ASP Changes April 2023

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April 2023 ASP Changes: Quarter 2 ASP

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The ASP describes the real average price that a drug is being sold for including discounts. The ASP is listed at the HCPCS unit level and provides a reimbursement rate benchmark for prescription drugs in government programs, such as Medicare and Medicaid, as well as in private insurance plans. For this reason, it is crucial that ASP rates are carefully tracked and monitored. 

Every quarter, CMS publishes an updated ASP pricing file. This file can be found here: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/2023-asp-drug-pricing-files and includes several key pieces of information. The HCPCS Code, Short Description, HCPCS Code Dosage, and Medicare Payment Limit are all included in the quarterly ASP file. Interestingly, this file does not include the ASP, instead listing the Medicare Payment Limit. The Medicare Payment Limit is the amount which Medicare reimburses HCPCS-coded drugs, or ASP +6%. In order to calculate ASP, we subtract 6% from the Medicare Payment Limit. Please view our Glossary for more terms. 

Below, you will find a graph comparing ASP from January 1st, 2023 to April 1st, 2023. You can filter and search the graph for a HCPCS code or drug of choice. 

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HCPCS_CodeBrandPayment Limit Q2 2023
J9393FULVESTRANT3.07
J0841ANAVIP433.19
J3415Pyridoxine Hcl5.62
J9394FULVESTRANT3.92
J9280Mitomycin24.02
Q4170N/A44.67
J2150Mannitol3.03
J7512Prednisone Intensol0.01
J9305Alimta17.14
J8520Xeloda0.38
J3105Terbutaline Sulfate0.84
J9218Leuprolide Acetate8.01
J0280Aminophylline8.94
J0630Calcitonin Salmon1328
J9041Bortezomib6.22
J7631CROMOLYN SODIUM 1.16
J0583BIVALIRUDIN0.19
J3489Reclast8.1
J0891ARGATROBAN0.42
J0892ARGATROBAN0.42
J2175Demerol7.02
J7611Albuterol Sulfate0.14
J1165Phenytoin Sodium0.42
Q4154N/A119.57
J2247Micafungin 0.37
Q2050Doxil78.06
J0132Acetylcysteine0.76
Q5117Kanjinti25.93
J3420Cyanocobalamin1.61
J2310Naloxone Hcl8.07
J0134Acetaminophen0.11
J3411Thiamine HCl2.2
J7177FIBRYGA1.1
J9171DOCETAXEL 0.46
J9046Bortezomib8.65
J3480Potassium Chloride0.11
J0348ERAXIS0.41
J9049Bortezomib5.67
J2185MEROPENEM-N/A.9% NACL0.49
J0133Acyclovir Sodium0.04
J7614LEVALBUTEROL0.04
Q5104Renflexis36.43
J9390Vinorelbine Tartrate7.45
Q5113Herzuma29.53
J2506Neulasta109.69
J0360Hydralazine HCl5.5
J2354Sandostatin1.16
J9065Cladribine18.88
J3465Vfend Iv0.94
J1885Ketorolac Tromethamine0.49
Q5116Trazimera27.24
J7328Gelsyn-30.75
J9036BENDAMUSTINE HYDROCHLORIDE 15.06
Q5103Inflectra20.59
J3360DIAZEPAM7.12
J3230Chlorpromazine Hcl30.3
J7518Myfortic0.64
J1335Invanz12.83
J2700Bactocill In Dextrose1.07
J1454AKYNZEO (IV Injection)392.66
J9245MELPHALAN HCL186.51
J2720Protamine Sulfate0.86
J9027Clolar32.23
Q5121Avsola28.46
J2560Phenobarbital Sodium39.03
J2800Methocarbamol5.31
J0878Daptomycin0.04
Q5112Ontruzant49.85
Q5122NYVEPRIA (pegfilgrastim-apgf)125.31
J3260Tobramycin Sulfate2.34
Q0138FERUMOXYTOL0.48
Q0139FERUMOXYTOL0.48
J1956LEVOFLOXACIN0.84
J9017ARSENIC TRIOXIDE13.7
J3243Tigecycline0.61
J0743Primaxin Iv7.12
J7682TOBI25.26
J7527Everolimus3.12
J0637Cancidas4.89
J3370VANCOMYCIN HCL 2.49
J1940Furosemide0.58
J2543Piperacillin Sodium-Tazobactam Sodium1.34
J1240Dimenhydrinate7.24
J2545Pentamidine Isethionate88.36
J7613Albuterol Sulfate0.03
J9206CAMPTOSAR2.16
Q5120ZIEXTENZO80.06
J9150Daunorubicin Hcl37.16
Q4108Integra Wound Matrix42.02
J9293MITOXANTRONE HYDROCHLORIDE49.33
Q4176N/A116.53
J7608Acetylcysteine6.2
J1380ESTRADIOL VALERATE 10.05
Q5107Mvasi28.57
J2281MOXIFLOXACIN HCL8.77
J2272Morphine Sulfate6.72
J9120DACTINOMYCIN 546.61
J9198Infugem24.67
J2248Micafungin 0.83
J1160Digoxin7.36
J1071Depo-Testosterone0.03
Q4252N/A159.25
J1740BONIVA30.85
J9130Dacarbazine3.84
J2704Propofol0.13
J7318Durolane6.77
J1580Gentamicin Sulfate2.54
Q4132Grafix Core339.19
Q5123Riabni45.21
J0515BENZTROPINE15.87
J1170Hydromorphone Hcl3.85
Q4159Affinity 420.53
J7605ARFORMOTEROL 2.9
J9330TEMSIROLIMUS32.17
J9100Cytarabine0.93
J9217LUPRON DEPOT-PED172.56
Q5119Ruxience29.97
J2930Solu-Medrol5.47
J1611Glucagon Emergency149.04
J1756Venofer0.21
J7321VISCO-372.51
Q5118ZIRABEV31.07
J7320GENVISC 85N/A7.46
J0702Celestone Soluspan6.4
J8501Emend Bi-pack2.99
90376IMOGAM RABIES-HT296.74
J2021Linezolid15.26
J0898Argatroban2.03
J0899Argatroban2.03
J7517Cellcept0.2
J1930SOMATULINE DEPOT57.42
Q5110Nivestym0.33
J7520Rapamune2.94
J9340THIOTEPA297.26
J1250Dobutamine Hcl6.53
J1650Lovenox0.76
J0713CEFTAZIDIME1.86
90377KEDRAB232.03
J3430Vitamin K13
J2790RHOGAM ULTRA-FILTERED PLUS76.83
Q5101ZARXIO0.22
J0500DICYCLOMINE HCL22.77
J9190Fluorouracil2.37
J2805Sincalide Inj116.28
J0640Leucovorin Calcium3.41
Q5124Byooviz223.17
J0895DESFERAL8.22
Q4110PriMatrix40.7
J9201GEMCITABINE HCL 3.33
J0295Unasyn 1.5Gm2.17
J3090Sivextro1.66
Q4123N/A22.25
J9304Pemfexy77.55
J8700TEMOZOLOMIDE0.2
J1447GRANIX0.39
J7207ADYNOVATE1.93
J9045Carboplatin2.37
J9395Fulvestrant12.09
Q4137N/A95.41
J1437Monoferric21.7
J9178Ellence1.3
J0595Butorphanol Tartrate3.39
J9261ARRANON129.84
J0475BACLOFEN178.45
J9263Oxaliplatin0.07
J7200RIXUBIS1.57
J0885EPOGEN/PROCRIT7.93
J0692CEFEPIME-DEXTROSE1.24
J9040Bleomycin Sulfate24.29
Q4081Epogen0.79
90675IMOVAX RABIES VACCINE342.22
Q4114Integra Flowable Wound Matrix1520.13
J2597Desmopressin Acetate7.08
J0153Adenosine0.5
J7060Dextrose1.69
J7070Dextrose3.38
Q4201N/A164.46
J0740CIDOFOVIR608.33
J9210Gamifant378.12
Q4229N/A241.6
J2765Metoclopramide HCl1.07
J9181Etoposide0.86
J2540PFIZERPEN0.76
J2550Promethazine Hcl3.11
J9033TREANDA14.37
J0696CEFTRIAXONE IN D5W0.51
J9355Herceptin80.25
J1200Diphenhydramine Hcl1.13
J1571HEPAGAM B67.34
Q5108FULPHILA (pegfilgrastim-jmdb)132.52
Q9967Optiray 32N/A0.17
J3315TRELSTAR364.64
J0725PREGNYL22.31
J3471Vitrase0.47
J7185XYNTHA1.3
Q3027Avonex53.08
J0720Chloramphenicol Sod Succinate40.27
J1745Remicade34.04
J9070Cyclophosphamide21.64
J1627SUSTOL5.9
J7606FORMOTEROL FUMARATE6.33
J3262Actemra5.86
J7030Sodium Chloride2.58
J7040Sodium Chloride1.29
J7050Sodium Chloride0.65
Q4126N/A86.32
Q5115Truxima47.8
J9319Istodax (romidepsin) lyophilized31.49
Q4186N/A150.37
J0131ACETAMINOPHEN 0.1
J9370Vincristine Sulfate4.85
J0717CIMZIA4.97
Q9991SUBLOCADE1793.85
Q9992SUBLOCADE1793.85
J0129ORENCIA42.76
Q4232N/A374.23
J0840CROFAB2077.79
J9264Paclitaxel Protein-Bound11.78
J0291Zemdri (Plazomicin)3.38
J0121Nuzyra3.62
J1000Depo-Estradiol29.25
J9155Firmagon4.06
J7325Synvisc9.65
J7212Sevenfact1.91
J0701Cefepime HCL5.36
Q4196N/A108.34
J1953Levetiracetam0.09
J0770COLISTIMETHATE 15.6
J2350OCREVUS58.97
J9202Zoladex561.59
J0881ARANESP3.09
J0882ARANESP3.09
Q4133N/A132.79
J1575HYQVIA15.87
J8670VARUBI ORAL (Rolapitant)1.8
J1555CUVITRU14.91
J2182NUCALA29.37
J9316Phesgo68.44
J3357STELARA153.77
J1459PRIVIGEN47.19
J9303PANITUMUMAB142.42
J7198FEIBA NF2.24
J2791RHOPHYLAC4.94
J2357Xolair37.92
J2796Nplate90.61
J9312Rituxan81.19
J0517Fasenra167.12
J1943Aristada Initio2.95
J2777Vabysmo37.42
J9047Kyprolis44.76
Q2043PROVENGE53630.37
J9356Herceptin Hylecta65.08
J9204POTELIGEO216.26
J3111EVENITY9.9
J0714AVYCAZ90.84
J1951FENSOLVI132
J1566GAMMAGARD S-D73.17
Q4187N/A240.4
J0491Saphnelo16.23
J0592Buprenorphine Hcl4.02
J3304ZILRETTA16.86
J2353SANDOSTATIN LAR DEPOT204.54
J2997Cathflo Activase87.57
J0178Eylea893.55
J9325IMLYGIC 62.36
Q0167DRONABINOL0.78
A9577Multihance1.83
J2327Skyrizi15.73
J0202LEMTRADA2235.38
J7345AMELUZ1.65
J9173Imfinzi78.57
J3095VIBATIV6.95
J1306Leqvio11.94
J2356Tezspire17.8
J0712TEFLARO3.77
J2278Prialt9.07
J3285Treprostinil Injection55.31
J3486Geodon10.12
J1300Soliris226.21
Q4118ACELL MICROMATRIX 2N/AMG2.49
J9227Sarclisa71.7
J9358Enhertu25.63
J7189NOVOSEVEN RT2.34
J0586Dysport8.7
J2251Midazolam HCl0.31
J9119Libtayo27.15
J9055Erbitux70.14
J9299OPDIVO29.91
J7211KOVALTRY1.34
J0596RUCONEST31.61
J9060Cisplatin1.69
J7511Thymoglobulin886.38
J9281JELMYTO289.51
A9581Gadoxetate Disodium14.71
J2315Vivitrol3.73
J1944Aristada2.98
J2798Perseris11.19
J0897Prolia23.02
J9359Zynlonta191.42
J1561GAMUNEX-C/GAMMAKED47.7
J7508ASTAGRAF XL0.52
J9228YERVOY165.45
J7194PROFILNINE1.58
J9205Onivyde59.95
J9023BAVENCIO89.18
J2779Susvimo81.93
J1303Ultomiris222.32
J1786Cerezyme44.33
J1980LEVSIN31.64
J1931Aldurazyme36.05
J0221Lumizyme188.25
Q4102Oasis Wound Matrix Sheet12.71
90632VAQTA70.1
J9317TRODELVY32.55
J7323Euflexxa129.47
J0565ZINPLAVA39.86
J2562Mozobil (PLERIXAFOR)401.58
J7639Pulmozyme50.08
J0742Recarbrio2.38
J2010Lincocin9.82
J0223Givlaari109.73
J0180Fabrazyme208.17
J1162DIGIFAB4593.57
J0219Nexviazyme72.45
J7312Ozurdex199.84
J9354KADCYLA36.25
J0597BERINERT60.73
J7195BENEFIX1.65
Q4161N/A127.13
J9301GAZYVA66.91
J7504ATGAM3001.29
J3385VPRIV357.35
J1559HIZENTRA12.62
J1201QUZYTTIR15.1
J0224Oxlumo310.77
J1301RADICAVA21.41
J1750INFED16.57
J9223Zepzelca188.3
J1640PANHEMATIN29.03
J0401ABILIFY MAINTENA6.42
J1631Haloperidol Decanoate7.65
J9298OPDUALAG180.34
J3358STELARA (IV Infusion)12.25
J0896Reblozyl38.46
J0741Cabenuva21.56
J9308CYRAMZA66.85
J9272Jemperli223.92
J0585Botox6.32
J9176EMPLICITI7.06
J2794Risperdal Consta11.59
J1322VIMIZIM262.71
J1746Trogarzo69.61
J0222Onpattro100.75
J9352YONDELIS331.83
90739HEPLISAV-B152.08
90662Fluzone High-Dose Quadrivalent (2N/A2N/A/2N/A21)69.94
90670Prevnar - 13257.99
90672N/A26.88
90674FLUCELVAX QUADRIVALENT 2N/A22-2N/A23 FORMULA PF 32.28
90682FLUBLOK QUADRIVALENT 2N/A22-2N/A23 FORMULA 69.94
90686FLULAVAL QUADRIVALENT 2N/A22-2N/A23 FORMULA 21.52
90687Afluria Quadrivalent N/A.25ml (2N/A19/2N/A2N/A)10.24
90688Flulaval Quadrivalent (2N/A19/2N/A2N/A)20.48
90694FLUAD QUADRIVALENT 2N/A22-2N/A23 FORMULA 71.68
90732Pneumovax 23133.47
90743Recombivax Hb73.85
90756FLUCELVAX QUADRIVALENT 2N/A22-2N/A23 FORMULA MDV 30.58
90759PREHEVBRIO73.82
J0172Aduhelm5.98
J0600Calcium Disodium Versenate5708.59
J0691Xenleta0.72
J1020Depo-Medrol4.61
J1305Evkeeza172.25
J1442NEUPOGEN0.98
J1642POSIFLUSH HEPARIN0.02
J1823Uplizna462.87
J2358ZYPREXA RELPREVV2.92
J2405ZOFRAN0.09
J3299Xipere47.61
J3300Triamcinolone Acetonide, Preservative Free4.19
J3473HYLENEX0.36
J3485Retrovir1.51
J7170HEMLIBRA49.95
J7175COAGADEX8.61
J7313Iluvien490.95
J7402Sinuva11.35
J9118Asparlas70.76
J9214Intron-A32.57
J9266Oncaspar23577.01
J9274Kimmtrak198.86
J9295PORTRAZZA5.74
J9302ARZERRA63.96
J9309Polivy118.11
J9313Lumoxiti23.39
J9320Zanosar370.18
Q0162ZOFRAN0.01
Q0222BEBTELOVIMAB2394
Q4246N/A2968
Q4247N/A530
90671Vaxneuvance246.2
90746Recombivax Hb70.38
J9332EFGARTIGIMOD ALFA-FCAB31.52
J8705Hycamtin, Oral104.37
J2724CEPROTIN15.09
J1743ELAPRASE542.95
J9331Fyarro104.54
J1602SIMPONI ARIA13.85
J2425Kepivance25.13
J0490BENLYSTA50.21
J9349Monjuvi13.15
J7342OTIPRIO30.01
J1458Naglazyme432.9
J9203Mylotarg217.49
J3101TNKASE143.69
J9153VYXEOS219.14
J9328TEMODAR IV10.42
J2680Fluphenazine Decanoate9.6
J0598CINRYZE60.74
J7314Yutiq523.78
J7351Durysta206.28
J9042Adcetris213.8
J7525Prograf233.92
J1410Premarin355.78
J0248VEKLURY5.51
J7322HYMOVIS 16.66
J7193MONONINE1.23
J7201ALPROLIX3.37
J3240Thyrogen1926.74
J9229Besponsa2479.96
J1554Asceniv482.27
J9353Margenza45.04
J0791Adakveo125.28
J9306Perjeta14.43
J1212Rimso-5N/A638.7
J1720Solu-Cortef17.91
J7340DUOPA219.76
J1932Lanreotide60.49
J9043JEVTANA199.58
Q4074VENTAVIS139.77
J8560Etoposide76.56
J2507Krystexxa3201.86
J0638ILARIS119.82
Q4101Apligraf Disk30.43
J9179Halaven126.92
J7503Envarsus XR1.62
J7188OBIZUR3.22
J7308LEVULAN391.7
J3245Ilumya137.83
J0485NULOJIX3.79
J9021Rylaze48.23
J7208JIVI2.18
J9022TECENTRIQ (atezolizumab)81.06
J9039BLINCYTO136.07
J7192KOGENATE FS1.45
J9030Tice Bcg2.87
90715ADACEL TDAP37.63
J1030Depo-Medrol8.08
90586Tice Bcg143.72
J9262SYNRIBO3.66
J1430ETHAMOLIN458.97
J0179Beovu314.86
J1950Lupron Depot-Ped 7.5mg1480.89
J2760Phentolamine Mesylate452.42
Q4104Integra Bilayer Wound Matrix47.63
J7311Fluocinolone acetonide implt (Retisert)337.68
J9226Supprelin LA implant43541
J2786CINQAIR10.16
P9041Albuminar-510.62
P9046Albuminar-2521.23
P9045Albuminar-553.08
P9047Albuminar-2553.08
J9034BENDEKA16.91
J2783Elitek342.87
Q4103ANIMAL-DERIVED, EXTRACELLULAR MATRIX WOUND CARE PRODUCT12.94
J0800Cortrophin Gel3894.4
A9576Prohance Multipack1.43
J1556BIVIGAM70.95
J3396Visudyne11.38
Q4197N/A179.51
J3380ENTYVIO 21.84
J9269Elzonris322.18
J7186ALPHANATE1.17
J2323TYSABRI23.99
J7210AFSTYLA1.44
J3032Vyepti17.01
J1290KALBITOR? 520.5
J9357VALRUBICIN1442.53
J1100Dexamethasone Sodium Phosphate0.13
J9035Avastin71.35
J1110Dihydroergotamine Mesylate57.8
J0122XERAVA1.06
J9311RITUXAN HYCELA37.49
J2184MEROPENEM2.15
J0584Crysvita414.71
J0780Prochlorperazine Edisylate2.98
J1460GAMASTAN48.32
J1560GAMASTAN483.2
J8540HIDEX0.11
J7326GEL-ONE522.47
J7332TRILURON9.9
J7327Monovisc719.33
J0456Zithromax2.59
J2820LEUKINE57.08
J0257GLASSIA5.15
A9589CYSVIEW1244.44
J3372Vancomycin Hcl6.56
J7204ESPEROCT2.07
Q4175N/A64.12
Q9950Lumason18.59
J7336Qutenza3.28
J0588XEOMIN5.2
J2280AVELOX I.V.10.39
J2920Solu-Medrol4.13
Q9958Cysto-Conray Ii0.08
J2785Regadenoson61.99
A9579Prohance1.6
J9360Vinblastine Sulfate3.99
Q9963Md GastrovieW0.21
J0834Cortrosyn24.78
J7620Albuterol ipratropium0.13
Q4227N/A295.55
J7677Yupelri0.19
J2675Progesterone0.96
J0480Simulect4310.97
J7205ELOCTATE2.18
J2406Kimyrsa42.13
90677PREVNAR 2N/A288.66
Q4128N/A31.21
A9578Multihance Multipack1.84
J0587Myobloc12.7
J2430Pamidronate Disodium10.57
J1568OCTAGAM41.82
J3241Tepezza328
J1448Cosela5.11
J3371Vancomycin Hcl6.53
J0689Cefazolin Sodium1.19
Q4160NuShield96.01
J9032Beleodaq47.12
J1569GAMMAGARD LIQUID46.5
J3121Testosterone Enanthate0.05
J3060Elelyso42.92
Q4153N/A164.2
J7190HEMOFIL M1.13
J7178RIASTAP1.38
J7120Lactated Ringers2.56
90747Recombivax Hb144.06
J1364Erythromycin Lactobionate85.54
J2426INVEGA SUSTENNA13.65
A9585GADAVIST0.34
J0695ZERBAXA6.71
J1245Dipyridamole3.8
J0171Epinephrine HCl0.74
J2407Orbactiv26.67
J0850CYTOGAM1814.62
Q5111UDENYCA (pegfilgrastim-cbqv)141.17
J0561Bicillin L-A18.59
J9000Doxorubicin Hcl2.46
J9207IXEMPRA KIT121.88
J0875Dalvance15.32
J9271KEYTRUDA55.42
J9208Ifosfamide26.38
90371HYPERHEP B131.76
J7180CORIFACT9.69
J1439INJECTAFER1.13
J2300Nalbuphine Hcl2.86
Q4235N/A155.01
J0476BACLOFEN61.49
J3145Aveed 1.85
J9144Darzalex Faspro48.21
J1557GAMMAPLEX54.01
J9145Darzalex60.77
J7187HUMATE-P1.35
J7329TRIVISC9.67
J2510Penicillin G Procaine39.34
J0703Cefepime HCL in Dextrose5.22
J7181TRETTEN16.51
J0735Clonidine Hydrochloride Injection22.89
J2210METHYLERGONOVINE MALEATE20.86
J7209NUWIQ1.35
Q9965OMNIPAQUE 14N/A1.55
J1817Humalog8.74
J7179VONVENDI1.87
J9061Rybrevant19.68
J7626BUDESONIDE0.9
J9209Mesnex1.78
J7202IDELVION4.95
Q4111N/A7.32
J9307Folotyn351.95
Q4121N/A45.96
J1325Epoprostenol15.77
J1230Methadone Hcl16.69
J9177Padcev33.81
J9273TIVDAK161.96
90744Recombivax Hb31.05
J0558BICILLIN C-R14.42
J2792WINRHO SDF34.22
J1738ANJESO3.13
90740Recombivax Hb152.12
J0775XIAFLEX (collagenase clostridium histolyticum)65
J7644IPRATROPIUM BROMIDE0.24
J0256ZEMAIRA4.78
J1670HYPERTET S-D545.62
Q4152N/A46.28
J1040Depo-Medrol12.75
J0185Cinvanti1.81
J2778Lucentis247.65
J3250Tigan44.94
J7203Rebinyn4.33
J2860SYLVANT139.23
J2788MICRHOGAM ULTRA-FILTERED PLUS25.47
J9246EVOMELA16.8
J7686TYVASO (Starter Kit)739.15
J1645Fragmin13.97
J1558XEMBIFY13.62
J0690Cefazolin Sodium in Dextrose0.77
J2916Ferrlecit2.2
90714TDVAX29.27
J7183WILATE1.26
J7515Gengraf0.75
J0642Khapzory1.56
J1450Fluconazole In Sodium Chloride2.45
J9400Zaltrap7.39
Q5105RETACRIT0.85
Q5106RETACRIT8.51
Q4199N/A335.16
J8521Xeloda1.47
J2250Midazolam Hcl0.17
J0694Cefoxitin Sodium5.16
J3301Kenalog1.12
J2020LINEZOLID 3.43
J0136Acetaminophen0.05
J3010FENTANYL CITRATE0.98
Q9966OPTIRAY 24N/A0.51
J7509Medrol0.27
J1652FONDAPARINUX SODIUM1.07
Q9957DEFINITY49.06
J0697Cefuroxime Sodium2.24
J1572FLEBOGAMMA 5% DIF44.54
Q9956Optison32.77
J1265DOPAMINE0.67
Q4150N/A80.19
J8655Akynzeo442.11
J7502Gengraf2.27
J1453EMEND FOR INJECTION 15N/AMG0.19
J0287Abelcet11.13
Q4258N/A66.24
J9071Cyclophosphamide3.87
J7324Orthosvisc134.46
J2501Zemplar0.69
Q4180N/A181.36
J1610Glucagon Emergency190.26
J0289Ambisome26.85
J1626Granisetron HCl0.4
J9211Idamycin Pfs44.38
Q4151N/A132.88
Q5114OGIVRI47.13
J3000Streptomycin Sulfate42.26
J0285Amphotericin B46.32
J0636CALCITRIOL0.76
J9025Azacitidine0.5
J2401CHLOROPROCAINE HCL0.04
J2260Milrinone Lactate2.12
J1952Camcevi98.43
J0278Amikacin Sulfate0.96
Q4124OASIS ULTRA TRI-LAYER MATRIX10.14
J9268Nipent2585.41
J2001Lidocaine In D5W0.03
Q4105Integra Omnigraft Dermal Regeneration Matrix23.85
J9260Methotrexate Sodium2.45
J9250Methotrexate Sodium0.25
J1551Cutaquig14.15
J1955Carnitor34.17
J0877Daptomycin0.08
J2795Ropivacaine0.08
J1570Ganciclovir47.33
J7510Prednisolone0.26
J7182NOVOEIGHT1.25
Q4127N/A89.39
J7507Prograf0.35
J7197THROMBATE III3.72
J7042Dextrose-Nacl1.25
A9575Clariscan0.17
J0893decitabine1.88
J3475Magnesium Sulfate-Dextrose0.79
J7612LEVALBUTEROL0.27
J7674Provocholine0.83
Q4163N/A126.55
90375HYPERRAB336.2
J1120Acetazolamide Sodium29.01
J9200FLOXURIDINE3513.56
J0670Polocaine-Mpf3.47
J0744CIPROFLOXACIN 1.34
J3410Hydroxyzine Hcl13.11
J7500AZATHIOPRINE14.62
J9050Carmustine304.62
Q4203N/A277.79
J2360Orphenadrine Citrate Injection5.38
J0290Ampicillin Sodium0.92
J2469Palonosetron1.3
J2060Lorazepam1.18
J8530Cyclophosphamide0.9
J1190DEXRAZOXANE166.92
Q4117N/A11.72
J1630Haloperidol Lactate1.15
J2270Morphine Sulfate3.34
Q9961Conray0.2
J0887Mircera1.97
J0888Mircera1.97
J9351Hycamtin1.18
J9267PACLITAXEL 0.17
J9185Fludarabine Phosphate161.75
J0461Atropine Sulfate0.1
J0594BUSULFAN1.87
Q4115N/A16.37
J2690Procainamide Hcl164.37
J8610Methotrexate0.4
J2274Morphine Sulfate16.71
J1205Chlorothiazide Sodium76.87
J0894DECITABINE2.43
J1644Heparin (Porcine) In D5W0.26
J1270DOXERCALCIFEROL0.7
J0610N/A0
J0611N/A0
J0641Levoleucovorin Calcium0
J2515Pentobarbital0
J2770Synercid0
J7516Sandimmune0
J9037Blenrep0
J9048Bortezomib0
Q4106Dermagraft 2"x3" Sheet0
Q4195N/A0
Q4231N/A0
J0218XENPOZYME378.53
J0225Amvuttra4875.85
J0612Calcium Gluconate0.05
J0613Calcium Gluconate0.08
J1302Enjaymo17.01
J1456Fosaprepitant for Injection 15N/A MG0.42
J1747SPEVIGO60.22
J2311Zimhi8.79
J3244TIGECYCLINE0.6
J7331SynoJoynt13.25
J9196GEMCITABINE3.85
J9294Pemetrexed10.46
J9296Pemetrexed9.74
J9297Pemetrexed9.16
J9314Pemetrexed13.4
Q2041YESCARTA449245.86
Q2053TECARTUS448752.4
Q4169N/A263.29
Q4178N/A93.12
Q4190N/A497.83
Q4210N/A831.04
Q4222N/A119.62
Q4234N/A37.8
Q4253N/A31.91
Q4259N/A1007
Q5125RELEUKO 0.59
Q5126Alymsys73.71
[/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section]