2023 HCPCS	2023 Short Description	2023 Days	2023 Units	2023 Total Cost	2023 Minimum Unit Cost	2023 Maximum Unit Cost	2023 Arithmetic Mean Unit Cost	2023 Geometric Mean Unit Cost	2023 Geometric Mean Day Cost	2023 Median Unit Cost	2023 Median Day Cost	2023 CV (%) of Unit Cost	Final CY 2025 XRef HCPCS/CPT Code(s)	Final CY 2025 XRef SI	Final CY 2025  XRef APC	Final CY 2025 Payment Rate									
90371	Hep b ig im	134	563	168459.06	46.76	2556.38	299.22	231.02	821.74	230.83	1067.71	188.158	90371	K	1630	$139.93									
90375	Rabies ig im/sc	3251	34850	11630744.56	16.49	5638.24	333.74	281.28	3001.67	292.28	3225.11	236.858	90375	K	9133	$287.71									
90376	Rabies ig heat treated	190	1757	610245.4	17.61	2352.32	347.32	269.08	2587.83	298.24	2767.26	226.755	90376	K	9134	$479.72									
90377	Rabies ig ht&sol human im/sc	869	8648	2769446.57	0.44	5908.61	320.24	233.65	2437.3	255.26	2770.33	398.606	90377	K	9201	$265.51									
90378	Rsv mab im 50mg	15	15	10797.99	200.07	1390.18	719.87	566.87	566.87	824.62	824.62	59.767	90378	K	9003	$719.87									
90396	Varicella-zoster ig im	4	4	12331.64	46.14	10489.28	3082.91	712.22	712.22	898.11	898.11	161.288	90396	K	9135	"$2,250.71"									
90611	Smallpox&monkeypox vac 0.5ml	3	3	16.13	0.15	15.83	5.38	0.71	0.71	0.15	0.15	168.373	90611	K	9068	$0.01									
90622	Vaccinia vrs vac 0.3 ml perq	14	14	352.78	18.34	26.04	25.2	25.11	25.11	25.7	25.7	7.842	90622	K	9101	$0.01									
90675	Rabies vaccine im	15032	15032	5486363.79	47.07	1810.13	364.98	314.84	314.84	336.6	336.6	53.208	90675	K	9139	$350.14									
90676	Rabies vaccine id	49	49	12959.04	98.65	675.16	264.47	241.91	241.91	264.05	264.05	43.608	90676	K	9140	$264.47									
A9513	Lutetium lu 177 dotatat ther	2762	546707	74763827.12	14.72	425.25	136.75	117.55	23153.56	119.28	23498.31	788.003	A9513	K	9067	$296.25									
A9515	Choline c-11	1344	1344	2772591.36	2062.94	2062.94	2062.94	2062.94	2062.94	2062.94	2062.94	0	A9515	K	9461	"$2,062.94"									
A9517	"I131 iodide cap, rx"	2779	208296	4817517.27	0.01	1400.34	23.13	13.81	644.67	13.33	792.56	1216.038	A9517	K	1064	$23.13									
A9521	Tc99m exametazime	375	375	300879.05	17.07	7818.51	802.34	450.36	450.36	539.36	539.36	118.141	A9521	K	0766	$802.34									
A9530	"I131 iodide sol, rx"	166	13309	277909.4	0.04	7717.75	20.88	9.91	592.82	10.49	710.87	5536.328	A9530	K	1150	$20.88									
A9542	"In111 ibritumomab, dx"	1	1	798.02	798.02	798.02	798.02	798.02	798.02	798.02	798.02		A9542	K	0769	$798.02									
A9543	"Y90 ibritumomab, rx"	34	34	502341.01	70.83	67997.12	14774.74	9965.28	9965.28	12787.09	12787.09	86.631	A9543	K	1643	"$14,774.74"									
A9547	In111 oxyquinoline	249	288	222519.67	46.36	4411.09	772.64	595.6	665.51	625.91	682.62	88.748	A9547	K	0770	$772.64									
A9548	In111 pentetate	1335	1738	1243174.02	17.09	8983.78	715.29	472.42	599.66	426.18	659.63	119.517	A9548	K	0771	$715.29									
A9557	Tc99m bicisate	219	251	171632.94	21.16	3710.69	683.8	448.73	485.17	478.63	552.66	98.955	A9557	K	0774	$683.80									
A9563	P32 na phosphate	14	14	2507.64	28.85	255.15	179.12	131.35	131.35	255.15	255.15	59.334	A9563	K	1675	$179.12									
A9568	Technetium tc99m arcitumomab	1	1	809.51	809.51	809.51	809.51	809.51	809.51	809.51	809.51		A9568	K	0775	$809.51									
A9569	Technetium tc-99m auto wbc	591	591	614831.59	147.77	5922.88	1040.32	805.56	805.56	765.04	765.04	88.852	A9569	K	0776	"$1,040.32"									
A9570	Indium in-111 auto wbc	933	933	962283.7	85.41	6039.77	1031.39	806.21	806.21	832.76	832.76	77.862	A9570	K	0777	"$1,031.39"									
A9572	Indium in-111 pentetreotide	461	474	907526.26	107.85	11872.84	1914.61	1383.27	1414.63	1458.6	1464.81	94.415	A9572	K	0779	"$1,914.61"									
A9582	Iodine i-123 iobenguane	185	185	383839.34	269.48	8280.24	2074.81	1470.58	1470.58	1594.84	1594.84	82.172	A9582	K	0780	"$2,074.81"									
A9584	Iodine i-123 ioflupane	15222	15222	21128468.38	188.62	6240.91	1388.02	1163.44	1163.44	1152.55	1152.55	64.188	A9584	K	0781	"$1,388.02"									
A9586	Florbetapir f18	724	813	1784224.32	135.96	9047.07	2194.62	1721.39	1932.38	1936.47	2159.7	68.92	A9586	K	1664	"$2,194.62"									
A9587	Gallium ga-68	5211	255215	13039032.99	2.97	3723.72	51.09	38.16	1848.53	38.14	1820.19	727.446	A9587	K	9056	$51.09									
A9588	Fluciclovine f-18	346	3508	941614.57	0.24	1900.28	268.42	215.65	2181.19	214.47	2144.72	233.33	A9588	K	9052	$268.42									
A9591	Fluoroestradiol f 18	407	2418	1205773.6	39.81	3209.79	498.67	392.78	2320.13	378.83	2251.75	189.919	A9591	K	9370	$498.67									
A9592	Copper cu 64 dotatate diag	5546	22297	13268923.44	7.54	10026.94	595.1	468.21	1881.67	499.51	2004.34	182.855	A9592	K	9383	$595.10									
A9593	Gallium ga-68 psma-11 ucsf	1296	7681	4108635.48	94.32	1554.26	534.91	489.69	2862.72	542.6	2713	101.97	A9593	K	9409	$534.91									
A9594	"Gallium ga-68 psma-11, ucla"	921	4403	1638679.55	229.08	1010.35	372.17	362.48	1699.95	365.97	1892.42	62.472	A9594	K	9419	$372.17									
A9595	"Piflu f-18, dia 1 millicurie"	34432	322026	107055850.8	0.9	5100.48	332.44	260.38	2434.82	259.29	2399.91	257.447	A9595	K	9430	$332.44									
A9596	Gallium illuccix 1 millicure	13299	73097	37392835.9	2.94	5367.4	511.55	387.12	2092.47	427.47	2242.51	228.651	A9596	G	9443	"$1,026.05"									
A9600	Sr89 strontium	7	7	12185.04	1740.72	1740.72	1740.72	1740.72	1740.72	1740.72	1740.72	0	A9600	K	0701	"$1,740.72"									
A9601	Flortaucipir inj 1 millicuri												A9601	G	0709	"$3,710.00"									
A9602	Fluorodopa f-18 diag per mci	79	395	345168	729.94	885.54	873.84	872.78	4363.91	885.54	4427.7	10.508	A9602	G	9053	$498.62									
A9604	Sm 153 lexidronam	3	3	12944.72	1408.51	9586.62	4314.91	2974.79	2974.79	1949.59	1949.59	105.992	A9604	K	1295	"$4,314.91"									
A9606	Radium ra223 dichloride ther	2268	300824	26615594.83	0.43	1139.73	88.48	74.12	9650.65	71.98	9530.12	793.109	A9606	K	1745	$165.25									
A9607	Lutetium lu 177 vipivotide	8370	1659073	179641350.5	10.87	1002.24	108.28	93.19	18450.11	96.36	18965.5	882.666	A9607	G	9054	$241.24									
A9608	Flotufolastat f18 diag 1 mci												A9608	G	9254	$651.67									
A9697	"Inj, magtrace per study dose"	23	23	26762.94	167.87	9362.43	1163.61	410.19	410.19	244.94	244.94	223.764	A9697	G	0814	"$1,137.96"									
A9800	Gallium locametz 1 millicuri	4897	29127	11097664.63	24.75	3065.28	381.01	347.73	2062.45	390.65	2292.16	98.856	A9800	G	9055	$873.44									
C9067	Gallium ga-68 dotatoc	151	62792	254262.47	3.44	5.36	4.05	4.03	1683.54	3.98	1683.54	217.306	C9067	K	9323	$4.05									
C9101	"Inj, oliceridine 0.1 mg"	1	10	30.1	3.01	3.01	3.01	3.01	30.06	3.01	30.06		C9101	G	9049	$1.23									
C9144	"Inj, bupivacaine (posimir)"	9	1327	1170.72	0.75	38.24	0.88	0.76	42.21	0.75	36.94	3003.706	C9144	G	9106	$0.50									
C9145	"Inj, aponvie, 1 mg"	890	45085	102699.9	0.42	6.5	2.28	1.83	83.39	1.55	107.25	471.593	C9145	G	9107	$1.86									
C9146	"Inj, elahere, 1 mg"	824	292751	16866007.33	2.6	250.15	57.61	49.63	17110.6	57.86	18893.35	914.127	J9063	G	9109	$66.76									
C9147	"Inj, tremelimumab-actl, 1 mg"	169	39750	4765815.75	25.35	522.77	119.89	109.77	22046.91	116.16	27722.68	711.826	J9347	G	9110	$135.45									
C9148	"Inj, teclistamab-cqyv, 0.5mg"	2791	788358	23012342.34	3.4	93.13	29.19	27.34	7356.2	30.97	7867.36	559.272	J9380	G	9111	$31.98									
C9149	"Inj, teplizumab-mzwv, 5 mcg"												J9381	G	9112	$36.90									
C9151	"Inj, pegcetacoplan 1 mg"	306	5895	925427.7	42.39	1579.02	156.99	143.81	2637.21	173.18	2597.77	308.474	J2781	G	9158	$147.36									
C9152	"Inj, abilify asimtufii, 1 mg"	1	720	3564	4.95	4.95	4.95	4.95	3564.34	4.95	3564.34		J0402	G	9246	$5.95									
C9153	"Inj, amisulpride, 1 mg"	514	5100	51683	1.45	23.67	10.13	9.2	91.16	9.55	93.29	127.95	J0184	G	9247	$9.06									
C9155	"Inj epcoritamab-bysp,0.16 mg"	398	99437	5309128.68	9.64	369.53	53.39	49.24	9133.62	55.33	14278.17	605.035	J9321	G	9250	$54.17									
C9156	"Flotufolastat f18, dia 1 mci"	10	80	22217.6	277.72	277.72	277.72	277.72	2221.72	277.72	2221.72	0	A9608	G	9254	$651.67									
C9157	"Inj, tofersen, 1 mg"	42	4300	714642	119.37	212.54	166.2	163.22	16717.87	165.88	16733.5	190.998	J1304	G	9262	$153.66									
C9158	"Inj, uzedy, 1 mg"												J2799	G	9266	$24.77									
C9159	"Inj, balfaxar, per i.u"												J7165	G	0702	$2.00									
C9160	Inj daxibotulinumtoxina-lanm												J0589	G	0703	$3.12									
C9161	"Inj, aflibercept hd, 1 mg"												J0177	G	0704	$333.70									
C9162	"Inj, avacincaptad peg 0.1 mg"												J2782	G	0705	$109.53									
C9163	Inj talquetamab-tgvs 0.25 mg												J3055	G	0706	$67.65									
C9164	"Cantharidin top, applicator"												J7354	G	0707	$711.75									
C9165	"Inj, elranatamab-bcmm, 1 mg"												J1323	G	0708	$178.85									
C9248	"Inj, clevidipine butyrate"	671	17509	105031.6	0.22	341.24	6	4.59	97.83	4.1	107.48	647.093	C9248	K	9087	$2.83									
C9250	Artiss fibrin sealant	1898	2959	788447.39	11.72	3160.37	266.46	171.1	292.74	161.24	252.88	158.594	C9250	K	1848	$138.35									
C9257	Bevacizumab injection	42607	251460	3964319.62	0.19	1322.49	15.77	9.17	58.59	7.55	54.91	390.421	C9257	K	1281	$1.82									
C9460	"Injection, cangrelor"	1027	56426	979428.58	1.47	134.59	17.36	15.15	787.84	16.48	844.23	403.56	C9460	K	9460	$18.82									
C9482	Sotalol hydrochloride iv	385	50539	1050195.53	2.88	58.2	20.78	18.86	2405.26	20.37	2572.58	471.273	C9482	K	9482	$22.83									
J0121	"Inj., omadacycline, 1 mg"	1036	104600	361828	0.66	9.31	3.46	2.61	261.55	3.68	367.62	651.456	J0121	K	9311	$3.80									
J0129	Abatacept injection	65535	4929239	239180203.5	0.21	309.61	48.52	43.51	3206.12	44.37	3272.18	423.959	J0129	K	9230	$43.44									
J0172	"Inj, aducanumab-avwa, 2 mg"	1	390	3268.2	8.38	8.38	8.38	8.38	3266.4	8.38	3266.4		J0172	K	9438	$5.98									
J0174	"Inj, lecanemab-irmb, 1 mg"	1095	842558	1483002.41	0.62	22.72	1.76	1.64	1232.57	1.59	1255.4	1344.214	J0174	G	9157	$1.34									
J0178	Aflibercept injection	76916	183007	169334187.3	94.42	3113.63	925.29	844.43	1928.4	899.58	2034.77	57.229	J0178	K	1420	$821.98									
J0179	"Inj, brolucizumab-dbll, 1 mg"	306	2082	640255.68	89.21	663.11	307.52	272.44	1798.7	339.13	2034.77	116.589	J0179	K	9340	$332.57									
J0180	Agalsidase beta injection	3101	243362	46291423.7	7.83	813.3	190.22	168.32	12814.63	173	12737.1	418.462	J0180	K	9208	$223.52									
J0184	"Inj, amisulpride, 1 mg"												J0184	G	9247	$9.06									
J0185	"Inj., aprepitant, 1 mg"	99039	12874906	33983508.68	0.15	29.55	2.64	2.34	304.63	2.26	293.2	589.437	J0185	K	9463	$1.77									
J0202	"Injection, alemtuzumab"	66	790	1204179.8	40.33	4009.28	1524.28	738.13	8854.81	1305.84	15670.08	308.612	J0202	K	1809	"$2,337.69"									
J0206	Inj allopurinol sodium 1 mg	3	1500	6900	4.6	4.6	4.6	4.6	2300.59	4.6	2300.59	0	J0206	K	9285	$5.00									
J0208	Inj sodium thiosulfate 100mg	370	69387	81086.32	0.09	3.7	1.17	1.08	194.91	1.04	197.27	531.962	J0208	G	9119	$96.08									
J0217	Inj velmanase alfa-tycv 1 mg												J0217	G	0710	$442.00									
J0218	Inj olipudase alfa-rpcp 1mg												J0218	G	9113	$382.56									
J0219	Inj aval alfa-nqpt 4mg	1564	616410	39580246.6	0.04	589.22	64.21	50.42	19317.92	62.87	23606.35	1056.205	J0219	K	9433	$77.75									
J0221	Lumizyme injection	633	107736	18416077.73	40.23	401.7	170.94	153.41	25554.32	177.54	27676.13	600.978	J0221	K	1413	$201.97									
J0222	"Inj., patisiran, 0.1 mg"	805	203581	18958938.18	37.19	173.39	93.13	87.38	21719.5	88.24	21746.91	552.098	J0222	K	9180	$98.88									
J0223	Inj givosiran 0.5 mg	160	76467	8170633	9.62	191.39	106.85	100.03	44544.07	106.87	43438.98	688.749	J0223	K	9343	$112.14									
J0224	"Inj. lumasiran, 0.5 mg"	12	8316	1232658	115.58	183.28	148.23	145.65	98131.96	137.66	104072.1	517.425	J0224	K	9407	$317.88									
J0225	"Inj, vutrisiran, 1 mg"	629	15726	61878801.11	499.41	9783.44	3934.81	3572.63	89322.92	3863.63	96590.71	216.622	J0225	G	9009	"$4,926.00"									
J0248	"Inj, remdesivir, 1 mg"	25345	3543381	21592894.94	0.02	138.63	6.09	5.5	731.31	6.05	689.8	542.113	J0248	G	9200	$6.35									
J0256	Alpha 1 proteinase inhibitor	35965	19305964	101660630	0.01	41.29	5.27	4.42	2250.03	4.54	2306.16	1596.358	J0256	K	0901	$4.94									
J0257	Glassia injection	4371	2258445	12222447.26	0.01	23.79	5.41	4.58	2230.89	4.95	2343.3	1195.768	J0257	K	1415	$5.58									
J0287	Amphotericin b lipid complex	19	423	23366.99	9.9	4229.49	55.24	34.15	762.88	40.57	1217.05	2526.267	J0287	K	9024	$11.13									
J0289	Amphotericin b liposome inj	1162	36623	1994687.83	4.11	156.09	54.47	45.98	1265.62	50.81	1552.49	280.341	J0289	K	0736	$23.33									
J0291	"Inj., plazomicin, 5 mg"	158	33520	138542.88	3.45	5.54	4.13	4.05	815.62	3.64	727.52	312.38	J0291	K	9183	$3.59									
J0349	"Inj, rezafungin, 1 mg"	28	7400	86440	7.22	17.39	11.68	11.21	2763.78	12.16	2450.56	475.044	J0349	G	9267	$10.12									
J0391	"Inj, artesunate, 1mg"												J0391	K	0711	$51.83									
J0401	"Inj, abilify maintena, 1 mg"	1672	623960	3554664.8	0.01	19.27	5.7	5.28	1953.84	5.5	2116.09	744.354	J0401	K	1468	$7.07									
J0402	"Inj, abilify asimtufii, 1 mg"												J0402	G	9246	$5.95									
J0475	Baclofen 10 mg injection	9680	49731	11850540.12	0.66	7472.38	238.29	196.43	805.32	212.85	970.7	147.405	J0475	K	9032	$174.58									
J0480	Basiliximab	451	451	1935981.73	2109.82	11917.5	4292.64	4167.29	4167.29	4395.98	4395.98	24.961	J0480	K	1683	"$4,588.77"									
J0485	Belatacept injection	46963	24508781	98814331.07	0.05	15.07	4.03	3.69	1853.95	3.79	1878.05	1004.635	J0485	K	9286	$3.81									
J0490	Belimumab injection	9467	769976	37200956.72	3.42	360.26	48.31	43.8	3447.9	43.16	3517.66	446.484	J0490	K	1353	$54.15									
J0491	Inj anifrolumab-fnia 1mg	1711	512850	7533393	0.06	52.05	14.69	12.51	3745.89	12.97	3890.61	908.8	J0491	K	9434	$17.29									
J0517	"Inj., benralizumab, 1 mg"	17915	537450	84972462.9	0.31	490.47	158.1	145.06	4351.91	146.93	4407.88	219.491	J0517	K	9466	$167.30									
J0558	Peng benzathine/procaine inj	138	1803	27176.88	0.04	288.55	15.07	11.19	131.96	12.94	155.51	482.737	J0558	K	9088	$19.52									
J0561	Penicillin g benzathine inj	3891	73241	1282440.5	0.04	484.95	17.51	13.98	248.37	16.74	284.79	331.397	J0561	K	1829	$24.37									
J0565	"Inj, bezlotoxumab, 10 mg"	1159	111643	4212607.35	5.63	231.8	37.73	34.38	3217.96	34.06	3207.45	458.602	J0565	K	9490	$39.86									
J0584	"Injection, burosumab-twza 1m"	290	22443	7826485.9	93.15	663.8	348.73	313.76	23707.39	285.42	22423.73	394.702	J0584	K	9187	$469.58									
J0585	"Injection,onabotulinumtoxina"	102525	21097686	129813528.8	0.01	136.7	6.15	5.4	954.29	5.45	990.24	743.767	J0585	K	0902	$6.41									
J0586	Abobotulinumtoxina	1872	357735	3638623.47	0.97	62.06	10.17	9.04	1497	8.5	1568.72	711.08	J0586	K	1289	$8.63									
J0587	"Inj, rimabotulinumtoxinb"	2596	178996	2119082.97	0.14	1937.21	11.84	9.65	528.46	9.98	495.46	2311.754	J0587	K	9018	$12.99									
J0588	Incobotulinumtoxin a	6013	1479356	7655713.81	0.26	321.42	5.18	4.58	864.55	4.4	855.39	1030.151	J0588	K	9278	$5.34									
J0594	Busulfan injection	307	50176	255400.1	0.63	20.72	5.09	2.82	451.89	1.81	392.47	1118.646	J0594	K	1178	$1.27									
J0596	"Injection, ruconest"	4	1262	49265.74	25.07	39.06	39.04	39.03	3856.76	39.06	16403.3	29.238	J0596	K	9445	$34.72									
J0597	"C-1 esterase, berinert"	183	28582	1604048.04	9.87	150.47	56.12	52.23	7663.09	55.12	8548.01	456.531	J0597	K	9269	$68.36									
J0598	"C-1 esterase, cinryze"	226	22600	998930	23.55	59.39	44.2	43.24	4324.37	51.48	5148.1	205.107	J0598	K	9251	$64.21									
J0600	Edetate calcium disodium inj	11	14	84875.29	21.19	8085.03	6062.52	2174.79	1836.49	7507.61	7507.61	62.252	J0600	K	1274	"$6,086.32"									
J0630	Calcitonin salmon injection	264	319	632900.77	13.32	13682.36	1984.01	1477.71	1727.7	1849.1	2245.87	83.729	J0630	K	1433	"$1,173.06"									
J0638	Canakinumab injection	211	44550	4047018	25.59	243.4	90.84	83.35	17043.6	93.91	19381.78	569.211	J0638	K	1311	$127.81									
J0688	"Inj cefazolin sodium, hikma"												J0688	K	0788	$0.98									
J0695	Inj ceftolozane tazobactam	383	16347	117280.9	1.48	171.06	7.17	6.34	226.58	6.29	288.33	434.264	J0695	K	9452	$8.23									
J0699	"Inj, cefiderocol, 10 mg"	34	9675	27245	1.12	18.62	2.82	2.36	618.59	2.44	513.95	1520.604	J0699	K	9426	$2.28									
J0712	Ceftaroline fosamil inj	717	72480	262758.02	0.2	10.37	3.63	3.35	325.29	3.4	400.62	370.461	J0712	K	1824	$3.94									
J0714	Ceftazidime and avibactam	347	1796	193551.09	10.54	1675.53	107.77	95.97	421.22	105.11	420.45	138.105	J0714	K	1825	$100.58									
J0716	Centruroides immune f(ab)	72	159	456381.92	609.75	6188.16	2870.33	2266.42	4774.65	2712.05	4463.32	91.133	J0716	K	1431	"$4,804.24"									
J0717	Certolizumab pegol inj 1mg	23340	8899280	100643876.4	0.02	78.44	11.31	9.49	3551.35	10	3915.29	1285.845	J0717	K	1474	$4.65									
J0739	"Hiv prep, inj, cabotegravir"	49	29400	165228	2.21	9.53	5.62	5.25	3148.43	5.45	3271.04	841.816	J0739	K	0805	$6.81									
J0740	Cidofovir injection	1303	1303	716017.7	11.95	4639.27	549.51	357.69	357.69	549.09	549.09	75.568	J0740	K	9033	$528.00									
J0741	"Inj, cabote rilpivir 2mg 3mg"	892	252550	5112243	2.87	70.64	20.24	18.49	5188.07	19.45	5315.92	678.545	J0741	K	9414	$22.90									
J0742	Inj imip 4 cilas 4 releb 2mg	4	254	1783.63	3.01	254.97	7.02	3.28	410.38	3.1	381.39	4109.66	J0742	K	9362	$2.51									
J0750	"Hiv prep, ftc/tdf 200/300mg"												J0750	K	0806	$4.87									
J0751	"Hiv prep, ftc/taf 200/25mg"												J0751	K	0808	$77.82									
J0775	"Collagenase, clost hist inj"	1597	151772	7701945.51	0.32	165.51	50.75	43.61	3993.29	48.85	4379.65	491.425	J0775	K	1340	$71.16									
J0791	Inj crizanlizumab-tmca 5mg	2152	172024	19473691.15	32.37	387.4	113.2	105.45	8235.25	103.07	8139.3	344.5	J0791	K	9359	$128.54									
J0840	Crotalidae poly immune fab	104	541	1413078.92	429.25	7796.84	2611.98	2352.85	11452.58	2581.84	11571.26	105.055	J0840	K	9274	"$1,762.35"									
J0841	Inj crotalidae im f(ab)2 eq	56	605	498697.76	84.56	2174.52	824.29	661.42	7086.68	722.57	8081.64	189.837	J0841	K	9188	"$1,040.11"									
J0850	Cytomegalovirus imm iv /vial	312	1021	1948306.57	451.85	21043.32	1908.23	1681.11	4630.48	1568	5183.77	116.426	J0850	K	0903	"$1,814.94"									
J0873	"Inj, daptomycin (xellia)"												J0873	K	0789	$0.04									
J0875	"Injection, dalbavancin"	8156	2116234	29212408.47	0.86	115.3	13.8	12.35	3059.13	12.95	3256.5	781.089	J0875	K	1823	$15.61									
J0879	"Difelikefalin, esrd on dialy"	1	60	1365	22.75	22.75	22.75	22.75	1364.9	22.75	1364.9		J0879	K	9202	$0.15									
J0881	"Darbepoetin alfa, non-esrd"	109572	24497094	159168869.2	0.03	57.46	6.5	5.79	946.58	6.06	1070.08	776.901	J0881	K	1685	$3.04									
J0882	"Darbepoetin alfa, esrd use"	447	30995	202241.37	0.17	16.41	6.52	5.45	318.08	5.72	322.12	483.733	J0882	K	1482	$3.04									
J0883	Argatroban nonesrd use 1mg	163	30111	74517.83	0.11	26.87	2.47	1.62	226.52	1.65	231.7	1443.472	J0883	K	1859	$1.26									
J0885	"Epoetin alfa, non-esrd"	50170	1635859	31922157.44	0.02	798.01	19.51	17.03	477.87	17.11	532.82	332.965	J0885	K	1686	$7.53									
J0888	Epoetin beta non esrd	334	34480	82256.45	0.21	14.1	2.39	2.29	186.67	2.56	192.08	309.588	J0888	K	9077	$1.16									
J0891	Argatroban nonesrd (accord)	6	400	2505	4.65	6.98	6.26	6.18	373.57	6.98	321.61	141.536	J0891	K	9020	$4.20									
J0896	Inj luspatercept-aamt 0.25mg	14987	6018479	211365610.8	1.28	135.02	35.12	32.59	12425.34	33.68	12584.87	754.35	J0896	K	9347	$40.62									
J0897	Denosumab injection	462042	35884159	793653632.9	0.01	432.45	22.12	19.79	1453.71	20.59	1454	435.628	J0897	K	9272	$26.96									
J0898	Argatroban nonesrd (auromed)	25	1450	9388.21	2.45	8.47	6.47	6.21	317.2	6.88	330.28	198.113	J0898	K	9022	$1.49									
J1105	"Dexmedetomidine film, 1 mcg"												J1105	K	0722	$0.78									
J1162	Digoxin immune fab (ovine)	48	126	491775	159.18	9676.04	3902.98	3341.26	7111.23	3842.05	7216.16	81.669	J1162	K	1687	"$4,888.10"									
J1190	Dexrazoxane hcl injection	1001	4473	1016091.01	12.61	955.68	227.16	189.43	716.74	220.38	790.77	125.62	J1190	K	0726	$87.49									
J1201	Inj. cetirizine hcl 0.5mg	327	6540	70576.6	8.68	17.98	10.79	10.7	214	10.81	216.23	62.959	J1201	K	9361	$14.87									
J1212	Dimethyl sulfoxide 50% 50 ml	1080	1080	649331.66	49.81	3316.91	601.23	516.08	516.08	538.09	538.09	52.696	J1212	K	1832	$715.90									
J1290	Ecallantide injection	17	820	252670	206.44	5156.8	308.13	246.04	13487.54	212.64	12758.18	1268.729	J1290	K	9263	$565.83									
J1300	Eculizumab injection	9441	1091491	220533318	9.29	564.71	202.05	187.91	21666.02	194.97	22679.94	393.207	J1300	K	9236	$224.63									
J1301	"Injection, edaravone, 1 mg"	2728	163680	3111443.4	6.45	53.85	19.01	17.31	1038.77	16.46	987.64	335.861	J1301	K	9493	$22.14									
J1302	"Inj, sutimlimab-jome, 10 mg"	1058	740453	13038987.56	6.6	30.64	17.61	16.65	11670.04	17.25	12384.72	851.139	J1302	G	9444	$18.13									
J1303	"Inj., ravulizumab-cwvz 10 mg"	3643	1194411	233242840.6	8.07	674.27	195.28	180.1	58970.24	185.82	61317.86	712.648	J1303	K	9312	$220.75									
J1304	Inj tofersen intrathec 1 mg												J1304	G	9262	$153.66									
J1305	"Inj, evinacumab-dgnb, 5mg"	143	31346	4198326.45	16.43	251.6	133.93	117.77	24544.52	139.88	28836.25	625.193	J1305	K	9416	$186.31									
J1306	"Injection, inclisiran, 1 mg"	12825	3641882	36750503.62	0.01	42.18	10.09	8.98	2550	9.37	2661.82	810.706	J1306	G	9004	$12.19									
J1322	"Elosulfase alfa, injection"	108	8110	2306254.6	212.43	453.63	284.37	277.34	20720.48	283.48	21128.73	210.623	J1322	K	1480	$293.92									
J1410	Inj estrogen conjugate 25 mg	42	51	18277.64	47.17	1068.35	358.39	297.68	320.3	359.71	302.24	62.062	J1410	K	9038	$382.79									
J1411	"Inj, hemgenix, per tx dose"												J1411	G	9138	"$3,672,900.00"									
J1412	Inj roctavian ml 2x1013vc g												J1412	G	0713	"$12,007.81"									
J1413	Inj delandistrogene mox rokl												J1413	G	0714	"$3,325,454.76"									
J1430	Ethanolamine oleate 100 mg	25	57	22355.26	76.19	958.39	392.2	302.81	632.28	340.75	507.94	96.024	J1430	K	1688	$491.68									
J1437	Inj. fe derisomaltose 10 mg	6672	665268	15602852.8	1.86	177.79	23.45	21.38	2130.69	20.91	2090.71	501.688	J1437	K	9388	$21.05									
J1438	Etanercept injection	102	204	183893.16	849.11	933.83	901.44	900.48	1800.95	933.83	1867.65	6.491	J1438	K	1608	$790.78									
J1439	Inj ferric carboxymaltos 1mg	89225	66968142	97638469.93	0.05	57.05	1.46	1.27	954.4	1.32	987.77	1720.13	J1439	K	9441	$1.10									
J1440	Fecal microbiota jslm 1 ml	93	11465	556901.6	0.81	5415.41	48.57	39.45	3785.66	50.36	5415.41	1590.253	J1440	G	9142	$63.30									
J1442	Inj filgrastim excl biosimil	17540	7618592	8676452.79	0.05	4.54	1.14	0.97	387.09	0.95	388.39	1291.637	J1442	K	1469	$1.00									
J1447	Inj tbo filgrastim 1 microg	16356	7059102	5171575.28	0.02	4.05	0.73	0.62	257.28	0.64	266.59	1308.353	J1447	K	1748	$0.39									
J1448	"Injection, trilaciclib, 1mg"	2374	1373248	6164510.75	0.95	10.28	4.49	4.16	2409.1	4.34	2571.56	877.461	J1448	K	9415	$5.36									
J1449	Inj eflapegrastim-xnst 0.1mg	2	264	4477.44	8.2	25.72	16.96	14.52	1917.12	16.96	2238.77	839.228	J1449	G	9114	$22.75									
J1451	"Fomepizole, 15 mg"	26	2612	27815.92	4.73	19.64	10.65	9.86	931.51	10.73	1026.58	378.502	J1451	K	1689	$6.44									
J1454	"Inj fosnetupitant, palonoset"	3190	3190	2116218.67	45.66	1402.94	663.39	584.53	584.53	658.89	658.89	46.958	J1454	K	9099	$679.51									
J1455	Foscarnet sodium injection	336	1704	160037.15	0.26	620.14	93.92	73.87	238.53	76.07	433.76	138.168	J1455	K	1849	$50.32									
J1456	"Inj, fosaprepitant (teva)"	1828	274200	446647.5	0.06	6.87	1.63	0.85	126.69	0.64	96.05	1453.688	J1456	K	9166	$2.04									
J1459	Inj ivig privigen 500 mg	79964	6235172	370358460.9	0.01	361.22	59.4	53.16	3771.83	54.18	3787.28	423.835	J1459	K	1214	$48.58									
J1460	Gamma globulin 1 cc inj	154	762	26279.92	9	116.17	34.49	29.84	116.94	34.32	119.83	130.232	J1460	K	1850	$49.85									
J1554	Inj. asceniv	13	33	97103.22	997.74	3137	2942.52	2826.75	6567.38	3137	9411	34.659	J1554	K	9392	$491.40									
J1555	"Inj cuvitru, 100 mg"	143	17390	381352.1	10.22	27.96	21.93	20.61	2102.59	26.32	2885.07	336.133	J1555	K	9034	$16.82									
J1557	Gammaplex injection	2	170	8054.4	46.4	50.56	47.38	47.35	3492.87	46.4	4027.28	48.561	J1557	K	9270	$57.93									
J1558	"Inj. xembify, 100 mg"	59	8850	251373	15.96	29.48	28.4	28.31	4245.23	29.48	4421.35	91.538	J1558	K	9372	$14.30									
J1559	Hizentra injection	113	20676	314415.41	8.18	33.56	15.21	13.92	2307.62	13.76	2494.32	605.634	J1559	K	1312	$13.23									
J1560	Gamma globulin > 10 cc inj	6	8	12548.45	144.57	2436.4	1568.56	1066.8	1020.63	1827.3	1218.19	75.967	J1560	K	1851	$498.52									
J1561	Gamunex-c/gammaked	71453	5758334	311302829.3	0.01	525.99	54.06	48.72	3556.93	48.78	3447.9	441.526	J1561	K	0948	$48.81									
J1566	"Immune globulin, powder"	4582	329217	26601991.04	0.27	745.68	80.8	70.08	4801.05	82.35	5105.74	410.817	J1566	K	2731	$82.19									
J1568	Octagam injection	9736	789805	40396512.95	0.07	231.6	51.15	43.96	3212.24	44.43	3247.34	466.984	J1568	K	0943	$49.00									
J1569	Gammagard liquid injection	115983	9162981	518957524.3	0.01	1483.62	56.64	51.26	3703.33	52.1	3740.74	430.787	J1569	K	0944	$49.69									
J1571	Hepagam b im injection	78	1259	321805.96	20.97	417.05	255.6	194.18	2372.5	251.12	3893.54	234.11	J1571	K	0946	$68.66									
J1572	Flebogamma injection	111	5560	310032.3	13.49	115.21	55.76	48.45	2008.01	50.98	2173.8	358.789	J1572	K	0947	$56.12									
J1573	"Hepagam b intravenous, inj"	75	3331	187594.35	0.05	648.13	56.32	27.87	1490.8	53.92	2288.91	509.342	J1573	K	1138	$68.66									
J1575	Hyqvia 100mg immuneglobulin	311	100911	1815875.59	6.34	45.26	17.99	17.23	5079.43	16.43	5021.79	567.141	J1575	K	1826	$17.50									
J1576	"Inj, panzyga, 500 mg"	13	1400	97988	69.97	70	69.99	69.99	7145.71	70	6999.67	0.209	J1576	K	9144	$67.46									
J1595	Injection glatiramer acetate	17	27	3542.23	0.14	377.4	131.19	70.07	119.87	97.75	180.54	99.761	J1595	K	1015	$172.88									
J1596	"Inj, glycopyrrolate, 0.1 mg"	1	1	1.42	1.42	1.42	1.42	1.42	1.42	1.42	1.42		J1596	K	0792	$0.51									
J1602	Golimumab for iv use 1mg	25847	4544572	157633352.5	0.01	276.81	34.69	31.19	5346.47	32.39	5578.55	635.257	J1602	K	1475	$11.10									
J1610	Glucagon hydrochloride/1 mg	31947	34297	6984063.12	22.2	1147.93	203.63	170.2	179.99	171.58	179.9	67.483	J1610	K	9042	$192.30									
J1611	"Inj glucagon hcl, fresenius"	10992	12023	2118366.15	26.98	868.79	176.19	156.72	169.11	161.06	167.7	54.136	J1611	K	9025	$108.93									
J1627	"Inj, granisetron, xr, 0.1 mg"	4	400	1988	4.97	4.97	4.97	4.97	496.59	4.97	496.59	0	J1627	K	9421	$5.71									
J1628	"Inj., guselkumab, 1 mg"	73	7300	711581	44.17	154.49	97.48	88.73	8872.69	107.53	10753.06	406.127	J1628	K	9029	$74.47									
J1640	"Hemin, 1 mg"	594	199385	4609958.43	8.5	44.48	23.12	21.76	7230.84	22.24	7545.94	617.45	J1640	K	1690	$32.20									
J1670	Tetanus immune globulin inj	169	169	68676.16	18.79	3776.06	406.37	268.55	268.55	391.48	391.48	93.916	J1670	K	1670	$581.78									
J1726	"Makena, 10 mg"	18	427	8480.66	0.58	28.67	19.86	17.9	326.44	15.82	344.58	210.908	J1726	K	9074	$14.46									
J1742	Ibutilide fumarate injection	957	1086	367450	26.67	1967.55	338.35	254.53	282.9	281.35	305.5	83.37	J1742	K	9044	$241.40									
J1743	Idursulfase injection	106	4194	4084515.18	500.07	1662.3	973.89	861.92	34564.79	652.65	39159.22	324.252	J1743	K	9045	$537.93									
J1744	Icatibant injection	30	900	131670	29.1	328.36	146.3	119.11	3573.33	116.42	3492.61	324.568	J1744	K	1443	$151.64									
J1745	Infliximab not biosimil 10mg	56031	3085179	263560458.5	0.01	498.46	85.43	74.42	3764.49	80.28	3840.96	379.145	J1745	K	7043	$32.22									
J1746	"Inj., ibalizumab-uiyk, 10 mg"	115	9200	662683.2	25.06	148.8	72.03	59.12	4729.56	84.21	6737.11	503.124	J1746	K	9189	$77.06									
J1747	"Inj, spesolimab-sbzo, 1 mg"	7	5401	222498.11	16.44	2088.11	41.2	35.78	21773.98	52.55	41266.53	2407.127	J1747	G	9115	$61.43									
J1750	Inj iron dextran	8628	178762	3914668.26	0.35	151.16	21.9	19.88	393.2	19.06	389.12	226.368	J1750	K	1237	$17.67									
J1786	Imuglucerase injection	1823	737709	31150526.42	5.71	121.67	42.23	39.7	14844.4	41.07	14384.68	704.082	J1786	K	1327	$43.62									
J1811	Fiasp for insulin pump use	1	20	168	8.4	8.4	8.4	8.4	167.9	8.4	167.9		J1811	K	9366	$7.41									
J1823	"Inj. inebilizumab-cdon, 1 mg"	138	41400	16494525	86.81	727.94	398.42	371.25	111374.1	371.5	111449.6	637.283	J1823	K	9394	$484.40									
J1826	Interferon beta-1a inj	51	51	112360.3	2151.62	2271.06	2203.14	2202.35	2202.35	2151.62	2151.62	2.712	J1826	K	1852	"$2,203.14"									
J1833	"Injection, isavuconazonium"	13	4836	5516.76	0.73	1.89	1.14	1.12	414.87	1.07	397.93	455.005	J1833	K	9456	$0.98									
J1930	Lanreotide injection	25543	3020386	215962911	0.06	362.25	71.5	64.56	7623.18	66.03	7831.34	484.825	J1930	K	9237	$49.97									
J1931	Laronidase injection	49	14346	424715.32	26.57	32.52	29.61	29.45	8620.97	32.52	9430.42	173.69	J1931	K	9209	$38.70									
J1932	"Inj, lanreotide, (cipla) 1mg"	5306	636366	39925584.3	11.87	191	62.74	58.89	7057.18	59.79	7174.55	389.368	J1932	G	9051	$36.80									
J1939	"Inj, bumetanide, 0.5 mg"	5	14	39.88	2.38	3.91	2.85	2.78	7.79	2.38	7.82	44.358	J1939	K	0794	$0.62									
J1943	"Inj., aristada initio, 1 mg"	8	1356	7870.79	0.79	285.92	5.8	4.99	173.06	6.73	194.95	2835.854	J1943	K	9179	$3.19									
J1944	Aripiprazole lauroxil 1 mg	458	374246	1164722.25	0.42	11.67	3.11	2.77	2162.75	2.76	1974.62	1639.124	J1944	K	9470	$3.23									
J1950	Leuprolide acetate /3.75 mg	2625	4661	5849279.12	69.48	6360.82	1254.94	1075.38	1723.75	1207.59	1654.08	75.354	J1950	K	0800	"$1,617.65"									
J1951	Inj fensolvi 0.25 mg	3	182	49024.34	263.95	756.67	269.36	267.02	3007.48	263.95	756.67	181.912	J1951	K	9419	$140.62									
J1952	"Leuprolide inj, camcevi, 1mg"	10	156	3991.84	23.96	81.28	25.59	25.26	310.53	25	575.06	99.681	J1952	G	9050	$55.00									
J1954	Leuprolide depot cipla 7.5mg	34	102	102168.12	126.17	1434.49	1001.65	711.09	2133.27	1434.49	4303.46	103.124	J1954	G	9136	$257.70									
J1961	"Inj, lenacapavir, 1 mg"	1	927	20273.49	21.87	21.87	21.87	21.87	20270.25	21.87	20270.25		J1961	G	9155	$21.99									
J2182	"Injection, mepolizumab, 1mg"	34044	3924993	117768210.5	0.03	120.72	30	27.47	2973.49	27.23	2810.26	456.351	J2182	K	9473	$30.44									
J2186	"Inj., meropenem, vaborbactam"	6	1100	2064	0.52	2.58	1.88	1.64	287.63	2.34	396.86	607.598	J2186	K	9178	$2.09									
J2265	Minocycline hydrochloride	60	13900	26303	0.78	6.33	1.89	1.4	249.04	0.78	156.23	1248.067	J2265	K	1853	$2.59									
J2278	Ziconotide injection	580	244633	2321291.29	1.15	20.35	9.49	8.78	2778.8	8.94	3380.95	771.049	J2278	K	1694	$9.65									
J2315	"Naltrexone, depot form"	1028	390640	1420075.2	0.01	7.21	3.64	3.38	1285.61	3.72	1413.29	605.713	J2315	K	0759	$4.12									
J2323	Natalizumab injection	13059	3917700	84235410	0.41	110.07	21.5	19.05	5716.45	20.62	6184.92	815.272	J2323	K	9126	$24.15									
J2326	"Inj, nusinersen, 0.1mg"	441	52920	47483953.2	259.76	2052.75	897.28	828.42	99409.96	850.88	102105	417.158	J2326	K	9489	"$1,231.90"									
J2327	Inj risankizumab-rzaa 1 mg	2049	1224780	17899660.5	0.01	204.7	14.61	13.36	8006.3	14.03	8418.03	1171.337	J2327	G	9013	$14.63									
J2329	"Inj ublituximab-xiiy, 1 mg"	86	27900	1883164.5	9.33	105.56	67.5	62.77	17728.34	66.1	21240.5	565.571	J2329	G	9149	$69.44									
J2350	"Injection, ocrelizumab, 1 mg"	12477	6990273	395906102.9	0.06	251.68	56.64	51.93	28366.52	53.14	29840.58	951.703	J2350	K	9494	$59.80									
J2353	"Octreotide injection, depot"	49038	1427730	279826057.1	0.43	1293.21	195.99	180.41	5065.02	183.33	5160.63	224.438	J2353	K	1207	$214.88									
J2356	"Inj tezepelumab-ekko, 1mg"	10216	2144916	36001577.62	0.03	63.94	16.78	15.28	3207.23	15.53	3261.32	619.342	J2356	G	9008	$18.11									
J2357	Omalizumab injection	65607	3947310	157444528.7	0.01	265.29	39.89	35.83	2083.97	36.86	2200.73	361.687	J2357	K	9300	$38.29									
J2358	Olanzapine long-acting inj	1281	69697	676138.57	0.17	84.62	9.7	8.33	61.34	11.59	39.09	307.216	J2358	K	1331	$2.92									
J2403	"Chloroprocaine opht gel, 1mg"	48	22608	1464.32	0.04	0.74	0.06	0.04	11.77	0.04	25.11	4379.223	J2403	G	9116	$0.63									
J2406	"Injection, oritavancin 10 mg"	612	70846	2481037.74	1.65	466.08	35.02	31.78	3696.92	34.21	4065.14	463.039	J2406	K	9427	$42.50									
J2407	"Injection, oritavancin"	485	55576	1379667.68	1.33	55.05	24.82	22.87	2564.27	25.43	3036.34	408.472	J2407	K	1660	$28.46									
J2425	Palifermin injection	17	2081	77832.29	30.8	56.34	37.4	36.66	4519.55	38.25	4781.7	240.564	J2425	K	1696	$33.99									
J2426	"Inj, invega sustenna, 1 mg"	5306	1092694	13419603.56	0.01	42.69	12.28	11.2	2162.82	11.21	2274.14	612.306	J2426	K	9255	$14.76									
J2427	"Inj, invega hafyera/trinza"	203	124065	1280217.39	5.07	23.96	10.32	9.9	5753.12	10.7	5558.15	716.498	J2427	K	9145	$12.66									
J2502	"Inj, pasireotide long acting"	92	4480	1533058	128.5	1721.43	342.2	295.89	14526.84	328.41	14895.94	415.888	J2502	K	9454	$479.84									
J2506	Inj pegfilgrast ex bio 0.5mg	109425	1312902	553954822	7.44	2523.11	421.93	377.59	4530.42	404.02	4841.94	165.408	J2506	K	9436	$31.14									
J2507	Pegloticase injection	1224	9792	25192391.84	2.93	5361.51	2572.75	2162.15	17297.04	2599.75	20797.98	118.383	J2507	K	9281	"$3,482.15"									
J2508	Pegunigalsidase alfa-iwxj												J2508	G	0715	$223.55									
J2510	Penicillin g procaine inj	15	56	2642.8	7.78	92.22	47.19	42.17	162	46.11	184.44	81.944	J2510	K	1836	$40.94									
J2547	"Injection, peramivir"	4	2400	1968	0.82	0.82	0.82	0.82	489.05	0.82	489.05	0	J2547	K	9451	$1.68									
J2561	"Inj, sezaby, 1 mg"	1	390	183.3	0.47	0.47	0.47	0.47	184.16	0.47	184.16		J2561	K	0798	$1.41									
J2562	Plerixafor injection	2905	65045	22813806.59	6.33	851.15	350.74	270.29	5938.32	374.89	7737.76	238.832	J2562	K	9252	$50.47									
J2597	Inj desmopressin acetate	4239	100877	1252106.22	0.02	195.69	12.41	9.8	215.9	9.79	229.32	370.053	J2597	K	1440	$5.42									
J2679	Inj fluphenazine hcl 1.25 mg												J2679	K	0799	$7.35									
J2690	Procainamide hcl injection	397	516	77914.04	4.77	1477.12	151	77.99	100.82	77.99	87.89	152.615	J2690	K	9219	$546.07									
J2724	Protein c concentrate	1	2162	4129.42	1.91	1.91	1.91	1.91	4127.17	1.91	4127.17		J2724	K	1139	$15.05									
J2760	Phentolaine mesylate inj	152	164	38573.08	11.55	1772.89	235.2	99.32	100.28	117.47	102.76	119.334	J2760	K	1458	$367.12									
J2770	Quinupristin/dalfopristin	21	28	119.28	1.6	6.01	4.26	4.12	5.25	4.6	4.6	24.987	J2770	K	2770	$4.26									
J2777	"Inj, faricimab-svoa, 0.1mg"	15938	1144438	43119739.36	0.44	135.51	37.68	34.59	2383.93	39.47	2482.05	301.062	J2777	G	9496	$34.25									
J2778	Ranibizumab injection	7458	41028	15273245.79	48.95	1255.13	372.26	341.13	1792.29	387.85	1939.27	84.565	J2778	K	9233	$137.14									
J2779	"Inj, susvimo 0.1 mg"	13	251	36046.68	79.61	359.34	143.61	117.9	1842.22	100.18	1796.68	343.899	J2779	G	9439	$79.08									
J2781	"Inj, pegcetacoplan, 1mg"	368	6960	988094.85	11.74	301.8	141.97	132.41	2334.55	173.18	2597.77	142.092	J2781	G	9158	$147.36									
J2783	Rasburicase	1176	12156	4059381.26	8.46	1249.3	333.94	295.57	2732.93	313.39	2723.37	158.751	J2783	K	0738	$371.29									
J2786	"Injection, reslizumab, 1mg"	1515	444839	4875586.32	0.95	33.17	10.96	9.63	2776.11	9.36	2822.42	872.88	J2786	K	9481	$10.31									
J2792	"Rho(d) immune globulin h, sd"	32	7037	233427.77	11.48	59.21	33.17	28.68	5730.83	28.73	5746.34	761.056	J2792	K	1609	$34.34									
J2794	"Inj risperdal consta, 0.5 mg"	2059	146551	1609397.86	0.03	41.96	10.98	9.6	639.54	9.91	645.52	459.866	J2794	K	9125	$11.30									
J2798	"Inj., perseris, 0.5 mg"	13	2460	21327	7.59	10.32	8.67	8.64	1618.06	8.35	1649.74	128.924	J2798	K	9181	$12.19									
J2799	"Inj, uzedy, 1 mg"												J2799	G	9266	$24.77									
J2820	Sargramostim injection	463	5176	311469.02	6.21	295.57	60.18	56.14	564.25	55.63	522	135.074	J2820	K	0731	$60.28									
J2840	Inj sebelipase alfa 1 mg												J2840	K	9478	$539.42									
J2850	Inj secretin synthetic human	424	7170	558418.92	4.97	333.24	77.88	60.73	1041.89	55.68	939.55	284.675	J2850	K	1700	$42.57									
J2860	"Injection, siltuximab"	626	63897	7547804.48	38.89	325.08	118.12	110.6	10909.01	116.93	10632.37	362.765	J2860	K	9455	$157.07									
J2941	Somatropin injection	4	4	195.68	21.71	57.99	48.92	45.36	45.36	57.99	57.99	37.081	J2941	K	9319	$48.92									
J2993	Reteplase injection	51	74	168586.26	320.34	6753.02	2278.19	1910.75	2720.23	2202.97	3124.58	72.873	J2993	K	9005	"$2,777.14"									
J2997	Alteplase recombinant	47550	136130	12873891.47	5.84	1191.92	94.57	82.91	211.83	85.59	199.18	96.513	J2997	K	7048	$91.47									
J2998	Inj plasminogen tvmh 1mg												J2998	G	9206	$32.55									
J3032	Inj. eptinezumab-jjmr 1 mg	5231	1045130	16163870	0.04	91.1	15.47	13.99	2397.06	14.88	2427	597.815	J3032	K	9357	$18.69									
J3060	"Inj, taliglucerase alfa 10 u"	180	104460	3752799.4	14.33	59.47	35.93	32.7	19354.36	31.78	20906.43	953.244	J3060	K	9294	$42.58									
J3090	Inj tedizolid phosphate	135	27000	72316	1.77	2.91	2.68	2.67	532.86	2.81	561.49	123.543	J3090	K	1662	$1.81									
J3095	Telavancin injection	420	35822	400202.4	1.39	459.43	11.17	8.01	622.69	10.11	510.46	2956.656	J3095	K	9258	$6.38									
J3101	Tenecteplase injection	3595	166765	20719865.1	1	898.86	124.25	106.3	4838.9	114.11	5315.36	406.641	J3101	K	9002	$157.72									
J3111	Inj. romosozumab-aqqg 1 mg	61852	12924699	124545207.4	0.03	67.25	9.64	8.59	1792.76	8.79	1828.79	716.906	J3111	K	9327	$11.17									
J3145	Testosterone undecanoate 1mg	865	646650	1048764.5	0.01	6.55	1.62	1.31	978.21	1.53	1143.94	1540.907	J3145	K	9078	$1.95									
J3240	Thyrotropin injection	4922	4922	9208021.43	280.81	9157.55	1870.79	1647.8	1647.8	1682.39	1682.39	53.117	J3240	K	9108	"$2,073.34"									
J3241	Inj. teprotumumab-trbw 10 mg	1500	231358	67518102.08	60.34	1883.3	291.83	255.66	37545.59	263.45	39445.15	830.363	J3241	K	9355	$343.89									
J3245	"Inj., tildrakizumab, 1 mg"	3654	365400	48848452	33.5	377.29	133.68	124.75	12474.68	120.93	12092.56	369.783	J3245	K	9306	$135.92									
J3262	Tocilizumab injection	38654	18951718	120830641.5	0.15	127.55	6.38	5.79	2649.46	6.16	2773.65	1053.024	J3262	K	9264	$5.96									
J3285	Treprostinil injection	72	976	56933.79	14.44	426.86	58.33	43.15	522.37	47.63	558.36	356.086	J3285	K	1701	$55.82									
J3299	Inj xipere 1 mg	82	1989	118584.66	0.71	596.97	59.62	49.38	658.02	58.9	1526.62	339.373	J3299	G	9358	$48.40									
J3304	Inj triamcinolone ace xr 1mg	6064	261930	4576308.62	0.59	957.7	17.47	14.48	592.1	16.69	620.69	653.101	J3304	K	9469	$17.75									
J3315	Triptorelin pamoate	1818	6480	4590896.89	83.81	3392.39	708.47	646.91	2163.97	693.38	2318.6	75.36	J3315	K	9122	$466.73									
J3316	"Inj., triptorelin xr 3.75 mg"	29	48	63342.56	673.24	5480.46	1319.64	930.96	961.89	743.4	673.24	156.138	J3316	K	9016	"$3,418.49"									
J3357	"Ustekinumab sub cu inj, 1 mg"	1051	83655	19012554.9	88.9	779.02	227.27	211.95	16141.17	209.64	16445.64	355.135	J3357	K	9261	$159.91									
J3358	"Ustekinumab, iv inject, 1 mg"	1174	472810	6678678.5	0.32	60.35	14.13	13.01	5055.8	13.67	5340.01	825.196	J3358	K	9487	$12.97									
J3380	"Injection, vedolizumab"	48964	14689198	358361208.5	1.6	131.33	24.4	22.47	6742.06	23.03	6909.51	693.866	J3380	K	1489	$22.26									
J3385	Velaglucerase alfa	1082	46140	15824380.86	18.35	592.5	342.96	322.04	13112.61	359.46	12836.86	204.829	J3385	K	9271	$370.20									
J3396	Verteporfin injection	136	19206	235914.14	3.35	29.95	12.28	11.59	1609.22	12.55	1865.67	397.721	J3396	K	1203	$11.53									
J3398	Inj luxturna 1 billion vec g	2	300	159978	533.26	533.26	533.26	533.26	79989.25	533.26	79989.25	0	J3398	K	9070	"$3,084.46"									
J3399	Inj onase abepar-xioi treat												J3399	K	9141	"$2,388,614.23"									
J3401	"Vyjuvek 5x109pfu/ml, 0.1 ml"												J3401	G	0716	$996.96									
J3425	"Inj, hydroxocobalamin"												J3425	K	0803	$0.01									
J7168	Prothrombin complex kcentra	7375	17278802	40473091.26	0.01	191.89	2.34	2.04	4441.76	2.18	4564.67	2885.129	J7168	K	9132	$2.24									
J7169	"Inj andexxa, 10 mg"	396	40884	5985993.31	27.78	1564.76	146.41	131.13	13035.9	140.15	13970.39	618.464	J7169	K	9198	$131.99									
J7170	"Inj., emicizumab-kxwh 0.5 mg"	431	340834	12396736.76	9.99	105.72	36.37	29.4	21729.45	37.04	20267.59	1741.364	J7170	K	9257	$52.82									
J7175	"Inj, factor x, (human), 1iu"	33	179615	640752.2	3.13	12.37	3.57	3.37	18733.56	3.13	20257.96	3740.871	J7175	K	1857	$9.11									
J7177	"Inj., fibryga, 1 mg"	102	538100	1323957	1.44	2.47	2.46	2.46	12964.55	2.47	12981.27	293.173	J7177	K	9046	$1.11									
J7178	Inj human fibrinogen con nos	43	125075	214409.23	0.64	2.07	1.71	1.67	4624.41	1.72	3959.28	1118.449	J7178	K	1478	$1.45									
J7179	Vonvendi inj 1 iu vwf:rco	128	1247493	1231656.99	0.28	3.57	0.99	0.65	8520	0.39	9221.12	9961.515	J7179	K	9059	$1.87									
J7180	Factor xiii anti-hem factor	4	5714	20321.18	1.39	10.27	3.56	2.26	3279.46	1.39	2006.71	4680.01	J7180	K	1416	$10.16									
J7181	Factor xiii recomb a-subunit	1	23	26.91	1.17	1.17	1.17	1.17	26.98	1.17	26.98		J7181	K	1746	$17.26									
J7182	Factor viii recomb novoeight	21	66985	57015.45	0.34	2.45	0.85	0.77	2168.8	0.69	2813.87	3242.823	J7182	K	1856	$1.38									
J7183	Wilate injection	126	502294	517909.76	0.01	3.69	1.03	0.85	3415.48	1.05	3847.71	3799.306	J7183	K	1352	$1.28									
J7185	Xyntha inj	159	397994	481047.99	0.18	4.31	1.21	1	1866.79	0.99	994.82	3162.937	J7185	K	1268	$1.48									
J7186	Antihemophilic viii/vwf comp	69	359393	405495.87	0.2	5.86	1.13	0.99	3839.25	1.09	3927.81	4806.373	J7186	K	1213	$1.23									
J7187	"Humate-p, inj"	1390	5829882	7841782.36	0.06	27.7	1.35	1.09	4266.91	1.33	3909.97	4697.803	J7187	K	1704	$1.40									
J7188	Factor viii recomb obizur	17	132869	342727.22	0.76	10.02	2.58	2.51	3408.09	2.52	16587.46	2525.773	J7188	K	1827	$3.22									
J7189	Factor viia recomb novoseven	163	2176292	3696898.71	0.01	4.77	1.7	1.46	10937.06	1.67	11636.68	5621.45	J7189	K	1705	$2.52									
J7190	Factor viii	114	1403079	947972.29	0.19	7.73	0.68	0.54	5341.27	0.47	7055.18	7818.506	J7190	K	0925	$1.17									
J7192	Factor viii recombinant nos	406	3507552	3224080.37	0.06	5.44	0.92	0.76	4746.35	0.95	4509.23	5753.495	J7192	K	0927	$1.55									
J7193	Factor ix non-recombinant	45	745080	348058.8	0.26	1.72	0.47	0.41	7000.33	0.4	7554.47	8539.243	J7193	K	0931	$1.41									
J7194	Factor ix complex	19	63079	92544.79	0.55	3.13	1.47	1.21	3242.19	1.58	2436.06	3577.161	J7194	K	0928	$1.65									
J7195	Factor ix recombinant nos	303	1732687	2216505.26	0.01	4.29	1.28	1.01	5251.3	1.26	4517.98	5002.467	J7195	K	0932	$1.85									
J7197	Antithrombin iii injection	19	31328	161321.09	0.01	965.45	5.15	3.31	2698.51	5.87	10419.83	6374.985	J7197	K	1263	$3.85									
J7198	Anti-inhibitor	202	1379224	1576004.43	0.13	11.35	1.14	0.88	4738.5	0.72	5659.73	7309.218	J7198	K	0929	$2.34									
J7201	Factor ix alprolix recomb	56	1211996	2372995.07	0.8	5.28	1.96	1.58	30890.77	0.9	32599.33	9793.091	J7201	K	1486	$3.59									
J7202	Factor ix idelvion inj	190	1191501	4135434.51	0.92	6.12	3.47	2.93	17225.47	2.49	13245.64	4105.091	J7202	K	9171	$5.05									
J7203	Factor ix recomb gly rebinyn	11	160652	191021.11	1.12	3.81	1.19	1.16	14524.77	1.12	20791.21	4534.382	J7203	K	9468	$4.57									
J7204	Inj recombin esperoct per iu	56	1653447	945175.68	0.55	1.32	0.57	0.57	15572.34	0.55	17587.18	1501.625	J7204	K	9354	$2.17									
J7205	Factor viii fc fusion recomb	164	1020714	1327204.37	0.6	3.88	1.3	1.09	5664.27	0.79	3145.63	5006.972	J7205	K	1656	$2.34									
J7207	Factor viii pegylated recomb	38	1235007	1660909.46	0.49	2.36	1.34	1.07	24715.12	0.57	27390.76	11627.18	J7207	K	1844	$2.10									
J7208	Inj. jivi 1 iu	12	78691	129415.43	0.75	2.38	1.64	1.46	9810.45	1.72	12269.29	3721.078	J7208	K	9299	$2.44									
J7209	Factor viii nuwiq recomb 1iu	157	1072487	3929289.81	1.15	3.69	3.66	3.65	24670.59	3.69	25031.9	524.324	J7209	K	1846	$1.24									
J7210	"Inj, afstyla, 1 i.u."	48	174054	223187.62	0.2	3.14	1.28	1.12	4276.84	1.46	4756.73	2003.21	J7210	K	9043	$1.46									
J7211	"Inj, kovaltry, 1 i.u."	57	1749143	706833.86	0.21	3.1	0.4	0.3	7093.82	0.23	7164.27	20346.06	J7211	K	9075	$1.48									
J7213	"Inj, ixinity, 1 i.u."	4	17463	21250.05	0.55	1.85	1.22	1.02	5286.68	1.85	5510.33	4074.036	J7213	K	9146	$1.81									
J7214	Altuviiio per factor viii iu	35	379591	796899.31	1.23	4.67	2.1	1.84	19211.97	1.23	17083.36	5657.64	J7214	G	9277	$4.69									
J7308	Aminolevulinic acid hcl top	3994	4818	1454442.52	37.44	1778.66	301.88	255.24	292.58	221.95	312.26	69.955	J7308	K	7308	$396.97									
J7311	"Inj., retisert, 0.01 mg"	45	2715	752357.59	120.86	471.15	277.11	245.85	14939.1	298.11	17588.71	352.302	J7311	K	9225	$333.48									
J7312	Dexamethasone intra implant	2396	18340	3635881.9	25.19	725.58	198.25	171.3	1281.82	195.06	1424.34	134.376	J7312	K	9256	$205.62									
J7313	"Inj., iluvien, 0.01 mg"	82	1749	685217.2	134.52	805.06	391.78	352.2	7487.27	266.9	8237.28	216.724	J7313	K	9450	$495.38									
J7314	"Inj., yutiq, 0.01 mg"	147	2970	1349129.7	115.29	1033.37	454.25	413.56	8259.75	461.83	9528.69	185.977	J7314	K	9328	$527.97									
J7318	"Inj, durolane 1 mg"	5016	402822	4943777.77	0.1	153.77	12.27	10.17	774.41	10.87	843.54	488.519	J7318	K	9174	$7.00									
J7320	"Genvisc 850, inj, 1mg"	60	1830	43686.25	11.93	27.29	23.87	23.35	658.08	25.63	640.64	98.83	J7320	K	9079	$5.90									
J7322	Hymovis injection 1 mg	155	5549	97003.6	2.39	44.99	17.48	12.31	405.77	15.44	545.12	395.094	J7322	K	9471	$17.45									
J7323	Euflexxa inj per dose	25426	35716	8660794.95	14.61	2357.57	242.49	191.4	252.26	229.35	281.42	74.161	J7323	K	0875	$121.31									
J7324	Orthovisc inj per dose	8377	11732	3105480.58	18.36	1767.88	264.7	203.69	267.49	221.2	258.3	94.186	J7324	K	0877	$122.91									
J7325	Synvisc or synvisc-one	16936	887793	13738572.99	0.05	147.01	15.47	11.57	541.92	12.49	529.22	540.535	J7325	K	0874	$9.16									
J7326	Gel-one	5059	6857	4855500.35	113.66	4251.19	708.11	603.13	771.8	601.44	751.03	74.012	J7326	K	1417	$534.48									
J7327	Monovisc inj per dose	3958	5390	5019529.65	66.09	5544.57	931.27	750.04	965.68	802.1	988.95	72.55	J7327	K	1747	$683.17									
J7329	"Inj, trivisc 1 mg"	1358	45150	981561	21.74	21.74	21.74	21.74	683.14	21.74	543.5	0	J7329	K	9196	$6.67									
J7332	"Inj., triluron, 1 mg"	7	180	4917.6	26.92	27.64	27.32	27.32	668.8	27.64	552.78	7.173	J7332	K	9338	$10.36									
J7336	Capsaicin 8% patch	781	688274	1997633.48	0.08	1925.15	2.9	2.08	1765.74	2.54	2065.28	6202.433	J7336	K	9071	$3.33									
J7340	Carbidopa levodopa ent 100ml	3	3	1.45	0.01	0.72	0.48	0.17	0.17	0.72	0.72	84.811	J7340	K	9320	$235.06									
J7345	"Aminolevulinic acid, 10% gel"	713	154500	187205	0.3	3.4	1.21	1.08	229.35	0.97	193.41	695.711	J7345	K	9301	$1.72									
J7351	Inj bimatoprost itc imp1mcg	86	950	201748.1	61.11	318.78	212.37	198.19	2072.25	221.34	2079.53	108.379	J7351	K	9351	$209.86									
J7352	"Afamelanotide implant, 1 mg"	18	288	763684.48	2057.15	3141.62	2651.68	2614.1	41825.67	2709.6	43353.65	68.546	J7352	K	9396	"$2,873.33"									
J7353	Anacaulase-bcdb 8.8% gel 1 g												J7353	G	0742	$58.34									
J7402	Mometasone sinus sinuva	121	8406	200240.84	0.16	2514.85	23.82	9.11	1149.55	9.66	1455.97	4346.612	J7402	K	9346	$11.35									
J7501	Azathioprine parenteral	1	1	503.15	503.15	503.15	503.15	503.15	503.15	503.15	503.15		J7501	K	0887	$235.67									
J7504	Lymphocyte immune globulin	38	252	861021.39	1071.71	4426.06	3416.75	3095.76	19750.45	4054.93	17704.24	94.195	J7504	K	0890	"$3,968.45"									
J7511	Antithymocyte globuln rabbit	521	2267	2168788.26	298.3	1626.72	956.68	936.02	3944.4	980.62	4226.63	41.402	J7511	K	9104	$956.74									
J7525	Tacrolimus injection	170	190	24785.98	10.68	392.54	130.45	110.72	123.29	108.64	108.64	61.436	J7525	K	9006	$254.78									
J8510	Oral busulfan	13	436	36714.82	1.25	87.82	84.21	78.93	34.87	87.82	18.99	117.94	J8510	K	9335	$84.21									
J8655	"Oral netupitant, palonosetro"	8	8	1939.36	242.42	242.42	242.42	242.42	242.42	242.42	242.42	0	J8655	K	9448	$400.24									
J8670	"Rolapitant, oral, 1mg"	17	3060	11660.4	2.39	5.18	3.81	3.58	644.08	3.43	617.75	472.338	J8670	K	1761	$1.58									
J9015	Aldesleukin injection	65	65	344581.73	1113.24	8001.6	5301.26	5165.51	5165.51	5006.31	5006.31	21.023	J9015	K	0807	"$5,301.26"									
J9017	Arsenic trioxide injection	5223	84083	3249370.87	2.25	372.16	38.64	26.26	367.56	35.16	455.35	382.677	J9017	K	9012	$7.20									
J9021	"Inj, aspara, rylaze, 0.1 mg"	19	9760	250982	23.08	54.09	25.72	25.15	12436.28	23.77	10661.66	615.803	J9021	K	9437	$52.79									
J9022	"Inj, atezolizumab,10 mg"	42185	5214357	409357677.4	0.61	512.56	78.51	72.47	8876.14	74.75	9088.67	451.921	J9022	K	9483	$86.24									
J9023	"Injection, avelumab, 10 mg"	9851	791169	66704400.94	7.48	359.84	84.31	77.13	6187.84	80.94	6526.35	388.439	J9023	K	9491	$95.18									
J9027	Clofarabine injection	93	3006	166679.92	10.19	136.06	55.45	41.67	859.38	37.58	1232.94	412.595	J9027	K	1710	$14.38									
J9029	"Instill adstiladrin, tx dose"	1	1	67435.2	67435.2	67435.2	67435.2	67435.2	67435.2	67435.2	67435.2		J9029	G	0717	"$63,354.77"									
J9032	"Injection, belinostat, 10mg"	614	114796	4977340.05	1.53	101.73	43.36	38.14	6810.35	37.56	7774.86	518.744	J9032	K	1658	$50.09									
J9033	"Inj., treanda 1 mg"	1332	212540	4280530.04	0.01	56.89	20.14	17.07	2563.27	17.77	2888.86	682.827	J9033	K	9243	$5.43									
J9034	"Inj., bendeka 1 mg"	18820	2988312	66035416.98	0.57	134.26	22.1	20.32	3149.18	20.6	3233.88	517.186	J9034	K	1861	$12.95									
J9035	Bevacizumab injection	23882	1673501	131162434.7	0.01	2369.17	78.38	73.23	4559.34	76.25	4655.12	322.962	J9035	K	9214	$72.70									
J9036	Inj. belrapzo/bendamustine	2394	369625	8225423.31	7.9	72.37	22.25	20.89	3117.66	21.88	3368.5	441.923	J9036	K	9313	$27.53									
J9037	Inj belantamab mafodot blmf	72	25181	1050805.43	14.36	73.17	41.73	38.86	12774.14	43.89	14218.78	667.071	J9037	K	9384	$46.78									
J9039	"Injection, blinatumomab"	1964	307970	43606311.49	45.04	286.91	141.59	134.02	18151.37	152.13	21361.59	386.601	J9039	K	9449	$152.18									
J9042	Brentuximab vedotin inj	4331	550831	105416361.1	11.43	687.2	191.38	174.74	21519.62	185.25	22696.31	460.042	J9042	K	9287	$239.86									
J9043	Cabazitaxel injection	5753	331942	68854610.35	0.36	1659.41	207.43	182.79	10494.85	191.59	10886.2	500.838	J9043	K	9276	$216.46									
J9046	"Inj, bortezomib, dr. reddys"	3598	118736	582439.39	0.05	48.84	4.91	2.51	80.88	2.33	81.62	684.252	J9046	K	9026	$48.55									
J9047	"Injection, carfilzomib, 1 mg"	52119	4926591	232033058.4	3.53	600.21	47.1	43.51	3814.28	45.06	4150.41	399.05	J9047	K	9295	$49.58									
J9048	"Inj, bortezomib freseniuskab"	541	16479	271907.56	0.65	104.62	16.5	7.18	190.33	6.36	210.47	860.89	J9048	K	9027	$16.50									
J9050	Carmustine injection	229	783	792232.94	183.38	5537.32	1011.79	819.22	2591.27	891.89	2675.68	155.323	J9050	K	0812	$330.87									
J9052	"Inj, carmustine (accord)"												J9052	K	0718	$259.70									
J9055	Cetuximab injection	19963	1357605	102111472.6	6.36	940.35	75.21	68.32	4297.41	71.74	4278.51	379.124	J9055	K	9215	$75.48									
J9056	"Inj, bendamustine, 1 mg"	69	10662	256897.82	11.54	66.63	24.09	22.63	3495.55	25.88	3630.24	467.247	J9056	G	9154	$27.84									
J9057	"Inj., copanlisib, 1 mg"	307	18420	1566609	23.77	134.5	85.05	80.78	4846.78	80.92	4855.3	232.611	J9057	K	9030	$92.81									
J9061	"Inj, amivantamab-vmjw"	1532	722257	13487117.95	3.66	78.12	18.67	17.18	7513.09	19.18	8308.53	912.476	J9061	K	9432	$20.67									
J9063	"Inj, elahere, 1 mg"	2600	913474	52304659.53	2.6	250.16	57.26	49.6	16949.27	53.5	18749.22	923.958	J9063	G	9109	$66.76									
J9065	Inj cladribine per 1 mg	1157	14998	484715.04	3.21	183.97	32.32	25.4	327.58	30.59	361.99	249.976	J9065	K	0858	$14.25									
J9071	Inj cyclophosphamd auromedic	664	131457	362181.86	0.03	23.2	2.76	2.11	349.25	2.72	403.56	1250.31	J9071	K	9203	$1.16									
J9119	"Inj., cemiplimab-rwlc, 1 mg"	13965	4887150	124007506	1.13	101.5	25.37	23.45	8208.23	24.47	8554.92	708.96	J9119	K	9304	$28.24									
J9120	Dactinomycin injection	55	185	189427.29	327.09	2707.45	1023.93	827.93	2323.39	740.17	2707.45	136.58	J9120	K	0752	$282.13									
J9144	"Daratumumab, hyaluronidase"	142099	25577142	1210458419	0.23	203.76	47.33	43.79	7881.41	45.68	8223.15	523.041	J9144	K	9378	$51.41									
J9145	"Injection, daratumumab 10 mg"	12085	1522285	88915564.67	1.86	231.3	58.41	53.5	6568.88	54.66	6699.04	470.866	J9145	K	9476	$65.12									
J9150	Daunorubicin injection	19	118	15442.96	30.97	281.93	130.87	99.04	572.33	98.73	441.4	188.207	J9150	K	0820	$24.44									
J9153	"Inj daunorubicin, cytarabine"	197	14698	2450261.43	0.02	441.8	166.71	39.77	2724.16	197.65	12319.26	500.422	J9153	K	9302	$242.50									
J9155	Degarelix injection	14897	1605251	9396604.58	0.03	490.52	5.85	5.05	495.98	5.36	498.23	1522.436	J9155	K	1296	$4.18									
J9172	"Docetaxel (ingenus), 1 mg"												J9172	G	0757	$50.99									
J9173	"Inj., durvalumab, 10 mg"	45205	5592795	406477639.8	0.49	557.9	72.68	67.2	7840.39	68.09	8499.5	449.674	J9173	K	9492	$81.82									
J9176	"Injection, elotuzumab, 1mg"	6465	6921260	46984822.16	1.32	24.41	6.79	6.36	6213.66	6.76	6440.26	1122.081	J9176	K	9477	$7.58									
J9177	Inj enfort vedo-ejfv 0.25mg	17727	5682983	177197555	0.27	209.72	31.18	28.56	8738.65	30.33	9271.48	754.142	J9177	K	9364	$36.74									
J9179	Eribulin mesylate injection	5540	130824	17488194.15	32.02	882.64	133.68	120.56	2745.8	126.48	2860.45	269.949	J9179	K	1426	$135.79									
J9185	Fludarabine phosphate inj	3911	5932	2527106.2	7.45	6010.44	426.01	183.01	263.53	174.48	257.38	218.029	J9185	K	9080	$134.15									
J9198	"Inj. infugem, 100 mg"	113	2255	22196.7	0.64	38.21	9.84	6	114.63	3.8	76.02	508.705	J9198	K	9387	$40.28									
J9200	Floxuridine injection	491	491	334929.05	2.17	4526.82	682.14	235.22	235.22	193.52	193.52	157.787	J9200	K	0827	"$3,858.03"									
J9202	Goserelin acetate implant	6011	11473	9076962.91	87.72	3356.58	791.16	692	1124.64	698.7	1071.22	77.751	J9202	K	0810	$674.77									
J9203	Gemtuzumab ozogamicin 0.1 mg	147	6586	1173702.67	5.3	428.89	178.21	139.22	6247.44	190.09	8554.09	350.088	J9203	K	9495	$229.67									
J9204	"Inj mogamulizumab-kpkc, 1 mg"	2307	190820	37110887.48	22.7	387.47	194.48	181	14603.19	195.5	14563.39	316.483	J9204	K	9182	$238.85									
J9205	Inj irinotecan liposome 1 mg	6212	735247	41454122.94	0.31	170.88	56.38	50.94	5809.7	53.3	6132.54	456.308	J9205	K	9474	$64.77									
J9207	Ixabepilone injection	277	13602	1379961.06	22.96	425.45	101.45	87.87	4167.92	96.21	3586.27	406.753	J9207	K	9240	$134.06									
J9210	"Inj., emapalumab-lzsg, 1 mg"	15	7200	2030368	270.96	332.14	282	281.65	112407.7	281.14	108382.2	118.166	J9210	K	9310	$378.03									
J9217	Leuprolide acetate suspnsion	136732	464533	299139194.1	2.28	41110.95	643.96	373.98	1199.91	347.42	1110.78	207.82	J9217	K	9217	$176.51									
J9223	"Inj. lurbinectedin, 0.1 mg"	4632	333927	57816725.5	0.01	768.29	173.14	158.21	11210.68	163.52	11835.52	341.787	J9223	K	9389	$203.60									
J9226	Supprelin la implant	1	1	71212.67	71212.67	71212.67	71212.67	71212.67	71212.67	71212.67	71212.67		J9226	K	1142	"$45,350.22"									
J9227	Inj. isatuximab-irfc 10 mg	4456	365717	26070208.88	3.49	259.09	71.29	66.41	5271.48	75.31	5717.61	305.699	J9227	K	9377	$78.05									
J9228	Ipilimumab injection	12398	1633434	246551952.6	0.27	1019.18	150.94	138.83	16071.31	148.16	16005.51	469.535	J9228	K	9284	$176.88									
J9229	Inj inotuzumab ozogam 0.1 mg	518	6411	14312900.57	345.82	6433.41	2232.55	2065.56	23207.82	2156.53	23205.11	137.867	J9229	K	9028	"$2,618.85"									
J9245	Inj melpha hydroch nos 50 mg	258	1506	692303.25	23.82	2128.44	459.7	338.73	1736.03	307.66	1935.42	193.513	J9245	K	0840	$153.54									
J9246	"Inj., evomela, 1 mg"	146	43835	1640439.26	12.1	70.73	37.42	34.24	9992.57	39.71	10943.85	700.972	J9246	K	9375	$17.35									
J9261	Nelarabine injection	50	2714	431286.6	93.2	226.15	158.91	153.79	7821.18	172.9	8728.24	183.749	J9261	K	0825	$72.53									
J9262	"Inj, omacetaxine mep, 0.01mg"	107	36199	271213.87	3.98	11.5	7.49	7.05	2303.3	9.64	3364.44	609.246	J9262	K	9297	$4.03									
J9264	Paclitaxel protein bound	60697	13089749	194667620.5	0.09	2699.66	14.87	13.58	2792.01	14.25	2953.93	1211.984	J9264	K	1712	$13.34									
J9266	Pegaspargase injection	47	47	903998.6	5277.63	34741.12	19234.01	17649.96	17649.96	18268.29	18268.29	40.438	J9266	K	0843	"$27,070.53"									
J9268	Pentostatin injection	246	246	545002.72	619.13	7362.93	2215.46	2012.46	2012.46	1805.71	1805.71	49.441	J9268	K	0844	"$2,541.77"									
J9269	Inj. tagraxofusp-erzs 10 mcg	215	21261	7746110.91	120.78	516.55	364.33	340.49	33565.51	327.03	32703.14	346.725	J9269	K	9309	$339.03									
J9271	Inj pembrolizumab	254428	58254602	2913368046	0.05	338.61	50.01	46.03	10161.77	48.04	10212.93	626.485	J9271	K	1490	$58.22									
J9272	"Inj, dostarlimab-gxly, 10 mg"	1768	103825	20342226.75	16.77	544.37	195.93	175.08	9830.59	184.11	10243.65	346.634	J9272	K	9431	$236.40									
J9273	"Inj tisotu vedotin-tftv, 1mg"	394	47670	8121676.34	51.39	663.56	170.37	152.85	17691.03	147.53	17181.11	615.108	J9273	G	9204	$181.60									
J9274	"Inj, tebentafusp-tebn, 1 mcg"	2192	204060	36915219.19	37.5	1921.62	180.9	170.53	15649.94	174.62	15732.05	367.13	J9274	G	9446	$214.76									
J9280	Mitomycin injection	9521	56613	6690783.56	0.21	3882.75	118.18	83.01	405.39	97.61	518.64	216.991	J9280	K	1232	$42.51									
J9281	Mitomycin instillation	939	70144	18716822	2.3	702.07	266.83	227.35	16431.29	263.94	20140.2	392.834	J9281	K	9374	$307.34									
J9286	"Inj glofitamab gxbm, 2.5 mg"												J9286	G	0720	"$2,701.04"									
J9293	Mitoxantrone hydrochl / 5 mg	195	1038	67260.09	9.95	535.4	64.8	43.57	244.18	39.19	215.55	283.74	J9293	K	0864	$54.65									
J9294	"Inj pemetrexed, hospira 10mg"	897	75959	418265.56	0.78	227.14	5.51	3.57	294.87	2.99	276.77	1195.854	J9294	K	9123	$0.62									
J9295	"Injection, necitumumab, 1 mg"	5	3220	28734	8.68	47.9	8.92	8.77	4673.27	8.68	6945.28	979.714	J9295	K	9475	$5.73									
J9296	Inj pemetrexed (accord) 10mg	193	14541	202002.23	0.73	82.72	13.89	6.31	398.85	7.41	449.61	1416.839	J9296	K	9127	$9.66									
J9298	Inj nivol relatlimab 3mg/1mg	5538	844210	146333503.9	9.54	840.62	173.34	152.51	24473.06	164.35	26692.83	743.97	J9298	G	9057	$190.46									
J9299	"Injection, nivolumab"	101343	36304023	1027515705	0.04	276.19	28.3	26.01	8721.55	26.79	8896.02	798.194	J9299	K	9453	$31.75									
J9301	Obinutuzumab inj	12964	1284254	91448587.2	1.2	269.96	71.21	65.72	6504.83	69.23	6829.93	386.144	J9301	K	1476	$74.59									
J9302	Ofatumumab injection	2	200	17968	89.84	89.84	89.84	89.84	8984.1	89.84	8984.1	0	J9302	K	9260	$63.96									
J9303	Panitumumab injection	11680	533774	73426726.49	9.57	926.26	137.56	124.41	5453.61	131.81	5689.17	318.621	J9303	K	9235	$159.33									
J9304	"Inj. pemetrexed, 10 mg"	2056	180831	12866448.09	0.23	109.5	71.15	59.59	5040.24	85.14	6452.16	408.149	J9304	G	9442	$50.83									
J9305	Inj. pemetrexed nos 10mg	41398	3651822	91462490.61	0.11	295.38	25.05	9.51	824.42	10.83	870.27	1258.299	J9305	K	9213	$4.18									
J9306	"Injection, pertuzumab, 1 mg"	25692	10789591	146082180.1	0.01	70.98	13.54	12.41	5211.41	12.84	5394.27	851.179	J9306	K	1471	$16.12									
J9307	Pralatrexate injection	922	41972	13371271.49	68.38	921.01	318.58	290.7	12679.39	322.19	13367.98	279.859	J9307	K	9259	$373.77									
J9308	"Injection, ramucirumab"	8227	1099707	69074511.32	1.12	278.88	62.81	57.59	7444.49	60.46	7839.95	484.252	J9308	K	1488	$71.07									
J9309	"Inj, polatuzumab vedotin 1mg"	4138	616659	66705405.55	1.9	411.95	108.17	100.09	14434.81	105.06	15389.45	451.591	J9309	K	9331	$129.78									
J9311	"Inj rituximab, hyaluronidase"	5822	818212	36243706.19	2.78	173.7	44.3	41.37	5812.27	41.51	5810.89	449.176	J9311	K	9467	$36.94									
J9312	"Inj., rituximab, 10 mg"	31125	2561125	226942752.8	0.03	455.42	88.61	81.99	6592.79	83.11	6890.8	347.345	J9312	K	9186	$77.31									
J9313	"Inj., lumoxiti, 0.01 mg"	11	870	51129	16.36	153.02	58.77	32.74	4646.79	16.36	4590.42	1003.374	J9313	K	9305	$23.39									
J9314	Inj pemetrexed (teva) 10mg	58	5504	180310.91	3.75	180.73	32.76	20.76	1824.25	14.23	1439.83	1367.797	J9314	K	9105	$5.52									
J9316	"Pertuzu, trastuzu, 10 mg"	6499	729839	56758258.13	0.47	402.42	77.77	69.47	7933.09	74.69	8725.55	499.926	J9316	K	9390	$64.58									
J9317	Sacituzumab govitecan-hziy	15647	3989632	123057928.7	1.05	1776.62	30.84	27.64	6810.5	28.3	7054.08	1662.796	J9317	K	9376	$34.67									
J9318	Inj romidepsin non-lyo 0.1mg	23	4507	172956.61	22.87	346.13	38.38	30.67	7118.7	30.57	8407.86	2005.73	J9318	K	9428	$33.91									
J9319	Inj romidepsin lyophil 0.1mg	2198	574811	19015280.53	1.77	285.54	33.08	30.76	7815.65	31.39	8061.47	662.92	J9319	K	9429	$29.86									
J9323	Inj pemetrexed ditromethamin	307	26707	181859.27	0.78	141.97	6.81	5	416.01	4.18	360.07	1598.386	J9323	K	9156	$10.55									
J9324	"Inj, pemrydi rtu, 10 mg"												J9324	G	0782	$82.30									
J9325	Inj talimogene laherparepvec	1513	277595	17340134.52	7	290.57	62.47	58.64	6190.51	63.34	8880.46	448.716	J9325	K	9472	$70.36									
J9328	Temozolomide injection	12	4070	38337.4	9.32	9.59	9.42	9.42	3161.48	9.32	2876.77	26.598	J9328	K	9253	$10.40									
J9330	Temsirolimus injection	1051	26413	1905132.93	2.34	275.5	72.13	61.26	1526.7	58.63	1465.79	330.408	J9330	K	1168	$32.21									
J9331	Inj sirolimus prot part 1 mg	313	52326	3822481.33	30.15	139.05	73.05	68.91	10778.47	71.86	12567.54	422.95	J9331	G	9241	$114.21									
J9332	Inj efgartigimod 2mg	7679	3937004	107055246.3	0.06	306.96	27.19	25.1	12561.2	25.73	13088.53	877.867	J9332	G	9010	$32.57									
J9333	Inj ronzanolixizum-noli 1 mg												J9333	G	0721	$22.80									
J9334	Inj efgart-alfa 2mg hya-qvfc												J9334	K	0723	$33.13									
J9340	Thiotepa injection	143	700	262074.9	25.67	870.23	374.39	327.59	768.17	382.31	615.85	114.006	J9340	K	0851	$209.02									
J9345	"Inj, retifanlimab-dlwr, 1 mg"	7	3500	71375	9.74	27.71	20.39	18.88	9442.84	23.89	11945.4	812.477	J9345	G	9280	$29.20									
J9347	"Inj, tremelimumab-actl, 1 mg"	366	88140	9804570.6	15.94	352.66	111.24	102.1	21186.81	107.6	27081.1	621.825	J9347	G	9110	$135.45									
J9348	"Inj. naxitamab-gqgk, 1 mg"	6	874	1166020.78	898.03	1424.47	1334.12	1316.03	191967.3	1424.47	204411.3	196.711	J9348	K	9408	$642.15									
J9349	"Inj., tafasitamab-cxix"	4353	2060704	27163316.41	1.77	51.24	13.18	12.05	5474.46	12.21	5603.49	993.547	J9349	K	9385	$13.71									
J9350	"Inj mosunetuzumab-axgb, 1 mg"	492	14121	8803174.13	219.17	39150.86	623.41	562.18	9938.86	532.46	14924.62	593.336	J9350	G	9150	$635.47									
J9352	Injection trabectedin 0.1mg	920	24322	7608465.49	17.12	1145.44	312.82	283.33	7386.67	321.45	7443.62	224.742	J9352	K	9480	$362.82									
J9353	"Inj. margetuximab-cmkb, 5 mg"	289	60752	2668260.09	17.03	262.75	43.92	41.37	8532.19	40.19	8216.49	687.908	J9353	K	9418	$48.21									
J9354	"Inj, ado-trastuzumab emt 1mg"	8797	2253247	79485498.3	1.84	150.58	35.28	32.21	8048.53	33.58	8219.3	708.676	J9354	K	9131	$40.45									
J9355	Inj trastuzumab excl biosimi	20224	936290	91857297.3	0.01	382.89	98.11	90.81	3968.28	94.1	4299.28	251.421	J9355	K	1613	$77.94									
J9356	"Inj. herceptin hylecta, 10mg"	4351	261044	20754010.64	0.25	651.2	79.5	69.95	4196.72	70.27	4216.13	532.421	J9356	K	9314	$63.79									
J9357	Valrubicin injection	497	1988	2529056.68	291.57	4549.67	1272.16	1159.56	4638.23	1183.88	4735.52	108.953	J9357	K	1235	"$1,437.08"									
J9358	Inj fam-trastu deru-nxki 1mg	28117	10455266	256555268.1	0.47	138.75	24.54	22.53	8089.36	23.62	8304	811.177	J9358	K	9353	$27.81									
J9359	Inj lon tesirin-lpyl 0.075mg	626	88782	15967839.15	22.23	481.11	179.85	165.75	22229.01	178.04	23926.02	444.231	J9359	K	9205	$206.38									
J9380	Inj teclistamab cqyv 0.5 mg	7369	2196980	64596192.43	5.6	109.07	29.4	27.46	7844.08	28.42	8110.21	632.849	J9380	G	9111	$31.98									
J9381	Inj teplizumab mzwv 5 mcg												J9381	G	9112	$36.90									
J9393	"Inj, fulvestrant (teva)"	1604	32090	1482797.3	1.73	172.27	46.21	29.71	593.52	45.75	985.82	334.457	J9393	K	9102	$21.20									
J9394	"Inj, fulvestrant (fresenius)"	5333	106656	4030238.96	0.46	391.03	37.79	27.94	558.69	38.97	779.31	325.255	J9394	K	9103	$53.00									
J9395	"Injection, fulvestrant"	69203	1384060	59972188.6	0.01	1125.74	43.33	26.23	524.51	28.02	560.44	473.56	J9395	K	9120	$7.51									
J9400	"Inj, ziv-aflibercept, 1mg"	113	32035	374098.49	4.97	18.67	11.68	10.92	2863.6	9.27	2619.85	608.889	J9400	K	9296	$6.50									
J9600	Porfimer sodium injection	55	125	1981792.8	6015.13	38373.37	15854.34	14479.4	32524.29	13821.67	29083.99	68.248	J9600	K	0856	"$23,870.14"									
P9045	"Albumin (human), 5%, 250 ml"	36781	221894	15307288.71	0.4	3167.71	68.98	56.51	210.78	56.67	189.39	204.311	P9045	K	0963	$53.08									
P9046	"Albumin (human), 25%, 20 ml"	3669	32915	840389.33	1.06	323.67	25.53	21.65	172.69	23.39	179.16	172.234	P9046	K	0964	$21.23									
Q0138	"Ferumoxytol, non-esrd"	80503	41169258	60125577.06	0.01	33.63	1.46	1.16	589.98	1.25	636.78	1739.08	Q0138	K	1297	$0.34									
Q0139	"Ferumoxytol, esrd use"	1199	611032	915308.53	0.12	33.63	1.5	1.21	616.32	1.04	529.03	1960.109	Q0139	K	1485	$0.34									
Q2026	Radiesse injection	45	106	35342.18	10.74	1015.5	333.42	105.96	712.3	69.49	873.46	178.924	Q2026	K	9094	$333.42									
Q2028	"Inj, sculptra, 0.5mg"	7	8087	8107.65	0.43	4.03	1	0.81	535.7	0.76	1123.47	3418.88	Q2028	K	9095	$1.00									
Q2041	Axicabtagene ciloleucel car+	38	38	14031667.9	42428.75	10260.52	369254.4	296134	296134	287058.6	287058.6	71.557	Q2041	K	9035	"$489,455.96"									
Q2042	Tisagenlecleucel car-pos t	19	19	8088163.64	156771.9	10017.5	425692.8	339082.3	339082.3	274173.7	274173.7	68.615	Q2042	K	9194	"$529,192.86"									
Q2043	Sipuleucel-t auto cd54+	477	477	24091647.27	9624.64	116541.6	50506.6	45101	45101	51884.46	51884.46	43.864	Q2043	K	9273	"$55,015.23"									
Q2049	Imported lipodox inj	2	15	7932.85	489.97	548.3	528.86	528.12	3665.05	548.3	3966.43	20.137	Q2049	K	1421	$528.86									
Q2050	Doxorubicin inj 10mg	13798	87921	24124236.76	3.81	2310.17	274.39	219.66	1345.57	233.7	1381.57	179.519	Q2050	K	7046	$133.08									
Q2053	Brexucabtagene car pos t	16	16	4586025.94	48230	10260.52	286626.6	204714.8	204714.8	287058.6	287058.6	81.685	Q2053	K	9391	"$460,530.40"									
Q2054	Lisocabtagene mara car pos t	61	61	26456695.66	180030.7	11188.8	433716.3	376632.2	376632.2	402425	402425	56.825	Q2054	K	9413	"$516,726.08"									
Q2055	Idecabtagene vicleucel car	8	13	3418919	130233.8	11066.32	262993.8	207880	379875.3	195350.7	350137.2	130.882	Q2055	K	9422	"$526,587.59"									
Q2056	Ciltacabtagene car-pos t	60	60	26038689.49	172194.6	11603.52	433978.2	360783.2	360783.2	307223.3	307223.3	71.485	Q2056	G	9498	"$527,123.43"									
Q3027	Inj beta interferon im 1 mcg	337	8747	654462.6	7.85	1616.1	74.82	49.35	1474.54	63.87	1616.1	840.414	Q3027	K	1472	$56.23									
Q5101	"Injection, zarxio"	51491	22481903	18399246.14	0.01	43.6	0.82	0.68	280.68	0.72	281.35	1463.486	Q5101	K	1822	$0.36									
Q5103	"Injection, inflectra"	25458	1389213	95795764.33	1.33	379.83	68.96	61.07	3053.78	63.26	3111.94	374.185	Q5103	K	1847	$13.62									
Q5104	"Injection, renflexis"	23124	1190219	69731691.21	0.98	279.28	58.59	52.06	2462.56	53.21	2441.27	361.453	Q5104	K	9036	$27.18									
Q5105	Inj retacrit esrd on dialysi	9535	1241021	1830998.06	0.02	257.97	1.48	1.13	122.34	1.1	120.56	1826.833	Q5105	K	9096	$0.76									
Q5106	Inj retacrit non-esrd use	95980	3135047	35728583.85	0.07	340.69	11.4	10.02	281.22	10.4	323.9	364.447	Q5106	K	9097	$7.62									
Q5107	Inj mvasi 10 mg	53826	3739859	233502535	1.68	321.73	62.44	57.5	3535.34	57.96	3453.57	347.159	Q5107	K	9329	$26.59									
Q5108	"Injection, fulphila"	33347	398593	92097501.22	7.3	1285.81	231.06	201.99	2412.68	213.68	2552.4	193.078	Q5108	K	9173	$135.53									
Q5110	Nivestym	13541	6198966	3982718.02	0.03	2.88	0.64	0.56	241.34	0.51	235.75	1161.573	Q5110	K	9193	$0.27									
Q5111	"Injection, udenyca 0.5 mg"	24892	298704	73509593.28	8.57	1285.81	246.1	221.03	2652.42	231.05	2772.62	162.774	Q5111	K	9195	$143.38									
Q5112	Inj ontruzant 10 mg	5199	220074	14928762.92	2.82	3385.32	67.84	60.07	2373.33	59.01	2474.37	574.34	Q5112	K	9382	$34.17									
Q5113	Inj herzuma 10 mg	3198	137755	8782258.49	4.04	173.09	63.75	57.3	2296.18	57.5	2341.44	318.65	Q5113	K	9349	$60.44									
Q5114	Inj ogivri 10 mg	14939	641730	41931677.34	7.26	323.01	65.34	57.02	2274.33	58.9	2381.64	333.183	Q5114	K	9341	$54.16									
Q5115	Inj truxima 10 mg	38005	2943687	203140722.3	1.38	333.08	69.01	62.68	4747.92	64.47	4891.71	400.101	Q5115	K	9336	$33.59									
Q5116	"Inj., trazimera, 10 mg"	15365	653160	47276293.35	0.34	325.05	72.38	65.22	2600.27	67.49	2756.13	299.385	Q5116	K	9350	$19.17									
Q5117	"Inj., kanjinti, 10 mg"	21455	914076	73596384.47	1.16	731.91	80.51	73.82	2937.22	73.81	3068.99	298.151	Q5117	K	9330	$24.33									
Q5118	"Inj., zirabev, 10 mg"	41143	2920820	163970863	1.78	523.37	56.14	51.1	3224.71	53.9	3310.83	358.46	Q5118	K	9348	$23.59									
Q5119	"Inj ruxience, 10 mg"	28280	2203935	148400301.2	2.08	441.53	67.33	62.24	4781.06	64.7	5009.69	367.49	Q5119	K	9367	$22.44									
Q5120	Inj pegfilgrastim-bmez 0.5mg	7952	95424	23195911.08	5.47	1268.05	243.08	218.62	2623.4	230.46	2765.5	156.784	Q5120	K	9345	$346.76									
Q5121	"Inj. avsola, 10 mg"	5942	314971	15019525.85	2.56	270.78	47.69	44.21	2143.04	42.5	2137.33	330.95	Q5121	K	9381	$21.29									
Q5122	"Inj, nyvepria"	2516	30156	8871080.92	10.67	897.3	294.17	259.3	3105.83	280.87	3370.47	210.914	Q5122	K	9406	$96.55									
Q5123	"Inj. riabni, 10 mg"	3803	286670	17168414.81	10.73	1552.38	59.89	55.44	4110.44	54.76	4011	574.978	Q5123	K	9411	$38.65									
Q5124	"Inj. byooviz, 0.1 mg"	16	80	23712.55	189.7	327.07	296.41	290.29	1451.45	327.07	1635.33	42.555	Q5124	G	9017	$170.80									
Q5125	"Inj, releuko 1 mcg"	466	179916	79678.08	0.16	1.67	0.44	0.41	154.98	0.4	167.57	976.768	Q5125	G	9447	$0.47									
Q5126	Inj alymsys 10 mg	2060	133687	7476930.14	2.19	466.69	55.93	50.08	2986.63	51.34	3227.68	390.946	Q5126	G	9048	$56.86									
Q5127	"Inj, stimufend, 0.5 mg"	357	4284	1038585.36	143.85	369.75	242.43	236.28	2835.37	257.58	3090.95	76.765	Q5127	K	9129	$305.66									
Q5128	"Inj, cimerli, 0.1 mg"	157	951	356774.96	257.11	432.3	375.16	372.23	2125.85	401.87	2009.34	29.271	Q5128	G	9117	$201.01									
Q5129	"Inj, vegzelma, 10 mg"	54	3215	221761.51	50.38	108.95	68.98	66.36	3423.29	62.94	3524.68	234.258	Q5129	G	9159	$56.82									
Q5130	"Inj, fylnetra, 0.5 mg"	127	1524	212780.52	20.61	258.12	139.62	131.28	1575.4	108.33	1299.95	126.664	Q5130	G	9118	$186.19									
Q9968	Visualization adjunct	32522	1360665	17316805.81	0.05	10622.54	12.73	7.38	266.24	7.97	308.6	1467.54	Q9968	K	1446	$8.53									
Q9969	Non-heu tc-99m add-on/dose	166511	258914	1554008.8	0.01	375.66	6	1.99	2.98	2.16	3.4	306.032	Q9969	K	1442	$10.00									
Q9982	Flutemetamol f18 diagnostic	13	13	11367.16	533.2	3528.36	874.4	697.8	697.8	556.26	556.26	98.637	Q9982	K	9459	$874.40									
Q9983	Florbetaben f18 diagnostic	54	54	68783.25	180	6551.96	1273.76	1027.88	1027.88	1047.37	1047.37	79.004	Q9983	K	9458	"$1,273.76"									
Q9991	Buprenorph xr 100 mg or less	309	309	476669.85	264.36	3042.14	1542.62	1455.63	1455.63	1505.95	1505.95	32.548	Q9991	K	9073	"$1,943.06"									
Q9992	Buprenorphine xr over 100 mg	348	348	593928.01	734.32	4097.17	1706.69	1614.35	1614.35	1741.25	1741.25	34.408	Q9992	K	9239	"$1,943.06"									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																									
																					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