Below are the price changes recorded on BuyandBill.com between 2/1/23 and 3/1/23
| HCPCS Code | NDC2 | Drug Name | Old WAC per HCPCS Unit | New WAC per HCPCS Unit | WAC Effective Date | WAC Percent Change | Old AWP per HCPCS Unit | New AWP per HCPCS Unit | AWP Effective Date | AWP Percent Change |
|---|---|---|---|---|---|---|---|---|---|---|
| J9280 | 71288-0137-20 | MITOMYCIN | NA (New NDC) | 243.27 | 3/20/23 | NA (New NDC) | NA (New NDC) | 291.92 | 3/20/23 | NA (New NDC) |
| J9280 | 71288-0138-50 | MITOMYCIN | NA (New NDC) | 158.00 | 3/20/23 | NA (New NDC) | NA (New NDC) | 189.60 | 3/20/23 | NA (New NDC) |
| J9280 | 71288-0139-51 | MITOMYCIN | NA (New NDC) | 158.00 | 3/20/23 | NA (New NDC) | NA (New NDC) | 189.59 | 3/20/23 | NA (New NDC) |
| J7203 | 00169-7903-01 | REBINYN | NA (New NDC) | 4.65 | 3/13/23 | NA (New NDC) | NA (New NDC) | 5.58 | 3/13/23 | NA (New NDC) |
| 90739 | 43528-0003-05 | HEPLISAV-B | 133.40 | 140.60 | 3/1/23 | 5.40% | 160.08 | 168.72 | 3/1/23 | 5.40% |
| J0878 | 60505-6229-04 | Daptomycin | 0.12 | 0.06 | 3/1/23 | -50.00% | 1.07 | 1.07 | 2/7/22 | 0.00% |
| J0894 | 68001-0573-41 | DECITABINE | NA (New NDC) | 7.88 | 3/1/23 | NA (New NDC) | NA (New NDC) | 9.85 | 3/1/23 | NA (New NDC) |
| J9036 | 60505-6228-00 | BENDAMUSTINE HYDROCHLORIDE | NA (New NDC) | 32.10 | 2/24/23 | NA (New NDC) | NA (New NDC) | 38.51 | 2/24/23 | NA (New NDC) |
| J0583 | 63323-0562-10 | BIVALIRUDIN | 2.03 | 0.58 | 2/21/23 | -71.46% | 2.44 | 0.70 | 2/21/23 | -71.46% |
| J0583 | 63323-0562-15 | BIVALIRUDIN | 0.44 | 0.30 | 2/21/23 | -31.82% | 0.53 | 0.36 | 2/21/23 | -31.82% |
| J1200 | 72485-0101-25 | Diphenhydramine Hcl | 5.00 | 3.00 | 2/21/23 | -40.00% | 6.00 | 3.60 | 2/21/23 | -40.00% |
| J9332 | 73475-3041-05 | EFGARTIGIMOD ALFA-FCAB | 29.75 | 30.35 | 2/17/23 | 2.00% | 35.70 | 36.41 | 2/17/23 | 2.00% |
| J2186 | 70842-0120-06 | VABOMERE | 2.06 | 2.16 | 2/16/23 | 5.02% | 2.47 | 2.59 | 2/16/23 | 5.02% |
| J2407 | 70842-0140-03 | Orbactiv | 27.36 | 28.18 | 2/16/23 | 2.99% | 32.83 | 33.81 | 2/16/23 | 2.99% |
| J2265 | 70842-0160-10 | MINOCIN | 22.76 | 23.90 | 2/16/23 | 5.01% | 27.31 | 28.68 | 2/16/23 | 5.01% |
| J1305 | 61755-0010-01 | Evkeeza | 162.50 | 169.00 | 2/15/23 | 4.00% | 195.00 | 202.80 | 2/15/23 | 4.00% |
| J1305 | 61755-0013-01 | Evkeeza | 162.50 | 169.00 | 2/15/23 | 4.00% | 195.00 | 202.80 | 2/15/23 | 4.00% |
| J9280 | 65219-0564-20 | MITOMYCIN | NA (New NDC) | 243.27 | 2/15/23 | NA (New NDC) | NA (New NDC) | 291.92 | 2/15/23 | NA (New NDC) |
| J9280 | 65219-0566-20 | MITOMYCIN | NA (New NDC) | 158.00 | 2/15/23 | NA (New NDC) | NA (New NDC) | 189.60 | 2/15/23 | NA (New NDC) |
| J9280 | 65219-0568-00 | MITOMYCIN | NA (New NDC) | 158.00 | 2/15/23 | NA (New NDC) | NA (New NDC) | 189.59 | 2/15/23 | NA (New NDC) |
| J2356 | 55513-0123-01 | TEZSPIRE | NA (New NDC) | 19.60 | 2/13/23 | NA (New NDC) | NA (New NDC) | 23.53 | 2/13/23 | NA (New NDC) |
| J0593 | 47783-0646-01 | TAKHZYRO | 80.39 | 82.80 | 2/10/23 | 3.00% | 96.47 | 99.36 | 2/10/23 | 3.00% |
| J0593 | 47783-0644-01 | TAKHZYRO | 80.39 | 82.80 | 2/10/23 | 3.00% | 96.47 | 99.36 | 2/10/23 | 3.00% |
| P9041 | 64208-2510-01 | ALBUMINEX 5% | 14.00 | 14.70 | 2/6/23 | 5.00% | 16.80 | 17.64 | 2/6/23 | 5.00% |
| P9045 | 64208-2510-01 | ALBUMINEX 5% | 70.00 | 73.50 | 2/6/23 | 5.00% | 84.00 | 88.20 | 2/6/23 | 5.00% |
| P9041 | 64208-2510-05 | ALBUMINEX 5% | 14.00 | 14.70 | 2/6/23 | 5.00% | 16.80 | 17.64 | 2/6/23 | 5.00% |
| P9045 | 64208-2510-05 | ALBUMINEX 5% | 70.00 | 73.50 | 2/6/23 | 5.00% | 84.00 | 88.20 | 2/6/23 | 5.00% |
| J7175 | 64208-7752-01 | COAGADEX | 10.27 | 10.89 | 2/6/23 | 6.04% | 12.32 | 13.07 | 2/6/23 | 6.09% |
| J7175 | 64208-7753-01 | COAGADEX | 10.27 | 10.89 | 2/6/23 | 6.04% | 12.32 | 13.07 | 2/6/23 | 6.09% |
| J1335 | 68001-0408-31 | Ertapenem | 41.00 | 40.00 | 2/6/23 | -2.44% | 70.24 | 70.24 | 3/24/22 | 0.00% |
| J9025 | 68001-0527-54 | AZACITIDINE | 1.20 | 1.00 | 2/6/23 | -16.67% | 6.18 | 6.18 | 6/27/21 | 0.00% |
| J1610 | 72065-0120-11 | GVOKE HYPOPEN 1 PACK | 595.80 | 613.68 | 2/6/23 | 3.00% | 714.96 | 736.42 | 2/6/23 | 3.00% |
| J1610 | 72065-0120-12 | GVOKE HYPOPEN 2 PACK | 595.80 | 613.68 | 2/6/23 | 3.00% | 714.96 | 736.42 | 2/6/23 | 3.00% |
| J1610 | 72065-0121-11 | GVOKE HYPOPEN 1 PACK | 297.90 | 306.84 | 2/6/23 | 3.00% | 357.48 | 368.21 | 2/6/23 | 3.00% |
| J1610 | 72065-0121-12 | GVOKE HYPOPEN 2 PACK | 297.90 | 306.84 | 2/6/23 | 3.00% | 357.48 | 368.21 | 2/6/23 | 3.00% |
| J1610 | 72065-0130-11 | GVOKE PFS 1 PACK | 595.80 | 613.68 | 2/6/23 | 3.00% | 714.96 | 736.42 | 2/6/23 | 3.00% |
| J1610 | 72065-0130-12 | GVOKE PFS 2 PACK | 595.80 | 613.68 | 2/6/23 | 3.00% | 714.96 | 736.42 | 2/6/23 | 3.00% |
| J1610 | 72065-0131-11 | GVOKE PFS 1 PACK | 297.90 | 306.84 | 2/6/23 | 3.00% | 357.48 | 368.21 | 2/6/23 | 3.00% |
| J1610 | 72065-0131-12 | GVOKE PFS 2 PACK | 297.90 | 306.84 | 2/6/23 | 3.00% | 357.48 | 368.21 | 2/6/23 | 3.00% |
| J1610 | 72065-0140-11 | GVOKE KIT | 297.90 | 306.84 | 2/6/23 | 3.00% | 357.48 | 368.21 | 2/6/23 | 3.00% |
| J0702 | 00517-0720-01 | Celestone Soluspan | 10.48 | 11.01 | 2/6/23 | 5.00% | 12.58 | 13.21 | 2/6/23 | 5.01% |
| J7613 | 76204-0200-25 | Albuterol Sulfate | 0.06 | 0.10 | 2/5/23 | 55.25% | 0.53 | 0.53 | 2/1/12 | 0.00% |
| J7613 | 76204-0200-30 | Albuterol Sulfate | 0.06 | 0.10 | 2/5/23 | 55.21% | 0.53 | 0.53 | 2/1/12 | 0.00% |
| J7613 | 76204-0200-60 | Albuterol Sulfate | 0.06 | 0.10 | 2/5/23 | 55.21% | 0.53 | 0.53 | 2/1/12 | 0.00% |
| J1580 | 63323-0010-02 | Gentamicin Sulfate | 3.54 | 4.07 | 2/2/23 | 14.97% | 4.25 | 4.88 | 2/2/23 | 14.97% |
| J1580 | 63323-0010-20 | Gentamicin Sulfate | 2.54 | 2.92 | 2/2/23 | 14.99% | 3.05 | 3.51 | 2/2/23 | 14.99% |
| J0720 | 63323-0011-15 | Chloramphenicol Sod Succinate | 38.92 | 48.65 | 2/2/23 | 25.00% | 46.70 | 58.38 | 2/2/23 | 25.00% |
| J2590 | 63323-0012-30 | OXYTOCIN | 1.44 | 1.58 | 2/2/23 | 9.50% | 1.73 | 1.89 | 2/2/23 | 9.50% |
| J2150 | 63323-0024-25 | Mannitol | 4.86 | 5.32 | 2/2/23 | 9.47% | 5.83 | 6.38 | 2/2/23 | 9.47% |
| J3475 | 63323-0064-03 | Magnesium Sulfate | 0.87 | 1.00 | 2/2/23 | 15.03% | 1.04 | 1.19 | 2/2/23 | 15.03% |
| J3475 | 63323-0064-11 | Magnesium Sulfate | 0.19 | 0.22 | 2/2/23 | 14.81% | 0.23 | 0.26 | 2/2/23 | 14.81% |
| J1885 | 63323-0162-02 | Ketorolac Tromethamine | 1.56 | 1.80 | 2/2/23 | 15.04% | 1.88 | 2.16 | 2/2/23 | 15.04% |
| J1100 | 63323-0165-01 | Dexamethasone Sodium Phosphate | 0.66 | 0.72 | 2/2/23 | 9.51% | 0.79 | 0.86 | 2/2/23 | 9.51% |
| J1100 | 63323-0165-05 | Dexamethasone Sodium Phosphate | 0.32 | 0.35 | 2/2/23 | 9.51% | 0.38 | 0.41 | 2/2/23 | 9.51% |
| J1580 | 63323-0173-02 | Gentamicin Sulfate | 18.80 | 21.64 | 2/2/23 | 15.11% | 22.56 | 25.97 | 2/2/23 | 15.11% |
| J3415 | 63323-0180-01 | Pyridoxine Hcl | 16.57 | 19.06 | 2/2/23 | 15.03% | 19.88 | 22.87 | 2/2/23 | 15.03% |
| J2001 | 63323-0208-05 | LIDOCAINE HCL | 0.00 | 1.72 | 2/2/23 | 0.00% | 1.79 | 2.06 | 2/2/23 | 15.05% |
| J2720 | 63323-0229-05 | Protamine Sulfate | 2.69 | 3.10 | 2/2/23 | 15.01% | 3.23 | 3.72 | 2/2/23 | 15.01% |
| J2720 | 63323-0229-30 | Protamine Sulfate | 1.61 | 1.86 | 2/2/23 | 14.99% | 1.94 | 2.23 | 2/2/23 | 14.99% |
| J0670 | 63323-0260-37 | Polocaine-Mpf | 2.48 | 2.86 | 2/2/23 | 15.03% | 2.98 | 3.43 | 2/2/23 | 15.03% |
| J0670 | 63323-0283-57 | Polocaine | 2.09 | 2.41 | 2/2/23 | 15.01% | 2.51 | 2.89 | 2/2/23 | 15.01% |
| J0670 | 63323-0293-37 | Polocaine-Mpf | 3.37 | 3.87 | 2/2/23 | 15.05% | 4.04 | 4.65 | 2/2/23 | 15.05% |
| J0670 | 63323-0294-27 | Polocaine-Mpf | 4.14 | 4.76 | 2/2/23 | 14.99% | 4.96 | 5.71 | 2/2/23 | 14.99% |
| J0670 | 63323-0296-57 | Polocaine | 2.15 | 2.47 | 2/2/23 | 14.98% | 2.58 | 2.97 | 2/2/23 | 14.98% |
| J3260 | 63323-0305-02 | Tobramycin Sulfate | 21.12 | 24.56 | 2/2/23 | 16.29% | 25.34 | 29.47 | 2/2/23 | 16.29% |
| J0743 | 63323-0322-25 | IMIPENEM AND CILASTATIN | 13.69 | 14.99 | 2/2/23 | 9.50% | 16.43 | 17.99 | 2/2/23 | 9.50% |
| J0743 | 63323-0349-25 | IMIPENEM AND CILASTATIN | 13.69 | 14.99 | 2/2/23 | 9.50% | 16.43 | 17.99 | 2/2/23 | 9.50% |
| J0610 | 63323-0360-59 | Calcium Gluconate | 4.93 | 5.40 | 2/2/23 | 9.50% | 5.91 | 6.48 | 2/2/23 | 9.50% |
| J0610 | 63323-0360-61 | Calcium Gluconate | 4.93 | 5.40 | 2/2/23 | 9.50% | 5.91 | 6.48 | 2/2/23 | 9.50% |
| J1240 | 63323-0366-01 | Dimenhydrinate | 10.03 | 11.53 | 2/2/23 | 14.96% | 12.04 | 13.84 | 2/2/23 | 14.96% |
| NOC Bupivacaine | 63323-0464-17 | SENSORCAINE-MPF | 0.57 | 0.66 | 2/2/23 | 15.09% | 0.68 | 0.79 | 2/2/23 | 15.09% |
| NOC Bupivacaine | 63323-0464-37 | SENSORCAINE-MPF | 0.22 | 0.25 | 2/2/23 | 14.98% | 0.26 | 0.30 | 2/2/23 | 14.98% |
| NOC Bupivacaine | 63323-0465-57 | Sensorcaine | 0.20 | 0.23 | 2/2/23 | 15.01% | 0.24 | 0.28 | 2/2/23 | 15.01% |
| NOC Bupivacaine | 63323-0466-17 | Sensorcaine-MPF | 0.46 | 0.52 | 2/2/23 | 14.91% | 0.55 | 0.63 | 2/2/23 | 14.91% |
| NOC Bupivacaine | 63323-0466-37 | SENSORCAINE-MPF | 0.21 | 0.24 | 2/2/23 | 15.08% | 0.25 | 0.29 | 2/2/23 | 15.08% |
| NOC Bupivacaine | 63323-0467-57 | Sensorcaine | 0.22 | 0.26 | 2/2/23 | 15.00% | 0.27 | 0.31 | 2/2/23 | 15.00% |
| NOC Bupivacaine | 63323-0472-17 | Sensorcaine | 0.48 | 0.55 | 2/2/23 | 14.95% | 0.57 | 0.66 | 2/2/23 | 14.95% |
| NOC Bupivacaine | 63323-0472-37 | SENSORCAINE-MPF | 0.22 | 0.25 | 2/2/23 | 14.96% | 0.26 | 0.30 | 2/2/23 | 14.96% |
| J1100 | 63323-0506-01 | Dexamethasone Sodium Phosphate | 0.69 | 0.75 | 2/2/23 | 9.49% | 0.82 | 0.90 | 2/2/23 | 9.49% |
| J1100 | 63323-0516-10 | Dexamethasone Sodium Phosphate | 0.14 | 0.15 | 2/2/23 | 9.47% | 0.17 | 0.19 | 2/2/23 | 9.47% |
| J3475 | 63323-0642-20 | Magnesium Sulfate | 0.39 | 0.45 | 2/2/23 | 14.99% | 0.47 | 0.54 | 2/2/23 | 14.99% |
| J3475 | 63323-0642-50 | Magnesium Sulfate | 0.41 | 0.47 | 2/2/23 | 15.00% | 0.49 | 0.56 | 2/2/23 | 15.00% |
| J1170 | 63323-0851-15 | Hydromorphone Hcl | 1.11 | 1.33 | 2/2/23 | 20.00% | 1.33 | 1.60 | 2/2/23 | 20.00% |
| J1170 | 63323-0851-50 | Hydromorphone Hcl | 1.13 | 1.36 | 2/2/23 | 20.00% | 1.36 | 1.63 | 2/2/23 | 20.00% |
| J1170 | 63323-0852-25 | Hydromorphone Hcl | 14.40 | 17.28 | 2/2/23 | 20.00% | 17.28 | 20.74 | 2/2/23 | 20.00% |
| J1170 | 63323-0853-25 | Hydromorphone Hcl | 7.20 | 8.64 | 2/2/23 | 20.00% | 8.64 | 10.37 | 2/2/23 | 20.00% |
| J1170 | 63323-0854-10 | Hydromorphone Hcl | 3.73 | 4.48 | 2/2/23 | 20.11% | 4.48 | 5.38 | 2/2/23 | 20.11% |
| J1335 | 00143-9398-10 | Ertapenem | 45.00 | 20.00 | 2/1/23 | -55.56% | 54.00 | 24.00 | 2/1/23 | -55.56% |
| J9041 | 10019-0991-01 | Bortezomib | 17.09 | 1.80 | 2/1/23 | -89.45% | 20.50 | 2.16 | 2/1/23 | -89.45% |
| J1833 | 00469-0420-99 | CRESEMBA | 1.72 | 1.82 | 1/17/23 | 6.00% | 2.06 | 2.19 | 1/17/23 | 6.00% |
| J7507 | 00469-0617-73 | Prograf | 6.58 | 6.97 | 1/17/23 | 6.00% | 7.90 | 8.37 | 1/17/23 | 6.00% |
| J7508 | 00469-0647-73 | ASTAGRAF XL | 0.51 | 0.54 | 1/17/23 | 6.01% | 0.62 | 0.65 | 1/17/23 | 6.01% |
| J7507 | 00469-0657-73 | Prograf | 6.58 | 6.97 | 1/17/23 | 6.00% | 7.90 | 8.37 | 1/17/23 | 6.00% |
| J7508 | 00469-0677-73 | ASTAGRAF XL | 0.51 | 0.54 | 1/17/23 | 6.00% | 0.62 | 0.65 | 1/17/23 | 6.00% |
| J7508 | 00469-0687-73 | ASTAGRAF XL | 0.51 | 0.54 | 1/17/23 | 6.00% | 0.62 | 0.65 | 1/17/23 | 6.00% |
| J7525 | 00469-3016-01 | Prograf | 226.78 | 240.39 | 1/17/23 | 6.00% | 272.14 | 288.47 | 1/17/23 | 6.00% |
| J0289 | 00469-3051-30 | Ambisome | 56.61 | 60.01 | 1/17/23 | 6.00% | 67.93 | 72.01 | 1/17/23 | 6.00% |
| J0401 | 59148-0072-80 | ABILIFY MAINTENA | 6.38 | 6.80 | 1/15/23 | 6.50% | 7.66 | 8.16 | 1/15/23 | 6.50% |
| J0401 | 59148-0045-80 | ABILIFY MAINTENA | 6.38 | 6.80 | 1/15/23 | 6.50% | 7.66 | 8.16 | 1/15/23 | 6.50% |
| J0401 | 59148-0019-71 | ABILIFY MAINTENA | 6.38 | 6.80 | 1/15/23 | 6.50% | 7.66 | 8.16 | 1/15/23 | 6.50% |
| J0401 | 59148-0018-71 | ABILIFY MAINTENA | 6.38 | 6.80 | 1/15/23 | 6.50% | 7.66 | 8.16 | 1/15/23 | 6.50% |
| J3245 | 47335-0177-95 | Ilumya | 154.87 | 164.17 | 1/5/23 | 6.00% | 166.98 | 197.00 | 1/5/23 | 17.98% |
| C9482 | 69724-0112-10 | SOTALOL HCL | 18.23 | 19.99 | 1/1/23 | 9.69% | 21.87 | 23.99 | 1/1/23 | 9.69% |
| J1575 | 00944-2510-02 | HYQVIA | 22.21 | 23.32 | 1/1/23 | 5.00% | 26.65 | 27.98 | 1/1/23 | 5.00% |
| J1575 | 00944-2511-02 | HYQVIA | 22.21 | 23.32 | 1/1/23 | 5.00% | 26.65 | 27.98 | 1/1/23 | 5.00% |
| J1575 | 00944-2512-02 | HYQVIA | 22.21 | 23.32 | 1/1/23 | 5.00% | 26.65 | 27.98 | 1/1/23 | 5.00% |
| J1575 | 00944-2513-02 | HYQVIA | 22.21 | 23.32 | 1/1/23 | 5.00% | 26.65 | 27.98 | 1/1/23 | 5.00% |
| J1575 | 00944-2514-02 | HYQVIA | 22.21 | 23.32 | 1/1/23 | 5.00% | 26.65 | 27.98 | 1/1/23 | 5.00% |
| J1566 | 00944-2656-03 | GAMMAGARD S-D | 103.67 | 107.82 | 1/1/23 | 4.00% | 124.40 | 129.38 | 1/1/23 | 4.00% |
| J1566 | 00944-2658-04 | GAMMAGARD S-D | 103.67 | 107.82 | 1/1/23 | 4.00% | 124.40 | 129.38 | 1/1/23 | 4.00% |
| J1569 | 00944-2700-02 | GAMMAGARD LIQUID | 77.62 | 80.72 | 1/1/23 | 4.00% | 93.15 | 96.87 | 1/1/23 | 4.00% |
| J1569 | 00944-2700-03 | GAMMAGARD LIQUID | 77.62 | 80.73 | 1/1/23 | 4.00% | 93.14 | 96.87 | 1/1/23 | 4.00% |
| J1569 | 00944-2700-04 | GAMMAGARD LIQUID | 77.62 | 80.73 | 1/1/23 | 4.00% | 93.14 | 96.87 | 1/1/23 | 4.00% |
| J1569 | 00944-2700-05 | GAMMAGARD LIQUID | 77.62 | 80.73 | 1/1/23 | 4.00% | 93.14 | 96.87 | 1/1/23 | 4.00% |
| J1569 | 00944-2700-06 | GAMMAGARD LIQUID | 77.62 | 80.73 | 1/1/23 | 4.00% | 93.14 | 96.87 | 1/1/23 | 4.00% |
| J1569 | 00944-2700-07 | GAMMAGARD LIQUID | 77.62 | 80.73 | 1/1/23 | 4.00% | 93.14 | 96.87 | 1/1/23 | 4.00% |
| J0256 | 00944-2814-01 | ARALAST NP | 5.90 | 6.10 | 1/1/23 | 3.39% | 7.10 | 7.30 | 1/1/23 | 2.82% |
| J0256 | 00944-2815-01 | ARALAST NP | 5.90 | 6.10 | 1/1/23 | 3.39% | 7.10 | 7.30 | 1/1/23 | 2.82% |
| J7192 | 00944-2841-10 | RECOMBINATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-2842-10 | RECOMBINATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-2843-10 | RECOMBINATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-2844-10 | RECOMBINATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-2845-10 | RECOMBINATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J1555 | 00944-2850-01 | CUVITRU | 20.17 | 21.18 | 1/1/23 | 5.00% | 24.20 | 25.41 | 1/1/23 | 5.00% |
| J1555 | 00944-2850-03 | CUVITRU | 20.17 | 21.18 | 1/1/23 | 5.00% | 24.20 | 25.41 | 1/1/23 | 5.00% |
| J1555 | 00944-2850-05 | CUVITRU | 20.17 | 21.18 | 1/1/23 | 5.00% | 24.20 | 25.41 | 1/1/23 | 5.00% |
| J1555 | 00944-2850-07 | CUVITRU | 20.17 | 21.18 | 1/1/23 | 5.00% | 24.20 | 25.41 | 1/1/23 | 5.00% |
| J1555 | 00944-2850-09 | CUVITRU | 20.17 | 21.18 | 1/1/23 | 5.00% | 24.20 | 25.41 | 1/1/23 | 5.00% |
| J0257 | 00944-2884-01 | GLASSIA | 6.00 | 6.20 | 1/1/23 | 3.33% | 7.20 | 7.40 | 1/1/23 | 2.78% |
| J7200 | 00944-3026-02 | RIXUBIS | 1.70 | 1.75 | 1/1/23 | 2.94% | 2.04 | 2.10 | 1/1/23 | 2.94% |
| J7200 | 00944-3028-02 | RIXUBIS | 1.70 | 1.75 | 1/1/23 | 2.94% | 2.04 | 2.10 | 1/1/23 | 2.94% |
| J7200 | 00944-3030-02 | RIXUBIS | 1.70 | 1.75 | 1/1/23 | 2.94% | 2.04 | 2.10 | 1/1/23 | 2.94% |
| J7200 | 00944-3032-02 | RIXUBIS | 1.70 | 1.75 | 1/1/23 | 2.94% | 2.04 | 2.10 | 1/1/23 | 2.94% |
| J7200 | 00944-3034-02 | RIXUBIS | 1.70 | 1.75 | 1/1/23 | 2.94% | 2.04 | 2.10 | 1/1/23 | 2.94% |
| J7192 | 00944-3045-10 | ADVATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-3046-10 | ADVATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-3047-10 | ADVATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-3051-02 | ADVATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-3052-02 | ADVATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-3053-02 | ADVATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7192 | 00944-3054-02 | ADVATE | 1.79 | 1.84 | 1/1/23 | 2.79% | 2.15 | 2.21 | 1/1/23 | 2.79% |
| J7190 | 00944-3940-02 | HEMOFIL M | 1.50 | 1.55 | 1/1/23 | 3.33% | 1.80 | 1.86 | 1/1/23 | 3.33% |
| J7190 | 00944-3942-02 | HEMOFIL M | 1.50 | 1.55 | 1/1/23 | 3.33% | 1.80 | 1.86 | 1/1/23 | 3.33% |
| J7190 | 00944-3944-02 | HEMOFIL M | 1.50 | 1.55 | 1/1/23 | 3.33% | 1.80 | 1.86 | 1/1/23 | 3.33% |
| J7190 | 00944-3946-02 | HEMOFIL M | 1.50 | 1.55 | 1/1/23 | 3.33% | 1.80 | 1.86 | 1/1/23 | 3.33% |
| J7207 | 00944-4622-01 | ADYNOVATE | 2.29 | 2.39 | 1/1/23 | 4.37% | 2.75 | 2.87 | 1/1/23 | 4.36% |
| J7207 | 00944-4623-01 | ADYNOVATE | 2.29 | 2.39 | 1/1/23 | 4.37% | 2.75 | 2.87 | 1/1/23 | 4.36% |
| J7207 | 00944-4624-01 | ADYNOVATE | 2.29 | 2.39 | 1/1/23 | 4.37% | 2.75 | 2.87 | 1/1/23 | 4.36% |
| J7207 | 00944-4625-01 | ADYNOVATE | 2.29 | 2.39 | 1/1/23 | 4.37% | 2.75 | 2.87 | 1/1/23 | 4.36% |
| J7207 | 00944-4626-01 | ADYNOVATE | 2.29 | 2.39 | 1/1/23 | 4.37% | 2.75 | 2.87 | 1/1/23 | 4.36% |
| J7207 | 00944-4627-01 | ADYNOVATE | 2.29 | 2.39 | 1/1/23 | 4.37% | 2.75 | 2.87 | 1/1/23 | 4.36% |
| J7207 | 00944-4628-01 | ADYNOVATE | 2.29 | 2.39 | 1/1/23 | 4.37% | 2.75 | 2.87 | 1/1/23 | 4.36% |
| J1290 | 47783-0101-01 | KALBITOR? | 522.23 | 537.90 | 1/1/23 | 3.00% | 626.68 | 645.48 | 1/1/23 | 3.00% |
| J3385 | 54092-0701-04 | VPRIV | 354.58 | 365.22 | 1/1/23 | 3.00% | 425.49 | 438.26 | 1/1/23 | 3.00% |
| J7198 | 64193-0424-02 | FEIBA NF | 2.46 | 2.54 | 1/1/23 | 3.25% | 2.95 | 3.05 | 1/1/23 | 3.39% |
| J7198 | 64193-0425-02 | FEIBA NF | 2.46 | 2.54 | 1/1/23 | 3.25% | 2.95 | 3.05 | 1/1/23 | 3.39% |
| J7198 | 64193-0426-02 | FEIBA NF | 2.46 | 2.54 | 1/1/23 | 3.25% | 2.95 | 3.05 | 1/1/23 | 3.39% |
| J3380 | 64764-0300-20 | ENTYVIO | 25.71 | 27.25 | 1/1/23 | 6.00% | 30.85 | 32.70 | 1/1/23 | 6.00% |
| J9317 | 55135-0132-01 | TRODELVY | 31.00 | 31.78 | 1/1/23 | 2.50% | 37.20 | 38.13 | 1/1/23 | 2.50% |
| J1642 | 08290-3064-24 | POSIFLUSH HEPARIN | 0.01 | 0.00 | 12/6/22 | -100.00% | 0.01 | 0.01 | 1/1/21 | 0.00% |
| J0690 | 00264-3103-11 | Cefazolin Sodium in Dextrose | 0.24 | 0.25 | 8/1/22 | 7.22% | 0.28 | 0.30 | 8/1/22 | 7.20% |
| J0690 | 00264-3105-11 | Cefazolin Sodium in Dextrose | 0.13 | 0.15 | 8/1/22 | 10.02% | 0.16 | 0.18 | 8/1/22 | 10.05% |
| J0694 | 00264-3123-11 | Cefoxitin Sodium | 0.68 | 0.73 | 8/1/22 | 7.23% | 0.82 | 0.88 | 8/1/22 | 7.25% |
| J0694 | 00264-3125-11 | Cefoxitin Sodium | 0.61 | 0.65 | 8/1/22 | 7.22% | 0.73 | 0.78 | 8/1/22 | 7.21% |
| J0696 | 00264-3153-11 | CEFTRIAXONE IN D5W | 0.18 | 0.19 | 8/1/22 | 7.22% | 0.21 | 0.23 | 8/1/22 | 7.19% |
| J0696 | 00264-3155-11 | CEFTRIAXONE IN D5W | 0.13 | 0.13 | 8/1/22 | 2.59% | 0.15 | 0.16 | 8/1/22 | 2.57% |
| J2185 | 00264-3183-11 | MEROPENEM-0.9% NACL | 0.15 | 0.16 | 8/1/22 | 10.04% | 0.18 | 0.20 | 8/1/22 | 10.01% |
| J2185 | 00264-3185-11 | MEROPENEM-0.9% NACL | 2.48 | 0.12 | 8/1/22 | -95.11% | 2.98 | 0.15 | 8/1/22 | -95.11% |
| J0692 | 00264-3193-11 | CEFEPIME-DEXTROSE | 8.52 | 9.37 | 8/1/22 | 9.98% | 10.22 | 11.24 | 8/1/22 | 9.98% |
| J0703 | 00264-3193-11 | Cefepime HCL in Dextrose | 8.51 | 0.39 | 8/1/22 | -95.42% | 10.22 | 0.47 | 8/1/22 | -95.42% |
| J0692 | 00264-3195-11 | CEFEPIME-DEXTROSE | 6.07 | 7.10 | 8/1/22 | 16.96% | 7.29 | 8.52 | 8/1/22 | 16.95% |
| J0703 | 00264-3195-11 | Cefepime HCL in Dextrose | 6.07 | 0.30 | 8/1/22 | -95.13% | 7.29 | 0.36 | 8/1/22 | -95.13% |
| J1644 | 00264-5705-10 | Heparin Sodium (Porcine) | 17.20 | 17.60 | 8/1/22 | 2.33% | 20.64 | 21.12 | 8/1/22 | 2.33% |
| J7030 | 00264-5802-00 | Sodium Chloride | 2.45 | 2.37 | 8/1/22 | -3.27% | 2.94 | 2.84 | 8/1/22 | -3.26% |
| J7040 | 00264-5802-00 | Sodium Chloride | 1.23 | 1.19 | 8/1/22 | -3.27% | 1.47 | 1.42 | 8/1/22 | -3.26% |
| J7050 | 00264-5802-00 | Sodium Chloride | 0.61 | 0.59 | 8/1/22 | -3.27% | 0.74 | 0.71 | 8/1/22 | -3.26% |
| J2400 | 00264-7055-10 | CLOROTEKAL | 420.00 | 0.00 | 8/1/22 | -100.00% | 504.00 | 0.00 | 8/1/22 | -100.00% |
| J7120 | 00264-7389-60 | Lactated Ringers | 1.17 | 1.18 | 8/1/22 | 0.78% | 1.41 | 1.42 | 8/1/22 | 0.83% |
| J7060 | 00264-7510-10 | Dextrose | 0.13 | 0.14 | 8/1/22 | 9.35% | 0.16 | 0.17 | 8/1/22 | 9.41% |
| J7070 | 00264-7510-10 | Dextrose | 0.26 | 0.28 | 8/1/22 | 9.35% | 0.31 | 0.34 | 8/1/22 | 9.41% |
| J7060 | 00264-7510-20 | Dextrose | 0.24 | 0.26 | 8/1/22 | 9.47% | 0.29 | 0.31 | 8/1/22 | 9.36% |
| J7070 | 00264-7510-20 | Dextrose | 0.48 | 0.52 | 8/1/22 | 9.47% | 0.57 | 0.62 | 8/1/22 | 9.36% |
| J7042 | 00264-7610-00 | Dextrose-Nacl | 0.12 | 0.15 | 8/1/22 | 22.11% | 0.14 | 0.17 | 8/1/22 | 22.22% |
| J7042 | 00264-7610-10 | Dextrose-Nacl | 0.12 | 0.15 | 8/1/22 | 26.12% | 0.15 | 0.18 | 8/1/22 | 26.07% |
| J7120 | 00264-7750-00 | Lactated Ringers | 0.21 | 0.21 | 8/1/22 | 0.40% | 0.25 | 0.25 | 8/1/22 | 0.33% |
| J7120 | 00264-7750-10 | Lactated Ringers | 0.23 | 0.28 | 8/1/22 | 21.51% | 0.28 | 0.34 | 8/1/22 | 21.49% |
| J7120 | 00264-7750-20 | Lactated Ringers | 0.47 | 0.66 | 8/1/22 | 39.22% | 0.57 | 0.79 | 8/1/22 | 39.12% |
| J7030 | 00264-7800-00 | Sodium Chloride | 0.20 | 0.20 | 8/1/22 | -3.27% | 0.25 | 0.24 | 8/1/22 | -3.40% |
| J7040 | 00264-7800-00 | Sodium Chloride | 0.10 | 0.10 | 8/1/22 | -3.27% | 0.12 | 0.12 | 8/1/22 | -3.40% |
| J7050 | 00264-7800-00 | Sodium Chloride | 0.05 | 0.05 | 8/1/22 | -3.27% | 0.06 | 0.06 | 8/1/22 | -3.40% |
| J7030 | 00264-7800-09 | Sodium Chloride | 0.22 | 0.20 | 8/1/22 | -9.54% | 0.26 | 0.24 | 8/1/22 | -9.55% |
| J7040 | 00264-7800-09 | Sodium Chloride | 0.11 | 0.10 | 8/1/22 | -9.54% | 0.13 | 0.12 | 8/1/22 | -9.55% |
| J7050 | 00264-7800-09 | Sodium Chloride | 0.05 | 0.05 | 8/1/22 | -9.54% | 0.07 | 0.06 | 8/1/22 | -9.55% |
| J7030 | 00264-7800-10 | Sodium Chloride | 0.24 | 0.26 | 8/1/22 | 9.22% | 0.28 | 0.31 | 8/1/22 | 9.47% |
| J7040 | 00264-7800-10 | Sodium Chloride | 0.12 | 0.13 | 8/1/22 | 9.22% | 0.14 | 0.15 | 8/1/22 | 9.47% |
| J7050 | 00264-7800-10 | Sodium Chloride | 0.06 | 0.06 | 8/1/22 | 9.22% | 0.07 | 0.08 | 8/1/22 | 9.47% |
| J7030 | 00264-7800-20 | Sodium Chloride | 0.40 | 0.44 | 8/1/22 | 9.17% | 0.48 | 0.52 | 8/1/22 | 9.03% |
| J7040 | 00264-7800-20 | Sodium Chloride | 0.20 | 0.22 | 8/1/22 | 9.17% | 0.24 | 0.26 | 8/1/22 | 9.03% |
| J7050 | 00264-7800-20 | Sodium Chloride | 0.10 | 0.11 | 8/1/22 | 9.17% | 0.12 | 0.13 | 8/1/22 | 9.03% |
| NOC Sodium Chloride, Hypertonic (3% - 5% infusion) | 00264-7805-10 | Sodium Chloride | 0.07 | 0.10 | 8/1/22 | 46.32% | 0.08 | 0.12 | 8/1/22 | 46.29% |
| NOC Sodium Chloride, Hypertonic (3% - 5% infusion) | 00264-7806-10 | Sodium Chloride | 0.06 | 0.10 | 8/1/22 | 57.73% | 0.07 | 0.11 | 8/1/22 | 57.88% |
| J3480 | 00264-7865-00 | Potassium Chloride | 0.03 | 0.04 | 8/1/22 | 31.16% | 0.04 | 0.05 | 8/1/22 | 31.13% |
| J1644 | 00264-9567-10 | Heparin (Porcine) In D5W | 0.03 | 0.03 | 8/1/22 | 7.21% | 0.03 | 0.03 | 8/1/22 | 7.20% |
| J1644 | 00264-9577-10 | Heparin (Porcine) In D5W | 0.02 | 0.03 | 8/1/22 | 7.18% | 0.03 | 0.03 | 8/1/22 | 7.17% |
| J1644 | 00264-9587-20 | Heparin (Porcine) In D5W | 0.02 | 0.03 | 8/1/22 | 8.25% | 0.03 | 0.03 | 8/1/22 | 8.24% |
| J2001 | 00264-9594-10 | Lidocaine In D5W | 0.00 | 0.00 | 8/1/22 | 7.31% | 0.00 | 0.00 | 8/1/22 | 7.26% |
| J2001 | 00264-9594-20 | Lidocaine In D5W | 0.00 | 0.00 | 8/1/22 | 27.85% | 0.00 | 0.00 | 8/1/22 | 27.88% |
| J2001 | 00264-9598-20 | Lidocaine In D5W | 0.00 | 0.00 | 8/1/22 | 7.33% | 0.00 | 0.00 | 8/1/22 | 7.29% |
| J1644 | 00264-9872-10 | Heparin (Porcine) In Nacl | 0.16 | 0.17 | 8/1/22 | 7.31% | 0.19 | 0.21 | 8/1/22 | 7.17% |
| J3475 | 00264-4204-52 | MAGNESIUM SULFATE | 1.79 | 1.26 | 2/25/22 | -29.41% | 2.14 | 1.51 | 2/25/22 | -29.41% |
| J3475 | 00264-4205-52 | MAGNESIUM SULFATE | 0.54 | 0.54 | 2/25/22 | -0.23% | 0.65 | 0.65 | 2/25/22 | -0.23% |
| J3475 | 00264-4206-54 | Magnesium Sulfate | 0.46 | 0.44 | 2/25/22 | -3.83% | 0.55 | 0.53 | 2/25/22 | -3.82% |
| J3475 | 00264-4400-54 | Magnesium Sulfate-Dextrose | 1.70 | 1.51 | 2/25/22 | -11.18% | 2.04 | 1.81 | 2/25/22 | -11.17% |
| Q0222 | 00310-7442-02 | EVUSHIELD | NA (New NDC) | 0.01 | 12/8/21 | NA (New NDC) | NA (New NDC) | 0.01 | 12/8/21 | NA (New NDC) |
| NOC Metronidazole inj | 00264-5535-32 | Metronidazole In Nacl | 0.12 | 0.13 | 12/1/21 | 7.38% | 0.15 | 0.16 | 12/1/21 | 7.26% |
| J1729 | 69238-1797-01 | HYDROXYPROGESTERONE CAPROATE | NA (New NDC) | 11.40 | 3/5/21 | NA (New NDC) | NA (New NDC) | 34.13 | 3/5/21 | NA (New NDC) |
| Q5112 | 00006-5034-02 | Ontruzant | NA (New NDC) | 88.31 | 4/15/20 | NA (New NDC) | NA (New NDC) | 105.97 | 4/15/20 | NA (New NDC) |
| C9257 | 50242-0060-10 | AVASTIN | NA (New NDC) | 1.99 | 6/3/19 | NA (New NDC) | NA (New NDC) | 2.39 | 6/3/19 | NA (New NDC) |
| J9035 | 50242-0060-10 | Avastin | NA (New NDC) | 79.69 | 6/3/19 | NA (New NDC) | NA (New NDC) | 95.63 | 6/3/19 | NA (New NDC) |
| J9206 | 45963-0614-85 | Irinotecan HCL | NA (New NDC) | 6.01 | 9/24/18 | NA (New NDC) | NA (New NDC) | 7.21 | 9/24/18 | NA (New NDC) |
| J9200 | 00143-9270-01 | Floxuridine | NA (New NDC) | 119.00 | 9/21/18 | NA (New NDC) | NA (New NDC) | 142.80 | 9/21/18 | NA (New NDC) |
| J8700 | 00085-1417-02 | Temodar | NA (New NDC) | 22.78 | 1/5/18 | NA (New NDC) | NA (New NDC) | 27.34 | 1/5/18 | NA (New NDC) |
| J1097 | 62225-0600-10 | OMIDRIA | NA (New NDC) | 465.00 | 10/31/14 | NA (New NDC) | NA (New NDC) | 558.00 | 10/31/14 | NA (New NDC) |