|
Inj hrt cath w/s&i sel right vent
|
$33.24 |
$33.24 |
$33.24 |
$982.40
|
|
Inj human fibrinogen con nos
|
$2.10 |
$2.10 |
$2.10 |
$3.95
|
|
Inj hydroxocobalamin IV 25mg
|
$7.51 |
$7.51 |
$7.51 |
$2,452.32
|
|
Inj., ibalizumab-uiyk, 10 mg
|
$107.00 |
$107.00 |
$107.00 |
$3,542.09
|
|
Inj imip 4 cilas 4 releb 2mg
|
$3.59 |
$3.59 |
$3.59 |
$739.77
|
|
Inj, imm glob bivigam, 500mg
|
$109.91 |
$109.91 |
$109.91 |
$1,258.47
|
|
Inj, immphentiv, 20 mcg
|
$0.19 |
$0.19 |
$0.19 |
$21.00
|
|
Inj. inebilizumab-cdon, 1 mg
|
$683.85 |
$683.85 |
$683.85 |
$70,014.65
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,216.18 |
$1,216.18 |
$1,216.18 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$275.88 |
$275.88 |
$275.88 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$275.88 |
$275.88 |
$275.88 |
$234.00
|
|
Inj, invega hafyera/trinza
|
$17.93 |
$17.93 |
$17.93 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$69.39 |
$69.39 |
$69.39 |
$6,967.29
|
|
Inj, ixinity, 1 i.u
|
$2.85 |
$2.85 |
$2.85 |
$6.99
|
|
Inj. jivi 1 iu
|
$3.66 |
$3.66 |
$3.66 |
$2.65
|
|
Inj, kovaltry, 1 i.u
|
$2.17 |
$2.17 |
$2.17 |
$5.07
|
|
Inj labetalol hcl hikma, 5mg
|
$1.50 |
$1.50 |
$1.50 |
$41.79
|
|
Inj., lanadelumab-flyo, 1 mg
|
$120.32 |
$120.32 |
$120.32 |
$42,504.48
|
|
Inj, lanreotide, (cipla) 1mg
|
$52.74 |
$52.74 |
$52.74 |
$11,648.70
|
|
Inj, lecanemab-irmb, 1 mg
|
$1.84 |
$1.84 |
$1.84 |
$1,174.88
|
|
Inj, lenacapavir, 1 mg
|
$30.77 |
$30.77 |
$30.77 |
$24,398.00
|
|
Inj levocarnitine per 1 gm
|
$32.11 |
$32.11 |
$32.11 |
$136.62
|
|
Inj levoleucovorin nos 0.5mg
|
$0.07 |
$0.07 |
$0.07 |
$110.40
|
|
Inj, levothyroxine, freskabi
|
$9.57 |
$9.57 |
$9.57 |
$320.80
|
|
Inj, levothyroxine, hikma
|
$10.61 |
$10.61 |
$10.61 |
$42.89
|
|
Inj, linezolid (hospira)
|
$29.85 |
$29.85 |
$29.85 |
$153.30
|
|
Inj, lovotibeglogene autotem
|
$4,488,461.15 |
$4,488,461.15 |
$4,488,461.15 |
$4,488,461.15
|
|
Inj. lumasiran, 0.5 mg
|
$452.67 |
$452.67 |
$452.67 |
$96,930.47
|
|
Inj., lumoxiti, 0.01 mg
|
$32.28 |
$32.28 |
$32.28 |
$3,881.27
|
|
Inj luxturna 1 billion vec g
|
$4,176.98 |
$4,176.98 |
$4,176.98 |
$3,084.46
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$79.05 |
$79.05 |
$79.05 |
$794.70
|
|
Inj marstacim-hncq, 0.5 mg
|
$69.65 |
$69.65 |
$69.65 |
$50.71
|
|
Inj melpha hydroch nos 50 mg
|
$119.98 |
$119.98 |
$119.98 |
$1,713.99
|
|
Inj, melphalan (apotex) 1 mg
|
$89.39 |
$89.39 |
$89.39 |
$64.78
|
|
Inj melphalan (hepzato) 1 mg
|
$1,097.10 |
$1,097.10 |
$1,097.10 |
$787.79
|
|
Inj mepivacaine hcl/10 ml
|
$5.18 |
$5.18 |
$5.18 |
$34.00
|
|
Inj, meropenem (b. braun)
|
$2.77 |
$2.77 |
$2.77 |
$71.14
|
|
Inj., meropenem, vaborbactam
|
$3.01 |
$3.01 |
$3.01 |
$556.87
|
|
Inj meropenem (wg crit care)
|
$2.17 |
$2.17 |
$2.17 |
$83.19
|
|
Inj, micafungin (par pharm)
|
$0.30 |
$0.30 |
$0.30 |
$79.08
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$57.84 |
$57.84 |
$57.84 |
$1,496.55
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$349.78 |
$349.78 |
$349.78 |
$8,304.04
|
|
Inj, motixafortide, 0.25 mg
|
$36.54 |
$36.54 |
$36.54 |
$25.22
|
|
Inj, moxifloxacin 100 mg
|
$12.64 |
$12.64 |
$12.64 |
$101.31
|
|
Inj moxifloxacin (fres kabi)
|
$9.16 |
$9.16 |
$9.16 |
$95.62
|
|
Inj multihance
|
$2.48 |
$2.48 |
$2.48 |
$70.54
|
|
Inj multihance multipack
|
$2.43 |
$2.43 |
$2.43 |
$4.08
|
|
Inj. mycophenolate mofetil
|
$0.51 |
$0.51 |
$0.51 |
$252.66
|
|
Inj. naxitamab-gqgk, 1 mg
|
$946.79 |
$946.79 |
$946.79 |
$42,064.28
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$958.81 |
$958.81 |
$958.81 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$2.99 |
$2.99 |
$2.99 |
$472.76
|
|
Inj nivolumab 2 mg hyaluron
|
$38.37 |
$38.37 |
$38.37 |
$15,599.68
|
|
Inj, nogapendekin pmln, 1mcg
|
$130.72 |
$130.72 |
$130.72 |
$94.12
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,726.90
|
|
Inj, nyposi 1 mcg
|
$1.38 |
$1.38 |
$1.38 |
$0.55
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$64.92 |
$64.92 |
$64.92 |
$1,058.98
|
|
Inj octafluoropropane mic,ml
|
$55.49 |
$55.49 |
$55.49 |
$211.40
|
|
Inj ogivri 10 mg
|
$52.04 |
$52.04 |
$52.04 |
$4,492.28
|
|
Inj olipudase alfa-rpcp 1mg
|
$545.82 |
$545.82 |
$545.82 |
$13,239.99
|
|
Inj., omadacycline, 1 mg
|
$5.71 |
$5.71 |
$5.71 |
$865.34
|
|
Inj onase abepar-xioi treat
|
$3,572,794.09 |
$3,572,794.09 |
$3,572,794.09 |
$3,572,794.09
|
|
Inj ontruzant 10 mg
|
$37.64 |
$37.64 |
$37.64 |
$6,706.27
|
|
Inj, palonosetron (posfrea)
|
$80.83 |
$80.83 |
$80.83 |
$59.74
|
|
Inj, panzyga, 500 mg
|
$98.29 |
$98.29 |
$98.29 |
$8,041.38
|
|
Inj, pasireotide long acting
|
$793.59 |
$793.59 |
$793.59 |
$33,745.84
|
|
Inj., patisiran, 0.1 mg
|
$137.96 |
$137.96 |
$137.96 |
$17,613.00
|
|
Inj, pedmark, 100 mg
|
$132.57 |
$132.57 |
$132.57 |
$96.08
|
|
Inj, pegcetacoplan, 1mg
|
$190.51 |
$190.51 |
$190.51 |
$3,662.96
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$164.63 |
$164.63 |
$164.63 |
$6,614.40
|
|
Inj, pegulicianine, 1 mg
|
$51.76 |
$51.76 |
$51.76 |
$51.76
|
|
Inj. pemetrexed, 10 mg
|
$55.11 |
$55.11 |
$55.11 |
$104.72
|
|
Inj pemetrexed (accord) 10mg
|
$13.44 |
$13.44 |
$13.44 |
$579.77
|
|
Inj, pemetrexed (avyxa) 10mg
|
$112.10 |
$112.10 |
$112.10 |
$112.10
|
|
Inj pemetrexed (bluepoint)
|
$14.63 |
$14.63 |
$14.63 |
$14.63
|
|
Inj pemetrexed ditromethamin
|
$0.17 |
$0.17 |
$0.17 |
$895.03
|
|
Inj pemetrexed, hospira 10mg
|
$5.78 |
$5.78 |
$5.78 |
$64.35
|
|
Inj pemetrexed (sandoz) 10mg
|
$2.05 |
$2.05 |
$2.05 |
$95.26
|
|
Inj pemetrexed (teva) 10mg
|
$21.16 |
$21.16 |
$21.16 |
$200.85
|
|
Inj, pemivibart, 4500 mg
|
$9,989.82 |
$9,989.82 |
$9,989.82 |
$1,235.55
|
|
Inj, pemrydi rtu, 10 mg
|
$101.18 |
$101.18 |
$101.18 |
$82.30
|
|
Inj peritoneal venous shunt
|
$52.21 |
$52.21 |
$52.21 |
$406.80
|
|
Inj., perseris, 0.5 mg
|
$16.75 |
$16.75 |
$16.75 |
$5,146.85
|
|
Inj plasminogen tvmh 1mg
|
$47.82 |
$47.82 |
$47.82 |
$4,456.80
|
|
Inj., plazomicin, 5 mg
|
$4.84 |
$4.84 |
$4.84 |
$607.16
|
|
Inj pozelimab-bbfg, 1 mg
|
$126.59 |
$126.59 |
$126.59 |
$126.59
|
|
Inj proc ankle arthr
|
$64.43 |
$64.43 |
$64.43 |
$405.60
|
|
Inj proc elbow arthro
|
$81.12 |
$81.12 |
$81.12 |
$438.00
|
|
Inj proc for lymphang
|
$109.65 |
$109.65 |
$109.65 |
$767.40
|
|
Inj proc lumbr disk ea lvl
|
$203.30 |
$203.30 |
$203.30 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$103.38 |
$103.38 |
$103.38 |
$856.00
|
|
Inj proc sialogram
|
$75.35 |
$75.35 |
$75.35 |
$373.00
|
|
Inj progesterone per 50 mg
|
$0.99 |
$0.99 |
$0.99 |
$13.76
|
|
Inj prohance multipack
|
$1.95 |
$1.95 |
$1.95 |
$10.40
|
|
Inj recombin esperoct per iu
|
$3.09 |
$3.09 |
$3.09 |
$6.63
|
|
Inj, releuko 1 mcg
|
$0.47 |
$0.47 |
$0.47 |
$475.36
|
|
Inj retacrit esrd on dialysi
|
$1.04 |
$1.04 |
$1.04 |
$307.40
|
|
Inj retro urethrocysto
|
$82.58 |
$82.58 |
$82.58 |
$450.00
|
|
Inj, rimabotulinumtoxinb
|
$18.34 |
$18.34 |
$18.34 |
$714.24
|
|
Inj roctavian ml 2x10^13vc g
|
$17,324.12 |
$17,324.12 |
$17,324.12 |
$130,068.54
|