April 2026 NDC - HCPCS Crosswalk

Effective April 1, 2026 through June 30, 2026

Page #7

Average Sales Price

HCPCS Description Labeler name NDC Drug name Dosage Package size Package quantity Billable units Billable units / pkg
J0290 Ampicillin 500 mg inj Heritage Pharmaceuticals Inc. 23155-0915-41 Ampicillin Sodium 500 MG 1 10 1 10
J0290 Ampicillin 500 mg inj Heritage Pharmaceuticals Inc. 23155-0916-41 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Heritage Pharmaceuticals Inc. 23155-0917-41 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Sagent Pharmaceuticals 25021-0134-10 Ampicillin Sodium 500 MG 1 10 0.5 5
J0290 Ampicillin 500 mg inj Sagent Pharmaceuticals 25021-0135-10 Ampicillin Sodium 500 MG 1 10 1 10
J0290 Ampicillin 500 mg inj Sagent Pharmaceuticals 25021-0136-10 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Sagent Pharmaceuticals 25021-0137-20 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Sagent Pharmaceuticals 25021-0197-99 Ampicillin Sodium 500 MG 1 1 20 20
J0290 Ampicillin 500 mg inj WG Critical Care, LLC 44567-0100-10 Ampicillin Sodium 500 MG 1 10 0.5 5
J0290 Ampicillin 500 mg inj WG Critical Care, LLC 44567-0101-10 Ampicillin Sodium 500 MG 1 10 1 10
J0290 Ampicillin 500 mg inj WG Critical Care, LLC 44567-0102-10 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj WG Critical Care, LLC 44567-0103-10 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj WG Critical Care, LLC 44567-0104-01 Ampicillin Sodium 500 MG 1 1 20 20
J0290 Ampicillin 500 mg inj A-S Medication Solutions 50090-4552-00 Ampicillin Sodium 500 MG 1 1 4 4
J0290 Ampicillin 500 mg inj HF Acquisition Co. LLC, DBA HealthFirst 51662-1560-03 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj HF Acquisition Co. LLC, DBA HealthFirst 51662-1595-03 Ampicillin Sodium 500 MG 1 10 0.5 5
J0290 Ampicillin 500 mg inj Eugia US LLC 55150-0113-10 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Eugia US LLC 55150-0114-20 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Eugia US LLC 55150-0115-99 Ampicillin Sodium 500 MG 1 10 20 200
J0290 Ampicillin 500 mg inj FreseniUS Kabi USA, LLC 65219-0014-10 Ampicillin Sodium 500 MG 1 10 0.5 5
J0290 Ampicillin 500 mg inj FreseniUS Kabi USA, LLC 65219-0016-10 Ampicillin Sodium 500 MG 1 10 1 10
J0290 Ampicillin 500 mg inj FreseniUS Kabi USA, LLC 65219-0018-10 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj FreseniUS Kabi USA, LLC 65219-0020-23 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Piramal Critical Care Inc 66794-0220-41 Ampicillin Sodium 500 MG 1 10 0.5 5
J0290 Ampicillin 500 mg inj Piramal Critical Care Inc 66794-0222-41 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Piramal Critical Care Inc 66794-0223-41 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Piramal Critical Care Inc 66794-0224-15 Ampicillin Sodium 500 MG 1 1 20 20
J0290 Ampicillin 500 mg inj Xellia Pharmaceuticals USA, LLC. 70594-0084-02 Ampicillin Sodium 500 MG 1 10 0.5 5
J0290 Ampicillin 500 mg inj Xellia Pharmaceuticals USA, LLC. 70594-0085-02 Ampicillin Sodium 500 MG 1 10 1 10
J0290 Ampicillin 500 mg inj Xellia Pharmaceuticals USA, LLC. 70594-0087-02 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Xellia Pharmaceuticals USA, LLC. 70594-0088-01 Ampicillin Sodium 500 MG 1 1 20 20
J0290 Ampicillin 500 mg inj Athenex Pharmaceutical Division, LLC 70860-0112-15 Ampicillin Sodium 500 MG 1 10 0.5 5
J0290 Ampicillin 500 mg inj Athenex Pharmaceutical Division, LLC 70860-0113-15 Ampicillin Sodium 500 MG 1 10 1 10
J0290 Ampicillin 500 mg inj Athenex Pharmaceutical Division, LLC 70860-0114-15 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Athenex Pharmaceutical Division, LLC 70860-0115-26 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Athenex Pharmaceutical Division, LLC 70860-0118-99 Ampicillin Sodium 500 MG 1 1 20 20
J0290 Ampicillin 500 mg inj Armas Pharmaceuticals Inc. 72485-0421-10 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Armas Pharmaceuticals Inc. 72485-0422-10 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Armas Pharmaceuticals Inc. 72485-0423-10 Ampicillin Sodium 500 MG 1 1 20 20
J0290 Ampicillin 500 mg inj Civica, Inc. 72572-0016-10 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Civica, Inc. 72572-0017-10 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Civica, Inc. 72572-0094-10 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Northstar RxLLC 72603-0221-10 Ampicillin Sodium 500 MG 1 10 1 10
J0290 Ampicillin 500 mg inj Northstar RxLLC 72603-0363-10 Ampicillin Sodium 500 MG 1 10 2 20
J0290 Ampicillin 500 mg inj Northstar RxLLC 72603-0454-10 Ampicillin Sodium 500 MG 1 10 4 40
J0290 Ampicillin 500 mg inj Northstar RxLLC 72603-0578-01 Ampicillin Sodium 500 MG 1 1 20 20
J0290 Ampicillin 500 mg inj Avenacy Inc. 83634-0100-99 Ampicillin Sodium 500 MG 1 1 20 20
J0291 Inj., plazomicin, 5 mg Cipla USA, Inc. 69097-0820-96 Zemdri 5 MG 10 10 100 1000
J0295 Ampicillin sulbactam 1.5 gm Pfizer Inc 00409-2689-01 Ampicillin-Sulbactam 1.5 GM 1 10 1 10
J0295 Ampicillin sulbactam 1.5 gm Pfizer Inc 00409-2987-03 Ampicillin-Sulbactam 1.5 GM 1 10 2 20

Average Wholesale Price

HCPCS Description Labeler name NDC Drug name Dosage Package size Package quantity Billable units Billable units / pkg
P9041 Albumin (human),5%, 50ml Octapharma USA 68982-0623-01 Albumin (Human) 50 ML 100 1 2 2
P9041 Albumin (human),5%, 50ml Grifols 68516-5214-05 Albutein 50 ML 50 1 1 1
P9045 Albumin (human), 5%, 250 ml Grifols 68516-5214-00 Albutein 250 ML 500 2 2 4
P9045 Albumin (human), 5%, 250 ml Grifols 68516-5214-09 Albutein 250 ML 250 4 1 4
P9045 Albumin (human), 5%, 250 ml Grifols 68516-5218-04 Albutein 250 ML 250 4 1 4
P9045 Albumin (human), 5%, 250 ml Grifols 68516-5219-02 Albutein 250 ML 500 2 2 4
P9045 Albumin (human), 5%, 250 ml Baxter 00944-0491-01 Buminate 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml Baxter 00944-0491-02 Buminate 250 ML 500 1 2 2
P9045 Albumin (human), 5%, 250 ml Octapharma USA 68982-0623-02 Albumin (Human) 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml Octapharma USA 68982-0623-03 Albumin (Human) 250 ML 500 1 2 2
P9045 Albumin (human), 5%, 250 ml CSL Behring 00053-7670-31 Albuminar-5 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml CSL Behring 00053-7670-32 Albuminar-5 250 ML 500 1 2 2
P9045 Albumin (human), 5%, 250 ml Bio Products Laboratory USA, Inc. 64208-2510-01 ALBUMINEX 5% 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml Bio Products Laboratory USA, Inc. 64208-2510-05 ALBUMINEX 5% 250 ML 500 1 2 2
P9045 Albumin (human), 5%, 250 ml CSL Behring 44206-0310-25 Alburx 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml CSL Behring 44206-0310-50 Alburx 250 ML 500 1 2 2
P9045 Albumin (human), 5%, 250 ml Talecris 13533-0685-20 Plasbumin-5 250 ML 50 1 0.2 0.2
P9045 Albumin (human), 5%, 250 ml Talecris 13533-0685-25 Plasbumin-5 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml Talecris 13533-0690-20 Plasbumin-5 250 ML 50 1 0.2 0.2
P9045 Albumin (human), 5%, 250 ml Talecris 13533-0690-25 Plasbumin-5 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml Grifols 68516-5214-01 Albutein 250 ML 250 1 1 1
P9045 Albumin (human), 5%, 250 ml Grifols 68516-5214-02 Albutein 250 ML 500 1 2 2
P9045 Albumin (human), 5%, 250 ml Kedrion Biopharma 76125-0790-25 Albuked 5 250 ML 250 1 1 1
P9046 Albumin (human), 25%, 20 ml Grifols 68516-5216-05 Albutein 20 ML 20 1 1 1
P9047 Albumin (human), 25%, 50ml Grifols 68516-5216-09 Albutein 50 ML 50 5 1 5
P9047 Albumin (human), 25%, 50ml Grifols 68516-5216-00 Albutein 50 ML 100 5 2 10
P9047 Albumin (human), 25%, 50ml Grifols 68516-5216-01 Albutein 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Grifols 68516-5216-02 Albutein 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml Baxter 00944-0490-01 Buminate 50 ML 20 1 0.4 0.4
P9047 Albumin (human), 25%, 50ml Baxter 00944-0493-01 Flexbumin 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Baxter 00944-0493-02 Flexbumin 50 ML 100 1 1 2
P9047 Albumin (human), 25%, 50ml Takeda Pharmaceuticals America, Inc. 00944-0493-03 Flexbumin 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Kedrion Biopharma 76179-0025-01 Kedbumin 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Kedrion Biopharma 76179-0025-02 Kedbumin 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Kedrion Biopharma 76179-0025-04 Kedbumin 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml CSL Behring 44206-0251-05 Alburx 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml CSL Behring 44206-0251-10 Alburx 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml Bio Products Laboratory USA, Inc. 64208-2512-03 ALBUMINEX 25% 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Bio Products Laboratory USA, Inc. 64208-2512-07 ALBUMINEX 25% 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml Octapharma USA 68982-0643-01 Albumin (Human) 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Octapharma USA 68982-0643-02 Albumin (Human) 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml CSL Behring 00053-7680-32 Albuminar-25 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml CSL Behring 00053-7680-33 Albuminar-25 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml Kedrion Biopharma 76125-0784-10 Albuked 25 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml Kedrion Biopharma 76125-0784-25 Albuked 25 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Talecris 13533-0684-16 Plasbumin-25 50 ML 20 1 0.4 0.4
P9047 Albumin (human), 25%, 50ml Talecris 13533-0684-20 Plasbumin-25 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Talecris 13533-0684-71 Plasbumin-25 50 ML 100 1 2 2
P9047 Albumin (human), 25%, 50ml Talecris 13533-0692-16 Plasbumin-25 50 ML 20 1 0.4 0.4
P9047 Albumin (human), 25%, 50ml Talecris 13533-0692-20 Plasbumin-25 50 ML 50 1 1 1
P9047 Albumin (human), 25%, 50ml Talecris 13533-0692-71 Plasbumin-25 50 ML 100 1 2 2
Q0224 Pemivibart injection Invivyd, Inc 81960-0031-03 Pemgarda 4500 MG 1 1 1 1
Q0237 Injection, tocilizumab-anoh Celltrion USA, Inc. 72606-0042-02 Avtozma 1 MG 4 4 80 320
Q0237 Injection, tocilizumab-anoh Celltrion USA, Inc. 72606-0043-02 Avtozma 1 MG 10 4 200 800
Q0237 Injection, tocilizumab-anoh Celltrion USA, Inc. 72606-0044-02 Avtozma 1 MG 20 4 400 1600
Q0238 Inj, tocilizumab-aazg, hospi FreseniUS Kabi USA, LLC 65219-0590-04 Tyenne 1 MG 4 1 80 80
Q0238 Inj, tocilizumab-aazg, hospi FreseniUS Kabi USA, LLC 65219-0592-10 Tyenne 1 MG 10 1 200 200
Q0238 Inj, tocilizumab-aazg, hospi FreseniUS Kabi USA, LLC 65219-0594-20 Tyenne 1 MG 20 1 400 400
Q0249 Tocilizumab for covid-19 Genentech, Inc 50242-0135-01 Actemra IV 1 MG 4 1 80 80
Q0249 Tocilizumab for covid-19 Genentech, Inc 50242-0136-01 Actemra IV 1 MG 10 1 200 200
Q0249 Tocilizumab for covid-19 Genentech, Inc 50242-0137-01 Actemra IV 1 MG 20 1 400 400

Not Otherwise Classified

Description Labeler name NDC Drug name Dosage Package size Package quantity Billable units Billable units / pkg

Outpatient Prospective Payment System

HCPCS Description Labeler name NDC Drug name Dosage Package size Package quantity Billable units Billable units / pkg
A9506 Tc-99m graphite crucible Cyclomedica Australia PTY Limited 73814-0986-20 Technegas EACH 1 50 50 50
A9513 Lutetium lu 177 dotatat ther Advanced Accelerator Applications USA, Inc. 69488-0003-01 Lutathera 1 mCi 20 1 200 200
A9543 Y90 ibritumomab, rx Acrotech Biopharma LLC 72893-0007-04 Zevalin Y-91 UP TO 40 millicuries 1 1 1 1
A9582 Iodine i-123 iobenguane GE Healthcare Inc. 17156-0235-01 Adreview UP TO 15 millicuries 5 1 1 1
A9584 Iodine i-123 ioflupane GE Healthcare Inc. 17156-0210-01 Datscan Per Study Dose, up to 5 millicuries 2.5 1 1 1
A9586 Florbetapir f18 Eli Lilly and Company 00002-1200-01 Amyvid UP TO 10 mCi 10 1 1 1
A9587 Gallium ga-68 Advanced Accelerator Applications USA, Inc. 69488-0001-40 Netspot 0.1 mCi 1 1 1 1
A9588 Fluciclovine f-18 Blue Earth Diagnostics Limited 69932-0001-01 Axumin 1 mCi 1 1 1 1
A9591 Fluoroestradiol f 18 GE Healthcare Inc. 72874-0001-01 Cerianna 1 mCi 50 1 6 6
A9592 Copper cu 64 dotatate diag Curium US LLC 69945-0064-01 Detectnet 1 mCi 4 1 4 4
A9593 Gallium ga-68 psma-11 ucsf UCSF Radiopharmaceutical Facility 24275-0525-01 Gallium Ga 68 PSMA 1 mCi 11 1 1 1
A9594 Gallium ga-68 psma-11, ucla UCLA Biomedical Cyclotron 76394-2642-03 Gallium Ga 68 PSMA 1 mCi 12 1 1 1
A9595 Piflu f-18, dia 1 millicurie Progenics Pharmaceuticals, Inc. 71258-0022-00 Pylarify 1 millicurie 1 1 9 9
A9595 Piflu f-18, dia 1 millicurie Progenics Pharmaceuticals, Inc. 71258-0022-01 Pylarify 1 mCi 50 1 1 1
A9596 Gallium illuccix 1 millicure Telix Pharmaceuticals US Inc. 74725-0100-25 Illuccix 1 mCi 1 1 1 1
A9596 Gallium illuccix 1 millicure Telix Pharmaceuticals US Inc. 74725-0100-64 Illuccix 1 mCi 1 1 1 1
A9600 Sr89 strontium Q Biomed Inc 72928-0089-01 Strontium Chloride Sr 89 PER MILLICURIE 4 1 1 4
A9601 Flortaucipir inj 1 millicuri Eli Lilly and Company 00002-1220-01 Tauvid 1 mCi 1 1 1 1
A9602 Fluorodopa f-18 diag per mci The Feinstein Institute for Medical Research 13267-0346-57 Fluorodopa F18 1 mCi 1 1 1 1
A9606 Radium ra223 dichloride ther Bayer HealthCare Pharmaceuticals Inc. 50419-0208-01 Xofigo 1 mCi 6 1 1 1
A9607 Lutetium lu 177 vipivotide Advanced Accelerator Applications USA, Inc. 69488-0010-61 Pluvicto 1 mCi 1 1 1 1
A9608 Flotufolastat f18 diag 1 mci Blue Earth Diagnostics Limited 69932-0002-01 Posluma 1 mCi 1 1 1 8
A9608 Flotufolastat f18 diag 1 mci Blue Earth Diagnostics Limited 69932-0002-50 Posluma 1 millicurie 25 1 1 1
A9611 Flurpiridaz f18, diag, 1 mci GE Healthcare Inc. 00407-8787-01 Flyrcado 1 mCi 1 1 1 1
A9615 Inj, pegulicianine, 1 mg Lumicell, Inc. 82292-0040-10 Lumisight 1 MG 1 10 39 390
A9616 Gallium gozellix 1 millicuri Telix Innovations SA 84552-0500-25 Gozellix 1 MCI 1 1 1 1
A9616 Gallium gozellix 1 millicuri Telix Innovations SA 84552-0500-64 Gozellix 1 MCI 1 1 1 1
A9697 Inj, magtrace per study dose Endomagnetics Inc. 60391-021024 Magtrace PER STUDY DOSE 2 10 1 1
A9800 Gallium locametz 1 millicuri Advanced Accelerator Applications USA, Inc. 69488-0017-61 Locametz 1 mCi 1 1 1 1
C9047 Injection, caplacizumab-yhdp Genzyme Corporation 58468-0225-01 Cablivi 1 MG 1 1 11 11
C9250 Artiss fibrin sealant Baxter Healthcare Corporation 00338-9637-01 Artiss 2 ML 2 1 1 1
C9250 Artiss fibrin sealant Baxter Healthcare Corporation 00338-9639-01 Artiss 2 ML 4 1 2 2
C9250 Artiss fibrin sealant Baxter Healthcare Corporation 00338-9641-01 Artiss 2 ML 10 1 5 5
C9257 Bevacizumab injection Genentech, Inc. 50242-0060-01 Avastin 0.25 MG 4 1 400 400
C9257 Bevacizumab injection Genentech, Inc. 50242-0061-01 Avastin 0.25 MG 16 1 1600 1600
C9293 Injection, glucarpidase BTG International Inc. 50633-0210-11 Voraxaze 10 UNITS 1 1 100 100
C9460 Injection, cangrelor Chiesi USA, Inc. 10122-0620-10 Kengreal 1 MG 1 10 50 500
C9482 Sotalol hydrochloride iv Altathera Pharmaceuticals, LLC 69724-0112-10 Sotalol 1 MG 10 1 150 150
J0184 Inj, amisulpride, 1 mg Acacia Pharma Ltd 71390-0125-20 Barhemsys 1 MG 2 10 5 50
J0184 Inj, amisulpride, 1 mg Acacia Pharma Ltd 71390-0125-50 Barhemsys 1 MG 4 10 10 100
J0208 Inj, pedmark, 100 mg Fennec Pharmaceuticals, Inc. 73077-0010-01 Sodium Thiosulfate 100 MG 100 1 125 125
J0209 Inj, sod thiosulfate (hope) Hope Pharmaceuticals 60267-0705-50 Sodium Thiosulfate (Hope) 100 MG 50 1 125 125
J0211 Inj, nithiodote, 3mg / 125mg Hope Pharmaceuticals 60267-0812-00 Nithiodote 3 MG AND 125 MG 60 1 100 100
J0391 Inj, artesunate, 1mg Amivas, Inc 73607-0011-11 Artesunate 1 MG 1 2 110 220
J0567 Inj., cerliponase alfa 1 mg BioMarin Pharmaceutical Inc. 68135-0811-02 Brineura 1 MG 1 2 150 300
J0606 Inj, etelcalcetide, 0.1 mg Amgen Inc 55513-0740-10 Parsabiv 0.1 MG 0.5 10 25 250
J0606 Inj, etelcalcetide, 0.1 mg Amgen Inc 55513-0741-10 Parsabiv 0.1 MG 1 10 50 500
J0606 Inj, etelcalcetide, 0.1 mg Amgen Inc 55513-0742-10 Parsabiv 0.1 MG 2 10 100 1000
J0654 Inj, liothyronine, 1 mcg XGen Pharmaceuticals DJB, Inc. 39822-0151-01 Liothyronine Sodium 1 MCG 1 1 10 10
J0668 Instill, bupivac and meloxic Heron Therapeutics 47426-0301-02 Zynrelef 1 MG - 0.03 MG 14 1 400 400
J0668 Instill, bupivac and meloxic Heron Therapeutics 47426-0303-01 Zynrelef 1 MG - 0.03 MG 7 1 200 200
J0668 Instill, bupivac and meloxic Heron Therapeutics 47426-0501-02 Zynrelef 1 MG - 0.03 MG 14 1 400 400
J0668 Instill, bupivac and meloxic Heron Therapeutics 47426-0503-01 Zynrelef 1 MG - 0.03 MG 7 1 200 200
J0675 Inj, carboprost, 0.1 mg Pfizer Inc 00409-0064-10 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Dr. Reddy's Laboratories Inc. 43598-0179-10 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Dr. Reddy's Laboratories Inc. 43598-0698-58 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg NOVAPLUS/DR.REDDY'S 43598-0917-58 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Dr Reddy'S Laboratories, Inc. 43598-0919-58 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Eugia US LLC 55150-0459-10 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Alembic Pharmaceuticals Inc. 62332-0777-10 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg FreseniUS Kabi USA, LLC 65219-0579-01 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Amneal Pharmaceuticals, LLC 70121-1680-07 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Sola Pharmaceuticals 70512-0859-05 Carboprost Tromethamine 0.1 MG 1 5 2.5 12.5
J0675 Inj, carboprost, 0.1 mg Xellia Pharmaceuticals USA, LLC. 70594-0112-02 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg BE Pharmaceuticals Inc. 71839-0137-10 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Long Grove Pharmaceuticals, LLC 81298-5010-03 Carboprost Tromethamine 0.1 MG 1 10 2.5 25
J0675 Inj, carboprost, 0.1 mg Long Grove Pharmaceuticals, LLC 81298-5010-05 Carboprost Tromethamine 0.1 MG 1 1 2.5 2.5
J0675 Inj, carboprost, 0.1 mg Pfizer Inc 00009-0856-08 Hemabate 0.1 MG 1 10 2.5 25
J0681 Inj ceftobipole medocarl 3mg La Jolla Pharmaceutical Company 68547-0578-10 Zevtera 3 MG 1 10 222.333333333333 2224
J0891 Argatroban nonesrd (accord) Accord Healthcare Inc 16729-0430-43 Argatroban 1 MG 50 10 50 500
J0911 Inst tauro 1.35mg/hep 100u CorMedix Inc. 72990-0103-10 Defencath taurolidine 1.35 mg and heparin sodium 100 units 3 10 30 300
J1073 Testosterone pellet 75 mg Endo USA, Inc. 66887-0004-10 Testopel 75 MG 1 10 1 10
J1073 Testosterone pellet 75 mg Endo USA, Inc. 66887-0004-20 Testopel 75 MG 1 100 1 100
J1097 Phenylep ketorolac opth soln Omeros Corporation 62225-0600-04 Omidria 1 ML 4 4 4 16
J1097 Phenylep ketorolac opth soln Rayner Surgical Inc. 82604-0600-04 Omidria 1 ML 4 4 4 16
J1327 Eptifibatide injection Baxter Healthcare Corporation 00338-9558-10 Eptifibatide 5 MG 100 12 15 180
J1327 Eptifibatide injection Sagent Pharmaceuticals 25021-0408-51 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Sagent Pharmaceuticals 25021-0409-10 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Eugia US LLC 55150-0218-99 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Eugia US LLC 55150-0219-10 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Eugia US LLC 55150-0220-99 Eptifibatide 5 MG 100 1 40 40
J1327 Eptifibatide injection Mylan Institutional LLC 67457-0629-10 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Mylan Institutional LLC 67457-0630-10 Eptifibatide 5 MG 100 1 40 40
J1327 Eptifibatide injection Mylan Institutional LLC 67457-0631-10 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Slate Run Pharmaceuticals 70436-0026-80 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Slate Run Pharmaceuticals 70436-0027-80 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Slate Run Pharmaceuticals 70436-0162-80 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Slate Run Pharmaceuticals 70436-0163-80 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Athenex Pharmaceutical Division, LLC 70860-0303-10 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Athenex Pharmaceutical Division, LLC 70860-0305-51 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Meitheal Pharmaceuticals Inc. 71288-0412-10 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Meitheal Pharmaceuticals Inc. 71288-0413-51 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Mylan Institutional LLC 72078-0025-10 Eptifibatide 5 MG 10 1 4 4
J1327 Eptifibatide injection Mylan Institutional LLC 72078-0026-10 Eptifibatide 5 MG 100 1 15 15
J1327 Eptifibatide injection Mylan Institutional LLC 72078-0027-10 Eptifibatide 5 MG 100 1 40 40
J1327 Eptifibatide injection Avenacy Inc. 83634-0301-51 Eptifibatide 5 MG 100 1 15 15
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0100-10 Hemgenix Per Therapeutic Dose 10 10 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0110-11 Hemgenix Per Therapeutic Dose 10 11 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0120-12 Hemgenix Per Therapeutic Dose 10 12 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0130-13 Hemgenix Per Therapeutic Dose 10 13 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0140-14 Hemgenix Per Therapeutic Dose 10 14 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0150-15 Hemgenix Per Therapeutic Dose 10 15 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0160-16 Hemgenix Per Therapeutic Dose 10 16 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0170-17 Hemgenix Per Therapeutic Dose 10 17 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0180-18 Hemgenix Per Therapeutic Dose 10 18 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0190-19 Hemgenix Per Therapeutic Dose 10 19 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0200-20 Hemgenix Per Therapeutic Dose 10 20 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0210-21 Hemgenix Per Therapeutic Dose 10 21 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0220-22 Hemgenix Per Therapeutic Dose 10 22 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0230-23 Hemgenix Per Therapeutic Dose 10 23 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0240-24 Hemgenix Per Therapeutic Dose 10 24 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0250-25 Hemgenix Per Therapeutic Dose 10 25 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0260-26 Hemgenix Per Therapeutic Dose 10 26 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0270-27 Hemgenix Per Therapeutic Dose 10 27 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0280-28 Hemgenix Per Therapeutic Dose 10 28 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0290-29 Hemgenix Per Therapeutic Dose 10 29 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0300-30 Hemgenix Per Therapeutic Dose 10 30 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0310-31 Hemgenix Per Therapeutic Dose 10 31 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0320-32 Hemgenix Per Therapeutic Dose 10 32 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0330-33 Hemgenix Per Therapeutic Dose 10 33 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0340-34 Hemgenix Per Therapeutic Dose 10 34 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0350-35 Hemgenix Per Therapeutic Dose 10 35 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0360-36 Hemgenix Per Therapeutic Dose 10 36 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0370-37 Hemgenix Per Therapeutic Dose 10 37 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0380-38 Hemgenix Per Therapeutic Dose 10 38 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0390-39 Hemgenix Per Therapeutic Dose 10 39 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0400-40 Hemgenix Per Therapeutic Dose 10 40 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0410-41 Hemgenix Per Therapeutic Dose 10 41 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0420-42 Hemgenix Per Therapeutic Dose 10 42 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0430-43 Hemgenix Per Therapeutic Dose 10 43 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0440-44 Hemgenix Per Therapeutic Dose 10 44 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0450-45 Hemgenix Per Therapeutic Dose 10 45 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0460-46 Hemgenix Per Therapeutic Dose 10 46 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0470-47 Hemgenix Per Therapeutic Dose 10 47 1 1
J1411 Inj, hemgenix, per tx dose CSL Behring L.L.C. 00053-0480-48 Hemgenix Per Therapeutic Dose 10 48 1 1
J1412 Inj roctavian ml 2x10^13vc g BioMarin Pharmaceutical Inc. 68135-0927-48 Roctavian 1 ML 8 1 8 8
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0503-12 Elevidys Per Therapeutic Dose 1 12 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0505-14 Elevidys Per Therapeutic Dose 1 14 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0506-15 Elevidys Per Therapeutic Dose 1 15 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0507-16 Elevidys Per Therapeutic Dose 1 16 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0508-17 Elevidys Per Therapeutic Dose 1 17 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0509-18 Elevidys Per Therapeutic Dose 1 18 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0510-19 Elevidys Per Therapeutic Dose 1 19 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0511-20 Elevidys Per Therapeutic Dose 1 20 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0512-21 Elevidys Per Therapeutic Dose 1 21 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0513-22 Elevidys Per Therapeutic Dose 1 22 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0514-23 Elevidys Per Therapeutic Dose 1 23 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0515-24 Elevidys Per Therapeutic Dose 1 24 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0516-25 Elevidys Per Therapeutic Dose 1 25 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0517-26 Elevidys Per Therapeutic Dose 1 26 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0518-27 Elevidys Per Therapeutic Dose 1 27 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0519-28 Elevidys Per Therapeutic Dose 1 28 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0520-29 Elevidys Per Therapeutic Dose 1 29 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0521-30 Elevidys Per Therapeutic Dose 1 30 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0522-31 Elevidys Per Therapeutic Dose 1 31 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0523-32 Elevidys Per Therapeutic Dose 1 32 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0524-33 Elevidys Per Therapeutic Dose 1 33 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0525-34 Elevidys Per Therapeutic Dose 1 34 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0526-35 Elevidys Per Therapeutic Dose 1 35 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0527-36 Elevidys Per Therapeutic Dose 1 36 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0528-37 Elevidys Per Therapeutic Dose 1 37 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0529-38 Elevidys Per Therapeutic Dose 1 38 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0530-39 Elevidys Per Therapeutic Dose 1 39 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0531-40 Elevidys Per Therapeutic Dose 1 40 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0532-41 Elevidys Per Therapeutic Dose 1 41 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0533-42 Elevidys Per Therapeutic Dose 1 42 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0534-43 Elevidys Per Therapeutic Dose 1 43 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0535-44 Elevidys Per Therapeutic Dose 1 44 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0536-45 Elevidys Per Therapeutic Dose 1 45 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0537-46 Elevidys Per Therapeutic Dose 1 46 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0538-47 Elevidys Per Therapeutic Dose 1 47 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0539-48 Elevidys Per Therapeutic Dose 1 48 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0540-49 Elevidys Per Therapeutic Dose 1 49 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0541-50 Elevidys Per Therapeutic Dose 1 50 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0542-51 Elevidys Per Therapeutic Dose 1 51 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0543-52 Elevidys Per Therapeutic Dose 1 52 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0544-53 Elevidys Per Therapeutic Dose 1 53 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0545-54 Elevidys Per Therapeutic Dose 1 54 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0546-55 Elevidys Per Therapeutic Dose 1 55 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0547-56 Elevidys Per Therapeutic Dose 1 56 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0548-57 Elevidys Per Therapeutic Dose 1 57 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0549-58 Elevidys Per Therapeutic Dose 1 58 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0550-59 Elevidys Per Therapeutic Dose 1 59 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0551-60 Elevidys Per Therapeutic Dose 1 60 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0552-61 Elevidys Per Therapeutic Dose 1 61 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0553-62 Elevidys Per Therapeutic Dose 1 62 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0554-63 Elevidys Per Therapeutic Dose 1 63 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0555-64 Elevidys Per Therapeutic Dose 1 64 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0556-65 Elevidys Per Therapeutic Dose 1 65 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0557-66 Elevidys Per Therapeutic Dose 1 66 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0558-67 Elevidys Per Therapeutic Dose 1 67 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0559-68 Elevidys Per Therapeutic Dose 1 68 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0560-69 Elevidys Per Therapeutic Dose 1 69 1 1
J1413 Inj delandistrogene mox rokl Sarepta Therapeutics, Inc. 60923-0561-70 Elevidys Per Therapeutic Dose 1 70 1 1
J1426 Injection, casimersen, 10 mg Sarepta Therapeutics, Inc. 60923-0227-02 Amondys 45 10 MG 2 1 10 10
J1428 Inj, eteplirsen, 10 mg Sarepta Therapeutics, Inc. 60923-0284-10 Exondys 51 10 MG 10 1 50 50
J1428 Inj, eteplirsen, 10 mg Sarepta Therapeutics, Inc. 60923-0363-02 Exondys 51 10 MG 2 1 10 10
J1451 Fomepizole, 15 mg American Regent, Inc. 00517-0710-01 Fomepizole 15 MG 1.5 1 100 100
J1451 Fomepizole, 15 mg Sagent Pharmaceuticals 25021-0829-02 Fomepizole 15 MG 1.5 1 100 100
J1451 Fomepizole, 15 mg Mylan Institutional LLC 67457-0211-02 Fomepizole 15 MG 1.5 1 100 100
J1451 Fomepizole, 15 mg Zydus Pharmaceuticals (USA) Inc. 70710-1478-01 Fomepizole 15 MG 1.5 1 100 100
J1737 Inj meloxicam (azurity) 1mg Azurity Pharmaceuticals Inc. 24338-0153-02 Xifyrm 1 MG 1 10 30 300
J1742 Ibutilide fumarate injection Pfizer Inc 00009-3794-01 Corvert 1 MG 10 1 1 1
J1742 Ibutilide fumarate injection Pfizer Inc 00009-3794-22 Corvert 1 MG 10 1 1 1
J1742 Ibutilide fumarate injection Heritage Pharmaceuticals Inc. 23155-0326-31 Ibutilide Fumarate 1 MG 10 1 1 1
J1742 Ibutilide fumarate injection Mylan Institutional LLC 67457-0366-10 Ibutilide Fumarate 1 MG 10 1 1 1
J1807 Inj, ethacrynate sod, 1 mg Endo USA, Inc. 42023-0157-01 Ethacrynate Sodium 1 MG 1 1 50 50
J1807 Inj, ethacrynate sod, 1 mg LEADING PHARMA LLC 69315-0701-50 Ethacrynate Sodium 1 MG 1 1 50 50
J1833 Injection, isavuconazonium Astellas Pharma US, Inc. 00469-0420-01 Cresemba 1 MG 1 1 372 372
J1834 Inj, isoniazid, 1 mg Sandoz Inc. 00781-3056-70 Isoniazid Injection 1 MG 10 1 1000 1000
J2186 Inj., meropenem, vaborbactam Melinta Therapeutics, LLC 70842-0120-06 Vabomere (10 MG/10MG) 20 MG 1 6 100 600
J2265 Minocycline hydrochloride Melinta Therapeutics, LLC 70842-0160-10 Minocin 1 MG 1 10 100 1000
J2326 Inj, nusinersen, 0.1mg Biogen Inc. 64406-0058-01 Spinraza 0.1 MG 5 1 120 120
J2515 Pentobarbital sodium inj Hikma Pharmaceuticals USA Inc. 24201-0010-20 Pentobarbital 50 MG 20 1 20 20
J2515 Pentobarbital sodium inj Hikma Pharmaceuticals USA Inc. 24201-0010-50 Pentobarbital 50 MG 50 1 50 50
J2515 Pentobarbital sodium inj Sagent Pharmaceuticals 25021-0676-20 Pentobarbital 50 MG 20 1 20 20
J2515 Pentobarbital sodium inj Sagent Pharmaceuticals 25021-0676-50 Pentobarbital 50 MG 50 1 50 50
J2547 Injection, peramivir BioCryst Pharmaceuticals, Inc. 72769-0181-03 Rapivab 1 MG 20 3 200 600
J2561 Inj, sezaby, 1 mg Sun Pharmaceutical Industries, Inc. 62756-0301-01 Sezaby 1 MG 1 1 100 100
J2801 Inj, rykindo, 0.5 mg Luye Pharma USA Ltd 72526-0101-11 Rykindo 0.5 MG 1 1 25 25
J2801 Inj, rykindo, 0.5 mg Luye Pharma USA Ltd 72526-0102-11 Rykindo 0.5 MG 1 1 50 50
J2801 Inj, rykindo, 0.5 mg Luye Pharma USA Ltd 72526-0103-11 Rykindo 0.5 MG 1 1 75 75
J2801 Inj, rykindo, 0.5 mg Luye Pharma USA Ltd 72526-0104-11 Rykindo 0.5 MG 1 1 100 100
J2840 Inj sebelipase alfa 1 mg Alexion Pharmaceuticals, Inc. 25682-0007-01 Kanuma 1 MG 10 1 20 20
J2850 Inj secretin synthetic human ChiRhoClin, Inc 67066-0005-01 Chirhostim 1 MCG 1 1 16 16
J2998 Inj plasminogen tvmh 1mg Kedrion Biopharma Inc 70573-0099-02 Ryplazim 1 MG 1 1 68.8 69
J3387 Inj elivaldogene autotemecel Bluebird Bio, Inc. 73554-2111-01 Skysona Per Therapeutic Dose 20 1 1 1
J3389 Topi adm prad zami per treat Abeona Therapeutics Inc. 84103-0007-01 Zevaskyn Per Therapeutic Dose 1 1 1 1
J3391 Inj, atidarsagene autotemcel Orchard Therapeutics Europe Limited 83222-0200-01 Lenmeldy Per Treatment Dose 1 1 1 1
J3392 Inj, exagamglogene autotem Vertex Pharmaceuticals, Inc. 51167-0290-09 Casgevy Per Treatment 1 1 1 1
J3393 Inj, betibeglogene autotemce Bluebird Bio, Inc. 73554-3111-01 Zynteglo Per Therapeutic Dose 20 1 1 1
J3394 Inj, lovotibeglogene autotem Bluebird Bio, Inc. 73554-1111-01 Lyfgenia Per Treatment 20 1 1 1
J3397 Inj., vestronidase alfa-vjbk Ultragenyx Pharmaceutical Inc. 69794-0001-01 Mepsevii 1 MG 5 1 10 10
J3398 Inj luxturna 1 billion vec g Spark Therapeutics, Inc. 71394-0415-01 Luxturna 1 billion vector genomes 0.5 1 150 150
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0120-02 Zolgensma Per tx dose (up to 5 x10^15 vg?) 16.6 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0121-03 Zolgensma Per tx dose (up to 5 x10^15 vg?) 19.3 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0122-03 Zolgensma Per tx dose (up to 5 x10^15 vg?) 22.1 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0123-03 Zolgensma Per tx dose (up to 5 x10^15 vg?) 24.9 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0124-04 Zolgensma Per tx dose (up to 5 x10^15 vg?) 27.6 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0125-04 Zolgensma Per tx dose (up to 5 x10^15 vg?) 30.4 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0126-04 Zolgensma Per tx dose (up to 5 x10^15 vg?) 33.2 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0127-05 Zolgensma Per tx dose (up to 5 x10^15 vg?) 35.9 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0128-05 Zolgensma Per tx dose (up to 5 x10^15 vg?) 38.7 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0129-05 Zolgensma Per tx dose (up to 5 x10^15 vg?) 41.5 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0130-06 Zolgensma Per tx dose (up to 5 x10^15 vg?) 44.2 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0131-06 Zolgensma Per tx dose (up to 5 x10^15 vg?) 47 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0132-06 Zolgensma Per tx dose (up to 5 x10^15 vg?) 49.8 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0133-07 Zolgensma Per tx dose (up to 5 x10^15 vg?) 52.5 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0134-07 Zolgensma Per tx dose (up to 5 x10^15 vg?) 55.3 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0135-07 Zolgensma Per tx dose (up to 5 x10^15 vg?) 58.1 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0136-08 Zolgensma Per tx dose (up to 5 x10^15 vg?) 60.8 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0137-08 Zolgensma Per tx dose (up to 5 x10^15 vg?) 63.6 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0138-08 Zolgensma Per tx dose (up to 5 x10^15 vg?) 66.4 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0139-09 Zolgensma Per tx dose (up to 5 x10^15 vg?) 69.1 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0140-09 Zolgensma Per tx dose (up to 5 x10^15 vg?) 71.9 1 1 1
J3399 Inj onase abepar-xioi treat Novartis Gene Therapies, Inc. 71894-0141-09 Zolgensma Per tx dose (up to 5 x10^15 vg?) 74.7 1 1 1
J3404 Inj zopapogene per ther dose Precigen, Inc. 84768-0511-01 Papzimeos Per Therapeutic Dose 1 1 1 1
J3424 Inj hydroxocobalamin iv 25mg Meridian Medical Technologies LLC 11704-0370-01 Cyanokit 25 MG 1 1 200 200
J3424 Inj hydroxocobalamin iv 25mg BTG International Inc. 50633-0310-11 Cyanokit 25 MG 1 1 200 200
J7165 Inj, human-lans, per i.u Octapharma USA Inc. 68982-0261-01 Balfaxar PER FACTOR IX IU 1 1 1 1
J7165 Inj, human-lans, per i.u Octapharma USA Inc. 68982-0261-02 Balfaxar PER FACTOR IX IU 1 1 1 1
J7168 Prothrombin complex kcentra CSL Behring L.L.C. 63833-0386-02 Kcentra 1 IU 1 1 1 1
J7168 Prothrombin complex kcentra CSL Behring L.L.C. 63833-0387-02 Kcentra 1 IU 1 1 1 1
J7169 Inj andexxa, 10 mg AstraZeneca Pharmaceuticals LP 00310-3200-04 Andexxa 10 MG 1 4 20 80
J7169 Inj andexxa, 10 mg AstraZeneca Pharmaceuticals LP 00310-3200-05 Andexxa 10 MG 1 5 20 100
J7352 Afamelanotide implant, 1 mg Clinuvel Inc. 73372-0116-01 Scenesse 1 MG 1 1 16 16
J7501 Azathioprine parenteral Hikma Pharmaceuticals USA Inc. 00143-9566-01 Azathioprine 100 MG 1 1 1 1
J9174 Inj, docetaxel (beizray) 1mg Zydus Pharmaceuticals (USA) Inc. 70710-2091-03 Beizray 1 MG 4 1 80 80
J9174 Inj, docetaxel (beizray) 1mg Zydus Pharmaceuticals USA Inc 70710-2092-08 Beizray 1 MG 1 1 20 20
J9174 Inj, docetaxel (beizray) 1mg Zydus Pharmaceuticals (USA) Inc. 70710-2093-04 Beizray 1 MG 4 2 80 160
J9220 Indigotindisulfonate sod 1mg Apollo Pharmaceuticals 81284-0315-05 Bludigo 1 MG 5 5 40 200
J9275 Inj cosibelimab-ipdl, 2 mg Checkpoint Therapeutics Inc 83444-0301-10 Unloxcyt 2 MG 5 1 150 150
J9302 Ofatumumab injection Novartis Pharmaceuticals Corporation 00078-0669-13 Arzerra 10 MG 5 3 10 30
J9302 Ofatumumab injection Novartis Pharmaceuticals Corporation 00078-0690-61 Arzerra 10 MG 50 1 100 100
J9313 Inj., lumoxiti, 0.01 mg AstraZeneca Pharmaceuticals LP 73380-4700-01 Lumoxiti 0.01 MG 1 1 100 100
J9376 Inj pozelimab-bbfg, 1 mg Regeneron Pharmaceuticals, Inc. 61755-0014-01 Veopoz 1 MG 2 1 400 400
Q2009 Fosphenytoin inj pe Pfizer Inc 00069-5471-02 Cerebyx 50 MG PE/ML 2 25 2 50
Q2009 Fosphenytoin inj pe Pfizer Inc 00069-5474-02 Cerebyx 50 MG PE/ML 10 10 10 100
Q2009 Fosphenytoin inj pe Pfizer Inc 00069-6001-21 Cerebyx 50 MG PE/ML 10 10 10 100
Q2009 Fosphenytoin inj pe Pfizer Inc 00069-6001-25 Cerebyx 50 MG PE/ML 2 25 2 50
Q2009 Fosphenytoin inj pe Hikma Pharmaceuticals USA Inc. 00641-6136-25 Fosphenytoin Sodium 50 MG PE/ML 2 25 2 50
Q2009 Fosphenytoin inj pe Sagent Pharmaceuticals 25021-0798-02 Fosphenytoin Sodium 50 MG PE/ML 2 25 2 50
Q2009 Fosphenytoin inj pe Sagent Pharmaceuticals 25021-0798-10 Fosphenytoin Sodium 50 MG PE/ML 10 10 10 100
Q2009 Fosphenytoin inj pe FreseniUS Kabi USA, LLC 63323-0403-02 Fosphenytoin Sodium 50 MG PE/ML 2 25 2 50
Q2009 Fosphenytoin inj pe FreseniUS Kabi USA, LLC 63323-0403-10 Fosphenytoin Sodium 50 MG PE/ML 10 10 10 100
Q2009 Fosphenytoin inj pe Glenmark Pharmaceuticals Inc., USA 68462-0621-54 Fosphenytoin Sodium 50 MG PE/ML 2 25 2 50
Q2009 Fosphenytoin inj pe Glenmark Pharmaceuticals Inc., USA 68462-0622-64 Fosphenytoin Sodium 50 MG PE/ML 10 10 10 100
Q2058 Obecbtge autol up to 400 mil Autolus, Inc 83047-0410-04 Aucatzyl Per Therapeutic Dose 1 1 1 2
Q5160 Inj, jobevne, 10 mg Biocon Biologics Inc. 83257-0009-11 Jobevne 10 MG 4 1 10 10
Q5160 Inj, jobevne, 10 mg Biocon Biologics Inc. 83257-0010-11 Jobevne 10 MG 16 1 40 40
Q9968 Visualization adjunct Mylan Institutional LLC 67457-0220-05 Isosulfan Blue 1 MG 5 6 50 300
Q9968 Visualization adjunct American Regent, Inc. 00517-0374-05 Provayblue 1 MG 10 5 50 250
Q9982 Flutemetamol f18 diagnostic GE Healthcare Inc. 17156-0067-30 Vizamyl Per Study Dose, up to 5 millicuries 1 1 1 1
Q9983 Florbetaben f18 diagnostic Lantheus Medical Imaging, Inc. 54828-0001-50 Neuraceq PER STUDY DOSE, UPTO 8 mCi 50 1 1 1

Past NDC - HCPCS Crosswalk