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	Proposed CY 2023 XRef HCPCS/CPT Code(s)	Proposed CY 2023 XRef SI	Proposed CY 2023  XRef APC	Proposed CY 2023 Payment Rate										
A4216	"Sterile water/saline, 10 ml"	71886	196740	1849010.51	0.01	596.79	9.4	3.09	8.24	3.66	7.74	278.642	A4216	N												
A4218	Sterile saline or water	1918	3092	13149.15	0.34	25.45	4.25	2.73	3.47	4.55	3.22	122.649	A4218	N												
A4641	Radiopharm dx agent noc	1943	2117	151020.89	0.52	2203.42	71.34	31.52	32.96	34.05	34.05	212.262	A4641	N												
A4642	In111 satumomab	6	6	2137.7	40.83	514.01	356.28	220.96	220.96	514.01	514.01	68.583	A4642	N												
A9500	Tc99m sestamibi	395083	729332	63650896.47	1.96	1394.44	87.27	62.02	112.2	63.88	115.04	126.469	A9500	N												
A9501	Technetium tc-99m teboroxime	13	13	209.9	15.4	20.25	16.15	16.06	16.06	15.4	15.4	11.28	A9501	N												
A9502	Tc99m tetrofosmin	238217	442674	34186276.23	4.01	1349.68	77.23	55.87	102.6	61.36	109.87	131.966	A9502	N												
A9503	Tc99m medronate	157586	157586	5508174.27	2.12	300.23	34.95	25.23	25.23	25.23	25.23	95.462	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	8114	28800	677940.73	1.36	340.52	23.54	14.62	48.85	15.78	63.13	263.378	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	1354	2916	657667.49	1.24	2181.66	225.54	140.91	250.73	150.19	235.78	159.525	A9509	N												
A9510	Tc99m disofenin	1093	1093	52278.74	5.68	323.2	47.83	37.79	37.79	42.12	42.12	68.517	A9510	N												
A9512	Tc99m pertechnetate	2721	25517	162617.24	0.01	767.03	6.37	2.08	18.76	2.12	18.27	815.379	A9512	N												
A9513	Lutetium lu 177 dotatat ther	2288	448291	68867093.92	0.74	505.86	153.62	130.54	25379.02	128.8	25527.04	808.979	A9513	K	9067	$274.33										
A9515	Choline c-11	2363	2363	4446235.3	1512	1902.88	1881.61	1879.5	1879.5	1902.88	1902.88	4.459	A9515	N												
A9516	Iodine i-123 sod iodide mic	9165	21761	1083115.97	0.58	840.07	49.77	33.63	75.37	34.45	73.9	196.204	A9516	N												
A9517	"I131 iodide cap, rx"	2969	196146	4645920.24	0.01	3838.86	23.69	15.08	594.17	15.06	670.08	1189.534	A9517	K	1064	$20.12										
A9520	Tc99 tilmanocept diag 0.5mci	16854	17653	5878518.06	20.55	3019.27	333	246.54	257.64	239.04	245.1	95.995	A9520	N												
A9521	Tc99m exametazime	568	568	320566.62	15.19	4745.95	564.38	360.78	360.78	508.97	508.97	96.095	A9521	N												
A9524	"I131 serum albumin, dx"	113	454	24707.93	3.72	301.17	54.42	46.4	178.46	49.82	243.1	144.335	A9524	N												
A9526	Nitrogen n-13 ammonia	1788	3268	1182657.99	44.22	891.07	361.89	267.48	465.11	300.54	503.51	97.359	A9526	N												
A9528	"Iodine i-131 iodide cap, dx"	1292	5105	208802.27	0.1	1654	40.9	21.89	68.93	24.05	73.09	327.72	A9528	N												
A9529	"I131 iodide sol, dx"	104	392	14620.71	2.54	310.26	37.3	17.07	46.7	12.08	47.69	349.064	A9529	N												
A9530	"I131 iodide sol, rx"	237	16231	371905.29	0.16	5936.5	22.91	11.03	514.23	8.93	645.32	4706.433	A9530	K	1150	$13.34										
A9531	I131 max 100uci	625	5147	67573.52	0.02	456.43	13.13	4.46	40.33	4.2	44.3	541.48	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	5	5	509.67	47.02	263.19	101.93	78.45	78.45	49.72	49.72	91.453	A9536	N												
A9537	Tc99m mebrofenin	36561	36561	1679018.81	3.19	381.34	45.92	34.9	34.9	35.41	35.41	84.776	A9537	N												
A9538	Tc99m pyrophosphate	8234	8234	422927.77	2.9	466.45	51.36	36.75	36.75	36.95	36.95	102.393	A9538	N												
A9539	Tc99m pentetate	1787	1787	162000.95	2.57	1270.97	90.66	56.19	56.19	56.08	56.08	105.717	A9539	N												
A9540	Tc99m maa	39191	39191	3916364.64	2.68	1046.4	99.93	61.34	61.34	66.85	66.85	111.178	A9540	N												
A9541	Tc99m sulfur colloid	65694	65694	5321723.17	3.52	861.14	81.01	55.53	55.53	56	56	105.301	A9541	N												
A9542	"In111 ibritumomab, dx"	15	15	213186.93	1372.68	20616.24	14212.46	8420.34	8420.34	20616.24	20616.24	65.957	A9542	N												
A9543	"Y90 ibritumomab, rx"	68	84	775783.11	3013.65	24602.91	9235.51	7357.56	8977.83	7447.65	8167.61	78.393	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	298	332	285434.11	37.57	7333.42	859.74	625.71	655.33	623.47	619.23	104.944	A9547	N												
A9548	In111 pentetate	1459	1908	1460286.27	20.67	4828.62	765.35	485.3	623.67	521.52	639.19	117.244	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	88	88	38700.6	63.35	2791.68	439.78	325.02	325.02	395.76	395.76	81.175	A9551	N												
A9552	F18 fdg	375472	375472	81575646.27	14.36	1779.52	217.26	166.69	166.69	185.8	185.8	76.064	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"	26	68	9607.07	14.53	566.15	141.28	111.38	238.9	92.2	483.26	152.329	A9554	N												
A9555	Rb82 rubidium	28568	57145	10350501.25	5.5	1537.28	181.13	117.51	235.07	115.32	230.63	140.196	A9555	N												
A9556	Ga67 gallium	408	2173	122284.46	1.02	1747.73	56.27	28.03	133.98	23.74	114.66	437.24	A9556	N												
A9557	Tc99m bicisate	227	259	217869.13	48.42	5177.31	841.19	585.91	618.79	624.49	624.49	105.089	A9557	N												
A9558	Xe133 xenon 10mci	5489	7515	547123.52	3.48	973.99	72.8	52.64	63.26	50.77	61.49	108.547	A9558	N												
A9559	Co57 cyano	.	.	.	.	.	.	.	.	.	.	.	A9559	N												
A9560	Tc99m labeled rbc	7089	7089	695177.6	4.66	1068.48	98.06	68.53	68.53	72.19	72.19	103.974	A9560	N												
A9561	Tc99m oxidronate	17448	17448	737641.28	2.64	345.48	42.28	29.96	29.96	29.12	29.12	110.715	A9561	N												
A9562	Tc99m mertiatide	14841	14841	3230496.18	11.08	2113.21	217.67	169.25	169.25	172.16	172.16	78.966	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	5605	5605	621286.65	4.58	721.56	110.85	69.74	69.74	68.67	68.67	107.1	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	716	716	592963.44	96.93	5935.05	828.16	653.29	653.29	635.99	635.99	83.631	A9569	N												
A9570	Indium in-111 auto wbc	1039	1039	1035284.64	89.85	6285.98	996.42	809.38	809.38	843.1	843.1	74.742	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	1049	1049	1813504.23	111.15	11157.52	1728.79	1308.1	1308.1	1385.15	1385.15	82.116	A9572	N												
A9575	Inj gadoterate meglumi 0.1ml	219455	33925204	13380713.62	0.01	260.6	0.39	0.26	38.95	0.32	47.7	4001.225	A9575	N												
A9576	Inj prohance multipack	41542	704142	3174595.24	0.05	101.1	4.51	2.83	46.24	2.25	40.56	410.941	A9576	N												
A9577	Inj multihance	184278	2952118	12637898.36	0.01	839.74	4.28	3.19	49.14	3.54	54.48	344.151	A9577	N												
A9578	Inj multihance multipack	9340	134826	447337.66	0.01	156.09	3.32	2.71	37.39	2.3	34	311.373	A9578	N												
A9579	"Gad-base mr contrast nos,1ml"	98153	1654698	7045596.02	0.03	315.76	4.26	2.92	46.37	2.99	48.57	427.283	A9579	N												
A9580	Sodium fluoride f-18	161	161	27934.39	11.99	827.84	173.51	111.49	111.49	95.26	95.26	106.961	A9580	N												
A9581	Gadoxetate disodium inj	12412	123297	2080776.5	0.02	162.91	16.88	13.73	133.25	14.85	142.59	205.079	A9581	N												
A9582	Iodine i-123 iobenguane	204	204	438874.49	202.7	7164.31	2151.35	1664.1	1664.1	1590.45	1590.45	73.781	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	11864	11864	17386526.4	204.8	7239.79	1465.49	1212.05	1212.05	1205.6	1205.6	66.666	A9584	N												
A9585	Gadobutrol injection	345738	28598811	22277488.95	0.01	109.79	0.78	0.58	45.78	0.63	49.78	1189.924	A9585	N												
A9586	Florbetapir f18	108	121	266795.72	334.86	8650.39	2204.92	1946.38	2164.47	2397.42	2438.22	55.498	A9586	N												
A9587	Gallium ga-68	5741	289320	14236226.58	0.04	1779.47	49.21	33.92	1791.16	38.22	1944.53	657.977	A9587	N												
A9588	Fluciclovine f-18	11048	110868	32644030.13	0.88	4053.35	294.44	231.42	2329.88	233.63	2336.34	329.208	A9588	N												
A9589	Insti hexaminolevulinate hcl	3661	3661	3963872.69	275.84	2289.48	1082.73	993.76	993.76	1050.05	1050.05	39.305	A9589	N												
A9590	Iodine i-131 iobenguane 1mci	6	156	6681.33	35.81	46.46	42.83	42.65	430.89	44.7	185.98	49.208	A9590	K	9339	$320.12										
A9591	Fluoroestradiol f 18	3	18	6380.1	183.7	622.02	354.45	308.77	1852.61	257.63	1545.78	162.161	A9591	N												
A9592	Copper cu 64 dotatate diag	1919	7872	5425146.33	51.8	5133.75	689.17	574.31	2203.6	569.12	2345.8	137.179	A9592	G	9383	$918.36										
A9593	Gallium ga-68 psma-11 ucsf	272	1626	794060.76	439.12	551.73	488.35	487.69	2889.98	487.61	2966.1	12.81	A9593	G	9409	$732.86										
A9594	"Gallium ga-68 psma-11, ucla"	294	1492	971982.84	164.58	767.33	651.46	643.24	2733.93	655.22	3640.1	26.254	A9594	G	9410	$717.55										
A9595	"Piflu f-18, dia 1 millicurie"	.	.	.	.	.	.	.	.	.	.	.	A9595	G	9430	$558.03										
A9597	"Pet, dx, for tumor id, noc"	2980	3373	7604858.42	0.19	14637.03	2254.63	1038.01	1133.76	1560.91	2051.78	126.755	A9597	N												
A9598	"Pet dx for non-tumor id, noc"	337	337	76036.23	3.1	1095.72	225.63	10.9	10.9	3.1	3.1	187.879	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	"$4,095.15"										
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	4469	597634	52518612.42	0.04	560.18	87.88	73	9634.91	74.48	9799.1	784.268	A9606	K	1745	$149.29										
A9698	Non-rad contrast materialnoc	9192	12773	166468.39	0.06	569.04	13.03	5.68	7.38	5.42	7.07	354.459	A9698	N												
A9699	Radiopharm rx agent noc	60	60	18148.09	0.33	2750.18	302.47	1.8	1.8	0.33	0.33	242.169	A9699	N												
C1849	"Skin substitute, synthetic"	1088	13950	1343108.15	0.09	11302.16	96.28	26.16	652.69	44.54	832.08	922.84	C1849	D												
C9041	"Inj, coagulation factor Xa"	.	.	.	.	.	.	.	.	.	.	.	J7169	G	9198	$287.37										
C9046	Cocaine hcl nasal solution	2521	380463	589641.95	0.04	515.78	1.55	1.23	188.49	1.36	205.95	2188.962	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	$691.34										
C9053	"Inj,  crizanlizumab-tmca"	.	.	.	.	.	.	.	.	.	.	.	J0791	K	9359	$124.18										
C9054	"Injection, lefamulin"	.	.	.	.	.	.	.	.	.	.	.	J0691	N												
C9055	"Inj, brexanolone"	.	.	.	.	.	.	.	.	.	.	.	J1632	N												
C9056	"Injection, givosiran"	.	.	.	.	.	.	.	.	.	.	.	J0223	K	9343	$106.66										
C9057	Inj cetirizine hydrochloride	.	.	.	.	.	.	.	.	.	.	.	J1201	K	9361	$15.11										
C9059	"Injection, meloxicam"	.	.	.	.	.	.	.	.	.	.	.	J1738	N												
C9060	Fluoroestradiol f18	.	.	.	.	.	.	.	.	.	.	.	A9591	N												
C9061	"Injection, teprotumumab-trbw"	.	.	.	.	.	.	.	.	.	.	.	J3241	K	9355	$315.88										
C9062	Daratumumab hyaluronidase	.	.	.	.	.	.	.	.	.	.	.	J9144	K	9378	$44.88										
C9063	"Injection, eptinezumab-jjmr"	.	.	.	.	.	.	.	.	.	.	.	J3032	K	9357	$16.01										
C9064	Mitomycin pyelocalyceal inst	.	.	.	.	.	.	.	.	.	.	.	J9281	K	9374	$281.22										
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	K	9428	$33.91										
C9066	Sacituzumab govitecan-hziy	.	.	.	.	.	.	.	.	.	.	.	J9317	K	9376	$31.26										
C9067	Gallium ga-68 dotatoc	75	31022	175287.96	4.71	8.12	5.65	5.62	2337.18	5.53	2337.18	226.387	C9067	N	9323											
C9068	"Copper cu-64, dotatate, dx"	169	747	612997.02	151.47	5761.02	820.61	636.84	2783.61	606.19	2687.56	244.779	A9592	G	9383	$918.36										
C9069	Belantamab mafodontin-blmf	308	125042	4777706.07	11.16	115.18	38.21	35.36	14038.88	36.98	14284.96	780.233	J9037	G	9384	$43.16										
C9070	"Injection, tafasitamab-cxix"	759	350265	4300852.83	4.05	26.11	12.28	11.7	5246.26	12.3	5506.48	644.011	J9349	G	9385	$12.78										
C9071	"Injection, viltolarsen"	.	.	.	.	.	.	.	.	.	.	.	J1427	G	9386	$58.94										
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	$302.28										
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	$166.25										
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	$20.54										
C9078	"Inj, trilaciclib, 1 mg"	206	106155	497901.56	1.5	10.2	4.69	4.39	2182.31	4.33	2467.1	817.927	J1448	G	9415	$4.95										
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	$165.63										
C9080	"Inj, melphalan flufen, 1 mg"	98	3580	1672811.1	160.31	651.89	467.27	449.47	15883.45	465.79	16871.58	156.323	J9247	G	9417	$497.24										
C9081	Idecabtagene car pos t	.	.	.	.	.	.	.	.	.	.	.	Q2055	G	9422	"$444,670.00"										
C9084	"Loncastuximab-lpyl, 0.1 mg"	75	12882	1614404.37	8.1	386.33	125.32	56.62	18099.21	124.71	17251.46	1195.351	J9359	G	9205	$186.83										
C9085	Inj avalglucosid alfa-ngpt	.	.	.	.	.	.	.	.	.	.	.	J0219	G	9433	$72.71										
C9086	"Inj, anifrolumab-fnia"	.	.	.	.	.	.	.	.	.	.	.	J0491	G	9434	$16.21										
C9087	Inj cyclophosphamd auromedic	.	.	.	.	.	.	.	.	.	.	.	J9071	G	9203	$3.76										
C9088	"Instill, bupivac and meloxic"	.	.	.	.	.	.	.	.	.	.	.	C9088	G	9440	$0.70										
C9089	"Bupivacaine implant, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	C9089	N												
C9113	"Inj pantoprazole sodium, via"	174817	235309	2829183.27	0.7	120.19	12.02	9.23	11.5	9.15	11.52	95.94	C9113	N												
C9122	Mometasone furoate (sinuva)	36	4011	70948.1	1.51	1737.29	17.69	10.28	1405.43	14.42	1286.74	4796.543	J7402	K	9346	$10.56										
C9132	"Kcentra, per i.u."	2968	7576182	16933901.52	0.01	161.99	2.24	1.87	4350.72	2	4460.69	6505.158	J7168	K	9132	$2.09										
C9248	"Inj, clevidipine butyrate"	675	18651	112648.95	0.44	396.87	6.04	4.42	85.84	4.68	106.28	935.41	C9248	K		$2.79										
C9250	Artiss fibrin sealant	1353	2571	449881.75	14.09	2088.64	174.98	129.36	256.29	100.04	227.7	137.434	C9250	K	1848	$193.87										
C9254	"Injection, lacosamide"	2059	489271	228153.34	0.03	7.82	0.47	0.38	80.99	0.38	82.36	1350.051	C9254	N												
C9257	Bevacizumab injection	45320	283235	2794560.84	0.07	1403.43	9.87	6.54	39.77	6.46	41.34	337.009	C9257	K	1281	$1.74										
C9285	"Patch, lidocaine/tetracaine"	332	332	3100.38	4.64	23.61	9.34	8.83	8.83	8.3	8.3	38.871	C9285	N												
C9290	"Inj, bupivacaine liposome"	105847	25091829	37839070.89	0.01	584.79	1.51	1.35	311.94	1.36	332.58	1087.001	C9290	N												
C9293	"Injection, glucarpidase"	.	.	.	.	.	.	.	.	.	.	.	C9293	E2												
C9352	"Neuragen nerve guide, per cm"	106	156	218218.16	76.08	8284.57	1398.83	824.97	1164.85	769.08	1590.43	120.439	C9352	N												
C9353	"Neurawrap nerve protector,cm"	146	249	394821.94	51.73	6383.93	1585.63	1066.43	2094.02	1151.4	2521.65	103.722	C9353	N												
C9354	"Veritas collagen matrix, cm2"	58	730	118058.06	16.74	9153.3	161.72	47.44	1061.32	37.26	1374.07	1350.661	C9354	N												
C9355	"Neuromatrix nerve cuff, cm"	21	22	27631.87	459.66	2722.23	1255.99	1090.41	1120.61	1228.92	1537.83	50.472	C9355	N												
C9356	"Tenoglide tendon prot, cm2"	81	241	326269.05	50.91	10743.07	1353.81	294.64	3048.14	128.55	2910.43	334.466	C9356	N												
C9358	"Surgimend, fetal"	125	18574	436808.1	4.92	10472.27	23.52	11.74	1565.7	12.6	2537.43	12218.79	C9358	N												
C9359	"Implnt,bon void filler-putty"	3014	4091	3606816.32	6.89	20292.47	881.65	432.06	594.03	384.31	649.67	182.577	C9359	N												
C9360	"Surgimend, neonatal"	41	4372	122629.7	2.46	9706.85	28.05	9.17	1128.65	12.57	1636.21	12386.33	C9360	N												
C9361	Neuromend nerve wrap	122	162	101024.71	32.96	5348.18	623.61	255.48	285.72	250.96	139.86	175.193	C9361	N												
C9362	"Implnt,bon void filler-strip"	368	1380	440948.14	0.47	6838.59	319.53	81.04	508.76	60.08	686.48	466.038	C9362	N												
C9363	Integra meshed bil wound mat	886	34548	3388290.76	0.19	24171.42	98.07	39.49	2388.83	43.02	3021.67	3307.414	C9363	N												
C9364	"Porcine implant, permacol"	39	49	69973.28	53.15	5651.43	1428.03	1074.38	1251.04	1123.78	1509.42	82.745	C9364	N												
C9460	"Injection, cangrelor"	930	51052	836256.03	1.48	919.53	16.38	14.42	768.68	15.62	780.91	722.909	C9460	K	9460	$16.30										
C9462	"Injection, delafloxacin"	.	.	.	.	.	.	.	.	.	.	.	C9462	E2												
C9482	Sotalol hydrochloride iv	82	9702	138882.98	3.06	23.43	14.31	12.68	1414.15	15.45	1411.44	471.53	C9482	K	9482	$17.58										
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	$43.90										
J0120	Tetracyclin injection	53	68	1074.05	0.77	81.84	15.79	8.76	10.04	15.3	9.27	114.663	J0120	N												
J0121	"Inj., omadacycline, 1 mg"	327	32700	101728	2.71	6.04	3.11	2.99	299.14	2.71	271.42	343.263	J0121	K	9311	$3.30										
J0122	"Inj., eravacycline, 1 mg"	487	54226	74701.98	0.64	28.42	1.38	1.28	135.77	1.46	142.52	939.123	J0122	N												
J0129	Abatacept injection	56675	4303461	187209956.9	2.49	910.4	43.5	39.57	2950.08	41.47	3073.73	386.479	J0129	K	9230	$43.90										
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	306740	34021091	15532388.65	0.01	67.14	0.46	0.36	39.26	0.4	42.55	880.23	J0131	N												
J0132	Acetylcysteine injection	839	72586	226421.16	0.08	395.72	3.12	2.27	110.58	2.5	141.72	1814.543	J0132	N												
J0133	Acyclovir injection	2173	461547	101556.42	0.01	34.61	0.22	0.15	27.88	0.16	27.28	3445.136	J0133	N												
J0135	Adalimumab injection	48	115	128351.32	564.74	1936.82	1116.1	1076.71	2483.37	1108.22	2469.1	38.902	J0135	K	1083	"$1,698.61"										
J0153	Adenosine inj 1mg	52293	2806713	5078216.21	0.01	1475.86	1.81	1.21	44.75	1.25	50.26	1545.625	J0153	N												
J0171	Adrenalin epinephrine inject	390615	5133427	9915193.18	0.01	659.63	1.93	1.23	13.55	1.35	14.93	757.797	J0171	N												
J0172	"Inj, aducanumab-avwa, 2 mg"	.	.	.	.	.	.	.	.	.	.	.	J0172	K	9438	$5.64										
J0178	Aflibercept injection	79289	186663	163342060.7	176	4711.66	875.06	820.36	1851.37	914.26	1887.72	50.271	J0178	K	1420	$914.20										
J0179	"Inj, brolucizumab-dbll, 1 mg"	890	6260	1739425.76	8	720.65	277.86	234.49	1608.43	267.87	1673.22	142.276	J0179	K	9340	$312.28										
J0180	Agalsidase beta injection	2830	222772	40001050.24	3.57	451.88	179.56	160.41	12140.28	166.88	12395.59	394.019	J0180	K	9208	$198.74										
J0185	"Inj., aprepitant, 1 mg"	83683	10878720	28839904.72	0.15	34.22	2.65	2.41	312.94	2.33	303.18	559.47	J0185	K	9463	$1.73										
J0190	Inj biperiden lactate/5 mg	.	.	.	.	.	.	.	.	.	.	.	J0190	E2												
J0200	Alatrofloxacin mesylate	.	.	.	.	.	.	.	.	.	.	.	J0200	E2												
J0202	"Injection, alemtuzumab"	112	1312	2226108.24	0.57	3436.12	1696.73	1115.86	11495.82	1731.56	20778.75	174.272	J0202	K	1809	"$2,149.00"										
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	18	1875	240752.85	8.38	1168.56	128.4	110.33	7667.54	105.97	18015.65	1257.454	J0220	K	9234	$117.07										
J0221	Lumizyme injection	1791	289745	45821980.51	30.29	346.94	158.15	145.53	22232.06	140.99	23984.59	510.404	J0221	K	1413	$181.57										
J0222	"Inj., patisiran, 0.1 mg"	1655	421313	37049538.44	17.93	196.83	87.94	81.39	20373.87	86.58	21285.05	606.345	J0222	K	9180	$97.85										
J0223	Inj givosiran 0.5 mg	121	55324	5600376.49	54.75	141.49	101.23	98.1	42666.4	105.72	42607.82	507.349	J0223	K	9343	$106.66										
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	$302.28										
J0256	Alpha 1 proteinase inhibitor	35698	19462101	97991315.39	0.01	54.96	5.03	4.06	2069.83	4.34	2227.42	1793.916	J0256	K	0901	$4.54										
J0257	Glassia injection	4159	2148260	11330880.98	0.01	58.8	5.27	4.57	2252.29	4.85	2264.28	1116.165	J0257	K	1415	$4.97										
J0278	Amikacin sulfate injection	4504	41099	157453.63	0.13	82.36	3.83	2.98	25.98	3.13	27	312.972	J0278	N												
J0280	Aminophyllin 250 mg inj	45127	51149	703383.98	0.44	198.32	13.75	9.33	10.7	10.18	13.26	101.608	J0280	N												
J0282	Amiodarone hcl	21446	330889	1197628.74	0.02	127.31	3.62	2.01	26.06	2.15	30.5	492.737	J0282	N												
J0285	Amphotericin b	665	715	27528.11	1.87	206.15	38.5	28.08	28.55	38.68	38.65	71.758	J0285	N												
J0287	Amphotericin b lipid complex	36	521	6167	7.37	59.5	11.84	11.05	109.81	9.92	99.21	157.505	J0287	K	9024	$9.70										
J0288	Ampho b cholesteryl sulfate	.	.	.	.	.	.	.	.	.	.	.	J0288	E2												
J0289	Amphotericin b liposome inj	1195	39262	2020125.34	2.5	122.04	51.45	44.53	1216.49	49.58	1488.09	263.303	J0289	K	0736	$27.38										
J0290	Ampicillin 500 mg inj	13777	75637	391640.21	0.01	95.14	5.18	3.6	15.87	4.1	16.18	221.813	J0290	N												
J0291	"Inj., plazomicin, 5 mg"	156	32325	141834.25	3.47	34.18	4.39	4.06	826.91	3.53	706.32	1124.53	J0291	K	9183	$3.14										
J0295	Ampicillin sulbactam 1.5 gm	39106	117855	1084645.67	0.17	268.49	9.2	7.19	18.57	7.52	19.03	132.679	J0295	N												
J0300	Amobarbital 125 mg inj	25	95	16472.31	16.46	624.29	173.39	155.99	498.33	158.88	571.31	104.152	J0300	K	1341	$125.22										
J0330	Succinycholine chloride inj	353289	2403681	8170139.06	0.01	280.05	3.4	2.5	16.16	2.55	17.59	263.709	J0330	N												
J0348	Anidulafungin injection	807	93200	148290	0.1	7.56	1.59	1.34	152.03	1.34	180.54	629.055	J0348	N												
J0350	Injection anistreplase 30 u	.	.	.	.	.	.	.	.	.	.	.	J0350	E2												
J0360	Hydralazine hcl injection	257917	292906	5646159.82	0.69	238.16	19.28	12.94	14.26	13.76	14.65	118.419	J0360	N												
J0364	Apomorphine hydrochloride	.	.	.	.	.	.	.	.	.	.	.	J0364	E2												
J0365	"Aprotonin, 10,000 kiu"	.	.	.	.	.	.	.	.	.	.	.	J0365	E2												
J0380	Inj metaraminol bitartrate	.	.	.	.	.	.	.	.	.	.	.	J0380	E2												
J0390	Chloroquine injection	.	.	.	.	.	.	.	.	.	.	.	J0390	N												
J0395	Arbutamine hcl injection	.	.	.	.	.	.	.	.	.	.	.	J0395	E2												
J0400	Aripiprazole injection	64	3351	16881.9	0.02	1348.68	5.04	0.09	20.68	0.09	10.44	11664.84	J0400	K	9037	$5.04										
J0401	Inj aripiprazole ext rel 1mg	1609	605300	3184166	0.7	14.76	5.26	4.9	1827.79	4.6	1828.51	789.882	J0401	K	1468	$5.99										
J0456	Azithromycin	70631	72534	1275668.31	1.17	137.09	17.59	13.28	13.55	13.64	13.87	81.444	J0456	N												
J0461	Atropine sulfate injection	95915	6305483	1496849.27	0.01	18.62	0.24	0.16	10.21	0.16	10.37	1150.907	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	$53.44										
J0475	Baclofen 10 mg injection	10846	55653	12416326.3	1.78	3112.56	223.1	194.57	810.29	208.88	951.16	127.597	J0475	K	9032	$179.65										
J0476	Baclofen intrathecal trial	324	536	90353.57	1.52	1690.38	168.57	83.62	118.97	78.2	105.62	177.319	J0476	N												
J0480	Basiliximab	386	386	1441340.68	1716.45	10013.05	3734.04	3441.71	3441.71	3202.9	3202.9	48.826	J0480	K	1683	"$4,062.84"										
J0485	Belatacept injection	37899	19154587	72130559.28	0.43	16	3.77	3.47	1696.3	3.47	1699.83	933.19	J0485	K	9286	$3.78										
J0490	Belimumab injection	8804	731329	31969960	4.14	207.2	43.71	40.21	3226.09	40.15	3295.74	381.219	J0490	K	1353	$48.25										
J0500	Dicyclomine injection	16412	16412	1038662.84	3.71	434.31	63.29	51.51	51.51	53.19	53.19	66.363	J0500	N												
J0515	Inj benztropine mesylate	1785	3240	115784.95	1.01	282.16	35.74	29.09	51.16	31.46	53.45	87.434	J0515	N												
J0517	"Inj., benralizumab, 1 mg"	16363	490890	77112030.9	3.99	583.01	157.09	144.26	4327.82	149.55	4486.57	225.396	J0517	K	9466	$165.57										
J0520	Bethanechol chloride inject	.	.	.	.	.	.	.	.	.	.	.	J0520	E2												
J0558	Peng benzathine/procaine inj	110	1621	13262.42	0.12	245.31	8.18	5.59	88.08	5.98	90.04	702.73	J0558	K	9088	$11.78										
J0561	Penicillin g benzathine inj	4276	82267	1101327.4	0.02	659.51	13.39	10.11	184.98	12.41	241.99	459.785	J0561	K	1829	$15.12										
J0565	"Inj, bezlotoxumab, 10 mg"	546	50813	1837140.67	6.94	111.6	36.15	33.1	3003.98	35.31	3099	396.45	J0565	K	9490	$39.87										
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	858	8023	23568.21	0.02	146.77	2.94	0.94	7.66	1	8.84	1603.673	J0571	E1												
J0572	Bupren/nal up to 3mg bupreno	497	1097	5390.65	0.28	22.12	4.91	3.98	7.46	4.44	9.15	88.461	J0572	E1												
J0573	Bupren/nal 3.1 to 6mg bupren	85	132	1395.35	3.83	41.62	10.57	8.58	11.15	7.34	11.01	92.416	J0573	E1												
J0574	Bupren/nal 6.1 to 10mg bupre	1219	1811	12976.47	0.66	39.36	7.17	6.07	8.15	5.97	8.3	70.036	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	29858	9042836	15917046.26	0.03	16.01	1.76	1.23	349.78	1.32	377.76	1468.393	J0583	N												
J0584	"Injection, burosumab-twza 1m"	298	21325	6041502.93	98.02	680.9	283.31	244.65	16879.41	226.77	17980.71	474.696	J0584	K	9187	$380.10										
J0585	"Injection,onabotulinumtoxina"	84479	17323023	102399740.8	0.02	78.88	5.91	5.24	906.29	5.59	910	710.302	J0585	K	0902	$6.19										
J0586	Abobotulinumtoxina	1270	232039	2180404.26	1.6	66.2	9.4	8.54	1327.63	8.15	1402.87	651.324	J0586	K	1289	$8.40										
J0587	"Inj, rimabotulinumtoxinb"	2376	195433	1940974.88	0.74	32.78	9.93	9.03	569.45	9.32	574.47	413.398	J0587	K	9018	$12.17										
J0588	Incobotulinumtoxin a	4397	1122260	5498289.32	0.27	14.18	4.9	4.46	891.22	4.65	941.6	681.742	J0588	K	9278	$5.06										
J0591	"Inj deoxycholic acid, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0591	E1												
J0592	Buprenorphine hydrochloride	1983	6115	53181.42	1.51	75.38	8.7	6.32	19.02	5.4	16.21	199.923	J0592	N												
J0593	"Inj., lanadelumab-flyo, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0593	E2												
J0594	Busulfan injection	211	32327	169614.17	1.08	28.43	5.25	3.72	544.98	1.75	419.71	988.523	J0594	K	1178	$1.91										
J0595	Butorphanol tartrate 1 mg	2076	3781	25600.1	0.22	41.94	6.77	5.37	9.11	5.32	8.99	108.856	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	$30.11										
J0597	"C-1 esterase, berinert"	148	27515	1268291.06	3.25	168.32	46.09	41.83	7537.76	36.1	9025.85	665.255	J0597	K	9269	$57.33										
J0598	"C-1 esterase, cinryze"	223	22300	923982	23.71	168	41.43	39.15	3914.96	42.21	4221.03	387.051	J0598	K	9251	$58.96										
J0599	"Inj., haegarda 10 units"	.	.	.	.	.	.	.	.	.	.	.	J0599	E2												
J0600	Edetate calcium disodium inj	7	7	195102.41	16.29	39008.29	27871.77	4878.05	4878.05	39008.29	39008.29	68.238	J0600	K	1274	"$5,708.59"										
J0604	"Cinacalcet, esrd on dialysis"	279	13447	6157.27	0.01	14.23	0.46	0.28	13.33	0.28	15.05	712.613	J0604	B												
J0606	"Inj, etelcalcetide, 0.1 mg"	60	2550	7770.5	0.4	5.86	3.05	2.78	101.33	2.88	72.01	253.088	J0606	N												
J0610	Calcium gluconate injection	61235	214001	1915508.93	0.05	302.63	8.95	6.01	20.73	6.09	21.4	185.091	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	183	245	475964.07	83.64	5356.97	1942.71	1606.29	2020.37	1723.73	2133.59	65.767	J0630	K	1433	"$2,644.43"										
J0636	Inj calcitriol per 0.1 mcg	496	7571	10876.69	0.4	43.33	1.44	1.2	17.85	1.33	19.26	449.331	J0636	N												
J0637	Caspofungin acetate	2090	21602	576116.67	1.18	235.12	26.67	19.85	203.49	28.98	283.75	309.193	J0637	N												
J0638	Canakinumab injection	110	19350	2397391.5	19.97	350.23	123.9	96.01	17971.44	108.88	16669.24	857.036	J0638	K	1311	$116.94										
J0640	Leucovorin calcium injection	133276	1905745	14507763.86	0.01	335.91	7.61	5.51	75.77	5.25	74.11	606.906	J0640	N												
J0641	Inj levoleucovorin nos 0.5mg	213	172658	165951.98	0.08	1.01	0.96	0.93	712.07	1.01	808.18	532.472	J0641	N												
J0642	"Injection, khapzory, 0.5 mg"	.	.	.	.	.	.	.	.	.	.	.	J0642	N												
J0670	Inj mepivacaine hcl/10 ml	26607	57279	365442.09	0.13	97.21	6.38	4.54	9.77	4.19	10.49	149.771	J0670	N												
J0690	Cefazolin sodium injection	1705318	8070666	39126819	0.01	674.51	4.85	3.14	13.21	3.37	14.49	248.024	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												
J0692	Cefepime hcl for injection	85265	381464	2796445.21	0.12	461.25	7.33	5.47	22.08	5.38	21.55	197.904	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	24171	53103	709389.27	0.49	201.51	13.36	10.52	21.43	10.82	22.67	108.457	J0694	N												
J0695	Inj ceftolozane tazobactam	17	669	6082.75	0.64	12.98	9.09	7.78	50.8	10.48	51.92	215.404	J0695	K	9452	$6.40										
J0696	Ceftriaxone sodium injection	789685	4096897	18326818.22	0.01	792.95	4.47	2.31	11.62	2.34	12.58	323.521	J0696	N												
J0697	Sterile cefuroxime injection	23262	37651	373490.04	0.08	326.56	9.92	7.57	11.7	8.79	11.04	103.582	J0697	N												
J0698	Cefotaxime sodium injection	27	39	601.19	0.54	41.26	15.42	9.96	13.49	12.44	12.85	85.43	J0698	N												
J0699	"Inj, cefiderocol, 10 mg"	2	400	1030	2.01	3.14	2.57	2.51	502.38	2.58	514.87	438.835	J0699	G	9426	$2.01										
J0702	Betamethasone acet&sod phosp	72093	224052	2171327.89	0.12	331.52	9.69	7.12	20.47	6.72	23.01	167.374	J0702	N												
J0706	Caffeine citrate injection	2854	33441	69878.09	0.11	69.19	2.09	1.47	16.52	1.76	19.99	330.597	J0706	N												
J0710	Cephapirin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J0710	E2												
J0712	Ceftaroline fosamil inj	1440	108922	447214.26	0.38	46.67	4.11	3.69	263.1	4.1	252.04	406.893	J0712	K	1824	$3.57										
J0713	Inj ceftazidime per 500 mg	8238	30809	205646.61	0.04	124.03	6.67	4.79	14.22	4.42	16.1	192.798	J0713	N												
J0714	Ceftazidime and avibactam	1066	7066	750356.69	6.19	673.68	106.19	90.15	507.33	97.01	556.67	167.704	J0714	K	1825	$91.79										
J0715	Ceftizoxime sodium / 500 mg	43	65	2461.14	1	75.62	37.86	12.39	40.8	30.21	75.62	116.865	J0715	N												
J0716	Centruroides immune f(ab)	51	94	179562.07	603.75	4383.62	1910.23	1607.69	2460.06	1777.49	2171.61	76.312	J0716	K	1431	"$4,377.00"										
J0717	Certolizumab pegol inj 1mg	20601	7870199	69128571.23	0.01	40.63	8.78	7.51	2839.97	7.66	2960.36	1115.366	J0717	K	1474	$5.64										
J0720	Chloramphenicol sodium injec	11	11	1486.32	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	29244	31488	887766.34	0.32	299.15	28.19	14.09	15.09	18.23	19.78	119.427	J0735	N												
J0740	Cidofovir injection	1568	1568	847300.01	10.34	2116	540.37	342.9	342.9	488.42	488.42	72.502	J0740	K	9033	$546.20										
J0741	"Inj, cabote rilpivir 2mg 3mg"	26	7850	110892	3.53	32.64	14.13	11.93	3793.95	13.87	3523.24	1003.182	J0741	G	9414	$20.54										
J0742	Inj imip 4 cilas 4 releb 2mg	21	5950	13543.25	2.1	3.87	2.28	2.27	536.61	2.25	506.53	158.442	J0742	K	9362	$2.31										
J0743	Cilastatin sodium injection	1521	7522	134050.14	1.87	78.51	17.82	12.6	54.01	12.2	48.78	200.752	J0743	N												
J0744	Ciprofloxacin iv	70510	150422	1386764.61	0.11	229.54	9.22	5.18	10.82	4.84	10.26	224.064	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	255	500	13837.4	8.24	117.28	27.67	25.65	46.34	28.85	52.96	55.88	J0770	N												
J0775	"Collagenase, clost hist inj"	1669	156120	7613872.66	0.47	1484.44	48.77	41.83	3710.55	40.87	3441.41	953.149	J0775	K	1340	$58.79										
J0780	Prochlorperazine injection	87705	87705	1706210.45	1.76	126.34	19.45	15.61	15.61	17.22	17.22	69.226	J0780	N												
J0791	Inj crizanlizumab-tmca 5mg	2037	163612	17923503.96	2.07	240.88	109.55	99.05	7887.39	106.69	8006.26	359.331	J0791	K	9359	$124.18										
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	"$3,780.69"										
J0834	"Inj., cosyntropin, 0.25 mg"	6606	6606	559060.85	1.94	466.31	84.63	64.28	64.28	76.96	76.96	70.188	J0834	N												
J0840	Crotalidae poly immune fab	165	857	2223394.92	196.02	19809.8	2594.39	2261.07	10712.63	2438.19	11814.32	125.981	J0840	K	9274	"$2,622.69"										
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	$918.85										
J0850	Cytomegalovirus imm iv /vial	441	1447	2037736.52	40.93	2620.18	1408.25	1286.53	3592.73	1305.68	3532.97	72.977	J0850	K	0903	"$1,526.58"										
J0875	"Injection, dalbavancin"	6435	1600997	21546312.76	0.92	52.27	13.46	11.9	2798.63	12.2	3090.15	793.538	J0875	K	1823	$14.47										
J0878	Daptomycin injection	108831	69360580	33012649.33	0.01	12.74	0.48	0.3	183.7	0.3	185.72	2428.461	J0878	N												
J0881	"Darbepoetin alfa, non-esrd"	108251	23662520	147858668.3	0.07	100.3	6.25	5.61	924.31	5.6	985.67	738.829	J0881	K	1685	$3.28										
J0882	"Darbepoetin alfa, esrd use"	729	53311	338654.89	0.21	22.13	6.35	5.65	367.18	5.42	354.73	430.761	J0882	K	1482	$3.28										
J0883	Argatroban nonesrd use 1mg	271	50259	155084.42	0.17	241.85	3.09	2.17	321.22	2.2	314.51	3126.619	J0883	K	1859	$1.28										
J0884	Argatroban esrd dialysis 1mg	28	2385	7684.99	0.92	808.94	3.22	2.11	189.72	1.76	236.18	5082.624	J0884	K	9065	$1.28										
J0885	"Epoetin alfa, non-esrd"	48429	1553793	29940315.43	0.36	1252.9	19.27	17.2	471.61	17.97	518.84	297.742	J0885	K	1686	$8.11										
J0887	Epoetin beta esrd use	31	3701	37475.11	3.2	134.26	10.13	9.18	786.28	9.23	1661.23	994.901	J0887	K	9041	$1.56										
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	52137	2463471	32812963.78	0.23	137.34	13.32	8.51	396.66	8.41	395.9	681.933	J0894	N												
J0895	Deferoxamine mesylate inj	5682	20621	398780.42	0.67	314.98	19.34	12.61	42.01	11.25	37.45	335.759	J0895	N												
J0896	Inj luspatercept-aamt 0.25mg	8909	3540650	117451568.9	0.08	182.98	33.17	30.23	11347.33	30.75	11313.77	853.138	J0896	K	9347	$37.40										
J0897	Denosumab injection	407820	33095768	626249662.9	0.04	361.12	18.92	17.26	1320.77	17.86	1336.67	391.342	J0897	K	9272	$21.26										
J0945	Brompheniramine maleate inj	.	.	.	.	.	.	.	.	.	.	.	J0945	E2												
J1000	Depo-estradiol cypionate inj	211	234	4630.65	2.85	171.94	19.79	12.29	11.75	12.18	12.18	107.924	J1000	N												
J1020	Methylprednisolone 20 mg inj	10114	28250	125077.07	0.39	37.47	4.43	3.65	9.2	4.14	8.3	125.237	J1020	N												
J1030	Methylprednisolone 40 mg inj	198671	283273	3732081.27	0.88	126.11	13.17	10.74	14.36	11.48	14.67	75.842	J1030	N												
J1040	Methylprednisolone 80 mg inj	214442	238091	5000126.5	1.57	165.08	21	17.78	19.59	18.36	19.78	61.754	J1040	N												
J1050	Medroxyprogesterone acetate	7968	1234376	607313.04	0.01	18.64	0.49	0.38	56.86	0.38	58.79	1257.321	J1050	N												
J1071	Inj testosterone cypionate	26790	5443907	1048307.33	0.01	29.24	0.19	0.1	18.53	0.1	18.89	7295.221	J1071	N												
J1094	Inj dexamethasone acetate	1103	2872	8721.15	0.12	78.01	3.04	0.83	4.59	1.11	5.2	276.678	J1094	N												
J1095	"Injection, dexamethasone 9%"	1303	679349	1105333.41	0.01	6.34	1.63	1.49	768.78	1.78	917.74	592.607	J1095	N												
J1096	Dexametha opth insert 0.1 mg	8888	35562	4674386.61	23.79	790.95	131.44	121.01	484.09	131.54	526.17	82.133	J1096	N												
J1097	Phenylep ketorolac opth soln	9924	35238	4512623.2	1.6	1302.93	128.06	109.42	397.57	114.34	446.04	129.547	J1097	N												
J1100	Dexamethasone sodium phos	2266228	21379036	22664395.32	0.01	616.47	1.06	0.57	5.47	0.62	5.86	447.464	J1100	N												
J1110	Inj dihydroergotamine mesylt	1131	1695	213805.4	0.79	1138.09	126.14	70.77	126.11	113.01	143.22	109.199	J1110	N												
J1120	Acetazolamid sodium injectio	3582	3974	172913.68	4.31	283.03	43.51	36.23	39.05	39.55	42.52	63.872	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	6582	7532	89231.97	0.58	127.77	11.85	8.5	9.42	8.26	9.13	117.677	J1160	N												
J1162	Digoxin immune fab (ovine)	72	228	693912.42	172.18	6767.32	3043.48	2546.42	6643.41	2939.81	6978.08	94.67	J1162	K	1687	"$4,296.54"										
J1165	Phenytoin sodium injection	1811	23252	36162.57	0.05	28.45	1.56	1.01	12	0.91	12.62	449.936	J1165	N												
J1170	Hydromorphone injection	826275	1431062	13328655.64	0.14	253.89	9.31	6.17	9.18	6.14	9.1	124.358	J1170	N												
J1180	Dyphylline injection	.	.	.	.	.	.	.	.	.	.	.	J1180	E2												
J1190	Dexrazoxane hcl injection	796	3345	844573.01	49.11	616.1	252.49	233.76	805.76	267.4	909.74	75.988	J1190	K	0726	$181.22										
J1200	Diphenhydramine hcl injectio	823941	860602	5671461.87	0.12	103.54	6.59	3.71	3.82	3.67	3.74	121.683	J1200	N												
J1201	Inj. cetirizine hcl 0.5mg	177	3540	45655.8	0.05	14.15	12.9	12.37	247.29	13.52	270.43	74.318	J1201	K	9361	$15.11										
J1205	Chlorothiazide sodium inj	1734	1866	255587.18	5.47	931.5	136.97	88.34	93.04	123.06	123.06	86.863	J1205	N												
J1212	Dimethyl sulfoxide 50% 50 ml	1222	1222	710476.29	51.55	2090.11	581.4	492.71	492.71	567.68	567.68	54.073	J1212	K	1832	$636.55										
J1230	Methadone injection	1496	1707	55406.92	2.77	111.23	32.46	28.04	32.26	30.87	38.83	52.48	J1230	N												
J1240	Dimenhydrinate injection	1183	1183	11991.54	1.01	53.34	10.14	8.08	8.08	10.8	10.8	67.198	J1240	N												
J1245	Dipyridamole injection	11783	62051	546333.6	0.4	128.97	8.8	5.49	26.11	5.57	27.09	325.919	J1245	N												
J1250	Inj dobutamine hcl/250 mg	32622	55131	1025839.46	0.59	285.63	18.61	13.72	22.07	13.52	25.55	117.738	J1250	N												
J1260	Dolasetron mesylate	4	7	47.24	2.42	11.51	6.75	5.41	8.22	8.48	10.9	88.721	J1260	N												
J1265	Dopamine injection	4945	63870	149172.05	0.01	106.87	2.34	1.78	20.62	1.77	22.74	404.093	J1265	N												
J1267	Doripenem injection	.	.	.	.	.	.	.	.	.	.	.	J1267	E2												
J1270	"Injection, doxercalciferol"	1460	5871	23387.14	0.21	29.18	3.98	2.91	10.18	2.96	10.66	168.995	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	$501.36										
J1300	Eculizumab injection	13632	1567691	303727229.3	28.72	595.34	193.74	181.86	20834.03	188.68	21764.98	375.427	J1300	K	9236	$228.52										
J1301	"Injection, edaravone, 1 mg"	12764	765820	17022876.4	0.02	72.49	22.23	19.58	1174.69	20.91	1254.55	370.052	J1301	K	9493	$20.99										
J1303	"Inj., ravulizumab-cwvz 10 mg"	1406	456620	91281528	8.83	519.06	199.91	183.85	59488.84	194.43	63995.55	685.781	J1303	G	9312	$224.77										
J1305	"Inj, evinacumab-dgnb, 5mg"	3	599	81886.43	122.35	143.12	136.71	136.35	27083.47	143.12	29625.41	121.481	J1305	G	9416	$165.63										
J1320	Amitriptyline injection	6	7	7.92	0.68	2.26	1.13	0.96	0.93	0.68	0.68	74.644	J1320	N												
J1322	"Elosulfase alfa, injection"	122	8875	1957746.45	175.06	379.33	220.59	209.7	15322.38	178.61	15181.47	306.37	J1322	K	1480	$250.30										
J1324	Enfuvirtide injection	.	.	.	.	.	.	.	.	.	.	.	J1324	E2												
J1325	Epoprostenol injection	314	1550	48426.3	1.55	694.17	31.24	23.2	91.23	25.04	103.22	341.202	J1325	N												
J1327	Eptifibatide injection	3393	44298	1187773.43	0.13	667.76	26.81	19.24	182.37	23.45	187.62	326.347	J1327	N												
J1330	Ergonovine maleate injection	.	.	.	.	.	.	.	.	.	.	.	J1330	E2												
J1335	Ertapenem injection	117862	235788	14352663.1	3.57	646.4	60.87	53.09	106.2	54.37	108.74	82.236	J1335	N												
J1364	Erythro lactobionate /500 mg	354	683	51165	3.32	226.43	74.91	62.25	99.5	67.63	93.22	80.618	J1364	K	1669	$77.18										
J1380	Estradiol valerate 10 mg inj	447	1605	17052.9	1.6	43.67	10.62	9.81	19.09	10.87	16.28	78.207	J1380	N												
J1410	Inj estrogen conjugate 25 mg	59	86	21320.64	10.6	872.89	247.91	140.9	229.22	211.55	277.65	94.475	J1410	K	9038	$341.49										
J1426	"Injection, casimersen, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J1426	G	9412	$166.25										
J1427	Inj. viltolarsen	.	.	.	.	.	.	.	.	.	.	.	J1427	G	9386	$58.94										
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	N												
J1430	Ethanolamine oleate 100 mg	40	114	45059.27	9.78	994.22	395.26	234.76	611.16	349.45	672.74	117.038	J1430	K	1688	$457.18										
J1435	Injection estrone per 1 mg	.	.	.	.	.	.	.	.	.	.	.	J1435	E2												
J1436	Etidronate disodium inj	.	.	.	.	.	.	.	.	.	.	.	J1436	E1												
J1437	Inj. fe derisomaltose 10 mg	1864	186058	4251669.22	5.27	77.59	22.85	21.02	2096.75	23	2300.3	406.566	J1437	G	9388	$24.22										
J1438	Etanercept injection	171	342	159209.86	113.16	1342.31	465.53	383.49	766.97	214.78	429.55	84.407	J1438	K	1608	$790.78										
J1439	Inj ferric carboxymaltos 1mg	105708	79221963	103073097.2	0.01	34.98	1.3	1.17	873.68	1.19	893.81	1357.754	J1439	K	9441	$1.14										
J1442	Inj filgrastim excl biosimil	25301	10895548	10947956.1	0.02	10.25	1	0.89	356.77	0.91	335.7	1084.883	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	22307	9550843	6746185.48	0.04	7.02	0.71	0.63	257.03	0.67	260.07	1083.56	J1447	K	1748	$0.44										
J1448	"Injection, trilaciclib, 1mg"	171	84719	377262.1	1.5	7.18	4.45	4.25	2028.12	4.07	2089.27	669.112	J1448	G	9415	$4.95										
J1450	Fluconazole	6638	9369	164856.56	0.53	240.71	17.6	11.75	16.12	11.92	15.86	143.659	J1450	N												
J1451	"Fomepizole, 15 mg"	38	3475	59414.03	0.88	522.99	17.1	10.68	835.09	9.67	901.19	1257.068	J1451	K	1689	$5.64										
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	155148	23271216	35493495.36	0.01	80.93	1.53	1.02	152.91	1.25	186.9	1202.266	J1453	N												
J1454	"Inj fosnetupitant, palonoset"	2347	2347	1532957.32	110.17	1088.4	653.16	567.93	567.93	614.65	614.65	49.211	J1454	K	9099	$464.38										
J1455	Foscarnet sodium injection	700	3783	305961.08	1.09	838.78	80.88	65.72	264.89	66.82	356.8	169.125	J1455	K	1849	$72.67										
J1457	Gallium nitrate injection	.	.	.	.	.	.	.	.	.	.	.	J1457	E2												
J1458	Galsulfase injection	.	.	.	.	.	.	.	.	.	.	.	J1458	N												
J1459	Inj ivig privigen 500 mg	81232	6353186	336041894.5	0.01	328.51	52.89	47.89	3395.51	48.98	3416.37	405.292	J1459	K	1214	$45.05										
J1460	Gamma globulin 1 cc inj	226	1021	68146.28	9.87	2349.79	66.74	29.11	149.08	30.91	164.73	735.498	J1460	K	1850	$46.43										
J1554	Inj. asceniv	.	.	.	.	.	.	.	.	.	.	.	J1554	G	9392	$481.77										
J1555	"Inj cuvitru, 100 mg"	73	6800	89092	7.63	20.26	13.1	11.75	982.71	8.01	641.09	450.413	J1555	K	9034	$14.74										
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	24	810	63130.5	44.79	101.53	77.94	75.44	1993.81	83.78	1015.31	137.818	J1557	K	9270	$50.73										
J1558	"Inj. xembify, 100 mg"	.	.	.	.	.	.	.	.	.	.	.	J1558	N												
J1559	Hizentra injection	73	9314	184203.96	8.14	27.67	19.78	18.43	1918.46	19.88	1993.25	395.359	J1559	K	1312	$11.79										
J1560	Gamma globulin > 10 cc inj	.	.	.	.	.	.	.	.	.	.	.	J1560	K	1851	$464.27										
J1561	Gamunex-c/gammaked	71796	5841591	299629574.7	0.01	661.19	51.29	46.69	3460.07	46.57	3394.61	421.944	J1561	K	0948	$43.04										
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"	4566	354851	25103990.28	0.18	366.22	70.75	61.64	4449.14	68.37	4747.55	451.14	J1566	K	2731	$69.93										
J1568	Octagam injection	13323	1094300	54866285.27	0.01	196.75	50.14	42.86	3210.41	45.12	3252.7	502.948	J1568	K	0943	$41.82										
J1569	Gammagard liquid injection	79647	6271484	328568638.6	0.01	724.28	52.39	47.73	3450.78	48.84	3469.67	388.304	J1569	K	0944	$43.88										
J1570	Ganciclovir sodium injection	1182	1517	137040.26	4.51	364.33	90.34	71.4	88.64	77.17	82.12	75.71	J1570	N												
J1571	Hepagam b im injection	72	1020	152641.31	22.71	392.38	149.65	113.87	1256.42	117.22	731.08	268.788	J1571	K	0946	$76.11										
J1572	Flebogamma injection	1600	125646	4813102.1	7.52	182.17	38.31	34.73	2607.58	31.78	2523.83	419.046	J1572	K	0947	$38.72										
J1573	"Hepagam b intravenous, inj"	98	3884	260460.07	0.37	104.54	67.06	42.67	1233.59	84.03	931.54	273.852	J1573	K	1138	$76.11										
J1575	Hyqvia 100mg immuneglobulin	321	98545	1608417.29	7.17	34.36	16.32	15.32	4170.66	15.24	4571.88	646.92	J1575	K	1826	$15.25										
J1580	Garamycin gentamicin inj	147074	313795	2076574.37	0.07	232.4	6.62	4.3	7.99	4.24	8.49	162.778	J1580	N												
J1595	Injection glatiramer acetate	34	55	8130.36	35.43	341.9	147.82	117.74	176.42	91.26	159.22	86.867	J1595	K	1015	$140.40										
J1599	"Ivig non-lyophilized, nos"	157	13364	810620.42	13.72	103.32	60.66	55.06	4590.38	61.5	5121.7	355.469	J1599	N												
J1600	Gold sodium thiomaleate inj	.	.	.	.	.	.	.	.	.	.	.	J1600	E2												
J1602	Golimumab for iv use 1mg	21195	3773124	122123259.6	2.75	201.17	32.37	29.52	5135.51	30.37	5261.8	576.177	J1602	K	1475	$15.01										
J1610	Glucagon hydrochloride/1 mg	45484	49431	8935324.47	21.47	1031.96	180.76	154.4	165.27	162.61	169.42	65.773	J1610	K	9042	$169.74										
J1620	Gonadorelin hydroch/ 100 mcg	.	.	.	.	.	.	.	.	.	.	.	J1620	E2												
J1626	Granisetron hcl injection	53249	538771	1909044.07	0.01	41.4	3.54	1.92	19.35	2.18	21.81	464.671	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	$6.57										
J1628	"Inj., guselkumab, 1 mg"	351	35100	3655689	27.17	374.72	104.15	94.81	9481.28	98.75	9874.87	494.199	J1628	K	9029	$81.22										
J1630	Haloperidol injection	87108	98187	809201.03	0.11	210.29	8.24	4.93	5.39	6.13	6.74	106.805	J1630	N												
J1631	Haloperidol decanoate inj	5863	15227	427715.6	0.82	236.42	28.09	21.85	50.19	21.12	51.46	115.652	J1631	N												
J1632	"Inj., brexanolone, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J1632	N												
J1640	"Hemin, 1 mg"	699	240856	4912873.14	0.03	43.5	20.4	17.93	5938.16	18.46	5703.2	929.935	J1640	K	1690	$26.63										
J1642	Inj heparin sodium per 10 u	985090	45344870	9863971.72	0.01	95.89	0.22	0.1	4.56	0.11	4.91	1624.963	J1642	N												
J1644	Inj heparin sodium per 1000u	1196860	12370072	25039228.43	0.01	1244.73	2.02	1.2	11.33	1.14	12.07	529.696	J1644	N												
J1645	Dalteparin sodium	525	1363	28058.5	1.57	186.2	20.59	12.98	22.28	19.1	12.67	141.515	J1645	N												
J1650	Inj enoxaparin sodium	592503	2713153	12666711.64	0.02	545.79	4.67	3.38	14.77	3.2	14.71	197.659	J1650	N												
J1652	Fondaparinux sodium	2829	22454	181692.78	0.47	218.79	8.09	6.02	43.25	6.48	45.61	371.524	J1652	N												
J1655	Tinzaparin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1655	E2												
J1670	Tetanus immune globulin inj	167	167	54602.16	2.57	1166.04	326.96	189.5	189.5	269.41	269.41	82.488	J1670	K	1670	$523.73										
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	90498	99797	1872225.8	1.1	157.11	18.76	15.16	16.15	16.8	18	68.891	J1720	N												
J1726	"Makena, 10 mg"	208	5349	99334.12	0.55	46.9	18.57	13.56	347.46	15.48	433.33	323.905	J1726	K	9074	$16.47										
J1729	Inj hydroxyprogst capoat nos	100	2500	21813.5	1.03	23.43	8.73	4.81	120.25	5.2	129.91	466.177	J1729	K	9318	$21.54										
J1730	Diazoxide injection	.	.	.	.	.	.	.	.	.	.	.	J1730	E2												
J1738	Inj. meloxicam 1 mg	869	25454	146288.33	0.04	15.66	5.75	4.76	125.59	7.83	234.93	242.239	J1738	N												
J1740	Ibandronate sodium injection	1416	4248	450451.53	4.93	591.09	106.04	83.71	251.14	90.99	272.97	129.15	J1740	K		$45.64										
J1741	Ibuprofen injection	5227	46876	139416.45	0.04	20.98	2.97	2.46	21.56	2.66	23.16	191.939	J1741	N												
J1742	Ibutilide fumarate injection	1023	1186	382309.34	18.07	967.4	322.35	247.43	279.68	285.61	305.12	71.928	J1742	K	9044	$316.20										
J1743	Idursulfase injection	14	332	170130.08	512.44	512.44	512.44	512.44	12139.47	512.44	12298.59	0	J1743	K	9045	$542.76										
J1744	Icatibant injection	36	1360	197193.8	16.5	515.18	145	109.79	4388.26	147.03	4805	437.217	J1744	K	1443	$211.17										
J1745	Infliximab not biosimil 10mg	69396	3777679	381740751.3	0.01	900.74	101.05	92.19	4605.23	96.75	4719.51	315.187	J1745	K	7043	$36.51										
J1746	"Inj., ibalizumab-uiyk, 10 mg"	122	10240	604553.6	19.49	124.29	59.04	52.1	4300.25	58.41	4467.99	419.668	J1746	K	9189	$66.49										
J1750	Inj iron dextran	11781	225400	4236668.35	0.45	216.57	18.8	17.04	282	16.71	333.97	213.489	J1750	K	1237	$15.77										
J1756	Iron sucrose injection	123567	27492397	16180160.31	0.01	71.92	0.59	0.51	108.24	0.51	107.51	1879.759	J1756	N												
J1786	Imuglucerase injection	1569	626238	26768594.2	9.11	72.26	42.75	40.63	15252.84	41.65	15529.15	596.338	J1786	K	1327	$43.88										
J1790	Droperidol injection	23364	23364	286320	0.55	129.05	12.25	9.03	9.03	10.38	10.38	74.575	J1790	N												
J1800	Propranolol injection	233	343	4658.27	0.83	81.44	13.58	10.34	12.13	12.31	13.28	81.15	J1800	N												
J1815	Insulin injection	240573	5939423	6504444.19	0.01	817.5	1.1	0.53	6.29	0.69	6.33	1405.543	J1815	N												
J1817	Insulin for insulin pump use	2135	17476	42617.2	0.01	511.42	2.44	0.83	9.54	0.3	11.15	879.553	J1817	N												
J1823	"Inj. inebilizumab-cdon, 1 mg"	48	14400	5728557	123.37	632.58	397.82	371.58	111473.3	394.12	118235.7	546.258	J1823	G	9394	$462.87										
J1826	Interferon beta-1a inj	186	186	324839.43	383.27	5725.52	1746.45	1363.43	1363.43	1622.23	1622.23	75.313	J1826	K	1852	"$2,293.85"										
J1830	Interferon beta-1b / .25 mg	.	.	.	.	.	.	.	.	.	.	.	J1830	N												
J1833	"Injection, isavuconazonium"	337	127596	139596.72	0.46	1.8	1.09	1.08	408.62	1.13	419.89	257.266	J1833	K	9456	$0.84										
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	.	.	.	.	.	.	.	.	.	.	.	J1850	E2												
J1885	Ketorolac tromethamine inj	1210860	2360048	12319951.9	0.04	222.72	5.22	3.05	5.88	3.19	6.34	198.795	J1885	N												
J1890	Cephalothin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1890	E2												
J1930	Lanreotide injection	23035	2731626	181211728.7	0.03	334.28	66.34	60.26	7130.6	62.55	7404.84	453.022	J1930	K	9237	$65.01										
J1931	Laronidase injection	70	22774	643736.19	25.82	29.9	28.27	28.21	8874.03	28.75	8336.21	109.185	J1931	K	9209	$34.78										
J1940	Furosemide injection	342260	768372	3493022.16	0.05	135.41	4.55	3.02	6.67	3.04	6.95	152.524	J1940	N												
J1943	"Inj., aristada initio, 1 mg"	11	4729	16669.43	0.02	156.17	3.52	1.71	546.67	3.68	902.87	3000.296	J1943	K	9179	$2.99										
J1944	Aripirazole lauroxil 1 mg	275	229821	734791.57	0.01	37.61	3.2	2.82	2300.67	3.2	2639.86	1745.069	J1944	K	9470	$2.93										
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	1897	3012	3371346.53	39.62	17045.65	1119.3	911.43	1309.3	1047.55	1241.2	89.354	J1950	K	0800	"$1,421.56"										
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	$126.43										
J1952	"Leuprolide inj, camcevi, 1mg"	.	.	.	.	.	.	.	.	.	.	.	J1952	E2												
J1953	Levetiracetam injection	48717	5542473	2298073.36	0.01	73.75	0.41	0.28	29.86	0.31	32.19	1291.556	J1953	N												
J1956	Levofloxacin injection	95321	218401	2231133.9	0.1	201.57	10.22	6.79	15.71	7.03	16.73	155.59	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	1608	2917	106149.56	2.05	170.31	36.39	31.45	53.83	38.67	65.36	69.253	J1980	N												
J1990	Chlordiazepoxide injection	.	.	.	.	.	.	.	.	.	.	.	J1990	E2												
J2001	Lidocaine injection	922230	11640136	8582615.52	0.01	549.87	0.74	0.28	5.11	0.3	5.59	841.233	J2001	N												
J2010	Lincomycin injection	775	1408	20947.32	1.41	50.63	14.88	12.17	21.79	20.51	19.87	67.376	J2010	N												
J2020	Linezolid injection	4309	18018	414182.82	0.83	295.36	22.99	18.12	73.07	17.63	71.65	166.896	J2020	N												
J2060	Lorazepam injection	281177	312980	2432125.24	0.09	140.36	7.77	4.2	4.53	4.46	4.77	119.009	J2060	N												
J2062	Loxapine for inhalation 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2062	E2												
J2150	Mannitol injection	10032	15015	115676.75	0.21	122.64	7.7	4.89	6.57	4.17	5.74	151.281	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	77998	92823	985916.14	0.21	236.7	10.62	7.68	8.8	7.66	8.79	97.681	J2175	N												
J2180	Meperidine/promethazine inj	80	87	530.8	0.85	12.1	6.1	5.39	5.71	7.68	8.45	46.39	J2180	N												
J2182	"Injection, mepolizumab, 1mg"	33136	3689621	104394339.7	0.03	308.25	28.29	25.86	2737.48	27.07	2725.14	447.224	J2182	K	9473	$28.75										
J2185	Meropenem	32420	488526	1805143.08	0.02	119.51	3.7	2.78	36.47	2.91	35.54	369.097	J2185	N												
J2186	"Inj., meropenem, vaborbactam"	351	39700	85243	1.17	3.31	2.15	2.13	225.22	2.23	222.65	138.648	J2186	K	9178	$1.84										
J2210	Methylergonovin maleate inj	253	318	8646.11	3.15	123.17	27.19	23.72	27.98	23.65	29.7	58.457	J2210	N												
J2212	Methylnaltrexone injection	2759	318536	355990.07	0.01	19	1.12	0.89	103.7	0.99	116.53	694.64	J2212	N												
J2248	Micafungin sodium injection	10308	1285595	2168029.28	0.01	31.31	1.69	1.39	154.96	1.43	162.93	739.041	J2248	N												
J2250	Inj midazolam hydrochloride	2621388	7046793	25234060.45	0.01	761.36	3.58	1.75	4.51	1.82	4.78	223.444	J2250	N												
J2260	Inj milrinone lactate / 5 mg	2309	11398	88435.42	0.41	178.21	7.76	5.02	22.22	4.59	21.41	260.104	J2260	N												
J2265	Minocycline hydrochloride	80	16900	41248	0.63	3	2.44	2.32	425.2	2.69	538.86	368.246	J2265	K	1853	$2.14										
J2270	Morphine sulfate injection	798575	1062217	8713215.16	0.27	118.59	8.2	5.64	6.91	5.26	6.57	112.86	J2270	N												
J2274	Inj morphine pf epid ithc	30074	39812	504550.85	0.16	374.57	12.67	7.64	9.93	8.28	9.83	146.708	J2274	N												
J2278	Ziconotide injection	666	289831	2419695.22	0.48	720.8	8.35	7.17	2510.18	7.67	3045.05	2042.989	J2278	K	1694	$9.00										
J2280	"Inj, moxifloxacin 100 mg"	3047	5362	101219.86	1.52	187.64	18.88	16.04	24.85	15.35	22.02	99.987	J2280	N												
J2300	Inj nalbuphine hydrochloride	1371	1661	19128.43	0.76	52.44	11.52	8.8	10.29	8.74	10.6	78.606	J2300	N												
J2310	Inj naloxone hydrochloride	18638	27524	569162.93	0.92	271.61	20.68	16.21	21.09	17.58	21.99	93.039	J2310	N												
J2315	"Naltrexone, depot form"	1014	378880	1318623.2	0.36	24.29	3.48	3.29	1238.45	3.5	1331.2	739.252	J2315	K	0759	$3.54										
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	17642	5292385	100567045.9	0.04	63.33	19	16.83	5049.27	18.47	5540.16	795.187	J2323	K	9126	$23.06										
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"	404	48480	41745189.6	203.2	2007.79	861.08	783.63	94035.71	897.54	107704.3	448.195	J2326	K	9489	"$1,122.43"										
J2350	"Injection, ocrelizumab, 1 mg"	12600	6912059	351007336.8	0.01	187.58	50.78	46.48	24811.3	48.9	27492.59	938.062	J2350	K	9494	$58.49										
J2353	"Octreotide injection, depot"	49746	1426981	265548244.4	1	1163.39	186.09	171.58	4743.78	183.01	4987.74	211.242	J2353	K	1207	$207.43										
J2354	"Octreotide inj, non-depot"	4435	91882	311136.29	0.04	468.88	3.39	2.19	32.17	2.25	35.63	1240.211	J2354	N												
J2355	Oprelvekin injection	.	.	.	.	.	.	.	.	.	.	.	J2355	E2												
J2357	Omalizumab injection	75463	4552676	164336603.1	0.01	217.52	36.1	32.27	1886.39	33.96	2016.26	369.725	J2357	K	9300	$37.27										
J2358	Olanzapine long-acting inj	1872	70791	332872.81	0.09	125.3	4.7	4.23	48.82	4.96	43.55	364.669	J2358	N												
J2360	Orphenadrine injection	46102	46102	991043.74	2.18	129.45	21.5	17.75	17.75	19.51	19.51	62.119	J2360	N												
J2370	Phenylephrine hcl injection	569387	2120467	9097888.42	0.01	472.45	4.29	1.53	8.14	1.58	9.14	361.493	J2370	N												
J2400	Chloroprocaine hcl injection	5921	5921	170192.55	3.37	149.23	28.74	24.23	24.23	26.08	26.08	68.82	J2400	N												
J2405	Ondansetron hcl injection	3233458	16871177	32510133.99	0.01	698.9	1.93	0.87	4.42	0.86	4.44	353.303	J2405	N												
J2406	"Injection, oritavancin 10 mg"	21	1640	96281.6	21.72	115.46	58.71	49.83	4336.14	48.21	4618.46	528.147	J2406	G	9427	$42.38										
J2407	"Injection, oritavancin"	1073	120597	2904346.49	0.17	115.46	24.08	22.25	2492.33	23.54	2806.52	394.555	J2407	K	1660	$24.51										
J2410	Oxymorphone hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2410	E2												
J2425	Palifermin injection	43	5376	166825.7	15.17	48.56	31.03	28.85	3550.26	27.13	3581.02	439.923	J2425	K	1696	$23.93										
J2426	Paliperidone palmitate inj	5831	1239989	12858175.76	0.01	110.13	10.37	9.56	1833.66	9.67	1864.61	611.586	J2426	K	9255	$12.64										
J2430	Pamidronate disodium /30 mg	2888	6558	191042.53	1.8	391.94	29.13	19.77	42.73	16.98	38.83	220.401	J2430	N												
J2440	Papaverin hcl injection	2668	3136	123576.29	1.4	222.2	39.41	29.79	34.17	39.95	41.5	68.82	J2440	N												
J2460	Oxytetracycline injection	.	.	.	.	.	.	.	.	.	.	.	J2460	E2												
J2469	Palonosetron hcl	329228	3292785	45871483.94	0.01	502.75	13.93	7.25	72.46	8.39	83.88	352.729	J2469	N												
J2501	Paricalcitol	2023	10551	46805.28	0.24	31.09	4.44	3.61	15.9	3.87	19.34	175.272	J2501	N												
J2502	"Inj, pasireotide long acting"	90	4640	1585651	0.05	797.16	341.74	245.39	13093.71	230.98	13858.53	501.799	J2502	K	9454	$364.14										
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"	117704	117704	579375442.8	1339.67	15234.72	4922.31	4616.19	4616.19	4780.03	4780.03	36.433	J2505	D												
J2506	Inj pegfilgrast ex bio 0.5mg	.	.	.	.	.	.	.	.	.	.	.	J2506	K	9436	$167.68										
J2507	Pegloticase injection	1434	11472	26547532.8	100.6	6536.91	2314.12	1992.86	15942.84	2242.54	17940.33	136.666	J2507	K	9281	"$2,985.85"										
J2510	Penicillin g procaine inj	66	264	9424.96	6.51	78.51	35.7	33.03	132.1	28.84	115.37	83.713	J2510	N												
J2513	Pentastarch 10% solution	.	.	.	.	.	.	.	.	.	.	.	J2513	E2												
J2515	Pentobarbital sodium inj	12	67	3260.8	14.59	188.64	48.67	29.98	114.39	17.05	134.62	302.197	J2515	K	1854	$24.31										
J2540	Penicillin g potassium inj	1203	26003	66432.61	0.01	139.32	2.55	1.57	34.4	1.43	44.96	1246.842	J2540	N												
J2543	Piperacillin/tazobactam	144166	743267	5545567.2	0.04	857.53	7.46	5.85	26.58	6.32	27.23	180.476	J2543	N												
J2547	"Injection, peramivir"	.	.	.	.	.	.	.	.	.	.	.	J2547	N												
J2550	Promethazine hcl injection	115139	124259	951761.34	0.18	102.27	7.66	4.71	4.98	4.76	5.04	116.234	J2550	N												
J2560	Phenobarbital sodium inj	1956	6993	286344.01	0.08	386.01	40.95	27.57	81.33	33.33	88.79	149.815	J2560	K	9069	$41.73										
J2562	Plerixafor injection	2835	62066	21350807.64	65.97	993.18	344	328.37	7058.43	338.61	7329.4	140.992	J2562	K	9252	$382.65										
J2590	Oxytocin injection	307	714	5369.92	0.1	111.26	7.52	3.46	6.63	5.2	9.51	247.416	J2590	N												
J2597	Inj desmopressin acetate	4622	105815	1525573.4	0.09	387.33	14.42	11.83	245.19	13.01	284.09	355.626	J2597	K	1440	$8.27										
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	3409	6775	142230.3	0.29	155.62	20.99	14.05	27.76	16.67	31.86	123.697	J2680	N												
J2690	Procainamide hcl injection	458	531	49886.06	6.85	594.21	93.95	61.73	69.73	75.16	81.82	98.048	J2690	N												
J2700	Oxacillin sodium injeciton	665	21045	113405.07	0.46	161.56	5.39	3.91	80.26	3.25	130.9	602.187	J2700	N												
J2704	"Inj, propofol, 10 mg"	2769758	104051958	55347594.98	0.01	508.91	0.53	0.37	11.94	0.36	12.3	854.138	J2704	N												
J2710	Neostigmine methylslfte inj	216048	1595828	5545511.06	0.01	365.73	3.48	1.99	14.88	1.88	15.62	524.656	J2710	N												
J2720	Inj protamine sulfate/10 mg	76854	505110	1776968.45	0.05	186.84	3.52	2.76	17.51	2.75	17.48	253.451	J2720	N												
J2724	Protein c concentrate	22	17625	180168.5	0.8	42.32	10.22	4.47	6674.5	2.31	7301.02	3731.499	J2724	K	1139	$15.12										
J2725	Inj protirelin per 250 mcg	.	.	.	.	.	.	.	.	.	.	.	J2725	E2												
J2730	Pralidoxime chloride inj	9	380	653.21	0.35	125.03	1.72	0.42	9.69	0.38	10.28	5099.81	J2730	N												
J2760	Phentolaine mesylate inj	129	147	45827.8	10	950.34	311.75	159.9	154.78	267.88	205.42	95.196	J2760	K	1458	$377.73										
J2765	Metoclopramide hcl injection	231485	243960	1803980.34	0.19	103.74	7.39	4.54	4.71	4.34	4.51	106.191	J2765	N												
J2770	Quinupristin/dalfopristin	154	181	935.59	1.28	7.88	5.17	4.16	4.5	5.18	7.87	58.647	J2770	K	2770	$428.33										
J2778	Ranibizumab injection	13155	71992	25819227.35	33.97	911.51	358.64	332.96	1757.2	395.69	1978.47	75.697	J2778	K	9233	$281.88										
J2780	Ranitidine hydrochloride inj	469	469	897.7	0.83	10.35	1.91	1.5	1.5	1.31	1.31	117.561	J2780	N												
J2783	Rasburicase	1133	11703	3273064.03	1.82	3580.53	279.68	243.02	2213.94	243.98	2283.92	197.533	J2783	K	0738	$321.80										
J2785	Regadenoson injection	452896	1811295	123249019.7	2.59	1337.18	68.04	59.05	236.18	62.21	248.9	107.903	J2785	N												
J2786	"Injection, reslizumab, 1mg"	1928	565569	5676872.51	0.03	24.72	10.04	9.16	2606.04	9.54	2630.17	706.777	J2786	K	9481	$10.23										
J2787	Riboflavin 5phos opth<=3ml	13	23	50173.44	182.47	4833.22	2181.45	1502.96	2315.09	2068.74	2872.4	100.238	J2787	N												
J2788	Rho d immune globulin 50 mcg	6	6	253.08	20.65	56.59	42.18	39.95	39.95	44.68	44.68	32.559	J2788	N												
J2790	Rho d immune globulin inj	287	287	28111.49	10.1	500.61	97.95	82.7	82.7	85.26	85.26	63.4	J2790	N												
J2791	Rhophylac injection	166	2536	25154.14	1.22	155.71	9.92	7.5	109.05	7.66	109.36	374.516	J2791	N												
J2792	"Rho(d) immune globulin h, sd"	57	12025	323326.6	6.65	72.71	26.89	25.37	4743.91	30	5999.24	439.392	J2792	K	1609	$30.62										
J2793	Rilonacept injection	.	.	.	.	.	.	.	.	.	.	.	J2793	E2												
J2794	"Inj risperdal consta, 0.5 mg"	3020	229453	2758456.13	0.04	519.11	12.02	9.38	670.19	9.81	730.21	1925.469	J2794	K	9125	$11.05										
J2795	Ropivacaine hcl injection	272548	61354485	13239309.39	0.01	1390.21	0.22	0.16	22.39	0.16	23	5336.164	J2795	N												
J2796	Romiplostim injection	41349	1504172	111047653	0.79	3011.81	73.83	67.36	1997.9	69.19	1991.7	268.931	J2796	K	9245	$83.90										
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	$10.67										
J2800	Methocarbamol injection	30130	33494	1043006.66	1.84	250.15	31.14	23.72	25.6	22.59	26.67	89.936	J2800	N												
J2805	Sincalide injection	13620	13620	1307020.07	9.13	640.44	95.96	77.14	77.14	83.27	83.27	67.905	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	524	7511	393850.39	12.82	131.17	52.44	50.45	582.28	49.77	636.22	111.947	J2820	K	0731	$54.04										
J2840	Inj sebelipase alfa 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2840	K	9478	$539.54										
J2850	Inj secretin synthetic human	449	7600	456046.75	8.5	273.57	60.01	50.01	851.18	46.5	791.5	266.678	J2850	K	1700	$34.78										
J2860	"Injection, siltuximab"	532	53208	5307167.71	34.34	209.1	99.74	94.67	9133.98	100.61	9399.93	299.517	J2860	K	9455	$128.53										
J2910	Aurothioglucose injeciton	.	.	.	.	.	.	.	.	.	.	.	J2910	E2												
J2916	Na ferric gluconate complex	22230	254028	1664660.78	0.24	320.39	6.55	5.14	55.86	5.39	55.17	337.266	J2916	N												
J2920	Methylprednisolone injection	95727	143455	1516000.3	0.68	92.9	10.57	8.47	11.67	8.22	11.75	91.974	J2920	N												
J2930	Methylprednisolone injection	299201	337578	4955574.95	1.38	102.55	14.68	12.18	13.32	12.53	13.38	68.816	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	$169.57										
J2950	Promazine hcl injection	145	151	352.74	2.31	2.79	2.34	2.34	2.4	2.31	2.31	2.953	J2950	N												
J2993	Reteplase injection	65	103	210977.68	291.05	5087.21	2048.33	1746.7	2772.76	2170.83	3016.62	62.34	J2993	K	9005	"$2,151.79"										
J2995	Inj streptokinase /250000 iu	.	.	.	.	.	.	.	.	.	.	.	J2995	E2												
J2997	Alteplase recombinant	56032	619738	49661181.65	0.49	14289.77	80.13	68.46	274.16	74.26	203.88	392.96	J2997	K	7048	$88.28										
J3000	Streptomycin injection	31	31	3644.33	104.76	122.45	117.56	117.37	117.37	118.66	118.66	5.618	J3000	N												
J3010	Fentanyl citrate injection	3250075	4993209	35892786.18	0.06	257.84	7.19	4.01	5.67	3.98	5.84	138.688	J3010	N												
J3030	Sumatriptan succinate / 6 mg	2304	2304	122696.52	1.52	502.52	53.25	33.99	33.99	37.06	37.06	97.327	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	G	9197	$2.29										
J3032	Inj. eptinezumab-jjmr 1 mg	1798	297400	4461102	1.91	43.88	15	14.01	1958.22	14.22	1699.86	460.104	J3032	K	9357	$16.01										
J3060	"Inj, taliglucerase alfa 10 u"	182	98476	3153224.48	8.64	67.94	32.02	28.18	15782.51	29.48	14827.47	1030.022	J3060	K	9294	$40.35										
J3070	Pentazocine injection	4	4	56.53	0.49	18.68	14.13	7.52	7.52	18.68	18.68	64.355	J3070	N												
J3090	Inj tedizolid phosphate	130	26000	66534	0.27	2.62	2.56	2.53	506.76	2.62	524.83	114.536	J3090	K	1662	$1.66										
J3095	Telavancin injection	368	33267	200275.11	1.45	15.87	6.02	5.06	444.25	5.9	504.5	492.767	J3095	K	9258	$6.33										
J3101	Tenecteplase injection	1201	56770	6201464.69	9.6	506.59	109.24	96.23	4490.95	101.09	4803.43	378.315	J3101	K	9002	$134.76										
J3105	Terbutaline sulfate inj	1214	1276	15596.24	0.29	87.74	12.22	7.42	7.66	7.44	7.59	101.886	J3105	N												
J3111	Inj. romosozumab-aqqg 1 mg	24083	5019324	42483082.69	0.01	47.73	8.46	7.66	1593.27	7.84	1638.09	665.287	J3111	G	9327	$9.32										
J3121	Inj testostero enanthate 1mg	685	134621	15218.16	0.01	0.59	0.11	0.08	14.63	0.1	21.69	1038.427	J3121	N												
J3145	Testosterone undecanoate 1mg	680	507990	849399.6	0.12	5.15	1.67	1.36	1018.88	1.83	1368.78	1360.02	J3145	K	9078	$1.66										
J3230	Chlorpromazine hcl injection	2943	3850	141558.61	2.43	200.15	36.77	29.97	35.97	33.11	37.6	74.121	J3230	N												
J3240	Thyrotropin injection	5005	5005	8273063.59	255.34	6170.45	1652.96	1456.85	1456.85	1483.41	1483.41	50.536	J3240	K	9108	"$1,858.66"										
J3241	Inj. teprotumumab-trbw 10 mg	2000	307206	85318600.09	59.6	758.02	277.72	254.52	37147.2	251.36	38705.87	541.609	J3241	K	9355	$315.88										
J3243	Tigecycline injection	2004	142366	460291	0.36	164.44	3.23	2.53	174.76	2.45	171.44	777.029	J3243	N												
J3245	"Inj., tildrakizumab, 1 mg"	1712	171200	20172832	0.27	467.44	117.83	107.35	10734.55	108.75	10874.26	428.644	J3245	G	9306	$137.27										
J3246	Tirofiban hcl	2929	102859	682057.69	0.01	220.65	6.63	5.16	147.35	5.37	165.11	483.522	J3246	N												
J3250	Trimethobenzamide hcl inj	2474	2642	124032.56	2.62	226.63	46.95	41.25	43.33	42.52	43.67	50.906	J3250	N												
J3260	Tobramycin sulfate injection	13313	68033	695986.47	0.02	587.34	10.23	6.75	16.02	6.7	13.21	322.126	J3260	N												
J3262	Tocilizumab injection	27973	14424601	79802761.69	0.03	44.43	5.53	5.04	2436.69	5.15	2480.67	1079.714	J3262	K	9264	$5.82										
J3265	Injection torsemide 10 mg/ml	.	.	.	.	.	.	.	.	.	.	.	J3265	E2												
J3280	Thiethylperazine maleate inj	.	.	.	.	.	.	.	.	.	.	.	J3280	E2												
J3285	Treprostinil injection	91	1028	65759.77	13.9	395.94	63.97	47.89	500.43	41.07	365.13	341.972	J3285	K	1701	$56.81										
J3300	Triamcinolone a inj prs-free	9290	215126	904736.23	0.03	440.8	4.21	2.54	51.21	3.7	50.21	878.924	J3300	N												
J3301	Triamcinolone acet inj nos	394304	2199672	7925858.75	0.03	210.57	3.6	2.82	14.23	2.73	14.96	221.747	J3301	N												
J3302	Triamcinolone diacetate inj	27	396	310.6	0.22	20.25	0.78	0.62	6.17	0.6	3.96	748.233	J3302	N												
J3303	Triamcinolone hexacetonl inj	40	520	4601.41	1.99	22.43	8.85	6.52	79.85	4.88	117.22	314.359	J3303	N												
J3304	Inj triamcinolone ace xr 1mg	4254	177214	3087207.31	0.65	1541.84	17.42	14.24	562.35	17.13	548.29	912.42	J3304	K	9469	$17.50										
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	2500	9150	5462256.89	41.61	4669.65	596.97	544.51	1825.92	584.75	1781.95	79.997	J3315	K	9122	$347.65										
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	"$3,060.21"										
J3320	Spectinomycn di-hcl inj	.	.	.	.	.	.	.	.	.	.	.	J3320	E2												
J3350	Urea injection	2	5	257.95	51.59	51.59	51.59	51.59	126.37	51.59	128.98	0	J3350	E2												
J3355	"Urofollitropin, 75 iu"	.	.	.	.	.	.	.	.	.	.	.	J3355	E2												
J3357	"Ustekinumab sub cu inj, 1 mg"	6652	531945	107064296	0.44	859.93	201.27	177.5	13647.36	188.89	14796.29	389.756	J3357	K	9261	$166.32										
J3358	"Ustekinumab, iv inject, 1 mg"	1327	534120	7576023	0.05	338.71	14.18	12.2	4932.89	12.68	5259.38	2279.394	J3358	K	9487	$11.65										
J3360	Diazepam injection	33207	58231	1073941.33	0.7	271.04	18.44	14.43	24.45	15.89	27.28	97.155	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	435152	1246351	13976693.17	0.15	342.04	11.21	8.44	21.85	9.1	23.81	148.779	J3370	N												
J3380	"Injection, vedolizumab"	41002	12300748	268235674.1	0.01	135.93	21.81	19.88	5965.08	20.69	6206.94	736.905	J3380	K	1489	$21.72										
J3385	Velaglucerase alfa	1109	47359	16785531.25	77.56	782.14	354.43	336.73	13867.6	358.24	14017.94	204.268	J3385	K	9271	$359.92										
J3396	Verteporfin injection	136	18241	203483.44	4.93	18.89	11.16	10.74	1400.15	11.13	1629.13	302.369	J3396	K	1203	$11.24										
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	"$2,951.10"										
J3399	Inj onase abepar-xioi treat	.	.	.	.	.	.	.	.	.	.	.	J3399	A												
J3400	Triflupromazine hcl inj	.	.	.	.	.	.	.	.	.	.	.	J3400	E2												
J3410	Hydroxyzine hcl injection	3262	6395	82968.55	0.17	126.33	12.97	9.44	17.95	11.54	21.8	105.061	J3410	N												
J3411	Thiamine hcl 100 mg	29548	58735	483503.26	0.34	69.55	8.23	6.57	11.41	6.63	11.53	106.876	J3411	N												
J3415	Pyridoxine hcl 100 mg	385	427	7067.15	1.5	51.65	16.55	14.29	15.14	15.41	15.54	55.225	J3415	N												
J3420	Vitamin b12 injection	241607	241607	2033595.06	0.33	77.8	8.42	5.74	5.74	6.11	6.11	89.768	J3420	N												
J3430	Vitamin k phytonadione inj	8126	74339	427276.89	0.02	108.51	5.75	4.64	41.08	5.05	45.38	232.094	J3430	N												
J3465	"Injection, voriconazole"	304	6243	42491.28	0.07	267.62	6.81	4.83	47.61	5.7	99.35	753.879	J3465	N												
J3470	Hyaluronidase injection	5896	6290	396282.72	9.05	198.1	63	54.8	57.52	57.21	60.19	51.134	J3470	N												
J3471	"Ovine, up to 999 usp units"	8305	1505638	679253.27	0.01	149.48	0.45	0.4	63.56	0.43	70.7	1355.486	J3471	N												
J3472	"Ovine, 1000 usp units"	159	159	68317.53	429.67	429.67	429.67	429.67	429.67	429.67	429.67	0	J3472	N												
J3473	Hyaluronidase recombinant	18533	2553534	1282574.67	0.04	93.95	0.5	0.45	56.31	0.45	60.19	1639.323	J3473	N												
J3475	Inj magnesium sulfate	374682	1765073	7846581.44	0.01	249.84	4.45	2.82	13.71	3.24	15.78	224.939	J3475	N												
J3480	Inj potassium chloride	184689	2545559	3808471.65	0.01	140.85	1.5	0.88	11.85	0.97	12.44	515.229	J3480	N												
J3485	Zidovudine	.	.	.	.	.	.	.	.	.	.	.	J3485	N												
J3486	Ziprasidone mesylate	14754	29969	798835.59	1.38	354.62	26.66	21.97	43.38	23.47	45.65	94.7	J3486	N												
J3489	Zoledronic acid 1mg	138257	610862	32021777.87	0.04	2143.59	52.42	28.51	120.98	25.84	116.62	264.071	J3489	N												
J3490	Drugs unclassified injection	1431317	6095573	60495615.59	0.01	68120.64	9.92	1.56	10.2	1.5	10.53	1196.671	J3490	N												
J3530	Nasal vaccine inhalation	.	.	.	.	.	.	.	.	.	.	.	J3530	N												
J3590	Unclassified biologics	7518	12100	5046580.75	0.01	25194.2	417.07	33.04	84.72	47.95	99.63	490.735	J3590	N												
J3591	Esrd on dialysi drug/bio noc	.	.	.	.	.	.	.	.	.	.	.	J3591	B												
J7030	Normal saline solution infus	1899842	2302248	38197071.46	0.42	292.13	16.59	11.67	13.49	13.05	14.82	88.12	J7030	N												
J7040	Normal saline solution infus	704210	793611	12569830.98	0.34	304.52	15.84	11.03	12.26	12.64	13.85	85.535	J7040	N												
J7042	5% dextrose/normal saline	29504	59343	508505.06	0.14	183.39	8.57	6	11.51	6.4	12.99	128.069	J7042	N												
J7050	Normal saline solution infus	1342180	1823144	26446256.95	0.24	338.84	14.51	9.38	12.27	11.1	13.5	103.465	J7050	N												
J7060	5% dextrose/water	221090	310317	4404425.51	0.26	234.51	14.19	9.23	11.79	11.1	12.51	107.836	J7060	N												
J7070	D5w infusion	35970	47976	696605.09	0.18	230.03	14.52	9.11	11.16	11.55	13.4	111.249	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	73	78	3105.28	39.81	39.82	39.81	39.81	41.75	39.81	39.81	0.009	J7110	N												
J7120	Ringers lactate infusion	1471691	1990024	35199031.28	0.48	320.86	17.69	12.62	15.77	13.85	17.19	91.016	J7120	N												
J7121	5% dextrose in lac ringers	8938	10000	219542.49	0.9	104.04	21.95	16.59	18.34	23.11	24.86	68.099	J7121	N												
J7131	Hypertonic saline sol	1631	347217	25296.58	0.01	59.88	0.07	0.03	7.96	0.03	9.95	9334.342	J7131	N												
J7168	Prothrombin complex kcentra	2685	6769099	14811369.22	0.01	98.28	2.19	1.84	4257.77	1.98	4471.64	3562.206	J7168	K	9132	$2.09										
J7169	"Inj andexxa, 10 mg"	225	22117	6202679.26	34.3	699.41	280.45	251.28	23394.99	260.92	23803.12	467.576	J7169	G	9198	$287.37										
J7170	"Inj., emicizumab-kxwh 0.5 mg"	226	206195	6176258.97	6.95	108.99	29.95	23.61	21932.58	17.72	18347.5	2666.094	J7170	K	9257	$48.68										
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	$8.20										
J7177	"Inj., fibryga, 1 mg"	18	53856	84930.4	0.68	1.8	1.58	1.49	705.31	1.8	2372.66	1549.379	J7177	K	9046	$1.09										
J7178	Inj human fibrinogen con nos	122	548268	634998.22	0.86	10.94	1.16	1.12	5057.77	1.02	5311.21	2490.19	J7178	K	1478	$1.34										
J7179	Vonvendi inj 1 iu vwf:rco	101	338640	857749.4	0.56	2.79	2.53	2.49	8136.07	2.65	9340.71	784.01	J7179	K	9059	$1.81										
J7180	Factor xiii anti-hem factor	.	.	.	.	.	.	.	.	.	.	.	J7180	N												
J7181	Factor xiii recomb a-subunit	.	.	.	.	.	.	.	.	.	.	.	J7181	N												
J7182	Factor viii recomb novoeight	14	37399	44464	0.71	2.45	1.19	1.07	2618.43	0.84	3155.2	2769.665	J7182	K	1856	$1.29										
J7183	Wilate injection	80	1551021	1274466.14	0.07	82.12	0.82	0.76	7769.56	0.71	8047.8	13959.53	J7183	K	1352	$1.13										
J7185	Xyntha inj	196	425324	441374.94	0.16	6.12	1.04	0.89	1488.57	0.63	987.77	2762.404	J7185	K	1268	$1.26										
J7186	Antihemophilic viii/vwf comp	96	438913	1090048.24	0.39	3.41	2.48	2.14	8309.42	3.07	14827.61	2871.712	J7186	K	1213	$1.15										
J7187	"Humate-p, inj"	1273	5408017	5414260.79	0.01	8.57	1	0.91	3580.37	0.96	3362.35	2910.122	J7187	K	1704	$1.29										
J7188	Factor viii recomb obizur	8	102143	603371.11	1.73	6.57	5.91	5.81	54107.68	5.77	72939.36	1587.116	J7188	K	1827	$3.20										
J7189	Factor viia recomb novoseven	80	536704	817004.1	0.33	8.42	1.52	1.28	6810.59	1.52	7552.46	4665.922	J7189	K	1705	$2.30										
J7190	Factor viii	88	1259129	975719.16	0.22	6.22	0.77	0.69	3533.63	0.82	1757.86	6926.101	J7190	K	0925	$1.07										
J7191	Factor viii (porcine)	.	.	.	.	.	.	.	.	.	.	.	J7191	E2												
J7192	Factor viii recombinant nos	662	6426213	7714985.65	0.01	6.62	1.2	1.06	6214.44	1.15	5752.4	5027.481	J7192	K	0927	$1.43										
J7193	Factor ix non-recombinant	34	400760	254140.7	0.41	1.47	0.63	0.58	6804.65	0.42	7250.32	5151.219	J7193	K	0931	$1.18										
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	$1.53										
J7195	Factor ix recombinant nos	280	1638683	1982371.33	0.2	26.8	1.21	0.97	4954.15	1.04	4632.44	6641.889	J7195	K	0932	$1.58										
J7196	Antithrombin recombinant	.	.	.	.	.	.	.	.	.	.	.	J7196	E2												
J7197	Antithrombin iii injection	37	127350	218852.03	0.01	5.53	1.72	0.1	3013.05	0.01	4057.65	8013.972	J7197	K	1263	$3.36										
J7198	Anti-inhibitor	252	1784815	1598908.95	0.29	5.81	0.9	0.64	3975.22	0.74	2709.05	8405.261	J7198	K	0929	$2.21										
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	$1.46										
J7201	Factor ix alprolix recomb	25	710224	1037353.08	1.13	4.11	1.46	1.38	29269.54	1.15	37890.78	6554.801	J7201	K	1486	$3.15										
J7202	Factor ix idelvion inj	101	547900	1990643.46	2.47	6.59	3.63	3.49	16997	3.1	16332.97	2133.591	J7202	K	9171	$4.70										
J7203	Factor ix recomb gly rebinyn	.	.	.	.	.	.	.	.	.	.	.	J7203	N												
J7204	Inj recombin esperoct per iu	39	1020509	707212.27	0.63	1.98	0.69	0.67	15475.64	0.65	20299.88	5390.04	J7204	K	9354	$2.07										
J7205	Factor viii fc fusion recomb	218	2.06E+06	2890314.53	0.63	2.83	1.4	1.09	12374.04	0.65	11613.97	7064.956	J7205	K	1656	$2.11										
J7207	Factor viii pegylated recomb	65	1998462	1714356.25	0.61	1.95	0.86	0.77	19286.58	0.63	26494.46	9846.092	J7207	K	1844	$1.93										
J7208	Inj. jivi 1 iu	45	219144	301417.36	1.21	3.14	1.38	1.31	6258.98	1.21	5726.82	2772.216	J7208	K	9299	$2.09										
J7209	Factor viii nuwiq recomb 1iu	149	1004626	2660622.36	0.91	2.92	2.65	2.6	15422.63	2.76	20528.62	1221.196	J7209	K	1846	$1.24										
J7210	"Inj, afstyla, 1 i.u."	25	171345	52760.93	0.24	4.24	0.31	0.27	54.15	0.24	4.24	6272.965	J7210	K	9043	$1.38										
J7211	"Inj, kovaltry, 1 i.u."	3	8074	11621	1.01	1.5	1.44	1.43	3056.13	1.5	5241.17	712.549	J7211	K	9075	$1.22										
J7212	Factor viia recomb sevenfact	.	.	.	.	.	.	.	.	.	.	.	J7212	G	9395	$2.01										
J7294	Seg acet and eth estr yearly	.	.	.	.	.	.	.	.	.	.	.	J7294	E1												
J7295	Eth estr and eton monthly	.	.	.	.	.	.	.	.	.	.	.	J7295	E1												
J7296	"Kyleena, 19.5 mg"	25	25	19890.19	143.48	1647.17	795.61	707.05	707.05	693.26	693.26	46.045	J7296	E1												
J7297	"Liletta, 52 mg"	130	131	81967.53	4.55	3237.42	625.71	364.27	369.66	659.97	661.35	67.088	J7297	E1												
J7298	"Mirena, 52 mg"	936	936	785339.06	66.97	3009.23	839.04	732.17	732.17	802.58	802.58	47.304	J7298	E1												
J7301	"Skyla, 13.5 mg"	10	10	8982.52	173.83	3276.06	898.25	671.69	671.69	696.08	696.08	97.273	J7301	E1												
J7308	Aminolevulinic acid hcl top	3602	4309	1236378.07	41.83	755.85	286.93	257.54	295.52	224.45	287.8	51.39	J7308	K	7308	$392.02										
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"	41	1724	695398.47	98.43	22916.12	403.36	260.28	15773.1	273.73	16149.88	2693.783	J7311	K	9225	$334.36										
J7312	Dexamethasone intra implant	1980	14809	2670650.76	19.44	431.2	180.34	166.57	1218.38	193.21	1352.46	100.807	J7312	K	9256	$200.12										
J7313	"Inj., iluvien, 0.01 mg"	61	1216	472863.45	3.51	667.78	388.87	348.17	6865.92	418.18	7945.34	141.822	J7313	K	9450	$490.95										
J7314	"Inj., yutiq, 0.01 mg"	100	1998	810022.86	4.8	668.03	405.42	376.22	7319.82	446.22	8282.61	132.815	J7314	K	9328	$518.33										
J7315	Ophthalmic mitomycin	1686	2113	476786.83	0.09	1525.8	225.64	75.89	115.81	139.41	198.49	117.637	J7315	N												
J7316	"Inj, ocriplasmin, 0.125 mg"	29	31	2883.62	93.02	93.02	93.02	93.02	97.57	93.02	93.02	0	J7316	K	9298	"$1,046.93"										
J7318	"Inj, durolane 1 mg"	2826	183100	2118525.1	1.43	41.94	11.57	9.51	483.43	10.2	564.69	436.282	J7318	K	9174	$17.74										
J7320	"Genvisc 850, inj, 1mg"	126	4540	118485.25	6.97	31.03	26.1	24.24	786.33	31.03	775.83	183.256	J7320	K	9079	$16.92										
J7321	Hyalgan supartz visco-3 dose	8699	12474	2123893.86	10.43	2106.27	170.27	128.89	171.22	147.33	191.71	86.138	J7321	N												
J7322	Hymovis injection 1 mg	276	8632	167169.48	3.82	237.14	19.37	14.99	457.26	22.42	569.79	476.973	J7322	K	9471	$31.67										
J7323	Euflexxa inj per dose	24948	35016	7673630.89	15.85	1287.96	219.15	176.29	233.58	196.41	253.8	73.978	J7323	K	0875	$131.21										
J7324	Orthovisc inj per dose	9749	13265	3439844.68	19.46	1625.66	259.32	201.32	258.47	216.5	268.65	86.23	J7324	K	0877	$154.75										
J7325	Synvisc or synvisc-one	16119	844091	13345824.29	0.01	198.2	15.81	12.08	563.05	13.81	574.57	554.995	J7325	K	0874	$10.44										
J7326	Gel-one	4884	6622	4746872.34	80.22	2699.87	716.83	580.42	743.7	528.2	771.51	85.277	J7326	K	1417	"$1,219.00"										
J7327	Monovisc inj per dose	2731	3661	3469650.64	110.79	7815.3	947.73	763.48	963.5	897.44	1014.69	68.246	J7327	K	1747	$769.61										
J7328	Gelsyn-3 injection 0.1 mg	2107	465940	725267.25	0.56	144.14	1.56	1.41	286.1	1.34	259.9	911.162	J7328	K	1862	$2.24										
J7329	"Inj, trivisc 1 mg"	686	22725	251277.5	6.23	11.26	11.06	11	344.24	11.26	281.47	50.604	J7329	K	9196	$19.12										
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	K	9337	$18.02										
J7332	"Inj., triluron, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J7332	E2												
J7336	Capsaicin 8% patch	189	143920	426412	0.69	16.2	2.96	2.41	1732.24	3.43	1921.95	1675.383	J7336	K	9071	$3.24										
J7340	Carbidopa levodopa ent 100ml	7	7	116.86	0.41	114.4	16.69	0.92	0.92	0.41	0.41	258.077	J7340	K	9320	$211.40										
J7342	Ciprofloxacin otic susp 6 mg	108	254	13436.43	4.13	408.01	52.9	42.78	100.02	49.82	99.63	123.288	J7342	K	9479	$29.98										
J7345	"Aminolevulinic acid, 10% gel"	264	51320	80068.8	0.5	2.34	1.56	1.46	258.53	1.09	218.44	503.426	J7345	K	9301	$1.59										
J7351	Inj bimatoprost itc imp1mcg	78	810	109794.2	41.76	240.36	135.55	122.01	1264.72	117.1	1248.18	141.643	J7351	K	9351	$206.04										
J7352	"Afamelanotide implant, 1 mg"	7	112	405805.92	2777.57	4257.54	3623.27	3545.37	56725.93	4257.54	68120.64	87.333	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	145	12395	195513.91	0.24	2345.45	15.77	6.6	755.99	6.63	1213.45	4970.545	J7402	K	9346	$10.56										
J7500	Azathioprine oral 50mg	4096	7133	13800.81	0.02	29.92	1.93	1.07	1.79	1.03	1.78	219.15	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	$237.87										
J7502	Cyclosporine oral 100 mg	1217	2303	17946.79	0.21	63.22	7.79	5.52	8.61	5.51	8.22	138.544	J7502	N												
J7503	Tacrol envarsus ex rel oral	1197	26965	35431.54	0.07	34.71	1.31	0.98	16.76	1.31	20.04	335.241	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	"$2,355.95"										
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	20205	61863	209560.36	0.02	99.63	3.39	2.29	5.33	2.65	5.51	158.281	J7507	N												
J7508	Tacrol astagraf ex rel oral	50	746	660.09	0.05	8.32	0.88	0.44	10.55	0.42	12.77	541.245	J7508	N												
J7509	Methylprednisolone oral	5369	36210	37712	0.01	106.51	1.04	0.72	4.24	0.67	5.08	465.609	J7509	N												
J7510	Prednisolone oral per 5 mg	833	7704	5176.65	0.02	64.46	0.67	0.11	1.81	0.09	1.11	1264.193	J7510	N												
J7511	Antithymocyte globuln rabbit	672	2771	2002080.56	302.24	1295.21	722.51	701.3	2787.35	682.07	2728.28	49.615	J7511	K	9104	$842.94										
J7512	Prednisone ir or dr oral 1mg	157403	5408081	406195.08	0.01	48.52	0.08	0.04	1.22	0.03	1.24	1506.298	J7512	N												
J7513	"Daclizumab, parenteral"	.	.	.	.	.	.	.	.	.	.	.	J7513	E2												
J7515	Cyclosporine oral 25 mg	1802	5662	12033.99	0.05	17.05	2.13	1.55	4.27	1.69	4.41	140.816	J7515	N												
J7516	Cyclosporin parenteral 250mg	3	3	223.03	28.33	97.35	74.34	64.51	64.51	97.35	97.35	53.601	J7516	N												
J7517	Mycophenolate mofetil oral	14542	50972	149333.11	0.01	695.21	2.93	1.36	4.12	1.07	3.59	352.854	J7517	N												
J7518	Mycophenolic acid	5425	17090	76848.04	0.06	194.13	4.5	3.4	9.42	4.15	10.22	133.759	J7518	N												
J7520	"Sirolimus, oral"	946	1619	25040.36	0.9	78.13	15.47	12.23	18.76	12.99	19.19	87.359	J7520	N												
J7525	Tacrolimus injection	135	135	19172.02	36.43	333.41	142.01	130.46	130.46	142.62	142.62	42.202	J7525	K	9006	$219.71										
J7527	Oral everolimus	239	1485	13092.26	0.49	24.13	8.82	7.11	38.57	8.23	39.78	141.495	J7527	N												
J7599	Immunosuppressive drug noc	44	55	5615.42	2.02	964.76	102.1	16.19	16.82	20.55	25.11	274.064	J7599	N												
J7674	"Methacholine chloride, neb"	3233	208196	279684.87	0.07	374.06	1.34	0.78	51.92	0.75	66.34	3430.421	J7674	N												
J7999	"Compounded drug, noc"	96546	150654	3151114.63	0.18	902.71	20.92	10.71	15.9	12.8	18.56	239.609	J7999	N												
J8501	Oral aprepitant	18279	160173	1610143.82	0.27	49.26	10.05	8.32	70.96	8.91	72.92	173.834	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"	10	78	835.13	0.15	92.73	10.71	0.84	16.55	0.15	8.37	715.51	J8520	N												
J8521	"Capecitabine, oral, 500 mg"	122	936	8361.57	0.15	92.35	8.93	1.6	24.51	1.74	40.09	466.419	J8521	N												
J8530	Cyclophosphamide oral 25 mg	2097	41084	272169.3	0.23	39.49	6.62	5.48	104.97	5.29	105.22	352.88	J8530	N												
J8540	Oral dexamethasone	176190	7845218	895712.67	0.01	29.67	0.11	0.08	3.37	0.08	3.34	1046.406	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	$75.52										
J8562	Oral fludarabine phosphate	.	.	.	.	.	.	.	.	.	.	.	J8562	E2												
J8565	Gefitinib oral	.	.	.	.	.	.	.	.	.	.	.	J8565	E2												
J8597	Antiemetic drug oral nos	15646	22738	60290.52	0.01	83.56	2.65	0.71	0.94	0.93	1.16	305.024	J8597	N												
J8600	Melphalan oral 2 mg	.	.	.	.	.	.	.	.	.	.	.	J8600	E2												
J8610	Methotrexate oral 2.5 mg	889	4621	20985.19	0.02	51.83	4.54	3.39	15.01	3.29	16.23	203.762	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"	1	1	407.18	407.18	407.18	407.18	407.18	407.18	407.18	407.18	.	J8655	K	9448	$355.57										
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	$1.71										
J8700	Temozolomide	97	3250	10740.36	0.23	18.97	3.3	2.6	85.87	2.17	69.5	547.673	J8700	N												
J8705	Topotecan oral	.	.	.	.	.	.	.	.	.	.	.	J8705	N												
J9000	Doxorubicin hcl injection	37716	326405	3303022.68	0.06	608.6	10.12	6.63	54.36	6.51	54.5	521.567	J9000	N												
J9015	Aldesleukin injection	212	212	766866.46	326.39	6829.72	3617.29	2919.92	2919.92	4029.76	4029.76	42.085	J9015	K	0807	"$3,795.26"										
J9017	Arsenic trioxide injection	4215	63923	2910672.38	6.02	478.69	45.53	33.5	494.79	40.95	592.29	418.665	J9017	K	9012	$14.21										
J9019	Erwinaze injection	22	1100	559359	501.59	509.2	508.51	508.5	25425.17	509.2	25460.02	3.114	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"	39296	4657226	338006149	0.14	374.64	72.58	67.08	7887.15	68.89	8153.83	428.161	J9022	K	9483	$79.27										
J9023	"Injection, avelumab, 10 mg"	6583	530974	44606598.93	8.01	365.89	84.01	76.83	6144.26	80.08	6386.52	408.282	J9023	K	9491	$87.48										
J9025	Azacitidine injection	104759	18078963	59374334.31	0.01	60.48	3.28	2.43	409.94	2.74	432.96	997.117	J9025	N												
J9027	Clofarabine injection	19	1200	70559.2	24.79	99.44	58.8	50.77	2594.7	44.02	2930.23	429.365	J9027	K	1710	$49.37										
J9030	Bcg live intravesical 1mg	29385	1330905	6477693.4	0.01	205.71	4.87	3.36	146.88	3.38	154.2	2034	J9030	N												
J9032	"Injection, belinostat, 10mg"	380	69965	3412883.51	8.01	87.37	48.78	45.52	8630.63	49.29	9858.91	419.886	J9032	K	1658	$44.03										
J9033	"Inj., treanda 1 mg"	1363	220937	5145516.78	3.37	124.78	23.29	20.16	3275.82	21.01	3538.31	905.923	J9033	K	9243	$19.37										
J9034	"Inj., bendeka 1 mg"	21141	3380870	75553837.96	0.16	93.85	22.35	20.59	3219.97	21.65	3366.69	521.365	J9034	K	1861	$18.55										
J9035	Bevacizumab injection	43255	3074243	242510660	0.62	2921.47	78.88	73.82	4646.35	76.23	4636.38	343.182	J9035	K	9214	$69.49										
J9036	Inj. belrapzo/bendamustine	1920	309954	7462879.84	2.76	54.59	24.08	22.47	3588.45	23.49	3649.59	431.542	J9036	G	9313	$21.62										
J9037	Inj belantamab mafodot blmf	1033	430286	16095964.15	9.85	133.58	37.41	34.88	14263.85	35.58	14580.05	749.485	J9037	G	9384	$43.16										
J9039	"Injection, blinatumomab"	795	107939	12184112.52	18.97	243.05	112.88	104.39	12255.81	105.57	11292.48	407.887	J9039	K	9449	$124.39										
J9040	Bleomycin sulfate injection	1053	1930	108985.6	6.37	542.19	56.47	41.69	75.94	39.78	73.19	156.578	J9040	N												
J9041	"Inj., velcade 0.1 mg"	128028	4233073	205095367	1.34	1189.05	48.45	44.35	1457.56	45.35	1481.29	298.519	J9041	K	9207	$44.70										
J9042	Brentuximab vedotin inj	4720	596728	93406294.97	10.33	745.53	156.53	142.62	17377.48	150.63	17794.05	450.224	J9042	K	9287	$196.65										
J9043	Cabazitaxel injection	7535	426648	78929324.56	3.36	1257.25	185	164.28	9146.81	168.64	9364.04	395.476	J9043	K	9276	$190.95										
J9044	"Inj, bortezomib, nos, 0.1 mg"	3175	89372	3599476.64	8.41	152.79	40.28	33.97	916.16	30.43	760.73	352.439	J9044	K	9192	$15.66										
J9045	Carboplatin injection	166121	1299306	16476264.89	0.02	514.88	12.68	7.26	52.12	6.66	50.91	613.244	J9045	N												
J9047	"Injection, carfilzomib, 1 mg"	48616	4370381	176206000.8	1.08	258.71	40.32	37.44	3123.78	39.18	3232.42	361.107	J9047	K	9295	$41.34										
J9050	Carmustine injection	178	629	1290432.43	272.92	5100.18	2051.56	1831.04	5824.69	2269.21	6807.63	75.459	J9050	K	0812	$801.10										
J9055	Cetuximab injection	20353	1325915	89519569.68	0.19	257.78	67.52	62.93	3827.4	64.99	3778.61	300.897	J9055	K	9215	$67.64										
J9057	"Inj., copanlisib, 1 mg"	501	30060	2339668.2	27.27	143.97	77.83	72.64	4358.2	70.2	4212.18	291.297	J9057	K	9030	$80.83										
J9060	Cisplatin 10 mg injection	50944	410261	3118861.41	0.03	470.08	7.6	4.49	33.89	4.29	31.83	517.294	J9060	N												
J9061	"Inj, amivantamab-vmjw"	.	.	.	.	.	.	.	.	.	.	.	J9061	G	9432	$17.90										
J9065	Inj cladribine per 1 mg	972	12973	510847.9	2.66	973.79	39.38	32.5	405.62	35	391.12	319.361	J9065	K	0858	$17.70										
J9070	Cyclophosphamide 100 mg inj	57351	650047	37880605.02	0.26	4195.77	58.27	50.86	535.54	53.33	556.88	210.478	J9070	K	1408	$23.88										
J9098	Cytarabine liposome inj	4	32	130.74	1.77	38.82	4.09	2.15	25.57	1.77	17.66	716.918	J9098	E2												
J9100	Cytarabine hcl 100 mg inj	5369	49606	182386.05	0.04	1039.24	3.68	1.71	11.24	1.59	13.52	1006.076	J9100	N												
J9118	Inj. calaspargase pegol-mknl	.	.	.	.	.	.	.	.	.	.	.	J9118	E2												
J9119	"Inj., cemiplimab-rwlc, 1 mg"	9496	3322555	80970238.2	4.32	100.07	24.37	22.57	7895.47	23.67	8275.56	719.81	J9119	G	9304	$27.62										
J9120	Dactinomycin injection	115	374	560252.36	500.38	4464.11	1498	1393.31	3773.71	1339.29	4464.11	65.588	J9120	K	0752	$809.06										
J9130	Dacarbazine 100 mg inj	4186	34549	333514.65	0.25	74.83	9.65	7.65	60.9	7.46	60.58	234.282	J9130	N												
J9144	"Daratumumab, hyaluronidase"	75600	13606103	579607844	0.01	192.37	42.6	39.73	7145.54	41.59	7486.04	461.989	J9144	K	9378	$44.88										
J9145	"Injection, daratumumab 10 mg"	32336	4080994	212386670.5	0.52	203.19	52.04	47.99	5866.53	49.77	6071.19	454.587	J9145	K	9476	$56.68										
J9150	Daunorubicin injection	37	162	13061.74	3.07	431.53	80.63	62.94	257.37	86.54	267.79	163.077	J9150	K	0820	$39.58										
J9151	Daunorubicin citrate inj	.	.	.	.	.	.	.	.	.	.	.	J9151	E2												
J9153	"Inj daunorubicin, cytarabine"	263	23257	4372526	26.22	601.6	188.01	173.29	14940.26	165.6	15958.9	379.593	J9153	K	9302	$212.83										
J9155	Degarelix injection	11435	1242884	6927245.91	0.01	27.25	5.57	5.05	494.95	5.11	483.81	458.437	J9155	K	1296	$4.05										
J9160	Denileukin diftitox inj	.	.	.	.	.	.	.	.	.	.	.	J9160	E2												
J9165	Diethylstilbestrol injection	.	.	.	.	.	.	.	.	.	.	.	J9165	E2												
J9171	Docetaxel injection	53894	6235446	35965830.18	0.01	105.86	5.77	3.12	334.93	2.88	308.06	1360.439	J9171	N												
J9173	"Inj., durvalumab, 10 mg"	36402	3441094	238318750.6	0.01	326.17	69.26	63.9	5659.89	66.18	5691.17	390.257	J9173	K	9492	$77.11										
J9175	Elliotts b solution per ml	211	1633	17304.38	7.75	20.8	10.6	10.38	76.52	9.99	86.12	60.563	J9175	N												
J9176	"Injection, elotuzumab, 1mg"	7410	7776854	49033873.93	1.41	37.14	6.31	5.89	5737.62	6.13	5748.9	1218.038	J9176	K	9477	$6.86										
J9177	Inj enfort vedo-ejfv 0.25mg	9670	3149830	86304952.04	1.1	129.59	27.4	25.44	7974.98	26.44	8284.19	676.091	J9177	K	9364	$31.34										
J9178	"Inj, epirubicin hcl, 2 mg"	123	6566	14916.89	0.65	5.6	2.27	2.08	95.81	2.45	94.79	295.157	J9178	N												
J9179	Eribulin mesylate injection	8254	193534	23979944.58	22.58	885.62	123.91	113.15	2574.06	117.01	2690.07	282.079	J9179	K	1426	$129.35										
J9181	Etoposide injection	60118	1038769	2869912.25	0.02	175.74	2.76	1.56	26.24	1.35	23.06	794.136	J9181	N												
J9185	Fludarabine phosphate inj	2401	3652	462956.8	11.79	556.07	126.77	99.31	149.28	105.05	141.52	90.93	J9185	N												
J9190	Fluorouracil injection	159804	1428089	11685176.66	0.02	263.85	8.18	5.24	42.37	4.86	42.34	433.176	J9190	N												
J9198	"Inj. infugem, 100 mg"	197	3189	102447.32	5.55	39.57	32.13	31.78	512.86	31.6	505.59	53.765	J9198	G	9387	$25.59										
J9199	"Injection, infugem, 200 mg"	.	.	.	.	.	.	.	.	.	.	.	J9199	D												
J9200	Floxuridine injection	385	385	13242.19	1.62	164.36	34.4	20.43	20.43	20.58	20.58	116.867	J9200	N												
J9201	In gemcitabine hcl nos 200mg	147780	1246899	22871101.69	0.16	3368.64	18.34	10.3	84.67	9.74	79.73	740.952	J9201	N												
J9202	Goserelin acetate implant	6469	13591	8255716	71.05	3060.64	607.44	545.86	1013.51	596.25	1030.05	69.483	J9202	K	0810	$549.64										
J9203	Gemtuzumab ozogamicin 0.1 mg	175	8947	1905211.29	13.74	2677.07	212.94	154.16	7764.6	173.43	8719.3	935.483	J9203	K	9495	$211.11										
J9204	"Inj mogamulizumab-kpkc, 1 mg"	2109	171341	31306334.84	52.23	533.89	182.71	172.53	13867.12	183.1	14479.87	296.819	J9204	K	9182	$213.20										
J9205	Inj irinotecan liposome 1 mg	5220	614357	32563255.88	2.53	252.04	53	48.14	5511.69	49.88	5564.15	501.364	J9205	K	9474	$57.51										
J9206	Irinotecan injection	71810	1019995	14123423.56	0.02	581.72	13.85	7.92	108.61	7.3	106.25	880.71	J9206	N												
J9207	Ixabepilone injection	356	20544	1959320.31	29	304.64	95.37	88.13	4730.72	93.21	5130.07	291.112	J9207	K	9240	$114.38										
J9208	Ifosfamide injection	1076	4121	215610.08	4.19	411.41	52.32	41.33	150.63	38.85	136.88	214.001	J9208	N												
J9209	Mesna injection	2216	23948	228303.21	0.55	97.13	9.53	5.49	45.25	5.31	44.79	517.348	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	$364.99										
J9211	Idarubicin hcl injection	23	60	11802.7	46.98	390.91	196.71	136.78	434.61	80.15	686.68	122.151	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	1625	47503	1331827.73	2.06	959.97	28.04	24.98	507.47	28.2	553.44	326.405	J9214	K	0836	$31.86										
J9215	Interferon alfa-n3 inj	.	.	.	.	.	.	.	.	.	.	.	J9215	E2												
J9216	Interferon gamma 1-b inj	.	.	.	.	.	.	.	.	.	.	.	J9216	E2												
J9217	Leuprolide acetate suspnsion	115904	392813	208663921.6	5.31	12296.8	531.2	327.43	1058.11	318.91	1040.82	194.27	J9217	K	9217	$168.69										
J9218	Leuprolide acetate injeciton	54	1110	20207	10.23	2499.2	18.2	10.98	281.02	10.23	235.33	2863.322	J9218	K	9047	$11.61										
J9219	Leuprolide acetate implant	.	.	.	.	.	.	.	.	.	.	.	J9219	E2												
J9223	"Inj. lurbinectedin, 0.1 mg"	3670	252478	39937657.44	4.44	811.64	158.18	144.52	9665.54	148.99	10188.82	340.799	J9223	G	9389	$180.49										
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	2537	206650	12975955.75	0.01	292.06	62.79	57.92	4541.73	59.72	4777.37	389.508	J9227	K	9377	$68.88										
J9228	Ipilimumab injection	11056	1550601	214305991	0.01	1508.42	138.21	127.58	15609.38	134.59	15161.86	481.01	J9228	K	9284	$160.83										
J9229	Inj inotuzumab ozogam 0.1 mg	536	6172	13314685.78	351.75	4103.58	2157.27	2049.48	21964.63	1953.92	20730.88	107.462	J9229	K	9028	"$2,407.20"										
J9230	Mechlorethamine hcl inj	6	6	143.14	2.55	48.2	23.86	17.87	17.87	24.42	24.42	62.677	J9230	N												
J9245	Inj melpha hydroch nos 50 mg	323	1767	1251669.12	1.94	2421.69	708.36	508.72	2214.46	497.45	2362.08	193.578	J9245	K	0840	$186.85										
J9246	"Inj., evomela, 1 mg"	75	21048	903369.04	6.51	53.26	42.92	40.83	10804.94	44.84	12017.49	450.965	J9246	K	9375	$19.05										
J9247	"Inj, melphalan flufenami 1mg"	17	660	319422.4	252.08	605.58	483.97	468.92	18046.37	441.04	17641.65	152.12	J9247	G	9417	$497.24										
J9250	Methotrexate sodium inj	5964	55634	139212.92	0.01	151.7	2.5	0.75	6.58	0.51	6.56	1003.647	J9250	N												
J9260	Methotrexate sodium inj	4882	6587	129377.4	0.06	216.65	19.64	6.91	9.65	6.31	11.61	206.789	J9260	N												
J9261	Nelarabine injection	101	4168	651328.52	65.7	308.54	156.27	143.29	5573.64	190.33	4772.89	256.835	J9261	K	0825	$136.94										
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	$3.30										
J9263	Oxaliplatin	91975	28976450	33186378.42	0.01	22.41	1.15	0.54	162.67	0.5	156.93	3497.428	J9263	N												
J9264	Paclitaxel protein bound	67003	14165575	202672027.7	0.12	66.31	14.31	13.25	2707.81	13.58	2771.7	580.041	J9264	K	1712	$14.19										
J9266	Pegaspargase injection	70	80	1092432.9	557.94	26876.89	13655.41	10288.07	12295.57	13657.75	13956.41	57.911	J9266	K	0843	"$21,561.05"										
J9267	Paclitaxel injection	157965	27156403	16582025.97	0.01	55.95	0.61	0.36	57.58	0.33	54.88	3222.785	J9267	N												
J9268	Pentostatin injection	202	202	333765.82	555.63	3359.15	1652.31	1527.26	1527.26	1792.29	1792.29	37.318	J9268	K	0844	"$2,065.32"										
J9269	Inj. tagraxofusp-erzs 10 mcg	215	21729	6472513.09	185.25	449.02	297.87	283.26	28642.58	271.83	27182.75	325.063	J9269	G	9309	$295.90										
J9270	Plicamycin (mithramycin) inj	.	.	.	.	.	.	.	.	.	.	.	J9270	N												
J9271	Inj pembrolizumab	209932	47117409	2178644820	0.08	331.7	46.24	42.77	9295.09	44.22	9297.02	580.767	J9271	K	1490	$53.70										
J9272	"Inj, dostarlimab-gxly, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J9272	G	9431	$215.19										
J9280	Mitomycin injection	12031	72801	8290608.49	0.21	3917.46	113.88	81.88	415.03	90.14	471.24	237.211	J9280	K	1232	$48.87										
J9281	Mitomycin instillation	625	47128	12671114.37	3.99	878.53	268.87	240.21	17498.25	266.07	19617.78	376.995	J9281	K	9374	$281.22										
J9285	"Inj, olaratumab, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J9285	N												
J9293	Mitoxantrone hydrochl / 5 mg	304	1558	118283.8	2.4	478.15	75.92	52.72	267.01	43.69	240.68	236.512	J9293	K	0864	$33.92										
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"	88162	31569534	823676596.1	0.03	122.62	26.09	24.3	8098.31	25.03	8477.34	708.636	J9299	K	9453	$29.24										
J9301	Obinutuzumab inj	13017	1207194	75596462.99	0.47	829.2	62.62	57.66	4896.58	59.27	5725.65	422.161	J9301	K	1476	$63.82										
J9302	Ofatumumab injection	74	10097	525117.3	1.3	125.82	52.01	48.47	6076.64	56.73	6441.66	342.878	J9302	K	9260	$63.96										
J9303	Panitumumab injection	9638	450689	54024367.46	10.6	505.09	119.87	110.13	4896.4	114.5	5111.3	281.092	J9303	K	9235	$130.79										
J9304	"Inj. pemetrexed, 10 mg"	53	1860	107349.9	57.65	58.81	57.71	57.71	1982.75	57.66	2306.2	2.559	J9304	G	9442	$79.25										
J9305	Inj. pemetrexed nos 10mg	45121	4023292	283176217.1	2.48	328.98	70.38	65.71	5768.49	66.77	5988.66	343.018	J9305	K	9213	$76.38										
J9306	"Injection, pertuzumab, 1 mg"	29427	13248657	158066089.1	0.07	46.07	11.93	11.07	4890.68	11.44	4926.99	794.589	J9306	K	1471	$13.56										
J9307	Pralatrexate injection	885	41148	11374839.26	49.16	575.03	276.44	258.99	11454.81	278.26	11942.69	218.768	J9307	K	9259	$321.09										
J9308	"Injection, ramucirumab"	7932	1052098	60564742.46	5.5	269.97	57.57	52.91	6763.58	54.21	6968.06	483.367	J9308	K	1488	$63.69										
J9309	"Inj, polatuzumab vedotin 1mg"	1421	210664	21838654.39	16.25	457.58	103.67	96.05	13713.35	99.22	13823.58	494.878	J9309	K	9331	$113.57										
J9311	"Inj rituximab, hyaluronidase"	6633	934480	42561502.26	1.48	723.78	45.55	42.54	5993.66	42.02	6013.16	484.852	J9311	K	9467	$37.96										
J9312	"Inj., rituximab, 10 mg"	52415	4246707	376804869.3	0.01	589.02	88.73	81.94	6506.78	85.71	6848.42	345.26	J9312	K	9186	$85.44										
J9313	"Inj., lumoxiti, 0.01 mg"	39	13300	331080	7.9	95.64	24.89	22.4	7594.54	24.99	9996.78	802.601	J9313	G	9305	$23.39										
J9315	Romidepsin injection	1733	44399	14384288.37	19.88	645.44	323.98	298.92	7478.36	340.16	8037.47	171.872	J9319	K	9429	$33.23										
J9316	"Pertuzu, trastuzu, 10 mg"	2039	185232	17643807.94	19.71	1834.65	95.25	84.49	8030.02	81.54	8332.39	594.775	J9316	G	9390	$70.86										
J9317	Sacituzumab govitecan-hziy	6345	1643327	44881632.23	2.2	350.46	27.31	25.08	6356.68	25.72	6482.76	721.148	J9317	K	9376	$31.26										
J9318	Inj romidepsin non-lyo 0.1mg	4	1175	45466.75	25.23	48.51	38.7	37.24	10895.4	48.51	11672.39	526.737	J9318	K	9428	$33.91										
J9319	Inj romidepsin lyophil 0.1mg	349	89324	2978421.85	2.29	142.12	33.34	31.56	7894.3	33.62	8475.18	503.126	J9319	K	9429	$33.23										
J9320	Streptozocin injection	28	39	22082.35	215.55	3526.23	566.21	432.28	590.42	397.59	526.44	148.245	J9320	K	0850	$348.84										
J9325	Inj talimogene laherparepvec	1924	353638	17992872.07	9.03	4245.14	50.88	47.1	5091.08	46.36	7068.28	988.176	J9325	K	9472	$57.17										
J9328	Temozolomide injection	145	42509	302171.21	2.93	10.23	7.11	6.62	1900.22	5.65	1694.98	592.22	J9328	K	9253	$10.41										
J9330	Temsirolimus injection	1442	35813	2225896.94	13.24	182.14	62.15	55.16	1368.64	52.19	1304.72	264.051	J9330	K	1168	$35.35										
J9340	Thiotepa injection	76	391	210911.87	63.97	2027.01	539.42	494.77	1140.39	468.86	656.49	114.03	J9340	K	0851	$306.84										
J9348	"Inj. naxitamab-gqgk, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J9348	G	9408	$547.14										
J9349	"Inj., tafasitamab-cxix"	2829	1315009	15708396.14	2.92	26.11	11.95	11.21	5128.34	11.47	5338.35	758.32	J9349	G	9385	$12.78										
J9351	Topotecan injection	10276	462144	2616871.64	0.01	115.87	5.66	3.28	140.57	3.31	140.9	909.044	J9351	N												
J9352	Injection trabectedin 0.1mg	651	17717	5306879.17	56.48	785.17	299.54	276.56	7377.85	304.65	7717.46	210.021	J9352	K	9480	$325.03										
J9353	"Inj. margetuximab-cmkb, 5 mg"	140	29413	1363282.71	21.03	326.6	46.35	41.09	8332.62	39.94	8105.33	1171.696	J9353	G	9418	$43.68										
J9354	"Inj, ado-trastuzumab emt 1mg"	12731	3294719	101908561.8	2.61	187.03	30.93	28.73	7234.39	29.81	7402.34	629.684	J9354	K	9131	$34.14										
J9355	Inj trastuzumab excl biosimi	37856	1711458	169960102.3	0.95	1163.29	99.31	92.59	3948.45	94.26	4158.63	266.603	J9355	K	1613	$88.60										
J9356	"Inj. herceptin hylecta, 10mg"	3281	196812	16220562.6	4.26	611.2	82.42	75.11	4505.66	79.32	4759.35	471.377	J9356	G	9314	$70.96										
J9357	Valrubicin injection	382	1528	2081071.44	373.41	5459.57	1361.96	1234.36	4937.43	1289.51	5158.03	104.329	J9357	K	1235	"$1,412.23"										
J9358	Inj fam-trastu deru-nxki 1mg	6187	2352927	53404863.47	0.25	157.27	22.7	21.02	7700.77	21.97	7876.3	785.699	J9358	K	9353	$24.62										
J9360	Vinblastine sulfate inj	4091	42280	299225.97	0.47	107.07	7.08	5.32	52.57	5.25	52.12	430.101	J9360	N												
J9370	Vincristine sulfate 1 mg inj	23574	40599	683315.38	0.5	241.96	16.83	10.84	18.28	9.23	16.35	168.623	J9370	N												
J9371	"Inj, vincristine sul lip 1mg"	53	184	371196.97	4.12	4214.83	2017.37	582.7	376.07	2408.5	7376.33	116.566	J9371	K	1466	"$3,420.78"										
J9390	Vinorelbine tartrate inj	8424	39732	904703.77	2.05	400.8	22.77	17.75	82.1	18.64	84.88	191.355	J9390	N												
J9395	"Injection, fulvestrant"	74905	1498098	96119438.4	0.82	400.08	64.16	49.3	986	54.94	1098.85	308.662	J9395	K	9120	$11.61										
J9400	"Inj, ziv-aflibercept, 1mg"	94	27900	327251	4.6	58.5	11.73	9.49	2768.7	10.92	2949.53	1575.018	J9400	K	9296	$8.22										
J9600	Porfimer sodium injection	43	99	1714761.24	2183.59	47912.6	17320.82	14654.96	34801.5	15138.26	39222.76	84.244	J9600	K	0856	"$21,856.35"										
J9999	Chemotherapy drug	2130	6100	3833659.03	0.01	23979.89	628.47	9.48	6.72	32.69	1.23	522.061	J9999	N												
P9041	"Albumin (human),5%, 50ml"	7568	191293	3244075.77	0.08	260.02	16.96	14.52	198.22	15.97	143.8	314.804	P9041	K	0961	$10.49										
P9045	"Albumin (human), 5%, 250 ml"	40075	246413	16052290.67	1.35	1192.8	65.14	57.61	221.3	59.01	199.97	137.679	P9045	K	0963	$52.45										
P9046	"Albumin (human), 25%, 20 ml"	2244	16531	455484.6	2.09	225.41	27.55	19.74	153.51	22.02	158.46	232.629	P9046	K	0964	$20.98										
P9047	"Albumin (human), 25%, 50ml"	86652	297040	20878046.28	2.45	1435.31	70.29	60.02	185.6	60.58	188.92	113.249	P9047	K	0965	$52.45										
Q0138	"Ferumoxytol, non-esrd"	68548	34991158	61113298.92	0.04	30.2	1.75	1.51	772.01	1.62	827.77	1216.291	Q0138	K	1297	$0.93										
Q0139	"Ferumoxytol, esrd use"	1392	709360	1583008.7	0.08	4.28	2.23	2.02	1029.68	2.53	1291.81	848.673	Q0139	K	1485	$0.93										
Q0161	Chlorpromazine hcl 5mg oral	1418	59098	43316.88	0.01	26.61	0.73	0.45	15.96	0.3	17.96	864.608	Q0161	N												
Q0162	Ondansetron oral	149246	1337381	1728001.25	0.01	146.93	1.29	0.25	2.69	0.13	1.6	713.023	Q0162	N												
Q0163	Diphenhydramine hcl 50mg	86759	86759	62044.66	0.01	24.91	0.72	0.21	0.21	0.2	0.2	209.839	Q0163	N												
Q0164	Prochlorperazine maleate 5mg	15158	28574	23552.41	0.02	17.52	0.82	0.58	1.09	0.52	1.04	146.562	Q0164	N												
Q0166	Granisetron hcl 1 mg oral	6469	9299	124034.33	0.16	127.66	13.34	4.7	6.62	3.2	5.27	192.639	Q0166	N												
Q0167	Dronabinol 2.5mg oral	2269	4816	25166.32	0.47	59.14	5.23	3.87	6.95	4.65	7.93	126.914	Q0167	N												
Q0169	Promethazine hcl 12.5mg oral	3662	7267	5553.61	0.01	18.63	0.76	0.44	0.88	0.51	0.99	167.281	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	568	1736	3010.24	0.13	14.44	1.73	1.09	3.14	1.02	3.03	199.244	Q0175	N												
Q0177	Hydroxyzine pamoate 25mg	7054	11551	9660.89	0.02	8.23	0.84	0.58	0.88	0.62	0.91	125.582	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	3298	3298	1352.97	0.01	11.01	0.41	0.18	0.18	0.18	0.18	255.455	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	2792	49545	333212.57	0.13	199.1	6.73	4.45	72.12	5.2	77.83	404.829	Q2009	N												
Q2017	"Teniposide, 50 mg"	.	.	.	.	.	.	.	.	.	.	.	Q2017	N												
Q2026	Radiesse injection	49	114	31660.24	27.48	1071.14	277.72	125.28	584.38	68.09	675.93	176.418	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"	3072	3072	26979.78	4.18	56.95	8.78	7.68	7.68	8.49	8.49	73.976	Q2039	L												
Q2041	Axicabtagene ciloleucel car+	.	.	.	.	.	.	.	.	.	.	.	Q2041	N												
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	"$430,701.54"										
Q2043	Sipuleucel-t auto cd54+	681	681	33411232	7051.19	146931.2	49062.01	42442.4	42442.4	50753.15	50753.15	49.692	Q2043	K	9273	"$52,916.50"										
Q2049	Imported lipodox inj	49	328	134023.16	167.8	622.72	408.61	397.26	2538.62	399.21	3093.04	60.103	Q2049	K	1421	$311.04										
Q2050	Doxorubicin inj 10mg	15004	97928	37863450.86	6.2	3543.21	386.65	343.77	2174.25	359.21	2215.96	127.794	Q2050	K	7046	$178.82										
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	532	15960	1151364.3	9.96	281.07	72.14	54.51	1635.32	56.66	1699.73	448.394	Q3027	K	1472	$54.46										
Q4081	"Epoetin alfa, 100 units esrd"	2143	193990	483689.2	0.1	56.6	2.49	1.93	166.38	2.19	199.48	897.02	Q4081	N												
Q4100	"Skin substitute, nos"	2531	116270	4864757.57	0.11	31753.49	41.84	2.18	834.12	0.92	1017.21	7076.541	Q4100	N												
Q4101	Apligraf	8532	374449	13487594.42	0.22	4153.27	36.02	29.02	1225.58	28.83	1248.32	683.239	Q4101	N												
Q4102	Oasis wound matrix	2279	35527	499090.34	0.19	296.27	14.05	6.31	108.65	7.45	109.5	735.483	Q4102	N												
Q4103	Oasis burn matrix	713	22330	208996.44	0.08	1203.36	9.36	5.41	133.28	5.19	156.23	1205.996	Q4103	N												
Q4104	Integra bmwd	1538	59471	4910008.41	4.14	16889.83	82.56	38.27	2041.56	39.72	2583.08	2966.348	Q4104	N												
Q4105	Integra drt or omnigraft	202	1767	338014.28	3.38	9561.22	191.29	69.12	416.78	75.19	789.99	984.757	Q4105	N												
Q4106	Dermagraft	2450	90849	3443524	1.27	1378.05	37.9	30.3	1100.67	29.64	1085.58	562.729	Q4106	N												
Q4107	Graftjacket	207	2156	604765.37	16.03	9125.13	280.5	97.68	1732.55	86.01	2093.45	948.193	Q4107	N												
Q4108	Integra matrix	192	5362	523361.51	0.29	10477.37	97.61	33.71	1335.6	28.85	2060.9	2264.88	Q4108	N												
Q4110	Primatrix	3379	35610	2851669.7	0.46	10664.92	80.08	51.98	471.45	50.13	523.25	760.971	Q4110	N												
Q4111	Gammagraft	25	1751	8964.61	1.17	27.45	5.12	4.27	294.6	3.26	234.82	616.608	Q4111	N												
Q4112	Cymetra injectable	10	13	15137.34	142.67	9234.28	1164.41	492.1	645.94	477.54	438.25	243.829	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	304	495	631332.02	13.77	10117.05	1275.42	358.4	644.34	286.22	212.04	178.454	Q4114	N												
Q4115	Alloskin	19	21	3093.53	1.64	625.59	147.31	29.03	24.85	84.26	81.36	116.451	Q4115	N												
Q4116	Alloderm	2653	435518	20114130.74	0.04	19245.72	46.18	28.53	3151.37	30.28	5113.06	8736.89	Q4116	N												
Q4117	Hyalomatrix	513	9236	305096.39	0.04	8068.55	33.03	15.47	240.37	18.45	239.42	1562.588	Q4117	N												
Q4118	Matristem micromatrix	906	339200	1354441.67	0.01	12697.45	3.99	2.19	607.27	2.36	767.46	29844.63	Q4118	N												
Q4121	Theraskin	5501	111068	7011106.78	0.01	5269.32	63.12	38.72	592.97	36.48	750.08	844.761	Q4121	N												
Q4122	"Dermacell, awm, porous sq cm"	255	49716	1914302.94	0.03	20931.42	38.5	22.35	3503.08	23.53	5212.71	11761.17	Q4122	N												
Q4123	Alloskin	13	246	26264.79	42.88	236.6	106.77	76.5	1521.28	42.88	2129.4	372.965	Q4123	N												
Q4124	Oasis tri-layer wound matrix	682	20419	335412.89	0.54	4337.49	16.43	11.29	181.23	12.51	159	1822.865	Q4124	N												
Q4125	Arthroflex	602	10645	1837532.57	0.01	8884.65	172.62	41.76	2007.41	84.88	2791.1	1330.443	Q4125	N												
Q4126	Memoderm/derma/tranz/integup	51	5807	195999.94	0.1	15035.34	33.75	19.73	1624.6	18.04	2375.02	7370.029	Q4126	N												
Q4127	Talymed	322	3409	138685.36	19.3	110.51	40.68	35.44	374.16	52.82	475.37	163.324	Q4127	N												
Q4128	Flexhd/allopatchhd/matrixhd	962	107764	4852612.79	1.1	23765.5	45.03	24.73	1668.66	26.09	2033.95	9597.785	Q4128	N												
Q4130	Strattice tm	284	25628	1096067.07	0.06	73988.77	42.77	22	1786.22	24.54	2308.52	14271.07	Q4130	N												
Q4132	"Grafix core, grafixpl core"	448	2420	574551.6	11.3	14688.77	237.42	162.87	654.32	134.19	714.44	405.589	Q4132	N												
Q4133	Grafix stravix prime pl sqcm	17251	98687	18450771.46	0.15	23401.35	186.96	130.46	637.73	135.42	679.74	402.904	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	26	2883	2760.23	0.12	71.91	0.96	0.26	21.93	0.12	15.15	3963.638	Q4136	N												
Q4137	Amnioexcel biodexcel 1sq cm	1574	13061	2097994.5	0.06	6952.61	160.63	90.11	662.9	96.04	759	483.087	Q4137	N												
Q4138	"Biodfence dryflex, 1cm"	23	70	34685.44	31.47	3381.52	495.51	94.65	960.94	31.48	1074.32	325.029	Q4138	N												
Q4139	"Amnio or biodmatrix, inj 1cc"	87	107	179329.4	259.93	5712	1675.98	1278.68	1720.21	1515.62	1842.77	81.449	Q4139	N												
Q4140	Biodfence 1cm	62	619	134575.37	27.23	5755.08	217.41	121.51	1346.24	98.49	1203.28	608.762	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"	2	79	3536.83	17.05	66.82	44.77	36.48	1324.64	66.82	1768.48	490.826	Q4143	N												
Q4145	"Epifix, inj, 1mg"	37	2431	121121.36	2.41	6199.59	49.82	14.11	1665.93	15.2	1520.41	5182.178	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	598	4198	888325.03	0.15	5334.2	211.61	119.5	574.07	104.06	845.66	493.975	Q4148	N												
Q4149	"Excellagen, 0.1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4149	N												
Q4150	Allowrap ds or dry 1 sq cm	221	4008	596904.38	28.1	12301.77	148.93	106.19	1728.13	76.46	2043.35	1047.771	Q4150	N												
Q4151	"Amnioband, guardian 1 sq cm"	1074	5334	1049044.26	2.44	7325.83	196.67	132.24	557.19	110.93	674.14	300.53	Q4151	N												
Q4152	Dermapure 1 square cm	121	2561	277203.36	13.64	6110.21	108.24	39.2	1596.58	34.62	2074.25	1879.947	Q4152	N												
Q4153	"Dermavest, plurivest sq cm"	83	545	157428.94	49.99	396.95	288.86	246.53	1162.63	396.95	2381.7	119.852	Q4153	N												
Q4154	Biovance 1 square cm	121	724	94007.72	46.3	2329.59	129.84	80.42	433.4	77.71	378.4	571.439	Q4154	N												
Q4155	Neoxflo or clarixflo 1 mg	148	12133	218806.21	0.15	5684	18.03	9.4	637.28	11.45	1044.85	6160.602	Q4155	N												
Q4156	Neox 100 or clarix 100	82	815	73433.77	14.5	3272.1	90.1	59.06	418.81	66.78	223.04	809.614	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"	3029	40932	3686947.27	0.03	8224.24	90.07	50.21	526.65	56.04	641.85	841.776	Q4158	N												
Q4159	Affinity1 square cm	218	671	162616.65	36.5	2257.92	242.35	189.01	494.79	218.97	480.46	135.083	Q4159	N												
Q4160	Nushield 1 square cm	8812	50052	6656469.44	0.5	4202.09	132.99	98.42	472.89	98.03	457.21	261.069	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"	79	154	176141.25	111.77	8299.14	1143.77	486.17	1718.03	347.33	1639.19	206.281	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"	1330	63348	1697493.93	0.25	10793.78	26.8	10.29	405.01	8.11	536.25	3178.752	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"	107	8259	201267.49	4.03	3002.4	24.37	14.11	962.42	11.45	1762.8	5306.141	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"	134	2296	257568.26	1.46	4963.32	112.18	59.12	1422.57	67.26	1692	1155.837	Q4170	N												
Q4171	"Interfyl, 1 mg"	36	1914	47997.25	0.18	2316.2	25.08	13.9	860.09	14.54	1454.31	3797.412	Q4171	N												
Q4173	Palingen or palingen xplus	44	567	33575.24	0.15	2617.47	59.22	36.06	115.43	32.44	598.92	989.272	Q4173	N												
Q4174	Palingen or promatrx	58	449	111289.31	105.81	1138.99	247.86	205.08	1575.78	172.96	1418.76	223.746	Q4174	N												
Q4175	Miroderm	15	339	26935.52	27.03	3083.75	79.46	59.56	1319.81	67.28	1266.25	1193.035	Q4175	N												
Q4176	"Neopatch or therion, 1 sq cm"	342	2187	694646.86	5.72	1046.8	317.63	219.17	790.65	421.87	843.73	129.106	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"	31	324	43381.43	29.29	1339.82	133.89	89.14	1085.49	76.13	1310.08	497.072	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"	303	9681	573273.46	0.12	7689.22	59.22	41.33	912.36	29.05	1288.65	1489.838	Q4180	N												
Q4181	"Amnio wound, per square cm"	21	850	92000.43	35.45	5335.58	108.24	70.19	3146.48	45.66	2740.49	1952.896	Q4181	N												
Q4182	"Transcyte, per sq centimeter"	.	.	.	.	.	.	.	.	.	.	.	Q4182	N												
Q4183	"Surgigraft, 1 sq cm"	202	559	74070.38	10.73	3794.96	132.51	60.29	156.78	43.45	144.73	351.771	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	21987	126573	20805843.27	0.27	15002.63	164.38	114.49	591.18	122.13	617.93	339.431	Q4186	N												
Q4187	Epicord 1 sq cm	3888	23475	5245273.41	12.6	6621.61	223.44	178.87	1042.61	197.99	1171.1	219.674	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	1091	7336	1329708.74	6.89	7967.4	181.26	119.91	640.62	116.19	635.52	701.272	Q4195	N												
Q4196	Puraply am 1 sq cm	23022	155071	19471946.68	0.3	13304.21	125.57	91.08	540.08	94.84	574.81	347.246	Q4196	N												
Q4197	Puraply xt 1 sq cm	22	482	62893.46	5.79	2279.87	130.48	116.37	1743.94	103.14	2587.63	444.942	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	1	6	1481.64	246.94	246.94	246.94	246.94	1481.63	246.94	1481.63	.	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	47	2434	159356.57	46.78	10576.52	65.47	53.75	1850.54	48	1678.98	2720.947	Q4205	N												
Q4206	Fluid flow or fluid gf 1 cc	2	2	11508.05	1544.8	9963.25	5754.02	3923.17	3923.17	5754.02	5754.02	103.454	Q4206	N												
Q4208	Novafix per sq cm	92	602	21164.6	21.13	700.38	35.16	28.14	126.72	27.54	84.55	359.027	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	21	61	46457.56	41.71	6037.2	761.6	282.24	1488.38	154.27	1180.33	335.759	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"	1	1	13.46	13.46	13.46	13.46	13.46	13.46	13.46	13.46	.	Q4213	N												
Q4214	Cellesta cord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4214	N												
Q4215	"Axolotl ambient, cryo 0.1 mg"	4	4	7213	1803.25	1803.25	1803.25	1803.25	1803.25	1803.25	1803.25	0	Q4215	N												
Q4216	Artacent cord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4216	N												
Q4217	Woundfix biowound plus xplus	.	.	.	.	.	.	.	.	.	.	.	Q4217	N												
Q4218	Surgicord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4218	N												
Q4219	Surgigraft dual per sq cm	.	.	.	.	.	.	.	.	.	.	.	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	38	2436	131349.4	22.66	3286.57	53.92	47.79	2519.62	42.31	4061.95	1628.074	Q4227	N												
Q4228	"Bionextpatch, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4228	D												
Q4229	Cogenex amnio memb per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4236	N												
Q4230	Cogenex flow amnion 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4230	N												
Q4231	"Corplex p, per cc"	4	8	15483.79	414.46	4585.82	1935.47	1148.57	2935.09	1005.18	2358.12	148.189	Q4231	N												
Q4232	"Corplex, per sq cm"	8	62	7573.85	44.17	2779.92	122.16	61.33	722.94	50.21	537.69	935.741	Q4232	N												
Q4233	Surfactor /nudyn per 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4233	N												
Q4234	"Xcellerate, per sq cm"	66	475	282225.34	92.58	6196.24	594.16	244.73	3699.29	221.29	5435.3	611.306	Q4234	N												
Q4235	Amniorepair or altiply sq cm	41	892	123676.54	28.89	3798.48	138.65	105.43	2338.54	123.07	2456.32	811.799	Q4235	N												
Q4236	Carepatch per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4236	D												
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"	15	19	39117.25	1256.23	2209.29	2058.8	2020.87	2374.05	2209.28	2209.28	19.665	Q4238	N												
Q4239	Amnio-maxx or lite per sq cm	91	190	306095.89	325.35	5612.36	1611.03	1478.03	2822.1	1346	2251.67	60.891	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	.	.	.	.	.	.	.	.	.	.	.	Q4248	N												
Q4249	"Amniply, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4249	N												
Q4250	Amnioamp-mp per sq cm	33	613	33644.92	18.47	1801.64	54.89	34.02	837.76	43.67	1091.71	1337.272	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"	43617	18968394	16133464.77	0.03	29.86	0.85	0.74	302.15	0.77	313.65	1163.861	Q5101	N												
Q5103	"Injection, inflectra"	23232	1206352	84049190.41	0.01	713.61	69.67	62.82	2998.9	64.87	3058.92	321.04	Q5103	K	1847	$38.68										
Q5104	"Injection, renflexis"	13645	700260	42102984.79	0.01	189.14	60.12	55.14	2601.11	58.05	2579.85	287.836	Q5104	K	9036	$61.10										
Q5105	Inj retacrit esrd on dialysi	11833	1378185	1739622.15	0.01	265.64	1.26	1.06	106.25	1.11	112.78	1354.817	Q5105	N												
Q5106	Inj retacrit non-esrd use	98224	3170432	36038945.53	0.04	406.38	11.37	10.17	279.1	10.58	321.4	291.445	Q5106	K	9097	$8.26										
Q5107	Inj mvasi 10 mg	45405	3118086	191690354.1	0.17	1107.53	61.48	57.6	3511.73	58.7	3423.47	312.211	Q5107	K	9329	$36.13										
Q5108	"Injection, fulphila"	18064	216386	61287681.23	14.36	2668.97	283.23	259.07	3103.96	272.24	3247.76	145.778	Q5108	G	9173	$179.85										
Q5109	"Injection, ixifi, 10 mg"	1	60	777	12.95	12.95	12.95	12.95	776.92	12.95	776.92	.	Q5109	E2												
Q5110	Nivestym	9627	4558097	2864840.24	0.12	2.99	0.63	0.53	242.99	0.47	224.43	1316.412	Q5110	G	9193	$0.36										
Q5111	"Injection, udenyca 0.5 mg"	31236	374554	99044309.71	27.18	1057.72	264.43	241.46	2894.97	254.99	3059.82	142.885	Q5111	G	9195	$183.41										
Q5112	Inj ontruzant 10 mg	1729	71623	5564778.62	19.58	322.9	77.7	64.11	2524.66	56.67	2459.08	450.94	Q5112	K	9382	$76.89										
Q5113	Inj herzuma 10 mg	2046	86885	6244636.36	4.16	148.37	71.87	66.86	2629.12	72.63	2893.99	221.077	Q5113	K	9349	$52.59										
Q5114	Inj ogivri 10 mg	11087	474160	33690827.76	2.49	383.36	71.05	64.32	2545.82	68.58	2843.08	282.326	Q5114	K	9341	$50.11										
Q5115	Inj truxima 10 mg	30163	2292393	161226434.8	1.14	2774.25	70.33	63.99	4788.67	65.83	4957.47	498.759	Q5115	K	9336	$53.69										
Q5116	"Inj., trazimera, 10 mg"	9964	419371	30603499.9	1.51	397.34	72.97	66.42	2562.34	72.16	2858.01	271.064	Q5116	K	9350	$51.02										
Q5117	"Inj., kanjinti, 10 mg"	24900	1055033	82519412.87	2.28	1843.55	78.22	73	2888.14	74.46	3062.73	261.548	Q5117	K	9330	$42.88										
Q5118	"Inj., zirabev, 10 mg"	22230	1589176	87765751.76	0.16	316.32	55.23	50.27	3220.94	53.18	3335.09	340.203	Q5118	K	9348	$45.86										
Q5119	"Inj ruxience, 10 mg"	22699	1728184	115252261.5	3.1	644.74	66.69	61	4573.76	64.72	4793.33	382.676	Q5119	K	9367	$49.82										
Q5120	Inj pegfilgrastim-bmez 0.5mg	9630	115560	25294693.2	11.6	865.97	218.89	197.07	2364.81	200.24	2402.86	155.504	Q5120	K	9345	$178.55										
Q5121	"Inj. avsola, 10 mg"	1083	53490	2282565.6	10.27	123.59	42.67	40.89	1878.02	42.32	1887.61	209.876	Q5121	K	9381	$43.29										
Q5122	"Inj, nyvepria"	306	3672	1331421.84	183.54	844.74	362.59	326.34	3916.05	305.31	3663.75	183.17	Q5122	G	9406	$243.05										
Q5123	"Inj. riabni, 10 mg"	32	2340	134194.5	28.1	85.02	57.35	54.6	4013.28	67.53	4727.69	252.858	Q5123	G	9411	$56.59										
Q9950	Inj sulf hexa lipid microsph	39634	162609	4836701.3	1.03	325.57	29.74	24.52	101.36	24.9	116.66	165.297	Q9950	N												
Q9951	"Locm >= 400 mg/ml iodine,1ml"	1275	22526	44816.69	0.12	540.29	1.99	0.46	33.02	0.41	34.92	1597.006	Q9951	N												
Q9953	"Inj fe-based mr contrast,1ml"	111	770	18197.85	0.86	59.54	23.63	13.04	81.24	11.28	41.73	246.636	Q9953	N												
Q9954	"Oral mr contrast, 100 ml"	2187	6636	21610.01	0.01	214.54	3.26	1.48	4.24	1.25	4.93	432.814	Q9954	N												
Q9955	"Inj perflexane lip micros,ml"	40	40	4781.2	119.53	119.53	119.53	119.53	119.53	119.53	119.53	0	Q9955	N												
Q9956	"Inj octafluoropropane mic,ml"	24220	63113	3333040.87	3.94	366.6	52.81	43.36	110.9	43.08	117.49	118.723	Q9956	N												
Q9957	"Inj perflutren lip micros,ml"	208011	378833	34662923.09	3.88	1170.26	91.5	72.57	126.71	76.46	135.66	93.67	Q9957	N												
Q9958	"Hocm <=149 mg/ml iodine, 1ml"	10010	2076540	723291.68	0.01	7285.33	0.35	0.15	24.33	0.15	28.44	22574.66	Q9958	N												
Q9959	"Hocm 150-199mg/ml iodine,1ml"	31	8520	1552.3	0.05	0.51	0.18	0.17	20.32	0.19	48.15	751.261	Q9959	N												
Q9960	"Hocm 200-249mg/ml iodine,1ml"	1973	62616	48675.09	0.03	1051.34	0.78	0.3	9.51	0.26	9.39	11037.77	Q9960	N												
Q9961	"Hocm 250-299mg/ml iodine,1ml"	13958	529668	257404.93	0.01	448.31	0.49	0.31	10.48	0.31	12.69	2252.478	Q9961	N												
Q9962	"Hocm 300-349mg/ml iodine,1ml"	1576	108693	124858.61	0.07	313.46	1.15	0.42	24.75	0.27	26.23	7286.527	Q9962	N												
Q9963	"Hocm 350-399mg/ml iodine,1ml"	41784	2293543	1501112.62	0.01	109.99	0.65	0.37	16.6	0.41	16.63	1161.521	Q9963	N												
Q9964	"Hocm>= 400mg/ml iodine, 1ml"	982	95976	268996.95	0.27	140.53	2.8	2.64	245.95	2.73	273.37	1245.877	Q9964	N												
Q9965	"Locm 100-199mg/ml iodine,1ml"	73172	1746112	3174087.78	0.01	212.64	1.82	0.53	16.68	0.68	19.54	1081.709	Q9965	N												
Q9966	"Locm 200-299mg/ml iodine,1ml"	250851	7523003	10410976.76	0.01	1132.8	1.38	0.59	15.8	0.69	20.71	1455.608	Q9966	N												
Q9967	"Locm 300-399mg/ml iodine,1ml"	3714909	360338758	295123475.2	0.01	552.29	0.82	0.49	44.1	0.58	50.86	1235.969	Q9967	N												
Q9968	Visualization adjunct	29365	1132800	14486699.27	0.04	3471.6	12.79	7.36	229.9	8.56	299.91	1398.107	Q9968	K	1446	$7.35										
Q9969	Non-heu tc-99m add-on/dose	100363	153533	760627.62	0.01	512.95	4.95	1.21	1.79	1.54	1.97	313.093	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	20	21	25850.76	1.01	5366.08	1230.99	530.08	590.66	1481.76	1481.76	94.87	Q9983	N												
Q9991	Buprenorph xr 100 mg or less	170	170	238791.21	638.75	2029.36	1404.65	1374.55	1374.55	1175.91	1175.91	20.764	Q9991	K	9073	"$1,781.31"										
Q9992	Buprenorphine xr over 100 mg	184	184	264280.44	402	2703.33	1436.31	1369.98	1369.98	1417.83	1417.83	27.907	Q9992	K	9239	"$1,781.31"										
90296	Diphtheria antitoxin	.	.	.	.	.	.	.	.	.	.	.	90296	E2												
90371	Hep b ig im	96	453	129408.67	38.25	1028.2	285.67	227.12	950.41	187.95	1127.68	170.802	90371	K	1630	$138.92										
90375	Rabies ig im/sc	2583	26747	8960019.72	16.78	5594.81	334.99	283.41	2921.2	293.05	3122.47	235.386	90375	K	9133	$321.80										
90376	Rabies ig heat treated	286	2724	867302.69	17.25	1284.11	318.39	249.67	2380.7	251.24	2520.21	212.521	90376	K	9134	$332.82										
90377	Rabies ig ht&sol human im/sc	66	590	285900.18	79.8	3984.75	484.58	373.23	3600.75	337.91	3700.23	279.101	90377	K	9201	$223.61										
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	6	6	13705.3	28.18	12076.47	2284.22	281.24	281.24	338.21	338.21	210.589	90396	K	9135	"$1,959.60"										
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	$357.98										
90477	Adenovirus vaccine type 7	.	.	.	.	.	.	.	.	.	.	.	90477	M		$184.31										
90581	Anthrax vaccine sc or im	.	.	.	.	.	.	.	.	.	.	.	90581	E2		$2.79										
90585	Bcg vaccine percut	.	.	.	.	.	.	.	.	.	.	.	90585	M		$53.44										
90620	Menb-4c vacc 2 dose im	875	879	141944.38	30.11	523.04	161.48	140.61	141.11	148.89	148.89	52.303	90620	M		"$3,780.69"										
90621	Menb-fhbp vacc 2/3 dose im	84	84	12219.19	32.29	331.52	145.47	124.1	124.1	136.76	136.76	52.623	90621	M		$1.56										
90626	Tic-brn enceph vac 0.25ml im	.	.	.	.	.	.	.	.	.	.	.	90626	E1		$77.18										
90627	Tic-brn enceph vac 0.5ml im	.	.	.	.	.	.	.	.	.	.	.	90627	E1		$45.64										
90632	Hepa vaccine adult im	4492	4492	251750.21	7.91	282.04	56.04	49.2	49.2	46.81	46.81	55.574	90632	N		$542.76										
90633	Hepa vacc ped/adol 2 dose im	41	41	1462.17	6.43	94.05	35.66	28.06	28.06	30.53	30.53	65.505	90633	N		$24.31										
90634	Hepa vacc ped/adol 3 dose	.	.	.	.	.	.	.	.	.	.	.	90634	E2		$169.57										
90636	Hep a/hep b vacc adult im	3684	3684	301069.43	15.21	324.29	81.72	73.52	73.52	75.06	75.06	47.976	90636	N		$1.09										
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		$11.61										
90647	Hib prp-omp vacc 3 dose im	1458	1458	32280.27	4.8	100.44	22.14	19.24	19.24	20.4	20.4	51.968	90647	N												
90648	Hib prp-t vaccine 4 dose im	4568	4568	81904.19	3.04	100.86	17.93	14.57	14.57	13.62	13.62	72.574	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	2	2	40.6	17.53	23.07	20.3	20.11	20.11	20.3	20.3	19.297	90650	M												
90651	9vhpv vaccine 2/3 dose im	543	543	90762.79	17.53	784.34	167.15	140.5	140.5	141.68	141.68	62.445	90651	M												
90670	Pcv13 vaccine im	31307	31307	4818112.07	13.39	1144.33	153.9	124.82	124.82	136.54	136.54	66.939	90670	L												
90675	Rabies vaccine im	10390	10390	3612567.64	49.73	1737.75	347.7	300.34	300.34	323.85	323.85	54.276	90675	K	9139	$293.59										
90676	Rabies vaccine id	37	37	9240.47	76.51	630.56	249.74	218.27	218.27	270.73	270.73	45.083	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	9709	9709	237539.23	2.49	165.78	24.47	17.66	17.66	13.52	13.52	95.002	90682	L												
90689	Vacc iiv4 no prsrv 0.25ml im	14	14	149.18	9.79	15.85	10.66	10.49	10.49	9.79	9.79	20.652	90689	L												
90690	Typhoid vaccine oral	.	.	.	.	.	.	.	.	.	.	.	90690	E2												
90691	Typhoid vaccine im	493	493	31976.07	17.24	197.32	64.86	58.81	58.81	53.36	53.36	46.599	90691	N												
90694	Vacc aiiv4 no prsrv 0.5ml im	98951	98951	2929952.12	3.5	177.03	29.61	24.09	24.09	22.73	22.73	73.282	90694	L												
90696	Dtap-ipv vaccine 4-6 yrs im	72	72	4535.7	17.81	78.63	63	60.24	60.24	67.02	67.02	22.311	90696	N												
90697	Dtap-ipv-hib-hepb vaccine im	.	.	.	.	.	.	.	.	.	.	.	90697	M												
90698	Dtap-ipv/hib vaccine im	482	482	32416.9	13.22	178.36	67.25	59.65	59.65	66.56	66.56	48.942	90698	N												
90700	Dtap vaccine < 7 yrs im	843	843	24729.38	5.81	110.52	29.33	27.14	27.14	31.55	31.55	38.632	90700	N												
90702	Dt vaccine under 7 yrs im	53	53	1479.48	5.47	121.57	27.91	17.44	17.44	30.79	30.79	86.143	90702	N												
90707	Mmr vaccine sc	1551	1551	110152.1	7.18	363.81	71.02	61.48	61.48	60.58	60.58	55.56	90707	N												
90710	Mmrv vaccine sc	19	19	3501.86	15.45	366.18	184.31	144.03	144.03	172.17	172.17	61.023	90710	K	9011	$184.31										
90713	Poliovirus ipv sc/im	3753	3753	116241.26	3.75	213.01	30.97	25.51	25.51	24.51	24.51	68.425	90713	N												
90714	Td vacc no presv 7 yrs+ im	50338	50338	1446895.92	3.32	150.44	28.74	23.54	23.54	24.4	24.4	65.274	90714	N												
90715	Tdap vaccine 7 yrs/> im	301957	301957	14216408.19	4.9	307.66	47.08	40.06	40.06	43.62	43.62	56.224	90715	N												
90716	Var vaccine live subq	146	146	15693.97	10.98	341.19	107.49	94.52	94.52	120.04	120.04	47.109	90716	M												
90717	Yellow fever vaccine subq	117	117	11905.26	26.11	365.17	101.75	87.2	87.2	98.92	98.92	57.405	90717	N												
90723	Dtap-hep b-ipv vaccine im	88	88	6374.22	16.42	130.08	72.43	65.68	65.68	58.69	58.69	45.714	90723	M												
90733	Mpsv4 vaccine subq	89	89	14529.35	55.13	201.75	163.25	159.98	159.98	174.41	174.41	17.126	90733	M												
90734	Menacwyd/menacwycrm vacc im	1800	1816	207249.77	11.95	512	114.12	95.55	96.1	100.43	100.43	58.458	90734	M												
90736	Hzv vaccine live subq	68	68	8791.04	21.84	784.34	129.28	98.09	98.09	83.57	83.57	89.67	90736	M												
90738	Inactivated je vacc im	5	5	1019.27	119.36	446.56	203.85	175.5	175.5	122.35	122.35	69.093	90738	M												
90749	Vaccine toxoid	556	556	29544.9	11.81	226.41	53.14	38.75	38.75	30.36	30.36	87.817	90749	N												
90750	Hzv vacc recombinant im	11592	11592	1497054.58	22.24	534.6	129.15	113.8	113.8	121.11	121.11	50.184	90750	M												
90758	Zaire ebolavirus vac live im	.	.	.	.	.	.	.	.	.	.	.	90758	E1												
90759	Hep b vac 3ag 10mcg 3 dos im	.	.	.	.	.	.	.	.	.	.	.	90759	F												
91303	Sarscov2 vac ad26 .5ml im	598	598	177.46	0.01	5.65	0.3	0.13	0.13	0.2	0.2	244.179	91303	L												
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
																										
