2024 HCPCS	2024 Short Descriptor	2024 Days	2024 Units	2024 Total Cost	2024 Minimum Unit Cost	2024 Maximum Unit Cost	2024 Arithmetic Mean Unit Cost	2024 Geometric Mean Unit Cost	2024 Geometric Mean Day Cost	2024 Median Unit Cost	2024 Median Day Cost	2024 CV (%) of Unit Cost	Proposed CY 2026 XRef HCPCS/CPT Code(s)	Proposed CY 2026 XRef SI	Proposed CY 2026  XRef APC	Proposed CY 2026 Payment Rate								
90296	Diphtheria antitoxin												90296	E2										
90371	Hep b ig im	76	361	116347.93	37.07	1538.52	322.29	213.49	897.57	194.49	921.45	205.967	90371	K	1630	$143.215								
90375	Rabies ig im/sc	3314	35553	12028248.52	8.57	7479.48	338.32	282.63	3019.67	295.58	3161.26	246.595	90375	K	9133	$289.914								
90376	Rabies ig heat treated	141	1046	361991.79	30.44	4214.1	346.07	257.35	1986.89	281.53	1969.66	301.518	90376	K	9134	$347.320								
90377	Rabies ig ht&sol human im/sc	933	9872	2659996.39	19.12	7327.79	269.45	214.65	2254.04	239.84	2549.83	304.257	90377	K	9201	$241.148								
90378	Rsv mab im 50mg	12	12	5471.88	201.76	761.88	455.99	384.03	384.03	264.3	264.3	59.463	90378	K	9003	$719.870								
90380	Rsv monoc antb seasn .5ml im												90380	M										
90381	Rsv monoc antb seasnl 1ml im												90381	M										
90385	Rh ig minidose im	54	146	11656.64	79.84	79.84	79.84	79.84	206.82	79.84	239.52	0	90385	K	9063	$31.630								
90393	Vaccina ig im												90393	E2										
90396	Varicella-zoster ig im	5	6	11848.47	807.52	2354.03	1974.75	1864.36	2043.99	2170.08	2170.08	33.272	90396	K	9135	"$2,254.245"								
90476	Adenovirus vaccine type 4	4	4	94.58	18.45	39.23	23.64	22.28	22.28	18.45	18.45	43.942	90476	E1										
90477	Adenovirus vaccine type 7												90477	M										
90581	Anthrax vaccine sc or im												90581	E2										
90584	Dengue vacc quad 2 dose subq												90584	E1										
90585	Bcg vaccine percut												90585	M										
90589	Chikungunya vaccine live im												90589	M										
90593	Chikungunya vacc recomb im												90593	M										
90611	Smallpox&monkeypox vac 0.5ml	39	39	6517.27	0.25	609.93	167.11	68.04	68.04	87.08	87.08	94.634	90611	K	9068	$0.010								
90620	Menb-4c vacc 2 dose im	1262	1262	222035.84	16.97	744.93	175.94	152.1	152.1	161.3	161.3	54.646	90620	M										
90621	Menb-fhbp vacc 2/3 dose im	71	71	11393.18	16.3	380.92	160.47	133.93	133.93	157.54	157.54	50.614	90621	M										
90622	Vaccinia vrs vac 0.3 ml perq	168	168	3287.76	19.57	19.57	19.57	19.57	19.57	19.57	19.57	0	90622	K	9101	$0.010								
90624	Menb-4c&menacwy vacc im												90624	E1										
90626	Tic-brn enceph vac 0.25ml im												90626	E1										
90627	Tic-brn enceph vac 0.5ml im												90627	E1										
90632	Hepa vaccine adult im	5200	5200	306845.7	7.42	271.3	59.01	49.88	49.88	52.2	52.2	57.631	90632	N										
90633	Hepa vacc ped/adol 2 dose im	30	30	999.2	4.33	100.2	33.31	26.34	26.34	25.46	25.46	72.018	90633	N										
90634	Hepa vacc ped/adol 3 dose	1	1	4.47	4.47	4.47	4.47	4.47	4.47	4.47	4.47		90634	N										
90636	Hep a/hep b vacc adult im	3473	3473	301616.38	11.16	432.17	86.85	70.97	70.97	73.61	73.61	69.231	90636	N										
90637	Vacc qirv mrna 30mcg/.5ml im												90637	E1										
90638	Vacc qirv mrna 60mcg/.5ml im												90638	E1										
90644	Hib-mency vacc 6wk-18m0 im												90644	M										
90647	Hib prp-omp vacc 3 dose im	1334	1334	33504.14	5.04	102.36	25.12	21.1	21.1	23.31	23.31	55.538	90647	N										
90648	Hib prp-t vaccine 4 dose im	4970	4970	80273.35	1.35	109.15	16.15	12.45	12.45	13.57	13.57	82.551	90648	N										
90649	4vhpv vaccine 3 dose im	5	5	592.88	50.28	198.8	118.58	101.6	101.6	146.76	146.76	55.547	90649	M										
90650	2vhpv vaccine 3 dose im	1	1	114.41	114.41	114.41	114.41	114.41	114.41	114.41	114.41		90650	M										
90651	9vhpv vaccine 2/3 dose im	762	762	177060.56	24.76	849.06	232.36	189.27	189.27	196.63	196.63	66.821	90651	M										
90658	Iiv3 vaccine splt 0.5 ml im												90658	L										
90661	Cciiv3 vac abx fr 0.5 ml im												90661	L										
90670	Pcv13 vaccine im												90670	L										
90671	Pcv15 vaccine IM												90671	L										
90675	Rabies vaccine im	15374	15374	5839487.62	47.98	1982.83	379.83	324.68	324.68	340.47	340.47	56.693	90675	K	9139	$317.673								
90676	Rabies vaccine id	20	20	4602.65	98.89	492.25	230.13	204.78	204.78	274.36	274.36	45.726	90676	K	9140	$264.470								
90677	Pcv20 vaccine IM												90677	L										
90678	Rsv vacc pref bivalent im	2186	2186	502097.82	7.42	1959.36	229.69	165.71	165.71	154.83	154.83	93.741	90678	M										
90679	Rsv vacc pref recomb adjt im	1255	1255	228216.42	33.15	598.24	181.85	155.87	155.87	123.54	123.54	59.832	90679	M										
90680	Rv5 vacc 3 dose live oral	1	1	48.27	48.27	48.27	48.27	48.27	48.27	48.27	48.27		90680	N										
90681	Rv1 vacc 2 dose live oral												90681	M										
90682	Riv4 vacc recombinant dna im												90682	L										
90683	Rsv vacc mrna lipid nano im	5	5	507.13	87.98	114.27	101.43	100.74	100.74	102.63	102.63	12.977	90683	M										
90684	Pcv21 vaccine im	23	23	3980.78	35.07	410.4	173.08	148.89	148.89	130.92	130.92	62.43	90684	L										
90689	Vacc iiv4 no prsrv 0.25ml im												90689	L										
90690	Typhoid vaccine oral	190	190	11190.35	11.05	169.37	58.9	52.27	52.27	76.7	76.7	42.521	90690	N										
90691	Typhoid vaccine im	1744	1744	147531.92	19.26	316.06	84.59	76.1	76.1	73.72	73.72	52.116	90691	N										
90694	Vacc aiiv4 no prsrv 0.5ml im												90694	L										
90696	Dtap-ipv vaccine 4-6 yrs im	623	623	36605.42	11.08	107.95	58.76	49.54	49.54	64.78	64.78	43.39	90696	N										
90697	Dtap-ipv-hib-hepb vaccine im	3	3	369.89	45.23	247.42	123.3	95.26	95.26	77.24	77.24	88.144	90697	M										
90698	Dtap-ipv/hib vaccine im	826	826	68881.86	15.53	219.85	83.39	72.41	72.41	72.63	72.63	49.55	90698	N										
90700	Dtap vaccine < 7 yrs im	979	979	28081.74	7.04	76.29	28.68	26.65	26.65	30.17	30.17	40.059	90700	N										
90702	Dt vaccine under 7 yrs im	6	6	563.54	6.38	355	93.92	45.89	45.89	46	46	139.311	90702	N										
90707	Mmr vaccine sc	1615	1615	134328.38	7.7	340.08	83.18	68.76	68.76	68.28	68.28	64.374	90707	N										
90710	Mmrv vaccine sc	20	20	3487.85	66.95	794.24	174.39	140.05	140.05	126.7	126.7	92.365	90710	E1										
90713	Poliovirus ipv sc/im	4089	4089	148372.48	4.47	208.95	36.29	27.99	27.99	27.12	27.12	80.291	90713	N										
90714	Td vacc no presv 7 yrs+ im	36300	36300	1165317.77	3.12	192.2	32.1	26.13	26.13	27.16	27.16	64.879	90714	N										
90715	Tdap vaccine 7 yrs/> im	288567	288567	14415148.44	5.07	324.12	49.95	42.27	42.27	45.81	45.81	58.08	90715	N										
90716	Var vaccine live subq	96	96	14388.4	20.18	519.67	149.88	128.96	128.96	117.76	117.76	61.923	90716	M										
90717	Yellow fever vaccine subq	346	346	38562.26	26.43	351.2	111.45	97.53	97.53	102.21	102.21	55.729	90717	N										
90723	Dtap-hep b-ipv vaccine im	299	299	32933.87	37.92	229.92	110.15	104.54	104.54	118.12	118.12	30.595	90723	M										
90733	Mpsv4 vaccine subq	38	38	7522.02	80.35	237.08	197.95	190.59	190.59	230.47	230.47	24.772	90733	M										
90734	Menacwyd/menacwycrm vacc im	1702	1702	220615.08	7.8	620.11	129.62	103.95	103.95	100.5	100.5	72.163	90734	M										
90736	Hzv vaccine live subq	34	34	3339.57	17.23	306.78	98.22	49.15	49.15	17.23	17.23	112.511	90736	M										
90738	Inactivated je vacc im	92	92	18261.49	86.1	404.74	198.49	185.47	185.47	180.9	180.9	37.437	90738	M										
90739	Hepb vacc 2/4 dose adult im												90739	L										
90749	Unlisted vaccine/toxoid	514	514	21094.72	19.38	84.17	41.04	38.08	38.08	35.57	35.57	39.987	90749	N										
90750	Hzv vacc recombinant im	7073	7073	1305166.35	17.9	652.87	184.53	151.35	151.35	186.59	186.59	65.515	90750	M										
90758	Zaire ebolavirus vac live im												90758	E1										
90759	Hep b vac 3ag 10mcg 3 dos im												90759	L										
91318	Sarscov2 vac 3mcg trs-suc im												91318	L										
91319	Sarscv2 vac 10mcg trs-suc im												91319	L										
91320	Sarscv2 vac 30mcg trs-suc im												91320	L										
91321	Sarscov2 vac 25 mcg/.25ml im												91321	L										
91322	Sarscov2 vac 50 mcg/0.5ml im												91322	L										
A2001	"Innovamatrix ac, per sq cm"	638	7075	481334.99	5.17	17383.46	68.03	35.08	300.05	25.85	413.6	1608.877	A2001	N										
A2002	Mirragen adv wnd mat per sq	374	2351	581853.16	26.01	3248.31	247.49	209.41	1140.91	251.84	877.89	227.984	A2002	N										
A2004	"Xcellistem, 1 mg"	212	109848	476574.32	0.31	4141.9	4.34	2.46	1472.17	2.31	1696.3	30262.56	A2004	N										
A2005	"Microlyte matrix, per sq cm"	8	109	1627.7	0.04	442.67	14.93	0.1	4.64	0.05	1.22	1487.766	A2005	N										
A2006	Novosorb synpath per sq cm	267	15855	373596.67	0.17	4294.03	23.56	11.25	1025.98	14.58	1379.42	4660.748	A2006	N										
A2007	"Restrata, per sq cm"	805	16408	1656740.46	0.02	33609.84	100.97	40.75	1130.73	44.8	1210.14	2125.931	A2007	N										
A2008	"Theragenesis, per sq cm"	72	3666	192455.2	0.26	4669.17	52.5	24.82	2003.96	27.66	2340.35	2889.368	A2008	N										
A2009	"Symphony, per sq cm"	63	496	16139.76	19.15	189.54	32.54	31.92	171.75	30.74	193.28	93.052	A2009	N										
A2010	"Apis, per square centimeter"												A2010	N										
A2011	"Supra sdrm, per sq cm"	121	787	86699.6	16.98	1569.82	110.16	69.22	519.2	56.68	454.82	384.538	A2011	N										
A2012	"Suprathel, per sq cm"	105	21227	39499.42	0.16	2406.49	1.86	1	178.52	0.97	189.78	20329.42	A2012	N										
A2013	"Innovamatrix fs, per sq cm"												A2013	N										
A2014	Omeza collag per 100 mg	30	377	451100.29	1195.61	1196.69	1196.55	1196.55	10499.54	1196.69	19147.07	0.108	A2014	N										
A2015	"Phoenix wnd mtrx, per sq cm"	12	425	31984.86	37.43	141.21	75.26	69.36	1348.79	52.99	2233.01	273.035	A2015	N										
A2016	"Permeaderm b, per sq cm"												A2016	N										
A2017	"Permeaderm glove, each"												A2017	N										
A2018	"Permeaderm c, per sq cm"												A2018	N										
A2019	Kerecis marigen shld sq cm	81	533	109468.15	43.71	2028.46	205.38	182.04	831	223.31	669.91	138.517	A2019	N										
A2020	Ac5 wound system												A2020	N										
A2021	Neomatrix per sq cm	10	88	167572.04	495.61	1982.45	1904.23	1878.98	7398.21	1982.45	13546.73	40.388	A2021	N										
A2022	Innovabrn/innovamatx xl sqcm												A2022	N										
A2023	"Innovamatrix pd, 1 mg"												A2023	N										
A2024	Resolve or xenopatch sq cm												A2024	N										
A2025	Miro3d per cubic cm	127	1428	199928.52	0.37	2940.1	140.01	100.95	1185.53	101.18	1436.39	294.293	A2025	N										
A2026	"Restrata minimatrix, 5 mg"	69	10482	270864.44	2.05	5009.96	25.84	18.7	2341.43	20.94	2899.71	5580.947	A2026	N										
A2027	Matriderm per sq cm	1	38	2615.54	68.83	68.83	68.83	68.83	2615.39	68.83	2615.39		A2027	N										
A2028	Micromatrix flex per mg	2	3000	9900	3.3	3.3	3.3	3.3	4670.75	3.3	4954.08	0	A2028	N										
A2029	Mirotract matrix sheet												A2029	N										
A4100	Skin sub fda clrd as dev nos	172	26398	334069.17	0.05	9816.14	12.66	3.49	957.64	2.85	1080.4	17673.02	A4100	N										
A4216	"Sterile water/saline, 10 ml"	65681	169978	847781.65	0.01	268.97	4.99	2.6	6.96	2.7	6.79	238.986	A4216	N										
A4218	Sterile saline or water	939	1675	10685.35	0.1	332.82	6.38	2.91	5.6	2.1	10.27	297.769	A4218	N										
A4641	Radiopharm dx agent noc	1223	1644	174167.28	7.37	824.86	105.94	85.88	102.76	101.2	152.6	103.196	A4641	N										
A4642	In111 satumomab	2	2	922.66	461.33	461.33	461.33	461.33	461.33	461.33	461.33	0	A4642	N										
A9500	Tc99m sestamibi	342462	638993	54868651.52	1.33	1752.08	85.87	57.44	105.14	61.92	112.07	151.298	A9500	N										
A9501	Technetium tc-99m teboroxime	25	25	419.13	11.89	26.91	16.77	15.65	15.65	11.89	11.89	39.983	A9501	N										
A9502	Tc99m tetrofosmin	221914	419601	31055089.6	1.04	2228.82	74.01	48.12	89.9	52.61	96.27	222.733	A9502	N										
A9503	Tc99m medronate	105258	105258	3845736.76	2.01	352.32	36.54	26.04	26.04	25.55	25.55	99.896	A9503	N										
A9504	Tc99m apcitide												A9504	N										
A9505	Tl201 thallium	37	66	3096.91	11.24	140.79	46.92	39.21	49.67	39.1	50.09	81.838	A9505	N										
A9506	Tc-99m graphite crucible												A9506	G	0760	$328.600								
A9507	In111 capromab	3	3	4637.19	424.11	2106.54	1545.73	1234.64	1234.64	2106.54	2106.54	62.841	A9507	K	0854	"$1,545.730"								
A9508	"I131 iodobenguate, dx"	13	13	10476.75	42.58	1913.86	805.9	503.78	503.78	1032.07	1032.07	66.812	A9508	K	0860	$805.900								
A9509	Iodine i-123 sod iodide mil	1144	2579	648467.15	1.13	3077.15	251.44	149.07	282.57	149.26	295.68	175.658	A9509	N										
A9510	Tc99m disofenin	744	744	36653.63	6.37	203.81	49.27	39.74	39.74	40.6	40.6	66.894	A9510	N										
A9512	Tc99m pertechnetate	2447	23133	144258.72	0.01	2596.7	6.24	2.15	15.23	1.69	14.66	1198.68	A9512	N										
A9513	Lutetium lu 177 dotatat ther	2639	522977	76534522.81	15.41	1057.68	146.34	124.18	24591.57	124.79	24849.52	883.558	A9513	K	9067	$296.249								
A9515	Choline c-11	1084	1084	2236226.96	2062.94	2062.94	2062.94	2062.94	2062.94	2062.94	2062.94	0	A9515	K	9461	"$2,062.940"								
A9516	Iodine i-123 sod iodide mic	7699	20561	1050792.08	0.65	1865.31	51.11	35.16	86.93	34.78	87.21	219.23	A9516	N										
A9517	"I131 iodide cap, rx"	2435	183256	4473064.9	0.02	2667.27	24.41	14.49	655.25	14.13	837.6	1280.893	A9517	K	1064	$23.130								
A9520	Tc99 tilmanocept diag 0.5mci	18987	20865	7978307.81	18.4	3913.1	382.38	265.11	291.46	264.57	278.6	115.001	A9520	N										
A9521	Tc99m exametazime	351	363	277003.94	17.72	8709.21	763.1	434.62	443.42	567.19	567.19	119.952	A9521	E1										
A9524	"I131 serum albumin, dx"	394	1528	153866.37	3.51	670.74	100.7	60.37	244.78	51.69	223.9	259.336	A9524	N										
A9526	Nitrogen n-13 ammonia	1621	2698	655286.62	17.98	675.4	242.88	177.99	283.74	210.94	400.37	91.298	A9526	N										
A9528	"Iodine i-131 iodide cap, dx"	1049	4272	217025.14	0.07	1601.01	50.8	23.36	70	20.09	69.65	413.907	A9528	N										
A9529	"I131 iodide sol, dx"	92	1254	18931.15	1.02	261.9	15.1	10.66	42.14	12.93	45.48	447.288	A9529	N										
A9530	"I131 iodide sol, rx"	140	14423	305171.03	0.07	244.58	21.16	12.13	733.4	17.23	1287.19	896.133	A9530	K	1150	$20.880								
A9531	I131 max 100uci	428	4357	98453.97	0.08	197.57	22.6	4.63	45.37	4.85	50.41	608.429	A9531	N										
A9532	"I125 serum albumin, dx"	3	12	5628.72	469.06	469.06	469.06	469.06	1876.25	469.06	1876.25	0	A9532	K	0861	$469.060								
A9536	Tc99m depreotide												A9536	N										
A9537	Tc99m mebrofenin	31668	31668	1396043.79	3.05	359.6	44.08	33.19	33.19	32.61	32.61	86.256	A9537	N										
A9538	Tc99m pyrophosphate	11136	11136	614852.26	3.39	486.84	55.21	40.26	40.26	39.03	39.03	91.496	A9538	N										
A9539	Tc99m pentetate	1591	1766	167356.87	2.46	1321.81	94.77	63.76	69.36	84.49	88.84	103.425	A9539	N										
A9540	Tc99m maa	30761	30761	3623002.18	3.18	1636.25	117.78	74.37	74.37	79.59	79.59	104.257	A9540	N										
A9541	Tc99m sulfur colloid	55494	55494	4757322.63	4.09	861.68	85.73	59.25	59.25	58.25	58.25	104.573	A9541	N										
A9542	"In111 ibritumomab, dx"	1	1	273.12	273.12	273.12	273.12	273.12	273.12	273.12	273.12		A9542	N										
A9543	"Y90 ibritumomab, rx"	30	32	475282.67	2769.62	35208.16	14852.58	12927.51	13539.76	12234.78	13683.37	56.897	A9543	K	1643	"$56,824.549"								
A9546	Co57/58												A9546	N										
A9547	In111 oxyquinoline	236	287	261545.13	15.3	9605.84	911.31	623.22	718.55	689.94	740.45	131.533	A9547	K	0770	$911.310								
A9548	In111 pentetate	1089	1440	1101304.48	21.36	12842.91	764.79	543.39	699.33	581.04	703.17	103.159	A9548	K	0771	$764.790								
A9550	Tc99m gluceptate	1	1	26.91	26.91	26.91	26.91	26.91	26.91	26.91	26.91		A9550	N										
A9551	Tc99m succimer	121	121	73928.3	24.49	3433.99	610.98	399.75	399.75	584.87	584.87	83.008	A9551	N										
A9552	F18 fdg	415685	415685	89051846.49	11.16	1966.95	214.23	153.66	153.66	158.71	158.71	88.034	A9552	N										
A9553	Cr51 chromate	1	1	1717.62	1717.62	1717.62	1717.62	1717.62	1717.62	1717.62	1717.62		A9553	K	0862	"$1,717.620"								
A9554	"I125 iothalamate, dx"	21	45	19582.76	1.61	2687.43	435.17	144.71	330.41	162.76	488.28	262.176	A9554	K	0863	$435.170								
A9555	Rb82 rubidium	42339	80327	17865920.91	6.42	6874.56	222.41	145.14	268.74	142.1	276.12	151.777	A9555	N										
A9556	Ga67 gallium	202	1054	52217.54	3.11	464.36	49.54	31.69	146.07	33.05	152.72	248.818	A9556	N										
A9557	Tc99m bicisate	196	228	187381.89	50.51	3865.29	821.85	585.24	622.77	646.06	668.25	96.47	A9557	K	0774	$821.850								
A9558	Xe133 xenon 10mci	6650	8883	680315.67	3.35	860.97	76.59	54.58	65.13	52.3	58.85	115.881	A9558	N										
A9559	Co57 cyano	1	1	310.49	310.49	310.49	310.49	310.49	310.49	310.49	310.49		A9559	N										
A9560	Tc99m labeled rbc	5350	5350	588495.25	4.47	1092.5	110	75.76	75.76	76.38	76.38	96.836	A9560	N										
A9561	Tc99m oxidronate	14783	14783	596727.09	3.86	350.15	40.37	29.07	29.07	28.59	28.59	100.934	A9561	N										
A9562	Tc99m mertiatide	15254	15254	3478190.04	15.85	1973.06	228.02	178.29	178.29	178.99	178.99	80.45	A9562	N										
A9563	P32 na phosphate	29	29	7194.49	54.21	255.01	248.09	241.75	241.75	255.01	255.01	15.03	A9563	K	1675	$179.120								
A9564	P32 chromic phosphate	1	1	164.98	164.98	164.98	164.98	164.98	164.98	164.98	164.98		A9564	E1										
A9566	Tc99m fanolesomab												A9566	N										
A9567	Technetium tc-99m aerosol	8149	8149	884942.48	6.7	912.57	108.6	77.08	77.08	75.46	75.46	91.498	A9567	N										
A9568	Technetium tc99m arcitumomab												A9568	N										
A9569	Technetium tc-99m auto wbc	468	468	448446.18	75.64	6783.99	958.22	760.56	760.56	776.37	776.37	80.945	A9569	K	0776	$958.220								
A9570	Indium in-111 auto wbc	775	775	831677.85	97.23	4443.18	1073.13	855.1	855.1	871.59	871.59	73.392	A9570	K	0777	"$1,073.130"								
A9571	Indium in-111 auto platelet	1	1	57.04	57.04	57.04	57.04	57.04	57.04	57.04	57.04		A9571	N										
A9572	Indium in-111 pentetreotide	273	273	553507.86	138.22	16311.45	2027.5	1437.23	1437.23	1459.57	1459.57	107.04	A9572	K	0779	"$2,027.500"								
A9573	"Inj, gadopiclenol, 1 ml"	68702	573156	3688939.76	0.02	174.78	6.44	3.97	31.38	4.48	35.75	335.564	A9573	N										
A9575	Inj gadoterate meglumi 0.1ml	306056	50080342	16543104.79	0.01	184.12	0.33	0.23	36.26	0.25	40.03	1911.65	A9575	N										
A9576	Inj prohance multipack	29446	499058	2401727.54	0.04	162.83	4.81	2.08	34.24	1.69	28.15	739.314	A9576	N										
A9577	Inj multihance	160056	2610392	10890419.92	0.01	58.93	4.17	2.72	43.37	3.53	56.12	301.649	A9577	N										
A9578	Inj multihance multipack	5430	77617	181435.48	0.69	33.16	2.34	2.04	26.81	2.24	27.04	240.825	A9578	N										
A9579	"Gad-base mr contrast nos,1ml"	115966	1919170	8090260.89	0.01	359.81	4.22	3.03	46.32	3.4	51.39	430.237	A9579	N										
A9580	Sodium fluoride f-18	109	109	20619.88	32.54	636.09	189.17	141.19	141.19	166.83	166.83	79.731	A9580	N										
A9581	Gadoxetate disodium inj	15061	151011	2441280.68	0.03	172.16	16.17	13.48	132.24	14.96	137.55	195.286	A9581	N										
A9582	Iodine i-123 iobenguane	134	134	324132.31	150.76	22324.91	2418.9	1656.25	1656.25	1753.63	1753.63	115.301	A9582	K	0780	"$2,418.900"								
A9583	Gadofosveset trisodium inj	2	120	3742.8	31.19	31.19	31.19	31.19	1034.53	31.19	1871.54	0	A9583	N										
A9584	Iodine i-123 ioflupane	15821	15821	22315548.06	177.94	7697.66	1410.5	1169.9	1169.9	1167	1167	66.561	A9584	K	0781	"$1,410.500"								
A9585	Gadobutrol injection	351049	30137151	21519044.54	0.01	84.71	0.71	0.54	44.75	0.59	49.62	899.333	A9585	N										
A9586	Florbetapir f18	6787	7837	14748207.67	162.75	9140.86	1881.87	1556.01	1762.5	1648.82	1768.1	66.807	A9586	K	1664	"$1,881.870"								
A9587	Gallium ga-68	6581	325218	16011890.59	0.28	1242.74	49.23	37.65	1869.61	38.69	1858.05	618.41	A9587	K	9056	$49.230								
A9588	Fluciclovine f-18	130	1196	393930.99	41.77	6764.71	329.37	254.97	2190.2	228.43	2214.62	414.02	A9588	K	9052	$329.370								
A9589	Insti hexaminolevulinate hcl	3888	3888	5117584	259.5	5087.96	1316.25	1186.32	1186.32	1209.61	1209.61	44.401	A9589	N										
A9590	Iodine i-131 iobenguane 1mci												A9590	N										
A9591	Fluoroestradiol f 18	654	3890	1801855.7	7.91	2564.68	463.2	394.13	2334.13	386.33	2251.75	146.384	A9591	K	9370	$463.200								
A9592	Copper cu 64 dotatate diag	5493	22734	14097205.93	32.32	10531.98	620.09	494.17	2044.9	498.28	2136	210.698	A9592	E1										
A9593	Gallium ga-68 psma-11 ucsf	590	3409	1906899.69	56.05	1539.07	559.37	526.51	3017.93	610.42	2926.72	72.928	A9593	K	9409	$559.370								
A9594	"Gallium ga-68 psma-11, ucla"	674	3689	1340998.65	66.89	565.86	363.51	360.58	1962	358.54	2013.09	24.742	A9594	K	9410	$363.510								
A9595	"Piflu f-18, dia 1 millicurie"	37806	353654	122843523.5	0.75	7452.79	347.36	275.97	2578.44	278.63	2552.95	245.487	A9595	K	9430	$347.360								
A9596	Gallium illuccix 1 millicure	21661	121619	59047483.89	3.37	5362.7	485.51	376.66	2089.75	432.19	2287.04	225.387	A9596	K	9443	$485.510								
A9597	"Pet, dx, for tumor id, noc"	215	401	308549.49	0.13	22259.39	769.45	213.92	680.44	359.27	953.67	289.969	A9597	N										
A9598	"Pet dx for non-tumor id, noc"	80	80	57710.4	721.38	721.38	721.38	721.38	721.38	721.38	721.38	0	A9598	N										
A9600	Sr89 strontium	5	5	9913	1982.6	1982.6	1982.6	1982.6	1982.6	1982.6	1982.6	0	A9600	K	0701	"$4,146.335"								
A9601	Flortaucipir inj 1 millicuri												A9601	G	0709	"$3,710.000"								
A9602	Fluorodopa f-18 diag per mci	102	510	439958.95	403.69	993.62	862.66	848.33	4241.65	922.43	4612.14	34.377	A9602	K	9053	$862.660								
A9603	"Inj, pafolacianine, 0.1 mg"	2	151	18381.25	77.39	286.62	121.73	102.14	9190.38	77.39	9190.39	863.149	A9603	N										
A9604	Sm 153 lexidronam	1	1	3161.57	3161.57	3161.57	3161.57	3161.57	3161.57	3161.57	3161.57		A9604	K	1295	"$4,314.910"								
A9606	Radium ra223 dichloride ther	1679	220883	19791160.08	3.81	474.25	89.6	76.14	9712.36	75.34	9910.21	786.721	A9606	K	1745	$169.057								
A9607	Lutetium lu 177 vipivotide	8894	1771872	202364674	12.24	1747.05	114.21	94.58	18836.14	95.71	19041.52	1122.966	A9607	K	9054	$240.201								
A9608	Flotufolastat f18 diag 1 mci	1613	12952	3831110.13	28.23	1205.71	295.79	255.4	2049.29	247.8	1982.4	171.809	A9608	G	9254	$651.668								
A9609	"F18 fdg, 15 millicuries"	11722	16256	2313009.58	11.91	2298.24	142.29	85.66	130.02	82.29	153.37	148.094	A9609	N										
A9610	"Xe129 xenon, diagnostic"												A9610	N										
A9611	"Flurpiridaz f18, diag, 1 mci"												A9611	G	2065	$515.000								
A9615	"Inj, pegulicianine, 1 mg"												A9615	G	0772	$37.508								
A9697	"Inj, magtrace per study dose"	171	171	98065.4	74.32	2944.6	573.48	403.32	403.32	391.5	391.5	99.472	A9697	G	0814	"$1,137.959"								
A9698	Non-rad contrast materialnoc	21852	30155	314177.44	0.1	362.7	10.42	6.4	7.82	6.77	9.9	210.338	A9698	N										
A9699	Radiopharm rx agent noc	2	2	3236.31	313.26	2923.05	1618.16	956.91	956.91	1618.16	1618.16	114.043	A9699	N										
A9800	Gallium locametz 1 millicuri	4129	24885	8509386.73	32.14	2142.22	341.95	319.4	1921.15	374.23	2227.55	84.543	A9800	K	9055	$341.950								
C9046	Cocaine hcl nasal (goprelto)	2372	379939	654391.55	0.02	139.26	1.72	1.34	206.32	1.55	238.48	1305.22	C9046	N										
C9047	"Injection, caplacizumab-yhdp"	8	88	71291.44	810.13	810.13	810.13	810.13	8911.45	810.13	8911.45	0	C9047	K	9199	$825.999								
C9067	Gallium ga-68 dotatoc	129	53958	194464.99	3.05	4.88	3.6	3.59	1507.23	3.57	1507.23	215.359	C9067	K	9323	$3.600								
C9088	"Instill, bupivac and meloxic"												C9088	K1	9440	$0.773								
C9089	"Bupivacaine implant, 1 mg"	525	150472	170592.18	0.32	4.69	1.13	0.94	264.89	0.76	227.65	1177.679	C9089	E1										
C9101	"Inj, oliceridine 0.1 mg"	25	690	1503.3	2.1	3.16	2.18	2.17	52.16	2.14	42.89	49.164	C9101	N										
C9113	"Inj pantoprazole sodium, via"	87101	108610	1270409.09	0.54	112.44	11.7	8.72	10.31	8.93	10.5	95.091	J2470	D										
C9143	Cocaine hcl nasal (numbrino)	275	44140	61865.2	0.12	7.19	1.4	1.08	168.77	1.26	201.26	1028.58	C9143	N										
C9144	"Inj, bupivacaine (posimir)"	2	2	10.92	5.46	5.46	5.46	5.46	5.46	5.46	5.46	0	C9144	E1										
C9145	"Inj, aponvie, 1 mg"	6604	211247	509768.29	0.01	6.62	2.41	2.04	65.15	1.82	58.24	334.134	C9145	G	9107	$1.863								
C9146	"Inj, elahere, 1 mg"												J9063	D										
C9147	"Inj, tremelimumab-actl, 1 mg"												J9347	D										
C9148	"Inj, teclistamab-cqyv, 0.5mg"												J9380	D										
C9149	"Inj, teplizumab-mzwv, 5 mcg"												J9381	D										
C9150	"Xe129 xenon, diagnostic"	12	12	2736.77	24.08	737.39	228.06	113.76	113.76	126.99	126.99	115.222	A9610	D										
C9151	"Inj, pegcetacoplan 1 mg"												J2781	D										
C9152	"Inj, abilify asimtufii, 1 mg"												J0402	D										
C9153	"Inj, amisulpride, 1 mg"												J0184	D										
C9154	Inj buprenorph (brixadi) 1mg												J0576	D										
C9155	"Inj epcoritamab-bysp,0.16 mg"												J9321	D										
C9156	"Flotufolastat f18, dia 1 mci"												A9608	D										
C9157	"Inj, tofersen, 1 mg"												J1304	D										
C9158	"Inj, uzedy, 1 mg"												J2799	D										
C9159	"Inj, balfaxar, per i.u"	50	103975	229254.15	0.22	6.05	2.2	1.79	3580.03	2.05	4093.45	2734.386	J7165	D										
C9160	Inj daxibotulinumtoxina-lanm	2	32	13071.36	408.48	408.48	408.48	408.48	6535.64	408.48	6535.64	0	J0589	D										
C9161	"Inj, aflibercept hd, 1 mg"	1062	10434	3234899.54	32.82	519.76	310.03	299.15	2786.72	278.83	2735.02	76.257	J0177	D										
C9162	"Inj, avacincaptad peg 0.1 mg"	115	3140	294943	10.84	150.02	93.93	89.86	2317.81	104.4	2192.19	111.015	J2782	D										
C9163	Inj talquetamab-tgvs 0.25 mg	953	220147	14106184.16	12.33	309.74	64.08	59.44	12695.56	61.96	12944.82	730.584	J3055	D										
C9164	"Cantharidin top, applicator"												J7354	D										
C9165	"Inj, elranatamab-bcmm, 1 mg"	253	18568	3158219.76	33.49	338.18	170.09	164.87	11849.01	178.92	13597.73	187.564	J3247	D										
C9166	"Injection, secukinumab"	405	114398	1855954.9	1.81	43.62	16.22	13.83	3426.35	15.29	3332.84	893.413	J3247	D										
C9167	"Inj, adzynma, 10 iu"	32	19152	567603.44	7.44	92.1	29.64	17.52	14379.95	7.44	20413.06	2469.002	J7171	D										
C9168	"Injection, mirikizumab-mrkz"	29	7845	249411.75	15.45	474.55	31.79	28.11	8165.11	32.25	7856.84	1839.208	J2267	D										
C9169	"Inj, nogapendekin pmln 1 mcg"												J9028	D										
C9170	"Inj, tarlatamab-dlle, 1 mg"												J9026	D										
C9171	"Inj, pegulicianine, 1 mg"												A9615	D										
C9172	"Inj, beqvez, per tx dose"												J1414	D										
C9174	"Datopotamab deruxtecan, 1 mg"												C9174	G	0835	$50.378								
C9175	"Inj, treosulfan, 50 mg"												C9175	G	0837	$31.415								
C9248	"Inj, clevidipine butyrate"	764	24865	212124.79	0.36	335.76	8.53	5.05	129.13	4.48	129.68	1440.961	C9248	N										
C9250	Artiss fibrin sealant	1848	3070	720038	4.22	4197.5	234.54	143.37	275.73	146.83	236.35	170.141	C9250	K	1848	$133.135								
C9254	"Injection, lacosamide"	2240	502615	195988.67	0.01	7.29	0.39	0.3	61.04	0.33	66.38	1275.685	C9254	N										
C9257	Bevacizumab injection	33810	207299	3340477.63	0.23	219.17	16.11	10.08	60.58	8.35	55.62	287.028	C9257	K	1281	$1.818								
C9285	"Patch, lidocaine/tetracaine"	38	38	383.33	4.49	27.35	10.09	9.43	9.43	8.93	8.93	40.396	C9285	N										
C9290	"Inj, bupivacaine liposome"	111892	25300677	41718078.51	0.01	93.46	1.65	1.45	314.17	1.46	332.45	876.208		D										
C9290	"Inj, bupivacaine liposome"												J0666	D										
C9293	"Injection, glucarpidase"												C9293	E1										
C9300	"Inj indigotindisulfonate, 1 mg"												J9220	D										
C9301	Obecabtagene car pos t												Q2058	D										
C9302	"Inj zanidatamab, 2 mg"												J9276	D										
C9303	"Inj zolbetuximab, 1 mg"												J1326	D										
C9304	"Inj marstacimab, 0.5 mg"												J7172	D										
C9352	"Neuragen nerve guide, per cm"	85	123	245150.14	186.49	10377.95	1993.09	1482.18	2282.19	1391.36	2374.4	101.804	C9352	N										
C9353	"Neurawrap nerve protector,cm"	95	152	282004.03	38.18	7608.29	1855.29	1251.17	2340.41	1202.13	2562.69	102.77	C9353	N										
C9354	"Veritas collagen matrix, cm2"	57	191	129117.07	33.4	4588.39	676.01	106.39	1646.86	36.3	1807.48	346.415	C9354	N										
C9355	"Neuromatrix nerve cuff, cm"	11	141	28553.96	9.11	8531.84	202.51	17.34	1862.3	9.11	1252.27	1546.683	C9355	N										
C9356	"Tenoglide tendon prot, cm2"	87	1157	260936.3	22.22	6523.6	225.53	63.63	2523.27	33.5	2960	1018.826	C9356	N										
C9358	"Surgimend, fetal"	28	1448	79829.57	11.14	16160.19	55.13	17.21	820.26	19.62	1316.68	8390.412	C9358	N										
C9359	"Implnt,bon void filler-putty"	1743	2280	1873426.44	18.35	10868.81	821.68	482.62	641.88	464.56	682.2	139.058	C9359	N										
C9360	"Surgimend, neonatal"	1	1	11.5	11.5	11.5	11.5	11.5	11.5	11.5	11.5		C9360	N										
C9361	Neuromend nerve wrap	60	72	98234.03	50.93	7876.04	1364.36	933.12	1047.05	1091.11	1178.2	106.963	C9361	N										
C9362	"Implnt,bon void filler-strip"	197	278	266746.57	41.88	9144.57	959.52	396.48	706.01	328.5	888.43	151.447	C9362	N										
C9363	Integra meshed bil wound mat	736	27339	2985517.73	1.62	25852.61	109.2	43.82	2564.7	42.04	3214.42	3189.288	C9363	N										
C9364	"Porcine implant, permacol"	111	111	37353.48	0.87	3312.64	336.52	40.93	40.93	15.73	15.73	224.984	C9364	N										
C9460	"Injection, cangrelor"	973	53067	925816.72	1.66	68.01	17.45	15.39	815.89	16.46	864.31	385.081	C9460	K	9460	$18.714								
C9462	"Injection, delafloxacin"												C9462	E2										
C9482	Sotalol hydrochloride iv	317	41788	839790.76	3.16	43.82	20.1	18.1	2276.46	19.79	2599.73	453.67	C9482	E1										
C9488	Conivaptan hcl												C9488	E2										
J0120	Tetracyclin injection	37	40	273.63	1.13	46.84	6.84	3.58	3.62	2.98	2.98	178.646	J0120	N										
J0121	"Inj., omadacycline, 1 mg"	1292	130400	594347	1.51	10.67	4.56	3.93	396.41	4.44	443.87	552.915	J0121	K	9311	$3.866								
J0122	"Inj., eravacycline, 1 mg"	480	60535	65356.53	0.23	4.71	1.08	0.83	92.37	0.88	127.1	747.722	J0122	K	9325	$1.206								
J0129	Abatacept injection	60663	4548259	232989816	0.01	318.87	51.23	46.38	3410.46	47.83	3532.88	396.749	J0129	K	9230	$43.377								
J0130	Abciximab injection	3	54	140.7	1.17	5.87	2.61	2.09	44.35	1.17	35.2	339.385	J0130	N										
J0131	"Inj, acetaminophen (nos)"	330849	35152177	10207164.02	0.01	56.54	0.29	0.2	21.36	0.2	20.8	1814.034	J0131	N										
J0132	Acetylcysteine injection	433	62027	143579.79	0.02	231.46	2.31	1.47	141.01	1.69	184.27	2630.742	J0132	N										
J0133	Acyclovir injection	1597	298561	60263.7	0.01	26.15	0.2	0.14	23.63	0.15	25.73	1896.278	J0133	N										
J0134	Inj acetaminophen -fresenius	91933	9819525	2471229.04	0.01	8.76	0.25	0.18	19.01	0.17	17.91	1682.023	J0134	N										
J0135	Adalimumab injection	14	28	33733.26	1155.9	1839.93	1204.76	1194.92	2389.85	1155.9	2311.8	21.46		D										
J0136	"Inj, acetaminophen (b braun)"	62994	7006931	974565.91	0.01	9.17	0.14	0.11	11.83	0.1	10.63	1491.345	J0136	N										
J0137	"Inj, acetaminophen (hikma)"	29040	3075530	534521.07	0.01	23.22	0.17	0.14	14.32	0.14	14.47	1173.333	J0137	N										
J0138	Inj acetaminoph 10mg/ibu 3mg	146	15300	8123	0.38	1.15	0.53	0.52	53.93	0.55	55.2	238.716	J0138	G	2075	$0.218								
J0139	"Inj, adalimumab, 1 mg"												J0139	E1										
J0153	Adenosine inj 1mg	32041	1380007	2715740.13	0.01	822.28	1.97	1.37	36.48	1.56	37.69	1174.473	J0153	N										
J0165	Inj epinephrine nos 0.1 mg												J0165	N										
J0166	Inj epinephrine (bpi)												J0166	N										
J0167	Inj epinephrine (hospira)												J0167	N										
J0168	Epinephrine (intl med sys)												J0168	N										
J0169	Inj epinephrine (adrenalin)												J0169	N										
J0171	Adrenalin epinephrine inject	323764	4270587	8661710.79	0.01	2464.3	2.03	1.37	14.67	1.44	15.47	787.731	J0171	D										
J0172	"Inj, aducanumab-avwa, 2 mg"	3	810	6634.2	4.54	8.38	8.19	8.13	1223.86	8.38	2680.12	204.43	J0172	K	9438	$5.978								
J0173	"Inj, epinephrine (belcher)"	32581	238514	676071.39	0.02	193.14	2.83	1.72	11.49	1.77	12.12	490.276	J0173	D										
J0174	"Inj, lecanemab-irmb, 1 mg"	24700	18674269	29646699.32	0.18	15.7	1.59	1.44	1065.14	1.33	1038.48	1647.492	J0174	G	9157	$1.330								
J0175	"Inj, donanemab-azbt, 2 mg"												J0175	G	0765	$4.181								
J0177	"Inj, aflibercept hd, 1 mg"	6378	63216	19617160.5	18.49	2418.61	310.32	291.15	2738.88	278.83	2735.02	99.612	J0177	G	0704	$321.176								
J0178	Aflibercept injection	61301	145207	133445248.1	91.19	5080.53	919	841.27	1908.09	919.43	1972.02	55.238	J0178	K	1420	$795.861								
J0179	"Inj, brolucizumab-dbll, 1 mg"	180	1278	389297.88	92.04	459.42	304.61	291.69	2014.58	323.25	1939.52	64.256	J0179	K	9340	$339.988								
J0180	Agalsidase beta injection	2464	189320	35835585.87	16.04	933.77	189.29	168.5	12613.37	177.85	12979.34	407.907	J0180	K	9208	$222.839								
J0184	"Inj, amisulpride, 1 mg"	3411	33340	329186.65	1.45	33.62	9.87	8.92	86.67	9.09	90.39	137.768	J0184	G	9247	$9.114								
J0185	"Inj., aprepitant, 1 mg"	100076	13009774	35474900.04	0.21	26.56	2.73	2.4	312.28	2.28	296.6	602.397	J0185	K	9463	$1.710								
J0190	Inj biperiden lactate/5 mg												J0190	E2										
J0200	Alatrofloxacin mesylate												J0200	E2										
J0202	"Injection, alemtuzumab"	30	648	250435.68	8.01	2127.64	386.47	30.29	1716.68	8.01	240.22	853.805	J0202	K	1809	"$2,441.493"								
J0205	Alglucerase injection												J0205	E2										
J0206	Inj allopurinol sodium 1 mg												J0206	K	9285	$4.450								
J0207	Amifostine												J0207	E2										
J0208	"Inj, pedmark, 100 mg"	65	4007	7251.14	0.43	392.77	1.81	0.68	60.93	0.43	32.83	5405.961	J0208	G	9119	$95.397								
J0209	"Inj, sod thiosulfate (hope)"	645	153491	161210.27	0.27	2.91	1.05	0.97	220.87	1.02	230.51	582.772	J0209	K	0866	$0.984								
J0210	Methyldopate hcl injection												J0210	E2										
J0211	"Inj, nithiodote, 3mg / 125mg"												J0211	K	0750	$2.166								
J0215	Alefacept												J0215	E2										
J0216	"Inj, alfentanil hcl, 500mcg"	29	48	369.06	0.53	36.3	7.69	5.03	8.21	5.24	8.38	130.553	J0216	N										
J0217	Inj velmanase alfa-tycv 1 mg	70	4200	2890348.8	431.55	788.83	688.18	672.85	40371.2	788.83	47329.83	150.077	J0217	G	0710	$444.976								
J0218	Inj olipudase alfa-rpcp 1mg	16	2975	1601790.42	504.04	538.68	538.42	538.41	68229.9	538.58	150264.7	5.276	J0218	G	9113	$381.237								
J0219	Inj aval alfa-nqpt 4mg	1445	561934	35934768.78	0.04	273.74	63.95	45.45	17857.77	60.47	22293.87	1048.394	J0219	K	9433	$77.817								
J0220	Alglucosidase alfa injection												J0220	E2										
J0221	Lumizyme injection	341	59476	10033484.72	47.22	391.73	168.7	152.31	25975.17	174.89	27858.75	568.299	J0221	K	1413	$201.566								
J0222	"Inj., patisiran, 0.1 mg"	433	110697	10839951.42	24.64	180.33	97.92	90.03	22391.29	97.76	24971.7	616.784	J0222	K	9180	$99.039								
J0223	Inj givosiran 0.5 mg	164	81113	11627557.1	21.34	630.76	143.35	115.81	55943.96	109.41	58335.85	1944.77	J0223	K	9343	$116.471								
J0224	"Inj. lumasiran, 0.5 mg"	8	6048	1031032.8	137.66	211.74	170.48	167.21	126415.1	166.25	125685.3	575.11	J0224	K	9407	$318.852								
J0225	"Inj, vutrisiran, 1 mg"	836	20900	81203867.25	499.41	10174.34	3885.35	3494.32	87358.09	3729.85	93246.16	221.191	J0225	K	9009	"$4,956.310"								
J0248	"Inj, remdesivir, 1 mg"	13616	1939415	12959626.34	0.25	58.73	6.68	5.9	802.58	6.35	758.76	710.42	J0248	K	9200	$6.354								
J0256	Alpha 1 proteinase inhibitor	32736	17337885	91788706.23	0.01	51.49	5.29	4.46	2236.38	4.63	2289.16	1533.076	J0256	K	0901	$5.160								
J0257	Glassia injection	4248	2222716	12684408.06	0.01	15.71	5.71	4.79	2387.82	5.26	2421.51	1195.181	J0257	K	1415	$5.448								
J0278	Amikacin sulfate injection	5483	53124	173194.56	0.17	29.71	3.26	2.47	22.81	2.75	24.38	265.345	J0278	N										
J0280	Aminophyllin 250 mg inj	35403	42957	611571.56	0.41	189.42	14.24	9.58	11.67	9.29	12.86	107.001	J0280	N										
J0281	Inj aminocaproic acid 1 gram												J0281	N										
J0282	Amiodarone hcl	14065	194106	528855.16	0.03	162.05	2.72	1.49	17.31	1.4	17.67	561.924	J0282	N										
J0283	"Inj, amiodarone (nexterone)"	5602	78054	470987.68	0.14	125.91	6.03	5.08	65.79	5.15	63.7	293.126	J0283	N										
J0285	Amphotericin b	337	358	12856.77	0.68	210.16	35.91	23.31	24.05	23.66	24.68	89.327	J0285	N										
J0287	Amphotericin b lipid complex	2	40	1045	2.08	50.17	26.12	10.22	204.43	26.12	522.52	582.101	J0287	K	9024	$10.299								
J0288	Ampho b cholesteryl sulfate	1	25	37.25	1.49	1.49	1.49	1.49	37.36	1.49	37.36		J0288	N										
J0289	Amphotericin b liposome inj	1010	32323	1942837.02	4.97	217.11	60.11	48.44	1345.31	51.64	1302.68	336.48	J0289	K	0736	$23.307								
J0290	Ampicillin 500 mg inj	11245	58594	262136.82	0.07	71.25	4.47	3.14	13.81	3.43	14.82	213.15	J0290	N										
J0291	"Inj., plazomicin, 5 mg"	184	37626	176960.74	3.26	30.07	4.7	4.28	859.53	3.48	695.82	1045.703	J0291	K	9183	$3.574								
J0295	Ampicillin sulbactam 1.5 gm	42364	120913	1034290.88	0.15	296.62	8.55	6.43	16.12	6.67	16.44	140.963	J0295	N										
J0300	Amobarbital 125 mg inj	4	30	59.75	0.59	5.06	1.99	1.44	13.15	1.24	14.29	259.34	J0300	N										
J0330	Succinycholine chloride inj	273386	1816907	5730823.94	0.01	353.69	3.15	2.1	13.4	2.25	15.12	290.764	J0330	N										
J0348	Anidulafungin injection	754	75400	139675	0.32	19.25	1.85	1.47	146.79	1.63	162.63	1250.396	J0348	N										
J0349	"Inj, rezafungin, 1 mg"	241	57000	682224	2.24	186.58	11.97	9.76	2180.83	11.54	2316.11	1987.532	J0349	G	9267	$10.418								
J0350	Injection anistreplase 30 u												J0350	E2										
J0360	Hydralazine hcl injection	260117	294375	4888306.08	0.76	179.45	16.61	12.06	13.25	13.32	14.13	98.32	J0360	N										
J0364	Apomorphine hydrochloride												J0364	E1										
J0365	"Aprotonin, 10,000 kiu"												J0365	E2										
J0380	Inj metaraminol bitartrate												J0380	E2										
J0390	Chloroquine injection	2	6	44.84	6.85	8.72	7.47	7.42	21.86	6.85	22.42	28.893	J0390	N										
J0391	"Inj, artesunate, 1mg"												J0391	K	0711	$51.829								
J0395	Arbutamine hcl injection	1	20	2059.6	102.98	102.98	102.98	102.98	2059.61	102.98	2059.61		J0395	E1										
J0400	Aripiprazole injection	13	532	110.68	0.02	16.49	0.21	0.07	4.54	0.06	7.69	3416.017	J0400	N										
J0401	"Inj, abilify maintena, 1 mg"	1370	515000	3181228	0.01	23.52	6.18	5.53	2052.55	5.86	2221.61	976.598	J0401	K	1468	$7.033								
J0402	"Inj, abilify asimtufii, 1 mg"	10	9600	30835.2	2.61	3.75	3.21	3.17	3044.11	3.26	3131.11	532.166	J0402	G	9246	$5.872								
J0456	Azithromycin	59570	59570	990075.92	0.87	160.59	16.62	12	12	12.89	12.89	86.394	J0456	N										
J0457	"Injection, aztreonam, 100 mg"	4618	99100	397766.76	0.08	59.94	4.01	3.43	62.65	3.49	64.7	405.235	J0457	N										
J0461	Atropine sulfate injection	96772	5927983	1655204.48	0.01	81.47	0.28	0.2	11.52	0.19	12.11	1159.134	J0461	N										
J0470	Dimecaprol injection												J0470	E2										
J0475	Baclofen 10 mg injection	7851	40858	9590898.27	1.48	4226.96	234.74	196.71	841.61	209.46	926.5	157.63	J0475	K	9032	$174.804								
J0476	Baclofen intrathecal trial	184	222	31695.5	11.36	1212.14	142.77	85.41	101.65	75.77	88.16	151.363	J0476	N										
J0480	Basiliximab	345	345	1655804.86	2440.84	8924.8	4799.43	4688.7	4688.7	4659.59	4659.59	22.355	J0480	K	1683	"$4,687.658"								
J0485	Belatacept injection	46870	24314042	100685604.6	0.35	22.69	4.14	3.79	1904.65	3.88	1934.18	1045.334	J0485	K	9286	$3.891								
J0490	Belimumab injection	8492	675786	34001071.85	0.17	310.78	50.31	45.57	3521.23	45.32	3540.95	443.063	J0490	K	1353	$54.968								
J0491	Inj anifrolumab-fnia 1mg	2644	793050	11963566.5	2.01	102.94	15.09	13.43	4027.68	13.89	4166.69	955.31	J0491	K	9434	$17.777								
J0500	Dicyclomine injection	13939	13939	643798.37	2.35	408.99	46.19	36.43	36.43	37.1	37.1	73.976	J0500	N										
J0515	Inj benztropine mesylate	1125	1952	65887.04	2.14	260.71	33.75	28.07	46.89	30.08	50.1	83.402	J0515	N										
J0517	"Inj., benralizumab, 1 mg"	16268	488040	80727190.2	0.24	1018.67	165.41	149.63	4488.79	150.51	4515.22	284.36	J0517	K	9466	$163.300								
J0520	Bethanechol chloride inject												J0520	E2										
J0558	Peng benzathine/procaine inj	13	127	2829.22	0.64	432.72	22.28	7.26	109.62	15.38	178.39	852.932	J0558	K	9088	$17.368								
J0561	Penicillin g benzathine inj	2671	52299	1087630.98	0.03	229.95	20.8	16.45	304.38	19.89	375.3	274.295	J0561	K	1829	$26.984								
J0565	"Inj, bezlotoxumab, 10 mg"	1165	114435	4345626.69	0.69	231.15	37.97	34.63	3333.13	35.01	3371.05	534.39	J0565	K	9490	$39.869								
J0567	"Inj., cerliponase alfa 1 mg"	1	300	28314	94.38	94.38	94.38	94.38	28313.13	94.38	28313.13		J0567	K	9014	$245.595								
J0570	Buprenorphine implant 74.2mg													D										
J0571	Buprenorphine oral 1mg	1043	8469	12048.5	0.02	33.65	1.42	0.72	6.45	0.93	6.25	611.745	J0571	E1										
J0572	Bupren/nal up to 3mg bupreno	521	1286	5835.52	0.15	60.02	4.54	3.36	6.95	3.99	8.23	141.162	J0572	E1										
J0573	Bupren/nal 3.1 to 6mg bupren	118	222	2032.41	0.55	75.44	9.15	7.31	10.18	8.05	10.17	117.082	J0573	E1										
J0574	Bupren/nal 6.1 to 10mg bupre	1040	1489	9832.19	0.36	74.05	6.6	5.01	6.36	4.95	6	106.872	J0574	E1										
J0575	Bupren/nal over 10mg bupreno	3	3	56.43	18.81	18.81	18.81	18.81	18.81	18.81	18.81	0	J0575	E1										
J0576	Inj buprenorph (brixadi) 1mg	4	448	4504.96	8.8	11.73	10.06	9.95	1126.44	8.8	1126.44	176.208		D										
J0577	"Inj, brixadi, 7 days or less"	13	13	4662.39	311.36	460.11	358.65	353.82	353.82	311.36	311.36	17.515	J0577	G	0732	$425.404								
J0578	"Inj brixadi, more than 7 day"	47	47	72574.41	897.21	1848.23	1544.14	1521.45	1521.45	1707.31	1707.31	16.414	J0578	G	0733	"$1,701.615"								
J0583	Bivalirudin	20570	6517192	7698675.7	0.02	20.86	1.18	0.68	207.74	0.59	208.02	1986.464	J0583	N										
J0584	"Injection, burosumab-twza 1m"	271	19422	6606479.74	93.94	715.22	340.15	303.24	20068.29	336.13	21615.92	388.827	J0584	K	9187	$469.742								
J0585	"Injection,onabotulinumtoxina"	101154	20927419	130224327.9	0.01	66.11	6.22	5.47	975.9	5.54	1010.8	741.104	J0585	K	0902	$6.478								
J0586	Abobotulinumtoxina	1900	362723	3586949.69	1.43	47.52	9.89	8.84	1465.96	8.62	1559.87	660.362	J0586	K	1289	$9.044								
J0587	"Inj, rimabotulinumtoxinb"	2385	166619	1954145.56	0.14	126.67	11.73	9.87	575.75	10.33	549.26	487.143	J0587	K	9018	$12.996								
J0588	Incobotulinumtoxin a	5408	1317351	7086281.53	0.04	64.21	5.38	4.69	847.59	4.59	875.35	1031.052	J0588	K	9278	$5.330								
J0589	Inj daxibotulinumtoxina-lanm	23	5800	21406.5	2.64	5.23	3.69	3.64	844.62	3.87	832.8	255.83	J0589	G	0703	$2.992								
J0591	"Inj deoxycholic acid, 1 mg"												J0591	E1										
J0592	Buprenorphine hydrochloride	1618	5100	30770.77	0.93	33.9	6.03	5.31	15.97	4.86	15.79	105.035	J0592	N										
J0593	"Inj., lanadelumab-flyo, 1 mg"												J0593	K	9326	$84.802								
J0594	Busulfan injection	282	46964	223494.97	0.27	13.33	4.76	2.57	435.68	1.51	362.66	1182.26	J0594	K	1178	$1.456								
J0595	Butorphanol tartrate 1 mg	326	626	5049.13	0.51	71.62	8.07	6.07	11.07	6.5	10.65	129.68	J0595	N										
J0596	"Injection, ruconest"	2	481	9973.5	17.82	21.5	20.73	20.68	3820.39	21.5	4986.05	157.956	J0596	K	9445	$34.750								
J0597	"C-1 esterase, berinert"	203	31208	2040167.25	20.02	391.17	65.37	58.49	8056.41	58.1	7969.59	801.615	J0597	K	9269	$72.267								
J0598	"C-1 esterase, cinryze"	197	19700	810968	23.55	81.74	41.17	40.77	4076.43	40.81	4080.79	148.773	J0598	K	9251	$63.877								
J0599	"Inj., haegarda 10 units"												J0599	E1										
J0600	Edetate calcium disodium inj	8	10	16080.89	0.55	6271.1	1608.09	91.84	50.38	605.71	57.47	155.856	J0600	K	1274	"$6,460.026"								
J0601	Sevelamer carbonate 20 mg												J0601	B										
J0602	Sevelamer carbonate pdr 20mg												J0602	B										
J0603	Sevelamer hydrochloride 20mg												J0603	B										
J0604	"Cinacalcet, esrd on dialysis"	125	6874	870.44	0.01	4.61	0.13	0.06	3.18	0.05	2.82	1702.167	J0604	B										
J0605	Sucroferric oxyhydroxide 5mg												J0605	B										
J0606	"Inj, etelcalcetide, 0.1 mg"	12	875	3662.25	3.55	5.28	4.19	4.17	276.37	4.08	237.99	75.576	J0606	K	9031	$4.373								
J0607	Lanthanum carbonate oral 5mg												J0607	B										
J0608	Lanthanum carbonate pwdr 5mg												J0608	B										
J0609	Ferric citrate orl 3 mg iron												J0609	B										
J0612	"Inj, calcium gluconate, nos"	23689	4627279	1185981.74	0.01	96.53	0.26	0.14	24.95	0.14	24.66	4916.52	J0612	N										
J0613	Calcium glucon (wg critical)	21143	4022966	1046375.52	0.01	72.93	0.26	0.2	32.69	0.19	32.29	2111.14	J0613	N										
J0615	"Calcium acetate, oral, 23 mg"												J0615	B										
J0616	Inj metoprolol tartrate 1 mg												J0616	N										
J0618	"Inj, calcium chloride, 2 mg"												J0618	N										
J0620	Calcium glycer & lact/10 ml	4	103	51.36	0.01	17.06	0.5	0.01	8.55	0.01	16.65	3315.347	J0620	N										
J0630	Calcitonin salmon injection	191	224	356749.41	78.45	6045	1592.63	1217.18	1371.3	1268.1	1477.25	75.183	J0630	E1										
J0636	Inj calcitriol per 0.1 mcg	25	827	1134.71	0.58	9.47	1.37	1.3	34.73	1.27	53.59	311.243	J0636	N										
J0637	Caspofungin acetate	1023	11449	167132.21	1.74	55.07	14.6	11.79	130.94	10.09	103.32	251.659	J0637	N										
J0638	Canakinumab injection	280	56850	5081944.5	20.28	258.18	89.39	80.18	15753.91	83.72	15491.25	626.188	J0638	K	1311	$136.557								
J0640	Leucovorin calcium injection	130281	1814300	15060451.71	0.09	403.91	8.3	6.37	83.72	6.61	88.17	354.548	J0640	N										
J0641	Inj levoleucovorin nos 0.5mg	27	23380	4388.6	0.15	4.45	0.19	0.18	154.79	0.19	160.47	2832.038	J0641	N										
J0642	"Injection, khapzory, 0.5 mg"												J0642	N										
J0650	"Inj, levothyroxine nos 10mcg"	535	12783	100270.21	0.05	114.81	7.84	6.73	127.71	5.22	101.5	282.143	J0650	N										
J0651	"Inj, levothyroxine, freskabi"	735	24681	274644.78	0.21	222.52	11.13	9.28	222.76	10.5	267.65	403.643	J0651	K	0734	$6.398								
J0652	"Inj, levothyroxine, hikma"	23	445	2068.55	2.66	20.97	4.65	4.43	64.74	4.25	127.35	212.288	J0652	N										
J0665	"Inj, bupivacaine, nos, 0.5mg"	757534	123839115	8901734.53	0.01	53.43	0.07	0.04	6.75	0.04	7.13	2564.524	J0665	N										
J0666	"Inj, bupivacaine liposome"												J0666	K1	0763	$1.421								
J0670	Inj mepivacaine hcl/10 ml	53715	103100	768096.11	0.3	67.34	7.45	5.8	10.47	6.28	12.56	104.038	J0670	N										
J0687	Inj cefazolin (wg crit care)	31097	135894	466177.4	0.05	38.7	3.43	2.18	8.67	1.95	8.17	250.392	J0687	N										
J0688	"Inj cefazolin sodium, hikma"	131769	603226	1924228.31	0.02	356.12	3.19	2.19	9.36	2.28	10.18	206.613	J0688	N										
J0689	"Inj cefazolin sodium, baxter"	152433	693342	4771691.14	0.3	417.16	6.88	5.19	21.78	4.63	19.43	204.893	J0689	N										
J0690	Cefazolin sodium injection	1487970	7133994	30721994.7	0.01	1175.31	4.31	2.71	11.8	2.86	12.62	360.855	J0690	N										
J0691	Inj lefamulin 1 mg												J0691	E2										
J0692	Cefepime hcl for injection	68795	298583	1992573.22	0.05	165.66	6.67	5	19.74	5.02	20.22	188.702	J0692	N										
J0693	"Inj., cefiderocol, 5 mg"													D										
J0694	Cefoxitin sodium injection	19908	43851	552352.29	0.4	127.39	12.6	10.06	20.96	10.67	21.88	104.779	J0694	N										
J0695	Inj ceftolozane tazobactam	443	19948	187599.74	1.6	175.82	9.4	7.45	335.11	6.83	345.34	873.775	J0695	K	9452	$8.041								
J0696	Ceftriaxone sodium injection	790046	4241508	16066826.76	0.01	472.38	3.79	1.91	9.96	1.87	10.59	353.28	J0696	N										
J0697	Sterile cefuroxime injection	22987	35995	610645.23	0.06	174.43	16.96	7.93	11.77	9.29	11.03	255.238	J0697	N										
J0698	Cefotaxime sodium injection	15	27	271.27	1.02	24.15	10.05	7.87	13.56	8.99	14.65	84.151	J0698	N										
J0699	"Inj, cefiderocol, 10 mg"	56	17300	34710.5	1.1	7.84	2.01	1.89	566.94	2.11	626.19	653.281	J0699	K	9426	$2.282								
J0701	Inj. cefepime hcl (baxter)	1825	8500	149276.2	1.02	36.27	17.56	15.37	63.95	14.98	62.04	99.46	J0701	N										
J0702	Betamethasone acet&sod phosp	65065	177937	1736689.23	0.25	178.34	9.76	7.34	18.43	7.26	18.82	149.461	J0702	N										
J0703	"Inj, cefepime hcl (b braun)"	3915	16620	185958.86	0.43	54.38	11.19	9.67	38.25	9.82	37.57	116.533	J0703	N										
J0706	Caffeine citrate injection	2931	36751	89527.21	0.13	77.79	2.44	1.89	22.77	2.17	23.74	312.275	J0706	N										
J0710	Cephapirin sodium injection												J0710	E2										
J0712	Ceftaroline fosamil inj	296	23826	104333.47	0.03	17.66	4.38	3.85	294.41	4.43	280.52	379.683	J0712	K	1824	$3.991								
J0713	Inj ceftazidime per 500 mg	5667	23169	108555.84	0.02	292.56	4.69	3.2	10.43	3.2	12.55	358.93	J0713	N										
J0714	Ceftazidime and avibactam	322	1950	218934.2	21.97	806.11	112.27	102.83	549.28	92.35	511.83	127.217	J0714	K	1825	$100.496								
J0715	Ceftizoxime sodium / 500 mg												J0715	E2										
J0716	Centruroides immune f(ab)	53	100	269915.82	603.75	5957.82	2699.16	2197.32	3764.04	2265.73	4060.71	81.852	J0716	E1										
J0717	Certolizumab pegol inj 1mg	21069	8069402	98039166.7	0.02	108.03	12.15	10.33	3901.42	10.76	4249.95	1272.348	J0717	K	1474	$3.984								
J0720	Chloramphenicol sodium injec	1	2	156.8	78.4	78.4	78.4	78.4	156.8	78.4	156.8		J0720	K	1831	$51.569								
J0725	Chorionic gonadotropin/1000u	30	182	3947.02	15.84	26.16	21.69	21.43	122.84	23.41	129.93	37.194	J0725	N										
J0735	Clonidine hydrochloride	29793	31509	795227.88	0.28	342.89	25.24	13.87	14.38	20.24	21.09	101.521	J0735	N										
J0736	"Inj, clindamycin phosp 300mg"	58211	164770	1381467.5	0.16	225.54	8.38	6.1	16.81	6.4	17.62	217.128	J0736	N										
J0737	"Inj, clindamycin (baxter)"	21452	61511	473003.86	0.22	106.8	7.69	6.11	17.22	6.11	17.35	133.021	J0737	N										
J0739	"Hiv prep, inj, cabotegravir"	106	63600	380250	2.21	10.6	5.98	5.65	3391.58	6.01	3603.59	778.249	J0739	K	0805	$6.887								
J0740	Cidofovir injection	1142	1142	707602.14	9.19	3210.34	619.62	360.2	360.2	560.07	560.07	89.935	J0740	K	9033	$521.827								
J0741	"Inj, cabote rilpivir 2mg 3mg"	1207	342700	7019366	2.87	49.63	20.48	19	5347.01	19.52	5459.05	618.46	J0741	K	9414	$23.132								
J0742	Inj imip 4 cilas 4 releb 2mg	310	620	109210.36	175.7	176.54	176.15	176.15	352.29	176.54	353.08	0.337	J0742	N										
J0743	Cilastatin sodium injection	1420	6870	91991.29	1.89	97.13	13.39	11.26	55.97	8.92	54.52	138.834	J0743	N										
J0744	Ciprofloxacin iv	50595	108684	915994.18	0.11	340.44	8.43	5.3	11.13	4.98	10.76	203.885	J0744	N										
J0745	Inj codeine phosphate /30 mg	3	5	5.33	1.02	1.19	1.07	1.06	1.72	1.05	2.04	9.409	J0745	N										
J0750	"Hiv prep, ftc/tdf 200/300mg"	76	78	1541.55	0.26	112.69	19.76	4	3.95	2.13	2.11	166.98	J0750	K	0806	$1.277								
J0751	"Hiv prep, ftc/taf 200/25mg"	86	86	6906.14	10.05	189.85	80.3	72.01	72.01	79.61	79.61	41.842	J0751	K	0808	$71.272								
J0770	Colistimethate sodium inj	31	33	1031.58	4.96	68.55	31.26	23.33	26.95	29.96	33.39	65.68	J0770	N										
J0775	"Collagenase, clost hist inj"	1537	144580	7967514.86	7.06	171.56	55.11	48.36	4378.75	58.76	4577.23	453.471	J0775	K	1340	$73.375								
J0780	Prochlorperazine injection	106500	106500	1394351.2	0.86	110.19	13.09	9.8	9.8	10.33	10.33	81.124	J0780	N										
J0791	Inj crizanlizumab-tmca 5mg	1641	129548	14301488.61	46.39	218.06	110.4	104.1	8025.15	108.17	8389.57	292.748	J0791	K	9359	$129.502								
J0795	Corticorelin ovine triflutal												J0795	E2										
J0799	"Hiv prep, fda approved, noc"	1	1	89.59	89.59	89.59	89.59	89.59	89.59	89.59	89.59		J0799	A										
J0801	Inj. acthar gel to 40 units												J0801	K	9268	"$3,893.429"								
J0802	"Inj. (ani), up to 40 units"												J0802	K	9275	"$3,445.584"								
J0834	"Inj., cosyntropin, 0.25 mg"	6118	6118	529097	5.48	781.23	86.48	66.17	66.17	75.11	75.11	78.626	J0834	N										
J0840	Crotalidae poly immune fab	110	585	1418704.03	318.52	14267.82	2425.14	2094.19	10575.65	2155.07	10749.86	154.597	J0840	E1										
J0841	Inj crotalidae im f(ab)2 eq	68	757	649051.38	91.34	5520.19	857.4	618.46	6301.13	739.31	7431.82	339.895	J0841	E1										
J0850	Cytomegalovirus imm iv /vial	342	1311	2415631.27	468.88	10270.2	1842.59	1673.65	5638.8	1758.19	5613.78	106.069	J0850	K	0903	"$1,812.007"								
J0870	"Injection, imetelstat, 1 mg"												J0870	G	0813	$55.510								
J0872	Daptomycin (xellia) unrefrig	965	586217	164889.59	0.04	1.44	0.28	0.15	86.7	0.12	66.08	3316.62	J0872	N										
J0873	Inj daptomycin (xellia)	4189	2651395	416808.17	0.01	1.49	0.16	0.13	75.48	0.12	74.85	1827.19	J0873	N										
J0874	"Inj, daptomycin (baxter)"	1510	831350	92974.5	0.05	0.88	0.11	0.1	56.35	0.1	48.51	1326.416	J0874	N										
J0875	"Injection, dalbavancin"	8277	2204108	32142385.42	1.04	103.67	14.58	13	3322.73	13.36	3617.02	819.509	J0875	K	1823	$15.567								
J0877	"Inj, daptomycin (hospira)"	4220	2619444	552680.9	0.01	48.92	0.21	0.16	91.03	0.16	88.78	8243.804	J0877	N										
J0878	Daptomycin injection	75321	49121712	11303322.87	0.01	15.92	0.23	0.12	76.37	0.09	62.16	3833.219	J0878	N										
J0879	"Difelikefalin, esrd on dialy"	1	60	541.2	9.02	9.02	9.02	9.02	541.08	9.02	541.08		J0879	N										
J0881	"Darbepoetin alfa, non-esrd"	90693	19823205	128540179.7	0.03	83.31	6.48	5.78	908.97	6.09	1021.93	778.707	J0881	K	1685	$2.918								
J0882	"Darbepoetin alfa, esrd use"	347	25720	164744.35	0.22	20.13	6.41	5.53	358.73	5.73	325.81	442.757	J0882	K	1482	$2.918								
J0883	Argatroban nonesrd use 1mg	170	30424	56829.56	0.08	9.17	1.87	1.42	214.74	1.31	264.53	1049.202	J0883	K	1859	$0.950								
J0884	Argatroban esrd dialysis 1mg	29	2592	9016.53	0.22	8.79	3.48	2.47	142.83	2.33	78.71	723.247	J0884	N										
J0885	"Epoetin alfa, non-esrd"	45250	1449341	29089620.98	0.11	286.58	20.07	17.27	476.78	17.74	503.16	337.012	J0885	K	1686	$7.080								
J0887	Epoetin beta esrd use	40	2642	12488.09	1.29	33.32	4.73	3.62	251.08	3.88	266.54	963.202	J0887	N										
J0888	Epoetin beta non esrd	430	36222	89015.36	0.81	14.77	2.46	2.42	113.32	2.49	186.86	159.2	J0888	N										
J0889	Daprodustat oral 1mg esrd												J0889	E2										
J0891	Argatroban nonesrd (accord)												J0891	K	9020	$1.815								
J0892	Argatroban dialysis (accord)												J0892	E2										
J0893	"Inj, decitabine (sun pharma)"	366	16897	221607.68	0.75	46.86	13.12	5.98	282.32	3.27	163.7	767.611	J0893	N										
J0894	Decitabine injection	32238	1435784	11721458.61	0.09	170.9	8.16	3.95	171.47	3.2	134.61	917.298	J0894	N										
J0895	Deferoxamine mesylate inj	4421	12826	334257.94	0.76	443.75	26.06	16.32	42.74	13.92	39.14	294.38	J0895	N										
J0896	Inj luspatercept-aamt 0.25mg	21053	8418689	306840667.2	0.15	235.77	36.45	33.43	12697.62	34.11	12742.31	904.017	J0896	K	9347	$41.243								
J0897	Denosumab injection	431786	32869140	801930681.2	0.01	166.25	24.4	21.69	1565.26	22.76	1577.34	449.275	J0897	K	9272	$27.809								
J0898	Argatroban nonesrd (auromed)	11	620	4541.3	1.8	24.53	7.32	6.07	281.53	6.54	332.74	624.006	J0898	N										
J0899	"Argatroban dialysis, auromed"	1	50	176	3.52	3.52	3.52	3.52	175.9	3.52	175.9		J0899	N										
J0901	Vadadustat oral 1mg for esrd												J0901	B										
J0911	Inst tauro 1.35mg/hep 100u												J0911	G	0744	$8.593								
J0945	Brompheniramine maleate inj												J0945	E2										
J1000	Depo-estradiol cypionate inj	110	110	2304.19	4.44	65.8	20.95	17.35	17.35	17.61	17.61	70.146	J1000	N										
J1010	"Inj, methylpred acetate 1 mg"	222161	16103154	4929584.28	0.01	100.94	0.31	0.24	16.33	0.25	17.16	1290.714	J1010	N										
J1020	Methylprednisolone 20 mg inj	1354	3695	22736.45	0.14	38.03	6.15	4.85	12.17	5.84	10.64	121.542		D										
J1030	Methylprednisolone 40 mg inj	39835	54320	698856.27	0.75	97.55	12.87	10.08	12.98	11.41	14.15	80.436		D										
J1040	Methylprednisolone 80 mg inj	40637	44992	942752.72	1.95	135.9	20.95	17.48	18.96	18.31	19.94	62.378		D										
J1050	Medroxyprogesterone acetate	5493	858536	395062.29	0.01	14.57	0.46	0.35	53.29	0.36	54.07	1215.146	J1050	N										
J1071	Inj testosterone cypionate	20270	4026214	823195.34	0.01	40.46	0.2	0.1	19.02	0.11	19.57	7749.722	J1071	N										
J1072	"Inj, testosterone, azmiro"												J1072	K	2069	$1.288								
J1094	Inj dexamethasone acetate	358	1306	3987.44	0.18	60.16	3.05	0.85	4.1	0.33	2.64	365.26		D										
J1095	"Injection, dexamethasone 9%"	7	3752	1779.24	0.01	1.31	0.47	0.08	30.88	0.02	6.58	2935.372	J1095	N										
J1096	Dexametha opth insert 0.1 mg	3185	12740	1750238.44	16.72	365.68	137.38	124.95	499.79	131.01	524.03	95.236	J1096	K1	9308	$110.680								
J1097	Phenylep ketorolac opth soln	7791	27844	3775652.16	10.71	1633.12	135.6	117.85	427.85	116.58	456.26	132.241	J1097	K1	9324	$98.072								
J1100	Dexamethasone sodium phos	2432779	21837707	23188698.02	0.01	533.66	1.06	0.56	5.06	0.62	5.49	447.195	J1100	N										
J1105	"Dexmedetomidine film, 1 mcg"	561	37592	18523.19	0.01	173.17	0.49	0.14	12.68	0.13	8.07	2446.061	J1105	E1										
J1110	Inj dihydroergotamine mesylt	650	864	93660.42	5.16	1165.79	108.4	87.43	109.68	89.63	111.77	112.581	J1110	N										
J1120	Acetazolamid sodium injectio	3876	4221	200513.28	6.18	261.36	47.5	41.38	44.4	41.17	44.83	59.709	J1120	N										
J1130	Inj diclofenac sodium 0.5mg												J1130	E2										
J1160	Digoxin injection	4678	5330	68126.28	0.62	145.64	12.78	8.65	9.55	8.29	9.3	139.404	J1160	N										
J1162	Digoxin immune fab (ovine)	41	121	449425.86	576.42	17251.91	3714.26	3263.04	7948.35	3782.48	8669.26	90.767	J1162	E1										
J1163	"Inj, diltiazem hcl, 0.5 mg"												J1163	N										
J1165	Phenytoin sodium injection	675	7996	12951.93	0.08	29.33	1.62	1.07	10.71	0.97	11.17	477.258	J1165	N										
J1170	Hydromorphone injection	671384	1130960	11233038.13	0.16	260.72	9.93	6.55	9.57	6.49	9.49	124.971		D										
J1171	"Inj, hydromorphone, 0.1 mg"	164124	2081178	2727403.18	0.01	126.03	1.31	0.69	9.21	0.69	9.38	558.812	J1171	N										
J1180	Dyphylline injection												J1180	E2										
J1190	Dexrazoxane hcl injection	1040	4431	907158.73	5.11	901.45	204.73	161.78	592.81	197.45	668.22	133.159	J1190	K	0726	$80.956								
J1200	Diphenhydramine hcl injectio	700842	700842	4504220.78	0.11	106.27	6.43	3.44	3.44	3.33	3.33	124.449	J1200	N										
J1201	Inj. cetirizine hcl 0.5mg	526	10520	115211.4	7.71	25.32	10.95	10.84	216.67	10.14	202.85	69.878	J1201	E1										
J1202	Miglustat oral 65 mg	18	72	2803.36	38.83	38.96	38.94	38.94	155.74	38.96	155.82	0.21	J1202	E1										
J1203	"Inj, cipaglucosidase, 5 mg"	62	30406	2425866.88	19.8	1968.85	79.78	55.62	35284.01	100.9	38140.48	2750.844	J1203	G	0737	$89.846								
J1205	Chlorothiazide sodium inj	784	784	115951.38	9.73	1225.83	147.9	84.79	84.79	70.62	70.62	134.22	J1205	N										
J1212	Dimethyl sulfoxide 50% 50 ml	888	888	508901.73	32.05	2261.74	573.09	487.49	487.49	547.55	547.55	51.661	J1212	K	1832	$714.724								
J1230	Methadone injection	2230	2749	77063.43	1.53	291.49	28.03	22.15	27.17	23.07	25.59	89.967	J1230	N										
J1240	Dimenhydrinate injection	1253	1253	13925.27	0.69	30.4	11.11	8.02	8.02	10.33	10.33	67.704	J1240	N										
J1245	Dipyridamole injection	1517	7513	122216.76	0.09	412.49	16.27	8.07	32.64	9.7	37.23	439.117	J1245	N										
J1250	Inj dobutamine hcl/250 mg	22683	38350	767432.54	0.51	362.79	20.01	14.48	23.37	14.49	26.61	120.966	J1250	N										
J1260	Dolasetron mesylate	4	29	93.57	2.57	18.01	3.23	2.88	13.28	2.72	11.58	269.259	J1260	N										
J1265	Dopamine injection	2864	34806	85180.43	0.01	105.69	2.45	1.89	20.05	1.94	23.46	355.338	J1265	N										
J1267	Doripenem injection												J1267	E2										
J1270	"Injection, doxercalciferol"	371	1734	10574.7	0.09	18.67	6.1	4.45	17.11	8	14.27	149.013	J1270	N										
J1271	Inj doxycycline hyclate 1 mg												J1271	N										
J1290	Ecallantide injection	14	502	151931.88	3.65	594.55	302.65	257.57	4366.96	219.5	9685.51	293.825	J1290	K	9263	$564.641								
J1299	"Inj, eculizumab, 2 mg"												J1299	K	2070	$44.809								
J1300	Eculizumab injection	6883	797610	163700951.1	42.4	1329.28	205.24	188.8	21829.04	195.26	22899.34	510.721	J1299	D										
J1301	"Injection, edaravone, 1 mg"	1011	60660	1049158.2	2.2	42.75	17.3	15.32	919.36	16.1	966.28	379.475	J1301	K	9493	$20.405								
J1302	"Inj, sutimlimab-jome, 10 mg"	1316	924900	16694780.88	6.21	33.68	18.05	17.07	11986.46	18.11	12452.22	842.156	J1302	K	9444	$18.127								
J1303	"Inj., ravulizumab-cwvz 10 mg"	3737	1229063	239479202	7.93	1305.03	194.85	179.53	58928.57	186.07	60760.14	794.74	J1303	K	9312	$220.317								
J1304	Inj tofersen intrathec 1 mg	280	28000	4472103	43.08	312.37	159.72	149.1	14910.05	152.06	15205.94	356.48	J1304	G	9262	$155.337								
J1305	"Inj, evinacumab-dgnb, 5mg"	185	40568	5766626.14	29.18	261.09	142.15	121.92	25664.29	145.86	34914.37	668.497	J1305	K	9416	$186.306								
J1306	"Injection, inclisiran, 1 mg"	27348	7765909	81929363.2	0.02	71.53	10.55	9.32	2647.15	9.57	2717.13	857.898	J1306	K	9004	$12.274								
J1307	"Inj, crovalimab-akkz, 10 mg"												J1307	K	0818	$551.512								
J1308	"Inj, famotidine, 0.25 mg"												J1308	N										
J1320	Amitriptyline injection												J1320	E2										
J1322	"Elosulfase alfa, injection"	62	5010	1531423.8	254.48	460.54	305.67	295.56	24310.01	259.4	22049.23	256.345	J1322	K	1480	$293.935								
J1323	"Inj, elranatamab-bcmm, 1 mg"	1678	123012	20838508.08	21.69	397.72	169.4	153.93	11239.04	183.94	13430.54	300.988	J1323	G	0708	$182.980								
J1324	Enfuvirtide injection												J1324	E1										
J1325	Epoprostenol injection	211	925	26870.64	0.65	287.82	29.05	22.82	51.2	20.96	42.22	183.577	J1325	N										
J1326	"Inj, zolbetuximab-clzb, 2 mg"												J1326	G	0747	$33.557								
J1327	Eptifibatide injection	2365	29859	621731.63	0.36	294.33	20.82	14.23	136.91	13.59	144.73	332.155	J1327	K	9420	$6.360								
J1330	Ergonovine maleate injection												J1330	E2										
J1335	Ertapenem injection	106063	212177	9738235.97	1.83	656.15	45.9	35.99	71.99	36.42	72.91	117.511	J1335	N										
J1364	Erythro lactobionate /500 mg	193	266	24392.74	11.22	587.71	91.7	68.86	90.4	77.04	88.28	108.83	J1364	N										
J1380	Estradiol valerate 10 mg inj	392	729	7600.86	1.49	42.99	10.43	8.7	14.36	6.62	13.24	91.773	J1380	N										
J1410	Inj estrogen conjugate 25 mg	48	60	16562.37	1.54	756.56	276.04	140.84	168.17	236.88	294.75	83.588	J1410	K	9038	$382.887								
J1411	"Inj, hemgenix, per tx dose"	3	3	8994402.2	16285.5	52976.32	29981.34	26131.23	26131.23	20682.2	20682.2	66.826	J1411	G	9138	"$3,685,266.667"								
J1412	Inj roctavian ml 2x10^13vc g												J1412	G	0713	"$12,007.813"								
J1413	Inj delandistrogene mox rokl												J1413	G	0714	"$3,322,473.295"								
J1414	"Inj, beqvez, per tx dose"												J1414	G	0773	"$3,710,000.000"								
J1426	"Injection, casimersen, 10 mg"												J1426	E2										
J1427	Inj. viltolarsen												J1427	E2										
J1428	"Inj, eteplirsen, 10 mg"												J1428	E2										
J1429	Inj golodirsen 10 mg												J1429	E2										
J1430	Ethanolamine oleate 100 mg	20	41	15887.47	76.19	799.35	387.5	305.3	511.92	424.89	404.89	79.338	J1430	K	1688	$497.700								
J1434	"Inj, focinvez, 1mg"	99	14850	7312.5	0.09	2.02	0.49	0.2	30.37	0.09	13.91	1708.446	J1434	G	0761	$3.021								
J1435	Injection estrone per 1 mg												J1435	E2										
J1436	Etidronate disodium inj	2	1500	3142.5	1.93	2.26	2.1	2.09	1565.9	2.1	1570.62	305.032	J1436	E1										
J1437	Inj. fe derisomaltose 10 mg	8264	823863	19376862.43	1.45	168.54	23.52	21.31	2123.54	21.76	2176.16	458.548	J1437	K	9388	$20.826								
J1438	Etanercept injection	105	210	151156.8	718.62	841.92	719.79	719.7	1439.41	718.62	1437.24	2.364	J1438	E1										
J1439	Inj ferric carboxymaltos 1mg	75792	56915583	88034444.42	0.01	18.69	1.55	1.35	1016.51	1.4	1047.11	1658.656	J1439	K	9441	$1.127								
J1440	Fecal microbiota jslm 1 ml	173	25145	1335382.75	5.45	159.29	53.11	47.28	6252.42	50.48	7572.6	588.192	J1440	G	9142	$63.934								
J1442	Inj filgrastim excl biosimil	12187	5187571	6025181.64	0.05	6.96	1.16	0.99	396.28	1.03	381.45	1166.682	J1442	K	1469	$0.983								
J1443	Inj ferric pyrophosphate cit												J1443	E2										
J1444	Fe pyro cit pow 0.1 mg iron												J1444	E2										
J1445	Inj triferic avnu 0.1mg iron												J1445	E2										
J1447	Inj tbo filgrastim 1 microg	12622	5474051	3986106.79	0.05	3.33	0.73	0.61	257.05	0.61	265.15	1318.224	J1447	K	1748	$0.366								
J1448	"Injection, trilaciclib, 1mg"	2436	1414581	6448005.67	0.93	11.96	4.56	4.14	2383.32	4.36	2578.29	996.39	J1448	K	9415	$5.388								
J1449	Inj eflapegrastim-xnst 0.1mg	50	6600	176510.4	8.2	53.46	26.74	22.93	3027.07	23.14	3054.26	570.14	J1449	G	9114	$22.608								
J1450	Fluconazole	5571	8306	133575.17	0.48	262.41	16.08	10.76	15.87	10.83	16.38	150.926	J1450	N										
J1451	"Fomepizole, 15 mg"	20	2067	16329.54	2.2	25.49	7.9	6.88	702.06	6.38	666.76	658.439	J1451	K	1689	$6.155								
J1452	Intraocular fomivirsen na												J1452	E2										
J1453	Fosaprepitant injection	172313	25844945	27772945.69	0.01	19.21	1.07	0.58	86.72	0.49	72.98	1728.516	J1453	N										
J1454	"Inj fosnetupitant, palonoset"	3185	3185	2094649.28	161.34	1377.92	657.66	599.45	599.45	647.07	647.07	39.78	J1454	K	9099	$632.875								
J1455	Foscarnet sodium injection	305	1622	86704.93	0.27	560.28	53.46	39.73	145.44	49.19	283.89	195.09	J1455	N										
J1456	"Inj, fosaprepitant (teva)"	491	73650	65007	0.03	8.36	0.88	0.57	86.27	0.63	95.11	1692.81	J1456	K	9166	$1.214								
J1457	Gallium nitrate injection												J1457	E2										
J1458	Galsulfase injection	23	805	456229.2	557.44	568.14	566.74	566.73	19835.55	568.14	19884.77	3.846	J1458	K	9224	$484.877								
J1459	Inj ivig privigen 500 mg	81423	6295772	385174569.1	3.22	572.22	61.18	54.6	3843.56	57.96	3874.1	415.472	J1459	K	1214	$49.179								
J1460	Gamma globulin 1 cc inj	121	492	16742.33	9	225.26	34.03	27.42	95.2	36.07	123.43	150.351	J1460	K	1850	$48.885								
J1551	Inj cutaquig 100 mg												J1551	K	9007	$14.335								
J1552	"Inj, alyglo, 500 mg"												J1552	K	0819	$138.111								
J1554	Inj. asceniv	13	910	457580.6	313.7	707.67	502.84	487.49	27911.87	476.46	42881.15	217.637	J1554	K	9392	$496.683								
J1555	"Inj cuvitru, 100 mg"	121	15000	225767.4	10.8	22.94	15.05	14.55	1738.1	12.53	1834.99	310.985	J1555	K	9034	$16.682								
J1556	"Inj, imm glob bivigam, 500mg"	1	80	10352	129.4	129.4	129.4	129.4	10352.39	129.4	10352.39		J1556	K	9130	$77.298								
J1557	Gammaplex injection	2	20	972.8	48.64	48.64	48.64	48.64	486.43	48.64	486.43	0	J1557	K	9270	$57.476								
J1558	"Inj. xembify, 100 mg"	79	11850	286654.5	19.15	28.29	24.19	23.81	3571.22	26.88	4031.89	215.883	J1558	K	9372	$14.283								
J1559	Hizentra injection	87	18800	328067.8	2.69	28.89	17.45	15.34	2714.9	22.78	2786.82	581.724	J1559	K	1312	$13.644								
J1560	Gamma globulin > 10 cc inj	1	4	3.32	0.83	0.83	0.83	0.83	3.33	0.83	3.33		J1560	K	1851	$488.853								
J1561	Gamunex-c/gammaked	72568	5816029	315076502.6	0.38	484.07	54.17	48.19	3498.34	46.69	3355.68	482.89	J1561	K	0948	$48.345								
J1562	"Vivaglobin, inj"												J1562	E2										
J1566	"Immune globulin, powder"	4424	310106	27185151.12	6.83	1024.51	87.66	76.64	5051.1	81.04	5008.08	502.473	J1566	K	2731	$81.011								
J1568	Octagam injection	6314	514454	28736372.31	0.42	202.38	55.86	49.45	3606.96	49.17	3765.71	439.302	J1568	K	0943	$48.055								
J1569	Gammagard liquid injection	107328	8378798	509980131.7	0.01	1483.62	60.87	54.14	3869.34	54.69	3872.47	477.332	J1569	K	0944	$45.129								
J1570	Ganciclovir sodium injection	594	725	47043.6	5.05	178.87	64.89	53.96	58.97	61.47	61.47	60.02	J1570	N										
J1571	Hepagam b im injection	26	324	46377.6	39.92	410.91	143.14	108.84	907.14	78.79	707.67	277.82	J1571	K	0946	$65.146								
J1572	Flebogamma injection	151	10081	878638.54	0.07	123.52	87.16	75.65	4037.19	111.39	4613.98	315.227	J1572	K	0947	$55.760								
J1573	"Hepagam b intravenous, inj"	68	2644	145495.27	0.06	100.45	55.03	28.19	1286.22	62.04	2190.36	296.212	J1573	K	1138	$65.146								
J1574	"Inj, ganciclovir (exela)"												J1574	E2										
J1575	Hyqvia 100mg immuneglobulin	277	86038	1470383.95	0.96	32.24	17.09	15.79	4627.7	16.95	4961.51	510.53	J1575	K	1826	$17.565								
J1576	"Inj, panzyga, 500 mg"	30	3320	265150	65.8	109.13	79.86	78.6	8238.31	70.43	7042.6	201.678	J1576	K	9144	$70.432								
J1580	Garamycin gentamicin inj	126042	286299	1977636.5	0.11	228.68	6.91	4.78	9.59	4.68	10.65	155.354	J1580	N										
J1595	Injection glatiramer acetate	27	33	3393.02	23.52	377.4	102.82	77.23	84.18	68.58	68.58	96.215	J1595	E1										
J1596	"Inj, glycopyrrolate, 0.1 mg"	384271	1414110	5769804.8	0.01	343.24	4.08	2.47	8.34	2.75	9.57	202.216	J1596	N										
J1597	"Inj glycopyrrolate, glyrx-pf"	6691	21646	52632.29	0.08	41.68	2.43	1.52	4.52	1.61	4.41	293.048	J1597	N										
J1598	Inj glycopyrrolate fres kabi	4690	16761	70181.86	0.24	29.4	4.19	3.36	12.37	3.52	12.48	120.88	J1598	N										
J1599	"Ivig non-lyophilized, nos"	36	2680	184966.4	23.02	97.2	69.02	63.85	4207.47	78.51	6281.16	264.234	J1599	N										
J1600	Gold sodium thiomaleate inj												J1600	E2										
J1602	Golimumab for iv use 1mg	24697	4316387	153771309.7	0.01	223.06	35.63	31.59	5382.64	33.38	5666.35	684.477	J1602	K	1475	$10.769								
J1610	Glucagon hydrochloride/1 mg	24011	25774	5413321.54	23.25	1095.08	210.03	174.21	184.16	179.54	184.52	67.791	J1610	K	9042	$190.763								
J1611	"Inj glucagon hcl, fresenius"	15965	17198	3552648.72	29.7	1101.52	206.57	182.19	193.73	181.78	188.84	59.092	J1611	K	9025	$150.437								
J1620	Gonadorelin hydroch/ 100 mcg												J1620	E2										
J1626	Granisetron hcl injection	47150	471298	1812996.74	0.06	520.28	3.85	2.01	20.08	2.01	20.07	504.37	J1626	N										
J1627	"Inj, granisetron, xr, 0.1 mg"	9	900	7833	7.56	9.03	8.7	8.68	868.01	9.03	903.02	74.478	J1627	K	9421	$5.286								
J1628	"Inj., guselkumab, 1 mg"	75	7500	776741	47.26	157.58	103.57	95.67	9567.41	90.36	9036.12	381.539	J1628	K	9029	$70.427								
J1630	Haloperidol injection	71744	79123	586654.52	0.09	159.74	7.41	4.03	4.32	4.36	4.75	119.132	J1630	N										
J1631	Haloperidol decanoate inj	3998	10748	226079.3	0.1	1794.87	21.03	16.34	38.43	19.38	43.2	178.134	J1631	N										
J1632	"Inj., brexanolone, 1 mg"	3	500	37370	74.74	74.74	74.74	74.74	10779.72	74.74	7474.24	0	J1632	E1										
J1640	"Hemin, 1 mg"	563	191342	5281163.9	8.42	173.69	27.6	25.71	8588.06	25.86	8999.28	848.996	J1640	K	1690	$33.073								
J1642	Inj heparin sodium per 10 u	771922	35230380	6653366.78	0.01	51.89	0.19	0.09	3.94	0.09	4.09	1296.195	J1642	N										
J1643	"Inj heparin, pfizer, 1000u"	22164	156469	354755.42	0.02	47.93	2.27	0.97	8.87	0.81	9.84	574.152	J1643	N										
J1644	Inj heparin sodium per 1000u	991021	10598946	21628598.27	0.01	1081.5	2.04	1.17	11.01	1.12	11.51	584.612	J1644	N										
J1645	Dalteparin sodium	213	502	12670.9	9.01	53.26	25.24	22.16	26.14	27.66	12.41	68.929	J1645	N										
J1650	Inj enoxaparin sodium	420938	1868509	6546359.57	0.02	179.85	3.5	2.49	10.76	2.44	10.5	206.439	J1650	N										
J1652	Fondaparinux sodium	1341	9762	57019.76	0.25	39.48	5.84	4.19	29.17	4.31	35.27	228.41	J1652	N										
J1655	Tinzaparin sodium injection	1	30	19.2	0.64	0.64	0.64	0.64	19.11	0.64	19.11		J1655	N										
J1670	Tetanus immune globulin inj	126	126	52784.78	14.12	1734.32	418.93	301.56	301.56	390.02	390.02	72.355	J1670	K	1670	$575.760								
J1700	Hydrocortisone acetate inj	14	20	65.92	1.04	23.6	3.3	1.42	2.19	1.04	2.08	254.693	J1700	N										
J1710	Hydrocortisone sodium ph inj	4	17	139.95	6.47	11.44	8.23	7.93	23.07	6.47	34.23	67.809	J1710	N										
J1720	Hydrocortisone sodium succ i	68570	75215	1886234.56	1.38	265.66	25.08	20.62	22	21.77	22.93	65.379	J1720	N										
J1726	"Makena, 10 mg"												J1726	E1										
J1729	Inj hydroxyprogst capoat nos												J1729	E2										
J1730	Diazoxide injection												J1730	E2										
J1738	Inj. meloxicam 1 mg												J1738	N										
J1740	Ibandronate sodium injection	1080	3218	301568.66	8.06	519.08	93.71	69.58	205.03	80.8	237.36	130.143	J1740	N										
J1741	Ibuprofen injection	4066	37586	167893.87	0.03	175.09	4.47	3.46	29.92	3.52	31.52	239.349	J1741	N										
J1742	Ibutilide fumarate injection	878	1006	356570.99	27.31	2629.27	354.44	272.54	306.55	327.22	354.69	73.6	J1742	K	9044	$186.771								
J1743	Idursulfase injection	110	4410	4277710.68	294.11	1762	970	825.45	34325.77	620.75	37245.1	370.201	J1743	K	9045	$542.574								
J1744	Icatibant injection	32	1020	146658.6	8.02	568.66	143.78	90.96	3286.96	91.54	2767.34	552.122	J1744	E1										
J1745	Infliximab not biosimil 10mg	47176	2596247	210360871.9	0.15	651.51	81.02	69.22	3507.43	73.62	3582.53	419.743	J1745	K	7043	$30.523								
J1746	"Inj., ibalizumab-uiyk, 10 mg"	132	10580	734267.4	25.06	149.18	69.4	57.84	4626.7	67.42	5393.75	518.876	J1746	K	9189	$76.950								
J1747	"Inj, spesolimab-sbzo, 1 mg"	15	13500	812655	29.35	111.84	60.2	57.59	51833.19	60.61	54552.83	910.606	J1747	G	9115	$61.428								
J1748	"Inj, zymfentra, 10 mg"	80	4283	375089.68	37.64	180.32	87.58	80.13	3920.2	78.21	3910.62	329.529	J1748	E1										
J1749	"Inj, iloprost, 0.1 mcg"												J1749	E2										
J1750	Inj iron dextran	16320	333154	7539582.07	0.98	426.54	22.63	20.34	398.28	19.72	390.82	374.317	J1750	K	1237	$17.233								
J1756	Iron sucrose injection	152733	34705351	22255361.5	0.01	34.83	0.64	0.54	116.76	0.52	115.46	1361.365	J1756	N										
J1786	Imuglucerase injection	1553	635619	27210443.38	17.43	158.66	42.81	39.74	15164.24	41.11	14661.64	881.918	J1786	K	1327	$43.141								
J1790	Droperidol injection	47102	47102	614644.17	0.66	90.73	13.05	9.56	9.56	11.34	11.34	74.758	J1790	N										
J1800	Propranolol injection	121	183	2789.06	0.78	103.14	15.24	11.08	15.85	11.57	15.9	101.424	J1800	N										
J1805	"Inj, esmolol hcl, 10mg"	45247	355661	737920.72	0.01	642.8	2.07	1.37	10.09	1.43	12.09	449.513	J1805	N										
J1806	Inj esmolol hcl wg crit care	183	43272	30020.55	0.07	145.85	0.69	0.54	86.04	0.49	125.84	4062.698	J1806	N										
J1808	"Inj, folic acid, 0.1 mg"												J1808	N										
J1811	Fiasp for insulin pump use	4	81	307.23	3.28	4.36	3.79	3.76	75.95	4.23	76.4	69.699	J1811	N										
J1812	Inj. insulin (fiasp)	1	2	41.7	20.85	20.85	20.85	20.85	41.69	20.85	41.69		J1812	N										
J1813	Lyumjev for insulin pump use												J1813	N										
J1814	Inj. insulin (lyumjev)	8	9	63.9	7.1	7.1	7.1	7.1	7.74	7.1	7.1	0	J1814	E1										
J1815	Insulin injection	185455	4488775	3695896.92	0.01	544.92	0.82	0.41	4.29	0.45	4.36	1956.71	J1815	N										
J1817	Insulin for insulin pump use	3486	18626	84980.03	0.01	3697.51	4.56	0.52	1.9	0.61	1.98	3027.892	J1817	N										
J1823	"Inj. inebilizumab-cdon, 1 mg"	139	41700	20725092	119.63	2793.77	497	402.59	120777.1	373.02	111904.8	1683.111	J1823	K	9394	$484.403								
J1826	Interferon beta-1a inj	53	53	130304.16	2347.68	3556.96	2458.57	2446.53	2446.53	2441.4	2441.4	11.205	J1826	E1										
J1830	Interferon beta-1b / .25 mg	1	1	616.09	616.09	616.09	616.09	616.09	616.09	616.09	616.09		J1830	E1										
J1833	"Injection, isavuconazonium"	54	20088	24235.8	1.05	1.99	1.21	1.2	446.56	1.17	436.2	246.434	J1833	K	9456	$0.988								
J1835	Itraconazole injection												J1835	E2										
J1836	"Inj, metronidazole, 10 mg"	55765	3522447	968796.17	0.01	23.96	0.28	0.15	8.84	0.15	9.28	1255.762	J1836	N										
J1840	Kanamycin sulfate 500 mg inj	1	1	25.48	25.48	25.48	25.48	25.48	25.48	25.48	25.48			D										
J1850	Kanamycin sulfate 75 mg inj													D										
J1885	Ketorolac tromethamine inj	1283249	2258851	12302876.36	0.05	199.61	5.45	3.16	5.52	3.37	6.12	155.441	J1885	K1	0764	$0.501								
J1890	Cephalothin sodium injection												J1890	D										
J1920	"Inj, labetalol hcl, 5mg"	116224	666628	1688472.22	0.01	370.65	2.53	1.04	7.57	1	10.14	403.887	J1920	N										
J1921	"Inj labetalol hcl hikma, 5mg"	6508	46985	80006.18	0.03	68.53	1.7	0.92	6.53	0.97	8.16	460.253	J1921	N										
J1930	Lanreotide injection	25783	3049229	218056011.9	0.33	484.71	71.51	62.5	7379.37	67.29	7981.98	693.547	J1930	K	9237	$39.551								
J1931	Laronidase injection	43	12350	374465.3	29.25	30.43	30.32	30.32	8703.97	30.43	8823.33	19.317	J1931	K	9209	$38.605								
J1932	"Inj, lanreotide, (cipla) 1mg"	5833	699216	43027307.28	7.54	246.95	61.54	55.99	6711.81	57.55	6867.12	494.218	J1932	K	9051	$25.422								
J1938	"Inj, furosemide, 1 mg"												J1938	N										
J1939	"Inj, bumetanide, 0.5 mg"	15903	82717	242008.45	0.09	221.05	2.93	1.96	9.42	1.71	8.82	299.091	J1939	N										
J1940	Furosemide injection	269059	563474	2437256.33	0.04	143.99	4.33	2.74	5.69	2.82	6.04	159.475		D										
J1941	"Inj, furoscix, 20 mg"	4	6	55.7	7	13.85	9.28	8.79	13.92	7	13.93	49.192	J1941	E1										
J1943	"Inj., aristada initio, 1 mg"	5	2467	7635.01	0.76	4.55	3.09	2.97	381.46	2.4	1618.99	738.678	J1943	K	9179	$3.143								
J1944	Aripiprazole lauroxil 1 mg	442	357289	1137848.81	0.79	56.94	3.18	2.86	2260.98	2.67	2079.13	2176.559	J1944	K	9470	$3.259								
J1945	Lepirudin												J1945	E2										
J1950	Leuprolide acetate /3.75 mg	2577	4319	6385037.18	113.98	6086.76	1478.36	1292.39	1883.24	1375.09	1738.55	68.012	J1950	K	0800	"$1,670.296"								
J1951	Inj fensolvi 0.25 mg	8	918	55988.64	9.21	425	60.99	18.7	2187.61	9.21	1658.57	1890.837	J1951	K	9419	$134.256								
J1952	"Leuprolide inj, camcevi, 1mg"	30	1260	202617.66	26.08	171.6	160.81	154.07	6470.99	168.77	7088.44	125.828	J1952	K	9050	$52.378								
J1953	Levetiracetam injection	45010	5608415	1661337.93	0.01	29.26	0.3	0.19	21.74	0.18	22.08	1425.242	J1953	N										
J1954	Leuprolide depot cipla 7.5mg	96	288	126648.33	124.21	4259.31	439.75	265.71	797.13	231.38	694.15	354.674	J1954	G	9136	$220.743								
J1956	Levofloxacin injection	66548	156538	1464197.56	0.09	316.64	9.35	6	14.21	6.35	15.16	176.616	J1956	N										
J1960	Levorphanol tartrate inj	5	8	208.22	11.18	30.98	26.03	24.01	38.29	30.98	30.97	46.577	J1960	N										
J1961	"Inj, lenacapavir, 1 mg"	25	23175	625122.45	11.84	131.4	26.97	22.62	20973.28	19.54	18112.27	2703.691	J1961	G	9155	$22.030								
J1980	Hyoscyamine sulfate inj	2088	3553	135878.41	2.69	321.83	38.24	32.3	50.06	33.85	55.66	83.882	J1980	N										
J1990	Chlordiazepoxide injection												J1990	E2										
J2001	Lidocaine injection	531978	6088683	4243563.54	0.01	200.99	0.7	0.33	4.42	0.38	4.77	683.18		D										
J2002	"Inj, lidocaine in d5w, 1 mg"	3146	973971	39466.25	0.01	69.57	0.04	0.02	5.55	0.02	5.48	11441.06	J2002	N										
J2003	"Inj, lidocaine hcl, 1 mg"	483256	58199854	4692655.75	0.01	36.42	0.08	0.04	5.44	0.04	5.84	2274.195	J2003	N										
J2004	"Inj, lidocaine w epinephrine"	51046	9607420	551093.86	0.01	25.44	0.06	0.04	6.03	0.03	6.73	2569.379	J2004	N										
J2010	Lincomycin injection	872	1565	20769.25	2.02	23.6	13.27	11.69	19.35	17.22	34.44	53.385	J2010	N										
J2020	Linezolid injection	3815	13362	214166.94	0.17	420.34	16.03	11.19	37.7	10.28	34.85	245.572	J2020	N										
J2021	"Inj, linezolid (hospira)"	12	36	1119.45	2.01	72.61	31.1	20.52	61.56	23.37	70.09	145.927	J2021	N										
J2060	Lorazepam injection	165173	182838	1470871.19	0.13	119.63	8.04	4.56	4.94	4.49	4.84	118.929	J2060	N										
J2062	Loxapine for inhalation 1 mg												J2062	E2										
J2150	Mannitol injection	5022	7118	55606.27	0.47	91.18	7.81	5.49	7.27	5.35	7.79	112.676	J2150	N										
J2170	Mecasermin injection	2	255	70.21	0.27	1.63	0.28	0.27	10.49	0.27	34.55	492.977	J2170	E1										
J2175	Meperidine hydrochl /100 mg	54073	61993	690246.79	0.4	123.74	11.13	7.48	8.35	7.2	8.05	115.038	J2175	N										
J2180	Meperidine/promethazine inj	20	21	120.82	1.87	14.82	5.75	4.86	5.28	4.75	4.75	66.918	J2180	N										
J2182	"Injection, mepolizumab, 1mg"	29589	3442933	109018555.2	0.01	198.55	31.66	28.46	3091.82	28.58	2986.19	579.92	J2182	K	9473	$30.540								
J2183	Inj meropenem (wg crit care)	288	4920	13312.7	0.17	19.93	2.71	1.98	25.8	2.11	29.85	378.386	J2183	N										
J2184	"Inj, meropenem (b. braun)"	1912	20171	85679.22	0.16	89.89	4.25	3.64	36.26	3.28	28.64	262.127	J2184	N										
J2185	Meropenem	21073	316659	840294.82	0.03	101.45	2.65	1.93	25.15	1.97	25.96	358.19	J2185	N										
J2186	"Inj., meropenem, vaborbactam"	37	8100	19637.5	0.51	4.08	2.42	2.19	367.97	2.24	256.66	612.764	J2186	K	9178	$2.112								
J2210	Methylergonovin maleate inj	184	2.52E+02	6688.04	4.41	84.25	26.54	24.1	30.03	23.44	34.24	50.77	J2210	N										
J2212	Methylnaltrexone injection	1062	122294	166906.24	0.03	14.25	1.36	1.15	131.78	1.26	144.72	606.946	J2212	E1										
J2246	"Inj, micafungin (baxter)"												J2246	N										
J2247	"Inj, micafungin (par pharm)"	451	49200	58069.5	0.25	5.73	1.18	0.9	89.74	1.08	99.61	846.783	J2247	N										
J2248	Micafungin sodium injection	9394	1265777	1761061.27	0.03	29.44	1.39	1.05	125.44	1.06	118.16	1007.46	J2248	N										
J2249	"Inj, remimazolam, 1 mg"	3004	45318	228973.77	0.51	22.35	5.05	3.85	63.53	3.18	63.67	318.283	J2249	N										
J2250	Inj midazolam hydrochloride	2223079	5420268	20592133.73	0.01	207.48	3.8	1.79	4.18	1.78	4.27	217.685	J2250	N										
J2251	Inj midazolam in 0.9% nacl	647	28267	20524.56	0.03	72.7	0.73	0.44	17.59	0.42	24.94	1758.421	J2251	N										
J2252	Inj midazolam in 0.8% nacl	162	429	636.77	0.23	3.19	1.48	1.15	2.72	1.08	1.58	118.134	J2252	N										
J2253	Inj midazolam (seizalam)	140	317	2107.88	0.66	15.32	6.65	5.79	13.37	7.66	15.32	54.295	J2253	N										
J2260	Inj milrinone lactate / 5 mg	1311	6301	45527.37	0.16	120.3	7.23	4.76	20.74	4.31	18.94	307.646	J2260	N										
J2265	Minocycline hydrochloride	65	13000	32044	0.79	4.66	2.46	2.38	443.66	2.29	457.1	411.285	J2265	K	1853	$2.592								
J2267	"Inj, mirikizumab-mrkz, 1 mg"												J2267	G	0728	$47.566								
J2270	Morphine sulfate injection	587335	725820	6098221.04	0.32	103.06	8.4	5.81	6.76	5.32	6.49	106.91	J2270	N										
J2272	"Inj, morphine (fresenius)"	111593	137812	1298189.32	0.38	98.33	9.42	6.69	7.83	6.68	7.69	105.548	J2272	N										
J2274	Inj morphine pf epid ithc	19416	24356	367608.72	0.22	309.65	15.09	8.8	11.44	9.54	11.52	144.63	J2274	N										
J2277	"Inj, motixafortide, 0.25 mg"	62	28707	982637.1	5.4	113.26	34.23	30.83	13964.98	29.27	13892.42	1100.384	J2277	G	0729	$25.218								
J2278	Ziconotide injection	504	190109	1943965.36	0.63	219.3	10.23	9.62	2822.39	9.82	3570.03	773.484	J2278	E1										
J2280	"Inj, moxifloxacin 100 mg"	2577	3603	77981.04	1.13	162.55	21.64	16.88	21.13	18.2	24.22	80.479	J2280	N										
J2281	Inj moxifloxacin (fres kabi)	131	524	11183.64	1.57	49.89	21.34	17.36	69.43	15.23	60.9	128.124	J2281	N										
J2290	"Inj, nafcillin sodium, 20 mg"												J2290	N										
J2300	Inj nalbuphine hydrochloride	659	750	9975.18	0.69	102.66	13.3	9.51	10.33	8.32	10.39	92.505	J2300	N										
J2305	"Inj, nitroglycerin, 5 mg"	108962	413443	1716581.53	0.01	170.22	4.15	2.32	6.35	2.38	9.81	310.634	J2305	N										
J2310	Inj naloxone hydrochloride	13311	19394	370295.8	0.55	320.46	19.09	14.1	17.6	15.54	18.73	101.473	J2310	D										
J2311	"Inj, naloxone hcl (zimhi)"	2	4	31.22	3.95	11.66	7.81	6.79	13.57	7.81	15.61	98.783	J2311	D										
J2312	"Inj naloxone hcl nos, 0.01mg"												J2312	N										
J2313	"Inj, naloxone (zimhi) 0.01mg"												J2313	N										
J2315	"Naltrexone, depot form"	1054	400511	1574977.24	0.16	12.83	3.93	3.65	1386.85	4.04	1535.65	663.146	J2315	K	0759	$4.123								
J2320	Nandrolone decanoate 50 mg	1	2	26.08	13.04	13.04	13.04	13.04	26.08	13.04	26.08		J2320	N										
J2323	Natalizumab injection	10149	3044700	66554976	0.43	167.29	21.86	19.43	5829.07	21.17	6351.9	928.867	J2323	K	9126	$24.368								
J2325	Nesiritide injection												J2325	E1										
J2326	"Inj, nusinersen, 0.1mg"	381	45720	43994874	285.24	2522.57	962.27	882.72	105926.1	1002.23	120268	415.72	J2326	K	9489	"$1,248.600"								
J2327	Inj risankizumab-rzaa 1 mg	3068	1943020	29958703	0.03	99.41	15.42	14.26	8905.23	14.61	9163.89	1056.389	J2327	K	9013	$14.859								
J2329	"Inj ublituximab-xiiy, 1 mg"	386	137700	9341713.5	5.12	182.05	67.84	63.11	20182.2	66.94	25176.82	626.314	J2329	G	9149	$68.655								
J2350	"Injection, ocrelizumab, 1 mg"	10663	6048573	359386904.2	0.03	399.74	59.42	54.16	30018.84	56.56	31702.77	1116.661	J2350	K	9494	$57.807								
J2351	Inj ocrelizumab 1mg hya-ocsq												J2351	K	2071	$45.187								
J2353	"Octreotide injection, depot"	46168	1315441	271573426.3	0.51	1225.17	206.45	189.05	5172.21	195.06	5285.78	240.246	J2353	K	1207	$204.592								
J2354	"Octreotide inj, non-depot"	4006	77928	220554.77	0.02	248.06	2.83	1.97	27.58	2.23	30.61	694.147	J2354	N										
J2355	Oprelvekin injection												J2355	E2										
J2356	"Inj tezepelumab-ekko, 1mg"	13469	2827425	49961733.81	0.02	117	17.67	15.93	3344.81	16.21	3407.06	719.195	J2356	K	9008	$17.767								
J2357	Omalizumab injection	54970	3326530	143915777.2	0.04	280.82	43.26	38.32	2240.67	38.91	2318.89	441.862	J2357	K	9300	$40.117								
J2358	Olanzapine long-acting inj	619	20091	145133.63	0.17	115.29	7.22	5.46	43.64	6.8	32.38	377.927	J2358	N										
J2359	"Inj. olanzapine, 0.5mg"	13134	264228	558334.86	0.1	60.41	2.11	1.76	32.28	1.78	33.62	380.521	J2359	N										
J2360	Orphenadrine injection	37747	37747	837812.01	2.71	120.78	22.2	19.06	19.06	19.93	19.93	57.788	J2360	N										
J2371	Inj phenylephrine hcl 20 mcg	557533	177703219	8636118.21	0.01	257.79	0.05	0.02	7.45	0.02	8.75	10112.62	J2371	N										
J2372	"Inj, biorphen, 20 micrograms"	16397	445443	290841.58	0.01	74.02	0.65	0.37	9.45	0.39	9.81	850.844	J2372	N										
J2373	"Inj, immphentiv, 20 mcg"	3715	153537	32086.09	0.01	12.96	0.21	0.15	6.83	0.18	9.05	789.349	J2373	N										
J2401	Chloroprocaine hcl injection	5353	2122149	185794.94	0.01	7.93	0.09	0.07	24.02	0.06	26.76	2541.455	J2401	N										
J2402	Chloroprocaine (clorotekal)	30	42	127.23	0.34	21.78	3.03	1.89	3.19	2.41	2.41	178	J2402	N										
J2403	"Chloroprocaine opht gel, 1mg"	48	6606	936.24	0.04	0.32	0.14	0.09	3.67	0.04	2.42	1126.501	J2403	G	9116	$0.604								
J2404	"Inj, nicardipine 0.1 mg"	19936	3772650	1043983.89	0.01	229.68	0.28	0.17	14.16	0.15	21.64	4140.17	J2404	N										
J2405	Ondansetron hcl injection	3158564	14967583	27377691.15	0.01	1510.36	1.83	0.85	3.92	0.8	3.79	325.104	J2405	N										
J2406	"Injection, oritavancin 10 mg"	474	56880	1998469.2	3.59	67.26	35.13	33.07	3967.79	34.93	4191.86	352.553	J2406	K	9427	$42.765								
J2407	"Injection, oritavancin"	407	46760	1224671.6	8.62	64.93	26.19	24.77	2829.94	24.75	2823.25	362.51	J2407	K	1660	$28.525								
J2410	Oxymorphone hcl injection												J2410	E2										
J2425	Palifermin injection	26	2833	130812.16	24.12	62.15	46.17	44.64	4808.92	39.62	4081.07	274.993	J2425	K	1696	$33.991								
J2426	"Inj, invega sustenna, 1 mg"	4293	804009	10770170.51	0.01	179.44	13.4	11.82	2097.75	11.81	2156.07	803.864	J2426	K	9255	$14.739								
J2427	"Inj, invega hafyera/trinza"	364	231986	2495766.3	3.71	23.96	10.76	10.36	6291.43	10.7	6272.67	665.477	J2427	K	9145	$12.672								
J2428	"Inj, erzofri, 1 mg"												J2428	K	2072	$17.150								
J2430	Pamidronate disodium /30 mg	1144	2625	84902.22	2.57	645.45	32.34	22.34	47.41	21.91	46.56	230.512	J2430	N										
J2440	Papaverin hcl injection	1863	2156	88397.45	2.01	399.66	41	31.87	34.92	36.92	36.92	82.665	J2440	E1										
J2460	Oxytetracycline injection												J2460	E2										
J2468	"Inj, palonosetron (posfrea)"												J2468	G	0815	$59.905								
J2469	Palonosetron hcl	351869	3518726	28286239.25	0.01	353.15	8.04	3.81	38.07	3.88	38.84	461.057	J2469	N										
J2470	Inj pantoprazole sodium 40mg	71271	88279	951284.1	0.41	118.39	10.78	7.73	9.12	7.92	9.45	101.006	J2470	N										
J2471	Inj pantoprazole(hikma) 40mg	7172	8634	109437.68	1.14	70.71	12.68	10.05	11.55	10.33	11.73	85.098	J2471	N										
J2472	"Inj, pantoprazole sodium chl"												J2472	N										
J2501	Paricalcitol	657	4488	15706.96	0.05	46.02	3.5	2.81	18.01	3.45	23.07	175.861	J2501	N										
J2502	"Inj, pasireotide long acting"	93	4700	1815449.2	145.34	1661.77	386.27	346.4	17479.24	377.98	16564.17	360.571	J2502	K	9454	$526.942								
J2503	Pegaptanib sodium injection	1	12	3058.56	254.88	254.88	254.88	254.88	3058.54	254.88	3058.54		J2503	E1										
J2504	"Pegademase bovine, 25 iu"	1	4	1.56	0.39	0.39	0.39	0.39	1.54	0.39	1.54		J2504	N										
J2505	"Injection, pegfilgrastim 6mg"													D										
J2506	Inj pegfilgrast ex bio 0.5mg	94524	1134125	480093210.9	2.53	2959.74	423.32	376.62	4518.73	405.2	4850.84	170.773	J2506	K	9436	$19.981								
J2507	Pegloticase injection	1249	9992	27599599.84	87.27	5713.95	2762.17	2555.79	20446.35	2796.02	22368.19	96.064	J2507	K	9281	"$3,565.318"								
J2508	Pegunigalsidase alfa-iwxj	124	11840	2388662.4	9	343.22	201.75	166.29	13479.38	201.82	15221.19	423.247	J2508	G	0715	$226.927								
J2510	Penicillin g procaine inj												J2510	E2										
J2513	Pentastarch 10% solution												J2513	E2										
J2515	Pentobarbital sodium inj	7	200	5258.78	20.06	92.37	26.29	24.74	635.93	22.41	544.33	296.54	J2515	K	1854	$64.144								
J2540	Penicillin g potassium inj	898	19792	62946.36	0.15	169.49	3.18	2.11	44.42	1.87	54.52	733.936	J2540	N										
J2543	Piperacillin/tazobactam	121867	598483	3821961.95	0.02	683.01	6.39	4.69	20.99	5.15	21.98	208.594	J2543	N										
J2547	"Injection, peramivir"	2	1200	1482	0.83	1.64	1.23	1.17	700.19	1.23	741.53	1136.001	J2547	K	9451	$1.678								
J2550	Promethazine hcl injection	45892	45892	370149.98	0.26	102.27	8.07	5.08	5.08	4.77	4.77	105.269	J2550	N										
J2560	Phenobarbital sodium inj	2712	9627	440676.72	1.45	449.87	45.78	38.42	104.17	41.01	103.37	116.71	J2560	N										
J2561	"Inj, sezaby, 1 mg"	8	2210	451.1	0.15	0.52	0.2	0.18	42.1	0.15	35.51	1024.368	J2561	K	0798	$1.056								
J2562	Plerixafor injection	2443	55306	9477930.8	3.76	946.97	171.37	72.13	1597.05	59.82	1361.75	508.373	J2562	K	9252	$24.976								
J2590	Oxytocin injection	133	260	2281.91	0.2	124.46	8.78	5.08	7.94	6.95	11.05	191.642	J2590	N										
J2597	Inj desmopressin acetate	4077	97584	1138721.33	0.07	121.69	11.67	8.86	198.37	9.16	200.36	419.499	J2597	N										
J2598	"Inj, vasopressin, 1 unit"	24749	381075	2025396.07	0.05	466.8	5.31	3.41	37.71	3.67	40.64	572.304	J2598	N										
J2599	Inj vasopressin (am reg) 1 u	1990	29242	100520.39	0.13	137.26	3.44	2.49	27.79	2.28	33.25	576.54	J2599	N										
J2601	"Inj, vasopressin (baxter)"												J2601	G	0778	$3.501								
J2650	Prednisolone acetate inj	20	20	1378.8	68.94	68.94	68.94	68.94	68.94	68.94	68.94	0	J2650	N										
J2670	Totazoline hcl injection												J2670	E2										
J2675	Inj progesterone per 50 mg	6	6	286.26	47.71	47.71	47.71	47.71	47.71	47.71	47.71	0	J2675	N										
J2679	Inj fluphenazine hcl 1.25 mg	62	987	4459.42	1.05	27.31	4.52	2.33	35.89	1.22	21.98	481.099	J2679	N										
J2680	Fluphenazine decanoate 25 mg	1601	3152	69970.81	1.52	168.47	22.2	15.57	26.75	17.37	30.03	118.442	J2680	N										
J2690	Procainamide hcl injection	310	367	74366.88	3.58	957.55	202.63	114.29	124.78	106.51	114.66	126.61	J2690	K	9219	$284.337								
J2700	Oxacillin sodium injeciton	584	20362	51557.84	0.7	13.62	2.53	2.31	63.01	2.98	81.36	245.955	J2700	N										
J2704	"Inj, propofol, 10 mg"	3084448	125363180	63976435.69	0.01	1546.95	0.51	0.36	12.29	0.35	12.94	865.777	J2704	N										
J2710	Neostigmine methylslfte inj	102099	755172	2330877.17	0.01	1251.31	3.09	1.55	11.45	1.57	12.26	708.327	J2710	N										
J2720	Inj protamine sulfate/10 mg	104216	651599	2515445	0.06	76.21	3.86	3.14	18.94	3.14	19.04	203.921	J2720	N										
J2724	Protein c concentrate	2	1516	18197.48	5.71	602.03	12	6	9082.34	5.71	9098.05	19766.21	J2724	K	1139	$15.024								
J2725	Inj protirelin per 250 mcg												J2725	E2										
J2730	Pralidoxime chloride inj	300	300	704.55	2.01	3.66	2.35	2.31	2.31	2.3	2.3	20.558	J2730	N										
J2760	Phentolaine mesylate inj	165	175	44445.47	10.67	1843.8	253.97	105.26	101.21	196.82	135.86	112.145	J2760	K	1458	$449.299								
J2765	Metoclopramide hcl injection	203756	203756	1571795.88	0.18	108	7.71	4.63	4.63	4.34	4.34	104.893	J2765	N										
J2770	Quinupristin/dalfopristin	61	61	482.3	7.13	7.94	7.91	7.91	7.91	7.94	7.94	1.723	J2770	N										
J2777	"Inj, faricimab-svoa, 0.1mg"	21940	1579078	57675109.76	0.32	140.94	36.52	33.46	2306.04	37.74	2376.62	322.638	J2777	K	9496	$34.722								
J2778	Ranibizumab injection	4400	24634	8392977.54	27.86	1856.79	340.71	311.95	1667.21	351.77	1784.05	85.557	J2778	K	9233	$90.414								
J2779	"Inj, susvimo 0.1 mg"	15	1120	76084.8	10.93	359.34	67.93	56.16	4042.92	66.8	6425.5	618.322	J2779	K	9439	$79.737								
J2780	Ranitidine hydrochloride inj	41	41	189.83	4.63	4.63	4.63	4.63	4.63	4.63	4.63	0		D										
J2781	"Inj, pegcetacoplan, 1mg"	1974	37542	4500857.34	10.31	259.63	119.89	106.51	1903.1	144.24	2281.89	183.316	J2781	G	9158	$143.989								
J2782	Inj avacincaptad pegol 0.1mg	753	19200	1879308.8	10.84	182.54	97.88	92.73	2261.14	104.4	2158.46	136.071	J2782	G	0705	$107.444								
J2783	Rasburicase	937	9354	3011880.6	29.06	1359.1	321.99	285	2514.24	294.83	2461.14	163.04	J2783	K	0738	$370.456								
J2785	Regadenoson injection	432630	1731343	62541703.13	0.06	970.18	36.12	19.21	76.84	20.19	80.75	239.932	J2785	N										
J2786	"Injection, reslizumab, 1mg"	1189	342015	3823136.98	0.76	34.49	11.18	9.89	2780.73	9.72	2795.59	832.66	J2786	K	9481	$10.494								
J2787	Riboflavin 5phos opth<=3ml	23	45	76801.01	127.99	4399.05	1706.69	1414.44	2430.25	1589.59	3179.17	79.448	J2787	N										
J2788	Rho d immune globulin 50 mcg	2	2	49.15	12.62	36.53	24.57	21.47	21.47	24.57	24.57	68.797	J2788	N										
J2790	Rho d immune globulin inj	152	152	16472.61	9.42	286.28	108.37	88.5	88.5	93.9	93.9	59.457	J2790	N										
J2791	Rhophylac injection	145	2118	44363.04	1.13	1548.52	20.95	7.48	111.12	7.38	110.66	2371.651	J2791	N										
J2792	"Rho(d) immune globulin h, sd"	25	4990	149751	0.26	183.18	30.01	23.92	3724.63	24.84	5746.34	1128.036	J2792	K	1609	$32.507								
J2793	Rilonacept injection												J2793	E2										
J2794	"Inj risperdal consta, 0.5 mg"	1419	105526	1137425.86	3.21	73.68	10.78	9.91	690.59	10.23	706.37	376.876	J2794	K	9125	$10.499								
J2795	Ropivacaine hcl injection	300666	58876066	11628952.84	0.01	758.84	0.2	0.14	19.78	0.15	19.84	3234.317	J2795	N										
J2796	Romiplostim injection	50884	1828042	174480962.9	0.06	1356.54	95.45	86.1	2458.21	90.49	2387.2	282.163		D										
J2797	"Inj., rolapitant, 0.5 mg"												J2797	E1										
J2798	"Inj., perseris, 0.5 mg"	24	4800	40835.4	0.01	11.79	8.51	5.08	1010.8	8.9	1601.36	495.873	J2798	K	9181	$12.154								
J2799	"Inj, uzedy, 1 mg"	11	2025	69626	15.76	88.18	34.38	27.86	5473.25	23.27	4653.06	1084.912	J2799	G	9266	$24.622								
J2800	Methocarbamol injection	50513	54191	1307616.25	1.68	199.19	24.13	18.43	19.44	17.88	19.65	90.874	J2800	N										
J2801	"Inj, rykindo, 0.5 mg"	28	2350	27696.5	4.43	14.39	11.79	10.62	758.78	14.39	1438.57	340.64	J2801	K	0739	$13.029								
J2802	"Inj, romiplostim 1 microgram"												J2802	K	0822	$10.516								
J2804	"Inj, rifampin, 1 mg"												J2804	N										
J2805	Sincalide injection	15375	15375	1623987.37	9.34	713.53	105.63	83.53	83.53	86.51	86.51	71.22	J2805	N										
J2806	"Inj sincalide, maia, 5 mcg"	526	526	39400.17	7.05	296.92	74.91	58.65	58.65	54.16	54.16	76.416		D										
J2810	Inj theophylline per 40 mg												J2810	E2										
J2820	Sargramostim injection	424	5461	343253.07	18.72	343.02	62.86	58.09	697.58	48.6	676	152.778	J2820	K	0731	$59.883								
J2840	Inj sebelipase alfa 1 mg												J2840	K	9478	$538.699								
J2850	Inj secretin synthetic human	406	6776	549826.53	3.48	335.53	81.14	63.12	1034.9	58.87	1027.41	274.932	J2850	E1										
J2860	"Injection, siltuximab"	506	52609	7164244.45	54.9	291.15	136.18	126.53	12920.57	136.03	13145.78	382.568	J2860	K	9455	$163.366								
J2865	Inj sulfameth/trim 5 mg/1 mg												J2865	N										
J2910	Aurothioglucose injeciton	1	1	3.98	3.98	3.98	3.98	3.98	3.98	3.98	3.98		J2910	N										
J2916	Na ferric gluconate complex	30965	375760	2510086.1	0.06	261.7	6.68	4.99	56.88	5.63	61.41	310.618	J2916	N										
J2919	"Inj, methylpred sod succ 5mg"	273407	6937321	5050642.16	0.01	3546.47	0.73	0.48	12.53	0.49	13.03	1973.046	J2919	N										
J2920	Methylprednisolone injection	26072	36230	380093.03	0.66	83.61	10.49	8.28	10.68	8.19	10.76	91.271		D										
J2930	Methylprednisolone injection	76852	84602	1234372.23	1.39	84.96	14.59	12	12.93	12.28	13.11	69.379		D										
J2940	Somatrem injection	1	1	0.24	0.24	0.24	0.24	0.24	0.24	0.24	0.24		J2940	E1										
J2941	Somatropin injection	2	6	911.11	80.51	166.12	151.85	147.23	258.59	166.12	455.55	51.465	J2941	E1										
J2950	Promazine hcl injection	2	45	28.8	0.24	0.96	0.64	0.52	10.68	0.96	14.34	375	J2950	N										
J2993	Reteplase injection	46	69	146471.09	343.58	6769.75	2122.77	1822.55	2719.93	2381.09	2589.75	72.271	J2993	K	9005	"$2,777.136"								
J2995	Inj streptokinase /250000 iu												J2995	E2										
J2997	Alteplase recombinant	42892	119748	11944281.06	6.09	1297.87	99.75	88.17	222.29	89.66	209.12	91.86	J2997	K	7048	$91.462								
J2998	Inj plasminogen tvmh 1mg												J2998	K	9206	$32.383								
J3000	Streptomycin injection	62	62	1425.55	22.9	23.15	22.99	22.99	22.99	22.9	22.9	0.53	J3000	N										
J3010	Fentanyl citrate injection	3037616	4367132	30929548.42	0.08	189.14	7.08	4.04	5.42	3.98	5.37	133.782	J3010	N										
J3030	Sumatriptan succinate / 6 mg	2118	2118	71496.66	1.32	345.88	33.76	20.66	20.66	18.04	18.04	113.7	J3030	E1										
J3031	"Inj., fremanezumab-vfrm 1 mg"												J3031	E1										
J3032	Inj. eptinezumab-jjmr 1 mg	6536	1404200	23184101	2.14	107.53	16.51	15.18	2851.08	14.99	3222.6	719.05	J3032	K	9357	$19.321								
J3055	Inj talquetamab-tgvs 0.25 mg	3133	764652	48572861.94	0.44	386.28	63.52	58.84	13356.8	62.2	13699.77	674.212	J3055	G	0706	$69.997								
J3060	"Inj, taliglucerase alfa 10 u"	153	87180	3413140.6	15.49	59.13	39.15	35.75	21089.02	43.5	23862.36	861.576	J3060	K	9294	$40.642								
J3070	Pentazocine injection	3	3	24.63	2.22	18.13	8.21	5.56	5.56	4.28	4.28	105.39	J3070	N										
J3090	Inj tedizolid phosphate	162	32400	99604	1.31	4.45	3.07	2.99	598.84	3.19	638.94	273.324	J3090	K	1662	$1.801								
J3095	Telavancin injection	235	21744	205026.9	1.18	12.2	9.43	9.06	759.92	9.65	702.56	238.195	J3095	K	9258	$7.090								
J3101	Tenecteplase injection	3966	187581	24986807.97	5.17	816.62	133.21	113.62	5266.5	121.73	5838.2	400.526	J3101	K	9002	$162.456								
J3105	Terbutaline sulfate inj	632	676	7533.28	0.29	66.3	11.14	6.73	6.99	7.82	7.91	102.093	J3105	N										
J3111	Inj. romosozumab-aqqg 1 mg	78101	16302895	168668787.3	0.01	63.74	10.35	9.14	1908.07	9.43	1975.31	735.203	J3111	K	9327	$11.494								
J3121	Inj testostero enanthate 1mg	568	101361	11348.47	0.04	0.38	0.11	0.09	15.49	0.08	15.22	1079.412	J3121	N										
J3145	Testosterone undecanoate 1mg	878	658500	1211167.5	0.14	8.87	1.84	1.53	1146.34	1.84	1379.42	1527.042	J3145	K	9078	$2.022								
J3230	Chlorpromazine hcl injection	2105	2505	99390.48	3.06	218.78	39.68	31.46	35.27	35.84	38.37	72.855	J3230	N										
J3240	Thyrotropin injection	4557	4557	8805513.52	335.44	7793.61	1932.3	1720.1	1720.1	1731.58	1731.58	50.001	J3240	K	9108	"$2,078.711"								
J3241	Inj. teprotumumab-trbw 10 mg	979	154458	45519922.66	64.87	1143.57	294.71	266.56	40283.06	270.54	41730	586.36	J3241	K	9355	$352.563								
J3243	Tigecycline injection	1206	78300	164211.75	0.33	10.19	2.1	1.57	94.27	1.54	92.46	568.037	J3243	N										
J3244	Inj. tigecycline (accord)	7	450	831	1.09	2.77	1.85	1.7	117.58	1.85	125	336.213	J3244	N										
J3245	"Inj., tildrakizumab, 1 mg"	3651	365100	50313909	15.93	516.09	137.81	127.24	12723.82	127.99	12799.24	404.848	J3245	K	9306	$131.462								
J3246	Tirofiban hcl	2004	61184	333437.84	0.09	659.87	5.45	4.26	108.04	4.68	99.7	1327.32	J3246	N										
J3247	Inj secukinumab intrav 1mg												J3247	G	0725	$17.728								
J3250	Trimethobenzamide hcl inj	2317	2453	142763.55	8.15	204.62	58.2	52.04	53.97	52.57	52.98	48.422	J3250	N										
J3260	Tobramycin sulfate injection	15326	85452	713212.82	0.01	549.42	8.35	5.43	16.33	5.68	14.3	398.924	J3260	N										
J3262	Tocilizumab injection	39480	19166188	124794628.3	0.46	889.02	6.51	5.91	2696.24	6.16	2803.57	1994.427	J3262	K	9264	$5.881								
J3263	"Inj, toripalimab-tpzi, 1 mg"												J3263	G	0745	$39.096								
J3265	Injection torsemide 10 mg/ml												J3265	E2										
J3280	Thiethylperazine maleate inj												J3280	E2										
J3285	Treprostinil injection	80	1061	57235.43	5.64	824.14	53.94	37.15	361.64	29.33	429.24	555.954	J3285	K	1701	$56.834								
J3299	Inj xipere 1 mg	118	3400	169469.24	34.98	410.14	49.84	48.01	1073.43	46.68	1677.76	198.462	J3299	K	9358	$48.231								
J3300	Triamcinolone a inj prs-free	3129	67032	392790.26	0.08	365.75	5.86	1.94	45.46	1.99	33.04	776.904	J3300	G	1253	$25.016								
J3301	Triamcinolone acet inj nos	436018	2449074	8567495.7	0.02	377.56	3.5	2.65	13.64	2.67	14.45	295.106	J3301	N										
J3302	Triamcinolone diacetate inj	5	5	65.88	11.78	18.76	13.18	12.93	12.93	11.78	11.78	23.691	J3302	N										
J3303	Triamcinolone hexacetonl inj	12	80	942.88	2.53	16.12	11.79	10.89	61.4	12.57	96.97	77.871	J3303	N										
J3304	Inj triamcinolone ace xr 1mg	6261	272449	4937701.57	0.12	419.92	18.12	14.91	614.33	17.43	639.52	449.16	J3304	K	9469	$18.007								
J3305	Inj trimetrexate glucoronate												J3305	E2										
J3310	Perphenazine injeciton	2	5	9.85	1.31	4.61	1.97	1.68	4.91	1.31	4.93	149.828	J3310	N										
J3315	Triptorelin pamoate	1592	5552	3939545.3	59.91	3005.73	709.57	653.32	2103.43	723.71	2320.49	66.162	J3315	K	9122	$471.625								
J3316	"Inj., triptorelin xr 3.75 mg"	13	25	19498.99	575.99	897.63	779.96	765.72	947.92	897.63	610.32	26.718	J3316	K	9016	"$3,506.041"								
J3320	Spectinomycn di-hcl inj												J3320	E2										
J3350	Urea injection	2	2	97.2	48.6	48.6	48.6	48.6	48.6	48.6	48.6	0	J3350	N										
J3355	"Urofollitropin, 75 iu"												J3355	E1										
J3357	"Ustekinumab sub cu inj, 1 mg"	743	59670	14412748.95	80.34	944.05	241.54	222.41	17138.85	216.31	17103.46	396.616	J3357	E1										
J3358	"Ustekinumab, iv inject, 1 mg"	904	354770	5225820.6	1.62	59.11	14.73	13.65	5142.3	13.98	5325.8	804.812	J3358	K	9487	$12.808								
J3360	Diazepam injection	43855	76896	1565897.48	0.93	261.1	20.36	16.09	26.41	17.43	28.28	118.486	J3360	N										
J3364	Urokinase 5000 iu injection												J3364	E2										
J3365	"Urokinase 250,000 iu inj"												J3365	E2										
J3370	Vancomycin hcl injection	363826	984214	10276252.99	0.12	479.39	10.44	7.53	18.61	8.31	20.5	194.465	J3370	D										
J3371	"Inj, vancomycin hcl (mylan)"	26190	69492	781416.6	0.12	96.39	11.24	8.04	19.38	9	22.95	134.064	J3371	D										
J3372	"Inj, vancomycin hcl (xellia)"	18028	54108	725464.8	0.57	185.7	13.41	11.02	31.82	11.04	30.89	156.857	J3372	D										
J3373	"Inj, vancomycin hcl, 10 mg"												J3373	N										
J3374	"Inj, vancomycin (mylan) 10mg"												J3374	N										
J3375	Inj vancomycin (xellia) 10mg												J3375	N										
J3380	Inj vedolizumab iv 1 mg	45588	13676150	354117845.1	1.19	175.73	25.89	23.77	7131.75	24.92	7476.13	744.077	J3380	K	1489	$21.162								
J3385	Velaglucerase alfa	1073	45775	15552980.91	32.87	705.51	339.77	314.7	13025.04	313.04	13261.72	235.272	J3385	K	9271	$374.360								
J3391	"Inj, atidarsagene autotemcel"												J3391	K	0845	"$4,377,500.000"								
J3392	"Inj, exagamglogene autotem"												J3392	K	0824	"$2,332,000.000"								
J3393	"Inj, betibeglogene autotemce"												J3393	G	0746	"$2,948,213.333"								
J3394	"Inj, lovotibeglogene autotem"												J3394	G	0748	"$3,286,000.000"								
J3396	Verteporfin injection	103	14714	192937.74	7.4	19.95	13.11	12.69	1810.58	12.04	1632.81	309.613	J3396	K	1203	$11.519								
J3397	"Inj., vestronidase alfa-vjbk"												J3397	E2										
J3398	Inj luxturna 1 billion vec g												J3398	K	9070	"$3,146.258"								
J3399	Inj onase abepar-xioi treat												J3399	K	9141	"$2,423,131.231"								
J3400	Triflupromazine hcl inj												J3400	E2										
J3401	"Vyjuvek 5x10^9pfu/ml, 0.1 ml"												J3401	G	0716	"$1,016.669"								
J3410	Hydroxyzine hcl injection	2500	4342	83367.64	0.26	112.14	19.2	13.93	24.99	16.99	30.58	91.59	J3410	N										
J3411	Thiamine hcl 100 mg	25803	57804	431673.78	0.29	123.4	7.47	5.96	11.13	5.92	10.92	118.497	J3411	N										
J3415	Pyridoxine hcl 100 mg	270	270	4867.26	3.36	55.82	18.03	15.42	15.42	15.48	15.48	56.122	J3415	N										
J3420	Vitamin b12 injection	209966	209966	1749417.09	0.31	87.21	8.33	5.63	5.63	6.05	6.05	92.934	J3420	N										
J3424	Inj hydroxocobalamin iv 25mg	79	2074	14961.29	0.98	1754.2	7.21	4.69	34.12	4.01	28.46	2959.759	J3424	E1										
J3425	Hydroxocobalamin im 10mcg	3	199999	2022.31	0.01	22.33	0.01	0.01	210.65	0.01	645.68	156083.9	J3425	N										
J3430	Vitamin k phytonadione inj	4863	43704	239101.27	0.02	146.17	5.47	4.41	37.88	4.63	40.94	321.6	J3430	N										
J3465	"Injection, voriconazole"	217	2314	13176.57	0.01	244.18	5.69	3	10.65	2.37	15.76	863.964	J3465	N										
J3470	Hyaluronidase injection	4764	4764	301437.14	8.09	282.13	63.27	55.03	55.03	53.98	53.98	58.218	J3470	N										
J3471	"Ovine, up to 999 usp units"	2172	415826	169737.02	0.01	9.63	0.41	0.35	66.63	0.35	81.4	898.055	J3471	N										
J3472	"Ovine, 1000 usp units"	1	4	3.84	0.96	0.96	0.96	0.96	3.83	0.96	3.83		J3472	N										
J3473	Hyaluronidase recombinant	20901	2817496	1419810.91	0.01	188.94	0.5	0.44	55.26	0.45	56.84	2478.491	J3473	N										
J3475	Inj magnesium sulfate	418551	1902936	8340468.08	0.01	242.28	4.38	2.68	12.23	3.18	14.42	259.581	J3475	N										
J3480	Inj potassium chloride	159142	2076766	3582938.37	0.01	123.7	1.73	0.96	12.12	1.01	12.72	572.278	J3480	N										
J3485	Zidovudine	1	100	133	1.33	1.33	1.33	1.33	132.89	1.33	132.89		J3485	K	1744	$1.513								
J3486	Ziprasidone mesylate	9364	18672	436625.37	1.53	243.83	23.38	19.08	36.77	19.51	36.86	105.515	J3486	N										
J3489	Zoledronic acid 1mg	167912	754615	34335585.9	0.02	2557.71	45.5	24.75	106.89	23.1	98.92	269.465	J3489	N										
J3490	Drugs unclassified injection	1377339	4326543	80073615.34	0.01	30500.49	18.51	3.38	11.71	3.78	11.29	765.321	J3490	N										
J3530	Nasal vaccine inhalation												J3530	N										
J3590	Unclassified biologics	6878	13369	4561214.46	0.01	30200.56	341.18	24.14	110.32	42.95	104.92	542.419	J3590	N										
J3591	Esrd on dialysi drug/bio noc												J3591	B										
J7030	Normal saline solution infus	1652468	1956823	29384524.27	0.36	247.98	15.02	10.14	11.52	11.26	12.5	99.687	J7030	N										
J7040	Normal saline solution infus	625050	705291	9981070.34	0.24	304.19	14.15	9.27	10.33	10.46	11.44	101.97	J7040	N										
J7042	5% dextrose/normal saline	16751	33791	286818.22	0.13	183.39	8.49	5.65	11.55	5.39	11.87	146.734	J7042	N										
J7050	Normal saline solution infus	1242230	1704032	22872682.83	0.17	329.43	13.42	7.96	10.44	8.78	11.7	123.731	J7050	N										
J7060	5% dextrose/water	191275	267478	3535958.89	0.16	231.04	13.22	7.96	10.13	8.61	10.96	122.472	J7060	N										
J7070	D5w infusion	25416	32964	445545.69	0.24	120.48	13.52	8.97	11.27	10.14	12.11	105.528	J7070	N										
J7100	Dextran 40 infusion	22	28	1246.68	13.41	64.04	44.52	40.69	50.7	50.2	58.21	40.653	J7100	N										
J7110	Dextran 75 infusion	2	2	61.38	30.69	30.69	30.69	30.69	30.69	30.69	30.69	0	J7110	N										
J7120	Ringers lactate infusion	1500821	1916065	31141616.55	0.46	267.58	16.25	11.37	13.7	12.5	14.64	95.469	J7120	N										
J7121	5% dextrose in lac ringers	7309	8021	152985.34	0.85	114.55	19.07	13.47	14.6	14.53	16.83	81.361	J7121	N										
J7131	Hypertonic saline sol	1399	278376	25586.05	0.01	48.79	0.09	0.04	7.12	0.03	8.42	11207.67	J7131	N										
J7165	"Inj, human-lans, per i.u"	975	2141715	4113593.04	0.01	21.87	1.92	1.32	2693.21	1.7	3212.05	4114.526	J7165	G	0702	$1.546								
J7168	Prothrombin complex kcentra	5837	13712159	33541674.81	0.01	32	2.45	2.12	4671.29	2.22	4835.17	2699.307	J7168	K	9132	$2.176								
J7169	"Inj andexxa, 10 mg"	402	40137	5411195.02	17.32	797.91	134.82	122.5	11844.52	133.25	13316.03	446.533	J7169	K	9198	$131.738								
J7170	"Inj., emicizumab-kxwh 0.5 mg"	413	292290	10053129.66	9.16	95.1	34.39	28.55	19741.57	39.57	17099.44	1569.051	J7170	K	9257	$51.984								
J7171	"Inj, adzynma, 10 iu"	103	32214	1484105.38	0.05	80.96	46.07	38.52	11771.25	37.73	12407.77	890.381	J7171	G	0727	$34.516								
J7172	"Inj marstacim-hncq, 0.5 mg"												J7172	G	2064	$52.788								
J7175	"Inj, factor x, (human), 1iu"	21	85840	392516.3	2.95	14.17	4.57	3.8	18571.36	2.95	19498.77	4973.164	J7175	K	1857	$9.533								
J7177	"Inj., fibryga, 1 mg"	85	454004	1107103.4	0.88	2.6	2.44	2.42	6775.59	2.47	14217.58	618.959	J7177	K	9046	$1.101								
J7178	Inj human fibrinogen con nos	17	38970	48614.54	0.64	386.52	1.25	1.14	1674.99	0.97	1389.91	17027.14	J7178	K	1478	$1.484								
J7179	Vonvendi inj 1 iu vwf:rco	95	1265985	929540.35	0.3	3.02	0.73	0.53	8435.65	0.39	9137.97	12356.73	J7179	K	9059	$1.831								
J7180	Factor xiii anti-hem factor	1	1361	17652.17	12.97	12.97	12.97	12.97	17653.64	12.97	17653.64		J7180	K	1416	$10.477								
J7181	Factor xiii recomb a-subunit												J7181	K	1746	$17.336								
J7182	Factor viii recomb novoeight	11	27715	51546.87	0.38	2208.16	1.86	1.44	2874.26	1.89	2208.16	37622.67	J7182	K	1856	$1.397								
J7183	Wilate injection	153	626731	584251.93	0.01	3.84	0.93	0.8	3235.07	0.66	3433.61	4190.093	J7183	K	1352	$1.279								
J7185	Xyntha inj	57	190722	224484.03	0.12	2.45	1.18	0.96	3337.53	1.24	3820.88	3135.787	J7185	K	1268	$1.490								
J7186	Antihemophilic viii/vwf comp	56	222370	314964.38	0.25	123.54	1.42	1	3661.17	0.94	4214.83	28588.14	J7186	K	1213	$1.198								
J7187	"Humate-p, inj"	1203	4847985	6825765.23	0.01	6.69	1.41	1.18	4263.01	1.27	3838.74	3878.059	J7187	K	1704	$1.446								
J7188	Factor viii recomb obizur	4	9949	46461.83	4.67	4.67	4.67	4.67	428.36	4.67	95.8	0	J7188	K	1827	$3.229								
J7189	Factor viia recomb novoseven	83	642173	1114571.16	0.12	4.2	1.74	1.41	7181.5	1.71	7284.62	5150.695	J7189	K	1705	$2.526								
J7190	Factor viii	36	587389	334788.14	0.19	36.26	0.57	0.42	4532.41	0.25	5378.53	16160.34	J7190	K	0925	$1.116								
J7191	Factor viii (porcine)	1	40	190	4.75	4.75	4.75	4.75	189.91	4.75	189.91		J7191	K	1464	$190.000								
J7192	Factor viii recombinant nos	294	2535746	2461070.43	0.01	8.05	0.97	0.77	5268.42	0.74	4895.1	7181.652	J7192	K	0927	$1.558								
J7193	Factor ix non-recombinant	50	679850	256611.6	0.01	1.73	0.38	0.27	1508.2	0.35	4492.8	9101.138	J7193	K	0931	$1.377								
J7194	Factor ix complex	12	48466	76768.96	0.66	3.26	1.58	1.38	4935.04	1.64	5933.42	3344.642	J7194	K	0928	$1.656								
J7195	Factor ix recombinant nos	185	1207413	1836893.49	0.31	9.63	1.52	1.28	7338.27	1.42	7948.52	5671.289	J7195	K	0932	$1.848								
J7196	Antithrombin recombinant												J7196	E2										
J7197	Antithrombin iii injection	31	55900	226184.58	0.97	6	4.05	3.69	5540.14	4.92	8441.34	1603.364	J7197	K	1263	$3.943								
J7198	Anti-inhibitor	155	886189	1139646.08	0.25	5.39	1.29	0.98	5544.65	0.62	5463.8	6524.055	J7198	K	0929	$2.397								
J7200	Factor ix recombinan rixubis	7	22348	18925.24	0.72	1.48	0.85	0.82	2452.44	0.72	2208.46	1763.638	J7200	K	1467	$1.632								
J7201	Factor ix alprolix recomb	66	979849	1954838.97	0.66	5.5	2	1.65	21701.43	2.42	18053.37	7223.097	J7201	K	1486	$3.545								
J7202	Factor ix idelvion inj	159	967849	3808520.92	0.86	7.39	3.94	3.25	18274.87	5.3	18985.06	4015.994	J7202	K	9171	$5.183								
J7203	Factor ix recomb gly rebinyn	11	206985	244242.3	1.18	1.18	1.18	1.18	22143.15	1.18	22191.74	0	J7203	K	9468	$4.320								
J7204	Inj recombin esperoct per iu	24	689306	413583.6	0.6	0.6	0.6	0.6	15233.65	0.6	16314.27	0	J7204	K	9354	$2.138								
J7205	Factor viii fc fusion recomb	96	736033	818697.63	0.6	3.79	1.11	0.96	6124.31	0.79	3145.63	5214.659	J7205	K	1656	$2.320								
J7207	Factor viii pegylated recomb	51	1277265	2091243.04	0.51	2.23	1.64	1.49	20849	1.94	22836.88	5412.682	J7207	K	1844	$2.102								
J7208	Inj. jivi 1 iu	1	2146	2854.18	1.33	1.33	1.33	1.33	2863.82	1.33	2863.82		J7208	K	9299	$2.450								
J7209	Factor viii nuwiq recomb 1iu	114	695862	2446266.16	0.78	3.69	3.52	3.42	16405.46	3.69	24805.25	1334.404	J7209	K	1846	$1.193								
J7210	"Inj, afstyla, 1 i.u."	17	36259	45142.78	0.99	30.97	1.25	1.24	434.38	1.31	4333.4	985.481	J7210	K	9043	$1.514								
J7211	"Inj, kovaltry, 1 i.u."	58	1374046	547286.61	0.17	3.38	0.4	0.3	5928.23	0.24	5773.84	19421.06	J7211	K	9075	$1.486								
J7212	Factor viia recomb sevenfact	3	26000	51720	1.56	2.26	1.99	1.96	13832.47	2.26	9997.25	1823.789	J7212	K	9395	$2.385								
J7213	"Inj, ixinity, 1 i.u."	1	5000	4100	0.82	0.82	0.82	0.82	4087.7	0.82	4087.7		J7213	K	9146	$1.923								
J7214	Altuviiio per factor viii iu	79	1024218	2036260.54	0.01	9.11	1.99	1.51	13259.5	1.28	22799.9	10075.35	J7214	G	9277	$4.596								
J7294	Seg acet and eth estr yearly												J7294	E1										
J7295	Eth estr and eton monthly												J7295	E1										
J7296	"Kyleena, 19.5 mg"	31	31	29111.82	412.87	1769.97	939.09	877.72	877.72	949.74	949.74	37.316	J7296	E1										
J7297	"Liletta, 52 mg"	170	181	148431.16	87.38	2994.18	820.06	673.85	700.45	697.73	697.73	65.237	J7297	E1										
J7298	"Mirena, 52 mg"	942	942	928285.16	86.48	7072.03	985.44	850.47	850.47	911.17	911.17	53.826	J7298	E1										
J7301	"Skyla, 13.5 mg"	4	4	2930.37	94.85	1621.13	732.59	427.68	427.68	607.2	607.2	97.477	J7301	E1										
J7308	Aminolevulinic acid hcl top	4090	5146	1730221.39	37.44	1942.58	336.23	280.7	326.44	299.37	332.92	77.707	J7308	K	7308	$394.413								
J7309	"Methyl aminolevulinate, top"												J7309	E2										
J7310	Ganciclovir long act implant												J7310	E2										
J7311	"Inj., retisert, 0.01 mg"	32	1888	497602.46	126.82	726.52	263.56	228.36	13472.98	229.01	13511.42	448.92	J7311	K	9225	$340.036								
J7312	Dexamethasone intra implant	2091	16135	3123345.68	24.81	528.8	193.58	168.67	1275.45	199.34	1398.4	129.619	J7312	K	9256	$205.236								
J7313	"Inj., iluvien, 0.01 mg"	58	1273	502691.36	134.69	831.88	394.89	346.77	7288.83	379.32	7653.15	232.752	J7313	K	9450	$490.765								
J7314	"Inj., yutiq, 0.01 mg"	149	3096	1457797.32	116.34	945.61	470.86	427.3	8589.28	496.92	9246.45	187.905	J7314	K	9328	$524.568								
J7315	Ophthalmic mitomycin	1353	1582	410404.08	2.73	1248.06	259.42	171.03	219.23	221.81	249.76	78.997	J7315	N										
J7316	"Inj, ocriplasmin, 0.125 mg"	6	133	829.48	3.31	81.16	6.24	3.73	106.9	3.31	81.16	1224.57	J7316	N										
J7318	"Inj, durolane 1 mg"	5795	467275	6428471.98	0.36	150	13.76	10.82	825.74	13.65	863.62	589.463	J7318	K	9174	$6.931								
J7320	"Genvisc 850, inj, 1mg"	58	2150	46999	12.84	24.75	21.86	21.49	723.5	22.67	618.77	98.628	J7320	K	9079	$6.314								
J7321	Hyalgan supartz visco-3 dose	5794	8467	1492189.63	12.24	1197.31	176.24	141.93	197.69	157.1	212.36	75.726	J7321	N										
J7322	Hymovis injection 1 mg	126	3911	80030.42	2.39	186.06	20.46	13.78	384.82	24.93	592.73	437.277	J7322	K	9471	$17.503								
J7323	Euflexxa inj per dose	23516	32800	7930727.25	14.87	1595.29	241.79	186.01	244.2	213.67	284.28	77.242	J7323	K	0875	$126.409								
J7324	Orthovisc inj per dose	7437	10222	2623998.06	16.79	2169.14	256.7	201.26	260.55	221.6	267.24	87.307	J7324	K	0877	$125.299								
J7325	Synvisc or synvisc-one	16223	868657	13845001.18	0.33	221.58	15.94	12.26	586.37	13.69	599.52	530.957	J7325	K	0874	$9.252								
J7326	Gel-one	4778	6500	4732165.32	114.87	4003.84	728.03	646.15	828.31	605.44	785.97	60.02	J7326	K	1417	$538.480								
J7327	Monovisc inj per dose	4399	5942	5208290	125.71	5096.64	876.52	702.19	902.17	829.14	942.84	74.866	J7327	K	1747	$663.641								
J7328	Gelsyn-3 injection 0.1 mg	3742	863909	1540213.52	0.27	8.17	1.78	1.56	331.34	1.95	355.55	695.369	J7328	N										
J7329	"Inj, trivisc 1 mg"	1499	50125	1737541.75	24.75	48.56	34.66	34.65	1094.35	34.69	867.22	12.768	J7329	K	9196	$5.586								
J7331	"Synojoynt, inj., 1 mg"	29	271	3321.02	11.98	12.66	12.25	12.25	113.58	12.24	110.13	3.314	J7331	N										
J7332	"Inj., triluron, 1 mg"	21	720	9365.4	4.27	31.59	13.01	11.49	415.97	12.13	485.07	304.335	J7332	K	9338	$10.281								
J7336	Capsaicin 8% patch	1220	1096587	2903931.54	0.29	24.41	2.65	2.1	1837.64	2.33	2012.41	2007.483	J7336	K	9071	$3.377								
J7340	Carbidopa levodopa ent 100ml	3	3	6.03	2.01	2.01	2.01	2.01	2.01	2.01	2.01	0	J7340	K	9320	$235.772								
J7342	Ciprofloxacin otic susp 6 mg	6	6	695.76	11.57	216.87	115.96	73.96	73.96	121.81	121.81	74.6	J7342	N										
J7345	"Aminolevulinic acid, 10% gel"	706	155700	185049	0.39	2.48	1.19	1.07	229.8	1.05	209.6	652.422	J7345	K	9301	$1.783								
J7351	Inj bimatoprost itc imp1mcg	91	910	130310.1	59.25	314.76	143.2	127.21	1272.13	130.22	1302.21	161.39	J7351	K	9351	$209.907								
J7352	"Afamelanotide implant, 1 mg"	28	448	1199306.72	2055.47	3141.62	2677.02	2642.5	42280	2469.8	39516.74	64.799	J7352	K	9396	"$2,873.329"								
J7353	Anacaulase-bcdb 8.8% gel 1 g												J7353	E1										
J7354	"Cantharidin top, applicator"	10	29	13374.14	138.35	1190.87	461.18	323.08	1265.86	138.35	1555.08	133.213	J7354	G	0707	$682.257								
J7355	Inj travoprost intra impl												J7355	G	0749	$194.411								
J7356	Inj foscarb/foslevodopa 5 mg												J7356	N										
J7401	Mometasone furoate sinus imp													D										
J7402	Mometasone sinus sinuva	71	1734	102071.95	0.16	2697.06	58.87	6.16	929.81	7.83	1095.12	2005	J7402	K	9346	$11.345								
J7500	Azathioprine oral 50mg	2895	4695	10058.18	0.04	38.35	2.14	1.11	1.71	0.98	1.55	245.659	J7500	N										
J7501	Azathioprine parenteral												J7501	K	0887	$224.969								
J7502	Cyclosporine oral 100 mg	635	912	6200.59	0.28	31.59	6.8	4.77	6.45	4.98	6.65	106.811	J7502	N										
J7503	Tacrol envarsus ex rel oral	1352	26009	42673.04	0.07	163.28	1.64	1.15	17.57	1.49	18.98	911.228	J7503	N										
J7504	Lymphocyte immune globulin	6	42	175900.88	0.79	4397.3	4188.12	3082.35	1697.15	4397.3	43972.96	64.739	J7504	K	0890	"$4,376.290"								
J7505	Monoclonal antibodies	1	1	0.26	0.26	0.26	0.26	0.26	0.26	0.26	0.26		J7505	E1										
J7507	Tacrolimus imme rel oral 1mg	16935	47871	120433.38	0.01	103.21	2.52	1.64	3.72	1.79	3.95	169.434	J7507	N										
J7508	Tacrol astagraf ex rel oral	24	1168	540.37	0.14	1.6	0.46	0.37	9.1	0.45	16.35	525.797	J7508	N										
J7509	Methylprednisolone oral	4644	29210	30657.1	0.01	43.79	1.05	0.7	3.65	0.69	4.4	349.663	J7509	N										
J7510	Prednisolone oral per 5 mg	690	5498	3132.52	0.01	160.4	0.57	0.13	1.45	0.1	1.52	1463.209	J7510	N										
J7511	Antithymocyte globuln rabbit	327	1404	1363417.4	299.15	1899.42	971.1	935.27	3861.59	954.88	4349.61	55.219	J7511	K	9104	$939.346								
J7512	Prednisone ir or dr oral 1mg	140440	5296694	324430.04	0.01	207.37	0.06	0.03	1.2	0.03	1.25	2753.642	J7512	N										
J7513	"Daclizumab, parenteral"												J7513	E2										
J7514	Mycophenol (myhibbin) 100 mg												J7514	N										
J7515	Cyclosporine oral 25 mg	1344	4016	8412.37	0.03	16.45	2.09	1.4	3.61	1.54	3.79	161.001	J7515	N										
J7516	"Inj, cyclosporine 250mg"	14	18	973.61	18.49	88.56	54.09	45.22	61.57	55.88	82.39	63.284	J7516	N										
J7517	Mycophenolate mofetil oral	11876	40159	106726.3	0.01	82.14	2.66	1.16	3.41	0.96	3.1	338.25	J7517	N										
J7518	Mycophenolic acid	5074	15484	64998.85	0.01	56.48	4.2	2.22	5.85	3.43	7.35	220.435	J7518	N										
J7519	Inj. mycophenolate mofetil	44	3711	4714.87	0.27	3.24	1.27	1.09	70.62	1.32	72.54	474.55	J7519	N										
J7520	"Sirolimus, oral"	843	1491	20236.89	0.35	159.9	13.57	9.82	13.88	9.29	14.07	136.768	J7520	N										
J7521	Tacrolim granules oral susp												J7521	N										
J7525	Tacrolimus injection	80	80	9595.58	21.36	417.5	119.94	95.33	95.33	95.69	95.69	61.665	J7525	K	9006	$255.058								
J7527	Oral everolimus	280	2046	19574.72	0.17	160.17	9.57	6.05	36.11	8.2	41.31	374.131	J7527	N										
J7599	Immunosuppressive drug noc	445	1095	1401.96	0.78	14.73	1.28	1.04	2.42	1.04	1.56	231.192	J7599	N										
J7601	Ensifentrine inh 3 mg												J7601	B										
J7674	"Methacholine chloride, neb"	3457	205259	518140.21	0.02	2319.97	2.52	1.08	79.83	0.97	84.28	4479.914	J7674	E1										
J7999	"Compounded drug, noc"	189824	280645	6750599.51	0.18	871.48	24.05	12.6	17.46	13.74	16.99	205.051	J7999	N										
J8501	Oral aprepitant	32722	278986	2939851	0.31	177.31	10.54	8.76	73.01	9.37	76.93	246.366	J8501	N										
J8510	Oral busulfan	1	64	5.76	0.09	0.09	0.09	0.09	5.56	0.09	5.56		J8510	N										
J8520	"Capecitabine, oral, 150 mg"													D										
J8521	"Capecitabine, oral, 500 mg"	41	824	2522.12	0.14	46.15	3.06	0.3	32.15	0.14	46.15	1400.463		D										
J8522	"Capecitabine, oral, 50 mg"	67	19073	3746.83	0.14	5.27	0.2	0.17	19.16	0.15	6.85	2394.481	J8522	K	0804	$0.065								
J8530	Cyclophosphamide oral 25 mg	2040	40085	204010.05	0.01	18.81	5.09	3.79	72.75	4.26	85.46	306.497	J8530	N										
J8540	Oral dexamethasone	199494	9785083	1015270.92	0.01	43.61	0.1	0.08	3.47	0.07	3.47	1480.268	J8540	N										
J8541	"Oral, hemady, 0.25 mg"	13	1360	285.6	0.21	0.21	0.21	0.21	20.32	0.21	16.42	0	J8541	N										
J8560	Etoposide oral 50 mg	1	5	419.35	83.87	83.87	83.87	83.87	419.35	83.87	419.35		J8560	K	0802	$76.456								
J8562	Oral fludarabine phosphate												J8562	E2										
J8565	Gefitinib oral												J8565	E2										
J8597	Antiemetic drug oral nos	14364	21054	51832.32	0.01	191.16	2.46	0.44	0.57	0.52	0.7	386.023	J8597	N										
J8600	Melphalan oral 2 mg												J8600	E2										
J8610	Methotrexate oral 2.5 mg	614	3343	14060.68	0.04	42.53	4.21	2.62	12.52	2.78	13.93	288.3	J8610	N										
J8611	Oral methotrexate (jylamvo)												J8611	K	0755	$18.968								
J8612	Oral methotrexate (xatmep)												J8612	K	0756	$20.710								
J8650	Nabilone oral												J8650	E2										
J8655	"Oral netupitant, palonosetro"	1	1	242.42	242.42	242.42	242.42	242.42	242.42	242.42	242.42		J8655	K	9448	$409.009								
J8670	"Rolapitant, oral, 1mg"	25	4500	14634	2.87	4.78	3.25	3.18	572.58	2.87	517.09	321.694	J8670	E1										
J8700	Temozolomide	9	336	2845.24	0.15	24.39	8.47	1.34	48.92	1.09	30.49	826.046	J8700	N										
J8705	Topotecan oral	5	100	33399	333.99	333.99	333.99	333.99	6679.88	333.99	6679.88	0	J8705	K	1238	$124.900								
J9000	Doxorubicin hcl injection	31916	270707	2720375.01	0.01	2656.45	10.05	6.04	48.34	5.86	49.26	648.335	J9000	N										
J9015	Aldesleukin injection	91	91	323936.36	523.37	8291.82	3559.74	2736.16	2736.16	4365.11	4365.11	53.816	J9015	K	0807	"$5,301.260"								
J9017	Arsenic trioxide injection	4339	69178	2383796.57	2.31	1013.8	34.46	21.91	333.47	24.86	350.72	482.247	J9017	N										
J9019	Erwinaze injection												J9019	E2										
J9020	"Asparaginase, nos"												J9020	E2										
J9021	"Inj, aspara, rylaze, 0.1 mg"	23	15800	1191002	21.74	100.84	75.38	70.96	44812.74	85.7	51425.14	689.686	J9021	K	9437	$54.378								
J9022	"Inj, atezolizumab,10 mg"	33612	4178534	343328663.7	0.83	537.63	82.16	75.43	9302.98	78.77	9524.44	510.307	J9022	K	9483	$89.394								
J9023	"Injection, avelumab, 10 mg"	6693	536950	48888816.6	5.14	571.69	91.05	81.37	6524.55	84.43	6754.79	555.738	J9023	K	9491	$97.137								
J9024	Inj atezolizumb 5mg hya-tqjs												J9024	K	2073	$30.876								
J9025	Azacitidine injection	115478	18953795	35698365.11	0.03	59.34	1.88	1.1	175.28	0.96	156.32	1705.017	J9025	N										
J9026	"Inj, tarlatamab-dlle, 1 mg"												J9026	G	0768	"$1,570.765"								
J9027	Clofarabine injection	21	738	38338.13	17.61	79.78	51.95	44.6	1331.92	71.42	1408.88	291.173	J9027	K	1710	$16.006								
J9028	"Inj, nogapendekin pmln, 1mcg"												J9028	G	0767	$94.581								
J9029	"Instill adstiladrin, tx dose"	161	161	10091303.99	17467.2	129829.1	62678.91	58487.51	58487.51	62514.86	62514.86	35.884	J9029	G	0717	"$63,235.607"								
J9030	Bcg live intravesical 1mg	29135	1304620	5031678.08	0.01	175	3.86	3.2	140.74	3.47	159.81	828.4	J9030	K	9322	$3.139								
J9032	"Injection, belinostat, 10mg"	829	149149	7043726.58	5.8	103.24	47.23	42.07	7295.05	47.33	7365.35	547.662	J9032	K	1658	$50.919								
J9033	"Inj, bendamustine hcl, 1mg"	1524	259764	3379715.67	0.61	321.09	13.01	9.48	1559.54	11.2	1938.81	1081.33	J9033	K	9243	$1.240								
J9034	"Inj., bendeka 1 mg"	14703	2319473	50963250.29	0.33	121.51	21.97	20.15	3109.22	20.78	3199.65	580.989	J9034	K	1861	$13.581								
J9035	Bevacizumab injection	19063	1313939	101478878.1	0.94	3512.37	77.23	72.42	4391.2	75.57	4468.23	349	J9035	K	9214	$72.728								
J9036	Inj. belrapzo/bendamustine	1491	227012	4494788.71	0.49	43.04	19.8	18.14	2729.89	20.13	2997.34	468.271	J9036	K	9313	$14.196								
J9037	Inj belantamab mafodot blmf	8	3200	143840	44.95	44.95	44.95	44.95	17979.51	44.95	17979.51	0		D										
J9038	Inj axatilimab-csfr 0.1 mg												J9038	G	0839	$54.075								
J9039	"Injection, blinatumomab"	2103	345426	47308916.22	28.66	413.98	136.96	125.76	18278.88	143.61	20775.7	502.47	J9039	K	9449	$152.276								
J9040	Bleomycin sulfate injection	619	1108	48829.56	5.2	299.56	44.07	35.03	61.87	33.13	63.48	107.872	J9040	N										
J9041	"Injection, bortezomib, 0.1mg"	105091	3504806	44211600.81	0.01	492.24	12.61	3.98	130.17	2.74	93.14	1035.006	J9041	N										
J9042	Brentuximab vedotin inj	3587	463293	97050058.68	10.1	1381.9	209.48	185.86	23039.46	197.03	23855.48	637.289	J9042	K	9287	$248.930								
J9043	Cabazitaxel injection	4627	271005	60768349.52	1.55	1672.45	224.23	195.31	11410.97	207.19	12078.35	508.648	J9043	K	9276	$221.705								
J9045	Carboplatin injection	153738	1164338	12842354.25	0.07	495.1	11.03	6.41	44.67	5.92	45.32	606.388	J9045	N										
J9046	"Inj, bortezomib, dr. reddys"	2274	77152	273087.28	0.04	37.46	3.54	1.78	59.77	1.28	44.82	643.564	J9046	N										
J9047	"Injection, carfilzomib, 1 mg"	44149	4176611	212483411.3	0.75	317.11	50.87	46.5	4103.52	48.95	4409.37	436.382	J9047	K	9295	$51.847								
J9048	"Inj, bortezomib freseniuskab"	236	7061	53857.12	1.55	76.32	7.63	4.87	126.96	6.36	222.72	762.924	J9048	K	9027	$16.500								
J9049	"Inj, bortezomib, hospira"	2225	56397	249728.65	0.71	17.18	4.43	3.79	97.05	3.6	95.16	276.53	J9049	N										
J9050	Carmustine injection	204	673	594955.69	44.43	4843.45	884.04	656.6	2003	632.75	1736.23	184.292	J9050	K	0812	$145.597								
J9051	"Inj, bortezomib (maia)"	2	70	249.9	3.57	3.57	3.57	3.57	125.1	3.57	125.1	0	J9051	N										
J9052	"Inj, carmustine (accord)"												J9052	K	0718	$259.700								
J9054	Inj bortezomib boruzu 0.1 mg												J9054	G	2066	$26.265								
J9055	Cetuximab injection	17494	1227131	96109090.25	8.36	440.02	78.32	71.39	4658.59	73.31	4719.36	385.49	J9055	K	9215	$77.524								
J9056	"Inj, vivimusta, 1 mg"	411	66537	1604762.93	2.65	41.71	24.12	21.55	3483.86	27.56	3872.73	509.686	J9056	G	9154	$27.243								
J9057	"Inj., copanlisib, 1 mg"	69	4140	356689.2	0.28	137.19	86.16	76.88	4612.12	86.07	5164.1	242.72	J9057	E1										
J9058	Inj apotex/bendamustine 1 mg	429	65721	1526717.96	9.65	51.47	23.23	21.17	3057.81	18.49	2827.9	547.6		D										
J9059	"Inj bendamustine, baxter 1mg"	917	144885	2718236.74	9.43	41.11	18.76	17.29	2686.88	16.78	2577.49	506.062		D										
J9060	Cisplatin 10 mg injection	47090	359218	2799626.89	0.01	197.84	7.79	5.12	36.22	4.74	34.23	430.445	J9060	N										
J9061	"Inj, amivantamab-vmjw"	3706	1948197	37426214.98	4.06	246.2	19.21	17.55	8419.12	18.76	9268.56	1101.087	J9061	K	9432	$21.507								
J9063	"Inj, elahere, 1 mg"	5551	1943888	112426585.2	2.75	239.39	57.84	50.93	17369.76	54.75	18904.71	881.317	J9063	G	9109	$68.074								
J9064	"Inj, cabazitaxel (sandoz)"	2	120	17383.2	62.27	227.45	144.86	119.01	7140.73	144.86	8691.76	624.553	J9064	E2										
J9065	Inj cladribine per 1 mg	1115	15111	550805.19	1.44	150.97	36.45	29.46	383.36	38.48	410.28	209.186	J9065	N										
J9070	Cyclophosphamide 100 mg inj	13630	150313	8560988.07	0.82	1871.91	56.95	43.6	441.01	48.02	468.02	473.777		D										
J9071	Inj cyclophosphamd auromedic	1948	385332	543919.79	0.15	12.89	1.41	1.17	207.34	1.05	198.14	1105.99	J9071	K	9203	$0.869								
J9072	Inj cyclophos avyxa 5mg	120	23544	117195.74	0.03	7.97	4.98	4.47	819.39	4.51	877.29	513.852	J9072	G	0719	$9.053								
J9073	Inj cyclophosphamd (ingenus)	9638	1921026	7067777.03	0.04	268.34	3.68	2.32	436.34	2.67	468	3268.696	J9073	K	0741	$1.762								
J9074	"Inj, cyclophosphamd, sandoz"	1282	242738	688462.12	0.35	8.09	2.84	2.34	406.85	2.58	415.07	796.044	J9074	K	0785	$4.344								
J9075	"Inj, cyclophosphamide, nos"	22146	4746477	12110393.65	0.01	255.88	2.55	1.92	377.61	1.97	383.61	1884.361	J9075	K	0743	$0.799								
J9076	"Inj, cyclophos (baxter) 5mg"												J9076	E2										
J9098	Cytarabine liposome inj												J9098	E2										
J9100	Cytarabine hcl 100 mg inj	3980	38780	118120.1	0.11	172.82	3.05	1.65	11.09	1.33	12.45	833.03	J9100	N										
J9118	Inj. calaspargase pegol-mknl												J9118	K	0870	$76.527								
J9119	"Inj., cemiplimab-rwlc, 1 mg"	15465	5412230	144198701.7	0.01	173.76	26.64	24.3	8504.56	24.81	8684.01	872.469	J9119	K	9304	$28.921								
J9120	Dactinomycin injection	62	215	218392.3	8.34	1930.34	1015.78	816.23	1998.78	826.83	2493.39	100.882	J9120	K	0752	$288.796								
J9130	Dacarbazine 100 mg inj	3670	31107	326787.52	0.27	140.42	10.51	7.67	62.46	7.66	61.11	340.614	J9130	N										
J9144	"Daratumumab, hyaluronidase"	150297	27053078	1371837020	0.14	325.93	50.71	46.14	8304.2	48.34	8701	677.56	J9144	K	9378	$52.992								
J9145	"Injection, daratumumab 10 mg"	7079	881168	53535078.94	4.11	231.47	60.75	54.97	6651.96	57.49	6941.04	492.61	J9145	K	9476	$67.625								
J9150	Daunorubicin injection	21	108	6300.71	21.48	98.08	58.34	54.89	280.83	62.37	310.74	76.242	J9150	N										
J9151	Daunorubicin citrate inj												J9151	E2										
J9153	"Inj daunorubicin, cytarabine"	195	16972	3459511.65	53.49	494.05	203.84	180.23	15366.5	209.49	15732.6	450.314	J9153	K	9302	$249.021								
J9155	Degarelix injection	13790	1485000	8776469.2	0.03	49.03	5.91	5.21	515.38	5.7	511.93	584.917	J9155	K	1296	$4.357								
J9161	Inj denileuk difti-cxdl 1mcg												J9161	E2										
J9165	Diethylstilbestrol injection												J9165	E2										
J9171	Docetaxel injection	59545	5943131	25778806.73	0.01	205.58	4.34	2.27	199.09	2.09	181.75	1432.214	J9171	N										
J9172	"Docetaxel (docivyx), 1 mg"	162	14414	28645.01	0.55	14.25	1.99	1.62	118.02	1.32	144.18	994.712	J9172	G	0757	$51.620								
J9173	"Inj., durvalumab, 10 mg"	43554	5691966	430699605.1	0.62	489.95	75.67	69.53	8674.84	70.88	9441.6	495.008	J9173	K	9492	$83.868								
J9174	"Inj, docetaxel (beizray) 1mg"												J9174	G	0841	$52.470								
J9175	Elliotts b solution per ml	103	600	7669.54	3.28	18.65	12.78	12.24	61.37	14.16	63.36	59.788	J9175	N										
J9176	"Injection, elotuzumab, 1mg"	5367	5901639	42822024.81	0.78	44.35	7.26	6.64	6748.7	7	6763.34	1545.629	J9176	K	9477	$7.732								
J9177	Inj enfort vedo-ejfv 0.25mg	30942	10021054	334165315.4	0.27	359.08	33.35	30.24	9399.12	31.72	9694.3	895.965	J9177	K	9364	$36.642								
J9178	"Inj, epirubicin hcl, 2 mg"	28	1479	4162.69	0.03	9.51	2.81	1.61	76.98	2.47	112.49	627.174	J9178	N										
J9179	Eribulin mesylate injection	4509	107115	15232925.19	25.95	857.69	142.21	129.21	2950.14	135.44	3049.15	250.233	J9179	K	1426	$118.749								
J9181	Etoposide injection	51029	882185	2294214.67	0.05	89.86	2.6	1.56	26.33	1.32	22.95	672.039	J9181	N										
J9185	Fludarabine phosphate inj	4369	6819	1809552.32	5.98	4366.65	265.37	146.15	221.3	163.81	241.25	231.044	J9185	N										
J9190	Fluorouracil injection	161400	1451936	11780903.12	0.02	507.02	8.11	5.18	43.34	4.68	41.62	493.554	J9190	N										
J9196	Inj gemcitabine hcl (accord)	3670	30119	688941.98	0.47	238.53	22.87	14.5	114.69	13.66	111.06	435.994	J9196	N										
J9198	"Inj. infugem, 100 mg"	16	92	1551.88	4.76	97.59	16.87	7.06	96.99	4.76	97.59	459.002	J9198	E1										
J9199	"Injection, infugem, 200 mg"													D										
J9200	Floxuridine injection	574	574	709263.94	13.32	7280.39	1235.65	548.64	548.64	564.28	564.28	118.902	J9200	K	0827	"$3,988.333"								
J9201	In gemcitabine hcl nos 200mg	138849	1132811	15912776.18	0.04	1021.6	14.05	8.63	68.27	8.2	66	541.028	J9201	N										
J9202	Goserelin acetate implant	4852	9265	8067370.58	91.28	3864.85	870.74	756.91	1248.36	767.97	1210.72	80.263	J9202	E1										
J9203	Gemtuzumab ozogamicin 0.1 mg	114	5860	1167932.35	19.14	329.98	199.31	182.54	8691.75	196.27	9918.14	252.834	J9203	K	9495	$233.119								
J9204	"Inj mogamulizumab-kpkc, 1 mg"	2472	204644	43636321.95	4.81	948.6	213.23	196.07	15726.24	205.88	16128.75	401.833	J9204	K	9182	$243.625								
J9205	Inj irinotecan liposome 1 mg	6633	755806	46315698.21	1.92	391.29	61.28	55.23	6045.69	57.86	6376.59	556.301	J9205	K	9474	$65.278								
J9206	Irinotecan injection	71838	999376	11358236.21	0.01	486.51	11.37	6.61	88.21	6.65	93.95	849.222	J9206	N										
J9207	Ixabepilone injection	254	11907	1288987.66	24	276.09	108.25	96.36	4182.22	98.34	4424.97	324.414	J9207	K	9240	$136.207								
J9208	Ifosfamide injection	800	3294	143623.14	5.1	390.76	43.6	35.99	144.59	33.59	130.79	204.169	J9208	N										
J9209	Mesna injection	1613	18556	120617.18	0.23	95.63	6.5	4.12	34.88	4.16	32.82	488.253	J9209	N										
J9210	"Inj., emapalumab-lzsg, 1 mg"	39	8478	3109780.16	136.08	3044.2	366.81	343.44	64002.13	434.65	109428.8	668.887	J9210	K	9310	$381.503								
J9211	Idarubicin hcl injection	16	36	10682.92	29.13	488.76	296.75	175.99	480.6	488.76	977.52	112.557	J9211	N										
J9212	Interferon alfacon-1 inj												J9212	E1										
J9213	Interferon alfa-2a inj												J9213	E1										
J9214	Interferon alfa-2b inj	2	2	17.54	8.77	8.77	8.77	8.77	8.77	8.77	8.77	0	J9214	N										
J9215	Interferon alfa-n3 inj												J9215	E2										
J9216	Interferon gamma 1-b inj	49	49	305842.32	6241.68	6241.68	6241.68	6241.68	6241.68	6241.68	6241.68	0	J9216	E1										
J9217	Leuprolide acetate suspnsion	128019	435208	294227150.1	3.73	14897.64	676.06	394.84	1266.27	352.3	1147.8	205.104	J9217	K	9217	$172.288								
J9218	Leuprolide acetate injeciton												J9218	E1										
J9219	Leuprolide acetate implant	58	75	510.03	1.12	31.24	6.8	3.77	3.59	4.9	1.54	124.678	J9219	N										
J9220	Indigotindisulfonate sod 1mg												J9220	G	0821	$9.956								
J9223	"Inj. lurbinectedin, 0.1 mg"	4422	321880	59110361.89	10.3	1145.16	183.64	168.53	12018.48	175.72	12565.18	386.434	J9223	K	9389	$205.036								
J9225	Vantas implant												J9225	E2										
J9226	Supprelin la implant												J9226	K	1142	"$45,212.040"								
J9227	Inj. isatuximab-irfc 10 mg	4923	394906	30147193.23	12.92	469.72	76.34	70.48	5487.01	75.88	5703.1	433.339	J9227	K	9377	$78.855								
J9228	Ipilimumab injection	12275	1583045	251050468.7	0.01	1038.05	158.59	145.89	16555.4	155.72	16370.62	473.957	J9228	K	9284	$180.215								
J9229	Inj inotuzumab ozogam 0.1 mg	435	5085	11938113.84	344.29	5265.31	2347.71	2106.17	23116.2	2253.94	24677.19	149.079	J9229	K	9028	"$2,658.129"								
J9230	Mechlorethamine hcl inj												J9230	E2										
J9245	Inj melpha hydroch nos 50 mg	267	1420	492801.48	17.32	1767.14	347.04	275.96	1100.62	262.77	1324.43	167.739	J9245	K	0840	$157.102								
J9246	"Inj., evomela, 1 mg"	131	36242	1181443	9.16	70.76	32.6	28.49	7392.79	26.89	6740.04	870.692	J9246	K	9375	$18.498								
J9247	"Inj, melphalan flufenami 1mg"													D										
J9248	Inj melphalan (hepzato) 1 mg	24	5146	3049516.92	396.61	1437.65	592.6	550.48	115977.6	478.33	99152.25	662.916	J9248	E1										
J9249	"Inj, melphalan (apotex) 1 mg"												J9249	G	0842	$64.778								
J9250	Methotrexate sodium inj	993	9003	21532.81	0.01	156.37	2.39	0.69	6.71	0.59	7.08	912.87		D										
J9255	"Inj, methotrexate (accord)"	186	394	6479.62	0.35	167.89	16.45	4.87	12.86	3.21	12.81	213.144	J9255	N										
J9258	Paclitaxel (teva)	470	78049	102967.76	0.09	24.64	1.32	0.41	61.8	0.33	57.99	3818.226		D										
J9259	Paclitaxel (american regent)	9725	2129825	33054943.53	1.78	81.14	15.52	14.62	3099.93	14.39	3028.02	542.731		D										
J9260	Inj methotrexate sodium 50mg	6519	8661	167008.23	0.05	235.74	19.28	6.33	8.77	5.52	8.29	193.819	J9260	N										
J9261	Nelarabine injection	27	750	116226.8	75.87	226.36	154.97	138.53	3716.25	104.16	2604.03	240.139	J9261	K	0825	$63.184								
J9262	"Inj, omacetaxine mep, 0.01mg"	3	1052	4492.04	4.27	4.27	4.27	4.27	1495.85	4.27	1497.3	0	J9262	E1										
J9263	Oxaliplatin	91063	28150775	22503233.74	0.01	22.53	0.8	0.32	95.48	0.32	97.03	4124.042	J9263	N										
J9264	Paclitaxel protein bound	43822	9493765	144039224	0.84	96.72	15.17	13.73	2832.9	14.44	3026.9	719.176	J9264	K	1712	$13.064								
J9266	Pegaspargase injection	60	60	1230044.23	1457.31	41272.25	20500.74	17115.82	17115.82	16048.53	16048.53	56.073	J9266	K	0843	"$27,070.534"								
J9267	Paclitaxel injection	136085	23691489	13272687.45	0.01	58.34	0.56	0.33	53.65	0.32	52.1	2889.469	J9267	N										
J9268	Pentostatin injection	104	104	252442.17	132.93	5743.07	2427.33	1852.46	1852.46	2499.42	2499.42	55.062	J9268	K	0844	"$2,673.431"								
J9269	Inj. tagraxofusp-erzs 10 mcg	218	28166	8335292.04	129.02	537.2	295.93	254.09	36178.33	153.3	39953.55	612.096	J9269	K	9309	$338.532								
J9270	Plicamycin (mithramycin) inj												J9270	E2										
J9271	Inj pembrolizumab	248734	57368926	2990749561	0.07	338.06	52.13	47.84	10628.73	50.34	10665.31	674.764	J9271	K	1490	$59.349								
J9272	"Inj, dostarlimab-gxly, 10 mg"	5127	338580	70452205.1	20.32	1379.17	208.08	186.73	11667.99	197.04	11729.33	402.567	J9272	K	9431	$240.135								
J9273	"Inj tisotu vedotin-tftv, 1mg"	602	70515	12045859.3	2.99	658.09	170.83	145.75	16437.47	164.6	18587.29	580.119	J9273	K	9204	$188.651								
J9274	"Inj, tebentafusp-tebn, 1 mcg"	2513	238854	50428231.92	55.77	1232.4	211.13	188.76	17724.77	192.02	17021.67	694.765	J9274	K	9446	$214.756								
J9275	"Inj cosibelimab-ipdl, 2 mg"												J9275	E2										
J9276	"Inj zanidatamab-hrii, 2 mg"												J9276	G	2062	$25.122								
J9280	Mitomycin injection	8269	49696	5706511.18	0.21	1540.36	114.83	79.12	393.01	95.44	483.25	217.09	J9280	K	1232	$25.602								
J9281	Mitomycin instillation	869	65895	18324069.38	2.24	845.46	278.08	238.09	16779.89	266.28	20259.21	429.395	J9281	K	9374	$312.995								
J9285	"Inj, olaratumab, 10 mg"												J9285	E2										
J9286	"Inj glofitamab gxbm, 2.5 mg"	1050	11492	28107243.2	0.03	9415.51	2445.81	1976.96	20736.14	2402.74	27292.53	141.085	J9286	G	0720	"$2,772.798"								
J9289	Inj nivolumab 2 mg hyaluron												J9289	G	0848	$26.736								
J9292	"Inj, pemetrexed (avyxa) 10mg"												J9292	G	2076	$81.370								
J9293	Mitoxantrone hydrochl / 5 mg	94	498	40091.25	17.4	535.4	80.5	56.93	311.17	48.39	251.95	280.64	J9293	K	0864	$27.693								
J9294	"Inj pemetrexed, hospira 10mg"	1536	132437	815813.92	0.32	238.26	6.16	3.97	328.41	3.57	311.81	1359.81	J9294	K	9123	$3.860								
J9295	"Injection, necitumumab, 1 mg"	6	4020	29087.4	6.96	62.37	7.24	7.04	4341.2	6.96	5570.96	1527.764	J9295	K	9475	$5.731								
J9296	Inj pemetrexed (accord) 10mg	157	10001	77721.56	0.94	50.91	7.77	5.83	354.01	5.49	439.52	691.247	J9296	K	9127	$9.736								
J9297	Inj pemetrexed (sandoz) 10mg	382	29636	245254.21	0.67	107.57	8.28	3.51	245.01	2.69	178.9	1888.023	J9297	N										
J9298	Inj nivol relatlimab 3mg/1mg	6655	1058430	181573083.4	7.56	1105	171.55	156.94	24960.96	166.36	26556.1	605.122	J9298	K	9057	$194.077								
J9299	"Injection, nivolumab"	91093	32447693	961832736.4	0.15	189.71	29.64	27.15	9055.58	28.2	9204.05	881.531	J9299	K	9453	$32.352								
J9301	Obinutuzumab inj	12868	1276298	98035396.65	1.97	693.79	76.81	70.08	6948.2	74.01	7311.47	498.524	J9301	K	1476	$75.212								
J9302	Ofatumumab injection												J9302	K	9260	$62.234								
J9303	Panitumumab injection	10535	477173	71379951.97	4.18	592.62	149.59	135.4	5827.54	144.27	6173.54	289.145	J9303	K	9235	$164.923								
J9304	"Inj. pemetrexed, 10 mg"	2209	194410	13329810.95	1.31	175.3	68.57	59.67	5151.09	82.42	6346.04	371.031	J9304	K	9442	$46.350								
J9305	Inj. pemetrexed nos 10mg	35967	3154281	55550325.15	0.03	259.89	17.61	5.88	505.95	3.8	341.77	1526.27	J9305	K	9213	$3.771								
J9306	"Injection, pertuzumab, 1 mg"	22328	9377339	134136678.3	0.73	94.53	14.3	13.11	5505.37	13.56	5696.68	895.584	J9306	K	1471	$16.229								
J9307	Pralatrexate injection	820	37243	12876185.94	17.46	602.86	345.73	307.49	13265.85	352.78	14111.24	278.178	J9307	K	9259	$373.768								
J9308	"Injection, ramucirumab"	8108	1077655	71690150.06	13.52	434.39	66.52	60.84	7808.17	64.23	8181.32	550.989	J9308	K	1488	$73.368								
J9309	"Inj, polatuzumab vedotin 1mg"	6048	886763	102746534.1	1.97	762.24	115.87	105.06	14963.5	110.36	15483.33	598.485	J9309	K	9331	$132.725								
J9311	"Inj rituximab, hyaluronidase"	5342	749950	34262745.87	3.23	242.89	45.69	42.25	5933.18	41.97	5905.97	483.231	J9311	K	9467	$37.526								
J9312	"Inj., rituximab, 10 mg"	25015	2053488	180403472.3	0.29	927.47	87.85	80.66	6465.97	84.14	6854.8	381.082	J9312	K	9186	$76.433								
J9313	"Inj., lumoxiti, 0.01 mg"												J9313	K	9305	$23.394								
J9314	Inj pemetrexed (teva) 10mg	218	19839	382216.38	8.07	70.31	19.27	17.66	1564.58	15.52	1519.88	568.739	J9314	K	9105	$8.370								
J9315	Romidepsin injection													D										
J9316	"Pertuzu, trastuzu, 10 mg"	7275	835657	63449225.12	6.63	420.17	75.93	68.28	7842.01	71.93	8505.33	512.741	J9316	K	9390	$62.993								
J9317	Sacituzumab govitecan-hziy	16478	4252757	134717889.1	2.83	190.53	31.68	28.86	7167.4	30.51	7342.43	714.05	J9317	K	9376	$35.800								
J9318	Inj romidepsin non-lyo 0.1mg	15	4400	97255	17.8	25.13	22.1	21.94	6405.36	21.77	6531.22	211.617	J9318	K	9428	$28.517								
J9319	Inj romidepsin lyophil 0.1mg	1875	493152	16369412.81	1.72	83.66	33.19	31.09	8000.83	34.27	8163.34	546.608	J9319	K	9429	$31.541								
J9320	Streptozocin injection												J9320	E2										
J9321	"Inj epcoritamab-bysp, 0.1 mg"												J9321	G	9250	$54.861								
J9322	Inj pemetrexed (bluepoint)	97	5479	105940.73	0.09	122.75	19.34	8.76	364.56	11.13	615.52	1149.736	J9322	K	0871	$10.000								
J9323	Inj pemetrexed ditromethamin	195	17138	177866.44	1.77	26.38	10.38	8.95	755.52	10.27	853.42	443.286	J9323	K	9156	$10.343								
J9324	"Inj, pemrydi rtu, 10 mg"	12	1118	24027.21	15.97	50.01	21.49	19.24	1785.27	16.02	1601.8	586.042	J9324	G	0782	$81.057								
J9325	Inj talimogene laherparepvec	1606	287740	19205806.03	9.28	7136.12	66.75	62.01	6110.07	66.5	9878.9	702.787	J9325	K	9472	$70.376								
J9328	Temozolomide injection	48	9384	78938.88	3.7	11.79	8.41	7.96	1237.31	8.27	1341.7	441.932	J9328	K	9253	$10.406								
J9329	"Inj, tislelizumab-jsgr"												J9329	G	0816	$56.279								
J9330	Temsirolimus injection	596	15064	1249974.65	18.39	976.64	82.98	62.97	1579.61	59.49	1451.7	688.493	J9330	K	1168	$30.317								
J9331	Inj sirolimus prot part 1 mg	192	33625	2894041.59	50.99	144.6	86.07	82.68	13773.5	81.7	13724.03	384.662	J9331	K	9241	$80.931								
J9332	Inj efgartigimod 2mg	10051	5202517	148372629.5	1.1	181.94	28.52	26.51	13473.94	26.95	13596.89	885.507	J9332	K	9010	$32.375								
J9333	Inj ronzanolixizum-noli 1 mg	235	157640	3534440	12.43	98.6	22.42	20.61	13482.51	19.78	13346.28	1492.367	J9333	G	0721	$22.842								
J9334	Inj efgart-alfa 2mg hya-qvfc	2292	1155844	32883495.76	4.89	191.33	28.45	26.22	13222.18	25.79	13055.31	1091.618	J9334	K	0723	$33.371								
J9340	Thiotepa injection	135	754	305036.31	117.76	812.43	404.56	382.64	671.83	381.57	374.72	86.631		K	0851	$245.049								
J9341	Inj thiotepa (tepylute) 1 mg												J9341	E2										
J9342	Inj thiotepa nos 1 mg												J9342	K	0847	$12.236								
J9345	"Inj, retifanlimab-dlwr, 1 mg"	19	9500	241980	9.74	46.28	25.47	23.49	11742.88	21.46	10730.61	998.582	J9345	G	9280	$29.736								
J9347	"Inj, tremelimumab-actl, 1 mg"	758	190501	22292384.45	9.28	433.25	117.02	107.67	24054.32	114.15	29213.67	636.288	J9347	G	9110	$138.244								
J9348	"Inj. naxitamab-gqgk, 1 mg"												J9348	K	9408	$641.829								
J9349	"Inj., tafasitamab-cxix"	3465	1680052	23095630.29	4.3	80.8	13.75	12.51	5863.34	12.97	6005.97	1151.213	J9349	K	9385	$13.925								
J9350	"Inj mosunetuzumab-axgb, 1 mg"	980	28759	16894955.87	115.84	4679.81	587.47	533.48	9801.89	580.8	16527.7	235.916	J9350	G	9150	$640.956								
J9351	Topotecan injection	6153	236046	1194428.32	0.13	105.06	5.06	3.16	100.2	3.25	106.48	719.877	J9351	N										
J9352	Injection trabectedin 0.1mg	1107	28776	9918077.82	22.14	2097.38	344.66	303.4	7705.43	313.68	7691.91	341.165	J9352	K	9480	$363.832								
J9353	"Inj. margetuximab-cmkb, 5 mg"	290	59388	2725367.05	17.09	107.58	45.89	43.19	8761.71	46.69	9002.65	493.641	J9353	K	9418	$48.530								
J9354	"Inj, ado-trastuzumab emt 1mg"	7675	1931253	70806824.39	0.45	331.22	36.66	33.71	8234.43	35.09	8281.73	699.14	J9354	K	9131	$41.105								
J9355	Inj trastuzumab excl biosimi	15633	719271	70906891.98	6.56	384.25	98.58	91.34	3973.55	95.44	4307.66	263.272	J9355	K	1613	$75.692								
J9356	"Inj. herceptin hylecta, 10mg"	4222	253320	19399352.4	3.32	661.12	76.58	67.2	4032.14	66.64	3998.2	550.532	J9356	K	9314	$62.916								
J9357	Valrubicin injection	445	1780	2302882.8	435.66	4334.72	1293.75	1255.05	5020.19	1293.35	5173.38	59.991	J9357	K	1235	"$1,444.550"								
J9358	Inj fam-trastu deru-nxki 1mg	30577	11298762	291861371.5	0.02	164.35	25.83	23.68	8464.24	24.96	8683.48	804.681	J9358	K	9353	$28.901								
J9359	Inj lon tesirin-lpyl 0.075mg	583	84490	14987680.53	34.33	3305.97	177.39	163.93	22293.61	177.37	23315.9	622.02	J9359	K	9205	$211.995								
J9360	Vinblastine sulfate inj	3327	34153	257142.98	0.49	194.74	7.53	6.17	61.24	6.01	60.46	380.609	J9360	N										
J9361	"Inj, efbemalenograstim alfa-"												J9361	E2										
J9370	Vincristine sulfate 1 mg inj	16815	27648	547171.48	0.58	351.21	19.79	12.87	21.12	11.09	19.84	164.183	J9370	N										
J9371	"Inj, vincristine sul lip 1mg"													D										
J9376	"Inj pozelimab-bbfg, 1 mg"												J9376	E2										
J9380	Inj teclistamab cqyv 0.5 mg	13276	3983396	121878329.9	0.78	176.78	30.6	27.8	8106.28	28.66	8408.4	883.279	J9380	G	9111	$32.419								
J9381	Inj teplizumab mzwv 5 mcg	14	5600	171472	30.62	30.62	30.62	30.62	12246.25	30.62	12246.25	0	J9381	G	9112	$37.307								
J9382	Inj zenocutuzumab-zbco 1 mg												J9382	G	0853	$32.617								
J9390	Vinorelbine tartrate inj	4488	20219	464136.7	2.09	148.2	22.96	18.02	81.41	17.05	80.25	179.569	J9390	N										
J9393	"Inj, fulvestrant (teva)"	136	2720	111254.8	1.8	103.24	40.9	30.87	617.46	32.55	651.02	309.602	J9393	K	9102	$46.210								
J9394	"Inj, fulvestrant (fresenius)"	3793	75852	2906937.88	0.46	234.03	38.32	24.06	481.26	36.29	725.87	410.97	J9394	N										
J9395	"Injection, fulvestrant"	64771	1295425	42232542.95	0.01	2126.61	32.6	16.98	339.64	13.34	266.7	616.79	J9395	N										
J9400	"Inj, ziv-aflibercept, 1mg"	52	16673	149367.12	4.97	13.36	8.96	8.61	2578.27	8.52	2673.51	494.534	J9400	K	9296	$8.298								
J9600	Porfimer sodium injection	35	76	1417048.51	3266.14	35530.9	18645.38	16864.33	34380.77	20521.53	41532.24	59.055	J9600	E1										
J9999	Chemotherapy drug												J9999	N										
P9041	"Albumin (human),5%, 50ml"												P9041	K	0961	$10.615								
P9045	"Albumin (human), 5%, 250 ml"	37984	199716	14945936.09	1.39	2212.33	74.84	60.27	189.42	58.59	145.6	310.734	P9045	K	0963	$53.077								
P9046	"Albumin (human), 25%, 20 ml"	4974	41933	1160810.67	1.21	210.68	27.68	24.22	184.04	23.25	192.24	158.925	P9046	K	0964	$21.231								
P9047	"Albumin (human), 25%, 50ml"												P9047	K	0965	$53.077								
Q0138	"Ferumoxytol, non-esrd"	76422	39085655	53555182.65	0.03	17.22	1.37	1.04	531.68	1.12	572.72	1671.465	Q0138	K	1297	$0.328								
Q0139	"Ferumoxytol, esrd use"	867	442154	751928.07	0.09	5.82	1.7	1.34	681.56	1.62	827.47	1267.797	Q0139	K	1485	$0.328								
Q0155	Dronabinol (syndros) 0.1 mg												Q0155	N										
Q0161	Chlorpromazine hcl 5mg oral	769	20996	16327.65	0.01	34.79	0.78	0.51	9.31	0.75	9.15	567.397	Q0161	N										
Q0162	Ondansetron oral	128461	1233740	1043874.62	0.01	78.03	0.85	0.18	2.1	0.11	1.45	721.988	Q0162	N										
Q0163	Diphenhydramine hcl 50mg	69620	69620	40822.37	0.01	21.04	0.59	0.19	0.19	0.21	0.21	182.14	Q0163	N										
Q0164	Prochlorperazine maleate 5mg	13184	24759	21410.47	0.04	11.2	0.86	0.71	1.3	0.82	1.52	99.381	Q0164	N										
Q0166	Granisetron hcl 1 mg oral	4419	6305	72134.42	0.3	104.85	11.44	3.82	5.08	2.54	3.39	218.056	Q0166	N										
Q0167	Dronabinol 2.5mg oral	863	2197	12085.36	0.14	76.93	5.5	4.28	8.89	4.09	10.04	132.432	Q0167	N										
Q0169	Promethazine hcl 12.5mg oral	2606	4725	3760.73	0.01	13.48	0.8	0.45	0.78	0.49	0.79	172.2	Q0169	N										
Q0173	Trimethobenzamide hcl 250mg	4	8	59.88	6.9	8.07	7.48	7.46	14.92	7.49	14.97	12.763	Q0173	N										
Q0174	Thiethylperazine maleate10mg												Q0174	E2										
Q0175	Perphenazine 4mg oral	434	862	1639.27	0.11	9.93	1.9	1.37	2.84	1.43	3.29	99.755	Q0175	N										
Q0177	Hydroxyzine pamoate 25mg	5634	8209	7875.71	0.02	7.51	0.96	0.62	0.82	0.66	0.89	109.936	Q0177	N										
Q0180	Dolasetron mesylate oral												Q0180	E2										
Q0224	"Inj, pemivibart, 4500 mg"												Q0224	L										
Q0239	Bamlanivimab-xxxx													D										
Q0249	Tocilizumab for covid-19												Q0249	L										
Q0515	Sermorelin acetate injection													D										
Q0516	Supply fee hiv prep oral 30													D										
Q0517	Supply fee hiv prep oral 60													D										
Q0518	Supply fee hiv prep oral 90													D										
Q0519	Supply fee hiv prep inj 30													D										
Q0520	Supply fee hiv prep inj 60													D										
Q0521	Supply fee hiv prep fda appr												Q0521	M										
Q2004	Bladder calculi irrig sol	4	4	362.96	90.74	90.74	90.74	90.74	90.74	90.74	90.74	0	Q2004	N										
Q2009	Fosphenytoin inj pe	1177	21066	171394.66	0.25	183.37	8.14	5.53	87.45	6.42	95.58	457.003	Q2009	N										
Q2017	"Teniposide, 50 mg"												Q2017	E2										
Q2026	Radiesse injection	19	68	12079.78	20.77	910.98	177.64	51.35	526.26	24.86	806.46	329.866	Q2026	K	9094	$333.420								
Q2028	"Inj, sculptra, 0.5mg"	7	1479	1216.24	0.81	4.15	0.82	0.82	8.58	0.81	5.17	327.688	Q2028	K	9095	$1.000								
Q2039	"Influenza virus vaccine, nos"	246	246	3496.43	4.95	54.75	14.21	13.19	13.19	9.81	9.81	42.93	Q2039	L										
Q2041	Axicabtagene ciloleucel car+	28	28	13286059.92	42428.75	11173.76	474502.1	322103.7	322103.7	454416.7	454416.7	71.747	Q2041	K	9035	"$502,840.728"								
Q2042	Tisagenlecleucel car-pos t	16	16	5371211.46	156771.9	717250	335700.7	280281.9	280281.9	212697	212697	61.188	Q2042	K	9194	"$578,771.123"								
Q2043	Sipuleucel-t auto cd54+	363	363	21642218.77	19085.91	118297.5	59620.44	56518.21	56518.21	63845.44	63845.44	30.401	Q2043	K	9273	"$57,017.103"								
Q2049	Imported lipodox inj	11	53	15689.75	107.13	736.56	296.03	229.77	1011.67	182.15	794.56	186.706	Q2049	K	1421	$528.860								
Q2050	Doxorubicin inj 10mg	12355	78072	20128499.07	5.98	3582.32	257.82	206.02	1244.5	219.76	1292.62	185.706	Q2050	K	7046	$150.409								
Q2053	Brexucabtagene car pos t	8	8	3122214.11	148050.3	11173.76	390276.8	317719.2	317719.2	333246.8	333246.8	80.168	Q2053	K	9391	"$489,399.157"								
Q2054	Lisocabtagene mara car pos t	92	92	44664775.31	153847.9	11818.4	485486.7	423036.1	423036.1	438421.1	438421.1	56.254	Q2054	K	9413	"$516,442.285"								
Q2055	Idecabtagene vicleucel car	6	6	1889929.8	144309.7	466640.3	314988.3	283502.3	283502.3	356181	356181	44.19	Q2055	K	9422	"$527,622.462"								
Q2056	Ciltacabtagene car-pos t	171	171	84478410.88	177709	12624.2	494025.8	425555.8	425555.8	479189.5	479189.5	60.711	Q2056	K	9498	"$553,169.299"								
Q2057	Afamitresgene autoleucel												Q2057	G	2067	"$770,620.000"								
Q2058	Obecbtge autol up to 400 mil												Q2058	G	0831	"$270,375.000"								
Q3027	Inj beta interferon im 1 mcg	281	7125	400386.6	7.85	1670.02	56.19	36.86	1157.4	41.87	1256.15	1182.172	Q3027	E1										
Q4081	"Epoetin alfa, 100 units esrd"	1719	148636	377323.99	0.12	72.18	2.54	2.08	164.89	2.14	177.42	1089.163	Q4081	N										
Q4100	"Skin substitute, nos"	3319	67450	7894532.12	0.01	49296.29	117.04	4.79	1153.41	1.6	1348.98	3355.492	Q4100	N										
Q4101	Apligraf	5643	248956	9378186.72	0.19	3316.71	37.67	29.96	1263.86	30.1	1304.11	762.239	Q4101	N										
Q4102	Oasis wound matrix	1038	14764	326939.21	0.22	219.22	22.14	10.27	141.33	10.02	134.17	616.925	Q4102	N										
Q4103	Oasis burn matrix	635	27101	447946.67	0.01	1604.46	16.53	9.34	261.85	7.74	307.31	1452.786	Q4103	N										
Q4104	Integra bmwd	1586	83434	6039986.73	0.02	30267.24	72.39	35.83	2759.15	32.75	3191.08	3805.102	Q4104	N										
Q4105	Integra drt or omnigraft	232	6228	650427.31	0.22	12588.7	104.44	35.63	566.45	38.57	1558.2	2758.82	Q4105	N										
Q4106	Dermagraft	23	172	10917.92	1.81	1621.03	63.48	17.6	143.46	18.58	103.01	790.977	Q4106	N										
Q4107	Graftjacket	243	4243	690352.47	0.22	17225.98	162.7	87.69	2010.04	76.2	2438.53	1416.069	Q4107	N										
Q4108	Integra matrix	183	7699	507874.63	3.31	10826.65	65.97	30.82	1494.42	30.57	2428.2	2829.098	Q4108	N										
Q4110	Primatrix	29	296	28427.04	3.66	2361.1	96.04	18.68	443.97	31.48	860.8	1182.617	Q4110	N										
Q4111	Gammagraft	22	1362	7671.91	1.88	368.76	5.63	4.11	213.19	3.47	254.4	1549.665	Q4111	N										
Q4112	Cymetra injectable												Q4112	N										
Q4113	Graftjacket xpress	1	8	2406.88	300.86	300.86	300.86	300.86	2406.85	300.86	2406.85		Q4113	N										
Q4114	Integra flowable wound matri	267	924	199212.82	8.22	3642.84	215.6	47.6	255.72	24.67	215	443.13	Q4114	N										
Q4115	Alloskin	42	4994	28571.43	2.63	1294.93	5.72	3.44	450.68	2.64	518.04	8756.644	Q4115	N										
Q4116	Alloderm	2455	470009	23149237.49	0.02	55494.57	49.25	31.95	4095.62	34.56	6515.28	10800.31	Q4116	N										
Q4117	Hyalomatrix	35	449	6570.3	7.05	51.42	14.63	12.65	118.97	15.83	160.72	216.777	Q4117	N										
Q4118	Matristem micromatrix	831	327910	1239388.17	0.01	11185.5	3.78	2.12	646.12	2.36	933.85	31989.37	Q4118	N										
Q4121	Theraskin	4195	77807	5223019.65	1.26	23534.61	67.13	41.66	715.13	38.2	825.04	1546.703	Q4121	N										
Q4122	"Dermacell, awm, porous sq cm"	248	43716	2295105.01	0.02	15591.24	52.5	27.2	3904.86	30.73	6096.69	10727.62	Q4122	N										
Q4123	Alloskin	5	91	4521.23	32.4	1285.03	49.68	36.34	552.36	32.4	595.06	1254.718	Q4123	N										
Q4124	Oasis tri-layer wound matrix	413	11711	206921.27	0.64	1896.91	17.67	10.02	184.02	13.25	152.41	1403.462	Q4124	N										
Q4125	Arthroflex	752	17063	1901771.76	0.05	9335.34	111.46	17.68	1723.33	18.61	2114.65	1807.27	Q4125	N										
Q4126	Memoderm/derma/tranz/integup	41	2846	160913.29	17.99	6794.09	56.54	36.88	1767.41	35.32	1624.1	3801.658	Q4126	N										
Q4127	Talymed	39	447	19494.05	25.65	67.78	43.61	41.15	491.05	46.99	444.62	112.831	Q4127	N										
Q4128	Flexhd/allopatchhd/sq cm	865	134456	4731899.81	0.01	23876.61	35.19	19.96	1726.48	22.05	1910.13	9632.266	Q4128	N										
Q4130	Strattice tm	140	14466	544352.77	1.15	19545.39	37.63	24.01	1704.76	26.75	2048.63	7975.683	Q4130	N										
Q4132	"Grafix core, grafixpl core"	327	1730	387151.6	1.95	5913.9	223.79	142.66	689.66	161.19	687.06	481.218	Q4132	N										
Q4133	Grafix stravix prime pl sqcm	14975	86370	16952196.96	0.42	10861.14	196.27	136.93	677.81	132.08	722.73	332.752	Q4133	N										
Q4134	Hmatrix	2	3	2784.1	8.85	2766.4	928.03	60.06	221.22	8.85	1392.05	242.613	Q4134	N										
Q4135	Mediskin	1	1	39.64	39.64	39.64	39.64	39.64	39.64	39.64	39.64		Q4135	N										
Q4136	Ezderm	19	77	4941.69	1.43	476.59	64.18	4.26	83.84	1.44	476.59	513.566	Q4136	N										
Q4137	Amnioexcel biodexcel 1sq cm	1133	10862	1463223.49	3.74	5638.32	134.71	79.66	605.22	88.62	570.97	494.306	Q4137	N										
Q4138	"Biodfence dryflex, 1cm"	3	72	2776.43	19.09	1135.85	38.56	21	772.96	19.09	1135.85	2091.707	Q4138	N										
Q4139	"Amnio or biodmatrix, inj 1cc"												Q4139	N										
Q4140	Biodfence 1cm	204	3563	514863.69	9.42	10378.36	144.5	110.18	2032.13	122.44	2372.23	835.956	Q4140	N										
Q4141	"Alloskin ac, 1 cm"	2	104	6008.41	48.81	980.98	57.77	50.24	2220.73	48.81	3004.12	1605.724	Q4141	N										
Q4142	Xcm biologic tiss matrix 1cm	3	130	644.32	1.79	207.6	4.96	1.93	214.42	1.79	207.6	4120.42	Q4142	N										
Q4143	"Repriza, 1cm"	1	4	316.88	79.22	79.22	79.22	79.22	316.87	79.22	316.87		Q4143	N										
Q4145	"Epifix, inj, 1mg"	3	3	1750.87	109.46	1531.95	583.62	263.79	263.79	109.46	109.46	140.72	Q4145	N										
Q4146	"Tensix, 1cm"												Q4146	N										
Q4147	Architect ecm px fx 1 sq cm	2	19	3723.41	157.63	886.07	195.97	172.62	1585.61	157.63	1861.75	361.798	Q4147	N										
Q4148	Neox neox rt or clarix cord	1170	9365	1453574.83	0.12	4198.23	155.21	95.75	601.21	94.92	858.54	624.208	Q4148	N										
Q4149	"Excellagen, 0.1 cc"												Q4149	N										
Q4150	Allowrap ds or dry 1 sq cm	135	1566	411745.81	25.95	9739.8	262.93	158.15	2236.12	152.9	2132.26	793.893	Q4150	N										
Q4151	"Amnioband, guardian 1 sq cm"	812	5951	971238.16	19.46	4131.4	163.21	132.41	559.47	140.7	562.79	301.98	Q4151	N										
Q4152	Dermapure 1 square cm	92	2501	213763.32	13.45	7194.28	85.47	33.36	1653.08	28.01	1704.22	2418.098	Q4152	N										
Q4153	"Dermavest, plurivest sq cm"	2	24	4500.72	187.53	187.53	187.53	187.53	2250.4	187.53	2250.4	0	Q4153	N										
Q4154	Biovance 1 square cm	110	594	233694.33	15.26	8309.1	393.42	107	818.5	117.59	940.72	772.337	Q4154	N										
Q4155	Neoxflo or clarixflo 1 mg	183	20123	268844.38	1.24	3459.65	13.36	6.81	878.11	5.28	1365.35	8449.058	Q4155	N										
Q4156	Neox 100 or clarix 100	90	1471	126038.65	20.68	3578	85.68	46.85	851.72	37.8	1105.53	1195.652	Q4156	N										
Q4157	Revitalon 1 square cm												Q4157	N										
Q4158	"Kerecis omega3, per sq cm"	9127	121238	10037313.92	0.01	13254.36	82.79	45.41	524.49	46.67	609.03	1030.424	Q4158	N										
Q4159	Affinity1 square cm	2986	12139	3490432.77	1.52	5748.48	287.54	222.15	866.51	231.88	894.17	173.672	Q4159	N										
Q4160	Nushield 1 square cm	6894	41914	8192961.74	0.28	8109.5	195.47	111.41	513.24	106.8	498	557.387	Q4160	N										
Q4161	Bio-connekt per square cm	3	84	4558.12	50.24	60.18	54.26	54.05	1477.95	50.24	1256.08	58.271	Q4161	N										
Q4162	"Wndex flw, bioskn flw, 0.5cc"	17	81	56942.75	347.33	4980.45	703	567.38	2595.17	570.6	2282.4	262.312	Q4162	N										
Q4163	"Woundex, bioskin, per sq cm"	19	70	25941.88	121.41	3750.3	370.6	194.38	778.08	132.01	1646.3	357.985	Q4163	N										
Q4164	"Helicoll, per square cm"	4	52	1365.04	24.86	61.02	26.25	25.73	194.73	24.86	341.23	110.287	Q4164	N										
Q4165	"Keramatrix, kerasorb sq cm"												Q4165	N										
Q4166	"Cytal, per square centimeter"	728	41483	958049.78	0.02	5935.48	23.09	12.26	508.75	13.19	775.63	3169.051	Q4166	N										
Q4167	"Truskin, per sq centimeter"												Q4167	N										
Q4168	"Amnioband, 1 mg"	94	9852	265422.16	4.97	3602.59	26.94	20.95	1441.99	24.68	1859.73	2632.045	Q4168	N										
Q4169	"Artacent wound, per sq cm"	18	19	1562.65	56.74	109.59	82.24	78.12	82.3	61.21	109.59	33.388	Q4169	N										
Q4170	"Cygnus, per sq cm"	79	1224	94147.61	21.26	3541.63	76.92	42.04	948.77	26.08	774.88	1286.372	Q4170	N										
Q4171	"Interfyl, 1 mg"	53	260	114674.37	49.65	7236.78	441.06	103.29	1313.79	52.01	1629.06	543.593	Q4171	N										
Q4173	Palingen or palingen xplus	36	1057	76407.28	0.28	3249.53	72.29	58.38	1057.11	51.71	1312.77	1110.357	Q4173	N										
Q4174	Palingen or promatrx	39	296	115158.83	234.48	3129.11	389.05	332.03	2477.16	310.77	2486.17	298.457	Q4174	N										
Q4175	Miroderm	7	37	3356.37	29.49	407.55	90.71	65.75	363.13	80.82	471.85	217.642	Q4175	N										
Q4176	"Neopatch or therion, 1 sq cm"	1	1	807.69	807.69	807.69	807.69	807.69	807.69	807.69	807.69		Q4176	N										
Q4177	"Floweramnioflo, 0.1 cc"												Q4177	N										
Q4178	"Floweramniopatch, per sq cm"	8	54	10861.78	58.48	3017.39	201.14	76.65	803.86	58.48	1403.49	758.062	Q4178	N										
Q4179	"Flowerderm, per sq cm"												Q4179	N										
Q4180	"Revita, per sq cm"	157	7873	360782.13	0.36	5229.39	45.83	41.05	1655.52	39.49	1492.68	1363.376	Q4180	N										
Q4181	"Amnio wound, per square cm"	28	448	34904.14	19.18	2608.5	77.91	59.98	962.22	51.42	1233.98	901.318	Q4181	N										
Q4182	"Transcyte, per sq centimeter"	3	6	3756.06	130.41	1966.5	626.01	299.46	1091.58	130.41	1267.92	201.789	Q4182	N										
Q4183	"Surgigraft, 1 sq cm"	130	566	66159.57	5.3	1003.59	116.89	85.41	318.32	71.85	296.95	226.477	Q4183	N										
Q4184	Cellesta or duo per sq cm												Q4184	N										
Q4185	Cellesta flowab amnion 0.5cc												Q4185	N										
Q4186	Epifix 1 sq cm	17951	95842	16551300.46	2.01	17489.63	172.69	126.14	584.87	124.47	607.69	289.826	Q4186	N										
Q4187	Epicord 1 sq cm	3359	15841	3666267.95	25.01	5076.91	231.44	184.11	793.7	197.97	867.57	194.299	Q4187	N										
Q4188	Amnioarmor 1 sq cm												Q4188	N										
Q4189	"Artacent ac, 1 mg"												Q4189	N										
Q4190	Artacent ac 1 sq cm												Q4190	N										
Q4191	Restorigin 1 sq cm												Q4191	N										
Q4192	"Restorigin, 1 cc"												Q4192	N										
Q4193	Coll-e-derm 1 sq cm	4	23	14568.5	65.18	9922.4	633.41	107.47	2444.01	65.18	1671.25	888.257	Q4193	N										
Q4194	Novachor 1 sq cm												Q4194	N										
Q4195	Puraply 1 sq cm	464	4052	477851.12	9.68	6083.15	117.93	94.3	600.42	95	657.88	430.093	Q4195	N										
Q4196	Puraply am 1 sq cm	17591	119263	14392558.12	0.23	16635.52	120.68	86.9	492.73	91.99	523.41	418.849	Q4196	N										
Q4197	Puraply xt 1 sq cm	208	5037	290334.07	0.19	5375.56	57.64	41.92	917.25	38.32	1215.53	1138.075	Q4197	N										
Q4198	Genesis amnio membrane 1sqcm	23	822	17803.64	13.26	3220.73	21.66	14.05	298.79	14.31	106.09	3880.61	Q4198	N										
Q4199	"Cygnus matrix, per sq cm"	13	13	13579.41	1044.57	1044.57	1044.57	1044.57	1044.57	1044.57	1044.57	0	Q4199	N										
Q4200	Skin te 1 sq cm	1	1	1250.48	1250.48	1250.48	1250.48	1250.48	1250.48	1250.48	1250.48		Q4200	N										
Q4201	Matrion 1 sq cm	687	4783	905105.46	37.26	4992.74	189.23	135.84	858.89	122.69	725.01	270.634	Q4201	N										
Q4202	"Keroxx (2.5g/cc), 1cc"												Q4202	N										
Q4203	"Derma-gide, 1 sq cm"	1	1	163.55	163.55	163.55	163.55	163.55	163.55	163.55	163.55		Q4203	N										
Q4204	Xwrap 1 sq cm	1	1	8895.85	8895.85	8895.85	8895.85	8895.85	8895.85	8895.85	8895.85		Q4204	N										
Q4205	Membrane graft or wrap sq cm	64	10077	599391.02	54.14	1976.1	59.48	58.1	4199.57	54.99	5197.91	764.47	Q4205	N										
Q4206	Fluid flow or fluid gf 1 cc												Q4206	N										
Q4208	Novafix per sq cm	2	2	330.5	165.25	165.25	165.25	165.25	165.25	165.25	165.25	0	Q4208	N										
Q4209	Surgraft per sq cm												Q4209	N										
Q4210	Axolotl graf dualgraf sq cm													D										
Q4211	Amnion bio or axobio sq cm	10	119	59296.73	173.52	6414.94	498.29	301.96	5081.83	305.17	4523.57	719.285	Q4211	N										
Q4212	"Allogen, per cc"												Q4212	N										
Q4213	"Ascent, 0.5 mg"												Q4213	N										
Q4214	Cellesta cord per sq cm												Q4214	N										
Q4215	"Axolotl ambient, cryo 0.1 mg"												Q4215	N										
Q4216	Artacent cord per sq cm												Q4216	N										
Q4217	Woundfix biowound plus xplus	1	100	1297	12.97	12.97	12.97	12.97	1296.75	12.97	1296.75		Q4217	N										
Q4218	Surgicord per sq cm												Q4218	N										
Q4219	Surgigraft dual per sq cm	2	2	1342.9	671.45	671.45	671.45	671.45	671.45	671.45	671.45	0	Q4219	N										
Q4220	"Bellacell hd, surederm sq cm"												Q4220	N										
Q4221	Amniowrap2 per sq cm												Q4221	N										
Q4222	"Progenamatrix, per sq cm"	90	1064	47792.9	0.33	450.54	44.92	32.49	199.37	34.74	409.78	340.411	Q4222	N										
Q4224	Hhf10-p per sq cm												Q4224	N										
Q4225	"Amnio or derma tl, per sq cm"												Q4225	N										
Q4226	Myown harv prep proc sq cm	1	1	3992.12	3992.12	3992.12	3992.12	3992.12	3992.12	3992.12	3992.12		Q4226	N										
Q4227	Amniocore per sq cm	24	1307	47251.26	6.22	2983.23	36.15	22.31	1766.97	35.69	2032.22	2900.003	Q4227	N										
Q4228	"Bionextpatch, per sq cm"													D										
Q4229	Cogenex amnio memb per sq cm												Q4229	N										
Q4230	Cogenex flow amnion 0.5 cc												Q4230	N										
Q4231	"Corplex p, per cc"													D										
Q4232	"Corplex, per sq cm"	1	6	1081.38	180.23	180.23	180.23	180.23	1081.38	180.23	1081.38		Q4232	N										
Q4233	Surfactor /nudyn per 0.5 cc												Q4233	N										
Q4234	"Xcellerate, per sq cm"	19	117	55254.76	132.79	3068.43	472.26	247.29	2600.58	148.46	2659.31	412.225	Q4234	N										
Q4235	Amniorepair or altiply sq cm	35	267	43909.37	75.4	2979.6	164.45	119.7	946.97	115.13	1036.17	492.42	Q4235	N										
Q4236	Carepatch per sq cm												Q4236	N										
Q4237	"Cryo-cord, per sq cm"												Q4237	N										
Q4238	"Derm-maxx, per sq cm"	8	26	2501.93	18.06	1956.27	96.23	25.59	108.32	20.79	68.67	745.093	Q4238	N										
Q4239	Amnio-maxx or lite per sq cm	1	1	1960.79	1960.79	1960.79	1960.79	1960.79	1960.79	1960.79	1960.79		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										
Q4245	"Amniotext, per cc"												Q4245	N										
Q4246	"Coretext or protext, per cc"												Q4246	N										
Q4247	"Amniotext patch, per sq cm"												Q4247	N										
Q4248	Dermacyte amn mem allo sq cm	3	3	5164.06	842.53	2752.99	1721.35	1538.02	1538.02	1568.54	1568.54	56.023	Q4248	N										
Q4249	"Amniply, per sq cm"												Q4249	N										
Q4250	Amnioamp-mp per sq cm	8	83	10874.16	100.53	943.92	131.01	109.01	1317.09	100.53	1608.51	413.741	Q4250	N										
Q4251	"Vim, per square centimeter"												Q4251	N										
Q4252	"Vendaje, per square centimet"	10	34	6946.7	153.94	310.25	204.31	199.79	679.1	188.1	686.45	44.205	Q4252	N										
Q4253	Zenith amniotic membrane psc												Q4253	N										
Q4254	Novafix dl per sq cm												Q4254	N										
Q4255	"Reguard, topical use per sq"												Q4255	N										
Q4256	"Mlg complet, per sq cm"												Q4256	N										
Q4257	"Relese, per sq cm"												Q4257	N										
Q4258	"Enverse, per sq cm"	576	9473	481630.78	12.87	2142.52	50.84	40.97	610.9	35.17	768.18	380.542	Q4258	N										
Q4259	Celera per sq cm												Q4259	N										
Q4260	"Signature apatch, per sq cm"												Q4260	N										
Q4261	"Tag, per square centimeter"												Q4261	N										
Q4262	"Dual layer impax, per sq cm"												Q4262	N										
Q4263	"Surgraft tl, per sq cm"												Q4263	N										
Q4264	"Cocoon membrane, per sq cm"												Q4264	N										
Q4265	Neostim tl per sq cm												Q4265	N										
Q4266	Neostim per sq cm												Q4266	N										
Q4267	Neostim dl per sq cm												Q4267	N										
Q4268	Surgraft ft per sq cm												Q4268	N										
Q4269	Surgraft xt per sq cm												Q4269	N										
Q4270	Complete sl per sq cm												Q4270	N										
Q4271	Complete ft per sq cm												Q4271	N										
Q4272	"Esano a, per sq cm"												Q4272	N										
Q4273	"Esano aaa, per sq cm"												Q4273	N										
Q4274	"Esano ac, per sq cm"												Q4274	N										
Q4275	"Esano aca, per sq cm"												Q4275	N										
Q4276	"Orion, per sq cm"												Q4276	N										
Q4277	"Woundplus e-grat, per sq cm"													D										
Q4278	"Epieffect, per sq cm"	37	577	93116.81	34.53	2949.75	161.38	76.06	2219.73	67.16	2949.75	1109.191	Q4278	N										
Q4279	"Vendaje ac, per sq cm"												Q4279	N										
Q4280	Xcell amnio matrix per sq cm	1	1001	1931.93	1.93	1.93	1.93	1.93	1931.72	1.93	1931.72		Q4280	N										
Q4281	Barrera slor dl per sq cm												Q4281	N										
Q4282	Cygnus dual per sq cm												Q4282	N										
Q4283	"Biovance tri or 3l, sq cm"	1	16	4747.52	296.72	296.72	296.72	296.72	4747.48	296.72	4747.48		Q4283	N										
Q4284	"Dermabind sl, per sq cm"												Q4284	N										
Q4285	Nudyn dl or dl mesh pr sq cm												Q4285	N										
Q4286	"Nudyn sl or slw, per sq cm"												Q4286	N										
Q4287	"Dermabind dl, per sq cm"												Q4287	N										
Q4288	"Dermabind ch, per sq cm"												Q4288	N										
Q4289	"Revoshield+ amnio, per sq cm"	1	1	65.79	65.79	65.79	65.79	65.79	65.79	65.79	65.79		Q4289	N										
Q4290	Membrane wrap hydr per sq cm												Q4290	N										
Q4291	"Lamellas xt, per sq cm"												Q4291	N										
Q4292	"Lamellas, per sq cm"												Q4292	N										
Q4293	"Acesso dl, per sq cm"												Q4293	N										
Q4294	"Amnio quad-core, per sq cm"	1	37	1170.31	31.63	31.63	31.63	31.63	1170.28	31.63	1170.28		Q4294	N										
Q4295	"Amnio tri-core, per sq cm"												Q4295	N										
Q4296	"Rebound matrix, per sq cm"												Q4296	N										
Q4297	"Emerge matrix, per sq cm"												Q4297	N										
Q4298	"Amnicore pro, per sq cm"												Q4298	N										
Q4299	"Amnicore pro+, per sq cm"												Q4299	N										
Q4300	"Acesso tl, per sq cm"												Q4300	N										
Q4301	"Activate matrix, per sq cm"												Q4301	N										
Q4302	"Complete aca, per sq cm"												Q4302	N										
Q4303	"Complete aa, per sq cm"												Q4303	N										
Q4304	"Grafix plus, per sq cm"	4	149	21576.71	128.65	145.03	144.81	144.8	3099.9	145.03	7106.51	9.173	Q4304	N										
Q4305	Amer am ac tri-lay per sq cm												Q4305	N										
Q4306	Americ amnion ac per sq cm												Q4306	N										
Q4307	"American amnion, per sq cm"												Q4307	N										
Q4308	"Sanopellis, per sq cm"												Q4308	N										
Q4309	"Via matrix, per sq cm"												Q4309	N										
Q4310	"Procenta, per 100 mg"												Q4310	N										
Q4311	"Acesso, per sq cm"												Q4311	N										
Q4312	"Acesso ac, per sq cm"												Q4312	N										
Q4313	"Dermabind fm, per sq cm"												Q4313	N										
Q4314	"Reeva, per sq cm"												Q4314	N										
Q4315	Regenelink amniotic mem allo												Q4315	N										
Q4316	"Amchoplast, per sq cm"												Q4316	N										
Q4317	"Vitograft, per sq cm"												Q4317	N										
Q4318	"E-graft, per sq cm"												Q4318	N										
Q4319	"Sanograft, per sq cm"												Q4319	N										
Q4320	"Pellograft, per sq cm"												Q4320	N										
Q4321	"Renograft, per sq cm"												Q4321	N										
Q4322	"Caregraft, per sq cm"												Q4322	N										
Q4323	"Alloply, per sq cm"												Q4323	N										
Q4324	"Amniotx, per sq cm"	1	1	877.7	877.7	877.7	877.7	877.7	877.7	877.7	877.7		Q4324	N										
Q4325	"Acapatch, per sq cm"												Q4325	N										
Q4326	"Woundplus, per sq cm"												Q4326	N										
Q4327	"Duoamnion, per sq cm"												Q4327	N										
Q4328	"Most, per sq cm"												Q4328	N										
Q4329	"Singlay, per sq cm"												Q4329	N										
Q4330	"Total, per sq cm"												Q4330	N										
Q4331	"Axolotl graft, per sq cm"	1	48	3345.12	69.69	69.69	69.69	69.69	3345	69.69	3345		Q4331	N										
Q4332	"Axolotl dualgraft, per sq cm"												Q4332	N										
Q4333	"Ardeograft, per sq cm"												Q4333	N										
Q4334	"Amnioplast 1, per sq cm"												Q4334	N										
Q4335	"Amnioplast 2, per sq cm"												Q4335	N										
Q4336	"Artecent c, per sq cm"												Q4336	N										
Q4337	"Artecent trident, per sq cm"												Q4337	N										
Q4338	"Artacent velos, per sq cm"												Q4338	N										
Q4339	"Artacent vericlen, per sq cm"												Q4339	N										
Q4340	"Simpligraft, per sq cm"												Q4340	N										
Q4341	"Simplimax, per sq cm"												Q4341	N										
Q4342	"Theramend, per sq cm"												Q4342	N										
Q4343	Dermacyte ac matrx per sq cm												Q4343	N										
Q4344	"Tri membrane wrap, per sq cm"												Q4344	N										
Q4345	Matrix hd allogrft per sq cm												Q4345	N										
Q4346	Shelter dm matrix per sq cm												Q4346	N										
Q4347	Rampart dl matrix per sq cm												Q4347	N										
Q4348	Sentry sl matrix per sq cm												Q4348	N										
Q4349	Mantle dl matrix per sq cm												Q4349	N										
Q4350	Palisade dm matrix per sq cm												Q4350	N										
Q4351	"Enclose tl matrix, per sq cm"												Q4351	N										
Q4352	"Overlay sl matrix, per sq cm"												Q4352	N										
Q4353	Xceed tl matrix per sq cm												Q4353	N										
Q4354	Palingen dual-layer sq cm												Q4354	N										
Q4355	Abio xpl abio xpl hy p sq cm												Q4355	N										
Q4356	Abio mem abio hyd per sq cm												Q4356	N										
Q4357	"Xwrap plus, per sq cm"												Q4357	N										
Q4358	"Xwrap dual, per sq cm"												Q4358	N										
Q4359	"Choriply, per sq cm"												Q4359	N										
Q4360	Amchoplast fd per sq cm												Q4360	N										
Q4361	"Epixpress, per sq cm"												Q4361	N										
Q4362	"Cygnus disk, per sq cm"												Q4362	N										
Q4363	Am bur mem hydro per sq cm												Q4363	N										
Q4364	Am bur xp mem xpl hy p sq cm												Q4364	N										
Q4365	Amnio bur dl mem per sq cm												Q4365	N										
Q4366	Dl amnio bur x-mem per sq cm												Q4366	N										
Q4367	"Amniocore sl, per sq cm"												Q4367	N										
Q4368	Amchothick per sq cm												Q4368	N										
Q4369	Amnioplast 3 per sq cm												Q4369	N										
Q4370	Aeroguard per sq cm												Q4370	N										
Q4371	Neoguard per sq cm												Q4371	N										
Q4372	Amchoplast excl per sq cm												Q4372	N										
Q4373	Membrane wrp lt per sq cm												Q4373	N										
Q4375	Duograft ac per sq cm												Q4375	N										
Q4376	Duograft aa per sq cm												Q4376	N										
Q4377	Trigraft ft per sq cm												Q4377	N										
Q4378	Renew ft matrix per sq cm												Q4378	N										
Q4379	Amniodefend ft per sq cm												Q4379	N										
Q4380	Advograft one per sq cm												Q4380	N										
Q4382	Advograft dual per sq cm												Q4382	N										
Q5098	"Inj ustekinumab-srlf, 1 mg"												Q5098	E1										
Q5099	"Inj ustekinumab-stba, 1 mg"												Q5099	E1										
Q5100	"Inj ustekinumab-kfce, 1 mg"												Q5100	E1										
Q5101	"Injection, zarxio"	38773	16986031	14216910.3	0.02	10.55	0.84	0.7	290.07	0.76	290.61	1496.842	Q5101	K	1822	$0.333								
Q5103	"Injection, inflectra"	23020	1268506	88221114.37	1.39	456.66	69.55	61.46	3096.53	65.53	3152.25	364.566	Q5103	K	1847	$15.912								
Q5104	"Injection, renflexis"	22384	1143286	65633510.69	1.15	808.23	57.41	51.16	2404	52.94	2421.27	362.711	Q5104	K	9036	$27.845								
Q5105	Inj retacrit esrd on dialysi	5046	675651	856759.29	0.02	275.8	1.27	1.04	119.61	1.04	116.07	2567.673	Q5105	N										
Q5106	Inj retacrit non-esrd use	79444	2483817	28888930.95	0.18	208.39	11.63	10.27	271.5	10.57	312.23	325.073	Q5106	K	9097	$7.070								
Q5107	Inj mvasi 10 mg	51340	3541283	220933949.2	1.68	340.29	62.39	57.18	3520.21	57.52	3417.32	368.25	Q5107	K	9329	$29.824								
Q5108	"Injection, fulphila"	34212	410439	71859047.63	6.68	1285.81	175.08	156.9	1882.19	157.33	1888.01	177.795	Q5108	K	9173	$112.895								
Q5109	"Injection, ixifi, 10 mg"												Q5109	E2										
Q5110	Nivestym	11127	5048817	3204643.2	0.03	3.18	0.63	0.55	238.24	0.51	222.69	1263.946	Q5110	K	9193	$0.287								
Q5111	"Injection, udenyca 0.5 mg"	28445	341340	88265025.96	11.19	2116.36	258.58	226.76	2721.06	251.82	3021.88	187.388	Q5111	K	9195	$163.604								
Q5112	Inj ontruzant 10 mg	5431	228184	16280487.43	3.01	294.64	71.35	63.6	2494.89	65.44	2605.7	317.378	Q5112	K	9382	$28.740								
Q5113	Inj herzuma 10 mg	2759	118052	8725715.92	3.73	199.61	73.91	67.38	2686.77	69.86	2795.3	274.325	Q5113	K	9349	$73.905								
Q5114	Inj ogivri 10 mg	15896	678567	39732431.36	2.05	321.91	58.55	51.69	2076.21	51.67	2176.47	342.344	Q5114	K	9341	$46.816								
Q5115	Inj truxima 10 mg	34212	2670411	181272258.1	0.95	394.94	67.88	61.73	4714.49	63.6	4867.98	400.145	Q5115	K	9336	$34.759								
Q5116	"Inj., trazimera, 10 mg"	13206	566317	40062615.81	1.29	305.05	70.74	64.6	2598.53	69.46	2783.16	280.775	Q5116	K	9350	$24.931								
Q5117	"Inj., kanjinti, 10 mg"	19800	832909	65752266.7	0.11	1970.45	78.94	71.25	2812.7	72.36	2958.75	329.212	Q5117	K	9330	$27.905								
Q5118	"Inj., zirabev, 10 mg"	29962	2093338	116007344.6	0.38	227.27	55.42	49.78	3111.58	53.42	3146.4	380.604	Q5118	K	9348	$26.943								
Q5119	"Inj ruxience, 10 mg"	25867	2019885	131419770.3	1.27	408.79	65.06	59.6	4586.57	61.58	4828.52	378.975	Q5119	K	9367	$24.943								
Q5120	Inj pegfilgrastim-bmez 0.5mg	157	1884	540755.64	54.79	994.99	287.03	254.8	3057.59	301.52	3618.27	153.737	Q5120	K	9345	$24.711								
Q5121	"Inj. avsola, 10 mg"	5551	302369	14025153.08	0.46	422.45	46.38	43.45	2176	41.31	2137.62	342.682	Q5121	K	9381	$19.749								
Q5122	"Inj, nyvepria"	2829	33948	8222643.36	43.26	620.14	242.21	225.48	2705.8	236.47	2837.68	131.692	Q5122	K	9406	$134.252								
Q5123	"Inj. riabni, 10 mg"	5669	432972	28639020.82	1.26	317.34	66.15	58.3	4393.22	57.78	4295.53	568.947	Q5123	K	9411	$33.087								
Q5124	"Inj. byooviz, 0.1 mg"	18	100	33044.75	176.42	713.19	330.45	276.71	1570.97	201.3	1148.83	162.722	Q5124	K	9017	$85.569								
Q5125	"Inj, releuko 1 mcg"	3806	1575780	833434.8	0.05	2.51	0.53	0.48	189.96	0.45	189.09	1152.193	Q5125	K	9447	$0.425								
Q5126	Inj alymsys 10 mg	7245	496514	28128267.66	0.95	298.25	56.65	50.7	3085.9	55.27	3055.45	395.511	Q5126	K	9048	$46.054								
Q5127	"Inj, stimufend, 0.5 mg"	3033	36396	9298634.04	6.36	503.29	255.49	238.11	2857.26	281.32	3375.79	110.902	Q5127	K	9129	$251.245								
Q5128	"Inj, cimerli, 0.1 mg"	231	1335	472300.89	221.79	401.87	353.78	346.31	1884.67	401.68	2008.8	45.857	Q5128	G	9117	$146.761								
Q5129	"Inj, vegzelma, 10 mg"	2234	151073	9438979	1.82	141.32	62.48	59.11	3617.12	62.75	3578.17	264.896	Q5129	G	9159	$48.080								
Q5130	"Inj, fylnetra, 0.5 mg"	2274	27288	4881931.68	31.28	349.58	178.9	164.55	1974.58	184.13	2209.51	134.29	Q5130	G	9118	$164.154								
Q5131	"Inj, idacio, 20 mg"													D										
Q5132	"Inj, abrilada, 10 mg"													D										
Q5133	"Inj, tofidence, 1 mg"	4	1320	3930.4	2.5	4.47	2.98	2.88	918.58	2.5	998.17	594.745	Q5133	G	0786	$5.971								
Q5134	"Inj, tyruko, 1 mg"												Q5134	E2										
Q5135	"Inj, tyenne, 1 mg"												Q5135	G	0784	$4.065								
Q5136	"Inj. denosumab-bbdz, 1 mg"												Q5136	K	0872	$27.538								
Q5137	"Inj, wezlana, sub cu, 1 mg"												Q5137	E1										
Q5138	"Inj, wezlana, iv, 1 mg"												Q5138	E2										
Q5140	"Inj adalimumab-fkjp, 1 mg"												Q5140	E1										
Q5141	"Inj adalimumab-aaty, 1 mg"												Q5141	E1										
Q5142	"Inj adalimumab-ryvk, 1 mg"												Q5142	E1										
Q5143	"Inj adalimumab-adbm, 1 mg"												Q5143	E1										
Q5144	"Inj, idacio, 1 mg"												Q5144	E1										
Q5145	"Inj, abrilada, 1 mg"												Q5145	E1										
Q5146	"Inj, hercessi, 10 mg"												Q5146	K	0865	$76.181								
Q5147	"Inj, aflibercept-ayyh, 1 mg"												Q5147	G	2068	$795.861								
Q5148	"Inj, nyposi 1 mcg"												Q5148	G	0811	$0.535								
Q5149	"Inj, aflibercept-abzv, 1 mg"												Q5149	E2										
Q5150	"Inj, aflibercept-mrbb, 1 mg"												Q5150	E2										
Q5151	"Inj, eculizumab-aagh, 2 mg"												Q5151	K	0852	$31.353								
Q5152	"Inj, eculizumab-aeeb, 2 mg"												Q5152	G	0846	$41.486								
Q5153	"Inj, aflibercept-yszy, 1 mg"												Q5153	E2										
Q9950	Inj sulf hexa lipid microsph	32141	126812	3598749.04	1.01	626.71	28.38	23.28	92.51	23.97	106.38	179.638	Q9950	N										
Q9951	"Locm >= 400 mg/ml iodine,1ml"	358	3079	22732.09	0.01	190.37	7.38	4.32	51.25	5.04	50.44	524.474	Q9951	N										
Q9953	"Inj fe-based mr contrast,1ml"	167	3011	22253.22	0.06	29.95	7.39	3.27	74.74	1.89	136.61	419.431	Q9953	N										
Q9954	"Oral mr contrast, 100 ml"	493	3225	20121.58	0.14	187.78	6.24	2.8	17.17	1.47	13.21	390.808	Q9954	N										
Q9955	"Inj perflexane lip micros,ml"	190	190	26945.8	141.82	141.82	141.82	141.82	141.82	141.82	141.82	0	Q9955	N										
Q9956	"Inj octafluoropropane mic,ml"	26290	67385	3464778.93	1.77	711.47	51.42	42.69	104.58	46.05	126.8	147.068	Q9956	N										
Q9957	"Inj perflutren lip micros,ml"	243062	452692	45477866.72	3.18	1462.32	100.46	75.37	135.02	75.72	138.78	121.414	Q9957	N										
Q9958	"Hocm <=149 mg/ml iodine, 1ml"	7893	1849802	558996.74	0.01	70.15	0.3	0.16	27.39	0.17	35.17	3449.732	Q9958	N										
Q9959	"Hocm 150-199mg/ml iodine,1ml"	57	10912	2201.93	0.04	0.36	0.2	0.19	14.33	0.22	53.88	416.845	Q9959	N										
Q9960	"Hocm 200-249mg/ml iodine,1ml"	2180	27080	24381.28	0.01	21.91	0.9	0.38	7.16	0.21	7.97	428.93	Q9960	N										
Q9961	"Hocm 250-299mg/ml iodine,1ml"	2815	104418	44978.9	0.01	174.75	0.43	0.25	7.52	0.24	9.06	2673.198	Q9961	N										
Q9962	"Hocm 300-349mg/ml iodine,1ml"	630	34864	16045.33	0.06	47.75	0.46	0.31	15.46	0.42	12.6	2660.888	Q9962	N										
Q9963	"Hocm 350-399mg/ml iodine,1ml"	42364	2075510	1148380.54	0.01	159.69	0.55	0.33	13.5	0.41	14.04	1302.425	Q9963	N										
Q9964	"Hocm>= 400mg/ml iodine, 1ml"	1066	93916	293861.59	0.36	120.85	3.13	2.99	236.92	3.11	307.79	826.291	Q9964	N										
Q9965	"Locm 100-199mg/ml iodine,1ml"	60701	768805	1957693.1	0.01	2377.28	2.55	1.3	15.27	1.47	20.54	721.521	Q9965	N										
Q9966	"Locm 200-299mg/ml iodine,1ml"	194946	4876687	7458585.32	0.01	237.12	1.53	0.67	14.27	0.73	18.23	1010.976	Q9966	N										
Q9967	"Locm 300-399mg/ml iodine,1ml"	3863944	359964058	278801418.2	0.01	1005.84	0.77	0.47	40.59	0.5	45.03	1231.626	Q9967	N										
Q9968	Visualization adjunct	29829	1311521	16807162.76	0.04	3392.83	12.82	7.11	281.57	7.59	322.64	1074.116	Q9968	K	1446	$7.584								
Q9969	Non-heu tc-99m add-on/dose	175210	272363	1643141.88	0.01	375.66	6.03	1.99	2.97	2.2	3.44	353.119	Q9969	K	1442	$6.000								
Q9982	Flutemetamol f18 diagnostic	413	413	810697.5	373.81	5877.27	1962.95	1634.16	1634.16	1258.74	1258.74	62.173	Q9982	K	9459	"$1,962.950"								
Q9983	Florbetaben f18 diagnostic	904	944	1488808.56	215.1	10271.4	1577.13	1118.11	1113.21	1194.02	1194.02	95.586	Q9983	K	9458	"$1,577.130"								
Q9991	Buprenorph xr 100 mg or less	287	287	514931.26	942.52	3953.78	1794.19	1689.81	1689.81	1741.25	1741.25	36.022	Q9991	K	9073	"$1,925.231"								
Q9992	Buprenorphine xr over 100 mg	388	388	766304.08	640.69	3953.78	1975.01	1828.52	1828.52	1741.25	1741.25	40.564	Q9992	K	9239	"$1,925.231"								
Q9996	Ustekinumab- ttwe sub cu inj												Q9996	E1										
Q9997	Ustekinumab-ttwe iv inj 1 mg												Q9997	E2										
Q9998	Ustekinumab-aekn inj												Q9998	E1										
Q9999	Inj ustekinumab-aauz 1 mg												Q9999	E1										
