J0588 - Injection, incobotulinumtoxin a, 1 unit |
1 UNIT |
5.197 |
- |
- |
- |
- |
- |
- |
|
|
J0592 - Injection, buprenorphine hydrochloride, 0.1 mg |
0.1 MG |
3.934 |
- |
- |
- |
- |
- |
- |
|
|
J0594 - injection, busulfan, 1 mg |
1 MG |
1.042 |
- |
- |
- |
- |
- |
- |
|
|
J0595 - Injection, butorphanol tartrate, 1 mg |
1 MG |
3.578 |
- |
- |
- |
- |
- |
- |
|
|
J0596 - Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units |
10 UNITS |
33.4 |
- |
- |
- |
- |
- |
- |
|
|
J0597 - Injection, c-1 esterase inhibitor (human), berinert, 10 units |
10 UNITS |
64.427 |
- |
- |
- |
- |
- |
- |
|
|
J0598 - Injection, c-1 esterase inhibitor (human), cinryze, 10 units |
10 UNITS |
62.562 |
- |
- |
- |
- |
- |
- |
|
|
J0612 - Injection, calcium gluconate, not otherwise specified, 10 mg |
10 MG |
0.049 |
- |
- |
- |
- |
- |
- |
|
|
J0613 - Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg |
10 MG |
0.086 |
- |
- |
- |
- |
- |
- |
|
|
J0630 - Injection, calcitonin salmon, up to 400 units |
400 UNITS |
1101.736 |
- |
- |
- |
- |
- |
- |
|
|
J0637 - Injection, caspofungin acetate, 5 mg |
5 MG |
6.629 |
- |
- |
- |
- |
- |
- |
|
|
J0638 - Injection, canakinumab, 1 mg |
1 MG |
124.484 |
- |
- |
- |
- |
- |
- |
|
|
J0640 - Injection, leucovorin calcium, per 50 mg |
50 MG |
5.137 |
- |
- |
- |
- |
- |
- |
|
|
J0641 - Injection, levoleucovorin, not otherwise specified, 0.5 mg |
0.5 MG |
0.053 |
- |
- |
- |
- |
- |
- |
|
|
J0642 - Injection, levoleucovorin (khapzory), 0.5 mg |
0.5 MG |
1.709 |
- |
- |
- |
- |
- |
- |
|
|
J0665 - Injection, bupivicaine, not otherwise specified, 0.5 mg |
0.5 MG |
0.015 |
- |
- |
- |
- |
- |
- |
|
|
J0670 - Injection, mepivacaine hydrochloride, per 10 ml |
10 ML |
3.557 |
- |
- |
- |
- |
- |
- |
|
|
J0688 - Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
500 MG |
1.084 |
- |
- |
- |
- |
- |
- |
|
|
J0689 - Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
500 MG |
1.241 |
- |
- |
- |
- |
- |
- |
|
|
J0690 - Injection, cefazolin sodium, 500 mg |
500 MG |
0.815 |
- |
- |
- |
- |
- |
- |
|
|
J0692 - Injection, cefepime hydrochloride, 500 mg |
500 MG |
1.337 |
- |
- |
- |
- |
- |
- |
|
|
J0694 - Injection, cefoxitin sodium, 1 gm |
1 GM |
4.896 |
- |
- |
- |
- |
- |
- |
|
|
J0695 - Injection, ceftolozane 50 mg and tazobactam 25 mg |
75mg (50mg cft/25mg taz) |
7.289 |
- |
- |
- |
- |
- |
- |
|
|
J0696 - Injection, ceftriaxone sodium, per 250 mg |
250 MG |
0.454 |
- |
- |
- |
- |
- |
- |
|
|
J0697 - Injection, sterile cefuroxime sodium, per 750 mg |
750 MG |
1.894 |
- |
- |
- |
- |
- |
- |
|
|