J0456 - Injection, azithromycin, 500 mg |
500 MG |
2.6 |
- |
- |
- |
- |
- |
- |
|
|
J0457 - Injection, aztreonam, 100 mg |
100 MG |
2.539 |
- |
- |
- |
- |
- |
- |
|
|
J0461 - Injection, atropine sulfate, 0.01 mg |
0.01 MG |
0.076 |
- |
- |
- |
- |
- |
- |
|
|
J0475 - Injection, baclofen, 10 mg |
10 MG |
177.804 |
- |
- |
- |
- |
- |
- |
|
|
J0476 - Injection, baclofen, 50 mcg for intrathecal trial |
50 MCG |
37.444 |
- |
- |
- |
- |
- |
- |
|
|
J0480 - Injection, basiliximab, 20 mg |
20 MG |
4476.265 |
- |
- |
- |
- |
- |
- |
|
|
J0485 - Injection, belatacept, 1 mg |
1 MG |
3.874 |
- |
- |
- |
- |
- |
- |
|
|
J0490 - Injection, belimumab, 10 mg |
10 MG |
51.998 |
- |
- |
- |
- |
- |
- |
|
|
J0491 - Injection, anifrolumab-fnia, 1 mg |
1 MG |
17.18 |
- |
- |
- |
- |
- |
- |
|
|
J0500 - Injection, dicyclomine hcl, up to 20 mg |
20 MG |
24.965 |
- |
- |
- |
- |
- |
- |
|
|
J0515 - Injection, benztropine mesylate, per 1 mg |
1 MG |
16.435 |
- |
- |
- |
- |
- |
- |
|
|
J0517 - Injection, benralizumab, 1 mg |
1 MG |
169.501 |
- |
- |
- |
- |
- |
- |
|
|
J0558 - Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
100,000 UNITS |
17.578 |
- |
- |
- |
- |
- |
- |
|
|
J0561 - Injection, penicillin g benzathine, 100,000 units |
100,000 UNITS |
21.73 |
- |
- |
- |
- |
- |
- |
|
|
J0565 - Injection, bezlotoxumab, 10 mg |
10 MG |
39.858 |
- |
- |
- |
- |
- |
- |
|
|
J0583 - Injection, bivalirudin, 1 mg |
1 MG |
0.214 |
- |
- |
- |
- |
- |
- |
|
|
J0584 - Injection, burosumab-twza 1 mg |
1 MG |
443.503 |
- |
- |
- |
- |
- |
- |
|
|
J0585 - Injection, onabotulinumtoxina, 1 unit |
1 UNIT |
6.327 |
- |
- |
- |
- |
- |
- |
|
|
J0586 - Injection, abobotulinumtoxina, 5 units |
5 Unit |
8.805 |
- |
- |
- |
- |
- |
- |
|
|
J0587 - Injection, rimabotulinumtoxinb, 100 units |
100 UNITS |
13.026 |
- |
- |
- |
- |
- |
- |
|
|
J0588 - Injection, incobotulinumtoxin a, 1 unit |
1 UNIT |
5.186 |
- |
- |
- |
- |
- |
- |
|
|
J0592 - Injection, buprenorphine hydrochloride, 0.1 mg |
0.1 MG |
4.126 |
- |
- |
- |
- |
- |
- |
|
|
J0594 - injection, busulfan, 1 mg |
1 MG |
1.414 |
- |
- |
- |
- |
- |
- |
|
|
J0595 - Injection, butorphanol tartrate, 1 mg |
1 MG |
2.798 |
- |
- |
- |
- |
- |
- |
|
|
J0596 - Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units |
10 UNITS |
33.507 |
- |
- |
- |
- |
- |
- |
|
|