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	Proposed CY 2025 XRef HCPCS/CPT Code(s)	Proposed CY 2025 XRef SI	Proposed CY 2025  XRef APC	Proposed CY 2025 Payment Rate									
90296	Diphtheria antitoxin	.	.	.	.	.	.	.	.	.	.	.	90296	E2											
90371	Hep b ig im	122	530	158194.92	48.29	2305.55	298.48	230.53	848.24	230.83	1096.34	190.954	90371	K	1630	$141.115									
90375	Rabies ig im/sc	3052	32646	10890544.93	18.27	5247.71	333.6	280.68	2994.9	293.25	3223.09	227.319	90375	K	9133	$285.652									
90376	Rabies ig heat treated	181	1679	575287.27	19.41	2052.84	342.64	268.76	2613.5	298.18	2617.89	222.895	90376	K	9134	$479.719									
90377	Rabies ig ht&sol human im/sc	811	8023	2519949.51	0.47	5908.61	314.09	233.72	2446.61	261.7	2781.86	381.687	90377	K	9201	$250.980									
90378	Rsv mab im 50mg	10	10	10240.95	824.62	1548.53	1024.1	984.56	984.56	824.62	824.62	31.451	90378	K	9003	$339.680									
90385	Rh ig minidose im	3	3	132	30.74	67.85	44	41.15	41.15	33.41	33.41	47.04	90385	N											
90393	Vaccina ig im	.	.	.	.	.	.	.	.	.	.	.	90393	E2											
90396	Varicella-zoster ig im	4	4	12257.82	41.22	10489.28	3064.46	686.96	686.96	863.66	863.66	162.525	90396	K	9135	"$2,254.820"									
90476	Adenovirus vaccine type 4	.	.	.	.	.	.	.	.	.	.	.	90476	N											
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	2	2	0.36	0.18	0.18	0.18	0.18	0.18	0.18	0.18	0	90611	K 	9068	$0.010									
90620	Menb-4c vacc 2 dose im	1063	1067	188727.4	29.96	595.27	176.88	155.74	155.98	160.6	160.6	49.731	90620	M											
90621	Menb-fhbp vacc 2/3 dose im	83	83	17801.07	45.87	441.29	214.47	185.1	185.1	164.43	164.43	53.713	90621	M											
90622	Vaccinia vrs vac 0.3 ml perq	16	16	415.61	24.71	26.06	25.98	25.97	25.97	26.06	26.06	1.299	90622	K	9101	$0.010									
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	5684	5684	341853.12	9.36	259.85	60.14	51.78	51.78	49.24	49.24	57.196	90632	N											
90633	Hepa vacc ped/adol 2 dose im	48	48	1679.84	8.72	113.68	35	27.32	27.32	23.56	23.56	77.837	90633	N											
90634	Hepa vacc ped/adol 3 dose	1	1	33.65	33.65	33.65	33.65	33.65	33.65	33.65	33.65	.	90634	E2											
90636	Hep a/hep b vacc adult im	3674	3674	344110.19	11.17	349.51	93.66	79.03	79.03	74.98	74.98	63.912	90636	N											
90644	Hib-mency vacc 6wk-18m0 im	.	.	.	.	.	.	.	.	.	.	.	90644	M											
90647	Hib prp-omp vacc 3 dose im	1517	1517	38813.27	3.92	84.32	25.59	21.6	21.6	23.91	23.91	55.471	90647	N											
90648	Hib prp-t vaccine 4 dose im	4574	4574	81465.68	1.8	116.18	17.81	14.19	14.19	13.57	13.57	72.794	90648	N											
90649	4vhpv vaccine 3 dose im	7	7	527.65	8	204.9	75.38	53.36	53.36	56.67	56.67	84.297	90649	M											
90650	2vhpv vaccine 3 dose im	3	3	292	32.77	193.8	97.33	74.62	74.62	65.43	65.43	87.456	90650	M											
90651	9vhpv vaccine 2/3 dose im	728	728	144725.55	20.69	884.15	198.8	162.74	162.74	158.27	158.27	67.082	90651	M											
90675	Rabies vaccine im	14005	14005	5113110.98	47.72	1810.13	365.09	314.4	314.4	337.54	337.54	54.066	90675	K	9139	$322.765									
90676	Rabies vaccine id	41	41	10918.75	106.06	676.02	266.31	241.32	241.32	264.05	264.05	46.854	90676	K	9140	$279.150									
90678	Rsv vacc pref bivalent im	509	509	115073.87	27.4	1179.2	226.08	180.16	180.16	218.85	218.85	79.359	90678	M											
90679	Rsv vacc pref recomb adjt im	163	163	38758.22	84.62	332.08	237.78	217.64	217.64	227.2	227.2	39.294	90679	M											
90680	Rv5 vacc 3 dose live oral	1	1	31.82	31.82	31.82	31.82	31.82	31.82	31.82	31.82	.	90680	E2											
90681	Rv1 vacc 2 dose live oral	.	.	.	.	.	.	.	.	.	.	.	90681	M											
90683	Rsv vacc mrna lipid nano im	.	.	.	.	.	.	.	.	.	.	.	90683	E1											
90690	Typhoid vaccine oral	173	173	8139.88	22.01	103.49	47.05	42.62	42.62	35.78	35.78	48.707	90690	N 											
90691	Typhoid vaccine im	1664	1664	132675.37	17.36	236.07	79.73	71.55	71.55	68.51	68.51	48.587	90691	N											
90696	Dtap-ipv vaccine 4-6 yrs im	344	344	22651.9	29.2	91.77	65.85	65.01	65.01	61.36	61.36	16.576	90696	N											
90697	Dtap-ipv-hib-hepb vaccine im	2	2	76.46	38.23	38.23	38.23	38.23	38.23	38.23	38.23	0	90697	M											
90698	Dtap-ipv/hib vaccine im	534	540	45831.97	19.16	186.16	84.87	77.49	78.57	70.57	70.57	41.792	90698	N											
90700	Dtap vaccine < 7 yrs im	1136	1136	39273.21	7.38	125.79	34.57	30.79	30.79	34.87	34.87	52.944	90700	N											
90702	Dt vaccine under 7 yrs im	46	46	1100.54	2.42	132.65	23.92	16.54	16.54	9.28	9.28	105.778	90702	N											
90707	Mmr vaccine sc	1584	1584	126852.01	11.67	394.75	80.08	68.86	68.86	65.87	65.87	57.146	90707	N											
90710	Mmrv vaccine sc	36	36	5438.7	36.33	265.32	151.07	132.08	132.08	181.66	181.66	43.312	90710	N											
90713	Poliovirus ipv sc/im	4262	4262	158632.98	2.91	252.54	37.22	28.82	28.82	30.51	30.51	77.812	90713	N											
90714	Td vacc no presv 7 yrs+ im	42915	42915	1333947.61	3.1	206.5	31.08	25.19	25.19	26.23	26.23	64.31	90714	N											
90715	Tdap vaccine 7 yrs/> im	297896	297896	14488354.24	5.18	312.17	48.64	41.2	41.2	44.85	44.85	57.553	90715	N											
90716	Var vaccine live subq	125	126	16089.72	14.89	555.83	127.7	107.99	109.09	120.43	121.65	68.004	90716	M											
90717	Yellow fever vaccine subq	347	347	36226.83	31.78	345.78	104.4	90.48	90.48	94.31	94.31	60.22	90717	N											
90723	Dtap-hep b-ipv vaccine im	219	219	25622.15	29.1	187.25	117	106.74	106.74	127.06	127.06	37.256	90723	M											
90733	Mpsv4 vaccine subq	53	53	10558.82	105.29	237.85	199.22	195.13	195.13	218.48	218.48	18.335	90733	M											
90734	Menacwyd/menacwycrm vacc im	1717	1717	230690.11	8.59	931.88	134.36	109.96	109.96	101.1	101.1	68.968	90734	M											
90736	Hzv vaccine live subq	19	19	2425.82	54.81	212.26	127.67	117.7	117.7	92.78	92.78	42.238	90736	M											
90738	Inactivated je vacc im	75	75	16483.88	71.71	381.35	219.79	191.22	191.22	189.77	189.77	48.672	90738	M											
90749	Unlisted vaccine/toxoid	565	565	28815.99	9.24	190.46	51	41.93	41.93	40.37	40.37	66.601	90749	N											
90750	Hzv vacc recombinant im	10056	10056	1738931.73	15.91	603.61	172.92	137.43	137.43	131.71	131.71	76.24	90750	M											
90758	Zaire ebolavirus vac live im	.	.	.	.	.	.	.	.	.	.	.	90758	E1											
A2001	"Innovamatrix ac, per sq cm"	85	812	63723.38	37.93	1243.93	78.48	66.97	450.42	55.42	598.55	298.209	A2001	N											
A2002	Mirragen adv wnd mat per sq	173	1393	270841.85	45.21	4303.86	194.43	169.35	497.1	211.28	1080.12	195.88	A2002	N											
A2004	"Xcellistem, 1 mg"	124	45609	193192.08	0.48	2799.4	4.24	2.16	866.19	2.34	1500.31	24943.34	A2004	N											
A2005	"Microlyte matrix, per sq cm"	4	228	5924.62	0.46	2511.32	25.99	0.51	919.02	0.46	1654.9	7577.179	A2005	N											
A2006	Novosorb synpath per sq cm	111	5212	170471.62	0.59	6255.27	32.71	8.52	1054.24	7.14	1210.73	4558.535	A2006	N											
A2007	"Restrata, per sq cm"	1089	13385	1720247.66	0.04	12342	128.52	78.25	911.99	90.38	1062.2	957.8	A2007	N											
A2008	"Theragenesis, per sq cm"	48	3706	145343.83	5.6	10709.71	39.22	20.13	2043.13	16.54	1871.3	5928.116	A2008	N											
A2009	"Symphony, per sq cm"	6	6	658.1	109.66	109.73	109.68	109.68	109.68	109.66	109.66	0.033	A2009	N											
A2010	"Apis, per square centimeter"	.	.	.	.	.	.	.	.	.	.	.	A2010	N											
A2011	"Supra sdrm, per sq cm"	92	1129	50122.46	23.15	151.46	44.4	37.95	428.98	29.39	489.61	252.348	A2011	N											
A2012	"Suprathel, per sq cm"	84	14856	19579.34	0.13	2404.39	1.32	0.76	101.62	0.84	141.62	25046.29	A2012	N											
A2013	"Innovamatrix fs, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2013	N											
A2014	Omeza collag per 100 mg	35	36	45542	827.66	1577.49	1265.06	1205.73	1220.44	1577.48	1577.48	30.069	A2014	N											
A2015	"Phoenix wnd mtrx, per sq cm"	12	356	37445.47	1.08	3950.1	105.18	25.73	1488.56	87.08	3464.35	1630.119	A2015	N											
A2016	"Permeaderm b, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2016	N											
A2017	"Permeaderm glove, each"	.	.	.	.	.	.	.	.	.	.	.	A2017	N											
A2018	"Permeaderm c, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	A2018	N											
A2019	Kerecis marigen shld sq cm	50	603	60447.35	21.13	5307.11	100.24	59.21	660.4	52.78	648.49	1209.681	A2019	N											
A2020	Ac5 wound system	.	.	.	.	.	.	.	.	.	.	.	A2020	N											
A2021	Neomatrix per sq cm	.	.	.	.	.	.	.	.	.	.	.	A2021	N											
A2022	Innovabrn/innovamatx xl sqcm	.	.	.	.	.	.	.	.	.	.	.	A2022	N											
A2023	"Innovamatrix pd, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	A2023	N											
A2024	Resolve matrix per sq cm	.	.	.	.	.	.	.	.	.	.	.	A2024	N											
A2025	Miro3d per cubic cm	.	.	.	.	.	.	.	.	.	.	.	A2025	N											
A4100	Skin sub fda clrd as dev nos	38	3692	148005.28	0.4	9791.37	40.09	8.54	1942.27	6.78	3807.09	10392.23	A4100	N											
A4216	"Sterile water/saline, 10 ml"	65032	183691	1431829.48	0.01	302.61	7.79	3.33	8.83	3.73	9.14	262.835	A4216	N											
A4218	Sterile saline or water	811	1335	7872.1	0.1	32.03	5.9	2.82	4.22	2.23	10.68	135.199	A4218	N											
A4641	Radiopharm dx agent noc	1341	1605	161147.02	0.48	1922.16	100.4	23.69	31.93	39.81	40.65	258.282	A4641	N											
A4642	In111 satumomab	7	7	2985.26	267.28	504.12	426.47	419.63	419.63	446.62	446.62	17.389	A4642	N											
A9500	Tc99m sestamibi	362310	674359	57514960.08	2.58	2039.43	85.29	59.58	108.74	63.38	113.59	135.429	A9500	N											
A9501	Technetium tc-99m teboroxime	30	30	623.41	15.35	57.41	20.78	18.24	18.24	15.35	15.35	67.888	A9501	N											
A9502	Tc99m tetrofosmin	234845	442659	33552560.13	1.35	1824.88	75.8	51.99	96.58	54.99	104.78	169.49	A9502	N											
A9503	Tc99m medronate	121102	121102	4490521.9	1.96	358.8	37.08	26.28	26.28	26.35	26.35	98.718	A9503	N											
A9504	Tc99m apcitide	2	2	282.9	125.82	157.08	141.45	140.58	140.58	141.45	141.45	15.627	A9504	N											
A9505	Tl201 thallium	63	69	5115.94	7.78	642.61	74.14	47.32	50.51	59.47	59.47	159.455	A9505	N											
A9507	In111 capromab	.	.	.	.	.	.	.	.	.	.	.	A9507	N											
A9508	"I131 iodobenguate, dx"	15	15	9226.56	42.65	1474.24	615.1	242.37	242.37	1023.15	1023.15	91.728	A9508	N											
A9509	Iodine i-123 sod iodide mil	1180	2660	697872.08	0.8	26167.76	262.36	143.8	268.88	137.13	276.92	348.633	A9509	N											
A9510	Tc99m disofenin	722	722	33758.48	6.56	261.12	46.76	37.42	37.42	36.77	36.77	72.81	A9510	N											
A9512	Tc99m pertechnetate	2848	30029	170094.29	0.03	2425.92	5.66	2.02	16.31	1.48	18.42	1546.143	A9512	N											
A9513	Lutetium lu 177 dotatat ther	2386	471607	68113850.91	14.56	480.1	144.43	122.99	24165.13	119.67	23682.01	818.405	A9513	K 	9067	$290.440									
A9515	Choline c-11	1301	1301	2649174.26	2036.26	2036.26	2036.26	2036.26	2036.26	2036.26	2036.26	0	A9515	K 	9461	"$2,036.260"									
A9516	Iodine i-123 sod iodide mic	8291	21557	1053523.37	0.67	1694.16	48.87	34.09	83.28	32.54	81.73	208.562	A9516	N											
A9517	"I131 iodide cap, rx"	2610	193699	4511862.08	0.01	1614.24	23.29	14.05	650.85	13.68	801.51	1221.721	A9517	K	1064	$21.340									
A9520	Tc99 tilmanocept diag 0.5mci	19653	21235	7750519.67	17.23	3721.92	364.99	259.91	280.49	257.09	268.94	105.204	A9520	N											
A9521	Tc99m exametazime	355	355	286967.56	17.94	7471.62	808.36	457.44	457.44	577.88	577.88	116.929	A9521	K	0766	$808.360									
A9524	"I131 serum albumin, dx"	261	1043	92932.37	3.57	432.25	89.1	51.88	210.61	47.3	182.03	241.892	A9524	N											
A9526	Nitrogen n-13 ammonia	1745	3496	729447.03	43.07	1063.34	208.65	154.03	323.71	131.48	290.87	114.037	A9526	N											
A9528	"Iodine i-131 iodide cap, dx"	1131	4709	241712.46	0.09	1581.55	51.33	22.9	72.76	20.21	72.74	397.915	A9528	N											
A9529	"I131 iodide sol, dx"	76	291	10197.39	0.41	357.87	35.04	11.55	39.36	10.61	42.45	412.83	A9529	N											
A9530	"I131 iodide sol, rx"	154	12535	269734.45	0.04	7717.75	21.52	10.03	626.91	10.49	827.68	5592.314	A9530	K	1150	$20.400									
A9531	I131 max 100uci	522	4261	52700.71	0.02	444.21	12.37	3.8	37.89	4.63	47.36	518.511	A9531	N											
A9532	"I125 serum albumin, dx"	.	.	.	.	.	.	.	.	.	.	.	A9532	N											
A9536	Tc99m depreotide	5	5	1738.15	87.75	727.67	347.63	213.34	213.34	97.53	97.53	99.805	A9536	N											
A9537	Tc99m mebrofenin	33022	33022	1496280.36	2.9	358.07	45.31	34.02	34.02	33.8	33.8	86.049	A9537	N											
A9538	Tc99m pyrophosphate	11272	11272	625839.25	3.32	445.31	55.52	40.34	40.34	37.81	37.81	90.547	A9538	N											
A9539	Tc99m pentetate	1702	1955	189161.74	3.05	1274.88	96.76	65.68	73.35	72.88	86.45	112.476	A9539	N											
A9540	Tc99m maa	33638	33638	3846312.45	2.74	1698.64	114.34	70.23	70.23	75.41	75.41	109.547	A9540	N											
A9541	Tc99m sulfur colloid	58857	58857	5077374.39	3.76	907.65	86.27	59.56	59.56	59.63	59.63	101.361	A9541	N											
A9542	"In111 ibritumomab, dx"	1	1	844.76	844.76	844.76	844.76	844.76	844.76	844.76	844.76	.	A9542	K	0769	$844.760									
A9543	"Y90 ibritumomab, rx"	32	32	405996.44	75.42	34470.6	12687.39	9017.2	9017.2	10091.53	10091.53	70.501	A9543	K	1643	"$65,476.582"									
A9546	Co57/58	1	1	23.96	23.96	23.96	23.96	23.96	23.96	23.96	23.96	.	A9546	N											
A9547	In111 oxyquinoline	231	266	208440.71	46.36	4082.49	783.61	603.46	678.49	632.36	693.88	88.43	A9547	K	0770	$783.610									
A9548	In111 pentetate	1264	1700	1204149.14	20.63	8996.99	708.32	462.3	605.74	446.24	677.86	123.006	A9548	K	0771	$708.320									
A9550	Tc99m gluceptate	3	28	940.78	29.3	33.93	33.6	33.58	91.15	33.93	29.3	13.279	A9550	N											
A9551	Tc99m succimer	99	99	61254.09	43.83	3491.41	618.73	479.77	479.77	705.87	705.87	73.386	A9551	N											
A9552	F18 fdg	402647	402647	88905529.32	12.79	1633.34	220.8	163.07	163.07	172.39	172.39	83.285	A9552	N											
A9553	Cr51 chromate	.	.	.	.	.	.	.	.	.	.	.	A9553	N											
A9554	"I125 iothalamate, dx"	37	93	15293.01	0.48	1723.5	164.44	75.07	90.94	95.03	131.79	306.12	A9554	N											
A9555	Rb82 rubidium	34351	68712	13775810.59	6.22	7554.2	200.49	124.92	249.86	125.09	250.17	161.786	A9555	N											
A9556	Ga67 gallium	257	1284	84952.56	1.44	661.73	66.16	32.41	139.44	34.06	126.44	429.197	A9556	N											
A9557	Tc99m bicisate	207	238	170049.5	39.92	4535.84	714.49	475.59	508.73	465.13	552.66	101.748	A9557	K	0774	$714.490									
A9558	Xe133 xenon 10mci	6672	8948	689191.31	3.52	986.56	77.02	52.91	63.26	51.52	58.42	124.267	A9558	N											
A9559	Co57 cyano	.	.	.	.	.	.	.	.	.	.	.	A9559	N											
A9560	Tc99m labeled rbc	5489	5489	612686.58	4.5	1359.36	111.62	75.18	75.18	76.84	76.84	105.221	A9560	N											
A9561	Tc99m oxidronate	14042	14042	581328.16	2.88	274.79	41.4	30.17	30.17	29.5	29.5	96.893	A9561	N											
A9562	Tc99m mertiatide	14812	14812	3406955.65	12.4	2049.62	230.01	179	179	182.6	182.6	79.419	A9562	N											
A9563	P32 na phosphate	12	12	2336.25	34.06	301.19	194.69	135.07	135.07	301.19	301.19	67.747	A9563	K	1675	$63.150									
A9564	P32 chromic phosphate	.	.	.	.	.	.	.	.	.	.	.	A9564	E1											
A9566	Tc99m fanolesomab	.	.	.	.	.	.	.	.	.	.	.	A9566	N											
A9567	Technetium tc-99m aerosol	8324	8324	923459.91	5.74	835.57	110.94	78.26	78.26	75.87	75.87	90.122	A9567	N											
A9568	Technetium tc99m arcitumomab	1	1	812.29	812.29	812.29	812.29	812.29	812.29	812.29	812.29	.	A9568	K	0775	$812.290									
A9569	Technetium tc-99m auto wbc	552	552	568162.12	159.89	7518.57	1029.28	807.08	807.08	763.85	763.85	86.794	A9569	K	0776	"$1,029.280"									
A9570	Indium in-111 auto wbc	859	859	904166.1	88.26	5708.9	1052.58	823.15	823.15	871.76	871.76	78.396	A9570	K	0777	"$1,052.580"									
A9571	Indium in-111 auto platelet	3	22	1735.65	20.54	1076.98	78.89	27.54	478.69	20.54	410.89	936.963	A9571	N											
A9572	Indium in-111 pentetreotide	438	451	865810.39	104.78	11872.84	1919.76	1380.85	1413.17	1445.4	1467.7	95.859	A9572	K	0779	"$1,919.760"									
A9573	"Inj, gadopiclenol, 1 ml"	2781	22158	125538.32	0.02	234.13	5.67	4.42	33.95	5.01	34.56	403.659	A9573	N											
A9575	Inj gadoterate meglumi 0.1ml	278048	44984959	15429841.67	0.01	151.86	0.34	0.22	34.23	0.23	38.02	2485.38	A9575	N											
A9576	Inj prohance multipack	36741	629328	2816057.21	0.07	74.88	4.47	2.26	37.5	1.74	31.8	658.128	A9576	N											
A9577	Inj multihance	185237	2994286	11964536.44	0.01	124.77	4	2.65	41.34	3.24	55.74	313.186	A9577	N											
A9578	Inj multihance multipack	8318	118418	329258.99	0.69	184.77	2.78	2.48	33.54	2.45	31.89	308.781	A9578	N											
A9579	"Gad-base mr contrast nos,1ml"	113565	1904790	8684966.22	0.01	550.53	4.56	3.19	51.03	3.56	54.99	578.953	A9579	N											
A9580	Sodium fluoride f-18	119	119	21853.8	22.79	1698.7	183.65	119.31	119.31	128.24	128.24	121.71	A9580	N											
A9581	Gadoxetate disodium inj	13892	140836	2370447.67	0.11	288.67	16.83	13.9	136.4	14.34	136.04	227.986	A9581	N											
A9582	Iodine i-123 iobenguane	173	173	363657.05	293.91	9956.88	2102.06	1488.35	1488.35	1611.97	1611.97	83.293	A9582	K	0780	"$2,102.060"									
A9583	Gadofosveset trisodium inj	4	300	8415	28.05	28.05	28.05	28.05	2010.28	28.05	1963.15	0	A9583	N											
A9584	Iodine i-123 ioflupane	14456	14456	20753650.2	185.69	7165.79	1435.64	1195.58	1195.58	1198.36	1198.36	65.896	A9584	K	0781	"$1,435.640"									
A9585	Gadobutrol injection	350448	29271993	22107793.57	0.01	213.24	0.76	0.56	45.3	0.61	51.03	1094.69	A9585	N											
A9586	Florbetapir f18	504	569	1222434.1	137.39	10172.11	2148.39	1684.2	1908.17	1909.47	2159.7	69.671	A9586	K	1664	"$2,148.390"									
A9587	Gallium ga-68	4826	236308	12009201.35	2.99	3139.58	50.82	38.46	1859.66	37.76	1910.56	666.705	A9587	K	9056	$50.820									
A9588	Fluciclovine f-18	328	3326	909825.58	0.24	1900.28	273.55	221.05	2236.05	219.04	2315.41	232.475	A9588	K	9052	$273.550									
A9589	Insti hexaminolevulinate hcl	3577	3577	4226017.03	148.14	4077.92	1181.44	1050.05	1050.05	1072.65	1072.65	45.128	A9589	N 											
A9590	Iodine i-131 iobenguane 1mci	.	.	.	.	.	.	.	.	.	.	.	A9590	N											
A9591	Fluoroestradiol f 18	355	2104	1102820.76	39.86	3209.79	524.15	413.91	2440.2	395.92	2360.09	192.474	A9591	K	9370	$524.150									
A9592	Copper cu 64 dotatate diag	5018	20138	12288054.23	7.64	8861.44	610.19	473.16	1896.99	513.52	2080.41	178.052	A9592	K	9383	$610.190									
A9593	Gallium ga-68 psma-11 ucsf	1093	6494	3769799.28	110	2406.4	580.5	524.93	3083.24	642.92	3300.36	125.263	A9593	K	9409	$580.500									
A9594	"Gallium ga-68 psma-11, ucla"	887	4224	1567198.03	185.12	1117.96	371.02	357.52	1685.51	365.68	1888.29	74.555	A9594	K	9410	$371.020									
A9595	"Piflu f-18, dia 1 millicurie"	31284	292224	98613815.29	0.78	6992.23	337.46	265.52	2477.94	262.6	2474.36	252.387	A9595	K	9430	$337.460									
A9596	Gallium illuccix 1 millicure	12070	66162	34795091.34	2.94	5220.53	525.91	396.61	2138.55	438.16	2310.05	227.509	A9596	G	9443	$975.480									
A9597	"Pet, dx, for tumor id, noc"	388	729	657288.71	3.6	14379.2	901.63	449.61	1028.94	557.09	1480.89	149.76	A9597	N											
A9598	"Pet dx for non-tumor id, noc"	128	129	76512.88	3.6	1389.93	593.12	176.36	182.79	720.56	720.56	71.253	A9598	N											
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	"$4,156.573"									
A9601	Flortaucipir inj 1 millicuri	.	.	.	.	.	.	.	.	.	.	.	A9601	G	0709	"$3,710.000"									
A9602	Fluorodopa f-18 diag per mci	56	280	294584.5	707.5	1064.85	1052.09	1049.41	5247.07	1064.85	5324.25	14.222	A9602	G	9053	$446.880									
A9603	"Inj, pafolacianine, 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	A9603	N											
A9604	Sm 153 lexidronam	3	3	13683.42	1408.51	9776.32	4561.14	3252.45	3252.45	2498.59	2498.59	99.739	A9604	K	1295	"$17,259.853"									
A9606	Radium ra223 dichloride ther	2130	282398	24873756.44	0.43	467.97	88.08	74.91	9777.86	74.04	9643.45	692.656	A9606	K	1745	$161.775									
A9607	Lutetium lu 177 vipivotide	7785	1541786	170940593.5	10.75	873.23	110.87	96.41	19075.07	94.1	18630.81	834.033	A9607	G	9054	$229.755									
A9608	Flotufolastat f18 diag 1 mci	.	.	.	.	.	.	.	.	.	.	.	A9608	G	9254	$628.470									
A9609	"F18 fdg, 15 millicuries"	.	.	.	.	.	.	.	.	.	.	.	A9609	N											
A9697	"Inj, magtrace per study dose"	7	7	21043.14	168.47	9258.48	3006.16	919.23	919.23	604.46	604.46	142.688	A9697	N											
A9698	Non-rad contrast materialnoc	14827	18999	209249.86	0.1	360.7	11.01	6.07	7.03	6.05	7.21	237.018	A9698	N											
A9699	Radiopharm rx agent noc	33	714	304263.44	0.33	14550.93	426.14	145.42	639.23	256.43	2868.3	1729.54	A9699	N											
A9800	Gallium locametz 1 millicuri	4534	26965	10755807.92	25.15	3065.28	398.88	365.28	2165.68	385.6	2313.57	100.13	A9800	G	9055	$873.440									
C9046	Cocaine hcl nasal (goprelto)	2638	422333	634577.89	0.02	99.64	1.5	1.21	192.15	1.31	208.63	2123.281	C9046	N 											
C9047	"Injection, caplacizumab-yhdp"	.	.	.	.	.	.	.	.	.	.	.	C9047	N											
C9067	Gallium ga-68 dotatoc	142	58817	239222.13	3.44	5.37	4.07	4.04	1684.61	4	1684.61	218.931	C9067	K	9323	$4.070									
C9089	"Bupivacaine implant, 1 mg"	646	180727	195303.68	0.31	4.51	1.08	0.84	222.56	0.74	204.33	1265.393	C9089	K1	0762	$0.850									
C9101	"Inj, oliceridine 0.1 mg"	1	10	27.3	2.73	2.73	2.73	2.73	27.29	2.73	27.29	.	C9101	G	9049	$1.303									
C9113	"Inj pantoprazole sodium, via"	161780	202114	2345079.41	0.65	116.79	11.6	8.81	10.42	8.93	10.51	93.618	J2470	N 											
C9143	Cocaine hcl nasal (numbrino)	329	57480	70270.8	0.12	3.89	1.22	1.04	176.46	1.1	182.36	763.646	C9143	N 											
C9144	"Inj, bupivacaine (posimir)"	5	5	146.94	13.77	40.62	29.39	26.03	26.03	39.23	39.23	48.545	C9144	G	9106	$0.502									
C9145	"Inj, aponvie, 1 mg"	761	40828	88590.43	0.42	6.62	2.17	1.76	83.04	1.42	107.25	484.897	C9145	G	9107	$1.880									
C9146	"Inj, elahere, 1 mg"	815	289227	16588885.53	2.6	250.62	57.36	49.53	17084.86	55.77	18846.03	904.841	J9063	G	9109	$65.682									
C9147	"Inj, tremelimumab-actl, 1 mg"	160	36990	4597508.4	26.4	3859.76	124.29	112.23	22154.53	116.84	27785.36	1167.4	J9347	G	9110	$135.746									
C9148	"Inj, teclistamab-cqyv, 0.5mg"	2727	762594	22006969.32	3.27	87.59	28.86	27.01	7112.78	30.1	7713.78	553.312	J9380	G	9111	$30.762									
C9149	"Inj, teplizumab-mzwv, 5 mcg"	.	.	.	.	.	.	.	.	.	.	.	J9381	G	9112	$36.380									
C9150	"Xe129 xenon, diagnostic"	70	100	9743.98	18.88	942.82	97.44	59.75	75.97	36.28	67.28	155.954	C9150	N											
C9151	"Inj, pegcetacoplan 1 mg"	252	4920	725663.25	58.63	301.8	147.49	141.12	2639.04	164.74	2471.09	118.915	J2781	G	9158	$149.904									
C9152	"Inj, abilify asimtufii, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0402	G	9246	$5.807									
C9153	"Inj, amisulpride, 1 mg"	379	3765	38338.95	1.56	25.99	10.18	9.09	90.59	8.73	87.27	146.693	J0184	G	9247	$9.080									
C9155	"Inj epcoritamab-bysp,0.16 mg"	267	67388	3438542.96	12.88	360.64	51.03	48.13	9219.61	55	14278.17	519.409	J9321	G	9250	$53.775									
C9156	"Flotufolastat f18, dia 1 mci"	.	.	.	.	.	.	.	.	.	.	.	A9608	G	9254	$628.470									
C9157	"Inj, tofersen, 1 mg"	23	2300	396462	119.89	220.81	172.37	168.36	16835.94	160.56	16055.77	214.881	J1304	G	9262	$150.838									
C9158	"Inj, uzedy, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J2799	G	9266	$24.408									
C9159	"Inj, balfaxar, per i.u"	.	.	.	.	.	.	.	.	.	.	.	J7165	G	0702	$3.245									
C9160	Inj daxibotulinumtoxina-lanm	.	.	.	.	.	.	.	.	.	.	.	J0589	G	0703	$4.326									
C9161	"Inj, aflibercept hd, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0177	G	0704	$341.749									
C9162	"Inj, avacincaptad peg 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	J2782	G	0705	$111.300									
C9163	Inj talquetamab-tgvs 0.25 mg	.	.	.	.	.	.	.	.	.	.	.	J3055	G	0706	$67.716									
C9164	"Cantharidin top, applicator"	.	.	.	.	.	.	.	.	.	.	.	J7354	G	0707	$719.973									
C9165	"Inj, elranatamab-bcmm, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J1323	G	0708	$181.673									
C9248	"Inj, clevidipine butyrate"	595	15168	93654.96	0.85	342.03	6.17	4.75	98.37	4.24	107.67	651.856	C9248	K	9087	$2.889									
C9250	Artiss fibrin sealant	1761	2741	734750.32	10.27	2627.75	268.06	172.64	295.37	163.39	255.51	152.77	C9250	K	1848	$135.633									
C9254	"Injection, lacosamide"	1969	429622	182801.73	0.01	6.56	0.43	0.34	68.27	0.37	73.42	1143.763	C9254	N											
C9257	Bevacizumab injection	39315	228133	3595187.13	0.2	1361.75	15.76	9.26	58.56	7.66	54.93	395.541	C9257	K	1281	$1.854									
C9285	"Patch, lidocaine/tetracaine"	241	241	2153.16	6.07	13.93	8.93	8.87	8.87	8.73	8.73	13.929	C9285	N											
C9290	"Inj, bupivacaine liposome"	111873	25849260	40649713.23	0.01	111.24	1.57	1.39	307.9	1.43	331.38	922.116	C9290	K1	0763	$1.410									
C9293	"Injection, glucarpidase"	.	.	.	.	.	.	.	.	.	.	.	C9293	E2											
C9352	"Neuragen nerve guide, per cm"	76	109	177523.49	178.57	8144.59	1628.66	1266.47	1848.74	1120.56	2180.69	92.831	C9352	N											
C9353	"Neurawrap nerve protector,cm"	108	171	320433.04	408.56	7283.42	1873.88	1441.2	2617.88	1400.57	2800.02	90.452	C9353	N											
C9354	"Veritas collagen matrix, cm2"	64	454	171495.66	21.6	6275.57	377.74	64.7	1513.62	35.87	1426.61	695.312	C9354	N											
C9355	"Neuromatrix nerve cuff, cm"	21	27	40646.14	249.56	3734.88	1505.41	987.13	1485.15	1009.18	2097.66	94.738	C9355	N											
C9356	"Tenoglide tendon prot, cm2"	118	1621	355700.48	13.7	8915.98	219.43	68.92	2609.19	53.05	2836.57	1168.456	C9356	N											
C9358	"Surgimend, fetal"	91	15685	465820.38	3.47	12413.58	29.7	14.19	1919.57	14.24	2476.78	12886.49	C9358	N											
C9359	"Implnt,bon void filler-putty"	2015	2562	2048655.66	21.76	14555.59	799.63	483.24	654.62	464.97	711.79	130.123	C9359	N											
C9360	"Surgimend, neonatal"	20	2040	47825.78	6.14	11556.78	23.44	12.97	553.41	11.32	454.85	11708.46	C9360	N											
C9361	Neuromend nerve wrap	78	89	110618.77	82.92	5052.31	1242.91	926.96	965.95	938.81	938.81	85.484	C9361	N											
C9362	"Implnt,bon void filler-strip"	244	356	237493.32	0.34	8634.79	667.12	180.35	312.39	134.66	451.22	212.178	C9362	N											
C9363	Integra meshed bil wound mat	1057	38567	3908250.54	0.27	23419.18	101.34	41.99	2458.73	56.11	2896.31	2729.754	C9363	N											
C9364	"Porcine implant, permacol"	28	32	41954.98	30.35	4154.53	1311.09	982.8	1204.35	1168.12	1168.12	68.58	C9364	N											
C9460	"Injection, cangrelor"	961	52726	905205.69	1.3	137.23	17.17	15.05	779.27	15.66	802.95	397.302	C9460	K	9460	$17.642									
C9462	"Injection, delafloxacin"	.	.	.	.	.	.	.	.	.	.	.	C9462	E2											
C9482	Sotalol hydrochloride iv	352	46231	965296.39	2.88	48.79	20.88	18.93	2437.55	20.72	2619.16	475.762	C9482	K	9482	$20.712									
C9488	Conivaptan hcl	.	.	.	.	.	.	.	.	.	.	.	C9488	N											
J0120	Tetracyclin injection	50	59	625.66	0.98	37.3	10.6	5.14	6.05	5.03	6.85	130.396	J0120	N											
J0121	"Inj., omadacycline, 1 mg"	886	89400	300071	0.73	9.3	3.36	2.48	248.07	3.49	348.81	707.306	J0121	K 	9311	$3.750									
J0122	"Inj., eravacycline, 1 mg"	383	43339	86346.51	0.22	139.3	1.99	1.38	166.64	1.29	186.27	1810.904	J0122	N											
J0129	Abatacept injection	59307	4461412	214602544.6	0.5	309.61	48.1	43.26	3184.59	44.98	3287.2	419.742	J0129	K	9230	$42.840									
J0130	Abciximab injection	2	10	57.39	4.5	16.89	5.74	5.14	26.16	4.5	28.7	204.812	J0130	N											
J0131	"Inj, acetaminophen (nos)"	328020	35399967	11564097.63	0.01	325.11	0.33	0.23	24.82	0.25	26.94	1973.617	J0131	N											
J0132	Acetylcysteine injection	449	55156	143838.67	0.07	190.5	2.61	1.9	137.51	1.98	172.54	1251.843	J0132	N											
J0133	Acyclovir injection	1850	368716	75897.23	0.01	24.78	0.21	0.14	24.33	0.15	25.96	2158.703	J0133	N											
J0134	Inj acetaminophen -fresenius	74949	8051583	2196290.57	0.01	25.74	0.27	0.19	20.01	0.18	19.08	1583.885	J0134	N											
J0135	Adalimumab injection	27	54	79737.78	629.77	2649.62	1476.63	1387.23	2774.45	1201.78	2403.56	53.203	J0135	K	1083	"$1,834.494"									
J0136	"Inj, acetaminophen (b braun)"	30053	3201489	420192.1	0.01	7.75	0.13	0.11	10.77	0.1	10.1	1052.325	J0136	N											
J0137	"Inj, acetaminophen (hikma)"	10524	1103542	214867.43	0.02	3.84	0.19	0.17	17.16	0.16	16.81	659.886	J0137	N											
J0153	Adenosine inj 1mg	42307	2065592	3512400.23	0.01	647.43	1.7	1.16	38.89	1.28	43.29	1201.506	J0153	N											
J0171	Adrenalin epinephrine inject	365784	4604861	9132903.1	0.01	10102.07	1.98	1.31	13.58	1.39	14.8	1102.594	J0171	N											
J0172	"Inj, aducanumab-avwa, 2 mg"	.	.	.	.	.	.	.	.	.	.	.	J0172	K	9438	$5.978									
J0173	"Inj, epinephrine (belcher)"	10682	100093	302780.27	0.02	191.19	3.02	2.01	16.28	2.2	15.93	368.93	J0173	N											
J0174	"Inj, lecanemab-irmb, 1 mg"	427	331742	608632.9	0.63	8.68	1.83	1.66	1266.3	1.53	1262.12	1478.312	J0174	G	9157	$1.339									
J0178	Aflibercept injection	72466	172470	159130932.9	99.12	3044.29	922.66	840.15	1921.36	874.4	1933.53	58.869	J0178	K	1420	$841.128									
J0179	"Inj, brolucizumab-dbll, 1 mg"	298	2028	619900.92	91.38	663.11	305.67	271	1792.72	322.26	1933.53	115.74	J0179	K	9340	$325.679									
J0180	Agalsidase beta injection	2847	222741	41233702.64	7.79	813.3	185.12	164.95	12582.18	177.56	12673.02	406.277	J0180	K	9208	$218.275									
J0184	"Inj, amisulpride, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0184	G	9247	$9.080									
J0185	"Inj., aprepitant, 1 mg"	91853	11940726	31537542.26	0.15	29.55	2.64	2.35	305.63	2.27	295.36	590.015	J0185	K	9463	$1.666									
J0190	Inj biperiden lactate/5 mg	.	.	.	.	.	.	.	.	.	.	.	J0190	E2											
J0200	Alatrofloxacin mesylate	.	.	.	.	.	.	.	.	.	.	.	J0200	E2											
J0202	"Injection, alemtuzumab"	79	948	1221413.52	32.51	3786.56	1288.41	562.34	6748.09	173.99	2087.92	356.429	J0202	K	1809	"$2,347.582"									
J0205	Alglucerase injection	.	.	.	.	.	.	.	.	.	.	.	J0205	E2											
J0206	Inj allopurinol sodium 1 mg	3	1500	6930	4.62	4.62	4.62	4.62	2311.17	4.62	2311.17	0	J0206	K	9285	$5.430									
J0207	Amifostine	1	4	21.2	5.3	5.3	5.3	5.3	21.2	5.3	21.2	.	J0207	E2											
J0208	Inj sodium thiosulfate 100mg	342	63637	73129.25	0.09	3.4	1.15	1.05	190.9	1.15	187.12	544.515	J0208	G	9119	$95.850									
J0210	Methyldopate hcl injection	.	.	.	.	.	.	.	.	.	.	.	J0210	E2											
J0215	Alefacept	.	.	.	.	.	.	.	.	.	.	.	J0215	E2											
J0216	"Inj, alfentanil hcl, 500mcg"	47	80	697.51	1.2	29.67	8.72	6.16	10.98	5.74	11.47	105.751	J0216	N 											
J0217	Inj velmanase alfa-tycv 1 mg	.	.	.	.	.	.	.	.	.	.	.	J0217	G	0710	$424.000									
J0218	Inj olipudase alfa-rpcp 1mg	.	.	.	.	.	.	.	.	.	.	.	J0218	G	9113	$376.580									
J0219	Inj aval alfa-nqpt 4mg	1420	555083	35420913.08	0.04	147.74	63.81	51.45	19493.96	63.07	23837.11	886.568	J0219	K	9433	$75.996									
J0220	Alglucosidase alfa injection	.	.	.	.	.	.	.	.	.	.	.	J0220	N											
J0221	Lumizyme injection	574	94328	16613907.26	40.23	384.11	176.13	159.85	25668.91	177.54	27073.88	552.671	J0221	K	1413	$197.303									
J0222	"Inj., patisiran, 0.1 mg"	757	191057	17825637.33	32.15	164.24	93.3	88.08	21846.07	88.41	21905.24	518.867	J0222	K	9180	$99.204									
J0223	Inj givosiran 0.5 mg	151	71934	7925000.18	9.03	168.07	110.17	103.36	45998.99	110.08	45955.91	661.071	J0223	K	9343	$112.020									
J0224	"Inj. lumasiran, 0.5 mg"	11	7560	1162380.24	115.98	183.28	153.75	151.1	100437.4	152.16	115034.7	498.65	J0224	K	9407	$318.100									
J0225	"Inj, vutrisiran, 1 mg"	543	13576	54929093.36	969.61	9792.22	4046.04	3663.35	91592.27	3831.87	95796.82	218.745	J0225	G	9009	"$4,935.214"									
J0248	"Inj, remdesivir, 1 mg"	22537	3137003	19537966.68	0.02	138.95	6.23	5.6	741.92	5.99	713.8	543.079	J0248	G	9200	$6.058									
J0256	Alpha 1 proteinase inhibitor	33455	17923672	95504689.82	0.01	41.29	5.33	4.43	2254.15	4.55	2310.22	1621.782	J0256	K	0901	$4.912									
J0257	Glassia injection	4156	2145179	11865904.33	0.01	26.56	5.53	4.58	2217.97	4.86	2197.9	1345.243	J0257	K	1415	$5.395									
J0278	Amikacin sulfate injection	5328	44582	155655.1	0.06	155.62	3.49	2.66	20.76	2.88	22.17	305.804	J0278	N											
J0280	Aminophyllin 250 mg inj	37205	43840	592374.92	0.42	183.52	13.51	9.08	10.71	9.49	12.84	109.061	J0280	N											
J0282	Amiodarone hcl	14814	209187	638731.73	0.01	7779.54	3.05	1.5	17.82	1.38	18.23	3381.044	J0282	N											
J0283	"Inj, amiodarone (nexterone)"	5769	79771	460029.98	0.04	99.65	5.77	4.7	59.22	4.89	60.27	257.469	J0283	E2											
J0285	Amphotericin b	258	258	9550.96	0.65	166.11	37.02	24.04	24.04	33.53	33.53	81.444	J0285	N											
J0287	Amphotericin b lipid complex	19	423	22628	10.88	3825.53	53.49	34.36	762.57	40.71	1221.44	2357.696	J0287	K	9024	$11.130									
J0288	Ampho b cholesteryl sulfate	.	.	.	.	.	.	.	.	.	.	.	J0288	E2											
J0289	Amphotericin b liposome inj	1042	32100	1798040.92	4.34	183.58	56.01	47.47	1269.18	64.17	1567.68	273.637	J0289	K	0736	$27.682									
J0290	Ampicillin 500 mg inj	11916	64147	302188.61	0.02	82.28	4.71	3.35	14.67	3.79	15.4	212.19	J0290	N											
J0291	"Inj., plazomicin, 5 mg"	144	30620	127577.36	3.45	5.54	4.17	4.08	821.61	3.64	691.73	317.413	J0291	K	9183	$3.598									
J0295	Ampicillin sulbactam 1.5 gm	41407	119082	1041496.89	0.14	326.13	8.75	6.69	16.7	7.05	17.06	134.639	J0295	N											
J0300	Amobarbital 125 mg inj	66	66	1034.46	15.59	21.11	15.67	15.66	15.66	15.59	15.59	4.335	J0300	N											
J0330	Succinycholine chloride inj	299181	1997518	6263585.69	0.01	900.66	3.14	2.19	14.2	2.37	15.79	290.365	J0330	N											
J0348	Anidulafungin injection	722	79900	128451	0.35	6.88	1.61	1.36	140.89	1.58	148.71	584.886	J0348	N											
J0349	"Inj, rezafungin, 1 mg"	15	4000	51432	8.1	17.86	12.86	12.24	3019	12.16	3238.03	521.637	J0349	G	9267	$10.125									
J0350	Injection anistreplase 30 u	.	.	.	.	.	.	.	.	.	.	.	J0350	E2											
J0360	Hydralazine hcl injection	264890	300482	5115803.76	0.76	186.58	17.03	12.13	13.35	13.12	13.99	105.239	J0360	N											
J0364	Apomorphine hydrochloride	.	.	.	.	.	.	.	.	.	.	.	J0364	E2											
J0365	"Aprotonin, 10,000 kiu"	.	.	.	.	.	.	.	.	.	.	.	J0365	E2											
J0380	Inj metaraminol bitartrate	.	.	.	.	.	.	.	.	.	.	.	J0380	E2											
J0390	Chloroquine injection	1	4	2.68	0.67	0.67	0.67	0.67	2.66	0.67	2.66	.	J0390	N											
J0391	"Inj, artesunate, 1mg"	.	.	.	.	.	.	.	.	.	.	.	J0391	K	0711	$47.841									
J0395	Arbutamine hcl injection	.	.	.	.	.	.	.	.	.	.	.	J0395	E2											
J0400	Aripiprazole injection	7	64	107.48	0.03	26.88	1.68	0.05	4.82	0.03	25.96	1242.516	J0400	N											
J0401	Inj aripiprazole ext rel 1mg	1561	583620	3457985.05	0.01	16.69	5.93	5.52	2046.07	5.61	2106.37	801.864	J0401	K	1468	$6.814									
J0402	"Inj, abilify asimtufii, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0402	G	9246	$5.807									
J0456	Azithromycin	59669	59669	974819.29	0.94	141.31	16.34	11.98	11.98	12.81	12.81	83.267	J0456	N											
J0457	"Injection, aztreonam, 100 mg"	2077	45678	169795.1	0.04	83.88	3.72	3.27	60.56	3.63	63.42	274.62	J0457	N											
J0461	Atropine sulfate injection	91612	5647414	1457896.66	0.01	49.92	0.26	0.18	10.67	0.18	11.46	865.15	J0461	N											
J0470	Dimecaprol injection	.	.	.	.	.	.	.	.	.	.	.	J0470	N											
J0475	Baclofen 10 mg injection	9013	46390	11271958.73	0.67	7108.38	242.98	200.99	822.84	216.46	1005.81	142.549	J0475	K	9032	$177.873									
J0476	Baclofen intrathecal trial	201	268	39008.6	11.1	1167.9	145.55	90.95	116.29	84.88	101.6	143.204	J0476	N											
J0480	Basiliximab	419	419	1764856.1	2006.35	12050.83	4212.07	4087.12	4087.12	4074.22	4074.22	25.417	J0480	K	1683	"$4,487.000"									
J0485	Belatacept injection	43133	22491235	90714044.66	0.05	14.53	4.03	3.69	1846.67	3.77	1883.43	983.054	J0485	K	9286	$3.870									
J0490	Belimumab injection	8740	711802	33341485.99	3.42	311.37	46.84	42.75	3382.14	42.54	3454.26	428.383	J0490	K	1353	$54.102									
J0491	Inj anifrolumab-fnia 1mg	1565	469050	6806560.5	0.06	68.6	14.51	12.58	3767.68	13.43	4027.77	828.344	J0491	K	9434	$17.135									
J0500	Dicyclomine injection	14209	14209	740942.84	2.71	456.58	52.15	41.64	41.64	40.73	40.73	72.085	J0500	N											
J0515	Inj benztropine mesylate	1302	2313	74371.69	1.63	261.28	32.15	25.85	44.57	28.06	45.81	96.707	J0515	N											
J0517	"Inj., benralizumab, 1 mg"	16817	504510	80465571	3.09	490.47	159.49	146.23	4386.93	148.32	4449.57	226.919	J0517	K	9466	$165.247									
J0520	Bethanechol chloride inject	.	.	.	.	.	.	.	.	.	.	.	J0520	E2											
J0558	Peng benzathine/procaine inj	134	1788	26143.45	0.04	235.33	14.62	10.98	132.49	12.99	148.24	461.515	J0558	K	9088	$17.368									
J0561	Penicillin g benzathine inj	3586	67601	1170390.66	0.04	181.79	17.31	13.86	246.7	16.58	280.62	269.823	J0561	K	1829	$21.998									
J0565	"Inj, bezlotoxumab, 10 mg"	1094	105441	3952495.09	6.12	231.8	37.49	34.09	3192.25	33.57	3223.72	461.314	J0565	K	9490	$39.872									
J0567	"Inj., cerliponase alfa 1 mg"	6	1800	205524	114.18	114.18	114.18	114.18	34253.01	114.18	34253.01	0	J0567	E2											
J0570	Buprenorphine implant 74.2mg	.	.	.	.	.	.	.	.	.	.	.	J0570	N											
J0571	Buprenorphine oral 1mg	1011	7863	11221.31	0.02	45.07	1.43	0.76	6.5	0.84	6.78	560.342	J0571	E1											
J0572	Bupren/nal up to 3mg bupreno	498	1088	5231.58	0.34	28.08	4.81	3.84	7.1	4.74	7.75	100.925	J0572	E1											
J0573	Bupren/nal 3.1 to 6mg bupren	138	232	1891.63	0.69	20.12	8.15	6.99	9.48	8.87	10.17	57.259	J0573	E1											
J0574	Bupren/nal 6.1 to 10mg bupre	1355	1965	12001.59	0.5	39.39	6.11	4.89	6.47	4.64	6.38	87.545	J0574	E1											
J0575	Bupren/nal over 10mg bupreno	3	3	62.21	19.89	21.16	20.74	20.73	20.73	21.16	21.16	3.536	J0575	E1											
J0583	Bivalirudin	21984	6943764	9648158.31	0.01	20.67	1.39	0.86	264.15	0.89	267.92	1734.365	J0583	N											
J0584	"Injection, burosumab-twza 1m"	269	20822	7295094.42	93.15	721.6	350.36	318.15	24065.51	302.76	22423.73	367.985	J0584	K	9187	$447.863									
J0585	"Injection,onabotulinumtoxina"	92142	18895565	115728735.4	0.01	136.7	6.12	5.38	944.97	5.53	976.31	725.909	J0585	K	0902	$6.319									
J0586	Abobotulinumtoxina	1665	313506	3256006.51	0.99	26.47	10.39	9.22	1505.78	8.98	1544.53	665.442	J0586	K	1289	$8.682									
J0587	"Inj, rimabotulinumtoxinb"	2375	164415	1926183.7	0.14	1706.97	11.72	9.54	522.32	10.07	495.8	2151.75	J0587	K	9018	$13.035									
J0588	Incobotulinumtoxin a	5533	1358393	7056409.02	0.26	107.25	5.19	4.63	872.88	4.43	869.76	890.63	J0588	K	9278	$5.197									
J0591	"Inj deoxycholic acid, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0591	E1											
J0592	Buprenorphine hydrochloride	2164	6390	38152.9	1.03	36.8	5.97	4.96	14.38	4.45	13.34	123.06	J0592	N											
J0593	"Inj., lanadelumab-flyo, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J0593	E2											
J0594	Busulfan injection	284	46294	232899.62	0.8	19.55	5.03	2.79	448.69	1.81	324.75	1100.416	J0594	K	1178	$1.042									
J0595	Butorphanol tartrate 1 mg	576	1007	7740.5	0.49	73.76	7.69	6.07	10.12	6.48	9.16	104.148	J0595	N											
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	$33.400									
J0597	"C-1 esterase, berinert"	175	27332	1542102.27	11.9	146.04	56.42	52.34	7673.71	55.12	8507.36	482.113	J0597	K	9269	$64.427									
J0598	"C-1 esterase, cinryze"	208	20800	909335	24.29	68.02	43.72	42.93	4292.8	50.97	5096.71	187.973	J0598	K	9251	$62.562									
J0599	"Inj., haegarda 10 units"	.	.	.	.	.	.	.	.	.	.	.	J0599	E2											
J0600	Edetate calcium disodium inj	13	18	80052.4	3.51	7799.77	4447.36	463.72	680.14	7255.8	7799.77	98.62	J0600	K	1274	"$6,353.088"									
J0604	"Cinacalcet, esrd on dialysis"	135	6653	1826.72	0.01	47.11	0.27	0.11	6.23	0.08	5.25	2469.998	J0604	B											
J0606	"Inj, etelcalcetide, 0.1 mg"	20	956	5571.05	1.52	169.45	5.83	4.64	196.69	6.77	173.27	922.231	J0606	N											
J0612	Calcium glucon (fresenius)	22302	4104096	970166.67	0.01	105.16	0.24	0.12	22.9	0.12	23.27	7499.835	J0612	N											
J0613	Calcium glucon (wg critical)	16840	3387275	851240.25	0.01	69.02	0.25	0.19	34.25	0.18	33.7	2314.975	J0613	N											
J0620	Calcium glycer & lact/10 ml	7	7	124.05	6.01	35.23	17.72	15.96	15.96	16.39	16.39	48.904	J0620	N											
J0630	Calcitonin salmon injection	226	274	565338.71	13.29	11100.57	2063.28	1523.19	1773.01	1898.06	2315.09	81.359	J0630	K	1433	"$1,101.736"									
J0636	Inj calcitriol per 0.1 mcg	168	2981	5384.2	0.04	55.57	1.81	1.14	14.65	1.21	12.88	409.661	J0636	N											
J0637	Caspofungin acetate	1627	16866	273912.33	1.17	55.32	16.24	12.11	124.97	9.29	92.86	255.96	J0637	N											
J0638	Canakinumab injection	190	40500	3761274	25.59	243.61	92.87	84.73	17621.58	90.69	18663.98	593.762	J0638	K	1311	$124.484									
J0640	Leucovorin calcium injection	129269	1777326	15167680.17	0.08	304.89	8.53	6.37	80.92	6.86	88.82	382.145	J0640	N											
J0641	Inj levoleucovorin nos 0.5mg	158	70383	28453.34	0.08	243.5	0.4	0.21	171.66	0.21	147.97	34042.44	J0641	N											
J0642	"Injection, khapzory, 0.5 mg"	.	.	.	.	.	.	.	.	.	.	.	J0642	N											
J0665	"Inj, bupivacaine, nos, 0.5mg"	295008	48761051	3359703.98	0.01	45.18	0.07	0.04	6.38	0.04	7.01	2949.761	J0665	N											
J0670	Inj mepivacaine hcl/10 ml	45156	87583	636666.95	0.25	68.27	7.27	5.53	10.25	5.64	12.33	120.417	J0670	N											
J0688	"Inj cefazolin sodium, hikma"	.	.	.	.	.	.	.	.	.	.	.	J0688	N											
J0689	"Inj cefazolin sodium, baxter"	151509	699223	4162752.89	0.24	52.72	5.95	4.8	20.42	4.45	18.67	159.559	J0689	N											
J0690	Cefazolin sodium injection	1630179	7892214	32885840.29	0.01	883.62	4.17	2.69	11.73	2.83	12.54	284.471	J0690	N											
J0691	Inj lefamulin 1 mg	5	25	155.25	6.21	6.21	6.21	6.21	31.06	6.21	31.06	0	J0691	N											
J0692	Cefepime hcl for injection	72182	314531	2038104.11	0.06	193.65	6.48	4.88	19.51	4.84	19.64	181.394	J0692	N											
J0694	Cefoxitin sodium injection	21084	46903	586326.88	0.61	104.93	12.5	9.98	20.94	10.54	21.9	102.401	J0694	N											
J0695	Inj ceftolozane tazobactam	311	12407	96441.67	1.48	171.73	7.77	6.65	218.99	7.27	303.48	555.192	J0695	K	9452	$7.289									
J0696	Ceftriaxone sodium injection	793613	4193792	16132702.92	0.01	1985.42	3.85	1.98	10.19	1.96	11.03	388.363	J0696	N											
J0697	Sterile cefuroxime injection	24337	38471	628413.56	0.08	150.85	16.33	8.34	12.47	9.7	12.74	228.18	J0697	N											
J0698	Cefotaxime sodium injection	19	32	837.83	1.01	290.06	26.18	5.87	13.65	13.34	13.34	348.854	J0698	N											
J0699	"Inj, cefiderocol, 10 mg"	25	7325	21321.25	1.17	17.7	2.91	2.33	627.87	2.63	500.19	1638.098	J0699	K	9426	$2.173									
J0701	Inj. cefepime hcl (baxter)	2140	10170	170858.45	0.8	47.88	16.8	15.21	62.04	19.39	61.72	84.7	J0701	N											
J0702	Betamethasone acet&sod phosp	68063	196383	1897245.48	0.15	214.13	9.66	7.18	18.97	6.7	19.73	161.207	J0702	N											
J0703	"Inj, cefepime hcl (b braun)"	3727	15817	173362.83	0.42	59.26	10.96	9.63	38.06	10.2	36.46	117.558	J0703	N											
J0706	Caffeine citrate injection	3365	41526	101862.43	0.31	76.87	2.45	1.9	21.46	2.2	21.07	264.793	J0706	N											
J0710	Cephapirin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J0710	E2											
J0712	Ceftaroline fosamil inj	686	68820	257528.22	0.19	10.82	3.74	3.48	333.44	3.47	411.04	352.02	J0712	K	1824	$3.859									
J0713	Inj ceftazidime per 500 mg	6629	25711	142464.12	0.02	167.09	5.54	3.83	11.49	3.79	13.87	221.335	J0713	N											
J0714	Ceftazidime and avibactam	297	1540	161152.9	14.65	1592.9	104.64	94.46	417.7	106.85	427.38	123.922	J0714	K	1825	$95.436									
J0715	Ceftizoxime sodium / 500 mg	.	.	.	.	.	.	.	.	.	.	.	J0715	E2											
J0716	Centruroides immune f(ab)	72	159	463156.89	513	7098.96	2912.94	2277.51	4789.4	2499.44	4372.77	94.292	J0716	K	1431	"$4,777.573"									
J0717	Certolizumab pegol inj 1mg	21611	8242580	92699037.4	0.01	78.44	11.25	9.43	3534.57	9.88	3748.8	1275.234	J0717	K	1474	$4.624									
J0720	Chloramphenicol sodium injec	48	236	3012.78	10.89	84.68	12.77	11.47	59.28	10.89	54.43	203.881	J0720	N											
J0725	Chorionic gonadotropin/1000u	23	96	2429.86	14.96	182.29	25.31	20.02	83.88	16.37	81.85	271.518	J0725	N											
J0735	Clonidine hydrochloride	32955	35463	811088.33	0.23	257.58	22.87	11.78	12.69	17.65	19.3	111.501	J0735	N											
J0736	"Inj, clindamycin phosp 300mg"	22143	61617	489863.75	0.15	267.5	7.95	5.87	15.65	6.31	16.97	172.291	J0736	N											
J0737	"Inj, clindamycin (baxter)"	7859	22250	180038.92	0.22	73.45	8.09	6.39	17.63	6.46	17.48	134.262	J0737	N											
J0739	"Hiv prep, inj, cabotegravir"	38	22800	130956	2.21	9.82	5.74	5.36	3216.09	5.46	3274.44	852.039	J0739	A											
J0740	Cidofovir injection	1191	1191	648512.32	15.36	4574.05	544.51	361.25	361.25	509.57	509.57	76.972	J0740	K	9033	$581.057									
J0741	"Inj, cabote rilpivir 2mg 3mg"	814	230450	4679970	3.17	59.65	20.31	18.71	5252.67	19.16	5288.22	650.117	J0741	K	9414	$22.617									
J0742	Inj imip 4 cilas 4 releb 2mg	4	254	1772.38	2.99	254.97	6.98	3.23	407.45	3.03	375.93	4136.481	J0742	K	9362	$2.447									
J0743	Cilastatin sodium injection	1623	9550	161130.96	1.08	76.98	16.87	13.19	69.74	11.09	57.03	159.474	J0743	N											
J0744	Ciprofloxacin iv	57762	122273	1071416.63	0.08	360.59	8.76	5.31	11.04	5.13	10.72	190.94	J0744	N											
J0745	Inj codeine phosphate /30 mg	16	29	42.55	0.83	2.52	1.47	1.29	1.52	0.94	0.94	72.881	J0745	N											
J0750	"Hiv prep, ftc/tdf 200/300mg"	.	.	.	.	.	.	.	.	.	.	.	J0750	A											
J0751	"Hiv prep, ftc/taf 200/25mg"	.	.	.	.	.	.	.	.	.	.	.	J0751	A											
J0770	Colistimethate sodium inj	36	264	2507.08	2.49	74.45	9.5	7.64	35.15	6.28	36.03	269.736	J0770	N											
J0775	"Collagenase, clost hist inj"	1460	137708	6922760.43	3.6	165.51	50.27	43.51	3972.16	45.14	3883.28	493.703	J0775	K	1340	$68.968									
J0780	Prochlorperazine injection	95819	95819	1385022.55	1.03	109.6	14.45	11.06	11.06	11.84	11.84	77.365	J0780	N											
J0791	Inj crizanlizumab-tmca 5mg	2010	160878	17864427.91	25.85	305.21	111.04	103.62	8114.31	104.97	8145.71	318.689	J0791	K	9359	$127.351									
J0795	Corticorelin ovine triflutal	1	1	12.69	12.69	12.69	12.69	12.69	12.69	12.69	12.69	.	J0795	E2											
J0799	"Hiv prep, fda approved, noc"	.	.	.	.	.	.	.	.	.	.	.	J0799	A											
J0801	Inj. acthar gel to 40 units	.	.	.	.	.	.	.	.	.	.	.	J0801	N											
J0802	"Inj. (ani), up to 40 units"	.	.	.	.	.	.	.	.	.	.	.	J0802	N											
J0834	"Inj., cosyntropin, 0.25 mg"	5936	5936	485376.92	4.68	715.74	81.77	63.42	63.42	75.89	75.89	70.431	J0834	N											
J0840	Crotalidae poly immune fab	101	522	1388307.7	1079.9	7875.06	2659.59	2425.82	11602.16	2531.04	11337	101.426	J0840	K	9274	"$1,979.873"									
J0841	Inj crotalidae im f(ab)2 eq	50	545	447142.02	74.06	2327.85	820.44	639.42	6959.99	722.57	8629.98	197.842	J0841	K	9188	"$1,047.293"									
J0850	Cytomegalovirus imm iv /vial	293	944	1817354.64	268.09	20998.79	1925.16	1708.7	4555.85	1594.05	4881.14	113.897	J0850	K	0903	"$1,808.222"									
J0873	"Inj, daptomycin (xellia)"	.	.	.	.	.	.	.	.	.	.	.	J0873	N											
J0874	"Inj, daptomycin (baxter)"	109	55900	4727	0.01	0.11	0.08	0.08	42.8	0.08	41.07	286.675	J0874	E2											
J0875	"Injection, dalbavancin"	7558	1958400	27103169.73	0.86	105.33	13.84	12.44	3079.72	13.02	3190.01	758.826	J0875	K	1823	$15.122									
J0877	"Inj, daptomycin (hospira)"	3792	2378198	390182.47	0.02	1.78	0.16	0.14	82.76	0.14	86	2049.586	J0877	N											
J0878	Daptomycin injection	90422	57983668	13580598.9	0.01	35.15	0.23	0.13	80.35	0.11	65.2	3418.344	J0878	N											
J0879	"Difelikefalin, esrd on dialy"	1	60	1363.2	22.72	22.72	22.72	22.72	1362.9	22.72	1362.9	.	J0879	K	9202	$0.202									
J0881	"Darbepoetin alfa, non-esrd"	97684	21695469	140183475.9	0.03	57.55	6.46	5.76	934.3	6	1064.8	756.771	J0881	K	1685	$2.901									
J0882	"Darbepoetin alfa, esrd use"	384	26030	167123.47	0.17	16.14	6.42	5.48	319.5	5.69	331.24	440.853	J0882	K	1482	$2.901									
J0883	Argatroban nonesrd use 1mg	151	28073	67886.22	0.11	18.25	2.42	1.57	218.33	1.6	219.12	1407.841	J0883	K	1859	$0.894									
J0884	Argatroban esrd dialysis 1mg	26	2855	8933.75	0.86	25.31	3.13	2.36	192.03	2.25	180.77	1210.987	J0884	N											
J0885	"Epoetin alfa, non-esrd"	43324	1408998	27607818.38	0.02	803.62	19.59	17.2	480.5	17.39	543.23	323.317	J0885	K	1686	$8.273									
J0887	Epoetin beta esrd use	36	2804	10704.33	0.94	312.18	3.82	3.34	249.92	3.85	327.28	1525.593	J0887	N											
J0888	Epoetin beta non esrd	311	32330	77362.45	0.21	14.1	2.39	2.3	187.42	2.57	164.6	280.033	J0888	K	9077	$1.384									
J0889	Daprodustat oral 1mg esrd	.	.	.	.	.	.	.	.	.	.	.	J0889	E2											
J0891	Argatroban nonesrd (accord)	6	400	2488	4.65	6.89	6.22	6.14	372.35	6.89	319.89	134.188	J0891	N											
J0892	Argatroban dialysis (accord)	.	.	.	.	.	.	.	.	.	.	.	J0892	N											
J0893	"Inj, decitabine (sun pharma)"	620	28191	290580.73	0.69	54.66	10.31	4.93	227.27	3.99	199.63	824.119	J0893	N											
J0894	Decitabine injection	35688	1634091	15936610.48	0.09	157.59	9.75	4.83	214.77	4.09	183.13	944.86	J0894	N											
J0895	Deferoxamine mesylate inj	4663	14667	333709.17	0.5	212.31	22.75	15.84	45.34	14.44	42.34	259.883	J0895	N											
J0896	Inj luspatercept-aamt 0.25mg	13662	5487321	192498677.5	1.48	101.95	35.08	32.5	12404.87	33.23	12612.85	761.312	J0896	K	9347	$39.983									
J0897	Denosumab injection	429058	33313142	730658641.4	0.01	611.71	21.93	19.66	1443.58	20.51	1436.32	429.521	J0897	K	9272	$25.189									
J0898	Argatroban nonesrd (auromed)	25	1450	9769.91	2.53	9.87	6.74	6.38	333.32	6.78	365.2	240.436	J0898	K	9022	$4.134									
J0899	"Argatroban dialysis, auromed"	1	22	113.08	5.14	5.14	5.14	5.14	113.04	5.14	113.04	.	J0899	N											
J0945	Brompheniramine maleate inj	.	.	.	.	.	.	.	.	.	.	.	J0945	E2											
J1000	Depo-estradiol cypionate inj	136	136	2659.81	3.18	116.82	19.56	14.5	14.5	16.54	16.54	108.333	J1000	N											
J1020	Methylprednisolone 20 mg inj	5534	15558	96303.29	0.17	41.12	6.19	5.09	13.03	5.39	13.85	113.647	J1020	D											
J1030	Methylprednisolone 40 mg inj	152700	200447	2705011.22	0.76	139.81	13.49	10.54	13.22	11.23	14.34	81.311	J1030	D											
J1040	Methylprednisolone 80 mg inj	165126	182860	3849599.79	1.8	118.63	21.05	17.64	19.18	17.93	19.36	63.021	J1040	D											
J1050	Medroxyprogesterone acetate	6152	977176	434712.91	0.01	4.44	0.44	0.35	52.61	0.37	56.11	1070.881	J1050	N											
J1071	Inj testosterone cypionate	23354	4607853	834499.44	0.01	29.28	0.18	0.09	16.51	0.1	17.8	7202.134	J1071	N											
J1094	Inj dexamethasone acetate	451	1172	5403.78	0.16	28.56	4.61	1.96	7.53	2.66	7.76	190.011	J1094	N											
J1095	"Injection, dexamethasone 9%"	6	3102	3567.3	1.15	1.15	1.15	1.15	595.83	1.15	595.83	0	J1095	N											
J1096	Dexametha opth insert 0.1 mg	4735	18944	2761557.87	33.37	372.19	145.77	135.14	540.56	134.42	537.66	74.986	J1096	K1	9308	$117.010									
J1097	Phenylep ketorolac opth soln	8851	30625	4015150.58	9.42	1274.33	131.11	113.77	392.79	120.41	453.9	127.086	J1097	K1	9324	$97.120									
J1100	Dexamethasone sodium phos	2372599	21687652	22698323.13	0.01	469.37	1.05	0.55	5.1	0.62	5.51	599.275	J1100	N											
J1105	"Dexmedetomidine film, 1 mcg"	.	.	.	.	.	.	.	.	.	.	.	J1105	K	0722	$0.751									
J1110	Inj dihydroergotamine mesylt	719	945	107024.79	15.88	502.18	113.25	97.48	116.51	109.31	127.64	65.132	J1110	N											
J1120	Acetazolamid sodium injectio	3600	3978	186729.95	6.96	184.74	46.94	41.34	44.48	41.38	44.99	53.481	J1120	N											
J1130	Inj diclofenac sodium 0.5mg	1	1	14.28	14.28	14.28	14.28	14.28	14.28	14.28	14.28	.	J1130	N											
J1160	Digoxin injection	4978	5684	73098.99	0.56	143.1	12.86	8.8	9.67	8.3	9.34	131.657	J1160	N											
J1162	Digoxin immune fab (ovine)	43	110	464617.26	153.14	11596.52	4223.79	3510.12	7149.93	4064.95	7702.3	86.593	J1162	K	1687	"$4,777.441"									
J1165	Phenytoin sodium injection	969	11626	22396.69	0.07	55.83	1.93	1.24	12.29	1.19	12.09	499.336	J1165	N											
J1170	Hydromorphone injection	832192	1403390	13672895.45	0.15	214.44	9.74	6.38	9.3	6.31	9.22	130.074	J1170	N											
J1180	Dyphylline injection	.	.	.	.	.	.	.	.	.	.	.	J1180	E2											
J1190	Dexrazoxane hcl injection	924	4174	954594.36	13.13	893.51	228.7	193.78	750.01	222.78	821.49	121.763	J1190	K	0726	$91.090									
J1200	Diphenhydramine hcl injectio	716228	716228	4578038.49	0.11	96.15	6.39	3.48	3.48	3.44	3.44	122.73	J1200	N											
J1201	Inj. cetirizine hcl 0.5mg	275	5500	59730	8.54	17.99	10.86	10.77	215.31	10.81	216.23	64.573	J1201	K	9361	$14.971									
J1205	Chlorothiazide sodium inj	754	754	114595.38	7.6	1150.36	151.98	107.84	107.84	108.51	108.51	81.296	J1205	N											
J1212	Dimethyl sulfoxide 50% 50 ml	1011	1015	589572	43.08	3316.91	580.86	493.85	495.74	514.99	514.99	54.994	J1212	K	1832	$680.161									
J1230	Methadone injection	1839	2142	58800.8	1.87	222.83	27.45	22.66	26.75	23.25	26.36	77.699	J1230	N											
J1240	Dimenhydrinate injection	986	986	11727.91	0.61	62.32	11.89	8.78	8.78	14.16	14.16	66.925	J1240	N											
J1245	Dipyridamole injection	6276	32967	360178.12	0.08	421	10.93	6.53	31.41	5.73	29.42	356.017	J1245	N											
J1250	Inj dobutamine hcl/250 mg	23853	39368	752494.16	0.51	231.72	19.11	13.94	22.02	14.02	26.23	108.832	J1250	N											
J1260	Dolasetron mesylate	4	5	15.58	2.79	4.42	3.12	3.06	3.72	2.79	3.61	27.013	J1260	N											
J1265	Dopamine injection	3257	40886	94399.78	0.01	92.31	2.31	1.81	20.72	1.89	22.84	369.086	J1265	N											
J1267	Doripenem injection	.	.	.	.	.	.	.	.	.	.	.	J1267	E2											
J1270	"Injection, doxercalciferol"	509	2058	9702.58	0.2	30.99	4.71	3.65	13.46	3.68	15.08	130.648	J1270	N											
J1290	Ecallantide injection	15	780	182793.6	203.44	500.46	234.35	226.39	12020.55	209.55	12572.87	238.024	J1290	K	9263	$545.617									
J1300	Eculizumab injection	8704	1006295	202392944.8	6.38	564.71	201.13	185.61	21407.36	194.76	22107.39	412.837	J1300	K	9236	$225.703									
J1301	"Injection, edaravone, 1 mg"	2657	159420	3149574.6	6.44	61.01	19.76	18.04	1082.48	18.81	1128.63	319.117	J1301	K	9493	$21.832									
J1302	"Inj, sutimlimab-jome, 10 mg"	969	678483	11653469.84	5.38	41.21	17.18	16.11	11303.73	16.45	11406.48	945.449	J1302	G	9444	$17.769									
J1303	"Inj., ravulizumab-cwvz 10 mg"	3113	1021454	197152001.5	8.07	737.18	193.01	177.2	58063.85	184.86	60491.65	722.379	J1303	K	9312	$221.745									
J1304	Inj tofersen intrathec 1 mg	.	.	.	.	.	.	.	.	.	.	.	J1304	G	9262	$150.838									
J1305	"Inj, evinacumab-dgnb, 5mg"	133	29021	3887440.3	14.76	251.6	133.95	116.89	24356.41	141.35	28811.39	620.094	J1305	K	9416	$179.140									
J1306	"Injection, inclisiran, 1 mg"	11179	3174678	32431505.54	0.02	41.23	10.22	9.03	2563.86	9.57	2716.58	840.5	J1306	G	9004	$12.119									
J1320	Amitriptyline injection	2	2	2.42	1.21	1.21	1.21	1.21	1.21	1.21	1.21	0	J1320	N											
J1322	"Elosulfase alfa, injection"	98	7325	1701673.8	167.48	441.53	232.31	221.62	15759.74	212.43	21128.73	295.186	J1322	K	1480	$283.224									
J1324	Enfuvirtide injection	.	.	.	.	.	.	.	.	.	.	.	J1324	E2											
J1325	Epoprostenol injection	190	829	20845.05	1.42	195.32	25.14	21.48	64.27	21.43	58.96	140.489	J1325	N											
J1327	Eptifibatide injection	2548	33411	772091.86	0.82	271.79	23.11	16.64	157.89	19.12	156.32	284.416	J1327	N											
J1330	Ergonovine maleate injection	.	.	.	.	.	.	.	.	.	.	.	J1330	E2											
J1335	Ertapenem injection	108884	217828	10412621.77	2.51	466.63	47.8	39.18	78.39	40.73	81.51	95.001	J1335	N											
J1364	Erythro lactobionate /500 mg	183	265	21335.95	3.36	1063.97	80.51	62.02	82.1	67.86	84.67	117.342	J1364	N											
J1380	Estradiol valerate 10 mg inj	382	684	7119.86	1.25	48.46	10.41	7.96	12.45	8.53	12.48	94.392	J1380	N											
J1410	Inj estrogen conjugate 25 mg	37	42	13354.45	40.11	904.25	317.96	259.45	279.2	270.44	270.58	67.101	J1410	K	9038	$372.367									
J1411	"Inj, hemgenix, per tx dose"	.	.	.	.	.	.	.	.	.	.	.	J1411	G	9138	"$3,654,350.000"									
J1412	Inj roctavian ml 2x1013vc g	.	.	.	.	.	.	.	.	.	.	.	J1412	G	0713	"$11,667.969"									
J1413	Inj delandistrogene mox rokl	.	.	.	.	.	.	.	.	.	.	.	J1413	G	0714	"$3,339,578.182"									
J1426	"Injection, casimersen, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J1426	K	9412	$166.225									
J1427	Inj. viltolarsen	.	.	.	.	.	.	.	.	.	.	.	J1427	N											
J1428	"Inj, eteplirsen, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J1428	E2											
J1429	Inj golodirsen 10 mg	.	.	.	.	.	.	.	.	.	.	.	J1429	N											
J1430	Ethanolamine oleate 100 mg	25	57	24320.29	80.15	1026.56	426.67	319.19	665.1	340.75	639.17	101.855	J1430	K	1688	$474.444									
J1435	Injection estrone per 1 mg	.	.	.	.	.	.	.	.	.	.	.	J1435	E2											
J1436	Etidronate disodium inj	.	.	.	.	.	.	.	.	.	.	.	J1436	E1											
J1437	Inj. fe derisomaltose 10 mg	6264	624537	14614431.16	1.86	173.97	23.4	21.32	2124.14	20.87	2086.76	507.642	J1437	K	9388	$19.936									
J1438	Etanercept injection	97	194	174554.86	849.11	933.83	899.77	898.8	1797.58	933.83	1867.65	6.563	J1438	K	1608	$790.781									
J1439	Inj ferric carboxymaltos 1mg	83466	62622497	91177677.66	0.05	51.2	1.46	1.27	951.94	1.32	991.46	1719.496	J1439	K	9441	$1.094									
J1440	Fecal microbiota jslm 1 ml	61	8570	409652.1	5.79	104.24	47.8	43.4	5284.18	49.98	6105.6	500.607	J1440	G	9142	$63.206									
J1442	Inj filgrastim excl biosimil	16415	7150323	8050164.46	0.06	4.24	1.13	0.96	380.57	0.95	388.34	1248.684	J1442	K	1469	$0.994									
J1443	Inj ferric pyrophosphate cit	.	.	.	.	.	.	.	.	.	.	.	J1443	E2											
J1444	Fe pyro cit pow 0.1 mg iron	.	.	.	.	.	.	.	.	.	.	.	J1444	E2											
J1445	Inj triferic avnu 0.1mg iron	.	.	.	.	.	.	.	.	.	.	.	J1445	E2											
J1447	Inj tbo filgrastim 1 microg	14939	6403830	4742042.68	0.02	4.02	0.74	0.62	257.55	0.65	269.61	1314.678	J1447	K	1748	$0.407									
J1448	"Injection, trilaciclib, 1mg"	2160	1252578	5522725.13	0.98	10.28	4.41	4.12	2392.05	4.25	2463.43	849.775	J1448	K	9415	$5.287									
J1449	Inj eflapegrastim-xnst 0.1mg	2	264	4588.32	8.54	26.22	17.38	14.96	1975.67	17.38	2294.61	826.427	J1449	G	9114	$27.735									
J1450	Fluconazole	5958	9036	137659.42	0.35	219.46	15.23	9.83	14.93	9.66	14.74	157.377	J1450	N											
J1451	"Fomepizole, 15 mg"	21	2123	21196.95	3.74	21.15	9.98	9.01	864.04	9.21	920.83	452.608	J1451	K	1689	$6.577									
J1452	Intraocular fomivirsen na	.	.	.	.	.	.	.	.	.	.	.	J1452	E2											
J1453	Fosaprepitant injection	163797	24568948	30024539.99	0.01	146.8	1.22	0.67	100.87	0.65	97.32	1750.765	J1453	N											
J1454	"Inj fosnetupitant, palonoset"	2873	2873	1923679.59	58.89	1466.44	669.57	589	589	659.63	659.63	46.449	J1454	K	9099	$708.345									
J1455	Foscarnet sodium injection	287	1474	144495.27	0.26	556.5	98.03	77.24	244.73	74.97	449.79	135.041	J1455	K	1849	$61.007									
J1456	"Inj, fosaprepitant (teva)"	1781	267150	431170.5	0.07	6.87	1.61	0.84	126.13	0.67	100.8	1451.104	J1456	K	9166	$2.043									
J1457	Gallium nitrate injection	1	100	3268	32.68	32.68	32.68	32.68	3267.59	32.68	3267.59	.	J1457	E2											
J1458	Galsulfase injection	.	.	.	.	.	.	.	.	.	.	.	J1458	N											
J1459	Inj ivig privigen 500 mg	73267	5708688	335939539	0.01	357.29	58.85	52.84	3749.36	51.89	3748.8	421.989	J1459	K	1214	$47.858									
J1460	Gamma globulin 1 cc inj	142	704	23474.33	9.37	107.23	33.34	27.84	109.5	32.61	145.75	139.955	J1460	K	1850	$49.061									
J1551	Inj cutaquig 100 mg	.	.	.	.	.	.	.	.	.	.	.	J1551	N											
J1554	Inj. asceniv	2	83	37349.55	425.58	1101.05	449.99	440.46	10604.69	425.58	18674.7	255.25	J1554	K	9392	$491.405									
J1555	"Inj cuvitru, 100 mg"	128	15200	325034.2	10.21	27.47	21.38	20.05	2000.77	25.86	2645.27	341.637	J1555	K	9034	$15.827									
J1556	"Inj, imm glob bivigam, 500mg"	.	.	.	.	.	.	.	.	.	.	.	J1556	N											
J1557	Gammaplex injection	3	220	9746.8	40.52	50.56	44.3	44.1	3042.02	40.52	2862.26	100.636	J1557	K	9270	$55.009									
J1558	"Inj. xembify, 100 mg"	50	7500	216328.5	16.33	30.14	28.84	28.73	4309.72	30.14	4521.48	97.755	J1558	K	9372	$14.132									
J1559	Hizentra injection	105	19496	296589.41	8.01	33.97	15.21	13.87	2358.34	13.56	3253.65	619.446	J1559	K	1312	$12.907									
J1560	Gamma globulin > 10 cc inj	6	8	12780.29	157.68	2483.11	1597.54	1084.49	1036.68	1862.33	1241.55	76.136	J1560	K	1851	$490.615									
J1561	Gamunex-c/gammaked	65724	5286492	279478677.3	0.01	524.84	52.87	47.47	3463.94	47.99	3363.5	435.243	J1561	K	0948	$48.883									
J1562	"Vivaglobin, inj"	.	.	.	.	.	.	.	.	.	.	.	J1562	E2											
J1566	"Immune globulin, powder"	4192	299162	23311354.74	0.27	745.68	77.92	67.43	4578.78	77.82	4879.39	413.877	J1566	K	2731	$78.464									
J1568	Octagam injection	8977	727784	36498184.34	0.07	292.74	50.15	43.05	3146.55	44.6	3225.5	473.146	J1568	K	0943	$46.980									
J1569	Gammagard liquid injection	105789	8366375	473285762.6	0.01	1460.12	56.57	51.25	3710.9	52.03	3736.25	431.306	J1569	K	0944	$43.223									
J1570	Ganciclovir sodium injection	774	945	66805.47	4.91	259.99	70.69	59.1	69.29	71.4	80.01	56.58	J1570	N											
J1571	Hepagam b im injection	75	1219	322917.52	12.48	418.99	264.9	206.41	2578.07	252.29	3911.67	221.526	J1571	K	0946	$60.767									
J1572	Flebogamma injection	105	5060	278114.8	15.82	121.61	54.96	47.56	1885.83	55.71	2173.8	374.546	J1572	K	0947	$56.116									
J1573	"Hepagam b intravenous, inj"	63	2754	152939.57	0.05	651.15	55.53	24.08	1334.48	52.8	2312.77	547.872	J1573	K	1138	$60.767									
J1574	"Inj, ganciclovir (exela)"	.	.	.	.	.	.	.	.	.	.	.	J1574	N											
J1575	Hyqvia 100mg immuneglobulin	283	93581	1707342.53	6.39	46.49	18.24	17.42	5287.73	16.43	5325.56	580.42	J1575	K	1826	$16.941									
J1576	"Inj, panzyga, 500 mg"	10	1120	77875.2	69.51	69.54	69.53	69.53	7304.36	69.54	6953.68	0.217	J1576	K 	9144	$64.949									
J1580	Garamycin gentamicin inj	129282	284948	1903547.17	0.09	249.81	6.68	4.52	8.75	4.41	9.81	155.94	J1580	N											
J1595	Injection glatiramer acetate	15	23	2510.31	0.13	303.46	109.14	55.23	99.27	78.18	156.35	97.366	J1595	K	1015	$164.562									
J1596	"Inj, glycopyrrolate, 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	J1596	N											
J1599	"Ivig non-lyophilized, nos"	45	2703	176484.11	18.93	140.38	65.29	58.16	2669.57	69.51	2584.96	377.52	J1599	N											
J1600	Gold sodium thiomaleate inj	.	.	.	.	.	.	.	.	.	.	.	J1600	E2											
J1602	Golimumab for iv use 1mg	23970	4211953	143898844.6	0.01	235.88	34.16	30.95	5306.88	32.26	5561.1	599.744	J1602	K	1475	$11.801									
J1610	Glucagon hydrochloride/1 mg	30027	32206	6526988.88	23.1	1110.73	202.66	169.62	179.38	175.34	179.95	68.124	J1610	K	9042	$191.521									
J1611	"Inj glucagon hcl, fresenius"	10128	11067	1949005.68	29.52	849.68	176.11	157.83	170.1	161.76	168.43	52.809	J1611	K	9025	$128.884									
J1620	Gonadorelin hydroch/ 100 mcg	1	7	194.04	27.72	27.72	27.72	27.72	194.05	27.72	194.05	.	J1620	E2											
J1626	Granisetron hcl injection	48397	483899	1829918.02	0.01	45.03	3.78	2	20.01	2.18	21.76	472.054	J1626	N											
J1627	"Inj, granisetron, xr, 0.1 mg"	4	400	2028	5.07	5.07	5.07	5.07	506.76	5.07	506.76	0	J1627	K	9421	$5.424									
J1628	"Inj., guselkumab, 1 mg"	67	6700	690877	42.49	157.86	103.12	91.77	9176.56	128.26	12825.94	444.483	J1628	K	9029	$70.800									
J1630	Haloperidol injection	77028	85736	619844.95	0.08	155.43	7.23	3.92	4.23	4.5	4.8	120.867	J1630	N											
J1631	Haloperidol decanoate inj	4576	12495	276529.45	0.11	301.12	22.13	18.23	43.35	20.01	47.58	112.913	J1631	N											
J1632	"Inj., brexanolone, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J1632	N											
J1640	"Hemin, 1 mg"	550	184513	4336360.84	8.22	44.48	23.5	22.13	7360.37	23.47	7562.47	599.998	J1640	K	1690	$31.354									
J1642	Inj heparin sodium per 10 u	866065	39681257	7705929.08	0.01	845.01	0.19	0.09	4.01	0.09	4.09	1681.697	J1642	N											
J1643	"Inj heparin, pfizer, 1000u"	20548	160270	245329.18	0.01	72.46	1.53	0.79	7.01	0.67	8.26	515.613	J1643	N											
J1644	Inj heparin sodium per 1000u	1028886	10735772	21669781.42	0.01	5710.4	2.02	1.17	10.87	1.1	11.45	726.609	J1644	N											
J1645	Dalteparin sodium	353	421	5738.33	7.31	29.48	13.63	12.38	12.87	10.39	10.39	56.543	J1645	N											
J1650	Inj enoxaparin sodium	469439	2087654	7662353.48	0.02	173.37	3.67	2.71	11.67	2.65	11.53	187.649	J1650	N											
J1652	Fondaparinux sodium	1563	10597	70881.79	0.27	32.17	6.69	4.9	31.93	5.14	34.27	209.087	J1652	N											
J1655	Tinzaparin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1655	E2											
J1670	Tetanus immune globulin inj	156	156	63204.94	17.08	2970.5	405.16	269.21	269.21	399.42	399.42	85.735	J1670	K	1670	$578.781									
J1700	Hydrocortisone acetate inj	8	10	10.91	1.07	1.24	1.09	1.09	1.3	1.07	1.07	5.466	J1700	N											
J1710	Hydrocortisone sodium ph inj	.	.	.	.	.	.	.	.	.	.	.	J1710	E2											
J1720	Hydrocortisone sodium succ i	64507	70641	1578241.69	1.2	184.46	22.34	18.26	19.47	19.94	20.46	66.982	J1720	N											
J1726	"Makena, 10 mg"	18	427	9091.55	0.65	29.45	21.29	19.66	358.62	18.73	404.87	183.592	J1726	K	9074	$12.084									
J1729	Inj hydroxyprogst capoat nos	.	.	.	.	.	.	.	.	.	.	.	J1729	N											
J1730	Diazoxide injection	1	1	8.25	8.25	8.25	8.25	8.25	8.25	8.25	8.25	.	J1730	E2											
J1738	Inj. meloxicam 1 mg	417	11676	56735.99	0.08	9.77	4.86	3.21	69.27	4.31	105.78	366.247	J1738	N											
J1740	Ibandronate sodium injection	1064	3192	310139.58	4.77	487.01	97.16	76.2	228.61	87.53	262.59	115.795	J1740	N											
J1741	Ibuprofen injection	4483	41173	166826.76	0.04	27.93	4.05	3.38	28.99	3.63	31.32	169.297	J1741	N											
J1742	Ibutilide fumarate injection	902	1020	345487.27	26.67	1967.55	338.71	254.42	283.49	277.62	300.05	82.026	J1742	N											
J1743	Idursulfase injection	101	3954	3513354.9	497.75	1415.73	888.56	812.6	31643.85	646.51	38790.55	274.819	J1743	K	9045	$542.894									
J1744	Icatibant injection	26	780	115945.2	31.66	342.56	148.65	118.77	3563.09	130.86	3925.66	337.228	J1744	K	1443	$126.863									
J1745	Infliximab not biosimil 10mg	52096	2866912	243921716.6	0.01	494.95	85.08	74.37	3758.9	80.22	3889.89	372.163	J1745	K	7043	$31.671									
J1746	"Inj., ibalizumab-uiyk, 10 mg"	104	8320	590306.4	23.93	146.16	70.95	57.47	4597.78	84.55	6763.83	512.713	J1746	K	9189	$74.645									
J1747	"Inj, spesolimab-sbzo, 1 mg"	6	4501	181755.11	16.84	2088.11	40.38	34.35	19716.76	52.44	31177.88	2675.829	J1747	G	9115	$60.148									
J1750	Inj iron dextran	7842	161463	3432169.7	0.35	119.54	21.26	19.28	381.93	18.51	385.28	227.288	J1750	K	1237	$17.314									
J1756	Iron sucrose injection	175516	40209924	24172440.61	0.01	34.75	0.6	0.51	112.25	0.5	112.93	1066.914	J1756	N											
J1786	Imuglucerase injection	1679	688329	28823067.96	5.06	119.34	41.87	39.3	15041.55	41.65	14857.29	668.533	J1786	K	1327	$43.942									
J1790	Droperidol injection	40425	40425	510956.31	0.64	97.15	12.64	9.4	9.4	10.86	10.86	73.671	J1790	N											
J1800	Propranolol injection	191	254	3738.83	0.73	50.38	14.72	10.35	12.93	11.94	13.14	83.375	J1800	N											
J1805	"Inj, esmolol hcl, 10mg"	17103	121572	240430.68	0.01	473.28	1.98	1.29	8.37	1.38	10.15	530.926	J1805	N											
J1806	Inj esmolol hcl wg crit care	77	18603	12915.29	0.01	44.42	0.69	0.53	93.92	0.5	112.5	4008.38	J1806	N											
J1811	Fiasp for insulin pump use	1	20	180	9	9	9	9	180.07	9	180.07	.	J1811	K	9366	$7.423									
J1812	Inj. insulin (fiasp)	1	4	55.08	13.77	13.77	13.77	13.77	55.09	13.77	55.09	.	J1812	N											
J1813	Lyumjev for insulin pump use	.	.	.	.	.	.	.	.	.	.	.	J1813	N											
J1814	Inj. insulin (lyumjev)	.	.	.	.	.	.	.	.	.	.	.	J1814	E2											
J1815	Insulin injection	196725	4404783	4530019.27	0.01	1164.25	1.03	0.52	5.14	0.65	5.09	1480.893	J1815	N											
J1817	Insulin for insulin pump use	1803	7095	43046.89	0.01	307.52	6.07	1.04	3.19	2.24	3.98	481.841	J1817	N											
J1823	"Inj. inebilizumab-cdon, 1 mg"	122	36600	14616741	86.81	755.85	399.36	368.52	110557	374.3	112289.5	663.932	J1823	K	9394	$473.513									
J1826	Interferon beta-1a inj	49	49	107358.85	2142.45	2261.39	2191	2190.22	2190.22	2142.45	2142.45	2.696	J1826	K	1852	"$1,910.690"									
J1830	Interferon beta-1b / .25 mg	.	.	.	.	.	.	.	.	.	.	.	J1830	E2											
J1833	"Injection, isavuconazonium"	3	1116	1223.88	0.77	1.45	1.1	1.06	393.78	1.07	397.44	599.343	J1833	K	9456	$0.948									
J1835	Itraconazole injection	.	.	.	.	.	.	.	.	.	.	.	J1835	E2											
J1836	"Inj, metronidazole, 10 mg"	22270	1439254	385315.51	0.01	103.44	0.27	0.15	8.87	0.15	9.35	2011.702	J1836	N											
J1840	Kanamycin sulfate 500 mg inj	.	.	.	.	.	.	.	.	.	.	.	J1840	D											
J1850	Kanamycin sulfate 75 mg inj	.	.	.	.	.	.	.	.	.	.	.	J1850	D											
J1885	Ketorolac tromethamine inj	1275102	2334306	12074145.84	0.04	232.84	5.17	2.99	5.43	3.09	5.86	165.717	J1885	K1	0764	$0.702									
J1890	Cephalothin sodium injection	.	.	.	.	.	.	.	.	.	.	.	J1890	E2											
J1920	"Inj, labetalol hcl, 5mg"	47358	262203	647496.81	0.01	744	2.47	1.04	7.38	1.07	9.67	396.421	J1920	N											
J1921	"Inj labetalol hcl hikma, 5mg"	3177	22110	38034.6	0.02	49.08	1.72	0.88	5.19	0.86	7.15	476.568	J1921	N											
J1930	Lanreotide injection	23682	2800246	200349719.6	0.06	362.95	71.55	64.91	7664.7	67.91	8040.33	460.303	J1930	K	9237	$48.001									
J1931	Laronidase injection	48	14056	417010.02	26.57	32.52	29.67	29.52	8641.14	32.52	9430.42	173.266	J1931	K	9209	$37.441									
J1932	"Inj, lanreotide, (cipla) 1mg"	4840	580566	36623143.08	9.29	150.48	63.08	58.64	7027.12	58.94	7039.3	416.837	J1932	G	9051	$44.024									
J1939	"Inj, bumetanide, 0.5 mg"	.	.	.	.	.	.	.	.	.	.	.	J1939	N											
J1940	Furosemide injection	287733	610642	2675505.12	0.05	194.92	4.38	2.82	5.88	2.85	6.16	156.485	J1940	N											
J1941	"Inj, furoscix, 20 mg"	60	104	1167.32	8.74	17.49	11.22	10.66	18.88	8.75	17.49	45.972	J1941	E1											
J1943	"Inj., aristada initio, 1 mg"	8	1356	7567.81	0.88	286.14	5.58	4.82	174	6.28	195.1	2947.83	J1943	K	9179	$3.082									
J1944	Aripiprazole lauroxil 1 mg	428	348674	1111166.46	0.63	35.1	3.19	2.86	2255.14	2.98	1969.57	1605.942	J1944	K 	9470	$3.123									
J1945	Lepirudin	.	.	.	.	.	.	.	.	.	.	.	J1945	E2											
J1950	Leuprolide acetate /3.75 mg	2413	4375	5402586.38	65.23	6373	1234.88	1062.16	1729.21	1200.95	1654.08	72.642	J1950	K	0800	"$1,576.119"									
J1951	Inj fensolvi 0.25 mg	3	182	49520.16	266.75	752.58	272.09	269.81	3007.2	266.75	752.58	177.572	J1951	K	9419	$131.705									
J1952	"Leuprolide inj, camcevi, 1mg"	10	156	2350.24	14.1	47.84	15.07	14.87	182.78	14.72	338.47	99.642	J1952	G 	9050	$60.754									
J1953	Levetiracetam injection	45046	5413867	1753048.74	0.01	53.63	0.32	0.21	23.74	0.21	24.47	1349.965	J1953	N											
J1954	Leuprolide depot cipla 7.5mg	31	93	95450.97	118.45	1439.82	1026.35	694.62	2083.87	1439.81	4319.43	102.95	J1954	G	9136	$281.572									
J1956	Levofloxacin injection	77161	177487	1635378.78	0.08	391.83	9.21	5.92	13.79	6.38	14.77	177.392	J1956	N											
J1960	Levorphanol tartrate inj	.	.	.	.	.	.	.	.	.	.	.	J1960	E2											
J1961	"Inj, lenacapavir, 1 mg"	1	927	19911.96	21.48	21.48	21.48	21.48	19909.5	21.48	19909.5	.	J1961	G	9155	$22.013									
J1980	Hyoscyamine sulfate inj	1960	3430	120502.99	1.89	289.32	35.13	29.72	47.82	32.27	55.23	79.369	J1980	N											
J1990	Chlordiazepoxide injection	.	.	.	.	.	.	.	.	.	.	.	J1990	E2 											
J2001	Lidocaine injection	683080	7384008	5827426.59	0.01	381.18	0.79	0.37	4.92	0.39	5.43	670.303	J2001	N											
J2010	Lincomycin injection	922	1589	22335.43	1.22	65.83	14.06	12.12	19.44	18.3	18.29	55.154	J2010	N											
J2020	Linezolid injection	3471	13047	248461.3	0.17	317.28	19.04	13.68	48.45	14.66	52.78	186.808	J2020	N											
J2021	"Inj, linezolid (hospira)"	4	18	205.2	10.52	15.8	11.4	11.26	49.41	10.52	55.26	42.28	J2021	N											
J2060	Lorazepam injection	211457	234107	1815285.32	0.1	169.65	7.75	4.2	4.52	4.25	4.62	122.958	J2060	N											
J2062	Loxapine for inhalation 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2062	E2											
J2150	Mannitol injection	5826	8454	60605.95	0.24	70.92	7.17	4.88	6.61	4.78	6.37	120.761	J2150	N											
J2170	Mecasermin injection	2	20	9	0.44	0.46	0.45	0.45	4.45	0.45	4.46	9.938	J2170	N											
J2175	Meperidine hydrochl /100 mg	59031	67827	776817.88	0.28	167.39	11.45	7.67	8.59	7.6	8.18	130.825	J2175	N											
J2180	Meperidine/promethazine inj	35	44	243.35	3.35	9.4	5.53	5.05	5.71	4.33	4.33	51.942	J2180	N											
J2182	"Injection, mepolizumab, 1mg"	31894	3679892	110429885.2	2.28	189.58	30.01	27.46	2972.01	27.68	2834.16	467.388	J2182	K	9473	$30.480									
J2184	"Inj, meropenem (b. braun)"	1875	21498	97470.23	0.16	71.08	4.53	4.06	41.04	4.01	30.55	197.31	J2184	N											
J2185	Meropenem	22231	333786	960103.05	0.01	110.12	2.88	2.16	28.47	2.22	29.19	376.694	J2185	N											
J2186	"Inj., meropenem, vaborbactam"	6	1100	2138	0.51	2.58	1.94	1.69	301.51	2.58	418.58	601.918	J2186	K	9178	$2.079									
J2210	Methylergonovin maleate inj	220	275	7343.25	3.05	170.08	26.7	21.83	26.9	20.03	33.61	83.187	J2210	N											
J2212	Methylnaltrexone injection	2630	301687	392037.06	0.02	16.3	1.3	1.11	126.5	1.18	138.29	603.571	J2212	N											
J2247	"Inj, micafungin (par pharm)"	508	61650	57232.5	0.27	6.19	0.93	0.65	68.49	0.47	57.61	1066.531	J2247	N											
J2248	Micafungin sodium injection	10516	1359205	2217187.41	0.01	23.01	1.63	1.3	152.66	1.31	162.86	768.04	J2248	N											
J2249	"Inj, remimazolam, 1 mg"	1038	14315	66317.86	1.11	18.49	4.63	3.77	53.83	3.83	56.81	264.763	J2249	N											
J2250	Inj midazolam hydrochloride	2372214	6106300	21896244.9	0.01	168.68	3.59	1.7	4.21	1.68	4.35	224.553	J2250	N											
J2251	Inj midazolam (wg crit care)	564	54546	27489.68	0.04	66.97	0.5	0.4	30.66	0.41	35.68	1258.977	J2251	N											
J2260	Inj milrinone lactate / 5 mg	1421	6597	40026.69	0.49	229.83	6.07	4.27	19.12	4.25	19.94	357.194	J2260	N											
J2265	Minocycline hydrochloride	17	5500	20031	1.28	6.33	3.64	3.46	934.35	3.8	1469.58	567.228	J2265	K	1853	$2.466									
J2270	Morphine sulfate injection	635433	816849	6726535.69	0.27	111.34	8.23	5.61	6.71	5.23	6.38	110.466	J2270	N											
J2272	"Inj, morphine (fresenius)"	94778	117162	1013365.31	0.36	98.39	8.65	6.13	7.15	5.72	6.91	110.825	J2272	N											
J2274	Inj morphine pf epid ithc	23865	30467	416588.18	0.23	290.24	13.67	8.21	10.49	8.93	10.66	142.631	J2274	N											
J2278	Ziconotide injection	549	231765	2234239.29	1.15	20.37	9.64	8.91	2807.4	9.13	3464.45	768.391	J2278	K	1694	$9.041									
J2280	"Inj, moxifloxacin 100 mg"	2748	4498	81107.88	1.83	138.59	18.03	15.1	23.15	15.28	23.38	83.512	J2280	N											
J2281	Inj moxifloxacin (fres kabi)	209	850	14661.44	2.7	44.85	17.25	13.35	52.75	12.09	48.37	146.77	J2281	N											
J2300	Inj nalbuphine hydrochloride	1011	1134	12538.41	0.75	60.16	11.06	8.06	8.87	8.36	8.36	84.84	J2300	N											
J2305	"Inj, nitroglycerin, 5 mg"	38826	164174	641102.88	0.01	110.48	3.91	2.28	6.61	2.31	11.46	332.698	J2305	N											
J2310	Inj naloxone hydrochloride	15176	22722	445762.62	0.64	293.71	19.62	14.71	18.81	16.03	19.62	103.068	J2310	N											
J2311	"Inj, naloxone hcl (zimhi)"	16	31	530.77	1.35	48.77	17.12	13.29	13.6	15.83	12.57	89.497	J2311	N											
J2315	"Naltrexone, depot form"	954	362520	1341316.4	0.01	7.21	3.7	3.49	1327.18	3.82	1452.33	572.926	J2315	K	0759	$3.967									
J2320	Nandrolone decanoate 50 mg	10	12	392.76	32.73	32.73	32.73	32.73	37.6	32.73	32.73	0	J2320	N											
J2323	Natalizumab injection	12058	3617400	77338887	0.41	110.28	21.38	18.83	5649.46	20.75	6225.04	826.61	J2323	K	9126	$24.225									
J2325	Nesiritide injection	.	.	.	.	.	.	.	.	.	.	.	J2325	E1											
J2326	"Inj, nusinersen, 0.1mg"	390	46800	42876030	254.83	1851.34	916.15	841.05	100926.3	858.83	103059.4	424.907	J2326	K	9489	"$1,210.099"									
J2327	Inj risankizumab-rzaa 1 mg	1869	1126740	16434087.3	0.01	181.43	14.59	13.2	8065.53	14.26	8657.65	1151.616	J2327	G	9013	$15.003									
J2329	"Inj ublituximab-xiiy, 1 mg"	70	22500	1503895.5	9.29	104.79	66.84	61.67	17268.35	67.4	19714.56	574.453	J2329	G	9149	$67.232									
J2350	"Injection, ocrelizumab, 1 mg"	11525	6456416	366348002.1	0.06	252.16	56.74	51.97	28385.23	53.87	30374.52	948.623	J2350	K	9494	$58.756									
J2353	"Octreotide injection, depot"	45661	1330070	258898716.2	0.47	1293.21	194.65	179.54	5036.24	186.02	5169.47	218.05	J2353	K	1207	$210.560									
J2354	"Octreotide inj, non-depot"	4206	77580	244650.78	0.05	486.88	3.15	2.16	27.76	2.24	28.62	1235.79	J2354	N											
J2355	Oprelvekin injection	.	.	.	.	.	.	.	.	.	.	.	J2355	E2											
J2356	"Inj tezepelumab-ekko, 1mg"	9326	1958025	33715736.78	0.03	54.97	17.22	15.59	3272.49	15.71	3298.25	650.782	J2356	G	9008	$17.799									
J2357	Omalizumab injection	61265	3688359	146348432.5	0.11	265.29	39.68	35.5	2067.11	36.48	2157.87	367.843	J2357	K	9300	$36.806									
J2358	Olanzapine long-acting inj	1197	64984	529130.96	0.17	123.12	8.14	7.13	60.53	9.63	39.72	315.878	J2358	K	1331	$2.917									
J2359	"Inj. olanzapine, 0.5mg"	1819	36169	77139.88	0.11	28.07	2.13	1.81	32.91	1.83	34.05	287.998	J2359	N											
J2360	Orphenadrine injection	37695	37695	801889.53	2.21	117.2	21.27	18.08	18.08	19.55	19.55	56.255	J2360	N											
J2371	Inj phenylephrine hcl 20 mcg	246409	76064742	3899801.31	0.01	3784.28	0.05	0.02	7.92	0.02	8.97	27341.63	J2371	N 											
J2372	"Inj, biorphen, 20 micrograms"	7640	231531	114598.55	0.03	13.78	0.49	0.35	8.57	0.5	9.92	687.145	J2372	N											
J2401	Chloroprocaine hcl injection	5825	1976312	169193.34	0.01	1976.18	0.09	0.06	20.33	0.05	19.91	32036.13	J2401	N											
J2402	Chloroprocaine (clorotekal)	478	20680	11756.39	0.19	180.68	0.57	0.38	17.19	0.31	16.05	2165.758	J2402	E2											
J2403	"Chloroprocaine opht gel, 1mg"	36	21178	847.12	0.04	0.04	0.04	0.04	17.47	0.04	25.21	0	J2403	G	9116	$0.664									
J2404	"Inj, nicardipine 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	J2404	N											
J2405	Ondansetron hcl injection	3137229	14912296	27197256.75	0.01	86.7	1.82	0.85	3.94	0.81	3.78	304.918	J2405	N											
J2406	"Injection, oritavancin 10 mg"	560	64606	2264957.08	1.82	464.71	35.06	31.63	3668.68	33.88	3825.08	474.923	J2406	K	9427	$40.895									
J2407	"Injection, oritavancin"	456	52176	1311057.36	1.32	54.22	25.13	23.08	2578.47	25.45	2946.8	410.33	J2407	K	1660	$26.907									
J2410	Oxymorphone hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2410	E2											
J2425	Palifermin injection	16	1978	72734.41	31.03	58.72	36.77	36.16	4488.98	31.03	4330.05	224.31	J2425	K	1696	$33.991									
J2426	"Inj, invega sustenna, 1 mg"	4918	1019643	12532803.13	0.01	42.87	12.29	11.37	2207.41	11.44	2290.31	556.994	J2426	K	9255	$14.279									
J2427	"Inj, invega hafyera/trinza"	178	109785	1139159.2	5.72	31.9	10.38	9.93	5845.99	10.64	5810.97	805.398	J2427	K	9145	$12.185									
J2430	Pamidronate disodium /30 mg	1656	3809	100392.93	1.87	484.66	26.36	19.39	42.32	18.61	40.02	193.473	J2430	N											
J2440	Papaverin hcl injection	2149	2443	97311.12	2	203.04	39.83	31.21	34.06	37.19	38.37	69.028	J2440	N											
J2460	Oxytetracycline injection	.	.	.	.	.	.	.	.	.	.	.	J2460	E2											
J2469	Palonosetron hcl	338750	3387536	29061314.38	0.01	576.32	8.58	4.41	44.11	4.74	47.38	452.728	J2469	N											
J2501	Paricalcitol	985	5545	23444.59	0.31	37.08	4.23	3.46	17.39	3.68	16.08	168.754	J2501	N											
J2502	"Inj, pasireotide long acting"	85	4120	1338712.8	128.5	1697.23	324.93	278.11	13862.44	248.27	13307.4	445.675	J2502	K	9454	$463.199									
J2503	Pegaptanib sodium injection	1	1	37.17	37.17	37.17	37.17	37.17	37.17	37.17	37.17	.	J2503	E2											
J2504	"Pegademase bovine, 25 iu"	.	.	.	.	.	.	.	.	.	.	.	J2504	E2											
J2506	Inj pegfilgrast ex bio 0.5mg	100383	1204426	506550676.1	7.56	2523.11	420.57	378.49	4541.34	401.29	4815.5	158.053	J2506	K	9436	$109.754									
J2507	Pegloticase injection	1135	9080	24238413.52	2.75	6159.49	2669.43	2209.02	17672.04	2572.52	20580.15	126.235	J2507	K	9281	"$3,391.914"									
J2508	Pegunigalsidase alfa-iwxj	.	.	.	.	.	.	.	.	.	.	.	J2508	G	0715	$219.161									
J2510	Penicillin g procaine inj	15	56	2374.12	7.42	79.07	42.39	38.51	147.34	39.54	158.14	72.989	J2510	K	1836	$40.941									
J2513	Pentastarch 10% solution	.	.	.	.	.	.	.	.	.	.	.	J2513	E2											
J2515	Pentobarbital sodium inj	4	8	244.26	29.23	32.25	30.53	30.51	61.02	30.32	60.65	6.111	J2515	N											
J2540	Penicillin g potassium inj	899	22005	46938.42	0.01	113.3	2.13	1.55	33.87	1.59	36.48	706.681	J2540	N											
J2543	Piperacillin/tazobactam	123878	614527	4007152.87	0.03	174.19	6.52	4.91	22.19	5.42	23.33	184.167	J2543	N											
J2547	"Injection, peramivir"	1	600	492	0.82	0.82	0.82	0.82	489.05	0.82	489.05	.	J2547	K 	9451	$1.678									
J2550	Promethazine hcl injection	74970	80265	593949.66	0.24	83.42	7.4	4.78	5.03	4.58	4.88	106.22	J2550	N											
J2560	Phenobarbital sodium inj	2238	7834	369013.29	1.01	316.15	47.1	38.43	103.9	42.13	109.28	112.463	J2560	N											
J2561	"Inj, sezaby, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J2561	E2											
J2562	Plerixafor injection	2710	60637	21947142.03	6.43	851.91	361.94	291.44	6375.82	378.7	8154.1	221.018	J2562	K	9252	$123.579									
J2590	Oxytocin injection	162	321	2476.24	0.6	51.96	7.71	5.31	9.13	6.03	10.99	138.232	J2590	N											
J2597	Inj desmopressin acetate	3911	93114	1155663.47	0.02	186.67	12.41	9.82	216.29	9.85	227.92	369.811	J2597	K	1440	$6.273									
J2598	"Inj, vasopressin, 1 unit"	9348	144221	921149.72	0.01	491.88	6.39	4.18	46.27	4.52	50.92	496.423	J2598	N											
J2599	Inj vasopressin (am reg) 1 u	669	9692	32642.52	0.32	108.47	3.37	2.51	26.5	2.04	30.32	417.043	J2599	N											
J2650	Prednisolone acetate inj	1	1	39.03	39.03	39.03	39.03	39.03	39.03	39.03	39.03	.	J2650	E2											
J2670	Totazoline hcl injection	.	.	.	.	.	.	.	.	.	.	.	J2670	E2											
J2675	Inj progesterone per 50 mg	8	8	981.92	28.17	136.25	122.74	111.88	111.88	136.25	136.25	31.133	J2675	N											
J2679	Inj fluphenazine hcl 1.25 mg	.	.	.	.	.	.	.	.	.	.	.	J2679	N											
J2680	Fluphenazine decanoate 25 mg	2049	3741	88351.5	0.17	247.39	23.62	16.14	26.84	16.68	28.74	129.169	J2680	N											
J2690	Procainamide hcl injection	366	477	70245.71	4.77	957.94	147.27	75.89	98.4	77.76	87.78	149.68	J2690	K	9219	$187.202									
J2700	Oxacillin sodium injeciton	646	21669	53243.1	0.45	27.07	2.46	2.04	52.75	1.94	58.54	449.839	J2700	N											
J2704	"Inj, propofol, 10 mg"	3026554	120714565	59777664.34	0.01	248.83	0.5	0.34	11.78	0.35	12.45	872.949	J2704	N											
J2710	Neostigmine methylslfte inj	145006	1069884	3319761.3	0.01	1036.55	3.1	1.67	12.35	1.62	13.01	635.462	J2710	N											
J2720	Inj protamine sulfate/10 mg	88749	565589	1993742.54	0.07	80.23	3.53	2.9	17.87	2.94	18.1	175.009	J2720	N											
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	$15.025									
J2725	Inj protirelin per 250 mcg	.	.	.	.	.	.	.	.	.	.	.	J2725	E2											
J2730	Pralidoxime chloride inj	300	300	739.08	1.26	3.95	2.46	2.44	2.44	2.52	2.52	16.658	J2730	N											
J2760	Phentolaine mesylate inj	144	155	35144.04	11.55	1657.56	226.74	95.53	96.34	98.32	80.11	118.66	J2760	K	1458	$444.317									
J2765	Metoclopramide hcl injection	217362	228060	1712337.71	0.17	91.03	7.51	4.5	4.66	4.27	4.37	108.262	J2765	N											
J2770	Quinupristin/dalfopristin	18	25	114.61	1.6	4.96	4.58	4.41	5.8	4.96	4.96	25.387	J2770	K	2770	$493.970									
J2777	"Inj, faricimab-svoa, 0.1mg"	14568	1048669	39995582.19	4.22	126.7	38.14	35.22	2432.57	39.93	2414.87	296.021	J2777	G 	9496	$35.441									
J2778	Ranibizumab injection	7184	39450	14737015.15	52.34	1237.49	373.56	342.02	1792.7	387.85	1939.27	85.123	J2778	K	9233	$173.378									
J2779	"Inj, susvimo 0.1 mg"	12	151	28049.46	100.18	358.57	185.76	152.84	1630.84	100.18	1792.87	242.518	J2779	G	9439	$80.374									
J2780	Ranitidine hydrochloride inj	81	197	20488.58	0.42	164.74	104	45.75	11.35	164.74	8.16	114.666	J2780	D											
J2781	"Inj, pegcetacoplan, 1mg"	267	5205	754955.85	13.04	301.8	145.04	136.87	2490.94	164.73	2471.09	133.405	J2781	G	9158	$149.904									
J2783	Rasburicase	1087	11264	3740106.57	7.95	1172.97	332.04	292.72	2734.36	305.65	2747.4	158.203	J2783	K	0738	$367.482									
J2785	Regadenoson injection	435668	1742812	96475630.49	0.28	704.11	55.36	40.62	162.49	51.48	205.91	153.116	J2785	N											
J2786	"Injection, reslizumab, 1mg"	1389	405401	4408122.81	0.99	26.13	10.87	9.77	2782.43	9.53	2678.15	763.725	J2786	K	9481	$10.225									
J2787	Riboflavin 5phos opth<=3ml	24	49	88876.24	120.95	4337.7	1813.8	1420.22	2594.03	1567.76	3182.21	82.151	J2787	N											
J2788	Rho d immune globulin 50 mcg	7	7	246.33	14.41	63.72	35.19	31.15	31.15	37.35	37.35	51.062	J2788	N											
J2790	Rho d immune globulin inj	178	182	19112.96	7.93	445.42	105.02	84.81	86.74	82.81	85.96	70.899	J2790	N											
J2791	Rhophylac injection	137	1990	17386.81	1.14	116.33	8.74	7.05	104.98	6.63	103.93	315.031	J2791	N											
J2792	"Rho(d) immune globulin h, sd"	27	6256	207226.06	14.42	56.34	33.12	30.39	6732.67	28.79	5758.5	610.914	J2792	K	1609	$30.641									
J2793	Rilonacept injection	.	.	.	.	.	.	.	.	.	.	.	J2793	E2											
J2794	"Inj risperdal consta, 0.5 mg"	1883	133926	1469052.86	0.03	34.31	10.97	9.9	661.37	10.18	645.52	392.814	J2794	K	9125	$12.180									
J2795	Ropivacaine hcl injection	311695	64446941	12928285.33	0.01	346.77	0.2	0.15	20.45	0.15	20.21	3876.25	J2795	N											
J2796	Romiplostim injection	46139	1661598	146805031	0.46	646.05	88.35	80.64	2288.15	83.83	2228.69	241.472	J2796	K	9245	$96.382									
J2797	"Inj., rolapitant, 0.5 mg"	1	1	1374.85	1374.85	1374.85	1374.85	1374.85	1374.85	1374.85	1374.85	.	J2797	E1											
J2798	"Inj., perseris, 0.5 mg"	10	1800	17193.6	8.02	10.45	9.55	9.52	1714.1	9.5	1710.22	110.728	J2798	K 	9181	$11.629									
J2799	"Inj, uzedy, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J2799	G	9266	$24.408									
J2800	Methocarbamol injection	41880	4.54E+04	1120042.64	1.88	184.73	24.66	19.02	20.23	18.18	20.73	87.848	J2800	N											
J2805	Sincalide injection	15292	15292	1627948.29	9.96	634.73	106.46	85.61	85.61	89.19	89.19	69.644	J2805	N											
J2806	"Inj sincalide, maia, 5 mcg"	.	.	.	.	.	.	.	.	.	.	.	J2806	E2											
J2810	Inj theophylline per 40 mg	.	.	.	.	.	.	.	.	.	.	.	J2810	E2											
J2820	Sargramostim injection	430	4806	282112.62	7.48	128.9	58.7	54.84	554.9	51.69	520.98	126.159	J2820	K	0731	$59.455									
J2840	Inj sebelipase alfa 1 mg	.	.	.	.	.	.	.	.	.	.	.	J2840	K	9478	$538.446									
J2850	Inj secretin synthetic human	405	6857	513491.89	4.97	333.24	74.89	59.38	1020.69	55.68	922.39	279.212	J2850	K	1700	$41.738									
J2860	"Injection, siltuximab"	571	57672	6710324.24	25.35	191.97	116.35	110.23	10746.84	115.73	10629.84	309.281	J2860	K	9455	$151.308									
J2910	Aurothioglucose injeciton	.	.	.	.	.	.	.	.	.	.	.	J2910	E2											
J2916	Na ferric gluconate complex	23553	280314	1694125.27	0.27	262.32	6.04	4.57	50.92	5.09	54.05	372.933	J2916	N											
J2920	Methylprednisolone injection	97045	136178	1416653.74	0.64	98.22	10.4	8.15	10.56	7.84	10.6	94.921	J2920	D											
J2930	Methylprednisolone injection	279937	309160	4447742.37	1.32	100.32	14.39	11.83	12.78	12.23	13.05	68.819	J2930	D											
J2940	Somatrem injection	.	.	.	.	.	.	.	.	.	.	.	J2940	E2											
J2941	Somatropin injection	.	.	.	.	.	.	.	.	.	.	.	J2941	N											
J2950	Promazine hcl injection	84	96	338.5	1.67	7.56	3.53	2.88	3.05	1.68	1.67	66.431	J2950	N											
J2993	Reteplase injection	46	67	146726.61	284	6490.82	2189.95	1799.48	2526.65	2098.86	2889.53	70.274	J2993	K	9005	"$2,889.628"									
J2995	Inj streptokinase /250000 iu	.	.	.	.	.	.	.	.	.	.	.	J2995	E2											
J2997	Alteplase recombinant	43474	124198	11736660.79	5.11	1291.81	94.5	82.7	210.49	84	199.78	97.054	J2997	K	7048	$88.822									
J2998	Inj plasminogen tvmh 1mg	.	.	.	.	.	.	.	.	.	.	.	J2998	G	9206	$31.800									
J3000	Streptomycin injection	6	6	394.62	65.77	65.77	65.77	65.77	65.77	65.77	65.77	0	J3000	N											
J3010	Fentanyl citrate injection	3055735	4439168	30668209.94	0.07	233.18	6.91	3.9	5.3	3.84	5.37	138.41	J3010	N											
J3030	Sumatriptan succinate / 6 mg	2167	2167	95052.81	1.17	301.02	43.86	27.08	27.08	25.33	25.33	98.215	J3030	N											
J3031	"Inj., fremanezumab-vfrm 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J3031	N											
J3032	Inj. eptinezumab-jjmr 1 mg	4842	964730	14892752.3	1.93	217.01	15.44	13.95	2386.08	14.36	2408.88	591.381	J3032	K	9357	$18.048									
J3060	"Inj, taliglucerase alfa 10 u"	168	98220	3364529.4	14.33	59.47	34.26	31.42	18652.43	29.29	20267.59	930.084	J3060	K	9294	$45.000									
J3070	Pentazocine injection	1	1	32.24	32.24	32.24	32.24	32.24	32.24	32.24	32.24	.	J3070	N											
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	$1.815									
J3095	Telavancin injection	401	34397	430317.44	1.34	534.68	12.51	9.02	714.38	10.54	681.61	3144.229	J3095	K	9258	$7.131									
J3101	Tenecteplase injection	3218	149287	18631958.53	0.76	898.86	124.81	107.11	4875.83	116.41	5362.37	398.988	J3101	K	9002	$153.112									
J3105	Terbutaline sulfate inj	664	664	8465.56	0.19	110.12	12.75	6.85	6.85	8.13	8.13	114.782	J3105	N											
J3111	Inj. romosozumab-aqqg 1 mg	56970	11896002	114917168.8	0.71	67.25	9.66	8.63	1799.34	8.96	1871.26	714.648	J3111	K	9327	$10.692									
J3121	Inj testostero enanthate 1mg	438	85480	6448.5	0.03	0.37	0.08	0.06	12.41	0.06	12.88	1136.949	J3121	N											
J3145	Testosterone undecanoate 1mg	808	603650	1020524.5	0.12	4.69	1.69	1.4	1042.97	1.47	1099.18	1456.725	J3145	K	9078	$1.926									
J3230	Chlorpromazine hcl injection	2322	2815	102496.99	2.87	184.45	36.41	29.47	33.92	32.37	36.83	71.57	J3230	N											
J3240	Thyrotropin injection	4655	4655	8670206.16	272	9157.55	1862.56	1644.68	1644.68	1692.79	1692.79	52.396	J3240	K	9108	"$2,022.366"									
J3241	Inj. teprotumumab-trbw 10 mg	1375	210446	61685179.66	62.85	1883.3	293.12	254.1	37012.45	263.55	38577.02	870.565	J3241	K	9355	$333.401									
J3243	Tigecycline injection	1249	99922	214233.34	0.29	11.5	2.14	1.66	126.04	2.04	146.13	591.998	J3243	N											
J3244	Inj. tigecycline (accord)	55	2890	10112.4	0.6	5.66	3.5	3.1	164.89	3.04	169.83	330.475	J3244	N											
J3245	"Inj., tildrakizumab, 1 mg"	3401	340100	45914902	29.93	382.06	135	125.25	12525.41	116.8	11680.11	378.68	J3245	K	9306	$140.227									
J3246	Tirofiban hcl	2098	65563	358740.56	0.51	284.37	5.47	4.65	113.84	4.91	103.4	485.255	J3246	N											
J3250	Trimethobenzamide hcl inj	2170	2170	114079.22	7.92	251.6	52.57	45.85	45.85	47.84	47.84	50.845	J3250	N											
J3260	Tobramycin sulfate injection	16660	82753	735112.93	0.02	815.19	8.88	5.57	14.93	5.65	12.74	402.138	J3260	N											
J3262	Tocilizumab injection	35892	17576532	110596000.9	0.15	68.58	6.29	5.74	2630.16	6.14	2766.36	991.948	J3262	K	9264	$6.042									
J3265	Injection torsemide 10 mg/ml	.	.	.	.	.	.	.	.	.	.	.	J3265	E2											
J3280	Thiethylperazine maleate inj	.	.	.	.	.	.	.	.	.	.	.	J3280	E2											
J3285	Treprostinil injection	64	892	46652.54	14.19	210.43	52.3	39.97	488.85	34.15	539.07	309.232	J3285	K	1701	$54.549									
J3299	Inj xipere 1 mg	77	1749	105528.23	0.59	596.97	60.34	48.67	597.23	60.23	1526.62	344.972	J3299	G	9358	$48.583									
J3300	Triamcinolone a inj prs-free	3761	61258	210091.88	0.06	349.31	3.43	1.8	31.21	2.6	24.59	515.03	J3300	N											
J3301	Triamcinolone acet inj nos	420238	2362275	8186537.02	0.02	204.68	3.47	2.67	13.61	2.75	14.42	216.783	J3301	N											
J3302	Triamcinolone diacetate inj	16	115	167.83	0.26	8.38	1.46	0.83	5.68	0.52	6.1	329.13	J3302	N											
J3303	Triamcinolone hexacetonl inj	15	155	1457.13	2.55	20.98	9.4	7.77	65.27	8.54	89.24	197.341	J3303	N											
J3304	Inj triamcinolone ace xr 1mg	5497	237730	4207854.52	1.95	917.37	17.7	14.73	603.59	16.57	614.8	648.105	J3304	K	9469	$17.491									
J3305	Inj trimetrexate glucoronate	.	.	.	.	.	.	.	.	.	.	.	J3305	E2											
J3310	Perphenazine injeciton	.	.	.	.	.	.	.	.	.	.	.	J3310	E2											
J3315	Triptorelin pamoate	1678	5997	4351803.43	66.29	3210.17	725.66	659.94	2220.08	696.89	2335.1	73.416	J3315	K	9122	$416.690									
J3316	"Inj., triptorelin xr 3.75 mg"	26	40	56304.09	676.33	5334.31	1407.6	963.95	931.27	676.33	676.33	148.299	J3316	K	9016	"$3,233.996"									
J3320	Spectinomycn di-hcl inj	.	.	.	.	.	.	.	.	.	.	.	J3320	E2											
J3350	Urea injection	.	.	.	.	.	.	.	.	.	.	.	J3350	E2											
J3355	"Urofollitropin, 75 iu"	.	.	.	.	.	.	.	.	.	.	.	J3355	E2											
J3357	"Ustekinumab sub cu inj, 1 mg"	988	78930	17603544.15	63.67	779.02	223.03	208.64	16020.19	208.22	16522.13	351.947	J3357	K	9261	$152.565									
J3358	"Ustekinumab, iv inject, 1 mg"	1107	445380	6273515.3	0.31	60.19	14.09	12.98	5028.65	13.53	5318.21	822.469	J3358	K	9487	$12.494									
J3360	Diazepam injection	37682	65874	1265124.69	0.89	234.73	19.21	15.34	25.47	16.39	27.74	110.538	J3360	N											
J3364	Urokinase 5000 iu injection	.	.	.	.	.	.	.	.	.	.	.	J3364	E2											
J3365	"Urokinase 250,000 iu inj"	.	.	.	.	.	.	.	.	.	.	.	J3365	E2											
J3370	Vancomycin hcl injection	388552	1075955	11126406.24	0.14	328.04	10.34	7.68	19.3	8.21	20.73	151.308	J3370	N											
J3371	"Inj, vancomycin hcl (mylan)"	28456	75617	770474.45	0.1	162.97	10.19	7.36	17.42	8.24	20.19	134.932	J3371	N											
J3372	"Inj, vancomycin hcl (xellia)"	14088	42414	555750.77	0.64	172.53	13.1	11.03	31.92	11.15	32.33	135.432	J3372	N											
J3380	"Injection, vedolizumab"	45850	13755000	336734595	1.8	144.2	24.48	22.54	6762.81	23.34	7001.02	695.897	J3380	K	1489	$21.853									
J3385	Velaglucerase alfa	1025	43660	14950781.23	19.46	595.26	342.44	322.94	13091.32	371.61	13920.43	197.893	J3385	K	9271	$367.841									
J3396	Verteporfin injection	129	18267	222364.42	3.35	30.63	12.17	11.46	1596.94	12.55	1825.11	413.592	J3396	K	1203	$11.441									
J3397	"Inj., vestronidase alfa-vjbk"	.	.	.	.	.	.	.	.	.	.	.	J3397	E2											
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	"$2,924.785"									
J3399	Inj onase abepar-xioi treat	.	.	.	.	.	.	.	.	.	.	.	J3399	K 	9141	"$2,272,602.407"									
J3400	Triflupromazine hcl inj	10	10	283.3	14.16	42.5	28.33	25.25	25.25	28.33	28.33	47.157	J3400	E2											
J3401	"Vyjuvek 5x109pfu/ml, 0.1 ml"	.	.	.	.	.	.	.	.	.	.	.	J3401	G	0716	"$2,519.090"									
J3410	Hydroxyzine hcl injection	2653	5024	78562.26	0.16	172.33	15.64	10.87	21.06	13.64	26.02	100.429	J3410	N											
J3411	Thiamine hcl 100 mg	25842	56102	425200.43	0.33	111.16	7.58	6.13	11.18	6.13	11.1	111.578	J3411	N											
J3415	Pyridoxine hcl 100 mg	286	301	5409.35	1.91	59.2	17.97	14.84	15.82	15.48	15.48	62.265	J3415	N											
J3420	Vitamin b12 injection	219798	219798	1837654.91	0.29	81.9	8.36	5.73	5.73	6.34	6.34	90.941	J3420	N											
J3425	"Inj, hydroxocobalamin"	.	.	.	.	.	.	.	.	.	.	.	J3425	N											
J3430	Vitamin k phytonadione inj	5723	51885	303850.84	0.1	271.11	5.86	4.49	38.83	4.81	42.64	524.316	J3430	N											
J3465	"Injection, voriconazole"	354	9440	46963.9	0.01	761.65	4.97	2.69	23.32	4.61	58.44	1257.183	J3465	N											
J3470	Hyaluronidase injection	5074	5259	295443.19	6.94	210.04	56.18	48.51	49.64	50.03	50.03	51.44	J3470	N											
J3471	"Ovine, up to 999 usp units"	5735	1061095	530310.61	0.01	5.73	0.5	0.43	69.23	0.49	94.22	838.394	J3471	N											
J3472	"Ovine, 1000 usp units"	117	117	33087.08	159.72	436.64	282.8	249.73	249.73	159.72	159.72	48.867	J3472	N											
J3473	Hyaluronidase recombinant	18743	2505705	1228374.65	0.02	130.67	0.49	0.43	54.09	0.44	57.56	1691.103	J3473	N											
J3475	Inj magnesium sulfate	410099	1892656	7940114.37	0.01	463.63	4.2	2.61	12.15	3.06	14.2	241.185	J3475	N											
J3480	Inj potassium chloride	168477	2204240	3549330.74	0.01	2779.97	1.61	0.94	11.87	0.98	12.45	1933.444	J3480	N											
J3485	Zidovudine	1	81	432.54	5.34	5.34	5.34	5.34	432.14	5.34	432.14	.	J3485	N											
J3486	Ziprasidone mesylate	10791	21835	532912.5	0.96	312.93	24.41	19.39	38.09	20.69	39.99	111.844	J3486	N											
J3489	Zoledronic acid 1mg	155677	696707	32271790.78	0.08	13768.29	46.32	24.96	107.04	22.94	99.59	321.786	J3489	N											
J3490	Drugs unclassified injection	1553709	6022400	72727499.63	0.01	50349.13	12.08	1.97	10.11	2.09	10.33	1231.53	J3490	N											
J3530	Nasal vaccine inhalation	.	.	.	.	.	.	.	.	.	.	.	J3530	N											
J3590	Unclassified biologics	7965	19306	5723539.33	0.01	55298.37	296.46	10.67	87.44	9.07	88.3	753.465	J3590	N											
J3591	Esrd on dialysi drug/bio noc	.	.	.	.	.	.	.	.	.	.	.	J3591	B											
J7030	Normal saline solution infus	1755192	2093082	31585290.88	0.4	228.09	15.09	10.42	11.89	11.87	13.11	91.663	J7030	N											
J7040	Normal saline solution infus	625891	706518	10159220.31	0.27	303.45	14.38	9.61	10.77	10.93	11.92	93.935	J7040	N											
J7042	5% dextrose/normal saline	19041	39382	340063.74	0.11	118.06	8.64	5.71	11.89	5.94	12.82	151.011	J7042	N											
J7050	Normal saline solution infus	1207369	1661187	22619490.9	0.2	346.8	13.62	8.5	11.08	9.77	12.21	120.493	J7050	N											
J7060	5% dextrose/water	203208	283030	3834243.53	0.19	150.85	13.55	8.37	10.52	9.76	11.8	112.776	J7060	N											
J7070	D5w infusion	27899	35430	454247.83	0.24	120.67	12.82	8.38	10.22	9.68	10.92	97.03	J7070	N											
J7100	Dextran 40 infusion	23	23	843.17	19.72	59.07	36.66	34.94	34.94	36.02	36.02	32.326	J7100	N											
J7110	Dextran 75 infusion	21	27	878.58	32.54	32.54	32.54	32.54	39.13	32.54	32.54	0	J7110	N											
J7120	Ringers lactate infusion	1557849	2007252	32853294.65	0.48	251.78	16.37	11.51	13.98	12.68	15.14	92.675	J7120	N											
J7121	5% dextrose in lac ringers	8412	9271	191533.89	0.77	105.19	20.66	14.56	15.82	18.18	19.37	77.852	J7121	N											
J7131	Hypertonic saline sol	1126	227444	16857.55	0.01	55.25	0.07	0.03	6.23	0.03	7.99	10369.42	J7131	N											
J7168	Prothrombin complex kcentra	6717	15748500	36756673.53	0.01	210.3	2.33	2.03	4426.61	2.15	4486.95	2905.361	J7168	K	9132	$2.276									
J7169	"Inj andexxa, 10 mg"	360	37287	5508858.24	39.17	1553.74	147.74	132.81	13270.91	135.02	13197.44	617.533	J7169	K	9198	$132.182									
J7170	"Inj., emicizumab-kxwh 0.5 mg"	385	299434	12344030.14	10.03	187.69	41.22	30.38	21651.76	39.93	16723.32	2082.351	J7170	K	9257	$50.842									
J7175	"Inj, factor x, (human), 1iu"	30	160295	560187.6	2.97	12.85	3.49	3.24	17988.21	2.97	19221.06	4255.518	J7175	K	1857	$9.112									
J7177	"Inj., fibryga, 1 mg"	99	521350	1137756.5	1.39	2.19	2.18	2.18	11484.12	2.19	11511.42	260.585	J7177	K	9046	$1.416									
J7178	Inj human fibrinogen con nos	39	113217	198667.84	0.92	2.05	1.75	1.72	4766.73	1.71	3922.68	939.473	J7178	K	1478	$1.445									
J7179	Vonvendi inj 1 iu vwf:rco	120	1153558	1242910.59	0.35	3.31	1.08	0.77	8859.27	0.48	9216.65	8787.622	J7179	K	9059	$1.869									
J7180	Factor xiii anti-hem factor	3	4320	6004.8	1.39	1.39	1.39	1.39	2006.71	1.39	2006.71	0	J7180	K	1416	$10.154									
J7181	Factor xiii recomb a-subunit	1	23	26.91	1.17	1.17	1.17	1.17	26.9	1.17	26.9	.	J7181	K	1746	$17.104									
J7182	Factor viii recomb novoeight	18	57464	61403.72	0.6	2.96	1.07	0.92	2518.31	0.78	2772.13	3876.88	J7182	K	1856	$1.377									
J7183	Wilate injection	117	474069	474197.46	0.01	3.44	1	0.84	3319.62	1.07	3847.71	3506.971	J7183	K	1352	$1.258									
J7185	Xyntha inj	148	365472	450478.01	0.18	4.42	1.23	1.02	1877.71	0.99	1087	3118.498	J7185	K	1268	$1.374									
J7186	Antihemophilic viii/vwf comp	64	343533	373436.95	0.36	5.85	1.09	0.96	3932.18	0.97	4304.08	5131.341	J7186	K	1213	$1.186									
J7187	"Humate-p, inj"	1252	5225248	7165159.15	0.07	27.76	1.37	1.12	4315.46	1.33	3865.19	4823.387	J7187	K	1704	$1.397									
J7188	Factor viii recomb obizur	17	132869	341563.7	0.76	6.03	2.57	2.5	2670.52	2.52	16587.46	2354.792	J7188	K	1827	$3.221									
J7189	Factor viia recomb novoseven	142	1875868	3251362.05	0.01	5.25	1.73	1.52	10406.15	1.68	10567.97	5189.039	J7189	K	1705	$2.451									
J7190	Factor viii	102	1318811	816302.75	0.19	6.87	0.62	0.54	4934.58	0.39	6253.29	6886.921	J7190	K	0925	$1.110									
J7191	Factor viii (porcine)	.	.	.	.	.	.	.	.	.	.	.	J7191	E2											
J7192	Factor viii recombinant nos	388	3232183	3056176.18	0.06	6.65	0.95	0.78	4657.47	0.92	4436.34	5872.988	J7192	K	0927	$1.514									
J7193	Factor ix non-recombinant	40	600550	311536.6	0.33	1.63	0.52	0.46	6931.4	0.4	7554.47	7919.197	J7193	K	0931	$1.323									
J7194	Factor ix complex	19	63079	108054.46	0.64	2.93	1.71	1.57	4216.98	1.56	4272.87	2394.254	J7194	K	0928	$1.610									
J7195	Factor ix recombinant nos	288	1664747	2179889.64	0.21	5.47	1.31	1	5282.91	1.19	4197.84	5575.076	J7195	K	0932	$1.752									
J7196	Antithrombin recombinant	1	175	224	1.28	1.28	1.28	1.28	224.38	1.28	224.38	.	J7196	E2											
J7197	Antithrombin iii injection	17	26648	132287.62	0.01	965.45	4.96	2.97	2259.5	5.86	6645.31	6998.409	J7197	K	1263	$3.737									
J7198	Anti-inhibitor	176	1061942	1281591.34	0.13	11.35	1.21	0.92	4499.12	0.72	5153.3	6839.447	J7198	K	0929	$2.287									
J7200	Factor ix recombinan rixubis	.	.	.	.	.	.	.	.	.	.	.	J7200	N											
J7201	Factor ix alprolix recomb	42	975736	2738863.99	0.67	6.84	2.81	1.85	42232.87	0.76	31573.45	12143.58	J7201	K	1486	$3.465									
J7202	Factor ix idelvion inj	163	965168	3967963.36	0.93	6.25	4.11	3.55	18574.99	5.08	13265.54	3654.163	J7202	K	9171	$5.091									
J7203	Factor ix recomb gly rebinyn	8	102668	125584.27	1.12	3.69	1.22	1.17	12476.52	1.12	16287.83	4995.631	J7203	K	9468	$4.474									
J7204	Inj recombin esperoct per iu	52	1516215	864208.8	0.55	1.32	0.57	0.57	15291.41	0.55	17550.92	1554.182	J7204	K	9354	$2.111									
J7205	Factor viii fc fusion recomb	147	1020683	1250330.13	0.6	4.23	1.22	1.05	5833.85	0.85	3402.56	5077.046	J7205	K	1656	$2.206									
J7207	Factor viii pegylated recomb	39	1208704	2714344.19	0.41	4.19	2.25	1.47	33346.25	1.12	27403.07	13779.72	J7207	K	1844	$2.053									
J7208	Inj. jivi 1 iu	16	74859	182247.36	1.23	4.49	2.43	2.19	10322.3	1.95	10067.98	3424.135	J7208	K	9299	$2.336									
J7209	Factor viii nuwiq recomb 1iu	145	986599	3369793.34	1.15	3.44	3.42	3.4	22942.57	3.44	23363.11	515.513	J7209	K	1846	$1.254									
J7210	"Inj, afstyla, 1 i.u."	53	190569	235234.78	0.2	3.14	1.23	1.09	4089.72	1.42	4611.01	1912.752	J7210	K	9043	$1.455									
J7211	"Inj, kovaltry, 1 i.u."	47	1568201	815426.9	0.21	2.91	0.52	0.37	8095.46	0.28	5790.11	20874.38	J7211	K	9075	$1.424									
J7212	Factor viia recomb sevenfact	1	1	266.91	266.91	266.91	266.91	266.91	266.91	266.91	266.91	.	J7212	N											
J7213	"Inj, ixinity, 1 i.u."	4	17463	20533.41	0.55	1.77	1.18	1	5126.65	1.77	5289.06	3956.765	J7213	K	9146	$1.838									
J7214	Altuviiio per factor viii iu	23	240670	524865.52	1.23	4.49	2.18	1.9	18676.98	1.23	17091.05	5640.174	J7214	G	9277	$4.630									
J7294	Seg acet and eth estr yearly	.	.	.	.	.	.	.	.	.	.	.	J7294	E1											
J7295	Eth estr and eton monthly	1	1	92.28	92.28	92.28	92.28	92.28	92.28	92.28	92.28	.	J7295	E1											
J7296	"Kyleena, 19.5 mg"	21	21	15799.35	205.06	1648.84	752.35	632.72	632.72	579.91	579.91	57.832	J7296	E1											
J7297	"Liletta, 52 mg"	151	151	114513.04	4.16	3061.63	758.36	477.87	477.87	708.69	708.69	61.587	J7297	E1											
J7298	"Mirena, 52 mg"	938	938	903948.56	93.71	2961.33	963.7	846.56	846.56	929.76	929.76	46.814	J7298	E1											
J7301	"Skyla, 13.5 mg"	3	3	3281.82	749.97	1361.83	1093.94	1061.17	1061.17	1170.02	1170.02	28.607	J7301	E1											
J7308	Aminolevulinic acid hcl top	3725	4487	1330213.63	50.94	815.68	296.46	256.86	295	233.86	315.93	55.729	J7308	K	7308	$396.534									
J7309	"Methyl aminolevulinate, top"	.	.	.	.	.	.	.	.	.	.	.	J7309	E2											
J7310	Ganciclovir long act implant	.	.	.	.	.	.	.	.	.	.	.	J7310	E2											
J7311	"Inj., retisert, 0.01 mg"	42	2479	707891.36	114.85	471.15	285.56	252.63	14914.88	302.66	17919.84	348.229	J7311	K	9225	$29.644									
J7312	Dexamethasone intra implant	2249	17192	3394723.01	24.1	725.57	197.46	170.93	1276.13	190.69	1365.44	134.372	J7312	K	9256	$205.595									
J7313	"Inj., iluvien, 0.01 mg"	77	1593	665492.19	179.66	828.27	417.76	381.77	7815.37	301.41	6827.04	197.41	J7313	K	9450	$487.538									
J7314	"Inj., yutiq, 0.01 mg"	137	2772	1238557.32	115.29	1036.73	446.81	410.26	8191.57	436.21	9741.58	179.415	J7314	K	9328	$527.084									
J7315	Ophthalmic mitomycin	1358	1606	401297.88	2.07	1457.78	249.87	148.86	199.22	215.92	244.12	91.426	J7315	N											
J7316	"Inj, ocriplasmin, 0.125 mg"	22	22	1963.72	89.26	89.26	89.26	89.26	89.26	89.26	89.26	0	J7316	N											
J7318	"Inj, durolane 1 mg"	4664	374242	4615782.68	0.1	143.98	12.33	10.32	782.1	10.97	898.65	486.308	J7318	K	9174	$6.550									
J7320	"Genvisc 850, inj, 1mg"	58	1730	41250.55	11.67	27.27	23.84	23.26	643.1	25.6	640.09	102.362	J7320	K	9079	$5.163									
J7321	Hyalgan supartz visco-3 dose	6220	9255	1456800.27	9.44	1706.92	157.41	125.27	172.97	157.09	197.83	82.865	J7321	N											
J7322	Hymovis injection 1 mg	145	5031	95042.62	2.64	171.3	18.89	12.98	428.09	17.23	545.12	491.049	J7322	K	9471	$17.509									
J7323	Euflexxa inj per dose	23603	33170	7970374.72	14.61	2671.25	240.29	190.14	250.68	205.4	286.32	74.841	J7323	K	0875	$115.573									
J7324	Orthovisc inj per dose	7572	10585	2797163.41	18.36	2997.49	264.26	206.29	270.59	221.2	266.87	88.091	J7324	K	0877	$131.561									
J7325	Synvisc or synvisc-one	15677	817294	12674989.16	0.04	198.05	15.51	11.57	537.08	12.08	539.75	559.483	J7325	K	0874	$8.876									
J7326	Gel-one	4667	6332	4367709.48	113.6	3808.8	689.78	574.64	739.36	681.9	751.27	71.83	J7326	K	1417	$522.371									
J7327	Monovisc inj per dose	3389	4602	4221402.28	66.09	4936.68	917.3	738.5	947.95	752.52	976.66	72.76	J7327	K	1747	$711.543									
J7328	Gelsyn-3 injection 0.1 mg	3093	715711	1903383.15	0.35	61.86	2.66	2.23	475.34	2.46	511.27	1919.715	J7328	N											
J7329	"Inj, trivisc 1 mg"	1245	41317	898232.77	21.74	21.81	21.74	21.74	681.9	21.74	543.5	0.038	J7329	K	9196	$7.421									
J7331	"Synojoynt, inj., 1 mg"	11	134	5063.78	34.04	42.34	37.79	37.63	442.74	40.27	362.41	33.367	J7331	N											
J7332	"Inj., triluron, 1 mg"	7	180	2895	15.85	16.27	16.08	16.08	393.65	16.27	325.36	7.107	J7332	K 	9338	$10.488									
J7336	Capsaicin 8% patch	666	578724	1666574.94	0.08	1920.61	2.88	2.07	1742.48	2.6	2072.78	6678.742	J7336	K	9071	$3.324									
J7340	Carbidopa levodopa ent 100ml	3	3	2.55	0.01	1.27	0.85	0.25	0.25	1.27	1.27	85.584	J7340	K	9320	$228.010									
J7342	Ciprofloxacin otic susp 6 mg	15	44	2471.15	9.47	303.83	56.16	42.62	99.18	38.34	152.7	181.663	J7342	N											
J7345	"Aminolevulinic acid, 10% gel"	656	142300	179751	0.36	3.41	1.26	1.14	243.63	0.97	211.8	647.314	J7345	K	9301	$1.698									
J7351	Inj bimatoprost itc imp1mcg	75	750	146060.9	61.11	312.51	194.75	180.81	1808.02	206.43	2064.29	108.654	J7351	K	9351	$206.194									
J7352	"Afamelanotide implant, 1 mg"	17	272	749513.6	2093.29	3237.24	2755.56	2714.44	43431.01	2839.78	45436.54	69.813	J7352	K	9396	"$2,873.329"									
J7353	Anacaulase-bcdb 8.8% gel 1 g	.	.	.	.	.	.	.	.	.	.	.	J7353	G	0742	$58.311									
J7402	Mometasone sinus sinuva	105	8102	167387.86	0.18	2519.22	20.66	8.9	1076.05	10.25	1357.36	4333.862	J7402	K	9346	$11.345									
J7500	Azathioprine oral 50mg	3475	5807	13292.2	0.02	33.69	2.29	1.15	1.81	1.02	1.64	232.901	J7500	N											
J7501	Azathioprine parenteral	1	1	557.18	557.18	557.18	557.18	557.18	557.18	557.18	557.18	.	J7501	K	0887	$241.526									
J7502	Cyclosporine oral 100 mg	857	1393	9285.48	0.16	129.6	6.67	4.68	6.76	4.99	7.23	131.454	J7502	N											
J7503	Tacrol envarsus ex rel oral	1344	28527	44218.5	0.01	40.93	1.55	1.1	18.05	1.36	20.71	458.826	J7503	N											
J7504	Lymphocyte immune globulin	36	244	932088.6	1132.56	5729.85	3820.04	3332.59	22996.37	4052.97	22919.38	117.143	J7504	K	0890	"$3,614.804"									
J7505	Monoclonal antibodies	9	10	433.95	3.88	75.21	43.39	30.41	41.29	50.14	50.14	61.568	J7505	E2											
J7507	Tacrolimus imme rel oral 1mg	18640	54544	150161.84	0.01	32.98	2.75	1.79	4.09	1.93	4.12	158.217	J7507	N											
J7508	Tacrol astagraf ex rel oral	22	833	285.98	0.06	1.64	0.34	0.18	7.94	0.18	7.08	687.446	J7508	N											
J7509	Methylprednisolone oral	5036	34820	32965.77	0.02	85.08	0.95	0.68	3.88	0.62	4.6	314.839	J7509	N											
J7510	Prednisolone oral per 5 mg	866	7245	3597.26	0.01	51.01	0.5	0.11	1.25	0.09	1.02	1023.263	J7510	N											
J7511	Antithymocyte globuln rabbit	495	2151	2101555.67	298.3	1684.15	977.01	956.7	4005.77	1056.53	4226.63	39.48	J7511	K	9104	$927.943									
J7512	Prednisone ir or dr oral 1mg	151043	5659647	346661.28	0.01	83.66	0.06	0.03	1.21	0.03	1.27	1681.274	J7512	N											
J7513	"Daclizumab, parenteral"	.	.	.	.	.	.	.	.	.	.	.	J7513	E2											
J7515	Cyclosporine oral 25 mg	1570	4805	9665.6	0.04	23.61	2.01	1.4	3.76	1.5	3.98	160.551	J7515	N											
J7516	Cyclosporin parenteral 250mg	5	5	228.4	11.34	57.96	45.68	39.6	39.6	50.57	50.57	42.796	J7516	N											
J7517	Mycophenolate mofetil oral	12915	44446	121869.33	0.01	72.19	2.74	1.2	3.59	0.94	3.14	326.889	J7517	N											
J7518	Mycophenolic acid	5208	16208	63390.11	0.01	478.27	3.91	2.19	5.85	3.49	7.87	248.217	J7518	N											
J7519	Inj. mycophenolate mofetil	3	225	204.75	0.61	1.51	0.91	0.83	59.23	0.61	60.5	494.505	J7519	N											
J7520	"Sirolimus, oral"	862	1496	20028.85	0.28	90.01	13.39	10.24	15.77	10.84	17	103.353	J7520	N											
J7525	Tacrolimus injection	152	169	23105.27	23.87	392.54	136.72	124.04	134.89	108.64	108.64	56.613	J7525	K	9006	$248.770									
J7527	Oral everolimus	275	1752	14861.06	0.28	24.33	8.48	6.27	34.6	8.25	38.09	154.825	J7527	N											
J7599	Immunosuppressive drug noc	161	469	3751.58	0.72	93.58	8	2.13	6.93	1.58	5.76	424.735	J7599	N											
J7674	"Methacholine chloride, neb"	3435	241795	343620.72	0.01	1146.3	1.42	0.8	64.64	0.86	77.56	4336.485	J7674	N											
J7999	"Compounded drug, noc"	146053	223885	4916756.51	0.15	924.21	21.96	11.9	16.96	13.26	18.19	189.137	J7999	N											
J8501	Oral aprepitant	27493	235995	2358054.3	0.09	94.06	9.99	8.49	71.54	9.17	76.36	163.366	J8501	N											
J8510	Oral busulfan	7	430	36663.04	9.28	87.82	85.26	81.62	139.83	87.82	37.13	138.399	J8510	K	9335	$4.810									
J8520	"Capecitabine, oral, 150 mg"	2	32	4.8	0.15	0.15	0.15	0.15	2.4	0.15	2.4	0	J8520	N											
J8521	"Capecitabine, oral, 500 mg"	38	988	1567.6	0.14	50.21	1.59	0.2	17.47	0.14	29.52	2192.731	J8521	N											
J8530	Cyclophosphamide oral 25 mg	1970	39281	228039.44	0.36	25.56	5.81	4.96	95.24	5.58	106.15	248.418	J8530	N											
J8540	Oral dexamethasone	197882	9494280	988583.74	0.01	24.59	0.1	0.08	3.37	0.08	3.35	1932.29	J8540	N											
J8560	Etoposide oral 50 mg	.	.	.	.	.	.	.	.	.	.	.	J8560	N											
J8562	Oral fludarabine phosphate	.	.	.	.	.	.	.	.	.	.	.	J8562	E2											
J8565	Gefitinib oral	.	.	.	.	.	.	.	.	.	.	.	J8565	E2											
J8597	Antiemetic drug oral nos	12067	18325	37278.31	0.01	97.32	2.03	0.42	0.58	0.46	0.71	359.693	J8597	N											
J8600	Melphalan oral 2 mg	.	.	.	.	.	.	.	.	.	.	.	J8600	E2											
J8610	Methotrexate oral 2.5 mg	747	4397	16049.73	0.11	42.06	3.65	2.46	13.3	2.69	15.85	259.841	J8610	N											
J8650	Nabilone oral	.	.	.	.	.	.	.	.	.	.	.	J8650	E2											
J8655	"Oral netupitant, palonosetro"	2	2	563.58	281.79	281.79	281.79	281.79	281.79	281.79	281.79	0	J8655	K	9448	$409.047									
J8670	"Rolapitant, oral, 1mg"	16	2880	10771.2	2.48	5.18	3.74	3.52	634.44	3.14	565.48	473.911	J8670	K	1761	$1.631									
J8700	Temozolomide	68	2108	21210.5	0.47	32.72	10.06	4.54	131.65	4.99	89.85	621.966	J8700	N											
J8705	Topotecan oral	.	.	.	.	.	.	.	.	.	.	.	J8705	N											
J9000	Doxorubicin hcl injection	33677	286740	2714053.32	0.01	2669.56	9.47	5.96	48.02	5.8	47.87	710.533	J9000	N											
J9015	Aldesleukin injection	66	66	324995.73	580.2	8312.99	4924.18	4562.39	4562.39	4651.57	4651.57	29.688	J9015	K	0807	"$3,943.000"									
J9017	Arsenic trioxide injection	4829	77830	3083860.53	2.13	407.04	39.62	26.4	368.14	36.98	456.63	407.109	J9017	K	9012	$11.899									
J9019	Erwinaze injection	.	.	.	.	.	.	.	.	.	.	.	J9019	E2											
J9020	"Asparaginase, nos"	.	.	.	.	.	.	.	.	.	.	.	J9020	E2											
J9021	"Inj, aspara, rylaze, 0.1 mg"	19	9760	253813.8	23.37	54.09	26.01	25.45	12586.21	24.07	10797.39	603.58	J9021	K	9437	$51.198									
J9022	"Inj, atezolizumab,10 mg"	39360	4864854	378476008.1	4.71	512.56	77.8	71.91	8802.69	73.69	8873.16	443.763	J9022	K	9483	$83.935									
J9023	"Injection, avelumab, 10 mg"	9146	734854	60850868.61	8.97	360.53	82.81	76.27	6122.33	77.58	6232.65	367.952	J9023	K	9491	$92.534									
J9025	Azacitidine injection	113031	19010576	43196197.58	0.02	58.01	2.27	1.39	227.87	1.43	221.13	1399.678	J9025	N 											
J9027	Clofarabine injection	93	3100	174255.8	12.99	161	56.21	41.5	902.66	37.98	1458.93	439.188	J9027	K	1710	$18.043									
J9029	"Instill adstiladrin, tx dose"	.	.	.	.	.	.	.	.	.	.	.	J9029	G	0717	"$63,505.400"									
J9030	Bcg live intravesical 1mg	28859	1291298	4879020.11	0.02	169	3.78	3.18	139.4	3.48	159.75	803.657	J9030	N											
J9032	"Injection, belinostat, 10mg"	582	108296	4471645.37	1.53	74.28	41.29	36.96	6583.31	37.59	7220.82	472.199	J9032	K	1658	$48.837									
J9033	"Inj., treanda 1 mg"	1214	193294	3932381.55	0.01	57.67	20.34	17.38	2603.35	17.85	3008.82	660.398	J9033	K	9243	$8.356									
J9034	"Inj., bendeka 1 mg"	17622	2794826	61309935.38	0.61	134.26	21.94	20.13	3114.32	20.65	3231.24	536.232	J9034	K	1861	$13.831									
J9035	Bevacizumab injection	22236	1557811	120413963.4	1.22	2003.73	77.3	72.47	4513.94	74.11	4645.86	309.428	J9035	K	9214	$74.156									
J9036	Inj. belrapzo/bendamustine	2274	351777	7899405.47	8.15	53.69	22.46	21.21	3181.59	22.64	3366.59	408.331	J9036	K	9313	$8.875									
J9037	Inj belantamab mafodot blmf	74	25816	1068623.99	13.02	73.17	41.39	38.76	12723.72	42.18	14310.15	643.489	J9037	K	9384	$46.780									
J9039	"Injection, blinatumomab"	1801	279590	39443687.69	44.76	287.17	141.08	134.14	18044.82	146.33	20732.22	379.529	J9039	K	9449	$145.355									
J9040	Bleomycin sulfate injection	817	1499	80144.35	2.84	355.34	53.47	39.85	70	38.98	68.78	133.656	J9040	N											
J9041	"Injection, bortezomib, 0.1mg"	109477	3600384	61605408.48	0.04	452.24	17.11	6.48	209.64	6.42	208	819.218	J9041	N											
J9042	Brentuximab vedotin inj	4049	507308	95686940	9.68	541.4	188.62	172.59	20765.87	180.23	21885.5	439.704	J9042	K	9287	$230.742									
J9043	Cabazitaxel injection	5425	312789	64148409.82	0.37	1856.06	205.09	180.75	10369.55	187.45	10702.01	512.274	J9043	K	9276	$211.755									
J9045	Carboplatin injection	152509	1155735	12747463.56	0.01	604.05	11.03	6.48	44.94	6.13	45.36	604.082	J9045	N											
J9046	"Inj, bortezomib, dr. reddys"	3298	108781	543584.29	0.05	47.15	5	2.54	81.86	2.32	81.37	685.449	J9046	K	9026	$48.547									
J9047	"Injection, carfilzomib, 1 mg"	48397	4568078	213880451.4	2.71	573.37	46.82	43.44	3800.73	45.33	4118.48	378.257	J9047	K	9295	$47.179									
J9048	"Inj, bortezomib freseniuskab"	536	16469	235526.51	0.7	89.07	14.3	6.47	175.69	6.1	176.49	853.758	J9048	K	9027	$48.547									
J9049	"Inj, bortezomib, hospira"	2200	55192	340618.25	0.21	74.51	6.17	4.57	113.02	3.48	90.85	558.1	J9049	N											
J9050	Carmustine injection	209	711	714046.77	173.12	5537.32	1004.29	800.34	2517.54	828.7	2486.09	162.667	J9050	K	0812	$280.920									
J9051	"Inj, bortezomib (maia)"	46	1610	950.6	0.59	0.61	0.59	0.59	20.67	0.59	20.66	2.955	J9051	E2											
J9052	"Inj, carmustine (accord)"	.	.	.	.	.	.	.	.	.	.	.	J9052	K	0718	$0.051									
J9055	Cetuximab injection	18518	1257039	93844943.09	6.37	933.56	74.66	68.43	4296.21	72.24	4262.45	354.872	J9055	K	9215	$73.487									
J9056	"Inj, bendamustine, 1 mg"	57	8728	210631.15	11.46	52.49	24.13	22.64	3454.77	26.95	3748.37	435.004	J9056	G	9154	$34.021									
J9057	"Inj., copanlisib, 1 mg"	280	16800	1441414.2	23.77	157.8	85.8	80.99	4859.62	88.56	5313.77	256.074	J9057	K	9030	$87.656									
J9058	Inj apotex/bendamustine 1 mg	45	7150	169644.77	10.47	44.82	23.73	21.92	3232.8	22.51	3379.63	517.959	J9058	G	9151	$24.134									
J9059	"Inj bendamustine, baxter 1mg"	337	54331	1128219.67	9.89	36.8	20.77	19.27	3006.85	20.38	3260.16	455.237	J9059	K	9153	$24.134									
J9060	Cisplatin 10 mg injection	50464	394293	2861132.96	0.02	219.72	7.26	4.55	33.12	4.31	31.78	470.033	J9060	N											
J9061	"Inj, amivantamab-vmjw"	1393	655057	12350101.54	3.81	49.05	18.85	17.49	7633.07	19.32	8219	855.889	J9061	K	9432	$19.985									
J9063	"Inj, elahere, 1 mg"	2190	770099	44138384.96	2.6	250.64	57.32	49.77	17030.25	52.48	18667.49	923.037	J9063	G	9109	$65.682									
J9064	"Inj, cabazitaxel (sandoz)"	7	374	65528.54	175.21	175.21	175.21	175.21	9156.19	175.21	10512.36	0	J9064	E2											
J9065	Inj cladribine per 1 mg	1077	13809	449789.27	3.21	175.97	32.57	25.82	328.18	32.33	348.82	245.621	J9065	K	0858	$16.597									
J9070	Cyclophosphamide 100 mg inj	53020	576366	32172561.8	1.32	974.45	55.82	45.93	459.5	50.02	465.94	220.119	J9070	D											
J9071	Inj cyclophosphamd auromedic	598	116457	301427.99	0.13	23.2	2.59	2.02	331.57	2.37	361.87	1214.393	J9071	K	9203	$1.757									
J9072	Inj cyclophos dr.reddys 5mg	.	.	.	.	.	.	.	.	.	.	.	J9072	G	0719	$3.869									
J9098	Cytarabine liposome inj	.	.	.	.	.	.	.	.	.	.	.	J9098	E2											
J9100	Cytarabine hcl 100 mg inj	4329	33122	112073.24	0.11	186.16	3.38	1.69	9.3	1.24	11.26	708.071	J9100	N											
J9118	Inj. calaspargase pegol-mknl	2	976	61380.64	62.89	62.89	62.89	62.89	30689.95	62.89	30689.95	0	J9118	E2											
J9119	"Inj., cemiplimab-rwlc, 1 mg"	12919	4521650	114476365.5	1.14	78.3	25.32	23.49	8221.41	24.01	8403.54	698.884	J9119	K	9304	$27.576									
J9120	Dactinomycin injection	51	165	179924.26	342.8	2837.53	1090.45	872.74	2334.84	827.25	2591.35	132.684	J9120	K	0752	$547.795									
J9130	Dacarbazine 100 mg inj	3657	30665	301656.81	0.54	98.58	9.84	7.59	61.29	7.62	61.56	259.396	J9130	N											
J9144	"Daratumumab, hyaluronidase"	130829	23546326	1106595317	0.23	204.15	47	43.62	7851.09	45.19	8134.77	504.71	J9144	K	9378	$48.799									
J9145	"Injection, daratumumab 10 mg"	11398	1436010	82709711.35	2.74	202.3	57.6	53.01	6505.96	55.54	6671.38	438.365	J9145	K	9476	$61.132									
J9150	Daunorubicin injection	15	96	12902.84	33.53	263.59	134.4	101.92	605.88	96.54	399.98	185.11	J9150	K	0820	$31.504									
J9151	Daunorubicin citrate inj	.	.	.	.	.	.	.	.	.	.	.	J9151	E2											
J9153	"Inj daunorubicin, cytarabine"	177	13103	2091894.85	0.02	441.8	159.65	32.42	2220.82	191.82	11773.36	530.782	J9153	K	9302	$232.803									
J9155	Degarelix injection	13819	1485011	8507901.53	0.03	490.52	5.73	5.02	490.92	5.32	463.8	1223.976	J9155	K	1296	$4.353									
J9165	Diethylstilbestrol injection	.	.	.	.	.	.	.	.	.	.	.	J9165	E2											
J9171	Docetaxel injection	55625	5979880	26838383.59	0.01	133.58	4.49	2.47	241.34	2.2	215.79	1358.844	J9171	N											
J9172	"Docetaxel (ingenus), 1 mg"	.	.	.	.	.	.	.	.	.	.	.	J9172	E2											
J9173	"Inj., durvalumab, 10 mg"	41959	5185277	375711518	0.49	528.39	72.46	67.18	7826.9	67.91	8590.35	438.912	J9173	K	9492	$80.515									
J9175	Elliotts b solution per ml	102	663	7456.91	8.73	18.05	11.25	10.93	68.6	9.56	63.55	66.191	J9175	N											
J9176	"Injection, elotuzumab, 1mg"	6030	6461175	43725376.07	1.32	24.31	6.77	6.37	6230.77	6.82	6388.57	1066.258	J9176	K	9477	$7.403									
J9177	Inj enfort vedo-ejfv 0.25mg	15953	5083071	158748126.9	0.27	209.72	31.23	28.7	8737.96	30.38	9138.91	747.274	J9177	K	9364	$36.201									
J9178	"Inj, epirubicin hcl, 2 mg"	63	3512	35872.75	0.77	40.9	10.21	3.49	125.21	2.03	82.13	1171.22	J9178	N											
J9179	Eribulin mesylate injection	5064	119557	15741911.86	27.52	882.64	131.67	119.67	2728.92	123.62	2862.73	266.545	J9179	K	1426	$137.665									
J9181	Etoposide injection	52195	895724	2212870.46	0.04	98.04	2.47	1.42	23.92	1.24	20.99	768.569	J9181	N											
J9185	Fludarabine phosphate inj	3642	5529	2399617.4	7.76	6010.44	434.01	185.72	267.32	183.69	259.8	216.475	J9185	K	9080	$190.895									
J9190	Fluorouracil injection	158622	1420894	11658830.52	0.01	416.83	8.21	5.42	44.55	5.27	45.91	462.825	J9190	N											
J9196	Inj gemcitabine hcl (accord)	1519	12523	250263.06	0.36	230.54	19.98	12.57	104.86	12.43	114.35	437.629	J9196	N											
J9198	"Inj. infugem, 100 mg"	111	2199	22815.51	0.66	38.36	10.38	6.17	115.51	3.8	76.02	513.021	J9198	K	9387	$40.280									
J9200	Floxuridine injection	446	446	299449.69	2.42	4973.15	671.41	234.71	234.71	213.52	213.52	160.53	J9200	K	0827	"$3,728.550"									
J9201	In gemcitabine hcl nos 200mg	139049	1157947	16558407.23	0.01	550.5	14.3	8.83	71.76	8.26	70.24	521.897	J9201	N											
J9202	Goserelin acetate implant	5482	10492	8358451.45	85.06	3418.58	796.65	689.38	1122.36	671.94	1053.34	84.932	J9202	K	0810	$599.340									
J9203	Gemtuzumab ozogamicin 0.1 mg	145	6608	1211030.21	10.37	429.27	183.27	150.34	6583.76	188.06	8522.77	347.729	J9203	K	9495	$226.280									
J9204	"Inj mogamulizumab-kpkc, 1 mg"	2096	173765	33367329.9	22.06	531.64	192.03	179.63	14589.37	188.29	14849.01	317.732	J9204	K	9182	$234.165									
J9205	Inj irinotecan liposome 1 mg	5762	676626	38253398.01	0.31	155.05	56.54	51.36	5788.09	53.9	6126.28	446.946	J9205	K	9474	$63.443									
J9206	Irinotecan injection	70378	982404	11546842.27	0.01	528.12	11.75	7.08	95.28	6.99	97.96	803.542	J9206	N											
J9207	Ixabepilone injection	255	12613	1180070.14	23.92	228.75	93.56	84.17	4074.95	90.14	3522.45	315.331	J9207	K	9240	$127.496									
J9208	Ifosfamide injection	963	3742	223434.29	6.22	924.97	59.71	38.6	144.09	35.5	138.39	399.284	J9208	N											
J9209	Mesna injection	1908	18474	126525.4	0.3	343.2	6.85	3.95	31.12	3.71	26.87	668.002	J9209	N											
J9210	"Inj., emapalumab-lzsg, 1 mg"	15	7200	2036074	271.72	333.08	282.79	282.44	112725.5	281.93	108688.6	118.181	J9210	K	9310	$364.873									
J9211	Idarubicin hcl injection	36	93	19110.74	50.22	415.67	205.49	137.11	407.21	83.36	716.9	133.85	J9211	N											
J9212	Interferon alfacon-1 inj	1	75	9415.5	125.54	125.54	125.54	125.54	9415.8	125.54	9415.8	.	J9212	E2											
J9213	Interferon alfa-2a inj	12	12	10828.37	300.79	1203.15	902.36	803.01	803.01	1203.15	1203.15	42.64	J9213	E2											
J9214	Interferon alfa-2b inj	.	.	.	.	.	.	.	.	.	.	.	J9214	N											
J9215	Interferon alfa-n3 inj	.	.	.	.	.	.	.	.	.	.	.	J9215	E2											
J9216	Interferon gamma 1-b inj	1	4	167.52	41.88	41.88	41.88	41.88	167.5	41.88	167.5	.	J9216	E2											
J9217	Leuprolide acetate suspnsion	126295	429058	272961234.2	1.59	22104.06	636.19	371.63	1193.58	341.76	1098.22	200.384	J9217	K	9217	$185.662									
J9218	Leuprolide acetate injeciton	.	.	.	.	.	.	.	.	.	.	.	J9218	N											
J9219	Leuprolide acetate implant	.	.	.	.	.	.	.	.	.	.	.	J9219	E2											
J9223	"Inj. lurbinectedin, 0.1 mg"	4289	309029	53787587.93	0.28	769.77	174.05	159.23	11293.79	164.28	11923.47	353.927	J9223	K	9389	$199.523									
J9225	Vantas implant	.	.	.	.	.	.	.	.	.	.	.	J9225	N											
J9226	Supprelin la implant	1	1	73923.55	73923.55	73923.55	73923.55	73923.55	73923.55	73923.55	73923.55	.	J9226	K	1142	"$44,578.751"									
J9227	Inj. isatuximab-irfc 10 mg	4017	329982	23418872.39	7.31	186.42	70.97	66.58	5295.65	75.12	5710.57	280.452	J9227	K	9377	$76.420									
J9228	Ipilimumab injection	11457	1490943	223287235.8	0.27	1019.18	149.76	138.18	15853.98	144.4	15548.95	442.851	J9228	K	9284	$172.709									
J9229	Inj inotuzumab ozogam 0.1 mg	491	6112	13811672.1	344.35	6433.41	2259.76	2081.5	23592.39	2045.17	24019.02	142.373	J9229	K	9028	"$2,580.145"									
J9230	Mechlorethamine hcl inj	5	15	108.49	3.08	43.55	7.23	5.01	17.61	3.08	12.3	264.178	J9230	N 											
J9245	Inj melpha hydroch nos 50 mg	255	1482	682901.77	24.8	2128.44	460.8	333.31	1688.54	332.47	1784.22	204.5	J9245	K	0840	$167.760									
J9246	"Inj., evomela, 1 mg"	131	38965	1482546.82	11.5	70.73	38.05	34.72	10062.31	39.86	10986.19	708.716	J9246	K	9375	$16.889									
J9247	"Inj, melphalan flufenami 1mg"	.	.	.	.	.	.	.	.	.	.	.	J9247	E1											
J9250	Methotrexate sodium inj	4727	40607	82650.75	0.01	117.84	2.04	0.59	4.67	0.42	4.32	857.338	J9250	D											
J9255	"Inj, methotrexate (accord)"	.	.	.	.	.	.	.	.	.	.	.	J9255	E2											
J9258	Paclitaxel (teva)	.	.	.	.	.	.	.	.	.	.	.	J9258	E2											
J9259	Paclitaxel (american regent)	1729	379130	6402216.1	0.6	44.86	16.89	15.94	3376	17.9	3649.85	470.1	J9259	K	9152	$15.144									
J9260	Methotrexate sodium inj	4069	5923	107052.9	0.02	178.08	18.07	5.91	9.75	5.31	11.26	192.104	J9260	N											
J9261	Nelarabine injection	44	2574	403890.9	93.63	227.21	156.91	151.88	8517.91	172.95	10593.73	191.884	J9261	K	0825	$101.925									
J9262	"Inj, omacetaxine mep, 0.01mg"	101	34272	257282.6	3.89	11.25	7.51	7.09	2324.11	9.44	3293.47	586.486	J9262	K	9297	$3.953									
J9263	Oxaliplatin	89000	27868448	24333848.25	0.01	41.82	0.87	0.38	115.59	0.38	116.09	3846.746	J9263	N											
J9264	Paclitaxel protein bound	56337	12153359	180803773	0.08	2561.02	14.88	13.62	2803.69	14.2	2975.95	1193.101	J9264	K	1712	$13.714									
J9266	Pegaspargase injection	47	47	992548.54	5482.69	38945.81	21118.05	18955.86	18955.86	18396.88	18396.88	45.845	J9266	K	0843	"$25,781.458"									
J9267	Paclitaxel injection	143781	24944914	14155090.98	0.01	56.72	0.57	0.35	55.82	0.34	55.16	2614.34	J9267	N											
J9268	Pentostatin injection	232	232	520365.81	619.41	7087.81	2242.96	2028.97	2028.97	2036.72	2036.72	49.553	J9268	K	0844	"$2,335.723"									
J9269	Inj. tagraxofusp-erzs 10 mcg	196	19370	7294288.3	114.77	518.95	376.58	352.05	34690.04	352.91	32703.14	340.831	J9269	K	9309	$326.652									
J9270	Plicamycin (mithramycin) inj	3	64	253.14	1.02	4.05	3.96	3.88	6.39	4.05	1.02	75.399	J9270	E2											
J9271	Inj pembrolizumab	234979	53853454	2671308800	0.05	338.61	49.6	45.81	10114.1	47.17	10160.27	606.317	J9271	K	1490	$57.307									
J9272	"Inj, dostarlimab-gxly, 10 mg"	1488	87495	17100246.15	16.93	7276.1	195.44	173.55	9770.95	183.97	9937.31	466.057	J9272	K	9431	$232.554									
J9273	"Inj tisotu vedotin-tftv, 1mg"	351	42690	7371828.77	49.82	664.83	172.68	155.67	18147.63	148.99	17844.22	597.63	J9273	G	9204	$174.799									
J9274	"Inj, tebentafusp-tebn, 1 mcg"	1973	182652	32235772.59	39.05	2013.95	176.49	168.1	15293.2	167.83	15732.05	352.468	J9274	G	9446	$208.926									
J9280	Mitomycin injection	8917	52957	6194331.85	0.21	3983.55	116.97	82.54	402.96	99.53	516.06	213.03	J9280	K	1232	$67.031									
J9281	Mitomycin instillation	882	64692	17492430.44	2.1	702.42	270.4	233.1	16388.12	254.24	19479.72	383.293	J9281	K	9374	$300.591									
J9285	"Inj, olaratumab, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J9285	E2											
J9286	"Inj glofitamab gxbm, 2.5 mg"	.	.	.	.	.	.	.	.	.	.	.	J9286	G	0720	"$2,707.252"									
J9293	Mitoxantrone hydrochl / 5 mg	184	987	60820	9.95	474.78	61.62	43.19	241.83	38.95	215.45	259.501	J9293	K	0864	$42.669									
J9294	"Inj pemetrexed, hospira 10mg"	787	66648	353998.66	0.84	56.18	5.31	3.31	272.21	2.85	257.48	913.618	J9294	K	9123	$3.617									
J9295	"Injection, necitumumab, 1 mg"	4	3200	27808	8.69	8.69	8.69	8.69	6955.52	8.69	6955.52	0	J9295	K	9475	$5.737									
J9296	Inj pemetrexed (accord) 10mg	167	12794	198639.04	0.71	87.73	15.53	6.77	430.85	8.33	507.01	1433.807	J9296	K	9127	$9.656									
J9297	Inj pemetrexed (sandoz) 10mg	160	13746	99721.87	1.24	68.19	7.25	5.17	419.84	5.19	518.17	1149.662	J9297	N											
J9298	Inj nivol relatlimab 3mg/1mg	5027	778900	132729464.1	9.4	800.02	170.41	151.07	24669.63	162.05	26643.07	706.859	J9298	G	9057	$187.003									
J9299	"Injection, nivolumab"	94278	33487471	942591689.1	0.08	275.61	28.15	25.99	8581.09	26.47	8904.56	769.348	J9299	K	9453	$31.094									
J9301	Obinutuzumab inj	12033	1191948	83589550.19	1.26	240.29	70.13	64.99	6431.68	67.72	6708.37	365.563	J9301	K	1476	$70.216									
J9302	Ofatumumab injection	2	200	16682	83.41	83.41	83.41	83.41	8341.27	83.41	8341.27	0	J9302	K	9260	$63.957									
J9303	Panitumumab injection	10869	496832	68211536.54	9.57	926.26	137.29	124.22	5438.97	131.94	5676.53	316.637	J9303	K	9235	$151.238									
J9304	"Inj. pemetrexed, 10 mg"	1898	166771	12218654.98	0.24	150.23	73.27	60.9	5149.45	89.82	6570.79	419.379	J9304	G	9442	$63.078									
J9305	Inj. pemetrexed nos 10mg	38347	3382977	85863081.74	0.1	222.61	25.38	9.72	842.66	11.04	915.43	1236.056	J9305	K	9213	$3.970									
J9306	"Injection, pertuzumab, 1 mg"	23720	9961492	133303261	0.01	60.81	13.38	12.3	5167.19	12.74	5350.75	827.267	J9306	K	1471	$15.418									
J9307	Pralatrexate injection	856	38998	12097575.14	70.3	884.39	310.21	282.82	12478.61	323.44	12937.62	275.476	J9307	K	9259	$299.279									
J9308	"Injection, ramucirumab"	7602	1013918	63982956.54	1.01	279.41	63.1	58.09	7457.02	61.01	7764.94	472.932	J9308	K	1488	$69.653									
J9309	"Inj, polatuzumab vedotin 1mg"	3694	547757	58627495.78	1.9	299.25	107.03	99.12	14196	106.68	15220.53	439.835	J9309	K	9331	$124.033									
J9311	"Inj rituximab, hyaluronidase"	5343	750913	33693098.23	2.78	167.63	44.87	42	5901.38	41.91	5867.08	426.172	J9311	K	9467	$37.239									
J9312	"Inj., rituximab, 10 mg"	28846	2374027	207286595.5	0.03	452.21	87.31	80.83	6501.44	82.63	6893.08	342.519	J9312	K	9186	$78.872									
J9313	"Inj., lumoxiti, 0.01 mg"	11	870	55068	17.62	164.8	63.3	35.26	5004.76	17.62	4944.05	1003.383	J9313	K	9305	$23.394									
J9314	Inj pemetrexed (teva) 10mg	48	4588	159932.16	3.77	180.41	34.86	21.51	1895.93	14.23	1509.39	1378.699	J9314	K	9105	$9.960									
J9316	"Pertuzu, trastuzu, 10 mg"	5948	660179	51693638.56	0.47	402.42	78.3	69.68	7914.03	74.52	8668.82	513.492	J9316	K	9390	$65.324									
J9317	Sacituzumab govitecan-hziy	14295	3640990	111261395	3.13	1790.96	30.56	27.57	6790.64	28.24	7015.57	1730.181	J9317	K	9376	$34.104									
J9318	Inj romidepsin non-lyo 0.1mg	22	4207	136932.75	18.35	324.85	32.55	24.07	5847.05	22.15	5047.27	2311.439	J9318	K	9428	$33.905									
J9319	Inj romidepsin lyophil 0.1mg	2066	538156	17953011.95	1.77	253.21	33.36	30.88	7817.89	31.88	8057.63	654.74	J9319	K	9429	$30.549									
J9320	Streptozocin injection	.	.	.	.	.	.	.	.	.	.	.	J9320	N											
J9322	Inj pemetrexed (bluepoint)	6	320	7757.9	11.27	43.42	24.24	23.14	1014.76	23.03	1136.54	229.339	J9322	E2											
J9323	Inj pemetrexed ditromethamin	297	25835	166626.51	0.73	94.52	6.45	4.96	413.06	3.82	360.54	1193.305	J9323	K	9156	$10.343									
J9324	"Inj, pemrydi rtu, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	J9324	K	0782	$84.694									
J9325	Inj talimogene laherparepvec	1442	264146	16683792.2	8.05	290.57	63.16	59.52	6272.79	66.38	8803.83	433.697	J9325	K	9472	$66.802									
J9328	Temozolomide injection	12	4070	32592.4	5.76	9.32	8.01	7.81	2555.9	9.32	2655.73	412.522	J9328	K	9253	$10.399									
J9330	Temsirolimus injection	992	24904	1778916.51	14.55	283.68	71.43	61.52	1531.71	59	1465.79	308.149	J9330	K	1168	$28.863									
J9331	Inj sirolimus prot part 1 mg	279	45315	3213572.57	33.7	139.17	70.92	67.03	10271.05	73.32	9946.33	413.906	J9331	G	9241	$109.288									
J9332	Inj efgartigimod 2mg	6999	3584374	97981826.26	1.51	129.85	27.34	25.26	12658.69	26.06	12982.22	848.684	J9332	G	9010	$32.066									
J9333	Inj ronzanolixizum-noli 1 mg	.	.	.	.	.	.	.	.	.	.	.	J9333	G	0721	$22.851									
J9334	Inj efgart-alfa 2mg hya-qvfc	.	.	.	.	.	.	.	.	.	.	.	J9334	K	0723	$33.167									
J9340	Thiotepa injection	129	681	233756.41	161.95	848.67	343.25	309.08	815.35	316.34	618.23	118.327	J9340	K	0851	$228.364									
J9345	"Inj, retifanlimab-dlwr, 1 mg"	6	3000	68510	8.84	32.22	22.84	21.34	10668.99	23.99	11997.46	744.77	J9345	K	9280	$29.500									
J9347	"Inj, tremelimumab-actl, 1 mg"	270	62940	7193753.65	15.89	329.73	114.3	104.42	20501.79	109.23	26525.79	620.484	J9347	G	9110	$135.746									
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	$610.029									
J9349	"Inj., tafasitamab-cxix"	4021	1900683	24711747.29	2.55	51.34	13	11.91	5396.64	11.96	5504.22	944.291	J9349	K	9385	$13.578									
J9350	"Inj mosunetuzumab-axgb, 1 mg"	432	11528	7446097.45	219.97	39150.86	645.91	570.31	9176.25	552.06	14924.62	747.124	J9350	G	9150	$629.147									
J9351	Topotecan injection	7564	333331	1461443.19	0.25	62.28	4.38	2.69	111.64	2.4	98.33	863.606	J9351	N											
J9352	Injection trabectedin 0.1mg	848	22425	6896129.87	14.18	1070.93	307.52	279.62	7248.4	308.39	7429.19	217.914	J9352	K	9480	$338.386									
J9353	"Inj. margetuximab-cmkb, 5 mg"	268	56324	2487357.4	17.04	262.75	44.16	41.48	8575.1	41.4	8494.71	706.775	J9353	K	9418	$47.036									
J9354	"Inj, ado-trastuzumab emt 1mg"	8134	2083703	72732595.36	6.88	150.87	34.91	32.14	8014.41	33.28	8149.97	657.652	J9354	K	9131	$38.438									
J9355	Inj trastuzumab excl biosimi	18881	874546	84792230.58	12.35	263.6	96.96	90.62	3973.39	92.48	4274.62	240.736	J9355	K	1613	$80.048									
J9356	"Inj. herceptin hylecta, 10mg"	4028	241664	18797990.37	0.16	633.83	77.79	69.13	4147.41	69.39	4163.2	517.58	J9356	K	9314	$65.929									
J9357	Valrubicin injection	481	1924	2435325.32	292.72	4272.08	1265.76	1154.63	4618.53	1184.41	4737.65	106.564	J9357	K	1235	"$1,347.685"									
J9358	Inj fam-trastu deru-nxki 1mg	25948	9651251	234445379.8	0.61	165.6	24.29	22.38	8030.61	22.88	8288.88	795.997	J9358	K	9353	$27.268									
J9359	Inj lon tesirin-lpyl 0.075mg	551	76634	14025120.86	22.18	615.62	183.01	169.08	22238.15	179.41	23907.89	454.391	J9359	K	9205	$200.493									
J9360	Vinblastine sulfate inj	3705	36994	250962.89	0.51	168.76	6.78	5.47	52.49	5.16	50.83	314.878	J9360	N											
J9370	Vincristine sulfate 1 mg inj	19841	33326	591453	0.44	230.4	17.75	11.59	19.34	10.4	18.08	157.908	J9370	N											
J9371	"Inj, vincristine sul lip 1mg"	.	.	.	.	.	.	.	.	.	.	.	J9371	D											
J9380	Inj teclistamab cqyv 0.5 mg	6223	1841266	54136287.38	5.72	73.37	29.4	27.53	7795.66	28.5	8029.36	595.283	J9380	G	9111	$30.762									
J9381	Inj teplizumab mzwv 5 mcg	.	.	.	.	.	.	.	.	.	.	.	J9381	G	9112	$36.380									
J9390	Vinorelbine tartrate inj	5055	23754	522043.28	1.33	401.25	21.98	17.03	79.12	16.57	77.23	207.946	J9390	N											
J9393	"Inj, fulvestrant (teva)"	1557	31160	1457093.5	1.5	172.27	46.76	29.53	589.92	41.94	871	340.175	J9393	K	9102	$21.200									
J9394	"Inj, fulvestrant (fresenius)"	4881	97616	3641568.08	0.38	392.86	37.31	27.5	550.06	37.51	750.29	330.661	J9394	N											
J9395	"Injection, fulvestrant"	64331	1286620	55402593.6	0.01	924.81	43.06	26.24	524.87	27.98	559.66	461.621	J9395	K	9120	$8.169									
J9400	"Inj, ziv-aflibercept, 1mg"	110	31335	365954.68	4.97	19.01	11.68	11.06	2946.47	10.68	2832.38	536.621	J9400	K	9296	$6.682									
J9600	Porfimer sodium injection	52	116	1879027.62	6096.38	38373.37	16198.51	14914.67	32557.63	13989.91	31031.5	65.48	J9600	K	0856	"$23,170.540"									
P9040	Rbc leukoreduced irradiated	107278	135599	33693116.2	26.61	1643.16	248.48	212.39	256.48	214.24	251.25	70.027	P9040	R	9522	$250.990									
P9044	Cryoprecipitatereducedplasma	101	356	53879.99	8.68	305.28	151.35	131.51	214.91	189.01	201.43	71.042	P9044	R	9523	$68.740									
P9045	"Albumin (human), 5%, 250 ml"	33968	205195	14114140.57	0.45	3126.36	68.78	56.41	211.26	56.67	191.99	203.495	P9045	K	0963	$53.077									
P9046	"Albumin (human), 25%, 20 ml"	3401	30459	782239.09	1.06	287.55	25.68	22.04	175.51	23.25	203.11	167.027	P9046	K	0964	$21.231									
P9099	Blood component/product noc	362	362	89271.5	104.18	492.69	246.61	236.84	236.84	220.27	220.27	33.335	P9099	R	9537	$45.810									
Q0138	"Ferumoxytol, non-esrd"	75308	38483010	55495657.33	0.03	33.53	1.44	1.15	584.57	1.24	629.62	1730.322	Q0138	K	1297	$0.394									
Q0139	"Ferumoxytol, esrd use"	1129	575332	850058.26	0.13	33.53	1.48	1.2	612.68	1.01	514.19	1976.773	Q0139	K	1485	$0.394									
Q0161	Chlorpromazine hcl 5mg oral	1093	35464	16273.01	0.01	36.31	0.46	0.28	8.45	0.2	8.85	909.238	Q0161	N											
Q0162	Ondansetron oral	144626	1302132	1464439.57	0.01	199.77	1.12	0.21	2.27	0.12	1.48	650.542	Q0162	N											
Q0163	Diphenhydramine hcl 50mg	76729	76729	43762.99	0.01	19.03	0.57	0.18	0.18	0.22	0.22	182.058	Q0163	N											
Q0164	Prochlorperazine maleate 5mg	13870	25991	23527.32	0.04	10.43	0.91	0.7	1.28	0.82	1.64	114.452	Q0164	N											
Q0166	Granisetron hcl 1 mg oral	4509	6583	74032.64	0.31	171.34	11.25	3.11	4.14	2.49	3	235.868	Q0166	N											
Q0167	Dronabinol 2.5mg oral	1876	4069	18471.92	0.16	78.66	4.54	3.39	6.39	3.52	6.11	164.084	Q0167	N											
Q0169	Promethazine hcl 12.5mg oral	2867	5441	4570.91	0.01	16.16	0.84	0.5	0.87	0.55	1	155.614	Q0169	N											
Q0173	Trimethobenzamide hcl 250mg	.	.	.	.	.	.	.	.	.	.	.	Q0173	E2											
Q0174	Thiethylperazine maleate10mg	.	.	.	.	.	.	.	.	.	.	.	Q0174	E2											
Q0175	Perphenazine 4mg oral	570	1414	2294.99	0.03	12.56	1.62	1.07	2.89	1.2	3.38	147.404	Q0175	N											
Q0177	Hydroxyzine pamoate 25mg	6239	9483	8706.17	0.02	8.77	0.92	0.58	0.78	0.64	0.85	118.805	Q0177	N											
Q0180	Dolasetron mesylate oral	1	1	1.74	1.74	1.74	1.74	1.74	1.74	1.74	1.74	.	Q0180	N											
Q0515	Sermorelin acetate injection	.	.	.	.	.	.	.	.	.	.	.	Q0515	E2											
Q0516	Supply fee hiv prep 30-days	.	.	.	.	.	.	.	.	.	.	.	Q0516	B											
Q2004	Bladder calculi irrig sol	.	.	.	.	.	.	.	.	.	.	.	Q2004	N											
Q2009	Fosphenytoin inj pe	1546	26852	234918.02	0.03	121.12	8.75	5.87	92.04	7.29	106.74	415.988	Q2009	N											
Q2017	"Teniposide, 50 mg"	.	.	.	.	.	.	.	.	.	.	.	Q2017	E2											
Q2026	Radiesse injection	41	93	32007.97	10.21	934.36	344.17	102.5	701.31	76.2	873.46	172.05	Q2026	K	9094	$298.730									
Q2028	"Inj, sculptra, 0.5mg"	6	6617	7475.55	0.76	4.03	1.13	0.93	521.59	0.8	1147.63	3181.666	Q2028	K	9095	$1.400									
Q2039	"Influenza virus vaccine, nos"	255	255	4172.68	5.47	72.57	16.36	13.22	13.22	11.44	11.44	85.899	Q2039	L											
Q2041	Axicabtagene ciloleucel car+	35	35	12639399	44191.17	848995	361125.7	295197.2	295197.2	299174.4	299174.4	62.86	Q2041	K	9035	"$459,381.446"									
Q2042	Tisagenlecleucel car-pos t	17	17	6825109.57	157499.3	995750	401477	329835	329835	266805	266805	64.923	Q2042	K	9194	"$518,240.680"									
Q2043	Sipuleucel-t auto cd54+	400	400	20597109.28	10624.78	122968.3	51492.77	46606.34	46606.34	52085.17	52085.17	41.221	Q2043	K	9273	"$55,453.567"									
Q2049	Imported lipodox inj	2	15	7074.25	318.25	548.3	471.62	457.37	2953.8	548.3	3537.14	89.058	Q2049	K	1421	$391.420									
Q2050	Doxorubicin inj 10mg	12880	82096	22470428.8	3.81	1946.37	273.71	220.74	1354.54	232.33	1398.13	170.649	Q2050	K	7046	$114.936									
Q2053	Brexucabtagene car pos t	14	14	3817183.2	50233.4	848995	272655.9	194864.1	194864.1	299174.4	299174.4	76.59	Q2053	K	9391	"$449,440.000"									
Q2054	Lisocabtagene mara car pos t	48	48	22577817.18	185527.4	11188.8	470371.2	419783.1	419783.1	418693.9	418693.9	49.142	Q2054	K	9413	"$474,060.620"									
Q2055	Idecabtagene vicleucel car	7	10	2848245.26	128838.9	915670	284824.5	234938.1	370492.2	236113	322639.1	100.258	Q2055	K	9422	"$484,690.300"									
Q2056	Ciltacabtagene car-pos t	44	44	17632861.95	180508.4	960120	400746.9	353672.1	353672.1	313462.8	313462.8	57.605	Q2056	G	9498	"$507,495.551"									
Q3027	Inj beta interferon im 1 mcg	301	7725	634340.1	8.36	1616.1	82.12	57.66	1684.04	63.69	1616.1	792.731	Q3027	K	1472	$54.280									
Q4081	"Epoetin alfa, 100 units esrd"	1785	160119	432456.19	0.05	69.12	2.7	2.08	177.87	2.2	196.65	1599.397	Q4081	N											
Q4100	"Skin substitute, nos"	3368	48461	7033081.12	0.01	55102.48	145.13	5.9	943.97	1.73	1135.73	2246.565	Q4100	N											
Q4101	Apligraf	7249	287675	10555139.82	0.22	8121.09	36.69	28.42	1020.12	29.22	1235.41	1222.14	Q4101	N											
Q4102	Oasis wound matrix	1581	23141	479127.8	0.21	3950.1	20.7	9.55	124.34	8.34	105.39	1255.452	Q4102	N											
Q4103	Oasis burn matrix	746	35075	357403.81	0.37	3517.61	10.19	7.22	214.43	8.33	200.03	2535.41	Q4103	N											
Q4104	Integra bmwd	1584	67645	5487744.95	0.01	35773.13	81.13	36.89	2227.49	31.92	2646.97	3264.683	Q4104	N											
Q4105	Integra drt or omnigraft	198	1618	253494.7	0.3	10602.55	156.67	56.34	129.58	62.24	479.37	1172.809	Q4105	N											
Q4106	Dermagraft	41	272	43931.73	13.75	3476.72	161.51	57.84	264.96	53.8	485.46	738.273	Q4106	N											
Q4107	Graftjacket	229	2235	704489.47	1.64	8866.46	315.21	93.37	2188.13	66.22	2604.81	821.672	Q4107	N											
Q4108	Integra matrix	207	7741	664709.47	0.1	11283.38	85.87	38.37	1980.99	34.61	2536.91	2150.252	Q4108	N											
Q4110	Primatrix	851	11057	936246.87	0.31	7480.86	84.67	52.69	667.21	54.9	661.11	876.708	Q4110	N											
Q4111	Gammagraft	23	1215	7900.79	2.12	556.75	6.5	4.97	290.56	5.51	308.37	1869.678	Q4111	N											
Q4112	Cymetra injectable	3	3	4323.5	483.07	3357.36	1441.17	921.88	921.88	483.07	483.07	115.148	Q4112	N											
Q4113	Graftjacket xpress	1	1	1335.82	1335.82	1335.82	1335.82	1335.82	1335.82	1335.82	1335.82	.	Q4113	N											
Q4114	Integra flowable wound matri	250	542	296241.32	18.35	7178.55	546.57	125.27	395.07	103.75	209.46	311.331	Q4114	N											
Q4115	Alloskin	33	2699	15492.71	2.4	1343.79	5.74	3.41	363.35	4.5	460.59	6033.817	Q4115	N											
Q4116	Alloderm	2515	416982	19785526.37	0.02	31209.85	47.45	31.27	3309.92	33.21	5186.61	8729.472	Q4116	N											
Q4117	Hyalomatrix	227	4880	101417.69	5.98	3550.66	20.78	14.97	257.48	15.71	290.04	2101.803	Q4117	N											
Q4118	Matristem micromatrix	821	348740	1252020.68	0.44	8371.45	3.59	2.43	622.7	2.78	922.14	23207.63	Q4118	N											
Q4121	Theraskin	4771	97683	6770073.53	0.99	10869.39	69.31	42.01	745.25	39.78	835.04	1034.656	Q4121	N											
Q4122	"Dermacell, awm, porous sq cm"	204	31048	1568485.78	0.02	18471.08	50.52	16.75	3633.1	32.93	4476.74	10971.29	Q4122	N											
Q4123	Alloskin	10	117	5908.22	40.25	291.38	50.5	48.5	389.85	54.38	467.71	170.326	Q4123	N											
Q4124	Oasis tri-layer wound matrix	514	10664	193061.09	1.73	2079.92	18.1	11.01	188.34	12.28	170.29	1173.106	Q4124	N											
Q4125	Arthroflex	638	12003	1978315.32	0.62	17378.34	164.82	32.88	2039.64	74.95	2745.11	1628.198	Q4125	N											
Q4126	Memoderm/derma/tranz/integup	49	5439	223506.32	3.16	7384.83	41.09	14.75	2317.29	18.03	2256.8	8134.822	Q4126	N											
Q4127	Talymed	72	787	55699.54	36.2	154.66	70.77	64.56	747.33	66.3	904.96	134.475	Q4127	N											
Q4128	Flexhd/allopatchhd/sq cm	824	128280	4591958.4	0.06	31640.6	35.8	18.02	1886.67	20.11	2320.51	11956.47	Q4128	N											
Q4130	Strattice tm	179	16316	615401.52	1.11	9251.26	37.72	26.57	1619	29.13	2118.64	4226.474	Q4130	N											
Q4132	"Grafix core, grafixpl core"	461	2677	488759.98	15.41	13559.4	182.58	123.61	509.94	121.83	506.78	665.631	Q4132	N											
Q4133	Grafix stravix prime pl sqcm	15152	84908	16539472.46	0.43	14416.89	194.79	130.86	636.4	131.35	639.63	373.208	Q4133	N											
Q4134	Hmatrix	1	1	6447.98	6447.98	6447.98	6447.98	6447.98	6447.98	6447.98	6447.98	.	Q4134	N											
Q4135	Mediskin	.	.	.	.	.	.	.	.	.	.	.	Q4135	N											
Q4136	Ezderm	15	17	3284.16	0.86	287.69	193.19	70.81	137.23	287.69	287.69	73.449	Q4136	N											
Q4137	Amnioexcel biodexcel 1sq cm	1217	9496	1440395.43	10.08	6275.58	151.68	87.27	694.71	87.22	752.97	501.452	Q4137	N											
Q4138	"Biodfence dryflex, 1cm"	13	36	27180.42	78.87	3195.76	755.01	454.55	1506.37	328.19	2373.87	212.544	Q4138	N											
Q4139	"Amnio or biodmatrix, inj 1cc"	19	30	33254.4	7.05	2937.48	1108.48	304.19	289.43	259.78	746.93	139.153	Q4139	N											
Q4140	Biodfence 1cm	164	2594	340927.35	30.58	5081.08	131.43	93.5	1198.15	116.33	1746.93	803.575	Q4140	N											
Q4141	"Alloskin ac, 1 cm"	5	530	3168.36	0.45	174.15	5.98	5.68	150.73	5.67	997.55	1408.586	Q4141	N											
Q4142	Xcm biologic tiss matrix 1cm	8	507	21390.85	26.74	3637.14	42.19	27.96	986.92	26.74	849.59	3817.09	Q4142	N											
Q4143	"Repriza, 1cm"	.	.	.	.	.	.	.	.	.	.	.	Q4143	N											
Q4145	"Epifix, inj, 1mg"	.	.	.	.	.	.	.	.	.	.	.	Q4145	N											
Q4146	"Tensix, 1cm"	.	.	.	.	.	.	.	.	.	.	.	Q4146	N											
Q4147	Architect ecm px fx 1 sq cm	1	24	5780.16	240.84	240.84	240.84	240.84	5780.23	240.84	5780.23	.	Q4147	N											
Q4148	Neox neox rt or clarix cord	1003	8374	1190854.08	0.14	6820.27	142.21	91.02	646.16	94.94	772.65	680.273	Q4148	N											
Q4149	"Excellagen, 0.1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4149	N											
Q4150	Allowrap ds or dry 1 sq cm	111	1240	332520.26	36.46	5757.88	268.16	177.43	2209.27	193.25	2919.79	656.527	Q4150	N											
Q4151	"Amnioband, guardian 1 sq cm"	662	3968	696028.4	9.81	6675.84	175.41	112.32	390.69	124.32	482.41	443.212	Q4151	N											
Q4152	Dermapure 1 square cm	114	3090	241770.75	11.79	8633.77	78.24	35.74	1431.71	29.32	1583.1	2559.414	Q4152	N											
Q4153	"Dermavest, plurivest sq cm"	10	31	7392.08	48.76	1093.56	238.45	107.75	456.75	103.47	1093.56	292.506	Q4153	N											
Q4154	Biovance 1 square cm	118	531	240000.42	45.6	7119.36	451.98	131.78	592.38	115.39	446.68	511.739	Q4154	N											
Q4155	Neoxflo or clarixflo 1 mg	205	12116	361005.97	1.48	4477.49	29.8	11.79	1016.57	12.83	1419.18	4474.112	Q4155	N											
Q4156	Neox 100 or clarix 100	96	1849	192039.35	23.88	4301.78	103.86	53.28	1301.94	39.34	1662.59	1338.848	Q4156	N											
Q4157	Revitalon 1 square cm	.	.	.	.	.	.	.	.	.	.	.	Q4157	N											
Q4158	"Kerecis omega3, per sq cm"	6382	93047	6852119.15	0.01	12525.4	73.64	40.12	546.78	43.69	635.25	1180.036	Q4158	N											
Q4159	Affinity1 square cm	2788	8734	2928592.9	6.72	4180.21	335.31	250.52	763.76	271.8	755.82	152.785	Q4159	N											
Q4160	Nushield 1 square cm	8451	52951	8494931.88	0.28	10087.68	160.43	103.65	514.86	104.37	522.75	571.173	Q4160	N											
Q4161	Bio-connekt per square cm	10	148	4613.85	12.85	62.54	31.17	25.82	268.45	17.13	222.2	260.16	Q4161	N											
Q4162	"Wndex flw, bioskn flw, 0.5cc"	19	142	78085.8	549.9	549.9	549.9	549.9	3989.73	549.9	4399.2	0	Q4162	N											
Q4163	"Woundex, bioskin, per sq cm"	86	107	185263.13	86.17	15790.74	1731.43	1087.63	1785.29	1529.42	1674.42	120.665	Q4163	N											
Q4164	"Helicoll, per square cm"	.	.	.	.	.	.	.	.	.	.	.	Q4164	N											
Q4165	"Keramatrix, kerasorb sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4165	N											
Q4166	"Cytal, per square centimeter"	609	36639	810848.68	0.04	6421.7	22.13	11.6	373.1	13.84	594.79	3960.02	Q4166	N											
Q4167	"Truskin, per sq centimeter"	4	4	3876.76	561.71	1611.12	969.19	899.64	899.64	851.97	851.97	46.512	Q4167	N											
Q4168	"Amnioband, 1 mg"	103	7260	226188.73	6.58	2846.59	31.16	23.22	1148.26	28.08	1711.01	2455.861	Q4168	N											
Q4169	"Artacent wound, per sq cm"	6	6	426.99	55.4	149.99	71.16	65.4	65.4	55.4	55.4	54.263	Q4169	N											
Q4170	"Cygnus, per sq cm"	74	1399	77408.91	18.12	3706.85	55.33	39.11	743.78	25.53	958.38	978.98	Q4170	N											
Q4171	"Interfyl, 1 mg"	81	5276	233280.22	0.74	2986.97	44.22	5.02	2534.56	9.46	2695.83	5507.12	Q4171	N											
Q4173	Palingen or palingen xplus	66	791	56759.73	0.28	2865.13	71.76	44.39	79.72	47.61	774.52	914.624	Q4173	N											
Q4174	Palingen or promatrx	83	569	142742.98	150.3	851.29	250.87	246.27	1466.84	227.48	1819.85	60.661	Q4174	N											
Q4175	Miroderm	4	12	6908.45	114.06	2932.29	575.7	246.44	1551.18	114.06	1531.84	303.75	Q4175	N											
Q4176	"Neopatch or therion, 1 sq cm"	143	1223	229483.88	37.39	797.01	187.64	177.11	1376.44	161	1497.3	103.447	Q4176	N											
Q4177	"Floweramnioflo, 0.1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4177	N											
Q4178	"Floweramniopatch, per sq cm"	6	114	10712.93	18.61	728.33	93.97	74.71	1183.63	108.96	1492.39	368.295	Q4178	N											
Q4179	"Flowerderm, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4179	N											
Q4180	"Revita, per sq cm"	184	7487	323255.55	9.88	3134.25	43.18	32.67	896.01	24.05	967.42	1507.213	Q4180	N											
Q4181	"Amnio wound, per square cm"	10	75	33002.89	2.21	4504.95	440.04	193.12	1205.03	220.98	2104.97	554.443	Q4181	N											
Q4182	"Transcyte, per sq centimeter"	1	8	901.68	112.71	112.71	112.71	112.71	901.66	112.71	901.66	.	Q4182	N											
Q4183	"Surgigraft, 1 sq cm"	232	1008	131836.32	7.79	2884.2	130.79	78.83	278.22	63.53	254.1	300.002	Q4183	N											
Q4184	Cellesta or duo per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4184	N											
Q4185	Cellesta flowab amnion 0.5cc	.	.	.	.	.	.	.	.	.	.	.	Q4185	N											
Q4186	Epifix 1 sq cm	20555	108585	17893925.52	2.28	13393.17	164.79	120.5	559.48	122.42	577.96	281.888	Q4186	N											
Q4187	Epicord 1 sq cm	4020	19583	4623383.2	0.55	5244.82	236.09	180.15	789.56	210.27	795.99	174.631	Q4187	N											
Q4188	Amnioarmor 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4188	N											
Q4189	"Artacent ac, 1 mg"	.	.	.	.	.	.	.	.	.	.	.	Q4189	N											
Q4190	Artacent ac 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4190	N											
Q4191	Restorigin 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4191	N											
Q4192	"Restorigin, 1 cc"	.	.	.	.	.	.	.	.	.	.	.	Q4192	N											
Q4193	Coll-e-derm 1 sq cm	13	86	27979.45	71.36	3262.23	325.34	159.66	1601.57	97.61	2257.6	510.294	Q4193	N											
Q4194	Novachor 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4194	N											
Q4195	Puraply 1 sq cm	677	4739	656941.15	0.04	21604.49	138.62	81.8	521.1	79.39	573.8	826.956	Q4195	N											
Q4196	Puraply am 1 sq cm	19976	139894	17863364.56	0.28	17712.64	127.69	91.07	535.75	97.82	569.97	456.151	Q4196	N											
Q4197	Puraply xt 1 sq cm	29	423	55424.3	30.41	7358.28	131.03	66.27	1096.62	38.55	1538.32	1304.774	Q4197	N											
Q4198	Genesis amnio membrane 1sqcm	10	251	19338.3	51.89	3041.29	77.05	54.19	1492.71	51.89	926.19	1690.19	Q4198	N											
Q4199	"Cygnus matrix, per sq cm"	6	52	11985.28	171.61	937	230.49	195.55	1534.9	171.61	937	285.366	Q4199	N											
Q4200	Skin te 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4200	N											
Q4201	Matrion 1 sq cm	357	2407	1050658.03	100.07	2976.37	436.5	347.44	2140.32	603.12	3618.7	145.803	Q4201	N											
Q4202	"Keroxx (2.5g/cc), 1cc"	.	.	.	.	.	.	.	.	.	.	.	Q4202	N											
Q4203	"Derma-gide, 1 sq cm"	3	4	770.72	160.01	225.35	192.68	191.28	240.41	192.68	225.35	16.956	Q4203	N											
Q4204	Xwrap 1 sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4204	N											
Q4205	Membrane graft or wrap sq cm	75	5084	430025.34	43.87	5422.82	84.58	63.26	3250.8	56.65	3813.48	2278.84	Q4205	N											
Q4206	Fluid flow or fluid gf 1 cc	1	2	3797.66	1898.83	1898.83	1898.83	1898.83	3797.66	1898.83	3797.66	.	Q4206	N											
Q4208	Novafix per sq cm	13	13	1084.2	83.4	83.4	83.4	83.4	83.4	83.4	83.4	0	Q4208	N											
Q4209	Surgraft per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4209	N											
Q4210	Axolotl graf dualgraf sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4210	D											
Q4211	Amnion bio or axobio sq cm	10	11	31881.97	983.13	4776.72	2898.36	2469.82	2902.51	3296.43	3455.48	56.068	Q4211	N											
Q4212	"Allogen, per cc"	.	.	.	.	.	.	.	.	.	.	.	Q4212	N											
Q4213	"Ascent, 0.5 mg"	.	.	.	.	.	.	.	.	.	.	.	Q4213	N											
Q4214	Cellesta cord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4214	N											
Q4215	"Axolotl ambient, cryo 0.1 mg"	.	.	.	.	.	.	.	.	.	.	.	Q4215	N											
Q4216	Artacent cord per sq cm	1	1	3392.68	3392.68	3392.68	3392.68	3392.68	3392.68	3392.68	3392.68	.	Q4216	N											
Q4217	Woundfix biowound plus xplus	.	.	.	.	.	.	.	.	.	.	.	Q4217	N											
Q4218	Surgicord per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4218	N											
Q4219	Surgigraft dual per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4219	N											
Q4220	"Bellacell hd, surederm sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4220	N											
Q4221	Amniowrap2 per sq cm	1	1	596.44	596.44	596.44	596.44	596.44	596.44	596.44	596.44	.	Q4221	N											
Q4222	"Progenamatrix, per sq cm"	33	1460	78937.89	0.31	1621.04	54.07	14.8	1253.42	9.84	999.73	2680.892	Q4222	N											
Q4224	Hhf10-p per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4224	N											
Q4225	"Amnio or derma tl, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4225	N											
Q4226	Myown harv prep proc sq cm	1	107	10106.15	94.45	94.45	94.45	94.45	10105.72	94.45	10105.72	.	Q4226	N											
Q4227	Amniocore per sq cm	34	3364	108806.64	7.02	2398.68	32.34	21.12	2270.06	30.19	2012.88	3320.128	Q4227	N											
Q4229	Cogenex amnio memb per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4229	N											
Q4230	Cogenex flow amnion 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4230	N											
Q4231	"Corplex p, per cc"	.	.	.	.	.	.	.	.	.	.	.	Q4231	N											
Q4232	"Corplex, per sq cm"	19	82	10200.23	44.91	679.31	124.39	94.89	455.69	99.39	419.26	222.043	Q4232	N											
Q4233	Surfactor /nudyn per 0.5 cc	.	.	.	.	.	.	.	.	.	.	.	Q4233	N											
Q4234	"Xcellerate, per sq cm"	14	355	106444.26	90.74	3336.18	299.84	237.3	4018.17	237.26	3796.2	468.976	Q4234	N											
Q4235	Amniorepair or altiply sq cm	55	145	99083.25	118.95	3226.78	683.33	294.9	1324.31	246.5	1053.94	261.073	Q4235	N											
Q4236	Carepatch per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4236	N											
Q4237	"Cryo-cord, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4237	N											
Q4238	"Derm-maxx, per sq cm"	5	132	13624.16	88.96	182.48	103.21	100.23	1751.25	92.83	1462.4	163.919	Q4238	N											
Q4239	Amnio-maxx or lite per sq cm	3	102	4520.83	0.09	2591.65	44.32	0.11	357.87	0.09	1920.18	5096.11	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	D											
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	8	10	30061.33	912.49	6019.97	3006.13	2389.5	2329.43	1760.15	1614.19	78.296	Q4248	N											
Q4249	"Amniply, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4249	N											
Q4250	Amnioamp-mp per sq cm	25	504	48464.16	39.63	123.68	96.16	92.12	1762.03	104.3	2503.24	108.363	Q4250	N											
Q4251	"Vim, per square centimeter"	.	.	.	.	.	.	.	.	.	.	.	Q4251	N											
Q4252	"Vendaje, per square centimet"	.	.	.	.	.	.	.	.	.	.	.	Q4252	N											
Q4253	Zenith amniotic membrane psc	1	6	297.78	49.63	49.63	49.63	49.63	297.78	49.63	297.78	.	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"	321	6557	272122.89	2.43	226.43	41.5	32.37	605.82	21.78	727.02	395.919	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"	27	27	51715.77	1398.47	2561.56	1915.4	1830.1	1830.1	1398.47	1398.47	30.748	Q4262	N											
Q4263	"Surgraft tl, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4263	N											
Q4264	"Cocoon membrane, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4264	N											
Q4265	Neostim tl per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4265	N											
Q4266	Neostim per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4266	N											
Q4267	Neostim dl per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4267	N											
Q4268	Surgraft ft per sq cm	1	1	760.95	760.95	760.95	760.95	760.95	760.95	760.95	760.95	.	Q4268	N											
Q4269	Surgraft xt per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4269	N											
Q4270	Complete sl per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4270	N											
Q4271	Complete ft per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4271	N											
Q4272	"Esano a, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4272	N											
Q4273	"Esano aaa, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4273	N											
Q4274	"Esano ac, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4274	N											
Q4275	"Esano aca, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4275	N											
Q4276	"Orion, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4276	N											
Q4278	"Epieffect, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4278	N											
Q4279	"Vendaje ac, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4279	N											
Q4280	Xcell amnio matrix per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4280	N											
Q4281	Barrera slor dl per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4281	N											
Q4282	Cygnus dual per sq cm	1	1	2655.25	2655.25	2655.25	2655.25	2655.25	2655.25	2655.25	2655.25	.	Q4282	N											
Q4283	"Biovance tri or 3l, sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4283	N											
Q4284	"Dermabind sl, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4284	N											
Q4285	Nudyn dl or dl mesh pr sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4285	N											
Q4286	"Nudyn sl or slw, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4286	N											
Q4287	"Dermabind dl, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4287	N											
Q4288	"Dermabind ch, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4288	N											
Q4289	"Revoshield+ amnio, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4289	N											
Q4290	Membrane wrap hydr per sq cm	.	.	.	.	.	.	.	.	.	.	.	Q4290	N											
Q4291	"Lamellas xt, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4291	N											
Q4292	"Lamellas, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4292	N											
Q4293	"Acesso dl, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4293	N											
Q4294	"Amnio quad-core, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4294	N											
Q4295	"Amnio tri-core, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4295	N											
Q4296	"Rebound matrix, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4296	N											
Q4297	"Emerge matrix, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4297	N											
Q4298	"Amnicore pro, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4298	N											
Q4299	"Amnicore pro+, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4299	N											
Q4300	"Acesso tl, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4300	N											
Q4301	"Activate matrix, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4301	N											
Q4302	"Complete aca, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4302	N											
Q4303	"Complete aa, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4303	N											
Q4304	"Grafix plus, per sq cm"	.	.	.	.	.	.	.	.	.	.	.	Q4304	N											
Q5101	"Injection, zarxio"	47260	20641541	16570203.08	0.01	9.33	0.8	0.67	277.78	0.7	280.5	1340.069	Q5101	K	1822	$0.423									
Q5103	"Injection, inflectra"	23682	1291163	88351041.53	1.33	356.6	68.43	60.67	3024.74	62.76	3085.21	372.119	Q5103	K	1847	$11.092									
Q5104	"Injection, renflexis"	21440	1104787	64965250.6	0.98	240.21	58.8	52.24	2472.05	53.38	2488.13	354.13	Q5104	K	9036	$30.579									
Q5105	Inj retacrit esrd on dialysi	8490	1116359	1681891.41	0.02	257.97	1.51	1.13	124.44	1.13	122.96	2015.375	Q5105	K	9096	$0.751									
Q5106	Inj retacrit non-esrd use	87023	2836811	31868359.46	0.05	375.91	11.23	9.87	277.25	10.55	316.86	377.033	Q5106	K	9097	$7.511									
Q5107	Inj mvasi 10 mg	49255	3419293	214102731.7	2.05	350.51	62.62	58.03	3565.75	58.19	3488.26	336.162	Q5107	K	9329	$26.750									
Q5108	"Injection, fulphila"	29932	357773	81598433.61	7.3	1050.9	228.07	199.96	2386.4	207.86	2494.34	177.036	Q5108	K	9173	$164.037									
Q5109	"Injection, ixifi, 10 mg"	4	8	101.92	12.42	14.98	12.74	12.71	24.23	12.42	24.84	10.852	Q5109	E2											
Q5110	Nivestym	12411	5688327	3605861.59	0.05	2.81	0.63	0.55	238.27	0.51	228.87	1191.314	Q5110	K	9193	$0.285									
Q5111	"Injection, udenyca 0.5 mg"	22302	267624	66156101.16	8.13	1398.55	247.2	222.92	2675.01	226.67	2719.99	157.199	Q5111	K	9195	$135.486									
Q5112	Inj ontruzant 10 mg	4817	205106	13745095.38	3.28	318.04	67.01	60.45	2400.34	61.09	2518.99	305.486	Q5112	K	9382	$34.057									
Q5113	Inj herzuma 10 mg	2861	123407	7262502.13	4.12	174.22	58.85	53	2097.34	55.49	2211.32	307.058	Q5113	K	9349	$55.797									
Q5114	Inj ogivri 10 mg	13832	593090	38804824.25	7.4	223.28	65.43	57.25	2277.7	59.53	2415.31	328.361	Q5114	K	9341	$62.618									
Q5115	Inj truxima 10 mg	35038	2710829	187870557.4	1.24	333.08	69.3	63.22	4784.7	64.47	4894.43	394.191	Q5115	K	9336	$30.980									
Q5116	"Inj., trazimera, 10 mg"	13992	592212	42148625	0.38	338.77	71.17	64.6	2554.94	68.3	2744.54	271.412	Q5116	K	9350	$12.765									
Q5117	"Inj., kanjinti, 10 mg"	19922	847635	67855856.3	1.08	652.82	80.05	73.98	2937.28	73.75	3036.57	289.486	Q5117	K 	9330	$17.681									
Q5118	"Inj., zirabev, 10 mg"	38114	2705366	150916917.8	2.59	379.55	55.78	50.93	3212.73	54.7	3319.63	335.924	Q5118	K	9348	$20.755									
Q5119	"Inj ruxience, 10 mg"	26223	2043277	135352331.7	2.07	408.29	66.24	61.3	4702.52	65.11	4989.42	355.877	Q5119	K	9367	$20.275									
Q5120	Inj pegfilgrastim-bmez 0.5mg	7878	94444	22738259.36	5.95	1270.48	240.76	216.78	2597.7	227.11	2725.34	155.825	Q5120	K	9345	$346.755									
Q5121	"Inj. avsola, 10 mg"	5480	289685	13916734.42	2.56	270.78	48.04	44.37	2143.3	42.55	2131.74	334.346	Q5121	K	9381	$24.373									
Q5122	"Inj, nyvepria"	2290	27444	7998738.96	10.64	898.01	291.46	257.33	3081.69	274.06	3288.75	211.742	Q5122	K	9406	$65.506									
Q5123	"Inj. riabni, 10 mg"	3434	258060	14743179.44	10.68	1488.83	57.13	52.89	3906.9	52.01	3764.74	597.587	Q5123	K	9411	$41.418									
Q5124	"Inj. byooviz, 0.1 mg"	15	75	22015.35	189.7	327.07	293.54	287.01	1435.06	327.07	1635.33	44.606	Q5124	G	9017	$175.058									
Q5125	"Inj, releuko 1 mcg"	346	132576	59402.88	0.15	1.67	0.45	0.41	152.59	0.4	170.25	1069.678	Q5125	G	9447	$0.526									
Q5126	Inj alymsys 10 mg	1739	112042	6379971.56	3.79	469.03	56.94	50.81	3034.33	51.11	3227.68	412.37	Q5126	G	9048	$58.811									
Q5127	"Inj, stimufend, 0.5 mg"	262	3144	906935.76	144.4	809.71	288.47	265.7	3188.33	281.45	3377.36	180.184	Q5127	K 	9129	$344.101									
Q5128	"Inj, cimerli, 0.1 mg"	152	921	298403.3	242.23	393.64	324	323.22	1845.82	332.52	1662.6	16.388	Q5128	G	9117	$256.167									
Q5129	"Inj, vegzelma, 10 mg"	23	1253	97666.06	50.38	108.95	77.95	74.67	3476.69	62.94	2526.99	221.749	Q5129	G	9159	$69.268									
Q5130	"Inj, fylnetra, 0.5 mg"	65	780	105197.28	101.53	343.66	134.87	128	1536.04	108.28	1299.38	130.375	Q5130	G	9118	$201.315									
Q5131	"Inj, idacio, 20 mg"	.	.	.	.	.	.	.	.	.	.	.	Q5131	E2 											
Q5132	"Inj, abrilada, 10 mg"	.	.	.	.	.	.	.	.	.	.	.	Q5132	E2											
Q9950	Inj sulf hexa lipid microsph	39009	156434	4274841.32	1.05	743.43	27.33	22.9	91.62	24.75	104.54	163.806	Q9950	N											
Q9951	"Locm >= 400 mg/ml iodine,1ml"	75	266	6925.32	0.47	168.2	26.04	8.34	50.7	39.91	39.91	167.758	Q9951	N											
Q9953	"Inj fe-based mr contrast,1ml"	141	2255	30613.19	1.02	52.84	13.58	7.1	133.16	11.19	190.3	433.79	Q9953	N											
Q9954	"Oral mr contrast, 100 ml"	1078	5012	21163.55	0.04	188.97	4.22	1.63	5.11	1.1	4.34	536.358	Q9954	N											
Q9955	"Inj perflexane lip micros,ml"	69	69	9092.13	131.77	131.77	131.77	131.77	131.77	131.77	131.77	0	Q9955	N											
Q9956	"Inj octafluoropropane mic,ml"	26612	67109	3551934.16	3.2	695.71	52.93	42.67	105.38	43.13	111.06	164.851	Q9956	N											
Q9957	"Inj perflutren lip micros,ml"	220044	410046	39212071.61	3.29	1645.77	95.63	72.65	131.26	72.44	133.7	113.1	Q9957	N											
Q9958	"Hocm <=149 mg/ml iodine, 1ml"	8923	1854244	556481.4	0.01	168.59	0.3	0.15	23.06	0.16	28.28	4054.979	Q9958	N											
Q9959	"Hocm 150-199mg/ml iodine,1ml"	46	7501	1564.54	0.1	2.82	0.21	0.19	12.18	0.22	46.77	712.369	Q9959	N											
Q9960	"Hocm 200-249mg/ml iodine,1ml"	1585	31849	22666.96	0.01	27.62	0.71	0.29	7.67	0.18	8.41	721.117	Q9960	N											
Q9961	"Hocm 250-299mg/ml iodine,1ml"	4421	133793	68675.67	0.01	488.46	0.51	0.31	6.29	0.3	7.64	1842.311	Q9961	N											
Q9962	"Hocm 300-349mg/ml iodine,1ml"	675	38894	38634.26	0.08	182.73	0.99	0.54	29.28	1.33	39.96	1341.919	Q9962	N											
Q9963	"Hocm 350-399mg/ml iodine,1ml"	48714	2322251	1394451.27	0.01	192.61	0.6	0.34	13.6	0.4	13.54	1350.259	Q9963	N											
Q9964	"Hocm>= 400mg/ml iodine, 1ml"	1105	97965	285644.35	0.01	112.38	2.92	2.3	203.53	3.15	308.25	854.963	Q9964	N											
Q9965	"Locm 100-199mg/ml iodine,1ml"	64382	1239524	2473056.35	0.01	693.89	2	0.62	15.81	0.58	21.79	889.073	Q9965	N											
Q9966	"Locm 200-299mg/ml iodine,1ml"	195819	4971294	7689339.53	0.01	1070.84	1.55	0.64	14.58	0.7	18.67	1240.555	Q9966	N											
Q9967	"Locm 300-399mg/ml iodine,1ml"	3713670	346055548	271129204.7	0.01	383.3	0.78	0.46	40.24	0.52	45.13	1207.055	Q9967	N											
Q9968	Visualization adjunct	30144	1251476	16074338.89	0.05	10630.94	12.84	7.48	266.3	8.04	309.79	1403.342	Q9968	K	1446	$7.723									
Q9969	Non-heu tc-99m add-on/dose	155717	242208	1390035.22	0.01	384.08	5.74	1.98	2.96	2.29	3.57	286.018	Q9969	K	1442	$10.000									
Q9982	Flutemetamol f18 diagnostic	3	4	9021.99	519.87	4251.06	2255.5	1777.59	2110.07	2125.53	4251.06	83.114	Q9982	K	9459	"$2,255.500"									
Q9983	Florbetaben f18 diagnostic	29	29	33486.24	370.18	3554.87	1154.7	1074.05	1074.05	1076.74	1076.74	46.234	Q9983	K	9458	"$1,154.700"									
Q9991	Buprenorph xr 100 mg or less	295	295	463750.86	307.3	3020.17	1572.04	1496.88	1496.88	1521.68	1521.68	30.106	Q9991	K	9073	"$1,874.902"									
Q9992	Buprenorphine xr over 100 mg	319	319	550849.84	835.77	3624.67	1726.8	1641.71	1641.71	1773.58	1773.58	32.141	Q9992	K	9239	"$1,874.902"									
																									
