|
Liletta, 52 mg
|
HCPCS J7297 |
$126.77 |
$1,514.24
|
$13,528.74 |
297 |
|
Lincomycin injection
|
HCPCS J2010 |
$6.30 |
$64.31
|
$527.40 |
151 |
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
HCPCS J2020 |
$11.25 |
$121.00
|
$1,173.67 |
655 |
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
HCPCS J9359 |
$15,780.00 |
$62,704.30
|
$179,307.80 |
161 |
|
Lorazepam 2 mg/ml injection (wrapper)
|
HCPCS J2060 |
$1.94 |
$37.20
|
$342.73 |
693 |
|
Loxapine for inhalation 1 mg
|
HCPCS J2062 |
$21.94 |
$21.94
|
$21.94 |
4 |
|
Lumizyme injection
|
HCPCS J0221 |
$201.97 |
$1,738.40
|
$14,099.69 |
216 |
|
Lurbinectedin 4 mg intravenous solution
|
HCPCS J9223 |
$791.73 |
$19,182.33
|
$70,290.00 |
270 |
|
Luspatercept-aamt 25 mg subcutaneous solution
|
HCPCS J0896 |
$5,371.98 |
$22,771.63
|
$77,340.72 |
289 |
|
Lyumjev for insulin pump use
|
HCPCS J1813 |
$20.84 |
$20.84
|
$20.84 |
4 |
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
HCPCS J3475 |
$3.21 |
$58.70
|
$522.50 |
673 |
|
Makena, 10 mg
|
HCPCS J1726 |
$52.00 |
$1,405.80
|
$9,006.60 |
143 |
|
Mannitol 12.5 gm/50 ml inj
|
HCPCS J2150 |
$3.46 |
$26.29
|
$242.80 |
337 |
|
Mannitol for inhaler
|
HCPCS J7665 |
$4.55 |
$4.55
|
$4.55 |
8 |
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
HCPCS J9353 |
$258.00 |
$5,930.92
|
$50,266.77 |
159 |
|
Mecasermin injection
|
HCPCS J2170 |
$15,007.60 |
$23,719.02
|
$31,766.55 |
34 |
|
Mechlorethamine hcl inj
|
HCPCS J9230 |
$27.00 |
$487.85
|
$2,724.80 |
61 |
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
HCPCS J1050 |
$9.25 |
$190.81
|
$1,678.64 |
554 |
|
Melphalan oral 2 mg
|
HCPCS J8600 |
$2.52 |
$22.22
|
$230.00 |
198 |
|
Membrane collgn porcine maci w/autologous cult chondrocytes
|
HCPCS J7330 |
$23,311.22 |
$77,166.00
|
$561,710.00 |
77 |
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
HCPCS J2175 |
$3.00 |
$30.79
|
$300.00 |
662 |
|
Meperidine/promethazine inj
|
HCPCS J2180 |
$2.65 |
$11.20
|
$43.75 |
18 |
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
HCPCS J2182 |
$403.91 |
$8,907.71
|
$69,397.05 |
377 |
|
Meropenem 1 gram intravenous solution
|
HCPCS J2185 |
$2.84 |
$55.76
|
$533.85 |
672 |
|
Mesna 100 mg/ml intravenous solution
|
HCPCS J9209 |
$5.24 |
$107.41
|
$1,001.60 |
493 |
|
Metered dose inhaler drug
|
HCPCS J3535 |
$47.75 |
$551.16
|
$3,034.20 |
101 |
|
Methacholine chloride 0.0625 mg/ml nebulization soln
|
HCPCS J7674 |
$15.01 |
$264.60
|
$2,270.97 |
321 |
|
Methadone injection
|
HCPCS J1230 |
$17.15 |
$598.31
|
$2,944.58 |
342 |
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
HCPCS J2800 |
$5.50 |
$74.27
|
$685.83 |
540 |
|
Methotrexate sodium 2.5 mg tablet
|
HCPCS J8610 |
$0.60 |
$8.85
|
$112.11 |
518 |
|
Methotrexate sodium (pf) 1 gram solution for injection
|
HCPCS J9260 |
$6.50 |
$138.22
|
$1,122.00 |
584 |
|
Methyl aminolevulinate, top
|
HCPCS J7309 |
— |
—
|
— |
0 |
|
Methyldopate hcl injection
|
HCPCS J0210 |
$6.50 |
$96.82
|
$759.87 |
193 |
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
HCPCS J2210 |
$6.75 |
$76.53
|
$684.88 |
699 |
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
HCPCS J2212 |
$18.83 |
$407.16
|
$3,078.69 |
542 |
|
Methylprednisolone 4 mg tablet
|
HCPCS J7509 |
$0.30 |
$4.62
|
$54.13 |
492 |
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
HCPCS J1010 |
$2.80 |
$62.85
|
$501.75 |
556 |
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
HCPCS J2919 |
$7.40 |
$188.51
|
$1,071.19 |
539 |
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
HCPCS J2765 |
$0.86 |
$15.75
|
$163.69 |
728 |
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
HCPCS J0616 |
$0.60 |
$8.84
|
$83.82 |
413 |
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
HCPCS J1836 |
$1.30 |
$23.55
|
$204.09 |
552 |
|
Micafungin 100 mg intravenous solution
|
HCPCS J2248 |
$19.79 |
$327.37
|
$2,587.00 |
498 |
|
Midazolam 1 mg/ml injection solution
|
HCPCS J2250 |
$3.40 |
$63.30
|
$572.90 |
627 |
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
HCPCS J2251 |
$10.42 |
$108.00
|
$894.71 |
303 |
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
HCPCS J2260 |
$5.10 |
$89.08
|
$808.00 |
551 |
|
Minocycline hydrochloride
|
HCPCS J2265 |
$26.84 |
$623.04
|
$3,513.02 |
321 |
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
HCPCS J9063 |
$325.00 |
$11,875.32
|
$63,888.14 |
215 |
|
Mitomycin 40 mg intravenous solution
|
HCPCS J9280 |
$84.80 |
$1,683.75
|
$11,373.80 |
576 |
|
Mitomycin instillation
|
HCPCS J9281 |
$2,356.90 |
$43,275.00
|
$155,397.02 |
171 |
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
HCPCS J9293 |
$29.60 |
$554.83
|
$4,220.00 |
418 |
|
Mometasone sinus sinuva
|
HCPCS J7402 |
$720.48 |
$2,578.78
|
$14,244.99 |
85 |
|
Monovisc inj per dose
|
HCPCS J7327 |
$93.39 |
$1,705.31
|
$13,992.10 |
234 |
|
Morphine 4 mg/ml injection (wrapper)
|
HCPCS J2270 |
$3.79 |
$72.00
|
$739.35 |
647 |
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
HCPCS J2272 |
$1.80 |
$24.00
|
$217.57 |
490 |
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
HCPCS J2274 |
$8.92 |
$148.69
|
$1,657.29 |
526 |
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
HCPCS J9350 |
$139.24 |
$1,115.89
|
$3,090.75 |
127 |
|
Mycophenolate mofetil 250 mg capsule
|
HCPCS J7517 |
$1.10 |
$10.79
|
$203.05 |
474 |
|
Mycophenolic acid
|
HCPCS J7518 |
$1.00 |
$12.84
|
$126.64 |
422 |
|
Nabilone oral
|
HCPCS J8650 |
— |
—
|
— |
0 |
|
Nafcillin 2 gram solution for injection
|
HCPCS J2290 |
$4.80 |
$84.00
|
$769.35 |
323 |
|
Nalbuphine 10 mg/ml injection solution
|
HCPCS J2300 |
$2.32 |
$38.00
|
$369.32 |
637 |
|
Naloxone 0.4 mg/ml injection (wrapper)
|
HCPCS J2312 |
$3.68 |
$70.87
|
$572.25 |
402 |
|
Naltrexone, depot form
|
HCPCS J2315 |
$711.16 |
$3,249.40
|
$17,564.00 |
202 |
|
Nandrolone decanoate 50 mg
|
HCPCS J2320 |
$76.50 |
$76.50
|
$76.50 |
1 |
|
Natalizumab 300 mg/15 ml intravenous solution
|
HCPCS J2323 |
$1,385.16 |
$16,254.52
|
$142,777.86 |
358 |
|
Nelarabine injection
|
HCPCS J9261 |
$54.94 |
$975.00
|
$5,135.13 |
240 |
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
HCPCS J2710 |
$3.04 |
$60.16
|
$550.76 |
625 |
|
Nesiritide injection
|
HCPCS J2325 |
$132.91 |
$2,365.81
|
$17,771.04 |
65 |
|
Nicardipine 25 mg/10 ml intravenous solution
|
HCPCS J2404 |
$11.06 |
$251.32
|
$1,670.38 |
474 |
|
Nintedanib 150 mg capsule
|
HCPCS J8999 |
$18.49 |
$262.93
|
$1,881.00 |
128 |
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
HCPCS J2305 |
$4.00 |
$74.56
|
$714.00 |
519 |
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
HCPCS J9299 |
$532.70 |
$14,820.18
|
$67,675.14 |
422 |
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
HCPCS J9298 |
$2,010.42 |
$41,635.10
|
$301,208.78 |
232 |
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
HCPCS J2326 |
$15,576.26 |
$216,291.18
|
$590,625.00 |
116 |
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
HCPCS J9301 |
$702.03 |
$14,865.31
|
$83,833.75 |
384 |
|
Ocrelizumab 30 mg/ml intravenous solution
|
HCPCS J2350 |
$3,285.73 |
$41,294.43
|
$332,691.08 |
377 |
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
HCPCS J2354 |
$4.70 |
$90.00
|
$898.20 |
626 |
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
HCPCS J2353 |
$534.76 |
$12,080.43
|
$95,393.34 |
462 |
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
HCPCS J9302 |
$138.26 |
$2,224.00
|
$22,076.86 |
187 |
|
Olanzapine 10 mg intramuscular solution
|
HCPCS J2359 |
$6.40 |
$109.62
|
$961.00 |
565 |
|
Olanzapine long-acting inj
|
HCPCS J2358 |
$48.29 |
$1,847.66
|
$3,725.18 |
70 |
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
HCPCS J2357 |
$254.49 |
$4,595.01
|
$35,208.84 |
408 |
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
HCPCS J2405 |
$1.12 |
$22.62
|
$178.00 |
703 |
|
Ophthalmic mitomycin
|
HCPCS J7315 |
$44.58 |
$775.44
|
$4,463.40 |
192 |
|
Oprelvekin injection
|
HCPCS J2355 |
$147.15 |
$574.00
|
$6,085.94 |
49 |
|
Oral aprepitant
|
HCPCS J8501 |
$19.98 |
$410.20
|
$3,653.35 |
355 |
|
Oral busulfan
|
HCPCS J8510 |
$13.53 |
$176.80
|
$1,168.39 |
176 |
|
Oral everolimus
|
HCPCS J7527 |
$4.92 |
$30.30
|
$412.60 |
144 |
|
Oral methotrexate (jylamvo)
|
HCPCS J8611 |
$18.53 |
$19.36
|
$25.72 |
24 |
|
Oral methotrexate (xatmep)
|
HCPCS J8612 |
$81.02 |
$4,371.50
|
$11,742.87 |
39 |
|
Oral netupitant, palonosetro
|
HCPCS J8655 |
$400.24 |
$1,120.66
|
$2,044.20 |
62 |
|
Oritavancin 1,200 mg intravenous solution
|
HCPCS J2406 |
$3,027.98 |
$11,017.26
|
$28,018.60 |
104 |
|
Oritavancin 400 mg intravenous solution
|
HCPCS J2407 |
$447.20 |
$3,311.06
|
$18,079.00 |
262 |
|
Orphenadrine citrate 30 mg/ml injection solution
|
HCPCS J2360 |
$3.12 |
$50.63
|
$503.54 |
535 |
|
Orthovisc inj per dose
|
HCPCS J7324 |
$35.56 |
$537.58
|
$3,982.69 |
261 |
|
Ovine, 1000 usp units
|
HCPCS J3472 |
$745.46 |
$745.46
|
$745.46 |
5 |
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
HCPCS J2700 |
$4.00 |
$76.52
|
$706.55 |
344 |
|
Oxaliplatin 5 mg/ml desensitization
|
HCPCS J9263 |
$15.60 |
$348.69
|
$2,927.40 |
416 |
|
Oxymorphone hcl injection
|
HCPCS J2410 |
$7.08 |
$19.11
|
$87.23 |
5 |
|
Oxytetracycline injection
|
HCPCS J2460 |
$1.60 |
$1.60
|
$1.60 |
12 |