J0177 - Injection, aflibercept hd, 1 mg |
1 MG |
333.696 |
- |
- |
- |
- |
- |
- |
|
|
J0178 - Injection, aflibercept, 1 mg |
1 MG |
821.98 |
- |
- |
- |
- |
- |
- |
|
|
J0179 - Injection, brolucizumab-dbll, 1 mg |
1 MG |
332.565 |
- |
- |
- |
- |
- |
- |
|
|
J0180 - Injection, agalsidase beta, 1 mg |
1 MG |
223.522 |
- |
- |
- |
- |
- |
- |
|
|
J0185 - Injection, aprepitant, 1 mg |
1 MG |
1.765 |
- |
- |
- |
- |
- |
- |
|
|
J0202 - Injection, alemtuzumab, 1 mg |
1 MG |
2337.693 |
- |
- |
- |
- |
- |
- |
|
|
J0206 - Injection, allopurinol sodium, 1 mg |
1 MG |
5.003 |
- |
- |
- |
- |
- |
- |
|
|
J0217 - Injection, velmanase alfa-tycv, 1 mg |
1 MG |
442.004 |
- |
- |
- |
- |
- |
- |
|
|
J0218 - Injection, olipudase alfa-rpcp, 1 mg |
1 MG |
382.56 |
- |
- |
- |
- |
- |
- |
|
|
J0219 - Injection, avalglucosidase alfa-ngpt, 4 mg |
4 MG |
77.752 |
- |
- |
- |
- |
- |
- |
|
|
J0221 - Injection, alglucosidase alfa, (lumizyme), 10 mg |
10 MG |
201.965 |
- |
- |
- |
- |
- |
- |
|
|
J0222 - Injection, patisiran, 0.1 mg |
0.1 MG |
98.879 |
- |
- |
- |
- |
- |
- |
|
|
J0223 - Injection, givosiran, 0.5 mg |
0.5 MG |
112.135 |
- |
- |
- |
- |
- |
- |
|
|
J0224 - Injection, lumasiran, 0.5 mg |
0.5 MG |
317.878 |
- |
- |
- |
- |
- |
- |
|
|
J0225 - Injection, vutrisiran, 1 mg |
1 MG |
4926.002 |
- |
- |
- |
- |
- |
- |
|
|
J0248 - Injection, remdesivir, 1 mg |
1 MG |
6.354 |
- |
- |
- |
- |
- |
- |
|
|
J0256 - Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg |
10 MG |
4.935 |
- |
- |
- |
- |
- |
- |
|
|
J0257 - Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg |
10 MG |
5.576 |
- |
- |
- |
- |
- |
- |
|
|
J0278 - Injection, amikacin sulfate, 100 mg |
100 MG |
0.769 |
- |
- |
- |
- |
- |
- |
|
|
J0280 - Injection, aminophyllin, up to 250 mg |
250 MG |
6.481 |
- |
- |
- |
- |
- |
- |
|
|
J0283 - Injection, amiodarone hydrochloride (nexterone), 30 mg |
30 MG |
2.544 |
- |
- |
- |
- |
- |
- |
|
|
J0285 - Injection, amphotericin b, 50 mg |
50 MG |
48.957 |
- |
- |
- |
- |
- |
- |
|
|
J0289 - Injection, amphotericin b liposome, 10 mg |
10 MG |
23.325 |
- |
- |
- |
- |
- |
- |
|
|
J0290 - Injection, ampicillin sodium, 500 mg |
500 MG |
0.784 |
- |
- |
- |
- |
- |
- |
|
|
J0291 - Injection, plazomicin, 5 mg |
5 MG |
3.593 |
- |
- |
- |
- |
- |
- |
|
|