|
Inj human fibrinogen con nos
|
$1.52 |
$1.52 |
$1.52 |
$2.41
|
|
Inj hydroxocobalamin IV 25mg
|
$5.18 |
$5.18 |
$5.18 |
$1,593.19
|
|
Inj., ibalizumab-uiyk, 10 mg
|
$79.39 |
$79.39 |
$79.39 |
$79.39
|
|
Inj, idacio, 1 mg
|
$8.92 |
$8.92 |
$8.92 |
$8.92
|
|
Inj imip 4 cilas 4 releb 2mg
|
$2.61 |
$2.61 |
$2.61 |
$5.40
|
|
Inj, immphentiv, 20 mcg
|
$0.13 |
$0.13 |
$0.13 |
$0.13
|
|
Inj. inebilizumab-cdon, 1 mg
|
$494.43 |
$494.43 |
$494.43 |
$565.92
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$986.28 |
$986.28 |
$986.28 |
$1,673.66
|
|
Inj intralesional <= 7 lsn(s)
|
$220.12 |
$220.12 |
$220.12 |
$238.77
|
|
Inj intralesional > 7 lsns
|
$220.12 |
$220.12 |
$220.12 |
$222.75
|
|
Inj, invega hafyera/trinza
|
$12.96 |
$12.96 |
$12.96 |
$12.96
|
|
Inj ivig privigen 500 mg
|
$50.43 |
$50.43 |
$50.43 |
$6,144.00
|
|
Inj, ixinity, 1 i.u
|
$1.91 |
$1.91 |
$1.91 |
$1.91
|
|
Inj. jivi 1 iu
|
$2.65 |
$2.65 |
$2.65 |
$2.65
|
|
Inj, kovaltry, 1 i.u
|
$1.58 |
$1.58 |
$1.58 |
$1.58
|
|
Inj, lanreotide, (cipla) 1mg
|
$24.45 |
$24.45 |
$24.45 |
$12,160.05
|
|
Inj, lecanemab-irmb, 1 mg
|
$1.33 |
$1.33 |
$1.33 |
$1.33
|
|
Inj, lenacapavir, 1 mg
|
$22.02 |
$22.02 |
$22.02 |
$22.02
|
|
Inj, levothyroxine, freskabi
|
$7.10 |
$7.10 |
$7.10 |
$244.63
|
|
Inj, levothyroxine, hikma
|
$5.14 |
$5.14 |
$5.14 |
$5.14
|
|
Inj. lumasiran, 0.5 mg
|
$329.10 |
$329.10 |
$329.10 |
$329.10
|
|
Inj., lumoxiti, 0.01 mg
|
$23.39 |
$23.39 |
$23.39 |
$23.39
|
|
Inj luxturna 1 billion vec g
|
$3,163.15 |
$3,163.15 |
$3,163.15 |
$3,163.15
|
|
Inj melpha hydroch nos 50 mg
|
$108.03 |
$108.03 |
$108.03 |
$1,713.99
|
|
Inj melphalan (hepzato) 1 mg
|
$787.79 |
$787.79 |
$787.79 |
$787.79
|
|
Inj., meropenem, vaborbactam
|
$2.18 |
$2.18 |
$2.18 |
$426.85
|
|
Inj meropenem (wg crit care)
|
$1.62 |
$1.62 |
$1.62 |
$20.78
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$48.27 |
$48.27 |
$48.27 |
$48.27
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$248.50 |
$248.50 |
$248.50 |
$540.60
|
|
Inj, motixafortide, 0.25 mg
|
$25.22 |
$25.22 |
$25.22 |
$25.22
|
|
Inj. naxitamab-gqgk, 1 mg
|
$685.91 |
$685.91 |
$685.91 |
$96,378.67
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$739.44 |
$739.44 |
$739.44 |
$1,522.56
|
|
Inj, nithiodote, 3mg / 125mg
|
$2.17 |
$2.17 |
$2.17 |
$2.17
|
|
Inj, nogapendekin pmln, 1mcg
|
$94.12 |
$94.12 |
$94.12 |
$94.12
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$2,026.46 |
$2,026.46 |
$2,026.46 |
$2,154.21
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$2,026.46 |
$2,026.46 |
$2,026.46 |
$2,058.43
|
|
Inj ogivri 10 mg
|
$44.59 |
$44.59 |
$44.59 |
$91.01
|
|
Inj, oliceridine 0.1 mg
|
$1.30 |
$1.30 |
$1.30 |
$1.30
|
|
Inj olipudase alfa-rpcp 1mg
|
$393.82 |
$393.82 |
$393.82 |
$393.82
|
|
Inj., omadacycline, 1 mg
|
$4.01 |
$4.01 |
$4.01 |
$4.01
|
|
Inj onase abepar-xioi treat
|
$2,452,115.60 |
$2,452,115.60 |
$2,452,115.60 |
$2,452,115.60
|
|
Inj ontruzant 10 mg
|
$21.99 |
$21.99 |
$21.99 |
$34.96
|
|
Inj, palonosetron (posfrea)
|
$58.84 |
$58.84 |
$58.84 |
$58.84
|
|
Inj, panzyga, 500 mg
|
$74.46 |
$74.46 |
$74.46 |
$74.46
|
|
Inj, pasireotide long acting
|
$563.79 |
$563.79 |
$563.79 |
$563.79
|
|
Inj., patisiran, 0.1 mg
|
$99.82 |
$99.82 |
$99.82 |
$36,180.04
|
|
Inj, pedmark, 100 mg
|
$95.14 |
$95.14 |
$95.14 |
$95.14
|
|
Inj, pegcetacoplan, 1mg
|
$141.91 |
$141.91 |
$141.91 |
$141.91
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$27.99 |
$27.99 |
$27.99 |
$1,695.87
|
|
Inj, pegulicianine, 1 mg
|
$36.45 |
$36.45 |
$36.45 |
$36.45
|
|
Inj. pemetrexed, 10 mg
|
$52.74 |
$52.74 |
$52.74 |
$52.74
|
|
Inj pemetrexed (accord) 10mg
|
$9.74 |
$9.74 |
$9.74 |
$9.74
|
|
Inj, pemetrexed (avyxa) 10mg
|
$83.28 |
$83.28 |
$83.28 |
$83.28
|
|
Inj pemetrexed ditromethamin
|
$10.34 |
$10.34 |
$10.34 |
$10.34
|
|
Inj pemetrexed, hospira 10mg
|
$4.93 |
$4.93 |
$4.93 |
$4.93
|
|
Inj pemetrexed (teva) 10mg
|
$3.79 |
$3.79 |
$3.79 |
$3.79
|
|
Inj, pemrydi rtu, 10 mg
|
$80.10 |
$80.10 |
$80.10 |
$80.10
|
|
Inj., perseris, 0.5 mg
|
$12.14 |
$12.14 |
$12.14 |
$12.14
|
|
Inj plasminogen tvmh 1mg
|
$32.31 |
$32.31 |
$32.31 |
$32.31
|
|
Inj., plazomicin, 5 mg
|
$3.57 |
$3.57 |
$3.57 |
$3.57
|
|
Inj recombin esperoct per iu
|
$2.26 |
$2.26 |
$2.26 |
$2.26
|
|
Inj, releuko 1 mcg
|
$0.41 |
$0.41 |
$0.41 |
$775.12
|
|
Inj retacrit esrd on dialysi
|
$0.76 |
$0.76 |
$0.76 |
$307.40
|
|
Inj, rimabotulinumtoxinb
|
$13.34 |
$13.34 |
$13.34 |
$16.56
|
|
Inj roctavian ml 2x10^13vc g
|
$12,368.21 |
$12,368.21 |
$12,368.21 |
$12,368.21
|
|
Inj romidepsin non-lyo 0.1mg
|
$28.52 |
$28.52 |
$28.52 |
$28.52
|
|
Inj, rykindo, 0.5 mg
|
$13.03 |
$13.03 |
$13.03 |
$13.03
|
|
Inj scleros sol mult veins
|
$442.61 |
$442.61 |
$442.61 |
$614.00
|
|
Inj scleros sol sgl vein
|
$442.61 |
$442.61 |
$442.61 |
$534.40
|
|
Inj, sculptra, 0.5mg
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Inj sebelipase alfa 1 mg
|
$539.69 |
$539.69 |
$539.69 |
$539.69
|
|
Inj secretin synthetic human
|
$43.79 |
$43.79 |
$43.79 |
$610.89
|
|
Inj secukinumab intrav 1mg
|
$17.84 |
$17.84 |
$17.84 |
$31.80
|
|
Inj, sezaby, 1 mg
|
$1.15 |
$1.15 |
$1.15 |
$1.15
|
|
Inj, spesolimab-sbzo, 1 mg
|
$65.73 |
$65.73 |
$65.73 |
$65.73
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$442.61 |
$442.61 |
$442.61 |
$442.61
|
|
Inj, susvimo 0.1 mg
|
$78.43 |
$78.43 |
$78.43 |
$78.43
|
|
Inj, sutimlimab-jome, 10 mg
|
$18.11 |
$18.11 |
$18.11 |
$18.13
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$348.62 |
$348.62 |
$348.62 |
$92,981.70
|
|
Inj, taliglucerace alfa 10 u
|
$41.06 |
$41.06 |
$41.06 |
$41.06
|
|
Inj teclistamab cqyv 0.5 mg
|
$33.27 |
$33.27 |
$33.27 |
$33.27
|
|
Inj tedizolid phosphate
|
$1.91 |
$1.91 |
$1.91 |
$184.20
|
|
Inj teplizumab mzwv 5 mcg
|
$37.65 |
$37.65 |
$37.65 |
$37.65
|
|
Inj. teprotumumab-trbw 10 mg
|
$359.09 |
$359.09 |
$359.09 |
$359.09
|
|
Inj thiotepa nos 1 mg
|
$12.24 |
$12.24 |
$12.24 |
$8,689.13
|
|
Inj., tildrakizumab, 1 mg
|
$126.24 |
$126.24 |
$126.24 |
$126.24
|
|
Inj, tislelizumab-jsgr
|
$57.42 |
$57.42 |
$57.42 |
$64.20
|
|
Inj tofersen intrathec 1 mg
|
$155.34 |
$155.34 |
$155.34 |
$155.34
|
|
Inj, tofidence, 1 mg
|
$5.79 |
$5.79 |
$5.79 |
$1,167.32
|
|
Inj triamcinolone ace X-ray 1mg
|
$18.21 |
$18.21 |
$18.21 |
$18.21
|
|
Inj., triluron, 1 mg
|
$10.16 |
$10.16 |
$10.16 |
$10.16
|
|
Inj., triptorelin X-ray 3.75 mg
|
$3,772.85 |
$3,772.85 |
$3,772.85 |
$3,772.85
|
|
Inj, trivisc 1 mg
|
$5.45 |
$5.45 |
$5.45 |
$5.45
|
|
Inj, tyenne, 1 mg
|
$4.69 |
$4.69 |
$4.69 |
$12.60
|
|
Inj, uzedy, 1 mg
|
$25.08 |
$25.08 |
$25.08 |
$2,836.80
|
|
Inj, vasopressin (baxter)
|
$2.94 |
$2.94 |
$2.94 |
$2.94
|
|
Inj, vegzelma, 10 mg
|
$43.62 |
$43.62 |
$43.62 |
$43.62
|
|
Inj velmanase alfa-tycv 1 mg
|
$465.05 |
$465.05 |
$465.05 |
$465.05
|
|
Inj w/fluor eval cv device
|
$233.41 |
$233.41 |
$233.41 |
$573.00
|
|
Inj. xembify, 100 mg
|
$14.91 |
$14.91 |
$14.91 |
$14.91
|