"hcpcs","shortdescriptor","codedosagedescriptor","labelername","ndc","ndcdash","drugname","pkgsize","pkgqty","billunitspkg","billunits"
"J0130","Abciximab injection","10 MG","LILLY","00002714001","00002-7140-01","Reopro",5,1,1,1
"J2941","Somatropin injection","1 MG","LILLY","00002733501","00002-7335-01","Humatrope",1,1,5,5
"J2941","Somatropin injection","1 MG","LILLY","00002733516","00002-7335-16","Humatrope",1,6,5,30
"J9201","Gemcitabine HCl","200 MG","LILLY","00002750101","00002-7501-01","Gemzar",1,1,1,1
"J9201","Gemcitabine HCl","200 MG","LILLY","00002750201","00002-7502-01","Gemzar",1,1,5,5
"J1815","Insulin injection","5 UNITS","LILLY","00002751001","00002-7510-01","Humalog",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002751001","00002-7510-01","Humalog",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002751101","00002-7511-01","Humalog Mix 75/25",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002751101","00002-7511-01","Humalog Mix 75/25",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002751501","00002-7515-01","Humalog",1.5,1,30,30
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002751501","00002-7515-01","Humalog",1.5,1,3,3
"J1815","Insulin injection","5 UNITS","LILLY","00002751559","00002-7515-59","Humalog",1.5,5,30,150
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002751559","00002-7515-59","Humalog",1.5,5,3,15
"J1815","Insulin injection","5 UNITS","LILLY","00002751659","00002-7516-59","Humalog",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002751659","00002-7516-59","Humalog",3,5,6,30
"J9305","Pemetrexed injection","10 MG","LILLY","00002762301","00002-7623-01","Alimta",1,1,50,50
"J1610","Glucagon hydrochloride/1 MG","1 MG","LILLY","00002803101","00002-8031-01","Glucagon Emergency",1,1,1,1
"J1610","Glucagon hydrochloride/1 MG","1 MG","LILLY","00002808501","00002-8085-01","Glucagon Diagnostic",1,1,1,1
"J2941","Somatropin injection","1 MG","LILLY","00002808901","00002-8089-01","Humatrope",1,1,6,6
"J2941","Somatropin injection","1 MG","LILLY","00002809001","00002-8090-01","Humatrope",1,1,12,12
"J2941","Somatropin injection","1 MG","LILLY","00002809101","00002-8091-01","Humatrope",1,1,24,24
"J1815","Insulin injection","5 UNITS","LILLY","00002821101","00002-8211-01","Iletin Ii Regular (Pork)",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002821101","00002-8211-01","Iletin Ii Regular (Pork)",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002821501","00002-8215-01","Humulin R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002821501","00002-8215-01","Humulin R",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002831101","00002-8311-01","Iletin Ii Nph (Pork)",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002831101","00002-8311-01","Iletin Ii Nph (Pork)",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002831501","00002-8315-01","Humulin N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002831501","00002-8315-01","Humulin N",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002841501","00002-8415-01","Humulin L",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002841501","00002-8415-01","Humulin L",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002850101","00002-8501-01","Humulin R",20,1,2000,2000
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002850101","00002-8501-01","Humulin R",20,1,200,200
"J1815","Insulin injection","5 UNITS","LILLY","00002861501","00002-8615-01","Humulin U",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002861501","00002-8615-01","Humulin U",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002871501","00002-8715-01","Humulin 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002871501","00002-8715-01","Humulin 70/30",10,1,20,20
"J1815","Insulin injection","5 UNITS","LILLY","00002872501","00002-8725-01","Humalog Pen",3,1,60,60
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002872501","00002-8725-01","Humalog Pen",3,1,6,6
"J1815","Insulin injection","5 UNITS","LILLY","00002872559","00002-8725-59","Humalog Pen",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002872559","00002-8725-59","Humalog Pen",3,5,6,30
"J1815","Insulin injection","5 UNITS","LILLY","00002873001","00002-8730-01","Humulin N Pen",3,1,60,60
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002873001","00002-8730-01","Humulin N Pen",3,1,6,6
"J1815","Insulin injection","5 UNITS","LILLY","00002873059","00002-8730-59","Humulin N Pen",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002873059","00002-8730-59","Humulin N Pen",3,5,6,30
"J1815","Insulin injection","5 UNITS","LILLY","00002877001","00002-8770-01","Humulin 70/30 Pen",3,1,60,60
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002877001","00002-8770-01","Humulin 70/30 Pen",3,1,6,6
"J1815","Insulin injection","5 UNITS","LILLY","00002877059","00002-8770-59","Humulin 70/30 Pen",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002877059","00002-8770-59","Humulin 70/30 Pen",3,5,6,30
"J1815","Insulin injection","5 UNITS","LILLY","00002879459","00002-8794-59","Humalog Mix 75/25 Pen",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002879459","00002-8794-59","Humalog Mix 75/25 Pen",3,5,6,30
"J3110","Teriparatide injection","10 MCG","LILLY","00002897101","00002-8971-01","Forteo",3,1,75,75
"J1815","Insulin injection","5 UNITS","LILLY","00002951501","00002-9515-01","Humulin 50/50",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","LILLY","00002951501","00002-9515-01","Humulin 50/50",10,1,20,20
"J3301","Triamcinolone acetonide inj","10 MG","APOTHECON","00003029305","00003-0293-05","Kenalog",1,1,4,4
"J3301","Triamcinolone acetonide inj","10 MG","APOTHECON","00003029320","00003-0293-20","Kenalog",5,1,20,20
"J3301","Triamcinolone acetonide inj","10 MG","APOTHECON","00003029328","00003-0293-28","Kenalog",10,1,40,40
"J0285","Amphotericin B","50 MG","SANDOZ","00003043732","00003-0437-32","Fungizone",1,1,1,1
"J3301","Triamcinolone acetonide inj","10 MG","APOTHECON","00003049420","00003-0494-20","Kenalog",5,1,5,5
"Q0166","Granisetron HCl 1 mg oral","1 MG","ROCHE","00004023709","00004-0237-09","Kytril",30,1,6,6
"J1626","Granisetron HCl injection","100 MCG","ROCHE","00004023909","00004-0239-09","Kytril",1,1,10,10
"J1626","Granisetron HCl injection","100 MCG","ROCHE","00004024009","00004-0240-09","Kytril",4,1,40,40
"Q0166","Granisetron HCl 1 mg oral","1 MG","ROCHE","00004024126","00004-0241-26","Kytril",20,1,20,20
"Q0166","Granisetron HCl 1 mg oral","1 MG","ROCHE","00004024133","00004-0241-33","Kytril",2,1,2,2
"J1626","Granisetron HCl injection","100 MCG","ROCHE","00004024208","00004-0242-08","Kytril",1,5,1,5
"J7517","Mycophenolate mofetil oral","250 MG","ROCHE","00004025901","00004-0259-01","Cellcept",100,1,100,100
"J7517","Mycophenolate mofetil oral","250 MG","ROCHE","00004025905","00004-0259-05","Cellcept",120,12,120,1440
"J7517","Mycophenolate mofetil oral","250 MG","ROCHE","00004025943","00004-0259-43","Cellcept",500,1,500,500
"J7517","Mycophenolate mofetil oral","250 MG","ROCHE","00004026001","00004-0260-01","Cellcept",100,1,200,200
"J7517","Mycophenolate mofetil oral","250 MG","ROCHE","00004026043","00004-0260-43","Cellcept",500,1,1000,1000
"J7517","Mycophenolate mofetil oral","250 MG","ROCHE","00004026129","00004-0261-29","Cellcept",175,1,140,140
"J3265","Injection torsemide 10 mg/ml","10 MG","ROCHE","00004026706","00004-0267-06","Demadex",2,10,2,20
"J3265","Injection torsemide 10 mg/ml","10 MG","ROCHE","00004026806","00004-0268-06","Demadex",5,10,5,50
"J7513","Daclizumab, parenteral","25 MG","ROCHE","00004050109","00004-0501-09","Zenapax",5,1,1,1
"J8520","Capecitabine, oral, 150 mg","150 MG","ROCHE","00004110020","00004-1100-20","Xeloda",60,1,60,60
"J8520","Capecitabine, oral, 150 mg","150 MG","ROCHE","00004110051","00004-1100-51","Xeloda",120,1,120,120
"J8521","Capecitabine, oral, 500 mg","500 MG","ROCHE","00004110116","00004-1101-16","Xeloda",240,1,240,240
"J8521","Capecitabine, oral, 500 mg","500 MG","ROCHE","00004110150","00004-1101-50","Xeloda",120,1,120,120
"J3360","Diazepam injection","5 MG","ROCHE","00004193209","00004-1932-09","Valium",10,1,10,10
"J3360","Diazepam injection","5 MG","ROCHE","00004193306","00004-1933-06","Valium",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004194601","00004-1946-01","Versed",10,10,50,500
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004194701","00004-1947-01","Versed",2,10,10,100
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196201","00004-1962-01","Rocephin",1,10,1,10
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196202","00004-1962-02","Rocephin",1,1,1,1
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196301","00004-1963-01","Rocephin",1,10,2,20
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196302","00004-1963-02","Rocephin",1,1,2,2
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196401","00004-1964-01","Rocephin",1,10,4,40
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196402","00004-1964-02","Rocephin",1,1,4,4
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196404","00004-1964-04","Rocephin",1,1,4,4
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196405","00004-1964-05","Rocephin",1,10,4,40
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196501","00004-1965-01","Rocephin",1,10,8,80
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196502","00004-1965-02","Rocephin",1,1,8,8
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004196505","00004-1965-05","Rocephin",1,10,8,80
"J0696","Ceftriaxone sodium injection","250 MG","ROCHE","00004197101","00004-1971-01","Rocephin",1,1,40,40
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004197301","00004-1973-01","Versed",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004197401","00004-1974-01","Versed",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004197501","00004-1975-01","Versed",5,10,25,250
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004199806","00004-1998-06","Versed",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004199901","00004-1999-01","Versed",5,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","ROCHE","00004200006","00004-2000-06","Versed",10,10,10,100
"J0696","Ceftriaxone sodium injection","250 MG","BAXTER","00004200278","00004-2002-78","Rocephin In Dextrose",50,1,4,4
"J0696","Ceftriaxone sodium injection","250 MG","BAXTER","00004200378","00004-2003-78","Rocephin In Dextrose",50,1,8,8
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004200709","00004-2007-09","Roferon-A",3,1,6,6
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004200909","00004-2009-09","Roferon-A",1,1,1,1
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201009","00004-2010-09","Roferon-A",0.9,1,2.7,2.7
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201109","00004-2011-09","Roferon-A",3,1,6,6
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201209","00004-2012-09","Roferon-A",1,1,12,12
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201507","00004-2015-07","Roferon-A",1,6,1,6
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201509","00004-2015-09","Roferon-A",1,1,1,1
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201607","00004-2016-07","Roferon-A",1,6,2,12
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201609","00004-2016-09","Roferon-A",1,1,2,2
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201707","00004-2017-07","Roferon-A",1,6,3,18
"J9213","Interferon alfa-2a inj","3000000 UNITS","ROCHE","00004201709","00004-2017-09","Roferon-A",1,1,3,3
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692006","00004-6920-06","Toradol",1,10,1,10
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692106","00004-6921-06","Toradol",1,10,1,10
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692206","00004-6922-06","Toradol",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692306","00004-6923-06","Toradol",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692409","00004-6924-09","Toradol",2,1,4,4
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692506","00004-6925-06","Toradol",1,10,1,10
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692606","00004-6926-06","Toradol",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","ROCHE","00004692709","00004-6927-09","Toradol",2,1,4,4
"J1570","Ganciclovir sodium injection","500 MG","ROCHE","00004694003","00004-6940-03","Cytovene",1,25,1,25
"90645","Hib vaccine, hboc, im","1 EACH","LEDERLE","00005010432","00005-0104-32","Hibtiter",0.5,5,0.5,2.5
"J8501","Oral aprepitant","5 MG","MERCK","00006046105","00006-0461-05","Emend",5,1,80,80
"J8501","Oral aprepitant","5 MG","MERCK","00006046130","00006-0461-30","Emend",30,1,480,480
"J8501","Oral aprepitant","5 MG","MERCK","00006046205","00006-0462-05","Emend",5,1,125,125
"J8501","Oral aprepitant","5 MG","MERCK","00006046230","00006-0462-30","Emend",30,1,750,750
"J0515","Inj benztropine mesylate","1 MG","MERCK","00006327538","00006-3275-38","Cogentin",2,5,2,10
"J9120","Dactinomycin actinomycin d","0.5 MG","MERCK","00006329822","00006-3298-22","Cosmegen",1,1,1,1
"J0743","Cilastatin sodium injection","250 MG","MERCK","00006351458","00006-3514-58","Primaxin Iv",1,25,1,25
"J0743","Cilastatin sodium injection","250 MG","MERCK","00006351659","00006-3516-59","Primaxin Iv",1,25,2,50
"J0743","Cilastatin sodium injection","250 MG","MERCK","00006351775","00006-3517-75","Primaxin Iv",1,10,2,20
"J0694","Cefoxitin sodium injection","1 GM","MERCK","00006354524","00006-3545-24","Mefoxin In Dextrose",50,24,1,24
"J0694","Cefoxitin sodium injection","1 GM","MERCK","00006354725","00006-3547-25","Mefoxin In Dextrose",50,24,2,48
"J0743","Cilastatin sodium injection","250 MG","MERCK","00006355158","00006-3551-58","Primaxin Iv",1,25,1,25
"J0743","Cilastatin sodium injection","250 MG","MERCK","00006355259","00006-3552-59","Primaxin Iv",1,25,2,50
"J0743","Cilastatin sodium injection","250 MG","MERCK","00006358275","00006-3582-75","Primaxin Iv",1,10,2,20
"J1205","Chlorothiazide sodium inj","500 MG","MERCK","00006361932","00006-3619-32","Diuril Iv",1,1,1,1
"J0743","Cilastatin sodium injection","250 MG","MERCK","00006366659","00006-3666-59","Primaxin Iv",1,25,2,50
"J3246","Tirofiban HCl","0.25 MG","GUILFORD PHARMACEUTICALS","00006373955","00006-3739-55","Aggrastat",100,1,20,20
"J3246","Tirofiban HCl","0.25 MG","GUILFORD PHARMACEUTICALS","00006373996","00006-3739-96","Aggrastat",250,1,50,50
"J0637","Caspofungin acetate","5 MG","MERCK","00006382210","00006-3822-10","Cancidas",1,1,10,10
"J0637","Caspofungin acetate","5 MG","MERCK","00006382310","00006-3823-10","Cancidas",1,1,14,14
"J1335","Ertapenem injection","500 MG","MERCK","00006384371","00006-3843-71","Invanz",1,10,2,20
"J8501","Oral aprepitant","5 MG","MERCK","00006386203","00006-3862-03","Emend Tri-Fold",3,1,57,57
"90704","Mumps vaccine, sc","0.5 ML","MERCK","00006458400","00006-4584-00","Mumpsvax",1,10,1,10
"90705","Measles vaccine, sc","0.5 ML","MERCK","00006458900","00006-4589-00","Attenuvax",1,10,1,10
"J9020","Asparaginase injection","10000 UNITS","MERCK","00006461200","00006-4612-00","Elspar",1,1,1,1
"90706","Rubella vaccine, sc","0.5 ML","MERCK","00006467300","00006-4673-00","Meruvax II",1,10,1,10
"90707","Mmr vaccine, sc","0.5 ML","MERCK","00006468100","00006-4681-00","M-M-R II",1,10,1,10
"90707","Mmr vaccine, sc","0.5 ML","MERCK","00006468200","00006-4682-00","M-M-R II",1,10,1,10
"90732","Pneumococcal vaccine","0.5 ML","MERCK","00006473900","00006-4739-00","Pneumovax 23",2.5,1,5,5
"90732","Pneumococcal vaccine","0.5 ML","MERCK","00006473950","00006-4739-50","Pneumovax 23",2.5,10,5,50
"90707","Mmr vaccine, sc","0.5 ML","MERCK","00006474900","00006-4749-00","M-M-R II",1,1,1,1
"90716","Chicken pox vaccine, sc","0.5 ML","MERCK","00006482600","00006-4826-00","Varivax",1,1,1,1
"90716","Chicken pox vaccine, sc","0.5 ML","MERCK","00006482700","00006-4827-00","Varivax",1,10,1,10
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","MERCK","00006483100","00006-4831-00","Vaqta",0.5,1,1,1
"90634","Hep a vacc, ped/adol, 3 dose","3 EACH","MERCK","00006483100","00006-4831-00","Vaqta Pediatric",0.5,1,1,1
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","MERCK","00006483141","00006-4831-41","Vaqta",0.5,10,1,10
"90634","Hep a vacc, ped/adol, 3 dose","3 EACH","MERCK","00006483141","00006-4831-41","Vaqta Pediatric",0.5,10,1,10
"90632","Hep a vaccine, adult im","1 ML","MERCK","00006484100","00006-4841-00","Vaqta",1,1,1,1
"90632","Hep a vaccine, adult im","1 ML","MERCK","00006484138","00006-4841-38","Vaqta",1,5,1,5
"90632","Hep a vaccine, adult im","1 ML","MERCK","00006484141","00006-4841-41","Vaqta",1,10,1,10
"90645","Hib vaccine, hboc, im","1 EACH","MERCK","00006489700","00006-4897-00","Pedvaxhib",0.5,10,1,10
"90647","Hib vaccine, prp-omp, im","0.5 ML","MERCK","00006489700","00006-4897-00","Pedvax Hib",0.5,10,1,10
"90732","Pneumococcal vaccine","0.5 ML","MERCK","00006494300","00006-4943-00","Pneumovax 23",0.5,10,1,10
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","MERCK","00006498000","00006-4980-00","Recombivax Hb",0.5,1,0.5,0.5
"90746","Hep b vaccine, adult, im","1 EACH","MERCK","00006498000","00006-4980-00","Recombivax Hb",0.5,1,0.5,0.5
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","MERCK","00006498100","00006-4981-00","Recombivax Hb",0.5,10,0.5,5
"90746","Hep b vaccine, adult, im","1 EACH","MERCK","00006498100","00006-4981-00","Recombivax Hb",0.5,10,0.5,5
"90740","Hepb vacc, ill pat 3 dose im","40 MCG","SICOR","00006499200","00006-4992-00","Recombivax Hb",1,1,1,1
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","MERCK","00006499500","00006-4995-00","Recombivax Hb",1,1,1,1
"90746","Hep b vaccine, adult, im","1 EACH","MERCK","00006499500","00006-4995-00","Recombivax Hb",1,1,1,1
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","MERCK","00006499541","00006-4995-41","Recombivax Hb",1,10,1,10
"90746","Hep b vaccine, adult, im","1 EACH","MERCK","00006499541","00006-4995-41","Recombivax Hb",1,10,1,10
"J9230","Mechlorethamine hcl inj","10 MG","MERCK","00006775331","00006-7753-31","Mustargen",1,4,1,4
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00007313001","00007-3130-01","Ancef",1,10,2,20
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00007313016","00007-3130-16","Ancef",1,25,2,50
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00007313076","00007-3130-76","Ancef",1,25,2,50
"J0690","Cefazolin sodium injection","500 MG","ABBOTT","00007313116","00007-3131-16","Ancef",1,25,1,25
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00007313176","00007-3131-76","Ancef",1,25,1,25
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00007313505","00007-3135-05","Ancef",1,10,20,200
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00007313576","00007-3135-76","Ancef",1,10,20,200
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00007313705","00007-3137-05","Ancef",1,10,2,20
"J0690","Cefazolin sodium injection","500 MG","GLAXOSMITHKLINE","00007313776","00007-3137-76","Ancef",100,1,5,5
"J0690","Cefazolin sodium injection","500 MG","GLAXOSMITHKLINE","00007314204","00007-3142-04","Ancef",50,1,1,1
"J0690","Cefazolin sodium injection","500 MG","GLAXOSMITHKLINE","00007314304","00007-3143-04","Ancef",50,1,1,1
"J1652","Fondaparinux sodium","0.5 MG","GLAXOSMITHKLINE","00007323211","00007-3232-11","Arixtra",0.4,10,10,100
"J1652","Fondaparinux sodium","0.5 MG","GLAXOSMITHKLINE","00007323411","00007-3234-11","Arixtra",0.6,10,15,150
"J1652","Fondaparinux sodium","0.5 MG","GLAXOSMITHKLINE","00007323611","00007-3236-11","Arixtra",0.8,10,20,200
"J0780","Prochlorperazine injection","10 MG","GLAXOSMITHKLINE","00007334301","00007-3343-01","Compazine",10,1,5,5
"Q0165","Prochlorperazine maleate10mg","10 MG","GLAXOSMITHKLINE","00007334415","00007-3344-15","Compazine",50,1,50,50
"Q0164","Prochlorperazine maleate 5mg","5 MG","GLAXOSMITHKLINE","00007336620","00007-3366-20","Compazine",100,1,100,100
"Q0164","Prochlorperazine maleate 5mg","5 MG","GLAXOSMITHKLINE","00007336621","00007-3366-21","Compazine",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","GLAXOSMITHKLINE","00007336720","00007-3367-20","Compazine",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","GLAXOSMITHKLINE","00007336721","00007-3367-21","Compazine",100,1,100,100
"J9350","Topotecan","4 MG","GLAXOSMITHKLINE","00007420101","00007-4201-01","Hycamtin",1,1,1,1
"J9350","Topotecan","4 MG","GLAXOSMITHKLINE","00007420105","00007-4201-05","Hycamtin",1,5,1,5
"J3230","Chlorpromazine hcl injection","50 MG","GLAXOSMITHKLINE","00007506011","00007-5060-11","Thorazine",1,10,0.5,5
"J3230","Chlorpromazine hcl injection","50 MG","GLAXOSMITHKLINE","00007506111","00007-5061-11","Thorazine",2,10,1,10
"J3230","Chlorpromazine hcl injection","50 MG","GLAXOSMITHKLINE","00007506201","00007-5062-01","Thorazine",10,1,5,5
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","GLAXOSMITHKLINE","00007507244","00007-5072-44","Thorazine",1,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508216","00007-5082-16","Tazicef",20,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508276","00007-5082-76","Tazicef",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508311","00007-5083-11","Tazicef",100,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508376","00007-5083-76","Tazicef",100,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508411","00007-5084-11","Tazicef",60,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508476","00007-5084-76","Tazicef",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","500 MG","ABBOTT","00007508511","00007-5085-11","Tazicef",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508576","00007-5085-76","Tazicef",100,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508611","00007-5086-11","Tazicef",100,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508676","00007-5086-76","Tazicef",1,10,12,120
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508804","00007-5088-04","Tazicef",50,24,2,48
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007508904","00007-5089-04","Tazicef",50,24,4,96
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007509016","00007-5090-16","Tazicef",21,1,1,1
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00007509111","00007-5091-11","Tazicef",21,1,1,1
"Q0170","Promethazine HCl 25 mg oral","25 MG","WYETH","00008002702","00008-0027-02","Phenergan",100,1,100,100
"J0282","Amiodarone HCl","30 MG","WYETH","00008081401","00008-0814-01","Cordarone Iv",3,10,5,50
"J7520","Sirolimus, oral","1 MG","WYETH","00008103006","00008-1030-06","Rapamune",60,1,60,60
"J7520","Sirolimus, oral","1 MG","WYETH","00008103105","00008-1031-05","Rapamune",100,1,100,100
"J7520","Sirolimus, oral","1 MG","WYETH","00008103110","00008-1031-10","Rapamune",100,1,100,100
"J7520","Sirolimus, oral","1 MG","WYETH","00008103205","00008-1032-05","Rapamune",100,1,200,200
"J9300","Gemtuzumab ozogamicin","5 MG","WYETH","00008451001","00008-4510-01","Mylotarg",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009002201","00009-0022-01","Medrol",25,1,50,50
"J7506","Prednisone oral","5 MG","PHARMACIA","00009003201","00009-0032-01","Deltasone",100,1,50,50
"J7506","Prednisone oral","5 MG","PHARMACIA","00009004501","00009-0045-01","Deltasone",100,1,100,100
"J7506","Prednisone oral","5 MG","PHARMACIA","00009004502","00009-0045-02","Deltasone",500,1,500,500
"J7506","Prednisone oral","5 MG","PHARMACIA","00009004516","00009-0045-16","Deltasone",1000,1,1000,1000
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009004902","00009-0049-02","Medrol",100,1,50,50
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009005602","00009-0056-02","Medrol",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009005603","00009-0056-03","Medrol",500,1,500,500
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009005604","00009-0056-04","Medrol (Pak)",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009005605","00009-0056-05","Medrol",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009007301","00009-0073-01","Medrol",50,1,200,200
"J2920","Methylprednisolone injection","40 MG","PFIZER","00009011312","00009-0113-12","Solu-Medrol",1,1,1,1
"J2920","Methylprednisolone injection","40 MG","PFIZER","00009011319","00009-0113-19","Solu-Medrol",1,25,1,25
"J7509","Methylprednisolone oral","4 MG","PHARMACIA","00009015501","00009-0155-01","Medrol",25,1,150,150
"J7506","Prednisone oral","5 MG","PHARMACIA","00009016501","00009-0165-01","Deltasone",100,1,400,400
"J7506","Prednisone oral","5 MG","PHARMACIA","00009016502","00009-0165-02","Deltasone",500,1,2000,2000
"J7509","Methylprednisolone oral","4 MG","PFIZER","00009017601","00009-0176-01","Medrol",25,1,200,200
"J2930","Methylprednisolone injection","125 MG","PFIZER","00009019009","00009-0190-09","Solu-Medrol",1,1,1,1
"J2930","Methylprednisolone injection","125 MG","PFIZER","00009019016","00009-0190-16","Solu-Medrol",1,25,1,25
"J7506","Prednisone oral","5 MG","PFIZER","00009019301","00009-0193-01","Deltasone",100,1,200,200
"J7506","Prednisone oral","5 MG","PFIZER","00009019302","00009-0193-02","Deltasone",500,1,1000,1000
"J1060","Testosterone cypionate 1 ML","1 ML","PHARMACIA","00009025302","00009-0253-02","Depo-Testadiol",10,1,10,10
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PFIZER","00009026801","00009-0268-01","Heparin Sodium (Bovine)",10,1,10,10
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PFIZER","00009026802","00009-0268-02","Heparin Sodium (Bovine)",30,1,30,30
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PFIZER","00009026812","00009-0268-12","Heparin Sodium (Bovine)",10,25,10,250
"J1000","Depo-estradiol cypionate inj","5 MG","PFIZER","00009027101","00009-0271-01","Depo-Estradiol",5,1,5,5
"J1020","Methylprednisolone 20 MG inj","20 MG","PFIZER","00009027401","00009-0274-01","Depo-Medrol",5,1,5,5
"J1030","Methylprednisolone 40 MG inj","40 MG","PFIZER","00009028002","00009-0280-02","Depo-Medrol",5,1,5,5
"J1030","Methylprednisolone 40 MG inj","40 MG","PFIZER","00009028003","00009-0280-03","Depo-Medrol",10,1,10,10
"J1030","Methylprednisolone 40 MG inj","40 MG","PFIZER","00009028051","00009-0280-51","Depo-Medrol",5,25,5,125
"J1030","Methylprednisolone 40 MG inj","40 MG","PFIZER","00009028052","00009-0280-52","Depo-Medrol",10,25,10,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PHARMACIA","00009029101","00009-0291-01","Heparin Sodium (Bovine)",10,1,50,50
"J1040","Methylprednisolone 80 MG inj","80 MG","PFIZER","00009030602","00009-0306-02","Depo-Medrol",5,1,5,5
"J1040","Methylprednisolone 80 MG inj","80 MG","PFIZER","00009030612","00009-0306-12","Depo-Medrol",5,25,5,125
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PHARMACIA","00009031702","00009-0317-02","Heparin Sodium (Bovine)",4,1,40,40
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PHARMACIA","00009031710","00009-0317-10","Heparin Sodium (Bovine)",1,25,10,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PHARMACIA","00009031711","00009-0317-11","Heparin Sodium (Bovine)",4,25,40,1000
"J1070","Testosterone cypionat 100 MG","100 MG","PFIZER","00009034702","00009-0347-02","Depo-Testosterone",10,1,10,10
"J7506","Prednisone oral","5 MG","PHARMACIA","00009038801","00009-0388-01","Deltasone",100,1,1000,1000
"J1080","Testosterone cypionat 200 MG","200 MG","PFIZER","00009041701","00009-0417-01","Depo-Testosterone",1,1,1,1
"J1080","Testosterone cypionat 200 MG","200 MG","PFIZER","00009041702","00009-0417-02","Depo-Testosterone",10,1,10,10
"J2010","Lincomycin injection","300 MG","PFIZER","00009055501","00009-0555-01","Lincocin",2,1,2,2
"J2010","Lincomycin injection","300 MG","PFIZER","00009055502","00009-0555-02","Lincocin",10,1,10,10
"J3320","Spectinomycn di-hcl inj","2 G","PFIZER","00009056601","00009-0566-01","Trobicin",1,1,1,1
"J1051","Medroxyprogesterone inj","50 MG","PFIZER","00009062601","00009-0626-01","Depo-Provera",2.5,1,20,20
"J2930","Methylprednisolone injection","125 MG","PFIZER","00009069801","00009-0698-01","Solu-Medrol",1,1,8,8
"J2930","Methylprednisolone injection","125 MG","PFIZER","00009075801","00009-0758-01","Solu-Medrol",1,1,4,4
"J2930","Methylprednisolone injection","125 MG","PFIZER","00009076502","00009-0765-02","Solu-Medrol",1,1,4,4
"J2930","Methylprednisolone injection","125 MG","PFIZER","00009079601","00009-0796-01","Solu-Medrol",1,1,16,16
"J1720","Hydrocortisone sodium succ i","100 MG","PFIZER","00009082501","00009-0825-01","Solu-Cortef",1,1,1,1
"J1720","Hydrocortisone sodium succ i","100 MG","PFIZER","00009090013","00009-0900-13","Solu-Cortef",1,1,1,1
"J1720","Hydrocortisone sodium succ i","100 MG","PFIZER","00009090020","00009-0900-20","Solu-Cortef",1,25,1,25
"J1720","Hydrocortisone sodium succ i","100 MG","PFIZER","00009090908","00009-0909-08","Solu-Cortef",1,1,2.5,2.5
"J1720","Hydrocortisone sodium succ i","100 MG","PFIZER","00009090916","00009-0909-16","Solu-Cortef",1,25,2.5,62.5
"J1720","Hydrocortisone sodium succ i","100 MG","PFIZER","00009091205","00009-0912-05","Solu-Cortef",1,1,5,5
"J1720","Hydrocortisone sodium succ i","100 MG","PFIZER","00009092003","00009-0920-03","Solu-Cortef",1,1,10,10
"J1030","Methylprednisolone 40 MG inj","40 MG","PFIZER","00009307301","00009-3073-01","Depo-Medrol",1,1,1,1
"J1030","Methylprednisolone 40 MG inj","40 MG","PFIZER","00009307303","00009-3073-03","Depo-Medrol",1,25,1,25
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009316906","00009-3169-06","Prostin Vr",1,5,400,2000
"J2930","Methylprednisolone injection","125 MG","PFIZER","00009338901","00009-3389-01","Solu-Medrol",1,1,8,8
"J1040","Methylprednisolone 80 MG inj","80 MG","PFIZER","00009347501","00009-3475-01","Depo-Medrol",1,1,1,1
"J1040","Methylprednisolone 80 MG inj","80 MG","PFIZER","00009347503","00009-3475-03","Depo-Medrol",1,25,1,25
"J1056","MA/EC contraceptiveinjection","5 MG","PFIZER","00009348404","00009-3484-04","Lunelle",0.5,1,1,1
"J1056","MA/EC contraceptiveinjection","5 MG","PFIZER","00009348406","00009-3484-06","Lunelle",0.5,1,1,1
"J0270","Alprostadil for injection","1.25 MCG","PHARMACIA","00009370101","00009-3701-01","Caverject",1,6,16,96
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009370105","00009-3701-05","Caverject",1,6,16,96
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009370108","00009-3701-08","Caverject",1,1,16,16
"J0270","Alprostadil for injection","1.25 MCG","PHARMACIA","00009370113","00009-3701-13","Caverject",1,1,16,16
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009377804","00009-3778-04","Caverject",1,1,8,8
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009377805","00009-3778-05","Caverject",1,6,8,48
"J0270","Alprostadil for injection","1.25 MCG","PHARMACIA","00009377808","00009-3778-08","Caverject",1,6,8,48
"J0270","Alprostadil for injection","1.25 MCG","PHARMACIA","00009377813","00009-3778-13","Caverject",1,1,8,8
"J1742","Ibutilide fumarate injection","1 MG","PFIZER","00009379401","00009-3794-01","Corvert",10,1,1,1
"J9178","Inj, epirubicin hcl, 2 mg","2 MG","PFIZER","00009509101","00009-5091-01","Ellence",25,1,25,25
"J9178","Inj, epirubicin hcl, 2 mg","2 MG","PFIZER","00009509301","00009-5093-01","Ellence",100,1,100,100
"J2020","Linezolid injection","200 MG","PFIZER","00009513701","00009-5137-01","Zyvox",100,1,1,1
"J2020","Linezolid injection","200 MG","PFIZER","00009514001","00009-5140-01","Zyvox",300,1,3,3
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009518101","00009-5181-01","Caverject Impulse",1,2,8,16
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009518201","00009-5182-01","Caverject Impulse",1,2,16,32
"J3315","Triptorelin pamoate","3.75 MG","PFIZER","00009521501","00009-5215-01","Trelstar La",1,1,3,3
"J0270","Alprostadil for injection","1.25 MCG","PHARMACIA","00009721203","00009-7212-03","Caverject",1,6,4,24
"J7504","Lymphocyte immune globulin","250 MG","PFIZER","00009722402","00009-7224-02","Atgam",5,5,1,5
"J9206","Irinotecan injection","20 MG","PFIZER","00009752901","00009-7529-01","Camptosar",5,1,5,5
"J9206","Irinotecan injection","20 MG","PFIZER","00009752902","00009-7529-02","Camptosar",2,1,2,2
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009765002","00009-7650-02","Caverject",2,5,32,160
"J3315","Triptorelin pamoate","3.75 MG","PFIZER","00009766401","00009-7664-01","Trelstar Depot",1,1,1,1
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009768601","00009-7686-01","Caverject",1,1,32,32
"J0270","Alprostadil for injection","1.25 MCG","PFIZER","00009768604","00009-7686-04","Caverject",1,6,32,192
"J9190","Fluorouracil injection","500 MG","PFIZER","00013103691","00013-1036-91","Adrucil",10,1,1,1
"J9190","Fluorouracil injection","500 MG","PFIZER","00013104694","00013-1046-94","Adrucil",50,1,5,5
"J0285","Amphotericin B","50 MG","PFIZER","00013140544","00013-1405-44","Amphocin",1,1,1,1
"J9211","Idarubicin hcl injection","5 MG","PFIZER","00013220001","00013-2200-01","Idamycin Pfs",5,1,1,1
"J9211","Idarubicin hcl injection","5 MG","PFIZER","00013220101","00013-2201-01","Idamycin Pfs",10,1,2,2
"J9211","Idarubicin hcl injection","5 MG","PFIZER","00013220201","00013-2202-01","Idamycin Pfs",20,1,4,4
"J1645","Dalteparin sodium","2500 UNITS","PFIZER","00013240691","00013-2406-91","Fragmin",0.2,10,1,10
"J1645","Dalteparin sodium","2500 UNITS","PFIZER","00013242601","00013-2426-01","Fragmin",0.3,10,3,30
"J1645","Dalteparin sodium","2500 UNITS","PFIZER","00013242691","00013-2426-91","Fragmin",0.2,10,2,20
"J1645","Dalteparin sodium","2500 UNITS","PFIZER","00013243606","00013-2436-06","Fragmin",9.5,1,38,38
"J9211","Idarubicin hcl injection","5 MG","PFIZER","00013257691","00013-2576-91","Idamycin Pfs",5,1,1,1
"J9211","Idarubicin hcl injection","5 MG","PFIZER","00013258691","00013-2586-91","Idamycin Pfs",10,1,2,2
"J9211","Idarubicin hcl injection","5 MG","PFIZER","00013259691","00013-2596-91","Idamycin Pfs",20,1,4,4
"J2941","Somatropin injection","1 MG","PFIZER","00013260694","00013-2606-94","Genotropin",1,5,1.5,7.5
"J2941","Somatropin injection","1 MG","PFIZER","00013261681","00013-2616-81","Genotropin",1,1,5,5
"J2941","Somatropin injection","1 MG","PFIZER","00013261694","00013-2616-94","Genotropin",1,5,5,25
"J2941","Somatropin injection","1 MG","PFIZER","00013262681","00013-2626-81","Genotropin",1,1,5,5
"J2941","Somatropin injection","1 MG","PFIZER","00013262694","00013-2626-94","Genotropin",1,5,5,25
"J2941","Somatropin injection","1 MG","PFIZER","00013264681","00013-2646-81","Genotropin",1,1,12,12
"J2941","Somatropin injection","1 MG","PFIZER","00013264694","00013-2646-94","Genotropin",1,5,12,60
"J2941","Somatropin injection","1 MG","PFIZER","00013264902","00013-2649-02","Genotropin",1,7,0.2,1.4
"J2941","Somatropin injection","1 MG","PFIZER","00013265002","00013-2650-02","Genotropin",1,7,0.4,2.8
"J2941","Somatropin injection","1 MG","PFIZER","00013265102","00013-2651-02","Genotropin",1,7,0.6,4.2
"J2941","Somatropin injection","1 MG","PFIZER","00013265202","00013-2652-02","Genotropin",1,7,0.8,5.6
"J2941","Somatropin injection","1 MG","PFIZER","00013265302","00013-2653-02","Genotropin",1,7,1,7
"J2941","Somatropin injection","1 MG","PFIZER","00013265402","00013-2654-02","Genotropin",1,7,1.2,8.4
"J2941","Somatropin injection","1 MG","PFIZER","00013265502","00013-2655-02","Genotropin",1,7,1.4,9.8
"J2941","Somatropin injection","1 MG","PFIZER","00013265602","00013-2656-02","Genotropin",1,7,1.6,11.2
"J2941","Somatropin injection","1 MG","PFIZER","00013265702","00013-2657-02","Genotropin",1,7,1.8,12.6
"J2941","Somatropin injection","1 MG","PFIZER","00013265802","00013-2658-02","Genotropin",1,7,2,14
"J1645","Dalteparin sodium","2500 UNITS","PFIZER","00013519001","00013-5190-01","Fragmin",1,10,4,40
"J1645","Dalteparin sodium","2500 UNITS","PFIZER","00013519101","00013-5191-01","Fragmin",3.8,1,38,38
"J9370","Vincristine sulfate 1 MG inj","1 MG","PFIZER","00013746686","00013-7466-86","Vincasar Pfs",2,1,2,2
"J9375","Vincristine sulfate 2 MG inj","2 MG","PFIZER","00013746686","00013-7466-86","Vincasar Pfs",2,1,1,1
"J9380","Vincristine sulfate 5 MG inj","5 MG","PFIZER","00013746686","00013-7466-86","Vincasar Pfs",2,1,0.4,0.4
"J1190","Dexrazoxane HCl injection","250 MG","PFIZER","00013871562","00013-8715-62","Zinecard",1,1,1,1
"J1190","Dexrazoxane HCl injection","250 MG","PFIZER","00013872589","00013-8725-89","Zinecard",1,1,2,2
"J9070","Cyclophosphamide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan",1,1,5,5
"J9080","Cyclophosphamide 200 MG inj","200 MG","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan",1,1,2.5,2.5
"J9090","Cyclophosphamide 500 MG inj","500 MG","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan",1,1,1,1
"J9091","Cyclophosphamide 1.0 grm inj","1 GM","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan",1,1,0.5,0.5
"J9092","Cyclophosphamide 2.0 grm inj","2 GM","BRISTOL-MYERS SQUIBB","00015050241","00015-0502-41","Cytoxan",1,1,0.25,0.25
"J8530","Cyclophosphamide oral 25 MG","25 MG","BRISTOL-MYERS SQUIBB","00015050301","00015-0503-01","Cytoxan",100,1,200,200
"J8530","Cyclophosphamide oral 25 MG","25 MG","BRISTOL-MYERS SQUIBB","00015050302","00015-0503-02","Cytoxan",1000,1,2000,2000
"J8530","Cyclophosphamide oral 25 MG","25 MG","BRISTOL-MYERS SQUIBB","00015050401","00015-0504-01","Cytoxan",100,1,100,100
"J9070","Cyclophosphamide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan",1,1,10,10
"J9080","Cyclophosphamide 200 MG inj","200 MG","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan",1,1,5,5
"J9090","Cyclophosphamide 500 MG inj","500 MG","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan",1,1,2,2
"J9091","Cyclophosphamide 1.0 grm inj","1 GM","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan",1,1,1,1
"J9092","Cyclophosphamide 2.0 grm inj","2 GM","BRISTOL-MYERS SQUIBB","00015050541","00015-0505-41","Cytoxan",1,1,0.5,0.5
"J9070","Cyclophosphamide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan",1,1,20,20
"J9080","Cyclophosphamide 200 MG inj","200 MG","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan",1,1,10,10
"J9090","Cyclophosphamide 500 MG inj","500 MG","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan",1,1,4,4
"J9091","Cyclophosphamide 1.0 grm inj","1 GM","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan",1,1,2,2
"J9092","Cyclophosphamide 2.0 grm inj","2 GM","BRISTOL-MYERS SQUIBB","00015050641","00015-0506-41","Cytoxan",1,1,1,1
"J9094","Cyclophosphamide lyophilized","200 MG","BRISTOL-MYERS SQUIBB","00015053941","00015-0539-41","Cytoxan Lyophilized",1,12,0.5,6
"J9093","Cyclophosphamide lyophilized","100 MG","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized",1,12,5,60
"J9094","Cyclophosphamide lyophilized","200 MG","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized",1,12,2.5,30
"J9095","Cyclophosphamide lyophilized","500 MG","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized",1,12,1,12
"J9096","Cyclophosphamide lyophilized","1 GM","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized",1,12,0.5,6
"J9097","Cyclophosphamide lyophilized","2 GM","BRISTOL-MYERS SQUIBB","00015054741","00015-0547-41","Cytoxan Lyophilized",1,12,0.25,3
"J9093","Cyclophosphamide lyophilized","100 MG","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized",1,6,10,60
"J9094","Cyclophosphamide lyophilized","200 MG","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized",1,6,5,30
"J9095","Cyclophosphamide lyophilized","500 MG","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized",1,6,2,12
"J9096","Cyclophosphamide lyophilized","1 GM","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized",1,6,1,6
"J9097","Cyclophosphamide lyophilized","2 GM","BRISTOL-MYERS SQUIBB","00015054841","00015-0548-41","Cytoxan Lyophilized",1,6,0.5,3
"J9093","Cyclophosphamide lyophilized","100 MG","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized",1,1,20,20
"J9094","Cyclophosphamide lyophilized","200 MG","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized",1,1,10,10
"J9095","Cyclophosphamide lyophilized","500 MG","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized",1,1,4,4
"J9096","Cyclophosphamide lyophilized","1 GM","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized",1,1,2,2
"J9097","Cyclophosphamide lyophilized","2 GM","BRISTOL-MYERS SQUIBB","00015054941","00015-0549-41","Cytoxan Lyophilized",1,1,1,1
"J9208","Ifosfomide injection","1 GM","BRISTOL-MYERS SQUIBB","00015055605","00015-0556-05","Ifex",1,1,1,1
"J9208","Ifosfomide injection","1 GM","BRISTOL-MYERS SQUIBB","00015055741","00015-0557-41","Ifex",1,1,3,3
"J1590","Gatifloxacin injection","10 MG","BRISTOL-MYERS SQUIBB","00015117980","00015-1179-80","Tequin",40,1,40,40
"J1590","Gatifloxacin injection","10 MG","BRISTOL-MYERS SQUIBB","00015118079","00015-1180-79","Tequin",100,1,20,20
"J1590","Gatifloxacin injection","10 MG","BRISTOL-MYERS SQUIBB","00015118179","00015-1181-79","Tequin",200,1,40,40
"J1590","Gatifloxacin injection","10 MG","BRISTOL-MYERS SQUIBB","00015118180","00015-1181-80","Tequin",200,1,40,40
"J9280","Mitomycin 5 MG inj","5 MG","BRISTOL-MYERS SQUIBB","00015300120","00015-3001-20","Mutamycin",1,1,1,1
"J9290","Mitomycin 20 MG inj","20 MG","BRISTOL-MYERS SQUIBB","00015300120","00015-3001-20","Mutamycin",1,1,0.25,0.25
"J9291","Mitomycin 40 MG inj","40 MG","BRISTOL-MYERS SQUIBB","00015300120","00015-3001-20","Mutamycin",1,1,0.125,0.125
"J9280","Mitomycin 5 MG inj","5 MG","BRISTOL-MYERS SQUIBB","00015300220","00015-3002-20","Mutamycin",1,1,4,4
"J9290","Mitomycin 20 MG inj","20 MG","BRISTOL-MYERS SQUIBB","00015300220","00015-3002-20","Mutamycin",1,1,1,1
"J9291","Mitomycin 40 MG inj","40 MG","BRISTOL-MYERS SQUIBB","00015300220","00015-3002-20","Mutamycin",1,1,0.5,0.5
"J9040","Bleomycin sulfate injection","15 UNITS","BRISTOL-MYERS SQUIBB","00015301020","00015-3010-20","Blenoxane",1,1,1,1
"J9050","Carmus bischl nitro inj","100 MG","BRISTOL-MYERS SQUIBB","00015301238","00015-3012-38","Bicnu",1,1,1,1
"J9280","Mitomycin 5 MG inj","5 MG","BRISTOL-MYERS SQUIBB","00015305920","00015-3059-20","Mutamycin",1,1,8,8
"J9290","Mitomycin 20 MG inj","20 MG","BRISTOL-MYERS SQUIBB","00015305920","00015-3059-20","Mutamycin",1,1,2,2
"J9291","Mitomycin 40 MG inj","40 MG","BRISTOL-MYERS SQUIBB","00015305920","00015-3059-20","Mutamycin",1,1,1,1
"J9181","Etoposide 10 MG inj","10 MG","BRISTOL-MYERS SQUIBB","00015306120","00015-3061-20","Vepesid",25,1,50,50
"J9182","Etoposide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015306120","00015-3061-20","Vepesid",25,1,5,5
"J9181","Etoposide 10 MG inj","10 MG","BRISTOL-MYERS SQUIBB","00015306220","00015-3062-20","Vepesid",50,1,100,100
"J9182","Etoposide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015306220","00015-3062-20","Vepesid",50,1,10,10
"J9040","Bleomycin sulfate injection","15 UNITS","BRISTOL-MYERS SQUIBB","00015306301","00015-3063-01","Blenoxane",1,1,2,2
"Q2017","Teniposide, 50 mg","50 MG","BRISTOL-MYERS SQUIBB","00015307519","00015-3075-19","Vumon",5,1,1,1
"Q2017","Teniposide, 50 mg","50 MG","BRISTOL-MYERS SQUIBB","00015307597","00015-3075-97","Vumon",5,10,1,10
"J9181","Etoposide 10 MG inj","10 MG","BRISTOL-MYERS SQUIBB","00015308420","00015-3084-20","Vepesid",7.5,1,15,15
"J9182","Etoposide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015308420","00015-3084-20","Vepesid",7.5,1,1.5,1.5
"J8560","Etoposide oral 50 MG","50 MG","BRISTOL-MYERS SQUIBB","00015309145","00015-3091-45","Vepesid",20,1,20,20
"J9181","Etoposide 10 MG inj","10 MG","BRISTOL-MYERS SQUIBB","00015309520","00015-3095-20","Vepesid",5,1,10,10
"J9182","Etoposide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015309520","00015-3095-20","Vepesid",5,1,1,1
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321030","00015-3210-30","Paraplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321076","00015-3210-76","Paraplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321130","00015-3211-30","Paraplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321176","00015-3211-76","Paraplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321230","00015-3212-30","Paraplatin",45,1,9,9
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321276","00015-3212-76","Paraplatin",45,1,9,9
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321330","00015-3213-30","Paraplatin",1,1,1,1
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321430","00015-3214-30","Paraplatin",1,1,3,3
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321530","00015-3215-30","Paraplatin",1,1,9,9
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015321630","00015-3216-30","Paraplatin",60,1,12,12
"J9060","Cisplatin 10 MG injection","10 MG","BRISTOL-MYERS SQUIBB","00015322022","00015-3220-22","Platinol Aq",50,1,5,5
"J9062","Cisplatin 50 MG injection","50 MG","BRISTOL-MYERS SQUIBB","00015322022","00015-3220-22","Platinol Aq",50,1,1,1
"J9060","Cisplatin 10 MG injection","10 MG","BRISTOL-MYERS SQUIBB","00015322122","00015-3221-22","Platinol Aq",100,1,10,10
"J9062","Cisplatin 50 MG injection","50 MG","BRISTOL-MYERS SQUIBB","00015322122","00015-3221-22","Platinol Aq",100,1,2,2
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015323011","00015-3230-11","Carboplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015323111","00015-3231-11","Carboplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015323211","00015-3232-11","Carboplatin",45,1,9,9
"J9045","Carboplatin injection","50 MG","BRISTOL-MYERS SQUIBB","00015323311","00015-3233-11","Carboplatin",60,1,12,12
"J9181","Etoposide 10 MG inj","10 MG","BRISTOL-MYERS SQUIBB","00015340420","00015-3404-20","Etopophos",1,5,10,50
"J9182","Etoposide 100 MG inj","100 MG","BRISTOL-MYERS SQUIBB","00015340420","00015-3404-20","Etopophos",1,5,1,5
"J9265","Paclitaxel injection","30 MG","BRISTOL-MYERS SQUIBB","00015347530","00015-3475-30","Taxol",5,1,1,1
"J9265","Paclitaxel injection","30 MG","BRISTOL-MYERS SQUIBB","00015347630","00015-3476-30","Taxol",16.7,1,3.34,3.33
"J9265","Paclitaxel injection","30 MG","BRISTOL-MYERS SQUIBB","00015347911","00015-3479-11","Taxol",50,1,10,10
"J9209","Mesna injection","200 MG","BRISTOL-MYERS SQUIBB","00015356302","00015-3563-02","Mesnex",10,1,5,5
"J9209","Mesna injection","200 MG","BRISTOL-MYERS SQUIBB","00015356303","00015-3563-03","Mesnex",10,10,5,50
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00015710098","00015-7100-98","Ampicillin Sodium",1,10,20,200
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00015740299","00015-7402-99","Ampicillin Sodium",1,10,0.5,5
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00015740399","00015-7403-99","Ampicillin Sodium",1,10,1,10
"J0290","Ampicillin 500 MG inj","500 MG","APOTHECON","00015740489","00015-7404-89","Ampicillin Sodium",1,10,2,20
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00015740499","00015-7404-99","Ampicillin Sodium",1,10,2,20
"J0290","Ampicillin 500 MG inj","500 MG","APOTHECON","00015740589","00015-7405-89","Ampicillin Sodium",1,10,4,40
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00015740599","00015-7405-99","Ampicillin Sodium",1,10,4,40
"J2700","Oxacillin sodium injeciton","250 MG","APOTHECON","00015797089","00015-7970-89","Oxacillin Sodium",1,10,8,80
"J2700","Oxacillin sodium injeciton","250 MG","APOTHECON","00015798189","00015-7981-89","Oxacillin Sodium",1,10,4,40
"Q9954","Oral MR contrast, 100 ml","100 ML","TYCO_MALLINCKRODT","00019112006","00019-1120-06","Gastromark",300,12,3,36
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117702","00019-1177-02","Optimark",5,10,5,50
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117704","00019-1177-04","Optimark",10,10,10,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117706","00019-1177-06","Optimark",15,10,15,150
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117708","00019-1177-08","Optimark",20,10,20,200
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117710","00019-1177-10","Optimark",10,10,10,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117715","00019-1177-15","Optimark",15,10,15,150
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117720","00019-1177-20","Optimark",20,10,20,200
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117730","00019-1177-30","Optimark",30,10,30,300
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","TYCO_MALLINCKRODT","00019117750","00019-1177-50","Optimark",50,5,50,250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132302","00019-1323-02","Optiray 320",20,25,20,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132304","00019-1323-04","Optiray 320",30,25,30,750
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132306","00019-1323-06","Optiray 320",50,25,50,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132311","00019-1323-11","Optiray 320",100,12,100,1200
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132316","00019-1323-16","Optiray 320",150,12,150,1800
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132321","00019-1323-21","Optiray 320",200,12,200,2400
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132341","00019-1323-41","Optiray 320",75,12,75,900
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132373","00019-1323-73","Optiray 320",30,20,30,600
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132375","00019-1323-75","Optiray 320",50,20,50,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132377","00019-1323-77","Optiray 320",50,20,50,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132381","00019-1323-81","Optiray 320",125,20,125,2500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132383","00019-1323-83","Optiray 320",100,20,100,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132391","00019-1323-91","Optiray 320",75,20,75,1500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132406","00019-1324-06","Optiray 240",50,25,50,1250
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132411","00019-1324-11","Optiray 240",100,12,100,1200
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132416","00019-1324-16","Optiray 240",150,12,150,1800
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132421","00019-1324-21","Optiray 240",200,12,200,2400
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132475","00019-1324-75","Optiray 240",50,20,50,1000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132481","00019-1324-81","Optiray 240",125,20,125,2500
"Q9946","LOCM 150-199mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019132506","00019-1325-06","Optiray 160",50,25,50,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133206","00019-1332-06","Optiray 300",50,25,50,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133211","00019-1332-11","Optiray 300",100,12,100,1200
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133216","00019-1332-16","Optiray 300",150,12,150,1800
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133221","00019-1332-21","Optiray 300",200,12,200,2400
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133261","00019-1332-61","Optiray 300",500,6,500,3000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133275","00019-1332-75","Optiray 300",50,20,50,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133283","00019-1332-83","Optiray 300",100,20,100,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133306","00019-1333-06","Optiray 350",50,25,50,1250
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133311","00019-1333-11","Optiray 350",100,12,100,1200
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133316","00019-1333-16","Optiray 350",150,12,150,1800
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133321","00019-1333-21","Optiray 350",200,12,200,2400
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133341","00019-1333-41","Optiray 350",75,12,75,900
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133351","00019-1333-51","Optiray 350",250,12,250,3000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133361","00019-1333-61","Optiray 350",500,6,500,3000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133375","00019-1333-75","Optiray 350",50,20,50,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133377","00019-1333-77","Optiray 350",50,20,50,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133381","00019-1333-81","Optiray 350",125,20,125,2500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133383","00019-1333-83","Optiray 350",100,20,100,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019133391","00019-1333-91","Optiray 350",75,20,75,1500
"P9041","Albumin (human),5%, 50ml","50 ML","MALLINCKRODT","00019270310","00019-2703-10","Albunex",10,6,0.2,1.2
"P9045","Albumin (human), 5%, 250 ml","250 ML","MALLINCKRODT","00019270310","00019-2703-10","Albunex",10,6,0.04,0.24
"P9041","Albumin (human),5%, 50ml","50 ML","MALLINCKRODT","00019270320","00019-2703-20","Albunex",20,6,0.4,2.4
"P9045","Albumin (human), 5%, 250 ml","250 ML","MALLINCKRODT","00019270320","00019-2703-20","Albunex",20,6,0.08,0.48
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019550506","00019-5505-06","Hexabrix 320",50,25,50,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019550508","00019-5505-08","Hexabrix 320",100,12,100,1200
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019550510","00019-5505-10","Hexabrix 320",150,12,150,1800
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019550521","00019-5505-21","Hexabrix 320",200,12,200,2400
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","TYCO_MALLINCKRODT","00019550551","00019-5505-51","Hexabrix 320",20,10,20,200
"J0585","Botulinum toxin a per unit","1 UNIT","ALLERGAN","00023114501","00023-1145-01","Botox",1,1,100,100
"J9217","Leuprolide acetate suspnsion","7.5 MG","SANOFI PHARMACEUTICALS","00024022205","00024-0222-05","Eligard",1,1,3,3
"J9263","Oxaliplatin","0.5 MG","SANOFI PHARMACEUTICALS","00024059010","00024-0590-10","Eloxatin",1,1,100,100
"J9263","Oxaliplatin","0.5 MG","SANOFI PHARMACEUTICALS","00024059120","00024-0591-20","Eloxatin",1,1,200,200
"J9263","Oxaliplatin","0.5 MG","SANOFI PHARMACEUTICALS","00024059602","00024-0596-02","Eloxatin",1,1,100,100
"J9263","Oxaliplatin","0.5 MG","SANOFI PHARMACEUTICALS","00024059704","00024-0597-04","Eloxatin",1,1,200,200
"J9217","Leuprolide acetate suspnsion","7.5 MG","SANOFI PHARMACEUTICALS","00024060545","00024-0605-45","Eligard",1,1,6,6
"J9217","Leuprolide acetate suspnsion","7.5 MG","SANOFI PHARMACEUTICALS","00024061030","00024-0610-30","Eligard",1,1,4,4
"J9217","Leuprolide acetate suspnsion","7.5 MG","SANOFI PHARMACEUTICALS","00024079375","00024-0793-75","Eligard",1,1,1,1
"J7649","Isoetharine hcl inh sol u d","1 MG","SANOFI PHARMACEUTICALS","00024107110","00024-1071-10","Bronkosol",10,1,100,100
"J7649","Isoetharine hcl inh sol u d","1 MG","SANOFI PHARMACEUTICALS","00024107130","00024-1071-30","Bronkosol",30,1,300,300
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120010","00024-1200-10","Primacor",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120020","00024-1200-20","Primacor",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120025","00024-1200-25","Primacor",20,50,4,200
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120050","00024-1200-50","Primacor",50,1,10,10
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120301","00024-1203-01","Primacor In Dextrose",100,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120302","00024-1203-02","Primacor In Dextrose",200,10,8,80
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120315","00024-1203-15","Primacor In Dextrose",100,50,4,200
"J2260","Inj milrinone lactate / 5 MG","5 ML","SANOFI PHARMACEUTICALS","00024120325","00024-1203-25","Primacor In Dextrose",200,50,8,400
"J2783","Rasburicase","0.5 MG","SANOFI PHARMACEUTICALS","00024515010","00024-5150-10","Elitek",1,3,3,9
"J7192","Factor viii recombinant","1 IU","BAYER","00026037220","00026-0372-20","Kogenate Fs",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAYER","00026037230","00026-0372-30","Kogenate Fs",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAYER","00026037250","00026-0372-50","Kogenate Fs",1,1,1,1
"J0256","Alpha 1 proteinase inhibitor","10 MG","BAYER","00026060130","00026-0601-30","Prolastin",1,1,50,50
"J0256","Alpha 1 proteinase inhibitor","10 MG","BAYER","00026060135","00026-0601-35","Prolastin",1,1,100,100
"J7197","Antithrombin iii injection","1 IU","BAYER","00026060320","00026-0603-20","Thrombate Iii",1,1,1,1
"J7197","Antithrombin iii injection","1 IU","BAYER","00026060330","00026-0603-30","Thrombate Iii",1,1,1,1
"P9043","Plasma protein fract,5%,50ml","50 ML","BAYER","00026061320","00026-0613-20","Plasmanate",50,1,1,1
"P9048","Plasmaprotein fract,5%,250ml","250 ML","BAYER","00026061320","00026-0613-20","Plasmanate",50,1,0.2,0.2
"P9043","Plasma protein fract,5%,50ml","50 ML","BAYER","00026061325","00026-0613-25","Plasmanate",250,1,5,5
"P9048","Plasmaprotein fract,5%,250ml","250 ML","BAYER","00026061325","00026-0613-25","Plasmanate",250,1,1,1
"P9043","Plasma protein fract,5%,50ml","50 ML","BAYER","00026061327","00026-0613-27","Plasmanate",500,1,10,10
"P9048","Plasmaprotein fract,5%,250ml","250 ML","BAYER","00026061327","00026-0613-27","Plasmanate",500,1,2,2
"90375","Rabies ig, im/sc","150 IU","BAYER","00026061802","00026-0618-02","Bayrab",2,1,2,2
"90375","Rabies ig, im/sc","150 IU","BAYER","00026061810","00026-0618-10","Bayrab",10,1,10,10
"J2790","Rho d immune globulin inj","300 MCG","BAYER","00026063102","00026-0631-02","Bayrho-D",1,1,1,1
"90385","Rh ig, minidose, im","50 MCG","BAYER","00026063106","00026-0631-06","Bayrho-D",10,1,10,10
"J2788","Rho d immune globulin 50 mcg","50 MCG","BAYER","00026063106","00026-0631-06","Bayrho-D",1,1,1,1
"J1670","Tetanus immune globulin inj","250 UNITS","BAYER","00026063402","00026-0634-02","Baytet",1,1,1,1
"J1460","Gamma globulin 1 CC inj","1 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,2,2
"J1470","Gamma globulin 2 CC inj","2 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,1,1
"J1480","Gamma globulin 3 CC inj","3 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.667,0.667
"J1490","Gamma globulin 4 CC inj","4 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.5,0.5
"J1500","Gamma globulin 5 CC inj","5 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.4,0.4
"J1510","Gamma globulin 6 CC inj","6 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.333,0.333
"J1520","Gamma globulin 7 CC inj","7 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.286,0.286
"J1530","Gamma globulin 8 CC inj","8 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.25,0.25
"J1540","Gamma globulin 9 CC inj","9 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.222,0.222
"J1550","Gamma globulin 10 CC inj","10 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.2,0.2
"J1560","Gamma globulin > 10 CC inj","10 ML","BAYER","00026063504","00026-0635-04","Baygam",2,1,0.2,0.2
"J1460","Gamma globulin 1 CC inj","1 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,10,10
"J1470","Gamma globulin 2 CC inj","2 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,5,5
"J1480","Gamma globulin 3 CC inj","3 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,3.333,3.333
"J1490","Gamma globulin 4 CC inj","4 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,2.5,2.5
"J1500","Gamma globulin 5 CC inj","5 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,2,2
"J1510","Gamma globulin 6 CC inj","6 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,1.667,1.667
"J1520","Gamma globulin 7 CC inj","7 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,1.429,1.429
"J1530","Gamma globulin 8 CC inj","8 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,1.25,1.25
"J1540","Gamma globulin 9 CC inj","9 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,1.111,1.111
"J1550","Gamma globulin 10 CC inj","10 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,1,1
"J1560","Gamma globulin > 10 CC inj","10 ML","BAYER","00026063512","00026-0635-12","Baygam",10,1,1,1
"90371","Hep b ig, im","1 ML","BAYER","00026063601","00026-0636-01","Bayhep B",1,1,1,1
"90371","Hep b ig, im","1 ML","BAYER","00026063602","00026-0636-02","Bayhep B",1,1,1,1
"90371","Hep b ig, im","1 ML","BAYER","00026063603","00026-0636-03","Bayhep B",0.5,1,0.5,0.5
"90371","Hep b ig, im","1 ML","BAYER","00026063605","00026-0636-05","Bayhep B",5,1,5,5
"Q9943","IVIG non-lyophil 1G","1 GRAM","BAYER","00026064512","00026-0645-12","Gamunex",10,1,1,1
"Q9944","IVIG non-lyophil 10 mg","10 MG","BAYER","00026064512","00026-0645-12","Gamunex",10,1,100,100
"Q9943","IVIG non-lyophil 1G","1 GRAM","BAYER","00026064515","00026-0645-15","Gamunex",25,1,2.5,2.5
"Q9944","IVIG non-lyophil 10 mg","10 MG","BAYER","00026064515","00026-0645-15","Gamunex",25,1,250,250
"Q9943","IVIG non-lyophil 1G","1 GRAM","BAYER","00026064520","00026-0645-20","Gamunex",50,1,5,5
"Q9944","IVIG non-lyophil 10 mg","10 MG","BAYER","00026064520","00026-0645-20","Gamunex",50,1,500,500
"Q9943","IVIG non-lyophil 1G","1 GRAM","BAYER","00026064524","00026-0645-24","Gamunex",200,1,20,20
"Q9944","IVIG non-lyophil 10 mg","10 MG","BAYER","00026064524","00026-0645-24","Gamunex",200,1,2000,2000
"Q9943","IVIG non-lyophil 1G","1 GRAM","BAYER","00026064571","00026-0645-71","Gamunex",100,1,10,10
"Q9944","IVIG non-lyophil 10 mg","10 MG","BAYER","00026064571","00026-0645-71","Gamunex",100,1,1000,1000
"Q9943","IVIG non-lyophil 1G","1 GRAM","BAYER","00026064824","00026-0648-24","Gamimune N",200,1,20,20
"Q9944","IVIG non-lyophil 10 mg","10 MG","BAYER","00026064824","00026-0648-24","Gamimune N",200,1,2000,2000
"Q9943","IVIG non-lyophil 1G","1 GRAM","BAYER","00026064871","00026-0648-71","Gamimune N",100,1,10,10
"Q9944","IVIG non-lyophil 10 mg","10 MG","BAYER","00026064871","00026-0648-71","Gamimune N",100,1,1000,1000
"J7190","Factor viii","1 IU","BAYER","00026066520","00026-0665-20","Koate-Dvi",1,1,1,1
"J7190","Factor viii","1 IU","BAYER","00026066530","00026-0665-30","Koate-Dvi",1,1,1,1
"J7190","Factor viii","1 IU","BAYER","00026066550","00026-0665-50","Koate-Dvi",1,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","BAYER","00026068416","00026-0684-16","Plasbumin-25",20,1,1,1
"P9047","Albumin (human), 25%, 50ml","50 ML","BAYER","00026068416","00026-0684-16","Plasbumin-25",20,1,0.4,0.4
"P9046","Albumin (human), 25%, 20 ml","20 ML","BAYER","00026068420","00026-0684-20","Plasbumin-25",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","BAYER","00026068420","00026-0684-20","Plasbumin-25",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","BAYER","00026068471","00026-0684-71","Plasbumin-25",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","BAYER","00026068471","00026-0684-71","Plasbumin-25",100,1,2,2
"P9041","Albumin (human),5%, 50ml","50 ML","BAYER","00026068520","00026-0685-20","Plasbumin-5",50,1,1,1
"P9045","Albumin (human), 5%, 250 ml","250 ML","BAYER","00026068520","00026-0685-20","Plasbumin-5",50,1,0.2,0.2
"P9041","Albumin (human),5%, 50ml","50 ML","BAYER","00026068525","00026-0685-25","Plasbumin-5",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","BAYER","00026068525","00026-0685-25","Plasbumin-5",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","BAYER","00026068527","00026-0685-27","Plasbumin-5",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","BAYER","00026068527","00026-0685-27","Plasbumin-5",500,1,2,2
"J9130","Dacarbazine 100 mg inj","100 MG","BAYER","00026815120","00026-8151-20","Dtic-Dome",1,12,2,24
"J9140","Dacarbazine 200 MG inj","200 MG","BAYER","00026815120","00026-8151-20","Dtic-Dome",1,12,1,12
"Q2003","Aprotinin, 10,000 kiu","10000 KIU","BAYER","00026819636","00026-8196-36","Trasylol",100,1,100,100
"Q2003","Aprotinin, 10,000 kiu","10000 KIU","BAYER","00026819763","00026-8197-63","Trasylol",200,1,200,200
"J0744","Ciprofloxacin iv","200 MG","BAYER","00026852736","00026-8527-36","Cipro In D5W",100,24,1,24
"J0744","Ciprofloxacin iv","200 MG","BAYER","00026852763","00026-8527-63","Cipro In D5W",200,24,2,48
"J0744","Ciprofloxacin iv","200 MG","BAYER","00026855236","00026-8552-36","Cipro In D5W",100,24,1,24
"J0744","Ciprofloxacin iv","200 MG","BAYER","00026855463","00026-8554-63","Cipro In D5W",200,24,2,48
"J0744","Ciprofloxacin iv","200 MG","BAYER","00026856220","00026-8562-20","Cipro",20,10,1,10
"J0744","Ciprofloxacin iv","200 MG","BAYER","00026856464","00026-8564-64","Cipro",40,10,2,20
"J0744","Ciprofloxacin iv","200 MG","BAYER","00026856665","00026-8566-65","Cipro",120,6,6,36
"J2280","Inj, moxifloxacin 100 mg","100 MG","BAYER","00026858231","00026-8582-31","Avelox",250,12,4,48
"J9219","Leuprolide acetate implant","65 MG","BAYER","00026971101","00026-9711-01","Viadur",1,1,1,1
"J1626","Granisetron HCl injection","100 MCG","ROCHE","00029414901","00029-4149-01","Kytril",1,1,10,10
"Q0166","Granisetron HCl 1 mg oral","1 MG","ROCHE","00029415105","00029-4151-05","Kytril",1,10,1,10
"Q0166","Granisetron HCl 1 mg oral","1 MG","ROCHE","00029415139","00029-4151-39","Kytril",1,1,1,1
"J1626","Granisetron HCl injection","100 MCG","ROCHE","00029415201","00029-4152-01","Kytril",1,4,10,40
"J2765","Metoclopramide hcl injection","10 MG","BAXTER","00031670924","00031-6709-24","Reglan",30,25,15,375
"J2765","Metoclopramide hcl injection","10 MG","BAXTER","00031670972","00031-6709-72","Reglan",2,25,1,25
"J2765","Metoclopramide hcl injection","10 MG","BAXTER","00031670978","00031-6709-78","Reglan",10,25,5,125
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001710","00039-0017-10","Claforan",1,10,0.5,5
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001810","00039-0018-10","Claforan",1,10,1,10
"J0698","Cefotaxime sodium injection","1 GM","ABBOTT","00039001811","00039-0018-11","Claforan",1,10,1,10
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001825","00039-0018-25","Claforan",1,25,1,25
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001849","00039-0018-49","Claforan",1,10,1,10
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001850","00039-0018-50","Claforan",1,50,1,50
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001910","00039-0019-10","Claforan",1,10,2,20
"J0698","Cefotaxime sodium injection","1 GM","ABBOTT","00039001911","00039-0019-11","Claforan",1,10,2,20
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001925","00039-0019-25","Claforan",1,25,2,50
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001949","00039-0019-49","Claforan",1,10,2,20
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039001950","00039-0019-50","Claforan",1,50,2,100
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002001","00039-0020-01","Claforan",1,1,10,10
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002049","00039-0020-49","Claforan",1,1,10,10
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002325","00039-0023-25","Claforan",1,25,1,25
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002349","00039-0023-49","Claforan",1,25,1,25
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002350","00039-0023-50","Claforan",1,50,1,50
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002425","00039-0024-25","Claforan",1,25,2,50
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002449","00039-0024-49","Claforan",1,25,2,50
"J0698","Cefotaxime sodium injection","1 GM","HOSPIRA","00039002450","00039-0024-50","Claforan",1,50,2,100
"J0698","Cefotaxime sodium injection","1 GM","BAXTER","00039003705","00039-0037-05","Claforan In D5W",50,24,1,24
"J0698","Cefotaxime sodium injection","1 GM","BAXTER","00039003805","00039-0038-05","Claforan In D5W",50,24,2,48
"J1956","Levofloxacin injection","250 MG","MCNEIL","00045006555","00045-0065-55","Levaquin",30,1,3,3
"J1956","Levofloxacin injection","250 MG","MCNEIL","00045006601","00045-0066-01","Levaquin",150,1,3,3
"J1956","Levofloxacin injection","250 MG","MCNEIL","00045006701","00045-0067-01","Levaquin",50,1,1,1
"J1956","Levofloxacin injection","250 MG","MCNEIL","00045006801","00045-0068-01","Levaquin",100,1,2,2
"J1956","Levofloxacin injection","250 MG","MCNEIL","00045006951","00045-0069-51","Levaquin",20,1,2,2
"J1631","Haloperidol decanoate inj","50 MG","MCNEIL","00045025301","00045-0253-01","Haldol Decanoate",1,10,1,10
"J1631","Haloperidol decanoate inj","50 MG","MCNEIL","00045025303","00045-0253-03","Haldol Decanoate",1,3,1,3
"J1631","Haloperidol decanoate inj","50 MG","MCNEIL","00045025346","00045-0253-46","Haldol Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","MCNEIL","00045025414","00045-0254-14","Haldol Decanoate",1,5,2,10
"J1631","Haloperidol decanoate inj","50 MG","MCNEIL","00045025446","00045-0254-46","Haldol Decanoate",5,1,10,10
"J1630","Haloperidol injection","5 MG","MCNEIL","00045025501","00045-0255-01","Haldol",1,10,1,10
"J1630","Haloperidol injection","5 MG","MCNEIL","00045025549","00045-0255-49","Haldol",10,1,10,10
"J1410","Inj estrogen conjugate 25 MG","25 MG","WYETH","00046074905","00046-0749-05","Premarin",1,1,1,1
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","PFIZER","00049001383","00049-0013-83","Unasyn 1.5Gm",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","PFIZER","00049001483","00049-0014-83","Unasyn 3Gm",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","PFIZER","00049002283","00049-0022-83","Unasyn 1.5Gm Piggyback",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","PFIZER","00049002383","00049-0023-83","Unasyn 3Gm Piggyback",1,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","PFIZER","00049002428","00049-0024-28","Unasyn 15Gm",1,1,10,10
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","PFIZER","00049003183","00049-0031-83","Unasyn 1.5Gm",1,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","PFIZER","00049003283","00049-0032-83","Unasyn 3Gm",1,10,2,20
"J0570","Penicillin g benzathine inj","1200000 UNITS","PFIZER","00049021035","00049-0210-35","Permapen",2,10,1,10
"J2540","Penicillin g potassium inj","600000 UNITS","PFIZER","00049052083","00049-0520-83","Pfizerpen-G",1,10,8.33,83.3
"J2540","Penicillin g potassium inj","600000 UNITS","PFIZER","00049053028","00049-0530-28","Pfizerpen-G",1,1,33.33,33.33
"J2460","Oxytetracycline injection","50 MG","PFIZER","00049075077","00049-0750-77","Terramycin",10,5,10,50
"J3465","Injection, voriconazole","10 MG","PFIZER","00049319028","00049-3190-28","Vfend Iv",1,1,20,20
"J1450","Fluconazole","200 MG","PFIZER","00049337126","00049-3371-26","Diflucan In Sodium Chloride",100,6,1,6
"J1450","Fluconazole","200 MG","PFIZER","00049337226","00049-3372-26","Diflucan In Sodium Chloride",200,6,2,12
"J1450","Fluconazole","200 MG","PFIZER","00049343526","00049-3435-26","Diflucan In Sodium Chloride",100,6,1,6
"J1450","Fluconazole","200 MG","PFIZER","00049343626","00049-3436-26","Diflucan In Sodium Chloride",200,6,2,12
"J3486","Ziprasidone mesylate","10 MG","PFIZER","00049392083","00049-3920-83","Geodon",1,10,2,20
"J3410","Hydroxyzine hcl injection","25 MG","PFIZER","00049546074","00049-5460-74","Vistaril",10,1,20,20
"Q0167","Dronabinol 2.5mg oral","2.5 MG","UNIMED","00051002121","00051-0021-21","Marinol",60,1,60,60
"Q0168","Dronabinol 5mg oral","5 MG","UNIMED","00051002211","00051-0022-11","Marinol",25,1,25,25
"Q0168","Dronabinol 5mg oral","5 MG","UNIMED","00051002321","00051-0023-21","Marinol",60,1,120,120
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","ORGANON","00052031510","00052-0315-10","Pregnyl",1,1,10,10
"J0330","Succinycholine chloride inj","20 MG","ORGANON","00052044510","00052-0445-10","Succinylcholine Chloride",10,25,10,250
"90585","Bcg vaccine, percut","50 MG","ORGANON","00052060202","00052-0602-02","Tice Bcg",1,1,1,1
"90586","Bcg vaccine, intravesical","1 EACH","ORGANON","00052060202","00052-0602-02","Tice Bcg",1,1,1,1
"J9031","Bcg live intravesical vac","1 EA","ORGANON","00052060202","00052-0602-02","Tice Bcg",1,1,1,1
"90585","Bcg vaccine, percut","50 MG","ORGANON","00052060302","00052-0603-02","Tice Bcg",1,1,1,1
"90586","Bcg vaccine, intravesical","1 EACH","ORGANON","00052060302","00052-0603-02","Tice Bcg",1,1,1,1
"J9031","Bcg live intravesical vac","1 EA","ORGANON","00052060302","00052-0603-02","Tice Bcg",1,1,1,1
"J7637","Dexamethasone inhal sol con","1 MG","ORGANON","00052079627","00052-0796-27","Hexadrol Phosphate",5,25,20,500
"J7638","Dexamethasone inhal sol u d","1 MG","ORGANON","00052079627","00052-0796-27","Hexadrol Phosphate",5,25,20,500
"J2995","Inj streptokinase /250000 IU","250000 IU","AVENTIS","00053177001","00053-1770-01","Streptase",1,1,1,1
"J2995","Inj streptokinase /250000 IU","250000 IU","AVENTIS","00053177101","00053-1771-01","Streptase",1,1,3,3
"J2995","Inj streptokinase /250000 IU","250000 IU","AVENTIS","00053177301","00053-1773-01","Streptase",1,1,6,6
"J0256","Alpha 1 proteinase inhibitor","10 MG","AVENTIS BEHRING","00053720102","00053-7201-02","Zemaira",1,1,0.1,0.1
"Q9941","IVIG lyophil 1G","1 GRAM","AVENTIS BEHRING","00053748605","00053-7486-05","Gammar-P Iv",1,1,5,5
"Q9942","IVIG lyophil 10 mg","10 MG","AVENTIS BEHRING","00053748605","00053-7486-05","Gammar-P Iv",1,1,500,500
"Q9941","IVIG lyophil 1G","1 GRAM","AVENTIS BEHRING","00053748610","00053-7486-10","Gammar-P Iv",1,1,10,10
"Q9942","IVIG lyophil 10 mg","10 MG","AVENTIS BEHRING","00053748610","00053-7486-10","Gammar-P Iv",1,1,1000,1000
"Q2022","VonWillebrandFactrCmplxperIU","1 IU","AVENTIS BEHRING","00053762005","00053-7620-05","Humate-P",1,1,1,1
"Q2022","VonWillebrandFactrCmplxperIU","1 IU","AVENTIS BEHRING","00053762010","00053-7620-10","Humate-P",1,1,1,1
"Q2022","VonWillebrandFactrCmplxperIU","1 IU","AVENTIS BEHRING","00053762020","00053-7620-20","Humate-P",1,1,1,1
"J7190","Factor viii","1 IU","AVENTIS BEHRING","00053765601","00053-7656-01","Monoclate-P",1,1,1,1
"J7190","Factor viii","1 IU","AVENTIS BEHRING","00053765602","00053-7656-02","Monoclate-P",1,1,1,1
"J7190","Factor viii","1 IU","AVENTIS BEHRING","00053765604","00053-7656-04","Monoclate-P",1,1,1,1
"J7190","Factor viii","1 IU","AVENTIS BEHRING","00053765605","00053-7656-05","Monoclate-P",1,1,1,1
"J7193","Factor IX non-recombinant","1 IU","AVENTIS BEHRING","00053766801","00053-7668-01","Mononine",1,1,1,1
"J7193","Factor IX non-recombinant","1 IU","AVENTIS BEHRING","00053766802","00053-7668-02","Mononine",1,1,1,1
"J7193","Factor IX non-recombinant","1 IU","AVENTIS BEHRING","00053766804","00053-7668-04","Mononine",1,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","AVENTIS BEHRING","00053767003","00053-7670-03","Albuminar-5",1000,1,20,20
"P9045","Albumin (human), 5%, 250 ml","250 ML","AVENTIS BEHRING","00053767003","00053-7670-03","Albuminar-5",1000,1,4,4
"P9041","Albumin (human),5%, 50ml","50 ML","AVENTIS BEHRING","00053767006","00053-7670-06","Albuminar-5",50,1,1,1
"P9045","Albumin (human), 5%, 250 ml","250 ML","AVENTIS BEHRING","00053767006","00053-7670-06","Albuminar-5",50,1,0.2,0.2
"P9041","Albumin (human),5%, 50ml","50 ML","AVENTIS BEHRING","00053767031","00053-7670-31","Albuminar-5",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","AVENTIS BEHRING","00053767031","00053-7670-31","Albuminar-5",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","AVENTIS BEHRING","00053767032","00053-7670-32","Albuminar-5",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","AVENTIS BEHRING","00053767032","00053-7670-32","Albuminar-5",500,1,2,2
"P9046","Albumin (human), 25%, 20 ml","20 ML","AVENTIS BEHRING","00053768001","00053-7680-01","Albuminar-25",20,1,1,1
"P9047","Albumin (human), 25%, 50ml","50 ML","AVENTIS BEHRING","00053768001","00053-7680-01","Albuminar-25",20,1,0.4,0.4
"P9046","Albumin (human), 25%, 20 ml","20 ML","AVENTIS BEHRING","00053768032","00053-7680-32","Albuminar-25",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","AVENTIS BEHRING","00053768032","00053-7680-32","Albuminar-25",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","AVENTIS BEHRING","00053768033","00053-7680-33","Albuminar-25",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","AVENTIS BEHRING","00053768033","00053-7680-33","Albuminar-25",100,1,2,2
"J7192","Factor viii recombinant","1 IU","AVENTIS BEHRING","00053813001","00053-8130-01","Helixate Fs",1,1,1,1
"J7192","Factor viii recombinant","1 IU","AVENTIS BEHRING","00053813002","00053-8130-02","Helixate Fs",1,1,1,1
"J7192","Factor viii recombinant","1 IU","AVENTIS BEHRING","00053813004","00053-8130-04","Helixate Fs",1,1,1,1
"J7506","Prednisone oral","5 MG","ROXANE","00054001820","00054-0018-20","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","ROXANE","00054001829","00054-0018-29","Prednisone",500,1,2000,2000
"J7506","Prednisone oral","5 MG","ROXANE","00054001925","00054-0019-25","Prednisone",100,1,1000,1000
"J7608","Acetylcysteine inh sol u d","1 G","ROXANE","00054302502","00054-3025-02","Acetylcysteine",30,3,3,9
"J7608","Acetylcysteine inh sol u d","1 G","ROXANE","00054302602","00054-3026-02","Acetylcysteine",30,3,6,18
"J7608","Acetylcysteine inh sol u d","1 G","ROXANE","00054302702","00054-3027-02","Acetylcysteine",10,3,1,3
"J7608","Acetylcysteine inh sol u d","1 G","ROXANE","00054302802","00054-3028-02","Acetylcysteine",10,3,2,6
"J0595","Butorphanol tartrate 1 mg","1 MG","ROXANE","00054309036","00054-3090-36","Butorphanol Tartrate",2.5,1,15,15
"J3360","Diazepam injection","5 MG","ROXANE","00054318863","00054-3188-63","Diazepam",500,1,100,100
"J7506","Prednisone oral","5 MG","ROXANE","00054372144","00054-3721-44","Prednisone Intensol",30,1,30,30
"J7506","Prednisone oral","5 MG","ROXANE","00054372250","00054-3722-50","Prednisone",120,1,24,24
"J7506","Prednisone oral","5 MG","ROXANE","00054372263","00054-3722-63","Prednisone",500,1,100,100
"J7500","Azathioprine oral 50mg","50 MG","ROXANE","00054408425","00054-4084-25","Azathioprine",100,1,100,100
"J8530","Cyclophosphamide oral 25 MG","25 MG","ROXANE","00054412925","00054-4129-25","Cyclophosphamide",100,1,100,100
"J8530","Cyclophosphamide oral 25 MG","25 MG","ROXANE","00054413025","00054-4130-25","Cyclophosphamide",100,1,200,200
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054449613","00054-4496-13","Leucovorin Calcium",30,1,3,3
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054449625","00054-4496-25","Leucovorin Calcium",100,1,10,10
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054449705","00054-4497-05","Leucovorin Calcium",12,1,2.4,2.4
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054449710","00054-4497-10","Leucovorin Calcium",24,1,4.8,4.8
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054449805","00054-4498-05","Leucovorin Calcium",12,1,3.6,3.6
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054449810","00054-4498-10","Leucovorin Calcium",24,1,7.2,7.2
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054449911","00054-4499-11","Leucovorin Calcium",25,1,12.5,12.5
"J8610","Methotrexate oral 2.5 MG","2.5 MG","ROXANE","00054455015","00054-4550-15","Methotrexate",36,1,36,36
"J8610","Methotrexate oral 2.5 MG","2.5 MG","ROXANE","00054455025","00054-4550-25","Methotrexate",100,1,100,100
"J7506","Prednisone oral","5 MG","ROXANE","00054472825","00054-4728-25","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","ROXANE","00054472831","00054-4728-31","Prednisone",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","ROXANE","00054474125","00054-4741-25","Prednisone",100,1,20,20
"J7506","Prednisone oral","5 MG","ROXANE","00054474131","00054-4741-31","Prednisone",1000,1,200,200
"J7506","Prednisone oral","5 MG","ROXANE","00054474225","00054-4742-25","Prednisone",100,1,50,50
"J7500","Azathioprine oral 50mg","50 MG","ROXANE","00054808425","00054-8084-25","Azathioprine",100,1,100,100
"J8530","Cyclophosphamide oral 25 MG","25 MG","ROXANE","00054808925","00054-8089-25","Cyclophosphamide",100,1,100,100
"J8530","Cyclophosphamide oral 25 MG","25 MG","ROXANE","00054813025","00054-8130-25","Cyclophosphamide",100,1,200,200
"J3360","Diazepam injection","5 MG","ROXANE","00054820716","00054-8207-16","Diazepam",5,40,1,40
"J0735","Clonidine hydrochloride","1 MG","AAI PHARMA","00054823301","00054-8233-01","Duraclon",10,1,1,1
"J0735","Clonidine hydrochloride","1 MG","AAI PHARMA","00054823401","00054-8234-01","Duraclon",10,1,5,5
"J7649","Isoetharine hcl inh sol u d","1 MG","ROXANE","00054842925","00054-8429-25","Isoetharine Hydrochloride",2.5,100,0.25,25
"J7649","Isoetharine hcl inh sol u d","1 MG","ROXANE","00054843025","00054-8430-25","Isoetharine Hydrochloride",4,100,0.401,40.1
"J7649","Isoetharine hcl inh sol u d","1 MG","ROXANE","00054843225","00054-8432-25","Isoetharine Hydrochloride",3,100,0.3,30
"J7649","Isoetharine hcl inh sol u d","1 MG","ROXANE","00054843425","00054-8434-25","Isoetharine Hydrochloride",2,100,0.2,20
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054849619","00054-8496-19","Leucovorin Calcium",50,1,5,5
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054849706","00054-8497-06","Leucovorin Calcium",10,1,2,2
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054849806","00054-8498-06","Leucovorin Calcium",10,1,3,3
"J0640","Leucovorin calcium injection","50 MG","ROXANE","00054849906","00054-8499-06","Leucovorin Calcium",10,1,5,5
"J8610","Methotrexate oral 2.5 MG","2.5 MG","ROXANE","00054855025","00054-8550-25","Methotrexate",100,1,100,100
"J7506","Prednisone oral","5 MG","ROXANE","00054872216","00054-8722-16","Prednisone",5,40,1,40
"J7506","Prednisone oral","5 MG","ROXANE","00054872425","00054-8724-25","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","ROXANE","00054872525","00054-8725-25","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","ROXANE","00054872625","00054-8726-25","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","ROXANE","00054873925","00054-8739-25","Prednisone",100,1,20,20
"J7506","Prednisone oral","5 MG","ROXANE","00054874025","00054-8740-25","Prednisone",100,1,50,50
"J7637","Dexamethasone inhal sol con","1 MG","IOLAB PHARMACEUTICALS","00058080705","00058-0807-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","IOLAB PHARMACEUTICALS","00058080705","00058-0807-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J0500","Dicyclomine injection","20 MG","AVENTIS","00068080923","00068-0809-23","Bentyl",2,5,1,5
"J0456","Azithromycin","500 MG","PFIZER","00069315014","00069-3150-14","Zithromax",10,1,10,10
"J0456","Azithromycin","500 MG","PFIZER","00069315083","00069-3150-83","Zithromax",1,10,1,10
"Q0177","Hydroxyzine pamoate 25mg","25 MG","PFIZER","00069541066","00069-5410-66","Vistaril",100,1,100,100
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PFIZER","00069542066","00069-5420-66","Vistaril",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","PFIZER","00069544093","00069-5440-93","Vistaril",480,1,480,480
"Q0177","Hydroxyzine pamoate 25mg","25 MG","PFIZER","00069544097","00069-5440-97","Vistaril",120,4,120,480
"Q2009","Fosphenytoin, 50 mg","50 MG","PFIZER","00071400705","00071-4007-05","Cerebyx",2,25,3,75
"Q2009","Fosphenytoin, 50 mg","50 MG","PFIZER","00071400810","00071-4008-10","Cerebyx",10,10,15,150
"J1200","Diphenhydramine hcl injectio","50 MG","PFIZER","00071425903","00071-4259-03","Benadryl",1,10,1,10
"J1200","Diphenhydramine hcl injectio","50 MG","PFIZER","00071425913","00071-4259-13","Benadryl",1,25,1,25
"J1200","Diphenhydramine hcl injectio","50 MG","PFIZER","00071425945","00071-4259-45","Benadryl",1,10,1,10
"J1200","Diphenhydramine hcl injectio","50 MG","PFIZER","00071440210","00071-4402-10","Benadryl",10,1,10,10
"J0670","Inj mepivacaine HCL/10 ml","10 ML","HOSPIRA","00074103630","00074-1036-30","Carbocaine",30,1,3,3
"J0670","Inj mepivacaine HCL/10 ml","10 ML","HOSPIRA","00074103850","00074-1038-50","Carbocaine",50,1,5,5
"J0670","Inj mepivacaine HCL/10 ml","10 ML","HOSPIRA","00074104130","00074-1041-30","Carbocaine",30,1,3,3
"J0670","Inj mepivacaine HCL/10 ml","10 ML","HOSPIRA","00074106720","00074-1067-20","Carbocaine",20,1,2,2
"J0745","Inj codeine phosphate /30 MG","30 MG","HOSPIRA","00074109732","00074-1097-32","Codeine Phosphate",2,10,1,10
"J0745","Inj codeine phosphate /30 MG","30 MG","HOSPIRA","00074110232","00074-1102-32","Codeine Phosphate",2,10,2,20
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074113403","00074-1134-03","Morphine Sulfate",20,1,100,100
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074113405","00074-1134-05","Morphine Sulfate",50,1,250,250
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074113502","00074-1135-02","Morphine Sulfate",10,1,25,25
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074115112","00074-1151-12","Heparin (Porcine) Lock Flush",10,25,10,250
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074115170","00074-1151-70","Heparin (Porcine) Lock Flush",10,25,10,250
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074115178","00074-1151-78","Heparin (Porcine) Lock Flush",30,25,30,750
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074115212","00074-1152-12","Heparin Lock Flush",10,25,100,2500
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074115214","00074-1152-14","Heparin Lock Flush",30,25,300,7500
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074115270","00074-1152-70","Heparin Lock Flush",10,25,100,2500
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074115278","00074-1152-78","Heparin Lock Flush",30,25,300,7500
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074117630","00074-1176-30","Demerol",1,10,0.25,2.5
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074117830","00074-1178-30","Demerol",1,10,0.5,5
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074117930","00074-1179-30","Demerol",1,10,0.75,7.5
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074118069","00074-1180-69","Demerol",1,10,1,10
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074118130","00074-1181-30","Demerol",30,1,15,15
"J0610","Calcium gluconate injection","10 ML","HOSPIRA","00074118401","00074-1184-01","Calcium Gluconate",10,25,1,25
"J1810","Droperidol/fentanyl inj","2 ML","ABBOTT","00074118612","00074-1186-12","Fentanyl-Droperidol",2,10,1,10
"J1790","Droperidol injection","1 MG","HOSPIRA","00074118701","00074-1187-01","Droperidol",2,10,1,10
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074120120","00074-1201-20","Demerol",20,1,20,20
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074120301","00074-1203-01","Demerol",0.5,25,0.25,6.25
"J1580","Garamycin gentamicin inj","80 MG","HOSPIRA","00074120703","00074-1207-03","Gentamicin Sulfate",2,25,1,25
"J2310","Inj naloxone hydrochloride","1 MG","ABBOTT","00074121501","00074-1215-01","Naloxone Hcl",1,10,0.4,4
"J2310","Inj naloxone hydrochloride","1 MG","ABBOTT","00074121901","00074-1219-01","Naloxone Hcl",10,25,4,100
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074125301","00074-1253-01","Demerol",1,25,0.5,12.5
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074125401","00074-1254-01","Demerol",1.5,25,0.75,18.75
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074125502","00074-1255-02","Demerol",2,25,1,25
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074125601","00074-1256-01","Demerol",1,25,1,25
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074125830","00074-1258-30","Morphine Sulfate",1,10,0.4,4
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074126069","00074-1260-69","Morphine Sulfate",1,10,0.8,8
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074126130","00074-1261-30","Morphine Sulfate",1,10,1,10
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074126431","00074-1264-31","Morphine Sulfate",1,10,1.5,15
"J3360","Diazepam injection","5 MG","HOSPIRA","00074127332","00074-1273-32","Diazepam",2,10,2,20
"J1940","Furosemide injection","20 MG","ABBOTT","00074127532","00074-1275-32","Furosemide",2,10,1,10
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074127632","00074-1276-32","Fentanyl Citrate",2,10,1,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128031","00074-1280-31","Heparin (Porcine) Lock Flush",1,50,1,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128032","00074-1280-32","Heparin (Porcine) Lock Flush",2,50,2,100
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128033","00074-1280-33","Heparin (Porcine) Lock Flush",3,25,3,75
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128035","00074-1280-35","Heparin (Porcine) Lock Flush",5,25,5,125
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128131","00074-1281-31","Heparin Lock Flush",1,50,10,500
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128132","00074-1281-32","Heparin Lock Flush",2,50,20,1000
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128133","00074-1281-33","Heparin Lock Flush",3,25,30,750
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074128135","00074-1281-35","Heparin Lock Flush",5,25,50,1250
"J1170","Hydromorphone injection","4 MG","HOSPIRA","00074128331","00074-1283-31","Hydromorphone Hcl",1,10,0.25,2.5
"J1170","Hydromorphone injection","4 MG","HOSPIRA","00074130431","00074-1304-31","Hydromorphone Hcl",1,10,1,10
"J1170","Hydromorphone injection","4 MG","HOSPIRA","00074131230","00074-1312-30","Hydromorphone Hcl",1,10,0.5,5
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074131632","00074-1316-32","Heparin Sodium (Porcine)",0.5,50,5,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","ABBOTT","00074131666","00074-1316-66","Heparin Sodium (Porcine)",0.5,10,5,50
"J1165","Phenytoin sodium injection","50 MG","HOSPIRA","00074131701","00074-1317-01","Phenytoin Sodium",2,25,2,50
"J1165","Phenytoin sodium injection","50 MG","HOSPIRA","00074131702","00074-1317-02","Phenytoin Sodium",5,25,5,125
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074140231","00074-1402-31","Heparin Sodium (Porcine)",1,10,5,50
"J2300","Inj nalbuphine hydrochloride","10 MG","HOSPIRA","00074146301","00074-1463-01","Nalbuphine Hcl",1,10,1,10
"J2300","Inj nalbuphine hydrochloride","10 MG","HOSPIRA","00074146401","00074-1464-01","Nalbuphine Hcl",10,25,10,250
"J2300","Inj nalbuphine hydrochloride","10 MG","HOSPIRA","00074146701","00074-1467-01","Nalbuphine Hcl",10,25,20,500
"J7110","Dextran 75 infusion","500 ML","HOSPIRA","00074150503","00074-1505-03","Dextran 75 In Nacl",500,12,1,12
"J7110","Dextran 75 infusion","500 ML","HOSPIRA","00074150703","00074-1507-03","Dextran 75 In D5W",500,12,1,12
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074151302","00074-1513-02","Potassium Chloride",250,12,250,3000
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074152202","00074-1522-02","Dextrose",250,12,0.5,6
"J7070","D5w infusion","1000 CC","HOSPIRA","00074152202","00074-1522-02","Dextrose",250,12,0.25,3
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074152203","00074-1522-03","Dextrose",500,12,1,12
"J7070","D5w infusion","1000 CC","HOSPIRA","00074152203","00074-1522-03","Dextrose",500,12,0.5,6
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074153405","00074-1534-05","Dextrose-Nacl",1000,6,2,12
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074153931","00074-1539-31","Lorazepam",1,10,2,20
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074158301","00074-1583-01","Sodium Chloride",150,12,75,900
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074158301","00074-1583-01","Sodium Chloride",150,12,7.5,90
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074158302","00074-1583-02","Sodium Chloride",250,12,0.25,3
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00074158302","00074-1583-02","Sodium Chloride",250,12,0.5,6
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00074158302","00074-1583-02","Sodium Chloride",250,12,1,12
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074158401","00074-1584-01","Sodium Chloride",50,12,25,300
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074158401","00074-1584-01","Sodium Chloride",50,12,2.5,30
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074158411","00074-1584-11","Sodium Chloride",100,12,50,600
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074158411","00074-1584-11","Sodium Chloride",100,12,5,60
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074158603","00074-1586-03","Sodium Chloride",500,12,2,24
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00074158603","00074-1586-03","Sodium Chloride",500,12,1,12
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00074158603","00074-1586-03","Sodium Chloride",500,12,2,24
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074159002","00074-1590-02","Sterile Water For Injection",250,12,50,600
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074159005","00074-1590-05","Sterile Water For Injection",1000,6,200,1200
"J0595","Butorphanol tartrate 1 mg","1 MG","HOSPIRA","00074162301","00074-1623-01","Butorphanol Tartrate",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","1 MG","HOSPIRA","00074162349","00074-1623-49","Butorphanol Tartrate",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","1 MG","HOSPIRA","00074162601","00074-1626-01","Butorphanol Tartrate",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","1 MG","HOSPIRA","00074162602","00074-1626-02","Butorphanol Tartrate",2,10,4,40
"J0595","Butorphanol tartrate 1 mg","1 MG","HOSPIRA","00074162649","00074-1626-49","Butorphanol Tartrate",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","1 MG","HOSPIRA","00074162651","00074-1626-51","Butorphanol Tartrate",2,10,4,40
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00074163010","00074-1630-10","Atropine Sulfate",10,10,3.3,33
"J1940","Furosemide injection","20 MG","HOSPIRA","00074163910","00074-1639-10","Furosemide",10,10,5,50
"J2501","Paricalcitol","1 MCG","ABBOTT","00074165801","00074-1658-01","Zemplar",1,100,5,500
"J2501","Paricalcitol","1 MCG","ABBOTT","00074165802","00074-1658-02","Zemplar",2,100,10,1000
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00074175410","00074-1754-10","Magnesium Sulfate",10,10,10,100
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074176230","00074-1762-30","Morphine Sulfate",1,10,0.2,2
"J2310","Inj naloxone hydrochloride","1 MG","ABBOTT","00074178269","00074-1782-69","Naloxone Hcl",1,10,0.4,4
"J2370","Phenylephrine hcl injection","1 ML","HOSPIRA","00074180001","00074-1800-01","Neo-Synephrine",1,25,1,25
"J2690","Procainamide hcl injection","1 GRAM","HOSPIRA","00074190201","00074-1902-01","Procainamide Hcl",10,25,1,25
"J2690","Procainamide hcl injection","1 GRAM","HOSPIRA","00074190301","00074-1903-01","Procainamide Hcl",2,25,1,25
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074191832","00074-1918-32","Sodium Chloride",2,50,1,50
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074191832","00074-1918-32","Sodium Chloride",2,50,0.1,5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074191833","00074-1918-33","Sodium Chloride",3,25,1.5,37.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074191835","00074-1918-35","Sodium Chloride",5,25,2.5,62.5
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074191835","00074-1918-35","Sodium Chloride",5,25,0.25,6.25
"J3070","Pentazocine injection","30 MG","HOSPIRA","00074192010","00074-1920-10","Talwin",10,1,10,10
"J3070","Pentazocine injection","30 MG","HOSPIRA","00074194101","00074-1941-01","Talwin",1,25,1,25
"J3250","Trimethobenzamide hcl inj","200 MG","HOSPIRA","00074195202","00074-1952-02","Trimethobenzamide Hcl",2,10,1,10
"J3250","Trimethobenzamide hcl inj","200 MG","HOSPIRA","00074195232","00074-1952-32","Trimethobenzamide Hcl",2,10,1,10
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074196604","00074-1966-04","Saline Bacteriostatic",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074196604","00074-1966-04","Saline Bacteriostatic",10,25,0.5,12.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074196605","00074-1966-05","Saline Bacteriostatic",20,25,10,250
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074196605","00074-1966-05","Saline Bacteriostatic",20,25,1,25
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074196607","00074-1966-07","Saline Bacteriostatic",30,25,15,375
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074196607","00074-1966-07","Saline Bacteriostatic",30,25,1.5,37.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074196612","00074-1966-12","Saline Bacteriostatic",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074196612","00074-1966-12","Saline Bacteriostatic",10,25,0.5,12.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074196614","00074-1966-14","Saline Bacteriostatic",30,25,15,375
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074196614","00074-1966-14","Saline Bacteriostatic",30,25,1.5,37.5
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074198501","00074-1985-01","Lorazepam",1,1,1,1
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074198510","00074-1985-10","Lorazepam",10,1,10,10
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074198530","00074-1985-30","Lorazepam",1,10,1,10
"J0592","Buprenorphine hydrochloride","0.1 MG","HOSPIRA","00074201232","00074-2012-32","Buprenorphine Hcl",1,10,3,30
"J1250","Inj dobutamine HCL/250 mg","250 MG","HOSPIRA","00074202520","00074-2025-20","Dobutamine Hcl",20,10,1,10
"J1250","Inj dobutamine HCL/250 mg","250 MG","HOSPIRA","00074202554","00074-2025-54","Dobutamine Hcl",40,10,2,20
"J2275","Morphine sulfate injection","10 MG","HOSPIRA","00074202802","00074-2028-02","Morphine Sulfate (Pf)",30,10,1.5,15
"J2275","Morphine sulfate injection","10 MG","HOSPIRA","00074202902","00074-2029-02","Morphine Sulfate (Pf)",30,10,3,30
"J1245","Dipyridamole injection","10 MG","HOSPIRA","00074204302","00074-2043-02","Dipyridamole",2,10,1,10
"J1245","Dipyridamole injection","10 MG","HOSPIRA","00074204310","00074-2043-10","Dipyridamole",10,10,5,50
"J0670","Inj mepivacaine HCL/10 ml","10 ML","HOSPIRA","00074204750","00074-2047-50","Carbocaine",50,1,5,5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074210202","00074-2102-02","Sodium Chloride",2,25,1,25
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074210202","00074-2102-02","Sodium Chloride",2,25,0.1,2.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074210205","00074-2102-05","Sodium Chloride",5,25,2.5,62.5
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074210205","00074-2102-05","Sodium Chloride",5,25,0.25,6.25
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00074216802","00074-2168-02","Magnesium Sulfate",20,25,20,500
"J1160","Digoxin injection","0.5 MG","HOSPIRA","00074216931","00074-2169-31","Digoxin",1,10,0.5,5
"J1160","Digoxin injection","0.5 MG","HOSPIRA","00074216932","00074-2169-32","Digoxin",2,10,1,10
"J2765","Metoclopramide hcl injection","10 MG","HOSPIRA","00074217332","00074-2173-32","Metoclopramide Hcl",2,10,1,10
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074228731","00074-2287-31","Ketorolac Tromethamine",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074228761","00074-2287-61","Ketorolac Tromethamine",2,10,4,40
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074228831","00074-2288-31","Ketorolac Tromethamine",1,10,1,10
"J1200","Diphenhydramine hcl injectio","50 MG","HOSPIRA","00074229031","00074-2290-31","Diphenhydramine Hcl",1,10,1,10
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230502","00074-2305-02","Midazolam Hcl",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230505","00074-2305-05","Midazolam Hcl",5,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230549","00074-2305-49","Midazolam Hcl",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230550","00074-2305-50","Midazolam Hcl",5,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230662","00074-2306-62","Midazolam Hcl",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230760","00074-2307-60","Midazolam Hcl",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230762","00074-2307-62","Midazolam Hcl",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230801","00074-2308-01","Midazolam Hcl",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230802","00074-2308-02","Midazolam Hcl",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230849","00074-2308-49","Midazolam Hcl",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074230850","00074-2308-50","Midazolam Hcl",2,10,10,100
"J2550","Promethazine hcl injection","50 MG","HOSPIRA","00074231231","00074-2312-31","Promethazine Hcl",1,10,0.5,5
"J1170","Hydromorphone injection","4 MG","ABBOTT","00074233211","00074-2332-11","Dilaudid",1,10,0.25,2.5
"J1170","Hydromorphone injection","4 MG","ABBOTT","00074233311","00074-2333-11","Dilaudid",1,10,0.5,5
"J1170","Hydromorphone injection","4 MG","ABBOTT","00074233326","00074-2333-26","Dilaudid",1,25,0.5,12.5
"J1170","Hydromorphone injection","4 MG","ABBOTT","00074233411","00074-2334-11","Dilaudid",1,10,1,10
"J0895","Deferoxamine mesylate inj","500 MG","HOSPIRA","00074233610","00074-2336-10","Deferoxamine Mesylate",1,4,1,4
"J0895","Deferoxamine mesylate inj","500 MG","HOSPIRA","00074233725","00074-2337-25","Deferoxamine Mesylate",1,4,4,16
"J2560","Phenobarbital sodium inj","120 MG","HOSPIRA","00074234331","00074-2343-31","Luminal",1,10,0.5,5
"J1250","Inj dobutamine HCL/250 mg","250 MG","HOSPIRA","00074234401","00074-2344-01","Dobutamine Hcl",20,1,1,1
"J1250","Inj dobutamine HCL/250 mg","250 MG","HOSPIRA","00074234402","00074-2344-02","Dobutamine Hcl",20,10,1,10
"J2560","Phenobarbital sodium inj","120 MG","HOSPIRA","00074234931","00074-2349-31","Luminal",1,10,1.08,10.8
"J1170","Hydromorphone injection","4 MG","ABBOTT","00074241421","00074-2414-21","Dilaudid",20,1,10,10
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074258102","00074-2581-02","Heparin Sodium (Porcine)",5,25,10,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074258402","00074-2584-02","Heparin Sodium (Porcine)",10,25,250,6250
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074258705","00074-2587-05","Midazolam Hcl",10,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074258752","00074-2587-52","Midazolam Hcl",5,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074258753","00074-2587-53","Midazolam Hcl",10,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074259602","00074-2596-02","Midazolam Hcl",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074259603","00074-2596-03","Midazolam Hcl",5,10,25,250
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074259605","00074-2596-05","Midazolam Hcl",10,10,50,500
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074259652","00074-2596-52","Midazolam Hcl",5,10,25,250
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00074259653","00074-2596-53","Midazolam Hcl",10,10,50,500
"J2260","Inj milrinone lactate / 5 MG","5 ML","HOSPIRA","00074277501","00074-2775-01","Milrinone Lactate",10,25,2,50
"J2260","Inj milrinone lactate / 5 MG","5 ML","HOSPIRA","00074277502","00074-2775-02","Milrinone Lactate",20,25,4,100
"J2260","Inj milrinone lactate / 5 MG","5 ML","HOSPIRA","00074277602","00074-2776-02","Milrinone In Dextrose",200,10,8,80
"J2260","Inj milrinone lactate / 5 MG","5 ML","HOSPIRA","00074277623","00074-2776-23","Milrinone In Dextrose",100,10,4,40
"J3360","Diazepam injection","5 MG","HOSPIRA","00074321302","00074-3213-02","Diazepam",10,5,10,50
"J3260","Tobramycin sulfate injection","80 MG","HOSPIRA","00074325503","00074-3255-03","Tobramycin Sulfate",8,25,1,25
"J7608","Acetylcysteine inh sol u d","1 G","HOSPIRA","00074330703","00074-3307-03","Acetylcysteine",30,3,3,9
"J7608","Acetylcysteine inh sol u d","1 G","HOSPIRA","00074330803","00074-3308-03","Acetylcysteine",30,3,6,18
"J1580","Garamycin gentamicin inj","80 MG","HOSPIRA","00074340001","00074-3400-01","Gentamicin Sulfate",6,25,0.75,18.75
"J1580","Garamycin gentamicin inj","80 MG","HOSPIRA","00074340101","00074-3401-01","Gentamicin Sulfate",8,25,1,25
"J1580","Garamycin gentamicin inj","80 MG","HOSPIRA","00074340201","00074-3402-01","Gentamicin Sulfate",10,25,1.25,31.25
"J2765","Metoclopramide hcl injection","10 MG","HOSPIRA","00074341301","00074-3413-01","Metoclopramide Hcl",2,25,1,25
"J2765","Metoclopramide hcl injection","10 MG","HOSPIRA","00074341401","00074-3414-01","Metoclopramide Hcl",2,25,1,25
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00074345425","00074-3454-25","Heparin Lock Flush",5,50,50,2500
"J3260","Tobramycin sulfate injection","80 MG","HOSPIRA","00074346913","00074-3469-13","Tobramycin Sulfate In Saline",50,24,0.75,18
"J3260","Tobramycin sulfate injection","80 MG","HOSPIRA","00074347023","00074-3470-23","Tobramycin Sulfate In Saline",100,24,1,24
"J3260","Tobramycin sulfate injection","80 MG","HOSPIRA","00074357701","00074-3577-01","Tobramycin Sulfate",2,25,0.25,6.25
"J3260","Tobramycin sulfate injection","80 MG","HOSPIRA","00074357801","00074-3578-01","Tobramycin Sulfate",2,25,1,25
"J3260","Tobramycin sulfate injection","80 MG","HOSPIRA","00074359002","00074-3590-02","Tobramycin Sulfate",50,1,25,25
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074379301","00074-3793-01","Ketorolac Tromethamine",1,25,1,25
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074379349","00074-3793-49","Ketorolac Tromethamine",1,25,1,25
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074379501","00074-3795-01","Ketorolac Tromethamine",1,25,2,50
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074379549","00074-3795-49","Ketorolac Tromethamine",1,25,2,50
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074379561","00074-3795-61","Ketorolac Tromethamine",1,25,2,50
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074379601","00074-3796-01","Ketorolac Tromethamine",2,25,4,100
"J1885","Ketorolac tromethamine inj","15 MG","HOSPIRA","00074379649","00074-3796-49","Ketorolac Tromethamine",2,25,4,100
"J1885","Ketorolac tromethamine inj","15 MG","AMERINET CHOICE","00074379661","00074-3796-61","Ketorolac Tromethamine",2,25,4,100
"J0135","Adalimumab injection","20 MG","ABBOTT","00074379902","00074-3799-02","Humira",1,2,2,4
"J2275","Morphine sulfate injection","10 MG","HOSPIRA","00074381412","00074-3814-12","Morphine Sulfate (Pf)",10,5,0.5,2.5
"J2275","Morphine sulfate injection","10 MG","HOSPIRA","00074381512","00074-3815-12","Morphine Sulfate (Pf)",10,5,1,5
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074390703","00074-3907-03","Potassium Chloride",10,25,10,250
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074393402","00074-3934-02","Potassium Chloride",20,25,20,500
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074397703","00074-3977-03","Bacteriostatic H2O For Inject",30,25,6,150
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074402702","00074-4027-02","Sterile Water For Injection",5,25,1,25
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074402903","00074-4029-03","Sterile Water For Injection",20,25,4,100
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074404402","00074-4044-02","Sterile Water For Injection",10,25,2,50
"J2275","Morphine sulfate injection","10 MG","HOSPIRA","00074405712","00074-4057-12","Morphine Sulfate (Pf)",10,5,0.5,2.5
"J2275","Morphine sulfate injection","10 MG","HOSPIRA","00074405812","00074-4058-12","Morphine Sulfate (Pf)",10,5,1,5
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074414103","00074-4141-03","Dopamine In D5W",500,12,10,120
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074414203","00074-4142-03","Dopamine In D5W",500,12,20,240
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074415502","00074-4155-02","Dopamine In D5W",250,12,20,240
"J2400","Chloroprocaine hcl injection","30 ML","HOSPIRA","00074416901","00074-4169-01","Chloroprocaine Hcl",30,25,1,25
"J2400","Chloroprocaine hcl injection","30 ML","HOSPIRA","00074417001","00074-4170-01","Chloroprocaine Hcl",30,25,1,25
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074426501","00074-4265-01","Dopamine Hcl",10,25,20,500
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074433201","00074-4332-01","Vancomycin Hcl",1,10,1,10
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074433249","00074-4332-49","Vancomycin Hcl",1,10,1,10
"J9265","Paclitaxel injection","30 MG","MAYNE PHARMA","00074433504","00074-4335-04","Paclitaxel",50,1,10,10
"J0282","Amiodarone HCl","30 MG","HOSPIRA","00074434835","00074-4348-35","Amiodarone Hcl",3,10,5,50
"J2501","Paricalcitol","1 MCG","ABBOTT","00074463701","00074-4637-01","Zemplar",25,4,50,200
"J1450","Fluconazole","200 MG","HOSPIRA","00074468402","00074-4684-02","Fluconazole In Dextrose",200,6,2,12
"J1450","Fluconazole","200 MG","HOSPIRA","00074468423","00074-4684-23","Fluconazole In Dextrose",100,6,1,6
"J1450","Fluconazole","200 MG","HOSPIRA","00074468802","00074-4688-02","Fluconazole In Sodium Chloride",200,6,2,12
"J1450","Fluconazole","200 MG","HOSPIRA","00074468823","00074-4688-23","Fluconazole In Sodium Chloride",100,6,1,6
"J1450","Fluconazole","200 MG","HOSPIRA","00074468827","00074-4688-27","Fluconazole In Sodium Chloride",2,6,1,6
"J1450","Fluconazole","200 MG","HOSPIRA","00074468828","00074-4688-28","Fluconazole In Sodium Chloride",100,6,1,6
"J1450","Fluconazole","200 MG","HOSPIRA","00074468833","00074-4688-33","Fluconazole In Sodium Chloride",200,6,2,12
"J1450","Fluconazole","200 MG","HOSPIRA","00074468834","00074-4688-34","Fluconazole In Sodium Chloride",200,6,2,12
"J1250","Inj dobutamine HCL/250 mg","250 MG","HOSPIRA","00074472901","00074-4729-01","Dobutamine Hcl",100,1,5,5
"J0690","Cefazolin sodium injection","500 MG","HOSPIRA","00074473203","00074-4732-03","Cefazolin Sodium",1,25,2,50
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074486202","00074-4862-02","Dextrose-Nacl",250,12,0.5,6
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074486203","00074-4862-03","Dextrose-Nacl",500,12,1,12
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074488710","00074-4887-10","Sterile Water For Injection",10,25,2,50
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074488720","00074-4887-20","Sterile Water For Injection",20,25,4,100
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074488750","00074-4887-50","Sterile Water For Injection",50,25,10,250
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074488799","00074-4887-99","Sterile Water For Injection",100,25,20,500
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074488810","00074-4888-10","Sodium Chloride",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074488810","00074-4888-10","Sodium Chloride",10,25,0.5,12.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074488812","00074-4888-12","Sodium Chloride",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074488812","00074-4888-12","Sodium Chloride",10,25,0.5,12.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074488820","00074-4888-20","Sodium Chloride",20,25,10,250
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074488850","00074-4888-50","Sodium Chloride",50,25,25,625
"J0170","Adrenalin epinephrin inject","1 ML","HOSPIRA","00074490118","00074-4901-18","Epinephrine Hcl",10,10,10,100
"J0280","Aminophyllin 250 MG inj","250 MG","HOSPIRA","00074490619","00074-4906-19","Aminophylline",20,10,2,20
"J0280","Aminophyllin 250 MG inj","250 MG","HOSPIRA","00074490918","00074-4909-18","Aminophylline",10,10,1,10
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00074491015","00074-4910-15","Atropine Sulfate",5,10,1.65,16.5
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00074491034","00074-4910-34","Atropine Sulfate",5,10,1.65,16.5
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00074491118","00074-4911-18","Atropine Sulfate",10,10,3.3,33
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00074491134","00074-4911-34","Atropine Sulfate",10,10,3.3,33
"J0170","Adrenalin epinephrin inject","1 ML","HOSPIRA","00074492134","00074-4921-34","Epinephrine Hcl",10,10,10,100
"J0713","Inj ceftazidime per 500 mg","500 MG","HOSPIRA","00074508216","00074-5082-16","Tazicef",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","500 MG","HOSPIRA","00074508311","00074-5083-11","Tazicef",1,10,2,20
"J0713","Inj ceftazidime per 500 mg","500 MG","HOSPIRA","00074508411","00074-5084-11","Tazicef",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","500 MG","HOSPIRA","00074508611","00074-5086-11","Tazicef",1,10,12,120
"J0713","Inj ceftazidime per 500 mg","500 MG","HOSPIRA","00074509216","00074-5092-16","Tazicef",25,1,50,50
"J0713","Inj ceftazidime per 500 mg","500 MG","HOSPIRA","00074509311","00074-5093-11","Tazicef",1,10,4,40
"J1720","Hydrocortisone sodium succ i","100 MG","ABBOTT","00074567202","00074-5672-02","A-Hydrocort",1,10,2.5,25
"J1720","Hydrocortisone sodium succ i","100 MG","ABBOTT","00074567304","00074-5673-04","A-Hydrocort",1,25,5,125
"J2920","Methylprednisolone injection","40 MG","ABBOTT","00074568401","00074-5684-01","A-Methapred",1,10,1,10
"J2930","Methylprednisolone injection","125 MG","ABBOTT","00074568502","00074-5685-02","A-Methapred",1,10,1,10
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074582001","00074-5820-01","Dopamine Hcl",5,25,5,125
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074582010","00074-5820-10","Dopamine Hcl",5,25,5,125
"J0280","Aminophyllin 250 MG inj","250 MG","HOSPIRA","00074592101","00074-5921-01","Aminophylline",10,25,1,25
"J0280","Aminophyllin 250 MG inj","250 MG","HOSPIRA","00074592201","00074-5922-01","Aminophylline",20,25,2,50
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074602304","00074-6023-04","Morphine Sulfate",30,10,3,30
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074602804","00074-6028-04","Morphine Sulfate",30,10,15,150
"J2175","Meperidine hydrochl /100 MG","100 MG","HOSPIRA","00074603004","00074-6030-04","Meperidine Hcl",30,10,3,30
"J1940","Furosemide injection","20 MG","HOSPIRA","00074605617","00074-6056-17","Furosemide",8,10,4,40
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074606202","00074-6062-02","Morphine Sulfate In Dextrose",250,1,25,25
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074606211","00074-6062-11","Morphine Sulfate In Dextrose",100,1,10,10
"J1940","Furosemide injection","20 MG","HOSPIRA","00074610202","00074-6102-02","Furosemide",2,25,1,25
"J1940","Furosemide injection","20 MG","HOSPIRA","00074610204","00074-6102-04","Furosemide",4,25,2,50
"J1940","Furosemide injection","20 MG","HOSPIRA","00074610210","00074-6102-10","Furosemide",10,25,5,125
"J3364","Urokinase 5000 IU injection","5000 IU","ABBOTT","00074610905","00074-6109-05","Abbokinase",1,1,50,50
"J3365","Urokinase 250,000 IU inj","250000 IU","ABBOTT","00074610905","00074-6109-05","Abbokinase",1,1,1,1
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074613903","00074-6139-03","Sterile Water For Irrigation",500,24,100,2400
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074613922","00074-6139-22","Sterile Water For Irrigation",250,24,50,1200
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074617714","00074-6177-14","Morphine Sulfate",4,10,10,100
"J2270","Morphine sulfate injection","10 MG","HOSPIRA","00074617914","00074-6179-14","Morphine Sulfate",10,10,25,250
"J7515","Cyclosporine oral 25 mg","25 MG","ABBOTT","00074646332","00074-6463-32","Gengraf",30,1,30,30
"J1364","Erythro lactobionate /500 MG","500 MG","HOSPIRA","00074647644","00074-6476-44","Erythromycin Lactobionate",1,10,1,10
"J1364","Erythro lactobionate /500 MG","500 MG","HOSPIRA","00074647844","00074-6478-44","Erythrocin",1,10,2,20
"J7502","Cyclosporine oral 100 mg","100 MG","ABBOTT","00074647932","00074-6479-32","Gengraf",30,1,30,30
"J1364","Erythro lactobionate /500 MG","500 MG","HOSPIRA","00074648201","00074-6482-01","Erythromycin Lactobionate",1,10,1,10
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074650901","00074-6509-01","Vancomycin Hcl",1,1,10,10
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074650949","00074-6509-49","Vancomycin Hcl",1,1,10,10
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074653301","00074-6533-01","Vancomycin Hcl",1,10,2,20
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074653349","00074-6533-49","Vancomycin Hcl",1,10,2,20
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074653401","00074-6534-01","Vancomycin Hcl",1,10,1,10
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074653449","00074-6534-49","Vancomycin Hcl",1,10,1,10
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074653501","00074-6535-01","Vancomycin Hcl",1,10,2,20
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00074653549","00074-6535-49","Vancomycin Hcl",1,10,2,20
"J0330","Succinycholine chloride inj","20 MG","HOSPIRA","00074662902","00074-6629-02","Quelicin",10,25,10,250
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074663501","00074-6635-01","Potassium Chloride",5,25,5,125
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074663601","00074-6636-01","Potassium Chloride",15,25,15,375
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074665106","00074-6651-06","Potassium Chloride",10,25,10,250
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074665305","00074-6653-05","Potassium Chloride",20,25,20,500
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00074672903","00074-6729-03","Magnesium Sulfate",500,24,40,960
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00074672909","00074-6729-09","Magnesium Sulfate",1000,12,80,960
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00074672923","00074-6729-23","Magnesium Sulfate",100,24,8,192
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00074673013","00074-6730-13","Magnesium Sulfate",50,24,8,192
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074677802","00074-6778-02","Lorazepam",1,10,1,10
"J2060","Lorazepam injection","2 MG","AMERINET/ABBOTT","00074677862","00074-6778-62","Lorazepam",1,10,1,10
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074677902","00074-6779-02","Lorazepam",1,10,2,20
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074678002","00074-6780-02","Lorazepam",10,10,10,100
"J2060","Lorazepam injection","2 MG","HOSPIRA","00074678102","00074-6781-02","Lorazepam",10,10,20,200
"J0330","Succinycholine chloride inj","20 MG","HOSPIRA","00074697010","00074-6970-10","Quelicin-1000",10,25,50,1250
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074707426","00074-7074-26","Potassium Chloride",100,24,5,120
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074707514","00074-7075-14","Potassium Chloride",50,24,5,120
"J3480","Inj potassium chloride","2 MEQ","ABBOTT","00074707526","00074-7075-26","Potassium Chloride",100,24,10,240
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074707626","00074-7076-26","Potassium Chloride",100,24,15,360
"J3480","Inj potassium chloride","2 MEQ","HOSPIRA","00074707714","00074-7077-14","Potassium Chloride",50,24,10,240
"J3480","Inj potassium chloride","2 MEQ","ABBOTT","00074707726","00074-7077-26","Potassium Chloride",100,24,20,480
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074710002","00074-7100-02","Dextrose",250,24,0.5,12
"J7070","D5w infusion","1000 CC","HOSPIRA","00074710002","00074-7100-02","Dextrose",250,24,0.25,6
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074710102","00074-7101-02","Sodium Chloride",250,24,0.25,6
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00074710102","00074-7101-02","Sodium Chloride",250,24,0.5,12
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00074710102","00074-7101-02","Sodium Chloride",250,24,1,24
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074710166","00074-7101-66","Sodium Chloride",50,50,25,1250
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074710166","00074-7101-66","Sodium Chloride",50,50,2.5,125
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074710167","00074-7101-67","Sodium Chloride",100,50,50,2500
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074710167","00074-7101-67","Sodium Chloride",100,50,5,250
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074711807","00074-7118-07","Sterile Water For Injection",2000,6,400,2400
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074713906","00074-7139-06","Sterile Water For Irrigation",1500,8,300,2400
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074713936","00074-7139-36","Sterile Water For Irrigation",1500,9,300,2700
"J0170","Adrenalin epinephrin inject","1 ML","HOSPIRA","00074724101","00074-7241-01","Epinephrine Hcl",1,25,1,25
"J0170","Adrenalin epinephrin inject","1 ML","HOSPIRA","00074724161","00074-7241-61","Epinephrine Hcl",1,800,1,800
"J7502","Cyclosporine oral 100 mg","100 MG","ABBOTT","00074726950","00074-7269-50","Gengraf",50,1,50,50
"J0280","Aminophyllin 250 MG inj","250 MG","HOSPIRA","00074738501","00074-7385-01","Aminophylline",10,25,1,25
"J0280","Aminophyllin 250 MG inj","250 MG","HOSPIRA","00074738601","00074-7386-01","Aminophylline",20,25,2,50
"J7100","Dextran 40 infusion","500 ML","HOSPIRA","00074741903","00074-7419-03","Lmd In Nacl",500,12,1,12
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074762003","00074-7620-03","Heparin (Porcine) In Nacl",500,18,1,18
"J1644","Inj heparin sodium per 1000u","1000 UNITS","ABBOTT","00074762059","00074-7620-59","Heparin (Porcine) In Nacl",1000,12,2,24
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074765062","00074-7650-62","Heparin (Porcine) In Nacl",250,24,25,600
"J1644","Inj heparin sodium per 1000u","1000 UNITS","ABBOTT","00074765103","00074-7651-03","Heparin (Porcine) In Nacl",500,24,25,600
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074765162","00074-7651-62","Heparin (Porcine) In Nacl",250,24,12.5,300
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074766503","00074-7665-03","Theophylline In D5W",500,24,10,240
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074766509","00074-7665-09","Theophylline In D5W",1000,12,20,240
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074766603","00074-7666-03","Theophylline In D5W",500,24,20,480
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074766662","00074-7666-62","Theophylline In D5W",250,24,10,240
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074766823","00074-7668-23","Theophylline In D5W",100,24,5,120
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074767713","00074-7677-13","Theophylline In D5W",50,24,5,120
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074767723","00074-7677-23","Theophylline In D5W",100,24,10,240
"J2810","Inj theophylline per 40 MG","40 MG","HOSPIRA","00074770562","00074-7705-62","Theophylline In D5W",250,24,20,480
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074776003","00074-7760-03","Heparin (Porcine) In D5W",500,24,20,480
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074776103","00074-7761-03","Heparin (Porcine) In D5W",500,24,25,600
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074779323","00074-7793-23","Heparin (Porcine) In D5W",100,24,10,240
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074779362","00074-7793-62","Heparin (Porcine) In D5W",250,24,25,600
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00074779462","00074-7794-62","Heparin (Porcine) In D5W",250,24,12.5,300
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074780822","00074-7808-22","Dopamine In D5W",250,12,5,60
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074780824","00074-7808-24","Dopamine In D5W",500,12,10,120
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074780922","00074-7809-22","Dopamine In D5W",250,12,10,120
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074780924","00074-7809-24","Dopamine In D5W",500,12,20,240
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074781022","00074-7810-22","Dopamine In D5W",250,12,20,240
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00074789715","00074-7897-15","Atropine Sulfate",5,10,0.835,8.35
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074792202","00074-7922-02","Dextrose",250,24,0.5,12
"J7070","D5w infusion","1000 CC","HOSPIRA","00074792202","00074-7922-02","Dextrose",250,24,0.25,6
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074792203","00074-7922-03","Dextrose",500,24,1,24
"J7070","D5w infusion","1000 CC","HOSPIRA","00074792203","00074-7922-03","Dextrose",500,24,0.5,12
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074792209","00074-7922-09","Dextrose",1000,12,2,24
"J7070","D5w infusion","1000 CC","HOSPIRA","00074792209","00074-7922-09","Dextrose",1000,12,1,12
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074792253","00074-7922-53","Dextrose",250,24,0.5,12
"J7070","D5w infusion","1000 CC","HOSPIRA","00074792253","00074-7922-53","Dextrose",250,24,0.25,6
"J7060","5% dextrose/water","500 ML","HOSPIRA","00074792255","00074-7922-55","Dextrose",500,18,1,18
"J7070","D5w infusion","1000 CC","HOSPIRA","00074792255","00074-7922-55","Dextrose",500,18,0.5,9
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792402","00074-7924-02","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792403","00074-7924-03","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792409","00074-7924-09","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792502","00074-7925-02","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792503","00074-7925-03","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792509","00074-7925-09","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792602","00074-7926-02","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792603","00074-7926-03","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074792609","00074-7926-09","Dextrose-Nacl",1000,12,2,24
"J2001","Lidocaine injection","10 MG","HOSPIRA","00074793124","00074-7931-24","Lidocaine In D5W",500,24,200,4800
"J2001","Lidocaine injection","10 MG","HOSPIRA","00074793132","00074-7931-32","Lidocaine In D5W",250,12,100,1200
"J2001","Lidocaine injection","10 MG","HOSPIRA","00074793932","00074-7939-32","Lidocaine In D5W",250,12,200,2400
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074794003","00074-7940-03","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074794102","00074-7941-02","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074794103","00074-7941-03","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","HOSPIRA","00074794109","00074-7941-09","Dextrose-Nacl",1000,12,2,24
"J7120","Ringers lactate infusion","1000 CC","HOSPIRA","00074795302","00074-7953-02","Lactated Ringers",250,24,0.25,6
"J7120","Ringers lactate infusion","1000 CC","HOSPIRA","00074795303","00074-7953-03","Lactated Ringers",500,24,0.5,12
"J7120","Ringers lactate infusion","1000 CC","HOSPIRA","00074795309","00074-7953-09","Lactated Ringers",1000,12,1,12
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074797307","00074-7973-07","Sterile Water For Irrigation",2000,6,400,2400
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074797308","00074-7973-08","Sterile Water For Irrigation",3000,4,600,2400
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074798302","00074-7983-02","Sodium Chloride",250,24,0.25,6
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00074798302","00074-7983-02","Sodium Chloride",250,24,0.5,12
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00074798302","00074-7983-02","Sodium Chloride",250,24,1,24
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074798303","00074-7983-03","Sodium Chloride",500,24,0.5,12
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074798309","00074-7983-09","Sodium Chloride",1000,12,1,12
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00074798309","00074-7983-09","Sodium Chloride",1000,12,2,24
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00074798309","00074-7983-09","Sodium Chloride",1000,12,4,48
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074798353","00074-7983-53","Sodium Chloride",250,24,0.25,6
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00074798353","00074-7983-53","Sodium Chloride",250,24,0.5,12
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00074798353","00074-7983-53","Sodium Chloride",250,24,1,24
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00074798355","00074-7983-55","Sodium Chloride",500,18,0.5,9
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00074798355","00074-7983-55","Sodium Chloride",500,18,1,18
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00074798355","00074-7983-55","Sodium Chloride",500,18,2,36
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074798361","00074-7983-61","Sodium Chloride",150,32,75,2400
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074798361","00074-7983-61","Sodium Chloride",150,32,7.5,240
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074798413","00074-7984-13","Sodium Chloride",50,48,25,1200
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074798413","00074-7984-13","Sodium Chloride",50,48,2.5,120
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074798420","00074-7984-20","Sodium Chloride",25,48,12.5,600
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074798420","00074-7984-20","Sodium Chloride",25,48,1.25,60
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074798423","00074-7984-23","Sodium Chloride",100,48,50,2400
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074798423","00074-7984-23","Sodium Chloride",100,48,5,240
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074798436","00074-7984-36","Sodium Chloride",50,80,25,2000
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074798436","00074-7984-36","Sodium Chloride",50,80,2.5,200
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00074798437","00074-7984-37","Sodium Chloride",100,80,50,4000
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00074798437","00074-7984-37","Sodium Chloride",100,80,5,400
"J7051","Sterile saline/water","5 CC","HOSPIRA","00074799009","00074-7990-09","Sterile Water For Injection",1000,12,200,2400
"J0330","Succinycholine chloride inj","20 MG","HOSPIRA","00074806515","00074-8065-15","Quelicin",5,10,5,50
"J0636","Inj calcitriol per 0.1 mcg","0.1 MCG","ABBOTT","00074811031","00074-8110-31","Calcijex",1,100,10,1000
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909332","00074-9093-32","Fentanyl Citrate",2,10,1,10
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909335","00074-9093-35","Fentanyl Citrate",5,10,2.5,25
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909336","00074-9093-36","Fentanyl Citrate",10,5,5,25
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909338","00074-9093-38","Fentanyl Citrate",20,5,10,50
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909422","00074-9094-22","Fentanyl Citrate",2,25,1,25
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909425","00074-9094-25","Fentanyl Citrate",5,25,2.5,62.5
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909428","00074-9094-28","Fentanyl Citrate",10,25,5,125
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909431","00074-9094-31","Fentanyl Citrate",20,25,10,250
"J3010","Fentanyl citrate injeciton","0.1 MG","HOSPIRA","00074909461","00074-9094-61","Fentanyl Citrate",50,25,25,625
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00074910420","00074-9104-20","Dopamine Hcl",10,25,10,250
"J3430","Vitamin k phytonadione inj","1 MG","HOSPIRA","00074915701","00074-9157-01","Vitamin K1",0.5,25,1,25
"J3430","Vitamin k phytonadione inj","1 MG","HOSPIRA","00074915801","00074-9158-01","Vitamin K1",1,25,10,250
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00074962905","00074-9629-05","Atropine Sulfate",5,10,1.65,16.5
"J1940","Furosemide injection","20 MG","HOSPIRA","00074963104","00074-9631-04","Furosemide",4,10,2,20
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075062040","00075-0620-40","Lovenox",0.4,10,4,40
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075062160","00075-0621-60","Lovenox",0.6,10,6,60
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075062280","00075-0622-80","Lovenox",0.8,10,8,80
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075062300","00075-0623-00","Lovenox",1,10,10,100
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075062430","00075-0624-30","Lovenox",0.3,10,3,30
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075062603","00075-0626-03","Lovenox",3,1,30,30
"J2597","Inj desmopressin acetate","1 MCG","AVENTIS","00075245101","00075-2451-01","Ddavp",1,10,4,40
"J2597","Inj desmopressin acetate","1 MCG","AVENTIS","00075245153","00075-2451-53","Ddavp",10,1,40,40
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075291201","00075-2912-01","Lovenox",0.8,10,12,120
"J1650","Inj enoxaparin sodium","10 MG","AVENTIS","00075291501","00075-2915-01","Lovenox",1,10,15,150
"J9170","Docetaxel","20 MG","AVENTIS","00075800120","00075-8001-20","Taxotere",0.5,1,1,1
"J9170","Docetaxel","20 MG","AVENTIS","00075800180","00075-8001-80","Taxotere",2,1,4,4
"J2210","Methylergonovin maleate inj","0.2 MG","NOVARTIS","00078005303","00078-0053-03","Methergine",1,20,1,20
"J7516","Cyclosporin parenteral 250mg","250 MG","NOVARTIS","00078010901","00078-0109-01","Sandimmune",5,10,1,10
"J7502","Cyclosporine oral 100 mg","100 MG","NOVARTIS","00078011022","00078-0110-22","Sandimmune",50,1,50,50
"J0630","Calcitonin salmon injection","400 UNITS","NOVARTIS","00078014923","00078-0149-23","Miacalcin",2,1,1,1
"J2354","Octreotide inj, non-depot","25 MCG","NOVARTIS","00078018001","00078-0180-01","Sandostatin",1,10,2,20
"J2354","Octreotide inj, non-depot","25 MCG","NOVARTIS","00078018003","00078-0180-03","Sandostatin",1,20,2,40
"J2354","Octreotide inj, non-depot","25 MCG","NOVARTIS","00078018101","00078-0181-01","Sandostatin",1,10,4,40
"J2354","Octreotide inj, non-depot","25 MCG","NOVARTIS","00078018103","00078-0181-03","Sandostatin",1,20,4,80
"J2354","Octreotide inj, non-depot","25 MCG","NOVARTIS","00078018201","00078-0182-01","Sandostatin",1,10,20,200
"J2354","Octreotide inj, non-depot","25 MCG","NOVARTIS","00078018325","00078-0183-25","Sandostatin",5,1,40,40
"J2354","Octreotide inj, non-depot","25 MCG","NOVARTIS","00078018425","00078-0184-25","Sandostatin",5,1,200,200
"J7515","Cyclosporine oral 25 mg","25 MG","NOVARTIS","00078024015","00078-0240-15","Sandimmune",30,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","NOVARTIS","00078024115","00078-0241-15","Sandimmune",30,1,30,30
"J7515","Cyclosporine oral 25 mg","25 MG","NOVARTIS","00078024615","00078-0246-15","Neoral",30,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","NOVARTIS","00078024815","00078-0248-15","Neoral",30,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","NOVARTIS","00078027422","00078-0274-22","Neoral",50,1,50,50
"Q2019","Basiliximab","20 MG","NOVARTIS","00078033184","00078-0331-84","Simulect",1,1,1,1
"J2353","Octreotide injection, depot","1 MG","NOVARTIS","00078034061","00078-0340-61","Sandostatin Lar Depot",1,1,10,10
"J2353","Octreotide injection, depot","1 MG","NOVARTIS","00078034084","00078-0340-84","Sandostatin Lar Depot",1,1,10,10
"J2353","Octreotide injection, depot","1 MG","NOVARTIS","00078034161","00078-0341-61","Sandostatin Lar Depot",1,1,20,20
"J2353","Octreotide injection, depot","1 MG","NOVARTIS","00078034184","00078-0341-84","Sandostatin Lar Depot",1,1,20,20
"J2353","Octreotide injection, depot","1 MG","NOVARTIS","00078034261","00078-0342-61","Sandostatin Lar Depot",1,1,30,30
"J2353","Octreotide injection, depot","1 MG","NOVARTIS","00078034284","00078-0342-84","Sandostatin Lar Depot",1,1,30,30
"J0895","Deferoxamine mesylate inj","500 MG","NOVARTIS","00078034751","00078-0347-51","Desferal",4,1,16,16
"J7518","Mycophenolic acid","180 MG","NOVARTIS","00078038566","00078-0385-66","Myfortic",120,1,120,120
"J7518","Mycophenolic acid","180 MG","NOVARTIS","00078038666","00078-0386-66","Myfortic",120,1,240,240
"J3487","Zoledronic acid","1 MG","NOVARTIS","00078038725","00078-0387-25","Zometa",5,1,4,4
"Q2019","Basiliximab","20 MG","NOVARTIS","00078039361","00078-0393-61","Simulect",1,1,0.5,0.5
"J2430","Pamidronate disodium /30 MG","30 MG","NOVARTIS","00083260104","00083-2601-04","Aredia",1,4,1,4
"J2430","Pamidronate disodium /30 MG","30 MG","NOVARTIS","00083260901","00083-2609-01","Aredia",1,1,3,3
"J0895","Deferoxamine mesylate inj","500 MG","NOVARTIS","00083380104","00083-3801-04","Desferal",1,4,1,4
"J1730","Diazoxide injection","300 MG","SCHERING","00085020105","00085-0201-05","Hyperstat",20,1,1,1
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085053901","00085-0539-01","Intron-A",1,1,50,50
"J0702","Betamethasone acet&sod phosp","3 MG","SCHERING","00085056605","00085-0566-05","Celestone Soluspan",5,1,5,5
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085057102","00085-0571-02","Intron-A",1,1,10,10
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085111001","00085-1110-01","Intron-A",1,1,18,18
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085113301","00085-1133-01","Intron-A",2.5,1,25,25
"J1327","Eptifibatide injection","5 MG","SCHERING","00085113601","00085-1136-01","Integrilin",100,1,15,15
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085116801","00085-1168-01","Intron-A",3,1,18,18
"J1327","Eptifibatide injection","5 MG","SCHERING","00085117701","00085-1177-01","Integrilin",10,1,4,4
"J1327","Eptifibatide injection","5 MG","SCHERING","00085117702","00085-1177-02","Integrilin",100,1,40,40
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085117902","00085-1179-02","Intron-A",1,6,10,60
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085123501","00085-1235-01","Intron-A",1.5,1,30,30
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085124201","00085-1242-01","Intron-A",1.5,1,18,18
"J8700","Temozolomide","5 MG","SCHERING","00085124401","00085-1244-01","Temodar",5,1,20,20
"J8700","Temozolomide","5 MG","SCHERING","00085124402","00085-1244-02","Temodar",20,1,80,80
"J8700","Temozolomide","5 MG","SCHERING","00085124801","00085-1248-01","Temodar",5,1,5,5
"J8700","Temozolomide","5 MG","SCHERING","00085124802","00085-1248-02","Temodar",20,1,20,20
"J8700","Temozolomide","5 MG","SCHERING","00085125201","00085-1252-01","Temodar",5,1,250,250
"J8700","Temozolomide","5 MG","SCHERING","00085125202","00085-1252-02","Temodar",20,1,1000,1000
"J9214","Interferon alfa-2b inj","1 MIL UNITS","SCHERING","00085125401","00085-1254-01","Intron-A",1.5,1,60,60
"J8700","Temozolomide","5 MG","SCHERING","00085125901","00085-1259-01","Temodar",5,1,100,100
"J8700","Temozolomide","5 MG","SCHERING","00085125902","00085-1259-02","Temodar",20,1,400,400
"J7611","Albuterol concentrated form","1 MG","SCHERING","00085133601","00085-1336-01","Proventil",20,1,100,100
"J7613","Albuterol unit dose","1 MG","SCHERING","00085180601","00085-1806-01","Proventil",3,24,2.49,59.76
"J7608","Acetylcysteine inh sol u d","1 G","SANDOZ","00087057003","00087-0570-03","Mucomyst",10,3,2,6
"J7608","Acetylcysteine inh sol u d","1 G","SANDOZ","00087057009","00087-0570-09","Mucomyst",30,3,6,18
"J7608","Acetylcysteine inh sol u d","1 G","SANDOZ","00087057202","00087-0572-02","Mucomyst-10",30,3,3,9
"J0595","Butorphanol tartrate 1 mg","1 MG","BRISTOL-MYERS SQUIBB","00087565041","00087-5650-41","Stadol Ns",2.5,1,25,25
"J0706","Caffeine citrate injection","5 MG","BRISTOL-MYERS SQUIBB","00087601142","00087-6011-42","Cafcit",3,1,12,12
"J1595","Injection glatiramer acetate","20 MG","AVENTIS","00088115330","00088-1153-30","Copaxone",1,1,30,30
"Q0180","Dolasetron mesylate oral","100 MG","AVENTIS","00088120205","00088-1202-05","Anzemet",5,1,2.5,2.5
"Q0180","Dolasetron mesylate oral","100 MG","AVENTIS","00088120229","00088-1202-29","Anzemet",5,1,2.5,2.5
"Q0180","Dolasetron mesylate oral","100 MG","AVENTIS","00088120243","00088-1202-43","Anzemet",10,1,5,5
"Q0180","Dolasetron mesylate oral","100 MG","AVENTIS","00088120305","00088-1203-05","Anzemet",5,1,5,5
"Q0180","Dolasetron mesylate oral","100 MG","AVENTIS","00088120329","00088-1203-29","Anzemet",5,1,5,5
"Q0180","Dolasetron mesylate oral","100 MG","AVENTIS","00088120343","00088-1203-43","Anzemet",10,1,10,10
"J1260","Dolasetron mesylate","10 MG","AVENTIS","00088120632","00088-1206-32","Anzemet",5,1,10,10
"J1260","Dolasetron mesylate","10 MG","ABBOTT","00088120806","00088-1208-06","Anzemet",0.625,6,1.25,7.5
"J1260","Dolasetron mesylate","10 MG","ABBOTT","00088120865","00088-1208-65","Anzemet",0.625,6,1.25,7.5
"J1260","Dolasetron mesylate","10 MG","ABBOTT","00088120869","00088-1208-69","Anzemet",2,10,4,40
"J1260","Dolasetron mesylate","10 MG","ABBOTT","00088120876","00088-1208-76","Anzemet",0.625,10,1.25,12.5
"J1260","Dolasetron mesylate","10 MG","AVENTIS","00088120926","00088-1209-26","Anzemet",25,1,50,50
"J0600","Edetate calcium disodium inj","1 ML","3M PHARMACEUTICALS","00089051006","00089-0510-06","Calcium Disodium Versenate",5,6,1,6
"J2360","Orphenadrine injection","60 MG","3M PHARMACEUTICALS","00089054006","00089-0540-06","Norflex",2,6,1,6
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091101006","00091-1010-06","Edex",1,1,8,8
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091102006","00091-1020-06","Edex",1,1,16,16
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091102722","00091-1027-22","Edex",1,1,8,8
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091102922","00091-1029-22","Edex",1,1,16,16
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091103222","00091-1032-22","Edex",1,1,32,32
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091104006","00091-1040-06","Edex",1,1,32,32
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091111011","00091-1110-11","Edex",1,1,8,8
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091111016","00091-1110-16","Edex",2,1,16,16
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091111020","00091-1110-20","Edex",6,1,48,48
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091112011","00091-1120-11","Edex",1,1,16,16
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091112016","00091-1120-16","Edex",2,1,32,32
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091112020","00091-1120-20","Edex",6,1,96,96
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091114011","00091-1140-11","Edex",1,1,32,32
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091114016","00091-1140-16","Edex",2,1,64,64
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091114020","00091-1140-20","Edex",6,1,192,192
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091141044","00091-1410-44","Edex",1,4,8,32
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091142044","00091-1420-44","Edex",1,4,16,64
"J0270","Alprostadil for injection","1.25 MCG","SCHWARZ PHARMA","00091144044","00091-1440-44","Edex",1,4,32,128
"J1980","Hyoscyamine sulfate inj","0.25 MG","SCHWARZ PHARMA","00091153605","00091-1536-05","Levsin",1,5,2,10
"Q0164","Prochlorperazine maleate 5mg","5 MG","TEVA","00093964301","00093-9643-01","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","TEVA","00093965201","00093-9652-01","Prochlorperazine Maleate",100,1,100,100
"J7637","Dexamethasone inhal sol con","1 MG","CENTRAL PHARMACEUTICAL","00131123005","00131-1230-05","Dexacen-4",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","CENTRAL PHARMACEUTICAL","00131123005","00131-1230-05","Dexacen-4",10,1,40,40
"J3360","Diazepam injection","5 MG","ROCHE","00140193106","00140-1931-06","Valium",2,10,2,20
"J7506","Prednisone oral","5 MG","WEST-WARD","00143147301","00143-1473-01","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","WEST-WARD","00143147310","00143-1473-10","Prednisone",1000,1,2000,2000
"J7506","Prednisone oral","5 MG","WEST-WARD","00143147501","00143-1475-01","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","WEST-WARD","00143147510","00143-1475-10","Prednisone",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","WEST-WARD","00143147701","00143-1477-01","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","WEST-WARD","00143147705","00143-1477-05","Prednisone",500,1,2000,2000
"J7506","Prednisone oral","5 MG","WEST-WARD","00143147710","00143-1477-10","Prednisone",1000,1,4000,4000
"J0690","Cefazolin sodium injection","500 MG","WEST-WARD","00143992390","00143-9923-90","Cefazolin Sodium",1,25,1,25
"J0690","Cefazolin sodium injection","500 MG","WEST-WARD","00143992490","00143-9924-90","Cefazolin Sodium",1,25,2,50
"J1631","Haloperidol decanoate inj","50 MG","SUPERIOR PHARMACEUTICAL CO.","00144044451","00144-0444-51","Haloperidol Decanoate",1,1,1,1
"J1631","Haloperidol decanoate inj","50 MG","SUPERIOR PHARMACEUTICAL CO.","00144044456","00144-0444-56","Haloperidol Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","SUPERIOR PHARMACEUTICAL CO.","00144045551","00144-0455-51","Haloperidol Decanoate",1,1,2,2
"J1631","Haloperidol decanoate inj","50 MG","SUPERIOR PHARMACEUTICAL CO.","00144054451","00144-0544-51","Haloperidol Decanoate",1,1,2,2
"J1631","Haloperidol decanoate inj","50 MG","SUPERIOR PHARMACEUTICAL CO.","00144054456","00144-0544-56","Haloperidol Decanoate",5,1,10,10
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169001771","00169-0017-71","Novolin 70/30",1.5,5,30,150
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169001771","00169-0017-71","Novolin 70/30",1.5,5,3,15
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169004571","00169-0045-71","Novolin N",1.5,5,30,150
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169004571","00169-0045-71","Novolin N",1.5,5,3,15
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169007011","00169-0070-11","Velosulin Br (Rdna)",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169007011","00169-0070-11","Velosulin Br (Rdna)",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169183311","00169-1833-11","Novolin R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169183311","00169-1833-11","Novolin R",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169183411","00169-1834-11","Novolin N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169183411","00169-1834-11","Novolin N",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169183417","00169-1834-17","Novolin N",1.5,5,30,150
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169183417","00169-1834-17","Novolin N",1.5,5,3,15
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169183511","00169-1835-11","Novolin L",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169183511","00169-1835-11","Novolin L",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169183711","00169-1837-11","Novolin 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169183711","00169-1837-11","Novolin 70/30",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169183717","00169-1837-17","Novolin 70/30",1.5,5,30,150
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169183717","00169-1837-17","Novolin 70/30",1.5,5,3,15
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169231321","00169-2313-21","Novolin R Innolet",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169231321","00169-2313-21","Novolin R Innolet",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169231421","00169-2314-21","Novolin N Innolet",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169231421","00169-2314-21","Novolin N Innolet",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169231721","00169-2317-21","Novolin 70/30 Innolet",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169231721","00169-2317-21","Novolin 70/30 Innolet",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169330312","00169-3303-12","Novolog Penfill",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169330312","00169-3303-12","Novolog Penfill",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169347318","00169-3473-18","Novolin R Penfill",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169347318","00169-3473-18","Novolin R Penfill",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169347418","00169-3474-18","Novolin N Penfill",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169347418","00169-3474-18","Novolin N Penfill",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169347718","00169-3477-18","Novolin 70/30 Penfill",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169347718","00169-3477-18","Novolin 70/30 Penfill",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169368213","00169-3682-13","Novolog Mix 70/30 Penfill",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169368213","00169-3682-13","Novolog Mix 70/30 Penfill",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169368512","00169-3685-12","Novolog Mix 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169368512","00169-3685-12","Novolog Mix 70/30",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169369619","00169-3696-19","Novolog Mix 70/30 Flexpen",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169369619","00169-3696-19","Novolog Mix 70/30 Flexpen",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169633910","00169-6339-10","Novolog Flexpen",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169633910","00169-6339-10","Novolog Flexpen",3,5,6,30
"Q0187","Factor viia recombinant","1.2 MG","NOVO NORDISK","00169706001","00169-7060-01","Novoseven",1,1,1,1
"Q0187","Factor viia recombinant","1.2 MG","NOVO NORDISK","00169706101","00169-7061-01","Novoseven",1,1,2,2
"Q0187","Factor viia recombinant","1.2 MG","NOVO NORDISK","00169706201","00169-7062-01","Novoseven",1,1,4,4
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","00169750111","00169-7501-11","Novolog",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","00169750111","00169-7501-11","Novolog",10,1,20,20
"J2941","Somatropin injection","1 MG","NOVO NORDISK","00169776811","00169-7768-11","Norditropin",1.5,1,7.5,7.5
"J2941","Somatropin injection","1 MG","NOVO NORDISK","00169777011","00169-7770-11","Norditropin",1.5,1,22.5,22.5
"Q0178","Hydroxyzine pamoate 50mg","50 MG","IVAX PHARMACEUTICALS","00172290960","00172-2909-60","Hydroxyzine Pamoate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","IVAX PHARMACEUTICALS","00172291160","00172-2911-60","Hydroxyzine Pamoate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","IVAX PHARMACEUTICALS","00172291170","00172-2911-70","Hydroxyzine Pamoate",500,1,500,500
"Q0175","Perphenazine 4mg oral","4 MG","IVAX PHARMACEUTICALS","00172366860","00172-3668-60","Perphenazine",100,1,100,100
"Q0176","Perphenazine 8mg oral","8 MG","IVAX PHARMACEUTICALS","00172366960","00172-3669-60","Perphenazine",100,1,100,100
"Q0164","Prochlorperazine maleate 5mg","5 MG","IVAX PHARMACEUTICALS","00172369060","00172-3690-60","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","IVAX PHARMACEUTICALS","00172369160","00172-3691-60","Prochlorperazine Maleate",100,1,100,100
"J9265","Paclitaxel injection","30 MG","IVAX PHARMACEUTICALS","00172375377","00172-3753-77","Onxol",50,1,10,10
"J9265","Paclitaxel injection","30 MG","IVAX PHARMACEUTICALS","00172375396","00172-3753-96","Onxol",50,1,10,10
"J9265","Paclitaxel injection","30 MG","IVAX PHARMACEUTICALS","00172375473","00172-3754-73","Onxol",5,1,1,1
"J9265","Paclitaxel injection","30 MG","IVAX PHARMACEUTICALS","00172375494","00172-3754-94","Onxol",5,1,1,1
"J9265","Paclitaxel injection","30 MG","IVAX PHARMACEUTICALS","00172375531","00172-3755-31","Onxol",16.7,1,3.34,3.33
"J9265","Paclitaxel injection","30 MG","IVAX PHARMACEUTICALS","00172375675","00172-3756-75","Onxol",25,1,5,5
"J9265","Paclitaxel injection","30 MG","IVAX PHARMACEUTICALS","00172375695","00172-3756-95","Onxol",25,1,5,5
"J7613","Albuterol unit dose","1 MG","IVAX PHARMACEUTICALS","00172640544","00172-6405-44","Albuterol Sulfate",3,25,2.49,62.25
"J7613","Albuterol unit dose","1 MG","IVAX PHARMACEUTICALS","00172640549","00172-6405-49","Albuterol Sulfate",3,60,2.49,149.4
"J7631","Cromolyn sodium inh sol u d","10 MG","IVAX PHARMACEUTICALS","00172640649","00172-6406-49","Cromolyn Sodium",2,60,2,120
"J7631","Cromolyn sodium inh sol u d","10 MG","IVAX PHARMACEUTICALS","00172640659","00172-6406-59","Cromolyn Sodium",2,120,2,240
"J7644","Ipratropium brom inh sol u d","1 MG","IVAX PHARMACEUTICALS","00172640744","00172-6407-44","Ipratropium Bromide",2.5,25,0.5,12.5
"J7644","Ipratropium brom inh sol u d","1 MG","IVAX PHARMACEUTICALS","00172640749","00172-6407-49","Ipratropium Bromide",2.5,60,0.5,30
"J8600","Melphalan oral 2 MG","2 MG","CELGENE","00173004535","00173-0045-35","Alkeran",50,1,50,50
"J0330","Succinycholine chloride inj","20 MG","GLAXOSMITHKLINE","00173007195","00173-0071-95","Anectine",10,12,10,120
"J3485","Zidovudine","10 MG","GLAXOSMITHKLINE","00173010793","00173-0107-93","Retrovir",20,10,20,200
"J9245","Inj melphalan hydrochl 50 MG","50 MG","CELGENE","00173013093","00173-0130-93","Alkeran",1,1,1,1
"Q2006","Digoxin immune fab (ovine)","1 EA","GLAXOSMITHKLINE","00173023044","00173-0230-44","Digibind",1,1,1,1
"J1160","Digoxin injection","0.5 MG","GLAXOSMITHKLINE","00173026010","00173-0260-10","Lanoxin",2,10,1,10
"J1160","Digoxin injection","0.5 MG","GLAXOSMITHKLINE","00173026035","00173-0260-35","Lanoxin",2,50,1,50
"J1160","Digoxin injection","0.5 MG","GLAXOSMITHKLINE","00173026210","00173-0262-10","Lanoxin",1,10,0.2,2
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173035210","00173-0352-10","Zinacef",1,10,1,10
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173035231","00173-0352-31","Zinacef",1,25,1,25
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173035332","00173-0353-32","Zinacef",1,10,1,10
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173035410","00173-0354-10","Zinacef",1,10,2,20
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173035435","00173-0354-35","Zinacef",1,25,2,50
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173035632","00173-0356-32","Zinacef",1,10,2,20
"J2780","Ranitidine hydrochloride inj","25 MG","GLAXOSMITHKLINE","00173036238","00173-0362-38","Zantac",2,10,2,20
"J2780","Ranitidine hydrochloride inj","25 MG","GLAXOSMITHKLINE","00173036300","00173-0363-00","Zantac",40,1,40,40
"J2780","Ranitidine hydrochloride inj","25 MG","GLAXOSMITHKLINE","00173036301","00173-0363-01","Zantac",6,1,6,6
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173037710","00173-0377-10","Fortaz",1,10,1,10
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173037731","00173-0377-31","Fortaz",1,25,1,25
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173037810","00173-0378-10","Fortaz",1,10,2,20
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173037835","00173-0378-35","Fortaz",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173037934","00173-0379-34","Fortaz",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173038032","00173-0380-32","Fortaz",1,10,2,20
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173038132","00173-0381-32","Fortaz",1,10,4,40
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173038237","00173-0382-37","Fortaz",1,6,12,72
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173040000","00173-0400-00","Zinacef",1,6,10,60
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173041200","00173-0412-00","Fortaz In D5W",50,24,2,48
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173041300","00173-0413-00","Fortaz In D5W",50,24,4,96
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173041800","00173-0418-00","Ceptaz",1,6,20,120
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173042400","00173-0424-00","Zinacef In D5W",50,24,1,24
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173042500","00173-0425-00","Zinacef In Sterile Water",50,24,2,48
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173043400","00173-0434-00","Fortaz",1,25,2,50
"J0713","Inj ceftazidime per 500 mg","500 MG","GLAXOSMITHKLINE","00173043500","00173-0435-00","Fortaz",1,10,4,40
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173043600","00173-0436-00","Zinacef",1,25,1,25
"J0697","Sterile cefuroxime injection","750 MG","GLAXOSMITHKLINE","00173043700","00173-0437-00","Zinacef",1,10,2,20
"J2780","Ranitidine hydrochloride inj","25 MG","GLAXOSMITHKLINE","00173044100","00173-0441-00","Zantac In Nacl",50,24,2,48
"J2405","Ondansetron hcl injection","1 MG","GLAXOSMITHKLINE","00173044200","00173-0442-00","Zofran",20,1,40,40
"J2405","Ondansetron hcl injection","1 MG","GLAXOSMITHKLINE","00173044202","00173-0442-02","Zofran",2,5,4,20
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173044600","00173-0446-00","Zofran",30,1,15,15
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173044602","00173-0446-02","Zofran",100,1,50,50
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173044604","00173-0446-04","Zofran",3,1,1.5,1.5
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173044700","00173-0447-00","Zofran",30,1,30,30
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173044702","00173-0447-02","Zofran",100,1,100,100
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173044704","00173-0447-04","Zofran",3,1,3,3
"J3030","Sumatriptan succinate / 6 MG","6 MG","CERENEX","00173044901","00173-0449-01","Imitrex",1,1,2,2
"J3030","Sumatriptan succinate / 6 MG","6 MG","GLAXOSMITHKLINE","00173044902","00173-0449-02","Imitrex",0.5,5,1,5
"J2405","Ondansetron hcl injection","1 MG","GLAXOSMITHKLINE","00173046100","00173-0461-00","Zofran",50,6,32,192
"J3030","Sumatriptan succinate / 6 MG","6 MG","GLAXOSMITHKLINE","00173047800","00173-0478-00","Imitrex Statdose",1,1,2,2
"J3030","Sumatriptan succinate / 6 MG","6 MG","GLAXOSMITHKLINE","00173047900","00173-0479-00","Imitrex Statdose Pen",1,1,2,2
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173048900","00173-0489-00","Zofran",50,1,25,25
"J1325","Epoprostenol injection","0.5 MG","GLAXOSMITHKLINE","00173051700","00173-0517-00","Flolan",1,1,1,1
"J1325","Epoprostenol injection","0.5 MG","GLAXOSMITHKLINE","00173051900","00173-0519-00","Flolan",1,1,3,3
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173056900","00173-0569-00","Zofran Odt",30,1,15,15
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173057000","00173-0570-00","Zofran Odt",30,1,30,30
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173057004","00173-0570-04","Zofran Odt",10,1,10,10
"J7500","Azathioprine oral 50mg","50 MG","PROMETHEUS","00173059755","00173-0597-55","Imuran",100,1,100,100
"J9390","Vinorelbine tartrate/10 mg","10 MG","GLAXOSMITHKLINE","00173065601","00173-0656-01","Navelbine",1,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","GLAXOSMITHKLINE","00173065644","00173-0656-44","Navelbine",5,1,5,5
"Q0179","Ondansetron HCl 8mg oral","8 MG","GLAXOSMITHKLINE","00173068000","00173-0680-00","Zofran",1,1,3,3
"J8510","Oral busulfan","2 MG","GLAXOSMITHKLINE","00173071325","00173-0713-25","Myleran",25,1,25,25
"J7506","Prednisone oral","5 MG","IVAX PHARMACEUTICALS","00182020189","00182-0201-89","Prednisone",100,1,100,100
"J2650","Prednisolone acetate inj","1 ML","IVAX PHARMACEUTICALS","00182093966","00182-0939-66","Prednisolone Acetate",30,1,30,30
"J7509","Methylprednisolone oral","4 MG","GOLDLINE","00182105003","00182-1050-03","Methylprednisolone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","IVAX PHARMACEUTICALS","00182108689","00182-1086-89","Prednisone",100,1,400,400
"Q0177","Hydroxyzine pamoate 25mg","25 MG","IVAX PHARMACEUTICALS","00182109889","00182-1098-89","Hydroxyzine Pamoate",100,1,100,100
"Q0178","Hydroxyzine pamoate 50mg","50 MG","IVAX PHARMACEUTICALS","00182109989","00182-1099-89","Hydroxyzine Pamoate",100,1,100,100
"J7506","Prednisone oral","5 MG","GOLDLINE","00182133401","00182-1334-01","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","GOLDLINE","00182133410","00182-1334-10","Prednisone",1000,1,2000,2000
"J7506","Prednisone oral","5 MG","IVAX PHARMACEUTICALS","00182133489","00182-1334-89","Prednisone",100,1,200,200
"Q0173","Trimethobenzamide HCl 250mg","250 MG","IVAX PHARMACEUTICALS","00182139601","00182-1396-01","Trimethobenzamide Hcl",100,1,100,100
"J9218","Leuprolide acetate injeciton","1 MG","IVAX PHARMACEUTICALS","00182315499","00182-3154-99","Leuprolide Acetate",2.8,1,14,14
"J7611","Albuterol concentrated form","1 MG","IVAX PHARMACEUTICALS","00182601465","00182-6014-65","Albuterol Sulfate",20,1,100,100
"Q0164","Prochlorperazine maleate 5mg","5 MG","IVAX PHARMACEUTICALS","00182821089","00182-8210-89","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","IVAX PHARMACEUTICALS","00182821189","00182-8211-89","Prochlorperazine Maleate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","EON LABS","00185061301","00185-0613-01","Hydroxyzine Pamoate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","EON LABS","00185061305","00185-0613-05","Hydroxyzine Pamoate",500,1,500,500
"Q0178","Hydroxyzine pamoate 50mg","50 MG","EON LABS","00185061501","00185-0615-01","Hydroxyzine Pamoate",100,1,100,100
"Q0178","Hydroxyzine pamoate 50mg","50 MG","EON LABS","00185061505","00185-0615-05","Hydroxyzine Pamoate",500,1,500,500
"Q0163","Diphenhydramine HCl 50mg","50 MG","EON LABS","00185064901","00185-0649-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","EON LABS","00185064910","00185-0649-10","Diphenhydramine Hcl",1000,1,1000,1000
"J7515","Cyclosporine oral 25 mg","25 MG","EON LABS","00185093230","00185-0932-30","Cyclosporine Modified",30,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","EON LABS","00185093330","00185-0933-30","Cyclosporine Modified",30,1,30,30
"J9218","Leuprolide acetate injeciton","1 MG","EON LABS","00185740085","00185-7400-85","Leuprolide Acetate",1,1,14,14
"J0670","Inj mepivacaine HCL/10 ml","10 ML","ASTRAZENECA","00186041001","00186-0410-01","Polocaine",50,1,5,5
"J0670","Inj mepivacaine HCL/10 ml","10 ML","ASTRAZENECA","00186041201","00186-0412-01","Polocaine-Mpf",30,1,3,3
"J0670","Inj mepivacaine HCL/10 ml","10 ML","ASTRAZENECA","00186041801","00186-0418-01","Polocaine-Mpf",30,1,3,3
"J0670","Inj mepivacaine HCL/10 ml","10 ML","ASTRAZENECA","00186042001","00186-0420-01","Polocaine",50,1,5,5
"J0670","Inj mepivacaine HCL/10 ml","10 ML","ASTRAZENECA","00186042201","00186-0422-01","Polocaine-Mpf",20,1,2,2
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186085944","00186-0859-44","Naropin",10,5,20,100
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186085954","00186-0859-54","Naropin",20,5,40,200
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186085959","00186-0859-59","Naropin",1,1,1,1
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186085981","00186-0859-81","Naropin",100,1,200,200
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186085991","00186-0859-91","Naropin",200,1,400,400
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086344","00186-0863-44","Naropin",10,5,50,250
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086354","00186-0863-54","Naropin",20,5,100,500
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086361","00186-0863-61","Naropin",30,1,150,150
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086362","00186-0863-62","Naropin",1,1,1,1
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086369","00186-0863-69","Naropin",30,5,150,750
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086744","00186-0867-44","Naropin",10,5,75,375
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086754","00186-0867-54","Naropin",20,5,150,750
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086841","00186-0868-41","Naropin",1,1,1,1
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086844","00186-0868-44","Naropin",10,5,100,500
"J2795","Ropivacaine HCl injection","1 MG","ASTRAZENECA","00186086854","00186-0868-54","Naropin",20,5,200,1000
"J2400","Chloroprocaine hcl injection","30 ML","ASTRAZENECA","00186097166","00186-0971-66","Nesacaine",30,1,1,1
"J2400","Chloroprocaine hcl injection","30 ML","ASTRAZENECA","00186097266","00186-0972-66","Nesacaine",30,1,1,1
"J2400","Chloroprocaine hcl injection","30 ML","ASTRAZENECA","00186099166","00186-0991-66","Nesacaine-Mpf",20,1,0.667,0.667
"J2400","Chloroprocaine hcl injection","30 ML","ASTRAZENECA","00186099266","00186-0992-66","Nesacaine-Mpf",20,1,0.667,0.667
"J2275","Morphine sulfate injection","10 MG","ASTRAZENECA","00186115002","00186-1150-02","Astramorph",10,5,0.5,2.5
"J2275","Morphine sulfate injection","10 MG","ASTRAZENECA","00186115102","00186-1151-02","Astramorph",10,5,1,5
"J2275","Morphine sulfate injection","10 MG","ASTRAZENECA","00186115212","00186-1152-12","Astramorph",10,5,0.5,2.5
"J2275","Morphine sulfate injection","10 MG","ASTRAZENECA","00186115312","00186-1153-12","Astramorph",10,5,5,25
"J2275","Morphine sulfate injection","10 MG","ASTRAZENECA","00186115903","00186-1159-03","Astramorph",2,10,0.1,1
"J2275","Morphine sulfate injection","10 MG","ASTRAZENECA","00186116003","00186-1160-03","Astramorph",2,10,0.2,2
"J2150","Mannitol injection","50 ML","ASTRAZENECA","00186116804","00186-1168-04","Mannitol",1,1,1,1
"J1790","Droperidol injection","1 MG","ASTRAZENECA","00186122103","00186-1221-03","Droperidol",1,1,1,1
"J1810","Droperidol/fentanyl inj","2 ML","ASTRAZENECA","00186123313","00186-1233-13","Droperidol/Fentanyl Citrate",5,10,2.5,25
"J2310","Inj naloxone hydrochloride","1 MG","ASTRAZENECA","00186125313","00186-1253-13","Naloxone Hcl",1,1,1,1
"J2310","Inj naloxone hydrochloride","1 MG","ASTRAZENECA","00186125512","00186-1255-12","Naloxone Hcl",1,1,1,1
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","ASTRAZENECA","00186153241","00186-1532-41","Doxorubicin Hcl",1,1,1,1
"J2710","Neostigmine methylslfte inj","0.5 MG","ASTRAZENECA","00186174201","00186-1742-01","Neostigmine Methylsulfate",1,1,1,1
"J1455","Foscarnet sodium injection","1000 MG","ASTRAZENECA","00186190501","00186-1905-01","Foscavir",250,12,6,72
"J1455","Foscarnet sodium injection","1000 MG","ASTRAZENECA","00186190601","00186-1906-01","Foscavir",500,12,12,144
"J7626","Budesonide inhalation sol","0.50 MG","ASTRAZENECA","00186198804","00186-1988-04","Pulmicort",2,30,1,30
"J7626","Budesonide inhalation sol","0.50 MG","ASTRAZENECA","00186198904","00186-1989-04","Pulmicort",2,30,1,30
"J7649","Isoetharine hcl inh sol u d","1 MG","ASTRAZENECA","00186411001","00186-4110-01","Arm-A-Med Isoetharine Hcl",4,100,0.401,40.1
"J7649","Isoetharine hcl inh sol u d","1 MG","ASTRAZENECA","00186411101","00186-4111-01","Arm-A-Med Isoetharine Hcl",3,100,0.3,30
"J7649","Isoetharine hcl inh sol u d","1 MG","ASTRAZENECA","00186411201","00186-4112-01","Arm-A-Med Isoetharine Hcl",4,100,0.401,40.1
"J7649","Isoetharine hcl inh sol u d","1 MG","ASTRAZENECA","00186411301","00186-4113-01","Arm-A-Med Isoetharine Hcl",2.5,100,0.25,25
"J7649","Isoetharine hcl inh sol u d","1 MG","ASTRAZENECA","00186412001","00186-4120-01","Arm-A-Med Isoetharine Hcl",2,100,0.2,20
"J1990","Chlordiazepoxide injection","100 MG","VALEANT","00187375574","00187-3755-74","Librium",1,10,1,10
"J9190","Fluorouracil injection","500 MG","VALEANT","00187395364","00187-3953-64","Fluorouracil",10,10,1,10
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845216","00206-8452-16","Zosyn",1,10,2,20
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845217","00206-8452-17","Zosyn",1,10,2,20
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845406","00206-8454-06","Zosyn",1,1,3,3
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845411","00206-8454-11","Zosyn",1,1,3,3
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845417","00206-8454-17","Zosyn",1,10,3,30
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845455","00206-8454-55","Zosyn",1,10,3,30
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845511","00206-8455-11","Zosyn",1,1,4,4
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845517","00206-8455-17","Zosyn",1,10,4,40
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845518","00206-8455-18","Zosyn",1,1,4,4
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206845525","00206-8455-25","Zosyn",1,10,4,40
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206862011","00206-8620-11","Zosyn",1,1,36,36
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206882002","00206-8820-02","Zosyn",50,24,2,48
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206882102","00206-8821-02","Zosyn",50,24,3,72
"J2543","Piperacillin/tazobactam","1.125 G","LEDERLE","00206882202","00206-8822-02","Zosyn",100,12,4,48
"J7510","Prednisolone oral per 5 mg","5 MG","CONSOLIDATED MIDLAND CORP","00223151201","00223-1512-01","Prednisolone",100,1,100,100
"J7510","Prednisolone oral per 5 mg","5 MG","CONSOLIDATED MIDLAND CORP","00223151202","00223-1512-02","Prednisolone",1000,1,1000,1000
"J0704","Betamethasone sod phosp/4 MG","4 MG","CONSOLIDATED MIDLAND CORP","00223726505","00223-7265-05","Betamethasone Sodium Phosphate",5,1,3,3
"J1094","Inj dexamethasone acetate","1 MG","CONSOLIDATED MIDLAND CORP","00223739005","00223-7390-05","Dexamethasone Acetate",5,1,40,40
"J7637","Dexamethasone inhal sol con","1 MG","CONSOLIDATED MIDLAND CORP","00223740125","00223-7401-25","Dexamethasone Sodium Phosphate",1,25,4,100
"J7638","Dexamethasone inhal sol u d","1 MG","CONSOLIDATED MIDLAND CORP","00223740125","00223-7401-25","Dexamethasone Sodium Phosphate",1,25,4,100
"J7637","Dexamethasone inhal sol con","1 MG","CONSOLIDATED MIDLAND CORP","00223740230","00223-7402-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","CONSOLIDATED MIDLAND CORP","00223740230","00223-7402-30","Dexamethasone Sodium Phosphate",30,2,120,240
"J7637","Dexamethasone inhal sol con","1 MG","CONSOLIDATED MIDLAND CORP","00223740301","00223-7403-01","Dexamethasone Sodium Phosphate",1,100,4,400
"J7638","Dexamethasone inhal sol u d","1 MG","CONSOLIDATED MIDLAND CORP","00223740301","00223-7403-01","Dexamethasone Sodium Phosphate",1,100,4,400
"J7637","Dexamethasone inhal sol con","1 MG","CONSOLIDATED MIDLAND CORP","00223740405","00223-7404-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","CONSOLIDATED MIDLAND CORP","00223740405","00223-7404-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J7637","Dexamethasone inhal sol con","1 MG","CONSOLIDATED MIDLAND CORP","00223740625","00223-7406-25","Dexamethasone Sodium Phosphate",25,1,100,100
"J7638","Dexamethasone inhal sol u d","1 MG","CONSOLIDATED MIDLAND CORP","00223740625","00223-7406-25","Dexamethasone Sodium Phosphate",25,1,100,100
"J7637","Dexamethasone inhal sol con","1 MG","CONSOLIDATED MIDLAND CORP","00223740701","00223-7407-01","Dexamethasone Sodium Phosphate",1,25,4,100
"J7638","Dexamethasone inhal sol u d","1 MG","CONSOLIDATED MIDLAND CORP","00223740701","00223-7407-01","Dexamethasone Sodium Phosphate",1,25,4,100
"J7637","Dexamethasone inhal sol con","1 MG","CONSOLIDATED MIDLAND CORP","00223740810","00223-7408-10","Dexamethasone Sodium Phosphate",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","CONSOLIDATED MIDLAND CORP","00223740810","00223-7408-10","Dexamethasone Sodium Phosphate",10,1,40,40
"J2800","Methocarbamol injection","10 ML","CONSOLIDATED MIDLAND CORP","00223815010","00223-8150-10","Methocarbamol",10,1,1,1
"J2650","Prednisolone acetate inj","1 ML","CONSOLIDATED MIDLAND CORP","00223834130","00223-8341-30","Prednisolone Acetate",30,1,30,30
"J2650","Prednisolone acetate inj","1 ML","CONSOLIDATED MIDLAND CORP","00223834510","00223-8345-10","Prednisolone Acetate",10,1,10,10
"J2650","Prednisolone acetate inj","1 ML","CONSOLIDATED MIDLAND CORP","00223834530","00223-8345-30","Prednisolone Acetate",30,1,30,30
"J2650","Prednisolone acetate inj","1 ML","CONSOLIDATED MIDLAND CORP","00223834610","00223-8346-10","Prednisolone Acetate",10,1,10,10
"J2650","Prednisolone acetate inj","1 ML","CONSOLIDATED MIDLAND CORP","00223834630","00223-8346-30","Prednisolone Acetate",30,1,30,30
"J2950","Promazine hcl injection","25 MG","CONSOLIDATED MIDLAND CORP","00223839710","00223-8397-10","Promazine Hcl",10,1,10,10
"J2950","Promazine hcl injection","25 MG","CONSOLIDATED MIDLAND CORP","00223839810","00223-8398-10","Promazine Hcl",10,1,20,20
"J7509","Methylprednisolone oral","4 MG","PRESCRIPT","00247001221","00247-0012-21","Methylprednisolone",21,1,21,21
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007135","00247-0071-35","Prednisone",35,1,70,70
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007140","00247-0071-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007142","00247-0071-42","Prednisone",42,1,84,84
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007143","00247-0071-43","Prednisone",43,1,86,86
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007150","00247-0071-50","Prednisone",50,1,100,100
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007200","00247-0072-00","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007203","00247-0072-03","Prednisone",3,1,3,3
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007204","00247-0072-04","Prednisone",4,1,4,4
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007210","00247-0072-10","Prednisone",10,1,10,10
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007215","00247-0072-15","Prednisone",15,1,15,15
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007220","00247-0072-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007221","00247-0072-21","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007222","00247-0072-22","Prednisone",22,1,22,22
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007224","00247-0072-24","Prednisone",24,1,24,24
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007227","00247-0072-27","Prednisone",27,1,27,27
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007230","00247-0072-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007236","00247-0072-36","Prednisone",36,1,36,36
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007240","00247-0072-40","Prednisone",40,1,40,40
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007242","00247-0072-42","Prednisone",42,1,42,42
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007244","00247-0072-44","Prednisone",44,1,44,44
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007245","00247-0072-45","Prednisone",45,1,45,45
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007248","00247-0072-48","Prednisone",48,1,48,48
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007250","00247-0072-50","Prednisone",50,1,50,50
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007252","00247-0072-52","Prednisone",52,1,52,52
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007254","00247-0072-54","Prednisone",54,1,54,54
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007260","00247-0072-60","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007261","00247-0072-61","Prednisone",61,1,61,61
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007280","00247-0072-80","Prednisone",80,1,80,80
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247007299","00247-0072-99","Prednisone",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010000","00247-0100-00","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010003","00247-0100-03","Prednisone",3,1,12,12
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010004","00247-0100-04","Prednisone",4,1,16,16
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010007","00247-0100-07","Prednisone",7,1,28,28
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010008","00247-0100-08","Prednisone",8,1,32,32
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010009","00247-0100-09","Prednisone",9,1,36,36
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010010","00247-0100-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010012","00247-0100-12","Prednisone",12,1,48,48
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010013","00247-0100-13","Prednisone",13,1,52,52
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010014","00247-0100-14","Prednisone",14,1,56,56
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010015","00247-0100-15","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010018","00247-0100-18","Prednisone",18,1,72,72
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010020","00247-0100-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010021","00247-0100-21","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010027","00247-0100-27","Prednisone",27,1,108,108
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010030","00247-0100-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247010042","00247-0100-42","Prednisone",42,1,168,168
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012000","00247-0120-00","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012002","00247-0120-02","Diphenhydramine Hcl",2,1,2,2
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012003","00247-0120-03","Diphenhydramine Hcl",3,1,3,3
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012004","00247-0120-04","Diphenhydramine Hcl",4,1,4,4
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012006","00247-0120-06","Diphenhydramine Hcl",6,1,6,6
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012007","00247-0120-07","Diphenhydramine Hcl",7,1,7,7
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012008","00247-0120-08","Diphenhydramine Hcl",8,1,8,8
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012010","00247-0120-10","Diphenhydramine Hcl",10,1,10,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012012","00247-0120-12","Diphenhydramine Hcl",12,1,12,12
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012014","00247-0120-14","Diphenhydramine Hcl",14,1,14,14
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012015","00247-0120-15","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012020","00247-0120-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012024","00247-0120-24","Diphenhydramine Hcl",24,1,24,24
"Q0163","Diphenhydramine HCl 50mg","50 MG","PRESCRIPT","00247012030","00247-0120-30","Diphenhydramine Hcl",30,1,30,30
"J1885","Ketorolac tromethamine inj","15 MG","PRESCRIPT","00247012402","00247-0124-02","Toradol Im",2,1,4,4
"J1885","Ketorolac tromethamine inj","15 MG","PRESCRIPT","00247012420","00247-0124-20","Toradol Im",2,10,4,40
"J1885","Ketorolac tromethamine inj","15 MG","PRESCRIPT","00247023601","00247-0236-01","Toradol",1,1,2,2
"J1885","Ketorolac tromethamine inj","15 MG","PRESCRIPT","00247023610","00247-0236-10","Toradol",1,10,2,20
"J0170","Adrenalin epinephrin inject","1 ML","PRESCRIPT","00247025901","00247-0259-01","Epinephrine Hcl",1,1,1,1
"J1160","Digoxin injection","0.5 MG","PRESCRIPT","00247027401","00247-0274-01","Lanoxin",2,1,1,1
"J1200","Diphenhydramine hcl injectio","50 MG","PRESCRIPT","00247028910","00247-0289-10","Diphenhydramine Hcl",10,1,10,10
"J0780","Prochlorperazine injection","10 MG","PRESCRIPT","00247029110","00247-0291-10","Compazine",10,1,5,5
"90707","Mmr vaccine, sc","0.5 ML","PRESCRIPT","00247040301","00247-0403-01","M-M-R II",1,1,1,1
"90705","Measles vaccine, sc","0.5 ML","PRESCRIPT","00247040801","00247-0408-01","Attenuvax",1,1,1,1
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049702","00247-0497-02","Compazine",2,1,2,2
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049703","00247-0497-03","Compazine",3,1,3,3
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049704","00247-0497-04","Compazine",4,1,4,4
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049706","00247-0497-06","Compazine",6,1,6,6
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049710","00247-0497-10","Compazine",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049712","00247-0497-12","Compazine",12,1,12,12
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049715","00247-0497-15","Compazine",15,1,15,15
"Q0165","Prochlorperazine maleate10mg","10 MG","PRESCRIPT","00247049720","00247-0497-20","Compazine",20,1,20,20
"J7669","Metaproterenol inh sol u d","10 MG","PRESCRIPT","00247065765","00247-0657-65","Metaproterenol Sulfate",2.5,25,1,25
"J7669","Metaproterenol inh sol u d","10 MG","PRESCRIPT","00247065865","00247-0658-65","Metaproterenol Sulfate",2.5,25,1.5,37.5
"Q0175","Perphenazine 4mg oral","4 MG","PRESCRIPT","00247079707","00247-0797-07","Perphenazine",7,1,7,7
"Q0175","Perphenazine 4mg oral","4 MG","PRESCRIPT","00247079714","00247-0797-14","Perphenazine",14,1,14,14
"Q0175","Perphenazine 4mg oral","4 MG","PRESCRIPT","00247079730","00247-0797-30","Perphenazine",30,1,30,30
"Q0175","Perphenazine 4mg oral","4 MG","PRESCRIPT","00247079750","00247-0797-50","Perphenazine",50,1,50,50
"Q0176","Perphenazine 8mg oral","8 MG","PRESCRIPT","00247079807","00247-0798-07","Perphenazine",7,1,7,7
"Q0176","Perphenazine 8mg oral","8 MG","PRESCRIPT","00247079814","00247-0798-14","Perphenazine",14,1,14,14
"Q0176","Perphenazine 8mg oral","8 MG","PRESCRIPT","00247079830","00247-0798-30","Perphenazine",30,1,30,30
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","PRESCRIPT","00247081630","00247-0816-30","Chlorpromazine Hcl",30,1,30,30
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRESCRIPT","00247082502","00247-0825-02","Compazine",2,1,2,2
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRESCRIPT","00247082503","00247-0825-03","Compazine",3,1,3,3
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRESCRIPT","00247082504","00247-0825-04","Compazine",4,1,4,4
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRESCRIPT","00247082506","00247-0825-06","Compazine",6,1,6,6
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRESCRIPT","00247082510","00247-0825-10","Compazine",10,1,10,10
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRESCRIPT","00247082515","00247-0825-15","Compazine",15,1,15,15
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRESCRIPT","00247082530","00247-0825-30","Compazine",30,1,30,30
"J0280","Aminophyllin 250 MG inj","250 MG","PRESCRIPT","00247085010","00247-0850-10","Aminophylline",10,1,1,1
"J7611","Albuterol concentrated form","1 MG","PRESCRIPT","00247087120","00247-0871-20","Proventil",20,1,100,100
"J0170","Adrenalin epinephrin inject","1 ML","PRESCRIPT","00247091510","00247-0915-10","Epinephrine Hcl",1,10,1,10
"J1110","Inj dihydroergotamine mesylt","1 MG","PRESCRIPT","00247093001","00247-0930-01","D.H.E. 45",1,1,1,1
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247097340","00247-0973-40","Deltasone",40,1,80,80
"J0690","Cefazolin sodium injection","500 MG","PRESCRIPT","00247100101","00247-1001-01","Kefzol",1,1,2,2
"J0690","Cefazolin sodium injection","500 MG","PRESCRIPT","00247100110","00247-1001-10","Kefzol",1,10,2,20
"Q4076","Dopamine hcl, 40 mg","40 MG","PRESCRIPT","00247115605","00247-1156-05","Dopamine Hcl",5,1,5,5
"J1800","Propranolol injection","1 MG","PRESCRIPT","00247116201","00247-1162-01","Inderal",1,1,1,1
"J0697","Sterile cefuroxime injection","750 MG","PRESCRIPT","00247116401","00247-1164-01","Zinacef",1,1,1,1
"J0697","Sterile cefuroxime injection","750 MG","PRESCRIPT","00247116405","00247-1164-05","Zinacef",1,5,1,5
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247117621","00247-1176-21","Deltasone",21,1,21,21
"J3475","Inj magnesium sulfate","500 MG","PRESCRIPT","00247119610","00247-1196-10","Magnesium Sulfate",10,1,10,10
"J9020","Asparaginase injection","10000 UNITS","PRESCRIPT","00247128910","00247-1289-10","Elspar",1,1,1,1
"J2405","Ondansetron hcl injection","1 MG","PRESCRIPT","00247129020","00247-1290-20","Zofran",20,1,40,40
"J2405","Ondansetron hcl injection","1 MG","PRESCRIPT","00247130302","00247-1303-02","Zofran",1,2,2,4
"J0780","Prochlorperazine injection","10 MG","PRESCRIPT","00247130410","00247-1304-10","Prochlorperazine Edisylate",10,1,5,5
"J2010","Lincomycin injection","300 MG","PRESCRIPT","00247130810","00247-1308-10","Lincomycin Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","PRESCRIPT","00247132212","00247-1322-12","Phenergan",12,1,12,12
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247132321","00247-1323-21","Deltasone",21,1,21,21
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247132360","00247-1323-60","Deltasone",60,1,60,60
"J7509","Methylprednisolone oral","4 MG","PRESCRIPT","00247136501","00247-1365-01","Methylprednisolone",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","PRESCRIPT","00247136520","00247-1365-20","Methylprednisolone",20,1,20,20
"J7509","Methylprednisolone oral","4 MG","PRESCRIPT","00247136521","00247-1365-21","Methylprednisolone",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","PRESCRIPT","00247136530","00247-1365-30","Methylprednisolone",30,1,30,30
"J9320","Streptozocin injection","1 GM","PRESCRIPT","00247139401","00247-1394-01","Zanosar",1,1,1,1
"J7506","Prednisone oral","5 MG","PRESCRIPT","00247141730","00247-1417-30","Prednisone",30,1,6,6
"J7637","Dexamethasone inhal sol con","1 MG","MERZ","00259029710","00259-0297-10","Decaject",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","MERZ","00259029710","00259-0297-10","Decaject",10,1,40,40
"J7506","Prednisone oral","5 MG","MERZ","00259036421","00259-0364-21","Sterapred Ds",21,1,42,42
"J7506","Prednisone oral","5 MG","MERZ","00259038948","00259-0389-48","Sterapred Ds",48,1,96,96
"J7506","Prednisone oral","5 MG","MERZ","00259039021","00259-0390-21","Sterapred",21,1,21,21
"J7506","Prednisone oral","5 MG","MERZ","00259039148","00259-0391-48","Sterapred",48,1,48,48
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264120500","00264-1205-00","Dextrose-Nacl",1000,6,2,12
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264135000","00264-1350-00","Lactated Ringers",1000,6,1,6
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264135010","00264-1350-10","Lactated Ringers",500,12,0.5,6
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264140000","00264-1400-00","Sodium Chloride",1000,6,1,6
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264140000","00264-1400-00","Sodium Chloride",1000,6,2,12
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264140000","00264-1400-00","Sodium Chloride",1000,6,4,24
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264140010","00264-1400-10","Sodium Chloride",500,12,0.5,6
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264140010","00264-1400-10","Sodium Chloride",500,12,1,12
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264140010","00264-1400-10","Sodium Chloride",500,12,2,24
"J2912","Sodium chloride injection","2 CC","B. BRAUN MEDICAL","00264140023","00264-1400-23","Sodium Chloride",150,12,75,900
"J7130","Hypertonic saline solution","20 CC","B. BRAUN MEDICAL","00264140023","00264-1400-23","Sodium Chloride",150,12,7.5,90
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264144155","00264-1441-55","Dopamine In D5W",500,1,10,10
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264144255","00264-1442-55","Dopamine In D5W",250,1,5,5
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264148155","00264-1481-55","Dopamine In D5W",500,1,20,20
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264148255","00264-1482-55","Dopamine In D5W",250,1,10,10
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264149255","00264-1492-55","Dopamine In D5W",250,1,20,20
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264175000","00264-1750-00","Lactated Ringers",1000,10,1,10
"J2912","Sodium chloride injection","2 CC","B. BRAUN MEDICAL","00264180031","00264-1800-31","Sodium Chloride",50,84,25,2100
"J7130","Hypertonic saline solution","20 CC","B. BRAUN MEDICAL","00264180031","00264-1800-31","Sodium Chloride",50,84,2.5,210
"J2912","Sodium chloride injection","2 CC","B. BRAUN MEDICAL","00264180032","00264-1800-32","Sodium Chloride",100,64,50,3200
"J7130","Hypertonic saline solution","20 CC","B. BRAUN MEDICAL","00264180032","00264-1800-32","Sodium Chloride",100,64,5,320
"J2912","Sodium chloride injection","2 CC","B. BRAUN MEDICAL","00264180036","00264-1800-36","Sodium Chloride",25,116,12.5,1450
"J7130","Hypertonic saline solution","20 CC","B. BRAUN MEDICAL","00264180036","00264-1800-36","Sodium Chloride",25,116,1.25,145
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264192000","00264-1920-00","Sterile Water For Injection",1000,6,200,1200
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264192010","00264-1920-10","Sterile Water For Injection",500,12,100,1200
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264192050","00264-1920-50","Sterile Water For Injection",2000,6,400,2400
"J3480","Inj potassium chloride","2 MEQ","B. BRAUN MEDICAL","00264194010","00264-1940-10","Potassium Chloride",500,12,500,6000
"J3480","Inj potassium chloride","2 MEQ","B. BRAUN MEDICAL","00264194020","00264-1940-20","Potassium Chloride",250,12,250,3000
"J7100","Dextran 40 infusion","500 ML","B. BRAUN MEDICAL","00264196210","00264-1962-10","Dextran 40 In D5W",500,12,1,12
"J7100","Dextran 40 infusion","500 ML","B. BRAUN MEDICAL","00264196310","00264-1963-10","Dextran 40 In Nacl",500,12,1,12
"Q2013","Pentastarch 10% solution","10%","B. BRAUN MEDICAL","00264197210","00264-1972-10","Pentaspan",500,1,5,5
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264210100","00264-2101-00","Sterile Water For Irrigation",1000,16,200,3200
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264210110","00264-2101-10","Sterile Water For Irrigation",500,16,100,1600
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264210150","00264-2101-50","Sterile Water For Irrigation",2000,8,400,3200
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264210170","00264-2101-70","Sterile Water For Irrigation",4000,4,800,3200
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264220300","00264-2203-00","Lactated Ringer'S Irrigation",1000,1,1,1
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264220350","00264-2203-50","Lactated Ringer'S Irrigation",2000,1,2,2
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264220370","00264-2203-70","Lactated Ringer'S Irrigation",4000,1,4,4
"J0690","Cefazolin sodium injection","500 MG","B. BRAUN MEDICAL","00264310311","00264-3103-11","Cefazolin Sodium-Dextrose",50,1,100,100
"J0697","Sterile cefuroxime injection","750 MG","B. BRAUN MEDICAL","00264311211","00264-3112-11","Cefuroxime Sodium",50,1,50,50
"J0697","Sterile cefuroxime injection","750 MG","B. BRAUN MEDICAL","00264311411","00264-3114-11","Cefuroxime-Dextrose",50,1,100,100
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264400055","00264-4000-55","Sodium Chloride",1000,1,1,1
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264400055","00264-4000-55","Sodium Chloride",1000,1,2,2
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264400055","00264-4000-55","Sodium Chloride",1000,1,4,4
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264400155","00264-4001-55","Sodium Chloride",500,1,0.5,0.5
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264400155","00264-4001-55","Sodium Chloride",500,1,1,1
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264400155","00264-4001-55","Sodium Chloride",500,1,2,2
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264400255","00264-4002-55","Sodium Chloride",250,1,0.25,0.25
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264400255","00264-4002-55","Sodium Chloride",250,1,0.5,0.5
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264400255","00264-4002-55","Sodium Chloride",250,1,1,1
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264514410","00264-5144-10","Dopamine In D5W",500,12,10,120
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264514420","00264-5144-20","Dopamine In D5W",250,12,5,60
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264514810","00264-5148-10","Dopamine In D5W",500,12,20,240
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264514820","00264-5148-20","Dopamine In D5W",250,12,10,120
"Q4076","Dopamine hcl, 40 mg","40 MG","B. BRAUN MEDICAL","00264514920","00264-5149-20","Dopamine In D5W",250,12,20,240
"J1580","Garamycin gentamicin inj","80 MG","B. BRAUN MEDICAL","00264580632","00264-5806-32","Gentamicin Sulfate",100,24,0.75,18
"J1580","Garamycin gentamicin inj","80 MG","B. BRAUN MEDICAL","00264580832","00264-5808-32","Gentamicin Sulfate",100,24,1,24
"J1580","Garamycin gentamicin inj","80 MG","B. BRAUN MEDICAL","00264581032","00264-5810-32","Gentamicin Sulfate",100,24,1.25,30
"J1580","Garamycin gentamicin inj","80 MG","B. BRAUN MEDICAL","00264581238","00264-5812-38","Gentamicin Sulfate",50,24,0.75,18
"J1580","Garamycin gentamicin inj","80 MG","B. BRAUN MEDICAL","00264581638","00264-5816-38","Gentamicin Sulfate",50,24,1,24
"J7060","5% dextrose/water","500 ML","B. BRAUN MEDICAL","00264751000","00264-7510-00","Dextrose",1000,12,2,24
"J7070","D5w infusion","1000 CC","B. BRAUN MEDICAL","00264751000","00264-7510-00","Dextrose",1000,12,1,12
"J7060","5% dextrose/water","500 ML","B. BRAUN MEDICAL","00264751010","00264-7510-10","Dextrose",500,24,1,24
"J7070","D5w infusion","1000 CC","B. BRAUN MEDICAL","00264751010","00264-7510-10","Dextrose",500,24,0.5,12
"J7060","5% dextrose/water","500 ML","B. BRAUN MEDICAL","00264751020","00264-7510-20","Dextrose",250,24,0.5,12
"J7070","D5w infusion","1000 CC","B. BRAUN MEDICAL","00264751020","00264-7510-20","Dextrose",250,24,0.25,6
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264760500","00264-7605-00","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264760510","00264-7605-10","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761000","00264-7610-00","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761010","00264-7610-10","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761020","00264-7610-20","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761200","00264-7612-00","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761210","00264-7612-10","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761220","00264-7612-20","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761400","00264-7614-00","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761410","00264-7614-10","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761420","00264-7614-20","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761600","00264-7616-00","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761610","00264-7616-10","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264761620","00264-7616-20","Dextrose-Nacl",250,24,0.5,12
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264762000","00264-7620-00","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264762200","00264-7622-00","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","B. BRAUN MEDICAL","00264762320","00264-7623-20","Dextrose-Nacl",250,24,0.5,12
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264775000","00264-7750-00","Lactated Ringers",1000,12,1,12
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264775010","00264-7750-10","Lactated Ringers",500,24,0.5,12
"J7120","Ringers lactate infusion","1000 CC","B. BRAUN MEDICAL","00264775020","00264-7750-20","Lactated Ringers",250,24,0.25,6
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264780000","00264-7800-00","Sodium Chloride",1000,12,1,12
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264780000","00264-7800-00","Sodium Chloride",1000,12,2,24
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264780000","00264-7800-00","Sodium Chloride",1000,12,4,48
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264780010","00264-7800-10","Sodium Chloride",500,24,0.5,12
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264780010","00264-7800-10","Sodium Chloride",500,24,1,24
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264780010","00264-7800-10","Sodium Chloride",500,24,2,48
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264780020","00264-7800-20","Sodium Chloride",250,24,0.25,6
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264780020","00264-7800-20","Sodium Chloride",250,24,0.5,12
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264780020","00264-7800-20","Sodium Chloride",250,24,1,24
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264780510","00264-7805-10","Sodium Chloride",500,24,2,48
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264780510","00264-7805-10","Sodium Chloride",500,24,1,24
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264780510","00264-7805-10","Sodium Chloride",500,24,2,48
"J7030","Normal saline solution infus","1000 CC","B. BRAUN MEDICAL","00264780610","00264-7806-10","Sodium Chloride",500,24,2,48
"J7040","Normal saline solution infus","500 CC","B. BRAUN MEDICAL","00264780610","00264-7806-10","Sodium Chloride",500,24,1,24
"J7050","Normal saline solution infus","250 CC","B. BRAUN MEDICAL","00264780610","00264-7806-10","Sodium Chloride",500,24,2,48
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264785000","00264-7850-00","Sterile Water For Injection",1000,12,200,2400
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264785010","00264-7850-10","Sterile Water For Injection",500,24,100,2400
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264785020","00264-7850-20","Sterile Water For Injection",250,24,50,1200
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264920055","00264-9200-55","Water For Injection Sterile",1000,1,200,200
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264920155","00264-9201-55","Sterile Water For Injection",500,12,100,1200
"J7051","Sterile saline/water","5 CC","B. BRAUN MEDICAL","00264920555","00264-9205-55","Sterile Water For Injection",2000,1,40,240
"J2810","Inj theophylline per 40 MG","40 MG","B. BRAUN MEDICAL","00264955400","00264-9554-00","Theophylline In D5W",1000,12,20,240
"J2810","Inj theophylline per 40 MG","40 MG","B. BRAUN MEDICAL","00264955410","00264-9554-10","Theophylline In D5W",500,24,10,240
"J2810","Inj theophylline per 40 MG","40 MG","B. BRAUN MEDICAL","00264955810","00264-9558-10","Theophylline In D5W",500,24,20,480
"J2810","Inj theophylline per 40 MG","40 MG","B. BRAUN MEDICAL","00264955820","00264-9558-20","Theophylline In D5W",250,24,10,240
"J1644","Inj heparin sodium per 1000u","1000 UNITS","B. BRAUN MEDICAL","00264956710","00264-9567-10","Heparin (Porcine) In D5W",500,24,20,480
"J1644","Inj heparin sodium per 1000u","1000 UNITS","B. BRAUN MEDICAL","00264957710","00264-9577-10","Heparin (Porcine) In D5W",500,24,25,600
"J1644","Inj heparin sodium per 1000u","1000 UNITS","B. BRAUN MEDICAL","00264958720","00264-9587-20","Heparin (Porcine) In D5W",250,24,25,600
"J2001","Lidocaine injection","10 MG","B. BRAUN MEDICAL","00264959210","00264-9592-10","Lidocaine In D5W",500,24,100,2400
"J2001","Lidocaine injection","10 MG","B. BRAUN MEDICAL","00264959410","00264-9594-10","Lidocaine In D5W",500,24,200,4800
"J2001","Lidocaine injection","10 MG","B. BRAUN MEDICAL","00264959420","00264-9594-20","Lidocaine In D5W",250,24,100,2400
"J2001","Lidocaine injection","10 MG","B. BRAUN MEDICAL","00264959810","00264-9598-10","Lidocaine In D5W",500,24,400,9600
"J2001","Lidocaine injection","10 MG","B. BRAUN MEDICAL","00264959820","00264-9598-20","Lidocaine In D5W",250,24,200,4800
"J1644","Inj heparin sodium per 1000u","1000 UNITS","B. BRAUN MEDICAL","00264987210","00264-9872-10","Heparin (Porcine) In Nacl",500,24,1,24
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270111101","00270-1111-01","Prohance",10,5,10,50
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270111102","00270-1111-02","Prohance",15,5,15,75
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270111103","00270-1111-03","Prohance",20,5,20,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270111104","00270-1111-04","Prohance",5,5,5,25
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270111116","00270-1111-16","Prohance Prefilled Syringes",10,5,10,50
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270111145","00270-1111-45","Prohance Prefilled Syringes",17,5,17,85
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270111170","00270-1111-70","Prohance Multipack",50,5,50,250
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131415","00270-1314-15","ISOVUE-200",200,10,200,2000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131430","00270-1314-30","ISOVUE-200",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131434","00270-1314-34","ISOVUE-200",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131525","00270-1315-25","Isovue-300",30,10,30,300
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131530","00270-1315-30","Isovue-300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131535","00270-1315-35","Isovue-300",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131541","00270-1315-41","Isovue-300 Multi Pack",200,10,200,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131547","00270-1315-47","Isovue-300",75,10,75,750
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131550","00270-1315-50","Isovue-300",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131557","00270-1315-57","Isovue-300 Prefilled Syringes",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131558","00270-1315-58","Isovue-300 Prefilled Syringes",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131559","00270-1315-59","Isovue-300 Prefilled Syringes",125,10,125,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131598","00270-1315-98","Isovue-300 Multi Pack",500,6,500,3000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131601","00270-1316-01","Isovue-370",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131604","00270-1316-04","Isovue-370",125,10,125,1250
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131607","00270-1316-07","Isovue-370",20,10,20,200
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131630","00270-1316-30","Isovue-370",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131635","00270-1316-35","Isovue-370",100,10,100,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131637","00270-1316-37","Isovue-370",150,10,150,1500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131640","00270-1316-40","Isovue-370",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131641","00270-1316-41","Isovue-370 Multi Pack",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131644","00270-1316-44","Isovue-370",175,10,175,1750
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131647","00270-1316-47","Isovue-370",30,10,30,300
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131652","00270-1316-52","Isovue-370",75,10,75,750
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131656","00270-1316-56","Isovue-370 Prefilled Syringes",75,10,75,750
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131657","00270-1316-57","Isovue-370 Prefilled Syringes",100,10,100,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131659","00270-1316-59","Isovue-370 Prefilled Syringes",125,10,125,1250
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131698","00270-1316-98","Isovue-370 Multi Pack",500,6,500,3000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131702","00270-1317-02","Isovue-250",100,10,100,1000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131705","00270-1317-05","Isovue-250",50,10,50,500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131709","00270-1317-09","Isovue-250",150,10,150,1500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131739","00270-1317-39","Isovue-250",200,10,200,2000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131741","00270-1317-41","Isovue-250 Multipack",200,10,200,2000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270131743","00270-1317-43","Isovue-250 Prefilled Syringes",150,10,150,1500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270141111","00270-1411-11","ISOVUE-M-200",10,10,10,100
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270141125","00270-1411-25","ISOVUE-M-200",20,10,20,200
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BRACCO DIAGNOSTICS","00270141215","00270-1412-15","Isovue-M-300",15,10,15,150
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270516412","00270-5164-12","Multihance",5,5,5,25
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270516413","00270-5164-13","Multihance",10,5,10,50
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270516414","00270-5164-14","Multihance",15,5,15,75
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270516415","00270-5164-15","Multihance",20,5,20,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270516416","00270-5164-16","Multihance Multipack",50,5,50,250
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BRACCO DIAGNOSTICS","00270516417","00270-5164-17","Multihance Multipack",100,5,100,500
"Q2006","Digoxin immune fab (ovine)","1 EA","SAVAGE","00281036510","00281-0365-10","Digifab",1,1,1,1
"J1180","Dyphylline injection","500 MG","SAVAGE","00281111231","00281-1112-31","Dilor",2,6,1,6
"J7635","Atropine inhal sol con","1 MG","VORTECH PHARMACEUTICAL LTD.","00298618362","00298-6183-62","Atropine Sulfate Injection",20,1,8,8
"J7636","Atropine inhal sol unit dose","1 MG","VORTECH PHARMACEUTICAL LTD.","00298618362","00298-6183-62","Atropine Sulfate Injection",20,1,8,8
"J9217","Leuprolide acetate suspnsion","7.5 MG","TAP","00300210801","00300-2108-01","Lupron Depot-Ped",1,1,1,1
"J1950","Leuprolide acetate /3.75 MG","3.75 MG","TAP","00300228201","00300-2282-01","Lupron Depot-Ped",1,1,3,3
"J9217","Leuprolide acetate suspnsion","7.5 MG","TAP","00300244001","00300-2440-01","Lupron Depot-Ped",1,1,2,2
"J9217","Leuprolide acetate suspnsion","7.5 MG","TAP","00300334601","00300-3346-01","Lupron Depot",1,1,3,3
"J9218","Leuprolide acetate injeciton","1 MG","TAP","00300361224","00300-3612-24","Lupron",2.8,6,14,84
"J9218","Leuprolide acetate injeciton","1 MG","TAP","00300361228","00300-3612-28","Lupron",1,1,14,14
"J1950","Leuprolide acetate /3.75 MG","3.75 MG","TAP","00300364101","00300-3641-01","Lupron Depot",1,1,1,1
"J9217","Leuprolide acetate suspnsion","7.5 MG","TAP","00300364201","00300-3642-01","Lupron Depot",1,1,1,1
"J1950","Leuprolide acetate /3.75 MG","3.75 MG","TAP","00300366301","00300-3663-01","Lupron Depot",1,1,3,3
"J9217","Leuprolide acetate suspnsion","7.5 MG","TAP","00300368301","00300-3683-01","Lupron Depot",1,1,4,4
"J1320","Amitriptyline injection","20 MG","ASTRAZENECA","00310004910","00310-0049-10","Elavil",10,1,5,5
"J2185","Meropenem","100 MG","ASTRAZENECA","00310032130","00310-0321-30","Merrem",1,10,10,100
"J2185","Meropenem","100 MG","ASTRAZENECA","00310032520","00310-0325-20","Merrem",1,10,5,50
"J9395","Injection, Fulvestrant","25 MG","ASTRAZENECA","00310072025","00310-0720-25","Faslodex",2.5,2,5,10
"J9395","Injection, Fulvestrant","25 MG","ASTRAZENECA","00310072050","00310-0720-50","Faslodex",5,1,10,10
"J9202","Goserelin acetate implant","3.6 MG","ASTRAZENECA","00310095036","00310-0950-36","Zoladex",1,1,1,1
"J9202","Goserelin acetate implant","3.6 MG","ASTRAZENECA","00310095130","00310-0951-30","Zoladex",1,1,3,3
"J9202","Goserelin acetate implant","3.6 MG","ASTRAZENECA","00310096036","00310-0960-36","Zoladex",1,1,1,1
"J9202","Goserelin acetate implant","3.6 MG","ASTRAZENECA","00310096130","00310-0961-30","Zoladex",1,1,3,3
"J3140","Testosterone suspension inj","50 MG","HYREX","00314008310","00314-0083-10","Testosterone",10,1,10,10
"J3140","Testosterone suspension inj","50 MG","HYREX","00314077170","00314-0771-70","Testosterone",10,1,20,20
"J3150","Testosteron propionate inj","100 MG","HYREX","00314077270","00314-0772-70","Testosterone Propionate",10,1,10,10
"J0900","Testosterone enanthate inj","1 CC","HYREX","00314078670","00314-0786-70","Valertest #1",10,1,10,10
"J7637","Dexamethasone inhal sol con","1 MG","HYREX","00314089630","00314-0896-30","Solurex",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","HYREX","00314089630","00314-0896-30","Solurex",30,1,120,120
"J7637","Dexamethasone inhal sol con","1 MG","HYREX","00314089670","00314-0896-70","Solurex",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","HYREX","00314089670","00314-0896-70","Solurex",10,1,40,40
"J7637","Dexamethasone inhal sol con","1 MG","HYREX","00314089675","00314-0896-75","Solurex",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","HYREX","00314089675","00314-0896-75","Solurex",5,1,20,20
"J7051","Sterile saline/water","5 CC","BAXTER","00338000302","00338-0003-02","Sterile Water For Irrigation",250,1,50,50
"J7051","Sterile saline/water","5 CC","BAXTER","00338000303","00338-0003-03","Sterile Water For Irrigation",500,1,100,100
"J7051","Sterile saline/water","5 CC","BAXTER","00338000304","00338-0003-04","Sterile Water For Irrigation",1000,1,200,200
"J7051","Sterile saline/water","5 CC","BAXTER","00338000305","00338-0003-05","Sterile Water For Irrigation",1500,1,300,300
"J7051","Sterile saline/water","5 CC","BAXTER","00338000307","00338-0003-07","Sterile Water For Irrigation",3000,1,600,600
"J7051","Sterile saline/water","5 CC","BAXTER","00338000344","00338-0003-44","Sterile Water For Irrigation",1000,12,200,2400
"J7051","Sterile saline/water","5 CC","BAXTER","00338000346","00338-0003-46","Sterile Water For Irrigation",2000,6,400,2400
"J7051","Sterile saline/water","5 CC","BAXTER","00338000347","00338-0003-47","Sterile Water For Irrigation",3000,4,600,2400
"J7051","Sterile saline/water","5 CC","BAXTER","00338000349","00338-0003-49","Sterile Water For Irrigation",5000,2,1000,2000
"J7051","Sterile saline/water","5 CC","BAXTER","00338000402","00338-0004-02","Sterile Water For Irrigation",250,24,50,1200
"J7051","Sterile saline/water","5 CC","BAXTER","00338000403","00338-0004-03","Sterile Water For Irrigation",500,18,100,1800
"J7051","Sterile saline/water","5 CC","BAXTER","00338000404","00338-0004-04","Sterile Water For Irrigation",1000,12,200,2400
"J7051","Sterile saline/water","5 CC","BAXTER","00338000405","00338-0004-05","Sterile Water For Irrigation",1500,9,300,2700
"J7051","Sterile saline/water","5 CC","BAXTER","00338001304","00338-0013-04","Sterile Water For Injection",1000,1,200,200
"J7051","Sterile saline/water","5 CC","BAXTER","00338001306","00338-0013-06","Sterile Water For Injection",2000,1,400,400
"J7051","Sterile saline/water","5 CC","BAXTER","00338001308","00338-0013-08","Sterile Water For Injection",3000,1,600,600
"J7051","Sterile saline/water","5 CC","BAXTER","00338001329","00338-0013-29","Sterile Water For Injection",5000,1,1000,1000
"J7051","Sterile saline/water","5 CC","BAXTER","00338001403","00338-0014-03","Sterile Water For Injection",500,1,100,100
"J7060","5% dextrose/water","500 ML","BAXTER","00338001602","00338-0016-02","Dextrose",250,1,0.5,0.5
"J7070","D5w infusion","1000 CC","BAXTER","00338001602","00338-0016-02","Dextrose",250,1,0.25,0.25
"J7060","5% dextrose/water","500 ML","BAXTER","00338001603","00338-0016-03","Dextrose",500,1,1,1
"J7070","D5w infusion","1000 CC","BAXTER","00338001603","00338-0016-03","Dextrose",500,1,0.5,0.5
"J7060","5% dextrose/water","500 ML","BAXTER","00338001702","00338-0017-02","Dextrose",250,1,0.5,0.5
"J7070","D5w infusion","1000 CC","BAXTER","00338001702","00338-0017-02","Dextrose",250,1,0.25,0.25
"J7060","5% dextrose/water","500 ML","BAXTER","00338001703","00338-0017-03","Dextrose",500,1,1,1
"J7070","D5w infusion","1000 CC","BAXTER","00338001703","00338-0017-03","Dextrose",500,1,0.5,0.5
"J7060","5% dextrose/water","500 ML","BAXTER","00338001704","00338-0017-04","Dextrose",1000,1,2,2
"J7070","D5w infusion","1000 CC","BAXTER","00338001704","00338-0017-04","Dextrose",1000,1,1,1
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004402","00338-0044-02","Sodium Chloride",250,1,0.25,0.25
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004402","00338-0044-02","Sodium Chloride",250,1,0.5,0.5
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004402","00338-0044-02","Sodium Chloride",250,1,1,1
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004403","00338-0044-03","Sodium Chloride",500,1,0.5,0.5
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004403","00338-0044-03","Sodium Chloride",500,1,1,1
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004403","00338-0044-03","Sodium Chloride",500,1,2,2
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004744","00338-0047-44","Sodium Chloride",1000,1,1,1
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004744","00338-0047-44","Sodium Chloride",1000,1,2,2
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004744","00338-0047-44","Sodium Chloride",1000,1,4,4
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004746","00338-0047-46","Sodium Chloride",2000,1,2,2
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004746","00338-0047-46","Sodium Chloride",2000,1,4,4
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004746","00338-0047-46","Sodium Chloride",2000,1,8,8
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004747","00338-0047-47","Sodium Chloride",3000,1,3,3
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004747","00338-0047-47","Sodium Chloride",3000,1,6,6
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004747","00338-0047-47","Sodium Chloride",3000,1,12,12
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004901","00338-0049-01","Sodium Chloride",150,1,75,75
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004901","00338-0049-01","Sodium Chloride",150,1,7.5,7.5
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004902","00338-0049-02","Sodium Chloride",250,1,0.25,0.25
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004902","00338-0049-02","Sodium Chloride",250,1,0.5,0.5
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004902","00338-0049-02","Sodium Chloride",250,1,1,1
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004903","00338-0049-03","Sodium Chloride",500,1,0.5,0.5
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004903","00338-0049-03","Sodium Chloride",500,1,1,1
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004903","00338-0049-03","Sodium Chloride",500,1,2,2
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338004904","00338-0049-04","Sodium Chloride",1000,1,1,1
"J7040","Normal saline solution infus","500 CC","BAXTER","00338004904","00338-0049-04","Sodium Chloride",1000,1,2,2
"J7050","Normal saline solution infus","250 CC","BAXTER","00338004904","00338-0049-04","Sodium Chloride",1000,1,4,4
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004910","00338-0049-10","Sodium Chloride",25,1,12.5,12.5
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004910","00338-0049-10","Sodium Chloride",25,1,1.25,1.25
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004911","00338-0049-11","Sodium Chloride",50,1,25,25
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004911","00338-0049-11","Sodium Chloride",50,1,2.5,2.5
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004918","00338-0049-18","Sodium Chloride",100,1,50,50
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004918","00338-0049-18","Sodium Chloride",100,1,5,5
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004931","00338-0049-31","Sodium Chloride",50,1,25,25
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004931","00338-0049-31","Sodium Chloride",50,1,2.5,2.5
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004938","00338-0049-38","Sodium Chloride",100,1,50,50
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004938","00338-0049-38","Sodium Chloride",100,1,5,5
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004941","00338-0049-41","Sodium Chloride",50,1,25,25
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004941","00338-0049-41","Sodium Chloride",50,1,2.5,2.5
"J2912","Sodium chloride injection","2 CC","BAXTER","00338004948","00338-0049-48","Sodium Chloride",100,1,50,50
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338004948","00338-0049-48","Sodium Chloride",100,1,5,5
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338005303","00338-0053-03","Sodium Chloride",500,1,2,2
"J7040","Normal saline solution infus","500 CC","BAXTER","00338005303","00338-0053-03","Sodium Chloride",500,1,1,1
"J7050","Normal saline solution infus","250 CC","BAXTER","00338005303","00338-0053-03","Sodium Chloride",500,1,2,2
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338005403","00338-0054-03","Sodium Chloride",500,24,2,48
"J7040","Normal saline solution infus","500 CC","BAXTER","00338005403","00338-0054-03","Sodium Chloride",500,24,1,24
"J7050","Normal saline solution infus","250 CC","BAXTER","00338005403","00338-0054-03","Sodium Chloride",500,24,2,48
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338005503","00338-0055-03","Sodium Chloride",500,1,2,2
"J7040","Normal saline solution infus","500 CC","BAXTER","00338005503","00338-0055-03","Sodium Chloride",500,1,1,1
"J7050","Normal saline solution infus","250 CC","BAXTER","00338005503","00338-0055-03","Sodium Chloride",500,1,2,2
"J7030","Normal saline solution infus","1000 CC","BAXTER","00338005603","00338-0056-03","Sodium Chloride",500,24,2,48
"J7040","Normal saline solution infus","500 CC","BAXTER","00338005603","00338-0056-03","Sodium Chloride",500,24,1,24
"J7050","Normal saline solution infus","250 CC","BAXTER","00338005603","00338-0056-03","Sodium Chloride",500,24,2,48
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007102","00338-0071-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007103","00338-0071-03","Dextrose-Nacl",500,1,1,1
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007104","00338-0071-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007303","00338-0073-03","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007304","00338-0073-04","Dextrose-Nacl",1000,12,2,24
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007502","00338-0075-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007503","00338-0075-03","Dextrose-Nacl",500,1,1,1
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007504","00338-0075-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007702","00338-0077-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007703","00338-0077-03","Dextrose-Nacl",500,1,1,24
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007704","00338-0077-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007902","00338-0079-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007903","00338-0079-03","Dextrose-Nacl",500,1,1,1
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338007904","00338-0079-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008102","00338-0081-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008103","00338-0081-03","Dextrose-Nacl",500,1,1,24
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008104","00338-0081-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008302","00338-0083-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008303","00338-0083-03","Dextrose-Nacl",500,1,1,1
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008304","00338-0083-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008502","00338-0085-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008503","00338-0085-03","Dextrose-Nacl",500,1,1,24
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008504","00338-0085-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008902","00338-0089-02","Dextrose-Nacl",250,1,0.5,0.5
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008903","00338-0089-03","Dextrose-Nacl",500,1,1,1
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338008904","00338-0089-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338009304","00338-0093-04","Dextrose-Nacl",1000,1,2,2
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338009503","00338-0095-03","Dextrose-Nacl",500,24,1,24
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338009504","00338-0095-04","Dextrose-Nacl",1000,12,2,24
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338011302","00338-0113-02","Lactated Ringers",250,1,0.25,0.25
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338011702","00338-0117-02","Lactated Ringers",250,1,0.25,0.25
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338011703","00338-0117-03","Lactated Ringers",500,1,0.5,0.5
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338011704","00338-0117-04","Lactated Ringers",1000,1,1,1
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338012503","00338-0125-03","Lactated Ringer'S",500,1,0.5,0.5
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338012504","00338-0125-04","Lactated Ringer'S",1000,1,1,1
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338013727","00338-0137-27","Lactated Ringer'S",3000,1,3,3
"J7120","Ringers lactate infusion","1000 CC","BAXTER","00338013729","00338-0137-29","Lactated Ringer'S",5000,1,5,5
"J7110","Dextran 75 infusion","500 ML","BAXTER","00338026303","00338-0263-03","Gentran 75 In Nacl",500,1,1,1
"J7110","Dextran 75 infusion","500 ML","BAXTER","00338026503","00338-0265-03","Gentran 75 In Nacl",500,1,1,1
"J7100","Dextran 40 infusion","500 ML","BAXTER","00338027003","00338-0270-03","Gentran 40 In Nacl",500,1,1,1
"J7100","Dextran 40 infusion","500 ML","BAXTER","00338027103","00338-0271-03","Gentran 40 In D5W",500,1,1,1
"J7100","Dextran 40 infusion","500 ML","BAXTER","00338027203","00338-0272-03","Gentran 40 In D5W",500,1,1,1
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338031802","00338-0318-02","Potassium Chloride",250,1,250,250
"J2150","Mannitol injection","50 ML","BAXTER","00338035304","00338-0353-04","Mannitol",1000,1,10,10
"J2001","Lidocaine injection","10 MG","BAXTER","00338040704","00338-0407-04","Lidocaine In D5W",1000,1,200,200
"J2001","Lidocaine injection","10 MG","BAXTER","00338040902","00338-0409-02","Lidocaine In D5W",250,1,100,100
"J2001","Lidocaine injection","10 MG","BAXTER","00338040903","00338-0409-03","Lidocaine In D5W",500,1,200,200
"J2001","Lidocaine injection","10 MG","BAXTER","00338040904","00338-0409-04","Lidocaine In D5W",1000,1,400,400
"J2001","Lidocaine injection","10 MG","BAXTER","00338041102","00338-0411-02","Lidocaine In D5W",250,1,200,200
"J2001","Lidocaine injection","10 MG","BAXTER","00338041103","00338-0411-03","Lidocaine In D5W",500,1,400,400
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00338043103","00338-0431-03","Heparin (Porcine) In Nacl",500,18,1,18
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00338043304","00338-0433-04","Heparin (Porcine) In Nacl",1000,12,2,24
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338043903","00338-0439-03","Theophylline In D5W",500,18,10,180
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338043904","00338-0439-04","Theophylline In D5W",1000,12,20,240
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338044102","00338-0441-02","Theophylline In D5W",250,24,10,240
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338044103","00338-0441-03","Theophylline In D5W",500,18,20,360
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338044348","00338-0443-48","Theophylline In D5W",100,24,5,120
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338044402","00338-0444-02","Theophylline In D5W",250,24,20,480
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338044541","00338-0445-41","Theophylline In D5W",50,24,5,120
"J2810","Inj theophylline per 40 MG","40 MG","BAXTER","00338044548","00338-0445-48","Theophylline In D5W",100,24,10,240
"J1890","Cephalothin sodium injection","1 G","BAXTER","00338052541","00338-0525-41","Cephalothin Sodium",50,24,1,24
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00338054903","00338-0549-03","Heparin (Porcine) In D5W",500,1,20,20
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00338055002","00338-0550-02","Heparin (Porcine) In D5W",250,1,25,25
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00338055003","00338-0550-03","Heparin (Porcine) In D5W",500,1,25,25
"J2912","Sodium chloride injection","2 CC","BAXTER","00338055311","00338-0553-11","Sodium Chloride",50,80,25,2000
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338055311","00338-0553-11","Sodium Chloride",50,80,2.5,200
"J2912","Sodium chloride injection","2 CC","BAXTER","00338055318","00338-0553-18","Sodium Chloride",100,80,50,4000
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338055318","00338-0553-18","Sodium Chloride",100,80,5,400
"J7042","5% dextrose/normal saline","500 ML","BAXTER","00338064002","00338-0640-02","Dextrose-Nacl",250,12,0.5,6
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338065568","00338-0655-68","Potassium Chloride",15,1,15,15
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338070341","00338-0703-41","Potassium Chloride",50,24,10,240
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338070348","00338-0703-48","Potassium Chloride",100,24,20,480
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338070541","00338-0705-41","Potassium Chloride",50,24,5,120
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338070548","00338-0705-48","Potassium Chloride",100,24,10,240
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338070748","00338-0707-48","Potassium Chloride",100,24,15,360
"J3480","Inj potassium chloride","2 MEQ","BAXTER","00338070948","00338-0709-48","Potassium Chloride",100,24,5,120
"Q4076","Dopamine hcl, 40 mg","40 MG","BAXTER","00338100502","00338-1005-02","Dopamine In D5W",250,18,5,90
"Q4076","Dopamine hcl, 40 mg","40 MG","BAXTER","00338100503","00338-1005-03","Dopamine In D5W",500,12,10,120
"Q4076","Dopamine hcl, 40 mg","40 MG","BAXTER","00338100702","00338-1007-02","Dopamine In D5W",250,18,10,180
"Q4076","Dopamine hcl, 40 mg","40 MG","BAXTER","00338100703","00338-1007-03","Dopamine In D5W",500,12,20,240
"Q4076","Dopamine hcl, 40 mg","40 MG","BAXTER","00338100902","00338-1009-02","Dopamine In D5W",250,18,20,360
"J2700","Oxacillin sodium injeciton","250 MG","BAXTER","00338101341","00338-1013-41","Bactocill In Dextrose",50,24,4,96
"J2700","Oxacillin sodium injeciton","250 MG","BAXTER","00338101541","00338-1015-41","Bactocill In Dextrose",50,24,8,192
"J2540","Penicillin g potassium inj","600000 UNITS","BAXTER","00338102141","00338-1021-41","Penicillin G Pot In Dextrose",50,1,1.5,1.5
"J2540","Penicillin g potassium inj","600000 UNITS","BAXTER","00338102341","00338-1023-41","Penicillin G Pot In Dextrose",50,1,3,3
"J2540","Penicillin g potassium inj","600000 UNITS","BAXTER","00338102541","00338-1025-41","Penicillin G Pot In Dextrose",50,1,5,5
"J1250","Inj dobutamine HCL/250 mg","250 MG","BAXTER","00338107103","00338-1071-03","Dobutamine Hcl",500,1,2,2
"J1250","Inj dobutamine HCL/250 mg","250 MG","BAXTER","00338107302","00338-1073-02","Dobutamine Hcl",250,1,1,1
"J1250","Inj dobutamine HCL/250 mg","250 MG","BAXTER","00338107303","00338-1073-03","Dobutamine Hcl",500,1,2,2
"J1250","Inj dobutamine HCL/250 mg","250 MG","BAXTER","00338107502","00338-1075-02","Dobutamine Hcl",250,1,2,2
"J1250","Inj dobutamine HCL/250 mg","250 MG","BAXTER","00338107702","00338-1077-02","Dobutamine Hcl",250,1,1,1
"J0697","Sterile cefuroxime injection","750 MG","BAXTER","00338204348","00338-2043-48","Zinacef In D5W",100,1,2,2
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","00338268876","00338-2688-76","Meperidine Hcl",60,10,6,60
"J2270","Morphine sulfate injection","10 MG","BAXTER","00338268975","00338-2689-75","Morphine Sulfate",50,1,5,5
"J2270","Morphine sulfate injection","10 MG","BAXTER","00338269075","00338-2690-75","Morphine Sulfate",50,1,25,25
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","00338269075","00338-2690-75","Morphine Sulfate",50,1,2.5,2.5
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","00338269175","00338-2691-75","Meperidine Hcl",50,1,5,5
"J0690","Cefazolin sodium injection","500 MG","BAXTER","00338350241","00338-3502-41","Cefazolin Sodium",50,1,1,1
"J0690","Cefazolin sodium injection","500 MG","BAXTER","00338350341","00338-3503-41","Cefazolin Sodium",50,1,2,2
"J3370","Vancomycin hcl injection","500 MG","BAXTER","00338355148","00338-3551-48","Vancomycin Hcl",100,1,1,1
"J3370","Vancomycin hcl injection","500 MG","BAXTER","00338355248","00338-3552-48","Vancocin Hcl",200,1,2,2
"J2260","Inj milrinone lactate / 5 MG","5 ML","BAXTER","00338601048","00338-6010-48","Milrinone In Dextrose",100,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","BAXTER","00338601137","00338-6011-37","Milrinone In Dextrose",200,10,8,80
"J1450","Fluconazole","200 MG","BAXTER","00338604537","00338-6045-37","Fluconazole In Sodium Chloride",200,10,2,20
"J1450","Fluconazole","200 MG","BAXTER","00338604648","00338-6046-48","Fluconazole In Sodium Chloride",100,10,1,10
"J2912","Sodium chloride injection","2 CC","BAXTER","00338801870","00338-8018-70","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338801870","00338-8018-70","Sodium Chloride",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","BAXTER","00338830179","00338-8301-79","Sodium Chloride",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","BAXTER","00338830179","00338-8301-79","Sodium Chloride",2,1,0.1,0.1
"J7510","Prednisolone oral per 5 mg","5 MG","SCHEIN","00364021701","00364-0217-01","Prednisolone",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","SCHEIN","00364046721","00364-0467-21","Methylprednisolone (Pak)",21,1,21,21
"J7637","Dexamethasone inhal sol con","1 MG","SCHEIN","00364668154","00364-6681-54","Dexamethasone Sodium Phosphate",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","SCHEIN","00364668154","00364-6681-54","Dexamethasone Sodium Phosphate",10,1,40,40
"J8610","Methotrexate oral 2.5 MG","2.5 MG","MYLAN","00378001401","00378-0014-01","Methotrexate",100,1,100,100
"J8610","Methotrexate oral 2.5 MG","2.5 MG","MYLAN","00378001450","00378-0014-50","Methotrexate",5000,1,5000,5000
"J8560","Etoposide oral 50 MG","50 MG","MYLAN","00378326694","00378-3266-94","Etoposide",20,1,20,20
"Q0164","Prochlorperazine maleate 5mg","5 MG","MYLAN","00378510501","00378-5105-01","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","MYLAN","00378511001","00378-5110-01","Prochlorperazine Maleate",100,1,100,100
"J0595","Butorphanol tartrate 1 mg","1 MG","MYLAN","00378963943","00378-9639-43","Butorphanol Tartrate",2.5,1,25,25
"J3140","Testosterone suspension inj","50 MG","STERIS","00402008430","00402-0084-30","Testosterone",30,1,60,60
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069005","00407-0690-05","Omniscan",5,10,5,50
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069010","00407-0690-10","Omniscan",10,10,10,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069012","00407-0690-12","Omniscan",10,10,10,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069015","00407-0690-15","Omniscan",15,10,15,150
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069017","00407-0690-17","Omniscan",15,10,15,150
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069020","00407-0690-20","Omniscan",20,10,20,200
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069022","00407-0690-22","Omniscan",20,10,20,200
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069055","00407-0690-55","Omniscan",50,10,50,500
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069062","00407-0690-62","Omniscan",15,10,15,150
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","GE HEALTHCARE","00407069063","00407-0690-63","Omniscan",20,10,20,200
"Q9945","LOCM <=149 mg/ml iodine, 1ml","1 ML","GE HEALTHCARE","00407140151","00407-1401-51","Omnipaque 140",50,10,50,500
"Q9946","LOCM 150-199mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141110","00407-1411-10","Omnipaque 180",10,10,10,100
"Q9946","LOCM 150-199mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141120","00407-1411-20","Omnipaque 180",20,10,20,200
"Q9946","LOCM 150-199mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141130","00407-1411-30","Omnipaque 180",10,10,10,100
"Q9946","LOCM 150-199mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141140","00407-1411-40","Omnipaque 180",20,10,20,200
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141210","00407-1412-10","Omnipaque 240",10,10,10,100
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141217","00407-1412-17","Omnipaque 240",200,10,200,2000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141220","00407-1412-20","Omnipaque 240",20,10,20,200
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141224","00407-1412-24","Omnipaque 240",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141230","00407-1412-30","Omnipaque 240",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141233","00407-1412-33","Omnipaque 240",100,10,100,1000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141234","00407-1412-34","Omnipaque 240",150,10,150,1500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141235","00407-1412-35","Omnipaque 240",200,10,200,2000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141249","00407-1412-49","Omnipaque 240",150,10,150,1500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141250","00407-1412-50","Omnipaque 240",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141251","00407-1412-51","Omnipaque 240",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141260","00407-1412-60","Omnipaque 240",100,10,100,1000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141270","00407-1412-70","Omnipaque 240",100,10,100,1000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141272","00407-1412-72","Omnipaque 240",200,10,200,2000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141275","00407-1412-75","Omnipaque 240",150,10,150,1500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141280","00407-1412-80","Omnipaque 240",10,10,10,100
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141281","00407-1412-81","Omnipaque 240",20,10,20,200
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141282","00407-1412-82","Omnipaque 240",150,10,150,1500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141283","00407-1412-83","Omnipaque 240",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141284","00407-1412-84","Omnipaque 240",100,10,100,1000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141285","00407-1412-85","Omnipaque 240",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141310","00407-1413-10","Omnipaque 300",10,10,10,100
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141325","00407-1413-25","Omnipaque 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141330","00407-1413-30","Omnipaque 300",30,10,30,300
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141340","00407-1413-40","Omnipaque 300",10,10,10,100
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141341","00407-1413-41","Omnipaque 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141342","00407-1413-42","Omnipaque 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141343","00407-1413-43","Omnipaque 300",100,10,10,100
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141345","00407-1413-45","Omnipaque 300",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141346","00407-1413-46","Omnipaque 300",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141347","00407-1413-47","Omnipaque 300",125,10,125,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141350","00407-1413-50","Omnipaque 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141351","00407-1413-51","Omnipaque 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141353","00407-1413-53","Omnipaque 300",200,10,200,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141360","00407-1413-60","Omnipaque 300",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141361","00407-1413-61","Omnipaque 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141362","00407-1413-62","Omnipaque 300",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141363","00407-1413-63","Omnipaque 300",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141365","00407-1413-65","Omnipaque 300",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141366","00407-1413-66","Omnipaque 300",200,10,200,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141368","00407-1413-68","Omnipaque 300",500,10,500,5000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141384","00407-1413-84","Omnipaque 300",125,10,125,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141390","00407-1413-90","Omnipaque 300",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141403","00407-1414-03","Omnipaque 350",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141404","00407-1414-04","Omnipaque 350",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141426","00407-1414-26","Omnipaque 350",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141441","00407-1414-41","Omnipaque",150,10,150,1500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141442","00407-1414-42","Omnipaque",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141443","00407-1414-43","Omnipaque",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141444","00407-1414-44","Omnipaque",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141445","00407-1414-45","Omnipaque",100,10,100,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141450","00407-1414-50","Omnipaque 350",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141451","00407-1414-51","Omnipaque 350",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141460","00407-1414-60","Omnipaque 350",100,10,100,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141462","00407-1414-62","Omnipaque 350",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141476","00407-1414-76","Omnipaque 350",125,10,125,1250
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141480","00407-1414-80","Omnipaque 350",250,10,250,2500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141489","00407-1414-89","Omnipaque 350",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141490","00407-1414-90","Omnipaque 350",75,10,75,750
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141491","00407-1414-91","Omnipaque 350",100,10,100,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141493","00407-1414-93","Omnipaque 350",150,10,150,1500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141494","00407-1414-94","Omnipaque 350",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407141498","00407-1414-98","Omnipaque 350",500,10,500,5000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222201","00407-2222-01","Visipaque 270",50,10,50,500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222202","00407-2222-02","Visipaque 270",100,10,100,1000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222203","00407-2222-03","Visipaque 270",150,10,150,1500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222206","00407-2222-06","Visipaque 270",50,10,50,500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222213","00407-2222-13","Visipaque 270",150,10,150,1500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222216","00407-2222-16","Visipaque 270",50,10,50,500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222217","00407-2222-17","Visipaque 270",100,10,100,1000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222219","00407-2222-19","Visipaque 270",150,10,150,1500
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222221","00407-2222-21","Visipaque 270",200,10,200,2000
"Q9948","LOCM 250-299mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222222","00407-2222-22","Visipaque 270",500,6,500,3000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222301","00407-2223-01","Visipaque 320",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222302","00407-2223-02","Visipaque 320",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222303","00407-2223-03","Visipaque 320",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222304","00407-2223-04","Visipaque 320",200,10,200,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222306","00407-2223-06","Visipaque 320",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222316","00407-2223-16","Visipaque 320",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222317","00407-2223-17","Visipaque 320",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222319","00407-2223-19","Visipaque 320",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222321","00407-2223-21","Visipaque 320",200,10,200,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GE HEALTHCARE","00407222323","00407-2223-23","Visipaque 320",500,10,500,5000
"Q9956","Inj octafluoropropane mic,ml","1 ML","GE HEALTHCARE","00407270703","00407-2707-03","Optison",3,5,3,15
"J1642","Inj heparin sodium per 10 u","10 UNITS","HOSPIRA","00409128031","00409-1280-31","Heparin (Porcine) Lock Flush",1,50,1,50
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00409131632","00409-1316-32","Heparin Sodium (Porcine)",0.5,50,5,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00409131666","00409-1316-66","Heparin Sodium (Porcine)",0.5,10,5,50
"J1165","Phenytoin sodium injection","50 MG","HOSPIRA","00409131701","00409-1317-01","Phenytoin Sodium",2,25,2,50
"J1165","Phenytoin sodium injection","50 MG","HOSPIRA","00409131702","00409-1317-02","Phenytoin Sodium",5,25,5,125
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00409140231","00409-1402-31","Heparin Sodium (Porcine)",1,10,5,50
"J7060","5% dextrose/water","500 ML","HOSPIRA","00409152202","00409-1522-02","Dextrose",250,12,0.5,6
"J7070","D5w infusion","1000 CC","HOSPIRA","00409152202","00409-1522-02","Dextrose",250,12,0.25,3
"J1165","Phenytoin sodium injection","50 MG","HOSPIRA","00409184432","00409-1844-32","Phenytoin Sodium",2,10,4,40
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00409191833","00409-1918-33","Sodium Chloride",3,25,1.5,37.5
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00409191833","00409-1918-33","Sodium Chloride",3,25,0.15,3.75
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00409216802","00409-2168-02","Magnesium Sulfate",20,25,20,500
"J3475","Inj magnesium sulfate","500 MG","HOSPIRA","00409216803","00409-2168-03","Magnesium Sulfate",50,25,50,1250
"J2597","Inj desmopressin acetate","1 MCG","HOSPIRA","00409226501","00409-2265-01","Desmopressin Acetate",1,10,4,40
"J2250","Inj midazolam hydrochloride","1 MG","HOSPIRA","00409230662","00409-2306-62","Midazolam Hcl",2,10,2,20
"J0895","Deferoxamine mesylate inj","500 MG","HOSPIRA","00409233725","00409-2337-25","Deferoxamine Mesylate",1,4,4,16
"J2260","Inj milrinone lactate / 5 MG","5 ML","HOSPIRA","00409277502","00409-2775-02","Milrinone Lactate",20,25,4,100
"J2150","Mannitol injection","50 ML","HOSPIRA","00409403101","00409-4031-01","Mannitol",50,25,1,25
"Q4076","Dopamine hcl, 40 mg","40 MG","HOSPIRA","00409414202","00409-4142-02","Dopamine In D5W",250,12,10,120
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00409488820","00409-4888-20","Sodium Chloride",20,25,10,250
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00409488820","00409-4888-20","Sodium Chloride",20,25,1,25
"J2912","Sodium chloride injection","2 CC","HOSPIRA","00409488850","00409-4888-50","Sodium Chloride",50,25,25,625
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","00409488850","00409-4888-50","Sodium Chloride",50,25,2.5,62.5
"J0280","Aminophyllin 250 MG inj","250 MG","HOSPIRA","00409592201","00409-5922-01","Aminophylline",20,25,2,50
"J3370","Vancomycin hcl injection","500 MG","HOSPIRA","00409653301","00409-6533-01","Vancomycin Hcl",1,10,2,20
"J1644","Inj heparin sodium per 1000u","1000 UNITS","HOSPIRA","00409762059","00409-7620-59","Heparin Sodium in NaCl",1000,12,2,24
"J7060","5% dextrose/water","500 ML","HOSPIRA","00409792203","00409-7922-03","Dextrose",500,24,1,24
"J7070","D5w infusion","1000 CC","HOSPIRA","00409792203","00409-7922-03","Dextrose",500,24,0.5,12
"J7070","D5w infusion","1000 CC","HOSPIRA","00409792209","00409-7922-09","Dextrose",1000,12,1,12
"J7120","Ringers lactate infusion","1000 CC","HOSPIRA","00409795302","00409-7953-02","Lactated Ringers",250,24,0.25,6
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00409798303","00409-7983-03","Sodium Chloride",500,24,0.5,12
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00409798303","00409-7983-03","Sodium Chloride",500,24,1,24
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00409798303","00409-7983-03","Sodium Chloride",500,24,2,48
"J7030","Normal saline solution infus","1000 CC","HOSPIRA","00409798309","00409-7983-09","Sodium Chloride",1000,12,1,12
"J7040","Normal saline solution infus","500 CC","HOSPIRA","00409798309","00409-7983-09","Sodium Chloride",1000,12,2,24
"J7050","Normal saline solution infus","250 CC","HOSPIRA","00409798309","00409-7983-09","Sodium Chloride",1000,12,4,48
"J0460","Atropine sulfate injection","0.3 MG","HOSPIRA","00409963005","00409-9630-05","Atropine Sulfate",5,10,0.835,8.35
"J7637","Dexamethasone inhal sol con","1 MG","TAYLOR","00418192130","00418-1921-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","TAYLOR","00418192130","00418-1921-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J7637","Dexamethasone inhal sol con","1 MG","TAYLOR","00418192131","00418-1921-31","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","TAYLOR","00418192131","00418-1921-31","Dexamethasone Sodium Phosphate",5,1,20,20
"J1212","Dimethyl sulfoxide 50% 50 ML","50 ML","EDWARDS LIFESCIENCES","00433043305","00433-0433-05","Rimso-50",50,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","LIBERTY PHARMACEUTICAL","00440742609","00440-7426-09","Diphenhydramine Hcl",9,1,9,9
"Q0163","Diphenhydramine HCl 50mg","50 MG","LIBERTY PHARMACEUTICAL","00440742620","00440-7426-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","LIBERTY PHARMACEUTICAL","00440742630","00440-7426-30","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","LIBERTY PHARMACEUTICAL","00440742660","00440-7426-60","Diphenhydramine Hcl",60,1,60,60
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816512","00440-8165-12","Prednisone",12,1,12,12
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816520","00440-8165-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816530","00440-8165-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816560","00440-8165-60","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816620","00440-8166-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816630","00440-8166-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816703","00440-8167-03","Prednisone",3,1,12,12
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816710","00440-8167-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816720","00440-8167-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816730","00440-8167-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","LIBERTY PHARMACEUTICAL","00440816760","00440-8167-60","Prednisone",60,1,240,240
"Q0164","Prochlorperazine maleate 5mg","5 MG","LIBERTY PHARMACEUTICAL","00440819012","00440-8190-12","Prochlorperazine Maleate",12,1,12,12
"J2650","Prednisolone acetate inj","1 ML","TRUXTON CO., INC.","00463101930","00463-1019-30","Cotolone",30,1,30,30
"J2650","Prednisolone acetate inj","1 ML","TRUXTON CO., INC.","00463102010","00463-1020-10","Cotolone",10,1,10,10
"J7637","Dexamethasone inhal sol con","1 MG","TRUXTON CO., INC.","00463109005","00463-1090-05","Adrenocot",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","TRUXTON CO., INC.","00463109005","00463-1090-05","Adrenocot",5,1,20,20
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469060767","00469-0607-67","Prograf",1,60,0.5,30
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469060773","00469-0607-73","Prograf",100,0.5,100,50
"J7637","Dexamethasone inhal sol con","1 MG","ASTELLAS PHARMA","00469061001","00469-0610-01","Dexamethasone Sodium Phosphate",10,1,100,100
"J7638","Dexamethasone inhal sol u d","1 MG","ASTELLAS PHARMA","00469061001","00469-0610-01","Dexamethasone Sodium Phosphate",10,1,100,100
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469061710","00469-0617-10","Prograf",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469061711","00469-0617-11","Prograf",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469061771","00469-0617-71","Prograf",1,100,1,100
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469061773","00469-0617-73","Prograf",100,1,100,100
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469065710","00469-0657-10","Prograf",1,100,5,500
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469065711","00469-0657-11","Prograf",100,5,100,500
"J7507","Tacrolimus oral per 1 MG","1 MG","ASTELLAS PHARMA","00469065773","00469-0657-73","Prograf",100,5,100,500
"J0152","Adenosine injection","30 MG","ASTELLAS PHARMA","00469087120","00469-0871-20","Adenoscan",20,10,2,20
"J0152","Adenosine injection","30 MG","ASTELLAS PHARMA","00469087130","00469-0871-30","Adenoscan",30,10,3,30
"J0150","Injection adenosine 6 MG","6 MG","ASTELLAS PHARMA","00469087202","00469-0872-02","Adenocard",2,10,1,10
"J7525","Tacrolimus injection","5 MG","ASTELLAS PHARMA","00469301601","00469-3016-01","Prograf",1,10,1,10
"J0289","Amphotericin b liposome inj","10 MG","ASTELLAS PHARMA","00469305130","00469-3051-30","Ambisome",1,10,5,50
"J3302","Triamcinolone diacetate inj","5 MG","ASTELLAS PHARMA","00469511601","00469-5116-01","Aristocort Forte",1,1,8,8
"J3302","Triamcinolone diacetate inj","5 MG","ASTELLAS PHARMA","00469511605","00469-5116-05","Aristocort Forte",5,1,40,40
"J3302","Triamcinolone diacetate inj","5 MG","ASTELLAS PHARMA","00469511705","00469-5117-05","Aristocort Intralesional",5,1,25,25
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469722001","00469-7220-01","Cefizox In D5W",50,24,2,48
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469722102","00469-7221-02","Cefizox In D5W",50,24,4,96
"J0150","Injection adenosine 6 MG","6 MG","ASTELLAS PHARMA","00469723412","00469-7234-12","Adenocard",2,5,1,5
"J0150","Injection adenosine 6 MG","6 MG","ASTELLAS PHARMA","00469723414","00469-7234-14","Adenocard",4,5,2,10
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469725101","00469-7251-01","Cefizox",1,10,2,20
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469725201","00469-7252-01","Cefizox",1,10,2,20
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469725302","00469-7253-02","Cefizox",1,10,4,40
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469725402","00469-7254-02","Cefizox",1,10,4,40
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469725510","00469-7255-10","Cefizox",1,10,20,200
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469727101","00469-7271-01","Cefizox",1,10,2,20
"J0715","Ceftizoxime sodium / 500 MG","500 MG","ASTELLAS PHARMA","00469727202","00469-7272-02","Cefizox",1,10,4,40
"J0150","Injection adenosine 6 MG","6 MG","ASTELLAS PHARMA","00469823412","00469-8234-12","Adenocard",2,10,1,10
"J0150","Injection adenosine 6 MG","6 MG","ASTELLAS PHARMA","00469823414","00469-8234-14","Adenocard",4,10,2,20
"J7631","Cromolyn sodium inh sol u d","10 MG","ALPHARMA","00472075221","00472-0752-21","Cromolyn Sodium",2,120,2,240
"J7631","Cromolyn sodium inh sol u d","10 MG","ALPHARMA","00472075260","00472-0752-60","Cromolyn Sodium",2,60,2,120
"J7644","Ipratropium brom inh sol u d","1 MG","ALPHARMA","00472075323","00472-0753-23","Ipratropium Bromide",2.5,25,0.5,12.5
"J7644","Ipratropium brom inh sol u d","1 MG","ALPHARMA","00472075330","00472-0753-30","Ipratropium Bromide",2.5,30,0.5,15
"J7644","Ipratropium brom inh sol u d","1 MG","ALPHARMA","00472075360","00472-0753-60","Ipratropium Bromide",2.5,60,0.5,30
"J7613","Albuterol unit dose","1 MG","ALPHARMA","00472083123","00472-0831-23","Albuterol Sulfate",3,25,2.49,62.25
"J7613","Albuterol unit dose","1 MG","ALPHARMA","00472083130","00472-0831-30","Albuterol Sulfate",3,30,2.49,74.7
"J7613","Albuterol unit dose","1 MG","ALPHARMA","00472083160","00472-0831-60","Albuterol Sulfate",3,60,2.49,149.4
"J7611","Albuterol concentrated form","1 MG","ALPHARMA","00472083230","00472-0832-30","Albuterol Sulfate",20,1,100,100
"J7649","Isoetharine hcl inh sol u d","1 MG","NEPHRON PHARMACEUTICALS","00487760100","00487-7601-00","Beta-2",10,1,100,100
"J7649","Isoetharine hcl inh sol u d","1 MG","NEPHRON PHARMACEUTICALS","00487760101","00487-7601-01","Beta-2",30,1,300,300
"J7613","Albuterol unit dose","1 MG","NEPHRON PHARMACEUTICALS","00487950101","00487-9501-01","Albuterol Sulfate",3,30,2.49,74.7
"J7613","Albuterol unit dose","1 MG","NEPHRON PHARMACEUTICALS","00487950103","00487-9501-03","Albuterol Sulfate",3,30,2.49,74.7
"J7613","Albuterol unit dose","1 MG","NEPHRON PHARMACEUTICALS","00487950125","00487-9501-25","Albuterol Sulfate",3,25,2.49,62.25
"J7613","Albuterol unit dose","1 MG","NEPHRON PHARMACEUTICALS","00487950160","00487-9501-60","Albuterol Sulfate",3,60,2.49,149.4
"J7644","Ipratropium brom inh sol u d","1 MG","NEPHRON PHARMACEUTICALS","00487980101","00487-9801-01","Ipratropium Bromide",2.5,30,0.5,15
"J7644","Ipratropium brom inh sol u d","1 MG","NEPHRON PHARMACEUTICALS","00487980125","00487-9801-25","Ipratropium Bromide",2.5,25,0.5,12.5
"J7644","Ipratropium brom inh sol u d","1 MG","NEPHRON PHARMACEUTICALS","00487980130","00487-9801-30","Ipratropium Bromide",2.5,30,0.5,15
"J7644","Ipratropium brom inh sol u d","1 MG","NEPHRON PHARMACEUTICALS","00487980160","00487-9801-60","Ipratropium Bromide",2.5,60,0.5,30
"J7611","Albuterol concentrated form","1 MG","NEPHRON PHARMACEUTICALS","00487990130","00487-9901-30","Albuterol Sulfate",0.5,30,2.5,75
"J7613","Albuterol unit dose","1 MG","NEPHRON PHARMACEUTICALS","00487990401","00487-9904-01","Albuterol Sulfate",3,30,2.49,74.7
"J0620","Calcium glycer & lact/10 ML","10 ML","GLENWOOD","00516006060","00516-0060-60","Calphosan",60,1,6,6
"J3420","Vitamin b12 injection","1000 MCG","AMERICAN REGENT","00517003125","00517-0031-25","Cyanocobalamin",1,25,1,25
"J3420","Vitamin b12 injection","1000 MCG","AMERICAN REGENT","00517003225","00517-0032-25","Cyanocobalamin",10,25,10,250
"J2710","Neostigmine methylslfte inj","0.5 MG","AMERICAN REGENT","00517003325","00517-0033-25","Neostigmine Methylsulfate",10,25,20,500
"J2710","Neostigmine methylslfte inj","0.5 MG","AMERICAN REGENT","00517003425","00517-0034-25","Neostigmine Methylsulfate",10,25,10,250
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN REGENT","00517010125","00517-0101-25","Atropine Sulfate",1,25,3.33,83.25
"J3420","Vitamin b12 injection","1000 MCG","AMERICAN REGENT","00517013005","00517-0130-05","Cyanocobalamin",30,5,30,150
"J1750","Iron dextran","50 MG","AMERICAN REGENT","00517013410","00517-0134-10","Dexferrum",1,10,1,10
"J1750","Iron dextran","50 MG","AMERICAN REGENT","00517023410","00517-0234-10","Dexferrum",2,10,2,20
"J2370","Phenylephrine hcl injection","1 ML","AMERICAN REGENT","00517029925","00517-0299-25","Phenylephrine Hcl",1,25,1,25
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN REGENT","00517040125","00517-0401-25","Atropine Sulfate",1,25,1.33,33.25
"J2370","Phenylephrine hcl injection","1 ML","AMERICAN REGENT","00517040525","00517-0405-25","Phenylephrine Hcl",5,25,5,125
"J2912","Sodium chloride injection","2 CC","AMERICAN REGENT","00517064825","00517-0648-25","Saline Bacteriostatic",30,25,15,375
"J7130","Hypertonic saline solution","20 CC","AMERICAN REGENT","00517064825","00517-0648-25","Saline Bacteriostatic",30,25,1.5,37.5
"J7051","Sterile saline/water","5 CC","AMERICAN REGENT","00517066225","00517-0662-25","Bacteriostatic Water(Benz Alc)",30,25,6,150
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN REGENT","00517080525","00517-0805-25","Atropine Sulfate",0.5,25,1.335,33.375
"J0360","Hydralazine hcl injection","20 MG","AMERICAN REGENT","00517090125","00517-0901-25","Hydralazine Hcl",1,25,1,25
"J0360","Hydralazine hcl injection","20 MG","AMERICAN REGENT","00517091125","00517-0911-25","Hydralazine Hcl",1,25,1,25
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN REGENT","00517101025","00517-1010-25","Atropine Sulfate",1,25,3.33,83.25
"J1955","Inj levocarnitine per 1 gm","1 G","AMERICAN REGENT","00517104525","00517-1045-25","Levocarnitine",5,25,1,25
"J0170","Adrenalin epinephrin inject","1 ML","AMERICAN REGENT","00517107125","00517-1071-25","Epinephrine Hcl",1,25,1,25
"J0170","Adrenalin epinephrin inject","1 ML","AMERICAN REGENT","00517113005","00517-1130-05","Epinephrine Hcl",30,5,30,150
"Q4076","Dopamine hcl, 40 mg","40 MG","AMERICAN REGENT","00517130525","00517-1305-25","Dopamine Hcl",5,25,20,500
"Q4076","Dopamine hcl, 40 mg","40 MG","AMERICAN REGENT","00517180525","00517-1805-25","Dopamine Hcl",5,25,5,125
"Q4076","Dopamine hcl, 40 mg","40 MG","AMERICAN REGENT","00517190525","00517-1905-25","Dopamine Hcl",5,25,10,250
"J1756","Iron sucrose injection","1 MG","AMERICAN REGENT","00517234010","00517-2340-10","Venofer",5,10,100,1000
"J3475","Inj magnesium sulfate","500 MG","AMERICAN REGENT","00517260225","00517-2602-25","Magnesium Sulfate",2,25,2,50
"J3475","Inj magnesium sulfate","500 MG","AMERICAN REGENT","00517261025","00517-2610-25","Magnesium Sulfate",10,25,10,250
"J3475","Inj magnesium sulfate","500 MG","AMERICAN REGENT","00517265025","00517-2650-25","Magnesium Sulfate",50,25,50,1250
"J2912","Sodium chloride injection","2 CC","AMERICAN REGENT","00517280225","00517-2802-25","Sodium Chloride",2,25,1,25
"J7130","Hypertonic saline solution","20 CC","AMERICAN REGENT","00517280225","00517-2802-25","Sodium Chloride",2,25,0.1,2.5
"J2912","Sodium chloride injection","2 CC","AMERICAN REGENT","00517281025","00517-2810-25","Sodium Chloride",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","AMERICAN REGENT","00517281025","00517-2810-25","Sodium Chloride",10,25,0.5,12.5
"J7051","Sterile saline/water","5 CC","AMERICAN REGENT","00517300525","00517-3005-25","Sterile Water For Injection",5,25,1,25
"J7051","Sterile saline/water","5 CC","AMERICAN REGENT","00517301025","00517-3010-25","Sterile Water For Injection",10,25,2,50
"J7051","Sterile saline/water","5 CC","AMERICAN REGENT","00517302025","00517-3020-25","Sterile Water For Injection",20,25,4,100
"J7051","Sterile saline/water","5 CC","AMERICAN REGENT","00517305025","00517-3050-25","Sterile Water For Injection",50,25,10,250
"J0280","Aminophyllin 250 MG inj","250 MG","AMERICAN REGENT","00517381025","00517-3810-25","Aminophylline",10,25,1,25
"J0280","Aminophyllin 250 MG inj","250 MG","AMERICAN REGENT","00517382025","00517-3820-25","Aminophylline",20,25,2,50
"J0610","Calcium gluconate injection","10 ML","AMERICAN REGENT","00517390025","00517-3900-25","Calcium Gluconate",100,25,10,250
"J0610","Calcium gluconate injection","10 ML","AMERICAN REGENT","00517391025","00517-3910-25","Calcium Gluconate",10,25,1,25
"J0610","Calcium gluconate injection","10 ML","AMERICAN REGENT","00517395025","00517-3950-25","Calcium Gluconate",50,25,5,125
"J2440","Papaverin hcl injection","60 MG","AMERICAN REGENT","00517400225","00517-4002-25","Papaverine Hcl",2,25,1,25
"J2440","Papaverin hcl injection","60 MG","AMERICAN REGENT","00517401001","00517-4010-01","Papaverine Hcl",10,1,5,5
"J2150","Mannitol injection","50 ML","AMERICAN REGENT","00517405025","00517-4050-25","Mannitol",50,25,1,25
"J3410","Hydroxyzine hcl injection","25 MG","AMERICAN REGENT","00517420125","00517-4201-25","Hydroxyzine Hcl",1,25,1,25
"J7642","Glycopyrrolate inhal sol con","1 MG","AMERICAN REGENT","00517460125","00517-4601-25","Glycopyrrolate",1,25,0.2,5
"J7643","Glycopyrrolate inhal sol u d","1 MG","AMERICAN REGENT","00517460125","00517-4601-25","Glycopyrrolate",1,25,0.2,5
"J7642","Glycopyrrolate inhal sol con","1 MG","AMERICAN REGENT","00517460225","00517-4602-25","Glycopyrrolate",2,25,0.4,10
"J7643","Glycopyrrolate inhal sol u d","1 MG","AMERICAN REGENT","00517460225","00517-4602-25","Glycopyrrolate",2,25,0.4,10
"J7642","Glycopyrrolate inhal sol con","1 MG","AMERICAN REGENT","00517460525","00517-4605-25","Glycopyrrolate",5,25,1,25
"J7643","Glycopyrrolate inhal sol u d","1 MG","AMERICAN REGENT","00517460525","00517-4605-25","Glycopyrrolate",5,25,1,25
"J7642","Glycopyrrolate inhal sol con","1 MG","AMERICAN REGENT","00517462025","00517-4620-25","Glycopyrrolate",20,25,4,100
"J7643","Glycopyrrolate inhal sol u d","1 MG","AMERICAN REGENT","00517462025","00517-4620-25","Glycopyrrolate",20,25,4,100
"J1100","Dexamethasone sodium phos","1 MG","AMERICAN REGENT","00517490125","00517-4901-25","Dexamethasone Sodium Phosphate",1,25,4,100
"J7637","Dexamethasone inhal sol con","1 MG","AMERICAN REGENT","00517490125","00517-4901-25","Dexamethasone Sodium Phosphate",1,25,4,100
"J7638","Dexamethasone inhal sol u d","1 MG","AMERICAN REGENT","00517490125","00517-4901-25","Dexamethasone Sodium Phosphate",1,25,4,100
"J1100","Dexamethasone sodium phos","1 MG","AMERICAN REGENT","00517490525","00517-4905-25","Dexamethasone Sodium Phosphate",5,25,20,500
"J7637","Dexamethasone inhal sol con","1 MG","AMERICAN REGENT","00517490525","00517-4905-25","Dexamethasone Sodium Phosphate",5,25,20,500
"J7638","Dexamethasone inhal sol u d","1 MG","AMERICAN REGENT","00517490525","00517-4905-25","Dexamethasone Sodium Phosphate",5,25,20,500
"J1100","Dexamethasone sodium phos","1 MG","AMERICAN REGENT","00517493025","00517-4930-25","Dexamethasone Sodium Phosphate",30,25,120,3000
"J7637","Dexamethasone inhal sol con","1 MG","AMERICAN REGENT","00517493025","00517-4930-25","Dexamethasone Sodium Phosphate",30,25,120,3000
"J7638","Dexamethasone inhal sol u d","1 MG","AMERICAN REGENT","00517493025","00517-4930-25","Dexamethasone Sodium Phosphate",30,25,120,3000
"J3410","Hydroxyzine hcl injection","25 MG","AMERICAN REGENT","00517560125","00517-5601-25","Hydroxyzine Hcl",1,25,2,50
"J3410","Hydroxyzine hcl injection","25 MG","AMERICAN REGENT","00517560225","00517-5602-25","Hydroxyzine Hcl",2,25,4,100
"J3410","Hydroxyzine hcl injection","25 MG","AMERICAN REGENT","00517561025","00517-5610-25","Hydroxyzine Hcl",10,25,20,500
"J1940","Furosemide injection","20 MG","AMERICAN REGENT","00517570225","00517-5702-25","Furosemide",2,25,1,25
"J1940","Furosemide injection","20 MG","AMERICAN REGENT","00517570425","00517-5704-25","Furosemide",4,25,2,50
"J1940","Furosemide injection","20 MG","AMERICAN REGENT","00517571025","00517-5710-25","Furosemide",10,25,5,125
"J7608","Acetylcysteine inh sol u d","1 G","AMERICAN REGENT","00517750425","00517-7504-25","Acetylcysteine",4,25,0.4,10
"J7608","Acetylcysteine inh sol u d","1 G","AMERICAN REGENT","00517751003","00517-7510-03","Acetylcysteine",10,3,1,3
"J7608","Acetylcysteine inh sol u d","1 G","AMERICAN REGENT","00517760425","00517-7604-25","Acetylcysteine",4,25,0.8,20
"J7608","Acetylcysteine inh sol u d","1 G","AMERICAN REGENT","00517761003","00517-7610-03","Acetylcysteine",10,3,2,6
"J7608","Acetylcysteine inh sol u d","1 G","AMERICAN REGENT","00517763003","00517-7630-03","Acetylcysteine",30,3,6,18
"J0210","Methyldopate hcl injection","250 MG","AMERICAN REGENT","00517890510","00517-8905-10","Methyldopate Hcl",5,10,1,10
"J1790","Droperidol injection","1 MG","AMERICAN REGENT","00517970225","00517-9702-25","Droperidol",2,25,1,25
"J7510","Prednisolone oral per 5 mg","5 MG","LANNETT","00527120101","00527-1201-01","Prednisolone",100,1,100,100
"J7510","Prednisolone oral per 5 mg","5 MG","LANNETT","00527120105","00527-1201-05","Prednisolone",500,1,500,500
"J7510","Prednisolone oral per 5 mg","5 MG","LANNETT","00527120110","00527-1201-10","Prednisolone",1000,1,1000,1000
"J7509","Methylprednisolone oral","4 MG","LANNETT","00527129607","00527-1296-07","Methylprednisolone (Pak)",21,1,21,21
"Q0165","Prochlorperazine maleate10mg","10 MG","LANNETT","00527129801","00527-1298-01","Prochlorperazine Maleate",100,1,100,100
"J7637","Dexamethasone inhal sol con","1 MG","RUGBY LABORATORIES","00536415170","00536-4151-70","Dexamethasone Sodium Phosphate",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","RUGBY LABORATORIES","00536415170","00536-4151-70","Dexamethasone Sodium Phosphate",10,1,40,40
"J0170","Adrenalin epinephrin inject","1 ML","AMPHASTAR-IMS","00548101400","00548-1014-00","Epinephrine Hcl",10,25,10,250
"J0170","Adrenalin epinephrin inject","1 ML","AMPHASTAR-IMS","00548101600","00548-1016-00","Epinephrine Hcl",10,25,10,250
"J3475","Inj magnesium sulfate","500 MG","AMPHASTAR-IMS","00548103400","00548-1034-00","Magnesium Sulfate",10,25,10,250
"J0460","Atropine sulfate injection","0.3 MG","AMPHASTAR-IMS","00548103900","00548-1039-00","Atropine Sulfate",10,25,3.3,82.5
"J3430","Vitamin k phytonadione inj","1 MG","AMPHASTAR-IMS","00548114000","00548-1140-00","Phytonadione",0.5,25,1,25
"J3430","Vitamin k phytonadione inj","1 MG","AMPHASTAR-IMS","00548124000","00548-1240-00","Phytonadione",0.5,25,1,25
"J1200","Diphenhydramine hcl injectio","50 MG","AMPHASTAR-IMS","00548139000","00548-1390-00","Diphenhydramine Hcl",1,25,1,25
"J1940","Furosemide injection","20 MG","AMPHASTAR-IMS","00548143100","00548-1431-00","Furosemide",10,25,5,125
"J2270","Morphine sulfate injection","10 MG","AMPHASTAR-IMS","00548193310","00548-1933-10","Morphine Sulfate",30,10,3,30
"J2271","Morphine so4 injection 100mg","100 MG","AMPHASTAR-IMS","00548193310","00548-1933-10","Morphine Sulfate",30,10,0.3,3
"J2270","Morphine sulfate injection","10 MG","AMPHASTAR-IMS","00548193700","00548-1937-00","Morphine Sulfate",30,10,3,30
"J2271","Morphine so4 injection 100mg","100 MG","AMPHASTAR-IMS","00548193700","00548-1937-00","Morphine Sulfate",30,10,0.3,3
"J0170","Adrenalin epinephrin inject","1 ML","AMPHASTAR-IMS","00548201600","00548-2016-00","Epinephrine Hcl",10,25,10,250
"J0460","Atropine sulfate injection","0.3 MG","AMPHASTAR-IMS","00548203900","00548-2039-00","Atropine Sulfate",10,25,3.3,82.5
"J2270","Morphine sulfate injection","10 MG","AMPHASTAR-IMS","00548290100","00548-2901-00","Morphine Sulfate",10,25,1,25
"J2271","Morphine so4 injection 100mg","100 MG","AMPHASTAR-IMS","00548290100","00548-2901-00","Morphine Sulfate",10,25,0.1,2.5
"J0170","Adrenalin epinephrin inject","1 ML","AMPHASTAR-IMS","00548331600","00548-3316-00","Epinephrine Hcl",10,10,10,100
"J0460","Atropine sulfate injection","0.3 MG","AMPHASTAR-IMS","00548333800","00548-3338-00","Atropine Sulfate",5,10,1.65,16.5
"J0460","Atropine sulfate injection","0.3 MG","AMPHASTAR-IMS","00548333900","00548-3339-00","Atropine Sulfate",10,10,3.3,33
"J0282","Amiodarone HCl","30 MG","AMPHASTAR-IMS","00548338000","00548-3380-00","Amiodarone Hcl",3,10,5,50
"J2270","Morphine sulfate injection","10 MG","AMPHASTAR-IMS","00548339100","00548-3391-00","Morphine Sulfate",10,10,1,10
"J2271","Morphine so4 injection 100mg","100 MG","AMPHASTAR-IMS","00548339100","00548-3391-00","Morphine Sulfate",10,10,0.1,1
"J2270","Morphine sulfate injection","10 MG","AMPHASTAR-IMS","00548339110","00548-3391-10","Morphine Sulfate",10,1,1,1
"J2271","Morphine so4 injection 100mg","100 MG","AMPHASTAR-IMS","00548339110","00548-3391-10","Morphine Sulfate",10,1,0.1,0.1
"J0835","Inj cosyntropin per 0.25 MG","0.25 MG","AMPHASTAR-IMS","00548590000","00548-5900-00","Cortrosyn",1,10,1,10
"J0170","Adrenalin epinephrin inject","1 ML","AMPHASTAR-IMS","00548906100","00548-9061-00","Epinephrine Hcl",30,1,30,30
"J3470","Hyaluronidase injection","150 UNITS","AMPHASTAR-IMS","00548909000","00548-9090-00","Hyaluronidase",1,25,1,25
"J1100","Dexamethasone sodium phos","1 MG","SEATRACE CO","00551003705","00551-0037-05","Dekasol",5,1,20,20
"J1100","Dexamethasone sodium phos","1 MG","SEATRACE CO","00551003730","00551-0037-30","Dekasol",30,1,120,120
"J1200","Diphenhydramine hcl injectio","50 MG","SEATRACE CO","00551005510","00551-0055-10","Bena-D 10",30,1,6,6
"J1200","Diphenhydramine hcl injectio","50 MG","SEATRACE CO","00551005610","00551-0056-10","Bena-D 50",10,1,10,10
"J2550","Promethazine hcl injection","50 MG","SEATRACE CO","00551005910","00551-0059-10","Prometh-50",10,1,10,10
"J3420","Vitamin b12 injection","1000 MCG","SEATRACE CO","00551006130","00551-0061-30","Vitamin B-12",30,1,30,30
"J3420","Vitamin b12 injection","1000 MCG","SEATRACE CO","00551007710","00551-0077-10","Vitamin B-12",10,1,10,10
"J1094","Inj dexamethasone acetate","1 MG","SEATRACE CO","00551011005","00551-0110-05","Dekasol La",5,1,40,40
"J1030","Methylprednisolone 40 MG inj","40 MG","SEATRACE CO","00551013510","00551-0135-10","Methylpred 40",10,1,10,10
"J1100","Dexamethasone sodium phos","1 MG","SEATRACE CO","00551017410","00551-0174-10","Dekasol-10",10,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","BARR LABS","00555005902","00555-0059-02","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","BARR LABS","00555005905","00555-0059-05","Diphenhydramine Hcl",1000,1,1000,1000
"J7509","Methylprednisolone oral","4 MG","BARR LABS","00555030102","00555-0301-02","Methylprednisolone",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","BARR LABS","00555030138","00555-0301-38","Methylprednisolone (Pak)",21,1,21,21
"Q0178","Hydroxyzine pamoate 50mg","50 MG","BARR LABS","00555030202","00555-0302-02","Hydroxyzine Pamoate",100,1,100,100
"Q0178","Hydroxyzine pamoate 50mg","50 MG","BARR LABS","00555030204","00555-0302-04","Hydroxyzine Pamoate",500,1,500,500
"Q0177","Hydroxyzine pamoate 25mg","25 MG","BARR LABS","00555032302","00555-0323-02","Hydroxyzine Pamoate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","BARR LABS","00555032304","00555-0323-04","Hydroxyzine Pamoate",500,1,500,500
"Q0164","Prochlorperazine maleate 5mg","5 MG","BARR LABS","00555052102","00555-0521-02","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","BARR LABS","00555052202","00555-0522-02","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","BARR LABS","00555052204","00555-0522-04","Prochlorperazine Maleate",500,1,500,500
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555057202","00555-0572-02","Methotrexate",100,1,100,100
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555057235","00555-0572-35","Methotrexate",36,1,36,36
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555057245","00555-0572-45","Methotrexate (Anti-Rheumatic)",8,1,8,8
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555057246","00555-0572-46","Methotrexate (Anti-Rheumatic)",12,1,12,12
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555057247","00555-0572-47","Methotrexate (Anti-Rheumatic)",16,1,16,16
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555057248","00555-0572-48","Methotrexate (Anti-Rheumatic)",20,1,20,20
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555057249","00555-0572-49","Methotrexate (Anti-Rheumatic)",24,1,24,24
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555092701","00555-0927-01","Trexall",1,30,2,60
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555092801","00555-0928-01","Trexall",1,30,3,90
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555092901","00555-0929-01","Trexall",1,30,4,120
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR LABS","00555094501","00555-0945-01","Trexall",1,30,6,180
"J2790","Rho d immune globulin inj","300 MCG","ORTHO DIAGNOSTICS","00562780706","00562-7807-06","Rhogam (Human)",1,5,1,5
"J2790","Rho d immune globulin inj","300 MCG","ORTHO DIAGNOSTICS","00562780726","00562-7807-26","Rhogam (Human)",1,25,1,25
"90385","Rh ig, minidose, im","50 MCG","ORTHO DIAGNOSTICS","00562780806","00562-7808-06","Micrhogam",1,5,1,5
"J2788","Rho d immune globulin 50 mcg","50 MCG","ORTHO DIAGNOSTICS","00562780806","00562-7808-06","Micrhogam",1,5,1,5
"90385","Rh ig, minidose, im","50 MCG","ORTHO DIAGNOSTICS","00562780826","00562-7808-26","Micrhogam",1,25,1,25
"J2788","Rho d immune globulin 50 mcg","50 MCG","ORTHO DIAGNOSTICS","00562780826","00562-7808-26","Micrhogam",1,25,1,25
"J2550","Promethazine hcl injection","50 MG","PADDOCK","00574083625","00574-0836-25","Promethazine Hcl",1,25,0.5,12.5
"J1110","Inj dihydroergotamine mesylt","1 MG","PADDOCK","00574085005","00574-0850-05","Dihydroergotamine Mesylate",1,5,1,5
"J1110","Inj dihydroergotamine mesylt","1 MG","PADDOCK","00574085010","00574-0850-10","Dihydroergotamine Mesylate",1,10,1,10
"J0770","Colistimethate sodium inj","150 MG","PADDOCK","00574085801","00574-0858-01","Colistimethate",1,1,1,1
"J7631","Cromolyn sodium inh sol u d","10 MG","MONARCH PHARMACEUTICALS","00585067302","00585-0673-02","Intal",2,60,2,120
"J7631","Cromolyn sodium inh sol u d","10 MG","MONARCH PHARMACEUTICALS","00585067303","00585-0673-03","Intal",2,120,2,240
"J7510","Prednisolone oral per 5 mg","5 MG","WATSON","00591021702","00591-0217-02","Prednisolone",1000,1,1000,1000
"J2320","Nandrolone decanoate 50 MG","50 MG","WATSON","00591218653","00591-2186-53","Nandrolone Decanoate",1,25,4,100
"J2322","Nandrolone decanoate 200 MG","200 MG","WATSON","00591218653","00591-2186-53","Nandrolone Decanoate",1,25,1,25
"J0690","Cefazolin sodium injection","500 MG","WATSON","00591236569","00591-2365-69","Cefazolin Sodium",1,25,2,50
"J0690","Cefazolin sodium injection","500 MG","WATSON","00591236668","00591-2366-68","Cefazolin Sodium",1,10,20,200
"J2675","Inj progesterone per 50 MG","50 MG","WATSON","00591312879","00591-3128-79","Progesterone",10,1,10,10
"J2550","Promethazine hcl injection","50 MG","WATSON","00591315783","00591-3157-83","Promethazine Hcl",1,25,0.5,12.5
"J2550","Promethazine hcl injection","50 MG","WATSON","00591315883","00591-3158-83","Promethazine Hcl",1,25,1,25
"J3120","Testosterone enanthate inj","100 MG","WATSON","00591322126","00591-3221-26","Testosterone Enanthate",5,1,10,10
"J3130","Testosterone enanthate inj","200 MG","WATSON","00591322126","00591-3221-26","Testosterone Enanthate",5,1,5,5
"J2360","Orphenadrine injection","60 MG","WATSON","00591322247","00591-3222-47","Orphenadrine Citrate",2,10,1,10
"J1080","Testosterone cypionat 200 MG","200 MG","WATSON","00591322379","00591-3223-79","Testosterone Cypionate",10,1,10,10
"J7510","Prednisolone oral per 5 mg","5 MG","WATSON","00591505901","00591-5059-01","Prednisolone",100,1,100,100
"J2320","Nandrolone decanoate 50 MG","50 MG","WATSON","00591671747","00591-6717-47","Nandrolone Decanoate",2,10,4,40
"J2321","Nandrolone decanoate 100 MG","100 MG","WATSON","00591671747","00591-6717-47","Nandrolone Decanoate",2,10,2,20
"J7613","Albuterol unit dose","1 MG","QUALITEST","00603100540","00603-1005-40","Albuterol Sulfate",3,25,2.49,62.25
"J7611","Albuterol concentrated form","1 MG","QUALITEST","00603100643","00603-1006-43","Albuterol Sulfate",20,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITEST","00603333721","00603-3337-21","Diphenhydramine Hcl",1,100,0.5,50
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITEST","00603333732","00603-3337-32","Diphenhydramine Hcl",1,1000,0.5,500
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITEST","00603333821","00603-3338-21","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITEST","00603333832","00603-3338-32","Diphenhydramine Hcl",1000,1,1000,1000
"J7509","Methylprednisolone oral","4 MG","QUALITEST","00603459315","00603-4593-15","Methylprednisolone (Pak)",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","QUALITEST","00603459321","00603-4593-21","Methylprednisolone",100,1,100,100
"Q0175","Perphenazine 4mg oral","4 MG","QUALITEST","00603509021","00603-5090-21","Perphenazine",100,1,50,50
"Q0175","Perphenazine 4mg oral","4 MG","QUALITEST","00603509028","00603-5090-28","Perphenazine",500,1,250,250
"Q0175","Perphenazine 4mg oral","4 MG","QUALITEST","00603509121","00603-5091-21","Perphenazine",100,1,100,100
"Q0175","Perphenazine 4mg oral","4 MG","QUALITEST","00603509128","00603-5091-28","Perphenazine",500,1,500,500
"Q0176","Perphenazine 8mg oral","8 MG","QUALITEST","00603509221","00603-5092-21","Perphenazine",100,1,100,100
"Q0176","Perphenazine 8mg oral","8 MG","QUALITEST","00603509228","00603-5092-28","Perphenazine",500,1,500,500
"Q0176","Perphenazine 8mg oral","8 MG","SANDOZ","00603509321","00603-5093-21","Perphenazine",100,1,200,200
"J7506","Prednisone oral","5 MG","QUALITEST","00603533215","00603-5332-15","Prednisone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","QUALITEST","00603533221","00603-5332-21","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","QUALITEST","00603533231","00603-5332-31","Prednisone (Pak)",48,1,48,48
"J7506","Prednisone oral","5 MG","QUALITEST","00603533232","00603-5332-32","Prednisone",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","QUALITEST","00603533315","00603-5333-15","Prednisone (Pak)",21,1,42,42
"J7506","Prednisone oral","5 MG","QUALITEST","00603533321","00603-5333-21","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","QUALITEST","00603533331","00603-5333-31","Prednisone (Pak)",48,1,96,96
"J7506","Prednisone oral","5 MG","QUALITEST","00603533332","00603-5333-32","Prednisone",1000,1,2000,2000
"J7506","Prednisone oral","5 MG","QUALITEST","00603533421","00603-5334-21","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","QUALITEST","00603533432","00603-5334-32","Prednisone",1000,1,4000,4000
"J7506","Prednisone oral","5 MG","QUALITEST","00603533715","00603-5337-15","Prednisone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","QUALITEST","00603533721","00603-5337-21","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","QUALITEST","00603533731","00603-5337-31","Prednisone (Pak)",48,1,48,48
"J7506","Prednisone oral","5 MG","QUALITEST","00603533732","00603-5337-32","Prednisone",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","QUALITEST","00603533815","00603-5338-15","Prednisone (Pak)",21,1,42,42
"J7506","Prednisone oral","5 MG","QUALITEST","00603533821","00603-5338-21","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","QUALITEST","00603533828","00603-5338-28","Prednisone",500,1,1000,1000
"J7506","Prednisone oral","5 MG","QUALITEST","00603533831","00603-5338-31","Prednisone (Pak)",48,1,96,96
"J7506","Prednisone oral","5 MG","QUALITEST","00603533832","00603-5338-32","Prednisone",1000,1,2000,2000
"J7506","Prednisone oral","5 MG","QUALITEST","00603533921","00603-5339-21","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","QUALITEST","00603533928","00603-5339-28","Prednisone",500,1,2000,2000
"J7506","Prednisone oral","5 MG","QUALITEST","00603533932","00603-5339-32","Prednisone",1000,1,4000,4000
"J7506","Prednisone oral","5 MG","VANGARD","00615053653","00615-0536-53","Prednisone",31,10,31,310
"J7506","Prednisone oral","5 MG","VANGARD","00615053663","00615-0536-63","Prednisone",31,10,31,310
"J7506","Prednisone oral","5 MG","VANGARD","00615359353","00615-3593-53","Prednisone",31,10,62,620
"J7506","Prednisone oral","5 MG","VANGARD","00615359363","00615-3593-63","Prednisone",310,1,620,620
"J1170","Hydromorphone injection","4 MG","BAXTER","00641012125","00641-0121-25","Hydromorphone Hcl",1,25,0.5,12.5
"J2270","Morphine sulfate injection","10 MG","BAXTER","00641017025","00641-0170-25","Morphine Sulfate",1,25,0.8,20
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","00641017025","00641-0170-25","Morphine Sulfate",1,25,0.08,2
"J2270","Morphine sulfate injection","10 MG","BAXTER","00641019025","00641-0190-25","Morphine Sulfate",1,25,1.5,37.5
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","00641019025","00641-0190-25","Morphine Sulfate",1,25,0.15,3.75
"J2912","Sodium chloride injection","2 CC","ELKINS-SINN","00641033305","00641-0333-05","Sodium Chloride Bacteriostatic",2.5,50,1.25,62.5
"J7130","Hypertonic saline solution","20 CC","ELKINS-SINN","00641033305","00641-0333-05","Sodium Chloride Bacteriostatic",2.5,50,0.125,6.25
"J1100","Dexamethasone sodium phos","1 MG","BAXTER","00641036725","00641-0367-25","Dexamethasone Sodium Phosphate",1,25,10,250
"J7637","Dexamethasone inhal sol con","1 MG","BAXTER","00641036725","00641-0367-25","Dexamethasone Sodium Phosphate",1,25,100,2500
"J7638","Dexamethasone inhal sol u d","1 MG","BAXTER","00641036725","00641-0367-25","Dexamethasone Sodium Phosphate",1,25,10,250
"J2730","Pralidoxime chloride inj","1 G","BAXTER ","00641037406","00641-0374-06","Protopam Chloride",1,6,1,6
"J1200","Diphenhydramine hcl injectio","50 MG","BAXTER","00641037625","00641-0376-25","Diphenhydramine Hcl",1,25,1,25
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641038725","00641-0387-25","Hep-Lock Flush",2,25,20,500
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641038925","00641-0389-25","Hep-Lock Flush",1,25,10,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00641039125","00641-0391-25","Heparin Sodium (Porcine)",1,25,1,25
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641039225","00641-0392-25","Hep-Lock",1,25,1,1250
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641039325","00641-0393-25","Hep-Lock",2,25,2,50
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00641040025","00641-0400-25","Heparin Sodium (Porcine)",1,25,5,125
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00641041025","00641-0410-25","Heparin Sodium (Porcine)",1,25,10,250
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641041125","00641-0411-25","Hep-Lock Flush",1,25,10,250
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641041425","00641-0414-25","Hep-Lock Pf",1,25,1,25
"J2560","Phenobarbital sodium inj","120 MG","BAXTER","00641047625","00641-0476-25","Phenobarbital Sodium",1,25,0.54,13.5
"J2560","Phenobarbital sodium inj","120 MG","BAXTER","00641047725","00641-0477-25","Phenobarbital Sodium",1,25,1.08,27
"J0780","Prochlorperazine injection","10 MG","BAXTER","00641049125","00641-0491-25","Prochlorperazine Edisylate",1,25,1,25
"J1165","Phenytoin sodium injection","50 MG","BAXTER","00641049325","00641-0493-25","Phenytoin Sodium",2,25,2,50
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641092825","00641-0928-25","Promethazine Hcl",1,25,0.5,12.5
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641092925","00641-0929-25","Promethazine Hcl",1,25,1,25
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641094835","00641-0948-35","Promethazine Hcl",1,25,0.5,12.5
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641094935","00641-0949-35","Promethazine Hcl",1,25,1,25
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641095525","00641-0955-25","Promethazine Hcl",1,25,0.5,12.5
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641095625","00641-0956-25","Promethazine Hcl",1,25,1,25
"J3010","Fentanyl citrate injeciton","0.1 MG","BAXTER","00641111834","00641-1118-34","Fentanyl Citrate",10,5,5,25
"J2270","Morphine sulfate injection","10 MG","BAXTER","00641113131","00641-1131-31","Infumorph 200",20,1,20,20
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","00641113131","00641-1131-31","Infumorph 200",20,1,2,2
"J1245","Dipyridamole injection","10 MG","BAXTER","00641113834","00641-1138-34","Dipyridamole",2,5,1,5
"J1245","Dipyridamole injection","10 MG","BAXTER","00641113931","00641-1139-31","Dipyridamole",10,1,5,5
"J2270","Morphine sulfate injection","10 MG","BAXTER","00641118035","00641-1180-35","Morphine Sulfate",1,25,1,25
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","00641118035","00641-1180-35","Morphine Sulfate",1,25,0.1,2.5
"J2270","Morphine sulfate injection","10 MG","BAXTER","00641119035","00641-1190-35","Morphine Sulfate",1,25,1.5,37.5
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","00641119035","00641-1190-35","Morphine Sulfate",1,25,0.15,3.75
"J3230","Chlorpromazine hcl injection","50 MG","BAXTER","00641139735","00641-1397-35","Chlorpromazine Hcl",1,25,0.5,12.5
"J3230","Chlorpromazine hcl injection","50 MG","BAXTER","00641139835","00641-1398-35","Chlorpromazine Hcl",2,25,1,25
"J1160","Digoxin injection","0.5 MG","BAXTER","00641141035","00641-1410-35","Digoxin",2,25,1,25
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641149535","00641-1495-35","Promethazine Hcl",1,25,0.5,12.5
"J2550","Promethazine hcl injection","50 MG","BAXTER","00641149635","00641-1496-35","Promethazine Hcl",1,25,1,25
"J7637","Dexamethasone inhal sol con","1 MG","ELKINS-SINN","00641227641","00641-2276-41","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","ELKINS-SINN","00641227641","00641-2276-41","Dexamethasone Sodium Phosphate",3,1,12,12
"J3360","Diazepam injection","5 MG","BAXTER","00641228943","00641-2289-43","Diazepam",10,10,10,100
"J1580","Garamycin gentamicin inj","80 MG","ELKINS-SINN","00641233143","00641-2331-43","Gentamicin Sulfate",20,10,10,100
"J1170","Hydromorphone injection","4 MG","BAXTER","00641234141","00641-2341-41","Hydromorphone Hcl",20,1,10,10
"J0640","Leucovorin calcium injection","50 MG","ELKINS-SINN","00641235441","00641-2354-41","Leucovorin Calcium",1,1,2,2
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641243641","00641-2436-41","Hep-Lock Flush",10,1,100,100
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641243645","00641-2436-45","Hep-Lock Flush",10,25,100,2500
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641243841","00641-2438-41","Hep-Lock",10,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641243845","00641-2438-45","Hep-Lock",10,25,10,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00641244045","00641-2440-45","Heparin Sodium (Porcine)",10,25,10,250
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641244241","00641-2442-41","Hep-Lock",30,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641244245","00641-2442-45","Hep-Lock",30,25,30,750
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641244341","00641-2443-41","Hep-Lock Flush",30,1,300,300
"J1642","Inj heparin sodium per 10 u","10 UNITS","BAXTER","00641244345","00641-2443-45","Hep-Lock Flush",30,25,300,7500
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00641245045","00641-2450-45","Heparin Sodium (Porcine)",30,25,30,750
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00641246045","00641-2460-45","Heparin Sodium (Porcine)",10,25,50,1250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","BAXTER","00641247045","00641-2470-45","Heparin Sodium (Porcine)",4,25,40,1000
"J1165","Phenytoin sodium injection","50 MG","BAXTER","00641255545","00641-2555-45","Phenytoin Sodium",5,25,5,125
"J1245","Dipyridamole injection","10 MG","BAXTER","00641256944","00641-2569-44","Dipyridamole",10,5,5,25
"J3370","Vancomycin hcl injection","500 MG","ELKINS-SINN","00641277941","00641-2779-41","Vancomycin Hcl",1,10,2,20
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677011701","00677-0117-01","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677011710","00677-0117-10","Prednisone",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677042701","00677-0427-01","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677042705","00677-0427-05","Prednisone",500,1,2000,2000
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677042710","00677-0427-10","Prednisone",1000,1,4000,4000
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677069801","00677-0698-01","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677069805","00677-0698-05","Prednisone",500,1,1000,1000
"J7506","Prednisone oral","5 MG","UNITED RESEARCH LABORATORIES","00677069810","00677-0698-10","Prednisone",1000,1,2000,2000
"J7509","Methylprednisolone oral","4 MG","UNITED RESEARCH LABORATORIES","00677183101","00677-1831-01","Methylprednisolone",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","UNITED RESEARCH LABORATORIES","00677183113","00677-1831-13","Methylprednisolone (Pak)",21,1,21,21
"Q0163","Diphenhydramine HCl 50mg","50 MG","UNITED RESEARCH LAB","00677185601","00677-1856-01","Diphenhydramine Hcl",1,100,0.5,50
"Q0163","Diphenhydramine HCl 50mg","50 MG","UNITED RESEARCH LAB","00677185610","00677-1856-10","Diphenhydramine Hcl",1,1000,0.5,500
"Q0163","Diphenhydramine HCl 50mg","50 MG","UNITED RESEARCH LABORATORIES","00677185701","00677-1857-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","UNITED RESEARCH LABORATORIES","00677185710","00677-1857-10","Diphenhydramine Hcl",1000,1,1000,1000
"Q0163","Diphenhydramine HCl 50mg","50 MG","UNITED RESEARCH LAB","00677185801","00677-1858-01","Diphenhydramine Hcl",1,100,0.5,50
"J1250","Inj dobutamine HCL/250 mg","250 MG","CHIRON","00702737501","00702-7375-01","Dobutamine Hcl",20,1,1,1
"J1250","Inj dobutamine HCL/250 mg","250 MG","CHIRON","00702737510","00702-7375-10","Dobutamine Hcl",20,10,1,10
"J1030","Methylprednisolone 40 MG inj","40 MG","SICOR","00703003104","00703-0031-04","Methylprednisolone Acetate Usp",1,25,1,25
"J1040","Methylprednisolone 80 MG inj","80 MG","SICOR","00703005101","00703-0051-01","Methylprednisolone Acetate",1,1,1,1
"J1040","Methylprednisolone 80 MG inj","80 MG","SICOR","00703005104","00703-0051-04","Methylprednisolone Acetate",1,25,1,25
"J1955","Inj levocarnitine per 1 gm","1 G","SICOR","00703040402","00703-0404-02","Levocarnitine",5,5,1,5
"J1955","Inj levocarnitine per 1 gm","1 G","SICOR","00703040502","00703-0405-02","Levocarnitine",12.5,5,2.5,12.5
"J1450","Fluconazole","200 MG","SICOR","00703101009","00703-1010-09","Fluconazole In Sodium Chloride",200,6,2,12
"J1450","Fluconazole","200 MG","SICOR","00703101909","00703-1019-09","Fluconazole In Sodium Chloride",100,6,1,6
"J3105","Terbutaline sulfate inj","1 MG","SICOR","00703127104","00703-1271-04","Terbutaline Sulfate",1,25,1,25
"J0282","Amiodarone HCl","30 MG","SICOR","00703133501","00703-1335-01","Amiodarone Hcl",9,1,15,15
"J0270","Alprostadil for injection","1.25 MCG","SICOR","00703150102","00703-1501-02","Alprostadil",1,5,400,2000
"J1245","Dipyridamole injection","10 MG","SICOR","00703165201","00703-1652-01","Dipyridamole",2,5,1,5
"J1245","Dipyridamole injection","10 MG","SICOR","00703165202","00703-1652-02","Dipyridamole",2,5,1,5
"J1245","Dipyridamole injection","10 MG","SICOR","00703165401","00703-1654-01","Dipyridamole",10,5,5,25
"J1245","Dipyridamole injection","10 MG","SICOR","00703165402","00703-1654-02","Dipyridamole",10,5,5,25
"J2550","Promethazine hcl injection","50 MG","SICOR","00703219104","00703-2191-04","Promethazine Hcl",1,25,0.5,12.5
"J2550","Promethazine hcl injection","50 MG","SICOR","00703220104","00703-2201-04","Promethazine Hcl",1,25,1,25
"J7636","Atropine inhal sol unit dose","1 MG","SICOR","00703252503","00703-2525-03","Atropine Sulfate",20,10,8,80
"J9190","Fluorouracil injection","500 MG","SICOR","00703301513","00703-3015-13","Adrucil",10,10,1,10
"J9190","Fluorouracil injection","500 MG","SICOR","00703301812","00703-3018-12","Adrucil",50,5,5,25
"J9190","Fluorouracil injection","500 MG","SICOR","00703301912","00703-3019-12","Adrucil",100,5,10,50
"J9040","Bleomycin sulfate injection","15 UNITS","SICOR","00703315401","00703-3154-01","Bleomycin Sulfate",1,1,1,1
"J9040","Bleomycin sulfate injection","15 UNITS","SICOR","00703315491","00703-3154-91","Bleomycin Sulfate",1,1,1,1
"J9040","Bleomycin sulfate injection","15 UNITS","SICOR","00703315501","00703-3155-01","Bleomycin Sulfate",1,1,2,2
"J9040","Bleomycin sulfate injection","15 UNITS","SICOR","00703315591","00703-3155-91","Bleomycin Sulfate",1,1,2,2
"J9045","Carboplatin injection","50 MG","SICOR","00703324411","00703-3244-11","Carboplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","SICOR","00703324611","00703-3246-11","Carboplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","SICOR","00703324811","00703-3248-11","Carboplatin",45,1,9,9
"J9045","Carboplatin injection","50 MG","SICOR","00703326401","00703-3264-01","Carboplatin",1,1,1,1
"J9045","Carboplatin injection","50 MG","SICOR","00703326601","00703-3266-01","Carboplatin",1,1,3,3
"J9045","Carboplatin injection","50 MG","SICOR","00703326801","00703-3268-01","Carboplatin",1,1,9,9
"J1100","Dexamethasone sodium phos","1 MG","SICOR","00703352403","00703-3524-03","Dexamethasone Sodium Phosphate",10,10,100,1000
"J7637","Dexamethasone inhal sol con","1 MG","SICOR","00703352403","00703-3524-03","Dexamethasone Sodium Phosphate",10,10,100,1000
"J7638","Dexamethasone inhal sol u d","1 MG","SICOR","00703352403","00703-3524-03","Dexamethasone Sodium Phosphate",10,10,100,1000
"J9218","Leuprolide acetate injeciton","1 MG","SICOR","00703401418","00703-4014-18","Leuprolide Acetate",1,1,14,14
"J9218","Leuprolide acetate injeciton","1 MG","SICOR","00703402419","00703-4024-19","Leuprolide Acetate",2.8,6,14,84
"J2430","Pamidronate disodium /30 MG","30 MG","MAYNE PHARMA","00703407519","00703-4075-19","Pamidronate Disodium",10,4,1,4
"J2430","Pamidronate disodium /30 MG","30 MG","MAYNE PHARMA","00703408511","00703-4085-11","Pamidronate Disodium",10,1,3,3
"J2430","Pamidronate disodium /30 MG","30 MG","MAYNE PHARMA","00703408591","00703-4085-91","Pamidronate Disodium",10,1,3,3
"J9211","Idarubicin hcl injection","5 MG","SICOR","00703415411","00703-4154-11","Idarubicin",5,1,1,1
"J9211","Idarubicin hcl injection","5 MG","SICOR","00703415511","00703-4155-11","Idarubicin",10,1,2,2
"J9211","Idarubicin hcl injection","5 MG","SICOR","00703415611","00703-4156-11","Idarubicin",20,1,4,4
"J9390","Vinorelbine tartrate/10 mg","10 MG","SICOR","00703418201","00703-4182-01","Vinorelbine Tartrate",1,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","SICOR","00703418281","00703-4182-81","Vinorelbine Tartrate",1,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","SICOR","00703418291","00703-4182-91","Vinorelbine Tartrate",1,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","SICOR","00703418301","00703-4183-01","Vinorelbine Tartrate",5,1,5,5
"J9390","Vinorelbine tartrate/10 mg","10 MG","SICOR","00703418381","00703-4183-81","Vinorelbine Tartrate",1,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","SICOR","00703418391","00703-4183-91","Vinorelbine Tartrate",5,1,5,5
"J9340","Thiotepa injection","15 MG","SICOR","00703430102","00703-4301-02","Thiotepa",1,5,1,5
"J9340","Thiotepa injection","15 MG","SICOR","00703430301","00703-4303-01","Thiotepa",1,1,2,2
"J9370","Vincristine sulfate 1 MG inj","1 MG","SICOR","00703440211","00703-4402-11","Vincristine Sulfate",1,1,1,1
"J9375","Vincristine sulfate 2 MG inj","2 MG","SICOR","00703440211","00703-4402-11","Vincristine Sulfate",1,1,0.5,0.5
"J9380","Vincristine sulfate 5 MG inj","5 MG","SICOR","00703440211","00703-4402-11","Vincristine Sulfate",1,1,0.2,0.2
"J9370","Vincristine sulfate 1 MG inj","1 MG","SICOR","00703441211","00703-4412-11","Vincristine Sulfate",2,1,2,2
"J9375","Vincristine sulfate 2 MG inj","2 MG","SICOR","00703441211","00703-4412-11","Vincristine Sulfate",2,1,1,1
"J9380","Vincristine sulfate 5 MG inj","5 MG","SICOR","00703441211","00703-4412-11","Vincristine Sulfate",2,1,0.4,0.4
"J2765","Metoclopramide hcl injection","10 MG","SICOR","00703450204","00703-4502-04","Metoclopramide Hcl",2,25,1,25
"J9320","Streptozocin injection","1 GM","SICOR","00703463601","00703-4636-01","Zanosar",1,1,1,1
"J9209","Mesna injection","200 MG","SICOR","00703480503","00703-4805-03","Mesna",10,10,5,50
"J9185","Fludarabine phosphate inj","50 MG","SICOR","00703485211","00703-4852-11","Fludara",1,1,1,1
"J9185","Fludarabine phosphate inj","50 MG","SICOR","00703485291","00703-4852-91","Fludarabine Phosphate",1,1,1,1
"J2680","Fluphenazine decanoate 25 MG","25 MG","SICOR","00703500301","00703-5003-01","Fluphenazine Decanoate",5,1,5,5
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","SICOR","00703504001","00703-5040-01","Doxorubicin Hcl",100,1,20,20
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","SICOR","00703504303","00703-5043-03","Doxorubicin Hcl",5,10,1,10
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","SICOR","00703504601","00703-5046-01","Doxorubicin Hcl",25,1,5,5
"J2597","Inj desmopressin acetate","1 MCG","SICOR","00703505103","00703-5051-03","Desmopressin Acetate",1,10,4,40
"J2597","Inj desmopressin acetate","1 MCG","SICOR","00703505401","00703-5054-01","Desmopressin Acetate",10,1,40,40
"J9130","Dacarbazine 100 mg inj","100 MG","SICOR","00703507501","00703-5075-01","Dacarbazine",1,1,2,2
"J9140","Dacarbazine 200 MG inj","200 MG","SICOR","00703507501","00703-5075-01","Dacarbazine",1,1,1,1
"J9130","Dacarbazine 100 mg inj","100 MG","SICOR","00703507503","00703-5075-03","Dacarbazine",1,10,2,20
"J9140","Dacarbazine 200 MG inj","200 MG","SICOR","00703507503","00703-5075-03","Dacarbazine",1,10,1,10
"J0640","Leucovorin calcium injection","50 MG","SICOR","00703514001","00703-5140-01","Leucovorin Calcium",1,1,2,2
"J0640","Leucovorin calcium injection","50 MG","SICOR","00703514501","00703-5145-01","Leucovorin Calcium",1,1,7,7
"J9150","Daunorubicin","10 MG","SICOR","00703523313","00703-5233-13","Daunorubicin Hcl",1,10,2,20
"J9181","Etoposide 10 MG inj","10 MG","SICOR","00703565301","00703-5653-01","Etoposide",5,1,10,10
"J9182","Etoposide 100 MG inj","100 MG","SICOR","00703565301","00703-5653-01","Etoposide",5,1,1,1
"J9181","Etoposide 10 MG inj","10 MG","SICOR","00703565601","00703-5656-01","Etoposide",25,1,50,50
"J9182","Etoposide 100 MG inj","100 MG","SICOR","00703565601","00703-5656-01","Etoposide",25,1,5,5
"J9181","Etoposide 10 MG inj","10 MG","SICOR","00703565701","00703-5657-01","Etoposide",50,1,100,100
"J9182","Etoposide 100 MG inj","100 MG","SICOR","00703565701","00703-5657-01","Etoposide",50,1,10,10
"J9060","Cisplatin 10 MG injection","10 MG","SICOR","00703574711","00703-5747-11","Cisplatin",50,1,5,5
"J9062","Cisplatin 50 MG injection","50 MG","SICOR","00703574711","00703-5747-11","Cisplatin",50,1,1,1
"J9060","Cisplatin 10 MG injection","10 MG","SICOR","00703574811","00703-5748-11","Cisplatin",100,1,10,10
"J9062","Cisplatin 50 MG injection","50 MG","SICOR","00703574811","00703-5748-11","Cisplatin",100,1,2,2
"J9185","Fludarabine phosphate inj","50 MG","SICOR","00703585401","00703-5854-01","Fludarabine Phosphate",1,1,1,1
"J1631","Haloperidol decanoate inj","50 MG","SICOR","00703701103","00703-7011-03","Haloperidol Decanoate",1,10,1,10
"J1631","Haloperidol decanoate inj","50 MG","SICOR","00703701301","00703-7013-01","Haloperidol Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","SICOR","00703702103","00703-7021-03","Haloperidol Decanoate",1,10,2,20
"J1631","Haloperidol decanoate inj","50 MG","SICOR","00703702301","00703-7023-01","Haloperidol Decanoate",5,1,10,10
"J1630","Haloperidol injection","5 MG","SICOR","00703704103","00703-7041-03","Haloperidol Lactate",1,10,1,10
"J1630","Haloperidol injection","5 MG","SICOR","00703704501","00703-7045-01","Haloperidol Lactate",10,1,10,10
"J0780","Prochlorperazine injection","10 MG","SICOR","00703717104","00703-7171-04","Prochlorperazine Edisylate",2,25,1,25
"J0780","Prochlorperazine injection","10 MG","SICOR","00703717501","00703-7175-01","Prochlorperazine Edisylate",10,1,5,5
"J0636","Inj calcitriol per 0.1 mcg","0.1 MCG","SICOR","00703731104","00703-7311-04","Calcijex",1,25,10,250
"J2260","Inj milrinone lactate / 5 MG","5 ML","SICOR","00703800503","00703-8005-03","Milrinone Lactate",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","5 ML","SICOR","00703800603","00703-8006-03","Milrinone Lactate",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","SICOR","00703800801","00703-8008-01","Milrinone Lactate",50,1,10,10
"J0360","Hydralazine hcl injection","20 MG","SICOR","00703820194","00703-8201-94","Hydralazine Hcl",1,25,1,25
"J0150","Injection adenosine 6 MG","6 MG","SICOR","00703877103","00703-8771-03","Adenosine",2,10,1,10
"J0150","Injection adenosine 6 MG","6 MG","SICOR","00703877301","00703-8773-01","Adenosine",4,1,2,2
"J3260","Tobramycin sulfate injection","80 MG","SICOR","00703940204","00703-9402-04","Tobramycin Sulfate",2,25,1,25
"J3260","Tobramycin sulfate injection","80 MG","SICOR","00703941601","00703-9416-01","Tobramycin Sulfate",30,1,15,15
"J7637","Dexamethasone inhal sol con","1 MG","ALTO PHARMACEUTICALS, INC.","00731031075","00731-0310-75","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","ALTO PHARMACEUTICALS, INC.","00731031075","00731-0310-75","Dexamethasone Sodium Phosphate",5,1,20,20
"Q0175","Perphenazine 4mg oral","4 MG","SANDOZ","00781104601","00781-1046-01","Perphenazine",100,1,50,50
"Q0175","Perphenazine 4mg oral","4 MG","SANDOZ","00781104613","00781-1046-13","Perphenazine",100,1,50,50
"Q0175","Perphenazine 4mg oral","4 MG","SANDOZ","00781104701","00781-1047-01","Perphenazine",100,1,100,100
"Q0175","Perphenazine 4mg oral","4 MG","SANDOZ","00781104713","00781-1047-13","Perphenazine",100,1,100,100
"Q0176","Perphenazine 8mg oral","8 MG","SANDOZ","00781104801","00781-1048-01","Perphenazine",100,1,100,100
"Q0176","Perphenazine 8mg oral","8 MG","SANDOZ","00781104813","00781-1048-13","Perphenazine",100,1,100,100
"Q0176","Perphenazine 8mg oral","8 MG","QUALITES","00781104901","00781-1049-01","Perphenazine",100,1,200,200
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","SANDOZ","00781171501","00781-1715-01","Chlorpromazine Hcl",100,1,100,100
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","SANDOZ","00781171601","00781-1716-01","Chlorpromazine Hcl",100,1,100,100
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","SANDOZ","00781171701","00781-1717-01","Chlorpromazine Hcl",100,1,5,500
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","SANDOZ","00781171701","00781-1717-01","Chlorpromazine Hcl",100,1,2,200
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","SANDOZ","00781171801","00781-1718-01","Chlorpromazine Hcl",100,1,10,1000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","SANDOZ","00781171801","00781-1718-01","Chlorpromazine Hcl",100,1,4,400
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","SANDOZ","00781171901","00781-1719-01","Chlorpromazine Hcl",100,1,20,2000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","SANDOZ","00781171901","00781-1719-01","Chlorpromazine Hcl",100,1,8,800
"Q0170","Promethazine HCl 25 mg oral","25 MG","SANDOZ","00781183001","00781-1830-01","Promethazine Hcl",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","25 MG","SANDOZ","00781183010","00781-1830-10","Promethazine Hcl",1000,1,1000,1000
"J2700","Oxacillin sodium injeciton","250 MG","SANDOZ","00781309995","00781-3099-95","Oxacillin Sodium",1,10,4,40
"J2700","Oxacillin sodium injeciton","250 MG","SANDOZ","00781310195","00781-3101-95","Oxacillin Sodium",1,10,8,80
"J2700","Oxacillin sodium injeciton","250 MG","SANDOZ","00781310395","00781-3103-95","Oxacillin Sodium",1,10,40,400
"J0690","Cefazolin sodium injection","500 MG","SANDOZ","00781315796","00781-3157-96","Cefazolin Sodium",1,25,2,50
"J0690","Cefazolin sodium injection","500 MG","SANDOZ","00781333885","00781-3338-85","Cefazolin Sodium",1,1,1,1
"J0690","Cefazolin sodium injection","500 MG","SANDOZ","00781333895","00781-3338-95","Cefazolin Sodium",1,10,1,10
"J0690","Cefazolin sodium injection","500 MG","SANDOZ","00781334646","00781-3346-46","Cefazolin Sodium",1,1,20,20
"J0690","Cefazolin sodium injection","500 MG","SANDOZ","00781334695","00781-3346-95","Cefazolin Sodium",1,10,20,200
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00781340095","00781-3400-95","Ampicillin Sodium",1,10,0.25,2.5
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00781340295","00781-3402-95","Ampicillin Sodium",1,10,0.5,5
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00781340495","00781-3404-95","Ampicillin Sodium",1,10,2,20
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00781340795","00781-3407-95","Ampicillin Sodium",1,10,1,10
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00781340895","00781-3408-95","Ampicillin Sodium",1,10,4,40
"J0290","Ampicillin 500 MG inj","500 MG","SANDOZ","00781340995","00781-3409-95","Ampicillin Sodium",1,10,20,200
"Q0164","Prochlorperazine maleate 5mg","5 MG","SANDOZ","00781502001","00781-5020-01","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","SANDOZ","00781502101","00781-5021-01","Prochlorperazine Maleate",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","SANDOZ","00781502201","00781-5022-01","Methylprednisolone",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","SANDOZ","00781502207","00781-5022-07","Methylprednisolone (Pak)",21,1,21,21
"J7500","Azathioprine oral 50mg","50 MG","SANDOZ","00781507501","00781-5075-01","Azathioprine",100,1,100,100
"J2540","Penicillin g potassium inj","600000 UNITS","SANDOZ","00781613595","00781-6135-95","Penicillin G Potassium",1,10,8.33,83.3
"J2540","Penicillin g potassium inj","600000 UNITS","SANDOZ","00781613694","00781-6136-94","Penicillin G Potassium",1,1,33.33,33.33
"J0697","Sterile cefuroxime injection","750 MG","SANDOZ","00781920570","00781-9205-70","Cefuroxime Sodium",1,1,1,1
"J0697","Sterile cefuroxime injection","750 MG","SANDOZ","00781920680","00781-9206-80","Cefuroxime Sodium",1,1,2,2
"J0697","Sterile cefuroxime injection","750 MG","SANDOZ","00781920746","00781-9207-46","Cefuroxime Sodium",1,1,10,10
"J7637","Dexamethasone inhal sol con","1 MG","IDE INTERSTATE","00814235038","00814-2350-38","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","IDE INTERSTATE","00814235038","00814-2350-38","Dexamethasone Sodium Phosphate",5,1,20,20
"J7637","Dexamethasone inhal sol con","1 MG","IDE INTERSTATE","00814235046","00814-2350-46","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","IDE INTERSTATE","00814235046","00814-2350-46","Dexamethasone Sodium Phosphate",30,1,120,120
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030000","00832-0300-00","Chlorpromazine Hcl",100,1,100,100
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030010","00832-0300-10","Chlorpromazine Hcl",1000,1,1000,1000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030100","00832-0301-00","Chlorpromazine Hcl",100,1,100,100
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030110","00832-0301-10","Chlorpromazine Hcl",1000,1,1000,1000
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030200","00832-0302-00","Chlorpromazine Hcl",100,1,5,500
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030200","00832-0302-00","Chlorpromazine Hcl",100,1,2,200
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030210","00832-0302-10","Chlorpromazine Hcl",1000,1,5,5000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030210","00832-0302-10","Chlorpromazine Hcl",1000,1,2,2000
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030300","00832-0303-00","Chlorpromazine Hcl",100,1,10,1000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030300","00832-0303-00","Chlorpromazine Hcl",100,1,4,400
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030310","00832-0303-10","Chlorpromazine Hcl",1000,1,10,10000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030310","00832-0303-10","Chlorpromazine Hcl",1000,1,4,4000
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030400","00832-0304-00","Chlorpromazine Hcl",100,1,20,2000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030400","00832-0304-00","Chlorpromazine Hcl",100,1,8,800
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UPSHER-SMITH","00832030410","00832-0304-10","Chlorpromazine Hcl",1000,1,20,20000
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UPSHER-SMITH","00832030410","00832-0304-10","Chlorpromazine Hcl",1000,1,8,8000
"J7051","Sterile saline/water","5 CC","MAJOR PHARMACEUTICALS","00904089530","00904-0895-30","Bacteriostatic H2O For Inject",30,1,6,6
"J7637","Dexamethasone inhal sol con","1 MG","MAJOR PHARMACEUTICALS","00904090505","00904-0905-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","MAJOR PHARMACEUTICALS","00904090505","00904-0905-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J7637","Dexamethasone inhal sol con","1 MG","MAJOR PHARMACEUTICALS","00904090510","00904-0905-10","Dexamethasone Sodium Phosphate",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","MAJOR PHARMACEUTICALS","00904090510","00904-0905-10","Dexamethasone Sodium Phosphate",10,1,40,40
"J7637","Dexamethasone inhal sol con","1 MG","MAJOR PHARMACEUTICALS","00904090530","00904-0905-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","MAJOR PHARMACEUTICALS","00904090530","00904-0905-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J8610","Methotrexate oral 2.5 MG","2.5 MG","MAJOR PHARMACEUTICALS","00904174960","00904-1749-60","Methotrexate",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","MAJOR PHARMACEUTICALS","00904205661","00904-2056-61","Diphenhydramine Hcl",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","MAJOR PHARMACEUTICALS","00904217519","00904-2175-19","Methylprednisolone (Pak)",21,1,21,21
"J0640","Leucovorin calcium injection","50 MG","MAJOR PHARMACEUTICALS","00904231560","00904-2315-60","Leucovorin Calcium",100,1,10,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","MAJOR PHARMACEUTICALS","00904530760","00904-5307-60","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","MAJOR PHARMACEUTICALS","00904530780","00904-5307-80","Diphenhydramine Hcl",1000,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","MAJOR PHARMACEUTICALS","00904765855","00904-7658-55","Albuterol Sulfate",20,1,100,100
"P9046","Albumin (human), 25%, 20 ml","20 ML","BAXTER","00944049001","00944-0490-01","Buminate",20,1,1,1
"P9047","Albumin (human), 25%, 50ml","50 ML","BAXTER","00944049001","00944-0490-01","Buminate",20,1,0.4,0.4
"P9046","Albumin (human), 25%, 20 ml","20 ML","BAXTER","00944049002","00944-0490-02","Buminate",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","BAXTER","00944049002","00944-0490-02","Buminate",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","BAXTER","00944049003","00944-0490-03","Buminate",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","BAXTER","00944049003","00944-0490-03","Buminate",100,1,2,2
"P9041","Albumin (human),5%, 50ml","50 ML","BAXTER","00944049101","00944-0491-01","Buminate",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","BAXTER","00944049101","00944-0491-01","Buminate",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","BAXTER","00944049102","00944-0491-02","Buminate",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","BAXTER","00944049102","00944-0491-02","Buminate",500,1,2,2
"J7194","Factor ix complex","1 IU","BAXTER","00944058101","00944-0581-01","Proplex T Factor Ix Complex",1,1,1,1
"Q9941","IVIG lyophil 1G","1 GRAM","BAXTER","00944262001","00944-2620-01","Gammagard S/D",1,1,0.5,0.5
"Q9942","IVIG lyophil 10 mg","10 MG","BAXTER","00944262001","00944-2620-01","Gammagard S/D",1,1,50,50
"Q9941","IVIG lyophil 1G","1 GRAM","BAXTER","00944262002","00944-2620-02","Gammagard S/D",1,1,2.5,2.5
"Q9942","IVIG lyophil 10 mg","10 MG","BAXTER","00944262002","00944-2620-02","Gammagard S/D",1,1,250,250
"Q9941","IVIG lyophil 1G","1 GRAM","BAXTER","00944262003","00944-2620-03","Gammagard S/D",1,1,5,5
"Q9942","IVIG lyophil 10 mg","10 MG","BAXTER","00944262003","00944-2620-03","Gammagard S/D",1,1,500,500
"Q9941","IVIG lyophil 1G","1 GRAM","BAXTER","00944262004","00944-2620-04","Gammagard S/D",1,1,10,10
"Q9942","IVIG lyophil 10 mg","10 MG","BAXTER","00944262004","00944-2620-04","Gammagard S/D",1,1,1000,1000
"J7190","Factor viii","1 IU","BAXTER","00944293501","00944-2935-01","Hemofil M",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAXTER","00944293801","00944-2938-01","Recombinate",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAXTER","00944293802","00944-2938-02","Recombinate",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAXTER","00944293803","00944-2938-03","Recombinate",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAXTER","00944294001","00944-2940-01","Advate",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAXTER","00944294002","00944-2940-02","Advate",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAXTER","00944294003","00944-2940-03","Advate",1,1,1,1
"J7192","Factor viii recombinant","1 IU","BAXTER","00944294004","00944-2940-04","Advate",1,1,1,1
"J2790","Rho d immune globulin inj","300 MCG","BAXTER","00944295006","00944-2950-06","Winrho Sdf",1,1,3.33,3.33
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GUERBET","06768410001","06768-4100-01","Oxilan 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GUERBET","06768410002","06768-4100-02","Oxilan 300",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GUERBET","06768410003","06768-4100-03","Oxilan 300",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","GUERBET","06768410004","06768-4100-04","Oxilan 300",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GUERBET","06768410011","06768-4100-11","Oxilan 350",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GUERBET","06768410012","06768-4100-12","Oxilan 350",100,10,100,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GUERBET","06768410013","06768-4100-13","Oxilan 350",150,10,150,1500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","GUERBET","06768410014","06768-4100-14","Oxilan 350",200,10,200,2000
"J7317","Sodium hyaluronate injection","20 MG","SANOFI PHARMACEUTICALS","08024072412","08024-0724-12","Hyalgan",2,1,1,1
"J7317","Sodium hyaluronate injection","20 MG","SANOFI PHARMACEUTICALS","08024072420","08024-0724-20","Hyalgan",2,1,1,1
"J1642","Inj heparin sodium per 10 u","10 UNITS","VITAL SIGNS","08166110005","08166-1100-05","Heparin Sodium Lock Flush",5,1,50,50
"J2912","Sodium chloride injection","2 CC","VITAL SIGNS","08166110905","08166-1109-05","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","VITAL SIGNS","08166110905","08166-1109-05","Sodium Chloride",5,1,0.25,0.25
"J1642","Inj heparin sodium per 10 u","10 UNITS","VITAL SIGNS","08166111005","08166-1110-05","Vasceze",5,1,5,5
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290031002","08290-0310-02","Normal Saline Flush",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290031002","08290-0310-02","Normal Saline Flush",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290031003","08290-0310-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290031003","08290-0310-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290031102","08290-0311-02","Normal Saline Flush",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290031102","08290-0311-02","Normal Saline Flush",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290031103","08290-0311-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290031103","08290-0311-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290032003","08290-0320-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290032003","08290-0320-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290032005","08290-0320-05","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290032005","08290-0320-05","Normal Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290032103","08290-0321-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290032103","08290-0321-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290032105","08290-0321-05","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290032105","08290-0321-05","Normal Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290033003","08290-0330-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290033003","08290-0330-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290033005","08290-0330-05","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290033005","08290-0330-05","Normal Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290033010","08290-0330-10","Normal Saline Flush",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290033010","08290-0330-10","Normal Saline Flush",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290033103","08290-0331-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290033103","08290-0331-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290033105","08290-0331-05","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290033105","08290-0331-05","Normal Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290033110","08290-0331-10","Normal Saline Flush",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290033110","08290-0331-10","Normal Saline Flush",10,1,0.5,0.5
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290034002","08290-0340-02","Heparin Lock Flush",2,1,2,2
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290034003","08290-0340-03","Heparin Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290035005","08290-0350-05","Heparin Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290036003","08290-0360-03","Heparin Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290036005","08290-0360-05","Heparin Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290036006","08290-0360-06","Heparin Lock Flush",6,1,6,6
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290036105","08290-0361-05","Heparin Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290037002","08290-0370-02","Heparin Lock Flush",2,1,20,20
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290037003","08290-0370-03","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290038003","08290-0380-03","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290038005","08290-0380-05","Heparin Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290039003","08290-0390-03","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290039005","08290-0390-05","Heparin Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290039105","08290-0391-05","Heparin Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","B-D HOSPITAL DIVISION","08290042005","08290-0420-05","Heparin Sodium Flush",1,1,10,10
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290091002","08290-0910-02","Normal Saline Flush",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290091002","08290-0910-02","Normal Saline Flush",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290091003","08290-0910-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290091003","08290-0910-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290091102","08290-0911-02","Normal Saline Flush",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290091102","08290-0911-02","Normal Saline Flush",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290091103","08290-0911-03","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290091103","08290-0911-03","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290092005","08290-0920-05","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290092005","08290-0920-05","Normal Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290092105","08290-0921-05","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290092105","08290-0921-05","Normal Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290093010","08290-0930-10","Normal Saline Flush",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290093010","08290-0930-10","Normal Saline Flush",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290094010","08290-0940-10","Normal Saline Flush",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290094010","08290-0940-10","Normal Saline Flush",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","B-D HOSPITAL DIVISION","08290094110","08290-0941-10","Normal Saline Flush",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","B-D HOSPITAL DIVISION","08290094110","08290-0941-10","Normal Saline Flush",10,1,0.5,0.5
"J7317","Sodium hyaluronate injection","20 MG","SMITH & NEPHEW","08363776501","08363-7765-01","Supartz",2.5,5,1.25,6.25
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450090102","08450-0901-02","Sodium Chloride",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450090102","08450-0901-02","Sodium Chloride",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450090303","08450-0903-03","Sodium Chloride",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450090303","08450-0903-03","Sodium Chloride",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450090505","08450-0905-05","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450090505","08450-0905-05","Sodium Chloride",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450090610","08450-0906-10","Sodium Chloride",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450090610","08450-0906-10","Sodium Chloride",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450601102","08450-6011-02","Sodium Chloride",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450601102","08450-6011-02","Sodium Chloride",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450601203","08450-6012-03","Sodium Chloride",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450601203","08450-6012-03","Sodium Chloride",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450601305","08450-6013-05","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450601305","08450-6013-05","Sodium Chloride",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","08450601410","08450-6014-10","Sodium Chloride",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","08450601410","08450-6014-10","Sodium Chloride",10,1,0.5,0.5
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450602603","08450-6026-03","Heparin Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450603005","08450-6030-05","Heparin Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450603403","08450-6034-03","Heparin Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450603705","08450-6037-05","Heparin Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450604603","08450-6046-03","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450604903","08450-6049-03","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450605005","08450-6050-05","Heparin Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450605503","08450-6055-03","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","08450605805","08450-6058-05","Heparin Lock Flush",5,1,50,50
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478400402","08478-4004-02","Integra - Bmwd",1,1,25,25
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478400405","08478-4004-05","Integra - Bmwd",1,1,125,125
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478400406","08478-4004-06","Integra - Bmwd",1,1,250,250
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478400408","08478-4004-08","Integra - Bmwd",1,1,500,500
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478800402","08478-8004-02","Integra - Drt",1,1,25,25
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478800405","08478-8004-05","Integra - Drt",1,1,125,125
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478800406","08478-8004-06","Integra - Drt",1,1,250,250
"J7343","Nonmetabolic act d/e tissue","1 SQ CM","INTEGRA LIFESCIENCES","08478800408","08478-8004-08","Integra - Drt",1,1,500,500
"J7340","Metabolic active D/E tissue","1 SQ CM","NOVARTIS","09978000199","09978-0001-99","Apligraf",1,1,44,44
"J7642","Glycopyrrolate inhal sol con","1 MG","BAXTER","10019001654","10019-0016-54","Glycopyrrolate",5,25,1,25
"J7643","Glycopyrrolate inhal sol u d","1 MG","BAXTER","10019001654","10019-0016-54","Glycopyrrolate",5,25,1,25
"J1885","Ketorolac tromethamine inj","15 MG","BAXTER","10019002109","10019-0021-09","Ketorolac Tromethamine",1,10,1,10
"J1885","Ketorolac tromethamine inj","15 MG","BAXTER","10019002209","10019-0022-09","Ketorolac Tromethamine",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","BAXTER","10019002232","10019-0022-32","Ketorolac Tromethamine",2,10,4,40
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002701","10019-0027-01","Midazolam Hcl",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002702","10019-0027-02","Midazolam Hcl",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002703","10019-0027-03","Midazolam Hcl",1,25,5,125
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002704","10019-0027-04","Midazolam Hcl",1,25,10,250
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002705","10019-0027-05","Midazolam Hcl",5,10,25,250
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002710","10019-0027-10","Midazolam Hcl",10,10,50,500
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002802","10019-0028-02","Midazolam Hcl",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002803","10019-0028-03","Midazolam Hcl",2,25,2,50
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002805","10019-0028-05","Midazolam Hcl",5,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","BAXTER","10019002810","10019-0028-10","Midazolam Hcl",10,10,10,100
"J1885","Ketorolac tromethamine inj","15 MG","BAXTER","10019002902","10019-0029-02","Ketorolac Tromethamine",1,25,1,25
"J1885","Ketorolac tromethamine inj","15 MG","BAXTER","10019003003","10019-0030-03","Ketorolac Tromethamine",1,25,2,50
"J1885","Ketorolac tromethamine inj","15 MG","BAXTER","10019003004","10019-0030-04","Ketorolac Tromethamine",2,25,4,100
"J3010","Fentanyl citrate injeciton","0.1 MG","BAXTER","10019003372","10019-0033-72","Fentanyl Citrate",5,10,2.5,25
"J3010","Fentanyl citrate injeciton","0.1 MG","BAXTER","10019003473","10019-0034-73","Fentanyl Citrate",10,5,5,25
"J3010","Fentanyl citrate injeciton","0.1 MG","BAXTER","10019003574","10019-0035-74","Fentanyl Citrate",20,5,10,50
"J3010","Fentanyl citrate injeciton","0.1 MG","BAXTER","10019003682","10019-0036-82","Fentanyl Citrate",30,1,15,15
"J3010","Fentanyl citrate injeciton","0.1 MG","BAXTER","10019003783","10019-0037-83","Fentanyl Citrate",50,1,25,25
"J3010","Fentanyl citrate injeciton","0.1 MG","BAXTER","10019003867","10019-0038-67","Fentanyl Citrate",2,10,1,10
"J0150","Injection adenosine 6 MG","6 MG","BAXTER","10019006303","10019-0063-03","Adenosine",2,25,1,25
"J2260","Inj milrinone lactate / 5 MG","5 ML","BAXTER","10019007001","10019-0070-01","Milrinone Lactate",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","5 ML","BAXTER","10019007002","10019-0070-02","Milrinone Lactate",20,10,4,40
"J2060","Lorazepam injection","2 MG","BAXTER","10019010201","10019-0102-01","Lorazepam",1,25,1,25
"J2060","Lorazepam injection","2 MG","BAXTER","10019010210","10019-0102-10","Lorazepam",10,10,10,100
"J2060","Lorazepam injection","2 MG","BAXTER","10019010301","10019-0103-01","Lorazepam",1,25,2,50
"J2060","Lorazepam injection","2 MG","BAXTER","10019010310","10019-0103-10","Lorazepam",10,10,20,200
"J0282","Amiodarone HCl","30 MG","BAXTER","10019013101","10019-0131-01","Amiodarone Hcl",3,10,5,50
"J0282","Amiodarone HCl","30 MG","BAXTER","10019013301","10019-0133-01","Amiodarone Hcl",3,10,5,50
"J0282","Amiodarone HCl","30 MG","BAXTER","10019013302","10019-0133-02","Amiodarone Hcl",18,1,30,30
"J0282","Amiodarone HCl","30 MG","BAXTER","10019013304","10019-0133-04","Amiodarone Hcl",9,10,135,1350
"J1800","Propranolol injection","1 MG","BAXTER","10019014501","10019-0145-01","Inderal",1,10,1,10
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019015568","10019-0155-68","Meperidine Hcl",1,25,0.25,6.25
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019015668","10019-0156-68","Meperidine Hcl",1,25,0.5,12.5
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019015768","10019-0157-68","Meperidine Hcl",1,25,0.75,18.75
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019015868","10019-0158-68","Meperidine Hcl",1,25,1,25
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019015901","10019-0159-01","Meperidine Hcl",1,25,0.25,6.25
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019016001","10019-0160-01","Meperidine Hcl",1,25,0.5,12.5
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019016101","10019-0161-01","Meperidine Hcl",1,25,0.75,18.75
"J2175","Meperidine hydrochl /100 MG","100 MG","BAXTER","10019016201","10019-0162-01","Meperidine Hcl",1,25,1,25
"J2370","Phenylephrine hcl injection","1 ML","BAXTER","10019016301","10019-0163-01","Phenylephrine Hcl",5,25,5,125
"J2370","Phenylephrine hcl injection","1 ML","BAXTER","10019016312","10019-0163-12","Phenylephrine Hcl",1,25,1,25
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017644","10019-0176-44","Morphine Sulfate",1,25,0.5,12.5
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017644","10019-0176-44","Morphine Sulfate",1,25,0.05,1.25
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017744","10019-0177-44","Morphine Sulfate",1,25,0.8,20
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017744","10019-0177-44","Morphine Sulfate",1,25,0.08,2
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017768","10019-0177-68","Morphine Sulfate",1,25,0.8,20
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017768","10019-0177-68","Morphine Sulfate",1,25,0.08,2
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017844","10019-0178-44","Morphine Sulfate",1,25,1,25
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017844","10019-0178-44","Morphine Sulfate",1,25,0.1,2.5
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017862","10019-0178-62","Morphine Sulfate",10,1,10,10
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017862","10019-0178-62","Morphine Sulfate",10,1,1,1
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017868","10019-0178-68","Morphine Sulfate",1,25,1,25
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017868","10019-0178-68","Morphine Sulfate",1,25,0.1,2.5
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017944","10019-0179-44","Morphine Sulfate",1,25,1.5,37.5
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017944","10019-0179-44","Morphine Sulfate",1,25,0.15,3.75
"J2270","Morphine sulfate injection","10 MG","BAXTER","10019017963","10019-0179-63","Morphine Sulfate",20,1,30,30
"J2271","Morphine so4 injection 100mg","100 MG","BAXTER","10019017963","10019-0179-63","Morphine Sulfate",20,1,3,3
"J0460","Atropine sulfate injection","0.3 MG","BAXTER","10019025012","10019-0250-12","Atropine Sulfate",1,25,1.33,33.25
"J0460","Atropine sulfate injection","0.3 MG","BAXTER","10019025020","10019-0250-20","Atropine Sulfate",20,10,26.6,266
"J7635","Atropine inhal sol con","1 MG","BAXTER","10019025020","10019-0250-20","Atropine Sulfate",20,10,8,80
"J7636","Atropine inhal sol unit dose","1 MG","BAXTER","10019025020","10019-0250-20","Atropine Sulfate",20,10,8,80
"J0460","Atropine sulfate injection","0.3 MG","BAXTER","10019025112","10019-0251-12","Atropine Sulfate",1,25,3.33,83.25
"J2710","Neostigmine methylslfte inj","0.5 MG","BAXTER","10019027010","10019-0270-10","Neostigmine Methylsulfate",10,10,20,200
"J2710","Neostigmine methylslfte inj","0.5 MG","BAXTER","10019027102","10019-0271-02","Neostigmine Methylsulfate",1,10,1,10
"J2710","Neostigmine methylslfte inj","0.5 MG","BAXTER","10019027110","10019-0271-10","Neostigmine Methylsulfate",10,10,10,100
"J2765","Metoclopramide hcl injection","10 MG","BAXTER","10019045002","10019-0450-02","Metoclopramide Hcl",2,25,1,25
"J0595","Butorphanol tartrate 1 mg","1 MG","BAXTER","10019046101","10019-0461-01","Butorphanol Tartrate",1,10,1,10
"J0690","Cefazolin sodium injection","500 MG","BAXTER","10019061001","10019-0610-01","Cefazolin Sodium",10,25,10,250
"J0690","Cefazolin sodium injection","500 MG","BAXTER","10019061103","10019-0611-03","Cefazolin Sodium",10,25,20,500
"J0690","Cefazolin sodium injection","500 MG","BAXTER","10019061306","10019-0613-06","Cefazolin Sodium",100,10,40,400
"J0697","Sterile cefuroxime injection","750 MG","BAXTER","10019062001","10019-0620-01","Cefuroxime Sodium",10,25,10,250
"J0697","Sterile cefuroxime injection","750 MG","BAXTER","10019062103","10019-0621-03","Cefuroxime Sodium",20,25,40,1000
"J0697","Sterile cefuroxime injection","750 MG","BAXTER","10019062205","10019-0622-05","Cefuroxime Sodium",100,10,1000,10000
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","BAXTER","10019063001","10019-0630-01","Ampicillin-Sulbactam",10,10,1,10
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","BAXTER","10019063002","10019-0630-02","Ampicillin-Sulbactam",10,10,2,20
"J0295","Ampicillin sodium per 1.5 gm","1.5 GM","BAXTER","10019063003","10019-0630-03","Ampicillin-Sulbactam",100,1,10,10
"J0694","Cefoxitin sodium injection","1 GM","BAXTER","10019066001","10019-0660-01","Cefoxitin Sodium",25,1,25,25
"J0694","Cefoxitin sodium injection","1 GM","BAXTER","10019066102","10019-0661-02","Cefoxitin Sodium",25,1,50,50
"J0694","Cefoxitin sodium injection","1 GM","BAXTER","10019066203","10019-0662-03","Cefoxitin Sodium",10,1,100,100
"J9060","Cisplatin 10 MG injection","10 MG","BAXTER","10019091001","10019-0910-01","Cisplatin",50,1,5,5
"J9062","Cisplatin 50 MG injection","50 MG","BAXTER","10019091001","10019-0910-01","Cisplatin",50,1,1,1
"J9060","Cisplatin 10 MG injection","10 MG","BAXTER","10019091002","10019-0910-02","Cisplatin",100,1,10,10
"J9062","Cisplatin 50 MG injection","50 MG","BAXTER","10019091002","10019-0910-02","Cisplatin",100,1,2,2
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BAXTER","10019092001","10019-0920-01","Doxorubicin Hcl",10,1,1,1
"J9181","Etoposide 10 MG inj","10 MG","BAXTER","10019093001","10019-0930-01","Etoposide",5,1,10,10
"J9182","Etoposide 100 MG inj","100 MG","BAXTER","10019093001","10019-0930-01","Etoposide",5,1,1,1
"J9181","Etoposide 10 MG inj","10 MG","BAXTER","10019093002","10019-0930-02","Etoposide",5,1,50,50
"J9182","Etoposide 100 MG inj","100 MG","BAXTER","10019093002","10019-0930-02","Etoposide",5,1,5,5
"J9209","Mesna injection","200 MG","BAXTER","10019095301","10019-0953-01","Mesna",10,1,5,5
"J9209","Mesna injection","200 MG","BAXTER","10019095302","10019-0953-02","Mesna",10,10,5,50
"J9070","Cyclophosphamide 100 MG inj","100 MG","BAXTER","10019095501","10019-0955-01","Cyclophosphamide",50,1,5,5
"J9080","Cyclophosphamide 200 MG inj","200 MG","BAXTER","10019095501","10019-0955-01","Cyclophosphamide",50,1,2.5,2.5
"J9090","Cyclophosphamide 500 MG inj","500 MG","BAXTER","10019095501","10019-0955-01","Cyclophosphamide",50,1,1,1
"J9091","Cyclophosphamide 1.0 grm inj","1 GM","BAXTER","10019095501","10019-0955-01","Cyclophosphamide",50,1,0.5,0.5
"J9092","Cyclophosphamide 2.0 grm inj","2 GM","BAXTER","10019095501","10019-0955-01","Cyclophosphamide",50,1,0.25,0.25
"J9070","Cyclophosphamide 100 MG inj","100 MG","BAXTER","10019095601","10019-0956-01","Cyclophosphamide",75,1,10,10
"J9080","Cyclophosphamide 200 MG inj","200 MG","BAXTER","10019095601","10019-0956-01","Cyclophosphamide",75,1,5,5
"J9090","Cyclophosphamide 500 MG inj","500 MG","BAXTER","10019095601","10019-0956-01","Cyclophosphamide",75,1,2,2
"J9091","Cyclophosphamide 1.0 grm inj","1 GM","BAXTER","10019095601","10019-0956-01","Cyclophosphamide",75,1,1,1
"J9092","Cyclophosphamide 2.0 grm inj","2 GM","BAXTER","10019095601","10019-0956-01","Cyclophosphamide",75,1,0.5,0.5
"J9070","Cyclophosphamide 100 MG inj","100 MG","BAXTER","10019095701","10019-0957-01","Cyclophosphamide",100,1,20,20
"J9080","Cyclophosphamide 200 MG inj","200 MG","BAXTER","10019095701","10019-0957-01","Cyclophosphamide",100,1,10,10
"J9090","Cyclophosphamide 500 MG inj","500 MG","BAXTER","10019095701","10019-0957-01","Cyclophosphamide",100,1,0.4,0.4
"J9091","Cyclophosphamide 1.0 grm inj","1 GM","BAXTER","10019095701","10019-0957-01","Cyclophosphamide",100,1,2,2
"J9092","Cyclophosphamide 2.0 grm inj","2 GM","BAXTER","10019095701","10019-0957-01","Cyclophosphamide",100,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","BAXTER","10019097001","10019-0970-01","Vinorelbine Tartrate",1,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","BAXTER","10019097002","10019-0970-02","Vinorelbine Tartrate",5,1,5,5
"Q0163","Diphenhydramine HCl 50mg","50 MG","MARLEX PHARMACEUTICALS","10135015601","10135-0156-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","MARLEX PHARMACEUTICALS","10135015610","10135-0156-10","Diphenhydramine Hcl",1000,1,1000,1000
"Q0163","Diphenhydramine HCl 50mg","50 MG","MARLEX PHARMACEUTICALS","10135015613","10135-0156-13","Diphenhydramine Hcl",100,1,100,100
"Q4080","Iloprost inhalation solution","20 MCG","COTHERIX","10148010100","10148-0101-00","Ventavis",2,30,1,1
"Q4080","Iloprost inhalation solution","20 MCG","COTHERIX","10148010101","10148-0101-01","Ventavis",2,100,1,100
"Q4080","Iloprost inhalation solution","20 MCG","COTHERIX","10148010130","10148-0101-30","Ventavis",2,30,1,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","CONTRACT PHARMACAL CORPORATION","10267083601","10267-0836-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","CONTRACT PHARMACAL CORPORATION","10267083604","10267-0836-04","Diphenhydramine Hcl",1000,1,1000,1000
"J1644","Inj heparin sodium per 1000u","1000 UNITS","PEGASUS","10974000805","10974-0008-05","Heparin Sodium (Porcine)",5,1,50,50
"J3415","Pyridoxine hcl 100 mg","100 MG","PEGASUS","10974005930","10974-0059-30","Pyridoxine Hcl",30,1,30,30
"J3420","Vitamin b12 injection","1000 MCG","PEGASUS","10974006910","10974-0069-10","Cyanocobalamin",10,1,10,10
"J3420","Vitamin b12 injection","1000 MCG","PEGASUS","10974007030","10974-0070-30","Cyanocobalamin",30,1,30,30
"J3475","Inj magnesium sulfate","500 MG","PEGASUS","10974008330","10974-0083-30","Magnesium Sulfate",30,1,30,30
"J1790","Droperidol injection","1 MG","TAYLOR","11098001001","11098-0010-01","Inapsine",1,10,0.5,5
"J1790","Droperidol injection","1 MG","TAYLOR","11098001002","11098-0010-02","Inapsine",2,10,1,10
"J3010","Fentanyl citrate injeciton","0.1 MG","TAYLOR","11098003002","11098-0030-02","Sublimaze",2,10,1,10
"J3010","Fentanyl citrate injeciton","0.1 MG","TAYLOR","11098003005","11098-0030-05","Sublimaze",5,10,2.5,25
"J3010","Fentanyl citrate injeciton","0.1 MG","TAYLOR","11098003010","11098-0030-10","Sublimaze",10,5,5,25
"J3010","Fentanyl citrate injeciton","0.1 MG","TAYLOR","11098003020","11098-0030-20","Sublimaze",20,5,10,50
"J0470","Dimecaprol injection","100 MG","TAYLOR","11098052603","11098-0526-03","Bal In Oil",3,10,3,30
"J1600","Gold sodium thiomaleate inj","50 MG","TAYLOR","11098053301","11098-0533-01","Myochrysine",1,6,1,6
"J1600","Gold sodium thiomaleate inj","50 MG","TAYLOR","11098053310","11098-0533-10","Myochrysine",10,1,10,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","MASON DISTRIBUTORS","11845092001","11845-0920-01","Diphenhydramine Hcl",100,1,100,100
"Q9957","Inj perflutren lip micros, ml","1 ML","BRISTOL-MYERS SQUIBB MEDICAL IMAGING","11994001104","11994-0011-04","Definity",1,4,2,8
"J0592","Buprenorphine hydrochloride","0.1 MG","RECKITT BENCKISER","12496075701","12496-0757-01","Buprenex",1,10,3,30
"J1460","Gamma globulin 1 CC inj","1 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,2,2
"J1470","Gamma globulin 2 CC inj","2 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,1,1
"J1480","Gamma globulin 3 CC inj","3 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.667,0.667
"J1490","Gamma globulin 4 CC inj","4 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.5,0.5
"J1500","Gamma globulin 5 CC inj","5 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.4,0.4
"J1510","Gamma globulin 6 CC inj","6 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.333,0.333
"J1520","Gamma globulin 7 CC inj","7 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.286,0.286
"J1530","Gamma globulin 8 CC inj","8 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.25,0.25
"J1540","Gamma globulin 9 CC inj","9 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.222,0.222
"J1550","Gamma globulin 10 CC inj","10 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,0.2,0.2
"J1560","Gamma globulin > 10 CC inj","10 ML","MASS.PUBLIC HEALTH BIOLOGIC","14362011502","14362-0115-02","Immune Globulin (Human)",2,1,2,2
"J7637","Dexamethasone inhal sol con","1 MG","VERATEX CORP.","17022129501","17022-1295-01","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","VERATEX CORP.","17022129501","17022-1295-01","Dexamethasone Sodium Phosphate",5,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","AKYMA PHARMACEUTICALS","17236051801","17236-0518-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","AKYMA PHARMACEUTICALS","17236051810","17236-0518-10","Diphenhydramine Hcl",1000,1,1000,1000
"J9001","Doxorubicin hcl liposome inj","10 MG","ORTHO BIOTECH","17314960001","17314-9600-01","Doxil",10,1,2,2
"J9001","Doxorubicin hcl liposome inj","10 MG","ORTHO BIOTECH","17314960002","17314-9600-02","Doxil",25,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012301","17474-0123-01","Heparin (Porcine) Lock Flush",10,180,10,1800
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012302","17474-0123-02","Heparin (Porcine) Lock Flush",2.5,180,2.5,450
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012303","17474-0123-03","Heparin (Porcine) Lock Flush",2.5,180,2.5,450
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012305","17474-0123-05","Heparin (Porcine) Lock Flush",5,180,5,900
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012501","17474-0125-01","Heparin (Porcine) Lock Flush",10,180,100,18000
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012502","17474-0125-02","Heparin (Porcine) Lock Flush",2.5,180,25,4500
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012503","17474-0125-03","Heparin (Porcine) Lock Flush",2.5,180,25,4500
"J1642","Inj heparin sodium per 10 u","10 UNITS","KENDALL HEALTHCARE","17474012505","17474-0125-05","Heparin (Porcine) Lock Flush",5,180,50,9000
"J2912","Sodium chloride injection","2 CC","KENDALL HEALTHCARE","17474300201","17474-3002-01","Sodium Chloride",10,180,5,900
"J7130","Hypertonic saline solution","20 CC","KENDALL HEALTHCARE","17474300201","17474-3002-01","Sodium Chloride",10,180,0.5,90
"J2912","Sodium chloride injection","2 CC","KENDALL HEALTHCARE","17474300202","17474-3002-02","Sodium Chloride",2.5,180,1.25,225
"J7130","Hypertonic saline solution","20 CC","KENDALL HEALTHCARE","17474300202","17474-3002-02","Sodium Chloride",2.5,180,0.125,22.5
"J2912","Sodium chloride injection","2 CC","KENDALL HEALTHCARE","17474300203","17474-3002-03","Sodium Chloride",2.5,180,1.25,225
"J7130","Hypertonic saline solution","20 CC","KENDALL HEALTHCARE","17474300203","17474-3002-03","Sodium Chloride",2.5,180,0.125,22.5
"J2912","Sodium chloride injection","2 CC","KENDALL HEALTHCARE","17474300205","17474-3002-05","Sodium Chloride",5,180,2.5,450
"J7130","Hypertonic saline solution","20 CC","KENDALL HEALTHCARE","17474300205","17474-3002-05","Sodium Chloride",5,180,0.25,45
"J2060","Lorazepam injection","2 MG","AKORN","17478004001","17478-0040-01","Lorazepam",1,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","ADVANCE","17714002101","17714-0021-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","ADVANCE","17714002110","17714-0021-10","Diphenhydramine Hcl",1000,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","BAUSCH & LOMB","24208034720","24208-0347-20","Albuterol Sulfate",20,1,100,100
"J7637","Dexamethasone inhal sol con","1 MG","LEGERE PHARMACEUTICALS","25332001005","25332-0010-05","Dexasone",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","LEGERE PHARMACEUTICALS","25332001005","25332-0010-05","Dexasone",5,1,20,20
"J1094","Inj dexamethasone acetate","1 MG","LEGERE PHARMACEUTICALS","25332001105","25332-0011-05","Dexasone L.A.",5,1,40,40
"J3420","Vitamin b12 injection","1000 MCG","MERIT","30727031480","30727-0314-80","Cobal-1000",30,1,30,30
"J7344","Nonmetabolic active tissue","1 SQ CM","SMITH & NEPHEW","38172000101","38172-0001-01","Transcyte",2,1,494,494
"J7342","Metabolically active tissue","1 SQ CM","SMITH & NEPHEW","38172020200","38172-0202-00","Dermagraft",1,1,37.5,37.5
"J7622","Beclomethasone inhalatn sol","1 MG","MEDISCA","38779001701","38779-0017-01","Betamethasone Dipropionate",1,1,10000,10000
"J7622","Beclomethasone inhalatn sol","1 MG","MEDISCA","38779001703","38779-0017-03","Betamethasone Dipropionate",1,1,5000,5000
"J7622","Beclomethasone inhalatn sol","1 MG","MEDISCA","38779001704","38779-0017-04","Betamethasone Dipropionate",1,1,25000,25000
"J7622","Beclomethasone inhalatn sol","1 MG","MEDISCA","38779001706","38779-0017-06","Betamethasone Dipropionate",1,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018401","38779-0184-01","Albuterol",10,1,10,10
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018401","38779-0184-01","Albuterol",10,1,10,10
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018404","38779-0184-04","Albuterol",25,1,25,25
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018404","38779-0184-04","Albuterol",25,1,25,25
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018405","38779-0184-05","Albuterol",100,1,100,100
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018405","38779-0184-05","Albuterol",100,1,100,100
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018408","38779-0184-08","Albuterol",500,1,500,500
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018408","38779-0184-08","Albuterol",500,1,500,500
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate",10,1,10,10
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018501","38779-0185-01","Albuterol Sulfate",10,1,10,10
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate",25,1,25,25
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018504","38779-0185-04","Albuterol Sulfate",25,1,25,25
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate",100,1,100,100
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018505","38779-0185-05","Albuterol Sulfate",100,1,100,100
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate",500,1,500,500
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018508","38779-0185-08","Albuterol Sulfate",500,1,500,500
"J7611","Albuterol concentrated form","1 MG","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate",1000,1,1000,1000
"J7613","Albuterol unit dose","1 MG","MEDISCA","38779018509","38779-0185-09","Albuterol Sulfate",1000,1,1000,1000
"J7633","Budesonide concentrated sol","0.25 MG","MEDISCA","38779019800","38779-0198-00","Budesonide",1,1,2000,2000
"J7633","Budesonide concentrated sol","0.25 MG","MEDISCA","38779019803","38779-0198-03","Budesonide",1,1,20000,20000
"J7633","Budesonide concentrated sol","0.25 MG","MEDISCA","38779019804","38779-0198-04","Budesonide",1,1,100000,100000
"J7633","Budesonide concentrated sol","0.25 MG","MEDISCA","38779019806","38779-0198-06","Budesonide",1,1,4000,4000
"J7680","Terbutaline so4 inh sol con","1 MG","MEDISCA","38779038101","38779-0381-01","Terbutaline Sulfate",1,1,10000,10000
"J7681","Terbutaline so4 inh sol u d","1 MG","MEDISCA","38779038101","38779-0381-01","Terbutaline Sulfate",1,1,10000,10000
"J7680","Terbutaline so4 inh sol con","1 MG","MEDISCA","38779038103","38779-0381-03","Terbutaline Sulfate",1,1,5000,5000
"J7681","Terbutaline so4 inh sol u d","1 MG","MEDISCA","38779038103","38779-0381-03","Terbutaline Sulfate",1,1,5000,5000
"J7680","Terbutaline so4 inh sol con","1 MG","MEDISCA","38779038104","38779-0381-04","Terbutaline Sulfate",1,1,25000,25000
"J7681","Terbutaline so4 inh sol u d","1 MG","MEDISCA","38779038104","38779-0381-04","Terbutaline Sulfate",1,1,25000,25000
"J7680","Terbutaline so4 inh sol con","1 MG","MEDISCA","38779038105","38779-0381-05","Terbutaline Sulfate",1,1,100000,100000
"J7681","Terbutaline so4 inh sol u d","1 MG","MEDISCA","38779038105","38779-0381-05","Terbutaline Sulfate",1,1,100000,100000
"J3260","Tobramycin sulfate injection","80 MG","X-GEN PHARMACEUTICALS","39822041201","39822-0412-01","Tobramycin Sulfate",1,1,15,15
"J3260","Tobramycin sulfate injection","80 MG","X-GEN PHARMACEUTICALS","39822041206","39822-0412-06","Tobramycin Sulfate",1,6,15,90
"J0770","Colistimethate sodium inj","150 MG","X-GEN PHARMACEUTICALS","39822061501","39822-0615-01","Colistimethate Sodium",1,1,1,1
"J3000","Streptomycin injection","1 G","X-GEN PHARMACEUTICALS","39822070601","39822-0706-01","Streptomycin Sulfate",1,1,1,1
"J3000","Streptomycin injection","1 G","X-GEN PHARMACEUTICALS","39822070602","39822-0706-02","Streptomycin Sulfate",1,10,1,10
"J0285","Amphotericin B","50 MG","X-GEN PHARMACEUTICALS","39822105505","39822-1055-05","Amphotericin B",1,1,1,1
"J2941","Somatropin injection","1 MG","SERONO","44087000401","44087-0004-01","Serostim",1,7,4,28
"J2941","Somatropin injection","1 MG","SERONO","44087000407","44087-0004-07","Serostim",1,7,4,28
"J2941","Somatropin injection","1 MG","SERONO","44087000501","44087-0005-01","Serostim",1,7,5,35
"J2941","Somatropin injection","1 MG","SERONO","44087000507","44087-0005-07","Serostim",1,7,5,35
"J2941","Somatropin injection","1 MG","SERONO","44087000601","44087-0006-01","Serostim",1,7,6,42
"J2941","Somatropin injection","1 MG","SERONO","44087000607","44087-0006-07","Serostim",1,7,6,42
"J2941","Somatropin injection","1 MG","SERONO","44087100502","44087-1005-02","Saizen",1,1,5,5
"J2941","Somatropin injection","1 MG","SERONO","44087108001","44087-1080-01","Saizen",1,1,1,1
"J2941","Somatropin injection","1 MG","SERONO","44087108002","44087-1080-02","Saizen",1,1,1,1
"J2941","Somatropin injection","1 MG","SERONO","44087108801","44087-1088-01","Saizen",1,1,8.8,8.8
"J9293","Mitoxantrone hydrochl / 5 MG","5 MG","SERONO","44087152001","44087-1520-01","Novantrone",10,1,4,4
"J9293","Mitoxantrone hydrochl / 5 MG","5 MG","SERONO","44087152501","44087-1525-01","Novantrone",12.5,1,5,5
"J9293","Mitoxantrone hydrochl / 5 MG","5 MG","SERONO","44087153001","44087-1530-01","Novantrone",15,1,6,6
"J2941","Somatropin injection","1 MG","SERONO","44087338807","44087-3388-07","Zorbtive",1,7,8.8,61.6
"Q2014","Sermorelin acetate, 0.5 mg","0.5 MG","SERONO","44087405001","44087-4050-01","Geref Diagnostic",1,1,10,10
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","SERONO","44087800503","44087-8005-03","Profasi Hp",1,1,5,5
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","SERONO","44087801003","44087-8010-03","Profasi",1,1,10,10
"P9046","Albumin (human), 25%, 20 ml","20 ML","ZLB BIOPLASMA","44206025105","44206-0251-05","Albumin (Human)",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","ZLB BIOPLASMA","44206025105","44206-0251-05","Albumin (Human)",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","ZLB BIOPLASMA","44206025110","44206-0251-10","Albumin (Human)",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","ZLB BIOPLASMA","44206025110","44206-0251-10","Albumin (Human)",100,1,2,2
"J2790","Rho d immune globulin inj","300 MCG","ZLB BIOPLASMA","44206030001","44206-0300-01","Rhophylac",2,1,1,1
"J2790","Rho d immune globulin inj","300 MCG","ZLB BIOPLASMA","44206030010","44206-0300-10","Rhophylac",2,10,1,10
"P9041","Albumin (human),5%, 50ml","50 ML","ZLB BIOPLASMA","44206031025","44206-0310-25","Alburx",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","ZLB BIOPLASMA","44206031025","44206-0310-25","Alburx",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","ZLB BIOPLASMA","44206031050","44206-0310-50","Alburx",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","ZLB BIOPLASMA","44206031050","44206-0310-50","Alburx",500,1,2,2
"Q9941","IVIG lyophil 1G","1 GRAM","ZLB BIOPLASMA","44206041501","44206-0415-01","Carimune Nf",1,1,1,1
"Q9942","IVIG lyophil 10 mg","10 MG","ZLB BIOPLASMA","44206041501","44206-0415-01","Carimune Nf",1,1,100,100
"Q9941","IVIG lyophil 1G","1 GRAM","ZLB BIOPLASMA","44206041603","44206-0416-03","Carimune Nf",1,1,3,3
"Q9942","IVIG lyophil 10 mg","10 MG","ZLB BIOPLASMA","44206041603","44206-0416-03","Carimune Nf",1,1,300,300
"Q9941","IVIG lyophil 1G","1 GRAM","ZLB BIOPLASMA","44206041706","44206-0417-06","Carimune Nf",1,1,6,6
"Q9942","IVIG lyophil 10 mg","10 MG","ZLB BIOPLASMA","44206041706","44206-0417-06","Carimune Nf",1,1,600,600
"Q9941","IVIG lyophil 1G","1 GRAM","ZLB BIOPLASMA","44206041812","44206-0418-12","Carimune Nf",1,1,12,12
"Q9942","IVIG lyophil 10 mg","10 MG","ZLB BIOPLASMA","44206041812","44206-0418-12","Carimune Nf",1,1,1200,1200
"Q9942","IVIG lyophil 10 mg","10 MG","ZLB BIOPLASMA","44206050551","44206-0505-51","Carimune",1,1,100,100
"Q9941","IVIG lyophil 1G","1 GRAM","ZLB BIOPLASMA","44206050862","44206-0508-62","Carimune",1,1,12,12
"Q9942","IVIG lyophil 10 mg","10 MG","ZLB BIOPLASMA","44206050862","44206-0508-62","Carimune",1,1,1200,1200
"Q9941","IVIG lyophil 1G","1 GRAM","ZLB BIOPLASMA","44206060756","44206-0607-56","Carimune Classic",1,1,12,12
"J7637","Dexamethasone inhal sol con","1 MG","SHOALS PHARMACEUTICALS, INC.","47649010401","47649-0104-01","Dexim",1,25,4,100
"J7638","Dexamethasone inhal sol u d","1 MG","SHOALS PHARMACEUTICALS, INC.","47649010401","47649-0104-01","Dexim",1,25,4,100
"J7637","Dexamethasone inhal sol con","1 MG","SHOALS PHARMACEUTICALS, INC.","47649010405","47649-0104-05","Dexim",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","SHOALS PHARMACEUTICALS, INC.","47649010405","47649-0104-05","Dexim",10,1,40,40
"90656","Flu vaccine no preserv 3 & >","0.50 ML","AVENTIS PASTEUR","49281000510","49281-0005-10","Fluzone Pediatric Pf",0.25,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","SANOFI PASTEUR","49281000510","49281-0005-10","Fluzone",0.5,10,1,10
"90655","Flu vaccine no preserv 6-35m","0.25 ML","AVENTIS PASTEUR","49281000525","49281-0005-25","Fluzone Pediatric Pf",0.25,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","AVENTIS PASTEUR","49281000525","49281-0005-25","Fluvirin",0.25,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","SANOFI PASTEUR","49281000550","49281-0005-50","Fluzone",0.5,10,1,10
"90376","Rabies ig, heat treated","150 IU","SANOFI PASTEUR","49281019010","49281-0190-10","Imogam Rabies-Ht",10,1,10,10
"90376","Rabies ig, heat treated","150 IU","SANOFI PASTEUR","49281019020","49281-0190-20","Imogam Rabies-Ht",2,1,2,2
"90675","Rabies vaccine, im","1 ML","SANOFI PASTEUR","49281025010","49281-0250-10","Imovax Rabies",1,1,1,1
"90718","Td vaccine > 7, im","0.5 ML","SANOFI PASTEUR","49281027183","49281-0271-83","Diphtheria-Tetanus Toxoids",5,1,10,10
"90702","Dt vaccine < 7, im","0.5 ML","SANOFI PASTEUR","49281027810","49281-0278-10","Diphtheria-Tetanus Toxoids",0.5,10,1,10
"90700","Dtap vaccine, < 7 yrs, im","0.5 ML","SANOFI PASTEUR","49281028610","49281-0286-10","Daptacel",0.5,10,1,10
"90718","Td vaccine > 7, im","0.5 ML","SANOFI PASTEUR","49281029110","49281-0291-10","Decavac",0.5,10,1,10
"90700","Dtap vaccine, < 7 yrs, im","0.5 ML","SANOFI PASTEUR","49281029810","49281-0298-10","Tripedia Preservative Free",0.5,10,1,10
"90657","Flu vaccine, 3 yrs, im","0.25 ML","WYETH","49281037325","49281-0373-25","Fluzone Pediatric Pf",0.25,10,1,10
"90657","Flu vaccine, 3 yrs, im","0.25 ML","SANOFI PASTEUR","49281037615","49281-0376-15","Fluzone Pediatric Pf",0.5,10,2,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","SANOFI PASTEUR","49281037615","49281-0376-15","Fluzone Pediatric Pf",0.5,10,1,10
"90733","Meningococcal vaccine, sc","0.5 ML","SANOFI PASTEUR","49281048901","49281-0489-01","Menomune",1,1,1,1
"90733","Meningococcal vaccine, sc","0.5 ML","SANOFI PASTEUR","49281048905","49281-0489-05","Menomune",1,5,1,5
"90733","Meningococcal vaccine, sc","0.5 ML","SANOFI PASTEUR","49281048991","49281-0489-91","Menomune",1,1,1,1
"90645","Hib vaccine, hboc, im","1 EACH","AVENTIS PASTEUR","49281054505","49281-0545-05","Acthib",1,5,1,5
"90648","Hib vaccine, prp-t, im","0.5 ML","AVENTIS PASTEUR","49281054505","49281-0545-05","Acthib",1,5,1,5
"90720","Dtp/hib vaccine, im","0.5 ML","ALLSCRIPTS","49281054910","49281-0549-10","Acthib",1,10,1,10
"90721","Dtap/hib vaccine, im","1 EACH","SANOFI PASTEUR","49281059705","49281-0597-05","Trihibit Preservative Free",1,5,1,5
"90735","Encephalitis vaccine, sc","1 ML","SANOFI PASTEUR","49281068020","49281-0680-20","Je-Vax",1,1,1,1
"90735","Encephalitis vaccine, sc","1 ML","SANOFI PASTEUR","49281068030","49281-0680-30","Je-Vax",1,3,1,3
"90691","Typhoid vaccine, im","0.5 ML","SANOFI PASTEUR","49281079001","49281-0790-01","Typhim Vi",0.5,1,1,1
"90691","Typhoid vaccine, im","0.5 ML","SANOFI PASTEUR","49281079020","49281-0790-20","Typhim Vi",10,1,20,20
"90703","Tetanus vaccine, im","0.5 ML","SANOFI PASTEUR","49281080083","49281-0800-83","Tetanus Toxoid Adsorbed",5,1,10,10
"90703","Tetanus vaccine, im","0.5 ML","SANOFI PASTEUR","49281081284","49281-0812-84","Tetanus Toxoid",7.5,1,7.5,7.5
"90713","Poliovirus, ipv, sc","0.5 ML","SANOFI PASTEUR","49281086010","49281-0860-10","Ipol",5,1,10,10
"90586","Bcg vaccine, intravesical","1 EACH","SANOFI PASTEUR","49281088001","49281-0880-01","Theracys",1,1,1,1
"J9031","Bcg live intravesical vac","1 EA","SANOFI PASTEUR","49281088001","49281-0880-01","Theracys",1,1,1,1
"90717","Yellow fever vaccine, sc","0.5 ML","SANOFI PASTEUR","49281091501","49281-0915-01","Yellow Fever Vaccine",1,5,1,5
"90717","Yellow fever vaccine, sc","0.5 ML","SANOFI PASTEUR","49281091505","49281-0915-05","Yellow Fever Vaccine",1,5,1,5
"J3420","Vitamin b12 injection","1000 MCG","A.J. BART","49326031510","49326-0315-10","Nervidox S",10,1,10,10
"J3420","Vitamin b12 injection","1000 MCG","A.J. BART","49326031610","49326-0316-10","Neuro B-12 S",10,1,10,10
"J3420","Vitamin b12 injection","1000 MCG","A.J. BART","49326040510","49326-0405-10","Tia-Doce S",10,1,10,10
"J3420","Vitamin b12 injection","1000 MCG","LAMBDA PHARMACAL","49326040610","49326-0406-10","Nervidox-6 S",10,1,10,10
"J3420","Vitamin b12 injection","1000 MCG","A.J. BART","49326041010","49326-0410-10","Neuro B-12 Forte S",10,1,10,10
"J7611","Albuterol concentrated form","1 MG","SPECTRUM","49452022502","49452-0225-02","Albuterol",100,1,100,100
"J7613","Albuterol unit dose","1 MG","SPECTRUM","49452022502","49452-0225-02","Albuterol",100,1,100,100
"J7611","Albuterol concentrated form","1 MG","SPECTRUM","49452022503","49452-0225-03","Albuterol",5,1,5,5
"J7613","Albuterol unit dose","1 MG","SPECTRUM","49452022503","49452-0225-03","Albuterol",5,1,5,5
"J7613","Albuterol unit dose","1 MG","SPECTRUM","49452022504","49452-0225-04","Albuterol",1,1,1,1
"J7611","Albuterol concentrated form","1 MG","SPECTRUM","49452022602","49452-0226-02","Albuterol Sulfate",25,1,25,25
"J7613","Albuterol unit dose","1 MG","SPECTRUM","49452022602","49452-0226-02","Albuterol Sulfate",25,1,25,25
"J7611","Albuterol concentrated form","1 MG","SPECTRUM","49452022603","49452-0226-03","Albuterol Sulfate",100,1,100,100
"J7613","Albuterol unit dose","1 MG","SPECTRUM","49452022603","49452-0226-03","Albuterol Sulfate",100,1,100,100
"J7624","Betamethasone inhalation sol","1 MG","SPECTRUM","49452107004","49452-1070-04","Betamethasone",1,1,25,25
"J7624","Betamethasone inhalation sol","1 MG","SPECTRUM","49452107005","49452-1070-05","Betamethasone",1,1,100,100
"J7624","Betamethasone inhalation sol","1 MG","SPECTRUM","49452107006","49452-1070-06","Betamethasone",1,1,500,500
"J7622","Beclomethasone inhalatn sol","1 MG","SPECTRUM","49452107503","49452-1075-03","Betamethasone Dipropionate",1,1,25000,25000
"J7622","Beclomethasone inhalatn sol","1 MG","SPECTRUM","49452107504","49452-1075-04","Betamethasone Dipropionate",1,1,100,100
"J7633","Budesonide concentrated sol","0.25 MG","SPECTRUM","49452129101","49452-1291-01","Budesonide",1,1,2000,2000
"J7633","Budesonide concentrated sol","0.25 MG","SPECTRUM","49452129102","49452-1291-02","Budesonide",1,1,4000,4000
"J7633","Budesonide concentrated sol","0.25 MG","SPECTRUM","49452129103","49452-1291-03","Budesonide",1,1,20000,20000
"J7680","Terbutaline so4 inh sol con","1 MG","SPECTRUM","49452763101","49452-7631-01","Terbutaline Sulfate",1,1,1000,1000
"J7681","Terbutaline so4 inh sol u d","1 MG","SPECTRUM","49452763101","49452-7631-01","Terbutaline Sulfate",1,1,1000,1000
"J7680","Terbutaline so4 inh sol con","1 MG","SPECTRUM","49452763102","49452-7631-02","Terbutaline Sulfate",1,1,5000,5000
"J7681","Terbutaline so4 inh sol u d","1 MG","SPECTRUM","49452763102","49452-7631-02","Terbutaline Sulfate",1,1,5000,5000
"J7680","Terbutaline so4 inh sol con","1 MG","SPECTRUM","49452763105","49452-7631-05","Terbutaline Sulfate",1,1,25000,25000
"J7681","Terbutaline so4 inh sol u d","1 MG","SPECTRUM","49452763105","49452-7631-05","Terbutaline Sulfate",1,1,25000,25000
"J7649","Isoetharine hcl inh sol u d","1 MG","DEY, L.P.","49502065902","49502-0659-02","Isoetharine Hcl S/F",2,25,0.796,19.9
"J7649","Isoetharine hcl inh sol u d","1 MG","DEY, L.P.","49502066003","49502-0660-03","Isoetharine Hcl S/F",3,25,1.208,30.2
"J7649","Isoetharine hcl inh sol u d","1 MG","DEY, L.P.","49502066103","49502-0661-03","Isoetharine Hcl S/F",3,25,1.208,30.2
"J7649","Isoetharine hcl inh sol u d","1 MG","DEY, L.P.","49502066405","49502-0664-05","Isoetharine Hcl S/F",5,25,1.992,49.8
"J7616","Albuterol compound solution","1 UNIT","DEY, L.P.","49502067230","49502-0672-30","Duoneb",3,30,0.5,15
"J7616","Albuterol compound solution","1 UNIT","DEY, L.P.","49502067231","49502-0672-31","Duoneb",3,30,0.5,15
"J7616","Albuterol compound solution","1 UNIT","DEY, L.P.","49502067260","49502-0672-60","Duoneb",3,60,0.5,30
"J7669","Metaproterenol inh sol u d","10 MG","DEY, L.P.","49502067624","49502-0676-24","Metaproterenol Sulfate",2.5,25,1.5,37.5
"J7669","Metaproterenol inh sol u d","10 MG","DEY, L.P.","49502067824","49502-0678-24","Metaproterenol Sulfate",2.5,25,1,25
"J7644","Ipratropium brom inh sol u d","1 MG","DEY, L.P.","49502068524","49502-0685-24","Ipratropium Bromide",2.5,25,0.5,12.5
"J7644","Ipratropium brom inh sol u d","1 MG","DEY, L.P.","49502068529","49502-0685-29","Ipratropium Bromide",2.5,30,0.5,15
"J7644","Ipratropium brom inh sol u d","1 MG","DEY, L.P.","49502068530","49502-0685-30","Ipratropium Bromide",2.5,30,0.5,15
"J7644","Ipratropium brom inh sol u d","1 MG","DEY, L.P.","49502068561","49502-0685-61","Ipratropium Bromide",2.5,60,0.5,30
"J7631","Cromolyn sodium inh sol u d","10 MG","DEY, L.P.","49502068961","49502-0689-61","Cromolyn Sodium",2,60,2,120
"J7613","Albuterol unit dose","1 MG","DEY, L.P.","49502069203","49502-0692-03","Accuneb",3,25,0.63,15.75
"J7613","Albuterol unit dose","1 MG","DEY, L.P.","49502069303","49502-0693-03","Accuneb",3,25,1.26,31.5
"J7613","Albuterol unit dose","1 MG","DEY, L.P.","49502069724","49502-0697-24","Albuterol Sulfate",3,25,2.49,62.25
"J7613","Albuterol unit dose","1 MG","DEY, L.P.","49502069729","49502-0697-29","Albuterol Sulfate",3,30,2.49,74.7
"J7613","Albuterol unit dose","1 MG","DEY, L.P.","49502069730","49502-0697-30","Albuterol Sulfate",3,30,2.49,74.7
"J7613","Albuterol unit dose","1 MG","DEY, L.P.","49502069761","49502-0697-61","Albuterol Sulfate",3,60,2.49,149.4
"J2912","Sodium chloride injection","2 CC","DEY, L.P.","49502083003","49502-0830-03","Sodium Chloride",3,100,1.5,150
"J2912","Sodium chloride injection","2 CC","DEY, L.P.","49502083005","49502-0830-05","Sodium Chloride",5,100,2.5,250
"J2912","Sodium chloride injection","2 CC","DEY, L.P.","49502083050","49502-0830-50","Sodium Chloride",15,50,7.5,375
"J7130","Hypertonic saline solution","20 CC","DEY, L.P.","49502083050","49502-0830-50","Sodium Chloride",15,50,0.75,37.5
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","49669161201","49669-1612-01","Venoglobulin-S",50,1,2.5,2.5
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","49669161201","49669-1612-01","Venoglobulin-S",50,1,250,250
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","49669161301","49669-1613-01","Venoglobulin-S",100,1,5,5
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","49669161301","49669-1613-01","Venoglobulin-S",100,1,500,500
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","49669161401","49669-1614-01","Venoglobulin-S",200,1,10,10
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","49669161401","49669-1614-01","Venoglobulin-S",200,1,1000,1000
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","49669162201","49669-1622-01","Venoglobulin-S",50,1,5,5
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","49669162201","49669-1622-01","Venoglobulin-S",50,1,500,500
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","49669162301","49669-1623-01","Venoglobulin-S",100,1,10,10
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","49669162301","49669-1623-01","Venoglobulin-S",100,1,1000,1000
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","49669162401","49669-1624-01","Venoglobulin-S",200,1,20,20
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","49669162401","49669-1624-01","Venoglobulin-S",200,1,2000,2000
"J7194","Factor ix complex","1 IU","GRIFOLS","49669320002","49669-3200-02","Profilnine Sd",1,1,1,1
"J7194","Factor ix complex","1 IU","GRIFOLS","49669320003","49669-3200-03","Profilnine Sd",1,1,1,1
"J7193","Factor IX non-recombinant","1 IU","GRIFOLS","49669360002","49669-3600-02","Alphanine Sd",1,1,1,1
"J7190","Factor viii","1 IU","GRIFOLS","49669460001","49669-4600-01","Alphanate",1,1,1,1
"J7190","Factor viii","1 IU","GRIFOLS","49669460002","49669-4600-02","Alphanate",1,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","GRIFOLS","49669521101","49669-5211-01","Albutein",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","GRIFOLS","49669521101","49669-5211-01","Albutein",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","GRIFOLS","49669521102","49669-5211-02","Albutein",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","GRIFOLS","49669521102","49669-5211-02","Albutein",500,1,2,2
"P9046","Albumin (human), 25%, 20 ml","20 ML","GRIFOLS","49669521302","49669-5213-02","Albutein",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","GRIFOLS","49669521302","49669-5213-02","Albutein",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","GRIFOLS","49669521303","49669-5213-03","Albutein",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","GRIFOLS","49669521303","49669-5213-03","Albutein",100,1,2,2
"J0256","Alpha 1 proteinase inhibitor","10 MG","BAXTER","49669580001","49669-5800-01","Aralast",1,1,0.1,0.1
"J0256","Alpha 1 proteinase inhibitor","10 MG","BAXTER","49669580002","49669-5800-02","Aralast",1,1,0.1,0.1
"J7509","Methylprednisolone oral","4 MG","PAR","49884049059","49884-0490-59","Methylprednisolone (Pak)",21,1,21,21
"Q0164","Prochlorperazine maleate 5mg","5 MG","PAR","49884054901","49884-0549-01","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","PAR","49884055001","49884-0550-01","Prochlorperazine Maleate",100,1,100,100
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999000800","49999-0008-00","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999000820","49999-0008-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999000830","49999-0008-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999000855","49999-0008-55","Prednisone",55,1,55,55
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999002812","49999-0028-12","Prednisone",12,1,24,24
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999002815","49999-0028-15","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999002820","49999-0028-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999002830","49999-0028-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999002840","49999-0028-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999002848","49999-0028-48","Prednisone",48,1,96,96
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999002850","49999-0028-50","Prednisone",50,1,100,100
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","49999009010","49999-0090-10","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","49999009012","49999-0090-12","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","49999009015","49999-0090-15","Promethazine Hcl",15,1,15,15
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","49999009020","49999-0090-20","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","49999009030","49999-0090-30","Promethazine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","49999009060","49999-0090-60","Promethazine Hcl",60,1,60,60
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITY CARE","49999009104","49999-0091-04","Diphenhydramine Hcl",4,1,4,4
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITY CARE","49999009115","49999-0091-15","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITY CARE","49999009120","49999-0091-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITY CARE","49999009130","49999-0091-30","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","QUALITY CARE","49999009160","49999-0091-60","Diphenhydramine Hcl",60,1,60,60
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999011000","49999-0110-00","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999011006","49999-0110-06","Prednisone",6,1,24,24
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999011010","49999-0110-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999011012","49999-0110-12","Prednisone",12,1,48,48
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999011014","49999-0110-14","Prednisone",14,1,56,56
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999011020","49999-0110-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999011030","49999-0110-30","Prednisone",30,1,120,120
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","QUALITY CARE","49999026906","49999-0269-06","Phenergan",6,1,6,6
"J7613","Albuterol unit dose","1 MG","QUALITY CARE","49999034425","49999-0344-25","Albuterol Sulfate",3,25,2.49,62.25
"J8610","Methotrexate oral 2.5 MG","2.5 MG","QUALITY CARE","49999038024","49999-0380-24","Methotrexate (Anti-Rheumatic)",24,1,24,24
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999039021","49999-0390-21","Sterapred",21,1,21,21
"90632","Hep a vaccine, adult im","1 ML","QUALITY CARE","49999041201","49999-0412-01","Havrix",1,1,1,1
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","QUALITY CARE","49999041201","49999-0412-01","Havrix",1,1,2,2
"90675","Rabies vaccine, im","1 ML","QUALITY CARE","49999041401","49999-0414-01","Imovax Rabies",1,1,1,1
"J3301","Triamcinolone acetonide inj","10 MG","QUALITY CARE","49999041505","49999-0415-05","Kenalog",5,1,20,20
"J1885","Ketorolac tromethamine inj","15 MG","QUALITY CARE","49999041602","49999-0416-02","Ketorolac Tromethamine",2,1,4,4
"90707","Mmr vaccine, sc","0.5 ML","QUALITY CARE","49999042201","49999-0422-01","M-M-R II",1,1,1,1
"90707","Mmr vaccine, sc","0.5 ML","QUALITY CARE","49999042210","49999-0422-10","M-M-R II",1,10,1,10
"90371","Hep b ig, im","1 ML","QUALITY CARE","49999042505","49999-0425-05","Nabi-Hb",5,1,5,5
"J2300","Inj nalbuphine hydrochloride","10 MG","QUALITY CARE","49999042610","49999-0426-10","Nubain",10,1,10,10
"J7506","Prednisone oral","5 MG","QUALITY CARE","49999043703","49999-0437-03","Prednisone",3,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","PLIVA","50111088542","50111-0885-42","Cyclosporine Modified",50,1,50,50
"J7515","Cyclosporine oral 25 mg","25 MG","PLIVA","50111090943","50111-0909-43","Cyclosporine Modified",30,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","PLIVA","50111092043","50111-0920-43","Cyclosporine Modified",30,1,30,30
"J9045","Carboplatin injection","50 MG","PLIVA","50111096576","50111-0965-76","Carboplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","PLIVA","50111096676","50111-0966-76","Carboplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","PLIVA","50111096776","50111-0967-76","Carboplatin",45,1,9,9
"J2941","Somatropin injection","1 MG","GENENTECH","50242001821","50242-0018-21","Nutropin",1,1,10,10
"J2941","Somatropin injection","1 MG","GENENTECH","50242001902","50242-0019-02","Nutropin",1,1,5,5
"J2941","Somatropin injection","1 MG","GENENTECH","50242002020","50242-0020-20","Nutropin",1,1,10,10
"J2941","Somatropin injection","1 MG","GENENTECH","50242002220","50242-0022-20","Nutropin Aq",2,1,10,10
"J2941","Somatropin injection","1 MG","GENENTECH","50242003235","50242-0032-35","Nutropin Depot",1,1,13.5,13.5
"J2941","Somatropin injection","1 MG","GENENTECH","50242003441","50242-0034-41","Nutropin Depot",1,1,18,18
"J2941","Somatropin injection","1 MG","GENENTECH","50242003654","50242-0036-54","Nutropin Depot",1,1,22.5,22.5
"J3100","Tenecteplase injection","50 MG","GENENTECH","50242003861","50242-0038-61","Tnkase",1,1,1,1
"J2357","Omalizumab injection","5 MG","GENENTECH","50242004062","50242-0040-62","Xolair",1,1,30,30
"J2997","Alteplase recombinant","1 MG","GENENTECH","50242004163","50242-0041-63","Cathflo Activase",1,1,2,2
"J2997","Alteplase recombinant","1 MG","GENENTECH","50242004164","50242-0041-64","Cathflo Activase",1,1,2,2
"J2997","Alteplase recombinant","1 MG","GENENTECH","50242004165","50242-0041-65","Cathflo Activase",1,1,2,2
"J2941","Somatropin injection","1 MG","GENENTECH","50242004314","50242-0043-14","Nutropin Aq Pen",2,1,10,10
"J2997","Alteplase recombinant","1 MG","GENENTECH","50242004413","50242-0044-13","Activase",1,1,50,50
"J9310","Rituximab cancer treatment","100 MG","GENENTECH","50242005121","50242-0051-21","Rituxan",10,1,1,1
"J9310","Rituximab cancer treatment","100 MG","GENENTECH","50242005306","50242-0053-06","Rituxan",50,1,5,5
"J9035","Bevacizumab injection","10 MG","GENENTECH","50242006001","50242-0060-01","Avastin",4,1,10,10
"J9035","Bevacizumab injection","10 MG","GENENTECH","50242006002","50242-0060-02","Avastin",16,1,40,40
"J9035","Bevacizumab injection","10 MG","GENENTECH","50242006101","50242-0061-01","Avastin",16,1,40,40
"J2941","Somatropin injection","1 MG","GENENTECH","50242007203","50242-0072-03","Nutropin",1,1,5,5
"J2997","Alteplase recombinant","1 MG","GENENTECH","50242008527","50242-0085-27","Activase",1,1,100,100
"J7639","Dornase alpha inhal sol u d","1 MG","GENENTECH","50242010039","50242-0100-39","Pulmozyme",2.5,1,2.5,2.5
"J7639","Dornase alpha inhal sol u d","1 MG","GENENTECH","50242010040","50242-0100-40","Pulmozyme",2.5,30,2.5,75
"J9355","Trastuzumab","10 MG","GENENTECH","50242013468","50242-0134-68","Herceptin",1,1,44,44
"J2590","Oxytocin injection","10 UNITS","HI-TECH","50383017708","50383-0177-08","Sodium Phosphate",1,1,1,1
"J7611","Albuterol concentrated form","1 MG","HI-TECH","50383074120","50383-0741-20","Albuterol Sulfate",20,1,100,100
"J7613","Albuterol unit dose","1 MG","HI-TECH","50383074225","50383-0742-25","Albuterol Sulfate",3,25,2.49,62.25
"J2820","Sargramostim injection","50 MCG","BERLEX","50419000233","50419-0002-33","Leukine",1,5,5,25
"J2820","Sargramostim injection","50 MCG","BERLEX","50419005030","50419-0050-30","Leukine",1,5,10,50
"Q2021","Lepirudin","50 MG","BERLEX","50419015057","50419-0150-57","Refludan",1,10,1,10
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018801","50419-0188-01","Magnevist 46.9%",10,20,10,200
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018802","50419-0188-02","Magnevist 46.9%",20,20,20,400
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018805","50419-0188-05","Magnevist 46.9%",5,20,5,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018810","50419-0188-10","Magnevist 46.9%",100,1,100,100
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018815","50419-0188-15","Magnevist 46.9%",15,20,15,300
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018836","50419-0188-36","Magnevist 46.9%",10,5,10,50
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018837","50419-0188-37","Magnevist 46.9%",15,5,15,75
"Q9952","Inj Gad-base MR contrast, 1ml","1 ML","BERLEX","50419018838","50419-0188-38","Magnevist 46.9%",20,5,20,100
"Q9946","LOCM 150-199mg/ml iodine,1ml","1 ML","BERLEX","50419034005","50419-0340-05","Ultravist 150",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BERLEX","50419034205","50419-0342-05","Ultravist 240",50,10,50,500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BERLEX","50419034210","50419-0342-10","Ultravist 240",100,10,100,1000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BERLEX","50419034215","50419-0342-15","Ultravist 240",150,10,150,1500
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BERLEX","50419034220","50419-0342-20","Ultravist 240",200,10,200,2000
"Q9947","LOCM 200-249mg/ml iodine,1ml","1 ML","BERLEX","50419034221","50419-0342-21","Ultravist 240",200,10,200,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034405","50419-0344-05","Ultravist 300",50,10,50,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034407","50419-0344-07","Ultravist 300",75,10,75,750
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034410","50419-0344-10","Ultravist 300",100,10,100,1000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034412","50419-0344-12","Ultravist 300",125,10,125,1250
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034415","50419-0344-15","Ultravist 300",150,10,150,1500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034421","50419-0344-21","Ultravist 300",200,10,200,2000
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034450","50419-0344-50","Ultravist 300",500,1,500,500
"Q9949","LOCM 300-349mg/ml iodine,1ml","1 ML","BERLEX","50419034458","50419-0344-58","Ultravist 300",500,8,500,4000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034605","50419-0346-05","Ultravist 370",50,10,50,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034607","50419-0346-07","Ultravist 370",75,10,75,750
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034610","50419-0346-10","Ultravist 370",100,10,100,1000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034612","50419-0346-12","Ultravist 370",125,10,125,1250
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034615","50419-0346-15","Ultravist 370",150,10,150,1500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034620","50419-0346-20","Ultravist 370",200,10,200,2000
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034625","50419-0346-25","Ultravist 370",250,10,250,2500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034650","50419-0346-50","Ultravist 370",500,1,500,500
"Q9950","LOCM 350-399mg/ml iodine,1ml","1 ML","BERLEX","50419034658","50419-0346-58","Ultravist 370",500,8,500,4000
"J9010","Alemtuzumab injection","10 MG","BERLEX","50419035510","50419-0355-10","Campath",3,3,3,9
"J9010","Alemtuzumab injection","10 MG","BERLEX","50419035703","50419-0357-03","Campath",1,3,3,9
"J9185","Fludarabine phosphate inj","50 MG","BERLEX","50419051106","50419-0511-06","Fludara",1,1,1,1
"J1830","Interferon beta-1b / .25 MG","0.25 MG","BERLEX","50419052325","50419-0523-25","Betaseron",1,15,1,15
"J1835","Itraconazole injection","50 MG","JANSSEN","50458029801","50458-0298-01","Sporanox",1,1,5,5
"J2794","Risperidone, long acting","0.5 MG","JANSSEN","50458030611","50458-0306-11","Risperdal Consta",1,1,50,50
"J2794","Risperidone, long acting","0.5 MG","JANSSEN","50458030711","50458-0307-11","Risperdal Consta",1,1,75,75
"J2794","Risperidone, long acting","0.5 MG","JANSSEN","50458030811","50458-0308-11","Risperdal Consta",1,1,100,100
"J7506","Prednisone oral","5 MG","UDL","51079002219","51079-0022-19","Prednisone",25,1,100,100
"J7506","Prednisone oral","5 MG","UDL","51079003219","51079-0032-19","Prednisone",25,1,25,25
"J7506","Prednisone oral","5 MG","UDL","51079003319","51079-0033-19","Prednisone",25,1,50,50
"Q0163","Diphenhydramine HCl 50mg","50 MG","UDL","51079006601","51079-0066-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","UDL","51079006617","51079-0066-17","Diphenhydramine Hcl",1,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","UDL","51079006619","51079-0066-19","Diphenhydramine Hcl",25,1,25,25
"Q0163","Diphenhydramine HCl 50mg","50 MG","UDL","51079006620","51079-0066-20","Diphenhydramine Hcl",100,1,100,100
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","UDL","51079051820","51079-0518-20","Chlorpromazine Hcl",100,1,100,100
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","UDL","51079051920","51079-0519-20","Chlorpromazine Hcl",100,1,100,100
"Q0164","Prochlorperazine maleate 5mg","5 MG","UDL","51079054119","51079-0541-19","Prochlorperazine Maleate",25,1,25,25
"Q0164","Prochlorperazine maleate 5mg","5 MG","UDL","51079054120","51079-0541-20","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","UDL","51079054219","51079-0542-19","Prochlorperazine Maleate",25,1,25,25
"Q0165","Prochlorperazine maleate10mg","10 MG","UDL","51079054220","51079-0542-20","Prochlorperazine Maleate",100,1,100,100
"J0640","Leucovorin calcium injection","50 MG","UDL","51079058101","51079-0581-01","Leucovorin Calcium",5,1,0.5,0.5
"J0640","Leucovorin calcium injection","50 MG","UDL","51079058106","51079-0581-06","Leucovorin Calcium",50,1,5,5
"J0640","Leucovorin calcium injection","50 MG","UDL","51079058205","51079-0582-05","Leucovorin Calcium",20,1,10,10
"J8610","Methotrexate oral 2.5 MG","2.5 MG","UDL","51079067005","51079-0670-05","Methotrexate",20,1,20,20
"J9265","Paclitaxel injection","30 MG","UDL","51079096201","51079-0962-01","Paclitaxel",16.7,1,3.34,3.33
"J9265","Paclitaxel injection","30 MG","UDL","51079096301","51079-0963-01","Paclitaxel",50,1,10,10
"J8560","Etoposide oral 50 MG","50 MG","UDL","51079096505","51079-0965-05","Etoposide",20,1,20,20
"J7509","Methylprednisolone oral","4 MG","BARR/DURAMED","51285030102","51285-0301-02","Methylprednisolone (Pak)",1,100,1,100
"J7509","Methylprednisolone oral","4 MG","BARR/DURAMED","51285030121","51285-0301-21","Methylprednisolone (Pak)",21,1,21,21
"J8610","Methotrexate oral 2.5 MG","2.5 MG","BARR/DURAMED","51285050902","51285-0509-02","Methotrexate",100,1,100,100
"Q0164","Prochlorperazine maleate 5mg","5 MG","BARR LABS","51285052102","51285-0521-02","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","BARR LABS","51285052202","51285-0522-02","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","BARR LABS","51285052204","51285-0522-04","Prochlorperazine Maleate",500,1,500,500
"J0692","Cefepime HCl for injection","500 MG","DURA/ELAN PHARMACEUTICALS","51479005310","51479-0053-10","Maxipime",1,10,1,10
"J0692","Cefepime HCl for injection","500 MG","DURA/ELAN PHARMACEUTICALS","51479005410","51479-0054-10","Maxipime",1,10,2,20
"J0692","Cefepime HCl for injection","500 MG","DURA/ELAN PHARMACEUTICALS","51479005420","51479-0054-20","Maxipime",1,10,2,20
"J0692","Cefepime HCl for injection","500 MG","DURA/ELAN PHARMACEUTICALS","51479005430","51479-0054-30","Maxipime",1,10,2,20
"J0692","Cefepime HCl for injection","500 MG","DURA/ELAN PHARMACEUTICALS","51479005510","51479-0055-10","Maxipime",1,10,4,40
"J0692","Cefepime HCl for injection","500 MG","DURA/ELAN PHARMACEUTICALS","51479005520","51479-0055-20","Maxipime",1,10,4,40
"J0692","Cefepime HCl for injection","500 MG","DURA/ELAN PHARMACEUTICALS","51479005530","51479-0055-30","Maxipime",1,10,4,40
"J2675","Inj progesterone per 50 MG","50 MG","GALLIPOT","51552000501","51552-0005-01","Progesterone Micronized Usp",1,1,1,1
"J1094","Inj dexamethasone acetate","1 MG","GALLIPOT","51552002403","51552-0024-03","Dexamethasone Acetate Micro Usp",1,1,10000,10000
"J1094","Inj dexamethasone acetate","1 MG","GALLIPOT","51552002404","51552-0024-04","Dexamethasone Acetate Micro Usp",1,1,25000,25000
"J7506","Prednisone oral","5 MG","GALLIPOT","51552002801","51552-0028-01","Prednisone Usp",1,1,1,1
"J7506","Prednisone oral","5 MG","GALLIPOT","51552002805","51552-0028-05","Prednisone Usp",1,1,1,1
"J3301","Triamcinolone acetonide inj","10 MG","GALLIPOT","51552003305","51552-0033-05","Triamcinolone Acetonide Usp",1,1,1,1
"J7611","Albuterol concentrated form","1 MG","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate",1000,1,1000,1000
"J7613","Albuterol unit dose","1 MG","GALLIPOT","51552004401","51552-0044-01","Albuterol Sulfate",1000,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate",100,1,100,100
"J7613","Albuterol unit dose","1 MG","GALLIPOT","51552004410","51552-0044-10","Albuterol Sulfate",100,1,100,100
"J7611","Albuterol concentrated form","1 MG","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate",1000,1,1000,1000
"J7613","Albuterol unit dose","1 MG","GALLIPOT","51552004411","51552-0044-11","Albuterol Sulfate",1000,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate",25,1,25,25
"J7613","Albuterol unit dose","1 MG","GALLIPOT","51552004425","51552-0044-25","Albuterol Sulfate",25,1,25,25
"Q0164","Prochlorperazine maleate 5mg","5 MG","GALLIPOT","51552007405","51552-0074-05","Prochlorperazine Maleate Pwd Usp",1,1,1,1
"Q0165","Prochlorperazine maleate10mg","10 MG","GALLIPOT","51552007405","51552-0074-05","Prochlorperazine Maleate Pwd Usp",1,1,1,1
"J7669","Metaproterenol inh sol u d","10 MG","GALLIPOT","51552007902","51552-0079-02","Metaproterenol Sulfate Usp/Nf",1,1,1,1
"J7669","Metaproterenol inh sol u d","10 MG","GALLIPOT","51552007905","51552-0079-05","Metaproterenol Sulfate Usp/Nf",1,1,1,1
"J1060","Testosterone cypionate 1 ML","1 ML","GALLIPOT","51552010402","51552-0104-02","Testosterone Cypionate Usp/Nf",1,1,1,1
"J1060","Testosterone cypionate 1 ML","1 ML","GALLIPOT","51552010404","51552-0104-04","Testosterone Cypionate Usp/Nf",1,1,1,1
"J1060","Testosterone cypionate 1 ML","1 ML","GALLIPOT","51552010405","51552-0104-05","Testosterone Cypionate Usp/Nf",1,1,1,1
"J0460","Atropine sulfate injection","0.3 MG","GALLIPOT","51552015604","51552-0156-04","Atropine Sulfate Mono Pwd Usp/Nf",1,1,1,1
"J1110","Inj dihydroergotamine mesylt","1 MG","GALLIPOT","51552023305","51552-0233-05","Dihydroergotamine Mesylate Usp/Nf",1,5,1,1
"J2690","Procainamide hcl injection","1 GRAM","GALLIPOT","51552039706","51552-0397-06","Procainamide Hcl",1,1,1,1
"J7680","Terbutaline so4 inh sol con","1 MG","GALLIPOT","51552044603","51552-0446-03","Terbutaline Sulfate",1,1,10000,10000
"J7681","Terbutaline so4 inh sol u d","1 MG","GALLIPOT","51552044603","51552-0446-03","Terbutaline Sulfate",1,1,10000,10000
"J7680","Terbutaline so4 inh sol con","1 MG","GALLIPOT","51552044604","51552-0446-04","Terbutaline Sulfate",1,1,25000,25000
"J7681","Terbutaline so4 inh sol u d","1 MG","GALLIPOT","51552044604","51552-0446-04","Terbutaline Sulfate",1,1,25000,25000
"J2760","Phentolaine mesylate inj","5 MG","GALLIPOT","51552049602","51552-0496-02","Phentolamine Mesylate Usp",1,1,1,1
"J7641","Flunisolide, inhalation sol","1 MG","GALLIPOT","51552061101","51552-0611-01","Flunisolide",1,1,1000,1000
"J7641","Flunisolide, inhalation sol","1 MG","GALLIPOT","51552061102","51552-0611-02","Flunisolide",1,1,5000,5000
"J2780","Ranitidine hydrochloride inj","25 MG","GALLIPOT","51552062002","51552-0620-02","Ranitidine Hcl Usp",1,1,1,1
"J2675","Inj progesterone per 50 MG","50 MG","GALLIPOT","51552064304","51552-0643-04","Progesterone",1,1,1,1
"J7633","Budesonide concentrated sol","0.25 MG","GALLIPOT","51552066801","51552-0668-01","Budesonide Micronized",1,1,4000,4000
"J3010","Fentanyl citrate injeciton","0.1 MG","GALLIPOT","51552068701","51552-0687-01","Fentanyl Citrate",1,1,1,1
"J3010","Fentanyl citrate injeciton","0.1 MG","GALLIPOT","51552068709","51552-0687-09","Fentanyl Citrate",1,1,1,1
"J0745","Inj codeine phosphate /30 MG","30 MG","GALLIPOT","51552068804","51552-0688-04","Codeine Phosphate",1,1,1,1
"J9190","Fluorouracil injection","500 MG","GALLIPOT","51552073302","51552-0733-02","Fluorouracil",1,1,1,1
"J7500","Azathioprine oral 50mg","50 MG","GALLIPOT","51552077905","51552-0779-05","Azathioprine Usp",1,1,1,1
"J7501","Azathioprine parenteral","100 MG","GALLIPOT","51552077905","51552-0779-05","Azathioprine Usp",1,1,1,1
"J3260","Tobramycin sulfate injection","80 MG","GALLIPOT","51552078901","51552-0789-01","Tobramycin Sulfate Usp",1,1,1,1
"J7682","Tobramycin inhalation sol","300 MG","GALLIPOT","51552078901","51552-0789-01","Tobramycin Sulfate Usp",1,1,1,1
"J3260","Tobramycin sulfate injection","80 MG","GALLIPOT","51552078904","51552-0789-04","Tobramycin Sulfate Usp",1,1,1,1
"J7682","Tobramycin inhalation sol","300 MG","GALLIPOT","51552078904","51552-0789-04","Tobramycin Sulfate Usp",1,1,1,1
"J1051","Medroxyprogesterone inj","50 MG","GALLIPOT","51552079001","51552-0790-01","Medroxyprogesterone Micro",1,1,1,1
"J1390","Estradiol valerate 20 MG inj","20 MG","GALLIPOT","51552088802","51552-0888-02","Estradiol Valerate Usp",1,1,1,1
"J0970","Estradiol valerate injection","40 MG","GALLIPOT","51552088804","51552-0888-04","Estradiol Valerate Usp",1,1,1,1
"J1380","Estradiol valerate 10 MG inj","10 MG","GALLIPOT","51552088804","51552-0888-04","Estradiol Valerate Usp",1,1,1,1
"J1390","Estradiol valerate 20 MG inj","20 MG","GALLIPOT","51552088804","51552-0888-04","Estradiol Valerate Usp",1,1,1,1
"J1020","Methylprednisolone 20 MG inj","20 MG","GALLIPOT","51552095804","51552-0958-04","Methylprednisolone Acetate Usp",1,1,1,1
"J1030","Methylprednisolone 40 MG inj","40 MG","GALLIPOT","51552095804","51552-0958-04","Methylprednisolone Acetate Usp",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","GALLIPOT","51552095804","51552-0958-04","Methylprednisolone Acetate Usp",1,1,1,1
"J1020","Methylprednisolone 20 MG inj","20 MG","GALLIPOT","51552095805","51552-0958-05","Methylprednisolone Acetate Usp",1,1,1,1
"J1030","Methylprednisolone 40 MG inj","40 MG","GALLIPOT","51552095805","51552-0958-05","Methylprednisolone Acetate Usp",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","GALLIPOT","51552095805","51552-0958-05","Methylprednisolone Acetate Usp",1,1,1,1
"J0760","Colchicine injection","1 MG","GALLIPOT","51552099101","51552-0991-01","Colchicine",1,1,1,1
"J2800","Methocarbamol injection","10 ML","GALLIPOT","51552101805","51552-1018-05","Methocarbamol Usp",1,1,1,1
"J2800","Methocarbamol injection","10 ML","GALLIPOT","51552101808","51552-1018-08","Methocarbamol Usp",1,1,1,1
"J3360","Diazepam injection","5 MG","GALLIPOT","51552102505","51552-1025-05","Diazepam Usp",1,1,1,1
"J7506","Prednisone oral","5 MG","PHARMACEUTICAL CORP OF AMERICA","51655002024","51655-0020-24","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","PHARMACEUTICAL CORP OF AMERICA","51655002052","51655-0020-52","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","PHARMACEUTICAL CORP OF AMERICA","51655002053","51655-0020-53","Prednisone",10,1,40,40
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHARMACEUTICAL CORP OF AMERICA","51655008427","51655-0084-27","Promethazine Hcl",12,1,12,12
"J7506","Prednisone oral","5 MG","PHARMACEUTICAL CORP OF AMERICA","51655008624","51655-0086-24","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","PHARMACEUTICAL CORP OF AMERICA","51655008627","51655-0086-27","Prednisone",12,1,12,12
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMACEUTICAL CORP OF AMERICA","51655008824","51655-0088-24","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMACEUTICAL CORP OF AMERICA","51655008825","51655-0088-25","Diphenhydramine Hcl",60,1,60,60
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMACEUTICAL CORP OF AMERICA","51655008852","51655-0088-52","Diphenhydramine Hcl",20,1,20,20
"Q0173","Trimethobenzamide HCl 250mg","250 MG","PHARMACEUTICAL CORP OF AMERICA","51655052353","51655-0523-53","Trimethobenzamide Hcl",10,1,10,10
"J7622","Beclomethasone inhalatn sol","1 MG","PROFESSIONAL COMPOUNDING CENTERS","51927145400","51927-1454-00","Betamethasone Dipropionate",1,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","PCCA","51927157300","51927-1573-00","Albuterol Sulfate",1,1,1,1
"J7680","Terbutaline so4 inh sol con","1 MG","PROFESSIONAL COMPOUNDING CENTERS","51927276500","51927-2765-00","Terbutaline Sulfate",1,1,1000,1000
"J7681","Terbutaline so4 inh sol u d","1 MG","PROFESSIONAL COMPOUNDING CENTERS","51927276500","51927-2765-00","Terbutaline Sulfate",1,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","PCCA","51927285900","51927-2859-00","Albuterol",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","BRECKENRIDGE","51991018801","51991-0188-01","Methylprednisolone",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","BRECKENRIDGE","51991018821","51991-0188-21","Methylprednisolone (Pak)",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","BRECKENRIDGE","51991018831","51991-0188-31","Methylprednisolone (Pak)",21,1,21,21
"Q0164","Prochlorperazine maleate 5mg","5 MG","BRECKENRIDGE","51991019601","51991-0196-01","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","BRECKENRIDGE","51991019701","51991-0197-01","Prochlorperazine Maleate",100,1,100,100
"J1435","Injection estrone per 1 MG","1 MG","WINTEC","52047004110","52047-0041-10","Estro-5",10,1,50,50
"J2175","Meperidine hydrochl /100 MG","100 MG","AMIDE PHARMACAL","52152015702","52152-0157-02","Meperidine Hcl",100,1,100,100
"J7637","Dexamethasone inhal sol con","1 MG","MEDTECH","52349010330","52349-0103-30","Medidex",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","MEDTECH","52349010330","52349-0103-30","Medidex",30,1,120,120
"J7637","Dexamethasone inhal sol con","1 MG","MEDTECH","52349011730","52349-0117-30","Medidex",10,1,40,40
"J7638","Dexamethasone inhal sol u d","1 MG","MEDTECH","52349011730","52349-0117-30","Medidex",10,1,40,40
"J3315","Triptorelin pamoate","3.75 MG","WATSON","52544015302","52544-0153-02","Trelstar Depot",1,1,1,1
"J3315","Triptorelin pamoate","3.75 MG","WATSON","52544015376","52544-0153-76","Trelstar Depot",1,1,1,1
"J3315","Triptorelin pamoate","3.75 MG","WATSON","52544015402","52544-0154-02","Trelstar La",1,1,3,3
"J3315","Triptorelin pamoate","3.75 MG","WATSON","52544015476","52544-0154-76","Trelstar La",1,1,3,3
"J2916","Na ferric gluconate complex","12.5 MG","WATSON","52544092226","52544-0922-26","Ferrlecit",5,10,5,50
"J1750","Iron dextran","50 MG","WATSON","52544093102","52544-0931-02","Infed",2,10,2,20
"J2650","Prednisolone acetate inj","1 ML","HAUSER, A. F., PHARM","52637032510","52637-0325-10","Pred-Ject-50",30,1,30,30
"J0945","Brompheniramine maleate inj","10 MG","HAUSER, A. F., PHARM","52637092610","52637-0926-10","Brompheniramine Maleate",10,1,10,10
"P9041","Albumin (human),5%, 50ml","50 ML","AMERICAN RED CROSS","52769025025","52769-0250-25","Albumin, Human",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","AMERICAN RED CROSS","52769025025","52769-0250-25","Albumin, Human",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","AMERICAN RED CROSS","52769025050","52769-0250-50","Albumin, Human",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","AMERICAN RED CROSS","52769025050","52769-0250-50","Albumin, Human",500,1,2,2
"P9046","Albumin (human), 25%, 20 ml","20 ML","AMERICAN RED CROSS","52769025105","52769-0251-05","Albumin (Human)",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","AMERICAN RED CROSS","52769025105","52769-0251-05","Albumin (Human)",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","AMERICAN RED CROSS","52769025110","52769-0251-10","Albumin (Human)",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","AMERICAN RED CROSS","52769025110","52769-0251-10","Albumin (Human)",100,1,2,2
"Q9941","IVIG lyophil 1G","1 GRAM","AMERICAN RED CROSS","52769041706","52769-0417-06","Panglobulin Nf",1,1,6,6
"Q9942","IVIG lyophil 10 mg","10 MG","AMERICAN RED CROSS","52769041706","52769-0417-06","Panglobulin Nf",1,1,600,600
"Q9941","IVIG lyophil 1G","1 GRAM","AMERICAN RED CROSS","52769041812","52769-0418-12","Panglobulin Nf",1,1,12,12
"Q9942","IVIG lyophil 10 mg","10 MG","AMERICAN RED CROSS","52769041812","52769-0418-12","Panglobulin Nf",1,1,1200,1200
"P9041","Albumin (human),5%, 50ml","50 ML","AMERICAN RED CROSS","52769045025","52769-0450-25","Albumin (Human)",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","AMERICAN RED CROSS","52769045025","52769-0450-25","Albumin (Human)",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","AMERICAN RED CROSS","52769045050","52769-0450-50","Albumin (Human)",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","AMERICAN RED CROSS","52769045050","52769-0450-50","Albumin (Human)",500,1,2,2
"P9046","Albumin (human), 25%, 20 ml","20 ML","AMERICAN RED CROSS","52769045105","52769-0451-05","Albumin (Human)",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","AMERICAN RED CROSS","52769045105","52769-0451-05","Albumin (Human)",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","AMERICAN RED CROSS","52769045110","52769-0451-10","Albumin (Human)",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","AMERICAN RED CROSS","52769045110","52769-0451-10","Albumin (Human)",100,1,2,2
"P9045","Albumin (human), 5%, 250 ml","250 ML","AMERICAN RED CROSS","52769045325","52769-0453-25","Albumin (Human)",1,1,1,1
"J7190","Factor viii","1 IU","AMERICAN RED CROSS","52769046001","52769-0460-01","Monarc-M",1,1,1,1
"Q9941","IVIG lyophil 1G","1 GRAM","AMERICAN RED CROSS","52769047175","52769-0471-75","Polygam S/D",1,1,5,5
"Q9942","IVIG lyophil 10 mg","10 MG","AMERICAN RED CROSS","52769047175","52769-0471-75","Polygam S/D",1,1,500,500
"Q9941","IVIG lyophil 1G","1 GRAM","AMERICAN RED CROSS","52769047180","52769-0471-80","Polygam S/D",1,1,10,10
"Q9942","IVIG lyophil 10 mg","10 MG","AMERICAN RED CROSS","52769047180","52769-0471-80","Polygam S/D",1,1,1000,1000
"90396","Varicella-zoster ig, im","125 UNITS","AMERICAN RED CROSS","52769057411","52769-0574-11","Varicella-Zoster Immune Glob",1.25,1,1,1
"90396","Varicella-zoster ig, im","125 UNITS","AMERICAN RED CROSS","52769057466","52769-0574-66","Varicella-Zoster Immune Glob",10,1,4,4
"Q0163","Diphenhydramine HCl 50mg","50 MG","H.J. HARKINS COMPANY","52959005306","52959-0053-06","Diphenhydramine Hcl",6,1,6,6
"Q0163","Diphenhydramine HCl 50mg","50 MG","H.J. HARKINS COMPANY","52959005310","52959-0053-10","Diphenhydramine Hcl",10,1,10,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","H.J. HARKINS COMPANY","52959005312","52959-0053-12","Diphenhydramine Hcl",12,1,12,12
"Q0163","Diphenhydramine HCl 50mg","50 MG","H.J. HARKINS COMPANY","52959005315","52959-0053-15","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","H.J. HARKINS COMPANY","52959005320","52959-0053-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","H.J. HARKINS COMPANY","52959005330","52959-0053-30","Diphenhydramine Hcl",30,1,30,30
"J7500","Azathioprine oral 50mg","50 MG","H.J. HARKINS COMPANY","52959007900","52959-0079-00","Imuran",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","H.J. HARKINS COMPANY","52959010000","52959-0100-00","Methylprednisolone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012600","52959-0126-00","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012605","52959-0126-05","Prednisone",5,1,10,10
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012607","52959-0126-07","Prednisone",7,1,14,14
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012610","52959-0126-10","Prednisone",10,1,20,20
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012612","52959-0126-12","Prednisone",12,1,24,24
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012615","52959-0126-15","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012618","52959-0126-18","Prednisone",18,1,36,36
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012620","52959-0126-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012621","52959-0126-21","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012625","52959-0126-25","Prednisone",25,1,50,50
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012630","52959-0126-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012640","52959-0126-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012642","52959-0126-42","Prednisone",42,1,84,84
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012650","52959-0126-50","Prednisone",50,1,100,100
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012660","52959-0126-60","Prednisone",60,1,120,120
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012700","52959-0127-00","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012707","52959-0127-07","Prednisone",7,1,28,28
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012710","52959-0127-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012712","52959-0127-12","Prednisone",12,1,48,48
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012715","52959-0127-15","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012720","52959-0127-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012721","52959-0127-21","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012725","52959-0127-25","Prednisone",25,1,100,100
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012730","52959-0127-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012737","52959-0127-37","Prednisone",37,1,148,148
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959012742","52959-0127-42","Prednisone",42,1,168,168
"J7669","Metaproterenol inh sol u d","10 MG","H.J. HARKINS COMPANY","52959015806","52959-0158-06","Alupent",2.5,25,1.5,37.5
"J2360","Orphenadrine injection","60 MG","H.J. HARKINS COMPANY","52959017906","52959-0179-06","Norflex",2,6,1,6
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022000","52959-0220-00","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022010","52959-0220-10","Prednisone",10,1,10,10
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022020","52959-0220-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022021","52959-0220-21","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022030","52959-0220-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022036","52959-0220-36","Prednisone",36,1,36,36
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022040","52959-0220-40","Prednisone",40,1,40,40
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022060","52959-0220-60","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959022075","52959-0220-75","Prednisone",75,1,75,75
"J8610","Methotrexate oral 2.5 MG","2.5 MG","H.J. HARKINS COMPANY","52959024400","52959-0244-00","Methotrexate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","H.J. HARKINS COMPANY","52959039115","52959-0391-15","Compazine",15,1,15,15
"Q0177","Hydroxyzine pamoate 25mg","25 MG","H.J. HARKINS COMPANY","52959043310","52959-0433-10","Hydroxyzine Pamoate",10,1,10,10
"Q0177","Hydroxyzine pamoate 25mg","25 MG","H.J. HARKINS COMPANY","52959043315","52959-0433-15","Hydroxyzine Pamoate",15,1,15,15
"Q0177","Hydroxyzine pamoate 25mg","25 MG","H.J. HARKINS COMPANY","52959043330","52959-0433-30","Hydroxyzine Pamoate",30,1,30,30
"Q0177","Hydroxyzine pamoate 25mg","25 MG","H.J. HARKINS COMPANY","52959043340","52959-0433-40","Hydroxyzine Pamoate",40,1,40,40
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959045102","52959-0451-02","Phenergan",2,1,2,2
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959045130","52959-0451-30","Phenergan",30,1,30,30
"Q0165","Prochlorperazine maleate10mg","10 MG","H.J. HARKINS COMPANY","52959047610","52959-0476-10","Prochlorperazine Maleate",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","H.J. HARKINS COMPANY","52959047615","52959-0476-15","Prochlorperazine Maleate",15,1,15,15
"Q0165","Prochlorperazine maleate10mg","10 MG","H.J. HARKINS COMPANY","52959047620","52959-0476-20","Prochlorperazine Maleate",20,1,20,20
"Q0173","Trimethobenzamide HCl 250mg","250 MG","H.J. HARKINS COMPANY","52959047910","52959-0479-10","Trimethobenzamide Hcl",10,1,10,10
"Q0173","Trimethobenzamide HCl 250mg","250 MG","H.J. HARKINS COMPANY","52959047912","52959-0479-12","Trimethobenzamide Hcl",12,1,12,12
"Q0173","Trimethobenzamide HCl 250mg","250 MG","H.J. HARKINS COMPANY","52959047920","52959-0479-20","Trimethobenzamide Hcl",20,1,20,20
"Q0173","Trimethobenzamide HCl 250mg","250 MG","H.J. HARKINS COMPANY","52959047930","52959-0479-30","Trimethobenzamide Hcl",30,1,30,30
"Q0164","Prochlorperazine maleate 5mg","5 MG","H.J. HARKINS COMPANY","52959051110","52959-0511-10","Prochlorperazine Maleate",10,1,10,10
"Q0164","Prochlorperazine maleate 5mg","5 MG","H.J. HARKINS COMPANY","52959051115","52959-0511-15","Prochlorperazine Maleate",15,1,15,15
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959053401","52959-0534-01","Promethazine Hcl",120,1,120,120
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959053402","52959-0534-02","Promethazine Hcl",2,1,2,2
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959053410","52959-0534-10","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959053420","52959-0534-20","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959053430","52959-0534-30","Promethazine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959053445","52959-0534-45","Promethazine Hcl",45,1,45,45
"Q0170","Promethazine HCl 25 mg oral","25 MG","H.J. HARKINS COMPANY","52959053490","52959-0534-90","Promethazine Hcl",90,1,90,90
"J7506","Prednisone oral","5 MG","H.J. HARKINS COMPANY","52959065001","52959-0650-01","Prednisone",200,1,40,40
"J7611","Albuterol concentrated form","1 MG","H.J. HARKINS COMPANY","52959074120","52959-0741-20","Albuterol Sulfate",20,1,100,100
"J7509","Methylprednisolone oral","4 MG","H.J. HARKINS COMPANY","52959108300","52959-1083-00","Methylprednisolone (Pak)",21,1,21,21
"J7611","Albuterol concentrated form","1 MG","H.J. HARKINS COMPANY","52959129400","52959-1294-00","Ventolin",20,1,100,100
"J7669","Metaproterenol inh sol u d","10 MG","H.J. HARKINS COMPANY","52959134306","52959-1343-06","Alupent",2.5,25,1.5,37.5
"J9357","Valrubicin, 200 mg","200 MG","CELLTECH PHARMACEUTICAL","53014021604","53014-0216-04","Valstar",5,4,1,4
"J9357","Valrubicin, 200 mg","200 MG","CELLTECH PHARMACEUTICAL","53014021624","53014-0216-24","Valstar",5,24,1,24
"J1644","Inj heparin sodium per 1000u","1000 UNITS","NOVAPLUS","53258081305","53258-0813-05","Heparin Sodium (Bovine)",30,25,30,750
"J1644","Inj heparin sodium per 1000u","1000 UNITS","NOVAPLUS","53258083307","53258-0833-07","Heparin Sodium (Bovine)",4,25,40,1000
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","ABLE LABS","53265040510","53265-0405-10","Promethazine Hcl",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","25 MG","ABLE LABS","53265040610","53265-0406-10","Promethazine Hcl",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","25 MG","ABLE LABS","53265040611","53265-0406-11","Promethazine Hcl",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489013801","53489-0138-01","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489013810","53489-0138-10","Prednisone",1000,1,1000,1000
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489013901","53489-0139-01","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489013905","53489-0139-05","Prednisone",500,1,1000,1000
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489013910","53489-0139-10","Prednisone",1000,1,2000,2000
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489014001","53489-0140-01","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489014005","53489-0140-05","Prednisone",500,1,2000,2000
"J7506","Prednisone oral","5 MG","MUTUAL PHARMACEUTICAL","53489014010","53489-0140-10","Prednisone",1000,1,4000,4000
"J7682","Tobramycin inhalation sol","300 MG","CHIRON","53905006501","53905-0065-01","Tobi",5,56,1,56
"90675","Rabies vaccine, im","1 ML","CHIRON","53905050101","53905-0501-01","Rabavert",1,1,1,1
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","CHIRON","53905081010","53905-0810-10","Doxorubicin Hcl",1,10,1,10
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","CHIRON","53905081110","53905-0811-10","Doxorubicin Hcl",1,6,2,12
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","CHIRON","53905081310","53905-0813-10","Doxorubicin Hcl",5,10,1,10
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","CHIRON","53905081410","53905-0814-10","Doxorubicin Hcl",10,6,2,12
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","CHIRON","53905081501","53905-0815-01","Doxorubicin Hcl",25,1,5,5
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","CHIRON","53905081601","53905-0816-01","Doxorubicin Hcl",100,1,20,20
"J9015","Aldesleukin/single use vial","1 EA","CHIRON","53905099101","53905-0991-01","Proleukin",1,1,1,1
"J0350","Injection anistreplase 30 u","30 UNITS","SHIRE US INC.","54092054330","54092-0543-30","Eminase",1,1,1,1
"Q0165","Prochlorperazine maleate10mg","10 MG","PHARMPAK","54348011415","54348-0114-15","Prochlorperazine Maleate",15,1,15,15
"Q0164","Prochlorperazine maleate 5mg","5 MG","PHARMPAK","54348011630","54348-0116-30","Prochlorperazine Maleate",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHARMPAK","54348011712","54348-0117-12","Promethazine Hcl",12,1,12,12
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","PHARMPAK","54348011912","54348-0119-12","Promethazine Hcl",12,1,12,12
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050510","54348-0505-10","Prednisone",10,1,10,10
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050515","54348-0505-15","Prednisone",15,1,15,15
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050521","54348-0505-21","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050605","54348-0506-05","Prednisone",5,1,10,10
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050610","54348-0506-10","Prednisone",10,1,20,20
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050630","54348-0506-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050640","54348-0506-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","PHARMPAK","54348050905","54348-0509-05","Prednisone",5,1,50,50
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMPAK","54348065001","54348-0650-01","Diphenhydramine Hcl",1,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMPAK","54348065002","54348-0650-02","Diphenhydramine Hcl",2,1,2,2
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMPAK","54348065006","54348-0650-06","Diphenhydramine Hcl",6,1,6,6
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMPAK","54348065020","54348-0650-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHARMPAK","54348065050","54348-0650-50","Diphenhydramine Hcl",50,1,50,50
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PHARMPAK","54348098806","54348-0988-06","Hydroxyzine Pamoate",6,1,6,6
"Q0164","Prochlorperazine maleate 5mg","5 MG","PHARMPAK","54348098910","54348-0989-10","Compazine",10,1,10,10
"J7506","Prednisone oral","5 MG","PHARMPAK","54348099810","54348-0998-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","PHARMPAK","54348099820","54348-0998-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","PHARMPAK","54348099830","54348-0998-30","Prednisone",30,1,120,120
"J3120","Testosterone enanthate inj","100 MG","SAVIENT PHARMACEUTICALS INC.","54396032840","54396-0328-40","Delatestryl",5,1,10,10
"J3130","Testosterone enanthate inj","200 MG","SAVIENT PHARMACEUTICALS INC.","54396032840","54396-0328-40","Delatestryl",5,1,5,5
"J1955","Inj levocarnitine per 1 gm","1 G","SIGMA-TAU","54482014701","54482-0147-01","Carnitor",5,5,1,5
"Q0163","Diphenhydramine HCl 50mg","50 MG","ALLSCRIPTS","54569024100","54569-0241-00","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","ALLSCRIPTS","54569024102","54569-0241-02","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","ALLSCRIPTS","54569024103","54569-0241-03","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","ALLSCRIPTS","54569024105","54569-0241-05","Diphenhydramine Hcl",10,1,10,10
"J7509","Methylprednisolone oral","4 MG","ALLSCRIPTS","54569032700","54569-0327-00","Medrol (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033000","54569-0330-00","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033001","54569-0330-01","Prednisone",50,1,50,50
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033002","54569-0330-02","Prednisone",75,1,75,75
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033003","54569-0330-03","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033004","54569-0330-04","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033005","54569-0330-05","Prednisone",36,1,36,36
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033007","54569-0330-07","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033008","54569-0330-08","Prednisone",6,1,6,6
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033009","54569-0330-09","Prednisone",15,1,15,15
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033100","54569-0331-00","Prednisone",10,1,20,20
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033101","54569-0331-01","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033102","54569-0331-02","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033103","54569-0331-03","Prednisone",24,1,48,48
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033104","54569-0331-04","Prednisone",50,1,100,100
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033105","54569-0331-05","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033106","54569-0331-06","Prednisone",12,1,24,24
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033107","54569-0331-07","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033108","54569-0331-08","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033109","54569-0331-09","Prednisone",42,1,84,84
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033200","54569-0332-00","Prednisone",8,1,32,32
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033201","54569-0332-01","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033202","54569-0332-02","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033203","54569-0332-03","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033204","54569-0332-04","Prednisone",50,1,200,200
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033205","54569-0332-05","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033208","54569-0332-08","Prednisone",27,1,108,108
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033209","54569-0332-09","Prednisone",18,1,72,72
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033300","54569-0333-00","Prednisone",8,1,80,80
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569033304","54569-0333-04","Prednisone",5,1,50,50
"Q0164","Prochlorperazine maleate 5mg","5 MG","ALLSCRIPTS","54569035005","54569-0350-05","Prochlorperazine Maleate",6,1,6,6
"Q0165","Prochlorperazine maleate10mg","10 MG","ALLSCRIPTS","54569035100","54569-0351-00","Compazine",30,1,30,30
"Q0165","Prochlorperazine maleate10mg","10 MG","ALLSCRIPTS","54569035101","54569-0351-01","Compazine",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","ALLSCRIPTS","54569035500","54569-0355-00","Prochlorperazine Maleate",30,1,30,30
"Q0165","Prochlorperazine maleate10mg","10 MG","ALLSCRIPTS","54569035501","54569-0355-01","Prochlorperazine Maleate",15,1,15,15
"Q0165","Prochlorperazine maleate10mg","10 MG","ALLSCRIPTS","54569035502","54569-0355-02","Prochlorperazine Maleate",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","ALLSCRIPTS","54569035503","54569-0355-03","Prochlorperazine Maleate",4,1,4,4
"Q0170","Promethazine HCl 25 mg oral","25 MG","ALLSCRIPTS","54569035803","54569-0358-03","Phenergan",12,1,12,12
"J7509","Methylprednisolone oral","4 MG","ALLSCRIPTS","54569103600","54569-1036-00","Methylprednisolone (Pak)",21,1,21,21
"J0696","Ceftriaxone sodium injection","250 MG","ALLSCRIPTS","54569137700","54569-1377-00","Rocephin",1,10,2,20
"J1720","Hydrocortisone sodium succ i","100 MG","ALLSCRIPTS","54569138400","54569-1384-00","Solu-Cortef",1,1,1,1
"J0696","Ceftriaxone sodium injection","250 MG","ALLSCRIPTS","54569138600","54569-1386-00","Rocephin",1,10,1,10
"J2010","Lincomycin injection","300 MG","ALLSCRIPTS","54569138700","54569-1387-00","Lincocin",10,1,10,10
"J2510","Penicillin g procaine inj","600000 UNITS","ALLSCRIPTS","54569139000","54569-1390-00","Wycillin",4,10,4,40
"J3301","Triamcinolone acetonide inj","10 MG","ALLSCRIPTS","54569139800","54569-1398-00","Kenalog",5,1,20,20
"J0570","Penicillin g benzathine inj","1200000 UNITS","ALLSCRIPTS","54569140900","54569-1409-00","Bicillin L-A",2,10,1,10
"J0560","Penicillin g benzathine inj","600000 UNITS","ALLSCRIPTS","54569140901","54569-1409-01","Bicillin L-A",2,1,2,2
"J0570","Penicillin g benzathine inj","1200000 UNITS","ALLSCRIPTS","54569140901","54569-1409-01","Bicillin L-A",2,1,1,1
"J0580","Penicillin g benzathine inj","2400000 UNITS","ALLSCRIPTS","54569140901","54569-1409-01","Bicillin L-A",2,1,0.5,0.5
"J1080","Testosterone cypionat 200 MG","200 MG","ALLSCRIPTS","54569141100","54569-1411-00","Depo-Testosterone",10,1,10,10
"90732","Pneumococcal vaccine","0.5 ML","ALLSCRIPTS","54569141200","54569-1412-00","Pneumovax 23",2.5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","ALLSCRIPTS","54569149600","54569-1496-00","Heparin Lock Flush",5,25,50,1250
"J2912","Sodium chloride injection","2 CC","ALLSCRIPTS","54569152200","54569-1522-00","Sodium Chloride",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","ALLSCRIPTS","54569152200","54569-1522-00","Sodium Chloride",10,25,0.5,12.5
"J1160","Digoxin injection","0.5 MG","ALLSCRIPTS","54569152301","54569-1523-01","Lanoxin",2,1,1,1
"J0290","Ampicillin 500 MG inj","500 MG","ALLSCRIPTS","54569153000","54569-1530-00","Ampicillin Sodium",1,10,1,10
"J0540","Penicillin g benzathine inj","1200000 UNITS","ALLSCRIPTS","54569154500","54569-1545-00","Bicillin C-R (1200000)",2,10,1,10
"J0530","Penicillin g benzathine inj","600000 UNITS","ALLSCRIPTS","54569154600","54569-1546-00","Bicillin C-R (600000)",1,10,1,10
"J1200","Diphenhydramine hcl injectio","50 MG","ALLSCRIPTS","54569157400","54569-1574-00","Benadryl",1,10,1,10
"J0170","Adrenalin epinephrin inject","1 ML","ALLSCRIPTS","54569157800","54569-1578-00","Adrenalin",1,10,1,10
"90707","Mmr vaccine, sc","0.5 ML","ALLSCRIPTS","54569158800","54569-1588-00","M-M-R II",1,10,1,10
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569165101","54569-1651-01","Iletin I Nph",10,1,20,20
"J0170","Adrenalin epinephrin inject","1 ML","ALLSCRIPTS","54569167300","54569-1673-00","Epinephrine Hcl",10,1,10,10
"J7051","Sterile saline/water","5 CC","ALLSCRIPTS","54569167501","54569-1675-01","Bacteriostatic H2O For Inject",30,25,6,150
"Q0170","Promethazine HCl 25 mg oral","25 MG","ALLSCRIPTS","54569175400","54569-1754-00","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","ALLSCRIPTS","54569175401","54569-1754-01","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","ALLSCRIPTS","54569175406","54569-1754-06","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","ALLSCRIPTS","54569175409","54569-1754-09","Promethazine Hcl",30,1,30,30
"J3250","Trimethobenzamide hcl inj","200 MG","ALLSCRIPTS","54569179601","54569-1796-01","Tigan",20,1,10,10
"J0696","Ceftriaxone sodium injection","250 MG","ALLSCRIPTS","54569180201","54569-1802-01","Rocephin",1,10,4,40
"J3301","Triamcinolone acetonide inj","10 MG","ALLSCRIPTS","54569182701","54569-1827-01","Kenalog",5,1,5,5
"J0550","Penicillin g benzathine inj","2400000 UNITS","ALLSCRIPTS","54569185900","54569-1859-00","Bicillin C-R 900/300",2,10,1,10
"J2360","Orphenadrine injection","60 MG","ALLSCRIPTS","54569189401","54569-1894-01","Norflex",2,6,1,6
"J1030","Methylprednisolone 40 MG inj","40 MG","ALLSCRIPTS","54569190101","54569-1901-01","Depo-Medrol",5,1,5,5
"J3070","Pentazocine injection","30 MG","ALLSCRIPTS","54569190301","54569-1903-01","Talwin",10,1,10,10
"J7649","Isoetharine hcl inh sol u d","1 MG","ALLSCRIPTS","54569191301","54569-1913-01","Bronkosol",10,1,100,100
"J0560","Penicillin g benzathine inj","600000 UNITS","ALLSCRIPTS","54569191701","54569-1917-01","Bicillin L-A",1,10,1,10
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","ALLSCRIPTS","54569198600","54569-1986-00","Profasi Hp",1,1,10,10
"J2510","Penicillin g procaine inj","600000 UNITS","ALLSCRIPTS","54569204500","54569-2045-00","Wycillin",2,10,2,20
"J2001","Lidocaine injection","10 MG","ALLSCRIPTS","54569208100","54569-2081-00","Xylocaine (Cardiac)",25,1,100,100
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","ALLSCRIPTS","54569209100","54569-2091-00","Recombivax Hb",3,1,3,3
"90746","Hep b vaccine, adult, im","1 EACH","ALLSCRIPTS","54569209100","54569-2091-00","Recombivax Hb",3,1,3,3
"J2300","Inj nalbuphine hydrochloride","10 MG","ALLSCRIPTS","54569210100","54569-2101-00","Nubain",1,10,1,10
"J0500","Dicyclomine injection","20 MG","ALLSCRIPTS","54569220700","54569-2207-00","Dicyclomine Hcl",10,1,5,5
"J1030","Methylprednisolone 40 MG inj","40 MG","ALLSCRIPTS","54569221300","54569-2213-00","Depo-Medrol",1,1,1,1
"J7051","Sterile saline/water","5 CC","ALLSCRIPTS","54569222201","54569-2222-01","Sterile Water For Injection",5,1,1,1
"J7637","Dexamethasone inhal sol con","1 MG","ALLSCRIPTS","54569222300","54569-2223-00","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","ALLSCRIPTS","54569222300","54569-2223-00","Dexamethasone Sodium Phosphate",5,1,20,20
"J1040","Methylprednisolone 80 MG inj","80 MG","ALLSCRIPTS","54569223200","54569-2232-00","Depo-Medrol",5,1,5,5
"J0460","Atropine sulfate injection","0.3 MG","ALLSCRIPTS","54569223600","54569-2236-00","Atropine Sulfate",10,1,3.3,3.3
"J1815","Insulin injection","5 UNITS","ALLSCRIPTS","54569231800","54569-2318-00","Humulin N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569231800","54569-2318-00","Humulin N",10,1,20,20
"J1815","Insulin injection","5 UNITS","ALLSCRIPTS","54569231900","54569-2319-00","Humulin R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569231900","54569-2319-00","Humulin R",10,1,20,20
"J7637","Dexamethasone inhal sol con","1 MG","ALLSCRIPTS","54569232800","54569-2328-00","Dexamethasone Sodium Phosphate",10,1,100,100
"J7638","Dexamethasone inhal sol u d","1 MG","ALLSCRIPTS","54569232800","54569-2328-00","Dexamethasone Sodium Phosphate",10,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","ALLSCRIPTS","54569235305","54569-2353-05","Hydroxyzine Pamoate",30,1,30,30
"J2210","Methylergonovin maleate inj","0.2 MG","ALLSCRIPTS","54569236200","54569-2362-00","Methergine",1,20,1,20
"J3150","Testosteron propionate inj","100 MG","ALLSCRIPTS","54569236300","54569-2363-00","Testosterone Propionate",10,1,10,10
"J0780","Prochlorperazine injection","10 MG","ALLSCRIPTS","54569237900","54569-2379-00","Prochlorperazine Edisylate",10,1,5,5
"J0698","Cefotaxime sodium injection","1 GM","ALLSCRIPTS","54569248400","54569-2484-00","Claforan",1,10,1,10
"Q0178","Hydroxyzine pamoate 50mg","50 MG","ALLSCRIPTS","54569257101","54569-2571-01","Hydroxyzine Pamoate",20,1,20,20
"Q0178","Hydroxyzine pamoate 50mg","50 MG","ALLSCRIPTS","54569257105","54569-2571-05","Hydroxyzine Pamoate",6,1,6,6
"J1000","Depo-estradiol cypionate inj","5 MG","ALLSCRIPTS","54569258000","54569-2580-00","Depo-Estradiol",5,1,5,5
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","ALLSCRIPTS","54569263000","54569-2630-00","Recombivax Hb",1,1,1,1
"90746","Hep b vaccine, adult, im","1 EACH","ALLSCRIPTS","54569263000","54569-2630-00","Recombivax Hb",1,1,1,1
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","ALLSCRIPTS","54569266000","54569-2660-00","Chorionic Gonadotropin",1,1,10,10
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569278500","54569-2785-00","Prednisone",28,1,28,28
"90746","Hep b vaccine, adult, im","1 EACH","ALLSCRIPTS","54569279000","54569-2790-00","Engerix-B",1,1,1,1
"J1815","Insulin injection","5 UNITS","ALLSCRIPTS","54569291800","54569-2918-00","Novolin 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569291800","54569-2918-00","Novolin 70/30",10,1,20,20
"J1815","Insulin injection","5 UNITS","ALLSCRIPTS","54569291801","54569-2918-01","Novolin 70/30",10,2,200,400
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569291801","54569-2918-01","Novolin 70/30",10,2,20,40
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569295101","54569-2951-01","Iletin I Regular",10,2,20,40
"J0945","Brompheniramine maleate inj","10 MG","ALLSCRIPTS","54569302100","54569-3021-00","Brompheniramine Maleate",10,1,10,10
"J1100","Dexamethasone sodium phos","1 MG","ALLSCRIPTS","54569304000","54569-3040-00","Dexamethasone Sodium Phosphate",30,1,120,120
"J7637","Dexamethasone inhal sol con","1 MG","ALLSCRIPTS","54569304001","54569-3040-01","Dexamethasone Sodium Phosphate",30,25,120,3000
"J7638","Dexamethasone inhal sol u d","1 MG","ALLSCRIPTS","54569304001","54569-3040-01","Dexamethasone Sodium Phosphate",39,25,156,3900
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569304300","54569-3043-00","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569304301","54569-3043-01","Prednisone",12,1,48,48
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569304302","54569-3043-02","Prednisone",6,1,24,24
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569304303","54569-3043-03","Prednisone",9,1,36,36
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569304304","54569-3043-04","Prednisone",3,1,12,12
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569304305","54569-3043-05","Prednisone",14,1,56,56
"J0170","Adrenalin epinephrin inject","1 ML","ALLSCRIPTS","54569307500","54569-3075-00","Epinephrine Hcl",1,25,1,25
"J0170","Adrenalin epinephrin inject","1 ML","ALLSCRIPTS","54569307501","54569-3075-01","Epinephrine Hcl",1,1,1,1
"J2912","Sodium chloride injection","2 CC","ALLSCRIPTS","54569307800","54569-3078-00","Sodium Chloride",5,100,2.5,250
"J7130","Hypertonic saline solution","20 CC","ALLSCRIPTS","54569307800","54569-3078-00","Sodium Chloride",5,100,0.25,25
"J2300","Inj nalbuphine hydrochloride","10 MG","ALLSCRIPTS","54569308000","54569-3080-00","Nubain",10,1,10,10
"J2550","Promethazine hcl injection","50 MG","ALLSCRIPTS","54569310600","54569-3106-00","Phenergan",1,10,0.5,5
"J0280","Aminophyllin 250 MG inj","250 MG","ALLSCRIPTS","54569313001","54569-3130-01","Aminophylline",20,1,2,2
"J1720","Hydrocortisone sodium succ i","100 MG","ALLSCRIPTS","54569313300","54569-3133-00","Solu-Cortef",1,1,2.5,2.5
"Q4055","Epoetin alfa, esrd use","1000 UNITS","ALLSCRIPTS","54569313700","54569-3137-00","Epogen",1,10,10,100
"90746","Hep b vaccine, adult, im","1 EACH","ALLSCRIPTS","54569314200","54569-3142-00","Engerix-B",1,25,1,25
"J0696","Ceftriaxone sodium injection","250 MG","ALLSCRIPTS","54569320700","54569-3207-00","Rocephin",1,10,8,80
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330200","54569-3302-00","Prednisone",60,1,120,120
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330201","54569-3302-01","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330202","54569-3302-02","Prednisone",45,1,90,90
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330205","54569-3302-05","Prednisone",55,1,110,110
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330206","54569-3302-06","Prednisone",6,1,12,12
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330207","54569-3302-07","Prednisone",4,1,8,8
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330208","54569-3302-08","Prednisone",18,1,36,36
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569330209","54569-3302-09","Prednisone",90,1,180,180
"J1040","Methylprednisolone 80 MG inj","80 MG","ALLSCRIPTS","54569337400","54569-3374-00","Depo-Medrol",1,1,1,1
"Q0173","Trimethobenzamide HCl 250mg","250 MG","ALLSCRIPTS","54569340700","54569-3407-00","Trimethobenzamide Hcl",12,1,12,12
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569341300","54569-3413-00","Prednisone (Pak)",21,1,21,21
"J1950","Leuprolide acetate /3.75 MG","3.75 MG","ALLSCRIPTS","54569344400","54569-3444-00","Lupron Depot",1,1,1,1
"J1815","Insulin injection","5 UNITS","ALLSCRIPTS","54569346700","54569-3467-00","Humulin 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569346700","54569-3467-00","Humulin 70/30",10,1,20,20
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569346701","54569-3467-01","Humulin 70/30",10,2,20,40
"J0696","Ceftriaxone sodium injection","250 MG","ALLSCRIPTS","54569347700","54569-3477-00","Rocephin",1,1,4,4
"J0696","Ceftriaxone sodium injection","250 MG","ALLSCRIPTS","54569347800","54569-3478-00","Rocephin",1,1,1,1
"J0696","Ceftriaxone sodium injection","250 MG","ALLSCRIPTS","54569347900","54569-3479-00","Rocephin",1,1,2,2
"J0460","Atropine sulfate injection","0.3 MG","ALLSCRIPTS","54569358800","54569-3588-00","Atropine Sulfate",5,1,1.65,1.65
"J0460","Atropine sulfate injection","0.3 MG","ALLSCRIPTS","54569358900","54569-3589-00","Atropine Sulfate",1,25,1.33,33.25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","ALLSCRIPTS","54569364400","54569-3644-00","Engerix-B",0.5,1,1,1
"J0595","Butorphanol tartrate 1 mg","1 MG","ALLSCRIPTS","54569368100","54569-3681-00","Stadol Ns",2.5,1,25,25
"J3030","Sumatriptan succinate / 6 MG","6 MG","ALLSCRIPTS","54569370400","54569-3704-00","Imitrex",0.5,5,1,5
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569379800","54569-3798-00","Sterapred Ds",48,1,96,96
"J1815","Insulin injection","5 UNITS","ALLSCRIPTS","54569383300","54569-3833-00","Novolin R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569383300","54569-3833-00","Novolin R",10,1,20,20
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569383400","54569-3834-00","Novolin L",10,1,20,20
"J1815","Insulin injection","5 UNITS","ALLSCRIPTS","54569383500","54569-3835-00","Novolin N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569383500","54569-3835-00","Novolin N",10,1,20,20
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569383501","54569-3835-01","Novolin N",10,2,20,40
"J1750","Iron dextran","50 MG","ALLSCRIPTS","54569384600","54569-3846-00","Infed",2,10,2,20
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569384700","54569-3847-00","Sterapred Ds",21,1,42,42
"J2550","Promethazine hcl injection","50 MG","ALLSCRIPTS","54569388200","54569-3882-00","Phenergan",1,25,0.5,12.5
"90746","Hep b vaccine, adult, im","1 EACH","ALLSCRIPTS","54569388800","54569-3888-00","Engerix-B",1,5,1,5
"J7613","Albuterol unit dose","1 MG","ALLSCRIPTS","54569389900","54569-3899-00","Albuterol Sulfate",3,25,2.49,62.25
"J7611","Albuterol concentrated form","1 MG","ALLSCRIPTS","54569390000","54569-3900-00","Albuterol Sulfate",20,1,100,100
"J2590","Oxytocin injection","10 UNITS","ALLSCRIPTS","54569391400","54569-3914-00","Pitocin",1,25,1,25
"J2920","Methylprednisolone injection","40 MG","ALLSCRIPTS","54569393400","54569-3934-00","Solu-Medrol",1,25,1,25
"J1030","Methylprednisolone 40 MG inj","40 MG","ALLSCRIPTS","54569394600","54569-3946-00","Depo-Medrol",1,25,1,25
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569401700","54569-4017-00","Deltasone",9,1,36,36
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569402600","54569-4026-00","Prednisone",42,1,42,42
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569402601","54569-4026-01","Prednisone",24,1,24,24
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569402604","54569-4026-04","Prednisone",40,1,40,40
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569402605","54569-4026-05","Prednisone",55,1,55,55
"90675","Rabies vaccine, im","1 ML","ALLSCRIPTS","54569404900","54569-4049-00","Imovax Rabies",1,1,1,1
"J3070","Pentazocine injection","30 MG","ALLSCRIPTS","54569409500","54569-4095-00","Talwin",1,10,1,10
"J2300","Inj nalbuphine hydrochloride","10 MG","ALLSCRIPTS","54569411200","54569-4112-00","Nalbuphine Hcl",1,10,2,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","ALLSCRIPTS","54569416800","54569-4168-00","Promethazine Hcl",5,1,5,5
"J2405","Ondansetron hcl injection","1 MG","ALLSCRIPTS","54569419800","54569-4198-00","Zofran",2,5,4,20
"J2590","Oxytocin injection","10 UNITS","ALLSCRIPTS","54569421200","54569-4212-00","Oxytocin",10,25,10,250
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","ALLSCRIPTS","54569421300","54569-4213-00","Engerix-B",0.5,5,1,5
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569422600","54569-4226-00","Deltasone",60,1,60,60
"J7506","Prednisone oral","5 MG","ALLSCRIPTS","54569422700","54569-4227-00","Sterapred",21,1,21,21
"J1030","Methylprednisolone 40 MG inj","40 MG","ALLSCRIPTS","54569426500","54569-4265-00","Depo-Medrol",10,1,10,10
"J0690","Cefazolin sodium injection","500 MG","ALLSCRIPTS","54569429400","54569-4294-00","Cefazolin Sodium",1,10,2,20
"J2790","Rho d immune globulin inj","300 MCG","ALLSCRIPTS","54569439500","54569-4395-00","Bayrho-D",1,1,1,1
"J1670","Tetanus immune globulin inj","250 UNITS","ALLSCRIPTS","54569439800","54569-4398-00","Baytet",1,1,1,1
"90632","Hep a vaccine, adult im","1 ML","ALLSCRIPTS","54569446900","54569-4469-00","Vaqta",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","ALLSCRIPTS","54569451600","54569-4516-00","Medrol",10,1,20,20
"J7509","Methylprednisolone oral","4 MG","ALLSCRIPTS","54569458000","54569-4580-00","Medrol",21,1,84,84
"J1100","Dexamethasone sodium phos","1 MG","ALLSCRIPTS","54569464800","54569-4648-00","Dexamethasone Sodium Phosphate",5,25,20,500
"J1956","Levofloxacin injection","250 MG","ALLSCRIPTS","54569467700","54569-4677-00","Levaquin",20,1,2,2
"J0713","Inj ceftazidime per 500 mg","500 MG","ALLSCRIPTS","54569468200","54569-4682-00","Fortaz",1,10,4,40
"J0692","Cefepime HCl for injection","500 MG","ALLSCRIPTS","54569468300","54569-4683-00","Maxipime",1,10,4,40
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","ALLSCRIPTS","54569469900","54569-4699-00","Phenergan",30,1,30,30
"J1100","Dexamethasone sodium phos","1 MG","ALLSCRIPTS","54569472800","54569-4728-00","Dexamethasone Sodium Phosphate",1,25,4,100
"J1610","Glucagon hydrochloride/1 MG","1 MG","ALLSCRIPTS","54569473400","54569-4734-00","Glucagon Emergency",1,1,1,1
"90371","Hep b ig, im","1 ML","ALLSCRIPTS","54569473900","54569-4739-00","Nabi-Hb",5,1,5,5
"J7614","Levalbuterol unit dose","0.5 MG","ALLSCRIPTS","54569474800","54569-4748-00","Xopenex",3,24,1.26,30.24
"J3415","Pyridoxine hcl 100 mg","100 MG","ALLSCRIPTS","54569475200","54569-4752-00","Pyridoxine Hcl",1,25,1,25
"90657","Flu vaccine, 3 yrs, im","0.25 ML","ALLSCRIPTS","54569480400","54569-4804-00","Fluzone Subvirion",5,1,20,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","ALLSCRIPTS","54569480400","54569-4804-00","Fluzone Subvirion",5,1,10,10
"90657","Flu vaccine, 3 yrs, im","0.25 ML","ALLSCRIPTS","54569480500","54569-4805-00","Fluzone Subvirion",0.5,10,2,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","ALLSCRIPTS","54569480500","54569-4805-00","Fluzone Subvirion",0.5,10,1,10
"90713","Poliovirus, ipv, sc","0.5 ML","ALLSCRIPTS","54569481200","54569-4812-00","Ipol",5,1,10,10
"J2300","Inj nalbuphine hydrochloride","10 MG","ALLSCRIPTS","54569481900","54569-4819-00","Nubain",1,10,2,20
"Q0179","Ondansetron HCl 8mg oral","8 MG","ALLSCRIPTS","54569487200","54569-4872-00","Zofran",9,1,9,9
"J7644","Ipratropium brom inh sol u d","1 MG","ALLSCRIPTS","54569491000","54569-4910-00","Ipratropium Bromide",2.5,25,0.5,12.5
"J2941","Somatropin injection","1 MG","ALLSCRIPTS","54569493000","54569-4930-00","Saizen",1,1,5,5
"J7513","Daclizumab, parenteral","25 MG","ALLSCRIPTS","54569494200","54569-4942-00","Zenapax",5,1,1,1
"J1885","Ketorolac tromethamine inj","15 MG","ALLSCRIPTS","54569495400","54569-4954-00","Ketorolac Tromethamine",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","ALLSCRIPTS","54569495500","54569-4955-00","Ketorolac Tromethamine",2,10,4,40
"90700","Dtap vaccine, < 7 yrs, im","0.5 ML","ALLSCRIPTS","54569496900","54569-4969-00","Infanrix",0.5,10,1,10
"J2250","Inj midazolam hydrochloride","1 MG","ALLSCRIPTS","54569511600","54569-5116-00","Midazolam Hcl",10,10,50,500
"J2250","Inj midazolam hydrochloride","1 MG","ALLSCRIPTS","54569511601","54569-5116-01","Midazolam Hcl",10,1,50,50
"J7626","Budesonide inhalation sol","0.50 MG","ALLSCRIPTS","54569516300","54569-5163-00","Pulmicort",2,30,1,30
"Q4075","Acyclovir, 5 mg","5 MG","ALLSCRIPTS","54569517300","54569-5173-00","Acyclovir Sodium",1,10,100,1000
"90657","Flu vaccine, 3 yrs, im","0.25 ML","ALLSCRIPTS","54569518100","54569-5181-00","Flushield Influenza Virus Vac",5,1,20,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","ALLSCRIPTS","54569518100","54569-5181-00","Flushield Influenza Virus Vac",5,1,10,10
"J1885","Ketorolac tromethamine inj","15 MG","ALLSCRIPTS","54569518800","54569-5188-00","Ketorolac Tromethamine",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","ALLSCRIPTS","54569518900","54569-5189-00","Ketorolac Tromethamine",2,10,4,40
"J2250","Inj midazolam hydrochloride","1 MG","ALLSCRIPTS","54569525500","54569-5255-00","Midazolam Hcl",10,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","ALLSCRIPTS","54569525501","54569-5255-01","Midazolam Hcl",10,1,10,10
"90645","Hib vaccine, hboc, im","1 EACH","ALLSCRIPTS","54569526900","54569-5269-00","Pedvaxhib",0.5,10,1,10
"90647","Hib vaccine, prp-omp, im","0.5 ML","ALLSCRIPTS","54569526900","54569-5269-00","Pedvax Hib",0.5,10,1,10
"J1460","Gamma globulin 1 CC inj","1 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,2,2
"J1470","Gamma globulin 2 CC inj","2 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,1,1
"J1480","Gamma globulin 3 CC inj","3 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.667,0.667
"J1490","Gamma globulin 4 CC inj","4 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.5,0.5
"J1500","Gamma globulin 5 CC inj","5 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.4,0.4
"J1510","Gamma globulin 6 CC inj","6 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.333,0.333
"J1520","Gamma globulin 7 CC inj","7 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.286,0.286
"J1530","Gamma globulin 8 CC inj","8 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.25,0.25
"J1540","Gamma globulin 9 CC inj","9 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.222,0.222
"J1550","Gamma globulin 10 CC inj","10 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,0.2,0.2
"J1560","Gamma globulin > 10 CC inj","10 ML","ALLSCRIPTS","54569527500","54569-5275-00","Baygam",2,1,2,2
"90656","Flu vaccine no preserv 3 & >","0.50 ML","ALLSCRIPTS","54569530700","54569-5307-00","Fluvirin",5,1,10,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","ALLSCRIPTS","54569530700","54569-5307-00","Fluvirin",5,1,10,10
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","ALLSCRIPTS","54569531100","54569-5311-00","Engerix-B",0.5,10,1,10
"J1817","Insulin for insulin pump use","50 UNITS","ALLSCRIPTS","54569532100","54569-5321-00","Humalog Mix 75/25",10,1,20,20
"90657","Flu vaccine, 3 yrs, im","0.25 ML","ALLSCRIPTS","54569532300","54569-5323-00","Fluzone Subvirion",5,1,20,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","ALLSCRIPTS","54569532300","54569-5323-00","Fluzone Subvirion",5,1,10,10
"J3360","Diazepam injection","5 MG","ALLSCRIPTS","54569535100","54569-5351-00","Diazepam",50,1,50,50
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","ALLSCRIPTS","54569536500","54569-5365-00","Havrix",0.5,1,1,1
"90632","Hep a vaccine, adult im","1 ML","ALLSCRIPTS","54569537100","54569-5371-00","Havrix",1,1,1,1
"90740","Hepb vacc, ill pat 3 dose im","40 MCG","ELKINS-SINN","54569540800","54569-5408-00","Engerix-B",1,5,0.5,2.5
"90746","Hep b vaccine, adult, im","1 EACH","ALLSCRIPTS","54569540800","54569-5408-00","Engerix-B",1,5,1,5
"90747","Hepb vacc, ill pat 4 dose im","40 MCG","GENENTECH","54569540800","54569-5408-00","Engerix-B",1,5,0.5,2.5
"J3301","Triamcinolone acetonide inj","10 MG","ALLSCRIPTS","54569546500","54569-5465-00","Kenalog",10,1,40,40
"J0285","Amphotericin B","50 MG","ALLSCRIPTS","54569553500","54569-5535-00","Fungizone",1,1,1,1
"J1600","Gold sodium thiomaleate inj","50 MG","SAB PHARMA","54643100600","54643-1006-00","Gold Sodium Thiomalate",1,10,1,10
"J1600","Gold sodium thiomaleate inj","50 MG","SAB PHARMA","54643100700","54643-1007-00","Gold Sodium Thiomalate",10,1,10,10
"J3303","Triamcinolone hexacetonl inj","5 MG","SAB PHARMA","54643105400","54643-1054-00","Aristospan Intralesional",5,1,5,5
"J3303","Triamcinolone hexacetonl inj","5 MG","SAB PHARMA","54643105500","54643-1055-00","Aristospan Intra-Articular",1,1,4,4
"J3303","Triamcinolone hexacetonl inj","5 MG","SAB PHARMA","54643105600","54643-1056-00","Aristospan Intra-Articular",5,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","RICHMOND PHARMACEUTICALS","54738011601","54738-0116-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","RICHMOND PHARMACEUTICALS","54738011603","54738-0116-03","Diphenhydramine Hcl",1000,1,1000,1000
"Q0163","Diphenhydramine HCl 50mg","50 MG","RICHMOND PHARMACEUTICALS","54738011613","54738-0116-13","Diphenhydramine Hcl",100,1,100,100
"Q0175","Perphenazine 4mg oral","4 MG","RICHMOND PHARMACEUTICALS","54738055101","54738-0551-01","Perphenazine",100,1,100,100
"Q0175","Perphenazine 4mg oral","4 MG","RICHMOND PHARMACEUTICALS","54738055102","54738-0551-02","Perphenazine",500,1,500,500
"Q0176","Perphenazine 8mg oral","8 MG","RICHMOND PHARMACEUTICALS","54738055201","54738-0552-01","Perphenazine",100,1,100,100
"Q0176","Perphenazine 8mg oral","8 MG","RICHMOND PHARMACEUTICALS","54738055202","54738-0552-02","Perphenazine",500,1,500,500
"J9215","Interferon alfa-n3 inj","250000 IU","INTERFERON SCIENCES","54746000101","54746-0001-01","Alferon N",1,1,20,20
"Q0171","Chlorpromazine HCl 10mg oral","10 MG","R I D","54807082001","54807-0820-01","Chlorpromazine Hcl",100,1,100,100
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","R I D","54807082101","54807-0821-01","Chlorpromazine Hcl",100,1,100,100
"J0460","Atropine sulfate injection","0.3 MG","PHYSICIANS TOTAL CARE","54868000600","54868-0006-00","Atropine Sulfate",10,10,3.3,33
"J1200","Diphenhydramine hcl injectio","50 MG","PHYSICIANS TOTAL CARE","54868000700","54868-0007-00","Benadryl",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","PHYSICIANS TOTAL CARE","54868011500","54868-0115-00","Morphine Sulfate",1,10,1,10
"J2271","Morphine so4 injection 100mg","100 MG","PHYSICIANS TOTAL CARE","54868011500","54868-0115-00","Morphine Sulfate",1,10,0.1,1
"J2270","Morphine sulfate injection","10 MG","PHYSICIANS TOTAL CARE","54868011501","54868-0115-01","Morphine Sulfate",1,10,1,10
"J2271","Morphine so4 injection 100mg","100 MG","PHYSICIANS TOTAL CARE","54868011501","54868-0115-01","Morphine Sulfate",1,10,0.1,1
"J2912","Sodium chloride injection","2 CC","PHYSICIANS TOTAL CARE","54868011600","54868-0116-00","Sodium Chloride Bacteriostatic",30,1,15,15
"J7130","Hypertonic saline solution","20 CC","PHYSICIANS TOTAL CARE","54868011600","54868-0116-00","Sodium Chloride Bacteriostatic",30,1,1.5,1.5
"Q0177","Hydroxyzine pamoate 25mg","25 MG","PHYSICIANS TOTAL CARE","54868016901","54868-0169-01","Vistaril",100,1,100,100
"J7051","Sterile saline/water","5 CC","PHYSICIANS TOTAL CARE","54868018300","54868-0183-00","Bacteriostatic H2O For Inject",30,1,6,6
"J0702","Betamethasone acet&sod phosp","3 MG","PHYSICIANS TOTAL CARE","54868020600","54868-0206-00","Celestone Soluspan",5,1,5,5
"J3410","Hydroxyzine hcl injection","25 MG","PHYSICIANS TOTAL CARE","54868023100","54868-0231-00","Hydroxyzine Hcl",10,1,20,20
"J3301","Triamcinolone acetonide inj","10 MG","PHYSICIANS TOTAL CARE","54868023400","54868-0234-00","Kenalog",5,1,5,5
"J3301","Triamcinolone acetonide inj","10 MG","PHYSICIANS TOTAL CARE","54868023500","54868-0235-00","Kenalog",1,1,4,4
"J3301","Triamcinolone acetonide inj","10 MG","PHYSICIANS TOTAL CARE","54868023501","54868-0235-01","Kenalog",5,1,20,20
"J3301","Triamcinolone acetonide inj","10 MG","PHYSICIANS TOTAL CARE","54868023502","54868-0235-02","Kenalog",10,1,40,40
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025800","54868-0258-00","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025801","54868-0258-01","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025802","54868-0258-02","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025803","54868-0258-03","Prednisone",50,1,50,50
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025804","54868-0258-04","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025805","54868-0258-05","Prednisone",36,1,36,36
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025806","54868-0258-06","Prednisone",55,1,55,55
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025807","54868-0258-07","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025808","54868-0258-08","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868025809","54868-0258-09","Prednisone",15,1,15,15
"J0780","Prochlorperazine injection","10 MG","PHYSICIANS TOTAL CARE","54868026100","54868-0261-00","Prochlorperazine Edisylate",10,1,5,5
"J2550","Promethazine hcl injection","50 MG","PHYSICIANS TOTAL CARE","54868026200","54868-0262-00","Promethazine Hcl",10,1,10,10
"J7060","5% dextrose/water","500 ML","PHYSICIANS TOTAL CARE","54868029601","54868-0296-01","Dextrose",500,12,1,12
"J7070","D5w infusion","1000 CC","PHYSICIANS TOTAL CARE","54868029601","54868-0296-01","Dextrose",500,12,0.5,6
"J7060","5% dextrose/water","500 ML","PHYSICIANS TOTAL CARE","54868029602","54868-0296-02","Dextrose",250,36,0.5,18
"J7070","D5w infusion","1000 CC","PHYSICIANS TOTAL CARE","54868029602","54868-0296-02","Dextrose",250,36,0.25,9
"J1200","Diphenhydramine hcl injectio","50 MG","PHYSICIANS TOTAL CARE","54868055400","54868-0554-00","Benadryl",10,1,10,10
"J0690","Cefazolin sodium injection","500 MG","PHYSICIANS TOTAL CARE","54868055900","54868-0559-00","Cefazolin Sodium",1,10,2,20
"J2550","Promethazine hcl injection","50 MG","PHYSICIANS TOTAL CARE","54868059700","54868-0597-00","Phenergan",1,25,0.5,12.5
"J1720","Hydrocortisone sodium succ i","100 MG","PHYSICIANS TOTAL CARE","54868060500","54868-0605-00","Solu-Cortef",1,1,1,1
"J3250","Trimethobenzamide hcl inj","200 MG","PHYSICIANS TOTAL CARE","54868060800","54868-0608-00","Trimethobenzamide Hcl",2,25,1,25
"J2175","Meperidine hydrochl /100 MG","100 MG","PHYSICIANS TOTAL CARE","54868061600","54868-0616-00","Demerol",30,1,15,15
"J3360","Diazepam injection","5 MG","PHYSICIANS TOTAL CARE","54868061700","54868-0617-00","Diazepam",10,1,10,10
"J3360","Diazepam injection","5 MG","PHYSICIANS TOTAL CARE","54868061701","54868-0617-01","Diazepam",10,5,10,50
"90732","Pneumococcal vaccine","0.5 ML","PHYSICIANS TOTAL CARE","54868070700","54868-0707-00","Pnu-Imune",2.5,1,5,5
"J3360","Diazepam injection","5 MG","PHYSICIANS TOTAL CARE","54868071600","54868-0716-00","Valium",10,1,10,10
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","PHYSICIANS TOTAL CARE","54868072100","54868-0721-00","Phenergan",12,1,12,12
"90746","Hep b vaccine, adult, im","1 EACH","PHYSICIANS TOTAL CARE","54868073400","54868-0734-00","Engerix-B",1,1,1,1
"90747","Hepb vacc, ill pat 4 dose im","40 MCG","ABBOTT","54868073400","54868-0734-00","Engerix-B",1,1,0.5,0.5
"J0460","Atropine sulfate injection","0.3 MG","PHYSICIANS TOTAL CARE","54868074000","54868-0740-00","Atropine Sulfate",20,1,26.6,26.6
"J7635","Atropine inhal sol con","1 MG","PHYSICIANS TOTAL CARE","54868074000","54868-0740-00","Atropine Sulfate",20,1,8,8
"J7636","Atropine inhal sol unit dose","1 MG","PHYSICIANS TOTAL CARE","54868074000","54868-0740-00","Atropine Sulfate",20,1,8,8
"J0460","Atropine sulfate injection","0.3 MG","PHYSICIANS TOTAL CARE","54868074001","54868-0740-01","Atropine Sulfate",20,10,26.6,266
"J7635","Atropine inhal sol con","1 MG","PHYSICIANS TOTAL CARE","54868074001","54868-0740-01","Atropine Sulfate",20,10,8,80
"J7636","Atropine inhal sol unit dose","1 MG","PHYSICIANS TOTAL CARE","54868074001","54868-0740-01","Atropine Sulfate",20,10,8,80
"J3250","Trimethobenzamide hcl inj","200 MG","PHYSICIANS TOTAL CARE","54868075600","54868-0756-00","Tigan",20,1,10,10
"J3420","Vitamin b12 injection","1000 MCG","PHYSICIANS TOTAL CARE","54868076200","54868-0762-00","Cyanocobalamin",30,1,30,30
"J3420","Vitamin b12 injection","1000 MCG","PHYSICIANS TOTAL CARE","54868076201","54868-0762-01","Cyanocobalamin",25,1,25,25
"J3480","Inj potassium chloride","2 MEQ","PHYSICIANS TOTAL CARE","54868076700","54868-0767-00","Potassium Chloride",10,1,10,10
"J2920","Methylprednisolone injection","40 MG","PHYSICIANS TOTAL CARE","54868076800","54868-0768-00","Solu-Medrol",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","PHYSICIANS TOTAL CARE","54868077601","54868-0776-01","Medrol (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083600","54868-0836-00","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083601","54868-0836-01","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083602","54868-0836-02","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083603","54868-0836-03","Prednisone",50,1,100,100
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083604","54868-0836-04","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083605","54868-0836-05","Prednisone",60,1,120,120
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083607","54868-0836-07","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083608","54868-0836-08","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868083609","54868-0836-09","Prednisone",63,1,126,126
"J3410","Hydroxyzine hcl injection","25 MG","PHYSICIANS TOTAL CARE","54868085800","54868-0858-00","Hydroxyzine Hcl",1,25,1,25
"J1100","Dexamethasone sodium phos","1 MG","PHYSICIANS TOTAL CARE","54868087100","54868-0871-00","Dexamethasone Sodium Phosphate",5,1,20,20
"J7637","Dexamethasone inhal sol con","1 MG","PHYSICIANS TOTAL CARE","54868087100","54868-0871-00","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","PHYSICIANS TOTAL CARE","54868087100","54868-0871-00","Dexamethasone Sodium Phosphate",5,1,20,20
"J1100","Dexamethasone sodium phos","1 MG","PHYSICIANS TOTAL CARE","54868087106","54868-0871-06","Dexamethasone Sodium Phosphate",30,1,120,120
"J7637","Dexamethasone inhal sol con","1 MG","PHYSICIANS TOTAL CARE","54868087106","54868-0871-06","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","PHYSICIANS TOTAL CARE","54868087106","54868-0871-06","Dexamethasone Sodium Phosphate",30,1,120,120
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868090800","54868-0908-00","Prednisone",30,1,300,300
"J7500","Azathioprine oral 50mg","50 MG","PHYSICIANS TOTAL CARE","54868092101","54868-0921-01","Imuran",30,1,30,30
"J7500","Azathioprine oral 50mg","50 MG","PHYSICIANS TOTAL CARE","54868092102","54868-0921-02","Imuran",20,1,20,20
"J7500","Azathioprine oral 50mg","50 MG","PHYSICIANS TOTAL CARE","54868092104","54868-0921-04","Imuran",50,1,50,50
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868092301","54868-0923-01","Deltasone",30,1,30,30
"J3302","Triamcinolone diacetate inj","5 MG","PHYSICIANS TOTAL CARE","54868092600","54868-0926-00","Aristocort Forte",5,1,40,40
"J0696","Ceftriaxone sodium injection","250 MG","PHYSICIANS TOTAL CARE","54868093400","54868-0934-00","Rocephin",1,10,1,10
"90707","Mmr vaccine, sc","0.5 ML","PHYSICIANS TOTAL CARE","54868098000","54868-0980-00","M-M-R II",1,1,1,1
"90707","Mmr vaccine, sc","0.5 ML","PHYSICIANS TOTAL CARE","54868098001","54868-0980-01","M-M-R II",1,10,1,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHYSICIANS TOTAL CARE","54868105000","54868-1050-00","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHYSICIANS TOTAL CARE","54868105001","54868-1050-01","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHYSICIANS TOTAL CARE","54868105003","54868-1050-03","Diphenhydramine Hcl",1000,1,1000,1000
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHYSICIANS TOTAL CARE","54868105004","54868-1050-04","Diphenhydramine Hcl",40,1,40,40
"Q0163","Diphenhydramine HCl 50mg","50 MG","PHYSICIANS TOTAL CARE","54868105005","54868-1050-05","Diphenhydramine Hcl",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","PHYSICIANS TOTAL CARE","54868108102","54868-1081-02","Compazine",20,1,20,20
"Q0165","Prochlorperazine maleate10mg","10 MG","PHYSICIANS TOTAL CARE","54868108200","54868-1082-00","Prochlorperazine Maleate",15,1,15,15
"Q0165","Prochlorperazine maleate10mg","10 MG","PHYSICIANS TOTAL CARE","54868108201","54868-1082-01","Prochlorperazine Maleate",10,1,10,10
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868111901","54868-1119-01","Prednisone",100,1,20,20
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868111902","54868-1119-02","Prednisone",90,1,18,18
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868111903","54868-1119-03","Prednisone",30,1,6,6
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868111904","54868-1119-04","Prednisone",15,1,3,3
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118300","54868-1183-00","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118301","54868-1183-01","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118302","54868-1183-02","Prednisone",60,1,240,240
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118303","54868-1183-03","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118304","54868-1183-04","Prednisone",63,1,252,252
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118306","54868-1183-06","Prednisone",42,1,168,168
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118307","54868-1183-07","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868118308","54868-1183-08","Prednisone",10,1,40,40
"J1040","Methylprednisolone 80 MG inj","80 MG","PHYSICIANS TOTAL CARE","54868118500","54868-1185-00","Depo-Medrol",5,1,5,5
"Q0164","Prochlorperazine maleate 5mg","5 MG","PHYSICIANS TOTAL CARE","54868128402","54868-1284-02","Compazine",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868128500","54868-1285-00","Phenergan",60,1,60,60
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868128501","54868-1285-01","Phenergan",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868132300","54868-1323-00","Promethazine Hcl",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868132301","54868-1323-01","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868132302","54868-1323-02","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868132304","54868-1323-04","Promethazine Hcl",15,1,15,15
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868132305","54868-1323-05","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","PHYSICIANS TOTAL CARE","54868132306","54868-1323-06","Promethazine Hcl",30,1,30,30
"J0170","Adrenalin epinephrin inject","1 ML","PHYSICIANS TOTAL CARE","54868136300","54868-1363-00","Adrenalin",1,10,1,10
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868142801","54868-1428-01","Iletin I Nph",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868142801","54868-1428-01","Iletin I Nph",10,1,20,20
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868142901","54868-1429-01","Humulin N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868142901","54868-1429-01","Humulin N",10,1,20,20
"J1000","Depo-estradiol cypionate inj","5 MG","PHYSICIANS TOTAL CARE","54868172900","54868-1729-00","Depo-Estradiol",5,1,5,5
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PHYSICIANS TOTAL CARE","54868185400","54868-1854-00","Hydroxyzine Pamoate",100,1,100,100
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PHYSICIANS TOTAL CARE","54868185401","54868-1854-01","Hydroxyzine Pamoate",30,1,30,30
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PHYSICIANS TOTAL CARE","54868185403","54868-1854-03","Hydroxyzine Pamoate",60,1,60,60
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PHYSICIANS TOTAL CARE","54868185404","54868-1854-04","Hydroxyzine Pamoate",500,1,500,500
"Q0174","Thiethylperazine maleate10mg","10 MG","PHYSICIANS TOTAL CARE","54868196300","54868-1963-00","Torecan",15,1,15,15
"Q0174","Thiethylperazine maleate10mg","10 MG","PHYSICIANS TOTAL CARE","54868196301","54868-1963-01","Torecan",10,1,10,10
"J7649","Isoetharine hcl inh sol u d","1 MG","PHYSICIANS TOTAL CARE","54868203300","54868-2033-00","Bronkosol",30,1,300,300
"J7649","Isoetharine hcl inh sol u d","1 MG","PHYSICIANS TOTAL CARE","54868203301","54868-2033-01","Bronkosol",10,1,100,100
"J1200","Diphenhydramine hcl injectio","50 MG","PHYSICIANS TOTAL CARE","54868204800","54868-2048-00","Diphenhydramine Hcl",10,1,10,10
"J1200","Diphenhydramine hcl injectio","50 MG","PHYSICIANS TOTAL CARE","54868204801","54868-2048-01","Diphenhydramine Hcl",25,1,25,25
"J1200","Diphenhydramine hcl injectio","50 MG","PHYSICIANS TOTAL CARE","54868204802","54868-2048-02","Diphenhydramine Hcl",25,1,25,25
"J0170","Adrenalin epinephrin inject","1 ML","PHYSICIANS TOTAL CARE","54868206500","54868-2065-00","Epinephrine Hcl",1,1,1,1
"J0170","Adrenalin epinephrin inject","1 ML","PHYSICIANS TOTAL CARE","54868206501","54868-2065-01","Epinephrine Hcl",1,25,1,25
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868208901","54868-2089-01","Iletin I Regular",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868208901","54868-2089-01","Iletin I Regular",10,1,20,20
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","PHYSICIANS TOTAL CARE","54868221900","54868-2219-00","Recombivax Hb",3,1,3,3
"90746","Hep b vaccine, adult, im","1 EACH","PHYSICIANS TOTAL CARE","54868221900","54868-2219-00","Recombivax Hb",3,1,3,3
"90743","Hep b vacc, adol, 2 dose, im","10 MCG","PHYSICIANS TOTAL CARE","54868221901","54868-2219-01","Recombivax Hb",1,1,1,1
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","PHYSICIANS TOTAL CARE","54868221901","54868-2219-01","Engerix-B",0.5,1,1,1
"90746","Hep b vaccine, adult, im","1 EACH","PHYSICIANS TOTAL CARE","54868221901","54868-2219-01","Recombivax Hb",1,1,1,1
"J3360","Diazepam injection","5 MG","PHYSICIANS TOTAL CARE","54868232001","54868-2320-01","Diazepam",2,10,2,20
"J3360","Diazepam injection","5 MG","PHYSICIANS TOTAL CARE","54868232002","54868-2320-02","Diazepam",2,1,2,2
"J2060","Lorazepam injection","2 MG","PHYSICIANS TOTAL CARE","54868240701","54868-2407-01","Ativan",10,1,10,10
"J0515","Inj benztropine mesylate","1 MG","PHYSICIANS TOTAL CARE","54868242901","54868-2429-01","Cogentin",2,6,2,12
"Q0172","Chlorpromazine HCl 25mg oral","25 MG","PHYSICIANS TOTAL CARE","54868246400","54868-2464-00","Chlorpromazine Hcl",30,1,30,30
"J7613","Albuterol unit dose","1 MG","PHYSICIANS TOTAL CARE","54868247200","54868-2472-00","Albuterol Sulfate",3,60,2.49,149.4
"J7613","Albuterol unit dose","1 MG","PHYSICIANS TOTAL CARE","54868247201","54868-2472-01","Albuterol Sulfate",3,25,2.49,62.25
"J0696","Ceftriaxone sodium injection","250 MG","PHYSICIANS TOTAL CARE","54868248801","54868-2488-01","Rocephin",1,1,4,4
"J1440","Filgrastim 300 mcg injection","300 MCG","PHYSICIANS TOTAL CARE","54868252200","54868-2522-00","Neupogen",1,1,1,1
"J1441","Filgrastim 480 mcg injection","480 MCG","PHYSICIANS TOTAL CARE","54868252200","54868-2522-00","Neupogen",1,1,0.625,0.625
"J1440","Filgrastim 300 mcg injection","300 MCG","PHYSICIANS TOTAL CARE","54868252201","54868-2522-01","Neupogen",1,10,1,10
"J1441","Filgrastim 480 mcg injection","480 MCG","PHYSICIANS TOTAL CARE","54868252201","54868-2522-01","Neupogen",1,10,0.625,6.25
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","PHYSICIANS TOTAL CARE","54868252300","54868-2523-00","Procrit",1,1,10,10
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","PHYSICIANS TOTAL CARE","54868252301","54868-2523-01","Procrit",1,6,10,60
"J1642","Inj heparin sodium per 10 u","10 UNITS","PHYSICIANS TOTAL CARE","54868252600","54868-2526-00","Hep-Lock Flush",1,25,10,250
"J2545","Pentamidine isethionte/300mg","300 MG","PHYSICIANS TOTAL CARE","54868252800","54868-2528-00","Nebupent",1,1,1,1
"J3070","Pentazocine injection","30 MG","PHYSICIANS TOTAL CARE","54868253000","54868-2530-00","Talwin",10,1,10,10
"J3030","Sumatriptan succinate / 6 MG","6 MG","PHYSICIANS TOTAL CARE","54868265200","54868-2652-00","Imitrex",0.5,1,1,1
"Q0175","Perphenazine 4mg oral","4 MG","PHYSICIANS TOTAL CARE","54868268600","54868-2686-00","Perphenazine",30,1,30,30
"Q0176","Perphenazine 8mg oral","8 MG","PHYSICIANS TOTAL CARE","54868268701","54868-2687-01","Perphenazine",100,1,100,100
"J2550","Promethazine hcl injection","50 MG","PHYSICIANS TOTAL CARE","54868269500","54868-2695-00","Promethazine Hcl",10,1,5,5
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868274600","54868-2746-00","Humulin 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868274600","54868-2746-00","Humulin 70/30",10,1,20,20
"J1950","Leuprolide acetate /3.75 MG","3.75 MG","PHYSICIANS TOTAL CARE","54868282500","54868-2825-00","Lupron Depot",1,1,1,1
"J1631","Haloperidol decanoate inj","50 MG","PHYSICIANS TOTAL CARE","54868288900","54868-2889-00","Haldol Decanoate",1,3,1,3
"J1631","Haloperidol decanoate inj","50 MG","PHYSICIANS TOTAL CARE","54868288901","54868-2889-01","Haldol Decanoate",1,1,1,1
"Q0177","Hydroxyzine pamoate 25mg","25 MG","PHYSICIANS TOTAL CARE","54868289200","54868-2892-00","Hydroxyzine Pamoate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","PHYSICIANS TOTAL CARE","54868289202","54868-2892-02","Hydroxyzine Pamoate",500,1,500,500
"J7509","Methylprednisolone oral","4 MG","PHYSICIANS TOTAL CARE","54868291300","54868-2913-00","Methylprednisolone",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","PHYSICIANS TOTAL CARE","54868291301","54868-2913-01","Methylprednisolone",30,1,30,30
"Q0173","Trimethobenzamide HCl 250mg","250 MG","PHYSICIANS TOTAL CARE","54868297300","54868-2973-00","Trimethobenzamide Hcl",15,1,15,15
"Q0173","Trimethobenzamide HCl 250mg","250 MG","PHYSICIANS TOTAL CARE","54868297302","54868-2973-02","Trimethobenzamide Hcl",100,1,100,100
"Q0173","Trimethobenzamide HCl 250mg","250 MG","PHYSICIANS TOTAL CARE","54868297303","54868-2973-03","Trimethobenzamide Hcl",30,1,30,30
"Q0173","Trimethobenzamide HCl 250mg","250 MG","PHYSICIANS TOTAL CARE","54868297304","54868-2973-04","Trimethobenzamide Hcl",10,1,10,10
"Q0167","Dronabinol 2.5mg oral","2.5 MG","PHYSICIANS TOTAL CARE","54868308400","54868-3084-00","Marinol",60,1,60,60
"Q0167","Dronabinol 2.5mg oral","2.5 MG","PHYSICIANS TOTAL CARE","54868308401","54868-3084-01","Marinol",30,1,30,30
"J3010","Fentanyl citrate injeciton","0.1 MG","PHYSICIANS TOTAL CARE","54868315901","54868-3159-01","Fentanyl Citrate",2,10,1,10
"90691","Typhoid vaccine, im","0.5 ML","PHYSICIANS TOTAL CARE","54868317200","54868-3172-00","Typhoid Vi",1,1,2,2
"J7669","Metaproterenol inh sol u d","10 MG","PHYSICIANS TOTAL CARE","54868317900","54868-3179-00","Alupent",2.5,25,1.5,37.5
"J3030","Sumatriptan succinate / 6 MG","6 MG","PHYSICIANS TOTAL CARE","54868318000","54868-3180-00","Imitrex Statdose",1,1,2,2
"J3030","Sumatriptan succinate / 6 MG","6 MG","PHYSICIANS TOTAL CARE","54868318100","54868-3181-00","Imitrex",0.5,2,1,2
"J0595","Butorphanol tartrate 1 mg","1 MG","PHYSICIANS TOTAL CARE","54868320900","54868-3209-00","Stadol Ns",2.5,1,25,25
"J0696","Ceftriaxone sodium injection","250 MG","PHYSICIANS TOTAL CARE","54868322100","54868-3221-00","Rocephin",1,10,2,20
"J0696","Ceftriaxone sodium injection","250 MG","PHYSICIANS TOTAL CARE","54868322101","54868-3221-01","Rocephin",1,1,2,2
"J2175","Meperidine hydrochl /100 MG","100 MG","PHYSICIANS TOTAL CARE","54868323001","54868-3230-01","Demerol",1,25,0.5,12.5
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868323400","54868-3234-00","Sterapred Ds",48,1,96,96
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","PHYSICIANS TOTAL CARE","54868323600","54868-3236-00","Engerix-B",0.5,1,1,1
"J0640","Leucovorin calcium injection","50 MG","PHYSICIANS TOTAL CARE","54868331000","54868-3310-00","Leucovorin Calcium",60,1,6,6
"J0640","Leucovorin calcium injection","50 MG","PHYSICIANS TOTAL CARE","54868331001","54868-3310-01","Leucovorin Calcium",50,1,5,5
"90732","Pneumococcal vaccine","0.5 ML","PHYSICIANS TOTAL CARE","54868333901","54868-3339-01","Pneumovax 23",2.5,1,5,5
"J1051","Medroxyprogesterone inj","50 MG","PHYSICIANS TOTAL CARE","54868334801","54868-3348-01","Depo-Provera",3,1,24,24
"J7611","Albuterol concentrated form","1 MG","PHYSICIANS TOTAL CARE","54868340700","54868-3407-00","Albuterol Sulfate",20,1,100,100
"J0698","Cefotaxime sodium injection","1 GM","PHYSICIANS TOTAL CARE","54868342900","54868-3429-00","Claforan",10,1,10,10
"J0698","Cefotaxime sodium injection","1 GM","PHYSICIANS TOTAL CARE","54868342901","54868-3429-01","Claforan",1,25,1,25
"J1630","Haloperidol injection","5 MG","PHYSICIANS TOTAL CARE","54868345900","54868-3459-00","Haloperidol Lactate",10,1,10,10
"J2300","Inj nalbuphine hydrochloride","10 MG","PHYSICIANS TOTAL CARE","54868347100","54868-3471-00","Nubain",10,1,10,10
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868347400","54868-3474-00","Novolin 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868347400","54868-3474-00","Novolin 70/30",10,1,20,20
"J7611","Albuterol concentrated form","1 MG","PHYSICIANS TOTAL CARE","54868347900","54868-3479-00","Ventolin",20,1,100,100
"J0290","Ampicillin 500 MG inj","500 MG","PHYSICIANS TOTAL CARE","54868348100","54868-3481-00","Ampicillin Sodium",1,10,2,20
"Q0179","Ondansetron HCl 8mg oral","8 MG","PHYSICIANS TOTAL CARE","54868350800","54868-3508-00","Zofran",3,1,1.5,1.5
"Q0179","Ondansetron HCl 8mg oral","8 MG","PHYSICIANS TOTAL CARE","54868350801","54868-3508-01","Zofran",30,1,15,15
"Q0179","Ondansetron HCl 8mg oral","8 MG","PHYSICIANS TOTAL CARE","54868350802","54868-3508-02","Zofran",10,1,5,5
"Q0179","Ondansetron HCl 8mg oral","8 MG","PHYSICIANS TOTAL CARE","54868350900","54868-3509-00","Zofran",3,1,3,3
"J7631","Cromolyn sodium inh sol u d","10 MG","PHYSICIANS TOTAL CARE","54868355500","54868-3555-00","Cromolyn Sodium",2,60,2,120
"J2175","Meperidine hydrochl /100 MG","100 MG","PHYSICIANS TOTAL CARE","54868355900","54868-3559-00","Meperidine Hcl",30,1,15,15
"J2060","Lorazepam injection","2 MG","PHYSICIANS TOTAL CARE","54868356600","54868-3566-00","Lorazepam",10,1,10,10
"J2060","Lorazepam injection","2 MG","PHYSICIANS TOTAL CARE","54868356601","54868-3566-01","Lorazepam",1,1,1,1
"Q4076","Dopamine hcl, 40 mg","40 MG","PHYSICIANS TOTAL CARE","54868358300","54868-3583-00","Dopamine Hcl",10,10,10,100
"J2300","Inj nalbuphine hydrochloride","10 MG","PHYSICIANS TOTAL CARE","54868360800","54868-3608-00","Nalbuphine Hcl",1,1,1,1
"J2300","Inj nalbuphine hydrochloride","10 MG","PHYSICIANS TOTAL CARE","54868360900","54868-3609-00","Nubain",1,1,2,2
"J2175","Meperidine hydrochl /100 MG","100 MG","PHYSICIANS TOTAL CARE","54868361000","54868-3610-00","Demerol",20,1,20,20
"J2175","Meperidine hydrochl /100 MG","100 MG","PHYSICIANS TOTAL CARE","54868361100","54868-3611-00","Meperidine Hcl",20,1,20,20
"J1642","Inj heparin sodium per 10 u","10 UNITS","PHYSICIANS TOTAL CARE","54868361500","54868-3615-00","Hep-Lock",1,25,10,250
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868361900","54868-3619-00","Humulin R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868361900","54868-3619-00","Humulin R",10,1,20,20
"J2930","Methylprednisolone injection","125 MG","PHYSICIANS TOTAL CARE","54868362300","54868-3623-00","Solu-Medrol",1,1,4,4
"90716","Chicken pox vaccine, sc","0.5 ML","PHYSICIANS TOTAL CARE","54868362400","54868-3624-00","Varivax",1,1,1,1
"J2930","Methylprednisolone injection","125 MG","PHYSICIANS TOTAL CARE","54868363700","54868-3637-00","Solu-Medrol",2,1,2,2
"J2930","Methylprednisolone injection","125 MG","PHYSICIANS TOTAL CARE","54868363701","54868-3637-01","Solu-Medrol",2,25,2,50
"J0170","Adrenalin epinephrin inject","1 ML","PHYSICIANS TOTAL CARE","54868364100","54868-3641-00","Epinephrine Hcl",30,1,30,30
"J1200","Diphenhydramine hcl injectio","50 MG","PHYSICIANS TOTAL CARE","54868364400","54868-3644-00","Diphenhydramine Hcl",30,1,6,6
"J1940","Furosemide injection","20 MG","PHYSICIANS TOTAL CARE","54868364500","54868-3645-00","Furosemide",2,10,1,10
"J3360","Diazepam injection","5 MG","PHYSICIANS TOTAL CARE","54868367000","54868-3670-00","Valium",2,1,2,2
"J2300","Inj nalbuphine hydrochloride","10 MG","PHYSICIANS TOTAL CARE","54868368600","54868-3686-00","Nubain",10,1,10,10
"J2300","Inj nalbuphine hydrochloride","10 MG","PHYSICIANS TOTAL CARE","54868368601","54868-3686-01","Nubain",1,1,1,1
"J0380","Inj metaraminol bitartrate","10 MG","PHYSICIANS TOTAL CARE","54868369200","54868-3692-00","Aramine",10,1,10,10
"J3010","Fentanyl citrate injeciton","0.1 MG","PHYSICIANS TOTAL CARE","54868373800","54868-3738-00","Fentanyl Citrate",2,10,1,10
"J3010","Fentanyl citrate injeciton","0.1 MG","PHYSICIANS TOTAL CARE","54868373801","54868-3738-01","Fentanyl Citrate",2,1,1,1
"J3430","Vitamin k phytonadione inj","1 MG","PHYSICIANS TOTAL CARE","54868380600","54868-3806-00","Aqua-Mephyton",5,1,50,50
"J8610","Methotrexate oral 2.5 MG","2.5 MG","PHYSICIANS TOTAL CARE","54868382600","54868-3826-00","Methotrexate",16,1,16,16
"J8610","Methotrexate oral 2.5 MG","2.5 MG","PHYSICIANS TOTAL CARE","54868382601","54868-3826-01","Methotrexate",12,1,12,12
"J8610","Methotrexate oral 2.5 MG","2.5 MG","PHYSICIANS TOTAL CARE","54868382602","54868-3826-02","Methotrexate",24,1,24,24
"J8610","Methotrexate oral 2.5 MG","2.5 MG","PHYSICIANS TOTAL CARE","54868382603","54868-3826-03","Methotrexate",20,1,20,20
"J8610","Methotrexate oral 2.5 MG","2.5 MG","PHYSICIANS TOTAL CARE","54868382604","54868-3826-04","Methotrexate",28,1,28,28
"J8610","Methotrexate oral 2.5 MG","2.5 MG","PHYSICIANS TOTAL CARE","54868382605","54868-3826-05","Methotrexate",100,1,100,100
"J2597","Inj desmopressin acetate","1 MCG","PHYSICIANS TOTAL CARE","54868388900","54868-3889-00","Ddavp",10,1,40,40
"J1790","Droperidol injection","1 MG","PHYSICIANS TOTAL CARE","54868389000","54868-3890-00","Droperidol",2,10,1,10
"J0460","Atropine sulfate injection","0.3 MG","PHYSICIANS TOTAL CARE","54868389300","54868-3893-00","Atropine Sulfate",1,25,3.33,83.25
"J1030","Methylprednisolone 40 MG inj","40 MG","PHYSICIANS TOTAL CARE","54868389600","54868-3896-00","Depo-Medrol",10,1,10,10
"J7051","Sterile saline/water","5 CC","PHYSICIANS TOTAL CARE","54868390500","54868-3905-00","Sterile Water For Injection",250,24,50,1200
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","PHYSICIANS TOTAL CARE","54868391000","54868-3910-00","Profasi",10,1,100,100
"J3030","Sumatriptan succinate / 6 MG","6 MG","PHYSICIANS TOTAL CARE","54868395900","54868-3959-00","Imitrex Statdose Pen",1,1,2,2
"J3030","Sumatriptan succinate / 6 MG","6 MG","PHYSICIANS TOTAL CARE","54868396000","54868-3960-00","Imitrex Statdose",1,1,2,2
"J7051","Sterile saline/water","5 CC","PHYSICIANS TOTAL CARE","54868397500","54868-3975-00","Sterile Water For Injection",5,25,1,25
"J1094","Inj dexamethasone acetate","1 MG","PHYSICIANS TOTAL CARE","54868397700","54868-3977-00","Dexamethasone Acetate",5,1,40,40
"J2550","Promethazine hcl injection","50 MG","PHYSICIANS TOTAL CARE","54868402100","54868-4021-00","Promethazine Hcl",1,25,0.5,12.5
"J0290","Ampicillin 500 MG inj","500 MG","PHYSICIANS TOTAL CARE","54868404700","54868-4047-00","Ampicillin Sodium",1,10,1,10
"90632","Hep a vaccine, adult im","1 ML","PHYSICIANS TOTAL CARE","54868405600","54868-4056-00","Havrix",1,1,1,1
"J7644","Ipratropium brom inh sol u d","1 MG","PHYSICIANS TOTAL CARE","54868408200","54868-4082-00","Ipratropium Bromide",2.5,60,0.5,30
"J7644","Ipratropium brom inh sol u d","1 MG","PHYSICIANS TOTAL CARE","54868408201","54868-4082-01","Ipratropium Bromide",2.5,25,0.5,12.5
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868409500","54868-4095-00","Prednisone",48,1,96,96
"J7506","Prednisone oral","5 MG","PHYSICIANS TOTAL CARE","54868409600","54868-4096-00","Prednisone",21,1,21,21
"J1580","Garamycin gentamicin inj","80 MG","PHYSICIANS TOTAL CARE","54868410300","54868-4103-00","Gentamicin Sulfate",2,50,1,50
"J3260","Tobramycin sulfate injection","80 MG","PHYSICIANS TOTAL CARE","54868410600","54868-4106-00","Tobramycin Sulfate",2,25,1,25
"J0585","Botulinum toxin a per unit","1 UNIT","PHYSICIANS TOTAL CARE","54868412300","54868-4123-00","Botox",1,1,100,100
"90657","Flu vaccine, 3 yrs, im","0.25 ML","PHYSICIANS TOTAL CARE","54868412400","54868-4124-00","Fluogen",5,1,20,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","PHYSICIANS TOTAL CARE","54868412400","54868-4124-00","Fluogen",5,1,10,10
"90657","Flu vaccine, 3 yrs, im","0.25 ML","PHYSICIANS TOTAL CARE","54868413000","54868-4130-00","Fluzone Subvirion",5,1,20,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","PHYSICIANS TOTAL CARE","54868413000","54868-4130-00","Fluzone Subvirion",5,1,10,10
"J2180","Meperidine/promethazine inj","50 MG","PHYSICIANS TOTAL CARE","54868413600","54868-4136-00","Mepergan",2,10,2,20
"J2180","Meperidine/promethazine inj","50 MG","PHYSICIANS TOTAL CARE","54868413602","54868-4136-02","Mepergan",2,10,2,20
"J0780","Prochlorperazine injection","10 MG","PHYSICIANS TOTAL CARE","54868413700","54868-4137-00","Prochlorperazine Edisylate",2,10,1,10
"J2765","Metoclopramide hcl injection","10 MG","PHYSICIANS TOTAL CARE","54868416700","54868-4167-00","Metoclopramide Hcl",2,25,1,25
"J2270","Morphine sulfate injection","10 MG","PHYSICIANS TOTAL CARE","54868418900","54868-4189-00","Morphine Sulfate",1,25,1,25
"J2271","Morphine so4 injection 100mg","100 MG","PHYSICIANS TOTAL CARE","54868418900","54868-4189-00","Morphine Sulfate",1,25,0.1,2.5
"J1460","Gamma globulin 1 CC inj","1 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,2,2
"J1470","Gamma globulin 2 CC inj","2 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,1,1
"J1480","Gamma globulin 3 CC inj","3 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.667,0.667
"J1490","Gamma globulin 4 CC inj","4 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.5,0.5
"J1500","Gamma globulin 5 CC inj","5 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.4,0.4
"J1510","Gamma globulin 6 CC inj","6 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.333,0.333
"J1520","Gamma globulin 7 CC inj","7 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.286,0.286
"J1530","Gamma globulin 8 CC inj","8 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.25,0.25
"J1540","Gamma globulin 9 CC inj","9 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.222,0.222
"J1550","Gamma globulin 10 CC inj","10 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,0.2,0.2
"J1560","Gamma globulin > 10 CC inj","10 ML","PHYSICIANS TOTAL CARE","54868419300","54868-4193-00","Baygam",2,1,2,2
"J7051","Sterile saline/water","5 CC","PHYSICIANS TOTAL CARE","54868429600","54868-4296-00","Sterile Water For Irrigation",500,24,100,2400
"J0330","Succinycholine chloride inj","20 MG","PHYSICIANS TOTAL CARE","54868438000","54868-4380-00","Succinylcholine Chloride",10,25,10,250
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868438100","54868-4381-00","Humalog Mix 75/25",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868438100","54868-4381-00","Humalog Mix 75/25",10,1,20,20
"J7614","Levalbuterol unit dose","0.5 MG","PHYSICIANS TOTAL CARE","54868440900","54868-4409-00","Xopenex",3,24,1.26,30.24
"J3430","Vitamin k phytonadione inj","1 MG","PHYSICIANS TOTAL CARE","54868443400","54868-4434-00","Vitamin K",0.5,25,1,25
"90657","Flu vaccine, 3 yrs, im","0.25 ML","PHYSICIANS TOTAL CARE","54868444000","54868-4440-00","Flushield Influenza Virus Vac",5,1,20,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","PHYSICIANS TOTAL CARE","54868444000","54868-4440-00","Flushield Influenza Virus Vac",5,1,10,10
"J2912","Sodium chloride injection","2 CC","PHYSICIANS TOTAL CARE","54868446400","54868-4464-00","Sodium Chloride",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","PHYSICIANS TOTAL CARE","54868446400","54868-4464-00","Sodium Chloride",10,25,0.5,12.5
"J2540","Penicillin g potassium inj","600000 UNITS","PHYSICIANS TOTAL CARE","54868448800","54868-4488-00","Penicillin G Potassium",1,1,33.33,33.33
"J1720","Hydrocortisone sodium succ i","100 MG","PHYSICIANS TOTAL CARE","54868450800","54868-4508-00","Solu-Cortef",1,1,10,10
"J2405","Ondansetron hcl injection","1 MG","PHYSICIANS TOTAL CARE","54868450900","54868-4509-00","Zofran",1,10,2,20
"J0456","Azithromycin","500 MG","PHYSICIANS TOTAL CARE","54868452700","54868-4527-00","Zithromax",1,10,1,10
"J0744","Ciprofloxacin iv","200 MG","PHYSICIANS TOTAL CARE","54868454700","54868-4547-00","Cipro",40,1,2,2
"J3280","Thiethylperazine maleate inj","10 MG","PHYSICIANS TOTAL CARE","54868457900","54868-4579-00","Torecan",2,20,1,20
"J2250","Inj midazolam hydrochloride","1 MG","PHYSICIANS TOTAL CARE","54868458000","54868-4580-00","Midazolam Hcl",5,10,25,250
"90657","Flu vaccine, 3 yrs, im","0.25 ML","PHYSICIANS TOTAL CARE","54868458100","54868-4581-00","Fluzone Subvirion",5,1,20,20
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","PHYSICIANS TOTAL CARE","54868458100","54868-4581-00","Fluzone Subvirion",5,1,10,10
"J0595","Butorphanol tartrate 1 mg","1 MG","PHYSICIANS TOTAL CARE","54868458300","54868-4583-00","Butorphanol Tartrate",2.5,1,15,15
"J3360","Diazepam injection","5 MG","PHYSICIANS TOTAL CARE","54868458600","54868-4586-00","Diazepam",2,10,2,20
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868462600","54868-4626-00","Lantus",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868462600","54868-4626-00","Lantus",10,1,20,20
"J0690","Cefazolin sodium injection","500 MG","PHYSICIANS TOTAL CARE","54868465100","54868-4651-00","Cefazolin Sodium",1,25,1,25
"90656","Flu vaccine no preserv 3 & >","0.50 ML","PHYSICIANS TOTAL CARE","54868467600","54868-4676-00","Fluvirin",0.5,10,1,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","PHYSICIANS TOTAL CARE","54868467600","54868-4676-00","Fluvirin",0.5,10,1,10
"J1750","Iron dextran","50 MG","PHYSICIANS TOTAL CARE","54868471500","54868-4715-00","Iron Dextran Complex",2,10,2,20
"J9250","Methotrexate sodium inj","5 MG","PHYSICIANS TOTAL CARE","54868471600","54868-4716-00","Methotrexate Sodium",10,1,50,50
"J9260","Methotrexate sodium inj","50 MG","PHYSICIANS TOTAL CARE","54868471600","54868-4716-00","Methotrexate Sodium",10,1,5,5
"Q0164","Prochlorperazine maleate 5mg","5 MG","PHYSICIANS TOTAL CARE","54868472100","54868-4721-00","Prochlorperazine Maleate",30,1,30,30
"Q0164","Prochlorperazine maleate 5mg","5 MG","PHYSICIANS TOTAL CARE","54868472101","54868-4721-01","Prochlorperazine Maleate",15,1,15,15
"J2175","Meperidine hydrochl /100 MG","100 MG","PHYSICIANS TOTAL CARE","54868475100","54868-4751-00","Demerol",1,25,1,25
"J2175","Meperidine hydrochl /100 MG","100 MG","PHYSICIANS TOTAL CARE","54868475101","54868-4751-01","Demerol",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","PHYSICIANS TOTAL CARE","54868475200","54868-4752-00","Morphine Sulfate",1,25,1,25
"J2271","Morphine so4 injection 100mg","100 MG","PHYSICIANS TOTAL CARE","54868475200","54868-4752-00","Morphine Sulfate",1,25,0.1,2.5
"J2270","Morphine sulfate injection","10 MG","PHYSICIANS TOTAL CARE","54868475201","54868-4752-01","Morphine Sulfate",1,1,1,1
"J2271","Morphine so4 injection 100mg","100 MG","PHYSICIANS TOTAL CARE","54868475201","54868-4752-01","Morphine Sulfate",1,1,0.1,0.1
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","PHYSICIANS TOTAL CARE","54868478100","54868-4781-00","Engerix-B",0.5,1,1,1
"J1438","Etanercept injection","25 MG","PHYSICIANS TOTAL CARE","54868478200","54868-4782-00","Enbrel",4,1,4,4
"J9250","Methotrexate sodium inj","5 MG","PHYSICIANS TOTAL CARE","54868479600","54868-4796-00","Methotrexate Sodium",2,1,10,10
"J9260","Methotrexate sodium inj","50 MG","PHYSICIANS TOTAL CARE","54868479600","54868-4796-00","Methotrexate Sodium",2,1,1,1
"J0270","Alprostadil for injection","1.25 MCG","PHYSICIANS TOTAL CARE","54868489000","54868-4890-00","Caverject",1,2,16,32
"J2320","Nandrolone decanoate 50 MG","50 MG","PHYSICIANS TOTAL CARE","54868489300","54868-4893-00","Nandrolone Decanoate",1,4,4,16
"J2322","Nandrolone decanoate 200 MG","200 MG","PHYSICIANS TOTAL CARE","54868489300","54868-4893-00","Nandrolone Decanoate",1,4,1,4
"J2320","Nandrolone decanoate 50 MG","50 MG","PHYSICIANS TOTAL CARE","54868489301","54868-4893-01","Nandrolone Decanoate",1,1,4,4
"J2322","Nandrolone decanoate 200 MG","200 MG","PHYSICIANS TOTAL CARE","54868489301","54868-4893-01","Nandrolone Decanoate",1,1,1,1
"J2400","Chloroprocaine hcl injection","30 ML","PHYSICIANS TOTAL CARE","54868492500","54868-4925-00","Nesacaine",30,1,1,1
"90656","Flu vaccine no preserv 3 & >","0.50 ML","PHYSICIANS TOTAL CARE","54868494900","54868-4949-00","Fluvirin",5,1,10,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","PHYSICIANS TOTAL CARE","54868494900","54868-4949-00","Fluvirin",5,1,10,10
"J7509","Methylprednisolone oral","4 MG","PHYSICIANS TOTAL CARE","54868495200","54868-4952-00","Medrol",30,1,15,15
"J7509","Methylprednisolone oral","4 MG","PHYSICIANS TOTAL CARE","54868495201","54868-4952-01","Medrol",10,1,5,5
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","PHYSICIANS TOTAL CARE","54868499700","54868-4997-00","Pregnyl",1,1,10,10
"J1940","Furosemide injection","20 MG","PHYSICIANS TOTAL CARE","54868499800","54868-4998-00","Furosemide",2,25,1,25
"J3120","Testosterone enanthate inj","100 MG","PHYSICIANS TOTAL CARE","54868501600","54868-5016-00","Delatestryl",5,1,10,10
"J3130","Testosterone enanthate inj","200 MG","PHYSICIANS TOTAL CARE","54868501600","54868-5016-00","Delatestryl",5,1,5,5
"J1440","Filgrastim 300 mcg injection","300 MCG","PHYSICIANS TOTAL CARE","54868502000","54868-5020-00","Neupogen",0.5,10,1,10
"J1441","Filgrastim 480 mcg injection","480 MCG","PHYSICIANS TOTAL CARE","54868502000","54868-5020-00","Neupogen",0.5,10,0.625,6.25
"J1610","Glucagon hydrochloride/1 MG","1 MG","PHYSICIANS TOTAL CARE","54868507000","54868-5070-00","Glucagon Emergency",1,1,1,1
"Q0179","Ondansetron HCl 8mg oral","8 MG","PHYSICIANS TOTAL CARE","54868508900","54868-5089-00","Zofran Odt",2,1,2,2
"J1815","Insulin injection","5 UNITS","PHYSICIANS TOTAL CARE","54868510800","54868-5108-00","Humalog",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","PHYSICIANS TOTAL CARE","54868510800","54868-5108-00","Humalog",10,1,20,20
"J1650","Inj enoxaparin sodium","10 MG","PHYSICIANS TOTAL CARE","54868511200","54868-5112-00","Lovenox",0.8,10,8,80
"J1650","Inj enoxaparin sodium","10 MG","PHYSICIANS TOTAL CARE","54868511201","54868-5112-01","Lovenox",0.8,1,8,8
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","PHYSICIANS TOTAL CARE","54868512100","54868-5121-00","Promethazine Hcl",15,1,15,15
"J1170","Hydromorphone injection","4 MG","PHYSICIANS TOTAL CARE","54868513700","54868-5137-00","Dilaudid",1,10,1,10
"J7509","Methylprednisolone oral","4 MG","PHYSICIANS TOTAL CARE","54868662401","54868-6624-01","Methylprednisolone (Pak)",21,1,21,21
"Q0163","Diphenhydramine HCl 50mg","50 MG","DRX","55045112400","55045-1124-00","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","DRX","55045112401","55045-1124-01","Diphenhydramine Hcl",3,1,3,3
"Q0163","Diphenhydramine HCl 50mg","50 MG","DRX","55045112405","55045-1124-05","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","DRX","55045112408","55045-1124-08","Diphenhydramine Hcl",30,1,30,30
"Q0165","Prochlorperazine maleate10mg","10 MG","DRX","55045112603","55045-1126-03","Prochlorperazine Maleate",5,1,5,5
"Q0165","Prochlorperazine maleate10mg","10 MG","DRX","55045112608","55045-1126-08","Prochlorperazine Maleate",30,1,30,30
"J7509","Methylprednisolone oral","4 MG","DRX","55045125909","55045-1259-09","Methylprednisolone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","DRX","55045126000","55045-1260-00","Prednisone (Pak)",48,1,48,48
"J7506","Prednisone oral","5 MG","DRX","55045126009","55045-1260-09","Prednisone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","DRX","55045144101","55045-1441-01","Prednisone",35,1,140,140
"J7506","Prednisone oral","5 MG","DRX","55045144401","55045-1444-01","Prednisone",35,1,140,140
"J7506","Prednisone oral","5 MG","DRX","55045144403","55045-1444-03","Prednisone",18,1,72,72
"J7506","Prednisone oral","5 MG","DRX","55045144404","55045-1444-04","Prednisone",12,1,48,48
"J7506","Prednisone oral","5 MG","DRX","55045144407","55045-1444-07","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","DRX","55045144408","55045-1444-08","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","DRX","55045148000","55045-1480-00","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","DRX","55045148001","55045-1480-01","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","DRX","55045148002","55045-1480-02","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","DRX","55045148005","55045-1480-05","Prednisone",15,1,15,15
"J7506","Prednisone oral","5 MG","DRX","55045148006","55045-1480-06","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","DRX","55045148007","55045-1480-07","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","DRX","55045148008","55045-1480-08","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","DRX","55045148009","55045-1480-09","Prednisone",40,1,40,40
"J7506","Prednisone oral","5 MG","DRX","55045153303","55045-1533-03","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","DRX","55045153306","55045-1533-06","Prednisone",42,1,84,84
"J7506","Prednisone oral","5 MG","DRX","55045153307","55045-1533-07","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","DRX","55045153308","55045-1533-08","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","DRX","55045153309","55045-1533-09","Prednisone",40,1,80,80
"Q0170","Promethazine HCl 25 mg oral","25 MG","DRX","55045159603","55045-1596-03","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","DRX","55045159605","55045-1596-05","Promethazine Hcl",15,1,15,15
"Q0170","Promethazine HCl 25 mg oral","25 MG","DRX","55045159606","55045-1596-06","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","DRX","55045159608","55045-1596-08","Promethazine Hcl",30,1,30,30
"Q0173","Trimethobenzamide HCl 250mg","250 MG","DRX","55045162803","55045-1628-03","Trimethobenzamide Hcl",10,1,10,10
"Q0178","Hydroxyzine pamoate 50mg","50 MG","DRX","55045166108","55045-1661-08","Hydroxyzine Pamoate",30,1,30,30
"J7668","Metaproterenol inh sol con","10 MG","DRX","55045174802","55045-1748-02","Alupent",10,1,50,50
"J7668","Metaproterenol inh sol con","10 MG","DRX","55045174803","55045-1748-03","Alupent",30,1,150,150
"J7506","Prednisone oral","5 MG","DRX","55045180902","55045-1809-02","Liquid Pred",120,1,24,24
"J7509","Methylprednisolone oral","4 MG","DRX","55045181108","55045-1811-08","Methylprednisolone",30,1,30,30
"J7644","Ipratropium brom inh sol u d","1 MG","DRX","55045193005","55045-1930-05","Atrovent",2.5,1,0.5,0.5
"J7613","Albuterol unit dose","1 MG","DRX","55045204307","55045-2043-07","Albuterol Sulfate",3,1,2.49,2.49
"J3150","Testosteron propionate inj","100 MG","DRX","55045204402","55045-2044-02","Testosterone Propionate",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","DRX","55045207403","55045-2074-03","Compazine",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","DRX","55045207404","55045-2074-04","Compazine",12,1,12,12
"Q0165","Prochlorperazine maleate10mg","10 MG","DRX","55045207407","55045-2074-07","Compazine",20,1,20,20
"J3360","Diazepam injection","5 MG","DRX","55045213303","55045-2133-03","Diazepam",10,1,10,10
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DRX","55045219505","55045-2195-05","Hydroxyzine Pamoate",15,1,15,15
"J7506","Prednisone oral","5 MG","DRX","55045296301","55045-2963-01","Prednisone (Pak)",21,1,42,42
"J7506","Prednisone oral","5 MG","DRX","55045296302","55045-2963-02","Prednisone (Pak)",48,1,96,96
"J1080","Testosterone cypionat 200 MG","200 MG","DRX","55045302902","55045-3029-02","Depo-Testosterone",10,1,10,10
"J0170","Adrenalin epinephrin inject","1 ML","DRX","55045990303","55045-9903-03","Epinephrine Hcl",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","PDRX PHARMACEUTICAL","55289003304","55289-0033-04","Compazine",4,1,4,4
"Q0165","Prochlorperazine maleate10mg","10 MG","PDRX PHARMACEUTICAL","55289003310","55289-0033-10","Compazine",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","PDRX PHARMACEUTICAL","55289003397","55289-0033-97","Compazine",25,1,25,25
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289008825","55289-0088-25","Phenergan",25,1,25,25
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289008879","55289-0088-79","Phenergan",1,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","55289010001","55289-0100-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","55289010010","55289-0100-10","Diphenhydramine Hcl",10,1,10,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","55289010015","55289-0100-15","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","55289010020","55289-0100-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","55289010030","55289-0100-30","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","55289010040","55289-0100-40","Diphenhydramine Hcl",40,1,40,40
"Q0164","Prochlorperazine maleate 5mg","5 MG","PDRX PHARMACEUTICAL","55289011397","55289-0113-97","Compazine",25,1,25,25
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PDRX PHARMACEUTICAL","55289019510","55289-0195-10","Hydroxyzine Pamoate",10,1,10,10
"Q0173","Trimethobenzamide HCl 250mg","250 MG","PDRX PHARMACEUTICAL","55289021920","55289-0219-20","Trimethobenzamide Hcl",20,1,20,20
"Q0165","Prochlorperazine maleate10mg","10 MG","PDRX PHARMACEUTICAL","55289022497","55289-0224-97","Prochlorperazine Maleate",25,1,25,25
"Q0177","Hydroxyzine pamoate 25mg","25 MG","PDRX PHARMACEUTICAL","55289022610","55289-0226-10","Hydroxyzine Pamoate",10,1,10,10
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289033010","55289-0330-10","Prednisone",10,1,100,100
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035209","55289-0352-09","Prednisone",9,1,36,36
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035210","55289-0352-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035214","55289-0352-14","Prednisone",14,1,56,56
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035215","55289-0352-15","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035220","55289-0352-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035221","55289-0352-21","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035230","55289-0352-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289035297","55289-0352-97","Prednisone",25,1,100,100
"Q0178","Hydroxyzine pamoate 50mg","50 MG","PDRX PHARMACEUTICAL","55289035410","55289-0354-10","Hydroxyzine Pamoate",10,1,10,10
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037301","55289-0373-01","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037330","55289-0373-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037336","55289-0373-36","Prednisone",36,1,36,36
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037342","55289-0373-42","Prednisone",42,1,42,42
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037346","55289-0373-46","Prednisone",46,1,46,46
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037355","55289-0373-55","Prednisone",55,1,55,55
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037360","55289-0373-60","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289037372","55289-0373-72","Prednisone",72,1,72,72
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043801","55289-0438-01","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043820","55289-0438-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043821","55289-0438-21","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043830","55289-0438-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043836","55289-0438-36","Prednisone",36,1,72,72
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043838","55289-0438-38","Prednisone",38,1,76,76
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043840","55289-0438-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043850","55289-0438-50","Prednisone",50,1,100,100
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043860","55289-0438-60","Prednisone",60,1,120,120
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289043897","55289-0438-97","Prednisone",25,1,50,50
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046402","55289-0464-02","Promethazine Hcl",2,1,2,2
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046410","55289-0464-10","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046412","55289-0464-12","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046415","55289-0464-15","Promethazine Hcl",15,1,15,15
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046420","55289-0464-20","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046425","55289-0464-25","Promethazine Hcl",25,1,25,25
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046430","55289-0464-30","Promethazine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","55289046460","55289-0464-60","Promethazine Hcl",60,1,60,60
"Q0164","Prochlorperazine maleate 5mg","5 MG","PDRX PHARMACEUTICAL","55289056812","55289-0568-12","Prochlorperazine Maleate",12,1,12,12
"J7509","Methylprednisolone oral","4 MG","PDRX PHARMACEUTICAL","55289064930","55289-0649-30","Methylprednisolone",30,1,30,30
"J7509","Methylprednisolone oral","4 MG","PDRX PHARMACEUTICAL","55289064998","55289-0649-98","Methylprednisolone",120,1,120,120
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","55289085902","55289-0859-02","Prednisone",60,1,12,12
"J1800","Propranolol injection","1 MG","BEDFORD LABORATORIES","55390000310","55390-0003-10","Propranolol Hcl",1,10,1,10
"J1610","Glucagon hydrochloride/1 MG","1 MG","BEDFORD LABORATORIES","55390000401","55390-0004-01","Glucagen",1,1,1,1
"J1610","Glucagon hydrochloride/1 MG","1 MG","BEDFORD LABORATORIES","55390000410","55390-0004-10","Glucagen",1,10,1,10
"J9040","Bleomycin sulfate injection","15 UNITS","BEDFORD LABORATORIES","55390000501","55390-0005-01","Bleomycin Sulfate",1,1,1,1
"J9040","Bleomycin sulfate injection","15 UNITS","BEDFORD LABORATORIES","55390000601","55390-0006-01","Bleomycin Sulfate",1,1,2,2
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390000901","55390-0009-01","Leucovorin Calcium",50,1,10,10
"J1450","Fluconazole","200 MG","BEDFORD LABORATORIES","55390001201","55390-0012-01","Fluconazole In Sodium Chloride",100,1,1,1
"J1110","Inj dihydroergotamine mesylt","1 MG","BEDFORD LABORATORIES","55390001310","55390-0013-10","Dihydroergotamine Mesylate",1,10,1,10
"J1190","Dexrazoxane HCl injection","250 MG","BEDFORD LABORATORIES","55390001402","55390-0014-02","DEXRAZOXANE",1,1,1,1
"J2260","Inj milrinone lactate / 5 MG","5 ML","BEDFORD LABORATORIES","55390001910","55390-0019-10","Milrinone Lactate",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","5 ML","BEDFORD LABORATORIES","55390002010","55390-0020-10","Milrinone Lactate",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","BEDFORD LABORATORIES","55390002101","55390-0021-01","Milrinone Lactate",50,1,10,10
"J9340","Thiotepa injection","15 MG","BEDFORD LABORATORIES","55390003010","55390-0030-10","Thiotepa",1,1,1,1
"J9250","Methotrexate sodium inj","5 MG","BEDFORD LABORATORIES","55390003110","55390-0031-10","Methotrexate Sodium",2,10,10,100
"J9260","Methotrexate sodium inj","50 MG","BEDFORD LABORATORIES","55390003110","55390-0031-10","Methotrexate Sodium",2,10,1,10
"J9250","Methotrexate sodium inj","5 MG","BEDFORD LABORATORIES","55390003210","55390-0032-10","Methotrexate Sodium",4,10,20,200
"J9260","Methotrexate sodium inj","50 MG","BEDFORD LABORATORIES","55390003210","55390-0032-10","Methotrexate Sodium",4,10,2,20
"J9250","Methotrexate sodium inj","5 MG","BEDFORD LABORATORIES","55390003310","55390-0033-10","Methotrexate Sodium",8,10,40,400
"J9260","Methotrexate sodium inj","50 MG","BEDFORD LABORATORIES","55390003310","55390-0033-10","Methotrexate Sodium",8,10,4,40
"J9250","Methotrexate sodium inj","5 MG","BEDFORD LABORATORIES","55390003410","55390-0034-10","Methotrexate Sodium",10,10,50,500
"J9260","Methotrexate sodium inj","50 MG","BEDFORD LABORATORIES","55390003410","55390-0034-10","Methotrexate Sodium",10,10,5,50
"J9209","Mesna injection","200 MG","BEDFORD LABORATORIES","55390004501","55390-0045-01","Mesna",10,1,5,5
"J1450","Fluconazole","200 MG","BEDFORD LABORATORIES","55390004601","55390-0046-01","Fluconazole In Sodium Chloride",200,1,2,2
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390005110","55390-0051-10","Leucovorin Calcium",1,10,1,10
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390005210","55390-0052-10","Leucovorin Calcium",1,10,2,20
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390005301","55390-0053-01","Leucovorin Calcium",1,1,4,4
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390005401","55390-0054-01","Leucovorin Calcium",1,1,7,7
"J0282","Amiodarone HCl","30 MG","BEDFORD LABORATORIES","55390005701","55390-0057-01","Amiodarone Hcl",18,1,30,30
"J0282","Amiodarone HCl","30 MG","BEDFORD LABORATORIES","55390005710","55390-0057-10","Amiodarone Hcl",3,10,5,50
"J2360","Orphenadrine injection","60 MG","BEDFORD LABORATORIES","55390005910","55390-0059-10","Orphenadrine Citrate",2,10,1,10
"J0500","Dicyclomine injection","20 MG","BEDFORD LABORATORIES","55390006610","55390-0066-10","Dicyclomine Hcl",2,10,1,10
"J0150","Injection adenosine 6 MG","6 MG","BEDFORD LABORATORIES","55390006710","55390-0067-10","Adenosine",2,10,1,10
"J0150","Injection adenosine 6 MG","6 MG","BEDFORD LABORATORIES","55390006801","55390-0068-01","Adenosine",4,1,2,2
"J9390","Vinorelbine tartrate/10 mg","10 MG","BEDFORD LABORATORIES","55390006901","55390-0069-01","Vinorelbine Tartrate",1,1,1,1
"J9390","Vinorelbine tartrate/10 mg","10 MG","BEDFORD LABORATORIES","55390007001","55390-0070-01","Vinorelbine Tartrate",5,1,5,5
"J2260","Inj milrinone lactate / 5 MG","5 ML","BEDFORD LABORATORIES","55390007410","55390-0074-10","Milrinone Lactate",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","5 ML","BEDFORD LABORATORIES","55390007510","55390-0075-10","Milrinone Lactate",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","BEDFORD LABORATORIES","55390007601","55390-0076-01","Milrinone Lactate",50,1,10,10
"J0780","Prochlorperazine injection","10 MG","BEDFORD LABORATORIES","55390007701","55390-0077-01","Prochlorperazine Edisylate",10,1,5,5
"J0780","Prochlorperazine injection","10 MG","BEDFORD LABORATORIES","55390007710","55390-0077-10","Prochlorperazine Edisylate",2,10,1,10
"J9130","Dacarbazine 100 mg inj","100 MG","BEDFORD LABORATORIES","55390009010","55390-0090-10","Dacarbazine",1,10,2,20
"J9140","Dacarbazine 200 MG inj","200 MG","BEDFORD LABORATORIES","55390009010","55390-0090-10","Dacarbazine",1,10,1,10
"J9360","Vinblastine sulfate inj","1 MG","MAYNE PHARMA","55390009110","55390-0091-10","Vinblastine Sulfate",1,10,10,100
"J9060","Cisplatin 10 MG injection","10 MG","BEDFORD LABORATORIES","55390009901","55390-0099-01","Cisplatin",200,1,20,20
"J9062","Cisplatin 50 MG injection","50 MG","BEDFORD LABORATORIES","55390009901","55390-0099-01","Cisplatin",200,1,4,4
"J3105","Terbutaline sulfate inj","1 MG","BEDFORD LABORATORIES","55390010110","55390-0101-10","Terbutaline Sulfate",1,10,1,10
"J2440","Papaverin hcl injection","60 MG","BEDFORD LABORATORIES","55390010710","55390-0107-10","Papaverine Hcl",10,1,5,5
"J9150","Daunorubicin","10 MG","BEDFORD LABORATORIES","55390010801","55390-0108-01","Daunorubicin Hcl",10,1,5,5
"J9150","Daunorubicin","10 MG","BEDFORD LABORATORIES","55390010810","55390-0108-10","Daunorubicin Hcl",4,10,2,20
"J9060","Cisplatin 10 MG injection","10 MG","BEDFORD LABORATORIES","55390011250","55390-0112-50","Cisplatin",50,1,5,5
"J9062","Cisplatin 50 MG injection","50 MG","BEDFORD LABORATORIES","55390011250","55390-0112-50","Cisplatin",50,1,1,1
"J9060","Cisplatin 10 MG injection","10 MG","BEDFORD LABORATORIES","55390011299","55390-0112-99","Cisplatin",100,1,10,10
"J9062","Cisplatin 50 MG injection","50 MG","BEDFORD LABORATORIES","55390011299","55390-0112-99","Cisplatin",100,1,2,2
"J2760","Phentolaine mesylate inj","5 MG","BEDFORD LABORATORIES","55390011301","55390-0113-01","Phentolamine Mesylate",1,1,1,1
"J9265","Paclitaxel injection","30 MG","BEDFORD LABORATORIES","55390011405","55390-0114-05","Paclitaxel",5,1,1,1
"J9265","Paclitaxel injection","30 MG","BEDFORD LABORATORIES","55390011420","55390-0114-20","Paclitaxel",16.7,1,3.34,3.33
"J9265","Paclitaxel injection","30 MG","BEDFORD LABORATORIES","55390011450","55390-0114-50","Paclitaxel",50,1,10,10
"J9065","Inj cladribine per 1 MG","1 MG","BEDFORD LABORATORIES","55390011501","55390-0115-01","Cladribine",10,1,10,10
"J7516","Cyclosporin parenteral 250mg","250 MG","BEDFORD LABORATORIES","55390012210","55390-0122-10","Cyclosporine",5,10,1,10
"J9065","Inj cladribine per 1 MG","1 MG","BEDFORD LABORATORIES","55390012401","55390-0124-01","Cladribine",10,1,10,10
"J2250","Inj midazolam hydrochloride","1 MG","BEDFORD LABORATORIES","55390012510","55390-0125-10","Midazolam Hcl",10,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","BEDFORD LABORATORIES","55390012605","55390-0126-05","Midazolam Hcl",5,10,25,250
"J2250","Inj midazolam hydrochloride","1 MG","BEDFORD LABORATORIES","55390012610","55390-0126-10","Midazolam Hcl",10,10,50,500
"J2430","Pamidronate disodium /30 MG","30 MG","BEDFORD LABORATORIES","55390012701","55390-0127-01","Pamidronate Disodium",1,1,1,1
"J2430","Pamidronate disodium /30 MG","30 MG","BEDFORD LABORATORIES","55390012901","55390-0129-01","Pamidronate Disodium",1,1,3,3
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390013110","55390-0131-10","Cytarabine",1,10,1,10
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390013110","55390-0131-10","Cytarabine",1,10,0.2,2
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390013210","55390-0132-10","Cytarabine",1,10,5,50
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390013210","55390-0132-10","Cytarabine",1,10,1,10
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390013301","55390-0133-01","Cytarabine",1,1,10,10
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390013301","55390-0133-01","Cytarabine",1,1,2,2
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390013401","55390-0134-01","Cytarabine",1,1,20,20
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390013401","55390-0134-01","Cytarabine",1,1,4,4
"J9200","Floxuridine injection","500 MG","BEDFORD LABORATORIES","55390013501","55390-0135-01","Floxuridine",1,1,1,1
"J1955","Inj levocarnitine per 1 gm","1 G","BEDFORD LABORATORIES","55390013605","55390-0136-05","Levocarnitine",5,10,1,10
"J2250","Inj midazolam hydrochloride","1 MG","BEDFORD LABORATORIES","55390013702","55390-0137-02","Midazolam Hcl",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","BEDFORD LABORATORIES","55390013705","55390-0137-05","Midazolam Hcl",5,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","BEDFORD LABORATORIES","55390013801","55390-0138-01","Midazolam Hcl",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","BEDFORD LABORATORIES","55390013802","55390-0138-02","Midazolam Hcl",2,10,10,100
"J9150","Daunorubicin","10 MG","BEDFORD LABORATORIES","55390014210","55390-0142-10","Daunorubicin Hcl",4,10,2,20
"J1630","Haloperidol injection","5 MG","BEDFORD LABORATORIES","55390014701","55390-0147-01","Haloperidol Lactate",10,1,10,10
"J1630","Haloperidol injection","5 MG","BEDFORD LABORATORIES","55390014710","55390-0147-10","Haloperidol Lactate",1,10,1,10
"J9045","Carboplatin injection","50 MG","BEDFORD LABORATORIES","55390015301","55390-0153-01","Carboplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","BEDFORD LABORATORIES","55390015401","55390-0154-01","Carboplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","BEDFORD LABORATORIES","55390015501","55390-0155-01","Carboplatin",45,1,9,9
"J2430","Pamidronate disodium /30 MG","30 MG","BEDFORD LABORATORIES","55390015701","55390-0157-01","Pamidronate Disodium",1,1,1,1
"J2430","Pamidronate disodium /30 MG","30 MG","BEDFORD LABORATORIES","55390015901","55390-0159-01","Pamidronate Disodium",1,1,3,3
"J0595","Butorphanol tartrate 1 mg","1 MG","BEDFORD LABORATORIES","55390018301","55390-0183-01","Butorphanol Tartrate",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","1 MG","BEDFORD LABORATORIES","55390018401","55390-0184-01","Butorphanol Tartrate",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","1 MG","BEDFORD LABORATORIES","55390018402","55390-0184-02","Butorphanol Tartrate",2,10,4,40
"J0595","Butorphanol tartrate 1 mg","1 MG","BEDFORD LABORATORIES","55390018510","55390-0185-10","Butorphanol Tartrate",10,1,20,20
"J9060","Cisplatin 10 MG injection","10 MG","BEDFORD LABORATORIES","55390018701","55390-0187-01","Cisplatin Injection",200,1,20,20
"J9062","Cisplatin 50 MG injection","50 MG","BEDFORD LABORATORIES","55390018701","55390-0187-01","Cisplatin Injection",200,1,4,4
"J3105","Terbutaline sulfate inj","1 MG","BEDFORD LABORATORIES","55390019310","55390-0193-10","Terbutaline Sulfate Injection Usp",1,1,1,1
"J2430","Pamidronate disodium /30 MG","30 MG","BEDFORD LABORATORIES","55390020401","55390-0204-01","Pamidronate Disodium",10,1,1,1
"J9045","Carboplatin injection","50 MG","BEDFORD LABORATORIES","55390022001","55390-0220-01","Carboplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","BEDFORD LABORATORIES","55390022101","55390-0221-01","Carboplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","BEDFORD LABORATORIES","55390022201","55390-0222-01","Carboplatin",45,1,9,9
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390023110","55390-0231-10","Adriamycin",1,10,1,10
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390023210","55390-0232-10","Adriamycin",1,10,2,20
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390023301","55390-0233-01","Adriamycin",1,1,5,5
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390023510","55390-0235-10","Adriamycin",5,10,1,10
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390023610","55390-0236-10","Adriamycin",10,10,2,20
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390023701","55390-0237-01","Adriamycin",25,1,5,5
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390023801","55390-0238-01","Adriamycin",100,1,20,20
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390024110","55390-0241-10","Doxorubicin Hcl",1,10,1,10
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390024301","55390-0243-01","Doxorubicin Hcl",1,1,5,5
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390024510","55390-0245-10","Doxorubicin Hcl",5,10,1,10
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390024610","55390-0246-10","Doxorubicin Hcl",10,10,2,20
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390024701","55390-0247-01","Doxorubicin Hcl",25,1,5,5
"J9000","Doxorubic hcl 10 MG vl chemo","10 MG","BEDFORD LABORATORIES","55390024801","55390-0248-01","Doxorubicin Hcl",100,1,20,20
"J9280","Mitomycin 5 MG inj","5 MG","BEDFORD LABORATORIES","55390025101","55390-0251-01","Mitomycin",1,1,1,1
"J9290","Mitomycin 20 MG inj","20 MG","BEDFORD LABORATORIES","55390025101","55390-0251-01","Mitomycin",1,1,0.25,0.25
"J9291","Mitomycin 40 MG inj","40 MG","BEDFORD LABORATORIES","55390025101","55390-0251-01","Mitomycin",1,1,0.125,0.125
"J9280","Mitomycin 5 MG inj","5 MG","BEDFORD LABORATORIES","55390025201","55390-0252-01","Mitomycin",1,1,4,4
"J9290","Mitomycin 20 MG inj","20 MG","BEDFORD LABORATORIES","55390025201","55390-0252-01","Mitomycin",1,1,1,1
"J9291","Mitomycin 40 MG inj","40 MG","BEDFORD LABORATORIES","55390025201","55390-0252-01","Mitomycin",1,1,0.5,0.5
"J9280","Mitomycin 5 MG inj","5 MG","BEDFORD LABORATORIES","55390025301","55390-0253-01","Mitomycin",1,1,8,8
"J9290","Mitomycin 20 MG inj","20 MG","BEDFORD LABORATORIES","55390025301","55390-0253-01","Mitomycin",1,1,2,2
"J9291","Mitomycin 40 MG inj","40 MG","BEDFORD LABORATORIES","55390025301","55390-0253-01","Mitomycin",1,1,1,1
"J9150","Daunorubicin","10 MG","BEDFORD LABORATORIES","55390028110","55390-0281-10","Cerubidine",1,10,2,20
"J9181","Etoposide 10 MG inj","10 MG","BEDFORD LABORATORIES","55390029101","55390-0291-01","Etoposide",5,1,10,10
"J9182","Etoposide 100 MG inj","100 MG","BEDFORD LABORATORIES","55390029101","55390-0291-01","Etoposide",5,1,1,1
"J9181","Etoposide 10 MG inj","10 MG","BEDFORD LABORATORIES","55390029201","55390-0292-01","Etoposide",25,1,50,50
"J9182","Etoposide 100 MG inj","100 MG","BEDFORD LABORATORIES","55390029201","55390-0292-01","Etoposide",25,1,5,5
"J9181","Etoposide 10 MG inj","10 MG","BEDFORD LABORATORIES","55390029301","55390-0293-01","Etoposide",50,1,100,100
"J9182","Etoposide 100 MG inj","100 MG","BEDFORD LABORATORIES","55390029301","55390-0293-01","Etoposide",50,1,10,10
"J9265","Paclitaxel injection","30 MG","AMERINET CHOICE","55390031405","55390-0314-05","Paclitaxel",5,1,1,1
"J9265","Paclitaxel injection","30 MG","AMERINET CHOICE","55390031420","55390-0314-20","Paclitaxel",16.7,1,3.34,3.33
"J9265","Paclitaxel injection","30 MG","AMERINET CHOICE","55390031450","55390-0314-50","Paclitaxel",50,1,10,10
"J2400","Chloroprocaine hcl injection","30 ML","BEDFORD LABORATORIES","55390040320","55390-0403-20","Chloroprocaine Hcl",20,1,0.667,0.667
"J2400","Chloroprocaine hcl injection","30 ML","BEDFORD LABORATORIES","55390040420","55390-0404-20","Chloroprocaine Hcl",20,1,0.667,0.667
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390041201","55390-0412-01","Haloperidol Decanoate",1,10,1,10
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390041205","55390-0412-05","Haloperidol Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390041301","55390-0413-01","Haloperidol Decanoate",1,10,2,20
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390041305","55390-0413-05","Haloperidol Decanoate",5,1,10,10
"J9060","Cisplatin 10 MG injection","10 MG","BEDFORD LABORATORIES","55390041450","55390-0414-50","Cisplatin",50,1,5,5
"J9062","Cisplatin 50 MG injection","50 MG","BEDFORD LABORATORIES","55390041450","55390-0414-50","Cisplatin",50,1,1,1
"J9060","Cisplatin 10 MG injection","10 MG","BEDFORD LABORATORIES","55390041499","55390-0414-99","Cisplatin",100,1,10,10
"J9062","Cisplatin 50 MG injection","50 MG","BEDFORD LABORATORIES","55390041499","55390-0414-99","Cisplatin",100,1,2,2
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390042201","55390-0422-01","Haloperidol Decanoate",1,10,1,10
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390042205","55390-0422-05","Haloperidol Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390042301","55390-0423-01","Haloperidol Decanoate",1,10,2,20
"J1631","Haloperidol decanoate inj","50 MG","BEDFORD LABORATORIES","55390042305","55390-0423-05","Haloperidol Decanoate",5,1,10,10
"J9200","Floxuridine injection","500 MG","BEDFORD LABORATORIES","55390043501","55390-0435-01","Floxuridine",1,1,1,1
"J1955","Inj levocarnitine per 1 gm","1 G","BEDFORD LABORATORIES","55390043605","55390-0436-05","Levocarnitine",5,10,1,10
"J1630","Haloperidol injection","5 MG","BEDFORD LABORATORIES","55390044701","55390-0447-01","Haloperidol Lactate",10,1,10,10
"J1630","Haloperidol injection","5 MG","BEDFORD LABORATORIES","55390044710","55390-0447-10","Haloperidol Lactate",1,10,1,10
"J9280","Mitomycin 5 MG inj","5 MG","BEDFORD LABORATORIES","55390045101","55390-0451-01","Mitomycin",1,1,1,1
"J9290","Mitomycin 20 MG inj","20 MG","BEDFORD LABORATORIES","55390045101","55390-0451-01","Mitomycin",1,1,0.25,0.25
"J9291","Mitomycin 40 MG inj","40 MG","BEDFORD LABORATORIES","55390045101","55390-0451-01","Mitomycin",1,1,0.125,0.125
"J9280","Mitomycin 5 MG inj","5 MG","BEDFORD LABORATORIES","55390045201","55390-0452-01","Mitomycin",1,1,4,4
"J9290","Mitomycin 20 MG inj","20 MG","BEDFORD LABORATORIES","55390045201","55390-0452-01","Mitomycin",1,1,1,1
"J9291","Mitomycin 40 MG inj","40 MG","BEDFORD LABORATORIES","55390045201","55390-0452-01","Mitomycin",1,1,0.5,0.5
"J9280","Mitomycin 5 MG inj","5 MG","BEDFORD LABORATORIES","55390045301","55390-0453-01","Mitomycin",1,1,8,8
"J9290","Mitomycin 20 MG inj","20 MG","BEDFORD LABORATORIES","55390045301","55390-0453-01","Mitomycin",1,1,2,2
"J9291","Mitomycin 40 MG inj","40 MG","BEDFORD LABORATORIES","55390045301","55390-0453-01","Mitomycin",1,1,1,1
"J1120","Acetazolamid sodium injectio","500 MG","BEDFORD LABORATORIES","55390046001","55390-0460-01","Acetazolamide Sodium",1,1,1,1
"J2680","Fluphenazine decanoate 25 MG","25 MG","BEDFORD LABORATORIES","55390046505","55390-0465-05","Fluphenazine Decanoate",5,1,5,5
"J1885","Ketorolac tromethamine inj","15 MG","BEDFORD LABORATORIES","55390048001","55390-0480-01","Ketorolac Tromethamine",1,10,1,10
"J1885","Ketorolac tromethamine inj","15 MG","BEDFORD LABORATORIES","55390048101","55390-0481-01","Ketorolac Tromethamine",1,10,2,20
"J1885","Ketorolac tromethamine inj","15 MG","BEDFORD LABORATORIES","55390048102","55390-0481-02","Ketorolac Tromethamine",2,10,4,40
"J1885","Ketorolac tromethamine inj","15 MG","BEDFORD LABORATORIES","55390048110","55390-0481-10","Ketorolac Tromethamine",10,10,20,200
"J9181","Etoposide 10 MG inj","10 MG","BEDFORD LABORATORIES","55390049101","55390-0491-01","Etoposide",5,1,10,10
"J9182","Etoposide 100 MG inj","100 MG","BEDFORD LABORATORIES","55390049101","55390-0491-01","Etoposide",5,1,1,1
"J9181","Etoposide 10 MG inj","10 MG","BEDFORD LABORATORIES","55390049201","55390-0492-01","Etoposide",25,1,50,50
"J9182","Etoposide 100 MG inj","100 MG","BEDFORD LABORATORIES","55390049201","55390-0492-01","Etoposide",25,1,5,5
"J9181","Etoposide 10 MG inj","10 MG","BEDFORD LABORATORIES","55390049301","55390-0493-01","Etoposide",50,1,100,100
"J9182","Etoposide 100 MG inj","100 MG","BEDFORD LABORATORIES","55390049301","55390-0493-01","Etoposide",50,1,10,10
"J0270","Alprostadil for injection","1.25 MCG","BEDFORD LABORATORIES","55390050310","55390-0503-10","Alprostadil",1,1,400,400
"J0270","Alprostadil for injection","1.25 MCG","BEDFORD LABORATORIES","55390050605","55390-0506-05","Alprostadil",1,5,400,2000
"J0270","Alprostadil for injection","1.25 MCG","BEDFORD LABORATORIES","55390050610","55390-0506-10","Alprostadil",1,1,400,400
"J9265","Paclitaxel injection","30 MG","BEDFORD LABORATORIES","55390051405","55390-0514-05","Paclitaxel",1,1,1,1
"J9265","Paclitaxel injection","30 MG","BEDFORD LABORATORIES","55390051420","55390-0514-20","Paclitaxel",1,1,3.33,3.33
"J9265","Paclitaxel injection","30 MG","BEDFORD LABORATORIES","55390051450","55390-0514-50","Paclitaxel",1,1,1,10
"J1245","Dipyridamole injection","10 MG","BEDFORD LABORATORIES","55390055501","55390-0555-01","Dipyridamole",10,1,5,5
"J1245","Dipyridamole injection","10 MG","BEDFORD LABORATORIES","55390055510","55390-0555-10","Dipyridamole",2,10,1,10
"J1245","Dipyridamole injection","10 MG","BEDFORD LABORATORIES","55390055590","55390-0555-90","Dipyridamole Injection",1,1,1,1
"J1250","Inj dobutamine HCL/250 mg","250 MG","BEDFORD LABORATORIES","55390056090","55390-0560-90","Dobutamine Hcl",20,10,1,10
"J7501","Azathioprine parenteral","100 MG","BEDFORD LABORATORIES","55390060020","55390-0600-20","Azathioprine Sodium",1,1,1,1
"J2430","Pamidronate disodium /30 MG","30 MG","BEDFORD LABORATORIES","55390060401","55390-0604-01","Pamidronate Disodium",10,1,1,1
"J0760","Colchicine injection","1 MG","BEDFORD LABORATORIES","55390060502","55390-0605-02","Colchicine",2,10,1,10
"Q4075","Acyclovir, 5 mg","5 MG","BEDFORD LABORATORIES","55390061210","55390-0612-10","Acyclovir Sodium",1,10,100,1000
"Q4075","Acyclovir, 5 mg","5 MG","BEDFORD LABORATORIES","55390061320","55390-0613-20","Acyclovir Sodium",1,10,200,2000
"J2780","Ranitidine hydrochloride inj","25 MG","BEDFORD LABORATORIES","55390061601","55390-0616-01","Ranitidine",6,1,6,6
"J2780","Ranitidine hydrochloride inj","25 MG","BEDFORD LABORATORIES","55390061610","55390-0616-10","Ranitidine",2,10,2,20
"J9150","Daunorubicin","10 MG","BEDFORD LABORATORIES","55390080510","55390-0805-10","Daunorubicin Hcl",1,10,2,20
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390080610","55390-0806-10","Cytarabine",1,10,1,10
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390080610","55390-0806-10","Cytarabine",1,10,0.2,2
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390080710","55390-0807-10","Cytarabine",1,10,5,50
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390080710","55390-0807-10","Cytarabine",1,10,1,10
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390080801","55390-0808-01","Cytarabine",1,1,10,10
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390080801","55390-0808-01","Cytarabine",1,1,2,2
"J9100","Cytarabine hcl 100 MG inj","100 MG","BEDFORD LABORATORIES","55390080901","55390-0809-01","Cytarabine",1,1,20,20
"J9110","Cytarabine hcl 500 MG inj","500 MG","BEDFORD LABORATORIES","55390080901","55390-0809-01","Cytarabine",1,1,4,4
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390081810","55390-0818-10","Leucovorin Calcium",1,10,2,20
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390082401","55390-0824-01","Leucovorin Calcium",1,1,4,4
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390082501","55390-0825-01","Leucovorin Calcium",1,1,7,7
"J0640","Leucovorin calcium injection","50 MG","BEDFORD LABORATORIES","55390082601","55390-0826-01","Leucovorin Calcium",1,1,10,10
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001001","55513-0010-01","Aranesp",1,1,5,5
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001001","55513-0010-01","Aranesp",1,1,25,25
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001001","55513-0010-01","Aranesp",1,1,25,25
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001004","55513-0010-04","Aranesp",1,4,5,20
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001004","55513-0010-04","Aranesp",1,4,25,100
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001004","55513-0010-04","Aranesp",1,4,25,100
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001101","55513-0011-01","Aranesp",1,1,8,8
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001101","55513-0011-01","Aranesp",1,1,40,40
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001101","55513-0011-01","Aranesp",1,1,40,40
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001104","55513-0011-04","Aranesp",1,4,8,32
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001104","55513-0011-04","Aranesp",1,4,40,160
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001104","55513-0011-04","Aranesp",1,4,40,160
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001201","55513-0012-01","Aranesp",1,1,12,12
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001201","55513-0012-01","Aranesp",1,1,60,60
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001201","55513-0012-01","Aranesp",1,1,60,60
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001204","55513-0012-04","Aranesp",1,4,12,48
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001204","55513-0012-04","Aranesp",1,4,60,240
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001204","55513-0012-04","Aranesp",1,4,60,240
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001301","55513-0013-01","Aranesp",1,1,20,20
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001301","55513-0013-01","Aranesp",1,1,100,100
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001301","55513-0013-01","Aranesp",1,1,100,100
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001304","55513-0013-04","Aranesp",1,4,20,80
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001304","55513-0013-04","Aranesp",1,4,100,400
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001304","55513-0013-04","Aranesp",1,4,100,400
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001401","55513-0014-01","Aranesp",1,1,40,40
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001401","55513-0014-01","Aranesp",1,1,200,200
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001401","55513-0014-01","Aranesp",1,1,200,200
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001404","55513-0014-04","Aranesp",1,4,40,160
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001404","55513-0014-04","Aranesp",1,4,200,800
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001404","55513-0014-04","Aranesp",1,4,200,800
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513001501","55513-0015-01","Aranesp",1,1,60,60
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513001501","55513-0015-01","Aranesp",1,1,300,300
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513001501","55513-0015-01","Aranesp",1,1,300,300
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513003701","55513-0037-01","Aranesp",0.4,1,8,8
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513003701","55513-0037-01","Aranesp",0.4,1,40,40
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513003701","55513-0037-01","Aranesp",0.4,1,40,40
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513003704","55513-0037-04","Aranesp",0.4,4,8,32
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513003704","55513-0037-04","Aranesp",0.4,4,40,160
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513003704","55513-0037-04","Aranesp",0.4,4,40,160
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513003901","55513-0039-01","Aranesp",0.3,1,12,12
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513003901","55513-0039-01","Aranesp",0.3,1,60,60
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513003901","55513-0039-01","Aranesp",0.3,1,60,60
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513003904","55513-0039-04","Aranesp",0.3,4,12,48
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513003904","55513-0039-04","Aranesp",0.3,4,60,240
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513003904","55513-0039-04","Aranesp",0.3,4,60,240
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513004101","55513-0041-01","Aranesp",0.5,1,20,20
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513004101","55513-0041-01","Aranesp",0.5,1,100,100
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513004101","55513-0041-01","Aranesp",0.5,1,100,100
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513004104","55513-0041-04","Aranesp",0.5,4,20,80
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513004104","55513-0041-04","Aranesp",0.5,4,100,400
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513004104","55513-0041-04","Aranesp",0.5,4,100,400
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513004301","55513-0043-01","Aranesp",0.3,1,30,30
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513004301","55513-0043-01","Aranesp",0.3,1,150,150
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513004301","55513-0043-01","Aranesp",0.3,1,150,150
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513004304","55513-0043-04","Aranesp",0.3,4,30,120
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513004304","55513-0043-04","Aranesp",0.3,4,150,600
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513004304","55513-0043-04","Aranesp",0.3,4,150,600
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513004401","55513-0044-01","Aranesp",0.4,1,40,40
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513004401","55513-0044-01","Aranesp",0.4,1,200,200
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513004401","55513-0044-01","Aranesp",0.4,1,200,200
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513004601","55513-0046-01","Aranesp",0.6,1,60,60
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513004601","55513-0046-01","Aranesp",0.6,1,300,300
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513004601","55513-0046-01","Aranesp",0.6,1,300,300
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513004801","55513-0048-01","Aranesp",1,1,100,100
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513004801","55513-0048-01","Aranesp",1,1,500,500
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513004801","55513-0048-01","Aranesp",1,1,500,500
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513005401","55513-0054-01","Aranesp",0.75,1,30,30
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513005401","55513-0054-01","Aranesp",0.75,1,150,150
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513005401","55513-0054-01","Aranesp",0.75,1,150,150
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513005404","55513-0054-04","Aranesp",0.75,4,30,120
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513005404","55513-0054-04","Aranesp",0.75,4,150,600
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513005404","55513-0054-04","Aranesp",0.75,4,150,600
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513005801","55513-0058-01","Aranesp",0.42,1,5.04,5.04
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513005801","55513-0058-01","Aranesp",0.42,1,25.2,25.2
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513005801","55513-0058-01","Aranesp",0.42,1,25.2,25.2
"J0880","Darbepoetin alfa injection","5 MCG","AMGEN","55513005804","55513-0058-04","Aranesp",0.42,4,5.04,20.16
"Q0137","Darbepoetin alfa, non-esrd","1 MCG","AMGEN","55513005804","55513-0058-04","Aranesp",0.42,4,25.2,100.8
"Q4054","Darbepoetin alfa, esrd use","1 MCG","AMGEN","55513005804","55513-0058-04","Aranesp",0.42,4,25.2,100.8
"Q4055","Epoetin alfa, esrd use","1000 UNITS","AMGEN","55513012610","55513-0126-10","Epogen",1,10,2,20
"Q4055","Epoetin alfa, esrd use","1000 UNITS","AMGEN","55513014410","55513-0144-10","Epogen",1,10,10,100
"Q4055","Epoetin alfa, esrd use","1000 UNITS","AMGEN","55513014810","55513-0148-10","Epogen",1,10,4,40
"J2505","Injection, pegfilgrastim 6mg","6 MG","AMGEN","55513019001","55513-0190-01","Neulasta",0.6,1,1,1
"J1441","Filgrastim 480 mcg injection","480 MCG","AMGEN","55513020910","55513-0209-10","Neupogen",0.8,10,1,10
"Q4055","Epoetin alfa, esrd use","1000 UNITS","AMGEN","55513026710","55513-0267-10","Epogen",1,10,3,30
"Q4055","Epoetin alfa, esrd use","1000 UNITS","AMGEN","55513028310","55513-0283-10","Epogen",2,10,20,200
"Q4055","Epoetin alfa, esrd use","1000 UNITS","AMGEN","55513047810","55513-0478-10","Epogen",1,10,20,200
"J1440","Filgrastim 300 mcg injection","300 MCG","AMGEN","55513053010","55513-0530-10","Neupogen",1,10,1,10
"J1441","Filgrastim 480 mcg injection","480 MCG","AMGEN","55513054610","55513-0546-10","Neupogen",1.6,10,1,10
"Q4055","Epoetin alfa, esrd use","1000 UNITS","AMGEN","55513082310","55513-0823-10","Epogen",1,10,40,400
"J1440","Filgrastim 300 mcg injection","300 MCG","AMGEN","55513092410","55513-0924-10","Neupogen",0.5,10,1,10
"J2650","Prednisolone acetate inj","1 ML","CLINT PHARMACEUTICALS","55553024910","55553-0249-10","Predacort 50",10,1,10,10
"J7637","Dexamethasone inhal sol con","1 MG","CLINT PHARMACEUTICALS","55553066110","55553-0661-10","Cortastat 10",10,1,100,100
"J7638","Dexamethasone inhal sol u d","1 MG","CLINT PHARMACEUTICALS","55553066110","55553-0661-10","Cortastat 10",10,1,100,100
"J7637","Dexamethasone inhal sol con","1 MG","CLINT PHARMACEUTICALS","55553080705","55553-0807-05","Cortastat",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","CLINT PHARMACEUTICALS","55553080705","55553-0807-05","Cortastat",5,1,20,20
"J2725","Inj protirelin per 250 mcg","250 MCG","FERRING","55566008105","55566-0081-05","Thyrel Trh",1,5,2,10
"Q2005","Corticorelin ovine triflutat","1 EA","FERRING","55566030201","55566-0302-01","Acthrel",1,1,1,1
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","FERRING","55566150101","55566-1501-01","Novarel",1,1,10,10
"J2597","Inj desmopressin acetate","1 MCG","FERRING","55566503001","55566-5030-01","Desmopressin Acetate",1,10,4,40
"J2597","Inj desmopressin acetate","1 MCG","FERRING","55566504001","55566-5040-01","Desmopressin Acetate",10,1,40,40
"Q2018","Urofollitropin, 75 iu","75 IU","FERRING","55566850502","55566-8505-02","Bravelle",1,5,1,5
"Q2018","Urofollitropin, 75 iu","75 IU","FERRING","55566850506","55566-8505-06","Bravelle",1,5,1,5
"J7191","Factor VIII (porcine)","1 IU","SPEYWOOD","55688010602","55688-0106-02","Hyate:C",1,1,1,1
"Q0164","Prochlorperazine maleate 5mg","5 MG","DHS INC. WORKMAN COMP","55887039530","55887-0395-30","Prochlorperazine Maleate",30,1,30,30
"Q0164","Prochlorperazine maleate 5mg","5 MG","DHS INC. WORKMAN COMP","55887039560","55887-0395-60","Prochlorperazine Maleate",60,1,60,60
"Q0164","Prochlorperazine maleate 5mg","5 MG","DHS INC. WORKMAN COMP","55887039590","55887-0395-90","Prochlorperazine Maleate",90,1,90,90
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DHS INC. WORKMAN COMP","55887042230","55887-0422-30","Hydroxyzine Pamoate",30,1,30,30
"J7509","Methylprednisolone oral","4 MG","DHS INC. WORKMAN COMP","55887054425","55887-0544-25","Medrol",25,1,50,50
"J7509","Methylprednisolone oral","4 MG","DHS INC. WORKMAN COMP","55887055450","55887-0554-50","Medrol",50,1,200,200
"Q0165","Prochlorperazine maleate10mg","10 MG","DHS INC. WORKMAN COMP","55887061912","55887-0619-12","Prochlorperazine Maleate",12,1,12,12
"Q0165","Prochlorperazine maleate10mg","10 MG","DHS INC. WORKMAN COMP","55887061930","55887-0619-30","Prochlorperazine Maleate",30,1,30,30
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887064315","55887-0643-15","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887064321","55887-0643-21","Prednisone (Pak)",21,1,42,42
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887064330","55887-0643-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887064360","55887-0643-60","Prednisone",60,1,120,120
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887064382","55887-0643-82","Prednisone",120,1,240,240
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887064390","55887-0643-90","Prednisone",90,1,180,180
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887069621","55887-0696-21","Prednisone (Pak)",21,1,42,42
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887069648","55887-0696-48","Prednisone (Pak)",48,1,96,96
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887077021","55887-0770-21","Prednisone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887077048","55887-0770-48","Prednisone (Pak)",48,1,48,48
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887079621","55887-0796-21","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","DHS INC. WORKMAN COMP","55887079630","55887-0796-30","Prednisone",30,1,120,120
"Q0163","Diphenhydramine HCl 50mg","50 MG","DHS INC. WORKMAN COMP","55887088520","55887-0885-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","DHS INC. WORKMAN COMP","55887088528","55887-0885-28","Diphenhydramine Hcl",28,1,28,28
"Q0163","Diphenhydramine HCl 50mg","50 MG","DHS INC. WORKMAN COMP","55887088530","55887-0885-30","Diphenhydramine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","DHS INC. WORKMAN COMP","55887093615","55887-0936-15","Promethazine Hcl",15,1,15,15
"J7509","Methylprednisolone oral","4 MG","DHS INC. WORKMAN COMP","55887095321","55887-0953-21","Methylprednisolone",21,1,21,21
"Q2012","Pegademase bovine, 25 iu","25 IU","ENZON","57665000101","57665-0001-01","Adagen",1.5,1,15,15
"J9266","Pegaspargase/singl dose vial","1 EA","ENZON","57665000202","57665-0002-02","Oncaspar",5,1,1,1
"J0287","Amphotericin b lipid complex","10 MG","ENZON","57665010141","57665-0101-41","Abelcet",20,1,10,10
"J9098","Cytarabine liposome","10 MG","ENZON","57665033101","57665-0331-01","Depocyt",5,1,5,5
"J2941","Somatropin injection","1 MG","GATE","57844071341","57844-0713-41","Tev-Tropin",1,1,5,5
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866018701","57866-0187-01","Prednisone",10,1,100,100
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866018801","57866-0188-01","Prednisone",50,1,50,50
"Q0164","Prochlorperazine maleate 5mg","5 MG","DIRECT DISPENSING INC","57866018901","57866-0189-01","Prochlorperazine Maleate",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","57866019001","57866-0190-01","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","57866019002","57866-0190-02","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","57866021501","57866-0215-01","Promethazine Hcl",12,1,12,12
"Q0163","Diphenhydramine HCl 50mg","50 MG","DIRECT DISPENSING INC","57866376201","57866-3762-01","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","DIRECT DISPENSING INC","57866376202","57866-3762-02","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","DIRECT DISPENSING INC","57866376204","57866-3762-04","Diphenhydramine Hcl",90,1,90,90
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DIRECT DISPENSING INC","57866389301","57866-3893-01","Hydroxyzine Pamoate",30,1,30,30
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DIRECT DISPENSING INC","57866389302","57866-3893-02","Hydroxyzine Pamoate",60,1,60,60
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DIRECT DISPENSING INC","57866389303","57866-3893-03","Hydroxyzine Pamoate",90,1,90,90
"Q0178","Hydroxyzine pamoate 50mg","50 MG","DIRECT DISPENSING INC","57866389401","57866-3894-01","Hydroxyzine Pamoate",30,1,30,30
"Q0178","Hydroxyzine pamoate 50mg","50 MG","DIRECT DISPENSING INC","57866389402","57866-3894-02","Hydroxyzine Pamoate",60,1,60,60
"Q0178","Hydroxyzine pamoate 50mg","50 MG","DIRECT DISPENSING INC","57866389403","57866-3894-03","Hydroxyzine Pamoate",90,1,90,90
"J7509","Methylprednisolone oral","4 MG","DIRECT DISPENSING INC","57866403701","57866-4037-01","Methylprednisolone (Pak)",21,1,21,21
"Q0175","Perphenazine 4mg oral","4 MG","DIRECT DISPENSING INC","57866413201","57866-4132-01","Perphenazine",30,1,30,30
"Q0175","Perphenazine 4mg oral","4 MG","DIRECT DISPENSING INC","57866413202","57866-4132-02","Perphenazine",60,1,60,60
"Q0175","Perphenazine 4mg oral","4 MG","DIRECT DISPENSING INC","57866413203","57866-4132-03","Perphenazine",90,1,90,90
"Q0176","Perphenazine 8mg oral","8 MG","DIRECT DISPENSING INC","57866413301","57866-4133-01","Perphenazine",30,1,30,30
"Q0176","Perphenazine 8mg oral","8 MG","DIRECT DISPENSING INC","57866413302","57866-4133-02","Perphenazine",60,1,60,60
"Q0176","Perphenazine 8mg oral","8 MG","DIRECT DISPENSING INC","57866413303","57866-4133-03","Perphenazine",90,1,90,90
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432401","57866-4324-01","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432403","57866-4324-03","Prednisone",12,1,12,12
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432404","57866-4324-04","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432405","57866-4324-05","Prednisone",50,1,50,50
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432406","57866-4324-06","Prednisone",8,1,8,8
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432501","57866-4325-01","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432502","57866-4325-02","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432503","57866-4325-03","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432601","57866-4326-01","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432602","57866-4326-02","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432604","57866-4326-04","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432605","57866-4326-05","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432606","57866-4326-06","Prednisone",8,1,32,32
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432607","57866-4326-07","Prednisone",5,1,20,20
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432608","57866-4326-08","Prednisone",18,1,72,72
"J7510","Prednisolone oral per 5 mg","5 MG","DIRECT DISPENSING INC","57866432701","57866-4327-01","Prednisolone",90,1,90,90
"J7510","Prednisolone oral per 5 mg","5 MG","DIRECT DISPENSING INC","57866432702","57866-4327-02","Prednisolone",20,1,20,20
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432801","57866-4328-01","Prednisone",20,1,200,200
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432802","57866-4328-02","Prednisone",5,1,50,50
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","57866432803","57866-4328-03","Prednisone",10,1,100,100
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","57866437901","57866-4379-01","Promethazine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","57866437902","57866-4379-02","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","57866437903","57866-4379-03","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","57866437904","57866-4379-04","Promethazine Hcl",10,1,10,10
"Q0173","Trimethobenzamide HCl 250mg","250 MG","DIRECT DISPENSING INC","57866472702","57866-4727-02","Trimethobenzamide Hcl",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","DIRECT DISPENSING INC","57866629801","57866-6298-01","Prochlorperazine Maleate",30,1,30,30
"Q0164","Prochlorperazine maleate 5mg","5 MG","DIRECT DISPENSING INC","57866629901","57866-6299-01","Prochlorperazine Maleate",30,1,30,30
"Q0164","Prochlorperazine maleate 5mg","5 MG","DIRECT DISPENSING INC","57866629902","57866-6299-02","Prochlorperazine Maleate",10,1,10,10
"Q0164","Prochlorperazine maleate 5mg","5 MG","DIRECT DISPENSING INC","57866629903","57866-6299-03","Prochlorperazine Maleate",12,1,12,12
"J7500","Azathioprine oral 50mg","50 MG","DIRECT DISPENSING INC","57866902101","57866-9021-01","Azathioprine",30,1,30,30
"J1745","Infliximab injection","10 MG","CENTOCOR","57894003001","57894-0030-01","Remicade",1,1,10,10
"J2993","Reteplase injection","18.1 MG","CENTOCOR","57894004001","57894-0040-01","Retavase",1,1,2,2
"J2993","Reteplase injection","18.1 MG","CENTOCOR","57894004002","57894-0040-02","Retavase Half-Kit",1,1,1,1
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021600","58016-0216-00","Prednisone",100,1,200,200
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021612","58016-0216-12","Prednisone",12,1,24,24
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021614","58016-0216-14","Prednisone",14,1,28,28
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021615","58016-0216-15","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021620","58016-0216-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021621","58016-0216-21","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021622","58016-0216-22","Prednisone",22,1,44,44
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021624","58016-0216-24","Prednisone",24,1,48,48
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021628","58016-0216-28","Prednisone",28,1,56,56
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021630","58016-0216-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021632","58016-0216-32","Prednisone",32,1,64,64
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021640","58016-0216-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021642","58016-0216-42","Prednisone",42,1,84,84
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021650","58016-0216-50","Prednisone",50,1,100,100
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021660","58016-0216-60","Prednisone",60,1,120,120
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021684","58016-0216-84","Prednisone",84,1,168,168
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021690","58016-0216-90","Prednisone",90,1,180,180
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021700","58016-0217-00","Prednisone",100,1,400,400
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021705","58016-0217-05","Prednisone",5,1,20,20
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021710","58016-0217-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021712","58016-0217-12","Prednisone",12,1,48,48
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021715","58016-0217-15","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021716","58016-0217-16","Prednisone",16,1,64,64
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021718","58016-0217-18","Prednisone",18,1,72,72
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021720","58016-0217-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021721","58016-0217-21","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021722","58016-0217-22","Prednisone",22,1,88,88
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021723","58016-0217-23","Prednisone",23,1,92,92
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021724","58016-0217-24","Prednisone",24,1,96,96
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021728","58016-0217-28","Prednisone",28,1,112,112
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021730","58016-0217-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021740","58016-0217-40","Prednisone",40,1,160,160
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021760","58016-0217-60","Prednisone",60,1,240,240
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021800","58016-0218-00","Prednisone",100,1,100,100
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021820","58016-0218-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021821","58016-0218-21","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021824","58016-0218-24","Prednisone",24,1,24,24
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021830","58016-0218-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021833","58016-0218-33","Prednisone",33,1,33,33
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021836","58016-0218-36","Prednisone",36,1,36,36
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021840","58016-0218-40","Prednisone",40,1,40,40
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021850","58016-0218-50","Prednisone",50,1,50,50
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021855","58016-0218-55","Prednisone",55,1,55,55
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021860","58016-0218-60","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021869","58016-0218-69","Prednisone",69,1,69,69
"J7506","Prednisone oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016021890","58016-0218-90","Prednisone",90,1,90,90
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025900","58016-0259-00","Hydroxyzine Pamoate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025902","58016-0259-02","Hydroxyzine Pamoate",120,1,120,120
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025910","58016-0259-10","Hydroxyzine Pamoate",10,1,10,10
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025920","58016-0259-20","Hydroxyzine Pamoate",20,1,20,20
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025930","58016-0259-30","Hydroxyzine Pamoate",30,1,30,30
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025950","58016-0259-50","Hydroxyzine Pamoate",50,1,50,50
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025960","58016-0259-60","Hydroxyzine Pamoate",60,1,60,60
"Q0177","Hydroxyzine pamoate 25mg","25 MG","SOUTHWOOD PHARMACEUTICALS","58016025990","58016-0259-90","Hydroxyzine Pamoate",90,1,90,90
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","SOUTHWOOD PHARMACEUTICALS","58016028300","58016-0283-00","Promethazine Hcl",100,1,100,100
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","SOUTHWOOD PHARMACEUTICALS","58016028302","58016-0283-02","Promethazine Hcl",120,1,120,120
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","SOUTHWOOD PHARMACEUTICALS","58016028330","58016-0283-30","Promethazine Hcl",30,1,30,30
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","SOUTHWOOD PHARMACEUTICALS","58016028360","58016-0283-60","Promethazine Hcl",60,1,60,60
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","SOUTHWOOD PHARMACEUTICALS","58016028390","58016-0283-90","Promethazine Hcl",90,1,90,90
"Q0164","Prochlorperazine maleate 5mg","5 MG","SOUTHWOOD PHARMACEUTICALS","58016032612","58016-0326-12","Prochlorperazine Maleate",12,1,12,12
"Q0164","Prochlorperazine maleate 5mg","5 MG","SOUTHWOOD PHARMACEUTICALS","58016032630","58016-0326-30","Prochlorperazine Maleate",30,1,30,30
"Q0164","Prochlorperazine maleate 5mg","5 MG","SOUTHWOOD PHARMACEUTICALS","58016032660","58016-0326-60","Prochlorperazine Maleate",60,1,60,60
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040810","58016-0408-10","Diphenhydramine Hcl",10,1,5,5
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040812","58016-0408-12","Diphenhydramine Hcl",12,1,6,6
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040815","58016-0408-15","Diphenhydramine Hcl",15,1,7.5,7.5
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040820","58016-0408-20","Diphenhydramine Hcl",20,1,10,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040821","58016-0408-21","Diphenhydramine Hcl",21,1,10.5,10.5
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040824","58016-0408-24","Diphenhydramine Hcl",24,1,12,12
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040825","58016-0408-25","Diphenhydramine Hcl",25,1,12.5,12.5
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040830","58016-0408-30","Diphenhydramine Hcl",30,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040860","58016-0408-60","Diphenhydramine Hcl",60,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040900","58016-0409-00","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040910","58016-0409-10","Diphenhydramine Hcl",10,1,10,10
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040912","58016-0409-12","Diphenhydramine Hcl",12,1,12,12
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040915","58016-0409-15","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040920","58016-0409-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040921","58016-0409-21","Diphenhydramine Hcl",21,1,21,21
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040924","58016-0409-24","Diphenhydramine Hcl",24,1,24,24
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040930","58016-0409-30","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040940","58016-0409-40","Diphenhydramine Hcl",40,1,40,40
"Q0163","Diphenhydramine HCl 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016040960","58016-0409-60","Diphenhydramine Hcl",60,1,60,60
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042400","58016-0424-00","Promethazine Hcl",100,1,100,100
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042402","58016-0424-02","Promethazine Hcl",120,1,120,120
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042403","58016-0424-03","Promethazine Hcl",150,1,150,150
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042410","58016-0424-10","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042412","58016-0424-12","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042415","58016-0424-15","Promethazine Hcl",15,1,15,15
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042420","58016-0424-20","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042430","58016-0424-30","Promethazine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042440","58016-0424-40","Promethazine Hcl",40,1,1,40
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042448","58016-0424-48","Promethazine Hcl",48,1,1,48
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042450","58016-0424-50","Promethazine Hcl",50,1,50,50
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042460","58016-0424-60","Promethazine Hcl",60,1,60,60
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042473","58016-0424-73","Promethazine Hcl",300,1,300,300
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042489","58016-0424-89","Promethazine Hcl",200,1,200,200
"Q0170","Promethazine HCl 25 mg oral","25 MG","SOUTHWOOD PHARMACEUTICALS","58016042490","58016-0424-90","Promethazine Hcl",90,1,90,90
"Q0178","Hydroxyzine pamoate 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016046410","58016-0464-10","Hydroxyzine Pamoate",10,1,10,10
"Q0178","Hydroxyzine pamoate 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016046415","58016-0464-15","Hydroxyzine Pamoate",15,1,15,15
"Q0178","Hydroxyzine pamoate 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016046420","58016-0464-20","Hydroxyzine Pamoate",20,1,20,20
"Q0178","Hydroxyzine pamoate 50mg","50 MG","SOUTHWOOD PHARMACEUTICALS","58016046430","58016-0464-30","Hydroxyzine Pamoate",30,1,30,30
"Q0165","Prochlorperazine maleate10mg","10 MG","SOUTHWOOD PHARMACEUTICALS","58016070600","58016-0706-00","Prochlorperazine Maleate",100,1,1,100
"Q0165","Prochlorperazine maleate10mg","10 MG","SOUTHWOOD PHARMACEUTICALS","58016070608","58016-0706-08","Prochlorperazine Maleate",8,1,8,8
"Q0165","Prochlorperazine maleate10mg","10 MG","SOUTHWOOD PHARMACEUTICALS","58016070610","58016-0706-10","Prochlorperazine Maleate",1,1,1,1
"Q0165","Prochlorperazine maleate10mg","10 MG","SOUTHWOOD PHARMACEUTICALS","58016070630","58016-0706-30","Prochlorperazine Maleate",30,1,30,30
"Q0165","Prochlorperazine maleate10mg","10 MG","SOUTHWOOD PHARMACEUTICALS","58016070660","58016-0706-60","Prochlorperazine Maleate",60,1,60,60
"Q0179","Ondansetron HCl 8mg oral","8 MG","SOUTHWOOD PHARMACEUTICALS","58016082600","58016-0826-00","Zofran",100,1,50,50
"Q0179","Ondansetron HCl 8mg oral","8 MG","SOUTHWOOD PHARMACEUTICALS","58016082630","58016-0826-30","Zofran",30,1,15,15
"Q0179","Ondansetron HCl 8mg oral","8 MG","SOUTHWOOD PHARMACEUTICALS","58016082660","58016-0826-60","Zofran",60,1,30,30
"Q0179","Ondansetron HCl 8mg oral","8 MG","SOUTHWOOD PHARMACEUTICALS","58016082690","58016-0826-90","Zofran",90,1,45,45
"Q0168","Dronabinol 5mg oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016095100","58016-0951-00","Marinol",100,1,100,100
"Q0168","Dronabinol 5mg oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016095130","58016-0951-30","Marinol",30,1,30,30
"Q0168","Dronabinol 5mg oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016095160","58016-0951-60","Marinol",60,1,60,60
"Q0168","Dronabinol 5mg oral","5 MG","SOUTHWOOD PHARMACEUTICALS","58016095190","58016-0951-90","Marinol",90,1,90,90
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097300","58016-0973-00","Trimethobenzamide Hcl",100,1,100,100
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097302","58016-0973-02","Trimethobenzamide Hcl",120,1,120,120
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097303","58016-0973-03","Trimethobenzamide Hcl",150,1,150,150
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097308","58016-0973-08","Trimethobenzamide Hcl",8,1,8,8
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097310","58016-0973-10","Trimethobenzamide Hcl",10,1,10,10
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097312","58016-0973-12","Trimethobenzamide Hcl",12,1,12,12
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097315","58016-0973-15","Trimethobenzamide Hcl",15,1,15,15
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097320","58016-0973-20","Trimethobenzamide Hcl",20,1,20,20
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097324","58016-0973-24","Trimethobenzamide Hcl",24,1,24,24
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097330","58016-0973-30","Trimethobenzamide Hcl",30,1,30,30
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097350","58016-0973-50","Trimethobenzamide Hcl",50,1,50,50
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097360","58016-0973-60","Trimethobenzamide Hcl",60,1,60,60
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097373","58016-0973-73","Trimethobenzamide Hcl",300,1,300,300
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097389","58016-0973-89","Trimethobenzamide Hcl",200,1,200,200
"Q0173","Trimethobenzamide HCl 250mg","250 MG","SOUTHWOOD PHARMACEUTICALS","58016097390","58016-0973-90","Trimethobenzamide Hcl",90,1,90,90
"J1436","Etidronate disodium inj","300 MG","MGI PHARMA","58063045701","58063-0457-01","Didronel",6,6,1.002,6.012
"J2469","Palonosetron HCl","25 MCG","MGI PHARMA","58063079725","58063-0797-25","Aloxi",5,1,10,10
"90632","Hep a vaccine, adult im","1 ML","GLAXOSMITHKLINE","58160083501","58160-0835-01","Havrix",1,1,1,1
"90632","Hep a vaccine, adult im","1 ML","GLAXOSMITHKLINE","58160083532","58160-0835-32","Havrix",1,1,1,1
"90632","Hep a vaccine, adult im","1 ML","GLAXOSMITHKLINE","58160083535","58160-0835-35","Havrix",1,5,1,5
"90632","Hep a vaccine, adult im","1 ML","GLAXOSMITHKLINE","58160083541","58160-0835-41","Havrix",1,1,1,1
"90632","Hep a vaccine, adult im","1 ML","GLAXOSMITHKLINE","58160083546","58160-0835-46","Havrix",1,5,1,5
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","GLAXOSMITHKLINE","58160083701","58160-0837-01","Havrix",0.5,1,1,1
"90634","Hep a vacc, ped/adol, 3 dose","3 EACH","GLAXOSMITHKLINE","58160083701","58160-0837-01","Havrix Pediatric",0.5,1,1,1
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","GLAXOSMITHKLINE","58160083711","58160-0837-11","Havrix",0.5,10,1,10
"90634","Hep a vacc, ped/adol, 3 dose","3 EACH","GLAXOSMITHKLINE","58160083711","58160-0837-11","Havrix Pediatric",0.5,10,1,10
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","GLAXOSMITHKLINE","58160083746","58160-0837-46","Havrix",0.5,5,1,5
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","GLAXOSMITHKLINE","58160083750","58160-0837-50","Havrix",0.5,25,1,25
"90633","Hep a vacc, ped/adol, 2 dose","1 ML","GLAXOSMITHKLINE","58160083758","58160-0837-58","Havrix",0.5,25,1,25
"90700","Dtap vaccine, < 7 yrs, im","0.5 ML","GLAXOSMITHKLINE","58160084011","58160-0840-11","Infanrix",0.5,10,1,10
"90700","Dtap vaccine, < 7 yrs, im","0.5 ML","GLAXOSMITHKLINE","58160084046","58160-0840-46","Infanrix",0.5,5,1,5
"90700","Dtap vaccine, < 7 yrs, im","0.5 ML","GLAXOSMITHKLINE","58160084050","58160-0840-50","Infanrix",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085601","58160-0856-01","Engerix-B",0.5,1,1,1
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085611","58160-0856-11","Engerix-B",0.5,10,1,10
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085626","58160-0856-26","Engerix-B",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085627","58160-0856-27","Engerix-B",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085635","58160-0856-35","Engerix-B",0.5,5,1,5
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085636","58160-0856-36","Engerix-B",0.5,5,1,5
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085646","58160-0856-46","Engerix-B",0.5,5,1,5
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085650","58160-0856-50","Engerix-B",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085656","58160-0856-56","Engerix-B",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085657","58160-0856-57","Engerix-B",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085658","58160-0856-58","Engerix-B",0.5,25,1,25
"90740","Hepb vacc, ill pat 3 dose im","40 MCG","EMT-RX","58160085701","58160-0857-01","Engerix-B",1,1,0.5,0.5
"90746","Hep b vaccine, adult, im","1 EACH","GLAXOSMITHKLINE","58160085701","58160-0857-01","Engerix-B",1,1,1,1
"90747","Hepb vacc, ill pat 4 dose im","40 MCG","GLAXOSMITHKLINE","58160085701","58160-0857-01","Engerix-B",1,1,0.5,0.5
"90740","Hepb vacc, ill pat 3 dose im","40 MCG","GLAXOSMITHKLINE","58160085716","58160-0857-16","Engerix-B",1,25,0.5,12.5
"90746","Hep b vaccine, adult, im","1 EACH","GLAXOSMITHKLINE","58160085716","58160-0857-16","Engerix-B",1,25,1,25
"90747","Hepb vacc, ill pat 4 dose im","40 MCG","GLAXOSMITHKLINE","58160085716","58160-0857-16","Engerix-B",1,25,0.5,12.5
"90740","Hepb vacc, ill pat 3 dose im","40 MCG","GLAXOSMITHKLINE","58160085746","58160-0857-46","Engerix-B",1,5,0.5,2.5
"90746","Hep b vaccine, adult, im","1 EACH","GLAXOSMITHKLINE","58160085746","58160-0857-46","Engerix-B",1,5,1,5
"90747","Hepb vacc, ill pat 4 dose im","40 MCG","GLAXOSMITHKLINE","58160085746","58160-0857-46","Engerix-B",1,5,0.5,2.5
"90740","Hepb vacc, ill pat 3 dose im","40 MCG","GLAXOSMITHKLINE","58160085750","58160-0857-50","Engerix-B",1,25,0.5,12.5
"90746","Hep b vaccine, adult, im","1 EACH","GLAXOSMITHKLINE","58160085750","58160-0857-50","Engerix-B",1,25,1,25
"90747","Hepb vacc, ill pat 4 dose im","40 MCG","GLAXOSMITHKLINE","58160085750","58160-0857-50","Engerix-B",1,25,0.5,12.5
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085901","58160-0859-01","Engerix-B",0.5,1,1,1
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085905","58160-0859-05","Engerix-B",0.5,5,1,5
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085911","58160-0859-11","Engerix-B",0.5,10,1,10
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085926","58160-0859-26","Engerix-B",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085927","58160-0859-27","Engerix-B",0.5,25,1,25
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085935","58160-0859-35","Engerix-B",0.5,5,1,5
"90744","Hepb vacc ped/adol 3 dose im","1 DOSE","GLAXOSMITHKLINE","58160085936","58160-0859-36","Engerix-B",0.5,5,1,5
"J0207","Amifostine","500 MG","MEDIMMUNE","58178001701","58178-0017-01","Ethyol",1,1,1,1
"J0207","Amifostine","500 MG","MEDIMMUNE","58178001703","58178-0017-03","Ethyol",1,3,1,3
"J3305","Inj trimetrexate glucoronate","25 MG","MEDIMMUNE","58178002001","58178-0020-01","Neutrexin",1,1,1,1
"J3305","Inj trimetrexate glucoronate","25 MG","MEDIMMUNE","58178002010","58178-0020-10","Neutrexin",1,10,1,10
"J3305","Inj trimetrexate glucoronate","25 MG","MEDIMMUNE","58178002101","58178-0021-01","Neutrexin",1,1,8,8
"J0475","Baclofen 10 MG injection","10 MG","MEDTRONIC","58281056001","58281-0560-01","Lioresal",20,1,1,1
"J0475","Baclofen 10 MG injection","10 MG","MEDTRONIC","58281056002","58281-0560-02","Lioresal",40,1,2,2
"J0475","Baclofen 10 MG injection","10 MG","MEDTRONIC","58281056102","58281-0561-02","Lioresal",10,1,2,2
"J0476","Baclofen intrathecal trial","50 MCG","MEDTRONIC","58281056201","58281-0562-01","Lioresal",1,1,1,1
"J0475","Baclofen 10 MG injection","10 MG","MEDTRONIC","58281056301","58281-0563-01","Lioresal",20,1,4,4
"J0475","Baclofen 10 MG injection","10 MG","MEDTRONIC","58281056302","58281-0563-02","Lioresal",40,1,8,8
"Q9955","Inj perflexane lip micros, ml","1 ML","IMCOR","58366015001","58366-0150-01","Imagent",1,1,10,10
"J7195","Factor IX recombinant","1 IU","WYETH","58394000101","58394-0001-01","Benefix",1,1,1000,1000
"J7195","Factor IX recombinant","1 IU","WYETH","58394000201","58394-0002-01","Benefix",1,1,500,500
"J7195","Factor IX recombinant","1 IU","WYETH","58394000301","58394-0003-01","Benefix",1,1,250,250
"J2355","Oprelvekin injection","5 MG","WYETH","58394000401","58394-0004-01","Neumega",1,1,1,1
"J2355","Oprelvekin injection","5 MG","WYETH","58394000402","58394-0004-02","Neumega",1,7,1,7
"J7192","Factor viii recombinant","1 IU","WYETH","58394000502","58394-0005-02","Refacto",1,1000,1,1000
"J7192","Factor viii recombinant","1 IU","WYETH","58394000602","58394-0006-02","Refacto",1,500,1,500
"J7192","Factor viii recombinant","1 IU","WYETH","58394000702","58394-0007-02","Refacto",1,250,1,250
"J7192","Factor viii recombinant","1 IU","WYETH","58394001102","58394-0011-02","Refacto",1,2000,1,2000
"J2820","Sargramostim injection","50 MCG","BERLEX","58406000201","58406-0002-01","Leukine",1,1,5,5
"J2820","Sargramostim injection","50 MCG","BERLEX","58406005014","58406-0050-14","Leukine",1,1,10,10
"J1438","Etanercept injection","25 MG","AMGEN","58406042534","58406-0425-34","Enbrel",1,4,1,4
"J1438","Etanercept injection","25 MG","AMGEN","58406042541","58406-0425-41","Enbrel",1,1,1,1
"J1438","Etanercept injection","25 MG","AMGEN","58406043504","58406-0435-04","Enbrel (Etanercept)",0.98,4,2,8
"J0640","Leucovorin calcium injection","50 MG","IMMUNEX","58406062307","58406-0623-07","Leucovorin Calcium",1,1,7,7
"J0640","Leucovorin calcium injection","50 MG","IMMUNEX","58406062674","58406-0626-74","Leucovorin Calcium",24,1,7.2,7.2
"J9293","Mitoxantrone hydrochl / 5 MG","5 MG","SERONO","58406064003","58406-0640-03","Novantrone",10,1,4,4
"J9293","Mitoxantrone hydrochl / 5 MG","5 MG","SERONO","58406064005","58406-0640-05","Novantrone",12.5,1,5,5
"J9293","Mitoxantrone hydrochl / 5 MG","5 MG","SERONO","58406064007","58406-0640-07","Novantrone",15,1,6,6
"J7637","Dexamethasone inhal sol con","1 MG","INSOURCE","58441110303","58441-1103-03","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","INSOURCE","58441110303","58441-1103-03","Dexamethasone Sodium Phosphate",30,1,120,120
"J7637","Dexamethasone inhal sol con","1 MG","INSOURCE","58441112805","58441-1128-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","INSOURCE","58441112805","58441-1128-05","Dexamethasone Sodium Phosphate",5,1,20,20
"J0180","Agalsidase beta injection","1 MG","GENZYME","58468004001","58468-0040-01","Fabrazyme",1,1,35,35
"J0180","Agalsidase beta injection","1 MG","GENZYME","58468004101","58468-0041-01","Fabrazyme",1,1,5,5
"J1931","Laronidase injection","0.1 MG","GENZYME","58468007001","58468-0070-01","Aldurazyme",5,1,29,29
"J7320","Hylan G-F 20 injection","16 MG","GENZYME","58468009001","58468-0090-01","Synvisc",2,3,1,3
"J0205","Alglucerase injection","10 UNITS","GENZYME","58468106001","58468-1060-01","Ceredase",5,1,40,40
"J3240","Thyrotropin injection","0.9 MG","GENZYME","58468184904","58468-1849-04","Thyrogen",1,2,1,2
"J1785","Injection imiglucerase /unit","1 UNIT","GENZYME","58468198301","58468-1983-01","Cerezyme",1,1,200,200
"J1785","Injection imiglucerase /unit","1 UNIT","GENZYME","58468466301","58468-4663-01","Cerezyme",1,1,400,400
"J3396","Verteporfin injection","0.1 MG","NOVARTIS","58768015015","58768-0150-15","Visudyne",1,1,150,150
"J1452","Intraocular Fomivirsen na","1.65 MG","NOVARTIS","58768090235","58768-0902-35","Vitravene",0.25,1,4,4
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","58864016301","58864-0163-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","58864016330","58864-0163-30","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","PDRX PHARMACEUTICAL","58864016360","58864-0163-60","Diphenhydramine Hcl",60,1,60,60
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864036220","58864-0362-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864036256","58864-0362-56","Prednisone",56,1,56,56
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864042230","58864-0422-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864042320","58864-0423-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864042330","58864-0423-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864042340","58864-0423-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864042409","58864-0424-09","Prednisone",9,1,36,36
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864042414","58864-0424-14","Prednisone",14,1,56,56
"J7506","Prednisone oral","5 MG","PDRX PHARMACEUTICAL","58864042430","58864-0424-30","Prednisone",30,1,120,120
"Q0165","Prochlorperazine maleate10mg","10 MG","PDRX PHARMACEUTICAL","58864064442","58864-0644-42","Prochlorperazine Maleate",42,1,42,42
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","58864067110","58864-0671-10","Phenergan",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","58864067142","58864-0671-42","Phenergan",42,1,42,42
"Q0164","Prochlorperazine maleate 5mg","5 MG","PDRX PHARMACEUTICAL","58864070215","58864-0702-15","Prochlorperazine Maleate",15,1,15,15
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","58864076110","58864-0761-10","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","58864076130","58864-0761-30","Promethazine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","PDRX PHARMACEUTICAL","58864076142","58864-0761-42","Promethazine Hcl",42,1,42,42
"J9600","Porfimer sodium","75 MG","AXCAN SCANDIPHARM","58914015575","58914-0155-75","Photofrin",1,1,1,1
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060018332","59060-0183-32","Relion R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060018332","59060-0183-32","Relion R",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060018342","59060-0183-42","Relion N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060018342","59060-0183-42","Relion N",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060018372","59060-0183-72","Relion 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060018372","59060-0183-72","Relion 70/30",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060023144","59060-0231-44","Relion N Innolet",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060023144","59060-0231-44","Relion N Innolet",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060023174","59060-0231-74","Relion 70/30 Innolet",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060023174","59060-0231-74","Relion 70/30 Innolet",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060183302","59060-1833-02","Relion R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060183302","59060-1833-02","Relion R",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060183318","59060-1833-18","Relion R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060183318","59060-1833-18","Relion R",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060183320","59060-1833-20","Reli-On R  (human insulin)",10,1,200,200
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060183402","59060-1834-02","Relion N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060183402","59060-1834-02","Relion N",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060183418","59060-1834-18","Relion N",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060183418","59060-1834-18","Relion N",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060183702","59060-1837-02","Relion 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060183702","59060-1837-02","Relion 70/30",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060183718","59060-1837-18","Relion 70/30",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060183718","59060-1837-18","Relion 70/30",10,1,20,20
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060231404","59060-2314-04","Relion N Innolet",3,3,60,180
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060231404","59060-2314-04","Relion N Innolet",3,3,6,18
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060231440","59060-2314-40","Relion N Innolet",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060231440","59060-2314-40","Relion N Innolet",3,5,6,30
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060231704","59060-2317-04","Relion 70/30 Innolet",3,3,60,180
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060231704","59060-2317-04","Relion 70/30 Innolet",3,3,6,18
"J1815","Insulin injection","5 UNITS","NOVO NORDISK","59060231740","59060-2317-40","Relion 70/30 Innolet",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","NOVO NORDISK","59060231740","59060-2317-40","Relion 70/30 Innolet",3,5,6,30
"J0587","Botulinum toxin type B","100 UNITS","ELAN","59075071010","59075-0710-10","Myobloc",0.5,1,25,25
"J0587","Botulinum toxin type B","100 UNITS","ELAN","59075071110","59075-0711-10","Myobloc",1,1,50,50
"J0587","Botulinum toxin type B","100 UNITS","ELAN","59075071210","59075-0712-10","Myobloc",2,1,100,100
"Q9953","Inj Fe-based MR contrast, 1ml","1 ML","BERLEX","59338070351","59338-0703-51","Feridex IV",5,1,5,5
"Q9953","Inj Fe-based MR contrast, 1ml","1 ML","BERLEX","59338070355","59338-0703-55","Feridex IV",5,5,5,25
"J7637","Dexamethasone inhal sol con","1 MG","ROBERTS/HAUCK PHARM. CORP.","59441055505","59441-0555-05","Dexasone",5,1,20,20
"J7638","Dexamethasone inhal sol u d","1 MG","ROBERTS/HAUCK PHARM. CORP.","59441055505","59441-0555-05","Dexasone",5,1,20,20
"J7637","Dexamethasone inhal sol con","1 MG","ROBERTS/HAUCK PHARM. CORP.","59441055530","59441-0555-30","Dexasone",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","ROBERTS/HAUCK PHARM. CORP.","59441055530","59441-0555-30","Dexasone",30,1,120,120
"J9245","Inj melphalan hydrochl 50 MG","50 MG","CELGENE","59572030101","59572-0301-01","Alkeran",1,1,1,1
"J8600","Melphalan oral 2 MG","2 MG","CELGENE","59572030250","59572-0302-50","Alkeran",50,1,50,50
"Q3025","IM inj interferon beta 1-a","11 MCG","BIOGEN IDEC","59627000103","59627-0001-03","Avonex",1,4,3,12
"Q3025","IM inj interferon beta 1-a","11 MCG","BIOGEN IDEC","59627000205","59627-0002-05","Avonex",1,4,3,12
"J0215","Alefacept","0.5 MG","BIOGEN IDEC","59627002001","59627-0020-01","Amevive",4,1,60,60
"J0215","Alefacept","0.5 MG","BIOGEN IDEC","59627002002","59627-0020-02","Amevive",1,1,15,15
"J0215","Alefacept","0.5 MG","BIOGEN IDEC","59627002103","59627-0021-03","Amevive",4,1,120,120
"J0215","Alefacept","0.5 MG","BIOGEN IDEC","59627002104","59627-0021-04","Amevive",1,1,30,30
"J7505","Monoclonal antibodies","5 MG","ORTHO BIOTECH","59676010101","59676-0101-01","Orthoclone Okt3",5,1,1,1
"J9065","Inj cladribine per 1 MG","1 MG","ORTHO BIOTECH","59676020101","59676-0201-01","Leustatin",10,1,10,10
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676030201","59676-0302-01","Procrit",1,6,2,12
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676030202","59676-0302-02","Procrit",1,25,2,50
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676030301","59676-0303-01","Procrit",1,6,3,18
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676030302","59676-0303-02","Procrit",1,25,3,75
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676030401","59676-0304-01","Procrit",1,6,4,24
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676030402","59676-0304-02","Procrit",1,25,4,100
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676031001","59676-0310-01","Procrit",1,6,10,60
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676031002","59676-0310-02","Procrit",1,25,10,250
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676031201","59676-0312-01","Procrit",2,6,20,120
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676032001","59676-0320-01","Procrit",1,6,20,120
"Q0136","Non esrd epoetin alpha inj","1000 UNITS","ORTHO BIOTECH","59676034001","59676-0340-01","Procrit",1,4,40,160
"90371","Hep b ig, im","1 ML","NABI (NORTH AMERICAN BIO, INC)","59730420201","59730-4202-01","Nabi-Hb",1,1,1,1
"90371","Hep b ig, im","1 ML","NABI (NORTH AMERICAN BIO, INC)","59730420301","59730-4203-01","Nabi-Hb",5,1,5,5
"90371","Hep b ig, im","1 ML","NABI (NORTH AMERICAN BIO, INC)","59730420401","59730-4204-01","H-Big",5,1,5,5
"90371","Hep b ig, im","1 ML","NABI (NORTH AMERICAN BIO, INC)","59730420501","59730-4205-01","Novaplus Nabi-Hb",5,1,5,5
"J7198","Anti-inhibitor","1 IU","NABI (NORTH AMERICAN BIO, INC)","59730605907","59730-6059-07","Autoplex T",1,1,1,1
"J7509","Methylprednisolone oral","4 MG","TRIGEN LABS","59746000103","59746-0001-03","Methylprednisolone (Pak)",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","TRIGEN LABS","59746000106","59746-0001-06","Methylprednisolone (Pak)",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","TRIGEN LABS","59746000109","59746-0001-09","Methylprednisolone (Pak)",500,1,500,500
"J7509","Methylprednisolone oral","4 MG","TRIGEN LABS","59746000204","59746-0002-04","Methylprednisolone",21,1,42,42
"J7509","Methylprednisolone oral","4 MG","TRIGEN LABS","59746000206","59746-0002-06","Methylprednisolone",100,1,200,200
"Q0164","Prochlorperazine maleate 5mg","5 MG","TRIGEN LABS","59746011306","59746-0113-06","Prochlorperazine Maleate",100,1,100,100
"Q0164","Prochlorperazine maleate 5mg","5 MG","TRIGEN LABS","59746011310","59746-0113-10","Prochlorperazine Maleate",1000,1,1000,1000
"Q0165","Prochlorperazine maleate10mg","10 MG","TRIGEN LABS","59746011506","59746-0115-06","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","TRIGEN LABS","59746011510","59746-0115-10","Prochlorperazine Maleate",1000,1,1000,1000
"J7509","Methylprednisolone oral","4 MG","GREENSTONE","59762332701","59762-3327-01","Methylprednisolone (Pak)",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","GREENSTONE","59762332702","59762-3327-02","Methylprednisolone",100,1,100,100
"J1450","Fluconazole","200 MG","GREENSTONE","59762503402","59762-5034-02","Fluconazole In Sodium Chloride",100,6,1,6
"J1450","Fluconazole","200 MG","GREENSTONE","59762503502","59762-5035-02","Fluconazole In Sodium Chloride",200,6,2,12
"J1450","Fluconazole","200 MG","GREENSTONE","59762503602","59762-5036-02","Fluconazole In Dextrose",100,6,1,6
"J1450","Fluconazole","200 MG","GREENSTONE","59762503702","59762-5037-02","Fluconazole In Dextrose",200,6,2,12
"J2260","Inj milrinone lactate / 5 MG","5 ML","ESI LEDERLE GENERICS","59911590702","59911-5907-02","Milrinone In Dextrose",100,10,4,40
"J7613","Albuterol unit dose","1 MG","WARRICK PHARMACEUTICALS","59930151701","59930-1517-01","Albuterol Sulfate",3,24,2.49,59.76
"J7613","Albuterol unit dose","1 MG","WARRICK PHARMACEUTICALS","59930151702","59930-1517-02","Albuterol Sulfate",3,60,2.49,149.4
"J7611","Albuterol concentrated form","1 MG","WARRICK PHARMACEUTICALS","59930164702","59930-1647-02","Albuterol Sulfate",20,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","NEIL LABS","60242020201","60242-0202-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","NEIL LABS","60242020210","60242-0202-10","Diphenhydramine Hcl",1000,1,1000,1000
"Q0163","Diphenhydramine HCl 50mg","50 MG","NEIL LABS","60242202001","60242-2020-01","Diphenhydramine Hcl",1,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","NEIL LABS","60242202010","60242-2020-10","Diphenhydramine Hcl",1,1,1,1
"J7350","Injectable human tissue","10 MG","LIFECELL","603010","603010","Cymetra",1,1,33,33
"J7350","Injectable human tissue","10 MG","LIFECELL","603020","603020","Cymetra",1,1,66,66
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005812","60346-0058-12","Prednisone",12,1,24,24
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005815","60346-0058-15","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005818","60346-0058-18","Prednisone",18,1,36,36
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005820","60346-0058-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005821","60346-0058-21","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005827","60346-0058-27","Prednisone",27,1,54,54
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005830","60346-0058-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005840","60346-0058-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005850","60346-0058-50","Prednisone",50,1,100,100
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005854","60346-0058-54","Prednisone",54,1,108,108
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005860","60346-0058-60","Prednisone",60,1,120,120
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346005890","60346-0058-90","Prednisone",90,1,180,180
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","60346008510","60346-0085-10","Promethazine Hcl",10,1,10,10
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","60346008512","60346-0085-12","Promethazine Hcl",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","60346008520","60346-0085-20","Promethazine Hcl",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","60346008530","60346-0085-30","Promethazine Hcl",30,1,30,30
"Q0170","Promethazine HCl 25 mg oral","25 MG","QUALITY CARE","60346008560","60346-0085-60","Promethazine Hcl",60,1,60,60
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009409","60346-0094-09","Prednisone",9,1,36,36
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009410","60346-0094-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009412","60346-0094-12","Prednisone",12,1,48,48
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009415","60346-0094-15","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009418","60346-0094-18","Prednisone",18,1,72,72
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009420","60346-0094-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009424","60346-0094-24","Prednisone",24,1,96,96
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009425","60346-0094-25","Prednisone",25,1,100,100
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009430","60346-0094-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009440","60346-0094-40","Prednisone",40,1,160,160
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346009490","60346-0094-90","Prednisone",90,1,360,360
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346024904","60346-0249-04","Liquid Pred",120,1,24,24
"Q0165","Prochlorperazine maleate10mg","10 MG","QUALITY CARE","60346043410","60346-0434-10","Compazine",10,1,10,10
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051508","60346-0515-08","Prednisone",8,1,8,8
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051512","60346-0515-12","Prednisone",12,1,12,12
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051520","60346-0515-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051521","60346-0515-21","Prednisone",21,1,21,21
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051530","60346-0515-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051536","60346-0515-36","Prednisone",36,1,36,36
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051540","60346-0515-40","Prednisone",40,1,40,40
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051550","60346-0515-50","Prednisone",50,1,50,50
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051555","60346-0515-55","Prednisone",55,1,55,55
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051560","60346-0515-60","Prednisone",60,1,60,60
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051575","60346-0515-75","Prednisone",75,1,75,75
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346051590","60346-0515-90","Prednisone",90,1,90,90
"J7509","Methylprednisolone oral","4 MG","QUALITY CARE","60346060810","60346-0608-10","Methylprednisolone",10,1,10,10
"J7509","Methylprednisolone oral","4 MG","QUALITY CARE","60346060820","60346-0608-20","Methylprednisolone",20,1,20,20
"J7509","Methylprednisolone oral","4 MG","QUALITY CARE","60346060844","60346-0608-44","Methylprednisolone",4,1,4,4
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","QUALITY CARE","60346071206","60346-0712-06","Phenergan",6,1,6,6
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","QUALITY CARE","60346071212","60346-0712-12","Phenergan",12,1,12,12
"Q0169","Promethazine HCl 12.5mg oral","12.5 MG","QUALITY CARE","60346071244","60346-0712-44","Phenergan",4,1,4,4
"J7506","Prednisone oral","5 MG","QUALITY CARE","60346072140","60346-0721-40","Deltasone",40,1,80,80
"Q0165","Prochlorperazine maleate10mg","10 MG","QUALITY CARE","60346086010","60346-0860-10","Compazine",10,1,10,10
"Q0165","Prochlorperazine maleate10mg","10 MG","QUALITY CARE","60346086015","60346-0860-15","Compazine",15,1,15,15
"Q0165","Prochlorperazine maleate10mg","10 MG","QUALITY CARE","60346086025","60346-0860-25","Compazine",25,1,25,25
"Q0165","Prochlorperazine maleate10mg","10 MG","QUALITY CARE","60346086030","60346-0860-30","Compazine",30,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","MORTON GROVE PHARMACEUTICALS","60432014050","60432-0140-50","Cyclosporine",50,1,50,50
"J7631","Cromolyn sodium inh sol u d","10 MG","APOTHECON","60432015706","60432-0157-06","Cromolyn Sodium",2,60,2,120
"J7631","Cromolyn sodium inh sol u d","10 MG","APOTHECON","60432015721","60432-0157-21","Cromolyn Sodium",2,120,2,240
"J2792","Rho(D) immune globulin h, sd","100 IU","NABI (NORTH AMERICAN BIO, INC)","60492002101","60492-0021-01","Winrho Sdf",1,1,6,6
"J2790","Rho d immune globulin inj","300 MCG","NABI (NORTH AMERICAN BIO, INC)","60492002301","60492-0023-01","Winrho Sdf",1,1,1,1
"J2792","Rho(D) immune globulin h, sd","100 IU","NABI (NORTH AMERICAN BIO, INC)","60492002301","60492-0023-01","Winrho Sdf",1,1,15,15
"J2790","Rho d immune globulin inj","300 MCG","NABI (NORTH AMERICAN BIO, INC)","60492002401","60492-0024-01","Winrho Sdf",1,1,3.33,3.33
"J2792","Rho(D) immune globulin h, sd","100 IU","NABI (NORTH AMERICAN BIO, INC)","60492002401","60492-0024-01","Winrho Sdf",1,1,50,50
"J7515","Cyclosporine oral 25 mg","25 MG","APOTEX","60505013300","60505-0133-00","Cyclosporine",30,1,30,30
"J7502","Cyclosporine oral 100 mg","100 MG","APOTEX","60505013400","60505-0134-00","Cyclosporine",30,1,30,30
"J2440","Papaverin hcl injection","60 MG","APOTEX","60505065301","60505-0653-01","Papaverine Hcl",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","APOTEX","60505065500","60505-0655-00","Morphine Sulfate",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","APOTEX","60505065501","60505-0655-01","Morphine Sulfate",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","APOTEX","60505065502","60505-0655-02","Morphine Sulfate",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","APOTEX","60505065600","60505-0656-00","Morphine Sulfate",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","APOTEX","60505065601","60505-0656-01","Morphine Sulfate",1,1,1,1
"J2270","Morphine sulfate injection","10 MG","APOTEX","60505065602","60505-0656-02","Morphine Sulfate",1,1,1,1
"J0595","Butorphanol tartrate 1 mg","1 MG","APOTEX","60505065800","60505-0658-00","Butorphanol Tartrate",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","1 MG","APOTEX","60505065900","60505-0659-00","Butorphanol Tartrate",1,10,2,20
"J0595","Butorphanol tartrate 1 mg","1 MG","APOTEX","60505065901","60505-0659-01","Butorphanol Tartrate",2,10,4,40
"J0595","Butorphanol tartrate 1 mg","1 MG","APOTEX","60505066000","60505-0660-00","Butorphanol Tartrate",10,1,20,20
"J2680","Fluphenazine decanoate 25 MG","25 MG","APOTEX","60505066402","60505-0664-02","Fluphenazine Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","APOTEX","60505070201","60505-0702-01","Haloperidol Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","APOTEX","60505070301","60505-0703-01","Haloperidol Decanoate",5,1,10,10
"J1885","Ketorolac tromethamine inj","15 MG","APOTEX","60505070500","60505-0705-00","Ketorolac Tromethamine",1,25,1,25
"J1885","Ketorolac tromethamine inj","15 MG","APOTEX","60505070600","60505-0706-00","Ketorolac Tromethamine",1,25,2,50
"J1885","Ketorolac tromethamine inj","15 MG","APOTEX","60505070601","60505-0706-01","Ketorolac Tromethamine",2,25,4,100
"J1885","Ketorolac tromethamine inj","15 MG","APOTEX","60505071001","60505-0710-01","Ketorolac Tromethamine",10,10,20,200
"J2250","Inj midazolam hydrochloride","1 MG","APOTEX","60505071101","60505-0711-01","Midazolam Hcl",2,10,2,20
"J2250","Inj midazolam hydrochloride","1 MG","APOTEX","60505071102","60505-0711-02","Midazolam Hcl",5,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","APOTEX","60505071103","60505-0711-03","Midazolam Hcl",10,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","APOTEX","60505071201","60505-0712-01","Midazolam Hcl",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","APOTEX","60505071202","60505-0712-02","Midazolam Hcl",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","APOTEX","60505071203","60505-0712-03","Midazolam Hcl",5,10,25,250
"J2250","Inj midazolam hydrochloride","1 MG","APOTEX","60505071204","60505-0712-04","Midazolam Hcl",10,10,50,500
"J1245","Dipyridamole injection","10 MG","APOTEX","60505071500","60505-0715-00","Dipyridamole",2,25,1,25
"J1245","Dipyridamole injection","10 MG","APOTEX","60505071501","60505-0715-01","Dipyridamole",10,10,5,50
"J0282","Amiodarone HCl","30 MG","APOTEX","60505072200","60505-0722-00","Amiodarone Hcl",3,10,5,50
"J7631","Cromolyn sodium inh sol u d","10 MG","APOTEX","60505080201","60505-0802-01","Cromolyn Sodium",2,60,2,120
"J7631","Cromolyn sodium inh sol u d","10 MG","APOTEX","60505080202","60505-0802-02","Cromolyn Sodium",2,120,2,240
"J7644","Ipratropium brom inh sol u d","1 MG","APOTEX","60505080601","60505-0806-01","Ipratropium Bromide",2.5,25,0.5,12.5
"J7669","Metaproterenol inh sol u d","10 MG","APOTEX","60505080701","60505-0807-01","Metaproterenol Sulfate",2.5,25,1,25
"J7669","Metaproterenol inh sol u d","10 MG","APOTEX","60505080801","60505-0808-01","Metaproterenol Sulfate",2.5,25,1.5,37.5
"J0595","Butorphanol tartrate 1 mg","1 MG","APOTEX","60505081301","60505-0813-01","Butorphanol Tartrate",2.5,1,25,25
"J9017","Arsenic trioxide","1 MG","CELL THERAPEUTICS","60553011110","60553-0111-10","Trisenox",10,10,10,100
"J1565","RSV-ivig","50 MG","MEDIMMUNE","60574210101","60574-2101-01","Respigam",50,1,50,50
"J0850","Cytomegalovirus imm IV /vial","1 ML","MEDIMMUNE","60574310101","60574-3101-01","Cytogam",50,1,1,1
"J7506","Prednisone oral","5 MG","ST MARY'S MPP","60760000221","60760-0002-21","Prednisone",21,1,84,84
"J7506","Prednisone oral","5 MG","ST MARY'S MPP","60760013830","60760-0138-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","ST MARY'S MPP","60760063028","60760-0630-28","Prednisone",28,1,56,56
"J7506","Prednisone oral","5 MG","HORIZON PHARMACEUTICAL","60904028620","60904-0286-20","Prednisone (Pak)",21,1,21,21
"J7500","Azathioprine oral 50mg","50 MG","PROMETHEUS","60976059755","60976-0597-55","Imuran",100,1,100,100
"J7501","Azathioprine parenteral","100 MG","PROMETHEUS","60976059871","60976-0598-71","Imuran",1,1,1,1
"J2550","Promethazine hcl injection","50 MG","BAXTER","60977000101","60977-0001-01","Phenergan",1,25,0.5,12.5
"J2550","Promethazine hcl injection","50 MG","BAXTER","60977000202","60977-0002-02","Phenergan",1,25,1,25
"J2275","Morphine sulfate injection","10 MG","BAXTER","60977001602","60977-0016-02","Duramorph",10,10,0.5,5
"J2275","Morphine sulfate injection","10 MG","BAXTER","60977001701","60977-0017-01","Duramorph",10,10,1,10
"J2270","Morphine sulfate injection","10 MG","BAXTER","60977001703","60977-0017-03","Duramorph",10,10,10,100
"J2275","Morphine sulfate injection","10 MG","BAXTER","60977001703","60977-0017-03","Duramorph",10,10,1,10
"J1620","Gonadorelin hydroch/ 100 mcg","100 MCG","BAXTER","60977010393","60977-0103-93","Factrel",1,1,1,1
"J2060","Lorazepam injection","2 MG","BAXTER","60977011201","60977-0112-01","Ativan",1,25,1,25
"J2060","Lorazepam injection","2 MG","BAXTER","60977011202","60977-0112-02","Ativan",10,10,10,100
"J2060","Lorazepam injection","2 MG","BAXTER","60977011301","60977-0113-01","Ativan",1,25,2,50
"J2060","Lorazepam injection","2 MG","BAXTER","60977011302","60977-0113-02","Ativan",10,10,20,200
"J2270","Morphine sulfate injection","10 MG","BAXTER","60977011401","60977-0114-01","Infumorph 200",20,1,20,20
"J2275","Morphine sulfate injection","10 MG","BAXTER","60977011401","60977-0114-01","Infumorph 200",20,1,20,20
"J2270","Morphine sulfate injection","10 MG","BAXTER","60977011501","60977-0115-01","Infumorph 500",20,1,50,50
"J2275","Morphine sulfate injection","10 MG","BAXTER","60977011501","60977-0115-01","Infumorph 500",20,1,50,50
"J2800","Methocarbamol injection","10 ML","BAXTER","60977015001","60977-0150-01","Robaxin",10,25,1,25
"J7642","Glycopyrrolate inhal sol con","1 MG","BAXTER","60977015501","60977-0155-01","Glycopyrrolate",1,25,0.2,5
"J7643","Glycopyrrolate inhal sol u d","1 MG","BAXTER","60977015501","60977-0155-01","Glycopyrrolate",1,25,0.2,5
"J7642","Glycopyrrolate inhal sol con","1 MG","BAXTER","60977015502","60977-0155-02","Glycopyrrolate",2,6,0.4,2.4
"J7643","Glycopyrrolate inhal sol u d","1 MG","BAXTER","60977015502","60977-0155-02","Glycopyrrolate",2,6,0.4,2.4
"J7642","Glycopyrrolate inhal sol con","1 MG","BAXTER","60977015503","60977-0155-03","Glycopyrrolate",5,25,1,25
"J7643","Glycopyrrolate inhal sol u d","1 MG","BAXTER","60977015503","60977-0155-03","Glycopyrrolate",5,25,1,25
"J7642","Glycopyrrolate inhal sol con","1 MG","BAXTER","60977015505","60977-0155-05","Glycopyrrolate",20,25,4,100
"J7643","Glycopyrrolate inhal sol u d","1 MG","BAXTER","60977015505","60977-0155-05","Glycopyrrolate",20,25,4,100
"J2765","Metoclopramide hcl injection","10 MG","BAXTER","60977045101","60977-0451-01","Reglan",2,25,1,25
"J2765","Metoclopramide hcl injection","10 MG","BAXTER","60977045102","60977-0451-02","Reglan",10,25,5,125
"J2765","Metoclopramide hcl injection","10 MG","BAXTER","60977045103","60977-0451-03","Reglan",30,25,15,375
"Q0163","Diphenhydramine HCl 50mg","50 MG","AMKAS LABORATORIES","61073000601","61073-0006-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","AMKAS LABORATORIES","61073000610","61073-0006-10","Diphenhydramine Hcl",1000,1,1000,1000
"J3246","Tirofiban HCl","0.25 MG","GUILFORD PHARMACEUTICALS","61379001205","61379-0012-05","Aggrastat",50,1,50,50
"J7100","Dextran 40 infusion","500 ML","MEDISAN PHARMACEUTICALS INC.","61563021165","61563-0211-65","Rheomacrodex In Nacl",500,1,1,1
"J2510","Penicillin g procaine inj","600000 UNITS","MONARCH PHARMACEUTICALS","61570008510","61570-0085-10","Penicillin G Procaine",1,10,1,10
"J2510","Penicillin g procaine inj","600000 UNITS","MONARCH PHARMACEUTICALS","61570008610","61570-0086-10","Penicillin G Procaine",2,10,2,20
"J0530","Penicillin g benzathine inj","600000 UNITS","MONARCH PHARMACEUTICALS","61570013910","61570-0139-10","Bicillin C-R (600000)",1,10,1,10
"J0540","Penicillin g benzathine inj","1200000 UNITS","MONARCH PHARMACEUTICALS","61570014010","61570-0140-10","Bicillin C-R (1200000)",2,10,1,10
"J0540","Penicillin g benzathine inj","1200000 UNITS","MONARCH PHARMACEUTICALS","61570014110","61570-0141-10","Bicillin C-R (600000)",2,10,1,10
"J0550","Penicillin g benzathine inj","2400000 UNITS","MONARCH PHARMACEUTICALS","61570014210","61570-0142-10","Bicillin C-R (2400000)",4,10,1,10
"J0550","Penicillin g benzathine inj","2400000 UNITS","MONARCH PHARMACEUTICALS","61570014310","61570-0143-10","Bicillin C-R 900/300",2,10,1,10
"J0550","Penicillin g benzathine inj","2400000 UNITS","MONARCH PHARMACEUTICALS","61570014410","61570-0144-10","Bicillin C-R 900/300",2,10,1,10
"J0560","Penicillin g benzathine inj","600000 UNITS","MONARCH PHARMACEUTICALS","61570014610","61570-0146-10","Bicillin L-A",1,10,1,10
"J0570","Penicillin g benzathine inj","1200000 UNITS","MONARCH PHARMACEUTICALS","61570014710","61570-0147-10","Bicillin L-A",2,10,1,10
"J0580","Penicillin g benzathine inj","2400000 UNITS","MONARCH PHARMACEUTICALS","61570014810","61570-0148-10","Bicillin L-A",4,10,1,10
"J1380","Estradiol valerate 10 MG inj","10 MG","MONARCH PHARMACEUTICALS","61570018001","61570-0180-01","Delestrogen",5,1,5,5
"J0970","Estradiol valerate injection","40 MG","MONARCH PHARMACEUTICALS","61570018101","61570-0181-01","Delestrogen",5,1,2.5,2.5
"J1390","Estradiol valerate 20 MG inj","20 MG","MONARCH PHARMACEUTICALS","61570018101","61570-0181-01","Delestrogen",5,1,5,5
"J0970","Estradiol valerate injection","40 MG","MONARCH PHARMACEUTICALS","61570018201","61570-0182-01","Delestrogen",5,1,5,5
"J1390","Estradiol valerate 20 MG inj","20 MG","MONARCH PHARMACEUTICALS","61570018201","61570-0182-01","Delestrogen",5,1,10,10
"J2770","Quinupristin/dalfopristin","500 MG","MONARCH PHARMACEUTICALS","61570026010","61570-0260-10","Synercid",1,10,1,10
"J0170","Adrenalin epinephrin inject","1 ML","MONARCH PHARMACEUTICALS","61570040111","61570-0401-11","Adrenalin",30,1,30,30
"J0720","Chloramphenicol sodium injec","1 GM","MONARCH PHARMACEUTICALS","61570040571","61570-0405-71","Chloromycetin",1,10,1,10
"J0770","Colistimethate sodium inj","150 MG","MONARCH PHARMACEUTICALS","61570041451","61570-0414-51","Coly-Mycin M",1,1,1,1
"J2590","Oxytocin injection","10 UNITS","MONARCH PHARMACEUTICALS","61570041605","61570-0416-05","Pitocin",1,25,1,25
"J0170","Adrenalin epinephrin inject","1 ML","MONARCH PHARMACEUTICALS","61570041881","61570-0418-81","Adrenalin",1,10,1,10
"J3250","Trimethobenzamide hcl inj","200 MG","MONARCH PHARMACEUTICALS","61570054002","61570-0540-02","Tigan",2,10,1,10
"J3250","Trimethobenzamide hcl inj","200 MG","MONARCH PHARMACEUTICALS","61570054120","61570-0541-20","Tigan",20,1,10,10
"J7608","Acetylcysteine inh sol u d","1 G","MAYNE PHARMA","61703020331","61703-0203-31","Acetylcysteine",30,10,3,30
"J7608","Acetylcysteine inh sol u d","1 G","MAYNE PHARMA","61703020404","61703-0204-04","Acetylcysteine",4,10,0.8,8
"J7608","Acetylcysteine inh sol u d","1 G","MAYNE PHARMA","61703020431","61703-0204-31","Acetylcysteine",30,10,6,60
"J2765","Metoclopramide hcl injection","10 MG","MAYNE PHARMA","61703021007","61703-0210-07","Metoclopramide Hcl",2,25,1,25
"J2765","Metoclopramide hcl injection","10 MG","MAYNE PHARMA","61703021011","61703-0210-11","Metoclopramide Hcl",10,25,5,125
"J2765","Metoclopramide hcl injection","10 MG","MAYNE PHARMA","61703021021","61703-0210-21","Metoclopramide Hcl",20,10,10,100
"J2765","Metoclopramide hcl injection","10 MG","MAYNE PHARMA","61703021031","61703-0210-31","Metoclopramide Hcl",30,10,15,150
"J2765","Metoclopramide hcl injection","10 MG","MAYNE PHARMA","61703021035","61703-0210-35","Metoclopramide Hcl",30,1,15,15
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022321","61703-0223-21","Morphine Sulfate",20,10,50,500
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022321","61703-0223-21","Morphine Sulfate",20,10,5,50
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022471","61703-0224-71","Morphine Sulfate",4,1,10,10
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022471","61703-0224-71","Morphine Sulfate",4,1,1,1
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022472","61703-0224-72","Morphine Sulfate",20,1,50,50
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022472","61703-0224-72","Morphine Sulfate",20,1,5,5
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022480","61703-0224-80","Morphine Sulfate",10,1,25,25
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022480","61703-0224-80","Morphine Sulfate",10,1,2.5,2.5
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022521","61703-0225-21","Morphine Sulfate",20,10,100,1000
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022521","61703-0225-21","Morphine Sulfate",20,10,10,100
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022543","61703-0225-43","Morphine Sulfate",40,10,200,2000
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022543","61703-0225-43","Morphine Sulfate",40,10,20,200
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022672","61703-0226-72","Morphine Sulfate",20,1,100,100
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022672","61703-0226-72","Morphine Sulfate",20,1,10,10
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022676","61703-0226-76","Morphine Sulfate",50,1,250,250
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022676","61703-0226-76","Morphine Sulfate",50,1,25,25
"J2270","Morphine sulfate injection","10 MG","MAYNE PHARMA","61703022680","61703-0226-80","Morphine Sulfate",10,1,50,50
"J2271","Morphine so4 injection 100mg","100 MG","MAYNE PHARMA","61703022680","61703-0226-80","Morphine Sulfate",10,1,5,5
"J0636","Inj calcitriol per 0.1 mcg","0.1 MCG","MAYNE PHARMA","61703023429","61703-0234-29","Calcitriol",1,5,10,50
"J0282","Amiodarone HCl","30 MG","MAYNE PHARMA","61703024103","61703-0241-03","Amiodarone Hcl",3,10,5,50
"J2260","Inj milrinone lactate / 5 MG","5 ML","MAYNE PHARMA","61703024221","61703-0242-21","Milrinone Lactate",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","MAYNE PHARMA","61703024232","61703-0242-32","Milrinone Lactate",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","5 ML","MAYNE PHARMA","61703024250","61703-0242-50","Milrinone Lactate",50,1,10,10
"J1170","Hydromorphone injection","4 MG","MAYNE PHARMA","61703024615","61703-0246-15","Hydromorphone Hcl",1,25,0.5,12.5
"J9100","Cytarabine hcl 100 MG inj","100 MG","MAYNE PHARMA","61703030346","61703-0303-46","Cytarabine",50,1,10,10
"J9110","Cytarabine hcl 500 MG inj","500 MG","MAYNE PHARMA","61703030346","61703-0303-46","Cytarabine",50,1,2,2
"J9100","Cytarabine hcl 100 MG inj","100 MG","MAYNE PHARMA","61703030350","61703-0303-50","Cytarabine",50,1,10,10
"J9110","Cytarabine hcl 500 MG inj","500 MG","MAYNE PHARMA","61703030350","61703-0303-50","Cytarabine",50,1,2,2
"J9100","Cytarabine hcl 100 MG inj","100 MG","MAYNE PHARMA","61703030436","61703-0304-36","Cytarabine",25,1,5,5
"J9110","Cytarabine hcl 500 MG inj","500 MG","MAYNE PHARMA","61703030436","61703-0304-36","Cytarabine",25,1,1,1
"J9100","Cytarabine hcl 100 MG inj","100 MG","MAYNE PHARMA","61703030509","61703-0305-09","Cytarabine",50,1,10,10
"J9110","Cytarabine hcl 500 MG inj","500 MG","MAYNE PHARMA","61703030509","61703-0305-09","Cytarabine",50,1,2,2
"J9100","Cytarabine hcl 100 MG inj","100 MG","MAYNE PHARMA","61703030538","61703-0305-38","Cytarabine",5,5,1,5
"J9110","Cytarabine hcl 500 MG inj","500 MG","MAYNE PHARMA","61703030538","61703-0305-38","Cytarabine",5,5,0.2,1
"J9370","Vincristine sulfate 1 MG inj","1 MG","MAYNE PHARMA","61703030906","61703-0309-06","Vincristine Sulfate",1,1,1,1
"J9375","Vincristine sulfate 2 MG inj","2 MG","MAYNE PHARMA","61703030906","61703-0309-06","Vincristine Sulfate",1,1,0.5,0.5
"J9380","Vincristine sulfate 5 MG inj","5 MG","MAYNE PHARMA","61703030906","61703-0309-06","Vincristine Sulfate",1,1,0.2,0.2
"J9370","Vincristine sulfate 1 MG inj","1 MG","MAYNE PHARMA","61703030916","61703-0309-16","Vincristine Sulfate",2,1,2,2
"J9375","Vincristine sulfate 2 MG inj","2 MG","MAYNE PHARMA","61703030916","61703-0309-16","Vincristine Sulfate",2,1,1,1
"J9380","Vincristine sulfate 5 MG inj","5 MG","MAYNE PHARMA","61703030916","61703-0309-16","Vincristine Sulfate",2,1,0.4,0.4
"Q4075","Acyclovir, 5 mg","5 MG","MAYNE PHARMA","61703031121","61703-0311-21","Acyclovir Sodium",20,10,100,1000
"Q4075","Acyclovir, 5 mg","5 MG","MAYNE PHARMA","61703031143","61703-0311-43","Acyclovir Sodium",40,10,200,2000
"J0595","Butorphanol tartrate 1 mg","1 MG","MAYNE PHARMA","61703031706","61703-0317-06","Butorphanol Tartrate",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","1 MG","MAYNE PHARMA","61703031745","61703-0317-45","Butorphanol Tartrate",1,10,1,10
"J0595","Butorphanol tartrate 1 mg","1 MG","MAYNE PHARMA","61703031845","61703-0318-45","Butorphanol Tartrate",2,10,2,20
"J9100","Cytarabine hcl 100 MG inj","100 MG","MAYNE PHARMA","61703031922","61703-0319-22","Cytarabine",20,1,4,4
"J9110","Cytarabine hcl 500 MG inj","500 MG","MAYNE PHARMA","61703031922","61703-0319-22","Cytarabine",20,1,0.8,0.8
"J2250","Inj midazolam hydrochloride","1 MG","MAYNE PHARMA","61703032107","61703-0321-07","Midazolam Hcl",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","MAYNE PHARMA","61703032132","61703-0321-32","Midazolam Hcl",10,10,50,500
"J2250","Inj midazolam hydrochloride","1 MG","MAYNE PHARMA","61703032142","61703-0321-42","Midazolam Hcl",1,10,5,50
"J2250","Inj midazolam hydrochloride","1 MG","MAYNE PHARMA","61703032153","61703-0321-53","Midazolam Hcl",5,10,25,250
"J9040","Bleomycin sulfate injection","15 UNITS","MAYNE PHARMA","61703032322","61703-0323-22","Bleomycin Sulfate",1,1,2,2
"J2430","Pamidronate disodium /30 MG","30 MG","MAYNE PHARMA","61703032518","61703-0325-18","Pamidronate Disodium",10,1,2,2
"J9130","Dacarbazine 100 mg inj","100 MG","MAYNE PHARMA","61703032722","61703-0327-22","Dacarbazine",1,1,2,2
"J9140","Dacarbazine 200 MG inj","200 MG","MAYNE PHARMA","61703032722","61703-0327-22","Dacarbazine",1,1,1,1
"J9200","Floxuridine injection","500 MG","MAYNE PHARMA","61703033109","61703-0331-09","Fudr",1,1,1,1
"J9040","Bleomycin sulfate injection","15 UNITS","MAYNE PHARMA","61703033218","61703-0332-18","Bleomycin Sulfate",1,1,1,1
"J9045","Carboplatin injection","50 MG","MAYNE PHARMA","61703033918","61703-0339-18","Carboplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","MAYNE PHARMA","61703033922","61703-0339-22","Carboplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","MAYNE PHARMA","61703033950","61703-0339-50","Carboplatin",45,1,9,9
"J9045","Carboplatin injection","50 MG","MAYNE PHARMA","61703033956","61703-0339-56","Carboplatin",45,1,12,12
"J9265","Paclitaxel injection","30 MG","MAYNE PHARMA","61703034209","61703-0342-09","Paclitaxel",5,1,1,1
"J9265","Paclitaxel injection","30 MG","MAYNE PHARMA","61703034222","61703-0342-22","Paclitaxel",16.7,1,3.34,3.33
"J9265","Paclitaxel injection","30 MG","MAYNE PHARMA","61703034250","61703-0342-50","Paclitaxel",50,1,10,10
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","61703040841","61703-0408-41","Methotrexate Sodium",40,1,200,200
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","61703040841","61703-0408-41","Methotrexate Sodium",40,1,20,20
"J1450","Fluconazole","200 MG","MAYNE PHARMA","61703041463","61703-0414-63","Fluconazole In Sodium Chloride",100,10,1,10
"J1450","Fluconazole","200 MG","MAYNE PHARMA","61703041464","61703-0414-64","Fluconazole In Sodium Chloride",200,10,2,20
"J7310","Ganciclovir long act implant","4.5 MG","BAUSCH & LOMB","61772000201","61772-0002-01","Vitrasert",1,1,1,1
"J0287","Amphotericin b lipid complex","10 MG","ENZON","61799010141","61799-0101-41","Abelcet",20,1,10,10
"J2912","Sodium chloride injection","2 CC","IVAC CORPORATION","61825200301","61825-2003-01","Sodium Chloride",50,1,25,25
"J7130","Hypertonic saline solution","20 CC","IVAC CORPORATION","61825200301","61825-2003-01","Sodium Chloride",50,1,2.5,2.5
"J2912","Sodium chloride injection","2 CC","IVAC CORPORATION","61825200401","61825-2004-01","Sodium Chloride",100,1,50,50
"J7130","Hypertonic saline solution","20 CC","IVAC CORPORATION","61825200401","61825-2004-01","Sodium Chloride",100,1,5,5
"J7060","5% dextrose/water","500 ML","IVAC CORPORATION","61825200501","61825-2005-01","Dextrose",250,1,0.5,0.5
"J7070","D5w infusion","1000 CC","IVAC CORPORATION","61825200501","61825-2005-01","Dextrose",250,1,0.25,0.25
"J7030","Normal saline solution infus","1000 CC","IVAC CORPORATION","61825200601","61825-2006-01","Sodium Chloride",250,1,0.25,0.25
"J7040","Normal saline solution infus","500 CC","IVAC CORPORATION","61825200601","61825-2006-01","Sodium Chloride",250,1,0.5,0.5
"J7050","Normal saline solution infus","250 CC","IVAC CORPORATION","61825200601","61825-2006-01","Sodium Chloride",250,1,1,1
"J7060","5% dextrose/water","500 ML","IVAC CORPORATION","61825201701","61825-2017-01","Dextrose",250,1,0.5,0.5
"J7070","D5w infusion","1000 CC","IVAC CORPORATION","61825201701","61825-2017-01","Dextrose",250,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","IVAC CORPORATION","61825201801","61825-2018-01","Sodium Chloride",50,1,25,25
"J7130","Hypertonic saline solution","20 CC","IVAC CORPORATION","61825201801","61825-2018-01","Sodium Chloride",50,1,2.5,2.5
"J2912","Sodium chloride injection","2 CC","IVAC CORPORATION","61825201901","61825-2019-01","Sodium Chloride",100,1,50,50
"J7130","Hypertonic saline solution","20 CC","IVAC CORPORATION","61825201901","61825-2019-01","Sodium Chloride",100,1,5,5
"J7030","Normal saline solution infus","1000 CC","IVAC CORPORATION","61825202001","61825-2020-01","Sodium Chloride",250,1,0.25,0.25
"J7040","Normal saline solution infus","500 CC","IVAC CORPORATION","61825202001","61825-2020-01","Sodium Chloride",250,1,0.5,0.5
"J7050","Normal saline solution infus","250 CC","IVAC CORPORATION","61825202001","61825-2020-01","Sodium Chloride",250,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","GRIFOLS","61953000101","61953-0001-01","Human Albumin Grifols",50,1,2.5,2.5
"P9046","Albumin (human), 25%, 20 ml","20 ML","GRIFOLS","61953000201","61953-0002-01","Human Albumin Grifols",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","GRIFOLS","61953000201","61953-0002-01","Human Albumin Grifols",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","GRIFOLS","61953000202","61953-0002-02","Human Albumin Grifols",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","GRIFOLS","61953000202","61953-0002-02","Human Albumin Grifols",100,1,2,2
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","61953000301","61953-0003-01","Flebogamma",10,1,0.5,0.5
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","61953000301","61953-0003-01","Flebogamma",10,1,50,50
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","61953000302","61953-0003-02","Flebogamma",50,1,2.5,2.5
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","61953000302","61953-0003-02","Flebogamma",50,1,250,250
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","61953000303","61953-0003-03","Flebogamma",100,1,5,5
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","61953000303","61953-0003-03","Flebogamma",100,1,500,500
"Q9943","IVIG non-lyophil 1G","1 GRAM","GRIFOLS","61953000304","61953-0003-04","Flebogamma",200,1,10,10
"Q9944","IVIG non-lyophil 10 mg","10 MG","GRIFOLS","61953000304","61953-0003-04","Flebogamma",200,1,1000,1000
"J0740","Cidofovir injection","375 MG","GILEAD SCIENCES","61958010101","61958-0101-01","Vistide",5,1,1,1
"J9151","Daunorubicin citrate liposom","10 MG","GILEAD SCIENCES","61958030101","61958-0301-01","Daunoxome",25,1,5,5
"J7511","Antithymocyte globuln rabbit","25 MG","SANGSTAT","62053053425","62053-0534-25","Thymoglobulin",1,1,1,1
"J2550","Promethazine hcl injection","50 MG","BIONICHE PHARMA GROUP","62086015410","62086-0154-10","Promethazine Hcl",10,1,5,5
"Q2008","Fomepizole, 15 mg","15 MG","ORPHAN MEDICAL","62161000334","62161-0003-34","Antizol",1.5,4,100.005,400.02
"J2440","Papaverin hcl injection","60 MG","PROMETIC PHARMA USA","62174046619","62174-0466-19","Papaverine Hcl",2,1,1,1
"J2440","Papaverin hcl injection","60 MG","PROMETIC PHARMA USA","62174046651","62174-0466-51","Papaverine Hcl",10,1,5,5
"J7509","Methylprednisolone oral","4 MG","APOTHECON","62269035121","62269-0351-21","Methylprednisolone (Pak)",21,1,21,21
"J0275","Alprostadil urethral suppos","125 MCG","VIVUS","62541011006","62541-0110-06","Muse",6,1,6,6
"J0275","Alprostadil urethral suppos","125 MCG","VIVUS","62541012006","62541-0120-06","Muse",6,1,6,6
"J0275","Alprostadil urethral suppos","125 MCG","VIVUS","62541013006","62541-0130-06","Muse",6,1,6,6
"J0275","Alprostadil urethral suppos","125 MCG","VIVUS","62541014006","62541-0140-06","Muse",6,1,6,6
"J9280","Mitomycin 5 MG inj","5 MG","SUPERGEN","62701001001","62701-0010-01","Mitomycin",1,1,1,1
"J9290","Mitomycin 20 MG inj","20 MG","SUPERGEN","62701001001","62701-0010-01","Mitomycin",1,1,0.25,0.25
"J9291","Mitomycin 40 MG inj","40 MG","SUPERGEN","62701001001","62701-0010-01","Mitomycin",1,1,0.125,0.125
"J9280","Mitomycin 5 MG inj","5 MG","SUPERGEN","62701001101","62701-0011-01","Mitomycin",1,1,4,4
"J9290","Mitomycin 20 MG inj","20 MG","SUPERGEN","62701001101","62701-0011-01","Mitomycin",1,1,1,1
"J9291","Mitomycin 40 MG inj","40 MG","SUPERGEN","62701001101","62701-0011-01","Mitomycin",1,1,0.5,0.5
"J9268","Pentostatin injection","10 MG","HOSPIRA","62701080001","62701-0800-01","Nipent",1,1,1,1
"J0640","Leucovorin calcium injection","50 MG","SUPERGEN","62701090030","62701-0900-30","Leucovorin Calcium",30,1,3,3
"J0640","Leucovorin calcium injection","50 MG","SUPERGEN","62701090099","62701-0900-99","Leucovorin Calcium",100,1,10,10
"J0640","Leucovorin calcium injection","50 MG","SUPERGEN","62701090125","62701-0901-25","Leucovorin Calcium",25,1,12.5,12.5
"J7611","Albuterol concentrated form","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate",25,1,25,25
"J7613","Albuterol unit dose","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100601","62991-1006-01","Albuterol Sulfate",25,1,25,25
"J7611","Albuterol concentrated form","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate",100,1,100,100
"J7613","Albuterol unit dose","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100602","62991-1006-02","Albuterol Sulfate",100,1,100,100
"J7611","Albuterol concentrated form","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate",500,1,500,500
"J7613","Albuterol unit dose","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100603","62991-1006-03","Albuterol Sulfate",500,1,500,500
"J7611","Albuterol concentrated form","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate",1000,1,1000,1000
"J7613","Albuterol unit dose","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100604","62991-1006-04","Albuterol Sulfate",1000,1,1000,1000
"J7611","Albuterol concentrated form","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate",5000,1,5000,5000
"J7613","Albuterol unit dose","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100605","62991-1006-05","Albuterol Sulfate",5000,1,5000,5000
"J7611","Albuterol concentrated form","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate",10000,1,10000,10000
"J7613","Albuterol unit dose","1 MG","MERIDIAN CHEMICAL & EQUIPMENT","62991100606","62991-1006-06","Albuterol Sulfate",10000,1,10000,10000
"J7622","Beclomethasone inhalatn sol","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991102301","62991-1023-01","Betamethasone Dipropionate",1,1,1000,1000
"J7622","Beclomethasone inhalatn sol","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991102302","62991-1023-02","Betamethasone Dipropionate",1,1,5000,5000
"J7622","Beclomethasone inhalatn sol","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991102303","62991-1023-03","Betamethasone Dipropionate",1,1,10000,10000
"J7680","Terbutaline so4 inh sol con","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991115201","62991-1152-01","Terbutaline Sulfate",1,1,10000,10000
"J7681","Terbutaline so4 inh sol u d","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991115201","62991-1152-01","Terbutaline Sulfate",1,1,10000,10000
"J7680","Terbutaline so4 inh sol con","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991115202","62991-1152-02","Terbutaline Sulfate",1,1,25000,25000
"J7681","Terbutaline so4 inh sol u d","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991115202","62991-1152-02","Terbutaline Sulfate",1,1,25000,25000
"J7680","Terbutaline so4 inh sol con","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991115203","62991-1152-03","Terbutaline Sulfate",1,1,100000,100000
"J7681","Terbutaline so4 inh sol u d","1 MG","MERIDIAN PHARMACEUTICALS, INC.","62991115203","62991-1152-03","Terbutaline Sulfate",1,1,100000,100000
"J7051","Sterile saline/water","5 CC","MERIDIAN CHEMICAL & EQUIPMENT","62991170301","62991-1703-01","Sterile Water For Irrigation",1000,1,200,200
"Q2007","Ethanolamine oleate 100 mg","100 MG","QUESTCOR","63004479006","63004-4790-06","Ethamolin",2,10,1,10
"J0800","Corticotropin injection","40 UNITS","QUESTCOR","63004773101","63004-7731-01","Acthar Hp",5,1,10,10
"J9041","Bortezomib injection","0.1 MG","MILLENNIUM PHARMACEUTICALS","63020004901","63020-0049-01","Velcade",1,1,35,35
"J0300","Amobarbital 125 MG inj","125 MG","RANBAXY PHARMACEUTICALS","63304030310","63304-0303-10","Amytal Sodium",1,10,4,40
"J0300","Amobarbital 125 MG inj","125 MG","RANBAXY PHARMACEUTICALS","63304030325","63304-0303-25","Amytal Sodium",1,25,4,100
"Q0165","Prochlorperazine maleate10mg","10 MG","RANBAXY PHARMACEUTICALS","63304058901","63304-0589-01","Prochlorperazine Maleate",100,1,100,100
"Q0164","Prochlorperazine maleate 5mg","5 MG","RANBAXY PHARMACEUTICALS","63304059001","63304-0590-01","Prochlorperazine Maleate",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","RANBAXY PHARMACEUTICALS","63304059122","63304-0591-22","Methylprednisolone (Pak)",21,1,21,21
"J1580","Garamycin gentamicin inj","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323001002","63323-0010-02","Gentamicin Sulfate",2,25,1,25
"J1580","Garamycin gentamicin inj","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323001020","63323-0010-20","Gentamicin Sulfate",20,25,10,250
"J0720","Chloramphenicol sodium injec","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323001115","63323-0011-15","Chloramphenicol Sod Succinate",1,10,1,10
"J2590","Oxytocin injection","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323001201","63323-0012-01","Oxytocin",1,25,1,25
"J2590","Oxytocin injection","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323001210","63323-0012-10","Oxytocin",10,25,10,250
"J3411","Thiamine hcl 100 mg","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323001302","63323-0013-02","Thiamine Hcl",2,25,2,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323001710","63323-0017-10","Hep Flush-10",10,25,10,250
"J3410","Hydroxyzine hcl injection","25 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323002101","63323-0021-01","Hydroxyzine Hcl",1,25,1,25
"J2150","Mannitol injection","50 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323002425","63323-0024-25","Mannitol",50,25,1,25
"J0725","Chorionic gonadotropin/1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323002510","63323-0025-10","Chorionic Gonadotropin",1,10,10,100
"J3420","Vitamin b12 injection","1000 MCG","AMERICAN PHARMACEUTICAL PARTNERS","63323004401","63323-0044-01","Cyanocobalamin",1,25,1,25
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323004710","63323-0047-10","Heparin Sodium (Porcine)",10,25,50,1250
"J3410","Hydroxyzine hcl injection","25 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323005101","63323-0051-01","Hydroxyzine Hcl",1,25,2,50
"J3410","Hydroxyzine hcl injection","25 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323005102","63323-0051-02","Hydroxyzine Hcl",2,25,4,100
"J3475","Inj magnesium sulfate","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323006402","63323-0064-02","Magnesium Sulfate",2,25,2,50
"J3475","Inj magnesium sulfate","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323006410","63323-0064-10","Magnesium Sulfate",10,25,10,250
"J3475","Inj magnesium sulfate","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323006420","63323-0064-20","Magnesium Sulfate",20,25,20,500
"J3475","Inj magnesium sulfate","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323006450","63323-0064-50","Magnesium Sulfate",50,25,50,1250
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323008861","63323-0088-61","Sodium Chl Conc 400Meq In 100Ml Maxivial",100,40,50,2000
"J9060","Cisplatin 10 MG injection","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010351","63323-0103-51","Cisplatin",50,1,5,5
"J9062","Cisplatin 50 MG injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010351","63323-0103-51","Cisplatin",50,1,1,1
"J9060","Cisplatin 10 MG injection","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010364","63323-0103-64","Cisplatin",200,1,20,20
"J9062","Cisplatin 50 MG injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010364","63323-0103-64","Cisplatin",200,1,4,4
"J9060","Cisplatin 10 MG injection","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010365","63323-0103-65","Cisplatin",100,1,10,10
"J9062","Cisplatin 50 MG injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010365","63323-0103-65","Cisplatin",100,1,2,2
"J9060","Cisplatin 10 MG injection","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010391","63323-0103-91","Cisplatin",50,1,5,5
"J9062","Cisplatin 50 MG injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010391","63323-0103-91","Cisplatin",50,1,1,1
"J9060","Cisplatin 10 MG injection","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010395","63323-0103-95","Cisplatin",100,1,10,10
"J9062","Cisplatin 50 MG injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010395","63323-0103-95","Cisplatin",100,1,2,2
"J9181","Etoposide 10 MG inj","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010405","63323-0104-05","Etoposide",5,10,10,100
"J9182","Etoposide 100 MG inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010405","63323-0104-05","Etoposide",5,10,1,10
"J9181","Etoposide 10 MG inj","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010425","63323-0104-25","Etoposide",25,1,50,50
"J9182","Etoposide 100 MG inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010425","63323-0104-25","Etoposide",25,1,5,5
"J9181","Etoposide 10 MG inj","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010450","63323-0104-50","Etoposide",50,1,100,100
"J9182","Etoposide 100 MG inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010450","63323-0104-50","Etoposide",50,1,10,10
"J9181","Etoposide 10 MG inj","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010465","63323-0104-65","Etoposide",50,1,100,100
"J9182","Etoposide 100 MG inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010465","63323-0104-65","Etoposide",50,1,10,10
"Q4075","Acyclovir, 5 mg","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323010510","63323-0105-10","Acyclovir Sodium",10,10,100,1000
"J9190","Fluorouracil injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323011710","63323-0117-10","Fluorouracil",10,10,1,10
"J9190","Fluorouracil injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323011720","63323-0117-20","Fluorouracil",20,10,2,20
"J9190","Fluorouracil injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323011751","63323-0117-51","Fluorouracil",50,1,5,5
"J9190","Fluorouracil injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323011761","63323-0117-61","Fluorouracil",100,1,10,10
"J9150","Daunorubicin","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323011908","63323-0119-08","Daunorubicin Hcl",1,10,2,20
"J9100","Cytarabine hcl 100 MG inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012020","63323-0120-20","Cytarabine",1,1,20,20
"J9110","Cytarabine hcl 500 MG inj","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012020","63323-0120-20","Cytarabine",1,1,4,4
"J9250","Methotrexate sodium inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012102","63323-0121-02","Methotrexate Sodium",2,1,10,10
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012102","63323-0121-02","Methotrexate Sodium",2,1,1,1
"J9250","Methotrexate sodium inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012104","63323-0121-04","Methotrexate Sodium",4,1,20,20
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012104","63323-0121-04","Methotrexate Sodium",4,1,2,2
"J9250","Methotrexate sodium inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012108","63323-0121-08","Methotrexate Sodium",8,1,40,40
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012108","63323-0121-08","Methotrexate Sodium",8,1,4,4
"J9250","Methotrexate sodium inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012110","63323-0121-10","Methotrexate Sodium",10,1,50,50
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012110","63323-0121-10","Methotrexate Sodium",10,1,5,5
"J9250","Methotrexate sodium inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012140","63323-0121-40","Methotrexate Sodium",40,1,200,200
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012140","63323-0121-40","Methotrexate Sodium",40,1,20,20
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012250","63323-0122-50","Methotrexate Powder 1Gm In 50Ml Sd Vial (P.F.)",1,1,20,20
"J9250","Methotrexate sodium inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012302","63323-0123-02","Methotrexate Sodium",2,1,10,10
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012302","63323-0123-02","Methotrexate Sodium",2,1,1,1
"J9250","Methotrexate sodium inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012310","63323-0123-10","Methotrexate Sodium",10,1,50,50
"J9260","Methotrexate sodium inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012310","63323-0123-10","Methotrexate Sodium",10,1,5,5
"J9150","Daunorubicin","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012404","63323-0124-04","Daunorubicin Hcl",4,1,2,2
"J9130","Dacarbazine 100 mg inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012710","63323-0127-10","Dacarbazine",1,10,1,10
"J9140","Dacarbazine 200 MG inj","200 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012710","63323-0127-10","Dacarbazine",1,10,0.5,5
"J9130","Dacarbazine 100 mg inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012812","63323-0128-12","Dacarbazine",1,10,2,20
"J9140","Dacarbazine 200 MG inj","200 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012812","63323-0128-12","Dacarbazine",1,10,1,10
"J9130","Dacarbazine 100 mg inj","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012820","63323-0128-20","Dacarbazine",1,10,2,20
"J9140","Dacarbazine 200 MG inj","200 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323012820","63323-0128-20","Dacarbazine",1,10,1,10
"J9065","Inj cladribine per 1 MG","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323014010","63323-0140-10","Cladribine",10,1,10,10
"J9208","Ifosfomide injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323014210","63323-0142-10","Ifosfamide",1,1,1,1
"J9208","Ifosfomide injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323014212","63323-0142-12","Ifosfamide",1,1,1,1
"J9200","Floxuridine injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323014507","63323-0145-07","Floxuridine",1,1,1,1
"J1885","Ketorolac tromethamine inj","15 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016101","63323-0161-01","Ketorolac Tromethamine",1,25,1,25
"J1885","Ketorolac tromethamine inj","15 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016201","63323-0162-01","Ketorolac Tromethamine",1,25,2,50
"J1885","Ketorolac tromethamine inj","15 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016202","63323-0162-02","Ketorolac Tromethamine",2,25,4,100
"J1100","Dexamethasone sodium phos","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016501","63323-0165-01","Dexamethasone Sodium Phosphate",1,25,4,100
"J7637","Dexamethasone inhal sol con","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016501","63323-0165-01","Dexamethasone Sodium Phosphate",1,25,4,100
"J7638","Dexamethasone inhal sol u d","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016501","63323-0165-01","Dexamethasone Sodium Phosphate",1,25,4,100
"J1100","Dexamethasone sodium phos","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016505","63323-0165-05","Dexamethasone Sodium Phosphate",5,25,20,500
"J7637","Dexamethasone inhal sol con","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016505","63323-0165-05","Dexamethasone Sodium Phosphate",5,25,20,500
"J7638","Dexamethasone inhal sol u d","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016505","63323-0165-05","Dexamethasone Sodium Phosphate",5,25,20,500
"J1100","Dexamethasone sodium phos","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016530","63323-0165-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J7637","Dexamethasone inhal sol con","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016530","63323-0165-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J7638","Dexamethasone inhal sol u d","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016530","63323-0165-30","Dexamethasone Sodium Phosphate",30,1,120,120
"J9045","Carboplatin injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016610","63323-0166-10","Carboplatin",1,1,1,1
"J9045","Carboplatin injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016720","63323-0167-20","Carboplatin",10,10,3,30
"J9045","Carboplatin injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016721","63323-0167-21","Carboplatin",1,1,3,3
"J9045","Carboplatin injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016800","63323-0168-00","Carboplatin",1,1,9,9
"J9045","Carboplatin injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016905","63323-0169-05","Carboplatin",5,1,1,1
"J9045","Carboplatin injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016915","63323-0169-15","Carboplatin",15,1,3,3
"J9045","Carboplatin injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323016945","63323-0169-45","Carboplatin",45,1,9,9
"J1580","Garamycin gentamicin inj","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323017302","63323-0173-02","Gentamicin Sulfate",2,25,0.25,6.25
"J3415","Pyridoxine hcl 100 mg","100 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323018001","63323-0180-01","Pyridoxine Hcl",1,25,1,25
"J7051","Sterile saline/water","5 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018500","63323-0185-00","Sterile Water For Injection",100,25,20,500
"J7051","Sterile saline/water","5 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018505","63323-0185-05","Sterile Water For Injection",5,25,1,25
"J7051","Sterile saline/water","5 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018510","63323-0185-10","Sterile Water For Injection",10,25,2,50
"J7051","Sterile saline/water","5 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018520","63323-0185-20","Sterile Water For Injection",20,25,4,100
"J7051","Sterile saline/water","5 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018550","63323-0185-50","Sterile Water For Injection",50,25,10,250
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018600","63323-0186-00","Sodium Chloride",100,25,50,1250
"J7130","Hypertonic saline solution","20 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018600","63323-0186-00","Sodium Chloride",100,25,5,125
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018602","63323-0186-02","Sodium Chloride",2,25,1,25
"J7130","Hypertonic saline solution","20 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018602","63323-0186-02","Sodium Chloride",2,25,0.1,2.5
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018610","63323-0186-10","Sodium Chloride",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018610","63323-0186-10","Sodium Chloride",10,25,0.5,12.5
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018620","63323-0186-20","Sodium Chloride",20,25,10,250
"J7130","Hypertonic saline solution","20 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323018620","63323-0186-20","Sodium Chloride",20,25,1,25
"J9280","Mitomycin 5 MG inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019020","63323-0190-20","Mitomycin",1,1,1,1
"J9290","Mitomycin 20 MG inj","20 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019020","63323-0190-20","Mitomycin",1,1,0.25,0.25
"J9291","Mitomycin 40 MG inj","40 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019020","63323-0190-20","Mitomycin",1,1,0.125,0.125
"J9280","Mitomycin 5 MG inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019120","63323-0191-20","Mitomycin",1,1,1,1
"J9290","Mitomycin 20 MG inj","20 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019120","63323-0191-20","Mitomycin",1,1,0.25,0.25
"J9291","Mitomycin 40 MG inj","40 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019120","63323-0191-20","Mitomycin",1,1,0.125,0.125
"J9280","Mitomycin 5 MG inj","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019140","63323-0191-40","Mitomycin",1,1,4,4
"J9290","Mitomycin 20 MG inj","20 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019140","63323-0191-40","Mitomycin",1,1,1,1
"J9291","Mitomycin 40 MG inj","40 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323019140","63323-0191-40","Mitomycin",1,1,0.5,0.5
"J3370","Vancomycin hcl injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323022110","63323-0221-10","Vancomycin Hcl",1,25,1,25
"J2720","Inj protamine sulfate/10 MG","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323022905","63323-0229-05","Protamine Sulfate",5,25,5,125
"J2720","Inj protamine sulfate/10 MG","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323022930","63323-0229-30","Protamine Sulfate",25,1,25,25
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023401","63323-0234-01","Atropine Sulfate",1,25,1.33,33.25
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023420","63323-0234-20","Atropine Sulfate",20,25,26.6,665
"J7635","Atropine inhal sol con","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023420","63323-0234-20","Atropine Sulfate",20,25,8,200
"J7636","Atropine inhal sol unit dose","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023420","63323-0234-20","Atropine Sulfate",20,25,8,200
"J0690","Cefazolin sodium injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023610","63323-0236-10","Cefazolin Sodium",1,25,1,25
"J0690","Cefazolin sodium injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023710","63323-0237-10","Cefazolin Sodium",1,25,2,50
"J0690","Cefazolin sodium injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023765","63323-0237-65","Cefazolin Sodium",1,10,2,20
"J0690","Cefazolin sodium injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323023861","63323-0238-61","Cefazolin Sodium",1,10,20,200
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323024301","63323-0243-01","Atropine Sulfate",1,25,1.67,41.75
"J0460","Atropine sulfate injection","0.3 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323024601","63323-0246-01","Atropine Sulfate",1,25,3.33,83.25
"J7051","Sterile saline/water","5 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323024910","63323-0249-10","Bacteriostatic Water(Parabens)",10,25,2,50
"J7051","Sterile saline/water","5 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323024930","63323-0249-30","Bacteriostatic Water(Parabens)",30,25,6,150
"J2920","Methylprednisolone injection","40 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323025503","63323-0255-03","Methylprednisolone Sodium Succ",3,25,1,25
"J2930","Methylprednisolone injection","125 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323025803","63323-0258-03","Methylprednisolone Sodium Succ",1,25,1,25
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323025910","63323-0259-10","Saline Bacteriostatic",10,25,5,125
"J7130","Hypertonic saline solution","20 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323025910","63323-0259-10","Saline Bacteriostatic",10,25,0.5,12.5
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323025930","63323-0259-30","Saline Bacteriostatic",30,25,15,375
"J7130","Hypertonic saline solution","20 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323025930","63323-0259-30","Saline Bacteriostatic",30,25,1.5,37.5
"J2675","Inj progesterone per 50 MG","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323026110","63323-0261-10","Progesterone",10,1,10,10
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323026201","63323-0262-01","Heparin Sodium (Porcine)",1,25,5,125
"J2930","Methylprednisolone injection","125 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323026530","63323-0265-30","Methylprednisolone Sodium Succ",1,1,8,8
"J2680","Fluphenazine decanoate 25 MG","25 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323027205","63323-0272-05","Fluphenazine Decanoate",5,1,5,5
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323027602","63323-0276-02","Heparin Sodium (Porcine)",2,25,2,50
"J9360","Vinblastine sulfate inj","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323027810","63323-0278-10","Vinblastine Sulfate",10,1,10,10
"J1940","Furosemide injection","20 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323028002","63323-0280-02","Furosemide",2,25,1,25
"J1940","Furosemide injection","20 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323028004","63323-0280-04","Furosemide",4,25,2,50
"J1940","Furosemide injection","20 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323028010","63323-0280-10","Furosemide",10,25,5,125
"J3370","Vancomycin hcl injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323028420","63323-0284-20","Vancomycin Hcl",1,10,2,20
"J3370","Vancomycin hcl injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323029561","63323-0295-61","Vancomycin Hcl",1,1,10,10
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030351","63323-0303-51","Tobramycin Sulfate",1,6,15,90
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030355","63323-0303-55","Tobramycin Sulfate",1,6,15,90
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030502","63323-0305-02","Tobramycin Sulfate",2,25,0.25,6.25
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030602","63323-0306-02","Tobramycin Sulfate",2,25,1,25
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030630","63323-0306-30","Tobramycin Sulfate",30,10,15,150
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030655","63323-0306-55","Tobramycin Sulfate",1,25,1,25
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030656","63323-0306-56","Tobramycin Sulfate",1,10,15,150
"J3260","Tobramycin sulfate injection","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030751","63323-0307-51","Tobramycin Sulfate",50,1,25,25
"J1450","Fluconazole","200 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030861","63323-0308-61","Fluconazole In Sodium Chloride",100,10,1,10
"J1450","Fluconazole","200 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323030863","63323-0308-63","Fluconazole In Sodium Chloride",200,10,2,20
"J0610","Calcium gluconate injection","10 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323031110","63323-0311-10","Calcium Gluconate",10,25,1,25
"J0610","Calcium gluconate injection","10 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323031150","63323-0311-50","Calcium Gluconate",50,25,5,125
"J0610","Calcium gluconate injection","10 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323031161","63323-0311-61","Calcium Gluconate",100,40,10,400
"J0610","Calcium gluconate injection","10 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323031163","63323-0311-63","Calcium Gluconate",200,10,20,200
"J0697","Sterile cefuroxime injection","750 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323031220","63323-0312-20","Cefuroxime Sodium",1,10,2,20
"J3370","Vancomycin hcl injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323031461","63323-0314-61","Vancomycin Hcl",1,1,20,20
"Q4075","Acyclovir, 5 mg","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323032510","63323-0325-10","Acyclovir Sodium",20,10,100,1000
"Q4075","Acyclovir, 5 mg","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323032520","63323-0325-20","Acyclovir Sodium",20,10,200,2000
"J0698","Cefotaxime sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323033115","63323-0331-15","Cefotaxime Sodium",1,25,1,25
"J0698","Cefotaxime sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323033215","63323-0332-15","Cefotaxime Sodium",1,25,2,50
"J0698","Cefotaxime sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323033361","63323-0333-61","Cefotaxime Sodium",1,10,10,100
"J0698","Cefotaxime sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323033461","63323-0334-61","Cefotaxime Sodium",1,10,20,200
"J0698","Cefotaxime sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323033510","63323-0335-10","Cefotaxime Sodium",1,25,0.5,12.5
"J0694","Cefoxitin sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323034120","63323-0341-20","Cefoxitin Sodium",1,25,1,25
"J0694","Cefoxitin sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323034220","63323-0342-20","Cefoxitin Sodium",1,25,2,50
"J0694","Cefoxitin sodium injection","1 GM","AMERICAN PHARMACEUTICAL PARTNERS","63323034361","63323-0343-61","Cefoxitin Sodium",1,10,10,100
"J0697","Sterile cefuroxime injection","750 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323035210","63323-0352-10","Cefuroxime Sodium",1,25,1,25
"J0697","Sterile cefuroxime injection","750 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323035320","63323-0353-20","Cefuroxime Sodium",20,25,2,50
"J0697","Sterile cefuroxime injection","750 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323035461","63323-0354-61","Cefuroxime Sodium",1,10,10,100
"J1840","Kanamycin sulfate 500 MG inj","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323035903","63323-0359-03","Kanamycin Sulfate",3,10,2.01,20.1
"J1850","Kanamycin sulfate 75 MG inj","75 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323035903","63323-0359-03","Kanamycin Sulfate",3,10,13.33,133.3
"J1240","Dimenhydrinate injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323036601","63323-0366-01","Dimenhydrinate",1,25,1,25
"J2710","Neostigmine methylslfte inj","0.5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323038210","63323-0382-10","Neostigmine Methylsulfate",10,10,10,100
"J2710","Neostigmine methylslfte inj","0.5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323038310","63323-0383-10","Neostigmine Methylsulfate",10,10,20,200
"J0290","Ampicillin 500 MG inj","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323038710","63323-0387-10","Ampicillin Sodium",10,10,0.5,5
"J0290","Ampicillin 500 MG inj","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323038810","63323-0388-10","Ampicillin Sodium",1,10,1,10
"J0290","Ampicillin 500 MG inj","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323038910","63323-0389-10","Ampicillin Sodium",10,10,2,20
"J0290","Ampicillin 500 MG inj","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323039923","63323-0399-23","Ampicillin Sodium",1,10,4,40
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041102","63323-0411-02","Midazolam Hcl",2,25,1,25
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041110","63323-0411-10","Midazolam Hcl",10,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041112","63323-0411-12","Midazolam Hcl",2,1,2,2
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041125","63323-0411-25","Midazolam Hcl",5,25,5,125
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041202","63323-0412-02","Midazolam Hcl",2,10,10,100
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041205","63323-0412-05","Midazolam Hcl",5,10,25,250
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041210","63323-0412-10","Midazolam Hcl",10,10,50,500
"J2250","Inj midazolam hydrochloride","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323041225","63323-0412-25","Midazolam Hcl",1,25,5,125
"J0690","Cefazolin sodium injection","500 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323044661","63323-0446-61","Cefazolin Sodium",1,10,40,400
"J1631","Haloperidol decanoate inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323046901","63323-0469-01","Haloperidol Decanoate",1,1,1,1
"J1631","Haloperidol decanoate inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323046905","63323-0469-05","Haloperidol Decanoate",5,1,5,5
"J1631","Haloperidol decanoate inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323046951","63323-0469-51","Haloperidol Decanoate",1,1,1,1
"J1631","Haloperidol decanoate inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323047101","63323-0471-01","Haloperidol Decanoate",1,1,2,2
"J1631","Haloperidol decanoate inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323047105","63323-0471-05","Haloperidol Decanoate",5,1,10,10
"J1631","Haloperidol decanoate inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323047151","63323-0471-51","Haloperidol Decanoate",1,1,2,2
"J1631","Haloperidol decanoate inj","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323047155","63323-0471-55","Haloperidol Decanoate",5,1,10,10
"J1630","Haloperidol injection","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323047401","63323-0474-01","Haloperidol Lactate",1,25,1,25
"J1630","Haloperidol injection","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323047410","63323-0474-10","Haloperidol Lactate",10,1,10,10
"J1630","Haloperidol injection","5 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323047491","63323-0474-91","Haloperidol Lactate",1,25,1,25
"J1100","Dexamethasone sodium phos","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323050601","63323-0506-01","Dexamethasone Sodium Phosphate",1,25,10,250
"J7637","Dexamethasone inhal sol con","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323050601","63323-0506-01","Dexamethasone Sodium Phosphate",1,25,100,2500
"J7638","Dexamethasone inhal sol u d","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323050601","63323-0506-01","Dexamethasone Sodium Phosphate",1,25,10,250
"J1580","Garamycin gentamicin inj","80 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323051302","63323-0513-02","Gentamicin Sulfate",2,25,0.25,6.25
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054001","63323-0540-01","Heparin Sodium (Porcine)",1,25,1,25
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054011","63323-0540-11","Heparin Sodium (Porcine)",10,25,10,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054031","63323-0540-31","Heparin Sodium (Porcine)",30,25,30,750
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054201","63323-0542-01","Heparin Sodium (Porcine)",1,25,10,250
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054207","63323-0542-07","Heparin Sodium (Porcine)",5,25,50,1250
"J1642","Inj heparin sodium per 10 u","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054401","63323-0544-01","Heparin (Porcine) Lock Flush",1,25,1,25
"J1642","Inj heparin sodium per 10 u","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054411","63323-0544-11","Heparin (Porcine) Lock Flush",10,25,10,250
"J1642","Inj heparin sodium per 10 u","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054431","63323-0544-31","Heparin (Porcine) Lock Flush",30,25,30,750
"J1642","Inj heparin sodium per 10 u","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054501","63323-0545-01","Heparin Sodium Lock Flush",1,25,10,250
"J1642","Inj heparin sodium per 10 u","10 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323054505","63323-0545-05","Heparin Sodium Lock Flush",5,25,50,1250
"J1800","Propranolol injection","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323060401","63323-0604-01","Propranolol Hcl",1,10,1,10
"J1245","Dipyridamole injection","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323061302","63323-0613-02","Dipyridamole",2,25,1,25
"J1245","Dipyridamole injection","10 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323061310","63323-0613-10","Dipyridamole",10,10,5,50
"J0360","Hydralazine hcl injection","20 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323061401","63323-0614-01","Hydralazine Hcl",1,25,1,25
"J0282","Amiodarone HCl","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323061603","63323-0616-03","Amiodarone Hcl",3,25,5,125
"J0282","Amiodarone HCl","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323061609","63323-0616-09","Amiodarone Hcl",9,10,15,150
"J0282","Amiodarone HCl","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323061613","63323-0616-13","Amiodarone Hcl",3,25,5,125
"J0282","Amiodarone HCl","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323061618","63323-0616-18","Amiodarone Hcl",18,1,30,30
"J2260","Inj milrinone lactate / 5 MG","5 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323061710","63323-0617-10","Milrinone Lactate",10,10,2,20
"J2260","Inj milrinone lactate / 5 MG","5 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323061720","63323-0617-20","Milrinone Lactate",20,10,4,40
"J2260","Inj milrinone lactate / 5 MG","5 ML","AMERICAN PHARMACEUTICAL PARTNERS","63323061750","63323-0617-50","Milrinone Lactate",50,1,10,10
"J0150","Injection adenosine 6 MG","6 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323065102","63323-0651-02","Adenosine",2,10,1,10
"J0150","Injection adenosine 6 MG","6 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323065104","63323-0651-04","Adenosine",4,10,2,20
"J1200","Diphenhydramine hcl injectio","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323066401","63323-0664-01","Diphenhydramine Hcl",1,25,1,25
"J3105","Terbutaline sulfate inj","1 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323066501","63323-0665-01","Terbutaline Sulfate",1,25,1,25
"J0640","Leucovorin calcium injection","50 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323071100","63323-0711-00","Leucovorin Calcium",1,1,10,10
"J0636","Inj calcitriol per 0.1 mcg","0.1 MCG","AMERICAN PHARMACEUTICAL PARTNERS","63323073101","63323-0731-01","Calcitriol",1,50,10,500
"J9209","Mesna injection","200 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323073310","63323-0733-10","Mesna",10,10,5,50
"J9209","Mesna injection","200 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323073311","63323-0733-11","Mesna",10,1,5,5
"J9209","Mesna injection","200 MG","AMERICAN PHARMACEUTICAL PARTNERS (NOVATION PLUS)","63323073312","63323-0733-12","Mesna",10,10,5,50
"J2430","Pamidronate disodium /30 MG","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323073410","63323-0734-10","Pamidronate Disodium",10,1,1,1
"J2430","Pamidronate disodium /30 MG","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323073435","63323-0734-35","Pamidronate Disodium",10,1,1,1
"J2430","Pamidronate disodium /30 MG","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323073510","63323-0735-10","Pamidronate Disodium",10,1,3,3
"J2430","Pamidronate disodium /30 MG","30 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323073535","63323-0735-35","Pamidronate Disodium",10,1,3,3
"J2545","Pentamidine isethionte/300mg","300 MG","AMERICAN PHARMACEUTICAL PARTNERS","63323087715","63323-0877-15","Nebupent",1,1,1,1
"J1644","Inj heparin sodium per 1000u","1000 UNITS","AMERICAN PHARMACEUTICAL PARTNERS","63323091501","63323-0915-01","Heparin Sodium (Porcine)",1,25,200,5000
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323092410","63323-0924-10","Sodium Chloride Bact Inj 10Ml Md Vial 0.9%",10,25,5,125
"J2912","Sodium chloride injection","2 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323092430","63323-0924-30","Saline Bacteriostatic",30,1,1,1
"J7130","Hypertonic saline solution","20 CC","AMERICAN PHARMACEUTICAL PARTNERS","63323092430","63323-0924-30","Saline Bacteriostatic",30,1,1.5,1.5
"J3480","Inj potassium chloride","2 MEQ","AMERICAN PHARMACEUTICAL PARTNERS","63323096505","63323-0965-05","Potassium Chloride",5,25,5,125
"J3480","Inj potassium chloride","2 MEQ","AMERICAN PHARMACEUTICAL PARTNERS","63323096510","63323-0965-10","Potassium Chloride",10,25,10,250
"J3480","Inj potassium chloride","2 MEQ","AMERICAN PHARMACEUTICAL PARTNERS","63323096515","63323-0965-15","Potassium Chloride",15,25,15,375
"J3480","Inj potassium chloride","2 MEQ","AMERICAN PHARMACEUTICAL PARTNERS","63323096520","63323-0965-20","Potassium Chloride",20,25,20,500
"J3480","Inj potassium chloride","2 MEQ","AMERICAN PHARMACEUTICAL PARTNERS","63323096730","63323-0967-30","Potassium Chloride",30,25,30,750
"J7611","Albuterol concentrated form","1 MG","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate",5,1,5,5
"J7613","Albuterol unit dose","1 MG","HAWKINS CHEMICAL","63370001015","63370-0010-15","Albuterol Sulfate",5,1,5,5
"J7611","Albuterol concentrated form","1 MG","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate",25,1,25,25
"J7613","Albuterol unit dose","1 MG","HAWKINS CHEMICAL","63370001025","63370-0010-25","Albuterol Sulfate",25,1,25,25
"J7611","Albuterol concentrated form","1 MG","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate",100,1,100,100
"J7613","Albuterol unit dose","1 MG","HAWKINS CHEMICAL","63370001035","63370-0010-35","Albuterol Sulfate",100,1,100,100
"J7611","Albuterol concentrated form","1 MG","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate",500,1,500,500
"J7613","Albuterol unit dose","1 MG","HAWKINS CHEMICAL","63370001045","63370-0010-45","Albuterol Sulfate",500,1,500,500
"J7611","Albuterol concentrated form","1 MG","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate",1000,1,1000,1000
"J7613","Albuterol unit dose","1 MG","HAWKINS CHEMICAL","63370001050","63370-0010-50","Albuterol Sulfate",1000,1,1000,1000
"J7680","Terbutaline so4 inh sol con","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025015","63370-0250-15","Terbutaline Sulfate",1,1,5000,5000
"J7681","Terbutaline so4 inh sol u d","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025015","63370-0250-15","Terbutaline Sulfate",1,1,5000,5000
"J7680","Terbutaline so4 inh sol con","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025020","63370-0250-20","Terbutaline Sulfate",1,1,10000,10000
"J7681","Terbutaline so4 inh sol u d","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025020","63370-0250-20","Terbutaline Sulfate",1,1,10000,10000
"J7680","Terbutaline so4 inh sol con","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025025","63370-0250-25","Terbutaline Sulfate",1,1,25000,25000
"J7681","Terbutaline so4 inh sol u d","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025025","63370-0250-25","Terbutaline Sulfate",1,1,25000,25000
"J7680","Terbutaline so4 inh sol con","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025035","63370-0250-35","Terbutaline Sulfate",1,1,100000,100000
"J7681","Terbutaline so4 inh sol u d","1 MG","HAWKINS , INC. PHARMACEUTICAL GROUP","63370025035","63370-0250-35","Terbutaline Sulfate",1,1,100000,100000
"J7614","Levalbuterol unit dose","0.5 MG","SEPRACOR","63402051124","63402-0511-24","Xopenex",3,24,0.63,15.12
"J7614","Levalbuterol unit dose","0.5 MG","SEPRACOR","63402051224","63402-0512-24","Xopenex",3,24,1.26,30.24
"J7614","Levalbuterol unit dose","0.5 MG","SEPRACOR","63402051324","63402-0513-24","Xopenex",3,24,2.49,59.76
"J7612","Levalbuterol concentrated","0.5 MG","SEPRACOR","63402051530","63402-0515-30","Xopenex",1,30,2.5,75
"J2310","Inj naloxone hydrochloride","1 MG","ENDO PHARMACEUTICALS","63481035810","63481-0358-10","Naloxone Hcl",1,10,0.4,4
"J2310","Inj naloxone hydrochloride","1 MG","ENDO PHARMACEUTICALS","63481036505","63481-0365-05","Naloxone Hcl",10,1,4,4
"J2310","Inj naloxone hydrochloride","1 MG","ENDO PHARMACEUTICALS","63481036805","63481-0368-05","Naloxone Hcl",10,1,10,10
"J2310","Inj naloxone hydrochloride","1 MG","ENDO PHARMACEUTICALS","63481037710","63481-0377-10","Naloxone Hcl",2,10,2,20
"J2300","Inj nalbuphine hydrochloride","10 MG","ENDO PHARMACEUTICALS","63481043210","63481-0432-10","Nubain",1,10,1,10
"J2300","Inj nalbuphine hydrochloride","10 MG","ENDO PHARMACEUTICALS","63481043310","63481-0433-10","Nubain",1,10,2,20
"J2410","Oxymorphone hcl injection","1 MG","ENDO PHARMACEUTICALS","63481044410","63481-0444-10","Numorphan",1,10,1,10
"J2300","Inj nalbuphine hydrochloride","10 MG","ENDO PHARMACEUTICALS","63481050805","63481-0508-05","Nubain",10,1,10,10
"J2300","Inj nalbuphine hydrochloride","10 MG","ENDO PHARMACEUTICALS","63481050905","63481-0509-05","Nubain",10,1,20,20
"P9046","Albumin (human), 25%, 20 ml","20 ML","ALPINE BIOLOGICS","63546025105","63546-0251-05","Albumin-Zlb",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","ALPINE BIOLOGICS","63546025105","63546-0251-05","Albumin-Zlb",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","ALPINE BIOLOGICS","63546025110","63546-0251-10","Albumin-Zlb",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","ALPINE BIOLOGICS","63546025110","63546-0251-10","Albumin-Zlb",100,1,2,2
"P9041","Albumin (human),5%, 50ml","50 ML","ALPINE BIOLOGICS","63546031025","63546-0310-25","Albumin-Zlb",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","ALPINE BIOLOGICS","63546031025","63546-0310-25","Albumin-Zlb",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","ALPINE BIOLOGICS","63546031050","63546-0310-50","Albumin-Zlb",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","ALPINE BIOLOGICS","63546031050","63546-0310-50","Albumin-Zlb",500,1,2,2
"J7509","Methylprednisolone oral","4 MG","MCKESSON PACKAGING SERVICES","63739016115","63739-0161-15","Methylprednisolone",150,1,150,150
"J7506","Prednisone oral","5 MG","MCKESSON PACKAGING SERVICES","63739020715","63739-0207-15","Prednisone",150,1,150,150
"J7506","Prednisone oral","5 MG","MCKESSON PACKAGING SERVICES","63739020815","63739-0208-15","Prednisone",150,1,300,300
"J7506","Prednisone oral","5 MG","MCKESSON PACKAGING SERVICES","63739020915","63739-0209-15","Prednisone",150,1,600,600
"J2912","Sodium chloride injection","2 CC","HOSPIRA","63807010003","63807-0100-03","Sodium Chloride",2.5,1,1.25,1.25
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","63807010003","63807-0100-03","Sodium Chloride",2.5,1,0.125,0.125
"J2912","Sodium chloride injection","2 CC","HOSPIRA","63807010005","63807-0100-05","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","63807010005","63807-0100-05","Sodium Chloride",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","HOSPIRA","63807010010","63807-0100-10","Sodium Chloride",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","63807010010","63807-0100-10","Sodium Chloride",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","HOSPIRA","63807010011","63807-0100-11","Sodium Chloride",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","HOSPIRA","63807010011","63807-0100-11","Sodium Chloride",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","ABBOTT","63807010030","63807-0100-30","Saline Flush",2.5,100,1.25,125
"J7130","Hypertonic saline solution","20 CC","ABBOTT","63807010030","63807-0100-30","Saline Flush",2.5,100,0.125,12.5
"J2912","Sodium chloride injection","2 CC","EXCELSIOR MEDICAL CORPORATION","63807010033","63807-0100-33","Saline Flush",2.5,1,1.25,1.25
"J7130","Hypertonic saline solution","20 CC","EXCELSIOR MEDICAL CORPORATION","63807010033","63807-0100-33","Saline Flush",2.5,1,0.125,0.125
"J2912","Sodium chloride injection","2 CC","ABBOTT","63807010050","63807-0100-50","Saline Flush",5,100,2.5,250
"J7130","Hypertonic saline solution","20 CC","ABBOTT","63807010050","63807-0100-50","Saline Flush",5,100,0.25,25
"J2912","Sodium chloride injection","2 CC","EXCELSIOR MEDICAL CORPORATION","63807010051","63807-0100-51","Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","EXCELSIOR MEDICAL CORPORATION","63807010051","63807-0100-51","Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","EXCELSIOR MEDICAL CORPORATION","63807010056","63807-0100-56","Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","EXCELSIOR MEDICAL CORPORATION","63807010056","63807-0100-56","Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","ABBOTT","63807010075","63807-0100-75","Saline Flush",10,100,5,500
"J7130","Hypertonic saline solution","20 CC","ABBOTT","63807010075","63807-0100-75","Saline Flush",10,100,0.5,50
"J2912","Sodium chloride injection","2 CC","EXCELSIOR MEDICAL CORPORATION","63807010092","63807-0100-92","Saline Flush",10,2,5,10
"J7130","Hypertonic saline solution","20 CC","EXCELSIOR MEDICAL CORPORATION","63807010092","63807-0100-92","Saline Flush",10,2,0.5,1
"J1642","Inj heparin sodium per 10 u","10 UNITS","EXCELSIOR MEDICAL CORPORATION","63807050050","63807-0500-50","Heparin Sodium Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","EXCELSIOR MEDICAL CORPORATION","63807050051","63807-0500-51","Heparin Sodium Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","EXCELSIOR MEDICAL CORPORATION","63807060050","63807-0600-50","Heparin Sodium Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","EXCELSIOR MEDICAL CORPORATION","63807060051","63807-0600-51","Heparin Sodium Lock Flush",5,1,50,50
"J7330","Cultured chondrocytes implnt","1 EA","GENZYME","63861102501","63861-1025-01","Carticel",1,1,1,1
"J2912","Sodium chloride injection","2 CC","SALIENT HCT","64054090203","64054-0902-03","Sodium Chloride",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","SALIENT HCT","64054090203","64054-0902-03","Sodium Chloride",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","SALIENT HCT","64054090302","64054-0903-02","Sodium Chloride",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","SALIENT HCT","64054090302","64054-0903-02","Sodium Chloride",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","SALIENT HCT","64054090303","64054-0903-03","Sodium Chloride",1,1,0.5,0.5
"J7130","Hypertonic saline solution","20 CC","SALIENT HCT","64054090303","64054-0903-03","Sodium Chloride",1,1,0.05,0.05
"J2912","Sodium chloride injection","2 CC","SALIENT HCT","64054090306","64054-0903-06","Sodium Chloride",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","SALIENT HCT","64054090306","64054-0903-06","Sodium Chloride",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","SALIENT HCT","64054090502","64054-0905-02","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","SALIENT HCT","64054090502","64054-0905-02","Sodium Chloride",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","SALIENT HCT","64054090506","64054-0905-06","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","SALIENT HCT","64054090506","64054-0905-06","Sodium Chloride",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","SALIENT HCT","64054091002","64054-0910-02","Sodium Chloride",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","SALIENT HCT","64054091002","64054-0910-02","Sodium Chloride",10,1,0.5,0.5
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100003","64054-1000-03","Heparin (Porcine) In Nacl",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100103","64054-1001-03","Heparin (Porcine) In Nacl",1,1,1,1
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100202","64054-1002-02","Heparin (Porcine) In Nacl",2,1,20,20
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100203","64054-1002-03","Heparin (Porcine) In Nacl",2,1,2,2
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100206","64054-1002-06","Heparin (Porcine) In Nacl",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100301","64054-1003-01","Heparin (Porcine) In Nacl",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100302","64054-1003-02","Heparin (Porcine) In Nacl",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100306","64054-1003-06","Heparin (Porcine) In Nacl",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100402","64054-1004-02","Heparin (Porcine) In Nacl",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100406","64054-1004-06","Heparin Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100502","64054-1005-02","Heparin (Porcine) In Nacl",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100506","64054-1005-06","Heparin (Porcine) In Nacl",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054100902","64054-1009-02","Heparin (Porcine) In Nacl",10,1,100,100
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054101002","64054-1010-02","Heparin (Porcine) In Nacl",10,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054300003","64054-3000-03","Heparin Combination",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054300202","64054-3002-02","Heparin Combination",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054300206","64054-3002-06","Heparin Combination",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054300301","64054-3003-01","Heparin Combination",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054300402","64054-3004-02","Heparin Combination",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054300406","64054-3004-06","Heparin Combination",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","SALIENT HCT","64054300902","64054-3009-02","Heparin Combination",1,1,10,10
"J9216","Interferon gamma 1-b inj","3 MM","INTERMUNE PHARMACEUTICALS","64116001101","64116-0011-01","Actimmune",0.5,1,0.666,0.666
"J9216","Interferon gamma 1-b inj","3 MM","INTERMUNE PHARMACEUTICALS","64116001112","64116-0011-12","Actimmune",0.5,12,0.666,7.992
"J0288","Ampho b cholesteryl sulfate","10 MG","INTERMUNE PHARMACEUTICALS","64116002101","64116-0021-01","Amphotec",1,1,10,10
"J0288","Ampho b cholesteryl sulfate","10 MG","INTERMUNE PHARMACEUTICALS","64116002501","64116-0025-01","Amphotec",1,1,5,5
"J9212","Interferon alfacon-1","1 MCG","INTERMUNE PHARMACEUTICALS","64116003101","64116-0031-01","Infergen",0.5,1,15,15
"J9212","Interferon alfacon-1","1 MCG","INTERMUNE PHARMACEUTICALS","64116003106","64116-0031-06","Infergen",0.5,6,15,90
"J9212","Interferon alfacon-1","1 MCG","INTERMUNE PHARMACEUTICALS","64116003124","64116-0031-24","Infergen",0.5,24,15,360
"J9212","Interferon alfacon-1","1 MCG","INTERMUNE PHARMACEUTICALS","64116003901","64116-0039-01","Infergen",0.3,1,9,9
"J9212","Interferon alfacon-1","1 MCG","INTERMUNE PHARMACEUTICALS","64116003906","64116-0039-06","Infergen",0.3,6,9,54
"J9212","Interferon alfacon-1","1 MCG","INTERMUNE PHARMACEUTICALS","64116003924","64116-0039-24","Infergen",0.3,24,9,216
"P9041","Albumin (human),5%, 50ml","50 ML","HYLAND IMMUNO","64193021805","64193-0218-05","Albumin (Human)",50,1,1,1
"P9045","Albumin (human), 5%, 250 ml","250 ML","HYLAND IMMUNO","64193021805","64193-0218-05","Albumin (Human)",50,1,0.2,0.2
"P9041","Albumin (human),5%, 50ml","50 ML","HYLAND IMMUNO","64193021825","64193-0218-25","Albumin (Human)",250,1,5,5
"P9045","Albumin (human), 5%, 250 ml","250 ML","HYLAND IMMUNO","64193021825","64193-0218-25","Albumin (Human)",250,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","HYLAND IMMUNO","64193021850","64193-0218-50","Albumin (Human)",500,1,10,10
"P9045","Albumin (human), 5%, 250 ml","250 ML","HYLAND IMMUNO","64193021850","64193-0218-50","Albumin (Human)",500,1,2,2
"J7198","Anti-inhibitor","1 IU","BAXTER","64193022203","64193-0222-03","Feiba Vh Immuno (Anti-Inhibitor Coagulant Complex)",1,1,1,1
"J7198","Anti-inhibitor","1 IU","HYLAND IMMUNO","64193022204","64193-0222-04","Feiba Vh Immuno",1,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","HYLAND IMMUNO","64193022802","64193-0228-02","Albumin (Human)",20,1,1,1
"P9047","Albumin (human), 25%, 50ml","50 ML","HYLAND IMMUNO","64193022802","64193-0228-02","Albumin (Human)",20,1,0.4,0.4
"P9046","Albumin (human), 25%, 20 ml","20 ML","HYLAND IMMUNO","64193022805","64193-0228-05","Albumin (Human)",50,1,2.5,2.5
"P9047","Albumin (human), 25%, 50ml","50 ML","HYLAND IMMUNO","64193022805","64193-0228-05","Albumin (Human)",50,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","HYLAND IMMUNO","64193022810","64193-0228-10","Albumin (Human)",100,1,5,5
"P9047","Albumin (human), 25%, 50ml","50 ML","HYLAND IMMUNO","64193022810","64193-0228-10","Albumin (Human)",100,1,2,2
"J7194","Factor ix complex","1 IU","HYLAND IMMUNO","64193024402","64193-0244-02","Bebulin Vh",1,1,1,1
"Q9941","IVIG lyophil 1G","1 GRAM","HYLAND IMMUNO","64193025050","64193-0250-50","Iveegam En",1,1,5,5
"Q9942","IVIG lyophil 10 mg","10 MG","HYLAND IMMUNO","64193025050","64193-0250-50","Iveegam En",1,1,500,500
"J2912","Sodium chloride injection","2 CC","MEDEFIL, INC","64253011121","64253-0111-21","Normal Saline Flush",1,1,0.5,0.5
"J7130","Hypertonic saline solution","20 CC","MEDEFIL, INC","64253011121","64253-0111-21","Normal Saline Flush",1,1,0.05,0.05
"J2912","Sodium chloride injection","2 CC","MEDEFIL, INC","64253011122","64253-0111-22","Normal Saline Flush",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","MEDEFIL, INC","64253011122","64253-0111-22","Normal Saline Flush",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","MEDEFIL, INC","64253011123","64253-0111-23","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","MEDEFIL, INC","64253011123","64253-0111-23","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","MEDEFIL, INC","64253011125","64253-0111-25","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","MEDEFIL, INC","64253011125","64253-0111-25","Normal Saline Flush",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","MEDEFIL, INC","64253011130","64253-0111-30","Normal Saline Flush",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","MEDEFIL, INC","64253011130","64253-0111-30","Normal Saline Flush",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","MEDEFIL, INC","64253011133","64253-0111-33","Normal Saline Flush",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","MEDEFIL, INC","64253011133","64253-0111-33","Normal Saline Flush",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","MEDEFIL, INC","64253011135","64253-0111-35","Normal Saline Flush",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","MEDEFIL, INC","64253011135","64253-0111-35","Normal Saline Flush",5,1,0.25,0.25
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022211","64253-0222-11","Heparin (Porcine) Lock Flush",1,1,1,1
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022221","64253-0222-21","Heparin (Porcine) Lock Flush",1,1,1,1
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022222","64253-0222-22","Heparin (Porcine) Lock Flush",2,1,2,2
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022223","64253-0222-23","Heparin (Porcine) Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022225","64253-0222-25","Heparin (Porcine) Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022230","64253-0222-30","Heparin (Porcine) Lock Flush",10,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022233","64253-0222-33","Heparin (Porcine) Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253022235","64253-0222-35","Heparin (Porcine) Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253033321","64253-0333-21","Heparin (Porcine) Lock Flush",1,1,10,10
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253033322","64253-0333-22","Heparin (Porcine) Lock Flush",2,1,20,20
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253033323","64253-0333-23","Heparin (Porcine) Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253033325","64253-0333-25","Heparin (Porcine) Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253033330","64253-0333-30","Heparin (Porcine) Lock Flush",10,1,100,100
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253033333","64253-0333-33","Heparin (Porcine) Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","MEDEFIL, INC","64253033335","64253-0333-35","Heparin (Porcine) Lock Flush",5,1,50,50
"J7674","Methacholine chloride, neb","1 MG","METHAPHARM","64281010006","64281-0100-06","Provocholine",1,6,100,600
"J7674","Methacholine chloride, neb","1 MG","METHAPHARM","64281010012","64281-0100-12","Provocholine",1,12,100,1200
"J9160","Denileukin diftitox, 300 mcg","300 MCG","LIGAND PHARMACEUTICALS","64365050301","64365-0503-01","Ontak",2,1,1,1
"J1270","Injection, doxercalciferol","1 MCG","BONE CARE INTERNATIONAL","64894084050","64894-0840-50","Hectorol",2,50,4,200
"J0583","Bivalirudin","1 MG","THE MEDICINES COMPANY","65293000101","65293-0001-01","Angiomax",1,10,250,2500
"J7500","Azathioprine oral 50mg","50 MG","PROMETHEUS","65483059010","65483-0590-10","Imuran",100,1,100,100
"J7500","Azathioprine oral 50mg","50 MG","SALIX","65649023141","65649-0231-41","Azasan",100,1,150,150
"J7500","Azathioprine oral 50mg","50 MG","SALIX","65649024141","65649-0241-41","Azasan",100,1,200,200
"J2324","Nesiritide","0.25 MG","SCIOS INC.","65847020525","65847-0205-25","Natrecor",1,1,6,6
"Q0165","Prochlorperazine maleate10mg","10 MG","MEDVANTX","66116022620","66116-0226-20","Prochlorperazine Maleate",20,1,20,20
"Q0170","Promethazine HCl 25 mg oral","25 MG","MEDVANTX","66116028412","66116-0284-12","Promethazine Hcl",12,1,12,12
"J7506","Prednisone oral","5 MG","MEDVANTX","66116041005","66116-0410-05","Prednisone",5,1,10,10
"J7506","Prednisone oral","5 MG","MEDVANTX","66116041030","66116-0410-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","MEDVANTX","66116042005","66116-0420-05","Prednisone",5,1,20,20
"J7506","Prednisone oral","5 MG","MEDVANTX","66116042015","66116-0420-15","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","MEDVANTX","66116046530","66116-0465-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","MEDVANTX","66116046550","66116-0465-50","Prednisone",50,1,200,200
"Q0170","Promethazine HCl 25 mg oral","25 MG","MEDVANTX","66116048830","66116-0488-30","Promethazine Hcl",30,1,30,30
"J7506","Prednisone oral","5 MG","MEDVANTX","66116062530","66116-0625-30","Prednisone",30,1,30,30
"J7509","Methylprednisolone oral","4 MG","MEDVANTX","66116066221","66116-0662-21","Methylprednisolone (Pak)",21,1,21,21
"J1652","Fondaparinux sodium","0.5 MG","GLAXOSMITHKLINE","66203230001","66203-2300-01","Arixtra",0.5,10,5,50
"J1652","Fondaparinux sodium","0.5 MG","GLAXOSMITHKLINE","66203230002","66203-2300-02","Arixtra",0.5,10,5,50
"Q0163","Diphenhydramine HCl 50mg","50 MG","NUCARE PHARMACEUTICALS, INC","66267008115","66267-0081-15","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","NUCARE PHARMACEUTICALS, INC","66267008120","66267-0081-20","Diphenhydramine Hcl",20,1,20,20
"Q0163","Diphenhydramine HCl 50mg","50 MG","NUCARE PHARMACEUTICALS, INC","66267008130","66267-0081-30","Diphenhydramine Hcl",30,1,30,30
"Q0163","Diphenhydramine HCl 50mg","50 MG","NUCARE PHARMACEUTICALS, INC","66267008160","66267-0081-60","Diphenhydramine Hcl",60,1,60,60
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017115","66267-0171-15","Prednisone",15,1,30,30
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017120","66267-0171-20","Prednisone",20,1,40,40
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017121","66267-0171-21","Prednisone",21,1,42,42
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017130","66267-0171-30","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017140","66267-0171-40","Prednisone",40,1,80,80
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017142","66267-0171-42","Prednisone",42,1,84,84
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017210","66267-0172-10","Prednisone",10,1,40,40
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017215","66267-0172-15","Prednisone",15,1,60,60
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017220","66267-0172-20","Prednisone",20,1,80,80
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017230","66267-0172-30","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017320","66267-0173-20","Prednisone",20,1,20,20
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017330","66267-0173-30","Prednisone",30,1,30,30
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017340","66267-0173-40","Prednisone",40,1,40,40
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017342","66267-0173-42","Prednisone",42,1,42,42
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267017360","66267-0173-60","Prednisone",60,1,60,60
"Q0170","Promethazine HCl 25 mg oral","25 MG","NUCARE PHARMACEUTICALS, INC","66267017720","66267-0177-20","Promethazine Hcl",20,1,20,20
"Q0173","Trimethobenzamide HCl 250mg","250 MG","NUCARE PHARMACEUTICALS, INC","66267020810","66267-0208-10","Trimethobenzamide Hcl",10,1,10,10
"Q0173","Trimethobenzamide HCl 250mg","250 MG","NUCARE PHARMACEUTICALS, INC","66267020820","66267-0208-20","Trimethobenzamide Hcl",20,1,20,20
"Q0164","Prochlorperazine maleate 5mg","5 MG","NUCARE PHARMACEUTICALS, INC","66267027112","66267-0271-12","Prochlorperazine Maleate",12,1,12,12
"J7320","Hylan G-F 20 injection","16 MG","NUCARE PHARMACEUTICALS, INC","66267092103","66267-0921-03","Synvisc",2,3,1,3
"J7506","Prednisone oral","5 MG","NUCARE PHARMACEUTICALS, INC","66267094821","66267-0948-21","Prednisone",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","NUCARE PHARMACEUTICALS, INC","66267096121","66267-0961-21","Methylprednisolone",21,1,21,21
"J0697","Sterile cefuroxime injection","750 MG","SAMSON MEDICAL TECH. LLC","66288207501","66288-2075-01","Cefuroxime Sodium",75,1,7500,7500
"J0697","Sterile cefuroxime injection","750 MG","SAMSON MEDICAL TECH. LLC","66288222501","66288-2225-01","Cefuroxime Sodium",225,1,67500,67500
"J0694","Cefoxitin sodium injection","1 GM","SAMSON MEDICAL TECH. LLC","66288410001","66288-4100-01","Cefoxitin",100,1,10000,10000
"J0713","Inj ceftazidime per 500 mg","500 MG","SAMSON MEDICAL TECH. LLC","66288510001","66288-5100-01","Ceftazidime",100,1,20000,20000
"Q4077","Treprostinil, 1 mg","1 MG","UNITED THERAPEUTICS CORP","66302010101","66302-0101-01","Remodulin",20,1,20,20
"Q4077","Treprostinil, 1 mg","1 MG","UNITED THERAPEUTICS CORP","66302010201","66302-0102-01","Remodulin",20,1,50,50
"Q4077","Treprostinil, 1 mg","1 MG","UNITED THERAPEUTICS CORP","66302010501","66302-0105-01","Remodulin",20,1,100,100
"Q4077","Treprostinil, 1 mg","1 MG","UNITED THERAPEUTICS CORP","66302011001","66302-0110-01","Remodulin",20,1,200,200
"Q0163","Diphenhydramine HCl 50mg","50 MG","PROMEDICA LABS","66375010802","66375-0108-02","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","SDA LABS","66424002001","66424-0020-01","Diphenhydramine Hcl",1,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","SDA LABS","66424002010","66424-0020-10","Diphenhydramine Hcl",1,1,1,1
"Q0163","Diphenhydramine HCl 50mg","50 MG","SDA LABORATORIES INC","66424002101","66424-0021-01","Diphenhydramine Hcl",100,1,100,100
"Q0163","Diphenhydramine HCl 50mg","50 MG","SDA LABORATORIES INC","66424002110","66424-0021-10","Diphenhydramine Hcl",1000,1,1000,1000
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","66479013501","66479-0135-01","Methotrexate Sodium",2,1,10,10
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","66479013501","66479-0135-01","Methotrexate Sodium",2,1,1,1
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","66479013509","66479-0135-09","Methotrexate Sodium",10,1,50,50
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","66479013509","66479-0135-09","Methotrexate Sodium",10,1,5,5
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","66479013611","66479-0136-11","Methotrexate Sodium Lpf",2,1,10,10
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","66479013611","66479-0136-11","Methotrexate Sodium Lpf",2,1,1,1
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","66479013613","66479-0136-13","Methotrexate Sodium Lpf",4,1,20,20
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","66479013613","66479-0136-13","Methotrexate Sodium Lpf",4,1,2,2
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","66479013619","66479-0136-19","Methotrexate Sodium Lpf",10,1,50,50
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","66479013619","66479-0136-19","Methotrexate Sodium Lpf",10,1,5,5
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","66479013721","66479-0137-21","Methotrexate Sodium Lpf",1,1,4,4
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","66479013721","66479-0137-21","Methotrexate Sodium Lpf",1,1,0.4,0.4
"J9250","Methotrexate sodium inj","5 MG","MAYNE PHARMA","66479013929","66479-0139-29","Methotrexate Sodium Lpf",1,1,200,200
"J9260","Methotrexate sodium inj","50 MG","MAYNE PHARMA","66479013929","66479-0139-29","Methotrexate Sodium Lpf",1,1,20,20
"J0640","Leucovorin calcium injection","50 MG","MAYNE PHARMA","66479024725","66479-0247-25","Leucovorin Calcium",1,1,7,7
"J1110","Inj dihydroergotamine mesylt","1 MG","XCEL PHARMACEUTICAL","66490004101","66490-0041-01","D.H.E. 45",1,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010401","66521-0104-01","Fluvirin",0.5,10,1,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","EVANS VACCINES LTD","66521010401","66521-0104-01","Fluvirin",0.5,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010410","66521-0104-10","Fluvirin",5,1,10,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","EVANS VACCINES LTD","66521010410","66521-0104-10","Fluvirin",5,1,10,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010501","66521-0105-01","Fluvirin",0.5,10,1,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","EVANS VACCINES LTD","66521010501","66521-0105-01","Fluvirin",0.5,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010510","66521-0105-10","Fluvirin",5,1,10,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","EVANS VACCINES LTD","66521010510","66521-0105-10","Fluvirin",5,1,10,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010601","66521-0106-01","Fluvirin",0.5,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010610","66521-0106-10","Fluvirin",5,1,10,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","EVANS VACCINES LTD","66521010610","66521-0106-10","Fluvirin",5,1,10,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010701","66521-0107-01","Fluvirin",0.5,10,1,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","EVANS VACCINES LTD","66521010701","66521-0107-01","Fluvirin",0.5,10,1,10
"90656","Flu vaccine no preserv 3 & >","0.50 ML","EVANS VACCINES LTD","66521010710","66521-0107-10","Fluvirin",5,1,10,10
"90658","Flu vaccine, 3 yrs & >, im","0.5 ML","EVANS VACCINES LTD","66521010710","66521-0107-10","Fluvirin",5,1,10,10
"J7500","Azathioprine oral 50mg","50 MG","AAI PHARMA","66591022141","66591-0221-41","Azathioprine",100,1,100,100
"J7500","Azathioprine oral 50mg","50 MG","SALIX","66591023141","66591-0231-41","Azasan",100,1,150,150
"J7500","Azathioprine oral 50mg","50 MG","SALIX","66591024141","66591-0241-41","Azasan",100,1,200,200
"J0636","Inj calcitriol per 0.1 mcg","0.1 MCG","AAI PHARMA","66591031512","66591-0315-12","Calcitriol",1,25,10,250
"J0636","Inj calcitriol per 0.1 mcg","0.1 MCG","AAI PHARMA","66591033512","66591-0335-12","Calcitriol",1,25,10,250
"J0636","Inj calcitriol per 0.1 mcg","0.1 MCG","AAI PHARMA","66591034512","66591-0345-12","Calcitriol",1,25,20,500
"J3105","Terbutaline sulfate inj","1 MG","AAI PHARMA","66591043411","66591-0434-11","Brethine",1,10,1,10
"J3105","Terbutaline sulfate inj","1 MG","AAI PHARMA","66591043511","66591-0435-11","Brethine",1,10,1,10
"J1230","Methadone injection","10 MG","AAI PHARMA","66591081551","66591-0815-51","Methadone Hcl",20,1,20,20
"J1457","Gallium nitrate injection","1 MG","GENTA","66657030101","66657-0301-01","Ganite",20,1,500,500
"J1457","Gallium nitrate injection","1 MG","GENTA","66657030105","66657-0301-05","Ganite",20,5,500,2500
"J9055","Cetuximab injection","10 MG","BRISTOL-MYERS SQUIBB","66733094823","66733-0948-23","Erbitux",50,1,10,10
"J1600","Gold sodium thiomaleate inj","50 MG","PARENTA","66758001101","66758-0011-01","Gold Sodium Thiomalate",1,1,1,1
"J1600","Gold sodium thiomaleate inj","50 MG","PARENTA","66758001102","66758-0011-02","Gold Sodium Thiomalate",1,6,1,6
"J1600","Gold sodium thiomaleate inj","50 MG","PARENTA","66758001103","66758-0011-03","Gold Sodium Thiomalate",10,1,10,10
"J2440","Papaverin hcl injection","60 MG","PARENTA","66758001402","66758-0014-02","Papaverine Hcl",2,10,1,10
"J2440","Papaverin hcl injection","60 MG","PARENTA","66758001501","66758-0015-01","Papaverine Hcl",10,1,5,5
"J2370","Phenylephrine hcl injection","1 ML","PARENTA","66758001602","66758-0016-02","Phenylephrine Hcl",1,25,1,25
"J2370","Phenylephrine hcl injection","1 ML","PARENTA","66758001701","66758-0017-01","Phenylephrine Hcl",10,1,10,10
"J2250","Inj midazolam hydrochloride","1 MG","PARENTA","66758001802","66758-0018-02","Midazolam Hcl",10,1,10,10
"J2250","Inj midazolam hydrochloride","1 MG","PARENTA","66758001902","66758-0019-02","Midazolam Hcl",10,1,50,50
"J3360","Diazepam injection","5 MG","PARENTA","66758002002","66758-0020-02","Diazepam",10,10,10,100
"J2910","Aurothioglucose injeciton","50 MG","PARENTA","66758002601","66758-0026-01","Solganal",10,1,10,10
"J2550","Promethazine hcl injection","50 MG","PARENTA","66758060119","66758-0601-19","Promethazine Hcl",10,1,10,50
"J7613","Albuterol unit dose","1 MG","RX ELITE","66794000125","66794-0001-25","Albuterol Sulfate",3,25,2.49,62.25
"J7613","Albuterol unit dose","1 MG","RX ELITE","66794000130","66794-0001-30","Albuterol Sulfate",3,30,2.49,74.7
"J7613","Albuterol unit dose","1 MG","RX ELITE","66794000160","66794-0001-60","Albuterol Sulfate",3,60,2.49,149.4
"J7644","Ipratropium brom inh sol u d","1 MG","RX ELITE","66794000225","66794-0002-25","Ipratropium Bromide",2.5,25,0.5,12.5
"J7644","Ipratropium brom inh sol u d","1 MG","RX ELITE","66794000230","66794-0002-30","Ipratropium Bromide",2.5,30,0.5,15
"J7644","Ipratropium brom inh sol u d","1 MG","RX ELITE","66794000260","66794-0002-60","Ipratropium Bromide",2.5,60,0.5,30
"J0690","Cefazolin sodium injection","500 MG","CURA PHARMACEUTICALS","66860000103","66860-0001-03","Cefazolin Sodium",1,25,1,25
"J0690","Cefazolin sodium injection","500 MG","CURA PHARMACEUTICALS","66860000203","66860-0002-03","Cefazolin Sodium",1,25,2,50
"J0690","Cefazolin sodium injection","500 MG","CURA PHARMACEUTICALS","66860000302","66860-0003-02","Cefazolin Sodium",1,10,20,200
"J0170","Adrenalin epinephrin inject","1 ML","CURA PHARMACEUTICALS","66860002001","66860-0020-01","Epinephrine Hcl",30,1,30,30
"J0170","Adrenalin epinephrin inject","1 ML","CURA PHARMACEUTICALS","66860002102","66860-0021-02","Epinephrine Hcl",1,10,1,10
"J0697","Sterile cefuroxime injection","750 MG","CURA PHARMACEUTICALS","66860003003","66860-0030-03","Cefuroxime Sodium",1,25,1,25
"J0697","Sterile cefuroxime injection","750 MG","CURA PHARMACEUTICALS","66860003103","66860-0031-03","Cefuroxime Sodium",1,25,2,50
"J0697","Sterile cefuroxime injection","750 MG","CURA PHARMACEUTICALS","66860003202","66860-0032-02","Cefuroxime Sodium",1,10,10,100
"J1160","Digoxin injection","0.5 MG","CURA PHARMACEUTICALS","66860008002","66860-0080-02","Digoxin",2,10,1,10
"J1800","Propranolol injection","1 MG","CURA PHARMACEUTICALS","66860009002","66860-0090-02","Propranolol Hcl",1,10,1,10
"J0690","Cefazolin sodium injection","500 MG","CURA PHARMACEUTICALS","66860090203","66860-0902-03","Cefazolin Sodium",1,25,2,50
"J0690","Cefazolin sodium injection","500 MG","CURA PHARMACEUTICALS","66860090302","66860-0903-02","Cefazolin Sodium",1,10,20,200
"Q0164","Prochlorperazine maleate 5mg","5 MG","PRASCO LABORATORIES","66993080502","66993-0805-02","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","PRASCO LABORATORIES","66993081002","66993-0810-02","Prochlorperazine Maleate",100,1,100,100
"Q0165","Prochlorperazine maleate10mg","10 MG","PRASCO LABORATORIES","66993081005","66993-0810-05","Prochlorperazine Maleate",1000,1,1000,1000
"J7509","Methylprednisolone oral","4 MG","PRASCO LABORATORIES","66993084002","66993-0840-02","Methylprednisolone",100,1,100,100
"J7509","Methylprednisolone oral","4 MG","PRASCO LABORATORIES","66993084021","66993-0840-21","Methylprednisolone (Pak)",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","PRASCO LABORATORIES","66993084225","66993-0842-25","Methylprednisolone",25,1,50,50
"J1655","Tinzaparin sodium injection","1000 IU","PHARMION","67211034208","67211-0342-08","Innohep",2,1,40,40
"J1655","Tinzaparin sodium injection","1000 IU","PHARMION","67211034253","67211-0342-53","Innohep",2,10,40,400
"J8610","Methotrexate oral 2.5 MG","2.5 MG","STADA PHARMACEUTICALS","67253058042","67253-0580-42","Rheumatrex",8,1,8,8
"J8610","Methotrexate oral 2.5 MG","2.5 MG","STADA PHARMACEUTICALS","67253058043","67253-0580-43","Rheumatrex",12,1,12,12
"J8610","Methotrexate oral 2.5 MG","2.5 MG","STADA PHARMACEUTICALS","67253058044","67253-0580-44","Rheumatrex",16,1,16,16
"J8610","Methotrexate oral 2.5 MG","2.5 MG","STADA PHARMACEUTICALS","67253058045","67253-0580-45","Rheumatrex",20,1,20,20
"J8610","Methotrexate oral 2.5 MG","2.5 MG","STADA PHARMACEUTICALS","67253058046","67253-0580-46","Rheumatrex",24,1,24,24
"J7308","Aminolevulinic acid hcl top","354 MG","DUSA PHARMACEUTICALS INC.","67308010101","67308-0101-01","Levulan Kerastick",1,1,1,1
"J7308","Aminolevulinic acid hcl top","354 MG","DUSA PHARMACEUTICALS INC.","67308010106","67308-0101-06","Levulan Kerastick",1,6,1,6
"J2515","Pentobarbital sodium inj","50 MG","OVATION PHARMACEUTICALS","67386050152","67386-0501-52","Nembutal",20,1,20,20
"J2515","Pentobarbital sodium inj","50 MG","OVATION PHARMACEUTICALS","67386050155","67386-0501-55","Nembutal",50,1,50,50
"J3470","Hyaluronidase injection","150 UNITS","ISTA PHARMACEUTICALS","67425000102","67425-0001-02","Vitrase",1,1,41.33,41.33
"J3470","Hyaluronidase injection","150 UNITS","ISTA PHARMACEUTICALS","67425000210","67425-0002-10","Vitrase",2,1,2.6,2.6
"J0282","Amiodarone HCl","30 MG","BIONICHE PHARMA GROUP","67457015303","67457-0153-03","Amiodarone Hcl",3,1,5,5
"J2550","Promethazine hcl injection","50 MG","BIONICHE PHARMA GROUP","67457015410","67457-0154-10","Promethazine Hcl",10,1,5,5
"J2260","Inj milrinone lactate / 5 MG","5 ML","BIONICHE PHARMA GROUP","67457016020","67457-0160-20","Milrinone Lactate",20,1,4,4
"Q9943","IVIG non-lyophil 1G","1 GRAM","OCTAPHARMA USA","67467084301","67467-0843-01","Octagam",20,1,1,1
"Q9944","IVIG non-lyophil 10 mg","10 MG","OCTAPHARMA USA","67467084301","67467-0843-01","Octagam",20,1,100,100
"Q9943","IVIG non-lyophil 1G","1 GRAM","OCTAPHARMA USA","67467084302","67467-0843-02","Octagam",50,1,2.5,2.5
"Q9944","IVIG non-lyophil 10 mg","10 MG","OCTAPHARMA USA","67467084302","67467-0843-02","Octagam",50,1,250,250
"Q9943","IVIG non-lyophil 1G","1 GRAM","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam",100,1,5,5
"Q9944","IVIG non-lyophil 10 mg","10 MG","OCTAPHARMA USA","67467084303","67467-0843-03","Octagam",100,1,500,500
"Q9943","IVIG non-lyophil 1G","1 GRAM","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam",200,1,10,10
"Q9944","IVIG non-lyophil 10 mg","10 MG","OCTAPHARMA USA","67467084304","67467-0843-04","Octagam",200,1,1000,1000
"Q2002","Elliotts b solution per ml","1 ML","QOL MEDICAL","67871000710","67871-0007-10","Elliotts B",10,10,10,100
"J0878","Daptomycin injection","1 MG","CUBIST PHARMACEUTICALS","67919001101","67919-0011-01","Cubicin",1,1,500,500
"J1885","Ketorolac tromethamine inj","15 MG","DIRECT DISPENSING INC","68030015901","68030-0159-01","Ketorolac Tromethamine",2,10,4,40
"J7509","Methylprednisolone oral","4 MG","DIRECT DISPENSING INC","68030403701","68030-4037-01","Methylprednisolone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","68030432501","68030-4325-01","Prednisone",30,1,60,60
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","68030432602","68030-4326-02","Prednisone",30,1,120,120
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","68030432608","68030-4326-08","Prednisone",18,1,72,72
"Q0170","Promethazine HCl 25 mg oral","25 MG","DIRECT DISPENSING INC","68030437902","68030-4379-02","Promethazine Hcl",12,1,12,12
"J0696","Ceftriaxone sodium injection","250 MG","DIRECT DISPENSING INC","68030713901","68030-7139-01","Rocephin",1,10,4,40
"J0696","Ceftriaxone sodium injection","250 MG","DIRECT DISPENSING INC","68030721001","68030-7210-01","Rocephin",1,1,2,2
"J0696","Ceftriaxone sodium injection","250 MG","DIRECT DISPENSING INC","68030737201","68030-7372-01","Rocephin",1,10,2,20
"J7506","Prednisone oral","5 MG","DIRECT DISPENSING INC","68030978601","68030-9786-01","Prednisone",30,1,120,120
"Q0163","Diphenhydramine HCl 50mg","50 MG","DISPENSEXPRESS","68115011706","68115-0117-06","Diphenhydramine Hcl",6,1,6,6
"Q0163","Diphenhydramine HCl 50mg","50 MG","DISPENSEXPRESS","68115011715","68115-0117-15","Diphenhydramine Hcl",15,1,15,15
"Q0163","Diphenhydramine HCl 50mg","50 MG","DISPENSEXPRESS","68115011730","68115-0117-30","Diphenhydramine Hcl",30,1,30,30
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DISPENSEXPRESS","68115017700","68115-0177-00","Hydroxyzine Pamoate",100,1,100,100
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DISPENSEXPRESS","68115017730","68115-0177-30","Hydroxyzine Pamoate",30,1,30,30
"Q0177","Hydroxyzine pamoate 25mg","25 MG","DISPENSEXPRESS","68115017760","68115-0177-60","Hydroxyzine Pamoate",60,1,60,60
"Q0178","Hydroxyzine pamoate 50mg","50 MG","DISPENSEXPRESS","68115017820","68115-0178-20","Hydroxyzine Pamoate",20,1,20,20
"J7506","Prednisone oral","5 MG","DISPENSEXPRESS","68115028930","68115-0289-30","Prednisone",30,1,60,60
"Q0165","Prochlorperazine maleate10mg","10 MG","DISPENSEXPRESS","68115029812","68115-0298-12","Prochlorperazine Maleate",12,1,12,12
"Q0170","Promethazine HCl 25 mg oral","25 MG","DISPENSEXPRESS","68115030230","68115-0302-30","Promethazine Hcl",30,1,30,30
"Q0173","Trimethobenzamide HCl 250mg","250 MG","DISPENSEXPRESS","68115033920","68115-0339-20","Trimethobenzamide Hcl",20,1,20,20
"J8610","Methotrexate oral 2.5 MG","2.5 MG","DISPENSEXPRESS","68115063200","68115-0632-00","Methotrexate",100,1,100,100
"Q0168","Dronabinol 5mg oral","5 MG","DISPENSEXPRESS","68115069225","68115-0692-25","Marinol",25,1,25,25
"J1815","Insulin injection","5 UNITS","DISPENSEXPRESS","68115070905","68115-0709-05","Novolin R Penfill",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","DISPENSEXPRESS","68115070905","68115-0709-05","Novolin R Penfill",3,5,6,30
"J7611","Albuterol concentrated form","1 MG","DISPENSEXPRESS","68115071120","68115-0711-20","Albuterol Sulfate",20,1,100,100
"J1815","Insulin injection","5 UNITS","DISPENSEXPRESS","68115072810","68115-0728-10","Humulin R",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","DISPENSEXPRESS","68115072810","68115-0728-10","Humulin R",10,1,20,20
"J1815","Insulin injection","5 UNITS","DISPENSEXPRESS","68115072905","68115-0729-05","Humulin N Pen",3,5,60,300
"J1817","Insulin for insulin pump use","50 UNITS","DISPENSEXPRESS","68115072905","68115-0729-05","Humulin N Pen",3,5,6,30
"J1815","Insulin injection","5 UNITS","DISPENSEXPRESS","68115074610","68115-0746-10","Humalog",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","DISPENSEXPRESS","68115074610","68115-0746-10","Humalog",10,1,20,20
"J1650","Inj enoxaparin sodium","10 MG","DISPENSEXPRESS","68115074910","68115-0749-10","Lovenox",0.4,10,4,40
"J1595","Injection glatiramer acetate","20 MG","DISPENSEXPRESS","68115075030","68115-0750-30","Copaxone",1,1,30,30
"J3030","Sumatriptan succinate / 6 MG","6 MG","DISPENSEXPRESS","68115077002","68115-0770-02","Imitrex Statdose Pen",1,1,2,2
"J1650","Inj enoxaparin sodium","10 MG","DISPENSEXPRESS","68115077410","68115-0774-10","Lovenox",0.6,10,6,60
"Q0179","Ondansetron HCl 8mg oral","8 MG","DISPENSEXPRESS","68115080230","68115-0802-30","Zofran",30,1,15,15
"J1815","Insulin injection","5 UNITS","DISPENSEXPRESS","68115083910","68115-0839-10","Lantus",10,1,200,200
"J1817","Insulin for insulin pump use","50 UNITS","DISPENSEXPRESS","68115083910","68115-0839-10","Lantus",10,1,20,20
"J7506","Prednisone oral","5 MG","DISPENSEXPRESS","68115094721","68115-0947-21","Prednisone",21,1,21,21
"J7509","Methylprednisolone oral","4 MG","DISPENSEXPRESS","68115096021","68115-0960-21","Methylprednisolone",21,1,21,21
"J0128","Abarelix injection","10 MG","PRAECIS PHARMACEUTICALS","68158014951","68158-0149-51","Plenaxis",1,1,10,10
"J7509","Methylprednisolone oral","4 MG","KELTMAN PHARMACEUTICALS","68387017001","68387-0170-01","Methylprednisolone (Pak)",21,1,21,21
"J7506","Prednisone oral","5 MG","KELTMAN PHARMACEUTICALS","68387024025","68387-0240-25","Prednisone",25,1,100,100
"J7193","Factor IX non-recombinant","1 IU","GRIFOLS","68516360002","68516-3600-02","Alphanine Sd",1,1,1,1
"J7190","Factor viii","1 IU","GRIFOLS","68516460001","68516-4600-01","Alphanate",1,1,1,1
"J7190","Factor viii","1 IU","GRIFOLS","68516460002","68516-4600-02","Alphanate",1,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","GRIFOLS","68516521101","68516-5211-01","Albumin (Human)",1,1,1,1
"P9045","Albumin (human), 5%, 250 ml","250 ML","GRIFOLS","68516521101","68516-5211-01","Albumin (Human)",1,1,1,1
"P9041","Albumin (human),5%, 50ml","50 ML","GRIFOLS","68516521102","68516-5211-02","Albumin (Human)",1,1,1,1
"P9045","Albumin (human), 5%, 250 ml","250 ML","GRIFOLS","68516521102","68516-5211-02","Albumin (Human)",1,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","GRIFOLS","68516521302","68516-5213-02","Human Albumin Grifols",1,1,1,1
"P9047","Albumin (human), 25%, 50ml","50 ML","GRIFOLS","68516521302","68516-5213-02","Human Albumin Grifols",1,1,1,1
"P9046","Albumin (human), 25%, 20 ml","20 ML","GRIFOLS","68516521303","68516-5213-03","Human Albumin Grifols",1,1,1,1
"P9047","Albumin (human), 25%, 50ml","50 ML","GRIFOLS","68516521303","68516-5213-03","Human Albumin Grifols",1,1,1,1
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883001003","68883-0010-03","Heparin Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883001005","68883-0010-05","Heparin Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883001013","68883-0010-13","Heparin Lock Flush",3,1,3,3
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883001015","68883-0010-15","Heparin Lock Flush",5,1,5,5
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883010003","68883-0100-03","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883010004","68883-0100-04","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883010005","68883-0100-05","Heparin Lock Flush",5,1,50,50
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883010013","68883-0100-13","Heparin Lock Flush",3,1,30,30
"J1642","Inj heparin sodium per 10 u","10 UNITS","DEEN PRE-FILLED SYRINGES","68883010015","68883-0100-15","Heparin Lock Flush",5,1,50,50
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090002","68883-0900-02","Sodium Chloride",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090002","68883-0900-02","Sodium Chloride",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090003","68883-0900-03","Sodium Chloride",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090003","68883-0900-03","Sodium Chloride",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090005","68883-0900-05","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090005","68883-0900-05","Sodium Chloride",5,1,0.25,0.25
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090010","68883-0900-10","Sodium Chloride",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090010","68883-0900-10","Sodium Chloride",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090011","68883-0900-11","Sodium Chloride",10,1,5,5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090011","68883-0900-11","Sodium Chloride",10,1,0.5,0.5
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090012","68883-0900-12","Sodium Chloride",2,1,1,1
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090012","68883-0900-12","Sodium Chloride",2,1,0.1,0.1
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090013","68883-0900-13","Sodium Chloride",3,1,1.5,1.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090013","68883-0900-13","Sodium Chloride",3,1,0.15,0.15
"J2912","Sodium chloride injection","2 CC","DEEN PRE-FILLED SYRINGES","68883090015","68883-0900-15","Sodium Chloride",5,1,2.5,2.5
"J7130","Hypertonic saline solution","20 CC","DEEN PRE-FILLED SYRINGES","68883090015","68883-0900-15","Sodium Chloride",5,1,0.25,0.25
"Q0163","Diphenhydramine HCl 50mg","50 MG","MEDTECH","75137021215","75137-0212-15","Compoz",16,1,16,16
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","8121860404","8121860404","Ulcerjacket Scaffold",1,1,16,16
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86000530","86000530","Graftjacket Small Ligament Repair Matrix",1,1,1.5,1.5
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86002X04","86002X04","Handjacket Scaffold Thin",1,1,8,8
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86004X07","86004X07","Maxforce Thick",1,1,28,28
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86005X05","86005X05","Graftjacket Std",1,1,25,25
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86005X10","86005X10","Graftjacket Std",1,1,50,50
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86MX2X04","86MX2X04","Maxforce Thick",1,1,8,8
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86MX5X05","86MX5X05","Maxforce Thick",1,1,25,25
"J7344","Nonmetabolic active tissue","1 SQ CM","WRIGHT MEDICAL TECHNOLOGY","86UM4X07","86UM4X07","Ultra Maxforce",1,1,28,28
