2021 HCPCS	2021 Short Description	2021 Days	2021 Units	2021 Total Cost	2021 Minimum Unit Cost	2021 Maximum Unit Cost	2021 Arithmetic Mean Unit Cost	2021 Geometric Mean Unit Cost	2021 Geometric Mean Day Cost	2021 Median Unit Cost	2021 Median Day Cost	2021 CV (%) of Unit Cost	Final CY 2023 XRef HCPCS/CPT Code(s)	Final CY 2023 XRef SI	Final CY 2023  XRef APC	Final CY 2023 Payment Rate										
A4216	"Sterile water/saline, 10 ml"	78600	216072	2053925.14	0.01	596.79	9.51	3.17	8.34	3.96	7.74	277.129	A4216	N												
A4218	Sterile saline or water	2050	3403	14339.65	0.34	32.32	4.21	2.73	3.56	4.55	3.22	125.64	A4218	N												
A4641	Radiopharm dx agent noc	2030	2211	159534.56	0.52	2203.42	72.15	31.98	33.48	34.05	34.05	212.343	A4641	N												
A4642	In111 satumomab	7	7	2145.31	7.61	514.01	306.47	136.56	136.56	514.01	514.01	84.536	A4642	N												
A9500	Tc99m sestamibi	415290	766609	66785092.47	1.96	1394.44	87.12	61.87	111.92	63.57	114.75	126.763	A9500	N												
A9501	Technetium tc-99m teboroxime	16	16	256.1	15.4	20.25	16.01	15.94	15.94	15.4	15.4	10.35	A9501	N												
A9502	Tc99m tetrofosmin	250483	465301	35979560.91	4.01	1349.68	77.33	55.96	102.68	61.36	110.02	131.77	A9502	N												
A9503	Tc99m medronate	165110	165110	5791794.49	2.14	300.23	35.08	25.29	25.29	25.28	25.28	95.773	A9503	N												
A9504	Tc99m apcitide	1	1	131.65	131.65	131.65	131.65	131.65	131.65	131.65	131.65	.	A9504	N												
A9505	Tl201 thallium	8503	30218	709832.18	1.36	340.52	23.49	14.65	49.23	15.78	63.13	261.944	A9505	N												
A9507	In111 capromab	13	13	11985.73	533.1	1627.86	921.98	861.51	861.51	1034.45	1034.45	37.182	A9507	N												
A9508	"I131 iodobenguate, dx"	20	21	11405.89	21.39	2278.88	543.14	223.89	225.52	401.67	567.72	108.223	A9508	N												
A9509	Iodine i-123 sod iodide mil	1411	3044	684397.72	1.24	2181.66	224.83	140.06	250.79	150.19	237.68	159.139	A9509	N												
A9510	Tc99m disofenin	1160	1160	55200.25	5.68	323.2	47.59	37.48	37.48	41.28	41.28	70.321	A9510	N												
A9512	Tc99m pertechnetate	2905	27404	171938.94	0.01	767.03	6.27	2.04	18.52	2.05	18.18	817.542	A9512	N												
A9513	Lutetium lu 177 dotatat ther	2621	513667	78049897.87	0.74	505.86	151.95	129.54	25202.83	127.64	25527.04	810.677	A9513	K	9067	$282.28										
A9515	Choline c-11	2488	2488	4677009.1	1512	1902.88	1879.83	1877.55	1877.55	1902.88	1902.88	4.636	A9515	N												
A9516	Iodine i-123 sod iodide mic	9642	22882	1139058.9	0.58	840.07	49.78	33.74	75.44	34.48	74.27	194.488	A9516	N												
A9517	"I131 iodide cap, rx"	3175	213284	5061367.53	0.01	3838.86	23.73	15.05	600.19	15.19	680.96	1181.489	A9517	K	1064	$20.12										
A9520	Tc99 tilmanocept diag 0.5mci	18850	19779	6606149.28	20.55	3019.27	334	246.89	258.57	239.04	248.39	95.834	A9520	N												
A9521	Tc99m exametazime	606	606	353324.53	15.19	8623.75	583.04	368.3	368.3	511.14	511.14	109.967	A9521	N												
A9524	"I131 serum albumin, dx"	117	476	25772.8	3.72	301.17	54.14	46.33	180.77	55.54	243.1	143.222	A9524	N												
A9526	Nitrogen n-13 ammonia	1894	3448	1234674.29	44.22	891.07	358.08	263.71	457.02	300.54	477.11	97.81	A9526	N												
A9528	"Iodine i-131 iodide cap, dx"	1366	5341	219694.29	0.1	1654	41.13	22.06	68.93	24.63	72.85	326.171	A9528	N												
A9529	"I131 iodide sol, dx"	108	399	14701.15	2.54	310.26	36.84	16.95	44.85	12.08	47.69	347.141	A9529	N												
A9530	"I131 iodide sol, rx"	255	17663	401167.7	0.16	5936.5	22.71	11.21	529.35	8.93	669.59	4586.448	A9530	K	1150	$13.34										
A9531	I131 max 100uci	667	5547	74122.89	0.02	456.43	13.36	4.75	41.76	4.69	44.55	524.271	A9531	N												
A9532	"I125 serum albumin, dx"	5	17	6729.47	106.91	413.91	395.85	382.23	957.13	413.91	1655.62	37.619	A9532	N												
A9536	Tc99m depreotide	6	6	679.85	47.02	263.19	113.31	89.26	89.26	76.22	76.22	77.587	A9536	N												
A9537	Tc99m mebrofenin	38248	38248	1758060.47	3.19	381.34	45.96	34.94	34.94	35.41	35.41	84.812	A9537	N												
A9538	Tc99m pyrophosphate	8683	8683	449447.03	2.9	469.36	51.76	36.93	36.93	37.03	37.03	102.68	A9538	N												
A9539	Tc99m pentetate	2054	2224	197259.1	2.57	1270.97	88.7	56.36	59.51	56.08	59.34	112.888	A9539	N												
A9540	Tc99m maa	41962	41962	4213224.15	2.68	1100.56	100.41	61.58	61.58	67.16	67.16	111.387	A9540	N												
A9541	Tc99m sulfur colloid	68687	68687	5572552.2	3.52	861.14	81.13	55.62	55.62	55.99	55.99	105.259	A9541	N												
A9542	"In111 ibritumomab, dx"	17	17	254419.41	1372.68	20616.24	14965.85	9355.79	9355.79	20616.24	20616.24	60.29	A9542	N												
A9543	"Y90 ibritumomab, rx"	70	78	669543.99	1869.6	24602.91	8583.9	6744.24	7773.35	5123.2	7659.22	81.274	A9543	K	1643	"$59,793.83"										
A9546	Co57/58	1	1	39.11	39.11	39.11	39.11	39.11	39.11	39.11	39.11	.	A9546	N												
A9547	In111 oxyquinoline	317	354	307181.12	37.57	7333.42	867.74	632.05	660.34	623.47	623.47	103.265	A9547	N												
A9548	In111 pentetate	1544	2021	1529937.81	20.67	4828.62	757.02	483.05	622.47	520.7	637.71	116.628	A9548	N												
A9550	Tc99m gluceptate	3	3	174.18	26.16	74.01	58.06	52.33	52.33	74.01	74.01	47.582	A9550	N												
A9551	Tc99m succimer	93	93	41612.78	63.35	2791.68	447.45	332.77	332.77	395.76	395.76	78.764	A9551	N												
A9552	F18 fdg	397813	397813	86655725.45	14.36	1779.52	217.83	167.18	167.18	187.27	187.27	75.944	A9552	N												
A9553	Cr51 chromate	1	1	1098.17	1098.17	1098.17	1098.17	1098.17	1098.17	1098.17	1098.17	.	A9553	N												
A9554	"I125 iothalamate, dx"	28	79	11095.22	14.53	566.15	140.45	111.01	258.55	92.2	483.26	159.944	A9554	N												
A9555	Rb82 rubidium	30097	60204	10922692.24	5.5	1537.28	181.43	117.99	236.02	115.32	230.63	140.552	A9555	N												
A9556	Ga67 gallium	441	2345	129882.07	1.02	1747.73	55.39	28.52	134.62	23.95	114.82	429.066	A9556	N												
A9557	Tc99m bicisate	239	272	227963.36	48.42	5177.31	838.1	577.57	605.09	624.49	624.49	105.438	A9557	N												
A9558	Xe133 xenon 10mci	5799	7933	578721.53	3.48	973.99	72.95	52.68	63.61	50.77	61.66	108.692	A9558	N												
A9559	Co57 cyano	.	.	.	.	.	.	.	.	.	.	.	A9559	N												
A9560	Tc99m labeled rbc	7525	7525	741182.76	4.66	1068.48	98.5	69	69	72.8	72.8	103.361	A9560	N												
A9561	Tc99m oxidronate	18377	18377	775664.7	2.64	345.48	42.21	29.95	29.95	29.12	29.12	110.546	A9561	N												
A9562	Tc99m mertiatide	15522	15522	3379674.57	11.08	2113.21	217.73	169.24	169.24	172.47	172.47	79.012	A9562	N												
A9563	P32 na phosphate	1	1	36.94	36.94	36.94	36.94	36.94	36.94	36.94	36.94	.	A9563	K	1675	$458.34										
A9564	P32 chromic phosphate	.	.	.	.	.	.	.	.	.	.	.	A9564	E1												
A9566	Tc99m fanolesomab	.	.	.	.	.	.	.	.	.	.	.	A9566	N												
A9567	Technetium tc-99m aerosol	6041	6041	668721.72	4.58	721.56	110.7	69.84	69.84	69.78	69.78	106.903	A9567	N												
A9568	Technetium tc99m arcitumomab	1	1	292.75	292.75	292.75	292.75	292.75	292.75	292.75	292.75	.	A9568	N												
A9569	Technetium tc-99m auto wbc	751	751	627086.12	66.99	5935.05	835	657.03	657.03	635.99	635.99	83.505	A9569	N												
A9570	Indium in-111 auto wbc	1125	1125	1119401.03	89.85	6285.98	995.02	808.63	808.63	835.54	835.54	74.148	A9570	N												
A9571	Indium in-111 auto platelet	4	4	4164.34	321.82	1510.45	1041.09	881.3	881.3	1166.04	1166.04	55.626	A9571	N												
A9572	Indium in-111 pentetreotide	1101	1101	1893052.93	111.15	11157.52	1719.39	1297.96	1297.96	1373.91	1373.91	82.242	A9572	N												
A9575	Inj gadoterate meglumi 0.1ml	230757	35699521	14071677.12	0.01	260.6	0.39	0.26	38.95	0.32	47.76	3953.526	A9575	N												
A9576	Inj prohance multipack	43599	738762	3311760.03	0.05	101.1	4.48	2.82	46.04	2.19	40.23	412.115	A9576	N												
A9577	Inj multihance	193287	3098105	13228994.5	0.01	839.74	4.27	3.19	49.17	3.54	54.54	331.557	A9577	N												
A9578	Inj multihance multipack	9804	141519	467307.87	0.01	156.09	3.3	2.7	37.28	2.3	34	309.245	A9578	N												
A9579	"Gad-base mr contrast nos,1ml"	112585	1747776	7746564.9	0.01	2679.6	4.43	2.93	37.61	3.01	44.32	606.428	A9579	N												
A9580	Sodium fluoride f-18	194	194	28329.18	11.99	827.84	146.03	95.61	95.61	78.35	78.35	112.666	A9580	N												
A9581	Gadoxetate disodium inj	13037	129662	2192551.07	0.02	162.91	16.91	13.71	133.16	14.9	143.24	206.234	A9581	N												
A9582	Iodine i-123 iobenguane	220	220	470337.44	202.7	7164.31	2137.9	1648.79	1648.79	1648.64	1648.64	73.649	A9582	N												
A9583	Gadofosveset trisodium inj	13	560	10212.72	4.46	20.56	18.24	18.02	273.74	20.56	338.43	97.937	A9583	N												
A9584	Iodine i-123 ioflupane	12381	12381	18184202.21	204.8	7239.79	1468.72	1215.02	1215.02	1205.6	1205.6	66.453	A9584	N												
A9585	Gadobutrol injection	361913	29939311	23292202.6	0.01	109.79	0.78	0.58	45.72	0.62	49.78	1191.836	A9585	N												
A9586	Florbetapir f18	133	146	354027.93	334.86	14296.49	2424.85	2082.01	2284.52	2438.22	2438.22	69.955	A9586	N												
A9587	Gallium ga-68	6048	304450	15049223.71	0.04	1779.47	49.43	34.07	1791.06	38.22	1948.65	659.322	A9587	N												
A9588	Fluciclovine f-18	11617	116609	34438120.36	0.88	4053.35	295.33	231.54	2331.94	233.63	2340.92	335.289	A9588	N												
A9589	Insti hexaminolevulinate hcl	3843	3843	4139658.71	267.73	2289.48	1077.19	987.27	987.27	1015.81	1015.81	39.613	A9589	N												
A9590	Iodine i-131 iobenguane 1mci	5	125	5571.22	37.22	46.46	44.57	44.54	356.6	44.7	185.84	19.904	A9590	K	9339	$320.12										
A9591	Fluoroestradiol f 18	10	52	18855.79	183.7	875.09	362.61	338.03	1608.9	380.12	1615.46	95.114	A9591	G	9370	$677.08										
A9592	Copper cu 64 dotatate diag	2197	9041	6169533.18	51.8	12398.75	682.39	571.08	2204.03	571.3	2367.33	141.975	A9592	G	9383	$944.44										
A9593	Gallium ga-68 psma-11 ucsf	378	2260	1103773.09	439.12	551.73	488.4	487.76	2890.64	487.51	2936.63	12.56	A9593	G	9409	$732.86										
A9594	"Gallium ga-68 psma-11, ucla"	414	2026	1340418.04	164.58	3641.26	661.61	643.5	2537.52	655.22	3640.1	68.892	A9594	G	9410	$717.55										
A9595	"Piflu f-18, dia 1 millicurie"	.	.	.	.	.	.	.	.	.	.	.	A9595	G	9430	$558.03										
A9597	"Pet, dx, for tumor id, noc"	3733	4200	9789106.21	3.1	13134.4	2330.74	1157.06	1286.19	1672.29	2104.89	118.467	A9597	N												
A9598	"Pet dx for non-tumor id, noc"	352	352	76082.73	3.1	1095.72	216.14	10.33	10.33	3.1	3.1	193.012	A9598	N												
A9600	Sr89 strontium	12	43	48256.16	247.45	2112.12	1122.24	990.86	3346.45	1173.23	3535.82	86.531	A9600	K	0701	"$4,156.57"										
A9604	Sm 153 lexidronam	17	17	130806.88	2186.49	18172.66	7694.52	6276.06	6276.06	7670.39	7670.39	63.054	A9604	K	1295	"$17,259.85"										
A9606	Radium ra223 dichloride ther	4722	633152	55939274.39	0.04	560.18	88.35	73.47	9710.34	74.48	9868.32	780.379	A9606	K	1745	$151.58										
A9698	Non-rad contrast materialnoc	9606	13367	172667.17	0.06	569.04	12.92	5.7	7.43	5.42	7.08	351.655	A9698	N												
A9699	Radiopharm rx agent noc	73	73	18152.38	0.33	2750.18	248.66	1.33	1.33	0.33	0.33	270.731	A9699	N												
C1849	"Skin substitute, synthetic"	1244	16049	1584112.56	0.09	11302.16	98.7	26.81	677.29	44.41	832.08	999.524	C1849	D												
C9041	"Inj, coagulation factor Xa"	.	.	.	.	.	.	.	.	.	.	.	J7169	K	9198	$102.65										
C9046	Cocaine hcl nasal solution	2695	410029	637880.58	0.04	515.78	1.56	1.23	190.41	1.38	208.77	2258.768	C9046	N	9307											
C9047	"Injection, caplacizumab-yhdp"	107	1177	725632.27	616.51	616.51	616.51	616.51	6781.58	616.51	6781.58	0	C9047	K	9199	$719.20										
C9053	"Inj,  crizanlizumab-tmca"	.	.	.	.	.	.	.	.	.	.	.	J0791	G	9359	$124.62										
C9054	"Injection, lefamulin"	.	.	.	.	.	.	.	.	.	.	.	J0691	N	9332											
C9055	"Inj, brexanolone"	.	.	.	.	.	.	.	.	.	.	.	J1632	N	9333											
C9056	"Injection, givosiran"	.	.	.	.	.	.	.	.	.	.	.	J0223	G	9343	$109.88										
C9057	Inj cetirizine hydrochloride	.	.	.	.	.	.	.	.	.	.	.	J1201	G	9361	$15.08										
C9059	"Injection, meloxicam"	.	.	.	.	.	.	.	.	.	.	.	J1738	G	9371	$3.01										
C9060	Fluoroestradiol f18	.	.	.	.	.	.	.	.	.	.	.	A9591	G	9370	$677.08										
C9061	"Injection, teprotumumab-trbw"	.	.	.	.	.	.	.	.	.	.	.	J3241	G	9355	$321.88										
C9062	Daratumumab hyaluronidase	.	.	.	.	.	.	.	.	.	.	.	J9144	G	9378	$46.76										
C9063	"Injection, eptinezumab-jjmr"	.	.	.	.	.	.	.	.	.	.	.	J3032	G	9357	$16.41										
C9064	Mitomycin pyelocalyceal inst	.	.	.	.	.	.	.	.	.	.	.	J9281	G	9374	$285.10										
C9065	Romidepsin non-lyophilized	62	1500	574022.37	48.53	11792.17	382.68	274.07	7325.22	304.66	8943.73	985.561	J9318	G	9428	$33.91										
C9066	Sacituzumab govitecan-hziy	.	.	.	.	.	.	.	.	.	.	.	J9317	G	9376	$32.04										
C9067	Gallium ga-68 dotatoc	79	32838	184635.84	4.71	7.71	5.62	5.6	2337.18	5.53	2337.18	207.784	C9067	G	9323	$8.64										
C9068	"Copper cu-64, dotatate, dx"	172	760	625046.58	151.47	5761.02	822.43	634.33	2772.83	606.19	2687.56	244.306	A9592	G	9383	$944.44										
C9069	Belantamab mafodontin-blmf	314	127296	4865943.27	11.16	115.18	38.23	35.39	14045.67	36.98	14284.96	777.685	J9037	G	9384	$44.25										
C9070	"Injection, tafasitamab-cxix"	761	351465	4314988.83	4.05	26.11	12.28	11.7	5250.38	12.3	5506.48	643.272	J9349	G	9385	$12.97										
C9071	"Injection, viltolarsen"	.	.	.	.	.	.	.	.	.	.	.	J1427	G	9386	$58.86										
C9072	"Inj, imm glob asceniv"	.	.	.	.	.	.	.	.	.	.	.	J1554	G	9392	$481.77										
C9073	Brexucabtagene autoleucel ca	1	1	66394	66394	66394	66394	66394	66394	66394	66394	.	Q2053	G	9391	"$422,940.00"										
C9074	"Injection, lumasiran"	2	1440	337617.72	232.4	236.73	234.46	234.45	168666.8	232.4	168807.3	34.997	J0224	G	9407	$311.25										
C9075	"Injection, casimersen, 10 mg"	1	220	32190.4	146.32	146.32	146.32	146.32	32190.55	146.32	32190.55	.	J1426	G	9412	$166.30										
C9076	lisocabtagene car pos t	.	.	.	.	.	.	.	.	.	.	.	Q2054	G	9413	"$434,918.00"										
C9077	Inj cabotegravir/rilpivirine	12	3108	43042.24	6.09	906.78	13.85	10.42	3449.13	6.94	3482.7	5543.206	J0741	G	9414	$21.06										
C9078	"Inj, trilaciclib, 1 mg"	206	106260	498266.96	1.5	10.2	4.69	4.39	2184.35	4.33	2467.1	818.344	J1448	G	9415	$5.01										
C9079	"Inj, evinacumab-dgnb, 5 mg"	6	1257	212279.64	101.3	235.14	168.88	157.1	34038.16	143.12	36328.1	582.115	J1305	G	9416	$172.25										
C9080	"Inj, melphalan flufen, 1 mg"	101	3700	1706375.9	99.99	651.89	461.18	439.96	15632.73	465.79	16672.5	166.073	J9247	G	9417	$503.50										
C9081	Idecabtagene car pos t	1	1	393155.4	393155.4	393155.4	393155.4	393155.4	393155.4	393155.4	393155.4	.	Q2055	G	9422	"$444,670.00"										
C9084	"Loncastuximab-lpyl, 0.1 mg"	127	24055	2935630.61	8.1	469.9	122.04	50.01	19370.73	77.1	19246.5	1340.006	J9359	G	9205	$188.98										
C9085	Inj avalglucosid alfa-ngpt	.	.	.	.	.	.	.	.	.	.	.	J0219	G	9433	$72.57										
C9086	"Inj, anifrolumab-fnia"	.	.	.	.	.	.	.	.	.	.	.	J0491	G	9434	$16.16										
C9087	Inj cyclophosphamd auromedic	.	.	.	.	.	.	.	.	.	.	.	J9071	G	9203	$2.75										
C9088	"Instill, bupivac and meloxic"	.	.	.	.	.	.	.	.	.	.	.	C9088	G	9440	$0.70										
C9089	"Bupivacaine implant, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	C9089	N												
C9113	"Inj pantoprazole sodium, via"	193897	261918	3146011.83	0.69	120.19	12.01	9.22	11.52	9.09	11.54	96.127	C9113	N												
C9122	Mometasone furoate (sinuva)	36	4279	70948.48	1.51	1737.29	16.58	10.11	1405.43	14.42	1286.74	4872.796	J7402	G	9346	$10.93										
C9132	"Kcentra, per i.u."	2995	7645039	16726595.32	0.01	10.33	2.19	1.85	4310.98	2	4447.5	2831.406	J7168	K	9132	$2.09										
C9248	"Inj, clevidipine butyrate"	757	21615	129110.59	0.44	396.87	5.97	4.45	89.08	4.54	107.97	918.765	C9248	K	9087	$2.925										
C9250	Artiss fibrin sealant	1476	2796	504784.31	14.09	2991.32	180.54	130.07	260.12	100.04	227.7	151.223	C9250	K	1848	$193.87										
C9254	"Injection, lacosamide"	2427	590411	276607.54	0.03	74.26	0.47	0.38	83.26	0.38	83.79	1515.904	C9254	N												
C9257	Bevacizumab injection	48122	300496	2961034.76	0.07	1345.11	9.85	6.55	39.81	6.61	39.53	314.845	C9257	K	1281	$1.74										
C9285	"Patch, lidocaine/tetracaine"	347	347	3282.24	4.64	23.61	9.46	8.93	8.93	8.3	8.3	39.053	C9285	N												
C9290	"Inj, bupivacaine liposome"	112910	26765148	40351182.25	0.01	584.79	1.51	1.35	311.33	1.36	332.13	1081.489	C9290	N												
C9293	"Injection, glucarpidase"	.	.	.	.	.	.	.	.	.	.	.	C9293	E2												
C9352	"Neuragen nerve guide, per cm"	119	177	258023.81	76.08	8284.57	1457.76	879.98	1248.85	901.76	1602.61	117.162	C9352	N												
C9353	"Neurawrap nerve protector,cm"	165	282	449164.72	51.73	6383.93	1592.78	1086.56	2142.16	1141.46	2524.01	102.404	C9353	N												
C9354	"Veritas collagen matrix, cm2"	69	552	123302.72	16.74	9153.3	223.37	53.1	915.78	32.71	1073.83	901.786	C9354	N												
C9355	"Neuromatrix nerve cuff, cm"	22	23	28711.77	459.66	2722.23	1248.34	1089.95	1118.72	1228.92	1383.38	49.649	C9355	N												
C9356	"Tenoglide tendon prot, cm2"	89	276	378240.43	50.91	10743.07	1370.44	277.64	3178.02	128.55	2910.43	351.254	C9356	N												
C9358	"Surgimend, fetal"	136	20524	513238.4	4.92	10472.27	25.01	12.59	1708.83	12.6	2884.08	11620.78	C9358	N												
C9359	"Implnt,bon void filler-putty"	3363	5109	4019551.62	6.89	20292.47	786.76	364.28	601.88	335.57	649.73	201.62	C9359	N												
C9360	"Surgimend, neonatal"	43	4800	138442.26	2.46	9706.85	28.84	10.37	1233.42	12.57	1832.98	11755.89	C9360	N												
C9361	Neuromend nerve wrap	130	170	115277.73	32.96	8299.14	678.1	263.69	295.75	251.57	139.86	187.085	C9361	N												
C9362	"Implnt,bon void filler-strip"	396	1512	495528.04	0.47	6838.59	327.73	82.55	519.39	60.08	686.48	482.759	C9362	N												
C9363	Integra meshed bil wound mat	980	38289	3718164.96	0.19	24171.42	97.11	39.76	2357.32	42.29	3022.6	3314.308	C9363	N												
C9364	"Porcine implant, permacol"	46	56	79297.38	53.15	5651.43	1416.02	1093.47	1248.89	1169.88	1509.42	77.93	C9364	N												
C9460	"Injection, cangrelor"	1025	56508	932065.57	1.48	919.53	16.49	14.45	771.34	15.62	780.91	694.668	C9460	K	9460	$17.13										
C9462	"Injection, delafloxacin"	.	.	.	.	.	.	.	.	.	.	.	C9462	E2												
C9482	Sotalol hydrochloride iv	90	10571	150672.47	3.06	23.59	14.25	12.43	1370.9	16.86	1360.53	490.683	C9482	K	9482	$18.93										
C9488	Conivaptan hcl	2	60	2035.6	26.32	49.14	33.93	32.41	1017.24	26.32	1017.85	245.609	C9488	K	9488	$47.24										
J0120	Tetracyclin injection	54	69	1078.01	0.77	81.84	15.62	8.66	9.87	15.3	9.27	115.287	J0120	N												
J0121	"Inj., omadacycline, 1 mg"	337	33700	103838	1.96	6.04	3.08	2.96	296	2.71	271.42	346.218	J0121	K	9311	$3.49										
J0122	"Inj., eravacycline, 1 mg"	540	61912	84816.81	0.56	28.42	1.37	1.27	138.52	1.34	142.52	908.72	J0122	N												
J0129	Abatacept injection	61798	4689567	203160920.1	2.49	910.4	43.32	39.36	2932.48	41.35	3060.9	387.26	J0129	K	9230	$43.25										
J0130	Abciximab injection	2	4	4797.72	1058.22	1246.5	1199.43	1196.5	1989.27	1246.5	2398.86	13.594	J0130	N												
J0131	Acetaminophen injection	329777	36614597	16634520.88	0.01	67.14	0.45	0.36	39.04	0.4	42.31	877.319	J0131	N												
J0132	Acetylcysteine injection	904	81761	256231.56	0.08	395.72	3.13	2.31	116	2.52	152.36	1756.913	J0132	N												
J0133	Acyclovir injection	2442	521871	112699.3	0.01	24.32	0.22	0.15	27.9	0.16	27.35	2956.338	J0133	N												
J0135	Adalimumab injection	55	129	143085.48	564.74	1936.82	1109.19	1073.67	2430.64	1108.22	2304.11	36.858	J0135	K	1083	"$1,698.61"										
J0153	Adenosine inj 1mg	55236	2950487	5335496.73	0.01	1475.86	1.81	1.2	44.47	1.25	50.25	1544.88	J0153	N												
J0171	Adrenalin epinephrine inject	413577	5497109	10608849.97	0.01	659.63	1.93	1.23	13.63	1.35	15.01	765.64	J0171	N												
J0172	"Inj, aducanumab-avwa, 2 mg"	.	.	.	.	.	.	.	.	.	.	.	J0172	K	9438	$5.98										
J0178	Aflibercept injection	83298	196907	172226382	143.91	3543.51	874.66	818.91	1856.96	914.63	1887.72	50.742	J0178	K	1420	$903.00										
J0179	"Inj, brolucizumab-dbll, 1 mg"	938	6582	1831482	8	720.65	278.26	234.9	1605.06	267.87	1673.22	141.67	J0179	G	9340	$313.79										
J0180	Agalsidase beta injection	3046	239661	43057662.75	3.57	451.88	179.66	160.72	12160.71	166.88	12471.72	392.512	J0180	K	9208	$207.86										
J0185	"Inj., aprepitant, 1 mg"	90224	11729047	31135077.26	0.14	34.22	2.65	2.41	312.76	2.33	302.59	564.424	J0185	K	9463	$1.68										
J0190	Inj biperiden lactate/5 mg	.	.	.	.	.	.	.	.	.	.	.	J0190	E2												
J0200	Alatrofloxacin mesylate	.	.	.	.	.	.	.	.	.	.	.	J0200	E2												
J0202	"Injection, alemtuzumab"	148	1589	2625143.88	0.57	3436.12	1652.07	1160.11	10653.68	1684.74	19419.4	162.203	J0202	K	1809	"$2,207.16"										
J0205	Alglucerase injection	.	.	.	.	.	.	.	.	.	.	.	J0205	E2												
J0207	Amifostine	.	.	.	.	.	.	.	.	.	.	.	J0207	N												
J0210	Methyldopate hcl injection	3	3	97.94	21.18	38.38	32.65	31.48	31.48	38.38	38.38	30.418	J0210	E2												
J0215	Alefacept	.	.	.	.	.	.	.	.	.	.	.	J0215	E2												
J0220	Alglucosidase alfa injection	20	2535	310692.65	8.38	1168.56	122.56	109.18	10404.35	105.97	18545.52	1249.561	J0220	K	9234	$117.07										
J0221	Lumizyme injection	1929	314284	49523299.98	0.73	346.94	157.57	144.7	22320.87	139.18	23984.59	513.747	J0221	K	1413	$188.31										
J0222	"Inj., patisiran, 0.1 mg"	1846	471007	41051337.06	17.93	196.83	87.16	80.83	20281.1	83.9	20427.66	602.403	J0222	K	9180	$100.78										
J0223	Inj givosiran 0.5 mg	137	63257	6425818.18	54.75	141.49	101.58	98.59	43246.39	105.72	42607.82	497.759	J0223	G	9343	$109.88										
J0224	"Inj. lumasiran, 0.5 mg"	3	2117	512434.96	242	242.08	242.06	242.06	169893.8	242.08	183012.5	0.486	J0224	G	9407	$311.25										
J0256	Alpha 1 proteinase inhibitor	38627	21038775	105856254.4	0.01	54.96	5.03	4.04	2060.35	4.34	2218.28	1807.082	J0256	K	0901	$4.57										
J0257	Glassia injection	4492	2323821	12214894.27	0.01	58.8	5.26	4.53	2244.79	4.87	2264.39	1121.974	J0257	K	1415	$5.18										
J0278	Amikacin sulfate injection	4968	45447	173985.2	0.13	168.86	3.83	2.99	26.05	3.13	27.04	328.972	J0278	N												
J0280	Aminophyllin 250 mg inj	47339	53669	738531.41	0.44	198.32	13.76	9.29	10.66	10.18	13.2	103.343	J0280	N												
J0282	Amiodarone hcl	23622	367364	1325484.19	0.02	127.31	3.61	2	26.33	2.15	30.78	494.08	J0282	N												
J0285	Amphotericin b	711	762	29486.77	1.87	206.15	38.7	28.04	28.53	38.65	38.65	73.138	J0285	N												
J0287	Amphotericin b lipid complex	48	617	7652.28	1.61	59.5	12.4	10.95	104.76	9.96	99.21	166.375	J0287	K	9024	$10.31										
J0288	Ampho b cholesteryl sulfate	.	.	.	.	.	.	.	.	.	.	.	J0288	E2												
J0289	Amphotericin b liposome inj	1285	41810	2151746.11	2.5	122.04	51.46	44.39	1203.28	49.45	1467.27	266.278	J0289	K	0736	$25.90										
J0290	Ampicillin 500 mg inj	14872	84572	429567.6	0.01	95.14	5.08	3.5	16.03	3.99	16.42	227.57	J0290	N												
J0291	"Inj., plazomicin, 5 mg"	162	33525	146070.25	3.47	34.18	4.36	4.04	822.09	3.53	706.32	1112.405	J0291	K	9183	$3.23										
J0295	Ampicillin sulbactam 1.5 gm	42949	131065	1206062.22	0.17	268.49	9.2	7.2	18.79	7.47	19.21	133.767	J0295	N												
J0300	Amobarbital 125 mg inj	27	107	18314.67	16.46	624.29	171.17	155.69	518.53	158.88	571.31	101.685	J0300	K	1341	$125.22										
J0330	Succinycholine chloride inj	375871	2558808	8666287.43	0.01	280.05	3.39	2.49	16.1	2.55	17.45	264.864	J0330	N												
J0348	Anidulafungin injection	971	111100	173383	0.1	7.56	1.56	1.31	145.53	1.45	166	630.125	J0348	N												
J0350	Injection anistreplase 30 u	.	.	.	.	.	.	.	.	.	.	.	J0350	E2												
J0360	Hydralazine hcl injection	278426	316451	6094849.63	0.7	238.16	19.26	12.94	14.28	13.77	14.71	118.142	J0360	N												
J0364	Apomorphine hydrochloride	.	.	.	.	.	.	.	.	.	.	.	J0364	E2												
J0365	"Aprotonin, 10,000 kiu"	.	.	.	.	.	.	.	.	.	.	.	J0365	E2												
J0380	Inj metaraminol bitartrate	.	.	.	.	.	.	.	.	.	.	.	J0380	E2												
J0390	Chloroquine injection	1	4	2.84	0.71	0.71	0.71	0.71	2.84	0.71	2.84	.	J0390	K	9352	$165.22										
J0395	Arbutamine hcl injection	.	.	.	.	.	.	.	.	.	.	.	J0395	E2												
J0400	Aripiprazole injection	67	3473	18241.55	0.02	1348.68	5.25	0.09	20.28	0.09	10.44	11376.36	J0400	K	9037	$3.390										
J0401	Inj aripiprazole ext rel 1mg	1743	654275	3421090	0.7	14.76	5.23	4.87	1814.53	4.58	1828.51	788.24	J0401	K	1468	$6.41										
J0456	Azithromycin	78894	81066	1423332.01	1.16	137.09	17.56	13.23	13.5	13.55	13.84	81.859	J0456	N												
J0461	Atropine sulfate injection	103386	6791754	1613442.4	0.01	18.62	0.24	0.16	10.22	0.16	10.37	1139.481	J0461	N												
J0470	Dimecaprol injection	2	4	465.5	0.3	232.45	116.38	8.35	16.7	116.38	232.75	199.484	J0470	K	9039	$44.450										
J0475	Baclofen 10 mg injection	11529	59134	13205293.43	2.02	3112.56	223.31	195.17	813.58	208.88	951.16	127.054	J0475	K	9032	$182.29										
J0476	Baclofen intrathecal trial	354	592	97309.68	1.52	1690.38	164.37	79.59	114.16	78.2	106.57	178.295	J0476	N												
J0480	Basiliximab	441	441	1674193.64	964.83	10013.05	3796.36	3464.29	3464.29	3202.9	3202.9	50.751	J0480	K	1683	"$4,102.57"										
J0485	Belatacept injection	40917	20694725	77878801.06	0.01	16	3.76	3.47	1694.23	3.47	1700.23	937.51	J0485	K	9286	$3.78										
J0490	Belimumab injection	9593	797270	34705149.51	4.14	207.2	43.53	40.02	3214.62	40	3292.15	382.688	J0490	K	1353	$49.47										
J0500	Dicyclomine injection	17379	17379	1098467.54	3.71	434.31	63.21	51.45	51.45	53.19	53.19	66.316	J0500	N												
J0515	Inj benztropine mesylate	1920	3480	126447.54	1.01	282.16	36.34	29.47	51.74	31.95	54.47	90.166	J0515	N												
J0517	"Inj., benralizumab, 1 mg"	17555	526650	82637218.8	3.99	583.01	156.91	144.14	4324.25	149.5	4485.09	225.065	J0517	K	9466	$169.47										
J0520	Bethanechol chloride inject	.	.	.	.	.	.	.	.	.	.	.	J0520	E2												
J0558	Peng benzathine/procaine inj	119	1731	13966.24	0.12	245.31	8.07	5.52	85.57	5.98	84.7	704.527	J0558	K	9088	$13.17										
J0561	Penicillin g benzathine inj	4669	89744	1200647.29	0.02	659.51	13.38	10.05	183.56	12.41	241.89	455.289	J0561	K	1829	$16.73										
J0565	"Inj, bezlotoxumab, 10 mg"	615	57459	2073235.35	6.94	111.6	36.08	33.05	3018.82	34.83	3101.55	396.967	J0565	K	9490	$39.90										
J0567	"Inj., cerliponase alfa 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0567	E2												
J0570	Buprenorphine implant 74.2mg	2	2	137.76	45.17	92.59	68.88	64.67	64.67	68.88	68.88	48.68	J0570	K	9058	"$1,311.75"										
J0571	Buprenorphine oral 1mg	971	8845	26944.49	0.02	146.77	3.05	0.98	8.07	1	8.74	1461.892	J0571	E1												
J0572	Bupren/nal up to 3mg bupreno	551	1284	6488.14	0.28	22.12	5.05	4.05	7.87	4.23	9.16	100.691	J0572	E1												
J0573	Bupren/nal 3.1 to 6mg bupren	97	155	1618.91	3.82	41.62	10.44	8.65	11.34	8.38	11.01	88.959	J0573	E1												
J0574	Bupren/nal 6.1 to 10mg bupre	1350	2011	14115.66	0.66	39.36	7.02	5.93	8.01	5.59	8.26	70.932	J0574	E1												
J0575	Bupren/nal over 10mg bupreno	4	6	180.69	28.69	31.54	30.12	30.08	38.66	30.12	28.69	6.692	J0575	E1												
J0583	Bivalirudin	31479	9534293	16748018.88	0.03	16.01	1.76	1.22	348.09	1.32	374.84	1473.106	J0583	N												
J0584	"Injection, burosumab-twza 1m"	325	23145	6618860.13	1.46	695.3	285.97	238.48	15993.81	226.77	17854.62	487.65	J0584	K	9187	$402.43										
J0585	"Injection,onabotulinumtoxina"	92118	18894235	111491623.4	0.01	78.88	5.9	5.23	904.36	5.57	905.76	709.302	J0585	K	0902	$6.23										
J0586	Abobotulinumtoxina	1426	262275	2441441.72	1.13	66.2	9.31	8.46	1323.56	8.15	1402.87	648.591	J0586	K	1289	$8.63										
J0587	"Inj, rimabotulinumtoxinb"	2557	211516	2117603.24	0.58	32.78	10.01	9.09	571.19	9.33	574.47	414.864	J0587	K	9018	$12.47										
J0588	Incobotulinumtoxin a	4838	1232654	6062066.86	0.27	29.96	4.92	4.47	888.74	4.65	943.25	688.819	J0588	K	9278	$5.05										
J0591	"Inj deoxycholic acid, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0591	E1												
J0592	Buprenorphine hydrochloride	2084	6425	55560.03	1.51	75.38	8.65	6.31	18.98	5.4	16.21	197.821	J0592	N												
J0593	"Inj., lanadelumab-flyo, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0593	E2												
J0594	Busulfan injection	220	33789	174086.09	0.93	28.43	5.15	3.62	532.1	1.75	419.68	1006.101	J0594	K	1178	$1.39										
J0595	Butorphanol tartrate 1 mg	2214	4041	27238.59	0.22	41.94	6.74	5.31	9.06	5.29	8.99	111.206	J0595	N												
J0596	"Injection, ruconest"	3	695	26628.65	37.93	39.91	38.31	38.31	8290.51	37.93	7966.12	38.111	J0596	K	9445	$31.61										
J0597	"C-1 esterase, berinert"	168	31220	1406055.26	3.25	168.32	45.04	40.9	7378.95	36.1	9025.85	662.345	J0597	K	9269	$60.78										
J0598	"C-1 esterase, cinryze"	233	23300	955744	23.71	168	41.02	38.73	3873.11	42.21	4221.03	388.129	J0598	K	9251	$60.72										
J0599	"Inj., haegarda 10 units"	.	.	.	.	.	.	.	.	.	.	.	J0599	E2												
J0600	Edetate calcium disodium inj	8	10	198887.03	16.29	39008.29	19888.7	3251.19	4725.72	20134.92	39008.29	114.929	J0600	K	1274	"$5,708.59"										
J0604	"Cinacalcet, esrd on dialysis"	312	15457	6996.67	0.01	14.23	0.45	0.27	12.47	0.28	15.05	701.582	J0604	B												
J0606	"Inj, etelcalcetide, 0.1 mg"	156	5075	14927	0.4	5.86	2.94	2.79	83.28	2.88	72.01	172.504	J0606	N												
J0610	Calcium gluconate injection	67720	241079	2130060.32	0.05	302.63	8.84	5.93	20.86	6	21.47	188.639	J0610	N												
J0620	Calcium glycer & lact/10 ml	7	8	110.26	12.86	14.11	13.78	13.77	15.35	14.11	14.11	4.474	J0620	N												
J0630	Calcitonin salmon injection	216	288	545643.48	83.64	5356.97	1894.6	1542.3	1911.5	1616.92	2112.02	68.401	J0630	K	1433	"$1,777.34"										
J0636	Inj calcitriol per 0.1 mcg	602	9818	13656.1	0.4	43.33	1.39	1.18	18.5	1.11	19.79	454.096	J0636	N												
J0637	Caspofungin acetate	2303	24337	631369.29	1.18	235.12	25.94	18.98	198.64	26.86	246.36	313.659	J0637	N												
J0638	Canakinumab injection	116	20700	2553376.5	19.97	350.23	123.35	95.57	18062.87	108.88	16937.34	855.984	J0638	K	1311	$118.73										
J0640	Leucovorin calcium injection	144545	2067378	15932683.96	0.01	335.91	7.71	5.56	76.46	5.26	74.81	608.146	J0640	N												
J0641	Inj levoleucovorin nos 0.5mg	230	185410	172935.5	0.08	1.01	0.93	0.88	672.19	1.01	808.18	670.397	J0641	K	1236	$0.266										
J0642	"Injection, khapzory, 0.5 mg"	.	.	.	.	.	.	.	.	.	.	.	J0642	N	9334											
J0670	Inj mepivacaine hcl/10 ml	28194	60738	386834.06	0.13	97.21	6.37	4.53	9.76	4.19	10.49	149.883	J0670	N												
J0690	Cefazolin sodium injection	1815742	8612027	41792259.64	0.01	790.48	4.85	3.14	13.23	3.36	14.5	250.105	J0690	N												
J0691	Inj lefamulin 1 mg	46	7566	183255.72	24.2	24.25	24.22	24.22	3905.59	24.22	3948.1	0.801	J0691	N	9332											
J0692	Cefepime hcl for injection	96029	432833	3196366.37	0.12	461.25	7.38	5.51	22.36	5.43	21.81	196.537	J0692	N												
J0693	"Inj., cefiderocol, 5 mg"	120	92900	79445	0.46	1.99	0.86	0.8	556.27	0.8	574.18	1046.651	J0693	D												
J0694	Cefoxitin sodium injection	25898	57053	760222.63	0.43	201.51	13.32	10.49	21.39	10.82	22.78	108.67	J0694	N												
J0695	Inj ceftolozane tazobactam	20	674	7586.41	0.64	215.54	11.26	9.1	60.24	13.66	55.7	471.549	J0695	K	9452	$6.35										
J0696	Ceftriaxone sodium injection	858943	4465657	20042632.47	0.01	792.95	4.49	2.32	11.68	2.36	12.68	321.383	J0696	N												
J0697	Sterile cefuroxime injection	24690	40257	397752.71	0.08	326.56	9.88	7.55	11.73	8.79	11.04	103.346	J0697	N												
J0698	Cefotaxime sodium injection	29	41	624.24	0.54	41.26	15.23	10.02	13.34	12.44	12.85	83.647	J0698	N												
J0699	"Inj, cefiderocol, 10 mg"	25	9750	24513.5	1.51	17.88	2.51	1.94	793.57	1.51	908.07	2600.57	J0699	G	9426	$2.11										
J0702	Betamethasone acet&sod phosp	77290	241089	2321463.72	0.12	331.52	9.63	7.07	20.39	6.7	22.71	167.436	J0702	N												
J0706	Caffeine citrate injection	3045	35655	74033.73	0.11	69.19	2.08	1.46	16.35	1.76	19.99	331.243	J0706	N												
J0710	Cephapirin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J0710	E2												
J0712	Ceftaroline fosamil inj	1663	133413	553808.17	0.38	46.67	4.15	3.73	275.93	4.14	252.04	404.97	J0712	K	1824	$3.74										
J0713	Inj ceftazidime per 500 mg	9066	34553	229544.65	0.04	124.03	6.64	4.75	14.45	4.36	16.26	194.982	J0713	N												
J0714	Ceftazidime and avibactam	1412	9723	1027197.54	6.19	673.68	105.65	90.6	528.36	92.8	612.35	163.986	J0714	K	1825	$91.64										
J0715	Ceftizoxime sodium / 500 mg	46	77	2474.34	1	75.62	32.13	8.49	35.29	3.85	75.62	143.68	J0715	N												
J0716	Centruroides immune f(ab)	54	100	197161.83	603.75	4383.62	1971.62	1638.4	2541.06	1777.49	2189.71	78.785	J0716	K	1431	"$4,583.51"										
J0717	Certolizumab pegol inj 1mg	22071	8430399	74045789.23	0.01	44.97	8.78	7.51	2839.22	7.66	2960.36	1119.201	J0717	K	1474	$5.41										
J0720	Chloramphenicol sodium injec	12	12	1621.44	135.12	135.12	135.12	135.12	135.12	135.12	135.12	0	J0720	N												
J0725	Chorionic gonadotropin/1000u	17	68	1203.6	17.7	17.7	17.7	17.7	70.8	17.7	70.8	0	J0725	N												
J0735	Clonidine hydrochloride	31164	33591	953425.42	0.32	299.15	28.38	14.21	15.21	18.33	19.78	119.988	J0735	N												
J0740	Cidofovir injection	1739	1739	938562.18	11.11	2116	539.71	344.23	344.23	488.42	488.42	72.193	J0740	K	9033	$617.57										
J0741	"Inj, cabote rilpivir 2mg 3mg"	35	9650	149873	6.09	32.64	15.53	13.54	3847.22	14.89	3523.24	895.769	J0741	G	9414	$21.06										
J0742	Inj imip 4 cilas 4 releb 2mg	30	7625	19908.75	2.1	4.41	2.61	2.54	550.56	2.25	478.4	436.103	J0742	G	9362	$2.38										
J0743	Cilastatin sodium injection	1740	8620	158812.41	1.87	78.51	18.42	13.36	57.26	12.97	50.66	187.769	J0743	N												
J0744	Ciprofloxacin iv	74897	160045	1475108.19	0.11	229.54	9.22	5.18	10.83	4.84	10.27	222.61	J0744	N												
J0745	Inj codeine phosphate /30 mg	7	12	379.77	1.31	183.3	31.65	3	7.68	1.32	3.95	303.068	J0745	K	9393	$135.64										
J0770	Colistimethate sodium inj	360	703	19572.72	8.24	117.28	27.84	26.11	46.86	28.85	50.89	50.959	J0770	N												
J0775	"Collagenase, clost hist inj"	1780	165736	8044461.94	0.47	1484.44	48.54	41.52	3666.11	41.04	3462.77	932.641	J0775	K	1340	$62.08										
J0780	Prochlorperazine injection	94154	94154	1825271.82	1.74	126.34	19.39	15.54	15.54	17.12	17.12	69.431	J0780	N												
J0791	Inj crizanlizumab-tmca 5mg	2225	178805	19606360.28	1.05	240.88	109.65	99	7883.36	105.31	8013.73	361.573	J0791	G	9359	$124.62										
J0795	Corticorelin ovine triflutal	.	.	.	.	.	.	.	.	.	.	.	J0795	N												
J0800	Corticotropin injection	10	20	53437.12	2502.66	2925.65	2671.86	2663.97	5327.95	2502.66	5005.32	11.562	J0800	K	9040	"$3,932.516"										
J0834	"Inj., cosyntropin, 0.25 mg"	7062	7062	596690.76	2.03	466.31	84.49	64.3	64.3	76.76	76.76	70.236	J0834	N												
J0840	Crotalidae poly immune fab	166	876	2251719.6	196.02	7749.17	2570.46	2255.6	11021.31	2460.77	11823.83	115.971	J0840	K	9274	"$2,498.30"										
J0841	Inj crotalidae im f(ab)2 eq	25	242	217093.56	227.6	1973.1	897.08	792.39	7830.74	838.9	8389.04	152.947	J0841	K	9188	"$1,083.26"										
J0850	Cytomegalovirus imm iv /vial	473	1590	2259220.65	40.93	2620.18	1420.89	1301.16	3692.64	1305.68	3889.62	73.229	J0850	K	0903	"$1,666.71"										
J0875	"Injection, dalbavancin"	6956	1733822	23288443.26	0.89	52.27	13.43	11.88	2800.89	12.12	3090.15	793.002	J0875	K	1823	$15.16										
J0878	Daptomycin injection	120121	76763689	36113634.92	0.01	12.74	0.47	0.3	180.89	0.29	180.27	2453.388	J0878	N												
J0881	"Darbepoetin alfa, non-esrd"	121696	26799078	166874215.8	0.01	100.3	6.23	5.59	930.14	5.58	993.47	739.64	J0881	K	1685	$3.16										
J0882	"Darbepoetin alfa, esrd use"	883	65361	415842.39	0.21	22.13	6.36	5.66	373.21	5.37	367.86	438.7	J0882	K	1482	$3.16										
J0883	Argatroban nonesrd use 1mg	298	55387	166065.31	0.17	241.85	3	2.11	318.16	2.18	308.5	3079.914	J0883	K	1859	$1.32										
J0884	Argatroban esrd dialysis 1mg	30	2855	7686.39	0.92	808.94	2.69	1.88	181.6	1.76	236.18	5842.587	J0884	K	9065	$1.32										
J0885	"Epoetin alfa, non-esrd"	53767	1728881	33081760.59	0.36	574.39	19.13	17.07	469.02	17.97	513.87	308.639	J0885	K	1686	$8.37										
J0887	Epoetin beta esrd use	34	4071	40382.01	2.49	134.26	9.92	8.83	788.78	9.23	1661.23	990.599	J0887	K	9041	$1.556										
J0888	Epoetin beta non esrd	5	309	1587.26	1.04	18.84	5.14	2.78	287.12	2.49	373.81	1129.331	J0888	N												
J0894	Decitabine injection	55387	2617535	34782275.69	0.23	137.34	13.29	8.48	396.07	8.41	395.9	680.445	J0894	N												
J0895	Deferoxamine mesylate inj	6236	22642	436390.27	0.67	314.98	19.27	12.61	41.92	11.35	37.45	336.258	J0895	N												
J0896	Inj luspatercept-aamt 0.25mg	9758	3886391	128274180.8	0.08	182.98	33.01	30.01	11303.72	30.75	11278.74	859.567	J0896	G	9347	$37.93										
J0897	Denosumab injection	441163	35837640	677860803.1	0.04	361.12	18.91	17.24	1320.92	17.83	1337.83	391.663	J0897	K	9272	$22.51										
J0945	Brompheniramine maleate inj	.	.	.	.	.	.	.	.	.	.	.	J0945	E2												
J1000	Depo-estradiol cypionate inj	247	272	5163.73	2.85	171.94	18.98	11.63	11.09	12.18	9.63	109.191	J1000	N												
J1020	Methylprednisolone 20 mg inj	10482	29201	129834.1	0.39	37.47	4.45	3.67	9.23	4.15	8.8	124.375	J1020	N												
J1030	Methylprednisolone 40 mg inj	208938	297813	3921714.28	0.86	126.11	13.17	10.72	14.33	11.48	14.58	76.022	J1030	N												
J1040	Methylprednisolone 80 mg inj	225337	250233	5250818.3	1.53	189.38	20.98	17.75	19.56	18.35	19.77	61.983	J1040	N												
J1050	Medroxyprogesterone acetate	8516	1321096	639859.99	0.01	18.64	0.48	0.37	56.68	0.38	58.94	1047.442	J1050	N												
J1071	Inj testosterone cypionate	28447	5780138	1132703.6	0.01	29.24	0.2	0.1	18.48	0.1	18.84	7485.294	J1071	N												
J1094	Inj dexamethasone acetate	1197	3132	9772.51	0.12	78.01	3.12	0.89	4.85	1.11	5.2	271.471	J1094	N												
J1095	"Injection, dexamethasone 9%"	1348	702614	1139310.65	0.01	6.34	1.62	1.45	750.4	1.78	917.74	608.886	J1095	N	9172											
J1096	Dexametha opth insert 0.1 mg	9528	38122	5013453.13	23.79	790.95	131.51	120.84	483.38	131.54	526.17	83.165	J1096	N	9308											
J1097	Phenylep ketorolac opth soln	10424	37081	4759925.39	0.42	1302.93	128.37	107.61	393.1	114.34	446.04	131.758	J1097	N												
J1100	Dexamethasone sodium phos	2429372	22969523	24271172.33	0.01	247.24	1.06	0.57	5.46	0.62	5.85	444.421	J1100	N												
J1110	Inj dihydroergotamine mesylt	1200	1784	223848.72	0.79	1138.09	125.48	71.98	125.92	113.01	142.57	107.24	J1110	N												
J1120	Acetazolamid sodium injectio	3843	4272	186961.06	4.31	283.03	43.76	36.46	39.36	39.96	42.53	63.416	J1120	N												
J1130	Inj diclofenac sodium 0.5mg	3	3	202.28	63.52	70.3	67.43	67.36	67.36	68.46	68.46	5.2	J1130	N												
J1160	Digoxin injection	7294	8359	99349.36	0.57	132.32	11.89	8.45	9.37	8.16	9.1	119.417	J1160	N												
J1162	Digoxin immune fab (ovine)	81	247	745923.92	172.18	6767.32	3019.93	2524.33	6383.64	2939.81	6689.2	93.272	J1162	K	1687	"$4,294.08"										
J1165	Phenytoin sodium injection	2037	25184	39799.09	0.05	28.45	1.58	1.02	11.65	0.91	12.22	437.182	J1165	N												
J1170	Hydromorphone injection	889296	1548916	14470168.59	0.13	253.89	9.34	6.18	9.22	6.17	9.14	124.871	J1170	N												
J1180	Dyphylline injection	.	.	.	.	.	.	.	.	.	.	.	J1180	E2												
J1190	Dexrazoxane hcl injection	842	3525	885383.16	49.11	616.1	251.17	232.59	798.89	266.37	903.44	75.733	J1190	K	0726	$156.70										
J1200	Diphenhydramine hcl injectio	886762	926626	6110235.93	0.12	103.54	6.59	3.71	3.82	3.67	3.74	121.544	J1200	N												
J1201	Inj. cetirizine hcl 0.5mg	194	3880	50176	0.05	14.15	12.93	12.43	248.55	13.52	270.43	73.51	J1201	G	9361	$15.08										
J1205	Chlorothiazide sodium inj	1901	2057	281829.99	5.47	931.5	137.01	88.61	93.34	123.06	123.06	86.119	J1205	N												
J1212	Dimethyl sulfoxide 50% 50 ml	1290	1290	752041.66	51.55	2090.11	582.98	493.86	493.86	567.68	567.68	54.132	J1212	K	1832	$636.54										
J1230	Methadone injection	1607	1855	59338.7	1.83	111.23	31.99	26.76	31.73	30.64	38.85	54.819	J1230	N												
J1240	Dimenhydrinate injection	1269	1269	12913.4	1.01	53.34	10.18	8.15	8.15	10.8	10.8	65.888	J1240	N												
J1245	Dipyridamole injection	12262	64629	571036.17	0.4	128.97	8.84	5.52	26.25	5.57	26.99	324.516	J1245	N												
J1250	Inj dobutamine hcl/250 mg	34360	58289	1078350	0.58	285.63	18.5	13.61	22.01	13.49	25.51	118.892	J1250	N												
J1260	Dolasetron mesylate	3	5	24.22	2.42	8.48	4.84	4	5.83	2.42	4.84	96.905	J1260	N												
J1265	Dopamine injection	5488	71193	166788.41	0.01	106.87	2.34	1.79	20.84	1.77	22.9	409.854	J1265	N												
J1267	Doripenem injection	.	.	.	.	.	.	.	.	.	.	.	J1267	E2												
J1270	"Injection, doxercalciferol"	1715	6867	27281.61	0.21	29.18	3.97	2.94	10.07	2.96	10.66	165.162	J1270	N												
J1290	Ecallantide injection	11	330	170609.4	212.4	849.06	517	457.49	13724.63	499.9	14996.98	265.887	J1290	K	9263	$520.23										
J1300	Eculizumab injection	14851	1718551	332803069.8	6.56	496.12	193.65	181.7	20954.16	188.68	21812.91	376.819	J1300	K	9236	$227.70										
J1301	"Injection, edaravone, 1 mg"	13686	821140	18195896.2	0.02	72.49	22.16	19.52	1170.78	20.72	1242.97	370.917	J1301	K	9493	$21.42										
J1303	"Inj., ravulizumab-cwvz 10 mg"	1712	557290	112592347.2	8.83	519.06	202.04	186.6	60524.82	195.11	64172.86	672.427	J1303	K	9312	$223.36										
J1305	"Inj, evinacumab-dgnb, 5mg"	11	2417	411715.69	55.74	280.23	170.34	155.87	32884.42	143.52	29625.41	630.375	J1305	G	9416	$172.25										
J1320	Amitriptyline injection	8	9	9.28	0.68	2.26	1.03	0.89	0.86	0.68	0.68	72.235	J1320	N												
J1322	"Elosulfase alfa, injection"	129	9375	2046833.05	175.06	379.33	218.33	207.88	15162.63	178.61	15181.47	303.272	J1322	K	1480	$262.67										
J1324	Enfuvirtide injection	.	.	.	.	.	.	.	.	.	.	.	J1324	E2												
J1325	Epoprostenol injection	436	2452	76627.77	1.55	694.17	31.25	25.66	115.35	28.01	162.18	291.658	J1325	N												
J1327	Eptifibatide injection	3621	47686	1270355.1	0.13	667.76	26.64	19.11	181.93	23.42	187.62	325.558	J1327	N												
J1330	Ergonovine maleate injection	.	.	.	.	.	.	.	.	.	.	.	J1330	E2												
J1335	Ertapenem injection	129300	258676	15663386.02	3.57	646.4	60.55	52.77	105.58	54.28	108.55	82.021	J1335	N												
J1364	Erythro lactobionate /500 mg	412	825	58473.54	3.32	226.43	70.88	57.31	97.72	62.33	93.71	86.73	J1364	K	1669	$82.897										
J1380	Estradiol valerate 10 mg inj	477	1709	17988.76	1.6	43.67	10.53	9.73	18.75	10.87	15.17	77.701	J1380	N												
J1410	Inj estrogen conjugate 25 mg	62	89	21917.02	9.59	872.89	246.26	136.78	214.55	211.55	275.37	95.488	J1410	K	9038	$355.49										
J1426	"Injection, casimersen, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J1426	G	9412	$166.30										
J1427	Inj. viltolarsen	.	.	.	.	.	.	.	.	.	.	.	J1427	G	9386	$58.86										
J1428	"Inj, eteplirsen, 10 mg"	37	11140	2214966.2	198.83	198.83	198.83	198.83	59857.35	198.83	59648.9	0	J1428	E2												
J1429	Inj golodirsen 10 mg	.	.	.	.	.	.	.	.	.	.	.	J1429	G	9356	$166.16										
J1430	Ethanolamine oleate 100 mg	43	119	47368.93	9.78	994.22	398.06	241.06	605.91	349.45	611.16	112.682	J1430	K	1688	$456.86										
J1435	Injection estrone per 1 mg	.	.	.	.	.	.	.	.	.	.	.	J1435	E2												
J1436	Etidronate disodium inj	.	.	.	.	.	.	.	.	.	.	.	J1436	E1												
J1437	Inj. fe derisomaltose 10 mg	2088	208469	4797994.44	1.1	77.59	23.02	21.14	2109.4	23	2300.3	408.398	J1437	G	9388	$22.97										
J1438	Etanercept injection	206	412	199536.46	113.16	1342.31	484.31	402.51	805.01	720.62	1441.24	79.791	J1438	K	1608	$790.78										
J1439	Inj ferric carboxymaltos 1mg	113274	84897339	110288668.6	0.01	34.98	1.3	1.16	872.27	1.19	892.05	1359.244	J1439	K	9441	$1.14										
J1442	Inj filgrastim excl biosimil	27748	11986874	11971446.64	0.02	10.25	1	0.89	356.55	0.91	335.7	1081.631	J1442	K	1469	$0.99										
J1443	Inj ferric pyrophosphate cit	.	.	.	.	.	.	.	.	.	.	.	J1443	E2												
J1444	Fe pyro cit pow 0.1 mg iron	1	19	24.7	1.3	1.3	1.3	1.3	24.71	1.3	24.71	.	J1444	E2												
J1445	Inj triferic avnu 0.1mg iron	.	.	.	.	.	.	.	.	.	.	.	J1445	E2												
J1447	Inj tbo filgrastim 1 microg	24295	10421032	7393141.29	0.04	7.02	0.71	0.63	258.7	0.69	261.66	1077.564	J1447	K	1748	$0.39										
J1448	"Injection, trilaciclib, 1mg"	246	122500	558113.84	1.5	7.18	4.56	4.34	2097.15	4.07	2129.78	687.354	J1448	G	9415	$5.01										
J1450	Fluconazole	7411	10490	186712.6	0.53	240.71	17.8	11.81	16.24	12.05	15.92	147.496	J1450	N												
J1451	"Fomepizole, 15 mg"	42	3995	66380.03	0.88	522.99	16.62	10.94	883	9.8	911.92	1233.606	J1451	K	1689	$7.02										
J1452	Intraocular fomivirsen na	1	100	3	0.03	0.03	0.03	0.03	3.36	0.03	3.36	.	J1452	E2												
J1453	Fosaprepitant injection	169780	25466023	38597011.79	0.01	80.93	1.52	1.01	151.94	1.22	182.58	1196.36	J1453	N												
J1454	"Inj fosnetupitant, palonoset"	2539	2539	1657437.26	110.17	1088.4	652.79	568.08	568.08	614.65	614.65	49.06	J1454	K	9099	$430.02										
J1455	Foscarnet sodium injection	730	3904	314614.74	1.09	838.78	80.59	65	251.75	66.82	356.8	168.066	J1455	K	1849	$70.42										
J1457	Gallium nitrate injection	.	.	.	.	.	.	.	.	.	.	.	J1457	E2												
J1458	Galsulfase injection	.	.	.	.	.	.	.	.	.	.	.	J1458	N												
J1459	Inj ivig privigen 500 mg	87423	6826092	361303106.8	0.01	328.51	52.93	47.94	3394.25	49.03	3416.37	404.341	J1459	K	1214	$46.70										
J1460	Gamma globulin 1 cc inj	242	1106	70477.4	9.86	2349.79	63.72	28.56	145.84	30.91	164.73	745.419	J1460	K	1850	$46.76										
J1554	Inj. asceniv	.	.	.	.	.	.	.	.	.	.	.	J1554	G	9392	$481.77										
J1555	"Inj cuvitru, 100 mg"	78	7280	95876.8	7.63	20.26	13.17	11.81	989.42	8.01	641.09	448.98	J1555	K	9034	$14.90										
J1556	"Inj, imm glob bivigam, 500mg"	35	804	83562.54	41.56	1569.63	103.93	80.27	2048.13	79.17	1947.26	871.605	J1556	K	9130	$70.49										
J1557	Gammaplex injection	25	820	64145.8	44.79	101.53	78.23	75.72	1940.71	83.78	1015.31	135.805	J1557	K	9270	$51.07										
J1558	"Inj. xembify, 100 mg"	2	240	3318	13.72	13.93	13.83	13.82	1658.67	13.83	1658.72	11.766	J1558	K	9372	$13.78										
J1559	Hizentra injection	92	12394	230909.96	8.14	27.67	18.63	17.36	1952.51	16.85	1993.25	423.273	J1559	K	1312	$12.36										
J1560	Gamma globulin > 10 cc inj	1	3	4111.35	1370.45	1370.45	1370.45	1370.45	4111.35	1370.45	4111.35	.	J1560	K	1851	$467.56										
J1561	Gamunex-c/gammaked	77115	6273136	321545191.3	0.01	661.19	51.26	46.63	3454.12	46.42	3393.35	423.131	J1561	K	0948	$44.67										
J1562	"Vivaglobin, inj"	4	4	18.28	4.57	4.57	4.57	4.57	4.57	4.57	4.57	0	J1562	E2												
J1566	"Immune globulin, powder"	4926	382127	26890907.32	0.18	366.22	70.37	61.27	4429.12	68.45	4747.55	434.714	J1566	K	2731	$74.00										
J1568	Octagam injection	14450	1185845	59461367.23	0.01	196.75	50.14	42.93	3209.31	45.12	3252.7	499.496	J1568	K	0943	$42.10										
J1569	Gammagard liquid injection	86910	6843785	358166071.9	0.01	724.28	52.33	47.71	3449.58	48.84	3469.67	386.543	J1569	K	0944	$45.23										
J1570	Ganciclovir sodium injection	1322	1771	163511.37	6.49	364.33	92.33	75.09	93.74	77.17	86.58	71.24	J1570	N												
J1571	Hepagam b im injection	81	1159	172977.13	22.71	392.38	149.25	115.98	1290.52	138.59	731.08	259.685	J1571	K	0946	$70.09										
J1572	Flebogamma injection	1622	126976	4867038	7.52	182.17	38.33	34.72	2596.75	31.7	2523.83	419.418	J1572	K	0947	$39.87										
J1573	"Hepagam b intravenous, inj"	109	4143	283103.86	0.37	408.32	68.33	44.42	1243.41	84.03	817.66	286.526	J1573	K	1138	$70.60										
J1575	Hyqvia 100mg immuneglobulin	347	107928	1747206.88	0.16	34.36	16.19	14.75	4162.8	15.22	4571.88	671.584	J1575	K	1826	$15.89										
J1580	Garamycin gentamicin inj	156436	335015	2218000.52	0.07	232.4	6.62	4.3	8.01	4.24	8.5	163.348	J1580	N												
J1595	Injection glatiramer acetate	35	57	8291.44	35.43	341.9	145.46	116.18	175.96	91.26	161.07	87.665	J1595	K	1015	$138.79										
J1599	"Ivig non-lyophilized, nos"	166	14054	859487.52	13.72	103.32	61.16	55.7	4601.08	61.5	5400.02	347.064	J1599	N												
J1600	Gold sodium thiomaleate inj	.	.	.	.	.	.	.	.	.	.	.	J1600	E2												
J1602	Golimumab for iv use 1mg	22776	4052012	130883446.6	0.4	201.17	32.3	29.44	5120.49	30.37	5241.88	578.328	J1602	K	1475	$14.08										
J1610	Glucagon hydrochloride/1 mg	48427	52666	9499651.46	19.77	1031.96	180.38	154.02	164.93	162.45	169.41	65.622	J1610	K	9042	$170.33										
J1620	Gonadorelin hydroch/ 100 mcg	.	.	.	.	.	.	.	.	.	.	.	J1620	E2												
J1626	Granisetron hcl injection	58272	589411	2170824.17	0.01	41.4	3.68	1.95	19.6	2.18	21.81	467.156	J1626	N												
J1627	"Inj, granisetron, xr, 0.1 mg"	43	2320	6433.5	0.11	3.34	2.77	2.5	38.22	3.34	9.22	227.897	J1627	K	9421	$6.07										
J1628	"Inj., guselkumab, 1 mg"	363	36300	3761234	27.17	374.72	103.62	94.31	9431.49	98.75	9874.87	493.764	J1628	K	9029	$80.56										
J1630	Haloperidol injection	94706	106921	881930.49	0.11	210.29	8.25	4.94	5.41	6.13	6.74	106.751	J1630	N												
J1631	Haloperidol decanoate inj	6387	16562	455335.02	0.82	354.96	27.49	21.45	49.46	21.12	48.87	116.691	J1631	N												
J1632	"Inj., brexanolone, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J1632	N	9333											
J1640	"Hemin, 1 mg"	779	269600	5478052.86	0.03	43.5	20.32	17.93	5954.47	19.11	5722.58	917.583	J1640	K	1690	$29.03										
J1642	Inj heparin sodium per 10 u	1067726	49132267	10763004.58	0.01	95.89	0.22	0.1	4.59	0.11	5.01	1630.191	J1642	N												
J1644	Inj heparin sodium per 1000u	1291923	13411330	26983726.08	0.01	1244.73	2.01	1.19	11.31	1.14	12.06	534.733	J1644	N												
J1645	Dalteparin sodium	578	1593	33510.53	1.57	186.2	21.04	13.76	24.23	24.06	14.83	134.79	J1645	N												
J1650	Inj enoxaparin sodium	656822	3007652	13999246.71	0.02	545.79	4.65	3.37	14.74	3.18	14.67	197.457	J1650	N												
J1652	Fondaparinux sodium	3144	25569	204808.2	0.47	218.79	8.01	6.01	43.97	6.69	45.62	365.987	J1652	N												
J1655	Tinzaparin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1655	E2												
J1670	Tetanus immune globulin inj	181	181	58020.72	2.57	1166.04	320.56	185.76	185.76	255.19	255.19	83.329	J1670	K	1670	$537.77										
J1700	Hydrocortisone acetate inj	11	26	232.5	0.94	40.1	8.94	2.67	3.39	2.16	1.89	274.32	J1700	N												
J1710	Hydrocortisone sodium ph inj	13	26	352.17	3.6	46.1	13.54	9.02	18.44	10.95	19.47	122.838	J1710	N												
J1720	Hydrocortisone sodium succ i	99851	115223	2146450.51	1.04	157.11	18.63	15.06	16.57	16.61	18.42	70.406	J1720	N												
J1726	"Makena, 10 mg"	228	5879	115949.63	0.55	80.79	19.72	14.26	365.04	15.62	433.33	366.601	J1726	K	9074	$15.67										
J1729	Inj hydroxyprogst capoat nos	106	2650	23459	1.03	38.02	8.85	4.79	119.8	5.2	129.91	482.931	J1729	K	9318	$21.54										
J1730	Diazoxide injection	.	.	.	.	.	.	.	.	.	.	.	J1730	E2												
J1738	Inj. meloxicam 1 mg	962	28043	159346.85	0.04	15.66	5.68	4.65	119.88	7.83	227.93	245.228	J1738	G	9371	$3.01										
J1740	Ibandronate sodium injection	1505	4515	481469.19	4.93	591.09	106.64	83.87	251.61	91.36	274.09	131.664	J1740	K	9229	$25.847										
J1741	Ibuprofen injection	5499	49374	147326.41	0.04	20.98	2.98	2.46	21.56	2.66	23.1	192.897	J1741	N												
J1742	Ibutilide fumarate injection	1082	1257	404969.16	18.07	967.4	322.17	247.92	280.79	285.61	305.12	71.966	J1742	K	9044	$277.36										
J1743	Idursulfase injection	18	572	357841.28	512.44	782.13	625.6	611.92	16394.4	512.44	12298.6	123.402	J1743	K	9045	$542.610										
J1744	Icatibant injection	39	1510	217188.8	16.5	526.94	143.83	102.14	4365.71	147.03	4781.09	503.799	J1744	K	1443	$193.00										
J1745	Infliximab not biosimil 10mg	74167	4039613	407994494	0.01	900.74	101	92.1	4603.75	96.75	4719.51	315.478	J1745	K	7043	$35.02										
J1746	"Inj., ibalizumab-uiyk, 10 mg"	132	11160	646505.2	19.49	124.29	57.93	51.19	4240.36	55.85	4467.99	421.853	J1746	K	9189	$69.73										
J1750	Inj iron dextran	12635	242957	4565916.15	0.45	216.57	18.79	17.04	283.97	16.72	334.47	209.527	J1750	K	1237	$16.53										
J1756	Iron sucrose injection	134430	29921327	17539497.04	0.01	71.92	0.59	0.51	108.3	0.5	107.51	1336.702	J1756	N												
J1786	Imuglucerase injection	1693	678558	28950138.5	9.11	72.26	42.66	40.48	15282.08	41.65	15529.15	609.175	J1786	K	1327	$44.28										
J1790	Droperidol injection	25390	25390	311944.35	0.52	129.05	12.29	9.06	9.06	10.38	10.38	74.744	J1790	N												
J1800	Propranolol injection	243	361	4835.1	0.83	48.89	13.39	10.3	12.16	12.31	13.28	75.362	J1800	N												
J1815	Insulin injection	265104	6532426	7201073.93	0.01	817.5	1.1	0.53	6.36	0.69	6.4	1400.04	J1815	N												
J1817	Insulin for insulin pump use	2294	18617	46087.28	0.01	511.42	2.48	0.84	9.75	0.3	11.15	846.095	J1817	N												
J1823	"Inj. inebilizumab-cdon, 1 mg"	58	17400	7127895	123.37	1006.37	409.65	380.81	114243	394.12	118235.7	620.974	J1823	G	9394	$462.87										
J1826	Interferon beta-1a inj	220	220	400335.41	383.27	5725.52	1819.71	1448.23	1448.23	1622.23	1622.23	72.602	J1826	K	1852	"$2,293.85"										
J1830	Interferon beta-1b / .25 mg	.	.	.	.	.	.	.	.	.	.	.	J1830	N												
J1833	"Injection, isavuconazonium"	416	157728	164688.12	0.4	1.8	1.04	1	380.82	1.13	419.24	462.012	J1833	K	9456	$0.86										
J1835	Itraconazole injection	.	.	.	.	.	.	.	.	.	.	.	J1835	E2												
J1840	Kanamycin sulfate 500 mg inj	1	1	3.78	3.78	3.78	3.78	3.78	3.78	3.78	3.78	.	J1840	N												
J1850	Kanamycin sulfate 75 mg inj	1	2	11.84	5.92	5.92	5.92	5.92	11.84	5.92	11.84	.	J1850	E2												
J1885	Ketorolac tromethamine inj	1292785	2524520	13147221.29	0.04	222.72	5.21	3.05	5.88	3.19	6.34	197.62	J1885	N												
J1890	Cephalothin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1890	E2												
J1930	Lanreotide injection	24571	2928637	193706050.6	0.03	334.28	66.14	60.04	7150.46	62.01	7404.84	455.601	J1930	K	9237	$63.68										
J1931	Laronidase injection	72	23344	660123.69	25.82	29.9	28.28	28.23	8854.32	28.75	8336.21	107.698	J1931	K	9209	$36.11										
J1940	Furosemide injection	372949	841734	3821891.23	0.05	135.41	4.54	3.01	6.68	3.03	6.95	152.949	J1940	N												
J1943	"Inj., aristada initio, 1 mg"	12	5404	17513.18	0.02	156.17	3.24	1.64	566.89	3.68	874.01	3153.732	J1943	K	9179	$2.98										
J1944	Aripirazole lauroxil 1 mg	310	259698	843212.96	0.01	35.49	3.25	2.84	2340.36	3.2	2708.33	2011.421	J1944	K	9470	$2.97										
J1945	Lepirudin	1	7	10.92	1.56	1.56	1.56	1.56	10.89	1.56	10.89	.	J1945	E2												
J1950	Leuprolide acetate /3.75 mg	2110	3340	3762009.12	54.5	17045.65	1126.35	928.51	1333.11	1065.02	1252.33	86.81	J1950	K	0800	"$1,477.55"										
J1951	Inj fensolvi 0.25 mg	2	360	3556.8	9.88	9.88	9.88	9.88	1778.45	9.88	1778.45	0	J1951	K	9419	$134.12										
J1952	"Leuprolide inj, camcevi, 1mg"	.	.	.	.	.	.	.	.	.	.	.	J1952	G	9050	$95.64										
J1953	Levetiracetam injection	53884	6196765	2547134.5	0.01	73.75	0.41	0.28	29.87	0.3	32.18	1293.269	J1953	N												
J1956	Levofloxacin injection	101988	234144	2378965.44	0.1	201.57	10.16	6.75	15.65	6.97	16.67	156.098	J1956	N												
J1960	Levorphanol tartrate inj	4	6	159.07	7.22	34.09	26.51	23.08	24.99	34.09	24.79	58.556	J1960	N												
J1980	Hyoscyamine sulfate inj	1693	3077	112710.1	2.05	170.31	36.63	31.63	54.27	38.67	65.36	70.262	J1980	N												
J1990	Chlordiazepoxide injection	.	.	.	.	.	.	.	.	.	.	.	J1990	E2												
J2001	Lidocaine injection	974109	12365868	9062623.44	0.01	549.87	0.73	0.28	5.11	0.3	5.59	844.395	J2001	N												
J2010	Lincomycin injection	838	1513	22349.29	1.41	50.63	14.77	12.02	21.32	20.45	19.87	67.891	J2010	N												
J2020	Linezolid injection	5169	22046	509579.5	0.83	295.36	23.11	18.18	74.57	17.6	73.79	171.846	J2020	N												
J2060	Lorazepam injection	304639	339642	2645696.27	0.09	140.36	7.79	4.22	4.55	4.47	4.8	118.875	J2060	N												
J2062	Loxapine for inhalation 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2062	E2												
J2150	Mannitol injection	10818	16600	129637.91	0.21	122.64	7.81	4.96	6.66	4.29	5.77	149.732	J2150	N												
J2170	Mecasermin injection	34	37	369.97	1.72	28.37	10	8.84	10.64	10.46	10.46	43.295	J2170	N												
J2175	Meperidine hydrochl /100 mg	82501	98229	1041452.77	0.21	236.7	10.6	7.66	8.79	7.64	8.79	97.733	J2175	N												
J2180	Meperidine/promethazine inj	90	100	578.6	0.77	12.1	5.79	5	5.43	4.98	5.39	50.294	J2180	N												
J2182	"Injection, mepolizumab, 1mg"	35594	3963560	112207890.1	0.03	308.25	28.31	25.86	2737.03	27.08	2733.6	443.978	J2182	K	9473	$29.31										
J2185	Meropenem	37149	570624	2097922.4	0.02	119.51	3.68	2.73	36.59	2.89	35.54	379.62	J2185	N												
J2186	"Inj., meropenem, vaborbactam"	413	68300	157484	1.09	3.6	2.31	2.26	282.81	2.23	222.65	237.408	J2186	K	9178	$2.01										
J2210	Methylergonovin maleate inj	265	334	9132.44	3.15	123.17	27.34	23.87	28.19	23.76	29.35	57.851	J2210	N												
J2212	Methylnaltrexone injection	2951	340728	380714.55	0.01	19	1.12	0.9	104.24	1.01	116.83	685.136	J2212	N												
J2248	Micafungin sodium injection	11593	1455646	2442477.41	0.01	31.31	1.68	1.38	155.77	1.4	163.47	759.208	J2248	N												
J2250	Inj midazolam hydrochloride	2769738	7439702	26674005.46	0.01	761.36	3.59	1.75	4.51	1.82	4.78	223.267	J2250	N												
J2260	Inj milrinone lactate / 5 mg	2714	13475	103263.3	0.41	178.21	7.66	4.99	22.34	4.48	22.91	263.232	J2260	N												
J2265	Minocycline hydrochloride	105	21600	51285	0.63	3	2.37	2.27	409.12	2.69	454.48	348.001	J2265	K	1853	$2.35										
J2270	Morphine sulfate injection	859047	1145479	9429685.01	0.27	118.59	8.23	5.66	6.94	5.28	6.59	113.137	J2270	N												
J2274	Inj morphine pf epid ithc	32237	42756	544596.29	0.16	374.57	12.74	7.65	9.96	8.23	9.84	148.467	J2274	N												
J2278	Ziconotide injection	723	319117	2644139.9	0.48	24.76	8.29	7.22	2505.68	7.67	3045.05	940.396	J2278	K	1694	$9.07										
J2280	"Inj, moxifloxacin 100 mg"	3235	5834	108291.47	1.14	187.64	18.56	15.58	24.94	15.35	22.27	101.999	J2280	N												
J2300	Inj nalbuphine hydrochloride	1462	1772	20277.34	0.76	52.44	11.44	8.75	10.22	8.74	10.47	78.614	J2300	N												
J2310	Inj naloxone hydrochloride	20188	29902	619967.29	0.92	271.61	20.73	16.23	21.13	17.58	22.03	93.845	J2310	N												
J2315	"Naltrexone, depot form"	1070	399500	1392561.8	0.36	24.29	3.49	3.3	1238.54	3.5	1331.2	748.423	J2315	K	0759	$3.74										
J2320	Nandrolone decanoate 50 mg	8	14	209.93	13.89	17.51	15	14.92	21.4	14	14	15.004	J2320	N												
J2323	Natalizumab injection	18792	5637585	107129475.9	0.04	63.33	19	16.82	5045.87	18.43	5529.6	795.046	J2323	K	9126	$24.03										
J2325	Nesiritide injection	1	1	0.8	0.8	0.8	0.8	0.8	0.8	0.8	0.8	.	J2325	E1												
J2326	"Inj, nusinersen, 0.1mg"	463	55560	47428720.8	203.2	2007.79	853.65	773.84	92861.34	895.5	107460	458.86	J2326	K	9489	"$1,122.07"										
J2350	"Injection, ocrelizumab, 1 mg"	13448	7384243	374056513.1	0.01	187.58	50.66	46.35	24765.45	48.87	27492.59	940.954	J2350	K	9494	$60.08										
J2353	"Octreotide injection, depot"	53519	1534651	285182524.4	1	1163.39	185.83	171.32	4735.41	181.86	4987.74	211.749	J2353	K	1207	$206.96										
J2354	"Octreotide inj, non-depot"	5120	105887	358148.96	0.04	468.88	3.38	2.2	32.2	2.25	35.66	1189.227	J2354	N												
J2355	Oprelvekin injection	.	.	.	.	.	.	.	.	.	.	.	J2355	E2												
J2357	Omalizumab injection	80828	4873402	175942563.7	0.01	217.52	36.1	32.26	1884.3	33.96	2015.69	370.887	J2357	K	9300	$38.65										
J2358	Olanzapine long-acting inj	1992	77502	364569.94	0.09	138.59	4.7	4.24	50.05	4.96	44.51	381.37	J2358	N												
J2360	Orphenadrine injection	49060	49060	1052827.66	2.18	129.45	21.46	17.73	17.73	19.45	19.45	62.069	J2360	N												
J2370	Phenylephrine hcl injection	606009	2261690	9713580.42	0.01	472.45	4.29	1.53	8.16	1.58	9.16	361.156	J2370	N												
J2400	Chloroprocaine hcl injection	6252	6252	180676.68	3.38	165.24	28.9	24.31	24.31	26.08	26.08	69.417	J2400	N												
J2405	Ondansetron hcl injection	3455107	18072933	34772351	0.01	336.58	1.92	0.87	4.43	0.86	4.45	348.103	J2405	N												
J2406	"Injection, oritavancin 10 mg"	30	2400	141310	21.72	115.46	58.88	51.15	4522.39	43.27	4618.46	505.175	J2406	G	9427	$41.53										
J2407	"Injection, oritavancin"	1158	130380	3154242.4	2.51	115.46	24.19	22.33	2517.87	23.54	2804.83	411.026	J2407	K	1660	$25.81										
J2410	Oxymorphone hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2410	E2												
J2425	Palifermin injection	50	6191	186441.65	14.39	53.27	30.11	27.71	3380.68	27.13	3268.55	466.572	J2425	K	1696	$25.12										
J2426	Paliperidone palmitate inj	6279	1332325	13822172.44	0.01	110.13	10.37	9.56	1829.28	9.67	1864.61	607.787	J2426	K	9255	$13.28										
J2430	Pamidronate disodium /30 mg	3090	7015	205109.42	1.8	618	29.24	19.78	42.72	17.08	39.07	225.304	J2430	N												
J2440	Papaverin hcl injection	2853	3351	132411.23	1.43	222.2	39.51	30.05	34.31	39.83	41.53	68.327	J2440	N												
J2460	Oxytetracycline injection	.	.	.	.	.	.	.	.	.	.	.	J2460	E2												
J2469	Palonosetron hcl	358036	3580906	49772999.49	0.01	502.75	13.9	7.22	72.15	8.32	83.18	354.168	J2469	N												
J2501	Paricalcitol	2373	12281	55233.55	0.24	31.09	4.5	3.58	15.64	3.82	17.87	178.161	J2501	N												
J2502	"Inj, pasireotide long acting"	102	5200	1738879.4	0.05	797.16	334.4	247.85	13039.73	230.98	13858.53	485.024	J2502	K	9454	$377.03										
J2503	Pegaptanib sodium injection	.	.	.	.	.	.	.	.	.	.	.	J2503	E2												
J2504	"Pegademase bovine, 25 iu"	3	12	23.08	0.16	5.42	1.92	0.55	2.17	0.19	0.74	314.895	J2504	N												
J2505	"Injection, pegfilgrastim 6mg"	128170	128170	628552550	1327.83	15402.88	4904.05	4592.78	4592.78	4759.47	4759.47	36.652	J2505	D												
J2506	Inj pegfilgrast ex bio 0.5mg	.	.	.	.	.	.	.	.	.	.	.	J2506	K	9436	$131.41										
J2507	Pegloticase injection	1537	12296	28473675.6	100.6	6536.91	2315.69	1982.69	15861.5	2233.47	17867.76	139.187	J2507	K	9281	"$3,143.50"										
J2510	Penicillin g procaine inj	79	316	11042.68	6.51	78.51	34.95	32.7	130.81	31.11	124.44	78.684	J2510	K	1836	$35.296										
J2513	Pentastarch 10% solution	.	.	.	.	.	.	.	.	.	.	.	J2513	E2												
J2515	Pentobarbital sodium inj	13	73	3560.74	14.59	188.64	48.78	31.27	123.19	17.05	154.72	288.693	J2515	K	1854	$20.370										
J2540	Penicillin g potassium inj	1296	27492	70452.2	0.01	139.32	2.56	1.59	34.02	1.43	40.04	1203.162	J2540	N												
J2543	Piperacillin/tazobactam	160577	837299	6230983.49	0.04	857.53	7.44	5.83	26.81	6.33	27.57	181.892	J2543	N												
J2547	"Injection, peramivir"	1	600	42	0.07	0.07	0.07	0.07	40.38	0.07	40.38	.	J2547	K	9451	$1.68										
J2550	Promethazine hcl injection	123191	133103	1020338.27	0.18	102.27	7.67	4.72	4.99	4.76	5.08	116.398	J2550	N												
J2560	Phenobarbital sodium inj	2157	7791	316155.26	0.08	386.01	40.58	27.45	81.15	33.33	87.79	150.124	J2560	K	9069	$44.93										
J2562	Plerixafor injection	3116	67883	23408260.71	65.97	993.18	344.83	329.17	7028.68	346.43	7311.44	139.904	J2562	K	9252	$402.60										
J2590	Oxytocin injection	327	773	5815.05	0.1	111.26	7.52	3.57	6.92	5.16	9.76	242.35	J2590	N												
J2597	Inj desmopressin acetate	5039	114916	1654527.65	0.09	387.33	14.4	11.8	242.79	13	280.18	355.422	J2597	K	1440	$7.61										
J2650	Prednisolone acetate inj	7	7	314.16	44.88	44.88	44.88	44.88	44.88	44.88	44.88	0	J2650	N												
J2670	Totazoline hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2670	E2												
J2675	Inj progesterone per 50 mg	2	2	8.66	3.23	5.43	4.33	4.19	4.19	4.33	4.33	35.927	J2675	N												
J2680	Fluphenazine decanoate 25 mg	3831	7654	161818.58	0.29	155.62	21.14	14.12	27.87	16.74	31.45	128.283	J2680	N												
J2690	Procainamide hcl injection	500	583	56394.5	2.14	594.21	96.73	61.98	68.81	76.05	81.82	99.63	J2690	N												
J2700	Oxacillin sodium injeciton	742	23705	121871.47	0.46	161.56	5.14	3.82	80.77	3.25	133.31	602.842	J2700	N												
J2704	"Inj, propofol, 10 mg"	2928593	110326961	58633838.43	0.01	508.91	0.53	0.37	11.96	0.36	12.32	858.354	J2704	N												
J2710	Neostigmine methylslfte inj	228726	1689827	5871847.11	0.01	365.73	3.47	1.99	14.86	1.87	15.58	531.138	J2710	N												
J2720	Inj protamine sulfate/10 mg	81541	535727	1885592.53	0.05	186.84	3.52	2.76	17.5	2.73	17.42	256.757	J2720	N												
J2724	Protein c concentrate	22	17767	188183.6	0.8	42.32	10.59	4.57	7006.67	2.31	8018.4	3736.775	J2724	K	1139	$15.07										
J2725	Inj protirelin per 250 mcg	.	.	.	.	.	.	.	.	.	.	.	J2725	E2												
J2730	Pralidoxime chloride inj	12	384	797.89	0.35	125.03	2.08	0.43	7.66	0.38	6.46	3872.73	J2730	N												
J2760	Phentolaine mesylate inj	143	162	50325.85	10	950.34	310.65	157.91	152.75	269.33	259.13	94.007	J2760	K	1458	$413.47										
J2765	Metoclopramide hcl injection	246963	260480	1925130.57	0.19	103.74	7.39	4.53	4.71	4.34	4.51	106.297	J2765	N												
J2770	Quinupristin/dalfopristin	156	184	955.76	1.28	7.88	5.19	4.19	4.54	5.18	7.87	58.288	J2770	K	2770	$493.97										
J2778	Ranibizumab injection	13750	75230	27005951.52	20.22	911.51	358.98	332.97	1756.06	395.69	1978.47	76.076	J2778	K	9233	$258.41										
J2780	Ranitidine hydrochloride inj	521	521	996.88	0.83	10.35	1.91	1.5	1.5	1.31	1.31	117.081	J2780	N												
J2783	Rasburicase	1228	12664	3574873.94	3.19	3580.53	282.29	245.88	2264.64	246.05	2283.92	199.629	J2783	K	0738	$332.08										
J2785	Regadenoson injection	476296	1904869	129424839.4	2.59	1337.18	67.94	58.92	235.64	62.2	248.81	108.037	J2785	N												
J2786	"Injection, reslizumab, 1mg"	2102	619271	6239326.74	0.03	25.15	10.08	9.21	2623.52	9.54	2650.98	707.152	J2786	K	9481	$10.11										
J2787	Riboflavin 5phos opth<=3ml	14	25	51995.42	182.47	4833.22	2079.82	1443.95	2275.82	2068.74	2347.19	103.593	J2787	N												
J2788	Rho d immune globulin 50 mcg	7	7	278.88	20.65	56.59	39.84	37.53	37.53	41.56	41.56	35.096	J2788	N												
J2790	Rho d immune globulin inj	320	320	31858.07	10.1	500.61	99.56	83.34	83.34	86.86	86.86	65.731	J2790	N												
J2791	Rhophylac injection	202	2840	30730.01	1.22	188.31	10.82	7.83	108.23	8.01	111.43	452.224	J2791	N												
J2792	"Rho(d) immune globulin h, sd"	60	12795	345759.95	6.65	47.79	27.02	25.56	4919.22	30	5999.24	430.316	J2792	K	1609	$32.45										
J2793	Rilonacept injection	.	.	.	.	.	.	.	.	.	.	.	J2793	E2												
J2794	"Inj risperdal consta, 0.5 mg"	3250	246353	2923198.13	0.04	519.11	11.87	9.31	664.56	9.78	730.21	1884.578	J2794	K	9125	$11.59										
J2795	Ropivacaine hcl injection	289734	65328974	14093120.24	0.01	1390.21	0.22	0.16	22.47	0.16	23.12	5233.175	J2795	N												
J2796	Romiplostim injection	44617	1621328	119567000.4	0.79	3011.81	73.75	67.3	1993.11	68.79	1989.4	270.605	J2796	K	9245	$89.00										
J2797	"Inj., rolapitant, 0.5 mg"	.	.	.	.	.	.	.	.	.	.	.	J2797	E1												
J2798	"Inj., perseris, 0.5 mg"	6	1380	11297.4	8.18	8.23	8.19	8.19	1872.91	8.18	1962.98	3.417	J2798	K	9181	$11.16										
J2800	Methocarbamol injection	32505	36111	1128561.04	1.84	250.15	31.25	23.71	25.57	22.59	26.67	90.644	J2800	N												
J2805	Sincalide injection	14149	14149	1360440.01	9.13	640.44	96.15	77.3	77.3	83.29	83.29	68.042	J2805	N												
J2810	Inj theophylline per 40 mg	12	40	391.6	9.79	9.79	9.79	9.79	31.87	9.79	29.37	0	J2810	N												
J2820	Sargramostim injection	538	7631	400423.39	12.82	131.17	52.47	50.45	576.53	49.77	636.22	112.26	J2820	K	0731	$55.44										
J2840	Inj sebelipase alfa 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2840	K	9478	$539.30										
J2850	Inj secretin synthetic human	474	8000	482119.87	8.5	273.57	60.26	50.35	854.54	46.75	792.93	262.594	J2850	K	1700	$38.09										
J2860	"Injection, siltuximab"	567	56531	5632643.72	34.34	209.1	99.64	94.58	9092.74	100.61	9316.59	298.906	J2860	K	9455	$132.00										
J2910	Aurothioglucose injeciton	.	.	.	.	.	.	.	.	.	.	.	J2910	E2												
J2916	Na ferric gluconate complex	24397	278807	1847448.54	0.24	320.39	6.63	5.18	56.2	5.44	55.6	339.223	J2916	N												
J2920	Methylprednisolone injection	104967	158197	1675672.65	0.68	92.9	10.59	8.49	11.74	8.22	11.81	92.232	J2920	N												
J2930	Methylprednisolone injection	323132	365348	5368451.66	1.38	104.64	14.69	12.19	13.35	12.54	13.4	68.897	J2930	N												
J2940	Somatrem injection	.	.	.	.	.	.	.	.	.	.	.	J2940	E2												
J2941	Somatropin injection	3	9	1526.13	148.15	175.69	169.57	169.16	299.97	175.69	148.15	14.323	J2941	K	9319	$36.540										
J2950	Promazine hcl injection	155	161	376.94	2.31	2.79	2.34	2.34	2.4	2.31	2.31	2.983	J2950	N												
J2993	Reteplase injection	72	113	228779.87	291.05	5087.21	2024.6	1727.88	2703.6	2162.7	3016.62	62.241	J2993	K	9005	"$2,491.03"										
J2995	Inj streptokinase /250000 iu	.	.	.	.	.	.	.	.	.	.	.	J2995	E2												
J2997	Alteplase recombinant	61266	669860	53716367.03	0.49	14289.77	80.19	68.67	273.23	74.3	203.88	363.544	J2997	K	7048	$88.03										
J3000	Streptomycin injection	32	32	3749.09	104.76	122.45	117.16	116.95	116.95	118.66	118.66	5.872	J3000	N												
J3010	Fentanyl citrate injection	3441006	5294153	38014853.66	0.06	268.99	7.18	4	5.67	3.98	5.83	138.867	J3010	N												
J3030	Sumatriptan succinate / 6 mg	2470	2470	132312.71	1.52	502.52	53.57	34.2	34.2	37.27	37.27	96.615	J3030	N												
J3031	"Inj., fremanezumab-vfrm 1 mg"	1	225	627.75	2.79	2.79	2.79	2.79	627.81	2.79	627.81	.	J3031	K	9197	$2.21										
J3032	Inj. eptinezumab-jjmr 1 mg	1953	326300	4869426	1.91	43.88	14.92	13.92	1965.68	14.19	1718.67	463.761	J3032	G	9357	$16.41										
J3060	"Inj, taliglucerase alfa 10 u"	198	109476	3414454.68	8.64	67.94	31.19	26.83	15596.34	28.51	14827.47	1125.015	J3060	K	9294	$41.90										
J3070	Pentazocine injection	7	9	191.33	0.49	36.6	21.26	12.9	11.66	18.68	18.68	71.111	J3070	N												
J3090	Inj tedizolid phosphate	138	27600	70726	0.27	2.62	2.56	2.54	507.79	2.62	524.83	111.269	J3090	K	1662	$1.74										
J3095	Telavancin injection	424	34245	207125.41	1.45	120.82	6.05	5.04	317.56	5.9	442.86	627.176	J3095	K	9258	$6.69										
J3101	Tenecteplase injection	1323	62117	6796822.14	3.54	506.59	109.42	96.14	4443.65	101.81	4803.43	374.678	J3101	K	9002	$143.87										
J3105	Terbutaline sulfate inj	1326	1394	16804.26	0.29	87.74	12.05	7.32	7.57	7.39	7.39	101.772	J3105	N												
J3111	Inj. romosozumab-aqqg 1 mg	26363	5506702	46315698.61	0.01	47.73	8.41	7.58	1579.57	7.83	1633.63	665.383	J3111	K	9327	$9.80										
J3121	Inj testostero enanthate 1mg	730	142565	16242.92	0.01	0.59	0.11	0.08	14.67	0.11	21.69	1058.686	J3121	N												
J3145	Testosterone undecanoate 1mg	716	534990	891707.1	0.12	5.15	1.67	1.36	1019.03	1.84	1368.78	1351.136	J3145	K	9078	$1.82										
J3230	Chlorpromazine hcl injection	3281	4343	161160.97	2.57	200.15	37.11	30.4	36.78	33.42	37.6	73.221	J3230	N												
J3240	Thyrotropin injection	5303	5303	8751410.57	248.08	6170.45	1650.28	1453.2	1453.2	1472.63	1472.63	50.725	J3240	K	9108	"$1,926.71"										
J3241	Inj. teprotumumab-trbw 10 mg	2250	350070	97392408.13	59.6	758.02	278.21	255.4	37685.3	251.36	38958.73	537.456	J3241	G	9355	$321.88										
J3243	Tigecycline injection	2315	165401	529109.35	0.36	17.93	3.2	2.55	174.41	2.57	171.44	685.519	J3243	N												
J3245	"Inj., tildrakizumab, 1 mg"	1891	189100	22374097	0.19	495.49	118.32	107.35	10735.08	108.59	10858.73	433.905	J3245	K	9306	$139.28										
J3246	Tirofiban hcl	3132	110040	726917.69	0.01	220.65	6.61	5.15	147.12	5.37	166.67	480.806	J3246	N												
J3250	Trimethobenzamide hcl inj	2664	2850	135076.85	2.62	226.63	47.4	41.53	43.72	43.31	44.2	52.031	J3250	N												
J3260	Tobramycin sulfate injection	14419	74433	760279.81	0.02	587.34	10.21	6.68	16.3	6.68	13.41	322.525	J3260	N												
J3262	Tocilizumab injection	29730	15326310	84467831.69	0.17	44.43	5.51	5.02	2426.81	5.13	2469.23	1074.61	J3262	K	9264	$6.16										
J3265	Injection torsemide 10 mg/ml	.	.	.	.	.	.	.	.	.	.	.	J3265	E2												
J3280	Thiethylperazine maleate inj	.	.	.	.	.	.	.	.	.	.	.	J3280	E2												
J3285	Treprostinil injection	104	1419	86896.06	13.9	522.91	61.24	44.75	552.31	40.57	388.05	414.657	J3285	K	1701	$55.36										
J3300	Triamcinolone a inj prs-free	9709	225244	938020.36	0.03	440.8	4.16	2.49	50.77	3.7	50.21	875.299	J3300	N												
J3301	Triamcinolone acet inj nos	420023	2345932	8440709.19	0.03	210.57	3.6	2.82	14.23	2.73	14.96	220.505	J3301	N												
J3302	Triamcinolone diacetate inj	31	402	334.15	0.22	20.25	0.83	0.64	6.09	0.6	3.96	678.346	J3302	N												
J3303	Triamcinolone hexacetonl inj	41	522	4617.07	1.99	22.43	8.84	6.53	76.74	4.88	117.22	310.553	J3303	N												
J3304	Inj triamcinolone ace xr 1mg	4765	199606	3478237.93	0.41	1541.84	17.43	14.35	569.13	17.13	575.7	867.727	J3304	K	9469	$16.93										
J3305	Inj trimetrexate glucoronate	.	.	.	.	.	.	.	.	.	.	.	J3305	E2												
J3310	Perphenazine injeciton	4	82	26.63	0.22	8.1	0.32	0.23	4.84	0.22	7.36	1396.432	J3310	N												
J3315	Triptorelin pamoate	2683	9806	5851853.69	36.3	4669.65	596.76	542.48	1821.59	583.89	1781.95	81.461	J3315	K	9122	$373.79										
J3316	"Inj., triptorelin xr 3.75 mg"	6	14	12369.9	569.13	935.97	883.56	871.76	1649.4	935.97	2807.9	24.311	J3316	K	9016	"$3,119.98"										
J3320	Spectinomycn di-hcl inj	.	.	.	.	.	.	.	.	.	.	.	J3320	E2												
J3350	Urea injection	3	7	284.71	13.38	51.59	40.67	35.08	75.32	51.59	103.18	79.398	J3350	E2												
J3355	"Urofollitropin, 75 iu"	.	.	.	.	.	.	.	.	.	.	.	J3355	E2												
J3357	"Ustekinumab sub cu inj, 1 mg"	6858	548010	110455978.9	0.44	859.93	201.56	177.99	13669.37	188.89	14798	388.311	J3357	K	9261	$162.85										
J3358	"Ustekinumab, iv inject, 1 mg"	1413	569800	8093510.7	0.05	338.71	14.2	12.15	4930.62	12.47	5202	2308.36	J3358	K	9487	$12.36										
J3360	Diazepam injection	35457	62320	1149470.42	0.7	271.04	18.44	14.43	24.52	15.9	27.28	97.012	J3360	N												
J3364	Urokinase 5000 iu injection	5	5	383.89	73.03	82.4	76.78	76.64	76.64	73.03	73.03	6.684	J3364	N												
J3365	"Urokinase 250,000 iu inj"	.	.	.	.	.	.	.	.	.	.	.	J3365	E2												
J3370	Vancomycin hcl injection	472819	1357711	15225834.55	0.15	427.97	11.21	8.43	21.9	9.1	23.85	149.37	J3370	N												
J3380	"Injection, vedolizumab"	44012	13203898	287802512.6	0.01	135.93	21.8	19.88	5962.54	20.69	6206.94	737.793	J3380	K	1489	$22.30										
J3385	Velaglucerase alfa	1170	49865	17643849.37	77.56	782.14	353.83	336.2	13816.29	355.35	14017.94	204.194	J3385	K	9271	$358.90										
J3396	Verteporfin injection	143	19255	216199.86	4.93	18.89	11.23	10.81	1433.41	11.13	1629.64	302.972	J3396	K	1203	$11.52										
J3397	"Inj., vestronidase alfa-vjbk"	.	.	.	.	.	.	.	.	.	.	.	J3397	E2												
J3398	Inj luxturna 1 billion vec g	4	600	710670	1010.92	1357.98	1184.45	1171.67	175750.8	1184.45	177667.9	207.192	J3398	K	9070	"$2,907.23"										
J3399	Inj onase abepar-xioi treat	.	.	.	.	.	.	.	.	.	.	.	J3399	A												
J3400	Triflupromazine hcl inj	.	.	.	.	.	.	.	.	.	.	.	J3400	E2												
J3410	Hydroxyzine hcl injection	3501	6857	88984.84	0.17	126.33	12.98	9.39	17.82	11.51	21.7	105.897	J3410	N												
J3411	Thiamine hcl 100 mg	32498	65420	536742.52	0.34	90.47	8.2	6.55	11.45	6.63	11.56	107.621	J3411	N												
J3415	Pyridoxine hcl 100 mg	418	464	7647.4	1.5	55.45	16.48	14.21	15.08	15.05	15.46	56.379	J3415	N												
J3420	Vitamin b12 injection	259211	259211	2188442.29	0.33	77.8	8.44	5.76	5.76	6.17	6.17	89.707	J3420	N												
J3430	Vitamin k phytonadione inj	8940	81902	469324.45	0.02	108.51	5.73	4.65	41.12	5.04	45.32	228.777	J3430	N												
J3465	"Injection, voriconazole"	339	7076	46535.85	0.07	267.62	6.58	4.64	47.78	5.42	99.35	755.943	J3465	N												
J3470	Hyaluronidase injection	6199	6626	418163.52	9.05	227.15	63.11	55.01	57.85	57.22	60.49	50.742	J3470	N												
J3471	"Ovine, up to 999 usp units"	8743	1585616	718072.12	0.01	149.48	0.45	0.4	63.59	0.43	70.7	1330.949	J3471	N												
J3472	"Ovine, 1000 usp units"	168	168	72184.56	429.67	429.67	429.67	429.67	429.67	429.67	429.67	0	J3472	N												
J3473	Hyaluronidase recombinant	19423	2672064	1344450.67	0.04	93.95	0.5	0.45	56.26	0.45	60.19	1624.253	J3473	N												
J3475	Inj magnesium sulfate	410172	1933418	8585430.3	0.01	354.63	4.44	2.81	13.68	3.24	15.78	226.815	J3475	N												
J3480	Inj potassium chloride	202176	2795994	4202146.41	0.01	140.85	1.5	0.89	11.94	0.97	12.58	510.885	J3480	N												
J3485	Zidovudine	.	.	.	.	.	.	.	.	.	.	.	J3485	N												
J3486	Ziprasidone mesylate	16111	32741	868800.84	1.38	354.62	26.54	21.86	43.19	23.24	45.29	95.448	J3486	N												
J3489	Zoledronic acid 1mg	148534	655866	34355632.05	0.04	2143.59	52.38	28.48	120.76	26.02	116.62	263.493	J3489	N												
J3490	Drugs unclassified injection	1539998	6510088	65463819.08	0.01	68120.64	10.06	1.59	10.24	1.54	10.55	1159.985	J3490	N												
J3530	Nasal vaccine inhalation	.	.	.	.	.	.	.	.	.	.	.	J3530	N												
J3590	Unclassified biologics	8179	13234	5576300.44	0.01	25731.24	421.36	32.84	80.53	47.95	95.9	488.202	J3590	N												
J3591	Esrd on dialysi drug/bio noc	.	.	.	.	.	.	.	.	.	.	.	J3591	B												
J7030	Normal saline solution infus	2037914	2473116	40948512.59	0.42	292.13	16.56	11.64	13.47	12.98	14.73	88.419	J7030	N												
J7040	Normal saline solution infus	756094	852625	13512514.37	0.34	304.52	15.85	11.02	12.25	12.64	13.85	85.842	J7040	N												
J7042	5% dextrose/normal saline	32076	64798	554891.47	0.14	183.39	8.56	6	11.58	6.38	13.06	128.818	J7042	N												
J7050	Normal saline solution infus	1452197	1976140	28625643.72	0.24	338.84	14.49	9.37	12.27	11.1	13.43	103.711	J7050	N												
J7060	5% dextrose/water	239630	337057	4789465.56	0.26	234.51	14.21	9.24	11.83	11.1	12.51	108.029	J7060	N												
J7070	D5w infusion	39403	52602	764756.84	0.18	230.03	14.54	9.08	11.17	11.55	13.4	112.342	J7070	N												
J7100	Dextran 40 infusion	46	48	1804.89	18.62	74.72	37.6	34.65	35.44	29	29	44.066	J7100	N												
J7110	Dextran 75 infusion	81	86	3423.76	39.81	39.82	39.81	39.81	41.55	39.81	39.81	0.008	J7110	N												
J7120	Ringers lactate infusion	1559937	2110826	37315689.41	0.48	320.86	17.68	12.61	15.77	13.83	17.19	91.17	J7120	N												
J7121	5% dextrose in lac ringers	9628	10784	235291.98	0.81	104.04	21.82	16.43	18.17	23.11	24.62	68.707	J7121	N												
J7131	Hypertonic saline sol	1902	401777	29568.76	0.01	59.88	0.07	0.03	7.7	0.03	9.74	9413.1	J7131	N												
J7168	Prothrombin complex kcentra	3228	8094570	17723420.92	0.01	98.28	2.19	1.85	4262.2	1.99	4446.87	3544.053	J7168	K	9132	$2.09										
J7169	"Inj andexxa, 10 mg"	254	25453	7024740.84	34.3	699.41	275.99	248.59	23306.78	257.27	23677.6	461.927	J7169	K	9198	$102.65										
J7170	"Inj., emicizumab-kxwh 0.5 mg"	250	227819	6742511.25	6.95	108.99	29.6	23.39	21607.83	17.72	18188.73	2683.747	J7170	K	9257	$49.76										
J7175	"Inj, factor x, (human), 1iu"	8	13155	94012.4	6.35	10.32	7.15	7.01	11659.6	6.35	11259.36	931.879	J7175	K	1857	$8.60										
J7177	"Inj., fibryga, 1 mg"	18	64844	104708.8	0.68	1.8	1.61	1.54	1504.93	1.8	9459.45	1546.583	J7177	K	9046	$1.088										
J7178	Inj human fibrinogen con nos	126	565832	654513.5	0.86	10.94	1.16	1.12	5050.52	1.02	5308.14	2467.36	J7178	K	1478	$1.34										
J7179	Vonvendi inj 1 iu vwf:rco	110	359940	897138.8	0.56	2.79	2.49	2.45	7727.65	2.65	9340.71	853.673	J7179	K	9059	$1.80										
J7180	Factor xiii anti-hem factor	.	.	.	.	.	.	.	.	.	.	.	J7180	N												
J7181	Factor xiii recomb a-subunit	.	.	.	.	.	.	.	.	.	.	.	J7181	N												
J7182	Factor viii recomb novoeight	16	45513	51899.76	0.71	2.45	1.14	1.04	2708.88	0.84	3155.2	2748.607	J7182	K	1856	$1.13										
J7183	Wilate injection	84	1590311	1306463.74	0.07	82.12	0.82	0.76	7607.4	0.71	7840.94	13650.67	J7183	K	1352	$1.16										
J7185	Xyntha inj	204	438365	451946.97	0.16	6.12	1.03	0.89	1477.84	0.63	987.77	2741.775	J7185	K	1268	$1.26										
J7186	Antihemophilic viii/vwf comp	107	474473	1154629.84	0.39	3.41	2.43	2.09	7776.55	3.07	14827.61	2914.348	J7186	K	1213	$1.15										
J7187	"Humate-p, inj"	1390	6006710	6058226.92	0.01	8.57	1.01	0.91	3637.75	1.02	3395.6	2899.179	J7187	K	1704	$1.30										
J7188	Factor viii recomb obizur	9	109927	624387.91	1.73	6.57	5.68	5.51	48710.61	5.77	68843.4	2294.82	J7188	K	1827	$3.20										
J7189	Factor viia recomb novoseven	89	706704	1039024.1	0.33	8.42	1.47	1.28	6804.7	1.29	7262.57	4669.185	J7189	K	1705	$2.35										
J7190	Factor viii	92	1336685	1016605.84	0.22	6.22	0.76	0.68	3679.07	0.79	1785.58	7025.906	J7190	K	0925	$1.13										
J7191	Factor viii (porcine)	.	.	.	.	.	.	.	.	.	.	.	J7191	E2												
J7192	Factor viii recombinant nos	701	6911679	8221726.94	0.01	6.62	1.19	1.05	6170.73	1.18	5572.13	5038.731	J7192	K	0927	$1.47										
J7193	Factor ix non-recombinant	37	448970	285477.2	0.41	1.47	0.64	0.59	7049.46	0.65	7252.64	4919.468	J7193	K	0931	$1.23										
J7194	Factor ix complex	22	68662	143499.6	0.01	7.64	2.09	1.43	3922.44	1.24	4580.39	5259.46	J7194	K	0928	$1.57										
J7195	Factor ix recombinant nos	310	1859948	2308757.98	0.2	26.8	1.24	0.99	5203.95	1.07	4739.86	6841.407	J7195	K	0932	$1.63										
J7196	Antithrombin recombinant	.	.	.	.	.	.	.	.	.	.	.	J7196	E2												
J7197	Antithrombin iii injection	41	110141	231785.18	0.01	1276.01	2.1	0.16	2501.33	0.01	4038.41	13339.77	J7197	K	1263	$3.50										
J7198	Anti-inhibitor	266	1887857	1737108.39	0.29	5.81	0.92	0.66	4092.71	0.74	2762.8	8374.437	J7198	K	0929	$2.20										
J7200	Factor ix recombinan rixubis	20	83000	59230	0.56	1.2	0.71	0.7	2875.28	0.63	3217.9	1373.725	J7200	K	1467	$1.54										
J7201	Factor ix alprolix recomb	22	566415	878576.18	1.13	4.11	1.55	1.45	27074.7	1.16	37493.89	6407.763	J7201	K	1486	$3.36										
J7202	Factor ix idelvion inj	131	684467	2437970.99	2.47	6.59	3.56	3.43	16012.2	3.1	16166.7	2089.902	J7202	K	9171	$4.76										
J7203	Factor ix recomb gly rebinyn	1	2676	16082.76	6.01	6.01	6.01	6.01	16075.54	6.01	16075.54	.	J7203	K	9468	$4.16										
J7204	Inj recombin esperoct per iu	43	1177189	809054.27	0.63	1.98	0.69	0.67	16192.42	0.65	20299.88	5181.873	J7204	G	9354	$2.10										
J7205	Factor viii fc fusion recomb	232	2.23E+06	3072158.36	0.63	2.83	1.38	1.07	12297.81	0.65	11613.97	7153.384	J7205	K	1656	$2.16										
J7207	Factor viii pegylated recomb	64	2025430	1669310.47	0.61	1.95	0.82	0.75	18646.35	0.63	26494.46	9820.833	J7207	K	1844	$2.04										
J7208	Inj. jivi 1 iu	47	228804	313105.96	1.21	3.14	1.37	1.31	6240.46	1.21	5726.82	2730.507	J7208	K	9299	$2.16										
J7209	Factor viii nuwiq recomb 1iu	176	1201901	3205101.36	0.91	2.92	2.67	2.63	16074.29	2.76	20492.68	1122.707	J7209	K	1846	$1.32										
J7210	"Inj, afstyla, 1 i.u."	29	245135	79263.75	0.24	4.24	0.32	0.27	104.7	0.24	9.2	9431.359	J7210	K	9043	$1.40										
J7211	"Inj, kovaltry, 1 i.u."	7	16430	20720	0.01	1.5	1.26	0.88	1301.71	1.5	2894.03	1806.066	J7211	K	9075	$1.31										
J7212	Factor viia recomb sevenfact	.	.	.	.	.	.	.	.	.	.	.	J7212	G	9395	$2.11										
J7294	Seg acet and eth estr yearly	.	.	.	.	.	.	.	.	.	.	.	J7294	E1												
J7295	Eth estr and eton monthly	.	.	.	.	.	.	.	.	.	.	.	J7295	E1												
J7296	"Kyleena, 19.5 mg"	30	30	22864.36	143.48	1647.17	762.15	678.88	678.88	693.26	693.26	46.208	J7296	E1												
J7297	"Liletta, 52 mg"	150	151	95711.68	4.55	3237.42	633.85	390.21	395.39	669.89	669.89	64.096	J7297	E1												
J7298	"Mirena, 52 mg"	1070	1070	899827.02	52.9	3009.23	840.96	732.76	732.76	801.73	801.73	47.668	J7298	E1												
J7301	"Skyla, 13.5 mg"	11	11	9313.57	173.83	3276.06	846.69	629.85	629.85	610.11	610.11	99.963	J7301	E1												
J7308	Aminolevulinic acid hcl top	3902	4655	1332016.3	41.83	755.85	286.15	255.44	292.4	224.45	287.89	52.1	J7308	K	7308	$393.46										
J7309	"Methyl aminolevulinate, top"	.	.	.	.	.	.	.	.	.	.	.	J7309	E2												
J7310	Ganciclovir long act implant	1	1	5301.66	5301.66	5301.66	5301.66	5301.66	5301.66	5301.66	5301.66	.	J7310	E2												
J7311	"Inj., retisert, 0.01 mg"	42	1725	718314.59	98.43	22916.12	416.41	260.96	15914	273.73	17393.9	2712.038	J7311	K	9225	$338.63										
J7312	Dexamethasone intra implant	2092	15684	2837360.8	8.47	590.58	180.91	166.97	1223.63	193.21	1353.01	101.581	J7312	K	9256	$200.07										
J7313	"Inj., iluvien, 0.01 mg"	67	1349	523263.61	3.51	667.78	387.89	350.75	6957.66	418.18	7945.34	136.885	J7313	K	9450	$490.95										
J7314	"Inj., yutiq, 0.01 mg"	107	2124	866560.14	4.8	668.03	407.98	379.45	7351.76	449.14	8243.15	131.575	J7314	K	9328	$518.34										
J7315	Ophthalmic mitomycin	1768	2214	501243.49	0.09	1525.8	226.4	76.9	117.1	139.41	214.75	116.689	J7315	N												
J7316	"Inj, ocriplasmin, 0.125 mg"	28	28	2604.56	93.02	93.02	93.02	93.02	93.02	93.02	93.02	0	J7316	K	9298	"$1,046.93"										
J7318	"Inj, durolane 1 mg"	2961	194666	2260992.26	1.43	41.94	11.61	9.55	494.83	10.2	568.61	441.394	J7318	K	9174	$9.27										
J7320	"Genvisc 850, inj, 1mg"	134	4860	127846.25	2.6	31.03	26.31	24.38	790.19	31.03	775.83	181.759	J7320	K	9079	$7.05										
J7321	Hyalgan supartz visco-3 dose	9114	13081	2232544.42	10.43	2106.27	170.67	128.86	171.67	147.33	193.24	86.527	J7321	N												
J7322	Hymovis injection 1 mg	296	9304	176258.04	3.82	237.14	18.94	14.67	448.92	22.34	538.01	477.09	J7322	K	9471	$16.83										
J7323	Euflexxa inj per dose	26467	37178	8178051.65	13.29	1287.96	219.97	176.32	233.75	196.41	253.8	74.36	J7323	K	0875	$130.89										
J7324	Orthovisc inj per dose	10329	14093	3616768.18	19.46	1625.66	256.64	198.19	255.7	216.5	264.17	87.252	J7324	K	0877	$149.47										
J7325	Synvisc or synvisc-one	17329	908408	14237682.45	0.01	198.2	15.67	11.9	555.75	13.81	568.7	561.824	J7325	K	0874	$10.14										
J7326	Gel-one	5181	7029	5013536.14	80.22	2699.87	713.26	579.05	742.76	528.2	777.14	84.877	J7326	K	1417	$492.23										
J7327	Monovisc inj per dose	2916	3913	3723543.3	110.79	7815.3	951.58	764.88	966.6	923.94	1019.93	69.386	J7327	K	1747	$756.93										
J7328	Gelsyn-3 injection 0.1 mg	2281	505944	808683.81	0.56	144.14	1.6	1.44	291.05	1.37	259.9	926.245	J7328	K	1862	$1.18										
J7329	"Inj, trivisc 1 mg"	787	26200	290406	6.23	11.26	11.08	11.03	346.88	11.26	281.47	47.262	J7329	K	9196	$10.26										
J7331	"Synojoynt, inj., 1 mg"	2	60	547.8	9.13	9.13	9.13	9.13	258.18	9.13	273.85	0	J7331	G	9337	$18.02										
J7332	"Inj., triluron, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J7332	N												
J7336	Capsaicin 8% patch	220	167690	488284.7	0.69	16.2	2.91	2.37	1728.79	3.43	1921.95	1646.679	J7336	K	9071	$3.24										
J7340	Carbidopa levodopa ent 100ml	9	9	117.68	0.41	114.4	13.08	0.77	0.77	0.41	0.41	290.593	J7340	K	9320	$216.47										
J7342	Ciprofloxacin otic susp 6 mg	111	276	13980.45	2.83	408.01	50.65	40.57	98.47	49.82	99.63	129.496	J7342	K	9479	$29.84										
J7345	"Aminolevulinic acid, 10% gel"	311	55548	86775.82	0.5	87.6	1.56	1.44	194.53	1.09	209.09	1264.028	J7345	K	9301	$1.62										
J7351	Inj bimatoprost itc imp1mcg	87	900	114335.8	41.76	240.36	127.04	113.8	1172.44	117.1	1170.99	145.022	J7351	G	9351	$206.33										
J7352	"Afamelanotide implant, 1 mg"	8	128	473926.56	2777.57	4257.54	3702.55	3627.43	58038.84	4257.54	68120.64	82.749	J7352	K	9396	"$3,218.90"										
J7401	Mometasone furoate sinus imp	52	1282	86925.62	7.01	2057.48	67.8	24.94	1216.13	19.06	1486.95	1439.411	J7401	D												
J7402	Mometasone sinus sinuva	165	14589	231876.35	0.24	3474.57	15.89	6.61	821.87	6.21	1260.16	5483.566	J7402	G	9346	$10.93										
J7500	Azathioprine oral 50mg	4579	7906	16308.43	0.02	29.92	2.06	1.1	1.82	1.05	1.79	222.784	J7500	N												
J7501	Azathioprine parenteral	3	7	512.46	4.1	240.9	73.21	15.69	48.28	4.1	16.38	271.169	J7501	K	0887	$236.79										
J7502	Cyclosporine oral 100 mg	1412	2697	20474.82	0.16	63.22	7.59	5.35	8.53	5.49	8.08	137.903	J7502	N												
J7503	Tacrol envarsus ex rel oral	1370	31323	41670.12	0.03	34.71	1.33	0.98	17.35	1.32	21.11	331.031	J7503	N												
J7504	Lymphocyte immune globulin	18	189	242205.76	317.65	18774.2	1281.51	804.56	11122.9	986.62	12826	679.961	J7504	K	0890	"$2,782.17"										
J7505	Monoclonal antibodies	1	1	0.29	0.29	0.29	0.29	0.29	0.29	0.29	0.29	.	J7505	N												
J7507	Tacrolimus imme rel oral 1mg	22683	70458	240834.2	0.02	99.63	3.42	2.29	5.34	2.62	5.5	159.611	J7507	N												
J7508	Tacrol astagraf ex rel oral	59	937	756.89	0.05	8.32	0.81	0.41	10.37	0.3	12.77	571.559	J7508	N												
J7509	Methylprednisolone oral	5839	39343	40680.9	0.01	106.51	1.03	0.72	4.22	0.67	5.03	457.129	J7509	N												
J7510	Prednisolone oral per 5 mg	915	8556	5865.04	0.02	64.46	0.69	0.11	1.88	0.09	1.19	1224.074	J7510	N												
J7511	Antithymocyte globuln rabbit	735	3047	2206949.72	302.24	1295.21	724.3	702.64	2805.21	682.07	2728.28	49.84	J7511	K	9104	$902.62										
J7512	Prednisone ir or dr oral 1mg	172631	5900916	447548.88	0.01	48.52	0.08	0.04	1.22	0.03	1.25	1501.364	J7512	N												
J7513	"Daclizumab, parenteral"	.	.	.	.	.	.	.	.	.	.	.	J7513	E2												
J7515	Cyclosporine oral 25 mg	2010	6268	13463.84	0.04	17.05	2.15	1.54	4.17	1.65	4.29	149.35	J7515	N												
J7516	Cyclosporin parenteral 250mg	4	4	331.82	28.33	108.79	82.96	73.52	73.52	97.35	97.35	44.378	J7516	N												
J7517	Mycophenolate mofetil oral	16289	57188	168445.94	0.01	695.21	2.95	1.35	4.13	1.07	3.59	342.947	J7517	N												
J7518	Mycophenolic acid	6147	19388	91186.74	0.06	194.13	4.7	3.51	9.76	4.2	10.62	143.459	J7518	N												
J7520	"Sirolimus, oral"	1065	1858	28953.85	0.9	78.13	15.58	12.15	18.79	12.74	19.33	90.513	J7520	N												
J7525	Tacrolimus injection	147	147	19663.1	23.78	333.41	133.76	120.02	120.02	91.09	91.09	44.915	J7525	K	9006	$233.60										
J7527	Oral everolimus	281	1790	15557.75	0.49	55.61	8.69	6.86	38.53	8.23	39.77	158.706	J7527	N												
J7599	Immunosuppressive drug noc	50	65	6515.93	2.02	964.76	100.25	18.79	17.82	20.55	25.11	263.027	J7599	N												
J7674	"Methacholine chloride, neb"	3428	221008	299125.51	0.07	374.06	1.35	0.79	52.64	0.75	66.69	3422.094	J7674	N												
J7999	"Compounded drug, noc"	104001	162709	3443603.48	0.18	975.76	21.16	10.8	16.04	12.95	18.56	241.233	J7999	N												
J8501	Oral aprepitant	19675	172680	1731201.68	0.27	49.26	10.03	8.31	70.88	8.86	72.92	173.78	J8501	N												
J8510	Oral busulfan	1	1	5.14	5.14	5.14	5.14	5.14	5.14	5.14	5.14	.	J8510	N												
J8520	"Capecitabine, oral, 150 mg"	12	89	916.94	0.15	92.73	10.3	1.07	13.57	0.15	8.37	673.599	J8520	N												
J8521	"Capecitabine, oral, 500 mg"	128	983	8276.4	0.15	92.35	8.42	1.35	21.93	1.27	26.5	488.251	J8521	N												
J8530	Cyclophosphamide oral 25 mg	2338	45323	298892.82	0.23	39.49	6.59	5.44	102.26	5.29	105.22	346.255	J8530	N												
J8540	Oral dexamethasone	192056	8540110	971058.7	0.01	29.67	0.11	0.08	3.35	0.08	3.34	980.924	J8540	N												
J8560	Etoposide oral 50 mg	3	9	2636.5	46.64	2263.38	292.94	71.79	428.69	46.64	186.57	504.473	J8560	K	0802	$76.03										
J8562	Oral fludarabine phosphate	.	.	.	.	.	.	.	.	.	.	.	J8562	E2												
J8565	Gefitinib oral	.	.	.	.	.	.	.	.	.	.	.	J8565	E2												
J8597	Antiemetic drug oral nos	16892	24728	63784.43	0.01	83.56	2.58	0.71	0.94	0.93	1.18	307.591	J8597	N												
J8600	Melphalan oral 2 mg	.	.	.	.	.	.	.	.	.	.	.	J8600	E2												
J8610	Methotrexate oral 2.5 mg	969	5021	22376.51	0.02	51.83	4.46	3.31	14.54	3.25	15.83	203.913	J8610	N												
J8650	Nabilone oral	4	4	43.8	10.95	10.95	10.95	10.95	10.95	10.95	10.95	0	J8650	E2												
J8655	"Oral netupitant, palonosetro"	4	4	1628.72	407.18	407.18	407.18	407.18	407.18	407.18	407.18	0	J8655	K	9448	$396.09										
J8670	"Rolapitant, oral, 1mg"	12	2160	5572.8	2.58	2.58	2.58	2.58	464.17	2.58	464.17	0	J8670	K	1761	$1.74										
J8700	Temozolomide	109	3628	12222.68	0.23	18.97	3.37	2.59	85.61	2.17	69.5	556.264	J8700	N												
J8705	Topotecan oral	.	.	.	.	.	.	.	.	.	.	.	J8705	N												
J9000	Doxorubicin hcl injection	40850	353212	3570656.45	0.06	608.6	10.11	6.62	54.25	6.51	54.47	520.396	J9000	N												
J9015	Aldesleukin injection	220	220	798218.14	326.39	6829.72	3628.26	2928.21	2928.21	4029.76	4029.76	42.481	J9015	K	0807	"$3,795.26"										
J9017	Arsenic trioxide injection	4645	70927	3211250.09	6.02	478.69	45.28	33.73	499.74	40.95	594.56	405.8	J9017	K	9012	$15.37										
J9019	Erwinaze injection	24	1200	610279	501.59	509.2	508.57	508.56	25428.07	509.2	25460.02	2.987	J9019	K	9289	$427.27										
J9020	"Asparaginase, nos"	.	.	.	.	.	.	.	.	.	.	.	J9020	E2												
J9021	"Inj, aspara, rylaze, 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	J9021	G	9437	$46.53										
J9022	"Inj, atezolizumab,10 mg"	42333	5020565	364289758.3	0.25	642.89	72.56	67.08	7891.02	68.89	8150.1	434.678	J9022	K	9483	$82.07										
J9023	"Injection, avelumab, 10 mg"	7103	574257	48092338.32	8.01	365.89	83.75	76.59	6144.87	79.53	6347.05	409.713	J9023	K	9491	$88.18										
J9025	Azacitidine injection	113374	19565475	63999441.82	0.01	60.48	3.27	2.42	407.18	2.74	432.7	1000.032	J9025	N												
J9027	Clofarabine injection	24	1500	129800.2	24.79	197.47	86.53	66.62	3560.39	70.08	3964.84	578.433	J9027	K	1710	$28.77										
J9030	Bcg live intravesical 1mg	31101	1409361	5879199.29	0.01	205.71	4.17	3.31	144.72	3.38	153.08	1447.391	J9030	N												
J9032	"Injection, belinostat, 10mg"	415	76795	3707353.41	8.01	87.37	48.28	45.26	8604.52	49.29	9830.44	411.875	J9032	K	1658	$44.36										
J9033	"Inj., treanda 1 mg"	1495	241979	5648028.28	3.37	124.78	23.34	20.19	3278.71	20.62	3545.86	914.113	J9033	K	9243	$16.53										
J9034	"Inj., bendeka 1 mg"	22729	3633822	81057993.98	0.16	94.98	22.31	20.55	3212.41	21.56	3354.49	522.98	J9034	K	1861	$17.43										
J9035	Bevacizumab injection	46430	3305986	260242712.1	0.03	3225.06	78.72	73.63	4643.19	75.98	4636.38	339.769	J9035	K	9214	$69.72										
J9036	Inj. belrapzo/bendamustine	2054	332484	8016513.63	2.76	54.59	24.11	22.53	3609.85	23.55	3651.43	428.643	J9036	K	9313	$17.12										
J9037	Inj belantamab mafodot blmf	1159	482064	18082831.23	7.36	133.58	37.51	34.96	14292.18	35.85	14587.09	746.983	J9037	G	9384	$44.25										
J9039	"Injection, blinatumomab"	866	117823	13211637.43	18.97	243.05	112.13	103.99	12169.27	105.57	11292.48	403.946	J9039	K	9449	$131.90										
J9040	Bleomycin sulfate injection	1147	2092	115812.67	6.37	542.19	55.36	41	73.7	39.21	71.53	155.272	J9040	N												
J9041	"Inj., velcade 0.1 mg"	138695	4586976	221589200.1	1.34	1189.05	48.31	44.26	1454.86	45.16	1480.64	294.486	J9041	K	9207	$39.05										
J9042	Brentuximab vedotin inj	5046	639539	100104978.3	10.33	745.53	156.53	142.72	17435.33	150.62	17915.95	450.65	J9042	K	9287	$205.76										
J9043	Cabazitaxel injection	8104	459055	84867653.09	3.36	1257.25	184.87	164.06	9136.68	168.37	9362.72	399.828	J9043	K	9276	$195.65										
J9044	"Inj, bortezomib, nos, 0.1 mg"	3435	96776	3903430.48	8.41	152.79	40.33	34.09	919.37	30.43	791.16	350.473	J9044	D												
J9045	Carboplatin injection	181184	1413885	18173558.36	0.02	514.88	12.85	7.29	52.19	6.69	50.92	616.574	J9045	N												
J9047	"Injection, carfilzomib, 1 mg"	52376	4721184	190008649.4	1.08	258.71	40.25	37.34	3122.96	39.03	3240.49	363.846	J9047	K	9295	$44.03										
J9050	Carmustine injection	192	683	1375816.46	217.01	5100.18	2014.37	1784.8	5797.64	2237.7	6807.63	77.928	J9050	K	0812	$468.03										
J9055	Cetuximab injection	21839	1424875	96315828.06	0.19	443.81	67.6	62.95	3834.08	64.97	3788.51	304.168	J9055	K	9215	$69.09										
J9057	"Inj., copanlisib, 1 mg"	520	31200	2455594.2	27.27	143.97	78.7	73.48	4408.87	72.68	4360.99	287.99	J9057	K	9030	$82.37										
J9060	Cisplatin 10 mg injection	55671	448546	3444060.28	0.03	470.08	7.68	4.52	34.06	4.32	32.05	515.406	J9060	N												
J9061	"Inj, amivantamab-vmjw"	.	.	.	.	.	.	.	.	.	.	.	J9061	G	9432	$18.90										
J9065	Inj cladribine per 1 mg	1064	14161	550072.05	2.66	973.79	38.84	32.25	399.35	34.64	385.96	312.803	J9065	K	0858	$24.31										
J9070	Cyclophosphamide 100 mg inj	62317	706115	41050989.9	0.26	4195.77	58.14	50.65	533.13	53.04	554.99	210.241	J9070	K	1408	$21.92										
J9098	Cytarabine liposome inj	8	40	441.3	1.77	38.82	11.03	3.83	44.55	1.77	77.63	347.613	J9098	E2												
J9100	Cytarabine hcl 100 mg inj	5813	53704	195828.75	0.04	1039.24	3.65	1.71	11.25	1.59	13.52	995.42	J9100	N												
J9118	Inj. calaspargase pegol-mknl	.	.	.	.	.	.	.	.	.	.	.	J9118	E2												
J9119	"Inj., cemiplimab-rwlc, 1 mg"	10245	3584705	87201547.2	2.58	100.07	24.33	22.5	7873.93	23.6	8259.99	726.213	J9119	K	9304	$27.26										
J9120	Dactinomycin injection	120	396	593256.02	500.38	4464.11	1498.12	1398.4	3853.36	1339.65	4464.11	64.429	J9120	K	0752	$557.40										
J9130	Dacarbazine 100 mg inj	4520	37867	363899.25	0.25	74.83	9.61	7.66	61.56	7.51	60.7	232.399	J9130	N												
J9144	"Daratumumab, hyaluronidase"	83041	14945374	634603007.6	0.01	192.37	42.46	39.69	7138.7	41.41	7453.02	462.502	J9144	G	9378	$46.76										
J9145	"Injection, daratumumab 10 mg"	34434	4346923	226084991.3	0.52	203.19	52.01	47.97	5862.9	49.76	6068.4	454.185	J9145	K	9476	$59.35										
J9150	Daunorubicin injection	38	167	13309.79	3.07	431.53	79.7	62.49	257.12	86.54	267.79	163.341	J9150	K	0820	$46.55										
J9151	Daunorubicin citrate inj	.	.	.	.	.	.	.	.	.	.	.	J9151	E2												
J9153	"Inj daunorubicin, cytarabine"	283	25161	4643347.72	26.22	427.28	184.55	170.25	14795.88	162.86	15789.16	376.069	J9153	K	9302	$215.22										
J9155	Degarelix injection	12412	1346564	7492234.71	0.01	27.25	5.56	5.03	492.02	5.08	476.53	463.107	J9155	K	1296	$4.08										
J9160	Denileukin diftitox inj	.	.	.	.	.	.	.	.	.	.	.	J9160	E2												
J9165	Diethylstilbestrol injection	.	.	.	.	.	.	.	.	.	.	.	J9165	E2												
J9171	Docetaxel injection	58359	6765280	39071008.63	0.01	105.86	5.78	3.12	334.97	2.88	308.47	1359.262	J9171	N												
J9173	"Inj., durvalumab, 10 mg"	39131	3711214	256719925.6	0.01	750.8	69.17	63.82	5670.74	66.07	5691.17	393.941	J9173	K	9492	$77.96										
J9175	Elliotts b solution per ml	224	1702	18098.21	7.75	20.8	10.63	10.42	75.36	9.99	86.12	60.191	J9175	N												
J9176	"Injection, elotuzumab, 1mg"	7966	8348584	52723564.51	1.41	37.14	6.32	5.9	5747.05	6.14	5757.29	1212.286	J9176	K	9477	$6.95										
J9177	Inj enfort vedo-ejfv 0.25mg	10398	3383921	92498765.49	1.1	129.59	27.33	25.39	7953.46	26.36	8166.14	673.473	J9177	G	9364	$32.55										
J9178	"Inj, epirubicin hcl, 2 mg"	139	7342	17175.76	0.65	5.6	2.34	2.14	98.54	2.45	87.81	289.465	J9178	N												
J9179	Eribulin mesylate injection	8941	210282	25866156.17	22.58	885.62	123.01	112.44	2568.66	116.49	2685.66	277.528	J9179	K	1426	$125.68										
J9181	Etoposide injection	65306	1129800	3132270.81	0.02	175.74	2.77	1.56	26.33	1.35	23.21	811.517	J9181	N												
J9185	Fludarabine phosphate inj	2583	3923	499007.35	11.79	556.07	127.2	99.25	149.39	104.28	141.52	91.748	J9185	K	9080	$92.214										
J9190	Fluorouracil injection	173203	1546626	12656997.94	0.02	263.85	8.18	5.25	42.39	4.88	42.58	429.942	J9190	N												
J9198	"Inj. infugem, 100 mg"	219	3542	114142.06	5.55	39.57	32.23	31.86	509.5	31.6	505.59	55.079	J9198	G	9387	$23.57										
J9199	"Injection, infugem, 200 mg"	.	.	.	.	.	.	.	.	.	.	.	J9199	D												
J9200	Floxuridine injection	423	423	14751.41	1.62	164.36	34.87	20.64	20.64	20.72	20.72	116.992	J9200	N												
J9201	In gemcitabine hcl nos 200mg	159568	1347033	24755925.66	0.16	3368.64	18.38	10.31	84.81	9.76	79.72	726.062	J9201	N												
J9202	Goserelin acetate implant	7066	14753	9055542.58	71.05	3060.64	613.81	548.47	1012.03	596.25	1011.5	73.23	J9202	K	0810	$572.72										
J9203	Gemtuzumab ozogamicin 0.1 mg	190	9906	2148399.77	13.74	2677.07	216.88	157.84	7963.48	173.47	9142.52	930.642	J9203	K	9495	$214.28										
J9204	"Inj mogamulizumab-kpkc, 1 mg"	2278	185132	33664781.42	52.23	533.89	181.84	171.6	13785.07	182	14429.49	298.841	J9204	K	9182	$216.39										
J9205	Inj irinotecan liposome 1 mg	5615	661576	35145993.48	4.94	252.04	53.12	48.3	5534.49	49.94	5564.15	502.534	J9205	K	9474	$60.05										
J9206	Irinotecan injection	77747	1104146	15652898.76	0.02	581.72	14.18	7.97	109.25	7.32	106.66	895.54	J9206	N												
J9207	Ixabepilone injection	387	22280	2136929.98	29	304.64	95.91	88.54	4737.54	93.21	5075.92	291.267	J9207	K	9240	$116.74										
J9208	Ifosfamide injection	1148	4346	232468.87	4.19	411.41	53.49	41.92	151.61	38.99	138.14	212.838	J9208	N												
J9209	Mesna injection	2389	25764	255547.27	0.73	97.13	9.92	5.61	46.07	5.5	45.03	514.768	J9209	N												
J9210	"Inj., emapalumab-lzsg, 1 mg"	16	1060	378824.6	303.98	450.49	357.38	352.6	19268.3	308.38	13679.11	141.175	J9210	K	9310	$375.71										
J9211	Idarubicin hcl injection	24	62	12523.66	46.98	390.91	201.99	141.12	443.87	80.15	686.68	118.695	J9211	N												
J9212	Interferon alfacon-1 inj	2	6	1824.56	2.4	454.94	304.09	79.2	93.46	454.94	912.28	171.838	J9212	E2												
J9213	Interferon alfa-2a inj	.	.	.	.	.	.	.	.	.	.	.	J9213	E2												
J9214	Interferon alfa-2b inj	1689	49376	1393990.72	2.06	959.97	28.23	25.11	509.23	28.2	541.13	324.31	J9214	K	0836	$32.57										
J9215	Interferon alfa-n3 inj	.	.	.	.	.	.	.	.	.	.	.	J9215	E2												
J9216	Interferon gamma 1-b inj	.	.	.	.	.	.	.	.	.	.	.	J9216	E2												
J9217	Leuprolide acetate suspnsion	125090	424091	225922406.4	1.77	13193.51	532.72	328.31	1061.45	320.68	1054.09	194.291	J9217	K	9217	$166.47										
J9218	Leuprolide acetate injeciton	58	1187	21530.3	8.82	2499.2	18.14	11.21	268.16	10.23	235.33	2771.661	J9218	K	9047	$11.720										
J9219	Leuprolide acetate implant	1	1	108.99	108.99	108.99	108.99	108.99	108.99	108.99	108.99	.	J9219	E2												
J9223	"Inj. lurbinectedin, 0.1 mg"	4024	276672	43701262.64	4.44	879.51	157.95	144.46	9646.64	149.09	10174.13	342.299	J9223	G	9389	$184.22										
J9225	Vantas implant	17	17	63713.78	1325.66	7827.29	3747.87	3270.82	3270.82	3414.29	3414.29	53.961	J9225	K	1711	"$5,166.29"										
J9226	Supprelin la implant	.	.	.	.	.	.	.	.	.	.	.	J9226	N												
J9227	Inj. isatuximab-irfc 10 mg	2713	221861	13867173.68	0.01	292.06	62.5	57.72	4544.97	59.51	4778.82	386.305	J9227	G	9377	$70.45										
J9228	Ipilimumab injection	11959	1688105	232611101.7	0.01	1508.42	137.79	127.3	15634.16	133.73	15182.57	479.909	J9228	K	9284	$163.10										
J9229	Inj inotuzumab ozogam 0.1 mg	573	6681	14448092.56	351.75	4103.58	2162.56	2046.69	22173.11	1953.92	20772.96	111.956	J9229	K	9028	"$2,443.31"										
J9230	Mechlorethamine hcl inj	6	6	153.2	2.55	48.2	25.53	19.33	19.33	26.81	26.81	57.004	J9230	N												
J9245	Inj melpha hydroch nos 50 mg	332	1828	1288010.96	1.94	2460.66	704.6	505.1	2225.84	497.45	2362.25	196.09	J9245	K	0840	$297.10										
J9246	"Inj., evomela, 1 mg"	80	22236	951210.91	6.51	53.26	42.78	40.68	10608.43	44.84	11958.13	451.826	J9246	K	9375	$16.34										
J9247	"Inj, melphalan flufenami 1mg"	23	840	373916.8	133.24	609.62	445.14	413.95	14754.26	428.93	16630.8	201.818	J9247	G	9417	$503.50										
J9250	Methotrexate sodium inj	6444	60188	150613.17	0.01	151.7	2.5	0.75	6.61	0.51	6.56	988.199	J9250	N												
J9260	Methotrexate sodium inj	5222	7047	138238.92	0.06	216.65	19.62	6.91	9.62	6.31	11.61	205.645	J9260	N												
J9261	Nelarabine injection	116	4965	744656.26	65.7	308.54	149.98	138.1	5571.48	133.92	4772.89	262.732	J9261	K	0825	$127.39										
J9262	"Inj, omacetaxine mep, 0.01mg"	77	16505	42340.77	0.54	9.65	2.57	1.59	58.08	2.77	188.52	1528.275	J9262	K	9297	$3.65										
J9263	Oxaliplatin	99879	31487223	36208896.94	0.01	23.04	1.15	0.54	163.28	0.5	157.04	3486.638	J9263	N												
J9264	Paclitaxel protein bound	71839	15157337	216530237.6	0.12	66.31	14.29	13.22	2697.16	13.51	2757.99	580.928	J9264	K	1712	$12.14										
J9266	Pegaspargase injection	74	84	1157051.03	557.94	26876.89	13774.42	10450.76	12396.49	13807.08	14132.27	56.98	J9266	K	0843	"$23,577.01"										
J9267	Paclitaxel injection	172344	29596540	18134927.31	0.01	55.95	0.61	0.36	57.67	0.33	54.92	3169.365	J9267	N												
J9268	Pentostatin injection	233	233	382042.36	555.63	3359.15	1639.67	1525.1	1525.1	1693.66	1693.66	36.117	J9268	K	0844	"$2,206.44"										
J9269	Inj. tagraxofusp-erzs 10 mcg	225	22729	6829609.09	185.25	449.02	300.48	286.03	28910.85	271.83	28559.69	319.45	J9269	K	9309	$308.81										
J9270	Plicamycin (mithramycin) inj	.	.	.	.	.	.	.	.	.	.	.	J9270	N												
J9271	Inj pembrolizumab	226970	51035250	2354887339	0.08	331.7	46.14	42.7	9298.71	44.13	9280.73	582.726	J9271	K	1490	$54.55										
J9272	"Inj, dostarlimab-gxly, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J9272	G	9431	$220.75										
J9280	Mitomycin injection	12747	77189	8785355.52	0.21	2957.57	113.82	81.74	414.73	89.98	472.2	235.931	J9280	K	1232	$54.29										
J9281	Mitomycin instillation	688	51406	13817062.29	3.99	878.53	268.78	239.99	17175.41	255.07	19249.07	375.868	J9281	G	9374	$285.10										
J9285	"Inj, olaratumab, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J9285	N												
J9293	Mitoxantrone hydrochl / 5 mg	339	1747	129976.86	2.4	478.15	74.4	52.35	267.98	43.69	241.88	237.025	J9293	K	0864	$53.34										
J9295	"Injection, necitumumab, 1 mg"	9	7200	53504	3.68	7.9	7.43	7.26	5804.12	7.9	6318	535.405	J9295	K	9475	$5.74										
J9299	"Injection, nivolumab"	95457	34106604	888337415.7	0.03	122.63	26.05	24.25	8064.47	24.98	8445.06	709.979	J9299	K	9453	$29.55										
J9301	Obinutuzumab inj	12919	1280259	79870941.09	0.47	300.26	62.39	57.48	5689.43	59.26	5882.43	410.342	J9301	K	1476	$67.35										
J9302	Ofatumumab injection	77	10497	546347.3	1.3	125.82	52.05	48.64	6093.12	56.73	6171.82	336.287	J9302	K	9260	$63.96										
J9303	Panitumumab injection	10461	488271	58506089.93	10.6	505.09	119.82	110.05	4882.93	114.25	5102.37	282.124	J9303	K	9235	$139.67										
J9304	"Inj. pemetrexed, 10 mg"	56	1979	117276.21	57.33	87.24	59.26	58.97	1944.57	57.66	2306.2	66.748	J9304	G	9442	$75.79										
J9305	Inj. pemetrexed nos 10mg	48872	4356194	306418312.9	2.48	328.98	70.34	65.65	5760.39	66.59	5974.06	343.95	J9305	K	9213	$47.75										
J9306	"Injection, pertuzumab, 1 mg"	31878	14343581	170876474.6	0.07	57.74	11.91	11.05	4879.42	11.43	4920.51	798.407	J9306	K	1471	$14.44										
J9307	Pralatrexate injection	942	43370	12028215.62	49.16	575.03	277.34	260.76	11390.65	274.15	11881.66	214.27	J9307	K	9259	$321.09										
J9308	"Injection, ramucirumab"	8552	1135209	65253229.58	3.12	269.97	57.48	52.84	6762.92	54.21	6968.06	481.051	J9308	K	1488	$65.62										
J9309	"Inj, polatuzumab vedotin 1mg"	1535	227045	23459232.29	16.25	457.58	103.32	95.43	13605.31	99.22	13786.73	497.68	J9309	K	9331	$118.11										
J9311	"Inj rituximab, hyaluronidase"	7136	1005119	45720541.01	1.48	723.78	45.49	42.49	5984.88	41.98	5908.79	481.413	J9311	K	9467	$37.88										
J9312	"Inj., rituximab, 10 mg"	56169	4548087	403254803.5	0.01	657.51	88.66	81.84	6493.87	85.44	6839.16	348.341	J9312	K	9186	$82.25										
J9313	"Inj., lumoxiti, 0.01 mg"	41	13900	351852	7.9	95.64	25.31	22.83	7711.42	24.99	9996.78	782.956	J9313	K	9305	$23.39										
J9315	Romidepsin injection	1739	44539	14423322.43	19.88	645.44	323.84	298.84	7473.29	340.16	8037.47	171.729	J9319	K	9429	$32.79										
J9316	"Pertuzu, trastuzu, 10 mg"	2306	212645	19861763.13	19.71	1263.12	93.4	83.18	7988.96	81.54	8255.57	525.597	J9316	G	9390	$69.85										
J9317	Sacituzumab govitecan-hziy	7031	1822952	49602893.46	2.2	350.46	27.21	25	6341.31	25.51	6482.76	707.852	J9317	G	9376	$32.04										
J9318	Inj romidepsin non-lyo 0.1mg	7	1875	79423.75	25.23	48.51	42.36	41.1	10985.27	48.51	9702.2	393.719	J9318	G	9428	$33.91										
J9319	Inj romidepsin lyophil 0.1mg	489	126309	4202787.91	2.29	142.12	33.27	31.64	7981.95	33.62	8475.17	486.523	J9319	K	9429	$32.79										
J9320	Streptozocin injection	30	45	18089.11	204.86	526.44	401.98	379.74	536.64	397.59	526.44	39.383	J9320	K	0850	$332.98										
J9325	Inj talimogene laherparepvec	2045	376720	19225612.97	9.03	4245.14	51.03	47.39	5075.83	46.38	7065.41	527.4	J9325	K	9472	$60.62										
J9328	Temozolomide injection	160	48009	410851.21	2.93	23.96	8.56	7.42	2122.34	8.24	2302.81	1053.919	J9328	K	9253	$10.40										
J9330	Temsirolimus injection	1538	38204	2377369.56	13.24	182.14	62.23	55.19	1368.56	52.19	1304.72	265.649	J9330	K	1168	$31.88										
J9340	Thiotepa injection	86	565	285868.84	63.97	2027.01	505.96	472.96	1372	468.86	773.3	117.977	J9340	K	0851	$299.07										
J9348	"Inj. naxitamab-gqgk, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J9348	G	9408	$557.42										
J9349	"Inj., tafasitamab-cxix"	3134	1459022	17460773.33	2.92	26.11	11.97	11.24	5136.11	11.51	5334.28	754.486	J9349	G	9385	$12.97										
J9351	Topotecan injection	11088	498492	2848021.43	0.01	115.87	5.71	3.29	140.78	3.32	141	909.032	J9351	N												
J9352	Injection trabectedin 0.1mg	724	19829	5893587.45	56.48	785.17	297.22	274.71	7357.97	297.63	7717.46	209.897	J9352	K	9480	$331.85										
J9353	"Inj. margetuximab-cmkb, 5 mg"	170	35258	1561555.7	13.61	326.6	44.29	39.36	7864.86	39.02	7848.4	1133.52	J9353	G	9418	$44.17										
J9354	"Inj, ado-trastuzumab emt 1mg"	13696	3543188	109419584	2.61	187.03	30.88	28.68	7222.38	29.64	7390.49	630.665	J9354	K	9131	$35.70										
J9355	Inj trastuzumab excl biosimi	40507	1830188	182051188.2	0.95	1224.1	99.47	92.58	3944.64	94.02	4157.74	291.006	J9355	K	1613	$84.40										
J9356	"Inj. herceptin hylecta, 10mg"	3534	211992	17435532.6	4.26	611.2	82.25	74.91	4493.82	79.32	4759.35	475.195	J9356	K	9314	$67.81										
J9357	Valrubicin injection	398	1592	2154956.64	373.41	5459.57	1353.62	1230.46	4921.82	1213.18	4852.73	103.124	J9357	K	1235	"$1,284.60"										
J9358	Inj fam-trastu deru-nxki 1mg	6858	2613647	59124031.43	0.25	157.27	22.62	20.96	7692.62	21.83	7875.41	782.974	J9358	G	9353	$25.21										
J9360	Vinblastine sulfate inj	4427	45635	323019.98	0.47	107.07	7.08	5.35	52.64	5.25	52.49	421.642	J9360	N												
J9370	Vincristine sulfate 1 mg inj	25620	44137	746297.54	0.5	241.96	16.91	10.85	18.31	9.24	16.36	169.414	J9370	N												
J9371	"Inj, vincristine sul lip 1mg"	56	196	397033.31	4.12	4214.83	2025.68	598.93	399.93	2408.5	8143.63	115.166	J9371	K	1466	"$3,420.78"										
J9390	Vinorelbine tartrate inj	9106	42962	985476.2	2.05	400.8	22.94	17.87	82.66	18.74	85.41	190.666	J9390	N												
J9395	"Injection, fulvestrant"	80916	1618318	103181408.8	0.82	400.08	63.76	48.8	975.94	54.94	1098.85	310.035	J9395	K	9120	$11.05										
J9400	"Inj, ziv-aflibercept, 1mg"	108	31576	377224.96	4.6	58.5	11.95	9.72	2793.35	10.92	2953.68	1487.328	J9400	K	9296	$7.13										
J9600	Porfimer sodium injection	50	115	1996357.56	2183.59	47912.6	17359.63	14863.85	35137.45	15138.26	39251.94	81.213	J9600	K	0856	"$22,490.02"										
J9999	Chemotherapy drug	2383	6366	3664645.3	0.01	23979.89	575.66	6.07	4.96	9.88	0.87	519.151	J9999	N												
P9041	"Albumin (human),5%, 50ml"	8229	208016	3520864.26	0.06	260.02	16.93	14.51	197.68	15.97	146.79	312.656	P9041	K	0961	$10.49										
P9045	"Albumin (human), 5%, 250 ml"	43916	269982	17667530.58	1.35	1192.8	65.44	57.81	221.67	59.1	200.15	138.512	P9045	K	0963	$52.45										
P9046	"Albumin (human), 25%, 20 ml"	2437	18032	493428.98	2.09	225.41	27.36	19.57	152.12	22.01	158.46	231.033	P9046	K	0964	$20.98										
P9047	"Albumin (human), 25%, 50ml"	93908	320968	22560446.29	2.45	1435.31	70.29	60.03	184.84	60.58	188.47	112.851	P9047	K	0965	$52.45										
Q0138	"Ferumoxytol, non-esrd"	73460	37528891	65244686.67	0.04	30.2	1.74	1.51	768.02	1.61	820.4	1217.749	Q0138	K	1297	$0.53										
Q0139	"Ferumoxytol, esrd use"	1477	752710	1657662.5	0.08	4.28	2.2	1.98	1009.13	2.53	1291.81	862.773	Q0139	K	1485	$0.53										
Q0161	Chlorpromazine hcl 5mg oral	1605	63449	48157.04	0.01	26.61	0.76	0.47	15.39	0.36	17.03	823.811	Q0161	N												
Q0162	Ondansetron oral	161801	1451368	1881304.88	0.01	247.64	1.3	0.25	2.73	0.15	1.64	712.522	Q0162	N												
Q0163	Diphenhydramine hcl 50mg	94166	94166	67923.79	0.01	24.91	0.72	0.22	0.22	0.2	0.2	212.212	Q0163	N												
Q0164	Prochlorperazine maleate 5mg	16648	31323	26159.55	0.02	17.52	0.84	0.59	1.09	0.52	1.04	146.4	Q0164	N												
Q0166	Granisetron hcl 1 mg oral	7153	10296	136317.62	0.16	127.66	13.24	4.6	6.5	3.2	5.27	194.702	Q0166	N												
Q0167	Dronabinol 2.5mg oral	2712	5819	32304.25	0.47	83.39	5.55	4.04	7.25	4.64	7.42	143.847	Q0167	N												
Q0169	Promethazine hcl 12.5mg oral	4023	7993	6217.52	0.01	51.05	0.78	0.45	0.88	0.51	1	197.545	Q0169	N												
Q0173	Trimethobenzamide hcl 250mg	86	241	576.82	0.4	5.05	2.39	1.87	4.63	1.9	3.97	104.366	Q0173	N												
Q0174	Thiethylperazine maleate10mg	.	.	.	.	.	.	.	.	.	.	.	Q0174	E2												
Q0175	Perphenazine 4mg oral	608	1866	3327.57	0.13	14.44	1.78	1.1	3.18	1.05	3.03	199.346	Q0175	N												
Q0177	Hydroxyzine pamoate 25mg	7777	12853	10942.24	0.02	8.23	0.85	0.59	0.9	0.62	0.93	124.468	Q0177	N												
Q0180	Dolasetron mesylate oral	6	6	10.34	1.67	1.91	1.72	1.72	1.72	1.67	1.67	5.622	Q0180	N												
Q0239	Bamlanivimab-xxxx	3331	3331	1360.67	0.01	11.01	0.41	0.18	0.18	0.18	0.18	255.328	Q0239	D												
Q0515	Sermorelin acetate injection	.	.	.	.	.	.	.	.	.	.	.	Q0515	E2												
Q2004	Bladder calculi irrig sol	1	1	56.15	56.15	56.15	56.15	56.15	56.15	56.15	56.15	.	Q2004	N												
Q2009	Fosphenytoin inj pe	3044	53411	365438.84	0.1	199.1	6.84	4.51	71.87	5.25	77.64	407.841	Q2009	N												
Q2017	"Teniposide, 50 mg"	.	.	.	.	.	.	.	.	.	.	.	Q2017	N												
Q2026	Radiesse injection	53	205	34309.24	17.85	1071.14	167.36	53.81	587.87	27.48	675.93	328.197	Q2026	K	9094	$257.37										
Q2028	"Inj, sculptra, 0.5mg"	33	28399	28928.97	0.42	349.4	1.02	0.77	212.41	0.58	620.55	8993.066	Q2028	K	9095	$2.49										
Q2039	"Influenza virus vaccine, nos"	3415	3415	30452.32	4.18	56.95	8.92	7.72	7.72	8.49	8.49	76.728	Q2039	L												
Q2041	Axicabtagene ciloleucel car+	1	1	295451.52	295451.5	295451.5	295451.5	295451.5	295451.5	295451.5	295451.5	.	Q2041	K	9035	"$422,884.77"										
Q2042	Tisagenlecleucel car-pos t	3	3	426727.58	75264.27	276199	142242.5	116091.4	116091.4	75264.27	75264.27	81.558	Q2042	K	9194	"$453,856.60"										
Q2043	Sipuleucel-t auto cd54+	784	784	38556655.13	7562	146931.2	49179.41	43032.55	43032.55	50102.45	50102.45	49.042	Q2043	K	9273	"$53,505.53"										
Q2049	Imported lipodox inj	60	392	166247.71	167.8	3244.49	424.1	406.5	2564.47	399.21	3113.22	108.761	Q2049	K	1421	$311.04										
Q2050	Doxorubicin inj 10mg	16171	105426	40509272.26	6.2	3543.21	384.24	341.4	2156.4	356.74	2197.24	127.875	Q2050	K	7046	$111.99										
Q2053	Brexucabtagene car pos t	.	.	.	.	.	.	.	.	.	.	.	Q2053	G	9391	"$422,940.00"										
Q2054	Lisocabtagene mara car pos t	1	1	382420.11	382420.1	382420.1	382420.1	382420.1	382420.1	382420.1	382420.1	.	Q2054	G	9413	"$434,918.00"										
Q2055	Idecabtagene vicleucel car	.	.	.	.	.	.	.	.	.	.	.	Q2055	G	9422	"$444,670.00"										
Q3027	Inj beta interferon im 1 mcg	564	16920	1210745.1	9.96	281.07	71.56	54.14	1624.35	56.66	1699.73	445.258	Q3027	K	1472	$54.83										
Q4081	"Epoetin alfa, 100 units esrd"	2615	233837	580703.82	0.1	56.6	2.48	1.93	160.79	2.12	187.01	907.759	Q4081	N												
Q4100	"Skin substitute, nos"	2862	131389	5547073.69	0.01	31753.49	42.22	2.12	834.09	0.92	1017.21	6986.862	Q4100	N												
Q4101	Apligraf	9148	400767	14380858.43	0.1	4153.27	35.88	28.82	1211.33	28.67	1241.59	681.413	Q4101	N												
Q4102	Oasis wound matrix	2731	39537	589761.32	0.19	2871.67	14.92	6.47	102	7.45	112.41	1006.318	Q4102	N												
Q4103	Oasis burn matrix	802	24615	236057.92	0.08	1203.36	9.59	5.49	137.53	5.19	156.99	1264.581	Q4103	N												
Q4104	Integra bmwd	1678	65484	5412911.63	0.27	24398.23	82.66	38	2056.62	38.99	2602.73	3092.839	Q4104	N												
Q4105	Integra drt or omnigraft	240	1931	381085.77	3.38	9561.22	197.35	69.9	358.78	75.19	728.93	929.869	Q4105	N												
Q4106	Dermagraft	2612	96679	3758610.23	1.27	1378.05	38.88	30.37	1099	29.15	1085.58	617.14	Q4106	N												
Q4107	Graftjacket	219	2401	633937.35	16.03	9125.13	264.03	96	1733.13	82.77	2112.06	986.999	Q4107	N												
Q4108	Integra matrix	212	6540	594577.27	0.29	18527.71	90.91	21.66	1365.39	23.26	2097.9	2905.457	Q4108	N												
Q4110	Primatrix	3594	38112	3069229.44	0.46	10664.92	80.53	51.61	474.6	49.8	526.45	794.647	Q4110	N												
Q4111	Gammagraft	29	2105	10040.38	1.17	27.45	4.77	4.03	288.1	3.26	234.82	629.376	Q4111	N												
Q4112	Cymetra injectable	10	13	15571.04	142.67	9667.98	1197.77	493.85	648.91	477.54	438.25	248.481	Q4112	N												
Q4113	Graftjacket xpress	2	4	864.25	96.02	576.19	216.06	150.28	407.4	96.02	432.12	192.463	Q4113	N												
Q4114	Integra flowable wound matri	329	547	656088.99	13.77	10117.05	1199.43	325.84	617.61	212.04	212.04	187.524	Q4114	N												
Q4115	Alloskin	22	26	4380.89	1.64	625.59	168.5	44.37	36.18	253.92	177.97	98.029	Q4115	N												
Q4116	Alloderm	2917	478217	22392834.34	0.04	25303.41	46.83	28.7	3184.33	30.75	5082.76	8958.221	Q4116	N												
Q4117	Hyalomatrix	591	12081	377147.92	0.04	8068.55	31.22	16.17	260.56	16.22	264.57	1581.764	Q4117	N												
Q4118	Matristem micromatrix	1008	388928	1584176.22	0.01	12697.45	4.07	2.2	644.99	2.41	789.11	30398.72	Q4118	N												
Q4121	Theraskin	6101	123220	7817974.99	0.01	5269.32	63.45	38.16	598.1	36.48	753.06	868.507	Q4121	N												
Q4122	"Dermacell, awm, porous sq cm"	287	56651	2184669.86	0.03	20931.42	38.56	22.51	3561.22	23.33	5295.49	11710.59	Q4122	N												
Q4123	Alloskin	15	263	27037.29	39.53	236.6	102.8	73.65	1223.86	42.88	2129.4	365.085	Q4123	N												
Q4124	Oasis tri-layer wound matrix	775	22702	376442.91	0.54	4337.49	16.58	11.27	184.01	12.66	159	1982.697	Q4124	N												
Q4125	Arthroflex	655	12009	1932650.3	0.01	8884.65	160.93	36.91	1959.79	77.42	2710.76	1396.285	Q4125	N												
Q4126	Memoderm/derma/tranz/integup	59	6108	219022.71	0.1	15035.34	35.86	20.45	1669.58	18.04	2375.02	6923.946	Q4126	N												
Q4127	Talymed	333	3490	143266	19.3	110.51	41.05	35.81	374.45	52.82	475.37	160.771	Q4127	N												
Q4128	Flexhd/allopatchhd/matrixhd	1039	115986	5390081.93	1.1	23765.5	46.47	24.39	1705.81	25.93	2087.87	9348.556	Q4128	N												
Q4130	Strattice tm	299	27217	1178364.32	0.06	73988.77	43.3	22.66	1815.64	24.58	2308.52	13959.36	Q4130	N												
Q4132	"Grafix core, grafixpl core"	491	2601	604310.52	11.3	14688.77	232.34	160	638.71	133.36	702.36	398.956	Q4132	N												
Q4133	Grafix stravix prime pl sqcm	18861	107738	19837448.92	0.15	23401.35	184.13	130.74	636.35	136.47	675.39	362.7	Q4133	N												
Q4134	Hmatrix	1	25	1792	71.68	71.68	71.68	71.68	1791.9	71.68	1791.9	.	Q4134	N												
Q4135	Mediskin	12	71	354.18	2.46	29.5	4.99	3.72	29.5	2.46	29.5	285.021	Q4135	N												
Q4136	Ezderm	35	2947	2861.34	0.12	71.91	0.97	0.27	17.29	0.12	11.05	3352.602	Q4136	N												
Q4137	Amnioexcel biodexcel 1sq cm	1720	14200	2362193.16	0.06	10381.88	166.35	92.07	658.82	97.14	755.18	488.643	Q4137	N												
Q4138	"Biodfence dryflex, 1cm"	27	75	38071.18	31.47	3381.52	507.62	103.24	813.63	31.48	1074.32	295.263	Q4138	N												
Q4139	"Amnio or biodmatrix, inj 1cc"	92	112	182383.28	259.93	5712	1628.42	1258.39	1660.06	1504.1	1842.77	82.313	Q4139	N												
Q4140	Biodfence 1cm	65	668	146843.03	27.23	5755.08	219.82	121.48	1337.64	98.49	1203.28	598.579	Q4140	N												
Q4141	"Alloskin ac, 1 cm"	11	2084	8947.52	1.08	62.88	4.29	3.05	678.74	3.34	588.27	2904.577	Q4141	N												
Q4142	Xcm biologic tiss matrix 1cm	1	1	12065.68	12065.68	12065.68	12065.68	12065.68	12065.68	12065.68	12065.68	.	Q4142	N												
Q4143	"Repriza, 1cm"	4	81	4975.3	17.05	1310.08	61.42	38.73	737.06	66.82	953.44	1201.456	Q4143	N												
Q4145	"Epifix, inj, 1mg"	39	2595	123144.12	2.41	6199.59	47.45	13.97	1564.65	15.2	1520.41	5298.194	Q4145	N												
Q4146	"Tensix, 1cm"	2	4	872.62	201.34	234.97	218.16	217.51	435	218.16	436.3	15.416	Q4146	N												
Q4147	Architect ecm px fx 1 sq cm	2	2	2322.1	1012.02	1310.08	1161.05	1151.45	1151.45	1161.05	1161.05	18.153	Q4147	N												
Q4148	Neox neox rt or clarix cord	653	4740	944662.35	0.15	5334.2	199.3	114.22	532.64	103.96	834.74	505.218	Q4148	N												
Q4149	"Excellagen, 0.1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4149	N												
Q4150	Allowrap ds or dry 1 sq cm	229	4045	614024.12	28.1	12301.77	151.8	107.1	1724.37	76.46	2076.22	1032.424	Q4150	N												
Q4151	"Amnioband, guardian 1 sq cm"	1173	5831	1159790.62	2.44	7325.83	198.9	132.55	558.15	110.93	674.14	306.535	Q4151	N												
Q4152	Dermapure 1 square cm	133	3123	303589.63	13.64	6110.21	97.21	37.99	1631.89	33.73	2074.25	2025.092	Q4152	N												
Q4153	"Dermavest, plurivest sq cm"	84	551	159810.64	49.99	396.95	290.04	247.81	1172.59	396.95	2381.7	119.062	Q4153	N												
Q4154	Biovance 1 square cm	130	777	98804.04	46.3	2329.59	127.16	80.05	436.86	77.71	466.29	565.603	Q4154	N												
Q4155	Neoxflo or clarixflo 1 mg	164	13790	255136.67	0.15	5684	18.5	9.41	690.16	11.76	1173.83	6422.296	Q4155	N												
Q4156	Neox 100 or clarix 100	97	1090	93941.97	14.5	3272.1	86.19	61.13	436.14	66.78	223.04	780.832	Q4156	N												
Q4157	Revitalon 1 square cm	1	1	2729.41	2729.41	2729.41	2729.41	2729.41	2729.41	2729.41	2729.41	.	Q4157	N												
Q4158	"Kerecis omega3, per sq cm"	3429	46075	4057184.11	0.03	8224.24	88.06	49.46	516.24	55.89	617.56	833.482	Q4158	N												
Q4159	Affinity1 square cm	273	768	209032.73	36.5	2257.92	272.18	203.36	509.67	218.97	653.91	129.471	Q4159	N												
Q4160	Nushield 1 square cm	9615	54595	7392513.23	0.5	4373.88	135.41	99.03	476.56	99.04	469.95	306.169	Q4160	N												
Q4161	Bio-connekt per square cm	13	362	21837.23	46.72	329.84	60.32	53.87	1465.49	49.29	1222.36	460.106	Q4161	N												
Q4162	"Wndex flw, bioskn flw, 0.5cc"	19	60	59498.31	312.32	3729.86	991.64	810.43	2653.17	846.54	3487.33	132.767	Q4162	N												
Q4163	"Woundex, bioskin, per sq cm"	89	164	183739.83	111.77	8911.9	1120.36	505.32	1600.88	347.33	1389.3	200.458	Q4163	N												
Q4164	"Helicoll, per square cm"	3	9	3168.58	281.67	915.22	352.06	321.07	1051.25	281.67	1126.67	119.969	Q4164	N												
Q4165	"Keramatrix, kerasorb sq cm"	1	16	734.72	45.92	45.92	45.92	45.92	734.79	45.92	734.79	.	Q4165	N												
Q4166	"Cytal, per square centimeter"	1435	69314	1823155.03	0.25	13964.06	26.3	10.22	407.33	8.11	535.27	3473.486	Q4166	N												
Q4167	"Truskin, per sq centimeter"	3	27	5432.76	10.87	5079.65	201.21	14.71	482.42	10.87	271.67	1747.214	Q4167	N												
Q4168	"Amnioband, 1 mg"	122	9587	234774.05	4.03	3002.4	24.49	14.02	1039.85	11.45	1762.8	5455.142	Q4168	N												
Q4169	"Artacent wound, per sq cm"	15	19	9950.42	12.36	960.12	523.71	181.45	370.83	960.12	960.12	102.423	Q4169	N												
Q4170	"Cygnus, per sq cm"	148	2489	286251.25	1.46	4963.32	115.01	60.78	1449.85	67.26	1844.47	1121.677	Q4170	N												
Q4171	"Interfyl, 1 mg"	44	2813	57830.21	0.18	1532.53	20.56	14.07	935.19	14.54	1454.31	3566.536	Q4171	N												
Q4173	Palingen or palingen xplus	48	571	36668.95	0.15	3092.34	64.22	35.51	87.26	32.44	550.91	1111.629	Q4173	N												
Q4174	Palingen or promatrx	61	459	113204.43	71.19	1138.99	246.63	202.37	1507.06	172.96	1383.71	222.947	Q4174	N												
Q4175	Miroderm	17	404	29910.72	27.03	3083.75	74.04	55.9	1294.27	50.65	1266.25	1210.788	Q4175	N												
Q4176	"Neopatch or therion, 1 sq cm"	382	2377	720824.33	0.29	1046.8	303.25	202.88	713.72	421.87	843.73	138.806	Q4176	N												
Q4177	"Floweramnioflo, 0.1 cc"	22	243	51952.17	32.76	2283.9	213.79	125.46	2048.65	107.38	2171.02	665.184	Q4177	N												
Q4178	"Floweramniopatch, per sq cm"	33	357	48887.46	29.29	3152.43	136.94	88.5	1147.73	76.13	1310.08	612.513	Q4178	N												
Q4179	"Flowerderm, per sq cm"	3	120	12410.4	103.42	103.42	103.42	103.42	4136.82	103.42	4136.82	0	Q4179	N												
Q4180	"Revita, per sq cm"	336	10978	637637.17	0.12	7689.22	58.08	41.05	923.4	28.3	1288.65	1465.942	Q4180	N												
Q4181	"Amnio wound, per square cm"	22	851	95205.75	35.45	5335.58	111.88	70.5	3149.13	45.66	2972.91	1940.163	Q4181	N												
Q4182	"Transcyte, per sq centimeter"	.	.	.	.	.	.	.	.	.	.	.	Q4182	N												
Q4183	"Surgigraft, 1 sq cm"	228	779	104725.97	10.73	3794.96	134.44	71.73	174.31	64.93	179.47	335.536	Q4183	N												
Q4184	Cellesta or duo per sq cm	4	12	1989.96	103.34	353.3	165.83	140.52	450.02	103.34	353.3	130.538	Q4184	N												
Q4185	Cellesta flowab amnion 0.5cc	2	2	2475.22	1237.61	1237.61	1237.61	1237.61	1237.61	1237.61	1237.61	0	Q4185	N												
Q4186	Epifix 1 sq cm	24046	136687	22425107.29	0.27	15002.63	164.06	114.33	586.91	120.51	613.18	331.548	Q4186	N												
Q4187	Epicord 1 sq cm	4267	25374	5624617.17	12.6	6621.61	221.67	177.84	1013.03	197.72	1171.1	198.555	Q4187	N												
Q4188	Amnioarmor 1 sq cm	1	1	3386.44	3386.44	3386.44	3386.44	3386.44	3386.44	3386.44	3386.44	.	Q4188	N												
Q4189	"Artacent ac, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	Q4189	N												
Q4190	Artacent ac 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4190	N												
Q4191	Restorigin 1 sq cm	1	24	2447.28	101.97	101.97	101.97	101.97	2447.26	101.97	2447.26	.	Q4191	N												
Q4192	"Restorigin, 1 cc"	1	1	1205.3	1205.3	1205.3	1205.3	1205.3	1205.3	1205.3	1205.3	.	Q4192	N												
Q4193	Coll-e-derm 1 sq cm	6	155	21423.85	48.59	469.84	138.22	111.6	3233.39	170.49	4266.23	386.31	Q4193	N												
Q4194	Novachor 1 sq cm	1	1	908.69	908.69	908.69	908.69	908.69	908.69	908.69	908.69	.	Q4194	N												
Q4195	Puraply 1 sq cm	1185	7990	1427901.6	6.89	7967.4	178.71	119.17	642.31	116.19	641.17	691.29	Q4195	N												
Q4196	Puraply am 1 sq cm	24910	167702	21232606.73	0.3	13304.21	126.61	91.95	542.34	94.92	574.81	344.987	Q4196	N												
Q4197	Puraply xt 1 sq cm	23	483	63920.59	5.79	2279.87	132.34	116.9	1704.26	103.14	2578.5	452.253	Q4197	N												
Q4198	Genesis amnio membrane 1sqcm	2	17	1594.7	53.15	744.3	93.81	62.08	795.6	53.15	797.37	714.789	Q4198	N												
Q4199	"Cygnus matrix, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4199	N												
Q4200	Skin te 1 sq cm	24	365	111520.66	34.98	13784.46	305.54	148.08	1753.09	136.98	2138.27	1453.737	Q4200	N												
Q4201	Matrion 1 sq cm	6	21	9853.38	47.59	3137.02	469.21	231.7	1169.87	246.94	1481.63	311.934	Q4201	N												
Q4202	"Keroxx (2.5g/cc), 1cc"	.	.	.	.	.	.	.	.	.	.	.	Q4202	N												
Q4203	"Derma-gide, 1 sq cm"	2	6	1262.4	210.4	210.4	210.4	210.4	631.2	210.4	631.2	0	Q4203	N												
Q4204	Xwrap 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4204	N												
Q4205	Membrane graft or wrap sq cm	54	3310	208770.23	46.78	10576.52	63.07	52.58	2066.9	48	1898.55	2869.498	Q4205	N												
Q4206	Fluid flow or fluid gf 1 cc	3	4	21471.31	1544.8	9963.25	5367.83	4420.83	5352.52	4981.63	9963.25	79.073	Q4206	N												
Q4208	Novafix per sq cm	96	637	26039.41	21.13	700.38	40.88	30.72	140.93	27.54	84.55	337.521	Q4208	N												
Q4209	Surgraft per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4209	N												
Q4210	Axolotl graf dualgraf sq cm	2	2	3123.54	1432	1691.54	1561.77	1556.37	1556.37	1561.77	1561.77	11.751	Q4210	N												
Q4211	Amnion bio or axobio sq cm	23	63	48818.22	41.71	6037.2	774.89	295.36	1458.67	154.27	1180.33	315.05	Q4211	N												
Q4212	"Allogen, per cc"	37	63	48497.63	176.03	1844.08	769.8	565.74	1012.02	668.78	1337.56	96.756	Q4212	N												
Q4213	"Ascent, 0.5 mg"	2	31	774.56	13.46	25.37	24.99	24.86	101.21	25.37	387.25	46.892	Q4213	N												
Q4214	Cellesta cord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4214	N												
Q4215	"Axolotl ambient, cryo 0.1 mg"	7	8	14426	1803.25	1803.25	1803.25	1803.25	1990.95	1803.25	1803.25	0	Q4215	N												
Q4216	Artacent cord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4216	N												
Q4217	Woundfix biowound plus xplus	1	1	10702.22	10702.22	10702.22	10702.22	10702.22	10702.22	10702.22	10702.22	.	Q4217	N												
Q4218	Surgicord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4218	N												
Q4219	Surgigraft dual per sq cm	3	174	1714.44	8.02	87.76	9.85	8.47	347.64	8.02	175.52	1131.275	Q4219	N												
Q4220	"Bellacell hd, surederm sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4220	N												
Q4221	Amniowrap2 per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4221	N												
Q4222	"Progenamatrix, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4222	N												
Q4226	Myown harv prep proc sq cm	3	150	24232	48.1	388.44	161.55	96.5	7683.65	48.1	9711	860.081	Q4226	N												
Q4227	Amniocore per sq cm	39	2453	137135.02	22.66	4780.02	55.91	47.97	2594.55	42.31	4061.95	2068.995	Q4227	N												
Q4228	"Bionextpatch, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4228	D												
Q4229	Cogenex amnio memb per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4229	N												
Q4230	Cogenex flow amnion 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4230	N												
Q4231	"Corplex p, per cc"	5	10	24655.43	414.46	4585.82	2465.54	1514.99	3686.26	2327.16	3058.41	121.538	Q4231	N												
Q4232	"Corplex, per sq cm"	12	84	11020.73	44.17	2779.92	131.2	76.64	748.98	65.32	752.61	698.266	Q4232	N												
Q4233	Surfactor /nudyn per 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4233	N												
Q4234	"Xcellerate, per sq cm"	76	591	313979.19	51.81	6196.24	531.27	227.9	3546.82	221.29	5078.93	649.999	Q4234	N												
Q4235	Amniorepair or altiply sq cm	43	909	126903.96	28.89	3798.48	139.61	104.4	2282.5	123.07	2456.32	827.706	Q4235	N												
Q4236	Carepatch per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4236	N												
Q4237	"Cryo-cord, per sq cm"	5	56	8142.25	84.55	2258.39	145.4	108.05	1325.68	84.55	1521.97	739.576	Q4237	N												
Q4238	"Derm-maxx, per sq cm"	17	21	42582.76	1256.23	2209.29	2027.75	1984.04	2277.15	2209.28	2209.28	21.144	Q4238	N												
Q4239	Amnio-maxx or lite per sq cm	95	194	315102.57	325.35	5612.36	1624.24	1490.91	2795.39	1346	2251.67	59.642	Q4239	N												
Q4240	Corecyte topical only 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4240	N												
Q4241	"Polycyte, topical only 0.5cc"	.	.	.	.	.	.	.	.	.	.	.	Q4241	N												
Q4242	"Amniocyte plus, per 0.5 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4242	N												
Q4244	"Procenta, per 200 mg"	.	.	.	.	.	.	.	.	.	.	.	Q4244	N												
Q4245	"Amniotext, per cc"	.	.	.	.	.	.	.	.	.	.	.	Q4245	N												
Q4246	"Coretext or protext, per cc"	.	.	.	.	.	.	.	.	.	.	.	Q4246	N												
Q4247	"Amniotext patch, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4247	N												
Q4248	Dermacyte amn mem allo sq cm	3	3	24547.17	8182.39	8182.39	8182.39	8182.39	8182.39	8182.39	8182.39	0	Q4248	N												
Q4249	"Amniply, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4249	N												
Q4250	Amnioamp-mp per sq cm	43	795	49913.81	18.47	4377.58	62.78	36.43	940.37	43.67	1091.71	1593.564	Q4250	N												
Q4251	"Vim, per square centimeter"	.	.	.	.	.	.	.	.	.	.	.	Q4251	N												
Q4252	"Vendaje, per square centimet"	.	.	.	.	.	.	.	.	.	.	.	Q4252	N												
Q4253	Zenith amniotic membrane psc	.	.	.	.	.	.	.	.	.	.	.	Q4253	N												
Q4254	Novafix dl per sq cm	1	24	1165.2	48.55	48.55	48.55	48.55	1165.08	48.55	1165.08	.	Q4254	N												
Q4255	"Reguard, topical use per sq"	.	.	.	.	.	.	.	.	.	.	.	Q4255	N												
Q5101	"Injection, zarxio"	48107	20950424	17773261.27	0.02	29.86	0.85	0.74	301.59	0.77	313.06	1150.372	Q5101	N												
Q5103	"Injection, inflectra"	24833	1290661	89826467.22	0.01	713.61	69.6	62.69	2994.27	64.79	3050.99	322.51	Q5103	K	1847	$30.95										
Q5104	"Injection, renflexis"	14878	762399	45790951.86	0.01	687.35	60.06	54.95	2589.76	57.89	2574.7	304.561	Q5104	K	9036	$48.65										
Q5105	Inj retacrit esrd on dialysi	14203	1663671	2107274.84	0.01	265.64	1.27	1.07	107.31	1.11	113.88	1356.687	Q5105	N												
Q5106	Inj retacrit non-esrd use	110407	3565880	40665306.57	0.04	406.38	11.4	10.21	280.05	10.58	323.12	291.968	Q5106	K	9097	$8.13										
Q5107	Inj mvasi 10 mg	49151	3381896	207905329.4	0.17	1107.53	61.48	57.54	3513.1	58.56	3430.48	313.5	Q5107	K	9329	$30.31										
Q5108	"Injection, fulphila"	19677	235732	66398424.68	14.36	2668.97	281.67	257.06	3080.26	261.59	3139.02	147.98	Q5108	K	9173	$141.11										
Q5109	"Injection, ixifi, 10 mg"	2	100	1316.6	12.95	13.49	13.17	13.16	647.57	12.95	658.34	20.093	Q5109	E2												
Q5110	Nivestym	10891	5144713	3198660.8	0.12	2.99	0.62	0.52	239.65	0.47	224.43	1317.563	Q5110	K	9193	$0.40										
Q5111	"Injection, udenyca 0.5 mg"	33678	403850	106610757.5	27.18	1057.72	263.99	240.8	2887.21	254.99	3059.82	143.986	Q5111	K	9195	$163.60										
Q5112	Inj ontruzant 10 mg	1875	78060	6053087.87	19.58	322.9	77.54	64.45	2555.68	56.77	2533.99	441.647	Q5112	G	9382	$63.12										
Q5113	Inj herzuma 10 mg	2312	98806	7033458.17	4.16	148.37	71.18	66.23	2626.82	70.93	2855.92	222.213	Q5113	G	9349	$52.97										
Q5114	Inj ogivri 10 mg	12231	524211	36984148.9	2.49	383.36	70.55	63.6	2523.21	68.41	2823.52	287.362	Q5114	G	9341	$45.32										
Q5115	Inj truxima 10 mg	32683	2485561	173838799.5	1.14	2774.25	69.94	63.65	4766.34	65.34	4944.63	491.227	Q5115	G	9336	$53.02										
Q5116	"Inj., trazimera, 10 mg"	10994	463741	33654566.62	1.51	397.34	72.57	65.97	2552.63	71.36	2845.44	277.978	Q5116	G	9350	$40.01										
Q5117	"Inj., kanjinti, 10 mg"	26687	1131251	88401102.62	0.55	321.9	78.14	72.87	2888.59	74.59	3066.7	243.752	Q5117	K	9330	$32.70										
Q5118	"Inj., zirabev, 10 mg"	24732	1770062	97812135.73	0.16	316.32	55.26	50.32	3225.25	53.28	3341.93	339.061	Q5118	G	9348	$38.66										
Q5119	"Inj ruxience, 10 mg"	24746	1883382	125470604	3.1	644.74	66.62	60.96	4568.83	64.72	4789.29	381.654	Q5119	G	9367	$39.74										
Q5120	Inj pegfilgrastim-bmez 0.5mg	11274	135288	29756604.84	11.6	865.97	219.95	197.94	2375.27	203.26	2439.1	156.119	Q5120	G	9345	$135.55										
Q5121	"Inj. avsola, 10 mg"	1206	59875	2549070.59	10.27	114.83	42.57	40.86	1879.66	42.59	1887.61	204.036	Q5121	G	9381	$36.42										
Q5122	"Inj, nyvepria"	353	4228	1495721.92	183.54	844.74	353.77	321.12	3841.76	305.31	3663.75	177.52	Q5122	G	9406	$171.38										
Q5123	"Inj. riabni, 10 mg"	38	2770	175621.1	28.1	112.42	63.4	59.48	4358.23	67.54	4727.69	298.985	Q5123	G	9411	$48.60										
Q9950	Inj sulf hexa lipid microsph	41900	171690	5115628.61	1.03	325.57	29.8	24.53	101.19	24.9	116.66	165.53	Q9950	N												
Q9951	"Locm >= 400 mg/ml iodine,1ml"	1408	23294	50072.31	0.12	540.29	2.15	0.47	33.07	0.41	34.92	1474.729	Q9951	N												
Q9953	"Inj fe-based mr contrast,1ml"	120	852	18803.16	0.86	59.54	22.07	12.21	78.66	9.57	41.73	261.384	Q9953	N												
Q9954	"Oral mr contrast, 100 ml"	2262	6847	23024.69	0.01	214.54	3.36	1.5	4.26	1.25	4.93	425.01	Q9954	N												
Q9955	"Inj perflexane lip micros,ml"	42	42	5020.26	119.53	119.53	119.53	119.53	119.53	119.53	119.53	0	Q9955	N												
Q9956	"Inj octafluoropropane mic,ml"	25623	66827	3518913.12	3.94	366.6	52.66	43.29	110.78	43.08	117.49	118.576	Q9956	N												
Q9957	"Inj perflutren lip micros,ml"	219305	399387	36558953.55	3.88	1170.26	91.54	72.6	126.8	76.46	135.66	93.61	Q9957	N												
Q9958	"Hocm <=149 mg/ml iodine, 1ml"	10560	2192228	770341.58	0.01	7285.33	0.35	0.15	24.3	0.15	28.36	21827.98	Q9958	N												
Q9959	"Hocm 150-199mg/ml iodine,1ml"	32	8770	1607.3	0.05	0.51	0.18	0.17	20.97	0.19	49.49	736.964	Q9959	N												
Q9960	"Hocm 200-249mg/ml iodine,1ml"	2068	66629	50912.47	0.03	1051.34	0.76	0.3	9.54	0.22	9.39	10970.05	Q9960	N												
Q9961	"Hocm 250-299mg/ml iodine,1ml"	14812	562093	273725.8	0.01	448.31	0.49	0.31	10.53	0.31	12.72	2204.158	Q9961	N												
Q9962	"Hocm 300-349mg/ml iodine,1ml"	1664	114516	130947.57	0.07	313.46	1.14	0.43	24.93	0.27	26.78	7129.5	Q9962	N												
Q9963	"Hocm 350-399mg/ml iodine,1ml"	44743	2443304	1593883.55	0.01	109.99	0.65	0.37	16.44	0.41	16.63	1160.061	Q9963	N												
Q9964	"Hocm>= 400mg/ml iodine, 1ml"	1031	100500	281896.71	0.27	140.53	2.8	2.64	244.96	2.73	273.37	1258.257	Q9964	N												
Q9965	"Locm 100-199mg/ml iodine,1ml"	76855	1843944	3347815.24	0.01	624.75	1.82	0.53	16.73	0.65	19.62	1092.934	Q9965	N												
Q9966	"Locm 200-299mg/ml iodine,1ml"	263616	7928311	10968252.09	0.01	1132.8	1.38	0.59	15.84	0.7	20.71	1447.17	Q9966	N												
Q9967	"Locm 300-399mg/ml iodine,1ml"	3932780	381569407	312624756.1	0.01	552.29	0.82	0.49	44.13	0.58	50.89	1228.234	Q9967	N												
Q9968	Visualization adjunct	31684	1225512	15691392.04	0.04	3471.6	12.8	7.38	232.64	8.61	302	1387.482	Q9968	K	1446	$8.08										
Q9969	Non-heu tc-99m add-on/dose	105474	161361	821536.27	0.01	512.95	5.09	1.24	1.84	1.58	2.11	312.038	Q9969	K	1442	$10.00										
Q9982	Flutemetamol f18 diagnostic	1	1	231.16	231.16	231.16	231.16	231.16	231.16	231.16	231.16	.	Q9982	N												
Q9983	Florbetaben f18 diagnostic	22	23	30295.03	4.47	5366.08	1317.18	795.85	894.5	1481.76	1481.76	81.866	Q9983	N												
Q9991	Buprenorph xr 100 mg or less	188	188	266762.85	638.75	2413.47	1418.95	1387.54	1387.54	1175.91	1175.91	21.187	Q9991	K	9073	"$1,842.18"										
Q9992	Buprenorphine xr over 100 mg	210	210	299939.03	488.56	2703.33	1428.28	1369.34	1369.34	1417.83	1417.83	26.966	Q9992	K	9239	"$1,842.18"										
90296	Diphtheria antitoxin	2	2	221.78	110.89	110.89	110.89	110.89	110.89	110.89	110.89	0	90296	E2												
90371	Hep b ig im	117	552	152818.44	38.25	1028.2	276.84	220.91	925.5	187.95	1127.68	173.78	90371	K	1630	$135.88										
90375	Rabies ig im/sc	2734	28375	9534576.08	5.81	5594.81	336.02	283.17	2931.87	293.05	3129.37	240.567	90375	K	9133	$213.24										
90376	Rabies ig heat treated	310	2961	930258.71	37.05	1284.11	314.17	248.42	2380.96	247.37	2495.69	212.694	90376	K	9134	$325.72										
90377	Rabies ig ht&sol human im/sc	83	761	364875.04	79.8	3984.75	479.47	376.36	3642.94	379.71	3797.09	284.912	90377	K	9201	$235.66										
90378	Rsv mab im 50mg	2	2	679.36	339.68	339.68	339.68	339.68	339.68	339.68	339.68	0	90378	K	9003	"$1,185.67"										
90385	Rh ig minidose im	.	.	.	.	.	.	.	.	.	.	.	90385	N												
90393	Vaccina ig im	.	.	.	.	.	.	.	.	.	.	.	90393	E2												
90396	Varicella-zoster ig im	7	7	2553.29	1.25	923.21	364.76	89.85	89.85	59.56	59.56	116.363	90396	K	9135	"$2,074.27"										
90476	Adenovirus vaccine type 4	1	1	357.98	357.98	357.98	357.98	357.98	357.98	357.98	357.98	.	90476	K	9499	$64.910										
90477	Adenovirus vaccine type 7	.	.	.	.	.	.	.	.	.	.	.	90477	M												
90581	Anthrax vaccine sc or im	.	.	.	.	.	.	.	.	.	.	.	90581	E2												
90585	Bcg vaccine percut	.	.	.	.	.	.	.	.	.	.	.	90585	M												
90620	Menb-4c vacc 2 dose im	1023	1023	165728	30.11	547.93	162	141.26	141.26	151.45	151.45	51.889	90620	M												
90621	Menb-fhbp vacc 2/3 dose im	101	101	14244.7	32.14	331.52	141.04	121.71	121.71	136.76	136.76	50.512	90621	M												
90626	Tic-brn enceph vac 0.25ml im	.	.	.	.	.	.	.	.	.	.	.	90626	E1												
90627	Tic-brn enceph vac 0.5ml im	.	.	.	.	.	.	.	.	.	.	.	90627	E1												
90632	Hepa vaccine adult im	4912	4912	276676.52	8.12	282.04	56.33	49.4	49.4	46.89	46.89	55.662	90632	N												
90633	Hepa vacc ped/adol 2 dose im	51	51	1738.26	6.43	94.05	34.08	26.57	26.57	27.23	27.23	69.111	90633	N												
90634	Hepa vacc ped/adol 3 dose	.	.	.	.	.	.	.	.	.	.	.	90634	E2												
90636	Hep a/hep b vacc adult im	4075	4075	333641.89	15.21	324.29	81.88	73.48	73.48	75.06	75.06	48.837	90636	N												
90644	Hib-mency vacc 6wk-18m0 im	1	1	33.85	33.85	33.85	33.85	33.85	33.85	33.85	33.85	.	90644	M												
90647	Hib prp-omp vacc 3 dose im	1649	1649	36424.07	4.8	85.69	22.09	19.32	19.32	20.4	20.4	50.619	90647	N												
90648	Hib prp-t vaccine 4 dose im	5180	5180	92758.37	3.04	100.86	17.91	14.55	14.55	13.6	13.6	72.497	90648	N												
90649	4vhpv vaccine 3 dose im	22	22	2451.86	23.92	555.24	111.45	74.32	74.32	49.69	49.69	114.355	90649	M												
90650	2vhpv vaccine 3 dose im	3	3	123.74	17.53	83.14	41.25	32.28	32.28	23.07	23.07	88.216	90650	M												
90651	9vhpv vaccine 2/3 dose im	625	625	104944.76	23.9	784.34	167.91	142.37	142.37	145.19	145.19	61.135	90651	M												
90670	Pcv13 vaccine im	34680	34680	5320953.96	13.39	1144.33	153.43	124.47	124.47	136.54	136.54	66.81	90670	L												
90675	Rabies vaccine im	11095	11095	3856817.4	49.73	1737.75	347.62	299.8	299.8	323.64	323.64	54.667	90675	K	9139	$348.53										
90676	Rabies vaccine id	41	41	10460.79	76.51	630.56	255.14	225.47	225.47	270.73	270.73	42.44	90676	K	9140	$189.63										
90680	Rv5 vacc 3 dose live oral	.	.	.	.	.	.	.	.	.	.	.	90680	E2												
90681	Rv1 vacc 2 dose live oral	.	.	.	.	.	.	.	.	.	.	.	90681	M												
90682	Riv4 vacc recombinant dna im	10961	10961	269060.19	2.49	165.78	24.55	17.65	17.65	13.52	13.52	94.592	90682	L												
90689	Vacc iiv4 no prsrv 0.25ml im	16	16	168.76	9.79	15.85	10.55	10.4	10.4	9.79	9.79	19.624	90689	L												
90690	Typhoid vaccine oral	1	1	137.15	137.15	137.15	137.15	137.15	137.15	137.15	137.15	.	90690	N												
90691	Typhoid vaccine im	552	552	36337.8	17.24	229.36	65.83	59.64	59.64	53.79	53.79	46.856	90691	N												
90694	Vacc aiiv4 no prsrv 0.5ml im	109384	109384	3249942.01	3.5	177.03	29.71	24.19	24.19	22.73	22.73	73.145	90694	L												
90696	Dtap-ipv vaccine 4-6 yrs im	89	89	5493.42	15.89	114.21	61.72	57.73	57.73	67.02	67.02	28.625	90696	N												
90697	Dtap-ipv-hib-hepb vaccine im	.	.	.	.	.	.	.	.	.	.	.	90697	M												
90698	Dtap-ipv/hib vaccine im	554	554	37279.41	13.22	178.36	67.29	59.64	59.64	69.14	69.14	48.531	90698	N												
90700	Dtap vaccine < 7 yrs im	989	989	28604.76	5.54	110.52	28.92	26.46	26.46	31.12	31.12	40.205	90700	N												
90702	Dt vaccine under 7 yrs im	60	60	1856.8	5.47	121.57	30.95	19.88	19.88	32.14	32.14	78.297	90702	N												
90707	Mmr vaccine sc	1723	1723	122496.04	7.18	363.81	71.09	61.8	61.8	60.58	60.58	55.131	90707	N												
90710	Mmrv vaccine sc	28	28	4479.99	15.45	366.18	160	129.37	129.37	145.92	145.92	62.955	90710	K	9011	$37.920										
90713	Poliovirus ipv sc/im	4274	4274	131842.18	3.75	213.01	30.85	25.42	25.42	24.4	24.4	68.153	90713	N												
90714	Td vacc no presv 7 yrs+ im	54187	54187	1558261.65	3.32	150.44	28.76	23.56	23.56	24.4	24.4	65.406	90714	N												
90715	Tdap vaccine 7 yrs/> im	324193	324193	15250064.33	5	299.89	47.04	40.1	40.1	43.59	43.59	55.886	90715	N												
90716	Var vaccine live subq	177	177	18667.22	10.98	341.19	105.46	93.13	93.13	120.04	120.04	45.898	90716	M												
90717	Yellow fever vaccine subq	121	121	12222.64	26.11	365.17	101.01	86.8	86.8	98.92	98.92	57.167	90717	N												
90723	Dtap-hep b-ipv vaccine im	110	110	7930.58	16.42	158.55	72.1	64.89	64.89	58.2	58.2	48.043	90723	M												
90733	Mpsv4 vaccine subq	102	102	16602.94	49.19	283.47	162.77	158.55	158.55	172.9	172.9	19.787	90733	M												
90734	Menacwyd/menacwycrm vacc im	2088	2103	241428.54	11.95	512	114.8	96.21	96.49	100.64	100.64	58.892	90734	M												
90736	Hzv vaccine live subq	76	76	9580.05	21.84	784.34	126.05	96.16	96.16	74.39	74.39	89.153	90736	M												
90738	Inactivated je vacc im	6	6	1237.6	119.36	446.56	206.27	182	182	165.5	165.5	61.143	90738	M												
90749	Vaccine toxoid	640	640	32255	11.81	226.41	50.4	37.2	37.2	30.36	30.36	88.892	90749	N												
90750	Hzv vacc recombinant im	12849	12849	1646294.48	22.24	534.6	128.13	112.8	112.8	119.13	119.13	50.471	90750	M												
90758	Zaire ebolavirus vac live im	.	.	.	.	.	.	.	.	.	.	.	90758	E1												
90759	Hep b vac 3ag 10mcg 3 dos im	.	.	.	.	.	.	.	.	.	.	.	90759	L												
91303	Sarscov2 vac ad26 .5ml im	641	641	221.72	0.01	9.45	0.35	0.13	0.13	0.2	0.2	283.98	91303	L												
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
