|
Inj fensolvi 0.25 mg
|
HCPCS J1951 |
$28,000.43 |
$44,262.98
|
$173,744.90 |
53 |
|
Inj ferric pyrophosphate cit
|
HCPCS J1443 |
โ |
โ
|
โ |
0 |
|
Inj., fibryga, 1 mg
|
HCPCS J7177 |
$1.11 |
$4.93
|
$11.70 |
76 |
|
Inj fluphenazine hcl 1.25 mg
|
HCPCS J2679 |
$3.57 |
$40.33
|
$426.41 |
200 |
|
Inj, focinvez, 1mg
|
HCPCS J1434 |
$2.87 |
$3.63
|
$22.05 |
48 |
|
Inj, fosaprepitant (teva)
|
HCPCS J1456 |
$22.00 |
$152.10
|
$735.30 |
58 |
|
Inj fosnetupitant, palonoset
|
HCPCS J1454 |
$553.46 |
$1,110.99
|
$3,279.30 |
75 |
|
Inj., fremanezumab-vfrm 1 mg
|
HCPCS J3031 |
$778.76 |
$1,322.20
|
$3,825.85 |
65 |
|
Inj, fulvestrant (fresenius)
|
HCPCS J9394 |
$37.41 |
$905.30
|
$5,408.02 |
175 |
|
Inj, fulvestrant (teva)
|
HCPCS J9393 |
$21.20 |
$136.50
|
$1,293.70 |
60 |
|
Inj, ganciclovir (exela)
|
HCPCS J1574 |
$212.23 |
$354.00
|
$1,430.00 |
4 |
|
Inj gemcitabine hcl (accord)
|
HCPCS J9196 |
$6.86 |
$131.21
|
$1,165.94 |
156 |
|
Inj givosiran 0.5 mg
|
HCPCS J0223 |
$53,787.50 |
$76,708.80
|
$162,298.07 |
117 |
|
Inj glofitamab gxbm, 2.5 mg
|
HCPCS J9286 |
$430.25 |
$4,760.67
|
$43,430.67 |
182 |
|
Inj glycopyrrolate fres kabi
|
HCPCS J1598 |
$1.80 |
$12.18
|
$140.09 |
115 |
|
Inj glycopyrrolate, glyrx-pf
|
HCPCS J1597 |
$0.85 |
$11.23
|
$91.75 |
86 |
|
Inj golodirsen 10 mg
|
HCPCS J1429 |
$1,640.50 |
$2,798.32
|
$3,747.75 |
34 |
|
Inj, granisetron, xr, 0.1 mg
|
HCPCS J1627 |
$65.05 |
$163.28
|
$1,184.36 |
16 |
|
Inj., guselkumab, 1 mg
|
HCPCS J1628 |
$6,292.71 |
$29,130.83
|
$211,504.74 |
132 |
|
Inj., haegarda 10 units
|
HCPCS J0599 |
$5,893.07 |
$6,346.38
|
$9,632.90 |
34 |
|
Inj, hemgenix, per tx dose
|
HCPCS J1411 |
$3,570,008.50 |
$4,704,002.80
|
$8,750,000.00 |
80 |
|
Inj heparin, pfizer, 1000u
|
HCPCS J1643 |
$2.60 |
$25.30
|
$148.00 |
203 |
|
Inj. herceptin hylecta, 10mg
|
HCPCS J9356 |
$393.90 |
$8,193.78
|
$39,833.10 |
175 |
|
Inj human fibrinogen con nos
|
HCPCS J7178 |
$1.45 |
$3.95
|
$22.50 |
135 |
|
Inj hydroxocobalamin IV 25mg
|
HCPCS J3424 |
$701.60 |
$2,452.32
|
$11,280.00 |
315 |
|
Inj hydroxyprogst capoat nos
|
HCPCS J1729 |
$60.87 |
$1,228.59
|
$8,335.14 |
140 |
|
Inj., ibalizumab-uiyk, 10 mg
|
HCPCS J1746 |
$358.80 |
$3,542.09
|
$14,273.07 |
74 |
|
Inj imip 4 cilas 4 releb 2mg
|
HCPCS J0742 |
$131.93 |
$739.77
|
$4,954.32 |
186 |
|
Inj, imm glob bivigam, 500mg
|
HCPCS J1556 |
$109.91 |
$1,258.47
|
$1,815.11 |
39 |
|
Inj, immphentiv, 20 mcg
|
HCPCS J2373 |
$4.00 |
$21.00
|
$84.15 |
99 |
|
Inj. inebilizumab-cdon, 1 mg
|
HCPCS J1823 |
$3,723.85 |
$70,014.65
|
$378,200.52 |
121 |
|
Inj. infugem, 100 mg
|
HCPCS J9198 |
$858.67 |
$1,485.86
|
$1,989.99 |
34 |
|
Inj. insulin (fiasp)
|
HCPCS J1812 |
$16.80 |
$177.00
|
$255.29 |
43 |
|
Inj, invega hafyera/trinza
|
HCPCS J2427 |
$2,947.77 |
$32,073.55
|
$69,524.92 |
108 |
|
Inj ivig privigen 500 mg
|
HCPCS J1459 |
$331.53 |
$6,967.29
|
$59,011.49 |
394 |
|
Inj, ixinity, 1 i.u
|
HCPCS J7213 |
$1.81 |
$6.99
|
$10.09 |
61 |
|
Inj. jivi 1 iu
|
HCPCS J7208 |
$2.44 |
$2.65
|
$8.64 |
27 |
|
Inj, kovaltry, 1 i.u
|
HCPCS J7211 |
$1.48 |
$5.07
|
$24.72 |
66 |
|
Inj labetalol hcl hikma, 5mg
|
HCPCS J1921 |
$2.48 |
$41.79
|
$383.51 |
215 |
|
Inj., lanadelumab-flyo, 1 mg
|
HCPCS J0593 |
$26,888.29 |
$42,504.48
|
$56,925.65 |
34 |
|
Inj, lanreotide, (cipla) 1mg
|
HCPCS J1932 |
$2,539.40 |
$11,648.70
|
$78,433.32 |
143 |
|
Inj, lecanemab-irmb, 1 mg
|
HCPCS J0174 |
$58.61 |
$1,174.88
|
$4,389.52 |
156 |
|
Inj lefamulin 1 mg
|
HCPCS J0691 |
$119.85 |
$181.89
|
$448.69 |
35 |
|
Inj, lenacapavir, 1 mg
|
HCPCS J1961 |
$12,675.00 |
$24,398.00
|
$122,098.55 |
84 |
|
Inj levocarnitine per 1 gm
|
HCPCS J1955 |
$7.74 |
$136.62
|
$1,233.00 |
406 |
|
Inj levoleucovorin nos 0.5mg
|
HCPCS J0641 |
$8.76 |
$110.40
|
$986.34 |
141 |
|
Inj, levothyroxine, freskabi
|
HCPCS J0651 |
$13.50 |
$308.21
|
$2,527.56 |
330 |
|
Inj, levothyroxine, hikma
|
HCPCS J0652 |
$5.14 |
$42.89
|
$590.00 |
62 |
|
Inj, lidocaine w epinephrine
|
HCPCS J2004 |
$2.38 |
$45.60
|
$425.82 |
442 |
|
Inj, linezolid (hospira)
|
HCPCS J2021 |
$29.85 |
$153.30
|
$1,326.06 |
89 |
|
Inj, lovotibeglogene autotem
|
HCPCS J3394 |
$3,261,355.00 |
$4,488,461.15
|
$16,577,889.00 |
48 |
|
Inj. lumasiran, 0.5 mg
|
HCPCS J0224 |
$61,309.48 |
$96,930.47
|
$129,817.59 |
34 |
|
Inj., lumoxiti, 0.01 mg
|
HCPCS J9313 |
$209.30 |
$3,881.27
|
$18,037.69 |
46 |
|
Inj luxturna 1 billion vec g
|
HCPCS J3398 |
$3,084.46 |
$3,084.46
|
$4,176.98 |
24 |
|
Inj marstacim-hncq, 0.5 mg
|
HCPCS J7172 |
$50.71 |
$50.71
|
$69.65 |
12 |
|
Inj. meloxicam 1 mg
|
HCPCS J1738 |
$104.38 |
$167.04
|
$680.96 |
55 |
|
Inj melpha hydroch nos 50 mg
|
HCPCS J9245 |
$86.29 |
$1,713.99
|
$15,692.88 |
291 |
|
Inj, melphalan (apotex) 1 mg
|
HCPCS J9249 |
$64.78 |
$64.78
|
$89.39 |
12 |
|
Inj, melphalan flufenami 1mg
|
HCPCS J9247 |
$559.35 |
$5,700.00
|
$33,250.00 |
10 |
|
Inj melphalan (hepzato) 1 mg
|
HCPCS J9248 |
$773.80 |
$787.79
|
$1,097.10 |
25 |
|
Inj mepivacaine hcl/10 ml
|
HCPCS J0670 |
$3.40 |
$34.34
|
$317.30 |
485 |
|
Inj, meropenem (b. braun)
|
HCPCS J2184 |
$8.63 |
$71.14
|
$326.89 |
159 |
|
Inj., meropenem, vaborbactam
|
HCPCS J2186 |
$31.96 |
$556.87
|
$5,132.00 |
322 |
|
Inj meropenem (wg crit care)
|
HCPCS J2183 |
$5.69 |
$82.42
|
$683.27 |
224 |
|
Inj metaraminol bitartrate
|
HCPCS J0380 |
$18.72 |
$18.72
|
$18.72 |
1 |
|
Inj, micafungin (par pharm)
|
HCPCS J2247 |
$6.48 |
$79.08
|
$781.25 |
130 |
|
Inj, mirikizumab-mrkz, 1 mg
|
HCPCS J2267 |
$118.50 |
$1,496.55
|
$16,294.54 |
67 |
|
Inj mogamulizumab-kpkc, 1 mg
|
HCPCS J9204 |
$540.60 |
$8,304.04
|
$77,288.19 |
234 |
|
Inj, motixafortide, 0.25 mg
|
HCPCS J2277 |
$25.22 |
$25.22
|
$245.70 |
40 |
|
Inj, moxifloxacin 100 mg
|
HCPCS J2280 |
$8.19 |
$101.31
|
$703.00 |
271 |
|
Inj moxifloxacin (fres kabi)
|
HCPCS J2281 |
$9.16 |
$95.62
|
$510.60 |
61 |
|
Inj. mycophenolate mofetil
|
HCPCS J7519 |
$17.13 |
$252.66
|
$2,024.67 |
341 |
|
Inj naloxone hydrochloride
|
HCPCS J2310 |
$4.56 |
$83.16
|
$814.57 |
247 |
|
Inj. naxitamab-gqgk, 1 mg
|
HCPCS J9348 |
$2,263.30 |
$42,064.28
|
$96,378.67 |
85 |
|
Inj, nithiodote, 3mg / 125mg
|
HCPCS J0211 |
$27.97 |
$468.10
|
$3,247.20 |
186 |
|
Inj nivolumab 2 mg hyaluron
|
HCPCS J9289 |
$2,948.47 |
$15,599.68
|
$50,037.05 |
111 |
|
Inj, nogapendekin pmln, 1mcg
|
HCPCS J9028 |
$92.19 |
$94.12
|
$458.90 |
32 |
|
Inj ocrelizumab 1mg hya-ocsq
|
HCPCS J2351 |
$1,489.74 |
$66,582.27
|
$195,110.12 |
87 |
|
Inj, ocriplasmin, 0.125 mg
|
HCPCS J7316 |
$17.67 |
$17.67
|
$17.67 |
8 |
|
Inj, olaratumab, 10 mg
|
HCPCS J9285 |
$77.57 |
$4,127.04
|
$12,385.24 |
45 |
|
Inj olipudase alfa-rpcp 1mg
|
HCPCS J0218 |
$5,099.40 |
$13,239.99
|
$20,096.42 |
64 |
|
Inj, omacetaxine mep, 0.01mg
|
HCPCS J9262 |
$2,182.65 |
$2,686.80
|
$13,469.40 |
70 |
|
Inj., omadacycline, 1 mg
|
HCPCS J0121 |
$333.79 |
$865.34
|
$3,295.16 |
123 |
|
Inj onase abepar-xioi treat
|
HCPCS J3399 |
$761,919.27 |
$3,572,794.09
|
$5,805,110.90 |
56 |
|
Inj, palonosetron (posfrea)
|
HCPCS J2468 |
$58.84 |
$59.74
|
$80.83 |
24 |
|
Inj pantoprazole(hikma) 40mg
|
HCPCS J2471 |
$2.79 |
$34.67
|
$313.23 |
162 |
|
Inj, panzyga, 500 mg
|
HCPCS J1576 |
$4,697.10 |
$8,041.38
|
$25,944.09 |
49 |
|
Inj, pasireotide long acting
|
HCPCS J2502 |
$2,029.30 |
$33,745.84
|
$50,915.83 |
58 |
|
Inj., patisiran, 0.1 mg
|
HCPCS J0222 |
$874.00 |
$17,613.00
|
$62,254.10 |
164 |
|
Inj, pedmark, 100 mg
|
HCPCS J0208 |
$14.18 |
$96.08
|
$1,076.87 |
74 |
|
Inj, pegcetacoplan, 1mg
|
HCPCS J2781 |
$190.51 |
$3,662.96
|
$13,047.56 |
78 |
|
Inj. pemetrexed, 10 mg
|
HCPCS J9304 |
$39.80 |
$104.72
|
$683.74 |
61 |
|
Inj pemetrexed (accord) 10mg
|
HCPCS J9296 |
$33.79 |
$579.77
|
$3,805.85 |
35 |
|
Inj, pemetrexed (avyxa) 10mg
|
HCPCS J9292 |
$83.28 |
$112.10
|
$739.05 |
20 |
|
Inj pemetrexed (bluepoint)
|
HCPCS J9322 |
$14.63 |
$14.63
|
$5,803.73 |
6 |
|
Inj pemetrexed ditromethamin
|
HCPCS J9323 |
$516.30 |
$895.03
|
$4,604.99 |
41 |
|
Inj pemetrexed, hospira 10mg
|
HCPCS J9294 |
$4.39 |
$64.35
|
$618.28 |
64 |
|
Inj pemetrexed (sandoz) 10mg
|
HCPCS J9297 |
$13.32 |
$95.26
|
$2,238.60 |
56 |
|
Inj pemetrexed (teva) 10mg
|
HCPCS J9314 |
$21.16 |
$200.85
|
$1,806.28 |
28 |
|
Inj, pemrydi rtu, 10 mg
|
HCPCS J9324 |
$80.10 |
$82.30
|
$747.50 |
32 |