J0180 - Injection, agalsidase beta, 1 mg |
1 MG |
218.341 |
- |
- |
- |
- |
- |
- |
|
|
J0185 - Injection, aprepitant, 1 mg |
1 MG |
1.729 |
- |
- |
- |
- |
- |
- |
|
|
J0202 - Injection, alemtuzumab, 1 mg |
1 MG |
2324.344 |
- |
- |
- |
- |
- |
- |
|
|
J0206 - Injection, allopurinol sodium, 1 mg |
1 MG |
5.553 |
- |
- |
- |
- |
- |
- |
|
|
J0218 - Injection, olipudase alfa-rpcp, 1 mg |
1 MG |
376.965 |
- |
- |
- |
- |
- |
- |
|
|
J0219 - Injection, avalglucosidase alfa-ngpt, 4 mg |
4 MG |
76.017 |
- |
- |
- |
- |
- |
- |
|
|
J0221 - Injection, alglucosidase alfa, (lumizyme), 10 mg |
10 MG |
197.278 |
- |
- |
- |
- |
- |
- |
|
|
J0222 - Injection, patisiran, 0.1 mg |
0.1 MG |
99.979 |
- |
- |
- |
- |
- |
- |
|
|
J0223 - Injection, givosiran, 0.5 mg |
0.5 MG |
112.08 |
- |
- |
- |
- |
- |
- |
|
|
J0224 - Injection, lumasiran, 0.5 mg |
0.5 MG |
319.555 |
- |
- |
- |
- |
- |
- |
|
|
J0225 - Injection, vutrisiran, 1 mg |
1 MG |
4947.383 |
- |
- |
- |
- |
- |
- |
|
|
J0248 - Injection, remdesivir, 1 mg |
1 MG |
6.058 |
- |
- |
- |
- |
- |
- |
|
|
J0256 - Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg |
10 MG |
4.883 |
- |
- |
- |
- |
- |
- |
|
|
J0257 - Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg |
10 MG |
5.353 |
- |
- |
- |
- |
- |
- |
|
|
J0278 - Injection, amikacin sulfate, 100 mg |
100 MG |
0.829 |
- |
- |
- |
- |
- |
- |
|
|
J0280 - Injection, aminophyllin, up to 250 mg |
250 MG |
5.132 |
- |
- |
- |
- |
- |
- |
|
|
J0285 - Injection, amphotericin b, 50 mg |
50 MG |
9.536 |
- |
- |
- |
- |
- |
- |
|
|
J0289 - Injection, amphotericin b liposome, 10 mg |
10 MG |
26.658 |
- |
- |
- |
- |
- |
- |
|
|
J0290 - Injection, ampicillin sodium, 500 mg |
500 MG |
1.011 |
- |
- |
- |
- |
- |
- |
|
|
J0291 - Injection, plazomicin, 5 mg |
5 MG |
3.599 |
- |
- |
- |
- |
- |
- |
|
|
J0295 - Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
1.5 GM |
1.769 |
- |
- |
- |
- |
- |
- |
|
|
J0348 - Injection, anidulafungin, 1 mg |
1 MG |
0.46 |
- |
- |
- |
- |
- |
- |
|
|
J0360 - Injection, hydralazine hcl, up to 20 mg |
20 MG |
5.587 |
- |
- |
- |
- |
- |
- |
|
|
J0401 - Injection, aripiprazole, extended release, 1 mg |
1 MG |
6.809 |
- |
- |
- |
- |
- |
- |
|
|
J0402 - Injection, aripiprazole (abilify asimtufii), 1 mg |
1 MG |
5.884 |
- |
- |
- |
- |
- |
- |
|
|