,23
CDM,99999-0000-50,FLUCONAZOLE 2 MG/ML IV SYRINGE DOSES </= 100MG (PEDIATRIC),30.0,17.7,3.65,27.0,23
CDM,99999-0000-53,BLIXTEX LIP MEDEX,69.88,41.23,8.5,62.89,23
CDM,99999-0000-55,CALDESENE PROTECTING POWDER FRESH SCENT TALC,11.85,6.99,1.44,10.67,23
CDM,99999-0000-58,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,401.73,237.02,48.87,361.56,23
CDM,99999-0000-61,POVIDONE-IODINE 10 % TOPICAL SWAB,0.64,0.38,0.08,0.58,23
CDM,99999-0000-62,WITCH HAZEL LEAF (HAMAMELIS) TOPICAL PADS,0.55,0.32,0.07,0.5,23
CDM,99999-0000-66,ZINC OXIDE 40 % TOPICAL OINTMENT,12.8,7.55,1.56,11.52,23
CDM,99999-0000-70,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,1.35,0.8,0.16,1.22,23
CDM,99999-0000-73,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,32.78,19.34,3.99,29.5,23
CDM,99999-0000-75,PHENYLEPHRINE 0.5MG IN NS 10ML (0.05MG/ML) SYRINGE PMX,16.25,9.59,1.98,14.63,23
CDM,99999-0000-77,MERCAPTOPURINE 50 MG TABLET,7.61,4.49,0.93,6.85,23
CDM,99999-0000-80,PAROXETINE 10 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,99999-0000-81,AZATHIOPRINE (IMURAN) 25 MG HALFTAB,1.02,0.6,0.12,0.92,23
CDM,99999-0000-82,BACLOFEN (LIORESAL) 2.5 MG QUARTERTAB,0.1,0.06,0.01,0.09,23
CDM,99999-0000-83,BACLOFEN 10 MG TABLET,0.51,0.3,0.06,0.46,23
CDM,99999-0000-84,BUPROPION HCL IMMEDIATE RELEASE 75 MG TABLET,5.68,3.35,0.69,5.11,23
CDM,99999-0000-89,SPOT ENDOSCOPIC MARKER,150.0,88.5,18.25,135.0,23
CDM,99999-0000-90,WARFARIN 1 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,99999-0000-91,WARFARIN (COUMADIN) 1.25 MG HALFTAB,0.18,0.11,0.02,0.16,23
CDM,99999-0000-92,WARFARIN (COUMADIN) 1.5 MG HALFTAB,0.18,0.11,0.02,0.16,23
CDM,99999-0001-01,POTASSIUM PHOSPHATE 15MMOL IN NS 250ML IVPB PMX,21.25,12.54,2.58,19.13,23
CDM,99999-0001-02,POTASSIUM PHOSPHATE 21MMOL IN NS 250ML IVPB PMX,21.25,12.54,2.58,19.13,23
CDM,99999-0001-05,SODIUM PHOSPHATE 15MMOL IN NS 250ML IVPB PMX,21.25,12.54,2.58,19.13,23
CDM,99999-0001-06,SODIUM PHOSPHATE 21MMOL IN NS 250ML IVPB PMX,21.25,12.54,2.58,19.13,23
CDM,99999-0001-09,CALCIUM GLUCONATE 1GM IN NS 50ML IVPB PMX,25.0,14.75,3.04,22.5,23
CDM,99999-0001-10,CALCIUM GLUCONATE 1GM IN D5W 100ML IVPB (PYXIS),20.0,11.8,2.43,18.0,23
CDM,99999-0001-11,MAGNESIUM SULFATE 1GM IN NS 50ML IVPB PMX,80.0,47.2,9.73,72.0,23
CDM,99999-0001-13,MAGNESIUM SULFATE 1GM IN D5W 50ML IVPB PMX,16.25,9.59,1.98,14.63,23
CDM,99999-0001-14,MAGNESIUM SULFATE 2GM IN D5W 50ML IVPB PMX,27.5,16.23,3.35,24.75,23
CDM,99999-0001-22,OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,99999-0001-26,EPINEPHRINE 4 MG/250 ML D5W INFUSION (PYXIS),128.75,75.96,15.66,115.88,23
CDM,99999-0001-27,NOREPINEPHRINE 4 MG IN D5W 250ML INFUSION (PYXIS),40.0,23.6,4.87,36.0,23
CDM,99999-0001-28,PHENYLEPHRINE 40MG IN NS 250ML INFUSION (PYXIS),45.0,26.55,5.47,40.5,23
CDM,99999-0001-37,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,9.25,5.46,1.13,8.33,23
CDM,99999-0001-38,DEXAMETHASONE 12MG IN NS 50ML IVPB (PYXIS),9.25,5.46,1.13,8.33,23
CDM,99999-0001-39,DEXAMETHASONE 20MG IN NS 50ML IVPB PMX,13.5,7.97,1.64,12.15,23
CDM,99999-0001-47,HEPARIN 5000 UNITS IN NS 1000ML INFUSION (PYXIS),10.0,5.9,1.22,9.0,23
CDM,99999-0001-53,VANCOMYCIN 500MG IN 250ML NS IVPB PMX,15.0,8.85,1.82,13.5,23
CDM,99999-0001-55,VANCOMYCIN 1 GM IN 250ML NS IVPB PREMIX (OUTSOURCED),37.5,22.13,4.56,33.75,23
CDM,99999-0001-58,VANCOMYCIN 1.5 GM IN 500ML NS IVPB PREMIX (OUTSOURCED),51.5,30.39,6.26,46.35,23
CDM,99999-0001-63,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,93.75,55.31,11.4,84.38,23
CDM,99999-0001-64,FENTANYL 2 MCG/ML BUPIVACAINE 0.1% NS 250 (BH-PYXIS),20.1,11.86,2.45,18.09,23
CDM,99999-0001-65,HYDROMORPHONE 10MG/50ML (0.2MG/ML) INFUSION(PYXIS)-BH,0.27,0.16,0.03,0.24,23
CDM,99999-0001-66,HYDROMORPHONE 50MG/50ML (1MG/ML) INFUSION (PYXIS)-BH,34.25,20.21,4.17,30.83,23
CDM,99999-0001-67,HYDROMORPHONE 12.5 MG/250 ML (50 MCG/ML) INFUSION (PYXIS),15.0,8.85,1.82,13.5,23
CDM,99999-0001-68,MORPHINE 50MG/50ML (1MG/ML) INFUSION (PYXIS) - BH,37.5,22.13,4.56,33.75,23
CDM,99999-0001-69,MORPHINE 5 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,45.0,26.55,5.47,40.5,23
CDM,99999-0001-71,EPHEDRINE 5MG/ML SYRINGE PMX,12.5,7.38,1.52,11.25,23
CDM,99999-0001-72,PHENYLEPHRINE 0.5 MG/5 ML NS (0.1 MG/ML) VIAL PMX,0.23,0.14,0.03,0.21,23
CDM,99999-0001-73,CEFAZOLIN 1GM IN SW 10ML SYRINGE PREMIX (OUTSOURCED-PEDIATRIC),3.45,2.04,0.42,3.11,23
CDM,99999-0001-75,CEFAZOLIN 2 GM IN NS 100ML IVPB PMX,6.9,4.07,0.84,6.21,23
CDM,99999-0001-77,LET TOPICAL SOLN,17.98,10.61,2.19,16.18,23
CDM,99999-0001-81,PHENYLEPHRINE 1MG IN NS 10ML (0.1MG/ML) SYRINGE PMX,24.5,14.46,2.98,22.05,23
CDM,99999-0001-84,TPN NEONATAL OFF HOURS INFUSION PMX,124.5,73.46,15.14,112.05,23
CDM,99999-0001-95,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,1.2,0.71,0.15,1.08,23
CDM,99999-0002-08,ACETIC ACID (BULK) 3 % LIQUID,70.35,41.51,8.56,63.32,23
CDM,99999-0002-12,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,17.16,10.12,2.09,15.44,23
CDM,99999-0002-14,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,5.8,3.42,0.71,5.22,23
CDM,99999-0002-33,AMINOPHYLLINE ORAL SOLUTION 250 MG/10 ML (25 MG/ML),6.09,3.59,0.74,5.48,23
CDM,99999-0002-35,AMIODARONE 5 MG/ML ORAL SUSPENSION,24.8,14.63,3.02,22.32,23
CDM,99999-0002-40,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,0.45,0.27,0.05,0.41,23
CDM,99999-0002-42,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,0.9,0.53,0.11,0.81,23
CDM,99999-0002-47,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,100.73,59.43,12.25,90.66,23
CDM,99999-0002-50,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,106.25,62.69,12.92,95.63,23
CDM,99999-0002-55,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,2.75,1.62,0.33,2.48,23
CDM,99999-0002-59,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,14.65,8.64,1.78,13.19,23
CDM,99999-0002-67,AZATHIOPRINE ORAL SUSPENSION 50 MG/ML,0.81,0.48,0.1,0.73,23
CDM,99999-0002-73,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,45.55,26.87,5.54,41.0,23
CDM,99999-0002-74,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,57.0,33.63,6.93,51.3,23
CDM,99999-0002-79,CAFFEINE CITRATE 20 MG/ML ORAL SOLUTION,18.62,10.99,2.27,16.76,23
CDM,99999-0002-81,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",0.11,0.06,0.01,0.1,23
CDM,99999-0002-83,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",0.55,0.32,0.07,0.5,23
CDM,99999-0002-88,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,2.55,1.5,0.31,2.3,23
CDM,99999-0002-90,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,5.1,3.01,0.62,4.59,23
CDM,99999-0002-92,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,10.2,6.02,1.24,9.18,23
CDM,99999-0002-93,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,20.4,12.04,2.48,18.36,23
CDM,99999-0002-94,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,5.6,3.3,0.68,5.04,23
CDM,99999-0003-04,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,0.42,0.25,0.05,0.38,23
CDM,99999-0003-07,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,2.08,1.23,0.25,1.87,23
CDM,99999-0003-09,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,2.3,1.36,0.28,2.07,23
CDM,99999-0003-13,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,0.3,0.18,0.04,0.27,23
CDM,99999-0003-17,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,1.08,0.64,0.13,0.97,23
CDM,99999-0003-18,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,1.35,0.8,0.16,1.22,23
CDM,99999-0003-19,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,1.89,1.12,0.23,1.7,23
CDM,99999-0003-35,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,13.88,8.19,1.69,12.49,23
CDM,99999-0003-36,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,27.75,16.37,3.38,24.98,23
CDM,99999-0003-44,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,11.9,7.02,1.45,10.71,23
CDM,99999-0003-46,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,2.98,1.76,0.36,2.68,23
CDM,99999-0003-48,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,5.95,3.51,0.72,5.36,23
CDM,99999-0003-49,CYCLOSPORINE 100 MG/ML ORAL SOLUTION,4.83,2.85,0.59,4.35,23
CDM,99999-0003-50,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION,18.3,10.8,2.23,16.47,23
CDM,99999-0003-52,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,33.85,19.97,4.12,30.47,23
CDM,99999-0003-58,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.3,0.18,0.04,0.27,23
CDM,99999-0003-59,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,0.3,0.18,0.04,0.27,23
CDM,99999-0003-60,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID,5.3,3.13,0.64,4.77,23
CDM,99999-0003-61,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID,2.65,1.56,0.32,2.39,23
CDM,99999-0003-68,DOXEPIN 10 MG/ML ORAL CONCENTRATE,0.1,0.06,0.01,0.09,23
CDM,99999-0003-70,DOXEPIN 10 MG/ML ORAL CONCENTRATE,2.85,1.68,0.35,2.57,23
CDM,99999-0003-71,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,0.43,0.25,0.05,0.39,23
CDM,99999-0003-73,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",4.1,2.42,0.5,3.69,23
CDM,99999-0003-75,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,5.44,3.21,0.66,4.9,23
CDM,99999-0003-76,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,10.89,6.43,1.32,9.8,23
CDM,99999-0003-78,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,21.78,12.85,2.65,19.6,23
CDM,99999-0003-82,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,6.34,3.74,0.77,5.71,23
CDM,99999-0003-83,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,15.84,9.35,1.93,14.26,23
CDM,99999-0003-84,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,31.67,18.69,3.85,28.5,23
CDM,99999-0003-85,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,49.93,29.46,6.07,44.94,23
CDM,99999-0003-89,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,4.63,2.73,0.56,4.17,23
CDM,99999-0003-90,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,9.2,5.43,1.12,8.28,23
CDM,99999-0003-92,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,0.75,0.44,0.09,0.68,23
CDM,99999-0003-93,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,2.0,1.18,0.24,1.8,23
CDM,99999-0003-97,FUROSEMIDE 10 MG/ML ORAL SOLUTION,0.18,0.11,0.02,0.16,23
CDM,99999-0004-01,FUROSEMIDE 10 MG/ML ORAL SOLUTION,0.36,0.21,0.04,0.32,23
CDM,99999-0004-03,FUROSEMIDE 10 MG/ML ORAL SOLUTION,0.45,0.27,0.05,0.41,23
CDM,99999-0004-05,FUROSEMIDE 10 MG/ML ORAL SOLUTION,0.9,0.53,0.11,0.81,23
CDM,99999-0004-08,FUROSEMIDE 10 MG/ML ORAL SOLUTION,1.8,1.06,0.22,1.62,23
CDM,99999-0004-13,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,1.07,0.63,0.13,0.96,23
CDM,99999-0004-14,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,2.67,1.58,0.32,2.4,23
CDM,99999-0004-15,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,5.33,3.14,0.65,4.8,23
CDM,99999-0004-16,HYDROMORPHONE 1 MG/ML ORAL LIQUID,1.59,0.94,0.19,1.43,23
CDM,99999-0004-17,SIROLIMUS 1 MG/ML ORAL SOLUTION,89.18,52.62,10.85,80.26,23
CDM,99999-0004-18,METHADONE 10 MG/ML ORAL CONCENTRATE,0.26,0.15,0.03,0.23,23
CDM,99999-0004-19,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,272.25,160.63,33.12,245.03,23
CDM,99999-0004-20,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,544.5,321.26,66.24,490.05,23
CDM,99999-0004-27,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.73,1.61,0.33,2.46,23
CDM,99999-0004-30,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION,21.55,12.71,2.62,19.4,23
CDM,99999-0004-33,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,105.95,62.51,12.89,95.36,23
CDM,99999-0004-34,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,54.23,32.0,6.6,48.81,23
CDM,99999-0004-35,LAMIVUDINE 10 MG/ML ORAL SOLUTION,2.2,1.3,0.27,1.98,23
CDM,99999-0004-36,LAMIVUDINE 10 MG/ML ORAL SOLUTION,5.5,3.25,0.67,4.95,23
CDM,99999-0004-37,LAMIVUDINE 10 MG/ML ORAL SOLUTION,22.0,12.98,2.68,19.8,23
CDM,99999-0004-38,LAMIVUDINE 10 MG/ML ORAL SOLUTION,33.0,19.47,4.01,29.7,23
CDM,99999-0004-40,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,1.9,1.12,0.23,1.71,23
CDM,99999-0004-41,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,4.75,2.8,0.58,4.28,23
CDM,99999-0004-42,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,9.5,5.61,1.16,8.55,23
CDM,99999-0004-43,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,4.17,2.46,0.51,3.75,23
CDM,99999-0004-44,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,10.42,6.15,1.27,9.38,23
CDM,99999-0004-45,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,20.83,12.29,2.53,18.75,23
CDM,99999-0004-46,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,3.75,2.21,0.46,3.38,23
CDM,99999-0004-49,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,0.7,0.41,0.09,0.63,23
CDM,99999-0004-50,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,1.75,1.03,0.21,1.58,23
CDM,99999-0004-51,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,3.5,2.07,0.43,3.15,23
CDM,99999-0004-53,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,0.33,0.19,0.04,0.3,23
CDM,99999-0004-54,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,233.78,137.93,28.44,210.4,23
CDM,99999-0004-57,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION,9.5,5.61,1.16,8.55,23
CDM,99999-0004-62,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,1.25,0.74,0.15,1.13,23
CDM,99999-0004-63,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,14.7,8.67,1.79,13.23,23
CDM,99999-0004-70,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,1.95,1.15,0.24,1.76,23
CDM,99999-0004-72,METHADONE 5 MG/5 ML ORAL SOLUTION,0.26,0.15,0.03,0.23,23
CDM,99999-0004-73,METHADONE 5 MG/5 ML ORAL SOLUTION,19.8,11.68,2.41,17.82,23
CDM,99999-0004-75,MINERAL OIL ORAL,105.75,62.39,12.86,95.18,23
CDM,99999-0004-77,MORPHINE 10 MG/5 ML ORAL SOLUTION,2.93,1.73,0.36,2.64,23
CDM,99999-0004-78,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,25.75,15.19,3.13,23.18,23
CDM,99999-0004-79,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,64.38,37.98,7.83,57.94,23
CDM,99999-0004-80,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,128.75,75.96,15.66,115.88,23
CDM,99999-0004-87,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,46.0,27.14,5.6,41.4,23
CDM,99999-0004-90,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,22.33,13.17,2.72,20.1,23
CDM,99999-0004-91,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,20.5,12.1,2.49,18.45,23
CDM,99999-0004-94,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,1.03,0.61,0.13,0.93,23
CDM,99999-0004-95,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,52.98,31.26,6.44,47.68,23
CDM,99999-0004-98,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,20.05,11.83,2.44,18.05,23
CDM,99999-0004-99,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,2.7,1.59,0.33,2.43,23
CDM,99999-0005-03,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION,68.05,40.15,8.28,61.25,23
CDM,99999-0005-05,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,20.2,11.92,2.46,18.18,23
CDM,99999-0005-07,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,101.0,59.59,12.29,90.9,23
CDM,99999-0005-10,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,17.94,10.58,2.18,16.15,23
CDM,99999-0005-11,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",0.92,0.54,0.11,0.83,23
CDM,99999-0005-15,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.6,2.71,0.56,4.14,23
CDM,99999-0005-22,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,18.48,10.9,2.25,16.63,23
CDM,99999-0005-23,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,36.95,21.8,4.49,33.26,23
CDM,99999-0005-24,OXYCODONE 5 MG/5 ML ORAL SOLUTION,11.95,7.05,1.45,10.76,23
CDM,99999-0005-31,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,1.75,1.03,0.21,1.58,23
CDM,99999-0005-33,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,3.5,2.07,0.43,3.15,23
CDM,99999-0005-36,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.45,0.27,0.05,0.41,23
CDM,99999-0005-43,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,0.92,0.54,0.11,0.83,23
CDM,99999-0005-44,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,1.15,0.68,0.14,1.04,23
CDM,99999-0005-46,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,1.61,0.95,0.2,1.45,23
CDM,99999-0005-64,POTASSIUM CHLORIDE 40 MEQ/15 ML ORAL LIQUID,0.05,0.03,0.01,0.05,23
CDM,99999-0005-65,POTASSIUM CHLORIDE 40 MEQ/15 ML ORAL LIQUID,0.1,0.06,0.01,0.09,23
CDM,99999-0005-66,POTASSIUM CHLORIDE 40 MEQ/15 ML ORAL LIQUID,0.25,0.15,0.03,0.23,23
CDM,99999-0005-71,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,1.38,0.81,0.17,1.24,23
CDM,99999-0005-72,PREDNISONE 5 MG/5 ML ORAL SOLUTION,5.0,2.95,0.61,4.5,23
CDM,99999-0005-79,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,0.75,0.44,0.09,0.68,23
CDM,99999-0005-80,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,3.0,1.77,0.36,2.7,23
CDM,99999-0005-81,RISPERIDONE 1 MG/ML ORAL SOLUTION,2.65,1.56,0.32,2.39,23
CDM,99999-0005-82,RISPERIDONE 1 MG/ML ORAL SOLUTION,5.3,3.13,0.64,4.77,23
CDM,99999-0005-85,RITONAVIR 80 MG/ML ORAL SOLUTION,35.88,21.17,4.36,32.29,23
CDM,99999-0005-86,RITONAVIR 80 MG/ML ORAL SOLUTION,143.5,84.67,17.46,129.15,23
CDM,99999-0005-91,SIROLIMUS 1 MG/ML ORAL SOLUTION,250.6,147.85,30.48,225.54,23
CDM,99999-0005-99,SORBITOL 70 % SOLUTION,3.75,2.21,0.46,3.38,23
CDM,99999-0006-00,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,0.2,0.12,0.02,0.18,23
CDM,99999-0006-01,ABACAVIR 20 MG/ML ORAL SOLUTION,21.27,12.55,2.59,19.14,23
CDM,99999-0006-02,ABACAVIR 20 MG/ML ORAL SOLUTION,42.53,25.09,5.17,38.28,23
CDM,99999-0006-03,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,60.0,35.4,7.3,54.0,23
CDM,99999-0006-04,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,17.35,10.24,2.11,15.62,23
CDM,99999-0006-06,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,34.7,20.47,4.22,31.23,23
CDM,99999-0006-09,ALLOPURINOL SUSPENSION 20 MG/ML,0.55,0.32,0.07,0.5,23
CDM,99999-0006-11,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,0.7,0.41,0.09,0.63,23
CDM,99999-0006-12,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,17.28,10.2,2.1,15.55,23
CDM,99999-0006-13,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,23.3,13.75,2.83,20.97,23
CDM,99999-0006-15,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,24.39,14.39,2.97,21.95,23
CDM,99999-0006-16,AMINOPHYLLINE ORAL SOLUTION 10.5 MG/ML,42.7,25.19,5.19,38.43,23
CDM,99999-0006-19,AMIODARONE 5 MG/ML ORAL SUSPENSION,4.55,2.68,0.55,4.1,23
CDM,99999-0006-21,AMLODIPINE 1 MG/ML ORAL SUSPENSION,0.54,0.32,0.07,0.49,23
CDM,99999-0006-22,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,0.09,0.05,0.01,0.08,23
CDM,99999-0006-30,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,10.4,6.14,1.27,9.36,23
CDM,99999-0006-35,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,20.8,12.27,2.53,18.72,23
CDM,99999-0006-36,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,26.0,15.34,3.16,23.4,23
CDM,99999-0006-37,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",4300.0,2537.0,523.07,3870.0,23
CDM,99999-0006-46,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,1.25,0.74,0.15,1.13,23
CDM,99999-0006-47,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,1.15,0.68,0.14,1.04,23
CDM,99999-0006-53,CETIRIZINE SYRUP 5 MG/5 ML,0.45,0.27,0.05,0.41,23
CDM,99999-0006-58,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,0.68,0.4,0.08,0.61,23
CDM,99999-0006-62,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,1.35,0.8,0.16,1.22,23
CDM,99999-0006-65,MAGNESIUM CARBONATE (ELEMENTAL MAGNESIUM 54 MG/5 ML) ORAL LIQUID,0.53,0.31,0.06,0.48,23
CDM,99999-0006-69,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,0.03,0.02,0.01,0.03,23
CDM,99999-0006-70,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,0.05,0.03,0.01,0.05,23
CDM,99999-0006-73,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,0.25,0.15,0.03,0.23,23
CDM,99999-0006-74,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,0.5,0.3,0.06,0.45,23
CDM,99999-0006-80,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,0.92,0.54,0.11,0.83,23
CDM,99999-0006-86,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,1.95,1.15,0.24,1.76,23
CDM,99999-0007-01,SOTALOL (BETAPACE) 40 MG HALFTAB,4.19,2.47,0.51,3.77,23
CDM,99999-0007-02,MISOPROSTOL (CYTOTEC) 25 MCG QUARTERTAB,0.43,0.25,0.05,0.39,23
CDM,99999-0007-03,PRIMIDONE 250 MG TABLET,2.55,1.5,0.31,2.3,23
CDM,99999-0007-04,LITHIUM CARBONATE 150 MG HALFTAB,0.41,0.24,0.05,0.37,23
CDM,99999-0007-05,OXYBUTYNIN CHLORIDE (DITROPAN) IMMEDIATE RELEASE 2.5 MG HALFTAB,2.12,1.25,0.26,1.91,23
CDM,99999-0007-08,CARBIDOPA 25 MG-LEVODOPA 100 MG IMMEDIATE RELEASE TABLET,0.82,0.48,0.1,0.74,23
CDM,99999-0007-09,CARBAMAZEPINE (TEGRETOL) 50 MG CHEWABLE HALFTAB,1.82,1.07,0.22,1.64,23
CDM,99999-0007-10,AMITRIPTYLINE 10 MG TABLET,0.43,0.25,0.05,0.39,23
CDM,99999-0007-11,VERAPAMIL IMMEDIATE RELEASE 120 MG TABLET,0.34,0.2,0.04,0.31,23
CDM,99999-0007-12,GUANFACINE IMMEDIATE RELEASE 1 MG TABLET,0.95,0.56,0.12,0.86,23
CDM,99999-0007-13,PROPAFENONE (RYTHMOL) 75 MG HALFTAB,1.39,0.82,0.17,1.25,23
CDM,99999-0007-15,ALLOPURINOL (ZYLOPRIM) 150 MG HALFTAB,2.93,1.73,0.36,2.64,23
CDM,99999-0007-16,DIGOXIN 125 MCG (0.125 MG) TABLET,5.51,3.25,0.67,4.96,23
CDM,99999-0007-19,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",1.75,1.03,0.21,1.58,23
CDM,99999-0007-21,PRIMIDONE (MYSOLINE) 25 MG HALFTAB,1.92,1.13,0.23,1.73,23
CDM,99999-0007-22,METHIMAZOLE (TAPAZOLE) 2.5 MG HALFTAB,1.71,1.01,0.21,1.54,23
CDM,99999-0007-23,DIMENHYDRINATE 50 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,99999-0007-26,LOSARTAN 25 MG TABLET,0.36,0.21,0.04,0.32,23
CDM,99999-0007-28,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,1.37,0.81,0.17,1.23,23
CDM,99999-0007-30,LEVETIRACETAM IMMEDIATE RELEASE 250 MG TABLET,1.18,0.7,0.14,1.06,23
CDM,99999-0007-31,PYRAZINAMIDE 250 MG HALFTAB,19.32,11.4,2.35,17.39,23
CDM,99999-0007-33,TRAMADOL 50 MG TABLET,0.23,0.14,0.03,0.21,23
CDM,99999-0007-34,LEVOTHYROXINE 62.5 MCG HALFTAB,6.32,3.73,0.77,5.69,23
CDM,99999-0007-35,METOPROLOL TARTRATE IMMEDIATE RELEASE 25 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,99999-0007-36,PHENYTOIN (DILANTIN) 25 MG CHEWABLE HALFTAB,1.6,0.94,0.19,1.44,23
CDM,99999-0007-41,"INDIUM IN-111 OXYQUINOLINE, DIAGNOSTIC IV",4883.01,2880.98,593.99,4394.71,23
CDM,99999-0007-43,MORPHINE 300 MG / 30 ML PCA (PYXIS),303.0,178.77,36.86,272.7,23
CDM,99999-0007-49,AMLODIPINE 1 MG/ML ORAL SUSPENSION,2.7,1.59,0.33,2.43,23
CDM,99999-0007-50,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,0.6,0.35,0.07,0.54,23
CDM,99999-0007-51,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,4.44,2.62,0.54,4.0,23
CDM,99999-0007-52,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,5.43,3.2,0.66,4.89,23
CDM,99999-0008-12,SUCRALFATE 100 MG/ML ORAL SUSPENSION,8.35,4.93,1.02,7.52,23
CDM,99999-0008-24,URSODIOL 60 MG/ML SUSP,1.0,0.59,0.12,0.9,23
CDM,99999-0008-25,VANCOMYCIN 250 MG/5 ML ORAL SOLUTION NEW,1.27,0.75,0.15,1.14,23
CDM,99999-0008-30,"VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROPS",1.11,0.65,0.14,1.0,23
CDM,99999-0008-32,"VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROPS",3.36,1.98,0.41,3.02,23
CDM,99999-0009-00,BECLOMETHASONE IN CORN OIL,175.0,103.25,21.29,157.5,23
CDM,99999-0009-01,BECLOMETHASONE IN CORN OIL,437.5,258.13,53.22,393.75,23
CDM,99999-0009-02,CLONAZEPAM 0.1 MG/ML SUSPENSION,0.75,0.44,0.09,0.68,23
CDM,99999-0009-05,CLONAZEPAM 0.1 MG/ML SUSPENSION,3.75,2.21,0.46,3.38,23
CDM,99999-0009-12,BETHANECHOL 1 MG/ML ORAL SUSPENSION,0.33,0.19,0.04,0.3,23
CDM,99999-0009-14,CLONIDINE 20 MCG/ML ORAL SUSPENSION,7.75,4.57,0.94,6.98,23
CDM,99999-0009-16,DILTIAZEM 12 MG/ML ORAL SUSPENSION,0.25,0.15,0.03,0.23,23
CDM,99999-0009-19,HYDRALAZINE 5 MG/ML ORAL SOLUTION,9.3,5.49,1.13,8.37,23
CDM,99999-0009-30,ISRADIPINE 0.02 MG/ML ORAL SUSPENSION,276.0,162.84,33.57,248.4,23
CDM,99999-0009-31,LORAZEPAM 0.5 MG/ML ORAL SUSPENSION,2.0,1.18,0.24,1.8,23
CDM,99999-0009-32,LORAZEPAM 0.5 MG/ML ORAL SUSPENSION,4.0,2.36,0.49,3.6,23
CDM,99999-0009-33,LORAZEPAM 0.5 MG/ML ORAL SUSPENSION,1.0,0.59,0.12,0.9,23
CDM,99999-0009-34,MAGNESIUM SULFATE 62.5 MG/ML ORAL SOLUTION,130.8,77.17,15.91,117.72,23
CDM,99999-0009-35,MAGNESIUM SULFATE 125 MG/ML ORAL SOLUTION,130.8,77.17,15.91,117.72,23
CDM,99999-0009-36,METHYLDOPA 50 MG/ML ORAL SUSPENSION,4.1,2.42,0.5,3.69,23
CDM,99999-0009-37,METHYLPHENIDATE 10 MG/5 ML ORAL SOLUTION,22.98,13.56,2.8,20.68,23
CDM,99999-0009-38,METOLAZONE 1 MG/ML ORAL SUSPENSION,0.55,0.32,0.07,0.5,23
CDM,99999-0009-39,METOPROLOL TARTRATE 1 MG/ML ORAL SUSPENSION,0.15,0.09,0.02,0.14,23
CDM,99999-0009-42,METOPROLOL TARTRATE 1 MG/ML ORAL SUSPENSION,0.94,0.55,0.11,0.85,23
CDM,99999-0009-43,METRONIDAZOLE 50 MG/ML ORAL SUSPENSION,0.13,0.08,0.02,0.12,23
CDM,99999-0009-47,METRONIDAZOLE 50 MG/ML ORAL SUSPENSION,1.25,0.74,0.15,1.13,23
CDM,99999-0009-48,MORPHINE 0.4 MG/ML ORAL SOLUTION,0.16,0.09,0.02,0.14,23
CDM,99999-0009-49,THERAPEUTIC MULTIVITAMIN ORAL LIQUID,0.58,0.34,0.07,0.52,23
CDM,99999-0009-50,FLUCYTOSINE 10 MG/ML ORAL SUSPENSION,18160.28,10714.57,2209.1,16344.25,23
CDM,99999-0009-51,NEOMYCIN 100 MG/ML ORAL SOLUTION,1.25,0.74,0.15,1.13,23
CDM,99999-0009-53,QUINIDINE SULFATE 2 MG/ML ORAL SUSPENSION,5.45,3.22,0.66,4.91,23
CDM,99999-0009-57,OMEPRAZOLE 20 MG/ML ORAL SOLUTION,0.32,0.19,0.04,0.29,23
CDM,99999-0009-58,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,4.15,2.45,0.5,3.74,23
CDM,99999-0009-63,PHENOBARBITAL (ALCOHOL FREE) 10 MG/ML ORAL SUSPENSION,0.14,0.08,0.02,0.13,23
CDM,99999-0009-64,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,4224.75,2492.6,513.92,3802.28,23
CDM,99999-0009-65,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,2172.25,1281.63,264.24,1955.03,23
CDM,99999-0009-70,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,2.55,1.5,0.31,2.3,23
CDM,99999-0009-71,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,0.22,0.13,0.03,0.2,23
CDM,99999-0009-72,SODIUM CHLORIDE (ELEMENTAL SODIUM 4 MEQ/ML) ORAL SOLUTION,0.35,0.21,0.04,0.32,23
CDM,99999-0009-76,KETAMINE 10 MG/ML ORAL SOLUTION,14.33,8.45,1.74,12.9,23
CDM,99999-0009-83,"BSS+ 500ML + EPINEPHRINE 1:1000, 0.3ML",260.0,153.4,31.63,234.0,23
CDM,99999-0010-00,"LIDOCAINE 0.5% W/ EPI 1:400,000",20.0,11.8,2.43,18.0,23
CDM,99999-0010-34,SILVADENE CREAM + LIDOCAINE JELLY 2%,38.9,22.95,4.73,35.01,23
CDM,99999-0010-39,VANCOMYCIN 3GM PASTE,18.15,10.71,2.21,16.34,23
CDM,99999-0012-12,HEPARIN 1000 UNITS IN NACL 500ML,17.5,10.33,2.13,15.75,23
CDM,99999-0012-88,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,17.35,10.24,2.11,15.62,23
CDM,99999-0012-90,POLYETHYLENE GLYCOL 3350 4.25 GRAM ORAL POWDER PACKET,3.39,2.0,0.41,3.05,23
CDM,99999-0020-22,NORETHINDRONE ACETATE 5 MG TABLET,1.93,1.14,0.23,1.74,23
CDM,99999-0020-43,HIC 1210010955 BMS-936558,0.01,0.01,0.01,0.01,23
CDM,99999-0020-55,HIC 0803003591 VORINOSTAT 100MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-0021-01,"BUPIVICAINE 0.25% WITH EPINEPHRINE 1:400,000",11.6,6.84,1.41,10.44,23
CDM,99999-0021-12,VASOPRESSIN 10 UNITS/ML INJECTION,5.25,3.1,0.64,4.73,23
CDM,99999-0021-25,PERFLUORO -N-OCTANE,1992.65,1175.66,242.4,1793.39,23
CDM,99999-0027-69,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,7.93,4.68,0.96,7.14,23
CDM,99999-0040-08,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,8015.0,4728.85,974.98,7213.5,23
CDM,99999-0040-10,INV IRB CALGB 90601 BEVACIZUMAB/PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-0040-29,IRB 071101 LIPS-A,0.01,0.01,0.01,0.01,23
CDM,99999-0040-71,HIC 1308012556 TRASTUZUMAB EMTANSINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-0040-78,HIC 1104008288 TRASTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-0041-09,FLOXURIDINE INTRA-PERITONEAL INJECTION,279.55,164.93,34.01,251.6,23
CDM,99999-0041-20,INV CLINICAL TRIAL H8A-MC-LZAX SOLANEZUMAB/PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-0041-41,LABETALOL 40MG/ML ORAL SUSPENSION,2.83,1.67,0.34,2.55,23
CDM,99999-0041-77,HIC 1312013141 NIVOLUMAB (BMS-936558) MED,0.01,0.01,0.01,0.01,23
CDM,99999-0041-90,AZACITIDINE 100MG SOLUTION FOR IV INFUSION ONLY,2889.6,1704.86,351.5,2600.64,23
CDM,99999-0042-22,HIC 1402013375 EFLORNITHINE/PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-0042-23,HIC 1402013375 SULINDAC/PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-0042-24,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,20.8,12.27,2.53,18.72,23
CDM,99999-0042-25,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,41.6,24.54,5.06,37.44,23
CDM,99999-0042-29,INV CLINICAL TRIAL SWOG S0820 EFLORNITHINE (250MG TABLETS),0.01,0.01,0.01,0.01,23
CDM,99999-0042-30,INV CLINICAL TRIAL SWOG S0820 SULINDAC (150MG TABLET),0.01,0.01,0.01,0.01,23
CDM,99999-0042-48,HIC 1404013697 ORTERONEL 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0042-62,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,6.93,4.09,0.84,6.24,23
CDM,99999-0042-63,OASIS MOISTURIZING MOUTH SPRAY,22.15,13.07,2.69,19.94,23
CDM,99999-0042-76,INV CLINICAL TRIAL TRC 105,0.01,0.01,0.01,0.01,23
CDM,99999-0042-84,HIC 1408014436 (LEE011) 200MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0042-86,CYCLOPHOSPHAMIDE FOR HIC STUDIES (HIC 1407014256),0.01,0.01,0.01,0.01,23
CDM,99999-0042-88,RITUXIMAB FOR HIC STUDIES (HIC 1407014256) MED,0.01,0.01,0.01,0.01,23
CDM,99999-0042-90,HIC 1407014356 OLAPARIB OR PLACEBO 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0042-91,HIC 1407014356 OLAPARIB OR PLACEBO 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-01,HIC 1408014496 CARFILZOMIB MED,0.01,0.01,0.01,0.01,23
CDM,99999-0043-04,HIC 1408014436 LEE011 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0043-15,HIC 1408014495 REGORAFENIB (BAY 73-4506) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-16,HIC 1408014495 REGORAFENIB (BAY 73-4506) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-17,HIC 1408014495 REFAMETINIB (BAY 86-9766) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-18,HIC 1408014495 REFAMETINIB (BAY 86-9766) 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-19,HIC 1408014495 REFAMETINIB (BAY 86-9766) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-22,HIC 1407014333 0.9% NACL FLUSH WITH IV BAG PROTECTANT,0.01,0.01,0.01,0.01,23
CDM,99999-0043-34,INV CLINICAL TRIAL A081105 ERLOTINIB OR PLACEBO 25 MG,0.01,0.01,0.01,0.01,23
CDM,99999-0043-35,INV CLINICAL TRIAL E4512 CRIZOTINIB OR PLACEBO 250 MG,0.01,0.01,0.01,0.01,23
CDM,99999-0043-38,OXALIPLATIN 50 MG INTRAVENOUS SOLUTION,232.5,137.18,28.28,209.25,23
CDM,99999-0043-52,ML25710 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-0043-72,INV CLINICAL TRIAL SWOG 1216 BICALUTAMIDE 50 MG TABS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-73,INV CLINICAL TRIAL SWOG 1216 (TAK-700) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0043-82,HIC 1408014446 SUNITINIB 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0043-96,HIC 1410014761 VEMURAFENIB 240 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0044-05,HIC 1408014432 ECULIZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-0044-06,HIC 1111009332 KETAMINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-0044-07,ATROPINE 1 % SUBLINGUAL SOLUTION,0.94,0.55,0.11,0.85,23
CDM,99999-0044-15,LABETALOL 1200 MG IN 240 ML (5MG/ML) UNDILUTED,4176.0,2463.84,507.99,3758.4,23
CDM,99999-0044-20,HIC 1407014256 IBRUTINIB 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0044-21,NITROPRUSSIDE 50 MG IN 100 ML D5W (500 MCG/ML) BATCH,1037.0,611.83,126.15,933.3,23
CDM,99999-0044-22,HIC 1407014286 SEVELAMER 800 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0044-23,HIC 1407014333 HEPATITIS B VACCINE (AGE>20),0.01,0.01,0.01,0.01,23
CDM,99999-0044-25,HIC 1407014286 (BGJ398) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0044-26,HIC 1407014286 (BGJ398) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0044-28,HIC 1408014419 (MEHD7945A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-0044-31,HIC 1408014419 COBIMETINIB (GDC-0973) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0044-37,INV CLINICAL TRIAL SWOG C80702 CELECOXIB OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-0044-51,INV CLINICAL TRIAL SWOG S1406 VEMURAFENIB 240 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0044-52,HIC 1410014728 ATRYN OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-0044-53,HIC 1407014286 SEVELAMER 400 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0044-66,HIC 1409014690 (GDC-0994) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0044-74,HIC 1409014532 (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-0044-90,HIC STUDY DILUENT,0.01,0.01,0.01,0.01,23
CDM,99999-0044-92,HIC 1504015602 AFATINIB (BIBW-2992) 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0044-93,HIC 1504015602 AFATINIB (BIBW-2992) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0044-96,HIC 1412015093 NAB-PACLITAXEL,0.01,0.01,0.01,0.01,23
CDM,99999-0044-97,HIC 1504015602 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-0044-98,HIC 1409014690 MIDAZOLAM ORAL SYRUP,0.01,0.01,0.01,0.01,23
CDM,99999-0045-03,HIC 1311013008 SOLANEZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-0045-13,NIMODIPINE 30 MG/ML ORAL SOLUTION,25.7,15.16,3.13,23.13,23
CDM,99999-0045-14,OXYTOCIN FOR ANESTHESIA,5.02,2.96,0.61,4.52,23
CDM,99999-0045-24,HIC 020920997 (3-13C) ALANINE IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-0045-42,HIC 1505015805 CHLOROTHIAZIDE,0.01,0.01,0.01,0.01,23
CDM,99999-0046-01,HEPARIN 10000 UNITS IN NACL 500 ML IRRIGATION,0.08,0.05,0.01,0.07,23
CDM,99999-0046-03,BACITRACIN-POLYMYXIN B IN SODIUM CHLORIDE IRRIGATION,25.0,14.75,3.04,22.5,23
CDM,99999-0046-13,HEPARIN 20000 UNITS IN NACL 1000 ML IRRIGATION,40.0,23.6,4.87,36.0,23
CDM,99999-0046-14,HEPARIN 2000 UNITS / 100ML NACL 0.9% SOLUTION IRRIGATION,25.0,14.75,3.04,22.5,23
CDM,99999-0047-05,HIC 1410014728 RH-ANTITHROMBIN OR PLACEBO LD AND MD MED,0.01,0.01,0.01,0.01,23
CDM,99999-0047-06,HIC 1410014728 RH-ANTITHROMBIN OR PLACEBO MAINTAINENACE MED,0.01,0.01,0.01,0.01,23
CDM,99999-0047-26,HIC 1507016151 AFATINIB (BIBW-2992) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0047-27,HIC 1507016151 AFATINIB (BIBW-2992) 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0047-28,HIC 1507016151 AFATINIB (BIBW-2992) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0047-29,HIC 1507016151 (AZD9291) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0047-30,HIC 1507016151 (AZD9291) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0047-31,HIC 1507016151 CRIZOTINIB 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-32,HIC 1507016151 CRIZOTINIB 250 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-33,HIC 1507016151 DABRAFENIB 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-34,HIC 1507016151 DABRAFENIB 75 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-35,HIC 1507016151 DEFACTINIB 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-36,HIC 1507016151 SUNITINIB 12.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-37,HIC 1507016151 SUNITINIB 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-38,HIC 1507016151 SUNITINIB 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-0047-39,HIC 1507016151 TRAMETINIB 0.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0047-40,HIC 1507016151 TRAMETINIB 2 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0047-41,HIC 1507016151 TRASTUZUMAB EMTANSINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-0047-65,HIC 1401013253 RITUXIMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-0047-70,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",41.6,24.54,5.06,37.44,23
CDM,99999-0047-72,"INVESTIGATIONAL RADIUM RA 223 DICHLORIDE 1,000 KBQ/ML (27 MICROCURIE/ML) IV",0.01,0.01,0.01,0.01,23
CDM,99999-0047-75,DOXORUBICIN INJECTION (NON-ROUNDED),156.38,92.26,19.02,140.74,23
CDM,99999-0047-80,MITOMYCIN 0.5 MG/ML EYE PREPARATION (PYXIS),301.75,178.03,36.71,271.58,23
CDM,99999-0047-81,CABERGOLINE 0.5 MG TABLET,7.31,4.31,0.89,6.58,23
CDM,99999-0047-83,TECHNETIUM TC-99M MIP-1404,0.01,0.01,0.01,0.01,23
CDM,99999-0047-87,HIC 1510016716 HYDROCORTISONE OR PLACEBO (MAINTENANCE) MED,0.01,0.01,0.01,0.01,23
CDM,99999-0048-21,BETADINE IRRIGATION 500 ML,20.0,11.8,2.43,18.0,23
CDM,99999-0048-57,HIC 1602017292 OCRELIZUMAB 300MG OPEN LABEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-0048-58,HIC 1602017292 OCRELIZUMAB 600MG OPEN LABEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-0048-65,INV CLINICAL TRIAL CRENEZUMAB/PLACEBO (60MG/KG) 50ML,0.01,0.01,0.01,0.01,23
CDM,99999-0048-66,INV CLINICAL TRIAL CRENEZUMAB/PLACEBO (60MG/KG) 100ML,0.01,0.01,0.01,0.01,23
CDM,99999-0048-79,HIC 1602017292 METHYLPREDNISOLONE 100MG IVPB PREMEDICATION MED,0.01,0.01,0.01,0.01,23
CDM,99999-0048-95,INV GLUTAMINE/PLACEBO POWDER,0.01,0.01,0.01,0.01,23
CDM,99999-0049-05,IOHEXOL (OMNIPAQUE) 300 MG/ML ORAL SOLUTION 30 ML IN WATER 900 ML,355.5,209.75,43.24,319.95,23
CDM,99999-0049-06,PYL-2301 (RESEARCH),0.01,0.01,0.01,0.01,23
CDM,99999-0049-07,BUPIVACAINE (PF) 0.125 % (1.25 MG/ML) INJECTION SOLUTION,6.3,3.72,0.77,5.67,23
CDM,99999-0049-09,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,105.6,62.3,12.85,95.04,23
CDM,99999-0049-17,HIC 1603017466 PREGNENOLONE 100MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-0049-19,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-0049-21,I-131 IOMAB-B (RESEARCH),0.01,0.01,0.01,0.01,23
CDM,99999-0054-22,OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,99999-0054-23,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,99999-0060-01,ACETIC ACID (BULK) 3 % LIQUID,1.8,1.06,0.22,1.62,23
CDM,99999-0060-03,EPINEPHRINE 0.00625%/LIDOCAINE 0.75% IN BSS PF INTRA-OP OPHTHALMIC INJECTION (SIMPLE),8.15,4.81,0.99,7.34,23
CDM,99999-0060-04,CISATRACURIUM 200 MG/100 ML UNDILUTED IV INFUSION,807.5,476.43,98.23,726.75,23
CDM,99999-0060-05,VANCOMYCIN 2 GM IN BONE CEMENT 40 GM,283.0,166.97,34.43,254.7,23
CDM,99999-0060-10,VANCOMYCIN 1 GM IN BONE CEMENT 40 GM,16.5,9.74,2.01,14.85,23
CDM,99999-0070-17,"HIC 2000037774 PHESGO (PERTUZUMAB 600MG, TRASTUZUMAB 600MG, HYALURONIDASE-ZZXF 20000U) MAINTENANCE DOSE",0.01,0.01,0.01,0.01,23
CDM,99999-0070-18,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SYR/SOL (WRAPPED E-RX),16.4,9.68,1.99,14.76,23
CDM,99999-0070-21,"HIC 2000037774 HERCEPTIN HYLECTA (TRASTUZUMAB 600 MG, HYALURONIDASE-OYSK 10,000 UNITS)",0.01,0.01,0.01,0.01,23
CDM,99999-0070-25,ARIPIPRAZOLE (ABILIFY) 2.5 MG HALFTAB,140.17,82.7,17.05,126.15,23
CDM,99999-0070-26,ARIPIPRAZOLE 15 MG TABLET,140.17,82.7,17.05,126.15,23
CDM,99999-0070-30,AMIODARONE 200 MG TABLET,2.86,1.69,0.35,2.57,23
CDM,99999-0070-39,ATENOLOL (TENORMIN) 12.5 MG HALFTAB,0.81,0.48,0.1,0.73,23
CDM,99999-0070-41,BACLOFEN 10 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,99999-0070-44,BENZTROPINE MESYLATE (COGENTIN) 0.25 MG HALFTAB,0.53,0.31,0.06,0.48,23
CDM,99999-0070-47,BUPROPION HCL IMMEDIATE RELEASE 100 MG TABLET,7.34,4.33,0.89,6.61,23
CDM,99999-0070-51,CADD SET WITH SPIKE,38.25,22.57,4.65,34.43,23
CDM,99999-0070-52,CAPTOPRIL 12.5 MG TABLET,6.63,3.91,0.81,5.97,23
CDM,99999-0070-55,CARBIDOPA-LEVODOPA (SINEMET) IMMEDIATE RELEASE 12.5 MG-50 MG HALFTAB,0.52,0.31,0.06,0.47,23
CDM,99999-0070-61,CHLORTHALIDONE (HYGROTEN) 12.5 MG HALFTAB,7.58,4.47,0.92,6.82,23
CDM,99999-0070-62,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,56.78,33.5,6.91,51.1,23
CDM,99999-0070-65,CLONIDINE HCL 0.1 MG TABLET,0.11,0.06,0.01,0.1,23
CDM,99999-0070-66,COLCHICINE 0.6 MG TABLET,16.65,9.82,2.03,14.99,23
CDM,99999-0070-67,CORTISONE 25 MG TABLET,12.5,7.38,1.52,11.25,23
CDM,99999-0070-70,CYCLOBENZAPRINE 10 MG TABLET,0.31,0.18,0.04,0.28,23
CDM,99999-0070-75,DOXAZOSIN 1 MG TABLET,14.51,8.56,1.77,13.06,23
CDM,99999-0070-87,FLUDROCORTISONE 0.1 MG TABLET,2.78,1.64,0.34,2.5,23
CDM,99999-0070-90,GLIMEPIRIDE (AMARYL) 0.5 MG HALFTAB,0.49,0.29,0.06,0.44,23
CDM,99999-0070-91,GLIPIZIDE (GLUCOTROL) IMMEDIATE RELEASE 2.5 MG HALFTAB,1.25,0.74,0.15,1.13,23
CDM,99999-0070-92,HALOPERIDOL 0.5 MG TABLET,1.34,0.79,0.16,1.21,23
CDM,99999-0070-93,HYDRALAZINE 25 MG TABLET,0.17,0.1,0.02,0.15,23
CDM,99999-0070-94,HYDRALAZINE (APRESOLINE) 5 MG HALFTAB,0.9,0.53,0.11,0.81,23
CDM,99999-0070-97,PROPRANOLOL (INDERAL) IMMEDIATE RELEASE 5 MG HALFTAB,1.25,0.74,0.15,1.13,23
CDM,99999-0070-98,PYRIDOSTIGMINE (MESTINON) IMMEDIATE RELEASE 30 MG HALFTAB,4.73,2.79,0.58,4.26,23
CDM,99999-0071-07,SPIRONOLACTONE 25 MG TABLET,0.58,0.34,0.07,0.52,23
CDM,99999-0071-09,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",2.31,1.36,0.28,2.08,23
CDM,99999-0071-10,"THEOPHYLLINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",1.65,0.97,0.2,1.49,23
CDM,99999-0071-11,TIZANIDINE 2 MG TABLET,0.77,0.45,0.09,0.69,23
CDM,99999-0071-12,TORSEMIDE 100 MG TABLET,0.84,0.5,0.1,0.76,23
CDM,99999-0071-16,LAMOTRIGINE IMMEDIATE RELEASE 100 MG TABLET,0.67,0.4,0.08,0.6,23
CDM,99999-0071-21,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.38,0.22,0.05,0.34,23
CDM,99999-0071-26,METFORMIN IMMEDIATE RELEASE 500 MG TABLET,0.26,0.15,0.03,0.23,23
CDM,99999-0071-32,NADOLOL (CORGARD) 10 MG HALFTAB,13.2,7.79,1.61,11.88,23
CDM,99999-0071-33,NALTREXONE 50 MG TABLET,14.22,8.39,1.73,12.8,23
CDM,99999-0071-35,CAFFEINE 200 MG TABLET,0.56,0.33,0.07,0.5,23
CDM,99999-0071-38,PAROXETINE 10 MG TABLET,3.94,2.32,0.48,3.55,23
CDM,99999-0071-42,PRIMIDONE (MYSOLINE) 25 MG HALFTAB,1.92,1.13,0.23,1.73,23
CDM,99999-0071-44,TRAZODONE 50 MG TABLET,0.22,0.13,0.03,0.2,23
CDM,99999-0071-46,TRIHEXYPHENIDYL 2 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,99999-0071-48,VENLAFAXINE IMMEDIATE RELEASE 37.5 MG TABLET,2.83,1.67,0.34,2.55,23
CDM,99999-0071-49,VERAPAMIL (CALAN) IMMEDIATE RELEASE 20 MG HALFTAB,0.55,0.32,0.07,0.5,23
CDM,99999-0071-50,VERAPAMIL (CALAN) IMMEDIATE RELEASE 60 MG HALFTAB,0.34,0.2,0.04,0.31,23
CDM,99999-0071-51,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",1.5,0.89,0.18,1.35,23
CDM,99999-0071-59,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,2.5,1.48,0.3,2.25,23
CDM,99999-0071-61,CIPROFLOXACIN IN D5W (2 MG/ML) IV SYRINGE (PEDIATRIC),0.1,0.06,0.01,0.09,23
CDM,99999-0071-62,FLUCONAZOLE 2 MG/ML IVPB DOSES > 120MG (PEDIATRIC),0.3,0.18,0.04,0.27,23
CDM,99999-0071-64,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,3.22,1.9,0.39,2.9,23
CDM,99999-0071-67,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,109.47,64.59,13.32,98.52,23
CDM,99999-0071-69,APREPITANT 80 MG CAPSULE,933.85,550.97,113.6,840.47,23
CDM,99999-0071-72,DEXTROSE 15 GRAM/59 ML ORAL LIQUID,15.05,8.88,1.83,13.55,23
CDM,99999-0071-74,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,0.1,0.06,0.01,0.09,23
CDM,99999-0071-76,PSYLLIUM ORAL PACKET,0.14,0.08,0.02,0.13,23
CDM,99999-0071-79,METAPROTERENOL 10 MG/5 ML ORAL SYRUP,16.68,9.84,2.03,15.01,23
CDM,99999-0071-81,SUMATRIPTAN 50 MG TABLET,3.87,2.28,0.47,3.48,23
CDM,99999-0071-82,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR,3.75,2.21,0.46,3.38,23
CDM,99999-0071-83,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,13.5,7.97,1.64,12.15,23
CDM,99999-0071-84,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,6.22,3.67,0.76,5.6,23
CDM,99999-0071-86,POVIDONE-IODINE 10 % TOPICAL SWAB,0.72,0.42,0.09,0.65,23
CDM,99999-0071-89,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,23088.45,13622.19,2808.59,20779.61,23
CDM,99999-0071-97,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,1.38,0.81,0.17,1.24,23
CDM,99999-0071-98,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,512.0,302.08,62.28,460.8,23
CDM,99999-0072-06,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2782.39,1641.61,338.46,2504.15,23
CDM,99999-0072-10,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,26.25,15.49,3.19,23.63,23
CDM,99999-0072-43,FENTANYL (SUBLIMAZE) PCA 50 MCG/ML (30 ML) YNH (PYXIS),1.72,1.01,0.21,1.55,23
CDM,99999-0072-57,DOXYLAMINE SUCCINATE 12.5 MG HALFTAB,0.48,0.28,0.06,0.43,23
CDM,99999-0072-58,INDIUM 111-PENETREOTIDE INJECTION,11517.33,6795.22,1401.02,10365.6,23
CDM,99999-0072-76,CARDIOPLEGIA SOLUTION LOW K (BH),11500.0,6785.0,1398.91,10350.0,23
CDM,99999-0072-77,CARDIOPLEGIA SOLUTION HIGH K (BH),115.0,67.85,13.99,103.5,23
CDM,99999-0072-78,TECHNETIUM TC-99M PYROPHOSPHATE INJECTION,173.37,102.29,21.09,156.03,23
CDM,99999-0072-86,FENTANYL 2MCG/ML AND BUPIVICAINE 0.1%(1MG/ML) IN NS 250ML INFUSION PMX,173.75,102.51,21.14,156.38,23
CDM,99999-0072-96,ICODEXTRIN 7.5 % WITH CA (3.5 MEQ/L) DIALYSATE BASE SOLUTION,0.05,0.03,0.01,0.05,23
CDM,99999-0072-98,SILVERLON WOUND CONTACT ANTIMICROBIAL SILVER,63.23,37.31,7.69,56.91,23
CDM,99999-0073-00,LIOTHYRONINE 25 MCG TABLET,1.76,1.04,0.21,1.58,23
CDM,99999-0073-01,TRAZODONE (DESYREL) 12.5 MG QUARTERTAB,0.06,0.04,0.01,0.05,23
CDM,99999-0073-04,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,0.01,0.01,0.01,0.01,23
CDM,99999-0073-05,ALTEPLASE 4 MG/10 ML (PD CATHETER CLEARANCE) PYXIS,1479.1,872.67,179.92,1331.19,23
CDM,99999-0073-07,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,20.0,11.8,2.43,18.0,23
CDM,99999-0073-08,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,20.0,11.8,2.43,18.0,23
CDM,99999-0073-98,LEVOTHYROXINE 25 MCG TABLET,1.24,0.73,0.15,1.12,23
CDM,99999-0074-01,SALIVA SUBSTITUTE COMBO NO.2,39.9,23.54,4.85,35.91,23
CDM,99999-0075-01,LORAZEPAM 0.5 MG/ML ORAL SUSPENSION,60.0,35.4,7.3,54.0,23
CDM,99999-0075-02,CLONAZEPAM 0.1 MG/ML SUSPENSION,90.0,53.1,10.95,81.0,23
CDM,99999-009-25,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,1.6,0.94,0.19,1.44,23
CDM,99999-009-26,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,11.25,6.64,1.37,10.13,23
CDM,99999-009-27,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,22.15,13.07,2.69,19.94,23
CDM,99999-009-28,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,33.23,19.61,4.04,29.91,23
CDM,99999-009-29,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,44.3,26.14,5.39,39.87,23
CDM,99999-0091-31,PEDIATRIC MULTIVITAMIN NO.171 750 UNIT-35 MG-400 UNIT/ML ORAL DROPS,0.31,0.18,0.04,0.28,23
CDM,99999-0102-79,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR,18.1,10.68,2.2,16.29,23
CDM,99999-0106-00,ZIDOVUDINE 10 MG/ML ORAL SYRUP,0.36,0.21,0.04,0.32,23
CDM,99999-0106-09,LORAZEPAM 0.5 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,99999-0106-13,PHYTONADIONE (VITAMIN K) 1 MG/ML ORAL SOLUTION - CONTAINS PRESERVATIVES,3.75,2.21,0.46,3.38,23
CDM,99999-0200-00,LMH COMPOUNDED INTRATHECAL SYRINGE,600.0,354.0,72.99,540.0,23
CDM,99999-0200-03,CAPTOPRIL 1 MG/ML SUSP,0.13,0.08,0.02,0.12,23
CDM,99999-0200-08,CAPTOPRIL 1 MG/ML SUSP,0.25,0.15,0.03,0.23,23
CDM,99999-0200-20,CAPTOPRIL 1 MG/ML SUSP,1.0,0.59,0.12,0.9,23
CDM,99999-0200-25,CAPTOPRIL 1 MG/ML SUSP,2.5,1.48,0.3,2.25,23
CDM,99999-0200-27,ALLOPURINOL SUSPENSION 20 MG/ML,2.75,1.62,0.33,2.48,23
CDM,99999-0200-30,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,3.15,1.86,0.38,2.84,23
CDM,99999-0200-40,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,13.4,7.91,1.63,12.06,23
CDM,99999-0200-41,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,17.86,10.54,2.17,16.07,23
CDM,99999-0200-43,CLONIDINE 20 MCG/ML ORAL SUSPENSION,1.25,0.74,0.15,1.13,23
CDM,99999-0200-44,CLONIDINE 20 MCG/ML ORAL SUSPENSION,2.5,1.48,0.3,2.25,23
CDM,99999-0200-46,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,30.6,18.05,3.72,27.54,23
CDM,99999-0200-47,CALCITRIOL 1 MCG/ML ORAL SOLUTION,25.92,15.29,3.15,23.33,23
CDM,99999-0200-48,CALCITRIOL 1 MCG/ML ORAL SOLUTION,2.6,1.53,0.32,2.34,23
CDM,99999-0200-51,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,5.22,3.08,0.63,4.7,23
CDM,99999-0200-54,AMIODARONE 5 MG/ML ORAL SUSPENSION,3.72,2.19,0.45,3.35,23
CDM,99999-0200-55,AMIODARONE 5 MG/ML ORAL SUSPENSION,6.2,3.66,0.75,5.58,23
CDM,99999-0200-59,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,23.82,14.05,2.9,21.44,23
CDM,99999-0200-62,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR,7.5,4.43,0.91,6.75,23
CDM,99999-0200-66,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,4.19,2.47,0.51,3.77,23
CDM,99999-0200-68,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,1.68,0.99,0.2,1.51,23
CDM,99999-0200-69,DOXYCYCLINE 50 MG/5 ML ORAL SYRUP,24.63,14.53,3.0,22.17,23
CDM,99999-0200-73,ENTECAVIR 0.05 MG/ML ORAL SOLUTION,212.1,125.14,25.8,190.89,23
CDM,99999-0200-74,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",25.63,15.12,3.12,23.07,23
CDM,99999-0200-81,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,0.09,0.05,0.01,0.08,23
CDM,99999-0200-86,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,2.28,1.35,0.28,2.05,23
CDM,99999-0200-91,ISONIAZID 50 MG/5 ML ORAL SOLUTION,11.85,6.99,1.44,10.67,23
CDM,99999-0200-93,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,0.95,0.56,0.12,0.86,23
CDM,99999-0200-96,METOLAZONE 1 MG/ML ORAL SUSPENSION,0.14,0.08,0.02,0.13,23
CDM,99999-0201-02,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,58.6,34.57,7.13,52.74,23
CDM,99999-0201-04,AMLODIPINE 1 MG/ML ORAL SUSPENSION,0.11,0.06,0.01,0.1,23
CDM,99999-0201-05,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.9,0.53,0.11,0.81,23
CDM,99999-0201-10,METRONIDAZOLE 50 MG/ML ORAL SUSPENSION,2.5,1.48,0.3,2.25,23
CDM,99999-0201-11,MIDAZOLAM 2 MG/ML ORAL SYRUP,1.35,0.8,0.16,1.22,23
CDM,99999-0201-12,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,26.0,15.34,3.16,23.4,23
CDM,99999-0201-13,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,13.0,7.67,1.58,11.7,23
CDM,99999-0201-14,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,6.5,3.84,0.79,5.85,23
CDM,99999-0201-18,PERPHENAZINE 0.5 MG/ML ORAL SOLUTION,4.32,2.55,0.53,3.89,23
CDM,99999-0201-23,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,0.25,0.15,0.03,0.23,23
CDM,99999-0201-24,SIROLIMUS 1 MG/ML ORAL SOLUTION,27.9,16.46,3.39,25.11,23
CDM,99999-0201-26,URSODIOL 60 MG/ML SUSP,5.0,2.95,0.61,4.5,23
CDM,99999-0201-27,URSODIOL 60 MG/ML SUSP,10.0,5.9,1.22,9.0,23
CDM,99999-0201-28,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,102.9,60.71,12.52,92.61,23
CDM,99999-0201-35,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,239.28,141.18,29.11,215.35,23
CDM,99999-0201-37,SILDENAFIL 2.5 MG/ML ORAL SUSPENSION,10.35,6.11,1.26,9.32,23
CDM,99999-0201-38,SILDENAFIL 2.5 MG/ML ORAL SUSPENSION,20.7,12.21,2.52,18.63,23
CDM,99999-0201-40,SILDENAFIL 2.5 MG/ML ORAL SUSPENSION,2.04,1.2,0.25,1.84,23
CDM,99999-0201-46,BACLOFEN 5 MG/ML ORAL SUSPENSION,0.5,0.3,0.06,0.45,23
CDM,99999-0201-47,BACLOFEN 5 MG/ML ORAL SUSPENSION,1.02,0.6,0.12,0.92,23
CDM,99999-0201-51,PROPYLTHIOURACIL 5 MG/ML ORAL SUSPENSION,0.1,0.06,0.01,0.09,23
CDM,99999-0201-53,AMILORIDE 1 MG/ML ORAL SUSPENSION,0.83,0.49,0.1,0.75,23
CDM,99999-0201-54,VERAPAMIL 50 MG/ML SUSPENSION,0.05,0.03,0.01,0.05,23
CDM,99999-0201-58,PHENAZOPYRIDINE 10 MG/ML ORAL SUSPENSION,5.5,3.25,0.67,4.95,23
CDM,99999-0201-59,CARVEDILOL 1.67 MG/ML ORAL SUSPENSION,0.21,0.12,0.03,0.19,23
CDM,99999-0201-63,ATENOLOL 2 MG/ML ORAL SUSPENSION,0.75,0.44,0.09,0.68,23
CDM,99999-0201-64,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,308.43,181.97,37.52,277.59,23
CDM,99999-0201-67,ISRADIPINE 1 MG/ML ORAL SUSPENSION,1.85,1.09,0.23,1.67,23
CDM,99999-0201-68,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,18.0,10.62,2.19,16.2,23
CDM,99999-0201-77,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,22.54,13.3,2.74,20.29,23
CDM,99999-0201-80,FOLIC ACID 1 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,99999-0201-81,GLYCOPYRROLATE (ROBINUL) 0.5 MG HALFTAB,0.79,0.47,0.1,0.71,23
CDM,99999-0201-82,ZIDOVUDINE 10 MG/ML ORAL SYRUP,7.2,4.25,0.88,6.48,23
CDM,99999-0201-85,LABETALOL 300 MG TABLET,3.59,2.12,0.44,3.23,23
CDM,99999-0201-95,COTRIMOXAZOLE DESENSITIZATION 4MG/5ML TMP,1.2,0.71,0.15,1.08,23
CDM,99999-0201-96,COTRIMOXAZOLE DESENSITIZATION  0.4MG/10ML TMP,0.1,0.06,0.01,0.09,23
CDM,99999-0201-97,COTRIMOXAZOLE DESENSITIZATION 0.04MG/5ML TMP,0.05,0.03,0.01,0.05,23
CDM,99999-0201-98,COTRIMOXAZOLE DESENSITIZATION 0.004MG/5ML TMP,0.05,0.03,0.01,0.05,23
CDM,99999-0202-00,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,0.63,0.37,0.08,0.57,23
CDM,99999-0202-01,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR,4.53,2.67,0.55,4.08,23
CDM,99999-0202-02,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,11.25,6.64,1.37,10.13,23
CDM,99999-0202-03,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,9.0,5.31,1.09,8.1,23
CDM,99999-0202-13,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,93.2,54.99,11.34,83.88,23
CDM,99999-0202-17,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,0.28,0.17,0.03,0.25,23
CDM,99999-0202-23,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR,1.25,0.74,0.15,1.13,23
CDM,99999-0202-25,TRIHEXYPHENIDYL 5 MG TABLET,2.48,1.46,0.3,2.23,23
CDM,99999-0202-32,BUSPIRONE 5 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,99999-0202-47,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,1.55,0.91,0.19,1.4,23
CDM,99999-0202-48,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,0.31,0.18,0.04,0.28,23
CDM,99999-0202-49,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,9.3,5.49,1.13,8.37,23
CDM,99999-0202-50,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,3.1,1.83,0.38,2.79,23
CDM,99999-0202-51,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,1.24,0.73,0.15,1.12,23
CDM,99999-0202-52,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,0.93,0.55,0.11,0.84,23
CDM,99999-0202-57,METHADONE PCA 10 MG/ML (30 ML) (YNH),1068.0,630.12,129.92,961.2,23
CDM,99999-0202-66,ZIDOVUDINE 10 MG/ML ORAL SYRUP,14.4,8.5,1.75,12.96,23
CDM,99999-0202-73,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,3.83,2.26,0.47,3.45,23
CDM,99999-0202-80,ALLOPURINOL SUSPENSION 20 MG/ML,16.5,9.74,2.01,14.85,23
CDM,99999-0202-90,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,1.23,0.73,0.15,1.11,23
CDM,99999-0202-91,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR,0.08,0.05,0.01,0.07,23
CDM,99999-0202-92,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,3.1,1.83,0.38,2.79,23
CDM,99999-0202-94,PERPHENAZINE 0.5 MG/ML ORAL SOLUTION,8.64,5.1,1.05,7.78,23
CDM,99999-0202-96,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,0.28,0.17,0.03,0.25,23
CDM,99999-0202-97,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,8.73,5.15,1.06,7.86,23
CDM,99999-0202-99,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,1.28,0.76,0.16,1.15,23
CDM,99999-0203-00,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,11.55,6.81,1.4,10.4,23
CDM,99999-0203-02,ZIDOVUDINE 10 MG/ML ORAL SYRUP,3.6,2.12,0.44,3.24,23
CDM,99999-0203-03,ZIDOVUDINE 10 MG/ML ORAL SYRUP,0.72,0.42,0.09,0.65,23
CDM,99999-0203-06,MIDAZOLAM 2 MG/ML ORAL SYRUP,6.64,3.92,0.81,5.98,23
CDM,99999-0203-07,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,6.95,4.1,0.85,6.26,23
CDM,99999-0203-09,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.14,0.08,0.02,0.13,23
CDM,99999-0203-10,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.27,0.16,0.03,0.24,23
CDM,99999-0203-11,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,0.54,0.32,0.07,0.49,23
CDM,99999-0203-17,CLONAZEPAM (KLONOPIN) 0.25 MG HALFTAB,0.1,0.06,0.01,0.09,23
CDM,99999-0203-18,DESMOPRESSIN (DDAVP) 0.05 MG HALFTAB,5.86,3.46,0.71,5.27,23
CDM,99999-0203-20,LABETALOL (NORMODYNE) 50 MG HALFTAB,1.46,0.86,0.18,1.31,23
CDM,99999-0203-21,MINOXIDIL 10 MG TABLET,1.15,0.68,0.14,1.04,23
CDM,99999-0203-22,SERTRALINE 25 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,99999-0203-23,THIOGUANINE (TABLOID) 20 MG HALFTAB,23.75,14.01,2.89,21.38,23
CDM,99999-0203-25,ASPIRIN 20.25 MG CHEWABLE QUARTERTAB,0.05,0.03,0.01,0.05,23
CDM,99999-0203-26,ASPIRIN 81 MG CHEWABLE TABLET,0.14,0.08,0.02,0.13,23
CDM,99999-0203-37,BROMOCRIPTINE 2.5 MG TABLET,7.37,4.35,0.9,6.63,23
CDM,99999-0203-40,LEUCOVORIN CALCIUM (WELLCORVIN) 2.5 MG HALFTAB,3.65,2.15,0.44,3.29,23
CDM,99999-0203-48,CLOZAPINE 25 MG TABLET,1.79,1.06,0.22,1.61,23
CDM,99999-0203-49,DAPSONE 12.5 MG HALFTAB,5.25,3.1,0.64,4.73,23
CDM,99999-0203-50,CYPROHEPTADINE 4 MG TABLET,3.05,1.8,0.37,2.75,23
CDM,99999-0203-53,DILTIAZEM (CARDIZEM) IMMEDIATE RELEASE 15 MG HALFTAB,0.46,0.27,0.06,0.41,23
CDM,99999-0203-54,DILTIAZEM (CARDIZEM) 45 MG HALFTAB,1.64,0.97,0.2,1.48,23
CDM,99999-0203-56,ETHAMBUTOL 100 MG TABLET,1.42,0.84,0.17,1.28,23
CDM,99999-0203-60,FLUCONAZOLE 50 MG TABLET,0.3,0.18,0.04,0.27,23
CDM,99999-0203-62,GLYBURIDE 1.25 MG TABLET,0.5,0.3,0.06,0.45,23
CDM,99999-0203-63,GUAIFENESIN 200 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,99999-0203-64,HALOPERIDOL (HALDOL) 2.5 MG HALFTAB,4.22,2.49,0.51,3.8,23
CDM,99999-0203-65,HYDROCORTISONE (CORTEF) 1.25 MG QUARTERTAB,0.17,0.1,0.02,0.15,23
CDM,99999-0203-66,HYDROCORTISONE (CORTEF) 2.5 MG HALFTAB,1.33,0.78,0.16,1.2,23
CDM,99999-0203-67,ISOSORBIDE MONONITRATE ER (IMDUR) 15 MG HALFTAB,1.25,0.74,0.15,1.13,23
CDM,99999-0203-71,LABETALOL (NORMODYNE) 50 MG HALFTAB,0.29,0.17,0.04,0.26,23
CDM,99999-0203-74,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,1.41,0.83,0.17,1.27,23
CDM,99999-0203-76,NEOMYCIN 125 MG QUARTERTAB,1.57,0.93,0.19,1.41,23
CDM,99999-0203-78,LITHIUM CARBONATE ER (ESKALITH) 225 MG HALFTAB,1.75,1.03,0.21,1.58,23
CDM,99999-0203-79,LORATADINE 10 MG TABLET,1.92,1.13,0.23,1.73,23
CDM,99999-0203-82,METHYLDOPA (ALDOMET) 125 MG HALFTAB,0.36,0.21,0.04,0.32,23
CDM,99999-0203-84,METRONIDAZOLE 250 MG TABLET,1.41,0.83,0.17,1.27,23
CDM,99999-0203-87,PRAZIQUANTEL (BILTRICIDE) 150 MG QUARTERTAB,17.15,10.12,2.09,15.44,23
CDM,99999-0203-89,PREDNISONE 1 MG TABLET,0.65,0.38,0.08,0.59,23
CDM,99999-0203-90,PROPRANOLOL (INDERAL) IMMEDIATE RELEASE 5 MG HALFTAB,0.08,0.05,0.01,0.07,23
CDM,99999-0203-91,PROBENECID 500 MG TABLET,2.76,1.63,0.34,2.48,23
CDM,99999-0203-97,SULFADIAZINE 500 MG TABLET,7.25,4.28,0.88,6.53,23
CDM,99999-0203-98,SULFASALAZINE (AZULFIDINE) 250 MG HALFTAB,0.81,0.48,0.1,0.73,23
CDM,99999-0204-00,TERBUTALINE 2.5 MG TABLET,20.19,11.91,2.46,18.17,23
CDM,99999-0204-05,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",0.66,0.39,0.08,0.59,23
CDM,99999-0204-07,ACETAMINOPHEN (TYLENOL) 162.5 MG HALFTAB,0.09,0.05,0.01,0.08,23
CDM,99999-0204-12,CEFUROXIME AXETIL 250 MG TABLET,1.71,1.01,0.21,1.54,23
CDM,99999-0204-22,DIPYRIDAMOLE 25 MG TABLET,1.02,0.6,0.12,0.92,23
CDM,99999-0204-31,NEFAZODONE 50 MG TABLET,2.1,1.24,0.26,1.89,23
CDM,99999-0204-41,CARBIDOPA-LEVODOPA (SINEMET) IMMEDIATE RELEASE 12.5 MG-125 MG HALFTAB,1.01,0.6,0.12,0.91,23
CDM,99999-0204-46,REPAGLINIDE 1 MG TABLET,13.43,7.92,1.63,12.09,23
CDM,99999-0204-47,ACETIC ACID 0.5 % IRRIGATION SOLN,100.0,59.0,12.16,90.0,23
CDM,99999-0204-48,SODIUM BICARBONATE 325 MG TABLET,0.07,0.04,0.01,0.06,23
CDM,99999-0204-52,PROPYLTHIOURACIL (PTU) 25 MG HALFTAB,3.48,2.05,0.42,3.13,23
CDM,99999-0204-53,PHENAZOPYRIDINE (PYRIDIUM) 50 MG HALFTAB,0.35,0.21,0.04,0.32,23
CDM,99999-0204-55,DESMOPRESSIN (DDAVP) 0.025 MG QUARTERTAB,1.46,0.86,0.18,1.31,23
CDM,99999-0204-56,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,0.12,0.07,0.01,0.11,23
CDM,99999-0204-67,SURGIFLO HEMOSTATIC MATRIX,2475.0,1460.25,301.07,2227.5,23
CDM,99999-0205-01,1/4 NS WITH HEPARIN 1 UNIT/ML AND LIDOCAINE INFUSION (NEWBORN BATCH),10.5,6.2,1.28,9.45,23
CDM,99999-0205-12,CYCLOPHOSPHAMIDE 2 MG/ML SUSPENSION,0.9,0.53,0.11,0.81,23
CDM,99999-0205-13,THIOGUANINE 20 MG/ML ORAL SUSPENSION,23.75,14.01,2.89,21.38,23
CDM,99999-0205-56,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,17.5,10.33,2.13,15.75,23
CDM,99999-0206-02,BISMUTH SUBGALLATE (BULK) POWDER,6.25,3.69,0.76,5.63,23
CDM,99999-0206-50,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,0.98,0.58,0.12,0.88,23
CDM,99999-0209-08,HIC 1112009392 LENALIDOMIDE,0.01,0.01,0.01,0.01,23
CDM,99999-021-35,CHERRY FLAVOR (BULK) ORAL LIQUID,0.11,0.06,0.01,0.1,23
CDM,99999-021-36,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,211.65,124.87,25.75,190.49,23
CDM,99999-021-54,MIDAZOLAM 50 MG IN 0.9% NACL (1 MG/ML) INFUSION (PYXIS),74.5,43.96,9.06,67.05,23
CDM,99999-021-59,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,20.85,12.3,2.54,18.77,23
CDM,99999-021-69,GATIFLOXACIN OPHTHALMIC SOLUTION 0.5% (UNIT DOSE SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-021-70,LORAZEPAM 100MG IN D5W 100ML (1MG/ML) INFUSION (PYXIS),129.5,76.41,15.75,116.55,23
CDM,99999-021-71,LORAZEPAM 50MG IN D5W 50ML (1MG/ML) INFUSION (PYXIS),64.75,38.2,7.88,58.28,23
CDM,99999-021-72,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,0.67,0.4,0.08,0.6,23
CDM,99999-021-73,VANCOMYCIN 25 MG/0.5 ML SODIUM CHLORIDE 0.9% INTRA-OP OPHTHALMIC INJECTION (SIMPLE),0.58,0.34,0.07,0.52,23
CDM,99999-021-74,GH INV S1418 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-021-97,HIC 1607018056 SATURATED SOLUTION OF POTASSIUM IODIDE,0.01,0.01,0.01,0.01,23
CDM,99999-021-99,BRIVARACETAM 10 MG/ML ORAL SOLUTION,110.35,65.11,13.42,99.32,23
CDM,99999-022-01,ETHYLENEDIAMINETETRAACETIC ACID (EDTA) 3% OPHTHALMIC SOLUTION 5ML VOLUME,525.0,309.75,63.86,472.5,23
CDM,99999-022-03,ISOPROTERENOL INJ 200 MCG/1 ML NS VIAL (BATCH),101.99,60.17,12.41,91.79,23
CDM,99999-022-10,PRISMASATE B22GK 4/0 PRIMING SOLUTION,125.0,73.75,15.21,112.5,23
CDM,99999-022-21,HIC 2000020541 SARGRAMOSTIM,0.01,0.01,0.01,0.01,23
CDM,99999-022-22,HIC 2000020541 SARGRAMOSTIM SELF INJECTION SUPPLIES,0.01,0.01,0.01,0.01,23
CDM,99999-022-23,HIC 2000020541 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-022-24,HIC 2000020541 NIVOLUMAB (BMS-936558) MED,0.01,0.01,0.01,0.01,23
CDM,99999-022-42,HIC 2000020739 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-022-43,HIC 2000020739 NIVOLUMAB (BMS-936558) MED,0.01,0.01,0.01,0.01,23
CDM,99999-022-58,HIC 1611018656 OSIMERTINIB (AZD9291) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-022-59,HIC 1611018656 OSIMERTINIB (AZD9291) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-022-60,HIC 1611018656 MLN0128 (TAK-228) 1 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-022-61,HIC 1611018656 MLN0128 (TAK-228) 3 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-022-62,HIC 1611018656 MLN0128 (TAK-228) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-022-67,APREPITANT 20 MG/ML ORAL SUSPENSION,466.93,275.49,56.8,420.24,23
CDM,99999-022-97,PHYTONADIONE (VITAMIN K) 1 MG/ML ORAL SOLUTION - CONTAINS PRESERVATIVES,7.5,4.43,0.91,6.75,23
CDM,99999-022-98,PHYTONADIONE (VITAMIN K) 2 MG/ML ORAL SOLUTION - PRESERVATIVE FREE-NEONATES ONLY,139.81,82.49,17.01,125.83,23
CDM,99999-023-52,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,1.05,0.62,0.13,0.95,23
CDM,99999-023-90,HIC 1401013207 PREGABALIN 75MG/150MG OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-024-08,HIC 1509016491 (BTCT4465A) 0.8 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-024-09,HIC 1509016491 (BTCT4465A) 4.2 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-024-13,POLYETHYLENE GLYCOL 3350 2.125 GRAM ORAL POWDER PACKET,3.39,2.0,0.41,3.05,23
CDM,99999-024-39,HIC 2000021407 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-024-40,HIC 2000021407 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-024-42,HIC 1509016491 ATEZOLIZUMAB (MPDL3280A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-024-47,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,0.63,0.37,0.08,0.57,23
CDM,99999-024-59,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,170.1,100.36,20.69,153.09,23
CDM,99999-024-80,FENTANYL 2 MCG/ML BUPIVICAINE 0.125% IN NS 250 ML EPIDURAL (PYXIS),112.5,66.38,13.69,101.25,23
CDM,99999-024-81,HYDROMORPHONE 3 MCG/ML & BUP 0.125% IN NS 250 ML EPIDURAL (PYXIS),38.75,22.86,4.71,34.88,23
CDM,99999-025-02,HIC 2000021105 ACALABRUTINIB OR PLACEBO 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-09,HIC 2000020994 IBRUTINIB OR PLACEBO 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-10,HIC 2000020731 IPILIMUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-025-12,HIC 2000021105 BENDAMUSTINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-025-14,HIC 2000021105 RITUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-025-16,POTASSIUM CHLORIDE (0.1 MEQ/ML) IN 0.9% NS PERIPHERAL LINE (NEWBORN/PEDIATRIC),0.04,0.02,0.01,0.04,23
CDM,99999-025-17,POTASSIUM CHLORIDE (0.2 MEQ/ML) IN 0.9% NS CENTRAL LINE (NEWBORN/PEDIATRIC),0.04,0.02,0.01,0.04,23
CDM,99999-025-18,HIC 2000020994 IBRUTINIB 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-20,HIC 2000021105 ACALABRUTINIB 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-21,HIC 2000020575 PATRITUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-025-22,HIC 2000020575 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-025-23,HIC 2000020575 TALAZOPARIB 0.25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-24,PROLASTIN DILUENT,0.01,0.01,0.01,0.01,23
CDM,99999-025-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,66.5,39.24,8.09,59.85,23
CDM,99999-025-38,HIC 2000021345 KETAMINE INFUSION MED,0.01,0.01,0.01,0.01,23
CDM,99999-025-39,HIC 2000021345 DIAZEPAM 10MG,0.01,0.01,0.01,0.01,23
CDM,99999-025-40,HIC 2000021345 PERAMPANEL OPEN LABEL 6MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-025-41,HIC 2000021345 PERAMPANEL 6MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-43,HIC 2000021703 STUDY ETOH 80 PROOF IN 6 EQUAL DOSES,0.01,0.01,0.01,0.01,23
CDM,99999-025-44,HIC 2000021703 MAVOGLURANT 100 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-025-74,HIC 1305012042 (1-13-C) GLUCOSE IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-025-75,HIC 1305012042 (6-6-2H2) GLUCOSE IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-025-76,HIC 1305012042 (2-13-C ACETATE 350 MMOL/LITER IVPB),0.01,0.01,0.01,0.01,23
CDM,99999-025-79,HIC 1111009332 DIAZEPAM 10MG,0.01,0.01,0.01,0.01,23
CDM,99999-025-90,HIC 2000021311 VISMODEGIB (GDC-0449) 150 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-91,HIC 2000021311 (GSK2256098) 250 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-025-92,HIC 2000022049 (CA-4948) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-026-07,FLECAINIDE 20 MG/ML ORAL SUSPENSION,3.6,2.12,0.44,3.24,23
CDM,99999-026-08,FLECAINIDE 20 MG/ML ORAL SUSPENSION,10.8,6.37,1.31,9.72,23
CDM,99999-026-10,"HIC 1305012042 (3,3,3 -2H3 SODIUM ACETATE 350 MMOL/LITER IVPB)",0.01,0.01,0.01,0.01,23
CDM,99999-026-15,HIC 1602017292 LTE OCRELIZUMAB 600MG OPEN LABEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-026-20,HIC 2000022322 (AG-270) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-026-21,HIC 2000022322 (AG-270) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-026-22,HIC 2000022322 (AG-270) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-026-23,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID,1.33,0.78,0.16,1.2,23
CDM,99999-026-29,HIC 1508016363 CERALASERTIB (AZD6738) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-026-30,HIC 1508016363 CERALASERTIB (AZD6738) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-026-33,HIC 2000022289 AZACITIDINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-026-39,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,15.0,8.85,1.82,13.5,23
CDM,99999-026-44,POTASSIUM AND SODIUM PHOSPHATES (ELEMENTAL PHOSPHORUS 3.3 MG/ML) ORAL,0.03,0.02,0.01,0.03,23
CDM,99999-026-45,POTASSIUM AND SODIUM PHOSPHATES (ELEMENTAL PHOSPHORUS 3.3 MG/ML) ORAL,0.63,0.37,0.08,0.57,23
CDM,99999-026-46,POTASSIUM AND SODIUM PHOSPHATES (ELEMENTAL PHOSPHORUS 3.3 MG/ML) ORAL,2.5,1.48,0.3,2.25,23
CDM,99999-026-47,MAGNESIUM CARBONATE (ELEMENTAL MAGNESIUM 54 MG/5 ML) ORAL LIQUID,0.27,0.16,0.03,0.24,23
CDM,99999-026-50,HIC 2000021054 PRITELIVIR TABLET 100 MG INVESTIGATIONAL STUDY DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-026-51,HIC 2000021054 PRITELIVIR TABLET 400 MG INVESTIGATIONAL STUDY DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-026-52,HIC 2000021054 FOSCARNET (24 MG/ML) MED,0.01,0.01,0.01,0.01,23
CDM,99999-026-53,HIC 2000021054 FOSCARNET UNDILUTED (24 MG/ML) IVPB (CENTRAL LINE),0.01,0.01,0.01,0.01,23
CDM,99999-026-61,HIC 2000022058 PERTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-026-62,HIC 2000022058 TRASTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-026-76,HIC 2000022408 (ASTX029),0.01,0.01,0.01,0.01,23
CDM,99999-026-79,HIC 1509016530 DIAZEPAM 10MG,0.01,0.01,0.01,0.01,23
CDM,99999-027-08,KETAMINE 100 MG/ML INJECTION SOLUTION,7.06,4.17,0.86,6.35,23
CDM,99999-027-19,HIC 2000022608 BI907828 (BRIGIMADLIN) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-027-20,HIC 2000022608 BI907828 (BRIGIMADLIN) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-027-21,HIC 2000022608 BI907828 (BRIGIMADLIN) 1 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-027-22,HIC 2000022608 BI907828 (BRIGIMADLIN) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-027-35,HIC 2000022372 WTX 15MG TABLETS OPEN LABEL,0.01,0.01,0.01,0.01,23
CDM,99999-027-60,HIC 1606017917 TEMSIROLIMUS MED,0.01,0.01,0.01,0.01,23
CDM,99999-027-76,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,29.38,17.33,3.57,26.44,23
CDM,99999-027-80,HIC 2000022505 DEGARELIX 240 MG SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-027-94,HIC 2000022522 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-027-95,HIC 2000022522 UMBRALISIB (TGR-1202) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-028-06,HIC 2000022055 BLINATUMOMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-07,HIC 2000022055 IV SOLUTION STABILIZER FOR BLINATUMOMAB,0.01,0.01,0.01,0.01,23
CDM,99999-028-08,HIC 2000022055 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-09,HIC 2000022055 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-18,HIC 2000021392 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-20,HIC 2000022564 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-30,RIFAMPIN 25 MG/ML ORAL SUSPENSION,0.7,0.41,0.09,0.63,23
CDM,99999-028-49,HIC 2000021757 (APX005M) MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-50,HIC 2000021757 CABIRALIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-51,HIC 2000021757 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-82,AMINO ACID SOLUTION (L-LYSINE 25G + L-ARGININE 25G),2050.0,1209.5,249.37,1845.0,23
CDM,99999-028-86,HIC 2000020575 DURVALUMAB (MEDI-4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-87,HIC 2000020575 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-028-88,HIC 2000029428 (SGN-LIV1A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-92,HIC 2000023211 SACITUZUMAB GOVITECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-028-96,VANCOMYCIN 50 MG/ML ORAL SOLUTION,7.8,4.6,0.95,7.02,23
CDM,99999-028-97,VANCOMYCIN 50 MG/ML ORAL SOLUTION,15.6,9.2,1.9,14.04,23
CDM,99999-029-00,HIC 0209020997 GS 0976 20MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-029-05,HIC 2000023045 (ASP1948) MED,0.01,0.01,0.01,0.01,23
CDM,99999-029-41,HIC 2000023418 LUSPATERCEPT (ACE-536),0.01,0.01,0.01,0.01,23
CDM,99999-029-45,HIC 2000023361 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-029-46,HIC 2000023361 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-029-59,HIC 2000022903 (VX15/2503) MED,0.01,0.01,0.01,0.01,23
CDM,99999-029-66,HIC 2000022001 DEUTERIUM OXIDE 10G,0.01,0.01,0.01,0.01,23
CDM,99999-029-67,HIC 2000022001 IOTHALAMATE MEGLUMINE (CONRAY) 60%,0.01,0.01,0.01,0.01,23
CDM,99999-029-68,HIC 2000022001 IODINATED I-131 ALBUMIN INJECTION DIAGNOSTIC OPEN LABEL,0.01,0.01,0.01,0.01,23
CDM,99999-029-69,HIC 2000022001 LYSINE CHLORIDE 10.5 GRAMS OR PLACEBO POWDER,0.01,0.01,0.01,0.01,23
CDM,99999-029-70,HIC 2000022001 SUPER SATURATED POTASSIUM IODIDE 130MG,0.01,0.01,0.01,0.01,23
CDM,99999-030-13,HIC STUDY DISTILLED WATER,0.01,0.01,0.01,0.01,23
CDM,99999-030-17,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION,0.06,0.04,0.01,0.05,23
CDM,99999-030-18,MINOXIDIL 1MG/ML ORAL SUSPENSION,0.12,0.07,0.01,0.11,23
CDM,99999-030-24,HIC 0209020997 DEUTERIUM OXIDE 4.5 G ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-030-43,HIC 2000023248 (AZD4635) 1 SUSPENSION KIT,0.01,0.01,0.01,0.01,23
CDM,99999-030-44,HIC 2000023248 DURVALUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-030-85,HIC 0209020997 SODIUM-D-3-HYDROXYBUTYRATE 13C4 (U-13C) IN SODIUM CHLORIDE 0.9% (2 MG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-030-87,HIC 0209020997 GLUCAGON 10 MICROGRAM/ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-030-98,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,0.68,0.4,0.08,0.61,23
CDM,99999-030-99,HIC 2000023250 (CX-2029) MED,0.01,0.01,0.01,0.01,23
CDM,99999-0300-47,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,0.6,0.35,0.07,0.54,23
CDM,99999-0300-48,CLONIDINE 20 MCG/ML ORAL SUSPENSION,0.5,0.3,0.06,0.45,23
CDM,99999-0302-02,ADENOSINE 24 MCG/ML (SYRINGE) 3 ML,17.39,10.26,2.12,15.65,23
CDM,99999-0302-03,PENTOBARBITAL SODIUM 50 MG/ML ORAL SYRINGE,455.0,268.45,55.35,409.5,23
CDM,99999-0302-06,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,4.33,2.55,0.53,3.9,23
CDM,99999-0302-18,VANCOMYCIN ENEMA 500MG/100ML IN NS,9.0,5.31,1.09,8.1,23
CDM,99999-0302-19,VANCOMYCIN ORAL SOLUTION 125 MG/5 ML,2.53,1.49,0.31,2.28,23
CDM,99999-0304-01,METHADONE 5 MG/5 ML ORAL SOLUTION,1.75,1.03,0.21,1.58,23
CDM,99999-0304-55,ALTEPLASE 1 MG/ML IV SOLUTION,427.43,252.18,51.99,384.69,23
CDM,99999-0304-56,FENTANYL 2 MCG/ML BUPIVICAINE 0.125% IN NS 100 ML EPIDURAL (PYXIS),45.0,26.55,5.47,40.5,23
CDM,99999-0304-57,POTASSIUM CHLORIDE 0.5 MEQ/ML IN NS,2.7,1.59,0.33,2.43,23
CDM,99999-0304-58,NEOSTIGMINE 0.2MG/ML 5 ML SYRINGE,3.35,1.98,0.41,3.02,23
CDM,99999-0304-61,TRIPLE MIX MOUTHWASH PMX,13.5,7.97,1.64,12.15,23
CDM,99999-0304-62,PHENYLEPHRINE 1000MCG 5ML NS,0.23,0.14,0.03,0.21,23
CDM,99999-0305-02,METHADONE 5 MG/5 ML ORAL SOLUTION,99.0,58.41,12.04,89.1,23
CDM,99999-0305-05,NITROGLYCERIN 100 MCG/ML INJECTION,1.5,0.89,0.18,1.35,23
CDM,99999-0305-06,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,27.5,16.23,3.35,24.75,23
CDM,99999-0305-07,NOREPINEPHRINE 16 MG IN D5W 250ML INFUSION (PYXIS),150.0,88.5,18.25,135.0,23
CDM,99999-0305-25,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,0.9,0.53,0.11,0.81,23
CDM,99999-0305-26,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,19.83,11.7,2.41,17.85,23
CDM,99999-0305-30,ABC DOPHILUS,3.08,1.82,0.37,2.77,23
CDM,99999-0305-31,AMOXICILLIN 125 MG-POTASSIUM CLAVULANATE 31.25 MG/5 ML ORAL SUSP,11.0,6.49,1.34,9.9,23
CDM,99999-0305-32,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.15,0.09,0.02,0.14,23
CDM,99999-0305-33,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,1.3,0.77,0.16,1.17,23
CDM,99999-0305-34,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),2.47,1.46,0.3,2.22,23
CDM,99999-0305-35,VASOPRESSOR KIT,125.0,73.75,15.21,112.5,23
CDM,99999-0306-05,MAGNESIUM SULFATE 2G IN NS 100ML (PYXIS),11.0,6.49,1.34,9.9,23
CDM,99999-0306-10,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,76.25,44.99,9.28,68.63,23
CDM,99999-0306-42,DOPAMINE 1600 MCG/ML IV SYRINGE INFUSION 3ML (NEWBORN),2.01,1.19,0.24,1.81,23
CDM,99999-0306-50,FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE,3.53,2.08,0.43,3.18,23
CDM,99999-0306-51,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,30.0,17.7,3.65,27.0,23
CDM,99999-0306-52,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,22.5,13.28,2.74,20.25,23
CDM,99999-0306-53,LACOSAMIDE 10 MG/ML ORAL SOLUTION,14.29,8.43,1.74,12.86,23
CDM,99999-0306-54,LACOSAMIDE 10 MG/ML ORAL SOLUTION,57.15,33.72,6.95,51.44,23
CDM,99999-0306-55,MAGIC MOUTHWASH WITH LIDOCAINE,5.4,3.19,0.66,4.86,23
CDM,99999-0306-56,MAGIC MOUTHWASH WITH NYSTATIN (BH),3.0,1.77,0.36,2.7,23
CDM,99999-0306-57,MAGIC MOUTHWASH WITHOUT LIDOCAINE,6.0,3.54,0.73,5.4,23
CDM,99999-0306-58,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,58.68,34.62,7.14,52.81,23
CDM,99999-0306-63,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",0.16,0.09,0.02,0.14,23
CDM,99999-0306-65,VANCOMYCIN ORAL SOLUTION 125 MG/5 ML,22.0,12.98,2.68,19.8,23
CDM,99999-0306-66,ANTICOAGULANT CITRATE DEXTROSE SOLUTION,25.0,14.75,3.04,22.5,23
CDM,99999-0306-67,ACETIC ACID (BULK) 3 % LIQUID,225.0,132.75,27.37,202.5,23
CDM,99999-0306-68,ACETIC ACID (BULK) 5 % LIQUID,65.0,38.35,7.91,58.5,23
CDM,99999-0306-69,ACETIC ACID 4 % IRRIGATION SOLN,20.0,11.8,2.43,18.0,23
CDM,99999-0306-71,EYE KIT #1 (BH),591.35,348.9,71.93,532.22,23
CDM,99999-0306-72,MALIGNANT HYPERTHERMIA KIT,34299.55,20236.73,4172.36,30869.6,23
CDM,99999-0308-12,CALCIUM ACETATE(PHOSPHAT BINDRS) 667 MG(169 MG CALCIUM)/5 ML ORAL SOLN,4.0,2.36,0.49,3.6,23
CDM,99999-031-02,HIC 2000023759 CABOZANTINIB (XL 184) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-03,HIC 2000023759 CABOZANTINIB (XL 184) 60 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-08,HIC 2000022902 ERDAFITINIB (JNJ-42756493) 3 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-09,HIC 2000022902 ERDAFITINIB (JNJ-42756493) 4 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-10,HIC 2000022902 ERDAFITINIB (JNJ-42756493) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-11,HIC 2000022902 SELUMETINIB (AZD6244 HYDROGEN SULFATE) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-031-12,HIC 2000022902 SELUMETINIB (AZD6244 HYDROGEN SULFATE) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-031-13,HIC 2000022902 TAZEMETOSTAT 30 MG/ML ORAL SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-031-14,HIC 2000022902 (LY3023414) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-15,HIC 2000022902 (LY3023414) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-16,HIC 2000022902 LAROTRECTINIB (LOXO-101) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-031-17,HIC 2000022902 LAROTRECTINIB (LOXO-101) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-031-18,HIC 2000022902 LAROTRECTINIB (LOXO-101) 20 MG/ML ORAL LIQUID,0.01,0.01,0.01,0.01,23
CDM,99999-031-19,HIC 2000022902 ENSARTINIB (X-396 HYDROCHLORIDE) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-031-20,HIC 2000022902 ENSARTINIB (X-396 HYDROCHLORIDE) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-031-21,"HIC 2000022902 OLAPARIB (LYNPARZA, AZD2281) 25 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-031-22,"HIC 2000022902 OLAPARIB (LYNPARZA, AZD2281) 100 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-031-23,"HIC 2000022902 OLAPARIB (LYNPARZA, AZD2281) 150 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-031-24,HIC 2000022902 VEMURAFENIB 120 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-25,HIC 2000022902 VEMURAFENIB 240 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-031-26,"HIC 2000022902 PALBOCICLIB (IBRANCE, PD-033299) 75 MG CAPSULES",0.01,0.01,0.01,0.01,23
CDM,99999-031-27,"HIC 2000022902 PALBOCICLIB (IBRANCE, PD-033299) 100 MG CAPSULES",0.01,0.01,0.01,0.01,23
CDM,99999-031-28,"HIC 2000022902 PALBOCICLIB (IBRANCE, PD-033299) 125 MG CAPSULES",0.01,0.01,0.01,0.01,23
CDM,99999-031-36,UREA 15 GRAM ORAL POWDER PACKET,2.06,1.22,0.25,1.85,23
CDM,99999-031-40,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,0.38,0.22,0.05,0.34,23
CDM,99999-031-42,GH REGN2810 CEMIPLIMAB MEDICATION,0.01,0.01,0.01,0.01,23
CDM,99999-031-43,HIC 2000022534 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-031-44,HIC 2000022534 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-031-49,QUINIDINE SULFATE 10 MG/ML ORAL SUSPENSION,0.2,0.12,0.02,0.18,23
CDM,99999-031-58,HIC 2000023885 (RADIUM-223),0.01,0.01,0.01,0.01,23
CDM,99999-031-60,HIC 2000023966 (68 GA-PSMA-11),0.01,0.01,0.01,0.01,23
CDM,99999-031-61,HIC 2000023966 (177 LU-PSMA-617),0.01,0.01,0.01,0.01,23
CDM,99999-031-69,HIC 2000024021 ZILOVERTAMAB (CIRMTUZUMAB; UC-961) MED,0.01,0.01,0.01,0.01,23
CDM,99999-031-70,HIC 2000024021 IBRUTINIB 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-031-77,"HIC 2000023142 ALDESLEUKIN (IL-2, PROLEUKIN) MED",0.01,0.01,0.01,0.01,23
CDM,99999-031-78,HIC 2000023142 FLUDARABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-031-79,HIC 2000023142 CYCLOPHOSPHAMIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-031-86,CHILLED SODIUM CHLORIDE 0.9% IV BOLUS,5.0,2.95,0.61,4.5,23
CDM,99999-032-05,HIC 2000023142 MESNA MED,0.01,0.01,0.01,0.01,23
CDM,99999-032-06,HIC 2000023142 AUTOLOGOUS TUMOR INFILTRATING LYMPHOCYTES (TIL) LN-145 INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-032-10,HIC 2000023915 (FLX475) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-032-11,HIC 2000023915 (FLX475) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-032-12,HIC 2000023915 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-032-19,HIC 2000022001 LYSINE CHLORIDE 10.5 GRAMS,0.01,0.01,0.01,0.01,23
CDM,99999-032-20,HIC 2000022001 POTASSIUM IODIDE 130 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-032-21,HIC 2000022001 POTASSIUM IODIDE 130 MG ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-032-29,HYDRALAZINE 4 MG/ML ORAL SUSPENSION,0.9,0.53,0.11,0.81,23
CDM,99999-032-30,HYDRALAZINE 4 MG/ML ORAL SUSPENSION,0.18,0.11,0.02,0.16,23
CDM,99999-032-39,HIC 2000023595 CRIZOTINIB (XALKORI) 150 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-032-40,HIC 2000023595 CRIZOTINIB (XALKORI) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-032-41,HIC 2000023595 CRIZOTINIB (XALKORI) 250 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-032-42,HIC 2000023595 CRIZOTINIB (XALKORI) 25 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-032-56,HIC 2000024074 OCRELIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-032-68,HIC 2000024206 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-032-83,GH INV A031501 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-032-93,HIC 2000024188 DABRAFENIB 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-032-94,HIC 2000024188 DABRAFENIB 75 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-032-95,HIC 2000024188 TRAMETINIB 0.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-032-96,HIC 2000024188 TRAMETINIB 2 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-032-97,BISOPROLOL FUMARATE 5 MG TABLET,1.24,0.73,0.15,1.12,23
CDM,99999-032-98,HIC 2000024188 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-032-99,HIC 2000024188 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-033-13,HIC 2000023045 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-033-35,HIC 0209020997 L-ALANINE 5 MG/ML IN 0.45% NACL IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-033-47,HIC 2000024399 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-033-48,HIC 2000024399 TREMELIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-033-51,HIC 2000023235 (BIIB093) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-033-52,HIC 2000024614 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-033-61,HIC 2000023149 INSULIN REGULAR HUMAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-033-62,"HIC 2000023149 (6,6-2H2) GLUCOSE 3 GRAMS IN 1000 ML D20W IVPB",0.01,0.01,0.01,0.01,23
CDM,99999-033-63,HIC 2000023149 (2H5) GLYCEROL 15 MG/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-033-64,"HIC 2000023149 99% (6,6-2H2) GLUCOSE 50 MG/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE",0.01,0.01,0.01,0.01,23
CDM,99999-033-71,CLORAZEPATE DIPOTASSIUM 1.875 MG HALFTAB,2.31,1.36,0.28,2.08,23
CDM,99999-033-73,HIC 2000024494 TALABOSTAT (BXCL701) 0.2 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-033-92,HIC 2000024688 VALEMETOSTAT TOSYLATE (DS-3201B) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-033-93,HIC 2000024688 VALEMETOSTAT TOSYLATE (DS-3201B) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-033-96,TEMOZOLOMIDE 10MG/ML SUSPENSION,221.3,130.57,26.92,199.17,23
CDM,99999-033-98,HIC 2000024690 RIBOCICLIB (LEE011) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-033-99,HIC 2000020575 (SD-101),0.01,0.01,0.01,0.01,23
CDM,99999-034-00,HIC 2000020575 TUCATINIB 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-01,HIC 2000020575 TUCATINIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-08,HIC 2000021039 BENDAMUSTINE (BENDEKA) MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-09,HIC 2000021039 BRENTUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-10,HIC 2000021039 NIVOLUMAB (BMS-936558) MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-19,FENTANYL PF 5 MCG/ML-BUPIVACAINE PF 0.063 % EPIDURAL,35.0,20.65,4.26,31.5,23
CDM,99999-034-30,HIC 2000021039 BENDAMUSTINE (TREANDA) MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-31,HIC 1507016151 ERDAFITINIB (JNJ-42756493) 3 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-32,HIC 1507016151 ERDAFITINIB (JNJ-42756493) 4 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-33,HIC 1507016151 ERDAFITINIB (JNJ-42756493) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-36,HIC 2000024729 (ARV-110) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-37,HIC 2000024729 (ARV-110) 35 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-38,FOLIC ACID 1 MG/ML ORAL SUSPENSION,0.3,0.18,0.04,0.27,23
CDM,99999-034-43,HIC 2000024303 RPTR-147 (TRQ15) AUTOLOGOUS T CELLS,0.01,0.01,0.01,0.01,23
CDM,99999-034-44,HIC 2000024732 CEDIRANIB (AZD2171) 15 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-45,HIC 2000024732 CEDIRANIB (AZD2171) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-46,HIC 2000024732 OLAPARIB (AZD2281) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-47,HIC 2000024732 OLAPARIB (AZD2281) 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-56,HIC 2000022715 OZANIMOD 0.23 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-034-57,HIC 2000022715 OZANIMOD 0.92 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-034-58,HIC 2000024497 OZANIMOD 0.23 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-034-59,HIC 2000024497 OZANIMOD 0.92 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-034-62,KETAMINE 50 MG/ML INJECTION SOLUTION,3.87,2.28,0.47,3.48,23
CDM,99999-034-71,SENNA LEAF EXTRACT 176 MG/5 ML ORAL SYRUP,1.1,0.65,0.13,0.99,23
CDM,99999-034-82,IRB 011902 V-GO INSULIN DELIVERY DEVICE INVESTIGATIONAL STUDY BASAL,0.01,0.01,0.01,0.01,23
CDM,99999-034-83,HIC 2000025107 ATEZOLIZUMAB (MPDL3280A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-84,HIC 2000025050 OBINUTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-85,HIC 2000025050 IBRUTINIB 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-034-86,HIC 2000025050 VENETOCLAX 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-87,HIC 2000025050 VENETOCLAX 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-88,HIC 2000025050 VENETOCLAX 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-89,HIC 2000025056 OBINUTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-90,HIC 2000025056 IBRUTINIB 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-034-91,HIC 2000025056 VENETOCLAX 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-92,HIC 2000025056 VENETOCLAX 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-93,HIC 2000025056 VENETOCLAX 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-034-94,HIC 1510016571 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-96,HIC 1510016571 PART 4 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-034-97,CLOBAZAM 10 MG TABLET,17.78,10.49,2.16,16.0,23
CDM,99999-035-17,HIC 2000025207 PEMBROLIZUMAB (MK-3475) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-23,HIC 1311013008 SOLANEZUMAB (OLE) 400 MG OR 800 MG OR 1600 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-24,IRB 011902 V-GO INSULIN DELIVERY DEVICE INVESTIGATIONAL STUDY BOLUS,0.01,0.01,0.01,0.01,23
CDM,99999-035-25,CANNABIDIOL 100 MG/ML ORAL SOLUTION,61.75,36.43,7.51,55.58,23
CDM,99999-035-26,CANNABIDIOL 100 MG/ML ORAL SOLUTION,308.75,182.16,37.56,277.88,23
CDM,99999-035-27,HIC 2000022408 (ASTX029) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-035-32,HIC 2000025280 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-33,HIC 2000025280 LENVATINIB (E7080/MK-7902) OR PLACEBO 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-34,HIC 2000025280 LENVATINIB (E7080/MK-7902) OR PLACEBO 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-35,HIC 2000024238 ANAMORELIN OR PLACEBO 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-035-42,HIC 2000022408 (ASTX029) 120 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-035-46,HIC 1507016151 MLN0128 (TAK-228) 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-47,HIC 1507016151 MLN0128 (TAK-228) 3 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-55,HIC 2000023248 ABIRATERONE 250 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-035-56,HIC 2000023248 ENZALUTAMIDE 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-57,HIC 2000023248 PREDNISONE 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-035-58,HIC 2000025194 (GEN1046) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-60,HIC 2000025163 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-61,HIC 2000025384 (BGB-290) 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-62,HIC 2000025384 (BGB-290) 60 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-73,HIC 2000023970 GUANFACINE ER 1 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-74,HIC 2000023970 GUANFACINE ER 2 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-75,HIC 2000023970 GUANFACINE ER 3 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-76,HIC 2000023970 GUANFACINE ER 4 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-77,HIC 2000023970 GUANFACINE ER 5 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-78,HIC 2000023970 GUANFACINE ER 6 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-035-80,HIC 2000024768 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-81,HIC 2000024768 PEMBROLIZUMAB (MK-3475) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-83,HIC 2000025365 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-84,HIC 2000025007 LIVMONIPLIMAB (ABBV-151) IV SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-85,HIC 2000025007 LIVMONIPLIMAB (ABBV-151) IVPB (DOSES < 20 MG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-86,HIC 2000025007 LIVMONIPLIMAB (ABBV-151) IVPB (DOSES >/= 20 MG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-87,HIC 2000025007 BUDIGALIMAB (ABBV-181) MED,0.01,0.01,0.01,0.01,23
CDM,99999-035-92,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,0.1,0.06,0.01,0.09,23
CDM,99999-035-94,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,0.98,0.58,0.12,0.88,23
CDM,99999-035-95,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,1.95,1.15,0.24,1.76,23
CDM,99999-036-03,HIC 0209020997 REGULAR INSULIN U-100 MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-06,HIC 2000022049 (CA-4948) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-036-08,HIC 2000024074 METHYLPREDNISOLONE SODIUM SUCCINATE MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-15,HIC 2000025346 (AZD7648) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-036-16,HIC 2000025346 (AZD7648) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-036-17,HIC 2000025346 (AZD7648) 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-036-19,HIC 2000025461 (MRNA-4157),0.01,0.01,0.01,0.01,23
CDM,99999-036-20,HIC 2000025461 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-21,HIC 2000025613 NY-ESO-1 C259 T CELLS,0.01,0.01,0.01,0.01,23
CDM,99999-036-22,HIC 2000025613 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-26,HIC 2000023841 MIRVETUXIMAB SORAVTANSINE (IMGN853) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-38,"HIC 2000025651 OSIMERTINIB (TAGRISSO�, AZD9291) 40 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-036-39,"HIC 2000025651 OSIMERTINIB (TAGRISSO�, AZD9291) 80 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-036-40,HIC 2000025651 SAVOLITINIB (AZD6094) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-036-41,HIC 2000025651 SAVOLITINIB (AZD6094) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-036-43,"HIC 2000025651 GEFITINIB (IRESSA�, AZD1839) 250 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-036-44,HIC 2000025651 NECITUMUMAB (PORTRAZZA�) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-52,HIC 2000025651 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-53,HIC 2000025651 PEMETREXED (ALIMTA�) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-56,HIC 2000031106 ABBV-011 (SC-011) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-57,HIC 2000031106 BUDIGALIMAB (ABBV-181) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-66,HIC 2000025651 MYCOPHENOLATE 250 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-036-67,HIC 2000025651 INFLIXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-68,HIC 2000025651 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-70,NITROGLYCERIN 40MCG/ML INJECTION (ANESTHESIA),0.32,0.19,0.04,0.29,23
CDM,99999-036-71,HIC 2000025624 PEMBROLIZUMAB (MK-3475) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-81,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,7.63,4.5,0.93,6.87,23
CDM,99999-036-82,HIC 2000025737 DARATUMUMAB (DARZALEX) MED,0.01,0.01,0.01,0.01,23
CDM,99999-036-83,HIC 2000025737 LENALIDOMIDE (REVLIMID) 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-036-84,HIC 2000025737 LENALIDOMIDE (REVLIMID) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-036-85,HIC 2000025737 LENALIDOMIDE (REVLIMID) 15 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-036-95,HIC 2000025774 (AG-636) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-036-96,HIC 2000025774 (AG-636) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-036-97,HIC 2000025774 (AG-636) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-037-04,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID,3657.6,2157.98,444.93,3291.84,23
CDM,99999-037-05,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID,5486.4,3236.98,667.39,4937.76,23
CDM,99999-037-08,AMIODARONE 50MG/50ML D5W - PEDI CODE NARRATOR,1.25,0.74,0.15,1.13,23
CDM,99999-037-09,INSULIN 10 UNITS/500ML NS (0.02 UNITS/ML) PEDI CODE NARRATOR,150.0,88.5,18.25,135.0,23
CDM,99999-037-18,HIC 2000024503 ARGATROBAN OR EPTIFIBATIDE OR PLACEBO IV BOLUS,0.01,0.01,0.01,0.01,23
CDM,99999-037-19,HIC 2000024503 ARGATROBAN OR EPTIFIBATIDE OR PLACEBO 0-2 HR INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-037-20,HIC 2000024503 ARGATROBAN OR PLACEBO 2-12 HR INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-037-29,"HIC 2000024255 MAVACAMTEN 2.5 MG, 5 MG, 10 MG OR 15 MG CAPSULES",0.01,0.01,0.01,0.01,23
CDM,99999-037-30,HIC 2000025243 SACITUZUMAB GOVITECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-32,HIC 2000023248 (AZD4635) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-037-33,HIC 2000023248 (AZD4635) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-037-34,HIC 2000023248 OLECLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-37,HIC 2000025944 PAMIPARIB (BGB-290) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-037-38,HIC 2000025944 PAMIPARIB (BGB-290) 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-037-39,HIC 2000025944 PAMIPARIB (BGB-290) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-037-40,HIC 2000026018 NIVOLUMAB (BMS-936558) MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-43,HIC 1509016491 (BTCT4465A) 9 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-037-44,HIC 2000023857 KETAMINE OR MIDAZOLAM MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-45,HIC 2000023857 KETAMINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-47,HIC 0209020997 GLUCAGON MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-59,HIC 2000025924 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-60,HIC 2000025686 DARATUMUMAB-RHUPH20 SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-037-65,HIC 2000023970 ALCOHOL,0.01,0.01,0.01,0.01,23
CDM,99999-037-66,HIC 2000026064 IV SOLUTION STABILIZER FOR BLINATUMOMAB,0.01,0.01,0.01,0.01,23
CDM,99999-037-67,HIC 2000026064 BLINATUMOMAB (PEDIATRIC) MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-73,HIC 2000025095 UPROLESELAN (GMI-1271) MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-74,HIC 2000025988 EFLORNITHINE 500 MG SACHETS,0.01,0.01,0.01,0.01,23
CDM,99999-037-75,HIC 2000025988 EFLORNITHINE 1000 MG SACHETS,0.01,0.01,0.01,0.01,23
CDM,99999-037-89,HIC 2000025817 (BI754091) MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-90,HIC 2000025817 (BI754111) MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-91,HIC 2000025817 (BI907828) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-037-92,HIC 2000025817 (BI907828) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-037-93,HIC 2000025817 (BI907828) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-037-94,HIC 2000024494 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-037-95,HIC 2000026111 COBIMETINIB 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-037-96,HIC 2000026111 VEMURAFENIB 240 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-037-99,SILVER NITRATE 0.5 % TOPICAL SOLUTION,31.8,18.76,3.87,28.62,23
CDM,99999-038-00,HIC 2000023857 DIAZEPAM 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-01,HIC 2000023857 DIAZEPAM 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-24,HIC 2000026116 PEMBROLIZUMAB (MK-3475) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-27,HIC 2000025977 AUTOLOGOUS CD8+ T CELL (DESCARTES-11) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-038-28,HIC 2000025877 BARDOXOLONE METHYL 5 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-29,HIC 2000025877 BARDOXOLONE METHYL 10 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-30,HIC 2000025877 BARDOXOLONE METHYL 15 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-31,HIC 2000025877 BARDOXOLONE METHYL 20 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-32,HIC 2000025877 BARDOXOLONE METHYL 30 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-34,HIC 2000023248 DOCETAXEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-38,HIC 2000023915 (FLX475) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-39,HIC 2000023915 (FLX475) 75 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-49,HIC 1311013056 LADIRATUZUMAB VEDOTIN (SGN-LIV1A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-50,HIC 2000025859 BAVITUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-51,HIC 2000025859 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-52,HIC 2000025640 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-60,HIC 2000026202 EVEROLIMUS 2 MG DISPERSIBLE TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-61,HIC 2000026202 EVEROLIMUS 3 MG DISPERSIBLE TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-62,HIC 2000026202 EVEROLIMUS 5 MG DISPERSIBLE TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-63,HIC 2000026202 LENVATINIB (E7080) 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-64,HIC 2000026202 LENVATINIB (E7080) 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-65,HIC 2000026202 LENVATINIB (E7080) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-038-67,HIC 2000026116 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-82,HIC 2000025757 APIXABAN (BMS-562247) 0.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-83,HIC 2000025757 APIXABAN (BMS-562247) 2.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-84,HIC 2000025757 APIXABAN (BMS-562247) 0.4 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-038-85,HIC 2000025874 (BAY 2416964) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-86,HIC 2000025874 (BAY 2416964) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-038-88,CEFTRIAXONE 40MG/ML IV SYRINGE (PYXIS),9.25,5.46,1.13,8.33,23
CDM,99999-038-92,HIC 2000026327 (M6620) MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-94,HIC 2000026387 IMETELSTAT (GRN163L) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-038-99,HIC 2000026116 ENZALUTAMIDE 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-039-08,HIC 2000025379 NORDITROPIN 10 MG/1.5 ML PEN-INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-039-15,HIC 2000025780 BUDIGALIMAB (ABBV-181) MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-16,HIC 2000025780 (ABBV-368) MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-17,HIC 2000025780 (ABBV-927) 2 MG/ML DILUTION MED (DOSES < 2 MG),0.01,0.01,0.01,0.01,23
CDM,99999-039-18,HIC 2000025780 (ABBV-927) MED (DOSES >/= 2 MG),0.01,0.01,0.01,0.01,23
CDM,99999-039-19,HIC 2000026153 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-20,HIC 2000026153 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-21,HIC 2000026153 NAB-PACLITAXEL,0.01,0.01,0.01,0.01,23
CDM,99999-039-29,HIC 2000025107 ERLOTINIB (TARCEVA) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-039-30,HIC 2000025107 ERLOTINIB (TARCEVA) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-039-31,HIC 2000025107 ERLOTINIB (TARCEVA) 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-039-37,HIC 1507016151 COPANLISIB MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-42,HIC 2000025731 INSULIN REGULAR HUMAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-43,HIC 2000025731 (2H5)-GLYCEROL MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-44,"HIC 2000025731 (6,6-2H) GLUCOSE MED",0.01,0.01,0.01,0.01,23
CDM,99999-039-45,"HIC 2000025731 99 % (6,6-2H) GLUCOSE MED",0.01,0.01,0.01,0.01,23
CDM,99999-039-51,"HIC 2000023149 (6,6-2H2) GLUCOSE MED",0.01,0.01,0.01,0.01,23
CDM,99999-039-58,HIC 2000026504 ATEZOLIZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-59,HIC 1507016151 LAROTRECTINIB (LOXO-101) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-039-60,HIC 1507016151 LAROTRECTINIB (LOXO-101) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-039-85,HIC 2000026641 DURVALUMAB (MEDI-4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-86,HIC 2000026641 OLECLUMAB (MEDI-9447) MED,0.01,0.01,0.01,0.01,23
CDM,99999-039-96,VANCOMYCIN 4 MG/ML IV SYRINGE (PYXIS),2.5,1.48,0.3,2.25,23
CDM,99999-039-99,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLOR IV SOLN,100.0,59.0,12.16,90.0,23
CDM,99999-0400-04,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,0.1,0.06,0.01,0.09,23
CDM,99999-0400-06,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,0.49,0.29,0.06,0.44,23
CDM,99999-0410-01,ATROPINE 0.4 MG/ML INJECTION SOLUTION,7.25,4.28,0.88,6.53,23
CDM,99999-050-01,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,0.11,0.06,0.01,0.1,23
CDM,99999-050-02,BRIVARACETAM 10 MG/ML ORAL SOLUTION,220.7,130.21,26.85,198.63,23
CDM,99999-050-03,MAGIC MOUTHWASH WITH LIDOCAINE,142.21,83.9,17.3,127.99,23
CDM,99999-050-05,HIC 1507016151 ULIXERTINIB (BVD-523FB) 150 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-050-12,HIC 2000026731 ZIMBERELIMAB (AB122) MED,0.01,0.01,0.01,0.01,23
CDM,99999-050-13,HIC 2000026731 QUEMLICLUSTAT (AB680) MED,0.01,0.01,0.01,0.01,23
CDM,99999-050-16,HIC 2000026742 (MRTX849) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-050-17,HIC 2000026742 (MRTX849) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-050-19,HIC 2000026758 (E7766) 25 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-20,HIC 2000026758 (E7766) 50 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-21,HIC 2000026758 (E7766) 75 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-22,HIC 2000026758 (E7766) 150 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-23,HIC 2000026758 (E7766) 300 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-24,HIC 2000026758 (E7766) 600 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-25,HIC 2000026758 (E7766) 1200 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-26,HIC 2000026758 (E7766) 1750 MCG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-050-35,HIC 2000026339 REGORAFENIB 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-38,HIC 1507016151 IPATASERTIB (GDC-0068) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-39,HIC 1507016151 IPATASERTIB (GDC-0068) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-40,METHADONE 10 MG/ML INJECTION SOLUTION,16.74,9.88,2.04,15.07,23
CDM,99999-050-41,HIC 2000026162 BAN2401 MED,0.01,0.01,0.01,0.01,23
CDM,99999-050-44,HIC 2000025357 (BIIB093) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-050-62,HIC 2000026896 VITAMIN D3 OR PLACEBO 1 CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-050-63,HIC 2000026896 VITAMIN D3 OR PLACEBO 2 CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-050-64,HIC 2000025346 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-65,HIC 2000025346 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-76,HIC 2000026742 (MRTX849) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-050-85,"HIC 2000020186 D-GLUCOSE (U-13C6, 99%) MED",0.01,0.01,0.01,0.01,23
CDM,99999-050-86,METOPROLOL TARTRATE 10 MG/ML ORAL SUSPENSION,1.88,1.11,0.23,1.69,23
CDM,99999-050-87,METOPROLOL TARTRATE 10 MG/ML ORAL SUSPENSION,7.5,4.43,0.91,6.75,23
CDM,99999-050-88,RIFAMPIN 25 MG/ML ORAL SUSPENSION,2.8,1.65,0.34,2.52,23
CDM,99999-050-89,RIFAMPIN 25 MG/ML ORAL SUSPENSION,8.4,4.96,1.02,7.56,23
CDM,99999-050-92,"HIC 0209020997 2.5% (6,6-2H2) GLUCOSE MED",0.01,0.01,0.01,0.01,23
CDM,99999-050-93,HIC 2000027026 (AZD6738) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-94,HIC 2000027026 (AZD6738) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-95,HIC 2000027026 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-96,HIC 2000027026 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-050-99,HIC 2000022801 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-0505-01,GENTAMICIN IVSYR PF 10MG/5ML IN NS,2.75,1.62,0.33,2.48,23
CDM,99999-051-00,HIC 2000022801 RAMUCIRUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-051-01,HIC 2000027024 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-051-02,HIC 2000027024 (VE800) 400 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-051-08,HIC 2000027013 LAROTRECTINIB (LOXO-101) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-051-09,HIC 2000027013 LAROTRECTINIB (LOXO-101) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-051-10,HIC 2000027013 LAROTRECTINIB (LOXO-101) 20 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-051-11,HIC 2000026894 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-051-12,HIC 2000026894 (BMS-986258) MED,0.01,0.01,0.01,0.01,23
CDM,99999-051-13,HIC 2000026894 BMS-986258 + ENHANZE (RHUPH20),0.01,0.01,0.01,0.01,23
CDM,99999-051-14,HIC 2000026994 (RBN-2397) UNMICRONIZED 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-15,HIC 2000026994 (RBN-2397) UNMICRONIZED 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-24,HIC 2000026786 ZILUCOPLAN 40 MG/ML SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-051-37,HIC 2000026409 ASPIRIN 81 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-38,HIC 2000026409 APIXABAN 2.5 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-39,HIC 2000026409 APIXABAN 5 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-40,HIC 2000026048 (KD025) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-41,HIC 2000026048 (KD025) 200 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-49,TRANEXAMIC ACID 50 MG/1 ML (5%) MOUTHWASH SOLUTION,13.7,8.08,1.67,12.33,23
CDM,99999-051-51,RIBOFLAVIN (VITAMIN B2) 25 MG TABLET,0.05,0.03,0.01,0.05,23
CDM,99999-051-67,HIC 2000023149 DEUTERIUM OXIDE MAINTENANCE DOSE,0.01,0.01,0.01,0.01,23
CDM,99999-051-68,HIC 2000023149 DEUTERIUM OXIDE PRIMING DOSE,0.01,0.01,0.01,0.01,23
CDM,99999-051-69,HIC 2000026162 BAN2401 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-051-71,HIC 2000026755 VORASIDENIB (AG-881) OR PLACEBO 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-72,HIC 2000026755 VORASIDENIB (AG-881) OR PLACEBO 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-051-73,HIC 2000025979 ALNUCTAMAB (CC-93269) DILUENT,0.01,0.01,0.01,0.01,23
CDM,99999-051-74,HIC 2000027145 JCAR017 (CD4+) AUTOLOGOUS T-CELLS INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-051-75,HIC 2000027145 JCAR017 (CD8+) AUTOLOGOUS T-CELLS INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-051-77,INV CLINICAL TRIAL BAN2401-G000-301 MED,0.01,0.01,0.01,0.01,23
CDM,99999-051-78,INV CLINICAL TRIAL BAN2401-G000-301 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-051-80,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,99999-051-81,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,25.0,14.75,3.04,22.5,23
CDM,99999-051-82,HIC 2000027144 0.9% SODIUM CHLORIDE (50 ML) FLUSH SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-051-83,HIC 2000027144 CILTACABTAGENE AUTOLEUCEL (JNJ-68284528),0.01,0.01,0.01,0.01,23
CDM,99999-051-84,HIC 2000027144 DARATUMUMAB SUBCUTANEOUS INJECTION (JNJ-54767414),0.01,0.01,0.01,0.01,23
CDM,99999-051-85,ASCORBIC ACID (VITAMIN C) 500 MG/5 ML ORAL LIQUID,0.88,0.52,0.11,0.79,23
CDM,99999-051-91,HIC 2000025979 IMMUNE GLOBULIN 10%,0.01,0.01,0.01,0.01,23
CDM,99999-052-08,HIC 2000025383 PRO 140,0.01,0.01,0.01,0.01,23
CDM,99999-052-14,HIC 2000027022 (KAZ954) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-15,HIC 2000027022 (NIR178) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-16,HIC 2000027022 (NIR178) 80 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-17,HIC 2000027022 (NIR178) 160 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-18,HIC 2000027022 (NZV930) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-19,HIC 2000027022 SPARTALIZUMAB (PDR001) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-23,HIC 0209020997 3-13C LACTATE IN STERILE WATER MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-24,"HIC 0209020997 D-GLUCOSE 1,2,3,4,5,6,6-D7 IN SODIUM CHLORIDE 0.9% MED",0.01,0.01,0.01,0.01,23
CDM,99999-052-25,"HIC 0209020997 D-GLUCOSE 6,6-D2 MED",0.01,0.01,0.01,0.01,23
CDM,99999-052-26,"HIC 0209020997 D-GLYCEROL 1,1,2,3,3-D5 MED",0.01,0.01,0.01,0.01,23
CDM,99999-052-27,HIC 0209020997 SODIUM-D-3-HYDROXYBUTYRATE 13C4 (U-13C) IN SODIUM CHLORIDE 0.9% MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-29,HIC 2000027214 (GEN1042) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-35,HIC 2000026544 (AMG 404) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-36,HIC 2000026544 (AMG 510) 120 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-052-47,GLYBURIDE 0.2 MG/ML ORAL SUSPENSION,2.58,1.52,0.31,2.32,23
CDM,99999-052-56,MIDAZOLAM 250MG/250ML 0.9% NACL (NON-TITRATABLE),43.75,25.81,5.32,39.38,23
CDM,99999-052-62,IMMUNE GLOBULIN (GAMASTAN) 15 % - 18 % ORAL SOLUTION,2153.7,1270.68,261.99,1938.33,23
CDM,99999-052-66,HIC 2000027358 CERDULATINIB (PRT062070) 15 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-67,HIC 2000027358 CERDULATINIB (PRT062070) 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-68,HIC 2000027358 CERDULATINIB (PRT062070) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-71,HIC 2000029428 CEMIPLIMAB (REGN2810) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-75,HIC 2000027429 CABOZANTINIB (XL184) 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-76,HIC 2000027429 CABOZANTINIB (XL184) 60 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-77,HIC 2000027429 (RADIUM-223),0.01,0.01,0.01,0.01,23
CDM,99999-052-90,HIC 2000027482 SELPERCATINIB (LOXO-292) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-91,HIC 2000027482 SELPERCATINIB (LOXO-292) 80 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-052-92,HIC 2000023142 AUTOLOGOUS TUMOR INFILTRATING LYMPHOCYTES (TIL) LN-145-S1 INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-052-93,HIC 2000026348 ASTX727 LD (CEDAZURIDINE/DECITABINE) 100 MG/5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-052-94,HIC 2000026348 ASTX727 SD (CEDAZURIDINE/DECITABINE) 100 MG/35 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-052-95,HIC 2000026348 DECITABINE 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-052-96,HIC 2000026850 SACITUZUMAB GOVITECAN (IMMU-132) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-97,HIC 2000029428 (REGN3767) MED,0.01,0.01,0.01,0.01,23
CDM,99999-052-99,HIC 2000023149 (2H5) GLYCEROL MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-00,"HIC 2000023149 (6,6-2H2) GLUCOSE MED",0.01,0.01,0.01,0.01,23
CDM,99999-053-09,HIC 2000024494 TALABOSTAT (BXCL701) 0.05 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-053-13,HIC 2000027390 (KPG-121) 0.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-14,HIC 2000027390 (KPG-121) 2.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-15,HIC 2000027390 (KPG-121) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-20,HIC 2000027493 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-21,HIC 2000027493 TIRAGOLUMAB (MTIG7192A) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-28,HIC 0209020997 (3-13C) L-ALANINE 5 MG/ML IN 0.45% NACL IV SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-29,HIC 0209020997 L-ALANINE 5 MG/ML SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-30,"HIC 0209020997 2.5% (6,6-2H2) GLUCOSE IN D20W MED",0.01,0.01,0.01,0.01,23
CDM,99999-053-31,HIC 2000027249 EFGARTIGIMOD PH20,0.01,0.01,0.01,0.01,23
CDM,99999-053-32,HIC 2000027249 EFGARTIGIMOD PH20 OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-053-45,HIC 2000027494 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-46,HIC 2000027494 SITRAVATINIB (MGCD516) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-47,HIC 2000027494 SITRAVATINIB (MGCD516) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-49,HIC 2000027683 INFIGRATINIB (BGJ398) OR PLACEBO 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-50,HIC 2000027683 INFIGRATINIB (BGJ398) OR PLACEBO 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-51,HIC 2000027465 ENZALUTAMIDE 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-52,HIC 2000027465 ENZALUTAMIDE 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-053-53,HIC 2000027465 ENZALUTAMIDE 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-053-58,INVESTIGATIONAL EMERGENCY USE - REMDESIVIR 100 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-61,HIC 2000027580 FLUOROURACIL MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-62,HIC 2000027580 LEUCOVORIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-63,HIC 2000027580 LIPOSOMAL IRINOTECAN (ONIVYDE�) MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-64,HIC 2000027580 OXALIPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-83,HIC 2000027584 ENFORTUMAB VEDOTIN (ASG-22CE) MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-86,HIC 2000023045 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-053-92,HIC 2000026562 PF-06651600 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-053-94,HIC 2000026205 BRONCHOVAXOM OR PLACEBO 7 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-053-96,HIC 2000026205 CAVOSONSTAT (N91115) OR PLACEBO 50MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-053-97,HIC 2000026205 IMATINIB OR PLACEBO 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-053-98,HIC 2000026205 ITACITINIB OR PLACEBO 100MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-054-11,HYDROMORPHONE 40MG/100ML (0.4MG/ML) INFUSION,37.5,22.13,4.56,33.75,23
CDM,99999-054-13,HIC 2000025780 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-14,HIC 2000025780 NAB-PACLITAXEL,0.01,0.01,0.01,0.01,23
CDM,99999-054-16,HIC 2000027287 (CTX130),0.01,0.01,0.01,0.01,23
CDM,99999-054-27,REMIFENTANIL 5000 MCG/100 ML NS (50 MCG/ML) INFUSION *PYXIS,1348.5,795.62,164.04,1213.65,23
CDM,99999-054-28,KETAMINE INFUSION 5000MG IN 500ML (10MG/ML) BATCH,0.44,0.26,0.05,0.4,23
CDM,99999-054-29,HIC 2000026205 ADVAIR DISKUS (FLUTICASONE-SALMETEROL) 100/50,0.01,0.01,0.01,0.01,23
CDM,99999-054-30,HIC 2000026205 ADVAIR DISKUS (FLUTICASONE-SALMETEROL) 250/50,0.01,0.01,0.01,0.01,23
CDM,99999-054-31,HIC 2000026205 ADVAIR DISKUS (FLUTICASONE-SALMETEROL) 500/50,0.01,0.01,0.01,0.01,23
CDM,99999-054-32,HIC 2000026205 VENTOLIN HFA (ALBUTEROL) 90 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-054-33,HIC 2000026205 CLAZAKIZUMAB OR PLACEBO 12.5MG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-054-34,HIC 2000026205 MCT OR PLACEBO 12.5GM PACKET,0.01,0.01,0.01,0.01,23
CDM,99999-054-35,HIC 2000027239 LUMACAFTOR 100 MG / IVACAFTOR 125 MG ORAL GRANULES,0.01,0.01,0.01,0.01,23
CDM,99999-054-36,HIC 2000027239 LUMACAFTOR 150 MG / IVACAFTOR 188 MG ORAL GRANULES,0.01,0.01,0.01,0.01,23
CDM,99999-054-37,INV CLINICAL TRIAL GS-US-540-5821 REMDESIVIR 100 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-38,HIC 2000022408 (ASTX029) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-054-45,HIC 2000027204 (CC-90009) MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-48,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,376.25,221.99,45.77,338.63,23
CDM,99999-054-51,MIDAZOLAM 250 MG/250 ML D5W,47.5,28.03,5.78,42.75,23
CDM,99999-054-53,HIC 2000027272 CEMIPLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-54,HIC 2000027272 VOYAGER V1 (VV1) VSV-IFNB-NIS 1 X 10E9 TCID50 INTRATUMORAL INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-054-55,HIC 2000027272 VOYAGER V1 (VV1) VSV-IFNB-NIS 1.7 X 10E10 TCID50 MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-56,HIC 2000027686 OLAPARIB (AZD2281) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-054-57,HIC 2000027686 OLAPARIB (AZD2281) 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-054-61,KETAMINE INFUSION 2500MG IN 250ML (10MG/ML) BATCH,108.75,64.16,13.23,97.88,23
CDM,99999-054-64,HIC 2000027604 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-65,HIC 2000027604 SITRAVATINIB (MGCD516) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-054-66,HIC 2000027604 SITRAVATINIB (MGCD516) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-054-78,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",12.0,7.08,1.46,10.8,23
CDM,99999-054-82,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,0.06,0.04,0.01,0.05,23
CDM,99999-054-83,HIC 2000027638 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-84,HIC 2000027638 SEA-TGT MED (DOSES >/= 0.1 MG/KG),0.01,0.01,0.01,0.01,23
CDM,99999-054-85,HIC 2000027638 SEA-TGT IV SYRINGE (DOSES < 0.1 MG/KG),0.01,0.01,0.01,0.01,23
CDM,99999-054-89,HIC 2000027711 ADUCANUMAB (BIIB037) MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-91,HIC 2000028181 ANTI-SARS-COV-2 (COVID-19) CONVALESCENT PLASMA OR PLACEBO INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-054-92,HIC 2000026326 (LNS8801) 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-054-93,HIC 2000027356 TRALOKINUMAB SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-054-94,HIC 2000026755 VORASIDENIB (AG-881) OR PLACEBO 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-054-96,HIC 2000029428 TRILACICLIB (G1T28) MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-97,HIC 2000029428 VIC-TRASTUZUMAB DUOCARMAZINE (SYD985) MED,0.01,0.01,0.01,0.01,23
CDM,99999-054-99,HIC 2000026742 (MRTX849) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-02,HIC 1509016491 MOSUNETUZUMAB (BTCT4465A) VIAL FOR SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-055-03,HIC 2000027204 CALCITRIOL 0.25 MCG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-04,HIC 2000027204 CALCIUM CARBONATE 500 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-05,HIC 2000027204 CALCIUM CITRATE 315 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-06,HIC 2000027204 CHOLECALCIFEROL (VITAMIN D3) 50000 UNIT CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-07,HIC 2000027204 CHOLECALCIFEROL (VITAMIN D3) 1000 UNIT CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-08,HIC 1507016233 DARATUMUMAB SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-055-16,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS,0.67,0.4,0.08,0.6,23
CDM,99999-055-20,FRUCTOSE (BULK) GRANULES,1.88,1.11,0.23,1.69,23
CDM,99999-055-21,LACTOSE (BULK) POWDER,1.88,1.11,0.23,1.69,23
CDM,99999-055-28,HIC 2000028478 MB-CART2019.1 (AUTOLOGOUS ANTI-CD20-CD19 T-CELLS),0.01,0.01,0.01,0.01,23
CDM,99999-055-29,HIC 1509016491 MOSUNETUZUMAB (BTCT4465A) DILUENT FOR SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-055-30,HIC 2000027537 IXAZOMIB (MLN9708 OR MLN2238) 2.3 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-31,HIC 2000027537 IXAZOMIB (MLN9708 OR MLN2238) 3 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-32,HIC 2000027537 IXAZOMIB (MLN9708 OR MLN2238) 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-35,HIC 2000024494 TALABOSTAT (BXCL701) 0.1 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-37,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,0.76,0.45,0.09,0.68,23
CDM,99999-055-38,HIC 2000026742 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-39,HIC 2000026742 AFATINIB 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-40,HIC 2000026742 AFATINIB 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-41,HIC 2000026742 AFATINIB 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-42,HIC 2000026742 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-055-43,HIC 2000025874 (BAY 2416964) 500 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-52,CETIRIZINE 1 MG/ML ORAL SOLUTION,0.45,0.27,0.05,0.41,23
CDM,99999-055-52,CETIRIZINE 1MG/ML ORAL SOLUTION (WRAPPED E-RX),0.45,0.27,0.05,0.41,23
CDM,99999-055-56,HIC 1311013073 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-57,HIC 2000028206 (NC318) FROZEN FORMULATION DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-055-58,HIC 2000028206 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-59,HIC 2000027293 REGULAR INSULIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-60,LISINOPRIL 1 MG/ML ORAL SOLUTION,33.38,19.69,4.06,30.04,23
CDM,99999-055-64,HIC 2000028827 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-70,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSP (NEWBORN/PEDIATRIC),0.09,0.05,0.01,0.08,23
CDM,99999-055-74,HIC 2000026326 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-76,HIC 2000028692 SELUMETINIB (AZD6244) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-77,HIC 2000028692 SELUMETINIB (AZD6244) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-055-82,SODIUM CHLORIDE (ELEMENTAL SODIUM 0.5 MEQ/ML) ORAL SOLUTION,0.06,0.04,0.01,0.05,23
CDM,99999-055-84,"IODINE I-131 SODIUM IODIDE CAPSULE, DX",14565.0,8593.35,1771.76,13108.5,23
CDM,99999-055-88,HIC 2000028633 CEDIRANIB (AZD2171) 15 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-89,HIC 2000028633 CEDIRANIB (AZD2171) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-90,HIC 2000028633 OLAPARIB (AZD2281) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-055-93,HIC 2000028816 REMDESIVIR 200 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-94,HIC 2000028816 REMDESIVIR 100 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-055-99,HIC 2000028882 (BI 905711) MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-00,HIC 2000028742 (TAK-981) MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-02,HIC 2000028742 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-04,HIC 2000028691 SELUMETINIB (AZD6244) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-056-05,HIC 2000028691 SELUMETINIB (AZD6244) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-056-10,HIC 2000026862 INOTUZUMAB OZOGAMICIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-12,HIC 2000027696 (CTX130),0.01,0.01,0.01,0.01,23
CDM,99999-056-20,HIC 2000028816 RAZUPROTAFIB 10 OR 20 MG SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-056-21,HIC 2000026531 NATALIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-23,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION SYRINGE,0.75,0.44,0.09,0.68,23
CDM,99999-056-24,HIC 2000026450 PRASINEZUMAB (RO7046015) PART 2 MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-32,HIC 2000029000 (PF-07220060) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-33,HIC 2000029000 (PF-07220060) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-34,HIC 2000029000 (PF-07220060) 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-35,HIC 2000029000 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-056-36,HIC 2000029000 LETROZOLE 2.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-37,HIC 2000026450 PRASINEZUMAB (RO7046015) 1500 MG PART 3 MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-40,HIC 2000025651 ALECTINIB 150 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-056-41,HIC 2000025651 SELPERCATINIB (LOXO-292) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-056-42,HIC 2000025651 SELPERCATINIB (LOXO-292) 80 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-056-43,HIC 2000028880 CPX-351 (DAUNORUBICIN-CYTARABINE LIPOSOMAL) MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-44,HIC 2000028880 GILTERITINIB 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-45,HIC 2000028880 GILTERITINIB 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-48,SODIUM CHLORIDE 0.9 % IV (DEHP-FREE),7.13,4.21,0.87,6.42,23
CDM,99999-056-49,SODIUM CHLORIDE 0.9 % IV (DEHP-FREE),23.25,13.72,2.83,20.93,23
CDM,99999-056-50,SODIUM CHLORIDE 0.9 % IV (DEHP-FREE),6.5,3.84,0.79,5.85,23
CDM,99999-056-51,SODIUM CHLORIDE 0.9 % IV (DEHP-FREE),10.0,5.9,1.22,9.0,23
CDM,99999-056-52,SODIUM CHLORIDE 0.9 % IV (DEHP-FREE),10.0,5.9,1.22,9.0,23
CDM,99999-056-53,SODIUM CHLORIDE 0.9 % IV (DEHP-FREE),10.0,5.9,1.22,9.0,23
CDM,99999-056-54,DEXTROSE 5 % IN WATER (D5W) IV (DEHP-FREE),10.0,5.9,1.22,9.0,23
CDM,99999-056-55,DEXTROSE 5 % IN WATER (D5W) IV (DEHP-FREE),10.0,5.9,1.22,9.0,23
CDM,99999-056-58,HIC 2000029048 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-056-59,HIC 2000029048 LETROZOLE 2.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-60,HIC 2000029048 PALBOCICLIB 75 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-61,HIC 2000029048 PALBOCICLIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-62,HIC 2000029048 PALBOCICLIB 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-63,HIC 2000029048 (PF-07248144) 0.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-64,HIC 2000029048 (PF-07248144) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-65,HIC 2000029048 (PF-07248144) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-66,HIC 2000029048 (PF-07248144) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-67,HIC 2000028959 AVELUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-68,HIC 2000028959 (GEN-001) 1 X 10E11 CFU CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-056-70,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION - CUSTOM FOR HEMIN MIXTURE ONLY",152.0,89.68,18.49,136.8,23
CDM,99999-056-71,HIC 2000029428 DOSTARLIMAB (TSR-042) MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-72,HIC 2000029428 PACLITAXEL 30 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-056-73,HIC 2000029428 ENCEQUIDAR (HM30181A) 15 MG (12.9 MG FREEBASE) TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-80,HIC 2000028549 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-81,HIC 2000029047 (TST001) MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-82,HIC 2000029001 (CFI-402411) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-83,HIC 2000029001 (CFI-402411) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-84,HIC 2000029001 (CFI-402411) 400 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-056-88,HIC 2000029137 (DF6002) DOSES: </= 8.5 MCG (10 MCG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-056-89,HIC 2000029137 (DF6002) DOSES: > 8.5 MCG; </= 85 MCG (100 MCG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-056-90,HIC 2000029137 (DF6002) DOSES: > 85 MCG; </= 170 MCG (100 MCG/ML) - SPLIT,0.01,0.01,0.01,0.01,23
CDM,99999-056-91,HIC 2000029137 (DF6002) DOSES: > 170 MCG (1 MG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-056-92,HIC 2000029137 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-056-99,HIC 2000024729 (ARV-110) 140 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-01,HIC 2000027406 PIRTOBRUTINIB (LOXO-305) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-02,HIC 2000027406 PIRTOBRUTINIB (LOXO-305) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-03,HIC 2000028799 (AB122) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-04,HIC 2000028799 (AB122) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-05,HIC 2000028799 (AB154) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-06,HIC 2000028799 (AB154) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-07,HIC 2000029225 LUTATHERA (177 LU-DOTA0-TYR3-OCTREOTATE),0.01,0.01,0.01,0.01,23
CDM,99999-057-08,HIC 2000029225 OCTREOTIDE LONG-ACTING (SANDOSTATIN LAR DEPOT) 10 MG IM INJECTION KIT,0.01,0.01,0.01,0.01,23
CDM,99999-057-09,HIC 2000029225 OCTREOTIDE LONG-ACTING (SANDOSTATIN LAR DEPOT) 20 MG IM INJECTION KIT,0.01,0.01,0.01,0.01,23
CDM,99999-057-10,HIC 2000029225 OCTREOTIDE LONG-ACTING (SANDOSTATIN LAR DEPOT) 30 MG IM INJECTION KIT,0.01,0.01,0.01,0.01,23
CDM,99999-057-11,HIC 2000029301 BELINOSTAT (PXD-101) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-12,HIC 2000029301 GUADECITABINE (SGI-110) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-057-13,HIC 2000028918 BELANTAMAB (GSK2857916) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-14,HIC 2000027465 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-15,HIC 2000026994 (RBN-2397) UNMICRONIZED 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-16,HIC 2000026994 (RBN-2397) MICRONIZED 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-18,HIC 0209020997 GS 0976 20MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-19,HIC 2000029225 AMINO ACID SOLUTION (2.5% LYS-ARG),0.01,0.01,0.01,0.01,23
CDM,99999-057-20,HIC 2000029248 (FS120) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-21,HIC 2000026544 SOTORASIB (AMG 510) 120 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-23,HIC 2000029250 (ICT01) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-24,HIC 2000029250 (ICT01) DILUENT,0.01,0.01,0.01,0.01,23
CDM,99999-057-31,HIC 2000026504 TRASTUZUMAB (HERCEPTIN) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-34,HIC 2000029336 TALAZOPARIB REFERENCE FORMULATION 0.25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-057-35,HIC 2000029336 TALAZOPARIB REFERENCE FORMULATION 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-057-36,HIC 2000029336 TALAZOPARIB SOFT GELATIN CAPSULE FORMULATION 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-057-47,HIC 2000028743 OREGOVOMAB (MAB-B43.13) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-51,HIC 2000029089 (BNT151) MED (IVPB),0.01,0.01,0.01,0.01,23
CDM,99999-057-52,HIC 2000029089 (BNT151) MED (IV SYRINGE BOLUS),0.01,0.01,0.01,0.01,23
CDM,99999-057-58,HIC 2000028816 APREMILAST (OTEZLA) ORAL SOLUTION (TAKE-HOME),0.01,0.01,0.01,0.01,23
CDM,99999-057-60,HIC 2000028816 APREMILAST (OTEZLA) ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-057-64,HIC 2000029521 LENVATINIB (E7080/MK-7902) 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-057-65,HIC 2000029521 LENVATINIB (E7080/MK-7902) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-057-66,HIC 2000029521 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-67,HIC 2000029131 (TTX-080) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-68,HIC 2000028816 PULMOZYME� (DORNASE ALFA) INHALATION SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-057-70,HIC 2000028685 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-71,HIC 2000028685 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-72,HIC 2000028685 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-057-73,"HIC 2000028685 DIVARASIB (GDC-6036, RO7435846) 100 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-057-74,HIC 2000028816 RAZUPROTAFIB 10 MG SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-057-75,HIC 2000028816 RAZUPROTAFIB 20 MG SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-057-78,HIC 2000028685 ERLOTINIB 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-79,HIC 2000028685 ERLOTINIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-80,HIC 2000028685 ERLOTINIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-81,HIC 2000029377 ENZASTAURIN 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-82,HIC 2000029377 ENZASTAURIN OR PLACEBO 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-057-84,HIC 2000028408 ADUCANUMAB (BIIB037) MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-87,MEXILETINE 10 MG/ML ORAL SUSPENSION,0.25,0.15,0.03,0.23,23
CDM,99999-057-92,HIC 2000029609 BRENTUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-96,HIC 2000029690 CISPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-057-97,HIC 2000029690 DEBIO 1143 OR PLACEBO 20 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-058-02,HIC 2000029668 ZEDENOLEUCEL (MT-401) CELL INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-058-03,HIC 2000029668 ZEDENOLEUCEL 25X10E6 *DUPLICATE DO NOT USE,0.01,0.01,0.01,0.01,23
CDM,99999-058-04,HIC 2000029278 TECLISTAMAB (JNJ-64007957) SC INJECTION (PRIMING DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-058-05,HIC 2000029278 TECLISTAMAB (JNJ-64007957) SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-058-06,HIC 2000026896 VITAMIN D3 1 CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-058-09,HIC 2000026339 PAXALISIB (GDC-0084) 15 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-10,HIC 2000026339 VAL-083 (DIANHYDROGALACTITOL) MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-14,HIC 2000026544 (RMC-4630) 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-15,HIC 2000026544 (RMC-4630) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-19,HIC 2000024688 VALEMETOSTAT TOSYLATE (DS-3201B) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-20,HIC 2000024688 VALEMETOSTAT TOSYLATE (DS-3201B) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-24,HIC 2000028820 PAMREVLUMAB (FG-3019) OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-058-25,HIC 2000026544 PANITUMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-29,HIC 2000029783 (ABBV-CLS-484) 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-30,HIC 2000029783 (ABBV-CLS-484) 2.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-31,HIC 2000029783 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-39,HIC 2000028816 IC14 IVPB-DAY 1 MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-43,HIC 2000026544 AFATINIB 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-44,HIC 2000026544 AFATINIB 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-45,HIC 2000026544 AFATINIB 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-46,HIC 2000028816 IC14 IVPB-DAYS 2-4 MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-47,HIC 2000028816 CELECOXIB (CELEBREX) 400 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-49,HIC 2000028816 FAMOTIDINE (PEPCID) 20 MG TABLET DAY 1 THRU 7,0.01,0.01,0.01,0.01,23
CDM,99999-058-50,HIC 2000028816 FAMOTIDINE (PEPCID) 20 MG TABLET DAY 8 THRU 21,0.01,0.01,0.01,0.01,23
CDM,99999-058-52,HIC 2000029769 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-53,HIC 2000029769 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-54,HIC 2000029769 (CYH33) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-55,HIC 2000025632 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-56,HIC 2000029875 BINIMETINIB 15 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-57,HIC 2000029875 (JAB-3312) 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-58,HIC 2000029875 (JAB-3312) 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-058-59,HIC 2000029875 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-67,HIC 2000024688 MIDAZOLAM 2 MG/ML ORAL SYRUP,0.01,0.01,0.01,0.01,23
CDM,99999-058-68,HIC 2000024688 DIGOXIN 250 MCG (0.25 MG) TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-69,HIC 2000029857 PIMIVALIMAB (JTX-4014) MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-70,HIC 2000029857 (JTX-8064) MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-71,HIC 2000029857 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-72,HIC 2000029839 (FB-PMT) 45 MG/ML SC INJECTION (EXPANDED ACCESS PROTOCOL),0.01,0.01,0.01,0.01,23
CDM,99999-058-73,HIC 2000029503 INEBILIZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-74,HIC 2000029503 INEBILIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-77,HIC 2000023142 AUTOLOGOUS TUMOR INFILTRATING LYMPHOCYTES (TIL) LN-145-S1 INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-058-78,HIC 2000023142 AUTOLOGOUS TUMOR INFILTRATING LYMPHOCYTES (TIL) LN-144 INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-058-80,HIC 2000029217 NNC0361-0041 PLASMID OR PLACEBO SC INJECTION COHORT 1,0.01,0.01,0.01,0.01,23
CDM,99999-058-81,HIC 2000029217 NNC0361-0041 PLASMID OR PLACEBO SC INJECTION COHORT 2,0.01,0.01,0.01,0.01,23
CDM,99999-058-82,HIC 2000029217 NNC0361-0041 PLASMID OR PLACEBO SC INJECTION COHORT 3,0.01,0.01,0.01,0.01,23
CDM,99999-058-83,HIC 2000029217 NNC0361-0041 PLASMID OR PLACEBO SC INJECTION COHORT 4,0.01,0.01,0.01,0.01,23
CDM,99999-058-84,HIC 2000028816 NARSOPLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-88,HIC 2000029678 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-058-89,HIC 2000029678 PALBOCICLIB 75 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-90,HIC 2000029678 PALBOCICLIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-91,HIC 2000029678 PALBOCICLIB 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-058-92,HIC 2000028807 DONANEMAB (LY3002813) OR PLACEBO SOLUTION MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-93,HIC 2000028807 DONANEMAB (LY3002813) OR PLACEBO MED (LYOPHILIZED POWDER),0.01,0.01,0.01,0.01,23
CDM,99999-058-94,HIC 1208010648 REGULAR INSULIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-058-95,"HIC 1208010648 D-GLUCOSE (6,6-D2) MED",0.01,0.01,0.01,0.01,23
CDM,99999-058-99,HIC 2000026615 MEROTOCIN 200 MCG/ACTUATION OR PLACEBO NASAL SPRAY,0.01,0.01,0.01,0.01,23
CDM,99999-059-00,HIC 2000029869 NAB-PACLITAXEL,0.01,0.01,0.01,0.01,23
CDM,99999-059-01,HIC 2000029869 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-02,HIC 2000029869 (CM24) MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-03,HIC 2000029578 PEMBROLIZUMAB (MK-3475) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-04,HIC 2000030007 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-05,HIC 2000030007 TIRAGOLUMAB (RO 7092284) MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-06,HIC 2000030007 TOCILIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-07,HIC 2000030007 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-08,HIC 2000028858 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-09,HIC 2000025107 DARATUMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-15,HIC 2000029580 (MBG453) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-25,NOREPINEPHRINE 4 MG IN D5W 250ML INFUSION (PYXIS),31.25,18.44,3.8,28.13,23
CDM,99999-059-27,HIC 2000029966 SAR444881 (BND-22) MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-30,HIC 2000029951 (ABL503) MED (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-059-31,HIC 2000029951 (ABL503) MED (IVPB),0.01,0.01,0.01,0.01,23
CDM,99999-059-34,HIC 2000029003 KETAMINE OR MIDAZOLAM MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-35,HIC 2000029003 KETAMINE OLE 50 MG/ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-37,HIC 2000029929 TIPIFARNIB (R115777) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-059-38,HIC 2000029929 TIPIFARNIB (R115777) 300 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-059-43,HIC 2000029160 YPT-01 PHAGE FOR NEBULIZATION,0.01,0.01,0.01,0.01,23
CDM,99999-059-46,HIC 2000029160 YPT-01 PHAGE OR PLACEBO FOR NEBULIZATION,0.01,0.01,0.01,0.01,23
CDM,99999-059-49,EPHEDRINE 25 MG/5 ML IN 0.9% SODIUM CHLORIDE (WRAPPED ERX),296.7,175.05,36.09,267.03,23
CDM,99999-059-50,HIC 2000029797 (ALLO-501A) CAR-T CELLS FOR INFUSION (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-059-51,HIC 2000029797 (ALLO-647) MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-52,HIC 2000030282 TUCATINIB OR PLACEBO 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-059-53,HIC 2000030282 TUCATINIB OR PLACEBO 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-059-54,HIC 2000030247 MRNA-1273 VACCINE 25 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-059-55,HIC 2000026943 RISANKIZUMAB 180 MG OR 360 MG OR PLACEBO SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-059-56,HIC 2000026943 RISANKIZUMAB OR PLACEBO 300 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-57,HIC 2000029908 (AB680) MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-58,HIC 2000029908 ZIMBERELIMAB (AB122) MED,0.01,0.01,0.01,0.01,23
CDM,99999-059-59,HIC 2000029908 ETRUMADENANT (AB928) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-059-88,HIC 2000030247 MRNA-1273 VACCINE 50 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-059-89,HIC 2000030247 MRNA-1273 VACCINE 100 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-059-98,GENTAMICIN 40 MG/ML INJECTION SOLUTION,9.99,5.89,1.22,8.99,23
CDM,99999-059-99,HIC 2000030007 TOBEMSTOMIG (RO7247669) MED,0.01,0.01,0.01,0.01,23
CDM,99999-060-00,HIC 2000030007 (TPST-1120) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-060-06,HIC 2000030007 (TPST-1120) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-060-07,HIC 2000030007 (SAR439459) MED,0.01,0.01,0.01,0.01,23
CDM,99999-060-12,HIC 2000025817 EZABENLIMAB (BI 754091) MED,0.01,0.01,0.01,0.01,23
CDM,99999-060-13,HIC 2000022049 IBRUTINIB 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-060-22,HIC 2000030391 LENVATINIB 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-060-23,HIC 2000030391 LENVATINIB 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-060-24,HIC 2000030391 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-060-32,INDIUM IN-111 PENTETATE (IN-111 DTPA) INJECTION,6044.73,3566.39,735.31,5440.26,23
CDM,99999-060-46,HIC 2000029811 SPIRONOLACTONE TABLET 25 MG,0.01,0.01,0.01,0.01,23
CDM,99999-060-47,HIC 2000029811 SPIRONOLACTONE TABLET 50 MG,0.01,0.01,0.01,0.01,23
CDM,99999-060-48,HIC 2000029811 SPIRONOLACTONE TABLET 100 MG,0.01,0.01,0.01,0.01,23
CDM,99999-060-52,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-53,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-54,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-55,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-56,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-57,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-58,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-59,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-60,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-61,GALLIUM CITRATE GA 67 INJECTION,148.53,87.63,18.07,133.68,23
CDM,99999-060-62,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,1215.0,716.85,147.8,1093.5,23
CDM,99999-060-65,FLORBETABEN F 18 INJECTION,8400.0,4956.0,1021.82,7560.0,23
CDM,99999-060-66,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-67,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-68,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-69,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-70,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-71,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-72,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-73,RADIOISOTOPE AXUMIN (FLUCICLOVINE F18),14832.0,8750.88,1804.24,13348.8,23
CDM,99999-060-74,HIC 2000029811 EPLERENONE TABLET 25 MG,0.01,0.01,0.01,0.01,23
CDM,99999-060-75,HIC 2000029811 EPLERENONE TABLET 50 MG,0.01,0.01,0.01,0.01,23
CDM,99999-060-76,"IODINATED I 131 ALBUMIN INJECTION, DIAGNOSTIC",2850.0,1681.5,346.69,2565.0,23
CDM,99999-060-77,"IODINATED I 131 ALBUMIN INJECTION, DIAGNOSTIC",2850.0,1681.5,346.69,2565.0,23
CDM,99999-060-78,"IODINATED I 131 ALBUMIN INJECTION, DIAGNOSTIC",2850.0,1681.5,346.69,2565.0,23
CDM,99999-060-79,"IODINATED I 131 ALBUMIN INJECTION, DIAGNOSTIC",2850.0,1681.5,346.69,2565.0,23
CDM,99999-060-81,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-82,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-83,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-84,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-85,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-86,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-87,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-88,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-060-89,HIC 2000028816 CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-060-90,HIC 2000028816 AVIPTADIL (RLF-100) SYRINGE FOR INHALATION,0.01,0.01,0.01,0.01,23
CDM,99999-060-91,HIC 2000026205 POTASSIUM PHOSPHATE OR PLACEBO 250 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-060-95,HIC 2000026205 BRONCHOVAXOM OR PLACEBO 3.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-060-96,HIC 2000028712 SACUBITRIL-VALSARTAN (ENTRESTO) 24-26 MG TABLET (STUDY DAY-IN CLINIC),0.01,0.01,0.01,0.01,23
CDM,99999-060-97,HIC 2000028712 SACUBITRIL-VALSARTAN (ENTRESTO) 24-26 MG TABLET (TAKE-HOME),0.01,0.01,0.01,0.01,23
CDM,99999-060-98,HIC 2000028712 SACUBITRIL-VALSARTAN (ENTRESTO) 49-51 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-060-99,HIC 2000028712 SACUBITRIL-VALSARTAN (ENTRESTO) 97-103 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-0601-01,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,1.65,0.97,0.2,1.49,23
CDM,99999-0601-02,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,5.53,3.26,0.67,4.98,23
CDM,99999-0601-03,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,0.05,0.03,0.01,0.05,23
CDM,99999-0601-04,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,1.85,1.09,0.23,1.67,23
CDM,99999-0601-05,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,5.45,3.22,0.66,4.91,23
CDM,99999-0601-06,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,2.6,1.53,0.32,2.34,23
CDM,99999-0601-07,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,1.0,0.59,0.12,0.9,23
CDM,99999-0601-08,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,3.28,1.94,0.4,2.95,23
CDM,99999-0601-09,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,0.79,0.47,0.1,0.71,23
CDM,99999-0601-11,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,4.37,2.58,0.53,3.93,23
CDM,99999-0605-01,VANCOMYCIN 500 MG IN 500 ML SALINE IRRIGATION,17.5,10.33,2.13,15.75,23
CDM,99999-0606-20,POTASSIUM CHLORIDE 40 MEQ/15 ML ORAL LIQUID,2.18,1.29,0.27,1.96,23
CDM,99999-0606-22,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,4.65,2.74,0.57,4.19,23
CDM,99999-0606-23,LACOSAMIDE 10 MG/ML ORAL SOLUTION,85.73,50.58,10.43,77.16,23
CDM,99999-0606-24,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,23.88,14.09,2.9,21.49,23
CDM,99999-0606-25,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,7.28,4.3,0.89,6.55,23
CDM,99999-0606-26,LORATADINE 5 MG/5 ML ORAL SOLUTION,0.83,0.49,0.1,0.75,23
CDM,99999-0606-27,NITROGLYCERIN 200 MCG/ML (SYRINGE) 5 ML,0.88,0.52,0.11,0.79,23
CDM,99999-0606-28,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,0.16,0.09,0.02,0.14,23
CDM,99999-0606-29,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,1.8,1.06,0.22,1.62,23
CDM,99999-0606-30,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",0.45,0.27,0.05,0.41,23
CDM,99999-0606-31,PHENOL (BULK) 89 % LIQUID,1.65,0.97,0.2,1.49,23
CDM,99999-0606-32,D10 WITH HEPARIN 1 UNIT/ML INFUSION (PYXIS),2.5,1.48,0.3,2.25,23
CDM,99999-0606-33,D5 WITH HEPARIN 1 UNIT/ML INFUSION (PYXIS),52.5,30.98,6.39,47.25,23
CDM,99999-0606-36,EPHEDRINE 50MG IN NS 10ML (5MG/ML) SYRINGE PMX,7.7,4.54,0.94,6.93,23
CDM,99999-061-02,HIC 2000030441 CABOZANTINIB 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-03,HIC 2000030441 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-061-04,HIC 2000029428 LETROZOLE 2.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-05,HIC 2000029428 ABEMACICLIB 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-06,HIC 2000029428 AMCENESTRANT (SAR439859) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-07,HIC 2000030323 CPO-100 (DOCETAXEL ALBUMIN-BOUND) MED,0.01,0.01,0.01,0.01,23
CDM,99999-061-12,HIC 2000028712 APREPITANT 40 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-061-13,HIC 2000030071 (STRO-002) MED,0.01,0.01,0.01,0.01,23
CDM,99999-061-15,HIC 2000030049 ALZT-OP1A (CROMOLYN) 17.1 MG CAPSULE FOR DRY POWDER INHALATION,0.01,0.01,0.01,0.01,23
CDM,99999-061-20,HIC 2000028712 IOHEXOL (OMNIPAQUE 300) SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-061-23,HIC 2000028207 EHP-101 OR PLACEBO 10 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-061-26,HIC 2000027712 BAN2401 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-061-34,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-061-35,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-061-36,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-061-37,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-061-38,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-061-39,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-061-40,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-061-41,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-42,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-43,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-44,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-45,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-46,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-47,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-48,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-49,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-50,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-51,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-52,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-57,HIC 2000029456 VOLIXIBAT 5 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-061-58,HIC 2000029456 VOLIXIBAT 20 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-061-59,HIC 2000029456 VOLIXIBAT 5 MG OR 20 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-061-61,HIC 2000029857 CEMIPLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-061-64,HIC 2000026544 EVEROLIMUS 2.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-65,HIC 2000026544 EVEROLIMUS 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-66,HIC 2000026544 EVEROLIMUS 7.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-67,HIC 2000026544 EVEROLIMUS 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-68,HIC 2000026544 PALBOCICLIB 75 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-69,HIC 2000026544 PALBOCICLIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-70,HIC 2000026544 PALBOCICLIB 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-061-72,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-73,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-74,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-75,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-76,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-77,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-78,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-79,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-80,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-81,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-82,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-84,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-85,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-86,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-87,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-88,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-89,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-90,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-91,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-92,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-93,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-94,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-95,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-96,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-97,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-98,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-061-99,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-0611-00,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE,40.05,23.63,4.87,36.05,23
CDM,99999-0611-08,BENZYLPENICILLOYL POLYLYSINE SKIN PRICK TEST,514.85,303.76,62.63,463.37,23
CDM,99999-0611-12,"PENICILLIN G POTASSIUM 250,000 UNITS/ML INJ STOCK SOLUTION",5.1,3.01,0.62,4.59,23
CDM,99999-0611-13,AMPICILLIN 250 MG/ML INJ STOCK SOLUTION,29.3,17.29,3.56,26.37,23
CDM,99999-0611-19,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,0.01,0.01,0.01,0.01,23
CDM,99999-0611-24,ISOSORBIDE MONONITRATE ER (IMDUR) 15 MG HALFTAB,1.86,1.1,0.23,1.67,23
CDM,99999-0611-25,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,41.55,24.51,5.05,37.4,23
CDM,99999-0611-26,MOXIFLOXACIN OPHTHALMIC SOLUTION 0.5% (SYRINGE),54.18,31.97,6.59,48.76,23
CDM,99999-0611-27,PHENYLEPHRINE OPHTHALMIC SOLUTION 10% (SYRINGE),8.6,5.07,1.05,7.74,23
CDM,99999-0611-28,PREDNISOLONE ACETATE OPHTHALMIC SUSPENSION 1% (SYRINGE),7.46,4.4,0.91,6.71,23
CDM,99999-0611-29,PROPARACAINE OPHTHALMIC SOLUTION 0.5% (SYRINGE),2.75,1.62,0.33,2.48,23
CDM,99999-0611-31,VANCOMYCIN 5 MG/0.5 ML SODIUM CHLORIDE 0.9% INTRA-OP OPHTHALMIC INJECTION (SIMPLE),0.58,0.34,0.07,0.52,23
CDM,99999-0611-32,LIDOCAINE-PHENYLEPHRINE INTRAOCULAR 1%-1.5% (SYRINGE),67.5,39.83,8.21,60.75,23
CDM,99999-0611-33,MAGNESIUM SULFATE 25 % SOAK SOLUTION,9.6,5.66,1.17,8.64,23
CDM,99999-0611-34,ALLOPURINOL 100 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,99999-0611-35,FLECAINIDE (TAMBOCOR) 75 MG HALFTAB,6.37,3.76,0.77,5.73,23
CDM,99999-0611-36,LEVOTHYROXINE 88 MCG TABLET,6.32,3.73,0.77,5.69,23
CDM,99999-0611-37,LEVOTHYROXINE 56 MCG HALFTAB,1.74,1.03,0.21,1.57,23
CDM,99999-0611-39,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,99999-0611-41,OXYCODONE 20 MG/ML ORAL CONCENTRATE,12.18,7.19,1.48,10.96,23
CDM,99999-0611-43,MIDAZOLAM 2 MG/ML ORAL SYRUP,13.28,7.84,1.62,11.95,23
CDM,99999-0611-44,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,2.5,1.48,0.3,2.25,23
CDM,99999-0611-46,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,0.57,0.34,0.07,0.51,23
CDM,99999-0611-47,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,2.2,1.3,0.27,1.98,23
CDM,99999-0611-50,VANCOMYCIN 50 MG/ML ORAL SOLUTION (DR FIRST BRAND),9.0,5.31,1.09,8.1,23
CDM,99999-0611-52,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,132.18,77.99,16.08,118.96,23
CDM,99999-0611-53,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,0.3,0.18,0.04,0.27,23
CDM,99999-0611-54,GONIOVISC (USE FOR INPATIENT) 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,99999-0611-55,DOXEPIN 10 MG/ML ORAL CONCENTRATE,0.95,0.56,0.12,0.86,23
CDM,99999-0611-56,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,7.5,4.43,0.91,6.75,23
CDM,99999-0611-57,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,20.56,12.13,2.5,18.5,23
CDM,99999-0611-58,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,44.75,26.4,5.44,40.28,23
CDM,99999-0611-59,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,15.68,9.25,1.91,14.11,23
CDM,99999-0611-60,LACTULOSE ENEMA 200 GM,33.5,19.77,4.08,30.15,23
CDM,99999-0611-61,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,3.1,1.83,0.38,2.79,23
CDM,99999-0611-62,ALPRAZOLAM (XANAX) 0.125 MG HALFTAB,0.2,0.12,0.02,0.18,23
CDM,99999-0611-63,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.05,0.03,0.01,0.05,23
CDM,99999-0611-65,METHADONE 2.5 MG HALFTAB,0.85,0.5,0.1,0.77,23
CDM,99999-0611-66,MIRTAZAPINE (REMERON) 3.75 MG HALFTAB,6.06,3.58,0.74,5.45,23
CDM,99999-0611-67,SOTALOL (BETAPACE) 60 MG HALFTAB,1.74,1.03,0.21,1.57,23
CDM,99999-0611-70,CARBIDOPA-LEVODOPA (SINEMET) IMMEDIATE RELEASE 5 MG-50 MG HALFTAB,1.26,0.74,0.15,1.13,23
CDM,99999-0611-71,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2.7,1.59,0.33,2.43,23
CDM,99999-0611-72,SIMETHICONE (MYLICON) 40 MG CHEWABLE HALFTAB,0.15,0.09,0.02,0.14,23
CDM,99999-0611-73,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,0.03,0.02,0.01,0.03,23
CDM,99999-0611-74,PHENYLEPHRINE 2.5 % EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,99999-0611-80,VANCOMYCIN 50 MG/ML ORAL SOLUTION (DR FIRST BRAND),4.5,2.66,0.55,4.05,23
CDM,99999-0611-81,METHADONE 10 MG/ML ORAL CONCENTRATE,1.28,0.76,0.16,1.15,23
CDM,99999-0611-83,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,1.88,1.11,0.23,1.69,23
CDM,99999-0611-86,EDETATE DISODIUM 3% OPHTH (5 ML),750.0,442.5,91.23,675.0,23
CDM,99999-0611-87,MOXIFLOXACIN 1.635 MG IN 1 ML BSS OPHTH,73.1,43.13,8.89,65.79,23
CDM,99999-0611-88,EPINEPHRINE 0.5 MG IN 500 ML BSS OPHTH,250.0,147.5,30.41,225.0,23
CDM,99999-0611-90,MAGIC MOUTHWASH (PYXIS),12.6,7.43,1.53,11.34,23
CDM,99999-0611-94,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,81.45,48.06,9.91,73.31,23
CDM,99999-0611-95,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,0.4,0.24,0.05,0.36,23
CDM,99999-0611-96,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,8.3,4.9,1.01,7.47,23
CDM,99999-0611-97,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,74.25,43.81,9.03,66.83,23
CDM,99999-0611-98,MORPHINE PCA 5 MG/ML (100 ML) (PYXIS) BH,58.5,34.52,7.12,52.65,23
CDM,99999-0611-99,HYDROMORPHONE (DILAUDID) PCA 2 MG/ML 100 ML (LMH),57.0,33.63,6.93,51.3,23
CDM,99999-062-00,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-062-01,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-062-02,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-062-03,RADIOISOTOPE GALLIUM 68-DOTATATE,10500.0,6195.0,1277.27,9450.0,23
CDM,99999-062-04,CENOBAMATE 12.5 MG TABLET,15.53,9.16,1.89,13.98,23
CDM,99999-062-05,CENOBAMATE 12.5 MG TABLET,15.53,9.16,1.89,13.98,23
CDM,99999-062-09,HIC 2000031432 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-10,HIC 2000031432 (VB10.NEO) IM INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-11,HIC 2000030299 (ST-067) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-22,HIC 2000030687 (CBX-12) MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-23,HIC 2000030079 DEFACTINIB (VS-6063) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-24,HIC 2000030079 AVUTOMETINIB (VS-6766) 0.8 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-25,HIC 2000030483 PELABRESIB (CPI-0610) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-26,HIC 2000030483 PELABRESIB (CPI-0610) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-27,HIC 2000030483 PELABRESIB (CPI-0610) OR PLACEBO 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-28,HIC 2000030483 PELABRESIB (CPI-0610) OR PLACEBO 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-29,HIC 2000030618 LUNRESERTIB (RP-6306) 2.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-30,HIC 2000030618 LUNRESERTIB (RP-6306) 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-32,HIC 2000030669 (NC762) MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-33,HIC 2000027251 AMG570 70 MG OR 280 MG OR 420 MG OR PLACEBO SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-062-34,HIC 2000030093 SITRAVATINIB MALATE 35 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-35,HIC 2000030093 SITRAVATINIB MALATE 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-43,HIC 2000027566 (FB-PMT) 10 MG/ML SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-44,HIC 2000027566 (FB-PMT) 45 MG/ML SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-45,HIC 2000030031 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-49,HIC 2000028712 PARA-AMINOHIPPURATE (PAH) IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-54,HIC 2000028959 (GEN-001) 3 X 10E11 CFU CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-55,HIC 2000026755 VORASIDENIB (AG-881) OR PLACEBO 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-56,HIC 2000021392 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-57,HIC 2000030853 (BAY 1895344) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-58,HIC 2000030853 (BAY 1895344) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-62,HIC 2000030602 (NGM707) MED IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-062-63,HIC 2000030602 (NGM707) DILUENT,0.01,0.01,0.01,0.01,23
CDM,99999-062-64,HIC 2000030602 (NGM707) UNDILUTED,0.01,0.01,0.01,0.01,23
CDM,99999-062-65,HIC 2000030602 (NGM707) MED IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-062-66,HIC 2000030602 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-67,HIC 2000030206 (BNT153) MED IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-062-68,HIC 2000030206 (BNT153) MED IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-062-69,HIC 2000030206 (BNT152) MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-73,ON-Q PAINBUSTER 400 ML DOUBLE LUMEN 4ML(2+2)/HR PUMP SET,800.0,472.0,97.32,720.0,23
CDM,99999-062-74,HIC 2000028685 GDC-1971 (RO7517834) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-75,HIC 2000028685 GDC-1971 (RO7517834) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-77,HIC 2000027638 SASANLIMAB (PF-06801591) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-81,HIC 1501015241 PITAVASTATIN 4 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-85,HIC 1501015241 PITAVASTATIN 1 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-86,HIC 1501015241 PITAVASTATIN 2 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-87,HIC 2000030247 MRNA-1273 VACCINE OR PLACEBO 25 MCG INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-88,HIC 2000030247 MRNA-1273 VACCINE OR PLACEBO 50 MCG INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-89,HIC 2000030247 MRNA-1273 VACCINE OR PLACEBO 100 MCG INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-062-91,HIC 2000030190 AZACITIDINE 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-062-92,HIC 2000030190 AZACITIDINE 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-93,HIC 2000030190 AZACITIDINE 300 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-94,HIC 2000030190 ROMIDEPSIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-062-95,HIC 2000022049 IBRUTINIB 140 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-96,HIC 2000022049 IBRUTINIB 280 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-97,HIC 2000022049 IBRUTINIB 420 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-98,HIC 2000022049 IBRUTINIB 560 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-062-99,HIC 2000030933 BIRTAMIMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-00,HIC 2000022608 MIDAZOLAM 50 MCG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-063-02,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",16606.56,9797.87,2020.1,14945.9,23
CDM,99999-063-06,HIC 2000022049 IBRUTINIB 70 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-07,HIC 2000030751 (ARV-766) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-08,HIC 2000030751 (ARV-766) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-09,HIC 1509016491 MOSUNETUZUMAB (BTCT4465A) 10 MG/ML SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-063-10,HIC 1509016491 MOSUNETUZUMAB (BTCT4465A) 45 MG/ML SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-063-11,HIC 1509016491 MOSUNETUZUMAB (BTCT4465A) MED IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-063-12,HIC 2000030880 RITUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-13,HIC 2000030880 DARATUMUMAB SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-063-14,HIC 2000030880 (NKTR-255) MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-16,HIC 2000029057 BUPROPION 150 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-17,HIC 2000029057 NALTREXONE 50 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-18,HIC 2000029603 MOLGRAMOSTIM 250 MCG/ML NEBULIZER SOLUTION OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-063-19,HIC 2000029603 MOLGRAMOSTIM 250 MCG/ML NEBULIZER SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-063-24,HIC 2000029805 PRAZOSIN 1MG-2MG-5MG OR PLACEBO CAPSULES - STARTER DOSE PACK DAYS 1-14,0.01,0.01,0.01,0.01,23
CDM,99999-063-25,HIC 2000029805 PRAZOSIN 1MG-2MG-5MG OR PLACEBO CAPSULES - MAINTENANCE DOSE PACK,0.01,0.01,0.01,0.01,23
CDM,99999-063-26,HIC 2000029805 PRAZOSIN 1MG-2MG-5MG OR PLACEBO CAPSULES - WEEK 11 AND WEEK 12 TAPER DOSE PACK,0.01,0.01,0.01,0.01,23
CDM,99999-063-27,HIC 2000029804 ETAVOPIVAT (FT-4202) 100 MG OR 200 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-30,HIC 2000030598 SELADELPAR 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-31,HIC 2000030598 SELADELPAR 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-32,HIC 2000025737 DARATUMUMAB-HYALURONIDASE-FIHJ (DARZALEX FASPRO) INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-063-36,HIC 2000029804 ETAVOPIVAT (FT-4202) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-37,HIC 2000029804 ETAVOPIVAT (FT-4202) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-38,HIC 2000030903 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-39,HIC 2000030903 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-40,HIC 2000030903 (RP-3500) 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-41,HIC 2000030903 (RP-3500) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-42,HIC 2000030903 NIRAPARIB 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-43,HIC 2000029477 LISOCABTAGENE MARALEUCEL (CD4+) INJECTION (EXPANDED ACCESS PROTOCOL),0.01,0.01,0.01,0.01,23
CDM,99999-063-44,HIC 2000029477 LISOCABTAGENE MARALEUCEL (CD8+) INJECTION (EXPANDED ACCESS PROTOCOL),0.01,0.01,0.01,0.01,23
CDM,99999-063-45,HIC 2000029478 IDECABTAGENE VICLEUCEL INFUSION (EXPANDED ACCESS PROTOCOL),0.01,0.01,0.01,0.01,23
CDM,99999-063-49,HIC 2000031055 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-50,HIC 2000029978 BELZUTIFAN (MK-6482) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-51,HIC 2000029978 LENVATINIB (MK-7902/E7080) 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-52,HIC 2000029978 LENVATINIB (MK-7902/E7080) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-53,HIC 2000029978 (MK-1308A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-54,HIC 2000029978 (MK-4280A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-55,HIC 2000029978 (MK-4830) MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-56,HIC 2000029978 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-62,BUMETANIDE 0.25 MG/ML ORAL SUSPENSION,0.49,0.29,0.06,0.44,23
CDM,99999-063-65,HIC 2000028816 CYPROHEPTADINE 4 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-66,"HIC 2000030586 BUPRENORPHINE (XR-BUP,CAM2038) 64 MG/0.18 ML (356 MG/ML) EXTENDED RELEASE INJECTION SYRINGE",0.01,0.01,0.01,0.01,23
CDM,99999-063-67,"HIC 2000030586 BUPRENORPHINE (XR-BUP,CAM2038) 96 MG/0.27 ML (356 MG/ML) EXTENDED RELEASE INJECTION SYRINGE",0.01,0.01,0.01,0.01,23
CDM,99999-063-68,"HIC 2000030586 BUPRENORPHINE (XR-BUP,CAM2038) 128 MG/0.36 ML (356 MG/ML) EXTENDED RELEASE INJECTION SYRINGE",0.01,0.01,0.01,0.01,23
CDM,99999-063-70,HIC 2000028816 CYPROHEPTADINE 2 MG HALFTABS,0.01,0.01,0.01,0.01,23
CDM,99999-063-76,HIC 2000030752 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-83,HIC 2000029514 VK2809 1 MG OR 2.5 MG OR 5 MG OR 10 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-87,HIC 2000029301 ASTX727 (DECITABINE/CEDAZURIDINE) 35 MG/100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-063-89,HIC 2000029131 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-063-90,HIC 2000029131 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-063-91,HIC 2000029969 DARATUMUMAB-HYALURONIDASE-FIHJ (DARZALEX FASPRO) INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-063-92,HIC 2000029685 JNJ-63733657 1000 MG OR 3000 MG OR PLACEBO IN 250 ML NS IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-063-93,HIC 2000030659 DIGOXIN IVP LOADING DOSE,0.01,0.01,0.01,0.01,23
CDM,99999-063-94,HIC 2000030659 DIGOXIN IVP MAINTENANCE DOSE,0.01,0.01,0.01,0.01,23
CDM,99999-063-96,HIC 2000031214 BUPARLISIB (AN2025) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-97,HIC 2000031214 BUPARLISIB (AN2025) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-063-99,ON-Q PAINBUSTER 400 ML SINGLE LUMEN 4 ML/HR PUMP SET,800.0,472.0,97.32,720.0,23
CDM,99999-064-12,HIC 2000028816 OPAGANIB (ABC294640) 250 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-064-15,HIC 2000031291 APALUTAMIDE 60 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-16,HIC 2000031291 ABIRATERONE 250 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-17,HIC 2000028680 LASMIDITAN (LY573144) 50MG OR 100MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-18,HIC 2000028680 LASMIDITAN (LY573144) 25MG OR 50MG OR 100MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-25,"HIC 2000028731 D-GLUCOSE (6,6-D2) NS MED",0.01,0.01,0.01,0.01,23
CDM,99999-064-26,HIC 2000028731 D-GLUCOSE (13C) IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-27,"HIC 2000028731 GLYCEROL (1,1,2,3,3,-D5) MED",0.01,0.01,0.01,0.01,23
CDM,99999-064-28,"HIC 2000028731 D-GLUCOSE (6,6-D2) D20 MED",0.01,0.01,0.01,0.01,23
CDM,99999-064-29,HIC 2000021311 ABEMACICLIB 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-30,HIC 2000021311 CAPIVASERTIB (AZD5363) 160 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-31,HIC 2000021311 CAPIVASERTIB (AZD5363) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-32,HIC 2000031239 LEMZOPARLIMAB (TJ011133) MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-35,HIC 2000029536 ATL001 (AUTOLOGOUS CLONAL NEOANTIGEN REACTIVE T CELLS),0.01,0.01,0.01,0.01,23
CDM,99999-064-36,HIC 2000028731 SODIUM PROPIONATE (13C3) 400 MG EC CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-064-37,HIC 2000028731 DEUTERIUM OXIDE - PRIMING DOSE,0.01,0.01,0.01,0.01,23
CDM,99999-064-38,HIC 2000028731 INSULIN REGULAR HUMAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-39,HIC 2000028807 DONANEMAB (LY3002813) MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-46,HIC 2000028816 ITOLIZUMAB (EQ001) MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-47,HIC 2000029966 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-064-48,HIC 2000029966 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-53,PEDIATRIC MULTIVITAMIN NO.128-VITAMIN K 500 MCG/ML ORAL LIQUID,1.74,1.03,0.21,1.57,23
CDM,99999-064-59,LACTOSE (BULK) POWDER,25.25,14.9,3.07,22.73,23
CDM,99999-064-69,HIC 2000029248 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-73,HIC 2000030628 LIGELIZUMAB (QGE031) 120 MG/ML SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-064-74,"HIC 2000031386 VTS-270 ADRABETADEX, 2-HYDROXYPROPYL-BETA-CYCLODEXTRIN 200 MG/ML INTRATHECAL INJ MED",0.01,0.01,0.01,0.01,23
CDM,99999-064-75,HIC 2000028772 ALCOHOL FOR ORAL ADMINISTRATION,0.01,0.01,0.01,0.01,23
CDM,99999-064-77,HIC 2000025194 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-78,HIC 2000024732 DURVALUMAB (MEDI-4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-79,HIC 2000024732 CAPIVASERTIB (AZD5363) 160 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-80,HIC 2000024732 CAPIVASERTIB (AZD5363) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-81,HIC 2000029875 OSIMERTINIB 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-82,HIC 2000029875 OSIMERTINIB 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-83,HIC 2000029875 SOTORASIB 120 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-84,HIC 2000028282 MT-7117 100 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-85,"HIC 2000027293 D-GLUCOSE (6,6-D2) SWFI MED",0.01,0.01,0.01,0.01,23
CDM,99999-064-87,HIC 2000030394 KETAMINE OR PLACEBO IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-88,HIC 2000029308 BUDESONIDE MODIFIED-RELEASE (NEFECON) 4 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-064-90,HIC 2000030807 (ADCT-901) MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-95,HIC 2000029690 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-064-96,HIC 2000031441 ERLOTINIB 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-97,HIC 2000031441 ERLOTINIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-98,HIC 2000031441 ERLOTINIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-064-99,HIC 2000031441 ABEMACICLIB (LY2835219) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-065-00,HIC 2000031441 (LY3214996) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-01,HIC 2000031441 (LY3295668) 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-02,HIC 2000031441 (LY3295668) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-03,HIC 2000031441 (LY3537982) 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-04,HIC 2000031441 (LY3537982) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-05,HIC 2000031441 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-065-06,HIC 2000028219 OBINUTUZUMAB (RO5072759) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-065-07,HIC 2000028219 OBINUTUZUMAB (RO5072759) MED,0.01,0.01,0.01,0.01,23
CDM,99999-065-22,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",37.5,22.13,4.56,33.75,23
CDM,99999-065-23,HIC 2000028219 MYCOPHENOLATE MOFETIL 500MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-065-24,HIC 2000029491 NALTREXONE 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-065-25,HIC 2000029491 BUPROPION IMMEDIATE RELEASE 75MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-065-28,ON-Q PAINBUSTER 400 ML SINGLE LUMEN 10 ML/HR PUMP SET,989.0,583.51,120.31,890.1,23
CDM,99999-065-34,HIC 2000030228 ELAFIBRANOR OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-065-35,HIC 2000030228 ELAFIBRANOR TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-065-37,ON-Q PAINBUSTER 400 ML SINGLE LUMEN 8 ML/HR PUMP SET,800.0,472.0,97.32,720.0,23
CDM,99999-065-41,HIC 2000029859 SELADELPAR 5 MG OR 10 MG OR PLACEBO CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-42,HIC 2000030926 ELEXACAFTOR 100MG-TEZACAFTOR 50MG-IVACAFTOR 75MG TABLET AND IVACAFTOR 150MG TABLET OPEN LABEL RUN IN,0.01,0.01,0.01,0.01,23
CDM,99999-065-43,HIC 2000030926 ELEXACAFTOR 100MG-TEZACAFTOR 50MG-IVACAFTOR 75MG TABLET OR PLACEBO AND IVACAFTOR 150MG TABLET OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-44,ON-Q PAINBUSTER 400 ML DOUBLE LUMEN 4ML(2+2)/HR PUMP SET,800.0,472.0,97.32,720.0,23
CDM,99999-065-45,ON-Q PAINBUSTER 400 ML SINGLE LUMEN 10 ML/HR PUMP SET,989.0,583.51,120.31,890.1,23
CDM,99999-065-46,ON-Q PAINBUSTER 400 ML SINGLE LUMEN 4 ML/HR PUMP SET,800.0,472.0,97.32,720.0,23
CDM,99999-065-47,HIC 2000030924 DAPIROLIZUMAB PEGOL OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-065-48,HIC 2000030926 VX-121-TEZACAFTOR 50MG-DEUTIVACAFTOR 125 MG TABLET OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-49,HIC 2000024563 OZANIMOD 0.23 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-065-50,HIC 2000024563 OZANIMOD 0.92 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-065-51,HIC 2000031023 (ART4215) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-52,HIC 2000031023 (ART4215) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-55,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM POT 2 MEQ-MAG 1.5 MEQ/L (PUREFLOW RFP-403),100.0,59.0,12.16,90.0,23
CDM,99999-065-56,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM POT 4 MEQ-MAG 1.5 MEQ/L (PUREFLOW RFP-456),100.0,59.0,12.16,90.0,23
CDM,99999-065-57,BICARBONATE HEMODIALYSIS SOLUTION K 4 MEQ-CA 3 MEQ-MG 1 MEQ/L (PUREFLOW RFP-401),100.0,59.0,12.16,90.0,23
CDM,99999-065-60,HIC 2000030394 KETAMINE OR PLACEBO IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-065-61,HIC 2000031971 (STP707) MED,0.01,0.01,0.01,0.01,23
CDM,99999-065-62,HIC 2000031441 SINTILIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-065-63,HIC 2000026348 ASTX727 LD (CEDAZURIDINE/DECITABINE) 100 MG/10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-065-64,HIC 2000031407 FLUTEMETAMOL F-18 185 MBQ (5 MCI) (VIZAMYL) IV SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-065-65,HIC 2000031568 PTX-022 (SIROLIMUS) TOPICAL GEL 3.9% (W/W) OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-68,HIC 2000031208 RILEMATOVIR (JNJ-53718678-ZCL) 1 ML SYRINGE 20 MG/ML ORAL SUSPENSION OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-69,HIC 2000030857 PREDNISOLONE 3 MG/ML OR PLACEBO ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-065-70,QUETIAPINE 10 MG/ML ORAL SUSPENSION,0.02,0.01,0.01,0.02,23
CDM,99999-065-71,HIC 2000030683 ENOXAPARIN (AGE 1-17 YEARS OLD) 20MG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-065-72,HIC 2000030683 ENOXAPARIN (AGE 1-17 YEARS OLD) 20MG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-065-73,HIC 2000030857 ANTI-THYMOCYTE GLOBULIN (EQUINE) (ATGAM) OR PLACEBO IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-065-76,HIC 2000031023 TALAZOPARIB 0.25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-77,HIC 2000031023 TALAZOPARIB 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-065-78,HIC 2000031023 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-065-84,HIC 2000031208 RILEMATOVIR (JNJ-53718678-ZCL) 3 ML SYRINGE 20 MG/ML ORAL SUSPENSION OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-85,HIC 2000031208 RILEMATOVIR (JNJ-53718678-ZCL) 6 ML SYRINGE 20 MG/ML ORAL SUSPENSION OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-86,HIC 2000030857 METHYLPREDNISOLONE OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-88,HIC 2000030857 DIPHENHYDRAMINE OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-89,HIC 2000030857 ANTI-THYMOCYTE GLOBULIN (EQUINE) (ATGAM) OR PLACEBO INTRADERMAL SKIN TEST SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-065-90,HIC 2000030683 ENOXAPARIN 20 MG/ML (AGE >36 WEEKS CGA - <1 YEAR OLD),0.01,0.01,0.01,0.01,23
CDM,99999-065-91,HIC 2000030683 ENOXAPARIN 100 MG/ML (AGE >36 WEEKS CGA - <1 YEAR OLD),0.01,0.01,0.01,0.01,23
CDM,99999-065-92,HIC 2000029934 BUPROPION 150 MG IR OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-065-93,HIC 2000029934 NALTREXONE 50 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-065-94,HIC 2000029952 OCRELIZUMAB (RO4964913 (OCREVUS) OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-065-95,HIC 2000026495 BLZ945 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-065-96,HIC 2000026495 BLZ945 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-065-97,HIC 2000026630 GUANFACINE ER OR VARENICLINE OR PLACEBO CAPSULES - TAPER (5 DAYS),0.01,0.01,0.01,0.01,23
CDM,99999-065-98,HIC 2000030509 LENACAPAVIR 927 MG SC INJECTION - (DAY 1 AND WEEK 26),0.01,0.01,0.01,0.01,23
CDM,99999-065-99,HIC 2000031213 BEPRANEMAB (UCB0107) OR PLACEBO IN 0.9% NACL IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-066-00,HIC 2000026630 GUANFACINE ER OR VARENICLINE OR PLACEBO CAPSULES - TITRATION (DAY 1 - DAY 21),0.01,0.01,0.01,0.01,23
CDM,99999-066-01,HIC 2000026630 GUANFACINE ER OR VARENICLINE OR PLACEBO CAPSULES - MAINTENANCE (WEEK 1 - WEEK 12),0.01,0.01,0.01,0.01,23
CDM,99999-066-02,HIC 2000029057 LISDEXAMPHETAMINE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-066-03,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),202.08,119.23,24.58,181.87,23
CDM,99999-066-05,HIC 2000032120 RECOMBINANT HUMAN HYALURONIDASE (RHUPH20),0.01,0.01,0.01,0.01,23
CDM,99999-066-08,HIC 2000032120 IMMUNE GLOBULIN 10%,0.01,0.01,0.01,0.01,23
CDM,99999-066-09,HIC 2000030511 METHYLPREDNISOLONE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-066-12,HIC 2000030511 DUR-928 30 MG OR 90 MG OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-066-13,HIC 2000033410 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-14,HIC 2000033410 PEPINEMAB (VX15/2503) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-15,HIC 2000031492 (PRT811) 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-16,HIC 2000031492 (PRT811) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-17,HIC 2000031492 (PRT811) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-18,HIC 2000032188 (ASP3082 - FORMULATION A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-19,HIC 2000032188 (ASP3082 - FORMULATION A) 0.2 MG/ML (UNDILUTED),0.01,0.01,0.01,0.01,23
CDM,99999-066-20,HIC 2000032123 (INCB123667) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-21,HIC 2000032248 NEOSPORIN OR PLACEBO OINTMENT,0.01,0.01,0.01,0.01,23
CDM,99999-066-22,HIC 2000030247 MRNA-1273 VACCINE 10 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-066-26,HIC 2000032133 (SGN-ALPV) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-27,HIC 2000032119 (PC14586) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-28,HIC 2000032119 (PC14586) 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-29,HIC 2000032119 (PC14586) 500 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-30,HIC 2000030618 (RP-3500) 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-31,HIC 2000030618 (RP-3500) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-32,HIC 2000030618 LUNRESERTIB (RP-6306) 60 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-33,HIC 2000032386 CABOZANTINIB OR PLACEBO 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-34,HIC 2000032386 CABOZANTINIB 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-35,HIC 2000031702 AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-36,HIC 2000031213 BEPRANEMAB (UCB0107) IN 0.9% NACL IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-066-39,HIC 2000031200 BMS-986278 10MG TABLET OTE,0.01,0.01,0.01,0.01,23
CDM,99999-066-40,HIC 2000031200 BMS-986278 10MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-066-41,HIC 2000031200 BMS-986278 30 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-066-42,HIC 2000031200 BMS-986278 30 MG OR 60 MG TABLET OTE,0.01,0.01,0.01,0.01,23
CDM,99999-066-46,HIC 2000032202 (NGM438) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-47,HIC 2000032202 (NGM438) DILUENT,0.01,0.01,0.01,0.01,23
CDM,99999-066-48,HIC 2000032202 (NGM438) IV SYRINGE (UNDILUTED),0.01,0.01,0.01,0.01,23
CDM,99999-066-49,HIC 2000032202 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-50,HIC 2000022608 BI907828 (BRIGIMADLIN) 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-51,HIC 2000022608 BI907828 (BRIGIMADLIN) 45 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-52,HIC 2000029428 (ARX788) 20 MG/ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-53,HIC 2000032532 (BI 905711) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-56,HIC 2000031756 SETRUSUMAB (UX143) 20MG/KG OR 40MG/KG OR PLACEBO IN DEXTROSE 5% IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-066-60,HIC 2000031447 NIRAPARIB OR PLACEBO 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-64,HIC 2000022193 ACETYLCHOLINE IN LACTATED RINGERS SC SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-65,HIC 2000022193 ESTRADIOL IN NS SC SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-66,HIC 2000022193 SODIUM NITROPRUSSIDE (SNP) IN LACTATED RINGERS SC SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-71,HIC 2000032125 (AZD8853) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-72,HIC 2000032542 (CB-03-10) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-73,HIC 2000032542 (CB-03-10) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-066-74,HIC 2000032488 (HSTC810) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-75,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.65,0.38,0.08,0.59,23
CDM,99999-066-78,REMUNITY PUMP CASSETTE,108.0,63.72,13.14,97.2,23
CDM,99999-066-79,HIC 2000031658 SABATOLIMAB (MBG453) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-80,HIC 2000029000 (PF-07220060) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-066-81,HIC 2000030905 LANIFIBRANOR (IVA337) 400 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-066-82,HIC 2000030521 INEBILIZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-83,HIC 2000028816 IMATINIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-066-84,HIC 2000028816 IMATINIB 400 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-066-85,HIC 2000028816 GARETOSMAB (REGN 2477) MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-88,HIC 2000029869 IRINOTECAN LIPOSOMAL MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-89,HIC 2000029869 FLUOROURACIL MED,0.01,0.01,0.01,0.01,23
CDM,99999-066-90,HIC 2000029869 LEVOLEUCOVORIN IV PUSH INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-066-91,HIC 2000029428 VV1 (VSV-IFNB-NIS; VOYAGER V1) 3 X 10E9 TCID50 INTRATUMORAL INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-066-92,HIC 2000029428 SYSTANE NIGHTTIME 94%-3% LUBRICANT EYE OINTMENT,0.01,0.01,0.01,0.01,23
CDM,99999-066-93,HIC 2000029428 SYSTANE COMPLETE PF 0.6% LUBRICANT EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,99999-067-01,HIC 2000032640 MELPHALAN FLUFENAMIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-067-02,HIC 2000032564 ENZALUTAMIDE (PF-04998299) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-067-03,HIC 2000032564 TALAZOPARIB (PF-06944076) OR PLACEBO 0.1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-067-04,HIC 2000032564 TALAZOPARIB (PF-06944076) OR PLACEBO 0.25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-067-07,BORTEZOMIB 1MG/ML SOLUTION FOR INJECTION,268.9,158.65,32.71,242.01,23
CDM,99999-067-10,HIC 2000023595 LORLATINIB 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-067-11,HIC 2000023595 LORLATINIB 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-067-12,VALACYCLOVIR 50 MG/ML ORAL SUSPENSION,0.15,0.09,0.02,0.14,23
CDM,99999-067-14,HIC 2000031341 NIPOCALIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-067-15,HIC 2000031483 AB-2004 2.0 G OR AB-2004 1.0 G OR PLACEBO ORAL POWDER,0.01,0.01,0.01,0.01,23
CDM,99999-067-16,HIC 2000031298 DARATUMUMAB-HYALURONIDASE (JNJ-54767414) INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-067-17,HIC 2000031298 TECLISTAMAB (JNJ-64007957) SC INJ (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-067-18,HIC 2000031298 TECLISTAMAB (JNJ-64007957) SC INJ (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-067-19,HIC 2000028799 (AB154) 300 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-067-20,HIC 2000028799 (AB154) 300 MG OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-067-24,LORAZEPAM 0.25MG/1.25ML 0.9% NACL INJECTION (PYXIS),2.85,1.68,0.35,2.57,23
CDM,99999-067-25,HIC 2000026945 RISANKIZUMAB OR PLACEBO 300 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-067-26,HIC 2000026945 RISANKIZUMAB 180 MG OR PLACEBO SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-067-27,HIC 2000026945 RISANKIZUMAB 180 MG SC SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-067-29,"HIC 2000032620 DATOPOTAMAB DERUXTECAN (DATO-DXD, DS-1062A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-067-30,HIC 2000031023 NIRAPARIB 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-067-37,SODIUM CITRATE-CITRIC ACID ORAL SOLUTION <30 ML (PEDIATRIC),0.05,0.03,0.01,0.05,23
CDM,99999-067-95,HIC 2000031665 MW189 OR PLACEBO IN 0.9% NACL IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-067-98,HIC 2000029783 CABOZANTINIB 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-00,HIC 2000031244 PEMBROLIZUMAB (MK-3475) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-01,HIC 2000032857 (KIN-3248) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-02,HIC 2000032857 (KIN-3248) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-03,HIC 2000025817 (BI907828) 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-04,HIC 2000025817 (BI907828) 45 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-15,HIC 2000028820 PAMREVLUMAB (FG-3019) IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-068-17,HIC 2000031893 TICAGRELOR 90MG OR RIVAROXABAN 2.5MG OR CLOPIDOGREL 75MG OR PLACEBO LOAD DOSE KIT,0.01,0.01,0.01,0.01,23
CDM,99999-068-18,HIC 2000031893 TICAGRELOR 90MG OR RIVAROXABAN 2.5MG OR CLOPIDOGREL 75MG OR PLACEBO DAILY DOSE KIT,0.01,0.01,0.01,0.01,23
CDM,99999-068-26,HIC 2000031893 ASPIRIN 81 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-068-40,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,252.5,148.98,30.72,227.25,23
CDM,99999-068-42,HIC 2000028685 INAVOLISIB (GDC-0077) 3 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-43,HIC 2000028685 INAVOLISIB (GDC-0077) 9 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-44,HIC 2000029000 ENZALUTAMIDE 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-068-45,SULFADIAZINE 100 MG/ML ORAL SUSPENSION,14.8,8.73,1.8,13.32,23
CDM,99999-068-46,PYRIMETHAMINE 2 MG/ML ORAL SUSPENSION,90.88,53.62,11.06,81.79,23
CDM,99999-068-51,"HIC 2000029428 DATOPOTAMAB DERUXTECAN (DATO-DXD, DS-1062A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-068-52,HIC 2000029428 DURVALUMAB (MEDI-4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-54,HIC 2000030751 (ARV-766) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-55,HIC 2000031571 AZACTIDINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-56,HIC 2000031571 AZACITIDINE SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-068-57,HIC 2000031571 MAGROLIMAB (GS-4721) MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-58,HIC 2000031571 AZACITIDINE (CC-486) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-59,HIC 2000031571 AZACITIDINE (CC-486) 300 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-60,HIC 2000031571 VENETOCLAX 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-61,HIC 2000031571 VENETOCLAX 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-62,HIC 2000031571 VENETOCLAX 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-63,HIC 2000031571 MITOXANTRONE MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-64,HIC 2000031571 ETOPOSIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-65,HIC 2000031571 CYTARABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-66,HIC 2000024729 ATORVASTATIN TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-068-67,HIC 2000031441 (TNO155) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-068-68,HIC 2000031441 (TNO155) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-068-71,HIC 2000022001 IOHEXOL (OMNIPAQUE 350) INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-068-74,HIC 2000031663 MYCOPHENOLATE MOFETIL 500MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-068-75,HIC 2000031663 PREDNISONE 5MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-068-76,HIC 2000031663 PREDNISONE 10MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-068-77,HIC 2000031663 PREDNISONE 20MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-068-82,HIC 2000032938 NAMILUMAB 150 MG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-068-83,HIC 2000032938 NAMILUMAB 150 MG OLE SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-068-85,HIC 2000029991 (REGN5678) MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-86,HIC 2000029991 (REGN5678) 100 MG/ML SC INJECTION (DOSES 10 MG TO 200 MG),0.01,0.01,0.01,0.01,23
CDM,99999-068-87,HIC 2000029991 (REGN5678) 150 MG/ML SC INJECTION (DOSES 300 MG TO 900 MG),0.01,0.01,0.01,0.01,23
CDM,99999-068-88,HIC 2000029991 CEMIPLIMAB (REGN2810) MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-92,HIC 2000032879 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-068-93,HIC 2000032879 OSIMERTINIB (AZD9291) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-94,HIC 2000032879 OSIMERTINIB (AZD9291) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-97,HIC 2000031232 SEMAGLUTIDE OR PLACEBO PREFILLED PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-068-98,HIC 2000033256 ENTINOSTAT 1 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-068-99,HIC 2000033256 ENTINOSTAT 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-00,HIC 2000033256 (ZEN003694) 12 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-069-01,HIC 2000033256 (ZEN003694) 48 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-069-02,HIC 2000031232 CILOFEXOR/FIRSOCOSTAT 30 MG/20 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-069-03,HIC 2000032740 VARENICLINE 0.5 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-069-04,HIC 2000032740 VARENICLINE 1 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-069-05,HIC 2000032328 BUMETANIDE 10 MG IN D5W 50 ML IVPB (SCREENING) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-06,"HIC 2000032328 BUMETANIDE 1.25, 2.5, 5 OR 10 MG IN D5W 50 ML IVPB MED",0.01,0.01,0.01,0.01,23
CDM,99999-069-08,HIC BH042204 ASCORBIC ACID OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-09,HIC 2000029899 FENEBRUTINIB 100 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-069-10,HIC 2000029899 OCRELIZUMAB MED OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-069-13,HIC 2000031615 REGN549 MED (DOSES LESS THAN 5 MG),0.01,0.01,0.01,0.01,23
CDM,99999-069-14,HIC 2000031615 REGN549 MED (DOSE 5 MG OR GREATER),0.01,0.01,0.01,0.01,23
CDM,99999-069-16,HIC 2000028712 IOHEXOL (OMNIPAQUE 350) SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-069-29,HIC 2000033032 (GEN1053) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-30,HIC 2000033344 PREXASERTIB (ACR-368) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-31,HIC 2000033344 GEMCITABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-32,HIC 2000033245 DOMVANALIMAB (AB154) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-33,HIC 2000033245 ZIMBERELIMAB (AB122) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-34,HIC 2000032857 (KIN-3248) 2.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-35,HIC 2000032365 (E-602) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-37,HIC 2000026326 (LNS8801) 25 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-38,HIC 2000029428 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-069-39,HIC 2000033538 PEMIGATINIB (INCB054828) 13.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-40,HIC 2000033538 PEMIGATINIB (INCB054828) 9 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-41,HIC 2000033538 PEMIGATINIB (INCB054828) 4.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-42,HIC 2000032233 CEDAZURIDINE/DECITABINE (ASTX727) 100 MG/35 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-43,HIC 2000032233 VENETOCLAX 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-44,HIC 2000032233 VENETOCLAX 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-45,HIC 2000032233 VENETOCLAX 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-46,IRON SUCROSE 200 MG/100 ML NS,295.0,174.05,35.89,265.5,23
CDM,99999-069-47,IRON SUCROSE 300 MG/250 ML NS,443.75,261.81,53.98,399.38,23
CDM,99999-069-49,HIC 2000031897 LEN 300 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-069-50,HIC 2000031897 LEN ORAL TABLET - OPEN LABEL,0.01,0.01,0.01,0.01,23
CDM,99999-069-51,HIC 2000031897 F-TDF OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-069-52,HIC 2000031897 F-TDF ORAL TABLET - PK TAIL PHASE,0.01,0.01,0.01,0.01,23
CDM,99999-069-53,HIC 2000031897 F-TAF ORAL TABLET - PK TAIL PHASE,0.01,0.01,0.01,0.01,23
CDM,99999-069-63,"HIC 2000030247 10 MCG MODERNA BIVALENT COVID-19 VACCINE MRNA-1273.214, BOOSTER",0.01,0.01,0.01,0.01,23
CDM,99999-069-64,HIC 2000030247 25 MCG MODERNA BIVALENT COVID-19 VACCINE MRNA-1273.214,0.01,0.01,0.01,0.01,23
CDM,99999-069-65,HIC 2000029978 (MK-7684A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-66,HIC 2000031475 ALVR105 (VIRALYM-M) 2 X 10E7 VST OR PLACEBO IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-069-67,HIC 2000031475 ALVR105 (VIRALYM-M) 4 X 10E7 VST OR PLACEBO IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-069-68,"HIC 2000025651 DATOPOTAMAB DERUXTECAN (DS-1062A, DATO-DXD) MED",0.01,0.01,0.01,0.01,23
CDM,99999-069-69,HIC 2000033673 (PBI-200) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-069-70,HIC 2000033673 (PBI-200) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-069-71,HIC 2000033673 (PBI-200) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-72,HIC 2000033673 (PBI-200) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-75,HIC 2000031769 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-76,HIC 2000033662 ATEZOLIZUMAB (RO5541267) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-77,HIC 2000033662 BEVACIZUMAB (RO4876646) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-78,HIC 2000033662 CETUXIMAB (RO5469926),0.01,0.01,0.01,0.01,23
CDM,99999-069-79,HIC 2000033662 INAVOLISIB (RO7113755) 9 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-80,HIC 2000033662 INAVOLISIB (RO7113755) 3 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-81,HIC 2000033662 SY-5609 (RO7564312) 1 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-82,HIC 2000033662 SY-5609 (RO7564312) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-83,HIC 2000033662 TIRAGOLUMAB (RO7092284) MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-84,HIC 2000033316 (BLU-222) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-069-85,HIC 2000033316 (BLU-222) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-069-86,HIC 2000033316 FULVESTRANT,0.01,0.01,0.01,0.01,23
CDM,99999-069-87,HIC 2000033316 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-88,HIC 2000033316 RIBOCICLIB 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-89,HIC 2000025651 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-069-90,HIC 2000032270 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-91,HIC 2000032270 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-069-92,HIC 2000027204 CALCIUM CITRATE 315 MG AND VITAMIN D3 250 IU TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-069-94,HIC 2000033332 TALDEFGROBEP ALFA (BHV-2000) OR PLACEBO PRE-FILLED SYRINGE 35 MG/0.7 ML (50 MG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-069-95,HIC 2000033332 TALDEFGROBEP ALFA (BHV-2000) OR PLACEBO PRE-FILLED SYRINGE 50 MG/0.7 ML (71.4 MG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-069-96,HIC 2000033332 TALDEFGROBEP ALFA (BHV-2000) OLE PRE-FILLED SYRINGE 50 MG/0.7 ML (71.4 MG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-069-97,HIC 2000033332 TALDEFGROBEP ALFA (BHV-2000) OLE PRE-FILLED SYRINGE 35 MG/0.7 ML (50 MG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-070-03,HIC 2000031152 SANOFI-GSK COVID-19 VACCINE,0.01,0.01,0.01,0.01,23
CDM,99999-070-05,HIC 2000032483 TILDACERFONT 50 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-070-06,"HIC 2000032476 JZP150 0.3 MG, 4 MG OR PLACEBO CAPSULES",0.01,0.01,0.01,0.01,23
CDM,99999-070-08,HIC 2000033884 DORDAVIPRONE (ONC201) OR PLACEBO 125 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-070-09,HIC 2000026339 TRORILUZOLE (BHV-4157) 60 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-070-10,HIC 2000026339 TRORILUZOLE (BHV-4157) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-070-11,HIC 2000026339 (VT1021) MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-25,HIC 2000029793 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-27,HIC 2000023235 BIIB093 OR PLACEBO (COMMERCIAL FORMULATION) 4 MG/10 ML VIAL MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-31,HIC 2000033456 GIREDESTRANT (RO7197597) 30 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-073-32,HIC 2000033456 EVEROLIMUS 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-33,HIC 2000033456 EVEROLIMUS 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-34,HIC 2000033456 EVEROLIMUS 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-35,HIC 2000033456 EXEMESTANE 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-36,HIC 2000033997 IMLUNESTRANT (LY3484356) 200MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-37,HIC 2000033659 ABBV-400 MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-42,"HIC 2000028685 DIVARASIB (GDC-6036, R07435846) 25 MG TABLETS",0.01,0.01,0.01,0.01,23
CDM,99999-073-43,MOXIFLOXACIN 20 MG/ML ORAL SUSPENSION,10.5,6.2,1.28,9.45,23
CDM,99999-073-44,HIC 2000028716 LASMIDITAN (LY573144) 25MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-45,HIC 2000028716 LASMIDITAN (LY573144) 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-46,HIC 2000028716 LASMIDITAN (LY573144) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-49,HIC 2000034194 EZABENLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-50,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,3.3,1.95,0.4,2.97,23
CDM,99999-073-53,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,0.51,0.3,0.06,0.46,23
CDM,99999-073-55,HIC 2000032873 METHYLPHENIDATE 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-073-61,HIC 2000032080 MODAKAFUSP ALFA (TAK-573) MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-63,HIC 2000032721 SIROLIMUS-ELUTING COLLAGEN IMPLANT OR PLACEBO 450 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-073-64,HIC 2000032534 INCLISIRAN 300 MG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-073-65,HIC 2000031792 EPTINEZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-66,HIC 2000032279 APALUTAMIDE 60 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-073-67,HIC 2000033935 ADAGRASIB (MRTX849) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-073-68,HIC 2000033935 (MRTX0902) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-69,HIC 2000033935 (MRTX0902) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-70,HIC 2000033935 (MRTX0902) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-71,HIC 2000031791 NIVOLUMAB (BMS-936558) MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-72,HIC 2000031791 RELATLIMAB (BMS-986016) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-73,HIC 2000030853 IRINOTECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-073-74,HIC 2000032721 SIROLIMUS-ELUTING COLLAGEN IMPLANT OR PLACEBO 525 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-073-75,HIC 2000032721 SIROLIMUS-ELUTING COLLAGEN IMPLANT OR PLACEBO 562.5 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-073-76,HIC 2000032721 SIROLIMUS-ELUTING COLLAGEN IMPLANT OR PLACEBO 675 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-073-82,HIC 2000032959 MOMETASONE FUROATE (50MCG/SPRAY) NASAL SPRAY,0.01,0.01,0.01,0.01,23
CDM,99999-073-83,HIC 2000032959 DEPEMOKIMAB 100 MG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-073-85,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,10.35,6.11,1.26,9.32,23
CDM,99999-073-88,"HIC 2000031152 MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4 AND BA.5) 100 MCG",0.01,0.01,0.01,0.01,23
CDM,99999-073-89,HIC 2000031152 PFIZER COVID-19 VACCINE BIVALENT (ORIGINAL/OMICRON BA.4/BA.5) 30 MCG,0.01,0.01,0.01,0.01,23
CDM,99999-073-90,HIC 2000028807 DONANEMAB (LY3002813) 700 MG OR 1400 MG OR PLACEBO IN NS 140 ML IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-073-91,HIC 2000032539 LENALIDOMIDE 2.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-92,HIC 2000032539 LENALIDOMIDE 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-93,HIC 2000032539 LENALIDOMIDE 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-94,HIC 2000032539 LENALIDOMIDE 15 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-95,HIC 2000032539 LENALIDOMIDE 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-96,HIC 2000032539 LENALIDOMIDE 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-073-97,HIC 2000032539 IBRUTINIB 140 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-073-99,HIC 2000032539 IBRUTINIB 280 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-00,HIC 2000032539 IBRUTINIB 420 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-02,HIC 2000032539 IBRUTINIB 560 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-03,HIC 2000032539 IBRUTINIB 70 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-074-04,HIC 2000032539 IBRUTINIB 140 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-074-05,HIC 2000034279 (SBP-101) 35 MG/ML OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-074-06,HIC 2000034247 PIRTOBRUTINIB (LOXO-305) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-069,HIC 2000028887 FLUCONAZOLE 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-07,HIC 2000028329 BCG (TOKYO-172 STRAIN) VACCINE OR PLACEBO I.M. SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-074-09,HIC 2000032466 IMIGLUCERASE (CEREZYME) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-10,HIC 2000032466 IMIGLUCERASE (CEREZYME) MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-11,HIC 2000032466 VENGLUSTAT (GZ402671) 6MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-074-12,HIC 2000032466 VENGLUSTAT (GZ402671) 15MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-074-13,HIC 2000032466 VENGLUSTAT (GZ402671) 6MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-074-14,HIC 2000032466 VENGLUSTAT (GZ402671) 15MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-074-15,HIC 2000032328 BUMETANIDE 10 MG IN D5W 50 ML SYRINGE (SCREENING) MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-16,"HIC 2000032328 BUMETANIDE 1.25, 2.5, 5 OR 10 MG IN D5W 50 ML SYRINGE MED",0.01,0.01,0.01,0.01,23
CDM,99999-074-17,1/2 NS WITH HEPARIN 50 UNITS/50 ML IV SYRINGE INFUSION (PYXIS),0.5,0.3,0.06,0.45,23
CDM,99999-074-18,HIC 2000032539 EPCORITAMAB (ABBV-GMAB-3013) SUBCUTANEOUS INJ PRIMING DOSES MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-19,HIC 2000032539 EPCORITAMAB (ABBV-GMAB-3013) SUBCUTANEOUS INJ FULL DOSES,0.01,0.01,0.01,0.01,23
CDM,99999-074-20,ELASTOMERIC PUMP ON-Q GRAVITY DISPOSABLE 400 ML 2 TO 14 ML/HR,1436.84,847.74,174.78,1293.16,23
CDM,99999-074-21,HIC 2000034320 SELINEXOR (KPT-330) 5 MG/ML ORAL SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-074-22,HIC 2000034320 SELINEXOR (KPT-330) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-23,HIC 2000031243 POSOLEUCEL (ALVR105) 2 X 10E7 CELLS OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-074-24,HIC 2000032539 PREDNISONE 20 TABLETS (DAYS 1-4 ONLY),0.01,0.01,0.01,0.01,23
CDM,99999-074-25,HIC 2000032539 PREDNISONE 20 TABLETS (DAYS 1-5),0.01,0.01,0.01,0.01,23
CDM,99999-074-26,HIC 2000031791 RELATLIMAB (BMS-986016) MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-27,HIC 2000031243 POSOLEUCEL (ALVR105) 4 X 10E7 CELLS OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-074-28,HIC 2000032539 RITUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-29,HIC 2000032539 POLATUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-30,HIC 2000032539 CYCLOPHOSPHAMIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-31,HIC 2000032539 DOXORUBICIN INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-074-32,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,14.88,8.78,1.81,13.39,23
CDM,99999-074-33,HIC 2000029428 ZANIDATAMAB (ZW25) MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-34,HIC 2000033426 BI 1015550 9MG OR 18MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-074-35,HIC 2000024729 (ARV-110) 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-36,HIC 2000024729 (ARV-110) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-37,HIC 2000034046 (IGM-7354) MED (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-074-38,HIC 2000033062 UNESBULIN (PTC596) OR PLACEBO 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-39,HIC 2000032949 ASTX727 (DECITABINE/CEDAZURIDINE) 35 MG/100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-40,HIC 2000032949 TOLINAPANT (ASTX660) 30 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-074-41,HIC 2000032949 TOLINAPANT (ASTX660) 90 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-074-42,HIC 2000033062 UNESBULIN (PTC596) OR PLACEBO 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-43,HIC 2000033425 BI 1015550 9MG OR 18MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-074-44,HIC 2000031756 SETRUSUMAB (UX143) 20 MG/KG OR 40 MG/KG IN DEXTROSE 5% IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-074-45,HIC 2000034046 (IGM-7354) MED (IVPB),0.01,0.01,0.01,0.01,23
CDM,99999-074-66,HIC 2000027249 EFGARTIGIMOD PH20 1000 MG SC INJECTION (STAGE A),0.01,0.01,0.01,0.01,23
CDM,99999-074-67,HIC 2000027249 EFGARTIGIMOD PH20 1000 MG OR PLACEBO SC INJECTION (STAGE B),0.01,0.01,0.01,0.01,23
CDM,99999-074-68,HIC 2000031951 CK-3773274 5 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-83,HIC 2000034200 ATRN-119 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-84,HIC 2000034200 ATRN-119 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-85,HIC 2000032942 SETMELANOTIDE (RM-493) OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-074-89,HIC 2000034242 (STX-478) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-90,HIC 2000034242 (STX-478) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-074-91,HIC 2000033494 BNT113 (RBL015.2 AND RBL016.2) 10 MCG/ML IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-074-92,HIC 2000033494 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-074-93,HIC 2000029057 LISDEXAMPHETAMINE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-94,HIC 2000029057 LISDEXAMPHETAMINE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-95,HIC 2000029057 LISDEXAMPHETAMINE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-96,HIC 2000029057 LISDEXAMPHETAMINE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-97,HIC 2000029057 LISDEXAMPHETAMINE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-98,HIC 2000029057 LISDEXAMPHETAMINE OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-074-99,NADOLOL 10 MG/ML ORAL SUSPENSION,0.27,0.16,0.03,0.24,23
CDM,99999-075-00,HIC 2000032316 EFGARTIGIMOD PH20 1000 MG SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-075-03,HIC 2000033412 EMPAGLIFLOZIN 10 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-075-04,HIC 2000033687 CVL-354 0.05 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-075-06,HIC 2000033687 5 MG CAPSULE (FOR DOSES GREATER OR EQUAL TO 5 MG AND NOT TO EXCEED 200 MG),0.01,0.01,0.01,0.01,23
CDM,99999-075-09,HIC 2000033412 DEUTERIUM OXIDE ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-075-10,HIC 2000033687 25 MG CAPSULE (FOR DOSES GREATER OR EQUAL TO 5 MG AND NOT TO EXCEED 200 MG),0.01,0.01,0.01,0.01,23
CDM,99999-075-11,HIC 2000033687 100 MG CAPSULE (FOR DOSES GREATER OR EQUAL TO 5 MG AND NOT TO EXCEED 200 MG),0.01,0.01,0.01,0.01,23
CDM,99999-075-30,HIC 2000033412 EMPAGLIFLOZIN 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-075-31,HIC 2000033412 IOHEXOL (OMNIPAQUE) 350 MG IODINE/ML,0.01,0.01,0.01,0.01,23
CDM,99999-075-32,HIC 2000033412 BUMETANIDE IN D5W 50 ML IV MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-33,HIC 2000033412 PARA-AMINOHIPPURATE (PAH) 8000 MG IN NS 400 ML IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-35,HIC 2000025971 E2814 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-36,HIC 2000034124 RO7623066 (KSQ-4279) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-075-37,HIC 2000034124 RO7623066 (KSQ-4279) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-075-38,HIC 2000034124 RO7623066 (KSQ-4279) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-075-39,HIC 2000034124 RO7623066 (KSQ-4279) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-075-41,HIC 2000033903 TECOVIRIMAT OR PLACEBO 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-075-42,HIC 2000033903 TECOVIRIMAT OR PLACEBO 10 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-075-46,HIC 2000031256 FERUMOXYTOL 30 MG/ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-50,HIC 2000034124 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-075-51,HIC 2000034124 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-075-52,HIC 2000033903 TECOVIRIMAT 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-075-53,HIC 2000025971 LECANEMAB 100 MG/ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-54,HIC 2000033903 TECOVIRIMAT 10 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-075-55,HIC 2000025632 AZACITIDINE 100 MG SOLUTION FOR INJECTION MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-56,HIC 2000034387 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-57,HIC 2000033846 ATEZOLIZUMAB (MPDL3280A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-58,HIC 2000033245 QUEMLICLUSTAT (AB680) MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-59,"HIC 2000034530 VAL-083 (DIANHYDROGALACTITOL, DAG) MED",0.01,0.01,0.01,0.01,23
CDM,99999-075-61,HIC 2000030190 AZACITIDINE 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-075-63,HIC 2000032895 TIRZEPATIDE (LY3298176) 10 MG SINGLE DOSE PEN,0.01,0.01,0.01,0.01,23
CDM,99999-075-64,HIC 2000032895 TIRZEPATIDE (LY3298176) 2.5 MG OR 5 MG OR 7.5 MG OR 10 MG OR PLACEBO SINGLE DOSE PEN,0.01,0.01,0.01,0.01,23
CDM,99999-075-65,HIC 2000032911 N-803 (ALT-803) 2MG/ML INJECTION (2000MCG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-075-66,HIC 2000032911 N-803 (ALT-803) 1MG/ML INJECTION (1000MCG/ML),0.01,0.01,0.01,0.01,23
CDM,99999-075-69,HIC 2000032895 TIRZEPATIDE (LY3298176) 5 MG SINGLE DOSE PEN,0.01,0.01,0.01,0.01,23
CDM,99999-075-70,HIC 2000032895 TIRZEPATIDE (LY3298176) 2.5 MG SINGLE DOSE PEN,0.01,0.01,0.01,0.01,23
CDM,99999-075-71,"HIC 2000034664 BELANTAMAB MAFODOTIN (BLENREP, GSK2857916) MED",0.01,0.01,0.01,0.01,23
CDM,99999-075-72,HIC 2000032308 TIRABRUTINIB (ONO-4059) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-075-76,HIC 2000029048 PF-07220060 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-075-77,HIC 2000029048 PF-07220060 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-075-78,"HIC 2000033990 JNJ-78934804 GUSELKUMAB, GOLIMUMAB OR PLACEBO MAINTENANCE SYRINGE 1",0.01,0.01,0.01,0.01,23
CDM,99999-075-79,"HIC 2000033990 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 2",0.01,0.01,0.01,0.01,23
CDM,99999-075-81,"HIC 2000034725 VAL-083 (DIANHYDROGALACTITOL, DAG) MED",0.01,0.01,0.01,0.01,23
CDM,99999-075-82,"HIC 2000033990 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR MAINTENANCE_SYRINGE 3",0.01,0.01,0.01,0.01,23
CDM,99999-075-83,"HIC 2000033990 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 4",0.01,0.01,0.01,0.01,23
CDM,99999-075-84,"HIC 2000033990 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR MAINTENANCE_SYRINGE 2",0.01,0.01,0.01,0.01,23
CDM,99999-075-85,"HIC 2000033990 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 3",0.01,0.01,0.01,0.01,23
CDM,99999-075-86,"HIC 2000033990 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 1",0.01,0.01,0.01,0.01,23
CDM,99999-075-87,HIC 2000034531 ALLOGENEIC GAMMA/DELTA T CELLS (DELTEX),0.01,0.01,0.01,0.01,23
CDM,99999-075-88,HIC 2000034531 AUTOLOGOUS GAMMA/DELTA T CELLS (DELTEX),0.01,0.01,0.01,0.01,23
CDM,99999-075-90,HIC 2000034194 BI 1703880 MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-94,HIC 2000034531 TEMOZOLOMIDE 100 MG INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-075-98,HIC 2000029991 SARILUMAB (REGN88) MED,0.01,0.01,0.01,0.01,23
CDM,99999-075-99,HIC 2000034361 PRT3645 20 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-076-00,HIC 2000034361 PRT3645 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-076-02,HIC 2000034459 KIN-3248 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-03,HIC 2000034459 KIN-3248 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-04,HIC 2000034459 KIN-3248 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-05,HIC 2000033730 SODIUM-D-3-HYDROXYBUTYRATE (13C4) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-06,HIC 2000033730 SODIUM-L-LACTATE (3-13C) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-07,"HIC 2000033730 D-GLUCOSE (1,2,3,4,5,6,6-D7) MED",0.01,0.01,0.01,0.01,23
CDM,99999-076-08,HIC 2000033730 INSULIN U-100 REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-09,"HIC 2000033730 D-GLUCOSE (6,6-D2) MED",0.01,0.01,0.01,0.01,23
CDM,99999-076-11,"HIC 2000033730 GLYCEROL (1,1,2,3,3-D5) MED",0.01,0.01,0.01,0.01,23
CDM,99999-076-13,HIC 2000030190 AZACITIDINE 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-18,"HIC 2000034708 PATRITUMAB DERUXTECAN (U3-1402, HER3-DXD) 100 MG/5 ML MED",0.01,0.01,0.01,0.01,23
CDM,99999-076-19,HIC 2000029428 LASOFOXIFENE 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-20,HIC 2000029428 ENDOXIFEN (DELAYED RELEASE) 10 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-076-21,HIC 2000033248 (VOB560) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-22,HIC 2000033248 (MIK665) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-24,HIC 2000032345 TUSPETINIB (HM43239) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-25,HIC 2000032345 TUSPETINIB (HM43239) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-26,HIC 2000032345 TUSPETINIB (HM43239) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-29,HIC 2000031441 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-34,HIC 2000034197 (AZD4205) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-076-35,HIC 2000034197 (AZD4205) 75 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-076-36,HIC 2000034197 (AZD4205) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-076-37,HIC 2000034197 (AZD4205) 150 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-076-38,BOSENTAN 6.25 MG/ML ORAL SUSPENSION,116.32,68.63,14.15,104.69,23
CDM,99999-076-39,HIC 2000033033 IBERDOMIDE (CC-220) 0.75 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-076-40,HIC 2000033033 IBERDOMIDE (CC-220) 1 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-076-41,HIC 2000033033 IBERDOMIDE (CC-220) 1.3 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-076-42,HIC 2000033033 IBERDOMIDE (CC-220) 1.6 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-076-43,HIC 2000033858 (AB248) MED (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-076-44,HIC 2000033858 (AB248) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-45,HIC 2000033858 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-55,HIC 2000023211 ZIMBERELIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-56,HIC 2000023211 DOMVANALIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-57,HIC 2000026755 VORASIDENIB (AG-881) 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-58,HIC 2000026755 VORASIDENIB (AG-881) 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-59,HIC 2000033529 DAPAGLIFLOZIN 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-60,HIC 2000033874 SAROGLITAZAR MAGNESIUM 1 MG OR 2 MG TABLET OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-076-61,HIC 2000032970 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-62,HIC 2000032970 OLECLUMAB 3000 MG OR MONALIZUMAB 1500 MG OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-65,HIC 2000034894 SELPERCATINIB (LY3527723) 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-076-66,HIC 2000034894 SELPERCATINIB (LY3527723) 80 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-076-67,HIC 2000033052 OSIMERTINIB 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-68,HIC 2000033052 OSIMERTINIB 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-69,HIC 2000033052 HER3-DXD (PATRITUMAB DERUXTECAN; U3-1402) MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-70,HIC 2000033661 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-076-71,HIC 2000033661 FULVESTRANT,0.01,0.01,0.01,0.01,23
CDM,99999-076-72,HIC 2000033661 GEDATOLISIB MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-73,HIC 2000033661 PALBOCICLIB 125 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-74,HIC 2000033661 PALBOCICLIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-75,HIC 2000033661 PALBOCICLIB 75 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-076-77,HIC 2000034270 ABC008 0.5 MG/KG OR 2 MG/KG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-076-78,HIC 2000032345 VENETOCLAX 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-79,HIC 2000032345 VENETOCLAX 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-81,"HIC 2000033932 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 1",0.01,0.01,0.01,0.01,23
CDM,99999-076-82,"HIC 2000033932 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 2",0.01,0.01,0.01,0.01,23
CDM,99999-076-84,"HIC 2000033932 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 3",0.01,0.01,0.01,0.01,23
CDM,99999-076-85,"HIC 2000033932 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR INDUCTION_SYRINGE 4",0.01,0.01,0.01,0.01,23
CDM,99999-076-87,"HIC 2000033932 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR MAINTENANCE_SYRINGE 1",0.01,0.01,0.01,0.01,23
CDM,99999-076-88,"HIC 2000033932 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR MAINTENANCE_SYRINGE 2",0.01,0.01,0.01,0.01,23
CDM,99999-076-89,"HIC 2000033932 JNJ-78934804, GUSELKUMAB, GOLIMUMAB, OR PLACEBO FOR MAINTENANCE_SYRINGE 3",0.01,0.01,0.01,0.01,23
CDM,99999-076-94,HIC 2000033455 PRV-3279 OR PLACEBO 20 MG/5 ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-076-95,HIC 2000033741 RGLS8429 OR PLACEBO INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-076-96,HIC 2000030902 MACITENTAN 75 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-076-97,HIC 2000030902 MACITENTAN 75 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-02,HIC 2000031605 EMPAGLIFLOZIN 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-03,HIC 2000031605 EMPAGLIFLOZIN 25 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-06,HIC 2000031605 DEUTERIUM OXIDE ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-07,HIC 2000031605 IOHEXOL (OMNIPAQUE) 350 MG IODINE/ML INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-08,HIC 2000031605 FUROSEMIDE 10 MG/ML INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-09,HIC 2000030902 MACITENTAN 37.5 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-10,HIC 2000030902 MACITENTAN 10 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-11,HIC 2000034539 CILTACABTAGENE AUTOLEUCEL INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-077-12,HIC 2000032978 SELUMETINIB (AZD6244) 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-077-13,HIC 2000032978 SELUMETINIB (AZD6244) 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-077-14,HIC 2000033436 STACCATO ALPRAZOLAM 2MG INHALATION POWDER,0.01,0.01,0.01,0.01,23
CDM,99999-077-17,HIC 2000030942 VX-147 15 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-18,HIC 2000034429 TEPLIZUMAB IV SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-19,METHACHOLINE CHLORIDE 0 MG/3 ML (0 MG/ML) NEBULIZATION SOLUTION,112.5,66.38,13.69,101.25,23
CDM,99999-077-25,HIC 2000033995 ASUNDEXIAN 50 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-26,HIC 2000032283 CILTACABTAGENE AUTOLEUCEL (JNJ-68284528) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-077-28,HIC 2000034409 ASTX727 (DECITABINE-CEDAZURIDINE) 35MG-100MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-29,HIC 2000034409 MAGROLIMAB 20 MG/ML IV SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-31,HIC 2000031397 HST5040A 3 MG/KG (5-30 KG) ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-32,HIC 2000031397 HST5040A 9 MG/KG OR 15 MG/KG ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-33,HIC 2000033786 OLANZAPINE 5 MG OR PLACEBO CAPSULE (B),0.01,0.01,0.01,0.01,23
CDM,99999-077-34,HIC 2000033786 OLANZAPINE 5 MG OR PLACEBO CAPSULE (A),0.01,0.01,0.01,0.01,23
CDM,99999-077-36,HIC 2000031397 HST5040A 3 MG/KG (35-90 KG) ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-37,NALBUPHINE 20 MG/ML INJECTION SOLUTION,10.37,6.12,1.26,9.33,23
CDM,99999-077-39,HIC 2000035149 CAPMATINIB (INC280) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-40,HIC 2000035149 CAPMATINIB (INC280) 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-41,HIC 2000032948 CK-3773274 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-42,HIC 2000032948 CK-3773274 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-43,HIC 2000035149 RAMUCIRUMAB INFUSION MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-45,HIC 2000034077 VIC-1911 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-46,HIC 2000034077 VIC-1911 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-49,HIC 2000029428 (ARX788) 20 MG/ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-52,HIC 2000032349 SOTATERCEPT OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-54,HIC 2000033595 EXPEC9V 176 MCG PS/ML VACCINE OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-077-55,CARDIOPLEG SOL 27 (INDUCTION 4:1) 48 MEQ/522.8 ML (POTASSIUM)PERFUSION,292.77,172.73,35.61,263.49,23
CDM,99999-077-56,CARDIOPLEGIC SOLN 29 (MAINT 4:1) 12 MEQ/504.8 ML (POTASSIUM) PERFUSION,292.79,172.75,35.62,263.51,23
CDM,99999-077-57,HIC 2000033312 ABROCITINIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-60,HIC 2000034396 PRA023 MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-62,HIC 2000034396 PRA023 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-63,IIC 2000033289 ADUCANUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-64,HIC 2000033292 XL092 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-65,HIC 2000033292 XL092 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-68,HIC 2000033292 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-69,HIC 2000033934 MARALIXIBAT 5 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-70,HIC 2000033292 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-71,HIC 2000033292 RELATLIMAB 480 MG-NIVOLUMAB 480 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-72,HIC 2000033934 MARALIXIBAT 10 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-73,HIC 2000033934 MARALIXIBAT 15 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-74,HIC 2000033934 MARALIXIBAT 20 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-75,HIC 2000033934 MARALIXIBAT OR PLACEBO 5 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-76,HIC 2000033934 MARALIXIBAT OR PLACEBO 10 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-77,HIC 2000033934 MARALIXIBAT OR PLACEBO 15 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-78�,HIC 2000033934 MARALIXIBAT OR PLACEBO 20 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-80,HIC 2000034242 FULVESTRANT 250 MG SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-077-81,HIC 2000033934 MARALIXIBAT OR PLACEBO 1 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-82,HIC 2000033934 MARALIXIBAT OR PLACEBO 2 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-83,HIC 2000033934 MARALIXIBAT OR PLACEBO 3 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-84,HIC 2000033934 MARALIXIBAT OR PLACEBO 4 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-85,HIC 2000033934 MARALIXIBAT 1 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-86,HIC 2000033934 MARALIXIBAT 2 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-87,HIC 2000033934 MARALIXIBAT 3 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-88,HIC 2000033934 MARALIXIBAT 4 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-077-89,HIC 2000034346 MIRVETUXIMAB SORAVTANSINE (IMGN853) MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-90,HIC 2000034665 INOTUZUMAB OZOGAMICIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-91,HIC 2000032440 BLINATUMOMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-92,HIC 2000032440 IV SOLUTION STABILIZER FOR BLINATUMOMAB,0.01,0.01,0.01,0.01,23
CDM,99999-077-93,HIC 2000034409 MAGROLIMAB 20 MG/ML IV SOLN,0.01,0.01,0.01,0.01,23
CDM,99999-077-94,HIC 2000023639 SACITUZUMAB GOVITECAN 10 MG/ML MED,0.01,0.01,0.01,0.01,23
CDM,99999-077-95,HIC 2000032539 CC-99282 0.1 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-077-96,HIC 2000032539 VENETOCLAX 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-97,HIC 2000032539 VENTOCLAX 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-077-98,HIC 2000032539 VENTOCLAX 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-078-00,HIC 2000033603 EFGARTIGIMOD PH20 1000 MG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-078-04,HIC 2000035152 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-05,HIC 2000035152 RO7496353 (SOF10) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-06,HIC 2000034205 (AMG 794) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-07,HIC 2000034780 OLAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-08,HIC 2000034780 OLAPARIB 150 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-09,HIC 2000026387 IMETELSTAT (GRN163L) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-10,HIC 2000034346 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-11,HIC 2000034135 (ASP1002) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-12,HIC 2000034135 (ASP1002) MED (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-078-13,HIC 2000034609 (ASP2074) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-14,HIC 2000034609 (ASP2074) MED (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-078-15,HIC 2000033662 DIVARASIB (RO7435846) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-078-16,HIC 2000033662 DIVARASIB (RO7435846) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-078-17,HIC 2000033662 DIVARASIB (RO7435846) 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-078-18,HIC 2000034653 MRTX1133 150 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-078-19,HIC 2000034653 MRTX1133 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-078-22,HIC 2000031214 PACLITAXEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-23,HIC 2000034346 POLYETHYLENE GLYCOL400 0.4% - PROPYLENE GLYCOL 0.3% (SYSTANE ULTRA) EYE DROPS,0.01,0.01,0.01,0.01,23
CDM,99999-078-24,HIC 2000034346 PREDNISOLONE ACETATE 1% OPHTALMIC SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-078-25,HIC 2000033156 SEMAGLUTIDE 3 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-26,HIC 2000033156 SEMAGLUTIDE 7 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-27,HIC 2000033156 SEMAGLUTIDE 14 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-28,HIC 2000034292 SEMAGLUTIDE 3 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-29,HIC 2000034292 SEMAGLUTIDE 7 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-30,HIC 2000034292 SEMAGLUTIDE 14 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-31,HIC 2000032969 RELATLIMAB (< 12 Y/O AND/OR < 40 KG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-32,HIC 2000032969 NIVOLUMAB (< 12 Y/O AND/OR < 40 KG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-33,HIC 2000032969 RELATLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-34,HIC 2000032969 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-35,HIC 2000034639 (STK-012) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-078-36,HIC 2000034938 VENETOCLAX 3 MG SACHETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-37,HIC 2000034938 VENETOCLAX 10 MG SACHETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-38,HIC 2000034938 VENETOCLAX 25 MG SACHETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-39,HIC 2000034938 VENETOCLAX 100 MG SACHETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-40,HIC 2000034938 VENETOCLAX 600 MG SACHETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-41,HIC 2000034938 VENETOCLAX 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-42,HIC 2000034938 VENETOCLAX 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-43,HIC 2000034938 VENETOCLAX 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-44,HIC 2000032365 CEMIPLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-45,HIC 2000029047 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-46,HIC 2000033879 DEUCRAVACITINIB 3 MG OR PLACEBO TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-078-47,HIC 2000033879 DEUCRAVACITINIB 3 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-078-48,HIC 2000031423 VALBENAZINE 40 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-078-49,HIC 2000035571 ROPEGINTERFERON ALFA-2B-NJFT (P1101) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-078-50,HIC 2000030007 (ADG126) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-51,HIC 1509016530 KETAMINE 0.2MG/KG OR 0.5MG/KG OR MIDAZOLAM 0.045MG/KG IN NS IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-078-53,HIC 2000031181 INSULIN REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-58,HIC 2000032539 DEXAMETHASONE 2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-078-59,HIC 2000032539 DEXAMETHASONE 4 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-078-60,HIC 2000031423 VALBENAZINE 80 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-078-61,HIC 2000035502 (IO102) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-078-62,HIC 2000035502 (IO103) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-078-63,HIC 2000035502 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-65,"HIC 2000030999 GLYCEROL (1,1,2,3,3-D5) MED",0.01,0.01,0.01,0.01,23
CDM,99999-078-66,"HIC 2000030999 D-GLUCOSE (6,6-D2) MED",0.01,0.01,0.01,0.01,23
CDM,99999-078-67,HIC 2000030999 INSULIN REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-68,HIC 2000034565 BELINOSTAT MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-69,HIC 2000034565 TAZEMETOSTAT 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-078-70,HIC 2000027706 0.9% NACL POST INFUSION FLUSH SOLUTION SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-078-71,HIC 2000027706 (AMG 509) MED (0.1 MG/ML 100 ML DILUTION BAG) IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-078-72,HIC 2000027706 (AMG 509) MED (INFUSION),0.01,0.01,0.01,0.01,23
CDM,99999-078-73,HIC 2000035577 LUSPATERCEPT (BMS-986346/ACE-536) SC INJECTION MED (DOSES < 30 MG),0.01,0.01,0.01,0.01,23
CDM,99999-078-74,"HIC 2000035577 EPOETIN ALFA 10,000 UNIT/ML SC INJECTION",0.01,0.01,0.01,0.01,23
CDM,99999-078-75,"HIC 2000035577 EPOETIN ALFA 20,000 UNIT/ML SC INJECTION",0.01,0.01,0.01,0.01,23
CDM,99999-078-76,"HIC 2000035577 EPOETIN ALFA 40,000 UNIT/ML SC INJECTION",0.01,0.01,0.01,0.01,23
CDM,99999-078-77,HIC 2000034606 DEUTERIUM OXIDE ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-078-78,HIC 2000034606 EMPAGLIFLOZIN OR PLACEBO 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-078-79,DOXEPIN 10 MG/ML ORAL CONCENTRATE,1.28,0.76,0.16,1.15,23
CDM,99999-078-80,HIC 2000034606 IOHEXOL (OMNIPAQUE 350) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-81,HIC 2000034606 PARA-AMINOHIPPURATE (PAH) IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-82,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,366.0,215.94,44.52,329.4,23
CDM,99999-078-85,HIC 2000034654 BENDROFLUMETHIAZIDE OR PLACEBO 20 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-078-86,HIC 2000034315 AMILORIDE OR PLACEBO 20 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-078-87,HIC 2000034315 BUMETANIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-88,HIC 2000033416 ALPRAZOLAM OR PLACEBO 2 MG (STACCATO) INHALER,0.01,0.01,0.01,0.01,23
CDM,99999-078-89,HIC 2000033416 STACCATO PLACEBO INHALER (TRAINING KIT),0.01,0.01,0.01,0.01,23
CDM,99999-078-90,HIC 2000031756 SETRUSUMAB (UX143) 20 MG/KG OR PLACEBO IN DEXTROSE 5% IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-078-91,HIC 2000031756 SETRUSUMAB (UX143) 20 MG/KG IN DEXTROSE 5% IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-078-92,HIC 2000032188 (ASP3082 - FORMULATION B) MED,0.01,0.01,0.01,0.01,23
CDM,99999-078-93,HIC 2000034005 (TSC-101) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-078-94,HIC 2000034005 (TSC-100) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-078-95,HIC 2000035056 BOTENSILIMAB (AGEN1181) MED (IV SYRINGE - DOSES 0.1 - 0.3 MG/KG),0.01,0.01,0.01,0.01,23
CDM,99999-078-96,HIC 2000035056 BOTENSILIMAB (AGEN1181) MED (DOSES 1-4 MG/KG),0.01,0.01,0.01,0.01,23
CDM,99999-078-97,HIC 2000035056 BOTENSILIMAB (AGEN1181) MED (FLAT DOSE = 150 MG),0.01,0.01,0.01,0.01,23
CDM,99999-078-98,HIC 2000035056 BALSTILIMAB (AGEN2034) MED (WEIGHT BASED),0.01,0.01,0.01,0.01,23
CDM,99999-078-99,HIC 2000035056 BALSTILIMAB (AGEN2034) MED (FLAT DOSE),0.01,0.01,0.01,0.01,23
CDM,99999-079-00,HIC 2000032230 ASTX727 (DECITABINE-CEDAZURIDINE) 35MG-100MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-079-01,HIC 2000032230 VENETOCLAX 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-079-02,HIC 2000032230 VENETOCLAX 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-079-03,HIC 2000032230 VENETOCLAX 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-079-04,HIC 2000034410 ZIFTOMENIB (KO-539) 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-05,HIC 2000034410 ZIFTOMENIB (KO-539) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-06,HIC 2000034410 ZIFTOMENIB (KO-539) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-11,HIC 2000034572 (JANX007) MED (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-079-12,HIC 2000034572 (JANX007) MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-13,HIC 2000034701 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-15,HIC 2000034606 FUROSEMIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-17,HIC 2000029428 BRIMONIDINE TARTRATE 0.2% OPHTHALMIC SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-079-18,HIC 2000029428 FLUOROMETHOLONE 0.1% OPHTHALMIC SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-079-19,HIC 2000029428 SYSTANE NIGHTTIME RELIEF PF LUBRICANT EYE OINTMENT 3%-3%-94%,0.01,0.01,0.01,0.01,23
CDM,99999-079-20,GLYCERIN 50% IN SODIUM CHLORIDE 0.9%,765.0,451.35,93.06,688.5,23
CDM,99999-079-21,HIC 2000034441 TEMOZOLOMIDE 250 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-079-22,HIC 2000034441 TEMOZOLOMIDE 5 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-079-23,HIC 2000034441 TEMOZOLOMIDE 20 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-079-24,HIC 2000034441 TEMOZOLOMIDE 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-079-25,HIC 2000034441 TEMOZOLOMIDE 140 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-079-26,HIC 2000034441 TEMOZOLOMIDE 180 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-079-27,HIC 2000034441 M1774 30 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-079-28,HIC 2000034124 CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-31,SACUBITRIL-VALSARTAN (ENTRESTO) 4 MG/ML ORAL SUSPENSION,10.2,6.02,1.24,9.18,23
CDM,99999-079-32,HIC 2000034550 FUROSEMIDE 10 MG/ML IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-079-33,HIC 2000035234 SODIUM THIOSULFATE ANHYDROUS 8% (PEDMARK) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-079-35,HIC 2000033784 (LYL797) IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-079-36,HIC 2000035308 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-37,HIC 2000035308 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-38,HIC 2000035308 TOBEMSTOMIG (RO7247669) MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-39,HIC 2000035308 TIRAGOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-40,HIC 2000034851 PRT3789 MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-41,"HIC 2000034385 DATOPOTAMAB DERUXTECAN (DATO-DXD, DS-1062A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-079-42,HIC 2000034385 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-45,HIC 2000030299 (ST-067) MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-46,HIC 2000030299 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-47,HIC 2000033314 ABROCITINIB 200 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-079-48,HIC 2000035657 FIRICABTAGENE AUTOLEUCEL (CRG-022),0.01,0.01,0.01,0.01,23
CDM,99999-079-50,HIC 2000029038 CAN-2409 2.5X10EXP11 VP/ML,0.01,0.01,0.01,0.01,23
CDM,99999-079-51,HIC 2000029038 CAN-2409 5X10EXP11 VP/ML,0.01,0.01,0.01,0.01,23
CDM,99999-079-52,HIC 2000029038 VALACYCLOVIR 1000 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-54,HIC 2000035676 RIPRETINIB (DCC-2618) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-079-55,HIC 2000035676 SUNITINIB 12.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-56,HIC 2000034382 ARV-471 (PF-07850327) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-57,HIC 2000034382 FULVESTRANT,0.01,0.01,0.01,0.01,23
CDM,99999-079-58,HIC 2000035722 DARATUMUMAB-HYALURONIDASE-FIHJ INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-079-59,HIC 2000033925 ML-004 12 MG OR 24 MG OR PLACEBO TABLETS TITRATION PACKET,0.01,0.01,0.01,0.01,23
CDM,99999-079-60,HIC 2000033925 ML-004 12 MG OR 24 MG OR PLACEBO TABLETS TAPER PACKET,0.01,0.01,0.01,0.01,23
CDM,99999-079-61,HIC 2000033925 ML-004 OR PLACEBO 24 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-64,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,12.86,7.59,1.56,11.57,23
CDM,99999-079-65,HIC 2000033374 RYZ101,0.01,0.01,0.01,0.01,23
CDM,99999-079-66,HIC 2000031214 BUPARLISIB (AN2025) 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-67,HIC 2000031214 BUPARLISIB (AN2025) 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-68,HIC 2000034970 TOS-358 1 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-69,HIC 2000034970 TOS-358 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-70,HIC 2000034970 TOS-358 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-71,HIC 2000035046 BMS-986449 20 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-72,HIC 2000035046 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-73,HIC 2000035046 BMS-986449 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-079-74,HIC 2000034661 INSULIN REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-75,"HIC 2000034661 D-GLUCOSE (6,6-D2) MED",0.01,0.01,0.01,0.01,23
CDM,99999-079-76,HIC 2000035021 CABOZANTINIB (XL184) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-77,HIC 2000035021 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-78,HIC 2000035021 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-79,"HIC 2000034661 D-GLUCOSE (6,6-D2) MED (D5W)",0.01,0.01,0.01,0.01,23
CDM,99999-079-80,HIC 2000034756 (ABBV-706) MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-81,HIC 2000034383 COPANLISIB MED,0.01,0.01,0.01,0.01,23
CDM,99999-079-82,HIC 2000035133 ABEMACICLIB 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-83,HIC 2000035133 ABEMACICLIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-84,HIC 2000035133 ABEMACICLIB 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-85,HIC 2000035133 ALPELISIB 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-86,HIC 2000035133 ALPELISIB 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-87,HIC 2000035133 ALPELISIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-88,HIC 2000035133 ELACESTRANT DIHYDROCHLORIDE 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-89,HIC 2000035133 ELACESTRANT DIHYDROCHLORIDE 400 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-90,HIC 2000035133 EVEROLIMUS 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-91,HIC 2000035133 EVEROLIMUS 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-92,HIC 2000035133 EVEROLIMUS 7.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-93,HIC 2000035133 EVEROLIMUS 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-94,HIC 2000035133 PALBOCICLIB 75 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-95,HIC 2000035133 PALBOCICLIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-96,HIC 2000035133 PALBOCICLIB 125 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-079-97,HIC 2000035133 RIBOCICLIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-01,HIC 2000030951 GSK3511294 100 MG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-02,HIC 2000030951 MEPOLIZUMAB 100 MG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-03,ACITRETIN 2 MG/ML ORAL SUSPENSION,22.52,13.29,2.74,20.27,23
CDM,99999-080-04,HIC 2000030951 BENRALIZUMAB 30 MG OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-05,HIC 2000031893 TICAGRELOR 90MG OR RIVAROXABAN 2.5MG OR CLOPIDOGREL 75MG OR PLACEBO LOAD DOSE BOTTLE,0.01,0.01,0.01,0.01,23
CDM,99999-080-07,HIC 2000034564 (LYL845) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-080-10,HIC 2000033456 FULVESTRANT,0.01,0.01,0.01,0.01,23
CDM,99999-080-11,HIC 2000033456 TAMOXIFEN 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-12,HIC 2000033456 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-13,HIC 2000035073 (TST003) MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-14,HIC 2000034374 GM-CSF (SARGRAMOSTIM) OR PLACEBO 125 MCG/0.5 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-15,HIC 2000034374 GP2 OR PLACEBO 83 MCG/0.5 ML SKIN TEST,0.01,0.01,0.01,0.01,23
CDM,99999-080-16,HIC 2000034374 GP2 OR PLACEBO 500 MCG/0.6 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-17,HIC 2000034374 SODIUM CHLORIDE 0.9% CONTROL,0.01,0.01,0.01,0.01,23
CDM,99999-080-18,HIC 2000034374 GM-CSF (SARGRAMOSTIM) OR PLACEBO 62.5 MCG/0.5 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-19,HIC 2000034374 GM-CSF (SARGRAMOSTIM) OR PLACEBO 31.25 MCG/0.5 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-21,HIC 2000032291 ABBV-CLS-7262 120 MG OR 240 MG OR PLACEBO SACHET,0.01,0.01,0.01,0.01,23
CDM,99999-080-23,HIC 2000032291 ABBV-CLS-7262 120 MG OR 240 MG SACHET ATE,0.01,0.01,0.01,0.01,23
CDM,99999-080-25,HIC 2000032291 DNL343 100 MG STICK PACKS ATE,0.01,0.01,0.01,0.01,23
CDM,99999-080-26,HIC 2000032291 DNL343 100 MG OR PLACEBO STICK PACKS,0.01,0.01,0.01,0.01,23
CDM,99999-080-27,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,4.3,2.54,0.52,3.87,23
CDM,99999-080-28,HIC 2000033964 BATOCLIMAB 340 MG OR 680 MG OR PLACEBO PRE-FILLED SYRINGE INDUCTION PERIOD,0.01,0.01,0.01,0.01,23
CDM,99999-080-29,HIC 2000033964 BATOCLIMAB 340 MG OR PLACEBO PRE-FILLED SYRINGE MAINTENANCE PERIOD,0.01,0.01,0.01,0.01,23
CDM,99999-080-30,HIC 2000033964 BATOCLIMAB 340 MG PRE-FILLED SYRINGE LONG TERM EXTENSION PERIOD,0.01,0.01,0.01,0.01,23
CDM,99999-080-33,HIC 2000034728 DEXTROSE 5% IN WATER FLUSH SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-080-35,HIC 2000034728 SETRUSUMAB (UX143) 20 MG/KG IN DEXTROSE 5% IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-080-36,HIC 2000034575 ANTIBKV 1000 MG OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-080-37,HIC 2000034575 SODIUM CHLORIDE 0.9% INFUSION (FLUSH),0.01,0.01,0.01,0.01,23
CDM,99999-080-39,HIC 2000035405 TAK-186 (MVC-101) MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-40,HIC 2000034954 D-GLUCOSE (13C6),0.01,0.01,0.01,0.01,23
CDM,99999-080-41,HIC 2000033874 SAROGLITAZAR MAGNESIUM 1 MG TABLET OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-080-42,HIC 2000033730 GLUCAGON (1 MG/0.2 ML) SUBCUTANEOUS INFUSION SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-080-43,HIC 2000034954 INSULIN U-100 REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-44,HIC 2000035438 (XTX301) MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-45,HIC 2000034823 AUTOGENE CEVUMERAN-A (RO7198457) IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-080-46,HIC 2000034823 AUTOGENE CEVUMERAN-B (RO7198457) IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-080-47,HIC 2000034823 ATEZOLIZUMAB (RO5541267) MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-48,HIC 2000034823 FLUOROURACIL MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-49,HIC 2000034823 IRINOTECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-50,HIC 2000034823 LEUCOVORIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-51,HIC 2000034823 OXALIPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-52,HIC 2000034985 ADO-TRASTUZUMAB EMTANSINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-53,"HIC 2000034985 TRASTUZUMAB 600 MG, HYALURONIDASE-OYSK 10,000 UNITS",0.01,0.01,0.01,0.01,23
CDM,99999-080-54,HIC 2000034985 TRASTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-55,HIC 2000035366 ASTX727 (DECITABINE-CEDAZURIDINE) 35 MG-100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-56,HIC 2000035366 VENETOCLAX 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-57,HIC 2000035366 VENETOCLAX 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-58,HIC 2000035366 VENETOCLAX 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-59,HIC 2000035136 ORIC-114 1 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-080-60,HIC 2000035136 ORIC-114 15 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-080-61,HIC 2000035064 LENACAPAVIR 309 MG/ML SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-080-62,HIC 2000035064 GS-5423 (TEROPAVIMAB) MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-63,HIC 2000035064 GS-2872 (ZINLIRVIMAB) MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-66,HIC 2000035855 FX-909 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-67,HIC 2000035855 FX-909 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-68,HIC 2000036026 AZD9592 MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-69,HIC 2000036026 OSIMERTINIB 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-70,HIC 2000036026 OSIMERTINIB 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-74,HIC 2000033598 GBT021601 OR PLACEBO 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-75,HIC 2000033598 GBT021601 OR PLACEBO 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-76,HIC 2000033598 GBT021601 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-77,HIC 2000033598 GBT021601 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-78,HIC 2000035795 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-80,HIC 2000035126 RO7656594 (GDC-2992) 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-080-81,HIC 2000035126 RO7656594 (GDC-2992) 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-080-82,HIC 2000035235 CABOZANTINIB (XL184) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-83,HIC 2000035235 CABOZANTINIB (XL184) 60 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-84,HIC 2000035064 LENACAPAVIR 300 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-080-86,HIC 2000034403 BEXMARILIMAB (FP-1305) MED,0.01,0.01,0.01,0.01,23
CDM,99999-080-87,HIC 2000035136 ORIC-114 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-88,HIC 2000035136 ORIC-114 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-080-90,HIC 2000034606 FUROSEMIDE 10 MG/ML IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-080-94,HIC 2000035834 FLUAD INFLUENZA VACCINE IM SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-080-95,HIC 2000035834 FLUZONE HIGH-DOSE INFLUENZA VACCINE IM SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-081-00,HIC 2000034301 DARATUMUMAB-HYALURONIDASE MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-07,HIC 2000028054 VITAMIN D 1000 IU OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-081-08,HIC 2000035521 DIVARASIB (GDC-6036) 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-09,HIC 2000035521 DIVARASIB (GDC-6036) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-10,HIC 2000035521 DIVARASIB (GDC-6036) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-11,HIC 2000035521 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-12,HIC 2000028054 VITAMIN D 4000 IU OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-081-14,TEPLIZUMAB-MZWV 100 MCG/ML INTRAVENOUS SOLUTION,72055.0,42512.45,8765.11,64849.5,23
CDM,99999-081-17,HIC 2000031398 MOSUNETUZUMAB (BTCT4465A) 45 MG/ML SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-081-18,HIC 2000031398 MOSUNETUZUMAB (BTCT4465A) 10 MG/ML SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-081-21,HIC 2000033662 FLUOROURACIL INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-081-22,HIC 2000033662 FLUOROURACIL MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-23,HIC 2000033662 IRINOTECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-24,HIC 2000033662 LEUCOVORIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-25,HIC 2000033662 OXALIPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-30,HIC 2000034653 RITONAVIR 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-31,HIC 2000036391 BALSTILIMAB (AGEN2034) MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-32,HIC 2000036391 BOTENSILIMAB (AGEN1181) MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-36,HIC 2000035096 LY3437943 AUTOINJECTOR OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-081-37,HIC 2000035111 SEMAGLUTIDE D 0.5 MG/ML PEN INJECTOR OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-081-38,HIC 2000035111 SEMAGLUTIDE D 1 MG/ML PEN INJECTOR OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-081-39,HIC 2000035111 SEMAGLUTIDE D 2 MG/ML PEN INJECTOR OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-081-40,HIC 2000035111 SEMAGLUTIDE D 2.27 MG/ML PEN INJECTOR OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-081-41,HIC 2000035111 SEMAGLUTIDE D 3.2 MG/ML PEN INJECTOR OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-081-42,HIC 2000035564 RAMUCIRUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-43,HIC 2000036257 CAPIVASETIB (AZD5363) 160 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-44,HIC 2000036257 CAPIVASETIB (AZD5363) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-45,HIC 2000036257 FULVESTRANT SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-081-47,METHADONE 5 MG/5 ML ORAL SOLUTION,6.75,3.98,0.82,6.08,23
CDM,99999-081-49,HIC 2000034246 SPESOLIMAB (BI 655130) 300 MG OR PLACEBO PFS SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-081-50,HIC 2000034246 SPESOLIMAB (BI 655130) 300 MG PFS SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-081-51,HIC 2000034359 GABAPENTIN 300 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-081-52,HIC 2000034929 PREGNENOLONE OR PLACEBO 150 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-081-54,SOTALOL 5 MG/ML ORAL SOLUTION,38.94,22.97,4.74,35.05,23
CDM,99999-081-56,HIC 2000035666 AFICAMTEN OR PLACEBO 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-58,HIC 2000035723 METFORMIN EXTENDED RELEASE 500 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-081-59,"HIC 2000035312 DIVARASIB (GDC-6036, RO7435846) 100 MG TABLET",0.01,0.01,0.01,0.01,23
CDM,99999-081-60,"HIC 2000035312 DIVARASIB (GDC-6036, RO7435846) 200 MG TABLET",0.01,0.01,0.01,0.01,23
CDM,99999-081-61,HIC 2000035312 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-62,HIC 2000034359 NALTREXONE 25 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-081-63,HIC 2000035660 (NXP800) 12.5 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-081-64,HIC 2000035660 (NXP800) 75 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-081-69,HIC 2000035713 VARENICLINE 0.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-70,HIC 2000035713 VARENICLINE 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-71,HIC 2000033452 LENACAPAVIR 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-72,HIC 2000033452 LENACAPAVIR 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-73,HIC 2000033452 LENACAPAVIR 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-74,HIC 2000033452 BICTEGRAVIR 75 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-75,HIC 2000033452 BICTEGRAVIR-LENACAPVIR 75/25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-76,HIC 2000033452 BICTEGRAVIR-LENACAPVIR 75/50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-77,HIC 2000033452 BICTEGRAVIR-LENACAPVIR 50/25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-78,HIC 2000033452 BICTEGRAVIR-LENACAPVIR 50/50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-79,HIC 2000034359 NALTREXONE 50 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-081-80,HIC 2000036163 RELUGOLIX (ORGOVYX) 120 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-81,HIC 2000035620 DYSPORT 424 UNITS OR 255 UNITS OR PLACEBO IM SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-081-82,HIC 2000035620 DYSPORT 424 UNITS OR 255 UNITS IM SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-081-83,HIC 2000034201 VATIQUINONE 100 MG/ML ORAL SOLUTION (PTC743),0.01,0.01,0.01,0.01,23
CDM,99999-081-88,HIC 2000035895 CABOTEGRAVIR (GSK1265744) 30 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-89,HIC 2000035895 CABOTEGRAVIR (GSK1265744) INTRAMUSCULAR INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-081-92,HIC 2000032443 GUSELKUMAB 100 MG OR PLACEBO SC PFS,0.01,0.01,0.01,0.01,23
CDM,99999-081-93,HIC 2000032443 GUSELKUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-081-95,HIC 2000034629 TEZEPELUMAB SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-081-96,HIC 2000035895 VH3810109 3000 MG/RHUPH20 60000 U IN SWFI SC INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-081-97,HIC 2000036118 DAPAGLIFLOZIN 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-081-98,HIC 2000035353 LAM-001 (INHALED SIROLIMUS) 100 MCG KIT,0.01,0.01,0.01,0.01,23
CDM,99999-082-05,HIC 2000035928 (ABBV-400) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-06,HIC 2000036114 SACITUZUMAB GOVITECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-07,HIC 2000035087 VLX-1005 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-08,HIC 2000036196 DAROLUTAMIDE 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-09,HIC 2000036380 ZANUBRUTINIB 80MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-10,HIC 2000036118 DAPAGLIFLOZIN 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-12,HIC 2000032443 GUSELKUMAB 200 MG OR PLACEBO SC PFS,0.01,0.01,0.01,0.01,23
CDM,99999-082-16,HIC 2000036207 LUSPATERCEPT (BMS-986346/ACE-536) SC INJECTION MED (DOSES < 30 MG),0.01,0.01,0.01,0.01,23
CDM,99999-082-19,HIC 2000031065 AZACITIDINE (BMS-986345/CC-486) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-20,HIC 2000031065 AZACITIDINE (BMS-986345/CC-486) 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-21,HIC 2000033191 (AG-946) OR PLACEBO 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-22,HIC 2000033191 (AG-946) OR PLACEBO 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-23,HIC 2000033191 (AG-946) 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-24,HIC 2000033191 (AG-946) 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-25,HIC 2000034676 INSULIN REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-26,HIC 2000034728 ZOLEDRONIC ACID (ZOMETA) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-30,HIC 2000035982 GS-5718 OR PLACEBO 15 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-31,HIC 2000036415 BRIGIMADLIN (BI 907828) 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-32,HIC 2000036415 BRIGIMADLIN (BI 907828) 30 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-33,HIC 2000036415 BRIGIMADLIN (BI 907828) 45 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-34,TOPIRAMATE 25 MG/ML ORAL SOLUTION,40.08,23.65,4.88,36.07,23
CDM,99999-082-35,HIC 2000036207 LUSPATERCEPT (BMS-986346/ACE-536) SC INJECTION MED (DOSES >/= 30 MG),0.01,0.01,0.01,0.01,23
CDM,99999-082-37,HIC 2000035119 BATOCLIMAB PRE-FILLED SYRINGE LTE,0.01,0.01,0.01,0.01,23
CDM,99999-082-38,HIC 2000035900 ZIFTOMENIB (KO-539) 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-082-39,HIC 2000035900 ZIFTOMENIB (KO-539) 200 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-082-40,HIC 2000034927 DATOPOTAMAB DERUXTECAN (DATO-DXD) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-41,HIC 2000034927 OLECLUMAB (MEDI9447) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-42,HIC 2000034927 MONALIZUMAB (IPH2201) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-43,HIC 2000034927 (AZD0171) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-44,HIC 2000034927 VOLRUSTOMIG (MEDI5752) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-45,HIC 2000034927 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-46,HIC 2000035292 (BI 1821736) (5 X 10E7 TCID50) IN 50 ML INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-082-47,HIC 2000035292 (BI 1821736) (1.5 X 10E8 TCID50) IN 50 ML INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-082-48,HIC 2000035292 (BI 1821736) (5 X 10E8 TCID50) IN 50 ML INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-082-49,HIC 2000035292 (BI 1821736) (1.5 X 10E9 TCID50) IN 50 ML INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-082-50,HIC 2000035292 (BI 1821736) (5 X 10E9 TCID50) IN 50 ML INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-082-51,HIC 2000035292 (BI 1821736) (1.5 X 10E10 TCID50) IN 50 ML INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-082-52,HIC 2000035292 (BI 1821736) (5 X 10E10 TCID50) IN 50 ML INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-082-53,HIC 2000035292 (BI 1821736) SOLVENT FOR DILUTION INFUSION FLUSH,0.01,0.01,0.01,0.01,23
CDM,99999-082-54,HIC 2000028206 (NC318) LYOPHILIZED FORMULATION DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-082-55,HIC 2000030933 BIRTAMIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-56,HIC 2000035119 BATOCLIMAB OR PLACEBO SUBCUTANEOUS SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-082-57,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,45.58,26.89,5.54,41.02,23
CDM,99999-082-58,ELEXACAFTOR 100 MG-TEZACAFTOR 50 MG-IVACAFTOR 75 MG (ORANGE TABLET),1560.37,920.62,189.81,1404.33,23
CDM,99999-082-59,HIC 2000035840 (BI 3706674) 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-082-60,HIC 2000035840 (BI 3706674) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-082-61,HIC 2000035577 LUSPATERCEPT (BMS-986346/ACE-536) SC INJECTION MED (DOSES >/= 30 MG),0.01,0.01,0.01,0.01,23
CDM,99999-082-62,HIC 2000035812 DISITAMAB VEDOTIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-63,HIC 2000035119 BATOCLIMAB 340 MG OR 680 MG PRE-FILLED SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-082-64,HIC 2000035624 (DCSZ11) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-65,HIC 2000035682 BEXOTEGRAST (PLN-74809) 160 MG OR 320 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-66,HIC 2000035166 UPADACITINIB (ABT-494) 15 MG TABLET OPEN LABEL,0.01,0.01,0.01,0.01,23
CDM,99999-082-67,HIC 2000035166 UPADACITINIB (ABT-494) 30 MG TABLET OPEN LABEL,0.01,0.01,0.01,0.01,23
CDM,99999-082-68,HIC 2000035166 UPADACITINIB (ABT-494) 15 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-69,HIC 2000035166 UPADACITINIB (ABT-494) 30 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-70,HIC 2000035675 NX-5948 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-71,HIC 2000035675 NX-5948 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-72,HIC 2000035675 NX-5948 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-73,HIC 2000034566 TCR-T CELL PRODUCTS (AUTOLOGOUS),0.01,0.01,0.01,0.01,23
CDM,99999-082-74,HIC 2000036611 HU5F9-G4 (MAGROLIMAB) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-75,HIC 2000036416 TGN-S11 (RIMANTADINE) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-76,HIC 2000036125 INSULIN REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-77,HIC 2000036125 SODIUM-D-3-HYDROXYBUTYRATE (13C4) MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-78,"HIC 2000036125 D-GLUCOSE (6,6-D2) MED (D5W)",0.01,0.01,0.01,0.01,23
CDM,99999-082-79,"HIC 2000036125 GLYCEROL (1,1,2,3,3-D5) MED",0.01,0.01,0.01,0.01,23
CDM,99999-082-81,HIC 2000036751 TIRV/BNT162B2 (OMI XBB.1.5) 75 MCG OR BNT162B2 (OMI XBB.1.5) 30 MCG IM SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-082-82,HIC 2000036751 QIRV/BNT162B2 (OMI XBB.1.5) 90 MCG OR BNT162B2 (OMI XBB.1.5) 30 MCG IM SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-082-83,HIC 2000036751 FLUCELVAX QUADRIVALENT (QIV) OR PLACEBO IM SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-082-84,HIC 2000034445 OCRELIZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-85,HIC 2000034445 OCRELIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-082-86,HIC 2000033552 ECOPIPAM 11.2 OR 22.4 OR 33.6 OR 44.8 OR 67.2 OR 89.6 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-87,HIC 2000033552 ECOPIPAM 11.2 OR 22.4 OR 33.6 OR 44.8 OR 67.2 OR 89.6 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-082-88,HIC 2000035987 RIVAROXABAN OR PLACEBO 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-89,HIC 2000035987 BROMOCRIPTINE OR PLACEBO 2.5 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-90,HIC 2000035360 BMS-984923 OR PLACEBO 5 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-91,HIC 2000035360 BMS-984923 OR PLACEBO 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-92,HIC 2000035360 BMS-984923 OR PLACEBO 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-082-93,HIC 2000029536 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-00,HIC 2000036818 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-01,HIC 2000035663 FOG-001 MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-02,HIC 2000035092 LISINOPRIL OR BENAZEPRIL (ACE-2020) 20 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-03,"HIC 2000036975 PATRITUMAB DERUXTECAN (HER3-DXD, U3-1402) MED",0.01,0.01,0.01,0.01,23
CDM,99999-083-10,"HIC 2000036125 D-GLUCOSE (6,6-D2) MED (NS)",0.01,0.01,0.01,0.01,23
CDM,99999-083-11,HIC 2000034242 (STX-478) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-083-12,"HIC 2000036927 ALNUCTAMAB (CC-93269, BMS-986349) 6 MG/ML",0.01,0.01,0.01,0.01,23
CDM,99999-083-13,HIC 2000034653 MRTX1133 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-14,HIC 2000034653 MRTX1133 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-15,HIC 2000034653 MRTX1133 25 MG LIPID CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-16,HIC 2000034653 MRTX1133 100 MG LIPID CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-17,"HIC 2000036927 ALNUCTAMAB (CC-93269, BMS-986349) 30 MG/ML",0.01,0.01,0.01,0.01,23
CDM,99999-083-18,HIC 2000036874 AZD5305 OR PLACEBO 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-19,HIC 2000036874 DAROLUTAMIDE 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-20,"HIC 2000036469 DATOPOTAMAB DERUXTECAN (DATO-DXD, DS-1062A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-083-21,HIC 2000036469 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-22,"HIC 2000035762 ALNUCTAMAB (CC-93269, BMS-986349) 6 MG/ML SC INJECTION",0.01,0.01,0.01,0.01,23
CDM,99999-083-23,"HIC 2000035762 ALNUCTAMAB (CC-93269, BMS-986349) 30 MG/ML SC INJECTION",0.01,0.01,0.01,0.01,23
CDM,99999-083-24,"HIC 2000035762 MEZIGDOMIDE (CC-92480, BMS-986348) 0.2 MG CAPSULE",0.01,0.01,0.01,0.01,23
CDM,99999-083-25,"HIC 2000035762 MEZIGDOMIDE (CC-92480, BMS-986348) 0.3 MG CAPSULE",0.01,0.01,0.01,0.01,23
CDM,99999-083-26,"HIC 2000035762 MEZIGDOMIDE (CC-92480, BMS-986348) 0.4 MG CAPSULE",0.01,0.01,0.01,0.01,23
CDM,99999-083-27,"HIC 2000035762 MEZIGDOMIDE (CC-92480, BMS-986348) 0.6 MG CAPSULE",0.01,0.01,0.01,0.01,23
CDM,99999-083-28,HIC 2000034777 (MK-7684A) 200 MG-200 MG OR PEMBROLIZUMAB 200 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-29,HIC 2000034374 GM-CSF (SARGRAMOSTIM) 125 MCG/0.5 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-30,HIC 2000034374 GM-CSF (SARGRAMOSTIM) 62.5 MCG/0.5 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-31,HIC 2000034374 GM-CSF (SARGRAMOSTIM) 31.25 MCG/0.5 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-32,HIC 2000034374 (GP2) 500 MCG/0.6 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-33,HIC 2000034374 (GP2) SKIN TEST 83 MCG/0.5 ML ID INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-34,VANCOMYCIN ORAL SOLN 125 MG/12.5ML,6.25,3.69,0.76,5.63,23
CDM,99999-083-38,EPINEPHRINE (EPI-SPRITZER / PUSH DOSE) 10 MCG/ML IN 0.9% SODIUM CHLORIDE IV SYRINGE,261.9,154.52,31.86,235.71,23
CDM,99999-083-39,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,2.05,1.21,0.25,1.85,23
CDM,99999-083-40,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,4.1,2.42,0.5,3.69,23
CDM,99999-083-41,HIC 2000036799 OLOMORASIB (LY3537982) OR PLACEBO 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-42,HIC 2000036799 OLOMORASIB (LY3537982) OR PLACEBO 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-43,HIC 2000026339 ADI-PEG 20 (PEGARGIMINASE),0.01,0.01,0.01,0.01,23
CDM,99999-083-44,HIC 2000035312 ENTRECTINIB 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-45,HIC 2000035312 PRALSETINIB 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-46,HIC 2000035312 ALECTINIB 150 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-47,HIC 2000035312 VEMURAFENIB 240 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-48,HIC 2000035312 COBIMETINIB 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-49,SENNA LEAF EXTRACT 176 MG/5 ML ORAL SYRUP,3.3,1.95,0.4,2.97,23
CDM,99999-083-51,HIC 2000036990 RAMUCIRUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-52,HIC 2000036990 TEPOTINIB 225 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-53,HIC 2000035456 RITLECITINIB OR PLACEBO 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-54,HIC 2000036875 DARATUMUMAB-HYALURONIDASE-FIHJ MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-56,HIC 2000036351 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-083-57,HIC 2000036351 FICLATUZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-58,HIC 2000029428 VEPDEGESTRANT (ARV-471) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-59,HIC 2000035456 ABROCITINIB OR PLACEBO 100 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-083-60,URSODIOL 60 MG/ML SUSP,120.0,70.8,14.6,108.0,23
CDM,99999-083-61,HIC 2000036447 XMAB819 SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-62,HIC 2000036447 XMAB819 MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-63,HIC 2000035092 LISINOPRIL OR BENAZEPRIL (ACE-2020) 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-64,HIC 2000035092 LISINOPRIL OR BENAZEPRIL (ACE-2020) 5 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-67,HIC 2000030903 NIRAPARIB 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-083-68,HIC 2000036447 XMAB819 SC INJECTION (DOSES: 100 - 999 MCG),0.01,0.01,0.01,0.01,23
CDM,99999-083-69,HIC 2000036032 UDENAFIL OR PLACEBO 87.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-70,HIC 2000037061 BELZUTIFAN (MK-6482) 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-71,HIC 2000037061 HC-7366 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-72,HIC 2000037061 HC-7366 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-73,HIC 2000036896 ETRASIMOD OR PLACEBO 2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-083-74,HIC 2000035715 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-75,HIC 2000035715 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-76,HIC 2000035715 GRC 54276 12.5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-083-77,HIC 2000035715 GRC 54276 25 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-083-78,HIC 2000035715 GRC 54276 50 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-083-79,HIC 2000034302 DS-7011A OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-80,HIC 2000025525 RITUXIMAB-PVVR (RUXIENCE) MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-81,NALOXONE 0.4 MG/ML INJECTION SOLUTION,52.52,30.99,6.39,47.27,23
CDM,99999-083-82,HIC 2000034803 AZD3427 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-83,HIC 2000035609 ANIFROLUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-84,HIC 2000033608 KETAMINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-85,HIC 2000035992 ANIFROLUMAB OR PLACEBO SUBCUTANEOUS PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-86,HIC 2000035992 ANIFROLUMAB SUBCUTANEOUS PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-083-90,HIC 2000030299 OBINUTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-083-91,HIC 2000034441 M1774 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-083-92,"HIC 2000025525 KEYHOLE LIMPET HEMOCYANIN (KLH, IMMUCOTHEL) SC INJ",0.01,0.01,0.01,0.01,23
CDM,99999-083-93,HIC 2000033608 PERAMPANEL 6 MG OR PLACEBO CAPSULE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-083-94,HIC 2000036731 AFNT-211,0.01,0.01,0.01,0.01,23
CDM,99999-083-95,HIC 2000025525 ABATACEPT OR PLACEBO 50 MG,0.01,0.01,0.01,0.01,23
CDM,99999-083-96,HIC 2000025525 ABATACEPT OR PLACEBO 87.5 MG,0.01,0.01,0.01,0.01,23
CDM,99999-083-97,HIC 2000025525 ABATACEPT OR PLACEBO 125 MG,0.01,0.01,0.01,0.01,23
CDM,99999-083-98,HIC 2000032707 EDIT-301,0.01,0.01,0.01,0.01,23
CDM,99999-083-99,HIC 2000036124 WRAIR-PAM-CF1 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-01,HIC 2000036024 MK-4280A 800 MG-200 MG OR PEMBROLIZUMAB 200 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-04,HIC 2000037224 AVELUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-05,HIC 2000037224 M1774 30 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-06,HIC 2000037224 M1774 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-07,HIC 2000036967 ZILOVERTAMAB VEDOTIN (MK-2140) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-11,HIC 2000036967 FAVEZELIMAB (MK-4280) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-12,HIC 2000036967 MK-4280A (FAVEZELIMAB 800 MG + PEMBROLIZUMAB 200 MG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-13,HIC 2000036967 MK-7684A (VIBOSTOLIMAB 200 MG + PEMBROLIZUMAB 200 MG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-14,HIC 2000036967 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-15,HIC 2000036967 VIBOSTOLIMAB (MK-7684) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-17,HIC 2000035047 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-18,HIC 2000035047 PRTH-101 MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-24,HIC 2000036221 IDE161 15 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-25,HIC 2000036221 IDE161 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-26,HIC 2000037153 ABSK021 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-27,HIC 2000037153 ABSK021 OR PLACEBO 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-28,HIC 2000036221 IDE161 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-29,HIC 2000035922 ARTS-021 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-30,HIC 2000035922 ARTS-021 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-31,HIC 2000035133 CAPIVASERTIB 160 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-32,HIC 2000035133 CAPIVASERTIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-33,HIC 2000034823 AUTOGENE CEVUMERAN-A (RO7198457) 21 MCG/ML IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-084-34,HIC 2000034823 AUTOGENE CEVUMERAN-B (RO7198457) 21 MCG/ML IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-084-35,HIC 2000027606 BUPIVACAINE LIPOSOMAL INJECTION (EXPAREL),0.01,0.01,0.01,0.01,23
CDM,99999-084-36,"HIC 2000035049 TRASTUZUMAB DERUXTECAN (T-DXD, DS-8201A)",0.01,0.01,0.01,0.01,23
CDM,99999-084-37,HIC 2000031881 BUPIVACAINE LIPOSOMAL INJECTION (EXPAREL),0.01,0.01,0.01,0.01,23
CDM,99999-084-38,FLUDEOXYGLUCOSE F-18 (FDG) INJECTION (THERAPEUTIC USE),283.5,167.27,34.49,255.15,23
CDM,99999-084-39,"HIC 2000037221 DATOPOTAMAB DERUXTECAN (DATO-DXD, DS-1062A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-084-40,HIC 2000037221 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-44,HIC 2000035939 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-45,HIC 2000035939 V940 (MRNA-4157) OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-084-46,HIC 2000033304 RUSFERTIDE (PTG-300) OR PLACEBO (10 MG/0.5ML),0.01,0.01,0.01,0.01,23
CDM,99999-084-47,HIC 2000033304 RUSFERTIDE (PTG-300) 10 MG/0.5ML,0.01,0.01,0.01,0.01,23
CDM,99999-084-51,HIC 2000036663 AZACITIDINE INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-084-52,HIC 2000036663 AZACITIDINE (DELAYED RELEASE 2) 20 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-53,HIC 2000036663 AZACITIDINE (DELAYED RELEASE 2) 24 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-56,HIC 2000034217 ENSITRELVIR (S-217622) OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-57,HIC 2000036663 CEDAZURIDINE (E7727) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-58,HIC 2000036663 CEDAZURIDINE (E7727) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-59,HIC 2000036599 DEFACTINIB (VS-6063) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-60,HIC 2000036599 AVUTOMETINIB (VS-6766) 0.8 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-61,HIC 2000035609 PREDNISONE 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-62,HIC 2000035609 PREDNISONE 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-63,HIC 2000035609 PREDNISONE 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-64,HIC 2000035609 PREDNISONE 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-65,HIC 2000036737 TS23 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-66,HIC 2000035130 N-ACETYLCYSTEINE OR PLACEBO 600 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-084-67,HIC 2000035609 MYCOPHENOLATE MOFETIL 500 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-084-68,HIC 2000033494 RBL015.2 MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-69,HIC 2000033494 RBL016.2 MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-70,HIC 2000036045 MK-2870 MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-71,HIC 2000033304 RUSFERTIDE (PTG-300) OR PLACEBO (20 MG/0.5ML),0.01,0.01,0.01,0.01,23
CDM,99999-084-72,HIC 2000033304 RUSFERTIDE (PTG-300) OR PLACEBO (30 MG/0.5ML),0.01,0.01,0.01,0.01,23
CDM,99999-084-73,HIC 2000033304 RUSFERTIDE (PTG-300) OR PLACEBO (45 MG/0.5ML),0.01,0.01,0.01,0.01,23
CDM,99999-084-74,HIC 2000033304 RUSFERTIDE (PTG-300) OR PLACEBO (60 MG/0.5ML),0.01,0.01,0.01,0.01,23
CDM,99999-084-79,HIC 2000033304 RUSFERTIDE (PTG-300) 20 MG/0.5ML,0.01,0.01,0.01,0.01,23
CDM,99999-084-80,HIC 2000033304 RUSFERTIDE (PTG-300) 30 MG/0.5ML,0.01,0.01,0.01,0.01,23
CDM,99999-084-81,HIC 2000033304 RUSFERTIDE (PTG-300) 45 MG/0.5ML,0.01,0.01,0.01,0.01,23
CDM,99999-084-82,HIC 2000033304 RUSFERTIDE (PTG-300) 60 MG/0.5ML,0.01,0.01,0.01,0.01,23
CDM,99999-084-92,HIC 2000035130 N-ACETYLCYSTEINE 600 MG CAPSULE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-084-93,HIC 2000037111 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-94,HIC 2000036332 NELISTOTUG (GSK6097608B) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-95,HIC 2000036332 BELRESTOTUG (GSK4428859A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-96,HIC 2000036332 DOSTARLIMAB (GSK 4057190) MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-97,HIC 2000036615 AZACITIDINE SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-084-98,HIC 2000036615 LIGUFALIMAB (AK117) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-084-99,HIC 2000037465 SELINEXOR (KPT-330) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-02,HIC 2000037111 ZANZALINTINIB (XL092) 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-03,HIC 2000037111 ZANZALINTINIB (XL092) 60 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-04,HIC 2000037111 ZANZALINTINIB (XL092) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-05,HIC 2000037111 AB521 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-06,HIC 2000037111 AB521 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-085-09,HIC 2000037185 BMS-986497 (ORM-6151) MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-10,HIC 2000035360 BMS-984923 50 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-085-11,HIC 2000029428 ENDOXIFEN (DELAYED RELEASE) 40 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-085-12,HIC 2000029428 RILVEGOSTOMIG (AZD2936) MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-13,"HIC 2000029428 TRASTUZUMAB DERUXTECAN (T-DXD, DS-8201A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-085-14,HIC 2000035690 RVP-001 IV BOLUS,0.01,0.01,0.01,0.01,23
CDM,99999-085-15,HIC 2000035152 GEMCITABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-16,HIC 2000035152 ALBUMIN-BOUND PACLITAXEL (ABRAXANE),0.01,0.01,0.01,0.01,23
CDM,99999-085-17,"HIC 2000037266 RALUDOTATUG DERUXTECAN (R-DXD, DS-6000A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-085-18,HIC 2000033371 BEXAGLIFLOZIN OR PLACEBO 20 MG CAPSULE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-085-22,HIC 2000037506 ONO-4685 MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-23,HIC 2000035152 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-24,HIC 2000035152 OXALIPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-25,HIC 2000035152 CAPECITABINE 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-26,HIC 2000035152 CAPECITABINE 500 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-29,BUMETANIDE 0.25 MG/ML ORAL SUSPENSION,38.8,22.89,4.72,34.92,23
CDM,99999-085-31,HIC 2000036812 FT825,0.01,0.01,0.01,0.01,23
CDM,99999-085-37,HIC 2000036828 CABOZANTINIB (XL184) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-38,HIC 2000036828 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-39,HIC 2000036828 IPILIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-51,HIC 2000035797 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-52,HIC 2000035797 RO7566802 MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-53,HIC 2000035797 RO7566802 IV SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-54,HIC 2000034852 BA3182 MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-55,HIC 2000035711 ALLO-647 MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-56,HIC 2000035711 ALLO-316,0.01,0.01,0.01,0.01,23
CDM,99999-085-60,HIC 2000033552 ECOPIPAM TABLET 11.2 MG,0.01,0.01,0.01,0.01,23
CDM,99999-085-62,HIC 2000036091 GS-9911 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-63,HIC 2000036091 GS-9911 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-64,HIC 2000036091 GS-9911 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-65,HIC 2000036091 ZIMBERELIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-66,HIC 2000034404 BENDROFLUMETHIAZIDE 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-67,HIC 2000034404 LYSINE CHLORIDE OR PLACEBO POWDER,0.01,0.01,0.01,0.01,23
CDM,99999-085-68,HIC 2000034404 AMMONIUM CHLORIDE OR PLACEBO POWDER,0.01,0.01,0.01,0.01,23
CDM,99999-085-69,HIC 2000034404 BUMETANIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-70,HIC 2000034404 SODIUM BICARBONATE 100 MMOL IN SWFI 750 ML OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-085-71,HIC 2000036945 ABBV-525 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-72,HIC 2000037082 CD4CAR,0.01,0.01,0.01,0.01,23
CDM,99999-085-74,HIC 2000036945 ABBV-525 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-75,HIC 2000033552 ECOPIPAM TABLET 22.4 MG,0.01,0.01,0.01,0.01,23
CDM,99999-085-76,HIC 2000033552 ECOPIPAM TABLET 33.6 MG,0.01,0.01,0.01,0.01,23
CDM,99999-085-77,HIC 2000033552 ECOPIPAM TABLET 44.8 MG,0.01,0.01,0.01,0.01,23
CDM,99999-085-78,HIC 2000033552 ECOPIPAM TABLET 67.2 MG,0.01,0.01,0.01,0.01,23
CDM,99999-085-79,HIC 2000033552 ECOPIPAM TABLET 89.6 MG,0.01,0.01,0.01,0.01,23
CDM,99999-085-80,HIC 2000037395 MK-2870 MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-81,HIC 2000037395 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-82,HIC 2000037300 TOVORAFENIB (DAY101) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-83,HIC 2000037300 TOVORAFENIB (DAY101) 25 MG/ML ORAL SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-085-84,HIC 2000036090 ATG-031 IV BAG MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-85,HIC 2000036090 ATG-031 IV SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-86,HIC 2000037467 ZELENECTIDE PEVEDOTIN(BT8009) MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-87,HIC 2000037467 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-88,HIC 2000037467 AVELUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-89,HIC 2000037467 GEMCITABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-90,HIC 2000037467 CISPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-91,HIC 2000037467 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-085-92,HIC 2000036245 BI 456906 OR PLACEBO PRE-FILLED SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-085-93,HIC 2000034642 ITI-1284 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-94,HIC 2000034642 ITI-1284 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-085-95,HIC 2000037457 AMIVANTAMAB (JNJ-61186372)-HYALURONIDASE,0.01,0.01,0.01,0.01,23
CDM,99999-085-97,HIC 2000034404 AMILORIDE 5 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-086-01,HIC 2000035182 ONO-2808 OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-02,HIC 2000035576 SELINEXOR (KPT-330) OR PLACEBO 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-03,HIC 2000033659 TAS-102 (TRIFLURIDINE-TIPIRACIL) 15 MG-6.14 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-04,HIC 2000033659 TAS-102 (TRIFLURIDINE-TIPIRACIL) 20 MG-8.19 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-05,HIC 2000035576 NETUPITANT 300 MG-PALONOSETRON 0.5 MG (AKYNZEO),0.01,0.01,0.01,0.01,23
CDM,99999-086-06,HIC 2000035903 IANALUMAB (VAY736) 3 MG/KG OR 9 MG/KG OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-086-07,HIC 2000035903 ELTROMBOPAG 12.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-08,HIC 2000035903 ELTROMBOPAG 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-09,HIC 2000035903 ELTROMBOPAG 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-10,HIC 2000035903 ELTROMBOPAG 75 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-11,HIC 2000037713 TALQUETAMAB (JNJ-64407564) SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-086-12,HIC 2000037713 TALQUETAMAB (JNJ-64407564) SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-086-13,HIC 2000037713 TECLISTAMAB (JNJ-64007957) SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-086-14,HIC 2000037713 TECLISTAMAB (JNJ-64007957) SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-086-15,HIC 2000036028 BGB-26808 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-16,HIC 2000036028 BGB-26808 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-17,HIC 2000036028 BGB-26808 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-18,HIC 2000036028 TISLELIZUMAB (BGB-A317) MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-19,HIC 2000035625 PLN-101095 250 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-086-21,HIC 2000034816 DTX301 (AVALOTCAGENE ONTAPARVOVEC) OR PLACEBO 100ML IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-086-22,HIC 2000034816 DTX301 (AVALOTCAGENE ONTAPARVOVEC) OR PLACEBO 250ML IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-086-23,HIC 2000034816 PREDNISOLONE 5 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-24,HIC 2000034816 (1-13C) SODIUM ACETATE 50 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-086-25,HIC 2000037533 MIRVETUXIMAB SORAVTANSINE (IMGN853) MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-26,HIC 2000037533 PREDNISOLONE ACETATE 1% OPHTHALMIC SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-086-27,HIC 2000037533 BRIMONIDINE TARTRATE 0.2% OPHTHALMIC SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-086-30,HIC 2000037399 DAROLUTAMIDE 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-33,HIC 2000034816 PREDNISOLONE 10 MG OR PLACEBO CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-34,HIC 2000036663 ASTX030 (AZACITIDINE-CEDAZURIDINE) 68MG-10MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-35,HIC 2000036663 ASTX030 (AZACITIDINE-CEDAZURIDINE) 72MG-10MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-36,HIC 2000036310 NTLA-2001 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-38,HIC 2000029675 MAVOGLURANT (AFQ056) OR PLACEBO 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-39,HIC 2000037408 BICTEGRAVIR-LENACAPAVIR 75-50 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-40,HIC 2000037408 LENACAPAVIR 300 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-41,HIC 2000037408 LENACAPAVIR 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-42,HIC 2000037408 BICTEGRAVIR-LENACAPAVIR 75-50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-43,HIC 2000037408 BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE (BIKTARVY) OR PLACEBO 50-200-25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-44,HIC 2000037423 DOSTARLIMAB (TSR-042) MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-45,HIC 2000035333 BI 685509 OR PLACEBO 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-46,HIC 2000035333 BI 685509 OR PLACEBO 2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-47,HIC 2000035333 BI 685509 OR PLACEBO 3 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-48,HIC 2000036470 FORALUMAB 50 MCG OR 100 MCG OR PLACEBO NASAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-086-49,HIC 2000035512 RPT193 OR PLACEBO 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-50,HIC 2000036374 ABEMACICLIB 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-51,HIC 2000036374 RUXOLITINIB 15 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-52,HIC 2000036374 RUXOLITINIB 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-53,HIC 2000036374 RUXOLITINIB 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-54,HIC 2000037796 ERIBULIN,0.01,0.01,0.01,0.01,23
CDM,99999-086-55,HIC 2000037789 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-56,HIC 2000037789 RELATLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-57,HIC 2000033245 DOMVANALIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-58,HIC 2000033245 ZIMBERELIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-59,HIC 2000037254 RILIPRUBART OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-60,HIC 2000037254 RILIPRUBART 600 MG OR 300 MG OR PLACEBO SUBCUTANEOUS PREFILLED PEN,0.01,0.01,0.01,0.01,23
CDM,99999-086-61,HIC 2000037254 RILIPRUBART 300 MG SUBCUTANEOUS PREFILLED PEN,0.01,0.01,0.01,0.01,23
CDM,99999-086-62,HIC 2000037254 RILIPRUBART 300 MG OR PLACEBO SUBCUTANEOUS PREFILLED PEN,0.01,0.01,0.01,0.01,23
CDM,99999-086-63,CONCENTRATED POTASSIUM CHLORIDE - FETAL CARDIOPLEGIA ONLY (BH),12.6,7.43,1.53,11.34,23
CDM,99999-086-64,HIC 2000037579 BHV-7000 25 MG ER OR 50 MG ER OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-65,HIC 2000033935 (MRTX0902) 15 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-086-68,HIC 2000030618 DEBIO 0123 60 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-69,HIC 2000030618 DEBIO 0123 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-70,HIC 2000030618 DEBIO 0123 130 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-71,HIC 2000030618 DEBIO 0123 150 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-72,HIC 2000036342 RMC-9805 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-73,HIC 2000036342 RMC-9805 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-79,"HIC 2000037878 PATRITUMAB DERUXTECAN (HER3-DXD, U3-1402) MED",0.01,0.01,0.01,0.01,23
CDM,99999-086-81,HIC 2000035988 VLS-1488 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-83,HIC 2000035459 CALCIUM 600 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-84,HIC 2000035459 CALCITRIOL 0.25 MCG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-086-85,HIC 2000035459 MRT-2359 0.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-86,HIC 2000035459 MRT-2359 2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-87,HIC 2000029428 NIRAPARIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-88,HIC 2000029428 SARILUMAB,0.01,0.01,0.01,0.01,23
CDM,99999-086-89,HIC 2000029428 DAN-222 MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-91,HIC 2000035126 RO7656594 (GDC-2992) 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-92,HIC 2000035126 RO7656594 (GDC-2992) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-93,HIC 2000035899 IMETELSTAT (GRN163L) MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-94,HIC 2000035647 ASCIMINIB (ABL001) 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-086-95,HIC 2000037675 SACITUZUMAB GOVITECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-97,HIC 2000033741 RGLS8429 INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-086-98,HIC 2000035405 MVC-101 (TAK-186) MED,0.01,0.01,0.01,0.01,23
CDM,99999-086-99,HIC 2000037963 DODECAFLUOROPENTANE OR PLACEBO 2% (NANO2) EMULSION,0.01,0.01,0.01,0.01,23
CDM,99999-087-00,HIC 2000034200 ATRN-119 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-02,HIC 2000036899 AZD3470 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-03,HIC 2000036899 AZD3470 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-04,HIC 2000036510 GLOFITAMAB 1 MG/ML INTRAVENOUS SOLUTION MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-05,HIC 2000034851 DOCETAXEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-06,HIC 2000037180 ZEN003694 12 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-07,HIC 2000037180 ZEN003694 48 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-08,HIC 2000037180 TALAZOPARIB 250 MCG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-09,HIC 2000023518 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-10,HIC 2000023518 LENVATINIB 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-11,HIC 2000023518 LENVATINIB 4 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-12,HIC 2000023518 LENVATINIB 1 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-13,HIC 2000036443 FREXALIMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-14,HIC 2000029675 ALCOHOL FOR ORAL ADMINISTRATION,0.01,0.01,0.01,0.01,23
CDM,99999-087-15,HIC 2000036387 IANALUMAB (VAY736) OR PLACEBO PFS SUBCUTANEOUS,0.01,0.01,0.01,0.01,23
CDM,99999-087-17,"HIC 2000035166 UPADACITINIB (ABT-494) 15 MG, 30 MG OR PLACEBO TABLET",0.01,0.01,0.01,0.01,23
CDM,99999-087-18,HIC 2000026205 CAVOSONSTAT (N91115) OR PLACEBO 25MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-19,HIC 2000035604 UPADACITINIB 15 MG OR 30 MG ER TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-20,HIC 2000035604 UPADACITINIB 15 MG ER TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-21,HIC 2000035604 UPADACITINIB 30 MG ER TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-22,HIC 2000035604 UPADACITINIB OR PLACEBO 15 MG ER TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-23,HIC 2000035604 UPADACITINIB OR PLACEBO 30 MG ER TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-24,HIC 2000036807 UCB0022 OR PLACEBO TABLETS TITRATION,0.01,0.01,0.01,0.01,23
CDM,99999-087-25,HIC 2000036807 UCB0022 OR PLACEBO TABLETS MAINTENANCE,0.01,0.01,0.01,0.01,23
CDM,99999-087-26,HIC 2000036807 UCB0022 20 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-087-27,HIC 2000036807 UCB0022 20 MG OR 50 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-087-28,"HIC 2000035452 GLYCEROL (1,1,2,3,3-D5) MED",0.01,0.01,0.01,0.01,23
CDM,99999-087-29,"HIC 2000035452 D-GLUCOSE (6,6-D2) NS MED",0.01,0.01,0.01,0.01,23
CDM,99999-087-30,"HIC 2000035452 D-GLUCOSE (6,6-D2) D20W MED",0.01,0.01,0.01,0.01,23
CDM,99999-087-31,HIC 2000035452 SODIUM-D-3-HYDROXYBUTYRATE (13C4) MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-32,HIC 2000035452 INSULIN REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-35,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,57.25,33.78,6.96,51.53,23
CDM,99999-087-36,HIC 2000035626 BI-1910 MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-37,HIC 2000035626 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-38,HIC 2000037648 SAROGLITAZAR MAGNESIUM 1 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-087-39,HIC 2000036691 IMP1734 (EIK1003) 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-40,HIC 2000036691 IMP1734 (EIK1003) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-41,HIC 2000037547 TAFENOQUINE OR PLACEBO 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-42,HIC 2000037547 ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-087-43,HIC 2000037547 AZITHROMYCIN 250 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-44,"HIC 2000035226 ECOPIPAM 11.2, 22.4, 33.6, 44.8, 67.2 OR 89.6 MG TABLET",0.01,0.01,0.01,0.01,23
CDM,99999-087-45,HIC 2000035226 ECOPIPAM 11.2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-46,HIC 2000035226 ECOPIPAM 22.4 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-47,HIC 2000035226 ECOPIPAM 33.6 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-48,HIC 2000035226 ECOPIPAM 44.8 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-49,HIC 2000035226 ECOPIPAM 67.2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-50,HIC 2000035226 ECOPIPAM 89.6 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-51,HIC 2000037152 DOSTARLIMAB (GSK 4057190A) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-53,HIC 2000037718 GLOFITAMAB (RO7082859) MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-54,HIC 2000037718 POLATUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-55,HIC 2000037718 RITUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-56,HIC 2000037547 AZITHROMYCIN 500 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-57,HIC 2000035889 ANIFROLUMAB 120 MG SUBCUTANEOUS PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-087-58,HIC 2000035889 ANIFROLUMAB OR PLACEBO 120 MG SUBCUTANEOUS PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-087-59,HIC 2000035852 SERALUTINIB OR PLACEBO 15 MG CAPSULE FOR INHALATION,0.01,0.01,0.01,0.01,23
CDM,99999-087-60,HIC 2000035611 BMS-986278 OR PLACEBO 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-61,HIC 2000035611 BMS-986278 OR PLACEBO 60 MG TABLET (TITRATION),0.01,0.01,0.01,0.01,23
CDM,99999-087-62,HIC 2000035823 BMS-986278 OR PLACEBO 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-63,HIC 2000035823 BMS-986278 OR PLACEBO 60 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-64,HIC 2000035521 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-65,HIC 2000035521 PEMETREXED MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-66,HIC 2000037447 MOGAMULIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-69,HIC 2000035611 BMS-986278 OR PLACEBO 60 MG TABLET (POST-TITRATION),0.01,0.01,0.01,0.01,23
CDM,99999-087-70,HIC 2000031792 EPTINEZUMAB 100 MG OR 300 MG OR PLACEBO IN NS 100 ML IV INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-087-71,HIC 2000034445 METHYLPREDNISOLONE MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-72,HIC 2000034445 METHYLPREDNISOLONE 100 MG OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-73,HIC 2000036510 OBINUTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-74,HIC 2000036510 RITUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-75,HIC 2000036510 BENDAMUSTINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-76,HIC 2000037716 DIVARASIB (GDC-6036/RO7435846) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-77,HIC 2000037716 DIVARASIB (GDC-6036/RO7435846) 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-78,HIC 2000037892 IVOSIDENIB OR PLACEBO 250 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-79,HIC 2000035975 NIPOCALIMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-80,HIC 2000035975 NIPOCALIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-83,HIC 2000036808 MRNA-3210 MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-84,HIC 2000038097 FULVESTRANT,0.01,0.01,0.01,0.01,23
CDM,99999-087-85,HIC 2000038097 PALBOCICLIB 125 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-86,HIC 2000038097 PALBOCICLIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-87,HIC 2000038097 PALBOCICLIB 75 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-88,HIC 2000038097 RIBOCICLIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-89,HIC 2000038097 RLY-2608 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-90,HIC 2000038097 RLY-2608 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-91,HIC 2000038097 RLY-2608 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-92,HIC 2000035924 EO-3021 MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-93,HIC 2000036484 UPADACITINIB 15 MG OR 30 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-94,HIC 2000036484 UPADACITINIB 15 MG OR 30 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-087-95,HIC 2000035849 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-087-96,HIC 2000035849 LENVATINIB 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-97,HIC 2000035849 LENVATINIB 4 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-087-98,HIC 2000037940 TALQUETAMAB (JNJ-64407564) SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-087-99,HIC 2000037940 TALQUETAMAB (JNJ-64407564) SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-088-00,HIC 2000037940 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-088-01,HIC 2000037940 PREGABALIN 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-088-02,HIC 2000037940 CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-03,HIC 2000037043 BBO-8520 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-088-04,HIC 2000037043 BBO-8520 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-088-05,HIC 2000036899 DEXTROMETHORPHAN 30 MG/5 ML ORAL SYRUP,0.01,0.01,0.01,0.01,23
CDM,99999-088-06,HIC 2000036981 BMS-986453 (AUTOLOGOUS CAR T-CELL PRODUCT),0.01,0.01,0.01,0.01,23
CDM,99999-088-09,HIC 2000038238 VORASIDENIB 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-15,HIC 2000038238 VORASIDENIB 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-16,HIC 2000036899 MIDAZOLAM 2 MG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-088-17,HIC 2000034756 BUDIGALIMAB (ABBV-181) MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-18,HIC 2000034756 CISPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-19,HIC 2000034756 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-20,BICARBONATE DIALYSIS SOLN WITHOUT CALCIUM NO15 POT 4 MEQ-MAG 1.2 MEQ/L,375.0,221.25,45.62,337.5,23
CDM,99999-088-21,HIC 2000038089 ACALABRUTINIB 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-088-22,HIC 2000038089 ACALABRUTINIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-23,HIC 2000038089 VENETOCLAX 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-24,HIC 2000038089 VENETOCLAX 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-25,HIC 2000038089 VENETOCLAX 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-26,HIC 2000038089 OBINUTUZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-27,HIC 2000037108 MK-7240 OR PLACEBO SUBCUTANEOUS,0.01,0.01,0.01,0.01,23
CDM,99999-088-28,HIC 2000037108 MK-7240 500 MG (MED),0.01,0.01,0.01,0.01,23
CDM,99999-088-29,HIC 2000037108 MK-7240 1000 MG (MED),0.01,0.01,0.01,0.01,23
CDM,99999-088-30,HIC 2000037108 MK-7240 500 MG OR 250 MG OR PLACEBO IN NS 250 ML,0.01,0.01,0.01,0.01,23
CDM,99999-088-31,HIC 2000037108 MK-7240 1000 MG OR 500 MG OR PLACEBO IN NS 250 ML,0.01,0.01,0.01,0.01,23
CDM,99999-088-34,HIC 2000036953 NAPORAFENIB (ERAS-254) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-35,HIC 2000036953 NAPORAFENIB (ERAS-254) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-36,HIC 2000036953 TRAMETINIB 0.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-37,ELEMENTAL ZINC 10 MG/ML (ZINC SULFATE SALT 44 MG/ML) ORAL SOLUTION (NEWBORN/PEDIATRIC),0.13,0.08,0.02,0.12,23
CDM,99999-088-39,ELEMENTAL ZINC 10 MG/ML (ZINC SULFATE SALT 44 MG/ML) ORAL SOLUTION (NEWBORN/PEDIATRIC),6.5,3.84,0.79,5.85,23
CDM,99999-088-40,HIC 2000038098 ALISERTIB (PB-8237) 10 MG ENTERIC-COATED TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-41,HIC 2000038098 ANASTROZOLE 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-42,HIC 2000038098 EXEMESTANE 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-45,HIC 2000037919 ACETAMINOPHEN 160 MG/5 ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-088-46,HIC 2000038098 TAMOXIFEN 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-47,HIC 2000038098 FULVESTRANT,0.01,0.01,0.01,0.01,23
CDM,99999-088-48,HIC 2000038098 LETROZOLE 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-49,HIC 2000036816 CILTACABTAGENE AUTOLEUCEL (JNJ-68284528) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-088-50,HIC 2000032188 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-088-51,HIC 2000036342 RMC-6236 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-52,HIC 2000036342 RMC-6236 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-53,HIC 2000038052 CRETOSTIMOGENE GRENADENOREPVEC (CG0070) 1X10E12 VIRAL PARTICLES MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-54,HIC 2000038052 DDM (N-DODECYL-B-D-MALTOSIDE) 5% VIAL MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-55,HIC 2000038052 SALINE FLUSH FOR CRETOSTIMOGENE,0.01,0.01,0.01,0.01,23
CDM,99999-088-56,HIC 2000037177 RP-1664 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-088-57,HIC 2000037177 RP-1664 30 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-088-58,HIC 2000037177 RP-1664 80 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-088-59,HIC 2000038144 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-61,HIC 2000036816 DARATUMUMAB-HYALURONIDASE MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-62,HIC 2000038253 ARV-393 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-63,HIC 2000038253 ARV-393 30 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-64,HIC 2000038321 SOQUELITINIB (CPI-818) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-65,"HIC 1104008333 D-GLUCOSE (6,6-D2)",0.01,0.01,0.01,0.01,23
CDM,99999-088-66,HIC 2000037357 SNV1521 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-67,HIC 2000037357 SNV1521 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-68,HIC 2000038338 ISATUXIMAB FOR (OBDS) ON-BODY WEARABLE INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-088-69,HIC 2000036902 PF-07220060 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-70,HIC 2000036902 ARV-471 (VEPDEGESTRANT/PF-07850327) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-71,HIC 2000029137 DF6002 MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-72,HIC 2000025007 BUDIGALIMAB (ABBV-181) MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-73,HIC 2000034575 ANTIBKV 500 MG OR 1000MG OR PLACEBO IN NS 260 ML IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-088-74,HIC 1511016789 KETAMINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-75,HIC 2000038416 INBRX-109 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-088-76,HIC 2000037337 DESOGESTREL-ETHINYL ESTRADIOL (DESOGEN) 0.15 MG-30 MCG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-77,HIC 2000037609 ENZALUTAMIDE 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-78,HIC 2000037609 FLUDROCORTISONE 0.1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-79,HIC 2000037609 OPEVESOSTAT (MK-5684) 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-80,HIC 2000037609 PREDNISONE 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-81,HIC 2000037609 ABIRATERONE 500 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-82,HIC 2000037609 ABIRATERONE 250 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-83,HIC 2000037609 DEXAMETHASONE 0.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-84,HIC 2000037609 HYDROCORTISONE 100 MG INJ (EMERGENCY KIT),0.01,0.01,0.01,0.01,23
CDM,99999-088-85,HIC 2000037609 HYDROCORTISONE 10 MG TABLET (EMERGENCY KIT),0.01,0.01,0.01,0.01,23
CDM,99999-088-86,HIC 2000037609 HYDROCORTISONE 20 MG TABLET (EMERGENCY KIT),0.01,0.01,0.01,0.01,23
CDM,99999-088-88,HIC 2000037159 QTX3034 25 MG CAPSULE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-088-89,HIC 2000037159 QTX3034 100 MG CAPSULE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-088-90,HIC 2000036670 GILTERITINIB 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-91,HIC 2000036670 VENETOCLAX 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-92,HIC 2000036670 VENETOCLAX 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-93,HIC 2000036670 VENETOCLAX 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-088-98,HIC 2000034852 2% IV SOLUTION STABILIZER FOR BA3182,0.01,0.01,0.01,0.01,23
CDM,99999-088-99,HIC 2000037926 BRENTUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-00,HIC 2000037926 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-01,HIC 2000035690 RVP-001 IV BOLUS,0.01,0.01,0.01,0.01,23
CDM,99999-089-02,HIC 2000035906 ATR12-351 OR VEHICLE TOPICAL OINTMENT,0.01,0.01,0.01,0.01,23
CDM,99999-089-04,HIC 2000037042 GEN BUFFER DILUENT FLUSH FOR GEN1055,0.01,0.01,0.01,0.01,23
CDM,99999-089-07,HIC 2000037645 RAP-219 0.25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-08,HIC 2000037962 CANDIDA ALBICANS SKIN TEST,0.01,0.01,0.01,0.01,23
CDM,99999-089-09,HIC 2000037962 CYCLOPHOSPHAMIDE MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-10,HIC 2000037962 PEGINTERFERON-ALPHA-2A (PEGASYS),0.01,0.01,0.01,0.01,23
CDM,99999-089-11,HIC 2000037962 RETIFANLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-12,HIC 2000037962 SV-BR-1-GM (BRIA-IMT),0.01,0.01,0.01,0.01,23
CDM,99999-089-13,HIC 2000037962 SV-BR-1-GM (BRIA-IMT) SKIN TEST,0.01,0.01,0.01,0.01,23
CDM,99999-089-14,HIC 2000037720 SERALUTINIB (GB002) 15 MG CAPSULE FOR DRY POWDER INHALATION,0.01,0.01,0.01,0.01,23
CDM,99999-089-15,HIC 2000037720 DRY POWDER INHALER KIT FOR SERALUTINIB (GB002),0.01,0.01,0.01,0.01,23
CDM,99999-089-16,HIC 2000037430 DUPILUMAB 300 MG PREFILLED SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-089-17,HIC 2000037430 UPADACITINIB (ABT-494) 15 MG EXTENDED-RELEASE TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-18,HIC 2000037430 UPADACITINIB (ABT-494) 30 MG EXTENDED-RELEASE TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-19,HIC 2000037003 TARLATAMAB OR PLACEBO 1 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-20,HIC 2000037003 TARLATAMAB OR PLACEBO 10 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-21,HIC 2000037003 DEXAMETHASONE OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-23,HIC 2000037539 ZILTIVEKIMAB 30 MG/ML OR PLACEBO SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-089-24,HIC 2000033374 AMINO ACID (L-LYSINE 25G + L-ARGININE 25G) IN STERILE WATER 1000 ML,0.01,0.01,0.01,0.01,23
CDM,99999-089-25,HIC 2000038189 (INT230-6) INTRATUMORAL INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-089-26,HIC 2000036799 OLOMORASIB (LY3537982) 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-089-27,HIC 2000036799 OLOMORASIB (LY3537982) 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-089-29,"HIC 2000035790 SODIUM ACETATE (D3, 99%) MED",0.01,0.01,0.01,0.01,23
CDM,99999-089-30,HIC 2000036332 ANTI-PVRIG (GSK4381562) MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-32,HIC 2000027712 BAN2401 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-33,HIC 2000038140 CBX-12 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-34,HIC 2000037891 CRB-701 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-35,HIC 2000038514 (BL-B01D1) MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-36,HIC 2000037697 KK8123 SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-089-37,HIC 2000037565 AMLITELIMAB OR PLACEBO SUBCUTANEOUS PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-089-38,HIC 2000037565 BI 1015550 18MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-39,HIC 2000037256 BI 1015550 18MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-40,HIC 2000037714 BMS-986446 1400MG OR 4200MG OR PLACEBO IN NS 250ML IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-089-44,HIC 2000037316 ETX-19477 40 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-089-45,HIC 2000037036 CUSP06 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-46,HIC 2000037316 ETX-19477 150 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-089-47,HIC 2000035922 AVZO-021 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-089-48,HIC 2000035922 AVZO-021 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-089-49,HIC 2000038270 OBELDESIVIR (GS-5245) OR PLACEBO 350 MG TABLET (DAY 1),0.01,0.01,0.01,0.01,23
CDM,99999-089-50,HIC 2000038270 OBELDESIVIR (GS-5245) OR PLACEBO 350 MG TABLET (DAYS 2-5),0.01,0.01,0.01,0.01,23
CDM,99999-089-51,HIC 2000034586 IPTACOPAN 200 MG CAPSULE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-089-52,HIC 2000034851 PRT3789 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-53,HIC 2000037935 ULVIPRUBART (ABC008) 50 MG/ML SUBCUTANEOUS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-089-54,HIC 2000036467 CABA-201 (AUTOLOGOUS CD19-SPECIFIC CAR T CELLS) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-089-55,HIC 2000037904 CABA-201 (AUTOLOGOUS CD19-SPECIFIC CAR T CELLS) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-089-56,HIC 2000037042 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-57,"HIC 2000035036 D-GLUCOSE (6,6-D2) MED",0.01,0.01,0.01,0.01,23
CDM,99999-089-58,HIC 2000035036 INSULIN REGULAR MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-60,CARGLUMIC ACID 50 MG DISPERSIBLE QUARTERTAB,166.06,97.98,20.2,149.45,23
CDM,99999-089-61,CARGLUMIC ACID 50 MG DISPERSIBLE QUARTERTAB,332.12,195.95,40.4,298.91,23
CDM,99999-089-63,HIC 2000037974 RILIPRUBART OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-64,HIC 2000037974 RILIPRUBART PREFILLED SC INJECTION PEN,0.01,0.01,0.01,0.01,23
CDM,99999-089-65,HIC 2000038045 ABBV-969 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-66,HIC 2000037602 APG777 OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-089-67,HIC 2000038275 DIGOXIN OR PLACEBO ORAL SOLUTION INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-089-68,HIC 2000035036 DICHLOROACETATE (DCA) 50MG/ML OR PLACEBO ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-089-69,HIC 2000037974 RILIPRUBART 600 MG OR 300 MG OR PLACEBO SUBCUTANEOOUS PREFILLED PEN,0.01,0.01,0.01,0.01,23
CDM,99999-089-70,HIC 2000037616 ZILUCOPLAN 40 MG/ML SC PREFILLED SYRINGE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-089-71,HIC 2000038196 ZL-1310 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-72,HIC 2000038053 RETATRUTIDE OR TIRZEPATIDE PREFILLED PEN SC INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-089-73,HIC 2000033724 ABATACEPT (ORENCIA) 125 MG CLICKJET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-089-74,HIC 2000036221 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-75,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,2.28,1.35,0.28,2.05,23
CDM,99999-089-76,HIC 2000037528 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-77,HIC 2000037528 TARLATAMAB 1 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-78,HIC 2000037528 TARLATAMAB 10 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-79,HIC 2000037739 GEMCITABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-80,HIC 2000037739 ALBUMIN-BOUND PACLITAXEL (ABRAXANE),0.01,0.01,0.01,0.01,23
CDM,99999-089-81,HIC 2000037739 BI 765883 MED,0.01,0.01,0.01,0.01,23
CDM,99999-089-82,HIC 2000037043 BBO-8520 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-089-83,HIC 2000036342 RMC-9805 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-84,HIC 2000031202 IXEKIZUMAB (TALTZ) PREFILLED SC INJECTION INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-089-85,HIC 2000038168 LIFILEUCEL (AMTAGVI) INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-089-86,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,350.65,206.88,42.65,315.59,23
CDM,99999-089-87,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,350.65,206.88,42.65,315.59,23
CDM,99999-089-88,INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,457.75,270.07,55.68,411.98,23
CDM,99999-089-89,INSULIN GLARGINE 100 UNIT/ML SUBCUTANEOUS SOLUTION,297.3,175.41,36.16,267.57,23
CDM,99999-089-90,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,408.85,241.22,49.73,367.97,23
CDM,99999-089-91,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,84.55,49.88,10.29,76.1,23
CDM,99999-089-92,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,249.7,147.32,30.37,224.73,23
CDM,99999-089-93,PEDIATRIC MULTIVITAMIN NO.197 250 MCG-50 MG-10 MCG-5 MG/ML ORAL DROPS,0.13,0.08,0.02,0.12,23
CDM,99999-089-94,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,68.45,40.39,8.33,61.61,23
CDM,99999-089-95,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,68.45,40.39,8.33,61.61,23
CDM,99999-089-96,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,74.91,44.2,9.11,67.42,23
CDM,99999-089-97,HIC 2000037859 SGR-3515 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-98,HIC 2000037859 SGR-3515 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-089-99,HIC 2000037228 IPN01194 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-090-00,HIC 2000037228 IPN01194 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-090-01,HIC 2000037228 IPN01194 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-090-02,HIC 2000038343 PEPOSERTIB (M3814) 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-03,HIC 2000038343 AVELUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-04,HIC 2000038449 AVATROMBOPAG OR PLACEBO 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-06,HIC 2000036341 EZABENLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-07,HIC 2000038078 YL211 MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-10,HIC 2000037248 CNP-106 OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-090-11,HIC 2000038439 BNT327 (PM8002) MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-12,HIC 2000036730 AO-252 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-13,HIC 2000036730 AO-252 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-14,HIC 2000036730 AO-252 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-15,HIC 2000038520 AMG 193 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-16,HIC 2000038520 AMG 193 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-17,HIC 2000030007 IO-108 (RO7791094) MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-18,HIC 2000030007 NKT2152 (RO7790118) 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-090-19,HIC 2000030007 NKT2152 (RO7790118) 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-090-20,HIC 2000030007 NKT2152 (RO7790118) 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-090-22,HIC 2000037115 NMRA-335140 OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-23,HIC 2000035459 MRT-2359 0.75 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-24,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (PEDIATRIC),37.0,21.83,4.5,33.3,23
CDM,99999-090-27,HIC 2000037740 NST-628 0.1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-28,HIC 2000037740 NST-628 0.2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-29,HIC 2000037740 NST-628 2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-30,HIC 2000036362 HUMAN ACELLULAR VESSEL (HAV) IMPLANT INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-34,HIC 2000036799 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-35,HIC 2000036799 PEMETREXED MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-36,HIC 2000036799 CISPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-37,HIC 2000036799 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-38,HIC 2000038102 LUVELTAMAB TAZEVIBULIN (STRO-002) MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-39,HIC 2000038676 DINUTUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-40,HIC 2000038773 XL495 ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-090-42,HIC 2000038384 QUIZARTINIB OR PLACEBO 30 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-43,HIC 2000038554 DIVARASIB (RO7435846) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-44,HIC 2000038554 DIVARASIB (RO7435846) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-45,HIC 2000038554 DIVARASIB (RO7435846) 400 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-46,HIC 2000038384 QUIZARTINIB OR PLACEBO 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-47,HIC 2000038328 TOPOTECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-48,HIC 2000038328 GSK5764227 MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-49,HIC 2000038692 ABBV-400 MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-50,"HIC 2000037219 VITAMIN D 5,000 UNIT TABLET",0.01,0.01,0.01,0.01,23
CDM,99999-090-51,HIC 2000038332 REGN10597 MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-52,HIC 2000029991 CEMIPLIMAB (REGN2810) MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-53,HIC 2000037159 QTX3034 250 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-54,HIC 2000037159 QTX3034 200 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-55,HIC 2000038497 ZONGERTINIB (BI 1810631) 60 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-56,HIC 2000034242 PALBOCICLIB 125 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-57,HIC 2000034242 PALBOCICLIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-58,HIC 2000034242 PALBOCICLIB 75 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-59,HIC 2000038545 ZONGERTINIB (BI 1810631) 60 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-60,HIC 2000038853 DOCETAXEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-61,HIC 2000038853 SIGVOTATUG VEDOTIN (SGN-B6A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-62,HIC 2000037556 CEMIPLIMAB/FIANLIMAB OR CEMIPLIMAB/PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-63,HIC2000038387 CAMIZESTRANT (AZD9833) 75 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-65,HIC 2000038692 BEVACIZUMAB DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-66,HIC 2000038245 INO-3107 OR PLACEBO IM CARTRIDGE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-67,HIC 2000038245 INO-3107 IM CARTRIDGE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-69,HIC 2000037892 IVOSIDENIB 250 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-090-70,HIC 2000037463 TULISOKIBAR (MK-7240) OR PLACEBO SUBCUTANEOUS AUTOINJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-090-71,HIC 2000037463 TULISOKIBAR (MK-7240) 500 MG OR 250 MG OR PLACEBO DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-72,HIC 2000037463 TULISOKIBAR (MK-7240) 1000 MG OR 500 MG OR PLACEBO DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-73,HIC 2000037463 TULISOKIBAR (MK-7240) MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-74,HIC 2000038058 ST266 IV SYRINGE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-75,HIC 2000038299 ATICAPRANT (JNJ-67953964) 10 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-86,CUPRIC CHLORIDE 0.04 MG/ML INTRAVENOUS SOLUTION - CAPS TPN DIL,120.5,71.1,14.66,108.45,23
CDM,99999-090-87,IRON DEXTRAN 5 MG/ML INJECTION SOLUTION - CAPS TPN DIL,817.5,482.33,99.44,735.75,23
CDM,99999-090-88,LEVOCARNITINE 20 MG/ML INTRAVENOUS SOLUTION - CAPS TPN DIL,328.5,193.82,39.96,295.65,23
CDM,99999-090-89,MANGANESE CHLORIDE 0.01 MG/ML INTRAVENOUS SOLUTION - CAPS TPN DIL,152.0,89.68,18.49,136.8,23
CDM,99999-090-90,SELENIUM 4 MCG/ML INTRAVENOUS SOLUTION - CAPS TPN DIL,655.0,386.45,79.68,589.5,23
CDM,99999-090-92,HIC 2000038299 ATICAPRANT (JNJ-67953964) OR PLACEBO 10 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-090-93,HIC 2000037177 RP-1664 5 MG POWDER IN CAPSULE FORMULATION,0.01,0.01,0.01,0.01,23
CDM,99999-090-94,HIC 2000037177 RP-1664 10 MG POWDER IN CAPSULE FORMULATION,0.01,0.01,0.01,0.01,23
CDM,99999-090-95,HIC 2000037177 RP-1664 40 MG POWDER IN CAPSULE FORMULATION,0.01,0.01,0.01,0.01,23
CDM,99999-090-96,HIC 2000038850 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-97,HIC 2000038850 RELATLIMAB (BMS-986016) MED,0.01,0.01,0.01,0.01,23
CDM,99999-090-98,HIC 2000038867 AMIVANTAMAB (JNJ-61186372)-HYALURONIDASE SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-090-99,HIC 2000038469 ISLATRAVIR-LENACAPAVIR 0.5-300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-0908-54,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,0.67,0.4,0.08,0.6,23
CDM,99999-091-00,HIC 2000038469 ISLATRAVIR-LENACAPAVIR 2-300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-03,HIC 2000032539 PIRTOBRUTINIB 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-05,HIC 2000038785 PANITUMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-06,HIC 2000038922 AMIVANTAMAB (JNJ-61186372)-HYALURONIDASE SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-091-07,HIC 2000038922 LAZERTINIB (JNJ-73841937) 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-10,HIC 2000038785 GDC-7035 (RO7782493) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-11,HIC 2000038785 GDC-7035 (RO7782493) 15 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-12,HIC 2000038867 CETUXIMAB INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-091-17,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION 2000 ML (PHARMACY PREPARED),1200.0,708.0,145.97,1080.0,23
CDM,99999-091-18,HIC 2000038691 CT-0525 INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-091-19,HIC 2000038691 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-21,HIC 2000038947 QUEMLICLUSTAT (AB680) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-22,HIC 2000038956 MK-5684 2.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-23,HIC 2000034852 BA3182 SC MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-24,HIC 2000035976 EFGARTIGIMOD PH20 1000 MG SC INJECTION INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-091-25,HIC 2000037428 LUTIKIZUMAB 150 MG/ML OR PLACEBO PREFILLED SYRINGE INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-091-26,HIC 2000038468 ISLATRAVIR-LENACAPAVIR 0.5-300 MG TABLET OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-091-27,HIC 2000038468 ISLATRAVIR-LENACAPAVIR 2-300 MG TABLET OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-091-28,HIC 2000038468 BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE (BIKTARVY) 50-200-25 MG TABLET OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-091-29,HIC 2000036773 PAPTIDEGIB GEL 2% OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-091-34,HIC 2000039052 TECLISTAMAB SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-091-35,HIC 2000039052 TECLISTAMAB SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-091-37,HIC 2000038554 SOTORASIB 120 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-38,HIC 2000038554 ADAGRASIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-39,HIC 2000038097 PF-07220060 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-40,NITROGLYCERIN 200 MCG/ML INJECTION,0.05,0.03,0.01,0.05,23
CDM,99999-091-41,ADENOSINE 12 MCG/ML INTRACORONARY INJECTION,0.05,0.03,0.01,0.05,23
CDM,99999-091-43,HIC 2000038111 GWP42003-P (CBD-OS) 100 MG/ML INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-091-44,CIPROFLOXACIN 125 MG HALFTAB,0.35,0.21,0.04,0.32,23
CDM,99999-091-45,HIC 2000038545 TRASTUZUMAB DERUXTECAN (T-DXD) MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-46,HIC 2000038545 TRASTUZUMAB EMTANSINE (T-DM1) MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-47,HIC 2000035624 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-48,HIC 2000038809 NADOFARAGENE FIRADENOVEC 3 X 10E11 VP/ML,0.01,0.01,0.01,0.01,23
CDM,99999-091-49,HIC 2000038809 DOCETAXEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-50,HIC 2000038809 GEMCITABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-51,HIC 2000038809 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-53,HIC 2000038416 INBRX-109 MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-54,HIC 2000037357 SNV1521 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-57,HIC 2000038811 TELISOTUZUMAB ADIZUTECAN (ABBV-400) MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-58,HIC 2000039199 MK-2870 MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-59,HIC 2000039199 PEMBROLIZUMAB (MK-3475) MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-60,HIC 2000037338 BNT323 (DB-1303) MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-61,HIC 2000036181 ANIFROLUMAB OR PLACEBO 120 MG SUBCUTANEOUS PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-091-62,HIC 2000036181 ANIFROLUMAB 120 MG SUBCUTANEOUS PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-091-63,HIC 2000030618 LUNRESERTIB (RP-6306) 60 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-64,HIC 2000030618 LUNRESERTIB (RP-6306) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-66,HIC 2000035675 NX-5948 150 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-091-67,HIC 2000034217 ABATACEPT OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-68,HIC 2000036221 ESOMEPRAZOLE 40 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-091-69,HIC 2000037351 PIRFENIDONE (AP01) 50 MG OR 25 MG OR PLACEBO SOLUTION FOR INHALATION,0.01,0.01,0.01,0.01,23
CDM,99999-091-70,HIC 2000037351 0.9% SODIUM CHLORIDE 3 ML INHALATION SOLUTION VIAL,0.01,0.01,0.01,0.01,23
CDM,99999-091-71,HIC 2000037351 EFLOW NEBULIZER SYSTEM STARTER KIT,0.01,0.01,0.01,0.01,23
CDM,99999-091-72,HIC 2000037351 EFLOW NEBULIZER SYSTEM REPLACEMENT KIT,0.01,0.01,0.01,0.01,23
CDM,99999-091-73,"HIC 2000039135 TRASTUZUMAB DERUXTECAN (T-DXD, DS-8201A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-091-74,"HIC 2000039135 DATOPOTAMAB DERUXTECAN (DATO-DXD, DS-1062A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-091-75,HIC 2000038575 TORL-1-23 MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-76,HIC 2000035924 RAMUCIRUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-77,HIC 2000035924 DOSTARLIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-78,HIC 2000035924 (EO-3021) MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-79,HIC 2000038719 MEN2312 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-80,HIC 2000038719 MEN2312 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-81,HIC 2000038772 ZW191 MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-82,HIC 2000038896 BG-C477 MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-83,HIC 2000038196 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-84,HIC 2000037737 VARENICLINE 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-85,HIC 2000037737 VARENICLINE 0.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-86,HIC 2000038923 AZD8630 0.4MG OR 2MG OR 8MG OR PLACEBO INHALATION CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-091-87,HIC 2000038923 SAPHIRA DRY POWDER INHALER (SAPH-DPI-T2),0.01,0.01,0.01,0.01,23
CDM,99999-091-88,HIC 2000038719 ELACESTRANT 86 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-89,HIC 2000038719 ELACESTRANT 345 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-90,HIC 2000035922 SACITUZUMAB GOVITECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-91,HIC 2000035849 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-92,HIC 2000035849 LENVATINIB 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-091-93,HIC 2000035849 LENVATINIB 4 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-091-94,HIC 2000035849 LENVATINIB 1 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-091-95,HIC 2000039018 DAY301 MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-96,HIC 2000038965 BG-C137 MED,0.01,0.01,0.01,0.01,23
CDM,99999-091-98,HIC 2000038956 ABIRATERONE 250 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-091-99,HIC 2000038956 ABIRATERONE 500 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-0912-00,INVESTIGATIONAL MEDICATION,0.01,0.01,0.01,0.01,23
CDM,99999-092-00,HIC 2000038956 DEXAMETHASONE 0.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-01,HIC 2000038956 ENZALUTAMIDE 40 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-092-02,HIC 2000038956 FLUDROCORTISONE 0.1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-03,HIC 2000038956 HYDROCORTISONE 100 MG INJ (EMERGENCY KIT),0.01,0.01,0.01,0.01,23
CDM,99999-092-04,HIC 2000038956 HYDROCORTISONE 10 MG TABLET (EMERGENCY KIT),0.01,0.01,0.01,0.01,23
CDM,99999-092-05,HIC 2000038956 HYDROCORTISONE 20 MG TABLET (EMERGENCY KIT),0.01,0.01,0.01,0.01,23
CDM,99999-092-06,HIC 2000038956 PREDNISONE 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-08,HIC 2000038922 CLINDAMYCIN 1% LOTION,0.01,0.01,0.01,0.01,23
CDM,99999-092-09,HIC 2000038922 DEXAMETHASONE 4 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-10,HIC 2000038922 DOXYCYCLINE 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-11,HIC 2000038922 RIVAROXABAN 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-12,HIC 2000038514 BL-B01D1 MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-13,HIC 2000038514 BL-B01D1 MED (PART 3),0.01,0.01,0.01,0.01,23
CDM,99999-092-14,NICARDIPINE (CARDENE) 200 MCG/ML INTRACORONARY INJECTION,1.31,0.77,0.16,1.18,23
CDM,99999-092-15,HIC 2000038385 AXATILIMAB (INCA034176) MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-16,HIC 2000038385 RUXOLITINIB (INCB018424) 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-20,HIC 2000038923 ALBUTEROL 90MCG INHALER,0.01,0.01,0.01,0.01,23
CDM,99999-092-21,HIC 2000037602 APG777 OR PLACEBO SC INJECTION (PART B),0.01,0.01,0.01,0.01,23
CDM,99999-092-22,HIC 2000038706 LECANEMAB 500 MG AUTOINJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-29,"HIC 2000039473 DATOPOTAMAB DERUXTECAN (DATO-DXD, DS-1062A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-092-30,HIC 2000039473 OSIMERTINIB (AZD9291) 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-31,HIC 2000039473 OSIMERTINIB (AZD9291) 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-32,HIC 2000038628 CLOFAZIMINE OR PLACEBO INHALATION SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-092-33,HIC 2000038628 CLOFAZIMINE 80MG OR 50MG INHALATION SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-092-34,"HIC 2000039419 RALUDOTATUG DERUXTECAN (R-DXD, DS-6000A, MK-5909) MED",0.01,0.01,0.01,0.01,23
CDM,99999-092-35,HIC 2000039330 TELISOTUZUMAB VEDOTIN (ABBV-399) MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-44,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,39.66,23.4,4.82,35.69,23
CDM,99999-092-45,HIC 2000038224 GUSELKUMAB 100MG SC PFS SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-092-46,HIC 2000038706 E2814 OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-092-54,HIC 2000021816 NALTREXONE 50 MG,0.01,0.01,0.01,0.01,23
CDM,99999-092-55,HIC 2000037463 TULISOKIBAR (MK-7240) 500 MG OR 250 MG OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-092-56,HIC 2000037463 TULISOKIBAR (MK-7240) 1000 MG OR 500 MG OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-092-57,HIC 2000037940 CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-58,HIC 2000037940 CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-59,HIC 2000037940 PREGABALIN 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-092-60,HIC 2000038519 GDC-8264 5 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-61,HIC 2000038519 GDC-8264 25 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-62,HIC 2000038519 GDC-8264 75 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-63,HIC 2000035087 VLX-1005 OR PLACEBO IVPB MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-64,HIC 2000037256 BI 1015550 9 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-65,HIC 2000038564 JNJ-64042056 OR PLACEBO IM INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-092-66,HIC 2000038641 CEMIPLIMAB OR FIANLIMAB/CEMIPLIMAB OR PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-67,HIC 2000039329 LY4066434 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-68,HIC 2000039329 LY4066434 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-69,HIC 2000039329 LY4066434 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-70,HIC 2000038428 CENOBAMATE 12.5-25 MG TABLET TITRATION PACKET,0.01,0.01,0.01,0.01,23
CDM,99999-092-71,HIC 2000038600 CAGRISEMA 0.25 MG/0.25 MG PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-72,HIC 2000038428 CENOBAMATE 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-73,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,53.3,31.45,6.48,47.97,23
CDM,99999-092-74,HIC 2000038600 CAGRISEMA 0.5 MG/0.5 MG PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-75,HIC 2000038600 CAGRISEMA 1 MG/1 MG PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-76,HIC 2000038600 CAGRISEMA 1.7 MG/1.7 MG PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-77,HIC 2000038600 CAGRISEMA 2.4 MG/2.4 MG PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-78,HIC 2000038600 CAGRISEMA 0.25 MG/0.25 MG OR PLACEBO PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-79,HIC 2000038600 CAGRISEMA 0.5 MG/0.5 MG OR PLACEBO PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-80,HIC 2000038600 CAGRISEMA 1 MG/1 MG OR PLACEBO PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-81,HIC 2000038600 CAGRISEMA 1.7 MG/1.7 MG OR PLACEBO PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-82,HIC 2000038600 CAGRISEMA 2.4 MG/2.4 MG OR PLACEBO PEN INJECTOR,0.01,0.01,0.01,0.01,23
CDM,99999-092-83,HIC 2000038719 CAPIVASERTIB 160 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-84,HIC 2000038719 CAPIVASERTIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-85,HIC 2000038719 FULVESTRANT,0.01,0.01,0.01,0.01,23
CDM,99999-092-86,HIC 2000037891 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-87,HIC 2000029685 JNJ-63733657 1000 MG OR 3000 MG IN 250 ML NS IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-092-88,HIC 2000036447 XMAB819 SC INJECTION (DOSES: 1000 - 20000 MCG),0.01,0.01,0.01,0.01,23
CDM,99999-092-89,HIC 2000036447 XMAB819 MED (IV SYRINGE),0.01,0.01,0.01,0.01,23
CDM,99999-092-90,HIC 2000039444 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-91,HIC 2000039444 SELINEXOR (KPT-330) 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-92,HIC 2000032942 SETMELANOTIDE (RM-493) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-092-93,HIC 2000039468 RAVULIZUMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-94,HIC 2000038725 AZITHROMYCIN 500MG OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-092-96,HIC 2000038554 SOTORASIB 240 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-97,HIC 2000038554 SOTORASIB 320 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-98,HIC 2000039561 LNS8801 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-092-99,HIC 2000039561 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-00,HIC 2000039526 TUCATINIB 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-01,HIC 2000039526 TUCATINIB 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-02,HIC 2000038570 REGN7544 150MG OR PLACEBO SC (SYRINGE 1),0.01,0.01,0.01,0.01,23
CDM,99999-093-03,HIC 2000038570 REGN7544 150MG OR PLACEBO SC (SYRINGE 2),0.01,0.01,0.01,0.01,23
CDM,99999-093-04,HIC 2000038570 REGN7544 150MG OR PLACEBO SC (SYRINGE 3),0.01,0.01,0.01,0.01,23
CDM,99999-093-05,HIC 2000039643 CBX-12 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-06,HIC 2000039644 MRTX1133 25 MG LIPID CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-07,HIC 2000039644 MRTX1133 100 MG LIPID CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-08,HIC 2000039720 TREOSULFAN,0.01,0.01,0.01,0.01,23
CDM,99999-093-09,"HIC 2000037357 TRASTUZUMAB DERUXTECAN (T-DXD, DS-8201A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-093-10,VANCOMYCIN 25 MG/ML ORAL SOLUTION,12.65,7.46,1.54,11.39,23
CDM,99999-093-11,HIC 2000033904 REMTERNETUG 400 MG OR PLACEBO PFS,0.01,0.01,0.01,0.01,23
CDM,99999-093-12,HIC 2000034927 RILVEGOSTOMIG (AZD2936) MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-13,MORPHINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,0.28,0.17,0.03,0.25,23
CDM,99999-093-14,HIC 2000039195 ITEPEKIMAB 300 MG OR PLACEBO PFS,0.01,0.01,0.01,0.01,23
CDM,99999-093-15,HIC 2000033904 REMTERNETUG 400 MG PFS,0.01,0.01,0.01,0.01,23
CDM,99999-093-16,HIC 2000039264 BREPOCITINIB 45 MG OR 15 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-093-17,HIC 2000038367 ACORAMIDIS 356 MG OR PLACEBO TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-093-18,HIC 2000039658 DARATUMUMAB-HYALURONIDASE SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-093-19,HIC 2000039658 TALQUETAMAB SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-093-20,HIC 2000039658 TALQUETAMAB SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-093-21,HIC 2000039658 TECLISTAMAB SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-093-22,HIC 2000039658 TECLISTAMAB SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-093-23,HIC 2000039498 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-24,"HIC 2000039498 SACITUZUMAB TIRUMOTECAN (SAC-TMT, MK-2870) MED",0.01,0.01,0.01,0.01,23
CDM,99999-093-25,HIC 2000039434 COM503 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-26,HIC 2000039434 ZIMBERELIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-48,HIC 2000038100 TMC278 (RILPIVIRINE) 900 MG IM INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-093-51,HIC 2000037219 VITAMIN D 400 UNIT TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-52,HIC 2000038100 CABOTEGRAVIR (GSK1265744) 600 MG IM INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-093-53,HIC 2000037550 CC-97540 (AUTOLOGOUS CD19-SPECIFIC CAR T CELLS) IV INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-093-54,HIC 2000036467 CABA-201 (AUTOLOGOUS CD19-SPECIFIC CAR T CELLS) IV INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-093-55,HIC 2000038237 CABA-201 (AUTOLOGOUS CD19-SPECIFIC CAR T CELLS) IV INFUSION,0.01,0.01,0.01,0.01,23
CDM,99999-093-56,HIC 2000038546 NVG-2089 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-57,HIC 2000039535 ALE.P02 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-58,HIC 2000039676 IM-1021 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-64,HIC 2000039584 ELACESTRANT 345 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-65,HIC 2000039584 ELACESTRANT 86 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-66,HIC 2000039771 BUDIGALIMAB (ABBV-181) MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-67,HIC 2000039771 LIVMONIPLIMAB (ABBV-151) MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-68,HIC 2000039771 DOCETAXEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-69,HIC 2000039771 GEMCITABINE MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-70,HIC 2000039771 PACLITAXEL MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-71,HIC 2000037718 TOCILIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-72,HIC 2000039031 METHYLPREDNISOLONE 50MG OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-73,HIC 2000039204 MARIDEBART CAFRAGLUTIDE OR PLACEBO PFS INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-093-74,HIC 2000038328 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-75,HIC 2000038328 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-76,HIC 2000038328 DURVALUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-77,HIC 2000038328 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-78,HIC 2000038328 CISPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-79,HIC 2000039629 TUB-030 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-80,HIC 2000039675 QTX3544 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-81,HIC 2000039675 QTX3544 100 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-82,HIC 2000026339 AZD1390 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-83,HIC 2000029428 GSK5733584 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-85,HIC 2000039639 ZIMBERELIMAB (AB122) MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-86,HIC 2000039639 CASDATIFAN (AB521) 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-87,HIC 2000039639 CASDATIFAN (AB521) 10 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-88,HIC 2000039723 BNT326 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-89,HIC 2000039723 BNT327 MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-90,HIC 2000039672 SACITUZUMAB GOVITECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-91,HIC 2000039672 ENFORTUMAB VEDOTIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-093-92,"HIC 2000039672 TRASTUZUMAB DERUXTECAN (T-DXD, DS-8201A) MED",0.01,0.01,0.01,0.01,23
CDM,99999-093-93,HIC 2000038734 RIBOCICLIB 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-94,HIC 2000039616 ZIFTOMENIB (KO-539) 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-95,HIC 2000039616 ZIFTOMENIB (KO-539) 50 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-96,HIC 2000039878 ZANUBRUTINIB (BGB-3111) 80 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-093-97,HIC 2000039878 SONROTOCLAX (BGB-11417) OR PLACEBO 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-98,HIC 2000039878 SONROTOCLAX (BGB-11417) OR PLACEBO 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-093-99,HIC 2000039878 SONROTOCLAX (BGB-11417) OR PLACEBO 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-00,HIC 2000039878 SONROTOCLAX (BGB-11417) OR PLACEBO 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-01,HIC 2000039863 IADADEMSTAT 20 MCG/ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-094-02,HIC 2000038329 DAUNORUBICIN-CYTARABINE LIPOSOMAL (VYXEOS) MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-03,HIC 2000038329 VENETOCLAX 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-04,HIC 2000038329 VENETOCLAX 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-05,HIC 2000038329 VENETOCLAX 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-06,HIC 2000038368 ELRITERCEPT (KER-050) OR PLACEBO SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-094-07,HIC 2000039922 TIVOZANIB (AV-951) 1.34 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-094-08,HIC 2000039922 TIVOZANIB (AV-951) 0.89 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-094-09,HIC 2000039112 ELACESTRANT 345 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-10,HIC 2000039112 ELACESTRANT 86 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-11,HIC 2000038694 POTASSIUM IODIDE 130 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-12,HIC 2000038694 I-124 EVUZAMITIDE IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-094-13,HIC 2000039768 ABBV-CLS-628 OR PLACEBO IV SYRINGE #1,0.01,0.01,0.01,0.01,23
CDM,99999-094-14,HIC 2000039768 ABBV-CLS-628 OR PLACEBO IV SYRINGE #2,0.01,0.01,0.01,0.01,23
CDM,99999-094-15,HIC 2000038209 LUTIKIZUMAB 150 MG/ML SOLUTION FOR INJECTION PFS,0.01,0.01,0.01,0.01,23
CDM,99999-094-16,HIC 2000038209 ABBV-382 100 MG/ML SOLUTION SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-094-17,HIC 2000038209 ABBV-382 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-18,HIC 2000038209 RISANKIZUMAB 150 MG/ML SOLUTION FOR INJECTION PFS,0.01,0.01,0.01,0.01,23
CDM,99999-094-19,HIC 2000038209 RISANKIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-24,HIC 2000039687 NIRAPARIB 100 MG TABLET INVESTIGATIONAL DRUG,0.01,0.01,0.01,0.01,23
CDM,99999-094-25,HIC 2000038377 BL-M11D1 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-26,HIC 2000039935 BMS-986470 OR PLACEBO 0.1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-27,HIC 2000039935 BMS-986470 OR PLACEBO 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-28,HIC 2000039935 BMS-986470 OR PLACEBO 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-29,HIC 2000039935 BMS-986470 0.1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-30,HIC 2000039935 BMS-986470 1 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-31,HIC 2000039935 BMS-986470 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-32,HIC 2000039866 ZOLBETUXIMAB OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-33,HIC 2000039811 YL205 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-34,HIC 2000039989 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-35,HIC 2000039989 PT217 (DOSES: 0.2-0.6 MG/KG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-36,HIC 2000039989 PT217 (DOSES: 2-12 MG/KG) MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-37,HIC 2000038990 AB821 IV SYRINGE (CONC: 0.015 MG/ML) MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-38,HIC 2000038990 AB821 IV SYRINGE (CONC: 0.1 MG/ML) MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-39,HIC 2000038990 AB821 IV BAG MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-42,HIC 2000039955 ADRABETADEX IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-094-43,HIC 2000038568 ADRABETADEX IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-094-44,HIC 2000038505 LU AF82422 2.1G OR 4.2G OR PLACEBO IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-094-45,HIC 2000038505 LU AF82422 2.1G OR 4.2G IVPB,0.01,0.01,0.01,0.01,23
CDM,99999-094-46,HIC 2000038808 EFRUXIFERMIN 50MG OR PLACEBO SC INJECTION PFS,0.01,0.01,0.01,0.01,23
CDM,99999-094-47,HIC 2000038808 VITAMIN D 400 UNIT TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-48,LOSARTAN 2.5 MG/ML ORAL SUSPENSION,0.4,0.24,0.05,0.36,23
CDM,99999-094-50,HIC 2000039541 BX004 BACTERIOPHAGE OR PLACEBO NEBULIZER SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-094-51,HIC 2000039329 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-094-52,HIC 2000037457 CARBOPLATIN MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-53,HIC 2000037457 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-54,HIC 2000035663 TAS-102 (TRIFLURIDINE-TIPIRACIL) 15MG-6.14MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-55,HIC 2000035663 TAS-102 (TRIFLURIDINE-TIPIRACIL) 20MG-8.19MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-56,HIC 2000039933 IBERDOMIDE 0.6 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-094-57,HIC 2000039933 IBERDOMIDE 0.75 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-094-58,HIC 2000039933 IBERDOMIDE 1 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-094-59,HIC 2000039871 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-60,METHYLENE BLUE 0.01% ORAL SOLUTION,46.0,27.14,5.6,41.4,23
CDM,99999-094-62,HIC 2000039204 AMG 133 70 MG/ML OR PLACEBO SC PFS,0.01,0.01,0.01,0.01,23
CDM,99999-094-63,HIC 2000039204 AMG 133 44 MG/ML OR 66 MG/ML OR 110 MG/ML OR PLACEBO SC PFS,0.01,0.01,0.01,0.01,23
CDM,99999-094-64,HIC 2000039870 IVONESCIMAB OR PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-65,HIC 2000040002 CUSATUZUMAB (OV-1001) MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-68,HIC 2000039980 ADCE-T02 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-69,HIC 2000039749 PHST001 IV SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-70,HIC 2000039749 PHST001 IV BAG MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-73,HIC 2000039957 BL-M17D1 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-74,HIC 2000039686 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-75,HIC 2000039686 SACITUZUMAB GOVITECAN MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-76,HIC 2000037185 AZACITIDINE SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-094-77,HIC 2000040039 RO7673396 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-78,HIC 2000040039 RO7673396 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-79,HIC 2000040039 RO7673396 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-80,HIC 2000040039 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-81,HIC 2000040039 CETUXIMAB,0.01,0.01,0.01,0.01,23
CDM,99999-094-82,HIC 2000037518 REGV131 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-83,HIC 2000037518 DILUENT FOR REGV131,0.01,0.01,0.01,0.01,23
CDM,99999-094-84,HIC 2000037518 LNP1265 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-85,HIC 2000037518 REGV131 (UNDILUTED),0.01,0.01,0.01,0.01,23
CDM,99999-094-91,HIC 2000036899 REPAGLINIDE 0.5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-92,HIC 2000039199 DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-094-93,HIC 2000034572 DAROLUTAMIDE 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-94,HIC 2000038545 CAPECITABINE 500 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-95,HIC 2000038545 CAPECITABINE 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-094-96,HIC 2000038545 TRASTUZUMAB (HERCEPTIN) MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-97,HIC 2000040112 PF-08046037 MED,0.01,0.01,0.01,0.01,23
CDM,99999-094-98,HIC 2000040112 SASANLIMAB (PF-06801591) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-094-99,HIC 2000040040 LUTATHERA� (177LU-DOTA-TATE),0.01,0.01,0.01,0.01,23
CDM,99999-095-00,HIC 2000040073 ABBV-453 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-01,HIC 2000040073 ABBV-453 80 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-02,HIC 2000039437 REGN7544 OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-03,HIC 2000037185 VENETOCLAX 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-04,HIC 2000037185 VENETOCLAX 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-05,HIC 2000037185 VENETOCLAX 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-06,HIC 1509016530 KETAMINE 0.2MG/KG OR 0.5MG/KG OR MIDAZOLAM 0.032MG/KG IN NS IVPB (FOR AGES OVER 60 YEARS),0.01,0.01,0.01,0.01,23
CDM,99999-095-07,HIC 2000039690 DALCETRAPIB 300 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-08,HIC 2000039679 CEMIPLIMAB (REGN2810) MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-09,HIC 2000040328 HLD-0915 25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-10,HIC 2000040328 HLD-0915 12.5 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-11,HIC 2000040328 HLD-0915 6.25 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-13,HIC 2000040291 RILZABRUTINIB 400 MG OR PLACEBO TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-14,HIC 2000040291 RILZABRUTINIB 400 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-15,HIC 2000039675 QTX3544 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-18,HIC 2000040254 XB628 (20 MG/ML) IV BAG,0.01,0.01,0.01,0.01,23
CDM,99999-095-19,HIC 2000040254 XB628 (20 MG/ML) IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-095-20,HIC 2000040297 ARV-806 MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-21,HIC 2000040300 YL217 MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-22,HIC 2000040254 XB628 (2.5 MG/ML) IV SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-095-23,HIC 2000038628 CLOFAZIMINE 50 MG OR 80 MG OR PLACEBO INHALATION SUSPENSION,0.01,0.01,0.01,0.01,23
CDM,99999-095-24,HIC 2000039833 TUCATINIB 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-25,HIC 2000039833 TUCATINIB 50 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-26,HIC 2000040043 RMC-6236 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-27,HIC 2000040043 RMC-6236 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-28,HIC 2000040043 RMC-9805 300 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-29,HIC 2000040043 RMC-9805 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-30,HIC 2000040043 RMC-9805 25 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-31,HIC 2000037181 FEZOLINETANT OR PLACEBO 45 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-32,HIC 2000040294 VS101 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-33,HIC 2000040294 VS101 2 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-34,HIC 2000040314 RMC-6236 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-35,HIC 2000040314 RMC-6236 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-41,HIC 2000038510 TALQUETAMAB SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-095-42,HIC 2000038510 TALQUETAMAB SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-095-43,HIC 2000038510 TECLISTAMAB SC INJECTION (STEP UP DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-095-44,HIC 2000038510 TECLISTAMAB SC INJECTION (TREATMENT DOSES),0.01,0.01,0.01,0.01,23
CDM,99999-095-45,HIC 2000040302 AT03-65 MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-46,HIC 2000028731 GLYCINE 15N POWDER FOR ORAL INGESTION,0.01,0.01,0.01,0.01,23
CDM,99999-095-48,HIC 2000040090 BRIGIMADLIN (BI 907828) 10 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-49,HIC 2000040090 BRIGIMADLIN (BI 907828) 30 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-50,HIC 2000040090 BRIGIMADLIN (BI 907828) 45 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-51,HIC 2000038729 OBEXELIMAB 125 MG/ML OR PLACEBO SC INJECTION PFS,0.01,0.01,0.01,0.01,23
CDM,99999-095-55,HIC 2000039655 ATEZOLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-56,HIC 2000039655 DURVALUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-57,HIC 2000039588 V940 (MRNA-4157) OR PLACEBO IM INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-095-58,HIC 200039869 OCTREOTIDE 100 MCG/ML SYRINGE,0.01,0.01,0.01,0.01,23
CDM,99999-095-59,VITAMIN B COMPLEX AND C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,0.25,0.15,0.03,0.23,23
CDM,99999-095-60,HIC 2000039869 PALTUSOTINE OR PLACEBO 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-61,HIC 2000039869 PALTUSOTINE 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-62,HIC 2000040004 ALN-APP 100 MG INTRATHECAL OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-095-63,HIC 2000034654 BENDROFLUMETHIAZIDE 5 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-64,HIC 2000040388 EFGARTIGIMOD (ARGX-113) OR PLACEBO MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-65,HIC 2000040388 EFGARTIGIMOD (ARGX-113) MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-66,HIC 2000040563 BND-22 (SAR444881) MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-67,HIC 2000040565 ZONGERTINIB (BI 1810631) 60 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-68,HIC 2000040454 ZIFTOMENIB (KO-539) OR PLACEBO 200 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-69,"HIC 2000029048 VEPDEGESTRANT (ARV-471,PF-07850327) 100 MG TABLET",0.01,0.01,0.01,0.01,23
CDM,99999-095-70,HIC 2000040232 AUTOGENE CEVUMERAN-A (RO7198457) 21 MCG/ML IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-095-71,HIC 2000040232 AUTOGENE CEVUMERAN-B (RO7198457) 21 MCG/ML IV PUSH,0.01,0.01,0.01,0.01,23
CDM,99999-095-72,HIC 2000040232 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-73,HIC 2000039913 PDS0101 (VERSAMUNE + HPVMIX) SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-095-74,HIC 2000039913 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-75,HIC 2000040428 SAFUSIDENIB (AB-218) OR PLACEBO 125 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-76,"HIC 2000039653 SACITUZUMAB TIRUMOTECAN (SAC-TMT, MK-2870) MED",0.01,0.01,0.01,0.01,23
CDM,99999-095-77,HIC 2000039653 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-78,HIC 2000040483 ELRANATAMAB 40 MG/ML SC INJECTION,0.01,0.01,0.01,0.01,23
CDM,99999-095-79,HIC 2000040483 MEZIGDOMIDE 0.2 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-80,HIC 2000040483 MEZIGDOMIDE 0.3 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-81,HIC 2000040483 MEZIGDOMIDE 0.4 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-82,HIC 2000040483 MEZIGDOMIDE 0.6 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-83,HIC 2000040483 MEZIGDOMIDE 0.8 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-84,HIC 2000040483 MEZIGDOMIDE 1 MG CAPSULE,0.01,0.01,0.01,0.01,23
CDM,99999-095-85,HIC 2000040320 ASTX727 (DECITABINE-CEDAZURIDINE) 35MG-100MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-86,HIC 2000040320 NIVOLUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-87,HIC 2000040562 CEMIPLIMAB (REGN2810) MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-88,HIC 2000040550 PEMBROLIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-095-89,HIC 2000039982 MOMELOTINIB (GSK3070785) 100 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-90,HIC 2000039982 MOMELOTINIB (GSK3070785) 150 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-095-91,HIC 2000039982 MOMELOTINIB (GSK3070785) 200 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-096-02,CHLORHEXIDINE GLUCONATE 0.05%/STERILE WATER 99.95% ANTIMICROBIAL WOUND LAVAGE 450 ML (IRRISEPT),350.0,206.5,42.58,315.0,23
CDM,99999-1000-01,TECHNETIUM TC-99M MEBROFENIN INJECTION,95.67,56.45,11.64,86.1,23
CDM,99999-1000-02,TECHNETIUM TC-99M SESTAMIBI INJECTION,135.0,79.65,16.42,121.5,23
CDM,99999-1000-03,TECHNETIUM TC-99M TETROFOSMIN INJECTION,99.9,58.94,12.15,89.91,23
CDM,99999-1000-05,TECHNETIUM TC-99M PERTECHNETATE INJECTION,156.0,92.04,18.98,140.4,23
CDM,99999-1000-06,"IODINE I-131 SODIUM IODIDE CAPSULE, TX",10500.0,6195.0,1277.27,9450.0,23
CDM,99999-1000-12,IODINE I-123 SODIUM IODIDE 400 UCI CAPSULE,327.39,193.16,39.83,294.65,23
CDM,99999-1000-13,IODINE (I-123) SODIUM IODIDE 200 UCI CAPSULE,197.67,116.63,24.05,177.9,23
CDM,99999-1000-14,"TECHNETIUM TC-99M EXAMETAZIME INJECTION, DX",3567.87,2105.04,434.01,3211.08,23
CDM,99999-1000-15,TECHNETIUM TC-99M PENTETATE (TC99-DTPA) INJECTION,359.34,212.01,43.71,323.41,23
CDM,99999-1000-16,TECHNETIUM TC-99M ALBUMIN AGGREGATED,332.04,195.9,40.39,298.84,23
CDM,99999-1000-17,INDIUM-111 PENTETATE INJECTION,5644.04,3329.98,686.57,5079.64,23
CDM,99999-1000-18,TECHNETIUM TC-99M SUCCIMER INJECTION,1218.39,718.85,148.21,1096.55,23
CDM,99999-1000-19,"CHROMIUM CR-51 SODIUM CHROMATE, DX INJECTION",3637.5,2146.13,442.48,3273.75,23
CDM,99999-1000-20,"IODINE I-125 SODIUM IOTHALAMATE, DIAGNOSTIC",965.55,569.67,117.45,869.0,23
CDM,99999-1000-21,"RUBIDIUM RB-82, DIAGNOSTIC",375.0,221.25,45.62,337.5,23
CDM,99999-1000-22,GALLIUM CITRATE GA 67 INJECTION,138.33,81.61,16.83,124.5,23
CDM,99999-1000-23,XENON XE 133 GAS,436.23,257.38,53.07,392.61,23
CDM,99999-1000-24,TECHNETIUM TC-99M LABELED RED BLOOD CELLS INJECTION,427.53,252.24,52.01,384.78,23
CDM,99999-1000-25,TECHNETIUM TC-99M OXIDRONATE INJECTION,161.04,95.01,19.59,144.94,23
CDM,99999-1000-26,TECHNETIUM TC-99M MERTIATIDE INJECTION,783.0,461.97,95.25,704.7,23
CDM,99999-1000-27,"TECHNETIUM TC-99M EXAMETAZIME LABELED WBC INJECT,DX",2989.23,1763.65,363.62,2690.31,23
CDM,99999-1000-28,INDIUM IN-111 LABELED AUTOLOGOUS WBC INJECTION,4798.2,2830.94,583.68,4318.38,23
CDM,99999-1000-29,"IODINE I-123 IOBENGUANE, DIAGNOSTIC",8004.0,4722.36,973.64,7203.6,23
CDM,99999-1000-31,IODINE I-131 SODIUM IODIDE SOLUTION,9112.5,5376.38,1108.49,8201.25,23
CDM,99999-1000-32,HYDROMORPHONE 50MG/50ML (1MG/ML) INFUSION (PYXIS)-BH,20.5,12.1,2.49,18.45,23
CDM,99999-1000-33,HYDROMORPHONE 10MG/50ML (0.2MG/ML) INFUSION(PYXIS)-BH,0.27,0.16,0.03,0.24,23
CDM,99999-1000-34,MORPHINE 50MG/50ML (1MG/ML) INFUSION (PYXIS) - BH,20.1,11.86,2.45,18.09,23
CDM,99999-1000-35,MORPHINE 5 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,90.5,53.4,11.01,81.45,23
CDM,99999-1000-39,TECHNETIUM TC-99M MEDRONATE INJECTION,69.72,41.13,8.48,62.75,23
CDM,99999-1000-40,TECHNETIUM TC-99M SULFUR COLLOID FILTERED,216.0,127.44,26.28,194.4,23
CDM,99999-1000-42,XENON XE 133 GAS,850.98,502.08,103.52,765.88,23
CDM,99999-1000-44,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,0.05,0.03,0.01,0.05,23
CDM,99999-1000-45,TECHNETIUM TC-99M PENTETATE (TC99-DTPA) AEROSOL,323.34,190.77,39.33,291.01,23
CDM,99999-1000-49,ON-Q C-BLOCK 600 ML PUMP SET,2935.0,1731.65,357.03,2641.5,23
CDM,99999-1000-50,ON-Q C-BLOCK 400 ML ON DEMAND PUMP,2175.0,1283.25,264.58,1957.5,23
CDM,99999-1000-52,ANTIHEMOPHILIC FACTOR VIII (ADVATE)(ALL DOSES),56000.0,33040.0,6812.11,50400.0,23
CDM,99999-1000-57,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,1.85,1.09,0.23,1.67,23
CDM,99999-1000-65,CYANOCOBALAMIN (VITAMIN B-12) 10 MCG/ML IV,6.0,3.54,0.73,5.4,23
CDM,99999-1000-69,"IODINATED I 131 ALBUMIN INJECTION, DIAGNOSTIC",2850.0,1681.5,346.69,2565.0,23
CDM,99999-1000-70,"TECHNETIUM TC-99M DISOFENIN, DX",111.0,65.49,13.5,99.9,23
CDM,99999-1000-71,FLORBETAPIR F18 INJECTION,9918.0,5851.62,1206.47,8926.2,23
CDM,99999-1010-01,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,7.5,4.43,0.91,6.75,23
CDM,99999-1111-71,TECHNETIUM TC-99M SULFUR COLLOID UNFILTERED,142.92,84.32,17.39,128.63,23
CDM,99999-1136-29,SALIVA SUBSTITUTE COMBO NO.2,29.1,17.17,3.54,26.19,23
CDM,99999-1157-30,PHENOL (BULK) 89 % LIQUID,3.0,1.77,0.36,2.7,23
CDM,99999-1470-02,ACETIC ACID (BULK) 5 % LIQUID,3.0,1.77,0.36,2.7,23
CDM,99999-1523-67,PHENYLEPHRINE IN 0.9 % NACL (PF) 2MG/10ML (200 MCG/ML),9.85,5.81,1.2,8.87,23
CDM,99999-1548-17,FUROSEMIDE 500 MG/50 ML UNDILUTED INFUSION,10.75,6.34,1.31,9.68,23
CDM,99999-1548-79,MORPHINE 0.4 MG/ML ORAL SOLUTION BULK BOTTLE,7.75,4.57,0.94,6.98,23
CDM,99999-1588-67,NIMODIPINE 60 MG/20 ML ORAL SOLUTION,139.45,82.28,16.96,125.51,23
CDM,99999-1661-05,LACTATED RINGERS 3L + EPI 1:1000 1ML,75.0,44.25,9.12,67.5,23
CDM,99999-1992-80,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,10.6,6.25,1.29,9.54,23
CDM,99999-2000-03,LORAZEPAM 100MG IN D5W 100ML (1MG/ML) INFUSION (PYXIS),203.0,119.77,24.69,182.7,23
CDM,99999-2060-11,CYCLOPHOSPHAMIDE 10 MG/ML ORAL SUSPENSION,2.1,1.24,0.26,1.89,23
CDM,99999-2221-15,PRISMASATE BGK 4/2.5 DIALYSIS SOLUTION,125.0,73.75,15.21,112.5,23
CDM,99999-2222-89,COTRTIMOXAZOLE DESENSITIZATION 40MG/5 ML TMP,0.53,0.31,0.06,0.48,23
CDM,99999-2223-05,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,0.3,0.18,0.04,0.27,23
CDM,99999-2223-06,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,0.15,0.09,0.02,0.14,23
CDM,99999-2223-47,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,5.45,3.22,0.66,4.91,23
CDM,99999-2223-52,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,0.65,0.38,0.08,0.59,23
CDM,99999-2223-68,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,14.8,8.73,1.8,13.32,23
CDM,99999-2223-74,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,2.6,1.53,0.32,2.34,23
CDM,99999-2223-86,POLYETHYLENE GLYCOL 3350  8.5 GRAM ORAL POWDER PACKET,3.39,2.0,0.41,3.05,23
CDM,99999-2224-06,MAGNESIUM SULFATE 2 GRAM/50 ML (4%) IVPB (NICU),160.0,94.4,19.46,144.0,23
CDM,99999-2224-24,SULFASALAZINE 500 MG/5ML ORAL SUSPENSION,9.25,5.46,1.13,8.33,23
CDM,99999-2224-38,VANCOMYCIN ENEMA 500MG/500ML IN NS,15.0,8.85,1.82,13.5,23
CDM,99999-2224-43,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,23.47,13.85,2.86,21.12,23
CDM,99999-2224-52,1/4 NS WITH HEPARIN 100 UNITS/100 ML INFUSION (PYXIS),1.0,0.59,0.12,0.9,23
CDM,99999-2224-53,HEPARIN 1 UNIT/ML IN 0.45% NACL 100 ML BAG (BATCH),1.0,0.59,0.12,0.9,23
CDM,99999-2224-54,POTASSIUM CHLORIDE 20 MEQ IN 0.45% NACL 1000ML (BATCH,10.0,5.9,1.22,9.0,23
CDM,99999-2224-57,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),0.4,0.24,0.05,0.36,23
CDM,99999-2224-58,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),0.6,0.35,0.07,0.54,23
CDM,99999-2224-59,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),0.8,0.47,0.1,0.72,23
CDM,99999-2224-60,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),1.0,0.59,0.12,0.9,23
CDM,99999-2224-61,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),2.0,1.18,0.24,1.8,23
CDM,99999-2224-62,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),4.0,2.36,0.49,3.6,23
CDM,99999-2224-63,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),5.0,2.95,0.61,4.5,23
CDM,99999-2224-64,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),6.0,3.54,0.73,5.4,23
CDM,99999-2224-65,ALTEPLASE 2MG/2ML INTRA-CATHETER PREMIXED SOLUTION (PHARMACY PREPARED),814.15,480.35,99.04,732.74,23
CDM,99999-2224-66,AMIODARONE 550 MG IN D5W 550 ML  BAG (PYXIS),13.75,8.11,1.67,12.38,23
CDM,99999-2224-68,CAFFEINE CITRATE 20 MG/ 1 ML (PYXIS),18.55,10.94,2.26,16.7,23
CDM,99999-2224-69,CEFAZOLIN IV SYR 100 MG/1 ML (BATCH),0.55,0.32,0.07,0.5,23
CDM,99999-2224-70,CEFAZOLIN IV SYR 100 MG/1 ML (BATCH),1.1,0.65,0.13,0.99,23
CDM,99999-2224-71,CEFAZOLIN IV SYR 100 MG/1 ML (BATCH),1.65,0.97,0.2,1.49,23
CDM,99999-2224-72,CEFAZOLIN IV SYR 100 MG/1 ML (BATCH),2.2,1.3,0.27,1.98,23
CDM,99999-2224-74,CEFAZOLIN IV SYR 100 MG/1 ML (BATCH),4.13,2.44,0.5,3.72,23
CDM,99999-2224-75,CEFUROXIME IV SYR 100 MG/1 ML (BATCH),2.1,1.24,0.26,1.89,23
CDM,99999-2224-76,CEFUROXIME IV SYR 100 MG/1 ML (BATCH),3.15,1.86,0.38,2.84,23
CDM,99999-2224-77,CEFUROXIME IV SYR 100 MG/1 ML (BATCH),5.25,3.1,0.64,4.73,23
CDM,99999-2224-78,CEFUROXIME IV SYR 100 MG/1 ML (BATCH),7.88,4.65,0.96,7.09,23
CDM,99999-2224-80,CEFUROXIME IV SYR 100 MG/1 ML (BATCH),15.75,9.29,1.92,14.18,23
CDM,99999-2224-81,D10 1/4 NS 500 ML INFUSION (PYXIS),7.5,4.43,0.91,6.75,23
CDM,99999-2224-83,D5W/0.45% NACL & NA BICARB  50 MEQ 1000 ML (BATCH),10.0,5.9,1.22,9.0,23
CDM,99999-2224-84,D5W/0.45% NACL & NA BICARB  75 MEQ 1000 ML (BATCH),15.0,8.85,1.82,13.5,23
CDM,99999-2224-85,"DKA PEDI-0.9% NACL KCL 20 MEQ, KPHOS 13.6 MMOL 1000 ML (BATCH)",15.0,8.85,1.82,13.5,23
CDM,99999-2224-86,"DKA PEDI-D10W/0.9% NACL KCL 20 MEQ,KPHOS 13.6 MMOL (BATCH)",15.0,8.85,1.82,13.5,23
CDM,99999-2224-87,DOBUTAMINE INJ 50 MG IN 50 ML NS SYRINGE (BATCH),8.5,5.02,1.03,7.65,23
CDM,99999-2224-88,DOPAMINE 1600 MCG/ML IN D5W (PYXIS),6.7,3.95,0.82,6.03,23
CDM,99999-2224-89,DOPAMINE 1600 MCG/ML IN D5W (PYXIS),13.4,7.91,1.63,12.06,23
CDM,99999-2224-90,DOPAMINE 1600 MCG/ML IN D5W (PYXIS),20.1,11.86,2.45,18.09,23
CDM,99999-2224-91,DOPAMINE 1600 MCG/ML IN D5W (PYXIS),40.2,23.72,4.89,36.18,23
CDM,99999-2224-92,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",65.25,38.5,7.94,58.73,23
CDM,99999-2224-95,DOPAMINE 3200 MCG/ML IV SYRINGE INFUSION 30ML (NEWBORN),39.15,23.1,4.76,35.24,23
CDM,99999-2224-96,"DOPAMINE 16,000 MCG IN D5W 20ML (800 MCG/ML) IV SYRINGE INFUSION (NEWBORN)",6.7,3.95,0.82,6.03,23
CDM,99999-2224-97,DOPAMINE 800 MCG/ML IV SYRINGE INFUSION 30ML (NEWBORN),10.05,5.93,1.22,9.05,23
CDM,99999-2224-98,"DOPAMINE 16,000 MCG IN D5W 20ML (800 MCG/ML) IV SYRINGE INFUSION (NEWBORN)",16.75,9.88,2.04,15.08,23
CDM,99999-2225-00,DOXYCYCLINE INJ 100 MG IN NS 100 ML (BATCH),66.5,39.24,8.09,59.85,23
CDM,99999-2225-01,FENTANYL 1 MCG/ML & BUP 0.063% IN NS 250ML (PYXIS),20.0,11.8,2.43,18.0,23
CDM,99999-2225-02,FENTANYL 2 MCG/2 ML IV SYRINGE (PYXIS),0.2,0.12,0.02,0.18,23
CDM,99999-2225-03,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.0625 %-NACL INJECTION SOLUTION,33.75,19.91,4.11,30.38,23
CDM,99999-2225-05,FENTANYL 5 MCG/ML & BUP 0.063% IN NS 500ML (BATCH),70.0,41.3,8.52,63.0,23
CDM,99999-2225-07,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),0.3,0.18,0.04,0.27,23
CDM,99999-2225-08,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),0.6,0.35,0.07,0.54,23
CDM,99999-2225-09,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),0.9,0.53,0.11,0.81,23
CDM,99999-2225-10,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),1.2,0.71,0.15,1.08,23
CDM,99999-2225-11,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),1.5,0.89,0.18,1.35,23
CDM,99999-2225-12,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),3.0,1.77,0.36,2.7,23
CDM,99999-2225-13,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),7.5,4.43,0.91,6.75,23
CDM,99999-2225-14,FLUCONAZOLE INJECTION 2 MG/1 ML (BATCH),15.0,8.85,1.82,13.5,23
CDM,99999-2225-15,FOLIC ACID 1 MG/0.2 ML SYRINGE,0.1,0.06,0.01,0.09,23
CDM,99999-2225-16,FUROSEMIDE 10MG/ML BAG (BATCH) 50 ML,10.75,6.34,1.31,9.68,23
CDM,99999-2225-17,HEPARIN (PF) 1 UNIT/ML FLUSH 5 ML (PYXIS),0.05,0.03,0.01,0.05,23
CDM,99999-2225-19,"HEPARIN 10,000 UNITS IN NS INJ 20 ML SYRINGE (BATCH)",11.0,6.49,1.34,9.9,23
CDM,99999-2225-20,HEPARIN 10000 UNITS IN NS 500 ML BAG (PYXIS),52.5,30.98,6.39,47.25,23
CDM,99999-2225-21,HEPARIN-LOCK FLUSH (PF) 10 UNITS/1 ML SYRINGE (PYXIS),4.9,2.89,0.6,4.41,23
CDM,99999-2225-22,HYDROCORTISONE (PF) 0.5 MG/1 ML IV SYRINGE (PYXIS),0.48,0.28,0.06,0.43,23
CDM,99999-2225-24,HYDROMORPHONE 10 MCG/ML IN NS 500 ML (PYXIS),20.0,11.8,2.43,18.0,23
CDM,99999-2225-25,HYDROMORPHONE 3 MCG/ML & BUP 0.05% IN NS 100 ML (PYXIS),15.5,9.15,1.89,13.95,23
CDM,99999-2225-27,HYDROMORPHONE 20 MCG/ML 5ML IN NS (PYXIS),1.5,0.89,0.18,1.35,23
CDM,99999-2225-29,INDOMETHACIN INJ 0.1 MG/ML (BATCH),1344.45,793.23,163.55,1210.01,23
CDM,99999-2225-30,INDOMETHACIN INJ 0.1 MG/ML (BATCH),2688.9,1586.45,327.09,2420.01,23
CDM,99999-2225-31,INDOMETHACIN INJ 0.1 MG/ML (BATCH),6722.25,3966.13,817.73,6050.03,23
CDM,99999-2225-32,"INSULIN, REGULAR HUMAN 1 UNITS/1 ML NS (PYXIS)",30.0,17.7,3.65,27.0,23
CDM,99999-2225-36,LEVOTHYROXINE 100 MCG IN NS INJ (BATCH),55.55,32.77,6.76,50.0,23
CDM,99999-2225-37,LEVOTHYROXINE 200 MCG IN NS INJ (BATCH),389.8,229.98,47.42,350.82,23
CDM,99999-2225-38,LEVOTHYROXINE 25 MCG IN NS INJ (BATCH),389.8,229.98,47.42,350.82,23
CDM,99999-2225-39,LEVOTHYROXINE 50 MCG IN NS INJ (BATCH),389.8,229.98,47.42,350.82,23
CDM,99999-2225-40,LEVOTHYROXINE 75 MCG IN        NS INJ (BATCH),389.8,229.98,47.42,350.82,23
CDM,99999-2225-42,LORAZEPAM 0.5MG/2.5ML IV SYRINGE (PYXIS),7.63,4.5,0.93,6.87,23
CDM,99999-2225-43,METRONIDAZOLE INJ 1 MG/1 ML (BATCH),0.05,0.03,0.01,0.05,23
CDM,99999-2225-44,METRONIDAZOLE INJ 5 MG/ML (BATCH),0.06,0.04,0.01,0.05,23
CDM,99999-2225-45,METRONIDAZOLE INJ 5 MG/ML (BATCH),0.11,0.06,0.01,0.1,23
CDM,99999-2225-46,METRONIDAZOLE INJ 5 MG/ML (BATCH),0.28,0.17,0.03,0.25,23
CDM,99999-2225-47,METRONIDAZOLE INJ 5 MG/ML (BATCH),0.55,0.32,0.07,0.5,23
CDM,99999-2225-48,METRONIDAZOLE INJ 5 MG/ML (BATCH),1.1,0.65,0.13,0.99,23
CDM,99999-2225-49,METRONIDAZOLE INJ 5 MG/ML (BATCH),2.2,1.3,0.27,1.98,23
CDM,99999-2225-50,METRONIDAZOLE INJ 5 MG/ML (BATCH),3.3,1.95,0.4,2.97,23
CDM,99999-2225-51,METRONIDAZOLE INJ 5 MG/ML (BATCH),4.4,2.6,0.54,3.96,23
CDM,99999-2225-52,MIDAZOLAM 0.1 MG/ML IV SYRINGE (PYXIS),0.77,0.45,0.09,0.69,23
CDM,99999-2225-54,MORPHINE 0.25 MG/5 ML IV SYRINGE (PYXIS),33.38,19.69,4.06,30.04,23
CDM,99999-2225-59,OMALIZUMAB INJ  150 MG/1.2 ML SYRINGE (BATCH),6974.04,4114.68,848.36,6276.64,23
CDM,99999-2225-60,OMALIZUMAB INJ 75 MG/ 0.6 ML SYRINGE (BATCH),3487.02,2057.34,424.18,3138.32,23
CDM,99999-2225-61,OXACLLIN IV SYR 50 MG/ML (BATCH),4.6,2.71,0.56,4.14,23
CDM,99999-2225-62,OXACLLIN IV SYR 50 MG/ML (BATCH),6.9,4.07,0.84,6.21,23
CDM,99999-2225-63,OXACLLIN IV SYR 50 MG/ML (BATCH),9.2,5.43,1.12,8.28,23
CDM,99999-2225-64,OXACLLIN IV SYR 50 MG/ML (BATCH),11.5,6.79,1.4,10.35,23
CDM,99999-2225-65,OXACLLIN IV SYR 50 MG/ML (BATCH),13.8,8.14,1.68,12.42,23
CDM,99999-2225-66,OXACLLIN IV SYR 50 MG/ML (BATCH),18.4,10.86,2.24,16.56,23
CDM,99999-2225-67,OXACLLIN IV SYR 50 MG/ML (BATCH),20.7,12.21,2.52,18.63,23
CDM,99999-2225-68,OXACLLIN IV SYR 50 MG/ML (BATCH),23.0,13.57,2.8,20.7,23
CDM,99999-2225-69,OXACLLIN IV SYR 50 MG/ML (BATCH),46.0,27.14,5.6,41.4,23
CDM,99999-2225-70,OXACLLIN IV SYR 50 MG/ML (BATCH),92.0,54.28,11.19,82.8,23
CDM,99999-2225-71,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),0.23,0.14,0.03,0.21,23
CDM,99999-2225-73,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),3.15,1.86,0.38,2.84,23
CDM,99999-2225-74,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),6.3,3.72,0.77,5.67,23
CDM,99999-2225-75,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),7.56,4.46,0.92,6.8,23
CDM,99999-2225-76,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),8.4,4.96,1.02,7.56,23
CDM,99999-2225-77,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),12.6,7.43,1.53,11.34,23
CDM,99999-2225-78,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),14.7,8.67,1.79,13.23,23
CDM,99999-2225-79,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),16.8,9.91,2.04,15.12,23
CDM,99999-2225-80,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),18.9,11.15,2.3,17.01,23
CDM,99999-2225-81,SODIUM ACETATE 38.5 MEQ/L & HEP 1U/ML 100ML (BATCH),10.0,5.9,1.22,9.0,23
CDM,99999-2225-82,SODIUM ACETATE 38.5 MEQ/L INJ 100 ML  (BATCH),10.5,6.2,1.28,9.45,23
CDM,99999-2225-83,SODIUM ACETATE 77 MEQ/L & HEP 1U/ ML 100ML (BATCH),10.0,5.9,1.22,9.0,23
CDM,99999-2225-84,SODIUM ACETATE 77 MEQ/L INJ 100 ML (BATCH),11.0,6.49,1.34,9.9,23
CDM,99999-2225-85,SODIUM ACETATE 154 MEQ/L & HEP 1U/ML 100 ML (BATCH),22.0,12.98,2.68,19.8,23
CDM,99999-2225-86,SODIUM ACETATE 154 MEQ/L INJ 100 ML (BATCH),173.0,102.07,21.04,155.7,23
CDM,99999-2225-87,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,0.4,0.24,0.05,0.36,23
CDM,99999-2225-88,TERBUTALINE 10 MG/10 ML UNDILUTED SYRINGE (PYXIS),74.9,44.19,9.11,67.41,23
CDM,99999-2225-93,CEFTRIAXONE 40MG/ML IV SYRINGE (PYXIS),3.47,2.05,0.42,3.12,23
CDM,99999-2225-94,CEFOTAXIME 100MG/ML IV SYRINGE (PYXIS),2.65,1.56,0.32,2.39,23
CDM,99999-2225-95,CEFTAZIDIME 100MG/ML IV SYRINGE (PYXIS),12.94,7.63,1.57,11.65,23
CDM,99999-2225-96,CEFTRIAXONE IV SYR 40MG/ML 18.75 ML (BATCH),4.32,2.55,0.53,3.89,23
CDM,99999-2225-97,GENTAMICIN PF 2 MG/ML IV SYRINGE (PYXIS),7.0,4.13,0.85,6.3,23
CDM,99999-2225-99,VANCOMYCIN 4 MG/ML IV SYRINGE (PYXIS),2.5,1.48,0.3,2.25,23
CDM,99999-2226-02,HYDROMORPHONE 10 MCG/ML-BUPIVACAINE 0.0625 % EPIDURAL NS 500 ML (PYXIS),35.0,20.65,4.26,31.5,23
CDM,99999-2226-03,HYDROMORPHONE PCA 100 MCG/ML (30 ML) YNH (PYXIS),0.15,0.09,0.02,0.14,23
CDM,99999-2226-05,METHADONE PCA 1 MG/ML (30 ML) (PYXIS),66.0,38.94,8.03,59.4,23
CDM,99999-2226-06,GENTAMICIN IVSYR 60MG/15ML,13.65,8.05,1.66,12.29,23
CDM,99999-2226-08,MEPERIDINE PCA 10MG/ML (30ML),28.65,16.9,3.49,25.79,23
CDM,99999-2226-10,MORPHINE PCA 1MG/ML (30ML) (PYXIS),30.3,17.88,3.69,27.27,23
CDM,99999-2226-11,MORPHINE PCA 5MG/ML (30ML) (PYXIS),38.25,22.57,4.65,34.43,23
CDM,99999-2226-12,1/4 NS INFUSION 100 ML (BATCH),4.5,2.66,0.55,4.05,23
CDM,99999-2226-13,1/2 NS INFUSION (NEWBORN BATCH),5.0,2.95,0.61,4.5,23
CDM,99999-2226-14,ALTEPLASE IV SYR 10MG/10ML UNDILUTED,4265.95,2516.91,518.93,3839.36,23
CDM,99999-2226-15,ALTEPLASE IV SYR 20MG/20ML UNDILUTED,8531.9,5033.82,1037.86,7678.71,23
CDM,99999-2226-16,ASCORBIC ACID 500MG IN NS 50ML BAG,2.75,1.62,0.33,2.48,23
CDM,99999-2226-17,"DKA PEDI-0.9%NACL KCL 30MEQ, KPHOS 20.4MMOL 1000ML",15.0,8.85,1.82,13.5,23
CDM,99999-2226-18,"DKA PEDI-D10W/0.9%NACL KCL 30MEQ, KPHOS 20.4MMOL 1000ML",15.0,8.85,1.82,13.5,23
CDM,99999-2226-19,DOBUTAMINE INJ 50MG IN 50ML D5W SYRINGE,20.0,11.8,2.43,18.0,23
CDM,99999-2226-21,LEVOTHYROXINE 150MCG IN NS INJ,389.8,229.98,47.42,350.82,23
CDM,99999-2226-22,NALBUPHINE  20MG/ML UNDILUTED SYRINGE,9.0,5.31,1.09,8.1,23
CDM,99999-2226-26,ALLOPURINOL 100 MG TABLET,1.46,0.86,0.18,1.31,23
CDM,99999-2226-68,METHYLDOPA (ALDOMET) 125 MG HALFTAB,0.79,0.47,0.1,0.71,23
CDM,99999-2226-93,SIMETHICONE (MYLICON) 40 MG CHEWABLE HALFTAB,0.15,0.09,0.02,0.14,23
CDM,99999-2226-96,CARBIDOPA-LEVODOPA (SINEMET) IMMEDIATE RELEASE 5 MG-50 MG HALFTAB,1.26,0.74,0.15,1.13,23
CDM,99999-2227-17,OXCARBAZEPINE (TRILEPTAL) 75 MG HALFTAB,1.96,1.16,0.24,1.76,23
CDM,99999-2227-28,IOHEXOL 350 MG IODINE/ML ORAL,20.75,12.24,2.52,18.68,23
CDM,99999-2227-29,KIT FOR YTTRIUM-90-IBRITUMOMAB 3.2 MG/2 ML INTRAVENOUS,114000.0,67260.0,13867.5,102600.0,23
CDM,99999-2227-32,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION,7350.0,4336.5,894.09,6615.0,23
CDM,99999-2227-33,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,132.18,77.99,16.08,118.96,23
CDM,99999-2227-35,CLINDAMYCIN ORAL RINSE 300 MG/500 ML NS,50.0,29.5,6.08,45.0,23
CDM,99999-2227-47,OSELTAMIVIR SUSPENSION 15 MG/ML,20.1,11.86,2.45,18.09,23
CDM,99999-2227-48,OSELTAMIVIR SUSPENSION 15 MG/ML,40.2,23.72,4.89,36.18,23
CDM,99999-2227-49,OSELTAMIVIR SUSPENSION 15 MG/ML,10.05,5.93,1.22,9.05,23
CDM,99999-2227-60,METOLAZONE 1 MG/ML ORAL SUSPENSION,1.38,0.81,0.17,1.24,23
CDM,99999-2227-61,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,44.75,26.4,5.44,40.28,23
CDM,99999-2227-72,HEPARIN 250 UNITS IN 500 ML NS INFUSION (PYXIS),25.0,14.75,3.04,22.5,23
CDM,99999-2227-75,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,7.93,4.68,0.96,7.14,23
CDM,99999-2227-78,PENICILLIN V POTASSIUM 250 MG TABLET,0.41,0.24,0.05,0.37,23
CDM,99999-2227-81,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,0.79,0.47,0.1,0.71,23
CDM,99999-2228-04,SODIUM BICARBONATE 325 MG TABLET,0.16,0.09,0.02,0.14,23
CDM,99999-2228-08,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,0.05,0.03,0.01,0.05,23
CDM,99999-2228-11,VASOPRESSIN 20 UNITS IN 40 ML SODIUM CHLORIDE 0.9%,422.0,248.98,51.33,379.8,23
CDM,99999-2525-01,ESCITALOPRAM (LEXAPRO) 2.5 MG HALFTAB,7.91,4.67,0.96,7.12,23
CDM,99999-2801-01,SERTRALINE 20 MG/ML ORAL CONCENTRATE,15.03,8.87,1.83,13.53,23
CDM,99999-2828-08,CETIRIZINE 1 MG/ML ORAL SOLUTION,0.9,0.53,0.11,0.81,23
CDM,99999-2828-08,CETIRIZINE 1MG/ML ORAL SOLUTION (WRAPPED E-RX),0.9,0.53,0.11,0.81,23
CDM,99999-3000-01,DILTIAZEM 12 MG/ML ORAL SUSPENSION,0.32,0.19,0.04,0.29,23
CDM,99999-3000-02,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,45.9,27.08,5.58,41.31,23
CDM,99999-3000-03,LAMIVUDINE 10 MG/ML ORAL SOLUTION,11.0,6.49,1.34,9.9,23
CDM,99999-3000-04,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,146.69,86.55,17.84,132.02,23
CDM,99999-3000-05,VANCOMYCIN 250 MG/5 ML ORAL SOLUTION NEW,2.53,1.49,0.31,2.28,23
CDM,99999-3000-09,SOTALOL (BETAPACE) 60 MG HALFTAB,1.74,1.03,0.21,1.57,23
CDM,99999-3000-17,CARDIOPLEGIA SOLUTION - DEWAR,117.5,69.33,14.29,105.75,23
CDM,99999-3000-18,CARDIOPLEGIA SOLUTION - NATHAN,117.5,69.33,14.29,105.75,23
CDM,99999-3000-19,CARDIOPLEGIA SOLUTION - SALZANO,117.5,69.33,14.29,105.75,23
CDM,99999-3000-20,CARDIOPLEGIA SOLUTION - SHAW,117.5,69.33,14.29,105.75,23
CDM,99999-3000-21,CARDIOPLEGIA SOLUTION - KHACHANE,117.5,69.33,14.29,105.75,23
CDM,99999-3000-22,FLECAINIDE (TAMBOCOR) 75 MG HALFTAB,5.98,3.53,0.73,5.38,23
CDM,99999-3000-32,FLUVOXAMINE 25 MG TABLET,1.0,0.59,0.12,0.9,23
CDM,99999-3000-50,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,1.65,0.97,0.2,1.49,23
CDM,99999-3000-51,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,0.6,0.35,0.07,0.54,23
CDM,99999-3000-52,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,1.2,0.71,0.15,1.08,23
CDM,99999-3000-53,BISMUTH SUBGALLATE (BULK) POWDER,1.25,0.74,0.15,1.13,23
CDM,99999-3000-56,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN DEXTROSE 5 % IV,31.25,18.44,3.8,28.13,23
CDM,99999-3000-57,ROPIVACAINE PF 0.1 % EPIDURAL SRC (PYXIS),170.0,100.3,20.68,153.0,23
CDM,99999-3000-62,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,52.5,30.98,6.39,47.25,23
CDM,99999-3000-70,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,0.75,0.44,0.09,0.68,23
CDM,99999-3000-71,LEVOTHYROXINE 112 MCG TABLET,1.74,1.03,0.21,1.57,23
CDM,99999-3000-72,ISONIAZID 50 MG/5 ML ORAL SOLUTION,1.98,1.17,0.24,1.78,23
CDM,99999-3000-73,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,2.35,1.39,0.29,2.12,23
CDM,99999-3000-77,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,97.5,57.53,11.86,87.75,23
CDM,99999-3000-80,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",30.0,17.7,3.65,27.0,23
CDM,99999-3001-01,ALPRAZOLAM 0.25 MG TABLET,0.2,0.12,0.02,0.18,23
CDM,99999-3223-33,VANCOMYCIN ORAL SOLN 125 MG/12.5ML,6.25,3.69,0.76,5.63,23
CDM,99999-4000-10,LORAZEPAM (ATIVAN) 0.25 MG HALFTAB,0.13,0.08,0.02,0.12,23
CDM,99999-4000-11,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",0.35,0.21,0.04,0.32,23
CDM,99999-4001-02,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,380.29,224.37,46.26,342.26,23
CDM,99999-4002-15,FLUCONAZOLE IN SODIUM CHLORIDE (ISO-OSM) 100MG/50ML IVPB,50.0,29.5,6.08,45.0,23
CDM,99999-4003-66,LACTULOSE ENEMA 200 GM,33.5,19.77,4.08,30.15,23
CDM,99999-4004-71,METOPROLOL TARTRATE 10 MG/ML ORAL SUSPENSION,1.5,0.89,0.18,1.35,23
CDM,99999-4081-41,HEPARIN 3000 UNITS IN 3000 ML NORMAL SALINE IRRIGATION,30.0,17.7,3.65,27.0,23
CDM,99999-4081-42,"HEPARIN 10,000 UNITS IN LACTATED RINGERS 1000 ML IRRIGATION SOLUTION",15.0,8.85,1.82,13.5,23
CDM,99999-4081-45,IOHEXOL (OMNIPAQUE) 350 MG/ML ORAL SOLUTION 25 ML IN WATER 900 ML,373.5,220.37,45.43,336.15,23
CDM,99999-444-153,ACETIC ACID (BULK) 5 % LIQUID,1.95,1.15,0.24,1.76,23
CDM,99999-444-154,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,8.82,5.2,1.07,7.94,23
CDM,99999-444-161,MAGIC MOUTHWASH (PYXIS),1.05,0.62,0.13,0.95,23
CDM,99999-4440-03,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.5 ML)",177.4,104.67,21.58,159.66,23
CDM,99999-4440-05,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.1 ML)",35.48,20.93,4.32,31.93,23
CDM,99999-4440-06,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.11 ML)",39.03,23.03,4.75,35.13,23
CDM,99999-4440-07,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.12 ML)",42.58,25.12,5.18,38.32,23
CDM,99999-4440-08,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.13 ML)",46.13,27.22,5.61,41.52,23
CDM,99999-4440-09,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.14 ML)",49.67,29.31,6.04,44.7,23
CDM,99999-4440-10,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.15 ML)",53.22,31.4,6.47,47.9,23
CDM,99999-4440-11,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.16 ML)",56.77,33.49,6.91,51.09,23
CDM,99999-4440-16,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.25 ML)",88.7,52.33,10.79,79.83,23
CDM,99999-4440-17,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.3 ML)",106.44,62.8,12.95,95.8,23
CDM,99999-4440-19,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.4 ML)",141.92,83.73,17.26,127.73,23
CDM,99999-4440-20,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.45 ML)",159.66,94.2,19.42,143.69,23
CDM,99999-4440-22,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.6 ML)",212.88,125.6,25.9,191.59,23
CDM,99999-4440-33,HIRUDO MEDICINALIS (LEECHES),90.75,53.54,11.04,81.68,23
CDM,99999-4440-39,OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLUTION,20.0,11.8,2.43,18.0,23
CDM,99999-4440-58,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,4.36,2.57,0.53,3.92,23
CDM,99999-4441-19,CARBOPLATIN ID SKIN TEST,0.14,0.08,0.02,0.13,23
CDM,99999-4441-21,CALCIUM GLUCONATE 4G IN NACL 0.9 % 250 ML (APHERESIS BATCH),20.0,11.8,2.43,18.0,23
CDM,99999-4441-22,MAGNESIUM SULFATE 2G IN NS 100ML (PYXIS),11.0,6.49,1.34,9.9,23
CDM,99999-4441-56,LACOSAMIDE 100 MG/50 ML 0.9%NS IVPB (PYXIS),367.0,216.53,44.64,330.3,23
CDM,99999-4441-57,LACOSAMIDE 150 MG/50 ML 0.9%NS IVPB (PYXIS),83.25,49.12,10.13,74.93,23
CDM,99999-4441-58,LACOSAMIDE 200 MG/50 ML 0.9%NS IVPB (PYXIS),105.0,61.95,12.77,94.5,23
CDM,99999-4441-60,LACOSAMIDE 300 MG/50 ML 0.9%NS IVPB (PYXIS),157.5,92.93,19.16,141.75,23
CDM,99999-4441-62,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,3.23,1.91,0.39,2.91,23
CDM,99999-4500-11,METHYLPREDNISOLONE (MEDROL) 2 MG HALFTAB,0.74,0.44,0.09,0.67,23
CDM,99999-4500-12,MISOPROSTOL 200 MCG TABLET,3.79,2.24,0.46,3.41,23
CDM,99999-4500-13,NEOMYCIN 250 MG HALFTAB,3.13,1.85,0.38,2.82,23
CDM,99999-4500-22,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOL - CUSTOM FOR IV MIXTURES,185.0,109.15,22.5,166.5,23
CDM,99999-4500-23,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOL - CUSTOM FOR IV MIXTURES,84.9,50.09,10.33,76.41,23
CDM,99999-4500-24,ROPIVACAINE (PF) 10 MG/ML (1 %) INJ SOL - CUSTOM FOR IV MIXTURES,74.5,43.96,9.06,67.05,23
CDM,99999-4500-25,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJ SOL - CUSTOM FOR IV MIXTURES,67.5,39.83,8.21,60.75,23
CDM,99999-4500-26,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOL - CUSTOM FOR IV MIXTURES,5.1,3.01,0.62,4.59,23
CDM,99999-4500-27,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOL - CUSTOM FOR IV MIXTURES,5.7,3.36,0.69,5.13,23
CDM,99999-4500-28,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOL - CUSTOM FOR IV MIXTURES,10.5,6.2,1.28,9.45,23
CDM,99999-4500-29,ROPIVACAINE PF 0.1 % PERINEURAL 400 ML (PYXIS) - YSC & SRC,250.0,147.5,30.41,225.0,23
CDM,99999-4500-30,ROPIVACAINE PF 0.2 % PERINEURAL 400 ML (PYXIS) - YSC & SRC,480.0,283.2,58.39,432.0,23
CDM,99999-4512-89,HYDROMORPHONE 10 MCG/ML & BUP 0.031% IN NS 250 ML (PYXIS),10.0,5.9,1.22,9.0,23
CDM,99999-4700-00,MIRTAZAPINE (REMERON) 3.75 MG HALFTAB,6.06,3.58,0.74,5.45,23
CDM,99999-4700-02,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,4.19,2.47,0.51,3.77,23
CDM,99999-5000-02,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,7.98,4.71,0.97,7.18,23
CDM,99999-5000-03,GENTAMICIN 40 MG/ML INJECTION SOLUTION,3.54,2.09,0.43,3.19,23
CDM,99999-5000-04,GENTAMICIN IM DOSES 80MG-100MG (PEDIATRIC),3.54,2.09,0.43,3.19,23
CDM,99999-5000-05,GENTAMICIN 40 MG/ML INJECTION SOLUTION,3.54,2.09,0.43,3.19,23
CDM,99999-5000-06,GENTAMICIN IM DOSES 80MG-100MG (PEDIATRIC),3.54,2.09,0.43,3.19,23
CDM,99999-5000-10,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",33.75,19.91,4.11,30.38,23
CDM,99999-5000-11,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",33.75,19.91,4.11,30.38,23
CDM,99999-5000-12,ACETAZOLAMIDE 25 MG/ML IV SYRINGE (NEWBORN),71.2,42.01,8.66,64.08,23
CDM,99999-5000-19,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,1075.0,634.25,130.77,967.5,23
CDM,99999-5000-22,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",721.25,425.54,87.74,649.13,23
CDM,99999-5000-23,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,11.2,6.61,1.36,10.08,23
CDM,99999-5000-24,FENTANYL INFUSION 50 MCG/ML 20ML SYRINGE (NEWBORN),22.4,13.22,2.72,20.16,23
CDM,99999-5000-25,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,33.6,19.82,4.09,30.24,23
CDM,99999-5000-26,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,67.2,39.65,8.17,60.48,23
CDM,99999-5000-27,FENTANYL INFUSION 50 MCG/ML 20ML SYRINGE (NEWBORN),33.6,19.82,4.09,30.24,23
CDM,99999-5000-28,FENTANYL INFUSION 50 MCG/ML 50ML UNDILUTED (PEDIATRIC) FLUID RESTRICTED,56.0,33.04,6.81,50.4,23
CDM,99999-5000-33,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION,29.25,17.26,3.56,26.33,23
CDM,99999-5000-36,METOLAZONE 1 MG/ML ORAL SUSPENSION,0.28,0.17,0.03,0.25,23
CDM,99999-5000-38,CEFAZOLIN 1GM IN SW 10ML SYRINGE PREMIX (OUTSOURCED-PEDIATRIC),7.55,4.45,0.92,6.8,23
CDM,99999-5000-39,CEFAZOLIN 2GM IN SW 20ML SYRINGE PREMIX (OUTSOURCED-PEDIATRIC),26.1,15.4,3.17,23.49,23
CDM,99999-5000-58,CIPROFLOXACIN IN D5W (2 MG/ML) IV SYRINGE (PEDIATRIC),6.05,3.57,0.74,5.45,23
CDM,99999-5000-59,CIPROFLOXACIN IN D5W (2 MG/ML) IVPB (PEDIATRIC),10.55,6.22,1.28,9.5,23
CDM,99999-5000-61,DEXAMETHASONE 10MG IN NS 50ML IVPB PREMIX (OUTSOURCED-PEDIATRIC),7.75,4.57,0.94,6.98,23
CDM,99999-5000-62,DEXAMETHASONE 12MG IN NS 50ML IVPB PREMIX (OUTSOURCED-PEDIATRIC),235.0,138.65,28.59,211.5,23
CDM,99999-5000-63,DEXAMETHASONE 20MG IN NS 50ML IVPB PMX,10.25,6.05,1.25,9.23,23
CDM,99999-5000-64,DOPAMINE 800 MCG/ML IV SYRINGE INFUSION 30ML (NEWBORN),3.35,1.98,0.41,3.02,23
CDM,99999-5000-65,"DOPAMINE 16,000 MCG IN D5W 20ML (800 MCG/ML) IV SYRINGE INFUSION (NEWBORN)",6.7,3.95,0.82,6.03,23
CDM,99999-5000-66,DOPAMINE 800 MCG/ML IV SYRINGE INFUSION 30ML (NEWBORN),10.05,5.93,1.22,9.05,23
CDM,99999-5000-67,DOPAMINE 800 MCG/ML IV SYRINGE INFUSION 30ML (NEWBORN),16.75,9.88,2.04,15.08,23
CDM,99999-5000-68,DOPAMINE 1600 MCG/ML IV SYRINGE INFUSION 3ML (NEWBORN),6.7,3.95,0.82,6.03,23
CDM,99999-5000-69,DOPAMINE 1600 MCG/ML IV SYRINGE INFUSION 20ML (NEWBORN),13.4,7.91,1.63,12.06,23
CDM,99999-5000-70,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",20.1,11.86,2.45,18.09,23
CDM,99999-5000-71,DOPAMINE 1600 MCG/ML IV SYRINGE INFUSION 20ML (NEWBORN),33.5,19.77,4.08,30.15,23
CDM,99999-5000-72,DOPAMINE 3200 MCG/ML IV SYRINGE INFUSION 30ML (NEWBORN),13.05,7.7,1.59,11.75,23
CDM,99999-5000-73,DOPAMINE 3200 MCG/ML IV SYRINGE INFUSION 20ML (NEWBORN),26.1,15.4,3.17,23.49,23
CDM,99999-5000-74,DOPAMINE 3200 MCG/ML IV SYRINGE INFUSION 30ML (NEWBORN),39.15,23.1,4.76,35.24,23
CDM,99999-5000-75,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",65.25,38.5,7.94,58.73,23
CDM,99999-5000-76,DOPAMINE 1600 MCG/ML IV SYRINGE INFUSION 20ML (NEWBORN),33.5,19.77,4.08,30.15,23
CDM,99999-5000-77,ENOXAPARIN 100 MG/ML SUB-Q SYRINGE DOSES >/= 5-59.9MG (PEDIATRIC),383.8,226.44,46.69,345.42,23
CDM,99999-5000-78,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,10.75,6.34,1.31,9.68,23
CDM,99999-5000-80,FOLIC ACID 1 MG/0.2 ML SYRINGE,1.83,1.08,0.22,1.65,23
CDM,99999-5000-81,FLUCONAZOLE 2 MG/ML IV SYRINGE DOSES </= 100MG (PEDIATRIC),30.0,17.7,3.65,27.0,23
CDM,99999-5000-82,FLUCONAZOLE 2 MG/ML IVPB DOSES > 120MG (PEDIATRIC),13.0,7.67,1.58,11.7,23
CDM,99999-5000-83,FLUCONAZOLE IN SODIUM CHLORIDE (ISO-OSM) 100 MG/50ML IV SYRINGE (PEDIATRIC),6.5,3.84,0.79,5.85,23
CDM,99999-5000-84,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,23.5,13.87,2.86,21.15,23
CDM,99999-5000-85,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,19.0,11.21,2.31,17.1,23
CDM,99999-5000-90,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,6.25,3.69,0.76,5.63,23
CDM,99999-5000-94,IRON DEXTRAN IM VIAL (PEDIATRIC),110.71,65.32,13.47,99.64,23
CDM,99999-5000-96,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,27.5,16.23,3.35,24.75,23
CDM,99999-5000-97,METRONIDAZOLE IN NACL (ISO-OSM) 250 MG/50 ML IV SYRINGE (PEDIATRIC),2.75,1.62,0.33,2.48,23
CDM,99999-5000-98,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,5.5,3.25,0.67,4.95,23
CDM,99999-5000-99,METRONIDAZOLE IN NACL (ISO-OSM) 750 MG/150 ML IVPB (PEDIATRIC),8.25,4.87,1.0,7.43,23
CDM,99999-5001-00,METRONIDAZOLE 5 MG/ML IV SYRINGE DOSES </= 250MG (PEDIATRIC),5.5,3.25,0.67,4.95,23
CDM,99999-5001-01,METRONIDAZOLE 5 MG/ML IVPB DOSES > 250MG (PEDIATRIC),5.5,3.25,0.67,4.95,23
CDM,99999-5001-02,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,101.0,59.59,12.29,90.9,23
CDM,99999-5001-05,POTASSIUM CHLORIDE 0.2 MEQ/ML CENTRAL IV SYRINGE (NEWBORN/PEDIATRIC),0.04,0.02,0.01,0.04,23
CDM,99999-5001-06,POTASSIUM CHLORIDE 0.1 MEQ/ML PERIPHERAL IV SYRINGE (NEWBORN/PEDIATRIC),0.55,0.32,0.07,0.5,23
CDM,99999-5001-07,ZIDOVUDINE 10 MG/ML ORAL SYRUP,21.6,12.74,2.63,19.44,23
CDM,99999-5001-08,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,35.5,20.95,4.32,31.95,23
CDM,99999-5001-09,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,151.95,89.65,18.48,136.76,23
CDM,99999-5001-15,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,1.85,1.09,0.23,1.67,23
CDM,99999-5001-16,TOBRAMYCIN IM DOSES > 0 MG - 80 MG (NEWBORN/PEDIATRIC),1.85,1.09,0.23,1.67,23
CDM,99999-5001-17,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,1.85,1.09,0.23,1.67,23
CDM,99999-5001-18,TOBRAMYCIN IM DOSES > 0 MG - 80 MG (NEWBORN/PEDIATRIC),1.85,1.09,0.23,1.67,23
CDM,99999-5001-19,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,1.85,1.09,0.23,1.67,23
CDM,99999-5001-20,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,7.4,4.37,0.9,6.66,23
CDM,99999-5001-22,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,7.3,4.31,0.89,6.57,23
CDM,99999-5001-23,MILRINONE 200 MCG/ML IV SYRINGE INFUSION 20ML (NEWBORN),14.6,8.61,1.78,13.14,23
CDM,99999-5001-24,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,21.9,12.92,2.66,19.71,23
CDM,99999-5001-27,MILRINONE 200 MCG/ML IV SYRINGE INFUSION 20ML (NEWBORN),36.5,21.54,4.44,32.85,23
CDM,99999-5001-28,VANCOMYCIN IN DEXTROSE 5% 500 MG/100 ML IVPB (PEDIATRIC),14.0,8.26,1.7,12.6,23
CDM,99999-5001-35,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,1.0,0.59,0.12,0.9,23
CDM,99999-5001-64,IRON DEXTRAN IM VIAL (PEDIATRIC),112.3,66.26,13.66,101.07,23
CDM,99999-5001-65,INDOMETHACIN INJ 0.1 MG/ML (BATCH),4033.35,2379.68,490.64,3630.02,23
CDM,99999-5001-66,LET TOPICAL GEL,108.75,64.16,13.23,97.88,23
CDM,99999-5001-67,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,27.0,15.93,3.28,24.3,23
CDM,99999-5001-68,INSULIN LISPRO 100 UNIT/ML (CORRECTION SCALE),0.02,0.01,0.01,0.02,23
CDM,99999-5001-72,CORTICOTROPIN 80 UNIT/ML INJECTION GEL,41459.0,24460.81,5043.27,37313.1,23
CDM,99999-5001-78,BICARBONATE DIALYSIS SOLN WITHOUT CALCIUM NO15 POT 4 MEQ-MAG 1.2 MEQ/L,375.0,221.25,45.62,337.5,23
CDM,99999-5001-79,PRISMASATE B22GK 4/0 (PENDING FDB LOAD),125.0,73.75,15.21,112.5,23
CDM,99999-5001-91,METHOTREXATE 4MG/ML OPHTHALMIC SOLN,24.5,14.46,2.98,22.05,23
CDM,99999-5001-95,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,5.65,3.33,0.69,5.09,23
CDM,99999-5002-11,HIC 1004006695 BORTEZOMIB,0.01,0.01,0.01,0.01,23
CDM,99999-5002-43,HIC 1108008990 ERLOTINIB 150MG,0.01,0.01,0.01,0.01,23
CDM,99999-5002-45,HIC 1108008990 SORAFENIB,0.01,0.01,0.01,0.01,23
CDM,99999-5002-51,HIC 1201009566 LETROZOLE/PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-5002-64,HIC 1205010257 METFORMIN/PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-5002-72,HIC R-TPA 1 MG/ML,0.01,0.01,0.01,0.01,23
CDM,99999-5004-01,DILTIAZEM 125MG IN NS 125ML INFUSION PMX,29.38,17.33,3.57,26.44,23
CDM,99999-5004-02,VANCOMYCIN 2 GM IN 500ML NS IVPB PREMIX,40.0,23.6,4.87,36.0,23
CDM,99999-5004-07,FLUCONAZOLE IN SODIUM CHLORIDE (ISO-OSM) 50MG/25ML IVPB,3.25,1.92,0.4,2.93,23
CDM,99999-5004-10,MORPHINE 100 MG IN 100 ML NS INFUSION (PYXIS),11.0,6.49,1.34,9.9,23
CDM,99999-5005-12,HYDROMORPHONE 100 MCG IN 5 ML SODIUM CHLORIDE 0.9%,6.5,3.84,0.79,5.85,23
CDM,99999-5006-06,"BSS+ 500ML + EPINEPHRINE 1:1000, 0.5ML",25.0,14.75,3.04,22.5,23
CDM,99999-5006-07,ISOPROPYL ALCOHOL 70% (PURPLE),4.8,2.83,0.58,4.32,23
CDM,99999-5006-15,SAMARIUM SM 153 LEXIDRONAM INJECTION,46990.59,27724.45,5716.16,42291.53,23
CDM,99999-5006-16,CAPTOPRIL 50 MG TABLET (RADIOLOGY),6.21,3.66,0.76,5.59,23
CDM,99999-5050-07,METHADONE 2.5 MG HALFTAB,0.85,0.5,0.1,0.77,23
CDM,99999-5050-10,MODAFINIL (PROVIGIL) 50 MG HALFTAB,54.15,31.95,6.59,48.74,23
CDM,99999-5050-11,OXYCODONE IMMEDIATE RELEASE 5 MG TABLET,0.38,0.22,0.05,0.34,23
CDM,99999-5050-15,ZOLPIDEM 5 MG TABLET,0.06,0.04,0.01,0.05,23
CDM,99999-5555-06,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,9.5,5.61,1.16,8.55,23
CDM,99999-611-91,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,81.45,48.06,9.91,73.31,23
CDM,99999-611-92,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,0.28,0.17,0.03,0.25,23
CDM,99999-7777-23,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,29.32,17.3,3.57,26.39,23
CDM,99999-7811-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,8.25,4.87,1.0,7.43,23
CDM,99999-7811-25,METRONIDAZOLE IN NACL (ISO-OSM) 750 MG/150 ML IVPB (PEDIATRIC),2.75,1.62,0.33,2.48,23
CDM,99999-8105-46,"CARDIOPLEGIC SOLUTION NO.16 26 MEQ/1,052.8 ML(POTASSIUM) FOR PERFUSION",247.41,145.97,30.1,222.67,23
CDM,99999-8105-47,BOSENTAN 62.5 MG TABLET,411.0,242.49,50.0,369.9,23
CDM,99999-8105-48,BOSENTAN 15.625 MG QUARTERTAB,205.5,121.25,25.0,184.95,23
CDM,99999-8456-01,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,1.38,0.81,0.17,1.24,23
CDM,99999-8456-02,ATORVASTATIN 80 MG TABLET,1.05,0.62,0.13,0.95,23
CDM,99999-8456-03,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",2.93,1.73,0.36,2.64,23
CDM,99999-8456-06,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",1.87,1.1,0.23,1.68,23
CDM,99999-8456-12,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,7.38,4.35,0.9,6.64,23
CDM,99999-8456-13,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,7.35,4.34,0.89,6.62,23
CDM,99999-8456-14,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",146.65,86.52,17.84,131.99,23
CDM,99999-8456-15,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,5.2,3.07,0.63,4.68,23
CDM,99999-8456-18,QUETIAPINE IMMEDIATE RELEASE 25 MG TABLET,1.43,0.84,0.17,1.29,23
CDM,99999-8780-01,CALCIUM GLUCONATE 2.5 % TOPICAL GEL,672.05,396.51,81.75,604.85,23
CDM,99999-8881-12,FENTANYL(SUBLIMAZE) 2500 MCG/50 ML (PYXIS),19.25,11.36,2.34,17.33,23
CDM,99999-8881-20,NORMBOCARB 35 (PENDING FDB LOAD),125.0,73.75,15.21,112.5,23
CDM,99999-8888-75,LEVOTHYROXINE 88 MCG TABLET,6.32,3.73,0.77,5.69,23
CDM,99999-8889-25,PRAVASTATIN 10 MG TABLET,0.13,0.08,0.02,0.12,23
CDM,99999-8889-78,METHADONE 25MG/2.5ML INJECTION,224.84,132.66,27.35,202.36,23
CDM,99999-8889-85,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,15.68,9.25,1.91,14.11,23
CDM,99999-8889-86,METHADONE 100 MG/50 ML (2 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-87,METHADONE 15 MG/50 ML (0.3 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-88,METHADONE 20 MG/50 ML (0.4 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-89,METHADONE 25 MG/50 ML (0.5 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-90,METHADONE 30 MG/50 ML (0.6 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-91,METHADONE 35 MG/50 ML (0.7 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-92,METHADONE 40 MG/50 ML (0.8 MG/ML) 0.9%NS IVPB (PYXIS),211.0,124.49,25.67,189.9,23
CDM,99999-8889-93,METHADONE 45 MG/50 ML (0.9 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-94,METHADONE 50 MG/50 ML (1 MG/ML) 0.9%NS IVPB (PYXIS),211.0,124.49,25.67,189.9,23
CDM,99999-8889-95,METHADONE 55 MG/50 ML (1.1 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-96,METHADONE 60 MG/50 ML (1.2 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-97,METHADONE 65 MG/50 ML (1.3 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-98,METHADONE 70 MG/50ML (1.4 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8889-99,METHADONE 75 MG/50ML (1.5 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8890-00,METHADONE 80 MG/50ML (1.6 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8890-01,METHADONE 85 MG/50ML (1.7 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8890-02,METHADONE 90 MG/50ML (1.8 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8890-03,METHADONE 95 MG/50ML (1.9 MG/ML) 0.9%NS IVPB (PYXIS),1782.0,1051.38,216.77,1603.8,23
CDM,99999-8890-04,CLOBAZAM 10 MG TABLET,111.83,65.98,13.6,100.65,23
CDM,99999-8890-05,ISOSORBIDE MONONITRATE ER (IMDUR) 15 MG HALFTAB,1.86,1.1,0.23,1.67,23
CDM,99999-8890-06,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",6483.0,3824.97,788.62,5834.7,23
CDM,99999-8890-07,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",12966.0,7649.94,1577.25,11669.4,23
CDM,99999-8890-08,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3241.5,1912.49,394.31,2917.35,23
CDM,99999-9062-01,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,121.95,71.95,14.83,109.76,23
CDM,99999-9922-00,CIPROFLOXACIN 200 MG/100 ML IN D5W IVPB (YNH/SRC),4.5,2.66,0.55,4.05,23
CDM,99999-9922-01,CIPROFLOXACIN IN D5W 200 MG/100 ML (2 MG/ML) IVPB (PEDIATRIC),4.5,2.66,0.55,4.05,23
CDM,99999-9922-02,IOHEXOL 300 MG IODINE/ML ORAL,19.75,11.65,2.4,17.78,23
CDM,99999-9922-03,IOHEXOL 300 MG IODINE/ML ORAL,38.5,22.72,4.68,34.65,23
CDM,99999-9922-04,IOHEXOL 300 MG IODINE/ML ORAL,56.25,33.19,6.84,50.63,23
CDM,99999-9922-05,IOHEXOL 300 MG IODINE/ML ORAL,195.0,115.05,23.72,175.5,23
CDM,99999-9922-06,ADENOSINE 90 MG IN NS 90ML INFUSION (PYXIS),236.25,139.39,28.74,212.63,23
CDM,99999-9922-27,METHIMAZOLE 1MG/ML ORAL SUSPENSION,0.04,0.02,0.01,0.04,23
CDM,99999-9922-28,METHIMAZOLE 1MG/ML ORAL SUSPENSION,0.09,0.05,0.01,0.08,23
CDM,99999-9922-29,METHIMAZOLE 1MG/ML ORAL SUSPENSION,0.45,0.27,0.05,0.41,23
CDM,99999-9922-30,TECHNETIUM TC-99M BICISATE INJECTION,3933.54,2320.79,478.49,3540.19,23
CDM,99999-9922-31,PRAVASTATIN 10 MG/ML ORAL SUSPENSION,0.31,0.18,0.04,0.28,23
CDM,99999-9922-32,DIPYRIDAMOLE 10 MG/ML ORAL SUSPENSION,0.38,0.22,0.05,0.34,23
CDM,99999-9922-33,DIPYRIDAMOLE 10 MG/ML ORAL SUSPENSION,1.88,1.11,0.23,1.69,23
CDM,99999-9922-34,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,19.55,11.53,2.38,17.6,23
CDM,99999-9922-35,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,39.1,23.07,4.76,35.19,23
CDM,99999-9922-36,F18 SODIUM FLUORIDE INJECTION,675.75,398.69,82.2,608.18,23
CDM,99999-9922-37,ACETIC ACID 4 % IRRIGATION SOLN,5.0,2.95,0.61,4.5,23
CDM,99999-9922-40,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,2.93,1.73,0.36,2.64,23
CDM,99999-9922-44,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,0.45,0.27,0.05,0.41,23
CDM,99999-9922-45,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,33.38,19.69,4.06,30.04,23
CDM,99999-9922-46,ACETIC ACID (BULK) 5 % LIQUID,81.2,47.91,9.88,73.08,23
CDM,99999-9922-48,ISOPROTERENOL INJ 250 MCG/1.25 ML NS SYRINGE (BATCH),127.49,75.22,15.51,114.74,23
CDM,99999-9922-49,CADD CASSETTE 250 ML,59.45,35.08,7.23,53.51,23
CDM,99999-9922-51,ASPIRIN 0.1 MG/ML SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-9922-52,ASPIRIN 0.1 MG/ML SOLUTION,0.02,0.01,0.01,0.02,23
CDM,99999-9922-53,ASPIRIN 1 MG/ML SOLUTION,0.01,0.01,0.01,0.01,23
CDM,99999-9922-54,ASPIRIN 1 MG/ML SOLUTION,0.02,0.01,0.01,0.02,23
CDM,99999-9922-55,ASPIRIN 1 MG/ML SOLUTION,0.05,0.03,0.01,0.05,23
CDM,99999-9922-56,ASPIRIN 1 MG/ML SOLUTION,0.1,0.06,0.01,0.09,23
CDM,99999-9922-57,ASPIRIN 1 MG/ML SOLUTION,0.2,0.12,0.02,0.18,23
CDM,99999-9922-58,"HEPARIN (PORCINE) IN NS 10,000 UNITS/500 ML",17.5,10.33,2.13,15.75,23
CDM,99999-9922-59,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,0.67,0.4,0.08,0.6,23
CDM,99999-9922-60,TACROLIMUS 1 MG/ML COMPOUNDED ORAL SUSPENSION,12.2,7.2,1.48,10.98,23
CDM,99999-9922-61,TACROLIMUS 1 MG/ML COMPOUNDED ORAL SUSPENSION,48.8,28.79,5.94,43.92,23
CDM,99999-9922-62,INV CLINICAL TRIAL SWOG 1202 DULOXETINE OR PLACEBO,0.01,0.01,0.01,0.01,23
CDM,99999-9922-64,IV SOLUTION STABILIZER FOR BLINATUMOMAB,0.01,0.01,0.01,0.01,23
CDM,99999-9922-65,IV SOLUTION STABILIZER FOR BLINATUMOMAB,0.01,0.01,0.01,0.01,23
CDM,99999-9922-72,HIC 1503015437 (BIBW-2992) AFATINIB 20 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-9922-73,HIC 1503015437 (BIBW-2992) AFATINIB 30 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-9922-74,HIC 1503015437 (BIBW-2992) AFATINIB 40 MG TABLET,0.01,0.01,0.01,0.01,23
CDM,99999-9922-77,CARBOPLATIN 50MG IV NON-ROUNDED,19.35,11.42,2.35,17.42,23
CDM,99999-9922-79,HYDROMORPHONE 10 MCG/ML & BUP 0.031% IN NS 250 ML EPIDURAL(BH-PYXIS),86.25,50.89,10.49,77.63,23
CDM,99999-9922-80,HYDROMORPHONE 10 MCG/ML & BUP 0.0625% IN NS 250 ML EPIDURAL,88.75,52.36,10.8,79.88,23
CDM,99999-9922-81,HIC 1412015123 (CC-90003) 5 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9922-82,HIC 1412015123 (CC-90003) 30 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9922-83,HIC 1412015123 (CC-90003) 150 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9923-16,METHADONE 1 MG/1 ML 0.9 % NS (1 ML) SYRINGE (PYXIS),46.63,27.51,5.67,41.97,23
CDM,99999-9923-17,METHADONE 1 MG/1 ML 0.9 % NS (5 ML) SYRINGE (PYXIS),233.13,137.55,28.36,209.82,23
CDM,99999-9923-33,TECHNETIUM TC-99M TILMANOCEPT (LYMPHOSEEK) INJECTION,1790.31,1056.28,217.78,1611.28,23
CDM,99999-9923-35,NITROGLYCERIN 2 MG/5 ML IN 5 % DEXTROSE INJECTION (PYXIS),1.1,0.65,0.13,0.99,23
CDM,99999-9923-37,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,5.53,3.26,0.67,4.98,23
CDM,99999-9923-38,HIC 1502015389 EMACTUZUMAB (RO5509554) MED,0.01,0.01,0.01,0.01,23
CDM,99999-9923-39,HIC 1502015389 ATEZOLIZUMAB (MPDL3280A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-9923-49,MORPHINE PCA 5 MG/ML (100 ML) (PYXIS) BH,58.5,34.52,7.12,52.65,23
CDM,99999-9923-50,HYDROMORPHONE (DILAUDID) PCA 2 MG/ML 100 ML (PYXIS)BH,164.0,96.76,19.95,147.6,23
CDM,99999-9923-53,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,93.75,55.31,11.4,84.38,23
CDM,99999-9923-55,BUDESONIDE 0.5 MG/2 ML ORAL SLURRY,17.11,10.09,2.08,15.4,23
CDM,99999-9923-56,BUDESONIDE 0.5 MG/2 ML ORAL SLURRY,34.21,20.18,4.16,30.79,23
CDM,99999-9923-57,BUDESONIDE 0.5 MG/2 ML ORAL SLURRY,68.42,40.37,8.32,61.58,23
CDM,99999-9923-58,BUDESONIDE 0.5 MG/2 ML ORAL SLURRY,136.84,80.74,16.65,123.16,23
CDM,99999-9923-60,MORPHINE PCA 5 MG/ML (100 ML) (PYXIS) BH,58.5,34.52,7.12,52.65,23
CDM,99999-9923-73,INV CLINICAL TRIAL H8A-MC-LZAX SOLANEZUMAB,0.01,0.01,0.01,0.01,23
CDM,99999-9923-84,HIC 1507016233 DARATUMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-9923-89,HIC 1510016571 DURVALUMAB (MEDI4736) MED,0.01,0.01,0.01,0.01,23
CDM,99999-9923-90,HIC 1510016571 TREMELIMUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-9923-92,FENTANYL 2500 MCG/250 ML NS (10 MCG/ML) INFUSION CADD CASSETTE (BH),93.75,55.31,11.4,84.38,23
CDM,99999-9924-03,VANCOMYCIN 250 MG/5 ML ORAL SOLUTION NEW,5.05,2.98,0.61,4.55,23
CDM,99999-9924-43,HIC 1510016618 MARGETUXIMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-9924-44,"HIC 1510016618 (MK-3475, PEMBROLIZUMAB) MED",0.01,0.01,0.01,0.01,23
CDM,99999-9924-70,HIC 1512016979 MPDL3280A (ATEZOLIZUMAB) MED,0.01,0.01,0.01,0.01,23
CDM,99999-9924-82,HIC 1512016979 BEVACIZUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-9924-83,MORPHINE PCA 100 MCG/ML IN 0.9% NACL 50 ML YNH (PYXIS),20.5,12.1,2.49,18.45,23
CDM,99999-9924-84,MORPHINE PCA 5 MG/ML IN 0.9% NACL 50 ML YNH (PYXIS),50.0,29.5,6.08,45.0,23
CDM,99999-9924-85,MORPHINE PCA 1 MG/ML IN 0.9% NACL 50 ML YNH (PYXIS),26.0,15.34,3.16,23.4,23
CDM,99999-9924-86,MORPHINE PCA 100 MCG/ML IN 0.9% NACL 100 ML YNH (PYXIS),33.0,19.47,4.01,29.7,23
CDM,99999-9924-87,MORPHINE PCA 5 MG/ML IN 0.9% NACL 100 ML YNH (PYXIS),92.0,54.28,11.19,82.8,23
CDM,99999-9924-88,MORPHINE PCA 1 MG/ML IN 0.9% NACL 100 ML YNH (PYXIS),44.0,25.96,5.35,39.6,23
CDM,99999-9924-89,HYDROMORPHONE (DILAUDID) PCA 1 MG/ML (50 ML) YNH PYXIS,47.75,28.17,5.81,42.98,23
CDM,99999-9924-90,HYDROMORPHONE PCA 10 MG/ML (UNDILUTED) 50 ML YNH PYXIS,299.25,176.56,36.4,269.33,23
CDM,99999-9924-91,HYDROMORPHONE PCA 100 MCG/ML (50 ML) YNH PYXIS,22.75,13.42,2.77,20.48,23
CDM,99999-9924-92,HYDROMORPHONE (DILAUDID) PCA 1 MG/ML (100 ML) YNH PYXIS,87.5,51.63,10.64,78.75,23
CDM,99999-9924-93,HYDROMORPHONE PCA 10 MG/ML (UNDILUTED) 100 ML YNH PYXIS,590.5,348.4,71.83,531.45,23
CDM,99999-9924-94,HYDROMORPHONE PCA 100 MCG/ML (100 ML) YNH PYXIS,37.5,22.13,4.56,33.75,23
CDM,99999-9924-95,FENTANYL PCA 50 MCG/ML (UNDILUTED) 50 ML YNH PYXIS,86.75,51.18,10.55,78.08,23
CDM,99999-9924-96,FENTANYL PCA 50 MCG/ML (UNDILUTED) 100 ML YNH PYXIS,165.5,97.65,20.13,148.95,23
CDM,99999-9924-97,KETAMINE PCA 1 MG/ML 50 ML (YNH) PYXIS,33.0,19.47,4.01,29.7,23
CDM,99999-9924-98,KETAMINE PCA 10 MG/ML 50 ML (YNH) PYXIS,151.75,89.53,18.46,136.58,23
CDM,99999-9924-99,KETAMINE PCA 1 MG/ML 100 ML (YNH) PYXIS,58.0,34.22,7.06,52.2,23
CDM,99999-9925-00,KETAMINE PCA 10 MG/ML 100 ML (YNH) PYXIS,295.5,174.35,35.95,265.95,23
CDM,99999-9925-01,METHADONE PCA 1 MG/ML (50 ML) YNH PYXIS,322.75,190.42,39.26,290.48,23
CDM,99999-9925-02,METHADONE PCA 10 MG/ML (UNDILUTED) 50 ML YNH PYXIS,3047.75,1798.17,370.74,2742.98,23
CDM,99999-9925-03,METHADONE PCA 1 MG/ML (100 ML) YNH PYXIS,637.5,376.13,77.55,573.75,23
CDM,99999-9925-04,METHADONE PCA 10 MG/ML (UNDILUTED) 100 ML YNH PYXIS,6087.5,3591.63,740.51,5478.75,23
CDM,99999-9925-21,TPN NEONATAL OFF HOURS INFUSION PREMIX,207.5,122.43,25.24,186.75,23
CDM,99999-9925-31,HIC 1502015400 EVEROLIMUS 2.5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9925-65,HIC 1509016491 (BTCT4465A) 50 MCG/2 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-66,HIC 1509016491 (BTCT4465A) 200 MCG/2 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-67,HIC 1509016491 (BTCT4465A) 800 MCG/2 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-68,HIC 1509016491 (BTCT4465A) 2 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-69,HIC 1509016491 (BTCT4465A) 4 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-70,HIC 1509016491 (BTCT4465A) 8 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-71,HIC 1509016491 (BTCT4465A) 16 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-72,HIC 1509016491 (BTCT4465A) 24 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-73,HIC 1509016491 (BTCT4465A) 36 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-74,HIC 1509016491 (BTCT4465A) 54 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9925-75,HIC 1509016491 (BTCT4465A) 80 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9926-13,HIC 1504015727 GANITUMAB MED,0.01,0.01,0.01,0.01,23
CDM,99999-9926-32,VANCOMYCIN 1.5 G IN NS 500 ML IVPB,25.0,14.75,3.04,22.5,23
CDM,99999-9926-33,VANCOMYCIN 2 G IN NS 500 ML IVPB,30.0,17.7,3.65,27.0,23
CDM,99999-9926-77,IVABRADINE 5 MG TABLET,14.63,8.63,1.78,13.17,23
CDM,99999-9926-83,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,0.46,0.27,0.06,0.41,23
CDM,99999-9926-84,BOSENTAN 3.125 MG/ML ORAL SUSPENSION,46.25,27.29,5.63,41.63,23
CDM,99999-9926-85,BOSENTAN 3.125 MG/ML ORAL SUSPENSION,231.25,136.44,28.13,208.13,23
CDM,99999-9926-86,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,2.28,1.35,0.28,2.05,23
CDM,99999-9926-97,HIC 1507016151 BINIMETINIB (MEK162) 15 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9926-98,HIC 1507016151 (AZD5363) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9926-99,HIC 1507016151 (AZD5363) 200 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-00,HIC 1507016151 (AZD4547) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-01,HIC 1507016151 (AZD4547) 80 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-02,HIC 1507016151 (GSK2636771) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9927-03,HIC 1507016151 DASATINIB 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-04,HIC 1507016151 DASATINIB 50 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-05,HIC 1507016151 VISMODEGIB (GDC-0449) 150 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9927-06,HIC 1507016151 PALBOCICLIB (PD-0332991) 75 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9927-07,HIC 1507016151 PALBOCICLIB (PD-0332991) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9927-08,HIC 1507016151 PALBOCICLIB (PD-0332991) 125 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9927-09,HIC 1507016151 TESELISIB (GDC-0032) 2 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-10,HIC 1507016151 NIVOLUMAB (BMS-936558) MED,0.01,0.01,0.01,0.01,23
CDM,99999-9927-29,HIC 1607018045 (GS-5829) 0.2 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-30,HIC 1607018045 (GS-5829) 1 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-31,HIC 1607018045 (GS-5829) 5 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-32,HIC 1607018045 (GS-5829) 10 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-33,HIC 1509016491 (BTCT4465A) 2.8 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9927-34,HIC 1509016491 (BTCT4465A) 3.6 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9927-39,VANCOMYCIN 50 MG/ML ORAL SOLUTION (DR FIRST BRAND),309.75,182.75,37.68,278.78,23
CDM,99999-9927-72,HIC 1509016491 (BTCT4465A) 0.4 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9927-73,HIC 1509016491 (BTCT4465A) 1 MG/8 ML,0.01,0.01,0.01,0.01,23
CDM,99999-9927-91,INV CLINICAL TRIAL A011502 ALLIANCE ASPIRIN OR PLACEBO 100 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9927-92,INV CLINICAL TRIAL A011502 ALLIANCE ASPIRIN OR PLACEBO 300 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9928-04,HIC 1608018258 ATEZOLIZUMAB (MPDL3280A) MED,0.01,0.01,0.01,0.01,23
CDM,99999-9928-05,HIC 1608018258 VELIPARIB (ABT-888) 100 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9928-07,HIC 1607018045 ENZALUTAMIDE 40 MG CAPSULES,0.01,0.01,0.01,0.01,23
CDM,99999-9928-16,HIC 1608018260 AFATINIB (BIBW-2992) 20 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9928-17,HIC 1608018260 AFATINIB (BIBW-2992) 30 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999-9928-18,HIC 1608018260 AFATINIB (BIBW-2992) 40 MG TABLETS,0.01,0.01,0.01,0.01,23
CDM,99999000004,NEO-LIDO NASAL DROPS,10.0,5.9,1.22,9.0,23
CDM,99999000013,"SODIUM CHLORIDE 0.45% W/MG,NAHCO3 (CVVH SOLUTION A)",75.0,44.25,9.12,67.5,23
CDM,99999000023,"PENICILLIN G POTASSIUM 4,000,000 UNITS IN 100 ML D5WPMX",137.5,81.13,16.73,123.75,23
CDM,99999000067,FAT EMULSION 20 % INTRAVENOUS SYRINGE NEW,9.0,5.31,1.09,8.1,23
CDM,99999000311,FLUDEOXYGLUCOSE P/DOSE (FDG) INJECTION,283.5,167.27,34.49,255.15,23
CDM,99999005286,HIC 2000027258 TEPLIZUMAB IV SYRINGE MED,0.01,0.01,0.01,0.01,23
CDM,99999009021,HIC 2000038004 FIANLIMAB 800 MG + CEMIPLIMAB 175 MG MED,0.01,0.01,0.01,0.01,23
CDM,99999020021,CAPTOPRIL 1 MG/ML SUSP,1.25,0.74,0.15,1.13,23
CDM,99999020088,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,5.69,3.36,0.69,5.12,23
CDM,99999090864,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,8.38,4.94,1.02,7.54,23
CDM,99999200002,LORAZEPAM 50MG IN D5W 50ML (1MG/ML) INFUSION (PYXIS),83.65,49.35,10.18,75.29,23
CDM,99999222215,PRISMASATE 2/0 DIALYSIS SOLUTION,125.0,73.75,15.21,112.5,23
CDM,99999222456,ACYCLOVIR INJ IN 0.9% NACL 5 MG/ML (BATCH),0.2,0.12,0.02,0.18,23
CDM,99999222473,CEFAZOLIN IV SYR 100 MG/1 ML (BATCH),2.75,1.62,0.33,2.48,23
CDM,99999222479,CEFUROXIME IV SYR 100 MG/1 ML (BATCH),10.5,6.2,1.28,9.45,23
CDM,99999222504,FENTANYL 50 MCG/ML SYRINGE (PYXIS),56.0,33.04,6.81,50.4,23
CDM,99999222572,PIPERACILLIN/TAZOBACTAM 45 MG/ML (PYXIS),1.68,0.99,0.2,1.51,23
CDM,99999222592,AMPICILLIN/SULBACTAM 45 MG/ML IV SYRINGE (PYXIS),15.01,8.86,1.83,13.51,23
CDM,99999444015,"INSULIN R HUMAN U-500 ""CONCENTRATE"" 500 UNIT/ML (0.2 ML)",70.96,41.87,8.63,63.86,23
CDM,99999444042,ROPIVACAINE PF 0.2 % EPIDURAL 500 ML (PYXIS),42.5,25.08,5.17,38.25,23
CDM,99999444055,METHADONE 10 MG/ML INTRAVENOUS SYRINGE,89.13,52.59,10.84,80.22,23
CDM,99999444060,DIPHENHYDRAMINE 25 MG IN 50 ML NS,122.5,72.28,14.9,110.25,23
CDM,99999444061,DIPHENHYDRAMINE 50 MG IN 50 ML NS,122.5,72.28,14.9,110.25,23
CDM,99999444434,METHADONE 10 MG/ML INTRAVENOUS SYRINGE,35.65,21.03,4.34,32.09,23
CDM,99999555507,INDIUM IN-111 PENTETATE (IN-111 DTPA) INJECTION,6044.73,3566.39,735.31,5440.26,23
CPT,0,HC  GAS CALIBRATION-TCO2,400.0,236.0,48.66,360.0,23
CPT,0,HC  GROUNDING PLATE,180.13,106.28,21.91,162.12,23
CPT,0,"HC 1/4"" CH BRIDGE",255.0,150.45,31.02,229.5,23
CPT,0,HC 13G PROBE MAMMOTOME ELITE SYSTEM,663.9,391.7,80.76,597.51,23
CPT,0,HC 13G TRUGUIDE BIOPSY NEEDL,370.06,218.34,45.02,333.05,23
CPT,0,HC 4 FR SAFE D/LPOLY FULL KT,326.39,192.57,39.7,293.75,23
CPT,0,HC 4 FR SAFE S/LPOLY FULL KT,243.47,143.65,29.62,219.12,23
CPT,0,HC 4FR SHERLOCKE SGL FULL,652.8,385.15,79.41,587.52,23
CPT,0,HC 5 FR SAFE D/LPOLY FULL KT,307.68,181.53,37.43,276.91,23
CPT,0,HC 5FR SHERLOCKE DBL FULL,741.23,437.33,90.17,667.11,23
CPT,0,HC A-V LOOP,264.3,155.94,32.15,237.87,23
CPT,0,HC ABDOMINAL BINDER,120.0,70.8,14.6,108.0,23
CPT,0,HC ADD C-SECTION DEL TWIN/TRIPLET,1051.49,620.38,127.91,946.34,23
CPT,0,HC ADD VAGINAL DEL TWINS/TRIPLETS,956.27,564.2,116.33,860.64,23
CPT,0,HC AMB NURSING CARE,1667.4,983.77,202.83,1500.66,23
CPT,0,HC AMB NURSING CARE + PHASE 1,3071.42,1812.14,373.62,2764.28,23
CPT,0,HC AMNIOFIX INJECTION - SELF-PAY,650.0,383.5,79.07,585.0,23
CPT,0,HC AMPLATZ WIRE,194.1,114.52,23.61,174.69,23
CPT,0,HC ANESTHESIA PER MIN,34.44,20.32,4.19,31.0,23
CPT,0,HC ANESTHESIA TIME - EACH 15 MINUTES,319.05,188.24,38.81,287.15,23
CPT,0,HC ANESTHESIA TIME - PER MINUTE,21.27,12.55,2.59,19.14,23
CPT,0,HC ANEURYSM PACK,572.14,337.56,69.6,514.93,23
CPT,0,HC ANGIO CANNULA & CIRCUIT KIT,5200.0,3068.0,632.55,4680.0,23
CPT,0,HC APTEM TEST SUPPLY,167.4,98.77,20.36,150.66,23
CPT,0,HC ARISTA AH 5X3G HEMOSTATIC,646.5,381.44,78.64,581.85,23
CPT,0,HC BARD UROLOGIST TRAY,626.85,369.84,76.25,564.17,23
CPT,0,HC BATTERY HOLSTER/HEARTMATE IICOMP 14V,1185.0,699.15,144.15,1066.5,23
CPT,0,HC BFB TRAINING OR TIME ACUITY LVL 1 SUBQ 15 MIN,854.97,504.43,104.0,769.47,23
CPT,0,"HC BFB TRAINING OR TIME ACUITY LVL 1, INIT 15 MIN",1196.35,705.85,145.53,1076.72,23
CPT,0,HC BFB TRAINING OR TIME ACUITY LVL 2 SUBQ 15 MIN,1139.63,672.38,138.63,1025.67,23
CPT,0,"HC BFB TRAINING OR TIME ACUITY LVL 2, INIT 15 MIN",1595.48,941.33,194.08,1435.93,23
CPT,0,HC BH INTENSIVE CARE UNIT,6633.29,3913.64,806.9,5969.96,23
CPT,0,HC BH MD/SRG/GYN S/P DLY,3347.29,1974.9,407.18,3012.56,23
CPT,0,HC BH NURSERY,2718.92,1604.16,330.74,2447.03,23
CPT,0,HC BH PEDIATRIC DAILY,4372.42,2579.73,531.88,3935.18,23
CPT,0,HC BIOPSY DEVICE (III),647.5,382.03,78.76,582.75,23
CPT,0,HC BIOPSY SITE ID EVIVA 10CM 2ND,317.0,187.03,38.56,285.3,23
CPT,0,HC BIOPSY SYSTEM DISPOSABLE,260.0,153.4,31.63,234.0,23
CPT,0,HC BONE BIOPSY KIT MADISON,975.0,575.25,118.6,877.5,23
CPT,0,HC BONE MARROW KIT,440.0,259.6,53.52,396.0,23
CPT,0,HC BONE MARROW TRAY,182.4,107.62,22.19,164.16,23
CPT,0,HC BONOPTY BIOPSY SET,400.0,236.0,48.66,360.0,23
CPT,0,HC BOWL UTIL PLST 16OZ STER,121.11,71.45,14.73,109.0,23
CPT,0,HC BPH HEART & LUNG CUSTOM TUBING PACK,1785.0,1053.15,217.14,1606.5,23
CPT,0,HC BREAST BIOPSY GRID,160.0,94.4,19.46,144.0,23
CPT,0,HC C.T. INJECTOR KIT,228.98,135.1,27.85,206.08,23
CPT,0,HC C/SECTION,10823.91,6386.11,1316.67,9741.52,23
CPT,0,HC CANNULA ENDORETURN ART KIT 21FR,1587.0,936.33,193.05,1428.3,23
CPT,0,HC CANNULA ENDORETURN ART KIT 23FR,1380.0,814.2,167.87,1242.0,23
CPT,0,"HC CANNULA, ECMO LIV",38628.0,22790.52,4698.89,34765.2,23
CPT,0,HC CARDIOHELP SET 5.0,31270.0,18449.3,3803.83,28143.0,23
CPT,0,HC CARDIOHELP SET 7.0,31270.0,18449.3,3803.83,28143.0,23
CPT,0,HC CARDIOPLEGIA EXTENSION TUBING LINE,188.57,111.26,22.94,169.71,23
CPT,0,HC CARDIOPLEGIA SET (PEDI),1030.96,608.27,125.41,927.86,23
CPT,0,HC CARDIOPLEGIA TUBING,104.55,61.68,12.72,94.1,23
CPT,0,HC CARDIOTOMY RESEVOIR,914.81,539.74,111.28,823.33,23
CPT,0,HC CARMEDA TUBING,325.27,191.91,39.57,292.74,23
CPT,0,HC CATH ANGIO DX BEACON TIP,94.0,55.46,11.43,84.6,23
CPT,0,HC CATH ANORECTAL MANOMETRY,330.4,194.94,40.19,297.36,23
CPT,0,HC CATH FOLEY TIP PUNCH,282.72,166.8,34.39,254.45,23
CPT,0,HC CATHETER BI-CAVAL D-LUMEN 20 27 31FR,7350.0,4336.5,894.09,6615.0,23
CPT,0,"HC CATHETER, QUINTON",1735.0,1023.65,211.05,1561.5,23
CPT,0,"HC CATHETER, URODYNAMIC II",227.0,133.93,27.61,204.3,23
CPT,0,HC CC ICU DAILY,10404.0,6138.36,1265.59,9363.6,23
CPT,0,HC CELERO INTRO-12,76.0,44.84,9.25,68.4,23
CPT,0,HC CELERRO HANDHELD BIOP PRB,754.35,445.07,91.76,678.92,23
CPT,0,"HC CELL SAVER ""Y"" SET",151.0,89.09,18.37,135.9,23
CPT,0,HC CERVICAL RIPPING BALLOON,109.5,64.61,13.32,98.55,23
CPT,0,HC CGUARD CAROTID STENT SYSTEM CREST II STUDY,5628.0,3320.52,684.62,5065.2,23
CPT,0,HC CHILD CONFORMITY EVAL (2X),454.84,268.36,55.33,409.36,23
CPT,0,HC CIRCUIT METANEB W/NEBUL KIT,340.0,200.6,41.36,306.0,23
CPT,0,HC COAXIAL BIOPSY GUN 18G,285.0,168.15,34.67,256.5,23
CPT,0,HC COAXIAL BIOPSY SYSTEM 18,285.0,168.15,34.67,256.5,23
CPT,0,HC COMPRESSION BANDAGE I,120.0,70.8,14.6,108.0,23
CPT,0,HC COMPRESSION BRA II,80.0,47.2,9.73,72.0,23
CPT,0,HC COMPRESSION BRA III,160.0,94.4,19.46,144.0,23
CPT,0,HC CORDIS INTRODUCER,108.07,63.76,13.15,97.26,23
CPT,0,HC CORONARY PERFUSION CANNUL,734.72,433.48,89.37,661.25,23
CPT,0,HC COSMETIC 0-60 MINUTES,1400.0,826.0,170.3,1260.0,23
CPT,0,HC COSMETIC 121-150 MINUTES,2000.0,1180.0,243.29,1800.0,23
CPT,0,HC COSMETIC 151-180 MINUTES,2100.0,1239.0,255.45,1890.0,23
CPT,0,HC COSMETIC 181-210 MINUTES,2300.0,1357.0,279.78,2070.0,23
CPT,0,HC COSMETIC 211-240 MINUTES,2500.0,1475.0,304.11,2250.0,23
CPT,0,HC COSMETIC 241-270 MINUTES,2700.0,1593.0,328.44,2430.0,23
CPT,0,HC COSMETIC 271-300 MINUTES,2900.0,1711.0,352.77,2610.0,23
CPT,0,HC COSMETIC 301-330 MINUTES,3100.0,1829.0,377.1,2790.0,23
CPT,0,HC COSMETIC 331-360 MINUTES,3300.0,1947.0,401.43,2970.0,23
CPT,0,HC COSMETIC 361-390 MINUTES,3500.0,2065.0,425.76,3150.0,23
CPT,0,HC COSMETIC 391-420 MINUTES,3700.0,2183.0,450.09,3330.0,23
CPT,0,HC COSMETIC 421-450 MINUTES,3900.0,2301.0,474.41,3510.0,23
CPT,0,HC COSMETIC 451-480 MINUTES,4100.0,2419.0,498.74,3690.0,23
CPT,0,HC COSMETIC 481-510 MINUTES,4300.0,2537.0,523.07,3870.0,23
CPT,0,HC COSMETIC 511-540 MINUTES,4500.0,2655.0,547.4,4050.0,23
CPT,0,HC COSMETIC 541-570 MINUTES,4700.0,2773.0,571.73,4230.0,23
CPT,0,HC COSMETIC 571-600 MINUTES,4900.0,2891.0,596.06,4410.0,23
CPT,0,HC COSMETIC 61-90 MINUTES,1600.0,944.0,194.63,1440.0,23
CPT,0,HC COSMETIC 91-120 MINUTES,1800.0,1062.0,218.96,1620.0,23
CPT,0,HC COSMETIC EA ADDIT 30 MIN,200.0,118.0,24.33,180.0,23
CPT,0,HC COSMETIC-OVERNIGHT PATIENT STAY,1200.0,708.0,145.97,1080.0,23
CPT,0,HC CT SCAN BIOPSY TRAY,132.66,78.27,16.14,119.39,23
CPT,0,HC DERMABOND CLOSURE,451.51,266.39,54.92,406.36,23
CPT,0,HC DEVICE CHANGEOUTS,3179.81,1876.09,386.81,2861.83,23
CPT,0,HC DEVICE RESCUENET RETRIEVAL NET,340.0,200.6,41.36,306.0,23
CPT,0,"HC DIALATOR - VESSEL, ANY T",59.92,35.35,7.29,53.93,23
CPT,0,HC DRAINAGE ASPIRA LEUR ADAPTER,156.0,92.04,18.98,140.4,23
CPT,0,HC DRESSING CLLGN PURACOL 4.5,161.4,95.23,19.63,145.26,23
CPT,0,HC DRESSING PICO,945.0,557.55,114.95,850.5,23
CPT,0,HC DRESSING WHITE FOAM LARGE,206.44,121.8,25.11,185.8,23
CPT,0,HC DUAL COSMETIC/MEDICAL 0-30 MIN,750.0,442.5,91.23,675.0,23
CPT,0,HC DUAL COSMETIC/MEDICAL 31-60 MIN,1400.0,826.0,170.3,1260.0,23
CPT,0,HC EC ENDOCLAMP,10889.75,6424.95,1324.68,9800.78,23
CPT,0,HC ECG LEADS & WIRES,148.14,87.4,18.02,133.33,23
CPT,0,HC ECMO CANNULA,950.96,561.07,115.68,855.86,23
CPT,0,HC ECMO OXYGENATOR,3249.95,1917.47,395.34,2924.96,23
CPT,0,HC EICT MED/SURG/GYN DAILY,4744.59,2799.31,577.15,4270.13,23
CPT,0,"HC ENDO OR TIME ACUITY LVL 1, INIT 15 MIN",1196.35,705.85,145.53,1076.72,23
CPT,0,"HC ENDO OR TIME ACUITY LVL 1, SUBSEQ 15 MIN",854.97,504.43,104.0,769.47,23
CPT,0,"HC ENDO OR TIME ACUITY LVL 2, INIT 15 MIN",1595.48,941.33,194.08,1435.93,23
CPT,0,"HC ENDO OR TIME ACUITY LVL 2, SUBSEQ 15 MIN",1139.63,672.38,138.63,1025.67,23
CPT,0,"HC ENDO OR TIME ACUITY LVL 3, INIT 15 MIN",1755.53,1035.76,213.55,1579.98,23
CPT,0,"HC ENDO OR TIME ACUITY LVL 3, SUBSEQ 15 MIN",1254.09,739.91,152.55,1128.68,23
CPT,0,HC EP SINUS PLEGIA CATHETER,7497.36,4423.44,912.01,6747.62,23
CPT,0,HC EPIDURAL LUMBAR TRAY CUS 816 C,651.0,384.09,79.19,585.9,23
CPT,0,HC ER ARTERIAL CANNULA,1660.18,979.51,201.95,1494.16,23
CPT,0,HC ESTABLISH BRAIN CAVITY SHUNT,8615.0,5082.85,1047.97,7753.5,23
CPT,0,HC ESTECH DILATORS,506.76,298.99,61.64,456.08,23
CPT,0,HC EV PA VENT,5120.82,3021.28,622.92,4608.74,23
CPT,0,HC EVIVA DEVICE BIOPSY 9G 13CMX20MM,777.0,458.43,94.52,699.3,23
CPT,0,HC EVOLUTR TAVR SYSTEM,87450.0,51595.5,10637.83,78705.0,23
CPT,0,HC EXTEM TEST SUPPLY,100.26,59.15,12.2,90.23,23
CPT,0,HC FIBTEM TEST SUPPLY,211.5,124.79,25.73,190.35,23
CPT,0,HC FILTER (CARDIOPLEGIA),316.57,186.78,38.51,284.91,23
CPT,0,HC FOLEY CATH TRAYS,112.93,66.63,13.74,101.64,23
CPT,0,HC FREE CLINICAL DEVICE TRIAL NON-OR,0.01,0.01,0.01,0.01,23
CPT,0,HC GENERAL ANES 1ST 15 MIN,1991.56,1175.02,242.26,1792.4,23
CPT,0,HC GH MD/SRG/GYN S/PR DLY,3347.29,1974.9,407.18,3012.56,23
CPT,0,HC GUIDE WIRE MARKING SYSTEM,655.94,387.0,79.79,590.35,23
CPT,0,HC H/S PROCEDURE TRAY,181.18,106.9,22.04,163.06,23
CPT,0,HC HARMONY DELIVERY SYSTEM,15900.0,9381.0,1934.15,14310.0,23
CPT,0,HC HARMONY TRANSCATHE PULMONARY VALVE,76850.0,45341.5,9348.4,69165.0,23
CPT,0,HC HEADBAND CERIBELL EEG V,1877.0,1107.43,228.33,1689.3,23
CPT,0,HC HEART-LUNG PUMP PERFUSION,1904.44,1123.62,231.67,1714.0,23
CPT,0,HC HEARTMATE AC PWR CORD UNIT,140.0,82.6,17.03,126.0,23
CPT,0,HC HEMOCONCENTRATOR,2448.0,1444.32,297.79,2203.2,23
CPT,0,HC HEMOSTAT ARISTA AH 1 GRM ABSB,332.0,195.88,40.39,298.8,23
CPT,0,HC HEMOSTATIC I,90.0,53.1,10.95,81.0,23
CPT,0,HC HEPTEM TEST SUPPLY,167.85,99.03,20.42,151.07,23
CPT,0,HC HOME DRAW ELECTIVE - SELF-PAY,50.0,29.5,6.08,45.0,23
CPT,0,HC IMPEDANCE CATHETER,315.0,185.85,38.32,283.5,23
CPT,0,HC INTEM TEST SUPPLY,100.26,59.15,12.2,90.23,23
CPT,0,HC INTENSIVE CARE UNIT,6633.29,3913.64,806.9,5969.96,23
CPT,0,HC INTERMEDIATE ICU,7573.73,4468.5,921.3,6816.36,23
CPT,0,HC INTERN PRESSURE MONI,349.49,206.2,42.51,314.54,23
CPT,0,HC INTRA-AORTIC OCCLUSION DEVICE,9275.0,5472.25,1128.26,8347.5,23
CPT,0,HC INTRALIPID ADMIN,816.18,481.55,99.28,734.56,23
CPT,0,HC INTREPID MITRAL VALVE,119250.0,70357.5,14506.14,107325.0,23
CPT,0,HC INTRODUCER KIT 5FR .018INX45CM,96.84,57.14,11.78,87.16,23
CPT,0,HC INVOS SAT MONITOR,616.89,363.97,75.04,555.2,23
CPT,0,HC IP HOSPICE,4744.59,2799.31,577.15,4270.13,23
CPT,0,"HC ISOLATED LIM/ORGA, PERF",9069.39,5350.94,1103.24,8162.45,23
CPT,0,HC KC COOLED RF INTRODUCER 100MM,340.0,200.6,41.36,306.0,23
CPT,0,HC KC COOLED RF INTRODUCER 75MM,340.0,200.6,41.36,306.0,23
CPT,0,HC KC COOLED RF PROBE 100MM,1140.0,672.6,138.68,1026.0,23
CPT,0,HC KC COOLED RF PROBE 75MM,1140.0,672.6,138.68,1026.0,23
CPT,0,HC KC RF PROBES,380.0,224.2,46.23,342.0,23
CPT,0,HC KC RF SINGLE USE PROBE 22G 145MM,380.0,224.2,46.23,342.0,23
CPT,0,HC KCENTRA,5.68,3.35,0.69,5.11,23
CPT,0,HC KIMBERLY CLARK SINERGY COOLED RADIOFR,2250.0,1327.5,273.7,2025.0,23
CPT,0,HC KIT - BIOPSY GUIDE,379.85,224.11,46.21,341.87,23
CPT,0,HC KIT ACAPELLA DUET PEP W/MOUTHP,197.96,116.8,24.08,178.16,23
CPT,0,HC KIT OB/VACUUM DELIV M CUP,202.32,119.37,24.61,182.09,23
CPT,0,HC KIT PEEL AND PLACE DRESSING,885.0,522.15,107.66,796.5,23
CPT,0,HC KIT PREVENA PEEL & PLACE SYSTEM,1485.0,876.15,180.64,1336.5,23
CPT,0,HC L&D RECOVERY LEVEL FOUR,9571.84,5647.39,1164.36,8614.66,23
CPT,0,HC LAB AORTIC BALLOON TEST,1820.36,1074.01,221.44,1638.32,23
CPT,0,HC LAB HEART/LUNG PUMP,5444.88,3212.48,662.34,4900.39,23
CPT,0,HC LIQUID PHIL EMBOLIC SYSTEM,8480.0,5003.2,1031.55,7632.0,23
CPT,0,HC LIVER ELAST OR TIME ACUITY LVL 1 INIT 15 MIN,1196.35,705.85,145.53,1076.72,23
CPT,0,HC LIVER ELAST OR TIME ACUITY LVL 1 SUBQ 15 MIN,854.97,504.43,104.0,769.47,23
CPT,0,HC LIVER ELAST OR TIME ACUITY LVL 2 INIT 15 MIN,1595.48,941.33,194.08,1435.93,23
CPT,0,HC LIVER ELAST OR TIME ACUITY LVL 2 SUBQ 15 MIN,1139.63,672.38,138.63,1025.67,23
CPT,0,HC LIVER TRANSPLANT LIVE,180000.0,106200.0,21896.06,162000.0,23
CPT,0,HC LIVER TRANSPLANT(LIVING),0.01,0.01,0.01,0.01,23
CPT,0,HC MANAGED CARE DISCHARGE DELAY,4744.59,2799.31,577.15,4270.13,23
CPT,0,HC MARQUEE CORE BIOPSY INSTRUMENT KIT,279.36,164.82,33.98,251.42,23
CPT,0,HC MASSAGE 30 MINUTES,40.0,23.6,4.87,36.0,23
CPT,0,HC MASSAGE 60 MINUTES,70.0,41.3,8.52,63.0,23
CPT,0,HC MED/SRG/GYN PRIV DLY,4744.59,2799.31,577.15,4270.13,23
CPT,0,HC MED/SRG/GYN S/P DLY,4744.59,2799.31,577.15,4270.13,23
CPT,0,HC MIC-KEY LW PROF TRNSGSTRC-JEJNL FD KT,1059.0,624.81,128.82,953.1,23
CPT,0,HC MICROPUNCTURE INTRO SET,151.94,89.64,18.48,136.75,23
CPT,0,HC MONITORING CARDIAC,588.0,346.92,71.53,529.2,23
CPT,0,HC MRI BREAST BIOPSY KIT,5713.43,3370.92,695.01,5142.09,23
CPT,0,HC MYELOGRAM TRAY,217.82,128.51,26.5,196.04,23
CPT,0,HC NEWBORN LEVEL I,3825.57,2257.09,465.36,3443.01,23
CPT,0,HC NEWBORN LEVEL II,5566.16,3284.03,677.09,5009.54,23
CPT,0,HC NEWBORN LEVEL III,7942.89,4686.31,966.21,7148.6,23
CPT,0,HC NEWBORN LEVEL IV,10681.55,6302.11,1299.35,9613.4,23
CPT,0,HC NURSERY,3825.57,2257.09,465.36,3443.01,23
CPT,0,HC OB SEMI PRIV DAILY,3531.14,2083.37,429.54,3178.03,23
CPT,0,HC OPEN HEART ANESTHESIA 1ST 15MIN,2208.34,1302.92,268.63,1987.51,23
CPT,0,HC OPERATING ROOM MINUTE LEVEL 1,109.4,64.55,13.31,98.46,23
CPT,0,HC OPERATING ROOM MINUTE LEVEL 2,164.11,96.82,19.96,147.7,23
CPT,0,HC OPERATING ROOM MINUTE LEVEL 3,246.16,145.23,29.94,221.54,23
CPT,0,HC OPERATING ROOM MINUTE LEVEL 4,369.75,218.15,44.98,332.78,23
CPT,0,HC OPTIFAST - SELF-PAY,150.0,88.5,18.25,135.0,23
CPT,0,HC OR PERITONEAL CHEMO,2621.55,1546.71,318.9,2359.4,23
CPT,0,"HC OR TIME ACUITY LVL 1, INIT 15 MIN",1196.35,705.85,145.53,1076.72,23
CPT,0,"HC OR TIME ACUITY LVL 1, SUBSEQ 15 MIN.",854.97,504.43,104.0,769.47,23
CPT,0,"HC OR TIME ACUITY LVL 2, INIT 15 MIN.",1595.48,941.33,194.08,1435.93,23
CPT,0,"HC OR TIME ACUITY LVL 2, SUBSEQ 15 MIN.",1139.63,672.38,138.63,1025.67,23
CPT,0,"HC OR TIME ACUITY LVL 3, INIT 15 MIN.",1755.53,1035.76,213.55,1579.98,23
CPT,0,"HC OR TIME ACUITY LVL 3, SUBSEQ 15 MIN.",1254.09,739.91,152.55,1128.68,23
CPT,0,"HC OR TIME ACUITY LVL 4, INIT 15 MIN",1834.54,1082.38,223.16,1651.09,23
CPT,0,"HC OR TIME ACUITY LVL 4, SUBSEQ 15 MIN.",1310.82,773.38,159.45,1179.74,23
CPT,0,HC OR TIME COSMETIC EA ADD 30 MINUTES>600 MINUTES,100.0,59.0,12.16,90.0,23
CPT,0,HC OR TIME EACH ADDTL 15 MINUTES,1033.26,609.62,125.69,929.93,23
CPT,0,HC OR TIME INITIAL 15 MINUTES,1789.97,1056.08,217.74,1610.97,23
CPT,0,HC OR TIME INITIAL 15 MINUTES CARDIAC,3348.98,1975.9,407.39,3014.08,23
CPT,0,HC OR TIME PER MINUTE,127.64,75.31,15.53,114.88,23
CPT,0,HC ORGAN AQUISTION - KIDNEY LIVE,92000.0,54280.0,11191.32,82800.0,23
CPT,0,HC OXYGENATOR & VEN RES.,1974.15,1164.75,240.14,1776.74,23
CPT,0,HC PACK CLOSURE RFS PROCEDURE RFS,222.09,131.03,27.02,199.88,23
CPT,0,HC PACK CUSTOM PERFUSION 8R61R1,231.0,136.29,28.1,207.9,23
CPT,0,HC PACK INTERVENTINAL RADIOLOGY,170.72,100.72,20.77,153.65,23
CPT,0,HC PACK PROCEDURE CLOSUREFAST CFP,358.8,211.69,43.65,322.92,23
CPT,0,"HC PACK, BREAST FEEDING",146.56,86.47,17.83,131.9,23
CPT,0,HC PAIN MNGMNT PROC PER MINUTE,89.0,52.51,10.83,80.1,23
CPT,0,HC PATIENT CIRCUIT,376.0,221.84,45.74,338.4,23
CPT,0,HC PEDI TUBING PACK,689.55,406.83,83.88,620.6,23
CPT,0,HC PEDIATRIC DAILY,6502.92,3836.72,791.05,5852.63,23
CPT,0,HC PERCU-STAY NF 125,17.12,10.1,2.08,15.41,23
CPT,0,HC PICO 7 SINGLE 10X20CM,1095.12,646.12,133.22,985.61,23
CPT,0,HC PLATELET-RICH PLASMA INJECTION (PRP) - SELF-PAY,950.0,560.5,115.56,855.0,23
CPT,0,HC POSTPARTUM BALLOON,859.15,506.9,104.51,773.24,23
CPT,0,HC PREVENA INCISIONAL MANAGEMENTKIT,1531.47,903.57,186.3,1378.32,23
CPT,0,HC PROBE TRUNODE GAMMA PROBE TIP,948.0,559.32,115.32,853.2,23
CPT,0,HC PSYCHIATRIC DAILY,4822.59,2845.33,586.64,4340.33,23
CPT,0,HC PUDENDAL KIT,62.0,36.58,7.54,55.8,23
CPT,0,HC R&B HOSPITAL AT HOME,4744.59,2799.31,577.15,4270.13,23
CPT,0,HC RAPID RHINO ANTERIOR 5.5CM,148.0,87.32,18.0,133.2,23
CPT,0,HC RECOVERY ROOM PER MINUTE,30.39,17.93,3.7,27.35,23
CPT,0,HC RECOVERY TIME - EACH ADDTL 15 MIN,455.85,268.95,55.45,410.27,23
CPT,0,HC RECOVERY TIME - EACH ADDTL 30 MIN,911.7,537.9,110.9,820.53,23
CPT,0,HC RECOVERY TIME - EACH ADDTL HOUR,455.85,268.95,55.45,410.27,23
CPT,0,HC RECOVERY TIME - FIRST 30 MIN,911.7,537.9,110.9,820.53,23
CPT,0,HC RECOVERY TIME - FIRST HOUR,1823.4,1075.81,221.81,1641.06,23
CPT,0,HC REHABILITATION DLY,3347.29,1974.9,407.18,3012.56,23
CPT,0,HC REV MGT ACCOUNT HOLD,0.01,0.01,0.01,0.01,23
CPT,0,HC RN FIRST ASSIST 0-60 MINUTES,150.0,88.5,18.25,135.0,23
CPT,0,HC RN FIRST ASSIST 30 MINUTES,50.0,29.5,6.08,45.0,23
CPT,0,HC RN LASER FEE,150.0,88.5,18.25,135.0,23
CPT,0,HC ROTEM INITIAL PANEL SUPPLY,249.09,146.96,30.3,224.18,23
CPT,0,HC SACHET XL 18X10,190.0,112.1,23.11,171.0,23
CPT,0,HC SEALANT EVICEL FIBRIN 1ML KIT,317.43,187.28,38.61,285.69,23
CPT,0,HC SET - ARTHROGRAM,481.5,284.09,58.57,433.35,23
CPT,0,HC SET INTRODUCER MICROPUNCTURE,162.0,95.58,19.71,145.8,23
CPT,0,HC SHOCK WAVE TREATMENT FOR ED - SELF-PAY,500.0,295.0,60.82,450.0,23
CPT,0,HC SLING MAXI MOVE W/CLIPS,127.24,75.07,15.48,114.52,23
CPT,0,HC SPEC PROC RECOVERY TIME - EA ADDL HR,50.65,29.88,6.16,45.59,23
CPT,0,HC SPEC PROC RECOVERY TIME-1ST HR,253.25,149.42,30.81,227.93,23
CPT,0,HC SPECIAL CANNULA,384.83,227.05,46.81,346.35,23
CPT,0,HC SPECIAL PROCEDURE ROOM-NO ANESTH,855.0,504.45,104.01,769.5,23
CPT,0,HC SPINAL/EPI ANES 1ST 15MIN,2149.59,1268.26,261.49,1934.63,23
CPT,0,HC STENT NEUROGUARD IEP SYS,10335.0,6097.65,1257.2,9301.5,23
CPT,0,HC SURGICEL 2 IN X 14 IN,177.27,104.59,21.56,159.54,23
CPT,0,HC SURGICEL HEMOSTAT 2 X 3,122.0,71.98,14.84,109.8,23
CPT,0,HC SURGICEL V,1877.0,1107.43,228.33,1689.3,23
CPT,0,HC SURGICL SNW ABSRB HMST 2X4,338.62,199.79,41.19,304.76,23
CPT,0,HC SURGICLIP,185.23,109.29,22.53,166.71,23
CPT,0,"HC SVC.CHARGE, USE OF CARDIA",737.46,435.1,89.71,663.71,23
CPT,0,HC TEGO CONNECTOR,184.08,108.61,22.39,165.67,23
CPT,0,HC TELEMETRY,7573.73,4468.5,921.3,6816.36,23
CPT,0,HC TPN ADMINISTRTION,816.18,481.55,99.28,734.56,23
CPT,0,HC TRANSDUCER DTX PLUS PRESSURE,840.0,495.6,102.18,756.0,23
CPT,0,HC TRAUMA RESPONSE < 30 MINUTES LEVEL I,3207.16,1892.22,390.13,2886.44,23
CPT,0,HC TRAY CATH CRV 11.5 X 13.5,453.71,267.69,55.19,408.34,23
CPT,0,HC TRAY CATH CRV 11.5 X 19.5,334.18,197.17,40.65,300.76,23
CPT,0,HC TRAY CENTRAL LINE INSERTION,219.24,129.35,26.67,197.32,23
CPT,0,HC TRAY CT MIDLINE 4FR/5FR,435.0,256.65,52.92,391.5,23
CPT,0,HC TRAY LUMBAR PUNCTURE ADULT,60.0,35.4,7.3,54.0,23
CPT,0,HC TRICLIP DELIVERY SYSTEM,79500.0,46905.0,9670.76,71550.0,23
CPT,0,HC TRIPLE LUMEN CATHETER,125.83,74.24,15.31,113.25,23
CPT,0,HC TUBING PACK HEART/LUNG,1501.42,885.84,182.64,1351.28,23
CPT,0,HC UNIV MICRO INTRO KIT 5FR,171.23,101.03,20.83,154.11,23
CPT,0,HC V-LOC 180 DEVICE,114.61,67.62,13.94,103.15,23
CPT,0,HC VENASEAL CLOSURE SYSTEM,4485.0,2646.15,545.58,4036.5,23
CPT,0,HC VENO-VENO BYPASS SYSTEM,4538.24,2677.56,552.05,4084.42,23
CPT,0,HC VENOUS CANNULA SINGLE ST,120.81,71.28,14.7,108.73,23
CPT,0,HC VENOUS CANNULA TWO STAGE,138.7,81.83,16.87,124.83,23
CPT,0,HC VENOUS STENT,5100.0,3009.0,620.39,4590.0,23
CPT,0,HC VENT CANNULA,111.01,65.5,13.5,99.91,23
CPT,0,HC VENTRICULAR ASSIST DEVICE,5444.88,3212.48,662.34,4900.39,23
CPT,0,HC YH MED INTENS CARE UN,10976.74,6476.28,1335.26,9879.07,23
CPT,0,HC YH NEURO INTENS CARE U,10302.61,6078.54,1253.26,9272.35,23
CPT,0,HC YH PEDI INTENS CARE U,13866.06,8180.98,1686.73,12479.45,23
CPT,0,HC YH PSYCHIATRIC DAILY-DELAYED DISCHG,4822.59,2845.33,586.64,4340.33,23
CPT,0,HC YH REHABILITATION DLY,3347.29,1974.9,407.18,3012.56,23
CPT,0,HC YH SURG INTENS CARE UN,11143.88,6574.89,1355.59,10029.49,23
CPT,0001A,HC ADMIN SARSCOV2 1ST PFIZER,144.0,84.96,17.52,129.6,23
CPT,0001U,HC RBC ANTIGEN GENE ANALYSIS 35 ANTIGENS,2558.52,1509.53,308.24,2302.67,23
CPT,0002A,HC ADMIN SARS COV 2 2ND PFIZER,144.0,84.96,17.52,129.6,23
CPT,0003A,HC ADMIN SARS COV 2 3RD PFIZER,144.0,84.96,17.52,129.6,23
CPT,0004A,HC ADMIN SARS COV 2 BOOSTER PFIZER,144.0,84.96,17.52,129.6,23
CPT,0011A,HC ADMIN SARS COV 2 1ST MODERNA,144.0,84.96,17.52,129.6,23
CPT,0012A,HC ADMIN SARS COV 2 2ND MODERNA,144.0,84.96,17.52,129.6,23
CPT,0013A,HC ADMIN SARS COV 2 3RD MODERNA,144.0,84.96,17.52,129.6,23
CPT,0014M,HC LIVER DS ALYS 3 BMRK SRM ALG,1057.14,623.71,127.36,951.43,23
CPT,0014M,HC LIVER FIBROSIS SCORE  (QUEST#103501),1057.14,623.71,127.36,951.43,23
CPT,0015M,HC ADRNL CORTCL BIOCHEM ASSAY (MAYO# ACC),7832.22,4621.01,943.59,7049.0,23
CPT,0027U,HC JAK2 SEQ EXONS 12-15 (MAYO JAKXB/JAKXM),731.46,431.56,88.12,658.31,23
CPT,0031A,HC ADMIN SARSCOV2 JANSSEN,144.0,84.96,17.52,129.6,23
CPT,0032U,"HC COMT GENOTYPE, VARIES (MAYO COMTQ)",1048.86,618.83,126.36,943.97,23
CPT,0034A,HC ADMIN SARS COV 2 J &J BOOSTER,144.0,84.96,17.52,129.6,23
CPT,0034U,HC TPMT/NUDT 15 GENOTYPING (MAYO TPNUQ),1656.54,977.36,199.57,1490.89,23
CPT,0035U,"HC 14-3-3 PROTEIN TAU/THETA, CSF (QUEST #37989)",2014.95,1188.82,242.75,1813.46,23
CPT,0035U,"HC 14-3-3 TAU PRION MARKERS, CSF (ARUP #3001255)",2014.95,1188.82,242.75,1813.46,23
CPT,0037U,HC TRGT GEN SEQ DNA 324 GENES-FOUNDTNONE,21000.0,12390.0,2529.99,18900.0,23
CPT,00410,HC ANES ARRHYTHMIA CONVERSION,27.35,16.14,3.33,24.62,23
CPT,0041A,HC ADMIN SARS COV 2 1ST NOVAVAX,144.0,84.96,17.52,129.6,23
CPT,0042A,HC ADMIN SARS COV 2 2ND NOVAVAX,144.0,84.96,17.52,129.6,23
CPT,0042T,HC CT CEREBRAL PERFUSION ANALYSIS,2037.14,1201.91,341.58,1833.43,23
CPT,0046U,HC FLT3 GENE ITD VARIANTS QUAN,2444.58,1442.3,294.51,2200.12,23
CPT,0051A,HC ADMIN SARS COV 2 1ST PFIZER TRS-SUCR,144.0,84.96,17.52,129.6,23
CPT,0052A,HC ADMIN SARS COV 2 2ND PFIZER TRS-SUCR,144.0,84.96,17.52,129.6,23
CPT,0053A,HC ADMIN SARS COV 2 3RD PFIZER TRS-SUCR,144.0,84.96,17.52,129.6,23
CPT,0054A,HC ADMIN SARS COV 2 PFIZER TRS-SUCR BOOSTER,144.0,84.96,17.52,129.6,23
CPT,0058U,HC ONC MERKEL CELL C SERUM QUAN,1937.76,1143.28,233.45,1743.98,23
CPT,0059U,HC ONC MERKEL CELL CARC SRM (+/-),1937.76,1143.28,233.45,1743.98,23
CPT,0064A,HC ADMIN SARS COV 2 MODERNA LOW DOSE BOOSTER,144.0,84.96,17.52,129.6,23
CPT,0070U,HC CYP2D6 GENE RARE VRNT (MAYO 2D6Q),4058.22,2394.35,488.92,3652.4,23
CPT,0071A,HC ADMIN SARS COV 2 1ST PFIZER PEDIATRIC,144.0,84.96,17.52,129.6,23
CPT,0071U,HC CYP2D6 FULL GENE SEQ (MAYO 2D61Z),3600.0,2124.0,433.71,3240.0,23
CPT,0072A,HC ADMIN SARS COV 2 2ND PFIZER PEDIATRIC,144.0,84.96,17.52,129.6,23
CPT,0073A,HC ADMIN SARS COV 2 3RD DOSE PEDIATRIC,144.0,84.96,17.52,129.6,23
CPT,0074A,HC ADMIN SARS COV 2 BOOSTER PFIZER PEDIATRIC,144.0,84.96,17.52,129.6,23
CPT,0076U,HC CYP2D6 3' GENE DUP/MLT (MAYO 2D66Z),2705.46,1596.22,325.94,2434.91,23
CPT,0077U,"HC MONOCLONAL PROTEIN STUDIES, 24 HOUR URINE",260.58,153.74,31.39,234.52,23
CPT,0081A,HC ADMIN SARS COV 2 1ST PFIZER PEDIATRIC <5 YRS,144.0,84.96,17.52,129.6,23
CPT,0082A,HC ADMIN SARS COV 2 2ND PFIZER PEDIATRIC <5 YRS,144.0,84.96,17.52,129.6,23
CPT,0083A,HC ADMIN SARS COV 2 BOOSTER PFIZER PEDI <5 YRS,144.0,84.96,17.52,129.6,23
CPT,00902,HC ANES ANORECTAL,28.36,16.73,3.45,25.52,23
CPT,0091A,HC ADM SARS COV 2 MODERNA 1ST DOSE,144.0,84.96,17.52,129.6,23
CPT,0092A,HC ADM SARS COV 2 MODERNA 2ND DOSE,144.0,84.96,17.52,129.6,23
CPT,0093A,HC ADM SARS COV 2 MODERNA 3RD DOSE,144.0,84.96,17.52,129.6,23
CPT,0094A,HC ADM SARS COV 2 MODERNA BOOSTER,144.0,84.96,17.52,129.6,23
CPT,0111A,HC ADM SARSCOV2 25MCG/0.25ML1ST,144.0,84.96,17.52,129.6,23
CPT,0112A,HC ADM SARSCOV2 25MCG/0.25ML 2ND,144.0,84.96,17.52,129.6,23
CPT,0119U,HC MI-HEART CERAMIDES PLASMA (MAYO ONLY),502.56,296.51,60.55,452.3,23
CPT,0121A,HC ADM SARS CV2 BVL SPIKE PROTEIN SINGLE DOSE,144.0,84.96,17.52,129.6,23
CPT,0124A,HC ADM SARSCV2 BVL 30MCG/.3ML ADDITIONAL DOSE>12,144.0,84.96,17.52,129.6,23
CPT,0134A,HC ADM SARSCV2 BVL 50MCG/.5ML ADDITIONAL DOSE>18,144.0,84.96,17.52,129.6,23
CPT,0144A,HC ADM SRSCV2 BVL 25MCG/.25ML ADDITIONAL DOSE,144.0,84.96,17.52,129.6,23
CPT,0151A,HC ADM SARS CV2 BVL SPIKE PROTEIN 10MCG SINGL DOSE,144.0,84.96,17.52,129.6,23
CPT,0152U,"HC INF NGS >1,000 PATHOGENS 3PB (KARIUS DC0001)",2189.99,1292.09,263.84,1970.99,23
CPT,0152U,HC KARIUS TEST (ARUP #3017098),2189.99,1292.09,263.84,1970.99,23
CPT,0154A,HC ADM SARSCV2 BVL 10MCG/.2ML ADDITIONAL DOSE,144.0,84.96,17.52,129.6,23
CPT,0164A,HC ADM SRSCV2 BVL 10MCG/0.2ML ADDITIONAL DOSE,144.0,84.96,17.52,129.6,23
CPT,0171A,HC ADM SARSCOV2 BVL 3 MCG/0.2 ML 1ST,144.0,84.96,17.52,129.6,23
CPT,0172A,HC ADM SARSCOV2 BVL 3 MCG/0.2 ML 2ND,144.0,84.96,17.52,129.6,23
CPT,0173A,HC IMM ADM SARSCOV2 BVL 3 MCG/0.2 ML 3RD,144.0,84.96,17.52,129.6,23
CPT,01960,HC ANES DELIVERY VAGINAL,1992.57,1175.62,242.39,1793.31,23
CPT,01961,HC ANES DELIVERY C-SECTION,2464.63,1454.13,299.81,2218.17,23
CPT,0200T,HC PERC SACRAL AUGMT UNILATERAL INJ,7154.82,4221.34,870.35,6439.34,23
CPT,0201T,HC PERC SACRAL AUGMT BILATERAL INJ,9802.8,5783.65,1192.46,8822.52,23
CPT,0202U,HC NFCT DS 22 TRGT SARSCOV2 - BIOFIRE,2500.68,1475.4,301.27,2250.61,23
CPT,0219U,HC NFCT AGT HIV GNRJ SEQ ANLYS,7823.7,4615.98,942.57,7041.33,23
CPT,0232T,HC INJ PLSM IMAGE GUIDE HRVST/ PR,1594.92,941.0,194.01,1435.43,23
CPT,0236T,HC ATHERECTOMY ABD AORTA,12879.0,7598.61,1566.66,11591.1,23
CPT,0238T,HC TRLUML PERIP ATHRC ILIAC ART,22696.27,13390.8,5444.28,20426.64,23
CPT,0239U,HC FOUNDATIONONE LIQUID CDX 3PB(FOUNDATION F1LCDX),10274.25,6061.81,1237.8,9246.83,23
CPT,0240U,HC COVID-19 + FLU A/B - CEPHEID,855.78,504.91,103.1,770.2,23
CPT,0241U,HC COVID-19 + FLU A/B + RSV - CEPHEID,855.78,504.91,103.1,770.2,23
CPT,0275T,HC PERQ LAMOT/LAM LUMBAR,15733.73,9282.9,1913.93,14160.36,23
CPT,0276U,HC INHERITED THROMBOCYTOPENIA PNL (VERSITI #4840),8700.96,5133.57,1048.25,7830.86,23
CPT,0279U,HC VWF COLLAGEN III BINDING (VERSITI #1279/ #1281),69.18,40.82,8.33,62.26,23
CPT,0280U,HC VWF COLLAGEN IV BINDING (VERSITI #1279/#1280),103.62,61.14,12.48,93.26,23
CPT,0281U,HC VWD PROPEPTIDE ELISA (VERSITI),103.62,61.14,12.48,93.26,23
CPT,0282U,HC RBC DNA GNTYP 12 BLD GRP GEN-VERSITI,4320.0,2548.8,520.46,3888.0,23
CPT,0284U,HC VW FACTOR TYPE 2N EVAL PLSM,103.62,61.14,12.48,93.26,23
CPT,0318U,HC EPISIGN COMPLETE (GREENWOOD DEPI),10622.88,6267.5,1279.8,9560.59,23
CPT,0331T,HC HEART SYMP IMAGE PLNR,5541.07,3269.23,674.04,4986.96,23
CPT,0332T,HC NM MYOCARDIAL SYM INNERVATION W/SPECT,4188.76,2471.37,509.54,3769.88,23
CPT,0346U,HC QUEST AD-DETECT BETA AMYLD 42/40 (QUEST #11786),599.56,353.74,72.23,539.6,23
CPT,0358U,HC NEURO ALYS BETA-AMYL (MAYO AMYR),1563.0,922.17,188.3,1406.7,23
CPT,0361U,HC NEURFLMNT LT CHN DIG IA QUAN (MAYO),822.71,485.4,99.12,740.44,23
CPT,0364U,HC HEMATOLYMPHOID SEQ (ADAPTIVE BIOTECH),2060.0,1215.4,248.18,1854.0,23
CPT,0393U,HC ALPHA-SYNUCLEIN PROTEIN AGGREG CSF (MAYO ASYNC),3245.94,1915.1,391.06,2921.35,23
CPT,0431U,HC GLYCINE RECEPTOR 1 (MAYO ID SPPC OR SPPS),124.0,73.16,14.94,111.6,23
CPT,0432U,HC KLHL11 ANTB SR/CSF ASY QUAL,124.0,73.16,14.94,111.6,23
CPT,0441T,HC ABLTJ PERC LXTR/PERPH NRV,8512.89,5022.61,1035.55,7661.6,23
CPT,0442T,HC ABLTJ PERC PLEX/TRNCL NRV,11041.0,6514.19,1343.08,9936.9,23
CPT,0443U,HC MOTOR NEUROPATHY (NFL) (UNIV OF WASH ST LOUIS),57.75,34.07,6.96,51.98,23
CPT,0480U,HC NFCT DS CSF METAGENOMICS (MAYO MSCSF),3090.0,1823.1,372.27,2781.0,23
CPT,0483T,HC TMVI PERCUTANEOUS APPROACH,8615.0,5082.85,2066.53,7753.5,23
CPT,0484T,HC TMVI W/PROSTH VALVE TRANSTHOR EXPOSURE,8615.0,5082.85,2066.53,7753.5,23
CPT,0502T,HC COR FFR DATA PREP & TRANSMIS,1941.92,1145.73,465.82,1747.73,23
CPT,0503T,HC COR FFR ALYS GNRJ FFR MDL,5299.0,3126.41,1271.1,4769.1,23
CPT,0503U,HC NEURO BETA AMYL&TAU (MAYO C2AD2),4500.0,2655.0,542.14,4050.0,23
CPT,0569T,HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS,8284.0,4887.56,1987.13,7455.6,23
CPT,0570T,HC TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS,8284.0,4887.56,1987.13,7455.6,23
CPT,0576T,HC INTERROG DEV EVAL ICDS SS IP,150.96,89.07,18.36,135.86,23
CPT,0583T,HC TMPST AUTO TUBE DLVR SYS,12911.0,7617.49,1570.56,11619.9,23
CPT,0600T,HC IRE ABLTJ 1+TUM ORGAN PERQ,12799.81,7551.89,1557.03,11519.83,23
CPT,0620T,HC EVASC VEN ARTLZ TIBL/PRNL VN,14837.15,8753.92,1804.86,13353.44,23
CPT,0624T,HC AUTO QUAN C PLAQ DATA PREP,3922.38,2314.2,657.68,3530.14,23
CPT,0625T,HC AUTO QUAN C PLAQ CPTR ALYS,3922.38,2314.2,657.68,3530.14,23
CPT,0643T,HC TCAT L VENTR RSTRJ DEV IMPLT,24442.68,14421.18,5863.2,21998.41,23
CPT,0645T,HC TCAT IMPLTJ C SINS RDCTJ DEV,20656.08,12187.09,4954.89,18590.47,23
CPT,0646T,HC TTVI/RPLC PROSTC VLV PERQ W/R HRT CATH&ANGR,12911.05,7617.52,3097.05,11619.95,23
CPT,0648T,HC QUAN MR ALYS TISS COMPJ W/O MRI SAME SESS 1ORGN,3993.22,2356.0,669.56,3593.9,23
CPT,0649T,HC QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN,3993.22,2356.0,669.56,3593.9,23
CPT,0662T,HC SCALP COOL 1ST MEAS&CALBR,7324.42,4321.41,890.98,6591.98,23
CPT,0663T,HC SCALP COOL PLMT MNTR RMVL,330.24,194.84,40.17,297.22,23
CPT,0673T,HC ABLTJ B9 THYR NDUL PERQ LASR,5584.61,3294.92,679.34,5026.15,23
CPT,0686T,HC HISTOTRIPSY MAL HEPATCEL TIS,8858.0,5226.22,1077.53,7972.2,23
CPT,0689T,HC QUAN US TIS CHARAC W/O DX US,330.82,195.18,55.47,297.74,23
CPT,0690T,HC QUAN US TIS CHARAC W/DX US,776.3,458.02,94.43,698.67,23
CPT,0715T,HC PERQ TRLUML CORONRY LITHOTRP,6244.64,3684.34,1497.94,5620.18,23
CPT,0720T,HC PRQ ELC NRV STIM CN WO IMPLT,1082.94,638.93,131.73,974.65,23
CPT,0739T,HC ABLTJ MAL PRST8 MAG FLD NDCT,13226.36,7803.55,1608.92,11903.72,23
CPT,0742T,HC AQMBF SPECT XERS/STRS & REST,1409.08,831.36,171.41,1268.17,23
CPT,0749T,HC B1 STR&FX RSK ASSMT DXR-BMD,414.32,244.45,69.47,372.89,23
CPT,0751T,HC DGTZ GLS MCRSCP SLD LEVEL II,51.5,30.39,6.2,46.35,23
CPT,0752T,HC DGTZ GLS MCRSCP SLD LVL III,72.0,42.48,8.67,64.8,23
CPT,0753T,HC DGTZ GLS MCRSCP SLD LEVEL IV,76.5,45.14,9.22,68.85,23
CPT,0754T,HC DGTZ GLS MCRSCP SLD LEVEL V,332.5,196.18,40.06,299.25,23
CPT,0755T,HC DGTZ GLS MCRSCP SLD LEVEL VI,704.5,415.66,84.88,634.05,23
CPT,0756T,HC DGTZ GLS MCRSCP SLD SPC GRPI,110.5,65.2,13.31,99.45,23
CPT,0757T,HC DGTZ GLS MCRSCP SL SPC GRPII,87.0,51.33,10.48,78.3,23
CPT,0758T,HC DGTZ GLS MCRSCP SL SPC HCHEM,215.0,126.85,25.9,193.5,23
CPT,0759T,HC DGTZ GLS MCRSCP SL SP GRPIII,228.5,134.82,27.53,205.65,23
CPT,0760T,HC DGTZ GLS MCRSCP SL IMM 1ST,332.5,196.18,40.06,299.25,23
CPT,0761T,HC DGTZ GLS MCRSCP SL IMM EA 1,239.5,141.31,28.85,215.55,23
CPT,0762T,HC DGTZ GLS MCRSCP SL IMM EA M,332.5,196.18,40.06,299.25,23
CPT,0763T,HC DGTZ GLS MCRSCP MPHMTRC ALYS,332.5,196.18,40.06,299.25,23
CPT,0766T,HC TC MAG STIMJ PN 1ST TX 1NRV,600.15,354.09,73.01,540.14,23
CPT,0767T,HC TC MAG STIMJ PN 1ST TX EA,300.07,177.04,36.5,270.06,23
CPT,0768T,HC TC MAG STIMJ PN SBSQ TX 1NRV,600.15,354.09,73.01,540.14,23
CPT,0769T,HC TC MAG STIMJ PN SBSQ TX EA,300.07,177.04,36.5,270.06,23
CPT,0778T,HC SMMG CNCRNT APPL IMU SNR,600.15,354.09,25.23,540.14,23
CPT,0795T,HC TCAT INS 2CHMBR LDLS PM CMPL,23483.17,13855.07,5633.04,21134.85,23
CPT,0796T,HC TCAT INS 2CHMBR LDLS PM RA,23483.17,13855.07,5633.04,21134.85,23
CPT,0797T,HC TCAT INS 2CHMBR LDLS PM RV,70885.78,41822.61,17003.77,63797.2,23
CPT,0798T,HC TCAT RMV 2CHMBR LDLS PM CMPL,15774.45,9306.93,3783.9,14197.01,23
CPT,0799T,HC TCAT RMVL 2CHMBR LDLS PM RA,15774.45,9306.93,3783.9,14197.01,23
CPT,0800T,HC TCAT RMVL 2CHMBR LDLS PM RV,12293.12,7252.94,2948.82,11063.81,23
CPT,0801T,HC TCAT RMV&RPL 2CHMBR LDLS PM,23483.17,13855.07,5633.04,21134.85,23
CPT,0802T,HC TCAT RMV&RPL2CHMB LDLS PM RA,23483.17,13855.07,5633.04,21134.85,23
CPT,0803T,HC TCAT RMV&RPL2CHMB LDLS PM RV,70885.78,41822.61,17003.77,63797.2,23
CPT,0804T,HC PRGRMG EVL LDLS PM 2CHMBR IP,144.45,85.23,34.65,130.01,23
CPT,0823T,HC TCAT INS 1CHMBR LDLS PM RA,77996.56,46017.97,18709.47,70196.9,23
CPT,0824T,HC TCAT RMV 1CHMBR LDLS PM RA,12759.04,7527.83,3060.58,11483.14,23
CPT,0825T,HC TCAT RMV&RPL1CHMB LDLS PM RA,77996.56,46017.97,18709.47,70196.9,23
CPT,0826T,HC PRGRMG EVL LDLS PM 1CHMBR IP,150.96,89.07,36.21,135.86,23
CPT,0864T,HC LOW NTSTY ESWT CORPUS CVRNSM,989.31,583.69,120.34,890.38,23
CPT,0865T,HC QUAN MRI ALYS BRN W/O DX MRI,980.84,578.7,164.46,882.76,23
CPT,0866T,HC QUAN MRI ALYS BRN W/DX MRI,980.84,578.7,164.46,882.76,23
CPT,0913T,HC PERQ TCAT THER RX NTRAC BALO1,23852.61,14073.04,5721.66,21467.35,23
CPT,0914T,HC PRQ TCAT THR RX NTRC BAL SEP,11926.3,7036.52,2860.83,10733.67,23
CPT,0944T,HC 3D CONTOUR SIMULA TARGET LIVER LESION(S),1011.26,596.64,169.56,910.13,23
CPT,10004,HC FNA BX W/O IMG GDN EA ADDL,346.95,204.7,42.2,312.26,23
CPT,10005,HC FNA BX W/US GDN 1ST LES,2697.0,1591.23,328.08,2427.3,23
CPT,10006,HC FNA BX W/US GDN EA ADDL,1348.5,795.62,164.04,1213.65,23
CPT,10007,HC FNA BX W/FLUOR GDN 1ST LES,2697.0,1591.23,328.08,2427.3,23
CPT,10008,HC FNA BX W/FLUOR GDN EA ADDL,1348.5,795.62,164.04,1213.65,23
CPT,10009,HC FNA BX W/CT GDN 1ST LES,2697.0,1591.23,328.08,2427.3,23
CPT,10010,HC FNA BX W/CT GDN EA ADDL,1348.5,795.62,164.04,1213.65,23
CPT,10011,HC FNA BX W/MR GDN 1ST LES,2697.0,1591.23,328.08,2427.3,23
CPT,10012,HC FNA BX W/MR GDN EA ADDL,1348.5,795.62,164.04,1213.65,23
CPT,10021,"HC ASP FINE NDL W/O IMAG GUIDANCE, 1ST LESION",1498.0,883.82,182.22,1348.2,23
CPT,10030,HC GUIDE CATHET FLUID DRAINAGE,1967.25,1160.68,239.31,1770.53,23
CPT,10035,HC PERQ DEV SOFT TISS 1ST IMAG,1967.25,1160.68,239.31,1770.53,23
CPT,10036,HC PERQ DEV SOFT TISS ADD IMAG,841.8,496.66,102.4,757.62,23
CPT,10040,HC DERM ACNE SURG,563.23,332.31,68.51,506.91,23
CPT,10060,HC I&D ABSC SMPL,563.23,332.31,68.51,506.91,23
CPT,10061,HC I&D ABSC CMPLX,1075.81,634.73,130.87,968.23,23
CPT,10080,HC I&D CYST PILONIDAL SMPL,2678.06,1580.06,325.77,2410.25,23
CPT,10081,HC I&D PILONIDAL CYST CMPLC,2678.06,1580.06,325.77,2410.25,23
CPT,10120,HC INCISION/REM FOREIGN BODY SC SMPL,1075.81,634.73,130.87,968.23,23
CPT,10121,HC INCISION/REM FOREIGN BODY SC CMPLX,4447.07,2623.77,540.96,4002.36,23
CPT,10140,HC I&D HEMATOMA/SEROMA/FLUID,4447.07,2623.77,540.96,4002.36,23
CPT,10160,HC ASP ABSC/HEMATOMA/BULLA/CYST,1498.0,883.82,182.22,1348.2,23
CPT,10180,HC I&D WOUND POST OP CMPLX,7815.3,4611.03,950.69,7033.77,23
CPT,11000,HC DEBR SKIN 10% BODY SURFACE,1664.36,981.97,202.46,1497.92,23
CPT,11004,HC DBRDMT SKIN XTRNL GENT&PER,10489.52,6188.82,1276.0,9440.57,23
CPT,11005,HC DEBR SKIN/SC/MSCL NECROTIZ ABD WALL,15056.22,8883.17,1831.51,13550.6,23
CPT,11010,HC DEBR/REM FB OPEN SKIN/SC,1967.25,1160.68,239.31,1770.53,23
CPT,11042,HC DEBR SKIN/SC TISS 1ST 20 SQCM,1414.32,834.45,172.04,1272.89,23
CPT,11043,HC DEBR SKIN/SC TISS/MSCL 1ST 20 SQCM,2143.05,1264.4,260.69,1928.75,23
CPT,11044,HC DEBR SKIN/SC TISS/MSCL/B0NE <= 20 SQCM,5757.33,3396.82,700.35,5181.6,23
CPT,11045,HC DEBR SKIN/SC TISS EA ADD 20 SQCM,707.16,417.22,86.02,636.44,23
CPT,11046,HC DEBR MSCL AND/OR FASCIA EA ADD 20 SQCM,1131.78,667.75,137.68,1018.6,23
CPT,11047,HC DEBR BONE EA ADD 20 SQCM,2878.67,1698.42,350.18,2590.8,23
CPT,11055,HC PARING/CUTTING LESN BGN 1,801.36,472.8,97.48,721.22,23
CPT,11056,HC PARING/CUTTING LESN BGN 2-4,801.36,472.8,97.48,721.22,23
CPT,11057,HC PARING/CUTTING LESN BGN SKIN > 4,801.36,472.8,97.48,721.22,23
CPT,11102,HC TANGNTL BX SKIN SINGLE LES,778.3,459.2,94.68,700.47,23
CPT,11103,HC TANGNTL BX SKIN EA SEP/ADDL,389.15,229.6,47.34,350.24,23
CPT,11104,HC PUNCH BX SKIN SINGLE LESION,1498.0,883.82,182.22,1348.2,23
CPT,11105,HC PUNCH BX SKIN EA SEP/ADDL,749.0,441.91,91.11,674.1,23
CPT,11106,HC INCAL BX SKN SINGLE LES,2269.86,1339.22,276.12,2042.87,23
CPT,11107,HC INCAL BX SKN EA SEP/ADDL,1134.93,669.61,138.06,1021.44,23
CPT,11200,HC REM SKIN TAG <15,778.3,459.2,94.68,700.47,23
CPT,11300,HC SHAVE LESN SKIN TRUNK/ARM/LEG <0.5CM,149.92,88.45,18.24,134.93,23
CPT,11301,HC SHAVE LESN SKIN TRUNK/ARM/LEG 0.6-1.0CM,157.02,92.64,19.1,141.32,23
CPT,11302,HC SHAVE LESN SKIN TRUNK/ARM/LEG 1.1-2.0CM,162.08,95.63,19.72,145.87,23
CPT,11303,HC SHAVE LESN TRUNK/ARM/LEG > 2.0CM,666.55,393.26,81.08,599.9,23
CPT,11305,HC SHAVE LESN SKIN SCLP/HND/FT/GEN <0.5CM,153.98,90.85,18.73,138.58,23
CPT,11306,HC SHAVE LESN SKIN SCLP/HND/FT/GEN 0.6-1CM,563.23,332.31,68.51,506.91,23
CPT,11307,HC SHAVE LESN SKIN SCLP/HND/FT/GEN 1.1-2CM,471.05,277.92,57.3,423.95,23
CPT,11308,HC SHAVE LESN SCLP/HND/GEN > 2.0CM,1596.11,941.7,194.16,1436.5,23
CPT,11310,HC SHAVE LESN SKIN FACE/EAR/LIP <0.5CM,563.23,332.31,68.51,506.91,23
CPT,11311,HC SHAVE LESN SKIN FACE/EAR/LIP 0.6-1.0CM,563.23,332.31,68.51,506.91,23
CPT,11312,HC SHAVE LESN FACE/EAR/LIP 1.1-2.0CM,726.32,428.53,88.35,653.69,23
CPT,11400,HC EXC LESN BGN TRUNK/ARM/LEG <0.5CM,2678.06,1580.06,325.77,2410.25,23
CPT,11401,HC EXC LESN BGN TRUNK/ARM/LEG 0.6-1.0CM,1539.51,908.31,187.27,1385.56,23
CPT,11402,HC EXC LESN BGN TRUNK/ARM/LEG 1.1-2.0CM,2678.06,1580.06,325.77,2410.25,23
CPT,11403,HC EXC LESN BGN TRUNK/ARM/LEG 2.1-3.0CM,2678.06,1580.06,325.77,2410.25,23
CPT,11404,HC EXC LESN BGN TRUNK/ARM /LEG 3.1-4.0CM,6188.11,3650.98,752.75,5569.3,23
CPT,11406,HC EXC LESN BGN TRUNK/ARM >4.0CM,6188.11,3650.98,752.75,5569.3,23
CPT,11420,HC EXC LESN BGN SCALP/HAND/FT/GEN <0.5CM,3590.07,2118.14,436.71,3231.06,23
CPT,11421,HC EXC LESN BGN SCALP/HAND/FT/GEN 0.6-1.0CM,1967.25,1160.68,239.31,1770.53,23
CPT,11422,HC EXC LESN BGN SCALP/HAND/FT/GEN 1.1-2.0CM,4447.07,2623.77,540.96,4002.36,23
CPT,11423,HC EXC LESN BGN SCALP/HAND/FT/GEN 2.1-3.0CM,4447.07,2623.77,540.96,4002.36,23
CPT,11424,HC EXC LESN BGN SCALP/HND 3.1-4.0,5757.33,3396.82,700.35,5181.6,23
CPT,11426,HC EXC LESN BGN SCALP/HAND/FT/GEN >4.0CM,9200.0,5428.0,1119.13,8280.0,23
CPT,11440,HC EXC LESN BGN FACE/EAR/LIP <= 0.5CM,1967.25,1160.68,239.31,1770.53,23
CPT,11441,HC EXC LESN BGN FACE/EAR/LIP 0.6-1.0CM,1967.25,1160.68,239.31,1770.53,23
CPT,11442,HC EXC LESN BGN FACE/EAR/LIP 1.1-2.0CM,1967.25,1160.68,239.31,1770.53,23
CPT,11443,HC EXC LESN BGN FACE/EAR 2.1-3.0,4447.07,2623.77,540.96,4002.36,23
CPT,11444,HC EXC LESN BGN FACE/EAR 3.1-4.0,3684.28,2173.73,448.17,3315.85,23
CPT,11446,HC EXC LESION BENIGN FACE/EAR/LIP >4.0CM,9200.0,5428.0,1119.13,8280.0,23
CPT,11600,HC EXC LESN MALIG TRUNK/ARM/LEG <0.5CM,1967.25,1160.68,239.31,1770.53,23
CPT,11601,HC EXC LESN MALIG TRUNK/ARM/LEG 0.6-1.0CM,1967.25,1160.68,239.31,1770.53,23
CPT,11602,HC EXC LESN MAL TRUNK/ARM 1.1-2.0,1075.81,634.73,130.87,968.23,23
CPT,11603,HC EXC LESN MAL TRUNK/ARM 2.1-3.0,1967.25,1160.68,239.31,1770.53,23
CPT,11604,HC EXC LESN MAL TRUNK/ARM 3.1-4.0,1967.25,1160.68,239.31,1770.53,23
CPT,11606,HC EXC LESN MALIG TRUNK/ARM/LEG >4.0CM,6098.02,3597.83,741.79,5488.22,23
CPT,11620,HC EXC LESN MALIG SCALP/HAND/FT/GEN <= 0.5 CM,2706.74,1596.98,329.26,2436.07,23
CPT,11621,HC EXC LESN MALIG SCALP/HAND/FT/GEN 0.6 - 1.0 CM,2697.0,1591.23,328.08,2427.3,23
CPT,11622,HC EXC LESN MALIG SCALP/HAND/FT/GEN 1.1 - 2.0 CM,2697.0,1591.23,328.08,2427.3,23
CPT,11623,HC EXC LESN MALIG SCALP/HAND/FT/GEN 2.1 - 3.0 CM,4447.07,2623.77,540.96,4002.36,23
CPT,11624,HC EXC LESN MALIG SCALP/HAND/FT/GEN 3.1 - 4.0 CM,4447.07,2623.77,540.96,4002.36,23
CPT,11640,HC EXC LESN MALIG FACE/EAR/LIP < 0.5 CM,1967.25,1160.68,239.31,1770.53,23
CPT,11641,HC EXC LESN MALIG FACE/EAR/LIP 0.6 - 1.0 CM,1967.25,1160.68,239.31,1770.53,23
CPT,11642,HC EXC LESN MALIG FACE/EAR/LIP 1.1 -2.0 CM,1967.25,1160.68,239.31,1770.53,23
CPT,11643,HC EXC LESN MALIG FACE/EAR/LIP 2.1 - 3.0 CM,5757.33,3396.82,700.35,5181.6,23
CPT,11646,HC EXC LESN MALIG FACE/EAR/LIP > 4 CM,11374.09,6710.71,1383.6,10236.68,23
CPT,11719,HC TRIMMING NAILS NONDYSTROPHIC,244.86,144.47,29.79,220.37,23
CPT,11720,HC DEBR NAIL(S) UP TO 5,244.86,144.47,29.79,220.37,23
CPT,11721,HC DEBR NAIL(S) 6 OR MORE,244.86,144.47,29.79,220.37,23
CPT,11730,HC AVULSION NAIL PLATE SNGL,505.49,298.24,61.49,454.94,23
CPT,11732,HC AVULSION NAIL PLATE EA ADDL,146.89,86.67,17.87,132.2,23
CPT,11740,HC EVAC HEMATOMA SUBUNGAL,200.57,118.34,24.4,180.51,23
CPT,11750,HC EXC NAIL & MATRIX,1596.11,941.7,194.16,1436.5,23
CPT,11755,HC BIOPSY NAIL UNIT,1967.25,1160.68,239.31,1770.53,23
CPT,11760,HC RPR NAIL BED,1304.74,769.8,158.71,1174.27,23
CPT,11765,HC EXC WEDGE SKIN NAIL FOLD,506.5,298.84,61.61,455.85,23
CPT,11770,HC EXC CYST PILONIDAL SMPL,7815.3,4611.03,950.69,7033.77,23
CPT,11772,HC EXCISION CYST PILONIDAL COMPLEX,9568.0,5645.12,1163.9,8611.2,23
CPT,11900,HC INJ INTRALESNAL UP TO/INCLUDING 7 LESNS,745.19,439.66,90.65,670.67,23
CPT,11901,HC INJ INTRALESNAL > 7 LESNS,563.23,332.31,68.51,506.91,23
CPT,11960,HC INSERT TISSUE EXPANDER INCL SBSQ XPNSJ,10122.0,5971.98,1231.29,9109.8,23
CPT,11976,HC REM CONTRACEPTIVE CAPS,1967.25,1160.68,239.31,1770.53,23
CPT,11980,HC IMPLANT PELLET HORMONE SUBQ,1176.25,693.99,143.08,1058.63,23
CPT,11981,HC INS IMPL DRUG DEL NON-BIODEGRADABLE,479.15,282.7,58.29,431.24,23
CPT,11982,HC REM IMPL DRUG DEL NON-BIODEGRADABLE,1558.1,919.28,189.53,1402.29,23
CPT,11983,HC REM/REINS DRUG DEL NON-BIODEGRADABLE,1558.1,919.28,189.53,1402.29,23
CPT,12001,HC RPR LAC SMPL SCLP/HND/FT/GEN <2.5CM,563.23,332.31,68.51,506.91,23
CPT,12002,HC RPR LAC SMPL SCLP/HND/FT/GEN 2.6-7.5CM,563.23,332.31,68.51,506.91,23
CPT,12004,HC RPR LAC SMPL SCLP/HND/FT/GEN 7.6-12.5CM,778.3,459.2,94.68,700.47,23
CPT,12005,HC RPR LAC SMPL SCLP/HND/FT/GEN 12.6-20.0CM,1075.81,634.73,130.87,968.23,23
CPT,12006,HC RPR LAC SMPL SCLP/HND/FT/GEN 20.1-30.0CM,1075.81,634.73,130.87,968.23,23
CPT,12007,HC RPR LAC SMPL SCLP/HND/FT/GEN > 30 CM,563.23,332.31,68.51,506.91,23
CPT,12011,HC RPR LAC SMPL FACE/EAR/LIPS <=2.5CM,563.23,332.31,68.51,506.91,23
CPT,12013,HC RPR LAC SMPL FACE/EAR/LIPS 2.6-5.0CM,563.23,332.31,68.51,506.91,23
CPT,12014,HC RPR LAC SMPL FACE/EAR/LIPS 5.1-7.5CM,563.23,332.31,68.51,506.91,23
CPT,12015,HC RPR LAC SMPL FACE/EAR/LIPS 7.6-12.5CM,563.23,332.31,68.51,506.91,23
CPT,12016,HC RPR LAC SMPL FACE/EAR/LIPS 12.6-20.0CM,563.23,332.31,68.51,506.91,23
CPT,12020,HC CLOSE SMPL WOUND DEHISCENCE SUPERFICIAL,2269.86,1339.22,276.12,2042.87,23
CPT,12021,HC PACKING WOUND DEHISCENCE SUPERFICIAL,1075.81,634.73,130.87,968.23,23
CPT,12031,HC RPR LAC INTMD SCLP/AXIL/TRUNK <= 2.5CM,1075.81,634.73,130.87,968.23,23
CPT,12032,HC RPR LAC INTMD SCLP/AXIL/TRUNK 2.6-7.5CM,1075.81,634.73,130.87,968.23,23
CPT,12034,HC RPR LAC INTMD SCLP/AXIL/TRUNK 7.6-12.5CM,1075.81,634.73,130.87,968.23,23
CPT,12035,HC RPR LAC INTMD SCLP/AXIL/TRUNK 12.6-20CM,1075.81,634.73,130.87,968.23,23
CPT,12036,HC RPR LAC INTMD SCLP/AXIL/TRUNK 20.1-30CM,1664.36,981.97,202.46,1497.92,23
CPT,12037,HC RPR LAC INTMD SCLP/AXIL/TRUNK > 30CM,7008.45,4134.99,852.54,6307.61,23
CPT,12041,HC RPR LAC INTMD NCK/HND/FT/GEN <= 2.5CM,979.57,577.95,119.16,881.61,23
CPT,12042,HC RPR LAC INTMD NCK/HND/FT/GEN 2.6-7.5CM,1498.0,883.82,182.22,1348.2,23
CPT,12044,HC RPR LAC INTMD NCK/HND/FT/GEN 7.6-12.5CM,1358.43,801.47,165.25,1222.59,23
CPT,12045,HC RPR LAC INTMD NCK/HND/FT/GEN 12.6-20CM,1664.36,981.97,202.46,1497.92,23
CPT,12051,HC RPR LAC INTMD FACE/EAR/LIPS <=2.5CM,563.23,332.31,68.51,506.91,23
CPT,12052,HC RPR LAC INTMD FACE/EAR/LIPS 2.6-5.0CM,1075.81,634.73,130.87,968.23,23
CPT,12053,HC RPR LAC INTMD FACE/EAR/LIPS 5.1-7.5CM,1075.81,634.73,130.87,968.23,23
CPT,12054,HC RPR LAC INTMD FACE/EAR/LIPS 7.6-12.5CM,1075.81,634.73,130.87,968.23,23
CPT,12055,HC RPR LAC INTMD FACE/EAR/LIPS 12.6-20CM,1075.81,634.73,130.87,968.23,23
CPT,13100,HC RPR LAC CMPLX TRUNK 1.1-2.5 CM,1664.36,981.97,202.46,1497.92,23
CPT,13101,HC RPR LAC CMPLX TRUNK 2.6-7.5CM,1664.36,981.97,202.46,1497.92,23
CPT,13102,HC RPR LAC CMPLX TRUNK ADD 5CM,1427.32,842.12,173.63,1284.59,23
CPT,13120,HC RPR LAC CMPLX SCALP/ARM/LEG 1.1-2.5CM,866.12,511.01,105.36,779.51,23
CPT,13120,HCPR REPAIR LAC COMPLEX SCALP/ARM/LEG 1.1-2.5CM,774.81,457.14,130.57,697.33,23
CPT,13121,HC RPR LAC CMPLX SCALP/ARM/LEG 2.6-7.5CM,1664.36,981.97,202.46,1497.92,23
CPT,13122,HC RPR LAC CMPLX SCALP/ARM/LEG EA ADDL 5CM,1270.3,749.48,154.53,1143.27,23
CPT,13131,HC RPR LAC CPLX FOREHD/HND/FT/GEN 1.1-2.5CM,1075.81,634.73,130.87,968.23,23
CPT,13132,HC RPR LAC CPLX FOREHD/HND/FT/GEN 2.6-7.5CM,1760.01,1038.41,214.1,1584.01,23
CPT,13133,HC RPR LAC CMPLX FOREHD/HND/FT/GEN ADDL 5CM,1546.85,912.64,188.17,1392.17,23
CPT,13151,HC RPR LAC CMPLX EYE/NOSE/EAR/LIP 1.1-2.5CM,1664.36,981.97,202.46,1497.92,23
CPT,13152,HC RPR LAC CMPLX EYE/NOSE/EAR/LIP 2.6-7.5CM,1664.36,981.97,202.46,1497.92,23
CPT,13153,HC RPR LAC CMPLX EYE/NOSE/EAR/LIP ADDL 5CM,1441.5,850.49,175.35,1297.35,23
CPT,13160,HC CLOSURE WOUND CMPLX SECONDARY,5234.17,3088.16,636.71,4710.75,23
CPT,14000,HC TIS TRNFR TRUNK 10 SQ CM/<,8284.0,4887.56,1007.71,7455.6,23
CPT,14020,HC TRX TISS SCALP/ARM/LEG <= 10CM,8284.0,4887.56,1007.71,7455.6,23
CPT,14021,HC TRX TISS SCALP/ARM/LEG 10.1-30.0CM,9539.86,5628.52,1160.47,8585.87,23
CPT,14040,HC TRX TISS FOREHD/HAND/FT/GEN <= 10CM,5234.17,3088.16,636.71,4710.75,23
CPT,14041,HC TRX TISS FOREHD/HAND/FT/GEN 10.1-30.0CM,5234.17,3088.16,636.71,4710.75,23
CPT,14060,HC TRX TISS EYE/NOSE/EAR/LIP <= 10CM,5234.17,3088.16,636.71,4710.75,23
CPT,14301,HC TRX TISS ANY AREA DEFECT 30.1 - 60 SQCM,9087.62,5361.7,1105.46,8178.86,23
CPT,15002,HC WOUND PREP TRUNK/ARM/LEG 100 SQ CM,1470.88,867.82,178.92,1323.79,23
CPT,15110,HC EPIDRM AUTOGRFT TRNK/ARM/LEG 100SQ CM,5234.17,3088.16,636.71,4710.75,23
CPT,15115,HC EPIDRM A-GRFT FACE/NCK/HF/G 100 SQ CM,5234.17,3088.16,636.71,4710.75,23
CPT,15240,HC GRAFT FULL THICK FOREHD/HND/FT/GEN <20CM,2692.55,1588.6,327.53,2423.3,23
CPT,15271,HC APP SKN SUB GRAFT T/A/L AREA/100 SC FIRST 25 SC,7008.44,4134.98,852.54,6307.6,23
CPT,15272,HC APP SKN SUB GRFT T/A/L AREA/100 SC EA ADL 25 SC,500.6,295.35,60.9,450.54,23
CPT,15275,HC GFT F/S/N/H/G/M/D  <100SCM <1ST 25SCM,7253.0,4279.27,882.29,6527.7,23
CPT,15276,HC GFT F/S/N/H/G/M/D  <100SCM EA ADD 25SCM,500.6,295.35,60.9,450.54,23
CPT,15277,HC GFT SKIN SUB F/S/E >/=100CM,8284.0,4887.56,1007.71,7455.6,23
CPT,15278,HC GFT SKIN SUB F/S >/=100CM EA,4142.0,2443.78,503.85,3727.8,23
CPT,15734,HC MUSCLE-SKIN GRAFT TRUNK,10831.48,6390.57,1317.59,9748.33,23
CPT,15760,HC GRAFT COMPOSITE SKIN,7826.0,4617.34,951.99,7043.4,23
CPT,15851,HC REMOVAL SUTR/STAPLE REQ ANES,7653.84,4515.77,931.05,6888.46,23
CPT,15852,HC DRESSING CHANGE NOT FOR BURN,7907.0,4665.13,961.85,7116.3,23
CPT,15853,HC REMOVAL SUTURES OR STAPLES W/O ANES,535.76,316.1,65.17,482.18,23
CPT,15854,HC REMOVAL SUTURES AND STAPLES W/O ANES,535.76,316.1,65.17,482.18,23
CPT,16000,HC TX BURN INIT 1ST DEGREE,563.23,332.31,68.51,506.91,23
CPT,16020,HC DRESS/DEBR PA-THICK BURN <5% INIT/SQ SM,563.23,332.31,68.51,506.91,23
CPT,16025,HC DRESS/DEBR BURN 5-10% TOTAL MEDIUM,563.23,332.31,68.51,506.91,23
CPT,16030,HC DRESS/DEBR BURN >10% TOTAL LARGE,788.11,464.98,95.87,709.3,23
CPT,16035,HC ESCHAROTOMY INIT,1539.51,908.31,187.27,1385.56,23
CPT,17000,HC DEST LESN PREMALIG 1ST LESN,801.36,472.8,97.48,721.22,23
CPT,17003,HC DEST LESN BGN/PREMALIG 2-14,61.13,36.07,7.44,55.02,23
CPT,17004,HC DEST LESN PREMALIG 15 OR MORE LESNS,1596.11,941.7,194.16,1436.5,23
CPT,17106,HC DEST LESN VASCULAR CUTANEOUS <10 SQCM,317.07,187.07,38.57,285.36,23
CPT,17110,HC DEST BGN LESNS UP TO 14 LESNS,801.36,472.8,97.48,721.22,23
CPT,17111,HC DEST BGN LESNS > 15,801.36,472.8,97.48,721.22,23
CPT,17250,HC CAUTERIZATION CHEM TISS GRANULATION,801.36,472.8,97.48,721.22,23
CPT,17260,HC DEST LESN MALIG TRUNK/ARM/LEG <0.5CM,563.23,332.31,68.51,506.91,23
CPT,17261,HC DEST LESN MALIG TRUNK/ARM/LEG 0.6-1.0CM,563.23,332.31,68.51,506.91,23
CPT,17262,HC DEST LESN MALIG TRUNK/ARM/LEG 1.1-2.0CM,563.23,332.31,68.51,506.91,23
CPT,17263,HC DEST LESN MALIG TRUNK/ARM/LEG 2.1 - 3.0 CM,563.23,332.31,68.51,506.91,23
CPT,17271,HC DEST LESN MALIG SCALP/HAND/FT/GEN .6-1.0,7907.0,4665.13,961.85,7116.3,23
CPT,17273,HC DEST LESN MALIG SCALP/HAND/FT/GEN 2.1 - 3.0 CM,1145.89,676.08,139.39,1031.3,23
CPT,17281,HC DEST LESN MALIG FACE/EAR/LIP 0.6 - 1.0 CM,1414.32,834.45,172.04,1272.89,23
CPT,17282,HC DEST LESN MALIG FACE/EAR/LIP 1.1 - 2.0 CM,1596.11,941.7,194.16,1436.5,23
CPT,17999,HC SKIN/MUC MEM/SUBQ TISS UNLSTD,563.23,332.31,68.51,506.91,23
CPT,19000,HC ASP CYST BREAST,2816.31,1661.62,342.59,2534.68,23
CPT,19001,HC ASP CYST BREAST EA ADDL,414.32,244.45,50.4,372.89,23
CPT,19020,HC MASTOTOMY W/EXPLORE/DRAIN ABSC DEEP,3803.82,2244.25,462.71,3423.44,23
CPT,19030,HC INJ MAMMARY DUCTOGRAM/GALACTOGRAM,1160.9,684.93,141.22,1044.81,23
CPT,19081,HC BX BREAST 1ST LESION STEREOTACTIC,4447.07,2623.77,540.96,4002.36,23
CPT,19082,HC BX BREAST ADD LESION STEREOTACTIC,1615.74,953.29,196.55,1454.17,23
CPT,19083,HC BX BREAST 1ST LESION US IMAGE,4447.07,2623.77,540.96,4002.36,23
CPT,19084,HC BX BREAST ADD LESION US IMAGE,1501.27,885.75,182.62,1351.14,23
CPT,19085,HC BX BREAST 1ST LESION MR IMAGE,4447.07,2623.77,540.96,4002.36,23
CPT,19086,HC BX BREAST ADD LESION MR IMAGE,1748.44,1031.58,212.69,1573.6,23
CPT,19100,HC BX BREAST NDL PERC W/O GUIDANCE,1810.23,1068.04,220.2,1629.21,23
CPT,19101,HC BX BREAST INCISIONAL,8307.61,4901.49,1010.58,7476.85,23
CPT,19120,HC EXC CYST/LESN BREAST,6424.45,3790.43,781.5,5782.01,23
CPT,19281,HC PERQ DEV BREAST MAMMO GUIDE 1ST IMAGE,1967.25,1160.68,239.31,1770.53,23
CPT,19282,HC PERQ DEV BREAST MAMMO GUIDE EA IMAGE,962.35,567.79,117.06,866.12,23
CPT,19283,HC PERQ DEV BREAST 1ST STEREOTACTIC,1967.25,1160.68,239.31,1770.53,23
CPT,19285,HC PERQ DEV BREAST 1ST US IMAGE,1967.25,1160.68,239.31,1770.53,23
CPT,19286,HC PERQ DEV BREAST ADD US IMAGE,826.61,487.7,100.55,743.95,23
CPT,19287,HC PERQ DEV BREAST 1ST MR GUIDE,2816.31,1661.62,342.59,2534.68,23
CPT,19288,HC PERQ DEV BREAST ADD MR GUIDE,1408.16,830.81,171.3,1267.34,23
CPT,19380,HC REV RECONSTRUCTED BREAST,13983.28,8250.14,1700.99,12584.95,23
CPT,19499,HC BREAST UNLISTED PROC,5425.63,3201.12,660.0,4883.07,23
CPT,20102,HC EXPLORE PENETRATING WOUND ABD/BACK/FLANK,5234.17,3088.16,636.71,4710.75,23
CPT,20103,HC EXPLORE PENETRATING WOUND EXTREM,1967.25,1160.68,239.31,1770.53,23
CPT,20205,HC BX MUSCLE DEEP,6159.04,3633.83,749.21,5543.14,23
CPT,20206,HC BX MSCL NDL PERC,4447.07,2623.77,540.96,4002.36,23
CPT,20220,HC BX BONE TROCAR/NDL SUPERFICIAL,4447.07,2623.77,540.96,4002.36,23
CPT,20225,HC BX BONE TROCAR/NDL DEEP,4447.07,2623.77,540.96,4002.36,23
CPT,20240,HC BIOPSY BONE OPEN SUPERFICIAL,7815.3,4611.03,950.69,7033.77,23
CPT,20245,HC BONE BIOPSY OPEN DEEP,10595.61,6251.41,1288.9,9536.05,23
CPT,20500,HC INJECT SINUS TRACT THERAPEUTIC,3748.1,2211.38,455.94,3373.29,23
CPT,20501,HC INJ SINUS TRACT DIAG (SINOGRAM),720.24,424.94,87.61,648.22,23
CPT,20520,HC REM FB MSCL/TENDON SHEATH SMPL,4447.07,2623.77,540.96,4002.36,23
CPT,20525,HC REM FB MSCL/TENDON SHEATH DEEP,7815.3,4611.03,950.69,7033.77,23
CPT,20526,HC INJ THERAPEUTIC CARPAL TUNNEL,1122.0,661.98,136.49,1009.8,23
CPT,20527,HC INJ DUPUYTREN CORD W/ENZYME,1122.0,661.98,136.49,1009.8,23
CPT,20550,HC INJ SNGL TENDON SHEATH/LIGA APONEUROSIS,1069.08,630.76,130.05,962.17,23
CPT,20551,HC INJ SNGL TENDON ORIGIN/INS,1069.08,630.76,130.05,962.17,23
CPT,20552,HC INJ TRIGGER POINT SNGL/MULTI 1-2 MSCL(S),1069.08,630.76,130.05,962.17,23
CPT,20553,HC INJ TRIGGER POINT SNGL/MULTI 3+ MSCL GRP,1069.08,630.76,130.05,962.17,23
CPT,20560,HC NDL INSJ W/O NJX 1 OR 2 MUSC,550.06,324.54,66.91,495.05,23
CPT,20561,HC NDL INSJ W/O NJX 3+ MUSC,733.41,432.71,89.22,660.07,23
CPT,20600,HC DRAIN/INJ JT/BURSA SMALL NO US,1069.08,630.76,130.05,962.17,23
CPT,20604,HC DRAIN/INJ SMALL JOINT/BURSA W/US,1069.08,630.76,130.05,962.17,23
CPT,20605,HC DRAIN/INJ JT/BURSA IMD NO US,1069.08,630.76,130.05,962.17,23
CPT,20606,HC DRAIN/INJ INTERMED JOINT/BURSA W/US,2598.3,1533.0,316.07,2338.47,23
CPT,20610,HC DRAIN/INJ JT/BURSA MAJOR NO US,1069.08,630.76,130.05,962.17,23
CPT,20611,HC DRAIN/INJ MAJOR JOINT/BURSA W/US,1069.08,630.76,130.05,962.17,23
CPT,20612,HC INJ GANGLION CYST,573.36,338.28,69.75,516.02,23
CPT,20615,HC ASP/INJ BONE CYST,2143.26,1264.52,260.72,1928.93,23
CPT,20650,HC INSERT WIRE/PIN W/ SKEL TRACT,8561.88,5051.51,1041.51,7705.69,23
CPT,20670,HC REM IMPL SUPERFICIAL,4447.07,2623.77,540.96,4002.36,23
CPT,20680,HC REMOVE IMPLANT DEEP,9200.0,5428.0,1119.13,8280.0,23
CPT,20697,HC COMP EXT FIXATE STRUT CHANGE,4465.3,2634.53,543.18,4018.77,23
CPT,20822,HC REPLANTATION DIGIT DIST COMPL AMP,5919.79,3492.68,720.11,5327.81,23
CPT,20950,HC MONITOR INTERSTITIAL FLUID PRESSURE,1967.25,1160.68,239.31,1770.53,23
CPT,20982,HC ABLATE BONE TUMOR PERC INC IMAGING,12941.08,7635.24,1574.21,11646.97,23
CPT,20983,HC ABLATE BONE TUMORS PERC INC IMAGING,14941.75,8815.63,1817.59,13447.58,23
CPT,20999,HC UNLISTED PROCEDURE MUSCULOSKELETAL SYSTEM,733.41,432.71,89.22,660.07,23
CPT,21011,HC EXC FACE LES SC <2 CM,4447.07,2623.77,540.96,4002.36,23
CPT,21012,HC EXC FACE LES SBQ 2 CM/>,4447.07,2623.77,540.96,4002.36,23
CPT,21013,HC EXC FACE TUM DEEP <2 CM,4447.07,2623.77,540.96,4002.36,23
CPT,21014,HC EXC FACE TUM DEEP 2 CM>,7815.3,4611.03,950.69,7033.77,23
CPT,21085,HC PREPARE FACE/ORAL PROSTHESIS,865.69,510.76,105.31,779.12,23
CPT,21086,HC PREP FACE/ORAL PROST AURICULAR,7934.83,4681.55,965.23,7141.35,23
CPT,21299,HC UNLISTED CRANFCL&MAXLFCL PX,977.76,576.88,118.94,879.98,23
CPT,21315,HC TX FX NASAL W/O STABILIZATION CLSD,3546.51,2092.44,431.41,3191.86,23
CPT,21320,HC TX FX NASAL W/STABILIZATION CLSD,8863.15,5229.26,1078.16,7976.84,23
CPT,21421,HC CLOSED RX LEFORTE I+WIRES,9200.0,5428.0,1119.13,8280.0,23
CPT,21440,HC TX FX MANDIB/MAXILL ALVEOLAR RIDGE CLSD,7934.83,4681.55,965.23,7141.35,23
CPT,21450,HC TX FX MANDIB CLSD,1624.85,958.66,197.65,1462.37,23
CPT,21451,HC TX FX MANDIB W/MANIPULATION,5535.17,3265.75,673.32,4981.65,23
CPT,21480,HC TX DISL TEMPOROMANDIB CLSD,733.41,432.71,89.22,660.07,23
CPT,21485,HC RESET DISLOCATED JAW COMPLICATED,8284.0,4887.56,1007.71,7455.6,23
CPT,21497,HC WIRING INTERDENTAL,6104.53,3601.67,742.58,5494.08,23
CPT,21501,HC I&D ABSC/HEMATOMA NECK/THORAX,7815.3,4611.03,950.69,7033.77,23
CPT,21550,HC BX TISS NECK/THORAX,4447.07,2623.77,540.96,4002.36,23
CPT,21555,HC EXC NECK LES SC <3 CM,4447.07,2623.77,540.96,4002.36,23
CPT,21899,HC NECK/THORAX UNLISTED PROC,650.35,383.71,79.11,585.32,23
CPT,21925,HC BX TISS BACK/FLANK DEEP,3083.57,1819.31,375.1,2775.21,23
CPT,21930,HC EXC BACK LES SC <3 CM,8478.96,5002.59,1031.42,7631.06,23
CPT,21931,HC EXC BACK LES SC 3 CM>,5757.33,3396.82,700.35,5181.6,23
CPT,22310,HC CLOSED TX VERT FX W/O MANIP,733.41,432.71,89.22,660.07,23
CPT,22510,HC PERQ CERVICOTHORACIC INJECT,8561.88,5051.51,1041.51,7705.69,23
CPT,22511,HC PERQ LUMBOSACRAL INJECTION,8561.88,5051.51,1041.51,7705.69,23
CPT,22512,HC VERTEBROPLASTY ADDL INJECT,3999.32,2359.6,486.5,3599.39,23
CPT,22513,HC PERQ VERTEBRAL AUGMENTATION THORACIC,14941.75,8815.63,1817.59,13447.58,23
CPT,22514,HC PERQ VERTEBRAL AUGMENTATION LUMBAR,14941.75,8815.63,1817.59,13447.58,23
CPT,22515,HC PERQ VERTEBRAL AUGMENTATION ADD LMR OR THOR,4341.72,2561.61,528.15,3907.55,23
CPT,22899,HC SPINE UNLISTED PROC,943.95,556.93,114.83,849.56,23
CPT,22999,HC ABDOMINAL UNLISTED PROCEDURE,733.41,432.71,89.22,660.07,23
CPT,23076,HC EXCISION TISSUE TUMOR SHOULDER < 5CM,2955.93,1744.0,359.57,2660.34,23
CPT,23330,HC RMV FB SHLDR SBCTEOUS,1967.25,1160.68,239.31,1770.53,23
CPT,23350,HC INJ ARTHROGRAM SHOULDER,962.35,567.79,117.06,866.12,23
CPT,23500,HC TX FX CLAVICLE W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,23505,HC TX FX CLAVICLE W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,23520,HC CLSD TX CLVCL DSLOC WO MANIP,4465.3,2634.53,543.18,4018.77,23
CPT,23525,HC TX DISL STERNOCLAVICULAR W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,23540,HC CLSD TX AC JNT DISLOC WO MANIP,733.41,432.71,89.22,660.07,23
CPT,23545,HC TX DISL ACROMIOCLAVICULAR W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,23570,HC CLSD TX SCPLAR FX W/O MN,302.89,178.71,36.84,272.6,23
CPT,23575,HC CLSD TX SCPLAR FX W/MANI,4465.3,2634.53,543.18,4018.77,23
CPT,23600,HC TX FX HUMERUS PROXIMAL W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,23605,HC TX FX HUMERUS PROXIMAL W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,23620,HC CLSD TX HUMRL TUBRSTY FX,464.97,274.33,56.56,418.47,23
CPT,23625,HC TX FX HUMERUS TUBEROSITY W/MANIP CLSD,2202.26,1299.33,267.89,1982.03,23
CPT,23650,HC CLTX SHO DSLC W/MNPJ WO ANES,943.95,556.93,114.83,849.56,23
CPT,23650,HC TX DISL SHOULDER W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,23655,HC TX DISL SHOULDER W/MANIP W/ANES CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,23665,HC TX DISL SHLDR W/FX HUMERUS W/MANIP CLSD,2826.27,1667.5,343.8,2543.64,23
CPT,23675,HC CLSD TX SHLDR DISLCTN W/,5699.31,3362.59,693.29,5129.38,23
CPT,23929,HC UNLISTED PROCEDURE SHOULDER,913.0,538.67,111.06,821.7,23
CPT,23930,HC I&D ABSC/HEMATOMA ARM/ELBOW DEEP BILAT,4447.07,2623.77,540.96,4002.36,23
CPT,23931,HC I&D BURSA ARM/ELBOW DEEP,4447.07,2623.77,540.96,4002.36,23
CPT,24071,HC EXC ARM/ELBOW LES 3 CM>,11385.89,6717.68,1385.03,10247.3,23
CPT,24075,HC EXC SOFT TISS/SC TUMOR UP ARM/ELBOW <3CM,10489.52,6188.82,1276.0,9440.57,23
CPT,24200,HC RMV FB UPR ARM OR ELBW S,2944.79,1737.43,358.22,2650.31,23
CPT,24220,HC INJ ARTHROGRAM ELBOW,528.79,311.99,64.32,475.91,23
CPT,24500,HC TX FX HUMERUS SHAFT W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,24505,HC TX FX HUMERUS SHAFT W/MANIP CLSD,1648.15,972.41,200.49,1483.34,23
CPT,24530,HC CLSD TX DSTL HUMRL FX W/,733.41,432.71,89.22,660.07,23
CPT,24535,HC TX FX HUMER SUPRA/TRAN MAN CLSD,2007.77,1184.58,244.23,1806.99,23
CPT,24560,HC TX HUMRL EPICNDYLR FX W,733.41,432.71,89.22,660.07,23
CPT,24565,HC TX FX HUMERAL EPICONDYLAR W/MANIP CLSD,5699.31,3362.59,693.29,5129.38,23
CPT,24576,HC TX FX HUMERAL CONDYLAR W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,24577,HC TX FX HUMERAL CONDYLAR W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,24600,HC TX DISL ELBOW W/O ANES CLSD,733.41,432.71,89.22,660.07,23
CPT,24605,HC TX DISL ELBOW W/ANES CLSD,3191.96,1883.26,388.29,2872.76,23
CPT,24620,HC TX FX ELBOW MONTEGGIA W/MANIP CLSD,1730.2,1020.82,210.47,1557.18,23
CPT,24640,HC TX ELBOW CHILD NURSEMAID W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,24650,HC CLSD TX RDL HD OR NCK FX,733.41,432.71,89.22,660.07,23
CPT,24655,HC TX FX RADIAL HEAD/NECK W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,24670,HC TX FX ULNA PROXIMAL W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,24675,HC TX FX ULNA PROXIMAL W/MANIP CLSD,5699.31,3362.59,693.29,5129.38,23
CPT,24999,HC HUMERUS/ELBOW UNLISTED PROC,843.37,497.59,102.59,759.03,23
CPT,25028,HC INCIS/DRAIN FOREARM DEEP ABSCESS,7051.49,4160.38,857.78,6346.34,23
CPT,25071,HC EXC FOREARM LES SC 3 CM>,4447.07,2623.77,540.96,4002.36,23
CPT,25075,HC EXC FOREARM LES SC <3CM,5757.33,3396.82,700.35,5181.6,23
CPT,25109,HC EXCISE TENDON FOREARM/WRIST,10595.61,6251.41,1288.9,9536.05,23
CPT,25246,HC INJ ARTHROGRAM WRIST,496.37,292.86,60.38,446.73,23
CPT,25248,HC EXPLORE W/REM FB FOREARM/WRIST DEEP,8692.0,5128.28,1057.34,7822.8,23
CPT,25260,HC RPR TENDON/MSCL FOREARM FLEXOR PRIMARY,8561.88,5051.51,1041.51,7705.69,23
CPT,25500,HC CLSD TX RDL SHFT FX W/O,733.41,432.71,89.22,660.07,23
CPT,25505,HC TX FX RADIAL SHAFT W/MANIP CLSD,2299.51,1356.71,279.72,2069.56,23
CPT,25520,HC CLSD TX RDL SHFT FX W/DI,4465.3,2634.53,543.18,4018.77,23
CPT,25530,HC TX FX ULNA SHAFT W/O MANIP CLSD,559.18,329.92,68.02,503.26,23
CPT,25535,HC TX FX ULNA SHAFT W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,25560,HC TX FX RADIUS/ULNA SHAFT W/O MANIP CLSD,382.91,225.92,46.58,344.62,23
CPT,25565,HC TX FX RADIUS/ULNA SHAFT W/MANIP CLSD,1680.57,991.54,204.43,1512.51,23
CPT,25600,HC TX FX RADIUS/ULNA W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,25605,HC TX FX RADIUS/ULNA W/MANIP CLSD,3763.3,2220.35,457.79,3386.97,23
CPT,25622,HC CLSD TX NAVCLR FX W/O MN,585.51,345.45,71.22,526.96,23
CPT,25624,HC TX FX NAVICULAR W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,25630,HC TX FX CARPAL W/O MANIP CLSD,509.54,300.63,61.98,458.59,23
CPT,25635,HC TX FX CARPAL W/MANIP CLSD,5699.31,3362.59,693.29,5129.38,23
CPT,25650,HC TX FX ULNAR STYLOID CLSD,733.41,432.71,89.22,660.07,23
CPT,25675,HC TX DISL RADIOULNAR W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,25690,HC CLSD TX LUNATE DISL W/MANIP,4465.3,2634.53,543.18,4018.77,23
CPT,26010,HC DRAIN ABSC FINGER SMPL,563.23,332.31,68.51,506.91,23
CPT,26011,HC DRAIN ABSC FINGER CMPLX,4447.07,2623.77,540.96,4002.36,23
CPT,26034,HC TREAT HAND BONE LESION,5919.76,3492.66,720.11,5327.78,23
CPT,26115,HC EXC SOFT TISSUE LESION HAND < 1.5 CM,6299.9,3716.94,766.35,5669.91,23
CPT,26236,HC PART EXC BONE; DISTAL PHALANX,8284.0,4887.56,1007.71,7455.6,23
CPT,26320,HC REMOVE IMPLANT FINGER/HAND,6489.81,3828.99,789.45,5840.83,23
CPT,26340,HC MANIPULATE FINGER W/ANESTH,6433.42,3795.72,782.59,5790.08,23
CPT,26341,HC MANIPULAT PALM CORD POST INJ,854.25,504.01,103.92,768.83,23
CPT,26410,HC RPR TENDON HAND EXTENSOR W/O GRAFT,6442.21,3800.9,783.66,5797.99,23
CPT,26418,HC RPR TENDON FINGER EXTENSOR W/O GRAFT,5699.31,3362.59,693.29,5129.38,23
CPT,26432,HC EXT TNDN REP/MLLT FNGR,5919.76,3492.66,720.11,5327.78,23
CPT,26474,HC FUSION OF FINGER TENDONS,5919.76,3492.66,720.11,5327.78,23
CPT,26587,HC RECONSTRUCT EXTRA FINGER,9539.86,5628.52,1160.47,8585.87,23
CPT,26600,HC TX FX METACARPAL W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26605,HC TX FX METACARPAL W/MANIP CLSD EA,733.41,432.71,89.22,660.07,23
CPT,26641,HC TX DISL THUMB W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26645,HC TX FX THUMB W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,26670,HC TX DISL HAND W/O ANES W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26700,HC TX DISL (M-P) W/O ANES W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26720,HC TX FX PHALANX PROX/MIDDLE W/O MANIP CLSD,843.36,497.58,102.59,759.02,23
CPT,26725,HC TX FX PHALANX PROX/MIDDLE W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26735,HC TX FX PHALANX PROX/MIDDLE W/MANIP OPEN,9200.0,5428.0,1119.13,8280.0,23
CPT,26740,"HC CLSD TX FINGER JT FX,W/O",733.41,432.71,89.22,660.07,23
CPT,26742,HC TX FX (M-P)/(I-P) JT W/MANIP CLSD,5699.31,3362.59,693.29,5129.38,23
CPT,26750,HC TX FX PHALANX DIST W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26755,HC TX FX PHALANX DIST W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26765,HC TX FX PHALANX DIST OPEN,6354.55,3749.18,773.0,5719.1,23
CPT,26770,HC TX DISL (I-P) JT W/O ANES W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,26775,HC CLOSED MANIP INTERPHALANG JOINT W/ANESTH,811.41,478.73,98.7,730.27,23
CPT,26951,HC AMPUTATE FINGER/THUMB SGL W/CLOSURE DIR,5824.75,3436.6,708.55,5242.28,23
CPT,26952,HC AMPUTATE FINGER/THUMB W/FLAP LOCAL,5644.44,3330.22,686.62,5080.0,23
CPT,26989,HC HAND/FINGER UNLISTED PROC,854.25,504.01,103.92,768.83,23
CPT,27040,"HC BX SOFT TISSUES,PELV/HIP,SUPERFICL",7907.0,4665.13,961.85,7116.3,23
CPT,27093,HC INJ ARTHROGRAM HIP W/O ANES,1328.04,783.54,161.55,1195.24,23
CPT,27096,HC INJECT FOR SACROILIAC JOINT,6087.0,3591.33,740.45,5478.3,23
CPT,27096,HC SIJ ANESTH/STEROID INJ,6957.0,4104.63,846.28,6261.3,23
CPT,27197,HC CLSD TX PELVIC RING FX W/O MANIPN,733.41,432.71,89.22,660.07,23
CPT,27198,HC CLSD TX PELVIC RING FX W MANIPN,733.41,432.71,89.22,660.07,23
CPT,27200,HC TX COCCYGEAL FX,943.95,556.93,114.83,849.56,23
CPT,27230,HC CLSD TX FMRAL PRXIAL FX,733.41,432.71,89.22,660.07,23
CPT,27238,HC TX FX FEM TROCHANTERIC W/O MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,27250,HC TX DISL HIP TRAUMA W/O ANES CLSD,733.41,432.71,89.22,660.07,23
CPT,27252,"HC CLOSED RX TRAUMA HIP DISLOC,ANESTH",5699.31,3362.59,693.29,5129.38,23
CPT,27256,HC TX SPNTNEOUS HIP DISLCTN,843.37,497.59,102.59,759.03,23
CPT,27265,HC TX DISL HIP POST W/O ANES CLSD,733.41,432.71,89.22,660.07,23
CPT,27266,HC TX DISL HIP POST ARTHRO W/ANES CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,27299,"HC UNLISTED PROCEDURE, PELVIS OR HIP JOINT",733.41,432.71,89.22,660.07,23
CPT,27301,HC I&D ABSC/HEMATOMA THIGH/KNEE,6672.63,3936.85,811.69,6005.37,23
CPT,27323,"HC BX THIGH/KNEE SOFT TISSUES,SUPERF",5009.29,2955.48,609.35,4508.36,23
CPT,27324,HC DEEP SFT TISS BX THIGH/KNEE,6423.43,3789.82,781.38,5781.09,23
CPT,27337,HC EXC THIGH/KNEE LES SC 3 CM>,9701.99,5724.17,1180.2,8731.79,23
CPT,27369,HC NJX CNTRST KNE ARTHG/CT/MRI,959.31,565.99,116.7,863.38,23
CPT,27372,HC REMOVAL FOREIGN BODY DEEP THIGH/KNEE,9702.0,5724.18,1180.2,8731.8,23
CPT,27500,HC CLSD TX FEMRL SHFT FX W/,733.41,432.71,89.22,660.07,23
CPT,27501,HC CLSD TX SUPR/TRNSCNDYLR,843.37,497.59,102.59,759.03,23
CPT,27502,HC TX FX FEM SHAFT W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,27508,HC TX FX FEM MED/LAT CONDYLE W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,27510,HC TX FX FEM DIST W/MANIP CLSD,3258.82,1922.7,396.42,2932.94,23
CPT,27520,HC CLSD TX PATLLR RX W/O MA,733.41,432.71,89.22,660.07,23
CPT,27530,HC TX FX TIBL PROX W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,27532,HC CLOSED RX TIB PLAT FX+MANIP,8284.0,4887.56,1007.71,7455.6,23
CPT,27550,HC CL TX KNEE DISL WO ANES,733.41,432.71,89.22,660.07,23
CPT,27552,HC CL TX KNEE DISL W/ANES,5919.76,3492.66,720.11,5327.78,23
CPT,27560,HC TX DISL PATELLAR DISL WO ANES,733.41,432.71,89.22,660.07,23
CPT,27599,HC FEMUR/KNEE UNLISTED PROC,854.25,504.01,103.92,768.83,23
CPT,27603,HC INCISION&DRAINAGE LWR LEG HEMATOMA,7815.3,4611.03,950.69,7033.77,23
CPT,27605,HC INCISION ACHILLES TENDON W/ LOCAL ANES,4465.3,2634.53,543.18,4018.77,23
CPT,27613,HC BIOPSY TISSUE LEG/ANKLE SUPERFICIAL,4447.07,2623.77,540.96,4002.36,23
CPT,27618,HC  EXC LEG/ANKLE TUM <3 CM,6188.11,3650.98,752.75,5569.3,23
CPT,27648,HC INJ ARTHROGRAM ANKLE,295.8,174.52,35.98,266.22,23
CPT,27750,HC TX FX TIBL SHAFT W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,27752,HC TX FX TIBL SHAFT W/MANIP CLSD,3465.47,2044.63,421.56,3118.92,23
CPT,27760,HC CLSD TX MED MALLEOLS FX,733.41,432.71,89.22,660.07,23
CPT,27762,HC TX FX MEDIAL MALLEOLUS W/MANIP CLSD,4465.3,2634.53,543.18,4018.77,23
CPT,27767,HC CLSD TX PM FRAC W/O MAN,733.41,432.71,89.22,660.07,23
CPT,27768,HC CLSD TX PM FRAC W/MAN,7907.0,4665.13,961.85,7116.3,23
CPT,27780,HC TX FX FIB SHAFT/PROXIMAL W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,27781,HC TX FX FIB SHAFT/PROXIMAL W/MANIP CLSD,3497.89,2063.76,425.5,3148.1,23
CPT,27786,HC TX DIST FIBULA CLSD,733.41,432.71,89.22,660.07,23
CPT,27788,HC TX FX FIBR DIST W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,27808,HC TX FX ANKLE BIMALLEOLAR W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,27810,HC TX FX ANKLE BIMALLEOLAR W/MANIP CLSD,2588.22,1527.05,314.84,2329.4,23
CPT,27816,HC CLSD TX TRIMEOLR ANKL FX,733.41,432.71,89.22,660.07,23
CPT,27818,HC TX FX ANKLE TRIMALLEOLAR W/MANIP CLSD,3008.61,1775.08,365.98,2707.75,23
CPT,27824,HC TX FX TIB DIST WGT BEAR W/O MANIP CLSD,666.55,393.26,81.08,599.9,23
CPT,27825,HC TX FX TIB DIST WGT BEAR W/MANIP CLSD,5699.31,3362.59,693.29,5129.38,23
CPT,27840,HC TX DISL ANKLE W/O ANES CLSD,733.41,432.71,89.22,660.07,23
CPT,27842,HC TX DISL ANKLE W/ANES CLSD,2293.43,1353.12,278.98,2064.09,23
CPT,28002,HC DEEP DISSECT FOOT INF; SGL BURSA SP,8692.0,5128.28,1057.34,7822.8,23
CPT,28003,HC I&D BELOW FASCIA FOOT MULT AREAS,10595.61,6251.41,1288.9,9536.05,23
CPT,28008,HC FASCIOTOMY FOOT/TOE,10595.61,6251.41,1288.9,9536.05,23
CPT,28010,HC INCISION SUBCUT TOE TENDON,6433.42,3795.72,782.59,5790.08,23
CPT,28011,HC INCISION SUBCUT TOE TENDON>1,10595.61,6251.41,1288.9,9536.05,23
CPT,28112,HC OSTECTOMY METATARSAL HEAD COMPLETE,14339.66,8460.4,1744.34,12905.69,23
CPT,28124,HC EXC PHALANX TOE PARTIAL,9200.0,5428.0,1119.13,8280.0,23
CPT,28190,HC REM FB FT SC,1967.25,1160.68,239.31,1770.53,23
CPT,28192,HC REM FB FT DEEP,4447.07,2623.77,540.96,4002.36,23
CPT,28193,"HC REMOVL FB FT,CMPLCTD",4447.07,2623.77,540.96,4002.36,23
CPT,28208,HC RPR TENDON FT EXTENSOR EA,8561.88,5051.51,1041.51,7705.69,23
CPT,28230,HC TENOTOMY OP FLEXOR; FT SGL/MULTI,4714.93,2781.81,573.55,4243.44,23
CPT,28232,HC INCISION OF TOE TENDON,9844.74,5808.4,1197.56,8860.27,23
CPT,28270,HC CAPSULOTOMY METATARSOPHAL JT,9200.0,5428.0,1119.13,8280.0,23
CPT,28400,HC CLSD TX CLCNEAL FXW/O MN,494.34,291.66,60.13,444.91,23
CPT,28405,HC TX FX CALCANEAL W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,28430,HC CLSD TX TALUS FX W/O MAN,733.41,432.71,89.22,660.07,23
CPT,28435,HC TX FX TALUS W/MANIP CLSD,5699.31,3362.59,693.29,5129.38,23
CPT,28450,HC TX TARSL BNE FX W/O M(EX,733.41,432.71,89.22,660.07,23
CPT,28455,HC TX TARSL BNE FX W/MAN(EX,5699.31,3362.59,693.29,5129.38,23
CPT,28470,HC TX FX METATARSAL W/O MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,28475,HC TX FX METATARSAL W/MANIP CLSD,571.33,337.08,69.5,514.2,23
CPT,28490,HC TX FX GREAT TOE PHALN CLSD,733.41,432.71,89.22,660.07,23
CPT,28495,HC TX FX GREAT TOE W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,28510,HC CLSD TX FX PHALNX/PHALNG,733.41,432.71,89.22,660.07,23
CPT,28515,HC TX FX PHALANX W/MANIP CLSD,733.41,432.71,89.22,660.07,23
CPT,28530,HC CLSD TX SESAMOID FX,733.41,432.71,89.22,660.07,23
CPT,28600,HC CLSD TX TARSOMETATARSAL DISL W/O ANESTH,733.41,432.71,89.22,660.07,23
CPT,28630,HC TX DISL METATARSOPHAL JT W/O ANES CLSD,733.41,432.71,89.22,660.07,23
CPT,28660,HC TX DISL INTERPHALANGEAL JT W/O ANES CLSD,733.41,432.71,89.22,660.07,23
CPT,28665,HC TX DISL INTERPHALANGEAL JT W/ANES CLSD,811.41,478.73,98.7,730.27,23
CPT,28820,HC AMPUT TOE METATARSOPHALANGEAL,11650.33,6873.69,1417.2,10485.3,23
CPT,28825,HC AMPUT TOE INTERPHALGEAL JOINT,10595.61,6251.41,1288.9,9536.05,23
CPT,28899,HC UNLISTED PROCEDURE FOOT OR TOES,733.41,432.71,89.22,660.07,23
CPT,29010,HC APPLICATION OF BODY CAST - JACKET TYPE,8213.0,4845.67,999.07,7391.7,23
CPT,29065,HC APPLICATION CAST ARM LONG,811.41,478.73,98.7,730.27,23
CPT,29075,HC APPLICATION CAST ARM SHO,811.41,478.73,98.7,730.27,23
CPT,29085,HC APPLICATION CAST HAND/LWR FOREARM,451.8,266.56,54.96,406.62,23
CPT,29086,HC ER APPLICATION CAST FINGER,459.9,271.34,55.94,413.91,23
CPT,29105,HC APPLICATION SPLINT ARM LONG,459.9,271.34,55.94,413.91,23
CPT,29125,HC APPLICATION SPLINT ARM SHO STATIC,479.15,282.7,58.29,431.24,23
CPT,29126,HC APPLICATION SPLINT ARM SHORT DYNAMIC,367.72,216.95,44.73,330.95,23
CPT,29130,HC APPLICATION SPLINT FINGER STATIC,511.32,301.68,62.2,460.19,23
CPT,29131,HC APPLICATION SPLINT FINGER DYNAMIC,200.57,118.34,24.4,180.51,23
CPT,29260,HC STRAPPING ELBOW OR WRIST,237.2,139.95,28.85,213.48,23
CPT,29280,HC STRAPPING HAND OR FINGER,104.34,61.56,12.69,93.91,23
CPT,29345,HC APPLICATION CAST LEG LONG,811.41,478.73,98.7,730.27,23
CPT,29355,HC APPLICTN OF LNG LG CST W,811.41,478.73,98.7,730.27,23
CPT,29365,HC APPL CAST THIGH-ANKLE CYLINDER,811.41,478.73,98.7,730.27,23
CPT,29405,HC APPLICATION CAST LEG SHO,990.01,584.11,120.43,891.01,23
CPT,29425,HC APPLY SHRT LG WALKING CA,426.47,251.62,51.88,383.82,23
CPT,29435,HC APPL CAST TENDON PATELLAR,811.41,478.73,98.7,730.27,23
CPT,29445,HC APPLICATION CAST LEG RIGID TOTAL CONTACT,683.78,403.43,83.18,615.4,23
CPT,29450,HC APPLICATION CAST CLUBFOOT,459.9,271.34,55.94,413.91,23
CPT,29505,HC APPLICATION SPLINT LEG LONG,459.9,271.34,55.94,413.91,23
CPT,29515,HC APPLICATION SPLINT LEG SHORT,601.51,354.89,73.17,541.36,23
CPT,29530,HC STRAPPING KNEE,200.57,118.34,24.4,180.51,23
CPT,29540,HC STRAPPING ANKLE AND/OR FT,459.9,271.34,55.94,413.91,23
CPT,29550,HC STRAPPING TOES,200.57,118.34,24.4,180.51,23
CPT,29580,HC STRAPPING UNNA BOOT,459.9,271.34,55.94,413.91,23
CPT,29581,HC APPLY MULTLAY COMPRS LWR LEG,599.13,353.49,72.88,539.22,23
CPT,29584,HC APPL MLT-LAY COMPRESS ARM/HAND/FINGER,459.9,271.34,55.94,413.91,23
CPT,29700,HC REM/BIVALVING CAST GAUNTLET/BOOT/BODY,415.0,244.85,50.48,373.5,23
CPT,29705,HC REM/BIVALVING CAST ARM/LEG FULL,811.41,478.73,98.7,730.27,23
CPT,29730,HC WINDOWING OF CAST,459.9,271.34,55.94,413.91,23
CPT,29740,HC WEDGING CAST EXCEPT CLUBFOOT CAST,811.41,478.73,98.7,730.27,23
CPT,29799,HC CASTING/STRAPPING PROCEDURE UNLISTED,459.9,271.34,55.94,413.91,23
CPT,30000,HC DRAIN ABSC/HEMATOMA NASAL INTERNAL,6443.0,3801.37,783.76,5798.7,23
CPT,30020,HC DRAIN ABSC/HEMATOMA NASAL SEPTUM,7562.0,4461.58,919.88,6805.8,23
CPT,30100,HC BIOPSY INTRANASAL,1183.18,698.08,143.93,1064.86,23
CPT,30117,HC EXCIS/DESTRUC INTRANASAL LESION INT APPR,8284.0,4887.56,1007.71,7455.6,23
CPT,30220,HC INS NASAL SEPTAL PROSTH (BUTTON),4557.87,2689.14,554.44,4102.08,23
CPT,30300,HC REM FB INTRANASAL,367.72,216.95,44.73,330.95,23
CPT,30468,HC RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT,14437.51,8518.13,1756.25,12993.76,23
CPT,30901,HC CONTROL NOSEBLEED ANTERIOR SMPL,461.41,272.23,56.13,415.27,23
CPT,30903,HC CONTROL NOSEBLEED ANTERIOR CMPLX,367.72,216.95,44.73,330.95,23
CPT,30905,HC CONTROL NOSEBLEED POSTERIOR INIT,367.72,216.95,44.73,330.95,23
CPT,30906,HC CONTROL NOSEBLEED POSTERIOR SUBSEQ,650.35,383.71,79.11,585.32,23
CPT,30999,HC NASAL SURG PROC UNLISTED,857.64,506.01,104.33,771.88,23
CPT,31231,HC ENDO NASAL DIAG,537.9,317.36,65.43,484.11,23
CPT,31233,HC ENDO NASAL W/SINUSOSCOPY MAXIL,1330.07,784.74,161.8,1197.06,23
CPT,31237,HC ENDO NASAL W/BX/POLYP/DEBR,2765.49,1631.64,336.41,2488.94,23
CPT,31238,HC ENDO NASAL/SINUS W/CONTROL NASAL BLEED,4654.74,2746.3,566.22,4189.27,23
CPT,31243,HC NSL/SINUS NDSC CRYOABLTJ PNN,23441.43,13830.44,2851.53,21097.29,23
CPT,31500,HC INTUBATION ENDOTRACHEAL EMERGENCY PROC,650.35,383.71,79.11,585.32,23
CPT,31502,HC TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,650.35,383.71,79.11,585.32,23
CPT,31505,HC LARYNGOSCOPY INDIRECT,341.38,201.41,41.53,307.24,23
CPT,31511,HC LARYNGOSCOPY INDIR W/REM FB,537.9,317.36,65.43,484.11,23
CPT,31525,HC LARYNGOSCOPY DIR DIAG,3797.74,2240.67,461.98,3417.97,23
CPT,31526,HC LARYNGOS W/WO TRACHEOS W/ MICRO/TELE,6121.96,3611.96,744.7,5509.76,23
CPT,31530,HC LARYNGOSCOPY W/FB REMOVAL,2826.27,1667.5,343.8,2543.64,23
CPT,31572,HC LARGSC W/LASER DSTRJ LES,12215.8,7207.32,1485.99,10994.22,23
CPT,31573,HC LARGSC W/THER INJECTION,6793.92,4008.41,826.44,6114.53,23
CPT,31574,HC LARGSC W/NJX AUGMENTATION,6596.7,3892.05,802.45,5937.03,23
CPT,31575,HC LARYNGOSCOPY FLEX FIBEROPTIC,537.9,317.36,65.43,484.11,23
CPT,31576,"HC LAYRYNGOSCOPY, FIBEROPTC W/BP",4654.74,2746.3,566.22,4189.27,23
CPT,31577,HC LARYNGOSCOPY FLEX FIBEROPTIC W/REM FB,1330.07,784.74,161.8,1197.06,23
CPT,31579,HC LARYNGOSCOPY FLEX FIBER STROBO,1330.07,784.74,161.8,1197.06,23
CPT,31599,HC LARYNX SURG PROC UNLISTED,704.04,415.38,85.64,633.64,23
CPT,31600,HC TRACHEOSTOMY,7934.83,4681.55,965.23,7141.35,23
CPT,31603,HC TRACHEOSTOMY EMERGENCY TRANSTRACHEAL,3748.1,2211.38,455.94,3373.29,23
CPT,31605,HC TRACHEOSTOMY EMERGENCY CRICOTHYROID,1624.85,958.66,197.65,1462.37,23
CPT,31615,HC TRACHEOBRONCH THRU TRACHEOSTOMY,1624.85,958.66,197.65,1462.37,23
CPT,31622,HC BRONCH DIAG W/WASHINGS,4654.74,2746.3,566.22,4189.27,23
CPT,31623,HC BRONCH INCLUDING BRUSHING,4654.74,2746.3,566.22,4189.27,23
CPT,31624,HC BRONCH W/LAVAGE BRONCH ALVEOLAR,4654.74,2746.3,566.22,4189.27,23
CPT,31625,HC BRONCH W/BX SNGL/MUI SITES,4654.74,2746.3,566.22,4189.27,23
CPT,31626,HC BRNCHSC W/PLMT FIDUCIAL MKS 1/MLT,14022.96,8273.55,1705.82,12620.66,23
CPT,31627,HC BRNCHSC W/CPTR-ASST IMAGE-GUIDED NA,2510.21,1481.02,305.35,2259.19,23
CPT,31628,HC BRONCH W/BX TRANSBRONCH LUNG SNGL,4351.85,2567.59,529.38,3916.67,23
CPT,31629,HC BRONCH W/ASP BX TRANSBRONCH,8732.06,5151.92,1062.21,7858.85,23
CPT,31630,HC BRONCHOSCOPY W/DILATION CLSD FX,8732.06,5151.92,1062.21,7858.85,23
CPT,31631,HC BRONCHOSCOPY W/STENT PLACE,14022.96,8273.55,1705.82,12620.66,23
CPT,31632,HC BRONCH W/BX TRANSBRONCH LUNG EA ADDL,1259.16,742.9,153.17,1133.24,23
CPT,31633,HC BRONCH W/ASP BX TRANSBRONCH EA ADDL,8153.48,4810.55,991.83,7338.13,23
CPT,31634,HC BRONCHOSC W/BALLOON OCCLS,10122.0,5971.98,1231.29,9109.8,23
CPT,31635,HC BRONCH W/REM FB,4654.74,2746.3,566.22,4189.27,23
CPT,31636,HC BRONCHOSC W/BRONCH STENT PLMNT,14022.96,8273.55,1705.82,12620.66,23
CPT,31637,HC BRONCHOSC W/BRONCH STENT EA ADD,1895.32,1118.24,230.56,1705.79,23
CPT,31638,HC BRONCHOSC REVISE PREV PLCD STENT,14022.96,8273.55,1705.82,12620.66,23
CPT,31640,HC BRONCHOSCOPY W/EXCISE TUMOR,8732.06,5151.92,1062.21,7858.85,23
CPT,31641,HC BRONCH W/DEST TUMOR,8732.06,5151.92,1062.21,7858.85,23
CPT,31643,HC BRONCHOSCOPY W/PLACE CATH,4654.74,2746.3,566.22,4189.27,23
CPT,31645,HC BRONCH W/ASP TRACHEOBRONCH TREE INIT,3951.71,2331.51,480.7,3556.54,23
CPT,31646,HC BRONCH W/ASP TRACHEOBRONCH TREE SUBSEQ,1330.07,784.74,161.8,1197.06,23
CPT,31647,HC BRONCHIAL VALVE INIT INSERT,14022.96,8273.55,1705.82,12620.66,23
CPT,31648,HC BRONCHIAL VALVE REMOVE INIT,8732.06,5151.92,1062.21,7858.85,23
CPT,31649,HC BRNCHSC REMVL BRONCHIAL VALVE EA ADDL,6963.0,4108.17,847.01,6266.7,23
CPT,31652,HC BRONCH EBUS SAMPLING 1 OR 2 NODE,8732.06,5151.92,1062.21,7858.85,23
CPT,31653,HC BRONCH EBUS SAMPLNG 3/> NODE,8732.06,5151.92,1062.21,7858.85,23
CPT,31654,HC BRONCH EBUS IVNTJ PERPH LES,1742.36,1027.99,211.95,1568.12,23
CPT,31660,HC BRONCHIAL THERMOPLASTY 1 LOBE,14022.96,8273.55,1705.82,12620.66,23
CPT,31661,HC BRONCHIAL THERMOPLASTY 2 OR MORE LOBES,14022.96,8273.55,1705.82,12620.66,23
CPT,31720,HC ASP CATH NASOTRACHEAL,247.17,145.83,30.07,222.45,23
CPT,31899,HC TRACHEA UNLSTD PROC,537.9,317.36,65.43,484.11,23
CPT,32160,HC THORACOTMY W/CARDIAC MASSAGE,2799.93,1651.96,340.6,2519.94,23
CPT,32400,HC BX PLEURA NDL PERC,2109.07,1244.35,256.56,1898.16,23
CPT,32408,HC CORE NDL BX LNG/MED PERQ,5791.35,3416.9,704.49,5212.22,23
CPT,32550,HC INS CATH PLEURAL INDWELL TUNNELED W/CUFF,9204.12,5430.43,1119.63,8283.71,23
CPT,32551,HC THORACOSTOMY W/INS CHEST TUBE,2286.34,1348.94,278.12,2057.71,23
CPT,32552,HC REM INDWELLG TUN PLEURAL CATH W/CUFF,2227.59,1314.28,270.97,2004.83,23
CPT,32553,HC INS MARK THOR FOR RT PERQ,3900.05,2301.03,474.42,3510.05,23
CPT,32554,HC ASPIRATE PLEURA W/O IMAGING,2286.34,1348.94,278.12,2057.71,23
CPT,32555,HC ASPIRATE PLEURA W/ IMAGING,2286.34,1348.94,278.12,2057.71,23
CPT,32556,HC INS CATH PLEURA W/O IMAGE,6646.05,3921.17,808.46,5981.45,23
CPT,32557,HC INSERT CATH PLEURA W/ IMAGE,2286.34,1348.94,278.12,2057.71,23
CPT,32560,HC INSTILLATION AGENT FOR PLEURODESIS,2286.34,1348.94,278.12,2057.71,23
CPT,32561,HC INSTL VIA CH TUBE FBRNLYSIS 1ST DAY,2286.34,1348.94,278.12,2057.71,23
CPT,32562,HC LYSE CHEST FIBRIN SUBQ DAY,2286.34,1348.94,278.12,2057.71,23
CPT,32609,HC THORACOSCOPY W/BIOPSIES PLEURA,14735.1,8693.71,1792.45,13261.59,23
CPT,32994,HC ABLATE PULM TUMOR PERQ CRYBL,14735.1,8693.71,1792.45,13261.59,23
CPT,32998,HC ABLAT TUMOR PULM UNI 1 OR MORE,14735.1,8693.71,1792.45,13261.59,23
CPT,33016,HC PERICARDIOCENTESIS W/IMAGING,4997.62,2948.6,1198.81,4497.86,23
CPT,33017,HC PRCRD DRG 6YR+ W/O CGEN CAR,2736.0,1614.24,656.3,2462.4,23
CPT,33018,HC PRCRD DRG 0-5YR OR W/ANOMLY,2736.0,1614.24,656.3,2462.4,23
CPT,33019,HC PERQ PRCRD DRG INSJ CATH CT,2736.0,1614.24,656.3,2462.4,23
CPT,33206,HC INS/RPL PACEMAKER PERM ATRIAL,12543.37,7400.59,3008.85,11289.03,23
CPT,33207,HC INS/RPL PACEMAKER PERM VENTRIC,12543.37,7400.59,3008.85,11289.03,23
CPT,33208,HC INS/RPL PACEMAKER PERM ATRIAL/VENTRIC,12543.37,7400.59,3008.85,11289.03,23
CPT,33210,HC INS/RPL LEAD TEMPORARY SNGL CHAMBER,7054.53,4162.17,1692.21,6349.08,23
CPT,33211,HC INS/REPL LEAD TEMPORARY DUAL CHAMBER,7054.53,4162.17,1692.21,6349.08,23
CPT,33212,HC INS/RPL PACEMAKER PULSE GENERATOR SNGL,12587.47,7426.61,3019.43,11328.72,23
CPT,33213,HC INS/RPL PACEMAKER PULSE GENERATOR DUAL,12543.37,7400.59,3008.85,11289.03,23
CPT,33214,HC UPGRADE PACEMAKER IMPLED,12034.44,7100.32,2886.77,10831.0,23
CPT,33215,HC REPOSITION LEAD PCMKR/DEFIB RT ATRIAL/VENTRI,6600.71,3894.42,1583.35,5940.64,23
CPT,33216,HC INS LEAD 1 TRANSVENOUS PCMKR/DEFIB,7054.53,4162.17,1692.21,6349.08,23
CPT,33217,HC INS LEADS 2 TRANSVENOUS PCMKR/DEFIB,7054.53,4162.17,1692.21,6349.08,23
CPT,33218,HC RPR LEAD 1 TRANSVENOUS PCMKR/DEFIB,6198.55,3657.14,1486.88,5578.7,23
CPT,33220,HC RPR LEADS 2 TRANSVENOUS PCMKR/DEFIB,7177.11,4234.49,1721.61,6459.4,23
CPT,33221,HC INS PCMKR GEN W/EXISTING MLT LEADS,15474.59,9130.01,3711.98,13927.13,23
CPT,33222,HC REV/RELOCATE SKIN POCKET FOR PACEMAKER,5234.17,3088.16,1255.55,4710.75,23
CPT,33223,HC REV/RELOCATE SKIN POCKET FOR DEFIB,5234.17,3088.16,1255.55,4710.75,23
CPT,33224,HC INS LEAD TO PREV PLACED PCMKR/DEFIB,12034.44,7100.32,2886.77,10831.0,23
CPT,33225,HC INS LEAD W/INS OF PCMKR/DEFIB,14418.03,8506.64,3458.53,12976.23,23
CPT,33226,HC REPOSITION LEAD PACEMAKER/DEFIB LT VENTRI,6808.37,4016.94,1633.16,6127.53,23
CPT,33227,HC RMV/RPLC PERM PM GEN SGL SYS,7054.53,4162.17,1692.21,6349.08,23
CPT,33228,HC RMV/RPLC PERM PM GEN DUAL SYS,12034.44,7100.32,2886.77,10831.0,23
CPT,33229,HC RMV/RPLC PERM PM GEN MLT SYS,17487.42,10317.58,4194.8,15738.68,23
CPT,33230,HC INS CARDIO-DEFIB GENER W/DUAL,33582.82,19813.86,8055.7,30224.54,23
CPT,33233,HC REM PACEMAKER PULSE GENERATOR,6877.26,4057.58,1649.69,6189.53,23
CPT,33234,HC REM LEAD 1 TRANSVENOUS PCMKR SINGLE SYSTEM,7177.11,4234.49,1721.61,6459.4,23
CPT,33235,HC REM LEADS 1 OR 2 TRANSVENOUS PCMKR DUAL SYSTEM,7177.11,4234.49,1721.61,6459.4,23
CPT,33240,HC INS DEFIB PULSE GENERATOR,33582.82,19813.86,8055.7,30224.54,23
CPT,33241,HC REM DEFIB PULSE GENERATOR SC,7177.11,4234.49,1721.61,6459.4,23
CPT,33244,HC REM LEAD DEFIB TRANSVENOUS,7177.11,4234.49,1721.61,6459.4,23
CPT,33249,HC INSE/REPOSIT DEFIB LEAD/GENERATOR,24368.73,14377.55,5845.46,21931.86,23
CPT,33262,HC REMV & REPLC CVD GEN SINGLE,19268.27,11368.28,4621.99,17341.44,23
CPT,33263,HC REMV & REPLC CVD GEN DUAL,19268.27,11368.28,4621.99,17341.44,23
CPT,33264,HC REMV & REPLC CVD GEN MULTIPLE,24368.73,14377.55,5845.46,21931.86,23
CPT,33270,HC INS/REP SUBQ DEFIBRILLATOR,24368.73,14377.55,5845.46,21931.86,23
CPT,33271,HC INSJ SUBQ IMPLTBL DFB ELCTRD,7054.53,4162.17,1692.21,6349.08,23
CPT,33272,HC RMVL OF SUBQ DEFIBRILLATOR,7177.11,4234.49,1721.61,6459.4,23
CPT,33273,HC REPOS PREV IMPLTBL SUBQ DFB,7177.11,4234.49,1721.61,6459.4,23
CPT,33274,HC TCAT INSJ/RPL PERM LDLS PM,28146.81,16606.62,6751.73,25332.13,23
CPT,33275,HC TCAT RMVL PERM LDLS PM,7739.12,4566.08,1856.43,6965.21,23
CPT,33285,HC INSJ SUBQ CAR RHYTHM MNTR,9015.7,5319.26,2162.65,8114.13,23
CPT,33286,HC RMVL SUBQ CAR RHYTHM MNTR,2073.88,1223.59,497.47,1866.49,23
CPT,33289,HC TCAT IMPL WRLS P-ART PRS SNR,35961.5,21217.29,8626.28,32365.35,23
CPT,33340,HC PERQ CLSR TCAT L ATR APNDGE,24442.68,14421.18,5863.2,21998.41,23
CPT,33361,HC REPLACE AORTIC VALVE PERQ,41626.2,24559.46,9985.11,37463.58,23
CPT,33362,HC REPLACE AORTIC VALVE OPEN,15223.4,8981.81,1851.85,13701.06,23
CPT,33363,HC TAVR/TAVI W/PROS VALVE OPEN AX,15223.4,8981.81,1851.85,13701.06,23
CPT,33364,HC TAVR/TAVI W/PROS VALVE OPEN IL,15223.4,8981.81,1851.85,13701.06,23
CPT,33365,HC TAVR/TAVI W/PROS VALVE TRNSARO,10489.52,6188.82,1276.0,9440.57,23
CPT,33366,HC TRANSCATH REPLACEMENT AORTIC VALVE,58983.95,34800.53,14148.81,53085.56,23
CPT,33370,HC TCAT PLMT&RMVL CEPD PERQ,20810.1,12277.96,4991.83,18729.09,23
CPT,33418,HC REPAIR TCAT MITRAL VALVE INTIAL,36750.63,21682.87,8815.58,33075.57,23
CPT,33419,HC REPAIR TCAT MITRAL VALVE ADD'L,11431.71,6744.71,2742.19,10288.54,23
CPT,33477,HC IMPLANT TCAT PULM VLV PERQ,39714.67,23431.66,9526.58,35743.2,23
CPT,33741,HC TAS CONGENITAL CAR ANOMAL,13468.85,7946.62,3230.85,12121.97,23
CPT,33745,HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT,25593.45,15100.14,6139.24,23034.11,23
CPT,33746,HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL,12796.73,7550.07,3069.62,11517.06,23
CPT,33894,HC EVASC ST RPR THRC/AA ACRS MAJ SIDE BRNCH,20287.35,11969.54,4866.44,18258.62,23
CPT,33895,HC EVASC ST RPR THRC/AA X CRSG MAJ SIDE BRNCH,9539.86,5628.52,2288.38,8585.87,23
CPT,33897,HC PERQ TRLUML ANGP NT/RECR COA,9539.86,5628.52,2288.38,8585.87,23
CPT,33901,HC PERQ P-ART REVSC 1 NM NT BI,43805.58,25845.29,5328.72,39425.02,23
CPT,33902,HC PERQ P-ART REVSC 1 ABNOR UNI,70885.78,41822.61,17003.77,63797.2,23
CPT,33903,HC PERQ P-ART REVSC 1 ABNOR BI,43805.58,25845.29,5328.72,39425.02,23
CPT,33904,HC PERQ P-ART REVSC EACH ADDL,21902.79,12922.65,2664.36,19712.51,23
CPT,33945,HC HEART TRANSPLANT,170000.0,100300.0,20679.61,153000.0,23
CPT,33946,HC ECMO/ECLS INITIATION VENOUS,9386.46,5538.01,1141.81,8447.81,23
CPT,33947,HC ECMO/ECLS INITIATION ARTERY,10431.87,6154.8,1268.98,9388.68,23
CPT,33948,HC ECMO/ECLS DAILY MGMT-VENOUS,7235.86,4269.16,880.2,6512.27,23
CPT,33949,HC ECMO/ECLS DAILY MGMT ARTERY,7100.12,4189.07,863.69,6390.11,23
CPT,33952,HC ECMO/ECLS INSJ PRPH CANNULA 6+ YR,13077.83,7715.92,1590.85,11770.05,23
CPT,33967,HC INS BALLOON INTRA-AOIC ASST DEVICE PERC,5989.87,3534.02,1436.82,5390.88,23
CPT,33968,HC REM BALLOON INTRA-AORTIC ASST PERC,1027.18,606.04,246.4,924.46,23
CPT,33973,HC IABP INSERTION ACSENDING AORTA,10477.98,6182.01,1274.59,9430.18,23
CPT,33974,HC IABP RMOVAL ASC AORTA W/ OR W/O GRAFT,18102.6,10680.53,2202.09,16292.34,23
CPT,33990,HC INSERT VAD ARTERY ACCESS,13045.41,7696.79,3129.27,11740.87,23
CPT,33992,HC REMOVE VAD DIFFERENT SESSION,8733.15,5152.56,2094.87,7859.84,23
CPT,33995,HC INSJ PERQ VAD R HRT VENOUS,13045.41,7696.79,3129.27,11740.87,23
CPT,33997,HC RMVL PERQ RIGHT HEART VAD,6135.74,3620.09,1471.81,5522.17,23
CPT,33999,HC CARDIAC UNLISTED PROC,9322.53,5500.29,1134.04,8390.28,23
CPT,34705,HC EVAC RPR A-BIILIAC NDGFT,11576.99,6830.42,1408.28,10419.29,23
CPT,34710,HC DLYD PLMT XTN PROSTH 1ST VSL,8284.0,4887.56,1007.71,7455.6,23
CPT,35190,"HC REPR ACQ AV FIST,EXTREM",15147.18,8936.84,1842.58,13632.46,23
CPT,35206,HC RPR VESS EXTREM UPR,6808.37,4016.94,828.2,6127.53,23
CPT,35226,HC RPR VESS EXTREM LWR,1967.25,1160.68,239.31,1770.53,23
CPT,35860,HC EXPLORATION VESSEL POSTOP EXTREMITY,13169.7,7770.12,1602.02,11852.73,23
CPT,36000,HC INTRO NDL/INTRACATH VEIN,198.55,117.14,24.15,178.7,23
CPT,36002,HC INJ TX PSEUDOANEURYSM EXTREM PERC,2286.34,1348.94,278.12,2057.71,23
CPT,36005,HC INJ VENOGRAM EXTREM,1459.73,861.24,177.57,1313.76,23
CPT,36010,HC INTRO CATH VENA CAVA SUPERIOR/INFERIOR,3326.69,1962.75,797.99,2994.02,23
CPT,36011,HC PL CATH VENOUS 1ST ORDER BRANCH,4758.06,2807.26,1141.34,4282.25,23
CPT,36012,HC PL CATH VENOUS 2ND ORDER BRANCH,5253.42,3099.52,1260.17,4728.08,23
CPT,36013,HC INTRO CATH ARTERY HEA/MAIN PULM,3715.68,2192.25,451.99,3344.11,23
CPT,36014,HC PL CATH ARTERY PULM LT/RT,1294.61,763.82,157.48,1165.15,23
CPT,36015,HC PL CATH ARTERY PULM SEGMENTAL,5162.25,3045.73,627.96,4646.03,23
CPT,36140,HC INTRO NDL/CATH ARTERY EXTREM,2752.32,1623.87,334.81,2477.09,23
CPT,36200,HC INTRO CATH AOA,4282.96,2526.95,1027.38,3854.66,23
CPT,36215,HC PL CATH THOR/BRACHIO 1ST ORDER,7088.97,4182.49,862.34,6380.07,23
CPT,36216,HC PL CATH THOR/BRACHIO 2ND ORDER,8261.02,4874.0,1004.91,7434.92,23
CPT,36217,HC PL CATH THOR/BRACHIO 3RD ORDER,9829.14,5799.19,1195.66,8846.23,23
CPT,36218,HC PL CATH THOR/BRACHIO EA ADDL,1279.42,754.86,155.63,1151.48,23
CPT,36221,HC PLACE CATH THORACIC AORTA,6808.37,4016.94,1633.16,6127.53,23
CPT,36222,HC PLACE CATH CAROTID/INOM ART EXTRACRANIAL,6808.37,4016.94,1633.16,6127.53,23
CPT,36223,HC PLACE CATH CAROTID/INOM ART INTRACRANIAL,12234.0,7218.06,2934.64,11010.6,23
CPT,36224,HC PLACE CATH CAROTID ARTERY,12234.0,7218.06,2934.64,11010.6,23
CPT,36225,HC PLACE CATH SUBCLAVIAN ARTERY,7739.12,4566.08,1856.43,6965.21,23
CPT,36226,HC PLACE CATH VERTEBRAL ARTERY,12234.0,7218.06,2934.64,11010.6,23
CPT,36227,HC PLACE CATH XTRNL CAROTID,3559.68,2100.21,853.88,3203.71,23
CPT,36228,HC SEL INTR CRANL EA ADD UNI,4990.1,2944.16,1197.0,4491.09,23
CPT,36245,HC PL CATH ABD/PEL/LWR EXT 1ST ORDER,7290.56,4301.43,886.86,6561.5,23
CPT,36246,HC PL CATH ABD/PEL/LWR EXT 2ND ORDER,7802.13,4603.26,949.09,7021.92,23
CPT,36247,HC PL CATH ABD/PEL/LWR EXT 3RD ORDER,9257.81,5462.11,1126.16,8332.03,23
CPT,36248,HC PL CATH ABD/PEL/LWR EXT EA ADDL,1482.02,874.39,180.28,1333.82,23
CPT,36251,HC XR ANGIO RENAL UNI S&I,6808.37,4016.94,828.2,6127.53,23
CPT,36252,HC XR ANGIO RENAL S&I,6808.37,4016.94,828.2,6127.53,23
CPT,36253,HC PLACE CATH RENAL 2ND+ ORD UNI,12234.0,7218.06,1488.2,11010.6,23
CPT,36400,HC VENIPUNCT < AGE 3 VEIN FEM/JUGULAR,537.9,317.36,65.43,484.11,23
CPT,36406,HC VENIPUNCT < AGE 3 VEIN OTHER,269.46,158.98,32.78,242.51,23
CPT,36410,HC VENIPUNCT > AGE 3 REQUIRING MD SKILL,280.6,165.55,34.13,252.54,23
CPT,36415,HC COLLECTION OF VENOUS BLOOD BY VENIPUN,23.0,13.57,2.77,20.7,23
CPT,36415,HC VENIPUNCTURE,23.0,13.57,2.77,20.7,23
CPT,36416,HC FINGER/HEEL/EAR STICK,12.16,7.17,1.46,10.94,23
CPT,36430,HC TRANSFUSE BL/BL COMPONENTS,1303.73,769.2,157.07,1173.36,23
CPT,36450,HC TRANSFUSION EXCHANGE BLOOD NEWBORN,1303.73,769.2,157.07,1173.36,23
CPT,36460,HC TRANSFUSE FETAL INTRAUTERINE,1624.14,958.24,195.67,1461.73,23
CPT,36465,HC NJX NONCMPND SCLRSNT 1 VEIN,2252.07,1328.72,273.95,2026.86,23
CPT,36466,HC NJX NONCMPND SCLRSNT MLT VN,2252.07,1328.72,273.95,2026.86,23
CPT,36468,HC INJ SCLERO SOLN VEIN LIMB/TRNK,1414.3,834.44,172.04,1272.87,23
CPT,36470,HC INJ SCLEROSING SOLN VEIN SNGL,1075.81,634.73,130.87,968.23,23
CPT,36471,HC INJ SCLRSNT MLT INCMPTNT VEIN,1075.81,634.73,130.87,968.23,23
CPT,36473,HC ENDOVENOUS MCHNCHEM 1ST VEIN,6808.37,4016.94,828.2,6127.53,23
CPT,36474,HC ENDOVENOUS MCHNCHEM ADD-ON,2613.54,1541.99,317.92,2352.19,23
CPT,36475,HC ABLAT ENDOVENOUS EXTREM RADIOFREQ 1ST,6808.37,4016.94,828.2,6127.53,23
CPT,36476,HC ABLAT EXTREM RADIOFREQ 2ND,4159.38,2454.03,505.97,3743.44,23
CPT,36478,HC ABLAT ENDOVENOUS EXTREM LASER 1ST VEIN,5681.92,3352.33,691.18,5113.73,23
CPT,36481,HC CATH VEIN POAL PERC ANY METHOD,10144.18,5985.07,1233.99,9129.76,23
CPT,36482,HC ENDOVEN THER CHEM ADHES 1ST,6808.37,4016.94,828.2,6127.53,23
CPT,36483,HC ENDOVEN THER CHEM ADHES SBSQ,4538.24,2677.56,552.05,4084.42,23
CPT,36500,HC CATH VENOUS SELECT ORGAN BL SAMPLE,1536.72,906.66,186.93,1383.05,23
CPT,36510,HC CATH VEIN UMBIL NEWBORN,1661.32,980.18,202.09,1495.19,23
CPT,36511,HC APHERESIS PROPH WHITE BL CELLS,6141.68,3623.59,747.1,5527.51,23
CPT,36512,HC APHERESIS PROPH RBC,6141.68,3623.59,747.1,5527.51,23
CPT,36514,HC APHERESIS PROPH PLASMA PHERESIS,6141.68,3623.59,747.1,5527.51,23
CPT,36522,HC PHOTOPHERESIS EXTRACORPOREAL,16215.12,9566.92,1972.48,14593.61,23
CPT,36555,HC INS CATH C/V NON TUNNELED < 5 YRS,7574.62,4469.03,921.41,6817.16,23
CPT,36556,HC INS CATH C/V NON TUNNELED > 5 YRS,7574.62,4469.03,921.41,6817.16,23
CPT,36557,HC INS CATH C/V TUNNELED W/O PO < 5 YRS,12234.0,7218.06,1488.2,11010.6,23
CPT,36558,HC INS CATH C/V TUNNELED W/O PO > 5 YRS,6808.37,4016.94,828.2,6127.53,23
CPT,36560,HC INS DEVICE C/V W/PO < 5YRS,6808.37,4016.94,828.2,6127.53,23
CPT,36561,HC INS DEVICE C/V TUNNELED W/PO > 5YRS,6808.37,4016.94,828.2,6127.53,23
CPT,36568,HC INSJ PICC <5 YR W/O IMAGING,2286.34,1348.94,278.12,2057.71,23
CPT,36569,HC INSJ PICC 5 YR+ W/O IMAGING,2286.34,1348.94,278.12,2057.71,23
CPT,36570,HC INS CATH C/V PERIPH W/PORT < 5 YRS,6808.37,4016.94,828.2,6127.53,23
CPT,36571,HC INS CATH C/V PERIPH W/PORT > 5 YRS,6550.06,3864.54,796.78,5895.05,23
CPT,36572,HC INSJ PICC RS&I <5 YR,2212.71,1305.5,269.16,1991.44,23
CPT,36573,HC INSJ PICC RS&I 5 YR+,3179.77,1876.06,386.8,2861.79,23
CPT,36575,HC RPR CATH C/V W/O PO OR PUMP,2286.34,1348.94,278.12,2057.71,23
CPT,36576,HC RPR CATH C/V W/PO OR PUMP,2286.34,1348.94,278.12,2057.71,23
CPT,36580,HC REPL CATH C/V NON-TNL W/O PO,2286.34,1348.94,278.12,2057.71,23
CPT,36581,HC REPL CATH C/V TUNNELED W/O PO,6808.37,4016.94,828.2,6127.53,23
CPT,36582,HC REPL DEVICE C/V TUNNELED W/PO,6808.37,4016.94,828.2,6127.53,23
CPT,36584,HC COMPL RPLCMT PICC RS&I,2286.34,1348.94,278.12,2057.71,23
CPT,36585,HC REPL PICC W/PORT,6808.37,4016.94,828.2,6127.53,23
CPT,36589,HC REM CATH C/V TUNNELED W/O PO/PUMP,2286.34,1348.94,278.12,2057.71,23
CPT,36590,HC REM DEVICE C/V TUNNELED W/PO/PUMP,2286.34,1348.94,278.12,2057.71,23
CPT,36591,HC COLL BL FROM IMPL VENOUS DEVICE,367.72,216.95,44.73,330.95,23
CPT,36592,HC COLL BL CENTRAL/PERIPHERAL CATH VENOUS,337.0,198.83,40.6,303.3,23
CPT,36593,HC DECLOT PORT W/THROMBOLYTIC AGENT,1027.18,606.04,124.95,924.46,23
CPT,36595,HC REM PERICATH MATL FROM VENOUS DEVICE,6808.37,4016.94,828.2,6127.53,23
CPT,36596,HC REM INTRALUMINAL MATL VENOUS DEVICE,1733.24,1022.61,210.84,1559.92,23
CPT,36597,HC REPOSITION CATH C/V W/FLUORO GUIDE,2286.34,1348.94,278.12,2057.71,23
CPT,36598,HC INJ CONTR W/FLUOROY EVAL CV DEVICE,660.48,389.68,80.34,594.43,23
CPT,36600,HC PUNCTURE ARTERIAL,200.57,118.34,24.4,180.51,23
CPT,36620,HC CATH/CANNULATION ARTERIAL PERC,1041.36,614.4,126.68,937.22,23
CPT,36660,HC CATH ARTERY UMBILICAL NEWBORN,2220.5,1310.1,270.11,1998.45,23
CPT,36680,HC PL NDL INF INTRAOSSEOUS,836.74,493.68,101.79,753.07,23
CPT,36836,HC PRQ AV FSTL CRTJ UXTR 1 ACS,70885.78,41822.61,8622.88,63797.2,23
CPT,36837,HC PRQ AV FSTL CRT UXTR SEP ACS,70885.78,41822.61,8622.88,63797.2,23
CPT,36861,HC CANNULA DECLOTTING,11959.0,7055.81,1454.75,10763.1,23
CPT,36901,HC INTRO CATH DIALYSIS CIRCUIT,2286.34,1348.94,278.12,2057.71,23
CPT,36902,HC INTRO CATH DIALYSIS CIRCUIT W TRNSLUM ANGPLTY,12489.28,7368.68,1519.26,11240.35,23
CPT,36903,HC INTRO CATH DIALYSIS CIRCUIT W TRNSCATH STENT,20287.35,11969.54,2467.85,18258.62,23
CPT,36904,HC THRMBC/NFS DIALYSIS CIRCUIT,12489.28,7368.68,1519.26,11240.35,23
CPT,36905,HC THRMBC/NFS DIALYSIS CIRCUIT W TRNSLUM ANGPLTY,20287.35,11969.54,2467.85,18258.62,23
CPT,36906,HC THRMBC/NFS DIALYSIS CIRCUIT W TRNSCATH STENT,25593.45,15100.14,3113.31,23034.11,23
CPT,36907,HC BALO ANGIOP CTR DIALYSIS SEG,3763.3,2220.35,457.79,3386.97,23
CPT,36908,HC STENT PLMT CTR DIALYSIS SEG,5639.37,3327.23,686.0,5075.43,23
CPT,36909,HC DIALYSIS CIRCUIT EMBOLJ,5362.82,3164.06,652.36,4826.54,23
CPT,37182,HC INS TRANSVEN INTRAHEPATIC PORTOSYS SHUNT,22158.36,13073.43,2695.45,19942.52,23
CPT,37183,HC REV TIPS,12489.28,7368.68,1519.26,11240.35,23
CPT,37184,HC PRIMARY PERC THROMBECTOMY INIT VESS,11396.25,6723.79,1386.29,10256.63,23
CPT,37185,HC PRIMARY PERC THROMBECTOMY EA ADD,5155.16,3041.54,627.1,4639.64,23
CPT,37186,HC SECONDARY PERC THROMBECTOMY EA ADD,7549.89,4454.44,918.4,6794.9,23
CPT,37187,HC THROMBECTOMY VENOUS MECHANICAL,10035.79,5921.12,1220.8,9032.21,23
CPT,37188,HC THROMBECTOMY VENOUS MECHANICAL EA ADD,6808.37,4016.94,828.2,6127.53,23
CPT,37191,HC INS VENA CAVA FILTER ENDOVASC,12234.0,7218.06,1488.2,11010.6,23
CPT,37193,HC REMOVAL VENA CAVA FILTER ENDO,6808.37,4016.94,828.2,6127.53,23
CPT,37195,HC THROMBO CEREBRAL IV INF,1027.18,606.04,124.95,924.46,23
CPT,37197,HC REMOVE INTRAVASCULAR FOREIGN BODY,6808.37,4016.94,1633.16,6127.53,23
CPT,37200,HC BX TRCATH,11757.89,6937.16,1430.29,10582.1,23
CPT,37211,HC THROMBOLYTIC ART THERAPY,9527.27,5621.09,1158.94,8574.54,23
CPT,37212,HC THROMBOLYTIC VENOUS THERAPY,6808.37,4016.94,828.2,6127.53,23
CPT,37213,HC THROMBLYTIC ART/VEN THERAPY,7849.63,4631.28,954.87,7064.67,23
CPT,37214,HC CESSJ THERAPY CATH REMOVAL,7849.63,4631.28,954.87,7064.67,23
CPT,37215,HC STENT TRCATH CAROTID ART PERC W/DIST,4269.8,2519.18,1024.22,3842.82,23
CPT,37216,HC PL STENT TRCATH CAROTID ARTERY PERC W/O,9982.1,5889.44,2394.46,8983.89,23
CPT,37220,HC REVASC ILIAC UNI W/TRANS ANGIOP,12489.28,7368.68,2995.87,11240.35,23
CPT,37221,HC REVSC ILIAC ARTERY UNI INIT W/STENT,20287.35,11969.54,4866.44,18258.62,23
CPT,37222,HC REVSC ILIAC ARTERY UNI ADDL,5738.65,3385.8,1376.56,5164.79,23
CPT,37223,HC REVSC ILIAC ART UNI ADDL W/STENT,6576.4,3880.08,1577.52,5918.76,23
CPT,37224,HC REVASC FEM/ POP UNILAT W/TRANS ANGIOP,12489.28,7368.68,2995.87,11240.35,23
CPT,37225,HC REVSC FEM POPLITEAL ART W/ATHRC,20287.35,11969.54,4866.44,18258.62,23
CPT,37226,HC REVSC FEM POPLITEAL ARTERY W/STENT,20287.35,11969.54,4866.44,18258.62,23
CPT,37227,HC REVSC FEM POP W/STENT & ATHRC,25593.45,15100.14,6139.24,23034.11,23
CPT,37228,HC REVASC TIB/ PERONEAL UNILAT 1ST VSL,15846.36,9349.35,3801.15,14261.72,23
CPT,37229,HC REVSC TIBL PERONEAL ARTERY W/ATHRC,25593.45,15100.14,6139.24,23034.11,23
CPT,37230,HC REVSC TIBL PERONEAL ARTERY W/STENT,25593.45,15100.14,6139.24,23034.11,23
CPT,37231,HC REVSC TIBL PERONEAL W/STENT & ARTHC,16895.83,9968.54,4052.9,15206.25,23
CPT,37232,HC REVASC TIBL/ PRNL UNILAT EA ADDL VSL,6219.82,3669.69,1491.98,5597.84,23
CPT,37233,HC REVSC TIBL PERONEAL W/ATHRC EA ADDL,10105.69,5962.36,2424.11,9095.12,23
CPT,37234,HC REVSC TIBL PERONEAL EA ADDL W/STENT,8766.5,5172.24,2102.87,7889.85,23
CPT,37236,HC OPEN/PERQ PLACE STENT 1ST,20287.35,11969.54,4866.44,18258.62,23
CPT,37237,HC OPEN/PERQ PLACE STENT EA ADD,6538.92,3857.96,1568.53,5885.03,23
CPT,37238,HC OPEN/PERQ PLACE STENT SAME,20287.35,11969.54,4866.44,18258.62,23
CPT,37239,HC VASC STENT W/PLASTY SAME VESS EA  VEIN,4626.37,2729.56,1109.75,4163.73,23
CPT,37241,HC VASC EMBOLIZE/OCCLUDE VENOUS,20287.35,11969.54,2467.85,18258.62,23
CPT,37242,HC VASC EMBOLIZE/OCCLUDE ARTERY,20287.35,11969.54,2467.85,18258.62,23
CPT,37243,HC VASC EMBOLIZE/OCCLUDE ORGAN,20287.35,11969.54,2467.85,18258.62,23
CPT,37244,HC VASC EMBOLIZE/OCCLUDE BLEED,20287.35,11969.54,2467.85,18258.62,23
CPT,37246,HC TRLUML BALO ANGIOP 1ST ART,12489.28,7368.68,1519.26,11240.35,23
CPT,37247,HC TRLUML BALO ANGIOP ADDL ART,5320.28,3138.97,647.18,4788.25,23
CPT,37248,HC TRLUML BALO ANGIOP 1ST VEIN,12489.28,7368.68,2995.87,11240.35,23
CPT,37249,HC TRLUML BALO ANGIOP ADDL VEIN,4528.11,2671.58,1086.18,4075.3,23
CPT,37252,HC INTRVASC US NONCORONARY 1ST,2820.19,1663.91,676.49,2538.17,23
CPT,37253,HC INTRVASC US NONCORONARY ADDL,2277.22,1343.56,546.25,2049.5,23
CPT,37609,HC LIGATE/BX ARTERY TEMPORAL,4447.07,2623.77,540.96,4002.36,23
CPT,37700,HC LIG & DIV LG SAPH VEIN,11657.54,6877.95,1418.08,10491.79,23
CPT,37766,HC PHLEBECTOMY 1 EXT >20 INCISN,4790.48,2826.38,582.74,4311.43,23
CPT,37799,HC VASCULAR UNLISTED PROC,2286.34,1348.94,278.12,2057.71,23
CPT,38200,HC INJECT PROC SPLENOPORTOGRAM,2566.94,1514.49,312.25,2310.25,23
CPT,38205,HC HARVEST PROGENITOR CELL PER COLL ALLO,1576.23,929.98,191.74,1418.61,23
CPT,38206,HC HARVEST PROGENITOR CELL PER COLL AUTO,4039.84,2383.51,491.43,3635.86,23
CPT,38207,HC TRANSPL CRYO/STOR PROGENITOR CELL,1303.73,769.2,157.07,1173.36,23
CPT,38208,HC TRANSPL THAW FROZ PROGEN CELL W/O WASH,1303.73,769.2,157.07,1173.36,23
CPT,38209,HC WASH HARVEST STEM CELLS,1829.24,1079.25,220.38,1646.32,23
CPT,38210,HC TRANSPL PREP T-CELL DEPLETION,1287.0,759.33,155.05,1158.3,23
CPT,38212,HC TRANSPL RBC REM,1303.73,769.2,158.59,1173.36,23
CPT,38214,HC TRANSPL PLASMA DEPLETION,1303.73,769.2,158.59,1173.36,23
CPT,38215,HC TRANSPL PREP CELL CONCENTRAT IN PLASMA,1303.73,769.2,158.59,1173.36,23
CPT,38220,HC DIAGNOSTIC BONE MARROW ASPIRATIONS,7574.62,4469.03,921.41,6817.16,23
CPT,38221,HC DIAGNOSTIC BONE MARROW BIOPSIES,7574.62,4469.03,921.41,6817.16,23
CPT,38222,HC DX BONE MARROW BX & ASPIR,8522.22,5028.11,1036.68,7670.0,23
CPT,38225,HC CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY,2772.0,1635.48,337.2,2494.8,23
CPT,38226,HC CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS,1287.0,759.33,156.56,1158.3,23
CPT,38227,HC CAR-T THERAPY RECEIPT & PREP CAR-T CELLS F/ADMN,1287.0,759.33,156.56,1158.3,23
CPT,38228,HC CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION,1387.65,818.71,168.8,1248.89,23
CPT,38240,HC TRANSPLT ALLO HCT/DONOR,72824.57,42966.5,8858.73,65542.11,23
CPT,38241,HC TRANSPL BONE MARROW/STEM CELL AUTOGENIC,4039.84,2383.51,491.43,3635.86,23
CPT,38242,HC TRANSPL BONE MARROW/STEM CELL LYMPHO INF,4039.84,2383.51,491.43,3635.86,23
CPT,38243,HC TRANSPL HEMATOPOIETIC BOOST,6859.06,4046.85,834.37,6173.15,23
CPT,38300,"HC DRAINAGE LYMPH NODE,SIMPLE",9539.86,5628.52,1160.47,8585.87,23
CPT,38500,HC BX/EXC LYMPH NODE SUPER OPEN,6438.63,3798.79,783.23,5794.77,23
CPT,38505,HC BX/EXC LYMPH NODE(S) SUPERFICIAL NEEDLE,4447.07,2623.77,540.96,4002.36,23
CPT,38510,HC BIOPSY/REMOVAL LYMPH NODES,10595.61,6251.41,1288.9,9536.05,23
CPT,38790,HC INJ PROC LYMPHANGIO,1597.5,942.53,194.33,1437.75,23
CPT,38792,HC INJ PROC SENTINEL NODE ID,1224.72,722.58,148.98,1102.25,23
CPT,38794,HC CANNULATION THORACIC LYMPH DUCT,5734.59,3383.41,697.58,5161.13,23
CPT,38999,HC BL/LYMPH UNLISTED PROC,1303.73,769.2,158.59,1173.36,23
CPT,40490,HC BX LIP,650.35,383.71,79.11,585.32,23
CPT,40650,HC RPR LIP FULL THICKNESS VERMILION ONLY,1624.85,958.66,197.65,1462.37,23
CPT,40652,HC RPR LIP UP TO HALF VERTICLE HEIGHT,1624.85,958.66,197.65,1462.37,23
CPT,40654,HC RPR LIP CMPLX,3061.29,1806.16,372.39,2755.16,23
CPT,40799,HC LIP SURGERY PROC UNLISTED,865.69,510.76,105.31,779.12,23
CPT,40800,HC DRAIN ABSC/CYST/HEMATOMA MOUTH SMPL,962.35,567.79,117.06,866.12,23
CPT,40804,HC REM FOREIGN BODY MOUTH,961.34,567.19,116.94,865.21,23
CPT,40806,HC INCISION OF LIP FOLD,1774.74,1047.1,215.89,1597.27,23
CPT,40808,HC BIOPSY OF MOUTH LESION,434.58,256.4,52.86,391.12,23
CPT,40810,HC EXC LES MOUTH VESTIBULE WO REPAIR,7934.83,4681.55,965.23,7141.35,23
CPT,40812,HC EXC LES MOUTH VEST W SIM RPR,5728.35,3379.73,696.82,5155.52,23
CPT,40816,HC EXCISION OF MOUTH LESION,9200.0,5428.0,1119.13,8280.0,23
CPT,40819,HC EXCISE LIP OR CHEEK FOLD,5728.35,3379.73,696.82,5155.52,23
CPT,40830,HC CLOSE LAC VESTIBULE MOUTH 2.5 CM OR LESS,650.35,383.71,79.11,585.32,23
CPT,40831,HC CLOSE LAC VESTIBULE MOUTH >2.5 CM CMPLX,1624.85,958.66,197.65,1462.37,23
CPT,41000,HC I&D ABSC/CYST/HEMA LINGUAL INTRAORAL,1624.85,958.66,197.65,1462.37,23
CPT,41005,HC DRAINAGE OF MOUTH LESION,977.76,576.88,118.94,879.98,23
CPT,41007,HC I&D OF INTRAORAL LESION/ABSCESS,5728.35,3379.73,696.82,5155.52,23
CPT,41008,HC I&D ABSC/CYST MOUTH/TONG INTRAORAL,7934.83,4681.55,965.23,7141.35,23
CPT,41009,"HC I&D MOUTH/TONG INTRA,MASTICATOR",1919.19,1132.32,233.46,1727.27,23
CPT,41010,HC FRENOTOMY INCISION OF LINGUAL FRENUM,3748.1,2211.38,455.94,3373.29,23
CPT,41100,HC BIOPSY TONGUE ANTERIOR 2/3,1624.85,958.66,197.65,1462.37,23
CPT,41105,HC BIOPSY OF TONGUE POSTERIOR,6309.98,3722.89,767.58,5678.98,23
CPT,41108,HC BIOPSY FLOOR OF MOUTH,4447.07,2623.77,540.96,4002.36,23
CPT,41110,HC EXC LESION TONGUE WITHOUT CLOSURE,8522.22,5028.11,1036.68,7670.0,23
CPT,41115,HC EXCIS TONGUE FOLD,5535.18,3265.76,673.33,4981.66,23
CPT,41250,HC RPR LAC MOUTH FLR/TONGUE ANT 2/3 <2.5CM,961.34,567.19,116.94,865.21,23
CPT,41251,HC RPR LAC MOUTH FLR/TONGUE POST 1/3 <2.5CM,650.35,383.71,79.11,585.32,23
CPT,41252,HC RPR LAC MOUTH FLR/TONGUE > 2.6 CM/CPLX,1160.9,684.93,141.22,1044.81,23
CPT,41599,HC TONGUE AND MOUTH SURG UNLISTED,865.69,510.76,105.31,779.12,23
CPT,41800,HC DRAIN ABSC/CYST/HEMATOMA DENTOALVEOLAR,367.72,216.95,44.73,330.95,23
CPT,41899,HC DENTOALVEOLAR UNLISTED PROC,650.35,383.71,79.11,585.32,23
CPT,42000,HC DRAIN ABSC PALATE/UVULA,865.69,510.76,105.31,779.12,23
CPT,42100,HC BIOPSY ROOF OF MOUTH,3748.1,2211.38,455.94,3373.29,23
CPT,42104,HC EXC LESION PALATE UVULA; WO CLOSURE,8049.32,4749.1,979.16,7244.39,23
CPT,42182,HC REPAIR PALATE,10645.05,6280.58,1294.91,9580.55,23
CPT,42300,"HC DRAINAGE PAROTID ABSCESS, SIMPLE",3748.1,2211.38,455.94,3373.29,23
CPT,42330,HC SIALOLITHOTOMY INTRAORAL UNCOMPLICATED,7934.83,4681.55,965.23,7141.35,23
CPT,42335,"HC REMOVAL SUBMAND STONE,COMPLICATED",7934.83,4681.55,965.23,7141.35,23
CPT,42400,HC NEEDLE BIOPSY SALIVARY GLAND,1967.25,1160.68,239.31,1770.53,23
CPT,42405,HC INCISIONAL BIOPSY SALIVARY GLAND,7934.83,4681.55,965.23,7141.35,23
CPT,42409,HC DRAINAGE OF SALIVARY CYST,11650.33,6873.69,1417.2,10485.3,23
CPT,42500,HC RPR DUCT SALIVARY SIALODOCHOPLASTY SMPL,14674.32,8657.85,1785.05,13206.89,23
CPT,42650,HC DILATE SALIVARY DUCT,3550.57,2094.84,431.91,3195.51,23
CPT,42660,HC DILATE/CATH DUCT SALIVARY,1624.85,958.66,197.65,1462.37,23
CPT,42699,HC SALIVARY SURG UNLISTED PROC,704.04,415.38,85.64,633.64,23
CPT,42700,HC I&D ABSC PERITONSILLAR,650.35,383.71,79.11,585.32,23
CPT,42720,"HC INC/DRAIN RETROPHARYNG ABSCESS,ORAL",10489.52,6188.82,1276.0,9440.57,23
CPT,42800,HC BIOPSY OROPHARYNX,2679.39,1580.84,325.93,2411.45,23
CPT,42804,HC BIOPSY OF NASOPHAYNX VISIBLE LESION SIMPLE,9539.86,5628.52,1160.47,8585.87,23
CPT,42809,HC REM FB PHARYNX,961.34,567.19,116.94,865.21,23
CPT,42860,HC EXCISION OF TONSIL TAGS,11650.33,6873.69,1417.2,10485.3,23
CPT,42960,HC CONTROL BLEED OROPHARYNGEAL SMPL,650.35,383.71,79.11,585.32,23
CPT,42999,HC PHARYNX/ADENOIDS/TONSILS UNLISTED PROC,740.57,436.94,90.09,666.51,23
CPT,43197,HC ESOPHAGOSC FLEX DX BRUSH OR WASH,3310.95,1953.46,402.76,2979.86,23
CPT,43198,HC ESOPHAGOSC FLEX TRNSN BIOPSY,3406.59,2009.89,414.39,3065.93,23
CPT,43200,HC ESOPHAGOSCOPY RIGID/FLEXIBLE DIAG,2522.37,1488.2,306.83,2270.13,23
CPT,43202,HC ESOPHAGOSCOPY W/BX,3767.35,2222.74,458.28,3390.62,23
CPT,43214,HC ESOPHAGOSC DILATE BALLOON 30,4487.59,2647.68,545.89,4038.83,23
CPT,43215,HC ESOPHAGOSCOPY W/REM FB,2778.66,1639.41,338.01,2500.79,23
CPT,43220,HC ESOPHAGOSCOPY W/DILAT BALLOON,2953.91,1742.81,359.33,2658.52,23
CPT,43229,HC ESOPHAGOSCOPY LESION ABLATE,6807.36,4016.34,828.08,6126.62,23
CPT,43231,HC ESOPHAGOSCOPY W/ENDOSCOPIC ULTRASOUND,4487.59,2647.68,545.89,4038.83,23
CPT,43235,HC EGD,2522.37,1488.2,306.83,2270.13,23
CPT,43236,HC EGD W/ DIRECT SUBMUCOSAL INJECTION,2522.37,1488.2,306.83,2270.13,23
CPT,43236,HC EGD W/DIRECTED SUBMUCOSAL INJECTION,2522.37,1488.2,306.83,2270.13,23
CPT,43237,HC EGD W/US EXAM ESOPHAGUS,4487.59,2647.68,545.89,4038.83,23
CPT,43238,HC EGD W/ FNA OR BX W/ ULTRASOUND,4487.59,2647.68,545.89,4038.83,23
CPT,43239,HC EGD W/BX,2522.37,1488.2,306.83,2270.13,23
CPT,43240,HC EGD W/DRAIN PSEUDOCYST,8114.13,4787.34,987.04,7302.72,23
CPT,43241,HC EGD W/PLACE TRANSENDOSCOPIC TUBE/CATH,6646.06,3921.18,808.46,5981.45,23
CPT,43242,HC EGD FLEX TRANSORAL W/US GUIDED ASPIR/BIOPSY,4487.59,2647.68,545.89,4038.83,23
CPT,43242,HC EGD W/ASPIRATION/BIOPSY,4487.59,2647.68,545.89,4038.83,23
CPT,43243,HC EGD W/INJECT SCLEROSIS ESPOHAGEAL/GASIC VARICES,4487.59,2647.68,545.89,4038.83,23
CPT,43244,HC EGD W/LIGATE/BAND ESOPHO/GASTRIC VARICES,4487.59,2647.68,545.89,4038.83,23
CPT,43245,HC EGD W/DILATION GASTRIC OUTLET OBSTRUCTION,4487.59,2647.68,545.89,4038.83,23
CPT,43246,HC PL TUBE GASTROSTOMY PERC,4487.59,2647.68,545.89,4038.83,23
CPT,43247,HC EGD W/REM FB,2522.37,1488.2,306.83,2270.13,23
CPT,43248,HC EGD INSERT GUIDEWIRE W/DILATOR,2522.37,1488.2,306.83,2270.13,23
CPT,43249,HC EGD W/ESOPHAGEAL DILATE BALLOON,3401.65,2006.97,413.79,3061.49,23
CPT,43250,HC EGD W/REMOVE TUMOR/POLYP/LESION FORCEP/CAUTERY,2750.3,1622.68,334.56,2475.27,23
CPT,43251,HC EGD W/REMOVE TUMOR/POLYP/LESION SNARE,4187.74,2470.77,509.42,3768.97,23
CPT,43253,HC EGD US TRANSMURAL INJXN/MARK,4487.59,2647.68,545.89,4038.83,23
CPT,43255,HC EGD W/CONTROL BLEEDING,3744.05,2208.99,455.44,3369.65,23
CPT,43259,HC EGD W/ENDOSCOPIC ULTRASOUND,4487.59,2647.68,545.89,4038.83,23
CPT,43260,HC ENDO RETROGRADE PANCREATOGRAPHY (ERCP),7585.34,4475.35,922.72,6826.81,23
CPT,43261,HC ERCP W/BX,8114.13,4787.34,987.04,7302.72,23
CPT,43262,HC ERCP W/SPHINCTEROTOMY/PAPILLOTOMY,7876.08,4646.89,958.08,7088.47,23
CPT,43263,HC ERCP W/PRESSURE MEASUREMENT,8114.13,4787.34,987.04,7302.72,23
CPT,43264,HC ERCP W/REMOVE CALCULUS,6973.49,4114.36,848.29,6276.14,23
CPT,43265,HC ERCP W/LITHOTRIPSY ANY METHOD,6018.23,3550.76,732.09,5416.41,23
CPT,43266,HC EGD ENDOSCOPIC STENT PLACE,8228.6,4854.87,1000.97,7405.74,23
CPT,43270,HC EGD LESION ABLATION,4487.59,2647.68,545.89,4038.83,23
CPT,43273,HC ENDO CANNULATN PAPILLA W/DIRCT VISUAL BILE/PANC,3233.5,1907.77,393.34,2910.15,23
CPT,43274,HC ERCP DUCT STENT PLACEMENT,10202.94,6019.73,1241.13,9182.65,23
CPT,43275,HC ERCP REMOVE FORGN BODY DUCT,7076.82,4175.32,860.86,6369.14,23
CPT,43276,HC ERCP STENT EXCHANGE W/DILATE,9262.87,5465.09,1126.78,8336.58,23
CPT,43277,HC ERCP EA DUCT/AMPULLA DILATE,2946.82,1738.62,358.47,2652.14,23
CPT,43278,HC ERCP LESION ABLATE W/DILATE,9466.49,5585.23,1151.55,8519.84,23
CPT,43450,HC DILATE ESOPHAGUS SOUND OR BOUGIE,2522.37,1488.2,306.83,2270.13,23
CPT,43499,HC ESOPHAGUS UNLISTED PROCEDURE,2522.37,1488.2,306.83,2270.13,23
CPT,43752,HC PLACE NG TUBE BY MD FLUORO GUIDE,609.83,359.8,74.18,548.85,23
CPT,43753,HC INTUBATION GASTRIC TX,853.96,503.84,103.88,768.56,23
CPT,43754,HC GASTRIC INTUBAT/ASPIRA-D,853.96,503.84,103.88,768.56,23
CPT,43761,HC REPOSITION TUBE GASTROSTOMY,782.04,461.4,95.13,703.84,23
CPT,43762,HC RPLC GTUBE NO REVJ TRC,1088.85,642.42,132.45,979.97,23
CPT,43763,HC RPLC GTUBE REVJ GSTRST TRC,831.14,490.37,101.1,748.03,23
CPT,43999,HC STOMACH UNLISTED PROC,2522.37,1488.2,306.83,2270.13,23
CPT,44015,HC INS TUBE/NDL/CATH JEJUNOSTOMY,3835.22,2262.78,466.53,3451.7,23
CPT,44020,"HC ENTEROTOMY, NON-DUOD EXPLOR/BX/FB REMOVAL",10276.0,6062.84,1250.02,9248.4,23
CPT,44360,HC ENDOSCOPY INTESTINE SMALL,4487.59,2647.68,545.89,4038.83,23
CPT,44361,HC ENDO SMALL INTEST W/BIOPSY,3765.32,2221.54,458.03,3388.79,23
CPT,44364,HC ENDO SMALL INTEST REM TUMOR SNARE,2682.42,1582.63,326.3,2414.18,23
CPT,44366,HC ENDO SMALL INTEST CONTROL BLEED,4354.89,2569.39,529.75,3919.4,23
CPT,44369,HC ENDO SMALL INTEST ABLATION TUMOR,3004.56,1772.69,365.49,2704.1,23
CPT,44373,HC ENDOSCOPY INTESTINE SMALL CONVE TUBE PERC,4487.59,2647.68,545.89,4038.83,23
CPT,44376,HC ENDO SMALL INTESTINE W/ILIUM,4487.59,2647.68,545.89,4038.83,23
CPT,44377,HC ENDO SMALL INTEST/ILIUM W/BIOPSY,4487.59,2647.68,545.89,4038.83,23
CPT,44378,HC ENDO SMALL INTEST/ILIUM CNTRL BLEED,2638.87,1556.93,321.0,2374.98,23
CPT,44380,HC ILEOSCOPY THRU STOMA,2522.37,1488.2,306.83,2270.13,23
CPT,44382,HC ILEOSCOPY THRU STOMA W/BIOPSY,2522.37,1488.2,306.83,2270.13,23
CPT,44386,HC ENDO EVAL SMALL INTEST POUCH BIOPSY,12911.05,7617.52,1570.56,11619.95,23
CPT,44388,HC COLONOSCOPY THRU STOMA,2454.5,1448.16,298.58,2209.05,23
CPT,44389,HC COLONOSCOPY THRU STOMA W/BIOPSY,3218.3,1898.8,391.49,2896.47,23
CPT,44394,HC COLONSCPY THRU STOMA W/REM TUMR/PLYP/LESN SNARE,3218.3,1898.8,391.49,2896.47,23
CPT,44500,HC INTRO TUBE GASTROINTESTINAL LONG,1232.82,727.36,149.97,1109.54,23
CPT,44799,HC INTESTINE UNLISTED PROC,2522.37,1488.2,306.83,2270.13,23
CPT,44955,HC APPENDECTOMY W OTHR PROC,8213.0,4845.67,999.07,7391.7,23
CPT,45100,HC BIOPSY OF RECTUM,8583.15,5064.06,1044.1,7724.84,23
CPT,45300,HC PROCTOSIGMOIDOSCOPY RIGID,2454.5,1448.16,298.58,2209.05,23
CPT,45303,HC PROCTOSIGMOIDOSCOPY W/DILAT,3218.3,1898.8,391.49,2896.47,23
CPT,45330,HC SIGMOIDOSCOPY FLEXIBLE,2454.5,1448.16,298.58,2209.05,23
CPT,45331,HC SIGMOIDOSCOPY W/BX,2454.5,1448.16,298.58,2209.05,23
CPT,45333,HC SIGMOIDOSCOPY REM TUMR/PLYP/LESN FORCEP/CAUTERY,2133.38,1258.69,259.51,1920.04,23
CPT,45334,HC SIGMOIDOSCOPY W/CONTROL BLEEDING,3218.3,1898.8,391.49,2896.47,23
CPT,45335,HC SIGMOIDOSCOPY W/INJECT SUBMUCOSAL DIRECTED,2454.5,1448.16,298.58,2209.05,23
CPT,45337,HC SIGMOIDOSCOPY W/DECOMPRESSION VOLVULUS,3218.3,1898.8,391.49,2896.47,23
CPT,45338,HC SIGMOIDOSCOPY REMOVE TUMOR/POLYP/LESION SNARE,3218.3,1898.8,391.49,2896.47,23
CPT,45340,HC SIGMOIDOSCOPY W/BALLOON DILATATION,2653.05,1565.3,322.73,2387.75,23
CPT,45341,HC SIGMOIDOSCOPY W/US,3218.3,1898.8,391.49,2896.47,23
CPT,45342,HC SIGMOIDOSCOPY W/US BIOPSY,3218.3,1898.8,391.49,2896.47,23
CPT,45346,HC SIGMOIDOSCOPY W/ABLATION,3218.3,1898.8,391.49,2896.47,23
CPT,45378,HC COLONOSCOPY FLEXIBLE,2454.5,1448.16,298.58,2209.05,23
CPT,45379,HC COLONOSCOPY FLEXIBLE W/REMOVE FB,3112.95,1836.64,378.67,2801.66,23
CPT,45380,HC COLONOSCOPY FLEXIBLE W/BIOPSY,3218.3,1898.8,391.49,2896.47,23
CPT,45381,HC COLONSCPY FLEXIBLE W/INJECT SUBMUCOSAL DIRECTED,3218.3,1898.8,391.49,2896.47,23
CPT,45382,HC COLONOSCOPY FLEXIBLE W/CONTROL BLEEDING,3218.3,1898.8,391.49,2896.47,23
CPT,45384,HC COLONOSCOPY FLEXIBLE REM TUMR/PLYP/LESN FORCEP,3218.3,1898.8,391.49,2896.47,23
CPT,45385,HC COLONOSCOPY FLEXIBLE REM TUMR/PLYP/LESN SNARE,3218.3,1898.8,391.49,2896.47,23
CPT,45386,HC COLONOSCOPY FLEXIBLE W/BALLOON DILATATION,3218.3,1898.8,391.49,2896.47,23
CPT,45388,HC COLONOSCOPY W/ABLATION,3218.3,1898.8,391.49,2896.47,23
CPT,45390,HC COLONOSCOPY W/RESECTION,3218.3,1898.8,391.49,2896.47,23
CPT,45391,HC COLONOSCOPY FLEXIBLE W/ENDOSCOPIC US,3218.3,1898.8,391.49,2896.47,23
CPT,45392,HC COLONOSCOPY FLEXIBLE W/TRANSENDOSCOPIC US,3218.3,1898.8,391.49,2896.47,23
CPT,45399,HC UNLISTED PROCEDURE COLON,2454.5,1448.16,298.58,2209.05,23
CPT,45900,HC REDUCE PROCIDENTIA W/ANES,1792.0,1057.28,217.99,1612.8,23
CPT,45915,HC REM IMPACTION FECAL/FB W/ANES,3218.3,1898.8,391.49,2896.47,23
CPT,45999,HC RECTUM UNLISTED PROC,3247.2,1915.85,395.0,2922.48,23
CPT,46020,HC PLACE ANAL SETON,9568.0,5645.12,1163.9,8611.2,23
CPT,46030,HC REMOVAL OF RECTAL MARKER,8863.15,5229.26,1078.16,7976.84,23
CPT,46040,HC I&D ABSC ISCHIORECTAL/PERIRECTAL,3218.3,1898.8,391.49,2896.47,23
CPT,46050,HC I&D ABSC PERIANAL SUPERFICIAL,2454.5,1448.16,298.58,2209.05,23
CPT,46083,HC INCISION HEMORRHOID EXTERNAL,782.04,461.4,95.13,703.84,23
CPT,46220,HC EXCISE SINGLE ANAL EXT TAG/PAPILLA,3562.13,2101.66,433.31,3205.92,23
CPT,46221,HC LIG OF HEMORRHOIDS,2454.5,1448.16,298.58,2209.05,23
CPT,46230,HC EXCISN EXTRNL HEMRHOID T,8284.0,4887.56,1007.71,7455.6,23
CPT,46270,HC REMOVE ANAL FIST SUBQ,11474.65,6770.04,1395.83,10327.19,23
CPT,46320,HC EXC HEMORRHOID THROMBOSED EXTERNAL,3218.3,1898.8,391.49,2896.47,23
CPT,46600,HC ANOSCOPY,367.72,216.95,44.73,330.95,23
CPT,46601,HC DIAGNOSTIC ANOSCOPY,200.57,118.34,24.4,180.51,23
CPT,46604,HC ANOSCOPY W/DILATATION,4243.15,2503.46,516.16,3818.84,23
CPT,46606,HC ANOSCOPY W/BX,4468.77,2636.57,543.6,4021.89,23
CPT,46607,HC DIAGNOSTIC ANOSCOPY & BIOPSY,10489.52,6188.82,1276.0,9440.57,23
CPT,46608,HC ANOSCOPY W/FB REM,3814.76,2250.71,464.05,3433.28,23
CPT,46900,HC DEST LESN ANUS CHEM,1539.51,908.31,187.27,1385.56,23
CPT,46916,HC DESTRUCT LESION ANUS CRYOSURGERY,563.23,332.31,68.51,506.91,23
CPT,46922,HC DESTROY ANAL LESION SIMPL,10603.29,6255.94,1289.83,9542.96,23
CPT,46940,HC CURET/CAUTERY ANAL FISSURE; INITIAL,8477.39,5001.66,1031.23,7629.65,23
CPT,46999,HC ANUS UNLISTED PROC,3429.41,2023.35,417.17,3086.47,23
CPT,47000,HC BX LIVER NDL PERC,4447.07,2623.77,540.96,4002.36,23
CPT,47010,HC HEPATOTOMY DRAIN ABSC/CYST OPEN 1-2 STGS,32485.9,19166.68,3951.74,29237.31,23
CPT,47133,HC LIVER TRANSPLANT CADAVERC,180000.0,106200.0,21896.06,162000.0,23
CPT,47135,HC SPLIT LIVER TRNSPL CADAVR,180000.0,106200.0,21896.06,162000.0,23
CPT,47382,HC ABLAT TUMOR LIVER RADIOFREQUENCY PERC,14735.1,8693.71,1792.45,13261.59,23
CPT,47383,HC PERQ ABLTJ LVR CRYOABLATION,14735.1,8693.71,1792.45,13261.59,23
CPT,47399,HC LIVER UNLISTED PROC,1967.25,1160.68,239.31,1770.53,23
CPT,47490,HC CHOLECYSTOSTOMY PERC COMPL PROC,9204.12,5430.43,1119.63,8283.71,23
CPT,47531,HC INJ CHOLANGIOGRAM EXISTING ACCESS,9204.12,5430.43,1119.63,8283.71,23
CPT,47532,HC INJ CHOLANGIOGRAM NEW ACCESS,9204.12,5430.43,1119.63,8283.71,23
CPT,47533,HC PLMT BILIARY DRAINAGE CATH EXTERNAL,9204.12,5430.43,1119.63,8283.71,23
CPT,47534,HC PLMT BILIARY DRAIN CATH INTERNAL-EXTERNAL,9204.12,5430.43,1119.63,8283.71,23
CPT,47535,HC CONVERSION EXT BIL DRG CATH TO INT/EXT,9204.12,5430.43,1119.63,8283.71,23
CPT,47536,HC EXCHANGE BILIARY DRG CATH,9204.12,5430.43,1119.63,8283.71,23
CPT,47537,HC REMOVAL BILIARY DRG CATH,2522.37,1488.2,306.83,2270.13,23
CPT,47538,"HC PERQ PLMT BILE DUCT STENT, EXISTING ACCESS",14735.1,8693.71,1792.45,13261.59,23
CPT,47539,"HC PERQ PLMT BILE DUCT STENT, NEW ACCESS NO CATH",14735.1,8693.71,1792.45,13261.59,23
CPT,47540,"HC PERQ PLMT BILE DUCT STENT, NEW ACCESS W/CATH",14735.1,8693.71,1792.45,13261.59,23
CPT,47542,HC DILATE BILIARY DUCT/AMPULLA,3612.36,2131.29,439.42,3251.12,23
CPT,47543,HC ENDOLUMINAL BX BILIARY TREE,4290.06,2531.14,521.86,3861.05,23
CPT,47544,HC REMOVAL DUCT GLBLDR CALCULI,4302.21,2538.3,523.34,3871.99,23
CPT,47550,HC BILE DUCT ENDOSCOPY ADD-ON,8858.0,5226.22,1077.53,7972.2,23
CPT,47552,HC BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,10122.0,5971.98,1231.29,9109.8,23
CPT,47553,HC ENDO BILIARY W/BX,12437.0,7337.83,1512.9,11193.3,23
CPT,47554,HC ENDO BILIARY W/REM CALCULUS/CALCULI,14735.1,8693.71,1792.45,13261.59,23
CPT,47555,HC ENDO BILIARY W/DILATATION BILIARY DUCT,9204.12,5430.43,1119.63,8283.71,23
CPT,47999,HC BILIARY TRACT UNLISTED PROC,2522.37,1488.2,306.83,2270.13,23
CPT,48102,HC BX PANCREAS PERC NEEDLE,4447.07,2623.77,540.96,4002.36,23
CPT,48400,HC INJ PANCREATOGRAPHY INTRAOPERATIVE,2864.76,1690.21,348.48,2578.28,23
CPT,48999,HC UNLISTED PROCEDURE PANCREAS,2143.26,1264.52,260.72,1928.93,23
CPT,49000,HC EXPLORE LAPAROTOMY/CELIOTOMY W W/O BX,11657.54,6877.95,1418.08,10491.79,23
CPT,49082,HC ABD PARACENTESIS W/O IMAGING,3628.52,2140.83,441.39,3265.67,23
CPT,49083,HC ABD PARACENTESIS WITH IMAGING,3628.52,2140.83,441.39,3265.67,23
CPT,49084,HC PERITONEAL LAVAGE W/ OR W/O IMAGING,2522.37,1488.2,306.83,2270.13,23
CPT,49180,HC BX MASS ABD PERC,4447.07,2623.77,540.96,4002.36,23
CPT,49185,HC SCLEROTX FLUID COLLECTION,1967.25,1160.68,239.31,1770.53,23
CPT,49400,HC INJ AIR/CONTR CAVITY PERITONEAL,927.91,547.47,112.88,835.12,23
CPT,49405,HC IMAGE CATH FLUID COLXN VISC,4447.07,2623.77,540.96,4002.36,23
CPT,49406,HC IMAGE CATH FLUID PERI/RETRO,4447.07,2623.77,540.96,4002.36,23
CPT,49407,HC IMAGE CATH FLUID TRNS/VGNL,4447.07,2623.77,540.96,4002.36,23
CPT,49411,HC PLMT NTRSTL DEV PRQ IABDL IPEL,3900.05,2301.03,474.42,3510.05,23
CPT,49418,HC INS TUNNELED IPER CATHETER,9204.12,5430.43,1119.63,8283.71,23
CPT,49421,HC INS TUNNELED CATH INTRAPERITONEAL OPEN,5731.55,3381.61,697.21,5158.4,23
CPT,49422,HC REM TUNNELED INTRAPERITONEAL CATH,6808.37,4016.94,828.2,6127.53,23
CPT,49423,HC EXCHG CATH PRE-PLACED ABSC/CYST,4487.59,2647.68,545.89,4038.83,23
CPT,49424,HC INJ CONTR ABSC/CYST,1013.0,597.67,123.23,911.7,23
CPT,49427,HC INJECT SHUNT PRE-PLACED,7907.0,4665.13,961.85,7116.3,23
CPT,49440,HC INS GASTROSTOMY TUBE UNDER FLUORO,4487.59,2647.68,545.89,4038.83,23
CPT,49441,HC INS DUODEN/JEJUN TUBE UNDER FLUORO,4487.59,2647.68,545.89,4038.83,23
CPT,49446,HC CHG G-TUBE TO G-JEJUN TUBE PERC FLUORO,4487.59,2647.68,545.89,4038.83,23
CPT,49450,HC REPL G/C TUBE PERC FLUORO,2522.37,1488.2,306.83,2270.13,23
CPT,49451,HC REPL D/J TUBE PERC FLUORO,2522.37,1488.2,306.83,2270.13,23
CPT,49452,HC REPL G-JEJUNOSTOMY TUBE PERC FLUORO,2522.37,1488.2,306.83,2270.13,23
CPT,49460,HC MECH REM OBS MAT G/D/J/G-J/CEC,2045.25,1206.7,248.79,1840.73,23
CPT,49465,HC INJ CONTR W/FLUORO EVAL G/D/J/G-J/C TUBE,830.66,490.09,101.05,747.59,23
CPT,49505,HC RPR HERNIA INGUINAL INIT >5YR REDUCIBLE,11657.54,6877.95,1418.08,10491.79,23
CPT,49593,HC RPR AA HERNIA 1ST 3-10CM REDUCIBLE,11657.54,6877.95,1418.08,10491.79,23
CPT,49999,HC ABD UNLISTED PROC,2522.37,1488.2,306.83,2270.13,23
CPT,50080,HC NEPHROLITH PERC <2CM,16923.18,9984.68,2058.62,15230.86,23
CPT,50200,HC BX RENAL NDL/TROCAR PERC,4447.07,2623.77,540.96,4002.36,23
CPT,50300,HC ORGAN ACQUIS - KIDNEY CADAVER DONOR,92000.0,54280.0,11191.32,82800.0,23
CPT,50320,HC ORGAN ACQUIS - KIDNEY LIVING DONOR,0.01,0.01,0.01,0.01,23
CPT,50382,HC CHG URETERAL STENT PERC,5708.26,3367.87,694.38,5137.43,23
CPT,50384,HC REM URETERAL STENT PERC,5708.26,3367.87,694.38,5137.43,23
CPT,50385,HC CHANGE URETERAL STENT VIA TRANSURETH,5934.15,3501.15,721.86,5340.74,23
CPT,50386,HC REMOVE URETERAL STENT TRANSURETHRAL,8153.08,4810.32,991.78,7337.77,23
CPT,50387,HC CHG EXTERNAL/INTERNAL URETERAL STENT,5708.26,3367.87,694.38,5137.43,23
CPT,50389,HC REM RENAL TUBE FLUORO,2012.83,1187.57,244.85,1811.55,23
CPT,50390,HC ASP/INJ CYST RENAL PERC,1967.25,1160.68,239.31,1770.53,23
CPT,50391,HC INSTLL RX AGNT INTO RNAL TUB,886.69,523.15,107.86,798.02,23
CPT,50430,"HC NJX PX NFROSGRM &/URTRGRM, NEW ACCESS",2012.83,1187.57,244.85,1811.55,23
CPT,50431,"HC NJX PX NFROSGRM &/URTRGRM, EXISTG ACCESS",2012.83,1187.57,244.85,1811.55,23
CPT,50432,HC PLMT NEPHROSTOMY CATHETER,5708.26,3367.87,694.38,5137.43,23
CPT,50433,"HC PLMT NEPHROURETERAL CATHETER, NEW ACCESS",5708.26,3367.87,694.38,5137.43,23
CPT,50434,"HC CONVERT NEPHROSTOMY CATH, EXISTG ACCESS",2012.83,1187.57,244.85,1811.55,23
CPT,50435,HC EXCHANGE NEPHROSTOMY CATH,2012.83,1187.57,244.85,1811.55,23
CPT,50436,HC DILAT XST TRC NDURLGC PX,5934.57,3501.4,721.91,5341.11,23
CPT,50437,HC DILAT XST TRC NEW ACCESS RCS,9976.52,5886.15,1213.59,8978.87,23
CPT,50551,HC RENAL ENDOS NEPHROS W/WO IRRIGATION,8284.0,4887.56,1007.71,7455.6,23
CPT,50561,"HC RENAL ENDOSCOPY, REM FB/STONE",9200.0,5428.0,1119.13,8280.0,23
CPT,50590,HC LITHOTRIPSY KIDNEY EXTRACORP SHOCK WAVE/ESWL,12897.0,7609.23,1568.85,11607.3,23
CPT,50592,HC ABLAT RENAL TUMOR PERC UNI RF,14735.1,8693.71,1792.45,13261.59,23
CPT,50593,HC ABLAT TUMOR RENAL UNI PERC CRYOSURGICAL,17627.21,10400.05,2144.26,15864.49,23
CPT,50606,HC ENDOLUMINAL BX URTR RNL PLVS,2972.14,1753.56,361.55,2674.93,23
CPT,50684,HC INJ URETEROGRAPHY,758.74,447.66,92.3,682.87,23
CPT,50688,HC CHG TUBE URETEROSTOMY,4706.4,2776.78,572.51,4235.76,23
CPT,50690,HC INJ ILEAL CONDUIT/URETEROPYELOGRAPHY,1348.3,795.5,164.01,1213.47,23
CPT,50693,"HC PLMT URETERAL STENT PRQ, EXISTG ACCESS",8508.19,5019.83,1034.98,7657.37,23
CPT,50694,"HC PLMT URETERAL STENT PRQ, NEW ACCESS/NO CATH",8508.19,5019.83,1034.98,7657.37,23
CPT,50695,HC PLMT URETERAL STENT PRQ NEW ACCESS W/CATH,8508.19,5019.83,1034.98,7657.37,23
CPT,50705,HC URETERAL EMBOLIZATION/OCCL,6443.0,3801.37,783.76,5798.7,23
CPT,50706,HC BALLOON DILATE URTRL STRIX,3574.88,2109.18,434.87,3217.39,23
CPT,51040,HC INCISE/DRAIN BLADDER,5708.26,3367.87,694.38,5137.43,23
CPT,51102,HC ASP BLADDER W/INS SUPRAPUBIC CATH,4766.17,2812.04,579.78,4289.55,23
CPT,51600,HC INJ CYSTOGRAM/VOIDING URETHROCYSTOGRAM,837.75,494.27,101.91,753.98,23
CPT,51610,HC INJ URETHROCYSTOGRAM RETROGRADE,1229.78,725.57,149.6,1106.8,23
CPT,51700,HC IRRIGATION/LAVAGE/INSTILLATION BLADDER,911.82,537.97,110.92,820.64,23
CPT,51701,HC CATH BLADDER NON-INDWELLING,492.73,290.71,59.94,443.46,23
CPT,51702,HC CATH BLADDER SMPL,489.05,288.54,59.49,440.15,23
CPT,51703,HC CATH BLADDER COMPLICATED,611.0,360.49,74.32,549.9,23
CPT,51705,HC CHG TUBE CYSTOSTOMY SMPL,911.82,537.97,110.92,820.64,23
CPT,51710,HC CHG TUBE CYSTOSTOMY COMPLICATED,2580.55,1522.52,313.91,2322.5,23
CPT,51715,HC ENDO INJ IMPL URETHRA/BLADDER,5672.8,3346.95,690.07,5105.52,23
CPT,51720,HC INSTILL ANTICARCINOGENIC AGENT BLADDER,2734.38,1613.28,332.62,2460.94,23
CPT,51721,HC INS TRURL ABLT TRNSDC THR US,4766.17,2812.04,579.78,4289.55,23
CPT,51725,HC CYSTOMETROGRAM SMPL,782.04,461.4,95.13,703.84,23
CPT,51726,HC CYSTOMETROGRAM CMPLX,2012.83,1187.57,244.85,1811.55,23
CPT,51727,HC COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,1316.9,776.97,160.19,1185.21,23
CPT,51728,HC COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,2734.38,1613.28,332.62,2460.94,23
CPT,51729,HC CYSTOMETROGRAM W/VP&UP,2734.38,1613.28,332.62,2460.94,23
CPT,51736,HC UROFLOWMETRY SIMPLE,461.41,272.23,56.13,415.27,23
CPT,51741,HC UROFLOWMETRY COMPLEX,1256.4,741.28,152.83,1130.76,23
CPT,51784,HC EMG ANAL/URETHRAL SPHINCTER,617.16,364.12,75.07,555.44,23
CPT,51785,HC EMG NDL ANAL/URETHRAL SPHINCT,1088.85,642.42,132.45,979.97,23
CPT,51792,HC URINARY REFLEX STUDY,200.57,118.34,24.4,180.51,23
CPT,51797,HC STUDY VOIDING PRESSURE INTRA-ABD,806.31,475.72,98.08,725.68,23
CPT,51798,HC MEASURE POST-VOID URINE BY US,243.92,143.91,29.67,219.53,23
CPT,51860,HC CYSTORRHAPHY SMPL,9200.0,5428.0,1119.13,8280.0,23
CPT,52000,HC CYSTOURETHROSCOPY,2012.83,1187.57,244.85,1811.55,23
CPT,52001,HC CYSTO W/IRRIG/ EVAC CLOTS,4304.24,2539.5,523.59,3873.82,23
CPT,52005,HC CYSTO W/CATHETERIZAT URETERAL,5700.15,3363.09,693.39,5130.14,23
CPT,52204,HC CYSTOSCOPY WITH BIOPSY(S),4562.55,2691.9,555.01,4106.3,23
CPT,52214,HC CYSTOSCOPY W/ TREATMENT,9200.0,5428.0,1119.13,8280.0,23
CPT,52224,HC CYSTO FULG LESN MINOR<.5 CM,4800.61,2832.36,583.97,4320.55,23
CPT,52234,HC CYSTO FULG TUMR SMALL .5-2CM,5645.45,3330.82,686.74,5080.91,23
CPT,52235,HC CYSTO W/ FULGURATION MED TUMOR 2-5 CM,11650.33,6873.69,1417.2,10485.3,23
CPT,52265,HC CYSTOSCOPY AND TREATMNT W/ DIL OF BLADDER,7562.0,4461.58,919.88,6805.8,23
CPT,52281,HC CYSTO DILAT STRICTURE URETHRAL,5708.26,3367.87,694.38,5137.43,23
CPT,52284,HC CYSTO RX BALO CATH URTL STRX,20712.2,12220.2,2519.53,18640.98,23
CPT,52287,HC CYSTOSCOPY CHEMODENERVATION,5006.25,2953.69,608.98,4505.63,23
CPT,52310,HC CYSTOURETHROSCOPY W/REM STENT SMPL,5708.26,3367.87,694.38,5137.43,23
CPT,52315,HC CYSTOSCOPY W/REMOVAL OF FOREIGN BODY,5708.26,3367.87,694.38,5137.43,23
CPT,52327,HC CYSTOSCOPY INJECT MATERIAL,17210.27,10154.06,2093.54,15489.24,23
CPT,52330,HC CYSTOSCOPY W/ MANIPULATION,9200.0,5428.0,1119.13,8280.0,23
CPT,52332,HC CYSTO W/INDWELL STENT URETER,7744.39,4569.19,942.06,6969.95,23
CPT,52351,HC CYSTO/PYELOSC DX,5289.89,3121.04,643.49,4760.9,23
CPT,52356,HC CYSTO/URETERO W/LITHO &INDWELL STENT INSRT,13661.84,8060.49,1661.89,12295.66,23
CPT,53020,HC MEATOTOMY EXCEPT INFANT,3548.54,2093.64,431.66,3193.69,23
CPT,53060,HC DRAIN ABSC/CYST (SKENES GLAND),9200.0,5428.0,1119.13,8280.0,23
CPT,53200,HC BIOPSY OF URETHRA,7326.52,4322.65,891.23,6593.87,23
CPT,53454,HC TPRNL BALO CNTNC DEV ADJMT,989.31,583.69,120.34,890.38,23
CPT,53600,HC DIL URETHRA STRICT SOUND/DIL MALE,911.82,537.97,110.92,820.64,23
CPT,53601,HC DILATE URETH STRICT SOUND SUBS MALE,367.72,216.95,44.73,330.95,23
CPT,53620,"HC DILATE URETHRAL STRICT INITIAL, MALE",2012.83,1187.57,244.85,1811.55,23
CPT,53621,HC DIL MALE URETHRAL  STRICTUE SUBSEQUENT,782.04,461.4,95.13,703.84,23
CPT,53660,HC DIL URETHRA FEMALE INITIAL,466.99,275.52,56.81,420.29,23
CPT,53661,HC DILATE URETHRA FEMALE SUBSQ,367.72,216.95,44.73,330.95,23
CPT,53899,HC URINARY SYSTEM UNLISTED PROC,1088.85,642.42,132.45,979.97,23
CPT,54001,HC SLITTING PREPUCE EXCEPT NEWBORN,5708.26,3367.87,694.38,5137.43,23
CPT,54050,HC DSTRUCT LESN(S);PENIS SI,1075.81,634.73,130.87,968.23,23
CPT,54055,"HC DESTR LESION PENIS, SIMPLE",5234.17,3088.16,636.71,4710.75,23
CPT,54056,HC DESTRUCTION LESION PENIS CRYOSURGERY,203.61,120.13,24.77,183.25,23
CPT,54057,HC DEST LESN PENIS SMP LASER SURG,7008.44,4134.98,852.54,6307.6,23
CPT,54060,HC DEST LESN PENIS SMP EXCISION,5234.17,3088.16,636.71,4710.75,23
CPT,54065,HC DESTRUCT LESION PENIS EXTENSIVE,5234.17,3088.16,636.71,4710.75,23
CPT,54100,HC BIOPSY PENIS,5757.33,3396.82,700.35,5181.6,23
CPT,54115,HC REM FB FROM DEEP PENILE TISSUE,8463.59,4993.52,1029.55,7617.23,23
CPT,54150,HC CIRCUM W/CLAMP/OTHER DEVICE/RING BLOCK,7326.52,4322.65,891.23,6593.87,23
CPT,54161,HC CIRCUMCISION AGE > 28 DAYS,5708.26,3367.87,694.38,5137.43,23
CPT,54162,HC LYSIS ADHES PENILE POST CIRCUM,7654.43,4516.11,931.12,6888.99,23
CPT,54163,HC RPR CIRCUM INCOMPL,4794.53,2828.77,583.23,4315.08,23
CPT,54164,HC FRENULOTOMY OF PENIS,5708.26,3367.87,694.38,5137.43,23
CPT,54200,HC TREATMENT OF PENIS LESION,782.04,461.4,95.13,703.84,23
CPT,54220,HC IRRIGATION CORPORA CAVERNOSA PRIAPISM,526.76,310.79,64.08,474.08,23
CPT,54235,HC INJ CORPORA CAVERNOSA W/PHARMACY,782.04,461.4,95.13,703.84,23
CPT,54450,HC MANIPULAT FORESKIN W/PREPUTIAL STRETCH,782.04,461.4,95.13,703.84,23
CPT,54505,HC BIOPSY OF TESTIS,9844.74,5808.4,1197.56,8860.27,23
CPT,54700,HC I&D EPIDIDYMIS/TESTIS/SCROTAL SPACE,3949.69,2330.32,480.46,3554.72,23
CPT,55000,HC DRAINAGE OF HYDROCELE,1967.25,1160.68,239.31,1770.53,23
CPT,55100,HC DRAIN ABSC SCROTAL WALL,3864.6,2280.11,470.11,3478.14,23
CPT,55120,HC REMOVAL FOREIGN BODY SCROTUM,7326.52,4322.65,891.23,6593.87,23
CPT,55250,HC VASECTOMY,5708.26,3367.87,694.38,5137.43,23
CPT,55400,HC VASOVASOSTOMY/VASOVASORRHAPHY,2855.0,1684.45,347.3,2569.5,23
CPT,55700,HC BX PROSTATE NDL/PUNCH,5708.26,3367.87,694.38,5137.43,23
CPT,55870,HC ELECTROEJACULATION,2446.4,1443.38,297.59,2201.76,23
CPT,55874,HC TPRNL PLMT BIODEGRDABL MATRL,13839.44,8165.27,1683.5,12455.5,23
CPT,55876,HC PL DEV/MKR RAD THPY PROST 1/1+,4335.64,2558.03,527.41,3902.08,23
CPT,55882,HC ABLATION TRURL PROSTATE TIS US TRNSDCR MRI GUID,54354.44,32069.12,6611.93,48919.0,23
CPT,55899,HC MALE GENITAL SYSTEM UNLISTED PROC,6443.0,3801.37,783.76,5798.7,23
CPT,55920,HC PLACE NEEDLES PELVIC FOR RT,15020.94,8862.35,1827.22,13518.85,23
CPT,56405,HC I&D ABSC VULVA/PERINEAL,1001.86,591.1,121.87,901.67,23
CPT,56420,HC I&D ABSC GLAND BAHOLIN'S,797.65,470.61,97.03,717.89,23
CPT,56440,HC MARSUPIL BARTHOLIN CYST,7599.53,4483.72,924.44,6839.58,23
CPT,56441,HC LYSIS ADHESION LABIAL,7599.53,4483.72,924.44,6839.58,23
CPT,56501,HC DEST LESN VULVA SMPL,5091.34,3003.89,619.33,4582.21,23
CPT,56605,HC BX LESN VULVA/PERINEUM 1 LESN,2902.97,1712.75,353.13,2612.67,23
CPT,56606,HC BX LESN VULVA/PERINEUM EA ADDL,1451.49,856.38,176.57,1306.34,23
CPT,56620,"HC VULVECTOMY SIMPLE, PARTIAL",9844.74,5808.4,1197.56,8860.27,23
CPT,56820,HC COLPOSCOPY VULVA,735.07,433.69,89.42,661.56,23
CPT,56821,HC COLPOSCOPY W/BX VULVA,1204.81,710.84,146.56,1084.33,23
CPT,57061,HC DEST LESION VAGINA SMP,9465.7,5584.76,1151.45,8519.13,23
CPT,57100,HC BX MUCOSA VAG SMPL,2902.97,1712.75,353.13,2612.67,23
CPT,57130,HC EXCISION VAGINAL SEPTUM,9200.0,5428.0,1119.13,8280.0,23
CPT,57135,HC EXCIS VAGINAL CYST/TUMOR,8692.0,5128.28,1057.34,7822.8,23
CPT,57150,HC IRRIGATION/APPLICATION MEDICAMENT VAGINA,367.72,216.95,44.73,330.95,23
CPT,57155,HC APPLICATION INSERT TANDEM AND/OR VAGINAL OVOIDS,4518.99,2666.2,549.71,4067.09,23
CPT,57156,HC INS VAG RAD AFTLD APPARATUS,1013.0,597.67,123.23,911.7,23
CPT,57160,HC FITTING/INS PESSARY OR VAG SUPPO,697.1,411.29,84.8,627.39,23
CPT,57180,HC INTRO HEMOSTATIC AGENT/PACKING,559.18,329.92,68.02,503.26,23
CPT,57200,HC COLPORRHAPHY NON-OBSTETRIC,9200.0,5428.0,1119.13,8280.0,23
CPT,57210,HC REPAIR VAGINA/PERINEUM,8692.0,5128.28,1057.34,7822.8,23
CPT,57410,HC PELVIC EXAM UNDER ANESTHESIA,10595.61,6251.41,1288.9,9536.05,23
CPT,57420,HC COLPOSCOPY ENTIRE VAGINA,1204.81,710.84,146.56,1084.33,23
CPT,57421,HC COLPOSCOPY W/BX VAGINA/CERVIX,3217.94,1898.58,391.45,2896.15,23
CPT,57452,HC COLPOSCOPY CERVIX/VAGINA,735.07,433.69,89.42,661.56,23
CPT,57454,HC COLPOSCOPY W/BX & CURETTAGE,1204.81,710.84,146.56,1084.33,23
CPT,57455,HC COLPOSCOPY W/BX CERVIX,1204.81,710.84,146.56,1084.33,23
CPT,57456,HC COLPOSCOPY W/ENDOCERVICAL CURETTAGE,1204.81,710.84,146.56,1084.33,23
CPT,57460,HC COLPOSCOPY W/BX LOOP CERVIX,2997.47,1768.51,364.63,2697.72,23
CPT,57461,HC COLPOSCOPY W/CONIZATION CERVIX,7599.53,4483.72,924.44,6839.58,23
CPT,57500,HC BX/EXC CERVIX LOCAL,2594.1,1530.52,315.56,2334.69,23
CPT,57505,HC CURETTAGE ENDOCERVICAL,2594.1,1530.52,315.56,2334.69,23
CPT,57522,HC CONIZATION OF CERVIX,9465.7,5584.76,1151.45,8519.13,23
CPT,57720,HC TRACHELORRHAPHY VAG APPROACH,7599.53,4483.72,924.44,6839.58,23
CPT,57800,HC DILATE CANAL CERVICAL INSTRUMENTAL,7599.53,4483.72,924.44,6839.58,23
CPT,58100,HC BX ENDOMETRIAL SAMP W/O DILATATION,697.1,411.29,84.8,627.39,23
CPT,58110,HC ENDOMETRIAL BIOPSY W/COLPOSCOPY,602.41,355.42,73.28,542.17,23
CPT,58120,HC D&C(NON OBSTETRICAL),9200.0,5428.0,1119.13,8280.0,23
CPT,58145,MYOMECTOMY VAG METHOD 1-4 MYOMAS,8302.7,4898.59,1009.98,7472.43,23
CPT,58150,HC HYSTERECTOMY ABD TOTAL,16815.22,9920.98,2045.48,15133.7,23
CPT,58300,HC INS DEVICE INTRAUTERINE IUD,425.46,251.02,51.75,382.91,23
CPT,58301,HC REM INTRAUTERINE (IUD) DEVICE10734,312.0,184.08,37.95,280.8,23
CPT,58340,HC CATH/INTRO SALINE/CONTR FOR SIS,1073.78,633.53,130.62,966.4,23
CPT,58345,HC INS CATH TRANSCERV FALLOPIAN TUBE DIAG,7599.53,4483.72,924.44,6839.58,23
CPT,58555,HC HYSTEROSCOPY DIAGNOSTIC,9200.0,5428.0,1119.13,8280.0,23
CPT,58558,HC HYSTEROSC BX ENDOMETRIAL,6357.59,3750.98,773.37,5721.83,23
CPT,58600,HC LIGATE FALLOPIAN TUBE,9200.0,5428.0,1119.13,8280.0,23
CPT,58605,HC TUBAL LIG,6175.25,3643.4,751.19,5557.73,23
CPT,58611,HC LIGATE/TRANSECT TUBE FALLOPIAN W/C-SECT,1439.47,849.29,175.1,1295.52,23
CPT,58660,HC LAP LYSIS OF ADHESIONS,11959.0,7055.81,1454.75,10763.1,23
CPT,58700,HC REMOVAL OF FALLOPIAN TUBE,10122.0,5971.98,1231.29,9109.8,23
CPT,58740,HC LYSIS OF ADNEXAL ADHESIONS,9200.0,5428.0,1119.13,8280.0,23
CPT,58925,HC REMOVAL OF OVARIAN CYST(S),10122.0,5971.98,1231.29,9109.8,23
CPT,58940,HC REMOVAL OF OVARY(S),11657.54,6877.95,1418.08,10491.79,23
CPT,58999,HC FEMALE GENITAL UNLISTED PROC,735.07,433.69,89.42,661.56,23
CPT,59000,HC AMNIO DIAG,2594.1,1530.52,315.56,2334.69,23
CPT,59001,HC AMNIO PROPH REDUCE FLUID,1154.06,680.9,140.39,1038.65,23
CPT,59012,HC CORDOCENT INTRAUTERINE,1154.06,680.9,140.39,1038.65,23
CPT,59015,HC CHORIONIC VILLUS SAMP,2594.1,1530.52,315.56,2334.69,23
CPT,59020,HC TEST STRESS FETAL CONTRACTION,559.18,329.92,68.02,503.26,23
CPT,59025,HC TEST NON STRESS FETAL,722.79,426.45,87.92,650.51,23
CPT,59050,HC MONITOR FETAL CONSLT PHY W/RPT/INTERPRET,918.79,542.09,111.77,826.91,23
CPT,59072,HC UMBILICAL CORD OCCLUD W/US,6889.22,4064.64,838.04,6200.3,23
CPT,59074,HC FETAL FLUID DRAINAGE W/US,1154.06,680.9,140.39,1038.65,23
CPT,59076,HC FETAL SHUNT PLACEMENT W/US,1154.06,680.9,140.39,1038.65,23
CPT,59160,HC CURETTAGE POSTPARTUM,7599.53,4483.72,924.44,6839.58,23
CPT,59200,HC INS DILATOR CERVICAL,1154.06,680.9,140.39,1038.65,23
CPT,59300,HC EPISIOTOMY VAG RPR NOT ATTENDING MD,7599.53,4483.72,924.44,6839.58,23
CPT,59320,HC CERCLAGE CERVIX VAG DURING PREGNANCY,7599.53,4483.72,924.44,6839.58,23
CPT,59350,HC REPAIR OF RUPTURED UTERUS,8858.0,5226.22,1077.53,7972.2,23
CPT,59409,HC DEL VAG ONLY,10592.57,6249.62,1288.53,9533.31,23
CPT,59412,HC VERSION CEPHALIC EXTERNAL,9844.74,5808.4,1197.56,8860.27,23
CPT,59414,HC DEL PLACENTA,7599.53,4483.72,924.44,6839.58,23
CPT,59514,HC DEL C-SECT ONLY,9862.57,5818.92,1199.73,8876.31,23
CPT,59525,HC SUBTOT/TOT HYSTERECTOMY AFTER C-SECT,9398.61,5545.18,1143.29,8458.75,23
CPT,59812,HC SURGICAL TX ABORTION INCOMPL,7599.53,4483.72,924.44,6839.58,23
CPT,59820,HC SURGICAL TX ABORTION MISSED 1ST TRI,4856.32,2865.23,590.75,4370.69,23
CPT,59841,HC ABORTION INDUC DILAT & EVAC,7599.53,4483.72,924.44,6839.58,23
CPT,59855,HC INDUCED AB BY VAG SUPPOS,10489.52,6188.82,1276.0,9440.57,23
CPT,59866,HC REDUCE PREGNANCY MULTI-FETAL/MPR,1154.06,680.9,140.39,1038.65,23
CPT,59871,HC REM SUTURE CERCLAGE UNDER ANESTHESIA,7599.53,4483.72,924.44,6839.58,23
CPT,59897,HC FETAL INVASIVE PROCEDURE W/US,559.18,329.92,68.02,503.26,23
CPT,59898,HC UNLISTED LAPAROSCOPY PROC MATERNITY/DELIVERY,12717.41,7503.27,1547.01,11445.67,23
CPT,59899,HC MATERNITY CARE PROCEDURE UNLISTED,697.1,411.29,84.8,627.39,23
CPT,60100,HC BX THYROID NDL PERC,1961.17,1157.09,238.57,1765.05,23
CPT,60300,HC ASP/INJ CYST THYROID,1967.25,1160.68,239.31,1770.53,23
CPT,60660,HC ABLTJ 1/+THYR NODULE 1 LOBE PERQ,6778.35,3999.23,824.55,6100.52,23
CPT,60661,HC ABLTJ 1/+THYR NODULE ADDL PERQ,3389.17,1999.61,412.27,3050.25,23
CPT,60699,HC ENDOCRINE UNLISTED PROC,14735.1,8693.71,1792.45,13261.59,23
CPT,61000,HC REMOVE CRANIAL CAVITY FLUID,2768.15,1633.21,336.73,2491.34,23
CPT,61020,HC REMOVE BRAIN CAVITY FLUID,2347.12,1384.8,285.51,2112.41,23
CPT,61026,HC INJECTION INTO BRAIN CANAL,2897.62,1709.6,352.48,2607.86,23
CPT,61055,HC PUNCT CISTERNAL/LATERAL CERVICAL W/INJ,649.33,383.1,78.99,584.4,23
CPT,61070,HC PUNCT FOR ASP/INJ SHUNT TUBING/RESERVOIR,1864.93,1100.31,226.86,1678.44,23
CPT,61107,HC DRILL SKULL FOR IMPLANTATION,10141.14,5983.27,1233.62,9127.03,23
CPT,61623,HC ENDOVASC BALLOON OCCLUS AERIAL HEAD/NECK,20287.35,11969.54,2467.85,18258.62,23
CPT,61624,HC TRANSCATH OCCLUSION CNS,22301.2,13157.71,2712.82,20071.08,23
CPT,61626,HC TC EMBOLIZ-HEMOST TUMOR NOT CNS,20287.35,11969.54,2467.85,18258.62,23
CPT,61630,HC INTRACRANIAL ANGIOPLASTY,28525.31,16829.93,3469.95,25672.78,23
CPT,61635,HC PL STENT INTRACRAN INTRAVASC,27865.6,16440.7,3389.7,25079.04,23
CPT,61640,HC DILATE IC VASOSPASM INIT,6381.9,3765.32,776.32,5743.71,23
CPT,61641,HC DILAT IC VSPSM EA VSL SM TER,6381.9,3765.32,776.32,5743.71,23
CPT,61642,HC DILAT IC VSPSM EA DIFF TER,6381.9,3765.32,776.32,5743.71,23
CPT,61645,HC PERQ ART M-THROMBECT &/NFS,15075.47,8894.53,1833.85,13567.92,23
CPT,61650,HC EVASC PRLNG ADMN RX AGNT 1ST,10333.61,6096.83,1257.03,9300.25,23
CPT,61651,HC EVASC PRLNG ADMN RX AGNT ADD,4393.38,2592.09,534.43,3954.04,23
CPT,61715,HC MRGFUS STEREOTACTIC ABLTJ TARGET INTRACRANL,43646.09,25751.19,5309.32,39281.48,23
CPT,61783,HC STEREOTACTIC COMPUTER-ASSISTED(SPINAL),7753.0,4574.27,943.11,6977.7,23
CPT,61798,HC STEREOTACTIC 1 CMPLX CRAN LESN,69776.32,41168.03,8487.92,62798.69,23
CPT,62230,HC REPLACE/REVISE BRAIN SHUNT,13983.28,8250.14,1700.99,12584.95,23
CPT,62252,HC REPROGRAM PROGRAMMABLE SHUNT CSF,401.15,236.68,48.8,361.04,23
CPT,62267,HC ASP CYST INTERVERT DISC/PARAVERT,1967.25,1160.68,239.31,1770.53,23
CPT,62268,HC PERC. ASPIRATION SPINAL CORD CYST,2347.12,1384.8,285.51,2112.41,23
CPT,62269,HC NEEDLE BIOPSY SPINAL CORD,8284.0,4887.56,1007.71,7455.6,23
CPT,62270,HC LUMBAR PUNCT DIAG,2658.95,1568.78,323.45,2393.06,23
CPT,62272,HC LUMBAR PUNCT DRAIN CSF PROPH,1864.93,1100.31,226.86,1678.44,23
CPT,62273,HC INJ EPIDURAL BL/CLOT PATCH,2658.95,1568.78,323.45,2393.06,23
CPT,62282,HC INJ NEUROLYTIC; EPIDURAL LUMB/CAUDAL,2455.55,1448.77,298.7,2210.0,23
CPT,62284,HC INJ PROC MYELOGRAM/CT SCAN SPINAL,1670.44,985.56,203.2,1503.4,23
CPT,62290,HC INJ PROC DISKOGRAM LUMBAR EA LVL,2422.08,1429.03,294.63,2179.87,23
CPT,62291,HC INJ PROC DISKOGRAM C/T EA LVL,7017.0,4140.03,853.58,6315.3,23
CPT,62302,HC MYELOGRAPHY LUMBAR INJ CERVICAL W/S&I,1653.22,975.4,201.11,1487.9,23
CPT,62303,HC MYELOGRAPHY LUMBAR INJ THORACIC W/S&I,8096.0,4776.64,984.84,7286.4,23
CPT,62304,"HC MYELOGRAPHY LUMBAR INJ, LUMSAC W/S&I",1653.22,975.4,277.2,1487.9,23
CPT,62305,HC MYELOGRAPHY LUMBAR INJ 2/>SPINE W/S&I,1653.22,975.4,201.11,1487.9,23
CPT,62320,HC NJX INTERLAMINAR CRV/THRC W/O RAD S&I,1864.93,1100.31,226.86,1678.44,23
CPT,62321,HC NJX INTERLAMINAR CRV/THRC WITH RAD S&I,1864.93,1100.31,226.86,1678.44,23
CPT,62322,HC NJX INTERLAMINAR LMBR/SAC W/O RAD S&I,1864.93,1100.31,226.86,1678.44,23
CPT,62323,HC NJX INTERLAMINAR LMBR/SAC WITH RAD S&I,1864.93,1100.31,226.86,1678.44,23
CPT,62325,HC NJX INTRLAMNR CV/TH (INDWL) W/RAD S&I,2347.12,1384.8,285.51,2112.41,23
CPT,62326,"HC NJX INTERLAMINAR LMBR/SAC, W/O S&I",2347.12,1384.8,285.51,2112.41,23
CPT,62327,"HC NJX INTERLAMINAR LMBR/SAC, WITH S&I",2347.12,1384.8,285.51,2112.41,23
CPT,62328,HC DX LMBR SPI PNXR W/FLUOR/CT,2658.95,1568.78,323.45,2393.06,23
CPT,62329,HC THER SPI PNXR CSF FLUOR/CT,2266.95,1337.5,275.76,2040.26,23
CPT,62367,HC ANALYZE SPINE INFUS PUMP,928.92,548.06,113.0,836.03,23
CPT,62368,HC ANALYZE SP INF PUMP W/REPROG,928.92,548.06,113.0,836.03,23
CPT,62369,HC ANAL SP INF PMP W/REPRG&FILL,6690.0,3947.1,813.8,6021.0,23
CPT,62370,HC ANL SP INF PMP W/MDREPRG & FIL,928.92,548.06,113.0,836.03,23
CPT,63650,HC PERC IMPL NS ELECTRODE ARRAY; EPIDURAL,9121.05,5381.42,1109.53,8208.95,23
CPT,63661,HC REMOVE SPINE ELTRD PERQ ARAY INCLUDE FLOUR,10291.0,6071.69,1251.85,9261.9,23
CPT,64400,HC INJ ANES NRV TRIGEMINAL,848.89,500.85,103.26,764.0,23
CPT,64405,HC INJ OCCIPITAL NERV,848.89,500.85,103.26,764.0,23
CPT,64408,HC NERVE BLOCK INJ VAGUS,1069.06,630.75,130.05,962.15,23
CPT,64415,HC NJX AA&/STRD BRCH PLXS IMG,1748.44,1031.58,212.69,1573.6,23
CPT,64416,HC NJX AA&/STRD BRCH PL NFS IMG,2347.12,1384.8,285.51,2112.41,23
CPT,64417,HC NJX AA&/STRD AX NERVE IMG,2347.12,1384.8,285.51,2112.41,23
CPT,64418,HC NERVE BLOCK INJ SUPRA SCAPULAR,760.76,448.85,92.54,684.68,23
CPT,64420,HC INTERCSTL NRV BLCK;1LVL(,1810.23,1068.04,220.2,1629.21,23
CPT,64421,HC NJX AA&/STRD NTRCOST NRV EA,2347.12,1384.8,285.51,2112.41,23
CPT,64425,HC NERVE BLOCK INJ ILIQ-ING/HYPOGI,1864.93,1100.31,226.86,1678.44,23
CPT,64430,HC INJECT ANES NERVE PUDENDAL,1991.56,1175.02,242.26,1792.4,23
CPT,64435,HC INJ ANES NRV PARACERVICAL/UTERINE,1864.93,1100.31,226.86,1678.44,23
CPT,64445,HC  NJX AA&/STRD SCIATIC NRV IMG,1810.23,1068.04,220.2,1629.21,23
CPT,64446,HC  NJX AA&/STRD SC NRV NFS IMG,2347.12,1384.8,285.51,2112.41,23
CPT,64447,HC NJX AA&/STRD FEMORAL NRV IMG,1816.31,1071.62,220.94,1634.68,23
CPT,64448,HC NJX AA&/STRD FEM NRV NFS IMG,2347.12,1384.8,285.51,2112.41,23
CPT,64450,HC INJ ANES NRV/BRANCH PERIPHERAL OTHER,1864.93,1100.31,226.86,1678.44,23
CPT,64451,HC NJX AA&/STRD NRV NRVTG SI JT,2266.95,1337.5,275.76,2040.26,23
CPT,64454,HC NJX AA&/STRD GNCLR NRV BRNCH W/IMG,2266.95,1337.5,275.76,2040.26,23
CPT,64455,HC INJ PLANTAR DIGIT NRVE,848.89,500.85,103.26,764.0,23
CPT,64461,HC PVB THORACIC SINGLE INJ SITE,1864.93,1100.31,226.86,1678.44,23
CPT,64462,HC PVB THORACIC 2ND+ INJ SITE,1027.18,606.04,124.95,924.46,23
CPT,64479,HC INJ EPIDURAL C/T 1 W/IMG,2347.12,1384.8,285.51,2112.41,23
CPT,64480,HC INJ EPIDURAL C/T EA ADDL W/IMG,1194.33,704.65,145.28,1074.9,23
CPT,64483,HC INJ EPIDURAL LUMB/SACR 1 BI W/IMG,2347.12,1384.8,285.51,2112.41,23
CPT,64484,HC INJ EPIDURAL LUMB/SACR EA ADDL W/IMG,975.52,575.56,118.67,877.97,23
CPT,64486,HC TAP BLOCK UNIL BY INJECTION,1172.04,691.5,142.57,1054.84,23
CPT,64488,HC TAP BLOCK BI INJECTION,1380.72,814.62,167.96,1242.65,23
CPT,64490,HC INJ FACET JNT C/T SNGL,2347.12,1384.8,285.51,2112.41,23
CPT,64491,HC INJ DX/THER AGT PV FACET JT C/T 2ND LVL,1133.55,668.79,137.89,1020.2,23
CPT,64492,HC INJ DX/THER AGT PV FACET JT C/T 3+ LVL,1147.73,677.16,139.62,1032.96,23
CPT,64493,HC INJ DX/THER AGT PV FACET JT L/S 1 LVL,2347.12,1384.8,285.51,2112.41,23
CPT,64494,HC INJ DX/THER AGT PV FACET JT L/S 2ND LVL,976.53,576.15,118.79,878.88,23
CPT,64495,HC INJ PARAVERT F JNT L/S 3 LEV,990.71,584.52,120.51,891.64,23
CPT,64505,HC INJ ANESTHETIC SPHENOPALATINE GANGLION,848.89,500.85,103.26,764.0,23
CPT,64510,"HC INJECT NERV BLCK,STELLATE GANGLION",3648.54,2152.64,443.83,3283.69,23
CPT,64517,HC INJ ANESTH AGENT SUP HYPO PLEXUS,8478.96,5002.59,1031.42,7631.06,23
CPT,64520,HC INJ ANES LUMBAR/THORACIC,2347.12,1384.8,285.51,2112.41,23
CPT,64530,HC INJ ANES CELIAC PLEXUS,2347.12,1384.8,285.51,2112.41,23
CPT,64555,HC IMPLANT NEUROELECTRODES,13776.25,8127.99,1675.81,12398.63,23
CPT,64561,HC IMPLANT ELECT SACRAL PERC,6113.46,3606.94,743.67,5502.11,23
CPT,64566,HC PST TIBL NEUROSTIMULATION 1 TX,848.89,500.85,103.26,764.0,23
CPT,64600,HC INJECTION TREATMENT OF NERVE,7562.0,4461.58,919.88,6805.8,23
CPT,64610,HC DEST NRV NEUROLYTIC TRIGEM 2-3 BR W/RAD,9844.74,5808.4,1197.56,8860.27,23
CPT,64611,HC CHEMODENERV SALIV GLANDS BILAT,848.89,500.85,103.26,764.0,23
CPT,64612,HC CHEM/DEST NRV NEUROLYTIC MSCL FACIAL,848.89,500.85,103.26,764.0,23
CPT,64615,HC CHEMODENERV MUSC MIGRAINE,848.89,500.85,103.26,764.0,23
CPT,64616,HC CHEMODENERV MUSC NECK DYSTON,695.93,410.6,84.66,626.34,23
CPT,64617,HC CHEMODENER MUSCLE LARYNX EMG,1864.93,1100.31,226.86,1678.44,23
CPT,64620,HC DESTR W NEUROLYTIC; INTERCOSTAL NRV,7907.0,4665.13,961.85,7116.3,23
CPT,64624,HC DSTRJ NULYT AGT GNCLR NRV W/IMG,6217.03,3668.05,756.27,5595.33,23
CPT,64625,HC RF ABLTJ NRV NRVTG SI JT W/IMG,6217.03,3668.05,756.27,5595.33,23
CPT,64630,HC INJECTION TREATMENT OF NERVE,9322.53,5500.29,1134.04,8390.28,23
CPT,64633,HC DESTR CERV/THORAC SINGLE JOINT NERVE,4563.57,2692.51,555.13,4107.21,23
CPT,64634,HC DEST CEV/THOR JOINT NERVE EA ADDTL,1283.47,757.25,156.13,1155.12,23
CPT,64635,HC DESTROY LUMB/SAC FACET JNT,5631.27,3322.45,685.01,5068.14,23
CPT,64636,HC DESTROY L/S FACET JOINT ADDIT,1119.37,660.43,136.17,1007.43,23
CPT,64640,HC DESTR W NEUROLYTIC; OTHER PERIPH NRV,2347.12,1384.8,285.51,2112.41,23
CPT,64642,HC CHEMODENERV 1 EXTREMITY 1-4,967.42,570.78,117.68,870.68,23
CPT,64643,HC CHEMODENERV 1 EXTREM 1-4 EA,976.53,576.15,118.79,878.88,23
CPT,64644,HC CHEMODENERV 1 EXTREM 5/> MUS,1864.93,1100.31,226.86,1678.44,23
CPT,64645,HC CHEMODENERV 1 EXTREM 5/> EA,1613.71,952.09,196.3,1452.34,23
CPT,64646,HC CHEMODENERV TRUNK MUSC 1-5,968.43,571.37,117.8,871.59,23
CPT,64647,HC CHEMODENERV TRUNK MUSC 6/>,1864.93,1100.31,226.86,1678.44,23
CPT,64650,HC CHEMODENERVATION ECC GLND BOTH,848.89,500.85,103.26,764.0,23
CPT,64653,HC CHEMODENERVATION ECC GLND O/A,848.89,500.85,103.26,764.0,23
CPT,64680,HC DEST NRV CELIAC PLEXUS,2347.12,1384.8,285.51,2112.41,23
CPT,64681,HC NEUROL AG DESTR SH PLEXUS,6957.0,4104.63,846.28,6261.3,23
CPT,64776,HC REMOVE DIGIT NERVE LESION,11650.33,6873.69,1417.2,10485.3,23
CPT,64778,HC DIGIT NERVE SURGERY ADD-ON,10035.29,5920.82,1220.74,9031.76,23
CPT,64788,HC EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV,7417.73,4376.46,902.33,6675.96,23
CPT,64795,HC BIOPSY OF NERVE,5729.53,3380.42,696.97,5156.58,23
CPT,64831,HC SUTURE NRV DIGITAL HAND OR FT 1 NRV,3270.98,1929.88,397.9,2943.88,23
CPT,64999,HC NERVOUS SYSTEM UNLISTED PROC,1069.06,630.75,130.05,962.15,23
CPT,64999,HCPR NERVOUS SYSTEM UNLISTED,532.84,314.38,89.8,479.56,23
CPT,65205,HC REM FB EYE EXT CONJUCTIVAL SUPERFICIAL,367.72,216.95,44.73,330.95,23
CPT,65210,HC REM FB EYE EXT CONJUCTIVAL EMBEDDED,1110.53,655.21,135.09,999.48,23
CPT,65220,HC REM FB CORNEAL W/O SLIT LAMP,877.26,517.58,106.71,789.53,23
CPT,65222,HC REM FB CORNEAL W/SLIT LAMP,367.72,216.95,44.73,330.95,23
CPT,65270,HC RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR,8188.12,4830.99,996.04,7369.31,23
CPT,65286,HC RPR LAC CORNEA/SCLERA W/APPL TISS GLUE,5761.94,3399.54,700.91,5185.75,23
CPT,65430,HC SCRAPING CORNEA DIAG,961.34,567.19,116.94,865.21,23
CPT,65778,HC PLCMT AMNIOTIC MEMBRANE EYE NO SUTURE,2790.82,1646.58,339.49,2511.74,23
CPT,65800,HC PARACENT ANT CHAMB W/ASP AQUEOUS DIAG,5761.94,3399.54,700.91,5185.75,23
CPT,65810,HC PARACENT REM VITREOUS,8911.25,5257.64,1084.01,8020.13,23
CPT,65815,HC DRAIN ANT CHAMB REM BLOOD,8497.27,5013.39,1033.65,7647.54,23
CPT,65855,HC TRABECULOPL LASER 1/MORE SESSN,1727.17,1019.03,210.1,1554.45,23
CPT,66625,HC IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX,5761.94,3399.54,700.91,5185.75,23
CPT,66710,HC DEST CILIARY BODY TRANSSCLERAL,6129.66,3616.5,745.64,5516.69,23
CPT,66761,HC IRIDOTOMY/IRIDECTOMY LASER PER SESSION,1727.17,1019.03,210.1,1554.45,23
CPT,66762,HC REV OF IRIS PHOTOCOAG 1+ SESSIONS,7877.44,4647.69,958.25,7089.7,23
CPT,66821,HC DISCISSION CATARACT SEC MEM LASER SURG,1727.17,1019.03,210.1,1554.45,23
CPT,66999,HC EYE ANTERIOR UNLSTD PROC,4856.32,2865.23,590.75,4370.69,23
CPT,67015,HC RELEASE/ASPIRATION EYE FLUID,9200.0,5428.0,1119.13,8280.0,23
CPT,67028,HC INJ MEDS INTRAVITREAL,1382.0,815.38,168.11,1243.8,23
CPT,67101,HC RPR DETACHED RETINA CRTX 1 OR MORE SESS,8497.27,5013.39,1033.65,7647.54,23
CPT,67105,HC RPR RETINA DETACH PHOTOCOAG,2059.26,1214.96,250.5,1853.33,23
CPT,67107,"HC REPAIR DETACHED RETINA, SCLERAL BUCKLING",11430.94,6744.25,1390.51,10287.85,23
CPT,67108,HC REPAIR DETACHED RETINA W/VICTRECTOMY,13390.0,7900.1,1628.82,12051.0,23
CPT,67110,HC REPAIR RETINAL DETACHM; BY AIR INJ,8141.6,4803.54,990.38,7327.44,23
CPT,67110,HC RPR RETINA DET INJ GAS/AIR,5761.94,3399.54,700.91,5185.75,23
CPT,67141,"HC PROPHYLAXIS RETINA DETACH,CRYO/DIATH",1070.38,631.52,130.21,963.34,23
CPT,67145,HC PROPH DETACHMENT RETINAL W/PHOTOCOAG,1727.17,1019.03,210.1,1554.45,23
CPT,67210,HC DEST LESN RETINAL PHOTOCOAG,7658.0,4518.22,931.56,6892.2,23
CPT,67228,HC TX RETINOPATHY W/PHOTOCOAG >=1 SESSION,1727.17,1019.03,210.1,1554.45,23
CPT,67515,HC INJ MEDS/OTHER SUBSTANCE TENON'S CAP,979.57,577.95,119.16,881.61,23
CPT,67700,HC BLEPHAROTOMY EYELID DRAIN ABSC,979.57,577.95,119.16,881.61,23
CPT,67715,HC CANTHOTOMY,6129.66,3616.5,745.64,5516.69,23
CPT,67800,HC EXC CHALAZION SNGL,979.57,577.95,119.16,881.61,23
CPT,67801,HC EXCISION OF CHALAZION MULTIPL SAME LID,2790.82,1646.58,339.49,2511.74,23
CPT,67805,HC EXCISION OF CHALAZION MULTIP DIF LIDS,979.57,577.95,119.16,881.61,23
CPT,67810,HC BX EYELID,979.57,577.95,119.16,881.61,23
CPT,67820,HC REVISE EYELASHES,367.72,216.95,44.73,330.95,23
CPT,67825,HC CORRECT TRICHIASIS W/O FORCEP,979.57,577.95,119.16,881.61,23
CPT,67840,HC EXC LESN EYELID NOT CHALAZION,2790.82,1646.58,339.49,2511.74,23
CPT,67875,HC CLOSE EYELID W/TEMP SUTURE,2622.66,1547.37,319.03,2360.39,23
CPT,67880,HC MEDIAN TARSORHAPHY/CANTHORHAPHY CONST,6129.66,3616.5,745.64,5516.69,23
CPT,67921,HC REPAIR EYELID DEFECT W/ SUTURE,6129.66,3616.5,745.64,5516.69,23
CPT,67930,HC RECONSTRUCT EYELID,6129.66,3616.5,745.64,5516.69,23
CPT,67935,HC SUTURE WOUND EYELID FULL THICKNESS,6129.66,3616.5,745.64,5516.69,23
CPT,67938,HC REM FB EYELID EMBEDDED,979.57,577.95,119.16,881.61,23
CPT,67950,HC CANTHOPLASTY,6129.66,3616.5,745.64,5516.69,23
CPT,68100,HC BX CONJUNCTIVA,6129.66,3616.5,745.64,5516.69,23
CPT,68110,HC EXC LESN CONJUNCTIVA < 1CM,4828.97,2849.09,587.42,4346.07,23
CPT,68200,HC INJ SUBCONJUNCTIVAL,961.34,567.19,116.94,865.21,23
CPT,68700,HC PLASTIC REPAIR OF CANALICULI,8188.12,4830.99,996.04,7369.31,23
CPT,68760,"HC CLOSE LACR PUNCTUM; LAS,THERM,LIG",9563.0,5642.17,1163.29,8606.7,23
CPT,68761,HC CLOSE CONJUNCTIVORHINOSTOMY BY PLUG,979.57,577.95,119.16,881.61,23
CPT,68801,HC DILATE TEAR DUCT OPENING,961.34,567.19,116.94,865.21,23
CPT,68810,HC PROBE DUCT NASOLACRIMAL,979.57,577.95,119.16,881.61,23
CPT,68840,HC EXPLORE / IRRIGATE TEAR DUCTS,979.57,577.95,119.16,881.61,23
CPT,68899,HC UNLISTED PROCEDURE LACRIMAL SYSTEM,8729.25,5150.26,1061.87,7856.33,23
CPT,69000,HC DRAIN ABSC/HEMATOMA EXT EAR SMPL,2546.3,1502.32,309.74,2291.67,23
CPT,69005,"HC DRNAGE EXT EAR,ABSCS/HEM",3203.11,1889.83,389.64,2882.8,23
CPT,69020,HC DRAIN ABSC EXT AUD CANAL,2546.3,1502.32,309.74,2291.67,23
CPT,69100,HC BIOPSY EXTERNAL EAR,1624.85,958.66,197.65,1462.37,23
CPT,69105,HC BIOPSY OF EXTERNAL EAR CANAL,3748.1,2211.38,455.94,3373.29,23
CPT,69145,HC EXCIS SFT TIS LESN EXTERNAL AUD CANAL,8284.0,4887.56,1007.71,7455.6,23
CPT,69200,HC REM FB CANAL AUD EXTERNAL W/O GEN ANES,367.72,216.95,44.73,330.95,23
CPT,69209,"HC REMOVE IMPACTED EAR WAX UNI, IRRIG/LAVAGE",200.57,118.34,24.4,180.51,23
CPT,69210,HC REM CERUMEN IMPACTED W/ INSTRUMENT UNILAT,200.57,118.34,24.4,180.51,23
CPT,69220,HC DEBR MASTOID CAVITY SMP,563.23,332.31,68.51,506.91,23
CPT,69222,HC CLEAN OUT MASTOID CAVITY,2202.38,1299.4,267.91,1982.14,23
CPT,69399,HC UNLISTED PROCEDURE EXTERNAL EAR,977.76,576.88,118.94,879.98,23
CPT,69420,HC INCISION OF EARDRUM,650.35,383.71,79.11,585.32,23
CPT,69433,HC TYMPANOSTOMY W/ANES LOCAL,1624.85,958.66,197.65,1462.37,23
CPT,69436,HC TYMPANOSTOMY W/ANES GENL,3748.1,2211.38,455.94,3373.29,23
CPT,69801,HC LABYRINTHOTOMY TRANSCANAL,5535.17,3265.75,673.32,4981.65,23
CPT,70030,HC XR EYE FOREIGN BODY,227.7,134.34,38.18,204.93,23
CPT,70100,HC XR MANDIBLE < 4 VIEWS,227.7,134.34,38.18,204.93,23
CPT,70110,HC XR MANDIBLE COMPL 4+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,70130,HC XR MASTOIDS COMPL 3+ VIEWS PER SIDE,414.32,244.45,69.47,372.89,23
CPT,70140,HC XR FACIAL BONES LESS THAN 3 VIEWS,227.7,134.34,38.18,204.93,23
CPT,70150,HC XR FACIAL BONES COMPL 3+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,70160,HC XR NASAL BONES COMPL 3+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,70200,HC XR ORBITS COMPL 4+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,70210,HC XR SINUSES < 3 VIEWS,227.7,134.34,38.18,204.93,23
CPT,70220,HC XR SINUSES COMPL 3+ VIEWS,324.16,191.25,54.35,291.74,23
CPT,70250,HC XR SKULL < 4 VIEWS,414.32,244.45,69.47,372.89,23
CPT,70260,HC XR SKULL COMPL 4+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,70300,HC XR TEETH 1 VIEW,227.7,134.34,38.18,204.93,23
CPT,70310,HC XR TEETH PARTIAL EXAM,1653.22,975.4,277.2,1487.9,23
CPT,70320,HC XR TEETH COMPL OR FULL MOUTH,830.66,490.09,139.28,747.59,23
CPT,70330,HC XR TEMPOROMANDIB JNT BILAT,227.7,134.34,38.18,204.93,23
CPT,70336,HC MRI TMJ,1543.81,910.85,258.86,1389.43,23
CPT,70350,HC XR CEPHALOGRAM ORTHODONTIC,279.0,164.61,46.78,251.1,23
CPT,70355,HC XR ORTHOPANTOGRAM,227.7,134.34,38.18,204.93,23
CPT,70360,HC XR NECK SOFT TISS,227.7,134.34,38.18,204.93,23
CPT,70450,HC CT HEAD/BRAIN W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,70460,HC CT HEAD/BRAIN W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,70470,HC CT HEAD/BRAIN W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,70480,HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,70481,HC CT ORBIT/SELLA/FOSSA/EAR W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,70482,HC CT ORBIT/SELLA/FOSSA/EAR W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,70486,HC CT MAXILLOFACIAL W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,70487,HC CT MAXILLOFACIAL W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,70488,HC CT MAXILLOFACIAL W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,70490,HC CT NECK W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,70491,HC CT NECK W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,70492,HC CT NECK W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,70496,HC CTA HEAD W&W/O CONTR,1547.86,913.24,259.54,1393.07,23
CPT,70498,HC CTA NECK W&W/O CONTR,1547.86,913.24,259.54,1393.07,23
CPT,70540,HC MRI ORBIT/FACE/NECK W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,70542,HC MRI ORBIT/FACE/NECK W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,70543,HC MRI ORBIT/FACE/NECK W&W/O CONTR LTD,2506.16,1478.63,420.22,2255.54,23
CPT,70544,HC MRA HEAD W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,70545,HC MRA HEAD W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,70546,HC MRA HEAD W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,70547,HC MRA NECK W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,70548,HC MRA NECK W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,70549,HC MRA NECK W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,70551,HC MRI BRAIN W/O CONTR LTD,1543.81,910.85,258.86,1389.43,23
CPT,70552,HC MRI BRAIN W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,70553,HC MRI BRAIN W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,70554,HC MRI FUNCTIONAL BRAIN BY TECHNICIAN,1543.81,910.85,258.86,1389.43,23
CPT,70555,HC MRI FUNCTIONAL BRAIN BY PHYS/PSYCH,2004.05,1182.39,336.03,1803.65,23
CPT,70557,HC MRI BRAIN OPEN INTRACRAN W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,70558,HC MRI BRAIN OPEN INTRACRAN W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,70559,HC MRI BRAIN OPEN INTRACRAN W&W/O CONTR,2992.91,1765.82,501.83,2693.62,23
CPT,71045,HC XR EXAM CHEST 1 VIEW,227.7,134.34,38.18,204.93,23
CPT,71046,HC XR EXAM CHEST 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,71047,HC XR EXAM CHEST 3 VIEWS,324.16,191.25,54.35,291.74,23
CPT,71048,HC XR EXAM CHEST 4+ VIEWS,412.63,243.45,69.19,371.37,23
CPT,71100,HC XR RIBS UNI 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,71101,HC XR RIBS UNI W/CHEST 3+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,71110,HC XR RIBS 3 VIEWS,414.32,244.45,69.47,372.89,23
CPT,71111,HC XR RIBS BILAT W/CH,414.32,244.45,69.47,372.89,23
CPT,71120,HC XR STERNUM 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,71130,HC XR STERNOCLAVICULAR JT(S) 3+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,71250,HC CT THORAX W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,71260,HC CT THORAX W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,71270,HC CT THORAX W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,71271,HC CT THORAX LUNG CANCER SCR C-,513.59,303.02,86.12,462.23,23
CPT,71275,HC CTA CHEST (NONCOR) W&W/O CONTR,1547.86,913.24,259.54,1393.07,23
CPT,71550,HC MRI CHEST W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,71552,HC MRI CHEST W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,71555,HC MRA CHEST W&W/O CONTRAST,1750.46,1032.77,293.51,1575.41,23
CPT,71555,HC MRA CHEST W/O CONTRAST,1750.46,1032.77,293.51,1575.41,23
CPT,72020,HC XR SPINE 1 VIEW,227.7,134.34,38.18,204.93,23
CPT,72040,HC XR C-SPINE 2 OR 3 VIEWS,227.7,134.34,38.18,204.93,23
CPT,72050,HC XR C-SPINE 4+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,72052,HC XR C-SPINE 6 OR MORE VIEWS,414.32,244.45,69.47,372.89,23
CPT,72070,HC XR THOR SPINE 2 VIEWS,414.32,244.45,69.47,372.89,23
CPT,72072,HC XR THOR SPINE 3 VIEWS,414.32,244.45,69.47,372.89,23
CPT,72074,HC XR THOR SPINE 4+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,72080,HC XR T/L SPINE 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,72081,HC XR EXAM ENTIRE SPINE 1 VW,278.58,164.36,46.71,250.72,23
CPT,72082,HC XR EXAM ENTIRE SPI 2 - 3 VIEWS,459.9,271.34,77.11,413.91,23
CPT,72083,HC XR EXAM ENTIRE SPI 4/5 VW,876.25,516.99,146.92,788.63,23
CPT,72084,HC XR EXAM ENTIRE SPI 6> VIEWS,876.25,516.99,146.92,788.63,23
CPT,72100,HC XR LUMBAR SPINE 2 OR 3 VIEWS,414.32,244.45,69.47,372.89,23
CPT,72110,HC XR LUMBAR SPINE 4+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,72114,HC XR LUMBAR SPINE COMPL W/BENDING VIEWS,414.32,244.45,69.47,372.89,23
CPT,72120,"HC XR LS SPINE, BENDING 2 OR 3 VIEWS",412.63,243.45,69.19,371.37,23
CPT,72125,HC CT C-SPINE W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,72126,HC CT C-SPINE W/CONTR,1567.11,924.59,262.76,1410.4,23
CPT,72127,HC CT C-SPINE W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,72128,HC CT THOR SPINE W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,72129,HC CT THOR SPINE W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,72130,HC CT THOR SPINE W&W/O CONTR,730.91,431.24,122.55,657.82,23
CPT,72131,HC CT LUMBAR SPINE W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,72132,HC CT LUMBAR SPINE W/CONTR,1567.11,924.59,262.76,1410.4,23
CPT,72133,HC CT LUMBAR SPINE W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,72141,HC MRI C-SPINE W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,72142,HC MRI C-SPINE W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,72146,HC MRI THOR SPINE W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,72147,HC MRI THOR SPINE W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,72148,HC MRI LUMBAR SPINE W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,72149,HC MRI LUMBAR SPINE W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,72156,HC MRI C-SPINE W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,72157,HC MRI THOR SPINE W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,72158,HC MRI LUMBAR SPINE W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,72159,HC MRA SPINAL CANAL W&W/O CONTR,1806.18,1065.65,302.85,1625.56,23
CPT,72159,HC MRA SPINAL CANAL W/O CONTR,1171.45,691.16,196.42,1054.31,23
CPT,72170,HC XR PELVIS 1 OR 2 VIEWS,414.32,244.45,69.47,372.89,23
CPT,72190,HC XR PELVIS COMPL 3+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,72191,HC CTA PELVIS W&W/O CONTR,1547.86,913.24,259.54,1393.07,23
CPT,72192,HC CT PELVIS W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,72193,HC CT PELVIS W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,72194,HC CT PELVIS W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,72195,HC MRI PELVIS W/O CONTR LTD,1543.81,910.85,258.86,1389.43,23
CPT,72196,HC MRI PELVIS W/CONTR LTD,2073.61,1223.43,347.69,1866.25,23
CPT,72197,HC MRI PELVIS W&W/O CONTR LTD,2506.16,1478.63,420.22,2255.54,23
CPT,72198,HC MRA PELVIS W&W/O CONTR,1771.74,1045.33,297.07,1594.57,23
CPT,72198,HC MRA PELVIS W/O CONTR,1771.74,1045.33,297.07,1594.57,23
CPT,72200,HC XR SACROILIAC JTS < 3 VIEWS,414.32,244.45,69.47,372.89,23
CPT,72202,HC XR SACROILIAC JTS 3+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,72220,HC XR SACRUM/COCCYX 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,72285,HC XR DISKOGRAM CERVICAL OR THOR SPINE S&I,7799.37,4601.63,1307.75,7019.43,23
CPT,72295,HC XR DISKOGRAM LUMBAR SPINE S&I,6242.11,3682.84,1046.64,5617.9,23
CPT,73000,HC XR CLAVICLE COMPL,227.7,134.34,38.18,204.93,23
CPT,73010,HC XR SCAPULA COMPL,412.63,243.45,69.19,371.37,23
CPT,73020,HC XR SHOULDER 1 VIEW,227.7,134.34,38.18,204.93,23
CPT,73030,HC XR SHOULDER COMPL 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73040,HC XR ARTHROGRAM SHOULDER S&I,1645.22,970.68,275.86,1480.7,23
CPT,73050,HC XR ACROMIOCLAVICULAR JOINTS BILAT,227.7,134.34,38.18,204.93,23
CPT,73060,HC XR HUMERUS 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73070,HC XR ELBOW 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73080,HC XR ELBOW COMPL 3+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73085,HC XR ARTHROGRAM ELBOW S&I,1645.22,970.68,275.86,1480.7,23
CPT,73090,HC XR FOREARM 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73092,HC XR UPR EXTREM INFANT 2+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,73100,HC XR WRIST 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73110,HC XR WRIST COMPL 3+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73115,HC XR ARTHROGRAM WRIST S&I,1141.65,673.57,191.43,1027.49,23
CPT,73120,HC XR HAND LTD 2 VIEWS,414.32,244.45,69.47,372.89,23
CPT,73130,HC XR HAND COMPL 3+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73140,HC XR FINGER(S) 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73200,HC CT UPR EXTREM W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,73201,HC CT UPR EXTREM W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,73202,HC CT UPR EXTREM W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,73206,HC CTA UPR EXTREM W&W/O CONTR,1547.86,913.24,259.54,1393.07,23
CPT,73218,HC MRI UPR EXTREM W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,73219,HC MRI UPR EXTREM W/CONTR,1171.49,691.18,196.43,1054.34,23
CPT,73220,HC MRI UPR EXTREM W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,73221,HC MRI UPR EXTREM JT W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,73222,HC MRI UPR EXTREM JT W/CONTR,2416.01,1425.45,405.1,2174.41,23
CPT,73223,HC MRI UPR EXTREM JT W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,73225,HC MRA UPR EXTREM W&WO CONTR,1826.44,1077.6,306.25,1643.8,23
CPT,73225,HC MRA UPR EXTREM W/CONTR,1826.44,1077.6,306.25,1643.8,23
CPT,73501,HC XR EXAM HIP UNI 1 VIEW,278.58,164.36,46.71,250.72,23
CPT,73502,HC XR EXAM HIP UNI 2 -3 VIEWS,278.58,164.36,46.71,250.72,23
CPT,73503,HC XR EXAM HIP UNI 4> VIEWS,459.9,271.34,77.11,413.91,23
CPT,73521,HC XR EXAM HIPS BI 2 VIEWS,459.9,271.34,77.11,413.91,23
CPT,73522,HC XR EXAM HIPS BI 3-4 VIEWS,459.9,271.34,77.11,413.91,23
CPT,73523,HC XR EXAM HIPS BI 5 > VIEWS,873.87,515.58,146.53,786.48,23
CPT,73525,HC XR ARTHROGRAM HIP S&I,1653.22,975.4,277.2,1487.9,23
CPT,73551,HC XR EXAM OF FEMUR 1 VIEW,278.58,164.36,46.71,250.72,23
CPT,73552,HC XR EXAM OF FEMUR 2 > VIEWS,278.58,164.36,46.71,250.72,23
CPT,73560,HC XR KNEE 1 OR 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73562,HC XR KNEE 3 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73564,HC XR KNEE COMPL 4+ VIEWS,414.32,244.45,69.47,372.89,23
CPT,73565,"HC XR KNEES,BILAT AP STANDING",227.7,134.34,38.18,204.93,23
CPT,73580,HC XR ARTHROGRAM KNEE S&I,1653.22,975.4,277.2,1487.9,23
CPT,73590,HC XR TIB/FIB 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73592,HC XR LWR EXTREM INFANT 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73600,HC XR ANKLE 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73610,HC XR ANKLE COMPL 3+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73615,HC XR ARTHROGRAM ANKLE S&I,1653.22,975.4,277.2,1487.9,23
CPT,73620,HC XR FT 2 VIEWS,227.7,134.34,38.18,204.93,23
CPT,73630,HC XR FT COMPL 3+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73650,HC XR CALCANEUS 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73660,HC XR TOE(S) 2+ VIEWS,227.7,134.34,38.18,204.93,23
CPT,73700,HC CT LWR EXTREM W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,73701,HC CT LWR EXTREM W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,73702,HC CT LWR EXTREM W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,73706,HC CTA LWR EXTREM W&W/O CONTR,1547.86,913.24,259.54,1393.07,23
CPT,73718,HC MRI LWR EXTREM W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,73719,HC MRI LWR EXTREM W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,73720,HC MRI LWR EXTREM W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,73721,HC MRI LWR EXTREM JT W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,73722,HC MRI LWR EXTREM JT W/CONTR,2416.01,1425.45,405.1,2174.41,23
CPT,73723,HC MRI LWR EXTREM JT W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,73725,HC MRA LWR EXTREM W&W/O CONTR,1781.87,1051.3,298.77,1603.68,23
CPT,73725,HC MRA LWR EXTREM W/O CONTR,1781.87,1051.3,298.77,1603.68,23
CPT,74018,HC XR EXAM ABDOMEN 1 VIEW,227.7,134.34,38.18,204.93,23
CPT,74019,HC XR EXAM ABDOMEN 2 VIEWS,412.63,243.45,69.19,371.37,23
CPT,74021,HC XR EXAM ABDOMEN 3+ VIEWS,412.63,243.45,69.19,371.37,23
CPT,74022,HC XR EXAM COMPLETE ABDOMEN,414.32,244.45,69.47,372.89,23
CPT,74150,HC CT ABD W/O CONTR,792.17,467.38,132.83,712.95,23
CPT,74160,HC CT ABD W/CONTR,1355.39,799.68,227.26,1219.85,23
CPT,74170,HC CT ABD W&W/O CONTR,1502.28,886.35,251.89,1352.05,23
CPT,74174,HC CTA ABD/PEL W&WO CONTR,2201.25,1298.74,369.09,1981.13,23
CPT,74175,HC CTA ABD W&W/O CONTR,1547.86,913.24,259.54,1393.07,23
CPT,74176,HC CT ABD/PEL W/O CONTR,1395.91,823.59,234.06,1256.32,23
CPT,74177,HC CT ABD/PEL W/CONTR,2201.25,1298.74,369.09,1981.13,23
CPT,74178,HC CT ABD/PEL W&W/O CONTR 1+ REGIONS,2201.25,1298.74,369.09,1981.13,23
CPT,74181,HC MRI ABD W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,74182,HC MRI ABD W/CONTR,2073.61,1223.43,347.69,1866.25,23
CPT,74183,HC MRI ABD W&W/O CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,74185,HC MRA ABD W&W/O CONTR,1770.72,1044.72,296.9,1593.65,23
CPT,74185,HC MRA ABD W/O CONTR,1770.72,1044.72,296.9,1593.65,23
CPT,74190,HC XR PERITONEOGRAM S&I,1977.14,1166.51,331.52,1779.43,23
CPT,74210,HC X-RAY XM PHRNX&/CRV ESOPH CONTRAST STUDY,744.87,439.47,124.9,670.38,23
CPT,74220,HC XR XM ESOPHAGUS 1CNTRST,911.13,537.57,152.77,820.02,23
CPT,74221,HC XR XM ESOPHAGUS 2CNTRST,662.06,390.62,111.01,595.85,23
CPT,74230,HC XR XM SWLNG FUNCJ C+,519.89,306.74,87.17,467.9,23
CPT,74240,HC XR UGI SINGLE CONTRAST,911.13,537.57,152.77,820.02,23
CPT,74246,HC XR UGI DOUBLE CONTRAST,911.13,537.57,152.77,820.02,23
CPT,74248,HC XR SM INT F-THRU STD,269.46,158.98,45.18,242.51,23
CPT,74250,HC XR XM SM INT 1CNTRST STD,519.89,306.74,87.17,467.9,23
CPT,74251,HC X-RAY XM SM INT 2CNTRST STD,662.06,390.62,111.01,595.85,23
CPT,74261,HC CT COLONOGRAPHY DX W/O CONTR,1010.32,596.09,169.4,909.29,23
CPT,74263,HC CT COLONOGRAPHY SCRN IMAGE,3174.74,1873.1,532.32,2857.27,23
CPT,74270,HC XR COLON ENEMA SINGLE CONTRAST,911.13,537.57,152.77,820.02,23
CPT,74280,HC XR COLON ENEMA DOUBLE CONTRAST,911.13,537.57,152.77,820.02,23
CPT,74283,HC XR ENEMA THERAPEUTIC,911.13,537.57,152.77,820.02,23
CPT,74300,HC XR CHOLANGIO INTRAOP S&I,861.05,508.02,144.38,774.95,23
CPT,74301,HC XR CHOLANGIOGRAM ADD'L INTRAOP,509.54,300.63,85.44,458.59,23
CPT,74328,HC XR CATH BILIARY ONLY S&I,606.47,357.82,101.69,545.82,23
CPT,74329,HC XR CATH PANCREAS ONLY S&I,1677.53,989.74,281.28,1509.78,23
CPT,74330,HC XR CATH BILIARY & PANCREATIC (ERCP) S&I,2566.94,1514.49,430.41,2310.25,23
CPT,74340,HC XR INTRODUCTION LONG GI TUBE S&I,1412.12,833.15,236.78,1270.91,23
CPT,74360,HC XR DILAT INTRALUMINAL STRICTURE S&I,2256.96,1331.61,378.43,2031.26,23
CPT,74363,HC XR DILAT BILIARY DUCT S&I,10276.0,6062.84,1723.02,9248.4,23
CPT,74400,HC XR UROGRAPHY IVP W OR W/O TOMO,956.27,564.2,160.34,860.64,23
CPT,74420,HC XR UROGRAPHY RETROGRADE,1653.22,975.4,277.2,1487.9,23
CPT,74425,HC XR UROGRAPHY ANTEGRADE S&I,1653.22,975.4,277.2,1487.9,23
CPT,74430,HC XR CYSTOGRAPHY 3+ VIEWS S&I,1089.45,642.78,182.67,980.51,23
CPT,74450,HC XR URETHROGRAM RETROGRADE S&I,1158.67,683.62,194.28,1042.8,23
CPT,74455,HC XR URETHROGRAM VOIDING S&I,956.27,564.2,160.34,860.64,23
CPT,74712,HC MRI FETAL SNGL/1ST GESTATION,1248.02,736.33,209.26,1123.22,23
CPT,74713,HC MRI FETAL EA ADDL GESTATION,3562.72,2102.0,597.38,3206.45,23
CPT,74740,HC XR HYSTEROSALPINGOGRAM S&I,1165.96,687.92,195.5,1049.36,23
CPT,74742,HC XR FALLOPIAN TUBE CATH S&I,1448.59,854.67,242.89,1303.73,23
CPT,74775,HC XR PERINEOGRAM,1158.67,683.62,194.28,1042.8,23
CPT,75557,HC MRI CARDIAC W/O CONTR,1543.81,910.85,258.86,1389.43,23
CPT,75561,HC MRI CARDIAC W/O&W CONTR,2506.16,1478.63,420.22,2255.54,23
CPT,75563,HC MRI CARDIAC W/O&W CONTR STRESS IMAG,2506.16,1478.63,420.22,2255.54,23
CPT,75565,HC MRI CARDIAC FOR VELOCITY FLOW MAPPING,197.54,116.55,33.12,177.79,23
CPT,75571,HC CT HEART W/O CONTR W/CA TEST,265.61,156.71,44.54,239.05,23
CPT,75572,HC CT HEART W/3D IMAGE,1218.64,719.0,204.33,1096.78,23
CPT,75573,HC CT HRT W/3D IMG CONGEN,1218.64,719.0,204.33,1096.78,23
CPT,75574,HC CTA H CORNRY A/BYPASS GRFTS CONTR 3D,1218.64,719.0,204.33,1096.78,23
CPT,75580,HC N-INVAS EST C FFR SW ALY CTA,4185.13,2469.23,1003.91,3766.62,23
CPT,75605,HC XR AORTOGRAM THOR W/SER S&I,15375.18,9071.36,2578.02,13837.66,23
CPT,75625,HC XR AORTOGRAM ABD W/SER S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75630,HC XR AORTOGRAM ABD W/ILIOFEM S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75635,HC CTA ABD AOA W/&W/O RUNOFF,1547.86,913.24,259.54,1393.07,23
CPT,75705,HC XR ANGIO SPINAL S&I,7404.02,4368.37,1241.46,6663.62,23
CPT,75710,HC XR ANGIO EXTREM UNI S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75716,HC XR ANGIO EXTREM BILAT S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75726,HC XR ANGIO VISCERAL W/ OR W/O FLUSH S&I,15375.18,9071.36,2578.02,13837.66,23
CPT,75731,HC XR ANGIO ADRENAL UNI S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75736,HC XR ANGIO PELVIC S&I,15375.18,9071.36,2578.02,13837.66,23
CPT,75741,HC XR ANGIO PULM UNI S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75743,HC XR ANGIO PULM BILAT S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75746,HC XR ANGIO PULM NONSELECT S&I,4653.78,2745.73,780.32,4188.4,23
CPT,75756,HC XR ANGIO INTERNAL MAMMARY S&I,8986.33,5301.93,1506.77,8087.7,23
CPT,75774,HC XR ANGIO EA ADDL VESS S&I,1759.58,1038.15,295.04,1583.62,23
CPT,75801,HC XR LYMPH VESSEL ARM/LEG,2208.32,1302.91,370.28,1987.49,23
CPT,75805,HC XR LYMPH VESSEL TRUNK,4653.78,2745.73,780.32,4188.4,23
CPT,75807,HC XR LYMPHANGIOGRAM PEL/ABD; BIL S&I,8986.33,5301.93,1506.77,8087.7,23
CPT,75809,HC XR SHUNTOGRAM NONVASCULAR S&I,414.32,244.45,69.47,372.89,23
CPT,75810,HC XR SPLENOPORTOGRAM,11713.58,6911.01,1964.06,10542.22,23
CPT,75820,HC XR VENOGRAM EXTREM UNI S&I,3264.9,1926.29,547.44,2938.41,23
CPT,75822,HC XR VENOGRAM EXTREM BILAT S&I,4653.78,2745.73,780.32,4188.4,23
CPT,75825,HC XR VENACAVAGRAM INFERIOR S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75827,HC XR VENACAVAGRAM SUPERIOR S&I,3264.9,1926.29,547.44,2938.41,23
CPT,75831,HC XR VENOGRAM RENAL UNI S&I,8986.33,5301.93,1506.77,8087.7,23
CPT,75833,HC XR VENOGRAM RENAL BILATERAL S&I,8986.33,5301.93,1506.77,8087.7,23
CPT,75840,HC XR VENOGRAM ADRENAL UNI S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75842,HC XR VENOGRAM ADRENAL BILATERAL S&I,15375.18,9071.36,2578.02,13837.66,23
CPT,75860,HC XR VENOGRAM VENOUS SINUS/JUGULAR S&I,8986.33,5301.93,1506.77,8087.7,23
CPT,75870,HC XR VENOGRAM SUPERIOR SAGITTAL S&I,4653.78,2745.73,780.32,4188.4,23
CPT,75885,HC XR PORTOGRAM W/HEMODYNAMICS,10119.87,5970.72,1696.84,9107.88,23
CPT,75887,HC XR PORTOGRAM W/O HEMODYNAMICS,4653.78,2745.73,780.32,4188.4,23
CPT,75889,HC XR VENOGRAM HEPATIC W/HEMODYNAMICS S&I,10119.87,5970.72,1696.84,9107.88,23
CPT,75891,HC XR VENOGRAM HEPATIC W/O HEMODYNAMICS S&I,8986.33,5301.93,1506.77,8087.7,23
CPT,75893,HC XR VENOUS SAMP CATH W/ OR W/O ANGIO S&I,7088.97,4182.49,1188.64,6380.07,23
CPT,75894,HC XR TRCATH THPY EMBOLIZ ANY METHOD S&I,7937.87,4683.34,1330.97,7144.08,23
CPT,75898,HC XR TRCATH ANGIO EXIST CATH F/U S&I,4653.78,2745.73,780.32,4188.4,23
CPT,75901,HC XR REM CV PERICATH OBSTRUCTIVE MATL,1690.7,997.51,283.49,1521.63,23
CPT,75902,HC XR REM CV INTRALUMINAL OBSTRUCTIVE MATL,1360.46,802.67,228.11,1224.41,23
CPT,75970,HC XR TRCATH BX S&I,5498.56,3244.15,921.97,4948.7,23
CPT,75984,HC XR CHG TUBE/DRAIN CATH S&I,1814.28,1070.43,304.21,1632.85,23
CPT,75989,HC XR PERC DRAINAGE CATH S&I,1596.49,941.93,267.69,1436.84,23
CPT,76000,HC XR FLUORO < 1 HR,830.66,490.09,139.28,747.59,23
CPT,76010,HC XR NOSE TO RECTUM FB LOACALIZ SNGL VIEW,227.7,134.34,38.18,204.93,23
CPT,76014,HC MR SFTY IMPLT&/FB ASMT STF 1,102.45,60.45,17.18,92.21,23
CPT,76015,HC MR SFTY MPLT&/FB ASMT STF EA,51.22,30.22,8.59,46.1,23
CPT,76016,HC MR SAFETY DETER PHYS/QHP,368.38,217.34,61.77,331.54,23
CPT,76017,HC MR SFTY MED PHYSICS XM CSTMZ,1011.26,596.64,169.56,910.13,23
CPT,76018,HC MR SAFETY IMPLANT ELEC PREPJ,384.02,226.57,64.39,345.62,23
CPT,76019,HC MR SAFETY IMPLT POS&/IMMOBLJ,248.5,146.62,41.67,223.65,23
CPT,76080,HC XR ABSC FISTULA/SINUS TRACT STDY S&I,1653.22,975.4,277.2,1487.9,23
CPT,76098,HC XR SURGICAL SPECIMEN,1754.52,1035.17,294.19,1579.07,23
CPT,76145,HC XR MED PHYSIC DOS EVAL RAD EXPS,1385.65,817.53,232.34,1247.09,23
CPT,76376,HC XR 3D RENDERING W/INTERP W/O POSTPROCESS,345.43,203.8,57.92,310.89,23
CPT,76377,HC XR 3D RENDERING W/POSTPROCESS,798.24,470.96,133.84,718.42,23
CPT,76380,HC CT FOLLOW UP LTD,451.8,266.56,75.76,406.62,23
CPT,76390,HC MRI SPECTROSCOPY,1809.22,1067.44,303.36,1628.3,23
CPT,76391,HC MRI ELASTOGRAPHY,840.79,496.07,140.98,756.71,23
CPT,76496,HC XR FLUORO UNLISTED PROC,521.7,307.8,87.48,469.53,23
CPT,76497,HC CT UNLISTED PROCEDURE,451.8,266.56,75.76,406.62,23
CPT,76498,HC MRI UNLISTED PROC,1543.81,910.85,258.86,1389.43,23
CPT,76499,HC XR UNLISTED PROCEDURE,346.39,204.37,58.08,311.75,23
CPT,76506,HC US ENCEPHALOGRAM,414.32,244.45,69.47,372.89,23
CPT,76510,HC US OPHTH B & QUANT A,961.34,567.19,161.19,865.21,23
CPT,76512,HC US EYE B-SCAN,453.82,267.75,76.09,408.44,23
CPT,76513,HC US EXAM OF EYE WATER BATH,453.82,267.75,76.09,408.44,23
CPT,76516,HC US EYE BIOMETRY A-SCAN,412.63,243.45,69.19,371.37,23
CPT,76519,HC US EYE BIOMETRY W/CALCULATION,453.82,267.75,76.09,408.44,23
CPT,76536,HC US SOFT TISS HEAD/NECK,453.82,267.75,76.09,408.44,23
CPT,76604,HC US CHEST,414.32,244.45,69.47,372.89,23
CPT,76641,HC ULTRASOUND BREAST COMPLETE,445.48,262.83,74.7,400.93,23
CPT,76642,HC ULTRASOUND BREAST LIMITED,331.0,195.29,55.5,297.9,23
CPT,76700,HC US ABD COMPL,453.82,267.75,76.09,408.44,23
CPT,76705,HC US ABD LTD,453.82,267.75,76.09,408.44,23
CPT,76706,HC US ABDL AORTA SCREEN AAA,514.6,303.61,86.29,463.14,23
CPT,76770,HC US RETROPERITIONEAL COMPL,453.82,267.75,76.09,408.44,23
CPT,76775,HC US RETROPERITONEAL LTD,453.82,267.75,76.09,408.44,23
CPT,76776,HC US KIDNEY TRANSPL W/ DOPPLER,528.8,311.99,88.67,475.92,23
CPT,76800,HC US SPINAL CANAL,496.09,292.69,83.18,446.48,23
CPT,76801,HC US PREGNANCY < 14 WEEKS SNGL/FIRST GEST,453.82,267.75,76.09,408.44,23
CPT,76802,HC US PREGNANCY < 14 WEEKS EA ADDL GEST,295.8,174.52,49.6,266.22,23
CPT,76805,HC US PREGNANCY > 14 WEEKS SNGL/FIRST GEST,453.82,267.75,76.09,408.44,23
CPT,76810,HC US PREGNANCY > 14 WEEKS EA ADDL GEST,453.82,267.75,76.09,408.44,23
CPT,76811,HC US PREGNANCY DETAILED SNGL/FIRST GEST,792.1,467.34,132.81,712.89,23
CPT,76812,HC US PREGNANCY DETAILED EA ADDL GEST,482.61,284.74,80.92,434.35,23
CPT,76813,HC US PREGNANCY NUCHAL MEAS SNGL OR 1ST GES,445.48,262.83,74.7,400.93,23
CPT,76814,HC US PREGNANCY NUCHAL MEAS EA ADDL GES,295.8,174.52,49.6,266.22,23
CPT,76815,HC US PREGNANCY 1 OR MORE FETUSES LTD,414.32,244.45,69.47,372.89,23
CPT,76816,HC US PREGNANCY FOLLOWUP PER FETUS,414.32,244.45,69.47,372.89,23
CPT,76817,HC US PREGNANCY TRANSVAG,414.32,244.45,69.47,372.89,23
CPT,76818,HC US FETAL BIOPHYSICAL PROFILE W/NST,453.82,267.75,76.09,408.44,23
CPT,76819,HC US FETAL BIOPHYSICAL PROFILE W/O NST,453.82,267.75,76.09,408.44,23
CPT,76820,HC US FETAL DOPPLER VELOCIM UMBILICAL ART,414.32,244.45,69.47,372.89,23
CPT,76821,HC US FETAL DOPPLER VELOCIM MID CEREBRAL ART,414.32,244.45,69.47,372.89,23
CPT,76825,HC US FETAL HEA ECHO 2D W/ OR W/O M-MODE,1754.52,1035.17,294.19,1579.07,23
CPT,76826,HC US FETAL ECHO 2D W/ OR W/O M-MODE F/U,837.48,494.11,140.42,753.73,23
CPT,76827,HC US DOPPLER ECHOCARDIOGRAPHY FETAL COMPL,830.66,490.09,139.28,747.59,23
CPT,76828,HC US FETAL HEA DOPPLER ECHO F/U,414.32,244.45,69.47,372.89,23
CPT,76830,HC US TRANSVAG NON OB,453.82,267.75,76.09,408.44,23
CPT,76831,HC US SALINE INF SONOHYSTERO COLOR FLOW,830.66,490.09,139.28,747.59,23
CPT,76856,HC US PELVIS NON OB,453.82,267.75,76.09,408.44,23
CPT,76857,HC US PELVIS NON OB LTD,414.32,244.45,69.47,372.89,23
CPT,76870,HC US SCROTUM,453.82,267.75,76.09,408.44,23
CPT,76872,HC US TRANSRECTAL,453.82,267.75,76.09,408.44,23
CPT,76881,HC US EXTREM NON VASCULAR COMPL,453.82,267.75,76.09,408.44,23
CPT,76882,HC US EXTREM NON VASCULAR LTD ANATOMIC SPEC,412.63,243.45,69.19,371.37,23
CPT,76883,HC US NERVE ONE EXTREMITY COMP REAL TIME EACH EXT,441.07,260.23,73.96,396.96,23
CPT,76885,HC US HIPS INFANT DYNAMIC,330.24,194.84,55.37,297.22,23
CPT,76886,HC US HIPS INFANT LTD STATIC,331.88,195.81,55.65,298.69,23
CPT,76932,HC US GUIDED ENDOMYOCARD BX S&I,443.69,261.78,74.4,399.32,23
CPT,76936,HC US GUIDED COMPRESSION REPAIR,897.04,529.25,150.41,807.34,23
CPT,76937,HC US GUIDED VASCULAR ACCESS,130.68,77.1,21.91,117.61,23
CPT,76940,HC US GUIDANCE MONITOR TISS ABLAT,510.55,301.22,85.61,459.5,23
CPT,76941,HC US GUIDED FETAL TRANSFUSE/CORDOCENT S&I,462.94,273.13,77.62,416.65,23
CPT,76942,HC US GUIDED NDL PL S&I,214.76,126.71,36.01,193.28,23
CPT,76945,HC US GUIDED CHORIONIC VILLUS SAMP S&I,494.34,291.66,82.89,444.91,23
CPT,76946,HC US GUIDED AMNIO S&I,101.3,59.77,16.99,91.17,23
CPT,76978,HC US TRGT DYN MBUBB 1ST LES,1059.86,625.32,177.71,953.87,23
CPT,76979,HC US TRGT DYN MBUBB EA ADDL,767.02,452.54,128.61,690.32,23
CPT,76981,HC US ELAST PARENCHYMA,410.6,242.25,68.85,369.54,23
CPT,76998,HC US GUIDANCE INTRAOPERATIVE,903.6,533.12,151.51,813.24,23
CPT,76999,HC US UNLISTED PROC,295.8,174.52,49.6,266.22,23
CPT,77001,HC XR FLUORO CV ACCESS DEVICE PLACEMENT,500.42,295.25,83.91,450.38,23
CPT,77002,HC XR FLUORO NDL PLACEMENT,497.38,293.45,83.4,447.64,23
CPT,77003,HC XR FLUORO NDL LOACALIZ,492.32,290.47,82.55,443.09,23
CPT,77012,HC CT GUIDED NDL PLACEMENT,339.53,200.32,56.93,305.58,23
CPT,77013,HC CT COMPUTED GUIDED VISCERAL TISS ABLAT,2416.01,1425.45,405.1,2174.41,23
CPT,77014,HC CT GUIDED THPY PLACEMENT,353.54,208.59,59.28,318.19,23
CPT,77021,HC MRI GUIDED NDL PLACEMENT,1776.68,1048.24,297.9,1599.01,23
CPT,77022,HC MRI GUIDED PARENCHYMAL TISSUE ABLAT,2056.54,1213.36,344.83,1850.89,23
CPT,77046,HC MRI BREAST W/O CONTR UNI,841.42,496.44,141.08,757.28,23
CPT,77047,HC MRI BREAST W/O CONTR BIL,841.42,496.44,141.08,757.28,23
CPT,77048,HC MRI BREAST W&WO CONTR W/CAD UNI,1407.27,830.29,235.96,1266.54,23
CPT,77049,HC MRI BREAST W&W/O CONTR W/CAD BIL,1407.27,830.29,235.96,1266.54,23
CPT,77053,HC XR MAMMRY DUCTOGRAM SNGL S&I,830.66,490.09,139.28,747.59,23
CPT,77061,HC BREAST TOMOSYNTHESIS UNI,582.48,343.66,97.67,524.23,23
CPT,77062,HC BREAST TOMOSYNTHESIS BI,582.48,343.66,97.67,524.23,23
CPT,77063,HC BREAST TOMOSYNTHESIS BI SCREENING,136.76,80.69,22.93,123.08,23
CPT,77065,HC DX MAMMO INCL CAD UNI,465.98,274.93,78.13,419.38,23
CPT,77066,HC DX MAMMO INCL CAD BI,582.48,343.66,97.67,524.23,23
CPT,77067,HC SCR MAMMO BI INCL CAD,486.24,286.88,81.53,437.62,23
CPT,77071,HC XR STRESS VIEW,346.39,204.37,58.08,311.75,23
CPT,77072,HC XR BONE AGE STDY,414.32,244.45,69.47,372.89,23
CPT,77073,HC XR BONE LENGTH STDY,412.63,243.45,69.19,371.37,23
CPT,77074,HC XR BONE SURVEY LTD,414.32,244.45,69.47,372.89,23
CPT,77075,HC XR BONE SURVEY COMPL,414.32,244.45,69.47,372.89,23
CPT,77076,HC XR BONE SURVEY INFANT,414.32,244.45,69.47,372.89,23
CPT,77080,HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL,414.32,244.45,69.47,372.89,23
CPT,77081,HC XR DEXA SCAN,227.7,134.34,38.18,204.93,23
CPT,77280,HC SIM SMPL,1474.0,869.66,179.3,1326.6,23
CPT,77285,HC SIM INTERMED,2003.71,1182.19,243.74,1803.34,23
CPT,77290,HC SIM CMPLX,2696.0,1590.64,327.95,2426.4,23
CPT,77293,HC RESPIRATOR MOTION MGMT SIMUL,2949.86,1740.42,358.83,2654.87,23
CPT,77295,HC SIM 3-D/CT GUIDED,6111.4,3605.73,743.42,5500.26,23
CPT,77300,HC DOSIMETRY CALCULATION BASIC,656.45,387.31,79.85,590.81,23
CPT,77301,HC INTENSITY MODULATED TX PLAN,9572.0,5647.48,1164.38,8614.8,23
CPT,77306,HC TELETHX ISODOSE PLAN SIMPLE,1145.7,675.96,139.37,1031.13,23
CPT,77307,HC TELETHX ISODOSE PLAN CPLX,1663.91,981.71,202.41,1497.52,23
CPT,77316,HC BRACHYTX ISODOSE PLAN SIMPLE,1663.91,981.71,202.41,1497.52,23
CPT,77317,HC BRACHYTX ISODOSE INTERMED,1145.7,675.96,139.37,1031.13,23
CPT,77318,HC BRACHYTX ISODOSE COMPLEX,1145.7,675.96,139.37,1031.13,23
CPT,77321,HC PO PLAN SPECL PAICLES/HEMI/TOTAL BODY,1663.91,981.71,202.41,1497.52,23
CPT,77331,HC DOSIMETRY CALCULATION SPECL,519.2,306.33,63.16,467.28,23
CPT,77332,HC TX DEVICE SMPL,519.2,306.33,63.16,467.28,23
CPT,77333,HC TX DEVICE INTERMED,636.75,375.68,77.46,573.08,23
CPT,77334,HC TX DEVICE CMPLX,1145.7,675.96,139.37,1031.13,23
CPT,77336,HC MEDICAL PHYSICS CONTINUING,706.1,416.6,85.89,635.49,23
CPT,77338,HC MLC DEVICE(S) FOR IM,2986.9,1762.27,363.34,2688.21,23
CPT,77370,HC MEDICAL PHYSICS SPECL,733.09,432.52,89.18,659.78,23
CPT,77372,HC STEREOTACTIC RADIOSURG CMPL LB,47392.75,27961.72,5765.08,42653.48,23
CPT,77373,HC STEREOTACTIC BODY RADIATION THPY DEL,8455.0,4988.45,1028.51,7609.5,23
CPT,77385,HC NTSTY MODUL RAD TX DLVR SMPL,3066.0,1808.94,372.96,2759.4,23
CPT,77386,HC NTSTY MODUL RAD TX DLVR CPLX,3066.0,1808.94,372.96,2759.4,23
CPT,77387,HC GUIDANCE FOR RADIAJ TX DLVR,649.33,383.1,78.99,584.4,23
CPT,77399,HC MED PHYSICS DOSIMETRY UNLISTED PROC,519.2,306.33,63.16,467.28,23
CPT,77401,HC RAD THPY TREAT SUPERFICIAL/OHOVOAGE,490.16,289.19,59.63,441.14,23
CPT,77402,HC RAD THPY >/= 1 MEV SIMPLE,844.43,498.21,102.72,759.99,23
CPT,77407,HC RAD THPY >/= 1 MEV INTERMEDIATE,996.79,588.11,121.25,897.11,23
CPT,77412,HC RAD THPY >/= 1 MEV COMPLEX,1957.0,1154.63,238.06,1761.3,23
CPT,77417,HC RAD THPY PO FILM(S),111.43,65.74,13.55,100.29,23
CPT,77424,HC IO RAD TX DELIVERY BY X-RAY,27355.05,16139.48,3327.6,24619.55,23
CPT,77470,HC RAD THPY TREAT SPECL HEMI/TOTAL BODY,1819.35,1073.42,221.31,1637.42,23
CPT,77762,HC INTRACAVITARY BRACHYTHPY INTERMED,1819.35,1073.42,221.31,1637.42,23
CPT,77767,HC HDR RDNCL SKN SURF BRACHYTX < = 2 CM OR 1 CHNL,923.86,545.08,112.38,831.47,23
CPT,77768,HC HDR RDNCL SKN SURF BRACHYTX > 2 CM & 2 + CHNLS,1483.03,874.99,180.4,1334.73,23
CPT,77770,HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL,2715.85,1602.35,330.37,2444.27,23
CPT,77771,HC HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS,2715.85,1602.35,330.37,2444.27,23
CPT,77772,HC HDR RDNCL NTRSTL/ICAV BRCHTX > 12 CHANNELS,3353.03,1978.29,407.88,3017.73,23
CPT,77778,HC INTERSTITIAL BRACHYTHPY CMPLX,2715.85,1602.35,330.37,2444.27,23
CPT,77789,HC RADIATION SRCE SURFACE APPLICATION,490.36,289.31,59.65,441.32,23
CPT,77790,HC RADIATION SRCE SUPV/HANDLING/LOADING,229.95,135.67,27.97,206.96,23
CPT,78012,HC NM THYROID UPTAKE MEASUREMENT,1224.72,722.58,148.98,1102.25,23
CPT,78013,HC NM THYROID IMAGING W/BLOOD FLOW,1224.72,722.58,148.98,1102.25,23
CPT,78014,HC NM THYROID IMAGING W/BLOOD FLOW UPTAKE,1224.72,722.58,148.98,1102.25,23
CPT,78018,HC NM THYROID CARCINOMA METS WHOLE BODY,1633.35,963.68,198.69,1470.02,23
CPT,78020,HC NM THYROID CARCINOMA METS UPTAKE,554.11,326.92,67.4,498.7,23
CPT,78070,HC NM PARATHYROID,1224.72,722.58,148.98,1102.25,23
CPT,78071,HC NM PARATHYROID W/SPECT,1468.85,866.62,178.68,1321.97,23
CPT,78072,HC NM PARATHYROID W/SPECT/CT,1650.38,973.72,200.76,1485.34,23
CPT,78102,HC NM BONE MARROW LTD,1277.39,753.66,155.39,1149.65,23
CPT,78103,HC NM BONE MARROW MULTIPLE,1277.39,753.66,155.39,1149.65,23
CPT,78104,HC NM BONE MARROW WHOLE BODY,1277.39,753.66,155.39,1149.65,23
CPT,78122,HC NM WHL BL VOLUME,1987.51,1172.63,241.77,1788.76,23
CPT,78195,HC NM LYMPH SYSTEM,1633.35,963.68,198.69,1470.02,23
CPT,78201,HC NM LIVER,1755.53,1035.76,213.55,1579.98,23
CPT,78215,HC NM LIVER & SPLEEN IMAG,1434.41,846.3,174.49,1290.97,23
CPT,78226,HC NM HEPATOBILIARY SYSTEM IMG,1434.41,846.3,174.49,1290.97,23
CPT,78227,HC NM HEPATOBILIARY DUCTS,2002.38,1181.4,243.58,1802.14,23
CPT,78231,HC NM SALIVARY GLAND W/SERIAL,1224.72,722.58,148.98,1102.25,23
CPT,78258,HC ESOPHAGEAL MOTILITY,1338.0,789.42,162.76,1204.2,23
CPT,78262,HC NM GASTROESOPHAGEAL REFLUX,1224.71,722.58,148.98,1102.24,23
CPT,78264,HC NM GASTRIC EMPTYING,1313.7,775.08,159.8,1182.33,23
CPT,78267,HC NM UREA BREATH TEST C-14 ISOTOPIC ACQ,82.05,48.41,9.98,73.85,23
CPT,78268,"HC UREA BREATH TEST, C-14 ANALYSES",708.08,417.77,85.31,637.27,23
CPT,78278,HC NM GASTROINTESTINAL BL LOSS,1542.47,910.06,187.63,1388.22,23
CPT,78290,HC NM INTESTINE MUCOSA/MECKELS,1542.47,910.06,187.63,1388.22,23
CPT,78291,HC NM PERITONEAL-VENOUS SHUNT PATENCY,1224.72,722.58,148.98,1102.25,23
CPT,78300,HC NM BONE LTD,1224.72,722.58,148.98,1102.25,23
CPT,78305,"HC NM BONE IMAGING, MULTIPLE AREAS",1224.72,722.58,148.98,1102.25,23
CPT,78306,HC NM BONE WHOLE BODY,1224.72,722.58,148.98,1102.25,23
CPT,78315,HC NM BONE 3 PHASE,1542.47,910.06,187.63,1388.22,23
CPT,78429,HC MYOCRD IMG PET 1 STD W/CT,5407.5,3190.43,1297.13,4866.75,23
CPT,78430,HC MYOCRD IMG PET RST/STRS W/CT,5407.5,3190.43,1297.13,4866.75,23
CPT,78431,HC MYOCRD IMG PET RST&STRS CT,9755.91,5755.99,2340.2,8780.32,23
CPT,78432,HC MYOCRD IMG PET 2RTRACER,9996.69,5898.05,2397.96,8997.02,23
CPT,78433,HC MYOCRD IMG PET 2RTRACER CT,9996.69,5898.05,2397.96,8997.02,23
CPT,78434,HC AQMBF PET REST & RX STRESS,1409.08,831.36,338.0,1268.17,23
CPT,78451,HC NM MYOCARD SPECT SNGL STDY REST/STRESS,4188.76,2471.37,509.54,3769.88,23
CPT,78452,HC NM MYOCARD SPECT MULT STDY,4188.76,2471.37,509.54,3769.88,23
CPT,78454,HC NM MYOCARD PERFU PLNR MULT STDY,4219.38,2489.43,513.27,3797.44,23
CPT,78459,HC MYOCRD IMG PET SINGLE STUDY,4815.8,2841.32,1155.19,4334.22,23
CPT,78469,HC NM MYOCARDIAL INFARCT SPECT,4335.66,2558.04,527.41,3902.09,23
CPT,78472,HC NM CARDIAC BL POOL SNGL,1409.08,831.36,171.41,1268.17,23
CPT,78491,HC MYOCRD IMG PET 1STD RST/STRS,4860.37,2867.62,1165.88,4374.33,23
CPT,78492,HC MYOCRD IMG PET MLT RST&STRS,4860.37,2867.62,1165.88,4374.33,23
CPT,78494,HC NM CARDIAC BL POOL REST W/SPECT,1409.08,831.36,171.41,1268.17,23
CPT,78579,HC NM PULM VENT IMG AERO/GAS,1224.72,722.58,148.98,1102.25,23
CPT,78580,HC NM PULM PERFU PA,1224.72,722.58,148.98,1102.25,23
CPT,78582,HC NM PULM PERFU PART W/AEROSOL VENT,1633.35,963.68,198.69,1470.02,23
CPT,78597,HC NM PULM PERF QUAN DIFFERENTIAL,1224.72,722.58,148.98,1102.25,23
CPT,78598,HC NM PULM PERF/VENT QUAN DIFF,1633.35,963.68,198.69,1470.02,23
CPT,78601,HC NM BRAIN W/FLOW < 4 VIEWS STATIC,2090.83,1233.59,254.34,1881.75,23
CPT,78606,HC NM BRAIN W/FLOW 4 + VIEWS STATIC,2090.83,1233.59,254.34,1881.75,23
CPT,78608,HC PET BRAIN IMAG METABOLIC EVAL,4860.37,2867.62,1165.88,4374.33,23
CPT,78630,HC NM CEREBROSPINAL FLUID FLOW CISTERNOGRAM,2090.83,1233.59,254.34,1881.75,23
CPT,78700,HC NM KIDNEY SCAN,1518.49,895.91,184.72,1366.64,23
CPT,78707,HC NM KIDNEY SCAN W/FLOW & FUNCTION,1633.35,963.68,198.69,1470.02,23
CPT,78708,HC NM KIDNEY SNGL W/PHARM INTERVENT,1633.35,963.68,198.69,1470.02,23
CPT,78725,HC NM KIDNEY FUNCTION NONIMAG RADIOISOTOPIC,1224.72,722.58,148.98,1102.25,23
CPT,78730,HC NM URINARY BLADDER RETENTION,625.02,368.76,76.03,562.52,23
CPT,78740,HC NM URETERAL REFLUX (VCUG),1518.49,895.91,184.72,1366.64,23
CPT,78800,HC RP LOCLZJ TUM 1 AREA 1 D IMG,1368.56,807.45,166.48,1231.7,23
CPT,78801,HC RP LOCLZJ TUM 2+AREA 1+D IMG,2291.41,1351.93,278.74,2062.27,23
CPT,78802,HC RP LOCLZJ TUM WHBDY 1 D IMG,4335.66,2558.04,527.41,3902.09,23
CPT,78803,HC RP LOCLZJ TUM SPECT 1 AREA,2291.41,1351.93,278.74,2062.27,23
CPT,78804,HC RP LOCLZJ TUM WHBDY 2+D IMG,4356.91,2570.58,530.0,3921.22,23
CPT,78808,HC INJ RA DRUG DX STUDY,1224.72,722.58,148.98,1102.25,23
CPT,78814,HC PET W/CT TUMOR IMAG LTD AREA,4860.37,2867.62,1165.88,4374.33,23
CPT,78815,HC PET W/CT TUMOR IMAG SKULL TO MID-THIGH,6268.0,3698.12,1503.54,5641.2,23
CPT,78816,HC PET W/CT TUMOR IMAG WHOLE BODY,6268.0,3698.12,1503.54,5641.2,23
CPT,78830,HC RP LOCLZJ TUM SPECT W/CT 1 AREA,4622.79,2727.45,562.34,4160.51,23
CPT,78831,HC RP LOCLZJ TUM SPECT 2 AREAS,4622.79,2727.45,562.34,4160.51,23
CPT,78832,HC RP LOCLZJ TUM SPECT W/CT 2 AREAS,5244.58,3094.3,637.98,4720.12,23
CPT,78835,HC RP QUAN MEAS SINGLE AREA,436.86,257.75,53.14,393.17,23
CPT,78999,HC NM UNLISTED MISC DX,1224.72,722.58,148.98,1102.25,23
CPT,79005,HC NM RADIOPHARMACEUTICAL THPY ORAL,1079.86,637.12,131.36,971.87,23
CPT,79101,HC NM RADIOPHARMACEUTICAL THPY IV,1079.86,637.12,131.36,971.87,23
CPT,79445,HC NM RADIOPHARMACEUTICAL THPY INTRA-AERIAL,1033.26,609.62,125.69,929.93,23
CPT,80047,HC POC BMP W IONIZED CALCIUM,82.38,48.6,9.92,74.14,23
CPT,80048,HC BASIC METABOLIC PANEL,50.76,29.95,6.12,45.68,23
CPT,80050,HC GENERAL HEALTH PANEL,162.63,95.95,19.59,146.37,23
CPT,80051,HC ELECTROLYTE PANEL,42.06,24.82,5.07,37.85,23
CPT,80051,HC POC ELECTROLYTE PANEL,42.06,24.82,5.07,37.85,23
CPT,80053,HC CMPRH METABOLIC PANEL,63.36,37.38,7.63,57.02,23
CPT,80055,HC OBSTETRIC PANEL,286.86,169.25,34.56,258.17,23
CPT,80061,HC CARDIO IQ ADVANCED LIPID PANEL,80.34,47.4,9.68,72.31,23
CPT,80061,HC LIPID PANEL,80.34,47.4,9.68,72.31,23
CPT,80069,HC RENAL FUNCTION PANEL,52.08,30.73,6.27,46.87,23
CPT,80074,HC ACUTE HEP PANEL,285.78,168.61,34.43,257.2,23
CPT,80076,HC HEPATIC FUNCTION PANEL,49.08,28.96,5.91,44.17,23
CPT,80081,HC OBSTETRIC PANEL,449.16,265.0,54.11,404.24,23
CPT,80143,"HC ACETAMINOPHEN, THERAPEUTIC",111.84,65.99,13.47,100.66,23
CPT,80145,HC DRUG ASSAY ADALIMUMAB,231.42,136.54,27.88,208.28,23
CPT,80150,HC AMIKACIN,90.48,53.38,10.9,81.43,23
CPT,80151,"HC AMIODARONE, THERAPEUTIC",111.84,65.99,13.47,100.66,23
CPT,80155,HC CAFFEINE,231.42,136.54,27.88,208.28,23
CPT,80156,HC CARBAMAZEPINE (TEGRETOL) TOTAL,87.42,51.58,10.53,78.68,23
CPT,80157,HC CARBAMAZEPINE AND METABOLITE-FREE,79.5,46.91,9.58,71.55,23
CPT,80158,HC CYCLOSPORINE,108.3,63.9,13.05,97.47,23
CPT,80159,HC CLOZAPINE LEVEL,120.9,71.33,14.57,108.81,23
CPT,80161,"HC CARBAMAZEPINE; -10, 11 -EPOXIDE, THER",111.84,65.99,13.47,100.66,23
CPT,80162,HC DIGOXIN TOTAL,79.68,47.01,9.6,71.71,23
CPT,80163,HC DIGOXIN FREE,79.68,47.01,9.6,71.71,23
CPT,80164,HC VALPROIC ACID (DIPROPYLACETIC ACID) TOTAL,81.24,47.93,9.79,73.12,23
CPT,80165,HC VALPROIC (DIPROPYLACETIC) ACID FREE,81.24,47.93,9.79,73.12,23
CPT,80167,"HC FELBAMATE, THERAPEUTIC",111.84,65.99,13.47,100.66,23
CPT,80168,HC ETHOSUXIMIDE,98.04,57.84,11.81,88.24,23
CPT,80169,"HC EVEROLIMUS, BLOOD",82.38,48.6,9.92,74.14,23
CPT,80170,HC GENTAMICIN,98.28,57.99,11.84,88.45,23
CPT,80171,"HC GABAPENTIN, WHOLE BLOOD, SERUM OR PLASMA",136.0,80.24,16.38,122.4,23
CPT,80173,HC HALOPERIDOL (HALDOL),94.68,55.86,11.41,85.21,23
CPT,80175,HC LAMOTRIGINE LEVEL,79.5,46.91,9.58,71.55,46
CPT,80176,HC LIDOCAINE LEVEL,80.0,47.2,9.64,72.0,23
CPT,80177,HC LEVETIRACETAM LEVEL,79.5,46.91,9.58,71.55,23
CPT,80177,"HC LEVETIRACETAM, RAPID",79.5,46.91,9.58,71.55,23
CPT,80178,HC LITHIUM,39.66,23.4,4.78,35.69,23
CPT,80179,"HC SALICYLATE, THERAPEUTIC",111.84,65.99,13.47,100.66,23
CPT,80180,HC MYCOPHENOLIC ACID  - MYCOPHENOLIC ACI,108.3,63.9,13.05,97.47,23
CPT,80181,"HC FLECAINIDE, THERAPEUTIC",111.84,65.99,13.47,100.66,23
CPT,80183,HC OXCARBAZEPINE (TRILEPTAL),79.5,46.91,9.58,71.55,23
CPT,80184,HC MEPHOBARBITAL (MEBARAL),91.8,54.16,11.06,82.62,23
CPT,80184,HC PHENOBARBITAL,91.8,54.16,11.06,82.62,23
CPT,80185,HC PHENYTOIN (DILANTIN) TOTAL,79.5,46.91,9.58,71.55,23
CPT,80186,HC PHENYTOIN (DILANTIN) FREE,82.56,48.71,9.95,74.3,23
CPT,80187,HC DRUG ASSAY POSACONAZOLE,162.66,95.97,19.6,146.39,23
CPT,80188,HC PRIMIDONE (MYSOLINE),99.54,58.73,11.99,89.59,23
CPT,80189,"HC ITRACONAZOLE, THERAPEUTIC",162.66,95.97,19.6,146.39,23
CPT,80192,HC PROCAINAMIDE,100.5,59.3,12.11,90.45,23
CPT,80193,"HC LEFLUNOMIDE, THERAPEUTIC",231.42,136.54,27.88,208.28,23
CPT,80194,HC QUINIDINE,87.6,51.68,10.55,78.84,23
CPT,80195,HC ASSAY OF SIROLIMUS,82.38,48.6,9.92,74.14,23
CPT,80197,HC TACROLIMUS (FK-506),82.38,48.6,9.92,74.14,23
CPT,80198,HC THEOPHYLLINE,84.84,50.06,10.22,76.36,23
CPT,80199,HC TIAGABINE (GABATRIL),162.66,95.97,19.6,146.39,23
CPT,80200,HC TOBRAMYCIN,96.78,57.1,11.66,87.1,23
CPT,80201,HC TOPIRAMATE,71.52,42.2,8.62,64.37,23
CPT,80202,HC VANCOMYCIN,81.24,47.93,9.79,73.12,23
CPT,80203,HC ZONISAMIDE,79.5,46.91,9.58,71.55,23
CPT,80204,"HC METHOTREXATE, THERAPEUTIC",111.84,65.99,13.47,100.66,23
CPT,80210,"HC RUFINAMIDE, THERAPEUTIC",162.66,95.97,19.6,146.39,23
CPT,80220,HC DRUG ASY HYDROXYCHLOROQUINE,111.84,65.99,13.47,100.66,23
CPT,80230,HC DRUG ASSAY INFLIXIMAB,231.42,136.54,27.88,208.28,23
CPT,80235,HC DRUG ASSAY LACOSAMIDE,162.66,95.97,19.6,146.39,23
CPT,80280,HC DRUG ASSAY VEDOLIZUMAB,231.42,136.54,27.88,208.28,23
CPT,80285,HC DRUG ASSAY VORICONAZOLE,162.66,95.97,19.6,146.39,23
CPT,80299,HC 5-FLUOROCYTOSINE,111.84,65.99,13.47,100.66,23
CPT,80299,HC ACCUTANE (ISOTRETINOIN),111.84,65.99,13.47,100.66,23
CPT,80299,HC AMOXICILLIN LEVEL,111.84,65.99,13.47,100.66,23
CPT,80299,HC APIXABAN,111.84,65.99,13.47,100.66,23
CPT,80299,HC BUSULFAN - BUSULFAN,111.84,65.99,13.47,100.66,23
CPT,80299,HC CANNABIDIOL,111.84,65.99,13.47,100.66,23
CPT,80299,HC CLOBAZAM QUANTITATIVE,111.84,65.99,13.47,100.66,23
CPT,80299,"HC CLONIDINE, URINE",111.84,65.99,13.47,100.66,23
CPT,80299,HC DABIGATRAN WITH REFLEX TO THROMBIN TIME,111.84,65.99,13.47,100.66,23
CPT,80299,HC DANTROLENE,111.84,65.99,13.47,100.66,23
CPT,80299,HC DEXAMETHASONE,111.84,65.99,13.47,100.66,23
CPT,80299,HC DIGITOXIN - DIGITOXIN,111.84,65.99,13.47,100.66,23
CPT,80299,HC DISOPYRAMIDE - DISOPYRAMIDE,111.84,65.99,13.47,100.66,23
CPT,80299,HC ENCAINIDE - ENCAINIDE,111.84,65.99,13.47,100.66,23
CPT,80299,HC ESCITALOPRAM - ESCITALOPRAM,111.84,65.99,13.47,100.66,23
CPT,80299,HC ESLICARBAZEPINE,111.84,65.99,13.47,100.66,23
CPT,80299,HC ETHAMBUTOL - ETHAMBUTOL,111.84,65.99,13.47,100.66,23
CPT,80299,HC ETHOTOIN - ETHOTOIN,111.84,65.99,13.47,100.66,23
CPT,80299,"HC FLUPHENAZINE, SERUM/PLASMA",111.84,65.99,13.47,100.66,23
CPT,80299,"HC FLUVOXAMINE, SER/PLASMA(LUVOX)",111.84,65.99,13.47,100.66,23
CPT,80299,HC KETOCONAZOLE LEVEL,111.84,65.99,13.47,100.66,23
CPT,80299,HC MEPIVACAINE - MEPIVACAINE,111.84,65.99,13.47,100.66,23
CPT,80299,HC MERCAPTOPURINE,111.84,65.99,13.47,100.66,23
CPT,80299,HC MEXILETINE LEVEL,111.84,65.99,13.47,100.66,23
CPT,80299,HC MICAFUNGIN,111.84,65.99,13.47,100.66,23
CPT,80299,HC MITOTANE - MITOTANE,111.84,65.99,13.47,100.66,23
CPT,80299,"HC PERAMPANEL, SERUM/PLASMA",111.84,65.99,13.47,100.66,23
CPT,80299,HC PERPHENAZINE  - PERPHENAZINE,111.84,65.99,13.47,100.66,23
CPT,80299,HC PREGABALIN,111.84,65.99,13.47,100.66,23
CPT,80299,HC PROPAFENONE,111.84,65.99,13.47,100.66,23
CPT,80299,HC PROPRANOLOL - PROPRANOLOL,111.84,65.99,13.47,100.66,23
CPT,80299,HC PYRAZINAMIDE - PYRAZINAMIDE,111.84,65.99,13.47,100.66,23
CPT,80299,HC QUANT THER DRUG NOT ELSEWHERE,111.84,65.99,13.47,100.66,23
CPT,80299,HC RIFABUTIN - RIFABUTIN,111.84,65.99,13.47,100.66,23
CPT,80299,HC RIFAMPIN,111.84,65.99,13.47,100.66,23
CPT,80299,HC RIVAROXABAN,111.84,65.99,13.47,100.66,23
CPT,80299,HC SERTRALINE (ZOLOFT),111.84,65.99,13.47,100.66,23
CPT,80299,HC SO BROMIDE,111.84,65.99,13.47,100.66,23
CPT,80299,HC SPIRONOLACTONE (ALDACTONE),111.84,65.99,13.47,100.66,23
CPT,80299,HC SULFAMETHOXAZOLE,111.84,65.99,13.47,100.66,23
CPT,80299,HC THIOTHIXENE - THIOTHIXENE,111.84,65.99,13.47,100.66,23
CPT,80299,HC TRAZODONE - TRAZODONE,111.84,65.99,13.47,100.66,23
CPT,80299,HC ZIPRASIDONE,111.84,65.99,13.47,100.66,23
CPT,80305,HC DRUG TEST PRESUMPTIVE DIRECT OPT OBS,75.6,44.6,9.11,68.04,23
CPT,80306,HC DRUG TEST PRESUMPTIVE INSTR ASST OBS,102.84,60.68,12.39,92.56,23
CPT,80307,HC DRUG TEST PRESUMPTIVE INSTRUMENTED,372.84,219.98,44.92,335.56,23
CPT,80428,HC GROWTH HORMONE STIMULATION PANEL,400.2,236.12,48.21,360.18,23
CPT,80430,HC GROWTH HORMONE SUPPRESSION PANEL,775.98,457.83,93.49,698.38,23
CPT,81000,HC GLOBAL MAPS URINE,13.05,7.7,1.57,11.75,23
CPT,81000,HC URINALYSIS NONAUTO W/MICRO,24.12,14.23,2.91,21.71,23
CPT,81001,HC URINALYSIS AUTO W/MICRO,19.02,11.22,2.29,17.12,23
CPT,81002,HC REDUCING SUBSTANCES URINE,20.88,12.32,2.52,18.79,23
CPT,81002,HC TRANSFUSION REACTION URINE,20.88,12.32,2.52,18.79,23
CPT,81002,HC URINALYSIS NONAUTO W/O MICRO,20.88,12.32,2.52,18.79,23
CPT,81002,HC URINALYSIS W/OUT MICRO,20.88,12.32,2.52,18.79,23
CPT,81003,HC MACROSCOPIC URINE,13.5,7.97,1.63,12.15,23
CPT,81003,HC URINALYSIS AUTO W/O MICRO,13.5,7.97,1.63,12.15,23
CPT,81005,HC GLOBAL MAPS URINE,8.94,5.27,1.08,8.05,23
CPT,81005,HC MELANIN,13.02,7.68,1.57,11.72,23
CPT,81005,HC URINALYSIS QL/SQ REDUCING SUBSTANCES,13.02,7.68,1.57,11.72,23
CPT,81015,HC URINE SEDIMENT (MICRO),31.0,18.29,3.73,27.9,23
CPT,81025,HC URINE PREGNANCY TEST,65.0,38.35,7.83,58.5,23
CPT,81025,HC URINE PREGNANCY VISUAL,65.0,38.35,7.83,58.5,23
CPT,81050,HC 24HR URINE COLLECTION,31.0,18.29,3.73,27.9,23
CPT,81050,HC URINE VOLUME MEASURE,31.0,18.29,3.73,27.9,23
CPT,81105,HC NAIT HPA-1 ITGB3 CD61 L33P,502.0,296.18,60.48,451.8,23
CPT,81106,HC NAIT HPA-2 GP1BA T1415M,502.0,296.18,60.48,451.8,23
CPT,81107,HC NAIT HPA-3 ITGA2B CD41 I843S,502.0,296.18,60.48,451.8,23
CPT,81108,HC NAIT HPA-4 ITGB3 CD61 R143Q,502.0,296.18,60.48,451.8,23
CPT,81109,HC NAIT HPA-5 ITGA2 CD498 K505E,502.0,296.18,60.48,451.8,23
CPT,81110,HC NAIT HPA-6 ITGB3 CD61 R489Q,502.0,296.18,60.48,451.8,23
CPT,81111,HC NAIT HPA-9 ITGA2B CD41 V837M,502.0,296.18,60.48,451.8,23
CPT,81112,HC NAIT HPA-15 CD109 S682Y,502.0,296.18,60.48,451.8,23
CPT,81120,HC IDH1 COMMON VARIANTS,1159.5,684.11,139.69,1043.55,23
CPT,81120,HC IDH1 COMMON VARIANTS 3PB (NEOGENOMICS),1159.5,684.11,139.69,1043.55,23
CPT,81121,HC IDH2 COMMON VARIANTS,1774.74,1047.1,213.81,1597.27,23
CPT,81121,HC IDH2 COMMON VARIANTS 3PB (NEOGENOMICS),1774.74,1047.1,213.81,1597.27,23
CPT,81161,HC DMD EVALUTAION (ATHENA #5530),1058.0,624.22,127.46,952.2,23
CPT,81161,HC DMD GENE DEL/DUP,1058.0,624.22,127.46,952.2,23
CPT,81161,HC ZZZCOMPLETE DMD EVAL-FEMALES #182 3PB,1058.0,624.22,127.46,952.2,23
CPT,81161,HC ZZZPARTIAL DMD DEL-DUP MALE #101,1058.0,624.22,127.46,952.2,23
CPT,81162,"HC BRCA PANEL (BCRA1, BCRA2) (QUEST #91863)",10949.28,6460.08,1319.12,9854.35,23
CPT,81162,HC BRCA PANEL PLUS (QUEST #92587),10949.28,6460.08,1319.12,9854.35,23
CPT,81162,HC BRCA1&2 GENE ANALYSIS FULL DUP/DEL,10949.28,6460.08,1319.12,9854.35,23
CPT,81162,HC BRCA1/BRCA2 FULL GENE ANLYS (MAYO HBOCZ),10949.28,6460.08,1319.12,9854.35,23
CPT,81163,HC BCRA1/2 RFLX BRCA1 BRCA2 GENE FULL SEQ,2808.0,1656.72,338.3,2527.2,23
CPT,81163,HC BRCA1 BRCA2 GENE FULL SEQ,2808.0,1656.72,338.3,2527.2,23
CPT,81163,HC CANCER NEXT BRCA1 BRCA2 GENE FULL SEQ,2808.0,1656.72,338.3,2527.2,23
CPT,81163,HC FOUND ACT BRCA1 BRCA2 GENE FULL SEQ,2808.0,1656.72,338.3,2527.2,23
CPT,81163,HC FOUND HEME BRCA1 BRCA2 GENE FULL SEQ,2808.0,1656.72,338.3,2527.2,23
CPT,81164,HC BCRA1/2 RFLX BRCA1 BRCA2 GENE DEL/DUP,3505.38,2068.17,422.31,3154.84,23
CPT,81164,HC BRCA1 BRCA2 GENE DEL/DUP,3505.38,2068.17,422.31,3154.84,23
CPT,81164,HC CANCER NEXT BRCA1 BRCA2 GENE DEL/DUP,3505.38,2068.17,422.31,3154.84,23
CPT,81164,HC FOUND ACT BRCA1 BRCA2 GENE DEL/DUP,3505.38,2068.17,422.31,3154.84,23
CPT,81164,HC FOUND HEME BRCA1 BRCA2 GENE DEL/DUP,3505.38,2068.17,422.31,3154.84,23
CPT,81165,HC BRCA1 FULL SEQ,1697.28,1001.4,204.48,1527.55,23
CPT,81166,HC BRCA1 DEL/DUP,1808.1,1066.78,217.83,1627.29,23
CPT,81167,HC BRCA2 DEL/DUP,1697.28,1001.4,204.48,1527.55,23
CPT,81168,HC CCND1/IGH TRANSLOCATION ALYS,1243.86,733.88,149.85,1119.47,23
CPT,81168,HC CCND1/IGH TRANSLOCATION ALYS (LAB2144),1243.86,733.88,149.85,1119.47,23
CPT,81170,HC ABL1 GENE,1800.0,1062.0,216.86,1620.0,23
CPT,81170,HC ABL1 GENE (ARUP# 2008420),1800.0,1062.0,216.86,1620.0,23
CPT,81175,HC ASXL1 GENE ANLYS FULL GENE SEQUENCE,4059.0,2394.81,489.01,3653.1,23
CPT,81178,HC ATXN1 GENE DETC ABNOR ALLELE,822.0,484.98,99.03,739.8,23
CPT,81179,HC ATXN2 GENE DETC ABNOR ALLELE,822.0,484.98,99.03,739.8,23
CPT,81180,HC ATXN3 GENE DETC ABNOR ALLELE,822.0,484.98,99.03,739.8,23
CPT,81181,HC ATXN7 GENE DETC ABNOR ALLELE,822.0,484.98,99.03,739.8,23
CPT,81182,HC ATXN8OS GEN DETC ABNOR ALLEL,822.0,484.98,99.03,739.8,23
CPT,81182,HC SCA8 (ATXN8OS) REPEAT EXPANSION (ATHENA #384),822.0,484.98,99.03,739.8,23
CPT,81183,HC ATXN10 GENE DETC ABNOR ALLEL,822.0,484.98,99.03,739.8,23
CPT,81183,HC SCA10 (ATXN10) REPEAT EXPANSION (ATHENA #384),822.0,484.98,99.03,739.8,23
CPT,81184,HC SCA6^ (CACNA1A) DNA TEST 3PB (ATHENA #373),822.0,484.98,99.03,739.8,23
CPT,81185,HC CACNA1A GENE ANALYSIS FULL GEN SEQ,3007.22,1774.26,362.3,2706.5,23
CPT,81187,HC MYOTONIC SYND ADV EVAL 3PB (ATHENA #5506),822.0,484.98,99.03,739.8,23
CPT,81189,HC CSTB GENE ANALYSIS FULL GENE SEQ,976.6,576.19,117.66,878.94,23
CPT,81191,HC NTRK1 TRANSLOCATION ANALYSIS,1243.86,733.88,149.85,1119.47,23
CPT,81192,HC NTRK2 TRANSLOCATION ANALYSIS,1243.86,733.88,149.85,1119.47,23
CPT,81193,HC NTRK3 TRANSLOCATION ANALYSIS,1243.86,733.88,149.85,1119.47,23
CPT,81194,HC NTRK TRANSLOCATION ANALYSIS,3109.68,1834.71,374.64,2798.71,23
CPT,81195,HC CYTOG GENOM-WID ALYS HEM MAL,7581.18,4472.9,913.35,6823.06,23
CPT,81200,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",283.5,167.27,34.15,255.15,23
CPT,81200,HC CANAVAN DISEASE MUTATION (QUEST #90905),283.5,167.27,34.15,255.15,23
CPT,81200,HC ZZZCANAVAN DISEASE,283.5,167.27,34.15,255.15,23
CPT,81201,"HC APC GENE ANALYSIS, FULL GENE SEQ",2651.22,1564.22,319.41,2386.1,23
CPT,81201,"HC ZZZAPC COMP, SEQUENCING & DEL/DUP",2651.22,1564.22,319.41,2386.1,23
CPT,81201,HC ZZZCANCERNEXT GENE PANEL 3PB,2651.22,1564.22,319.41,2386.1,23
CPT,81201,HC ZZZFAM ADENOMATOUS POLY APC,2651.22,1564.22,319.41,2386.1,23
CPT,81201,HC ZZZFOUNDATIONONE HEME,2651.22,1564.22,319.41,2386.1,23
CPT,81203,HC APC GENE ANALYSIS DUP/DEL VARIANTS,679.8,401.08,81.9,611.82,23
CPT,81203,"HC ZZZAPC COMP, SEQUENCING & DEL/DUP",679.8,401.08,81.9,611.82,23
CPT,81203,HC ZZZFAMILIAL POLYPOSIS DEL/DUP,679.8,401.08,81.9,611.82,23
CPT,81203,ZZZHC APC/MUTHY SEQ AND DEL/DUP 3PB (AMBRY #8726),679.8,401.08,81.9,611.82,23
CPT,81204,HC SPINOBULBAR MUSCU ATROPHY MOL ALYS (MAYO SBULB),822.0,484.98,99.03,739.8,23
CPT,81204,HC X-CHROMOSOME INACTIVATION (ARUP #2006352),822.0,484.98,99.03,739.8,23
CPT,81205,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",729.0,430.11,87.83,656.1,23
CPT,81205,HC COUNSYL REC GENE:FUNDAMENTAL PLUS (MED),86.29,50.91,10.4,77.66,23
CPT,81205,HC MAPLE SUGAR URINE DISEASE MUT (QUEST #90909),729.0,430.11,87.83,656.1,23
CPT,81205,HC MAPLE SYRUP DISEASE,729.0,430.11,87.83,656.1,23
CPT,81206,"HC BCR-ABL P210 AML PANEL, BM (YH LAB2103)",1687.0,995.33,203.24,1518.3,23
CPT,81206,HC BCR-ABL1 MAJOR (P210)  (PHENOPATH BCRABLMAJ,1687.0,995.33,203.24,1518.3,23
CPT,81206,"HC BCR-ABL1 P210 AML PANEL, BLOOD (YH LAB2104)",1687.0,995.33,203.24,1518.3,23
CPT,81206,HC BCR-ABL1 P210 QUANT (QUEST #91119),983.76,580.42,118.52,885.38,23
CPT,81206,HC BCR/ABL1 GENE MAJOR BP,1687.0,995.33,203.24,1518.3,23
CPT,81206,"HC BCR/ABL1 GENE MAJOR BP, BLOOD (YH LAB2660)",1687.0,995.33,203.24,1518.3,23
CPT,81206,"HC BCR/ABL1 GENE MAJOR BP, MARROW",1687.0,995.33,203.24,1518.3,23
CPT,81206,"HC BCR/ABL1 P210 , QUANTITATIVE, BONE MARROW",1687.0,995.33,203.24,1518.3,23
CPT,81206,"HC BCR/ABL1 P210, QUANTITATIVE, BLOOD (YH LAB3732)",1687.0,995.33,203.24,1518.3,23
CPT,81207,HC BCR-ABL1 MINOR (P190) (PHENOPATH BCRABLMIN),1490.0,879.1,179.51,1341.0,23
CPT,81207,"HC BCR/ABL T(9;22), BLOOD (YH LAB2102)",869.04,512.73,104.7,782.14,23
CPT,81207,"HC BCR/ABL T(9;22), BONE MARROW (YH LAB2101)",1490.0,879.1,179.51,1341.0,23
CPT,81207,HC BCR/ABL1 GENE MINOR BP,1490.0,879.1,179.51,1341.0,23
CPT,81207,"HC BCR/ABL1 GENE MINOR BP, BLOOD (YH LAB2660)",1490.0,879.1,179.51,1341.0,23
CPT,81207,"HC BCR/ABL1 GENE MINOR BP, MARROW",1490.0,879.1,179.51,1341.0,23
CPT,81207,"HC BCR/ABL1 P190 QUANT, BLOOD (QUEST #91118)",869.04,512.73,104.7,782.14,23
CPT,81207,"HC BCR/ABL1 P190 QUANTITATIVE, BLOOD",1490.0,879.1,179.51,1341.0,23
CPT,81207,"HC BCR/ABL1 P190, QUANTITATIVE, BONE MARROW",1490.0,879.1,179.51,1341.0,23
CPT,81208,HC B230G BCR ABL 230 QUANT,762.65,449.96,91.88,686.39,23
CPT,81208,HC BCR/ABL1 GENE OTHER BP,762.65,449.96,91.88,686.39,23
CPT,81208,"HC BCR/ABL1 GENE OTHER BP, BLOOD (YH LAB2660)",762.65,449.96,91.88,686.39,23
CPT,81208,"HC BCR/ABL1 GENE OTHER BP, MARROW",762.65,449.96,91.88,686.39,23
CPT,81209,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",235.86,139.16,28.42,212.27,23
CPT,81209,HC BLM GENE ANALYSIS 2281DEL6INS7 VARIANT,235.86,139.16,28.42,212.27,23
CPT,81209,HC BLOOM SYNDROME DNA MUTATION (QUEST #90872),235.86,139.16,28.42,212.27,23
CPT,81210,HC BRAF GENE ANALYSIS 600 VARIANTS,1129.0,666.11,136.02,1016.1,23
CPT,81210,HC BRAF MUT PAPILLARY THYROID CA (QUEST #90477),1052.4,620.92,126.79,947.16,23
CPT,81210,HC BRAF MUTATION ANALYSIS (QUEST #16767),1052.4,620.92,126.79,947.16,23
CPT,81210,HC BRAF MUTATION EXON 15 (YM 81210),1052.4,620.92,126.79,947.16,23
CPT,81210,HC BRAF V600E MUTATION DETECTION (ARUP #2007132),1129.0,666.11,136.02,1016.1,23
CPT,81216,HC BONE MARROW FAILURE PANEL,1110.72,655.32,133.81,999.65,23
CPT,81217,HC BRCA2 GENE KNOWN FAMIL (QUEST# 93945),2251.5,1328.39,271.25,2026.35,23
CPT,81217,HC BRCA2 GENE KNOWN FAMIL VRNT,2251.5,1328.39,271.25,2026.35,23
CPT,81218,HC CEBPA GENE FULL SEQUENCE,1669.15,984.8,201.09,1502.24,23
CPT,81218,HC CEBPA MUTATION DETECT 3PB (NEOGENOMICS #4025X),1669.15,984.8,201.09,1502.24,23
CPT,81218,HC CEBPA MUTATION DETECTION,1669.15,984.8,201.09,1502.24,23
CPT,81219,HC CALR EXON 9 MUTATION (LAB11698),877.61,517.79,105.73,789.85,23
CPT,81219,HC CALR MUT ANLYS (MPN) (MAYO CALR),877.61,517.79,105.73,789.85,23
CPT,81219,HC CALR MUTATION ANALYSIS (QUEST# 92472),877.61,517.79,105.73,789.85,23
CPT,81219,HC CALRETICULIN (CALR) MUTAT ANLYS (QUEST #92475),877.61,517.79,105.73,789.85,23
CPT,81219,HC CALRETICULIN MUTATION ANALYSIS,877.61,517.79,105.73,789.85,23
CPT,81220,HC CFNEO CYSTC FIBROSIS NEONATE (YH LAB2149),1977.88,1166.95,238.29,1780.09,23
CPT,81220,HC CYSTIC FIBROSIS 60 VAR-ADULT SCRN (YH LAB9415),1977.88,1166.95,238.29,1780.09,23
CPT,81220,HC CYSTIC FIBROSIS EXPANDED SCREEN (QUEST #92068),1977.88,1166.95,238.29,1780.09,23
CPT,81220,HC CYSTIC FIBROSIS SCREEN (QUEST#10458),1977.88,1166.95,238.29,1780.09,23
CPT,81220,"HC CYSTIC FIBROSIS, CFTR, VAR PNL (MAYO CFMP)",1977.88,1166.95,238.29,1780.09,23
CPT,81222,HC CFTR SEQ ANALYS RFLXDEL/DUP,1546.02,912.15,186.26,1391.42,23
CPT,81222,HC CHRONIC PANC SEQ W CNV 3PB (PREVENTION #10191),1546.02,912.15,186.26,1391.42,23
CPT,81222,"HC CYSTIC FIBROSIS, CFTR, VAR PNL (MAYO CFMP)",1546.02,912.15,186.26,1391.42,23
CPT,81222,HC ZZZCFTR SEQ-CTR FOR HUMAN GENETICS,1546.02,912.15,186.26,1391.42,23
CPT,81223,HC CFTR GENE SEQUENCE ANALYSIS,1773.2,1046.19,213.63,1595.88,23
CPT,81223,HC CHRONIC PANC SEQ W CNV 3PB (PREVENTION #10191),1733.2,1022.59,208.81,1559.88,23
CPT,81223,HC PANCREAS SEQ PNL W RFLX DEL/DUP (CCH #10499803),1773.2,1046.19,213.63,1595.88,23
CPT,81223,"HC ZZZCF, ENTIRE GENE SEQUENCE",1773.2,1046.19,213.63,1595.88,23
CPT,81223,HC ZZZPANCREATITIS PANEL PLUS (CFTR)  #8022,1773.2,1046.19,213.63,1595.88,23
CPT,81223,ZZZHC CFTR SEQ ANALYS RFLX DEL/DUP (AMBRY #1006),1773.2,1046.19,213.63,1595.88,23
CPT,81224,HC CFTR GENE SEQUENCE ANALYSIS,599.66,353.8,72.24,539.69,23
CPT,81224,HC CYSTIC FIBROSIS 5T MUTATION,599.66,353.8,72.24,539.69,23
CPT,81224,HC ZZZPANCRE PANEL + (CFTR DUP/DEL) #8022,599.66,353.8,72.24,539.69,23
CPT,81224,ZZZHC CFTR SEQ ANALYS RFLX DEL/DUP  (AMBRY #1006),599.66,353.8,72.24,539.69,23
CPT,81225,HC ACTX PHARMACOGENOMICS FOR CARDIOLOGY,1748.16,1031.41,210.61,1573.34,23
CPT,81225,HC CLOPIDOGREL CYP2C19 GENOTYPE (QUEST #16924),1748.16,1031.41,210.61,1573.34,23
CPT,81225,HC CYP2C19 GENE ANALYSIS COMMON VARIANTS,1748.16,1031.41,210.61,1573.34,23
CPT,81226,HC CYP2D6 409 GENE,3406.0,2009.54,410.34,3065.4,23
CPT,81226,HC CYTOCHROME P450 2D6 GENOTYPE (QUEST #10490),3406.0,2009.54,410.34,3065.4,23
CPT,81227,HC CYP2CP GENE,597.0,352.23,71.92,537.3,23
CPT,81227,HC CYTOCHROME P450 2C9 (QUEST#11294),597.0,352.23,71.92,537.3,23
CPT,81228,HC AUTISM SPECTRUM DISORDERS 1PNL,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC BREAST NEXT #8820,1950.0,1150.5,234.93,1755.0,23
CPT,81228,HC CGH MICROARRAY ANALYSIS FOR MOLAR PREG,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC CHM GENE DELETION/DUPLICATION,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC DES MUTATION ANALY FAM,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC EPILEPSY AND SEIZURE PANEL EMORY,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC FAMILIAL MUTATION TARGETED DEL/DUP,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC IVD GENE DEL/DUP,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC MICROARRAY ANALYSIS,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC MITOMET PLUS ACGH #2000,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC OPTIC ATROPHY SEQ AND DEL/DUP PANEL,2931.0,1729.29,353.11,2637.9,23
CPT,81228,HC ZKFM: TARGETED DELETION/DUPLICATION,2931.0,1729.29,353.11,2637.9,23
CPT,81229,HC ANLYSIS CYTOGENOMIC MICROARRAY,4650.0,2743.5,560.21,4185.0,23
CPT,81229,HC CHOMOSOMAL MICROARRAY (QUEST #16478),4650.0,2743.5,560.21,4185.0,23
CPT,81229,HC GENOMIC ALTERATIONS POSTNATAL OLIGIO,4650.0,2743.5,560.21,4185.0,23
CPT,81230,HC CYP3A4 GENE ANALYSIS COMMON VARIANTS,1048.86,618.83,126.36,943.97,23
CPT,81231,HC CYP3A5 GENE ANALYSIS COMMON VARIANTS,1048.86,618.83,126.36,943.97,23
CPT,81232,HC DPYD FULL GENE SEQ VARIANTS (MAYO DPYDZ),1048.86,618.83,126.36,943.97,23
CPT,81232,HC DPYD GENE ANALYSIS (ARUP# 2012166),1048.86,618.83,126.36,943.97,23
CPT,81232,"HC DPYDQ GENOTYPE, VARIES (MAYO DPYDQ)",1048.86,618.83,126.36,943.97,23
CPT,81233,HC BTK INHIB ACQ RESIST PNL 3PB NEOGENOMICS 100368,1052.4,620.92,126.79,947.16,23
CPT,81234,HC DMPK DNA TEST (DM1),822.0,484.98,99.03,739.8,23
CPT,81234,HC DMPK DNA TEST (DM1) (QUEST #36164 / MAYO FDM1)),822.0,484.98,99.03,739.8,23
CPT,81234,HC MYOTONIC SYND ADV EVAL 3PB (ATHENA #5506),822.0,484.98,99.03,739.8,23
CPT,81235,HC EGFR,1947.48,1149.01,234.62,1752.73,23
CPT,81235,HC EGFR (PCR),1947.48,1149.01,234.62,1752.73,23
CPT,81235,HC EPIDERMAL GROWTH FACT RECEPTOR,1947.48,1149.01,234.62,1752.73,23
CPT,81235,HC ZZZ FOUNDATIONACT,348.75,205.76,42.02,313.88,23
CPT,81235,HC ZZZFOUNDATIONONE HEME,348.75,205.76,42.02,313.88,23
CPT,81240,HC PROTHROMBIN (FACTOR II) 20210G-A (QUEST #17909),394.14,232.54,47.48,354.73,23
CPT,81240,"HC PROTHROMBIN G20210A MUTATION, BLOOD (MAYO PTNT)",394.14,232.54,47.48,354.73,23
CPT,81240,HC PROTHROMBIN GENE ANALYSIS (YH LAB834),394.14,232.54,47.48,354.73,23
CPT,81240,HC PTF 2 PROTHROMBIN 20210NE,394.14,232.54,47.48,354.73,23
CPT,81241,HC FVLEI FACTOR V LEIDEN NEW (YH LAB346),440.22,259.73,53.04,396.2,23
CPT,81242,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",219.72,129.63,26.47,197.75,23
CPT,81242,HC FANCONI ANEMIA DNA MUTATION,219.72,129.63,26.47,197.75,23
CPT,81242,HC ZZZFOUNDATIONONE HEME,219.72,129.63,26.47,197.75,23
CPT,81243,"HC FRAGILE X DNA, BLOOD (QUEST #16313)",342.24,201.92,41.23,308.02,23
CPT,81243,"HC FRAGILE X MOLECULAR ALYS, VAR (MAYO FXS)",342.24,201.92,41.23,308.02,23
CPT,81244,HC FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES,269.34,158.91,32.45,242.41,23
CPT,81244,"HC FRAGILE X, FOLLOW UP ANALYSIS (MAYO FUFXS)",269.34,158.91,32.45,242.41,23
CPT,81245,HC FLT3 409 GENE,588.14,347.0,70.86,529.33,23
CPT,81245,"HC FLT3 FLT 3-IDT D 835, BLOOD",588.14,347.0,70.86,529.33,23
CPT,81245,"HC FLT3 FLT3-IDT D 835, BONE MARROW",588.14,347.0,70.86,529.33,23
CPT,81245,HC ZZZ FOUNDATIONACT,336.0,198.24,40.48,302.4,23
CPT,81245,HC ZZZFOUNDATIONONE HEME,336.0,198.24,40.48,302.4,23
CPT,81246,HC FLT3 GENE ANALYSIS TKD VARIANTS,498.0,293.82,60.0,448.2,23
CPT,81246,"HC FLT3-IDT/FLT3-D835, BLOOD (YH LAB2174)",498.0,293.82,60.0,448.2,23
CPT,81246,"HC FLT3-IDT/FLT3-D835, BONE MARROW (YH LAB2173)",498.0,293.82,60.0,448.2,23
CPT,81247,HC G6PDG GENE ANALYSIS COMMON VAR,1048.86,618.83,126.36,943.97,23
CPT,81249,HC G6PDG GENE ANALYSIS FULL GENE SEQ,3600.0,2124.0,433.71,3240.0,23
CPT,81250,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",389.0,229.51,46.87,350.1,23
CPT,81250,HC COUNSYL REC GENE:FUNDAMENTAL PLUS (MED),86.29,50.91,10.4,77.66,23
CPT,81250,HC GLYCOGEN STORAGE DISEASE,389.0,229.51,46.87,350.1,23
CPT,81250,HC GLYCOGEN STORAGE DISEASE (QUEST #90915),389.0,229.51,46.87,350.1,23
CPT,81250,HC GSD COMPREHENSIVE PANEL1,389.0,229.51,46.87,350.1,23
CPT,81250,HC NH 106 G S D- TYPE 1A (G6PC),188.88,111.44,22.76,169.99,23
CPT,81250,HC NH 137 G S DE- TYPE 1A (G6PC),188.88,111.44,22.76,169.99,23
CPT,81250,HC NH 27 G S D- TYPE 1A (G6PC),188.88,111.44,22.76,169.99,23
CPT,81250,HC NH 274 GS DE- TYPE 1A (G6PC),188.88,111.44,22.76,169.99,23
CPT,81251,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",878.0,518.02,105.78,790.2,23
CPT,81251,HC COUNSYL REC GENE:FUNDAMENTAL PLUS (MED),86.29,50.91,10.4,77.66,23
CPT,81251,HC GAUCHER DISEASE,878.0,518.02,105.78,790.2,23
CPT,81251,HC GAUCHER DISEASE (QUEST #90907),878.0,518.02,105.78,790.2,23
CPT,81251,HC NH 106 GAUCHER DISEASE (GBA),426.09,251.39,51.33,383.48,23
CPT,81251,HC NH 137 GAUCHER DISEASE (GBA),426.09,251.39,51.33,383.48,23
CPT,81251,HC NH 27 GAUCHER DISEASE (GBA),426.09,251.39,51.33,383.48,23
CPT,81251,HC NH 274 GAUCHER DISEASE (GBA),426.09,251.39,51.33,383.48,23
CPT,81252,HC CONNEXIN 26 GJB2 (QUEST #92435),1556.0,918.04,187.46,1400.4,23
CPT,81252,HC CONNEXIN GJB2,1556.0,918.04,187.46,1400.4,23
CPT,81252,HC GJB2/GJB6 (CONNEXIN 26/30),1556.0,918.04,187.46,1400.4,23
CPT,81252,HC NH 106 GJB2-NONSYNDROMIC HEARING LOSS,755.34,445.65,91.0,679.81,23
CPT,81252,HC NH 137 GJB2-NONSYNDROMIC HEARING LOSS,755.34,445.65,91.0,679.81,23
CPT,81252,HC NH 274 GJB2 NONSYNDROMIC HEARING LOSS,755.34,445.65,91.0,679.81,23
CPT,81252,HC OTOGENOME TEST (70 GENES),1556.0,918.04,187.46,1400.4,23
CPT,81252,HC OTOSCOPE PANEL,1556.0,918.04,187.46,1400.4,23
CPT,81253,HC CONNEXIN 26 GJB2 KNOWN FV,560.0,330.4,67.47,504.0,23
CPT,81253,HC CONNEXIN 26GJB2KFM,560.0,330.4,67.47,504.0,23
CPT,81253,HC GJB2/GJB6 FAMILIAL GENE,560.0,330.4,67.47,504.0,23
CPT,81254,HC GJB2/GJB6 (CONNEXIN 26/30),153.0,90.27,18.43,137.7,23
CPT,81254,HC OTOSCOPE PANEL,153.0,90.27,18.43,137.7,23
CPT,81255,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",1048.0,618.32,126.26,943.2,23
CPT,81255,HC COUNSYL REC GENE:FUNDAMENTAL PLUS (MED),86.29,50.91,10.4,77.66,23
CPT,81255,HC COUNSYL REC GENE:YALE ACOG+ALPHA+BETA (SMALL),89.57,52.85,10.79,80.61,23
CPT,81255,HC NH 106 TAY-SACHS ENZYME (HEXA),559.95,330.37,67.46,503.96,23
CPT,81255,HC NH 137 TAY-SACHS ENZYME (HEXA),559.95,330.37,67.46,503.96,23
CPT,81255,HC NH 27 TAY-SACHS ENZYME (HEXA),559.95,330.37,67.46,503.96,23
CPT,81255,HC NH 274 TAY-SACHS ENZYME (HEXA),559.95,330.37,67.46,503.96,23
CPT,81255,HC TAY-SACHS DNA,1048.0,618.32,126.26,943.2,23
CPT,81255,HC TAY-SACHS DNA MUTATION (QUEST #90903),1048.0,618.32,126.26,943.2,23
CPT,81256,HC HEMOCHROMATOSIS PANEL,672.0,396.48,80.96,604.8,23
CPT,81256,HC HEREDITARY HEMOCHROMATOSIS DNA MUT ANALYSIS,672.0,396.48,80.96,604.8,23
CPT,81257,HC ALPHA GLOBIN COMMON MUT ANALYSIS (QUEST #11175),687.0,405.33,82.77,618.3,23
CPT,81257,HC NH 106 ALPHA THALASSEMIA,333.51,196.77,40.18,300.16,23
CPT,81257,HC NH 137 ALPHA THALASSEMIA,333.51,196.77,40.18,300.16,23
CPT,81257,HC NH 27 ALPHA THALASSEMIA,333.51,196.77,40.18,300.16,23
CPT,81257,HC NH 274 ALPHA THALASSEMIA,333.51,196.77,40.18,300.16,23
CPT,81257,HC SO ALHPA THAL HGA1 HBA2,687.0,405.33,82.77,618.3,23
CPT,81259,HC ALPHA-GLOBIN SEQUENCING (MAYO WASQR),2132.0,1257.88,256.85,1918.8,23
CPT,81259,HC ALPHA-GLOBIN SEQUENCING (QUEST #16116),2132.1,1257.94,256.87,1918.89,23
CPT,81260,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",389.0,229.51,46.87,350.1,23
CPT,81260,HC COUNSYL REC GENE:FUNDAMENTAL PLUS (MED),86.29,50.91,10.4,77.66,23
CPT,81260,HC FAMILIAL DYSAUTOMIA,389.0,229.51,46.87,350.1,23
CPT,81260,HC FAMILIAL DYSAUTONOMIA MUTATION,389.0,229.51,46.87,350.1,23
CPT,81260,HC NH 106 FAMILIAL DYSAUTOMONIA (IKBKAP),188.88,111.44,22.76,169.99,23
CPT,81260,HC NH 137 FAMILIAL DYSAUTOMONIA (IKBKAP),188.88,111.44,22.76,169.99,23
CPT,81260,HC NH 27 FAMILIAL DYSAUTOMONIA,188.88,111.44,22.76,169.99,23
CPT,81260,HC NH 274 FAMILIAL DYSAUTOMONIA (IKBKAP),188.88,111.44,22.76,169.99,23
CPT,81261,HC B-CELL REARRANGEMENT PCR CELL BASED,952.0,561.68,114.69,856.8,23
CPT,81261,HC BCR B CELL GENE REARRA NE,952.0,561.68,114.69,856.8,23
CPT,81261,HC GENE REARRANGEMENT (PCR),952.0,561.68,114.69,856.8,23
CPT,81261,HC IGH GENE REARRANGE/CLONALITY (YM 81261),952.0,561.68,114.69,856.8,23
CPT,81261,HC ZZZFOUNDATIONONE HEME,444.36,262.17,53.53,399.92,23
CPT,81263,HC CLL PROGNOSTIC PANEL (QUEST #17239),1794.12,1058.53,216.15,1614.71,23
CPT,81263,HC IGHV MUTATION ANALYSIS (MAYO BCLL),1794.12,1058.53,216.15,1614.71,23
CPT,81263,HC IGVHM IGVH MUT ANAL SEQ,1794.12,1058.53,216.15,1614.71,23
CPT,81263,HC ZZZIGHV MUTATION ANALYSIS BY SEQUENCING,1794.12,1058.53,216.15,1614.71,23
CPT,81264,HC IGK REARRANGEABN CLONAL POP,1036.38,611.46,124.86,932.74,23
CPT,81264,HC ZZZFOUNDATIONONE HEME,335.94,198.2,40.47,302.35,23
CPT,81265,HC ANALYSIS STR MARKER,2212.0,1305.08,266.49,1990.8,23
CPT,81265,HC ANALYSIS STR MARKER (YH LAB2163),2212.0,1305.08,266.49,1990.8,23
CPT,81265,HC L1CAM GENE SEQUENCING,2212.0,1305.08,266.49,1990.8,23
CPT,81265,"HC MATERNAL CELL CONTAM, FETAL (ARUP #0051596)",2212.0,1305.08,266.49,1990.8,23
CPT,81265,"HC MATERNAL CELL CONTAMINATION, BLD (MAYO MATCC)",2212.0,1305.08,266.49,1990.8,23
CPT,81265,HC MOLAR PREGNANCY (YM 81265),2212.0,1305.08,266.49,1990.8,23
CPT,81266,HC ANALYSIS GENE STR MARKERS EA ADDL,921.22,543.52,110.98,829.1,23
CPT,81267,"HC ENGRAFT/CHIMERISM POST SORT CELLS BY PCR, BLOOD",1957.0,1154.63,235.77,1761.3,23
CPT,81267,"HC ENGRAFT/CHIMERISM POST, BLOOD",1957.0,1154.63,235.77,1761.3,23
CPT,81267,"HC ENGRAFT/CHIMERISM POST, BONE MARROW",1957.0,1154.63,235.77,1761.3,23
CPT,81268,"HC ENGRAFTMENT POST, SORTED",1955.93,1154.0,235.64,1760.34,23
CPT,81268,HC PR CHIMERISM CELL SELECTION EA,1955.93,1154.0,235.64,1760.34,23
CPT,81269,HC ALPHA GLOBIN GENE DEL/DUP (QUEST #16124),1214.4,716.5,146.31,1092.96,23
CPT,81269,HC ALPHA GLOBIN HBA1+HBA2 DEL/DUP (ARUP #2011622),1214.4,716.5,146.31,1092.96,23
CPT,81269,HC ALPHA GLOBIN LOCUS DEL/DUP (MAYO AGDD),1214.4,716.5,146.31,1092.96,23
CPT,81269,HC ALPHA-GLOBIN GENE ANALYSIS (MAYO ATHAL),1214.4,716.5,146.31,1092.96,23
CPT,81270,HC JAK 2 MUT(V617F) QUANT (QUEST# 92472),549.96,324.48,66.26,494.96,23
CPT,81270,"HC JAK2 GENE V617F MUT, QUANT (YH LAB8667)",549.96,324.48,66.26,494.96,23
CPT,81270,HC JAK2 RT PCR_PCR0010 (PHENOPATH #92473P),549.96,324.48,66.26,494.96,23
CPT,81270,HC JAK2 V617F BY DDPCR (ARUP 3004046),549.96,324.48,66.26,494.96,23
CPT,81270,HC JAK2 V617F MUT QL RFL EXON 12&13 (QUEST #92473),549.96,324.48,66.26,494.96,23
CPT,81270,HC JAK2 V617F MUTATION (LAB11698),549.96,324.48,66.26,494.96,23
CPT,81270,HC JAK2 V617F MUTATION ANALYSIS (ARUP# 3003751),549.96,324.48,66.26,494.96,23
CPT,81270,HC ZZZ FOUNDATIONACT,218.43,128.87,26.32,196.59,23
CPT,81270,HC ZZZFOUNDATIONONE HEME,218.43,128.87,26.32,196.59,23
CPT,81270,"HC ZZZJAK2 GENE 4617F MUT, QUANT",943.0,556.37,113.61,848.7,23
CPT,81270,HC ZZZJAK2 JAK2 MUTATION NEW,549.96,324.48,66.26,494.96,23
CPT,81271,HC HUNTINGTON DISEASE MUT ANLYS (QUEST #10247),822.0,484.98,99.03,739.8,23
CPT,81272,HC C-KIT MUT ANLYS CELL-BASED (QUEST #19961),1977.06,1166.47,238.19,1779.35,23
CPT,81272,HC KIT MUTATION ANALYSIS,1977.06,1166.47,238.19,1779.35,23
CPT,81272,HC KIT MUTATION ANLYS 3PB (NEOGENOMICS #4026X),1977.06,1166.47,238.19,1779.35,23
CPT,81273,HC KIT (D816V) MUTATION BY PCR,749.22,442.04,90.26,674.3,23
CPT,81273,HC KIT (D816V) MUTATION BY PCR (ARUP #3002956),749.22,442.04,90.26,674.3,23
CPT,81273,HC KIT (D816V) MUTATION BY PCR (QUEST #91772),749.22,442.04,90.26,674.3,23
CPT,81274,HC HTT CAG RPT EXP 3PB (PREVENTION #2299),1648.98,972.9,198.66,1484.08,23
CPT,81275,HC AMGP KRAS,1489.0,878.51,179.39,1340.1,23
CPT,81275,HC KI-RAS (PCR),1489.0,878.51,179.39,1340.1,23
CPT,81275,HC KRAS 50 GENE,1489.0,878.51,179.39,1340.1,23
CPT,81275,HC KRAS CODON 12-13,1489.0,878.51,179.39,1340.1,23
CPT,81275,HC KRAS GENE,1489.0,878.51,179.39,1340.1,23
CPT,81275,HC KRAS GENE MUTATION EXON 2 (YM 81275),1489.0,878.51,179.39,1340.1,23
CPT,81275,HC ZZZ FOUNDATIONACT,625.86,369.26,75.4,563.27,23
CPT,81275,HC ZZZFOUNDATIONONE HEME,625.86,369.26,75.4,563.27,23
CPT,81276,HC KRAS CODON 61,1489.0,878.51,179.39,1340.1,23
CPT,81277,HC CYTOGENOMIC NEO MICRORA ALYS,8700.0,5133.0,1048.14,7830.0,23
CPT,81278,HC IGH@BCL2 TRANSLOCATION ALYS,1243.86,733.88,149.85,1119.47,23
CPT,81279,HC JAK2 EXON 12/13 MUTATION (LAB11698),1111.2,655.61,133.87,1000.08,23
CPT,81279,HC JAK2 GENE TRGT SEQUENCE ALYS,1111.2,655.61,133.87,1000.08,23
CPT,81279,HC JAK2 MUTATION ANALYSIS (QUEST #92472),1111.2,655.61,133.87,1000.08,23
CPT,81284,HC FXN GENE EVAL DETECT ABNL ALLELES,1027.5,606.23,123.79,924.75,23
CPT,81286,HC FXN GENE ANALYSIS FULL GENE SEQUENCE,2061.23,1216.13,248.33,1855.11,23
CPT,81287,HC MGMT DNA METHYLATION (YM 81287),628.0,370.52,75.66,565.2,23
CPT,81287,HC MGMT METHYLATION ANALYSIS,628.0,370.52,75.66,565.2,23
CPT,81288,HC MLH1 GENE ANALYSIS,1206.0,711.54,145.29,1085.4,23
CPT,81288,HC MLH1 METHYLATION (YM 81288),1206.0,711.54,145.29,1085.4,23
CPT,81290,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",392.0,231.28,47.23,352.8,23
CPT,81290,HC COUNSYL REC GENE:FUNDAMENTAL PLUS (MED),86.29,50.91,10.4,77.66,23
CPT,81290,HC MUCOLIPIDOSIS TYPE 4 (QUEST #90899),392.0,231.28,47.23,352.8,23
CPT,81290,HC NH 106 MUCOLIPIDOSIS TYPE IV (MCOLN1),190.38,112.32,22.94,171.34,23
CPT,81290,HC NH 137 MUCOLIPIDOSIS TYPE IV (MCOLN1),190.38,112.32,22.94,171.34,23
CPT,81290,HC NH 27 MUCOLIPIDOSIS TYPE IV (MCOLN1),190.38,112.32,22.94,171.34,23
CPT,81290,HC NH 274 MUCOLIPIDOSIS TYPE IV (MCOLN1),190.38,112.32,22.94,171.34,23
CPT,81291,"HC 5,10 METHYLENETETRAHYDROFOLATE REDUCTASE",449.0,264.91,54.09,404.1,23
CPT,81291,HC MTHFR METHYLENE T REPU NE,449.0,264.91,54.09,404.1,23
CPT,81291,"HC MTHFR, DNA MUTATION ANALYSIS (QUEST #17911)",449.0,264.91,54.09,404.1,23
CPT,81291,HC NH 106 HOMOSYSTINUR DUE TO DEF MTHFR,178.65,105.4,21.52,160.79,23
CPT,81291,HC NH 274 HOMOSYSTINUR DUE TO DEF MTHFR,178.65,105.4,21.52,160.79,23
CPT,81292,HC ANALYSIS GENE MLH1 FULL SEQUENCE,4873.0,2875.07,587.08,4385.7,23
CPT,81292,HC CANCERNEXT GENE PANEL 3PB,1770.7,1044.71,213.33,1593.63,23
CPT,81292,HC COLORECATAL CANCER PNL 3,4873.0,2875.07,587.08,4385.7,23
CPT,81292,HC LYNCH SYNDROME PANEL (QUEST #91461,4052.4,2390.92,488.22,3647.16,23
CPT,81292,HC ZZZFOUNDATIONONE HEME,1938.72,1143.84,233.57,1744.85,23
CPT,81293,HC MLH1 50 GENE,1954.0,1152.86,235.41,1758.6,23
CPT,81294,HC CANCERNEXT GENE PANEL 3PB,597.0,352.23,71.92,537.3,23
CPT,81294,HC LYNCH SYNDROME PANEL (QUEST #91461),1214.4,716.5,146.31,1092.96,23
CPT,81295,HC CANCERNEXT GENE PANEL 3PB,2193.0,1293.87,264.2,1973.7,23
CPT,81295,HC COLORECATAL CANCER PNL 5,2158.0,1273.22,259.99,1942.2,23
CPT,81295,HC LYNCH SYNDROME PANEL (QUEST #91461,2290.2,1351.22,275.91,2061.18,23
CPT,81295,HC ZZZFOUNDATIONONE HEME,2361.66,1393.38,284.52,2125.49,23
CPT,81297,HC CANCERNEXT GENE PANEL 3PB,550.24,324.64,66.29,495.22,23
CPT,81297,HC LYNCH SYNDROME PANEL (QUEST #91461),1279.8,755.08,154.18,1151.82,23
CPT,81298,HC CANCERNEXT GENE PANEL 3PB,1123.0,662.57,135.29,1010.7,23
CPT,81298,HC COLORECATAL CANCER PNL 7,2171.0,1280.89,261.55,1953.9,23
CPT,81298,HC LYNCH SYNDROME PANEL (QUEST #91461,3851.1,2272.15,463.96,3465.99,23
CPT,81298,HC ZZZFOUNDATIONONE HEME,863.49,509.46,104.03,777.14,23
CPT,81300,HC CANCERNEXT GENE PANEL 3PB,514.0,303.26,61.92,462.6,23
CPT,81300,HC LYNCH SYNDROME PANEL (QUEST #91461),1428.0,842.52,172.04,1285.2,23
CPT,81301,HC MICROSATELLITE INSTABILITY (MSI),549.0,323.91,66.14,494.1,23
CPT,81301,HC MICROSATELLITE INSTABILITY (YM 81301),549.0,323.91,66.14,494.1,23
CPT,81302,"HC MECP2 FULL GENE ALYS, VARIES (MAYO MCP2Z)",1709.0,1008.31,205.89,1538.1,23
CPT,81302,HC MECP2 RETT SYNDROME,1709.0,1008.31,205.89,1538.1,23
CPT,81302,HC RETT SYNDROME MUTATION,1709.0,1008.31,205.89,1538.1,23
CPT,81304,HC MECP2 DELETION/DUPLICATION ANALYSIS,376.0,221.84,45.3,338.4,23
CPT,81304,HC MECP2 RETT SYN DEL ANALY,376.0,221.84,45.3,338.4,23
CPT,81305,HC MYD88 ANALYSIS (MAYO MYD88),1315.5,776.15,158.49,1183.95,23
CPT,81305,HC MYD88 GENE P LEU265PRO VRNT,1315.5,776.15,158.49,1183.95,23
CPT,81305,HC MYD88 MUT ANLYS BM 3PB (NEOGENOMICS #4065X),1315.5,776.15,158.49,1183.95,23
CPT,81305,HC MYD88 MUTATION ANLYS BLOOD/BM (QUEST #91771),1315.5,776.15,158.49,1183.95,23
CPT,81306,HC NUDT15 GENE ANALYSIS (ARUP#3001535),1748.16,1031.41,210.61,1573.34,23
CPT,81306,HC NUDT15 GENE COMMON VARIANTS,1748.16,1031.41,210.61,1573.34,23
CPT,81307,HC BRCA PANEL PLUS (QUEST #92587),2121.6,1251.74,255.6,1909.44,23
CPT,81308,HC PALB2 GENE KNOWN FAMIL VRNT,2260.13,1333.48,272.29,2034.12,23
CPT,81309,HC PIK3CA GENE TRGT SEQ ALYS,2061.23,1216.13,248.33,1855.11,23
CPT,81310,HC AMGP NPM1,1188.0,700.92,143.13,1069.2,23
CPT,81310,HC AML BY NGS NPM1,1188.0,700.92,143.13,1069.2,23
CPT,81310,HC MYELOID MOLECULAR PROFILE 2,1188.0,700.92,143.13,1069.2,23
CPT,81310,HC NPM1 409 GENE,1188.0,700.92,143.13,1069.2,23
CPT,81310,HC NPM1 50 GENE,1188.0,700.92,143.13,1069.2,23
CPT,81310,HC NPM1 MUTATION BY PCR,1188.0,700.92,143.13,1069.2,23
CPT,81310,HC NPM1 MUTATION DETECTION (LAB 4226),1188.0,700.92,143.13,1069.2,23
CPT,81310,HC ZZZ FOUNDATIONACT,176.52,104.15,21.27,158.87,23
CPT,81310,HC ZZZFOUNDATIONONE HEME,176.52,104.15,21.27,158.87,23
CPT,81311,HC NRAS A,2234.0,1318.06,269.14,2010.6,23
CPT,81312,HC PABPN1 GENE DETC ABNOR ALLEL,822.0,484.98,99.03,739.8,23
CPT,81312,HC PABPN1 GENE OPMD TEST (ATHENA #300),822.0,484.98,99.03,739.8,23
CPT,81313,HC PCA3- PROSTATE CANCER BIOMARKER,1966.0,1159.94,236.86,1769.4,23
CPT,81314,HC PDGFRA MUTATION ANALYSIS,2489.0,1468.51,299.86,2240.1,23
CPT,81315,"HC PML-RARA T(15,17) AML PANEL, BM (YH LAB2103)",1290.0,761.1,155.41,1161.0,23
CPT,81315,"HC PML-RARA T(15,17), QUANT, BLOOD",1290.0,761.1,155.41,1161.0,23
CPT,81315,"HC PML-RARA T(15;17) AML PANEL, BLOOD (YH LAB2104)",1290.0,761.1,155.41,1161.0,23
CPT,81315,"HC PML-RARA, T(15,17) SCREEN, BLOOD",1290.0,761.1,155.41,1161.0,23
CPT,81315,"HC PML-RARA, T(15,17) SCREEN, BONE MARROW",1290.0,761.1,155.41,1161.0,23
CPT,81315,"HC PML-RARA, T(5,17), QUANT, BONE MARROW",1290.0,761.1,155.41,1161.0,23
CPT,81315,HC PML/RARALPHA COM BREAKPOINTS,1290.0,761.1,155.41,1161.0,23
CPT,81315,HC ZZZFOUNDATIONONE HEME,118.44,69.88,14.27,106.6,23
CPT,81317,HC CANCERNEXT GENE PANEL 3PB,2396.0,1413.64,288.66,2156.4,23
CPT,81317,HC COLORECATAL CANCER PNL 8,5892.0,3476.28,709.84,5302.8,23
CPT,81317,HC LYNCH SYNDROME PANEL (QUEST #91461,4059.1,2394.87,489.02,3653.19,23
CPT,81319,HC CANCERNEXT GENE PANEL 3PB,1672.0,986.48,201.44,1504.8,23
CPT,81319,HC LYNCH SYNDROME PANEL (QUEST #91461),1221.0,720.39,147.1,1098.9,23
CPT,81319,HC PMS2 GENE DUP/DEL VARIANTS,1221.0,720.39,147.1,1098.9,23
CPT,81320,HC BTK INHIB ACQ RESIST PNL 3PB NEOGENOMICS 100368,1748.16,1031.41,210.61,1573.34,23
CPT,81321,HC BRCA PANEL PLUS (QUEST #92587),4530.0,2672.7,545.76,4077.0,23
CPT,81321,HC BRCA PLUS,1645.92,971.09,198.29,1481.33,23
CPT,81321,HC PTEN 409 GENE,4530.0,2672.7,545.76,4077.0,23
CPT,81321,HC ZZZ FOUNDATIONACT,1802.1,1063.24,217.11,1621.89,23
CPT,81321,HC ZZZFOUNDATIONONE HEME,1802.1,1063.24,217.11,1621.89,23
CPT,81322,HC PTEN 50 GENE,440.0,259.6,53.01,396.0,23
CPT,81323,HC BRCA PANEL PLUS (QUEST #92587),661.0,389.99,79.63,594.9,23
CPT,81323,HC BRCA PLUS,661.0,389.99,79.63,594.9,23
CPT,81323,HC BREAST NEXT #8820,1950.0,1150.5,234.93,1755.0,23
CPT,81324,HC COMPLETE HNPP EVAL 3PB (ATHENA # 243),4760.0,2808.4,573.46,4284.0,23
CPT,81324,HC DOMINANT CMT PMP22 FULL,4760.0,2808.4,573.46,4284.0,23
CPT,81324,HC HEREDITARY NEURO PNL 1,4760.0,2808.4,573.46,4284.0,23
CPT,81324,HC PMP22 DUP/DEL DNA,4760.0,2808.4,573.46,4284.0,23
CPT,81325,HC COMPLETE HNPP EVAL 3PB (ATHENA # 243),2734.7,1613.47,329.46,2461.23,23
CPT,81325,HC PMP22 DNA SEQUENCING TEST 3PB (ATHENA #247),2734.7,1613.47,329.46,2461.23,23
CPT,81325,HC ZZZZHEREDITARY NEURO PNL 2,732.0,431.88,88.19,658.8,23
CPT,81327,HC METHYLATED SEPTIN 9,628.0,370.52,75.66,565.2,23
CPT,81329,HC SMA CARRIER SCREEN DEL/DUP (MAYO SMNCS),1027.5,606.23,123.79,924.75,23
CPT,81329,HC SMA CARRIER TEST (QUEST #39445),1027.5,606.23,123.79,924.75,23
CPT,81329,HC SMA DIAGNOSTIC DEL/DUP (MAYO SMNDX),1027.5,606.23,123.79,924.75,23
CPT,81329,HC SMA DIAGNOSTIC TEST (QUEST #16869),1027.5,606.23,123.79,924.75,23
CPT,81329,HC SMA PLUS 3PB (ATHENA #214),1027.5,606.23,123.79,924.75,23
CPT,81329,HC SMN1 GENE DOS/DELETION ALYS,1027.5,606.23,123.79,924.75,23
CPT,81330,HC ANALYSIS GENE SMPD1 COMMON VAR,563.0,332.17,67.83,506.7,23
CPT,81330,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",563.0,332.17,67.83,506.7,23
CPT,81330,HC COUNSYL REC GENE:FUNDAMENTAL PLUS (MED),86.29,50.91,10.4,77.66,23
CPT,81330,HC NH 106 NIEMANN-PICK DISEASE (SMPD1),273.48,161.35,32.95,246.13,23
CPT,81330,HC NH 137 NIEMANN-PICK DISEASE (SMPD1),273.48,161.35,32.95,246.13,23
CPT,81330,HC NH 27 NIEMANN-PICK DISEASE (SMPD1),273.48,161.35,32.95,246.13,23
CPT,81330,HC NH 274 NIEMANN-PICK DISEASE (SMPD1),273.48,161.35,32.95,246.13,23
CPT,81330,HC NIEMAN-PICK DISEASE,563.0,332.17,67.83,506.7,23
CPT,81330,HC NIEMANN-PICK DNA MUTATION,563.0,332.17,67.83,506.7,23
CPT,81330,HC NIEMANN-PICK DNA MUTATION (QUEST #90893),563.0,332.17,67.83,506.7,23
CPT,81331,HC ANGELMAN SYND METHYL (QUEST #11369),310.0,182.9,37.35,279.0,23
CPT,81331,HC CONGENITAL HYPOTONIA PANEL 1,310.0,182.9,37.35,279.0,23
CPT,81331,HC PRADER-WILLI/ANGELMAN DNA MUT,310.0,182.9,37.35,279.0,23
CPT,81332,HC A-1 ANTITRYPSIN GENE  (ARUP# 0051256),449.0,264.91,54.09,404.1,23
CPT,81332,HC ALPHA-1-ANTRITRYPSIN MUT. (QUEST# 15340),449.0,264.91,54.09,404.1,23
CPT,81332,HC SERPINA1 GENE,449.0,264.91,54.09,404.1,23
CPT,81334,HC RUNX1,2489.0,1468.51,299.86,2240.1,23
CPT,81335,HC ACTX PHARMACOGENOMICS FOR SOLID ORGAN TRANSPLNT,579.0,341.61,69.76,521.1,23
CPT,81335,HC TPMT,579.0,341.61,69.76,521.1,23
CPT,81335,HC TPMT GENE ANALYSIS (ARUP#3001535),579.0,341.61,69.76,521.1,23
CPT,81335,HC TPMT GENOTYPE (QUEST #37742),579.0,341.61,69.76,521.1,23
CPT,81336,HC SMA PLUS 3PB (ATHENA #214),1808.1,1066.78,217.83,1627.29,23
CPT,81338,HC MPL GENE COMMON VARIANTS,901.98,532.17,108.67,811.78,23
CPT,81338,HC MPL GENE COMMON VARIANTS (ARUP#2005545),901.98,532.17,108.67,811.78,23
CPT,81339,HC MPL EXON 10 MUTATION (LAB11698),1111.2,655.61,133.87,1000.08,23
CPT,81339,HC MPL GENE MUT. ANALYSIS (QUEST# 92476),1111.2,655.61,133.87,1000.08,23
CPT,81339,HC MPL GENE SEQ ALYS EXON 10,1111.2,655.61,133.87,1000.08,23
CPT,81339,HC MPL MUTATION ANALYSIS (QUEST# 92472),1111.2,655.61,133.87,1000.08,23
CPT,81340,HC T CELL GENE REARRANGEMENT (YH LAB2220),503.0,296.77,60.6,452.7,23
CPT,81340,HC T-CELL RECEPTOR BETA,503.0,296.77,60.6,452.7,23
CPT,81342,HC T CELL GENE REARRANGEMENT (YH LAB2220),1349.0,795.91,162.52,1214.1,23
CPT,81342,HC T-CELL CLONALITY BY NEXT GEN SEQ,1349.0,795.91,162.52,1214.1,23
CPT,81342,HC TCELL GENE REARRANGEMENT (YM 81342),1349.0,795.91,162.52,1214.1,23
CPT,81342,HC TCR T CELL GENE REARR GAMMA,1349.0,795.91,162.52,1214.1,23
CPT,81342,HC ZZZFOUNDATIONONE HEME,444.36,262.17,53.53,399.92,23
CPT,81343,HC SCA12 (PPP2R2B) DNA TEST 3PB (ATHENA #285),822.0,484.98,99.03,739.8,23
CPT,81347,HC SF3B1 GENE COMMON VARIANTS,1159.5,684.11,139.69,1043.55,23
CPT,81348,HC  SRSF2 GENE COMMON VARIANTS,1052.4,620.92,126.79,947.16,23
CPT,81350,HC UGT1A BLOOD SPECIFIC  (YH LAB2230),849.42,501.16,102.33,764.48,23
CPT,81350,HC UGTIA1 GENOTYPING (QUEST# 17813),849.42,501.16,102.33,764.48,23
CPT,81351,HC BRCA PANEL PLUS (QUEST #92587),3851.1,2272.15,463.96,3465.99,23
CPT,81352,HC TP53 GENE SEQUENCE ALYS (YH LAB11924),1977.0,1166.43,238.18,1779.3,23
CPT,81352,HC TP53 GENE TRGT SEQUENCE ALYS,1977.06,1166.47,238.19,1779.35,23
CPT,81352,"HC TP53 SOMATIC MUT, PROG (PHENOPATH/QUEST #16515)",1977.06,1166.47,238.19,1779.35,23
CPT,81352,"HC TP53 SOMATIC MUT, PROGNOSTIC (MAYO P53CA)",1977.06,1166.47,238.19,1779.35,23
CPT,81353,HC TP53 GENE KNOWN FAMIL VRNT,1848.0,1090.32,222.64,1663.2,23
CPT,81355,HC VKORCI GENE,386.0,227.74,46.5,347.4,23
CPT,81357,HC U2AF1 GENE COMMON VARIANTS,1159.5,684.11,139.69,1043.55,23
CPT,81360,HC ZRSR2 GENE COMMON VARIANTS,1159.5,684.11,139.69,1043.55,23
CPT,81363,HC HBB GENE DUP/DEL VARIANTS,1214.4,716.5,146.31,1092.96,23
CPT,81364,"HC BETA GLOBIN GENE SEQ, VARIES (MAYO WBSEQ)",2434.0,1436.06,293.24,2190.6,23
CPT,81364,HC HBB FULL GENE SEQUENCE (QUEST #14974),2434.0,1436.06,293.24,2190.6,23
CPT,81370,HC HLA I & II TYPING LR,3351.0,1977.09,403.71,3015.9,23
CPT,81370,"HC HLA I & II TYPING, LR (TISSUE TYPING)",3351.0,1977.09,403.71,3015.9,23
CPT,81372,"HC HLA A,B,C LOW RESOLUTION",668.0,394.12,80.48,601.2,23
CPT,81372,HC HLA ABC LOW RESOLUTION (TISSUE TYPING),668.0,394.12,80.48,601.2,23
CPT,81373,"HC HLA TYPING 1 LOCUS, LR (TISSUE TYPING)",955.73,563.88,115.14,860.16,23
CPT,81373,HC HLA-AB TYPING PCR SSOP,955.73,563.88,115.14,860.16,23
CPT,81373,HC HLA-B CLASS I DNA TYING,955.73,563.88,115.14,860.16,23
CPT,81373,HC HLA-B CLASS I DNA TYPING,955.73,563.88,115.14,860.16,23
CPT,81373,HC HLA-C CLASS I DNA TYPING,955.73,563.88,115.14,860.16,23
CPT,81374,HC ANKYLOS SPONDY (HLA-B27) GENO (ARUP #0050392),445.98,263.13,53.73,401.38,23
CPT,81374,HC ANKYLOSING SPOND (HLA-B27) GENO (ARUP #0050392),445.98,263.13,53.73,401.38,23
CPT,81374,HC HLA-A29 DNA TYPING (QUEST #16773,445.98,263.13,53.73,401.38,23
CPT,81374,HC HLA-B27 DNA TYPING (QUEST# 15584),445.98,263.13,53.73,401.38,23
CPT,81374,HC HLA-B27 GENOTYPING,445.98,263.13,53.73,401.38,23
CPT,81374,HC HLA-B51 DNA TYPING (QUEST #16775),445.98,263.13,53.73,401.38,23
CPT,81375,HC  HLA DR LOW RESOLUTION (TISSUE TYPING),1536.0,906.24,185.05,1382.4,23
CPT,81375,HC HLA DR/DQ LOW RESOLUTION,2271.0,1339.89,273.6,2043.9,23
CPT,81376,HC CLASS II ONE LOCUS LR EA (TISSUE TYPING),1018.5,600.92,122.7,916.65,23
CPT,81376,HC HLA TYPING FOR CELIAC DISEASE (MAYO CELI),1018.5,600.92,122.7,916.65,23
CPT,81376,HC HLA TYPING FOR CELIAC DISEASE (QUEST #17135),1018.5,600.92,122.7,916.65,23
CPT,81376,HC HLA-DQ CLASS II DNA TYPING,1018.5,600.92,122.7,916.65,23
CPT,81376,HC HLA-DRB1 CLASS II DNA TYPING,1018.5,600.92,122.7,916.65,23
CPT,81377,HC CDG CELIAC DZ GENOTYPING,541.0,319.19,65.18,486.9,23
CPT,81377,HC HLA II TYPE 1 AG EQUIV LR,541.0,319.19,65.18,486.9,23
CPT,81378,"HC HLA I & II TYPING, HR",2879.7,1699.02,346.93,2591.73,23
CPT,81378,"HC HLA I & II TYPING, HR (TISSUE TYPING)",2879.7,1699.02,346.93,2591.73,23
CPT,81379,HC HLA CLASS I TYLING HIGH RESOLUTION COMPLETE,3450.0,2035.5,415.64,3105.0,23
CPT,81379,HC SO HLA ABC HIGH RESOL,1536.0,906.24,185.05,1382.4,23
CPT,81380,"HC HLA I TYPING 1 LOCUS, HR (TISSUE TYPING)",1226.0,723.34,147.7,1103.4,23
CPT,81380,HC HLA-A HIGH RESOLUTION SBT TYPING,1226.0,723.34,147.7,1103.4,23
CPT,81380,HC HLA-A HR,1226.0,723.34,147.7,1103.4,23
CPT,81380,HC HLA-B HIGH RESOLUTION SBT TYPING,1226.0,723.34,147.7,1103.4,23
CPT,81380,HC HLA-B HR,1226.0,723.34,147.7,1103.4,23
CPT,81381,"HC CARBAMAZEPINE HYPERSENSI, PHARMACO (MAYO CARBR)",973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA I TYPING 1 ALLELE HR,973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA-A*02:01 DETERMINATION (QUEST #92044),973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA-A29 UVEITIS-BIRDSHOT CHORIO LABCORP #167390,973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA-B* 58:01 TYPING (QUEST# 93932),973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA-B*5701 TYPING (QUEST#19774),973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA-B*57:01 GENO PHARMACO VARIES (MAYO HL57R),973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA-B*57:01FOR ABACAVIR SENSI (ARUP# 2002429),973.0,574.07,117.22,875.7,23
CPT,81381,HC HLA-B*58:01 TYPING (MAYO HL58R),973.0,574.07,117.22,875.7,23
CPT,81381,"HC HLA-B51 GENO, BEHCET DISEASE (ARUP #3017549)",973.0,574.07,117.22,875.7,23
CPT,81382,HC  HLA DR HIGH RESOLUTION,1030.65,608.08,124.17,927.59,23
CPT,81382,HC CELIAC DISEASE HLA-DQ GENOTYPING (ARUP #3004445,1030.65,608.08,124.17,927.59,23
CPT,81382,"HC HLA II TYPING 1 LOCUS, HR (TISSUE TYPING)",1030.65,608.08,124.17,927.59,23
CPT,81382,HC HLA TYPING FOR CELIAC DISEASE (QUEST #17135),1030.65,608.08,124.17,927.59,23
CPT,81383,HC HLA TYPING FOR CELIAC DISEASE,802.0,473.18,96.62,721.8,23
CPT,81383,HC HLA TYPING FOR NARCOLEPSY,802.0,473.18,96.62,721.8,23
CPT,81400,HC ACCUTYPE IL28B,268.0,158.12,32.29,241.2,23
CPT,81400,HC ACE INSERTION/DELETION (QUEST #11210X),268.0,158.12,32.29,241.2,23
CPT,81400,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",268.0,158.12,32.29,241.2,23
CPT,81400,HC CONGENITAL HYPOTONIA PANEL 2,268.0,158.12,32.29,241.2,23
CPT,81400,HC DYSTONIA (DYT1) DNA TEST #626,268.0,158.12,32.29,241.2,23
CPT,81400,HC FACTOR V HR2 ALLELE DNA MUTATION ANALYSIS,268.0,158.12,32.29,241.2,23
CPT,81400,HC HUMAN PLATELET ANTIGEN 1 GENOTYPE,268.0,158.12,32.29,241.2,23
CPT,81400,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 1,268.0,158.12,32.29,241.2,23
CPT,81400,HC NH 27 SPINAL MUSCULAR ATROPHY,130.35,76.91,15.7,117.32,23
CPT,81400,HC NH 4 SPINAL MUSCULAR ATROPHY,130.35,76.91,15.7,117.32,23
CPT,81400,HC OTOSCOPE PANEL,268.0,158.12,32.29,241.2,23
CPT,81400,HC PAI-1 MUTATION 4G/5G (QUEST# 11368),268.0,158.12,32.29,241.2,23
CPT,81400,HC PLASMINOGEN ACT INHIBITOR-1 4G/5G (MAYO FPAIG),268.0,158.12,32.29,241.2,23
CPT,81400,HC PRIMARY DYSTONIA EVALUATION #639,268.0,158.12,32.29,241.2,23
CPT,81400,HC SPINAL MUSCUAL ATROPHY (SMA)CARR SCRN,268.0,158.12,32.29,241.2,23
CPT,81400,HC SPMAD,268.0,158.12,32.29,241.2,23
CPT,81400,HC SRY GENE DNA ANALYSIS,268.0,158.12,32.29,241.2,23
CPT,81400,HC WHOLE EXOME SEQUENCING,268.0,158.12,32.29,241.2,23
CPT,81401,HC ADVANCED MTDNA POINT MUT & DEL,822.0,484.98,99.03,739.8,23
CPT,81401,"HC AML-ETO T(8;21) AML PANEL, BLOOD (YH LAB2104",822.0,484.98,99.03,739.8,23
CPT,81401,"HC AML-ETO T(8;21) AML PANEL, BM (YH LAB2103)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC AML-ETO, T(8;21), QUANT (ARUP #2010138)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC AML-ETO, T(8;21), QUANTITATIVE, BONE MARROW",822.0,484.98,99.03,739.8,23
CPT,81401,"HC AML-ETO, T(8;21), QUANTITIVE, BLOOD",822.0,484.98,99.03,739.8,23
CPT,81401,HC APO E GENOTYPING (QUEST #10642),822.0,484.98,99.03,739.8,23
CPT,81401,"HC APOLIPOPROTEIN E GENO, BLOOD (MAYO APOEG)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",822.0,484.98,99.03,739.8,23
CPT,81401,HC BECKWITH-WIEMANN SYND (MAYO BWRS),822.0,484.98,99.03,739.8,23
CPT,81401,"HC CBFB-MYH11-INV 16 AML PANEL, BLOOD (YH LAB2104)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC CBFB-MYH11-INV 16 AML PANEL, BM (YH LAB2103)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC CBFB/MYH11 - IN16, QUANT (ARUP #2011114)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC CBFB/MYH11-IN16 QUANT, BLOOD",822.0,484.98,99.03,739.8,23
CPT,81401,"HC CBFB/MYH11-IN16 QUANT, BONE MARROW",822.0,484.98,99.03,739.8,23
CPT,81401,HC DMI DNA TEST,822.0,484.98,99.03,739.8,23
CPT,81401,"HC E2A/PBX1, T(1;19), BLOOD (YH LAB2102)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC E2A/PBX1, T(1;19), BONE MARROW (YH LAB2101)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC E2A/PBX1, T(4;11), BLOOD (YH LAB2102)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC E2A/PBX1, T(4;11), BONE MARROW (YH LAB2101)",822.0,484.98,99.03,739.8,23
CPT,81401,HC HUNTINGTON DISEASE MUTATION,822.0,484.98,99.03,739.8,23
CPT,81401,HC LEBER HEREDITARY OPTIC NEURO,822.0,484.98,99.03,739.8,23
CPT,81401,HC MITOCHONDRIAL HEARING LOSS PANEL,822.0,484.98,99.03,739.8,23
CPT,81401,HC MOLECULAR PATHOLGY PROCEDURE LEVEL 2,822.0,484.98,99.03,739.8,23
CPT,81401,HC MOLECULAR PATHOLOGY PROC LEV 2 CYCLIN D1,822.0,484.98,99.03,739.8,23
CPT,81401,HC MOPATH PROC LVL 2 3PB (ATHENA),822.0,484.98,99.03,739.8,23
CPT,81401,HC MOPATH PROC LVL 2 3PB (COUNSYL),822.0,484.98,99.03,739.8,23
CPT,81401,HC MOPATH PROCEDURE LEVEL 2,822.0,484.98,99.03,739.8,23
CPT,81401,HC MTRNL INHERITED HEARING LOSS,822.0,484.98,99.03,739.8,23
CPT,81401,HC MYOPATHY/RHABDOMYOLYSIS PNL 3PB (BAYLOR #2300),822.0,484.98,99.03,739.8,23
CPT,81401,HC OTOSCOPE PANEL,822.0,484.98,99.03,739.8,23
CPT,81401,HC PROGRESS XTRN OPHTHALMOPLEGIA 3PB (ATHENA #576),451.0,266.09,54.33,405.9,23
CPT,81401,HC RUSSELLSILVER SYN (H19 METHYL & UPD7),822.0,484.98,99.03,739.8,23
CPT,81401,HC SMA,822.0,484.98,99.03,739.8,23
CPT,81401,HC SMA CARRIER 3PB (PREVENTION),822.0,484.98,99.03,739.8,23
CPT,81401,HC SPINAL AND BULBAR MUSC ATROPHY,822.0,484.98,99.03,739.8,23
CPT,81401,"HC TEL-AMI, T(12;21), BLOOD (YH LAB2102)",822.0,484.98,99.03,739.8,23
CPT,81401,"HC TEL-AMI, T(12;21), BONE MARROW (YH LAB2101)",822.0,484.98,99.03,739.8,23
CPT,81402,"HC 21-HYDROXYLASE, CYP21A2, GENE ALYS (MAYO CYPZ)",761.0,448.99,91.68,684.9,23
CPT,81402,HC CAH 21 HYDROXYLASE DEFICIENCY (QUEST #14755X),761.0,448.99,91.68,684.9,23
CPT,81402,HC FAMILIAL MEDITERRANEAN FEVER MUTATION,761.0,448.99,91.68,684.9,23
CPT,81402,HC FOXG1 SEQ MLPA-CTR FOR HUMAN GENETICS,761.0,448.99,91.68,684.9,23
CPT,81402,HC KIT D812 MUTATION ANALYSIS,761.0,448.99,91.68,684.9,23
CPT,81402,HC MECP2 SEQ MLPA-CTR FOR HUMAN GENETICS,761.0,448.99,91.68,684.9,23
CPT,81402,HC MEFV (FMF) MUTATION ANLYS (QUEST #16141),761.0,448.99,91.68,684.9,23
CPT,81402,HC MOLECULAR PATHOLOGY PROC LEV 3,761.0,448.99,91.68,684.9,23
CPT,81402,HC MPL CODON 515 MUTATION-BLD,761.0,448.99,91.68,684.9,23
CPT,81402,HC MPL CODON 515 MUTATION-BM,761.0,448.99,91.68,684.9,23
CPT,81402,HC MPL W515 AND MPL S505 MUT ANAL,761.0,448.99,91.68,684.9,23
CPT,81402,HC RUSSELL-SILVER SYND UPD,761.0,448.99,91.68,684.9,23
CPT,81402,HC RUSSELLSILVER SYN (H19 METHYL & UPD7),761.0,448.99,91.68,684.9,23
CPT,81402,"HC T-CELL GENE REARRANGE, PCR CELL BASED",761.0,448.99,91.68,684.9,23
CPT,81402,HC WHOLE EXOME SEQUENCING,761.0,448.99,91.68,684.9,23
CPT,81403,HC AML BY NGS IDH1,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC AML BY NGS IDH2,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC ARX RELATED DISORDER KFV,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC AUTOSOMAL DOMINANT ATAXIA EVALUATION,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC BCRABL GLEEVEC RESISTANCE,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC BIOTINIDASE DEF KNOWN MUTATION,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC CEL (MODY8) MUTATION ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC CITRULLINEMIA ASS1 TARGET KNOWN FAMILIAL MUT,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC CMT ADVANCED EVAL-AXONAL #4008,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC COMPLETE ALS EVAL 1,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC COMPLETE ALS EVALUATION #643,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC CONGENITAL HYPERINSULINISM EVALUATION 1,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC COUNSYL REC GENE:YALE ACOG+ALPHA+BETA (SMALL),89.57,52.85,10.79,80.61,23
CPT,81403,HC CTGT SINGLE GENE,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC DCM CARDIO CHIP,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC DCM PANEL (27 GENES) TEST,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC DHCR7 SEQUENCE ANALYSIS FAMILIAL,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC DOMINANT CMT GJB1,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC EPILEPSY ADVANCED SEQ EVAL 1,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC FOXG1 SEQUENCING ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC HEMOPHILIA A F82INVERS (ARUP #2001759),1617.0,954.03,194.81,1455.3,23
CPT,81403,HC HEPATOCEREBRAL MTDNNA (DGOUK SEQ) 1,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC HEREDITARY NEURO PNL 3,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC HHT DEL/DUP FAMILIAL,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC HNPCC DNA ANALYSIS 6,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC IDH1 & IDH2 MUTATION ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,"HC JAK-2 EXONS 12&13 QUAL, LEUMETA",1617.0,954.03,194.81,1455.3,23
CPT,81403,HC JAK2 EXON 12 & OTHER NON-V617F MUT,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC KNOWN MUTATION SEQ ANALYSIS-PARTNERS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC KNOWN MUTATION SEQUENCE ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,"HC LADD SYNDROME (FGF10,FGFR2,FGFR3)",1617.0,954.03,194.81,1455.3,23
CPT,81403,HC LYNCH SYNDROME PANEL (QUEST #91461,1111.2,655.61,133.87,1000.08,23
CPT,81403,HC MOPATH PROCEDURE LEVEL 4,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC MPL MPL EXON MUT DET,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC MULTIPLE ENDOCRINE NEOPLASIA TYPE 2,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC MYELOID MOLECULAR PROFILE 3,1617.0,954.03,194.81,1455.3,23
CPT,81403,"HC NF1 SEQ MLPA, KN FAM-CTR 4 HU GENETIC",1617.0,954.03,194.81,1455.3,23
CPT,81403,HC OTOSCOPE FAMILIAL MUTATION TESTING,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC PAH SEQ ANALYSIS KFM #3136,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC RBC AG GENE ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC SCA13 SELECT EXON DNA TEST,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC SCAD KNOWN MUTATION,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC SCO2 KNOWN MUTATION ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC SCO2 MUTATION ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC SHORT CHAIN ACYL COA DEHYDRO,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC SURF1 MUTATION ANAL FAM,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC VON HIPPEL LANDAU DELET,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC VON HIPPEL-LANDAU KNOWN MUT,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC WHOLE EXOME SEQUENCING,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC Y CHROMOSOME DNA ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC Y CHROMOSOME MICRODELETION DNA ANALYSIS,1617.0,954.03,194.81,1455.3,23
CPT,81403,HC Y CHROMOSOME MICRODELETIONS (MAYO YMCRO),1617.0,954.03,194.81,1455.3,23
CPT,81403,HC Y-CHROMOSOME MICRODELETIONS (QUEST #14679),1617.0,954.03,194.81,1455.3,23
CPT,81403,HC ZZZ FOUNDATIONACT,784.86,463.07,94.56,706.37,23
CPT,81403,HC ZZZCOMPLETE ATAXIA EVAL,1617.0,954.03,194.81,1455.3,23
CPT,81404,HC AHUS PANEL (MAYO AHUGP),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC ALBINISM PANEL-NGS,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC AML BY NGS KIT,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC ARX RELATED DISORDER SEQ,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC AUTO DOM ATAXIA FXN,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC AUTOSOMAL RECESSIVE ATAXIA EVAL #693,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC BETA GLOBIN COMPLETE,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC BIOTINIDASE FULL GENE BTD (QUEST #16526),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC BRCA PANEL PLUS (QUEST #92587),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC C-KIT (PCR),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC C-KIT MUT ANALYSIS PLASMA BASED,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC CARNITINE PALMITOYLTRANSFERASE II,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC CENTRAL HYPOVENTILATION SYNDROME PANEL,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC CHRONIC PANC SEQ W CNV 3PB (PREVENTION #10191),1332.0,785.88,162.03,1198.8,23
CPT,81404,HC CMT ADVANCED EVAL-AXONAL #4008,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC COMB PITUITARY HORMONE DEF 3PB (ATHENA #865),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC COMP HERED SPASTIC PARAPLEG EVAL #655,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC CONGENITAL HYPOTONIA PANEL 3,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC COUNSYL REC GENE:YALE ACOG+ALPHA+BETA (SMALL),89.57,52.85,10.79,80.61,23
CPT,81404,HC CPT2 COMPREHENSIVE SEQ&DEL/DUP,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC CPT2 DEFICIENCY,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC EPILEPSY ADVANCED SEQ EVAL 2,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC EPILEPSY AND SEIZURE PANEL EMORY,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC EPILEPSY ASSOC W FEVER IN FEMALES,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC FAM MEDITERRANEAN FEVER MUT ANALYSIS,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC FOXG1 SEQ MLPA-CTR FOR HUMAN GENETICS,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC FREDREICHS ATAXIA DNA SEQUENCING,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC FRIEDREICHS ATAXIA PFOF,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC FSHD DNA TEST 3PB (ATHENA #405)),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC HEMOPHAG LYMPH PNL 2,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC HEREDITARY NEURO PNL 4,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC HLH PANEL,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC HSD3B2 DNA SEQUENCING TEST,1332.0,785.88,160.47,1198.8,46
CPT,81404,HC KITM MUTS AML FRAG SEQ,1332.0,785.88,160.47,1198.8,23
CPT,81404,"HC LADD SYNDROME (FGF10,FGFR2,FGFR3)",1332.0,785.88,160.47,1198.8,23
CPT,81404,HC MACULAR DYS/DEG/STARGARDT SEQ PNL 1,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC MECP2 SEQ MLPA-CTR FOR HUMAN GENETICS,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC MONOGENIC DIABETES (MODY) EVAL 3PB (ATHENA #885,283.07,167.01,34.1,254.76,23
CPT,81404,HC MOPATH PROCEDURE LEVEL 5,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC MYELOID MOLECULAR PROFILE 4,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC MYOPATHY/RHABDOMYOLYSIS PNL 3PB (BAYLOR #2300),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC MYOTONIC SYND ADV EVAL 3PB (ATHENA #5506),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC NEONATAL DIABETES MELLITUS EVALUATION,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC NEUROMUSC DISORDERS SEQ/DEL 1,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC NH 106 SMA,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 106 SPINAL MUSCULAR ATROPHY,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 137 SMA,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 137 SPINAL MUSCULAR ATROPHY,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 27 SMA,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 27 SPINAL MUSCULAR ATROPHY,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 274 SMA,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 274 SPINAL MUSCULAR ATROPHY,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH 4 SMA,646.71,381.56,77.91,582.04,23
CPT,81404,HC NH SPINAL MUSCULAR ATROPHY,646.71,381.56,77.91,582.04,23
CPT,81404,HC NOONAN SPECTRUM PANEL,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC OTOGENOME TEST (70 GENES),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC OTOSCOPE PANEL,1332.0,785.88,160.47,1198.8,23
CPT,81404,"HC PANCRE PANEL + (PRSS1, SPINK1) #8022",1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PANCREAS SEQ PNL W RFLX DEL/DUP (CCH #10499803),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PANEL A (MARFAN SYNDROME) 3PB,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PERIODIC FEVER SYND SEQ 3PB (PREVENTION #10315),198.15,116.91,23.87,178.34,23
CPT,81404,HC PERIODIC FEVER SYNDROMES PANEL #367,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PERIODIC FEVER SYNDROMES SEQUENCING 7 GENES,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PHOX2B GENE SEQUENCE ANALYSIS,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PIK3CA MUTATION,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PRIM ADRENAL INSUFFICIENT EVAL (ATHENA #816),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PRIMARY DYSTONIA EVALUATION #639,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC PROGRESS XTRN OPHTHALMOPLEGIA 3PB (ATHENA #576),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC SCN1B DNA SEQUENCING TEST,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC SH2D1A MUTATION ANLYS (CCH #4750430),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC SO BETAGLOB GENE SEQ,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC STK11 GENE SEQ & DEL/DUP,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC THAP1 (DYT6) DNA SEQUENCING,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC VHL GENE ERYTHROCYTOSIS MUT (MAYO VHLE),1332.0,785.88,160.47,1198.8,23
CPT,81404,HC VON HIPPEL LANDAU FULLMUT,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC VON HIPPEL-LANDAU SEQ,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC WHOLE EXOME SEQUENCING,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC X-LINKED HYPER IGM,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC ZZZ FOUNDATIONACT,646.71,381.56,77.91,582.04,23
CPT,81404,HC ZZZCOMPLETE ATAXIA EVAL #696,1332.0,785.88,160.47,1198.8,23
CPT,81404,HC ZZZLIMB GIRD MUSCU DYST EVAL 3PB (ATHENA #5519),1332.0,785.88,160.47,1198.8,23
CPT,81405,"HC 21-HYDROXYLASE, CYP21A2, GENE ALYS (MAYO CYPZ)",1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ABCD1 (NEUROLOGY) DNA SEQUENCING,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ACUTE PORPHYRIA PANEL,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ADMARK EARLY ONSET ALZHEIMER EVALUATION,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ALAS2 GENE ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC AORTOPATHY PANEL 1,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ARVC/CPVT PANEL (8 GENES) TEST,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC AUTISM SPECTRUM DISORDERS 2PNL,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC AUTOSOMAL RECESSIVE ATAXIA EVAL #693,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC BCR/ABL T922 OSHU,1563.0,922.17,188.3,1406.7,23
CPT,81405,"HC BMPR1A, SMAD4 GENE SEQ & DEL/DUP",1563.0,922.17,188.3,1406.7,23
CPT,81405,HC BONE MARROW FAILURE PANEL,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC BRCA PANEL PLUS (QUEST #92587),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC CAH-21 HYDROXYLASE DEFI RARE MUTATION,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC CALCIUM SENSING RECEPTOR (CASR) GENE,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC CASR GENE,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC CHRONIC PANCR SEQ W CNV 3PB (PREVENTION #10191),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC CMT ADVANCED EVAL-AXONAL #4008,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC COMBO PITUITARY HORMONE DEF 3PB (ATHENA #865),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC COMP HERED SPASTIC PARAPLEG EVAL #655,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC COMPLETE ALS EVAL 2,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC COMPLETE DYT5 EVAL #629,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC COMPLETE PARKINSONISM EVAL #588,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC CPOX GENE ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC DCM PANEL (27 GENES) TEST,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC EARLY ONSET NEPHROTIC SYNDR EVAL #722,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC EPILEPSY ADVANCED SEQ EVAL 3,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC EPILEPSY AND SEIZURE PANEL EMORY,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC EPILEPSY ASSOC W FEVER IN FEMALES,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC EYA1 GENE DELETION/DUPLICATION,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC FABRY DISEASE GENE ANLYS (MAYO# FABRZ),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC FAMILIAL CASR DNA SEQUENCING,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC FAMILIAL HYPERCHOL SEQ 3PB (PREVENTION #10163),1563.0,922.17,190.13,1406.7,23
CPT,81405,HC FAMILIAL HYPERCHOLESTEROLEMIA PNL (QUEST#94877),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC FCMD/FKTN DNA SEQUENCING TEST,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC FECH GENE ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC GCH 1 DNA SEQ,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC GFAP GLIAL FIBRILLARY 3PB (GENEDX #218),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC GLA GENE SEQUENCING,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC GSD COMPREHENSIVE PANEL2,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC HEPATOCEREBRAL MTDNNA (DGOUK SEQ) 2,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC HEREDITARY NEURO PNL 5,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC HHT DELETION/DUPLICATION SCREEN,1563.0,922.17,188.3,1406.7,23
CPT,81405,"HC HHT PANEL SEQ DEL/DUP, 5 GENES",1563.0,922.17,188.3,1406.7,23
CPT,81405,HC HHT SEQ/DEL/DUP W/RFLX SMAD4 DEL/DUP,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC HMBS GENE ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,"HC LADD SYNDROME (FGF10,FGFR2,FGFR3)",1563.0,922.17,188.3,1406.7,23
CPT,81405,HC LI-FRAUNENI TP53 SEQ & DEL/DUP 2,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC MDS BY NGS TP53,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC MEF2C SEQUENCING ANALYSIS (U OF CHICAGO),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC MEN1 GENE SEQUENCING,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC METHYLMAL ACIDEMIA PNL 3PB (PREVENTION #10295),310.39,183.13,37.39,279.35,23
CPT,81405,HC MOLECULAR PATHOLOGY PROC LEV 6,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC MONOGENIC DIABETES (MODY) EVAL 3PB (ATHENA #885,310.39,183.13,37.39,279.35,23
CPT,81405,HC MYELOID MOLECULAR PROFILE 5,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC MYOPATHY/RHABDOMYOLYSIS PNL 3PB (BAYLOR #2300),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC NEUROMUSC DISORDERS SEQ/DEL 2,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC NF1 AND SPREAD 1 SEQUENCING 2,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC NF1 AND SPRED1 SEQ PNL 3PB (PREVENTION #10099),1070.85,631.8,129.01,963.77,23
CPT,81405,HC NOONAN SPECTRUM PANEL,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC NSD1 GENE EVAL SOTOS SYNDRM 3PB (GENEDEX #406),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC OPTIC ATROPHY SEQ PNL 3PB (PREVENTION #10331),310.39,183.13,37.39,279.35,23
CPT,81405,HC OTOGENOME TEST (70 GENES),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC OTOSCOPE PANEL,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC PANCREAS SEQ PNL W RFLX DEL/DUP (CCH #10499803),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC PANEL A (MARFAN SYNDROME) 3PB,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC PPOX GENE ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC PRIM ADRENAL INSUFFICIENT EVAL (ATHENA #816),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC REEP1 (SPG31) DELETION ANLYS 3PB (ATHENA #6611),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC SHOX (GHD) DNA SEQ/DEL (QUEST #91566),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC SIL1 DNA SEQUENCING TEST,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC SMA PLUS -REFLEXIVE #214 3PB,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC SMAD4 SEQUENCING DEL/DUP,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC STAT3 TIER 2 ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC STK11 GENE SEQ & DEL/DUP,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC SUDDEN CARDIAC ARREST PNL 1,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC TUBEROUS SCLEROSIS PANEL 1,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC UCD AND HYPERAMMONIA PNL 1,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC UROD GENE ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC UROS GENE ANALYSIS,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC X-LINKED COMBINED IMMDEF (CCH #4750440),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ZAUTOIMMUNE LYMP SYN PNL NGS 2,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ZZZ FOUNDATIONACT,758.64,447.6,91.4,682.78,23
CPT,81405,HC ZZZCOMP ATAXIA EVAL APTX,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ZZZCOMPLETE ATAXIA EVAL #696,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ZZZCOMPLEX IV COX GENE SEQ,1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ZZZLIMB GIRD MUSCU DYST EVAL 3PB (ATHENA #5519),1563.0,922.17,188.3,1406.7,23
CPT,81405,HC ZZZSLC2A1 (GLUT1-DS) DNA SEQ #441,1563.0,922.17,188.3,1406.7,23
CPT,81406,HC ACADVL SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ADMARK EARLY ONSET ALZHEIMER EVALUATION,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC AIRE GENE ANALYSIS 1,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ALASTIN SPG3A SEQ,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ANGEL UB3A SEQ,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC AORTOPATHY PANEL 2,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ARVC/CPVT PANEL (8 GENES) TEST,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ASPM DELETIONDUPLICATION ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ASS1 SEQUENCE ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC AUTISM SPECTRUM DISORDERS 3PNL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC AUTO DOM ATAXIA POLG1,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC AUTOSOMAL DOMINANT ATAXIA EVALUATION,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC AUTOSOMAL RECESSIVE ATAXIA EVAL #693,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC BEST1 (VMD2) GENE SEQUENCE ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,"HC BMPR1A, SMAD4 GENE SEQ & DEL/DUP",2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC BONE MARROW FAILURE PANEL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC BRCA 1/2 ANALYSIS W/REFLEX TO BRCA PLUS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC BRCA PANEL PLUS (QUEST #92587),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC BSCL2 DNA SEQUENCING TEST ATHENA,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC BTK GENE SEQUENCING & DEL/DUP,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC CDH1 GENE SEQ & DEL/DUP,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC CDKL5 SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC CITRULLINEMIA AAS1 SEQ,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC CLCN1 DNA SEQ,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC CMT ADVANCED EVAL-AXONAL #4008,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMMON MITOCHONDRIAL DISORDERS EVAL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMP ATAXIA EVAL POLG,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMP CADASIL EVAL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMP HERED SPASTIC PARAPLEG EVAL #655,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMP TUBEROUS SCLEROSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMPLETE ALS EVAL 3,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMPLETE ALS EVALUATION #643,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMPLETE DYT5 EVAL #629,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMPLETE PARKINSONISM EVAL #588,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMPLETE PKD EVAL 1,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC CONGENITAL HYPERINSULINISM EVALUATION 2,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC CONGENITAL MYASTHENIC SYNDROME NGS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC DCM PANEL (27 GENES) TEST,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC EARLY ONSET MYOTONIA EVALUATION,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC EPILEPSY ADVANCED SEQ EVAL 4,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC EPILEPSY AND SEIZURE PANEL EMORY,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC EYA1 GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC FAMILIAL HYPERCHOL SEQ 3PB (PREVENTION #10163),1697.28,1001.4,206.47,1527.55,23
CPT,81406,HC FAMILIAL HYPERCHOLESTEROLEMIA PNL (QUEST#94877),1697.28,1001.4,204.48,1527.55,23
CPT,81406,HC FRONTOTEMPORAL DEMENTIA EVALUATION,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC GAA FULL GENE ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC GAA GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC GALT FULL GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC GCDH COMPREHENSIVE,1038.5,612.72,125.11,934.65,23
CPT,81406,"HC GLUTARIC ACIDEMIA TYPE 1, GA1",2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC GSD COMPREHENSIVE PANEL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HADHA COMMON MUTATION,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HADHA GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HADHB GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HEMIPLEGIC MIGRANE EVALUATION 1,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HEREDITARY HEMOR TELANG (HHT) SEQ,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HHT DELETION/DUPLICATION SCREEN,2078.0,1226.02,250.35,1870.2,23
CPT,81406,"HC HHT PANEL SEQ DEL/DUP, 5 GENES",2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HHT SEQ/DEL/DUP W/RFLX SMAD4 DEL/DUP,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HHT SEQUENCING SCREEN,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC HYPOPHOSPHATEMIC RICKETS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC IVD GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC JAG1 COMP SEQ & DEL/DUP ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC LCHAD,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC LCHAD MUTATIONS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC LMNA MUTATION ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC LMNA MUTATION ANALYSIS FAM,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC MACULAR DYS/DEG/STARGARDT SEQ PNL 2,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC METHYLGLUTACO ACIDURIA NUC GENE PANEL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC METHYLMAL ACIDEMIA PNL 3PB (PREVENTION #10295),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC MOLECULAR PATHOLOGY PROC LEV 7,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC MONOGENIC DIABETES (MODY) EVAL 3PB (ATHENA #885,291.37,171.91,35.1,262.23,23
CPT,81406,HC MR1 (PNKD) DNA SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC MYOPATHY/RHABDOMYOLYSIS PNL 3PB (BAYLOR #2300),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC MYOTONIC SYND ADV EVAL 3PB (ATHENA #5506),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC NEONATAL DIABETES MELLITUS EVALUATION,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC NEUROMUSC DISORDERS SEQ/DEL 3,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC NH 106 MAPLE SYRUP URINE DISTYPE 1B,1009.02,595.32,121.56,908.12,23
CPT,81406,HC NH 137 MAPLE SYRUP URINE DIS TYPE 1B,1009.02,595.32,121.56,908.12,23
CPT,81406,"HC NH 27 MAPLE SYRUP URINE DIS, TYPE 1B",1009.02,595.32,121.56,908.12,23
CPT,81406,"HC NH 274 MAPLE SYRUP URINE DIS, TYPE 1B",1009.02,595.32,121.56,908.12,23
CPT,81406,HC NOONAN SPECTRUM PANEL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC NOTCH3 (CADASIL) SEQUENCING TEST,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC NSD1 GENE EVAL SOTOS SYNDROME 3PB (GENEDX #406),1697.28,1001.4,204.48,1527.55,23
CPT,81406,HC OPTIC ATROPHY PNL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC OPTIC ATROPHY SEQ PNL 3PB (PREVENTION #10331),291.37,171.91,35.1,262.23,23
CPT,81406,HC OTOGENOME TEST (70 GENES),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC OTOSCOPE PANEL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PAH COMP SEQ & DEL/DUP ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PAH SEQ ANALYSIS 3PB (BAYLOR #3135),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PANEL A (MARFAN SYNDROME) 3PB,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PARAPLEGIN (SPG7) DNA SEQUENCING TEST,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PC COMP 1,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PHENYLKETONURIA (PKU) MUTATION,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PKP2 SEQ,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC POLG SEQUENCE,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PRIM ADRENAL INSUFFICIENT EVAL (ATHENA #816),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PROGRESS XTRN OPHTHALMOPLEGIA 3PB (ATHENA #576),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC PYGM FULL GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC REEP1 (SPG31) DELETION ANLYS 3PB (ATHENA #6611),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC SCA28 (AFG3L2) DNA SEQUENCING TEST,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC SCN4A,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC SGCE SEQUENCING TEST (DYT11),2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC SLC26A4 GENE SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,"HC SLC37A4 COMP, SEL & DEL/DUP",2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC SMAD4 SEQUENCING DEL/DUP,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC SPASTIN (SPG4) DNA SEQUENCING #530,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC SUDDEN CARDIAC ARREST PNL 2,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC TAZ G4.5,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC TSC1 SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC TUBEROUS SCLEROSIS PANEL 2,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC UCD AND HYPERAMMONIA PNL 2,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC VLCADD ENZYME ACTIVITY & MUTAT ANALYS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC WHOLE EXOME SEQUENCING,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC WILSON DISEASE ATP7B MUTATION SCREEN,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC WISKOTT DISEASE -BLOOD SPECIFIC,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ZACADVL SEQ AND DEL/DUP ANALYSIS,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ZOPTIC ATROPHY SEQ AND DEL/DUP PANEL,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ZZCOUNSYL REC GENE:YALE ACOG+ALPHA+BETA (SMALL),89.57,52.85,10.79,80.61,23
CPT,81406,HC ZZZ FOUNDATIONACT,1009.02,595.32,121.56,908.12,23
CPT,81406,HC ZZZCOMPLETE ATAXIA EVAL #696,2078.0,1226.02,250.35,1870.2,23
CPT,81406,HC ZZZINHERITED NEUTROPENIA PANEL 81406,265.71,156.77,32.01,239.14,23
CPT,81406,HC ZZZLIMB GIRD MUSCU DYST EVAL 3PB (ATHENA #5519),2078.0,1226.02,250.35,1870.2,23
CPT,81406,ZZZHC APC/MUTHY SEQ AND DEL/DUP 3PB (AMBRY #8726),2078.0,1226.02,250.35,1870.2,23
CPT,81407,HC  NEONATAL DIABETES MELLITUS 8 SEQ PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC  NEONATAL DIABETES MODY 27 SEQ PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,"HC AGL COMPREHENSIVE, SEQ & DEL/DUP",22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC ARPM TIER2 DEL/DUP PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC ARPM TIER2 SEQUENCING PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC CACNA1A EXONS,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC CEREBELLAR/PONTOCEREBELLAR HYPOPLASIA PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC CHD7 CHROMODOMAIN HELI,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC CHD7 GENE SEQUENCING,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC COL4A4 DNA SEQUENCE,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC COL4A5 SEQ & ANAL 1,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC COMP HERED SPASTIC PARAPLEG EVAL #655,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC COMPLETE PKD EVAL 2,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC CONGENITAL FIBER TYPE DISPROPORTION SEQ,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC CONGENITAL HYPERINSULINISM EVALUATION 3,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC DCM PANEL (27 GENES) TEST,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC DRAVET SYNDROME VIA SCN1A GENE,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC EARLY INFANTILE EE PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC EARLY ONSET NEPHROTIC SYNDR EVAL #722,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC EPILEPSY ADVANCED SEQ EVAL 5,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC EPILEPSY ASSOC W FEVER IN FEMALES,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC FAM HEMI MIGR TY III (SCN1A) DNA #189,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC FAMILIAL HYPERCHOLESTEROLEMIA PNL (QUEST#94877),5077.62,2995.8,611.73,4569.86,23
CPT,81407,HC GSD COMPREHENSIVE PANEL3,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC HEMIPLEGIC MIGRANE EVALUATION 2,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC JAG1 COMP SEQ & DEL/DUP ANALYSIS,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC JAUNDICECHIP RESEQUENCING ARRAY,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC L1CAM GENE SEQUENCING,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC MCPH TIER 2 SEQUENCING PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC MICROCEPHALY SEQUENCING PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC MNGIE SYNDROME 3,9978.37,5887.24,1213.82,8980.53,23
CPT,81407,HC MOLECULAR PATHOLOGY PROC LEVEL 8,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC MYH7 SANGER SEQUENCING,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC MYOPATHY/RHABDOMYOLYSIS PNL 3PB (BAYLOR #2300),22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC NBIA DEL/DUP PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC NEONATAL DIABETES MELLITUS 6 DEL/DUP,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC NEONATAL DIABETES MELLITUS EVALUATION,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC NF1 SEQ MLPA-CTR FOR HUMAN GENETICS,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,"HC NH 137 GLYCOGEN STORAGE DIS, TYPE III",10925.22,6445.88,1316.22,9832.7,23
CPT,81407,HC NH 274 G ST D TYPE III,10925.22,6445.88,1316.22,9832.7,23
CPT,81407,HC NOTCH1 ANALYSIS,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC OPA1 DNA SEQUENCING TEST,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC OPTIC ATROPHY EVALUATION (OPA1),9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC OPTIC ATROPHY SEQ PNL 3PB (PREVENTION #10331),871.66,514.28,105.01,784.49,23
CPT,81407,HC OTOGENOME TEST (70 GENES),9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC OTOSCOPE PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC PANEL A (MARFAN SYNDROME) 3PB,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC PROGRESS XTRN OPHTHALMOPLEGIA 3PB (ATHENA #576),9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC SCN1A EVALUATION,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC SPATACSIN (SPG11) DNA SEQUENCING TEST,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC SUDDEN CARDIAC ARREST PNL 3,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC TSC2 DNA SEQUENCING,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC TUBEROUS SCLEROSIS PANEL 3,9978.37,5887.24,1202.15,8980.53,23
CPT,81407,HC USH2A SEQUENCING,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC WHOLE EXOME SEQUENCING,22502.0,13276.18,2710.95,20251.8,23
CPT,81407,HC ZCEREBELLAR PH SEQUENCING PANEL,22502.0,13276.18,2710.95,20251.8,23
CPT,81408,HC ABCA4 COMP SEQUENCE & DEL/DUP,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC AORTOPATHY PANEL 3,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC ARVC/CPVT PANEL (8 GENES) TEST,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC BONE MARROW FAILURE PANEL,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC COL1A1 (OI) DNA SEQUENCING TEST,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC COL1A2 DNA SEQUENCING #862,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC COL4A5 SEQ & ANAL 2,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC COMPLETE ATAXIA-TELANGIECTASIA,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC COMPLETE PARKINSONISM EVAL #588,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC CONGENITAL FIBER TYPE DISPROPORTION SEQ,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC EXTENDED GENETIC PANEL,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC FBN1 MUTATION ANALYSIS,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC INHERITED NEUTROPENIA PANEL 81408,265.71,156.77,32.01,239.14,23
CPT,81408,HC IVD COMP SEQ & DEL/DUP ANALYSIS_BCM,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC MACULAR DYS/DEG/STARGARDT SEQ PNL 3,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC NEUROFIBROMATOSIS TYPE I,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC NF1 AND SPREAD 1 SEQUENCING,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC NF1 AND SPRED1 SEQ PNL 3PB (PREVENTION #10099),2060.0,1215.4,248.18,1854.0,23
CPT,81408,HC NF1 SEQ MLPA-CTR FOR HUMAN GENETICS,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC NH 106 DMD - MUSCULAR DYSTROPHY,12522.21,7388.1,1508.62,11269.99,23
CPT,81408,HC NH 137 DMD - MUSCULAR DYSTROPHY,12522.21,7388.1,1508.62,11269.99,23
CPT,81408,HC NH 27 DMD - MUSCULAR DYSTROPHY,12522.21,7388.1,1508.62,11269.99,23
CPT,81408,HC NH 274 DMD - MUSCULAR DYSTROPHY,12522.21,7388.1,1508.62,11269.99,23
CPT,81408,HC NH 4 DMD - MUSCULAR DYSTROPHY,12522.21,7388.1,1508.62,11269.99,23
CPT,81408,HC NH DMD MUSCULAR DYSTROPHY,12522.21,7388.1,1508.62,11269.99,23
CPT,81408,HC OTOGENOME TEST (70 GENES),11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC OTOSCOPE PANEL,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC PANEL A (MARFAN SYNDROME) 3PB,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC PARTIAL DMD SEQUENCING #183,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC RYR1 GENE SEQUENCING 3PB,11436.95,6747.8,1377.87,10293.26,23
CPT,81408,HC VPS13B (COH1) GENE SEQUENCING,25792.0,15217.28,3107.31,23212.8,23
CPT,81408,HC ZZZ FOUNDATIONACT,12522.21,7388.1,1508.62,11269.99,23
CPT,81408,HC ZZZLIMB GIRD MUSCU DYST EVAL 3PB (ATHENA #5519),11436.95,6747.8,1377.87,10293.26,23
CPT,81412,HC ASHKENAZI JEWISH PANEL (QUEST #90891),8700.96,5133.57,1048.25,7830.86,23
CPT,81413,HC COMPREHENSIVE CARDIAC PANEL (GREENWOOD DCAR),6017.0,3550.03,724.9,5415.3,23
CPT,81413,HC KCNJ2 MUTATION ANALYSIS,6017.0,3550.03,724.9,5415.3,23
CPT,81413,HC KCNJ2 MUTATION KNOWN FAM,6017.0,3550.03,724.9,5415.3,23
CPT,81413,HC KCNQ2 DNA SEQUENCING,6017.0,3550.03,724.9,5415.3,23
CPT,81413,HC LONG QT SYNDROME (LQT) #360,6017.0,3550.03,724.9,5415.3,23
CPT,81413,HC LQTS SEQ PANEL GENEDEX360,6017.0,3550.03,724.9,5415.3,23
CPT,81414,HC COMPREHENSIVE ARRHYTHMIA PANEL,6017.0,3550.03,724.9,5415.3,23
CPT,81415,HC PGXOME TC 5000,8215.0,4846.85,989.71,7393.5,23
CPT,81416,HC EXOME SEQ ANALYSIS EACH COMPARAT,13000.0,7670.0,1566.18,11700.0,23
CPT,81416,HC QUANTIFERON-TB ENUMERATION,13000.0,7670.0,1566.18,11700.0,23
CPT,81418,HC ACTX PHARMACOGENOMICS ASSESSMENT (ACTX),5502.48,3246.46,662.92,4952.23,23
CPT,81418,HC RX METAB GEN SEQ ALYS PNL 6,5502.48,3246.46,662.92,4952.23,23
CPT,81419,HC EPILEPSY + SEIZURE PNL 3PB (PREVENTION #16005),14691.36,8667.9,1769.95,13222.22,23
CPT,81420,"HC COUNSYL CFDNA: CHROM 13, 18, 21",700.0,413.0,84.33,630.0,23
CPT,81420,HC COUNSYL CFDNA: WITH +MICRODELETIONS,350.0,206.5,42.17,315.0,23
CPT,81420,HC COUNSYL CFDNA: WITH+MICRODEL+SEX CHROM,350.0,206.5,42.17,315.0,23
CPT,81420,HC COUNSYL CFDNA: WITH+SEX CHROM ANALYSIS,700.0,413.0,84.33,630.0,23
CPT,81420,HC FETAL CHROMOSOMAL ANEUPLOIDY,6017.0,3550.03,724.9,5415.3,23
CPT,81420,"HC INFORMASEQ PRENATAL TEST X, Y ANALYSIS",6017.0,3550.03,724.9,5415.3,23
CPT,81420,HC NH FETAL CHROM ANEUPLOIDY�FETAL DNA,1200.0,708.0,144.57,1080.0,23
CPT,81422,HC COUNSYL CFDNA: WITH +MICRODELETIONS,350.0,206.5,42.17,315.0,23
CPT,81422,HC COUNSYL CFDNA: WITH+SEX CHROM ANALYSIS,350.0,206.5,42.17,315.0,23
CPT,81425,HC GENOME SEQUENCE ANALYSIS,37734.0,22263.06,4546.03,33960.6,23
CPT,81426,HC GENOME SEQUENCE ANALYSIS,16259.7,9593.22,1958.9,14633.73,23
CPT,81430,HC OTOGENOME TEST (110 GENES),2945.0,1737.55,354.8,2650.5,23
CPT,81431,HC OTOGENOME TEST (110 GENES),2945.0,1737.55,354.8,2650.5,23
CPT,81432,HC HRDTRY BRST CA-RLATD DSORDRS,4074.3,2403.84,490.85,3666.87,23
CPT,81434,HC HEREDITARY RETINAL DISORDERS,3587.46,2116.6,432.2,3228.71,23
CPT,81434,HC RETINAL DYSTROPHY PNL (GENEDX J905),3587.46,2116.6,432.2,3228.71,23
CPT,81435,HC HEREDITARY COLON CANCER,9979.0,5887.61,1202.23,8981.1,23
CPT,81435,"HC LYNCH SYNDROME PANEL, VARIES (MAYO LYNCP)",9979.0,5887.61,1202.23,8981.1,23
CPT,81439,HC POSTMORTEM CARDIOMYOPATHY GENE PNL (MAYO PMCMG),3509.4,2070.55,422.8,3158.46,23
CPT,81440,HC DUAL GENOME PANEL 3PB (BAYLOR #2085),3423.72,2019.99,416.48,3081.35,23
CPT,81440,ZZZHC MITOCHONDRIAL SEQ + DEL ANLYS,3423.72,2019.99,412.48,3081.35,23
CPT,81441,HC IBMFS SEQ ALYS PNL 30 GENES,14691.36,8667.9,1769.95,13222.22,23
CPT,81442,HC NOONAN SPECTRUM DISORDERS,10279.0,6064.61,1238.37,9251.1,23
CPT,81443,HC ATAXIA COMPREHENSIVE EVAL 3PB (ATHENA #6930),7566.05,4463.97,911.53,6809.45,23
CPT,81443,HC GENETIC TEST SEVERE INHERIT CONDITION,7566.05,4463.97,911.53,6809.45,23
CPT,81443,HC INHERITED NEUTROPENIA PNL (CCH #7524939),7566.05,4463.97,911.53,6809.45,23
CPT,81443,HC LIMB GIRDLE MUSCU DYST EVAL 3PB (ATHENA #5519),7566.05,4463.97,911.53,6809.45,23
CPT,81443,HC MUNC13-4 (CCH # 7524935),7566.05,4463.97,911.53,6809.45,23
CPT,81445,HC TARGETED GENOMIC SEQ ANALYSIS,3587.46,2116.6,432.2,3228.71,23
CPT,81445,HC THYROID CANCER MUTATION PANEL (QUEST #90469),3587.46,2116.6,432.2,3228.71,23
CPT,81445,HC TUMOR SEQUENC 50 GENE CANCER HOT SPOT,3587.46,2116.6,432.2,3228.71,23
CPT,81448,HC CMT ADV EVAL-DEMYELINATING 3PB (ATHENA #40007,3509.4,2070.55,422.8,3158.46,23
CPT,81448,HC CMT ADVANCED EVAL - DOMINANT 3PB (ATHENA #4005),3509.4,2070.55,422.8,3158.46,23
CPT,81448,HC CMT ADVANCED EVAL COMP 3PB (ATHENA #4001),3509.4,2070.55,422.8,3158.46,23
CPT,81448,HC CMT ADVANCED EVAL-AXONAL 3PB (ATHENA #4008),3509.4,2070.55,422.8,3158.46,23
CPT,81448,HC HEREDITARY PERIPH NEUROPATH > 5,3509.4,2070.55,422.8,3158.46,23
CPT,81449,HC TGSAP SO NEO 5-50 RNA ALYS,3587.46,2116.6,432.2,3228.71,23
CPT,81450,HC AML/MDS 45 GENE PANEL (YH LAB11843),4557.18,2688.74,549.03,4101.46,23
CPT,81450,HC AML/MDS RAPID GENE PANEL (YH LAB11646),4557.18,2688.74,549.03,4101.46,23
CPT,81450,HC TARGETED GENE SEQ 5-50 GENES,4557.18,2688.74,549.03,4101.46,23
CPT,81450,HC TARGETED GENOMIC SEQ ANALYSIS,4557.18,2688.74,549.03,4101.46,23
CPT,81450,HC TARGETED SEQ 5-50 GENES (QUEST# 92472),4557.18,2688.74,549.03,4101.46,23
CPT,81451,HC TGSAP HL NEO 5-50 RNA ALYS,4557.18,2688.74,549.03,4101.46,23
CPT,81455,HC CCS HEME PANEL (YH LAB10077),9764.04,5760.78,1176.33,8787.64,23
CPT,81455,HC FOUNDATION HEME 3PB (FOUNDATION TEST_5684),9764.04,5760.78,1176.33,8787.64,23
CPT,81455,HC LYMPHOID MOLECULAR,9764.04,5760.78,1176.33,8787.64,23
CPT,81455,HC MYELOID MALIGNACIES MUTATION PNL,9764.04,5760.78,1176.33,8787.64,23
CPT,81455,HC TARGETED GENOMIC SEQ ANALYSIS,9764.04,5760.78,1176.33,8787.64,23
CPT,81455,HC THRYOSURE GENE PANEL (YM 81455),9764.04,5760.78,1176.33,8787.64,23
CPT,81455,HC TUMOR SEQUENC  143 GENE ONCOMINE (YH LAB11353),9764.04,5760.78,1176.33,8787.64,23
CPT,81455,HC TUMOR SEQUENCING ONCOMINE,9764.04,5760.78,1176.33,8787.64,23
CPT,81456,HC ARCHER FUSIONPLEX (YM 81456),17517.0,10335.03,2110.37,15765.3,23
CPT,81456,HC HEMATOLOGIC GENE FUSION >51 (YH LAB11919),17517.0,10335.03,2110.37,15765.3,23
CPT,81456,HC TGSAP SO/HL 51/< RNA ALYS,17517.6,10335.38,2110.45,15765.84,23
CPT,81457,HC COMPLETE KIDNEY CANCER PANEL (MAYO MCKCP),5381.22,3174.92,648.31,4843.1,23
CPT,81460,HC COMPREHENSIVE MTDNA ANALYSIS 3PB (BAYLOR #3056),4573.35,2698.28,550.98,4116.02,23
CPT,81460,HC DUAL GENOME PANEL 3PB (BAYLOR #2085),4573.35,2698.28,556.32,4116.02,23
CPT,81460,HC MITOCHONDRIAL SEQ + DEL ANLYS (ARUP #3001965),4573.35,2698.28,550.98,4116.02,23
CPT,81465,HC COMPREHENSIVE MTDNA ANALYSIS 3PB (BAYLOR #3056),3326.08,1962.39,400.71,2993.47,23
CPT,81465,HC DUAL GENOME PANEL 3PB (BAYLOR #2085),3326.08,1962.39,404.6,2993.47,23
CPT,81465,HC MITOCHONDRIAL SEQ + DEL ANLYS (ARUP #3001965),3326.08,1962.39,400.71,2993.47,23
CPT,81479,HC  ELA2 FULL MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC  MAGT1 FULL MUTATION ANALYSIS (CCH #5390809),451.0,266.09,54.33,405.9,23
CPT,81479,HC 2-3 BIPHOSPHOGLYCERATE MUT (MAYO BPGMM),451.0,266.09,54.33,405.9,23
CPT,81479,HC ABCA4 COMP SEQUENCE & DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC ABCD1 COMPREHENSIVE SEQ/DEL/DUP,1871.63,1104.26,225.49,1684.47,23
CPT,81479,HC ACADVL DELETION/DUPLICATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC ACADVL SEQ AND DEL/DUP ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC ACT-X,430.0,253.7,51.8,387.0,23
CPT,81479,HC ACUTE PORPHYRIA PANEL (PREVENTION #10145),1524.0,899.16,185.39,1371.6,23
CPT,81479,HC ADMARK EARLY ONST ALZHEIM EVAL 3PB(ATHENA #179),451.0,266.09,54.33,405.9,23
CPT,81479,HC ADVANCED MTDNA POINT MUT & DEL,451.0,266.09,54.33,405.9,23
CPT,81479,"HC AGL COMPREHENSIVE, SEQ & DEL/DUP",451.0,266.09,54.33,405.9,23
CPT,81479,HC AGXT MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC AHUS PANEL (MAYO AHUGP),790.19,466.21,95.2,711.17,23
CPT,81479,HC AIRE GENE ANALYSIS 2,451.0,266.09,54.33,405.9,23
CPT,81479,HC AKT-1,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALAS2 GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALBRIGHT HEREDITARY COMPLETE SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALDH7A1 GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALLOSURE - 3PB (CAREDX),451.0,266.09,54.33,405.9,23
CPT,81479,HC ALPHA GLOBULIN GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALPHA SYNUCLEIN (SNCA) DNA SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALPL COMP SEQ & DEL/DUP ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALPL SEQUENCE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC ALPORT SYNDROME EVAL,451.0,266.09,54.33,405.9,23
CPT,81479,HC AML BY NGS ASXL1,451.0,266.09,54.33,405.9,23
CPT,81479,HC AML BY NGS DMNT3A,451.0,266.09,54.33,405.9,23
CPT,81479,HC AML BY NGS FLT3,451.0,266.09,54.33,405.9,23
CPT,81479,HC AML BY NGS PHF6,451.0,266.09,54.33,405.9,23
CPT,81479,HC AML BY NGS TET2,451.0,266.09,54.33,405.9,23
CPT,81479,HC AMYLOIDOSIS EVALUATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC AORTOPATHY PANEL 4,451.0,266.09,54.33,405.9,23
CPT,81479,HC ARRYTHMOGENIC R VENT DYSP,451.0,266.09,54.33,405.9,23
CPT,81479,HC ARSA SEQUENCE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC ARVC SEQ PANEL GENEDEX385,451.0,266.09,54.33,405.9,23
CPT,81479,"HC ASHKENAZI, JEWISH DIS 16 GENES (ARUP #0051415)",451.0,266.09,54.33,405.9,23
CPT,81479,HC ATAXIA/EPISODIC ATAXIA DISORDERS DNA,451.0,266.09,54.33,405.9,23
CPT,81479,HC ATAXIA/EPOSODIC ATAXIA PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC ATP8B1 SEQUENCE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC AUTO DOM ATAXIA OTHR,451.0,266.09,54.33,405.9,23
CPT,81479,HC AUTOIMMUNE LYMPH SNND PNL NGS1,451.0,266.09,54.33,405.9,23
CPT,81479,HC AUTOSOMAL DOMINANT ATAXIA EVALUATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC BCKD COMPLEX FULL GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC BCKD COMPLEX GENE DELETION/DUPLICAT,451.0,266.09,54.33,405.9,23
CPT,81479,HC BCR/ABL SCREEN,451.0,266.09,54.33,405.9,23
CPT,81479,HC BIRC4 (XIAP) FULL MUTATION ANLYS (CCH #4751110),451.0,266.09,54.33,405.9,23
CPT,81479,HC BKCD COMP FULL GENE SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC BONE MARROW FAILURE PNL 3PB (PREVENTION #7359),451.0,266.09,54.33,405.9,23
CPT,81479,HC BRAF G469 VARIANT,451.0,266.09,54.33,405.9,23
CPT,81479,HC BRCA PANEL PLUS (QUEST #92587),451.0,266.09,54.33,405.9,23
CPT,81479,HC C9ORF72 3PB (PREVENTION #151),451.0,266.09,54.86,405.9,23
CPT,81479,HC CASP10 CASPASE 10 FULL SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC CBA GENE SEQ 2,451.0,266.09,54.33,405.9,23
CPT,81479,HC CDH1 GENE SEQ & DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC CDKN1C GENE,451.0,266.09,54.33,405.9,23
CPT,81479,HC CENTRAL HYPOVENTILATION SYNDROME PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC CF 102 SCREENING PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC CFDEL CYSTIC FIB 3199DEL6,451.0,266.09,54.33,405.9,23
CPT,81479,HC CHRONIC PANC SEQ W CNV 3PB (PREVENTION #10191),451.0,266.09,54.86,405.9,23
CPT,81479,HC CITRULLINEMIA ASSI,451.0,266.09,54.33,405.9,23
CPT,81479,HC CITRULLINEMIA ASSI SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC CMT ADVANCED EVAL-AXONAL #4008,451.0,266.09,54.33,405.9,23
CPT,81479,HC COL3A1,451.0,266.09,54.33,405.9,23
CPT,81479,HC COLZA1 EXON 2,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMBINED PIT HORMONE DEF EVAL,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMP ATAXIA EVAL SCA,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMP HERED SPASTIC PARAPLEG EVAL #655,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPLETE ALS EVAL 4,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPLETE ALS EVALUATION #643,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPLETE DMD EVAL FEMALE,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPLETE DYT5 EVAL #629,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPLETE MYOTONIC DYSTROPHY EVAL #126,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPLETE PARKINSONISM EVAL #588,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPLETE PKD EVAL 3,451.0,266.09,54.33,405.9,23
CPT,81479,HC COMPREHENSIVE MTDNA ANALYSIS1,451.0,266.09,54.33,405.9,23
CPT,81479,HC CONG HYPERINSULIN EVAL,451.0,266.09,54.33,405.9,23
CPT,81479,HC CONGENITAL FIBER TYPE DISPROPORTION SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC CONGENITAL MYASTHENIC SYNDROME NGS,451.0,266.09,54.33,405.9,23
CPT,81479,HC CONGENITAL STATIONARY NIGHT BLINDNESS,451.0,266.09,54.33,405.9,23
CPT,81479,HC COUNSYL REC GENE:UNIVERSAL PANEL (LARGE),749.5,442.21,90.3,674.55,23
CPT,81479,HC CPOX GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC CPT2 COMPREHENSIVE SEQ&DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC CSF3R GENE MUT. ANALYSIS (QUEST# 92477),451.0,266.09,54.33,405.9,23
CPT,81479,HC CSF3R GENE MUTATION (LAB11698),451.0,266.09,54.33,405.9,23
CPT,81479,HC CSF3R MUTATION ANALYSIS (QUEST# 92472),451.0,266.09,54.33,405.9,23
CPT,81479,HC CXCR4 MUTATION ANLYS 3PB (NEOGENOMICS #4138X),451.0,266.09,54.86,405.9,23
CPT,81479,HC CYP19A1 GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC CYP7B1 (SPG5A) DNA #612,451.0,266.09,54.33,405.9,23
CPT,81479,HC CYTOCHROME P450 1A2,451.0,266.09,54.33,405.9,23
CPT,81479,HC DCM PANEL (27 GENES) TEST,451.0,266.09,54.33,405.9,23
CPT,81479,HC DM2 DNA TEST #110,451.0,266.09,54.33,405.9,23
CPT,81479,HC DOMINANT CMT EVAL OTHR,451.0,266.09,54.33,405.9,23
CPT,81479,HC DYSKERATOSIS CONGENITAL (DKC1) X-LINKED SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC EHLERS-DANLOS SYN I/II,451.0,266.09,54.33,405.9,23
CPT,81479,HC EHLERS-DANLOS SYN VIIA/VIIB,451.0,266.09,54.33,405.9,23
CPT,81479,HC ELANE 2 GENE MUTATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC ELANE GENE SEQ #105 GDX,451.0,266.09,54.33,405.9,23
CPT,81479,HC EPILEPSY ADVANCED SEQ EVAL 6,451.0,266.09,54.33,405.9,23
CPT,81479,HC EPILEPSY ASSOC W FEVER IN FEMALES,451.0,266.09,54.33,405.9,23
CPT,81479,HC ERBB 2,451.0,266.09,54.33,405.9,23
CPT,81479,HC FACTOR V CAMBRIDGE MUTATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC FAH SEQ ANALYSIS #3445,451.0,266.09,54.33,405.9,23
CPT,81479,HC FAMILIAL DNA SEQUENCE EVALUATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC FAMILIAL HEMIPLEGIC MIGRAINE TYPE I CACNA1A,451.0,266.09,54.33,405.9,23
CPT,81479,HC FAMILIAL HYPERCHOL SEQ 3PB (PREVENTION #10163),451.0,266.09,54.86,405.9,23
CPT,81479,HC FAMILIAL HYPERCHOLESTEROLEMIA PNL (QUEST#94877),451.0,266.09,54.33,405.9,23
CPT,81479,HC FANCA FULL MUTATION ANALYSIS (CCH #5312795),451.0,266.09,54.33,405.9,23
CPT,81479,HC FANCC FULL GENE SEQ (CCH #5313079),451.0,266.09,54.33,405.9,23
CPT,81479,HC FANCG FULL GENE SEQ (CCH #5318613),451.0,266.09,54.33,405.9,23
CPT,81479,HC FAS TNFRFS6 FULL SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC FASLG TNFSF6 FULL SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC FECH GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC FOXL2 MUTATION TESTING (YM Y4419),451.0,266.09,54.33,405.9,23
CPT,81479,HC FRONTOTEMPORAL DEMENTIA EVALUATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC FSGS,451.0,266.09,54.33,405.9,23
CPT,81479,HC FSHR GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC G6PC COMPREHENSIVE SEQ & DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC GALE GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC GALK1 GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC GATA 1 GENE,451.0,266.09,54.33,405.9,23
CPT,81479,HC GATM COMP- SEQ AND DEL/DUP ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC GCDH COMPREHENSIVE,1038.5,612.72,125.11,934.65,23
CPT,81479,HC GCH1 DELETION,451.0,266.09,54.33,405.9,23
CPT,81479,HC GENE SEQUENCE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC GNPTAB GENE SEQUENCE,451.0,266.09,54.33,405.9,23
CPT,81479,HC GPR143 COMPREHENSIVE SEQ & DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC GSD COMPREHENSIVE PANEL4,451.0,266.09,54.33,405.9,23
CPT,81479,HC HADHA DEL/DUP TARGETED EXONIC MICROARRAY,451.0,266.09,54.33,405.9,23
CPT,81479,HC HAX1 FULL MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC HAXI GENE MUTATION,451.0,266.09,54.33,405.9,23
CPT,81479,HC HEMIPLEGIC MIGRANE EVALUATION 3,451.0,266.09,54.33,405.9,23
CPT,81479,HC HEMOPHAG LYMPH PNL 1,451.0,266.09,54.33,405.9,23
CPT,81479,HC HEPACAM GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC HEPATOCEREBRAL MTDNA DEPLETION,451.0,266.09,54.33,405.9,23
CPT,81479,HC HEREDITARY ERYTHROCYSTOSIS MUT (MAYO HEMP),451.0,266.09,54.33,405.9,23
CPT,81479,HC HEREDITARY HEMOR TELANG (HHT) SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC HEREDITARY PERSISTENCE OF FETAL HEMOGLOBIN,451.0,266.09,54.33,405.9,23
CPT,81479,HC HHT DEL/DUP SCREEN,451.0,266.09,54.33,405.9,23
CPT,81479,HC HHT DELETION/DUPLICATION FAMILIAL,451.0,266.09,54.33,405.9,23
CPT,81479,HC HHT DELETION/DUPLICATION SCREEN,451.0,266.09,54.33,405.9,23
CPT,81479,"HC HHT PANEL SEQ DEL/DUP, 5 GENES",451.0,266.09,54.33,405.9,23
CPT,81479,HC HHT SEQ/DEL/DUP W/RFLX SMAD4 DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC HHT SEQUENCING SCREEN,451.0,266.09,54.33,405.9,23
CPT,81479,HC HLH PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC HMBS GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC HMO SEQUENCING PANEL,2170.0,1280.3,261.43,1953.0,23
CPT,81479,HC HYPERPARATHY JAW TUMOR SY,451.0,266.09,54.33,405.9,23
CPT,81479,HC HYPOPHOSPHATEMIC RICKETS-2,451.0,266.09,54.33,405.9,23
CPT,81479,HC IKBKG SEQUENCE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC IL28B ASSOCIATED VARIANT,451.0,266.09,54.33,405.9,23
CPT,81479,HC INCON PIGMENTI COMMON DEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC INCONTINENTIA PIGMENTI,451.0,266.09,54.33,405.9,23
CPT,81479,HC INFLIZIMAB/HACA MEASUR,451.0,266.09,54.33,405.9,23
CPT,81479,HC INHERITED NEUTROPENIA PANEL 81479,265.71,156.77,32.01,239.14,23
CPT,81479,HC INTRAHEP CHOL ABC11 3310,451.0,266.09,54.33,405.9,23
CPT,81479,HC INTRAHEP CHOL ABC11 3315,451.0,266.09,54.33,405.9,23
CPT,81479,HC INTRAHEPATIOC CHOLESTASIS-ABCB11 SEQ #3310,451.0,266.09,54.33,405.9,23
CPT,81479,HC INVITAE DISTAL MYOPATHY,451.0,266.09,54.33,405.9,23
CPT,81479,HC ITK FULL MUTATION ANALYSIS (CCH #5096306),451.0,266.09,54.33,405.9,23
CPT,81479,HC IVD COMP SEQ & DEL/DUP ANALYSIS_BCM,451.0,266.09,54.33,405.9,23
CPT,81479,HC JAUNDICECHIP RESEQUENCING ARRAY,451.0,266.09,54.33,405.9,23
CPT,81479,HC KIF5A (SPG10) DNA SEQUENCING #613,451.0,266.09,54.33,405.9,23
CPT,81479,HC LI-FRAUNENI TP53 SEQ & DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC LIPA SEQUENCE ANALYSIS #6430,451.0,266.09,54.33,405.9,23
CPT,81479,HC LONG CHAIN 3-HYDROXY ACYL-COA DEHYDROG,451.0,266.09,54.33,405.9,23
CPT,81479,HC MAT1A GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC MDS BY NGS ASXL1,451.0,266.09,54.33,405.9,23
CPT,81479,HC MDS BY NGS ETV6,451.0,266.09,54.33,405.9,23
CPT,81479,HC MDS BY NGS EZH2,451.0,266.09,54.33,405.9,23
CPT,81479,HC MDS BY NGS RUNX1,451.0,266.09,54.33,405.9,23
CPT,81479,HC MEK 1,451.0,266.09,54.33,405.9,23
CPT,81479,HC METHYLMAL ACIDEMIA PNL 3PB (PREVENTION #10295),451.0,266.09,54.33,405.9,23
CPT,81479,HC MILROY DISEASE VIA FLT4 GENE (TIER 1 AND 2),451.0,266.09,54.33,405.9,23
CPT,81479,HC MITOCHOND WHOLE GENOME SEQ ANALY FAM,451.0,266.09,54.33,405.9,23
CPT,81479,HC MLC1 GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC MLL,451.0,266.09,54.33,405.9,23
CPT,81479,HC MMA  PANEL 3 GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC MOLAR PREG (PCR),451.0,266.09,54.33,405.9,23
CPT,81479,HC MOLECULAR PATHOLOGY PROC LEV UNLISTED,451.0,266.09,54.33,405.9,23
CPT,81479,HC MONOGENIC DIABETES (MODY) EVAL 3PB (ATHENA #885,451.0,266.09,54.33,405.9,23
CPT,81479,HC MPL GENE,451.0,266.09,54.33,405.9,23
CPT,81479,HC MUNC 13-4 FULL MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC MUNC1 3-4,451.0,266.09,54.33,405.9,23
CPT,81479,HC MVK GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC MVK SELECT EXONS #216 GDX,451.0,266.09,54.33,405.9,23
CPT,81479,HC MYCN GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC MYD 88 MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC MYD88 L265P MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC MYELOID MOLECULAR PROFILE 6,451.0,266.09,54.33,405.9,23
CPT,81479,HC MYH9 FULL GENE SEQUENCE,451.0,266.09,54.33,405.9,23
CPT,81479,HC MYOPATHY/RHABDOMYOLYSIS PNL 3PB (BAYLOR #2300),451.0,266.09,54.33,405.9,23
CPT,81479,HC MYOTONIC SYND ADV EVAL 3PB (ATHENA #5506),451.0,266.09,54.33,405.9,23
CPT,81479,HC NEOGEN SF3B1 ONLY 3PB,451.0,266.09,54.33,405.9,23
CPT,81479,HC NEUTROPHIL AG GENOTYPING,451.0,266.09,54.33,405.9,23
CPT,81479,HC NF1 AND SPREAD 1 SEQUENCING 3,451.0,266.09,54.33,405.9,23
CPT,81479,HC NF1 AND SPRED1 SEQ PNL 3PB (PREVENTION #10099),451.0,266.09,54.33,405.9,23
CPT,81479,HC NF1 SEQUENCING PREV ONLY 3PB,451.0,266.09,54.33,405.9,23
CPT,81479,HC NGS EPILEPSY/SEIZURE PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC NGS PIGMENTATION PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC NIEMANN-PIC TPE C NPC1 GENE SEQ #6555,451.0,266.09,54.33,405.9,23
CPT,81479,HC NLRP3 EXON SEQ #217 GDX,451.0,266.09,54.33,405.9,23
CPT,81479,HC NM-PIC TPE C NPC1 GENE SEG K FAM#6556,451.0,266.09,54.33,405.9,23
CPT,81479,HC NOONAN SPECTRUM PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,"HC NOTCH3 GENE, FULL GENE ALYS, VAR (MAYO NTC3Z)",451.0,266.09,54.33,405.9,23
CPT,81479,HC OPMD DNA TEST,451.0,266.09,54.33,405.9,23
CPT,81479,"HC OPTIC ATROPHY PANEL, 2 GENES",451.0,266.09,54.33,405.9,23
CPT,81479,HC OPTIC ATROPHY SEQ PNL 3PB (PREVENTION #10331),0.01,0.01,0.01,0.01,23
CPT,81479,HC OTOGENOME TEST (70 GENES),451.0,266.09,54.33,405.9,23
CPT,81479,HC OTOSCOPE PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC PAH COMP SEQ & DEL/DUP ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC PAN CARDIOMYOP PANEL-PARTNERS HLTHCAR,451.0,266.09,54.33,405.9,23
CPT,81479,HC PANCREAS SEQ PNL W RFLX DEL/DUP (CCH #10499803),451.0,266.09,54.33,405.9,23
CPT,81479,HC PARTIAL DMD DEL/DUP FEM,451.0,266.09,54.33,405.9,23
CPT,81479,HC PARTIAL DMD DEL/DUP MALE,451.0,266.09,54.33,405.9,23
CPT,81479,HC PARTIAL DMD SEQUENCE,451.0,266.09,54.33,405.9,23
CPT,81479,HC PATHFINDERTG CYST FLD 3PB (INTERPACE),451.0,266.09,54.33,405.9,23
CPT,81479,HC PAX6 GENE SEQUENCING & DEL/DUP PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC PC COMP 2,451.0,266.09,54.33,405.9,23
CPT,81479,HC PCD SEQUENCING PANEL,451.0,266.09,54.33,405.9,23
CPT,81479,HC PERIODIC FEVER SYND SEQ 3PB (PREVENTION #10315),50.56,29.83,6.09,45.5,23
CPT,81479,HC PERIODIC FEVER SYNDROMES PANEL #367,451.0,266.09,54.33,405.9,23
CPT,81479,HC PERIODIC FEVER SYNDROMES SEQUENCING 7 GENES,451.0,266.09,54.33,405.9,23
CPT,81479,HC PFIC1 FULL MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC PFIC2 FULL MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC PIK 2CA,451.0,266.09,54.33,405.9,23
CPT,81479,HC PKHD1 GENE DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC PKLR SANGER SEQUENCE,451.0,266.09,54.33,405.9,23
CPT,81479,HC PNPO GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC POLG  SEQ ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC POLG1 RELATED DISORDERS,451.0,266.09,54.33,405.9,23
CPT,81479,HC PPOX GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC PRF1 FULL MUTATION ANALYSIS (CCH #4750450),451.0,266.09,54.33,405.9,23
CPT,81479,HC PRIMARY CILIARY DYSKINESIA SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC PROGRESS XTRN OPHTHALMOPLEGIA 3PB (ATHENA #576),451.0,266.09,54.33,405.9,23
CPT,81479,HC PROMETHEUS IBD SGI AND CROHN'S,451.0,266.09,54.33,405.9,23
CPT,81479,HC PRRT2,451.0,266.09,54.33,405.9,23
CPT,81479,HC PSTPIP1 EXONS SEQ #2101,451.0,266.09,54.33,405.9,23
CPT,81479,HC PYCNODYSOSTOSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC RAB27A FULL MUTATION ANALYSIS (CCH #4927577),451.0,266.09,54.33,405.9,23
CPT,81479,HC REEP1 (SPG31) DELETION ANLYS 3PB (ATHENA #6611),451.0,266.09,54.33,405.9,23
CPT,81479,HC RH E/E GENOTYPING,451.0,266.09,54.33,405.9,23
CPT,81479,HC RMRP GENE SEQ GEND DX #225,451.0,266.09,54.33,405.9,23
CPT,81479,HC RUNX1 GENE,451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE A DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE A SEQ (GREENWOOD DSGS),451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE B DEL/SUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE B SEQ (GREENWOOD DNAG),451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE C DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE C SEQ (GREENWOOD DHGS),451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE D DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC SANFILIPPO SYNDROME TYPE D SEQ (GREENWOOD DGNS),451.0,266.09,54.33,405.9,23
CPT,81479,HC SBDS FULL MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC SBDS GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC SBDS GENE ANALYSIS (CCH #5114603),451.0,266.09,54.33,405.9,23
CPT,81479,HC SCN07,451.0,266.09,54.33,405.9,23
CPT,81479,HC SCN1A DELETION TEST,451.0,266.09,54.33,405.9,23
CPT,81479,HC SCOT 3PB (PREVENTION #11845),451.0,266.09,54.86,405.9,23
CPT,81479,HC SERPINA 1 GENE (MAYO SERPZ),451.0,266.09,54.33,405.9,23
CPT,81479,HC SETBP1 MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC SH2D1A FULL MUTATION ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC SHOX (GHD) DNA SEQ/DEL (QUEST #91566),451.0,266.09,54.33,405.9,23
CPT,81479,HC SHOX-DNA GENETIC MUTATION,110.22,65.03,13.28,99.2,23
CPT,81479,HC SLC25A13,451.0,266.09,54.33,405.9,23
CPT,81479,HC SLC25A15 COMPREHENSIVE SEQ & DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,"HC SLC37A4 COMP, SEL & DEL/DUP",451.0,266.09,54.33,405.9,23
CPT,81479,HC SMA PLUS 3PB (ATHENA #214),451.0,266.09,54.33,405.9,23
CPT,81479,HC SMARCAL1 SANGER SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC SPAST (ZYFVE26) DNA SEQ (SPG15) #614,451.0,266.09,54.33,405.9,23
CPT,81479,HC STAT3 TIER 1 ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC STICKLER SYNDROME,451.0,266.09,54.33,405.9,23
CPT,81479,HC STX11 FULL MUTATION ANALYSIS (CCH #4751120),451.0,266.09,54.33,405.9,23
CPT,81479,HC STXBP2 FULL MUTATION ANALYSIS (CCH #5031202),451.0,266.09,54.33,405.9,23
CPT,81479,HC SUCRASE-ISOMALTASE DEFICIENCY (CSID),451.0,266.09,54.33,405.9,23
CPT,81479,HC SURFACTANT PANEL (ABCA3 SFTPB SFTPC),451.0,266.09,54.33,405.9,23
CPT,81479,HC TARGETED MTDNA ANALYSIS BY MAS PAR,451.0,266.09,54.33,405.9,23
CPT,81479,HC TAT SEQUENCE & DEL/DUP ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC TBX1 GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC TELOMERASE RNA COMP DEL/DUP,451.0,266.09,54.33,405.9,23
CPT,81479,HC TELOMERASE RNA COMP SEQ,451.0,266.09,54.33,405.9,23
CPT,81479,HC TNFRSF1A EXONS SEQ #215 GDX,451.0,266.09,54.33,405.9,23
CPT,81479,HC TOR1A SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC TORIA DELETION/DUPLICAT VIA ARRAY CGH,451.0,266.09,54.33,405.9,23
CPT,81479,HC TREC,451.0,266.09,54.33,405.9,23
CPT,81479,HC TRF1 INTERACTING NUC FCTZ,451.0,266.09,54.33,405.9,23
CPT,81479,HC TRUGRAF GENE BLOOD (VIRACOR #30929),451.0,266.09,54.33,405.9,23
CPT,81479,HC TSC FAMILIAL MUTATION EVAL,451.0,266.09,54.33,405.9,23
CPT,81479,HC TTP ADAMTS13 SEQ ANLYS 3PB (PREVENTION #11071),451.0,266.09,54.86,405.9,23
CPT,81479,HC UCD AND HYPERAMMONIA PNL 3,451.0,266.09,54.33,405.9,23
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY,451.0,266.09,54.33,405.9,23
CPT,81479,HC UROD GENE ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC USH2A SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,"HC VLCAD CARRIER, KNOWN MUTATION ANALYSIS",451.0,266.09,54.33,405.9,23
CPT,81479,HC WEAK RHD ANALYSIS (VERSITI #3040),451.0,266.09,54.33,405.9,23
CPT,81479,HC X-LINKED LYMPH PROLIF XLP,451.0,266.09,54.33,405.9,23
CPT,81479,HC ZALBINISM PANEL-NGS,451.0,266.09,54.33,405.9,23
CPT,81479,HC ZCHM GENE SEQUENCING,451.0,266.09,54.33,405.9,23
CPT,81479,HC ZPFKM SEQ AND DEL/DUP ANALYSIS,451.0,266.09,54.33,405.9,23
CPT,81479,HC ZZZCOMPLETE ATAXIA EVAL #696,451.0,266.09,54.33,405.9,23
CPT,81479,HC ZZZLIMB GIRD MUSCU DYST EVAL 3PB (ATHENA #5519),451.0,266.09,54.33,405.9,23
CPT,81479,ZZZHC APC/MUTHY SEQ AND DEL/DUP 3PB (AMBRY #8726),451.0,266.09,54.33,405.9,23
CPT,81479,ZZZHC PANCREATIC PLUS PANEL (CFTR)   (AMBRY #8022),451.0,266.09,54.33,405.9,23
CPT,81490,HC AUTOIMMUNE PANEL DISEASE ACTIVITY SCORE,5043.9,2975.9,607.67,4539.51,23
CPT,81500,HC ONCO (OVAR) TWO PROTEINS,1563.0,922.17,188.3,1406.7,23
CPT,81503,HC ONCO OVARIAN 5 PROTEINS,3187.49,1880.62,384.02,2868.74,23
CPT,81508,HC 2 PROTEIN FETAL CONGENIT (QUEST# 16145),161.0,94.99,19.4,144.9,23
CPT,81508,HC FTL CGEN ABNOR TWO PROTEINS,161.0,94.99,19.4,144.9,23
CPT,81511,HC 4 PROTEIN FETAL CONGENIT,404.0,238.36,48.67,363.6,23
CPT,81511,HC MATERNAL QUAD SCREEN,404.0,238.36,48.67,363.6,23
CPT,81511,HC SEQUENTIAL INTEGRATED SCREEN 2,404.0,238.36,48.67,363.6,23
CPT,81513,HC NFCT DS BV RNA VAG FLU ALG,855.78,504.91,103.1,770.2,23
CPT,81514,HC NFCT DS BV&VAGINITIS DNA ALG,1577.94,930.98,190.1,1420.15,23
CPT,81515,HC NFCT DS BV&VAGINITIS DNA ALG,1577.94,930.98,190.1,1420.15,23
CPT,81517,HC LIVER DS ALYS 3 BMRK SRM ALG,1057.14,623.71,127.36,951.43,23
CPT,81519,HC ONCOLOGY BREAST MRNA 21 GENES,23238.0,13710.42,2799.62,20914.2,23
CPT,81522,HC ONC BREAST MRNA 12 GENES,29047.5,17138.03,3499.52,26142.75,23
CPT,81523,HC ONC BRST MRNA 70 CNT 31 GENE,23238.0,13710.42,2799.62,20914.2,23
CPT,81525,HC COLON ONCOLOGY MRNA,23443.0,13831.37,2824.31,21098.7,23
CPT,81529,HC ONC CUTAN MLNMA MRNA 31 GENE,43158.0,25463.22,5199.49,38842.2,23
CPT,81539,HC ONCOLOGY PROSTATE PROB SCORE,4560.0,2690.4,549.37,4104.0,23
CPT,81541,HC ONCOLOGY PROSTATE MRNA 46 GENES,23238.0,13710.42,2799.62,20914.2,23
CPT,81542,HC ONC PROSTATE MRNA 22 CNT GEN,14523.75,8569.01,1749.76,13071.38,23
CPT,81546,"HC ONC THYR MRNA 10, 196 GEN ALG",21600.0,12744.0,2602.28,19440.0,23
CPT,81554,HC PULM DS IPF MRNA 190 GENE ALG,33000.0,19470.0,3975.7,29700.0,23
CPT,81558,HC TRNSPL REJ KDN MRNA QPCR 139,19440.0,11469.6,2342.05,17496.0,23
CPT,81595,HC CARDIOLOGY HRT TRNSPL MRNA 20 GENE 3PB (CAREDX),19440.0,11469.6,2342.05,17496.0,23
CPT,81596,HC  LIVER FIBROSIS PNL (QUEST# 92688),541.43,319.44,65.23,487.29,23
CPT,81596,"HC FIBROTEST-ACTITEST, SERUM (MAYO FIBRO)",541.43,319.44,65.23,487.29,23
CPT,81596,HC NFCT DS CHRNC HCV 6 ASSAYS,541.43,319.44,65.23,487.29,23
CPT,81599,HC LIVER FIBROSIS PANEL (HEPASCORE),227.0,133.93,27.35,204.3,23
CPT,81599,HC MYPRS GENE EXPRESSION PROFILE,227.0,133.93,27.35,204.3,23
CPT,82009,HC ACETONE/KETONES QL SERUM,47.0,27.73,5.66,42.3,23
CPT,82010,HC 4-HYDROXYBUTYRIC ACID CSF,84.0,49.56,10.12,75.6,23
CPT,82010,HC ACETOACETATE,84.0,49.56,10.12,75.6,23
CPT,82010,HC BETA HYDROXYBUTYRATE QN SERUM,84.0,49.56,10.12,75.6,23
CPT,82013,HC ACETYLCHOLINESTERASE,115.0,67.85,13.85,103.5,23
CPT,82016,HC ACYLCARNITINES QL EA SPECIMEN,143.0,84.37,17.23,128.7,23
CPT,82016,HC GLOBAL MAPS PLASMA,57.18,33.74,6.89,51.46,23
CPT,82016,HC GLOBAL MAPS URINE,57.18,33.74,6.89,51.46,23
CPT,82017,HC ACYLCARNITINES ASSAY,174.0,102.66,20.96,156.6,23
CPT,82017,HC ACYLCARNITINES PLASMA,174.0,102.66,20.96,156.6,23
CPT,82017,HC ALPHA AMNIOADIPIC SEMIALDEHYDE CSF,174.0,102.66,20.96,156.6,23
CPT,82017,"HC GLUTARYLCARNITINE QUANT, URINE",230.0,135.7,27.71,207.0,23
CPT,82017,HC SIALIC ACID CSF,174.0,102.66,20.96,156.6,23
CPT,82024,HC ADRENOCORTICOTROPIC HORMONE (ACTH),397.0,234.23,47.83,357.3,23
CPT,82030,HC ASSAY OF ADP & AMP,154.8,91.33,18.65,139.32,23
CPT,82040,HC ALBUMIN (SO),29.7,17.52,3.58,26.73,23
CPT,82040,"HC ALBUMIN; SERUM, PLASMA OR WHOLE BLOOD",29.7,17.52,3.58,26.73,23
CPT,82042,HC ALBUMIN OTHER SOURCE,53.0,31.27,6.39,47.7,23
CPT,82042,HC ALBUMIN QN URINE OR OTHER SRCE,53.0,31.27,6.39,47.7,23
CPT,82043,HC MICROALBUMIN QN URINE,59.0,34.81,7.11,53.1,23
CPT,82075,HC ALCOHOL (ETHANOL) BREATH,50.0,29.5,6.02,45.0,23
CPT,82077,HC ASSAY ALCOHOL SPEC XCP UR&BREATH IA,103.62,61.14,12.48,93.26,23
CPT,82085,HC ALDOLASE,100.0,59.0,12.05,90.0,23
CPT,82088,HC ALDOSTERONE,419.0,247.21,50.48,377.1,23
CPT,82088,HC ALDOSTERONE (SO),419.0,247.21,50.48,377.1,23
CPT,82088,"HC ALDOSTERONE, LCMSMS",419.0,247.21,50.48,377.1,23
CPT,82103,HC A1FEC SO AAT FECES RANDOM,138.0,81.42,16.63,124.2,23
CPT,82103,HC ALPHA-1-ANTITRYPSIN,138.0,81.42,16.63,124.2,23
CPT,82103,"HC ALPHA-1-ANTITRYPSIN,FECES",138.0,81.42,16.63,124.2,23
CPT,82103,HC ALPHA-1-ANTITRYPSIN; TOTAL,138.0,81.42,16.63,124.2,23
CPT,82104,HC ALPHA-1 ANTITRYPSIN PHENOTYPE,94.0,55.46,11.32,84.6,23
CPT,82105,HC ALPHA-FETOPROTEIN (AFP); SERUMALPHA-F,173.0,102.07,20.84,155.7,23
CPT,82105,HC MATERNAL SERUM AFP BILLING TEST - ALP,173.0,102.07,20.84,155.7,23
CPT,82106,HC ALPHA FETO PROTEIN FLUID,173.0,102.07,20.84,155.7,23
CPT,82106,HC ALPHA FETOPROTEIN AMNIOTIC,173.0,102.07,20.84,155.7,23
CPT,82107,HC ALPHA FETOPROTEIN W/ AFP L-3,257.0,151.63,30.96,231.3,23
CPT,82108,"HC  ALUMINUM, URINE",262.0,154.58,31.56,235.8,23
CPT,82108,HC ALUMINUM,262.0,154.58,31.56,235.8,23
CPT,82127,HC SULFOCYSTEINE URINE,143.0,84.37,17.23,128.7,23
CPT,82128,HC AMINO ACIDS QL MULT URINE,92.0,54.28,11.08,82.8,23
CPT,82128,HC GLOBAL MAPS PLASMA,57.18,33.74,6.89,51.46,23
CPT,82128,HC GLOBAL MAPS URINE,57.18,33.74,6.89,51.46,23
CPT,82131,HC AMINO ACIDS QN SNGL,174.0,102.66,20.96,156.6,23
CPT,82131,HC CYSTINE URINE,174.0,102.66,20.96,156.6,23
CPT,82131,HC PLASMA PHENYLALANINE,174.0,102.66,20.96,156.6,23
CPT,82131,"HC TRYPTOPHAN,LC/MS",174.0,102.66,20.96,156.6,23
CPT,82135,HC AMINOLEVULINIC ACID (ALA),124.0,73.16,14.94,111.6,23
CPT,82135,HC GLOBAL MAPS URINE,49.83,29.4,6.0,44.85,23
CPT,82136,HC AMINO ACIDS QN 2-5 ACIDS,174.0,102.66,20.96,156.6,23
CPT,82139,HC AMINO ACID CSF,174.0,102.66,20.96,156.6,23
CPT,82139,HC AMINO ACID SCREEN URINE,174.0,102.66,20.96,156.6,23
CPT,82139,"HC AMINO ACID SCREEN, PLASMA",174.0,102.66,20.96,156.6,23
CPT,82139,HC AMINO ACIDS QUAN 6 OR MORE,174.0,102.66,20.96,156.6,23
CPT,82139,"HC AMINO ACIDS, QUANTITATIVE - QUANTITAT",174.0,102.66,20.96,156.6,23
CPT,82139,"HC AMINO ACIDS, QUANTITATIVE, CSF - QUAN",174.0,102.66,20.96,156.6,23
CPT,82139,HC PLASMA BRANCHED CHAIN AMINO ACID,174.0,102.66,20.96,156.6,23
CPT,82140,HC AMMONIA,150.0,88.5,18.07,135.0,23
CPT,82143,HC AMNIOTIC FLUID SCAN,71.0,41.89,8.55,63.9,23
CPT,82150,HC AMYLASE,67.0,39.53,8.07,60.3,46
CPT,82150,"HC AMYLASE, PANCREATIC CYST FLUID",67.0,39.53,8.07,60.3,23
CPT,82150,"HC AMYLASE, PANCREATIC CYST FLUID 3PB (INTERPACE)",67.0,39.53,8.15,60.3,23
CPT,82150,"HC AMYLASE, URINE",67.0,39.53,8.07,60.3,23
CPT,82154,HC ANDROSTANEDIOL GLUCURONIDE,297.0,175.23,35.78,267.3,23
CPT,82157,HC ANDROSTENEDIONE,301.0,177.59,36.26,270.9,23
CPT,82157,HC ANDROSTENEDIONE (BH),301.0,177.59,36.26,270.9,23
CPT,82163,HC ANGIOTENSIN II,211.0,124.49,25.42,189.9,23
CPT,82164,HC ANGIOTENSIN I - CONVERTING ENZYME (AC,150.0,88.5,18.07,135.0,23
CPT,82166,HC ANTI-MULLERIAN HORMONE (AMH),162.18,95.69,19.54,145.96,23
CPT,82172,HC APOLIPOPROTEIN A-1,159.0,93.81,19.16,143.1,23
CPT,82172,HC APOLIPOPROTEIN B,159.0,93.81,19.16,143.1,23
CPT,82172,"HC APOLIPOPROTEIN,EACH",159.0,93.81,19.16,143.1,23
CPT,82172,HC CARDIO IQ,159.0,93.81,19.16,143.1,23
CPT,82172,HC HEPATITIS C VIRUS (HCV) FIBROSURE,159.0,93.81,19.16,143.1,23
CPT,82172,HC ZHCV FIBROSURE,159.0,93.81,19.16,143.1,23
CPT,82175,HC ARSENIC,195.0,115.05,23.49,175.5,23
CPT,82175,HC ARSENIC PLASMA,195.0,115.05,23.49,175.5,23
CPT,82175,"HC ARSENIC, FRACTIONATED, TIMED URINE",195.0,115.05,23.49,175.5,23
CPT,82175,"HC ARSENIC, TIMED URINE",195.0,115.05,23.49,175.5,23
CPT,82180,HC GLOBAL MAPS PLASMA,40.77,24.05,4.91,36.69,23
CPT,82180,HC VITAMIN C (ASCORBIC ACID),102.0,60.18,12.29,91.8,23
CPT,82190,"HC  IODINE, PLASMA/SERUM",153.0,90.27,18.43,137.7,23
CPT,82190,"HC  POTASSIUM, FECES",153.0,90.27,18.43,137.7,23
CPT,82232,HC BETA 2 MICROGLOBULIN,166.0,97.94,20.0,149.4,23
CPT,82232,"HC BETA-2 MICROGLOBULIN,SRM",166.0,97.94,20.0,149.4,23
CPT,82232,"HC BETA-2 MICROGLOBULIN,URINE",166.0,97.94,20.0,149.4,23
CPT,82232,HC CLL PROGNOSTIC PANEL (QUEST #17239),166.0,97.94,20.0,149.4,23
CPT,82233,HC BETA-AMYLOID; 1-40 (ABETA 40),103.62,61.14,12.48,93.26,23
CPT,82234,HC BETA-AMYLOID; 1-42 (ABETA 42),103.62,61.14,12.48,93.26,23
CPT,82239,HC BILE ACID TOTAL,176.0,103.84,21.2,158.4,23
CPT,82239,HC GLOBAL MAPS PLASMA,70.65,41.68,8.51,63.59,23
CPT,82239,HC GLOBAL MAPS URINE,70.65,41.68,8.51,63.59,23
CPT,82247,HC BILIRUBIN TOTAL,30.12,17.77,3.63,27.11,23
CPT,82247,HC BILIRUBIN; TOTAL,30.12,17.77,3.63,27.11,23
CPT,82247,HC GLOBAL MAPS PLASMA,20.7,12.21,2.49,18.63,23
CPT,82247,HC GLOBAL MAPS URINE,20.7,12.21,2.49,18.63,23
CPT,82247,HC HEPATITIS C VIRUS (HCV) FIBROSURE,30.12,17.77,3.63,27.11,23
CPT,82247,"HC POCT BILIRUBIN, TOTAL",30.12,17.77,3.63,27.11,23
CPT,82247,HC ZHCV FIBROSURE,30.12,17.77,3.63,27.11,23
CPT,82248,HC BILIRUBIN DIRECT,52.0,30.68,6.26,46.8,23
CPT,82248,"HC BILIRUBIN, DIRECT $36",52.0,30.68,6.26,46.8,23
CPT,82248,HC BILIRUBIN; DIRECT,52.0,30.68,6.26,46.8,23
CPT,82261,HC BIOTINIDASE,174.0,102.66,20.96,156.6,23
CPT,82261,"HC BIOTINIDASE, EACH SPECIMEN",174.0,102.66,20.96,156.6,23
CPT,82270,HC FECAL OCCULT BLOOD,33.0,19.47,3.98,29.7,23
CPT,82270,HC OCCU BL FECES COLORECTAL CANCER SCRN,33.0,19.47,3.98,29.7,23
CPT,82271,HC OCCULT BL PEROXIDASE ACT QL OTHER SRCS,33.0,19.47,3.98,29.7,23
CPT,82272,HC OCCULT BL FECES PEROXIDASE ACT QL SNGL,33.0,19.47,3.98,29.7,23
CPT,82272,HC OCCULT BLOOD,33.0,19.47,3.98,29.7,23
CPT,82274,HC OCCULT BL FECES IMMUNOASSAY QL,149.0,87.91,17.95,134.1,23
CPT,82300,HC CADMIUM,238.0,140.42,28.67,214.2,23
CPT,82300,HC CADMIUM URINE,238.0,140.42,28.67,214.2,23
CPT,82306,HC VITAMIN D,305.0,179.95,36.75,274.5,23
CPT,82306,"HC VITAMIN D, 25-HYDROXY",305.0,179.95,36.75,274.5,23
CPT,82306,"HC VITAMIN D,25-HYDROXY (SO)",305.0,179.95,36.75,274.5,23
CPT,82306,HC VITAMIN D25 OH TOTAL,305.0,179.95,36.75,274.5,23
CPT,82306,"HC VITAMIN D; 25 HYDROXY, INCLUDES FRACT",305.0,179.95,36.75,274.5,23
CPT,82308,HC CALCITONIN (SO),276.0,162.84,33.25,248.4,23
CPT,82310,HC CALCIUM - BLOOD,30.96,18.27,3.73,27.86,23
CPT,82310,HC CALCIUM TOTAL,30.96,18.27,3.73,27.86,23
CPT,82310,"HC CALCIUM, TOTAL",30.96,18.27,3.73,27.86,23
CPT,82330,HC CALCIUM IONIZED,120.0,70.8,14.46,108.0,23
CPT,82330,HC POCT IONIZED CALCIUM,120.0,70.8,14.46,108.0,23
CPT,82340,HC CALCIUM QN TIMED URINE,62.0,36.58,7.47,55.8,23
CPT,82360,"HC CALCULUS; QUANTITATIVE ANALYSIS, CHEM",132.0,77.88,15.9,118.8,23
CPT,82365,HC CALCULUS; INFRARED SPECTROSCOPY,133.0,78.47,16.02,119.7,23
CPT,82365,HC STONE ANALYSIS NON-KIDNEY,133.0,78.47,16.02,119.7,23
CPT,82365,"HC STONE ANALYSIS,KIDNEY",133.0,78.47,16.02,119.7,23
CPT,82373,HC CARBOHYDRATE DEF GLYCOPROTEIN SYND 1,69.0,40.71,8.31,62.1,23
CPT,82373,HC CARBOHYDRATE DEF GLYCOPROTEIN SYND 2,69.0,40.71,8.31,62.1,23
CPT,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN,69.0,40.71,8.31,62.1,23
CPT,82373,HC CARBOHYDRATE DEFICIENT TRXRIN,69.0,40.71,8.31,62.1,23
CPT,82373,HC CONG DISORDERS OF GLYCOSL PNL 1,69.0,40.71,8.31,62.1,23
CPT,82373,HC CONGENITAL DIS OF GLY: N-GLYCAN 1,69.0,40.71,8.31,62.1,23
CPT,82373,"HC N-GLYCAN PROFILE, BNGLY",193.75,114.31,23.34,174.38,23
CPT,82374,HC CARBON DIOXIDE (BICARBONATE),29.28,17.28,3.53,26.35,23
CPT,82374,HC POCT CO2,29.28,17.28,3.53,26.35,23
CPT,82375,HC CO CARBOXYHEMOGLOBIN (CO-OX) QN,127.0,74.93,15.3,114.3,23
CPT,82375,HC POCT CARBOXYHEMOGLOBIN,127.0,74.93,15.3,114.3,23
CPT,82378,HC CARCINOEMBRYONIC ANTIGEN (CEA),195.0,115.05,23.49,175.5,23
CPT,82378,HC CEA FLUID,195.0,115.05,23.49,175.5,23
CPT,82378,HC CEA PANCREATIC CYST FLUID 3PB,195.0,115.05,23.49,175.5,23
CPT,82379,HC CARNITINE TOTAL AND FREE QN,174.0,102.66,20.96,156.6,23
CPT,82379,HC GLOBAL MAPS PLASMA,69.54,41.03,8.38,62.59,23
CPT,82379,HC GLOBAL MAPS URINE,69.54,41.03,8.38,62.59,23
CPT,82380,HC CAROTENE,95.0,56.05,11.45,85.5,23
CPT,82382,HC CATECHOLAMINES TOTAL URINE,177.0,104.43,21.32,159.3,23
CPT,82382,HC GLOBAL MAPS URINE,70.92,41.84,8.54,63.83,23
CPT,82383,HC GLOBAL MAPS PLASMA,103.35,60.98,12.45,93.02,23
CPT,82384,"HC CATECHOLAMINE,URINE (SO)",260.0,153.4,31.32,234.0,23
CPT,82384,"HC CATECHOLAMINES, FRAC RAN UR",260.0,153.4,31.32,234.0,23
CPT,82384,HC CATECHOLAMINES; FRACTIONATED,260.0,153.4,31.32,234.0,23
CPT,82390,HC CERULOPLASMIN,110.0,64.9,13.25,99.0,23
CPT,82390,HC TRANSPLANT - CERULOPLASMIN,110.0,64.9,13.25,99.0,23
CPT,82397,HC ALPHA-SUBUNIT PANEL,145.0,85.55,17.47,130.5,23
CPT,82397,HC ANTI-MULLERIAN HORMONE,145.0,85.55,17.47,130.5,23
CPT,82397,HC CHEMILUMINESCENT ASSAY,145.0,85.55,17.47,130.5,23
CPT,82397,HC CHEMILUMINESCENT PTH RELATED PROTEIN,145.0,85.55,17.47,130.5,23
CPT,82397,HC HMGCR,145.0,85.55,17.47,130.5,23
CPT,82397,HC INHIBIN B,145.0,85.55,17.47,130.5,23
CPT,82397,HC LEPTIN,145.0,85.55,17.47,130.5,46
CPT,82397,HC PROMETHEUS IBD SGI AND CROHN'S,145.0,85.55,17.47,130.5,46
CPT,82397,HC TSH RECEPTOR ANTIBODY,145.0,85.55,17.47,130.5,23
CPT,82435,HC CHLORIDE,27.6,16.28,3.33,24.84,23
CPT,82435,HC CHLORIDE; BLOOD - 10600084,27.6,16.28,3.33,24.84,23
CPT,82435,HC POCT CHLORIDE,27.6,16.28,3.33,24.84,23
CPT,82436,HC CHLORIDE URINE,52.0,30.68,6.26,46.8,23
CPT,82438,HC CHLORIDE OTHER SRCE,49.0,28.91,5.9,44.1,23
CPT,82441,HC POLYCHLORINATED BIPHENYLS,60.0,35.4,7.23,54.0,23
CPT,82465,HC CHOLESTEROL,45.0,26.55,5.42,40.5,23
CPT,82465,"HC CHOLESTEROL, SERUM OR WHOLE BLOOD, TO",45.0,26.55,5.42,40.5,23
CPT,82465,HC GLOBAL MAPS PLASMA,17.94,10.58,2.16,16.15,23
CPT,82465,HC GLOBAL MAPS URINE,17.94,10.58,2.16,16.15,23
CPT,82480,HC CHOLINESTERASE SERUM,81.0,47.79,9.76,72.9,23
CPT,82480,HC PSEUDOCHOLINESTERASE DIBUCAINE INH,81.0,47.79,9.76,72.9,23
CPT,82482,HC CHOLINESTERASE RBC,79.0,46.61,9.52,71.1,23
CPT,82482,"HC CHOLINESTERASE, RBC- RATIO TO HEMOGLOBIN",79.0,46.61,9.52,71.1,23
CPT,82495,HC CHROMIUM,209.0,123.31,25.18,188.1,23
CPT,82495,HC CHROMIUM RANDOM URINE,209.0,123.31,25.18,188.1,23
CPT,82495,HC CHROMIUM SERUM,209.0,123.31,25.18,188.1,23
CPT,82495,HC CHROMIUM URINE,209.0,123.31,25.18,188.1,23
CPT,82495,"HC CHROMIUM, BLOOD",209.0,123.31,25.18,188.1,23
CPT,82507,HC CITRATE,286.0,168.74,34.46,257.4,23
CPT,82507,"HC CITRATE,UR",286.0,168.74,34.46,257.4,23
CPT,82507,HC GLOBAL MAPS PLASMA,116.66,68.83,14.05,104.99,23
CPT,82507,HC GLOBAL MAPS URINE,114.66,67.65,13.81,103.19,23
CPT,82523,"HC COLLAGEN CROSS LINKS, ANY METHOD",192.0,113.28,23.13,172.8,23
CPT,82523,HC COLLAGEN TYPE 1 C-TELOPEPTIDE,192.0,113.28,23.13,172.8,23
CPT,82523,"HC N-TELOPEPTIDE, URINE, 24 HOUR",192.0,113.28,23.13,172.8,23
CPT,82523,HC PYRIDINOLINE & DEOXYPYRIDINOLINE BY H,192.0,113.28,23.13,172.8,23
CPT,82525,HC COPPER,128.0,75.52,15.42,115.2,23
CPT,82525,HC COPPER 24 HOUR URINE,128.0,75.52,15.42,115.2,23
CPT,82525,HC COPPER RBC,128.0,75.52,15.42,115.2,23
CPT,82525,"HC COPPER, LIVER - COPPER, LIVER",128.0,75.52,15.42,115.2,23
CPT,82525,"HC COPPER, RANDOM URINE",128.0,75.52,15.42,115.2,23
CPT,82525,"HC COPPER, SERUM FREE (DIRECT)",128.0,75.52,15.42,115.2,23
CPT,82528,HC CORTICOSTERONE,169.0,99.71,20.36,152.1,23
CPT,82528,HC GLOBAL MAPS PLASMA,92.85,54.78,11.19,83.57,23
CPT,82528,HC GLOBAL MAPS URINE,92.85,54.78,11.19,83.57,23
CPT,82530,HC CORTISOL FREE  LC/MS/MS,172.0,101.48,20.72,154.8,23
CPT,82530,HC CORTISOL FREE 24HR UR,172.0,101.48,20.72,154.8,23
CPT,82530,"HC CORTISOL, SALIVA LC/MS/MS",172.0,101.48,20.72,154.8,23
CPT,82530,HC CORTISOL; FREE,172.0,101.48,20.72,154.8,23
CPT,82533,"HC CORTISOL, SALIVA",168.0,99.12,20.24,151.2,23
CPT,82533,HC CORTISOL; TOTAL,168.0,99.12,20.24,151.2,23
CPT,82533,HC GLOBAL MAPS PLASMA,67.23,39.67,8.1,60.51,23
CPT,82533,HC GLOBAL MAPS URINE,67.23,39.67,8.1,60.51,23
CPT,82540,"HC  CREATINE, PLASMA",48.0,28.32,5.78,43.2,23
CPT,82540,HC CREATINE,48.0,28.32,5.78,43.2,23
CPT,82540,HC GLOBAL MAPS PLASMA,19.11,11.27,2.3,17.2,23
CPT,82540,HC GLOBAL MAPS URINE,19.11,11.27,2.3,17.2,23
CPT,82540,HC SPOT URINE CREATINE (FOR GUANIDINOACE,48.0,28.32,5.78,43.2,23
CPT,82542,HC 5-METHYLETRAHYDROFOLATE CSF,186.0,109.74,22.41,167.4,23
CPT,82542,HC 7 DEHYDROCHOL AMNIO,186.0,109.74,22.41,167.4,23
CPT,82542,HC 7 DEHYDROCHOLESTEROL,186.0,109.74,22.41,167.4,23
CPT,82542,HC BILE ACIDS TOTAL AND FRACT PREG,186.0,109.74,22.41,167.4,23
CPT,82542,"HC CHROMATOGRAPHY, QUANTITATIVE, COLUMN",186.0,109.74,22.41,167.4,23
CPT,82542,HC COENZYME Q10,186.0,109.74,22.41,167.4,23
CPT,82542,"HC COENZYME Q10, REDUCED AND TOTAL  - CO",186.0,109.74,22.41,167.4,23
CPT,82542,HC COLUMN CHROMATOGRAPHY/MASS SPECT,186.0,109.74,22.41,167.4,46
CPT,82542,HC DIURETICS PANEL - DIURETICS PANEL D,186.0,109.74,22.41,167.4,23
CPT,82542,HC DOPAMINE PLASMA,186.0,109.74,22.41,167.4,23
CPT,82542,"HC FATTY ACID,ESSENTIAL C12-C22",186.0,109.74,22.41,167.4,23
CPT,82542,HC GC / HPLC,186.0,109.74,22.41,167.4,23
CPT,82542,HC GLOBAL MAPS PLASMA,74.46,43.93,8.97,67.01,23
CPT,82542,HC GLOBAL MAPS URINE,74.46,43.93,8.97,67.01,23
CPT,82542,HC INSULIN GROWTH FACTOR 2,186.0,109.74,22.41,167.4,23
CPT,82542,"HC IODINE, URINE",186.0,109.74,22.41,167.4,23
CPT,82542,HC KETAMINE & MET SCR,186.0,109.74,22.41,167.4,23
CPT,82542,"HC MARIJUANA,CONF GCMS,SERUM",186.0,109.74,22.41,167.4,23
CPT,82542,HC METHAQUALONE,186.0,109.74,22.41,167.4,23
CPT,82542,HC N-METHYLHISTAMINE TIMED UR,186.0,109.74,22.41,167.4,23
CPT,82542,HC NEUROTRANSMITTER METABOLITES CSF,186.0,109.74,22.41,167.4,23
CPT,82542,"HC O-GLYCAN ANALYSIS, BOGLY",359.08,211.86,43.26,323.17,23
CPT,82542,HC OMEGA 3 & 6 FATTY ACIDS,186.0,109.74,22.41,167.4,23
CPT,82542,HC POLYOLS 1,186.0,109.74,22.41,167.4,23
CPT,82542,HC PORPHYRINS,186.0,109.74,22.41,167.4,23
CPT,82542,HC PORPHYRINS TOTAL,186.0,109.74,22.41,167.4,23
CPT,82542,"HC PORPHYRINS,TOTAL,PLASMA",186.0,109.74,22.41,167.4,23
CPT,82542,HC STABLE ISOTOPE DILUTION QN SNGL ANALYTE,186.0,109.74,22.41,167.4,23
CPT,82542,HC SUCCINYLACETONE,186.0,109.74,22.41,167.4,23
CPT,82542,HC SUCCINYLADENOSINE CSF,186.0,109.74,22.41,167.4,23
CPT,82542,HC ZTPMT ENZYME ACTIVITY,186.0,109.74,22.41,167.4,23
CPT,82550,HC CREATINE KINASE (CPK) TOTAL,67.0,39.53,8.07,60.3,23
CPT,82552,"HC CREATINE KINASE (CK), (CPK); ISOENZYM",138.0,81.42,16.63,124.2,23
CPT,82552,HC ISOENZYMES,138.0,81.42,16.63,124.2,23
CPT,82553,HC CREATINE KINASE (CPK) MB ONLY,69.3,40.89,8.35,62.37,23
CPT,82565,HC CREATININE,30.72,18.12,3.7,27.65,23
CPT,82565,"HC CREATININE, BLOOD",30.72,18.12,3.7,27.65,23
CPT,82565,HC GLOBAL MAPS PLASMA,21.12,12.46,2.54,19.01,23
CPT,82565,HC POCT CREATININE,30.72,18.12,3.7,27.65,23
CPT,82570,HC CREATININE URINE,53.0,31.27,6.39,47.7,23
CPT,82570,"HC CREATININE, OTHER SOURCE",53.0,31.27,6.39,47.7,23
CPT,82570,"HC CREATININE,OTHER SOURCE",53.0,31.27,6.39,47.7,23
CPT,82570,"HC CREATININE,OTHER SOURCE (17 HYDROX)",53.0,31.27,6.39,47.7,23
CPT,82570,"HC CREATININE,OTHER SOURCE (N-METHYL HIST)",53.0,31.27,6.39,47.7,23
CPT,82570,"HC GLOBAL MAPS URINE, CREATININE",21.33,12.58,2.57,19.2,23
CPT,82570,HC HEXOSE TETRASACCHARIDE URINE,53.0,31.27,6.39,47.7,23
CPT,82570,HC PAIN MGT BASE PROFILE W/O CONFIRM,53.0,31.27,6.39,47.7,23
CPT,82570,HC POLYOLS 2,53.0,31.27,6.39,47.7,23
CPT,82570,HC SULFOCYSTEINE URINE 1,53.0,31.27,6.39,47.7,23
CPT,82575,HC 24 HR URINE CREATINE,97.0,57.23,11.69,87.3,23
CPT,82575,HC CREATININE CLEARANCE,56.76,33.49,6.84,51.08,23
CPT,82585,HC CRYOFIBRINOGEN,88.0,51.92,10.6,79.2,23
CPT,82585,HC SO CRYOFIBRINOGEN,88.0,51.92,10.6,79.2,23
CPT,82595,"HC CRYOGLOBULIN, QUALITATIVE OR SEMI-QUA",67.0,39.53,8.07,60.3,23
CPT,82600,HC CYANIDE,200.0,118.0,24.1,180.0,23
CPT,82607,HC VITAMIN B-12 (CYANCOBALAMIN),155.0,91.45,18.67,139.5,23
CPT,82608,HC VITAMIN B-12 BINDING CAPACITY,147.0,86.73,17.71,132.3,23
CPT,82610,HC CYSTATIN C,140.0,82.6,16.87,126.0,23
CPT,82626,HC DEHYDROEPIANDROSTERONE (DHEA),260.0,153.4,31.32,234.0,23
CPT,82627,HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-,229.0,135.11,27.59,206.1,23
CPT,82633,"HC DESOXYCORTICOSTERONE, 11-",304.0,179.36,36.62,273.6,23
CPT,82634,HC 11-DEOXYCORTISOL,301.0,177.59,36.26,270.9,23
CPT,82634,HC DEOXYCOISOL,301.0,177.59,36.26,270.9,23
CPT,82638,HC DIBUCAINE NUMBER,126.0,74.34,15.18,113.4,23
CPT,82638,HC PSEUDOCHOLINESTERASE DIBUCAINE INH,126.0,74.34,15.18,113.4,23
CPT,82642,HC DIHYDROTESTOSTERONE,175.68,103.65,21.17,158.11,23
CPT,82652,"HC VITAMIN D 1,25 DIHYDROXY",396.0,233.64,47.71,356.4,23
CPT,82653,HC EL-1 FECAL QUANTITATIVE,137.82,81.31,16.6,124.04,23
CPT,82656,HC EL-1 FECAL; QUAL/SEMI QUANT,119.0,70.21,14.34,107.1,23
CPT,82657,HC  ACID ALPHA-GLUCOSIDASE,186.0,109.74,22.41,167.4,23
CPT,82657,"HC  ADENOSINE DEAMINASE, RBC",186.0,109.74,22.41,167.4,23
CPT,82657,"HC  ALPHA-GALACTOSIDASE, LEUKOCYTES",186.0,109.74,22.41,167.4,23
CPT,82657,HC  ARYLSULFATASE A,186.0,109.74,22.41,167.4,23
CPT,82657,"HC  BETA-GALACTOSIDASE, LEUKOCYTES",186.0,109.74,22.41,167.4,23
CPT,82657,HC  NON-IMMUNE HYDROPS PANEL,186.0,109.74,22.41,167.4,23
CPT,82657,HC  THIOPURINE S-METHYLTRANSFERASE,186.0,109.74,22.41,167.4,23
CPT,82657,"HC ALPHA-MANNOSIDASE, LEUKOCYTES",186.0,109.74,22.41,167.4,23
CPT,82657,HC BETA GLUCURONIDASE FIB,186.0,109.74,22.41,167.4,23
CPT,82657,HC CHITOTRIOSIDASE,186.0,109.74,22.41,167.4,23
CPT,82657,HC DHPR DIHYDROPTERIDINE REDUCTASE,192.2,113.4,23.16,172.98,23
CPT,82657,"HC ENZYME ACTIVITY IN BLOOD CELLS, CULTU",186.0,109.74,22.41,167.4,23
CPT,82657,HC GALACTOCEREBROSIDASE ENZ,186.0,109.74,22.41,167.4,23
CPT,82657,HC GLYCOGEN STORAGE DISEASE TYPE II,186.0,109.74,22.41,167.4,23
CPT,82657,HC LEUKOCYTE ENZYME ASSAY FOR VLCAD,186.0,109.74,22.41,167.4,23
CPT,82657,HC LYSOSOMAL ENZYME SCREEN,186.0,109.74,22.41,167.4,23
CPT,82657,HC MITOCHOND RESP CHAIN ENZ (BAYLOR #3210),186.0,109.74,22.63,167.4,23
CPT,82657,HC MUCOPOLYSCACC ENZ PNL,186.0,109.74,22.41,167.4,23
CPT,82657,HC NH TAY-SACHS ENZYME,786.0,463.74,94.69,707.4,23
CPT,82657,HC PORPHOBILINOGEN DEAM,186.0,109.74,22.41,167.4,23
CPT,82657,HC SANFILIPPO SYNDROME PNL ENZYME ANAL,186.0,109.74,22.41,167.4,23
CPT,82657,HC VLCADD ENZYME ACTIVITY & MUTAT ANALYS,186.0,109.74,22.41,167.4,23
CPT,82658,HC GALACTOCEREBROSIDASE ENZYME ANALYSIS,186.0,109.74,22.41,167.4,23
CPT,82658,HC GALK ENZYME ACTIVITY RBC,186.0,109.74,22.41,167.4,23
CPT,82664,HC AMYLASE ISOENZYMES QN,353.0,208.27,42.53,317.7,23
CPT,82664,HC CHYLOMICRON FLUID,353.0,208.27,42.53,317.7,23
CPT,82664,HC ELECTROHPORETIC TECHNIQUE,353.0,208.27,42.53,317.7,23
CPT,82664,HC LIPOPROTEIN ELECTROPHORES,353.0,208.27,42.53,317.7,23
CPT,82668,HC ERYTHROPOIETIN,193.0,113.87,23.25,173.7,23
CPT,82668,HC ERYTHROPOIETIN (EPO),193.0,113.87,23.25,173.7,23
CPT,82670,HC ESTRADIOL,287.0,169.33,34.58,258.3,23
CPT,82670,"HC ESTRADIOL, SERUM, ULTRA SENS",287.0,169.33,34.58,258.3,23
CPT,82670,"HC ESTRADIOL, TOTAL",287.0,169.33,34.58,258.3,23
CPT,82671,"HC ESTROGENS,FRAC",203.0,119.77,24.46,182.7,23
CPT,82672,HC ESTROGEN SERUM TOTAL,223.0,131.57,26.87,200.7,23
CPT,82677,HC ESTRIOL (SO),249.0,146.91,30.0,224.1,23
CPT,82677,HC ESTRIOL LC/MS/MS,249.0,146.91,30.0,224.1,23
CPT,82679,HC ESTRONE,257.0,151.63,30.96,231.3,23
CPT,82679,HC ESTRONE SULFATE,257.0,151.63,30.96,231.3,23
CPT,82679,"HC ESTRONE, LC/MS/MS",257.0,151.63,30.96,231.3,23
CPT,82681,HC ASSAY DIR MEAS FREE ESTRADIOL,167.64,98.91,20.2,150.88,23
CPT,82693,HC ETHYLENE GLYCOL,89.4,52.75,10.77,80.46,23
CPT,82705,"HC FECAL FAT,QUAL",30.6,18.05,3.69,27.54,23
CPT,82710,"HC FAT OR LIPIDS, FECES; QUANTITATIVE",100.8,59.47,12.14,90.72,23
CPT,82710,"HC STOOL FAT,QUANT",100.8,59.47,12.14,90.72,23
CPT,82725,HC FREE FATTY ACID PROFILE,112.62,66.45,13.57,101.36,23
CPT,82725,HC GLOBAL MAPS PLASMA,54.9,32.39,6.61,49.41,23
CPT,82725,HC GLOBAL MAPS URINE,54.9,32.39,6.61,49.41,23
CPT,82726,HC FATTY ACIDS VERY LONG CHAIN,186.0,109.74,22.41,167.4,23
CPT,82726,HC GLOBAL MAPS PLASMA,74.46,43.93,8.97,67.01,23
CPT,82726,HC GLOBAL MAPS URINE,74.46,43.93,8.97,67.01,23
CPT,82728,HC FERRITIN,140.0,82.6,16.87,126.0,46
CPT,82728,HC FERRITIN - 1680001707,140.0,82.6,16.87,126.0,23
CPT,82731,HC FETAL FIBRONECTIN CERVICOVAG SECRETIONS,663.0,391.17,79.88,596.7,23
CPT,82735,HC FLUORIDE,151.0,89.09,18.19,135.9,23
CPT,82746,HC FOLIC ACID SERUM,151.0,89.09,18.19,135.9,23
CPT,82746,HC GLOBAL MAPS PLASMA,60.63,35.77,7.3,54.57,23
CPT,82747,HC FOLIC ACID; RBC,178.0,105.02,21.44,160.2,23
CPT,82747,HC RBC FOLATE,178.0,105.02,21.44,160.2,23
CPT,82757,HC FRUCTOSE SEMEN,178.0,105.02,21.44,160.2,23
CPT,82759,HC GALACTOKINASE RBC,221.0,130.39,26.63,198.9,23
CPT,82759,HC GALK ENZYME ACTIVITY RBC,221.0,130.39,26.63,198.9,23
CPT,82760,HC GALACTOSE,103.65,61.15,12.49,93.29,23
CPT,82760,HC GLOBAL MAPS PLASMA,46.17,27.24,5.56,41.55,23
CPT,82760,HC GLOBAL MAPS URINE,46.17,27.24,5.56,41.55,23
CPT,82775,HC GALACTOSE TRXASE QN,217.0,128.03,26.14,195.3,23
CPT,82775,HC GALACTOSEMIA PANEL,217.0,128.03,26.14,195.3,23
CPT,82777,HC GALECTIN-3 SERUM,226.0,133.34,27.23,203.4,23
CPT,82784,HC CELIPLUS TOT IGA NEPHR,96.0,56.64,11.57,86.4,23
CPT,82784,HC GAMMAGLOBULIN IGG,96.0,56.64,11.57,86.4,23
CPT,82784,HC IGASU SO TOTAL IGA,96.0,56.64,11.57,86.4,23
CPT,82784,"HC IGG SYNTH.RATE/INDEX,CSF",96.0,56.64,11.57,86.4,23
CPT,82784,HC IGM,96.0,56.64,11.57,86.4,23
CPT,82784,HC IMMUNOGLOBULIN A - IMMUNOGLOBULIN A,96.0,56.64,11.57,86.4,23
CPT,82784,HC IMMUNOGLOBULIN CSF,96.0,56.64,11.57,86.4,23
CPT,82784,HC IMMUNOGLOBULIN D - IMMUNOGLOBULIN D,96.0,56.64,11.57,86.4,23
CPT,82784,HC IMMUNOGLOBULIN G - IMMUNOGLOBULIN G,96.0,56.64,11.57,86.4,23
CPT,82784,"HC IMMUNOGLOBULIN G, CSF - IMMUNOGLOBULI",96.0,56.64,11.57,86.4,23
CPT,82784,HC IMMUNOGLOBULINS QUANTITATIVE GAM - IM,96.0,56.64,11.57,86.4,23
CPT,82785,HC GAMMAGLOBULIN (IMMNUOGLOBULIN) IGE,169.0,99.71,20.36,152.1,23
CPT,82787,HC GAMMAGLOBULIN (IMMUNOGLOBULIN),83.0,48.97,10.0,74.7,23
CPT,82787,HC IGA SUBCLASSES,83.0,48.97,10.0,74.7,23
CPT,82787,HC IGASU SO SUBLASSES IGA,83.0,48.97,10.0,74.7,23
CPT,82787,HC IGG SUBCLASS 1,83.0,48.97,10.0,74.7,23
CPT,82787,HC IGG SUBCLASS 2,83.0,48.97,10.0,74.7,23
CPT,82787,HC IGG SUBCLASS 3,83.0,48.97,10.0,74.7,23
CPT,82787,HC IGG SUBCLASS 4,83.0,48.97,10.0,74.7,23
CPT,82800,HC BL GAS PH,87.0,51.33,10.48,78.3,23
CPT,82800,HC PH ONLY BLOOD,87.0,51.33,10.48,78.3,23
CPT,82803,HC BL GAS PH PO2 &/OR PCO2,199.0,117.41,23.97,179.1,23
CPT,82803,HC POCT BLOOD GAS,199.0,117.41,23.97,179.1,23
CPT,82805,HC BL GAS W/O2 SAT,292.0,172.28,35.18,262.8,23
CPT,82810,HC BL GAS O2 SAT ONLY,90.0,53.1,10.84,81.0,23
CPT,82810,"HC POCT %O2 HGB, CAPILLARY",90.0,53.1,10.84,81.0,23
CPT,82810,"HC POCT %O2 HGB, VENOUS",90.0,53.1,10.84,81.0,23
CPT,82810,"HC POCT BLOOD GASES, O2 SAT DIRECT",90.0,53.1,10.84,81.0,23
CPT,82820,HC %O2  HGB,103.0,60.77,12.41,92.7,23
CPT,82820,HC POCT %O2 HGB,103.0,60.77,12.41,92.7,23
CPT,82941,HC GASTRIN,181.0,106.79,21.81,162.9,23
CPT,82941,HC GASTRIN (SO),181.0,106.79,21.81,162.9,23
CPT,82943,HC GLUCAGON,147.0,86.73,17.71,132.3,23
CPT,82945,"HC GLUCOSE, BODY FLUID, OTHER THAN BLOOD",40.0,23.6,4.82,36.0,23
CPT,82947,HC GLOBAL MAPS PLASMA,16.17,9.54,1.95,14.55,23
CPT,82947,HC GLOBAL MAPS URINE,16.17,9.54,1.95,14.55,23
CPT,82947,HC GLUCOSE BLOOD QUANTITATVE,23.58,13.91,2.84,21.22,23
CPT,82947,"HC GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT",23.58,13.91,2.84,21.22,23
CPT,82947,HC POCT GLUCOSE,23.58,13.91,2.84,21.22,23
CPT,82948,HC BLOOD GLUCOSE TEST BY REAGENT STRIP,33.0,19.47,3.98,29.7,23
CPT,82950,HC GLUCOSE 1 HR PP,49.0,28.91,5.9,44.1,23
CPT,82951,"HC GLUCOSE; TOLERANCE TEST (GTT), 3 SPEC",132.0,77.88,15.9,118.8,23
CPT,82952,"HC GLUCOSE; TOLERANCE TEST, EACH ADDITIO",40.0,23.6,4.82,36.0,23
CPT,82955,HC GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6,100.0,59.0,12.05,90.0,23
CPT,82962,HC GLUCOSE BY DEVICE,24.0,14.16,2.89,21.6,23
CPT,82963,HC GLUCOSIDASE BETA,221.0,130.39,26.63,198.9,23
CPT,82977,HC GGT/GGTP,72.0,42.48,8.67,64.8,23
CPT,82977,HC HEPATITIS C VIRUS (HCV) FIBROSURE,72.0,42.48,8.67,64.8,23
CPT,82977,HC ZHCV FIBROSURE,72.0,42.48,8.67,64.8,23
CPT,82978,HC GLOBAL MAPS PLASMA,58.8,34.69,7.08,52.92,23
CPT,82978,HC GLOBAL MAPS URINE,58.8,34.69,7.08,52.92,23
CPT,82978,HC GLUTATHIONE,147.0,86.73,17.71,132.3,23
CPT,82985,HC GLYCATED PROTEIN (FRUCTOSAMINE),155.0,91.45,18.67,139.5,23
CPT,83001,HC FOLLICLE STIMULATING HORMONE (FSH),191.0,112.69,23.01,171.9,23
CPT,83001,HC FOLLICLE STIMULATING HORMONE (FSH) (SO),191.0,112.69,23.01,171.9,23
CPT,83002,HC LUTEINIZING HORMONE (LH),191.0,112.69,23.01,171.9,23
CPT,83002,HC LUTENIZING HORMONE (LH) (SO,191.0,112.69,23.01,171.9,23
CPT,83003,"HC GROWTH HORMONE, HUMAN (HGH) (SOMATOTR",172.0,101.48,20.72,154.8,23
CPT,83006,"HC ST2S, SERUM",226.0,133.34,27.23,203.4,23
CPT,83010,HC HAPTOGLOBIN; QUANTITATIVE,129.0,76.11,15.54,116.1,23
CPT,83010,HC HEPATITIS C VIRUS (HCV) FIBROSURE,129.0,76.11,15.54,116.1,23
CPT,83010,HC ZHCV FIBROSURE,129.0,76.11,15.54,116.1,23
CPT,83013,HC H PYLORI BREATH TEST ANLY C-13,472.0,278.48,56.86,424.8,23
CPT,83013,HC HELICTOBACTER PYLORI UREA BREATH TEST,472.0,278.48,56.86,424.8,23
CPT,83014,HC BREATHTEK H PYLORI COLLECTION,43.0,25.37,5.18,38.7,23
CPT,83014,HC H PYLORI DRUG ADMIN,43.0,25.37,5.18,38.7,23
CPT,83018,"HC ANTIMONY, BLOOD",226.0,133.34,27.23,203.4,23
CPT,83018,HC BERYLLIUM,226.0,133.34,27.23,203.4,23
CPT,83018,HC BISMUTH,226.0,133.34,27.23,203.4,23
CPT,83018,HC CESIUM SER/PL,226.0,133.34,27.23,203.4,23
CPT,83018,"HC COBALT, BLOOD",226.0,133.34,27.23,203.4,23
CPT,83018,"HC COBALT,SERUM/PLASMA",226.0,133.34,27.23,203.4,23
CPT,83018,"HC HEAVY METAL (EG, ARSENIC, BARIUM, BER",226.0,133.34,27.23,203.4,23
CPT,83018,"HC HEAVY METALS SCREEN, TIMED URINE",226.0,133.34,27.23,203.4,23
CPT,83018,"HC IODINE, URINE RANDOM",226.0,133.34,27.23,203.4,23
CPT,83018,HC MOLYBDENUM,226.0,133.34,27.23,203.4,23
CPT,83018,HC THALLIUM LEVEL,226.0,133.34,27.23,203.4,23
CPT,83018,HC TITANIUM,226.0,133.34,27.23,203.4,23
CPT,83018,"HC TITANIUM,RBC",226.0,133.34,27.23,203.4,23
CPT,83018,"HC URANIUM,URINE",226.0,133.34,27.23,203.4,23
CPT,83020,HC HEMOGLOBIN FRACTIONATION AND QUANTITA,132.0,77.88,15.9,118.8,23
CPT,83020,"HC HGB ELECTROPHORESIS, ALKALINE",132.0,77.88,15.9,118.8,23
CPT,83021,HC FETAL HEMOGLOBIN,186.0,109.74,22.41,167.4,23
CPT,83021,HC HEMOGLOBIN FRACTIONATION AND QUANTITA,186.0,109.74,22.41,167.4,23
CPT,83033,"HC HEMOGLOBIN F (FETAL), QUALITATIVE",61.0,35.99,7.35,54.9,23
CPT,83036,HC HEMOGLOBIN GLYCOSYLATED (A1C),100.0,59.0,12.05,90.0,23
CPT,83037,HC HGB GLYCOSYLATED HB A1C HOME DEVICE,100.0,59.0,12.05,90.0,23
CPT,83050,HC METHEMOGLOBIN QN,57.0,33.63,6.87,51.3,23
CPT,83050,HC POCT METHEMOGLOBIN,57.0,33.63,6.87,51.3,23
CPT,83051,HC HEMOGLOBIN PLASMA,75.0,44.25,9.04,67.5,23
CPT,83060,HC SULFHEMOGLOBIN QUAN,77.0,45.43,9.28,69.3,23
CPT,83065,HC HEMOGLOBIN THERMOLABILE,71.0,41.89,8.55,63.9,23
CPT,83068,HC HEMOGLOBIN STABILITY SCRN,87.0,51.33,10.48,78.3,23
CPT,83069,HC URINE HEMOGLOBIN,41.0,24.19,4.94,36.9,23
CPT,83070,"HC HEMOSIDERIN, RANDOM UR",49.0,28.91,5.9,44.1,23
CPT,83070,HC HEMOSIDERIN; QUALITATIVE,49.0,28.91,5.9,44.1,23
CPT,83080,HC B HEXOSAMINIDASE,174.0,102.66,20.96,156.6,23
CPT,83080,"HC HEXOSAMINIDASE A AND TOTAL, WBC (MAYO NAGW)",174.0,102.66,20.96,156.6,23
CPT,83088,HC HISTAMINE,304.0,179.36,36.62,273.6,23
CPT,83088,"HC HISTAMINE, TIMED URINE",304.0,179.36,36.62,273.6,23
CPT,83088,"HC HISTAMINE, WHOLE BLOOD",304.0,179.36,36.62,273.6,23
CPT,83090,HC HOMOCYSTEINE,174.0,102.66,20.96,156.6,23
CPT,83150,HC GLOBAL MAPS PLASMA,79.8,47.08,9.61,71.82,23
CPT,83150,HC GLOBAL MAPS URINE,79.8,47.08,9.61,71.82,23
CPT,83150,HC HOMOVANILLIC ACID HVA URINE,199.0,117.41,23.97,179.1,23
CPT,83491,HC 17 HYDROXYCORT STER/ URINE,180.0,106.2,21.69,162.0,23
CPT,83491,HC 17 HYDROXYCORTICOIDS,180.0,106.2,21.69,162.0,23
CPT,83497,"HC 5-HIAA, PLASMA (MAYO HIAAP)",111.0,65.49,13.37,99.9,23
CPT,83497,"HC 5-HIAA,24 HOUR URINE",111.0,65.49,13.37,99.9,23
CPT,83497,"HC 5-HIAA,RANDOM URINE",111.0,65.49,13.37,99.9,23
CPT,83497,HC GLOBAL MAPS URINE,44.55,26.28,5.37,40.1,23
CPT,83497,"HC HYDROXYINDOLACETIC ACID, 5-(HIAA)",111.0,65.49,13.37,99.9,23
CPT,83498,HC 17 - HYDROXYPROGESTERONE (BH),280.0,165.2,33.73,252.0,23
CPT,83498,HC 17-HYDROXYPROGESTERONE,280.0,165.2,33.73,252.0,23
CPT,83516,HC AHA SO HISTONE AB IGG,47.63,28.1,5.74,42.87,23
CPT,83516,"HC ASIALO GM1 IGG, SERUM",47.63,28.1,5.74,42.87,23
CPT,83516,"HC ASIALO GM1 IGM, SERUM",47.63,28.1,5.74,42.87,23
CPT,83516,HC AUTOIMMUNE EPILEPSY EVALUATION,47.63,28.1,5.74,42.87,23
CPT,83516,HC COLLAGEN TYPE VII AB BY ELISA,47.63,28.1,5.74,42.87,23
CPT,83516,"HC DISIALO GD1B IGG, SERUM",47.63,28.1,5.74,42.87,23
CPT,83516,"HC DISIALO GD1B IGM, SERUM",47.63,28.1,5.74,42.87,23
CPT,83516,HC EXTENDED MYOSITIS ANTIBODY PANEL,47.63,28.1,5.74,42.87,23
CPT,83516,"HC GANGLIOSIDE AB PANEL, SERUM",47.63,28.1,5.74,42.87,23
CPT,83516,HC GASTRIC PARIETAL CELL ANTIBODY,47.63,28.1,5.74,42.87,23
CPT,83516,"HC GBM ABS, IGG",47.63,28.1,5.74,42.87,23
CPT,83516,HC GLIADIN (DEAMIDATE PEPT)AB IGA,47.63,28.1,5.74,42.87,23
CPT,83516,HC GLIADIN (DEAMIDATE PEPT)AB IGG,47.63,28.1,5.74,42.87,23
CPT,83516,"HC GQ1B - IGG ELISA, SERUM",47.63,28.1,5.74,42.87,23
CPT,83516,HC IGA ANTIBODY,47.63,28.1,5.74,42.87,23
CPT,83516,HC IMMUNOASSAY FOR ANALYTE OTHER THAN IN,47.63,28.1,5.74,42.87,23
CPT,83516,HC IMMUNOASSAY NON ANTIBODY,47.63,28.1,5.74,42.87,23
CPT,83516,HC IMMUNOASSAY NONANTIBODY,47.63,28.1,5.74,42.87,23
CPT,83516,"HC MITOCHONDRIAL M2 ANTIBODY, IGG",47.63,28.1,5.74,42.87,23
CPT,83516,"HC MONOSIALO GM1 IGM, SERUM",47.63,28.1,5.74,42.87,23
CPT,83516,HC MYELOPEROXIDASE IGG AB,47.63,28.1,5.74,42.87,23
CPT,83516,HC MYO MARKER PANEL 3,47.63,28.1,5.74,42.87,23
CPT,83516,HC NEOCEERBELL DEGEN PARA W/RECOMBX #438,47.63,28.1,5.74,42.87,23
CPT,83516,HC NEOCOMP PARANEOPLASTIC W/RECOMBX #467,47.63,28.1,5.74,42.87,23
CPT,83516,HC NMO IGG ANTIBODY,47.63,28.1,5.74,42.87,23
CPT,83516,HC PROTEINASE 3 IGG AB,47.63,28.1,5.74,42.87,23
CPT,83516,HC RETICULIN AB (IGA),47.63,28.1,5.74,42.87,23
CPT,83516,HC RNAP3 SO RNA POLY 3 IGG,47.63,28.1,5.74,42.87,23
CPT,83516,HC SENSORIMOTOR NEUROPATHY PRO-COMP #287,47.63,28.1,5.74,42.87,23
CPT,83516,HC SMOOTH MUSCLE AB (ACTIN),47.63,28.1,5.74,42.87,23
CPT,83516,HC SMOOTH MUSCLE AB IGA,47.63,28.1,5.74,42.87,23
CPT,83516,HC SMOOTH MUSCLE AB IGG,47.63,28.1,5.74,42.87,23
CPT,83516,HC SO GP 210 AB IGG,47.63,28.1,5.74,42.87,23
CPT,83516,HC SO IGG DESMOGLEIN 1,47.63,28.1,5.74,42.87,23
CPT,83516,HC SO IGG DESMOGLEIN 3,47.63,28.1,5.74,42.87,23
CPT,83516,HC SO RIBOSOMAL P AB,47.63,28.1,5.74,42.87,23
CPT,83516,HC SO SP 100 AB IGG,47.63,28.1,5.74,42.87,23
CPT,83516,HC SRP SO SIG RECP PARTC AB,47.63,28.1,5.74,42.87,23
CPT,83516,HC TISSUE TRANSGLUTAMINASE IGA,47.63,28.1,5.74,42.87,23
CPT,83516,HC TISSUE TRANSGLUTAMINASE IGG,47.63,28.1,5.74,42.87,23
CPT,83516,HC TRANSGLUTAMINASE ANTIBODY,47.63,28.1,5.74,42.87,23
CPT,83516,HC TRANSGLUTAMINASE IGG (SO),47.63,28.1,5.74,42.87,23
CPT,83516,HC TYSABRI ANTIBODIES,47.63,28.1,5.74,42.87,23
CPT,83518,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL,57.84,34.13,6.97,52.06,23
CPT,83519,HC 18-HYDROXYCORTICOSTERONE  - 18-HYDROX,121.0,71.39,14.58,108.9,23
CPT,83519,HC 21-HYDROXYLASE ANTIBODY - 21-HYDROXYL,121.0,71.39,14.58,108.9,23
CPT,83519,HC ACETYLCHOLINE REC BLOC AB,121.0,71.39,14.58,108.9,23
CPT,83519,HC ACETYLCHOLINE REC MODUL AB,121.0,71.39,14.58,108.9,23
CPT,83519,HC ACH RECEPTOR (MUSCLE) BINDING AB - AC,121.0,71.39,14.58,108.9,23
CPT,83519,HC ACHR MODULATING AB,121.0,71.39,14.58,108.9,23
CPT,83519,"HC ADE, ACH RECP",121.0,71.39,14.58,108.9,23
CPT,83519,"HC ADE, GANG NEU AB",121.0,71.39,14.58,108.9,23
CPT,83519,"HC ADE, N-TYPE CHANEL AB",121.0,71.39,14.58,108.9,23
CPT,83519,"HC ADE, NEURO K+ CHNL",121.0,71.39,14.58,108.9,23
CPT,83519,"HC ADE, P/Q-TYPE CA CHNL",121.0,71.39,14.58,108.9,23
CPT,83519,HC ALPHA-SUBUNIT PITUITARY G,121.0,71.39,14.58,108.9,23
CPT,83519,"HC AUTOIMMUNE DYSTONIA EVAL (ADE), SERUM",121.0,71.39,14.58,108.9,23
CPT,83519,HC AUTOIMMUNE EPILEPSY EVALUATION,121.0,71.39,14.58,108.9,23
CPT,83519,HC BETA MSH,121.0,71.39,14.58,108.9,23
CPT,83519,"HC DEMENTIA AUTOIMMUNE EVAL, CSF",121.0,71.39,14.58,108.9,23
CPT,83519,"HC DEMENTIA AUTOIMMUNE EVAL, SERUM",121.0,71.39,14.58,108.9,23
CPT,83519,HC ENCEPHALOPATHY- AUTOIMMUNE EVAL CSF 3,121.0,71.39,14.58,108.9,23
CPT,83519,HC ENCEPHALOPATHY- AUTOIMMUNE EVAL SERUM 1,121.0,71.39,14.58,108.9,23
CPT,83519,HC EPIES ACH GANGL,121.0,71.39,14.58,108.9,23
CPT,83519,HC EPIES ACH REC,121.0,71.39,14.58,108.9,23
CPT,83519,HC EPIES N-TYPE,121.0,71.39,14.58,108.9,23
CPT,83519,HC EPIES P/Q TYPE,121.0,71.39,14.58,108.9,23
CPT,83519,HC EPIES VGKC,121.0,71.39,14.58,108.9,23
CPT,83519,HC GASTRIN RELEASING PEPTIDE,121.0,71.39,14.58,108.9,23
CPT,83519,HC GROWTH HORMONE RELEASING HORMONE - GR,121.0,71.39,14.58,108.9,23
CPT,83519,HC IGF BINDING PROTEIN 2  - IGF BINDING,121.0,71.39,14.58,108.9,23
CPT,83519,HC IGF BINDING PROTEIN-3,121.0,71.39,14.58,108.9,23
CPT,83519,HC IGF-2 (INSULIN-LIKE GROWTH FACTOR 2),121.0,71.39,14.58,108.9,23
CPT,83519,HC IGF-BP1,121.0,71.39,14.58,108.9,23
CPT,83519,"HC IMMUNOASSAY, OTHER QUANT, RIA",121.0,71.39,14.58,108.9,23
CPT,83519,HC INTERLEUKIN 1-ALPHA,121.0,71.39,14.58,108.9,23
CPT,83519,HC INTERLEUKIN 10,121.0,71.39,14.58,108.9,23
CPT,83519,HC INTERLEUKIN 6,121.0,71.39,14.58,108.9,23
CPT,83519,HC LEPTIN,121.0,71.39,14.58,108.9,23
CPT,83519,HC MELANOCYTE STIM HORM,121.0,71.39,14.58,108.9,23
CPT,83519,"HC MELATONIN, PLASMA",121.0,71.39,14.58,108.9,23
CPT,83519,"HC MELATONIN, URINE",121.0,71.39,14.58,108.9,23
CPT,83519,"HC MUSK ANTIBODY, QUANTITATIVE - MUSK AN",121.0,71.39,14.58,108.9,23
CPT,83519,"HC MYASTHENIA GRAVIS (MG) EV, AD (83519)",121.0,71.39,14.58,108.9,23
CPT,83519,"HC MYASTHENIA GRAVIS LAMBERT-EATON SYND, SERUM",121.0,71.39,14.58,108.9,23
CPT,83519,HC MYASTHENIA GRAVIS PANEL 2,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEOCOMP PARANEOPL W/RECOMBX  3PB (ATHENA #4620),121.0,71.39,14.58,108.9,23
CPT,83519,HC NEOENCEPH PARAPLAS PROFILE 2,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEOPTERIN CSF,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEOPTERIN/TETRAHYDROBIOPTERIN CSF,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEUROIMMUNO AB FOLLOW-UP PFNEC/S,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEUROKININ A,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEUROKININ B,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEURONAL (V-G) K+ CHANNEL AB - NEURON,121.0,71.39,14.58,108.9,23
CPT,83519,HC NEUROTENSIN,121.0,71.39,14.58,108.9,23
CPT,83519,HC OXYTOCIN,121.0,71.39,14.58,108.9,23
CPT,83519,HC PANCREASTATIN,121.0,71.39,14.58,108.9,23
CPT,83519,HC PANCREATIC POLYPEPTIDE  - PANCREATIC,121.0,71.39,14.58,108.9,23
CPT,83519,HC PARAN - NCC,121.0,71.39,14.58,108.9,23
CPT,83519,HC PARAN - PQCC,121.0,71.39,14.58,108.9,23
CPT,83519,HC PARANEOPLASTIC AUTOANTIBODY EVALUATIO,121.0,71.39,14.58,108.9,23
CPT,83519,HC PRO TY 1 INTACT N T PROPEP,121.0,71.39,14.58,108.9,23
CPT,83519,HC PROCOLLAGEN TYPE I PRO,121.0,71.39,14.58,108.9,23
CPT,83519,HC PROCOLLAGEN TYPE I PROPEPTIDE,121.0,71.39,14.58,108.9,23
CPT,83519,HC PTH PROTEIN SERUM,121.0,71.39,14.58,108.9,23
CPT,83519,HC SEROTONIN RELEASE,121.0,71.39,14.58,108.9,23
CPT,83519,HC SO ACHRA GANGLION NEU AB,121.0,71.39,14.58,108.9,23
CPT,83519,HC T3 (TRIIODOTHYRONINE) ANTIBODY,121.0,71.39,14.58,108.9,23
CPT,83519,HC T4 (THYROXINE) ANTIBODY,121.0,71.39,14.58,108.9,23
CPT,83519,HC TBII (THYROTROPIN BINDING INHIBITORY,121.0,71.39,14.58,108.9,23
CPT,83519,HC THYROTOPIN RELEASING HORMONE - THYROT,121.0,71.39,14.58,108.9,23
CPT,83519,HC TRYPSIN,121.0,71.39,14.58,108.9,23
CPT,83519,HC TRYPSINOGEN,121.0,71.39,14.58,108.9,23
CPT,83519,HC TSH ANTIBODY,121.0,71.39,14.58,108.9,23
CPT,83519,HC VGKC ANTIBODY,121.0,71.39,14.58,108.9,23
CPT,83519,HC VGKC SO VGKC AB,121.0,71.39,14.58,108.9,23
CPT,83519,"HC VGKC-COMPLEX AB IFA, CSF",121.0,71.39,14.58,108.9,23
CPT,83519,HC VOLTAGE-GATED CALCIUM CHANNEL,121.0,71.39,14.58,108.9,23
CPT,83520,HC  MCV ANTIBODY  (QUEST# 13238),57.75,34.07,6.96,51.98,23
CPT,83520,HC  SENSORY MOTOR NEUROPATHY,57.75,34.07,6.96,51.98,23
CPT,83520,"HC 14-3-3 PROTEIN,CSF",57.75,34.07,6.96,51.98,23
CPT,83520,HC 14.3.3 ETA PROTEIN,57.75,34.07,6.96,51.98,23
CPT,83520,HC ACUTE NEUROPATHY,57.75,34.07,6.96,51.98,23
CPT,83520,"HC ADE, STRIAT AB",57.75,34.07,6.96,51.98,23
CPT,83520,HC ADIPONECTIN,57.75,34.07,6.96,51.98,23
CPT,83520,HC ADM PHOSTAU IMMU,57.75,34.07,6.96,51.98,23
CPT,83520,HC ADMARK P-TAU/T-TAU/AB42 CSF,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANCA IGG,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANIT-MULLERIAN HORMONE,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI IGA,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI IGE RECEPTOR AB,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-CBIR,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-GLIADIN AB,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-GLIADIN IGA,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-GLIADIN IGG,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-GM1 IGG & IGM,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-HMGCR AUTOANTIBODIES,57.75,34.07,6.96,51.98,23
CPT,83520,"HC ANTI-IGA AB, IGG CLASS",57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-MULLERIAN HORMONE,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-OMPC IGA,57.75,34.07,6.96,51.98,23
CPT,83520,HC ANTI-RNA POLYMERASE III AB,57.75,34.07,6.96,51.98,23
CPT,83520,HC ASCA ANCA ANTICBIR 1 OMPC,57.75,34.07,6.96,51.98,23
CPT,83520,HC ASCA IGA,57.75,34.07,6.96,51.98,23
CPT,83520,HC ASCAIGG,57.75,34.07,6.96,51.98,23
CPT,83520,"HC ASIALO GM1 IGG TITER, SERUM",57.75,34.07,6.96,51.98,23
CPT,83520,"HC ASIALO GM1 IGM TITER, SERUM",57.75,34.07,6.96,51.98,23
CPT,83520,HC AUTOAB TO C1-INHIBITOR,57.75,34.07,6.96,51.98,23
CPT,83520,HC AUTOANTIBODY TO C1Q,57.75,34.07,6.96,51.98,23
CPT,83520,"HC AUTOIMMUNE DYSTONIA EVAL, ADE",57.75,34.07,6.96,51.98,23
CPT,83520,HC BULLOUS EMPHIGOLD BP230 IGG,57.75,34.07,6.96,51.98,23
CPT,83520,HC BULLOUS PEMPHIGOID AG BP180AB,57.75,34.07,6.96,51.98,23
CPT,83520,"HC C1 ESTERASE INHIBITOR, FUNCTIONAL, SERUM",57.75,34.07,6.96,51.98,23
CPT,83520,"HC CD4 FRAGMENT, EIA",57.75,34.07,6.96,51.98,23
CPT,83520,HC CELIAC DISEASE EVALUATR,57.75,34.07,6.96,51.98,23
CPT,83520,HC CELIPL ITG GL AB IGA,57.75,34.07,6.96,51.98,23
CPT,83520,HC COLLAGEN AB TYPE II,57.75,34.07,6.96,51.98,23
CPT,83520,HC CYTOKINE PANEL,57.75,34.07,6.96,51.98,23
CPT,83520,HC DEAMIDATED GLIADIN PEPTIDE ABS IGG &,57.75,34.07,6.96,51.98,23
CPT,83520,"HC DEAMIDATED GLIADIN PEPTIDE ANTIBODY,",57.75,34.07,6.96,51.98,23
CPT,83520,HC DEMYELINATING NEUROPATHY,57.75,34.07,6.96,51.98,23
CPT,83520,HC DESMOGLEIN AB (1 & 3),57.75,34.07,6.96,51.98,23
CPT,83520,"HC DISIALO GD1B IGG TITER, SERUM",57.75,34.07,6.96,51.98,23
CPT,83520,"HC DISIALO GD1B IGM TITER, SERUM",57.75,34.07,6.96,51.98,23
CPT,83520,HC EOSINOPHIL CATIONIC PROTEIN,57.75,34.07,6.96,51.98,23
CPT,83520,HC FIBRO SPECT HA,57.75,34.07,6.96,51.98,23
CPT,83520,HC FIBRO SPECT TIMP 1,57.75,34.07,6.96,51.98,23
CPT,83520,HC FIBROBLAST GROWTH FACTOR,57.75,34.07,6.96,51.98,23
CPT,83520,HC FIBROBLAST GROWTH FACTOR 23,57.75,34.07,6.96,51.98,23
CPT,83520,HC GANGLIOSIDE (GM-1) AB PANEL,57.75,34.07,6.96,51.98,23
CPT,83520,HC GANGLIOSIDE ANTIBODIES,57.75,34.07,6.96,51.98,23
CPT,83520,"HC GANGLIOSIDE GD1A AB, IGG",57.75,34.07,6.96,51.98,23
CPT,83520,HC GANGLIOSIDE GD1B AB (IGG),57.75,34.07,6.96,51.98,23
CPT,83520,HC GLOMERULAR B.MEMB.,57.75,34.07,6.96,51.98,23
CPT,83520,HC GM 1 IGG OR IGM,57.75,34.07,6.96,51.98,23
CPT,83520,HC GQ1B IGG ANTIBODY - GQ1B IGG ANTIBODY,57.75,34.07,6.96,51.98,23
CPT,83520,"HC GROWTH DIFFERENTIATION FACTOR 15 (GDFI5),PLASMA",57.75,34.07,6.96,51.98,23
CPT,83520,HC GROWTH HORMONE BINDING PROTEIN - GROW,57.75,34.07,6.96,51.98,23
CPT,83520,HC HUMAN ANTI MOUSE ANTIBODY,57.75,34.07,6.96,51.98,23
CPT,83520,HC HUMAN ANTI-MOUSE AB,57.75,34.07,6.96,51.98,23
CPT,83520,HC HYALURONIC ACID,57.75,34.07,6.96,51.98,23
CPT,83520,HC IGE ANTIBODY,57.75,34.07,6.96,51.98,23
CPT,83520,HC IGF BINDING PROTEIN-1 - IGF BINDING,57.75,34.07,6.96,51.98,23
CPT,83520,HC IGF BINDING PROTEIN-3 - IGF BINDING,57.75,34.07,6.96,51.98,23
CPT,83520,"HC IGF-2, INSULIN LIKE GROWTH FACTOR 2",57.75,34.07,6.96,51.98,23
CPT,83520,HC IMMUNOASSAY FOR ANALYTE OTHER THAN IN,57.75,34.07,6.96,51.98,23
CPT,83520,HC IMMUNOASSAY NONINFECTIOUS QUANT,57.75,34.07,6.96,51.98,23
CPT,83520,HC INFLIXIMAB LEVEL,57.75,34.07,6.96,51.98,23
CPT,83520,HC INHIBIN B,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERFERON ALPHA,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERFERON BETA,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 1-BETA,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 10 BY MAFD - INTERLEUKIN,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 13,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 17,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 2 RECEPTOR BY MAFD - INTE,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 4,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 5,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 6 BY MAFD - INTERLEUKIN 6,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN 8,57.75,34.07,6.96,51.98,23
CPT,83520,HC INTERLEUKIN- 2 RECEPTOR SOLUBLE,57.75,34.07,6.96,51.98,23
CPT,83520,HC LEPTIN (MAYO FLEP),57.75,34.07,6.96,51.98,23
CPT,83520,HC MAG (IGM),57.75,34.07,6.96,51.98,23
CPT,83520,HC MAG ANTIBODIES,57.75,34.07,6.96,51.98,23
CPT,83520,HC MAG-SGPG AB (IGM),57.75,34.07,6.96,51.98,23
CPT,83520,HC MANNOSE BINDING LECTIN  - MANNOSE BIN,57.75,34.07,6.96,51.98,23
CPT,83520,HC MCV ANTIBODY (ARUP #3019462),57.75,34.07,6.96,51.98,23
CPT,83520,HC MITOCHONDRIAL AB,57.75,34.07,6.96,51.98,23
CPT,83520,HC MMP-9 RUO,57.75,34.07,6.96,51.98,23
CPT,83520,"HC MONOSIALO GM1 IGG TITER, SERUM",57.75,34.07,6.96,51.98,23
CPT,83520,"HC MONOSIALO GM1 IGM TITER, SERUM",57.75,34.07,6.96,51.98,23
CPT,83520,HC MOTOR NEUROPATHY (UNIV OF WASH ST LOUIS),57.75,34.07,6.96,51.98,23
CPT,83520,"HC MYASTHENIA GRAVIS (MG) EV, AD (83520)",57.75,34.07,6.96,51.98,23
CPT,83520,HC MYELIN ASSOCIATED GLYCOPROTEIN (MAG),57.75,34.07,6.96,51.98,23
CPT,83520,HC MYO MARKER PANEL 3,57.75,34.07,6.96,51.98,23
CPT,83520,HC MYOPATHY 1,57.75,34.07,6.96,51.98,23
CPT,83520,HC NEOCEREB DEGEN PARAN-1 3PB,57.75,34.07,6.96,51.98,23
CPT,83520,HC NEOCOMP PARANEOPL W/RECOMBX 3PB (ATHENA #4620),57.75,34.07,6.96,51.98,23
CPT,83520,HC NMOEI SERUM ELISA EVAL,57.75,34.07,6.96,51.98,23
CPT,83520,HC OXIDIZED LDL,57.75,34.07,6.96,51.98,23
CPT,83520,HC PERIPHERAL NEUROPATHY,57.75,34.07,6.96,51.98,23
CPT,83520,HC PHOSPHATIDYLINOSITOL (IGA),57.75,34.07,6.96,51.98,23
CPT,83520,HC PHOSPHATIDYLINOSITOL (IGG),57.75,34.07,6.96,51.98,23
CPT,83520,HC PHOSPHATIDYLINOSITOL (IGM),57.75,34.07,6.96,51.98,23
CPT,83520,HC PHOSPHO T/TOTAL T AB42 CSF ANALYSIS,57.75,34.07,6.96,51.98,23
CPT,83520,HC PROMETHEUS CROHN'S PROGNOSTIC,57.75,34.07,6.96,51.98,23
CPT,83520,HC PROMETHEUS IBD SGI AND CROHN'S,57.75,34.07,6.96,51.98,46
CPT,83520,HC PROTHROMBIN FRAGMENT 1&2 - PROTHROMBI,57.75,34.07,6.96,51.98,23
CPT,83520,HC RIBOSOMAL P PROTEIN ANTIBODY,57.75,34.07,6.96,51.98,23
CPT,83520,HC RNA POLYMERASE III AB,57.75,34.07,6.96,51.98,23
CPT,83520,HC S-100 ACCUQUANT,57.75,34.07,6.96,51.98,23
CPT,83520,HC SENSORIMOTOR NEUROPATHY PRO-COMP #287,57.75,34.07,6.96,51.98,23
CPT,83520,HC SO ANTISTRIALIONAL MUSCLE,57.75,34.07,6.96,51.98,23
CPT,83520,HC SO INTERFERON ALPHA,57.75,34.07,6.96,51.98,23
CPT,83520,HC SO PROTHROMBIN ABS IGG,57.75,34.07,6.96,51.98,23
CPT,83520,HC SO PROTHROMBIN ABS IGM,57.75,34.07,6.96,51.98,23
CPT,83520,HC SO THR-ANTITHR COMPLEX,57.75,34.07,6.96,51.98,23
CPT,83520,HC SOL LIVER ANTIGEN,57.75,34.07,6.96,51.98,23
CPT,83520,HC SOLUBE MEMBRANE ATTACK COMP,57.75,34.07,6.96,51.98,23
CPT,83520,HC SOLUBLE IL2R - CINN ONLY,57.75,34.07,6.96,51.98,23
CPT,83520,HC SOLUBLE LIVER AG (SLA) AUTOAB,57.75,34.07,6.96,51.98,23
CPT,83520,HC SUBSTANCE P - SUBSTANCE P,57.75,34.07,6.96,51.98,23
CPT,83520,HC SULFATIDE ANTIBODY,57.75,34.07,6.96,51.98,23
CPT,83520,HC THROMBIN ANTITHROMBIN TAT,57.75,34.07,6.96,51.98,23
CPT,83520,HC THROMBIN ANTITHROMBIN TAT (THRM PANL),57.75,34.07,6.96,51.98,23
CPT,83520,HC TLRCY SO TOLL RCP CYTOKIN,57.75,34.07,6.96,51.98,23
CPT,83520,HC TRYPTASE - TRYPTASE,57.75,34.07,6.96,51.98,23
CPT,83520,HC TUMOR NECROSIS FACTOR-ALPHA  - TUMOR,57.75,34.07,6.96,51.98,23
CPT,83520,HC TYPE II COLLAGEN ANTIBODY  - TYPE II,57.75,34.07,6.96,51.98,23
CPT,83520,HC VASCULAR ENDOTHELIAL GR FACTOR,57.75,34.07,6.96,51.98,23
CPT,83521,HC IG LIGHT CHAINS FREE EACH,103.62,61.14,12.48,93.26,23
CPT,83525,HC INSULIN TOTAL,118.0,69.62,14.22,106.2,23
CPT,83525,HC INSULIN; TOTAL,118.0,69.62,14.22,106.2,23
CPT,83527,HC INSULIN FREE,133.0,78.47,16.02,119.7,23
CPT,83529,HC ASAY OF INTERLEUKIN-6 (IL-6),103.62,61.14,12.48,93.26,23
CPT,83540,HC IRON,67.0,39.53,8.07,60.3,46
CPT,83540,HC IRON LIVER TISSUE,67.0,39.53,8.07,60.3,23
CPT,83540,HC IRON URINE,67.0,39.53,8.07,60.3,23
CPT,83550,HC IRON BINDING CAPACITY,90.0,53.1,10.84,81.0,23
CPT,83586,HC KETOSTEROIDS (17-KS) TOTAL URINE,132.0,77.88,15.9,118.8,23
CPT,83593,HC KETOSTEROIDS (17-KS) FRACTION,271.0,159.89,32.65,243.9,23
CPT,83605,HC D-LACTATE,110.0,64.9,13.25,99.0,23
CPT,83605,"HC D-LACTATE, URINE",110.0,64.9,13.25,99.0,23
CPT,83605,HC GLOBAL MAPS PLASMA,44.04,25.98,5.31,39.64,23
CPT,83605,HC GLOBAL MAPS URINE,44.04,25.98,5.31,39.64,23
CPT,83605,HC LACTATE/LACTIC ACID,110.0,64.9,13.25,99.0,23
CPT,83605,HC POCT LACTATE,110.0,64.9,13.25,99.0,23
CPT,83615,"HC LACTATE DEHYDROGENASE (LD), (LDH);",62.0,36.58,7.47,55.8,23
CPT,83615,HC LACTATE DEHYDROGENASE LDH,62.0,36.58,7.47,55.8,23
CPT,83615,HC LD TOTAL,62.0,36.58,7.47,55.8,23
CPT,83625,HC LACTATE DEHYDROGENASE (LDH) ISOENZYME,132.0,77.88,15.9,118.8,23
CPT,83630,HC FECAL LEUKOCYTES EIA,202.0,119.18,24.34,181.8,23
CPT,83630,HC LACTOFERRIN FECAL QL,202.0,119.18,24.34,181.8,23
CPT,83631,"HC LACTOFERRIN, FECAL QUANT",117.78,69.49,14.19,106.0,23
CPT,83632,HC LACTOGEN PLACENTAL,208.0,122.72,25.06,187.2,23
CPT,83655,HC LEAD,72.66,42.87,8.75,65.39,46
CPT,83655,HC LEAD URINE (SO),72.66,42.87,8.75,65.39,23
CPT,83655,"HC LEAD,URINE",72.66,42.87,8.75,65.39,23
CPT,83661,HC FETAL LUNG MATURITY L/S,189.0,111.51,22.77,170.1,23
CPT,83663,HC GLOBAL MAPS URINE,22.68,13.38,2.73,20.41,23
CPT,83663,HC PF AMNIOTIC FLUID,195.0,115.05,23.49,175.5,23
CPT,83664,HC LAMELLAR FETAL LUNG BODY DENSITY,195.0,115.05,23.49,175.5,23
CPT,83670,HC LEUCINE AMINOPEPTIDASE (LAP),94.0,55.46,11.32,84.6,23
CPT,83690,HC LIPASE,71.0,41.89,8.55,63.9,23
CPT,83695,HC ASSAY OF LIPOPROTEIN A,133.0,78.47,16.02,119.7,23
CPT,83695,HC CARDIO IQ 2,133.0,78.47,16.02,119.7,23
CPT,83695,HC LIPOPROTEIN (A),133.0,78.47,16.02,119.7,23
CPT,83698,HC CARDIO IQ LP-PLA 2,349.0,205.91,42.05,314.1,23
CPT,83698,HC LP-PLA2,349.0,205.91,42.05,314.1,23
CPT,83700,HC LIPOPROTEIN ELECTROPHORESIS BL QN,116.0,68.44,13.98,104.4,23
CPT,83701,HC LIPOPROTEIN BL HI RES FRACTIONATION QN,255.0,150.45,30.72,229.5,23
CPT,83704,HC CARDIO IQ 3,325.0,191.75,39.15,292.5,23
CPT,83704,HC CARDIO IQ LIPOPROTEIN FRACTIONATION,325.0,191.75,39.15,292.5,23
CPT,83704,HC LIPOPROTEIN BL BY NMR,325.0,191.75,39.15,292.5,23
CPT,83704,HC QNT LIPO PARTICLE NO. AND SUBCLASS,325.0,191.75,39.15,292.5,23
CPT,83718,HC CHOLESTEROL HDL,84.0,49.56,10.12,75.6,23
CPT,83721,HC CHOLESTEROL LDL,98.0,57.82,11.81,88.2,23
CPT,83722,HC LIPOPROTEIN DIR MEAS SD LDL CHOL,205.14,121.03,24.71,184.63,23
CPT,83727,HC LUTEINIZING RELEASING FACTOR,76.0,44.84,9.16,68.4,23
CPT,83735,HC MAGNESIUM,69.0,40.71,8.31,62.1,23
CPT,83785,"HC  MANGANESE, SERUM",253.0,149.27,30.48,227.7,23
CPT,83785,"HC  MANGANESE, URINE",253.0,149.27,30.48,227.7,23
CPT,83789,HC 6 METHYMERCATOPURINE,186.0,109.74,22.41,167.4,23
CPT,83789,HC AZATHIOPRINE LEVEL,186.0,109.74,22.41,167.4,23
CPT,83789,HC BILE ACIDS FRACT & TOT,186.0,109.74,22.41,167.4,23
CPT,83789,"HC BILE ACIDS,FRACTIONATED/TOTAL",186.0,109.74,22.41,167.4,23
CPT,83789,HC BUPROPION,186.0,109.74,22.41,167.4,23
CPT,83789,"HC CARNITINE BIOSYNTHESIS PANEL, PLASMA",300.0,177.0,36.14,270.0,23
CPT,83789,HC CLOMIPRAMINE (ANAFRANIL),186.0,109.74,22.41,167.4,23
CPT,83789,HC CONG DISORDERS OF GLYCOSL PNL 2,186.0,109.74,22.41,167.4,23
CPT,83789,HC CONGENITAL DIS OF GLY: N-GLYCAN 2,186.0,109.74,22.41,167.4,23
CPT,83789,HC CORTISONE LEVEL,186.0,109.74,22.41,167.4,23
CPT,83789,HC CREATINE/GUANIDOACETATE,186.0,109.74,22.41,167.4,23
CPT,83789,"HC FLUOXETINE, SERUM (PROZAC)",186.0,109.74,22.41,167.4,23
CPT,83789,HC GLOBAL MAPS PLASMA,74.46,43.93,8.97,67.01,23
CPT,83789,HC GLOBAL MAPS URINE,74.46,43.93,8.97,67.01,23
CPT,83789,HC GUAN MS MS P,186.0,109.74,22.41,167.4,23
CPT,83789,HC GUANIDINOACETATE,186.0,109.74,22.41,167.4,23
CPT,83789,"HC GUANIDINOACETATE/CREATINE, SPOT URINE",186.0,109.74,22.41,167.4,23
CPT,83789,HC HEXOSE TETRASACCHARIDE URINE,186.0,109.74,22.41,167.4,23
CPT,83789,HC HISTAMINE URINE,186.0,109.74,22.41,167.4,23
CPT,83789,HC HYDROXYCHLOROQUINE,186.0,109.74,22.41,167.4,23
CPT,83789,HC HYPOGLYCEMIC PANEL,186.0,109.74,22.41,167.4,23
CPT,83789,HC IODINE,186.0,109.74,22.41,167.4,23
CPT,83789,"HC IODINE,URINE RANDOM",186.0,109.74,22.41,167.4,23
CPT,83789,HC LACOSAMINE,186.0,109.74,22.41,167.4,23
CPT,83789,HC MASS SPEC CREA/GUAN,186.0,109.74,22.41,167.4,23
CPT,83789,HC MASS SPECTOMETRY QL,186.0,109.74,22.41,167.4,23
CPT,83789,HC METFORMIN LEVEL,186.0,109.74,22.41,167.4,23
CPT,83789,HC METHYLPHENIDATE AND METAB,186.0,109.74,22.41,167.4,23
CPT,83789,"HC N-GLYCAN PROFILE, BNGLY",193.75,114.31,23.34,174.38,23
CPT,83789,HC N-METHYLHISTAMINE,186.0,109.74,22.41,167.4,23
CPT,83789,"HC O-GLYCAN ANALYSIS, BOGLY",359.08,211.86,43.26,323.17,23
CPT,83789,HC PIPECOLIC ACID,180.0,106.2,21.69,162.0,23
CPT,83789,HC PSILOCYBIN METABOLITE QUANTITATION -,186.0,109.74,22.41,167.4,23
CPT,83789,"HC PSILOCYBIN, URINE",186.0,109.74,22.41,167.4,23
CPT,83789,"HC PURINE AND PYRIMIDINE PANEL, URINE -",186.0,109.74,22.41,167.4,23
CPT,83789,HC RISPERIDONE,186.0,109.74,22.41,167.4,23
CPT,83789,HC THIOPURINE AB,186.0,109.74,22.41,167.4,23
CPT,83789,HC THIOPURINE METABOLITES,186.0,109.74,22.41,167.4,23
CPT,83789,HC THIOPURINE METHYLTRANSFERASE,186.0,109.74,22.41,167.4,23
CPT,83789,HC THYMIDINE,186.0,109.74,22.41,167.4,23
CPT,83789,HC URINE BILE ACIDS/FABMS,186.0,109.74,22.41,167.4,23
CPT,83789,HC VENLAFAXINE & METAB,186.0,109.74,22.41,167.4,23
CPT,83825,HC MERCURY BLOOD,167.0,98.53,20.12,150.3,23
CPT,83825,HC MERCURY RANDOM URINE,167.0,98.53,20.12,150.3,23
CPT,83825,HC MERCURY URINE,167.0,98.53,20.12,150.3,23
CPT,83825,"HC MERCURY, QUANTITATIVE",167.0,98.53,20.12,150.3,23
CPT,83825,"HC MERCURY, S/P",167.0,98.53,20.12,150.3,23
CPT,83825,"HC MERCURY,URINE",167.0,98.53,20.12,150.3,23
CPT,83825,"HC MERCURY,URINE(SO)",167.0,98.53,20.12,150.3,23
CPT,83835,HC METANEPHRINES,174.0,102.66,20.96,156.6,23
CPT,83835,HC METANEPHRINES 24 HOUR URINE,174.0,102.66,20.96,156.6,23
CPT,83835,"HC METANEPHRINES,FRAC,RANDOM,UR",174.0,102.66,20.96,156.6,23
CPT,83864,"HC MUCOPOLYSACCHARIDES, ACID; QUANTITATI",171.0,100.89,20.6,153.9,23
CPT,83864,HC STORAGE DISEASE PNL 1 - MPS ANALYSIS,171.0,100.89,20.6,153.9,23
CPT,83872,HC MUCIN CLOT,60.0,35.4,7.23,54.0,23
CPT,83873,HC MBP SO MYELIN BAS PRO CSF,177.0,104.43,21.32,159.3,23
CPT,83873,HC MYELIN BASIC PROTEIN (CSF),177.0,104.43,21.32,159.3,23
CPT,83874,HC MYOGLOBIN,133.0,78.47,16.02,119.7,23
CPT,83874,HC MYOGLOBIN (YH),133.0,78.47,16.02,119.7,23
CPT,83874,"HC MYOGLOBULIN, URINE",133.0,78.47,16.02,119.7,23
CPT,83876,HC MYELOPEROXIDASE AB (MPO),349.0,205.91,42.05,314.1,23
CPT,83880,HC NATRIURETIC PEPTIDE,349.0,205.91,42.05,314.1,23
CPT,83880,HC POCT NATRIURETIC PEPTIDE,349.0,205.91,42.05,314.1,23
CPT,83883,HC ALPHA-2-MACROGLOBULIN - ALPHA-2-MACRO,140.0,82.6,16.87,126.0,23
CPT,83883,"HC C1 ESTERASE INHIBITOR ANTIGEN , SERUM",140.0,82.6,16.87,126.0,23
CPT,83883,HC FIBRO SPECT AMG,140.0,82.6,16.87,126.0,23
CPT,83883,HC FREE KAPPA LIGHT CHAINS,140.0,82.6,16.87,126.0,23
CPT,83883,HC FREE KAPPA LIGHT CHAINS - $171,140.0,82.6,16.87,126.0,23
CPT,83883,HC FREE KAPPA LIGHT CHAINS - NEW 2011,140.0,82.6,16.87,126.0,23
CPT,83883,HC FREE LAMBDA LIGHT CHAINS,140.0,82.6,16.87,126.0,23
CPT,83883,HC FREE LAMBDA LIGHT CHAINS - $171,140.0,82.6,16.87,126.0,23
CPT,83883,HC FREE LAMBDA LIGHT CHAINS - NEW 2011,140.0,82.6,16.87,126.0,23
CPT,83883,HC HEPATITIS C VIRUS (HCV) FIBROSURE,140.0,82.6,16.87,126.0,23
CPT,83883,HC IG FREE LIGHT CHAINS KAPP,140.0,82.6,16.87,126.0,23
CPT,83883,HC IG FREE LIGHT CHAINS LA,140.0,82.6,16.87,126.0,23
CPT,83883,HC KAPPA LAMBDA RATIO,140.0,82.6,16.87,126.0,23
CPT,83883,HC RETINOL-BINDING-PROTEIN,140.0,82.6,16.87,126.0,23
CPT,83883,HC ZHCV FIBROSURE,140.0,82.6,16.87,126.0,23
CPT,83884,HC NEUROFILAMENT LIGHT CHAIN (NFL),103.62,61.14,12.48,93.26,23
CPT,83885,HC NICKEL,218.0,128.62,26.26,196.2,23
CPT,83885,"HC NICKEL, SERUM",218.0,128.62,26.26,196.2,23
CPT,83915,HC NUCLEOTIDASE 5,115.0,67.85,13.85,103.5,23
CPT,83916,HC OLIGOCLONAL BANDS,207.0,122.13,24.94,186.3,23
CPT,83918,"HC HIPPURIC ACID, URINE",169.0,99.71,20.36,152.1,23
CPT,83918,HC ORGANIC ACIDS TOTAL QN,169.0,99.71,20.36,152.1,23
CPT,83919,HC GLOBAL MAPS PLASMA,67.86,40.04,8.18,61.07,23
CPT,83919,HC GLOBAL MAPS URINE,67.86,40.04,8.18,61.07,23
CPT,83919,HC ORGANIC ACIDS QL URINE,169.0,99.71,20.36,152.1,23
CPT,83919,HC QUAL URINE SUCCINYLACETONE,169.0,99.71,20.36,152.1,23
CPT,83919,HC SEPARATION AND ID  - TC ONLY,169.0,99.71,20.36,152.1,23
CPT,83921,HC 3 METHYLGLUTACONC ACID,169.0,99.71,20.36,152.1,23
CPT,83921,HC FORMIC ACID,169.0,99.71,20.36,152.1,23
CPT,83921,HC METHYLMALONIC ACID,169.0,99.71,20.36,152.1,46
CPT,83921,HC METHYLMALONIC ACID URINE,169.0,99.71,20.36,152.1,23
CPT,83921,"HC OROTIC ACID, URINE",169.0,99.71,20.36,152.1,23
CPT,83930,HC OSMOLALITY BL,68.0,40.12,8.19,61.2,23
CPT,83935,"HC  OSMOLALITY, FECES",70.0,41.3,8.43,63.0,23
CPT,83935,"HC OSMOLALITY, FLUID",70.0,41.3,8.43,63.0,23
CPT,83937,HC OSTEOCALCIN,307.0,181.13,36.99,276.3,23
CPT,83945,HC GLOBAL MAPS PLASMA,53.07,31.31,6.39,47.76,23
CPT,83945,HC GLOBAL MAPS URINE,53.07,31.31,6.39,47.76,23
CPT,83945,HC OXALATE PLASMA/SERUM,132.0,77.88,15.9,118.8,23
CPT,83945,HC OXALATE URINE,132.0,77.88,15.9,118.8,23
CPT,83950,HC HER-2/NEU,663.0,391.17,79.88,596.7,23
CPT,83951,HC ONCOPROTEIN DCP,386.46,228.01,46.56,347.81,23
CPT,83970,HC PARATHYROID HORMONE,425.0,250.75,51.2,382.5,23
CPT,83970,HC PARATHYROID HORMONE INTAC,425.0,250.75,51.2,382.5,23
CPT,83970,HC PTH INTRAOPERATIVE BASELN,425.0,250.75,51.2,382.5,23
CPT,83970,HC PTH INTRAOPERATIVE TIMED,425.0,250.75,51.2,382.5,23
CPT,83986,HC PAIN MGT BASE PROFILE W/O CONFIRM,37.0,21.83,4.46,33.3,23
CPT,83986,HC PH BODY FLUID EXCEPT BLOOD,37.0,21.83,4.46,33.3,23
CPT,83986,HC PH BODY FLUID NOT OTHERWISE SPECIFIED,37.0,21.83,4.46,33.3,23
CPT,83986,HC PH FLUID TEST,37.0,21.83,4.46,33.3,23
CPT,83986,HC PH OTHER,37.0,21.83,4.46,33.3,23
CPT,83986,HC PH PLEURAL FLUID,37.0,21.83,4.46,33.3,23
CPT,83993,"HC CALPROTECTIN,STOOL",202.0,119.18,24.34,181.8,23
CPT,84030,HC BLOOD SPOT PHENYLALANINE/TYROSINE,33.0,19.47,3.98,29.7,23
CPT,84030,"HC PHENYLALANINE (PKU), BLOOD",33.0,19.47,3.98,29.7,23
CPT,84030,HC PKU TEST - INPT NEWBORN,33.0,19.47,3.98,29.7,23
CPT,84035,HC GLOBAL MAPS PLASMA,15.09,8.9,1.82,13.58,23
CPT,84035,HC GLOBAL MAPS URINE,15.09,8.9,1.82,13.58,23
CPT,84060,HC PHOSPHATASE ACID TOTAL,45.84,27.05,5.52,41.26,23
CPT,84066,"HC PHOSPHATASE, ACID; PROSTATIC",99.0,58.41,11.93,89.1,23
CPT,84075,HC BONE SPECIFIC ALK. PHOS. (QUEST #29498),31.08,18.34,3.74,27.97,23
CPT,84075,"HC PHOSPHATASE, ALKALINE (SO)",31.8,18.76,3.83,28.62,23
CPT,84075,"HC PHOSPHATASE, ALKALINE;",31.08,18.34,3.74,27.97,23
CPT,84078,HC ALK PHOS HEAT STABLE,75.0,44.25,9.04,67.5,23
CPT,84080,HC ALKALINE PHOSPHATASE ISOENZYME,152.0,89.68,18.31,136.8,23
CPT,84080,"HC PHOSPHATASE, ALKALINE; ISOENZYMES",152.0,89.68,18.31,136.8,23
CPT,84081,HC PHOSPHATIDYLGLYCEROL,170.0,100.3,20.48,153.0,23
CPT,84087,HC ASSAY PHOSPHOHEXOSE ISOMERASE,64.38,37.98,7.76,57.94,23
CPT,84100,HC PHOSPHATE INORGANIC,49.0,28.91,5.9,44.1,23
CPT,84100,HC PHOSPHORUS INORGANIC (PHOSPHATE);,49.0,28.91,5.9,44.1,23
CPT,84105,HC PHOSPHORUS INORGANIC URINE,53.0,31.27,6.39,47.7,23
CPT,84106,HC PORPHOBILINOGEN QL URINE,44.0,25.96,5.3,39.6,23
CPT,84110,"HC PORPHOBILINOGEN, URINE; QUANTITATIVE",87.0,51.33,10.48,78.3,23
CPT,84112,HC PAMG-1,419.0,247.21,50.48,377.1,23
CPT,84119,HC GLOBAL MAPS URINE,28.35,16.73,3.42,25.52,23
CPT,84120,HC INHER CONJ HYPERBILIRN,151.0,89.09,18.19,135.9,23
CPT,84120,HC PORPHYRINS FRACTIONATED,151.0,89.09,18.19,135.9,23
CPT,84120,HC PORPHYRINS QN & FRACTION URINE,151.0,89.09,18.19,135.9,23
CPT,84126,HC FECAL PROTOPORPHYRIN,276.0,162.84,33.25,248.4,23
CPT,84132,HC POCT POTASSIUM,28.56,16.85,3.44,25.7,23
CPT,84132,"HC POTASSIUM,FLUID POTASSIUM POTASSIUM,P",28.56,16.85,3.44,25.7,23
CPT,84132,"HC POTASSIUM; SERUM, PLASMA OR WHOLE BLO",28.56,16.85,3.44,25.7,23
CPT,84133,HC POTASSIUM URINE,44.0,25.96,5.3,39.6,23
CPT,84134,HC PREALBUMIN,150.0,88.5,18.07,135.0,23
CPT,84138,HC PREGNANETRIOL,195.0,115.05,23.49,175.5,23
CPT,84140,HC PREGNENOLONE,213.0,125.67,25.66,191.7,23
CPT,84143,HC 17-HYDROXYPREGNENOLONE,235.0,138.65,28.31,211.5,23
CPT,84144,HC PROGESTERONE - CLINICAL,215.0,126.85,25.9,193.5,23
CPT,84145,HC PROCALCITONIN,276.0,162.84,33.25,248.4,23
CPT,84146,HC PROLACTIN - CHEMISTRY,199.0,117.41,23.97,179.1,23
CPT,84146,"HC PROLACTIN, TOTAL AND MONOMERIC",199.0,117.41,23.97,179.1,23
CPT,84150,"HC PROSTAGLANDIN, EACH",257.0,151.63,30.96,231.3,23
CPT,84150,"HC PROSTAGLANDIN, URINE",257.0,151.63,30.96,231.3,23
CPT,84152,HC PSA COMPLEXED,189.0,111.51,22.77,170.1,23
CPT,84153,"HC PSA, TOTAL",188.0,110.92,22.65,169.2,23
CPT,84154,HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE,189.0,111.51,22.77,170.1,23
CPT,84155,HC ARYLSULFATASE A ENZYME ANALYSIS #4538,38.0,22.42,4.58,34.2,23
CPT,84155,HC GALACTOCEREBROSIDASE ENZYME ANALYSIS 2,22.02,12.99,2.65,19.82,23
CPT,84155,HC LYSOSOMAL ACID LIPASE ANALYSIS,22.02,12.99,2.65,19.82,23
CPT,84155,HC NH TAY-SACHS ENZYME,38.0,22.42,4.58,34.2,23
CPT,84155,"HC PROTEIN, TOTAL",22.02,12.99,2.65,19.82,23
CPT,84155,"HC PROTEIN, TOTAL (SO)",22.02,12.99,2.65,19.82,23
CPT,84155,"HC PROTEIN, TOTAL, EXCEPT BY REFRACTOMET",22.02,12.99,2.65,19.82,23
CPT,84156,HC PROTEIN TOTAL URINE,38.0,22.42,4.58,34.2,23
CPT,84156,"HC TOTAL PROTEIN,URINE",38.0,22.42,4.58,34.2,23
CPT,84157,HC BODY FLUID TESTS,38.0,22.42,4.58,34.2,23
CPT,84157,HC PROTEIN TOTAL CSF,38.0,22.42,4.58,34.2,23
CPT,84163,HC PAPPA SERUM,70.0,41.3,8.43,63.0,23
CPT,84163,HC PRGENANCY-ASSOC PLASMA PROTEIN-A(PAPP-A),70.0,41.3,8.43,63.0,23
CPT,84165,HC ELECTROPHORISIS PROTEIN S,110.0,64.9,13.25,99.0,23
CPT,84165,"HC PROTEIN ELECTROPHORESIS,SERUM",110.0,64.9,13.25,99.0,23
CPT,84166,HC PROT ELECT URINE,183.0,107.97,22.05,164.7,23
CPT,84166,HC PROT ELECT URINE - LAB,183.0,107.97,22.05,164.7,23
CPT,84181,HC HU AB WESTERN BLOT,175.0,103.25,21.08,157.5,23
CPT,84181,HC NEOCEERBELL DEGEN PARA W/RECOMBX #438,175.0,103.25,21.08,157.5,23
CPT,84181,HC NEOCOMP PARANEOPLASTIC W/RECOMBX #467,175.0,103.25,21.08,157.5,23
CPT,84181,HC NEOENCEPH PARAPLAS PROFILE 3,175.0,103.25,21.08,157.5,23
CPT,84181,HC NEURONAL NUCLEAR AB HU WESTERN BLOT,175.0,103.25,21.08,157.5,23
CPT,84181,HC NEURONAL NUCLEAR AB RI WESTERN BLOT,175.0,103.25,21.08,157.5,23
CPT,84181,HC NEURONAL NUCLEAR AB YO WESTERN BLOT,175.0,103.25,21.08,157.5,23
CPT,84181,HC PROTEIN WESTERN BLOT,175.0,103.25,21.08,157.5,46
CPT,84181,"HC YO ANTIBODY, WESTERN BLOT",175.0,103.25,21.08,157.5,23
CPT,84182,"HC 14-3-3 TAU PRION MARKERS, CSF",103.79,61.24,12.5,93.41,23
CPT,84182,"HC AMPHIPHYSIN IMMUNOBLOT, SERUM",103.79,61.24,12.5,93.41,23
CPT,84182,HC ANTI-RETINAL ABS BY WB,103.79,61.24,12.5,93.41,23
CPT,84182,HC AUTOIMMUNE DYSTONIA EVAL ADE WB,103.79,61.24,12.5,93.41,23
CPT,84182,"HC CRMP-5-IGG WESTERN BLOT, CSF",103.79,61.24,12.5,93.41,46
CPT,84182,"HC CRMP-5-IGG WESTERN BLOT, SERUM",103.79,61.24,12.5,93.41,23
CPT,84182,HC CV2 AUTOANTIBODY TEST,103.79,61.24,12.5,93.41,23
CPT,84182,HC EPIEC RFLX AMP WB,103.79,61.24,12.5,93.41,23
CPT,84182,HC EPIEC RFLX CRMP WB,103.79,61.24,12.5,93.41,23
CPT,84182,HC EPIEC RFLX PARANEO WB,103.79,61.24,12.5,93.41,23
CPT,84182,HC EPIES RFLX AMPHI WB,103.79,61.24,12.5,93.41,23
CPT,84182,HC EPIES RFLX CRMP-5 WB,103.79,61.24,12.5,93.41,23
CPT,84182,HC EPILEPSY AUTOIMMUNE EVAL SERUM RFLX,103.79,61.24,12.5,93.41,23
CPT,84182,HC MAG AB IGM BY WB,103.79,61.24,12.5,93.41,23
CPT,84182,HC MATA AUTOANTIBODY,103.79,61.24,12.5,93.41,23
CPT,84182,HC MYOPATHY 2,103.79,61.24,12.5,93.41,23
CPT,84182,HC NEOCEERBELL DEGEN PARA W/RECOMBX #438,103.79,61.24,12.5,93.41,23
CPT,84182,HC NEOCOMP PARANEOPLASTIC W/RECOMBX #467,103.79,61.24,12.5,93.41,23
CPT,84182,HC NEOENCEPH PARAPLAS PROFILE 4,103.79,61.24,12.5,93.41,23
CPT,84182,HC NEUROIMMUNO AB FOLLOW-UP PFNEC/S,103.79,61.24,12.5,93.41,23
CPT,84182,"HC NEUROLOGY AB, LINE BLOT",103.79,61.24,12.5,93.41,23
CPT,84182,HC PROTEIN WEST BLOT/OTH FLU (UNIV WASH ST LOUIS),103.79,61.24,12.5,93.41,23
CPT,84182,"HC PROTEIN; WESTERN BLOT, WITH INTERPRET",103.79,61.24,12.5,93.41,23
CPT,84182,HC SIGNAL RECOGNITION PARTICLE AB IMMUNOBLOT SERUM,103.79,61.24,12.5,93.41,23
CPT,84202,"HC PROTOPORPHYRIN, RBC; QUANTITATIVE",148.0,87.32,17.83,133.2,23
CPT,84202,"HC PROTOPORPHYRINS,ZINC",148.0,87.32,17.83,133.2,23
CPT,84206,HC PROINSULIN,173.0,102.07,20.84,155.7,23
CPT,84207,HC GLOBAL MAPS PLASMA,101.25,59.74,12.2,91.13,23
CPT,84207,HC GLOBAL MAPS URINE,101.25,59.74,12.2,91.13,23
CPT,84207,HC VITAMIN B-6 (PYRIDOXAL PHOSPHATE),253.0,149.27,30.48,227.7,23
CPT,84210,HC GLOBAL MAPS PLASMA,44.76,26.41,5.39,40.28,23
CPT,84210,HC GLOBAL MAPS URINE,44.76,26.41,5.39,40.28,23
CPT,84210,HC PYRUVATE,112.0,66.08,13.49,100.8,23
CPT,84220,HC PYRUVATE KINASE,97.0,57.23,11.69,87.3,23
CPT,84235,HC RECEPTOR ASSAY ENDOCRINE,328.0,193.52,39.52,295.2,23
CPT,84238,HC ACETYLCHOLINE RECEPTOR ASSAY,376.0,221.84,45.3,338.4,23
CPT,84238,HC INTERLEUKIN-2 RECP,376.0,221.84,45.3,338.4,23
CPT,84238,"HC RECEPTOR ASSAY, NON-ENDOCRINE",376.0,221.84,45.3,338.4,23
CPT,84238,"HC TRASFERRIN RECEPTOR, SOLUBLE",376.0,221.84,45.3,338.4,23
CPT,84244,HC PLASMA RENIN ACTIVITY,226.0,133.34,27.23,203.4,23
CPT,84244,HC RENIN,226.0,133.34,27.23,203.4,23
CPT,84252,HC GLOBAL MAPS PLASMA,48.0,28.32,5.78,43.2,23
CPT,84252,HC GLOBAL MAPS URINE,48.0,28.32,5.78,43.2,23
CPT,84252,HC VITAMIN B-2 (RIBOFLAVIN),120.0,70.8,14.46,108.0,23
CPT,84255,HC SELENIUM,263.0,155.17,31.69,236.7,23
CPT,84255,HC SELENIUM RBC,263.0,155.17,31.69,236.7,23
CPT,84255,"HC SELENIUM,WB",263.0,155.17,31.69,236.7,23
CPT,84260,HC GLOBAL MAPS PLASMA,71.73,42.32,8.64,64.56,23
CPT,84260,HC GLOBAL MAPS URINE,71.73,42.32,8.64,64.56,23
CPT,84260,HC SEROTONIN,179.0,105.61,21.57,161.1,23
CPT,84260,"HC SEROTONIN, WHOLE BLOOD",179.0,105.61,21.57,161.1,23
CPT,84270,HC SEX HORMONE BINDING GLOBULIN,224.0,132.16,26.99,201.6,23
CPT,84270,HC SEX HORMONE BINDING GLOBULIN (SHBG),224.0,132.16,26.99,201.6,46
CPT,84270,"HC TESTO FREE BIOAVAIL & TOTAL, LC/MS/MS",224.0,132.16,26.99,201.6,23
CPT,84275,HC SIALIC ACID,80.64,47.58,9.72,72.58,23
CPT,84275,HC STORAGE DISEASE PNL 4 - SIALIC ACID,80.64,47.58,9.72,72.58,23
CPT,84285,HC SILICON SERUM/PLASMA,281.0,165.79,33.85,252.9,23
CPT,84295,HC POCT SODIUM,28.86,17.03,3.48,25.97,23
CPT,84295,HC SODIUM,28.86,17.03,3.48,25.97,23
CPT,84295,"HC SODIUM; SERUM, PLASMA OR WHOLE BLOOD",28.86,17.03,3.48,25.97,23
CPT,84300,HC SODIUM URINE,50.0,29.5,6.02,45.0,23
CPT,84302,HC SODIUM BODY FLUID,50.0,29.5,6.02,45.0,23
CPT,84305,HC SOMATOMEDIN (IGF-1),219.0,129.21,26.38,197.1,23
CPT,84307,HC SOMATOSTATIN,188.0,110.92,22.65,169.2,23
CPT,84311,HC ADENOSINE DEAMINASE BLOOD,72.0,42.48,8.67,64.8,23
CPT,84311,HC ADENOSINE DEAMINASE CSF,72.0,42.48,8.67,64.8,23
CPT,84311,HC ADENOSINE DEAMINASE FL,72.0,42.48,8.67,64.8,23
CPT,84311,HC ALPHA-GALACTOSIDAE,72.0,42.48,8.67,64.8,23
CPT,84311,"HC BMPR1A, SMAD4 GENE SEQ & DEL/DUP",72.0,42.48,8.67,64.8,23
CPT,84311,HC CHOLESTEROL (BF),72.0,42.48,8.67,64.8,23
CPT,84311,"HC CHYMOTRYPSIN,STOOL",72.0,42.48,8.67,64.8,23
CPT,84311,HC FUNGITELL (1-3)-�-D-GLUCAN ASSAY,72.0,42.48,8.67,64.8,23
CPT,84311,HC GALACTOSEMIA PANEL,72.0,42.48,8.67,64.8,23
CPT,84311,HC GALK ENZYME ACTIVITY RBC,72.0,42.48,8.67,64.8,23
CPT,84311,HC GCP SPECTROPHOTO,72.0,42.48,8.67,64.8,23
CPT,84311,"HC HEMOGLOBIN,FREE,SERUM",72.0,42.48,8.67,64.8,23
CPT,84311,HC METHEMOGLOBIN REDUCTASE,72.0,42.48,8.67,64.8,23
CPT,84311,HC METHYLGLUTACO ACIDURIA NUC GENE PANEL,72.0,42.48,8.67,64.8,23
CPT,84311,HC MITOCHOND RESP CHAIN ENZ (BAYLOR #3210),72.0,42.48,8.76,64.8,23
CPT,84311,HC PAIN MGT BASE PROFILE W/O CONFIRM,72.0,42.48,8.67,64.8,23
CPT,84311,HC PERIODIC FEVER SYNDROMES PANEL #367,72.0,42.48,8.67,64.8,23
CPT,84311,"HC PHOSPHOLIPIDS, TOTAL",72.0,42.48,8.67,64.8,23
CPT,84311,"HC POTASSIUM,FECES",72.0,42.48,8.67,64.8,23
CPT,84311,"HC SPECTROPHOTOMETRY ANALYTE, NOT SPECIFIED",72.0,42.48,8.67,64.8,23
CPT,84311,HC TAY SACHS ENZYM CARRIER TEST,72.0,42.48,8.67,64.8,23
CPT,84315,HC SPECIFIC GRAVITY NON URINE,26.0,15.34,3.13,23.4,23
CPT,84375,HC CONGENITAL DIS OF GLY: N-GLYCAN 3,202.0,119.18,24.34,181.8,23
CPT,84375,"HC N-GLYCAN PROFILE, BNGLY",193.75,114.31,23.34,174.38,23
CPT,84376,"HC SUGARS, FECES",57.0,33.63,6.87,51.3,23
CPT,84377,"HC CARBOHYDRATE, URINE",33.0,19.47,3.98,29.7,23
CPT,84377,HC GLOBAL MAPS PLASMA,22.68,13.38,2.73,20.41,23
CPT,84377,HC GLOBAL MAPS URINE,22.68,13.38,2.73,20.41,23
CPT,84377,HC STORAGE DISEASE PANEL 2 - OLIGOSACCHARIDES,33.0,19.47,3.98,29.7,23
CPT,84378,HC CARBOHYDRATE DEF GLYCOPROTEIN SYND 3,119.0,70.21,14.34,107.1,23
CPT,84378,HC GALACTOSE-1-PHOSPHATE PROFILE,119.0,70.21,14.34,107.1,23
CPT,84378,HC GALACTOSEMIA PANEL,119.0,70.21,14.34,107.1,23
CPT,84378,HC GCP SUGARS SINGLE,119.0,70.21,14.34,107.1,23
CPT,84378,"HC O-GLYCAN ANALYSIS, BOGLY",359.08,211.86,43.26,323.17,23
CPT,84378,HC SUGARS SNGL QN,119.0,70.21,14.34,107.1,23
CPT,84379,"HC CARBOHYDRATE, URINE (MAYO CHOU)",69.18,40.82,8.33,62.26,23
CPT,84392,HC GLOBAL MAPS URINE,19.59,11.56,2.36,17.63,23
CPT,84392,HC SULFATE URINE,49.0,28.91,5.9,44.1,23
CPT,84393,HC TAU PHOSPHORYLATED EA,103.62,61.14,12.48,93.26,23
CPT,84394,"HC TAU, TOTAL (TTAU)",103.62,61.14,12.48,93.26,23
CPT,84402,"HC TESTOSTERONE FREE AND TOTAL, LC/MS/MS",262.0,154.58,31.56,235.8,23
CPT,84402,HC TESTOSTERONE FREE ES,262.0,154.58,31.56,235.8,23
CPT,84402,"HC TESTOSTERONE, FREE",262.0,154.58,31.56,235.8,23
CPT,84402,"HC TESTOSTERONE, FREE LC/MS",262.0,154.58,31.56,235.8,23
CPT,84402,HC TESTOSTERONE; FREE,262.0,154.58,31.56,235.8,23
CPT,84403,"HC TESTO FREE BIOAVAIL & TOTAL, LC/MS/MS",266.0,156.94,32.05,239.4,23
CPT,84403,"HC TESTOSTERONE FREE AND TOTAL, LC/MS/MS",266.0,156.94,32.05,239.4,23
CPT,84403,"HC TESTOSTERONE,TOT.,LC/MS",266.0,156.94,32.05,239.4,23
CPT,84403,HC TESTOSTERONE; TOTAL,266.0,156.94,32.05,239.4,23
CPT,84410,"HC TESTSOTERONE BIOAVAILABLE, DIRECT",307.68,181.53,37.07,276.91,23
CPT,84425,HC GLOBAL MAPS PLASMA,87.57,51.67,10.55,78.81,23
CPT,84425,HC GLOBAL MAPS URINE,87.57,51.67,10.55,78.81,23
CPT,84425,HC VITAMIN B1 (THIAMINE),218.0,128.62,26.26,196.2,23
CPT,84430,HC THIOCYANATE,120.0,70.8,14.46,108.0,23
CPT,84431,HC THROMBOXANE METABOLITE W/WO URINE,173.0,102.07,20.84,155.7,23
CPT,84432,"HC CHEMISTRY, THYROGLOBULIN",165.0,97.35,19.88,148.5,23
CPT,84432,HC THYROGLOBULIN,165.0,97.35,19.88,148.5,23
CPT,84432,HC THYROGLOBULIN FNA,165.0,97.35,19.88,148.5,23
CPT,84432,HC THYROGLOBULIN LC/MS/MS (MAYO TGMS),165.0,97.35,19.88,148.5,23
CPT,84433,HC CHEM ASSAY THIOPURIN S-MTHYLTRNSFRS (TPMT),133.02,78.48,16.03,119.72,23
CPT,84436,HC THYROXINE (T-4) TOTAL,71.0,41.89,8.55,63.9,23
CPT,84436,HC THYROXINE TOTAL,71.0,41.89,8.55,63.9,23
CPT,84439,"HC  THYROXINE, FREE",93.0,54.87,11.2,83.7,46
CPT,84439,"HC T4,FREE,DIRECT DIALYSIS",93.0,54.87,11.2,83.7,23
CPT,84442,HC THYROXINE BINDING GLOBULIN (TBG),152.0,89.68,18.31,136.8,23
CPT,84442,HC THYROXINE BINDING GLOBULIN (TBG) (BH),152.0,89.68,18.31,136.8,23
CPT,84443,HC THYROID STIMULATING HORMONE (TSH),173.0,102.07,20.84,155.7,23
CPT,84445,HC THYROID STIMULAT IMMUNE GLOBULINS (TSI),523.0,308.57,63.01,470.7,23
CPT,84446,HC GLOBAL MAPS PLASMA,58.47,34.5,7.04,52.62,23
CPT,84446,HC GLOBAL MAPS URINE,58.47,34.5,7.04,52.62,23
CPT,84446,HC TOCOPHEROL ALPHA (VITAMIN E),146.0,86.14,17.59,131.4,23
CPT,84449,HC TRANSCOIN,185.0,109.15,22.29,166.5,23
CPT,84450,HC AST/GOT,31.08,18.34,3.74,27.97,23
CPT,84450,HC TRANSFERASE; ASPARTATE AMINO (AST) (S,31.08,18.34,3.74,27.97,23
CPT,84460,HC ALT/GPT,31.8,18.76,3.83,28.62,23
CPT,84460,HC HEPATITIS C VIRUS (HCV) FIBROSURE,31.8,18.76,3.83,28.62,23
CPT,84460,HC TRANSFERASE; ALANINE AMINO (ALT) (SGP,31.8,18.76,3.83,28.62,23
CPT,84460,HC ZHCV FIBROSURE,31.8,18.76,3.83,28.62,23
CPT,84466,HC TRANSFERRIN,131.0,77.29,15.78,117.9,23
CPT,84466,HC TRANSFERRIN - IMMUNOLOGY,131.0,77.29,15.78,117.9,23
CPT,84478,HC TRIGLYCERIDES,59.0,34.81,7.11,53.1,46
CPT,84479,HC THYROID HORMONE (T3 OR T4) UPTAKE OR,67.0,39.53,8.07,60.3,23
CPT,84480,HC TRIIODOTHYRONINE T3; TOTAL (TT-3),146.0,86.14,17.59,131.4,23
CPT,84481,HC TRIIODOTHYRONINE T3; FREE,174.0,102.66,20.96,156.6,23
CPT,84481,"HC TRIIODOTHYRONINE, FREE, BY DIALYSIS",174.0,102.66,20.96,156.6,23
CPT,84482,HC TRIIODOTHYRONINE (T-3) REV,162.0,95.58,19.52,145.8,23
CPT,84484,"HC POCT TROPONIN, QUANTITATIVE",101.0,59.59,12.17,90.9,23
CPT,84484,"HC TROPONIN, QUANTITATIVE",101.0,59.59,12.17,90.9,23
CPT,84510,HC GLOBAL MAPS PLASMA,42.9,25.31,5.17,38.61,23
CPT,84510,HC GLOBAL MAPS URINE,42.9,25.31,5.17,38.61,23
CPT,84510,HC PLASMA TYROSINE,107.0,63.13,12.89,96.3,23
CPT,84510,HC TYROSINE,107.0,63.13,12.89,96.3,23
CPT,84520,HC BLOOD UREA NITROGEN,23.7,13.98,2.86,21.33,23
CPT,84520,HC BLOOD UREA NITROGEN BUN,41.0,24.19,4.94,36.9,23
CPT,84520,HC POCT BUN,23.7,13.98,2.86,21.33,23
CPT,84520,HC UREA NITROGEN,23.7,13.98,2.86,21.33,23
CPT,84520,HC UREA NITROGEN; QUANTITATIVE,23.7,13.98,2.86,21.33,23
CPT,84525,HC GLOBAL MAPS PLASMA,15.51,9.15,1.87,13.96,23
CPT,84525,HC GLOBAL MAPS URINE,15.51,9.15,1.87,13.96,23
CPT,84540,HC GLOBAL MAPS URINE,19.59,11.56,2.36,17.63,23
CPT,84540,HC UREA NITROGEN URINE,49.0,28.91,5.9,44.1,23
CPT,84550,HC GLOBAL MAPS PLASMA,18.63,10.99,2.24,16.77,23
CPT,84550,HC URIC ACID,47.0,27.73,5.66,42.3,23
CPT,84550,"HC URIC ACID, BLOOD",47.0,27.73,5.66,42.3,23
CPT,84550,HC URIC ACID; BLOOD,47.0,27.73,5.66,42.3,23
CPT,84560,HC GLOBAL MAPS URINE,19.59,11.56,2.36,17.63,23
CPT,84560,HC URIC ACID OTHER SRCE,49.0,28.91,5.9,44.1,23
CPT,84578,HC GLOBAL MAPS URINE,13.41,7.91,1.62,12.07,23
CPT,84585,HC GLOBAL MAPS URINE,63.9,37.7,7.7,57.51,23
CPT,84585,HC VANILLYLMANDELIC ACID VMA URINE,159.0,93.81,19.16,143.1,23
CPT,84585,"HC VMA, URINE",159.0,93.81,19.16,143.1,23
CPT,84585,"HC VMA,URINE",159.0,93.81,19.16,143.1,23
CPT,84586,HC VASOACTIVE INTESTINAL PEPTIDE,364.0,214.76,43.85,327.6,23
CPT,84586,HC VASOACTIVE INTESTINAL PEPTIDE (VIP),364.0,214.76,43.85,327.6,23
CPT,84588,HC VASOPRESSIN (ADH),349.0,205.91,42.05,314.1,23
CPT,84590,HC GLOBAL MAPS PLASMA,44.37,26.18,5.35,39.93,23
CPT,84590,HC GLOBAL MAPS URINE,44.37,26.18,5.35,39.93,23
CPT,84590,HC VITAMIN A,111.0,65.49,13.37,99.9,23
CPT,84591,HC BIOTIN (B7),111.0,65.49,13.37,99.9,23
CPT,84591,HC NIACIN(B3),111.0,65.49,13.37,99.9,23
CPT,84591,HC PANTOTHENIC ACID(B5),111.0,65.49,13.37,99.9,23
CPT,84591,HC VITAMIN B3,111.0,65.49,13.37,99.9,23
CPT,84591,"HC VITAMIN, NOT OTHERWISE SPECIFIED",111.0,65.49,13.37,99.9,23
CPT,84597,HC VITAMIN K,96.0,56.64,11.57,86.4,23
CPT,84600,HC ALCOHOL (ETHANOL) SERUM/PLASMA,165.0,97.35,19.88,148.5,23
CPT,84600,HC BENZENE,165.0,97.35,19.88,148.5,23
CPT,84600,HC D XYLOSE,165.0,97.35,19.88,148.5,23
CPT,84600,"HC METHYL ALCOHOL,BLOOD",165.0,97.35,19.88,148.5,23
CPT,84600,HC TOLUENE BLOOD,165.0,97.35,19.88,148.5,23
CPT,84620,HC XYLOSE ABSORPTION,122.0,71.98,14.7,109.8,23
CPT,84630,HC ZINC,117.0,69.03,14.1,105.3,23
CPT,84630,"HC ZINC, TIMED URINE",117.0,69.03,14.1,105.3,23
CPT,84630,"HC ZINC,RBC",117.0,69.03,14.1,105.3,23
CPT,84681,HC C-PEPTIDE,214.0,126.26,25.78,192.6,23
CPT,84681,HC C-PEPTIDE URINE,214.0,126.26,25.78,192.6,23
CPT,84702,HC BETA HCG QUANT,120.0,70.8,14.46,108.0,23
CPT,84702,"HC GONADOTROPIN, CHORIONIC (HCG); QUANTI",120.0,70.8,14.46,108.0,23
CPT,84702,HC HCG MATERNAL SCREEN,120.0,70.8,14.46,108.0,23
CPT,84702,HC HCG TUMOR MARKER,120.0,70.8,14.46,108.0,23
CPT,84702,HC HCG/ PREG QUANT,120.0,70.8,14.46,108.0,23
CPT,84702,HC HCG; QUANTITATIVE,120.0,70.8,14.46,108.0,23
CPT,84702,HC POCT BETA HCG QUANT,120.0,70.8,14.46,108.0,23
CPT,84703,HC HCG QUALITATIVE,77.0,45.43,9.28,69.3,23
CPT,84999,HC GCP PAPER CHROM,125.0,73.75,15.06,112.5,23
CPT,84999,HC MACROAMYLASE,125.0,73.75,15.06,112.5,23
CPT,84999,HC METABOLOMIC PROFILING ONLY,1010.0,595.9,121.68,909.0,23
CPT,84999,HC ORGANOPHOSPHATE PESTIC QN,125.0,73.75,15.06,112.5,23
CPT,84999,HC OSMOLALITY STOOL,125.0,73.75,15.06,112.5,23
CPT,84999,"HC OSMOLALITY, STOOL",125.0,73.75,15.06,112.5,23
CPT,84999,HC POTASSIUM BODY FLUID,125.0,73.75,15.06,112.5,23
CPT,84999,HC QULC PRION,125.0,73.75,15.06,112.5,23
CPT,84999,HC STORAGE DISEASE PNL 3,125.0,73.75,15.06,112.5,23
CPT,84999,HC THIN LAYER,125.0,73.75,15.06,112.5,23
CPT,84999,HC UNLISTED CHEM PROCEDURE,125.0,73.75,15.06,112.5,23
CPT,85002,HC BLEEDING TIME,46.0,27.14,5.54,41.4,23
CPT,85004,HC AUTOMATED DIFF WBC COUNT,38.82,22.9,4.68,34.94,23
CPT,85007,HC BL SMEAR W/MANUAL DIFF WBC,35.0,20.65,4.22,31.5,23
CPT,85008,HC BL SMEAR W/O MANUAL DIFF WBC,32.0,18.88,3.86,28.8,23
CPT,85008,HC PERIPHERAL SMEAR,32.0,18.88,3.86,28.8,23
CPT,85008,HC SMEAR SCAN WRIGHTS,32.0,18.88,3.86,28.8,23
CPT,85013,HC BL COUNT MICROHEMATOCRIT SPUN,24.0,14.16,2.89,21.6,23
CPT,85014,HC BL COUNT HEMATOCRIT (HCT),24.0,14.16,2.89,21.6,23
CPT,85014,HC HEMATOCRIT,24.0,14.16,2.89,21.6,23
CPT,85014,HC POCT HEMATOCRIT,24.0,14.16,2.89,21.6,23
CPT,85018,HC BL COUNT HEMOGLOBIN (HGB),24.0,14.16,2.89,21.6,23
CPT,85018,HC GCP HGB,24.0,14.16,2.89,21.6,23
CPT,85018,HC POCT HEMOGLOBIN,24.0,14.16,2.89,21.6,23
CPT,85025,HC BL COUNT CBC AUTO W/AUTO DIFF,46.62,27.51,5.62,41.96,23
CPT,85027,"HC BLOOD COUNT, CBC WITHOUT DIFF",38.82,22.9,4.68,34.94,23
CPT,85032,"HC EOSINOPHIL CT, MAN",44.0,25.96,5.3,39.6,23
CPT,85032,"HC PLATELET CT, MAN",44.0,25.96,5.3,39.6,23
CPT,85041,HC BL COUNT RBC AUTO,30.0,17.7,3.61,27.0,23
CPT,85044,HC BL COUNT RETICULOCYTE MANUAL,44.0,25.96,5.3,39.6,23
CPT,85044,HC MANUAL RETICULOCYTE COUNT,44.0,25.96,5.3,39.6,23
CPT,85045,HC BL COUNT RETICULOCYTE AUTO,41.0,24.19,4.94,36.9,23
CPT,85046,HC RETIC PNL,57.0,33.63,6.87,51.3,23
CPT,85048,HC BL COUNT LEUKOCYTE (WBC) AUTO,26.0,15.34,3.13,23.4,23
CPT,85048,HC HEMATOPOETIC PROGENITOR CELLS WBC,26.0,15.34,3.13,23.4,23
CPT,85049,HC BL COUNT PLATELET AUTO,40.0,23.6,4.82,36.0,23
CPT,85055,HC RETICULATED PLATELET ASSAY,267.0,157.53,32.17,240.3,23
CPT,85097,HC BM ASPIRATE SMEAR,1632.88,963.4,196.72,1469.59,23
CPT,85130,HC F VIII CHROMOGENIC,66.0,38.94,7.95,59.4,23
CPT,85130,HC FACTOR 9 CHROMOGENIC,66.0,38.94,7.95,59.4,23
CPT,85130,HC FACTOR XA,66.0,38.94,7.95,59.4,23
CPT,85210,HC FACTOR II,134.0,79.06,16.14,120.6,23
CPT,85220,HC FACTOR V (PROACCELERIN) LABILE,182.0,107.38,21.93,163.8,23
CPT,85230,HC FACTOR VII (PROCONVEIN) ANTIGEN,184.0,108.56,22.17,165.6,23
CPT,85230,HC FACTOR VII (PROCONVEIN) STABLE,184.0,108.56,22.17,165.6,23
CPT,85240,"HC CLOTTING; FACTOR VIII (AHG), 1-STAGE",184.0,108.56,22.17,165.6,23
CPT,85240,"HC F V111 ACTIVITY,CHROMO",184.0,108.56,22.17,165.6,23
CPT,85240,HC FACTOR 8 (VIII),184.0,108.56,22.17,165.6,23
CPT,85240,HC FACTOR VIII,184.0,108.56,22.17,165.6,23
CPT,85244,HC VON WILLEBRAND FACTOR ANTIGEN,155.0,91.45,18.67,139.5,23
CPT,85245,"HC CLOTTING; FACTOR VIII, VW FACTOR, RIS",236.0,139.24,28.43,212.4,23
CPT,85245,HC RISTOCETIN COFACTOR ASSAY,236.0,139.24,28.43,212.4,23
CPT,85245,HC VW FACTOR ACT,236.0,139.24,28.43,212.4,23
CPT,85246,HC VON WILLEBRAND ANTIGEN,236.0,139.24,28.43,212.4,23
CPT,85246,HC VON WILLEBRAND FCTR ANTIG,236.0,139.24,28.43,212.4,23
CPT,85247,HC  VON WILLEBRAND MULTIMERIC ANALYSIS,236.0,139.24,28.43,212.4,23
CPT,85247,HC FACTOR VIII VW MUIMETRIC,236.0,139.24,28.43,212.4,23
CPT,85247,HC VWF PROTEASE ACTIVITY W/RFLX INHIBITO,236.0,139.24,28.43,212.4,23
CPT,85250,HC CLOTTING; FACTOR IX (PTC OR CHRISTMAS,196.0,115.64,23.61,176.4,23
CPT,85260,HC FACTOR X (STUA-PROWER),184.0,108.56,22.17,165.6,23
CPT,85270,HC CLOTTING; FACTOR XI (PTA),184.0,108.56,22.17,165.6,23
CPT,85270,HC SAME AS 3396,184.0,108.56,22.17,165.6,23
CPT,85280,HC FACTOR XII (HAGEMAN),199.0,117.41,23.97,179.1,23
CPT,85290,HC FACTOR XIII (FIBRIN STABLIZING),168.0,99.12,20.24,151.2,23
CPT,85291,HC FACTOR XIII ASSAY/SOLUBI,92.0,54.28,11.08,82.8,23
CPT,85291,HC FXIII SCREEN,67.23,39.67,8.1,60.51,23
CPT,85292,HC CLOT FACTOR FLETCHER PREKALLIKREIN,113.58,67.01,13.68,102.22,23
CPT,85293,HC CLOT FACTOR WGHT KININOGEN,113.58,67.01,13.68,102.22,23
CPT,85300,HC ANTI-THROMBIN III,113.0,66.67,13.61,101.7,23
CPT,85300,HC ANTITHROMBIN III,113.0,66.67,13.61,101.7,23
CPT,85300,HC CLOTTING INHIBITORS OR ANTICOAGULANTS,113.0,66.67,13.61,101.7,23
CPT,85301,HC ANTITHROMBIN III ASSAY,111.0,65.49,13.37,99.9,23
CPT,85301,HC SO ANTITHROMBIN III,111.0,65.49,13.37,99.9,23
CPT,85302,HC PROTEIN C ANTIGEN,124.0,73.16,14.94,111.6,23
CPT,85303,HC PROTEIN C ACT,142.0,83.78,17.11,127.8,23
CPT,85303,HC PROTEIN C FUNCTIONAL,142.0,83.78,17.11,127.8,23
CPT,85305,HC PROTEIN S FUNCTIONAL,119.0,70.21,14.34,107.1,23
CPT,85305,HC PROTEIN S TOTAL,119.0,70.21,14.34,107.1,23
CPT,85306,HC HYPERCOAGULABLE PANEL,158.0,93.22,19.04,142.2,23
CPT,85306,HC PROTEIN S ACTIVITY,158.0,93.22,19.04,142.2,23
CPT,85306,"HC PROTEIN S ANTIGEN, FREE",158.0,93.22,19.04,142.2,23
CPT,85307,HC ACTIVATED PROTEIN C RESISTANCE ASSAY,158.0,93.22,19.04,142.2,23
CPT,85335,HC AT 3I ADAMTS 13 INHIBITOR,132.0,77.88,15.9,118.8,23
CPT,85335,HC AT3I ADAMST 13 INHIBITOR,132.0,77.88,15.9,118.8,23
CPT,85335,HC COAGULATION FACTOR INHIB,132.0,77.88,15.9,118.8,23
CPT,85335,HC FACTOR INHIBITOR TEST,132.0,77.88,15.9,118.8,23
CPT,85335,HC NIJMEGEN ASSAY,132.0,77.88,15.9,118.8,23
CPT,85335,HC PROTEASE INHIBITOR,132.0,77.88,15.9,118.8,23
CPT,85335,HC PT INHIBITION,132.0,77.88,15.9,118.8,23
CPT,85335,HC PTT INHIB TEST,132.0,77.88,15.9,118.8,23
CPT,85335,HC SO VW PROTEASE INHIB,132.0,77.88,15.9,118.8,23
CPT,85347,HC COAG TIME ACTIVATED (ACT),44.0,25.96,5.3,39.6,23
CPT,85347,HC POCT ACTIVATED CLOTTING TIME,44.0,25.96,5.3,39.6,23
CPT,85347,HC TEG R (REACTION),44.0,25.96,5.3,39.6,23
CPT,85360,HC EUGLOBULIN LYSIS,86.0,50.74,10.36,77.4,23
CPT,85362,HC FIBRIN MONOMER,71.0,41.89,8.55,63.9,23
CPT,85362,HC FIBRINOGEN DEGRADATION PRODUCT,71.0,41.89,8.55,63.9,23
CPT,85362,HC PNEUMONIAE AG URINE,71.0,41.89,8.55,63.9,23
CPT,85378,HC D-DIMER,73.0,43.07,8.79,65.7,23
CPT,85379,HC D-DIMER (THROMBOTIC PANEL),105.0,61.95,12.65,94.5,23
CPT,85379,"HC DDIMER, QUANT",105.0,61.95,12.65,94.5,23
CPT,85379,HC FIBRIN DEGRADATION D-DIMER QN,105.0,61.95,12.65,94.5,23
CPT,85384,HC FIBRINOGEN,87.0,51.33,10.48,78.3,23
CPT,85384,HC FIBRINOGEN ACT,87.0,51.33,10.48,78.3,23
CPT,85384,HC TEG ALPHA (ANGLE),87.0,51.33,10.48,78.3,23
CPT,85384,HC TEG K (CLOT KINETICS),87.0,51.33,10.48,78.3,23
CPT,85385,HC FIBRINOGEN ANTIGEN,75.0,44.25,9.04,67.5,23
CPT,85390,HC FIBRINOLYSIS (EPL/LY30),53.0,31.27,6.39,47.7,23
CPT,85390,HC TEG LY30 (FIBRINOLYSIS),53.0,31.27,6.39,47.7,23
CPT,85396,HC COAGULATION/FIBRINOLYSIS ASSAY,293.0,172.87,35.3,263.7,23
CPT,85397,HC AT3 ADAMTS13 ACT W RFL,236.0,139.24,28.43,212.4,23
CPT,85410,HC FIBRINOLYTIC ALPHA-2 ANTIPLASMIN,79.0,46.61,9.52,71.1,23
CPT,85415,HC FIBRINOLYTIC FACTORS AND INHIBITORS;,177.0,104.43,21.32,159.3,23
CPT,85415,"HC PAI-1, ANTIGEN",177.0,104.43,21.32,159.3,23
CPT,85415,HC PLASMINOGEN ACT INHIBITR,177.0,104.43,21.32,159.3,23
CPT,85415,HC PLASMINOGEN ACTIVATOR,177.0,104.43,21.32,159.3,46
CPT,85415,HC PLASMINOGEN ACTIVATOR INHIBITOR,177.0,104.43,21.32,159.3,23
CPT,85420,HC PLASMINOGEN ACTIVITY,67.0,39.53,8.07,60.3,23
CPT,85441,HC HEINZ BODIES DIRECT,43.0,25.37,5.18,38.7,23
CPT,85460,HC HEMOGLOBIN FETAL KLEIHAUER-BETKE,80.0,47.2,9.64,72.0,23
CPT,85461,HC HEMOGLOBIN FETAL ROSETTE,26.0,15.34,3.13,23.4,23
CPT,85520,HC HEPARIN ASSAY,90.0,53.1,10.84,81.0,23
CPT,85540,HC LAP SCORE,89.0,52.51,10.72,80.1,23
CPT,85540,HC LEUKOCYTE ALKALINE PHOSPHATASE,89.0,52.51,10.72,80.1,23
CPT,85540,HC LEUKOCYTE ALKALINE PHOSPHATASE WITH C,89.0,52.51,10.72,80.1,23
CPT,85549,HC LYSOZYME (MURAMIDASE),193.0,113.87,23.25,173.7,23
CPT,85549,HC MURAMIDASE,193.0,113.87,23.25,173.7,23
CPT,85555,HC OSMOTIC FRAGILITY,56.03,33.06,6.75,50.43,23
CPT,85557,HC OSMOTIC FRAGILITY RBC INCUBATED,137.0,80.83,16.51,123.3,23
CPT,85576,HC  PLATELET AGGREGATION,221.0,130.39,26.63,198.9,23
CPT,85576,HC PLATELET FUNCTION ASSAY (PFA),221.0,130.39,26.63,198.9,23
CPT,85576,HC PLATELET THERAPY MONITOR,221.0,130.39,26.63,198.9,23
CPT,85576,"HC PLATELET, AGGREGATION (IN VITRO), EAC",221.0,130.39,26.63,198.9,23
CPT,85576,HC TEG MA (MAXIMUM AMPLITUDE),221.0,130.39,26.63,198.9,23
CPT,85597,HC PLATELET NEUTRALIZATION,185.0,109.15,22.29,166.5,23
CPT,85598,HC PHOSPHILIPID NEUTRALIZAT,185.0,109.15,22.29,166.5,23
CPT,85610,HC INTERN NORMAL RATIO (INR),40.0,23.6,4.82,36.0,23
CPT,85610,HC POCT INR,40.0,23.6,4.82,36.0,23
CPT,85610,HC PROTHROMBIN TIME (PT),40.0,23.6,4.82,36.0,23
CPT,85610,HC PROTROMBIN TIME,40.0,23.6,4.82,36.0,23
CPT,85611,HC PROTHROMBIN TIME SUBSTITUTION,41.0,24.19,4.94,36.9,23
CPT,85613,HC DRV NORMALIZED RATIO,60.0,35.4,7.23,54.0,23
CPT,85613,HC LUPUS ANTICOAGULANT,99.0,58.41,11.93,89.1,23
CPT,85613,HC RUSSELL VIPER VENOM DILUTED,99.0,58.41,11.93,89.1,23
CPT,85635,HC REPTILASE CLOTTING TIME,101.0,59.59,12.17,90.9,23
CPT,85635,HC REPTILASE TEST,101.0,59.59,12.17,90.9,23
CPT,85635,HC SO REPTILASE 1:2 REFLEX,101.0,59.59,12.17,90.9,23
CPT,85635,HC SO REPTILASE TIME,101.0,59.59,12.17,90.9,23
CPT,85651,HC SED RATE RBC NON AUTO,37.0,21.83,4.46,33.3,23
CPT,85651,HC SEDIMENTATION RATE,37.0,21.83,4.46,33.3,23
CPT,85652,HC SED RATE RBC AUTO,28.0,16.52,3.37,25.2,23
CPT,85652,HC SEDIMENT RATE AUTO (ESR),28.0,16.52,3.37,25.2,23
CPT,85652,HC SEDIMENTATION RATE AUTO,28.0,16.52,3.37,25.2,23
CPT,85660,HC SICKLE CELL SOLUBILITY TEST,54.0,31.86,6.51,48.6,23
CPT,85660,"HC SICKLING OF RBC, REDUCTION",54.0,31.86,6.51,48.6,23
CPT,85670,HC THROMBIN TIME,59.0,34.81,7.11,53.1,23
CPT,85670,HC THROMBIN TIME; PLASMA,59.0,34.81,7.11,53.1,23
CPT,85705,HC THROMBOPLASTIN INHIBITION,80.25,47.35,9.67,72.23,23
CPT,85730,HC POLYBRENE TEST,62.0,36.58,7.47,55.8,23
CPT,85730,HC PTT,62.0,36.58,7.47,55.8,23
CPT,85732,"HC THROMBOPLASTIN TIME, PARTIAL(PTT)-SUB",67.0,39.53,8.07,60.3,23
CPT,85732,"HC THROMBOPLASTIN TIME,MIXING STUDY INCU",67.0,39.53,8.07,60.3,23
CPT,85810,HC VISCOSITY,120.0,70.8,14.46,108.0,23
CPT,85999,HC UNLISTED HEMATOLOGY OR COAG PROCEDURE,33.0,19.47,3.98,29.7,23
CPT,86000,HC FRANCISELLA TULAREMIA AB,72.0,42.48,8.67,64.8,23
CPT,86000,HC SO FRANCISELLA TULARENSIS,72.0,42.48,8.67,64.8,23
CPT,86001,HC ALLERGEN FOOD IGG,54.0,31.86,6.51,48.6,23
CPT,86001,HC ALLERGEN INHALANT IG,54.0,31.86,6.51,48.6,23
CPT,86001,HC ALLERGEN PEANUT IGG,54.0,31.86,6.51,48.6,23
CPT,86001,HC STACHYBOTRYS CHARTARUM/ATRA (RGM24) IGG,54.0,31.86,6.51,48.6,23
CPT,86003,HC ALLERGEN SPECIFIC IGE EACH,54.0,31.86,6.51,48.6,46
CPT,86003,"HC ALLERGEN SPECIFIC IGE, EACH",54.0,31.86,6.51,48.6,23
CPT,86003,"HC ALLERGEN, AMOXYCILLOYL IGE CONC.",54.0,31.86,6.51,48.6,23
CPT,86003,"HC ALLERGEN, AMPICILLOYL IGE CONC.",54.0,31.86,6.51,48.6,23
CPT,86003,"HC ALLERGEN, LATEX ENHANCED IGE CONC.",54.0,31.86,6.51,48.6,23
CPT,86003,"HC ALLERGEN, PENICILLOYL G IGE",54.0,31.86,6.51,48.6,23
CPT,86003,"HC ALLERGEN, PENNICILLOYL V IGE CONC.",54.0,31.86,6.51,48.6,23
CPT,86003,HC PEANUT COMPONENTS PANEL,54.0,31.86,6.51,48.6,23
CPT,86003,HC SOY COMPONENTS PANEL,54.0,31.86,6.51,48.6,23
CPT,86003,HC STACHYBOTRYS CHARTARUM/ATRA (RGM24) IGE,54.0,31.86,6.51,48.6,23
CPT,86003,HC STINGING INSECTS PANEL - VENOM IGE,54.0,31.86,6.51,48.6,23
CPT,86003,HC SULFAMETHOXAZOL IGE,54.0,31.86,6.51,48.6,23
CPT,86005,"HC ALLERGEN IGE MULTIALLERGEN SCREEN, QUAL",47.82,28.21,5.76,43.04,23
CPT,86008,"HC ALLERGEN SPECIFIC IGE, CMPNT,TREE NUT",185.0,109.15,22.29,166.5,23
CPT,86008,"HC ALLERGEN SPECIFIC IGE, COMPONENT",185.0,109.15,22.29,166.5,23
CPT,86015,HC ACTIN ANTIBODY EACH,69.18,40.82,8.33,62.26,23
CPT,86021,HC ANCA SCREEN WITH RFLX TITER,155.0,91.45,18.67,139.5,23
CPT,86021,HC ANCA TITER,155.0,91.45,18.67,139.5,23
CPT,86021,HC ANCA VASCULITIDES - MYELOPEROXIDASE A,155.0,91.45,18.67,139.5,23
CPT,86021,HC ANCA-IBD,155.0,91.45,18.67,139.5,23
CPT,86021,HC ANTIBODY INDENTIFICATION,155.0,91.45,18.67,139.5,23
CPT,86021,HC MYELOPEROXIDASE ANTIBODY  - MYELOPERO,155.0,91.45,18.67,139.5,23
CPT,86021,HC NEUTROPHIL AB,155.0,91.45,18.67,139.5,23
CPT,86021,HC NEUTROPHIL AB IDENTIFICATION,155.0,91.45,18.67,139.5,23
CPT,86021,HC NEUTROPHIL AB SCREEN,155.0,91.45,18.67,139.5,23
CPT,86021,HC NEUTROPHIL CYTOPLASMIC AN,155.0,91.45,18.67,139.5,23
CPT,86021,HC NEUTROPHIL SCREEN,155.0,91.45,18.67,139.5,23
CPT,86021,HC NEUTROPHIL SCREEN ONLY,155.0,91.45,18.67,139.5,23
CPT,86021,HC P-ANCA TITER,155.0,91.45,18.67,139.5,23
CPT,86021,HC SO NEUTROPHIL AB WORKUP,155.0,91.45,18.67,139.5,23
CPT,86022,HC  DRUG-DEPENDENT PLATELET ANTIBODY,110.22,65.03,13.28,99.2,23
CPT,86022,HC ANTIBODY IDENTIFICATION; PLATELET ANT,110.22,65.03,13.28,99.2,23
CPT,86022,HC PLATE ABDY STUDY,110.22,65.03,13.28,99.2,23
CPT,86022,"HC PLATELET ANTIBODIES, INDIRECT",110.22,65.03,13.28,99.2,23
CPT,86022,HC PLATELET ANTIBODY SCREEN,110.22,65.03,13.28,99.2,23
CPT,86022,HC SEROTONIN RELEASE ASY,110.22,65.03,13.28,99.2,23
CPT,86022,HC ZZZANTI PLATELET GPIA/IIA,110.22,65.03,13.28,99.2,23
CPT,86022,HC ZZZANTI PLATELET GPIIB/IIIA,110.22,65.03,13.28,99.2,23
CPT,86023,HC ANTIBODY ID PLATELET IMMUNOGLOB (QUEST #34327),74.76,44.11,9.01,67.28,23
CPT,86023,HC PLATELET ANTIBODY ID ASSOC IGM,74.76,44.11,9.01,67.28,23
CPT,86023,HC ZZZPLATELET ANTIBODY DIRECT IGG,74.76,44.11,9.01,67.28,23
CPT,86036,HC ANCA SCREEN EACH ANTIBODY,72.3,42.66,8.71,65.07,23
CPT,86037,HC ANCA TITER EACH ANTIBODY,72.3,42.66,8.71,65.07,23
CPT,86038,HC ANA SCREEN,124.0,73.16,14.94,111.6,23
CPT,86038,HC ANA SCREEN(IFA) W REFLEX ANTINUCLEAR,124.0,73.16,14.94,111.6,23
CPT,86038,HC ANTINUCLEAR ANTIBODIES,124.0,73.16,14.94,111.6,23
CPT,86038,HC ANTINUCLEAR ANTIBODIES (ANA);,124.0,73.16,14.94,111.6,23
CPT,86038,HC ANTINUCLEAR ANTIBODY,124.0,73.16,14.94,111.6,23
CPT,86038,HC CENTROMERE B ANTIBODY,124.0,73.16,14.94,111.6,23
CPT,86039,HC ANTINUCLEAR ANTIBODIES (ANA) TITER,115.0,67.85,13.85,103.5,23
CPT,86041,HC ACETYLCHOLINE REC BIND AB,77.28,45.6,9.31,69.55,23
CPT,86041,HC ACETYLCHOLINE REC BIND AB (QUEST #93876),77.28,45.6,9.31,69.55,23
CPT,86041,HC ACETYLCHOLINE REC BIND AB (QUEST #94222),77.28,45.6,9.31,69.55,23
CPT,86041,"HC ACETYLCHOLINE REC BIND AB, SERUM (MAYO ARBI)",77.28,45.6,9.31,69.55,23
CPT,86041,HC MYAS GRAVIS LAMBERT EATON SYND  (MAYO MGLE),77.28,45.6,9.31,69.55,23
CPT,86041,HC MYASTHENIA GRAVIS EVAL W RFLX MUSK (MAYO MGMR),77.28,45.6,9.31,69.55,23
CPT,86041,HC MYASTHENIA GRAVIS PNL 2 ACHR BIND(QUEST #10104),77.28,45.6,9.31,69.55,23
CPT,86042,HC ACETYLCHOLINE REC BLOCKING AB (QUEST #34459),77.28,45.6,9.31,69.55,23
CPT,86042,HC MYASTHENIA GRAVIS PNL 2 ACHR BLOC(QUEST #10104),77.28,45.6,9.31,69.55,23
CPT,86043,HC ACETYLCHOLINE REC MOD AB (QUEST #901788),50.64,29.88,6.1,45.58,23
CPT,86043,HC ACETYLCHOLINE REC MODUL AB (MAYO ARMO),50.64,29.88,6.1,45.58,23
CPT,86043,HC ACETYLCHOLINE REC MODUL AB (QUEST #26474),50.64,29.88,6.1,45.58,23
CPT,86043,HC ACHR RECEPTOR MOD AB FLOW (MAYO ACMFS),50.64,29.88,6.1,45.58,23
CPT,86043,HC MYASTHENIA GRAVIS PNL 2 ACHR MOD(QUEST #10104),50.64,29.88,6.1,45.58,23
CPT,86051,HC AQUAPORIN-4 ANTB ELISA,69.18,40.82,8.33,62.26,23
CPT,86052,HC AQUAPORIN-4 ANTB CBA EACH,72.3,42.66,8.71,65.07,23
CPT,86053,HC AQAPRN-4 ANTB FLO CYTMTRY EA,72.3,42.66,8.71,65.07,23
CPT,86060,HC ANTISTREPTOLYSIN O TITER,75.0,44.25,9.04,67.5,23
CPT,86140,HC C-REACTIVE PROTEIN,53.0,31.27,6.39,47.7,23
CPT,86140,HC PROMETHEUS IBD SGI AND CROHN'S,53.0,31.27,6.39,47.7,46
CPT,86141,HC C-REACTIVE PROTEIN HIGH SENSITIVITY,133.0,78.47,16.02,119.7,23
CPT,86146,HC BETA 2 BLYCO AB EA M,262.0,154.58,31.56,235.8,23
CPT,86146,HC BETA 2 GLYCO AB EA A,262.0,154.58,31.56,235.8,23
CPT,86146,HC BETA 2 GLYCO AB EA G,262.0,154.58,31.56,235.8,23
CPT,86147,HC ANTI CARDIOLIPIN AB IGA,262.0,154.58,31.56,235.8,23
CPT,86147,HC ANTI CARDIOLIPIN AB IGG,262.0,154.58,31.56,235.8,23
CPT,86147,HC ANTI CARDIOLIPIN AB IGM,262.0,154.58,31.56,235.8,23
CPT,86147,HC ANTI-CARDIOLIPIN AB PANEL,262.0,154.58,31.56,235.8,23
CPT,86148,HC ANTI-PHOSPHOLIPID AB,165.0,97.35,19.88,148.5,23
CPT,86148,HC PHOSPHATIDYLSERINE IGA AB,165.0,97.35,19.88,148.5,23
CPT,86148,"HC PHOSPHATIDYLSERINE, IGG, IGA, IGM",165.0,97.35,19.88,148.5,23
CPT,86148,HC SO PHOSPHATIDYSERINE IGG,165.0,97.35,19.88,148.5,23
CPT,86148,HC SO PHOSPHATIDYSERINE IGM,165.0,97.35,19.88,148.5,23
CPT,86152,HC CIRCULATING TUMOR CELL,2528.0,1491.52,304.56,2275.2,23
CPT,86152,HC CIRCULATING TUMOR CELL COUNT,2528.0,1491.52,304.56,2275.2,23
CPT,86157,HC COLD AGGLUTININ TITER,83.0,48.97,10.0,74.7,23
CPT,86160,HC C1 ESTERASE INHIBITOR,123.0,72.57,14.82,110.7,23
CPT,86160,HC C1 INHIBITOR PROTEIN,123.0,72.57,14.82,110.7,23
CPT,86160,HC C1P C1 (SO) INHIBIT ESTER,123.0,72.57,14.82,110.7,23
CPT,86160,HC C1Q COMPLEMENT COMPONENT,123.0,72.57,14.82,110.7,23
CPT,86160,HC C2 COMPLEMENT COMPONENT,123.0,72.57,14.82,110.7,23
CPT,86160,HC C2LEV SO COMPLEMENT COM2,123.0,72.57,14.82,110.7,23
CPT,86160,HC C3 COMPLEMENT FACTOR,123.0,72.57,14.82,110.7,23
CPT,86160,HC C4 ASSAY,123.0,72.57,14.82,110.7,23
CPT,86160,HC C6 LEVEL,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT C1Q QUANT,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT C3,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT C4,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT C4A,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT COMP 8,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT COMPONENT 5 LEVEL,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT COMPONENT 7 LEVEL,123.0,72.57,14.82,110.7,23
CPT,86160,HC COMPLEMENT COMPONENT 9 LEVEL,123.0,72.57,14.82,110.7,23
CPT,86160,"HC COMPLIMENT, ANTIGEN EA",136.0,80.24,16.38,122.4,23
CPT,86160,HC FACTOR B LEVEL BY RID,123.0,72.57,14.82,110.7,23
CPT,86160,HC FACTOR H LEVEL - FACTOR H LEVEL,123.0,72.57,14.82,110.7,23
CPT,86160,HC FACTOR I LEVEL - FACTOR I LEVEL,123.0,72.57,14.82,110.7,23
CPT,86160,HC PROPERDIN LEVEL BY ELISA,123.0,72.57,14.82,110.7,23
CPT,86160,HC SC5B-9 LEVEL,123.0,72.57,14.82,110.7,23
CPT,86161,HC C1 FUNCTION,123.0,72.57,14.82,110.7,23
CPT,86161,"HC C1 INHIBITOR, FUNCTIONAL",123.0,72.57,14.82,110.7,23
CPT,86161,HC C1F C1 (SO) INHIBIT FUNC,123.0,72.57,14.82,110.7,23
CPT,86161,HC C1Q FUNCTION,123.0,72.57,14.82,110.7,23
CPT,86161,HC C5 FUNCTION,123.0,72.57,14.82,110.7,23
CPT,86161,HC C7 FUNCTION,123.0,72.57,14.82,110.7,23
CPT,86161,HC C8 FUNCTION,123.0,72.57,14.82,110.7,23
CPT,86161,"HC COMPLEMENT 7,8,9",123.0,72.57,14.82,110.7,23
CPT,86161,HC COMPLEMENT AH50,123.0,72.57,14.82,110.7,23
CPT,86161,HC COMPLEMENT C5 C6,123.0,72.57,14.82,110.7,23
CPT,86161,HC COMPLEMENT COMPONENT 1Q FUNCTIONAL,123.0,72.57,14.82,110.7,23
CPT,86161,HC COMPLEMENT FUNCTIONAL ACTIVITY,123.0,72.57,14.82,110.7,23
CPT,86161,"HC SO COMPLEMENT C1,2 FUNC",123.0,72.57,14.82,110.7,23
CPT,86162,HC ALTERNATIVE COMPLEMENT PATHWAY ACTIVI,209.0,123.31,25.18,188.1,23
CPT,86162,HC COMPLEMENT; TOTAL HEMOLYTIC (CH50),209.0,123.31,25.18,188.1,23
CPT,86200,HC CYCLIC CITRULINE PEPTIDE IGG,133.0,78.47,16.02,119.7,23
CPT,86200,"HC CYCLIC CITRULLINATED PEPTIDE (CCP), A",133.0,78.47,16.02,119.7,23
CPT,86215,HC DEOXYRIBONUCLEASE (DNA) ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86225,"HC DNA ANTIBODY, NATIVE OR DOUBLE STRAND",141.0,83.19,16.99,126.9,23
CPT,86226,HC DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY;,125.0,73.75,15.06,112.5,23
CPT,86231,HC EMA EACH IG CLASS,72.54,42.8,8.74,65.29,23
CPT,86235,HC ANA PROFILE,185.0,109.15,22.29,166.5,23
CPT,86235,HC ANTI JO 1 ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,HC ANTI LA (SS-B) ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,HC ANTI RO (SS-A) ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,HC ANTI SCL-70 ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,HC ANTI SM ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,HC ANTI SM/RNP ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,HC ANTI-RIBOSOMAL AB,185.0,109.15,22.29,166.5,23
CPT,86235,HC CENTROMERE AB,185.0,109.15,22.29,166.5,23
CPT,86235,HC CHROMATIN (NUCLEOSOMAL) AB,185.0,109.15,22.29,166.5,23
CPT,86235,HC COLLAGEN VII ELISA,185.0,109.15,22.29,166.5,23
CPT,86235,HC ENA SCREEN NEGATIVE,185.0,109.15,22.29,166.5,23
CPT,86235,HC MI-2 AUTOANTIBODIES,185.0,109.15,22.29,166.5,23
CPT,86235,HC MYO MARKER PANEL 3,25.0,14.75,3.01,22.5,23
CPT,86235,"HC NUCLEAR ANITGEN ANTIBODY, EACH",185.0,109.15,22.29,166.5,23
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,"HC NUCLEAR ANTIGEN ANTIBODY, EACH",185.0,109.15,22.29,166.5,23
CPT,86235,"HC PM-SCL ANTIBODY, ID  - PM-SCL ANTIBOD",185.0,109.15,22.29,166.5,23
CPT,86235,HC RNP AB,185.0,109.15,22.29,166.5,23
CPT,86235,HC SO CHROMATIN ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86235,HC SSA,185.0,109.15,22.29,166.5,23
CPT,86235,HC SSB ANTIBODY,185.0,109.15,22.29,166.5,23
CPT,86255,"HC ADRENAL ANTIBODY SCREEN, RFLX TO TIT",44.78,26.42,5.39,40.3,23
CPT,86255,HC AMPCS AMPA-RECEPT ANTIBODY BY CBA,44.78,26.42,5.39,40.3,23
CPT,86255,"HC ANNA-1, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC ANNA-1, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC ANTI ENDOMYSIAL ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86255,"HC AP3B2 CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC AP3B2 CBA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC AP3B2 IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC AQUAPORIN-4 AB, IGG, CBA",44.78,26.42,5.39,40.3,23
CPT,86255,"HC AUTOIMMUNE DYSTONIA EVAL FLUOR AB SCRN, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC AUTOIMMUNE EPILEPSY EVALUATION,44.78,26.42,5.39,40.3,23
CPT,86255,"HC CASPR2 ANTIBODY, IGG, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC CASPR2 ANTIBODY, IGG, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC CRMP-5-IGG, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC CRMP-5-IGG, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC CYSTIC FIBROSIS NEWBORN SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,"HC DEMENTIA AUTOIMMUNE EVAL, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC DEMENTIA AUTOIMMUNE EVAL, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC DPPX AB IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC DPPX AB IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC DSDNA BY CRITHIDIA,44.78,26.42,5.39,40.3,23
CPT,86255,HC ENCEPHALOPATHY- AUTOIMMUNE EVAL CSF 1,44.78,26.42,5.39,40.3,23
CPT,86255,HC ENCEPHALOPATHY- AUTOIMMUNE EVAL SERUM 4,44.78,26.42,5.39,40.3,23
CPT,86255,HC ENDOMYSIAL AB IGG SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,HC ENDOMYSIAL ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIDERMAL AB SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIEC AMPAR,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIEC GABAR,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIEC NMDAR,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIEC RFLX NMO/AQP4 CBA,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIES AMPAR,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIES GABAR,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIES NMDAR,44.78,26.42,5.39,40.3,23
CPT,86255,HC EPIES RFLX  NMO/AGP4 CBA,44.78,26.42,5.39,40.3,23
CPT,86255,"HC EPILEPSY AUTOIMMUNE EVAL, SERUM (MAYO EPS2)",44.78,26.42,5.39,40.3,23
CPT,86255,"HC EPILEPSY, AUTOIMMUNE EVAL, CSF (MAYO EPC2)",44.78,26.42,5.39,40.3,23
CPT,86255,HC FLOURESCENT NONINFECT AB,44.78,26.42,5.39,40.3,23
CPT,86255,HC FLUOR NONINFECT AB SCR EACH,44.78,26.42,5.39,40.3,23
CPT,86255,HC GABCS  GABA-B-RECEPT ANTIBODY BY CBA,44.78,26.42,5.39,40.3,23
CPT,86255,"HC GFAP CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC GFAP IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC GFAP IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC GRAF1 CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC GRAF1 CBA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC GRAF1 IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC GRAF1 IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC HU ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86255,"HC IGLON5 CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC IGLON5 IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC IGLON5 IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC IMMUNOREACTIVE TRYPSINOGEN (PRENATAL),44.78,26.42,5.39,40.3,23
CPT,86255,"HC ITPR1 CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC ITPR1 CBA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC ITPR1 IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC ITPR1 IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC LGI1 ANTIBODY IGG, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,HC LGI1 ANTIBODY TEST 3PB (ATHENA #449),44.78,26.42,5.39,40.3,23
CPT,86255,"HC LGI1 ANTIBODY, IGG, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC LRP4 ANTIBODY 3PB,44.78,26.42,5.39,40.3,23
CPT,86255,"HC MGLUR1 AB IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC MGLUR1 AB IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC MITOCHONDRIAL AB SCRN,44.78,26.42,5.39,40.3,23
CPT,86255,HC MITOCHONDRIAL ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86255,HC MYELIN ANTIBODY IGG,44.78,26.42,5.39,40.3,23
CPT,86255,HC MYELIN OLIGODENDROCYTE GLYCOPROTEIN,44.78,26.42,5.39,40.3,23
CPT,86255,HC MYOCARDIAL AB SCR,44.78,26.42,5.39,40.3,23
CPT,86255,HC NEOCOMP PARANEOPL W/RECOMBX 3PB (ATHENA #4620),44.78,26.42,5.39,40.3,23
CPT,86255,HC NEOENCEPH PARAPLAS PROFILE 5,44.78,26.42,5.39,40.3,23
CPT,86255,"HC NERUO IMMUNO AB FOLLOW-UP, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NEUROCHONDRIN CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NEUROCHONDRIN CBA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NEUROCHONDRIN IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NEUROCHONDRIN IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NEUROIMMUNO AB FOLLOW-UP, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NEUROMYELITIS OPTICA AUTOAB, IGG",44.78,26.42,5.39,40.3,23
CPT,86255,HC NEURONAL NUCLEAR (HU) AB,44.78,26.42,5.39,40.3,23
CPT,86255,HC NEURONAL NUCLEAR AB(RI),44.78,26.42,5.39,40.3,23
CPT,86255,"HC NIF IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NIF IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC NMDA RECEPTOR (NR1) ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86255,"HC NMDA, IGG CBA-IFA, CSF (ARUP #2005164)",44.78,26.42,5.39,40.3,23
CPT,86255,"HC NMDA, IGG CBA-IFA, SERUM (ARUP #2004221)",44.78,26.42,5.39,40.3,23
CPT,86255,HC NMOAB SERUM REFLEX IFA,44.78,26.42,5.39,40.3,23
CPT,86255,HC OVARIAN AB IGG SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,HC OVARIAN AB SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,"HC PARANEOPLASTIC SYNDROME EVAL, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC PARANEOPLASTIC SYNDROME EVAL, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC PCNA AB,44.78,26.42,5.39,40.3,23
CPT,86255,"HC PEDI AUTOIMMUNE ENCEPHALOPATHY, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC PEDI AUTOIMMUNE ENCEPHALOPATHY, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC PHOSPHOLIPASE A2 RECEPTOR AB IGG,44.78,26.42,5.39,40.3,23
CPT,86255,HC PURKINJE CELL (YO) AB,44.78,26.42,5.39,40.3,23
CPT,86255,"HC PURKINJE CELL CYTOPLASMIC AB TYPE TR, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,HC RETICULIN ANTIBODIES,44.78,26.42,5.39,40.3,23
CPT,86255,HC RETICULIN ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86255,HC RI AB TITER SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-5 CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-5 CBA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-5 IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-5 IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-7 CBA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-7 CBA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-7 IFA, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SEPTIN-7 IFA, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,"HC SIGNAL RECOGNITION PARTICLE AB SCRN, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC SO OVARIAN AB SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,"HC STIFF-PERSON SPECTRUM DISORDERS, CSF",44.78,26.42,5.39,40.3,23
CPT,86255,"HC STIFF-PERSON SPECTRUM DISORDERS, SERUM",44.78,26.42,5.39,40.3,23
CPT,86255,HC STRIATED MUSCLE ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86255,HC VENLAFAXINE AND METABOLITES,44.78,26.42,5.39,40.3,23
CPT,86255,HC YO AB SCREEN,44.78,26.42,5.39,40.3,23
CPT,86255,HC ZCASP2 ANTIBODY,44.78,26.42,5.39,40.3,23
CPT,86256,HC  AMPHIPHYSIN ANTIBODY TITER,124.0,73.16,14.94,111.6,23
CPT,86256,"HC ADE, ANTI-NEU AB",124.0,73.16,14.94,111.6,23
CPT,86256,HC ADRENAL AB TITER,124.0,73.16,14.94,111.6,23
CPT,86256,"HC AGNA-1 TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC AGNA-1 TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,"HC AMPHIPHYSIN AB TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC AMPHIPHYSIN AB TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,HC ANCA,124.0,73.16,14.94,111.6,23
CPT,86256,"HC ANNA-1 TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC ANNA-1 TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,"HC ANNA-2 TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC ANNA-2 TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,"HC ANNA-3 TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC ANNA-3 TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,HC ANTI YO AB,124.0,73.16,14.94,111.6,23
CPT,86256,"HC ANTI-GLIAL NUCLEAR AB, TYPE 1",124.0,73.16,14.94,111.6,23
CPT,86256,"HC AP3B2 IFA TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,HC AUTOIMMUNE DYSTONIA EVAL ADE TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC BASEMENT MEMB ZONE AB TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC CASPR ANTIBODY IGG TITER,124.0,73.16,14.94,111.6,23
CPT,86256,"HC CRMP-5 IGG TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC CRMP-5 IGG TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,"HC DEMENTIA AUTOIMMUNE EVAL, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC DPP AB IFA TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,HC ENCEPHALOPATHY- AUTOIMMUNE EVAL SERUM 3,124.0,73.16,14.94,111.6,23
CPT,86256,HC ENDOMYSIAL AB IGG TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC ENDOMYSIAL IGA AB TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC EPIEC AMPHIPHYSIN,124.0,73.16,14.94,111.6,23
CPT,86256,HC EPIEC RFLX AMPAR TITR,124.0,73.16,14.94,111.6,23
CPT,86256,HC EPIEC RFLX NMDAR TITR,124.0,73.16,14.94,111.6,23
CPT,86256,HC EPIES RFLX AMPAR TITR,124.0,73.16,14.94,111.6,23
CPT,86256,HC EPIES RFLX GABAR TITR,124.0,73.16,14.94,111.6,23
CPT,86256,HC EPIES RFLX NMDAR TITR,124.0,73.16,14.94,111.6,23
CPT,86256,HC FLUOR NONINFECT AGT AB TTR EA,124.0,73.16,14.94,111.6,23
CPT,86256,"HC GABA-B-R AB IFA TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,HC LGI1 ANTIBODY IGG TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC MITOCHONDRIAL ANTIBODY TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC MYOCARDIAL AB TITER,124.0,73.16,14.94,111.6,23
CPT,86256,"HC NEUROCHONDRIN IFA TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC NEUROCHONDRIN IFA TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,"HC NEURONAL NUCLEAR(HU) AB, RFLX TITER/W",124.0,73.16,14.94,111.6,23
CPT,86256,HC NMDAT SO NMDAT SERUM TITR,124.0,73.16,14.94,111.6,23
CPT,86256,HC NMDCT SO NMDCT CSF TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC OVARIAN ANTIBODY REFLEX,124.0,73.16,14.94,111.6,23
CPT,86256,HC PARANEOPLASTIC AUTOAB EVAL CSF,124.0,73.16,14.94,111.6,23
CPT,86256,HC PARIETAL CELL ANTIBODY TITER,124.0,73.16,14.94,111.6,23
CPT,86256,"HC PCA-1 TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC PCA-1 TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,"HC PCA-2 TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC PCA-2 TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,"HC PCA-TR TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC PCA-TR TITER, SERUM",124.0,73.16,14.94,111.6,23
CPT,86256,HC REFLEX TITER PHOSPHOLIPASE A2 RECEPT AB,124.0,73.16,14.94,111.6,23
CPT,86256,HC RETICULIN AB TITER (IGA),124.0,73.16,14.94,111.6,23
CPT,86256,HC RETICULIN AB TITER (IGG),124.0,73.16,14.94,111.6,23
CPT,86256,HC RI AB TITER,124.0,73.16,14.94,111.6,23
CPT,86256,"HC SEPTIN-5 IFA TITER, CSF",124.0,73.16,14.94,111.6,23
CPT,86256,"HC SEPTIN-7 IFA, TITER",124.0,73.16,14.94,111.6,23
CPT,86256,HC SMOOTH MUSCLE ANTIBODY,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO ANTI CRMP 5 IGG,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO ANTI NEURONAL TYPE 1,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO ANTI NEURONAL TYPE 2,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO ANTI NEURONAL TYPE 3,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO ANTIPURKINJE AB TYPE 2,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO ANTIPURKINJE CELL TYP1,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO ANTIPURKINJE CELL TYPE,124.0,73.16,14.94,111.6,23
CPT,86256,HC SO OVARIAN AB TITER,124.0,73.16,14.94,111.6,23
CPT,86256,HC STRIATED MUSCLE AB TITER,124.0,73.16,14.94,111.6,23
CPT,86256,"HC TITER, FLUORESCENT ANTIBODY",124.0,73.16,14.94,111.6,23
CPT,86256,HC YO ANTIBODY TITER,124.0,73.16,14.94,111.6,23
CPT,86258,HC DGP ANTIBODY EACH IG CLASS,69.18,40.82,8.33,62.26,23
CPT,86300,HC CA 15-3,214.0,126.26,25.78,192.6,23
CPT,86300,HC CA 27-29,214.0,126.26,25.78,192.6,23
CPT,86300,HC CANCER ANTIGEN 27.29,214.0,126.26,25.78,192.6,23
CPT,86300,HC CANCER ANTIGEN-BREAST (CA 15-3),214.0,126.26,25.78,192.6,23
CPT,86300,HC TUM ANT.CA15-3/CA27-29(SO,214.0,126.26,25.78,192.6,23
CPT,86301,HC C199F SO CA 19-9 FLUID,214.0,126.26,25.78,192.6,23
CPT,86301,HC CA 19-9,214.0,126.26,25.78,192.6,23
CPT,86301,HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9,214.0,126.26,25.78,192.6,23
CPT,86304,HC CA 125,214.0,126.26,25.78,192.6,23
CPT,86304,HC IMMUNOASSAY TUMOR ANTIGEN CA 125,214.0,126.26,25.78,192.6,23
CPT,86305,HC HE4 OVARIAN CANCER MONITOR,214.0,126.26,25.78,192.6,23
CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4 (HE4),214.0,126.26,25.78,192.6,23
CPT,86308,HC HETEROPHILE AB,53.0,31.27,6.39,47.7,23
CPT,86308,HC HETEROPHILE AB(MONO),53.0,31.27,6.39,47.7,23
CPT,86308,HC HETEROPHILE ANTIBODIES; SCREENING,53.0,31.27,6.39,47.7,23
CPT,86316,HC  CHROMOGRANIN A,77.35,45.64,9.32,69.62,23
CPT,86316,HC  NEURON SPECIFIC ENOLASE,77.35,45.64,9.32,69.62,23
CPT,86316,"HC AFP,CSF",77.35,45.64,9.32,69.62,23
CPT,86316,HC IMMUNO ASSAY FOR TUMOR MARKER (TISSUE TYPING),77.35,45.64,9.32,69.62,23
CPT,86316,"HC IMMUNOASSAY FOR TUMOR ANTIGEN, QUANT",77.35,45.64,9.32,69.62,23
CPT,86317,"HC 14-3-3 TAU PRION MARKERS, CSF (ARUP #3001255)",154.0,90.86,18.55,138.6,23
CPT,86317,HC DIPHTHERIA ANTITOXOID AB,154.0,90.86,18.55,138.6,23
CPT,86317,"HC HAEMOPHILUS INFLUENZAE B ANTIBODY, IG",154.0,90.86,18.55,138.6,23
CPT,86317,"HC HEP B SURF AB,QN",154.0,90.86,18.55,138.6,23
CPT,86317,"HC HEPATITIS B SURFACE AB, QUANT",154.0,90.86,18.55,138.6,23
CPT,86317,HC HERPES IGM,154.0,90.86,18.55,138.6,23
CPT,86317,"HC IMMUNOASSAY INFECT AGENT, QUANT",154.0,90.86,18.55,138.6,23
CPT,86317,HC N.MENINGITIDIS  IGG VACCINE RESPONSE,154.0,90.86,18.55,138.6,23
CPT,86317,HC PNEUMOCOCCAL ABS IGG,154.0,90.86,18.55,138.6,23
CPT,86317,HC RABIES AB,154.0,90.86,18.55,138.6,23
CPT,86317,HC RABIES AB/RFFIT,154.0,90.86,18.55,138.6,23
CPT,86317,HC SO STREPTOCOCCUS P ABS G,154.0,90.86,18.55,138.6,23
CPT,86317,HC TETANUS ANTITOXOID,154.0,90.86,18.55,138.6,23
CPT,86318,HC NEOPTERIN,133.0,78.47,16.02,119.7,23
CPT,86320,HC IMMUNOELECTROPHORESIS SE,231.0,136.29,27.83,207.9,23
CPT,86320,HC SIEP,231.0,136.29,27.83,207.9,23
CPT,86325,"HC IMMUNOFIX, ELECTROPHOR, URINE",230.0,135.7,27.71,207.0,23
CPT,86325,HC UIEP,230.0,135.7,27.71,207.0,23
CPT,86328,HC COVID-19 AB QUAL/SEIMIQUANT,271.38,160.11,32.69,244.24,23
CPT,86329,HC IMMUNODIFFUSION,145.0,85.55,17.47,130.5,23
CPT,86331,HC IMMUNODIFF;BF PREC 1,84.0,49.56,10.12,75.6,23
CPT,86331,HC IMMUNODIFF;BF PREC 2,84.0,49.56,10.12,75.6,23
CPT,86331,"HC IMMUNODIFF;GEL,QUAL,EA AG/AB",84.0,49.56,10.12,75.6,23
CPT,86331,HC IMMUNODIFF;OUCHTERLONY,84.0,49.56,10.12,75.6,23
CPT,86331,"HC IMMUNODIFFUSION; GEL DIFFUSION, QUALI",84.0,49.56,10.12,75.6,23
CPT,86331,HC SO TEICHOIC ACID AB,84.0,49.56,10.12,75.6,23
CPT,86332,HC IMMUNE COMPLEX ASSAY,251.0,148.09,30.24,225.9,23
CPT,86332,HC IMMUNE COMPLEX C1Q BINDING,251.0,148.09,30.24,225.9,23
CPT,86332,HC RAJII CELL IMMUNE COMPLEX,251.0,148.09,30.24,225.9,23
CPT,86332,HC SO C3D IMMUN COMPLEX,251.0,148.09,30.24,225.9,23
CPT,86334,"HC  BETA-2-TRANSFERRIN, SERUM",230.0,135.7,27.71,207.0,23
CPT,86334,HC IFE,230.0,135.7,27.71,207.0,23
CPT,86334,HC IMMUNOFIXATION ELECTRO; SERUM INTER,230.0,135.7,27.71,207.0,23
CPT,86334,HC IMMUNOFIXATION ELECTROPHORESIS SERUM,230.0,135.7,27.71,207.0,23
CPT,86334,HC IMMUNOFIXATION ELECTROPHORESIS; SERUM,230.0,135.7,27.71,207.0,23
CPT,86335,HC IMMUNOFIXATION ELECTROPHORESIS; OTHER,302.0,178.18,36.38,271.8,23
CPT,86335,"HC IMMUNOFIXATION, URINE 24HR/RAN",302.0,178.18,36.38,271.8,23
CPT,86335,"HC IMMUNOFIXATION,FLUID",302.0,178.18,36.38,271.8,23
CPT,86335,"HC IMMUNOFIXATION,UR",302.0,178.18,36.38,271.8,23
CPT,86335,"HC IMMUNOFIXATION,UR - 1681002188",302.0,178.18,36.38,271.8,23
CPT,86335,HC SO BETA 2 TRANSFERRIN FLU,302.0,178.18,36.38,271.8,23
CPT,86336,HC INHIBIN A,160.0,94.4,19.28,144.0,23
CPT,86336,"HC INHIBIN A (AFP,QUAD MATERNAL SCREEN)",160.0,94.4,19.28,144.0,23
CPT,86337,HC INSULIN ANTIBODIES,171.0,100.89,20.6,153.9,23
CPT,86337,HC INSULIN AUTOAB,171.0,100.89,20.6,153.9,23
CPT,86340,HC IFBA SO INTRNS GAC BLK AB,155.0,91.45,18.67,139.5,23
CPT,86340,HC INTRINSIC FACTOR AB,155.0,91.45,18.67,139.5,23
CPT,86340,HC INTRINSIC FACTOR ANTIBODIES,155.0,91.45,18.67,139.5,23
CPT,86341,"HC AUTOIMMUNE DYSTONIA EVAL, ADE",204.0,120.36,24.58,183.6,23
CPT,86341,"HC DEMENTIA AUTOIMMUNE EVAL, CSF",204.0,120.36,24.58,183.6,23
CPT,86341,"HC DEMENTIA AUTOIMMUNE EVAL, SERUM",204.0,120.36,24.58,183.6,23
CPT,86341,HC ENCEPHALOPATHY- AUTOIMMUNE EVAL CSF 2,204.0,120.36,24.58,183.6,23
CPT,86341,HC ENCEPHALOPATHY- AUTOIMMUNE EVAL SERUM 2,204.0,120.36,24.58,183.6,23
CPT,86341,HC EPIEC GAD65,204.0,120.36,24.58,183.6,23
CPT,86341,HC EPIES GAD65,204.0,120.36,24.58,183.6,23
CPT,86341,"HC EPILEPSY, AUTOIMMUNE EVAL, CSF (MAYO EPC2)",204.0,120.36,24.58,183.6,23
CPT,86341,HC GLUTAMIC ACID DECARBOXYLASE,204.0,120.36,24.58,183.6,23
CPT,86341,"HC GLUTAMIC ACID DECARBOXYLASE (GAD65), BLOOD",204.0,120.36,24.58,183.6,23
CPT,86341,"HC GLUTAMIC ACID DECARBOXYLASE (GAD65), CSF",204.0,120.36,24.58,183.6,23
CPT,86341,HC GLUTAMIC ACID DECARBOXYLASE (GADAB),204.0,120.36,24.58,183.6,23
CPT,86341,HC IA-2 AB,204.0,120.36,24.58,183.6,23
CPT,86341,HC IA-2 ANTIBODY,204.0,120.36,24.58,183.6,23
CPT,86341,"HC ISLET CELL AB, TITER",204.0,120.36,24.58,183.6,23
CPT,86341,HC ISLET CELL ANTIBODY,204.0,120.36,24.58,183.6,23
CPT,86341,HC NEOCEREB DEGEN PARAN-2 3PB,204.0,120.36,24.58,183.6,23
CPT,86341,HC NEOCOMP PARANEOPL W/RECOMBX 3PB (ATHENA #4620),204.0,120.36,24.58,183.6,23
CPT,86341,HC ZINC TRANSPORTER,204.0,120.36,24.58,183.6,23
CPT,86343,HC CU INDEX,128.0,75.52,15.42,115.2,23
CPT,86343,HC HISTAMINE REL,128.0,75.52,15.42,115.2,23
CPT,86343,HC HISTAMINE RELEASE (CHRONIC URTICARIA),128.0,75.52,15.42,115.2,23
CPT,86343,HC LEUKOCYTE HISTAMINE RELEASE TEST (LHR),128.0,75.52,15.42,115.2,23
CPT,86352,HC CELLULAR FUNCTION ASSAY INVOLVING STI,1398.0,824.82,168.43,1258.2,23
CPT,86352,HC DHR CINN BILL ONLY,1398.0,824.82,168.43,1258.2,23
CPT,86352,HC DHR SO DHR NEUTRP OXD BST,1398.0,824.82,168.43,1258.2,23
CPT,86352,HC IMMUNE CELL FUNCTION,1398.0,824.82,168.43,1258.2,23
CPT,86352,HC INFLIXIMAB ACTIVITY,1398.0,824.82,168.43,1258.2,23
CPT,86352,HC INFLIXIMAB ACTIVITY AND NEULTRALIZING AB,1398.0,824.82,168.43,1258.2,23
CPT,86352,HC INTERFERON BETA NEUTRALIZING AB SCREEN,1398.0,824.82,168.43,1258.2,23
CPT,86352,HC INTERFERON BETA NEUTRALIZING AB TITER,1398.0,824.82,168.43,1258.2,23
CPT,86353,HC LYMPH AG AND MITOGEN PROLIFERATION PNL,504.0,297.36,60.72,453.6,23
CPT,86353,HC LYMPH AG PROLIFERATION,504.0,297.36,60.72,453.6,23
CPT,86353,HC LYMPH MITOGEN PROLIFERATION,504.0,297.36,60.72,453.6,23
CPT,86353,"HC LYMPHOCYTE TRANSFORMATION, MITOGEN (P",504.0,297.36,60.72,453.6,23
CPT,86353,HC SO BERYLLIUM LYMPHOCYTE,504.0,297.36,60.72,453.6,23
CPT,86353,HC TLRLY SO TOLL RCP LYM TRN,504.0,297.36,60.72,453.6,23
CPT,86355,HC B CELL TOTAL (PANEL 1),208.0,122.72,25.06,187.2,23
CPT,86355,HC B CELLS TOTAL,208.0,122.72,25.06,187.2,23
CPT,86355,HC B CELLS TOTAL (LYMPHOCYTE PANEL 2),208.0,122.72,25.06,187.2,23
CPT,86356,"HC MONONUCLEAR CELL ANTIGEN, QUANT",275.0,162.25,33.13,247.5,23
CPT,86356,HC RITUXAM SENSITIVITY,275.0,162.25,33.13,247.5,23
CPT,86357,HC NATURAL KILLER (NK) CELLS TOTAL COUNT,208.0,122.72,25.06,187.2,23
CPT,86357,HC NK CELL TOTAL (PANEL 1),208.0,122.72,25.06,187.2,23
CPT,86359,HC T CELL TOTAL (PANEL 1),208.0,122.72,25.06,187.2,23
CPT,86359,HC T CELLS TOTAL,208.0,122.72,25.06,187.2,23
CPT,86359,HC TREGS SO TCEL SUB S T CNT,208.0,122.72,25.06,187.2,23
CPT,86360,HC ABSOLUTE CD4 & CD8 (PANEL 1),483.0,284.97,58.19,434.7,23
CPT,86360,HC ABSOLUTE CD4CD8 RATIO,483.0,284.97,58.19,434.7,23
CPT,86360,HC LYMPHOCYTE SUBSET PANEL 4,483.0,284.97,58.19,434.7,23
CPT,86360,"HC T CELLS; ABSOLUTE CD4 AND CD8 COUNT,",483.0,284.97,58.19,434.7,23
CPT,86361,HC T CELLS; ABSOLUTE CD4 COUNT,259.0,152.81,31.2,233.1,23
CPT,86362,HC MOG-IGG1 ANTB CBA EACH,72.3,42.66,8.71,65.07,23
CPT,86363,HC MOG-IGG1 ANTB FLO CYTMTRY EA,72.3,42.66,8.71,65.07,23
CPT,86364,HC TISS TRNSGLTMNASE EA IG CLAS,69.18,40.82,8.33,62.26,23
CPT,86366,HC MUSCLE-SPECIFIC KINASE (MUSK) AB (MAYO MUSK),77.28,45.6,9.31,69.55,23
CPT,86366,HC MUSK ANTIBODY TEST (QUEST #93865),77.28,45.6,9.31,69.55,23
CPT,86367,"HC CD34 STEM CELL PANEL, FLOW CYTOMETRY",208.0,122.72,25.06,187.2,23
CPT,86367,"HC CD34 STEM CELL PRODUCT, FLOW CYTOMETR",208.0,122.72,25.06,187.2,23
CPT,86376,HC LIVER CYTOSOL (LC-1) AB,129.0,76.11,15.54,116.1,23
CPT,86376,HC MICROSOMAL AB,129.0,76.11,15.54,116.1,23
CPT,86376,HC MICROSOMAL ANTIBODIES,129.0,76.11,15.54,116.1,23
CPT,86376,HC THYROID PEROXIDASE (TPO) ANTIBODY,129.0,76.11,15.54,116.1,23
CPT,86381,HC MITOCHONDRIAL ANTIBODY EACH,152.7,90.09,18.4,137.43,23
CPT,86382,HC IFNBA SO INTER B 1A AB TC,174.0,102.66,20.96,156.6,23
CPT,86382,HC IFNBA SO INTER B 1B AB TC,174.0,102.66,20.96,156.6,23
CPT,86382,HC NEUTRALIZATION VIRAL,174.0,102.66,20.96,156.6,23
CPT,86382,HC NEUTRALIZING AB,174.0,102.66,20.96,156.6,23
CPT,86384,HC NITROBLUE TETRAZOLIUM DYE (NTD),117.0,69.03,14.1,105.3,23
CPT,86403,HC BACTERIAL AG H INF,105.0,61.95,12.65,94.5,23
CPT,86403,HC BACTERIAL AG N MEN,105.0,61.95,12.65,94.5,23
CPT,86403,HC BACTERIAL AG S PNEUMO,105.0,61.95,12.65,94.5,23
CPT,86403,HC BACTERIAL AG STREP B,105.0,61.95,12.65,94.5,23
CPT,86403,HC BACTERIAL MENINGITIS ANTIGEN,105.0,61.95,12.65,94.5,23
CPT,86403,HC CANDIDA ANTIGEN,105.0,61.95,12.65,94.5,23
CPT,86403,HC CANDIDA ANTIGEN SCREEN,105.0,61.95,12.65,94.5,23
CPT,86403,HC CRYPTOCOCCAL ANTIGEN TITER,105.0,61.95,12.65,94.5,23
CPT,86403,"HC PARTICLE AGGLUTI; SCREEN, EACH ($129)",105.0,61.95,12.65,94.5,23
CPT,86403,"HC PARTICLE AGGLUTIN; SCREEN, EACH ($84)",105.0,61.95,12.65,94.5,23
CPT,86403,"HC STREPTOCOCCUS,GR B AG,URINE",105.0,61.95,12.65,94.5,23
CPT,86406,HC PARTICLE AGGLUTINATION TITER,109.0,64.31,13.13,98.1,23
CPT,86406,HC STEPTOZYME AB TITER,109.0,64.31,13.13,98.1,23
CPT,86408,HC COVID-19 NEUTRALIZING ANTIBODY,252.78,149.14,30.45,227.5,23
CPT,86409,HC COVID-19 NEUTRALIZING ANTIBODY TITER,631.98,372.87,76.14,568.78,23
CPT,86413,"HC COVID-19 ANTIBODY, QUANTITATIVE",85.92,50.69,10.35,77.33,23
CPT,86430,"HC RHEUMATOID FACTOR,FLD,QL",58.0,34.22,6.99,52.2,23
CPT,86431,"HC ADE, GAD 65",58.0,34.22,6.99,52.2,23
CPT,86431,HC RA FACTOR,58.0,34.22,6.99,52.2,23
CPT,86431,HC RHEUMATOID FACTOR QN,58.0,34.22,6.99,52.2,23
CPT,86480,HC QFTG QUANAFERON GOLD,638.0,376.42,76.86,574.2,23
CPT,86480,HC QUANTIFERON-TB GOLD,638.0,376.42,76.86,574.2,23
CPT,86480,HC TB TEST CELL IMM AG MEASURE GAMMA INTERF,638.0,376.42,76.86,574.2,23
CPT,86481,HC TB TEST ANTIGEN RESPONSE T-CELL,607.0,358.13,73.13,546.3,23
CPT,86485,HC SKIN TEST CANDIDA,103.0,60.77,12.41,92.7,23
CPT,86486,HC SKIN TEST UNLISTED ANTIGEN,46.0,27.14,5.54,41.4,23
CPT,86580,HC SKIN TEST TB INTRADERM,46.0,27.14,5.54,41.4,23
CPT,86580,"HC SKIN TEST, PPD",46.0,27.14,5.54,41.4,23
CPT,86581,HC STREP PNEUM ANTIBODY IGG SEROTYPES MLT IA QUAN,2068.62,1220.49,249.22,1861.76,23
CPT,86592,"HC SYPHILIS TEST, NON-TREPONEMAL ANTIBOD",25.62,15.12,3.09,23.06,23
CPT,86593,HC SYPHILIS VDRL/RPR QN,45.0,26.55,5.42,40.5,23
CPT,86596,HC NEOCOMP PARANEOPL W/RECOMBX 3PB (ATHENA #4620),110.4,65.14,13.3,99.36,23
CPT,86596,HC VOLTAGE-GTD CA CHNL ANTB EA,110.4,65.14,13.3,99.36,23
CPT,86602,HC ACTINOMYCES ANTIBODY,105.0,61.95,12.65,94.5,23
CPT,86603,HC ADENOVIRUS ANTIBODY,132.0,77.88,15.9,118.8,23
CPT,86606,HC ASFUM SO ASP FUMIGAT IGG,155.0,91.45,18.67,139.5,23
CPT,86606,HC ASPERGILLUS ANTIBODY,155.0,91.45,18.67,139.5,23
CPT,86606,HC ASPERGILLUS FLAVUS AB,155.0,91.45,18.67,139.5,23
CPT,86606,HC ASPERGILLUS IGG PANEL,155.0,91.45,18.67,139.5,23
CPT,86606,HC ASPERGILLUS NIGER AB,155.0,91.45,18.67,139.5,23
CPT,86606,HC HYPERSENSITIVITY PNEUMONITIS PANEL,155.0,91.45,18.67,139.5,23
CPT,86609,"HC ANTIBODY; BACTERIUM, NOT ELSEWHERE SP",133.0,78.47,16.02,119.7,23
CPT,86609,HC BACTERIAL AB S.PNEUMO 14,133.0,78.47,16.02,119.7,23
CPT,86609,HC BACTERIAL AB UNSPEC,133.0,78.47,16.02,119.7,23
CPT,86609,HC LISTERIA ANTIBODY BY CF,133.0,78.47,16.02,119.7,23
CPT,86609,HC LISTERIA ANTIBODY CSF BY CF,133.0,78.47,16.02,119.7,23
CPT,86609,HC N.GONNORRHEA AB,133.0,78.47,16.02,119.7,23
CPT,86609,"HC NEISSERIA GONORRHOEAE AB,CF",133.0,78.47,16.02,119.7,23
CPT,86609,HC PNEUMOCOCCAL IGG TYPE 14,133.0,78.47,16.02,119.7,23
CPT,86609,HC PNEUMOCOCCAL IGG TYPE 19(19F),133.0,78.47,16.02,119.7,23
CPT,86609,HC PNEUMOCOCCAL IGG TYPE 23(23F),133.0,78.47,16.02,119.7,23
CPT,86609,HC PNEUMOCOCCAL IGG TYPE 26(6B),133.0,78.47,16.02,119.7,23
CPT,86609,HC PNEUMOCOCCAL IGG TYPE 4,133.0,78.47,16.02,119.7,23
CPT,86609,HC PNEUMOCOCCAL IGG TYPE 56(18C),133.0,78.47,16.02,119.7,23
CPT,86609,HC PNEUMOCOCCAL IGG TYPE 68(9V),133.0,78.47,16.02,119.7,23
CPT,86609,HC TOXIC SHOCK SYDROME AB,133.0,78.47,16.02,119.7,23
CPT,86609,HC TOXSS SO TOX SHOCK SYN AB,133.0,78.47,16.02,119.7,23
CPT,86611,HC ANTIBODY; BARTONELLA,61.08,36.04,7.36,54.97,23
CPT,86612,HC BLAS SO BLASTOMYCES AB ID,133.0,78.47,16.02,119.7,23
CPT,86612,HC BLASTOMYCES ANTIBODY,133.0,78.47,16.02,119.7,23
CPT,86615,HC ANTIBODY; BORDETELLA,136.0,80.24,16.38,122.4,23
CPT,86615,"HC BORDATELLA AB,IGA,FHA",136.0,80.24,16.38,122.4,23
CPT,86615,"HC BORDATELLA AB,IGA,PT",136.0,80.24,16.38,122.4,23
CPT,86615,"HC BORDATELLA AB,IGG",136.0,80.24,16.38,122.4,23
CPT,86615,"HC BORDATELLA AB,IGG,FHA",136.0,80.24,16.38,122.4,23
CPT,86615,"HC BORDATELLA AB,IGG,PT",136.0,80.24,16.38,122.4,23
CPT,86615,"HC BORDATELLA AB,IGM,FHA",136.0,80.24,16.38,122.4,23
CPT,86615,"HC BORDATELLA AB,IGM,PT",136.0,80.24,16.38,122.4,23
CPT,86615,HC BORDI SO BORDETELL IMBLO,136.0,80.24,16.38,122.4,23
CPT,86617,"HC B. BURGDORFERI AB, IGG BY WB, CSF",159.0,93.81,19.16,143.1,23
CPT,86617,"HC B. BURGDORFERI AB, IGM BY WB, CSF",159.0,93.81,19.16,143.1,23
CPT,86617,HC LYME CONFIRMATION,159.0,93.81,19.16,143.1,23
CPT,86617,"HC LYME DISEASE AB, WESTERN BLOT",159.0,93.81,19.16,143.1,23
CPT,86617,HC LYME WB IGG,159.0,93.81,19.16,143.1,23
CPT,86617,HC LYME WB IGM,159.0,93.81,19.16,143.1,23
CPT,86617,HC LYME WESTERN BLOT IGM,159.0,93.81,19.16,143.1,23
CPT,86618,HC ANTIBODY; BORRELIA BURGDORFERI (LYME,175.0,103.25,21.08,157.5,23
CPT,86618,HC LYME C6 ELISA JOINT ONLY,175.0,103.25,21.08,157.5,23
CPT,86618,HC LYME C6 PEPTIDE,175.0,103.25,21.08,157.5,23
CPT,86618,HC LYME TITER REFLEX WB,175.0,103.25,21.08,157.5,23
CPT,86618,HC LYMES TITER SERUM,175.0,103.25,21.08,157.5,23
CPT,86618,HC LYMES TITER SPINAL FLUID,175.0,103.25,21.08,157.5,23
CPT,86619,HC BHERM SO B HERMSI IGG IGM,138.0,81.42,16.63,124.2,23
CPT,86619,HC BORRELIA ANTIBODY,138.0,81.42,16.63,124.2,23
CPT,86619,"HC BORRELIA HERMISII AB, IFA",138.0,81.42,16.63,124.2,23
CPT,86622,HC ANTIBODY; BRUCELLA,92.0,54.28,11.08,82.8,23
CPT,86622,"HC BRUCELLA AB, IGG",92.0,54.28,11.08,82.8,23
CPT,86622,"HC BRUCELLA AB, IGM",92.0,54.28,11.08,82.8,23
CPT,86625,HC CAMPJ SO CAMPYLO AB ELISA,135.0,79.65,16.26,121.5,23
CPT,86628,HC SO CANDIDA ALBICANS AB,124.0,73.16,14.94,111.6,23
CPT,86631,HC ANTIBODY; CHLAMYDIA,122.0,71.98,14.7,109.8,23
CPT,86631,HC C.TRACHOMATIS IGA AB,122.0,71.98,14.7,109.8,23
CPT,86631,HC C.TRACHOMATIS IGG AB,122.0,71.98,14.7,109.8,23
CPT,86631,"HC CHLAMYDIA GROUP AB,IF",122.0,71.98,14.7,109.8,23
CPT,86631,HC CHLAMYDIA PNEUMONIAE IGG,122.0,71.98,14.7,109.8,23
CPT,86631,HC CHLAMYDIA PNEUMONTAE IGA,122.0,71.98,14.7,109.8,23
CPT,86631,"HC CHLAMYDIA TRACHOMATIS ANTIBODY, IGG",122.0,71.98,14.7,109.8,23
CPT,86631,HC CHLAMYDOPHILA PSITTACI IGA,122.0,71.98,14.7,109.8,23
CPT,86631,HC CHLAMYDOPHILA PSITTACI IGG,122.0,71.98,14.7,109.8,23
CPT,86632,"HC ANTIBODY; CHLAMYDIA, IGM",100.0,59.0,12.05,90.0,23
CPT,86632,HC CHLAMYDIA PNEUMONIAE IGM,100.0,59.0,12.05,90.0,23
CPT,86632,HC SO C PSITTACI IGM,100.0,59.0,12.05,90.0,23
CPT,86632,HC SO C TRACHOMATIS AB IGM,100.0,59.0,12.05,90.0,23
CPT,86635,HC ANTIBODY; COCCIDIOIDES,118.0,69.62,14.22,106.2,23
CPT,86635,HC COCCIDIOIDES AB CF & ID SER,118.0,69.62,14.22,106.2,23
CPT,86635,"HC COCCIDIOIDES AB, CF",118.0,69.62,14.22,106.2,23
CPT,86635,HC COCCIDIOIDES IGM,118.0,69.62,14.22,106.2,23
CPT,86635,"HC COCCIDOIDES, TOTAL AB",118.0,69.62,14.22,106.2,23
CPT,86638,HC ANTIBODY; COXIELLA BURNETII (Q FEVER),125.0,73.75,15.06,112.5,23
CPT,86638,HC Q FEVER,125.0,73.75,15.06,112.5,23
CPT,86638,HC Q FEVER ANTIBODY,125.0,73.75,15.06,112.5,23
CPT,86638,HC Q FEVER IGG & IGM WITH REFLEX TO TITERS,125.0,73.75,15.06,112.5,23
CPT,86638,HC Q FEVER IGG PHASE II AB,125.0,73.75,15.06,112.5,23
CPT,86638,HC Q FEVER IGM PHASE I AB,125.0,73.75,15.06,112.5,23
CPT,86638,HC Q FEVER IGM PHASE II AB,125.0,73.75,15.06,112.5,23
CPT,86638,HC SO Q FEVER PHASE I ARUP,125.0,73.75,15.06,112.5,23
CPT,86638,HC SO Q FEVER PHASE II ARUP,125.0,73.75,15.06,112.5,23
CPT,86641,HC CRYPTOCOCCUS ANTIBODY,140.0,82.6,16.87,126.0,23
CPT,86644,HC ANTIBODY; CYTOMEGALOVIRUS (CMV),148.0,87.32,17.83,133.2,23
CPT,86644,HC ANTIBODY;CYTOMEGALOVIRUS,148.0,87.32,17.83,133.2,23
CPT,86644,HC CYTOMEGALOVIRUS IGG,148.0,87.32,17.83,133.2,23
CPT,86645,HC CYTOMEGALOVIRUS (CMV) ANTIBODY IGM,173.0,102.07,20.84,155.7,23
CPT,86648,HC ANTIBODY; DIPHTHERIA,156.0,92.04,18.79,140.4,23
CPT,86648,HC DIPTHERIA,156.0,92.04,18.79,140.4,23
CPT,86651,"HC ANTIBODY; ENCEPHALITIS, CALIFORNIA (L",136.0,80.24,16.38,122.4,23
CPT,86651,HC CALIFORNIA ENCEPHALITIS IGG ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86651,HC CALIFORNIA ENCEPHALITIS IGM ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86651,"HC ENCEPHALITIS,CALIFORNIA",136.0,80.24,16.38,122.4,23
CPT,86652,HC EAST ENCEPHALITIS,136.0,80.24,16.38,122.4,23
CPT,86652,HC EAST EQUINE ENCEPHALITIS,136.0,80.24,16.38,122.4,23
CPT,86652,HC EASTERN EQUINE ENCEPHALITIS ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86652,"HC ENCEPHALITIS,EASTERN,IGG",136.0,80.24,16.38,122.4,23
CPT,86652,"HC ENCEPHALITIS,EASTERN,IGM",136.0,80.24,16.38,122.4,23
CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGG,136.0,80.24,16.38,122.4,23
CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGM,136.0,80.24,16.38,122.4,23
CPT,86653,HC ENCEPHALITIS ST LOUIS ANTI,136.0,80.24,16.38,122.4,23
CPT,86653,HC ENCEPHALITIS ST LOUIS ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86654,HC WEST ENCEPHALITIS,136.0,80.24,16.38,122.4,23
CPT,86654,HC WEST ENCEPHALITIS (ARBOVIRUS AB),136.0,80.24,16.38,122.4,23
CPT,86654,HC WESTERN EQUINE ENCEPH IGG AB,136.0,80.24,16.38,122.4,23
CPT,86654,HC WESTERN EQUINE ENCEPH IGM AB,136.0,80.24,16.38,122.4,23
CPT,86654,HC WESTERN EQUINE ENCEPHALITIS ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86658,"HC COXSACKI A AB, TYPE 02",134.0,79.06,16.14,120.6,23
CPT,86658,"HC COXSACKI A AB, TYPE 04",134.0,79.06,16.14,120.6,23
CPT,86658,"HC COXSACKI A AB, TYPE 07",134.0,79.06,16.14,120.6,23
CPT,86658,"HC COXSACKI A AB, TYPE 09",134.0,79.06,16.14,120.6,23
CPT,86658,"HC COXSACKI A AB, TYPE 10",134.0,79.06,16.14,120.6,23
CPT,86658,"HC COXSACKI A AB, TYPE 16",134.0,79.06,16.14,120.6,23
CPT,86658,HC COXSACKIE A VIRUS ANTIBODY,134.0,79.06,16.14,120.6,23
CPT,86658,HC COXSACKIE B VIRUS ANTIBODY,134.0,79.06,16.14,120.6,23
CPT,86658,HC ECHOVIRUS ANITBODY,134.0,79.06,16.14,120.6,23
CPT,86658,"HC POLIOVIRUS ANTIBODIES, TYPES 1,2, AND",134.0,79.06,16.14,120.6,23
CPT,86658,HC SO COXSACKIE B GROUP AB,134.0,79.06,16.14,120.6,23
CPT,86663,HC EBV EARLY ANTIGEN D AB IGG,135.0,79.65,16.26,121.5,23
CPT,86663,HC EPSTEIN-BARR EARLY ANTIGEN ANTIBODY (EA),135.0,79.65,16.26,121.5,23
CPT,86664,HC EPSTEIN-BARR NUCLEAR ANTIGEN ANTIBODY,157.0,92.63,18.91,141.3,23
CPT,86665,HC EPSTEIN BARR VCA IGG,187.0,110.33,22.53,168.3,23
CPT,86665,HC EPSTEIN BARR VCA IGM,187.0,110.33,22.53,168.3,23
CPT,86665,HC EPSTEIN-BARR VIRAL CAPSID ANTIBODY,187.0,110.33,22.53,168.3,23
CPT,86666,HC ANTIBODY; EHRLICHIA,105.0,61.95,12.65,94.5,46
CPT,86666,HC ECHAB SO EHRLIC IGG&IGM,105.0,61.95,12.65,94.5,23
CPT,86666,HC ECHAG SO EHRLICHIA IGG,105.0,61.95,12.65,94.5,23
CPT,86666,HC ECHAM SO EHRLICHIA IGM,105.0,61.95,12.65,94.5,23
CPT,86666,"HC EHRLICHIA CHAFFEENSIS ANTIBODY, IGG",105.0,61.95,12.65,94.5,23
CPT,86666,HC SO A PHAGOCYTOPHILUM,105.0,61.95,12.65,94.5,23
CPT,86666,HC SO A PHAGOCYTOPHILUM IGG,105.0,61.95,12.65,94.5,23
CPT,86668,HC FRANCISELLA TULARENSIS ANTIBODY,107.0,63.13,12.89,96.3,23
CPT,86668,HC FTULA SO F TULA IGG & IGM,107.0,63.13,12.89,96.3,23
CPT,86671,"HC ANTIBODY;FUNGUS,NOT ELSE SPEC",126.0,74.34,15.18,113.4,23
CPT,86671,HC S.CEREVISAE (ASCA) IGG,126.0,74.34,15.18,113.4,23
CPT,86671,HC S.CEREVISIAE (ASCA) IGA,126.0,74.34,15.18,113.4,23
CPT,86671,HC SACCHAROMYCES CEREVISIAE ABS,126.0,74.34,15.18,113.4,23
CPT,86671,HC STACHYBOTRYS CHARTARUM/ATRA (RGM24) IGA,126.0,74.34,15.18,113.4,23
CPT,86674,HC GIARDIA LAMBLIA ANTIBODY,151.0,89.09,18.19,135.9,23
CPT,86677,HC ANTIBODY; HELICOBACTER PYLORI,149.0,87.91,17.95,134.1,23
CPT,86677,HC H PYLORI AB IGM,149.0,87.91,17.95,134.1,23
CPT,86677,HC H PYLORI ANTIBODY,149.0,87.91,17.95,134.1,23
CPT,86682,"HC CYSTICERCOSIS ANTIBODY, IGG",134.0,79.06,16.14,120.6,23
CPT,86682,"HC CYSTICERCOSIS ANTIBODY, IGG BY WB",134.0,79.06,16.14,120.6,23
CPT,86682,"HC CYSTICERCUS AB,SERUM",134.0,79.06,16.14,120.6,23
CPT,86682,"HC ECHINOCOCCUS ANTIBODY, IGG",134.0,79.06,16.14,120.6,23
CPT,86682,HC FASCIOLIASIS AB,134.0,79.06,16.14,120.6,23
CPT,86682,HC FILARIA IGG4 ANTIBODY,134.0,79.06,16.14,120.6,23
CPT,86682,"HC SCHISTOSOMA ANTIBODY, IGG",134.0,79.06,16.14,120.6,23
CPT,86682,"HC STRONGYLOIDES ANTIBODY, IGG",134.0,79.06,16.14,120.6,23
CPT,86682,HC TOXOCARA ANTIBODY IGG,134.0,79.06,16.14,120.6,23
CPT,86684,HC HAEMOPHILUS INFLUENZA ANTIBODY,163.0,96.17,19.64,146.7,23
CPT,86687,HC HTLV-I ANTIBODY,86.0,50.74,10.36,77.4,23
CPT,86689,HC  HIV-1 WESTERN BLOT,199.0,117.41,23.97,179.1,23
CPT,86689,HC  HTLV I/II WESTERN BLOT,199.0,117.41,23.97,179.1,23
CPT,86689,"HC ANTIBODY; HTLV OR HIV ANTIBODY, CONFI",199.0,117.41,23.97,179.1,23
CPT,86689,HC HIV2 WESTERN BLOT (SO),199.0,117.41,23.97,179.1,23
CPT,86692,"HC ANTIBODY; HEPATITIS, DELTA AGENT",177.0,104.43,21.32,159.3,23
CPT,86692,"HC HEPATITIS D ANTIBODY, IGM",177.0,104.43,21.32,159.3,23
CPT,86692,HC HEPATITIS DELTA AB,177.0,104.43,21.32,159.3,23
CPT,86694,"HC ANTIBODY; HERPES SIMPLEX, NON-SPECIFI",148.0,87.32,17.83,133.2,23
CPT,86694,HC HERPES SIMPLX NONSPEC TST,148.0,87.32,17.83,133.2,23
CPT,86694,HC HSV WESTERN BLOT,148.0,87.32,17.83,133.2,23
CPT,86695,"HC ANTIBODY; HERPES SIMPLEX, TYPE 1",136.0,80.24,16.38,122.4,23
CPT,86695,"HC HERPES SIMPLEX,TYPE 1",136.0,80.24,16.38,122.4,23
CPT,86695,"HC HERPES SIMPLEX,TYPE 1,IGG",136.0,80.24,16.38,122.4,23
CPT,86695,"HC HSVG1 - HC HERPES SIMPLEX,TYPE 1,IGG",136.0,80.24,16.38,122.4,23
CPT,86695,HC HSVI IGM TITER,136.0,80.24,16.38,122.4,23
CPT,86695,HC HSVI IGM W/RFL TO TITER,136.0,80.24,16.38,122.4,23
CPT,86695,"HC MOL DIAG;MOL ISO & EXTRACT,EA",136.0,80.24,16.38,122.4,23
CPT,86696,"HC ANTIBODY; HERPES SIMPLEX, TYPE 2",199.0,117.41,23.97,179.1,23
CPT,86696,"HC HERPES SIMPLEX,TYPE 2",199.0,117.41,23.97,179.1,23
CPT,86696,"HC HERPES SIMPLEX,TYPE 2,IGG",199.0,117.41,23.97,179.1,23
CPT,86696,HC HSV2 IGM TITER,199.0,117.41,23.97,179.1,23
CPT,86696,"HC HSVG2 - HC HERPES SIMPLEX,TYPE 2,IGG",199.0,117.41,23.97,179.1,23
CPT,86696,"HC MOL DIAG;AMP,EACH SEQ",199.0,117.41,23.97,179.1,23
CPT,86698,HC HISTOPLASMA AB,129.0,76.11,15.54,116.1,23
CPT,86698,HC HISTOPLASMA ANTIBODY,129.0,76.11,15.54,116.1,23
CPT,86701,HC HIV-1 ANTIBODY DIFFERENT IMMUNOASSAY,53.34,31.47,6.43,48.01,23
CPT,86702,HC HIV-2 ANTIBODY DIFFERENT IMMUNOASSAY,81.12,47.86,9.77,73.01,23
CPT,86703,HC HIV SCREEN W/ CONF,141.0,83.19,16.99,126.9,23
CPT,86703,HC HIV-1/HIV-2 SNGL ASSAY ANTIBODY,141.0,83.19,16.99,126.9,23
CPT,86704,HC HEP B CORE ANTIBODY (HBCAB) TOTAL,124.0,73.16,14.94,111.6,23
CPT,86705,HC HEP B CORE ANTIBODY (HBCAB) IGM,121.0,71.39,14.58,108.9,23
CPT,86706,HC HEP B SURFACE ANTIBODY (HBSAB),110.0,64.9,13.25,99.0,23
CPT,86707,HC HEP BE ANTIBODY (HBEAB),119.0,70.21,14.34,107.1,23
CPT,86708,HC HEP A ANTIBODY (HAAB) TOTAL,127.0,74.93,15.3,114.3,23
CPT,86709,HC HEP A ANTIBODY (HAAB) IGM,116.0,68.44,13.98,104.4,23
CPT,86710,"HC ANTIBODY, INFLUENZA TYPE B",139.0,82.01,16.75,125.1,23
CPT,86710,HC ANTIBODY; INFLUENZA VIRUS,139.0,82.01,16.75,125.1,23
CPT,86711,HC JC VIRUS ANTIBODY,148.0,87.32,17.83,133.2,23
CPT,86711,HC JCV STRATIFY AB INHIBITION,148.0,87.32,17.83,133.2,23
CPT,86713,HC ANTIBODY; LEGIONELLA,157.0,92.63,18.91,141.3,23
CPT,86713,HC LEGIONELLA TOTAL AB,157.0,92.63,18.91,141.3,23
CPT,86713,"HC LEGIONELLA,IGM",157.0,92.63,18.91,141.3,23
CPT,86717,HC LEISHMANIA ANTIBODY,63.0,37.17,7.59,56.7,23
CPT,86720,HC LEPTOSPIRA AB TITER,109.0,64.31,13.13,98.1,23
CPT,86720,HC LEPTOSPIRA ANTIBODY,109.0,64.31,13.13,98.1,23
CPT,86723,HC LISTERIA MONOCYTOGENES ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86727,HC LYMPHO CHORIOME-LCM VIRUS AB IGG CSF,132.0,77.88,15.9,118.8,23
CPT,86727,HC LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY,132.0,77.88,15.9,118.8,23
CPT,86735,HC ANTIBODY; MUMPS,134.0,79.06,16.14,120.6,23
CPT,86735,HC MUMPS ANTIBODY IGM,134.0,79.06,16.14,120.6,23
CPT,86735,HC MUMPS IGG/IGM,134.0,79.06,16.14,120.6,23
CPT,86738,HC ANTI M. PNEUMONIA AB,136.0,80.24,16.38,122.4,23
CPT,86738,HC ANTIBODY; MYCOPLASMA,136.0,80.24,16.38,122.4,23
CPT,86738,HC MYCOPLASMA ANTIBODY IGM,136.0,80.24,16.38,122.4,23
CPT,86738,HC MYCOPLASMA IGG ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86738,HC MYCOPLASMA IGM ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86738,HC MYCSF SO MYCO IGG&M CSF,136.0,80.24,16.38,122.4,23
CPT,86741,HC NEISSERIA MENINGITIDIS ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86744,HC NOCARDIA ANTIBODY,48.0,28.32,5.78,43.2,23
CPT,86747,HC ANTIBODY; PARVOVIRUS,155.0,91.45,18.67,139.5,23
CPT,86747,HC PARVOVIRUS ANTIBODIES,155.0,91.45,18.67,139.5,23
CPT,86747,HC PARVOVIRUS B19 IGG AB,155.0,91.45,18.67,139.5,23
CPT,86747,HC PARVOVIRUS B19 IGM AB,155.0,91.45,18.67,139.5,23
CPT,86750,HC MALARIA ANTIBODY,112.0,66.08,13.49,100.8,23
CPT,86753,HC AMOEBA ANTIBODY,127.0,74.93,15.3,114.3,23
CPT,86753,HC BABESIA ANTIBODY,127.0,74.93,15.3,114.3,23
CPT,86753,HC SO BABESIA MICROTI AB IGM,127.0,74.93,15.3,114.3,23
CPT,86753,HC SO BABESIA MICROTI IGG,127.0,74.93,15.3,114.3,23
CPT,86753,HC SO ENTAMOEBA HISTOLY AB,127.0,74.93,15.3,114.3,23
CPT,86753,HC T.CRUZI IGG AB,127.0,74.93,15.3,114.3,23
CPT,86753,HC T.CRUZI IGM AB,127.0,74.93,15.3,114.3,23
CPT,86753,HC TOXOCARA ANTIBODIES,127.0,74.93,15.3,114.3,23
CPT,86753,HC TRYPANOSOMA CRUZI AB,127.0,74.93,15.3,114.3,23
CPT,86753,HC TRYPANOSOME CRUZI IGG AB,127.0,74.93,15.3,114.3,23
CPT,86753,"HC WA1 IGG AB,IFA",127.0,74.93,15.3,114.3,23
CPT,86756,HC RESPIRATORY VIRUS ANTIBODY,95.34,56.25,11.49,85.81,23
CPT,86757,HC 0050369 RICKETTSIA RICKETTSII  IGG,199.0,117.41,23.97,179.1,23
CPT,86757,HC ANTIBODY; RICKETTSIA,199.0,117.41,23.97,179.1,23
CPT,86757,HC RICKETTSIA,199.0,117.41,23.97,179.1,23
CPT,86757,HC RICKETTSIA RICKETTSII  IGM,199.0,117.41,23.97,179.1,23
CPT,86757,HC RMSF AB SCREEN IGM (AR ONLY),199.0,117.41,23.97,179.1,23
CPT,86757,HC RMSF IGG TITER,199.0,117.41,23.97,179.1,23
CPT,86757,HC ROCKY MOUNTAIN SPOTTED FEVER,199.0,117.41,23.97,179.1,23
CPT,86757,HC ROCKY MT SPOTTED FEVER,199.0,117.41,23.97,179.1,23
CPT,86757,HC ROCKY MT SPOTTED FEVER M,199.0,117.41,23.97,179.1,23
CPT,86757,HC SO RMSF TYPHUS IGGM ABS,199.0,117.41,23.97,179.1,23
CPT,86757,HC TYPHUS FEVER SCREEN IGG (AR ONLY),199.0,117.41,23.97,179.1,23
CPT,86757,HC TYPHUS FEVER SCREEN IGM (AR ONLY),199.0,117.41,23.97,179.1,23
CPT,86762,"HC ANTIBODY, RUBELLA",86.34,50.94,10.4,77.71,23
CPT,86765,HC ANTIBODY; RUBEOLA,133.0,78.47,16.02,119.7,23
CPT,86765,"HC MEASLES AB TITER,IGM",133.0,78.47,16.02,119.7,23
CPT,86768,HC SALMONELLA ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86769,HC COVID-19 AB,252.78,149.14,30.45,227.5,23
CPT,86774,HC TETAB SO TETANUS ANTITOXD,152.0,89.68,18.31,136.8,23
CPT,86774,HC TETANUS ANTIBODY,152.0,89.68,18.31,136.8,23
CPT,86777,HC ANTIBODY; TOXOPLASMA,86.34,50.94,10.4,77.71,23
CPT,86778,HC TOXOPLASMA ANTIBODY IGM,86.46,51.01,10.42,77.81,23
CPT,86780,HC ANTIBODY; TREPONEMA PALLIDUM,136.0,80.24,16.38,122.4,23
CPT,86780,HC FTA-ABS CSF,136.0,80.24,16.38,122.4,23
CPT,86780,HC POCT TREPONEMA PALLIDUM AB,136.0,80.24,16.38,122.4,23
CPT,86780,HC TPPA T PALLIDUM AB TPPA,136.0,80.24,16.38,122.4,23
CPT,86780,HC TPPA(FTA),136.0,80.24,16.38,122.4,23
CPT,86780,HC TREPONEMA PALLIDUM AB,136.0,80.24,16.38,122.4,23
CPT,86780,HC TREPONEMA PALLIDUM IGG AB,136.0,80.24,16.38,122.4,23
CPT,86784,HC TRICH SO TRICHIMELLA AB,129.0,76.11,15.54,116.1,23
CPT,86784,HC TRICHINELLA ANTIBODY,129.0,76.11,15.54,116.1,23
CPT,86787,HC ANTIBODY; VARICELLA-ZOSTER,133.0,78.47,16.02,119.7,23
CPT,86787,HC PANEL VARICELLA,133.0,78.47,16.02,119.7,23
CPT,86787,HC SO VZV IMG ANTIBODY,133.0,78.47,16.02,119.7,23
CPT,86787,HC VARICELLA ANTIBODY IGM,133.0,78.47,16.02,119.7,23
CPT,86788,HC WEST NILE VIRUS ANTIBODY IGM,173.0,102.07,20.84,155.7,23
CPT,86789,HC WEST NILE VIRUS ANTIBODY,148.0,87.32,17.83,133.2,23
CPT,86790,HC CHIKUNGUNGA ABS,133.0,78.47,16.02,119.7,23
CPT,86790,"HC CYTOMEGALOVIRUS (CMV) IGG AVIDITY, EL",133.0,78.47,16.02,119.7,23
CPT,86790,HC DENGUE AB IGG,133.0,78.47,16.02,119.7,23
CPT,86790,HC DENGUE AB IGM,133.0,78.47,16.02,119.7,23
CPT,86790,HC DENGUE FEVER AB IGG IGM,133.0,78.47,16.02,119.7,23
CPT,86790,"HC DENGUE VIRUS ANTIBODY, SERUM",133.0,78.47,16.02,119.7,23
CPT,86790,"HC HANTAVIRUS ANTIBODIES, IGG & IGM",133.0,78.47,16.02,119.7,23
CPT,86790,HC HEPATITIS E AB IGG,133.0,78.47,16.02,119.7,23
CPT,86790,HC HEPATITIS E AB IGM,133.0,78.47,16.02,119.7,23
CPT,86790,"HC HEPATITIS E ANTIBODY, IGM",133.0,78.47,16.02,119.7,23
CPT,86790,"HC HERPESVIRUS 6 (HHV6) ANTIBODY, IGG",133.0,78.47,16.02,119.7,23
CPT,86790,"HC HERPESVIRUS 6 (HHV6) ANTIBODY, IGM",133.0,78.47,16.02,119.7,23
CPT,86790,"HC HERPESVIRUS 7 IGG ANTIBODY, IFA",133.0,78.47,16.02,119.7,23
CPT,86790,"HC HERPESVIRUS 7 IGM ANTIBODY, IFA",133.0,78.47,16.02,119.7,23
CPT,86790,"HC HERPESVIRUS 8 (HHV8) ANTIBODY, IGG",133.0,78.47,16.02,119.7,23
CPT,86790,HC HEV AB (IGM),133.0,78.47,16.02,119.7,23
CPT,86790,HC HTLV 1 & 2 AB,133.0,78.47,16.02,119.7,23
CPT,86790,"HC PARAINFLUENZA TYPE 1,2,3 AB",133.0,78.47,16.02,119.7,23
CPT,86790,HC RABIES ANTIBODY,133.0,78.47,16.02,119.7,23
CPT,86790,HC VIRUS NOT ELSE SPECIFIED,133.0,78.47,16.02,119.7,23
CPT,86790,HC VIRUS SEROLOGY PANEL-CNS,133.0,78.47,16.02,119.7,23
CPT,86790,HC VIRUS SEROLOGY PANEL-CNS-NOT SPECIFIED,133.0,78.47,16.02,119.7,23
CPT,86790,HC WEST NILE VIRUS AB,133.0,78.47,16.02,119.7,23
CPT,86790,"HC WEST NILE VIRUS ANTIBODY, IGM CSF",133.0,78.47,16.02,119.7,23
CPT,86793,HC YERSINIA ANTIBODY,136.0,80.24,16.38,122.4,23
CPT,86794,HC ZIKA IGM,722.0,425.98,86.98,649.8,23
CPT,86800,HC THYROGLOBULIN AB,149.0,87.91,17.95,134.1,23
CPT,86800,HC THYROGLOBULIN ANTIBODY,149.0,87.91,17.95,134.1,23
CPT,86800,HC THYROID CANCER MONITOR,149.0,87.91,17.95,134.1,23
CPT,86803,HC HEP C ANTIBODY SCREENING,147.0,86.73,17.71,132.3,23
CPT,86804,HC HEP C ANTIBODY CONFIRM,159.0,93.81,19.16,143.1,23
CPT,86805,HC SO HLA CROSSMATCH,538.0,317.42,64.82,484.2,23
CPT,86812,HC HLA TYPING B-27,42.05,24.81,5.07,37.85,23
CPT,86812,"HC HLA TYPING; A, B, OR C (EG, A10, B7,",266.0,156.94,32.05,239.4,23
CPT,86813,"HC HLA A,B & C PHENOTYPING",483.3,285.15,58.23,434.97,23
CPT,86813,HC HLA TYPING; MULTIPLE ANTIGEN,483.3,285.15,58.23,434.97,23
CPT,86813,"HC SER CLASS I DA A,B,C (TISSUE TYPING)",483.3,285.15,58.23,434.97,23
CPT,86816,HC HLA TYPING SNGL ANTIGEN DR/DQ,287.0,169.33,34.58,258.3,23
CPT,86817,"HC HLA TYPING; DR/DQ, MULTIPLE ANTIGENS",662.0,390.58,79.75,595.8,23
CPT,86821,HC LAB-MIXED LYMPHOCYTEREA,581.0,342.79,70.0,522.9,23
CPT,86825,HC CL I & II FL XMA 1ST SER (TISSUE TYPING),826.0,487.34,99.51,743.4,23
CPT,86825,HLA X-MATH NON-CYTOTOXIC,826.0,487.34,99.51,743.4,23
CPT,86826,HC CL I & II FL XMA ADDTL SER (TISSUE TYPING),275.0,162.25,33.13,247.5,23
CPT,86826,HLA X-MATCH NONCYTOTOXC ADDL,275.0,162.25,33.13,247.5,23
CPT,86828,HC HLA AB SCREEN,407.0,240.13,49.03,366.3,23
CPT,86828,HC SO HLA ANTIBODY,407.0,240.13,49.03,366.3,23
CPT,86830,HC HLA CLASS I PHENOTYPE QUAL,665.0,392.35,80.12,598.5,23
CPT,86830,HC HLA CLASS I PHENOTYPE QUAL (TISSUE TYPING),665.0,392.35,80.12,598.5,23
CPT,86831,HC HLA CLASS II PHENOTYPE QUAL,665.0,392.35,80.12,598.5,23
CPT,86831,HC HLA CLASS II PHENOTYPE QUAL (TISSUE TYPING),665.0,392.35,80.12,598.5,23
CPT,86832,HC CLASS I HIGH DEFINITION QUAL,1707.0,1007.13,205.65,1536.3,23
CPT,86832,HC CLASS I HIGH DEFINITION QUAL (TISSUE TYPING),1707.0,1007.13,205.65,1536.3,23
CPT,86833,HC CLASS II HIGH DEFINITION QUAL,1595.0,941.05,192.16,1435.5,23
CPT,86833,HC CLASS II HIGH DEFINITION QUAL (TISSUE TYPING),1595.0,941.05,192.16,1435.5,23
CPT,86834,HC HLA CLASS I SEMIQUANT PANEL,2793.0,1647.87,336.49,2513.7,23
CPT,86834,HC HLA CLASS I SEMIQUANT PANEL (TISSUE TYPING),2793.0,1647.87,336.49,2513.7,23
CPT,86835,HC HLA CLASS II SEMIQUANT PANEL,2523.0,1488.57,303.96,2270.7,23
CPT,86835,HC HLA CLASS II SEMIQUANT PANEL (TISSUE TYPING),2523.0,1488.57,303.96,2270.7,23
CPT,86849,HC ANTIPROTHROMBIN ANTIBODY EA IG CLASS,248.0,146.32,29.88,223.2,23
CPT,86849,HC NKF SO NATURAL KILLER FUN,248.0,146.32,29.88,223.2,23
CPT,86849,HC PROTHROMBIN  AB,248.0,146.32,29.88,223.2,23
CPT,86849,HC SO INTERFERON BETA 1A AB,248.0,146.32,29.88,223.2,23
CPT,86849,HC SO INTERFERON BETA 1B AB,248.0,146.32,29.88,223.2,23
CPT,86850,HC RBC SCRN ANTIBODY,144.0,84.96,17.35,129.6,23
CPT,86860,HC RBC ELUTION ANTIBODY,376.0,221.84,45.3,338.4,23
CPT,86870,HC RBC IDEN ANTIBODY EA PANEL,411.0,242.49,49.52,369.9,23
CPT,86880,HC COOMBS DIRECT,103.0,60.77,12.41,92.7,23
CPT,86885,HC INDIRECT AHG TEST,376.0,221.84,45.3,338.4,23
CPT,86885,HC TYPE AND SCREEN,376.0,221.84,45.3,338.4,23
CPT,86886,HC ANTIBODY TITER,43.13,25.45,5.2,38.82,23
CPT,86886,HC ANTIHUMAN GLOBULIN TEST (EA TITER),43.13,25.45,5.2,38.82,23
CPT,86886,HC COOMBS TEST INDIRECT TITER (TISSUE TYPING),43.13,25.45,5.2,38.82,23
CPT,86886,HC ISOHEMAGGLUTININ TITER,43.13,25.45,5.2,38.82,23
CPT,86890,HC BL PROCESSING AUTOLOGOUS,397.0,234.23,47.83,357.3,23
CPT,86891,HC BLOOD SALVAGE AUTOLOGOUS INTRA,1349.0,795.91,162.52,1214.1,23
CPT,86900,HC ABO (TISSUE TYPING),24.9,14.69,3.0,22.41,23
CPT,86900,HC BLOOD GROUPING ABO,24.9,14.69,3.0,22.41,23
CPT,86901,HC BL TYPING RH (D),77.0,45.43,9.28,69.3,23
CPT,86902,HC BL TYPING ANTIGEN TEST REAGENT SERUM,47.63,28.1,5.74,42.87,23
CPT,86902,HC BLOOD TYPE ANTIGEN DONOR EACH (TISSUE TYPING),47.63,28.1,5.74,42.87,23
CPT,86904,HC BLOOD TYPING PATIENT SERUM,122.55,72.3,14.76,110.3,23
CPT,86904,HC BLOOD TYPING PATIENT SERUM (TISSUE TYPING),122.55,72.3,14.76,110.3,23
CPT,86905,HC PATIENT ANTIGEN TYPING,173.0,102.07,20.84,155.7,23
CPT,86906,HC BLOOD TYPING RH PHENOTYPE,103.0,60.77,12.41,92.7,23
CPT,86920,HC XMATCH IMMED SPIN,347.0,204.73,41.81,312.3,23
CPT,86921,HC CROSSMATCH INCUBATION,160.0,94.4,19.28,144.0,23
CPT,86922,HC XMATCH ANTIGLOBULIN (AHG),347.0,204.73,41.81,312.3,23
CPT,86923,HC COMPATIBILITY TEST EA UNIT ELECTRONIC,111.0,65.49,13.37,99.9,23
CPT,86927,HC FRESH FROZ PLASMA THAW,217.0,128.03,26.14,195.3,23
CPT,86940,HC HEMOLYSINS/AGGLUTININS AUTO SCREEN,84.0,49.56,10.12,75.6,23
CPT,86941,HC HEMOLYSINS/AGGLUTININS,72.66,42.87,8.75,65.39,23
CPT,86945,HC BL PRODUCT IRRADIATION,103.0,60.77,12.41,92.7,23
CPT,86960,HC BL PRODUCT VOLUME REDUCTION,122.0,71.98,14.7,109.8,23
CPT,86965,HC BL PRODUCT POOLING,362.0,213.58,43.61,325.8,23
CPT,86970,HC SO PRETREATMENT CHEMICALS,103.0,60.77,12.41,92.7,23
CPT,86971,HC SO PRETREATMENT RBC ENZYM,108.0,63.72,13.01,97.2,23
CPT,86972,HC SO SEPARATION BY DENSITY,305.0,179.95,36.75,274.5,23
CPT,86975,HC SO INCUBATION WDRUGS/SERU,138.0,81.42,16.63,124.2,23
CPT,86976,HC SO DILUTION OF SERUM,44.0,25.96,5.3,39.6,23
CPT,86977,HC RBC PRETX SERUM INHIBITION,376.0,221.84,45.3,338.4,23
CPT,86978,HC RBC PRETX ABSORPTION,101.0,59.59,12.17,90.9,23
CPT,86985,HC SPLITTING BL PRODUCT EA UNIT,376.0,221.84,45.3,338.4,23
CPT,86999,HC CRYOPRECIPITATE THAW,73.0,43.07,8.79,65.7,23
CPT,86999,HC PLATELET CROSSMATCH (NON HLA),73.0,43.07,8.79,65.7,23
CPT,87015,"HC CONC,INFECTIOUS AGENT - $18",69.0,40.71,8.31,62.1,23
CPT,87015,"HC CONC,INFECTIOUS AGENT - $30",69.0,40.71,8.31,62.1,23
CPT,87015,"HC CONC,INFECTIOUS AGENT - $58",69.0,40.71,8.31,62.1,23
CPT,87015,"HC CONCENTRATION (ANY TYPE), FOR INFECTI",69.0,40.71,8.31,62.1,23
CPT,87015,HC SPEC CONC INFECTIOUS AGENT TB,69.0,40.71,8.31,62.1,23
CPT,87040,HC BACT CULT BLOOD,96.0,56.64,11.57,86.4,23
CPT,87040,HC BLOOD CULTURE,96.0,56.64,11.57,86.4,23
CPT,87040,HC CULT BL,96.0,56.64,11.57,86.4,23
CPT,87045,HC CULT STOOL AEROBIC SALMONELLA & SHIGELLA,97.0,57.23,11.69,87.3,23
CPT,87045,HC STOOL CULTURE,97.0,57.23,11.69,87.3,23
CPT,87046,HC BACT CULT STOOL VIBRIO,97.0,57.23,11.69,87.3,23
CPT,87046,HC CAMPYLOBACTER CULTURE,97.0,57.23,11.69,87.3,23
CPT,87046,HC E COLI 0157 CULTURE,97.0,57.23,11.69,87.3,23
CPT,87046,"HC STOOL CUL,ADD PATH,EACH PLATE",97.0,57.23,11.69,87.3,23
CPT,87046,HC YERSINIA CULTURE,97.0,57.23,11.69,87.3,23
CPT,87070,HC AFB CULTURE NOCARDIA,77.0,45.43,9.28,69.3,23
CPT,87070,HC BACT CULT RESPIRATORY,77.0,45.43,9.28,69.3,23
CPT,87070,HC BACT CULTURE GENITAL,77.0,45.43,9.28,69.3,23
CPT,87070,HC BACT CULTURE NOSE,77.0,45.43,9.28,69.3,23
CPT,87070,HC BACT CULTURE WOUND AEROB,77.0,45.43,9.28,69.3,23
CPT,87070,HC BAL (BRONCHIAL SPECIMEN),77.0,45.43,9.28,69.3,23
CPT,87070,HC BIOTERRORISM CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC BONE MARROW,77.0,45.43,9.28,69.3,23
CPT,87070,HC CATHETER TIP CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC CULTURE OTHER SOURCE,77.0,45.43,9.28,69.3,23
CPT,87070,"HC CULTURE, BACT, OTHER SOURCE",77.0,45.43,9.28,69.3,23
CPT,87070,"HC CULTURE, BACTERIAL; ANY OTHER SOURCE",77.0,45.43,9.28,69.3,23
CPT,87070,HC CYSTIC BRONCHOSCOPY,77.0,45.43,9.28,69.3,23
CPT,87070,HC CYSTIC SPUTUM CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC ENVIRONMENTAL SCREEN CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC GASTRIC ASPARATE,77.0,45.43,9.28,69.3,23
CPT,87070,HC MINI-BAL RESPIRATORY CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC MISC. CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC PROSTHETIC JOINT SONICATION CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC RECTAL CULT CIPROFLOXACIN RESIST BACT,77.0,45.43,9.28,69.3,23
CPT,87070,HC SINUS CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC SPUTUM CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC THROAT CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC THROAT CULTURE CYSTIC,77.0,45.43,9.28,69.3,23
CPT,87070,HC THROAT OR NOSE CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC VAGINAL CULTURE,77.0,45.43,9.28,69.3,23
CPT,87070,HC WOUND CULTURE,77.0,45.43,9.28,69.3,23
CPT,87071,HC CULT AEROBIC OTHER QN,97.0,57.23,11.69,87.3,23
CPT,87071,HC QUANTITATIVE TISSUE CULTURE (BURNS),97.0,57.23,11.69,87.3,23
CPT,87073,HC CULT ANAEROBIC OTHER QN,97.0,57.23,11.69,87.3,23
CPT,87075,HC  ACTINOMYCES CULTURE,97.0,57.23,11.69,87.3,23
CPT,87075,"HC CULTURE, BACT,EXCEPT BLD, ANAEROBIC",97.0,57.23,11.69,87.3,23
CPT,87075,"HC CULTURE, BACTERIAL; (ADDITIONAL)",97.0,57.23,11.69,87.3,23
CPT,87076,HC CULT ANAEROBIC ID,83.0,48.97,10.0,74.7,23
CPT,87077,HC 42 DEGREE C.GROWTH,83.0,48.97,10.0,74.7,23
CPT,87077,HC ACETAMIDE,83.0,48.97,10.0,74.7,23
CPT,87077,"HC AEROBIC ID, ADD METHOD, EA ISO",83.0,48.97,10.0,74.7,23
CPT,87077,HC API 20 E,83.0,48.97,10.0,74.7,23
CPT,87077,HC APNA DISC,83.0,48.97,10.0,74.7,23
CPT,87077,"HC BACTERIA ID, AEROBIC ISOLATE",83.0,48.97,10.0,74.7,23
CPT,87077,HC BCYE DIFFERENTIAL,83.0,48.97,10.0,74.7,23
CPT,87077,HC BETA GLUCURONIDASE,83.0,48.97,10.0,74.7,23
CPT,87077,HC BILE ESCULIN AGAR,83.0,48.97,10.0,74.7,23
CPT,87077,HC BLOOD SATELLITE TEST,83.0,48.97,10.0,74.7,23
CPT,87077,HC CASEIN AGAR,83.0,48.97,10.0,74.7,23
CPT,87077,HC CATARRHALIS DISK,83.0,48.97,10.0,74.7,23
CPT,87077,HC CLOTEST FOR H PYLORI,83.0,48.97,10.0,74.7,23
CPT,87077,HC COAGULASE,83.0,48.97,10.0,74.7,23
CPT,87077,HC CTA GLUCOSE,83.0,48.97,10.0,74.7,23
CPT,87077,HC DEFINITIVE ID AEROBIC,83.0,48.97,10.0,74.7,23
CPT,87077,HC ESCULIN SLANT,83.0,48.97,10.0,74.7,23
CPT,87077,HC FX AND A DISKS,83.0,48.97,10.0,74.7,23
CPT,87077,HC GLUCOSE FERMENTATION,83.0,48.97,10.0,74.7,23
CPT,87077,HC HIPPURATE,83.0,48.97,10.0,74.7,23
CPT,87077,HC HYPOXANTHINE,83.0,48.97,10.0,74.7,23
CPT,87077,HC IDENT BY MALDI-TOF MASS SPEC,83.0,48.97,10.0,74.7,23
CPT,87077,HC LAP DISK,83.0,48.97,10.0,74.7,23
CPT,87077,HC LEGIONELLA CONFIRMATION,83.0,48.97,10.0,74.7,23
CPT,87077,HC LYSOZYME,83.0,48.97,10.0,74.7,23
CPT,87077,HC MICRO ID,83.0,48.97,10.0,74.7,23
CPT,87077,HC MICRODASE,83.0,48.97,10.0,74.7,23
CPT,87077,HC MOTILITY,83.0,48.97,10.0,74.7,23
CPT,87077,HC NITRITE BROTH,83.0,48.97,10.0,74.7,23
CPT,87077,HC OF GLUCOSE,83.0,48.97,10.0,74.7,23
CPT,87077,HC PYR,83.0,48.97,10.0,74.7,23
CPT,87077,HC RAPID BILE ESCULIN,83.0,48.97,10.0,74.7,23
CPT,87077,HC RAPID STREP,83.0,48.97,10.0,74.7,23
CPT,87077,HC STAPHAUREX,83.0,48.97,10.0,74.7,23
CPT,87077,HC STAPHAUREX PLUS,83.0,48.97,10.0,74.7,23
CPT,87077,HC STREPTEX A,83.0,48.97,10.0,74.7,23
CPT,87077,HC STREPTEX B,83.0,48.97,10.0,74.7,23
CPT,87077,HC STREPTEX C,83.0,48.97,10.0,74.7,23
CPT,87077,HC STREPTEX D,83.0,48.97,10.0,74.7,23
CPT,87077,HC STREPTEX F,83.0,48.97,10.0,74.7,23
CPT,87077,HC STREPTEX G,83.0,48.97,10.0,74.7,23
CPT,87077,HC STREPTOMYCES WORKUP PANEL,83.0,48.97,10.0,74.7,23
CPT,87077,HC TSB WITH NACL,83.0,48.97,10.0,74.7,23
CPT,87077,HC TSI SLANT,83.0,48.97,10.0,74.7,23
CPT,87077,HC UREA SLANT,83.0,48.97,10.0,74.7,23
CPT,87077,HC VITEK GN ID CARD,83.0,48.97,10.0,74.7,23
CPT,87077,HC VITEK GP ID CARD,83.0,48.97,10.0,74.7,23
CPT,87081,HC ACANTHAMOEBA CULTURE,68.0,40.12,8.19,61.2,23
CPT,87081,HC CIPRO RESISTANT GNR SCREEN,68.0,40.12,8.19,61.2,23
CPT,87081,HC CULTURE SCREEN ONLY,68.0,40.12,8.19,61.2,23
CPT,87081,"HC CULTURE, PRESUMPTIVE, PATHOGENIC ORGA",68.0,40.12,8.19,61.2,23
CPT,87081,"HC CULTURE,PRESUMP,PATHOGEN SCRN",68.0,40.12,8.19,61.2,23
CPT,87081,HC H PYLORI CULTURE,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING ACANTHAMOEBA CX,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING B.PERTUSSIS,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING BRUCELLA CX,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING C.DIPTHERIAE CX,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING ENVIRONMENTAL CULTURE,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING GC CULTURE - MICRO BILL,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING GP B STREP CX FOR POSIT,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING H.DUCREYI,68.0,40.12,8.19,61.2,23
CPT,87081,"HC MICRO BILLING MRSA SCREEN, ALL SOURCE",68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING THROAT CX,68.0,40.12,8.19,61.2,23
CPT,87081,HC MICRO BILLING VRE SCREEN,68.0,40.12,8.19,61.2,23
CPT,87081,HC OUTPT ONLY MRSA,68.0,40.12,8.19,61.2,23
CPT,87081,HC RAPID UREASE TEST,68.0,40.12,8.19,61.2,23
CPT,87081,HC RESISTANT ORGANISM CULTURE (KPC),68.0,40.12,8.19,61.2,23
CPT,87081,HC STAPHYLOCOCCUS AUREUS SCREEN,68.0,40.12,8.19,61.2,23
CPT,87086,HC CULT URINE W/COLONY COUNT,83.0,48.97,10.0,74.7,23
CPT,87086,"HC CULTURE, BACTERIAL; QUANT (ADDTL)",83.0,48.97,10.0,74.7,23
CPT,87086,"HC CULTURE, BACTERIAL; QUANTITATIVE COLO",83.0,48.97,10.0,74.7,23
CPT,87086,"HC CULTURE, CATHETERIZED URINE",83.0,48.97,10.0,74.7,23
CPT,87088,HC CULT URINE ID EA ISO,83.0,48.97,10.0,74.7,23
CPT,87088,HC URINE CULT ID EA ISO,83.0,48.97,10.0,74.7,23
CPT,87088,HC URINE CULTURE,83.0,48.97,10.0,74.7,23
CPT,87101,"HC CULTURE, FUNGI (MOLD OR YEAST) ISOLAT",79.0,46.61,9.52,71.1,23
CPT,87101,"HC CULTURE,FUNGI",79.0,46.61,9.52,71.1,23
CPT,87101,"HC CULTURE,FUNGI,DERMATO",79.0,46.61,9.52,71.1,23
CPT,87102,"HC  CULTURE, FUNGI, BONE MARROW",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI ISOLAT OTHER",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, CATHETER TIP",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, CSF",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, DEEP WOUND",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, FLUID",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, GENITAL",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, INVASIVE EAR",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, INVASIVE EYE",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, REPRODUCTIVE",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, RESPIRATORY BAL",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, SUPERFICIAL EAR",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, SUPERFICIAL EYE",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, SURGICAL URINE",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, THROAT",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, TISSUE",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, UPPER RESPIRATORY",86.0,50.74,10.36,77.4,23
CPT,87102,"HC CULTURE, FUNGI, URINE",86.0,50.74,10.36,77.4,23
CPT,87103,HC CULT FUNGUS BL,93.0,54.87,11.2,83.7,23
CPT,87106,"HC  YEAST ID, API",106.0,62.54,12.77,95.4,23
CPT,87106,"HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA",106.0,62.54,12.77,95.4,23
CPT,87106,HC DEFIN IDENTIFICA MICRO BILL ISOLATE1,106.0,62.54,12.77,95.4,23
CPT,87106,"HC YEAST ID, DERM SLANT",106.0,62.54,12.77,95.4,23
CPT,87106,"HC YEAST ID, GERM TUBE",106.0,62.54,12.77,95.4,23
CPT,87106,"HC YEAST ID, RAT",106.0,62.54,12.77,95.4,23
CPT,87106,"HC YEAST ID, YEAST ID CARD",106.0,62.54,12.77,95.4,23
CPT,87107,"HC CULTURE, FUNGI BILLING ISOLATE 1",106.0,62.54,12.77,95.4,23
CPT,87107,"HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID,  45 DEGREE GROWT",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID,  TRICHOPHYTON #1",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, 3 DEGREE GROWTH",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, 35 DEGREE GROWTH",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, 4 DEGREE GROWTH",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, GELATIN AGAR",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, POTASSIUM NITRAT",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, TAPE/SLIDE PREP",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, TRICHOPHYTON #4",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, TRICHOPHYTON WOR",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, TYROSINE AGAR TE",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, WANGIELLA/EXOPHI",106.0,62.54,12.77,95.4,23
CPT,87107,"HC DESCRIPTION MOLD ID, XANTHINE AGAR TE",106.0,62.54,12.77,95.4,23
CPT,87107,HC SO MOLD IDENTIFICATION,106.0,62.54,12.77,95.4,23
CPT,87109,"HC CULTURE, MYCOPLASMA, ANY SOURCE",158.0,93.22,19.04,142.2,23
CPT,87109,HC M.HOMINIS/UREAPLASMA CULTURE,158.0,93.22,19.04,142.2,23
CPT,87109,HC MYCOPLASMA PNEUMONIAE CULTURE,158.0,93.22,19.04,142.2,23
CPT,87110,HC CULT CHLAMYDIA,202.0,119.18,24.34,181.8,23
CPT,87116,HC AFB BIOPSY&TISSUE,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB BLOOD CULTURE,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB BONE MARROW CULT,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB CSF,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB DEEP WOUND,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB EYE CULTURE,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB FLUID CULTURE,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB LYMPHNOID CULT,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB REPRODUCTIVE CULTURE,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB RESPIRATORY CULTURE,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB STOOL,111.0,65.49,13.37,99.9,23
CPT,87116,HC AFB URINE CULT,111.0,65.49,13.37,99.9,23
CPT,87116,"HC CULTURE,ACID-FAST BACILLI",111.0,65.49,13.37,99.9,23
CPT,87116,"HC CULTURE,AFB",111.0,65.49,13.37,99.9,23
CPT,87116,HC MYCOBACTERIA CULTURE,111.0,65.49,13.37,99.9,23
CPT,87118,HC AFB INDENT VAMC,113.0,66.67,13.61,101.7,23
CPT,87118,HC AFB NOCARDIA ID,113.0,66.67,13.61,101.7,23
CPT,87118,HC CULT MYCOBACT ID,113.0,66.67,13.61,101.7,23
CPT,87118,HC CULT MYCOBACT ID DEFINITIVE,113.0,66.67,13.61,101.7,23
CPT,87140,HC CULTURE TYPING IFA EA ANTISERM,57.0,33.63,6.87,51.3,23
CPT,87143,HC CULT TYPING CHROMATOGRAPHY (GLC/HPLC),129.0,76.11,15.54,116.1,23
CPT,87147,"HC CULTURE TYPING, CRYPTOCOCCAL AG TITER",53.0,31.27,6.39,47.7,23
CPT,87147,"HC CULTURE TYPING, CRYPTOCOCCAL ANTIGEN",53.0,31.27,6.39,47.7,23
CPT,87147,"HC CULTURE TYPING, SALMONELLA WELLCOLEX",53.0,31.27,6.39,47.7,23
CPT,87147,"HC CULTURE, TYPING MICRO BILL ISOLATE 1",53.0,31.27,6.39,47.7,23
CPT,87147,"HC CULTURE, TYPING; IMMUNOLOGIC METHOD,",53.0,31.27,6.39,47.7,23
CPT,87147,HC E.COLI O157 LATEX AGGLUTINATION TEST,53.0,31.27,6.39,47.7,23
CPT,87147,HC PENICILLIN BINDING PROTEIN TEST,53.0,31.27,6.39,47.7,23
CPT,87147,HC WELLCOLEX SHIGELLA,53.0,31.27,6.39,47.7,23
CPT,87149,HC CULT TYPING ID NUCLEIC ACID PROBE,206.0,121.54,24.82,185.4,23
CPT,87150,"HC DNA/RNA AMPLIFIED PROBE, EA ORGANISM",150.0,88.5,18.07,135.0,23
CPT,87152,HC CULTURE; PULSE FLD GEL ID,156.0,92.04,18.79,140.4,23
CPT,87153,"HC CULTURE, TYPING; IDENTIFICATION BY NU",1187.0,700.33,143.0,1068.3,23
CPT,87153,HC ID SEQUENCING EACH,1187.0,700.33,143.0,1068.3,23
CPT,87154,HC CUL TYP ID BLD PTHGN 6+ TRGT,1308.36,771.93,157.63,1177.52,23
CPT,87168,"HC MACROSCOPIC EXAM,ARTHROPOD",44.0,25.96,5.3,39.6,23
CPT,87168,HC MACROSCOPIC EXAMINATION; ARTHROPOD,44.0,25.96,5.3,39.6,23
CPT,87169,HC MACROSCOPIC EXAM PARASITE,44.0,25.96,5.3,39.6,23
CPT,87172,HC PINWORM EXAM,44.0,25.96,5.3,39.6,23
CPT,87176,HC HOMOGENIZATION TISS,61.0,35.99,7.35,54.9,23
CPT,87177,"HC OVA AND PARASITES, DIRECT SMEARS, CON",92.0,54.28,11.08,82.8,23
CPT,87181,HC AFB (NON-TB) TO NATIONAL JEWISH,27.0,15.93,3.25,24.3,23
CPT,87181,HC H PYLORI SENSITIVITIES,27.0,15.93,3.25,24.3,23
CPT,87181,HC SUSCEPTIBILITY E-TEST 1 STRIP,27.0,15.93,3.25,24.3,23
CPT,87181,HC SUSCEPTIBILITY E-TEST 2 STRIPS,27.0,15.93,3.25,24.3,23
CPT,87181,HC SUSCEPTIBILITY E-TEST 3 STRIPS,27.0,15.93,3.25,24.3,23
CPT,87181,HC SUSCEPTIBILITY E-TEST 4 STRIPS,27.0,15.93,3.25,24.3,23
CPT,87181,HC SUSCEPTIBILITY E-TEST 5 STRIPS,27.0,15.93,3.25,24.3,23
CPT,87181,HC SUSCEPTIBILITY E-TEST 6 STRIPS,27.0,15.93,3.25,24.3,23
CPT,87181,HC SUSCEPTIBILITY STUDIES ANTIMICROBIAL,27.0,15.93,3.25,24.3,23
CPT,87184,HC SUSCEPTIBILITY DISK PER PLATE <13 AGENTS,71.0,41.89,8.55,63.9,23
CPT,87185,HC CEFINASE,27.0,15.93,3.25,24.3,23
CPT,87185,HC SUSCEPTIBILITY ENZYME DETECTION EA,27.0,15.93,3.25,24.3,23
CPT,87186,HC AFB (NON-TB) TO NATIONAL JEWISH,89.0,52.51,10.72,80.1,23
CPT,87186,"HC ANTIBIOTIC ASSAY, PER PLATE",89.0,52.51,10.72,80.1,23
CPT,87186,HC MAC MYCO BACTERIAL SNTV,89.0,52.51,10.72,80.1,23
CPT,87186,"HC MIC, PER PLATE",89.0,52.51,10.72,80.1,46
CPT,87186,HC SO FUNGAL SENSI #1,89.0,52.51,10.72,80.1,23
CPT,87186,HC SO FUNGAL SENSI #2,89.0,52.51,10.72,80.1,23
CPT,87186,HC SO FUNGAL SENSI #3,89.0,52.51,10.72,80.1,23
CPT,87186,HC SO FUNGAL SENSI #4,89.0,52.51,10.72,80.1,23
CPT,87186,"HC SUSCEPT STUDY, ANTIMICROBIA -10200082",89.0,52.51,10.72,80.1,23
CPT,87186,"HC SUSCEPT STUDY, ANTIMICROBIA -10900094",89.0,52.51,10.72,80.1,23
CPT,87186,"HC SUSCEPTIBILITY, MIC, ACYCLOVIR SENSI",89.0,52.51,10.72,80.1,23
CPT,87186,"HC SUSCEPTIBILITY, MIC, NOCARDIA",89.0,52.51,10.72,80.1,23
CPT,87186,"HC SUSCEPTIBILITY, MIC, RAPID GROWER",89.0,52.51,10.72,80.1,23
CPT,87186,"HC SUSCEPTIBILITY, YEAST COMP PANEL",89.0,52.51,10.72,80.1,23
CPT,87186,"HC SUSCEPTIBLE MIC, PER PLATE",89.0,52.51,10.72,80.1,23
CPT,87186,"HC YEAST SUS,CUSTOM MIC,3 DRUG",89.0,52.51,10.72,80.1,23
CPT,87186,"HC YEAST SUSCEPTIBILITY,MIC",89.0,52.51,10.72,80.1,23
CPT,87187,"HC ANTIBIOTIC SENS, MLC, EACH",241.02,142.2,29.04,216.92,23
CPT,87188,HC AFB (TB) SUSCEPTIBILITY,68.0,40.12,8.19,61.2,23
CPT,87188,HC CHROMATOGRAPHY QL COLUMN,68.0,40.12,8.19,61.2,23
CPT,87188,HC TWEEN HYDROLYSIS,68.0,40.12,8.19,61.2,23
CPT,87190,"HC SUSCEPT STUDY, ANTIMICROBIA -10209013",58.0,34.22,6.99,52.2,23
CPT,87190,"HC SUSCEPT STUDY, ANTIMICROBIA -10209014",58.0,34.22,6.99,52.2,23
CPT,87205,HC  FUNGAL STAIN,44.0,25.96,5.3,39.6,23
CPT,87205,"HC SMEAR, PRIMARY SOURCE GRAM STAIN",44.0,25.96,5.3,39.6,23
CPT,87205,"HC SMEAR, PRIMARY SOURCE WITH INTERPRETA",44.0,25.96,5.3,39.6,23
CPT,87206,HC ACID FAST BACILLUS STAIN,32.34,19.08,3.9,29.11,23
CPT,87206,HC QBC FOR BLOOD PARASITES,32.34,19.08,3.9,29.11,23
CPT,87206,"HC SMEAR, FLUORESCENT / ACID-FAST STAIN",32.34,19.08,3.9,29.11,23
CPT,87207,HC BABESIA QUANTITATION,42.0,24.78,5.06,37.8,23
CPT,87207,HC BLOOD PARASITE EXAM,42.0,24.78,5.06,37.8,23
CPT,87207,HC BLOOD PARASITE QUANTI,42.0,24.78,5.06,37.8,23
CPT,87207,HC BLOOD PARASITE SCREEN,42.0,24.78,5.06,37.8,23
CPT,87207,HC CYCLOSPORA/ISOSPORA O&P,42.0,24.78,5.06,37.8,23
CPT,87207,HC MALARIA SMEAR,42.0,24.78,5.06,37.8,23
CPT,87207,HC MICROSPORIDIA,42.0,24.78,5.06,37.8,23
CPT,87207,HC PARASITIC SEROLOGY,42.0,24.78,5.06,37.8,23
CPT,87207,HC SMEAR W SPECIAL STAIN,42.0,24.78,5.06,37.8,23
CPT,87207,"HC SMEAR, PRIMARY SOURCE WITH INTERPRETA",42.0,24.78,5.06,37.8,23
CPT,87207,"HC SMEAR, STAIN & INTERPRET",42.0,24.78,5.06,37.8,23
CPT,87209,HC CMPLX SPECL STAIN FOR O/P TRICH,127.0,74.93,15.3,114.3,23
CPT,87210,HC SMEAR WET MOUNT FUNGAL,44.0,25.96,5.3,39.6,23
CPT,87210,HC SMEAR WET MOUNT SALINE/INK,44.57,26.3,5.37,40.11,23
CPT,87220,HC TISS EXAM KOH SKIN/HAIR/NAIL,44.0,25.96,5.3,39.6,23
CPT,87230,HC CLOSTRIDIA  DIFFICILE,203.0,119.77,24.46,182.7,23
CPT,87230,HC TOXIN OR ANTITOXIN ASSAY,203.0,119.77,24.46,182.7,23
CPT,87230,"HC TOXIN/ANTITOXIN,TISSUE CULTURE - TC ONLY",203.0,119.77,24.46,182.7,23
CPT,87252,"HC ACYCLOVIR SENSITIVITY TESTING, ID50 -",268.0,158.12,32.29,241.2,23
CPT,87252,HC ADENOVIRUS CULTURE,268.0,158.12,32.29,241.2,23
CPT,87252,"HC ANTIVIRAL SUSCEP, FOSCARNET ISOL",268.0,158.12,32.29,241.2,23
CPT,87252,"HC CMV ANTIVIRAL SUSCEP, GANCICLOVIR ISO",268.0,158.12,32.29,241.2,23
CPT,87252,"HC CMV CULTURE, URINE, RAPID",268.0,158.12,32.29,241.2,23
CPT,87252,HC CYTOMEGALOVIRUS (CMV) GENOTYPE - GANC,268.0,158.12,32.29,241.2,23
CPT,87252,HC VIRUS ISOLATION; TISSUE CULTURE INOCU,268.0,158.12,32.29,241.2,23
CPT,87253,"HC ANTIVIRAL SUSCEP, FOSCARNET ID",208.0,122.72,25.06,187.2,23
CPT,87253,"HC CMV ANTIVIRAL SUSCEP, GANCICLOVIR ID",208.0,122.72,25.06,187.2,23
CPT,87253,HC CULT VIRUS ISO ADDL STDY,208.0,122.72,25.06,187.2,23
CPT,87254,HC H.SIMPLEX V.ZOSTER CULTURE,201.0,118.59,24.22,180.9,23
CPT,87254,HC HSV/VZV CULTURE RAPID,201.0,118.59,24.22,180.9,23
CPT,87254,HC VIRUS FLU A AND B CULTURE RAPID,201.0,118.59,24.22,180.9,23
CPT,87254,HC VIRUS ISO SHELL VIAL ID W/IMMUNO STAIN,201.0,118.59,24.22,180.9,23
CPT,87254,HC VZV CULTURE RAPID,201.0,118.59,24.22,180.9,23
CPT,87255,HC VIRUS ISO & ID NON-IMMUNOLOGIC,268.0,158.12,32.29,241.2,23
CPT,87260,HC IMMUNOFLUOR ADENOVIRUS ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87265,HC INFECTIOUS AGENT ANTIGEN DETECTION BY,123.0,72.57,14.82,110.7,23
CPT,87265,HC SO BORD F / A TEST,123.0,72.57,14.82,110.7,23
CPT,87270,HC CHLAMYDIA DFA,123.0,72.57,14.82,110.7,23
CPT,87273,HC IMMUNOFLUOR HERPES SMPLX TYPE 2 ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87274,HC IMMUNOFLUOR HERPES SMPLX TYPE 1 ANTIGEN,113.0,66.67,13.61,101.7,23
CPT,87275,HC INFLUENZA B DFA,123.0,72.57,14.82,110.7,23
CPT,87276,HC IMMUNOFLUOR INFLUENZA A ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87278,HC IMMUNOFLUOR LEGIONELLA ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87279,HC INFECT ANTIGEN VIRAL,123.0,72.57,14.82,110.7,23
CPT,87279,HC PARAINFLUENZA 1 DFA,123.0,72.57,14.82,110.7,23
CPT,87279,HC PARAINFLUENZA 2 DFA,123.0,72.57,14.82,110.7,23
CPT,87279,HC PARAINFLUENZA 3 DFA,123.0,72.57,14.82,110.7,23
CPT,87280,HC IMMUNOFLUOR RESP SYNCYTIAL VIRUS ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87281,HC IMMUNOFLUOR PNEUMOCYSTIS CARINII ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87290,HC IMMUNOFLUOR VARICELLA ZOSTER ANTIGEN,115.0,67.85,13.85,103.5,23
CPT,87299,HC H.SIMPLEX VIRUS AG DETECTION GFA,113.0,66.67,13.61,101.7,23
CPT,87299,HC METAPNEUMOVIRUS DFA,113.0,66.67,13.61,101.7,23
CPT,87299,HC NOT SPECIFIED EACH ANTIGEN,113.0,66.67,13.61,101.7,23
CPT,87300,"HC CHLAMYDIA TRACH ANTIGEN, DFA",71.88,42.41,8.66,64.69,23
CPT,87300,HC RESP VIRAL PANEL,71.88,42.41,8.66,64.69,23
CPT,87301,HC EIA QL ADENOVIRUS ANTIGEN,71.88,42.41,8.66,64.69,23
CPT,87305,"HC ASPERGILLUS ANTIGEN, BAL",71.88,42.41,8.66,64.69,23
CPT,87305,"HC ASPERGILLUS ANTIGEN, EIA, BAL (QUEST #90376)",71.88,42.41,8.66,64.69,23
CPT,87305,"HC ASPERGILLUS ANTIGEN, EIA, SERUM (YH LAB1311)",71.88,42.41,8.66,64.69,23
CPT,87324,HC C DIFFICILE TOXIN,71.88,42.41,8.66,64.69,23
CPT,87328,HC INFECTIOUS AGENT ANTIGEN,82.92,48.92,9.99,74.63,23
CPT,87329,HC EIA QL GIARDIA ANTIGEN,71.88,42.41,8.66,64.69,23
CPT,87337,HC EIA QL E HYSTOLYTICA GRP ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87338,HC EIA QL H PYLORI ANTIGEN STOOL,148.0,87.32,17.83,133.2,23
CPT,87340,HC EIA QL HEP B SURFACE ANTIGEN (HBSAG),61.98,36.57,7.47,55.78,23
CPT,87341,HC EIA QL HEP B SURFACE ANTIGEN NEUT,101.0,59.59,12.17,90.9,23
CPT,87350,HC HEPATITIS BE AG,119.0,70.21,14.34,107.1,23
CPT,87380,HC EIA QL HEP DELTA ANTIGEN,169.0,99.71,20.36,152.1,23
CPT,87380,HC HEPATITIS DELTA ANTIGEN,169.0,99.71,20.36,152.1,23
CPT,87385,HC EIA QL HISTOPLASMA ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87389,"HC HIV-1/2 AG & AB, 4TH GEN",144.48,85.24,17.41,130.03,23
CPT,87400,HC INFECTIOUS AGENT ANTIGEN DETECTION BY,123.0,72.57,14.82,110.7,23
CPT,87400,"HC INFLUENZA A,EIA",123.0,72.57,14.82,110.7,23
CPT,87400,"HC INFLUENZA B,EIA",123.0,72.57,14.82,110.7,23
CPT,87420,HC EIA QL RSV ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87425,HC INFECTIOUS AGENT ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87425,"HC ROTAVIRUS AG,STOOL",123.0,72.57,14.82,110.7,23
CPT,87426,HC COVID-19 INFECT AGENT AG BY IA,211.98,125.07,25.54,190.78,23
CPT,87427,HC EIA QL MULTI SHIGELLA-LIKE TOXIN ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87428,HC COVID-19 + FLU A & B ANTIGEN BY IA,185.64,109.53,22.37,167.08,23
CPT,87428,HC POCT COVID-19 + FLU A/B ANTIGEN BY IA,185.64,109.53,22.37,167.08,23
CPT,87430,HC EIA QL MULTI STREP GRP A ANTIGEN,97.0,57.23,11.69,87.3,23
CPT,87449,HC C DIFFICILE ANTIGEN,123.0,72.57,14.82,110.7,23
CPT,87449,HC CLOSTRIDIUM DIFUCILE EIA,123.0,72.57,14.82,110.7,23
CPT,87449,HC FUNGITELL BAL (MAYO FUNBAL),123.0,72.57,14.82,110.7,23
CPT,87449,HC HIV-1 DIRECT ANTIGEN P24/ICD,123.0,72.57,14.82,110.7,23
CPT,87449,HC INFECT AG ANTIGEN DETECT BY ENZ IMMUN,123.0,72.57,14.82,110.7,23
CPT,87449,HC PROTEIN 14-3-3 (CJD) - PROTEIN 14-3-3,123.0,72.57,14.82,110.7,23
CPT,87449,HC URINE ANTIGEN FOR LEGIONELLA OR S.PN,123.0,72.57,14.82,110.7,23
CPT,87467,HC HEPATITIS B SURFACE AG QUANT,90.3,53.28,10.88,81.27,23
CPT,87468,HC ANAPLSMA PHGCYTOPHLM AMP PRB,210.54,124.22,25.36,189.49,23
CPT,87469,HC BABESIA MICROTI AMP PRB,210.54,124.22,25.36,189.49,23
CPT,87471,HC BARTONELLA SP. BY PCR,361.0,212.99,43.49,324.9,23
CPT,87471,HC BARTONELLA SPECIES BY PCR,361.0,212.99,43.49,324.9,23
CPT,87471,HC NUCLEIC ACID PROBE AMPL BARTONELLA,361.0,212.99,43.49,324.9,23
CPT,87476,"HC B. BURGDORFERI, DIR PROBE,SER",361.0,212.99,43.49,324.9,23
CPT,87476,HC IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ,210.54,124.22,25.36,189.49,23
CPT,87476,HC LYME (BORRELIA) PCR,361.0,212.99,43.49,324.9,23
CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB,210.54,124.22,25.36,189.49,23
CPT,87480,HC NUCLEIC ACID PROBE DIR CANDIDA,206.0,121.54,24.82,185.4,23
CPT,87481,"HC CANDIDA, DNA, AMP PROBE",210.54,124.22,25.36,189.49,23
CPT,87483,HC DNA/RNA AMP PROBE MULTI SUBTYPES,1834.0,1082.06,220.95,1650.6,23
CPT,87484,HC EHRLICHA CHAFFEENSIS AMP PRB,210.54,124.22,25.36,189.49,23
CPT,87486,HC INFECTIOUS AGENT DETECTION BY NUCLEIC,349.0,205.91,42.05,314.1,23
CPT,87490,HC NUCLEIC ACID PROBE DIR CHLAMYDIA TRACH,166.0,97.94,20.0,149.4,23
CPT,87491,HC NUCLEIC ACID PROBE AMPL CHLAMYDIA TRACH,361.0,212.99,43.49,324.9,23
CPT,87493,HC CLOSTRIDIUM DIFFICLE TOXIN B,361.0,212.99,43.49,324.9,23
CPT,87493,HC DNA OR RNA;C DIFF AMP PROBE,361.0,212.99,43.49,324.9,23
CPT,87496,"HC CMV PCR, SALIVA (NEONATE)",361.0,212.99,43.49,324.9,23
CPT,87496,"HC CMV PCR, URINE (NEONATE)",361.0,212.99,43.49,324.9,23
CPT,87496,HC NUCLEIC ACID PROBE AMPL CMV,361.0,212.99,43.49,324.9,23
CPT,87497,"HC CMV PCR QUANT, BLOOD",441.0,260.19,53.13,396.9,23
CPT,87497,HC NUCLEIC ACID PROBE QNCMV),441.0,260.19,53.13,396.9,23
CPT,87498,"HC DNA/RNA,ENTEROVIRUS,AMP PROBE",361.0,212.99,43.49,324.9,23
CPT,87498,"HC ENTEROVIRUS RNA,QUAL PCR",361.0,212.99,43.49,324.9,23
CPT,87498,HC INFECTIOUS AGENT BY NUCLEI,361.0,212.99,43.49,324.9,23
CPT,87500,HC NUCLEIC ACID VANCOMYCIN RESISTANCE,361.0,212.99,43.49,324.9,23
CPT,87502,"HC INFLUENZA TYPE A/B RNA, QUAL RT-PCR",450.0,265.5,54.21,405.0,23
CPT,87503,HC INFLUENZA A H1N1 PCR,214.0,126.26,25.78,192.6,23
CPT,87503,HC INFLUENZA VIRUS ADDITIONAL TYPES PCR,214.0,126.26,25.78,192.6,23
CPT,87503,"HC INFLUENZA VIRUS, EACH ADD",214.0,126.26,25.78,192.6,23
CPT,87505,HC INFECT AGENT DETECTION BY NUC ACID GI,1320.0,778.8,159.03,1188.0,23
CPT,87506,HC ENTERIC PATHOGEN PCR,1523.0,898.57,183.48,1370.7,23
CPT,87506,HC INFCT AGNT DET NUC AD DNA/RNA PRB TQ 6-11,1523.0,898.57,183.48,1370.7,23
CPT,87507,HC IADNA-DNA/RNA PROBE TQ 12-25,4288.0,2529.92,516.6,3859.2,23
CPT,87510,HC NUCLEIC ACID PROBE DIR GARDNERELLA,206.0,121.54,24.82,185.4,23
CPT,87512,"HC GARDNER VAG, DNA, QUANT",250.56,147.83,30.19,225.5,23
CPT,87513,HC H PYLRI CLRTHMCN RST AMP PRB,210.54,124.22,25.36,189.49,23
CPT,87516,"HC HBV DNA,QUAL PCR",361.0,212.99,43.49,324.9,23
CPT,87517,HC NUCLEIC ACID PROBE QN HEP B,441.0,260.19,53.13,396.9,23
CPT,87521,HC NUCLEIC ACID PROBE AMPL HEP C,361.0,212.99,43.49,324.9,23
CPT,87522,HC HEP C VIRAL RNA QUANT TMA,441.0,260.19,53.13,396.9,23
CPT,87522,HC HEPATITIS C RNA BY PCR,441.0,260.19,53.13,396.9,23
CPT,87522,HC HEPTIMAX HCV RNA,441.0,260.19,53.13,396.9,23
CPT,87522,HC NUCLEIC ACID PROBE QN HEP C,441.0,260.19,53.13,396.9,23
CPT,87523,HC HEPATITIS D BY QUANT PCR (ARUP #2013881),179.94,106.16,21.68,161.95,23
CPT,87526,HC NUCLEIC ACID PROBE AMPL HEP G,361.0,212.99,43.49,324.9,23
CPT,87529,"HC HSV 1&2 DIRECT PCR, SWAB",361.0,212.99,43.49,324.9,23
CPT,87529,HC NUCLEIC ACID PROBE AMPL HERPES SMPLX,361.0,212.99,43.49,324.9,23
CPT,87530,HC HERPES SIMPLEX VIRUS QUANT PCR PLASMA,441.0,260.19,53.13,396.9,23
CPT,87530,HC NUCLEIC ACID PROBE QN HERPES SMPLX,441.0,260.19,53.13,396.9,23
CPT,87532,HC HERPES VIRUS 6 DNA QUAL PCR,361.0,212.99,43.49,324.9,23
CPT,87532,HC NUCLEIC ACID PROBE AMPL HERPES 6,361.0,212.99,43.49,324.9,23
CPT,87533,HC NUCLEIC ACID PROBE QN HERPES 6,430.0,253.7,51.8,387.0,23
CPT,87535,HC HIV-1 DNA QUAL PCR,361.0,212.99,43.49,324.9,23
CPT,87535,HC HIV-1 PROBE&REVERSE TRNSCRPJ,361.0,212.99,43.49,324.9,23
CPT,87535,HC NUCLEIC ACID PROBE AMPL HIV-1,361.0,212.99,43.49,324.9,23
CPT,87536,HC NUCLEIC ACID PROBE QN HIV-1,875.0,516.25,105.42,787.5,23
CPT,87536,HC NUCLEIC ACID PROBE QN HIV-1 BDNA,875.0,516.25,105.42,787.5,23
CPT,87538,HC HIV-2 DNA/RNA QUAL PCR,361.0,212.99,43.49,324.9,23
CPT,87541,HC LEGION PNEUMO DNA AMP PROB PCR,210.54,124.22,25.36,189.49,23
CPT,87550,HC NUCLEIC ACID PROBE DIR MYCOBACT SP,206.0,121.54,24.82,185.4,23
CPT,87551,HC AFB PROBE M GORDONAE,361.0,212.99,43.49,324.9,23
CPT,87551,HC MYCOBACT SP BY NUC ACID,361.0,212.99,43.49,324.9,23
CPT,87555,HC NUCLEIC ACID PROBE DIR MYCOBACT TB,154.0,90.86,18.55,138.6,23
CPT,87556,HC AFB PROBE M TB,250.08,147.55,30.13,225.07,23
CPT,87556,HC M.TUBERCULOSIS PCR,250.08,147.55,30.13,225.07,23
CPT,87556,HC MTB W/ REFLEX RIFAMPIN SENSITIVITY PCR,250.08,147.55,30.13,225.07,23
CPT,87560,HC M AVIUM-INTRACELL BY AMP,146.0,86.14,17.59,131.4,23
CPT,87561,HC AFB PROBE MAI,361.0,212.99,43.49,324.9,23
CPT,87561,HC M AVIUM-INTRA DNA AMP PROBE,361.0,212.99,43.49,324.9,23
CPT,87563,HC M. GENITALIUM AMP PROBE,263.18,155.28,31.71,236.86,23
CPT,87564,HC MTB RIFAMPIN RST AMP PRB TQ,460.62,271.77,55.49,414.56,23
CPT,87581,HC NUCLEIC ACID PROBE AMPL MYCOPLASMA PNEUM,361.0,212.99,43.49,324.9,23
CPT,87590,HC NUCLEIC ACID PROBE DIR NEISSERIA GONORR,206.0,121.54,24.82,185.4,23
CPT,87591,HC NUCLEIC ACID PROBE AMPL NEISSERIA GONORR,361.0,212.99,43.49,324.9,23
CPT,87593,HC ORTHOPOXVIRUS AMP PRB EACH (MONKEYPOX),307.86,181.64,37.09,277.07,23
CPT,87594,HC PNEUMCYSTS JIROVECII AMP PRB,210.54,124.22,25.36,189.49,23
CPT,87623,HC INFECTS AGNT DET DNA/RNA HPV LOW RISK,361.0,212.99,43.49,324.9,23
CPT,87624,HC HPV HIGH-RISK TYPES,361.0,212.99,43.49,324.9,23
CPT,87624,HC INFECTS AGNT DET DNA/RNA HPV HIGH RISK,361.0,212.99,43.49,324.9,23
CPT,87625,HC HPV TYPES 16 & 18 ONLY,243.3,143.55,29.31,218.97,23
CPT,87625,HC INFECTS AGNT DET DNA/RNA HPV 16&18,243.3,143.55,29.31,218.97,23
CPT,87626,HC HPV SEP HI-RSK TYP&POOL RSLT,420.12,247.87,50.61,378.11,23
CPT,87631,HC FLU/RSV REAL-TIME PCR,855.78,504.91,103.1,770.2,23
CPT,87631,HC RSV AND FLU XPRESS,855.78,504.91,103.1,770.2,23
CPT,87632,HC RESPIRATORY VIRUS PCR 6-11 TARGETS,1663.0,981.17,200.35,1496.7,23
CPT,87633,HC RESPIRATORY PNL AMPL PROBE MULT TYPE,1938.0,1143.42,233.48,1744.2,23
CPT,87634,HC RSV AMP PROBE,502.0,296.18,60.48,451.8,23
CPT,87635,"HC COVID-19 AMPLIFIED PROBE, NON-CDC",307.86,181.64,37.09,277.07,23
CPT,87635,"HC POCT COVID-19 AMP PROBE, NON-CDC",307.86,181.64,37.09,277.07,23
CPT,87636,HC COVID-19 + FLU A/B,855.78,504.91,103.1,770.2,23
CPT,87637,HC COVID-19 + FLU A/B + RSV,855.78,504.91,103.1,770.2,23
CPT,87640,"HC MRSA/SAUR BLOOD, PCR",96.28,56.81,11.6,86.65,23
CPT,87640,HC STAPH NARES SCREEN,361.0,212.99,43.49,324.9,23
CPT,87641,HC MRSA COLONIZATION STATUS BY PCR,96.28,56.81,11.6,86.65,23
CPT,87641,HC MRSA PCR,361.0,212.99,43.49,324.9,23
CPT,87641,HC NUCLEIC ACID STAPH AUREUS AMPL PROBE,361.0,212.99,43.49,324.9,23
CPT,87651,HC FLU A PCR,361.0,212.99,43.49,324.9,23
CPT,87651,HC GROUP A STREPTOCOCCUS BY PCR,361.0,212.99,43.49,324.9,23
CPT,87653,HC NUCLEIC ACID PROBE AMPL GRPB,361.0,212.99,43.49,324.9,23
CPT,87653,HC STREP B DNA AMP PROBE,361.0,212.99,43.49,324.9,23
CPT,87660,HC NUCLEIC ACID PROBE QN TRICHOMONAS VAGIS,206.0,121.54,24.82,185.4,23
CPT,87661,HC NUCLEIC ACID PROB AMPL TRICHOMONAS,210.54,124.22,25.36,189.49,23
CPT,87661,HC TRICHOMONAS VAGINALIS BY NAAT,210.54,124.22,25.36,189.49,23
CPT,87662,HC ZIKA AMP PROBE,502.0,296.18,60.48,451.8,23
CPT,87797,HC AFFIRM VAGINITIS SCREEN,206.0,121.54,24.82,185.4,23
CPT,87797,HC NUCLEIC ACID PROBE DIR INFECT AGENT,206.0,121.54,24.82,185.4,23
CPT,87798,"HC B.PERT/PARAPERT DNA, PCR",210.54,124.22,25.36,189.49,23
CPT,87798,HC BORDETELLAN PCR,210.54,124.22,25.36,189.49,23
CPT,87798,"HC BORRELIA MIYAMOTOI DNA, REAL TIME PCR",210.54,124.22,25.36,189.49,23
CPT,87798,"HC DNA/RNA,NOT SPEC,AMP PRO EA ($250)",210.54,124.22,25.36,189.49,23
CPT,87798,HC EHRLICHIA BY PCR,210.54,124.22,25.36,189.49,23
CPT,87798,"HC EPSTEIN-BARR VIRUS BY PCR, BAL - EPST",210.54,124.22,25.36,189.49,23
CPT,87798,"HC HEPATITIS D RNA,PCR",210.54,124.22,25.36,189.49,23
CPT,87798,HC HERPES VIRUS 7 DNA QNT PCR,210.54,124.22,25.36,189.49,23
CPT,87798,HC HERPES VIRUS-8 PCR,210.54,124.22,25.36,189.49,23
CPT,87798,HC HTLV I&II DNA PCR QUALITATIVE,210.54,124.22,25.36,189.49,23
CPT,87798,HC INF AGENT DET W/AMPLIFIC,210.54,124.22,25.36,189.49,23
CPT,87798,HC INFECTIOUS AGENT DETECTION BY NUCLEIC,210.54,124.22,25.36,189.49,23
CPT,87798,HC JC POLYOMA VIRUS DNA QUAL PLASMA,210.54,124.22,25.36,189.49,23
CPT,87798,"HC JC VIRUS BY PCR, CSF - JC VIRUS BY PC",210.54,124.22,25.36,189.49,23
CPT,87798,HC MICRO BILLING SO FOR WHIPPLES DISEASE,210.54,124.22,25.36,189.49,23
CPT,87798,HC NOROVIRUS GENOGROUP 1 & 2 BY RT-PCR -,210.54,124.22,25.36,189.49,23
CPT,87798,HC PARECHOVIRUS RT-PCR,210.54,124.22,25.36,189.49,23
CPT,87798,HC PARVOVIRUS B19 PCR,210.54,124.22,25.36,189.49,23
CPT,87798,"HC PNEUMOCYSTIS JIROVECHII, QUAL PCR",210.54,124.22,25.36,189.49,23
CPT,87798,HC TOXOPLASMA GONDII BY PCR,210.54,124.22,25.36,189.49,23
CPT,87798,"HC VARICELLA-ZOSTER VIRUS BY PCR, BAL -",210.54,124.22,25.36,189.49,23
CPT,87798,"HC VARICELLA-ZOSTER VIRUS DIRECT PCR, SWAB",210.54,124.22,25.36,189.49,23
CPT,87798,HC WEST NILE RNA BY PCR,210.54,124.22,25.36,189.49,23
CPT,87799,"HC ADENOVIRUS DNA, QUANT RT PCR",441.0,260.19,53.13,396.9,23
CPT,87799,"HC ADENOVIRUS DNA,QUAL PCR",441.0,260.19,53.13,396.9,23
CPT,87799,HC ADENOVIRUS PCR (QUANT),441.0,260.19,53.13,396.9,23
CPT,87799,HC BK VIRUS DNA-PCR QUANT CSF,441.0,260.19,53.13,396.9,23
CPT,87799,HC BK VIRUS QUANTITATIVE PCR URINE,441.0,260.19,53.13,396.9,23
CPT,87799,"HC BK VIRUS, QUANTITATIVE PCR, PLASMA",441.0,260.19,53.13,396.9,23
CPT,87799,"HC DETECT AGENT NOS, DNA, QUANT",441.0,260.19,53.13,396.9,23
CPT,87799,HC EBV BY PCR,441.0,260.19,53.13,396.9,23
CPT,87799,HC EPSTEIN-BARR QUANT PCR,441.0,260.19,53.13,396.9,23
CPT,87799,HC EPSTEIN-BARR VIRUS PCR BLOOD,441.0,260.19,53.13,396.9,23
CPT,87799,"HC HEPATITIS D VIRUS RNA, QN, RT PCR",441.0,260.19,53.13,396.9,23
CPT,87799,HC HEPATITIS E QUANT RNA PCR,441.0,260.19,53.13,396.9,23
CPT,87799,"HC HHV 8 PCR, QUANTITATIVE",441.0,260.19,53.13,396.9,23
CPT,87799,"HC HHV-7 PCR, QUANTITATIVE",441.0,260.19,53.13,396.9,23
CPT,87799,HC JC POLYOMA VIRUS DNA QUANT CSF,441.0,260.19,53.13,396.9,23
CPT,87799,"HC JC POLYOMA VIRUS DNA,QNT,PCR",441.0,260.19,53.13,396.9,23
CPT,87799,HC JC POLYOMA VIRUS RT-PCR QUANT PLASMA,441.0,260.19,53.13,396.9,23
CPT,87799,HC PARVO B19 PCR QUANT,441.0,260.19,53.13,396.9,23
CPT,87799,HC TOXO GONDII DNA QNT PCR,441.0,260.19,53.13,396.9,23
CPT,87799,"HC VZV, SDF, PCR",441.0,260.19,53.13,396.9,23
CPT,87800,HC AFFIRM BV/VAGINITIS PANEL DNA,413.0,243.67,49.76,371.7,23
CPT,87800,HC NUCLEIC ACID PROBE DIR MULTI ORG,413.0,243.67,49.76,371.7,23
CPT,87801,HC DETECT AGNT MULT DNA AMPLI,421.2,248.51,50.74,379.08,23
CPT,87801,HC LYME DISEASE DNA RT-PCR BLOOD,722.0,425.98,86.98,649.8,23
CPT,87801,HC LYME DISEASE DNA RT-PCR CSF/SYN,722.0,425.98,86.98,649.8,23
CPT,87801,HC LYME PCR SYN/CSF,722.0,425.98,86.98,649.8,23
CPT,87801,HC UNIVERSAL BACTERIA PCR,722.0,425.98,86.98,649.8,23
CPT,87802,HC IMMUNOASSAY OPTICAL STREP B,123.0,72.57,14.82,110.7,23
CPT,87804,HC RAPID FLU A & B,123.0,72.57,14.82,110.7,23
CPT,87804,HC RAPID INFLUENZA A/B AG,123.0,72.57,14.82,110.7,23
CPT,87806,HC HIV ANTIGEN W/HIV ANTIBODIES,248.0,146.32,29.88,223.2,23
CPT,87807,HC IMMUNOASSAY OPTICAL RESP SYNCYTIAL VIRUS,78.6,46.37,9.47,70.74,23
CPT,87807,HC POCT RESP SYNCYTIAL VIRUS (RSV) AB BY IA,78.6,46.37,9.47,70.74,23
CPT,87807,HC RESP SYNCYTIAL VIRUS (RSV) ANTIBODY,78.6,46.37,9.47,70.74,23
CPT,87808,HC IMMUNOASSAY OPTICAL TRICHOMONAS VAGIS,88.0,51.92,10.6,79.2,23
CPT,87809,HC IMMUNO OPTIC ADENOVIRUS,123.0,72.57,14.82,110.7,23
CPT,87811,"HC COVID-19 ANTIGEN, DIRECT VISUAL OBS",68.7,40.53,8.28,61.83,23
CPT,87880,HC GROUP A STREP RAPID ANTIG GROUP A,123.0,72.57,14.82,110.7,23
CPT,87880,"HC GROUP A STREP RAPID ANTIGS, RAPID EIA",123.0,72.57,14.82,110.7,23
CPT,87899,HC IMMUNOASSAY OPTICAL ORGANISM,123.0,72.57,14.82,110.7,23
CPT,87899,HC MALARIA PF ASSAY BINAX,123.0,72.57,14.82,110.7,23
CPT,87899,HC PNEUMONIAE ANTIGEN URINE,123.0,72.57,14.82,110.7,23
CPT,87900,HC HCV PHENOTYPE,1341.0,791.19,161.56,1206.9,23
CPT,87900,HC HIV PHENOTYPE,1341.0,791.19,161.56,1206.9,23
CPT,87901,HC HIV GENOTYPING PROTEASE REG,2151.0,1269.09,259.14,1935.9,23
CPT,87901,"HC HIV GENOTYPING,PRO REG",2151.0,1269.09,259.14,1935.9,23
CPT,87901,HC INFECTIOUS AGENT GENOTYPE ANALYSIS BY,2151.0,1269.09,259.14,1935.9,23
CPT,87902,HC HCV GENOSURE,2649.0,1562.91,319.14,2384.1,23
CPT,87902,HC HEPATITIS C VIRAL RNA DRUG RESIST.,2649.0,1562.91,319.14,2384.1,23
CPT,87902,HC HEPATITIS C VIRAL RNA NS3 GENOTYPE,2649.0,1562.91,319.14,2384.1,23
CPT,87902,HC HEPATITIS C VIRAL RNA NS5B DRUG RESISTANCE,2649.0,1562.91,319.14,2384.1,23
CPT,87902,HC NUCLEIC ACID GENOTYPE HEP C,2649.0,1562.91,319.14,2384.1,23
CPT,87903,HC NUCLEIC ACID PHENOTYPE HIV 1 1-10 DRUGS,3977.0,2346.43,479.13,3579.3,23
CPT,87903,HC PHENOSENSE ENTRY,3977.0,2346.43,479.13,3579.3,46
CPT,87903,HC PHENOTYPE COMPREHENSIVE,3977.0,2346.43,479.13,3579.3,23
CPT,87904,HC PHENOTYPE COMPREHENSIVE,268.0,158.12,32.29,241.2,23
CPT,87906,"HC HIV GENOTYPING,OT REGU",1324.0,781.16,159.51,1191.6,23
CPT,87906,"HC HIV GENOTYPING,OTHER REG",1324.0,781.16,159.51,1191.6,23
CPT,87906,HC HIV-1 CORECEPTOR TROPISM,1324.0,781.16,159.51,1191.6,23
CPT,87906,HC HIV-1 INTEGRASE GENOTYPE,1324.0,781.16,159.51,1191.6,23
CPT,87906,HC HIV-1 INTEGRASE RESISTANC,1324.0,781.16,159.51,1191.6,23
CPT,87906,HC HIV-1 OTHER REGION,1324.0,781.16,159.51,1191.6,23
CPT,87910,HC CMV ANTIVIRAL RESIST BY SEQ,2175.0,1283.25,262.03,1957.5,23
CPT,87912,HC HBV GENOTYPE,534.0,315.06,64.33,480.6,23
CPT,87912,"HC HEP B DRUG RESISTANCE, GENO",534.0,315.06,64.33,480.6,23
CPT,87912,HC SO HBV GENOTYPING,534.0,315.06,64.33,480.6,23
CPT,87999,HC HIV-1 TROFILE CO-RECEPTOR TROPISM,2470.0,1457.3,297.58,2223.0,23
CPT,87999,"HC MICROBIOLOGY PROCEDURE, UNLISTED",2470.0,1457.3,297.58,2223.0,23
CPT,87999,HC REFLEX 14-3-3 PROTEIN NPD,2470.0,1457.3,297.58,2223.0,23
CPT,88104,HC CYTOPATH FLUID SMEAR,146.0,86.14,17.59,131.4,23
CPT,88108,HC CYTO FLUID CONCENT. METHOD - TECHNICAL,174.0,102.66,20.96,156.6,23
CPT,88108,HC CYTOPATH SPUTUM - GLOBAL,174.0,102.66,20.96,156.6,23
CPT,88108,"HC CYTOPATHOLOGY, CONCENTRATION TECHNIQU",177.0,104.43,21.32,159.3,23
CPT,88112,HC CYTO FLUID FILTER METHOD - TECHNICAL,160.0,94.4,19.28,144.0,23
CPT,88112,"HC CYTO FLUID FILTER METHOD,ADD'L - TECHNIC",160.0,94.4,19.28,144.0,23
CPT,88112,HC CYTOPATH FLUIDS - GLOBAL,160.0,94.4,19.28,144.0,23
CPT,88112,HC CYTOPATH FLUIDS ADD'L - GLOBAL,160.0,94.4,19.28,144.0,23
CPT,88112,HC CYTOPATH URINE - GLOBAL,160.0,94.4,19.28,144.0,23
CPT,88112,HC CYTOPATH URINE ADD'L - GLOBAL,157.0,92.63,18.91,141.3,23
CPT,88112,HC CYTOPATHOLOGY FLUIDS - TECHNICAL,160.0,94.4,19.28,144.0,23
CPT,88112,"HC CYTOPATHOLOGY FLUIDS, ADD'L - TECHNICAL",160.0,94.4,19.28,144.0,23
CPT,88112,"HC CYTOPATHOLOGY, SELECTIVE CELLULAR ENH",160.0,94.4,19.28,144.0,23
CPT,88120,"HC FISH,BLADDER CANCER",903.0,532.77,108.79,812.7,23
CPT,88120,HC INSITU FISH HYBRID URINAR,903.0,532.77,108.79,812.7,23
CPT,88130,"HC SEX CHROMATIN ID,BARR BODIES",65.22,38.48,7.86,58.7,23
CPT,88141,HC CYTOPATH CERV/VAG PAP SMEAR,118.0,69.62,14.22,106.2,23
CPT,88141,HC MD INTERPRETATION - PAP SMEAR - GLOBAL,118.0,69.62,14.22,106.2,23
CPT,88142,HC BETHESDA SYS THINPREP,208.0,122.72,25.06,187.2,23
CPT,88142,HC C/V CYTOLOGY THIN PREP - GLOBAL,208.0,122.72,25.06,187.2,23
CPT,88142,HC CERV/VAG CYTOLOGY - THIN LAYER - TECHNIC,208.0,122.72,25.06,187.2,23
CPT,88142,HC DIAGNOSTIC THIN-LAYER PAP - TECHNICAL,208.0,122.72,25.06,187.2,23
CPT,88143,HC CYTOPATH CERV/VAG TLP MAN SCRN/RESCRN,208.0,122.72,25.06,187.2,23
CPT,88150,HC CYTOPATH CERV/VAG SLIDES MAN SCRN,109.0,64.31,13.13,98.1,23
CPT,88150,HC PAP SMEAR,109.0,64.31,13.13,98.1,23
CPT,88160,HC CYTOPATH ANY OTHER SOURCE - GLOBAL,119.0,70.21,14.34,107.1,23
CPT,88160,HC CYTOPATH ANY OTHER SOURCE ADDL - GLOBAL,117.0,69.03,14.1,105.3,23
CPT,88160,"HC CYTOPATH OTHER SOURCE, ADD'L - TECHNICAL",117.0,69.03,14.1,105.3,23
CPT,88160,HC CYTOPATH SMEAR ANY OTHER SRCE,117.0,69.03,14.1,105.3,23
CPT,88160,HC CYTOPATHOLOGY OTHER SOURCE - TECHNICAL,117.0,69.03,14.1,105.3,23
CPT,88161,HC CYTOPATH SMEAR ANY OTHER SRCE W/PREP,111.0,65.49,13.37,99.9,23
CPT,88162,HC CYTO SMEARS EXTENDED STUDY OVER 5 SLIDES,175.0,103.25,21.08,157.5,23
CPT,88164,"HC CYTOPATHOLOGY, SLIDES, CERVICAL OR VA",109.0,64.31,13.13,98.1,23
CPT,88164,HC GYN SMEAR,109.0,64.31,13.13,98.1,23
CPT,88165,HC CYTOPATH PAP (TBS) MAN SCRN/RESCRN,109.0,64.31,13.13,98.1,23
CPT,88172,HC ADEQUACY FINE NEEDLE ASPIRATE - TECHNICA,652.0,384.68,78.55,586.8,23
CPT,88172,"HC ADEQUACY FNA, ADD'L - TECHNICAL",652.0,384.68,78.55,586.8,23
CPT,88172,HC FNA ADEQUACY - GLOBAL,652.0,384.68,78.55,586.8,23
CPT,88172,HC FNA ADEQUACY ADD'L - GLOBAL,652.0,384.68,78.55,586.8,23
CPT,88172,HC RAPID ADEQUACY-FNA,652.0,384.68,78.55,586.8,23
CPT,88173,HC FINE NEEDLE ASPIRATE - TECHNICAL,248.0,146.32,29.88,223.2,23
CPT,88173,HC FNA - GLOBAL,248.0,146.32,29.88,223.2,23
CPT,88173,HC FNA ADDITIONAL - GLOBAL,248.0,146.32,29.88,223.2,23
CPT,88173,HC NEEDLE ASPIR INT & REPT.,248.0,146.32,29.88,223.2,23
CPT,88174,HC CYTO THIN LAYER AUTOMATED,85.0,50.15,10.24,76.5,23
CPT,88174,HC CYTOPATH C/V AUTO IN FLUID - TC ONLY,85.0,50.15,10.24,76.5,23
CPT,88175,HC CYTO AUTO W/MANL RESCRN,271.0,159.89,32.65,243.9,23
CPT,88175,HC CYTOPATH C/V AUTO FLUID REDO - TC ONLY,271.0,159.89,32.65,243.9,23
CPT,88175,HC CYTOPATH C/V AUTO IN FLUID RED - GLOBAL,271.0,159.89,32.65,243.9,23
CPT,88177,HC CYTOPATH FNA EVAL EA ADDL,58.0,34.22,6.99,52.2,23
CPT,88177,"HC CYTOPATH, IMMEDIATE STUDY",58.0,34.22,6.99,52.2,23
CPT,88182,HC FLOW CYTOMETRY CELL CYCLE/DNA,348.58,205.66,42.0,313.72,23
CPT,88184,HC ALPS PANEL BY FLOW 1,76.98,45.42,9.27,69.28,23
CPT,88184,HC CELL PROFILE 1ST MARK HRT,665.0,392.35,80.12,598.5,23
CPT,88184,HC CLL PROGNOSTIC PANEL (QUEST #17239),665.0,392.35,80.12,598.5,23
CPT,88184,"HC FETAL HEMOGLOBIN, FLOW CYTOMETRY",665.0,392.35,80.12,598.5,23
CPT,88184,"HC FLOW CELL SORT, FIRST MARKER",665.0,392.35,80.12,598.5,23
CPT,88184,"HC FLOW CYT, FIRST MARKER",665.0,392.35,80.12,598.5,23
CPT,88184,"HC FLOW CYTO, MARKER 1 (CD57,CD3,CD8)",665.0,392.35,80.12,598.5,23
CPT,88184,HC FLOW CYTOMETRY 1ST MARKER - GLOBAL,665.0,392.35,80.12,598.5,23
CPT,88184,HC FLOW CYTOMETRY 1ST MARKER - TECHNICAL,665.0,392.35,80.12,598.5,23
CPT,88184,HC FLOW CYTOMETRY FIRST MKR,665.0,392.35,80.12,598.5,23
CPT,88184,HC FLOW CYTOMETRY FIRST MKR - CYTOLOGY,665.0,392.35,80.12,598.5,23
CPT,88184,HC FLOW CYTOMETRY FIRST MKR - SURG. PATH,665.0,392.35,80.12,598.5,23
CPT,88184,"HC FLOW CYTOMETRY, MARKER 1",665.0,392.35,80.12,598.5,23
CPT,88184,"HC FLOW CYTOMETRY, MARKER 1 (CLL PROGN)",665.0,392.35,80.12,598.5,23
CPT,88184,"HC FLOW CYTOMETRY, MARKER 1 (ZAP-70)",665.0,392.35,80.12,598.5,23
CPT,88184,"HC FLOW CYTOMETRY, MARKER 1(CLL LYMPH)",665.0,392.35,80.12,598.5,23
CPT,88184,HC FLOW FIRST MARKER,665.0,392.35,80.12,598.5,23
CPT,88184,HC PEFR SO FERFORINGRANZYMEB,665.0,392.35,80.12,598.5,23
CPT,88184,HC PERFORIN/GRANZYME B 88184,665.0,392.35,80.12,598.5,23
CPT,88184,HC RBC CD55 EXPRESSION,665.0,392.35,80.12,598.5,23
CPT,88184,HC SO FIRST MARKER,665.0,392.35,80.12,598.5,23
CPT,88184,HC SO TELEOMERE LENGTH DET 1,665.0,392.35,80.12,598.5,23
CPT,88184,HC SO TELOMERE LENGTH BASIC,665.0,392.35,80.12,598.5,23
CPT,88184,HC TCRV 1 SO TCRV BETA 1,665.0,392.35,80.12,598.5,23
CPT,88185,HC ALPS PANEL BY FLOW 2,76.98,45.42,9.27,69.28,23
CPT,88185,HC BONE MARROW FLOW MARKERS,289.0,170.51,34.82,260.1,23
CPT,88185,HC CLL PROGNOSTIC PANEL (QUEST #17239),289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW ADDITIONAL MARKER,289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CELL SORT, ADDITIONAL MARKER",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTO EA ADD'L (CD57,CD3,CD8)",289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW CYTOMETRY ADDTNL MKR (CYTOLOGY),289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW CYTOMETRY ADDTNL MKR (SURG PATH),289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW CYTOMETRY EA ADD'L (PNH W FLAER),289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW CYTOMETRY EA ADD'L (ZAP-70),289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW CYTOMETRY EA ADD'L MARKER - GLOBAL,289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW CYTOMETRY EA ADD'L MARKER - TC ONLY,289.0,170.51,34.82,260.1,23
CPT,88185,HC FLOW CYTOMETRY EA ADD'L(CLL LYMPH),289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 10",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 11",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 12",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 2",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 3",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 4",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 5",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 6",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 7",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 8",289.0,170.51,34.82,260.1,23
CPT,88185,"HC FLOW CYTOMETRY, MARKER 9",289.0,170.51,34.82,260.1,23
CPT,88185,HC PERFORIN/GRANZYME B 88185,289.0,170.51,34.82,260.1,23
CPT,88185,HC RBC CD59 EXPRESSION,289.0,170.51,34.82,260.1,23
CPT,88185,HC SO SECOND MARKER,289.0,170.51,34.82,260.1,23
CPT,88185,HC SO TELEOMERE LENGTH DET 2,289.0,170.51,34.82,260.1,23
CPT,88185,HC TCRV 1 SO TCRV BETA 2,289.0,170.51,34.82,260.1,23
CPT,88185,HC ZAP70 SO ZAP70 ADD MARKRS,289.0,170.51,34.82,260.1,23
CPT,88230,HC TISSUE CULT NON-NEO DISORDERS LYMPH,698.94,412.37,84.21,629.05,23
CPT,88233,HC CHROMOSOME ANALYSIS: FANCONI BREAKAGE,1448.0,854.32,174.45,1303.2,23
CPT,88233,"HC CYTOGENETICS, SKIN",1448.0,854.32,174.45,1303.2,23
CPT,88233,HC FATTY ACID OXIDATION PROBE ASSAY,1448.0,854.32,174.45,1303.2,23
CPT,88233,HC MITOCHOND RESP CHAIN ENZ (BAYLOR #3210),1448.0,854.32,174.45,1303.2,23
CPT,88233,HC SET UP FEE - KARYOTYPE CX'D,1448.0,854.32,174.45,1303.2,23
CPT,88233,HC TISSUE CULT SKIN/OTHER TISSUE,1448.0,854.32,174.45,1303.2,23
CPT,88233,HC TISSUE CULTURE FOR NON-NEOPLASTIC DIS,1448.0,854.32,174.45,1303.2,23
CPT,88233,HC TISSUE FIBROBLAST CULTURE,1448.0,854.32,174.45,1303.2,23
CPT,88235,HC TISS CULT AMNIOTIC/CHORIONIC,1515.0,893.85,182.52,1363.5,23
CPT,88237,HC BONE MARROW CHROMOSOME,903.0,532.77,108.79,812.7,23
CPT,88237,HC TISSUE CULTURE NEOPLASTIC (CLL/LPD),903.0,532.77,108.79,812.7,23
CPT,88237,HC TISSUE CULTURE NEOPLASTIC (HEM MLGNC),903.0,532.77,108.79,812.7,23
CPT,88237,HC TISSUE CULTURE NEOPLASTIC DISORDER,903.0,532.77,108.79,812.7,23
CPT,88239,"HC CYTO; TISSUE CULTURE, SOLID TUMOR",738.48,435.7,88.97,664.63,23
CPT,88240,HC CELL CRYOPRESERVE/STORAGE (TISSUE TYPING),104.0,61.36,12.53,93.6,23
CPT,88240,HC CRYOPRES AND STOR EA CELL LINE,104.0,61.36,12.53,93.6,23
CPT,88240,HC MITOCHOND RESP CHAIN ENZ (BAYLOR #3210),104.0,61.36,12.53,93.6,23
CPT,88241,HC FROZEN CELL PREPARATION,90.68,53.5,10.92,81.61,23
CPT,88241,HC FROZEN CELL PREPARATION (TISSUE TYPING),90.68,53.5,10.92,81.61,23
CPT,88245,HC CHROMOSOME ANALYSIS: FANCONI BREAKAGE,1532.0,903.88,184.57,1378.8,23
CPT,88248,HC CHROM COUNT BREAKAGE 100/20/2,1039.02,613.02,125.18,935.12,23
CPT,88249,HC CHROM ANLYS BREAKAGE SYNDROMES SCORE 100,1782.0,1051.38,214.69,1603.8,23
CPT,88249,HC CHROMOSOME ANALYSIS: FANCONI BREAKAGE,1782.0,1051.38,214.69,1603.8,23
CPT,88261,HC CHROMOSOME COUNT 5/1,1818.0,1072.62,219.02,1636.2,23
CPT,88262,HC BM CT.2 KARYOTYPE(SO),1282.0,756.38,154.45,1153.8,23
CPT,88262,HC CHROM ANAL; 15-20 CELL,1282.0,756.38,154.45,1153.8,23
CPT,88262,"HC CHROM ANAL;15-20 CELL, 2 KARO",1282.0,756.38,154.45,1153.8,23
CPT,88262,"HC CHROM ANAL;15-20 CELL,2KARO1680003402",1282.0,756.38,154.45,1153.8,23
CPT,88262,"HC CHROM ANAL;15-20 CELL,2KARO16812629U1",1282.0,756.38,154.45,1153.8,23
CPT,88262,"HC CHROM ANAL;15-20 CELL,2KARO16812629Y1",1282.0,756.38,154.45,1153.8,23
CPT,88262,"HC CHROM ANALYSIS 15-20 CELL, 2 KARO",1282.0,756.38,154.45,1153.8,23
CPT,88262,HC CHROMOSM PERIPHERL ANA(SO,1282.0,756.38,154.45,1153.8,23
CPT,88263,HC CHROM COUNT 45/2 MOSAICISM,1546.0,912.14,186.26,1391.4,23
CPT,88264,HC CHROM ANALYSIS 20-25 CELLS,851.0,502.09,102.52,765.9,23
CPT,88267,HC CHROM COUNT AMNIOTIC/ CHORIONIC 15/1,1850.0,1091.5,222.88,1665.0,23
CPT,88271,HC CLL PROGNOSTIC PANEL (QUEST #17239),220.0,129.8,26.5,198.0,23
CPT,88271,"HC CYTOGENETICS, DNA PROBE (MAYO MAMLF)",220.0,129.8,26.5,198.0,23
CPT,88271,HC MOLECULAR CYTOGENETIC DNA,220.0,129.8,26.5,198.0,23
CPT,88272,HC MOLEC CYTOGEN CHROM IN SITU 3-5 CEL,223.0,131.57,26.87,200.7,23
CPT,88273,"HC CHROM IN SITU HYBRID 10-30 CELLS, FIS",223.0,131.57,26.87,200.7,23
CPT,88273,HC CHROMOSOMAL INSITU HYB,223.0,131.57,26.87,200.7,23
CPT,88273,HC CHROMOSOMAL INSITU HYB10619287,223.0,131.57,26.87,200.7,23
CPT,88273,"HC CROM IN SITU HYYBRID, 10-30",223.0,131.57,26.87,200.7,23
CPT,88273,"HC CROM. IN SITU HYBRID., 1-3 CELLS, FIS",223.0,131.57,26.87,200.7,23
CPT,88273,"HC CROM. IN SITU HYBRID., 1-3 CELLS, NEU",223.0,131.57,26.87,200.7,23
CPT,88273,HC FISH 22Q11 DELETION,223.0,131.57,26.87,200.7,23
CPT,88273,HC FISH DIGEORGE SYNDROME,223.0,131.57,26.87,200.7,23
CPT,88273,HC MOLECULAR CYTOGENETICS; CHROMOSOMAL I,223.0,131.57,26.87,200.7,23
CPT,88274,HC CYTOGENETICS 25-99 (MAYO MAMLF),223.0,131.57,26.87,200.7,23
CPT,88274,"HC MOL CYT:IN SITU HYBRID,25-99",223.0,131.57,26.87,200.7,23
CPT,88274,HC MOLEC CYTOGEN INTERPHASE IN SITU 25-99,223.0,131.57,26.87,200.7,23
CPT,88274,HC MOLECULAR CYTOGENETICS INTERPH,223.0,131.57,26.87,200.7,23
CPT,88275,HC CLL PROGNOSTIC PANEL (QUEST #17239),223.0,131.57,26.87,200.7,23
CPT,88275,HC IN SITU HYRID 100-300 CEL,223.0,131.57,26.87,200.7,23
CPT,88280,HC CHROM ADDL KARYOTYPE,258.0,152.22,31.08,232.2,23
CPT,88283,HC CHROM ANALY; ADDTL BANDING,387.2,228.45,46.65,348.48,23
CPT,88285,HC MASAICISM ADDL CELLS,161.46,95.26,19.45,145.31,23
CPT,88289,HC CHROM ADDL HIGH RESOL,354.0,208.86,42.65,318.6,23
CPT,88291,HC CYTO/MOLECULAR REPORT,131.45,77.56,15.84,118.31,23
CPT,88291,HC CYTO/MOLECULAR REPORT (MAYO MAMLF),183.0,107.97,22.05,164.7,23
CPT,88299,HC CYTOGENETIC UNLISTED PROC,188.0,110.92,22.65,169.2,23
CPT,88300,"HC LEVEL I - SURGICAL PATHOLOGY, GROSS E",103.0,60.77,12.41,92.7,23
CPT,88300,HC PATHOLOGY 1 COMPLETE ADD'L - GLOBAL,103.0,60.77,12.41,92.7,23
CPT,88300,HC PATHOLOGY I COMPLETE - TECHNICAL,103.0,60.77,12.41,92.7,23
CPT,88300,"HC PATHOLOGY I COMPLETE, ADD'L - TECHNICAL",103.0,60.77,12.41,92.7,23
CPT,88302,"HC LEVEL II - SURGICAL PATHOLOGY, GROSS",103.0,60.77,12.41,92.7,23
CPT,88302,HC PATHOLOGY II COMPLETE - GLOBAL,103.0,60.77,12.41,92.7,23
CPT,88302,HC PATHOLOGY II COMPLETE - TECHNICAL,103.0,60.77,12.41,92.7,23
CPT,88302,HC PATHOLOGY II COMPLETE ADD'L - GLOBAL,103.0,60.77,12.41,92.7,23
CPT,88302,"HC PATHOLOGY II COMPLETE, ADD'L - TECHNICAL",103.0,60.77,12.41,92.7,23
CPT,88304,"HC LEVEL III - SURGICAL PATHOLOGY, GROSS",144.0,84.96,17.35,129.6,23
CPT,88304,HC PATHOLOGY III COMPLETE - GLOBAL,144.0,84.96,17.35,129.6,23
CPT,88304,HC PATHOLOGY III COMPLETE - TECHNICAL,144.0,84.96,17.35,129.6,23
CPT,88304,HC PATHOLOGY III COMPLETE ADD'L - GLOBAL,144.0,84.96,17.35,129.6,23
CPT,88304,"HC PATHOLOGY III COMPLETE, ADD'L - TECHNICA",144.0,84.96,17.35,129.6,23
CPT,88305,HC CORE BIOPSY,153.0,90.27,18.43,137.7,23
CPT,88305,HC G&M (MULTIPLE),153.0,90.27,18.43,137.7,23
CPT,88305,"HC LEVEL IV - SURGICAL PATHOLOGY, GROSS",153.0,90.27,18.43,137.7,23
CPT,88305,HC LEVEL IV PATH G&M,153.0,90.27,18.43,137.7,23
CPT,88305,HC PATHOLOGY IV COMPLETE - GLOBAL,153.0,90.27,18.43,137.7,23
CPT,88305,HC PATHOLOGY IV COMPLETE - TECHNICAL,153.0,90.27,18.43,137.7,23
CPT,88305,HC PATHOLOGY IV COMPLETE ADD'L - GLOBAL,153.0,90.27,18.43,137.7,23
CPT,88305,"HC PATHOLOGY IV COMPLETE, ADD'L - TECHNICAL",153.0,90.27,18.43,137.7,23
CPT,88307,HC GROSS & MICROSCOPIC LVL V,665.0,392.35,80.12,598.5,23
CPT,88307,"HC LEVEL V - SURGICAL PATHOLOGY, GROSS A",665.0,392.35,80.12,598.5,23
CPT,88307,HC PATHOLOGY V COMPLETE - GLOBAL,665.0,392.35,80.12,598.5,23
CPT,88307,HC PATHOLOGY V COMPLETE - TECHNICAL,665.0,392.35,80.12,598.5,23
CPT,88307,HC PATHOLOGY V COMPLETE ADD'L - GLOBAL,665.0,392.35,80.12,598.5,23
CPT,88307,"HC PATHOLOGY V COMPLETE, ADD'L - TECHNICAL",665.0,392.35,80.12,598.5,23
CPT,88309,"HC LEVEL VI - SURGICAL PATHOLOGY, GROSS",1409.0,831.31,169.75,1268.1,23
CPT,88309,HC PATHOLOGY VI COMPLETE - GLOBAL,1409.0,831.31,169.75,1268.1,23
CPT,88309,HC PATHOLOGY VI COMPLETE - TECHNICAL,1409.0,831.31,169.75,1268.1,23
CPT,88309,HC PATHOLOGY VI COMPLETE ADD'L - GLOBAL,1409.0,831.31,169.75,1268.1,23
CPT,88309,"HC PATHOLOGY VI COMPLETE,ADD'L - TECHNICAL",1409.0,831.31,169.75,1268.1,23
CPT,88311,HC DECALCIFICATION - GLOBAL,72.0,42.48,8.67,64.8,23
CPT,88311,HC DECALCIFICATION - TECHNICAL,72.0,42.48,8.67,64.8,23
CPT,88311,HC DECALCIFICATION ADD'L - GLOBAL,72.0,42.48,8.67,64.8,23
CPT,88311,HC DECALCIFICATION PROCEDURE (LIST SEPAR,72.0,42.48,8.67,64.8,23
CPT,88311,"HC DECALCIFICATION, ADD'L - TECHNICAL",72.0,42.48,8.67,64.8,23
CPT,88312,HC CYTO SP STAIN GROUP I,221.0,130.39,26.63,198.9,23
CPT,88312,HC SPECIAL STAINS I - GLOBAL,221.0,130.39,26.63,198.9,23
CPT,88312,HC SPECIAL STAINS I - TECHNICAL,221.0,130.39,26.63,198.9,23
CPT,88312,HC SPECIAL STAINS I ADD'L - GLOBAL,221.0,130.39,26.63,198.9,23
CPT,88312,"HC SPECIAL STAINS I, ADD'L - TECHNICAL",221.0,130.39,26.63,198.9,23
CPT,88312,HC SPECIAL STAINS; GROUP I FOR MICROORGA,221.0,130.39,26.63,198.9,23
CPT,88312,HC SPECL STAIN I INTERP/REPO,221.0,130.39,26.63,198.9,23
CPT,88313,HC BONE MARROW STAIN,174.0,102.66,20.96,156.6,23
CPT,88313,HC CYTO SP STAIN GROUP II,171.0,100.89,20.6,153.9,23
CPT,88313,HC SPECIAL STAINS II,174.0,102.66,20.96,156.6,23
CPT,88313,HC SPECIAL STAINS II - GLOBAL,174.0,102.66,20.96,156.6,23
CPT,88313,HC SPECIAL STAINS II - TECHNICAL,174.0,102.66,20.96,156.6,23
CPT,88313,HC SPECIAL STAINS II ADD'L - GLOBAL,174.0,102.66,20.96,156.6,23
CPT,88313,"HC SPECIAL STAINS II, ADD'L - TECHNICAL",174.0,102.66,20.96,156.6,23
CPT,88313,"HC SPECIAL STAINS; GROUP II, ALL OTHER (",174.0,102.66,20.96,156.6,23
CPT,88314,HC HISTOCHEMICAL STAINING WITH FS - TC ONLY,430.0,253.7,51.8,387.0,23
CPT,88314,HC SPECL STAIN HISTOCHEM W/FROZ INTERP/RPT,430.0,253.7,51.8,387.0,23
CPT,88319,"HC HISTOCHEM TO ID ENZYMES,ADDL - TC ONLY",457.0,269.63,55.06,411.3,23
CPT,88319,HC HISTOCHEMISTRY STAIN ENZYME,457.0,269.63,55.06,411.3,23
CPT,88319,HC HISTOCHEMISTRY TO ID ENZYMES,457.0,269.63,55.06,411.3,23
CPT,88321,HC CONSLT PATH REFERRED SLIDE,273.0,161.07,32.89,245.7,23
CPT,88321,HC PATHOLOGY MICROSLIDE CONSULT,277.0,163.43,33.37,249.3,23
CPT,88323,HC CONSU PATH REQUIRING PREPARATION,376.0,221.84,45.3,338.4,23
CPT,88323,HC PATHOLOGY CONSULT W SLIDE PREP,376.0,221.84,45.3,338.4,23
CPT,88325,HC COMP REVIEW OUTSIDE W/REPORT,622.0,366.98,74.94,559.8,23
CPT,88325,"HC PATHOLOGY CONSULT, COMPREHENSIVE",622.0,366.98,74.94,559.8,23
CPT,88329,HC PATHOLOGY DURING SURGERY - GLOBAL,174.0,102.66,20.96,156.6,23
CPT,88329,HC PATHOLOGY DURING SURGERY ADD'L - GLOBAL,174.0,102.66,20.96,156.6,23
CPT,88331,"HC PATH CONSULT INTRAOP, 1 BLOCK - GLOBAL",376.0,221.84,45.3,338.4,23
CPT,88331,"HC PATH CONSULT INTRAOP, 1 BLOCK - TECHNICA",376.0,221.84,45.3,338.4,23
CPT,88331,HC PATHOLOGY CONSULT DURING SURGERY,376.0,221.84,45.3,338.4,23
CPT,88331,HC PATHOLOGY CONSULT IN SURG,376.0,221.84,45.3,338.4,23
CPT,88331,"HC PATHOLOGY FROZEN SECTION, 1ST - GLOBAL",376.0,221.84,45.3,338.4,23
CPT,88331,"HC PATHOLOGY FROZEN SECTION, 1ST - TECH",376.0,221.84,45.3,338.4,23
CPT,88332,HC ADDITIONAL FROZEN SECTION - GLOBAL,160.0,94.4,19.28,144.0,23
CPT,88332,HC ADDITIONAL FROZEN SECTION - TECHNICAL,160.0,94.4,19.28,144.0,23
CPT,88332,HC ADDITIONAL FROZEN SECTION ADDL - GLOBAL,160.0,94.4,19.28,144.0,23
CPT,88332,HC PATHCONSULT SURG ADD'L FROZEN SECTION,160.0,94.4,19.28,144.0,23
CPT,88332,"HC PATHOLOGY FROZEN SECTION,ADD'L - TECHNIC",160.0,94.4,19.28,144.0,23
CPT,88333,HC CONSU PATH SURG CYTO EXAM INIT SITE,1356.0,800.04,163.37,1220.4,23
CPT,88333,HC CYTOLOGIC EXAM INITIAL SITE - GLOBAL,1356.0,800.04,163.37,1220.4,23
CPT,88333,HC CYTOLOGIC EXAM INITIAL SITE - TECHNICAL,1356.0,800.04,163.37,1220.4,23
CPT,88333,HC PATH CONSULTSURGERY CYTOEXMPATH,1356.0,800.04,163.37,1220.4,23
CPT,88334,HC CONSU PATH SURG CYTO EXAM EA ADDL,152.0,89.68,18.31,136.8,23
CPT,88334,HC CYTOLOGIC EXAM EA ADD SITE - TECHNICAL,152.0,89.68,18.31,136.8,23
CPT,88334,HC CYTOLOGIC EXAM EA ADD'L SITE - GLOBAL,152.0,89.68,18.31,136.8,23
CPT,88334,HC PATHOLOGY CONSULTATION DURING SURGERY,152.0,89.68,18.31,136.8,23
CPT,88341,HC IHC EA ADDITIONAL ANITIBODY PER SLIDE GLOBAL,479.0,282.61,57.71,431.1,46
CPT,88341,HC IHC EA ADDITIONAL ANITIBODY PER SLIDE TECH,479.0,282.61,57.71,431.1,23
CPT,88341,HC IHC EA ADDTL AB PER SLIDE TECH-59,479.0,282.61,57.71,431.1,23
CPT,88341,HC IMMUNOCHEM PER SPEC; EA SINGLE AB STAIN,479.0,282.61,57.71,431.1,23
CPT,88342,HC ANTI-RETINAL ABS BY IHC,665.0,392.35,80.12,598.5,23
CPT,88342,HC IHC ADDITIONAL - GLOBAL,665.0,392.35,80.12,598.5,23
CPT,88342,"HC IMMUNOCYTOCHEMISTRY, ADD'L - TECHNICAL",665.0,392.35,80.12,598.5,23
CPT,88342,"HC IMMUNOCYTOCHEMISTRY, EA AB - TECHNICAL",665.0,392.35,80.12,598.5,23
CPT,88342,HC IMMUNOHISTOCHEMISTRY (INCLUDING TISSU,665.0,392.35,80.12,598.5,23
CPT,88342,"HC MLH1,IHC W INTER",665.0,392.35,80.12,598.5,23
CPT,88342,"HC MSH2,IHC W INTER",665.0,392.35,80.12,598.5,23
CPT,88342,"HC MSH6,IHC W INTER",665.0,392.35,80.12,598.5,23
CPT,88342,"HC PMS2,IHC W INTER",665.0,392.35,80.12,598.5,23
CPT,88344,HC IHC MULTIPLEX ANTIBODY STAIN GLOBAL,665.0,392.35,80.12,598.5,23
CPT,88344,HC IMMUNOHISTO AB SLIDE EA MULTIPLEX,665.0,392.35,80.12,598.5,23
CPT,88346,"HC  IMMUNOFLUORESCENT STUDY, INDIRECT, D",307.0,181.13,36.99,276.3,23
CPT,88346,"HC  IMMUNOFLUORESCENT STUDY, INDIRECT, E",307.0,181.13,36.99,276.3,23
CPT,88346,HC ANTI-ENTEROCYTE AB,307.0,181.13,36.99,276.3,23
CPT,88346,HC FAEAB ANTI-ENTEROCYTE ANTIBODIES,307.0,181.13,36.99,276.3,23
CPT,88346,HC IMMUNOFLUOR DIRECT,307.0,181.13,36.99,276.3,23
CPT,88346,HC IMMUNOFLUORES STUDY EA ANTIBDY - TECHNIC,307.0,181.13,36.99,276.3,23
CPT,88346,HC IMMUNOFLUORESCENCE 1ST ANTIBDY - GLOBAL,307.0,181.13,36.99,276.3,23
CPT,88346,HC PANCA INDIRECT IFA IGG,307.0,181.13,36.99,276.3,23
CPT,88346,HC PARANEOPLASTIC PEMPHIGUS AB SCRN,307.0,181.13,36.99,276.3,23
CPT,88346,HC PEMPHIGOID AB,307.0,181.13,36.99,276.3,23
CPT,88346,HC PROMETHEUS CROHN'S PROGNOSTIC,307.0,181.13,36.99,276.3,23
CPT,88346,HC PROMETHEUS IBD SGI AND CROHN'S,307.0,181.13,36.99,276.3,46
CPT,88348,HC ELECTRON MICROSCOPY SEND OUT - GLOBAL,1982.0,1169.38,238.78,1783.8,23
CPT,88348,HC ELECTRON MICROSCOPY SEND OUT - TECHNICAL,1982.0,1169.38,238.78,1783.8,23
CPT,88348,HC ELECTRON MICROSCOPY; DIAGNOSTIC,2015.0,1188.85,242.76,1813.5,23
CPT,88350,HC IMMUNOFLORESCENCE PER SPEC EACH ADDL,339.0,200.01,40.84,305.1,23
CPT,88350,HC IMMUNOFLUORESCENCE EA ADD ANTI - GLOBAL,339.0,200.01,40.84,305.1,23
CPT,88355,HC MORPHOMETRIC ANALYSIS SKELETAL MUSCLE,376.0,221.84,45.3,338.4,23
CPT,88358,HC MORPHOMETRIC ANLYS TUMOR (EG DNA PLOIDY),665.0,392.35,80.12,598.5,23
CPT,88360,HC MORPHOMET ANAL QUANT EA AB MAN - GLOBAL,665.0,392.35,80.12,598.5,23
CPT,88360,HC MORPHOMET ANAL QUANT EA AB MAN - TECHNIC,665.0,392.35,80.12,598.5,23
CPT,88360,HC MORPHOMETRIC ANLYS TUMOR HER-2/NEU,665.0,392.35,80.12,598.5,23
CPT,88360,HC QUANT IMMUNOHISTOCHEMISTRY ADD - TECHNIC,665.0,392.35,80.12,598.5,23
CPT,88360,HC QUANTITATIVE IHC ADD'L - GLOBAL,665.0,392.35,80.12,598.5,23
CPT,88361,HC MORPHOMETRIC ANLYS COMPUTER ASSISTED,324.0,191.16,39.03,291.6,23
CPT,88362,HC NERVE TEASING PREPARATION - TC ONLY,557.0,328.63,67.1,501.3,23
CPT,88363,HC RETRIEVAL OF ARCHIVED MAT FOR MOL ANALYSIS,296.91,175.18,35.77,267.22,23
CPT,88364,HC IN SITU HYBRID FSH EA ADDL SINGLE PRB,741.0,437.19,89.27,666.9,23
CPT,88364,HC ISH ADDITIONAL - TECHNICAL,741.0,437.19,89.27,666.9,23
CPT,88364,HC ISH EA ADDL PROBE STAIN,741.0,437.19,89.27,666.9,23
CPT,88365,HC EPSTEIN-BARR VIRUS PANEL,376.0,221.84,45.3,338.4,23
CPT,88365,HC HPV ISH LOW/HIGH RISK W INTER,376.0,221.84,45.3,338.4,23
CPT,88365,HC ISH - TECHNICAL,376.0,221.84,45.3,338.4,23
CPT,88365,HC ISH 1ST PROBE STAIN,376.0,221.84,45.3,338.4,23
CPT,88366,HC IN SITU HYBRID FSH EA MULTIPLEX,665.0,392.35,80.12,598.5,23
CPT,88367,HC MORPHOMETRIC ANALYSIS,871.72,514.31,105.02,784.55,23
CPT,88368,HC MORPHOMETRIC ANAL MAN 1,665.0,392.35,80.12,598.5,23
CPT,88368,HC MORPHOMETRIC ANAL MAN 2,665.0,392.35,80.12,598.5,23
CPT,88368,HC MORPHOMETRIC ANAL MAN 3,665.0,392.35,80.12,598.5,23
CPT,88368,HC MORPHOMETRIC ANAL MAN 4,665.0,392.35,80.12,598.5,23
CPT,88368,HC MORPHOMETRIC ANALYSIS IN SITU - TC ONLY,665.0,392.35,80.12,598.5,23
CPT,88368,"HC MORPHOMETRIC ANALYSIS, IN SITU HYBRID",665.0,392.35,80.12,598.5,23
CPT,88369,HC MORPHOMET ANALY QNT MANUAL SINGLE,576.0,339.84,69.39,518.4,23
CPT,88372,HC PROTEIN ANLYS W/BAND PROBE,157.32,92.82,18.95,141.59,23
CPT,88373,HC MORPHOMET ANALY QNT COMP TECH SINGLE,394.0,232.46,47.47,354.6,23
CPT,88374,HC MORPHOMET ANALY QNT COMP TECH MULTI,735.0,433.65,88.55,661.5,23
CPT,88377,HC MORPHOMET ANALY QNT MANUAL MULTI,735.0,433.65,88.55,661.5,23
CPT,88380,HC LASER MICRODISSECTION,623.0,367.57,75.06,560.7,23
CPT,88380,HC MICRODISSECTION,623.0,367.57,75.06,560.7,23
CPT,88381,HC MANUAL MICRODISSECTION,744.0,438.96,89.63,669.6,23
CPT,88381,HC MICRODISSECTION MANUAL,744.0,438.96,89.63,669.6,46
CPT,88387,HC CYTOGENETICS PREP,104.94,61.91,12.64,94.45,23
CPT,88399,HC PATHOLOGY SURGICAL UNLISTED PROC,209.76,123.76,25.27,188.78,23
CPT,88720,HC BILIRUBIN TOTAL TRANSCUTANEOUS,52.0,30.68,6.26,46.8,23
CPT,89050,HC BODY FLUID CEL. CT.,49.0,28.91,5.9,44.1,23
CPT,89050,HC BODY FLUID CELL COUNT,49.0,28.91,5.9,44.1,23
CPT,89050,"HC CELL COUNT, MISCELLANEOUS BODY FLUIDS",49.0,28.91,5.9,44.1,23
CPT,89050,HC VIABLE CELL COUNT,49.0,28.91,5.9,44.1,23
CPT,89051,HC CELL COUNT BODY FLUID W/DIFF,57.0,33.63,6.87,51.3,23
CPT,89051,HC STEM CELL DIFFERENTIAL,57.0,33.63,6.87,51.3,23
CPT,89055,HC LEUKOCYTE ASSES FECAL QUAL OR SEMIQUA,43.0,25.37,5.18,38.7,23
CPT,89060,"HC CRYSTAL EXAM,FLUID",74.0,43.66,8.92,66.6,23
CPT,89060,HC CRYSTAL IDENTIFICATION BY LIGHT MICRO,74.0,43.66,8.92,66.6,23
CPT,89125,"HC  FAT STAIN, FECES",44.0,25.96,5.3,39.6,23
CPT,89125,"HC  FAT STAIN, URINE",44.0,25.96,5.3,39.6,23
CPT,89160,"HC MEAT FIBERS, FECES",29.1,17.17,3.51,26.19,23
CPT,89190,HC SMEAR NASAL EOSINOPHILS,49.0,28.91,5.9,44.1,23
CPT,89220,HC SPUTUM COLLECTION,376.0,221.84,45.3,338.4,23
CPT,89230,HC SWEAT COLL IONTOPHORESIS,153.0,90.27,18.43,137.7,23
CPT,89300,"HC SEMEN ANALYSIS, QUALITATIVE",92.0,54.28,11.08,82.8,23
CPT,89310,HC SEMEN ANALYSIS; MOTILITY AND COUNT,89.0,52.51,10.72,80.1,23
CPT,89320,"HC SEMEN ANALYSIS, COMPLETE",124.0,73.16,14.94,111.6,23
CPT,89321,HC SEMEN ANLYS PRESENCE/MOTILITY,124.0,73.16,14.94,111.6,23
CPT,89325,HC SPERM ANTIBODY,110.0,64.9,13.25,99.0,23
CPT,89337,HC CRYOPRESERVATION OOCYTES,1371.0,808.89,165.17,1233.9,23
CPT,90460,HC IMMUN ADMIN 1ST VACC/TOX <= 18 YRS,138.0,81.42,16.79,124.2,23
CPT,90461,HC IMMUN ADMIN EA ADDL VACC/TOX <= 18 YRS,75.0,44.25,9.12,67.5,23
CPT,90471,HC IMMUN ADMIN 1 VACC PERC/IM/SUB Q/ID,144.0,84.96,17.52,129.6,23
CPT,90472,HC IMMUN ADM EA ADDL VACC PERC/IM/SUB-Q/ID,97.0,57.23,11.8,87.3,23
CPT,90473,HC IMMUN ADMIN 1 VACC INTRANASAL/ORAL,144.0,84.96,17.52,129.6,23
CPT,90480,HC ADMN SARSCOV2 VACC 1 DOSE,144.0,84.96,17.52,129.6,23
CPT,90619,HC MENACWY-TT VACCINE IM,653.2,385.39,79.46,587.88,23
CPT,90620,HC MENB RP W/OMV VACCINE IM,842.12,496.85,102.44,757.91,23
CPT,90621,HC MENB RLP VACCINE IM,581.34,342.99,70.72,523.21,23
CPT,90632,HC HEPATITIS A VACC ADULT IM DOSE,200.0,118.0,24.33,180.0,23
CPT,90633,HC HEPATITIS A VAC PED/ADOL D-2,19.82,11.69,2.41,17.84,23
CPT,90636,HC HEPATITIS A&B ADULT VACC IM,700.43,413.25,85.2,630.39,23
CPT,90647,HC HAEMOPHIL B VAC PRP-OMP D-3 IM,187.62,110.7,22.82,168.86,23
CPT,90648,HC HAEMOPHILUS B VACC PRP-T IM,228.42,134.77,27.79,205.58,23
CPT,90649,HC HUM PAPILLOMA VIRUS VACC IM,832.5,491.18,101.27,749.25,23
CPT,90651,HC HUMAN PAP VIR NONAVALENT HPV 3 DOSE,970.76,572.75,118.09,873.68,23
CPT,90653,HC IIV3 VACC NO PRSV 0.5 ML IM,733.6,432.82,89.24,660.24,23
CPT,90655,HC INFLUENZA VIR VAC PF 6-35 MNTH,101.67,59.99,12.37,91.5,23
CPT,90656,HC INFLU VIRUS VACC SPLIT PF >3 YRS IM,112.11,66.14,13.64,100.9,23
CPT,90658,HC INFLUENZA VACC SPLT >3 YRS IM,112.11,66.14,13.64,100.9,23
CPT,90661,HC FLUCELVAX,162.24,95.72,19.74,146.02,23
CPT,90662,HC INFLU VIRUS VACC PF ANTIGEN,168.18,99.23,20.46,151.36,23
CPT,90670,HC PNEUMOCOCCAL VACC 13 VAL IM,1145.8,676.02,139.38,1031.22,23
CPT,90672,HC FLU VACCINE 4 VALENT NASAL,165.2,97.47,20.1,148.68,23
CPT,90674,HC CCIIV4 VAC NO PRSV 0.5 ML IM,114.0,67.26,13.87,102.6,23
CPT,90675,HC RABIES VACC IM,1108.72,654.14,134.87,997.85,23
CPT,90677,HC PCV20 VACCINE IM,1093.0,644.87,132.96,983.7,23
CPT,90680,HC ROTAVIRUS VAC PENTAVALENT 3 DOSE ORAL,493.16,290.96,59.99,443.84,23
CPT,90681,HC ROTAVIRUS ORAL VACC ATTEN,284.84,168.06,34.65,256.36,23
CPT,90685,HC FLU VAC NO PRSV 4 VAL 6-35 M,110.72,65.32,13.47,99.65,23
CPT,90686,HC FLU VAC NO PRSV 4 VAL 3 YRS+,145.28,85.72,17.67,130.75,23
CPT,90691,HC TYPHOID VACCINE,439.56,259.34,53.47,395.6,23
CPT,90696,HC DTAP-IPV VACC VL 4-6 IM,515.14,303.93,62.66,463.63,23
CPT,90697,HC DTAP-IPV-HIB-HEPB VACCINE IM,694.55,409.78,84.49,625.1,23
CPT,90698,HC DTAP-HIB-IPV VACC IM,0.01,0.01,0.01,0.01,23
CPT,90700,HC DTAP VACC <7 YR IM,110.88,65.42,13.49,99.79,23
CPT,90707,HC MMR VIRUS VACC LIVE SQ,317.09,187.08,38.57,285.38,23
CPT,90710,HC MEASL/MUMPS/RUB/VARIC VACC,870.12,513.37,105.85,783.11,23
CPT,90713,HC POLIOVIRUS VACC INACT SQ/IM,1129.53,666.42,137.4,1016.58,23
CPT,90714,HC TD VACC >= 7YO PRESERVATIVE FREE IM,13.85,8.17,1.68,12.47,23
CPT,90715,HC TDAP VACC >7 YR IM,243.83,143.86,29.66,219.45,23
CPT,90716,HC VARICELLA VIRUS VACC SQ,836.4,493.48,101.74,752.76,23
CPT,90723,HC DTAP-HEPB-IPV VACC IM,626.19,369.45,76.17,563.57,23
CPT,90732,HC PNEUMOC VACC 23 >5YR SQ/IM,447.34,263.93,54.42,402.61,23
CPT,90733,HC MENINGOCOCCAL POLY VACC SQ,1019.04,601.23,123.96,917.14,23
CPT,90734,HC MENING CONJ DIP TOX VACC IM,940.44,554.86,114.4,846.4,23
CPT,90736,HC VARICELLA ZOSTER VACCINE SQ,267.0,157.53,32.48,240.3,23
CPT,90743,HC HEP B VACCINE ADOLESCENT 2 DOSE IM,694.55,409.78,84.49,625.1,23
CPT,90744,HC HEP B VACC PED/ADOL 3 DOSE IM DOSE,287.08,169.38,34.92,258.37,23
CPT,90746,HC HEPATITIS B VACC ADULT IM,368.94,217.67,44.88,332.05,23
CPT,90750,HC HZV ZOSTER VACC,733.25,432.62,89.2,659.93,23
CPT,90756,HC CCIIV4 VACC ABX FREE IM,106.38,62.76,12.94,95.74,23
CPT,90791,HC PSYCH DIAGNOSTIC EVALUATION,547.51,323.03,66.6,492.76,23
CPT,90791,HC PSYCH DIAGNOSTIC EVALUATION OP,547.51,323.03,66.6,492.76,23
CPT,90791,HCPR PSYCH DIAGNOSTIC EVALUATION,481.71,284.21,58.6,433.54,23
CPT,90791,HCPR PSYCH DIAGNOSTIC EVALUATION OP,481.71,284.21,58.6,433.54,23
CPT,90792,HC PSYCH DIAG EVAL W/MED SERVICES,547.51,323.03,66.6,492.76,23
CPT,90792,HCPR PSYCH DIAG EVAL W/MED SERVICES,551.1,325.15,67.04,495.99,23
CPT,90832,HC PSYTX W PT 30 MINUTES IOP SUB A,258.32,152.41,31.42,232.49,23
CPT,90832,HC PSYTX W PT 30 MINUTES IOP [GH OP],258.32,152.41,31.42,232.49,23
CPT,90832,HC PSYTX W PT 30 MINUTES OP [LMH IOP],258.32,152.41,31.42,232.49,23
CPT,90832,HCPR PSYTX W PT 30 MINUTES IOP SUB A,215.25,127.0,26.18,193.73,23
CPT,90832,HCPR PSYTX W PT 30 MINUTES IOP [GH OP],215.25,127.0,26.18,193.73,23
CPT,90832,HCPR PSYTX W PT 30 MINUTES OP,215.25,127.0,26.18,193.73,23
CPT,90833,HC PSYTX W PT W E/M 30 MIN IOP SUB A,275.54,162.57,33.52,247.99,23
CPT,90833,HC PSYTX W PT W E/M 30 MIN IOP [GH OP],275.54,162.57,33.52,247.99,23
CPT,90833,HC PSYTX W PT W E/M 30 MIN OP,275.54,162.57,33.52,247.99,23
CPT,90833,HCPR PSYTX W PT W E/M 30 MIN IOP SUB A,199.5,117.71,24.27,179.55,23
CPT,90833,HCPR PSYTX W PT W E/M 30 MIN IOP [GH OP],199.5,117.71,24.27,179.55,23
CPT,90833,HCPR PSYTX W PT W E/M 30 MIN OP,199.5,117.71,24.27,179.55,23
CPT,90834,HC PSYTX W PT 45 MINUTES IOP SUB A,463.95,273.73,56.44,417.56,23
CPT,90834,HC PSYTX W PT 45 MINUTES IOP [GH OP],463.95,273.73,56.44,417.56,23
CPT,90834,HC PSYTX W PT 45 MINUTES OP [LMH IOP],463.95,273.73,56.44,417.56,23
CPT,90834,HCPR PSYTX W PT 45 MINUTES IOP SUB A,283.41,167.21,34.48,255.07,23
CPT,90834,HCPR PSYTX W PT 45 MINUTES IOP [GH OP],283.41,167.21,34.48,255.07,23
CPT,90834,HCPR PSYTX W PT 45 MINUTES OP,283.41,167.21,34.48,255.07,23
CPT,90836,HC PSYTX W PT W E/M 45 MIN IOP [GH OP],380.89,224.73,46.33,342.8,23
CPT,90836,HC PSYTX W PT W E/M 45 MIN OP,380.89,224.73,46.33,342.8,23
CPT,90836,HCPR PSYTX W PT W E/M 45 MIN IOP SUB A,251.64,148.47,30.61,226.48,23
CPT,90836,HCPR PSYTX W PT W E/M 45 MIN IOP [GH OP],251.64,148.47,30.61,226.48,23
CPT,90836,HCPR PSYTX W PT W E/M 45 MIN OP,251.64,148.47,30.61,226.48,23
CPT,90837,HC PSYTX W PT 60 MINUTES IOP SUB A,463.95,273.73,56.44,417.56,23
CPT,90837,HC PSYTX W PT 60 MINUTES IOP [GH OP],463.95,273.73,56.44,417.56,23
CPT,90837,HC PSYTX W PT 60 MINUTES OP,463.95,273.73,56.44,417.56,23
CPT,90837,HCPR PSYTX W PT 60 MINUTES IOP SUB A,415.59,245.2,50.55,374.03,23
CPT,90837,HCPR PSYTX W PT 60 MINUTES IOP [GH OP],415.59,245.2,50.55,374.03,23
CPT,90837,HCPR PSYTX W PT 60 MINUTES OP,415.59,245.2,50.55,374.03,23
CPT,90838,HC PSYTX W PT W E/M 60 MIN IOP [GH OP],943.1,556.43,114.72,848.79,23
CPT,90838,HC PSYTX W PT W E/M 60 MIN OP,943.1,556.43,114.72,848.79,23
CPT,90838,HCPR PSYTX W PT W E/M 60 MIN IOP SUB A,333.21,196.59,40.53,299.89,23
CPT,90838,HCPR PSYTX W PT W E/M 60 MIN IOP [GH OP],333.21,196.59,40.53,299.89,23
CPT,90838,HCPR PSYTX W PT W E/M 60 MIN OP,333.21,196.59,40.53,299.89,23
CPT,90839,HC PSYCH THERAPY FOR CRISIS 1ST 60 MINS,463.95,273.73,56.44,417.56,23
CPT,90839,HCPR PSYTX CRISIS INITIAL 60 MIN,281.35,166.0,34.22,253.22,23
CPT,90840,HC PSYTX CRISIS EA ADDL 30 MIN,280.6,165.55,34.13,252.54,23
CPT,90840,HCPR PSYTX CRISIS EA ADDL 30 MIN,135.48,79.93,16.48,121.93,23
CPT,90846,HC FAMILY PSYTX W/O PT 50 MIN IOP SUB A,463.95,273.73,56.44,417.56,23
CPT,90846,HC FAMILY PSYTX W/O PT 50 MIN IOP [GH OP],463.95,273.73,56.44,417.56,23
CPT,90846,HC FAMILY PSYTX W/O PT 50 MIN OP,463.95,273.73,56.44,417.56,23
CPT,90846,HCPR FAMILY PSYTX W/O PT 50 MIN IOP [GH OP],305.28,180.12,37.14,274.75,23
CPT,90846,HCPR FAMILY PSYTX W/O PT 50 MIN OP,305.28,180.12,37.14,274.75,23
CPT,90846,HCPR PSYCH THERAPY FAMILY W/O PATIENT SUB ABUSE,305.28,180.12,37.14,274.75,23
CPT,90847,HC FAMILY PSYTX W/PT 50 MIN IOP,463.95,273.73,56.44,417.56,23
CPT,90847,HC FAMILY PSYTX W/PT 50 MIN IOP SUB A,463.95,273.73,56.44,417.56,23
CPT,90847,HC FAMILY PSYTX W/PT 50 MIN OP [LMH IOP],463.95,273.73,56.44,417.56,23
CPT,90847,HCPR FAMILY PSYTX W/PT 50 MIN,317.19,187.14,38.58,285.47,23
CPT,90847,HCPR FAMILY PSYTX W/PT 50 MIN IOP,317.19,187.14,38.58,285.47,23
CPT,90847,HCPR FAMILY PSYTX W/PT 50 MIN IOP SUB A,317.19,187.14,38.58,285.47,23
CPT,90847,HCPR FAMILY PSYTX W/PT 50 MIN OP,317.19,187.14,38.58,285.47,23
CPT,90849,HC PSY THPY GRP FAM MULTI-SUB ABUSE-IOP,291.74,172.13,35.49,262.57,23
CPT,90849,HC PSYCH THPY GRP FAMILY MULTI - OUTPATIENT,291.74,172.13,35.49,262.57,23
CPT,90849,HC PSYCH THPY GRP FAMILY MULTI IOP [GH OP],291.74,172.13,35.49,262.57,23
CPT,90849,HCPR PSY THPY GRP FAM MULTI-SUB ABUSE-IOP,89.76,52.96,10.92,80.78,23
CPT,90849,HCPR PSYCH THPY GRP FAMILY MULTI IOP [GH OP],89.76,52.96,10.92,80.78,23
CPT,90849,HCPR PSYCH THPY GRP FAMILY MULTI OP,89.76,52.96,10.92,80.78,23
CPT,90853,HC PSYCH THERAPY GROUP - IOP [GH SA IOP],258.32,152.41,31.42,232.49,23
CPT,90853,HC PSYCH THERAPY GROUP - OP [LMH IOP],258.32,152.41,31.42,232.49,23
CPT,90853,HC PSYCH THPY GRP - SA IOP [GH LMH OP],258.32,152.41,31.42,232.49,23
CPT,90853,HCPR PSYCH THERAPY GP-OP,74.7,44.07,9.09,67.23,23
CPT,90853,HCPR PSYCH THERAPY GROUP - IOP,74.7,44.07,9.09,67.23,23
CPT,90853,HCPR PSYCH THERAPY GROUP SA IOP [GH OP],74.7,44.07,9.09,67.23,23
CPT,90867,HC TMS INITIAL TX PLAN,2060.0,1215.4,250.59,1854.0,23
CPT,90868,HC TMS SUBSEQUENT TX,1196.86,706.15,145.59,1077.17,23
CPT,90869,HC TMS REDETERMINATION TX MGT,1724.22,1017.29,209.74,1551.8,23
CPT,90870,HC ELECTROCONVULSIVE THERAPY,3020.99,1782.38,367.49,2718.89,23
CPT,90899,HC KETAMINE THERAPY (UNLISTED),2726.41,1608.58,331.65,2453.77,23
CPT,90899,HC PSYCH THPY ACT MUSIC/A/PLAY PER SESSION,463.95,273.73,56.44,417.56,23
CPT,90901,HC  BIOFEEDBACK TRAIN ANY METH,440.66,259.99,53.6,396.59,23
CPT,90912,HC BFB TRAINING 1ST 15 MIN,466.99,275.52,56.81,420.29,23
CPT,90913,HC BFB TRAINING EA ADDL 15 MIN,350.24,206.64,42.6,315.22,23
CPT,90935,HC HEMODIALYSIS PROC,2023.97,1194.14,246.21,1821.57,23
CPT,90945,HC DIALYSIS OTHER THAN/HEMO,1278.57,754.36,155.53,1150.71,23
CPT,91010,HC STUDY MOTILITY ESOPHAGEAL I&R 2 DIMENSIONL DATA,2145.47,1265.83,260.99,1930.92,23
CPT,91034,HC TEST ACID REFLUX W/NASAL CATH PH ELECT,2145.47,1265.83,260.99,1930.92,23
CPT,91035,HC TEST ESOPHAGUS ACID REFLUX W/MUCOSAL PH ELECTRO,2145.47,1265.83,260.99,1930.92,23
CPT,91037,HC ESOPH MOTILITY IMPEDANCE,1256.4,741.28,152.83,1130.76,23
CPT,91038,HC ESOPH IMPEDE FUNCT TEST UP TO 24HRS,2145.47,1265.83,260.99,1930.92,23
CPT,91040,HC ESOPHGL BALO DISTENSION DX STD W/PROVOCATION,2145.47,1265.83,260.99,1930.92,23
CPT,91065,HC TEST BREATH HYDROGEN,625.38,368.97,76.07,562.84,23
CPT,91110,HC IMAGE GI TRACT ESOPH ILEUM W/REP,3628.52,2140.83,441.39,3265.67,23
CPT,91111,HC IMAGE GI TRACT ESOPH W/REPORT,3628.52,2140.83,441.39,3265.67,23
CPT,91112,HC GI WIRELESS CAPSULE MEASURE,6649.2,3923.03,808.84,5984.28,23
CPT,91120,HC TEST RECTAL SENSATION TONE COMPLIEN,1256.4,741.28,152.83,1130.76,23
CPT,91122,HC TEST MANOMETRY ANORECTAL,1256.4,741.28,152.83,1130.76,23
CPT,91200,HC LIVER ELASTOGRAPHY,466.99,275.52,56.81,420.29,23
CPT,91321,HC SARSCOV2 VAC 25 MCG/.25ML IM,571.52,337.2,69.52,514.37,23
CPT,91322,HC SARSCOV2 VAC 50 MCG/0.5ML IM,583.22,344.1,70.95,524.9,23
CPT,92002,HC EYE EXAM,392.03,231.3,47.69,352.83,23
CPT,92004,HC EYE CMPLX,392.03,231.3,47.69,352.83,23
CPT,92012,HC EYE EXAM ESTABLISH PATIENT,248.19,146.43,30.19,223.37,23
CPT,92014,HC EYE EXAM & TX ESTAB PT 1 OR > VISITS,392.03,231.3,47.69,352.83,23
CPT,92015,HC DETERMINE REFRACTIVE STATE,211.72,124.91,25.75,190.55,23
CPT,92020,HC SPECIAL EYE EVALUATION - GONIOSCOPY,135.78,80.11,16.52,122.2,23
CPT,92060,HC SPECIAL EYE EVALUATION - SENSORIMOTOR,227.78,134.39,27.71,205.0,23
CPT,92066,HC ORTHOP TRAING SUPVJ PHYS/QHP,237.2,139.95,28.85,213.48,23
CPT,92071,HC FIT CONTACT LENS FOR OCULAR DISEASE,844.84,498.46,102.77,760.36,23
CPT,92081,HC VISUAL FIELD EXAMINATION(S),200.57,118.34,24.4,180.51,23
CPT,92082,HC EXAM VISUAL FIELD INTERMED,200.57,118.34,24.4,180.51,23
CPT,92083,HC EXAM VISUAL FIELD EXTENDED,367.72,216.95,44.73,330.95,23
CPT,92133,HC CMPTR OPHTH IMG OPTIC NERVE,200.57,118.34,24.4,180.51,23
CPT,92134,HC CPTR OPHTH DX IMG POSTERIOR SEGMENT,227.78,134.39,27.71,205.0,23
CPT,92201,HC OPSCPY EXTND RTA DRAW UNI/BI,227.78,134.39,27.71,205.0,23
CPT,92202,HC OPSCPY EXTND OPTIC NRV/MACULA DRAW I&R UNI/BI,199.86,117.92,24.31,179.87,23
CPT,92235,HC FLUORESCEIN ANGIO/EYE EXAM W/ PHOTOS,853.96,503.84,103.88,768.56,23
CPT,92240,HC INDOCYANINE GREEN ANGIOGRAPHY,853.96,503.84,103.88,768.56,23
CPT,92242,HC FLUORESCEIN ICG ANGIOGRAPHY,853.96,503.84,103.88,768.56,23
CPT,92250,HC EYE EXAM WITH PHOTOS,367.72,216.95,44.73,330.95,23
CPT,92285,HC EXTERNAL OCULAR PHOTO INTERP & REPORT,200.57,118.34,24.4,180.51,23
CPT,92504,HC EAR MICROSCOPY EXAMINATION,414.32,244.45,50.4,372.89,23
CPT,92507,HC SPEECH TX,477.12,281.5,20.05,429.41,23
CPT,92508,HC ST TX SPEECH GRP,274.52,161.97,11.54,247.07,23
CPT,92511,HC NASOPHARYNGOSCOPY W/ENDOSCOPE,537.9,317.36,65.43,484.11,23
CPT,92512,HC NASAL FUNCTION STUDIES,333.28,196.64,40.54,299.95,23
CPT,92517,HC VEMP TEST I&R CERVICAL,592.0,349.28,72.01,532.8,23
CPT,92518,HC VEMP TEST I&R OCULAR,592.0,349.28,72.01,532.8,23
CPT,92519,HC VEMP TST I&R CERVICAL&OCULAR,1122.04,662.0,136.49,1009.84,23
CPT,92520,HC AUD LARYNGEAL FUNCTION STDY,367.72,216.95,44.73,330.95,23
CPT,92521,HC EVALUATION OF SPEECH FLUENCY,384.94,227.11,16.18,346.45,23
CPT,92522,HC EVALUATE SPEECH PRODUCTION,644.27,380.12,27.08,579.84,23
CPT,92523,"HC EVAL OF SPEECH, COMPREH, EXPRESSION",1306.77,770.99,54.93,1176.09,23
CPT,92524,HC BEHAVRAL QUALIT ANALYS VOICE,1051.49,620.38,44.2,946.34,23
CPT,92526,HC ST TX SWALLOW/ORAL FUNCTION,785.08,463.2,33.0,706.57,23
CPT,92537,HC CALORIC VSTBLR TEST W/REC BITHERMAL,853.96,503.84,103.88,768.56,23
CPT,92538,HC CALORIC VSTBLR TEST W/REC MONOTHERMAL,853.96,503.84,103.88,768.56,23
CPT,92547,HC AUD VERTICAL ELECTRODE USE,275.54,162.57,33.52,247.99,23
CPT,92549,HC CDP-SOT 6 COND W/I&R MCT&ADT,395.98,233.63,48.17,356.38,23
CPT,92550,HC AUD TYMPAN/REFLEX THRESHOLD MEAS,319.1,188.27,38.82,287.19,23
CPT,92551,HC AUD SCRN PURE TONE AIR ONLY,92.18,54.39,11.21,82.96,23
CPT,92552,HC AUD PURE TONE THRESHOLD AIR ONLY,200.57,118.34,24.4,180.51,23
CPT,92553,HC AUD PURE TONE THRESHOLD AIR & BONE,466.99,275.52,56.81,420.29,23
CPT,92555,HC AUD SPEECH THRESHOLD,104.34,61.56,12.69,93.91,23
CPT,92556,HC AUD SPEECH THRESHOLD W/RECOG,104.34,61.56,12.69,93.91,23
CPT,92557,HC AUD EVAL COMP THRESHOLD & SPEECH RECOG,466.99,275.52,56.81,420.29,23
CPT,92563,HC TONE DECAY HEARING TEST,79.01,46.62,9.61,71.11,23
CPT,92565,HC STENGER TEST PURE TONE,104.34,61.56,12.69,93.91,23
CPT,92567,HC AUD TYMPANOMETRY IMPEDANCE TEST,104.34,61.56,12.69,93.91,23
CPT,92568,HC AUD ACOUSTIC REFLEX TEST THRESHOLD,104.34,61.56,12.69,93.91,23
CPT,92570,HC AUD IMMITTANCE TEST,466.99,275.52,56.81,420.29,23
CPT,92571,HC FILTERED SPEECH HEARING TEST,139.79,82.48,17.0,125.81,23
CPT,92579,HC AUD VISUAL REINFORCEMENT AUDIOMETRY,466.99,275.52,56.81,420.29,23
CPT,92582,HC AUD CONDITIONING PLAY AUDIOMETRY,429.51,253.41,52.25,386.56,23
CPT,92583,HC AUD SELECT PICTURE AUDIOMETRY,104.34,61.56,12.69,93.91,23
CPT,92587,HC AUD EVOKED OTOACOUSTIC EMISSIONS LTD,681.75,402.23,82.93,613.58,23
CPT,92588,HC AUD EVOKED OTOACOUSTIC EMISSIONS COMP,785.08,463.2,95.5,706.57,23
CPT,92590,"HC HEARING AID EXAM, ONE EAR",276.55,163.16,33.64,248.9,23
CPT,92591,"HC HEARING AID EXAM, BOTH EARS",276.55,163.16,33.64,248.9,23
CPT,92592,HC AUD HEARING AID CHECK MONAURAL,198.55,117.14,24.15,178.7,23
CPT,92593,HC AUD HEARING AID CHECK BINAURAL,242.11,142.84,29.45,217.9,23
CPT,92594,HC AUD EVALUATION ELECTROACOUSTIC MONAURAL,198.55,117.14,24.15,178.7,23
CPT,92595,HC AUD EVALUATION ELECTROACOUSTIC BINAURAL,198.55,117.14,24.15,178.7,23
CPT,92597,HC EVAL VOICE PROSTH DEVICE,684.79,404.03,28.78,616.31,23
CPT,92601,"HC DX ANALYSIS COCHLEAR IMP, PT <7 YRS, W/PROG",278.58,164.36,33.89,250.72,23
CPT,92602,"HC DX ANALYSIS COCHLEAR IMP, PT <7YRS, SUB REPROG",466.99,275.52,56.81,420.29,23
CPT,92603,"HC DX ANALYSIS COCHLEAR IMP, PT =>7 YRS, W/PROG",278.58,164.36,33.89,250.72,23
CPT,92604,"HC DX ANALYSIS COCHLEAR IMP,PT =>7 YRS, SUB REPROG",308.97,182.29,37.58,278.07,23
CPT,92607,HC EVAL SPEECH GEN AUG/ALT COMM DEV 1ST HR,1146.72,676.56,48.2,1032.05,23
CPT,92608,HC EVAL SPEECH GEN AUG/ALT COMM DEV ADDL 30 MIN,341.38,201.41,14.35,307.24,23
CPT,92609,HC PT MODIFY/TRAIN VOICE PROSTH,548.03,323.34,23.04,493.23,23
CPT,92610,HC EVALUATION SWALLOWING CMPLX,907.65,535.51,38.15,816.89,23
CPT,92611,HC FLURO EVAL SWALLOWING,710.11,418.96,29.85,639.1,23
CPT,92612,HC ENDOSCOPY SWALLOW TST (FEES),992.74,585.72,41.73,893.47,23
CPT,92613,HC ENDOSCOPY SWALLOW (FEES) I&R,285.0,168.15,11.98,256.5,23
CPT,92620,"HC AUDITORY FUNCTION, INITIAL 60 MINS",1032.25,609.03,125.57,929.03,23
CPT,92621,HC EVAL CENTRAL AUDITORY FUNC W/RPRT EA ADD 15 MIN,226.91,133.88,27.6,204.22,23
CPT,92622,HC DX ALY AUD OI SND PRCSR 1ST 60 MINS,625.28,368.92,76.06,562.75,23
CPT,92623,HC DX ALY AUD OI SND PRCSR EA ADDL 15 MINS,312.64,184.46,38.03,281.38,23
CPT,92625,HC TINNITUS ASSESSMENT,466.99,275.52,56.81,420.29,23
CPT,92626,HC EVAL AUD FUNCJ (CAND/PO SURG) 1ST HOUR,302.89,178.71,12.73,272.6,23
CPT,92627,HC EVAL AUD FUNCJ (CAND/PO SURG) EA ADDL 15 MINS,116.5,68.74,4.9,104.85,23
CPT,92650,HC AEP SCR AUDITORY POTENTIAL,466.99,275.52,56.81,420.29,23
CPT,92651,HC AEP HEARING STATUS DETER I&R,592.0,349.28,72.01,532.8,23
CPT,92652,HC AEP THRSHLD EST MLT FREQ I&R,1122.04,662.0,136.49,1009.84,23
CPT,92653,HC AEP NEURODIAGNOSTIC I&R,1122.04,662.0,136.49,1009.84,23
CPT,92920,HC PERC CARDIAC ANGIOPLASTY 1 ARTERY,12489.28,7368.68,2995.87,11240.35,23
CPT,92921,HC PERC CARDIAC ANGIOPLASTY EACH ADDL ARTERY,11614.05,6852.29,2785.93,10452.65,23
CPT,92924,HC PERC CARDIAC ANGIO/ATHRECT 1 ARTERY,20287.35,11969.54,4866.44,18258.62,23
CPT,92925,HC PERC CARDIAC ANGIO/ATHRECT EACH ADDL,19619.78,11575.67,4706.31,17657.8,23
CPT,92928,HC PERC CARDIAC STENT W/ANGIO 1 VESSEL,27119.54,16000.53,6505.31,24407.59,23
CPT,92929,HC PERC CARDIAC STENT W/ANGIO EACH ADDL VESSEL,13559.77,8000.26,3252.66,12203.79,23
CPT,92933,HC PERC CARDIAC STENT ATHERECT ANGIO,36627.5,21610.23,8786.04,32964.75,23
CPT,92934,HC PERC CARDIAC STENT ATHERECT ANGIO EACH ADDL,18313.75,10805.11,4393.02,16482.38,23
CPT,92937,HC PERC REVASC BYPASS GRAFT 1 VESSEL,27119.54,16000.53,6505.31,24407.59,23
CPT,92938,HC PERC REVASC BYPASS GRAFT EACH ADDL VESSEL,13559.77,8000.26,3252.66,12203.79,23
CPT,92941,HC PERC CARDIAC REVASC MI 1 VESSEL,27119.54,16000.53,6505.31,24407.59,23
CPT,92943,HC PERC CARDIAC REVASC CHRONIC 1 VESSEL,27119.54,16000.53,6505.31,24407.59,23
CPT,92944,HC PERC CARDIAC REVASC CHRONIC EACH ADDL VESSEL,13559.77,8000.26,3252.66,12203.79,23
CPT,92950,HC CARDIOPULM RESUSCITATION,853.96,503.84,204.84,768.56,23
CPT,92953,HC TEMPORARY TRANSCUTANEOUS PACING,1769.71,1044.13,424.51,1592.74,23
CPT,92960,HC CARDIOVERSION ELECTIVE EXTERNAL,2076.43,1225.09,498.08,1868.79,23
CPT,92961,HC CARDIOVERSION ELECTIVE INTERNAL,2076.43,1225.09,498.08,1868.79,23
CPT,92972,HC PERQ TRLUML CORONARY LITHOTRIPSY,6244.64,3684.34,1497.94,5620.18,23
CPT,92973,HC PERC TRANSLUMINAL COR THROMBECTOMY,8746.24,5160.28,2098.01,7871.62,23
CPT,92974,HC TRCATH PL BRACHYTHPY DEVICE,8020.93,4732.35,1924.02,7218.84,23
CPT,92977,HC THROMBO COR IV INF,1355.66,799.84,325.19,1220.09,23
CPT,92978,HC IVUS INITIAL VESS,2316.73,1366.87,555.73,2085.06,23
CPT,92979,HC IVUS EA ADDL VESS,1166.98,688.52,279.93,1050.28,23
CPT,92986,HC VALVULOPLASTY AOIC VALVE,12489.28,7368.68,2995.87,11240.35,23
CPT,92987,HC VALVULOPLASTY MITRAL VALVE,20287.35,11969.54,4866.44,18258.62,23
CPT,92990,HC VALVULOPLASTY PULM VALVE,20287.35,11969.54,4866.44,18258.62,23
CPT,92997,HC ANGIOPLASTY PULM ARTERY SNGL VESS,20287.35,11969.54,4866.44,18258.62,23
CPT,92998,HC ANGIOPLASTY PULM ARTERY EA ADDL VESS,11457.03,6759.65,2748.26,10311.33,23
CPT,93000,HC EKG ROUTINE W/PF,825.6,487.1,198.04,743.04,23
CPT,93005,HC EKG ROUTINE TRACING ONLY,243.92,143.91,58.51,219.53,23
CPT,93017,HC STRESS TEST TRACING ONLY,853.96,503.84,204.84,768.56,23
CPT,93041,HC EKG RHYTHM TRACING ONLY,200.57,118.34,48.11,180.51,23
CPT,93225,HC ECG MONITOR/REPO UP TO 48 HRS RECORDING,367.72,216.95,88.21,330.95,23
CPT,93226,HC ECG MONITOR/REPO UP TO 48 HRS ANLYS,367.72,216.95,88.21,330.95,23
CPT,93242,HC EXTERNAL ECG REC>48HR<7D RECORDING,143.6,84.72,34.45,129.24,23
CPT,93243,HC EXT ECG>48HR<7D SCAN A/R,236.15,139.33,56.65,212.54,23
CPT,93246,HC EXTERNAL ECG REC>7D<15D RECORDING,236.15,139.33,56.65,212.54,23
CPT,93247,HC EXTERNAL ECG REC>7D<15D SCANNING ALYS W/REPORT,474.75,280.1,113.88,427.28,23
CPT,93260,HC PRGRMG DEV EVAL IMPLTBL SYS,129.66,76.5,31.1,116.69,23
CPT,93261,HC INTERROGATE SUBQ DEFIB,129.66,76.5,31.1,116.69,23
CPT,93270,HC EVENT RECORDER HOOK UP,142.09,83.83,34.08,127.88,23
CPT,93271,HC ECG EVENT MONIT/ANLYS UP TO 30,921.83,543.88,221.12,829.65,23
CPT,93279,HC PROGRAM DEVICE EVAL PM/LDLS PM,129.66,76.5,31.1,116.69,23
CPT,93280,HC PROG DEVICE EVAL DUAL LEAD PACEMAKER,129.66,76.5,31.1,116.69,23
CPT,93281,HC PROGRAM MULT LEAD PP,129.66,76.5,31.1,116.69,23
CPT,93282,HC PROG DEVICE EVAL SNGL LEAD ICD,129.66,76.5,31.1,116.69,23
CPT,93283,HC PROG DEVICE EVAL DUAL LEAD ICD IN PERSON,129.66,76.5,31.1,116.69,23
CPT,93284,HC PROG DEVICE EVAL MULT LEAD ICD IN PERSON,146.89,86.67,35.24,132.2,23
CPT,93285,HC PROGRAMG DEV EVAL SCRMS IP,129.66,76.5,31.1,116.69,23
CPT,93286,HC PERI-PX EVAL PM/LDLS PM IP,500.42,295.25,120.04,450.38,23
CPT,93287,HC PERI-PROCEDURAL EVAL ICD,307.95,181.69,73.87,277.16,23
CPT,93288,HC INTERROG EVAL PM/LDLS PM IP,129.66,76.5,31.1,116.69,23
CPT,93289,HC INTERROG ICD,129.66,76.5,31.1,116.69,23
CPT,93290,HC INTERROG DEV EVAL ICPMS IP,129.66,76.5,31.1,116.69,23
CPT,93291,HC INTERROG DEV EVAL SCRMS IP,104.34,61.56,25.03,93.91,23
CPT,93292,HC INTERROG DEVICE EVAL WEARABLE DEFIB,129.66,76.5,31.1,116.69,23
CPT,93293,HC ANLYS PACEMAKER DUAL TELEPHONIC,206.65,121.92,49.57,185.99,23
CPT,93296,HC REM INTERROG DEV EVAL PM/LDS,129.66,76.5,31.1,116.69,23
CPT,93297,HC REM INTERROG DEV EVAL ICPMS,150.96,89.07,36.21,135.86,23
CPT,93298,HC REM INTERROG DEV EVAL SCRMS,150.96,89.07,36.21,135.86,23
CPT,93303,HC ECHO CONGENITAL ANOMALY COMPL,1653.22,975.4,396.57,1487.9,23
CPT,93304,HC ECHO CONGENITAL ANOMALY LTD,1653.22,975.4,396.57,1487.9,23
CPT,93306,HC ECHO 2D W/ SPEC/COLOR FLOW M-MODE COMPL,1653.22,975.4,396.57,1487.9,23
CPT,93307,HC ECHO 2D W/ M-MODE COMPL,1395.91,823.59,334.84,1256.32,23
CPT,93308,HC ECHO 2D W/ OR W/O M-MODE LTD,830.66,490.09,199.26,747.59,23
CPT,93312,HC ECHO TEE COMPL W/PRO FEE,1653.22,975.4,396.57,1487.9,23
CPT,93315,HC ECHO TEE ANOMALY COMPL W/PRO FEE,2268.11,1338.18,544.06,2041.3,23
CPT,93316,HC ECHO TRANSESOPHAGEAL CONGEN PROBE PLCMT ONLY,1713.42,1010.92,411.01,1542.08,23
CPT,93319,HC 3D ECHO IMG CGEN CAR ANOMAL,571.84,337.39,137.17,514.66,23
CPT,93320,HC ECHO DOPPLER COMPL,279.59,164.96,67.07,251.63,23
CPT,93321,HC ECHO DOPPLER LIMITED,154.99,91.44,37.18,139.49,23
CPT,93325,HC ECHO COLOR FLOW VELOCITY MAPPING,174.24,102.8,41.8,156.82,23
CPT,93350,HC ECHO REST & STRESS,1653.22,975.4,396.57,1487.9,23
CPT,93351,HC ECHO RESTING CONTINOUS MONITORING,1653.22,975.4,396.57,1487.9,23
CPT,93352,HC ADMIN ECHO STRESS CONTR AGENT,261.35,154.2,62.69,235.22,23
CPT,93355,HC ECHO TRANSESOPHAGEAL (TEE),1690.7,997.51,405.56,1521.63,23
CPT,93356,HC MYOCRD STRAIN IMG SPCKL TRCK,197.54,116.55,47.39,177.79,23
CPT,93451,HC CATH RT HEART INC O2 SAT CARDIAC OUTPUT,9159.55,5404.13,2197.15,8243.6,23
CPT,93452,HC CATH LT HEART W/ VENTRICULOGRAPY S&I,9159.55,5404.13,2197.15,8243.6,23
CPT,93453,HC CATH RT/LT HEART W/ VENTRICULOGRAPHY S&I,9159.55,5404.13,2197.15,8243.6,23
CPT,93454,HC CATH PL COR ARTERY ANGIO S&I,9159.55,5404.13,2197.15,8243.6,23
CPT,93455,HC CATH PL COR ARTERY/GRAFT ANGIO S&I,9159.55,5404.13,2197.15,8243.6,23
CPT,93456,HC CATH PL COR ARTERY ANGIO S&I W/ RT HRT,9159.55,5404.13,2197.15,8243.6,23
CPT,93457,HC COR ART/GRAFT ANGIO RT HRT CATH,9159.55,5404.13,2197.15,8243.6,23
CPT,93458,HC CATH PL COR ARTERY ANGIO W/ LT HRT VENT,9159.55,5404.13,2197.15,8243.6,23
CPT,93459,HC COR ART/GRAFT ANGIO LT HRT CATH,9159.55,5404.13,2197.15,8243.6,23
CPT,93460,HC COR ART ANGIO W/ RT&LT HRT VENT,9159.55,5404.13,2197.15,8243.6,23
CPT,93461,HC COR ART ANGIO RT&LT HRT VENT BYPASS,9159.55,5404.13,2197.15,8243.6,23
CPT,93462,HC TRANSEPTAL PUNCT TO LEFT HEART,4185.72,2469.57,1004.05,3767.15,23
CPT,93463,HC DRUG ADMIN AND HEMODYNAMIC MES,1900.39,1121.23,455.86,1710.35,23
CPT,93464,HC PHYS EXERCISE STUDY & HEMODYNAMIC MEASURE,4004.0,2362.36,960.46,3603.6,23
CPT,93503,HC INS SWAN GANZ,2286.34,1348.94,548.44,2057.71,23
CPT,93505,HC BX ENDOMYOCARD,4797.57,2830.57,1150.82,4317.81,23
CPT,93563,HC INJ CONGENITAL CARD CATH,1161.91,685.53,278.71,1045.72,23
CPT,93564,HC INJ CONGENITAL HRT ART/ GRAFT,1228.77,724.97,294.75,1105.89,23
CPT,93565,HC INJ LT ATRIAL/VENTRIC ANGIO,901.57,531.93,216.26,811.41,23
CPT,93566,HC INJ RT ATRIAL/VENTRIC ANGIO CATH IM SI&R,925.88,546.27,222.1,833.29,23
CPT,93567,HC INJ SUPRAVALVULAR AORTOGRAPHY,1050.48,619.78,251.98,945.43,23
CPT,93568,HC INJ PULM ANGIO DURING CARD CATH IMG SI&R,946.14,558.22,226.96,851.53,23
CPT,93569,HC NJX CTH SLCT P-ART ANGRP UNI,946.14,558.22,226.96,851.53,23
CPT,93571,HC INTRAVASC DOPLR VELOCITY/COLOR FLOW INIT,2708.76,1598.17,649.77,2437.88,23
CPT,93572,HC INTRAVASC DOPLR VELOCITY/COLOR FLOW ADDL,1026.17,605.44,246.15,923.55,23
CPT,93573,HC NJX CATH SLCT P-ART ANGRP BI,1182.68,697.78,283.7,1064.41,23
CPT,93574,HC NJX CATH SLCT PULM VN ANGRPH,946.14,558.22,226.96,851.53,23
CPT,93575,HC NJX CATH SLCT P ANGRPH MAPCA,946.14,558.22,226.96,851.53,23
CPT,93580,HC PERC TRCATH CLOSURE W/IMPL INTERATRIAL,25593.45,15100.14,6139.24,23034.11,23
CPT,93581,HC PERC TRCATH CLOSURE W/IMPL VENTRIC,25593.45,15100.14,6139.24,23034.11,23
CPT,93582,HC PERQ TRANSCATH CLOSURE PDA,25593.45,15100.14,6139.24,23034.11,23
CPT,93583,HC PERQ TRANSCATH SEPTAL REDUXN,14818.16,8742.71,3554.51,13336.34,23
CPT,93584,HC VNGRPH CHD ANOM/PERSIST SVC,6410.71,3782.32,1537.77,5769.64,23
CPT,93585,HC VNGRPH CHD AZYGS/HEMIAZYGS,6410.71,3782.32,1537.77,5769.64,23
CPT,93586,HC VNGRPH CHD CORONARY SINUS,6410.71,3782.32,1537.77,5769.64,23
CPT,93587,HC VNGRPH CHD VNVN CLTRL AT/ABV,6410.71,3782.32,1537.77,5769.64,23
CPT,93588,HC VNGRPH CHD VNVN CLTRL BELOW,6410.71,3782.32,1537.77,5769.64,23
CPT,93590,HC PERQ TRANSCATH CLS MITRAL,25593.45,15100.14,6139.24,23034.11,23
CPT,93591,HC PERQ TRANSCATH CLS AORTIC,58479.85,34503.11,14027.89,52631.87,23
CPT,93592,HC PERQ TRANSCATH CLOSURE EACH ADD ON,8715.85,5142.35,2090.72,7844.27,23
CPT,93593,HC R HRT CATH CHD NML NT CNJ,10407.14,6140.21,2496.42,9366.43,23
CPT,93594,HC R HRT CATH CHD ABNL NT CNJ,10407.14,6140.21,2496.42,9366.43,23
CPT,93595,HC L HRT CATH CHD NM/ABN NT CNJ,10407.14,6140.21,2496.42,9366.43,23
CPT,93596,HC R&L HRT CATH CHD NML NT CNJ,10407.14,6140.21,2496.42,9366.43,23
CPT,93597,HC R&L HRT CATH CHD ABNL NT CNJ,10407.14,6140.21,2496.42,9366.43,23
CPT,93598,HC CAR OUTP MEAS DRG CATH CHD,458.85,270.72,110.07,412.97,23
CPT,93600,HC BUNDLE OF HIS RECORDING,10489.52,6188.82,2516.18,9440.57,23
CPT,93602,HC EP INTRA-ATRIAL RECORDING,8729.25,5150.26,2093.93,7856.33,23
CPT,93603,HC RT VENTRIC RECORDING,3160.56,1864.73,758.14,2844.5,23
CPT,93609,HC TACHYCARDIA SITE MAPPING,3931.45,2319.56,943.06,3538.31,23
CPT,93612,HC EP INTRAVENTRIC PACING,12192.47,7193.56,2924.68,10973.22,23
CPT,93613,HC EP INTRACARDIAC 3-D MAPPING,13126.45,7744.61,3148.71,11813.81,23
CPT,93616,HC ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRMS W/PACG,8284.0,4887.56,1987.13,7455.6,23
CPT,93618,HC ARRHYTHMIA INDUCTION ELECTRICAL,5079.55,2996.93,1218.46,4571.6,23
CPT,93619,HC EP CMPRH W/O ARRHYTHMIA,12192.47,7193.56,2924.68,10973.22,23
CPT,93620,HC EP CMPRH W/ARRHYTHMIA,12192.47,7193.56,2924.68,10973.22,23
CPT,93621,HC EP CMPRH W/LT ATRIUM,7401.99,4367.17,1775.56,6661.79,23
CPT,93622,HC EP CMPRH W/LT VENTRICLE,2761.44,1629.25,662.4,2485.3,23
CPT,93623,HC EP IV DRUG INF PACING,6765.83,3991.84,1622.96,6089.25,23
CPT,93624,HC EP F/U,12192.47,7193.56,2924.68,10973.22,23
CPT,93640,HC EP EVAL CARDIO/DEFIB LEADS,1811.24,1068.63,434.47,1630.12,23
CPT,93641,HC EP EVAL CARDIO/DEFIB GENERATOR,3829.14,2259.19,918.52,3446.23,23
CPT,93642,HC EP EVAL CARDIO/DEFIB SNGL OR DUAL,3160.56,1864.73,758.14,2844.5,23
CPT,93650,HC ABLAT ATRIOVENTRIC FUNCTION,12192.47,7193.56,2924.68,10973.22,23
CPT,93653,HC EP & ABLATE SVT/AVNRT/AFLUTTER,37269.28,21988.88,8939.99,33542.35,23
CPT,93654,HC EP & ABLATE VENTRIC TACHY,37269.28,21988.88,8939.99,33542.35,23
CPT,93655,HC ABLATE ARRHYTHMIA ADD ON,8535.54,5035.97,2047.47,7681.99,23
CPT,93656,HC TX ATRIAL FIB PULM VEIN,37269.28,21988.88,8939.99,33542.35,23
CPT,93657,HC ABLATE ATRIAL FIBRIL W/ISO PULM VEIN ADD ON,8514.27,5023.42,2042.37,7662.84,23
CPT,93660,HC TILT TABLE TESTING,1527.6,901.28,366.43,1374.84,23
CPT,93662,HC EP INTRACARDIAC ECHO W/INTERVENT,3745.06,2209.59,898.35,3370.55,23
CPT,93668,"HC PERIPHERAL ART DISEASE REHAB, EA",107.38,63.35,13.06,96.64,23
CPT,93702,HC BIS XTRACELL FLUID ANALYSIS,466.99,275.52,56.81,420.29,23
CPT,93724,HC ANLYS PACEMAKER ANTITACHYCARDIA,928.92,548.06,222.83,836.03,23
CPT,93750,HC INTERROG VAD W/PHYS ANALYSIS,401.15,236.68,96.23,361.04,23
CPT,93786,HC AMBULATORY BP MONITOR 24+ HR RECORD ONLY,367.72,216.95,88.21,330.95,23
CPT,93788,HC 24 HR BP SCANNING,367.72,216.95,88.21,330.95,23
CPT,93797,HC CARDIAC REHAB W/O MONITOR PER SESSION,405.2,239.07,49.29,364.68,23
CPT,93798,HC CARDIAC REHAB W/MONITOR PER SESSION,405.2,239.07,49.29,364.68,23
CPT,93799,HC UNLISTED CARDIOVASCULAR SERVICE,466.99,275.52,112.02,420.29,23
CPT,93880,HC DUPLEX EXTRACRANIAL/CAROTID BILATERAL,1075.06,634.29,130.78,967.55,23
CPT,93882,HC DUPLEX EXTRACRANIAL/CAROTID UNILAT,688.55,406.24,83.76,619.7,23
CPT,93886,HC DOPPLER TRANSCRAN COMPL,1020.09,601.85,124.09,918.08,23
CPT,93888,HC DOPPLER TRANSCRAN LTD,672.63,396.85,81.82,605.37,23
CPT,93922,HC DOPPLER ARTERIAL EXTREMITY LIMITED BILATERAL,510.63,301.27,62.12,459.57,23
CPT,93923,HC DOPPLER ARTERIAL EXTREMITY COMPLETE BILATERAL,770.5,454.6,93.73,693.45,23
CPT,93924,HC DOPPLER ARTERIAL EXT W/STRESS,672.98,397.06,81.86,605.68,23
CPT,93925,HC DUPLEX AERIAL LWR EXTREM,1243.63,733.74,151.28,1119.27,23
CPT,93926,HC DUPLEX AERIAL LWR EXTREM UNILAT/LTD,850.06,501.54,103.41,765.05,23
CPT,93930,HC DUPLEX AERIAL UPR EXTREM,1124.24,663.3,136.76,1011.82,23
CPT,93931,HC DUPLEX AERIAL UPR EXTREM UNILAT/LTD,695.56,410.38,84.61,626.0,23
CPT,93970,HC DUPLEX VENOUS EXTREM,1075.06,634.29,130.78,967.55,23
CPT,93971,HC DUPLEX VENOUS EXTREM UNI/LTD,653.45,385.54,79.49,588.11,23
CPT,93975,HC DUPLEX ABD/PELVIS/RETRO COMPL,830.66,490.09,101.05,747.59,23
CPT,93976,HC DUPLEX ABD/PELVIS/RETROPERITONEAL LTD,668.58,394.46,81.33,601.72,23
CPT,93978,HC DUPLEX AOA/IVC/ILIAC/GRAFT COMPL,830.66,490.09,101.05,747.59,23
CPT,93979,HC DUPLEX AOA/IVC/ILIAC/GRAFT LTD,466.95,275.5,56.8,420.26,23
CPT,93980,HC DUPLEX PENILE VESSS COMPL,414.32,244.45,50.4,372.89,23
CPT,93985,HC DUP-SCAN HEMO COMPL BI STD,846.55,499.46,141.94,761.9,23
CPT,93986,HC DUP-SCAN HEMO COMPL UNI STD,407.32,240.32,68.3,366.59,23
CPT,93990,HC DUPLEX HEMODIALYSIS ACCESS,724.3,427.34,88.11,651.87,23
CPT,93998,HC OTHER NONINVASIVE VASC DIAG STUDY,104.68,61.76,12.73,94.21,23
CPT,94002,HC VENT MANGMNT INPT/OBS INIT DAY,1645.46,970.82,200.16,1480.91,23
CPT,94003,HC VENTILATOR MGMT INPAT/OBS SUBSEQ DAY,1645.46,970.82,200.16,1480.91,23
CPT,94010,HC SPIROMETRY/PFT SMPL,466.99,275.52,56.81,420.29,23
CPT,94014,HC PATIENT SPIROMETRY DATA ACQ/ANALYSIS,961.34,567.19,116.94,865.21,23
CPT,94060,HC SPIROMETRY/PFT PRE & POST BRONCH,853.96,503.84,103.88,768.56,23
CPT,94070,HC SPIROMETRY/PFT CMPLX,853.96,503.84,103.88,768.56,23
CPT,94150,HC VITAL CAPACITY TOTAL (FVC),253.25,149.42,30.81,227.93,23
CPT,94200,HC MAXIMUM VOLUNTARY VENTILATION (MVV),367.72,216.95,44.73,330.95,23
CPT,94375,HC RESP FLOW VOLUME LOOP,530.81,313.18,64.57,477.73,23
CPT,94450,HC BREATHING RESPONSE HYPOXIA,466.99,275.52,56.81,420.29,23
CPT,94453,HC HIGH ALTITUDE SIM TEST W/O2 TITRATION,367.72,216.95,44.73,330.95,23
CPT,94610,HC INTRAPULMONARY SURFACANT ADMIN PHYS/QHP,689.53,406.82,83.88,620.58,23
CPT,94617,HC EXERCISE TST BRNCSPSM,367.72,216.95,44.73,330.95,23
CPT,94618,HC PULMONARY STRESS TESTING,367.72,216.95,44.73,330.95,23
CPT,94621,HC PULM STRESS TEST CMPLX,853.96,503.84,103.88,768.56,23
CPT,94625,HC PHY/QHP OP PULM RHB W/O MNTR,227.78,134.39,27.71,205.0,23
CPT,94626,HC PHY/QHP OP PULM RHB W/MNTR,227.78,134.39,27.71,205.0,23
CPT,94640,HC PRESSURIZED/NONPRESSURIZED INHAL TX,637.1,375.89,77.5,573.39,23
CPT,94642,HC AEROSOL INHAL PENTAMIDINE,637.1,375.89,77.5,573.39,23
CPT,94644,HC CONTINUOUS AER INHAL TX 1ST HR,367.72,216.95,44.73,330.95,23
CPT,94645,HC CONTINUOUS INHAL TX EA ADDL HR,232.99,137.46,28.34,209.69,23
CPT,94660,HC CPAP INITIATION/MGMT,637.1,375.89,77.5,573.39,23
CPT,94664,HC MDI DEMO/EVAL,637.1,375.89,77.5,573.39,23
CPT,94667,HC CHEST WALL MANIPULATION INIT,461.41,272.23,56.13,415.27,23
CPT,94668,HC CHEST WALL MANIPULATION SUBSEQ,461.41,272.23,56.13,415.27,23
CPT,94669,HC MECHANICAL CHEST WALL OSCILL,853.76,503.72,103.86,768.38,23
CPT,94680,HC O2 UPTAKE EXP GAS REST & EXERCISE SMPL,466.99,275.52,56.81,420.29,23
CPT,94690,HC O2 UPTAKE EXP GAS REST,104.34,61.56,12.69,93.91,23
CPT,94726,HC PLETHYSMOGRAPHY LUNG VOL,563.23,332.31,68.51,506.91,23
CPT,94727,HC FUNCTIONAL RESIDUAL CAPACITY (FRC),466.99,275.52,56.81,420.29,23
CPT,94728,HC AIRWAY RESISTANCE BY OSCILLOMETRY,853.96,503.84,103.88,768.56,23
CPT,94729,HC CO DIFFUSING CAPACITY (DLCO),725.31,427.93,88.23,652.78,23
CPT,94760,HC PULSE OXIMETRY SNGL DETERMINATION,51.66,30.48,6.28,46.49,23
CPT,94761,HC PULSE OXIMETRY MULT DETERMINATIONS,73.95,43.63,9.0,66.56,23
CPT,94762,HC PULSE OXIMETRY OVERNIGHT CONTINUOUS,466.99,275.52,56.81,420.29,23
CPT,94780,HC CAR SEAT/BED TEST AIR 60MIN,124.56,73.49,15.15,112.1,23
CPT,94781,HC CAR SEAT/BED TEST AIR + 30MIN,43.96,25.94,5.35,39.56,23
CPT,94799,HC PULM UNLISTED SVC/PROC,343.41,202.61,41.77,309.07,23
CPT,95004,HC TEST ALLERGY PERC W/ALLERG,265.0,156.35,32.24,238.5,23
CPT,95012,HC NITRIC OXIDE EXP GAS DETERMINATION,104.34,61.56,12.69,93.91,23
CPT,95017,HC PERQ & ICUT ALLG TEST VENOMS,104.34,61.56,12.69,93.91,23
CPT,95018,HC ALLG TEST PERQ & IC DRUG/BIOL,103.0,60.77,12.41,92.7,23
CPT,95024,HC TEST ALLERGY INTRA W/ALLERG EXT IMMED,198.0,116.82,24.09,178.2,23
CPT,95028,HC SKIN TEST INTRDADERMAL DELAYED REACTION,104.34,61.56,12.69,93.91,23
CPT,95044,HC TEST ALLERGY PATCH,265.0,156.35,32.24,238.5,23
CPT,95056,HC TEST PHOTOSENSITIVITY,511.33,301.68,62.2,460.2,23
CPT,95070,HC TEST BRONCH INHAL CHALLENGE W/HISTAMINE,1527.6,901.28,185.82,1374.84,23
CPT,95076,HC INGEST CHALLENGE INI 120 MIN,1661.48,980.27,202.11,1495.33,23
CPT,95079,HC INGEST CHALLENGE ADDL 60 MIN,830.74,490.14,101.06,747.67,23
CPT,95115,HC IMMUNOTHPY ALLERGEN 1 INJ W/O EXTRACT,59.0,34.81,7.18,53.1,23
CPT,95117,HC IMMUNOTHPY ALLERGEN INJ 2+ W/O EXTRACT,190.33,112.29,23.15,171.3,23
CPT,95120,HC IMMUNOTHERAPY ONE INJECTION,86.11,50.8,10.47,77.5,23
CPT,95125,HC IMMUNOTHERAPY 2/> INJECTIONS,129.66,76.5,15.77,116.69,23
CPT,95130,HC IMMUNOTHPY ALLERGEN 1 INSECT VENOM,36.0,21.24,4.38,32.4,23
CPT,95131,HC IMMUNOTHPY ALLERGEN 2 INSECT VENOM,106.0,62.54,12.89,95.4,23
CPT,95132,HC IMMUNOTHPY ALLERGEN 3 INSECT VENOM,100.0,59.0,12.16,90.0,23
CPT,95165,HC IMMUNOTHPY ALRGN P/P DOSES,127.64,75.31,15.53,114.88,23
CPT,95180,HC RAPID DESENSITIZATION,320.11,188.86,38.94,288.1,23
CPT,95199,HC UNLISTED ALLERGY IMMUNOLOGY SERVICES,46.0,27.14,5.6,41.4,23
CPT,95249,HC CONT GLUCOSE MONITOR PT PROV EQP,216.58,127.78,26.35,194.92,23
CPT,95250,HC GLUCOSE MONITORING CONT,392.0,231.28,47.68,352.8,23
CPT,95700,HC EEG CONT REC W/VID BY TECH MIN 8 CHANNELS,919.78,542.67,111.89,827.8,23
CPT,95705,HC EEG W/O VID BY TECH 2-12 HR UNMONITORED,919.78,542.67,111.89,827.8,23
CPT,95706,HC EEG W/O VID BY TECH 2-12 HR INTERMITTENT MNTR,919.78,542.67,111.89,827.8,23
CPT,95707,HC EEG W/O VID BY TECH 2-12HR CONTINUOUS R-T MNTR,919.78,542.67,111.89,827.8,23
CPT,95708,HC EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,1761.9,1039.52,214.33,1585.71,23
CPT,95709,HC EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR,1761.9,1039.52,214.33,1585.71,23
CPT,95710,HC EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR,1761.9,1039.52,214.33,1585.71,23
CPT,95711,HC VEEG BY TECH 2-12 HOURS UNMONITORED,919.78,542.67,111.89,827.8,23
CPT,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,919.78,542.67,111.89,827.8,23
CPT,95713,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,1761.9,1039.52,214.33,1585.71,23
CPT,95714,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,1761.9,1039.52,214.33,1585.71,23
CPT,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,1761.9,1039.52,214.33,1585.71,23
CPT,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,3303.18,1948.88,401.81,2972.86,23
CPT,95717,HCPR EEG PHYS/QHP 2-12 HR WITHOUT VID,331.02,195.3,40.27,297.92,23
CPT,95718,HCPR EEG PHYS/QHP 2-12 HR WITH VID,436.02,257.25,53.04,392.42,23
CPT,95719,HCPR EEG PHYS/QHP EA INCR W/O VID,514.56,303.59,62.59,463.1,23
CPT,95720,HCPR EEG PHY/QHP EA INCR W/VEEG,675.3,398.43,82.15,607.77,23
CPT,95721,HCPR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VID,677.7,399.84,82.44,609.93,23
CPT,95722,HCPR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VID,824.16,486.25,100.25,741.74,23
CPT,95723,HCPR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VID,839.34,495.21,102.1,755.41,23
CPT,95724,HCPR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VID,1050.75,619.94,127.82,945.68,23
CPT,95725,HCPR EEG COMPLETE STD PHYS/QHP>84 HR W/O VID,955.02,563.46,116.17,859.52,23
CPT,95726,HCPR EEG COMPLETE STD PHYS/QHP>84 HR W/VID,1327.74,783.37,161.51,1194.97,23
CPT,95782,HC POLYSOM <6 YRS 4/> PARAMETERS,3855.85,2274.95,469.04,3470.27,23
CPT,95783,HC POLYSOM <6 YRS CPAP/BILEVEL,3855.85,2274.95,469.04,3470.27,23
CPT,95800,HC SLP SDY UNATT W/HRT RATE/O2 SAT/RESP/TIME,1327.67,783.33,161.5,1194.9,23
CPT,95801,HC UNATTEND SLEEP STUDY SIMUL RECORDING,479.15,282.7,58.29,431.24,23
CPT,95805,HC MULT SLEEP LATENCY,3401.06,2006.63,413.72,3060.95,23
CPT,95806,HC SLEEP STUDY UNATT&RESP EFFT,971.29,573.06,118.15,874.16,23
CPT,95807,HC SLEEP STDY ATTENDED,1994.93,1177.01,242.67,1795.44,23
CPT,95808,HC PSG (SLEEP STAGING) 1-3 PARAMETERS,3855.85,2274.95,469.04,3470.27,23
CPT,95810,HC PSG (SLEEP STAGING) 4+ PARAMETERS,3855.85,2274.95,469.04,3470.27,23
CPT,95811,HC PSG (SLEEP STAGING) 4+ PARAMETERS W/CPAP,3855.85,2274.95,469.04,3470.27,23
CPT,95812,HC EEG MONITOR 41-60 MIN,1082.94,638.93,131.73,974.65,23
CPT,95813,HC EEG EXTND MNTR 61-119 MIN,1082.94,638.93,131.73,974.65,23
CPT,95816,HC EEG AWAKE/DROWSY,1082.94,638.93,131.73,974.65,23
CPT,95819,HC EEG AWAKE/ASLEEP,1082.94,638.93,131.73,974.65,23
CPT,95822,HC EEG COMA OR SLEEP ONLY,853.96,503.84,103.88,768.56,23
CPT,95824,HC EEG CEREBRAL DEATH EVAL.,1527.6,901.28,185.82,1374.84,23
CPT,95829,HC ELECTROCORTICOGRAM INTRAOP,1848.73,1090.75,224.89,1663.86,23
CPT,95851,HC ROM TEST EXTRMTY OR TRUNK,65.85,38.85,2.77,59.27,23
CPT,95860,HC EMG 1 EXTREM,367.72,216.95,44.73,330.95,23
CPT,95861,HC EMG 2 EXTREMITIES,367.72,216.95,44.73,330.95,23
CPT,95865,HC EMG LARYNX,367.72,216.95,44.73,330.95,23
CPT,95867,HC EMG CRAN NRV UNI,466.99,275.52,56.81,420.29,23
CPT,95868,HC EMG CRAN NRV BILATERAL,466.99,275.52,56.81,420.29,23
CPT,95869,HC EMG THOR PARASPINAL,290.73,171.53,35.37,261.66,23
CPT,95870,HC EMG EXTREMITY LTD,200.57,118.34,24.4,180.51,23
CPT,95872,HC EMG SNGL FIBER DENSITY,466.99,275.52,56.81,420.29,23
CPT,95873,HC ELEC STIM GUID W/CHEMODENERVATION,279.99,165.19,34.06,251.99,23
CPT,95874,HC EMG NEEDLE W/CHEMODENERVATION,154.0,90.86,18.73,138.6,23
CPT,95885,HC EMG EA EXTREM W/NERVE COND LTD,356.58,210.38,43.38,320.92,23
CPT,95886,HC EMG EA EXTREMITY W/NERVE COND COMPL,400.14,236.08,48.67,360.13,23
CPT,95887,HC EMG NON-EXTREMITY W/NERVE COND,347.46,205.0,42.27,312.71,23
CPT,95907,HC NERVE CONDUCTION STUDIES 1-2 STUDIES,466.99,275.52,56.81,420.29,23
CPT,95908,HC NERVE CONDUCTION STUDIES 3-4 STUDIES,853.96,503.84,103.88,768.56,23
CPT,95909,HC NERVE CONDUCTION STUDIES 5-6 STUDIES,853.96,503.84,103.88,768.56,23
CPT,95910,HC NERVE CONDUCTION STUDIES 7-8 STUDIES,853.96,503.84,103.88,768.56,23
CPT,95911,HC NERVE CONDUCTION STUDIES 9-10 STUDIES,1527.6,901.28,185.82,1374.84,23
CPT,95912,HC NERVE CONDUCTION STUDIES 11-12 STUDIES,1527.6,901.28,185.82,1374.84,23
CPT,95913,HC NERVE CONDUCTION STUDIES 13/> STUDIES,1527.6,901.28,185.82,1374.84,23
CPT,95919,HC QUAN PUPLMTRY PHY/QHP UNI/BI,479.15,282.7,58.29,431.24,23
CPT,95921,HC AUTONOMIC FUNCTION TEST CARDIOVAGAL,466.99,275.52,56.81,420.29,23
CPT,95922,HC AUTONOMIC FUNCTION TEST VASOMOTOR,367.72,216.95,44.73,330.95,23
CPT,95923,HC AUTONOMIC FUNCTION TEST SUDOMOTOR,200.57,118.34,24.4,180.51,23
CPT,95925,HC EVOKED POTENTIAL SOMATOSENSORY UPR LIMBS,853.96,503.84,103.88,768.56,23
CPT,95926,HC EVOKED POTENTIAL SOMATOSENSORY LWR LIMBS,853.96,503.84,103.88,768.56,23
CPT,95929,HC EVOKED POTENTIAL CENTRAL MOTOR LWR LIMBS,3179.81,1876.09,386.81,2861.83,23
CPT,95930,"HC EVOKED POTENTIAL VISUAL, NOT GLAUCOMA W/INT&REP",466.99,275.52,56.81,420.29,23
CPT,95933,HC ORBICULARIS OCULI REFLEX,200.57,118.34,24.4,180.51,23
CPT,95937,HC NEUROMUSCULAR JUNCTION TEST,466.99,275.52,56.81,420.29,23
CPT,95938,HC SOMATOSENSORY STUDY,1527.6,901.28,185.82,1374.84,23
CPT,95939,HC CEN MOTOR EVOKED STUDY LIMB,3179.81,1876.09,386.81,2861.83,23
CPT,95940,HC IONM IN OP ROOM 15 MIN,281.61,166.15,34.26,253.45,23
CPT,95955,HC EEG DURING NONCRANIAL SURG,1250.04,737.52,152.06,1125.04,23
CPT,95957,HC EEG DIGITAL ANLYS,1195.34,705.25,145.41,1075.81,23
CPT,95958,HC EEG MONITORING/FUNCTION TEST,3179.81,1876.09,386.81,2861.83,23
CPT,95961,HC CORTICAL/SUBCORTICAL MAPPING 1ST HOUR,3179.81,1876.09,386.81,2861.83,23
CPT,95962,HC CORTICAL/SUBCORTICAL MAPPING ADDL HR,685.8,404.62,83.42,617.22,23
CPT,95970,HC ANLYSIS NEUR W/O PROG SMP/CPX,367.72,216.95,44.73,330.95,23
CPT,95971,HC ANLYSIS NEUR SMP W/PROG,401.15,236.68,48.8,361.04,23
CPT,95972,HC ANALYZE NEUROSTIM COMPLEX,401.15,236.68,48.8,361.04,23
CPT,95976,HC ALYS SMPL CN NPGT PRGRMG,157.64,93.01,19.18,141.88,23
CPT,95977,HC ALYS CPLX CN NPGT PRGRMG,410.8,242.37,49.97,369.72,23
CPT,95983,HC ALYS BRN NPGT PRGRMG 15 MIN,480.76,283.65,58.48,432.68,23
CPT,95984,HC ALYS BRN NPGT PRGRMG ADDL 15,240.36,141.81,29.24,216.32,23
CPT,95990,HC SPIN/BRAIN PUMP REFILL AND MAINT,1027.18,606.04,124.95,924.46,23
CPT,95991,HC SPIN/BRAIN PUMP REFILL/MAINT BY MD,848.89,500.85,103.26,764.0,23
CPT,95992,HC CANALITH REPOSITIONING PER DAY,315.04,185.87,13.24,283.54,23
CPT,96002,HC DYN SURF EMG WALK/FUNCL ACTV 1-12 MUSC,179.2,105.73,21.8,161.28,23
CPT,96020,HC FUNCTIONAL BRAIN MAPPING,775.96,457.82,94.39,698.36,23
CPT,96041,HC GENETIC COUNSELING EA 30 MIN,279.65,164.99,34.02,251.69,23
CPT,96105,HC ST EVALUATION APHASIA PER HR,822.56,485.31,34.57,740.3,23
CPT,96110,"HC DEVLP TEST & REPRT,LIMTD",394.06,232.5,47.94,354.65,23
CPT,96112,HC DEVEL TST PHYS/QHP 1ST HR,496.15,292.73,60.35,446.54,23
CPT,96112,HCPR DEVEL TST PHYS/QHP 1ST HOUR,415.08,244.9,50.49,373.57,23
CPT,96113,HC DEVEL TST PHYS/QHP EA ADDL,248.07,146.36,30.18,223.26,23
CPT,96113,HCPR DEVEL TST PHYS/QHP EA ADDL,188.16,111.01,22.89,169.34,23
CPT,96116,HC EXAM NEUROBEHAVIORAL BY PSYC 1ST HR,513.59,303.02,62.48,462.23,23
CPT,96121,HC EXAM NEUROBEHAVIORAL BY PSYC EA ADDL HR,256.8,151.51,31.24,231.12,23
CPT,96125,HC STD COGNIT TEST BY HC PRO,998.82,589.3,41.98,898.94,23
CPT,96127,HC BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,121.5,71.69,14.78,109.35,23
CPT,96130,HC PSYCL TST EVAL PHYS/QHP 1ST HR,496.15,292.73,60.35,446.54,23
CPT,96130,HCPR PSYCL TST EVAL PHYS/QHP 1ST HR,342.96,202.35,41.72,308.66,23
CPT,96131,HC PSYCL TST EVAL PHYS/QHP EA ADD'L HR,248.07,146.36,30.18,223.26,23
CPT,96131,HCPR PSYCL TST EVAL PHYS/QHP EA ADD'L HR,250.98,148.08,30.53,225.88,23
CPT,96132,HC NRPSYC TST EVAL PHYS/QHP 1ST,505.26,298.1,61.46,454.73,23
CPT,96132,HCPR NRPSYC TST EVAL PHYS/QHP 1ST,342.87,202.29,41.71,308.58,23
CPT,96133,HC NRPSYC TST EVAL PHYS/QHP EA,248.07,146.36,30.18,223.26,23
CPT,96133,HCPR NRPSYC TST EVAL PHYS/QHP EA,264.0,155.76,32.11,237.6,23
CPT,96136,HC PSYCL/NRPSYC TST PHY/QHP 1ST 30 MIN,62.66,36.97,7.62,56.39,23
CPT,96136,HCPR PSYCL/NRPSYC TST PHY/QHP IST 30 MIN,75.81,44.73,9.22,68.23,23
CPT,96137,HC PSYCL/NRPSYC TST PHY/QHP EA ADDL 30 MIN,31.33,18.48,3.81,28.2,23
CPT,96137,HCPR PSYCL/NRPSYC TST PHY/QHP EA ADDL 30 MIN,58.41,34.46,7.11,52.57,23
CPT,96138,HCPR PSYCL/NRPSYC TECH 1ST,128.91,76.06,15.68,116.02,23
CPT,96139,HCPR PSYCL/NRPSYC TST TECH EA,128.91,76.06,15.68,116.02,23
CPT,96146,HC PSYCL/NRPSYC TST AUTO RESULT,62.66,36.97,7.62,56.39,23
CPT,96146,HCPR PSYCL/NRPSYC TST AUTO RESULT,7.48,4.41,0.91,6.73,23
CPT,96156,HC HEALTH BEH ASSESSMENT/RE-ASSESSMENT,285.42,168.4,34.72,256.88,23
CPT,96156,HCPR HEALTH BEH ASSESSMENT/RE-ASSESSMENT,283.17,167.07,34.45,254.85,23
CPT,96158,HC HEALTH BEH IVNTJ INDIV F2F 1ST 30 MIN,285.42,168.4,34.72,256.88,23
CPT,96158,HCPR HEALTH BEH IVNTJ INDIV F2F 1ST 30 MIN,192.78,113.74,23.45,173.5,23
CPT,96159,HC HEALTH BEH IVNTJ INDIV F2F EA ADDL 15 MIN,142.71,84.2,17.36,128.44,23
CPT,96159,HCPR HEALTH BEH IVNTJ INDIV F2F EA ADDL 15 MIN,66.51,39.24,8.09,59.86,23
CPT,96164,HC HEALTH BEH IVNTJ GROUP F2F 1ST 30 MIN,99.29,58.58,12.08,89.36,23
CPT,96164,HCPR HEALTH BEH IVNTJ GROUP F2F 1ST 30 MIN,28.2,16.64,3.43,25.38,23
CPT,96165,HC HEALTH BEH IVNTJ GROUP F2F EA ADDL 15 MIN,49.65,29.29,6.04,44.69,23
CPT,96165,HCPR HEALTH BEH IVNTJ GROUP F2F EA ADDL 15 MIN,12.36,7.29,1.5,11.12,23
CPT,96167,HC HEALTH BEH IVNTJ FAM W/PT F2F 1ST 30 MIN,99.29,58.58,12.08,89.36,23
CPT,96167,HCPR HEALTH BEH IVNTJ FAM W/PT F2F 1ST 30 MIN,206.31,121.72,25.1,185.68,23
CPT,96168,HC HEALTH BEH IVNTJ FAM W/PT F2F EA ADD 15 MIN,49.65,29.29,6.04,44.69,23
CPT,96168,HCPR HEALTH BEH IVNTJ FAM W/PT F2F EA ADD 15 MIN,73.29,43.24,8.92,65.96,23
CPT,96170,HC HEALTH BEH IVNTJ FAM W/O PT F2F 1ST 30 MIN,99.29,58.58,12.08,89.36,23
CPT,96170,HCPR HEALTH BEH IVNTJ FAM W/O PT F2F 1ST 30 MIN,73.29,43.24,8.92,65.96,23
CPT,96171,HC HEALTH BEH IVNTJ FAM W/O PT F2F EA ADDL 15,49.65,29.29,6.04,44.69,23
CPT,96171,HCPR HEALTH BEH IVNTJ FAM W/O PT F2F EA ADDL 15,73.29,43.24,8.92,65.96,23
CPT,96360,HC IV INF THPY HYD FLUIDS INIT 31 MIN-1HR,660.48,389.68,105.14,594.43,23
CPT,96361,HC IV INF THPY HYDRATION FLUIDS ADDL HR,127.64,75.31,20.32,114.88,23
CPT,96365,HC IV INF FOR THER/PROPH/DIAG INIT <= 1HR,660.48,389.68,105.14,594.43,23
CPT,96366,HC IV INF THER/PROPH/DIAG EA ADDL HR,127.64,75.31,20.32,114.88,23
CPT,96367,HC IV INF THER/PROPH/DIAG ADDL SEQ <= 1HR,195.51,115.35,31.12,175.96,23
CPT,96368,HC IV INF FOR THER/PROPH/DIAG CONCURRENT,191.46,112.96,30.48,172.31,23
CPT,96369,HC SC THERAP INF W/ PUMP SET UP TO 1 HR,660.48,389.68,105.14,594.43,23
CPT,96370,HC SC THPY EACH ADDL HOUR,127.64,75.31,20.32,114.88,23
CPT,96371,HC SC INFUSION ADDT'L PUMP + SITE,195.51,115.35,31.12,175.96,23
CPT,96372,HC THER/PROPH/DIAG INJ/SQ/IM,195.51,115.35,23.78,175.96,23
CPT,96373,HC INJ TX/PROPH/DIAG INTRA-AERIAL,357.59,210.98,56.92,321.83,23
CPT,96374,HC TX/PROPH/DIAG INJ IV PUSH INIT,580.45,342.47,92.4,522.41,23
CPT,96375,HC TX/PROPH/DIAG INJ IV PUSH ADDL SEQ,127.64,75.31,20.32,114.88,23
CPT,96376,HC TX/PROPH/DIAG INJ IV PUSH SAME,180.31,106.38,28.7,162.28,23
CPT,96377,HC APPLICATON ON-BODY INJECTOR,195.51,115.35,31.12,175.96,23
CPT,96401,HC CHEMO SC/IM NONHORMONAL ANTI-NEOPLASTIC,195.51,115.35,31.12,175.96,23
CPT,96402,HC CHEMO SC/IM HORMONAL ANTI-NEOPLASTIC,195.51,115.35,31.12,175.96,23
CPT,96405,HC CHEMO INTRALESIONAL 1-7LESIONS,195.51,115.35,31.12,175.96,23
CPT,96406,HC CHEMO ADMIN INTRALESIONAL > 7 LESIONS,660.48,389.68,105.14,594.43,23
CPT,96409,HC CHEMO IV PUSH SNGL/INIT DRUG,660.48,389.68,105.14,594.43,23
CPT,96411,HC CHEMO IV PUSH ADDL DRUG,195.51,115.35,31.12,175.96,23
CPT,96413,HC CHEMO IV INF SNGL/INIT DRUG < 1HR,1027.18,606.04,163.51,924.46,23
CPT,96415,HC CHEMO IV INF ADDL HR,195.51,115.35,31.12,175.96,23
CPT,96416,HC CHEMO IV INF PROLONG W/PBLE/IMPL PUMP,1027.18,606.04,163.51,924.46,23
CPT,96417,HC CHEMO IV INF EA ADD DRUG < 1HR,195.51,115.35,31.12,175.96,23
CPT,96420,HC INTRARTERIAL CHEMOEMBOLI,716.19,422.55,114.0,644.57,23
CPT,96425,"HC CHEMOTHER,IA INFUSN TECH,>8 HR",1140.45,672.87,181.54,1026.41,23
CPT,96446,HC CHEMO PERITONEAL CAVITY,552.09,325.73,87.88,496.88,23
CPT,96450,HC CHEMO CNS W/LUMBAR PUNCTURE,1027.18,606.04,163.51,924.46,23
CPT,96521,HC PUMP POABLE REFILLING AND MAINTENANCE,660.48,389.68,105.14,594.43,23
CPT,96522,HC PUMP IMPLANTABLE MAINT SYSTEMIC,660.48,389.68,105.14,594.43,23
CPT,96523,HC IRRIGATE IMPLED VENOUS ACCESS DEVICE,200.57,118.34,24.4,180.51,23
CPT,96542,HC CHEMO INJ SUBARACH/INTRAVENT,660.48,389.68,105.14,594.43,23
CPT,96549,HC UNLISTED CHEMOTHERAPY PROCEDURE,127.64,75.31,15.53,114.88,23
CPT,96900,HC ACTINOTHRPY/ULTRAVIOLET LIGHT,144.13,85.04,17.53,129.72,23
CPT,96910,HC PHOTOCHEMOTHPY UVB,277.56,163.76,33.76,249.8,23
CPT,96912,HC PHOTOCHEMOTHPY UVA,286.68,169.14,34.87,258.01,23
CPT,96920,HC EXCIMER LSR PSRIASIS<250SQCM,766.33,452.13,93.22,689.7,23
CPT,96921,HC EXCIMER LSR PSRIASIS 250-500SQCM,766.33,452.13,93.22,689.7,23
CPT,96922,HC EXCIMER LSR PSRIASIS>500SQCM,766.33,452.13,93.22,689.7,23
CPT,96999,HC UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PROCED,791.95,467.25,96.34,712.76,23
CPT,97010,HC HOT/COLD PACK THERAPY-1 + AREAS,51.66,30.48,2.17,46.49,23
CPT,97012,HC TRACTION MECHANICAL,318.08,187.67,13.37,286.27,23
CPT,97014,HC ELECTRICAL STIMULATION UNATTENDED,178.29,105.19,7.49,160.46,23
CPT,97016,HC VASOPNEUMATIC TX,141.82,83.67,5.96,127.64,23
CPT,97018,HC PARAFFIN BATH THPY,190.44,112.36,8.0,171.4,23
CPT,97022,HC WHIRLPOOL,306.94,181.09,12.9,276.25,23
CPT,97032,HC ELECTRICAL STIMULATION ATTENDED 15 MIN,197.54,116.55,8.3,177.79,23
CPT,97033,HC IONTOPHORESIS 15 MIN,175.25,103.4,7.37,157.73,23
CPT,97034,HC CONTR BATH 15 MIN,799.26,471.56,33.6,719.33,23
CPT,97035,HC ULTRASOUND 15 MIN,198.55,117.14,8.35,178.7,23
CPT,97039,HC UNLISTED MODALITY,131.69,77.7,5.54,118.52,23
CPT,97110,HC EXERCISE - XTHER 15 MIN,327.2,193.05,13.75,294.48,23
CPT,97112,HC NEUROMUSCULAR RE-ED 15 MIN,373.8,220.54,15.71,336.42,23
CPT,97113,HC AQUATIC THPY/EXERCISE 15 MIN,212.73,125.51,8.94,191.46,23
CPT,97116,HC GAIT TRN 15 MIN,261.35,154.2,10.99,235.22,23
CPT,97124,HC MASSAGE 15 MIN,209.69,123.72,8.81,188.72,23
CPT,97129,HC THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES,246.16,145.23,10.35,221.54,23
CPT,97130,HC THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES,246.16,145.23,10.35,221.54,23
CPT,97140,HC MANUAL THPY 15 MIN,250.21,147.62,10.52,225.19,23
CPT,97150,HC THERAPEUTIC REHAB GROUP,202.6,119.53,8.52,182.34,23
CPT,97161,HC PT EVAL LOW COMPLEX 20 MIN,712.14,420.16,29.93,640.93,23
CPT,97162,HC PT EVAL MOD COMPLEX 30 MIN,712.14,420.16,29.93,640.93,23
CPT,97163,HC PT EVAL HIGH COMPLEX 45 MIN,712.14,420.16,29.93,640.93,23
CPT,97164,HC PT RE-EVAL EST PLAN CARE,464.97,274.33,19.54,418.47,23
CPT,97165,HC OT EVAL LOW COMPLEX 30 MIN,712.14,420.16,29.93,640.93,23
CPT,97166,HC OT EVAL MOD COMPLEX 45 MIN,712.14,420.16,29.93,640.93,23
CPT,97167,HC OT EVAL HIGH COMPLEX 60 MIN,712.14,420.16,29.93,640.93,23
CPT,97168,HC OT RE-EVAL EST PLAN CARE,464.97,274.33,19.54,418.47,23
CPT,97530,HC THER ACT 15 MIN,381.9,225.32,16.05,343.71,23
CPT,97533,HC SENSORY INTEGRATIVE TECHNIQUE 15 MIN,246.16,145.23,10.35,221.54,23
CPT,97535,HC HOME INSTRUCTION/PROGRAM 15 MIN,376.84,222.34,15.84,339.16,23
CPT,97537,HC COMMUN/WORK REINTEGRATION 15 MIN,230.96,136.27,9.71,207.86,23
CPT,97542,HC WHEELCHAIR MGMT 15 MIN,224.89,132.69,9.45,202.4,23
CPT,97545,HC WORK HARDENING INIT 2 HOURS,1710.96,1009.47,71.92,1539.86,23
CPT,97546,HC WORK HARDENING EA ADDL HR,681.75,402.23,28.66,613.58,23
CPT,97550,HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES,753.68,444.67,91.68,678.31,23
CPT,97551,HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN,376.84,222.34,45.84,339.16,23
CPT,97552,HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,202.6,119.53,24.65,182.34,23
CPT,97597,HC SLCTV WND DEBRIDEM FIRST 20 CM OR <,563.23,332.31,68.51,506.91,23
CPT,97598,HC SLCTV WND DEBRIDEM EA ADDL 20 CM/<,471.05,277.92,57.3,423.95,23
CPT,97602,HC DEBR NON-SELECTIVE W/O ANES PER SESSION,471.05,277.92,57.3,423.95,23
CPT,97605,HC NEG PRESS WOUND THPY W/DME < 50 CM,377.85,222.93,45.96,340.07,23
CPT,97606,HC NEG PRESS WOUND THPY W/DME > 50 CM,795.21,469.17,96.73,715.69,23
CPT,97607,HC NEG PRESS WOUND THPY NON-DME < 50 CM,1063.65,627.55,129.39,957.29,23
CPT,97608,HC NEG PRESS WOUND THPY NON DME > 50 CM,1063.65,627.55,129.39,957.29,23
CPT,97610,HC LOW FREQUENCY NON-THERMAL US,563.23,332.31,68.51,506.91,23
CPT,97750,HC PERFORMANCE TEST 15 MIN,271.48,160.17,11.41,244.33,23
CPT,97755,HC ASSISTIVE TECHNOLOGY ASSESS PER 15 MIN,140.81,83.08,5.92,126.73,23
CPT,97760,HC ORTHOTIC MNGMNT/FIT/TRA INITIAL ENCTR 15 MIN,202.6,119.53,8.52,182.34,23
CPT,97761,HC PROSTHETIC TRN INITIAL ENCTR 15 MIN,235.02,138.66,28.59,211.52,23
CPT,97763,HC ORTHC/PROSTC MGMT SBSQ ENC,257.3,151.81,10.82,231.57,23
CPT,97802,HC NUTRITIONAL THPY INDIV EVAL 15 MIN,143.92,84.91,17.51,129.53,23
CPT,97803,HC NUTRITIONAL THPY INDIV RE-EVAL 15 MIN,143.92,84.91,17.51,129.53,23
CPT,97804,HC NUTRITIONAL THPY GRP 30 MIN,91.67,54.09,11.15,82.5,23
CPT,97810,HC ACUPUNCT W/O STIMUL INITIAL 15 MIN,175.95,103.81,21.4,158.36,23
CPT,98966,HCPR NONPHYSICIAN PHONE ASSESSMENT 5-10 MIN,34.0,20.06,4.14,30.6,23
CPT,98967,HCPR NONPHYSICIAN PHONE ASSESSMENT 11-20 MIN,65.0,38.35,7.91,58.5,23
CPT,98968,HCPR NONPHYSICIAN PHONE ASSESSMENT 21-30 MIN,96.0,56.64,11.68,86.4,23
CPT,98975,HC REM THER MNTR 1ST SETUP&EDU,498.75,294.26,60.67,448.88,23
CPT,98977,HC REM THER MNTR DV SPLY MSCSKL,144.45,85.23,17.57,130.01,23
CPT,98978,HC REM THER MNTR DEV SPLY CBT,144.45,85.23,6.07,130.01,23
CPT,99078,HC GROUP HEALTH EDUCATION,78.0,46.02,9.49,70.2,23
CPT,99151,HC MOD SED SAME PHYS/QHP <5 YRS  INTL 15 MIN,594.63,350.83,72.33,535.17,23
CPT,99152,HC MOD SED SAME PHYS/QHP 5/>YRS INTL 15 MIN,310.99,183.48,37.83,279.89,23
CPT,99153,HC MOD SED SAME PHYS/QHP EA ADD'L 15 MIN,291.74,172.13,35.49,262.57,23
CPT,99155,HC MOD SED OTH PHYS/QHP <5 YRS INTL 15 MIN,2334.97,1377.63,284.04,2101.47,23
CPT,99156,HC MOD SED OTH PHYS/QHP 5/>YRS INTL 15 MIN,1902.41,1122.42,231.42,1712.17,23
CPT,99157,HC MOD SED OTHER PHYS/QHP EA ADD'L 15 MIN,1442.51,851.08,175.47,1298.26,23
CPT,99173,HC SCRN VISUAL ACUITY QUANTITATIVE BILAT,50.65,29.88,6.16,45.59,23
CPT,99177,HC OCULAR INSTRUMNT SCREEN BIL W/ONSITE ANALYS,57.74,34.07,7.02,51.97,23
CPT,99195,HC PHLEBOTOMY PROPH,200.57,118.34,24.4,180.51,23
CPT,99204,HC INITIAL E&M - MODERATE COMPLEX - IOP,706.06,416.58,85.89,635.45,23
CPT,99205,HC INITIAL E&M - HIGH COMPLEX - IOP,919.8,542.68,111.89,827.82,23
CPT,99211,HC MED MANAGEMENT ONLY LEVEL 1 OP [1],152.5,89.98,18.55,137.25,23
CPT,99211,HC MED MANAGEMENT ONLY LEVEL 1 OP [2],152.5,89.98,18.55,137.25,23
CPT,99211,HC MED MANAGEMENT ONLY LEVEL 1 OP [3],152.5,89.98,18.55,137.25,23
CPT,99211,HC MED MANAGEMENT ONLY LEVEL 1 OP [4],152.5,89.98,18.55,137.25,23
CPT,99211,HC MED MANAGEMENT ONLY LEVEL 1 OP [5],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARM MNGT LEVEL 1 + TX - IOP SUB ABUSE,152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT LEVEL 1 + TX IOP,152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT LEVEL 1 + TX [1],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT LEVEL 1 + TX [2],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT LEVEL 1 + TX [3],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT LEVEL 1 + TX [4],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT LEVEL 1 + TX [5],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT LEVEL 1 - IOP,152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT ONLY LEVEL 1,131.69,77.7,16.02,118.52,23
CPT,99211,HC PHARMACOLOGIC MNGT ONLY LEVEL 1 IOP [1],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT ONLY LEVEL 1 OP (4),152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT ONLY LEVEL 1 OP [1],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT ONLY LEVEL 1 OP [2],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT ONLY LEVEL 1 OP [3],152.5,89.98,18.55,137.25,23
CPT,99211,HC PHARMACOLOGIC MNGT ONLY LEVEL 1 OP [5],152.5,89.98,18.55,137.25,23
CPT,99211,HC VISIT CLINIC ESTAB LVL I,152.5,89.98,18.55,137.25,23
CPT,99211,HCPR MED MANAGEMENT ONLY LEVEL 1 OP,28.44,16.78,3.46,25.6,23
CPT,99211,HCPR PHARM MNGT LEVEL 1 + TX - IOP SUB ABUSE,28.44,16.78,3.46,25.6,23
CPT,99211,HCPR PHARMACOLOGIC MNGT LEVEL 1 + TX,28.44,16.78,3.46,25.6,23
CPT,99211,HCPR PHARMACOLOGIC MNGT LEVEL 1 + TX IOP,28.44,16.78,3.46,25.6,23
CPT,99211,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 1 IOP,28.44,16.78,3.46,25.6,23
CPT,99211,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 1 OP,28.44,16.78,3.46,25.6,23
CPT,99211,HCPR VISIT CLINIC ESTAB LEVEL I,26.76,15.79,3.26,24.08,23
CPT,99212,HC PHARMACOLOGIC MNGT LEVEL 2 + TX - IOP,204.63,120.73,24.89,184.17,23
CPT,99212,HC PHARMACOLOGIC MNGT LEVEL 2 - IOP,204.63,120.73,24.89,184.17,23
CPT,99212,HC VISIT CLINIC ESTAB LVL II,204.63,120.73,24.89,184.17,23
CPT,99212,HCPR MED MANAGEMENT ONLY LEVEL 2 OP,115.68,68.25,14.07,104.11,23
CPT,99212,HCPR PHARM MNGT LEVEL 2 + TX - IOP SUB ABUSE,115.68,68.25,14.07,104.11,23
CPT,99212,HCPR PHARMACOLOGIC MNGT LEVEL 2 + TX,115.68,68.25,14.07,104.11,23
CPT,99212,HCPR PHARMACOLOGIC MNGT LEVEL 2 + TX IOP,115.68,68.25,14.07,104.11,23
CPT,99212,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 2,78.89,46.55,9.6,71.0,23
CPT,99212,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 2 IOP,115.68,68.25,14.07,104.11,23
CPT,99212,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 2 OP,115.68,68.25,14.07,104.11,23
CPT,99212,HCPR VISIT CLINIC ESTAB LEVEL II,108.48,64.0,13.2,97.63,23
CPT,99212,HCPR VISIT CLINIC ESTAB LEVEL II OP,108.48,64.0,13.2,97.63,23
CPT,99213,HC PHARMACOLOGIC MNGT LEVEL 3 + TX - IOP,276.55,163.16,33.64,248.9,23
CPT,99213,HC PHARMACOLOGIC MNGT LEVEL 3 - IOP,276.55,163.16,33.64,248.9,23
CPT,99213,HC VISIT CLINIC ESTAB LVL III,276.55,163.16,33.64,248.9,23
CPT,99213,HCPR MED MANAGEMENT ONLY LEVEL 3 OP,213.27,125.83,25.94,191.94,23
CPT,99213,HCPR PHARM MNGT LEVEL 3 + TX - IOP SUB ABUSE,213.27,125.83,25.94,191.94,23
CPT,99213,HCPR PHARMACOLOGIC MNGT LEVEL 3 + TX,213.27,125.83,25.94,191.94,23
CPT,99213,HCPR PHARMACOLOGIC MNGT LEVEL 3 + TX IOP,213.27,125.83,25.94,191.94,23
CPT,99213,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 3,159.85,94.31,19.44,143.87,23
CPT,99213,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 3 IOP,213.27,125.83,25.94,191.94,23
CPT,99213,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 3 OP,213.27,125.83,25.94,191.94,23
CPT,99213,HCPR VISIT CLINIC ESTAB LEVEL III,202.38,119.4,24.62,182.14,23
CPT,99214,HC PHARMACOLOGIC MNGT LEVEL 4 - IOP,425.46,251.02,51.75,382.91,23
CPT,99214,HC PHARMACOLOGIC MNGT LVL 4 + TX - IOP,425.46,251.02,51.75,382.91,23
CPT,99214,HC VISIT CLINIC ESTAB LVL IV,425.46,251.02,51.75,382.91,23
CPT,99214,HCPR MED MANAGEMENT ONLY LEVEL 4 OP,313.17,184.77,38.1,281.85,23
CPT,99214,HCPR PHARM MNGT LEVEL 4 + TX - IOP SUB ABUSE,313.17,184.77,38.1,281.85,23
CPT,99214,HCPR PHARMACOLOGIC MNGT LEVEL 4 + TX,313.17,184.77,38.1,281.85,23
CPT,99214,HCPR PHARMACOLOGIC MNGT LEVEL 4 + TX IOP,313.17,184.77,38.1,281.85,23
CPT,99214,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 4 IOP,313.17,184.77,38.1,281.85,23
CPT,99214,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 4 OP,313.17,184.77,38.1,281.85,23
CPT,99214,HCPR VISIT CLINIC ESTAB LEVEL IV,298.32,176.01,36.29,268.49,23
CPT,99215,HC PHARMACOLOGIC MNGT LEVEL 5 + TX  - IOP,602.74,355.62,73.32,542.47,23
CPT,99215,HC PHARMACOLOGIC MNGT LEVEL 5 - IOP,602.74,355.62,73.32,542.47,23
CPT,99215,HC VISIT CLINIC ESTAB LVL V,602.74,355.62,73.32,542.47,23
CPT,99215,HCPR MED MANAGEMENT ONLY LEVEL 5 OP,465.21,274.47,56.59,418.69,23
CPT,99215,HCPR PHARM MNGT LEVEL 5 + TX - IOP SUB ABUSE,465.21,274.47,56.59,418.69,23
CPT,99215,HCPR PHARMACOLOGIC MNGT LEVEL 5 + TX,465.21,274.47,56.59,418.69,23
CPT,99215,HCPR PHARMACOLOGIC MNGT LEVEL 5 + TX IOP,465.21,274.47,56.59,418.69,23
CPT,99215,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 5 IOP,465.21,274.47,56.59,418.69,23
CPT,99215,HCPR PHARMACOLOGIC MNGT ONLY LEVEL 5 OP,465.21,274.47,56.59,418.69,23
CPT,99215,HCPR VISIT CLINIC ESTAB LEVEL V,443.31,261.55,53.93,398.98,23
CPT,99221,HCPR PF INITIAL HOSPITAL CARE DETAIL,254.64,150.24,30.98,229.18,23
CPT,99222,HC OBSERVATION MODERATE ACUITY,468.01,276.13,56.93,421.21,23
CPT,99222,HCPR PF INITIAL HOSPITAL CARE COMPREHENSIVE,400.83,236.49,48.76,360.75,23
CPT,99223,HC OBSERVATION HIGHER ACUITY,744.56,439.29,90.57,670.1,23
CPT,99223,HCPR PF INITIAL HOSPITAL CARE COMPLEX,530.1,312.76,64.48,477.09,23
CPT,99232,HCPR SUBSEQUENT HOSPITAL CARE EXPANDED,241.38,142.41,29.36,217.24,23
CPT,99281,HC ER LVL I,361.64,213.37,60.94,325.48,23
CPT,99282,HC ER LVL II,687.83,405.82,115.91,619.05,23
CPT,99283,HC ER LVL III,1479.99,873.19,249.41,1331.99,23
CPT,99284,HC ER LVL IV,1902.41,1122.42,320.6,1712.17,23
CPT,99285,HC ER LVL V,2642.92,1559.32,445.39,2378.63,23
CPT,99291,HC ER CRITICAL CARE 30-74 MIN,3804.83,2244.85,641.2,3424.35,23
CPT,99292,HC ER CRITICAL CARE ADDL 30 MIN,1211.55,714.81,204.17,1090.4,23
CPT,99360,HCPR PHYSICIAN STANDBY SVC EA 30 MIN,193.68,114.27,23.56,174.31,23
CPT,99381,HC PREVENTIVE MED NEW < 1 YR,363.67,214.57,44.24,327.3,23
CPT,99382,HC PREVENTIVE MED NEW 1-4 YRS,363.67,214.57,44.24,327.3,23
CPT,99383,HC PREVENTIVE MED NEW 5-11 YRS,363.67,214.57,44.24,327.3,23
CPT,99384,HC PREVENTIVE MED NEW 12-17 YRS,363.67,214.57,44.24,327.3,23
CPT,99385,HC PREVENTIVE MED NEW 18-39 YRS,174.24,102.8,21.2,156.82,23
CPT,99386,HC PREVENTIVE MED NEW 40-64 YRS,187.41,110.57,22.8,168.67,23
CPT,99387,HC PREVENTIVE MED NEW > 65 YRS,146.89,86.67,17.87,132.2,23
CPT,99391,HC PREVENTIVE MED ESTAB < 1 YR,256.29,151.21,31.18,230.66,23
CPT,99392,HC PREVENTIVE MED ESTAB 1-4 YRS,256.29,151.21,31.18,230.66,23
CPT,99393,HC PREVENTIVE MED ESTAB 5-11 YRS,256.29,151.21,31.18,230.66,23
CPT,99394,HC PREVENTIVE MED ESTAB 12-17 YRS,256.29,151.21,31.18,230.66,23
CPT,99395,HC PREVENTIVE MED ESTAB 18-39 YRS,231.98,136.87,28.22,208.78,23
CPT,99396,HC PREVENTIVE MED ESTAB 40-64 YRS,223.87,132.08,27.23,201.48,23
CPT,99397,HC PREVENTIVE MED ESTAB > 65 YRS,256.29,151.21,31.18,230.66,23
CPT,99401,HC PREVENTIVE MED COUNSELING 15 MIN,100.29,59.17,12.2,90.26,23
CPT,99402,HC PREVENTIVE MED COUNSELING 30 MIN,199.56,117.74,24.28,179.6,23
CPT,99406,HC SMOK CESS COUNSEL INTERMED >3MIN UP/10M,79.01,46.62,9.61,71.11,23
CPT,99406,HCPR SMOK CESS COUNS INTERMED>3MIN UP/10M,39.96,23.58,4.86,35.96,23
CPT,99407,HC SMOK/TOB CESS COUNSEL INTENSIVE >10 MIN,89.14,52.59,10.84,80.23,23
CPT,99407,HCPR SMOK CESS COUNSEL INTENSIVE > 10 MIN,84.51,49.86,10.28,76.06,23
CPT,99408,HC ALCOHOL/SUBSTANCE SBI SVCS 15-30MIN,104.34,61.56,12.69,93.91,23
CPT,99409,HC ALCOHOL/SUBSTANCE SBI SVCS > 30 MIN,104.34,61.56,12.69,93.91,23
CPT,99442,HCPR PHYS/QHP PHONE EVALUATION 11-20 MIN,65.0,38.35,7.91,58.5,23
CPT,99443,HCPR PHYS/QHP PHONE EVALUATION 21-30 MIN,96.0,56.64,11.68,86.4,23
CPT,99453,HC REM MNTR PHYS 1ST SET UP PT EDU EQP,491.58,290.03,59.8,442.42,23
CPT,99454,HC REM MNTR PHYS 1ST DEV SUPPLY EA 30 D,153.72,90.69,18.7,138.35,23
CPT,99460,HC NEWBORN EVALUATION,392.03,231.3,47.69,352.83,23
CPT,99464,HC ATTENDANCE AT DELIVERY,417.36,246.24,50.77,375.62,23
CPT,99465,HC NEWBORN RESUSCITATION,1769.71,1044.13,215.28,1592.74,23
CPT,A4467,HC BELT STRAP SLEEV GRMNT COVER XII,7128.0,4205.52,867.08,6415.2,23
CPT,A4561,HC PESSARY RING W/SUPPORT #3 R2.50S,93.52,55.18,11.38,84.17,23
CPT,A4561,"HC PESSARY, REUSABLE, RUBBER, ANY TYPE I",90.0,53.1,10.95,81.0,23
CPT,A4565,HC SLINGSHOT SHOULDER IMMOBILIZER,24.0,14.16,2.92,21.6,23
CPT,A4648,HC 8/14G MAMMOSTAR BIOPSY SITE IDENTIFIER,344.76,203.41,41.94,310.28,23
CPT,A4648,HC BIOPSY MARKER TRIMARK TD 13-MR,380.68,224.6,46.31,342.61,23
CPT,A4648,HC BIOPSY SITE ID EVIVA 13CM,312.0,184.08,37.95,280.8,23
CPT,A4648,HC BIOPSY SITE ID EVIVA 13CM 2ND,252.0,148.68,30.65,226.8,23
CPT,A4648,HC BREAST BIOPSY MARKER,228.0,134.52,27.74,205.2,23
CPT,A4648,HC CALYPSO BEACON IMPLANT,1200.0,708.0,145.97,1080.0,23
CPT,A4648,HC CLIP TUMARK PROF,228.0,134.52,27.74,205.2,23
CPT,A4648,HC HYDROMARK MAMMOTOME CLIPS,355.32,209.64,43.22,319.79,23
CPT,A4648,HC IDENTIFIER 14G CORMARK SITE,311.44,183.75,37.89,280.3,23
CPT,A4648,HC IDENTIFIER SITE OD8  & OD10,385.32,227.34,46.87,346.79,23
CPT,A4648,HC IMPLANTABLE TISSUE MARKER (II),302.0,178.18,36.74,271.8,23
CPT,A4648,"HC IMPLANTABLE TISSUE MARKER, ANY TYPE, EACH I",90.0,53.1,10.95,81.0,23
CPT,A4648,"HC IMPLANTABLE TISSUE MARKER, ANY TYPE, EACH II",227.0,133.93,27.61,204.3,23
CPT,A4648,"HC IMPLANTABLE TISSUE MARKER, ANY TYPE, EACH III",527.0,310.93,64.11,474.3,23
CPT,A4648,"HC IMPLANTABLE TISSUE MARKER, ANY TYPE, EACH IV",1127.0,664.93,137.09,1014.3,23
CPT,A4648,"HC IMPLANTABLE TISSUE MARKER, ANY TYPE, EACH V",1877.0,1107.43,228.33,1689.3,23
CPT,A4648,"HC IMPLANTABLE TISSUE MARKER, ANY TYPE, EACH VI",2627.0,1549.93,319.56,2364.3,23
CPT,A4648,"HC IMPLANTABLE TISSUE MARKER, ANY TYPE,EA XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,A4648,HC LOCALIZER-BREASTE 20 APPLICATOR SET,877.5,517.73,106.74,789.75,23
CPT,A4648,HC MAGSEED MARKER,1575.0,929.25,191.59,1417.5,23
CPT,A4648,HC MARKER SITE HYDROMARK BREAST,345.12,203.62,41.98,310.61,23
CPT,A4648,HC MARKER TISS IMPL ANY TYPE EA,200.0,118.0,24.33,180.0,23
CPT,A4648,HC MARKER TISSUE CLIP 17GA,252.0,148.68,30.65,226.8,23
CPT,A4648,HC MARKER ULTRACLIP 17G,252.0,148.68,30.65,226.8,23
CPT,A4648,"HC MARKER, BREAST BIOPSY (II)",312.0,184.08,37.95,280.8,23
CPT,A4648,HC PROBE US OD8 GA REVOLVE,854.43,504.11,103.94,768.99,23
CPT,A4648,HC SAVI SCOUT REFLECTOR,1575.0,929.25,191.59,1417.5,23
CPT,A4648,HC SMARK-CELERO,312.0,184.08,37.95,280.8,23
CPT,A4648,HC TUMARK Q CLIP 18G X 12CM,320.0,188.8,38.93,288.0,23
CPT,A6244,HC HYDROGEL DRB >48 IN W/O BDR IV,1127.0,664.93,137.09,1014.3,23
CPT,A6530,HC GRADIENT COMPRE STOCK BK 18-30MMHG,114.0,67.26,13.87,102.6,23
CPT,A6533,HC GRADIENT STOCKING THIGH 18-30,176.0,103.84,21.41,158.4,23
CPT,A6581,HC GRADIENT COMP GLOVE I,90.0,53.1,10.95,81.0,23
CPT,A6589,HC GC WRAP WITH STRAPS BRA I,80.0,47.2,9.73,72.0,23
CPT,A6589,HC GC WRAP WITH STRAPS BRA II,160.0,94.4,19.46,144.0,23
CPT,A6589,HC GC WRAP WITH STRAPS BRA III,527.0,310.93,64.11,474.3,23
CPT,A9270,HC FEMTO CHARGE,600.0,354.0,72.99,540.0,23
CPT,C1052,"HC HEMOSTATIC AGENT, GI, TOPIC IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1052,"HC HEMOSTATIC AGENT, GI, TOPIC V",1877.0,1107.43,228.33,1689.3,23
CPT,C1052,"HC HEMOSTATIC AGENT, GI, TOPIC XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1601,"HC ENDO, SINGLE, PULMONARY IV",1127.0,664.93,137.09,1014.3,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN I",90.0,53.1,10.95,81.0,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN II",227.0,133.93,27.61,204.3,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN III",527.0,310.93,64.11,474.3,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN IV",1127.0,664.93,137.09,1014.3,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN V",1877.0,1107.43,228.33,1689.3,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN XII",7128.0,4205.52,867.08,6415.2,46
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1714,"HC CATH, TRANS ATHERECTOMY, DIR XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1714,"HC CATH, TRANS ATHERECTOMY, DIR XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1714,"HC CATH, TRANS ATHERECTOMY, DIR XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1714,"HC CATH, TRANS ATHERECTOMY, DIR XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1714,"HC CATH, TRANS ATHERECTOMY, DIR XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1714,"HC CATH, TRANS ATHERECTOMY, DIR XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1714,"HC CATH, TRANS ATHERECTOMY, DIR XXIV",16128.0,9515.52,1961.89,14515.2,23
CPT,C1715,HC BRACHYTHERAPY NEEDLE V,1877.0,1107.43,228.33,1689.3,23
CPT,C1715,HC BRACHYTHERAPY NEEDLE XX,13128.0,7745.52,1596.95,11815.2,23
CPT,C1717,HC BRACHY SRCE NS HI IRDM192,588.08,346.97,71.54,529.27,23
CPT,C1721,"HC AICD, DUAL CHAMBER CI",65259.0,38502.81,7938.42,58733.1,23
CPT,C1721,"HC AICD, DUAL CHAMBER L",31471.0,18567.89,3828.28,28323.9,23
CPT,C1721,"HC AICD, DUAL CHAMBER LII",32796.0,19349.64,3989.46,29516.4,23
CPT,C1721,"HC AICD, DUAL CHAMBER LIV",34121.0,20131.39,4150.64,30708.9,23
CPT,C1721,"HC AICD, DUAL CHAMBER LVI",40128.0,23675.52,4881.36,36115.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER LX",38096.0,22476.64,4634.18,34286.4,23
CPT,C1721,"HC AICD, DUAL CHAMBER LXXXVII",55984.0,33030.56,6810.16,50385.6,23
CPT,C1721,"HC AICD, DUAL CHAMBER XC",57971.0,34202.89,7051.87,52173.9,23
CPT,C1721,"HC AICD, DUAL CHAMBER XCIV",60621.0,35766.39,7374.23,54558.9,23
CPT,C1721,"HC AICD, DUAL CHAMBER XLI",28878.0,17038.02,3512.86,25990.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER XLII",29628.0,17480.52,3604.09,26665.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER XLIV",31128.0,18365.52,3786.56,28015.2,46
CPT,C1721,"HC AICD, DUAL CHAMBER XLIX",30809.0,18177.31,3747.75,27728.1,23
CPT,C1721,"HC AICD, DUAL CHAMBER XLV",31878.0,18808.02,3877.79,28690.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER XLVI",32628.0,19250.52,3969.03,29365.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER XLVII",29484.0,17395.56,3586.57,26535.6,23
CPT,C1721,"HC AICD, DUAL CHAMBER XLVIII",30146.0,17786.14,3667.1,27131.4,23
CPT,C1721,"HC AICD, DUAL CHAMBER XXXIX",27378.0,16153.02,3330.39,24640.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER XXXV",24378.0,14383.02,2965.46,21940.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1721,"HC AICD, DUAL CHAMBER XXXVIII",26628.0,15710.52,3239.16,23965.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER L",35628.0,21020.52,4333.96,32065.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER LII",37128.0,21905.52,4516.43,33415.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER LIV",38628.0,22790.52,4698.89,34765.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER LV",39378.0,23233.02,4790.13,35440.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER LVI",40128.0,23675.52,4881.36,36115.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER LXXIII",52878.0,31198.02,6432.33,47590.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER LXXXV",61878.0,36508.02,7527.13,55690.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XCII",67128.0,39605.52,8165.77,60415.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XCIV",68628.0,40490.52,8348.24,61765.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XCVII",70878.0,41818.02,8621.94,63790.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XL",28128.0,16595.52,3421.62,25315.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XLI",28878.0,17038.02,3512.86,25990.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XLIV",31128.0,18365.52,3786.56,28015.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XLV",31878.0,18808.02,3877.79,28690.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XLVI",32628.0,19250.52,3969.03,29365.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XLVII",33378.0,19693.02,4060.26,30040.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XLVIII",34128.0,20135.52,4151.49,30715.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XXXII",22128.0,13055.52,2691.76,19915.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XXXIII",22878.0,13498.02,2782.99,20590.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XXXIX",27378.0,16153.02,3330.39,24640.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XXXV",24378.0,14383.02,2965.46,21940.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XXXVII",25878.0,15268.02,3147.92,23290.2,23
CPT,C1722,"HC AICD, SINGLE CHAMBER XXXVIII",26628.0,15710.52,3239.16,23965.2,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1724,"HC CATH, TRANS ATHERC, ROTATION XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER I",90.0,53.1,10.95,81.0,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER II",227.0,133.93,27.61,204.3,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER III",527.0,310.93,64.11,474.3,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER IV",1127.0,664.93,137.09,1014.3,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER V",1877.0,1107.43,228.33,1689.3,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER X",5628.0,3320.52,684.62,5065.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1725,"HC CATH, TRANSLUMIN NON-LASER XXI",13878.0,8188.02,1688.19,12490.2,23
CPT,C1725,HC COOK ADVANCE LP BALLOON,855.0,504.45,104.01,769.5,23
CPT,C1726,HC AMPLATZ RENAL DILTR SET ARD100,648.0,382.32,78.83,583.2,23
CPT,C1726,HC CATH CERV RIPENING BLN,174.0,102.66,21.17,156.6,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR I",90.0,53.1,10.95,81.0,46
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR II",227.0,133.93,27.61,204.3,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR III",527.0,310.93,64.11,474.3,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR IV",1127.0,664.93,137.09,1014.3,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR V",1877.0,1107.43,228.33,1689.3,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR X",5628.0,3320.52,684.62,5065.2,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1726,"HC CATH, BAL DIL, NON-VASCULAR XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1726,HC URETHRAL BALLOON DILATOR,342.0,201.78,41.6,307.8,23
CPT,C1727,"HC CATH, BAL TIS DIS, NON-VAS I",90.0,53.1,10.95,81.0,23
CPT,C1727,"HC CATH, BAL TIS DIS, NON-VAS II",227.0,133.93,27.61,204.3,23
CPT,C1727,"HC CATH, BAL TIS DIS, NON-VAS III",527.0,310.93,64.11,474.3,23
CPT,C1727,"HC CATH, BAL TIS DIS, NON-VAS IV",1127.0,664.93,137.09,1014.3,23
CPT,C1727,"HC CATH, BAL TIS DIS, NON-VAS VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1727,"HC CATH, BAL TIS DIS, NON-VAS XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1728,HC CATH BRACHY SEED ADMIN,566.33,334.13,68.89,509.7,23
CPT,C1728,"HC CATH, BRACHYTX SEED ADM III",527.0,310.93,64.11,474.3,23
CPT,C1728,"HC CATH, BRACHYTX SEED ADM IV",1127.0,664.93,137.09,1014.3,23
CPT,C1728,"HC CATH, BRACHYTX SEED ADM XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1729,HC CATH DRAIN 1 STEP SKATER 8FR,320.0,188.8,38.93,288.0,23
CPT,C1729,HC CATH DRAIN 12FR UREFLEX,220.0,129.8,26.76,198.0,23
CPT,C1729,HC CATH DRAINAGE II,227.0,133.93,27.61,204.3,23
CPT,C1729,HC CATH DRAINAGE PLEUREX,196.0,115.64,23.84,176.4,23
CPT,C1729,"HC CATH, DRAINAGE 0",15.0,8.85,1.82,13.5,23
CPT,C1729,"HC CATH, DRAINAGE I",90.0,53.1,10.95,81.0,23
CPT,C1729,"HC CATH, DRAINAGE II",227.0,133.93,27.61,204.3,23
CPT,C1729,"HC CATH, DRAINAGE III",527.0,310.93,64.11,474.3,23
CPT,C1729,"HC CATH, DRAINAGE IV",1127.0,664.93,137.09,1014.3,23
CPT,C1729,"HC CATH, DRAINAGE IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1729,"HC CATH, DRAINAGE V",1877.0,1107.43,228.33,1689.3,23
CPT,C1729,"HC CATH, DRAINAGE VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1729,"HC CATH, DRAINAGE VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1729,"HC CATH, DRAINAGE XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1729,"HC CATH, DRAINAGE XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1729,"HC CATH, DRAINAGE XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1729,"HC CATH, DRAINAGE XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1729,"HC CATH, DRAINAGE XXXVII",25878.0,15268.02,3147.92,23290.2,23
CPT,C1729,HC CATHETER DRAINAGE STD,201.7,119.0,24.54,181.53,23
CPT,C1729,HC DENVER DRAINAGE KIT,258.07,152.26,31.39,232.26,23
CPT,C1729,HC DRAIN CATHETER STANDA,318.0,187.62,38.68,286.2,23
CPT,C1729,HC DRAINAGE CATH,405.0,238.95,49.27,364.5,23
CPT,C1729,HC MERIT ABSCESS DRAINAGE DEVICE,41.2,24.31,5.01,37.08,23
CPT,C1729,HC PLEURX DRAINAGE KIT,236.0,139.24,28.71,212.4,23
CPT,C1729,HC SLICN URINRY DRN CATH 3.5,47.57,28.07,5.79,42.81,23
CPT,C1729,HC URESIL ALL PURPOSE DRAIN CATH,338.57,199.76,41.19,304.71,23
CPT,C1729,HC YEUH NEEDLE,66.52,39.25,8.09,59.87,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT I,90.0,53.1,10.95,81.0,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT II,227.0,133.93,27.61,204.3,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT III,527.0,310.93,64.11,474.3,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT IV,1127.0,664.93,137.09,1014.3,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT IX,4878.0,2878.02,593.38,4390.2,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT V,1877.0,1107.43,228.33,1689.3,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT VI,2627.0,1549.93,319.56,2364.3,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT VII,3378.0,1993.02,410.92,3040.2,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT XII,7128.0,4205.52,867.08,6415.2,23
CPT,C1730,HC CATH EP 19 OR FEW ELECT XV,9378.0,5533.02,1140.78,8440.2,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC I",90.0,53.1,10.95,81.0,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC III",527.0,310.93,64.11,474.3,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC IV",1127.0,664.93,137.09,1014.3,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC V",1877.0,1107.43,228.33,1689.3,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1731,"HC CATH, EP, 20 OR MORE ELEC X",5628.0,3320.52,684.62,5065.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT I",90.0,53.1,10.95,81.0,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT III",527.0,310.93,64.11,474.3,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT IV",1127.0,664.93,137.09,1014.3,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT V",1877.0,1107.43,228.33,1689.3,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT X",5628.0,3320.52,684.62,5065.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1732,"HC CATH, EP, DIAG/ABL, 3D/VECT XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP V",1877.0,1107.43,228.33,1689.3,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP X",5628.0,3320.52,684.62,5065.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XLVIII",34128.0,20135.52,4151.49,30715.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XXVIII",19128.0,11285.52,2326.82,17215.2,23
CPT,C1733,"HC CATH, EP, OTHR THAN COOL-TIP XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1747,"HC ENDOSCOPE, SINGLE USE, URINARY TRACT VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1748,"HC ENDOSCOPE, SINGLE USE, UGI X",2628.0,1550.52,319.68,2365.2,23
CPT,C1748,"HC ENDOSCOPE, SINGLE USE, UGI XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM I",90.0,53.1,10.95,81.0,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM II",227.0,133.93,27.61,204.3,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM III",527.0,310.93,64.11,474.3,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM IV",1127.0,664.93,137.09,1014.3,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM IX",6378.0,3763.02,775.85,5740.2,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM V",1877.0,1107.43,228.33,1689.3,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM X",5628.0,3320.52,684.62,5065.2,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1750,"HC CATH, HEMODIALYSIS, LONG-TERM XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1751,HC CATH CENTRAL VENOUS 3LU 7 F,254.68,150.26,30.98,229.21,23
CPT,C1751,HC CATH EXTENDED DWELL DEVICE,220.0,129.8,26.76,198.0,23
CPT,C1751,HC CATH TRIP LUMEN 7FR 20CM,251.2,148.21,30.56,226.08,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE 0",15.0,8.85,1.82,13.5,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE I",90.0,53.1,10.95,81.0,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE II",227.0,133.93,27.61,204.3,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE III",527.0,310.93,64.11,474.3,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE IV",1127.0,664.93,137.09,1014.3,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE V",1877.0,1107.43,228.33,1689.3,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE X",5628.0,3320.52,684.62,5065.2,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1751,"HC CATH, INF, PER/CENT/MIDLINE XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1751,HC CATHETER 5FR SINGLE POWER PICC,640.0,377.6,77.85,576.0,23
CPT,C1751,HC CATHETER DIALYSIS 20CM 27-160,313.32,184.86,38.11,281.99,23
CPT,C1751,HC CATHETER PICC 1.9FR SILICONE,131.61,77.65,16.01,118.45,23
CPT,C1751,HC CATHETER SET RADIAL ARTERY,24.42,14.41,2.97,21.98,23
CPT,C1751,HC CATHETER TRIPLE LUMEN,142.68,84.18,17.36,128.41,23
CPT,C1751,HC CATHETER TRIPLE LUMEN 7FRX20CM,193.87,114.38,23.58,174.48,23
CPT,C1751,HC KIT POWER PICC 4FR SGL LUMEN,399.0,235.41,48.54,359.1,23
CPT,C1751,HC KIT POWER PICC 5FR DBL LUMEN,480.0,283.2,58.39,432.0,23
CPT,C1751,HC MULTI-LUMEN CENTRAL VENOUS CATH,215.6,127.2,26.23,194.04,23
CPT,C1751,HC PICC LINE,354.17,208.96,43.08,318.75,23
CPT,C1751,HC PORTACATH- CT PORT,3143.0,1854.37,382.33,2828.7,23
CPT,C1751,HC POWERPICC 5FR TRIPLE LUMEN 3CG,783.0,461.97,95.25,704.7,23
CPT,C1752,HC CATH HEMODIALYSIS SHORT-TERM III,527.0,310.93,64.11,474.3,23
CPT,C1752,"HC CATH, HEMODIALYSIS, SHORT-TRM I",90.0,53.1,10.95,81.0,23
CPT,C1752,"HC CATH, HEMODIALYSIS, SHORT-TRM II",227.0,133.93,27.61,204.3,23
CPT,C1752,"HC CATH, HEMODIALYSIS, SHORT-TRM III",527.0,310.93,64.11,474.3,23
CPT,C1752,"HC CATH, HEMODIALYSIS, SHORT-TRM IV",1127.0,664.93,137.09,1014.3,23
CPT,C1752,"HC CATH, HEMODIALYSIS, SHORT-TRM VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND I",90.0,53.1,10.95,81.0,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND V",1877.0,1107.43,228.33,1689.3,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1753,"HC CATH, INTRAVAS ULTRASOUND XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1753,HC IVUS PERIPHERAL CATHETER,1613.44,951.93,196.27,1452.1,23
CPT,C1755,HC CATH INTRASPINAL VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1757,HC CATH .065X.014 PRONTO V3 EXTRA,1047.0,617.73,127.36,942.3,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT I",90.0,53.1,10.95,81.0,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT II",227.0,133.93,27.61,204.3,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT III",527.0,310.93,64.11,474.3,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT IV",1127.0,664.93,137.09,1014.3,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT LXII",44628.0,26330.52,5428.76,40165.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT V",1877.0,1107.43,228.33,1689.3,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT X",5628.0,3320.52,684.62,5065.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XLI",28878.0,17038.02,3512.86,25990.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XLII",29628.0,17480.52,3604.09,26665.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXIX",19878.0,11728.02,2418.05,17890.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXV",16878.0,9958.02,2053.12,15190.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXVII",18378.0,10843.02,2235.59,16540.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXVIII",19128.0,11285.52,2326.82,17215.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXX",20628.0,12170.52,2509.29,18565.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXXI",21378.0,12613.02,2600.52,19240.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXXII",22128.0,13055.52,2691.76,19915.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXXIII",22878.0,13498.02,2782.99,20590.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXXIV",23628.0,13940.52,2874.22,21265.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXXV",24378.0,14383.02,2965.46,21940.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1757,"HC CATH, THROMBECTOMY/EMBOLECT XXXVIII",26628.0,15710.52,3239.16,23965.2,46
CPT,C1758,"HC CATHETER, URETERAL 0",15.0,8.85,1.82,13.5,23
CPT,C1758,"HC CATHETER, URETERAL I",90.0,53.1,10.95,81.0,23
CPT,C1758,"HC CATHETER, URETERAL II",227.0,133.93,27.61,204.3,23
CPT,C1758,"HC CATHETER, URETERAL III",527.0,310.93,64.11,474.3,23
CPT,C1758,"HC CATHETER, URETERAL IV",1127.0,664.93,137.09,1014.3,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY X",5628.0,3320.52,684.62,5065.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1759,"HC CATH, INTRA ECHCARDIOGRAPHY XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1760,"HC CLOSURE DEV, VASC I",90.0,53.1,10.95,81.0,23
CPT,C1760,"HC CLOSURE DEV, VASC II",227.0,133.93,27.61,204.3,23
CPT,C1760,"HC CLOSURE DEV, VASC III",527.0,310.93,64.11,474.3,23
CPT,C1760,"HC CLOSURE DEV, VASC IV",1127.0,664.93,137.09,1014.3,23
CPT,C1760,"HC CLOSURE DEV, VASC V",1877.0,1107.43,228.33,1689.3,23
CPT,C1761,HC CATH. TRANS INTRA LITHO/CORO XVI,10128.0,5975.52,1232.02,9115.2,23
CPT,C1761,HC CATH. TRANS INTRA LITHO/CORO XXI,13878.0,8188.02,1688.19,12490.2,23
CPT,C1764,"HC EVENT RECORDER, CARDIAC (LINQ) XX",13128.0,7745.52,1596.95,11815.2,23
CPT,C1764,"HC EVENT RECORDER, CARDIAC XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1764,"HC EVENT RECORDER, CARDIAC XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1764,"HC EVENT RECORDER, CARDIAC XXI",13878.0,8188.02,1688.19,12490.2,23
CPT,C1766,"HC INTRO/SHEATH, STRBLE, NON-PEEL IV",1127.0,664.93,137.09,1014.3,23
CPT,C1766,"HC INTRO/SHEATH, STRBLE, NON-PEEL V",1877.0,1107.43,228.33,1689.3,23
CPT,C1766,"HC INTRO/SHEATH, STRBLE, NON-PEEL VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1766,"HC INTRO/SHEATH, STRBLE, NON-PEEL VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1766,"HC INTRO/SHEATH, STRBLE, NON-PEEL VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1768,"HC GRAFT, VASCULAR 0",15.0,8.85,1.82,13.5,23
CPT,C1768,"HC GRAFT, VASCULAR CXLII",104628.0,61730.52,12727.45,94165.2,23
CPT,C1768,"HC GRAFT, VASCULAR I",90.0,53.1,10.95,81.0,23
CPT,C1768,"HC GRAFT, VASCULAR II",227.0,133.93,27.61,204.3,23
CPT,C1768,"HC GRAFT, VASCULAR III",527.0,310.93,64.11,474.3,23
CPT,C1768,"HC GRAFT, VASCULAR IV",1127.0,664.93,137.09,1014.3,23
CPT,C1768,"HC GRAFT, VASCULAR IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1768,"HC GRAFT, VASCULAR L",35628.0,21020.52,4333.96,32065.2,23
CPT,C1768,"HC GRAFT, VASCULAR LIII",37878.0,22348.02,4607.66,34090.2,23
CPT,C1768,"HC GRAFT, VASCULAR LIX",42378.0,25003.02,5155.06,38140.2,23
CPT,C1768,"HC GRAFT, VASCULAR LVIII",41628.0,24560.52,5063.83,37465.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXI",43878.0,25888.02,5337.53,39490.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXII",44628.0,26330.52,5428.76,40165.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXIV",46128.0,27215.52,5611.23,41515.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXVIII",49128.0,28985.52,5976.16,44215.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXX",50628.0,29870.52,6158.63,45565.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXXIV",53628.0,31640.52,6523.56,48265.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXXVIII",56628.0,33410.52,6888.5,50965.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXXX",58128.0,34295.52,7070.97,52315.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXXXI",58878.0,34738.02,7162.2,52990.2,23
CPT,C1768,"HC GRAFT, VASCULAR LXXXVI",62628.0,36950.52,7618.37,56365.2,23
CPT,C1768,"HC GRAFT, VASCULAR V",1877.0,1107.43,228.33,1689.3,23
CPT,C1768,"HC GRAFT, VASCULAR VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1768,"HC GRAFT, VASCULAR VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1768,"HC GRAFT, VASCULAR VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1768,"HC GRAFT, VASCULAR X",5628.0,3320.52,684.62,5065.2,23
CPT,C1768,"HC GRAFT, VASCULAR XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1768,"HC GRAFT, VASCULAR XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1768,"HC GRAFT, VASCULAR XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1768,"HC GRAFT, VASCULAR XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1768,"HC GRAFT, VASCULAR XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1768,"HC GRAFT, VASCULAR XL",28128.0,16595.52,3421.62,25315.2,23
CPT,C1768,"HC GRAFT, VASCULAR XLII",29628.0,17480.52,3604.09,26665.2,23
CPT,C1768,"HC GRAFT, VASCULAR XLIV",31128.0,18365.52,3786.56,28015.2,23
CPT,C1768,"HC GRAFT, VASCULAR XLV",31878.0,18808.02,3877.79,28690.2,23
CPT,C1768,"HC GRAFT, VASCULAR XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1768,"HC GRAFT, VASCULAR XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1768,"HC GRAFT, VASCULAR XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1768,"HC GRAFT, VASCULAR XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1768,"HC GRAFT, VASCULAR XX",13128.0,7745.52,1596.95,11815.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXI",13878.0,8188.02,1688.19,12490.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXV",16878.0,9958.02,2053.12,15190.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXVI",17628.0,10400.52,2144.35,15865.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXVII",18378.0,10843.02,2235.59,16540.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXXIV",23628.0,13940.52,2874.22,21265.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1768,"HC GRAFT, VASCULAR XXXVIII",26628.0,15710.52,3239.16,23965.2,23
CPT,C1769,HC AMPLATZ SUPER STIFF 145C,202.23,119.32,24.6,182.01,23
CPT,C1769,HC AMPLATZ SUPER STIFF 180,301.74,178.03,36.71,271.57,23
CPT,C1769,HC BENTSON WIRE STRAIGHT 180 CM,47.84,28.23,5.82,43.06,23
CPT,C1769,HC FATHOM 16 GUIDEWIRE,782.79,461.85,95.22,704.51,23
CPT,C1769,HC GLIDEWIRE ANGLED .035 X 150CM,108.0,63.72,13.14,97.2,23
CPT,C1769,HC GUIDE WIRE .025 150CM ANGLED,161.8,95.46,19.68,145.62,23
CPT,C1769,HC GUIDE WIRE 0,15.0,8.85,1.82,13.5,23
CPT,C1769,HC GUIDE WIRE I,90.0,53.1,10.95,81.0,23
CPT,C1769,HC GUIDE WIRE II,227.0,133.93,27.61,204.3,23
CPT,C1769,HC GUIDE WIRE III,527.0,310.93,64.11,474.3,23
CPT,C1769,HC GUIDE WIRE IV,1127.0,664.93,137.09,1014.3,23
CPT,C1769,HC GUIDE WIRE IX,4878.0,2878.02,593.38,4390.2,23
CPT,C1769,HC GUIDE WIRE ROSEN/UROL/VASC,46.0,27.14,5.6,41.4,23
CPT,C1769,HC GUIDE WIRE STRAIGHT,182.4,107.62,22.19,164.16,23
CPT,C1769,HC GUIDE WIRE V,1877.0,1107.43,228.33,1689.3,23
CPT,C1769,HC GUIDE WIRE VI,2627.0,1549.93,319.56,2364.3,23
CPT,C1769,HC GUIDE WIRE VII,4128.0,2435.52,502.15,3715.2,23
CPT,C1769,HC GUIDE WIRE VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1769,HC GUIDEWIRE,142.51,84.08,17.34,128.26,23
CPT,C1769,HC GUIDEWIRE AMPLATZ STIFF35X6X75,81.7,48.2,9.94,73.53,23
CPT,C1769,HC GUIDEWIRE AMPLATZ SUPER STIFF,40.0,23.6,4.87,36.0,23
CPT,C1769,HC GUIDEWIRE BENSON/AMPLATZ,142.51,84.08,17.34,128.26,23
CPT,C1769,HC GWIRE CATH EXCH SAFE T-J,86.0,50.74,10.46,77.4,23
CPT,C1769,HC INTROD MICRO 5F 45CM NIT ANGIO,96.0,56.64,11.68,86.4,23
CPT,C1769,HC MAQUET VASCULAR ACCESS KIT,419.04,247.23,50.97,377.14,23
CPT,C1769,HC WIRE SENSOR,170.0,100.3,20.68,153.0,23
CPT,C1772,HC PUMP INFUSION IMPL PROGRAM LIII,37878.0,22348.02,4607.66,34090.2,23
CPT,C1773,"HC RET DEV, INSERTABLE I",90.0,53.1,10.95,81.0,23
CPT,C1773,"HC RET DEV, INSERTABLE II",227.0,133.93,27.61,204.3,23
CPT,C1773,"HC RET DEV, INSERTABLE III",527.0,310.93,64.11,474.3,23
CPT,C1773,"HC RET DEV, INSERTABLE IV",1127.0,664.93,137.09,1014.3,23
CPT,C1773,"HC RET DEV, INSERTABLE IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1773,"HC RET DEV, INSERTABLE V",1877.0,1107.43,228.33,1689.3,23
CPT,C1773,"HC RET DEV, INSERTABLE VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1773,"HC RET DEV, INSERTABLE VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1773,"HC RET DEV, INSERTABLE VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1773,"HC RET DEV, INSERTABLE X",5628.0,3320.52,684.62,5065.2,23
CPT,C1773,"HC RET DEV, INSERTABLE XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1773,"HC RET DEV, INSERTABLE XLI",28878.0,17038.02,3512.86,25990.2,23
CPT,C1773,"HC RET DEV, INSERTABLE XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1773,"HC RET DEV, INSERTABLE XXXVIII",26628.0,15710.52,3239.16,23965.2,23
CPT,C1777,"HC LEAD, AICD, ENDO SINGLE COIL XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1777,"HC LEAD, AICD, ENDO SINGLE COIL XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1777,"HC LEAD, AICD, ENDO SINGLE COIL XIII",6959.0,4105.81,846.53,6263.1,23
CPT,C1777,"HC LEAD, AICD, ENDO SINGLE COIL XV",8284.0,4887.56,1007.71,7455.6,23
CPT,C1777,"HC LEAD, AICD, ENDO SINGLE COIL XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1777,"HC LEAD, AICD, ENDO SINGLE COIL XXVI",15571.0,9186.89,1894.13,14013.9,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR CXXX",95628.0,56420.52,11632.64,86065.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR V",1877.0,1107.43,228.33,1689.3,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR X",5628.0,3320.52,684.62,5065.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XX",13128.0,7745.52,1596.95,11815.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XXIII",15378.0,9073.02,1870.65,13840.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XXVIII",19128.0,11285.52,2326.82,17215.2,23
CPT,C1778,"HC LEAD, NEUROSTIMULATOR XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1779,"HC LEAD, PMKR, TRANSVENOUS VDD IV",1127.0,664.93,137.09,1014.3,23
CPT,C1779,"HC LEAD, PMKR, TRANSVENOUS VDD VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XIII",6959.0,4105.81,846.53,6263.1,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XIV",7621.0,4496.39,927.05,6858.9,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XIX",10934.0,6451.06,1330.06,9840.6,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XV",8284.0,4887.56,1007.71,7455.6,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XVII",9609.0,5669.31,1168.88,8648.1,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XVIII",10271.0,6059.89,1249.41,9243.9,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XX",11596.0,6841.64,1410.59,10436.4,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XXIII",13584.0,8014.56,1652.42,12225.6,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XXXI",18884.0,11141.56,2297.14,16995.6,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XXXIV",20871.0,12313.89,2538.85,18783.9,23
CPT,C1785,"HC PMKR, DUAL, RATE-RESP XXXVIII",23521.0,13877.39,2861.21,21168.9,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP LI",36378.0,21463.02,4425.19,32740.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP LXXII",46046.0,27167.14,5601.25,41441.4,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP X",5628.0,3320.52,684.62,5065.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XCII",59296.0,34984.64,7213.05,53366.4,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XIV",8124.5,4793.455,927.05,7765.2,46
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XIX",10934.0,6451.06,1330.06,9840.6,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XL",28128.0,16595.52,3421.62,25315.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XLVII",33378.0,19693.02,4060.26,30040.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XV",8284.0,4887.56,1007.71,7455.6,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XVI",8946.0,5278.14,1088.23,8051.4,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XVII",9609.0,5669.31,1168.88,8648.1,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XX",11596.0,6841.64,1410.59,10436.4,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XXIV",14246.0,8405.14,1732.95,12821.4,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XXXII",22128.0,13055.52,2691.76,19915.2,23
CPT,C1786,"HC PMKR, SINGLE, RATE-RESP XXXVII",25878.0,15268.02,3147.92,23290.2,23
CPT,C1788,HC BIO FLOW PORT,1197.0,706.23,145.61,1077.3,23
CPT,C1788,HC PORT A CATHETER,630.0,371.7,76.64,567.0,23
CPT,C1788,"HC PORT, INDWELLING, IMP I",90.0,53.1,10.95,81.0,23
CPT,C1788,"HC PORT, INDWELLING, IMP II",227.0,133.93,27.61,204.3,23
CPT,C1788,"HC PORT, INDWELLING, IMP III",527.0,310.93,64.11,474.3,23
CPT,C1788,"HC PORT, INDWELLING, IMP IV",1127.0,664.93,137.09,1014.3,23
CPT,C1816,"HC RECEIVER AND/OR TRANSMITTER,NEU XXIII",15378.0,9073.02,1870.65,13840.2,23
CPT,C1816,"HC RECEIVER AND/OR TRANSMITTER,NEU XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS I,90.0,53.1,10.95,81.0,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS II,227.0,133.93,27.61,204.3,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS III,527.0,310.93,64.11,474.3,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS IV,1127.0,664.93,137.09,1014.3,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS VI,2627.0,1549.93,319.56,2364.3,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS VII,3378.0,1993.02,410.92,3040.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS X,5628.0,3320.52,684.62,5065.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XI,6378.0,3763.02,775.85,5740.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XLI,28878.0,17038.02,3512.86,25990.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XLII,29628.0,17480.52,3604.09,26665.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XLIII,30378.0,17923.02,3695.32,27340.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XX,13128.0,7745.52,1596.95,11815.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXI,13878.0,8188.02,1688.19,12490.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXII,14628.0,8630.52,1779.42,13165.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXIX,19878.0,11728.02,2418.05,17890.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXXI,21378.0,12613.02,2600.52,19240.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXXII,22128.0,13055.52,2691.76,19915.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXXIII,22878.0,13498.02,2782.99,20590.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXXIV,23628.0,13940.52,2874.22,21265.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXXIX,27378.0,16153.02,3330.39,24640.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXXVI,25128.0,14825.52,3056.69,22615.2,23
CPT,C1817,HC SEPTAL DEFECT IMP SYS XXXVIII,26628.0,15710.52,3239.16,23965.2,23
CPT,C1819,HC BIOPSY DEVICE (I),168.0,99.12,20.44,151.2,23
CPT,C1819,HC BIOPSY DEVICE PRECISECORE,200.0,118.0,24.33,180.0,23
CPT,C1819,HC BREAST BIOPSY NEEDLE-BREV,720.0,424.8,87.58,648.0,23
CPT,C1819,HC INTRODUCER LOCALIZATION  SET,480.0,283.2,58.39,432.0,23
CPT,C1819,HC KOPANS LOC NEEDLE,98.8,58.29,12.02,88.92,23
CPT,C1819,HC TISSUE LOCALIZATION-EXCISION I,90.0,53.1,10.95,81.0,23
CPT,C1819,HC TISSUE LOCALIZATION-EXCISION II,227.0,133.93,27.61,204.3,23
CPT,C1819,HC TISSUE LOCALIZATION-EXCISION III,527.0,310.93,64.11,474.3,23
CPT,C1819,HC TISSUE LOCALIZATION-EXCISION IV,1127.0,664.93,137.09,1014.3,23
CPT,C1819,HC TISSUE LOCALIZATION-EXCISION XIV,8628.0,5090.52,1049.55,7765.2,23
CPT,C1820,HC GEN NEUROSTIM RECHARGE I,90.0,53.1,10.95,81.0,23
CPT,C1820,HC GEN NEUROSTIM RECHARGE XLVI,32628.0,19250.52,3969.03,29365.2,23
CPT,C1820,HC GEN NEUROSTIM RECHARGE XXIII,15378.0,9073.02,1870.65,13840.2,23
CPT,C1830,HC BONE MARROW BIOPSY TRAY 11G,187.68,110.73,22.83,168.91,23
CPT,C1830,HC COAXIAL BONE BIOPSY SYSTEM,875.0,516.25,106.44,787.5,23
CPT,C1830,HC POWER BONE MARROW BX NEEDLE III,527.0,310.93,64.11,474.3,23
CPT,C1830,HC POWER BONE MARROW BX NEEDLE IV,1127.0,664.93,137.09,1014.3,23
CPT,C1830,HC POWER BONE MARROW BX NEEDLE VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1830,HC POWERD BONE MRRW BIOP NDL,375.57,221.59,45.69,338.01,23
CPT,C1830,"HC TRAY, BONE LESION BIOPSY (IV)",1250.01,737.51,152.06,1125.01,23
CPT,C1832,HC AUTO CELL PROCESS SYS XXX,20628.0,12170.52,2509.29,18565.2,23
CPT,C1874,HC DRUG ELUTING STENT 2.75X32,5385.0,3177.15,655.06,4846.5,23
CPT,C1874,HC DRUG ELUTING STENT SGL VS,3300.0,1947.0,401.43,2970.0,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS II",227.0,133.93,27.61,204.3,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS III",527.0,310.93,64.11,474.3,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS IV",1127.0,664.93,137.09,1014.3,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LI",36378.0,21463.02,4425.19,32740.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXVI",46128.0,27215.52,5611.23,41515.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXVII",48378.0,28543.02,5884.93,43540.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXX",50628.0,29870.52,6158.63,45565.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXXI",51378.0,30313.02,6249.86,46240.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXXVI",55128.0,32525.52,6706.03,49615.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXXVIII",56628.0,33410.52,6888.5,50965.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXXX",58128.0,34295.52,7070.97,52315.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS LXXXI",58878.0,34738.02,7162.2,52990.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS V",1877.0,1107.43,228.33,1689.3,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS X",5628.0,3320.52,684.62,5065.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XLI",28878.0,17038.02,3512.86,25990.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XLIV",31128.0,18365.52,3786.56,28015.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XLVIII",34128.0,20135.52,4151.49,30715.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XX",13128.0,7745.52,1596.95,11815.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXI",13878.0,8188.02,1688.19,12490.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXV",16878.0,9958.02,2053.12,15190.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXVI",17628.0,10400.52,2144.35,15865.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXVII",18378.0,10843.02,2235.59,16540.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXVIII",19128.0,11285.52,2326.82,17215.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXX",20628.0,12170.52,2509.29,18565.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXXI",21378.0,12613.02,2600.52,19240.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXXIII",22878.0,13498.02,2782.99,20590.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXXIX",27378.0,16153.02,3330.39,24640.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXXV",24378.0,14383.02,2965.46,21940.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXXVII",25878.0,15268.02,3147.92,23290.2,23
CPT,C1874,"HC STENT, COATED/COV W/DEL SYS XXXVIII",26628.0,15710.52,3239.16,23965.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY III",527.0,310.93,64.11,474.3,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY IV",1127.0,664.93,137.09,1014.3,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY LIX",42378.0,25003.02,5155.06,38140.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY LXVI",47628.0,28100.52,5793.7,42865.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY V",1877.0,1107.43,228.33,1689.3,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XXIX",19878.0,11728.02,2418.05,17890.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XXXI",21378.0,12613.02,2600.52,19240.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XXXII",22128.0,13055.52,2691.76,19915.2,23
CPT,C1875,"HC STENT, COATED/COV W/O DEL SY XXXIII",22878.0,13498.02,2782.99,20590.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL I",90.0,53.1,10.95,81.0,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL II",227.0,133.93,27.61,204.3,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL III",527.0,310.93,64.11,474.3,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL IV",1127.0,664.93,137.09,1014.3,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL LIII",37878.0,22348.02,4607.66,34090.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL LIV",38628.0,22790.52,4698.89,34765.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL LIX",42378.0,25003.02,5155.06,38140.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL LVI",40128.0,23675.52,4881.36,36115.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL LVIII",41628.0,24560.52,5063.83,37465.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL LXI",43878.0,25888.02,5337.53,39490.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL V",1877.0,1107.43,228.33,1689.3,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL X",5628.0,3320.52,684.62,5065.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XLIV",31128.0,18365.52,3786.56,28015.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XLV",31878.0,18808.02,3877.79,28690.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XX",13128.0,7745.52,1596.95,11815.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXIX",19878.0,11728.02,2418.05,17890.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXVII",18378.0,10843.02,2235.59,16540.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXVIII",19128.0,11285.52,2326.82,17215.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXX",20628.0,12170.52,2509.29,18565.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXXI",21378.0,12613.02,2600.52,19240.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXXII",22128.0,13055.52,2691.76,19915.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXXIII",22878.0,13498.02,2782.99,20590.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXXIX",27378.0,16153.02,3330.39,24640.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXXV",24378.0,14383.02,2965.46,21940.2,23
CPT,C1876,"HC STENT, NON-COAT/NON-COV W/DEL XXXVIII",26628.0,15710.52,3239.16,23965.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL LXIV",46128.0,27215.52,5611.23,41515.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL LXVIII",49128.0,28985.52,5976.16,44215.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL V",1877.0,1107.43,228.33,1689.3,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL X",5628.0,3320.52,684.62,5065.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1877,"HC STENT, NON-COAT/ COV W/O DEL XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1880,HC IVC FILTER,3150.0,1858.5,383.18,2835.0,23
CPT,C1880,HC VENA CAVA FILTER IX,4878.0,2878.02,593.38,4390.2,23
CPT,C1880,HC VENA CAVA FILTER VI,2627.0,1549.93,319.56,2364.3,23
CPT,C1880,HC VENA CAVA FILTER VII,3378.0,1993.02,410.92,3040.2,23
CPT,C1880,HC VENA CAVA FILTER VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXV",74534.0,43975.06,9066.67,67080.6,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXVI",75196.0,44365.64,9147.2,67676.4,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXVII",75859.0,44756.81,9227.85,68273.1,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXVIII",76521.0,45147.39,9308.38,68868.9,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXXI",78509.0,46320.31,9550.21,70658.1,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXXIV",80496.0,47492.64,9791.92,72446.4,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXXVI",81821.0,48274.39,9953.1,73638.9,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXXXII",85796.0,50619.64,10436.63,77216.4,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL CXXXVI",88446.0,52183.14,10758.99,79601.4,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL L",31471.0,18567.89,3828.28,28323.9,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LI",32134.0,18959.06,3908.93,28920.6,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LIX",37434.0,22086.06,4553.65,33690.6,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LVI",35446.0,20913.14,4311.82,31901.4,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LVII",40878.0,24118.02,4972.59,36790.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LX",43128.0,25445.52,5246.3,38815.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXII",39421.0,23258.39,4795.36,35478.9,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXIII",40084.0,23649.56,4876.01,36075.6,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXIV",46128.0,27215.52,5611.23,41515.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXV",41409.0,24431.31,5037.19,37268.1,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXVII",42734.0,25213.06,5198.37,38460.6,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXVIII",43396.0,25603.64,5278.9,39056.4,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXX",44721.0,26385.39,5440.08,40248.9,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXXI",51378.0,30313.02,6249.86,46240.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXXIII",47371.0,27948.89,5762.43,42633.9,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXXIV",47371.0,27948.89,5762.43,42633.9,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL LXXVI",55128.0,32525.52,6706.03,49615.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL XLVI",32628.0,19250.52,3969.03,29365.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL XLVII",33378.0,19693.02,4060.26,30040.2,23
CPT,C1882,"HC AICD, OTHER THAN SING/DUAL XLVIII",34128.0,20135.52,4151.49,30715.2,23
CPT,C1883,HC ADAPT/EXTEN NEUROSTIM LEAD III,527.0,310.93,64.11,474.3,23
CPT,C1883,HC ADAPT/EXTEN NEUROSTIM LEAD IV,1127.0,664.93,137.09,1014.3,23
CPT,C1883,HC ADAPT/EXTEN NEUROSTIM LEAD V,1877.0,1107.43,228.33,1689.3,23
CPT,C1883,HC ADAPT/EXTEN NEUROSTIM LEAD VI,2627.0,1549.93,319.56,2364.3,23
CPT,C1883,HC ADAPT/EXTEN NEUROSTIM LEAD XIV,8628.0,5090.52,1049.55,7765.2,23
CPT,C1883,HC ADAPT/EXTEN NEUROSTIM LEAD XVIII,11628.0,6860.52,1414.49,10465.2,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST II,227.0,133.93,27.61,204.3,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST III,527.0,310.93,64.11,474.3,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST IX,4878.0,2878.02,593.38,4390.2,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST VII,3378.0,1993.02,410.92,3040.2,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST XIV,8628.0,5090.52,1049.55,7765.2,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST XV,9378.0,5533.02,1140.78,8440.2,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST XVI,10128.0,5975.52,1232.02,9115.2,23
CPT,C1884,HC EMBOLIZATION PROTECT SYST XVII,10878.0,6418.02,1323.25,9790.2,23
CPT,C1885,HC CATH TRANSL ANGIO LASER X,5628.0,3320.52,684.62,5065.2,23
CPT,C1885,HC CATH TRANSL ANGIO LASER XIV,8628.0,5090.52,1049.55,7765.2,23
CPT,C1886,"HC CATHETER, ABLATION 0",15.0,8.85,1.82,13.5,23
CPT,C1886,"HC CATHETER, ABLATION I",90.0,53.1,10.95,81.0,23
CPT,C1886,"HC CATHETER, ABLATION II",227.0,133.93,27.61,204.3,23
CPT,C1886,"HC CATHETER, ABLATION III",527.0,310.93,64.11,474.3,23
CPT,C1886,"HC CATHETER, ABLATION IV",1127.0,664.93,137.09,1014.3,23
CPT,C1886,"HC CATHETER, ABLATION IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1886,"HC CATHETER, ABLATION V",1877.0,1107.43,228.33,1689.3,23
CPT,C1886,"HC CATHETER, ABLATION VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1886,"HC CATHETER, ABLATION VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1886,"HC CATHETER, ABLATION VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1886,"HC CATHETER, ABLATION X",5628.0,3320.52,684.62,5065.2,23
CPT,C1886,"HC CATHETER, ABLATION XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1886,"HC CATHETER, ABLATION XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1886,"HC CATHETER, ABLATION XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1886,"HC CATHETER, ABLATION XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1886,"HC CATHETER, ABLATION XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1886,"HC CATHETER, ABLATION XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1886,"HC CATHETER, ABLATION XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1886,"HC CATHETER, ABLATION XVIII",10271.0,6059.89,1249.41,9243.9,23
CPT,C1886,"HC CATHETER, ABLATION XXI",13878.0,8188.02,1688.19,12490.2,23
CPT,C1886,"HC CATHETER, ABLATION XXXIII",22878.0,13498.02,2782.99,20590.2,23
CPT,C1886,HC OTEOCOOL RF ABLATION DUAL PROBE KIT,12417.9,7326.56,1510.57,11176.11,23
CPT,C1887,HC ARTERIAL CATHETER KIT-FEM&AXILLARY,160.0,94.4,19.46,144.0,23
CPT,C1887,HC CATH KUMPE ACCESS #25131,94.16,55.55,11.45,84.74,23
CPT,C1887,HC CATH NEEDL YUCH 228675/5,726.53,428.65,88.38,653.88,23
CPT,C1887,"HC CATHETER, GUIDING 0",15.0,8.85,1.82,13.5,23
CPT,C1887,"HC CATHETER, GUIDING I",90.0,53.1,10.95,81.0,23
CPT,C1887,"HC CATHETER, GUIDING II",227.0,133.93,27.61,204.3,23
CPT,C1887,"HC CATHETER, GUIDING III",527.0,310.93,64.11,474.3,23
CPT,C1887,"HC CATHETER, GUIDING IV",1127.0,664.93,137.09,1014.3,23
CPT,C1887,"HC CATHETER, GUIDING IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1887,"HC CATHETER, GUIDING V",1877.0,1107.43,228.33,1689.3,23
CPT,C1887,"HC CATHETER, GUIDING VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1887,"HC CATHETER, GUIDING VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1887,"HC CATHETER, GUIDING VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1887,"HC CATHETER, GUIDING X",5628.0,3320.52,684.62,5065.2,23
CPT,C1887,"HC CATHETER, GUIDING XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1887,"HC CATHETER, GUIDING XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1887,"HC CATHETER, GUIDING XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1887,"HC CATHETER, GUIDING XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1887,"HC CATHETER, GUIDING XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1887,"HC CATHETER, GUIDING XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1887,"HC CATHETER, GUIDING XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1887,"HC CATHETER, GUIDING XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1887,"HC CATHETER, GUIDING XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1887,"HC CATHETER, GUIDING XX",13128.0,7745.52,1596.95,11815.2,23
CPT,C1887,"HC CATHETER, GUIDING XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1888,HC ENDOVAS NON-CARDIAC ABL CATH II,227.0,133.93,27.61,204.3,23
CPT,C1888,HC ENDOVAS NON-CARDIAC ABL CATH III,527.0,310.93,64.11,474.3,23
CPT,C1888,HC ENDOVAS NON-CARDIAC ABL CATH IV,1127.0,664.93,137.09,1014.3,23
CPT,C1888,HC ENDOVAS NON-CARDIAC ABL CATH V,1877.0,1107.43,228.33,1689.3,23
CPT,C1888,HC ENDOVAS NON-CARDIAC ABL CATH VII,3378.0,1993.02,410.92,3040.2,23
CPT,C1888,HC ENDOVAS NON-CARDIAC ABL CATH VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1888,HC ENDOVAS NON-CARDIAC ABL CATH XI,6378.0,3763.02,775.85,5740.2,23
CPT,C1888,HC RADIOFREQUENCY ABLATOR,2983.17,1760.07,362.89,2684.85,23
CPT,C1888,HC SINGLE ABLATION ELECTROD,5136.0,3030.24,624.77,4622.4,23
CPT,C1889,HC CENTRAL VENOUS CATHETER,151.51,89.39,18.43,136.36,23
CPT,C1889,HC CENTRIMAG BLOOD PUMP,33390.0,19700.1,4061.72,30051.0,23
CPT,C1889,HC FREE SUPPLY SAMPLE NON-OR,0.01,0.01,0.01,0.01,23
CPT,C1889,HC GOLD SOFT TISSUE MARKER,660.0,389.4,80.29,594.0,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC 0",15.0,8.85,1.82,13.5,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC C",73128.0,43145.52,8895.64,65815.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CI",73878.0,43588.02,8986.87,66490.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CII",74628.0,44030.52,9078.1,67165.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CIII",75378.0,44473.02,9169.34,67840.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CIV",76128.0,44915.52,9260.57,68515.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CIX",79878.0,47128.02,9716.74,71890.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CLVII",115878.0,68368.02,14095.95,104290.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CLXVI",122628.0,72350.52,14917.05,110365.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CLXVIII",124128.0,73235.52,15099.52,111715.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CV",76878.0,45358.02,9351.81,69190.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CVI",77628.0,45800.52,9443.04,69865.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CVII",78378.0,46243.02,9534.27,70540.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CVIII",79128.0,46685.52,9625.51,71215.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CX",80628.0,47570.52,9807.97,72565.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXI",81378.0,48013.02,9899.21,73240.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXII",82128.0,48455.52,9990.44,73915.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXIII",82878.0,48898.02,10081.67,74590.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXIV",83628.0,49340.52,10172.91,75265.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXIX",87378.0,51553.02,10629.08,78640.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXV",84378.0,49783.02,10264.14,75940.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXVI",85128.0,50225.52,10355.37,76615.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXVII",85878.0,50668.02,10446.61,77290.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXVIII",86628.0,51110.52,10537.84,77965.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXX",88128.0,51995.52,10720.31,79315.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXI",88878.0,52438.02,10811.54,79990.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXII",89628.0,52880.52,10902.78,80665.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXIII",90378.0,53323.02,10994.01,81340.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXIV",91128.0,53765.52,11085.24,82015.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXIX",94878.0,55978.02,11541.41,85390.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXV",91878.0,54208.02,11176.48,82690.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXVI",92628.0,54650.52,11267.71,83365.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXVII",93378.0,55093.02,11358.94,84040.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXVIII",94128.0,55535.52,11450.18,84715.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXX",95628.0,56420.52,11632.64,86065.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXXI",96378.0,56863.02,11723.88,86740.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXXII",97128.0,57305.52,11815.11,87415.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXXIII",97878.0,57748.02,11906.35,88090.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXXIV",98628.0,58190.52,11997.58,88765.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXXV",99378.0,58633.02,12088.81,89440.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC CXXXVIII",101628.0,59960.52,12362.51,91465.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC I",90.0,53.1,10.95,81.0,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC II",227.0,133.93,27.61,204.3,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC III",527.0,310.93,64.11,474.3,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC IV",1127.0,664.93,137.09,1014.3,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC L",35628.0,21020.52,4333.96,32065.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LI",36378.0,21463.02,4425.19,32740.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LII",37128.0,21905.52,4516.43,33415.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LIII",37878.0,22348.02,4607.66,34090.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LIV",38628.0,22790.52,4698.89,34765.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LIX",42378.0,25003.02,5155.06,38140.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LV",39378.0,23233.02,4790.13,35440.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LVI",40128.0,23675.52,4881.36,36115.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LVII",40878.0,24118.02,4972.59,36790.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LVIII",41628.0,24560.52,5063.83,37465.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LX",43128.0,25445.52,5246.3,38815.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXI",43878.0,25888.02,5337.53,39490.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXII",44628.0,26330.52,5428.76,40165.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXIII",45378.0,26773.02,5520.0,40840.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXIV",46128.0,27215.52,5611.23,41515.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXIX",49878.0,29428.02,6067.4,44890.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXV",46878.0,27658.02,5702.46,42190.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXVI",47628.0,28100.52,5793.7,42865.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXVII",48378.0,28543.02,5884.93,43540.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXVIII",49128.0,28985.52,5976.16,44215.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXX",50628.0,29870.52,6158.63,45565.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXI",51378.0,30313.02,6249.86,46240.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXII",52128.0,30755.52,6341.1,46915.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXIII",52878.0,31198.02,6432.33,47590.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXIV",53628.0,31640.52,6523.56,48265.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXIX",57378.0,33853.02,6979.73,51640.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXV",54378.0,32083.02,6614.8,48940.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXVI",55128.0,32525.52,6706.03,49615.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXVII",55878.0,32968.02,6797.27,50290.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXVIII",56628.0,33410.52,6888.5,50965.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXX",58128.0,34295.52,7070.97,52315.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXI",58878.0,34738.02,7162.2,52990.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXII",59628.0,35180.52,7253.43,53665.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXIII",60378.0,35623.02,7344.67,54340.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXIV",61128.0,36065.52,7435.9,55015.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXIX",64878.0,38278.02,7892.07,58390.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXV",61878.0,36508.02,7527.13,55690.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXVI",62628.0,36950.52,7618.37,56365.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXVII",63378.0,37393.02,7709.6,57040.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC LXXXVIII",64128.0,37835.52,7800.83,57715.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC V",1877.0,1107.43,228.33,1689.3,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC X",5628.0,3320.52,684.62,5065.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XC",65628.0,38720.52,7983.3,59065.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCI",66378.0,39163.02,8074.54,59740.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCII",67128.0,39605.52,8165.77,60415.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCIII",67878.0,40048.02,8257.0,61090.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCIV",68628.0,40490.52,8348.24,61765.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCIX",72378.0,42703.02,8804.4,65140.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCV",69378.0,40933.02,8439.47,62440.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCVI",70128.0,41375.52,8530.7,63115.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCVII",70878.0,41818.02,8621.94,63790.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XCVIII",71628.0,42260.52,8713.17,64465.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XIX",12378.0,7303.02,1505.72,11140.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XL",28128.0,16595.52,3421.62,25315.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLI",28878.0,17038.02,3512.86,25990.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLII",29628.0,17480.52,3604.09,26665.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLIII",30378.0,17923.02,3695.32,27340.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLIV",31128.0,18365.52,3786.56,28015.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLIX",34878.0,20578.02,4242.73,31390.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLV",31878.0,18808.02,3877.79,28690.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLVI",32628.0,19250.52,3969.03,29365.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLVII",33378.0,19693.02,4060.26,30040.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XLVIII",34128.0,20135.52,4151.49,30715.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XX",13128.0,7745.52,1596.95,11815.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXI",13878.0,8188.02,1688.19,12490.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXIII",15378.0,9073.02,1870.65,13840.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXIV",16128.0,9515.52,1961.89,14515.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXIX",19878.0,11728.02,2418.05,17890.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXV",16878.0,9958.02,2053.12,15190.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXVI",17628.0,10400.52,2144.35,15865.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXVII",18378.0,10843.02,2235.59,16540.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXVIII",19128.0,11285.52,2326.82,17215.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXX",20628.0,12170.52,2509.29,18565.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXI",21378.0,12613.02,2600.52,19240.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXII",22128.0,13055.52,2691.76,19915.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXIII",22878.0,13498.02,2782.99,20590.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXIV",23628.0,13940.52,2874.22,21265.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXIX",27378.0,16153.02,3330.39,24640.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXV",24378.0,14383.02,2965.46,21940.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXVII",25878.0,15268.02,3147.92,23290.2,23
CPT,C1889,"HC IMPLANT/INSERT DEVICE, NOC XXXVIII",26628.0,15710.52,3239.16,23965.2,23
CPT,C1889,HC INSERT DEVICE CII,74628.0,44030.52,9078.1,67165.2,23
CPT,C1889,HC INSERT DEVICE I,90.0,53.1,10.95,81.0,23
CPT,C1889,HC INSERT DEVICE II,227.0,133.93,27.61,204.3,23
CPT,C1889,HC INSERT DEVICE III,527.0,310.93,64.11,474.3,23
CPT,C1889,HC INSERT DEVICE IV,1127.0,664.93,137.09,1014.3,23
CPT,C1889,HC INSERT DEVICE IX,4878.0,2878.02,593.38,4390.2,23
CPT,C1889,HC INSERT DEVICE V,1877.0,1107.43,228.33,1689.3,23
CPT,C1889,HC INSERT DEVICE VI,2627.0,1549.93,319.56,2364.3,23
CPT,C1889,HC INSERT DEVICE VII,3378.0,1993.02,410.92,3040.2,23
CPT,C1889,HC INSERT DEVICE VIII,4128.0,2435.52,502.15,3715.2,23
CPT,C1889,HC INSERT DEVICE X,5628.0,3320.52,684.62,5065.2,23
CPT,C1889,HC INSERT DEVICE XII,7128.0,4205.52,867.08,6415.2,23
CPT,C1889,HC INSERT DEVICE XIII,7878.0,4648.02,958.32,7090.2,23
CPT,C1889,HC INSERT DEVICE XIV,8628.0,5090.52,1049.55,7765.2,23
CPT,C1889,HC INSERT DEVICE XIX,12378.0,7303.02,1505.72,11140.2,23
CPT,C1889,HC INSERT DEVICE XV,9378.0,5533.02,1140.78,8440.2,23
CPT,C1889,HC INSERT DEVICE XVI,10128.0,5975.52,1232.02,9115.2,23
CPT,C1889,HC INSERT DEVICE XVII,10878.0,6418.02,1323.25,9790.2,23
CPT,C1889,HC INSERT DEVICE XVIII,11628.0,6860.52,1414.49,10465.2,23
CPT,C1889,HC RESOLUTION CLIP,657.0,387.63,79.92,591.3,23
CPT,C1889,HC SKIN CRYOPRESERVED MESHED 154 SQ,930.0,548.7,113.13,837.0,23
CPT,C1889,HC SPACEOAR SYSTEM,8082.5,4768.68,983.19,7274.25,23
CPT,C1889,HC SPACEOAR VUE,9129.25,5386.26,1110.53,8216.33,23
CPT,C1892,"HC INTRO/SHEATH,FIXED,PEEL-AWAY 0",15.0,8.85,1.82,13.5,23
CPT,C1892,"HC INTRO/SHEATH,FIXED,PEEL-AWAY I",90.0,53.1,10.95,81.0,23
CPT,C1892,"HC INTRO/SHEATH,FIXED,PEEL-AWAY II",227.0,133.93,27.61,204.3,23
CPT,C1892,"HC INTRO/SHEATH,FIXED,PEEL-AWAY III",527.0,310.93,64.11,474.3,23
CPT,C1892,"HC INTRO/SHEATH,FIXED,PEEL-AWAY IV",1127.0,664.93,137.09,1014.3,23
CPT,C1893,"HC INTRO/SHEATH, FIXED NON-PEEL VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1893,"HC INTRO/SHEATH, FIXED, NON PEEL I",90.0,53.1,10.95,81.0,23
CPT,C1893,"HC INTRO/SHEATH, FIXED, NON PEEL II",227.0,133.93,27.61,204.3,23
CPT,C1893,"HC INTRO/SHEATH, FIXED, NON PEEL III",527.0,310.93,64.11,474.3,23
CPT,C1893,"HC INTRO/SHEATH, FIXED, NON PEEL IV",1127.0,664.93,137.09,1014.3,23
CPT,C1893,"HC INTRO/SHEATH, FIXED, NON PEEL IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1893,"HC INTRO/SHEATH, FIXED, NON PEEL XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1894,HC CATH CF 7FR 100CM CFP MIS-07/11,1950.0,1150.5,237.21,1755.0,23
CPT,C1894,HC CATH CF 7FR 60CM CFP MIS-07/11,1950.0,1150.5,237.21,1755.0,23
CPT,C1894,HC COOK MICROPUNCTURE SET,160.0,94.4,19.46,144.0,23
CPT,C1894,HC H 7/11 BRITE SHEATH,56.0,33.04,6.81,50.4,23
CPT,C1894,HC INTRO/SHEATH NON-GUIDING XXVI,17628.0,10400.52,2144.35,15865.2,23
CPT,C1894,HC INTRO/SHEATH NON-LASER XIII,7878.0,4648.02,958.32,7090.2,23
CPT,C1894,HC INTRO/SHEATH NON-LASER XVIII,11628.0,6860.52,1414.49,10465.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER 0",15.0,8.85,1.82,13.5,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER I",90.0,53.1,10.95,81.0,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER II",227.0,133.93,27.61,204.3,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER III",527.0,310.93,64.11,474.3,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER IV",1127.0,664.93,137.09,1014.3,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER V",1877.0,1107.43,228.33,1689.3,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER X",5628.0,3320.52,684.62,5065.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER XXV",16878.0,9958.02,2053.12,15190.2,23
CPT,C1894,"HC INTRO/SHEATH, NON-LASER XXVI",17628.0,10400.52,2144.35,15865.2,23
CPT,C1894,HC MICROPUNTURE ACCESS SET,90.0,53.1,10.95,81.0,23
CPT,C1894,HC NEEDLE GUIDE KIT 21 GA,52.0,30.68,6.33,46.8,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL III",527.0,310.93,64.11,474.3,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL IV",1127.0,664.93,137.09,1014.3,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL V",1877.0,1107.43,228.33,1689.3,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL XV",9378.0,5533.02,1140.78,8440.2,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL XXIX",17559.0,10359.81,2135.96,15803.1,23
CPT,C1895,"HC LEAD, AICD, ENDO DUAL COIL XXVI",15571.0,9186.89,1894.13,14013.9,23
CPT,C1896,"HC LEAD AICD, NON SING/DUAL IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1896,"HC LEAD AICD, NON SING/DUAL VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1896,"HC LEAD AICD, NON SING/DUAL XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C1896,"HC LEAD AICD, NON SING/DUAL XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C1897,HC KIT TRIAL LEAD OCTRODE 60CM,4485.0,2646.15,545.58,4036.5,23
CPT,C1897,HC LEAD TRIALING COMPACT MDL #977D260,2700.0,1593.0,328.44,2430.0,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT I",90.0,53.1,10.95,81.0,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT V",1877.0,1107.43,228.33,1689.3,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT XXIII",15378.0,9073.02,1870.65,13840.2,23
CPT,C1897,"HC LEAD, NEUROSTIM TEST KIT XXVI",17628.0,10400.52,2144.35,15865.2,23
CPT,C1897,HC PRECISION INFINITION TRIAL LEAD KIT,4650.0,2743.5,565.65,4185.0,23
CPT,C1898,"HC LEAD, PMKR, OTHER THAN TRANS II",227.0,133.93,27.61,204.3,23
CPT,C1898,"HC LEAD, PMKR, OTHER THAN TRANS III",527.0,310.93,64.11,474.3,23
CPT,C1898,"HC LEAD, PMKR, OTHER THAN TRANS IV",1127.0,664.93,137.09,1014.3,23
CPT,C1898,"HC LEAD, PMKR, OTHER THAN TRANS V",1877.0,1107.43,228.33,1689.3,23
CPT,C1898,"HC LEAD, PMKR, OTHER THAN TRANS VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1898,"HC LEAD, PMKR, OTHER THAN TRANS VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1898,"HC LEAD, PMKR, OTHER THAN TRANS X",5628.0,3320.52,684.62,5065.2,23
CPT,C1899,HC LEAD PACEMAKER/ICD COMBINATION VI,2627.0,1549.93,319.56,2364.3,23
CPT,C1899,HC LEAD PACEMAKER/ICD COMBINATION XIII,7878.0,4648.02,958.32,7090.2,23
CPT,C1900,"HC LEAD, CORONARY VENOUS IX",4878.0,2878.02,593.38,4390.2,23
CPT,C1900,"HC LEAD, CORONARY VENOUS V",1877.0,1107.43,228.33,1689.3,23
CPT,C1900,"HC LEAD, CORONARY VENOUS VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1900,"HC LEAD, CORONARY VENOUS VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C1900,"HC LEAD, CORONARY VENOUS X",5628.0,3320.52,684.62,5065.2,23
CPT,C1900,"HC LEAD, CORONARY VENOUS XI",6378.0,3763.02,775.85,5740.2,23
CPT,C1900,"HC LEAD, CORONARY VENOUS XII",7128.0,4205.52,867.08,6415.2,23
CPT,C1900,"HC LEAD, CORONARY VENOUS XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C1982,"HC CATH, PRESSURE, VALVE-OCCLU VI",2627.0,1549.93,319.56,2364.3,23
CPT,C1982,"HC CATH, PRESSURE, VALVE-OCCLU VII",3378.0,1993.02,410.92,3040.2,23
CPT,C1982,"HC CATH, PRESSURE, VALVE-OCCLU VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C2613,HC BIOSENTRY TRACT SEALANT SYSTEM,825.0,486.75,100.36,742.5,23
CPT,C2616,HC SRCE RADIATION SPHERES NS,43725.0,25797.75,5318.92,39352.5,23
CPT,C2616,HC Y-90 MICROSPHERES,43050.0,25399.5,5236.81,38745.0,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL I",90.0,53.1,10.95,81.0,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL II",227.0,133.93,27.61,204.3,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL III",527.0,310.93,64.11,474.3,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL IV",1127.0,664.93,137.09,1014.3,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL V",1877.0,1107.43,228.33,1689.3,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL VII",3378.0,1993.02,410.92,3040.2,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL XXXV",24378.0,14383.02,2965.46,21940.2,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL XXXVI",25128.0,14825.52,3056.69,22615.2,23
CPT,C2617,"HC STENT, NON-COR TEM W/O DEL XXXVII",25878.0,15268.02,3147.92,23290.2,23
CPT,C2617,"HC STENT, NON-CXOR TEM W/O DEL XXIX",19878.0,11728.02,2418.05,17890.2,23
CPT,C2618,HC CRYOBLATION NLD ICE ROD/ICE SPHERE,3225.0,1902.75,392.3,2902.5,23
CPT,C2618,HC ICE FORCE 2.1 90� CRYOABLATION NEEDLE,3600.0,2124.0,437.92,3240.0,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO IV",1127.0,664.93,137.09,1014.3,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO IX",4878.0,2878.02,593.38,4390.2,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO V",1877.0,1107.43,228.33,1689.3,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO VI",2627.0,1549.93,319.56,2364.3,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO VII",3378.0,1993.02,410.92,3040.2,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO X",5628.0,3320.52,684.62,5065.2,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO XI",6378.0,3763.02,775.85,5740.2,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO XII",7128.0,4205.52,867.08,6415.2,23
CPT,C2618,"HC PROBE/NEEDLE, CRYO XXII",14628.0,8630.52,1779.42,13165.2,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XLV",28159.0,16613.81,3425.39,25343.1,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XLVI",28821.0,17004.39,3505.92,25938.9,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XLVII",33378.0,19693.02,4060.26,30040.2,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXI",13878.0,8188.02,1688.19,12490.2,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXII",12921.0,7623.39,1571.77,11628.9,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXIII",15378.0,9073.02,1870.65,13840.2,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXIV",16128.0,9515.52,1961.89,14515.2,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXV",14909.0,8796.31,1813.6,13418.1,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXVI",17628.0,10400.52,2144.35,15865.2,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXVII",18378.0,10843.02,2235.59,16540.2,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXX",18221.0,10750.39,2216.49,16398.9,23
CPT,C2621,"HC PMKR, OTHER THAN SING/DUAL XXXII",19546.0,11532.14,2377.67,17591.4,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT I",90.0,53.1,10.95,81.0,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT IX",4878.0,2878.02,593.38,4390.2,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT VII",3378.0,1993.02,410.92,3040.2,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT X",5628.0,3320.52,684.62,5065.2,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT XI",6378.0,3763.02,775.85,5740.2,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT XII",7128.0,4205.52,867.08,6415.2,23
CPT,C2623,"HC CATH, TRANSLUMIN, DRUG-COAT XIII",7878.0,4648.02,958.32,7090.2,23
CPT,C2624,HC WIRELESS PRESSURE SENSOR LXXII,52128.0,30755.52,6341.1,46915.2,23
CPT,C2624,HC WIRELESS PRESSURE SENSOR XXXII,22128.0,13055.52,2691.76,19915.2,23
CPT,C2624,HC WIRELESS PRESSURE SENSOR XXXIV,23628.0,13940.52,2874.22,21265.2,23
CPT,C2625,HC 22CM URETERAL STENT 230838,444.12,262.03,54.02,399.71,23
CPT,C2625,HC 8.5FR 22CM NEPHROUT SET 240735,375.75,221.69,45.71,338.18,23
CPT,C2625,HC 8.5FR 24CM NEPHROUT SET 240736,399.28,235.58,48.57,359.35,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS 0",15.0,8.85,1.82,13.5,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS I",90.0,53.1,10.95,81.0,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS II",227.0,133.93,27.61,204.3,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS III",527.0,310.93,64.11,474.3,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS IV",1127.0,664.93,137.09,1014.3,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS LIV",38628.0,22790.52,4698.89,34765.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS LVII",40878.0,24118.02,4972.59,36790.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS LVIII",41628.0,24560.52,5063.83,37465.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS LX",43128.0,25445.52,5246.3,38815.2,46
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS LXI",43878.0,25888.02,5337.53,39490.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS V",1877.0,1107.43,228.33,1689.3,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS VI",2627.0,1549.93,319.56,2364.3,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS VII",3378.0,1993.02,410.92,3040.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS XI",6378.0,3763.02,775.85,5740.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS XXIX",19878.0,11728.02,2418.05,17890.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS XXVIII",19128.0,11285.52,2326.82,17215.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS XXXI",21378.0,12613.02,2600.52,19240.2,23
CPT,C2625,"HC STENT, NON-COR, TERM W/DEL SYS XXXIX",27378.0,16153.02,3330.39,24640.2,23
CPT,C2625,"HC STENT, URETERAL BOSTON",707.22,417.26,86.03,636.5,23
CPT,C2627,HC CATH DRN SUPRAPUBIC SET,184.32,108.75,22.42,165.89,23
CPT,C2627,"HC CATH, SUPRAPUBIC/CYSTOSCOPIC 0",15.0,8.85,1.82,13.5,23
CPT,C2627,"HC CATH, SUPRAPUBIC/CYSTOSCOPIC I",90.0,53.1,10.95,81.0,23
CPT,C2627,"HC CATH, SUPRAPUBIC/CYSTOSCOPIC II",227.0,133.93,27.61,204.3,23
CPT,C2627,"HC CATH, SUPRAPUBIC/CYSTOSCOPIC III",527.0,310.93,64.11,474.3,23
CPT,C2627,"HC CATH, SUPRAPUBIC/CYSTOSCOPIC IV",1127.0,664.93,137.09,1014.3,23
CPT,C2627,"HC CATH, SUPRAPUBIC/CYSTOSCOPIC V",1877.0,1107.43,228.33,1689.3,23
CPT,C2628,"HC CATHETER, OCCLUSION I",90.0,53.1,10.95,81.0,23
CPT,C2628,"HC CATHETER, OCCLUSION II",227.0,133.93,27.61,204.3,23
CPT,C2628,"HC CATHETER, OCCLUSION III",527.0,310.93,64.11,474.3,23
CPT,C2628,"HC CATHETER, OCCLUSION IV",1127.0,664.93,137.09,1014.3,23
CPT,C2628,"HC CATHETER, OCCLUSION IX",4878.0,2878.02,593.38,4390.2,23
CPT,C2628,"HC CATHETER, OCCLUSION V",1877.0,1107.43,228.33,1689.3,23
CPT,C2628,"HC CATHETER, OCCLUSION VI",2627.0,1549.93,319.56,2364.3,23
CPT,C2628,"HC CATHETER, OCCLUSION VII",3378.0,1993.02,410.92,3040.2,23
CPT,C2628,"HC CATHETER, OCCLUSION VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C2628,"HC CATHETER, OCCLUSION X",5628.0,3320.52,684.62,5065.2,23
CPT,C2628,"HC CATHETER, OCCLUSION XII",7128.0,4205.52,867.08,6415.2,23
CPT,C2628,"HC CATHETER, OCCLUSION XVI",10128.0,5975.52,1232.02,9115.2,23
CPT,C2628,"HC CATHETER, OCCLUSION XVII",10878.0,6418.02,1323.25,9790.2,23
CPT,C2628,"HC CATHETER, OCCLUSION XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C2628,HC OCCLUSION/SIZING BALLOON,822.84,485.48,100.09,740.56,23
CPT,C2629,"HC INTRO/SHEATH, LASER III",527.0,310.93,64.11,474.3,23
CPT,C2629,"HC INTRO/SHEATH, LASER IV",1127.0,664.93,137.09,1014.3,23
CPT,C2629,"HC INTRO/SHEATH, LASER XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C2630,"HC CATH EP, COOL-TIP CII",74628.0,44030.52,9078.1,67165.2,23
CPT,C2630,"HC CATH EP, COOL-TIP IX",4878.0,2878.02,593.38,4390.2,23
CPT,C2630,"HC CATH EP, COOL-TIP VII",3378.0,1993.02,410.92,3040.2,23
CPT,C2630,"HC CATH EP, COOL-TIP VIII",4128.0,2435.52,502.15,3715.2,23
CPT,C2630,"HC CATH EP, COOL-TIP X",5628.0,3320.52,684.62,5065.2,23
CPT,C2630,"HC CATH EP, COOL-TIP XII",7128.0,4205.52,867.08,6415.2,23
CPT,C2630,"HC CATH EP, COOL-TIP XIV",8628.0,5090.52,1049.55,7765.2,23
CPT,C2630,"HC CATH EP, COOL-TIP XVIII",11628.0,6860.52,1414.49,10465.2,23
CPT,C2630,"HC CATH, EP, COOL-TIP V",1877.0,1107.43,228.33,1689.3,23
CPT,C2630,HC IMPELLA CP CATHETER,66250.0,39087.5,8058.97,59625.0,23
CPT,C2634,HC HI ACTVTY BRACH IODINE125,144.51,85.26,17.58,130.06,23
CPT,C5271,HC GFT SKIN SUB T/A/L <=100CM LOW,1664.36,981.97,202.46,1497.92,23
CPT,C5275,HC GFT SKIN SUB F/S/E </=100CM LOW,1664.36,981.97,202.46,1497.92,23
CPT,C7900,"HC HOPD MNTL HLT, 15-29 MIN",122.47,72.26,14.9,110.22,23
CPT,C7901,"HC HOPD MNTL HLTH, 30-60 MIN",313.01,184.68,38.08,281.71,23
CPT,C7902,"HC HOPD MNTL HLT, EA ADD'L 15 MIN",61.24,36.13,7.45,55.12,23
CPT,C8921,"HC TTE W OR W/O, FOL W/CONTR CONG COMP",2416.01,1425.45,579.54,2174.41,23
CPT,C8923,HC TTE 2D W/ W/O M-MODE COMPL W/CONTRST,2064.49,1218.05,495.22,1858.04,23
CPT,C8924,HC TTE 2D W OR W/O M-MODE W/CONTR LTD F/U,1567.11,924.59,375.91,1410.4,23
CPT,C8925,HC TEE 2D W OR W/O M-MODE W/CONTR W/PROBE,2416.01,1425.45,579.54,2174.41,23
CPT,C8928,HC TTE W/W/O M-MODE REST/STRESS W/CONTR,2416.01,1425.45,579.54,2174.41,23
CPT,C8929,HC TTE W OR W/O FOL W/CONTR DOPPLER,2416.01,1425.45,579.54,2174.41,23
CPT,C8930,HC TTE M-MODE STRESS W/CONTR CONT EKG,2416.01,1425.45,579.54,2174.41,23
CPT,C8937,HC CAD BREAST MRI,566.83,334.43,68.95,510.15,23
CPT,C8957,HC IV INFUS THERAPY/DX >8 HR IMPL,1027.18,606.04,163.51,924.46,23
CPT,C9362,HC STRIP INTEGRA MOZAIK PER 0.5CM III,527.0,310.93,64.11,474.3,23
CPT,C9507,"HC FRESH FROZEN PLASMA, CONVALESCENT",2626.75,1549.78,316.46,2364.08,23
CPT,C9739,HC CYSTOSCOPY PROSTATIC IMP 1-3,12255.27,7230.61,1490.79,11029.74,23
CPT,C9740,HC CYSTOSCOPY PROSTATIC IMP 4 OR MORE,13997.63,8258.6,1702.74,12597.87,23
CPT,C9758,HC INTERATRIAL SHUNT IDE,0.01,0.01,0.01,0.01,23
CPT,C9764,HC REVASC INTRAVASC LITHOTRIPSY,21005.81,12393.43,5038.78,18905.23,23
CPT,C9765,HC REVASC INTRAVASC LITHOTRIPSY STENT,42014.42,24788.51,10078.23,37812.98,23
CPT,C9766,HC REVASC INTRAVASC LITHOTRIPSY ATHERECT,42014.42,24788.51,10078.23,37812.98,23
CPT,C9767,HC REVASC LITHOTRIPSY STENT ATHERECT,67589.45,39877.78,16213.06,60830.51,23
CPT,C9772,HC REVASC LITHOTRIPSY TIB/PER,42616.21,25143.56,10222.59,38354.59,23
CPT,C9773,HC REVASC LITHOTRIPSY STENT TIB/PER,68165.98,40217.93,16351.35,61349.38,23
CPT,C9774,HC REVASC LITHOTRIPSY ATHERECT TIB/PER,68165.98,40217.93,16351.35,61349.38,23
CPT,C9775,HC REVASC LITHOTRIPSY STENT ATHERECT TIB/PER,68165.98,40217.93,16351.35,61349.38,23
CPT,C9780,HC INSERT CV CATH INF & SUP APP,35010.19,20656.01,4258.81,31509.17,23
CPT,C9783,HC BLIND COR SINUS REDUCER IMPL,16313.14,9624.75,3913.12,14681.83,23
CPT,C9797,HC VASC EMB/OCC W/PRESSURE CATH,37049.15,21859.0,4506.83,33344.24,23
CPT,C9803,HC ZZZCOVID-19 SPECIMEN COLLECT OUTPT DEPT,137.88,81.35,16.61,124.09,23
CPT,G0008,HC INFLUENZA VACC/ADMIN,144.0,84.96,17.52,129.6,23
CPT,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,144.0,84.96,17.52,129.6,23
CPT,G0010,HC ADMIN HEPATITIS B VACC,144.0,84.96,17.52,129.6,23
CPT,G0103,HC PSA SCRN TEST,189.0,111.51,22.77,170.1,23
CPT,G0105,HC COLORECTAL SCREEN HIGH RISK,2454.5,1448.16,298.58,2209.05,23
CPT,G0108,HC DIABETES SELF-MGT TRN INDIV O/P 30 MIN,214.76,126.71,26.12,193.28,23
CPT,G0109,HC DIABETES SELF-MGT TRN GRP O/P 30 MIN,121.56,71.72,14.79,109.4,23
CPT,G0121,HC COLORECTAL SCRN LOW RISK,2454.5,1448.16,298.58,2209.05,23
CPT,G0123,HC SCREENING THIN-LAYER PAP,164.0,96.76,19.76,147.6,23
CPT,G0127,HC TRIM NAIL(S),227.78,134.39,27.71,205.0,23
CPT,G0145,"HC SCR C/V CYTO, F/P + MAN RESCR",178.0,105.02,21.44,160.2,23
CPT,G0237,HC PROPH RESP STRENGTH/ENDUR 15 MIN,104.34,61.56,12.69,93.91,23
CPT,G0238,HC PROPH RESP FUNCTION 15 MIN,119.18,70.32,14.5,107.26,23
CPT,G0239,HC PROPH RESP FUNCTION GRP,104.34,61.56,12.69,93.91,23
CPT,G0269,HC PL OCCL DEVICE ARTERIAL OR VENOUS SITE,605.77,357.4,73.69,545.19,23
CPT,G0270,HC NUTRITION THPY REASSESS INDIV EA 15 MIN,95.22,56.18,11.58,85.7,23
CPT,G0278,HC ANGIO ILIAC DURING CARDIAC CATH,274.52,161.97,65.85,247.07,23
CPT,G0296,HC COUNSELING VISIT FOR LUNG SCREENING USING LDCT,313.01,184.68,38.08,281.71,23
CPT,G0379,HC DIRECT REFER HOSPITAL OBSERVATION,1752.49,1033.97,213.18,1577.24,23
CPT,G0390,HC FULL TRAUMA RESPONSE LEVEL I,3207.16,1892.22,390.13,2886.44,23
CPT,G0390,HC MODIFIED TRAUMA RESPONSE W/ CRITICAL CARE,3207.16,1892.22,390.13,2886.44,23
CPT,G0416,"HC PROSTATE BIOPSY, ANY MTHD",1026.24,605.48,123.64,923.62,23
CPT,G0447,HC BEHAVIOR COUNSEL OBESITY 15M,258.32,152.41,31.42,232.49,23
CPT,G0476,HC HPV COMBO ASSAY CA SCREEN,361.0,212.99,43.49,324.9,23
CPT,G0480,HC 6-THIOGUANINE,686.58,405.08,82.72,617.92,23
CPT,G0480,"HC ACETAZOLAMIDE, SERUM",686.58,405.08,82.72,617.92,23
CPT,G0480,HC ALCOHOL BIOMARKERS; 1 OR 2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ALCOHOL BIOMARKERS; 3 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ALCOHOLS,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ALKALOIDS NOS,686.58,405.08,82.72,617.92,23
CPT,G0480,HC AMPHETAMINES; 3 OR 4,686.58,405.08,82.72,617.92,23
CPT,G0480,HC AMPHETAMINES; 5 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANABOLIC STEROIDS; 1 OR 2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANABOLIC STEROIDS; 3 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,"HC ANALGESICS, NON-OPIOID; 3-5",686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTIDEPRESSANT TRICYCLIC 1-2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTIDEPRESSANT TRICYCLIC 3-5,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTIDEPRESSANTS NOS,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTIDEPRESSANTS SERTONERGIC CLASS 1 OR 2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTIDEPRESSANTS SERTONERGIC CLASS 3-5,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTIDEPRESSANTS SERTONERGIC CLASS 6 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTIEPILEPTICS NOS 1-3,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ANTISPYCHOTIC DRUG,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ASSAY OF DIHYDROMORPHINONE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ASSAY OF METHADONE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC BARBITURATES,686.58,405.08,82.72,617.92,23
CPT,G0480,HC BENZODIAZEPINES; 1-12,686.58,405.08,82.72,617.92,23
CPT,G0480,HC BENZODIAZEPINES; 13 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC BUPIVAVAINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC BUPRENORPHINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC CANNABINOIDS NATURAL,686.58,405.08,82.72,617.92,23
CPT,G0480,HC CANNABINOIDS SYNTHETIC; 1-3,686.58,405.08,82.72,617.92,23
CPT,G0480,HC CANNABINOIDS SYNTHETIC; 4-6,686.58,405.08,82.72,617.92,23
CPT,G0480,HC CANNABINOIDS SYNTHETIC; 7 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC CARBRITAL QUANTITATION,686.58,405.08,82.72,617.92,23
CPT,G0480,HC CLONAZEPAM LEVEL,686.58,405.08,82.72,617.92,23
CPT,G0480,HC CLOZAPONE & METABOLITES,686.58,405.08,82.72,617.92,23
CPT,G0480,HC COCAINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC COUMADIN (WARFARIN),686.58,405.08,82.72,617.92,23
CPT,G0480,HC DAPSONE AND METABOLITE - DAPSONE AND,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DIAZEPAM,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DIHYDROCODEINONE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DIPHENHYDRAMINE SCR,686.58,405.08,82.72,617.92,23
CPT,G0480,"HC DIPHENHYDRAMINE, URINE",686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG SCREENING TAPENTADOL,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG SCREENING TRAMADOL,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG SCRN ANALGESICS NON-OPIOD 1-2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG SCRN ANALGESICS NON-OPIOID >=6,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG/SUBSTANCE NOS 1-3,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG/SUBSTANCE NOS 4-6,686.58,405.08,82.72,617.92,23
CPT,G0480,HC DRUG/SUBSTANCE NOS 7 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC FENTANYL,686.58,405.08,82.72,617.92,23
CPT,G0480,HC FLUNITRAZEPAM & MET QUANT URINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC GABAPENTIN NON-BLOOD,686.58,405.08,82.72,617.92,23
CPT,G0480,HC HEROIN METABOLITE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC KETAMINE AND NORKETAMINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC LURASIDONE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC METFORMIN,686.58,405.08,82.72,617.92,23
CPT,G0480,HC METHADONE METABOLITE CONFIRMATION,686.58,405.08,82.72,617.92,23
CPT,G0480,HC METHSUXIMIDE NOS; 4-6,686.58,405.08,82.72,617.92,23
CPT,G0480,HC METHSUXIMIDE NOS; 7 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC METHYLENEDIOXYAMPHETAMINES,686.58,405.08,82.72,617.92,23
CPT,G0480,HC METHYLPHENIDATE,686.58,405.08,82.72,617.92,23
CPT,G0480,"HC OPIATES, 1 OR MORE",686.58,405.08,82.72,617.92,23
CPT,G0480,HC OPIODS AND OPIATE ANALOGS; 1 OR 2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC OPIODS AND OPIATE ANALOGS; 3 OR 4,686.58,405.08,82.72,617.92,23
CPT,G0480,HC OPIODS AND OPIATE ANALOGS; 5 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC OXYCODONE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC OXYCODONE QUANT URINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC PENTOBARBITAL (NEMBUTAL),686.58,405.08,82.72,617.92,23
CPT,G0480,HC PHENCYCLIDINE (PCP),686.58,405.08,82.72,617.92,23
CPT,G0480,HC PHENOTHIAZINE NOS; 1-3,686.58,405.08,82.72,617.92,23
CPT,G0480,HC PHENOTHIAZINE NOS; 4-6,686.58,405.08,82.72,617.92,23
CPT,G0480,HC PHENOTHIAZINE NOS; 7 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC PREGABALIN,686.58,405.08,82.72,617.92,23
CPT,G0480,HC PROPOXYPHENE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC QUETIAPINE - QUETIAPINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC RISPERIDONE & METABOLITES,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ROPIVACAINE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC SEDATIVE HYPNOTICS,686.58,405.08,82.72,617.92,23
CPT,G0480,HC SKELETAL MUSCLE RELAXANTS; 1 OR 2,686.58,405.08,82.72,617.92,23
CPT,G0480,HC SKELETAL MUSCLE RELAXANTS; 3 OR MORE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC STEREOISOMER (ENANTIOMER) ANALYSIS SINGLE DRUG,686.58,405.08,82.72,617.92,23
CPT,G0480,HC STIMULANTS SYNTHETIC,686.58,405.08,82.72,617.92,23
CPT,G0480,HC TMPT ACTIVITY,686.58,405.08,82.72,617.92,23
CPT,G0480,HC TRICYCLIC & CYCLICALS >=6,686.58,405.08,82.72,617.92,23
CPT,G0480,"HC XYLAZINE, URINE",686.58,405.08,82.72,617.92,23
CPT,G0480,HC ZIPRASIDONE,686.58,405.08,82.72,617.92,23
CPT,G0480,HC ZTHIOPURINE METABOLITES,686.58,405.08,82.72,617.92,23
CPT,G0483,HC DRUG TEST DEF 22+ CLASSES,1481.52,874.1,178.49,1333.37,23
CPT,G0562,HC COMPLEX SIMULATION W/PET-CT,8160.01,4814.41,992.62,7344.01,23
CPT,G0563,HC SBRT W/POSITRON EMISSION DELIVERY,15690.4,9257.34,1908.65,14121.36,23
CPT,G1001,HC CDSM EVICORE,0.01,0.01,0.01,0.01,23
CPT,G1002,HC CDSM MEDCURRENT,0.01,0.01,0.01,0.01,23
CPT,G1003,HC CDSM MEDICALIS,0.01,0.01,0.01,0.01,23
CPT,G1004,HC CDSM NATIONAL DECISION SUPPORT COMPANY,0.01,0.01,0.01,0.01,23
CPT,G1007,HC CDSM AIM SPECIALTY HEALTH,0.01,0.01,0.01,0.01,23
CPT,G1008,HC CDSM CRANBERRY PEAK,0.01,0.01,0.01,0.01,23
CPT,G1010,HC CDSM STANSON,0.01,0.01,0.01,0.01,23
CPT,G1011,HC CDSM QUALIFIED TOOL NOT OTHERWISE SPECIFIED,0.01,0.01,0.01,0.01,23
CPT,G1012,HC CDSM AGILEMD'S CLINICAL DECISION SUP MECHANISM,0.01,0.01,0.01,0.01,23
CPT,G1013,HC CDSM EVIDENCECARE'S IMAGING ADVISOR,0.01,0.01,0.01,0.01,23
CPT,G1014,HC CDSM INVENIQA'S SEMANTIC ANSWERS IN MEDICINE,0.01,0.01,0.01,0.01,23
CPT,G1015,HC CDSM RELIANT MEDICAL GROUP CDSM,0.01,0.01,0.01,0.01,23
CPT,G1016,HC CDSM SPEED OF CARE CDSM,0.01,0.01,0.01,0.01,23
CPT,G1017,HC HEALTHHELP'S CLINICAL DECISION SUPP MECHANISM,0.01,0.01,0.01,0.01,23
CPT,G1018,HC CDSM INFINX CDSM,0.01,0.01,0.01,0.01,23
CPT,G1019,HC CDSM LOGICNETS AUC SOLUTION,0.01,0.01,0.01,0.01,23
CPT,G2023,HC ZZZCOVID-19 COLLECTION HOMEBOUND PTS,140.76,83.05,16.96,126.68,23
CPT,G2024,HC ZZZCOVID-19 COLLECTION SNF,152.76,90.13,18.4,137.48,23
CPT,G2066,HC INTER DEVC REMOTE 30D,130.0,76.7,31.18,117.0,23
CPT,G2082,HC SELF ADM NASAL ESKETAMINE UP TO 56MGS+2 HRS OBS,1576.16,929.93,191.73,1418.54,23
CPT,G2083,HC SELF ADMIN NASAL ESKETAMINE >56MGS + 2 HRS OBS,2303.06,1358.81,280.16,2072.75,23
CPT,J3480,HC SOL KCL 20 MEQ 100 ML,8.54,5.04,1.04,7.69,23
CPT,J7030,HC NORMAL SALINE .9% 1000 ML,3.01,1.78,0.37,2.71,23
CPT,J7040,HC NORMAL SALINE .9% 500 ML,7.02,4.14,0.85,6.32,23
CPT,J7050,HC NORMAL SALINE .9% 250 ML,2.56,1.51,0.31,2.3,23
CPT,J7330,HC CULTURED CHONDROCYTES IMPLANT,260000.0,153400.0,31627.64,234000.0,23
CPT,J9999,HC INVESTIGATIONAL DRUGS,0.01,0.01,0.01,0.01,23
CPT,L0113,HC CRANIAL CERVICAL TORTICOLLIS,586.74,346.18,71.37,528.07,23
CPT,L0120,HC SOFT CERVICAL COLLAR,110.0,64.9,13.38,99.0,23
CPT,L0172,HC ASPEN COLLAR,178.48,105.3,21.71,160.63,23
CPT,L0172,HC ASPEN VISTA COLLAR,1161.21,685.11,141.26,1045.09,23
CPT,L0172,HC CERVICAL COLLAR SEMI RIGID 2 PIECE,240.0,141.6,29.19,216.0,23
CPT,L0172,HC PHILADELPHIA COLLAR,295.92,174.59,36.0,266.33,23
CPT,L0174,HC CERV COL FOAM 2 PC.W/THO,720.51,425.1,87.65,648.46,23
CPT,L0180,HC CER POST COL OCC/MAN SUP ADJ,971.85,573.39,118.22,874.67,23
CPT,L0190,HC CERV COLLAR SUPP ADDJ  CERV BA,1177.77,694.88,143.27,1059.99,23
CPT,L0200,HC CERVICAL COLLAR THORAC EXT MULT. POST,1577.85,930.93,191.94,1420.07,23
CPT,L0456,HC TLSO FLEX RGD PANEL PREFAB,2042.25,1204.93,248.43,1838.03,23
CPT,L0457,"HC TLSO, FLEX, RIGID PANEL, OTS",2042.25,1204.93,248.43,1838.03,23
CPT,L0464,"HC TLSO 4 SHELL,LINER,STERNAL,PREFAB",4360.32,2572.59,530.41,3924.29,23
CPT,L0472,HC TLSO A-P-ROT.HYPEREXTEN,879.0,518.61,106.93,791.1,23
CPT,L0484,"HC TLSO 2 SHELL RIGID/STERNAL, CUSTOM",4466.7,2635.35,543.35,4020.03,23
CPT,L0486,HC TLSO A-P-L 2PIECE W/INTF,6770.85,3994.8,823.64,6093.77,23
CPT,L0621,HC SACROILIAC ORTHOSIS,271.6,160.24,33.04,244.44,23
CPT,L0625,HC LO FLEX L-1 BELOW L5 PRE OTS,144.4,85.2,17.57,129.96,23
CPT,L0628,HC BACK BRACE L/S SUPPORT,220.0,129.8,26.76,198.0,23
CPT,L0630,HC LSO POST RIGID PANEL PRE,318.6,187.97,38.76,286.74,23
CPT,L0631,"HC LSO/SAG CONT,RIGID ANT",2019.9,1191.74,245.71,1817.91,23
CPT,L0637,HC LSO SAG CORONAL CONTROL,2304.0,1359.36,280.27,2073.6,23
CPT,L0810,HC HALO VEST LARGE,8044.82,4746.44,978.61,7240.34,23
CPT,L1620,HC HO FLEEX PAVLIK HARNS PRE CST,384.0,226.56,46.71,345.6,23
CPT,L1685,HC POST-OP HIP ABDUCT CUSTOM FA,2989.5,1763.81,363.66,2690.55,23
CPT,L1686,HC HO POST-OP HIP ABDUCTION,1978.38,1167.24,240.66,1780.54,23
CPT,L1812,HC KO ELASTIC W/JOINTS PRE OTS III,527.0,310.93,64.11,474.3,23
CPT,L1820,HC YS-HINGED KNEE BRACE,382.4,225.62,46.52,344.16,23
CPT,L1830,HC DRESSING KNEE IMMOB 24,55.6,32.8,6.76,50.04,23
CPT,L1830,HC KNEE IMMOBILIZER,63.08,37.22,7.67,56.77,23
CPT,L1830,HC KO IMMOB CANVAS LONG PRE OTS,229.44,135.37,27.91,206.5,23
CPT,L1831,HC FLEX KNEE ORTHOTIC POS LOCK JOINT,604.35,356.57,73.52,543.92,23
CPT,L1832,HC KO ADJ JNT POS RGD SUPP,1496.4,882.88,182.03,1346.76,23
CPT,L1843,HC KO SINGLE UPRIGHT PRE CST,1675.5,988.55,203.82,1507.95,23
CPT,L1902,HC AFO ANKLE GAUNTLET PRE OTS,231.2,136.41,28.12,208.08,23
CPT,L1930,HC AFO PLASTIC,537.06,316.87,65.33,483.35,23
CPT,L1932,HC AFO RIG ANT TIB PREFAB TCF/=,1755.9,1035.98,213.6,1580.31,23
CPT,L1951,HC AFO SPIRAL PREFABRICATED,2360.73,1392.83,287.17,2124.66,23
CPT,L1960,HC AFO POS SOLID ANK PLASTIC MO,1393.2,821.99,169.48,1253.88,23
CPT,L1970,HC AFO PLAST.MOLD.W/ANKLE J,1866.36,1101.15,227.03,1679.72,23
CPT,L1971,HC AFO W ANKLE JOINT PREFAB,922.2,544.1,112.18,829.98,23
CPT,L2036,HC KAFO PLAS DOUB FREE KNEE MOL,4663.2,2751.29,567.25,4196.88,23
CPT,L2116,HC PREFAB AFO TIBIAL FX ORTHOSIS RIGID,1653.0,975.27,201.08,1487.7,23
CPT,L2136,HC KAFO FEMORAL FX CAST RIG,2505.45,1478.22,304.77,2254.91,23
CPT,L2180,HC PLASTIC SHOE INSERT W/ANKLE JOINT,347.2,204.85,42.24,312.48,23
CPT,L2186,HC ADJ MOTION KNEE JOINT LERMAN,389.0,229.51,47.32,350.1,23
CPT,L2200,HC LMT.ANKLE MOTION EA JOIN,120.0,70.8,14.6,108.0,23
CPT,L2220,HC DOUBLE ACTION ANKLE JOINT,214.8,126.73,26.13,193.32,23
CPT,L2275,HC VARUS/VALGUS STRP PAD/LI,345.32,203.74,42.01,310.79,23
CPT,L2350,HC PROSTHETIC TYPE SOCKET MODLED,1680.0,991.2,204.36,1512.0,23
CPT,L2425,HC DISC/DIAL LOCK,376.0,221.84,45.74,338.4,23
CPT,L2624,HC HIP ADJ.FLX.EXT.ABDUCT.C,651.39,384.32,79.24,586.25,23
CPT,L2820,HC SOFT INTERFACE BELOW KNE,302.44,178.44,36.79,272.2,23
CPT,L2830,HC SOFT INTERFC.ABV.KNEE SE,314.8,185.73,38.29,283.32,23
CPT,L2840,HC TIBIAL LGHT SOCK FX OR EQUAL,114.96,67.83,13.98,103.46,23
CPT,L2850,HC FEMORAL LGTH SOCK FX OR EQUAL,199.2,117.53,24.23,179.28,23
CPT,L2999,HC PODUS/WIFFLE BOOT,960.0,566.4,116.78,864.0,23
CPT,L3030,HC FOOT ARCH SUPPORT REMOV PREM,200.0,118.0,24.33,180.0,23
CPT,L3253,"HC FOOT, MOLDED SHOE PLASTAZOTE",240.0,141.6,29.19,216.0,23
CPT,L3260,HC MEDICAL SURGICAL SHOE,43.76,25.82,5.32,39.38,23
CPT,L3265,HC PLASTAZOTE SANDAL EACH II,227.0,133.93,27.61,204.3,23
CPT,L3332,HC SHOE LIFT TAPERED TO ONE-HA INCH,193.6,114.22,23.55,174.24,23
CPT,L3649,HC ORTHOPEDIC SHOE MODIFICA NOS,330.0,194.7,40.14,297.0,23
CPT,L3650,HC SHOULDER 8 ABD RESTRAINT PRE OTS II,227.0,133.93,27.61,204.3,23
CPT,L3650,HC SO 8 ABD RESTRAINT PRE OTS,180.8,106.67,21.99,162.72,23
CPT,L3660,HC SO 8 AB RSTR CAN/WEB PRE OTS,337.0,198.83,40.99,303.3,23
CPT,L3670,HC ACROMIO CLAVICULAR SLING,290.2,171.22,35.3,261.18,23
CPT,L3670,HC SO ACRO/CLAV CAN WEB PRE OTS I,90.0,53.1,10.95,81.0,23
CPT,L3670,HC ULTRA SLING,188.44,111.18,22.92,169.6,23
CPT,L3702,HC EO W/O JOINTS CF INC F&A,1424.34,840.36,173.26,1281.91,23
CPT,L3760,HC ELBOW ORTHOADJ POS PREFAB,934.53,551.37,113.68,841.08,23
CPT,L3761,"HC EO, ADJ LOCK JOINT PREFAB OT I",90.0,53.1,10.95,81.0,23
CPT,L3806,HC WHFO W/JOINT(S) CUSTOM FAB INC F&A,1324.59,781.51,161.13,1192.13,23
CPT,L3807,HC PREFAB WHFO WITHOUT JOIN,467.28,275.7,56.84,420.55,23
CPT,L3807,HC THUMB SPICA,118.0,69.62,14.35,106.2,23
CPT,L3807,HC WHFO W/O JOINTS PREFAB CST II,227.0,133.93,27.61,204.3,23
CPT,L3807,HC WHFO W/O JOINTS PREFAB CST III,527.0,310.93,64.11,474.3,23
CPT,L3808,"HC WHFO, RIGID W/O JOINT - LARGE",905.37,534.17,110.13,814.83,23
CPT,L3809,HC WHFO WO JOINT PREFAB OTS I,90.0,53.1,10.95,81.0,23
CPT,L3809,HC WHFO WO JOINT PREFAB OTS II,227.0,133.93,27.61,204.3,23
CPT,L3809,HC WHFO WO JOINT PREFAB OTS III,527.0,310.93,64.11,474.3,23
CPT,L3809,HC WHFO WO JOINT(S)  PREFAB OTS,447.9,264.26,54.48,403.11,23
CPT,L3809,HC WHFO WO JOINT(S)  PREFAB OTS 0,15.0,8.85,1.82,13.5,23
CPT,L3900,HC HINGE EXTENSION/FLEX WRIST/F III,527.0,310.93,64.11,474.3,23
CPT,L3906,HC WHO W/O JOINTS CF INC F&A,1515.12,893.92,184.31,1363.61,23
CPT,L3908,HC COCK-UP SPLINT - WRIST,24.44,14.42,2.97,22.0,23
CPT,L3908,HC SPLINT WRIST/THUMB MD-LG RIGHT,41.97,24.76,5.11,37.77,23
CPT,L3908,HC SPLINT WRIST/THUMB SM-MD RIGHT,139.0,82.01,16.91,125.1,23
CPT,L3908,HC WHO COCK-UP NONMOLD PRE OTS,196.4,115.88,23.89,176.76,23
CPT,L3908,HC WHO COCK-UP NONMOLD PRE OTS I,90.0,53.1,10.95,81.0,23
CPT,L3912,HC HFO FLEXION GLOVE PRE OTS I,90.0,53.1,10.95,81.0,23
CPT,L3913,HC HFO W/O JOINTS CF INC F&A,849.21,501.03,103.3,764.29,23
CPT,L3916,HC WHO NONTORSION JNTS PRE OTS II,227.0,133.93,27.61,204.3,23
CPT,L3919,HC HO W/O JOINTS CF INC F&A,849.21,501.03,103.3,764.29,23
CPT,L3921,HC HFO W/JOINT(S) CF INC F&A,1007.16,594.22,122.52,906.44,23
CPT,L3923,HC HFO WITHOUT JOINTS PRE CST I,90.0,53.1,10.95,81.0,23
CPT,L3923,HC HFO WITHOUT JOINTS PRE CST III,527.0,310.93,64.11,474.3,23
CPT,L3924,HC HFO WITHOUT JOINTS PRE OTS I,90.0,53.1,10.95,81.0,23
CPT,L3924,HC HFO WITHOUT JOINTS PRE OTS II,227.0,133.93,27.61,204.3,23
CPT,L3925,HC FO PIP DIP JNT/SPRNG PRE OTS,90.04,53.12,10.95,81.04,23
CPT,L3925,HC FO PIP DIP JNT/SPRNG PRE OTS I,90.0,53.1,10.95,81.0,23
CPT,L3927,HC FO PIP DIP NO JT SPR PRE OTS,83.6,49.32,10.17,75.24,23
CPT,L3927,HC FO PIP DIP NO JT SPR PRE OTS I,90.0,53.1,10.95,81.0,23
CPT,L3933,HC FO W/O JOINTS CF INC F&A,668.91,394.66,81.37,602.02,23
CPT,L3960,HC SEWHO AIRPLAN DESIG ABDU POS,1610.7,950.31,195.93,1449.63,23
CPT,L3980,HC UPP EXT FX ORTHO.HUMERAL,793.47,468.15,96.52,714.12,23
CPT,L3981,"HC UPPER EXTRE FRACT ORTH,HUMERAL PREFAB",1802.4,1063.42,219.25,1622.16,23
CPT,L3982,HC UPPER EXT FX ORTHOSIS RAD/UL,801.3,472.77,97.47,721.17,23
CPT,L3995,HC SOCK FRACTURE OR EQU.EAC,111.88,66.01,13.61,100.69,23
CPT,L4350,HC ANKLE CONTROL ORTHO PRE OTS,260.8,153.87,31.72,234.72,23
CPT,L4350,HC BRACE ANKLE STD LEFT LG 10.5 I,104.0,61.36,12.65,93.6,23
CPT,L4360,HC PNEUMATIC WALKING SPLINT,726.24,428.48,88.34,653.62,23
CPT,L4361,"HC PNEUMATIC WALKING BOOT, OTS",696.0,410.64,84.66,626.4,23
CPT,L4386,HC WALKING BOOT NON PNEUMATIC,325.53,192.06,39.6,292.98,23
CPT,L4396,HC STATIC OR DYNAMI AFO PRE CST,345.0,203.55,41.97,310.5,23
CPT,L4397,HC BOOT FLO-FOAM SPARKLE UNIVERSAL,274.96,162.23,33.45,247.46,23
CPT,L4631,HC AFO WALK BOOT TYPE CUS FAB,3126.0,1844.34,380.26,2813.4,23
CPT,L5450,HC POSTOP APP NON WGT BEAR,1219.74,719.65,148.37,1097.77,23
CPT,L8000,HC BREAST PROS/MASTECTMY BRA,85.57,50.49,10.41,77.01,23
CPT,L8000,HC SURGIBRA ELIZABETH,136.0,80.24,16.54,122.4,23
CPT,L8000,HC SURGIBRA MED/LRG,88.0,51.92,10.7,79.2,23
CPT,L8000,HC SURGIBRA SMALL,79.96,47.18,9.73,71.96,23
CPT,L8047,HC NASAL SEPTAL PROSTHESIS II,227.0,133.93,27.61,204.3,23
CPT,L8300,HC TRUSS WITH SINGLE PAD,226.0,133.34,27.49,203.4,23
CPT,L8420,HC PROSTHETIC SOCK MULTI PL,58.08,34.27,7.07,52.27,23
CPT,L8440,HC SHRINKER BELOW KNEE,126.0,74.34,15.33,113.4,23
CPT,L8460,HC SHRINKER ABOVE KNEE,205.2,121.07,24.96,184.68,23
CPT,L8500,HC ARTIFICIAL LARYNX III,527.0,310.93,64.11,474.3,23
CPT,L8500,HC ARTIFICIAL LARYNX IV,1127.0,664.93,137.09,1014.3,23
CPT,L8501,HC PASSY-MUIR VALVE,279.2,164.73,33.96,251.28,23
CPT,L8501,HC TRACHEOSTOMY SPEAKING VAVLE II,227.0,133.93,27.61,204.3,23
CPT,L8507,HC DUCKBILL TEP,240.0,141.6,29.19,216.0,23
CPT,L8509,HC INDWELLING LEF TEP,340.0,200.6,41.36,306.0,23
CPT,L8509,HC INDWELLING TEP,744.0,438.96,90.5,669.6,23
CPT,L8510,HC VOICE AMPLIFIER IV,1127.0,664.93,137.09,1014.3,23
CPT,L8606,HC SYNTHETIC IMPLNT URINARY 1ML IV,1127.0,664.93,137.09,1014.3,23
CPT,L8606,HC SYNTHETIC IMPLNT URINARY 1ML V,1877.0,1107.43,228.33,1689.3,23
CPT,L8699,HC IB-STIM PERC ELECTRIC NERVE STIM SYS,3585.0,2115.15,436.1,3226.5,23
CPT,L8699,HC PROSTHETIC IMPLANT NOS VII,3378.0,1993.02,410.92,3040.2,23
CPT,L8699,HC UROLIFT SYSTEM SINGLE PACK,2850.0,1681.5,346.69,2565.0,23
CPT,M0220,HC TIXAGEV AND CILGAV INJ,602.98,355.76,95.98,542.68,23
CPT,M0222,HC BEBTELOVIMAB INJECTION,928.8,547.99,147.85,835.92,23
CPT,M0224,"HC INTRAVENOUS INFUSION, PEMIVIBART",1884.96,1112.13,300.05,1696.46,23
CPT,M0240,HC CASIRI AND IMDEVI REPEAT,928.8,547.99,147.85,835.92,23
CPT,M0243,HC IV IINFUSION CASIRIVI AND IMDEVI,928.8,547.99,147.85,835.92,23
CPT,M0245,HC IV INFUSION BAMLAN AND ETESEV,928.8,547.99,147.85,835.92,23
CPT,M0247,HC IV INFUSION SOTROVIMAB,928.8,547.99,147.85,835.92,23
CPT,M0249,HC ADMIN INPT TOCILIZU COVID-19 1ST DOSE,928.8,547.99,147.85,835.92,23
CPT,M0250,HC ADMIN INPT TOCILIZU COVID-19 2ND DOSE,928.8,547.99,147.85,835.92,23
CPT,P9010,HC WHL BL EA UNIT,525.49,310.04,63.31,472.94,23
CPT,P9011,HC BL SPLIT UNIT SPECIFY AMOUNT,516.53,304.75,62.23,464.88,23
CPT,P9012,"HC CRYOPRECIPITATE, PREPOOLED",279.48,164.89,33.67,251.53,23
CPT,P9012,"HC CRYOPRECIPITATE, SINGLE UNIT",279.48,164.89,33.67,251.53,23
CPT,P9016,HC RBCS LR EA UNIT,659.79,389.28,79.49,593.81,23
CPT,P9017,HC PLASMA FRESH FROZ PROC,289.31,170.69,34.85,260.38,23
CPT,P9022,HC RBCS WASHED EA UNIT,1329.51,784.41,160.17,1196.56,23
CPT,P9023,HC OCTAPLAS,312.03,184.1,37.59,280.83,23
CPT,P9033,HC PLATELETS LEUKOCYTE REDUCED IRRADIATE,2244.6,1324.31,270.42,2020.14,23
CPT,P9035,HC PLATELETS PHERESIS LR EA UNIT,1703.8,1005.24,205.27,1533.42,23
CPT,P9037,HC PLATELETS PHERESIS LR IRRADIATED EA,2160.66,1274.79,260.31,1944.59,23
CPT,P9039,HC RBCS DEGLYCEROLIZED 1 UNIT,1528.28,901.69,184.12,1375.45,23
CPT,P9040,HC RBCS LR IRRADIATED EA UNIT,911.93,538.04,109.87,820.74,23
CPT,P9044,HC PLASMA CRYOPRECIPITATE REDUCED EA UNIT,229.95,135.67,27.7,206.96,23
CPT,P9045,"HC ALBUMIN (HUMAN) 5%, 250ML",60.0,35.4,7.3,54.0,23
CPT,P9050,HC GRANULOCYTES PROCESSING,5314.68,3135.66,640.29,4783.21,23
CPT,P9052,HC PLATELETS APHER/PHER LR HLA EA,2818.13,1662.7,339.52,2536.32,23
CPT,P9054,HC WHL BL/RBC L/R FROZ/DEGLY/WASHED EA UNIT,1087.45,641.6,131.01,978.71,23
CPT,P9059,HC PLASMA FROZ 8 TO 24 HRS,249.03,146.93,30.0,224.13,23
CPT,P9073,"HC PLATELETS, PHERESIS, PATHOGEN REDUCED",2043.55,1205.69,246.2,1839.2,23
CPT,P9100,HC PATHOGEN TEST FOR PLATELETS,143.6,84.72,17.3,129.24,23
CPT,P9604,HC LAB TRAVEL ONE WAY PER TRIP CHARGE,62.4,36.82,7.52,56.16,23
CPT,P9612,HC CATH FOR COLL OF SPECIMEN SNGL PATIENT,64.0,37.76,7.71,57.6,23
CPT,Q0091,HC OBTAINING SCREEN PAP SMEAR,46.0,27.14,5.54,41.4,23
CPT,Q0111,HC WET MOUNTS W/PREPARATION,44.0,25.96,5.3,39.6,23
CPT,Q0477,HC PWR MODULE PT CABLE LVAD RPL VII,3378.0,1993.02,410.92,3040.2,23
CPT,Q0477,HC PWR MODULE PT CABLE LVAD RPL XXII,14628.0,8630.52,1779.42,13165.2,46
CPT,Q0479,HC POWER UNIT MOBLE THORATEC,21200.0,12508.0,2578.87,19080.0,23
CPT,Q0481,HC THORATEC HEARTMATE IISYSTEM CONTROLL,14575.0,8599.25,1772.97,13117.5,23
CPT,Q0493,HC HEARTMATE3 LVAD MODULAR CABLE,13117.5,7739.33,1595.68,11805.75,23
CPT,Q0495,HC UNIV BATT CHRGR NEW,19080.0,11257.2,2320.98,17172.0,23
CPT,Q0496,HC HEARTMATE3 LVAD CONTROLLER,14575.0,8599.25,1772.97,13117.5,23
CPT,Q0496,HC POWER MOD REPLACE BAT/HEARTMATE TOOL,360.0,212.4,43.79,324.0,23
CPT,Q0497,HC 14VLT LIION BATTCLIP SET,1500.0,885.0,182.47,1350.0,23
CPT,Q0498,HC HOLSTER BATTERY LVAD HEARTMATE,1185.0,699.15,144.15,1066.5,23
CPT,Q0498,HC HOLSTER ELECTRC/PNEUM VENTR ASSIST DV,1185.0,699.15,144.15,1066.5,23
CPT,Q0498,HC PACK WAIST MDT 2050US,1275.0,752.25,155.1,1147.5,23
CPT,Q0498,HC SHOULDER BSG MEDT 2060US,1380.0,814.2,167.87,1242.0,23
CPT,Q0499,HC CONSOLIDATED BAG,975.0,575.25,118.6,877.5,23
CPT,Q0501,HC SHOWER BAG,675.0,398.25,82.11,607.5,23
CPT,Q0501,HC SHOWER BAG MEDT 2000US,900.0,531.0,109.48,810.0,23
CPT,Q0506,HC 14VLT LIION BATT SET,1875.0,1106.25,228.08,1687.5,23
CPT,Q0506,HC THORATEC HEARTMATE-LI-LON BACKUP BAT,1500.0,885.0,182.47,1350.0,23
CPT,Q0508,HC CONTROLLER AC ADAPTER MEDT 1425US,3000.0,1770.0,364.93,2700.0,23
CPT,Q0508,HC MIS SUP/ACC IMP VAD III,527.0,310.93,64.11,474.3,23
CPT,Q0508,HC STABILIZATION BELT M/L,200.0,118.0,24.33,180.0,23
CPT,Q0508,HC THORATEC HEARTMATE GOGEARW/ACCESS/KT,510.0,300.9,62.04,459.0,23
CPT,Q0508,HC TRAVEL CASE,480.0,283.2,58.39,432.0,23
CPT,Q0508,HCPOWER MOD/UNIVERSAL BAT CHARGER AC CRD,140.0,82.6,17.03,126.0,23
CPT,Q3014,HC TELEHEALTH FACILITY FEE,146.89,86.67,17.87,132.2,23
CPT,Q4100,HC ALLOGRAFT BIOFIX MEMBRANE 4X6,6975.0,4115.25,848.47,6277.5,23
CPT,Q4100,HC ALLOGRAFT BIOFIX MEMBRANE 4X8,7088.75,4182.36,862.31,6379.88,23
CPT,Q4100,HC ALLOGRAFT BIOFIX PLUS 1CC,6525.0,3849.75,793.73,5872.5,23
CPT,Q4100,HC ALLOGRAFT BIOFIX PLUS 2X4,2925.0,1725.75,355.81,2632.5,23
CPT,Q4100,HC ALLOGRAFT BIOFIX PLUS 4X4,5850.0,3451.5,711.62,5265.0,23
CPT,Q4101,HC APLIGRAFT - PER SQ CM,117.72,69.45,14.32,105.95,23
CPT,Q4106,HC DERMAGRAFT - PER SQ CM,131.56,77.62,16.0,118.4,23
CPT,Q4110,HC PRIMATRIX MESHED - PER SQ CM,228.88,135.04,27.84,205.99,23
CPT,Q4128,HC FLEXHD/ALLOPATCHHD - PER SQ CM,207.68,122.53,25.26,186.91,23
CPT,Q4132,HC GRAFIX CORE - PER SQ CM,499.5,294.71,60.76,449.55,23
CPT,Q4133,HC DISC GRAFIX STRAVIX PRIME 16MM - 2 UNITS,637.5,376.13,77.55,573.75,23
CPT,Q4133,HC GRAFIX STRAVIX PRIME- PER SQ CM,503.85,297.27,61.29,453.47,23
CPT,Q4151,HC AMNIOBAND MEMBRANE - PER SQ CM,459.03,270.83,55.84,413.13,23
CPT,Q4154,HC BIOVANCE - PER SQ CM,323.13,190.65,39.31,290.82,23
CPT,Q4186,HC EPIFIX PER SQ,585.24,345.29,71.19,526.72,23
CPT,Q4196,HC PURAPLY AM - PER SQ CM,417.51,246.33,50.79,375.76,23
CPT,S2900,HC SUP ROBOTIC SUPPLIES,9075.85,5354.75,1104.03,8168.27,23
CPT,S8948,HC LOW LEVEL LASER TREATMENT EA 15 MIN.,171.2,101.01,7.2,154.08,23
CPT,T1017,HC TARGETED CASE MGMT PER 15 MIN,171.2,101.01,20.83,154.08,23
CPT,T1503,HC ADMIN OF MED BY NOSE PER VISIT,595.64,351.43,72.46,536.08,23
CPT,U0001,HC COVID-19 RT-PCR CDC PERFORMED,0.01,0.01,0.01,0.01,23
CPT,U0002,"HC COVID-19 NON-CDC, ANY MTHD",307.86,181.64,37.09,277.07,23
CPT,U0003,HC ZZZCOVID-19 LG OUTPUT AMP PROBE POOLED,450.0,265.5,54.21,405.0,23
CPT,U0003,"HC ZZZCOVID-19 LG OUTPUT INSTMNT, AMP PROBE",450.0,265.5,54.21,405.0,23
CPT,U0004,"HC ZZZCOVID-19 LG OUTPUT INSTMNT, ANY MTHD",450.0,265.5,54.21,405.0,23
CPT,U0005,HC ZZZCOVID-19 LG OUTPUT 2 DAY COMPLETION,150.0,88.5,18.07,135.0,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - A,495.0,292.05,60.21,445.5,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - E,150.0,88.5,18.25,135.0,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - F,985.0,581.15,119.82,886.5,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - G,1000.0,590.0,121.64,900.0,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - H,1015.0,598.85,123.47,913.5,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - I,505.0,297.95,61.43,454.5,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - J,925.0,545.75,112.52,832.5,23
CPT,V2787,HC IOL - PATIENT RESPONSIBILITY - K,1675.0,988.25,203.75,1507.5,23
CPT,V2788,HC - IOL - PATIENT RESPONSIBILITY - D,595.0,351.05,72.38,535.5,23
CPT,V2788,HC IOL - PATIENT RESPONSIBILITY - B,895.0,528.05,108.87,805.5,23
CPT,V2788,HC IOL - PATIENT RESPONSIBILITY - C,995.0,587.05,121.04,895.5,23
CPT,V5011,HC BIRTH TO THREE AUDIOLOGY VISIT,187.0,110.33,22.75,168.3,23
CPT,V5011,HC FITTING FEE INIT,159.04,93.83,19.35,143.14,23
CPT,V5014,HC REPAIR HEARING AID - IH,25.33,14.94,3.08,22.8,23
CPT,V5020,HC CONFORMITY EVALUATION,478.14,282.1,58.16,430.33,23
CPT,V5030,HC BODY-WORN HEARING AID AIR III,527.0,310.93,64.11,474.3,23
CPT,V5050,HC HA NOS MONAURAL ITE - 0,864.0,509.76,105.1,777.6,23
CPT,V5060,HC HA NOS MONAURAL BTE - 0,864.0,509.76,105.1,777.6,23
CPT,V5060,HC HA NOS MONAURAL BTE - I,1251.0,738.09,152.18,1125.9,23
CPT,V5060,HC HA NOS MONAURAL BTE - IV,2063.0,1217.17,250.95,1856.7,23
CPT,V5090,HC DISPENSING FEE BINAURAL  < 21,1198.38,707.04,145.78,1078.54,23
CPT,V5090,HC DISPENSING FEE MONAURAL  < 21,599.7,353.82,72.95,539.73,23
CPT,V5100,HC BODY-WORN BILAT HEARING AID VII,3378.0,1993.02,410.92,3040.2,23
CPT,V5130,HC HA NOS BINAURAL ITE - 00,1251.0,738.09,152.18,1125.9,23
CPT,V5140,HC HA NOS BINAURAL BTE - 0,1576.0,929.84,191.71,1418.4,23
CPT,V5140,HC HA NOS BINAURAL BTE - 00,1251.0,738.09,152.18,1125.9,23
CPT,V5140,HC HA NOS BINAURAL BTE - I,1688.0,995.92,205.34,1519.2,23
CPT,V5140,HC HA NOS BINAURAL BTE - II,2063.0,1217.17,250.95,1856.7,23
CPT,V5140,HC HA NOS BINAURAL BTE - III,2438.0,1438.42,296.57,2194.2,23
CPT,V5140,HC HA NOS BINAURAL BTE - IV,2813.0,1659.67,342.19,2531.7,23
CPT,V5140,HC HA NOS BINAURAL BTE - IX,4688.0,2765.92,570.27,4219.2,23
CPT,V5140,HC HA NOS BINAURAL BTE - V,3188.0,1880.92,387.8,2869.2,23
CPT,V5140,HC HA NOS BINAURAL BTE - VI,3563.0,2102.17,433.42,3206.7,23
CPT,V5140,HC HA NOS BINAURAL BTE - VII,3938.0,2323.42,479.04,3544.2,23
CPT,V5140,HC HA NOS BINAURAL BTE - VIII,4313.0,2544.67,524.65,3881.7,23
CPT,V5140,HC HA NOS BINAURAL BTE - X,5063.0,2987.17,615.89,4556.7,23
CPT,V5140,HC HA NOS BINAURAL BTE - XII,5813.0,3429.67,707.12,5231.7,23
CPT,V5160,HC DISPENSING FEE BINAURAL,1183.0,697.97,143.91,1064.7,23
CPT,V5171,"HC HA CONTRALATERAL ROUTING, MONAURAL ITE I",1251.0,738.09,152.18,1125.9,23
CPT,V5171,"HC HA CONTRALATERAL ROUTING, MONAURAL ITE II",1576.0,929.84,191.71,1418.4,23
CPT,V5172,"HC HA CONTRALATERAL ROUTING, MONAURAL ITC I",1251.0,738.09,152.18,1125.9,23
CPT,V5172,"HC HA CONTRALATERAL ROUTING, MONAURAL ITC II",1576.0,929.84,191.71,1418.4,23
CPT,V5181,"HC HA CONTRALATERAL ROUTING, MONAURAL BTE I",1251.0,738.09,152.18,1125.9,23
CPT,V5181,"HC HA CONTRALATERAL ROUTING, MONAURAL BTE II",1576.0,929.84,191.71,1418.4,23
CPT,V5200,HC CROS DISPENSING FEE,592.0,349.28,72.01,532.8,23
CPT,V5211,"HC HA CONTRALATERAL ROUTING, BINAURAL ITE/ITE I",1251.0,738.09,152.18,1125.9,23
CPT,V5211,"HC HA CONTRALATERAL ROUTING, BINAURAL ITE/ITE II",1576.0,929.84,191.71,1418.4,23
CPT,V5212,"HC HA CONTRALATERAL ROUTING, BINAURAL ITE/ITC I",1251.0,738.09,152.18,1125.9,23
CPT,V5212,"HC HA CONTRALATERAL ROUTING, BINAURAL ITE/ITC II",1576.0,929.84,191.71,1418.4,23
CPT,V5213,"HC HA CONTRALATERAL ROUTING, BINAURAL ITE/BTE I",1251.0,738.09,152.18,1125.9,23
CPT,V5213,"HC HA CONTRALATERAL ROUTING, BINAURAL ITE/BTE II",1576.0,929.84,191.71,1418.4,23
CPT,V5214,"HC HA CONTRALATERAL ROUTING, BINAURAL ITC/ITC I",1251.0,738.09,152.18,1125.9,23
CPT,V5214,"HC HA CONTRALATERAL ROUTING, BINAURAL ITC/ITC II",1576.0,929.84,191.71,1418.4,23
CPT,V5215,"HC HA CONTRALATERAL ROUTING, BINAURAL ITC/BTE I",1251.0,738.09,152.18,1125.9,23
CPT,V5215,"HC HA CONTRALATERAL ROUTING, BINAURAL ITC/BTE II",1576.0,929.84,191.71,1418.4,23
CPT,V5221,"HC HA CONTRALATERAL ROUTING, BINAURAL BTE/BTE I",1251.0,738.09,152.18,1125.9,23
CPT,V5221,"HC HA CONTRALATERAL ROUTING, BINAURAL BTE/BTE II",1576.0,929.84,191.71,1418.4,23
CPT,V5240,HC BICROS DISPENSING FEE,1183.0,697.97,143.91,1064.7,23
CPT,V5241,HC DISPENSING FEE MONAURAL,592.0,349.28,72.01,532.8,23
CPT,V5256,HC HA DIGITAL MONAURAL ITE - II,1576.0,929.84,191.71,1418.4,23
CPT,V5257,HC HA DIGITAL MONAURAL BTE - 0,864.0,509.76,105.1,777.6,23
CPT,V5257,HC HA DIGITAL MONAURAL BTE - I,1251.0,738.09,152.18,1125.9,23
CPT,V5257,HC HA DIGITAL MONAURAL BTE - II,1576.0,929.84,191.71,1418.4,23
CPT,V5257,HC HA DIGITAL MONAURAL BTE - III,1688.0,995.92,205.34,1519.2,23
CPT,V5257,HC HA DIGITAL MONAURAL BTE - IV,2063.0,1217.17,250.95,1856.7,23
CPT,V5258,HC HA DIGITAL BINAURAL CIC - XII,5813.0,3429.67,707.12,5231.7,23
CPT,V5259,HC HA DIGITAL BINAURAL ITC - II,2063.0,1217.17,250.95,1856.7,23
CPT,V5260,HC HA DIGITAL BINAURAL ITE - III,2438.0,1438.42,296.57,2194.2,23
CPT,V5260,HC HA DIGITAL BINAURAL ITE - VII,3938.0,2323.42,479.04,3544.2,23
CPT,V5260,HC HA DIGITAL BINAURAL ITE - VIII,4313.0,2544.67,524.65,3881.7,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - 0,1576.0,929.84,191.71,1418.4,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - 00,1251.0,738.09,152.18,1125.9,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - I,1688.0,995.92,205.34,1519.2,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - II,2063.0,1217.17,250.95,1856.7,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - III,2438.0,1438.42,296.57,2194.2,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - IV,2813.0,1659.67,342.19,2531.7,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - IX,4688.0,2765.92,570.27,4219.2,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - V,3188.0,1880.92,387.8,2869.2,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - VI,3563.0,2102.17,433.42,3206.7,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - VII,3938.0,2323.42,479.04,3544.2,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - VIII,4313.0,2544.67,524.65,3881.7,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - X,5628.0,3320.52,684.62,5065.2,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - XI,5438.0,3208.42,661.5,4894.2,23
CPT,V5261,HC HA DIGITAL BINAURAL BTE - XII,5813.0,3429.67,707.12,5231.7,23
CPT,V5264,HC EARMOLD/INSERT NON DISPOSABLE,180.0,106.2,21.9,162.0,23
CPT,V5266,HC BATTERY FOR HEARING DEVICE,1.25,0.74,0.15,1.13,23
CPT,V5275,HC EAR IMPRESSION,52.36,30.89,6.37,47.12,23
CPT,V5289,HC ALD FM/DM ADAPT/BOOT COUPLIN I,90.0,53.1,10.95,81.0,23
CPT,V5298,HC HEARING AID NOC III,527.0,310.93,64.11,474.3,23
DRG,000,Not Specified,58183.46,34328.24,12529.92,52365.12,23
DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,1427114.8,841997.73,307331.97,1284403.32,23
DRG,003,ECMO OR TRACHEOSTOMY WITH MV GREATER THAN 96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES,1230769.77,726154.17,265048.68,1107692.8,23
DRG,004,TRACHEOSTOMY WITH MV GREATER THAN 96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES,1267455.43,747798.7,272949.01,1140709.88,23
DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,738802.71,435893.6,159102.61,664922.44,23
DRG,006,LIVER TRANSPLANT WITHOUT MCC,371934.44,219441.32,80096.81,334741.0,23
DRG,011,TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC,218773.55,129076.39,47113.31,196896.19,23
DRG,012,TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC,165741.24,97787.33,35692.7,149167.11,23
DRG,013,TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC-MCC,120464.13,71073.84,25942.19,108417.72,23
DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,371471.15,219167.98,79997.04,334324.03,23
DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC-MCC,167066.95,98569.5,35978.2,150360.25,23
DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,2367992.5,1397115.58,509951.83,2131193.25,23
DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,336530.25,198552.85,72472.45,302877.23,23
DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,223044.92,131596.5,48033.16,200740.43,23
DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC-MCC,73552.43,43395.93,15839.66,66197.19,23
DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,276896.71,163369.06,59630.25,249207.04,23
DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,138195.87,81535.56,29760.75,124376.28,23
DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,167230.75,98666.14,36013.47,150507.67,23
DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,107202.37,63249.4,23086.24,96482.14,23
DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC-MCC,99098.79,58468.29,21341.12,89188.91,23
DRG,028,SPINAL PROCEDURES WITH MCC,320134.34,188879.26,68941.56,288120.9,23
DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,108620.65,64086.18,23391.67,97758.58,23
DRG,030,SPINAL PROCEDURES WITHOUT CC-MCC,54397.7,32094.64,11714.65,48957.93,23
DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,93484.29,55155.73,20132.02,84135.86,23
DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,65750.71,38792.92,14159.54,59175.63,23
DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC-MCC,47765.39,28181.58,10286.37,42988.85,23
DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,144497.41,85253.47,31117.8,130047.67,23
DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,69446.88,40973.66,14955.52,62502.19,23
DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC-MCC,50263.92,29655.71,10824.43,45237.52,23
DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,202193.09,119293.92,43542.68,181973.78,23
DRG,038,EXTRACRANIAL PROCEDURES WITH CC,67129.87,39606.62,14456.55,60416.88,23
DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC-MCC,72706.97,42897.11,15657.59,65436.27,23
DRG,040,PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC,181697.25,107201.38,39128.86,163527.52,23
DRG,041,PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR,90006.99,53104.12,19383.18,81006.29,23
DRG,042,PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC-MCC,53317.73,31457.46,11482.08,47985.96,23
DRG,052,SPINAL DISORDERS AND INJURIES WITH CC-MCC,89771.35,52965.1,19332.44,80794.22,23
DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC-MCC,30331.44,17895.55,6531.94,27298.3,23
DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,63178.06,37275.06,13605.52,56860.26,23
DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,50097.29,29557.4,10788.55,45087.56,23
DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,120801.22,71272.72,26014.78,108721.1,23
DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,86456.9,51009.57,18618.66,77811.21,23
DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,265565.03,156683.37,57189.95,239008.53,23
DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,92819.04,54763.23,19988.76,83537.14,23
DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC-MCC,37201.38,21948.81,8011.39,33481.24,23
DRG,061,ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC,179986.46,106192.01,38760.44,161987.81,23
DRG,062,ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC,96307.5,56821.42,20740.01,86676.75,23
DRG,063,ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC-MCC,82552.8,48706.15,17777.91,74297.52,23
DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,110639.68,65277.41,23826.47,99575.71,23
DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,61334.2,36187.18,13208.44,55200.78,23
DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC-MCC,33798.02,19940.83,7278.47,30418.21,23
DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,76902.0,45372.18,16561.0,69211.8,23
DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,34448.27,20324.48,7418.5,31003.44,23
DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,55413.53,32693.98,11933.41,49872.18,23
DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,112209.78,66203.77,24164.6,100988.8,23
DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,49282.31,29076.56,10613.04,44354.08,23
DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC-MCC,30110.44,17765.16,6484.34,27099.4,23
DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,81982.33,48369.58,17655.06,73784.1,23
DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,57975.84,34205.75,12485.21,52178.26,23
DRG,075,VIRAL MENINGITIS WITH CC-MCC,68593.77,40470.33,14771.8,61734.4,23
DRG,076,VIRAL MENINGITIS WITHOUT CC-MCC,20771.47,12255.17,4473.18,18694.32,23
DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,64879.86,38279.12,13972.01,58391.88,23
DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC,29772.31,17565.66,6411.53,26795.08,23
DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,68556.69,40448.45,14763.82,61701.02,23
DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,29886.74,17633.18,6436.17,26898.07,23
DRG,082,TRAUMATIC STUPOR AND COMA GREATER THAN 1 HOUR WITH MCC,127442.95,75191.34,27445.09,114698.65,23
DRG,083,TRAUMATIC STUPOR AND COMA GREATER THAN 1 HOUR WITH CC,53553.17,31596.37,11532.78,48197.85,23
DRG,084,TRAUMATIC STUPOR AND COMA GREATER THAN 1 HOUR WITHOUT CC-MCC,30263.75,17855.61,6517.36,27237.38,23
DRG,085,TRAUMATIC STUPOR AND COMA LESS THAN 1 HOUR WITH MCC,98990.99,58404.68,21317.9,89091.89,23
DRG,086,TRAUMATIC STUPOR AND COMA LESS THAN 1 HOUR WITH CC,56401.56,33276.92,12146.19,50761.4,23
DRG,087,TRAUMATIC STUPOR AND COMA LESS THAN 1 HOUR WITHOUT CC-MCC,23537.53,13887.14,5068.85,21183.78,23
DRG,088,CONCUSSION WITH MCC,0.01,0.01,0.01,0.01,23
DRG,089,CONCUSSION WITH CC,34806.1,20535.6,7495.56,31325.49,23
DRG,090,CONCUSSION WITHOUT CC-MCC,21515.64,12694.22,4633.43,19364.07,23
DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,89184.33,52618.75,19206.02,80265.89,23
DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,51395.8,30323.52,11068.19,46256.22,23
DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC-MCC,31598.97,18643.39,6804.9,28439.08,23
DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,171829.83,101379.6,37003.89,154646.85,23
DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,106119.84,62610.7,22853.12,95507.85,23
DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC-MCC,56533.21,33354.59,12174.54,50879.89,23
DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,118163.41,69716.41,25446.72,106347.07,23
DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,86172.56,50841.81,18557.43,77555.3,23
DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC-MCC,60901.56,35931.92,13115.27,54811.4,23
DRG,100,SEIZURES WITH MCC,83555.89,49297.97,17993.92,75200.3,23
DRG,101,SEIZURES WITHOUT MCC,35755.26,21095.6,7699.97,32179.74,23
DRG,102,HEADACHES WITH MCC,28637.4,16896.07,6167.12,25773.66,23
DRG,103,HEADACHES WITHOUT MCC,33640.53,19847.91,7244.55,30276.48,23
DRG,113,ORBITAL PROCEDURES WITH CC-MCC,82038.38,48402.65,17667.13,73834.55,23
DRG,114,ORBITAL PROCEDURES WITHOUT CC-MCC,71186.52,42000.05,15330.16,64067.87,23
DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,68647.78,40502.19,14783.43,61783.0,23
DRG,116,INTRAOCULAR PROCEDURES WITH CC-MCC,60961.81,35967.47,13128.25,54865.63,23
DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC-MCC,27131.23,16007.43,5842.76,24418.11,23
DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC-MCC,47486.47,28017.02,10226.3,42737.82,23
DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC-MCC,28044.84,16546.45,6039.51,25240.35,23
DRG,123,NEUROLOGICAL EYE DISORDERS,44306.85,26141.04,9541.57,39876.17,23
DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,131016.1,77299.5,28214.57,117914.49,23
DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,31833.88,18781.99,6855.49,28650.49,23
DRG,135,SINUS AND MASTOID PROCEDURES WITH CC-MCC,64107.88,37823.65,13805.76,57697.09,23
DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC-MCC,55817.64,32932.41,12020.44,50235.88,23
DRG,137,MOUTH PROCEDURES WITH CC-MCC,43150.22,25458.63,9292.48,38835.2,23
DRG,138,MOUTH PROCEDURES WITHOUT CC-MCC,28849.06,17020.94,6212.7,25964.15,23
DRG,139,SALIVARY GLAND PROCEDURES,68314.92,40305.8,14711.75,61483.43,23
DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,154635.4,91234.89,33301.04,139171.86,23
DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,89929.6,53058.46,19366.52,80936.64,23
DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC-MCC,77497.34,45723.43,16689.2,69747.61,23
DRG,143,OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC,123593.25,72920.02,26616.05,111233.93,23
DRG,144,OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC,48511.74,28621.93,10447.1,43660.57,23
DRG,145,OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC-MCC,32113.58,18947.01,6915.72,28902.22,23
DRG,146,EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC,130116.29,76768.61,28020.8,117104.66,23
DRG,147,EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC,49082.96,28958.95,10570.11,44174.67,23
DRG,149,DYSEQUILIBRIUM,67814.92,40010.8,14604.08,61033.43,23
DRG,150,EPISTAXIS WITH MCC,44693.34,26369.07,9624.8,40224.0,23
DRG,151,EPISTAXIS WITHOUT MCC,23884.91,14092.1,5143.66,21496.42,23
DRG,152,OTITIS MEDIA AND URI WITH MCC,43859.24,25876.95,9445.17,39473.32,23
DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,19037.98,11232.41,4099.87,17134.18,23
DRG,154,OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC,77892.55,45956.6,16774.31,70103.29,23
DRG,155,OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC,32985.98,19461.73,7103.6,29687.38,23
DRG,156,OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC-MCC,19761.15,11659.08,4255.6,17785.03,23
DRG,157,DENTAL AND ORAL DISEASES WITH MCC,84073.75,49603.51,18105.45,75666.38,23
DRG,158,DENTAL AND ORAL DISEASES WITH CC,37724.92,22257.7,8124.14,33952.43,23
DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC-MCC,19783.14,11672.05,4260.34,17804.82,23
DRG,163,MAJOR CHEST PROCEDURES WITH MCC,188347.08,111124.78,40560.91,169512.38,23
DRG,164,MAJOR CHEST PROCEDURES WITH CC,77599.06,45783.44,16711.11,69839.15,23
DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC-MCC,53420.23,31517.94,11504.15,48078.21,23
DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,173533.96,102385.04,37370.88,156180.57,23
DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,69343.26,40912.52,14933.21,62408.93,23
DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC-MCC,45003.71,26552.19,9691.64,40503.34,23
DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,66847.2,39439.85,14395.68,60162.48,23
DRG,176,PULMONARY EMBOLISM WITHOUT MCC,34003.11,20061.83,7322.64,30602.8,23
DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,73082.57,43118.71,15738.47,65774.31,23
DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,54185.39,31969.38,11668.93,48766.85,23
DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC-MCC,37960.91,22396.94,8174.96,34164.82,23
DRG,180,RESPIRATORY NEOPLASMS WITH MCC,91624.51,54058.46,19731.52,82462.06,23
DRG,181,RESPIRATORY NEOPLASMS WITH CC,50154.88,29591.38,10800.95,45139.39,23
DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC-MCC,0.01,0.01,0.01,0.01,23
DRG,183,MAJOR CHEST TRAUMA WITH MCC,70394.85,41532.96,15159.67,63355.36,23
DRG,184,MAJOR CHEST TRAUMA WITH CC,42405.34,25019.15,9132.07,38164.8,23
DRG,185,MAJOR CHEST TRAUMA WITHOUT CC-MCC,30505.5,17998.25,6569.42,27454.95,23
DRG,186,PLEURAL EFFUSION WITH MCC,93987.8,55452.8,20240.46,84589.02,23
DRG,187,PLEURAL EFFUSION WITH CC,29311.56,17293.82,6312.3,26380.41,23
DRG,188,PLEURAL EFFUSION WITHOUT CC-MCC,11855.43,6994.7,2553.09,10669.88,23
DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,56540.47,33358.87,12176.1,50886.42,23
DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,58433.35,34475.68,12583.74,52590.02,23
DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,39925.91,23556.29,8598.12,35933.32,23
DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC-MCC,20902.82,12332.66,4501.46,18812.54,23
DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,56676.26,33439.0,12205.34,51008.64,23
DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,31064.72,18328.18,6689.85,27958.24,23
DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC-MCC,15775.92,9307.79,3397.38,14198.33,23
DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,101057.12,59623.7,21762.85,90951.41,23
DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,46932.76,27690.33,10107.06,42239.49,23
DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC-MCC,57663.12,34021.24,12417.87,51896.81,23
DRG,199,PNEUMOTHORAX WITH MCC,78596.23,46371.77,16925.85,70736.61,23
DRG,200,PNEUMOTHORAX WITH CC,32855.45,19384.71,7075.49,29569.9,23
DRG,201,PNEUMOTHORAX WITHOUT CC-MCC,19484.2,11495.68,4195.96,17535.78,23
DRG,202,BRONCHITIS AND ASTHMA WITH CC-MCC,33916.5,20010.74,7303.99,30524.85,23
DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC-MCC,17088.24,10082.06,3679.99,15379.42,23
DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,33427.69,19722.34,7198.72,30084.92,23
DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,66522.81,39248.46,14325.82,59870.53,23
DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,31483.1,18575.03,6779.95,28334.79,23
DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT GREATER THAN 96 HOURS,352833.66,208171.86,75983.42,317550.29,23
DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT LESS THAN =96 HOURS,192577.4,113620.66,41471.92,173319.66,23
DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,484633.04,285933.49,104366.68,436169.74,23
DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,280981.69,165779.2,60509.96,252883.52,23
DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,349609.54,206269.63,75289.1,314648.58,23
DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,241766.08,142641.99,52064.8,217589.47,23
DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC-MCC,146359.54,86352.13,31518.81,131723.59,23
DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,277537.38,163747.05,59768.22,249783.64,23
DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,224029.72,132177.53,48245.24,201626.75,23
DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC-MCC,224379.75,132384.05,48320.62,201941.77,23
DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,217299.24,128206.55,46795.82,195569.31,23
DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,113053.17,66701.37,24346.22,101747.86,23
DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,308509.13,182020.38,66438.05,277658.21,23
DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,133046.36,78497.35,28651.79,119741.72,23
DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,257968.27,152201.28,55553.97,232171.45,23
DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,183911.57,108507.83,39605.72,165520.41,23
DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,192492.32,113570.47,41453.6,173243.08,23
DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,138080.97,81467.77,29736.01,124272.88,23
DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,257426.31,151881.52,55437.26,231683.68,23
DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,128321.83,75709.88,27634.36,115489.65,23
DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,123640.55,72947.92,26626.23,111276.49,23
DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,62671.97,36976.46,13496.53,56404.77,23
DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC-MCC,50768.7,29953.53,10933.14,45691.83,23
DRG,245,AICD GENERATOR PROCEDURES,92109.65,54344.69,19835.99,82898.69,23
DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,97480.51,57513.5,20992.62,87732.46,23
DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,64894.95,38288.02,13975.25,58405.46,23
DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,184100.35,108619.21,39646.37,165690.32,23
DRG,253,OTHER VASCULAR PROCEDURES WITH CC,109938.41,64863.66,23675.45,98944.57,23
DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC-MCC,64670.89,38155.83,13927.0,58203.8,23
DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,129289.47,76280.79,27842.74,116360.53,23
DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,89368.72,52727.54,19245.73,80431.84,23
DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC-MCC,0.01,0.01,0.01,0.01,23
DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,66515.91,39244.38,14324.33,59864.31,23
DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,61030.18,36007.81,13142.97,54927.16,23
DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,272343.63,160682.74,58649.73,245109.27,23
DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,74202.16,43779.27,15979.58,66781.94,23
DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC-MCC,45157.12,26642.7,9724.67,40641.41,23
DRG,263,VEIN LIGATION AND STRIPPING,90877.89,53617.96,19570.73,81790.1,23
DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,129840.79,76606.07,27961.47,116856.71,23
DRG,265,AICD LEAD PROCEDURES,143944.23,84927.09,30998.67,129549.8,23
DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,207462.63,122402.95,44677.49,186716.37,23
DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,194304.35,114639.56,41843.82,174873.91,23
DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,335483.54,197935.29,72247.04,301935.18,23
DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,179696.67,106021.04,38698.03,161727.01,23
DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,244786.71,144424.16,52715.3,220308.04,23
DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,132594.12,78230.53,28554.4,119334.71,23
DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC-MCC,102828.04,60668.54,22144.22,92545.23,23
DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,142151.43,83869.34,30612.59,127936.28,23
DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,106431.13,62794.36,22920.15,95788.01,23
DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,316447.58,186704.07,68147.61,284802.82,23
DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,194298.29,114635.99,41842.52,174868.46,23
DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,113605.81,67027.43,24465.23,102245.23,23
DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,174148.57,102747.66,37503.24,156733.71,23
DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,102411.12,60422.56,22054.44,92170.01,23
DRG,280,ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC,92355.37,54489.67,19888.91,83119.84,23
DRG,281,ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC,45026.18,26565.45,9696.48,40523.56,23
DRG,282,ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC-MCC,31880.95,18809.76,6865.63,28692.86,23
DRG,283,ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC,142504.73,84077.79,30688.67,128254.26,23
DRG,284,ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC,22064.16,13017.85,4751.56,19857.74,23
DRG,286,CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC,111993.62,66076.24,24118.05,100794.26,23
DRG,287,CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC,46338.47,27339.7,9979.08,41704.62,23
DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,93220.18,54999.9,20075.15,83898.16,23
DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,86168.88,50839.64,18556.64,77551.99,23
DRG,291,HEART FAILURE AND SHOCK WITH MCC,62248.83,36726.81,13405.41,56023.95,23
DRG,292,HEART FAILURE AND SHOCK WITH CC,47000.07,27730.04,10121.56,42300.07,23
DRG,293,HEART FAILURE AND SHOCK WITHOUT CC-MCC,10760.45,6348.67,2317.28,9684.41,23
DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC-MCC,0.01,0.01,0.01,0.01,23
DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC-MCC,0.01,0.01,0.01,0.01,23
DRG,296,CARDIAC ARREST UNEXPLAINED WITH MCC,87582.07,51673.42,18860.97,78823.86,23
DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,64203.14,37879.85,13826.27,57782.82,23
DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,37449.22,22095.04,8064.76,33704.3,23
DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC-MCC,34504.75,20357.8,7430.67,31054.27,23
DRG,302,ATHEROSCLEROSIS WITH MCC,37517.76,22135.48,8079.52,33765.99,23
DRG,303,ATHEROSCLEROSIS WITHOUT MCC,35296.47,20824.92,7601.16,31766.82,23
DRG,304,HYPERTENSION WITH MCC,57050.95,33660.06,12286.03,51345.85,23
DRG,305,HYPERTENSION WITHOUT MCC,35299.55,20826.74,7601.83,31769.6,23
DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,58902.16,34752.27,12684.7,53011.94,23
DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,48417.51,28566.33,10426.81,43575.76,23
DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,57491.13,33919.77,12380.83,51742.02,23
DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,31743.72,18728.8,6836.07,28569.35,23
DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC-MCC,22567.2,13314.65,4859.89,20310.48,23
DRG,311,ANGINA PECTORIS,49257.77,29062.08,10607.76,44331.99,23
DRG,312,SYNCOPE AND COLLAPSE,44000.14,25960.08,9475.52,39600.12,23
DRG,313,CHEST PAIN,33793.99,19938.45,7277.6,30414.59,23
DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,92779.08,54739.66,19980.16,83501.17,23
DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,46498.96,27434.39,10013.64,41849.07,23
DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC-MCC,22296.43,13154.89,4801.58,20066.79,23
DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,204169.54,120460.03,43968.31,183752.59,23
DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,146899.43,86670.66,31635.08,132209.49,23
DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,97335.12,57427.72,20961.31,87601.61,23
DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES-INTRALUMINAL DEVICES,125293.67,73923.26,26982.24,112764.3,23
DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,78555.44,46347.71,16917.07,70699.9,23
DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,162176.04,95683.86,34924.93,145958.44,23
DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,110426.84,65151.84,23780.64,99384.16,23
DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,86009.86,50745.82,18522.39,77408.88,23
DRG,326,STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC,208454.38,122988.09,44891.06,187608.94,23
DRG,327,STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC,77704.25,45845.51,16733.76,69933.83,23
DRG,328,STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC-MCC,43056.4,25403.28,9272.28,38750.76,23
DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,167669.0,98924.71,36107.85,150902.1,23
DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,70870.97,41813.87,15262.2,63783.87,23
DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC-MCC,49748.19,29351.43,10713.37,44773.37,23
DRG,332,RECTAL RESECTION WITH MCC,77727.65,45859.31,16738.8,69954.89,23
DRG,333,RECTAL RESECTION WITH CC,111010.15,65495.99,23906.25,99909.14,23
DRG,334,RECTAL RESECTION WITHOUT CC-MCC,57573.01,33968.08,12398.46,51815.71,23
DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,132171.76,77981.34,28463.45,118954.58,23
DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,64521.82,38067.87,13894.9,58069.64,23
DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC-MCC,43817.09,25852.09,9436.1,39435.39,23
DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,106848.41,63040.56,23010.02,96163.57,23
DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,50547.15,29822.82,10885.43,45492.43,23
DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC-MCC,55718.44,32873.88,11999.07,50146.59,23
DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,86330.73,50935.13,18591.49,77697.66,23
DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,46225.47,27273.03,9954.75,41602.93,23
DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC-MCC,26103.19,15400.88,5621.37,23492.87,23
DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,94854.55,55964.18,20427.11,85369.09,23
DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,46616.3,27503.62,10038.91,41954.67,23
DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC-MCC,28632.24,16893.02,6166.01,25769.02,23
DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,138840.41,81915.84,29899.55,124956.37,23
DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,50264.98,29656.34,10824.66,45238.48,23
DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC-MCC,36151.08,21329.14,7785.21,32535.97,23
DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,315808.92,186327.27,68010.07,284228.03,23
DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,75667.36,44643.74,16295.11,68100.63,23
DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC-MCC,48880.73,28839.63,10526.56,43992.66,23
DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,65296.54,38524.96,14061.74,58766.89,23
DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,45908.0,27085.72,9886.38,41317.2,23
DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC-MCC,14743.17,8698.47,3174.97,13268.85,23
DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,89592.51,52859.58,19293.92,80633.26,23
DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,41915.5,24730.15,9026.59,37723.95,23
DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC-MCC,35689.61,21056.87,7685.83,32120.65,23
DRG,374,DIGESTIVE MALIGNANCY WITH MCC,107386.14,63357.82,23125.82,96647.52,23
DRG,375,DIGESTIVE MALIGNANCY WITH CC,52623.58,31047.91,11332.59,47361.22,23
DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC-MCC,47328.7,27923.93,10192.33,42595.83,23
DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,93425.26,55120.9,20119.31,84082.73,23
DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,44351.58,26167.43,9551.2,39916.42,23
DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC-MCC,28625.14,16888.83,6164.48,25762.63,23
DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,89217.66,52638.42,19213.2,80295.89,23
DRG,381,COMPLICATED PEPTIC ULCER WITH CC,61148.84,36077.82,13168.52,55033.96,23
DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC-MCC,25671.09,15145.94,5528.32,23103.98,23
DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,61874.64,36506.04,13324.82,55687.17,23
DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,36382.24,21465.52,7834.99,32744.02,23
DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,68689.87,40527.02,14792.5,61820.88,23
DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,47174.94,27833.21,10159.22,42457.45,23
DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC-MCC,30137.45,17781.1,6490.16,27123.71,23
DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,79537.94,46927.38,17128.65,71584.14,23
DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,29243.57,17253.71,6297.66,26319.22,23
DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC-MCC,20821.98,12284.97,4484.06,18739.79,23
DRG,391,ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC,54158.85,31953.72,11663.22,48742.97,23
DRG,392,ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC,30294.29,17873.63,6523.94,27264.87,23
DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,82390.81,48610.58,17743.02,74151.73,23
DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,40038.76,23622.87,8622.43,36034.89,23
DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC-MCC,21224.08,12522.21,4570.65,19101.68,23
DRG,397,APPENDIX PROCEDURES WITH MCC,162287.68,95749.73,34948.97,146058.91,23
DRG,398,APPENDIX PROCEDURES WITH CC,41968.34,24761.32,9037.96,37771.51,23
DRG,399,APPENDIX PROCEDURES WITHOUT CC-MCC,27593.0,16279.87,5942.21,24833.7,23
DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,121515.84,71694.35,26168.67,109364.26,23
DRG,405,PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC,189941.67,112065.58,40904.31,170947.5,23
DRG,406,PANCREAS LIVER AND SHUNT PROCEDURES WITH CC,94000.41,55460.24,20243.17,84600.37,23
DRG,407,PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC-MCC,66986.05,39521.77,14425.58,60287.44,23
DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,111386.08,65717.79,23987.21,100247.47,23
DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,64941.59,38315.54,13985.3,58447.44,23
DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC-MCC,69582.03,41053.4,14984.63,62623.83,23
DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,79674.65,47008.04,17158.09,71707.19,23
DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,87839.18,51825.11,18916.34,79055.26,23
DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC-MCC,0.01,0.01,0.01,0.01,23
DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,111887.71,66013.75,24095.24,100698.94,23
DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,69526.97,41020.91,14972.77,62574.27,23
DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC-MCC,43513.24,25672.81,9370.66,39161.91,23
DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,65871.13,38863.97,14185.48,59284.02,23
DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,55720.91,32875.34,11999.61,50148.82,23
DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC-MCC,45858.22,27056.35,9875.66,41272.4,23
DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,179722.18,106036.08,38703.52,161749.96,23
DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,71540.5,42208.9,15406.39,64386.45,23
DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC-MCC,70041.63,41324.56,15083.6,63037.47,23
DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,238044.51,140446.26,51263.35,214240.06,23
DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,156304.75,92219.8,33660.53,140674.28,23
DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC-MCC,35645.8,21031.02,7676.39,32081.22,23
DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,381385.97,225017.72,82132.22,343247.38,23
DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,205404.21,121188.49,44234.2,184863.79,23
DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC-MCC,152443.87,89941.88,32829.09,137199.48,23
DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,291442.98,171951.36,62762.82,262298.68,23
DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,265543.27,156670.53,57185.26,238988.94,23
DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,124338.2,73359.54,26776.47,111904.38,23
DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,46989.77,27723.97,10119.34,42290.8,23
DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC-MCC,12484.33,7365.75,2688.52,11235.89,23
DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,80887.61,47723.69,17419.31,72798.85,23
DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,46549.88,27464.43,10024.61,41894.89,23
DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC-MCC,30123.73,17773.0,6487.21,27111.36,23
DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,56648.61,33422.68,12199.39,50983.75,23
DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,32616.04,19243.46,7023.93,29354.43,23
DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC-MCC,22539.93,13298.56,4854.02,20285.94,23
DRG,441,DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC,103319.55,60958.53,22250.07,92987.59,23
DRG,442,DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC,42828.65,25268.9,9223.23,38545.79,23
DRG,443,DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC-MCC,29507.47,17409.41,6354.49,26556.72,23
DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,73425.94,43321.31,15812.42,66083.35,23
DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,38114.14,22487.34,8207.95,34302.73,23
DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC-MCC,30091.87,17754.2,6480.34,27082.68,23
DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,216581.99,127783.37,46641.36,194923.79,23
DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,144655.71,85346.87,31151.89,130190.14,23
DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,208287.96,122889.89,44855.22,187459.16,23
DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,101619.09,59955.26,21883.87,91457.18,23
DRG,456,SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC,361675.14,213388.33,77887.45,325507.63,23
DRG,457,SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC,187537.95,110647.39,40386.67,168784.16,23
DRG,458,SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC-MCC,153457.89,90540.15,33047.46,138112.1,23
DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,256475.49,151320.54,55232.5,230827.94,23
DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,80749.97,47642.48,17389.67,72674.98,23
DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,316863.85,186949.67,68237.25,285177.47,23
DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,127956.23,75494.17,27555.62,115160.61,23
DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC,62595.53,36931.36,13480.07,56335.98,23
DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,187153.45,110420.54,40303.86,168438.11,23
DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,107391.49,63360.98,23126.97,96652.34,23
DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC-MCC,75615.62,44613.22,16283.97,68054.06,23
DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,150905.28,89034.12,32497.75,135814.75,23
DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,59228.97,34945.09,12755.07,53306.07,23
DRG,471,CERVICAL SPINAL FUSION WITH MCC,202849.85,119681.41,43684.11,182564.87,23
DRG,472,CERVICAL SPINAL FUSION WITH CC,95516.27,56354.6,20569.62,85964.64,23
DRG,473,CERVICAL SPINAL FUSION WITHOUT CC-MCC,72652.83,42865.17,15645.93,65387.55,23
DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,190412.56,112343.41,41005.72,171371.31,23
DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,83160.25,49064.55,17908.72,74844.22,23
DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC,57273.59,33791.42,12333.98,51546.23,23
DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,153730.3,90700.88,33106.12,138357.27,23
DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,86427.68,50992.33,18612.37,77784.91,23
DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC-MCC,52088.21,30732.05,11217.3,46879.39,23
DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,107249.88,63277.43,23096.47,96524.9,23
DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,79639.84,46987.51,17150.6,71675.86,23
DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC-MCC,56612.04,33401.1,12191.51,50950.83,23
DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,80503.62,47497.14,17336.61,72453.26,23
DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,155694.94,91860.01,33529.21,140125.45,23
DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,95374.29,56270.83,20539.04,85836.86,23
DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC-MCC,63196.04,37285.66,13609.39,56876.43,23
DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC-MCC,85196.41,50265.88,18347.21,76676.77,23
DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC-MCC,54320.83,32049.29,11698.1,48888.75,23
DRG,492,LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC,132437.6,78138.18,28520.7,119193.84,23
DRG,493,LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC,86696.99,51151.23,18670.37,78027.29,23
DRG,494,LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC-MCC,51738.28,30525.58,11141.94,46564.45,23
DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,132248.36,78026.53,28479.94,119023.52,23
DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,86950.14,51300.58,18724.88,78255.13,23
DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC-MCC,58122.98,34292.56,12516.9,52310.68,23
DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC-MCC,66876.98,39457.42,14402.09,60189.28,23
DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC-MCC,65694.05,38759.49,14147.34,59124.65,23
DRG,500,SOFT TISSUE PROCEDURES WITH MCC,189729.81,111940.59,40858.69,170756.83,23
DRG,501,SOFT TISSUE PROCEDURES WITH CC,80002.36,47201.39,17228.67,72002.13,23
DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC-MCC,58899.28,34750.57,12684.08,53009.35,23
DRG,503,FOOT PROCEDURES WITH MCC,139667.17,82403.63,30077.6,125700.45,23
DRG,504,FOOT PROCEDURES WITH CC,71415.97,42135.42,15379.57,64274.38,23
DRG,505,FOOT PROCEDURES WITHOUT CC-MCC,51349.45,30296.17,11058.2,46214.5,23
DRG,506,MAJOR THUMB OR JOINT PROCEDURES,89331.84,52705.78,19237.79,80398.65,23
DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC-MCC,67012.73,39537.51,14431.32,60311.46,23
DRG,509,ARTHROSCOPY,75516.0,44554.44,16262.52,67964.4,23
DRG,510,SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC,115370.88,68068.82,24845.34,103833.79,23
DRG,511,SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC,61264.59,36146.11,13193.45,55138.13,23
DRG,512,SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC-MCC,43441.52,25630.49,9355.22,39097.36,23
DRG,513,HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC-MCC,56586.67,33386.14,12186.05,50928.01,23
DRG,514,HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC-MCC,36632.09,21612.93,7888.79,32968.88,23
DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,140794.43,83068.71,30320.36,126714.99,23
DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,83214.1,49096.32,17920.32,74892.69,23
DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC-MCC,48915.76,28860.3,10534.11,44024.18,23
DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,138922.32,81964.17,29917.19,125030.09,23
DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,70360.7,41512.81,15152.31,63324.63,23
DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC-MCC,47636.99,28105.83,10258.72,42873.29,23
DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,115747.38,68290.96,24926.43,104172.64,23
DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,75867.61,44761.89,16338.24,68280.85,23
DRG,533,FRACTURES OF FEMUR WITH MCC,0.01,0.01,0.01,0.01,23
DRG,534,FRACTURES OF FEMUR WITHOUT MCC,34885.79,20582.62,7512.72,31397.21,23
DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,77027.6,45446.28,16588.04,69324.84,23
DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,40100.97,23659.58,8635.82,36090.88,23
DRG,537,SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC-MCC,0.01,0.01,0.01,0.01,23
DRG,538,SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC-MCC,72538.23,42797.56,15621.25,65284.41,23
DRG,539,OSTEOMYELITIS WITH MCC,89423.85,52760.07,19257.6,80481.46,23
DRG,540,OSTEOMYELITIS WITH CC,47132.98,27808.46,10150.18,42419.69,23
DRG,541,OSTEOMYELITIS WITHOUT CC-MCC,63962.04,37737.6,13774.35,57565.83,23
DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,89704.09,52925.41,19317.95,80733.68,23
DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,61709.0,36408.31,13289.15,55538.1,23
DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC-MCC,32726.42,19308.58,7047.7,29453.77,23
DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,154127.64,90935.31,33191.69,138714.87,23
DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,60107.47,35463.41,12944.26,54096.72,23
DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC,38983.25,23000.12,8395.12,35084.93,23
DRG,548,SEPTIC ARTHRITIS WITH MCC,103633.53,61143.78,22317.68,93270.17,23
DRG,549,SEPTIC ARTHRITIS WITH CC,39092.64,23064.66,8418.68,35183.38,23
DRG,550,SEPTIC ARTHRITIS WITHOUT CC-MCC,47341.67,27931.59,10195.12,42607.5,23
DRG,551,MEDICAL BACK PROBLEMS WITH MCC,85522.44,50458.24,18417.43,76970.2,23
DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,48573.39,28658.3,10460.37,43716.05,23
DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,52372.49,30899.77,11278.52,47135.24,23
DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,46577.61,27480.79,10030.58,41919.85,23
DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,60250.87,35548.01,12975.14,54225.78,23
DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,44717.7,26383.44,9630.04,40245.93,23
DRG,557,TENDONITIS MYOSITIS AND BURSITIS WITH MCC,75893.87,44777.38,16343.89,68304.48,23
DRG,558,TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC,34305.9,20240.48,7387.84,30875.31,23
DRG,559,AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,80617.48,47564.31,17361.13,72555.73,23
DRG,560,AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,90179.51,53205.91,19420.33,81161.56,23
DRG,561,AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC-MCC,81028.24,47806.66,17449.59,72925.41,23
DRG,562,FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC,79693.27,47019.03,17162.1,71723.94,23
DRG,563,FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC,37721.32,22255.58,8123.36,33949.19,23
DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,96654.79,57026.33,20814.8,86989.31,23
DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,47766.07,28181.98,10286.52,42989.46,23
DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC-MCC,17904.78,10563.82,3855.83,16114.31,23
DRG,570,SKIN DEBRIDEMENT WITH MCC,69727.62,41139.29,15015.98,62754.86,23
DRG,571,SKIN DEBRIDEMENT WITH CC,56563.23,33372.3,12181.0,50906.9,23
DRG,572,SKIN DEBRIDEMENT WITHOUT CC-MCC,28085.98,16570.73,6048.37,25277.38,23
DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,130479.67,76983.01,28099.05,117431.71,23
DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,119637.39,70586.06,25764.15,107673.65,23
DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC-MCC,17141.76,10113.64,3691.51,15427.58,23
DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,217083.57,128079.31,46749.37,195375.22,23
DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,83313.54,49154.99,17941.73,74982.19,23
DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC-MCC,61942.27,36545.94,13339.39,55748.05,23
DRG,579,OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC,171821.25,101374.54,37002.04,154639.13,23
DRG,580,OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC,68419.85,40367.71,14734.35,61577.86,23
DRG,581,OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC-MCC,71588.83,42237.41,15416.8,64429.95,23
DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC-MCC,81994.23,48376.6,17657.62,73794.81,23
DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC-MCC,80437.74,47458.27,17322.43,72393.97,23
DRG,584,BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC-MCC,63766.64,37622.32,13732.27,57389.97,23
DRG,585,BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC-MCC,88712.97,52340.65,19104.51,79841.67,23
DRG,592,SKIN ULCERS WITH MCC,96163.45,56736.44,20708.99,86547.11,23
DRG,593,SKIN ULCERS WITH CC,48017.01,28330.03,10340.56,43215.31,23
DRG,594,SKIN ULCERS WITHOUT CC-MCC,19336.72,11408.66,4164.2,17403.05,23
DRG,595,MAJOR SKIN DISORDERS WITH MCC,62906.48,37114.82,13547.03,56615.83,23
DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,53762.99,31720.17,11577.97,48386.69,23
DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,90859.81,53607.29,19566.84,81773.83,23
DRG,598,MALIGNANT BREAST DISORDERS WITH CC,38629.63,22791.48,8318.97,34766.67,23
DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC-MCC,9654.3,5696.04,2079.07,8688.87,23
DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC-MCC,33952.55,20032.01,7311.75,30557.3,23
DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC-MCC,16293.75,9613.31,3508.89,14664.37,23
DRG,602,CELLULITIS WITH MCC,68593.33,40470.07,14771.71,61734.0,23
DRG,603,CELLULITIS WITHOUT MCC,30932.52,18250.19,6661.38,27839.27,23
DRG,604,TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC,47627.22,28100.06,10256.62,42864.5,23
DRG,605,TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC,28316.21,16706.57,6097.95,25484.59,23
DRG,606,MINOR SKIN DISORDERS WITH MCC,88615.9,52283.38,19083.61,79754.31,23
DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,69307.12,40891.2,14925.43,62376.41,23
DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC-MCC,83377.96,49193.0,17955.61,75040.16,23
DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC-MCC,49482.2,29194.5,10656.09,44533.98,23
DRG,616,AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC,203538.47,120087.7,43832.41,183184.62,23
DRG,617,AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC,82532.13,48693.96,17773.46,74278.92,23
DRG,618,AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC-MCC,0.01,0.01,0.01,0.01,23
DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,54449.96,32125.48,11725.91,49004.97,23
DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,34101.03,20119.61,7343.72,30690.93,23
DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC-MCC,32224.42,19012.41,6939.59,29001.97,23
DRG,622,SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC,95197.27,56166.39,20500.92,85677.54,23
DRG,623,SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC,68442.26,40380.93,14739.17,61598.03,23
DRG,624,SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC-MCC,38221.69,22550.8,8231.12,34399.52,23
DRG,625,THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC,115011.91,67857.03,24768.04,103510.72,23
DRG,626,THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC,54551.7,32185.5,11747.82,49096.53,23
DRG,627,THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC-MCC,38957.35,22984.84,8389.54,35061.61,23
DRG,628,OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC,222086.95,131031.3,47826.86,199878.25,23
DRG,629,OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC,106049.99,62569.49,22838.07,95444.99,23
DRG,630,OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC-MCC,31011.02,18296.5,6678.28,27909.92,23
DRG,637,DIABETES WITH MCC,71712.42,42310.33,15443.41,64541.18,23
DRG,638,DIABETES WITH CC,36163.48,21336.45,7787.88,32547.13,23
DRG,639,DIABETES WITHOUT CC-MCC,25447.29,15013.9,5480.12,22902.56,23
DRG,640,MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC,83836.0,49463.24,18054.25,75452.4,23
DRG,641,MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC,29973.15,17684.16,6454.78,26975.84,23
DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,52946.37,31238.36,11402.11,47651.74,23
DRG,643,ENDOCRINE DISORDERS WITH MCC,60943.06,35956.4,13124.21,54848.75,23
DRG,644,ENDOCRINE DISORDERS WITH CC,35943.71,21206.79,7740.55,32349.34,23
DRG,645,ENDOCRINE DISORDERS WITHOUT CC-MCC,23981.01,14148.79,5164.36,21582.91,23
DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,246288.68,145310.32,53038.75,221659.82,23
DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,191447.1,112953.79,41228.51,172302.39,23
DRG,652,KIDNEY TRANSPLANT,165821.58,97834.73,35710.0,149239.43,23
DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,248012.44,146327.34,53409.97,223211.2,23
DRG,654,MAJOR BLADDER PROCEDURES WITH CC,115884.81,68372.04,24956.02,104296.33,23
DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC-MCC,51587.73,30436.76,11109.52,46428.96,23
DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,114460.27,67531.56,24649.24,103014.24,23
DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,73827.99,43558.51,15899.0,66445.19,23
DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC-MCC,57267.58,33787.87,12332.69,51540.82,23
DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,109556.21,64638.17,23593.15,98600.59,23
DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,41192.79,24303.75,8870.95,37073.51,23
DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC-MCC,31986.59,18872.09,6888.37,28787.93,23
DRG,662,MINOR BLADDER PROCEDURES WITH MCC,391816.53,231171.75,84378.46,352634.87,23
DRG,663,MINOR BLADDER PROCEDURES WITH CC,53253.54,31419.59,11468.26,47928.19,23
DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC-MCC,45218.13,26678.7,9737.81,40696.32,23
DRG,665,PROSTATECTOMY WITH MCC,543605.15,320727.04,117066.44,489244.64,23
DRG,666,PROSTATECTOMY WITH CC,41340.05,24390.63,8902.66,37206.05,23
DRG,667,PROSTATECTOMY WITHOUT CC-MCC,30737.26,18134.99,6619.33,27663.54,23
DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,90979.73,53678.04,19592.66,81881.76,23
DRG,669,TRANSURETHRAL PROCEDURES WITH CC,43690.6,25777.46,9408.86,39321.54,23
DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC-MCC,17053.75,10061.71,3672.56,15348.37,23
DRG,671,URETHRAL PROCEDURES WITH CC-MCC,36161.48,21335.27,7787.45,32545.33,23
DRG,672,URETHRAL PROCEDURES WITHOUT CC-MCC,60610.8,35760.37,13052.65,54549.72,23
DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,283904.79,167503.83,61139.45,255514.31,23
DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,87267.44,51487.79,18793.22,78540.7,23
DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC-MCC,50332.31,29696.06,10839.16,45299.08,23
DRG,682,RENAL FAILURE WITH MCC,80511.96,47502.06,17338.41,72460.77,23
DRG,683,RENAL FAILURE WITH CC,36070.11,21281.36,7767.77,32463.1,23
DRG,684,RENAL FAILURE WITHOUT CC-MCC,18385.49,10847.44,3959.35,16546.94,23
DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,66278.9,39104.55,14273.29,59651.01,23
DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,47925.31,28275.93,10320.81,43132.78,23
DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC-MCC,14121.08,8331.44,3041.0,12708.97,23
DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,53663.59,31661.52,11556.56,48297.23,23
DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,32576.65,19220.22,7015.45,29318.99,23
DRG,693,URINARY STONES WITH MCC,38115.5,22488.15,8208.25,34303.95,23
DRG,694,URINARY STONES WITHOUT MCC,24050.27,14189.66,5179.27,21645.25,23
DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,62608.04,36938.74,13482.76,56347.23,23
DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,19360.99,11422.98,4169.43,17424.89,23
DRG,697,URETHRAL STRICTURE,17256.59,10181.39,3716.24,15530.93,23
DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,76193.24,44954.01,16408.36,68573.91,23
DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,36919.39,21782.44,7950.66,33227.45,23
DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC-MCC,21875.13,12906.33,4710.85,19687.62,23
DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC-MCC,83096.95,49027.2,17895.09,74787.26,23
DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC-MCC,53957.1,31834.69,11619.77,48561.39,23
DRG,709,PENIS PROCEDURES WITH CC-MCC,74628.14,44030.6,16071.32,67165.32,23
DRG,710,PENIS PROCEDURES WITHOUT CC-MCC,40740.16,24036.69,8773.47,36666.14,23
DRG,711,TESTES PROCEDURES WITH CC-MCC,74062.15,43696.67,15949.43,66655.93,23
DRG,712,TESTES PROCEDURES WITHOUT CC-MCC,23583.44,13914.23,5078.74,21225.1,23
DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC-MCC,26520.62,15647.16,5711.27,23868.56,23
DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC-MCC,28415.01,16764.86,6119.23,25573.51,23
DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC-MCC,72025.59,42495.1,15510.85,64823.03,23
DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC-MCC,37956.43,22394.29,8173.99,34160.79,23
DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC-MCC,78357.88,46231.15,16874.52,70522.1,23
DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC-MCC,34601.23,20414.73,7451.44,31141.11,23
DRG,722,MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC,83458.29,49240.39,17972.91,75112.46,23
DRG,723,MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC,43277.56,25533.76,9319.91,38949.81,23
DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,36961.43,21807.24,7959.72,33265.29,23
DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,31889.58,18814.85,6867.48,28700.62,23
DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,39119.54,23080.53,8424.47,35207.58,23
DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,32443.86,19141.88,6986.85,29199.47,23
DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC-MCC,51956.15,30654.13,11188.86,46760.53,23
DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC-MCC,13467.51,7945.83,2900.25,12120.76,23
DRG,734,PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC-MCC,100624.26,59368.32,21669.63,90561.84,23
DRG,735,PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC-MCC,45146.63,26636.51,9722.41,40631.96,23
DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,137792.19,81297.39,29673.82,124012.97,23
DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,80703.61,47615.13,17379.68,72633.25,23
DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC-MCC,48126.77,28394.79,10364.19,43314.09,23
DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,99630.14,58781.79,21455.55,89667.13,23
DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,60549.06,35723.95,13039.36,54494.16,23
DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC-MCC,44854.31,26464.04,9659.46,40368.88,23
DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC-MCC,58048.71,34248.74,12500.9,52243.84,23
DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC-MCC,41738.8,24625.89,8988.53,37564.92,23
DRG,744,DANDC CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC-MCC,86934.59,51291.41,18721.53,78241.13,23
DRG,745,DANDC CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC-MCC,32736.34,19314.44,7049.84,29462.71,23
DRG,746,VAGINA CERVIX AND VULVA PROCEDURES WITH CC-MCC,121903.42,71923.02,26252.14,109713.08,23
DRG,747,VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC-MCC,37492.42,22120.53,8074.07,33743.18,23
DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,55987.07,33032.37,12056.93,50388.36,23
DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC-MCC,157251.9,92778.62,33864.51,141526.71,23
DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC-MCC,51705.65,30506.33,11134.91,46535.08,23
DRG,754,MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC,87075.07,51374.29,18751.79,78367.56,23
DRG,755,MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC,68894.23,40647.6,14836.51,62004.81,23
DRG,756,MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC-MCC,52602.96,31035.75,11328.15,47342.67,23
DRG,757,INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC,74227.21,43794.05,15984.97,66804.48,23
DRG,758,INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC,33120.83,19541.29,7132.64,29808.75,23
DRG,759,INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC-MCC,24194.95,14275.02,5210.43,21775.46,23
DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC-MCC,32772.19,19335.59,7057.55,29494.97,23
DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC-MCC,19639.13,11587.08,4229.32,17675.21,23
DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND-OR DANDC,30644.95,18080.52,6599.45,27580.46,23
DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,39206.12,23131.61,8443.11,35285.51,23
DRG,770,ABORTION WITH DANDC ASPIRATION CURETTAGE OR HYSTEROTOMY,30936.89,18252.77,6662.32,27843.2,23
DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,17275.2,10192.37,3720.25,15547.68,23
DRG,779,ABORTION WITHOUT DANDC,17163.59,10126.52,3696.21,15447.23,23
DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,114310.58,67443.24,24617.01,102879.52,23
DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,43084.86,25420.07,9278.41,38776.37,23
DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC-MCC,44785.85,26423.65,9644.72,40307.26,23
DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,51670.64,30485.68,11127.37,46503.57,23
DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,39010.71,23016.32,8401.03,35109.64,23
DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC-MCC,34712.44,20480.34,7475.39,31241.2,23
DRG,789,NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY,123692.7,72978.7,26637.47,111323.43,23
DRG,790,EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE,533955.81,315033.93,114988.43,480560.23,23
DRG,791,PREMATURITY WITH MAJOR PROBLEMS,113706.53,67086.85,24486.93,102335.88,23
DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,69369.31,40927.89,14938.82,62432.38,23
DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,56206.45,33161.81,12104.17,50585.8,23
DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,14843.85,8757.87,3196.65,13359.47,23
DRG,795,NORMAL NEWBORN,10929.12,6448.18,2353.61,9836.21,23
DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND-OR DANDC WITH MCC,47855.78,28234.91,10305.84,43070.2,23
DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND-OR DANDC WITH CC,38066.09,22458.99,8197.61,34259.48,23
DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND-OR DANDC WITHOUT CC-MCC,31914.34,18829.46,6872.82,28722.91,23
DRG,799,SPLENIC PROCEDURES WITH MCC,163963.28,96738.34,35309.81,147566.95,23
DRG,800,SPLENIC PROCEDURES WITH CC,193394.22,114102.59,41647.82,174054.8,23
DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,194036.76,114481.69,41786.2,174633.09,23
DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,90197.56,53216.56,19424.22,81177.81,23
DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC-MCC,57595.63,33981.42,12403.33,51836.07,23
DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITH MCC,31135.55,18369.97,6705.1,28021.99,23
DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITH CC,25687.01,15155.33,5531.75,23118.31,23
DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITHOUT CC-MCC,22636.57,13355.57,4874.83,20372.91,23
DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,141796.31,83659.82,30536.11,127616.68,23
DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,80136.51,47280.54,17257.55,72122.86,23
DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC-MCC,60607.47,35758.41,13051.94,54546.73,23
DRG,811,RED BLOOD CELL DISORDERS WITH MCC,56502.98,33336.76,12168.03,50852.68,23
DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,33187.67,19580.72,7147.03,29868.9,23
DRG,813,COAGULATION DISORDERS,64456.27,38029.2,13880.78,58010.65,23
DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,112807.93,66556.68,24293.41,101527.14,23
DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,49743.65,29348.75,10712.39,44769.28,23
DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC-MCC,22078.09,13026.07,4754.56,19870.28,23
DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,47408.91,27971.26,10209.6,42668.02,23
DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,35348.75,20855.76,7612.42,31813.88,23
DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC-MCC,40008.09,23604.77,8615.82,36007.28,23
DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,192126.0,113354.34,41374.71,172913.4,23
DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,116274.59,68602.01,25039.96,104647.14,23
DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC-MCC,64698.18,38171.92,13932.88,58228.36,23
DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,352327.76,207873.38,75874.47,317094.98,23
DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,108392.01,63951.29,23342.43,97552.81,23
DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC-MCC,66815.59,39421.2,14388.87,60134.03,23
DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,214204.25,126380.51,46129.3,192783.82,23
DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,83763.48,49420.45,18038.63,75387.13,23
DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC-MCC,74228.81,43795.0,15985.32,66805.93,23
DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC-MCC,130967.66,77270.92,28204.14,117870.9,23
DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC-MCC,57246.08,33775.19,12328.06,51521.48,23
DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,35581.24,20992.93,7662.49,32023.12,23
DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,21337.49,12589.12,4595.07,19203.74,23
DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC-MCC,12082.41,7128.62,2601.97,10874.17,23
DRG,834,ACUTE LEUKEMIA WITH MCC,299219.55,176539.54,64437.52,269297.6,23
DRG,835,ACUTE LEUKEMIA WITH CC,196379.88,115864.13,42290.79,176741.89,23
DRG,836,ACUTE LEUKEMIA WITHOUT CC-MCC,80092.06,47254.32,17247.98,72082.86,23
DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,186340.0,109940.6,40128.68,167706.0,23
DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,79930.44,47158.96,17213.18,71937.4,23
DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC-MCC,71457.01,42159.64,15388.41,64311.31,23
DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,166263.3,98095.35,35805.13,149636.97,23
DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,87860.28,51837.56,18920.88,79074.25,23
DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC-MCC,65254.06,38499.9,14052.59,58728.66,23
DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,119220.47,70340.08,25674.36,107298.43,23
DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,59599.0,35163.41,12834.76,53639.1,23
DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC-MCC,46335.01,27337.66,9978.34,41701.51,23
DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,87500.48,51625.28,18843.4,78750.43,23
DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,43336.1,25568.3,9332.51,39002.49,23
DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC-MCC,29070.99,17151.88,6260.49,26163.89,23
DRG,849,RADIOTHERAPY,127807.28,75406.29,27523.55,115026.55,23
DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,487039.62,287353.37,104884.94,438335.66,23
DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,273657.68,161458.03,58932.72,246291.91,23
DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,64668.68,38154.52,13926.53,58201.81,23
DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC-MCC,37354.66,22039.25,8044.4,33619.19,23
DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,235489.6,138938.86,50713.15,211940.64,23
DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,96568.47,56975.4,20796.21,86911.62,23
DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC-MCC,36244.48,21384.25,7805.32,32620.04,23
DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,74243.04,43803.4,15988.39,66818.74,23
DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,35288.69,20820.32,7599.49,31759.82,23
DRG,864,FEVER AND INFLAMMATORY CONDITIONS,44799.82,26431.89,9647.73,40319.83,23
DRG,865,VIRAL ILLNESS WITH MCC,56956.42,33604.29,12265.68,51260.78,23
DRG,866,VIRAL ILLNESS WITHOUT MCC,28424.05,16770.19,6121.17,25581.64,23
DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,91410.24,53932.04,19685.37,82269.22,23
DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,37329.9,22024.64,8039.07,33596.91,23
DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC-MCC,31134.08,18369.1,6704.78,28020.67,23
DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV GREATER THAN 96 HOURS,366731.25,216371.44,78976.29,330058.13,23
DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV GREATER THAN 96 HOURS WITH MCC,98398.72,58055.24,21190.36,88558.85,23
DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV GREATER THAN 96 HOURS WITHOUT MCC,41997.66,24778.62,9044.28,37797.89,23
DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,89617.05,52874.06,19299.21,80655.34,23
DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,43073.88,25413.59,9276.04,38766.49,23
DRG,881,DEPRESSIVE NEUROSES,54873.53,32375.38,11817.12,49386.18,23
DRG,882,NEUROSES EXCEPT DEPRESSIVE,57146.3,33716.32,12306.57,51431.67,23
DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,70149.9,41388.44,15106.92,63134.91,23
DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,141010.07,83195.94,30366.8,126909.06,23
DRG,885,PSYCHOSES,78980.0,46598.2,17008.5,71082.0,23
DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,78514.95,46323.82,16908.35,70663.46,23
DRG,887,OTHER MENTAL DISORDER DIAGNOSES,59024.57,34824.5,12711.06,53122.11,23
DRG,894,ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA,25401.18,14986.7,5470.19,22861.06,23
DRG,895,ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY,37054.58,21862.2,7979.78,33349.12,23
DRG,896,ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC,65174.72,38453.09,14035.5,58657.25,23
DRG,897,ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC,37599.17,22183.51,8097.06,33839.26,23
DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,69202.8,40829.65,14902.96,62282.52,23
DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,52248.23,30826.46,11251.76,47023.41,23
DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC-MCC,30992.41,18285.52,6674.28,27893.17,23
DRG,904,SKIN GRAFTS FOR INJURIES WITH CC-MCC,139301.61,82187.95,29998.88,125371.45,23
DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC-MCC,49594.05,29260.49,10680.18,44634.65,23
DRG,906,HAND PROCEDURES FOR INJURIES,67001.22,39530.72,14428.84,60301.09,23
DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,185711.75,109569.93,39993.39,167140.58,23
DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,64065.79,37798.81,13796.69,57659.21,23
DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC-MCC,39123.55,23082.89,8425.33,35211.19,23
DRG,913,TRAUMATIC INJURY WITH MCC,42402.15,25017.27,9131.39,38161.93,23
DRG,914,TRAUMATIC INJURY WITHOUT MCC,80106.7,47262.95,17251.14,72096.03,23
DRG,915,ALLERGIC REACTIONS WITH MCC,68655.94,40507.0,14785.19,61790.34,23
DRG,916,ALLERGIC REACTIONS WITHOUT MCC,23341.25,13771.34,5026.58,21007.13,23
DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,75592.4,44599.52,16278.97,68033.16,23
DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,29494.04,17401.48,6351.6,26544.63,23
DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,97518.14,57535.7,21000.72,87766.32,23
DRG,920,COMPLICATIONS OF TREATMENT WITH CC,43931.55,25919.61,9460.74,39538.39,23
DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC-MCC,18535.06,10935.69,3991.56,16681.55,23
DRG,922,OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC,77329.21,45624.24,16653.0,69596.29,23
DRG,923,OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC,36104.86,21301.87,7775.25,32494.37,23
DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV GREATER THAN 96 HOURS WITH SKIN GRAFT,0.01,0.01,0.01,0.01,23
DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC-MCC,59299.88,34986.93,12770.35,53369.89,23
DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC-MCC,73215.96,43197.42,15767.2,65894.36,23
DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV GREATER THAN 96 HOURS WITHOUT SKIN GRAFT,0.01,0.01,0.01,0.01,23
DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,22809.71,13457.73,4912.12,20528.74,23
DRG,935,NON-EXTENSIVE BURNS,30501.64,17995.96,6568.59,27451.47,23
DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,388136.89,229000.77,83586.04,349323.2,23
DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,67853.68,40033.67,14612.42,61068.31,23
DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC-MCC,59156.47,34902.32,12739.46,53240.82,23
DRG,945,REHABILITATION WITH CC-MCC,85589.96,50498.07,18431.96,77030.96,23
DRG,946,REHABILITATION WITHOUT CC-MCC,49414.19,29154.37,10641.44,44472.77,23
DRG,947,SIGNS AND SYMPTOMS WITH MCC,69382.19,40935.49,14941.59,62443.97,23
DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,45395.44,26783.31,9776.0,40855.9,23
DRG,949,AFTERCARE WITH CC-MCC,92269.61,54439.07,19870.44,83042.65,23
DRG,950,AFTERCARE WITHOUT CC-MCC,72935.29,43031.82,15706.76,65641.76,23
DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,55210.65,32574.28,11889.72,49689.58,23
DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,449494.03,265201.48,96799.42,404544.63,23
DRG,956,LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,181479.18,107072.71,39081.9,163331.26,23
DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,318391.69,187851.1,68566.28,286552.52,23
DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,149180.94,88016.76,32126.41,134262.85,23
DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC-MCC,0.01,0.01,0.01,0.01,23
DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,111966.8,66060.41,24112.27,100770.12,23
DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,52076.46,30725.11,11214.77,46868.81,23
DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC-MCC,27910.28,16467.06,6010.53,25119.25,23
DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,230870.39,136213.53,49718.39,207783.35,23
DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,0.01,0.01,0.01,0.01,23
DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,276532.45,163154.15,59551.81,248879.21,23
DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,59160.77,34904.86,12740.39,53244.69,23
DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC-MCC,0.01,0.01,0.01,0.01,23
DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,41186.72,24300.16,8869.64,37068.05,23
DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,329110.67,194175.29,70874.63,296199.6,23
DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,77039.43,45453.26,16590.59,69335.49,23
DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC-MCC,49027.7,28926.34,10558.21,44124.93,23
DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,233108.06,137533.76,50200.28,209797.25,23
DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,57680.43,34031.45,12421.59,51912.38,23
DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC-MCC,47697.6,28141.58,10271.77,42927.84,23
DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,45596.01,26901.65,9819.19,41036.41,23
DRG,999,UNGROUPABLE,12278.04,7244.04,2644.1,11050.24,22