|
Incobotulinumtoxin a
|
$36.40 |
$36.40 |
$36.40 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$96.20 |
$96.20 |
$96.20 |
$766.66
|
|
Infect ag eia influenza a or b ea
|
$333.45 |
$333.45 |
$333.45 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$665.40
|
|
Infect ag ia optc obs chlamydia trach
|
$99.45 |
$99.45 |
$99.45 |
$96.32
|
|
Infect ag ia optc obs influenza
|
$339.95 |
$339.95 |
$339.95 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$85.15 |
$85.15 |
$85.15 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$39.00 |
$39.00 |
$39.00 |
$66.06
|
|
Infect ag na hpv high-risk types
|
$63.70 |
$63.70 |
$63.70 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$206.70 |
$206.70 |
$206.70 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$150.80 |
$150.80 |
$150.80 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$549.90 |
$549.90 |
$549.90 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$191.75 |
$191.75 |
$191.75 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.10 |
$35.10 |
$35.10 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$32.50 |
$32.50 |
$32.50 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$81.90 |
$81.90 |
$81.90 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$332.15 |
$332.15 |
$332.15 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$103.35 |
$103.35 |
$103.35 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$245.05 |
$245.05 |
$245.05 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$253.50 |
$253.50 |
$253.50 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$388.05 |
$388.05 |
$388.05 |
$98.58
|
|
Infectious agent nucleic acid amplified probe
|
$905.45 |
$905.45 |
$905.45 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$53.30 |
$53.30 |
$53.30 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$198.25 |
$198.25 |
$198.25 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$770.90 |
$770.90 |
$770.90 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$121.55 |
$121.55 |
$121.55 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$121.55 |
$121.55 |
$121.55 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$348.40 |
$348.40 |
$348.40 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$53.30 |
$53.30 |
$53.30 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$128.70 |
$128.70 |
$128.70 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$139.10 |
$139.10 |
$139.10 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$146.90 |
$146.90 |
$146.90 |
$96.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$494.65 |
$494.65 |
$494.65 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$695.50 |
$695.50 |
$695.50 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$495.30 |
$495.30 |
$495.30 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$250.25 |
$250.25 |
$250.25 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$193.70 |
$193.70 |
$193.70 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$178.75 |
$178.75 |
$178.75 |
$375.00
|
|
Infliximab 100 mg intravenous solution
|
$638.95 |
$638.95 |
$638.95 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$346.45 |
$346.45 |
$346.45 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$524.55 |
$524.55 |
$524.55 |
$1,537.84
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$618.80 |
$618.80 |
$618.80 |
$296.00
|
|
Inj, acetaminophen (b braun)
|
$79.30 |
$79.30 |
$79.30 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$93.60 |
$93.60 |
$93.60 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$115.70 |
$115.70 |
$115.70 |
$56.70
|
|
Inj. acthar gel to 40 units
|
$17,231.50 |
$17,231.50 |
$17,231.50 |
$7,918.32
|
|
Inj, adalimumab, 1 mg
|
$791.05 |
$791.05 |
$791.05 |
$12,098.05
|
|
Inj, adstiladrin, per tx dos
|
$249,373.80 |
$249,373.80 |
$249,373.80 |
$63,354.77
|
|
Inj, aducanumab-avwa, 2 mg
|
$15.60 |
$15.60 |
$15.60 |
$5.98
|
|
Inj allopurinol sodium 1 mg
|
$19,180.85 |
$19,180.85 |
$19,180.85 |
$6,968.99
|
|
Inj alymsys 10 mg
|
$423.15 |
$423.15 |
$423.15 |
$1,280.74
|
|
Inj andexxa, 10 mg
|
$640.90 |
$640.90 |
$640.90 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$93.60 |
$93.60 |
$93.60 |
$10,052.58
|
|
Inj, artesunate, 1mg
|
$424.80 |
$424.80 |
$424.80 |
$14,460.21
|
|
Inj, aspara, rylaze, 0.1 mg
|
$276.25 |
$276.25 |
$276.25 |
$10,458.00
|
|
Inj., benralizumab, 1 mg
|
$1,039.35 |
$1,039.35 |
$1,039.35 |
$11,310.00
|
|
Inj, bezlotoxumab, 10 mg
|
$223.60 |
$223.60 |
$223.60 |
$7,612.43
|
|
Inj., brexanolone, 1 mg
|
$438.75 |
$438.75 |
$438.75 |
$13,019.44
|
|
Inj calcitriol per 0.1 mcg
|
$92.95 |
$92.95 |
$92.95 |
$22.69
|
|
Inj cefazolin sodium, baxter
|
$87.75 |
$87.75 |
$87.75 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$23.40 |
$23.40 |
$23.40 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$230.75 |
$230.75 |
$230.75 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$16.25 |
$16.25 |
$16.25 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$57.85 |
$57.85 |
$57.85 |
$364.86
|
|
Inj, clindamycin (baxter)
|
$127.40 |
$127.40 |
$127.40 |
$48.30
|
|
Inj., copanlisib, 1 mg
|
$819.00 |
$819.00 |
$819.00 |
$9,204.29
|
|
Inj crotalidae im f(ab')2 eq
|
$3,657.55 |
$3,657.55 |
$3,657.55 |
$2,613.60
|
|
Inj, cyclophos (baxter) 5mg
|
$53.95 |
$53.95 |
$53.95 |
$2,584.85
|
|
Inj cyclophos dr.reddy's 5mg
|
$94.25 |
$94.25 |
$94.25 |
$5,460.00
|
|
Inj cyclophosphamd auromedic
|
$44.20 |
$44.20 |
$44.20 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$189.15 |
$189.15 |
$189.15 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$90.35 |
$90.35 |
$90.35 |
$735.20
|
|
Inj daptomycin (xellia)
|
$3.25 |
$3.25 |
$3.25 |
$56.04
|
|
Inj, decitabine (sun pharma)
|
$17.55 |
$17.55 |
$17.55 |
$310.09
|
|
Inj, donanemab-azbt, 2 mg
|
$27.30 |
$27.30 |
$27.30 |
$1,233.44
|
|
Injection, belinostat, 10mg
|
$266.50 |
$266.50 |
$266.50 |
$4,446.10
|
|
Injection, burosumab-twza 1m
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$20,002.09
|
|
Injection, cangrelor
|
$136.50 |
$136.50 |
$136.50 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$2,076.10 |
$2,076.10 |
$2,076.10 |
$16,319.16
|
|
Injection, daratumumab 10 mg
|
$393.90 |
$393.90 |
$393.90 |
$5,324.34
|
|
Injection, fulvestrant
|
$371.80 |
$371.80 |
$371.80 |
$1,719.16
|
|
Injection glatiramer acetate
|
$2,037.10 |
$2,037.10 |
$2,037.10 |
$830.51
|
|
Injection, glucarpidase
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$74,113.20
|
|
Injection, inclisiran, 1 mg
|
$68.90 |
$68.90 |
$68.90 |
$6,679.35
|
|
Injection, isavuconazonium
|
$3,050.45 |
$3,050.45 |
$3,050.45 |
$787.67
|
|
Injection, necitumumab, 1 mg
|
$57.85 |
$57.85 |
$57.85 |
$8,572.91
|
|
Injection,onabotulinumtoxina
|
$45.50 |
$45.50 |
$45.50 |
$2,277.65
|
|
Injection, peramivir
|
$48.75 |
$48.75 |
$48.75 |
$744.75
|
|
Injection, renflexis
|
$443.30 |
$443.30 |
$443.30 |
$1,341.52
|
|
Injection, siltuximab
|
$815.75 |
$815.75 |
$815.75 |
$11,502.35
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$154.05 |
$154.05 |
$154.05 |
$145.60
|
|
Inj, eculizumab-aagh, 2 mg
|
$156.00 |
$156.00 |
$156.00 |
$7,980.52
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$157.30 |
$157.30 |
$157.30 |
$32,176.93
|
|
Inj., emapalumab-lzsg, 1 mg
|
$3,194.75 |
$3,194.75 |
$3,194.75 |
$3,181.80
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$507.00 |
$507.00 |
$507.00 |
$54,322.53
|
|
Inj., eravacycline, 1 mg
|
$13.00 |
$13.00 |
$13.00 |
$206.64
|
|
Inj., evomela, 1 mg
|
$177.45 |
$177.45 |
$177.45 |
$17.37
|
|
Inj fe-based mr contrast,1ml
|
$1.30 |
$1.30 |
$1.30 |
$56.56
|
|
Inj. fe derisomaltose 10 mg
|
$159.90 |
$159.90 |
$159.90 |
$3,221.52
|
|
Inj., fibryga, 1 mg
|
$11.70 |
$11.70 |
$11.70 |
$4.93
|