J0178 - Injection, aflibercept, 1 mg |
1 MG |
841.128 |
- |
- |
- |
- |
- |
- |
|
|
J0179 - Injection, brolucizumab-dbll, 1 mg |
1 MG |
325.679 |
- |
- |
- |
- |
- |
- |
|
|
J0180 - Injection, agalsidase beta, 1 mg |
1 MG |
218.275 |
- |
- |
- |
- |
- |
- |
|
|
J0185 - Injection, aprepitant, 1 mg |
1 MG |
1.666 |
- |
- |
- |
- |
- |
- |
|
|
J0202 - Injection, alemtuzumab, 1 mg |
1 MG |
2347.582 |
- |
- |
- |
- |
- |
- |
|
|
J0206 - Injection, allopurinol sodium, 1 mg |
1 MG |
5.43 |
- |
- |
- |
- |
- |
- |
|
|
J0218 - Injection, olipudase alfa-rpcp, 1 mg |
1 MG |
376.58 |
- |
- |
- |
- |
- |
- |
|
|
J0219 - Injection, avalglucosidase alfa-ngpt, 4 mg |
4 MG |
75.996 |
- |
- |
- |
- |
- |
- |
|
|
J0221 - Injection, alglucosidase alfa, (lumizyme), 10 mg |
10 MG |
197.303 |
- |
- |
- |
- |
- |
- |
|
|
J0222 - Injection, patisiran, 0.1 mg |
0.1 MG |
99.204 |
- |
- |
- |
- |
- |
- |
|
|
J0223 - Injection, givosiran, 0.5 mg |
0.5 MG |
112.02 |
- |
- |
- |
- |
- |
- |
|
|
J0224 - Injection, lumasiran, 0.5 mg |
0.5 MG |
318.1 |
- |
- |
- |
- |
- |
- |
|
|
J0225 - Injection, vutrisiran, 1 mg |
1 MG |
4935.214 |
- |
- |
- |
- |
- |
- |
|
|
J0248 - Injection, remdesivir, 1 mg |
1 MG |
6.058 |
- |
- |
- |
- |
- |
- |
|
|
J0256 - Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg |
10 MG |
4.912 |
- |
- |
- |
- |
- |
- |
|
|
J0257 - Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg |
10 MG |
5.395 |
- |
- |
- |
- |
- |
- |
|
|
J0278 - Injection, amikacin sulfate, 100 mg |
100 MG |
0.86 |
- |
- |
- |
- |
- |
- |
|
|
J0280 - Injection, aminophyllin, up to 250 mg |
250 MG |
8.836 |
- |
- |
- |
- |
- |
- |
|
|
J0283 - Injection, amiodarone hydrochloride (nexterone), 30 mg |
30 MG |
2.545 |
- |
- |
- |
- |
- |
- |
|
|
J0285 - Injection, amphotericin b, 50 mg |
50 MG |
38.574 |
- |
- |
- |
- |
- |
- |
|
|
J0289 - Injection, amphotericin b liposome, 10 mg |
10 MG |
27.682 |
- |
- |
- |
- |
- |
- |
|
|
J0290 - Injection, ampicillin sodium, 500 mg |
500 MG |
0.997 |
- |
- |
- |
- |
- |
- |
|
|
J0291 - Injection, plazomicin, 5 mg |
5 MG |
3.598 |
- |
- |
- |
- |
- |
- |
|
|
J0295 - Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
1.5 GM |
2.123 |
- |
- |
- |
- |
- |
- |
|
|
J0348 - Injection, anidulafungin, 1 mg |
1 MG |
0.464 |
- |
- |
- |
- |
- |
- |
|
|