J0360 - Injection, hydralazine hcl, up to 20 mg |
20 MG |
5.556 |
- |
- |
- |
- |
- |
- |
|
|
J0401 - Injection, aripiprazole, extended release, 1 mg |
1 MG |
6.814 |
- |
- |
- |
- |
- |
- |
|
|
J0402 - Injection, aripiprazole (abilify asimtufii), 1 mg |
1 MG |
5.807 |
- |
- |
- |
- |
- |
- |
|
|
J0456 - Injection, azithromycin, 500 mg |
500 MG |
2.408 |
- |
- |
- |
- |
- |
- |
|
|
J0457 - Injection, aztreonam, 100 mg |
100 MG |
2.575 |
- |
- |
- |
- |
- |
- |
|
|
J0461 - Injection, atropine sulfate, 0.01 mg |
0.01 MG |
0.068 |
- |
- |
- |
- |
- |
- |
|
|
J0475 - Injection, baclofen, 10 mg |
10 MG |
177.873 |
- |
- |
- |
- |
- |
- |
|
|
J0476 - Injection, baclofen, 50 mcg for intrathecal trial |
50 MCG |
57.913 |
- |
- |
- |
- |
- |
- |
|
|
J0480 - Injection, basiliximab, 20 mg |
20 MG |
4487 |
- |
- |
- |
- |
- |
- |
|
|
J0485 - Injection, belatacept, 1 mg |
1 MG |
3.87 |
- |
- |
- |
- |
- |
- |
|
|
J0490 - Injection, belimumab, 10 mg |
10 MG |
54.102 |
- |
- |
- |
- |
- |
- |
|
|
J0491 - Injection, anifrolumab-fnia, 1 mg |
1 MG |
17.135 |
- |
- |
- |
- |
- |
- |
|
|
J0500 - Injection, dicyclomine hcl, up to 20 mg |
20 MG |
24.985 |
- |
- |
- |
- |
- |
- |
|
|
J0515 - Injection, benztropine mesylate, per 1 mg |
1 MG |
16.448 |
- |
- |
- |
- |
- |
- |
|
|
J0517 - Injection, benralizumab, 1 mg |
1 MG |
165.247 |
- |
- |
- |
- |
- |
- |
|
|
J0558 - Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
100,000 UNITS |
17.368 |
- |
- |
- |
- |
- |
- |
|
|
J0561 - Injection, penicillin g benzathine, 100,000 units |
100,000 UNITS |
21.998 |
- |
- |
- |
- |
- |
- |
|
|
J0565 - Injection, bezlotoxumab, 10 mg |
10 MG |
39.872 |
- |
- |
- |
- |
- |
- |
|
|
J0577 - Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy |
Less than or equal to 7 days of therapy |
404.086 |
- |
- |
- |
- |
- |
- |
|
|
J0578 - Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy |
Greater than 7 days and up to 28 days of therapy |
1616.346 |
- |
- |
- |
- |
- |
- |
|
|
J0583 - Injection, bivalirudin, 1 mg |
1 MG |
0.246 |
- |
- |
- |
- |
- |
- |
|
|
J0584 - Injection, burosumab-twza 1 mg |
1 MG |
447.863 |
- |
- |
- |
- |
- |
- |
|
|
J0585 - Injection, onabotulinumtoxina, 1 unit |
1 UNIT |
6.319 |
- |
- |
- |
- |
- |
- |
|
|
J0586 - Injection, abobotulinumtoxina, 5 units |
5 Unit |
8.682 |
- |
- |
- |
- |
- |
- |
|
|
J0587 - Injection, rimabotulinumtoxinb, 100 units |
100 UNITS |
13.035 |
- |
- |
- |
- |
- |
- |
|
|