2022 HCPCS	2022 Short Description	2022 Days	2022 Units	2022 Total Cost	2022 Minimum Unit Cost	2022 Maximum Unit Cost	2022 Arithmetic Mean Unit Cost	2022 Geometric Mean Unit Cost	2022 Geometric Mean Day Cost	2022 Median Unit Cost	2022 Median Day Cost	2022 CV (%) of Unit Cost	Proposed CY 2024 XRef HCPCS/CPT Code(s)	Proposed CY 2024 XRef SI	Proposed CY 2024  XRef APC	Proposed CY 2024 Payment Rate										
A2001	"Innovamatrix ac, per sq cm"	72	652	51517.48	18.69	2927.27	79.01	58.31	326.25	56.07	207.09	558.699	A2001	N												
A2002	Mirragen adv wnd mat per sq	1	6	268.38	44.73	44.73	44.73	44.73	268.4	44.73	268.4	.	A2002	N												
A2004	"Xcellistem, 1 mg"	55	39316	74878.76	0.55	2031.92	1.9	1.54	920.22	1.51	1511.14	20782.66	A2004	N												
A2005	"Microlyte matrix, per sq cm"	13	918	541.06	0.45	24.35	0.59	0.55	21.95	0.58	51.84	1181.702	A2005	N												
A2006	Novosorb synpath per sq cm	18	2205	25872.56	1.37	3231.6	11.73	4.12	646.12	3.27	720.6	11723.1	A2006	N												
A2007	"Restrata, per sq cm"	521	5282	828193.82	0.11	10597.67	156.8	104.8	906.66	119.23	1050.33	621.713	A2007	N												
A2008	"Theragenesis, per sq cm"	15	583	101336.17	19.02	9886.13	173.82	28.84	2591.51	20.37	2036.28	3924.671	A2008	N												
A2009	"Symphony, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2009	N												
A2010	"Apis, per square centimeter"	.	.	.	.	.	.	.	.	.	.	.	A2010	N												
A2011	"Supra sdrm, per sq cm"	51	529	23879.98	0.11	631.63	45.14	31.76	284.06	23.54	415.82	475.853	A2011	N												
A2012	"Suprathel, per sq cm"	23	3157	2890.64	0.13	64.68	0.92	0.71	77.76	0.91	124.64	2584.044	A2012	N												
A2013	"Innovamatrix fs, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2013	N												
A2014	Omeza collag per 100 mg	.	.	.	.	.	.	.	.	.	.	.	A2014	N												
A2015	"Phoenix wnd mtrx, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2015	N												
A2016	"Permeaderm b, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2016	N												
A2017	"Permeaderm glove, each"	.	.	.	.	.	.	.	.	.	.	.	A2017	N												
A2018	"Permeaderm c, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2018	N												
A4100	Skin sub fda clrd as dev nos	4	4	3018.1	320.27	1430.05	754.53	654.69	654.69	633.89	633.89	62.886	A4100	N												
A4216	"Sterile water/saline, 10 ml"	63485	179711	1764052.19	0.02	377.32	9.82	4.34	9.85	4.09	9.35	245.418	A4216	N												
A4218	Sterile saline or water	1200	2291	11717.4	0.1	43.24	5.11	3.35	5.45	3.81	9.73	152.665	A4218	N												
A4641	Radiopharm dx agent noc	2000	4260	265027.14	0.07	7063.12	62.21	6.31	24.09	4.61	36.43	590.888	A4641	N												
A4642	In111 satumomab	3	3	1854.66	552.14	747.18	618.22	611.9	611.9	555.34	555.34	18.067	A4642	N												
A9500	Tc99m sestamibi	372951	692259	58453071.66	2.06	1419.53	84.44	59.23	107.77	62.07	116.29	131.265	A9500	N												
A9501	Technetium tc-99m teboroxime	19	19	471.97	17.16	148.79	24.84	20.02	20.02	17.16	17.16	120.944	A9501	N												
A9502	Tc99m tetrofosmin	229032	428315	31965232.27	1.8	1616.63	74.63	53.29	98.12	55.56	101.56	141.542	A9502	N												
A9503	Tc99m medronate	141636	141636	5190141.64	1.94	341.08	36.64	25.46	25.46	24.73	24.73	103.591	A9503	N												
A9504	Tc99m apcitide	2	2	348.82	173.04	175.78	174.41	174.4	174.4	174.41	174.41	1.111	A9504	N												
A9505	Tl201 thallium	4731	17215	375005.39	1.18	699.8	21.78	12.62	44.59	12.42	49.66	336.421	A9505	N												
A9507	In111 capromab	3	3	2943.81	440.94	1334.57	981.27	882.59	882.59	1168.3	1168.3	48.434	A9507	N												
A9508	"I131 iodobenguate, dx"	9	9	3999.67	45.09	1293.18	444.41	210.64	210.64	544.43	544.43	98.44	A9508	N												
A9509	Iodine i-123 sod iodide mil	1166	2556	568696.82	0.74	2267	222.49	129.17	239.31	122.62	266.4	161.633	A9509	N												
A9510	Tc99m disofenin	823	823	37835.58	6.05	256.01	45.97	37.44	37.44	36.18	36.18	67.042	A9510	N												
A9512	Tc99m pertechnetate	2753	26247	186299.25	0.03	1070.4	7.1	2	15.35	1.6	17.54	981.381	A9512	N												
A9513	Lutetium lu 177 dotatat ther	2064	405704	58403743.08	25.51	975.53	143.96	124.25	24296.4	113.77	22593.24	880.916	A9513	K	9067	$282.28										
A9515	Choline c-11	1848	1848	4410965.52	1409.04	2400.84	2386.89	2382.91	2382.91	2400.84	2400.84	4.895	A9515	N												
A9516	Iodine i-123 sod iodide mic	8545	21086	1036559.1	0.61	1921.61	49.16	34.38	78.77	33.01	78.82	195.298	A9516	N												
A9517	"I131 iodide cap, rx"	2716	189993	4103761.35	0.01	8115.4	21.6	14.05	581.07	13.42	732.25	1264.493	A9517	K	1064	$23.73										
A9520	Tc99 tilmanocept diag 0.5mci	20938	22424	7622688.78	19.59	3461.25	339.93	242.7	260.29	244.66	252	106.671	A9520	N												
A9521	Tc99m exametazime	457	457	263070.16	13.61	4142.66	575.65	361.68	361.68	456.46	456.46	91.53	A9521	N												
A9524	"I131 serum albumin, dx"	170	692	40805.37	4.96	435.24	58.97	45.38	171.27	58.6	240.02	157.765	A9524	N												
A9526	Nitrogen n-13 ammonia	1628	3034	775801.17	18.44	1021.5	255.7	186.97	346.95	166.26	307.52	105.581	A9526	N												
A9528	"Iodine i-131 iodide cap, dx"	1205	4872	189462.75	0.09	728.64	38.89	20.85	64.82	20.96	65.77	278.281	A9528	N												
A9529	"I131 iodide sol, dx"	84	348	11669.86	1.13	1131.79	33.53	11.91	41.02	11.19	45.5	818.566	A9529	N												
A9530	"I131 iodide sol, rx"	196	13859	275556.64	2.12	6312.48	19.88	10.46	502.21	10.19	636.97	5610.38	A9530	K	1150	$22.71										
A9531	I131 max 100uci	567	4192	52365.48	0.02	258.79	12.49	4.92	34.53	4.37	40.44	415.098	A9531	N												
A9532	"I125 serum albumin, dx"	.	.	.	.	.	.	.	.	.	.	.	A9532	N												
A9536	Tc99m depreotide	6	6	880	43.54	503.26	146.67	96.48	96.48	89.96	89.96	120.821	A9536	N												
A9537	Tc99m mebrofenin	34755	34755	1580499.94	2.95	389.62	45.48	34.19	34.19	34.06	34.06	86.668	A9537	N												
A9538	Tc99m pyrophosphate	7528	7528	412665.01	3.08	470.82	54.82	38.28	38.28	34.2	34.2	100.302	A9538	N												
A9539	Tc99m pentetate	1793	1987	181799.41	2.69	1220.13	91.49	59.11	63.64	62.19	65.67	106.571	A9539	N												
A9540	Tc99m maa	39359	39359	4125875.24	2.71	1356.93	104.83	64.3	64.3	69.65	69.65	109.317	A9540	N												
A9541	Tc99m sulfur colloid	59982	59982	4989856.69	3.73	866.05	83.19	57.25	57.25	55.67	55.67	100.817	A9541	N												
A9542	"In111 ibritumomab, dx"	6	7	124907.2	1209.76	20616.24	17843.89	13749.26	14425.45	20616.24	20616.24	45.03	A9542	N												
A9543	"Y90 ibritumomab, rx"	48	50	584562.4	2473.9	34012.58	11691.25	10341.76	10760.23	8791.57	8791.57	54.319	A9543	K	1643	"$65,476.58"										
A9546	Co57/58	1	1	17.23	17.23	17.23	17.23	17.23	17.23	17.23	17.23	.	A9546	N												
A9547	In111 oxyquinoline	251	289	238084.77	72.71	3821.48	823.82	611.6	662.86	556.36	580.55	91.743	A9547	N												
A9548	In111 pentetate	1346	1736	1299547.57	25.55	7522.43	748.59	468.59	591.63	430.61	551.15	127.148	A9548	N												
A9550	Tc99m gluceptate	2	2	41.17	17.71	23.46	20.58	20.38	20.38	20.58	20.58	19.752	A9550	N												
A9551	Tc99m succimer	110	110	71400.7	90.24	3280.04	649.1	489.45	489.45	723.91	723.91	74.953	A9551	N												
A9552	F18 fdg	382880	382880	83553351.81	13.44	1753.44	218.22	163.81	163.81	175.07	175.07	81.099	A9552	N												
A9553	Cr51 chromate	1	1	41.6	41.6	41.6	41.6	41.6	41.6	41.6	41.6	.	A9553	N												
A9554	"I125 iothalamate, dx"	49	128	17273.27	13.63	2144.44	134.95	80.49	109.8	93.55	99.4	288.925	A9554	N												
A9555	Rb82 rubidium	31066	62154	11562350.24	5.05	3905.37	186.03	116.05	232.14	124.26	248.51	143.438	A9555	N												
A9556	Ga67 gallium	338	1781	111765.25	0.75	657.42	62.75	28.82	136.32	27.81	129.38	449.197	A9556	N												
A9557	Tc99m bicisate	203	225	163021.19	47.5	3506	724.54	470.19	482.09	632.34	632.34	94.764	A9557	N												
A9558	Xe133 xenon 10mci	6034	7961	592540.81	2.54	950.49	74.43	50.93	60.7	47.58	55.58	111.056	A9558	N												
A9559	Co57 cyano	.	.	.	.	.	.	.	.	.	.	.	A9559	N												
A9560	Tc99m labeled rbc	6152	6152	626047.95	4.33	1064.28	101.76	69.67	69.67	72.95	72.95	101.957	A9560	N												
A9561	Tc99m oxidronate	19098	19098	841541.04	3.01	391.78	44.06	29.55	29.55	27.56	27.56	122.358	A9561	N												
A9562	Tc99m mertiatide	14532	14532	3193731.45	9.3	2033.14	219.77	168.01	168.01	168.54	168.54	83.404	A9562	N												
A9563	P32 na phosphate	3	3	179.13	56.35	61.39	59.71	59.66	59.66	61.39	61.39	4.873	A9563	N												
A9564	P32 chromic phosphate	.	.	.	.	.	.	.	.	.	.	.	A9564	E1												
A9566	Tc99m fanolesomab	.	.	.	.	.	.	.	.	.	.	.	A9566	N												
A9567	Technetium tc-99m aerosol	7224	7224	757610.88	4.83	869.53	104.87	70.86	70.86	68.02	68.02	97.308	A9567	N												
A9568	Technetium tc99m arcitumomab	.	.	.	.	.	.	.	.	.	.	.	A9568	N												
A9569	Technetium tc-99m auto wbc	673	673	583624.61	53.66	7604.24	867.2	666.68	666.68	658	658	90.076	A9569	N												
A9570	Indium in-111 auto wbc	981	981	983369.13	107.22	5590.38	1002.42	806.95	806.95	842.1	842.1	75.147	A9570	N												
A9571	Indium in-111 auto platelet	3	3	2248.21	223.71	1012.25	749.4	612	612	1012.25	1012.25	60.75	A9571	N												
A9572	Indium in-111 pentetreotide	692	692	1301870.07	105.45	16543.14	1881.32	1367.52	1367.52	1385.78	1385.78	96.577	A9572	N												
A9575	Inj gadoterate meglumi 0.1ml	250422	39346451	14588272.1	0.01	133.63	0.37	0.24	36.83	0.29	43.83	2468.839	A9575	N												
A9576	Inj prohance multipack	46096	785918	3753074.76	0.03	362.95	4.78	2.88	47.51	2.39	39.14	506.18	A9576	N												
A9577	Inj multihance	188163	3016219	12254299.14	0.01	85.73	4.06	2.92	45.19	3.46	55.64	301.345	A9577	N												
A9578	Inj multihance multipack	7263	101216	322240.68	0.01	182.34	3.18	2.64	35.21	2.47	32.45	369.54	A9578	N												
A9579	"Gad-base mr contrast nos,1ml"	100171	1688294	7560863.08	0.04	342.29	4.48	2.99	47.64	3.17	54.58	464.29	A9579	N												
A9580	Sodium fluoride f-18	268	268	31083.63	20.73	690.32	115.98	83.96	83.96	54.91	54.91	105.589	A9580	N												
A9581	Gadoxetate disodium inj	13179	131462	2217562.39	0.02	347.11	16.87	13.55	132.2	14.98	142.08	262.708	A9581	N												
A9582	Iodine i-123 iobenguane	184	184	413663.26	231.13	7901.61	2248.17	1618.91	1618.91	1534.39	1534.39	89.567	A9582	N												
A9583	Gadofosveset trisodium inj	4	261	6202.7	17.7	24.23	23.77	23.72	671.96	24.23	581.04	52.198	A9583	N												
A9584	Iodine i-123 ioflupane	12879	12879	18964300.42	202.23	6612.88	1472.5	1219.59	1219.59	1256.23	1256.23	65.287	A9584	N												
A9585	Gadobutrol injection	347504	28922309	21847201.26	0.01	88.41	0.76	0.57	45.22	0.62	50.88	1074.4	A9585	N												
A9586	Florbetapir f18	164	182	417680.6	198.2	11059.8	2294.95	1783	2052.02	1808.04	2274.65	79.041	A9586	N												
A9587	Gallium ga-68	4701	230466	11751089.12	0.05	3328.79	50.99	36.63	1791.18	37.96	1949.4	808.997	A9587	N												
A9588	Fluciclovine f-18	3325	30439	10733735.49	0.15	10192.45	352.63	229.35	2021.26	240.5	2286.17	496.757	A9588	N												
A9589	Insti hexaminolevulinate hcl	3527	3527	3980300.44	188.07	3444.91	1128.52	1014.41	1014.41	1009.41	1009.41	44.611	A9589	N												
A9590	Iodine i-131 iobenguane 1mci	2	184	28353	65.46	157.08	154.09	152.66	3313.73	157.08	14176.15	143.247	A9590	K	9339	$329.72										
A9591	Fluoroestradiol f 18	75	386	163914.42	63.75	3171.49	424.65	343.7	1505.8	310.59	1761.47	217.068	A9591	N												
A9592	Copper cu 64 dotatate diag	3654	14680	10117219.84	32.1	6976.35	689.18	544.1	2184.62	567.77	2275.05	190.743	A9592	N												
A9593	Gallium ga-68 psma-11 ucsf	665	4034	1992723.75	139.97	787.19	493.98	487.13	2913.78	506.81	3120.76	34.782	A9593	G	9409	$806.14										
A9594	"Gallium ga-68 psma-11, ucla"	748	4054	1868759.27	7.52	3275.34	460.97	396.44	2126.93	361.64	2025.19	106.885	A9594	G	9410	$789.30										
A9595	"Piflu f-18, dia 1 millicurie"	21951	211242	71812595.46	1.77	5969.88	339.95	266.39	2555.43	266.95	2550.91	267.669	A9595	G	9430	$580.35										
A9596	Gallium illuccix 1 millicure	2466	12116	6293350.28	11.13	9673.27	519.42	364.79	1826.99	391.01	1934.82	226.846	A9596	G	9443	$996.40										
A9597	"Pet, dx, for tumor id, noc"	2631	5429	7622495.85	3.16	48233.34	1404.03	582.36	1299.27	745.23	1788.38	246.264	A9597	N												
A9598	"Pet dx for non-tumor id, noc"	319	319	129997.44	3.16	3392.46	407.52	24.96	24.96	3.16	3.16	172.314	A9598	N												
A9600	Sr89 strontium	13	28	35555.74	823.85	1897.34	1269.85	1218.85	2495.2	1172.25	1897.34	44.811	A9600	K	0701	"$4,146.34"										
A9601	Flortaucipir inj 1 millicuri	.	.	.	.	.	.	.	.	.	.	.	A9601	E2												
A9602	Fluorodopa f-18 diag per mci	.	.	.	.	.	.	.	.	.	.	.	A9602	G	9053	$415.52										
A9604	Sm 153 lexidronam	.	.	.	.	.	.	.	.	.	.	.	A9604	K	1295	"$17,259.85"										
A9606	Radium ra223 dichloride ther	3052	406397	37804823.71	0.09	610.54	93.02	78.14	10238.64	77.6	10031.28	830.16	A9606	K	1745	$154.38										
A9607	Lutetium lu 177 vipivotide	1072	211854	23997194.87	10.15	791.04	113.27	97.55	19232.87	86.96	17248.92	831.885	A9607	G	9054	$225.25										
A9698	Non-rad contrast materialnoc	10393	14054	116176.76	0.08	277.75	8.27	5	6.21	5.48	7.17	194.959	A9698	N												
A9699	Radiopharm rx agent noc	469	472	10958951.83	0.15	91111.04	23218.12	3747.13	3733.24	16252	16252	87.588	A9699	N												
A9800	Gallium locametz 1 millicuri	436	2632	1481705.39	114.79	1931.56	562.96	506.73	3045.78	485.19	3198.9	142.301	A9800	G	9055	$873.44										
C9041	"Inj, coagulation factor Xa"	.	.	.	.	.	.	.	.	.	.	.	J7169	K	9198	$90.75										
C9046	Cocaine hcl nasal (goprelto)	2765	416083	635614.29	0.02	503.12	1.53	1.2	183.48	1.29	204.97	2233.547	C9046	N												
C9047	"Injection, caplacizumab-yhdp"	19	209	116128.76	555.64	555.64	555.64	555.64	6112.08	555.64	6112.08	0	C9047	K	9199	$719.71										
C9053	"Inj,  crizanlizumab-tmca"	.	.	.	.	.	.	.	.	.	.	.	J0791	K	9359	$125.28										
C9054	"Injection, lefamulin"	.	.	.	.	.	.	.	.	.	.	.	J0691	K	9332	$0.72										
C9055	"Inj, brexanolone"	.	.	.	.	.	.	.	.	.	.	.	J1632	K	9333	$72.64										
C9056	"Injection, givosiran"	.	.	.	.	.	.	.	.	.	.	.	J0223	K	9343	$109.73										
C9057	Inj cetirizine hydrochloride	.	.	.	.	.	.	.	.	.	.	.	J1201	K	9361	$15.10										
C9059	"Injection, meloxicam"	.	.	.	.	.	.	.	.	.	.	.	J1738	N												
C9060	Fluoroestradiol f18	.	.	.	.	.	.	.	.	.	.	.	A9591	N												
C9061	"Injection, teprotumumab-trbw"	.	.	.	.	.	.	.	.	.	.	.	J3241	K	9355	$328.00										
C9062	Daratumumab hyaluronidase	.	.	.	.	.	.	.	.	.	.	.	J9144	K	9378	$48.21										
C9063	"Injection, eptinezumab-jjmr"	.	.	.	.	.	.	.	.	.	.	.	J3032	K	9357	$17.01										
C9064	Mitomycin pyelocalyceal inst	.	.	.	.	.	.	.	.	.	.	.	J9281	K	9374	$289.51										
C9065	Romidepsin non-lyophilized	.	.	.	.	.	.	.	.	.	.	.	C9065	D												
C9066	Sacituzumab govitecan-hziy	.	.	.	.	.	.	.	.	.	.	.	J9317	K	9376	$32.55										
C9067	Gallium ga-68 dotatoc	88	35745	203048.01	4.68	7.37	5.68	5.65	2307.07	5.63	2307.07	214.367	C9067	N												
C9068	"Copper cu-64, dotatate, dx"	.	.	.	.	.	.	.	.	.	.	.	A9592	N												
C9069	Belantamab mafodontin-blmf	.	.	.	.	.	.	.	.	.	.	.	J9037	K	9384	$45.31										
C9070	"Injection, tafasitamab-cxix"	.	.	.	.	.	.	.	.	.	.	.	J9349	K	9385	$13.15										
C9071	"Injection, viltolarsen"	.	.	.	.	.	.	.	.	.	.	.	J1427	K	9386	$58.81										
C9072	"Inj, imm glob asceniv"	.	.	.	.	.	.	.	.	.	.	.	J1554	K	9392	$482.27										
C9073	Brexucabtagene autoleucel ca	.	.	.	.	.	.	.	.	.	.	.	Q2053	K	9391	"$448,752.40"										
C9074	"Injection, lumasiran"	.	.	.	.	.	.	.	.	.	.	.	J0224	G	9407	$310.77										
C9075	"Injection, casimersen, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J1426	G	9412	$166.24										
C9076	lisocabtagene car pos t	.	.	.	.	.	.	.	.	.	.	.	Q2054	G	9413	"$434,918.00"										
C9077	Inj cabotegravir/rilpivirine	.	.	.	.	.	.	.	.	.	.	.	J0741	G	9414	$21.56										
C9078	"Inj, trilaciclib, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J1448	G	9415	$5.11										
C9079	"Inj, evinacumab-dgnb, 5 mg"	.	.	.	.	.	.	.	.	.	.	.	J1305	G	9416	$172.25										
C9080	"Inj, melphalan flufen, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J9247	G	9417	$503.50										
C9081	Idecabtagene car pos t	.	.	.	.	.	.	.	.	.	.	.	Q2055	G	9422	"$444,670.00"										
C9084	"Loncastuximab-lpyl, 0.1 mg"	152	24170	3369564.99	9.28	532.57	139.41	66.6	19003.57	145.51	19826.12	1103.9	J9359	G	9205	$191.42										
C9088	"Instill, bupivac and meloxic"	5053	1877526	1645193.03	0.03	333.17	0.88	0.76	277.38	0.73	280.09	2527.511	C9088	G	9440	$0.69										
C9089	"Bupivacaine implant, 1 mg"	225	63503	74785.02	0.08	50.34	1.18	0.89	242.92	0.66	196.98	1471.024	C9089	N												
C9090	"Plasminogen, human-tvmh 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J2998	G	9206	$30.32										
C9101	"Inj, oliceridine 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	C9101	G	9049	$0.39										
C9113	"Inj pantoprazole sodium, via"	182736	244560	2925428.52	0.63	128.55	11.96	9.14	11.32	9.2	11.3	99.987	C9113	N												
C9122	Mometasone furoate (sinuva)	.	.	.	.	.	.	.	.	.	.	.	J7402	K	9346	$11.35										
C9132	"Kcentra, per i.u."	.	.	.	.	.	.	.	.	.	.	.	J7168	K	9132	$2.18										
C9143	Cocaine hcl nasal (numbrino)	.	.	.	.	.	.	.	.	.	.	.	C9143	N												
C9144	"Inj, bupivacaine (posimir)"	.	.	.	.	.	.	.	.	.	.	.	C9144	G	9106	$0.51										
C9248	"Inj, clevidipine butyrate"	728	26016	157479.24	0.24	399.74	6.05	4.03	121.73	3.44	129.07	1607.661	C9248	N												
C9250	Artiss fibrin sealant	2007	3508	768695.5	10.93	3297.31	219.13	140.83	270.18	113.33	237.92	179.648	C9250	K	1848	$180.54										
C9254	"Injection, lacosamide"	2067	495838	234306.96	0.01	58.93	0.47	0.37	83.74	0.39	86.16	4025.788	C9254	N												
C9257	Bevacizumab injection	43510	255928	3420061.67	0.24	665.65	13.36	7.96	49.63	6.82	49.13	388.764	C9257	K	1281	$1.78										
C9285	"Patch, lidocaine/tetracaine"	267	267	2702.17	6.24	21.16	10.12	9.71	9.71	8.52	8.52	33.399	C9285	N												
C9290	"Inj, bupivacaine liposome"	114437	26813281	41283125.5	0.01	132.17	1.54	1.38	311.5	1.36	330.09	914.634	C9290	N												
C9293	"Injection, glucarpidase"	.	.	.	.	.	.	.	.	.	.	.	C9293	E2												
C9352	"Neuragen nerve guide, per cm"	84	144	186613.72	77.27	7700.97	1295.93	987.38	1824.91	870.31	1888.08	109.194	C9352	N												
C9353	"Neurawrap nerve protector,cm"	143	243	425449.19	197.28	12973.52	1750.82	1254.26	2532.49	1247.4	2581.09	120.376	C9353	N												
C9354	"Veritas collagen matrix, cm2"	82	846	172536.24	29.63	10980.48	203.94	52.51	1191.5	38.05	1667.08	1153.162	C9354	N												
C9355	"Neuromatrix nerve cuff, cm"	15	19	23540.05	389.86	2528.33	1238.95	1074.95	1313.75	1082.96	1456.48	57.539	C9355	N												
C9356	"Tenoglide tendon prot, cm2"	98	418	311191.86	39.43	5949.2	744.48	242.68	2558.5	148.24	3056.04	377.124	C9356	N												
C9358	"Surgimend, fetal"	140	28289	794353.08	4.67	11037.75	28.08	15.57	2941.29	13.46	4951.78	12786.56	C9358	N												
C9359	"Implnt,bon void filler-putty"	2701	3585	3054564.98	42.64	14028.6	852.04	427.37	614.04	399.16	684.88	156.954	C9359	N												
C9360	"Surgimend, neonatal"	22	3467	77426.82	2.38	8994.44	22.33	12.79	1232.54	16.44	1224.29	10922.36	C9360	N												
C9361	Neuromend nerve wrap	91	107	83127.14	43.74	3558.3	776.89	427.11	490.52	416.66	548.93	119.084	C9361	N												
C9362	"Implnt,bon void filler-strip"	270	425	257709.77	0.47	7511.23	606.38	146.42	279.82	129.33	519.42	213.641	C9362	N												
C9363	Integra meshed bil wound mat	982	38295	3860643.95	0.24	18834.74	100.81	37.72	2722.17	44.03	3048.98	2974.039	C9363	N												
C9364	"Porcine implant, permacol"	47	60	68337.14	59.05	12391.25	1138.95	807.71	1055.96	740.37	1148.73	160.748	C9364	N												
C9460	"Injection, cangrelor"	922	50148	850233.58	1.38	537.2	16.95	15.15	785.42	16.21	836.44	380.54	C9460	K	9460	$17.19										
C9462	"Injection, delafloxacin"	.	.	.	.	.	.	.	.	.	.	.	C9462	E2												
C9482	Sotalol hydrochloride iv	193	23399	445013.98	3	58.12	19.02	17.62	2028.1	17.95	2278.85	397.275	C9482	K	9482	$18.92										
C9488	Conivaptan hcl	.	.	.	.	.	.	.	.	.	.	.	C9488	K	9488	$47.24										
J0120	Tetracyclin injection	46	53	821.2	0.73	60.92	15.49	6.09	7.25	7.15	7.15	134.492	J0120	N												
J0121	"Inj., omadacycline, 1 mg"	512	52000	179324	1.09	8.88	3.45	3.02	303.87	2.97	296.85	592.963	J0121	K	9311	$3.62										
J0122	"Inj., eravacycline, 1 mg"	291	34736	48165.59	0.23	2.87	1.39	1.33	143.39	1.37	140.74	333.212	J0122	N												
J0129	Abatacept injection	59058	4472096	203747859.7	1.06	166.08	45.56	41.67	3091.27	44.01	3226.64	359.802	J0129	K	9230	$42.76										
J0130	Abciximab injection	1	6	120.6	20.1	20.1	20.1	20.1	120.62	20.1	120.62	.	J0130	N												
J0131	"Inj, acetaminophen (nos)"	368373	40650788	15046388.1	0.01	47.93	0.37	0.28	29.88	0.32	34.35	863.009	J0131	N												
J0132	Acetylcysteine injection	566	70620	197415.25	0.07	458.77	2.8	1.83	152.65	2.29	180.64	1970.571	J0132	N												
J0133	Acyclovir injection	2176	471321	100920.04	0.01	842.21	0.21	0.15	27.09	0.16	26.82	16962.75	J0133	N												
J0134	Inj acetaminophen -fresenius	.	.	.	.	.	.	.	.	.	.	.	J0134	K	9143	$0.11										
J0135	Adalimumab injection	67	136	135359.88	479.19	1827.29	995.29	971.12	1962.06	889.95	1779.89	33.599	J0135	K	1083	"$1,834.49"										
J0136	"Inj, acetaminophen (b braun)"	.	.	.	.	.	.	.	.	.	.	.	J0136	K	9160	$0.05										
J0153	Adenosine inj 1mg	47755	2417163	4138913.02	0.01	742.84	1.71	1.18	42.99	1.3	45.23	1374.648	J0153	N												
J0171	Adrenalin epinephrine inject	382159	4935575	9661529.23	0.01	735.53	1.96	1.25	13.71	1.39	14.81	764.16	J0171	N												
J0172	"Inj, aducanumab-avwa, 2 mg"	70	13507	114321.55	1.14	24.35	8.46	7.49	1174.38	9.19	1377.98	638.72	J0172	K	9438	$5.98										
J0173	"Inj, epinephrine (belcher)"	.	.	.	.	.	.	.	.	.	.	.	J0173	E2												
J0178	Aflibercept injection	80745	190897	171510856.6	118.16	6151.51	898.45	841.8	1909.02	866.02	1867.49	52.348	J0178	K	1420	$893.55										
J0179	"Inj, brolucizumab-dbll, 1 mg"	646	4405	1195859.37	13.47	512.54	271.48	241.22	1617.43	280.3	1795.84	105.255	J0179	K	9340	$314.86										
J0180	Agalsidase beta injection	2897	228166	40310298.82	31.07	539.36	176.67	161.27	12335.95	166.12	12377.6	376.121	J0180	K	9208	$208.17										
J0185	"Inj., aprepitant, 1 mg"	83842	10899276	29867916.08	0.02	20.68	2.74	2.47	320.9	2.41	313.14	541.859	J0185	K	9463	$1.81										
J0190	Inj biperiden lactate/5 mg	.	.	.	.	.	.	.	.	.	.	.	J0190	E2												
J0200	Alatrofloxacin mesylate	1	1	2.24	2.24	2.24	2.24	2.24	2.24	2.24	2.24	.	J0200	E2												
J0202	"Injection, alemtuzumab"	113	2016	1513739.03	36.84	3734.36	750.86	159.65	5071.14	39.69	1627.41	615.851	J0202	K	1809	"$2,235.38"										
J0205	Alglucerase injection	.	.	.	.	.	.	.	.	.	.	.	J0205	E2												
J0207	Amifostine	.	.	.	.	.	.	.	.	.	.	.	J0207	E2												
J0210	Methyldopate hcl injection	.	.	.	.	.	.	.	.	.	.	.	J0210	E2												
J0215	Alefacept	.	.	.	.	.	.	.	.	.	.	.	J0215	E2												
J0219	Inj aval alfa-nqpt 4mg	691	277735	16850206.55	0.03	158.28	60.67	54.42	20837.98	52.45	23127.99	847.666	J0219	G	9433	$72.45										
J0220	Alglucosidase alfa injection	8	1400	180600	129	129	129	129	22574.73	129	22574.73	0	J0220	K	9234	$122.56										
J0221	Lumizyme injection	946	155183	27771154.98	37.35	450.7	178.96	160.16	25839.3	181.65	29051.43	584.11	J0221	K	1413	$188.25										
J0222	"Inj., patisiran, 0.1 mg"	2068	522365	44988655.18	14.18	185.38	86.12	79.73	19788.29	82.21	20672.95	603.095	J0222	K	9180	$100.75										
J0223	Inj givosiran 0.5 mg	135	61547	6318365.71	42.26	174	102.66	98.11	42647.61	108.18	43693.65	588.317	J0223	K	9343	$109.73										
J0224	"Inj. lumasiran, 0.5 mg"	7	4385	873717.44	101.65	498.48	199.25	180.67	114167	196.25	148362.5	1369.677	J0224	G	9407	$310.77										
J0225	"Inj, vutrisiran, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0225	G	9009	"$4,875.85"										
J0248	"Inj, remdesivir, 1 mg"	28183	3950129	20050673.43	0.01	512.48	5.08	4.55	600.96	4.86	587.5	590.648	J0248	G	9200	$5.51										
J0256	Alpha 1 proteinase inhibitor	34560	18598289	94265685.75	0.01	86.83	5.07	4.24	2159.89	4.48	2259.79	1554.566	J0256	K	0901	$4.78										
J0257	Glassia injection	4163	2112574	10558005.14	0.01	14.2	5	4.15	2003.15	4.89	2215.99	958.336	J0257	K	1415	$5.15										
J0278	Amikacin sulfate injection	4874	43495	142301.32	0.02	85.81	3.27	2.49	21.41	2.49	22.49	313.886	J0278	N												
J0280	Aminophyllin 250 mg inj	39479	43896	639394.37	0.53	178.46	14.57	9.81	11.03	11.01	13.2	108.543	J0280	N												
J0282	Amiodarone hcl	21222	330844	1185774.64	0.01	135.58	3.58	2.05	26.58	2.3	31.71	484.922	J0282	N												
J0283	"Inj, amiodarone (nexterone)"	.	.	.	.	.	.	.	.	.	.	.	J0283	E2												
J0285	Amphotericin b	436	466	18026.77	0.89	157.79	38.68	27.55	28.04	36.97	36.65	71.179	J0285	N												
J0287	Amphotericin b lipid complex	39	841	5560.82	0.12	29	6.61	4.41	80.52	7.03	55.96	209.931	J0287	K	9024	$11.13										
J0288	Ampho b cholesteryl sulfate	1	300	927	3.09	3.09	3.09	3.09	926.78	3.09	926.78	.	J0288	E2												
J0289	Amphotericin b liposome inj	1437	41169	1757791.62	2.33	269.44	42.7	34.88	853.45	36.17	855.92	315.113	J0289	K	0736	$26.85										
J0290	Ampicillin 500 mg inj	12677	67223	311893.16	0.01	69.11	4.64	3.17	14.29	3.6	15.27	216.16	J0290	N												
J0291	"Inj., plazomicin, 5 mg"	98	21900	86255	2.49	5.66	3.94	3.79	809.65	3.22	644.46	431.626	J0291	K	9183	$3.38										
J0295	Ampicillin sulbactam 1.5 gm	40871	122946	1164821.54	0.14	291.69	9.47	7.29	18.52	7.5	18.54	145.435	J0295	N												
J0300	Amobarbital 125 mg inj	26	52	7046.62	2.58	377.68	135.51	67.51	100.78	139.18	170.21	115.562	J0300	K	1341	$171.17										
J0330	Succinycholine chloride inj	315884	2097292	6653155.46	0.01	199.93	3.17	2.31	14.74	2.43	16.15	275.35	J0330	N												
J0348	Anidulafungin injection	899	102900	151124	0.07	3.74	1.47	1.18	126.21	1.46	171.41	620.942	J0348	N												
J0350	Injection anistreplase 30 u	.	.	.	.	.	.	.	.	.	.	.	J0350	E2												
J0360	Hydralazine hcl injection	267361	304038	5599435.8	0.77	207.6	18.42	12.87	14.2	13.8	14.86	110.905	J0360	N												
J0364	Apomorphine hydrochloride	.	.	.	.	.	.	.	.	.	.	.	J0364	E2												
J0365	"Aprotonin, 10,000 kiu"	.	.	.	.	.	.	.	.	.	.	.	J0365	E2												
J0380	Inj metaraminol bitartrate	.	.	.	.	.	.	.	.	.	.	.	J0380	E2												
J0390	Chloroquine injection	2	16	11.8	0.58	0.79	0.74	0.73	4.69	0.79	5.9	49.319	J0390	N												
J0395	Arbutamine hcl injection	1	60	474	7.9	7.9	7.9	7.9	474.07	7.9	474.07	.	J0395	E2												
J0400	Aripiprazole injection	29	676	20047.78	0.02	1465.58	29.66	1.19	19.84	18.76	18.36	2767.871	J0400	N												
J0401	Inj aripiprazole ext rel 1mg	1640	615588	3351490.18	0.01	18.6	5.44	4.65	1741.16	5.03	1898.29	1032.329	J0401	K	1468	$6.42										
J0456	Azithromycin	67606	69404	1190950.38	1.02	147.49	17.16	12.74	12.99	13.61	13.75	84.834	J0456	N												
J0461	Atropine sulfate injection	93155	5898206	1397990.39	0.01	27.21	0.24	0.17	9.95	0.16	10.96	979.194	J0461	N												
J0470	Dimecaprol injection	.	.	.	.	.	.	.	.	.	.	.	J0470	K	9039	$59.81										
J0475	Baclofen 10 mg injection	9833	49884	11646055.24	1.13	14582	233.46	198.79	790.61	206.54	917.47	143.817	J0475	K	9032	$178.45										
J0476	Baclofen intrathecal trial	283	430	85018.11	0.67	1156.8	197.72	63.19	124.86	87.36	123.06	151.328	J0476	N												
J0480	Basiliximab	450	450	1635766.58	1057.22	11106.67	3635.04	3472.49	3472.49	3591.12	3591.12	30.925	J0480	K	1683	"$4,310.97"										
J0485	Belatacept injection	39647	20090057	77019077.82	0.03	13.5	3.83	3.53	1721.56	3.64	1813.68	934.907	J0485	K	9286	$3.79										
J0490	Belimumab injection	9057	743584	34414371.65	5.8	225.04	46.28	42.63	3384.7	42.02	3413.67	385.484	J0490	K	1353	$50.21										
J0491	Inj anifrolumab-fnia 1mg	661	197839	3192103.47	2.43	178.89	16.13	14.54	4365.11	14.27	4282	1056.226	J0491	G	9434	$16.23										
J0500	Dicyclomine injection	15242	15242	872551.83	3.29	425.06	57.25	46.43	46.43	47.64	47.64	67.963	J0500	N												
J0515	Inj benztropine mesylate	1556	2802	89472.36	1.23	285.46	31.93	26.4	45.57	27.97	47.6	87.015	J0515	N												
J0517	"Inj., benralizumab, 1 mg"	16888	506638	80056075.66	3.77	493.45	158.01	144.51	4335.26	146.49	4394.57	240.381	J0517	K	9466	$167.12										
J0520	Bethanechol chloride inject	.	.	.	.	.	.	.	.	.	.	.	J0520	E2												
J0558	Peng benzathine/procaine inj	95	1470	16972.76	0.95	240.98	11.55	8.91	132.45	9.95	122.09	475.811	J0558	K	9088	$14.42										
J0561	Penicillin g benzathine inj	4371	84542	1242269.14	0.02	384.28	14.69	11.22	207.76	13.83	253.51	314.432	J0561	K	1829	$18.59										
J0565	"Inj, bezlotoxumab, 10 mg"	1008	92343	3394147.99	5.67	129.8	36.76	33.58	3028.68	33.09	3095.94	409.57	J0565	K	9490	$39.86										
J0567	"Inj., cerliponase alfa 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0567	E2												
J0570	Buprenorphine implant 74.2mg	1	2	226.62	113.31	113.31	113.31	113.31	226.62	113.31	226.62	.	J0570	K	9058	"$1,311.75"										
J0571	Buprenorphine oral 1mg	1222	10437	36807.64	0.04	141.97	3.53	1.04	9.55	0.98	8.22	1114.497	J0571	E1												
J0572	Bupren/nal up to 3mg bupreno	571	1333	5708.22	0.35	73.47	4.28	3.22	6.79	3.86	7.34	138.257	J0572	E1												
J0573	Bupren/nal 3.1 to 6mg bupren	141	262	2893.87	0.64	87.34	11.05	8.6	11.92	10.99	11.62	152.771	J0573	E1												
J0574	Bupren/nal 6.1 to 10mg bupre	1608	2451	13358.73	0.55	34.83	5.45	4.58	6.46	4.71	6.56	77.223	J0574	E1												
J0575	Bupren/nal over 10mg bupreno	15	33	52.17	1.45	1.93	1.58	1.57	3.33	1.45	2.9	20.761	J0575	E1												
J0583	Bivalirudin	25513	7881412	12564086.69	0.03	16.19	1.59	1.07	306.59	1.14	332.01	1615.716	J0583	N												
J0584	"Injection, burosumab-twza 1m"	309	22332	6766123.65	3.9	652.44	302.98	275.45	18776.99	302.8	20298.18	335.948	J0584	K	9187	$414.71										
J0585	"Injection,onabotulinumtoxina"	91601	18769969	111757082.8	0.02	73.36	5.95	5.31	920.54	5.42	954.31	687.935	J0585	K	0902	$6.32										
J0586	Abobotulinumtoxina	1469	283731	2801481.52	1.2	28.01	9.87	8.82	1497	8.26	1649.58	658.991	J0586	K	1289	$8.70										
J0587	"Inj, rimabotulinumtoxinb"	2338	169386	1832546.05	0.13	27.67	10.82	9.57	535.56	9.9	496.77	412.281	J0587	K	9018	$12.70										
J0588	Incobotulinumtoxin a	4962	1207037	5847113.33	0.02	19.92	4.84	4.33	809.11	4.31	854.76	734.278	J0588	K	9278	$5.20										
J0591	"Inj deoxycholic acid, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0591	E1												
J0592	Buprenorphine hydrochloride	2064	6306	42097.85	1.21	38.06	6.68	5.56	16.63	4.86	14.58	122.809	J0592	N												
J0593	"Inj., lanadelumab-flyo, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0593	E2												
J0594	Busulfan injection	188	30895	167477.53	0.93	22.46	5.42	3.22	476.39	3.46	474.73	1101.596	J0594	K	1178	$1.87										
J0595	Butorphanol tartrate 1 mg	1544	2898	19119.25	0.18	43.04	6.6	4.97	8.68	5.11	8.79	112.262	J0595	N												
J0596	"Injection, ruconest"	5	1845	41774.85	17.95	43.69	22.64	21.95	8313.32	21.45	9006.9	640.529	J0596	K	9445	$31.61										
J0597	"C-1 esterase, berinert"	126	20292	1175378.04	12.91	255.03	57.92	50.93	8122.64	55.72	9229.57	701.859	J0597	K	9269	$60.73										
J0598	"C-1 esterase, cinryze"	189	18900	785227	30.99	51.94	41.55	40.33	4033.27	31.92	3192.37	242.125	J0598	K	9251	$60.74										
J0599	"Inj., haegarda 10 units"	.	.	.	.	.	.	.	.	.	.	.	J0599	E2												
J0600	Edetate calcium disodium inj	10	10	210223.07	13.63	39413.55	21022.31	2574.24	2574.24	23648.13	23648.13	92.961	J0600	K	1274	"$5,708.59"										
J0604	"Cinacalcet, esrd on dialysis"	200	9913	2980.62	0.01	46.68	0.3	0.08	4.87	0.05	3.77	2425.337	J0604	B												
J0606	"Inj, etelcalcetide, 0.1 mg"	78	3450	11339	1.3	7.71	3.29	3.03	116.58	2.77	76.1	281.617	J0606	K	9031	$2.84										
J0610	Calcium glucon (fresenius)	55950	258546	1983284.26	0.08	184.9	7.67	4.97	23.53	4.43	23.73	231.786	J0610	D												
J0611	Calcium glucon (wg critical)	.	.	.	.	.	.	.	.	.	.	.	J0611	D												
J0620	Calcium glycer & lact/10 ml	2	2	35.38	17.69	17.69	17.69	17.69	17.69	17.69	17.69	0	J0620	N												
J0630	Calcitonin salmon injection	209	256	519244.11	75.83	8334.97	2028.3	1487.52	1660.16	1767.66	2241.46	84.737	J0630	K	1433	"$1,328.00"										
J0636	Inj calcitriol per 0.1 mcg	424	8985	14490.79	0.29	29.82	1.61	1.31	23.77	1.1	21.98	426.657	J0636	N												
J0637	Caspofungin acetate	1659	18446	429613.34	1.65	237.41	23.29	17.18	187.27	15.71	182.97	260.071	J0637	N												
J0638	Canakinumab injection	161	29100	2901003	23.77	368.89	99.69	85.67	15797.39	100.12	15018.23	683.698	J0638	K	1311	$119.82										
J0640	Leucovorin calcium injection	132341	1886091	15373898.63	0.02	288.49	8.15	5.95	80.98	6.05	83.2	467.338	J0640	N												
J0641	Inj levoleucovorin nos 0.5mg	112	81364	26301.44	0.08	0.96	0.32	0.22	149.83	0.15	108.02	2772.003	J0641	K	1236	$0.35										
J0642	"Injection, khapzory, 0.5 mg"	15	12600	20286	1.61	1.61	1.61	1.61	1315.74	1.61	1525.14	0	J0642	K	9334	$1.56										
J0670	Inj mepivacaine hcl/10 ml	38280	79703	509957.6	0.19	72.23	6.4	4.76	9.89	4.48	11.62	133.339	J0670	N												
J0689	"Inj cefazolin sodium, baxter"	.	.	.	.	.	.	.	.	.	.	.	J0689	K	9161	$1.19										
J0690	Cefazolin sodium injection	1750288	8370840	38961005.55	0.01	1300.2	4.65	2.99	12.74	3.18	13.84	289.042	J0690	N												
J0691	Inj lefamulin 1 mg	.	.	.	.	.	.	.	.	.	.	.	J0691	K	9332	$0.72										
J0692	Cefepime hcl for injection	85996	384092	2706685.45	0.05	300.05	7.05	5.25	21.19	5.15	21.01	221.049	J0692	N												
J0693	"Inj., cefiderocol, 5 mg"	.	.	.	.	.	.	.	.	.	.	.	J0693	D												
J0694	Cefoxitin sodium injection	23326	51599	635616.02	0.41	200.51	12.32	9.77	20.21	10.45	22.05	108.197	J0694	N												
J0695	Inj ceftolozane tazobactam	427	21778	170483.76	0.61	135.81	7.83	6	291.37	7.04	324.89	748.547	J0695	K	9452	$6.71										
J0696	Ceftriaxone sodium injection	812918	4241352	17717842.8	0.01	855	4.18	2.17	11	2.2	12.06	314.794	J0696	N												
J0697	Sterile cefuroxime injection	24041	37060	502166.13	0.07	389.54	13.55	7.65	11.39	8.46	13.15	205.118	J0697	N												
J0698	Cefotaxime sodium injection	17	26	297.27	1.05	23.07	11.43	6.96	12.85	13.59	18.59	93.92	J0698	N												
J0699	"Inj, cefiderocol, 10 mg"	82	56490	69005.31	0.87	135.92	1.22	1.1	703.5	1.09	937.58	4892.879	J0699	K	9426	$2.22										
J0701	Inj. cefepime hcl (baxter)	.	.	.	.	.	.	.	.	.	.	.	J0701	K	9162	$5.36										
J0702	Betamethasone acet&sod phosp	76167	232945	2135733.99	0.25	324.24	9.17	6.99	19.47	6.67	21.08	152.983	J0702	N												
J0703	"Inj, cefepime hcl (b braun)"	.	.	.	.	.	.	.	.	.	.	.	J0703	K	9163	$5.22										
J0706	Caffeine citrate injection	3651	46854	115881.65	0.26	42.95	2.47	1.93	21.03	2.23	20.24	237.538	J0706	N												
J0710	Cephapirin sodium injection	1	400	984	2.46	2.46	2.46	2.46	983.6	2.46	983.6	.	J0710	E2												
J0712	Ceftaroline fosamil inj	745	67205	226839.83	0.36	233.05	3.38	2.59	233.09	2.87	226.18	1507.374	J0712	K	1824	$3.77										
J0713	Inj ceftazidime per 500 mg	7577	31224	171801.73	0.02	80.86	5.5	3.93	12.61	3.95	14.7	194.69	J0713	N												
J0714	Ceftazidime and avibactam	409	2454	247354.3	1.13	784.99	100.8	83	423.74	95.92	433.01	150.287	J0714	K	1825	$90.84										
J0715	Ceftizoxime sodium / 500 mg	12	48	48.44	1	1.01	1.01	1.01	4.03	1.01	4.03	0.572	J0715	N												
J0716	Centruroides immune f(ab)	61	128	313669.65	528	5927.87	2450.54	2037.37	3924.8	2483.79	4174.84	76.551	J0716	K	1431	"$4,496.08"										
J0717	Certolizumab pegol inj 1mg	21872	8343602	80595328.27	0.01	53.94	9.66	7.98	2978.47	8.45	3234.82	1182.263	J0717	K	1474	$4.97										
J0720	Chloramphenicol sodium injec	13	24	1563.53	1.54	143.25	65.15	30.57	65.74	50.26	143.25	127.702	J0720	N												
J0725	Chorionic gonadotropin/1000u	33	108	2366.46	12.43	39.06	21.91	18.91	57.49	13.32	39.96	102.864	J0725	N												
J0735	Clonidine hydrochloride	32540	35020	887583.48	0.29	251.65	25.35	13.31	14.42	17.68	18.87	115.476	J0735	N												
J0739	"Injection, cabotegravir 1 mg"	6	2402	28736.04	5.32	6967.02	11.96	6.15	4541.61	6.23	4122.8	36784.21	J0739	E1												
J0740	Cidofovir injection	1499	1499	911443.86	18.98	2460.6	608.03	430.85	430.85	621.41	621.41	61.234	J0740	K	9033	$608.33										
J0741	"Inj, cabote rilpivir 2mg 3mg"	432	120070	2153327.9	0.04	34.67	17.93	15.92	4462.27	17.16	4911.84	647.488	J0741	G	9414	$21.56										
J0742	Inj imip 4 cilas 4 releb 2mg	55	24925	42749.5	1.65	2.21	1.72	1.71	762.64	1.65	824.36	149.836	J0742	K	9362	$2.38										
J0743	Cilastatin sodium injection	1416	6185	136023.56	1.13	1233.75	21.99	16.67	63.85	16.67	63.09	432.157	J0743	N												
J0744	Ciprofloxacin iv	64324	137128	1238989.21	0.07	203.64	9.04	5.21	10.88	4.9	10.37	214.475	J0744	N												
J0745	Inj codeine phosphate /30 mg	4	8	40.15	0.86	9.38	5.02	3.83	3.77	5.81	5.12	86.655	J0745	N												
J0770	Colistimethate sodium inj	150	238	8341.11	10	72.4	35.05	32.99	49.49	35.33	45.76	43.789	J0770	N												
J0775	"Collagenase, clost hist inj"	1513	142496	7014254.18	0.43	755.25	49.22	40.84	3693.2	44.99	3809.12	765.414	J0775	K	1340	$0.05										
J0780	Prochlorperazine injection	90348	90348	1547128.36	1.35	128.14	17.12	13.41	13.41	14.68	14.68	72.748	J0780	N												
J0791	Inj crizanlizumab-tmca 5mg	2166	175956	18919794.01	0.14	239.02	107.53	99.95	7910.73	104.06	8336.58	315.428	J0791	K	9359	$125.28										
J0795	Corticorelin ovine triflutal	.	.	.	.	.	.	.	.	.	.	.	J0795	E2												
J0800	Corticotropin injection	.	.	.	.	.	.	.	.	.	.	.	J0800	K	9040	"$3,894.40"										
J0834	"Inj., cosyntropin, 0.25 mg"	6253	6253	498611.38	2.57	930.64	79.74	61.58	61.58	73.58	73.58	69.227	J0834	N												
J0840	Crotalidae poly immune fab	132	683	1672325.1	562.88	7432.69	2448.5	2209.27	10727.91	2275.31	12097.29	98.527	J0840	K	9274	"$2,077.79"										
J0841	Inj crotalidae im f(ab)2 eq	43	413	345171	113.58	4123.61	835.77	673.64	6614.7	852.41	8553.66	237.645	J0841	K	9188	$433.19										
J0850	Cytomegalovirus imm iv /vial	410	1334	2048251.79	156.4	4306.92	1535.42	1409.15	4056.67	1457.95	4262.59	74.907	J0850	K	0903	"$1,814.62"										
J0875	"Injection, dalbavancin"	6643	1725938	23213432.82	0.8	113.37	13.45	12	2983.93	12.43	3279.93	798.328	J0875	K	1823	$15.32										
J0877	"Inj, daptomycin (hospira)"	.	.	.	.	.	.	.	.	.	.	.	J0877	K	9164	$0.08										
J0878	Daptomycin injection	99294	63617537	20595166.67	0.01	13.97	0.32	0.18	111.5	0.15	93.42	3010.058	J0878	N												
J0879	"Difelikefalin, esrd on dialy"	.	.	.	.	.	.	.	.	.	.	.	J0879	N												
J0881	"Darbepoetin alfa, non-esrd"	103148	22791706	144080807.8	0.07	580.06	6.32	5.72	941.54	5.93	1003.73	815.81	J0881	K	1685	$3.09										
J0882	"Darbepoetin alfa, esrd use"	654	53073	348170.54	0.46	16.2	6.56	5.88	387	6.74	410.78	402.241	J0882	K	1482	$3.09										
J0883	Argatroban nonesrd use 1mg	218	29927	91191.98	0.18	74.55	3.05	2.03	267.48	2.02	301.57	1659.913	J0883	K	1859	$1.39										
J0884	Argatroban esrd dialysis 1mg	28	3202	8679	0.65	392.02	2.71	1.79	173.83	2.61	153.34	5118.094	J0884	K	9065	$1.39										
J0885	"Epoetin alfa, non-esrd"	40055	1286824	25351351.75	0.13	242.82	19.7	17.62	479.25	18.92	527.97	282.954	J0885	K	1686	$7.93										
J0887	Epoetin beta esrd use	34	3738	15438	0.93	20.9	4.13	3.74	332.66	3.97	396.74	510.9	J0887	K	9041	$1.97										
J0888	Epoetin beta non esrd	19	1815	5670.3	0.88	21.14	3.12	2.63	230.79	2.52	251.7	939.735	J0888	K	9077	$1.97										
J0891	Argatroban nonesrd (accord)	.	.	.	.	.	.	.	.	.	.	.	J0891	K	9020	$0.42										
J0892	Argatroban dialysis (accord)	.	.	.	.	.	.	.	.	.	.	.	J0892	K	9021	$0.42										
J0893	"Inj, decitabine (sun pharma)"	.	.	.	.	.	.	.	.	.	.	.	J0893	K	9165	$1.88										
J0894	Decitabine injection	40923	1932474	23256016.8	0.09	154.68	12.03	6.71	311.89	6.78	316.23	748.155	J0894	N												
J0895	Deferoxamine mesylate inj	5008	16074	338095.83	0.64	203.54	21.03	14.3	42.12	12.57	37.76	253.657	J0895	N												
J0896	Inj luspatercept-aamt 0.25mg	10873	4365397	148935365.2	0.08	224.38	34.12	31.42	11910.89	32	11966.33	811.841	J0896	K	9347	$38.46										
J0897	Denosumab injection	422452	33512392	674511583	0.03	4249.64	20.13	18.25	1365.82	18.85	1355.24	543.838	J0897	K	9272	$23.02										
J0898	Argatroban nonesrd (auromed)	.	.	.	.	.	.	.	.	.	.	.	J0898	K	9022	$2.03										
J0899	"Argatroban dialysis, auromed"	.	.	.	.	.	.	.	.	.	.	.	J0899	K	9023	$2.03										
J0945	Brompheniramine maleate inj	6	21	402.09	2.84	39.14	19.15	15.37	48.39	17.39	57.65	116.231	J0945	E2												
J1000	Depo-estradiol cypionate inj	187	206	4013.13	2.7	184.44	19.48	11.37	10.96	13.44	12.18	127.319	J1000	N												
J1020	Methylprednisolone 20 mg inj	6825	20779	111798.99	0.61	57.44	5.38	4.71	13.46	4.11	14.01	125.384	J1020	N												
J1030	Methylprednisolone 40 mg inj	159252	218715	2942513.27	0.98	118.07	13.45	11.08	14.27	11.54	15.37	75.093	J1030	N												
J1040	Methylprednisolone 80 mg inj	169411	187650	3915024.5	1.57	182.91	20.86	17.88	19.56	18.38	19.63	59.403	J1040	N												
J1050	Medroxyprogesterone acetate	7104	1109828	490146.59	0.01	8.59	0.44	0.35	53.26	0.36	55.6	1006.646	J1050	N												
J1071	Inj testosterone cypionate	24928	4973806	817485.46	0.01	28.14	0.16	0.09	16.62	0.1	18.69	7900.849	J1071	N												
J1094	Inj dexamethasone acetate	964	1743	9868.22	0.15	163.51	5.66	2.42	6.89	4.27	6.22	235.892	J1094	N												
J1095	"Injection, dexamethasone 9%"	1262	658550	1317061.68	0.01	2.22	2	1.79	931.18	2.11	1093.14	451.619	J1095	N												
J1096	Dexametha opth insert 0.1 mg	10066	40264	5773327.32	16.65	354.58	143.39	130.43	521.71	135.6	542.41	87.265	J1096	N												
J1097	Phenylep ketorolac opth soln	9751	34702	4894893.36	5.4	6730.03	141.06	114.45	421.17	114.22	456.89	216.413	J1097	N												
J1100	Dexamethasone sodium phos	2322592	21521134	22222177.41	0.01	1075.45	1.03	0.56	5.22	0.62	5.6	467.965	J1100	N												
J1110	Inj dihydroergotamine mesylt	850	1160	141476.5	1.07	1181.21	121.96	75.98	110.73	111.55	117.47	92.8	J1110	N												
J1120	Acetazolamid sodium injectio	3574	3934	172040.01	6.28	171.1	43.73	38.29	41.2	41.1	43.06	53.634	J1120	N												
J1130	Inj diclofenac sodium 0.5mg	3	3	177	53.94	65.97	59	58.79	58.79	57.09	57.09	10.573	J1130	N												
J1160	Digoxin injection	6266	7140	92722.86	0.55	143.83	12.99	8.9	9.76	8.38	9.4	133.264	J1160	N												
J1162	Digoxin immune fab (ovine)	58	154	645878.84	389.36	14107.5	4194.02	3193.4	5905.53	3306.62	6145.45	129.629	J1162	K	1687	"$4,593.57"										
J1165	Phenytoin sodium injection	1459	17494	30822.27	0.01	27	1.76	1.07	11.03	0.94	11.44	512.537	J1165	N												
J1170	Hydromorphone injection	824851	1419683	13490352.74	0.14	225.11	9.5	6.26	9.19	6.18	9	129.974	J1170	N												
J1180	Dyphylline injection	.	.	.	.	.	.	.	.	.	.	.	J1180	E2												
J1190	Dexrazoxane hcl injection	810	3731	900230.76	17.04	645.48	241.28	213.21	873.5	256.18	949.34	97.39	J1190	K	0726	$166.92										
J1200	Diphenhydramine hcl injectio	777475	812421	5325511.23	0.11	123.56	6.56	3.66	3.76	3.69	3.79	120.43	J1200	N												
J1201	Inj. cetirizine hcl 0.5mg	129	2580	26494.4	7.89	13.53	10.27	10.22	204.39	10.09	201.81	44.109	J1201	K	9361	$15.10										
J1205	Chlorothiazide sodium inj	1218	1328	166619.58	3.24	926.65	125.47	74.85	80.01	71.96	83.9	90.518	J1205	N												
J1212	Dimethyl sulfoxide 50% 50 ml	1008	1008	546294.98	47.25	2563.97	541.96	465.65	465.65	478.48	478.48	52.364	J1212	K	1832	$638.70										
J1230	Methadone injection	1776	2072	56721.59	3.56	125.79	27.38	24.22	28.13	25.2	28.3	53.971	J1230	N												
J1240	Dimenhydrinate injection	1169	1169	12217.64	0.92	57.89	10.45	8.04	8.04	11.08	11.08	71.374	J1240	N												
J1245	Dipyridamole injection	7158	37552	324935.98	0.07	356.91	8.65	5.62	26.68	5.23	29.33	347.543	J1245	N												
J1250	Inj dobutamine hcl/250 mg	25243	41566	773916.55	0.58	308.87	18.62	13.8	21.8	13.88	25.32	108.029	J1250	N												
J1260	Dolasetron mesylate	2	2	37.2	6.76	30.44	18.6	14.34	14.34	18.6	18.6	90.023	J1260	N												
J1265	Dopamine injection	4219	54207	127610.49	0.01	463.35	2.35	1.78	20.77	1.79	22.45	596.277	J1265	N												
J1267	Doripenem injection	.	.	.	.	.	.	.	.	.	.	.	J1267	E2												
J1270	"Injection, doxercalciferol"	1125	4437	14501.49	0.34	28.77	3.27	2.36	8.59	2.29	9	180.846	J1270	N												
J1290	Ecallantide injection	10	304	119008.44	0.27	5856.99	391.48	304.53	4234.35	208.2	13065.28	845.189	J1290	K	9263	$520.50										
J1300	Eculizumab injection	11973	1391259	271565817.8	1.35	687.95	195.19	182.63	21189.38	189.39	21987.44	385.929	J1300	K	9236	$226.21										
J1301	"Injection, edaravone, 1 mg"	7831	469860	10278756.6	4.57	59.69	21.88	20.29	1217.41	21.58	1294.68	301.345	J1301	K	9493	$21.41										
J1302	"Inj, sutimlimab-jome, 10 mg"	108	75570	1227842.4	7.4	49.31	16.25	15.2	10669.81	14.34	10418.84	1109.714	J1302	G	9444	$17.01										
J1303	"Inj., ravulizumab-cwvz 10 mg"	2044	661771	131336034.6	1.53	768.45	198.46	184.4	59438.78	192.55	62857.58	651.513	J1303	K	9312	$222.32										
J1305	"Inj, evinacumab-dgnb, 5mg"	72	14595	2212393.3	14.77	518.2	151.59	108.07	20210.74	120.83	29035.23	1264.701	J1305	G	9416	$172.25										
J1306	"Injection, inclisiran, 1 mg"	1516	431210	4467540.42	0.91	36.42	10.36	9.2	2617.64	9.67	2751.5	848.454	J1306	G	9004	$11.94										
J1320	Amitriptyline injection	3	5	7.58	0.44	1.98	1.52	1.33	1.46	1.98	1.2	64.352	J1320	N												
J1322	"Elosulfase alfa, injection"	120	7830	1712797.95	151.14	422.09	218.75	201.63	13169.04	173.48	11105.08	371.084	J1322	K	1480	$262.71										
J1324	Enfuvirtide injection	.	.	.	.	.	.	.	.	.	.	.	J1324	E2												
J1325	Epoprostenol injection	304	1292	32896.7	1.32	231.68	25.46	19.38	43.66	21.89	46.09	207.686	J1325	N												
J1327	Eptifibatide injection	3021	39687	998269.36	0.47	1080.54	25.15	17.14	166.58	20.63	168.47	408.017	J1327	K	9420	$4.43										
J1330	Ergonovine maleate injection	.	.	.	.	.	.	.	.	.	.	.	J1330	E2												
J1335	Ertapenem injection	109535	219091	11560012.14	3.45	542.87	52.76	44.69	89.38	47.17	94.34	86.577	J1335	N												
J1364	Erythro lactobionate /500 mg	293	583	39138.93	6.84	216.99	67.13	51.78	94.12	51.4	92.91	104.726	J1364	K	1669	$85.54										
J1380	Estradiol valerate 10 mg inj	376	720	9805.73	2.15	125.59	13.62	9.52	15.95	9.21	14.51	162.317	J1380	N												
J1410	Inj estrogen conjugate 25 mg	92	176	29467.64	4.54	1085.21	167.43	37.86	162.61	35.83	282.15	167.631	J1410	K	9038	$355.78										
J1426	"Injection, casimersen, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J1426	G	9412	$166.24										
J1427	Inj. viltolarsen	.	.	.	.	.	.	.	.	.	.	.	J1427	K	9386	$58.81										
J1428	"Inj, eteplirsen, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J1428	E2												
J1429	Inj golodirsen 10 mg	.	.	.	.	.	.	.	.	.	.	.	J1429	K	9356	$166.24										
J1430	Ethanolamine oleate 100 mg	33	81	35619.78	77.75	1342.58	439.75	308.81	584.83	347.24	535.83	136.86	J1430	K	1688	$458.97										
J1435	Injection estrone per 1 mg	.	.	.	.	.	.	.	.	.	.	.	J1435	E2												
J1436	Etidronate disodium inj	1	750	1642.5	2.19	2.19	2.19	2.19	1643.81	2.19	1643.81	.	J1436	E1												
J1437	Inj. fe derisomaltose 10 mg	4030	402311	10410901.01	4.72	171.37	25.88	23.47	2342.45	22.95	2294.72	489.041	J1437	K	9388	$21.70										
J1438	Etanercept injection	182	364	201518.52	104.52	1655.07	553.62	430.39	860.77	738.34	1476.67	90.507	J1438	K	1608	$790.78										
J1439	Inj ferric carboxymaltos 1mg	92462	69329513	95264653.79	0.01	25.27	1.37	1.21	909.21	1.27	954.6	1632.449	J1439	K	9441	$1.13										
J1442	Inj filgrastim excl biosimil	19987	8709939	9021744.91	0.03	4.21	1.04	0.92	374.65	0.87	373.56	1085.199	J1442	K	1469	$0.98										
J1443	Inj ferric pyrophosphate cit	1	272	5.44	0.02	0.02	0.02	0.02	4.29	0.02	4.29	.	J1443	E2												
J1444	Fe pyro cit pow 0.1 mg iron	1	1	36.31	36.31	36.31	36.31	36.31	36.31	36.31	36.31	.	J1444	E2												
J1445	Inj triferic avnu 0.1mg iron	.	.	.	.	.	.	.	.	.	.	.	J1445	E2												
J1447	Inj tbo filgrastim 1 microg	18100	7639278	5550853.41	0.03	7.26	0.73	0.63	257.12	0.67	248.57	1143.797	J1447	K	1748	$0.39										
J1448	"Injection, trilaciclib, 1mg"	1360	723285	3266224.11	0.9	10.27	4.52	4.2	2165.95	4.37	2397.1	836.354	J1448	G	9415	$5.11										
J1450	Fluconazole	6336	9082	158203.18	0.41	296.64	17.42	11.34	16.1	11.37	16.33	150.499	J1450	N												
J1451	"Fomepizole, 15 mg"	38	4357	45189.38	0.8	37.12	10.37	7.48	966.32	8.25	895.57	824.367	J1451	K	1689	$7.25										
J1452	Intraocular fomivirsen na	.	.	.	.	.	.	.	.	.	.	.	J1452	E2												
J1453	Fosaprepitant injection	160374	24058649	32209748.27	0.01	17.16	1.34	0.81	121.32	0.85	126.96	1427.918	J1453	N												
J1454	"Inj fosnetupitant, palonoset"	2795	2795	1808331.84	82.17	1120.41	646.99	553.15	553.15	589.04	589.04	50.654	J1454	K	9099	$392.66										
J1455	Foscarnet sodium injection	401	2371	250480.89	0.91	608.37	105.64	86.58	328.59	103.18	521.93	222.015	J1455	K	1849	$52.60										
J1456	"Inj, fosaprepitant (teva)"	.	.	.	.	.	.	.	.	.	.	.	J1456	K	9166	$0.42										
J1457	Gallium nitrate injection	.	.	.	.	.	.	.	.	.	.	.	J1457	E2												
J1458	Galsulfase injection	.	.	.	.	.	.	.	.	.	.	.	J1458	K	9224	$432.90										
J1459	Inj ivig privigen 500 mg	72227	5652716	317283507.7	0.55	398.51	56.13	50.53	3582.7	51.31	3621.06	420.63	J1459	K	1214	$47.19										
J1460	Gamma globulin 1 cc inj	156	755	19053.97	9.34	103.08	25.24	20.38	88.32	19.51	77.13	173.694	J1460	K	1850	$48.32										
J1551	Inj cutaquig 100 mg	.	.	.	.	.	.	.	.	.	.	.	J1551	K	9007	$14.15										
J1554	Inj. asceniv	.	.	.	.	.	.	.	.	.	.	.	J1554	K	9392	$482.27										
J1555	"Inj cuvitru, 100 mg"	75	6930	126125.4	9.17	31.13	18.2	15.48	1249.37	9.54	762.89	541.205	J1555	K	9034	$14.91										
J1556	"Inj, imm glob bivigam, 500mg"	8	28	25663.54	78.34	2878.78	916.56	297.05	1262.1	78.34	779.66	254.539	J1556	K	9130	$70.95										
J1557	Gammaplex injection	3	80	2460.4	15.77	75.71	30.75	23.34	815.42	15.77	757.06	533.742	J1557	K	9270	$54.01										
J1558	"Inj. xembify, 100 mg"	8	960	14486.4	15.09	15.09	15.09	15.09	1811.33	15.09	1811.33	0	J1558	K	9372	$13.62										
J1559	Hizentra injection	217	31365	481606.04	7.65	25.14	15.35	14.27	1959.55	17.35	2194.74	434.086	J1559	K	1312	$12.62										
J1560	Gamma globulin > 10 cc inj	1	5	5103.1	1020.62	1020.62	1020.62	1020.62	5103.11	1020.62	5103.11	.	J1560	K	1851	$483.20										
J1561	Gamunex-c/gammaked	67413	5490004	284906210.6	0.34	327.03	51.9	47.65	3532.79	47.77	3431.46	400.5	J1561	K	0948	$47.70										
J1562	"Vivaglobin, inj"	.	.	.	.	.	.	.	.	.	.	.	J1562	E2												
J1566	"Immune globulin, powder"	4287	322381	23686582.04	0.18	223.29	73.47	64.83	4611.36	72.84	4693.41	374.544	J1566	K	2731	$73.17										
J1568	Octagam injection	12929	1038466	52514401.42	1.16	394.04	50.57	43.57	3208.54	45.03	3385	462.12	J1568	K	0943	$41.82										
J1569	Gammagard liquid injection	96408	7652044	415930882.7	0.25	682.57	54.36	49.22	3586.54	50.44	3610.9	413.805	J1569	K	0944	$46.50										
J1570	Ganciclovir sodium injection	942	1252	78351.44	6.42	259.04	62.58	55.22	68.33	53.52	68.88	59.501	J1570	N												
J1571	Hepagam b im injection	100	1536	258720.12	36.72	780.08	168.44	143.95	1795.86	184.02	3238.03	218.739	J1571	K	0946	$67.34										
J1572	Flebogamma injection	216	12200	616580.5	14.1	135.45	50.54	45.62	2131.35	44.88	2417.59	375.771	J1572	K	0947	$44.54										
J1573	"Hepagam b intravenous, inj"	53	1991	120316.32	0.42	416.71	60.43	28.52	1102.5	71.26	1445.91	380.754	J1573	K	1138	$67.34										
J1574	"Inj, ganciclovir (exela)"	.	.	.	.	.	.	.	.	.	.	.	J1574	E2												
J1575	Hyqvia 100mg immuneglobulin	273	89344	1630818.31	0.16	120.95	18.25	16.97	5188.88	18.33	5283.54	680.779	J1575	K	1826	$15.87										
J1580	Garamycin gentamicin inj	127555	276883	1872782.8	0.07	251.61	6.76	4.4	8.31	4.31	8.9	167.121	J1580	N												
J1595	Injection glatiramer acetate	44	59	7445.65	24.68	434.09	126.2	91.33	101.02	84.5	96.17	102.712	J1595	K	1015	$140.93										
J1599	"Ivig non-lyophilized, nos"	89	7655	525018.45	38.61	130.47	68.59	64.81	5014.6	63.79	5058.26	346.01	J1599	N												
J1600	Gold sodium thiomaleate inj	.	.	.	.	.	.	.	.	.	.	.	J1600	E2												
J1602	Golimumab for iv use 1mg	23362	4116272	139745323.1	2.69	286.58	33.95	31.01	5336.55	31.33	5373.04	616.186	J1602	K	1475	$13.85										
J1610	Glucagon hydrochloride/1 mg	44131	47996	8304317.26	8.81	1810.01	173.02	146.62	158.84	156.61	163.89	63.03	J1610	K	9042	$190.26										
J1611	"Inj glucagon hcl, fresenius"	.	.	.	.	.	.	.	.	.	.	.	J1611	K	9025	$149.04										
J1620	Gonadorelin hydroch/ 100 mcg	1	3	5.4	1.8	1.8	1.8	1.8	5.41	1.8	5.41	.	J1620	E2												
J1626	Granisetron hcl injection	51531	515169	1935487.77	0.01	71.82	3.76	1.96	19.62	2	19.99	501.423	J1626	N												
J1627	"Inj, granisetron, xr, 0.1 mg"	14	1400	12666	8.44	9.29	9.05	9.04	903.98	9.29	929.15	44.046	J1627	K	9421	$5.90										
J1628	"Inj., guselkumab, 1 mg"	114	11400	1129282	50.4	147.89	99.06	92.14	9214.38	91.26	9125.66	362.157	J1628	K	9029	$77.44										
J1630	Haloperidol injection	85989	96569	713086.2	0.09	165.81	7.38	4.12	4.47	5.05	5.46	115.764	J1630	N												
J1631	Haloperidol decanoate inj	4966	13114	273376.23	0.11	192.34	20.85	16.25	38.74	20.19	47.18	105.48	J1631	N												
J1632	"Inj., brexanolone, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J1632	K	9333	$72.64										
J1640	"Hemin, 1 mg"	679	237934	5149864.67	3.1	40.36	21.64	19.85	6731.97	23.69	7804.11	663.099	J1640	K	1690	$29.03										
J1642	Inj heparin sodium per 10 u	923467	42174164	8822219.52	0.01	114.35	0.21	0.09	4.19	0.1	4.58	1730.158	J1642	N												
J1643	"Inj heparin, pfizer, 1000u"	.	.	.	.	.	.	.	.	.	.	.	J1643	E2												
J1644	Inj heparin sodium per 1000u	1139808	11851290	23674517.23	0.01	1272.14	2	1.17	11.05	1.14	11.7	558.076	J1644	N												
J1645	Dalteparin sodium	393	849	19769.72	1.6	70.72	23.29	19.82	23.21	26.24	12.52	71.443	J1645	N												
J1650	Inj enoxaparin sodium	588236	2633423	10990203.73	0.03	228.08	4.17	3.1	13.39	2.97	12.99	187.479	J1650	N												
J1652	Fondaparinux sodium	2116	14391	98696.35	0.82	132.46	6.86	4.77	34.22	4.77	37.37	330.708	J1652	N												
J1655	Tinzaparin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1655	E2												
J1670	Tetanus immune globulin inj	204	204	69119.76	10.52	1863.02	338.82	206.5	206.5	306.32	306.32	85.644	J1670	K	1670	$545.62										
J1700	Hydrocortisone acetate inj	5	5	57.08	1.07	31.19	11.42	3.87	3.87	1.07	1.07	126.864	J1700	N												
J1710	Hydrocortisone sodium ph inj	11	23	487.6	6.73	38.39	21.2	17.97	35.31	16.1	32.19	78.73	J1710	N												
J1720	Hydrocortisone sodium succ i	85896	94173	1988353.17	1.1	205.95	21.11	17.01	18.11	19.05	19.73	68.735	J1720	N												
J1726	"Makena, 10 mg"	103	2626	52737.18	2.72	44.73	20.08	15.2	382.59	18.86	471.43	331.274	J1726	K	9074	$17.34										
J1729	Inj hydroxyprogst capoat nos	8	176	2816.95	0.88	39.68	16.01	4.34	85.04	0.88	22.03	554.931	J1729	K	9318	$8.85										
J1730	Diazoxide injection	.	.	.	.	.	.	.	.	.	.	.	J1730	E2												
J1738	Inj. meloxicam 1 mg	1783	52660	267947.97	0.05	9.33	5.09	4.09	113.58	4.21	126.42	321.678	J1738	N												
J1740	Ibandronate sodium injection	1362	4086	404697.42	5.27	438.46	99.04	79.37	238.1	91.47	274.41	111.372	J1740	N												
J1741	Ibuprofen injection	4791	41249	128561.8	0.04	26.48	3.12	2.64	22.26	3.06	24.74	167.668	J1741	N												
J1742	Ibutilide fumarate injection	985	1117	368114.38	28.1	1883.93	329.56	252.66	279.82	280.7	296.29	79.162	J1742	K	9044	$279.39										
J1743	Idursulfase injection	102	4044	3806549.88	486.07	1596.64	941.28	844.35	33378.17	653.87	39231.96	308.665	J1743	K	9045	$542.95										
J1744	Icatibant injection	35	1010	164206.1	10.2	416.46	162.58	129.03	3478.03	143.28	3750.62	338.26	J1744	K	1443	$193.84										
J1745	Infliximab not biosimil 10mg	59791	3277695	296921993.9	3.31	401.43	90.59	80.83	4073.41	88.23	4184.86	343.414	J1745	K	7043	$34.04										
J1746	"Inj., ibalizumab-uiyk, 10 mg"	100	8000	417929.6	21.54	116.36	52.24	47.35	3788.42	54.07	4325.46	362.342	J1746	K	9189	$69.61										
J1750	Inj iron dextran	11207	230731	4564754.52	1.62	146.08	19.78	18.22	358.43	17.86	363.77	207.466	J1750	K	1237	$16.57										
J1756	Iron sucrose injection	149587	33702235	19867499.82	0.01	38.19	0.59	0.51	109.27	0.5	109.21	1090.7	J1756	N												
J1786	Imuglucerase injection	1583	627275	26890626.54	6.63	71.39	42.87	40.53	14896.01	42.5	14235.32	623.386	J1786	K	1327	$44.33										
J1790	Droperidol injection	32577	32577	395976.05	0.61	128.39	12.16	9.14	9.14	10.44	10.44	72.524	J1790	N												
J1800	Propranolol injection	222	324	4231.23	0.21	63.21	13.06	8.38	10.51	9.59	10.6	105.41	J1800	N												
J1815	Insulin injection	232680	5252778	5524141.3	0.01	1095.1	1.05	0.52	5.56	0.67	5.36	1204.442	J1815	N												
J1817	Insulin for insulin pump use	1354	7223	35604.55	0.01	181.67	4.93	2.08	9.09	3.02	11.51	467.281	J1817	N												
J1823	"Inj. inebilizumab-cdon, 1 mg"	88	26200	10676989	80.64	859.56	407.52	375.89	111235.6	420.01	126003	619.425	J1823	G	9394	$462.87										
J1826	Interferon beta-1a inj	71	71	128733.8	1787.94	1881.55	1813.15	1812.83	1812.83	1801.26	1801.26	1.91	J1826	K	1852	"$1,819.71"										
J1830	Interferon beta-1b / .25 mg	.	.	.	.	.	.	.	.	.	.	.	J1830	E2												
J1833	"Injection, isavuconazonium"	231	85932	85998.96	0.33	1.68	1	0.99	369.1	1	370.73	256.529	J1833	K	9456	$0.86										
J1835	Itraconazole injection	.	.	.	.	.	.	.	.	.	.	.	J1835	E2												
J1840	Kanamycin sulfate 500 mg inj	1	2	17.4	8.7	8.7	8.7	8.7	17.4	8.7	17.4	.	J1840	N												
J1850	Kanamycin sulfate 75 mg inj	.	.	.	.	.	.	.	.	.	.	.	J1850	E2												
J1885	Ketorolac tromethamine inj	1256271	2379080	11936162.47	0.04	216.75	5.02	2.91	5.47	3.05	6.04	173.721	J1885	N												
J1890	Cephalothin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1890	E2												
J1930	Lanreotide injection	26025	3088729	213971606.8	0.13	380.8	69.27	63	7466.28	67.35	7946.94	458.501	J1930	K	9237	$57.42										
J1931	Laronidase injection	31	9996	226326.44	0.03	31.03	22.64	6.31	2998.15	31.03	8998.08	1048.989	J1931	K	9209	$36.05										
J1932	"Inj, lanreotide, (cipla) 1mg"	626	75126	4872748.8	25.27	144.03	64.86	60.77	7288.24	59.69	7162.24	394.551	J1932	G	9051	$60.49										
J1940	Furosemide injection	324083	725741	3222126.56	0.05	183.33	4.44	2.91	6.35	2.95	6.7	158.377	J1940	N												
J1943	"Inj., aristada initio, 1 mg"	6	2028	6261.48	1.83	73.41	3.09	2.86	375.53	3.26	655.33	1850.744	J1943	K	9179	$2.95										
J1944	Aripiprazole lauroxil 1 mg	383	309013	933963.85	0.17	7.55	3.02	2.73	2063.9	3.24	2287.82	1098.659	J1944	K	9470	$2.98										
J1945	Lepirudin	1	120	4762.8	39.69	39.69	39.69	39.69	4762.77	39.69	4762.77	.	J1945	E2												
J1950	Leuprolide acetate /3.75 mg	2173	3654	4524878.22	58.63	14795.57	1238.34	1065.03	1648.74	1178.18	1595.91	70.593	J1950	K	0800	"$1,480.89"										
J1951	Inj fensolvi 0.25 mg	.	.	.	.	.	.	.	.	.	.	.	J1951	K	9419	$132.00										
J1952	"Leuprolide inj, camcevi, 1mg"	76	1522	425622.99	20.76	905.7	279.65	104.97	2329.14	45.78	3296.12	437.882	J1952	G	9050	$98.43										
J1953	Levetiracetam injection	49864	5874193	2126761.94	0.01	66.6	0.36	0.24	26.77	0.26	28.81	1227.986	J1953	N												
J1954	Inj lutrate depot 7.5 mg	.	.	.	.	.	.	.	.	.	.	.	J1954	G	9136	$465.24										
J1956	Levofloxacin injection	85657	196677	1890977.61	0.09	254.72	9.61	6.32	14.68	6.55	15.59	159.26	J1956	N												
J1960	Levorphanol tartrate inj	1	1	37.55	37.55	37.55	37.55	37.55	37.55	37.55	37.55	.	J1960	N												
J1980	Hyoscyamine sulfate inj	1728	3094	108938.87	1.6	188.82	35.21	30.18	50.42	33.12	59.48	65.411	J1980	N												
J1990	Chlordiazepoxide injection	.	.	.	.	.	.	.	.	.	.	.	J1990	E2												
J2001	Lidocaine injection	846732	9221500	8462354.06	0.01	211.59	0.92	0.39	5.51	0.41	6.15	629.876	J2001	N												
J2010	Lincomycin injection	816	1441	19192.5	2.08	63.87	13.32	11.3	19.06	16.11	17.55	62.729	J2010	N												
J2020	Linezolid injection	4356	17563	370556.14	0.61	247.25	21.1	16.61	63.57	16.14	65.19	168.385	J2020	N												
J2021	"Inj, linezolid (hospira)"	.	.	.	.	.	.	.	.	.	.	.	J2021	K	9167	$15.26										
J2060	Lorazepam injection	206051	229124	1793864.14	0.09	144.4	7.83	4.24	4.57	4.36	4.71	121.628	J2060	N												
J2062	Loxapine for inhalation 1 mg	2	2	11.64	5.82	5.82	5.82	5.82	5.82	5.82	5.82	0	J2062	E2												
J2150	Mannitol injection	7922	12879	100629.59	0.2	87	7.81	5.13	7.14	4.93	6.5	147.326	J2150	N												
J2170	Mecasermin injection	2	251	65.9	0.15	28.4	0.26	0.15	32.74	0.15	33.07	10738.41	J2170	N												
J2175	Meperidine hydrochl /100 mg	68198	80455	872926.15	0.22	218.3	10.85	7.66	8.72	7.6	8.53	117.936	J2175	N												
J2180	Meperidine/promethazine inj	50	64	228.97	1.84	9.45	3.58	3.33	4.05	3.11	3.25	53.352	J2180	N												
J2182	"Injection, mepolizumab, 1mg"	32816	3740782	107655321.4	0.03	139.7	28.78	26.45	2839.28	27.14	2795.48	449.426	J2182	K	9473	$29.37										
J2184	"Inj, meropenem (b. braun)"	.	.	.	.	.	.	.	.	.	.	.	J2184	K	9168	$2.15										
J2185	Meropenem	30394	467244	1566593.23	0.02	87.36	3.35	2.53	34.92	2.63	34.22	373.553	J2185	N												
J2186	"Inj., meropenem, vaborbactam"	85	24178	51262.88	0.58	125.9	2.12	1.88	452.53	1.84	500.5	3176.354	J2186	K	9178	$1.98										
J2210	Methylergonovin maleate inj	208	249	6830.8	2.04	173.62	27.43	21.79	25.01	24.77	27.92	83.916	J2210	N												
J2212	Methylnaltrexone injection	2894	330456	397093.84	0.01	17.64	1.2	1.01	115.82	1.08	123.74	667.257	J2212	N												
J2247	"Inj, micafungin (par pharm)"	.	.	.	.	.	.	.	.	.	.	.	J2247	K	9169	$0.37										
J2248	Micafungin sodium injection	9580	1155752	1796907.02	0.01	24.94	1.55	1.24	139.84	1.48	157.8	729.897	J2248	N												
J2250	Inj midazolam hydrochloride	2483309	6546609	23275851.43	0.01	459.48	3.56	1.7	4.32	1.7	4.53	227.718	J2250	N												
J2251	Inj midazolam (wg crit care)	.	.	.	.	.	.	.	.	.	.	.	J2251	K	9170	$0.31										
J2260	Inj milrinone lactate / 5 mg	2180	10401	70472.2	0.25	66.92	6.78	4.68	20.37	4.69	20.91	248.866	J2260	N												
J2265	Minocycline hydrochloride	122	27400	43690	0.21	3.1	1.59	1.36	263.49	1.61	193.7	795.925	J2265	K	1853	$2.35										
J2270	Morphine sulfate injection	754614	992947	8179802.87	0.26	120.65	8.24	5.64	6.86	5.28	6.53	112.636	J2270	N												
J2272	"Inj, morphine (fresenius)"	.	.	.	.	.	.	.	.	.	.	.	J2272	K	9211	$6.72										
J2274	Inj morphine pf epid ithc	27405	35667	508811.49	0.26	264.86	14.27	8.52	11.1	8.94	11.01	155.112	J2274	N												
J2278	Ziconotide injection	546	215014	1884929.8	0.41	21.74	8.77	7.8	2426.27	8.13	2981.79	856.832	J2278	K	1694	$9.07										
J2280	"Inj, moxifloxacin 100 mg"	2841	5521	122248.51	0.77	382.14	22.14	15.9	29.54	14.82	35.34	163.937	J2280	N												
J2281	Inj moxifloxacin (fres kabi)	.	.	.	.	.	.	.	.	.	.	.	J2281	K	9212	$8.77										
J2300	Inj nalbuphine hydrochloride	1474	1739	20285.35	0.79	108.91	11.66	8.79	10.16	8.88	9.92	85.123	J2300	N												
J2310	Inj naloxone hydrochloride	17147	25858	508384.49	0.81	253.58	19.66	15.34	20.06	16.63	20.78	92.925	J2310	N												
J2311	"Inj, naloxone hcl (zimhi)"	.	.	.	.	.	.	.	.	.	.	.	J2311	K	9216	$8.79										
J2315	"Naltrexone, depot form"	1113	421784	1464929.58	0.21	22.39	3.47	3.24	1224.51	3.76	1429.68	673.408	J2315	K	0759	$3.73										
J2320	Nandrolone decanoate 50 mg	7	7	93.21	11.65	23.31	13.32	12.86	12.86	11.65	11.65	33.097	J2320	N												
J2323	Natalizumab injection	14596	4378800	89461113	0.03	178.09	20.43	18.02	5404.98	20.01	6001.62	809.086	J2323	K	9126	$23.99										
J2325	Nesiritide injection	.	.	.	.	.	.	.	.	.	.	.	J2325	E1												
J2326	"Inj, nusinersen, 0.1mg"	384	46080	39498538.8	125.67	2072.3	857.17	789.78	94773.78	861.79	103414.5	413.147	J2326	K	9489	"$1,170.80"										
J2327	Inj risankizumab-rzaa 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2327	G	9013	$15.73										
J2350	"Injection, ocrelizumab, 1 mg"	12197	6790679	356906078.3	0.13	454.72	52.56	47.99	26021.88	49.85	28259.44	964.273	J2350	K	9494	$58.97										
J2353	"Octreotide injection, depot"	48287	1386466	263902119.9	1.2	1198.96	190.34	174.94	4833.57	178.06	5004.46	231.668	J2353	K	1207	$204.54										
J2354	"Octreotide inj, non-depot"	4735	92785	283017.68	0.02	436.17	3.05	2.01	28.45	2	31.29	1167.94	J2354	N												
J2355	Oprelvekin injection	.	.	.	.	.	.	.	.	.	.	.	J2355	E2												
J2356	"Inj tezepelumab-ekko, 1mg"	1913	401393	6816933.56	1.8	52.13	16.98	15.13	3172.73	15.38	3229.01	730.517	J2356	G	9008	$17.80										
J2357	Omalizumab injection	69384	4174486	155452275.2	0.01	330.52	37.24	33.59	1954.82	34.39	2038.51	355.332	J2357	K	9300	$37.92										
J2358	Olanzapine long-acting inj	1663	81216	458808.75	0.15	120.6	5.65	4.97	55.57	6.24	42.41	351.991	J2358	K	1331	$2.92										
J2360	Orphenadrine injection	47509	47509	980876.97	2.36	118.5	20.65	17.49	17.49	18.92	18.92	56.382	J2360	N												
J2370	Phenylephrine hcl injection	565691	2022261	8830303.69	0.01	2470.08	4.37	1.57	7.84	1.7	9.01	366.504	J2370	D												
J2401	Chloroprocaine hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2401	K	9218	$0.04										
J2402	Chloroprocaine (clorotekal)	.	.	.	.	.	.	.	.	.	.	.	J2402	E2												
J2405	Ondansetron hcl injection	3227797	16682418	30268661.22	0.01	245.26	1.81	0.83	4.19	0.81	4.14	333.467	J2405	N												
J2406	"Injection, oritavancin 10 mg"	300	32960	1304669.2	4.13	90.16	39.58	35.66	4005.61	36.33	3861.65	481.898	J2406	G	9427	$42.13										
J2407	"Injection, oritavancin"	785	90290	2057650.8	2.62	63.65	22.79	21.01	2399.96	23.4	2666.13	397.222	J2407	K	1660	$26.67										
J2410	Oxymorphone hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2410	E2												
J2425	Palifermin injection	31	3750	94100.3	8.04	56.08	25.09	20.27	2406.96	24.82	3102.94	668.652	J2425	K	1696	$25.13										
J2426	Paliperidone palmitate inj	5622	1204223	13241378.81	0.01	60.38	11	9.85	1921.41	10.3	2086.91	646.944	J2426	K	9255	$13.65										
J2430	Pamidronate disodium /30 mg	2188	5088	140097.76	1.11	383.97	27.53	19.29	42.03	17.72	38.29	219.673	J2430	N												
J2440	Papaverin hcl injection	2430	2802	108947.26	1.89	190.2	38.88	30.96	34.14	37.55	39.32	63.039	J2440	N												
J2460	Oxytetracycline injection	.	.	.	.	.	.	.	.	.	.	.	J2460	E2												
J2469	Palonosetron hcl	330534	3305318	34279205.18	0.01	375.46	10.37	5.32	53.17	5.61	56.05	404.401	J2469	N												
J2501	Paricalcitol	1432	7367	29745.98	0.25	47.66	4.04	3.13	13.16	3.45	13.29	175.95	J2501	N												
J2502	"Inj, pasireotide long acting"	99	4670	1389375.5	0.05	841.19	297.51	195.5	9562.87	206.05	9877.34	501.507	J2502	K	9454	$432.48										
J2503	Pegaptanib sodium injection	.	.	.	.	.	.	.	.	.	.	.	J2503	E2												
J2504	"Pegademase bovine, 25 iu"	.	.	.	.	.	.	.	.	.	.	.	J2504	E2												
J2505	"Injection, pegfilgrastim 6mg"	2	13	7842.95	265.34	4658.87	603.3	330.77	3851.52	265.34	3921.47	699.675	J2505	D												
J2506	Inj pegfilgrast ex bio 0.5mg	105235	1262585	528271987.6	11.72	3062.15	418.41	382.2	4585.58	410.51	4926.06	142.504	J2506	K	9436	$109.69										
J2507	Pegloticase injection	1203	9624	24199146	98.54	7437.8	2514.46	2264.56	18116.51	2441.18	19529.46	113.247	J2507	K	9281	"$3,201.86"										
J2510	Penicillin g procaine inj	57	228	6194.8	2.76	41.95	27.17	22.96	91.83	29.35	117.38	90.57	J2510	K	1836	$39.34										
J2513	Pentastarch 10% solution	.	.	.	.	.	.	.	.	.	.	.	J2513	E2												
J2515	Pentobarbital sodium inj	7	17	659.12	27.68	46.44	38.77	37.94	70.04	39.44	78.87	33.724	J2515	N												
J2540	Penicillin g potassium inj	1456	38430	96553.07	0.01	348.95	2.51	1.74	41.77	1.59	53.29	1110.428	J2540	N												
J2543	Piperacillin/tazobactam	140784	734573	5109042.14	0.04	466.09	6.96	5.4	25.02	5.81	25.9	186.086	J2543	N												
J2547	"Injection, peramivir"	4	2400	1740	0.27	0.99	0.73	0.65	393.35	0.82	494.61	1060.007	J2547	K	9451	$1.68										
J2550	Promethazine hcl injection	94105	101244	769829.47	0.18	100.12	7.6	4.78	5.06	4.86	5.11	113.723	J2550	N												
J2560	Phenobarbital sodium inj	2195	7807	361776.08	0.58	1097.11	46.34	34.28	94.07	44.32	100.63	140.139	J2560	N												
J2562	Plerixafor injection	2877	62647	23177479.75	72.63	840.68	369.97	345.49	7371.39	363.04	7702.2	171.029	J2562	K	9252	$401.58										
J2590	Oxytocin injection	232	471	4014.16	0.1	219.25	8.52	4.74	7.05	5.81	9.37	272.997	J2590	N												
J2597	Inj desmopressin acetate	4066	96055	1252871.23	0.01	498.8	13.04	10.47	230.21	10.92	250.17	403.765	J2597	K	1440	$7.08										
J2650	Prednisolone acetate inj	.	.	.	.	.	.	.	.	.	.	.	J2650	E2												
J2670	Totazoline hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2670	E2												
J2675	Inj progesterone per 50 mg	2	2	85.93	33.04	52.89	42.97	41.8	41.8	42.97	42.97	32.669	J2675	N												
J2680	Fluphenazine decanoate 25 mg	2828	6131	108590.57	0.13	508.36	17.71	10.71	21.95	10.22	25.66	190.435	J2680	N												
J2690	Procainamide hcl injection	440	528	67108.33	4.02	714.37	127.1	81.15	90.87	87.14	98.03	107.086	J2690	K	9219	$164.37										
J2700	Oxacillin sodium injeciton	651	17244	67811.95	0.51	26.44	3.93	2.76	62.9	3.09	77.2	661.584	J2700	N												
J2704	"Inj, propofol, 10 mg"	2884839	110832650	56560619.01	0.01	5584.54	0.51	0.36	11.74	0.35	12.17	1570.333	J2704	N												
J2710	Neostigmine methylslfte inj	185421	1387668	4301317.31	0.01	296.33	3.1	1.75	13.15	1.64	13.94	563.245	J2710	N												
J2720	Inj protamine sulfate/10 mg	82861	526980	1835892.73	0.09	192.19	3.48	2.8	17.28	2.84	17.93	221.983	J2720	N												
J2724	Protein c concentrate	10	10110	28118.24	0.43	16.26	2.78	1.24	2692.8	1.62	3165.04	5288.894	J2724	K	1139	$15.09										
J2725	Inj protirelin per 250 mcg	.	.	.	.	.	.	.	.	.	.	.	J2725	E2												
J2730	Pralidoxime chloride inj	2	8	263.4	13.15	92.25	32.93	21.4	120.66	13.15	131.71	294.236	J2730	N												
J2760	Phentolaine mesylate inj	118	134	33941.99	0.81	1149.1	253.3	109.42	112.79	238.02	199.84	107.004	J2760	K	1458	$452.42										
J2765	Metoclopramide hcl injection	223195	235064	1731705.83	0.17	98.07	7.37	4.45	4.61	4.22	4.34	108.474	J2765	N												
J2770	Quinupristin/dalfopristin	106	126	786.81	3.1	7.8	6.24	5.9	6.48	7.8	7.8	34.232	J2770	K	2770	$493.97										
J2777	"Inj, faricimab-svoa, 0.1mg"	1575	110880	4266725.4	1.67	79.23	38.48	36.39	2436.07	38.39	2303.46	215.622	J2777	G	9496	$37.42										
J2778	Ranibizumab injection	10595	58558	21032756.69	36	1703.23	359.18	335.15	1780.68	389.78	1948.92	76.363	J2778	K	9233	$247.65										
J2779	"Inj, susvimo 0.1 mg"	16	927	73024.02	31.45	1652.76	78.77	66.51	3701.45	66.28	3448.48	923.724	J2779	G	9439	$81.93										
J2780	Ranitidine hydrochloride inj	446	446	969.58	0.16	38.8	2.17	0.43	0.43	0.16	0.16	211.284	J2780	N												
J2783	Rasburicase	1116	11506	3465823.91	3.51	2245.22	301.22	268.27	2367.19	286.46	2359.01	173.457	J2783	K	0738	$342.87										
J2785	Regadenoson injection	435346	1741416	117879019.7	3.07	941.65	67.69	58.58	234.31	62	248	121.915	J2785	N												
J2786	"Injection, reslizumab, 1mg"	1596	467184	4976363.2	2.41	27.64	10.65	9.64	2738.01	9.42	2708.28	771.834	J2786	K	9481	$10.16										
J2787	Riboflavin 5phos opth<=3ml	17	29	67543.33	545.65	7467.76	2329.08	1860.69	2855.51	1569.54	2975.85	100.02	J2787	N												
J2788	Rho d immune globulin 50 mcg	7	7	242.44	19.46	76.92	34.63	31.41	31.41	31.12	31.12	55.853	J2788	N												
J2790	Rho d immune globulin inj	222	222	23586.39	11.63	546.28	106.24	85.39	85.39	84.82	84.82	75.033	J2790	N												
J2791	Rhophylac injection	183	2755	25501.07	1.33	345.66	9.26	7.25	97.42	8.19	108.31	488.404	J2791	N												
J2792	"Rho(d) immune globulin h, sd"	35	7996	207201.03	16.18	57.72	25.91	24.59	5423.49	24.91	4982.75	545.626	J2792	K	1609	$34.22										
J2793	Rilonacept injection	.	.	.	.	.	.	.	.	.	.	.	J2793	E2												
J2794	"Inj risperdal consta, 0.5 mg"	2218	163254	1583179.99	0.08	99.36	9.7	7.84	556.31	9.76	634.14	509.817	J2794	K	9125	$11.59										
J2795	Ropivacaine hcl injection	300558	64123252	13354954.24	0.01	399.42	0.21	0.15	20.75	0.16	20.85	3473.319	J2795	N												
J2796	Romiplostim injection	44553	1602008	133213094.8	0.12	3395.19	83.15	75.38	2133.1	77.93	2068.8	276.502	J2796	K	9245	$90.61										
J2797	"Inj., rolapitant, 0.5 mg"	.	.	.	.	.	.	.	.	.	.	.	J2797	E1												
J2798	"Inj., perseris, 0.5 mg"	14	2520	22617	7.71	11.97	8.97	8.83	1589.73	8.26	1487.03	259.389	J2798	K	9181	$11.19										
J2800	Methocarbamol injection	34550	37794	1009122.39	2.01	206.65	26.7	20.89	22.44	19.08	23.35	85.478	J2800	N												
J2805	Sincalide injection	10975	10975	1101813.76	9.59	636.65	100.39	80.72	80.72	85.48	85.48	70.181	J2805	N												
J2810	Inj theophylline per 40 mg	.	.	.	.	.	.	.	.	.	.	.	J2810	E2												
J2820	Sargramostim injection	374	4914	253776.26	13.87	222.89	51.64	50.13	485.39	50.36	410.26	95.796	J2820	K	0731	$57.08										
J2840	Inj sebelipase alfa 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2840	K	9478	$539.38										
J2850	Inj secretin synthetic human	407	7103	429851.77	4.91	376.06	60.52	49.13	865.08	44.29	786.65	297.544	J2850	K	1700	$38.09										
J2860	"Injection, siltuximab"	607	62500	6799516.99	37.27	268.44	108.79	102.96	10310.59	109	11159.49	320.624	J2860	K	9455	$139.23										
J2910	Aurothioglucose injeciton	1	10	19.8	1.98	1.98	1.98	1.98	19.77	1.98	19.77	.	J2910	E2												
J2916	Na ferric gluconate complex	23740	275109	1750471.57	0.21	256.49	6.36	5	55.06	5.52	59.06	307.887	J2916	N												
J2920	Methylprednisolone injection	98109	145640	1552889.9	0.67	84.51	10.66	8.53	11.58	8.28	11.74	92.019	J2920	N												
J2930	Methylprednisolone injection	295496	331018	4833905.97	1.42	99.86	14.6	12.22	13.29	12.67	13.41	65.99	J2930	N												
J2940	Somatrem injection	.	.	.	.	.	.	.	.	.	.	.	J2940	E2												
J2941	Somatropin injection	5	15	2584.76	48.29	966	172.32	129.68	272.34	124.74	180.15	239.686	J2941	K	9319	$169.57										
J2950	Promazine hcl injection	161	198	813	2.65	15.14	4.11	3.67	4.06	2.65	2.65	57.523	J2950	N												
J2993	Reteplase injection	80	119	230854.76	259.08	5476.98	1939.96	1539.79	2347.96	1878.6	2461.17	75.455	J2993	K	9005	"$2,735.94"										
J2995	Inj streptokinase /250000 iu	.	.	.	.	.	.	.	.	.	.	.	J2995	E2												
J2997	Alteplase recombinant	46020	168268	14703989.16	3.14	1787.51	87.38	76.51	209.11	79.91	193.25	111.296	J2997	K	7048	$87.57										
J2998	Inj plasminogen tvmh 1mg	.	.	.	.	.	.	.	.	.	.	.	J2998	G	9206	$30.32										
J3000	Streptomycin injection	40	40	4008.24	69.31	115.23	100.21	98.02	98.02	115.23	115.23	19.775	J3000	N												
J3010	Fentanyl citrate injection	3098259	4648004	31652485.64	0.06	222.16	6.81	3.84	5.35	3.8	5.4	141.763	J3010	N												
J3030	Sumatriptan succinate / 6 mg	2226	2226	101188.47	1.33	339.74	45.46	28.21	28.21	28.68	28.68	96.487	J3030	N												
J3031	"Inj., fremanezumab-vfrm 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J3031	K	9197	$2.04										
J3032	Inj. eptinezumab-jjmr 1 mg	3135	597303	9016774.28	0.02	43.91	15.1	13.85	2254.64	14.03	2241.51	506.47	J3032	K	9357	$17.01										
J3060	"Inj, taliglucerase alfa 10 u"	134	76524	2825750.36	13.45	67.86	36.93	35.07	20384.76	40.75	20306.42	709.194	J3060	K	9294	$42.92										
J3070	Pentazocine injection	1	1	0.49	0.49	0.49	0.49	0.49	0.49	0.49	0.49	.	J3070	N												
J3090	Inj tedizolid phosphate	205	41000	112800	2.02	2.87	2.75	2.74	547.49	2.87	574.16	137.694	J3090	K	1662	$1.66										
J3095	Telavancin injection	458	35004	299582.58	0.01	24.74	8.56	5.31	376.85	9.4	705.07	520.143	J3095	K	9258	$6.95										
J3101	Tenecteplase injection	2037	92616	10998652.13	0.11	788.29	118.76	102.42	4574.61	111.93	5093.3	375.351	J3101	K	9002	$143.69										
J3105	Terbutaline sulfate inj	911	962	11487.11	0.17	85	11.94	7.09	7.29	8.1	8.17	99.149	J3105	N												
J3111	Inj. romosozumab-aqqg 1 mg	37526	7825911	68831340.73	0.02	1523.17	8.8	7.85	1633.45	8.11	1694.92	1794.298	J3111	K	9327	$9.90										
J3121	Inj testostero enanthate 1mg	677	116630	15813.8	0.01	19.63	0.14	0.09	14.32	0.08	16.53	2116.984	J3121	N												
J3145	Testosterone undecanoate 1mg	794	590500	955667.5	0.13	4.01	1.62	1.37	1022.51	1.62	1211.99	1253.061	J3145	K	9078	$1.85										
J3230	Chlorpromazine hcl injection	2847	3720	138985.29	2.69	260.16	37.36	30.53	36.84	33.99	38.7	73.822	J3230	N												
J3240	Thyrotropin injection	4708	4708	8198987.03	237.56	8124	1741.5	1540.02	1540.02	1578.35	1578.35	50.91	J3240	K	9108	"$1,926.74"										
J3241	Inj. teprotumumab-trbw 10 mg	1708	266297	74267051.22	50.03	918.8	278.89	248.31	37188.76	246.79	37018.98	637.068	J3241	K	9355	$328.00										
J3243	Tigecycline injection	1927	139638	310867.21	0.04	7.93	2.23	1.93	123.41	2.2	115.23	435.32	J3243	N												
J3244	Inj. tigecycline (accord)	.	.	.	.	.	.	.	.	.	.	.	J3244	K	9220	$0.60										
J3245	"Inj., tildrakizumab, 1 mg"	2778	277800	34411579	2.03	416.34	123.87	115.26	11526.49	117.69	11769.28	378.234	J3245	K	9306	$137.83										
J3246	Tirofiban hcl	2544	85021	494108.56	0.77	188.89	5.81	4.98	134.63	5.09	149.48	396.59	J3246	K	7041	$4.37										
J3250	Trimethobenzamide hcl inj	2586	2715	130427.73	9.03	189.57	48.04	43.51	45.19	43.59	45.53	45.968	J3250	N												
J3260	Tobramycin sulfate injection	20617	91700	808393.55	0.1	1352.86	8.82	5.74	13.86	5.35	11.96	481.04	J3260	N												
J3262	Tocilizumab injection	30011	15026810	87070073.97	0.03	39.06	5.79	5.34	2507.28	5.6	2594.82	910.49	J3262	K	9264	$5.86										
J3265	Injection torsemide 10 mg/ml	10	20	26.6	1.33	1.33	1.33	1.33	2.65	1.33	2.65	0	J3265	E2												
J3280	Thiethylperazine maleate inj	.	.	.	.	.	.	.	.	.	.	.	J3280	E2												
J3285	Treprostinil injection	75	897	57592.09	4.42	634.34	64.21	51.74	470.25	53.16	550.81	295.559	J3285	K	1701	$55.31										
J3299	Inj xipere 1 mg	43	1058	28988.93	3.62	351.55	27.4	11.45	312.26	4.11	243.6	852.559	J3299	G	9358	$47.61										
J3300	Triamcinolone a inj prs-free	5466	106634	402115.18	0.02	202.05	3.77	1.75	35.72	2.82	34.45	839.183	J3300	N												
J3301	Triamcinolone acet inj nos	427269	2410391	8183042.48	0.03	316.68	3.39	2.7	13.76	2.64	14.73	210.392	J3301	N												
J3302	Triamcinolone diacetate inj	36	68	183.46	0.05	18.1	2.7	0.95	3.55	3.21	3.34	168.943	J3302	N												
J3303	Triamcinolone hexacetonl inj	8	64	330.69	2.11	7.6	5.17	4.76	20.21	3.93	17.49	118.413	J3303	N												
J3304	Inj triamcinolone ace xr 1mg	5068	218761	3686766.31	0.18	897.9	16.85	13.87	568.23	16.04	571.39	567.138	J3304	K	9469	$16.86										
J3305	Inj trimetrexate glucoronate	.	.	.	.	.	.	.	.	.	.	.	J3305	E2												
J3310	Perphenazine injeciton	3	32	96.88	0.21	7.04	3.03	1.05	13.76	1.23	9.02	419.482	J3310	N												
J3315	Triptorelin pamoate	1842	6957	5386780.15	45.37	4876.46	774.3	696.47	2558.39	851.13	2677.63	73.189	J3315	K	9122	$364.64										
J3316	"Inj., triptorelin xr 3.75 mg"	1	3	2336.28	778.76	778.76	778.76	778.76	2336.27	778.76	2336.27	.	J3316	K	9016	"$3,139.42"										
J3320	Spectinomycn di-hcl inj	.	.	.	.	.	.	.	.	.	.	.	J3320	E2												
J3350	Urea injection	8	17	266.94	13.57	49.82	15.7	14.65	31.92	13.57	27.13	84.651	J3350	E2												
J3355	"Urofollitropin, 75 iu"	.	.	.	.	.	.	.	.	.	.	.	J3355	E2												
J3357	"Ustekinumab sub cu inj, 1 mg"	1680	132966	29303343.09	0.1	862.75	220.38	198.38	14919.95	203.87	16598.12	433.85	J3357	K	9261	$153.77										
J3358	"Ustekinumab, iv inject, 1 mg"	1237	501571	7017259.15	0.03	336.17	13.99	12.53	5049.85	12.45	5201.83	1957.406	J3358	K	9487	$12.25										
J3360	Diazepam injection	41978	74293	1380493.22	0.82	138.23	18.58	14.91	25.27	16.08	27.58	93.281	J3360	N												
J3364	Urokinase 5000 iu injection	.	.	.	.	.	.	.	.	.	.	.	J3364	E2												
J3365	"Urokinase 250,000 iu inj"	.	.	.	.	.	.	.	.	.	.	.	J3365	E2												
J3370	Vancomycin hcl injection	434123	1231234	13147282.74	0.13	458.33	10.68	7.99	20.5	8.63	22.32	158.441	J3370	N												
J3371	"Inj, vancomycin hcl (mylan)"	.	.	.	.	.	.	.	.	.	.	.	J3371	K	9221	$6.53										
J3372	"Inj, vancomycin hcl (xellia)"	.	.	.	.	.	.	.	.	.	.	.	J3372	K	9222	$6.56										
J3380	"Injection, vedolizumab"	44041	13214399	303445414.6	3.03	198.26	22.96	21.03	6309.2	21.46	6437.41	762.48	J3380	K	1489	$21.84										
J3385	Velaglucerase alfa	1017	42977	14497831.73	82.71	624.35	337.34	319.18	13057.14	311.52	13388.13	195.157	J3385	K	9271	$357.35										
J3396	Verteporfin injection	118	15549	175389.75	0.05	20.25	11.28	10.33	1338.1	11.17	1626.88	337.038	J3396	K	1203	$11.38										
J3397	"Inj., vestronidase alfa-vjbk"	.	.	.	.	.	.	.	.	.	.	.	J3397	E2												
J3398	Inj luxturna 1 billion vec g	3	450	538545	459.46	1565.42	1196.77	1040.33	156049.3	1565.42	234812.5	653.454	J3398	K	9070	"$2,925.75"										
J3399	Inj onase abepar-xioi treat	.	.	.	.	.	.	.	.	.	.	.	J3399	K	9141	"$2,234,513.25"										
J3400	Triflupromazine hcl inj	.	.	.	.	.	.	.	.	.	.	.	J3400	E2												
J3410	Hydroxyzine hcl injection	3032	5822	82961.37	0.17	124.34	14.25	10.21	19.54	12.24	23.67	101.838	J3410	N												
J3411	Thiamine hcl 100 mg	27993	59509	476784.21	0.34	81.71	8.01	6.51	11.74	6.56	11.56	108.587	J3411	N												
J3415	Pyridoxine hcl 100 mg	276	295	4875.85	1.69	46.53	16.53	13.38	14.16	14.19	16.36	61.521	J3415	N												
J3420	Vitamin b12 injection	237006	237006	2006411.2	0.31	86.87	8.47	5.8	5.8	6.33	6.33	91.608	J3420	N												
J3430	Vitamin k phytonadione inj	7112	64634	367826.48	0.1	101.25	5.69	4.59	40.38	4.92	43.38	266.711	J3430	N												
J3465	"Injection, voriconazole"	274	4719	33448.36	0.01	231.34	7.09	4.8	20.9	6.43	33.01	521.257	J3465	N												
J3470	Hyaluronidase injection	5029	5533	315839.95	6.61	246.29	57.08	49.19	52.01	49.26	54.86	51.367	J3470	N												
J3471	"Ovine, up to 999 usp units"	7664	1430893	728653.68	0.01	304.54	0.51	0.43	70.81	0.44	93.81	3872.132	J3471	N												
J3472	"Ovine, 1000 usp units"	128	128	56444.16	440.97	440.97	440.97	440.97	440.97	440.97	440.97	0	J3472	N												
J3473	Hyaluronidase recombinant	20505	2483531	1340828.37	0.04	3455.73	0.54	0.44	51.36	0.44	57.83	7483.466	J3473	N												
J3475	Inj magnesium sulfate	395049	1829460	7851657.41	0.01	358.3	4.29	2.71	12.77	3.18	14.98	232.613	J3475	N												
J3480	Inj potassium chloride	173580	2339433	3773717.49	0.01	171.92	1.61	0.95	12.37	1.02	13.16	466.355	J3480	N												
J3485	Zidovudine	.	.	.	.	.	.	.	.	.	.	.	J3485	E2												
J3486	Ziprasidone mesylate	13607	27655	729427.3	1.1	376.38	26.38	20.98	41.4	22.23	42.55	121.701	J3486	N												
J3489	Zoledronic acid 1mg	146211	649676	30619450.01	0.04	939.65	47.13	25.64	108.82	24.17	101.52	265.292	J3489	N												
J3490	Drugs unclassified injection	1553675	6557013	69331900.64	0.01	226002.6	10.57	1.62	9.84	1.72	9.93	3103.178	J3490	N												
J3530	Nasal vaccine inhalation	.	.	.	.	.	.	.	.	.	.	.	J3530	N												
J3590	Unclassified biologics	10289	57561	7986458.1	0.01	63067.9	138.75	4.5	54.84	2.98	55.42	1645.249	J3590	N												
J3591	Esrd on dialysi drug/bio noc	.	.	.	.	.	.	.	.	.	.	.	J3591	B												
J7030	Normal saline solution infus	1812832	2180949	34051419.02	0.37	276.74	15.61	10.78	12.38	12.14	13.64	91.44	J7030	N												
J7040	Normal saline solution infus	642700	725352	10797993.25	0.3	308.68	14.89	10.22	11.41	11.44	12.62	87.121	J7040	N												
J7042	5% dextrose/normal saline	22530	47314	394768.49	0.1	262.75	8.34	5.69	11.87	5.92	12.82	136.556	J7042	N												
J7050	Normal saline solution infus	1240874	1731538	22985258.48	0.19	369.52	13.27	8.41	11.36	9.93	12.8	109.699	J7050	N												
J7060	5% dextrose/water	224188	313192	4367036.55	0.23	241.84	13.94	9.07	11.46	10.6	12.56	101.377	J7060	N												
J7070	D5w infusion	31916	40083	589974.24	0.3	196.99	14.72	9.75	11.61	11.23	12.6	102.546	J7070	N												
J7100	Dextran 40 infusion	23	23	771.38	6.65	116.06	33.54	29.09	29.09	27.12	27.12	63.454	J7100	N												
J7110	Dextran 75 infusion	59	59	1999.7	32.92	34.9	33.89	33.88	33.88	32.92	32.92	2.946	J7110	N												
J7120	Ringers lactate infusion	1479248	1921496	32267765.39	0.46	291.5	16.79	11.87	14.44	13.1	15.99	91.158	J7120	N												
J7121	5% dextrose in lac ringers	8403	9339	206517.64	0.76	111.74	22.11	16.21	17.81	21.32	24.76	69.03	J7121	N												
J7131	Hypertonic saline sol	1675	337915	26956.59	0.01	88.61	0.08	0.04	6.73	0.03	7.91	11887.29	J7131	N												
J7168	Prothrombin complex kcentra	6232	15103111	33153158.97	0.01	255.48	2.2	1.83	4089.08	2.04	4329.69	3294.858	J7168	K	9132	$2.18										
J7169	"Inj andexxa, 10 mg"	272	25903	5247078.43	0.08	734.88	202.57	168.83	15333.92	177.96	16829.09	569.477	J7169	K	9198	$90.75										
J7170	"Inj., emicizumab-kxwh 0.5 mg"	340	258251	6735636.59	10.26	115.76	26.08	21.19	15335.54	17.1	13163.72	2215.999	J7170	K	9257	$49.95										
J7175	"Inj, factor x, (human), 1iu"	12	81225	330615.15	3.75	12.43	4.07	3.92	27197.05	3.75	28878.53	3394.807	J7175	K	1857	$8.61										
J7177	"Inj., fibryga, 1 mg"	58	40576	22332.32	0.31	1.82	0.55	0.45	29.96	0.31	10.92	1835.92	J7177	K	9046	$1.10										
J7178	Inj human fibrinogen con nos	61	308005	322787.81	0.67	1.97	1.05	1.04	5177.04	1.03	5308.39	1023.285	J7178	K	1478	$1.38										
J7179	Vonvendi inj 1 iu vwf:rco	152	599138	1400492.17	0.33	8.62	2.34	2.09	7890.25	2	9209.21	3027.47	J7179	K	9059	$1.87										
J7180	Factor xiii anti-hem factor	32	46537	59915.69	1.21	1.29	1.29	1.29	1878.51	1.29	1882.13	42.01	J7180	K	1416	$9.69										
J7181	Factor xiii recomb a-subunit	.	.	.	.	.	.	.	.	.	.	.	J7181	K	1746	$16.51										
J7182	Factor viii recomb novoeight	18	65614	43722.35	0.23	0.91	0.67	0.63	1769.37	0.66	2527.36	1617.952	J7182	K	1856	$1.25										
J7183	Wilate injection	150	1887947	1222616.18	0.14	10.5	0.65	0.37	6130.62	0.22	7844.79	15247.41	J7183	K	1352	$1.26										
J7185	Xyntha inj	181	375782	340356.57	0.19	2.26	0.91	0.79	1419.36	0.75	1146.92	2760.942	J7185	K	1268	$1.30										
J7186	Antihemophilic viii/vwf comp	80	340957	600671.47	0.23	2.67	1.76	1.45	5419.69	1.63	4787.29	3427.832	J7186	K	1213	$1.17										
J7187	"Humate-p, inj"	1112	4276839	4707402.53	0.01	6.84	1.1	0.89	3112.2	1.01	2978.6	3607.837	J7187	K	1704	$1.35										
J7188	Factor viii recomb obizur	1	6324	13912.8	2.2	2.2	2.2	2.2	13924.95	2.2	13924.95	.	J7188	K	1827	$3.22										
J7189	Factor viia recomb novoseven	96	940549	1433839.05	0.01	4486.2	1.52	1.21	8622.24	1.62	10519.35	77983.99	J7189	K	1705	$2.34										
J7190	Factor viii	77	515050	324025.9	0.21	9.38	0.63	0.5	3131.34	0.38	1998.62	8958.811	J7190	K	0925	$1.13										
J7191	Factor viii (porcine)	.	.	.	.	.	.	.	.	.	.	.	J7191	E2												
J7192	Factor viii recombinant nos	557	4959649	4622266.03	0.12	9.35	0.93	0.62	5020.04	0.5	4894.61	12779.15	J7192	K	0927	$1.45										
J7193	Factor ix non-recombinant	38	402839	230197.69	0.01	1.48	0.57	0.5	4390.53	0.37	6981.78	6209.897	J7193	K	0931	$1.23										
J7194	Factor ix complex	13	42008	66868.26	1.01	1186.67	1.59	1.45	2766.34	1.45	4262.87	37261.81	J7194	K	0928	$1.58										
J7195	Factor ix recombinant nos	302	2258828	2851153.74	0.01	35.3	1.26	1.08	7261.59	1.18	7649.94	6178.886	J7195	K	0932	$1.65										
J7196	Antithrombin recombinant	114	10564	8861.23	0.68	159.03	0.84	0.75	74.96	0.73	73.16	3031.075	J7196	E2												
J7197	Antithrombin iii injection	30	50288	276345	1.17	1365.98	5.5	4.93	3014.68	5.56	6158.41	6714.634	J7197	K	1263	$3.72										
J7198	Anti-inhibitor	155	1071894	1343752.33	0.34	7.03	1.25	1.04	5652.9	0.72	5886.71	6279.331	J7198	K	0929	$2.24										
J7200	Factor ix recombinan rixubis	20	76964	75094.25	0.58	13.25	0.98	0.96	2230.58	1.03	3671.84	1178.646	J7200	K	1467	$1.57										
J7201	Factor ix alprolix recomb	54	779362	1222998.54	0.68	4.64	1.57	1.27	17057.17	0.93	10051.72	8373.112	J7201	K	1486	$3.37										
J7202	Factor ix idelvion inj	162	966247	3602499.95	0.93	6.81	3.73	3.39	17196.57	4.5	27520.41	3197.01	J7202	K	9171	$4.95										
J7203	Factor ix recomb gly rebinyn	.	.	.	.	.	.	.	.	.	.	.	J7203	K	9468	$4.33										
J7204	Inj recombin esperoct per iu	50	1274551	761435.39	0.55	2.46	0.6	0.57	13336.87	0.55	16912.49	7965.396	J7204	K	9354	$2.07										
J7205	Factor viii fc fusion recomb	262	1486967	2320713.82	0.55	3.2	1.56	1.22	7399.92	0.83	8317.51	5196.828	J7205	K	1656	$2.18										
J7207	Factor viii pegylated recomb	40	1061072	658576.88	0.53	1.83	0.62	0.59	12284.94	0.55	17907.97	6775.968	J7207	K	1844	$1.93										
J7208	Inj. jivi 1 iu	2	6563	5145.36	0.72	0.84	0.78	0.78	2551.84	0.84	2576.74	618.62	J7208	K	9299	$2.18										
J7209	Factor viii nuwiq recomb 1iu	163	1037330	3446081.48	0.89	3.38	3.32	3.3	20014.99	3.38	22373.08	769.25	J7209	K	1846	$1.35										
J7210	"Inj, afstyla, 1 i.u."	9	46645	39367.95	0.21	4326.29	0.84	0.58	2960.78	1.02	4237.21	181242	J7210	K	9043	$1.44										
J7211	"Inj, kovaltry, 1 i.u."	11	183145	197109.29	0.22	2.77	1.08	0.99	7541.71	0.89	11081.66	6782.296	J7211	K	9075	$1.34										
J7212	Factor viia recomb sevenfact	2	28000	49000	1.75	1.75	1.75	1.75	21244.39	1.75	24544.59	0	J7212	G	9395	$1.91										
J7294	Seg acet and eth estr yearly	.	.	.	.	.	.	.	.	.	.	.	J7294	E1												
J7295	Eth estr and eton monthly	.	.	.	.	.	.	.	.	.	.	.	J7295	E1												
J7296	"Kyleena, 19.5 mg"	30	30	24012.88	338.81	1655.26	800.43	726.97	726.97	702.94	702.94	44.494	J7296	E1												
J7297	"Liletta, 52 mg"	148	150	104837.25	4.08	2225.19	698.91	429.38	431.18	677.41	692.7	60.789	J7297	E1												
J7298	"Mirena, 52 mg"	895	895	809296.2	94.14	3173.82	904.24	783.64	783.64	854.48	854.48	50.281	J7298	E1												
J7301	"Skyla, 13.5 mg"	6	6	2761.11	179.23	749.61	460.18	422.14	422.14	434.94	434.94	41.535	J7301	E1												
J7308	Aminolevulinic acid hcl top	3653	4567	1262961.79	39.58	833.83	276.54	244.52	289.97	193.95	317.92	54.843	J7308	K	7308	$391.70										
J7309	"Methyl aminolevulinate, top"	.	.	.	.	.	.	.	.	.	.	.	J7309	E2												
J7310	Ganciclovir long act implant	1	2	1.58	0.79	0.79	0.79	0.79	1.58	0.79	1.58	.	J7310	E2												
J7311	"Inj., retisert, 0.01 mg"	43	2132	694515.69	120.07	25436.95	325.76	244.67	14773.9	278.24	14905.61	2326.521	J7311	K	9225	$337.68										
J7312	Dexamethasone intra implant	2127	16058	3019563.45	27.16	719.3	188.04	169.99	1255.74	183.03	1327.22	125.291	J7312	K	9256	$199.84										
J7313	"Inj., iluvien, 0.01 mg"	58	1273	483900.17	123.54	739.94	380.13	350.08	7334.2	394.72	7499.71	179.841	J7313	K	9450	$490.95										
J7314	"Inj., yutiq, 0.01 mg"	139	2736	1218920.94	2.89	945.8	445.51	396.81	7856.24	482.78	9266.58	164.479	J7314	K	9328	$523.78										
J7315	Ophthalmic mitomycin	1519	1851	410268.77	0.85	1678.83	221.65	99.17	135.3	132.06	188.19	112.516	J7315	N												
J7316	"Inj, ocriplasmin, 0.125 mg"	27	27	2377.35	88.05	88.05	88.05	88.05	88.05	88.05	88.05	0	J7316	N												
J7318	"Inj, durolane 1 mg"	2771	224121	2697581.85	1.39	137.33	12.04	9.66	748.64	12.47	882.37	517.883	J7318	K	9174	$6.77										
J7320	"Genvisc 850, inj, 1mg"	85	2930	57667.2	11.68	24.37	19.68	19.54	628.64	19.68	491.93	63.331	J7320	K	9079	$7.46										
J7321	Hyalgan supartz visco-3 dose	7149	10718	1751872.84	6.44	2064.12	163.45	124.95	177.2	142.34	199.63	87.594	J7321	N												
J7322	Hymovis injection 1 mg	222	7248	150090.48	2.69	122.1	20.71	15.16	480.38	17.91	537.28	426.498	J7322	K	9471	$16.66										
J7323	Euflexxa inj per dose	23481	32917	7696381.6	15.56	2264.27	233.81	187.06	246.6	207.44	291.56	71.866	J7323	K	0875	$129.47										
J7324	Orthovisc inj per dose	8272	11528	3054661.51	16.19	1584.53	264.98	203.76	267.53	210.2	278.5	86.786	J7324	K	0877	$134.46										
J7325	Synvisc or synvisc-one	15685	819704	12870387.21	0.02	219.28	15.7	11.58	527.69	12.71	550.45	691.193	J7325	K	0874	$9.65										
J7326	Gel-one	4613	6261	4377244.77	49.52	2477.56	699.13	597.04	765.71	597.2	767.55	64.005	J7326	K	1417	$522.47										
J7327	Monovisc inj per dose	3355	4487	4130691.85	124.27	4987.71	920.59	747.51	949.42	869.77	926.34	71.995	J7327	K	1747	$719.33										
J7328	Gelsyn-3 injection 0.1 mg	2684	598270	1102255.3	0.31	5.11	1.84	1.67	338.52	1.66	378.64	637.144	J7328	K	1862	$0.75										
J7329	"Inj, trivisc 1 mg"	1384	45375	634829.75	5.48	15.32	13.99	13.93	432.93	13.84	345.94	43.441	J7329	K	9196	$9.67										
J7331	"Synojoynt, inj., 1 mg"	17	425	1555.5	3.66	3.66	3.66	3.66	91.43	3.66	91.43	0	J7331	K	9337	$13.25										
J7332	"Inj., triluron, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J7332	K	9338	$9.90										
J7336	Capsaicin 8% patch	412	319725	890886.38	0.28	2041.98	2.79	1.86	1625.15	2.9	1760.57	19929.31	J7336	K	9071	$3.28										
J7340	Carbidopa levodopa ent 100ml	16	16	18.08	0.58	5.93	1.13	0.83	0.83	0.64	0.64	123.581	J7340	K	9320	$219.76										
J7342	Ciprofloxacin otic susp 6 mg	19	47	2611.42	3.05	402.23	55.56	35.2	63.67	34.65	105.08	211.083	J7342	N												
J7345	"Aminolevulinic acid, 10% gel"	556	113800	141886	0.01	3.1	1.25	1.09	219.35	0.94	173.37	628.777	J7345	K	9301	$1.65										
J7351	Inj bimatoprost itc imp1mcg	113	1420	231998.4	36.6	423.92	163.38	135.7	1673.61	141.11	1586.63	194.428	J7351	K	9351	$206.28										
J7352	"Afamelanotide implant, 1 mg"	17	272	893324.32	2050.43	3814.09	3284.28	3248.88	51982	3089.78	49436.43	57.65	J7352	K	9396	"$2,873.33"										
J7401	Mometasone furoate sinus imp	.	.	.	.	.	.	.	.	.	.	.	J7401	D												
J7402	Mometasone sinus sinuva	99	6565	131300.59	0.27	1264.85	20	9.41	791.8	9.61	1225.96	3158.449	J7402	K	9346	$11.35										
J7500	Azathioprine oral 50mg	3956	6852	15155.95	0.03	47.55	2.21	1.16	1.84	1.08	1.72	231.331	J7500	N												
J7501	Azathioprine parenteral	3	4	526.6	77.93	185.37	131.65	120.19	131.07	131.65	77.93	57.707	J7501	K	0887	$237.82										
J7502	Cyclosporine oral 100 mg	1064	1774	12479.2	0.22	56.06	7.03	5.25	7.45	5.72	7.75	103.587	J7502	N												
J7503	Tacrol envarsus ex rel oral	1306	30306	42782.74	0.01	44.4	1.41	1.02	18.37	1.17	21.5	368.124	J7503	N												
J7504	Lymphocyte immune globulin	19	176	506791.01	1285.08	3590.93	2879.49	2712.26	18620.16	3498.82	32162.86	92.097	J7504	K	0890	"$3,001.29"										
J7505	Monoclonal antibodies	.	.	.	.	.	.	.	.	.	.	.	J7505	E2												
J7507	Tacrolimus imme rel oral 1mg	19391	56957	167277.49	0.03	45.08	2.94	1.96	4.46	1.98	4.56	156.78	J7507	N												
J7508	Tacrol astagraf ex rel oral	51	1472	737.93	0.1	8.4	0.5	0.37	9.19	0.44	8.08	663.488	J7508	N												
J7509	Methylprednisolone oral	5245	35368	33919.66	0.02	200.24	0.96	0.66	3.97	0.54	4.93	486.067	J7509	N												
J7510	Prednisolone oral per 5 mg	831	6698	5231.17	0.01	80	0.78	0.16	1.91	0.11	1.84	1070.727	J7510	N												
J7511	Antithymocyte globuln rabbit	597	2559	2275680	332.9	2964.63	889.28	863.72	3582.26	900.85	3862.1	52.118	J7511	K	9104	$886.38										
J7512	Prednisone ir or dr oral 1mg	161972	5759091	396132.15	0.01	1459.97	0.07	0.03	1.23	0.03	1.26	5463.233	J7512	N												
J7513	"Daclizumab, parenteral"	.	.	.	.	.	.	.	.	.	.	.	J7513	E2												
J7515	Cyclosporine oral 25 mg	1787	5579	11844.23	0.04	23.23	2.12	1.51	4.09	1.56	4.12	174.156	J7515	N												
J7516	Cyclosporin parenteral 250mg	21	27	1652.3	10.47	94.76	61.2	55.33	66.68	64.15	64.14	39.253	J7516	N												
J7517	Mycophenolate mofetil oral	14443	50741	134971.4	0.01	98.97	2.66	1.26	3.83	0.96	3.3	278.35	J7517	N												
J7518	Mycophenolic acid	5038	15717	65784.24	0.02	112.61	4.19	2.98	8.01	4.02	9.57	149.24	J7518	N												
J7520	"Sirolimus, oral"	1012	1783	26896.09	0.72	92.61	15.08	11.92	17.47	12.09	17.41	94.69	J7520	N												
J7525	Tacrolimus injection	153	192	31331.56	83.33	472.73	163.19	153.43	183.47	188	204.5	38.705	J7525	K	9006	$233.92										
J7527	Oral everolimus	216	1278	11412.34	0.32	40.69	8.93	6.29	35.12	8.79	38.08	173.043	J7527	N												
J7599	Immunosuppressive drug noc	35	48	1692.07	1.41	191.29	35.25	14.11	13.95	24.68	15.43	133.368	J7599	N												
J7674	"Methacholine chloride, neb"	2937	197571	291285.03	0.05	3049.94	1.47	0.8	63.81	0.87	78.96	5518.808	J7674	N												
J7999	"Compounded drug, noc"	120770	186727	3904239.47	0.15	826.27	20.91	11.06	15.45	12.7	17.88	216.775	J7999	N												
J8501	Oral aprepitant	23276	201822	2089511.38	0.25	101.22	10.35	8.74	73.9	9.1	74.83	168.678	J8501	N												
J8510	Oral busulfan	1	1	4.85	4.85	4.85	4.85	4.85	4.85	4.85	4.85	.	J8510	N												
J8520	"Capecitabine, oral, 150 mg"	12	149	502.31	0.14	48.38	3.37	1.4	18.74	0.89	22.39	719.575	J8520	N												
J8521	"Capecitabine, oral, 500 mg"	80	1445	6674.95	0.06	132.28	4.62	0.58	29.02	0.15	31.7	1127.136	J8521	N												
J8530	Cyclophosphamide oral 25 mg	2291	42933	290025.01	0.23	104.35	6.76	5.68	106.22	5.58	110.74	328.798	J8530	N												
J8540	Oral dexamethasone	200556	8851832	974777.45	0.01	27.04	0.11	0.08	3.2	0.08	3.35	1244.13	J8540	N												
J8560	Etoposide oral 50 mg	2	11	1001.96	80.62	99.81	91.09	90.58	491.32	99.81	500.98	34.792	J8560	K	0802	$76.56										
J8562	Oral fludarabine phosphate	.	.	.	.	.	.	.	.	.	.	.	J8562	E2												
J8565	Gefitinib oral	.	.	.	.	.	.	.	.	.	.	.	J8565	E2												
J8597	Antiemetic drug oral nos	13387	19770	41107.26	0.01	90.68	2.08	0.56	0.73	0.64	1	315.176	J8597	N												
J8600	Melphalan oral 2 mg	.	.	.	.	.	.	.	.	.	.	.	J8600	E2												
J8610	Methotrexate oral 2.5 mg	915	5242	20244.76	0.03	58.22	3.86	2.69	13.66	2.74	16.13	246.325	J8610	N												
J8650	Nabilone oral	.	.	.	.	.	.	.	.	.	.	.	J8650	E2												
J8655	"Oral netupitant, palonosetro"	6	6	1830.12	305.02	305.02	305.02	305.02	305.02	305.02	305.02	0	J8655	K	9448	$442.11										
J8670	"Rolapitant, oral, 1mg"	17	3060	7686	2.3	2.7	2.51	2.5	451.2	2.7	486.23	109.926	J8670	K	1761	$1.80										
J8700	Temozolomide	52	1881	7071.87	1.48	32.37	3.76	2.82	98.64	2.28	73.96	864.616	J8700	N												
J8705	Topotecan oral	.	.	.	.	.	.	.	.	.	.	.	J8705	K	1238	$104.37										
J9000	Doxorubicin hcl injection	35622	308397	2990763.9	0.03	616.78	9.7	6.33	51.65	5.97	52.48	466.782	J9000	N												
J9015	Aldesleukin injection	155	155	603176.46	291.77	7779.08	3891.46	3354.36	3354.36	4365.61	4365.61	38.67	J9015	K	0807	"$3,628.26"										
J9017	Arsenic trioxide injection	3978	63767	2955369.04	2.47	432.44	46.35	34.62	519.84	40.91	645.04	346.277	J9017	K	9012	$13.70										
J9019	Erwinaze injection	.	.	.	.	.	.	.	.	.	.	.	J9019	K	9289	$427.27										
J9020	"Asparaginase, nos"	.	.	.	.	.	.	.	.	.	.	.	J9020	E2												
J9021	"Inj, aspara, rylaze, 0.1 mg"	24	10080	583430.4	57.88	57.88	57.88	57.88	24307.73	57.88	24307.73	0	J9021	G	9437	$48.23										
J9022	"Inj, atezolizumab,10 mg"	41222	5036775	375671444.1	0.11	467.05	74.59	68.62	8313.21	69.67	8360.19	463.811	J9022	K	9483	$81.06										
J9023	"Injection, avelumab, 10 mg"	8375	671874	55177225.53	7.93	491.77	82.12	75.07	6013.51	79.31	6345.44	408.636	J9023	K	9491	$89.18										
J9025	Azacitidine injection	108882	18921321	50904031.74	0.01	263.33	2.69	1.78	300.51	1.9	308.65	1604.254	J9025	N												
J9027	Clofarabine injection	21	1210	95433.1	18.46	161.39	78.87	55.05	3112.13	39.89	1476.64	567.894	J9027	K	1710	$32.23										
J9030	Bcg live intravesical 1mg	27708	1250897	5326772.14	0.02	573.2	4.26	3.19	140.86	3.39	158.28	1749.121	J9030	N												
J9032	"Injection, belinostat, 10mg"	519	95563	3974524.34	8.24	74.37	41.59	39.48	7146.38	37.08	7387.1	408.804	J9032	K	1658	$47.12										
J9033	"Inj., treanda 1 mg"	1121	186273	4171937.48	1.99	49.36	22.4	19.9	3170.96	21.78	3542.27	556.754	J9033	K	9243	$14.37										
J9034	"Inj., bendeka 1 mg"	20310	3226178	72152700.97	0.16	175.55	22.36	20.59	3190.26	21.27	3336.68	547.338	J9034	K	1861	$16.91										
J9035	Bevacizumab injection	29585	2094546	166558390.5	0.02	1510.85	79.52	74.21	4679.51	75.5	4791.86	329.995	J9035	K	9214	$71.35										
J9036	Inj. belrapzo/bendamustine	1902	310378	7169442.44	7.1	61.81	23.1	22.05	3563.92	22.12	3745.25	378.127	J9036	K	9313	$15.06										
J9037	Inj belantamab mafodot blmf	1556	625724	24521560.96	10.46	120.9	39.19	36.68	14262.53	37.62	14830.06	719.909	J9037	K	9384	$45.31										
J9039	"Injection, blinatumomab"	873	130926	15759974.89	46.99	266.67	120.37	114.36	15300.81	115.74	16744.49	380.618	J9039	K	9449	$136.07										
J9040	Bleomycin sulfate injection	954	1796	82742.18	3.79	232.9	46.07	37.09	68.12	38.92	72.96	98.608	J9040	N												
J9041	"Injection, bortezomib, 0.1mg"	111223	3656619	141238534	0.09	1053.26	38.63	26.13	847.16	38.22	1268.86	445.836	J9041	K	9207	$6.22										
J9042	Brentuximab vedotin inj	4264	540347	92482682.41	29.74	618.65	171.15	155.94	19056	163.77	19610.53	492.261	J9042	K	9287	$213.80										
J9043	Cabazitaxel injection	7068	402852	82577058.63	1.51	2126.28	204.98	175.68	9935.09	178.4	10189.17	620.264	J9043	K	9276	$199.58										
J9045	Carboplatin injection	166088	1275286	14815417.87	0.01	1958.44	11.62	6.74	47.54	6.19	47.06	647.433	J9045	N												
J9046	"Inj, bortezomib, dr. reddys"	.	.	.	.	.	.	.	.	.	.	.	J9046	K	9026	$8.65										
J9047	"Injection, carfilzomib, 1 mg"	49435	4603607	197894072.3	0.84	267.01	42.99	39.63	3423.99	41.38	3626.68	418.252	J9047	K	9295	$44.76										
J9048	"Inj, bortezomib freseniuskab"	.	.	.	.	.	.	.	.	.	.	.	J9048	K	9027	$48.55										
J9049	"Inj, bortezomib, hospira"	.	.	.	.	.	.	.	.	.	.	.	J9049	K	9100	$5.67										
J9050	Carmustine injection	188	645	1194544.21	155.67	5771.74	1852.01	1475.35	4712.27	1976.87	5449.53	115.074	J9050	K	0812	$304.62										
J9055	Cetuximab injection	19566	1309312	92707412.71	0.99	413.13	70.81	65.09	4050.02	67.96	4057.33	339.503	J9055	K	9215	$70.14										
J9057	"Inj., copanlisib, 1 mg"	315	18594	1490232.84	30.91	152.48	80.15	75.95	4492.05	73.73	4423.57	253.403	J9057	K	9030	$84.04										
J9060	Cisplatin 10 mg injection	50340	398919	2854296.75	0.01	177.63	7.16	4.41	32.49	4.08	31.11	467.488	J9060	N												
J9061	"Inj, amivantamab-vmjw"	1401	678960	11663043.65	4.07	72.47	17.18	15.97	7318.4	17.1	8349.94	829.491	J9061	G	9432	$19.68										
J9065	Inj cladribine per 1 mg	1006	13355	530706.36	4.1	115.04	39.74	34.91	445.4	39.36	475.45	172.951	J9065	K	0858	$18.88										
J9070	Cyclophosphamide 100 mg inj	53730	590126	33431972.33	0.11	1226.45	56.65	47.3	478	51.58	498.33	267.649	J9070	K	1408	$21.64										
J9071	Inj cyclophosphamd auromedic	324	65512	208337.42	0.87	36.47	3.18	2.81	503.76	2.53	543.77	1043.691	J9071	G	9203	$3.87										
J9098	Cytarabine liposome inj	20	26	1044.02	40.15	40.16	40.15	40.15	49.43	40.15	40.15	0.015	J9098	E2												
J9100	Cytarabine hcl 100 mg inj	4538	48728	151674.39	0.12	176.69	3.11	1.64	12.09	1.34	12.51	843.707	J9100	N												
J9118	Inj. calaspargase pegol-mknl	.	.	.	.	.	.	.	.	.	.	.	J9118	E2												
J9119	"Inj., cemiplimab-rwlc, 1 mg"	10581	3703279	93354285.25	0.01	153.19	25.21	23.33	8163.44	23.73	8305.62	724.857	J9119	K	9304	$27.15										
J9120	Dactinomycin injection	61	190	196744.18	235.59	2819.47	1035.5	889.3	2509.59	880.88	2819.47	102.055	J9120	K	0752	$546.61										
J9130	Dacarbazine 100 mg inj	3838	31129	321860.32	0.42	286.5	10.34	7.87	62.32	7.79	61.3	350.328	J9130	N												
J9144	"Daratumumab, hyaluronidase"	107437	19331848	848469468	0.15	275.88	43.89	40.91	7361.46	42.52	7652.77	504.286	J9144	K	9378	$48.21										
J9145	"Injection, daratumumab 10 mg"	18394	2305639	125727501.5	0.54	349.41	54.53	50.2	6094.05	51.24	6269.55	461.348	J9145	K	9476	$60.77										
J9150	Daunorubicin injection	15	88	7409.74	31.87	144.88	84.2	79.25	426.31	71.66	536.7	84.733	J9150	K	0820	$37.16										
J9151	Daunorubicin citrate inj	.	.	.	.	.	.	.	.	.	.	.	J9151	E2												
J9153	"Inj daunorubicin, cytarabine"	261	22351	4172609.8	0.01	383.88	186.69	93.39	6456.15	182.79	14872.63	467.765	J9153	K	9302	$219.14										
J9155	Degarelix injection	13034	1420129	8137564.28	0.29	458.48	5.73	5.06	497.56	5.25	494.57	1232.432	J9155	K	1296	$4.06										
J9160	Denileukin diftitox inj	.	.	.	.	.	.	.	.	.	.	.	J9160	E2												
J9165	Diethylstilbestrol injection	.	.	.	.	.	.	.	.	.	.	.	J9165	E2												
J9171	Docetaxel injection	53394	6017270	29765435.4	0.01	124.21	4.95	2.56	265.09	2.25	234.8	1399.886	J9171	N												
J9173	"Inj., durvalumab, 10 mg"	36602	4051102	286781654.5	0.01	436.17	70.79	65.56	6745	67.14	6779.98	416.059	J9173	K	9492	$78.57										
J9175	Elliotts b solution per ml	95	485	5952.28	4.66	17.82	12.27	11.89	59.2	14.04	58.15	53.558	J9175	N												
J9176	"Injection, elotuzumab, 1mg"	6882	7227935	47328742.6	0.02	23.34	6.55	6.12	5924.91	6.36	5786.55	1141.468	J9176	K	9477	$7.06										
J9177	Inj enfort vedo-ejfv 0.25mg	11575	3649238	103200194.8	2.95	181.61	28.28	26.27	7927.34	27.97	8296.51	667.812	J9177	K	9364	$33.81										
J9178	"Inj, epirubicin hcl, 2 mg"	89	5316	10210.08	0.64	4.62	1.92	1.69	89.87	1.65	114.13	382.897	J9178	N												
J9179	Eribulin mesylate injection	7657	180921	22332999.96	16.43	861.31	123.44	114.05	2611.63	117.59	2785.19	230.427	J9179	K	1426	$126.92										
J9181	Etoposide injection	56220	983894	2567052.87	0.01	95.23	2.61	1.49	25.53	1.27	22.42	730.817	J9181	N												
J9185	Fludarabine phosphate inj	2682	3990	660202.56	15.69	1054.7	165.46	125.64	182.98	133.95	217.18	85.436	J9185	K	9080	$161.75										
J9190	Fluorouracil injection	159755	1423170	12026067.63	0.01	230.89	8.45	5.66	45.52	5.43	46.73	435.56	J9190	N												
J9198	"Inj. infugem, 100 mg"	362	6709	192244.38	2.63	62.21	28.65	24.73	455.23	29.64	545.11	154.664	J9198	K	9387	$24.67										
J9199	"Injection, infugem, 200 mg"	.	.	.	.	.	.	.	.	.	.	.	J9199	D												
J9200	Floxuridine injection	382	382	19634.11	0.48	1068.78	51.4	17.49	17.49	18.06	18.06	215.263	J9200	K	0827	"$3,513.56"										
J9201	In gemcitabine hcl nos 200mg	144716	1216333	20077105.11	0.02	578.75	16.51	9.55	78.04	8.69	73.09	546.611	J9201	N												
J9202	Goserelin acetate implant	6133	12271	8547044.65	73.14	2746.86	696.52	615.6	1076.6	616.81	1111.44	82.123	J9202	K	0810	$561.59										
J9203	Gemtuzumab ozogamicin 0.1 mg	217	10711	2155584.71	26.14	2100.96	201.25	163.03	7695.77	182.7	9019.28	787.666	J9203	K	9495	$217.49										
J9204	"Inj mogamulizumab-kpkc, 1 mg"	2147	175247	31961229.07	40.74	584.94	182.38	170.77	13673.39	178.88	14068.86	313.279	J9204	K	9182	$216.26										
J9205	Inj irinotecan liposome 1 mg	5289	616012	34211666.25	4.26	341.99	55.54	51.09	5757.2	53.46	6044.78	430.001	J9205	K	9474	$59.95										
J9206	Irinotecan injection	71423	1006466	13463316.94	0.05	506.76	13.38	7.55	102.61	7.23	102.19	922.463	J9206	N												
J9207	Ixabepilone injection	343	19554	2074488.95	38.08	240.22	106.09	99.11	5386.02	109.21	5130.32	270.501	J9207	K	9240	$121.88										
J9208	Ifosfamide injection	1055	3918	236687.15	5.55	865.32	60.41	41.71	143.83	38.91	136.41	328.363	J9208	N												
J9209	Mesna injection	1955	21176	215534.87	0.5	135.35	10.18	5.37	44.36	5.42	43.88	535.226	J9209	N												
J9210	"Inj., emapalumab-lzsg, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J9210	K	9310	$378.12										
J9211	Idarubicin hcl injection	22	56	16252.28	62.93	418.58	290.22	226.43	675.44	418.58	837.16	88.025	J9211	N												
J9212	Interferon alfacon-1 inj	1	5	726.5	145.3	145.3	145.3	145.3	726.52	145.3	726.52	.	J9212	E2												
J9213	Interferon alfa-2a inj	1	1	1255.34	1255.34	1255.34	1255.34	1255.34	1255.34	1255.34	1255.34	.	J9213	E2												
J9214	Interferon alfa-2b inj	512	19974	569100.88	4.71	193.87	28.49	26	778.02	23.77	928.28	285.386	J9214	K	0836	$32.57										
J9215	Interferon alfa-n3 inj	.	.	.	.	.	.	.	.	.	.	.	J9215	E2												
J9216	Interferon gamma 1-b inj	.	.	.	.	.	.	.	.	.	.	.	J9216	E2												
J9217	Leuprolide acetate suspnsion	122642	416544	246999432.7	1.5	15708.64	592.97	356.84	1144.4	339.09	1099.93	196.816	J9217	K	9217	$172.56										
J9218	Leuprolide acetate injeciton	34	569	17146.34	9.73	939.5	30.13	13.19	320.41	9.73	223.74	1558.671	J9218	N												
J9219	Leuprolide acetate implant	.	.	.	.	.	.	.	.	.	.	.	J9219	E2												
J9223	"Inj. lurbinectedin, 0.1 mg"	3922	275015	43128818.71	18.6	5874.18	156.82	143.52	9862.42	148.35	10635.71	506.257	J9223	K	9389	$188.30										
J9225	Vantas implant	2	2	3139.8	1569.9	1569.9	1569.9	1569.9	1569.9	1569.9	1569.9	0	J9225	K	1711	"$5,166.29"										
J9226	Supprelin la implant	2	2	33482.36	8520.86	24961.5	16741.18	14584.01	14584.01	16741.18	16741.18	69.441	J9226	K	1142	"$43,541.00"										
J9227	Inj. isatuximab-irfc 10 mg	3342	278557	18273173.95	3.31	388.91	65.6	60.18	4906.21	64.48	5183.25	365.648	J9227	K	9377	$71.70										
J9228	Ipilimumab injection	11153	1495947	215392382.1	1.23	914.99	143.98	132.11	15642.02	138.43	14976.42	483.789	J9228	K	9284	$165.45										
J9229	Inj inotuzumab ozogam 0.1 mg	470	5366	11440859.23	834.76	4388.36	2132.1	2016.98	21406.79	2047.57	19574.87	112.183	J9229	K	9028	"$2,479.96"										
J9230	Mechlorethamine hcl inj	2	6	37.93	5.5	10.43	6.32	6.12	16.93	5.5	18.96	71.191	J9230	N												
J9245	Inj melpha hydroch nos 50 mg	242	1329	694143.03	53.13	2409.01	522.3	352.31	1681.19	317.22	1662.32	246.776	J9245	K	0840	$186.51										
J9246	"Inj., evomela, 1 mg"	107	30540	1168814.64	6.5	66.39	38.27	34.16	9185.4	42.09	11616.4	701.413	J9246	K	9375	$16.80										
J9247	"Inj, melphalan flufenami 1mg"	5	190	102795	506.98	547.41	541.03	540.82	20357.36	547.41	21896.48	18.78	J9247	G	9417	$503.50										
J9250	Methotrexate sodium inj	5050	45194	95083.31	0.01	169.1	2.1	0.68	5.41	0.51	4.7	901.911	J9250	N												
J9260	Methotrexate sodium inj	4050	5344	99480.85	0.04	168.66	18.62	6.7	9.46	6.16	10.83	172.609	J9260	N												
J9261	Nelarabine injection	59	2526	444112.43	108.76	270.39	175.82	168.39	7079.53	146.74	7442.46	204.994	J9261	K	0825	$129.84										
J9262	"Inj, omacetaxine mep, 0.01mg"	40	12694	45516.39	2.74	4.74	3.59	3.53	1105.32	3.48	978.79	306.564	J9262	K	9297	$3.66										
J9263	Oxaliplatin	90755	28637513	29222195.93	0.01	19.46	1.02	0.46	140.08	0.44	136.47	3549.333	J9263	N												
J9264	Paclitaxel protein bound	59466	12477397	183632033.1	0.24	84.7	14.72	13.56	2742.89	14.04	2846.01	587.392	J9264	K	1712	$11.78										
J9266	Pegaspargase injection	49	59	988934.46	2518.29	33827.95	16761.6	14301.57	16952.6	16111.04	18669.75	57.716	J9266	K	0843	"$23,577.01"										
J9267	Paclitaxel injection	157070	27015280	15372775.07	0.01	22.26	0.57	0.35	55.85	0.33	54.73	2595.504	J9267	N												
J9268	Pentostatin injection	141	141	261881.52	518.86	3321.8	1857.32	1747.24	1747.24	1680.07	1680.07	33.428	J9268	K	0844	"$2,585.41"										
J9269	Inj. tagraxofusp-erzs 10 mcg	176	21983	7735612.65	148.35	512.06	351.89	338.28	39897.8	356.82	46490.62	294.912	J9269	K	9309	$322.18										
J9270	Plicamycin (mithramycin) inj	.	.	.	.	.	.	.	.	.	.	.	J9270	E2												
J9271	Inj pembrolizumab	226060	51533819	2451741058	0.08	600.46	47.58	43.96	9664.33	45.24	9651.58	606.662	J9271	K	1490	$55.42										
J9272	"Inj, dostarlimab-gxly, 10 mg"	206	13490	2701129	23.54	2926.59	200.23	175.14	11113.92	182.05	12167.63	634.759	J9272	G	9431	$223.92										
J9273	"Inj tisotu vedotin-tftv, 1mg"	188	22278	3267144.63	5.61	357.3	146.65	130.28	15050.45	150.97	16689.26	441.958	J9273	G	9204	$161.96										
J9274	"Inj, tebentafusp-tebn, 1 mcg"	282	24936	4533124.88	62.5	310.82	181.79	171.64	15288.23	187.98	15408.1	298.11	J9274	G	9446	$198.86										
J9280	Mitomycin injection	10499	62985	7129298.96	0.38	2960.65	113.19	77.83	391.2	89.51	479.9	265.27	J9280	K	1232	$24.02										
J9281	Mitomycin instillation	730	52978	13487354.37	0.48	1903.32	254.58	220.32	15271.63	250.31	18930.57	383.718	J9281	K	9374	$289.51										
J9285	"Inj, olaratumab, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J9285	E2												
J9293	Mitoxantrone hydrochl / 5 mg	282	1408	114479.27	4.87	427.96	81.31	57.49	287.34	46.96	248.82	237.759	J9293	K	0864	$49.33										
J9295	"Injection, necitumumab, 1 mg"	11	8800	51192	4.97	6.55	5.82	5.79	4631.76	5.47	4374.89	291.282	J9295	K	9475	$5.74										
J9298	Inj nivol relatlimab 3mg/1mg	726	115072	19317147.24	38.74	1403.8	167.87	146.48	25155.8	150.76	25687.76	822.346	J9298	G	9057	$180.34										
J9299	"Injection, nivolumab"	95321	33886147	920193400.5	0.08	382.02	27.16	25.11	8263.88	25.43	8537.48	773.911	J9299	K	9453	$29.91										
J9301	Obinutuzumab inj	10527	1043001	68145952.75	0.14	218.51	65.34	60.75	6012.44	63.04	6244.49	365.692	J9301	K	1476	$66.91										
J9302	Ofatumumab injection	22	1870	113383.5	36.3	90.95	60.63	59.4	1652.81	53.87	5124.42	200.122	J9302	K	9260	$63.96										
J9303	Panitumumab injection	10542	483720	60554263.85	9.36	623.46	125.18	115.76	5056.49	120.38	5227.44	262.804	J9303	K	9235	$142.42										
J9304	"Inj. pemetrexed, 10 mg"	1253	111017	8472703.21	2.27	111.42	76.32	66.37	5740.28	89.14	6725.97	329.803	J9304	G	9442	$77.55										
J9305	Inj. pemetrexed nos 10mg	41875	3704066	213948147.2	0.1	451.45	57.76	39.05	3399.9	59.89	5152.13	586.295	J9305	K	9213	$17.14										
J9306	"Injection, pertuzumab, 1 mg"	27903	12558005	157098211.1	0.04	79.88	12.51	11.55	5103.78	11.94	5220.16	831.098	J9306	K	1471	$14.43										
J9307	Pralatrexate injection	853	37836	12145887.5	63.1	880.83	321.01	300.55	12542.57	310.27	12322.85	237.216	J9307	K	9259	$351.95										
J9308	"Injection, ramucirumab"	7836	1041703	61517703.2	5.65	375.62	59.05	54.57	7009.46	56.72	7374.64	471.564	J9308	K	1488	$66.85										
J9309	"Inj, polatuzumab vedotin 1mg"	2211	324951	33233152.43	3.79	255.84	102.27	94.69	13394.65	101.07	14365.43	447.831	J9309	K	9331	$118.11										
J9311	"Inj rituximab, hyaluronidase"	5963	838989	39272484.84	0.37	157.3	46.81	43.11	6069.1	42.71	6052.09	483	J9311	K	9467	$37.49										
J9312	"Inj., rituximab, 10 mg"	36564	2987475	265976705.8	0.01	343.92	89.03	82.14	6558.25	84.61	7027.45	343.937	J9312	K	9186	$81.19										
J9313	"Inj., lumoxiti, 0.01 mg"	4	1029	36944.64	29.56	80.16	35.9	33.5	9214.96	29.56	8867.79	864.295	J9313	K	9305	$23.39										
J9314	Inj pemetrexed (teva) 10mg	.	.	.	.	.	.	.	.	.	.	.	J9314	K	9105	$13.40										
J9315	Romidepsin injection	.	.	.	.	.	.	.	.	.	.	.	J9315	D												
J9316	"Pertuzu, trastuzu, 10 mg"	4111	408802	34250110.84	10.54	324.15	83.78	73.87	7385.78	74.25	8147.87	546.497	J9316	K	9390	$68.44										
J9317	Sacituzumab govitecan-hziy	9889	2534366	72910572.55	0.34	94.56	28.77	26.53	6524.48	27.29	6905.64	609.858	J9317	K	9376	$32.55										
J9318	Inj romidepsin non-lyo 0.1mg	57	15155	471140.3	15.76	47.03	31.09	29.39	8032.84	25.17	7550.31	543.293	J9318	K	9428	$33.91										
J9319	Inj romidepsin lyophil 0.1mg	1967	494249	16934395.69	11.09	68.48	34.26	32.66	8004.2	35.69	8509.07	455.286	J9319	K	9429	$31.49										
J9320	Streptozocin injection	3	6	1184.76	197.46	197.46	197.46	197.46	394.91	197.46	394.91	0	J9320	K	0850	$370.18										
J9325	Inj talimogene laherparepvec	1639	327678	19362605.17	7.88	5081.61	59.09	55.8	6144.38	61.21	9337.93	592.051	J9325	K	9472	$62.36										
J9328	Temozolomide injection	29	6868	82844.52	6.14	15.36	12.06	11.63	2486.58	13.23	3054.74	382.119	J9328	K	9253	$10.42										
J9330	Temsirolimus injection	1005	25241	1859707.26	18.39	1740.92	73.68	59.33	1465.12	56.55	1413.79	789.978	J9330	K	1168	$32.17										
J9331	Inj sirolimus prot part 1 mg	61	9033	699960.87	33.89	112.39	77.49	75.01	11010.16	84.94	10704.8	284.43	J9331	G	9241	$104.54										
J9332	Inj efgartigimod 2mg	1511	782084	21063060.77	0.04	235.54	26.93	24.33	12854.66	25.75	13524.14	927.588	J9332	G	9010	$31.52										
J9340	Thiotepa injection	99	125	56297.41	125.06	1140.52	450.38	366.34	433.69	352.72	567.76	70.127	J9340	K	0851	$297.26										
J9348	"Inj. naxitamab-gqgk, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J9348	G	9408	$578.77										
J9349	"Inj., tafasitamab-cxix"	4210	1965746	22815584.24	1.82	31.63	11.61	10.79	4927.04	10.83	5224.55	807.314	J9349	K	9385	$13.15										
J9351	Topotecan injection	8753	408803	1948898.27	0.03	50.25	4.77	2.97	126.69	3.13	130.89	835.341	J9351	N												
J9352	Injection trabectedin 0.1mg	870	23452	7288212.61	110.36	887.68	310.77	285.64	7550.35	310.63	7808.44	217.448	J9352	K	9480	$331.83										
J9353	"Inj. margetuximab-cmkb, 5 mg"	361	73005	3184947.5	15.65	98.75	43.63	40.34	7870.95	40.76	7985.91	570.813	J9353	G	9418	$45.04										
J9354	"Inj, ado-trastuzumab emt 1mg"	10719	2731860	88045495.41	3.08	125.22	32.23	29.78	7383.88	30.03	7459.88	652.109	J9354	K	9131	$36.25										
J9355	Inj trastuzumab excl biosimi	25072	1151199	112193800.6	5.03	600.7	97.46	91.34	3976	93.5	4169.41	248.479	J9355	K	1613	$80.25										
J9356	"Inj. herceptin hylecta, 10mg"	4093	245580	18551018.4	0.06	647.94	75.54	68.68	4120.68	69.61	4176.78	416.839	J9356	K	9314	$65.08										
J9357	Valrubicin injection	389	1556	1856993.88	298.44	3879.64	1193.44	1077.38	4309.5	1071.77	4287.09	105.675	J9357	K	1235	"$1,442.53"										
J9358	Inj fam-trastu deru-nxki 1mg	14360	5437267	128002210.1	1.41	140.77	23.54	21.81	7952.94	22.36	8232.31	767.769	J9358	K	9353	$25.63										
J9359	Inj lon tesirin-lpyl 0.075mg	467	67985	11628715.08	0.8	1842.27	171.05	143.36	21015.4	174.49	22907.06	659.389	J9359	G	9205	$191.42										
J9360	Vinblastine sulfate inj	3957	41133	264107.5	0.41	130.56	6.42	5.31	52.62	5.05	52.66	259.729	J9360	N												
J9370	Vincristine sulfate 1 mg inj	21641	36924	603823.79	0.54	194.58	16.35	10.6	17.59	9.29	15.8	153.52	J9370	N												
J9371	"Inj, vincristine sul lip 1mg"	41	86	105253.78	3.03	3083.62	1223.88	50.39	17.34	3.07	6.06	176.702	J9371	K	1466	"$3,420.78"										
J9390	Vinorelbine tartrate inj	6588	30543	635575.55	2.16	150.09	20.81	16.6	76.79	16.59	76.19	173.526	J9390	N												
J9393	"Inj, fulvestrant (teva)"	.	.	.	.	.	.	.	.	.	.	.	J9393	K	9102	$3.07										
J9394	"Inj, fulvestrant (fresenius)"	.	.	.	.	.	.	.	.	.	.	.	J9394	K	9103	$3.92										
J9395	"Injection, fulvestrant"	74516	1490315	81753053.45	0.34	1623.09	54.86	38.34	766.76	45.28	905.64	362.999	J9395	K	9120	$12.09										
J9400	"Inj, ziv-aflibercept, 1mg"	118	33824	378565.7	0.69	23.18	11.19	8.35	2114.7	10.51	2477.24	1019.289	J9400	K	9296	$7.39										
J9600	Porfimer sodium injection	42	88	1480050.65	3741.3	34538.99	16818.76	15027.86	30696.65	15490.02	28749.79	65.332	J9600	K	0856	"$22,490.02"										
J9999	Chemotherapy drug	1835	3371	6165581.82	0.01	34317.84	1829.01	10.4	4.13	2.42	0.57	339.607	J9999	N												
P9041	"Albumin (human),5%, 50ml"	5865	160947	2834891.54	0.07	1374.82	17.61	14.51	224	14.58	197.28	466.415	P9041	K	0961	$10.62										
P9045	"Albumin (human), 5%, 250 ml"	36557	211507	13579749.26	1.19	1591.37	64.2	56.63	200.74	55.17	173.65	142.366	P9045	K	0963	$53.08										
P9046	"Albumin (human), 25%, 20 ml"	2268	18327	457222.5	0.29	230.28	24.95	18.19	141.29	21.83	165.98	210.697	P9046	K	0964	$21.23										
P9047	"Albumin (human), 25%, 50ml"	84420	291857	20011579.53	2.61	1234.12	68.57	59	182.6	58.76	187.27	114.951	P9047	K	0965	$53.08										
Q0138	"Ferumoxytol, non-esrd"	70051	35761533	53973725.16	0.02	43.09	1.51	1.26	641	1.35	687.56	1356.45	Q0138	K	1297	$0.48										
Q0139	"Ferumoxytol, esrd use"	1460	744521	1021723.93	0.06	4.26	1.37	1.18	598.9	1.02	520.97	1202.882	Q0139	K	1485	$0.48										
Q0161	Chlorpromazine hcl 5mg oral	1620	42293	35163.7	0.01	30.08	0.83	0.54	11.5	0.65	11.55	592.48	Q0161	N												
Q0162	Ondansetron oral	153986	1397125	1746841.25	0.01	121.87	1.25	0.26	2.82	0.13	1.69	587.207	Q0162	N												
Q0163	Diphenhydramine hcl 50mg	86608	89670	56671.7	0.01	21.72	0.63	0.2	0.2	0.23	0.23	193.388	Q0163	N												
Q0164	Prochlorperazine maleate 5mg	14785	27802	23571.74	0.03	12.58	0.85	0.65	1.18	0.66	1.21	120.972	Q0164	N												
Q0166	Granisetron hcl 1 mg oral	6278	9349	76618.31	0.15	135.08	8.2	2.73	3.92	2.49	3.07	243.304	Q0166	N												
Q0167	Dronabinol 2.5mg oral	2663	5722	32195.49	0.24	77.96	5.63	4.17	7.71	4.55	8.12	171.761	Q0167	N												
Q0169	Promethazine hcl 12.5mg oral	3489	6997	6233.52	0.01	16.96	0.89	0.51	0.97	0.58	1.08	183.943	Q0169	N												
Q0173	Trimethobenzamide hcl 250mg	.	.	.	.	.	.	.	.	.	.	.	Q0173	E2												
Q0174	Thiethylperazine maleate10mg	.	.	.	.	.	.	.	.	.	.	.	Q0174	E2												
Q0175	Perphenazine 4mg oral	659	1852	2950.29	0.14	9.11	1.59	1.24	3.17	1.27	3.03	124.64	Q0175	N												
Q0177	Hydroxyzine pamoate 25mg	6704	11382	10739.42	0.02	18.13	0.94	0.62	0.97	0.62	1.05	145.081	Q0177	N												
Q0180	Dolasetron mesylate oral	1	1	1.43	1.43	1.43	1.43	1.43	1.43	1.43	1.43	.	Q0180	N												
Q0239	Bamlanivimab-xxxx	.	.	.	.	.	.	.	.	.	.	.	Q0239	D												
Q0515	Sermorelin acetate injection	.	.	.	.	.	.	.	.	.	.	.	Q0515	E2												
Q2004	Bladder calculi irrig sol	1	1	146.92	146.92	146.92	146.92	146.92	146.92	146.92	146.92	.	Q2004	K	9223	$146.92										
Q2009	Fosphenytoin inj pe	2005	35448	284908.66	0.12	121.17	8.04	5.4	86.26	6.24	89.9	390.97	Q2009	K	9321	$5.10										
Q2017	"Teniposide, 50 mg"	.	.	.	.	.	.	.	.	.	.	.	Q2017	E2												
Q2026	Radiesse injection	41	97	28343.51	9.03	1318.6	292.2	97.39	566.52	71.32	744.37	191.675	Q2026	K	9094	$167.36										
Q2028	"Inj, sculptra, 0.5mg"	18	23522	26220.65	0.52	5.47	1.11	0.83	664.6	0.52	765.3	3776.624	Q2028	K	9095	$1.02										
Q2039	"Influenza virus vaccine, nos"	1514	1514	10481.46	2.37	40.06	6.92	5.99	5.99	4.09	4.09	68.478	Q2039	L												
Q2041	Axicabtagene ciloleucel car+	.	.	.	.	.	.	.	.	.	.	.	Q2041	K	9035	"$449,245.86"										
Q2042	Tisagenlecleucel car-pos t	1	1	739174.1	739174.1	739174.1	739174.1	739174.1	739174.1	739174.1	739174.1	.	Q2042	K	9194	"$468,441.50"										
Q2043	Sipuleucel-t auto cd54+	428	428	21884261.85	8147.99	163749.3	51131.45	44716.83	44716.83	50335.65	50335.65	46.127	Q2043	K	9273	"$53,630.37"										
Q2049	Imported lipodox inj	28	170	68312.7	149.92	1673	401.84	368.94	2112.85	455.42	2329.9	103.403	Q2049	K	1421	$424.10										
Q2050	Doxorubicin inj 10mg	14421	93211	27927359.23	4.45	4021.62	299.61	248.74	1552.98	265.74	1643.54	150.482	Q2050	K	7046	$78.06										
Q2053	Brexucabtagene car pos t	.	.	.	.	.	.	.	.	.	.	.	Q2053	K	9391	"$448,752.40"										
Q2054	Lisocabtagene mara car pos t	2	2	788176.04	374593.6	413582.4	394088	393605.6	393605.6	394088	394088	6.996	Q2054	G	9413	"$434,918.00"										
Q2055	Idecabtagene vicleucel car	.	.	.	.	.	.	.	.	.	.	.	Q2055	G	9422	"$444,670.00"										
Q2056	Ciltacabtagene car-pos t	.	.	.	.	.	.	.	.	.	.	.	Q2056	G	9498	"$492,900.00"										
Q3027	Inj beta interferon im 1 mcg	393	10398	649019.52	10.02	1542.14	62.42	47.08	1407.51	51.71	1542.14	864.486	Q3027	K	1472	$53.08										
Q4081	"Epoetin alfa, 100 units esrd"	2191	209406	478611.45	0.07	42.31	2.29	1.92	170.04	2.14	193.39	780.181	Q4081	N												
Q4100	"Skin substitute, nos"	2974	85339	5760587.7	0.07	30492.26	67.5	2.76	845.71	1.42	1113.55	4063.828	Q4100	N												
Q4101	Apligraf	7666	335683	11959009.34	0.22	2495.93	35.63	29.12	1224.16	28.59	1232	695.289	Q4101	N												
Q4102	Oasis wound matrix	1923	27511	522731.92	0.19	1463.08	19	8.83	110.81	8.07	110.04	782.785	Q4102	N												
Q4103	Oasis burn matrix	539	25075	282299.93	0.04	1928.22	11.26	6.37	218.5	7.22	205.05	1596.36	Q4103	N												
Q4104	Integra bmwd	1492	63944	5000764.91	0.07	23616.21	78.21	35.97	2013.47	35.5	2429.9	3175.683	Q4104	N												
Q4105	Integra drt or omnigraft	198	4609	419327.82	3.65	8017.41	90.98	34.58	438.57	40.36	1364.05	1987.779	Q4105	N												
Q4106	Dermagraft	471	16022	611974.34	3.96	2622.85	38.2	29.3	805.85	29.97	1059.37	757.655	Q4106	N												
Q4107	Graftjacket	191	2004	537424.67	34.32	7799.11	268.18	120.44	1807.48	107.59	2101.4	865.191	Q4107	N												
Q4108	Integra matrix	280	7568	700801.98	0.18	23616.21	92.6	31.68	1667.02	42.53	2029.5	2529.446	Q4108	N												
Q4110	Primatrix	2413	29503	2090511.73	0.01	14522.62	70.86	48.07	540.9	47.02	663.7	953.474	Q4110	N												
Q4111	Gammagraft	39	2436	18709.61	2.21	428.75	7.68	5.49	316.77	5.35	395.4	1181.61	Q4111	N												
Q4112	Cymetra injectable	4	5	13738.9	274.06	11467.64	2747.78	806.9	1256.96	274.06	998.6	205.956	Q4112	N												
Q4113	Graftjacket xpress	1	1	253.32	253.32	253.32	253.32	253.32	253.32	253.32	253.32	.	Q4113	N												
Q4114	Integra flowable wound matri	292	737	386151.35	13.82	7137.66	523.95	89.99	366.57	30.19	241.52	360.996	Q4114	N												
Q4115	Alloskin	31	1054	8753.73	2.29	1294.02	8.31	4.92	87.84	4.79	218.62	3202.535	Q4115	N												
Q4116	Alloderm	2726	427064	19634603.87	0.04	43327.84	45.98	27.3	3083.97	28.33	4619.74	9489.435	Q4116	N												
Q4117	Hyalomatrix	332	6730	192813.14	0.09	3419.82	28.65	16.1	237.41	17.77	313.65	1505.196	Q4117	N												
Q4118	Matristem micromatrix	950	388945	1562288.14	0.03	16513.67	4.02	2.23	651.92	2.24	981.43	34322.41	Q4118	N												
Q4121	Theraskin	5300	110172	6540035.64	0.09	5330.94	59.36	36.38	654.66	36.23	767.7	888.485	Q4121	N												
Q4122	"Dermacell, awm, porous sq cm"	210	49957	1746835.18	0.03	10430.78	34.97	25.11	3669.48	31.66	5753.3	7014.183	Q4122	N												
Q4123	Alloskin	5	45	7726.68	108.06	192.85	171.7	167.85	1510.69	192.85	1735.69	64.149	Q4123	N												
Q4124	Oasis tri-layer wound matrix	534	11522	181081.96	1.81	2306.24	15.72	10.48	175.72	11.25	159.04	1388.607	Q4124	N												
Q4125	Arthroflex	711	22565	1808779.62	0.29	10159.51	80.16	8.91	1739.64	4.35	2235.84	2395.806	Q4125	N												
Q4126	Memoderm/derma/tranz/integup	57	5012	194411.57	3.42	6448.55	38.79	21.55	1783.99	29.69	1642.69	4966.482	Q4126	N												
Q4127	Talymed	183	2216	87403.7	13.18	158.52	39.44	36.37	431.36	28.26	431.88	184.713	Q4127	N												
Q4128	Flexhd/allopatchhd/sq cm	884	130110	4812628.45	0.03	37148.71	36.99	20.36	1924.14	22.57	2363.97	10565.08	Q4128	N												
Q4130	Strattice tm	219	21257	765992.71	7.85	15883.89	36.03	22.94	1773.92	22	2051.36	7262.156	Q4130	N												
Q4132	"Grafix core, grafixpl core"	413	2667	514262.42	7.38	8901.41	192.82	137.66	739.5	111.96	726.66	417.823	Q4132	N												
Q4133	Grafix stravix prime pl sqcm	16189	93013	16820055.94	0.45	19036.68	180.84	129.22	629.49	135.41	626.14	323.92	Q4133	N												
Q4134	Hmatrix	.	.	.	.	.	.	.	.	.	.	.	Q4134	N												
Q4135	Mediskin	1	25	3821.25	152.85	152.85	152.85	152.85	3821.15	152.85	3821.15	.	Q4135	N												
Q4136	Ezderm	5	72	337.89	0.34	303.25	4.69	0.49	16.96	0.34	8.5	3203.321	Q4136	N												
Q4137	Amnioexcel biodexcel 1sq cm	1322	10834	1699572.76	3.66	5307.38	156.87	103.8	782.48	122.1	818.95	456.285	Q4137	N												
Q4138	"Biodfence dryflex, 1cm"	26	26	35672.7	435.28	3381.44	1372.03	1027.05	1027.05	1058.58	1058.58	80.546	Q4138	N												
Q4139	"Amnio or biodmatrix, inj 1cc"	64	68	138565.48	264.98	6540.91	2037.73	1685.97	1921.93	1670.56	2002.32	55.184	Q4139	N												
Q4140	Biodfence 1cm	98	761	207029.9	16.69	7204.02	272.05	116.43	1027.09	141.68	1985	729.662	Q4140	N												
Q4141	"Alloskin ac, 1 cm"	3	353	5141.33	5.31	3272.21	14.56	5.41	1419.09	5.31	934.53	15838.14	Q4141	N												
Q4142	Xcm biologic tiss matrix 1cm	9	257	6651.43	10.3	1182.66	25.88	12.52	471.78	10.3	356.97	2351.614	Q4142	N												
Q4143	"Repriza, 1cm"	3	81	7483.44	53.05	3239.44	92.39	55.81	2435.12	53.05	2334.1	2423.651	Q4143	N												
Q4145	"Epifix, inj, 1mg"	3	502	5734.99	1.84	3747.43	11.42	1.89	1543.9	1.84	1067.56	24066.83	Q4145	N												
Q4146	"Tensix, 1cm"	1	2	245.9	122.95	122.95	122.95	122.95	245.9	122.95	245.9	.	Q4146	N												
Q4147	Architect ecm px fx 1 sq cm	1	18	4251.06	236.17	236.17	236.17	236.17	4251.02	236.17	4251.02	.	Q4147	N												
Q4148	Neox neox rt or clarix cord	892	6404	950548.68	0.15	4348.47	148.43	98.31	508.52	92.49	670.94	457.753	Q4148	N												
Q4149	"Excellagen, 0.1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4149	N												
Q4150	Allowrap ds or dry 1 sq cm	147	1736	400583.15	22.16	9383.32	230.75	144.35	1864.61	140.72	2193.2	829.704	Q4150	N												
Q4151	"Amnioband, guardian 1 sq cm"	735	3840	653737.28	2.53	9359.12	170.24	127.58	489.45	130.4	585.46	363.477	Q4151	N												
Q4152	Dermapure 1 square cm	123	4232	234382.45	0.67	6573.84	55.38	26.83	1255.11	25.39	1725.47	2680.089	Q4152	N												
Q4153	"Dermavest, plurivest sq cm"	39	185	43802	38.97	358.87	236.77	190.5	622.5	246.61	1388.17	114.589	Q4153	N												
Q4154	Biovance 1 square cm	86	796	85645.63	6.9	1380.31	107.6	89.46	553.49	113.75	458.46	244.79	Q4154	N												
Q4155	Neoxflo or clarixflo 1 mg	217	12327	386801.01	2.31	5484.83	31.38	9.38	931.57	9.91	1578.2	5648.325	Q4155	N												
Q4156	Neox 100 or clarix 100	73	1356	117564.31	23.16	5985.49	86.7	57.37	904.95	64.87	788.76	1413.581	Q4156	N												
Q4157	Revitalon 1 square cm	.	.	.	.	.	.	.	.	.	.	.	Q4157	N												
Q4158	"Kerecis omega3, per sq cm"	4551	63086	5041834.55	0.03	20469.76	79.92	48.52	519.14	50.12	607.42	995.483	Q4158	N												
Q4159	Affinity1 square cm	843	2495	669035.7	13.98	3074.29	268.15	191.68	589.23	196.22	600.61	160.609	Q4159	N												
Q4160	Nushield 1 square cm	8686	50461	7609665.79	0.08	3839.54	150.8	96.91	496.72	101.07	505.73	412.139	Q4160	N												
Q4161	Bio-connekt per square cm	3	20	1194.96	11.88	68.35	59.75	52.47	136.82	68.35	65.72	106.471	Q4161	N												
Q4162	"Wndex flw, bioskn flw, 0.5cc"	8	48	32256	672	672	672	672	3801.41	672	4032	0	Q4162	N												
Q4163	"Woundex, bioskin, per sq cm"	109	127	203905.17	206.38	5780.04	1605.55	1369.36	1660.44	1520.71	1520.71	57.789	Q4163	N												
Q4164	"Helicoll, per square cm"	2	25	1060.48	1.36	257.98	42.42	3.15	171.7	1.36	530.24	1108.913	Q4164	N												
Q4165	"Keramatrix, kerasorb sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4165	N												
Q4166	"Cytal, per square centimeter"	905	50814	1112922.42	0.12	16652.09	21.9	9.51	449.22	7.73	664.2	5686.079	Q4166	N												
Q4167	"Truskin, per sq centimeter"	1	1	907.87	907.87	907.87	907.87	907.87	907.87	907.87	907.87	.	Q4167	N												
Q4168	"Amnioband, 1 mg"	150	13425	375518.46	4.95	3287.04	27.97	20.09	1848.88	24.21	2534.4	3677.165	Q4168	N												
Q4169	"Artacent wound, per sq cm"	2	5	5119.82	263.68	4065.1	1023.96	455.7	2070.65	263.68	2559.92	332.052	Q4169	N												
Q4170	"Cygnus, per sq cm"	81	1808	145650.6	21.9	6895.17	80.56	42.89	1433.77	24.55	1860.67	1637.603	Q4170	N												
Q4171	"Interfyl, 1 mg"	95	9219	295965.14	7.78	2652.47	32.1	26.53	2943.23	33.77	3376.89	2499.112	Q4171	N												
Q4173	Palingen or palingen xplus	58	1376	113017.51	0.3	105.95	82.13	74	516.99	105.95	2542.91	176.661	Q4173	N												
Q4174	Palingen or promatrx	58	488	160407.15	123.54	523.79	328.7	301.38	1985.11	318.67	1991.8	111.191	Q4174	N												
Q4175	Miroderm	5	15	5951.33	47.62	1797.52	396.76	176.8	409.51	103.91	935.2	283.848	Q4175	N												
Q4176	"Neopatch or therion, 1 sq cm"	372	2167	413784.09	23.42	6448.46	190.95	150.18	772.13	180.69	968.17	269.213	Q4176	N												
Q4177	"Floweramnioflo, 0.1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4177	N												
Q4178	"Floweramniopatch, per sq cm"	12	189	20678.77	49.37	3580.2	109.41	69.66	1334.42	61.58	1477.84	1245.019	Q4178	N												
Q4179	"Flowerderm, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4179	N												
Q4180	"Revita, per sq cm"	507	11153	775883.63	0.45	5723.15	69.57	48.9	821.1	43.33	810.92	889.867	Q4180	N												
Q4181	"Amnio wound, per square cm"	20	36	34635.8	120.65	5568.87	962.11	464.4	1517.73	638.84	1441.09	162.516	Q4181	N												
Q4182	"Transcyte, per sq centimeter"	.	.	.	.	.	.	.	.	.	.	.	Q4182	N												
Q4183	"Surgigraft, 1 sq cm"	222	1717	102181.85	0.76	2901.17	59.51	46.15	278.19	54.71	305.72	476.099	Q4183	N												
Q4184	Cellesta or duo per sq cm	2	2	999.9	499.95	499.95	499.95	499.95	499.95	499.95	499.95	0	Q4184	N												
Q4185	Cellesta flowab amnion 0.5cc	.	.	.	.	.	.	.	.	.	.	.	Q4185	N												
Q4186	Epifix 1 sq cm	22577	122591	19898454.44	1.05	19866.71	162.32	116.02	548.55	120.43	581.79	293.838	Q4186	N												
Q4187	Epicord 1 sq cm	4023	19748	4601979.83	0.15	6291.48	233.04	160.12	750.05	200.81	880.08	196.802	Q4187	N												
Q4188	Amnioarmor 1 sq cm	1	1	1520.71	1520.71	1520.71	1520.71	1520.71	1520.71	1520.71	1520.71	.	Q4188	N												
Q4189	"Artacent ac, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	Q4189	N												
Q4190	Artacent ac 1 sq cm	5	25	16641.82	50.02	5649.99	665.67	306.79	1327.18	247.7	5201.62	528.364	Q4190	N												
Q4191	Restorigin 1 sq cm	3	8	5101.46	212.47	2180.39	637.68	367.16	1660.19	212.47	1646.25	234.756	Q4191	N												
Q4192	"Restorigin, 1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4192	N												
Q4193	Coll-e-derm 1 sq cm	7	80	15810.3	74.24	4739.2	197.63	101.26	1459.36	78.35	2078.58	1155.494	Q4193	N												
Q4194	Novachor 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4194	N												
Q4195	Puraply 1 sq cm	967	6873	1051761.87	4.28	19354.19	153.03	96.53	571.75	92.72	540.82	573.641	Q4195	N												
Q4196	Puraply am 1 sq cm	22479	152970	19536619.89	0.91	8207.6	127.72	89.63	530.12	99.72	545.1	357.226	Q4196	N												
Q4197	Puraply xt 1 sq cm	46	1285	180313.75	40.9	3092.51	140.32	109.08	2352.89	187.29	1968.01	580.321	Q4197	N												
Q4198	Genesis amnio membrane 1sqcm	16	440	29781.84	62.67	68.94	67.69	67.64	1735.25	68.94	1930.23	20.068	Q4198	N												
Q4199	"Cygnus matrix, per sq cm"	5	46	47242.06	247.7	33238.19	1027	296.35	4566.51	247.7	5201.62	1590.365	Q4199	N												
Q4200	Skin te 1 sq cm	1	1	93.52	93.52	93.52	93.52	93.52	93.52	93.52	93.52	.	Q4200	N												
Q4201	Matrion 1 sq cm	56	281	161587.81	60.87	3683.04	575.05	428.3	1830.45	613.84	3683.04	220.826	Q4201	N												
Q4202	"Keroxx (2.5g/cc), 1cc"	.	.	.	.	.	.	.	.	.	.	.	Q4202	N												
Q4203	"Derma-gide, 1 sq cm"	1	2	321.26	160.63	160.63	160.63	160.63	321.25	160.63	321.25	.	Q4203	N												
Q4204	Xwrap 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4204	N												
Q4205	Membrane graft or wrap sq cm	105	3735	369580.23	52.73	4819.96	98.95	77.05	2068.2	60.96	1576.37	882.248	Q4205	N												
Q4206	Fluid flow or fluid gf 1 cc	5	7	23146.26	1027.86	3686.4	3306.61	3071.6	3767.74	3686.4	3686.4	37.218	Q4206	N												
Q4208	Novafix per sq cm	15	73	14532.06	74.42	2339.82	199.07	120.91	685.99	99.22	499.67	508.581	Q4208	N												
Q4209	Surgraft per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4209	N												
Q4210	Axolotl graf dualgraf sq cm	1	1	1697.12	1697.12	1697.12	1697.12	1697.12	1697.12	1697.12	1697.12	.	Q4210	N												
Q4211	Amnion bio or axobio sq cm	16	50	29244.85	154.06	5806.71	584.9	271.57	1090.48	196.82	480.18	381.083	Q4211	N												
Q4212	"Allogen, per cc"	4	4	2369.6	592.4	592.4	592.4	592.4	592.4	592.4	592.4	0	Q4212	N												
Q4213	"Ascent, 0.5 mg"	2	2	1711.7	855.85	855.85	855.85	855.85	855.85	855.85	855.85	0	Q4213	N												
Q4214	Cellesta cord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4214	N												
Q4215	"Axolotl ambient, cryo 0.1 mg"	3	3	5186.15	1634.83	1775.66	1728.72	1727.42	1727.42	1775.66	1775.66	4.703	Q4215	N												
Q4216	Artacent cord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4216	N												
Q4217	Woundfix biowound plus xplus	1	1	13639.5	13639.5	13639.5	13639.5	13639.5	13639.5	13639.5	13639.5	.	Q4217	N												
Q4218	Surgicord per sq cm	1	1	1241.71	1241.71	1241.71	1241.71	1241.71	1241.71	1241.71	1241.71	.	Q4218	N												
Q4219	Surgigraft dual per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4219	N												
Q4220	"Bellacell hd, surederm sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4220	N												
Q4221	Amniowrap2 per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4221	N												
Q4222	"Progenamatrix, per sq cm"	34	516	13861.16	15.55	423.72	26.86	17.17	318.5	15.55	385.2	932.169	Q4222	N												
Q4224	Hhf10-p per sq cm	1	16	564.32	35.27	35.27	35.27	35.27	564.34	35.27	564.34	.	Q4224	N												
Q4225	"Amniobind, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4225	N												
Q4226	Myown harv prep proc sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4226	N												
Q4227	Amniocore per sq cm	18	626	227330.35	0.07	71590.86	363.15	40.81	1371.44	34.57	1949.43	7602.644	Q4227	N												
Q4228	"Bionextpatch, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4228	D												
Q4229	Cogenex amnio memb per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4229	N												
Q4230	Cogenex flow amnion 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4230	N												
Q4231	"Corplex p, per cc"	6	13	9250.49	230.65	3887.77	711.58	427.1	1269.17	230.65	1120.6	220.736	Q4231	N												
Q4232	"Corplex, per sq cm"	64	306	55925.66	46.33	1148.6	182.76	128.28	755.67	135.03	628.28	247.366	Q4232	N												
Q4233	Surfactor /nudyn per 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4233	N												
Q4234	"Xcellerate, per sq cm"	67	668	203012.73	99.75	5532.63	303.91	201.42	2325.1	158.82	2612.4	640.491	Q4234	N												
Q4235	Amniorepair or altiply sq cm	26	374	87267.95	22.93	3221.63	233.34	142.97	2905.47	193.46	2466.68	671.329	Q4235	N												
Q4236	Carepatch per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4236	N												
Q4237	"Cryo-cord, per sq cm"	2	36	10420.56	93.02	485.9	289.46	212.6	3826.87	289.46	5210.31	407.186	Q4237	N												
Q4238	"Derm-maxx, per sq cm"	7	226	17949.58	21.17	1108.79	79.42	63.84	1485.32	81.09	1445.47	777.537	Q4238	N												
Q4239	Amnio-maxx or lite per sq cm	36	36	81842.16	1712.5	5697.83	2273.39	2229.02	2229.02	2222.38	2222.38	26.627	Q4239	N												
Q4240	Corecyte topical only 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4240	N												
Q4241	"Polycyte, topical only 0.5cc"	.	.	.	.	.	.	.	.	.	.	.	Q4241	N												
Q4242	"Amniocyte plus, per 0.5 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4242	N												
Q4244	"Procenta, per 200 mg"	.	.	.	.	.	.	.	.	.	.	.	Q4244	N												
Q4245	"Amniotext, per cc"	.	.	.	.	.	.	.	.	.	.	.	Q4245	N												
Q4246	"Coretext or protext, per cc"	.	.	.	.	.	.	.	.	.	.	.	Q4246	N												
Q4247	"Amniotext patch, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4247	N												
Q4248	Dermacyte amn mem allo sq cm	4	4	29249.78	3576.63	8727.21	7312.44	6880.27	6880.27	8472.97	8472.97	34.098	Q4248	N												
Q4249	"Amniply, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4249	N												
Q4250	Amnioamp-mp per sq cm	66	1944	194519.52	40.7	2073.13	100.06	92.68	2220.08	105.96	2542.96	396.404	Q4250	N												
Q4251	"Vim, per square centimeter"	.	.	.	.	.	.	.	.	.	.	.	Q4251	N												
Q4252	"Vendaje, per square centimet"	.	.	.	.	.	.	.	.	.	.	.	Q4252	N												
Q4253	Zenith amniotic membrane psc	1	1	7022.21	7022.21	7022.21	7022.21	7022.21	7022.21	7022.21	7022.21	.	Q4253	N												
Q4254	Novafix dl per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4254	N												
Q4255	"Reguard, topical use per sq"	.	.	.	.	.	.	.	.	.	.	.	Q4255	N												
Q4256	"Mlg complet, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4256	N												
Q4257	"Relese, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4257	N												
Q4258	"Enverse, per sq cm"	11	120	6051.52	12.86	616.42	50.43	33.69	212.76	60.02	60.02	530.192	Q4258	N												
Q4259	Celera per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4259	N												
Q4260	"Signature apatch, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4260	N												
Q4261	"Tag, per square centimeter"	.	.	.	.	.	.	.	.	.	.	.	Q4261	N												
Q4262	"Dual layer impax, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4262	N												
Q4263	"Surgraft tl, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4263	N												
Q4264	"Cocoon membrane, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4264	N												
Q5101	"Injection, zarxio"	45912	19764572	16313444.6	0.01	6.54	0.83	0.7	284.61	0.77	295.21	1260.927	Q5101	N												
Q5103	"Injection, inflectra"	24437	1296183	88899098.9	0.01	1215.48	68.59	62.02	3020.96	63.64	3022.11	325.006	Q5103	K	1847	$20.59										
Q5104	"Injection, renflexis"	17607	909006	53918220.93	0.26	332.77	59.32	53.49	2535.36	54.57	2579.85	341.108	Q5104	K	9036	$36.43										
Q5105	Inj retacrit esrd on dialysi	12516	1611281	2204594.98	0.01	230.52	1.37	1.12	119.1	1.12	119.9	2013.481	Q5105	N												
Q5106	Inj retacrit non-esrd use	98892	3199470	37344213.15	0.02	819.38	11.67	10.28	282.1	10.45	328.72	363.412	Q5106	K	9097	$8.51										
Q5107	Inj mvasi 10 mg	44641	3121373	192328122	0.18	2938.13	61.62	57.53	3601.95	57.91	3607.88	357.525	Q5107	K	9329	$28.57										
Q5108	"Injection, fulphila"	21694	259970	66929020.04	8.77	2256.56	257.45	230.89	2765.55	241.28	2884.9	164.86	Q5108	K	9173	$132.52										
Q5109	"Injection, ixifi, 10 mg"	2	60	499.8	7.77	8.61	8.33	8.32	231.29	8.61	249.82	36.822	Q5109	E2												
Q5110	Nivestym	10630	5010463	3049340.71	0.1	2.97	0.61	0.52	238.33	0.47	218.4	1242.544	Q5110	K	9193	$0.33										
Q5111	"Injection, udenyca 0.5 mg"	20254	242890	62473088.32	16.07	1524.02	257.21	234.37	2811.02	256.14	3064.66	148.992	Q5111	K	9195	$141.17										
Q5112	Inj ontruzant 10 mg	3272	139477	10746711.82	2.27	415.27	77.05	70.25	2761.93	70.51	2912.86	302.48	Q5112	K	9382	$49.85										
Q5113	Inj herzuma 10 mg	2729	118610	7455957.76	0.07	169.47	62.86	58.14	2359.1	62.2	2495.98	250.191	Q5113	K	9349	$29.53										
Q5114	Inj ogivri 10 mg	13849	589528	40404026.95	2.78	267.62	68.54	60.43	2365.54	64.86	2550.59	322.378	Q5114	K	9341	$47.13										
Q5115	Inj truxima 10 mg	31395	2409400	164627738.1	1.79	460.09	68.33	62.63	4705.22	64.47	4848.29	377.729	Q5115	K	9336	$47.80										
Q5116	"Inj., trazimera, 10 mg"	15171	641556	46402110.15	3.07	357.65	72.33	66.93	2630.74	68.4	2861.2	248.188	Q5116	K	9350	$27.24										
Q5117	"Inj., kanjinti, 10 mg"	20767	893661	71062228.63	1.66	424.96	79.52	73.72	3002.21	73.41	3129.4	270.704	Q5117	K	9330	$25.93										
Q5118	"Inj., zirabev, 10 mg"	37409	2668323	148859535	2.1	801.54	55.79	50.72	3206.81	53.47	3264.68	362.563	Q5118	K	9348	$31.07										
Q5119	"Inj ruxience, 10 mg"	27537	2113576	140172068.1	3.43	389.07	66.32	61.42	4640.55	64.23	4870.22	382.118	Q5119	K	9367	$29.97										
Q5120	Inj pegfilgrastim-bmez 0.5mg	19077	228854	51382903.56	20.04	1487.94	224.52	203.59	2442.46	213.8	2565.58	147.838	Q5120	K	9345	$80.06										
Q5121	"Inj. avsola, 10 mg"	3493	176368	8411861.32	7.13	159.45	47.69	44.53	2069.99	45.13	1988.18	303.734	Q5121	K	9381	$28.46										
Q5122	"Inj, nyvepria"	1677	20068	4770345.6	15.98	806.72	237.71	217.95	2608.2	217.33	2607.9	145.645	Q5122	G	9406	$125.31										
Q5123	"Inj. riabni, 10 mg"	1023	74955	4455191.84	11.12	169.71	59.44	54.91	3947.91	63.53	4256.36	319.388	Q5123	G	9411	$45.21										
Q5124	"Inj. byooviz, 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	Q5124	G	9017	$223.17										
Q5125	"Inj, releuko 1 mcg"	.	.	.	.	.	.	.	.	.	.	.	Q5125	G	9447	$0.59										
Q5126	Inj alymsys 10 mg	.	.	.	.	.	.	.	.	.	.	.	Q5126	G	9048	$73.71										
Q9950	Inj sulf hexa lipid microsph	44064	179842	4973492.36	0.93	660.47	27.65	23.12	94.32	23.2	110.77	170.602	Q9950	N												
Q9951	"Locm >= 400 mg/ml iodine,1ml"	665	1301	21094.04	15.56	31.99	16.21	16.13	31.65	16	31.99	17.675	Q9951	N												
Q9953	"Inj fe-based mr contrast,1ml"	123	1059	24843.17	0.78	190.74	23.46	15.57	125.93	9.54	148.14	256.488	Q9953	N												
Q9954	"Oral mr contrast, 100 ml"	2210	9184	32174	0.01	215.63	3.5	1.54	5.27	0.99	5.51	513.614	Q9954	N												
Q9955	"Inj perflexane lip micros,ml"	69	69	9054.57	129.89	132.45	131.23	131.22	131.22	132.45	132.45	0.982	Q9955	N												
Q9956	"Inj octafluoropropane mic,ml"	23519	60061	3171891.68	3.31	449.88	52.81	41.28	106.77	42.15	116.36	146.689	Q9956	N												
Q9957	"Inj perflutren lip micros,ml"	206533	384206	35444370.36	3.81	1483.12	92.25	72.21	130.19	74.49	134.14	100.1	Q9957	N												
Q9958	"Hocm <=149 mg/ml iodine, 1ml"	9917	1940204	624287.45	0.01	265.26	0.32	0.15	21.05	0.15	26.33	4623.59	Q9958	N												
Q9959	"Hocm 150-199mg/ml iodine,1ml"	63	8029	2355.67	0.1	120.23	0.29	0.2	20.33	0.21	26.15	7663.95	Q9959	N												
Q9960	"Hocm 200-249mg/ml iodine,1ml"	1826	40934	40937.27	0.01	1466.71	1	0.36	9	0.36	7.06	7729.528	Q9960	N												
Q9961	"Hocm 250-299mg/ml iodine,1ml"	10628	356201	195678.32	0.01	515.16	0.55	0.33	8.27	0.3	11.33	2281.558	Q9961	N												
Q9962	"Hocm 300-349mg/ml iodine,1ml"	1375	91500	126845.34	0.01	374.1	1.39	0.76	38.47	1.69	52.83	3076.335	Q9962	N												
Q9963	"Hocm 350-399mg/ml iodine,1ml"	49246	2519355	2056557.29	0.01	121.04	0.82	0.41	15.97	0.41	14.83	1470.732	Q9963	N												
Q9964	"Hocm>= 400mg/ml iodine, 1ml"	989	79848	245993.2	0.29	195.45	3.08	2.86	170.35	3.31	314.3	596.637	Q9964	N												
Q9965	"Locm 100-199mg/ml iodine,1ml"	70536	2363637	2656097.62	0.01	633.32	1.12	0.15	13.86	0.07	19.17	1521.748	Q9965	N												
Q9966	"Locm 200-299mg/ml iodine,1ml"	219537	5934135	8417532.85	0.01	822.69	1.42	0.59	14.41	0.68	18.43	1305.465	Q9966	N												
Q9967	"Locm 300-399mg/ml iodine,1ml"	3488550	326424900	260100667.1	0.01	315.41	0.8	0.47	40.71	0.56	46.94	1208.17	Q9967	N												
Q9968	Visualization adjunct	29190	1149778	15119132.58	0.02	17726.3	13.15	7.86	259.28	9.05	307.52	1467.132	Q9968	K	1446	$7.40										
Q9969	Non-heu tc-99m add-on/dose	118417	182488	980747.11	0.01	426.39	5.37	1.9	2.96	2.19	3.46	284.473	Q9969	K	1442	$10.00										
Q9982	Flutemetamol f18 diagnostic	14	20	34288.03	1392.85	2321.42	1714.4	1669.45	2428.29	1392.85	2321.42	29.429	Q9982	N												
Q9983	Florbetaben f18 diagnostic	10	10	13873.24	1052.32	3220.56	1387.32	1304.56	1304.56	1248.52	1248.52	46.899	Q9983	N												
Q9991	Buprenorph xr 100 mg or less	298	298	460415.73	623.46	2733.28	1545.02	1477.41	1477.41	1675.87	1675.87	28.413	Q9991	K	9073	"$1,793.85"										
Q9992	Buprenorphine xr over 100 mg	287	287	454910.31	623.46	4274.53	1585.05	1501.28	1501.28	1800.95	1800.95	31.875	Q9992	K	9239	"$1,793.85"										
90296	Diphtheria antitoxin	.	.	.	.	.	.	.	.	.	.	.	90296	E2												
90371	Hep b ig im	124	466	150041.35	56.93	1279.95	321.98	237.99	774.92	219.6	764.47	178.111	90371	K	1630	$131.76										
90375	Rabies ig im/sc	2857	29773	9798598.66	1.02	5310.6	329.11	277.82	2866.11	291.05	3118.05	227.303	90375	K	9133	$336.20										
90376	Rabies ig heat treated	335	3223	1060156.69	3.93	2413.9	328.93	261.17	2519.42	269.31	2691.58	213.146	90376	K	9134	$296.74										
90377	Rabies ig ht&sol human im/sc	302	2694	862697.62	29.19	7731.95	320.23	242.34	2294.25	266.13	2626.37	385.819	90377	K	9201	$232.03										
90378	Rsv mab im 50mg	.	.	.	.	.	.	.	.	.	.	.	90378	K	9003	$339.68										
90385	Rh ig minidose im	1	1	128.95	128.95	128.95	128.95	128.95	128.95	128.95	128.95	.	90385	N												
90393	Vaccina ig im	.	.	.	.	.	.	.	.	.	.	.	90393	E2												
90396	Varicella-zoster ig im	9	9	4025.25	1.4	2623.85	447.25	153.39	153.39	200	200	183.089	90396	K	9135	"$2,253.22"										
90476	Adenovirus vaccine type 4	2	2	102.67	38.41	64.26	51.34	49.68	49.68	51.34	51.34	35.607	90476	K	9499	$357.98										
90477	Adenovirus vaccine type 7	.	.	.	.	.	.	.	.	.	.	.	90477	M												
90581	Anthrax vaccine sc or im	.	.	.	.	.	.	.	.	.	.	.	90581	E2												
90584	Dengue vacc quad 2 dose subq	.	.	.	.	.	.	.	.	.	.	.	90584	E1												
90585	Bcg vaccine percut	.	.	.	.	.	.	.	.	.	.	.	90585	M												
90611	Smallpox&monkeypox vac 0.5ml	58	58	4.68	0.04	0.29	0.08	0.06	0.06	0.04	0.04	92.009	90611	K	0	$0.01										
90620	Menb-4c vacc 2 dose im	855	855	141388.13	27.62	605.3	165.37	145.92	145.92	151.35	151.35	50.549	90620	M												
90621	Menb-fhbp vacc 2/3 dose im	100	100	15305.63	35.98	328.39	153.06	132.99	132.99	131.12	131.12	48.47	90621	M												
90622	Vaccinia vrs vac 0.3 ml perq	1	1	33.51	33.51	33.51	33.51	33.51	33.51	33.51	33.51	.	90622	K	0	$0.01										
90626	Tic-brn enceph vac 0.25ml im	.	.	.	.	.	.	.	.	.	.	.	90626	E1												
90627	Tic-brn enceph vac 0.5ml im	.	.	.	.	.	.	.	.	.	.	.	90627	E1												
90632	Hepa vaccine adult im	5145	5145	311881.1	8.26	329.91	60.62	51.98	51.98	49.91	49.91	58.629	90632	N												
90633	Hepa vacc ped/adol 2 dose im	32	32	978.37	3.74	74.74	30.57	23.89	23.89	25.94	25.94	68.323	90633	N												
90634	Hepa vacc ped/adol 3 dose	3	3	214.32	71.44	71.44	71.44	71.44	71.44	71.44	71.44	0	90634	E2												
90636	Hep a/hep b vacc adult im	3906	3906	328182.99	12.02	357.29	84.02	73.99	73.99	70.64	70.64	52.115	90636	N												
90644	Hib-mency vacc 6wk-18m0 im	.	.	.	.	.	.	.	.	.	.	.	90644	M												
90647	Hib prp-omp vacc 3 dose im	1344	1344	31437.42	4.59	105.97	23.39	20.41	20.41	22.55	22.55	52.006	90647	N												
90648	Hib prp-t vaccine 4 dose im	4884	4884	86102.97	3.04	90.99	17.63	14.44	14.44	14.67	14.67	67.829	90648	N												
90649	4vhpv vaccine 3 dose im	9	9	1414.53	30.29	463.87	157.17	103.07	103.07	93.9	93.9	95.552	90649	M												
90650	2vhpv vaccine 3 dose im	.	.	.	.	.	.	.	.	.	.	.	90650	M												
90651	9vhpv vaccine 2/3 dose im	623	623	117240.49	24.47	831.5	188.19	157.56	157.56	153.01	153.01	65.672	90651	M												
90675	Rabies vaccine im	12226	12226	4194679.17	44.97	1276.99	343.09	298.51	298.51	326.67	326.67	50.231	90675	K	9139	$342.22										
90676	Rabies vaccine id	59	59	15375.8	204.22	451.22	260.61	254.83	254.83	229.17	229.17	22.488	90676	K	9140	$255.14										
90678	Rsv vacc pref bivalent im	.	.	.	.	.	.	.	.	.	.	.	90678	E1												
90680	Rv5 vacc 3 dose live oral	.	.	.	.	.	.	.	.	.	.	.	90680	E2												
90681	Rv1 vacc 2 dose live oral	.	.	.	.	.	.	.	.	.	.	.	90681	M												
90690	Typhoid vaccine oral	70	70	3878.74	22.04	101.95	55.41	51.19	51.19	52.52	52.52	40.901	90690	N												
90691	Typhoid vaccine im	1299	1299	88670.1	17.78	229.72	68.26	61.11	61.11	57	57	52.377	90691	N												
90696	Dtap-ipv vaccine 4-6 yrs im	89	89	5852.92	18.46	87.91	65.76	62.1	62.1	76.5	76.5	27.514	90696	N												
90697	Dtap-ipv-hib-hepb vaccine im	2	2	151.7	54.35	97.35	75.85	72.74	72.74	75.85	75.85	40.086	90697	M												
90698	Dtap-ipv/hib vaccine im	466	467	35340.44	17.73	213.57	75.68	69.6	69.74	66.24	66.24	41.437	90698	N												
90700	Dtap vaccine < 7 yrs im	1037	1037	33434.78	10.05	116.33	32.24	30.02	30.02	34.27	34.27	39.725	90700	N												
90702	Dt vaccine under 7 yrs im	45	45	1108.98	4.71	84.98	24.64	15.02	15.02	17.03	17.03	92.605	90702	N												
90707	Mmr vaccine sc	1532	1532	114882.41	10.04	306.45	74.99	64.5	64.5	63.03	63.03	56.331	90707	N												
90710	Mmrv vaccine sc	22	22	2745.52	11.7	278.53	124.8	90.33	90.33	113.23	113.23	67.603	90710	K	9011	$160.00										
90713	Poliovirus ipv sc/im	4221	4221	140419.13	3.96	240.19	33.27	26.72	26.72	26.03	26.03	70.563	90713	N												
90714	Td vacc no presv 7 yrs+ im	50568	50568	1461132.49	3.15	168.82	28.89	23.84	23.84	24.96	24.96	61.588	90714	N												
90715	Tdap vaccine 7 yrs/> im	304534	304534	14366161.48	4.99	307.16	47.17	40.19	40.19	43.9	43.9	55.768	90715	N												
90716	Var vaccine live subq	158	160	18988.55	29.51	387.06	118.68	108.02	109.79	119.13	119.13	47.592	90716	M												
90717	Yellow fever vaccine subq	279	279	27465.63	28.63	336.86	98.44	82.34	82.34	89.39	89.39	71.022	90717	N												
90723	Dtap-hep b-ipv vaccine im	121	121	11733.13	18.07	154.22	96.97	85.63	85.63	82.94	82.94	46.321	90723	M												
90733	Mpsv4 vaccine subq	97	97	16391.49	48.26	251.92	168.98	159.06	159.06	184.15	184.15	29.751	90733	M												
90734	Menacwyd/menacwycrm vacc im	2086	2102	245607.3	11.25	531.82	116.84	96.25	96.61	95.87	95.87	63.595	90734	M												
90736	Hzv vaccine live subq	31	31	3182.08	16.68	201.03	102.65	86.71	86.71	104.4	104.4	53.578	90736	M												
90738	Inactivated je vacc im	38	38	8758.22	99.46	363.44	230.48	209.06	209.06	219.88	219.88	42.885	90738	M												
90749	Unlisted vaccine/toxoid	654	654	37151.02	10.49	148.44	56.81	49.1	49.1	48.95	48.95	55.721	90749	N												
90750	Hzv vacc recombinant im	10255	10255	1493612.63	18.74	707.69	145.65	122.15	122.15	122.16	122.16	67.186	90750	M												
90758	Zaire ebolavirus vac live im	.	.	.	.	.	.	.	.	.	.	.	90758	E1												
